code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
,,Administered intravenously,,,,,0
,,Administered subcutaneously,,,,,0
,,Bilateral Procedure,,,,,0
,,Clia waived test,,,,,0
,,Distinct Procedural Service,,,,,0
,,Drug amount discarded/not administered to any patient,,,,,0
,,Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy,,,,,0
,,Item or service expected to be denied as not reasonable and necessary,,,,,0
,,"Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit",,,,,0
,,Left side (used to identify procedures performed on the left side of the body),,,,,0
,,Member of high risk population (use only with codes for immunization),,,,,0
,,Modifier description not available,,,,,0
,,"Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital",,,,,0
,,Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other dia,,,,,0
,,Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet stu,,,,,0
,,Ramus intermedius coronary artery,,,,,0
,,Reduced Services,,,,,0
,,Right side (used to identify procedures performed on the right side of the body),,,,,0
,,Routine clinical service provided in a clinical research study that is in an approved clinical research study,,,,,0
,,Services delivered under an outpatient occupational therapy plan of care,,,,,0
,,Services delivered under an outpatient physical therapy plan of care,,,,,0
,,Services delivered under an outpatient speech language pathology plan of care,,,,,0
,,"Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the same day of the Procedure or Other Service",,,,,0
,,Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunications System,,,,,0
,,"Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service",,,,,0
,,Zero drug amount discarded/not administered to any patient,,,,,0
APC,0764,Ketorolac tromethamine inj,,,,,0
APC,0781,Iodine i-123 ioflupane,,,,,0
APC,0902,"Injection,onabotulinumtoxinA",,,,,0
APC,2046,"Pmkr, dual, leadless",,,,,0
APC,2050,Cath coronary drug-delivery,,,,,0
APC,2055,"Tissue marker, detectable",,,,,0
APC,5012,Clinic Visits and Related Services,,,,,0
APC,5021,Level 1 Type A ED Visits,,,,,0
APC,5022,Level 2 Type A ED Visits,,,,,0
APC,5023,Level 3 Type A ED Visits,,,,,0
APC,5024,Level 4 Type A ED Visits,,,,,0
APC,5025,Level 5 Type A ED Visits,,,,,0
APC,5041,Critical Care,,,,,0
APC,5051,Level 1 Skin Procedures,,,,,0
APC,5052,Level 2 Skin Procedures,,,,,0
APC,5054,Level 4 Skin Procedures,,,,,0
APC,5055,Level 5 Skin Procedures,,,,,0
APC,5071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,,,0
APC,5091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,,,0
APC,5111,Level 1 Musculoskeletal Procedures,,,,,0
APC,5112,Level 2 Musculoskeletal Procedures,,,,,0
APC,5114,Level 4 Musculoskeletal Procedures,,,,,0
APC,5153,Level 3 Airway Endoscopy,,,,,0
APC,5154,Level 4 Airway Endoscopy,,,,,0
APC,5155,Level 5 Airway Endoscopy,,,,,0
APC,5163,Level 3 ENT Procedures,,,,,0
APC,5164,Level 4 ENT Procedures,,,,,0
APC,5165,Level 5 ENT Procedures,,,,,0
APC,5181,Level 1 Vascular Procedures,,,,,0
APC,5182,Level 2 Vascular Procedures,,,,,0
APC,5183,Level 3 Vascular Procedures,,,,,0
APC,5184,Level 4 Vascular Procedures,,,,,0
APC,5191,Level 1 Endovascular Procedures,,,,,0
APC,5192,Level 2 Endovascular Procedures,,,,,0
APC,5193,Level 3 Endovascular Procedures,,,,,0
APC,5194,Level 4 Endovascular Procedures,,,,,0
APC,5212,Level 2 Electrophysiologic Procedures,,,,,0
APC,5213,Level 3 Electrophysiologic Procedures,,,,,0
APC,5222,Level 2 Pacemaker and Similar Procedures,,,,,0
APC,5223,Level 3 Pacemaker and Similar Procedures,,,,,0
APC,5224,Level 4 Pacemaker and Similar Procedures,,,,,0
APC,5231,Level 1 ICD and Similar Procedures,,,,,0
APC,5232,Level 2 ICD and Similar Procedures,,,,,0
APC,5241,Level 1 Blood Product Exchange and Related Services,,,,,0
APC,5301,Level 1 Upper GI Procedures,,,,,0
APC,5302,Level 2 Upper GI Procedures,,,,,0
APC,5303,Level 3 Upper GI Procedures,,,,,0
APC,5311,Level 1 Lower GI Procedures,,,,,0
APC,5312,Level 2 Lower GI Procedures,,,,,0
APC,5313,Level 3 Lower GI Procedures,,,,,0
APC,5331,Complex GI Procedures,,,,,0
APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0
APC,5361,Level 1 Laparoscopy and Related Services,,,,,0
APC,5362,Level 2 Laparoscopy and Related Services,,,,,0
APC,5371,Level 1 Urology and Related Services,,,,,0
APC,5372,Level 2 Urology and Related Services,,,,,0
APC,5373,Level 3 Urology and Related Services,,,,,0
APC,5374,Level 4 Urology and Related Services,,,,,0
APC,5375,Level 5 Urology and Related Services,,,,,0
APC,5401,Dialysis,,,,,0
APC,5411,Level 1 Gynecologic Procedures,,,,,0
APC,5412,Level 2 Gynecologic Procedures,,,,,0
APC,5414,Level 4 Gynecologic Procedures,,,,,0
APC,5415,Level 5 Gynecologic Procedures,,,,,0
APC,5416,Level 6 Gynecologic Procedures,,,,,0
APC,5441,Level 1 Nerve Injections,,,,,0
APC,5442,Level 2 Nerve Injections,,,,,0
APC,5464,Level 4 Neurostimulator and Related Procedures,,,,,0
APC,5481,Laser Eye Procedures,,,,,0
APC,5491,Level 1 Intraocular Procedures,,,,,0
APC,5492,Level 2 Intraocular Procedures,,,,,0
APC,5493,Level 3 Intraocular Procedures,,,,,0
APC,5501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,,,0
APC,5521,Level 1 Imaging without Contrast,,,,,0
APC,5522,Level 2 Imaging without Contrast,,,,,0
APC,5523,Level 3 Imaging without Contrast,,,,,0
APC,5524,Level 4 Imaging without Contrast,,,,,0
APC,5571,Level 1 Imaging with Contrast,,,,,0
APC,5572,Level 2 Imaging with Contrast,,,,,0
APC,5573,Level 3 Imaging with Contrast,,,,,0
APC,5591,Level 1 Nuclear Medicine and Related Services,,,,,0
APC,5592,Level 2 Nuclear Medicine and Related Services,,,,,0
APC,5593,Level 3 Nuclear Medicine and Related Services,,,,,0
APC,5594,Level 4 Nuclear Medicine and Related Services,,,,,0
APC,5611,Level 1 Therapeutic Radiation Treatment Preparation,,,,,0
APC,5612,Level 2 Therapeutic Radiation Treatment Preparation,,,,,0
APC,5613,Level 3 Therapeutic Radiation Treatment Preparation,,,,,0
APC,5622,Level 2 Radiation Therapy,,,,,0
APC,5623,Level 3 Radiation Therapy,,,,,0
APC,5624,Level 4 Radiation Therapy,,,,,0
APC,5626,Level 6 Radiation Therapy,,,,,0
APC,5661,Therapeutic Nuclear Medicine,,,,,0
APC,5671,Level 1 Pathology,,,,,0
APC,5672,Level 2 Pathology,,,,,0
APC,5673,Level 3 Pathology,,,,,0
APC,5674,Level 4 Pathology,,,,,0
APC,5691,Level 1 Drug Administration,,,,,0
APC,5692,Level 2 Drug Administration,,,,,0
APC,5693,Level 3 Drug Administration,,,,,0
APC,5694,Level 4 Drug Administration,,,,,0
APC,5721,Level 1 Diagnostic Tests and Related Services,,,,,0
APC,5722,Level 2 Diagnostic Tests and Related Services,,,,,0
APC,5723,Level 3 Diagnostic Tests and Related Services,,,,,0
APC,5724,Level 4 Diagnostic Tests and Related Services,,,,,0
APC,5732,Level 2 Minor Procedures,,,,,0
APC,5733,Level 3 Minor Procedures,,,,,0
APC,5734,Level 4 Minor Procedures,,,,,0
APC,5781,Resuscitation and Cardioversion,,,,,0
APC,5791,Pulmonary Treatment,,,,,0
APC,5823,Level 3 Health and Behavior Services,,,,,0
APC,9139,"Rabies vaccine, im",,,,,0
APC,9430,"Piflu f-18, dia 1 millicurie",,,,,0
APC,9512,RBC leukocytes reduced,,,,,0
APC,9530,Plate pheres leukoredu irrad,,,,,0
APC,N700,Non-OPPS Clinic Services,,,,,0
APC,N800,Clinical Diagnostic Lab Services,,,,,0
APC,N801,Therapy Services,,,,,0
APC,N804,Mammography Services,,,,,0
APC,N809,Other Medicine,,,,,0
APC,N811,"Observation, Other",,,,,0
APC,N900,Non-covered Services,,,,,0
APC,N902,Packaged Services,,,,,0
APC,N905,Not Recognized by OPPS,,,,,0
CDM,10000000,HCHG ROOM TELEMETRY DEDICATED CORONARY CARE UNIT,6508.0,6508.0,,,0
CDM,10000003,HCHG ROOM MED/SURG/GYN,5006.0,5006.0,,,0
CDM,10000004,HCHG ROOM OB/MATERNAL,6632.0,6632.0,,,0
CDM,10000005,HCHG ROOM PEDIATRIC,8926.0,8926.0,,,0
CDM,10000006,HCHG ROOM BEHAVIORAL HEALTH,3588.0,3588.0,,,0
CDM,10000008,HCHG NEWBORN BOARDER BABY,3141.0,3141.0,,,0
CDM,10000009,HCHG NEWBORN LEVEL I,2416.0,2416.0,,,0
CDM,10000010,HCHG NEWBORN LEVEL II,12986.0,12986.0,,,0
CDM,10000011,HCHG NEWBORN LEVEL III,17855.0,17855.0,,,0
CDM,10000012,HCHG NEWBORN LEVEL IV,32464.0,32464.0,,,0
CDM,10000013,HCHG NEWBORN ECMO,38957.0,38957.0,,,0
CDM,10000014,HCHG ROOM SUBACUTE VENT,4750.0,4750.0,,,0
CDM,10000015,HCHG ROOM SUBACUTE NON VENT,4479.0,4479.0,,,0
CDM,10000016,HCHG ROOM ICU,16541.0,16541.0,,,0
CDM,10000017,HCHG ROOM ICU PEDIATRICS,16541.0,16541.0,,,0
CDM,10000018,HCHG ROOM ICU INTERM,7509.0,7509.0,,,0
CDM,10000019,HCHG ROOM SPECIAL CARE,6508.0,6508.0,,,0
CDM,10000020,HCHG ROOM CCU,15056.0,15056.0,,,0
CDM,10000021,HCHG ROOM SNF M/S DSTNCT,4255.0,4255.0,,,0
CDM,10000026,HCHG ROOM SNF M/S DSTNCT BED HOLD,8510.0,8510.0,,,0
CDM,10000027,HCHG ROOM SUBACUTE VENT BED HOLD,4750.0,4750.0,,,0
CDM,10000028,HCHG ROOM SUBACUTE NON VENT BED HOLD,4479.0,4479.0,,,0
CDM,10000029,HCHG ROOM MED/SURG/GYN PVT,5006.0,5006.0,,,0
CDM,10000036,HCHG ROOM OB/MATERNAL PVT,6632.0,6632.0,,,0
CDM,10000037,HCHG ROOM PEDIATRIC PVT,8926.0,8926.0,,,0
CDM,10000038,HCHG ROOM BEHAVIORL HEALTH PVT,6099.0,6099.0,,,0
CDM,10000041,HCHG ROOM SNF M/S DSNCT PVT,4255.0,4255.0,,,0
CDM,10000047,HCHG LABOR & DELIVERY ROOM & BOARD PLACEHOLDER,1.0,1.0,,,0
CDM,10000048,HCHG ROOM SUBACUTE LVL 1 NON VENT,4798.0,4798.0,,,0
CDM,10000049,HCHG ROOM SUBACUTE LVL 2 NON VENT,5337.0,5337.0,,,0
CDM,10000050,HCHG ROOM SUBACUTE LVL 3 NON VENT,6078.0,6078.0,,,0
CDM,10000051,HCHG ROOM SUBACUTE LVL 4 NON VENT,5250.0,5250.0,,,0
CDM,10000063,HCHG ROOM MED/SURG/GYN PVT MJ,5006.0,5006.0,,,0
CDM,10000067,HCHG S-PAY COMING HOME HOSPICE,300.0,300.0,,,0
CDM,10000074,HCHG COMFORT CARE R&B PLACEHOLDER,1.0,1.0,,,0
CDM,10000075,HCHG ROOM LOA NO CHARGE,1.0,1.0,,,0
CDM,10000076,HCHG ROOM HOSPICE PRIVATE,4620.0,4620.0,,,0
CDM,10000077,HCHG ROOM HOSPICE SEMI PRIVATE,4449.0,4449.0,,,0
CDM,10000078,HCHG ROOM REHAB ACUTE SEMI PVT,6270.0,6270.0,,,0
CDM,10000089,HCHG ROOM SUBACUTE LVL 1 VENT,4798.0,4798.0,,,0
CDM,10000090,HCHG ROOM SUBACUTE LVL 2 VENT,5363.0,5363.0,,,0
CDM,10000091,HCHG ROOM SUBACUTE LVL 3 VENT,5728.0,5728.0,,,0
CDM,10000092,HCHG ROOM SUBACUTE LVL 4 VENT,6718.0,6718.0,,,0
CDM,10000093,HCHG ROOM NON-COVERED CUSTODIAL CARE,2412.0,2412.0,,,0
CDM,10000094,HCHG ED ROOM & BOARD,5006.0,5006.0,,,0
CDM,10000096,HCHG OR ROOM & BOARD,5006.0,5006.0,,,0
CDM,10000097,HCHG ROOM TELEMETRY,6508.0,6508.0,,,0
CDM,10000099,HCHG ROOM TRANSPLANT MED/SURG/GYN,7509.0,7509.0,,,0
CDM,10000100,HCHG ROOM TRANSPLANT ICU,24812.0,24812.0,,,0
CDM,10000101,HCHG ROOM TRANSPLANT ICU INTERM,11263.0,11263.0,,,0
CDM,10000102,HCHG ROOM TRANSPLANT TELEMETRY,9761.0,9761.0,,,0
CDM,10000105,HCHG ROOM ICU ECMO,19849.0,19849.0,,,0
CDM,10000107,HCHG ROOM SNF M/S DSTNCT NONDD BED HOLD,4255.0,4255.0,,,0
CDM,10000108,HCHG ROOM SNF M/S DSTNCT DD BED HOLD,4255.0,4255.0,,,0
CDM,10000109,HCHG ROOM SUBACUTE NON VENT BED HOLD,4255.0,4255.0,,,0
CDM,10000110,HCHG ROOM SUBACUTE VENT BED HOLD,4255.0,4255.0,,,0
CDM,10100004,HCHG OBS CPR,2784.0,2784.0,,,0
CDM,10100005,HCHG OBS PER HOUR,268.0,268.0,,,0
CDM,10100007,HCHG OBS DIRECT ADMIT,1099.0,1099.0,,,0
CDM,10100008,HCHG OBS INTRODUCTION NEEDLE OR INTRACATHETER INTO VEIN,603.0,603.0,,,0
CDM,10100009,HCHG OBS BLOOD DRAW IMPLANTED PORT,447.0,447.0,,,0
CDM,10100010,HCHG OBS DECLOT VASCULAR DEVICE WITH THROMBOLYTIC,1307.0,1307.0,,,0
CDM,10100011,HCHG OBS CENTRAL VENOUS CATH INSERTION NON-TUNNELED 5YR OR OLDER,4383.0,4383.0,,,0
CDM,10100012,HCHG OBS IRRIGATION BLADDER SIMPLE,1421.0,1421.0,,,0
CDM,10100013,HCHG OBS INSERT STRAIGHT CATHETER,681.0,681.0,,,0
CDM,10100014,HCHG OBS INSERTION FOLEY CATHETER,768.0,768.0,,,0
CDM,10100047,HCHG OBS THORACENTESIS W/IMAG,3790.0,3790.0,,,0
CDM,10100048,HCHG OBS THORACENTESIS WO IMAG,3229.0,3229.0,,,0
CDM,10100056,HCHG OBS PERCUTANEOUS LIVER BIOPSY,4749.0,4749.0,,,0
CDM,10100058,HCHG OBS IMAGE CATH FLUID PERI/RETRO,5613.0,5613.0,,,0
CDM,10100064,HCHG OBS INS PACK FOR NON-OB VAG HEMORRHAGE,671.0,671.0,,,0
CDM,10100073,HCHG OBS INSERT PICC >=5 YR WO PORT WO IMAGE GUIDANC,4268.0,4268.0,,,0
CDM,10100075,HCHG OBS INSERT PICC >=5 YR WO PORT W IMAGE GUIDANCE,4868.0,4868.0,,,0
CDM,10100081,HCHG OBS CARVE OUT PER HOUR RADIOLOGY,336.0,336.0,,,0
CDM,10100082,HCHG OBS CARVE OUT PER HOUR RESPIRATORY,336.0,336.0,,,0
CDM,10100083,HCHG OBS CARVE OUT PER HOUR CARDIOLOGY,336.0,336.0,,,0
CDM,10100084,HCHG OBS CARVE OUT PER HOUR GI,336.0,336.0,,,0
CDM,10100085,HCHG OBS CARVE OUT PER HOUR INTERVENTIONAL RAD,336.0,336.0,,,0
CDM,10100086,HCHG OBS CARVE OUT PER HOUR CARDIAC CATH,336.0,336.0,,,0
CDM,10100087,HCHG OBS CARVE OUT PER HOUR PT OT SPEECH,336.0,336.0,,,0
CDM,10100088,HCHG OBS CARVE OUT PER HOUR DIALYSIS,336.0,336.0,,,0
CDM,10100089,HCHG OBS CARVE OUT PER HOUR EEG,336.0,336.0,,,0
CDM,10100090,HCHG OBS CARVE OUT PER HOUR CHEMO ADMIN,336.0,336.0,,,0
CDM,10100091,HCHG OBS CARVE OUT PER HOUR BLOOD TRANSFUSION,336.0,336.0,,,0
CDM,10100092,HCHG OBS CARVE OUT PER HOUR NUCLEAR MED,336.0,336.0,,,0
CDM,10100205,HCHG OBS DRN ABSCESS SMPL/SNGL,1254.5,1254.5,,,0
CDM,10100207,HCHG OBS COL BLD PICC/CNTRL LN,526.0,526.0,,,0
CDM,10100209,HCHG OBS CARDIOVERSION ELECTRIC EXTERNAL,4162.0,4162.0,,,0
CDM,10100212,HCHG OBS INFUSN CHEMO 0-60 MN,1768.0,1768.0,,,0
CDM,10100213,HCHG OBS INFUSN CHEM EA ADD HR,684.0,684.0,,,0
CDM,10100227,HCHG OBS DX NASAL ENDOSCOPY,929.0,929.0,,,0
CDM,10100233,HCHG OBS DRAIN/INJ MAJOR JOINT/BURSA W/O US,1922.0,1922.0,,,0
CDM,10100239,HCHG OBS LUMBAR PUNCTURE DX,3056.0,3056.0,,,0
CDM,10100240,HCHG OBS PARACENTSIS ABD NO IM,3084.0,3084.0,,,0
CDM,10100242,HCHG OBS DIAGNOSTIC BONE MARROW BIOPSY,4081.0,4081.0,,,0
CDM,17000048,HCHG PT WCOMP AQUATIC PRIOR AUTH INDIVIDUAL,289.0,289.0,,,0
CDM,17000058,HCHG PT MCAL SINGLE MODALITY ADDITIONAL 15 MIN,286.0,286.0,,,0
CDM,17000059,HCHG PT MCAL SINGLE PROCURE INITIAL 30 MIN,602.0,602.0,,,0
CDM,17000060,HCHG PT MCAL SINGLE PROCURE ADDITIONAL 15 MIN,307.0,307.0,,,0
CDM,17000062,HCHG PT MCAL TREAT COMBO INIT 30,484.0,484.0,,,0
CDM,17000063,HCHG PT MCAL TX COMB PROC/MODALITIES ADDL 15 MN,242.0,242.0,,,0
CDM,17000064,HCHG PT MCAL AQUATIC THERAPY EXERCISE INITIAL 30 MIN,524.0,524.0,,,0
CDM,17000065,HCHG PT MCAL AQUATIC THERAPEUTIC EXERCISE ADDITIONAL 15 MIN,252.0,252.0,,,0
CDM,17000067,HCHG PT MCAL EVALUATION INITIAL 30 MIN,468.0,468.0,,,0
CDM,17000068,HCHG PT MCAL RE-EVALUATION INITIAL 30 MIN,396.0,396.0,,,0
CDM,17000071,HCHG PT MCAL EVALUATION ADDITIONAL 15 MIN,280.0,280.0,,,0
CDM,17000072,HCHG PT MCAL RE-EVALUATION ADDITIONAL 15 MIN,255.0,255.0,,,0
CDM,17000115,HCHG PT ELECTRICAL STIMULATION ATTENDED EA 15 MIN,186.0,186.0,,,0
CDM,17000116,HCHG PT IONTOPHORESIS EA 15 MIN,158.0,158.0,,,0
CDM,17000117,HCHG PT CONTRAST BATHS EA 15 MIN,123.0,123.0,,,0
CDM,17000118,HCHG PT ULTRASOUND EA 15 MIN,162.0,162.0,,,0
CDM,17000119,HCHG PT THERAPEUTIC EXERCISE EA 15 MIN,236.0,236.0,,,0
CDM,17000120,HCHG PT NEUROMUSCULAR REEDUCATION EA 15 MIN,236.0,236.0,,,0
CDM,17000121,HCHG PT AQUATIC THERAPY EA 15 MIN,243.0,243.0,,,0
CDM,17000122,HCHG PT GAIT TRAINING EA 15 MIN,239.0,239.0,,,0
CDM,17000123,HCHG PT THERAPEUTIC MASSAGE EA 15 MIN,171.0,171.0,,,0
CDM,17000124,HCHG PT MANUAL THERAPY EA 15 MIN,246.0,246.0,,,0
CDM,17000126,HCHG PT THERAPEUTIC ACTIVITY EA 15 MIN,253.0,253.0,,,0
CDM,17000128,HCHG PT SENSORY INTEGRATION EA 15 MIN,135.0,135.0,,,0
CDM,17000129,HCHG PT ADL TRAINING EA 15 MIN,240.0,240.0,,,0
CDM,17000130,HCHG PT COMMUNITY REINTEGRATION EA 15 MIN,148.0,148.0,,,0
CDM,17000131,HCHG PT WHEELCHAIR TRAINING EA 15 MIN,200.0,200.0,,,0
CDM,17000133,HCHG PT WORK CONDITIONING ADD 60 MIN,507.0,507.0,,,0
CDM,17000139,HCHG PT PHYSICAL PERFORMANCE TEST EA 15 MIN,192.0,192.0,,,0
CDM,17000141,HCHG PT ORTHOTIC TRAINING INITIAL EA 15 MIN,221.0,221.0,,,0
CDM,17000142,HCHG PT PROSTHETIC TRAINING INITIAL EA 15 MIN,191.0,191.0,,,0
CDM,17000292,HCHG PT MCAL SINGLE MODAL INIT 30,454.0,454.0,,,0
CDM,17000318,HCHG PT WORK COND INIT 120,1071.0,1071.0,,,0
CDM,17000329,HCHG PT APP LONG ARM CAST,682.0,682.0,,,0
CDM,17000330,HCHG PT APP LONG LEG CYLINDER,977.0,977.0,,,0
CDM,17000536,HCHG PT CANALITH REPOSITIONING,236.0,236.0,,,0
CDM,17000568,HCHG PT EVAL LOW COMPLEXITY,495.0,495.0,,,0
CDM,17000571,HCHG PT RE-EVAL ESTABLISHED PLAN CARE,330.0,330.0,,,0
CDM,17000572,HCHG OT EVAL LOW COMPLEXITY,508.0,508.0,,,0
CDM,17000575,HCHG OT RE-EVAL ESTABLISHED PLAN CARE,372.0,372.0,,,0
CDM,17000582,HCHG PT ORTHC/PROSTC MGMT SBSQ ENC,243.0,243.0,,,0
CDM,17000596,HCHG PT MECH TRACT,186.0,186.0,,,0
CDM,17000598,HCHG PT PARAFFIN BATH,141.0,141.0,,,0
CDM,17000599,HCHG PT WHIRLPOOL,141.0,141.0,,,0
CDM,17000601,HCHG PT PROC THER GP,211.0,211.0,,,0
CDM,17000604,HCHG PT E-STIM SUPERVISED,161.0,161.0,,,0
CDM,17000608,HCHG PT EVAL MOD COMPLEXITY,558.0,558.0,,,0
CDM,17000609,HCHG PT EVAL HIGH COMPLEXITY,629.0,629.0,,,0
CDM,17000610,HCHG PT DEVEL TST PHYS/QHP 1ST HR,842.0,842.0,,,0
CDM,17000611,HCHG PT DEVEL TST PHYS/QHP EA ADDL 30 MIN,431.0,431.0,,,0
CDM,17000616,HCHG TH PT MCAL SINGLE MODALITY ADDITIONAL 15 MIN,286.0,286.0,,,0
CDM,17000617,HCHG TH PT MCAL SINGLE PROCURE INITIAL 30 MIN,629.0,629.0,,,0
CDM,17000618,HCHG TH PT MCAL SINGLE PROCURE ADDITIONAL 15 MIN,324.0,324.0,,,0
CDM,17000619,HCHG TH PT MCAL TREAT COMBO INIT 30,520.0,520.0,,,0
CDM,17000620,HCHG TH PT MCAL TX COMB PROC/MODALITIES ADDL 15 MN,263.0,263.0,,,0
CDM,17000623,HCHG TH PT MCAL EVALUATION INITIAL 30 MIN,497.0,497.0,,,0
CDM,17000624,HCHG TH PT MCAL RE-EVALUATION INITIAL 30 MIN,404.0,404.0,,,0
CDM,17000625,HCHG TH PT MCAL EVALUATION ADDITIONAL 15 MIN,294.0,294.0,,,0
CDM,17000626,HCHG TH PT MCAL RE-EVALUATION ADDITIONAL 15 MIN,253.0,253.0,,,0
CDM,17000627,HCHG TH PT THERAPEUTIC EXERCISE EA 15 MIN,236.0,236.0,,,0
CDM,17000628,HCHG TH PT NEUROMUSCULAR REEDUCATION EA 15 MIN,236.0,236.0,,,0
CDM,17000629,HCHG TH PT GAIT TRAINING EA 15 MIN,239.0,239.0,,,0
CDM,17000630,HCHG TH PT THERAPEUTIC ACTIVITY EA 15 MIN,253.0,253.0,,,0
CDM,17000631,HCHG TH PT ADL TRAINING EA 15 MIN,240.0,240.0,,,0
CDM,17000632,HCHG TH PT MCAL SINGLE MODAL INIT 30,483.0,483.0,,,0
CDM,17000633,HCHG TH PT EVAL LOW COMPLEXITY,495.0,495.0,,,0
CDM,17000634,HCHG TH PT RE-EVAL ESTABLISHED PLAN CARE,330.0,330.0,,,0
CDM,17000635,HCHG TH PT PROC THER GP,211.0,211.0,,,0
CDM,17000636,HCHG TH PT EVAL MOD COMPLEXITY,558.0,558.0,,,0
CDM,17000637,HCHG TH PT EVAL HIGH COMPLEXITY,629.0,629.0,,,0
CDM,17000638,HCHG TH PT DEVEL TST PHYS/QHP 1ST HR,842.0,842.0,,,0
CDM,17000639,HCHG TH PT DEVEL TST PHYS/QHP EA ADDL 30 MIN,431.0,431.0,,,0
CDM,17000641,HCHG TH PT WHEELCHAIR TRAINING EA 15 MIN,200.0,200.0,,,0
CDM,17000642,HCHG TH PT PHYSICAL PERFORMANCE TEST EA 15 MIN,192.0,192.0,,,0
CDM,17000643,HCHG TH PT ORTHOTIC TRAINING INITIAL EA 15 MIN,221.0,221.0,,,0
CDM,17000644,HCHG TH PT PROSTHETIC TRAINING INITIAL EA 15 MIN,191.0,191.0,,,0
CDM,17000649,HCHG PT LOW LVL LASER FOR POST OP PAIN,186.0,186.0,,,0
CDM,17000650,HCHG PT CAREGIVER TRAINING 1ST 30 MIN,471.0,471.0,,,0
CDM,17000651,HCHG PT CAREGIVER TRAINING EA ADDL 15 MIN,236.0,236.0,,,0
CDM,17000652,HCHG PT GROUP CAREGIVER TRAINING,211.0,211.0,,,0
CDM,17200062,HCHG OT MCAL EVALUATION INITIAL 30 MIN,534.0,534.0,,,0
CDM,17200063,HCHG OT MCAL RE-EVALUATION INITIAL 30 MIN,464.0,464.0,,,0
CDM,17200065,HCHG OT MCAL EVALUATION ADDITIONAL 15 MIN,280.0,280.0,,,0
CDM,17200066,HCHG OT MCAL RE-EVALUATION ADDITIONAL 15 MIN,247.0,247.0,,,0
CDM,17200077,HCHG OT APPLICATION SPLINT FINGER STATIC,536.0,536.0,,,0
CDM,17200079,HCHG OT STRAP SHOULDER,433.0,433.0,,,0
CDM,17200100,HCHG OT ELECTRICAL STIMULATION ATTENDED EA 15 MIN,186.0,186.0,,,0
CDM,17200101,HCHG OT IONTOPHORESIS EA 15 MIN,158.0,158.0,,,0
CDM,17200102,HCHG OT CONTRAST BATHS EA 15 MIN,123.0,123.0,,,0
CDM,17200103,HCHG OT ULTRASOUND EA 15 MIN,162.0,162.0,,,0
CDM,17200104,HCHG OT THERAPEUTIC EXERCISE EA 15 MIN,236.0,236.0,,,0
CDM,17200105,HCHG OT NEUROMUSCULAR REEDUCATION EA 15 MIN,236.0,236.0,,,0
CDM,17200106,HCHG OT AQUATIC THERAPY EA 15 MIN,243.0,243.0,,,0
CDM,17200107,HCHG OT THERAPEUTIC MASSAGE EA 15 MIN,171.0,171.0,,,0
CDM,17200108,HCHG OT MANUAL THERAPY EA 15 MIN,246.0,246.0,,,0
CDM,17200110,HCHG OT THERAPEUTIC ACTIVITY EA 15 MIN,253.0,253.0,,,0
CDM,17200112,HCHG OT SENSORY INTEGRATION EA 15 MIN,135.0,135.0,,,0
CDM,17200113,HCHG OT ADL TRAINING EA 15 MIN,240.0,240.0,,,0
CDM,17200114,HCHG OT COMMUNITY REINTEGRATION EA 15 MIN,148.0,148.0,,,0
CDM,17200115,HCHG OT WHEELCHAIR TRAINING EA 15 MIN,200.0,200.0,,,0
CDM,17200116,HCHG OT WORK CONDITIONING INITIAL 120 MIN,1021.0,1021.0,,,0
CDM,17200117,HCHG OT WORK CONDITIONING ADD 60 MIN,483.0,483.0,,,0
CDM,17200121,HCHG OT PHYSICAL PERFORMANCE TEST EA 15 MIN,192.0,192.0,,,0
CDM,17200122,HCHG OT ASSISTIVE TECHNOLOGIES ASSESSMENT EA 15 MIN,204.0,204.0,,,0
CDM,17200123,HCHG OT ORTHOTIC TRAINING INITIAL EA 15 MIN,221.0,221.0,,,0
CDM,17200124,HCHG OT PROSTHETIC TRAINING INITIAL EA 15 MIN,191.0,191.0,,,0
CDM,17200139,HCHG OT MCAL TX ADTL 15 MIN,231.0,231.0,,,0
CDM,17200284,HCHG OT MCAL TREAT INIT 30,478.0,478.0,,,0
CDM,17200296,HCHG OT MCAL COMBO MODAL ADD 15,247.0,247.0,,,0
CDM,17200310,HCHG OT MCAL COMBO MODAL INIT 30,507.0,507.0,,,0
CDM,17200330,HCHG OT COGNTVE TEST BY HC PRO,577.0,577.0,,,0
CDM,17200493,HCHG OT ORTHC/PROSTC MGMT SBSQ ENC,243.0,243.0,,,0
CDM,17200498,HCHG OT TX SWALL/ORAL FNX,539.0,539.0,,,0
CDM,17200499,HCHG OT EVAL FNX SWALL,826.0,826.0,,,0
CDM,17200505,HCHG OT ROM BODY WO HAND,474.0,474.0,,,0
CDM,17200506,HCHG OT ROM HAND,312.0,312.0,,,0
CDM,17200509,HCHG OT PARAFFIN BATH,141.0,141.0,,,0
CDM,17200510,HCHG OT WHIRLPOOL,141.0,141.0,,,0
CDM,17200512,HCHG OT GROUP THERAPY,211.0,211.0,,,0
CDM,17200513,HCHG OT DEBRIDE NON-SELECT,501.0,501.0,,,0
CDM,17200514,HCHG OT E-STIM SUPERVISED,161.0,161.0,,,0
CDM,17200516,HCHG OT EVAL MOD COMPLEXITY,624.0,624.0,,,0
CDM,17200517,HCHG OT EVAL HIGH COMPLEXITY,646.0,646.0,,,0
CDM,17200518,HCHG OT DEVEL TST PHYS/QHP 1ST HR,842.0,842.0,,,0
CDM,17200519,HCHG OT DEVEL TST PHYS/QHP EA ADDL 30 MIN,431.0,431.0,,,0
CDM,17200520,HCHG COGNTIVE FNCTN INTRVEN 1ST 15 MIN,239.0,239.0,,,0
CDM,17200521,HCHG COGNTIVE FNCTN INTRVEN EA ADDL 15 MIN,168.0,168.0,,,0
CDM,17200524,HCHG TH OT EVAL LOW COMPLEXITY,508.0,508.0,,,0
CDM,17200525,HCHG TH OT RE-EVAL ESTABLISHED PLAN CARE,372.0,372.0,,,0
CDM,17200526,HCHG TH OT MCAL EVALUATION INITIAL 30 MIN,565.0,565.0,,,0
CDM,17200528,HCHG TH OT MCAL EVALUATION ADDITIONAL 15 MIN,286.0,286.0,,,0
CDM,17200530,HCHG TH OT THERAPEUTIC EXERCISE EA 15 MIN,236.0,236.0,,,0
CDM,17200531,HCHG TH OT NEUROMUSCULAR REEDUCATION EA 15 MIN,236.0,236.0,,,0
CDM,17200532,HCHG TH OT THERAPEUTIC ACTIVITY EA 15 MIN,253.0,253.0,,,0
CDM,17200533,HCHG TH OT ADL TRAINING EA 15 MIN,240.0,240.0,,,0
CDM,17200534,HCHG TH OT MCAL TX ADTL 15 MIN,243.0,243.0,,,0
CDM,17200535,HCHG TH OT MCAL TREAT INIT 30,504.0,504.0,,,0
CDM,17200536,HCHG TH OT MCAL COMBO MODAL ADD 15,259.0,259.0,,,0
CDM,17200537,HCHG TH OT MCAL COMBO MODAL INIT 30,524.0,524.0,,,0
CDM,17200538,HCHG TH OT GROUP THERAPY,211.0,211.0,,,0
CDM,17200539,HCHG TH OT EVAL MOD COMPLEXITY,624.0,624.0,,,0
CDM,17200540,HCHG TH OT EVAL HIGH COMPLEXITY,646.0,646.0,,,0
CDM,17200541,HCHG TH OT DEVEL TST PHYS/QHP 1ST HR,842.0,842.0,,,0
CDM,17200542,HCHG TH OT DEVEL TST PHYS/QHP EA ADDL 30 MIN,431.0,431.0,,,0
CDM,17200543,HCHG TH OT WHEELCHAIR TRAINING EA 15 MIN,200.0,200.0,,,0
CDM,17200544,HCHG TH OT PHYSICAL PERFORMANCE TEST EA 15 MIN,192.0,192.0,,,0
CDM,17200545,HCHG TH OT ORTHOTIC TRAINING INITIAL EA 15 MIN,221.0,221.0,,,0
CDM,17200546,HCHG TH OT PROSTHETIC TRAINING INITIAL EA 15 MIN,191.0,191.0,,,0
CDM,17200551,HCHG TH OT TX SWALL/ORAL FNX,539.0,539.0,,,0
CDM,17200552,HCHG TH OT EVAL FNX SWALL,826.0,826.0,,,0
CDM,17200553,HCHG TH OT COGNTVE TEST BY HC PRO,577.0,577.0,,,0
CDM,17200554,HCHG TH OT COGNTIVE FNCTN INTRVEN 1ST 15 MIN,239.0,239.0,,,0
CDM,17200555,HCHG TH OT COGNTIVE FNCTN INTRVEN EA ADDL 15 MIN,168.0,168.0,,,0
CDM,17200556,HCHG OT LOW LVL LASER FOR POST OP PAIN,186.0,186.0,,,0
CDM,17200557,HCHG OT CAREGIVER TRAINING 1ST 30 MIN,471.0,471.0,,,0
CDM,17200558,HCHG OT CAREGIVER TRAINING EA ADDL 15 MIN,236.0,236.0,,,0
CDM,17200559,HCHG OT GROUP CAREGIVER TRAINING,211.0,211.0,,,0
CDM,17200563,HCHG OT MOCA,585.0,585.0,,,0
CDM,17400005,HCHG SP MCAL THERAPY SPEECH-LANG IND PER HOUR,574.0,574.0,,,0
CDM,17400006,HCHG SP MCAL THERAPY SPEECH-LANG IND 1/2 HOUR,478.0,478.0,,,0
CDM,17400013,HCHG SP EVAL RX FOR NON SP GENERATIN DEVICE PRESCRIPTION,886.0,886.0,,,0
CDM,17400016,HCHG SP EVAL APHASIA HR,668.0,668.0,,,0
CDM,17400021,HCHG SP THER SVC NO SP/ALT DEV,542.0,542.0,,,0
CDM,17400135,HCHG SP EVAL SP/COM DVC ADL 30,129.0,129.0,,,0
CDM,17400137,HCHG SP EVAL SP/COM DVC 1ST HR,538.0,538.0,,,0
CDM,17400138,HCHG SP THER SVC SP DEVICE,446.0,446.0,,,0
CDM,17400139,HCHG SP COGNTVE TEST BY HC PRO,603.0,603.0,,,0
CDM,17400392,HCHG SP TX SP/LANG/COM IND,578.0,578.0,,,0
CDM,17400393,HCHG SP TX SP/LANG/COM GP,170.0,170.0,,,0
CDM,17400394,HCHG EVALUATION OF SPEECH FLUENCY,573.0,573.0,,,0
CDM,17400395,HCHG EVALUATE SPEECH PRODUCTION,607.0,607.0,,,0
CDM,17400396,HCHG EVAL SPEECH SOUND LANG COMPREH,803.0,803.0,,,0
CDM,17400397,HCHG SP BEHAVRAL QUALIT ANALYS VOICE,614.0,614.0,,,0
CDM,17400398,HCHG SP TX SWALL/ORAL FNX,539.0,539.0,,,0
CDM,17400399,HCHG SP EVAL COM DEVICE,670.0,670.0,,,0
CDM,17400400,HCHG SP EVAL FNX SWALL,826.0,826.0,,,0
CDM,17400401,HCHG SP EVAL MTN FLUOR SWAL,1137.0,1137.0,,,0
CDM,17400402,HCHG SP ENDOSCOPY SWALLOW (FEES) VID,1134.0,1134.0,,,0
CDM,17400407,HCHG SP MCAL EVALUATION SPEECH,409.0,409.0,,,0
CDM,17400408,HCHG SP MCAL EVAL LANG,538.0,538.0,,,0
CDM,17400411,HCHG COGNTIVE FNCTN INTRVEN 1ST 15 MIN,239.0,239.0,,,0
CDM,17400412,HCHG COGNTIVE FNCTN INTRVEN EA ADDL 15 MIN,168.0,168.0,,,0
CDM,17400413,HCHG TH SP MCAL THERAPY SPEECH-LANG IND PER HOUR,598.0,598.0,,,0
CDM,17400414,HCHG TH SP MCAL THERAPY SPEECH-LANG IND 1/2 HOUR,488.0,488.0,,,0
CDM,17400415,HCHG TH SP TX SP/LANG/COM IND,578.0,578.0,,,0
CDM,17400416,HCHG TH SP TX SP/LANG/COM GP,170.0,170.0,,,0
CDM,17400417,HCHG TH EVALUATION OF SPEECH FLUENCY,573.0,573.0,,,0
CDM,17400418,HCHG TH EVALUATE SPEECH PRODUCTION,607.0,607.0,,,0
CDM,17400419,HCHG TH EVAL SPEECH SOUND LANG COMPREH,803.0,803.0,,,0
CDM,17400420,HCHG TH SP BEHAVRAL QUALIT ANALYS VOICE,614.0,614.0,,,0
CDM,17400422,HCHG TH SP MCAL EVALUATION SPEECH,412.0,412.0,,,0
CDM,17400423,HCHG TH SP MCAL EVAL LANG,549.0,549.0,,,0
CDM,17400424,HCHG TH SP TX SWALL/ORAL FNX,539.0,539.0,,,0
CDM,17400425,HCHG TH SP EVAL FNX SWALL,826.0,826.0,,,0
CDM,17400426,HCHG TH SP EVALUATION APHASIA HR,668.0,668.0,,,0
CDM,17400427,HCHG TH SP COGNTVE TEST BY HC PRO,603.0,603.0,,,0
CDM,17400428,HCHG TH COGNTIVE FNCTN INTRVEN 1ST 15 MIN,239.0,239.0,,,0
CDM,17400429,HCHG TH COGNTIVE FNCTN INTRVEN EA ADDL 15 MIN,168.0,168.0,,,0
CDM,17400431,HCHG SP CAREGIVER TRAINING 1ST 30 MIN,471.0,471.0,,,0
CDM,17400432,HCHG SP CAREGIVER TRAINING EA ADDL 15 MIN,236.0,236.0,,,0
CDM,17400433,HCHG SP GROUP CAREGIVER TRAINING,211.0,211.0,,,0
CDM,17500005,HCHG AD MCAL AUDIOMETRY COMPLETE AGES 7 TO ADULT,1455.0,1455.0,,,0
CDM,17500020,HCHG AD AUDIOMETRY COMPLETE,731.0,731.0,,,0
CDM,17500027,HCHG AD VRA EVAL PEDIATRIC GT 3 YEARS,540.0,540.0,,,0
CDM,17500034,HCHG AD EVALUATION OAE,484.0,484.0,,,0
CDM,17500086,HCHG CALORIC VSTBLR TEST REC BITHERM 4 IRRIGATIONS,356.0,356.0,,,0
CDM,17500087,HCHG CALORIC VSTBLR TEST REC BITHERM 3 IRRIGATIONS,356.0,356.0,,,0
CDM,17500088,HCHG CALORIC VSTBLR TEST REC MONOTHERM 2 IRRIGATIONS,186.0,186.0,,,0
CDM,17500089,HCHG CALORIC VSTBLR TEST REC MONOTHERM 1 IRRIGATION,186.0,186.0,,,0
CDM,17500092,HCHG AEP SCREEN W/STIMULI AUTO ALYS INIT IP,633.0,633.0,,,0
CDM,17500093,HCHG AEP SCREEN W/STIMULI AUTO ALYS INIT OP,633.0,633.0,,,0
CDM,17500096,HCHG AEP SCREEN W/STIMULI AUTO ALYS RESCREEN,633.0,633.0,,,0
CDM,17500098,HCHG AEP THRESHOLD ESTIMATION MLT FREQUENCIES I&R,1280.0,1280.0,,,0
CDM,17500099,HCHG AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT,1689.0,1689.0,,,0
CDM,20000003,HCHG ABORTED/DISCONTIUNUED CASE OR,2848.0,2848.0,,,0
CDM,20000005,HCHG SURG LVL 1 ADDL 15 MIN,1625.0,1625.0,,,0
CDM,20000006,HCHG SURG LVL 1 FIRST 30 MIN,4925.0,4925.0,,,0
CDM,20000007,HCHG SURG LVL 2 ADDL 15 MIN,2113.0,2113.0,,,0
CDM,20000008,HCHG SURG LVL 2 FIRST 30 MIN,6403.0,6403.0,,,0
CDM,20000009,HCHG SURG LVL 3 ADDL 15 MIN,2601.0,2601.0,,,0
CDM,20000010,HCHG SURG LVL 3 FIRST 30 MIN,7880.0,7880.0,,,0
CDM,20000011,HCHG SURG LVL 4 ADDL 15 MIN,3738.0,3738.0,,,0
CDM,20000012,HCHG SURG LVL 4 FIRST 30 MIN,11328.0,11328.0,,,0
CDM,20000013,HCHG SURG LVL 5 ADDL 15 MIN,4388.0,4388.0,,,0
CDM,20000014,HCHG SURG LVL 5 FIRST 30 MIN,13298.0,13298.0,,,0
CDM,20000015,HCHG SURG LVL 6 ADDL 15 MIN,5689.0,5689.0,,,0
CDM,20000016,HCHG SURG LVL 6 FIRST 30 MIN,17238.0,17238.0,,,0
CDM,20000044,HCHG INJ SINUS TRACT TX,1041.0,1041.0,,,0
CDM,20000048,HCHG BX SALIVARY GLAND NDL,3022.0,3022.0,,,0
CDM,20000050,HCHG ERCP W/SPHINC/PAPIL,8388.0,8388.0,,,0
CDM,20000051,HCHG ERCP RMVL CALC DEBRIS FROM DUCT,7080.0,7080.0,,,0
CDM,20000069,HCHG INJ NRV BLK SUBARACH,2570.0,2570.0,,,0
CDM,20000071,HCHG ERCP WITH BIOPSY,6833.0,6833.0,,,0
CDM,20000076,HCHG VILLUS SAMPLING,1439.0,1439.0,,,0
CDM,20000081,HCHG SURG LVL 1 1ST 30M NONOR,4433.0,4433.0,,,0
CDM,20000082,HCHG SURG LVL 1 ADD 15M NONOR,1463.0,1463.0,,,0
CDM,20000083,HCHG SURG LVL 2 1ST 30M NONOR,5763.0,5763.0,,,0
CDM,20000084,HCHG SURG LVL 2 ADD 15M NONOR,1902.0,1902.0,,,0
CDM,20000085,HCHG SURG LVL 3 1ST 30M NONOR,7092.0,7092.0,,,0
CDM,20000086,HCHG SURG LVL 3 ADD 15M NONOR,2340.0,2340.0,,,0
CDM,20000087,HCHG SURG LVL 4 1ST 30M NONOR,10195.0,10195.0,,,0
CDM,20000088,HCHG SURG LVL 4 ADD 15M NONOR,3364.0,3364.0,,,0
CDM,20000089,HCHG SURG LVL 5 1ST 30M NONOR,11968.0,11968.0,,,0
CDM,20000090,HCHG SURG LVL 5 ADD 15M NONOR,3950.0,3950.0,,,0
CDM,20000111,HCHG SURG LVL 1 MCAL 1ST HR,8175.0,8175.0,,,0
CDM,20000112,HCHG SURG LVL 1 MCAL1ST SUBSEQ HALF,3250.0,3250.0,,,0
CDM,20000113,HCHG SURG LVL 1 MCAL 2ND+ EA SUBSEQ 1/2HR,3250.0,3250.0,,,0
CDM,20000211,HCHG SURG LVL 2 MCAL 1ST HR,10629.0,10629.0,,,0
CDM,20000212,HCHG SURG LVL 2 MCAL 1ST SUBSEQ 1/2HR,4226.0,4226.0,,,0
CDM,20000213,HCHG SURG LVL 2 MCAL 2ND+ EA SUBSEQ 1/2HR,4226.0,4226.0,,,0
CDM,20000311,HCHG SURG LVL 3 MCAL 1ST HR,13082.0,13082.0,,,0
CDM,20000312,HCHG SURG LVL 3 MCAL 1ST SUBSEQ 1/2HR,5202.0,5202.0,,,0
CDM,20000313,HCHG SURG LVL 3 MCAL 2ND+ EA SUBSEQ 1/2HR,5202.0,5202.0,,,0
CDM,20000411,HCHG SURG LVL 4 MCAL 1ST HR,18804.0,18804.0,,,0
CDM,20000412,HCHG SURG LVL 4 MCAL 1ST SUBSEQ 1/2HR,7476.0,7476.0,,,0
CDM,20000413,HCHG SURG LVL 4 MCAL 2ND+ EA SUBSEQ 1/2HR,7476.0,7476.0,,,0
CDM,20000511,HCHG SURG LVL 5 MCAL 1ST HR,22074.0,22074.0,,,0
CDM,20000512,HCHG SURG LVL 5 MCAL 1ST SUBSEQ 1/2HR,8776.0,8776.0,,,0
CDM,20000513,HCHG SURG LVL 5 MCAL 2ND+ EA SUBSEQ 1/2HR,8776.0,8776.0,,,0
CDM,20000611,HCHG SURG LVL 6 MCAL 1ST HR,28616.0,28616.0,,,0
CDM,20000612,HCHG SURG LVL 6 MCAL 1ST SUBSEQ 1/2HR,11378.0,11378.0,,,0
CDM,20000613,HCHG SURG LVL 6 MCAL 2ND+ EA SUBSEQ 1/2HR,11378.0,11378.0,,,0
CDM,20000641,HCHG INTERDISCAL PERQ ASPIR DX,3325.0,3325.0,,,0
CDM,20000660,HCHG ABORTED/DISCONTINUED CASE ENDO,1375.0,1375.0,,,0
CDM,20000662,HCHG KIDNEY ACQUISITION CADAVER,218000.0,218000.0,,,0
CDM,20000663,HCHG KIDNEY ACQUISITION LIVE DONOR,113000.0,113000.0,,,0
CDM,20000664,HCHG HEART ACQUISITION,188000.0,188000.0,,,0
CDM,20000665,HCHG PANCREAS ACQUISITION CADAVER,183000.0,183000.0,,,0
CDM,20000666,HCHG LIVER ACQUISITION CADAVER,199000.0,199000.0,,,0
CDM,20000667,HCHG LIVER ACQUISITION LIVE DONOR,199000.0,199000.0,,,0
CDM,20000673,HCHG ENDOSCOPY RESPIRATORY DIAGNOSTIC,1692.0,1692.0,,,0
CDM,20000674,HCHG ENDOSCOPY RESPIRATORY PLUS 1 INTERVENTION,3262.0,3262.0,,,0
CDM,20000675,HCHG ENDOSCOPY RESPIRATORY DX PLUS 2 INTERVENTIONS,4811.0,4811.0,,,0
CDM,20000676,HCHG ENDOSCOPY RESPIRATORY DX PLUS 3/MORE INTERVENTIONS,6701.0,6701.0,,,0
CDM,20000678,HCHG ANAL INF PMP W/RPR &RFILL,1959.0,1959.0,,,0
CDM,20000681,HCHG SLIT LAMP PROCEDURE,622.0,622.0,,,0
CDM,20000699,HCHG PROPH RET DETCH PHOTOCOAG,5293.0,5293.0,,,0
CDM,20000708,HCHG PARACENTSIS ABD NO IM,3084.0,3084.0,,,0
CDM,20000710,HCHG INJ PV FACET W IMAGE GUIDANCE C/T 1 LVL BIL,7342.0,7342.0,,,0
CDM,20000711,HCHG INJ AA/STRD AGENT AXILLARY NERVE IMG BIL,6933.0,6933.0,,,0
CDM,20000712,HCHG INJ AA/STRDBRACHIAL PLEX IMG BIL,10353.0,10353.0,,,0
CDM,20100001,HCHG HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,108150.0,108150.0,,,0
CDM,20200007,HCHG CYSTOURETHROSCOPY,5723.0,5723.0,,,0
CDM,20200034,HCHG REPLACE G/C TUBE PERC,3430.0,3430.0,,,0
CDM,20200035,HCHG ENDOSCOPY GI DIAGNOSTIC,2432.0,2432.0,,,0
CDM,20200036,HCHG ENDOSCOPY GI DIAGNOSTIC PLUS 1 INTERVENTION,3678.0,3678.0,,,0
CDM,20200037,HCHG ENDOSCOPY GI DIAGNOSTIC PLUS 2 INTERVENTIONS,5731.0,5731.0,,,0
CDM,20200038,HCHG ENDOSCOPY GI DIAGNOSTIC PLUS 3/MORE INTERVENTIONS,7785.0,7785.0,,,0
CDM,20200043,HCHG ANORECTAL MANOMETRY,3133.0,3133.0,,,0
CDM,20200044,HCHG COLON MTLTY STDY 6HR/MORE,4877.0,4877.0,,,0
CDM,20200045,HCHG COLON MTLTY STDY LT 6 HRS,4877.0,4877.0,,,0
CDM,20200046,HCHG REMOV FECAL IMP OR FB W/A,10214.0,10214.0,,,0
CDM,20200048,HCHG ESOPH IMPED FUNCTION,2467.0,2467.0,,,0
CDM,20200049,HCHG ESOPH IMPED FUNCT >1HR,3649.0,3649.0,,,0
CDM,20200050,HCHG GI WIRELESS CAPSULE MEASURE,3298.0,3298.0,,,0
CDM,20200051,HCHG LIVER ELASTOGRAPHY,772.0,772.0,,,0
CDM,20200052,HCHG RECTAL SENSATION TEST,6538.0,6538.0,,,0
CDM,20200054,HCHG BFB TRAINING 1ST 15 MIN,1040.0,1040.0,,,0
CDM,20200055,HCHG BFB TRAINING EA ADDL 15 MIN,570.0,570.0,,,0
CDM,20200059,HCHG RECTAL SENSATION TONE&COMPLIANCE STUDY,6538.0,6538.0,,,0
CDM,20200060,HCHG ANRCT MANO RCT SENSATION&RCT BALO EXPULSION TST,3133.0,3133.0,,,0
CDM,20300002,HCHG INJECTION PV FACET C/T 1 LVL,4895.0,4895.0,,,0
CDM,20300005,HCHG INJECTION PV FACET C/T 3 LVL,1742.0,1742.0,,,0
CDM,20300006,HCHG INJECTION FACET L/S 1 LVL,5005.0,5005.0,,,0
CDM,20300007,HCHG INJECTION FACET L/S 3 LVL,1930.0,1930.0,,,0
CDM,20300093,HCHG EXC SFT LSN FACE SBQ>=2CM,12200.0,12200.0,,,0
CDM,20400001,HCHG LITHOTRIPSY ESWL,25008.0,25008.0,,,0
CDM,20400005,HCHG LITHOTRIPSY LASER,44909.0,44909.0,,,0
CDM,20500008,HCHG ANES EPIDURAL CRNA MANAGED,2107.0,2107.0,,,0
CDM,20500009,HCHG REGIONAL BLOCK FINGERS,290.0,290.0,,,0
CDM,20500010,HCHG REGIONAL BLOCK TOES,232.0,232.0,,,0
CDM,20500021,HCHG STANDARD GENERAL ANESTHESIA 3 HOURS OR LESS,2907.0,2907.0,,,0
CDM,20500022,HCHG STANDARD GENERAL ANESTHESIA MORE THAN 3 HOURS,8484.0,8484.0,,,0
CDM,20500023,HCHG COMPLEX GENERAL ANESTHESIA 3 HOURS OR LESS,5003.0,5003.0,,,0
CDM,20500024,HCHG COMPLEX GENERAL ANESTHESIA MORE THAN 3 HOURS,11050.0,11050.0,,,0
CDM,20500025,HCHG MONITORED ANESTHESIA CARE/REGIONAL ANESTHESIA,2236.0,2236.0,,,0
CDM,20500032,HCHG MOD SED SAME MD/QHP LT 5 YRS,2107.0,2107.0,,,0
CDM,20500033,HCHG MOD SED SAME MD/QHP GT 5 YRS,431.0,431.0,,,0
CDM,20500035,HCHG MOD SED OTH MD/QHP LT 5 YRS,440.0,440.0,,,0
CDM,20500036,HCHG MOD SED OTH MD/QHP GT 5 YRS,549.0,549.0,,,0
CDM,20500038,HCHG MOD SED ENDO SAME MD/QHP GT 5YRS,431.0,431.0,,,0
CDM,20600000,HCHG PACU COMPLEX ADDITIONAL 15 MINUTES,952.0,952.0,,,0
CDM,20600001,HCHG PACU COMPLEX FIRST 30 MINUTES,2412.0,2412.0,,,0
CDM,20600002,HCHG PACU STANDARD LEVEL 1 ADDITIONAL 15 MINUTES,410.0,410.0,,,0
CDM,20600003,HCHG PACU STANDARD LEVEL 1 FIRST 30 MINUTES,1084.0,1084.0,,,0
CDM,20600004,HCHG PACU STANDARD LEVEL 2 ADDL 15 MINUTES,654.0,654.0,,,0
CDM,20600005,HCHG PACU STANDARD LEVEL 2 FIRST 30 MINUTES,1570.0,1570.0,,,0
CDM,20600008,HCHG COLL BLD IMP VEN ACCS DEV,447.0,447.0,,,0
CDM,20600013,HCHG CARDIOVERSION ELECTRIC EXTERNAL,4162.0,4162.0,,,0
CDM,21000000,HCHG STENT TRNCTH PLCMNT EXT VER ART OPN/PRQ INT VSL,27819.0,27819.0,,,0
CDM,21000001,HCHG STENT TRNSCTH PLCMNT EXT VERT ART EA ADD VSL,10842.0,10842.0,,,0
CDM,21000004,HCHG DRAINAGE ABSCESS SIMPLE/SINGLE,1254.5,1254.5,,,0
CDM,21000007,HCHG HEMATOMA EVACUATION,5980.0,5980.0,,,0
CDM,21000008,"HCHG ASPIRATION OF ABSCESS, HEMATOMA, CYST",1494.0,1494.0,,,0
CDM,21000024,HCHG SIMPLE REPAIR WOUND 2.5CM OR LESS,1194.0,1194.0,,,0
CDM,21000038,HCHG CHEMICAL CAUTERIZATION OR GRANULATION OF TISSUE,679.0,679.0,,,0
CDM,21000039,HCHG ASPIRATION BREAST CYST,1878.0,1878.0,,,0
CDM,21000040,HCHG ASPIRATION BREAST CYST EACH ADDITIONAL CYST,985.0,985.0,,,0
CDM,21000041,HCHG INJECTION FOR DUCTOGRAM OR GALACTOGRAM,1218.0,1218.0,,,0
CDM,21000042,HCHG BIOPSY BREAST PERCUTANEOUS W/O IMAGING,4004.0,4004.0,,,0
CDM,21000049,HCHG BIOPSY MUSCLE,3998.0,3998.0,,,0
CDM,21000050,HCHG BIOPSY BONE SUPERFICIAL,4320.0,4320.0,,,0
CDM,21000051,HCHG BIOPSY BONE DEEP,6326.0,6326.0,,,0
CDM,21000052,HCHG INJECTION SINOGRAM,958.0,958.0,,,0
CDM,21000053,HCHG INJECTION TENDON SHEATH OR LIGAMENT SINGLE,1663.5,1663.5,,,0
CDM,21000054,HCHG INJECTION TRIGGER POINT 1 TO 2 MUSCLES,1556.0,1556.0,,,0
CDM,21000055,HCHG INJECTION TRIGGER POINT GREATER THAN 2  MUSCLES,1541.0,1541.0,,,0
CDM,21000056,HCHG DRAIN/INJ SMALL JOINT/BURSA W/O US,1800.5,1800.5,,,0
CDM,21000057,HCHG DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US,1808.0,1808.0,,,0
CDM,21000059,HCHG INJECTION OR ASPIRATION GANGLION CYST,986.0,986.0,,,0
CDM,21000060,HCHG ABLATION BONE TUMORS RF PERCUTANEOUS,20362.0,20362.0,,,0
CDM,21000061,HCHG INJECTION ARTHROGRAM TMJ,2194.0,2194.0,,,0
CDM,21000062,HCHG BIOPSY SOFT TISSUE NECK,5867.0,5867.0,,,0
CDM,21000070,HCHG INCISION AND DRAINAGE HEMATOMA OR ABSCESS SHOULDER,20090.0,20090.0,,,0
CDM,21000072,HCHG INJECTION ARTHROGRAM ELBOW,3385.0,3385.0,,,0
CDM,21000073,HCHG INJECTION ARTHROGRAM WRIST,814.0,814.0,,,0
CDM,21000075,HCHG BIOPSY SOFT TISSUE HIP/PELVIS AREA SUPERFICIAL,5454.0,5454.0,,,0
CDM,21000076,HCHG BIOPSY SOFT TISSUE HIP/PELVIS AREA DEEP,5244.0,5244.0,,,0
CDM,21000079,HCHG BIOPSY SOFT TISSUE KNEE OR THIGH,5441.0,5441.0,,,0
CDM,21000081,HCHG INJECTION ARTHROGRAM ANKLE,3935.0,3935.0,,,0
CDM,21000094,HCHG INTUBATION ENDOTRACHEAL,1621.0,1621.0,,,0
CDM,21000095,HCHG TRACHEOSTOMY TUBE CHANGE,1675.0,1675.0,,,0
CDM,21000096,HCHG LARYNGOSCOPY DIAGNOSTIC,1102.0,1102.0,,,0
CDM,21000097,HCHG TRACH PUNCTURE W TRANSTRACH ASP/INJ,9377.0,9377.0,,,0
CDM,21000099,HCHG BRONCHOSCOPY DIAGNOSTIC,9400.0,9400.0,,,0
CDM,21000103,HCHG INSERTION PLEURAL CATHETER,11186.0,11186.0,,,0
CDM,21000106,HCHG BIOPSY PLEURA,5474.0,5474.0,,,0
CDM,21000110,HCHG PACER INSERTION OR REPLACEMENT WITH ELECTRODE ATRI,33236.0,33236.0,,,0
CDM,21000111,HCHG PACER INSERTION OR REPLACEMENT WITH ELECTRODE VENT,34103.0,34103.0,,,0
CDM,21000112,HCHG PACER INSERTION OR REPLACEMENT WITH ELECTRODE ATRIAL AND VENTRICULAR,40733.0,40733.0,,,0
CDM,21000113,HCHG TEMPORARY PACER INSERTION SINGLE,18783.0,18783.0,,,0
CDM,21000114,HCHG TEMPORARY PACER INSERTION DUAL,894.0,894.0,,,0
CDM,21000115,HCHG PACER GENERATOR ONLY INSERTION OR REPLACEMENT SING,17449.0,17449.0,,,0
CDM,21000116,HCHG PACER GENERATOR ONLY INSERTION OR REPLACEMENT DUAL,41592.0,41592.0,,,0
CDM,21000117,HCHG PACER GENERATOR UPGRADE SINGLE CHAMBER TO DUAL CHA,57092.0,57092.0,,,0
CDM,21000118,HCHG REPOSITION PREV IMP TRNSVNS PACER/ELECTRD,12768.0,12768.0,,,0
CDM,21000119,HCHG INSERT 1 TRANSVNS ELECTRODE PACER/IMP DEFIB,18741.0,18741.0,,,0
CDM,21000120,HCHG INSERT 2 TRANSVNS ELECTRODE PACER/IMP DEFIB,33204.0,33204.0,,,0
CDM,21000121,HCHG REPAIR 1 TRNSVNS ELECTRODE PERM PACER/ICD,23782.0,23782.0,,,0
CDM,21000122,HCHG REPAIR 2 TRNSVNS ELECTRODES PERM PACER/ICD,3551.0,3551.0,,,0
CDM,21000123,HCHG PACER RELOCATION OF SKIN POCKET,11324.0,11324.0,,,0
CDM,21000124,HCHG ICD RELOCATION OF SKIN POCKET,19304.0,19304.0,,,0
CDM,21000125,HCHG INSRT ELEC/CAR VN SYS PREV PLCD PCR/ICD GEN,35251.0,35251.0,,,0
CDM,21000126,HCHG INSRT ELEC/CAR VN SYS AND PCR/ICD GEN SAME TIME,32321.0,32321.0,,,0
CDM,21000127,HCHG LEAD REPOSITION CORONARY SINUS/LV ON PREVIOUSLY IM,5386.0,5386.0,,,0
CDM,21000128,HCHG PACER REMOVAL GENERATOR ONLY,19731.0,19731.0,,,0
CDM,21000129,HCHG LEAD REMOVAL SINGLE CHAMBER PACER,14603.0,14603.0,,,0
CDM,21000130,HCHG LEAD REMOVAL DUAL CHAMBER PACER,15449.0,15449.0,,,0
CDM,21000131,HCHG REMOVAL IMP DEFIB PULSE GEN ONLY,15291.0,15291.0,,,0
CDM,21000132,HCHG REMOVE SNGL/DUAL IMP DEFIB ELECTRDS TRNSVNS EXT,13910.0,13910.0,,,0
CDM,21000135,HCHG EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT COV LSA,8470.0,8470.0,,,0
CDM,21000136,HCHG EVAS RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA,7300.0,7300.0,,,0
CDM,21000137,HCHG DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN,6600.0,6600.0,,,0
CDM,21000138,HCHG THORACIC AA ENDOVASCULAR PLACEMENT PROSTHESIS ADDITIONAL EXTENSION,1725.0,1725.0,,,0
CDM,21000139,HCHG DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART,4360.0,4360.0,,,0
CDM,21000140,HCHG IABP INSERTION PERCUTANEOUSLY,13273.0,13273.0,,,0
CDM,21000145,HCHG PLACEMENT ILIAC OCCLUSION DEVICE,979.0,979.0,,,0
CDM,21000167,HCHG INTRODUCTION NEEDLE OR INTRACATHETER INTO VEIN,603.0,603.0,,,0
CDM,21000168,HCHG INJECTION PSEUDOANEURYSM,2295.0,2295.0,,,0
CDM,21000170,HCHG INTRODUCTION CATH SUPERIOR OR INFERIOR VENA CAVA,5299.0,5299.0,,,0
CDM,21000171,HCHG SELECTIVE CATH VENOUS SYSTEM FIRST ORDER,5740.0,5740.0,,,0
CDM,21000172,HCHG SELECTIVE CATH VENOUS SYSTEM SECOND ORDER,7556.0,7556.0,,,0
CDM,21000173,HCHG SELECTIVE CATH RIGHT HEART OR MAIN PULMONARY ARTERY,14978.0,14978.0,,,0
CDM,21000174,HCHG SELECTIVE CATH LEFT OR RIGHT PULMONARY ARTERY,7762.0,7762.0,,,0
CDM,21000175,HCHG SELECTIVE CATH SEGMENTAL OR SUBSEGMENTAL PULMONARY ARTERY,35700.0,35700.0,,,0
CDM,21000176,HCHG SELECTIVE CATH CAROTID OR VERTEBRAL ARTERY,4240.0,4240.0,,,0
CDM,21000178,HCHG INTRO NEEDLE INTRACATH UPPR/LOWR EXTR ARTERY,5300.0,5300.0,,,0
CDM,21000180,HCHG SELECTIVE CATH AORTA TRANSLUMBAR,4740.0,4740.0,,,0
CDM,21000181,HCHG SELECTIVE CATH AORTA,6430.0,6430.0,,,0
CDM,21000182,HCHG SELECTIVE CATH THORACIC FIRST ORDER ARTERY,7884.0,7884.0,,,0
CDM,21000183,HCHG SELECTIVE CATH THORACIC SECOND ORDER ARTERY,8166.0,8166.0,,,0
CDM,21000184,HCHG SELECTIVE CATH THORACIC THIRD ORDER ARTERY,10979.0,10979.0,,,0
CDM,21000185,HCHG SELECTIVE CATH THORACIC EACH ADDITIONAL ARTERY,4713.0,4713.0,,,0
CDM,21000186,"HCHG SELECTIVE CATH ABDOMINAL, LOWER EXTREMITY, PELVIC FIRST ORDER ARTERY",7790.0,7790.0,,,0
CDM,21000187,"HCHG SELECTIVE CATH ABDOMINAL, LOWER EXTREMITY, PELVIC SECOND ORDER ARTERY",6941.0,6941.0,,,0
CDM,21000188,"HCHG SELECTIVE CATH ABDOMINAL, LOWER EXTREMITY, PELVIC THIRD ORDER ARTERY",8301.0,8301.0,,,0
CDM,21000189,"HCHG SELECTIVE CATH ABDOMINAL, LOWER EXTREMITY, PELVIC EACH ADDITIONAL ARTERY",5368.0,5368.0,,,0
CDM,21000190,HCHG EXCHANGE TRANSFUSION NEWBORN,3005.0,3005.0,,,0
CDM,21000191,HCHG INJECTION SCLEROSANT SINGLE VEIN OT TELANG,1927.0,1927.0,,,0
CDM,21000193,HCHG SELECTIVE CATH PORTAL VEIN ANY METHOD,3265.0,3265.0,,,0
CDM,21000194,HCHG SELECTIVE CATH VENOUS ORGAN BLOOD SAMPLING,4548.0,4548.0,,,0
CDM,21000195,HCHG PHOTOPHERESIS,12821.0,12821.0,,,0
CDM,21000197,HCHG DECLOT VASCULAR DEVICE WITH THROMBOLYTIC,1307.0,1307.0,,,0
CDM,21000198,HCHG CENTRAL VENOUS CATH INSERTION NON-TUNNELED LESS THAN 5YR,1485.0,1485.0,,,0
CDM,21000199,HCHG CENTRAL VENOUS CATH INSERTION NON-TUNNELED 5YR OR OLDER,4508.0,4508.0,,,0
CDM,21000200,HCHG CV CATHETER INSERTION TUNNELED WITHOUT PORT LESS THAN 5 YR,10081.0,10081.0,,,0
CDM,21000201,HCHG CV CATHETER INSERTION TUNNELED WITHOUT PORT 5 YR OR OLDER,12097.0,12097.0,,,0
CDM,21000202,HCHG CENTRAL VENOUS CATHETER INSERTION TUNNELED WITH PORT LESS THAN 5 YR,14959.0,14959.0,,,0
CDM,21000203,HCHG CENTRAL VENOUS CATHETER INSERTION TUNNELED WITH PORT 5 YR OR OLDER,15158.0,15158.0,,,0
CDM,21000204,HCHG CV ACCESS DEVICE INSERTION TUNNELED REQUIRING 2 CATHETERS W/ 2 SITES W/OUT PORT,7516.0,7516.0,,,0
CDM,21000205,HCHG CENTRAL VENOUS ACCESS DEVICE INSERTION TUNNELED REQ 2 CATH W/ 2 SITES WITH PORT,529.0,529.0,,,0
CDM,21000208,HCHG PICC INSERTION WITH PORT LESS THAN 5 YR,11311.0,11311.0,,,0
CDM,21000209,HCHG PICC INSERTION WITH PORT 5 YR OR OLDER,17215.0,17215.0,,,0
CDM,21000210,HCHG CENTRAL VENOUS CATHETER REPAIR WITHOUT PORT,3942.0,3942.0,,,0
CDM,21000211,HCHG CENTRAL VENOUS ACCESS REPLACEMENT CATH WITH PORT,6757.0,6757.0,,,0
CDM,21000212,HCHG CENTRAL VENOUS CATHETER REPLACEMENT NON-TUNNELED,12100.0,12100.0,,,0
CDM,21000213,HCHG CENTRAL VENOUS CATHETER REPLACEMENT TUNNELED,10190.0,10190.0,,,0
CDM,21000214,HCHG CENTRAL VENOUS CATHETER REPLACEMENT TUNNELED WITH PORT,15826.0,15826.0,,,0
CDM,21000215,HCHG CENTRAL VENOUS CATHETER REPLACEMENT TUNNELED WITH PUMP,21158.0,21158.0,,,0
CDM,21000217,HCHG REPLACE PICC WO PORT SAME ACCESS W/ S&I,4578.0,4578.0,,,0
CDM,21000218,HCHG PICC REPLACEMENT WITH PORT,7204.0,7204.0,,,0
CDM,21000219,HCHG CENTRAL VENOUS CATHETER TUNNELED REMOVAL,4713.0,4713.0,,,0
CDM,21000220,HCHG CENTRAL VENOUS CATHETER TUNNELED REMOVAL WITH PORT,8425.0,8425.0,,,0
CDM,21000221,HCHG REMOVAL PERICATHETER OBSTRUCTIVE MATERIAL,7095.0,7095.0,,,0
CDM,21000222,HCHG DECLOT VASCULAR DEVICE MECHANICAL,288.0,288.0,,,0
CDM,21000223,HCHG CENTRAL VENOUS CATHETER REPOSITIONING UNDER FLUORO,5682.0,5682.0,,,0
CDM,21000224,HCHG CENTRAL VENOUS ACCESS INJECTION WITH FLUORO,1331.0,1331.0,,,0
CDM,21000225,HCHG ARTERIAL CATHETERIZATION,1687.0,1687.0,,,0
CDM,21000226,HCHG HEMODIALYSIS CANNULA INSERTION VEIN TO VEIN,1047.0,1047.0,,,0
CDM,21000227,HCHG OPEN REVISION AV FISTULA WITH THROMBECTOMY,44643.0,44643.0,,,0
CDM,21000229,HCHG DECLOT EXTERNAL CANNULA WITH BALLOON,10532.0,10532.0,,,0
CDM,21000231,HCHG OPEN VENOUS ANASTOMOSIS PORTACAVAL,9618.0,9618.0,,,0
CDM,21000232,HCHG TIPS INSERTION,13246.0,13246.0,,,0
CDM,21000233,HCHG TIPS REVISION,20596.0,20596.0,,,0
CDM,21000234,HCHG THROMBECTOMY ARTERIAL INITIAL,21446.0,21446.0,,,0
CDM,21000235,HCHG THROMBECTOMY ARTERIAL SECOND AND SUBSEQUENT VESSELS IN SAME VASCULAR FAMILY,12572.0,12572.0,,,0
CDM,21000236,HCHG THROMBCTMY SCNDRY PRC W FLUORO/INJ ADD ON,9727.0,9727.0,,,0
CDM,21000237,HCHG THROMBECTOMY MECHANICAL VENOUS WITH FLUORO,21467.0,21467.0,,,0
CDM,21000238,HCHG MECHANICAL THROMBECTOMY VEIN SUBSEQUENT TREATMENT,30467.0,30467.0,,,0
CDM,21000239,HCHG THROMBOLYSIS CEREBRAL BY INTRAVENOUS INFUSION,2021.0,2021.0,,,0
CDM,21000240,HCHG BIOPSY TRANSCATHETER,11710.0,11710.0,,,0
CDM,21000251,HCHG STENT TRANSCATH CCA OPN/PRQ W DEP INCLDS ANGIO,32603.0,32603.0,,,0
CDM,21000252,HCHG STENT TRANSCATH CCA OPN/PRQ WO DEP INCLDS ANGIO,6414.0,6414.0,,,0
CDM,21000256,HCHG INJECTION SPLENOPORTOGRAM,616.0,616.0,,,0
CDM,21000259,HCHG DIAGNOSTIC BONE MARROW ASPIRATION,5120.0,5120.0,,,0
CDM,21000260,HCHG DIAGNOSTIC BONE MARROW BIOPSY,4081.0,4081.0,,,0
CDM,21000261,HCHG BIOPSY OR EXCISION LYMPH NODE OPEN,12887.0,12887.0,,,0
CDM,21000262,HCHG BIOPSY LYMPH NODE SUPERFICIAL,4436.0,4436.0,,,0
CDM,21000263,HCHG INJECTION LYMPHANGIOGRAPHY,581.0,581.0,,,0
CDM,21000264,HCHG INJECTION PROCEDURE FOR SENTINEL NODE,3624.0,3624.0,,,0
CDM,21000266,HCHG INJECTION SIALOGRAM,1542.0,1542.0,,,0
CDM,21000270,HCHG DILATION OF ESOPHAGUS OVER GUIDE WIRE,10254.0,10254.0,,,0
CDM,21000273,HCHG NG TUBE PLACEMENT WITH FLUOROSCOPY,1668.0,1668.0,,,0
CDM,21000275,HCHG GASTROSTOMY TUBE REPOSITIONING,3125.0,3125.0,,,0
CDM,21000276,HCHG LAPAROSCOPIC REVISION OF ADJUSTABLE GASTRIC BAND,6982.0,6982.0,,,0
CDM,21000277,HCHG JEJUNOSTOMY TUBE PLACEMENT FOR ENTERAL ALIMENTATION,624.0,624.0,,,0
CDM,21000281,HCHG GASTROINTESTINAL TUBE INSERTION (MILLER ABBOTT),1833.0,1833.0,,,0
CDM,21000286,HCHG BIOPSY LIVER WITH OTHER MAJOR PROCEDURE,5712.0,5712.0,,,0
CDM,21000290,HCHG ABLATION LIVER TUMOR/S RADIOFREQUENCY PERCUTANEOUS,15335.0,15335.0,,,0
CDM,21000291,HCHG INCISION GALLBLADDER PERCUTANEOUS,9807.0,9807.0,,,0
CDM,21000298,HCHG BILIARY ENDOSCOPY STONE REMOVAL,5272.0,5272.0,,,0
CDM,21000299,HCHG BILIARY ENDOSCOPY WITH DILATATION,2169.0,2169.0,,,0
CDM,21000300,HCHG BILIARY ENDOSCOPY WITH DILATION WITH STENT PLACEMENT,1986.0,1986.0,,,0
CDM,21000302,HCHG BIOPSY PANCREAS,4692.0,4692.0,,,0
CDM,21000309,HCHG BIOPSY ABDOMINAL/RETROPERITONEAL MASS,4415.0,4415.0,,,0
CDM,21000312,HCHG INTRAPERITONEAL DIALYSIS CATHETER OR CANNULA REMOVAL PERMANENT,13376.0,13376.0,,,0
CDM,21000313,HCHG DRAINAGE CATHETER EXCHANGE,6237.0,6237.0,,,0
CDM,21000314,HCHG INJECTION CONTRAST TO ASSESS ABSCESS,1213.0,1213.0,,,0
CDM,21000315,HCHG INJECTION VP SHUNT,215.0,215.0,,,0
CDM,21000318,HCHG KIDNEY STONE REMOVAL UP TO 2 CM,39022.0,39022.0,,,0
CDM,21000319,HCHG BIOPSY RENAL,4356.0,4356.0,,,0
CDM,21000320,HCHG NEPHROSTOMY TUBE REMOVAL WITH FLUORO,5609.0,5609.0,,,0
CDM,21000321,HCHG ASPIRATION RENAL CYST,3897.0,3897.0,,,0
CDM,21000326,HCHG NEPHROSTOMY TUBE MANOMETRY,774.0,774.0,,,0
CDM,21000328,HCHG RENAL ENDOSCOPY WITH URETERAL CATHETERIZATION,3238.0,3238.0,,,0
CDM,21000329,HCHG ABLATION RENAL TUMOR/S PERC UNILATERAL RF,15220.0,15220.0,,,0
CDM,21000330,HCHG INJECTION URETEROGRAPHY OR PYELOGRAPHY,1728.0,1728.0,,,0
CDM,21000331,HCHG URETEROSTOMY TUBE OR URETERAL STENT CHANGE,12252.0,12252.0,,,0
CDM,21000332,HCHG INJECTION ILEAL CONDUIT,3055.0,3055.0,,,0
CDM,21000333,HCHG ASPIRATION BLADDER WITH INSERTION SUPRAPUBIC CATHETER,9735.0,9735.0,,,0
CDM,21000334,HCHG INJECTION CYSTOGRAM/VCUG,1219.0,1219.0,,,0
CDM,21000335,HCHG INJECTION RETROGRADE CYSTO,1792.0,1792.0,,,0
CDM,21000337,HCHG INSERT STRAIGHT CATHETER,681.0,681.0,,,0
CDM,21000338,HCHG INSERTION FOLEY CATHETER,768.0,768.0,,,0
CDM,21000339,HCHG INSERTION FOLEY CATHETER COMPLEX,965.0,965.0,,,0
CDM,21000343,HCHG CYSTOMETROGRAM COMPLEX,1800.0,1800.0,,,0
CDM,21000352,HCHG URODYNAMICS POST VOIDING URING,511.0,511.0,,,0
CDM,21000354,HCHG CYSTOSCOPY WITH URETERAL CATHETERIZATION,16506.0,16506.0,,,0
CDM,21000357,HCHG NEPHROSTOMY,1292.0,1292.0,,,0
CDM,21000359,HCHG CIRCUMCISION NEWBORN,484.0,484.0,,,0
CDM,21000360,HCHG INJECTION CORPORA CAVERNOSOGRAPHY,757.0,757.0,,,0
CDM,21000362,HCHG BIOPSY PROSTATE,9221.0,9221.0,,,0
CDM,21000363,HCHG PLACE RADIATION THERAPY DEVICE PROSTHETIC,8956.0,8956.0,,,0
CDM,21000371,HCHG INJECTION HYSTEROSONOGRAM/SALPINGOGRAPY,874.0,874.0,,,0
CDM,21000372,HCHG FALLOPIAN TUBE CATHETERIZATION,2355.0,2355.0,,,0
CDM,21000375,HCHG AMNIOCENTESIS,1105.0,1105.0,,,0
CDM,21000377,HCHG AMNIOINFUSION,1069.0,1069.0,,,0
CDM,21000378,HCHG EPISIOTOMY OR VAGINAL REPAIR,7869.0,7869.0,,,0
CDM,21000379,HCHG EXTERNAL VERSION,2750.0,2750.0,,,0
CDM,21000380,HCHG MULTIFETAL PREGNANCY REDUCTIONS,1088.0,1088.0,,,0
CDM,21000381,HCHG ASPIRATION OR INJECTION THYROID CYST,2477.0,2477.0,,,0
CDM,21000382,HCHG BIOPSY THYROID,2736.0,2736.0,,,0
CDM,21000384,HCHG C1-C2 PUNCTURE W INJ MEDICATION,2671.0,2671.0,,,0
CDM,21000385,HCHG ASPIRATION OR INJECTION SHUNT,4540.0,4540.0,,,0
CDM,21000386,HCHG ENDOVASCULAR TEMPORARY OCCLUSION HEAD OR NECK,6820.0,6820.0,,,0
CDM,21000387,HCHG ENDOVASCULAR PERMANENT OCCLUSION CNS,29012.0,29012.0,,,0
CDM,21000388,HCHG ENDOVASCULAR PERMANENT OCCLUSION NON CNS HEAD OR NECK,34381.0,34381.0,,,0
CDM,21000389,HCHG PTA INTRACRANIAL,27860.0,27860.0,,,0
CDM,21000390,HCHG PTA INTRACRANIAL WITH STENT,21204.0,21204.0,,,0
CDM,21000391,HCHG DILATATION INTRACRANIAL VASOSPASM INITIAL VESSEL,3439.0,3439.0,,,0
CDM,21000392,HCHG BLLN DILATE IC VSPSM PRC EA ADD SAME VAS TERR,1037.0,1037.0,,,0
CDM,21000393,HCHG BLLN DILATE IC VSPSM PRC EA ADD DIFF VAS TERR,2433.0,2433.0,,,0
CDM,21000396,HCHG ASPIRATION OF SPINAL CORD CYST,4835.0,4835.0,,,0
CDM,21000397,HCHG LUMBAR PUNCTURE DX,3056.0,3056.0,,,0
CDM,21000398,HCHG LUMBAR PUNCTURE FOR CSF DRAINAGE,4223.0,4223.0,,,0
CDM,21000399,HCHG INJECTION BLOOD PATCH,3551.0,3551.0,,,0
CDM,21000400,"HCHG INJECTION NERVE BLOCK CERVICAL, THORACIC",5530.0,5530.0,,,0
CDM,21000401,"HCHG INJECTION NERVE BLOCK LUMBAR, SACRAL",4913.0,4913.0,,,0
CDM,21000402,HCHG INJ MYELOGRAM/CT LUMBAR,2971.0,2971.0,,,0
CDM,21000404,HCHG INJECTION DISKOGRAM LUMBAR,2201.0,2201.0,,,0
CDM,21000405,HCHG INJECTION DISKOGRAM CERVICAL,3761.0,3761.0,,,0
CDM,21000410,HCHG IMPLANTATION OR REVISION INTRATHECAL OR EPIDURAL CATH FOR MED ADMIN,19308.0,19308.0,,,0
CDM,21000411,HCHG INTRATHECAL OR EPIDURAL CATHETER REMOVAL,19234.0,19234.0,,,0
CDM,21000412,HCHG REMOVAL SUBCUTANEOUS PUMP OR RESERVOIR FOR INTRATHECAL OR EPIDURAL INFUSION,22821.0,22821.0,,,0
CDM,21000415,HCHG NEUROSTIMULATOR LEAD INSERTION EPIDURAL,17127.0,17127.0,,,0
CDM,21000419,HCHG INJ NRV AA/STRD GREATER OCCIPITAL,1644.0,1644.0,,,0
CDM,21000421,HCHG INJ AA/STRD BRACHIAL PLEX IMG SGL,6902.0,6902.0,,,0
CDM,21000422,HCHG INJ AA/STRD AGENT AXILLARY NERVE IMG SGL,4622.0,4622.0,,,0
CDM,21000424,HCHG INJ AA/STRD NRV INTCOSTL SNGL,3894.0,3894.0,,,0
CDM,21000425,HCHG INJ AA/STRD INTERCOSTAL NERVE EA ADDT,3259.0,3259.0,,,0
CDM,21000426,HCHG INJ NRV AA/STRD ILIOINGUINAL,3023.0,3023.0,,,0
CDM,21000427,HCHG INJ NRV AA/STRD SCIATIC IMG SNGL,3496.0,3496.0,,,0
CDM,21000429,HCHG INJ AA/STRD OTHER PERIPH/BRANCH,2247.0,2247.0,,,0
CDM,21000434,HCHG INJS ANES&STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,4431.0,4431.0,,,0
CDM,21000435,HCHG INJS ANES&STRD W/IMG TFRML EDRL CRV/THRC EA LV,2769.0,2769.0,,,0
CDM,21000436,HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,4901.0,4901.0,,,0
CDM,21000437,HCHG INJS ANES&STRD W/IMG TFRML EDRL LMBR/SAC EA LV,2470.0,2470.0,,,0
CDM,21000439,HCHG INJECTION NERVE BLOCK CERVICAL SYMPATHETIC,5733.0,5733.0,,,0
CDM,21000440,HCHG INJECTION NERVE BLOCK SUPERIOR HYPOGASTRIC PLEXUS,8068.0,8068.0,,,0
CDM,21000441,HCHG INJECTION NERVE BLOCK LUMBAR OR THORACIC,5594.0,5594.0,,,0
CDM,21000442,HCHG INJECTION NERVE BLOCK CELIAC PLEXUS,4697.0,4697.0,,,0
CDM,21000452,HCHG DESTRUCTION NERVE OTHER PERIPHERAL,5732.0,5732.0,,,0
CDM,21000453,HCHG INJECTION NEUROLYTIC CELIAC PLEXUS,4156.0,4156.0,,,0
CDM,21000454,HCHG DESTRUCTION NERVE SUPERIOR HYPOGASTRIC PLEXUS,3173.0,3173.0,,,0
CDM,21000464,HCHG TRABECULOPLASTY,3804.0,3804.0,,,0
CDM,21000468,HCHG IRIDOTOMY OR IRIDECTOMY LASER,3913.0,3913.0,,,0
CDM,21000469,HCHG CATARACT LASER CAPSULOTOMY YAG,3867.0,3867.0,,,0
CDM,21000495,HCHG INJECTION SACROILIAC JOINT ANESTHESIA OR STEROID,5128.0,5128.0,,,0
CDM,21000496,HCHG VASCULAR CLOSURE DEVICE INSERTION,3573.0,3573.0,,,0
CDM,21000497,HCHG DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US BIL,2712.0,2712.0,,,0
CDM,21000501,HCHG INCISION LINGUAL FRENUM,268.0,268.0,,,0
CDM,21000502,HCHG BX OF OVARY(S),4213.0,4213.0,,,0
CDM,21000503,HCHG DRAINAGE ABSCESS SIMPLE/SINGLE,1254.5,1254.5,,,0
CDM,21000504,HCHG DISC 2ND MEM CAT LASR BIL,5800.0,5800.0,,,0
CDM,21000528,HCHG BX TEMPORAL ARTERY,15159.0,15159.0,,,0
CDM,21000532,HCHG INJ NRV AA/STRD FEM NRV IMG,6424.0,6424.0,,,0
CDM,21000546,HCHG I&D CPLX PSTP WND INF,11942.0,11942.0,,,0
CDM,21000547,HCHG COLLECT BLOOD FROM PICC,526.0,526.0,,,0
CDM,21000566,HCHG APHERESIS ADSORP OR FILTRA & REINFUSE,13958.0,13958.0,,,0
CDM,21000568,HCHG COLL BLD VNS ACCS DVC,447.0,447.0,,,0
CDM,21000569,HCHG VENIPUNCTURE AGE 3 YRS/>,73.0,73.0,,,0
CDM,21000570,HCHG PRQ RF ABLAT TX PUL TUMOR,12302.0,12302.0,,,0
CDM,21000571,HCHG INSRT IMP DEFIB PULSE GEN ONLY W 1 LEAD,74612.0,74612.0,,,0
CDM,21000572,HCHG INSRT/RPLC PERM IMP DEFIB W TV LEADS SNGL/DUAL,89176.0,89176.0,,,0
CDM,21000577,HCHG CYSTO W/ INS URETERAL STENT,15748.0,15748.0,,,0
CDM,21000578,HCHG CON IJ G/COLON TUBE,1788.0,1788.0,,,0
CDM,21000579,HCHG ASPIRATION BONE MARROW W BX,6285.0,6285.0,,,0
CDM,21000580,HCHG CHANGE EXT NEPHROURETERAL CATH,7986.0,7986.0,,,0
CDM,21000597,HCHG REPAIR RETINA  DET PHOTOCOAG,3945.0,3945.0,,,0
CDM,21000603,HCHG REMOVE CERCLAGE SUTURE,7239.0,7239.0,,,0
CDM,21000605,HCHG SCLEROSING SOLUTION INJ HEMORRHOIDS,7702.0,7702.0,,,0
CDM,21000607,HCHG BX SOFT TISSUE BACK/FLANK SUPERFICIAL,566.0,566.0,,,0
CDM,21000609,HCHG TX S WND DEHISC SMPL,4397.0,4397.0,,,0
CDM,21000610,HCHG CURETTAGE POSTPARTUM,4951.0,4951.0,,,0
CDM,21000611,HCHG INJ PVB THORACIC SINGLE SITE,3517.0,3517.0,,,0
CDM,21000612,HCHG INJ PVB THORACIC 2ND+ SITE,1753.0,1753.0,,,0
CDM,21000613,HCHG PVB THORACIC CONT INFUSION,2173.0,2173.0,,,0
CDM,21000616,HCHG INJ PROCEDURE RADIOACTIVE TRACER ID SENTINEL NODE WO IMAGE BI,5436.0,5436.0,,,0
CDM,21000619,HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US BI,2883.0,2883.0,,,0
CDM,21000620,HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US LT,1922.0,1922.0,,,0
CDM,21000621,HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US RT,1922.0,1922.0,,,0
CDM,21000627,HCHG VENOGRAM EXTREMITY INJECTION LT,2984.0,2984.0,,,0
CDM,21000628,HCHG VENOGRAM EXTREMITY INJECTION RT,2984.0,2984.0,,,0
CDM,21000629,HCHG VENOGRAM EXTREMITY INJECTION BI,4476.0,4476.0,,,0
CDM,21000632,HCHG ECMO/ECLS INS PERIPH CANNULA PERC >=6 YRS,25697.0,25697.0,,,0
CDM,21000634,HCHG INJECTION ARTHROGRAM SHOULDER LT,1192.0,1192.0,,,0
CDM,21000635,HCHG INJECTION ARTHROGRAM SHOULDER RT,1192.0,1192.0,,,0
CDM,21000637,HCHG INTMD RPR S/A/T/EXT 2.5 CM/<,2377.0,2377.0,,,0
CDM,21000641,HCHG INJ INTER CERVICAL/THORACIC EPID WO IMAGE,2826.0,2826.0,,,0
CDM,21000642,HCHG INJ INTER CERVICAL/THORACIC EPID W IMAGE,4966.0,4966.0,,,0
CDM,21000643,HCHG INJ INTER LUMBAR/SACRAL EPID WO IMAGE,7034.0,7034.0,,,0
CDM,21000644,HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE,5452.0,5452.0,,,0
CDM,21000645,HCHG INJ INTER CERVICAL/THORAC W/CATH EPID WO IMAGE,2246.0,2246.0,,,0
CDM,21000646,HCHG INJ INTER CERVICAL/THORAC W/CATH EPID W IMAGE,5520.0,5520.0,,,0
CDM,21000647,HCHG INJ INTER LUMBAR/SACRAL W/CATH EPID WO IMAGE,4516.0,4516.0,,,0
CDM,21000648,HCHG INJ INTER LUMBAR/SACRAL W/CATH EPID W IMAGE,7711.0,7711.0,,,0
CDM,21000649,HCHG INJECTION ARTHROGRAM HIP BI,2142.0,2142.0,,,0
CDM,21000650,HCHG INJECTION ARTHROGRAM HIP LT,1428.0,1428.0,,,0
CDM,21000651,HCHG INJECTION ARTHROGRAM HIP RT,1428.0,1428.0,,,0
CDM,21000652,HCHG INTRO CATH DIALYSIS CIRCUIT,7462.0,7462.0,,,0
CDM,21000653,HCHG INTRO CATH DIALYSIS CIRCUIT W/BAL,25038.0,25038.0,,,0
CDM,21000654,HCHG INTRO CATH DIALYSIS CIRCUIT W/STNT,37877.0,37877.0,,,0
CDM,21000655,HCHG THRMBC/NFS DIALYSIS CIRCUIT,23814.0,23814.0,,,0
CDM,21000656,HCHG THRMBC/NFS DIALYSIS CIRCUIT W/BAL,42724.0,42724.0,,,0
CDM,21000657,HCHG THRMBC/NFS DIALYSIS CIRCUIT W/STNT,55503.0,55503.0,,,0
CDM,21000658,HCHG BALO ANGIOP CTR DIALYSIS SEG,12178.0,12178.0,,,0
CDM,21000659,HCHG TRANSLUMINAL BALLOON ANGIOP 1ST ART,22835.0,22835.0,,,0
CDM,21000660,HCHG TRANSLUMINAL BALLOON ANGIOP ADDL ART,13230.0,13230.0,,,0
CDM,21000661,HCHG TRANSLUMINAL BALLOON ANGIOP 1ST VEIN,22513.0,22513.0,,,0
CDM,21000662,HCHG TRANSLUMINAL BALLOON ANGIOP ADDL VEIN,12910.0,12910.0,,,0
CDM,21000663,HCHG STENT PLMT CTR DIALYSIS SEG,12246.0,12246.0,,,0
CDM,21000664,HCHG DIALYSIS CIRCUIT EMBOLJ,10545.0,10545.0,,,0
CDM,21000666,HCHG NEPHROSTOMY TUBE REMOVAL WITH FLUORO LT,5609.0,5609.0,,,0
CDM,21000667,HCHG NEPHROSTOMY TUBE REMOVAL WITH FLUORO RT,5609.0,5609.0,,,0
CDM,21000668,HCHG NEPHROSTOMY TUBE REMOVAL WITH FLUORO BI,8414.0,8414.0,,,0
CDM,21000669,HCHG ENDOVENOUS MCHNCHEM 1ST VEIN,42586.0,42586.0,,,0
CDM,21000670,HCHG ENDOVENOUS MCHNCHEM ADD-ON,1252.0,1252.0,,,0
CDM,21000671,HCHG I&D HEMATOMA OR ABSCESS LEG OR ANKLE,6986.0,6986.0,,,0
CDM,21000672,HCHG I&D HEMATOMA OR ABSCESS FOREARM AND/OR WRIST,3847.0,3847.0,,,0
CDM,21000681,HCHG D&C DIAGNOSTIC OR THERAP NOT OB,11503.0,11503.0,,,0
CDM,21000682,HCHG TX OF MISSED ABORTION 1ST TRIMESTER,12528.0,12528.0,,,0
CDM,21000687,HCHG SURG TX INCOMPL ABORTION,8793.0,8793.0,,,0
CDM,21000700,HCHG TMVI W/PROSTH VALVE PERC APPRCH INCL TRANS PUNC,59740.0,59740.0,,,0
CDM,21000701,HCHG ABLATE PULM TUMOR PERQ CRYBL W/ IMAG GUID,14712.0,14712.0,,,0
CDM,21000702,HCHG EVASC RPR A-AO NDGFT,15690.0,15690.0,,,0
CDM,21000703,HCHG EVASC RPR A-AO NDGFT RPT,25495.0,25495.0,,,0
CDM,21000704,HCHG EVASC RPR A-UNILAC NDGFT,17857.0,17857.0,,,0
CDM,21000705,HCHG EVASC RPR A-UNILAC NDGFT RPT,34963.0,34963.0,,,0
CDM,21000706,HCHG EVAC RPR A-BIILIAC NDGFT,17642.0,17642.0,,,0
CDM,21000707,HCHG EVASC RPR A-BIILIAC RPT,33117.0,33117.0,,,0
CDM,21000708,HCHG EVASC RPR ILIO-ILIAC NDGFT,13736.0,13736.0,,,0
CDM,21000709,HCHG EVASC RPR ILIO-ILIAC RPT,28410.0,28410.0,,,0
CDM,21000710,HCHG PLMT XTN PROSTH EVASC RPR,9984.0,9984.0,,,0
CDM,21000711,HCHG DLYD PLMT XTN PROSTH 1ST VSL,31594.0,31594.0,,,0
CDM,21000712,HCHG DLYD PLMT XTN PROSTH EA ADDL,36937.0,36937.0,,,0
CDM,21000716,HCHG PERQ ACCESS & CLSR FEM ART,3648.0,3648.0,,,0
CDM,21000719,HCHG ECMO/ECLS RMVL PERIPH CANNULA PERC <=5 YRS,3072.0,3072.0,,,0
CDM,21000720,HCHG ECMO/ECLS RMVL PERIPH CANNULA PERC >=6 YRS,3704.0,3704.0,,,0
CDM,21000721,HCHG ECMO/ECLS INS PERIPH CANNULA OPEN <=5 YRS,30951.0,30951.0,,,0
CDM,21000722,HCHG ECMO/ECLS INS PERIPH CANNULA OPEN >=6 YRS,31060.0,31060.0,,,0
CDM,21000723,HCHG ECMO/ECLS INS CENTRAL CANNULA <=5 YRS,54231.0,54231.0,,,0
CDM,21000724,HCHG ECMO/ECLS INS CENTRAL CANNULA >=6 YRS,57225.0,57225.0,,,0
CDM,21000725,HCHG ECMO/ECLS REPOS PERIPH CANNULA PERC <=5 YRS,12053.0,12053.0,,,0
CDM,21000726,HCHG ECMO/ECLS REPOS PERIPH CANNULA PERC >=6 YRS,11252.0,11252.0,,,0
CDM,21000727,HCHG ECMO/ECLS REPOS PERIPH CANNULA OPEN <=5 YRS,15297.0,15297.0,,,0
CDM,21000728,HCHG ECMO/ECLS REPOS PERIPH CANNULA OPEN >=6 YRS,15340.0,15340.0,,,0
CDM,21000729,HCHG ECMO/ECLS REPOS CENTRAL CANNULA <=5 YRS,30573.0,30573.0,,,0
CDM,21000730,HCHG ECMO/ECLS REPOS CENTRAL CANNULA >=6 YRS,32271.0,32271.0,,,0
CDM,21000731,HCHG ECMO/ECLS RMVL PERIPH CANNULA OPEN <=5 YRS,4548.0,4548.0,,,0
CDM,21000732,HCHG ECMO/ECLS RMVL PERIPH CANNULA OPEN >=6 YRS,4452.0,4452.0,,,0
CDM,21000733,HCHG ECMO/ECLS RMVL CENTRAL CANNULA <=5 YRS,8566.0,8566.0,,,0
CDM,21000734,HCHG ECMO ECLS RMVL CENTRAL CANNULA >=6 YRS,8154.0,8154.0,,,0
CDM,21000737,HCHG PLEURAL CATHETER EXCHANGE,2574.0,2574.0,,,0
CDM,21000741,HCHG ENDOVENOUS THERAPY CHEMICAL ADHESIVE 1ST VEIN,15942.0,15942.0,,,0
CDM,21000742,HCHG ENDOVENOUS THERAPY CHEMICAL ADHESIVE SUBSQ,1511.0,1511.0,,,0
CDM,21000747,HCHG FNA BX WITH IMAGE GUIDANCE US 1ST LESION,2976.0,2976.0,,,0
CDM,21000748,HCHG FNA BX WITH IMAGE GUIDANCE US EA ADD LESION,1798.0,1798.0,,,0
CDM,21000749,HCHG FNA BX WITH IMAGE GUIDANCE FLUORO 1ST LESION,3579.0,3579.0,,,0
CDM,21000750,HCHG FNA BX WITH IMAGE GUIDANCE FLUORO EA ADD LESION,2422.0,2422.0,,,0
CDM,21000751,HCHG FNA BX WITH IMAGE GUIDANCE CT 1ST LESION,3623.0,3623.0,,,0
CDM,21000752,HCHG FNA BX WITH IMAGE GUIDANCE CT EA ADD LESION,2330.0,2330.0,,,0
CDM,21000753,HCHG INSERT PICC <5 YR WO PORT WO IMAGE GUIDANCE,1663.0,1663.0,,,0
CDM,21000754,HCHG INSERT PICC >=5 YR WO PORT WO IMAGE GUIDANCE,4451.0,4451.0,,,0
CDM,21000755,HCHG INSERT PICC <5 YR WO PORT W IMAGE GUIDANCE,3223.0,3223.0,,,0
CDM,21000756,HCHG INSERT PICC >=5 YR WO PORT W IMAGE GUIDANCE,4995.0,4995.0,,,0
CDM,21000759,HCHG PUNCH BX SKIN SINGLE LESION,1121.0,1121.0,,,0
CDM,21000760,HCHG PUNCH BX SKIN EA SEPARATE/ADDL LES,804.0,804.0,,,0
CDM,21000763,HCHG INJECT CONTRAST ARTHROGRAM/CT/MRI KNEE,859.0,859.0,,,0
CDM,21000764,HCHG INSERT/REPLACE PERM LEADLESS C PM RIGHT VENTR,64312.0,64312.0,,,0
CDM,21000765,HCHG RMVL PERM LEDLS PM R VENTRICLE W/IMG,12201.0,12201.0,,,0
CDM,21000766,HCHG INSERT/PROGRAM SUBQ CARDIAC RHYTHM MNTR,23980.0,23980.0,,,0
CDM,21000767,HCHG REMOVE SUBQ CARDIAC RHYTHM MNTR,5952.0,5952.0,,,0
CDM,21000768,HCHG CHANGE G TUBE PERC W/O ENDO/IMAGE W/O REVISION,1812.0,1812.0,,,0
CDM,21000769,HCHG CHANGE G TUBE PERC W/O ENDO/IMAGE W/REVISION,1784.0,1784.0,,,0
CDM,21000775,HCHG PERITONEAL INSTILL TPA EXISTING CATH,700.0,700.0,,,0
CDM,21000787,HCHG OPN AX/SUBCLA ART EXPOS,7818.0,7818.0,,,0
CDM,21000789,HCHG PERICARDIOCENTESIS W/IMAGING,7102.0,7102.0,,,0
CDM,21000790,HCHG PRCRD DRG 6YR+ W/O CGEN CAR,4516.0,4516.0,,,0
CDM,21000791,HCHG PRCRD DRG 0-5YR OR W/ANOMLY,5573.0,5573.0,,,0
CDM,21000792,HCHG PERQ PRCRD DRG INSJ CATH CT,7927.0,7927.0,,,0
CDM,21000794,HCHG INJ AA/STRD NRV INTCOSTL BIL,5841.0,5841.0,,,0
CDM,21000807,HCHG DX LMBR SPI PNXR W/FLUOR/CT,3202.0,3202.0,,,0
CDM,21000808,HCHG THER SPI PNXR CSF FLUOR/CT,4391.0,4391.0,,,0
CDM,21000809,HCHG FAT POD BIOPSY,2970.0,2970.0,,,0
CDM,21000810,HCHG OPN AX/SUBCLA ART EXPOS CNDT,10744.0,10744.0,,,0
CDM,21000811,HCHG PUNCT ASP HYDROCELE TUNICA VAGINALIS,6302.0,6302.0,,,0
CDM,21000814,HCHG ABLT IRE 1+ O/T LV/PRST8 PRQ,18597.0,18597.0,,,0
CDM,21000816,HCHG REVASC INTRAVCASC LITHOTRIPSY,27307.0,27307.0,,,0
CDM,21000817,HCHG REVASC INTRA LITHOTRIP STENT,44006.0,44006.0,,,0
CDM,21000818,HCHG REVASC INTRA LITHOTRIP ATHERECTOMY,37710.0,37710.0,,,0
CDM,21000822,HCHG CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG LT,5511.0,5511.0,,,0
CDM,21000823,HCHG CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG RT,5511.0,5511.0,,,0
CDM,21000824,HCHG REVASC LITHOTRIP TIBI/PERONE,31943.0,31943.0,,,0
CDM,21000838,HCHG PERQ TRLUML ANGP NT/RECR COA,20853.0,20853.0,,,0
CDM,21000853,HCHG INJECTION ARTHROGRAM ELBOW BI,5078.0,5078.0,,,0
CDM,21000854,HCHG INJECTION ARTHROGRAM WRIST BI,1221.0,1221.0,,,0
CDM,21000855,HCHG INJECTION ARTHROGRAM ANKLE BI,5902.0,5902.0,,,0
CDM,21000856,HCHG BIOPSY RENAL BI,6534.0,6534.0,,,0
CDM,21000857,HCHG INJECTION FOR DUCTOGRAM OR GALACTOGRAM BI,1827.0,1827.0,,,0
CDM,21000858,HCHG BIOPSY LYMPH NODE SUPERFICIAL BI,6654.0,6654.0,,,0
CDM,21000860,HCHG TRACHEOSTOMY PLANNED SEPARATE PROCEDURE,9513.0,9513.0,,,0
CDM,21000899,HCHG REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL,38890.0,38890.0,,,0
CDM,21000900,HCHG REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL,54446.0,54446.0,,,0
CDM,21000901,HCHG REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,56644.0,56644.0,,,0
CDM,21000902,HCHG REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,79302.0,79302.0,,,0
CDM,21000903,HCHG REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,18638.0,18638.0,,,0
CDM,21000904,HCHG REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,26093.0,26093.0,,,0
CDM,21000905,HCHG REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,20947.0,20947.0,,,0
CDM,21000906,HCHG REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADD VSL,29326.0,29326.0,,,0
CDM,21000907,HCHG REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,26364.0,26364.0,,,0
CDM,21000908,HCHG REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,36909.0,36909.0,,,0
CDM,21000909,HCHG REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL,38359.0,38359.0,,,0
CDM,21000910,HCHG REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL,53703.0,53703.0,,,0
CDM,21000911,HCHG REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL,39799.0,39799.0,,,0
CDM,21000912,HCHG REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL,55719.0,55719.0,,,0
CDM,21000913,HCHG REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL,53409.0,53409.0,,,0
CDM,21000914,HCHG REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL,74772.0,74772.0,,,0
CDM,21000915,HCHG REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL,27954.0,27954.0,,,0
CDM,21000916,HCHG REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL,39136.0,39136.0,,,0
CDM,21000917,HCHG REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL,47353.0,47353.0,,,0
CDM,21000918,HCHG REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL,66295.0,66295.0,,,0
CDM,21000919,HCHG REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL,43291.0,43291.0,,,0
CDM,21000920,HCHG REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL,60607.0,60607.0,,,0
CDM,21000921,HCHG REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL,58196.0,58196.0,,,0
CDM,21000922,HCHG REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL,81474.0,81474.0,,,0
CDM,21000923,HCHG REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL,16066.0,16066.0,,,0
CDM,21000924,HCHG REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADD VSL,22492.0,22492.0,,,0
CDM,21000925,HCHG REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL,23075.0,23075.0,,,0
CDM,21000926,HCHG REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL,32306.0,32306.0,,,0
CDM,21000927,HCHG REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL,30251.0,30251.0,,,0
CDM,21000928,HCHG REVSC EVSC TPVT ST PLMT UNI CPLX LES EA ADD VSL,42352.0,42352.0,,,0
CDM,21000934,HCHG REVSC EVSC FPVT ST PLMT UNI CPLX LES EA ADD VSL,31147.0,31147.0,,,0
CDM,21000944,HCHG DCMPRN FASCT LEG ANT&/LAT&PST CMPRT,17175.0,17175.0,,,0
CDM,30000000,HCHG XR DEXA BODY COMPOSITION,443.0,443.0,,,0
CDM,30000002,HCHG XR EYE FOR FB,609.0,609.0,,,0
CDM,30000003,HCHG XR MANDIBLE LESS 4 VIEW,585.0,585.0,,,0
CDM,30000004,HCHG XR MANDIBLE 4 VIEW OR MORE,938.0,938.0,,,0
CDM,30000005,HCHG XR MASTOIDS LESS 3 VIEW,828.0,828.0,,,0
CDM,30000006,HCHG XR MASTOIDS 3 VIEW OR MORE,1021.0,1021.0,,,0
CDM,30000007,HCHG XR FACIAL BONE LESS 3 VIEW,764.0,764.0,,,0
CDM,30000008,HCHG XR FACIAL BONE 3 VIEW OR MORE,915.0,915.0,,,0
CDM,30000009,HCHG XR NASAL BONES 3 VIEW OR MORE,869.0,869.0,,,0
CDM,30000010,HCHG XR OPTIC FORAMINA,437.0,437.0,,,0
CDM,30000011,HCHG XR ORBITS 4 VIEW OR MORE,757.0,757.0,,,0
CDM,30000012,HCHG XR SINUS PARA LESS 3 VIEW,607.0,607.0,,,0
CDM,30000013,HCHG XR SINUS PARA 3 VIEW OR MORE,740.0,740.0,,,0
CDM,30000014,HCHG XR SELLA TURCICA,815.0,815.0,,,0
CDM,30000015,HCHG XR SKULL LESS 4 VIEW,967.0,967.0,,,0
CDM,30000016,HCHG XR SKULL 4 VIEW OR MORE,1071.0,1071.0,,,0
CDM,30000017,HCHG XR DENTAL FULL EX,1456.0,1456.0,,,0
CDM,30000019,HCHG XR TMJ BILAT,704.0,704.0,,,0
CDM,30000020,HCHG XR ARTHRO TMJ,1793.0,1793.0,,,0
CDM,30000022,HCHG XR ORTHOPANTOG,459.0,459.0,,,0
CDM,30000023,HCHG XR NECK SOFT TISSUE,744.0,744.0,,,0
CDM,30000025,HCHG PHARYNGEAL SPEECH EVAL W CINE/VIDEO,1932.0,1932.0,,,0
CDM,30000027,HCHG XR SALIVARY GLAND CALC,936.0,936.0,,,0
CDM,30000028,HCHG XR SIALOG,2952.0,2952.0,,,0
CDM,30000041,HCHG XR RIBS BILAT 3 VIEW,1049.0,1049.0,,,0
CDM,30000042,HCHG XR RIBS BILAT W PA CXR,1276.0,1276.0,,,0
CDM,30000043,HCHG XR STERNUM 2 VIEW OR MORE,728.0,728.0,,,0
CDM,30000044,HCHG XR STERNOCLAVIC 3 VIEW MORE,589.0,589.0,,,0
CDM,30000047,HCHG IJ SI JNT ANES/ST W/GD BILAT,7692.0,7692.0,,,0
CDM,30000049,HCHG XR SPINE CERVICAL 2-3 VIEWS,864.0,864.0,,,0
CDM,30000050,HCHG XR SPINE CERVICAL 4 OR 5 VIEWS,1175.0,1175.0,,,0
CDM,30000051,HCHG XR SPINE CERVICAL 6 OR MORE VIEWS,1308.0,1308.0,,,0
CDM,30000053,HCHG XR SPINE THOR 2 VIEW,932.0,932.0,,,0
CDM,30000054,HCHG XR SPINE THOR 3 VIEW,980.0,980.0,,,0
CDM,30000055,HCHG XR SPINE THOR 4 VIEW OR MORE,912.0,912.0,,,0
CDM,30000056,HCHG XR SPINE THORACOLUMBAR JNCTN 2 VIEW,805.0,805.0,,,0
CDM,30000058,HCHG XR SPINE LUMB 2 OR 3 VIEW,966.0,966.0,,,0
CDM,30000059,HCHG XR SPINE LUMB 4 VIEW OR MORE,1151.0,1151.0,,,0
CDM,30000060,HCHG XR SPINE L/S COMPLETE W BENDING VWS MIN 6 VWS,1169.0,1169.0,,,0
CDM,30000061,HCHG XR SPINE LUMB 4 BENDING VIEW,836.0,836.0,,,0
CDM,30000062,HCHG XR PELVIC 1 OR 2 VIEW,770.0,770.0,,,0
CDM,30000063,HCHG XR PELVIC 3 VIEW OR MORE,890.0,890.0,,,0
CDM,30000064,HCHG XR SI JOINT 1 OR 2 VIEW,571.0,571.0,,,0
CDM,30000065,HCHG XR SI JOINT 3 VIEW OR MORE,816.0,816.0,,,0
CDM,30000066,HCHG XR SACRUM COCCYX,928.0,928.0,,,0
CDM,30000068,HCHG XR MYELOGRAM THOR,3075.0,3075.0,,,0
CDM,30000071,HCHG PERQ DEVICE BREAST 1ST MAMMO GUIDE,3001.0,3001.0,,,0
CDM,30000073,HCHG PERQ DEVICE BREAST ADD MAMMO GUIDE,1378.0,1378.0,,,0
CDM,30000075,HCHG XR CLAVICLE BILATERAL,1154.0,1154.0,,,0
CDM,30000076,HCHG XR CLAVICLE LT,769.0,769.0,,,0
CDM,30000077,HCHG XR CLAVICLE RT,769.0,769.0,,,0
CDM,30000078,HCHG XR SCAPULA BIL,1260.0,1260.0,,,0
CDM,30000079,HCHG XR SCAPULA LT,840.0,840.0,,,0
CDM,30000080,HCHG XR SCAPULA RT,840.0,840.0,,,0
CDM,30000081,HCHG XR SHOULDER 1 VIEW BIL,1040.0,1040.0,,,0
CDM,30000082,HCHG XR SHOULDER 1 VIEW LT,693.0,693.0,,,0
CDM,30000083,HCHG XR SHOULDER 1 VIEW RT,693.0,693.0,,,0
CDM,30000084,HCHG XR SHOULDER 2 VIEW OR MORE BIL,1335.0,1335.0,,,0
CDM,30000085,HCHG XR SHOULDER 2 VIEW OR MORE LT,890.0,890.0,,,0
CDM,30000086,HCHG XR SHOULDER 2 VIEW OR MORE RT,890.0,890.0,,,0
CDM,30000087,HCHG XR ARTHRO SHOULDER BIL,2757.0,2757.0,,,0
CDM,30000088,HCHG XR ARTHRO SHOULDER LT,1838.0,1838.0,,,0
CDM,30000089,HCHG XR ARTHRO SHOULDER RT,1838.0,1838.0,,,0
CDM,30000090,HCHG XR AC JOINT,733.0,733.0,,,0
CDM,30000092,HCHG XR HUMERUS LT,919.0,919.0,,,0
CDM,30000093,HCHG XR HUMERUS RT,919.0,919.0,,,0
CDM,30000094,HCHG XR ELBOW 2 VIEW BIL,1128.0,1128.0,,,0
CDM,30000095,HCHG XR ELBOW 2 VIEW LT,752.0,752.0,,,0
CDM,30000096,HCHG XR ELBOW 2 VIEW RT,752.0,752.0,,,0
CDM,30000097,HCHG XR ELBOW 3 VIEW OR MORE BIL,1265.0,1265.0,,,0
CDM,30000098,HCHG XR ELBOW 3 VIEW OR MORE LT,844.0,844.0,,,0
CDM,30000099,HCHG XR ELBOW 3 VIEW OR MORE RT,844.0,844.0,,,0
CDM,30000100,HCHG XR ARTHRO ELBOW BIL,7584.0,7584.0,,,0
CDM,30000101,HCHG XR ARTHRO ELBOW LT,5056.0,5056.0,,,0
CDM,30000102,HCHG XR ARTHRO ELBOW RT,5056.0,5056.0,,,0
CDM,30000103,HCHG XR FOREARM BIL,1368.0,1368.0,,,0
CDM,30000104,HCHG XR FOREARM LT,912.0,912.0,,,0
CDM,30000105,HCHG XR FOREARM RT,912.0,912.0,,,0
CDM,30000106,HCHG XR ARM INFANT (< 1 YEAR) BIL,974.0,974.0,,,0
CDM,30000107,HCHG XR ARM INFANT (< 1 YEAR) LT,649.0,649.0,,,0
CDM,30000108,HCHG XR ARM INFANT (< 1 YEAR) RT,649.0,649.0,,,0
CDM,30000109,HCHG XR WRIST 2 VIEW BIL,1012.0,1012.0,,,0
CDM,30000110,HCHG XR WRIST 2 VIEW LT,675.0,675.0,,,0
CDM,30000111,HCHG XR WRIST 2 VIEW RT,675.0,675.0,,,0
CDM,30000112,HCHG XR WRIST 3 VIEW OR MORE BIL,1294.0,1294.0,,,0
CDM,30000113,HCHG XR WRIST 3 VIEW OR MORE LT,862.0,862.0,,,0
CDM,30000114,HCHG XR WRIST 3 VIEW OR MORE RT,862.0,862.0,,,0
CDM,30000115,HCHG XR ARTHRO WRIST BIL,1594.0,1594.0,,,0
CDM,30000116,HCHG XR ARTHRO WRIST LT,1063.0,1063.0,,,0
CDM,30000117,HCHG XR ARTHRO WRIST RT,1063.0,1063.0,,,0
CDM,30000118,HCHG XR HAND 2 VIEW BIL,1202.0,1202.0,,,0
CDM,30000119,HCHG XR HAND 2 VIEW LT,801.0,801.0,,,0
CDM,30000120,HCHG XR HAND 2 VIEW RT,801.0,801.0,,,0
CDM,30000121,HCHG XR HAND 3 VIEW OR MORE BIL,1329.0,1329.0,,,0
CDM,30000122,HCHG XR HAND 3 VIEW OR MORE LT,886.0,886.0,,,0
CDM,30000123,HCHG XR HAND 3 VIEW OR MORE RT,886.0,886.0,,,0
CDM,30000124,HCHG XR FINGER(S) 2 VIEW OR MORE LT,681.0,681.0,,,0
CDM,30000130,HCHG XR ARTHRO HIP LT,2090.0,2090.0,,,0
CDM,30000131,HCHG XR ARTHRO HIP RT,2090.0,2090.0,,,0
CDM,30000132,HCHG XR ARTHRO HIP BIL,3135.0,3135.0,,,0
CDM,30000140,HCHG XR KNEE 1 OR 2 VIEW BIL,1064.0,1064.0,,,0
CDM,30000141,HCHG XR KNEE 1 OR 2 VIEW LT,709.0,709.0,,,0
CDM,30000142,HCHG XR KNEE 1 OR 2 VIEW RT,709.0,709.0,,,0
CDM,30000143,HCHG XR KNEE 3 VIEW BIL,1431.0,1431.0,,,0
CDM,30000144,HCHG XR KNEE 3 VIEW LT,954.0,954.0,,,0
CDM,30000145,HCHG XR KNEE 3 VIEW RT,954.0,954.0,,,0
CDM,30000146,HCHG XR KNEE 4 VIEW OR MORE BIL,1537.0,1537.0,,,0
CDM,30000147,HCHG XR KNEE 4 VIEW OR MORE LT,1025.0,1025.0,,,0
CDM,30000148,HCHG XR KNEE 4 VIEW OR MORE RT,1025.0,1025.0,,,0
CDM,30000149,HCHG XR KNEES BOTH STANDING AP,622.0,622.0,,,0
CDM,30000152,HCHG XR ARTHRO KNEE BIL,2838.0,2838.0,,,0
CDM,30000153,HCHG XR TIBIA FIBULA BIL,1215.0,1215.0,,,0
CDM,30000154,HCHG XR TIBIA FIBULA LT,810.0,810.0,,,0
CDM,30000155,HCHG XR TIBIA FIBULA RT,810.0,810.0,,,0
CDM,30000156,HCHG XR LEG INFANT (< 1 YEAR) BIL,970.0,970.0,,,0
CDM,30000157,HCHG XR LEG INFANT (< 1 YEAR) LT,647.0,647.0,,,0
CDM,30000158,HCHG XR LEG INFANT (< 1 YEAR) RT,647.0,647.0,,,0
CDM,30000159,HCHG XR ANKLE 2 VIEW BIL,1115.0,1115.0,,,0
CDM,30000160,HCHG XR ANKLE 2 VIEW LT,743.0,743.0,,,0
CDM,30000161,HCHG XR ANKLE 2 VIEW RT,743.0,743.0,,,0
CDM,30000162,HCHG XR ANKLE 3 VIEW OR MORE BIL,1300.0,1300.0,,,0
CDM,30000163,HCHG XR ANKLE 3 VIEW OR MORE LT,866.0,866.0,,,0
CDM,30000164,HCHG XR ANKLE 3 VIEW OR MORE RT,866.0,866.0,,,0
CDM,30000165,HCHG XR ARTHRO ANKLE LT,7309.0,7309.0,,,0
CDM,30000166,HCHG XR ARTHRO ANKLE RT,7309.0,7309.0,,,0
CDM,30000167,HCHG XR ARTHRO ANKLE BIL,10964.0,10964.0,,,0
CDM,30000168,HCHG XR FOOT 2 VIEW BIL,1046.0,1046.0,,,0
CDM,30000169,HCHG XR FOOT 2 VIEW LT,698.0,698.0,,,0
CDM,30000170,HCHG XR FOOT 2 VIEW RT,698.0,698.0,,,0
CDM,30000171,HCHG XR FOOT 3 VIEW OR MORE BIL,1377.0,1377.0,,,0
CDM,30000172,HCHG XR FOOT 3 VIEW OR MORE LT,918.0,918.0,,,0
CDM,30000173,HCHG XR FOOT 3 VIEW OR MORE RT,918.0,918.0,,,0
CDM,30000174,HCHG XR CALCANEUS 2 VIEW OR MORE BIL,963.0,963.0,,,0
CDM,30000175,HCHG XR CALCANEUS 2 VIEW OR MORE LT,642.0,642.0,,,0
CDM,30000176,HCHG XR CALCANEUS 2 VIEW OR MORE RT,642.0,642.0,,,0
CDM,30000177,HCHG XR TOE(S) 2 VIEW OR MORE LT,662.0,662.0,,,0
CDM,30000181,HCHG XR CMPL ACUTE ABD 2+ VIEWS W/1 VIEW CHEST,1179.0,1179.0,,,0
CDM,30000183,HCHG XR ESOPHAGUS 1CNTRST STUDY (BARIUM SWALLOW),1422.0,1422.0,,,0
CDM,30000184,HCHG XR SWALLOWING FUNCTION CONTRAST STUDY,1571.0,1571.0,,,0
CDM,30000185,HCHG XR UGI TRC SINGLE CONTRAST STUDY,1658.0,1658.0,,,0
CDM,30000188,HCHG XR UGI TRC DOUBLE CONTRAST STUDY,1643.0,1643.0,,,0
CDM,30000191,HCHG XR SM BOWEL SINGLE CONTRAST STUDY,1744.0,1744.0,,,0
CDM,30000193,HCHG XR COLON SINGLE CONTRAST STUDY,1630.0,1630.0,,,0
CDM,30000194,HCHG XR COLON DOUBLE CONTRAST STUDY,2003.0,2003.0,,,0
CDM,30000195,HCHG XR BE THERP,3711.0,3711.0,,,0
CDM,30000196,HCHG XR CHOLECYSTOG ORAL,2009.0,2009.0,,,0
CDM,30000198,HCHG XR CHOLE OPPR,1976.0,1976.0,,,0
CDM,30000199,HCHG XR CHOLE OPPR EA ADDITIONAL,766.0,766.0,,,0
CDM,30000200,HCHG PERQ DEV BREAST 1ST STRTCTC,2239.0,2239.0,,,0
CDM,30000203,HCHG PERQ DEV BREAST ADD STRTCTC,2759.0,2759.0,,,0
CDM,30000204,HCHG PERQ DEV BREAST 1ST US IMAG,3196.0,3196.0,,,0
CDM,30000205,HCHG PERQ DEV BREAST ADD US IMAG,986.0,986.0,,,0
CDM,30000206,HCHG XR GI TUBE INSERT LONG,1711.0,1711.0,,,0
CDM,30000207,HCHG PERQ DEV BREAST 1ST MR GUIDE,2332.0,2332.0,,,0
CDM,30000208,HCHG XR ENTEROCLYSIS TUBE PERC,3163.0,3163.0,,,0
CDM,30000209,HCHG PERQ DEV BREAST ADD MR GUIDE,437.0,437.0,,,0
CDM,30000210,HCHG XR IVP W WO TOMOG,1236.0,1236.0,,,0
CDM,30000211,HCHG XR IVP DRIP / BOLUS,2636.0,2636.0,,,0
CDM,30000212,HCHG XR IVP W NEPHROTOMOG,3033.0,3033.0,,,0
CDM,30000213,HCHG XR UROG RETROGRADE W WO KUB,2719.0,2719.0,,,0
CDM,30000214,HCHG XR UROG ANTEGRADE,2106.0,2106.0,,,0
CDM,30000215,HCHG XR CYSTOG 3 VIEW OR MORE,1268.0,1268.0,,,0
CDM,30000216,HCHG XR VASOGRAM VESICULOGRAM,2266.0,2266.0,,,0
CDM,30000217,HCHG XR URETHROCYSTOG RETROGRADE,1911.0,1911.0,,,0
CDM,30000218,HCHG XR URETHROCYSTOGRAM VOIDING,1633.0,1633.0,,,0
CDM,30000219,HCHG XR RENAL CYST STUDY,1319.0,1319.0,,,0
CDM,30000222,HCHG XR HYSTEROSALPINGOGRAM,1432.0,1432.0,,,0
CDM,30000223,HCHG XR TRANSCERVICAL CATH OF FALLOPIAN TUBE,1953.0,1953.0,,,0
CDM,30000237,HCHG DXA BONE DENSITY STUDY,794.0,794.0,,,0
CDM,30000238,HCHG FRACTURE ASSESSMENT VIA DXA,389.0,389.0,,,0
CDM,30000239,HCHG BREAST TOMOSYNTHESIS DX UNI,188.0,188.0,,,0
CDM,30000242,HCHG XR FB LOCALIZATION CH,503.0,503.0,,,0
CDM,30000243,HCHG XR ABSCESS FISTULA SINUS TRACT,1934.0,1934.0,,,0
CDM,30000244,HCHG XR SPECIMEN SURGICAL,1281.0,1281.0,,,0
CDM,30000245,HCHG XR TOMOGRAM,2355.0,2355.0,,,0
CDM,30000255,HCHG XR MAMMARY GALACTOGRAM OR DUCTOGRAM 1 DUCT,998.0,998.0,,,0
CDM,30000256,HCHG XR GALACTOG MULT DUCTS,2822.0,2822.0,,,0
CDM,30000260,HCHG XR MAN APP STRS ANY JNT,735.0,735.0,,,0
CDM,30000261,HCHG XR BONE AGE STUDY,458.0,458.0,,,0
CDM,30000262,HCHG XR BONE LENGTH STUDY,842.0,842.0,,,0
CDM,30000263,HCHG XR BONE SURVEY LTD,869.0,869.0,,,0
CDM,30000264,HCHG XR BONE SURVEY COMPLETE,1521.0,1521.0,,,0
CDM,30000265,HCHG XR BONE SURVEY INFANT,1786.0,1786.0,,,0
CDM,30000266,HCHG XR JOINT SURVEY 1 VIEW,618.0,618.0,,,0
CDM,30000267,"HCHG XR DEXA HIP, SPINE, AND/OR PELVIS",913.0,913.0,,,0
CDM,30000275,HCHG XR EXAM OF MIDDLE EAR,1048.0,1048.0,,,0
CDM,30000286,HCHG XR PELVIMETRY,837.0,837.0,,,0
CDM,30000287,HCHG XR PERINEOGRAM,463.0,463.0,,,0
CDM,30000288,HCHG XR LYMPHANGIOGRAM EXT UNILATERAL LT,9693.0,9693.0,,,0
CDM,30000291,HCHG XR LYMPHANGIO PELV BIL,9447.0,9447.0,,,0
CDM,30000293,HCHG XR TOMOGRAM CMPLX LT,2659.0,2659.0,,,0
CDM,30000294,HCHG XR TOMOGRAM CMPLX RT,2659.0,2659.0,,,0
CDM,30000297,HCHG XR DEXA APPEN,474.0,474.0,,,0
CDM,30000299,HCHG BREAST TOMOSYNTHESIS DX BI,282.0,282.0,,,0
CDM,30000301,HCHG XR FOOT 1 VW BIL ARTHRITIS,1046.0,1046.0,,,0
CDM,30000305,HCHG REPLACE G-J TUBE PERC,3495.0,3495.0,,,0
CDM,30000306,HCHG BREAST TOMOSYNTHESIS SCREEN BI,183.0,183.0,,,0
CDM,30000317,HCHG XR HIP BIL W/WO PELVIS 2 VIEWS,959.0,959.0,,,0
CDM,30000318,HCHG XR EXAM OF FEMUR 1 VIEW LT,714.0,714.0,,,0
CDM,30000324,HCHG XR HIP BIL W/WO PELVIS 3-4 VIEWS,1136.0,1136.0,,,0
CDM,30000325,HCHG XR HIP BIL W/WO PELVIS MIN 5 VIEWS,1337.0,1337.0,,,0
CDM,30000326,HCHG XR EXAM FEMUR MIN 2 VIEWS LT,797.0,797.0,,,0
CDM,30000341,HCHG XR EXAM OF FEMUR 1 VIEW RT,714.0,714.0,,,0
CDM,30000342,HCHG XR EXAM FEMUR MIN 2 VIEWS RT,797.0,797.0,,,0
CDM,30000349,HCHG X-RAY EXAM OF FEMUR 1 VIEW BIL,1071.0,1071.0,,,0
CDM,30000350,HCHG XR EXAM FEMUR MIN 2 VIEWS BIL,1195.0,1195.0,,,0
CDM,30000351,HCHG BX BREAST 1ST LESION US IMAG LT,5467.0,5467.0,,,0
CDM,30000352,HCHG BX BREAST 1ST LESION US IMAG RT,5467.0,5467.0,,,0
CDM,30000353,HCHG BX BREAST ADD LESION US IMAG LT,3118.0,3118.0,,,0
CDM,30000354,HCHG BX BREAST ADD LESION US IMAG RT,3118.0,3118.0,,,0
CDM,30000355,HCHG BX BREAST 1ST LESION STRTCTC LT,6214.0,6214.0,,,0
CDM,30000356,HCHG BX BREAST 1ST LESION STRTCTC RT,6214.0,6214.0,,,0
CDM,30000363,HCHG PERQ DEVICE BREAST 1ST IMAG BI,4502.0,4502.0,,,0
CDM,30000364,HCHG PERQ DEVICE BREAST 1ST IMAG LT,3001.0,3001.0,,,0
CDM,30000365,HCHG PERQ DEVICE BREAST 1ST IMAG RT,3001.0,3001.0,,,0
CDM,30000366,HCHG BREAST TOMOSYNTHESIS SCREEN UNILATERAL,183.0,183.0,,,0
CDM,30000367,HCHG XR SPINE SCOLIOSIS 1 VIEW,575.0,575.0,,,0
CDM,30000368,HCHG XR SPINE SCOLIOSIS 2-3 VIEWS,820.0,820.0,,,0
CDM,30000369,HCHG XR SPINE SCOLIOSIS 4-5 VIEWS,972.0,972.0,,,0
CDM,30000370,HCHG XR SPINE SCOLIOSIS MIN 6 VIEWS,1244.0,1244.0,,,0
CDM,30000371,HCHG XR HIP UNI W/WO PELVIS 1 VIEW,685.0,685.0,,,0
CDM,30000372,HCHG XR HIP UNI W/WO PELVIS 2-3 VIEWS,768.0,768.0,,,0
CDM,30000373,HCHG XR HIP UNI W/WO PELVIS MIN 4 VIEWS,1048.0,1048.0,,,0
CDM,30000374,HCHG XR MAMMO DX W/WO CAD LT,677.0,677.0,,,0
CDM,30000375,HCHG XR MAMMO DX W/WO CAD BIL,929.0,929.0,,,0
CDM,30000376,HCHG XR MAMMO SCREENING W/WO CAD BIL,602.0,602.0,,,0
CDM,30000377,HCHG XR MAMMO SCREENING W/WO CAD UNI,401.0,401.0,,,0
CDM,30000378,HCHG XR MAMMO DX W/WO CAD RT,677.0,677.0,,,0
CDM,30000383,HCHG XR CHEST FRONTAL 1 VIEW,738.0,738.0,,,0
CDM,30000384,HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW,804.0,804.0,,,0
CDM,30000385,HCHG XR CHEST SPECIAL VIEWS 2 VIEW,804.0,804.0,,,0
CDM,30000386,HCHG XR CHEST FRONTAL AND LATERAL W AP LORDOTIC 3 VW,723.0,723.0,,,0
CDM,30000387,HCHG XR CHEST FRONTAL AND LATERAL W OBLIQUES 3 VIEW,723.0,723.0,,,0
CDM,30000388,HCHG XR CHEST SPECIAL VIEWS 3 VIEW,723.0,723.0,,,0
CDM,30000389,HCHG XR CHEST FRONTAL AND LATERAL W OBLIQUES 4+ VIEW,832.0,832.0,,,0
CDM,30000390,HCHG XR CHEST CMPL 4+ VIEW,832.0,832.0,,,0
CDM,30000391,HCHG XR CHEST SPECIAL VIEWS 4+ VIEW,832.0,832.0,,,0
CDM,30000392,HCHG XR ABD AP 1 VIEW,666.0,666.0,,,0
CDM,30000393,HCHG XR ABD CMPL W DECUB / ERECT 2 VIEW,921.0,921.0,,,0
CDM,30000394,HCHG XR ABD W OBLIQUES AND CONE 3+ VIEW,879.0,879.0,,,0
CDM,30000395,HCHG XR ABD CMPL W DECUB / ERECT 3+ VIEW,879.0,879.0,,,0
CDM,30000396,HCHG CDSM STANSON AUC RAD,0.01,0.01,,,0
CDM,30000397,HCHG XR ESOPHAGUS DOUBLE CONTRAST STUDY,1225.0,1225.0,,,0
CDM,30000398,HCHG XR SMALL INTESTINE FOLLOW-THROUGH STUDY,1149.0,1149.0,,,0
CDM,30000402,HCHG XR TOE(S) 2V OR MORE RT,662.0,662.0,,,0
CDM,30000403,HCHG CDSM EVICORE AUC RAD,0.01,0.01,,,0
CDM,30000404,HCHG CDSM MEDCURRENT AUC RAD,0.01,0.01,,,0
CDM,30000405,HCHG CDSM MEDICALIS AUC RAD,0.01,0.01,,,0
CDM,30000406,HCHG XR FINGER(S) 2 VIEW OR MORE BI,1022.0,1022.0,,,0
CDM,30000407,HCHG XR TOE(S) 2V OR MORE BIL,994.0,994.0,,,0
CDM,30000408,HCHG PRQ SACRAL AUG UNI IJ,13547.0,13547.0,,,0
CDM,30000409,HCHG PRQ SACRAL AUG BIL IJ,16044.0,16044.0,,,0
CDM,30000413,HCHG XR RIBS UNI 2V LT,803.0,803.0,,,0
CDM,30000414,HCHG XR RIBS UNI 2V RT,803.0,803.0,,,0
CDM,30000415,HCHG XR RIBS UNI & PA CHEST LT,1074.0,1074.0,,,0
CDM,30000416,HCHG XR RIBS UNI & PA CHEST RT,1074.0,1074.0,,,0
CDM,30000418,HCHG XR FINGER(S) 2 VIEW OR MORE RT,681.0,681.0,,,0
CDM,30000430,HCHG PET BRAIN METBLC EVAL,8792.0,8792.0,,,0
CDM,30000470,HCHG EXCSN BREAST W LOC,15753.0,15753.0,,,0
CDM,30000488,HCHG INJ PV FACET W IMAGE GUIDANCE L/ST 1 LVL BIL,7508.0,7508.0,,,0
CDM,30000490,HCHG INSERT CATH PLEURA W/ IMAGE,4102.0,4102.0,,,0
CDM,30000491,HCHG CDSM NDSC AUC RAD,0.01,0.01,,,0
CDM,30000494,HCHG CDSM AIM AUC RAD,0.01,0.01,,,0
CDM,30000495,HCHG CDSM CRANBERRY PK AUC RAD,0.01,0.01,,,0
CDM,30000496,HCHG CDSM SAGE HEALTH AUC RAD,0.01,0.01,,,0
CDM,30000497,HCHG CDSM QUALIFIED NOS AUC RAD,0.01,0.01,,,0
CDM,30000498,HCHG CDSM AGILEMD AUC RAD,0.01,0.01,,,0
CDM,30000499,HCHG CDSM EVIDENCECARE AUC RAD,0.01,0.01,,,0
CDM,30000500,HCHG CDSM INVENIQA AUC RAD,0.01,0.01,,,0
CDM,30000501,HCHG CDSM RELIANT AUC RAD,0.01,0.01,,,0
CDM,30000502,HCHG CDSM SPEED OF CARE AUC RAD,0.01,0.01,,,0
CDM,30000503,HCHG CDSM HEALTHHELP AUC RAD,0.01,0.01,,,0
CDM,30000504,HCHG CDSM INFINX AUC RAD,0.01,0.01,,,0
CDM,30000505,HCHG CDSM LOGICNETS AUC RAD,0.01,0.01,,,0
CDM,30000512,HCHG CDSM CURBSIDE AUC RAD,0.01,0.01,,,0
CDM,30000513,HCHG CDSM EHEALTHLINE AUC RAD,0.01,0.01,,,0
CDM,30000514,HCHG CDSM INTERMOUNTAIN AUC RAD,0.01,0.01,,,0
CDM,30000515,HCHG CDSM PERSIVIA AUC RAD,0.01,0.01,,,0
CDM,30000516,HCHG CDSM RADRITE AUC RAD,0.01,0.01,,,0
CDM,30000517,HCHG BX BREAST 1ST LESION STRTCTC,6214.0,6214.0,,,0
CDM,30000518,HCHG BX BREAST ADD LESION STRTCTC,3976.0,3976.0,,,0
CDM,30000519,HCHG BX BREAST 1ST LESION US IMAG,5467.0,5467.0,,,0
CDM,30000520,HCHG BX BREAST ADD LESION US IMAG,3118.0,3118.0,,,0
CDM,30000521,HCHG BX BREAST 1ST LESION MR IMAG,6797.0,6797.0,,,0
CDM,30000522,HCHG BX BREAST ADD LESION MR IMAG,4436.0,4436.0,,,0
CDM,30045000,HCHG XR CISTERNOGRAM,3620.0,3620.0,,,0
CDM,30045002,HCHG XR MYELOGRAM CERV,2690.0,2690.0,,,0
CDM,30045003,HCHG XR MYELOGRAM LUMB,4112.0,4112.0,,,0
CDM,30045005,HCHG EPIDUROGRAM,542.0,542.0,,,0
CDM,30045006,HCHG XR DISCOGRAM CERV AND THOR,2982.0,2982.0,,,0
CDM,30045008,HCHG XR DISCOGRAM LUMB,2378.0,2378.0,,,0
CDM,30045018,HCHG IR ARTHRO KNEE LT,1892.0,1892.0,,,0
CDM,30045019,HCHG IR ARTHRO KNEE RT,1892.0,1892.0,,,0
CDM,30045020,HCHG FB RMV ESOPHAGUS,3663.0,3663.0,,,0
CDM,30045024,HCHG XR ENDO BILI DUCT,2986.0,2986.0,,,0
CDM,30045025,HCHG XR ERCP PANC DUCT,3291.0,3291.0,,,0
CDM,30045026,HCHG XR ERCP BILI PANC DUCT,3008.0,3008.0,,,0
CDM,30045030,HCHG XR INTRALUMINAL DILATION,1027.0,1027.0,,,0
CDM,30045031,HCHG XR BILI DUCT DILATE PERC,3417.0,3417.0,,,0
CDM,30045034,HCHG PLACE CATH INTRACRANIAL ART,12590.0,12590.0,,,0
CDM,30045035,HCHG PLACE CATH XTRNL CAROTID,19378.0,19378.0,,,0
CDM,30045036,HCHG XR CORPORA CAVERNOSOGRAM,1447.0,1447.0,,,0
CDM,30045038,HCHG PLACE CATH VERTEBRAL ART,26571.0,26571.0,,,0
CDM,30045039,HCHG PLACE CATH SUBCLAVIAN ART,17249.0,17249.0,,,0
CDM,30045040,HCHG PLACE CATH CAROTD ART,25251.0,25251.0,,,0
CDM,30045041,HCHG XR DILATION URETHRA OR URETER S&I,4933.0,4933.0,,,0
CDM,30045044,HCHG IR AORTOGRAM THOR WO SERIALOGRAPHY,5504.0,5504.0,,,0
CDM,30045045,HCHG IR AORTOGRAM THOR W SERIALOGRAPHY,10840.0,10840.0,,,0
CDM,30045046,HCHG IR AORTOGRAM ABD W SERIALOGRAPHY,10950.0,10950.0,,,0
CDM,30045047,HCHG IR AORTOGRAM ABD W BILAT LOWER EXTREM,12702.0,12702.0,,,0
CDM,30045057,HCHG IR ANGIO SPINAL SELECT,12782.0,12782.0,,,0
CDM,30045059,HCHG IR ANGIO EXTREM BILAT,11739.0,11739.0,,,0
CDM,30045062,HCHG IR ANGIO VISCERAL,13544.0,13544.0,,,0
CDM,30045064,HCHG IR ANGIO ADRENAL BILAT,7500.0,7500.0,,,0
CDM,30045065,HCHG IR ANGIO PELVIC SELECT,14417.0,14417.0,,,0
CDM,30045067,HCHG IR ANGIO PULM BILAT SELECT,8381.0,8381.0,,,0
CDM,30045068,HCHG IR ANGIO PULM NON SELECT,4675.0,4675.0,,,0
CDM,30045069,HCHG IR ANGIO INT MAMMARY,9292.0,9292.0,,,0
CDM,30045070,HCHG IR ANGIO EA ADDL VESSEL AFTER BASIC EXAM,6201.0,6201.0,,,0
CDM,30045072,HCHG XR SPLENOPORTOGRAM,15572.0,15572.0,,,0
CDM,30045074,HCHG XR VENOGRAM EXTREM BILAT,4966.0,4966.0,,,0
CDM,30045075,HCHG XR VENOGRAM IVC,9070.0,9070.0,,,0
CDM,30045076,HCHG XR VENOGRAM SVC,5360.0,5360.0,,,0
CDM,30045078,HCHG XR VENOGRAM RENAL BILAT,6237.0,6237.0,,,0
CDM,30045080,HCHG XR VENOGRAM ADRENAL BILAT,5056.0,5056.0,,,0
CDM,30045081,HCHG XR VENOGRAM SINUS JUGULAR,6866.0,6866.0,,,0
CDM,30045082,HCHG XR VENOGRAM SAG SINUS,2817.0,2817.0,,,0
CDM,30045083,HCHG XR VENOGRAM EPIDURAL,6073.0,6073.0,,,0
CDM,30045084,HCHG XR VENOGRAM ORBITAL,2605.0,2605.0,,,0
CDM,30045085,HCHG XR PORTOGRAM W HEMO EVAL,5953.0,5953.0,,,0
CDM,30045086,HCHG XR PORTOGRAM WO HEMO EVAL,4986.0,4986.0,,,0
CDM,30045087,HCHG XR VENOGRAM HEP W HEMO EVAL,10261.0,10261.0,,,0
CDM,30045088,HCHG XR VENOGRAM HEP WO HEMO EVAL,14768.0,14768.0,,,0
CDM,30045089,HCHG VENOUS SAMPLING,9044.0,9044.0,,,0
CDM,30045090,HCHG XR EMBOL TRANSCATH,15840.0,15840.0,,,0
CDM,30045092,HCHG ANGIOGRAPHY CATH F/U TRANSCATH TX NO THROMBYLSIS,6169.0,6169.0,,,0
CDM,30045100,HCHG IR THORACIC AA ENDOVASCULAR PROSTHESIS PLACEMENT WITH SUBCLAVIAN,2022.0,2022.0,,,0
CDM,30045101,HCHG IR THORACIC AA ENDOVASCULAR PROSTHESIS REPAIR WITHOUT SUBCLAVIAN,1805.0,1805.0,,,0
CDM,30045102,HCHG IR THORACIC AA DESCENDING ENDOVASCULAR PROSTHESIS PLACEMENT,2503.0,2503.0,,,0
CDM,30045103,HCHG IR THORACIC AA DESCENDING ENDOVASCULAR PLACEMENT PROSTHESIS FOR ENDOLEAK,1047.0,1047.0,,,0
CDM,30045110,HCHG BX TRANSCATHETER,6257.0,6257.0,,,0
CDM,30045114,HCHG XR CHANGE PERC TUBE/DRAINAGE CATH W CONTR MON,2997.0,2997.0,,,0
CDM,30045115,HCHG XR DRAINAGE W CATH PLACEMENT PERC,3144.0,3144.0,,,0
CDM,30045121,HCHG FLUORO 1 HR OR LESS,1733.0,1733.0,,,0
CDM,30045123,HCHG CATH CAROTID/INOM ART XCA,26947.0,26947.0,,,0
CDM,30045124,HCHG CATH CAROTID/INOM ART CA,19608.0,19608.0,,,0
CDM,30045125,HCHG XR 3D RENDERING INTERP&POSTPROC DIF WORK STATION,2034.0,2034.0,,,0
CDM,30045126,HCHG PLACE CATH THORACIC AORTA,15070.0,15070.0,,,0
CDM,30045127,HCHG REMOVE INTRVAS FOREIGN BODY,14944.0,14944.0,,,0
CDM,30045128,HCHG FLUORO CVC PLACE REPLACE REMOVE,2084.0,2084.0,,,0
CDM,30045129,HCHG XR FLUORO NDL PLACE,1640.0,1640.0,,,0
CDM,30045130,HCHG FLUORO GUIDE/LOC NDL/CATH TIP SPINE/THERPTC INJ,1476.0,1476.0,,,0
CDM,30045135,HCHG XR PERITONEOGRAM,1026.0,1026.0,,,0
CDM,30045137,HCHG XR LYMPHANGIOGRAM EXT UNILATERAL RT,9693.0,9693.0,,,0
CDM,30045139,HCHG XR LYMPHANGIOGRAM ABD UNILATERAL LT,4723.0,4723.0,,,0
CDM,30045140,HCHG XR LYMPHANGIOGRAM ABD UNILATERAL RT,4723.0,4723.0,,,0
CDM,30045142,HCHG XR SHUNTOGRAM NONVASC,927.0,927.0,,,0
CDM,30045143,HCHG XR CINE/VIDEO COMPLEMENT,915.0,915.0,,,0
CDM,30045146,HCHG TUBE THORACOSTOMY,3854.0,3854.0,,,0
CDM,30045148,HCHG UGI ENDO W GASTROSTOMY TUBE PLACEMENT,7757.0,7757.0,,,0
CDM,30045151,HCHG THORACENTESIS WO IMAGING,3229.0,3229.0,,,0
CDM,30045152,HCHG CESSJ THERAPY CATH REMOVAL,11652.0,11652.0,,,0
CDM,30045153,HCHG CHEMO CNS W/SPINAL PUNCTURE,2007.0,2007.0,,,0
CDM,30045154,HCHG PLACE G TUBE PERC,4876.0,4876.0,,,0
CDM,30045155,HCHG CHANGE G-TUBE TO G-J PRC,6090.0,6090.0,,,0
CDM,30045156,HCHG REMOVE LUNG CATHETER,4086.0,4086.0,,,0
CDM,30045157,HCHG INSTILLATION ID RT THOR PERC,5138.0,5138.0,,,0
CDM,30045158,HCHG INSTILLATION PLRO AGT INTL DAY,3441.0,3441.0,,,0
CDM,30045159,HCHG INSTILLATION PLRO AGT SUBQ DAY,611.0,611.0,,,0
CDM,30045165,HCHG THROMBLYTIC ART/VEN THERAPY,17273.0,17273.0,,,0
CDM,30045166,HCHG THROMBOLYTIC VENOUS THERAPY,7891.0,7891.0,,,0
CDM,30045167,HCHG THROMBOLYTIC ART THERAPY,16785.0,16785.0,,,0
CDM,30045170,HCHG TIB/PER REVASC W/TLA,27954.0,27954.0,,,0
CDM,30045172,HCHG TIB/PER REVASC W/ATHR,47354.0,47354.0,,,0
CDM,30045173,HCHG TIB/PER REVASC W/STNT,43291.0,43291.0,,,0
CDM,30045174,HCHG TIB/PER REVAS ST/ATHR,58195.0,58195.0,,,0
CDM,30045175,HCHG TIB/PER REVASC ADD-ON,16065.0,16065.0,,,0
CDM,30045176,HCHG TB/PR REVS W/ATHR ADD,23075.0,23075.0,,,0
CDM,30045177,HCHG TB/PR OP/PR REVS STNT,30250.0,30250.0,,,0
CDM,30045179,HCHG FEM/POPL REVAS W/TLA,26364.0,26364.0,,,0
CDM,30045180,HCHG FEM/POPL REVAS W/ATHR,38360.0,38360.0,,,0
CDM,30045181,HCHG FEM/POPL REVAS W/STNT,39799.0,39799.0,,,0
CDM,30045182,HCHG FEM/POP REVSC ST/ATHR,53408.0,53408.0,,,0
CDM,30045185,HCHG ILIAC REVASC ADD-ON,18637.0,18637.0,,,0
CDM,30045186,HCHG ILIAC REVS W/STNT ADD,20948.0,20948.0,,,0
CDM,30045187,HCHG GUIDE CATHET FLUID DRAINAGE,3210.0,3210.0,,,0
CDM,30045188,HCHG TRL PR ATHR BRCHIOCPH,70291.0,70291.0,,,0
CDM,30045190,HCHG TRL PER ATHR RENAL AR,68899.0,68899.0,,,0
CDM,30045192,HCHG TRL PER ATHR VISCERAL,68899.0,68899.0,,,0
CDM,30045193,HCHG ENDOVASC VISC AORTA 2 GRAFT,7149.0,7149.0,,,0
CDM,30045196,HCHG TRL PR ATHR ILIAC ART,40084.0,40084.0,,,0
CDM,30045202,HCHG TRL PR ATHR ABD AORTA,72387.0,72387.0,,,0
CDM,30045204,HCHG OPEN/PERQ PLACE STENT 1ST,34023.0,34023.0,,,0
CDM,30045207,HCHG OPEN/PERQ PLACE STENT EA ADD ART,26810.0,26810.0,,,0
CDM,30045208,HCHG OPEN/PERQ PLACE STENT SAME,34230.0,34230.0,,,0
CDM,30045209,HCHG OPEN/PERQ PLACE STENT EA ADD VEIN,19057.0,19057.0,,,0
CDM,30045212,HCHG VASC EMBOLIZE/OCCLUDE VENOUS,33841.0,33841.0,,,0
CDM,30045213,HCHG VASC EMBOLIZE/OCCLUDE ARTERY,33254.0,33254.0,,,0
CDM,30045214,HCHG VASC EMBOLIZE/OCCLUDE ORGAN,32641.0,32641.0,,,0
CDM,30045215,HCHG INSR TUN IP CATH PERC,11999.0,11999.0,,,0
CDM,30045229,HCHG VASC EMBOLIZE/OCCLUDE BLEED,42090.0,42090.0,,,0
CDM,30045230,HCHG IMAGE CATH FLUID COLXN VISC,5233.0,5233.0,,,0
CDM,30045231,HCHG IMAGE CATH FLUID PERI/RETRO,5613.0,5613.0,,,0
CDM,30045232,HCHG IMAGE CATH FLUID TRNS/VGNL,6385.0,6385.0,,,0
CDM,30045233,HCHG BX BREAST 1ST LESION STRTCTC BI,9321.0,9321.0,,,0
CDM,30045234,HCHG BX BREAST ADD LESION STRTCTC LT,3976.0,3976.0,,,0
CDM,30045235,HCHG BX BREAST 1ST LESION US IMAG BI,8200.0,8200.0,,,0
CDM,30045237,HCHG BX BREAST 1ST LESION MR IMAG LT,6797.0,6797.0,,,0
CDM,30045238,HCHG BX BREAST ADD LESION MR IMAG LT,4436.0,4436.0,,,0
CDM,30045247,HCHG INJ/ASPIRATION SMALL JNT/BURSA W/GUIDANCE &RPT,2272.0,2272.0,,,0
CDM,30045248,HCHG INJ/ASPIRATION INTER JNT/BURSA W/GUIDANCE &RPT,2115.5,2115.5,,,0
CDM,30045249,HCHG INJ/ASPIRATION MAJOR JNT/BURSA W/GUIDANCE &RPT,1832.0,1832.0,,,0
CDM,30045250,HCHG PERC VERTEBROPLASTY INJ CERVIOTHORACIC UNI OR BI,19982.0,19982.0,,,0
CDM,30045251,HCHG PERC VERTEBROPLASTY INJ LUMBOSACRAL UNI OR BI,16036.0,16036.0,,,0
CDM,30045252,HCHG PERC VERTEBROPLASTY INJ CERVO/LUMB EA ADDL,10693.0,10693.0,,,0
CDM,30045253,HCHG PERC VERTEBRAL AUGMENTATION THORACIC UNI OR BI,29093.0,29093.0,,,0
CDM,30045254,HCHG PERC VERTEBRAL AUGMENTATION LUMBAR UNI OR BI,24824.0,24824.0,,,0
CDM,30045255,HCHG PERC VERTEBRAL AUGMENTATION THOR/LUMBAR EA ADDL,15694.0,15694.0,,,0
CDM,30045256,HCHG IRC MYELOGRAPHY LUMBAR IJ,4465.0,4465.0,,,0
CDM,30045257,HCHG IRC MYELOGRAPHY LUMBAR IJ 2 OR MORE REGIONS,4232.0,4232.0,,,0
CDM,30045263,HCHG CATH CAROTID/INOM ART CA BI,29412.0,29412.0,,,0
CDM,30045264,HCHG CATH CAROTID/INOM ART XCA BI,40420.0,40420.0,,,0
CDM,30045265,HCHG PLACE CATH CAROTD ART BI,37876.0,37876.0,,,0
CDM,30045266,HCHG PLACE CATH SUBCLAVIAN ART BI,25874.0,25874.0,,,0
CDM,30045267,HCHG PLACE CATH VERTEBRAL ART BI,39856.0,39856.0,,,0
CDM,30045270,HCHG CYSTO W FB/STNT RMV SMPL,12928.0,12928.0,,,0
CDM,30045272,HCHG IRC MYELOGRAPHY LUM IJ CERVICAL,3821.0,3821.0,,,0
CDM,30045273,HCHG IRC MYELOGRPHY LUM IJ THORACIC,4456.0,4456.0,,,0
CDM,30045274,HCHG INTRVASC US NONCORONARY 1ST VSL,11675.0,11675.0,,,0
CDM,30045275,HCHG INTRVASC US NONCORONARY EACH ADDL VSL,8124.0,8124.0,,,0
CDM,30045276,HCHG INJECTN FOR CHOLANGIOGRAM EXISTNG ACCESS W/IMAGE,5939.0,5939.0,,,0
CDM,30045277,HCHG INJECTION FOR CHOLANGIOGRAM NEW ACCESS W/IMAGE,4206.0,4206.0,,,0
CDM,30045278,HCHG PLMT BILIARY DRAINAGE CATH EXTERNAL W/IMAGE,11400.0,11400.0,,,0
CDM,30045279,HCHG PLMT BILIARY DRAINAGE CATH INTRNL EXTRNL W/IMAGE,12874.0,12874.0,,,0
CDM,30045280,HCHG INJ PROC ANTE NEPH/URETOR W/GUIDE NEW ACCESS,3207.0,3207.0,,,0
CDM,30045281,HCHG INJ PROC ANTE NEPH/URETOR W/GUIDE INITAL ACCESS,3986.0,3986.0,,,0
CDM,30045282,"HCHG PLACEMENT NEPHROSTOMY CATHETER W/GUIDE, S&I BI",13318.0,13318.0,,,0
CDM,30045286,HCHG CONVERSION EXT BIL DRG CATH TO INT/EXT W/IMAGE,11356.0,11356.0,,,0
CDM,30045287,HCHG EXNG BILIARY DRG CATH INC CHOLANGRPHY W/IMGE,10919.0,10919.0,,,0
CDM,30045288,HCHG PERC PLMT BILE DUCT EXISTNG ACCESS,16894.0,16894.0,,,0
CDM,30045289,HCHG PLMT ACCESS BIL TREE SM BWL NEW ACCESS W/IMAGE,7214.0,7214.0,,,0
CDM,30045290,HCHG DILATE BILIARY DUCT/AMPULLA EA DUCT W/IMAGE,3687.0,3687.0,,,0
CDM,30045291,HCHG ENDLMNL BX BILIARY TREE ANY MTHD SNGL/MLT W/IMG,2293.0,2293.0,,,0
CDM,30045292,HCHG RMVL DCT GLBLDR CALC INCL DSTRCN ANY MTHD W/IMG,5072.0,5072.0,,,0
CDM,30045293,HCHG PERC PLMT BILE DUCT NEW ACCESS WO PL CATH,12518.0,12518.0,,,0
CDM,30045294,HCHG SCLEROTX FLUID COLLCTN INCL CNTRST INJ W/IMAGE,5564.0,5564.0,,,0
CDM,30045295,HCHG PRQ ART M THRMBCT &/NFS ANY MTHD W/IMAGE GDNCE,48239.0,48239.0,,,0
CDM,30045296,HCHG ENDOVASC PRLNG ADMN RX AGNT INTL W/IMAGE,48972.0,48972.0,,,0
CDM,30045297,HCHG ENDOVASC PRLNG ADMN RX AGNT EA ADDL W/IMAGE,46218.0,46218.0,,,0
CDM,30045298,HCHG ENDOLUMINAL BX URTR RENAL PELVIS W/GUIDE S&I,5575.0,5575.0,,,0
CDM,30045300,HCHG PLMT URETERAL STENT PRQ W/O SEPARATE CATH,12767.0,12767.0,,,0
CDM,30045301,HCHG PLMT URETERAL STENT PRQ W/SEPARATE CATH,14056.0,14056.0,,,0
CDM,30045302,HCHG URETERAL EMBOLIZATION/OCCL,6376.0,6376.0,,,0
CDM,30045303,HCHG BALLOON DILATE URTRL STRIX,8019.0,8019.0,,,0
CDM,30045304,HCHG RML BIL DRNG CATH INCL DX CHOLANGIOGRPHY W/IMG,3874.0,3874.0,,,0
CDM,30045305,HCHG PERQ PLMT BILE DUCT NEW ACCSS W PL CATH,2390.0,2390.0,,,0
CDM,30045307,"HCHG PLACEMENT NEPHROSTOMY CATHETER W/GUIDE, S&I LT",8879.0,8879.0,,,0
CDM,30045308,"HCHG PLACEMENT NEPHROSTOMY CATHETER W/GUIDE, S&I RT",8879.0,8879.0,,,0
CDM,30045309,HCHG ILIAC REVASC W/STENT BI,56643.0,56643.0,,,0
CDM,30045310,HCHG ILIAC REVASC W/STENT LT,37762.0,37762.0,,,0
CDM,30045311,HCHG ILIAC REVASC W/STENT RT,37762.0,37762.0,,,0
CDM,30045312,HCHG ILIAC REVASC BI,38888.0,38888.0,,,0
CDM,30045313,HCHG ILIAC REVASC LT,25925.0,25925.0,,,0
CDM,30045314,HCHG ILIAC REVASC RT,25925.0,25925.0,,,0
CDM,30045318,HCHG PLMT NEPHROURETERAL CATH W/GUIDE S&I NEW ACCESS BI,15432.0,15432.0,,,0
CDM,30045319,HCHG PLMT NEPHROURETERAL CATH W/GUIDE S&I NEW ACCESS LT,10288.0,10288.0,,,0
CDM,30045320,HCHG PLMT NEPHROURETERAL CATH W/GUIDE S&I NEW ACCESS RT,10288.0,10288.0,,,0
CDM,30045321,HCHG CONVERT NEPHROSTOMY CATHETER W/GUIDE S&I BI,12388.0,12388.0,,,0
CDM,30045323,HCHG CONVERT NEPHROSTOMY CATHETER W/GUIDE S&I RT,8259.0,8259.0,,,0
CDM,30045324,HCHG EXCHANGE NEPHROSTOMY CATH W/GUIDE S&I BI,11208.0,11208.0,,,0
CDM,30045325,HCHG EXCHANGE NEPHROSTOMY CATH W/GUIDE S&I LT,7472.0,7472.0,,,0
CDM,30045326,HCHG EXCHANGE NEPHROSTOMY CATH W/GUIDE S&I RT,7472.0,7472.0,,,0
CDM,30045330,HCHG THORACENTESIS W/IMAGING LT,3790.0,3790.0,,,0
CDM,30045331,HCHG THORACENTESIS W/IMAGING RT,3790.0,3790.0,,,0
CDM,30045332,HCHG THORACENTESIS W/IMAGING BI,5685.0,5685.0,,,0
CDM,30045335,HCHG PLMT URETERAL STENT PRQ PREEXIST TRACT BI,16569.0,16569.0,,,0
CDM,30045336,HCHG PLMT URETERAL STENT PRQ PREEXIST TRACT LT,11046.0,11046.0,,,0
CDM,30045337,HCHG PLMT URETERAL STENT PRQ PREEXIST TRACT RT,11046.0,11046.0,,,0
CDM,30045344,HCHG EMBEDDED IP CATH EXIT SITE,5264.0,5264.0,,,0
CDM,30045346,HCHG BX BREAST ADD LESION STRTCTC RT,3976.0,3976.0,,,0
CDM,30045347,HCHG BX BREAST 1ST LESION MR IMAG RT,6797.0,6797.0,,,0
CDM,30045348,HCHG BX BREAST ADD LESION MR IMAG RT,4436.0,4436.0,,,0
CDM,30045670,"HCHG RMV OBSTRUC FRM COLONIC TUBE, W/FLUOR & W/CONT",2397.0,2397.0,,,0
CDM,30045673,"HCHG I&D HEMATOMA, ABSCESS, BURSA THIGH/KNEE REGION",14739.0,14739.0,,,0
CDM,30045675,HCHG REPR CV CATH W PORT,4645.0,4645.0,,,0
CDM,30045677,HCHG INJECTION AIR CON PERITNL,947.0,947.0,,,0
CDM,30045678,HCHG PLACE DUODEN OR JEJUN TUBE PERC W/FLUORO & W/CON,4280.0,4280.0,,,0
CDM,30045680,HCHG REPLACE DUODENOSTOMY OR JEJUN TUBE PERC W/FLUORO,4025.0,4025.0,,,0
CDM,30045682,HCHG REMOVE URET STNT INT,6908.0,6908.0,,,0
CDM,30045683,HCHG CYSTO TUBE CHNG SMPL,1342.0,1342.0,,,0
CDM,30045685,HCHG INJECTION PV FACET C/T 2 LVL,1931.0,1931.0,,,0
CDM,30045686,HCHG INJECTION PV FACET W IMAGE GUIDANCE L/S 2ND LVL,2156.0,2156.0,,,0
CDM,30045691,HCHG IR ANGIO EXT UNI LT,10621.0,10621.0,,,0
CDM,30045692,HCHG IR ANGIO EXT UNI RT,10621.0,10621.0,,,0
CDM,30045695,HCHG XR VENOGRAM EXT UNI LT,3907.0,3907.0,,,0
CDM,30045696,HCHG XR VENOGRAM EXT UNI RT,3907.0,3907.0,,,0
CDM,30045697,HCHG XR VENOGRAM RENL UNI LT,5147.0,5147.0,,,0
CDM,30045698,HCHG XR VENOGRAM RENL UNI RT,5147.0,5147.0,,,0
CDM,30045711,HCHG XR SPINE SINGLE VIEW,729.0,729.0,,,0
CDM,30045716,HCHG INS CATH REN ART 1ST UNILAT,13523.0,13523.0,,,0
CDM,30045718,HCHG INS CATH REN ART 1ST BI,14947.0,14947.0,,,0
CDM,30045720,HCHG INS CATH REN ART 2ND+ UNILAT,13800.0,13800.0,,,0
CDM,30045722,HCHG INS CATH REN ART 2ND+ BILAT,7520.0,7520.0,,,0
CDM,30045723,HCHG INSERT ENDOVASCULAR VENA CAVA FILTER,17462.0,17462.0,,,0
CDM,30045724,HCHG REDO ENDOVAS VENA CAVA FILTR,19996.0,19996.0,,,0
CDM,30045725,HCHG REM ENDOVAS VENA CAVA FILTER,17483.0,17483.0,,,0
CDM,30045727,HCHG ABD PARACENTESIS W/IMAGING,3952.0,3952.0,,,0
CDM,30045729,HCHG DESTROY CERV/THOR FACET JNT,7008.0,7008.0,,,0
CDM,30045730,HCHG DESTROY C/TH FACET JNT ADDL,3476.0,3476.0,,,0
CDM,30045731,HCHG DESTROY LUMB/SAC FACET JNT,5967.0,5967.0,,,0
CDM,30045732,HCHG DESTROY L/S FACET JNT ADDL,3365.0,3365.0,,,0
CDM,30045734,HCHG CT ANGIO ABD&PELV W/O&W/DYE,9849.0,9849.0,,,0
CDM,30045744,HCHG INJECTION VESSEL,1828.0,1828.0,,,0
CDM,30045753,HCHG IR ANGIO ADRENAL UNI LT,5619.0,5619.0,,,0
CDM,30045754,HCHG IR ANGIO ADRENAL UNI RT,5619.0,5619.0,,,0
CDM,30045755,HCHG IR ANGIO PULM UNI SEL LT,3793.0,3793.0,,,0
CDM,30045756,HCHG IR ANGIO PULM UNI SEL RT,3793.0,3793.0,,,0
CDM,30045757,HCHG XR VENOGRAM ADRENL UNI LT,4263.0,4263.0,,,0
CDM,30045758,HCHG XR VENOGRAM ADRENL UNI RT,4263.0,4263.0,,,0
CDM,30045775,HCHG ENDOVENOUS RF 1ST VEIN,12293.0,12293.0,,,0
CDM,30045781,HCHG XR TMJ UNILATERAL LT,423.0,423.0,,,0
CDM,30045782,HCHG XR TMJ UNILATERAL RT,423.0,423.0,,,0
CDM,30045783,HCHG I&D ABSC/HEMA NK/THOR,16688.0,16688.0,,,0
CDM,30045806,HCHG CANNULATION THOR DUCT,4354.0,4354.0,,,0
CDM,30045812,HCHG DESTROY CERV/THOR FACET JNT BIL,10512.0,10512.0,,,0
CDM,30045814,HCHG INJ NRV AA/STRD GREATER OCCIPITAL BIL,2466.0,2466.0,,,0
CDM,30045816,HCHG INJS ANES&STRD W/IMG TFRML EDRL CRV/THR 1 LV BIL,6646.0,6646.0,,,0
CDM,30045818,HCHG INJS ANES/STRD IMG TFRML EDRL LMBR/SAC 1 LVL BIL,7352.0,7352.0,,,0
CDM,30045822,HCHG INJ AA/STRD OTHER PERIPH/BRANCH BIL,3370.0,3370.0,,,0
CDM,30045823,HCHG INJ NRV AA/STRD SCIATIC IMG BIL,5244.0,5244.0,,,0
CDM,30045829,HCHG DESTROY LUMB/SAC FACET JNT BIL,8950.0,8950.0,,,0
CDM,30045830,HCHG INSERT CATH PLEURA W/O IMAGE,3808.0,3808.0,,,0
CDM,30100002,HCHG US GUIDE ART PSEUDOANEUR,2297.0,2297.0,,,0
CDM,30100003,HCHG US INTRAOP,1642.0,1642.0,,,0
CDM,30100004,HCHG US ENCEPHALOGRAM,1788.0,1788.0,,,0
CDM,30100005,HCHG US OPHTHALMIC B-SCAN BIL,972.0,972.0,,,0
CDM,30100006,HCHG US OPHTHALMIC B-SCAN LT,648.0,648.0,,,0
CDM,30100007,HCHG US OPHTHALMIC B-SCAN RT,648.0,648.0,,,0
CDM,30100008,HCHG US OPHTHALMIC ANTERIOR SEGMENT IMMERSION BI,6118.0,6118.0,,,0
CDM,30100009,HCHG US OPHTHALMIC ANTERIOR SEGMENT IMMERSION LT,4079.0,4079.0,,,0
CDM,30100010,HCHG US OPHTHALMIC ANTERIOR SEGMENT IMMERSION RT,4079.0,4079.0,,,0
CDM,30100011,HCHG US OPHTHALMIC BIOMETRY A SCAN,402.0,402.0,,,0
CDM,30100013,HCHG US HEAD AND NECK SOFT TISSUE,1368.0,1368.0,,,0
CDM,30100014,HCHG US CHEST,1377.0,1377.0,,,0
CDM,30100016,HCHG US ABD COMPLETE,1887.0,1887.0,,,0
CDM,30100017,HCHG US ABD LTD,1656.0,1656.0,,,0
CDM,30100018,HCHG US RETROPERITONEUM COMPLETE,1666.0,1666.0,,,0
CDM,30100019,HCHG US RETROPERITONEUM LTD,1330.0,1330.0,,,0
CDM,30100020,HCHG US TRANSPLNT KDNY W/DPPLR,1984.0,1984.0,,,0
CDM,30100021,HCHG US SPINAL CANAL,1641.0,1641.0,,,0
CDM,30100022,HCHG US OB < 14 WEEKS SINGLE FETUS,1625.0,1625.0,,,0
CDM,30100023,HCHG US OB < 14 WEEKS ADDL FETUS,368.0,368.0,,,0
CDM,30100024,HCHG US OB > 14 WEEKS SINGLE FETUS,1479.0,1479.0,,,0
CDM,30100025,HCHG US OB > 14 WEEKS ADDL FETUS,1089.0,1089.0,,,0
CDM,30100026,HCHG US OB DETAILED SINGLE FETUS,1665.0,1665.0,,,0
CDM,30100027,HCHG US OB DETAILED ADDL FETUS,3959.0,3959.0,,,0
CDM,30100028,HCHG US OB NUCHAL MEAS FIRST GESTATION,769.0,769.0,,,0
CDM,30100029,HCHG US OB NUCHAL MEAS ADD-ON,930.0,930.0,,,0
CDM,30100030,HCHG US OB LTD 1 OR MORE FETUS,1194.0,1194.0,,,0
CDM,30100031,HCHG US OB FOLLOW-UP RE-EVAL PER FETUS,894.0,894.0,,,0
CDM,30100032,HCHG US OB TRANSVAGINAL,1457.0,1457.0,,,0
CDM,30100033,HCHG US BIO PROFILE W NONSTRESS,1705.0,1705.0,,,0
CDM,30100034,HCHG US BIO PROFILE WO NONSTRESS,1579.0,1579.0,,,0
CDM,30100035,HCHG US OB UMBILLICAL ARTERY,742.0,742.0,,,0
CDM,30100036,HCHG US OB MID CEREBRAL ARTERY,1368.0,1368.0,,,0
CDM,30100037,HCHG US M-MODE FETAL,3464.0,3464.0,,,0
CDM,30100038,HCHG US DOPPLER ECHO FETAL,875.0,875.0,,,0
CDM,30100039,HCHG US TRANSVAGINAL NON-OB,1310.0,1310.0,,,0
CDM,30100040,HCHG US SONOHYSTEROGRAM SALINE INFUSION,1463.0,1463.0,,,0
CDM,30100041,HCHG US PELVIC COMPLETE NON-OB,1596.0,1596.0,,,0
CDM,30100042,HCHG US PELVIC LTD FOLLOW-UP NON-OB,944.0,944.0,,,0
CDM,30100043,HCHG US TESTICULAR SCROTUM,1538.0,1538.0,,,0
CDM,30100044,HCHG US TRANSRECTAL,1088.0,1088.0,,,0
CDM,30100045,HCHG US ECHO PROSTATE VOL STDY,1316.0,1316.0,,,0
CDM,30100048,HCHG US INFANT HIPS R-T IMG DYNAMIC WITH MANIPULATION,2292.0,2292.0,,,0
CDM,30100049,HCHG US INFT HIPS R-T IMG LMTD STATIC NO MANIPULATION,872.0,872.0,,,0
CDM,30100051,HCHG US VASC ACCESS ADD ON,1372.0,1372.0,,,0
CDM,30100052,HCHG US GDE PRNCHYML TISS ABLN,1479.0,1479.0,,,0
CDM,30100053,HCHG US FETAL TRANSFUSION  IUT,3802.0,3802.0,,,0
CDM,30100054,HCHG US GUIDED NEEDLE PLACE,1894.0,1894.0,,,0
CDM,30100055,HCHG US VILLUS SAMPLING,1318.0,1318.0,,,0
CDM,30100056,HCHG US AMNIOCENTESIS,358.0,358.0,,,0
CDM,30100057,HCHG US GUIDE INTERSTITIAL THERAPY,2148.0,2148.0,,,0
CDM,30100060,HCHG PACHYMETRY UNILATERAL OR BILATERAL,123.0,123.0,,,0
CDM,30100063,HCHG US OPHTH BIO ASCAN W IO LENS BIL,749.0,749.0,,,0
CDM,30100066,HCHG US ECHO FETAL FU REPEAT,2034.0,2034.0,,,0
CDM,30100067,HCHG US DOPPLER ECHO FETAL FU,482.0,482.0,,,0
CDM,30100068,HCHG US BX ENDOMYOCARDIAL,1212.0,1212.0,,,0
CDM,30100070,"HCHG US OPHTH, B & QUANT A",2558.0,2558.0,,,0
CDM,30100072,HCHG US LOCALIZE FB IN EYE,350.0,350.0,,,0
CDM,30100082,HCHG US COMPLETE JOINT REAL TIME W/IMAGE LT,1299.0,1299.0,,,0
CDM,30100083,HCHG US COMPLETE JOINT REAL TIME W/IMAGE RT,1299.0,1299.0,,,0
CDM,30100084,HCHG US LIMITED JOINT/FCL EVL REAL TIME W/IMAGE LT,847.0,847.0,,,0
CDM,30100085,HCHG US LIMITED JOINT/FCL EVL REAL TIME W/IMAGE RT,847.0,847.0,,,0
CDM,30100086,HCHG BX OR EXSN LYMPH NODE(S) OPEN DEEP AXILLARY,12874.0,12874.0,,,0
CDM,30100087,HCHG PERCUTANEOUS LIVER BIOPSY,4749.0,4749.0,,,0
CDM,30100090,HCHG US DRN W CATH PLACE PRC,3144.0,3144.0,,,0
CDM,30100096,HCHG TRANSFUSION INTRAUTERINE FETAL,1787.0,1787.0,,,0
CDM,30100112,HCHG US BREAST COMPLETE BI,1637.0,1637.0,,,0
CDM,30100113,HCHG US BREAST LIMITED BI,1298.0,1298.0,,,0
CDM,30100114,HCHG US BREAST COMPLETE LT,1092.0,1092.0,,,0
CDM,30100115,HCHG US BREAST COMPLETE RT,1092.0,1092.0,,,0
CDM,30100116,HCHG US BREAST LIMITED LT,865.0,865.0,,,0
CDM,30100117,HCHG US BREAST LIMITED RT,865.0,865.0,,,0
CDM,30100119,HCHG PERQ DEV SOFT TISS 1ST IMAG,2796.0,2796.0,,,0
CDM,30100120,HCHG PERQ DEV SOFT TISS ADD IMAG,1881.0,1881.0,,,0
CDM,30100123,HCHG US ABDL AORTA SCREEN AAA,1021.0,1021.0,,,0
CDM,30100124,HCHG US PULSE ECHO BONE DENSITY,562.0,562.0,,,0
CDM,30100125,HCHG US TARGET DYNM MICROBUBBLE 1ST LES,803.0,803.0,,,0
CDM,30100126,HCHG US TARGET DYNM MICROBUBBLE EA ADD,596.0,596.0,,,0
CDM,30100127,HCHG US ELASTOGRAPHY PARENCHYMA,866.0,866.0,,,0
CDM,30100128,HCHG US ELASTOGRAPHY 1ST LES,407.0,407.0,,,0
CDM,30100129,HCHG US ELASTOGRAPHY EA ADD,407.0,407.0,,,0
CDM,30100130,HCHG DUPLX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,1407.0,1407.0,,,0
CDM,30100131,HCHG DUPLX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,626.0,626.0,,,0
CDM,30200001,HCHG NI DUPLEX EXTRACRANIAL BILATERAL,2747.0,2747.0,,,0
CDM,30200003,HCHG NI TRANSCRANIAL DOPPLER COMPLETE,2556.0,2556.0,,,0
CDM,30200004,HCHG NI TRANSCRANIAL DOPPLER LIMITED,2798.0,2798.0,,,0
CDM,30200006,HCHG NI EXTREMITY ARTERIAL 1 LEVEL BILATERAL LTD,1093.0,1093.0,,,0
CDM,30200008,HCHG NI EXTREMITY ARTERIAL MULTIPLE BILATERAL,1677.0,1677.0,,,0
CDM,30200010,HCHG NI EXTREMITY LOW W STRESS,2400.0,2400.0,,,0
CDM,30200011,HCHG NI DUPLEX EXTREMITY LOW BILATERAL,2759.0,2759.0,,,0
CDM,30200013,HCHG NI DUPLEX EXTREMITY UPPER BILATERAL,2842.0,2842.0,,,0
CDM,30200016,HCHG NI DUPLEX EXTREMITY VEINS BILATERAL,2871.0,2871.0,,,0
CDM,30200018,HCHG NI DUPLEX ABDOMEN PELVIS COMPLETE,3124.0,3124.0,,,0
CDM,30200019,HCHG NI DUPLEX ABDOMEN PELVIC LTD,2111.0,2111.0,,,0
CDM,30200020,HCHG NI AORTA IVC ILIAC COMPLETE,2413.0,2413.0,,,0
CDM,30200021,HCHG NI AORTA IVC ILIAC LIMITED,1654.0,1654.0,,,0
CDM,30200022,HCHG NI PENILE VESSELS COMPLETE,2069.0,2069.0,,,0
CDM,30200024,HCHG NI DIALYSIS ACCESS,1610.0,1610.0,,,0
CDM,30200027,HCHG NI TCD EMBOLI DETECT WO/IJ,4034.0,4034.0,,,0
CDM,30200029,HCHG NI CAROTID INTIMA ATHEROMA EVAL BI,2305.0,2305.0,,,0
CDM,30200102,HCHG NI DUPLEX EXT LOW UNI LT,1845.0,1845.0,,,0
CDM,30200103,HCHG NI DUPLEX EXT LOW UNI RT,1845.0,1845.0,,,0
CDM,30200104,HCHG NI DUPLEX EXT UPP UNI LT,1942.0,1942.0,,,0
CDM,30200105,HCHG NI DUPLEX EXT UPP UNI RT,1942.0,1942.0,,,0
CDM,30200106,HCHG NI DUPLX EXT VEINS UNI LT,2046.0,2046.0,,,0
CDM,30200107,HCHG NI DUPLX EXT VEINS UNI RT,2046.0,2046.0,,,0
CDM,30200108,HCHG NI DUPLEX EXTRCRAN UNI LT,1538.0,1538.0,,,0
CDM,30200109,HCHG NI DUPLEX EXTRCRAN UNI RT,1538.0,1538.0,,,0
CDM,30200112,HCHG NI TCD STD ICR ART VEN-ART SHNT,5488.0,5488.0,,,0
CDM,30300002,HCHG MR TEMPOROMANDIBULAR JOINTS,4939.0,4939.0,,,0
CDM,30300003,HCHG MRI ORBIT AND FACE AND NECK WO CONTR,4351.0,4351.0,,,0
CDM,30300004,HCHG MRI ORBIT AND FACE AND NECK W CONTR,8245.0,8245.0,,,0
CDM,30300005,HCHG MRI ORBIT AND FACE AND NECK W AND WO CONTR,7992.0,7992.0,,,0
CDM,30300006,HCHG MRA HEAD WO CONTR,5677.0,5677.0,,,0
CDM,30300007,HCHG MRA HEAD W CONTR,6437.0,6437.0,,,0
CDM,30300008,HCHG MRA HEAD W AND WO CONTR,7839.0,7839.0,,,0
CDM,30300009,HCHG MRA NECK WO CONTR,5464.0,5464.0,,,0
CDM,30300010,HCHG MRA NECK W CONTR,5978.0,5978.0,,,0
CDM,30300011,HCHG MRA NECK W AND WO CONTR,8824.0,8824.0,,,0
CDM,30300012,HCHG MRI BRAIN W STEM WO CONTR,5481.0,5481.0,,,0
CDM,30300013,HCHG MRI BRAIN W STEM W CONTR,7192.0,7192.0,,,0
CDM,30300014,HCHG MRI BRAIN W STEM W AND WO CONTR,8334.0,8334.0,,,0
CDM,30300018,HCHG MRI CHEST WO CONTR,4588.0,4588.0,,,0
CDM,30300019,HCHG MRI CHEST W CONTR,6294.0,6294.0,,,0
CDM,30300020,HCHG MRI CHEST W AND WO CONTR,8053.0,8053.0,,,0
CDM,30300021,HCHG MRI SPINE CERV WO CONTR,5265.0,5265.0,,,0
CDM,30300022,HCHG MRI SPINE CERV W CONTR,6480.0,6480.0,,,0
CDM,30300023,HCHG MRI SPINE THOR WO CONTR,5458.0,5458.0,,,0
CDM,30300024,HCHG MRI SPINE THOR W CONTR,6508.0,6508.0,,,0
CDM,30300025,HCHG MRI SPINE LUMB WO CONTR,5217.0,5217.0,,,0
CDM,30300026,HCHG MRI SPINE LUMB W CONTR,8076.0,8076.0,,,0
CDM,30300027,HCHG MRI SPINE CERV W AND WO CONTR,8560.0,8560.0,,,0
CDM,30300028,HCHG MRI SPINE THOR W AND WO CONTR,8406.0,8406.0,,,0
CDM,30300029,HCHG MRI SPINE LUMB W AND WO CONTR,8441.0,8441.0,,,0
CDM,30300031,HCHG MRI PELVIS WO CONTR,5735.0,5735.0,,,0
CDM,30300032,HCHG MRI PELVIS W CONTR,5220.0,5220.0,,,0
CDM,30300033,HCHG MRI PELVIS W AND WO CONTR,8535.0,8535.0,,,0
CDM,30300034,HCHG MRI EXTREM UPPER NO JOINT WO CONTR BIL,6684.0,6684.0,,,0
CDM,30300035,HCHG MRI EXTREM UPPER NO JOINT WO CONTR LT,4456.0,4456.0,,,0
CDM,30300036,HCHG MRI EXTREM UPPER NO JOINT WO CONTR RT,4456.0,4456.0,,,0
CDM,30300037,HCHG MRI EXTREM UPPER NO JOINT W CONTR BIL,5882.0,5882.0,,,0
CDM,30300038,HCHG MRI EXTREM UPPER NO JOINT W CONTR LT,3921.0,3921.0,,,0
CDM,30300039,HCHG MRI EXTREM UPPER NO JOINT W CONTR RT,3921.0,3921.0,,,0
CDM,30300040,HCHG MRI EXTREM UPPER NO JOINT W AND WO CONTR BIL,10300.0,10300.0,,,0
CDM,30300041,HCHG MRI EXTREM UPPER NO JOINT W AND WO CONTR LT,6867.0,6867.0,,,0
CDM,30300042,HCHG MRI EXTREM UPPER NO JOINT W AND WO CONTR RT,6867.0,6867.0,,,0
CDM,30300043,HCHG MRI EXTREM UPPER JOINT WO CONTR BIL,7291.0,7291.0,,,0
CDM,30300044,HCHG MRI EXTREM UPPER JOINT WO CONTR LT,4860.0,4860.0,,,0
CDM,30300045,HCHG MRI EXTREM UPPER JOINT WO CONTR RT,4860.0,4860.0,,,0
CDM,30300046,HCHG MRI EXTREM UPPER JOINT W CONTR BIL,7576.0,7576.0,,,0
CDM,30300047,HCHG MRI EXTREM UPPER JOINT W CONTR LT,5051.0,5051.0,,,0
CDM,30300048,HCHG MRI EXTREM UPPER JOINT W CONTR RT,5051.0,5051.0,,,0
CDM,30300049,HCHG MRI EXTREM UPPER JOINT W AND WO CONTR BIL,10739.0,10739.0,,,0
CDM,30300050,HCHG MRI EXTREM UPPER JOINT W AND WO CONTR LT,7159.0,7159.0,,,0
CDM,30300051,HCHG MRI EXTREM UPPER JOINT W AND WO CONTR RT,7159.0,7159.0,,,0
CDM,30300055,HCHG MRI EXTREM LOWER WO CONTR BIL,6744.0,6744.0,,,0
CDM,30300056,HCHG MRI EXTREM LOWER WO CONTR LT,4496.0,4496.0,,,0
CDM,30300057,HCHG MRI EXTREM LOWER WO CONTR RT,4496.0,4496.0,,,0
CDM,30300058,HCHG MRI EXTREM LOWER NO JOINT W CONTR BIL,10124.0,10124.0,,,0
CDM,30300059,HCHG MRI EXTREM LOWER NO JOINT W CONTR LT,6749.0,6749.0,,,0
CDM,30300060,HCHG MRI EXTREM LOWER NO JOINT W CONTR RT,6749.0,6749.0,,,0
CDM,30300061,HCHG MRI EXTREM LOWER W AND WO CONTR BIL,10040.0,10040.0,,,0
CDM,30300062,HCHG MRI EXTREM LOWER W AND WO CONTR LT,6693.0,6693.0,,,0
CDM,30300063,HCHG MRI EXTREM LOWER W AND WO CONTR RT,6693.0,6693.0,,,0
CDM,30300064,HCHG MRI EXTREM LOWER JOINT WO CONTR BIL,7464.0,7464.0,,,0
CDM,30300065,HCHG MRI EXTREM LOWER JOINT WO CONTR LT,4976.0,4976.0,,,0
CDM,30300066,HCHG MRI EXTREM LOWER JOINT WO CONTR RT,4976.0,4976.0,,,0
CDM,30300067,HCHG MRI EXTREM LOWER JOINT W CONTR BIL,7678.0,7678.0,,,0
CDM,30300068,HCHG MRI EXTREM LOWER JOINT W CONTR LT,5118.0,5118.0,,,0
CDM,30300069,HCHG MRI EXTREM LOWER JOINT W CONTR RT,5118.0,5118.0,,,0
CDM,30300070,HCHG MRI EXTREM LOWER JOINT W AND WO CONTR BIL,11300.0,11300.0,,,0
CDM,30300071,HCHG MRI EXTREM LOWER JOINT W AND WO CONTR LT,7534.0,7534.0,,,0
CDM,30300072,HCHG MRI EXTREM LOWER JOINT W AND WO CONTR RT,7534.0,7534.0,,,0
CDM,30300073,HCHG MRI ABDOMEN WO CONTR,5540.0,5540.0,,,0
CDM,30300074,HCHG MRI ABDOMEN W CONTR,5386.0,5386.0,,,0
CDM,30300075,HCHG MRI ABDOMEN W AND WO CONTR,7712.0,7712.0,,,0
CDM,30300080,HCHG MR 3D RENDERING INTERP & POSTPROCESS SUPERVISION,1312.0,1312.0,,,0
CDM,30300082,HCHG MR SPECTROSCOPY,5525.0,5525.0,,,0
CDM,30300084,HCHG MRI GUIDED NEEDLE PLACEMENT,5581.0,5581.0,,,0
CDM,30300085,HCHG MRA ABD W CON,4415.0,4415.0,,,0
CDM,30300086,HCHG MRA ABD W/O CON,5017.0,5017.0,,,0
CDM,30300087,HCHG MRA ABD W-W/O CON,6953.0,6953.0,,,0
CDM,30300095,HCHG MRA CHEST W/O CON,5951.0,5951.0,,,0
CDM,30300096,HCHG MRA CHEST W-W/O CON,7678.0,7678.0,,,0
CDM,30300097,HCHG MRA EXT LOW W CON BI,7893.0,7893.0,,,0
CDM,30300098,HCHG MRA EXT LOW W/O CON BI,6302.0,6302.0,,,0
CDM,30300100,HCHG MRA PELVIS W CON,4134.0,4134.0,,,0
CDM,30300101,HCHG MRA PELVIS W/O CON,3390.0,3390.0,,,0
CDM,30300102,HCHG MRA PELVIS W-W/O CON,8875.0,8875.0,,,0
CDM,30300105,HCHG MRI CARD MORPH WO CON,5936.0,5936.0,,,0
CDM,30300109,HCHG MRI CARD MORPH W-W/O,7233.0,7233.0,,,0
CDM,30300111,HCHG MRI CARD W/STRSS W-WO,8346.0,8346.0,,,0
CDM,30300135,HCHG MRA UPPER EXT W/O CON RT,5913.0,5913.0,,,0
CDM,30300136,HCHG MRA UPPER EXT W-WO CON,6143.0,6143.0,,,0
CDM,30300137,HCHG MR 3D RENDERING INTERP&POSTPROC DIF WORK STATION,2034.0,2034.0,,,0
CDM,30300145,HCHG MRA SPINAL CANAL W-WO CON,5266.0,5266.0,,,0
CDM,30300152,HCHG MRA EXT LOW W-W/O CON LT,7324.0,7324.0,,,0
CDM,30300153,HCHG MRA EXT LOW W-W/O CON RT,7324.0,7324.0,,,0
CDM,30300154,HCHG MRA EXT LOW W CON LT,5262.0,5262.0,,,0
CDM,30300155,HCHG MRA EXT LOW W CON RT,5262.0,5262.0,,,0
CDM,30300156,HCHG MRA EXT LOW W/O CON LT,4201.0,4201.0,,,0
CDM,30300157,HCHG MRA EXT LOW W/O CON RT,4201.0,4201.0,,,0
CDM,30300175,HCHG MRI FETAL SINGLE/1ST GESTATION,1508.0,1508.0,,,0
CDM,30300176,HCHG MRI ELASTOGRAPHY,975.0,975.0,,,0
CDM,30300177,HCHG MRI BREAST W/O CONTRAST RT,4129.0,4129.0,,,0
CDM,30300178,HCHG MRI BREAST W/O CONTRAST BILAT,4205.0,4205.0,,,0
CDM,30300179,HCHG MRI BREAST UNI WO/W CONTRAST W OR WO CAD LT,6493.0,6493.0,,,0
CDM,30300180,HCHG MRI BREAST BIL WO/W CONTRAST W OR WO CAD,6731.0,6731.0,,,0
CDM,30300181,HCHG MRI BREAST CAD,938.0,938.0,,,0
CDM,30300182,HCHG MRI BREAST W/O CONTRAST LT,4129.0,4129.0,,,0
CDM,30300183,HCHG MRI BREAST UNI WO/W CONTRAST W OR WO CAD RT,6493.0,6493.0,,,0
CDM,30300200,HCHG MRI QUAN MRI ALYS BRN W/O DX MRI,4052.0,4052.0,,,0
CDM,30300201,HCHG MRI QUAN MRI ALYS BRN W/DX MRI,4052.0,4052.0,,,0
CDM,30400001,HCHG CT COLONOGRAPHY W/O DYE,2682.0,2682.0,,,0
CDM,30400002,HCHG CT PERFUSION ANALYSIS CEREBRAL WITH CONTRAST,6626.0,6626.0,,,0
CDM,30400012,HCHG CT BRAIN WO CONTR,4312.0,4312.0,,,0
CDM,30400013,HCHG CT BRAIN W CONTR,4869.0,4869.0,,,0
CDM,30400014,HCHG CT BRAIN W AND WO CONTR,5345.0,5345.0,,,0
CDM,30400015,HCHG CT ORBIT AND SELLA FOSSA WO CONTR,4511.0,4511.0,,,0
CDM,30400016,HCHG CT ORBIT AND SELLA FOSSA W CONTR,5596.0,5596.0,,,0
CDM,30400017,HCHG CT ORBIT AND SELLA FOSSA W AND WO CONTR,5337.0,5337.0,,,0
CDM,30400019,HCHG CT MAXILLOFACIAL WO CONTR,4272.0,4272.0,,,0
CDM,30400020,HCHG CT MAXILLOFACIAL W CONTR,5254.0,5254.0,,,0
CDM,30400021,HCHG CT MAXILLOFACIAL W AND WO CONTR,4353.0,4353.0,,,0
CDM,30400022,HCHG CT NECK WO CONTR,4177.0,4177.0,,,0
CDM,30400023,HCHG CT NECK W CONTR,4995.0,4995.0,,,0
CDM,30400024,HCHG CT NECK W AND WO CONTR,4572.0,4572.0,,,0
CDM,30400025,HCHG CTA HEAD/BRAIN W AND WO CONTR,6173.0,6173.0,,,0
CDM,30400026,HCHG CTA NECK W AND WO CONTR,5871.0,5871.0,,,0
CDM,30400027,HCHG CT THORAX DX W/O CNTRST,4097.0,4097.0,,,0
CDM,30400029,HCHG CT THORAX DX W/CONTRAST,5153.0,5153.0,,,0
CDM,30400030,HCHG CT THORAX DX W/O CNTRST FLWD CNTRST,5607.0,5607.0,,,0
CDM,30400031,HCHG CTA CHEST W AND WO CONTR,6885.0,6885.0,,,0
CDM,30400032,HCHG CT SPINE CERV WO CONTR,5058.0,5058.0,,,0
CDM,30400033,HCHG CT SPINE CERV W CONTR,7056.0,7056.0,,,0
CDM,30400034,HCHG CT SPINE CERV W AND WO CONTR,5699.0,5699.0,,,0
CDM,30400035,HCHG CT SPINE THOR WO CONTR,4811.0,4811.0,,,0
CDM,30400036,HCHG CT SPINE THOR W CONTR,6600.0,6600.0,,,0
CDM,30400037,HCHG CT SPINE THOR W AND WO CONTR,6822.0,6822.0,,,0
CDM,30400038,HCHG CT SPINE LUMB WO CONTR,4803.0,4803.0,,,0
CDM,30400039,HCHG CT SPINE LUMB W CONTR,6202.0,6202.0,,,0
CDM,30400040,HCHG CT SPINE LUMB W AND WO CONTR,5824.0,5824.0,,,0
CDM,30400042,HCHG CTA PELVIS W AND WO CONTR,5400.0,5400.0,,,0
CDM,30400043,HCHG CT PELVIS WO CONTR,4656.0,4656.0,,,0
CDM,30400044,HCHG CT PELVIS W CONTR,5746.0,5746.0,,,0
CDM,30400045,HCHG CT PELVIS W AND WO CONTR,4196.0,4196.0,,,0
CDM,30400047,HCHG CT EXTREM UPPER WO CONTR BIL,6398.0,6398.0,,,0
CDM,30400048,HCHG CT EXTREM UPPER WO CONTR LT,4265.0,4265.0,,,0
CDM,30400049,HCHG CT EXTREM UPPER WO CONTR RT,4265.0,4265.0,,,0
CDM,30400050,HCHG CT EXTREM UPPER W CONTR BIL,7683.0,7683.0,,,0
CDM,30400051,HCHG CT EXTREM UPPER W CONTR LT,5122.0,5122.0,,,0
CDM,30400052,HCHG CT EXTREM UPPER W CONTR RT,5122.0,5122.0,,,0
CDM,30400053,HCHG CT EXTREM UPPER W AND WO CONTR BIL,8422.0,8422.0,,,0
CDM,30400054,HCHG CT EXTREM UPPER W AND WO CONTR LT,5615.0,5615.0,,,0
CDM,30400055,HCHG CT EXTREM UPPER W AND WO CONTR RT,5615.0,5615.0,,,0
CDM,30400056,HCHG CTA EXTREM UPPER W AND WO CONTR LT,5928.0,5928.0,,,0
CDM,30400057,HCHG CTA EXTREM UPPER W AND WO CONTR RT,5928.0,5928.0,,,0
CDM,30400058,HCHG CT EXTREM LOWER WO CONTR BIL,6538.0,6538.0,,,0
CDM,30400059,HCHG CT EXTREM LOWER WO CONTR LT,4359.0,4359.0,,,0
CDM,30400060,HCHG CT EXTREM LOWER WO CONTR RT,4359.0,4359.0,,,0
CDM,30400061,HCHG CT EXTREM LOWER W CONTR BIL,7974.0,7974.0,,,0
CDM,30400062,HCHG CT EXTREM LOWER W CONTR LT,5316.0,5316.0,,,0
CDM,30400063,HCHG CT EXTREM LOWER W CONTR RT,5316.0,5316.0,,,0
CDM,30400064,HCHG CT EXTREM LOWER W AND WO CONTR BIL,8218.0,8218.0,,,0
CDM,30400065,HCHG CT EXTREM LOWER W AND WO CONTR LT,5479.0,5479.0,,,0
CDM,30400066,HCHG CT EXTREM LOWER W AND WO CONTR RT,5479.0,5479.0,,,0
CDM,30400067,HCHG CTA EXTREM LOWER W AND WO CONTR BIL,10260.0,10260.0,,,0
CDM,30400068,HCHG CTA EXTREM LOWER W AND WO CONTR LT,6840.0,6840.0,,,0
CDM,30400069,HCHG CTA EXTREM LOWER W AND WO CONTR RT,6840.0,6840.0,,,0
CDM,30400070,HCHG CT ABD WO CONTR,4058.0,4058.0,,,0
CDM,30400071,HCHG CT ABD W CONTR,4755.0,4755.0,,,0
CDM,30400072,HCHG CT ABD W AND WO CONTR,4989.0,4989.0,,,0
CDM,30400073,HCHG CTA ABD W AND WO CONTR,6496.0,6496.0,,,0
CDM,30400074,HCHG CTA ABD W RUNOFF W AND WO CONTR,7047.0,7047.0,,,0
CDM,30400075,HCHG CT 3D RENDERING INTERP & POSTPROCESS SUPERVISION,1312.0,1312.0,,,0
CDM,30400076,HCHG CT 3D RENDERING INTERP&POSTPROC DIF WORK STATION,2034.0,2034.0,,,0
CDM,30400077,HCHG CT LTD OR FOLLOW-UP STDY,1807.0,1807.0,,,0
CDM,30400079,HCHG CT STEREOTACTIC LOCAL,14042.0,14042.0,,,0
CDM,30400080,HCHG CT GUIDE NEEDLE PLACEMENT,4531.0,4531.0,,,0
CDM,30400081,HCHG CT GUIDANCE TISSUE ABLATION,3962.0,3962.0,,,0
CDM,30400082,HCHG CT GUIDE RAD THERAPY FIELDS,2023.0,2023.0,,,0
CDM,30400084,HCHG CT BONE DENSTY STDY AXIAL,4470.0,4470.0,,,0
CDM,30400088,HCHG CT COLONOGRAPHY VIRTUAL SCRN,2491.0,2491.0,,,0
CDM,30400091,HCHG CT HRT W/O DYE W/CA TEST,684.0,684.0,,,0
CDM,30400092,HCHG CT HRT W/3D IMAGE,5202.0,5202.0,,,0
CDM,30400093,HCHG CT HRT C+ STRUX CGEN HRT DS,10285.0,10285.0,,,0
CDM,30400094,HCHG CT ANGIO HRT W/3D IMAGE,5054.0,5054.0,,,0
CDM,30400097,HCHG INS ID ABD/PEL RT PER,6249.0,6249.0,,,0
CDM,30400099,HCHG LIG/BAND ANG AV FIST,18795.0,18795.0,,,0
CDM,30400104,HCHG CT THORAX LW DOSE LUNG CANCER SCR W/O CONTRAST,304.0,304.0,,,0
CDM,30400115,HCHG CT ABD & PELVIS W/O CON,6374.0,6374.0,,,0
CDM,30400116,HCHG CT ABD & PELVIS W/CON,8287.0,8287.0,,,0
CDM,30400117,HCHG CT ABD & PELVIS 1+ REGION W/WO CONTRAST,8994.0,8994.0,,,0
CDM,30400127,HCHG CT DRN W CATH PLACE PRC,3144.0,3144.0,,,0
CDM,30400133,HCHG DIAGNOSTIC BONE MARROW ASPIRATION,5120.0,5120.0,,,0
CDM,30400136,HCHG CT LUNG SCREENING LTD,4097.0,4097.0,,,0
CDM,30400138,HCHG CT BONE LENGTH STUDY,842.0,842.0,,,0
CDM,30400144,HCHG CT SKELETAL SURVEY WO CONTRAST,2690.0,2690.0,,,0
CDM,30400149,HCHG CT BREAST W/3D RENDERING UNI W/O CONTRAST LT,486.0,486.0,,,0
CDM,30400150,HCHG CT BREAST W/3D RENDERING UNI W/O CONTRAST RT,486.0,486.0,,,0
CDM,30400151,HCHG CT BREAST W/3D RENDERING UNI W/CONTRAST LT,796.0,796.0,,,0
CDM,30400152,HCHG CT BREAST W/3D RENDERING UNI W/CONTRAST RT,796.0,796.0,,,0
CDM,30400153,HCHG CT BRST W/3D RENDERING UNI WO CNTRST FLWD C+ LT,796.0,796.0,,,0
CDM,30400154,HCHG CT BRST W/3D RENDERING UNI WO CNTRST FLWD C+ RT,796.0,796.0,,,0
CDM,30400155,HCHG CT BREAST W/3D RENDERING BI W/O CONTRAST,1025.0,1025.0,,,0
CDM,30400156,HCHG CT BREAST W/3D RENDERING BI W/CONTRAST,1636.0,1636.0,,,0
CDM,30400157,HCHG CT BRST W/3D RENDERING BI WO CNTRST FLWD CNTRST,1636.0,1636.0,,,0
CDM,30400159,HCHG CT GASTRIC TUBE CHECK W CONTRAST,1495.0,1495.0,,,0
CDM,30400167,HCHG CTA HEAD&NECK C+ W/NONCONTRAST IMG&POST-PXESSNG,12425.0,12425.0,,,0
CDM,30400168,HCHG CT CERE PRFUJ ALYS C+ W/CT/CTA SAME ANATOMY,6626.0,6626.0,,,0
CDM,30400169,HCHG CT CERE PRFUJ ALYS C+ W/O CT/CTA SAME ANATOMY,6626.0,6626.0,,,0
CDM,30400170,HCHG QUAN&CHARAC C ATHEROSCLERTC PLAQ ASSES SEV C DS,5974.0,5974.0,,,0
CDM,30500000,HCHG PET MYOCRD IMG METAB EVAL SINGLE STUDY,6263.0,6263.0,,,0
CDM,30500001,HCHG PET W/CT ATT SKLL TO THGH,10792.0,10792.0,,,0
CDM,30500002,HCHG PET TUMOR LIMITED AREA,8170.0,8170.0,,,0
CDM,30500003,HCHG PET SKULL TO THIGH,11271.0,11271.0,,,0
CDM,30500004,HCHG PET TUMOR FULL BODY,12931.0,12931.0,,,0
CDM,30500005,HCHG PET W/CT WHOLE BODY,10739.0,10739.0,,,0
CDM,30500008,HCHG PET W/CT ATT ANAT LOC LTD,9867.0,9867.0,,,0
CDM,30500010,HCHG PS BRAIN PERF EVAL,2228.0,2228.0,,,0
CDM,30500011,HCHG PET BRAIN METABOLIC INITL,8792.0,8792.0,,,0
CDM,30500012,HCHG PET BRAIN METABOLIC SUBSQ,8792.0,8792.0,,,0
CDM,30500015,HCHG PET/CT SKULL-THGH INITL,10792.0,10792.0,,,0
CDM,30500016,HCHG PET/CT SKULL-THGH SUBSQ,10792.0,10792.0,,,0
CDM,30500017,HCHG PET/CT WHOLE BODY INITL,10739.0,10739.0,,,0
CDM,30500018,HCHG PET/CT WHOLE BODY SUBSQ,10739.0,10739.0,,,0
CDM,30500019,HCHG PET LIMITED AREA INITL,8170.0,8170.0,,,0
CDM,30500021,HCHG PET SKULL-MID THIGH INITL,11271.0,11271.0,,,0
CDM,30500022,HCHG PET SKULL-MID THIGH SUBSQ,11271.0,11271.0,,,0
CDM,30500023,HCHG PET/CT LTD INITL,9867.0,9867.0,,,0
CDM,30500024,HCHG PET/CT LTD SUBSQ,9867.0,9867.0,,,0
CDM,30500026,HCHG PET MYOCRD IMG METAB EVAL 1 STUDY CNCRNT W/CT,6919.0,6919.0,,,0
CDM,30600007,HCHG NM THYROID METS WHOLE BODY,5476.0,5476.0,,,0
CDM,30600008,HCHG NM THYROID METS UPTAKE CALC,1397.0,1397.0,,,0
CDM,30600009,HCHG NM PARATHYROID PLANAR IMAGING,2563.0,2563.0,,,0
CDM,30600011,HCHG NM BONE MARROW SINGLE,2576.0,2576.0,,,0
CDM,30600012,HCHG NM BONE MARROW WHOLE BODY,4260.0,4260.0,,,0
CDM,30600013,HCHG NM PLASMA VOLUME MULTI,2308.0,2308.0,,,0
CDM,30600014,HCHG NM RED CELL MASS MULTI,2074.0,2074.0,,,0
CDM,30600015,HCHG NM WHOLE BLOOD VOLUME,1903.0,1903.0,,,0
CDM,30600016,HCHG NM RED CELL SURVIVAL,4170.0,4170.0,,,0
CDM,30600017,HCHG NM SPLEEN SCAN,4423.0,4423.0,,,0
CDM,30600018,HCHG NM PLATELET SURVIVAL STDY,2896.0,2896.0,,,0
CDM,30600019,HCHG NM LYMPHATIC PATHWAY WITH IMAGING,4428.0,4428.0,,,0
CDM,30600020,HCHG NM LIVER SCAN,4040.0,4040.0,,,0
CDM,30600021,HCHG NM LIVER W VASCULAR FLOW,4155.0,4155.0,,,0
CDM,30600024,HCHG NM LIVER SPLEEN SCAN,3380.0,3380.0,,,0
CDM,30600025,HCHG NM LIVER SPLEEN W FLOW,2209.0,2209.0,,,0
CDM,30600027,HCHG NM SALIVARY GLAND W SERIAL,1959.0,1959.0,,,0
CDM,30600028,HCHG NM ESOPHAGEAL MOTILITY,1708.0,1708.0,,,0
CDM,30600029,HCHG NM GASTROESOPHAGEAL REFLUX,3843.0,3843.0,,,0
CDM,30600031,HCHG NM H PYLORI BREATH TEST ACQ,244.5,244.5,,,0
CDM,30600032,HCHG NM H PYLORI BREATH TEST ANALYSIS,2375.5,2375.5,,,0
CDM,30600035,HCHG NM GI BLEEDING SCAN,3945.0,3945.0,,,0
CDM,30600036,HCHG NM BOWEL (MECKELS) SCAN,4328.0,4328.0,,,0
CDM,30600037,HCHG NM LEVEEN SHUNT PATENCY,5141.0,5141.0,,,0
CDM,30600038,HCHG NM BONE SCAN SINGLE AREA,2432.0,2432.0,,,0
CDM,30600039,HCHG NM BONE SCAN MULTIPLE AREAS,3347.0,3347.0,,,0
CDM,30600040,HCHG NM BONE SCAN WHOLE BODY,4342.0,4342.0,,,0
CDM,30600041,HCHG NM BONE SCAN THREE PHASE,4874.0,4874.0,,,0
CDM,30600043,HCHG NM CARDIAC (L-R) SHUNT DETECTION,3516.0,3516.0,,,0
CDM,30600044,HCHG NM VASCULAR FLOW NONCARDIAC,3538.0,3538.0,,,0
CDM,30600045,HCHG NM VENOUS THROMBOSIS ACUTE,6267.0,6267.0,,,0
CDM,30600046,HCHG NM VENOG BILATERAL,4141.0,4141.0,,,0
CDM,30600047,HCHG NM MYOCARDIAL PERFUSION SINGLE ACQ,5394.0,5394.0,,,0
CDM,30600048,HCHG NM MYOCARDIAL PERFUSION MULTIPLE ACQ,7173.0,7173.0,,,0
CDM,30600049,HCHG NM MYOCARDIAL PERFUSION SPECT SINGLE ACQ,7176.0,7176.0,,,0
CDM,30600050,HCHG NM MYOCARDIAL PERFUSION SPECT MULTI ACQ,9698.0,9698.0,,,0
CDM,30600051,HCHG NM HEART MYOCARDIAL INFARCTION SCAN,3319.0,3319.0,,,0
CDM,30600053,HCHG NM HEART MYOCARDIAL INFARCTION SCAN W SPECT,4795.0,4795.0,,,0
CDM,30600054,HCHG NM HEART GATED WALL MOTION (MUGA) SINGLE ACQ,3159.0,3159.0,,,0
CDM,30600055,HCHG NM HEART GATED WALL MOTION (MUGA) MULTIPLE ACQ,3674.0,3674.0,,,0
CDM,30600059,HCHG NM HEART GATED WALL MOTION (MUGA) SPECT,3537.0,3537.0,,,0
CDM,30600061,HCHG NM LUNG PERFUSION IMAGING,3215.0,3215.0,,,0
CDM,30600068,HCHG NM BRAIN SCAN LTD W FLOW,3561.0,3561.0,,,0
CDM,30600069,HCHG NM BRAIN SCAN COMPLETE,3704.0,3704.0,,,0
CDM,30600070,HCHG NM BRAIN SCAN COMPLETE W FLOW,6332.0,6332.0,,,0
CDM,30600073,HCHG NM CISTERNOG,2044.0,2044.0,,,0
CDM,30600074,HCHG NM CSF SHUNT EVAL,2102.0,2102.0,,,0
CDM,30600076,HCHG NM CSF LEAKAGE DETECT,5626.0,5626.0,,,0
CDM,30600077,HCHG NM RENAL SINGLE ACQ,3635.0,3635.0,,,0
CDM,30600078,HCHG NM RENAL W FLOW,3153.0,3153.0,,,0
CDM,30600079,HCHG NM RENOG SINGLE ACQ WO PHARM,4147.0,4147.0,,,0
CDM,30600080,HCHG NM RENOG SINGLE ACQ W PHARM,4467.0,4467.0,,,0
CDM,30600081,HCHG NM RENOG MULTIPLE ACQ W AND WO PHARM,6538.0,6538.0,,,0
CDM,30600083,HCHG NM RENAL FUNCTION NO SCAN (GFR),1719.0,1719.0,,,0
CDM,30600084,HCHG NM CYSTOG W VOIDING,3349.0,3349.0,,,0
CDM,30600085,HCHG NM TESTICULAR W FLOW,2156.0,2156.0,,,0
CDM,30600086,HCHG NM RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,2555.0,2555.0,,,0
CDM,30600087,HCHG NM RP LOCTUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D,2716.0,2716.0,,,0
CDM,30600088,HCHG NM RP LOCTUM PLNR WHOLE BODY SINGLE DAY IMAGING,6051.0,6051.0,,,0
CDM,30600089,HCHG NM RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGIN,5048.0,5048.0,,,0
CDM,30600090,HCHG NM RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGIN,5601.0,5601.0,,,0
CDM,30600097,HCHG NM THERAPY ORAL ADMIN,2289.0,2289.0,,,0
CDM,30600098,HCHG NM THERAPY IV ADMIN,1822.0,1822.0,,,0
CDM,30600099,HCHG NM THERAPY INTRACAVITARY ADMIN,2010.0,2010.0,,,0
CDM,30600100,HCHG NM THERAPY MONOCLONAL AB IV INFUSION,2710.0,2710.0,,,0
CDM,30600102,HCHG RO SPECIAL MEDICAL RADIATION PHYSICS CONSULT,2476.0,2476.0,,,0
CDM,30600132,HCHG NM BRAIN FLOW ONLY,3603.0,3603.0,,,0
CDM,30600140,HCHG NM HEPATOBILIRY SYS IMAGE,3581.0,3581.0,,,0
CDM,30600141,HCHG NM HEPATO SYS IMAG W/DRUG,4107.0,4107.0,,,0
CDM,30600142,HCHG NM LUNG VENTILATION IMAGE,2310.0,2310.0,,,0
CDM,30600143,HCHG NM LUNG VENT&PERFUS IMAGE,4562.0,4562.0,,,0
CDM,30600144,HCHG NM LUNG PERFUSION DIFFERL,2153.0,2153.0,,,0
CDM,30600145,HCHG NM LUNG PERF&VENT DIFFERL,4083.0,4083.0,,,0
CDM,30600158,HCHG NM THYROID UPTAKE MEASUREMENT,1895.0,1895.0,,,0
CDM,30600159,HCHG NM THYROID IMAGING W/BLOOD FLOW,175.0,175.0,,,0
CDM,30600160,HCHG NM THYROID IMAGING W/BLD FLOW UPTAKE MEASURE,2319.0,2319.0,,,0
CDM,30600161,HCHG NM PARATHYROID PLANAR W/TOMOGRAPHIC (SPECT),4163.0,4163.0,,,0
CDM,30600162,HCHG NM PARATHYROID PLANAR W/SPECT & CT,3509.0,3509.0,,,0
CDM,30600166,HCHG GASTRIC EMPTYING IMAGING STUDY,4274.0,4274.0,,,0
CDM,30600169,HCHG NM RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMG,6242.0,6242.0,,,0
CDM,30600170,HCHG NM RP LOCLZ TUM SPECT 2AREA 1D IMG/1 AR IMG>2+D,3885.0,3885.0,,,0
CDM,30600171,HCHG NM RP LOCL TUM SPECT CT 2AR 1D IMG/1 AR IMG>2+D,8841.0,8841.0,,,0
CDM,30600172,HCHG NM RP QUANTIFICATION MEAS SINGLE AREA,1395.0,1395.0,,,0
CDM,30700005,HCHG RO SIMULATION SIMPLE,2924.0,2924.0,,,0
CDM,30700006,HCHG RO SIMULATION INTERMEDIATE,3154.0,3154.0,,,0
CDM,30700007,HCHG RO SIMULATION COMPLEX,5584.0,5584.0,,,0
CDM,30700008,HCHG RO 3D PLAN,12764.0,12764.0,,,0
CDM,30700009,HCHG RO BASIC DOSIMETRY CALCULATION,1523.0,1523.0,,,0
CDM,30700010,HCHG RO IMRT PLANNING,16949.0,16949.0,,,0
CDM,30700014,HCHG RO SPECIAL TELETHERAPY PORT PLAN,3099.0,3099.0,,,0
CDM,30700018,HCHG RO SPECIAL DOSIMETRY,1417.0,1417.0,,,0
CDM,30700019,HCHG RO TREATMENT DEVICE SIMPLE,1297.0,1297.0,,,0
CDM,30700020,HCHG RO TREATMENT DEVICE INTERMEDIATE,1648.0,1648.0,,,0
CDM,30700021,HCHG RO TREATMENT DEVICE COMPLEX,2951.0,2951.0,,,0
CDM,30700023,HCHG RO RESPIRATOR MOTION MGMT SIMUL,2480.0,2480.0,,,0
CDM,30700024,HCHG TELETHX ISODOSE PLAN SIMPLE,2099.0,2099.0,,,0
CDM,30700025,HCHG RO CONTINUING MEDICAL PHYSICS CONSULT WKLY,1828.0,1828.0,,,0
CDM,30700026,HCHG TELETHX ISODOSE PLAN CPLX,5643.0,5643.0,,,0
CDM,30700031,HCHG RO RADIATION TX DELIVERY LVL 1,1637.0,1637.0,,,0
CDM,30700035,HCHG RO RADIATION TX DELIVERY LVL 2,6187.0,6187.0,,,0
CDM,30700039,HCHG RO RADIATION TX DELIVERY LVL 3,8864.0,8864.0,,,0
CDM,30700043,HCHG RO PORT IMAGE(S),949.0,949.0,,,0
CDM,30700046,HCHG RO SPECIAL TREATMENT PROCEDURE,5046.0,5046.0,,,0
CDM,30700054,HCHG RO INTRSTITL RAD SRC APP CMPLX INC SUP HNDL LOAD,8023.0,8023.0,,,0
CDM,30700060,HCHG RO SOURCE HANDLING AND LOADING,513.0,513.0,,,0
CDM,30700061,HCHG RO LINEAR ACCELERATOR BASED FRACTIONATED SRS MAX 5,14886.0,14886.0,,,0
CDM,30700062,HCHG RO LINEAR ACCELERATOR BASED SRS,40789.0,40789.0,,,0
CDM,30700076,HCHG NM RO INTRA-ART RPHARM RX,2193.0,2193.0,,,0
CDM,30700083,HCHG RO DSIGN MLC DEV FOR IMRT,4708.0,4708.0,,,0
CDM,30700099,HCHG RO REF BREAST APPL PLACE/REMV,28929.0,28929.0,,,0
CDM,30700100,HCHG RO IO RAD TX DELIVERY BY X-RAY,3433.0,3433.0,,,0
CDM,30700106,HCHG PLACE BREAST CATH RAD,4261.0,4261.0,,,0
CDM,30700109,HCHG INS VAG BRACHYTX DEVCE,2976.0,2976.0,,,0
CDM,30700113,HCHG BRACHYTX ISODOSE PLAN SIMPLE,2178.0,2178.0,,,0
CDM,30700114,HCHG BRACHYTX ISODOSE INTERMED,3253.0,3253.0,,,0
CDM,30700115,HCHG BRACHYTX ISODOSE COMPLEX,7059.0,7059.0,,,0
CDM,30700116,HCHG NTSTY MODUL RAD TX DLVR SMPL,6646.0,6646.0,,,0
CDM,30700117,HCHG NTSTY MODUL RAD TX DLVR CPLX,7955.0,7955.0,,,0
CDM,30700118,HCHG GUIDANCE FOR RADIATION TX,1493.0,1493.0,,,0
CDM,30700122,HCHG RO HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHANNEL,8538.0,8538.0,,,0
CDM,30700123,HCHG RO HDR RDNCL NTRSTL/ICAV BRCHTX 2-12 CHANNELS,10188.0,10188.0,,,0
CDM,30700124,HCHG RO HDR RDNCL NTRSTL/ICAV BRCHTX >12 CHANNELS,19089.0,19089.0,,,0
CDM,30900003,HCHG CORNRY THROMB W/ASPIRATION OR EXTRAC CATHETER,9294.0,9294.0,,,0
CDM,30900005,HCHG PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,28817.0,28817.0,,,0
CDM,30900006,HCHG CA PRQ CARDIAC ANGIO ADDL ART,24337.0,24337.0,,,0
CDM,30900007,HCHG PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART&/BRNCH,53609.0,53609.0,,,0
CDM,30900008,HCHG CA PRQ CARD ANGIO/ATHRECT ADDL,4367.0,4367.0,,,0
CDM,30900009,HCHG PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,47101.0,47101.0,,,0
CDM,30900010,HCHG CA PRQ CARD STENT W/ANGIO ADDL,38229.0,38229.0,,,0
CDM,30900011,HCHG PERQ TRLUM C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,57972.0,57972.0,,,0
CDM,30900013,HCHG PERQ TRLUM REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,44625.0,44625.0,,,0
CDM,30900015,HCHG PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,45308.0,45308.0,,,0
CDM,30900016,HCHG PERQ TRLUML REVSC CHRNC TOT OCCL 1 C ART ANTGRD,48953.0,48953.0,,,0
CDM,30900018,HCHG CA COMPRE EP EVAL TX SVT,78332.0,78332.0,,,0
CDM,30900019,HCHG CA COMPRE EP EVAL TX VT,84918.0,84918.0,,,0
CDM,30900020,HCHG CA ABLATE ARRHYTHMIA ADD ON,29463.0,29463.0,,,0
CDM,30900021,HCHG CA COMPRE EP EVAL ABLTJ ATR FIB,90645.0,90645.0,,,0
CDM,30900022,HCHG CA TX L/R ATRIAL FIB ADDL,31029.0,31029.0,,,0
CDM,30900024,HCHG REPLACE AORTIC VALVE OPEN AXILARY ARTERY,15361.0,15361.0,,,0
CDM,30900025,HCHG REPLACE AORTIC VALVE OPEN FEMORAL ARTERY,78268.0,78268.0,,,0
CDM,30900026,HCHG REPLACE AORTIC VALVE PERQ FEMORAL ARTERY,58880.0,58880.0,,,0
CDM,30900027,HCHG REMOVAL PERQ L HRT VAD ARTL/ARTL&VEN SEP INSJ,2349.0,2349.0,,,0
CDM,30900029,HCHG INSERT VAD LEFT ARTERY ACCESS,30404.0,30404.0,,,0
CDM,30900036,HCHG MECH REMVL PERICATH OBST MATERIAL CV DVC,1479.0,1479.0,,,0
CDM,30900037,HCHG CV CATH MECH CLEAR,997.0,997.0,,,0
CDM,30900043,HCHG REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ,8249.0,8249.0,,,0
CDM,30900044,HCHG CA PERQ TRANSCATH CLOSURE PDA,16373.0,16373.0,,,0
CDM,30900045,HCHG CA PERQ TRANSCATH SEPTAL REDUXN,44114.0,44114.0,,,0
CDM,30900046,HCHG TRCATH REPLACE AORTIC VALVE,81672.0,81672.0,,,0
CDM,30900047,HCHG REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH,18225.0,18225.0,,,0
CDM,30900048,HCHG REPLACE AORTIC VALVE W/BYPASS PERC PA VENOUS CANN,6302.0,6302.0,,,0
CDM,30900058,HCHG XR CINE/VIDEO,2498.0,2498.0,,,0
CDM,30900064,HCHG CA PERQ BAL VALVULOPLASTY AORTIC,28864.0,28864.0,,,0
CDM,30900069,HCHG CA INSERT/PLACE FLOW DIRECTED CATH FOR MONITOR,6433.0,6433.0,,,0
CDM,30900070,HCHG CA BIOPSY ENDOMYOCARDIAL,9444.0,9444.0,,,0
CDM,30900078,HCHG CA HEART CATH RIGHT CONGENITAL ANOMALIES,12584.0,12584.0,,,0
CDM,30900079,HCHG CA HEART CATH RT/LT RETRO CONG CARDIAC ANOMOLIES,31732.0,31732.0,,,0
CDM,30900091,HCHG CA IV DOPPLER VELCTY/PRSSRE CORO ANGIO INIT VSL,6737.0,6737.0,,,0
CDM,30900092,HCHG CA INTRAVASCULAR DOPPLER W STRESS ADD VESS,3372.0,3372.0,,,0
CDM,30900093,HCHG CA ASD OR PFO CLOSURE WITH IMPLANT,51223.0,51223.0,,,0
CDM,30900094,HCHG CONGENTIAL VSD CLOSURE,50901.0,50901.0,,,0
CDM,30900097,HCHG HEART CATH WITH ILIAC ANGIOGRAPHY,5635.0,5635.0,,,0
CDM,30900101,HCHG PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,19401.0,19401.0,,,0
CDM,30900103,HCHG CA CORONARY THROMBOLYSIS INTRAVENOUS INFUSION,2484.0,2484.0,,,0
CDM,30900104,HCHG CA ENDOLUMINL IVUS OCT C 1ST,14262.0,14262.0,,,0
CDM,30900105,HCHG CA CA ENDOLUMINL IVUS OCT C EA,9888.0,9888.0,,,0
CDM,30900108,HCHG CA PERQ BAL VALVULOPLASTY MITRAL,19501.0,19501.0,,,0
CDM,30900109,HCHG CA PB VALVULOPLASTY PULMON VALVE,12582.0,12582.0,,,0
CDM,30900112,HCHG CA HEART CATH R AND L CONGENITAL ANOMALIES THR,36565.0,36565.0,,,0
CDM,30900113,HCHG CA BUNDLE OF HIS RECORDING,10506.0,10506.0,,,0
CDM,30900114,HCHG CA INTRA ARTERIAL RECORDING,2874.0,2874.0,,,0
CDM,30900115,HCHG CA RIGHT VENTRICULAR RECORDING,3154.0,3154.0,,,0
CDM,30900116,HCHG CA INTRAVENT/ART MAP TACHY SITE ID ORIG OF TACHY,15090.0,15090.0,,,0
CDM,30900118,HCHG CA INTRAVENTRICULAR PACING,4301.0,4301.0,,,0
CDM,30900119,HCHG CA INTRACARDIAC EP 3 DIMENSIONAL MAPPING,17806.0,17806.0,,,0
CDM,30900120,HCHG CA ESOPHAGEAL RECORDING ATRIAL ELECTROGRAM,744.0,744.0,,,0
CDM,30900122,HCHG CA INDUCTION ARRHYTHMIA BY ELECTRICAL PACING,7585.0,7585.0,,,0
CDM,30900123,HCHG CA COMP EP EVAL W RT A/V PCNG/HIS RCRD WO INDUCT,26865.0,26865.0,,,0
CDM,30900124,HCHG CA COMP EP EVAL W RT A/V PCNG/HIS RCRD W INDUCTN,29957.0,29957.0,,,0
CDM,30900125,HCHG CA COMP EP EVAL W LEFT ATRIAL PCNG/RECORD,15797.0,15797.0,,,0
CDM,30900126,HCHG CA COMP EP EVAL W LEFT VENT PCNG/RECORD,13438.0,13438.0,,,0
CDM,30900127,HCHG CA PROGRAMMED STIM/PACING AFTER IV DRUG INFUSION,13343.0,13343.0,,,0
CDM,30900128,HCHG CA EP FOLLOW UP STDY W PCNG/RECORD W INDCTN,7600.0,7600.0,,,0
CDM,30900129,HCHG CA EP EVAL ICD LEADS INITIAL IMPLANT/REPLACE,4452.0,4452.0,,,0
CDM,30900130,HCHG CA EP EVAL ICD LEADS/GEN INITIAL IMPLANT/REPLACE,7078.0,7078.0,,,0
CDM,30900131,HCHG CA EP EVAL SINGLE/DUAL TRNSVNS PAC CARD DEFIB,5803.0,5803.0,,,0
CDM,30900132,HCHG CA INTRACARD CATH ABLATION AV NODE FX/CONDUCTION,31879.0,31879.0,,,0
CDM,30900136,HCHG CA R&L HRT CA W/VENTRCL,37116.0,37116.0,,,0
CDM,30900137,HCHG CA CORNRY ARTRY ANGIO S&I,27999.0,27999.0,,,0
CDM,30900138,HCHG CA CORNRY ART/GRFT ANGIO,29893.0,29893.0,,,0
CDM,30900139,HCHG CA CORONRY ART ANGIO RHC,43888.0,43888.0,,,0
CDM,30900140,HCHG CA R HRT ART/GRFT ANGIO,46213.0,46213.0,,,0
CDM,30900141,HCHG CA CORONRY ART ANGIO LHC,39399.0,39399.0,,,0
CDM,30900142,HCHG CA L HRT ART/GRFT ANGIO,46421.0,46421.0,,,0
CDM,30900143,HCHG CA R&L ART/VENTRCL ANGIO,47393.0,47393.0,,,0
CDM,30900144,HCHG CA R&L ART/VENT ANGIO BYP,45969.0,45969.0,,,0
CDM,30900145,HCHG CA LFT CATH TRNSPTL PUNCT,20861.0,20861.0,,,0
CDM,30900146,HCHG CA INJ CONGENTL CARD CATH,2991.0,2991.0,,,0
CDM,30900148,HCHG CA INJ R VENTR/ARTL ANGIO,2977.0,2977.0,,,0
CDM,30900149,HCHG CA INJ SUPRVLV AORTOGRPHY,5479.0,5479.0,,,0
CDM,30900150,HCHG CA INJECT PULM HRT CATH,4373.0,4373.0,,,0
CDM,30900151,HCHG CA DRG ADM & HEMODYN MEAS,4105.0,4105.0,,,0
CDM,30900152,HCHG CA LT HRT CATH W/VENTGRHY,28551.0,28551.0,,,0
CDM,30900153,HCHG CA RIGHT HEART CATH,18918.0,18918.0,,,0
CDM,30900154,HCHG REM IAB ASIST DEV PRC,141.0,141.0,,,0
CDM,30900157,HCHG CA CARDIOASSIST INTERNAL,2664.0,2664.0,,,0
CDM,30900159,HCHG CA TILT TABLE TEST,4199.0,4199.0,,,0
CDM,30900161,HCHG CA PCR 1L INTG DV EV W RP,292.0,292.0,,,0
CDM,30900164,HCHG CA PC 1L INTG DV EV WO RP,292.0,292.0,,,0
CDM,30900165,HCHG INSERT PULSE GEN MULT LEADS,28861.0,28861.0,,,0
CDM,30900166,HCHG REMOVE&REPLACE PM GEN SINGL,31611.0,31611.0,,,0
CDM,30900167,HCHG REMV&REPLC PM GEN DUAL LEAD,33697.0,33697.0,,,0
CDM,30900168,HCHG REMV&REPLC PM GEN MULT LEADS,45589.0,45589.0,,,0
CDM,30900169,HCHG INSRT IMP DEFIB PULSE GEN ONLY W 2 LEADS,12654.0,12654.0,,,0
CDM,30900170,HCHG INSRT IMP DEFIB PULSE GEN ONLY W MULTI LEADS,115900.0,115900.0,,,0
CDM,30900171,HCHG REMOVE REPLACE IMP DEFIB PULS GEN SYS 1 LEAD,80378.0,80378.0,,,0
CDM,30900172,HCHG REMOVE REPLACE IMP DEFIB PULS GEN SYS DUAL LEAD,78628.0,78628.0,,,0
CDM,30900173,HCHG REMOVE REPLACE IMP DEFIB PULS GEN SYS MULT LEAD,86622.0,86622.0,,,0
CDM,30900174,HCHG CA PLACE RAD DEL DEVICE,10219.0,10219.0,,,0
CDM,30900175,HCHG CA TTE W-W/O FL W/CON COM,2559.0,2559.0,,,0
CDM,30900180,HCHG CA INJ L VENTR/ARTL ANGIO,2926.0,2926.0,,,0
CDM,30900187,HCHG CA EXERCISE STUDY W/MEASR,505.0,505.0,,,0
CDM,30900192,HCHG CA PERIOP IMP DEFIB DEVICE EVAL,448.0,448.0,,,0
CDM,30900193,HCHG PERC DRUG-EL COR STENT SING,46398.0,46398.0,,,0
CDM,30900194,HCHG PERC DRUG-EL COR STENT BRAN,33886.0,33886.0,,,0
CDM,30900195,HCHG PERC D-E COR STENT ATHER S,53998.0,53998.0,,,0
CDM,30900196,HCHG PERC D-E COR STENT ATHER BR,41471.0,41471.0,,,0
CDM,30900197,HCHG PERC D-E COR REVASC T CABG S,42981.0,42981.0,,,0
CDM,30900198,HCHG PERC D-E COR REVASC T CABG B,30577.0,30577.0,,,0
CDM,30900199,HCHG PERC D-E COR REVASC W AMI S,45050.0,45050.0,,,0
CDM,30900200,HCHG PERC D-E COR REVASC CHRO SIN,49767.0,49767.0,,,0
CDM,30900201,HCHG PERC D-E COR REVASC CHRO ADD,38451.0,38451.0,,,0
CDM,30900205,HCHG INS/REP SUBQ DEFIBRILLATOR,106893.0,106893.0,,,0
CDM,30900206,HCHG INSRT SUBQ IMPLANTABLE DEFIB ELECTRODE,28302.0,28302.0,,,0
CDM,30900207,HCHG RMVL SUBQ IMPLTBL DFB ELCTRD,7244.0,7244.0,,,0
CDM,30900212,HCHG REPAIR TCAT MITRAL VALVE IINITIAL PROSTH,53468.0,53468.0,,,0
CDM,30900213,HCHG REPAIR TCAT MITRAL VALVEA ADDL PROSTH,28049.0,28049.0,,,0
CDM,30900219,HCHG IFR CA IV DPPLR VELCTY/PRSSRE INIT VSL LIMITED,5115.0,5115.0,,,0
CDM,30900220,HCHG IFR CA IV DPPLR VELCTY/PRSSRE  ADDL VSLS LIMITED,3106.0,3106.0,,,0
CDM,30900223,HCHG ECMO/ECLS INITIATION VENOUS,16405.0,16405.0,,,0
CDM,30900224,HCHG ECMO/ECLS INITIATION ARTERY,17539.0,17539.0,,,0
CDM,30900229,HCHG PERQ TRANSCATH CLSR L ATR APNDGE,43773.0,43773.0,,,0
CDM,30900233,HCHG FRACTIONAL FLOW RESERVE EVAL OF CORONARY ARTERY,725.0,725.0,,,0
CDM,30900234,HCHG FLECAINIDE CHALLENGE,754.0,754.0,,,0
CDM,30900236,HCHG INTRACARDIAC ECHOCARDIOGRAPHY,8102.0,8102.0,,,0
CDM,30900237,HCHG ISUPREL INFUSION,754.0,754.0,,,0
CDM,30900241,HCHG RT HEART CATH IMPL PRESSURE SENSOR,84476.0,84476.0,,,0
CDM,30900242,HCHG BASILICA,15712.0,15712.0,,,0
CDM,30900244,"HCHG TAVR, OPEN CAROTID APPROACH",11066.0,11066.0,,,0
CDM,30900245,HCHG TTVR PERQ APPR 1ST PROSTH,53609.0,53609.0,,,0
CDM,30900246,HCHG TTVR PERQ EA ADDL PROSTH,27730.0,27730.0,,,0
CDM,30900249,HCHG TRANSCATH MITRL VALVE REPLACE,72379.0,72379.0,,,0
CDM,30900250,HCHG TRANSCATH TRICUS VALVE REPLACE,61059.0,61059.0,,,0
CDM,30900251,HCHG LAMPOON PROCEDURE,15712.0,15712.0,,,0
CDM,30900252,HCHG TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD,24257.0,24257.0,,,0
CDM,30900253,HCHG TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT,14370.0,14370.0,,,0
CDM,30900254,HCHG TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL,5655.0,5655.0,,,0
CDM,30900255,HCHG INSJ PERQ VAD W/RS&I R HEART VENOUS ACCESS ONLY,2032.0,2032.0,,,0
CDM,30900256,HCHG RMVL PERQ R HEART VAD VENOUS CANNULA SEP INSJ,1978.0,1978.0,,,0
CDM,30900257,HCHG TCAT RMVL/DBLK ICAR MAS PERQ,19949.0,19949.0,,,0
CDM,30900258,HCHG TTVI/RPLCMT W/PRSTC VLV PERQ,65515.0,65515.0,,,0
CDM,30900261,HCHG CA R HRT CATH CHD W/IMG NML NT CNJ,11094.0,11094.0,,,0
CDM,30900262,HCHG CA R HRT CATH CHD W/IMG ABNL NT CNJ,17486.0,17486.0,,,0
CDM,30900263,HCHG CA R&L HRT CATH CHD W/IMG CATH NML NT CNJ,28030.0,28030.0,,,0
CDM,30900265,HCHG CA TCAT PLMT&RMVL CEPD PERQ,28241.0,28241.0,,,0
CDM,30900267,HCHG CA CAR OUTP MEAS DRG CATH CHD,1975.0,1975.0,,,0
CDM,30900268,HCHG NON CONGENITAL ATRIAL SEPTOSTOMY,19534.0,19534.0,,,0
CDM,30900269,HCHG NON CONGENTIAL VSD CLOSURE,38128.0,38128.0,,,0
CDM,30900284,HCHG CA PERQ TRLUML CORONRY LITHOTRP,18927.0,18927.0,,,0
CDM,30900293,HCHG CA TCAT INS 1CHMBR LDLS PM RA,70315.0,70315.0,,,0
CDM,30900294,HCHG CA TCAT RMV 1CHMBR LDLS PM RA,11275.0,11275.0,,,0
CDM,30900297,HCHG CA TCAT INS 2CHMBR LDLS PM CMPL,95378.0,95378.0,,,0
CDM,30900298,HCHG CA TCAT INS 2CHMBR LDLS PM RA,105447.0,105447.0,,,0
CDM,30900299,HCHG CA TCAT INS 2CHMBR LDLS PM RV,77763.0,77763.0,,,0
CDM,30900302,HCHG CA TCAT RMVL 2CHMBR LDLS PM RV,13529.0,13529.0,,,0
CDM,30900304,HCHG CA TCAT RMV&RPL2CHMB LDLS PM RA,11275.0,11275.0,,,0
CDM,30900308,HCHG CA PRQ TCAT THER RX NTRAC BALO1,29951.0,29951.0,,,0
CDM,30900309,HCHG CA PRQ TCAT THR RX NTRC BAL SEP,24526.0,24526.0,,,0
CDM,30900310,HCHG TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT,23542.0,23542.0,,,0
CDM,30900311,HCHG TRANSCATHETER RENAL SYMPATH DENERVATION BILAT,35313.0,35313.0,,,0
CDM,30900314,HCHG TRANSCATHETER MYOTOMY (SESAME),39010.0,39010.0,,,0
CDM,32000000,HCHG CA TEMP TRANSCUTANEOUS PACING,2581.0,2581.0,,,0
CDM,32000001,HCHG CA CARDIOVERSION ELECTRIC EXTERNAL,4349.0,4349.0,,,0
CDM,32000002,HCHG CA CARDIOVERSION INTERNAL,4959.0,4959.0,,,0
CDM,32000003,HCHG EKG 12 LEAD TRACING ONLY,614.0,614.0,,,0
CDM,32000006,HCHG CA CARDIAC STRESS TEST,2345.0,2345.0,,,0
CDM,32000007,HCHG ERGONOVINE PROVOCATION TEST,1405.0,1405.0,,,0
CDM,32000008,HCHG EKG 1-3 LEAD TRACING ONLY,230.0,230.0,,,0
CDM,32000009,HCHG EKG UP TO 48HRS WITH SCANNING RECORDING,749.0,749.0,,,0
CDM,32000010,HCHG EKG UP TO 48 HRS WITH SCANNING ANALYSIS AND REPORT,947.0,947.0,,,0
CDM,32000013,HCHG EVENT MONITOR HOOK UP AND RECORDING/DISCONNECT,461.0,461.0,,,0
CDM,32000014,HCHG EXT PT ACTVTD ECG REC DWNLD UP TO 30 DAY 24H ATT,140.0,140.0,,,0
CDM,32000015,HCHG EKG SIGNAL AVERAGED,2419.0,2419.0,,,0
CDM,32000016,HCHG CA ECHO 2-D CONGENITAL ANOMALY COMPLETE,1469.0,1469.0,,,0
CDM,32000017,HCHG CA ECHO 2-D CONGENITAL ANOMALY LIMITED,979.0,979.0,,,0
CDM,32000018,HCHG CA ECHO 2-D COMPLETE,2776.0,2776.0,,,0
CDM,32000019,HCHG CA ECHO 2-D LIMITED,1923.0,1923.0,,,0
CDM,32000020,HCHG ECHO TRANSESOPHAGEAL,5451.0,5451.0,,,0
CDM,32000022,HCHG CA ECHO DOPPLER COMPLETE,1643.0,1643.0,,,0
CDM,32000023,HCHG CA ECHO DOPPLER LIMITED,1157.0,1157.0,,,0
CDM,32000024,HCHG CA ECHO DOPPLER COLOR FLOW,1256.0,1256.0,,,0
CDM,32000025,HCHG CA ECHO 2-D STRESS WO CON,4326.0,4326.0,,,0
CDM,32000026,HCHG CA PACEMAKER DUAL INTERROGAT WO REPROGRAMM,284.0,284.0,,,0
CDM,32000030,HCHG CA TRNSVNS ICD EVAL REPROGRAM 2 LEAD SYS,292.0,292.0,,,0
CDM,32000032,HCHG CA CPR,2909.0,2909.0,,,0
CDM,32000033,HCHG CA ECHO TRANSESOPHAGEAL CONGENITAL ANOMALY,5480.0,5480.0,,,0
CDM,32000034,HCHG ECHO TRANSESOPHAGEAL MONITORING,5606.0,5606.0,,,0
CDM,32000036,HCHG CA INTRACARDIAC ECHO DURING INTERVENTION,10070.0,10070.0,,,0
CDM,32000038,HCHG CA ELEC ANALYSIS ANTITACHYCARDIA PACEMAKER SYS,2314.0,2314.0,,,0
CDM,32000041,HCHG CA TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL,2635.0,2635.0,,,0
CDM,32000045,HCHG CA ECHO 2D COM TRNS W/CON,3595.0,3595.0,,,0
CDM,32000046,HCHG CA ECHO 2D LTD TRNS W/CON,2243.0,2243.0,,,0
CDM,32000047,HCHG CA ECHO 2D TEE W/CON,5279.0,5279.0,,,0
CDM,32000049,HCHG CA ECHO TEE W/CON MONTRNG,17432.0,17432.0,,,0
CDM,32000050,HCHG CA ECHO 2D W STRESS W/CON,4242.0,4242.0,,,0
CDM,32000074,HCHG CA TTE W/DOPPLER COMPLETE,4223.0,4223.0,,,0
CDM,32000075,HCHG CA ECHO TTE 2D W/WO M-MODE REST&STRS CONT ECG,4167.5,4167.5,,,0
CDM,32000077,HCHG CA TTE W OR W/O FOL W/CONTR DOPPLER,5934.0,5934.0,,,0
CDM,32000078,HCHG CA TTE W OR W/O CONTR CONT ECG,6498.0,6498.0,,,0
CDM,32000097,HCHG ECHO TEE 3D W/CON & REPORT DOPPLER,6639.0,6639.0,,,0
CDM,32000103,HCHG CA PERQ TRANSCATH CLS MITRAL,67884.0,67884.0,,,0
CDM,32000104,HCHG CA PERQ TRANSCATH CLS AORTIC,77327.0,77327.0,,,0
CDM,32000105,HCHG CA PERQ TRANSCATH CLOSURE EACH,24357.0,24357.0,,,0
CDM,32000107,HCHG CA HEARTFLOW FFRCT COR FFR DATA PREP & TRANSMIS,66.0,66.0,,,0
CDM,32000108,HCHG CA HEARTFLOW FFRCT COR FFR ALYS & GNRJ FFR MDL,5700.0,5700.0,,,0
CDM,32000113,HCHG MYOCRD STRAIN IMG SPCKL TRCK,1025.0,1025.0,,,0
CDM,32000114,HCHG EXTERNAL ECG REC>48HR<7D RECORDING,269.0,269.0,,,0
CDM,32000116,HCHG EXTERNAL ECG REC>7D<15D RECORDING,402.0,402.0,,,0
CDM,32000119,HCHG CA 3D ECHO IMG TEE/TTE CGEN CAR ANOMAL,1357.0,1357.0,,,0
CDM,32000121,HCHG CTA N-INVAS EST C FFR SW ALY CTA,5761.0,5761.0,,,0
CDM,32100003,HCHG CARDIAC REHAB WO EKG,394.0,394.0,,,0
CDM,32100004,HCHG S-PAY CARDIAC REHAB PHASE 3 ORIENTATION,26.0,26.0,,,0
CDM,32100006,HCHG CARDIAC REHAB W CONT MONITORING EA SESSION,465.0,465.0,,,0
CDM,32100007,HCHG SMOKING CESSATION COUNSELING 3-10 M,133.0,133.0,,,0
CDM,32100008,HCHG SMOKING CESSATION COUNSELING >10 M,159.0,159.0,,,0
CDM,33000000,HCHG VENT MANAGEMENT INITIAL HF,5784.0,5784.0,,,0
CDM,33000002,HCHG VENT MANAGEMENT INITIAL ADULT,5784.0,5784.0,,,0
CDM,33000003,HCHG VENT MANAGEMENT INITIAL NEO/PEDS,5784.0,5784.0,,,0
CDM,33000004,HCHG VENT MANAGEMENT SUBSEQUENT HF,4298.0,4298.0,,,0
CDM,33000005,HCHG VENT MANAGEMENT SUBSEQUENT NEO/PEDS,4298.0,4298.0,,,0
CDM,33000007,HCHG VENT MANAGEMENT SUBSEQUENT ADULT,4298.0,4298.0,,,0
CDM,33000008,HCHG IPPB TREATMENT SUBSEQUENT,685.0,685.0,,,0
CDM,33000009,HCHG IPV TREATMENT SUBSEQUENT,685.0,685.0,,,0
CDM,33000010,HCHG AIRWAY INHALATION TREATMENT,685.0,685.0,,,0
CDM,33000011,HCHG CONTINUOUS BREATHING TREATMENT 1ST HOUR,690.0,690.0,,,0
CDM,33000012,HCHG BIPAP/CPAP/AVAPS SUBSEQUENT DAY,2733.0,2733.0,,,0
CDM,33000013,HCHG BIPAP/CPAP/AVAPS INITIAL DAY,2733.0,2733.0,,,0
CDM,33000014,HCHG VENT MANAGEMENT CNP INITIAL DAY,8255.0,8255.0,,,0
CDM,33000015,HCHG IPV TREATMENT DEMO/EVAL,555.0,555.0,,,0
CDM,33000016,HCHG CHEST PHYSIOTHERAPY INITIAL,418.0,418.0,,,0
CDM,33000017,HCHG CHEST PHYSIOTHERAPY SUBSEQUENT,350.0,350.0,,,0
CDM,33000019,HCHG THERAPEUTIC PROCEDURE STRENGTH/ENDURANCE 15MIN,188.0,188.0,,,0
CDM,33000020,HCHG THERAPEUTIC PROCEDURE RESPIRATORY FUNCTION 15MIN,191.0,191.0,,,0
CDM,33000021,HCHG THERAPEUTIC PROCEDURE RESPIRATORY FUNCTION GROUP,313.0,313.0,,,0
CDM,33000022,HCHG PENTAMIDINE NEBULIZATION TX,409.0,409.0,,,0
CDM,33000023,HCHG AEROSOL TREATMENT DEMO/EVAL,555.0,555.0,,,0
CDM,33000025,HCHG IPPB TREATMENT DEMO/EVAL,555.0,555.0,,,0
CDM,33000026,HCHG MDI/NEB DEMO/EVAL,555.0,555.0,,,0
CDM,33000027,HCHG AEROSOL TREATMENT SUBSEQUENT,685.0,685.0,,,0
CDM,33000028,HCHG CONTINUOUS BREATHING TREATMENT EACH ADDITIONAL HOUR,373.0,373.0,,,0
CDM,33000029,HCHG SUCTION NASOTRACHEAL,423.0,423.0,,,0
CDM,33000030,HCHG MDI/NEBULIZER TREATMENT SUBSEQUENT,685.0,685.0,,,0
CDM,33000031,HCHG VENT MANAGEMENT CNP SUBSEQUENT DAY,8255.0,8255.0,,,0
CDM,33000032,HCHG SURFACTANT ADMN THRU TUBE,427.0,427.0,,,0
CDM,33000034,HCHG PLETHYSMOGRAPHY LUNG VOL,992.0,992.0,,,0
CDM,33000037,HCHG CAR SEAT/BED TEST 60 MIN,746.0,746.0,,,0
CDM,33000038,HCHG CAR SEAT/BED TEST +30 MIN,329.0,329.0,,,0
CDM,33000039,HCHG GASTROESOPH REFLUX TEST,3840.0,3840.0,,,0
CDM,33000042,HCHG MECHANICAL CHEST WALL OSCILL,502.0,502.0,,,0
CDM,33000044,HCHG EXERCISE TEST BRNCSPSM W/ ECG,632.0,632.0,,,0
CDM,33000045,HCHG PULMONARY STRESS TEST/6 MINUTE WALK,662.0,662.0,,,0
CDM,33000046,HCHG PEP THERAPY,555.0,555.0,,,0
CDM,33000047,HCHG COUGH ASSIST,308.0,308.0,,,0
CDM,33000049,HCHG EXERCISE TEST BRNCSPSM W/O ECG,204.0,204.0,,,0
CDM,33050000,HCHG SPIROMETRY,653.0,653.0,,,0
CDM,33050001,HCHG SPIROMETRY PRE AND POST BRONCHODILATOR,1449.0,1449.0,,,0
CDM,33050002,HCHG BRONCHIAL PROVOCATION,1709.0,1709.0,,,0
CDM,33050003,HCHG VITAL CAPACITY,243.0,243.0,,,0
CDM,33050004,HCHG MAXIMAL VOLUNTARY VENTILATION,312.0,312.0,,,0
CDM,33050009,HCHG RESPIRATORY FLOW VOLUME LOOP,750.0,750.0,,,0
CDM,33050010,HCHG HYPOXIC RESPONSE CURVE,3903.0,3903.0,,,0
CDM,33050011,HCHG HIGH ALTITUDE SIMULATION,788.0,788.0,,,0
CDM,33050012,HCHG HIGH ALTITUDE SIMULATION WITH O2 TITRATE,804.0,804.0,,,0
CDM,33050014,HCHG CARDIOPULM EXERCISE TESTING,2115.0,2115.0,,,0
CDM,33050016,HCHG OXYGEN UPTAKE STUDY COMPLEX,989.0,989.0,,,0
CDM,33050017,HCHG OXYGEN UPTAKE REST,103.0,103.0,,,0
CDM,33050018,HCHG CO DIFFUSING CAPACITY,775.0,775.0,,,0
CDM,33050031,HCHG DX BRONCHOSCOPE/LAVAGE,8295.0,8295.0,,,0
CDM,33050033,HCHG ARTERIAL PUNCTURE,361.0,361.0,,,0
CDM,33050035,HCHG PULMONARY REHAB W EXER,473.0,473.0,,,0
CDM,33050036,HCHG AEROSOL TX INITIAL,685.0,685.0,,,0
CDM,33050037,HCHG IPPB TX INITIAL,685.0,685.0,,,0
CDM,33050038,HCHG IPV INITIAL,685.0,685.0,,,0
CDM,33050039,HCHG MDI/NEB INITIAL,685.0,685.0,,,0
CDM,33050044,HCHG PHY/QHP OP PULM RHB W/O MNTR,473.0,473.0,,,0
CDM,33050048,HCHG EXHALED NITRIC OXIDE MEAS,340.0,340.0,,,0
CDM,33050049,HCHG BRONCHOSCOPY CA NAVGATION,8536.0,8536.0,,,0
CDM,33050064,HCHG PHY/QHP OP PULM RHB W/MNTR,473.0,473.0,,,0
CDM,35000002,HCHG SLEEP STUDY UNATTENDED,875.0,875.0,,,0
CDM,35000006,HCHG EEG EXTEND MONITORING 41-60 MIN,2466.0,2466.0,,,0
CDM,35000007,HCHG EEG 61-119 MIN,2482.0,2482.0,,,0
CDM,35000008,HCHG EEG AWAKE AND DROWSY RECORDS 20-40 MIN,2159.0,2159.0,,,0
CDM,35000009,HCHG EEG AWAKE AND ASLEEP RECORDS 20-40 MIN,2327.0,2327.0,,,0
CDM,35000010,HCHG EEG SLEEP COMA RECORDS 20-40 MIN,2785.0,2785.0,,,0
CDM,35000011,HCHG EEG CEREBRAL DEATH EVALUATION,2567.0,2567.0,,,0
CDM,35000012,HCHG ELECTROCORTICOGRAM SURGERY,2106.0,2106.0,,,0
CDM,35000013,HCHG SPHENOID ELECTRODE INSERTION FOR EEG,549.0,549.0,,,0
CDM,35000014,HCHG TENSILON TEST FOR MYASTHENIA GRAVIS,1059.0,1059.0,,,0
CDM,35000015,HCHG EMG 1 EXTREMITY,337.0,337.0,,,0
CDM,35000016,HCHG EMG 2 EXTREMITIES,534.0,534.0,,,0
CDM,35000017,HCHG EMG 3 EXTREMITIES,1832.0,1832.0,,,0
CDM,35000018,HCHG EMG 4 EXTREMITIES,470.0,470.0,,,0
CDM,35000019,HCHG EMG CRANIAL NERVE MUSCLE UNILATERAL,4005.0,4005.0,,,0
CDM,35000021,HCHG EMG THORACIC PARASPINAL MUSCLE,92.0,92.0,,,0
CDM,35000022,HCHG EMG LIMITED STUDY,423.0,423.0,,,0
CDM,35000029,HCHG SEP UPPER LIMBS BILATERAL,6853.0,6853.0,,,0
CDM,35000035,HCHG EEG DURING SURGERY,2404.0,2404.0,,,0
CDM,35000037,HCHG WADA ACTIVATION TEST,4247.0,4247.0,,,0
CDM,35000038,HCHG FUNCTIONAL CORTICAL MAPPING EACH ADDITIONAL HOUR,4245.0,4245.0,,,0
CDM,35000039,HCHG SEP LOWER LIMBS BILATERAL,5486.0,5486.0,,,0
CDM,35000040,HCHG VISUAL EP TEST CNS,1169.0,1169.0,,,0
CDM,35000041,HCHG NEUROMUSCULAR JUNCTION TESTING EACH NERVE,528.0,528.0,,,0
CDM,35000045,HCHG REFILLING MAINTENANCE OF IMPLANTABLE PUMP SPINAL O,857.0,857.0,,,0
CDM,35000046,HCHG SEP LOWER LIMBS UNILATERAL,5486.0,5486.0,,,0
CDM,35000049,HCHG MUSC TST DONE W/NERV TST LIM,350.0,350.0,,,0
CDM,35000050,HCHG MUSC TEST DONE W/N TEST COMP,406.0,406.0,,,0
CDM,35000051,HCHG MUSC TST DONE W/N TST NONEXT,449.0,449.0,,,0
CDM,35000052,HCHG SOMATOSENSORY TESTING BI,2432.0,2432.0,,,0
CDM,35000054,HCHG C MOTOR EVOKED UPR&LWR LIMBS,2074.0,2074.0,,,0
CDM,35000055,HCHG SEP TRUNK/HEAD,2961.0,2961.0,,,0
CDM,35000056,HCHG EMG ANAL/URETHRAL SPHNCTR,1729.0,1729.0,,,0
CDM,35000058,HCHG ANS FCN SUDOMOTOR,438.0,438.0,,,0
CDM,35000059,HCHG C MOTOR EVOKED UPPR LIMBS,1171.0,1171.0,,,0
CDM,35000060,"HCHG C MOTOR EVOKED, LWR LIMBS",1636.0,1636.0,,,0
CDM,35000061,HCHG ELCTRDE STIM BRAIN 1ST HR ( > 31 MIN),3362.0,3362.0,,,0
CDM,35000065,HCHG MOTOR&/SENS 1-2 NRV CNDJ TST,208.0,208.0,,,0
CDM,35000066,HCHG MOTOR&/SENS 3-4 NRV CNDJ TST,261.0,261.0,,,0
CDM,35000067,HCHG MOTOR&/SENS 5-6 NRV CNDJ TST,314.0,314.0,,,0
CDM,35000068,HCHG MOTOR&SENS 7-8 NRV CNDJ TEST,368.0,368.0,,,0
CDM,35000069,HCHG MOTOR&SEN 9-10 NRV CNDJ TEST,421.0,421.0,,,0
CDM,35000070,HCHG MOTOR&SEN 11-12 NRV CND TEST,474.0,474.0,,,0
CDM,35000071,HCHG MOTOR&SENS 13/> NRV CND TEST,527.0,527.0,,,0
CDM,35000073,HCHG IONM IN OPERATNG ROOM EA 15 MIN,1093.0,1093.0,,,0
CDM,35000074,HCHG IONM REMOTE>1 PT OR PER HR,7821.0,7821.0,,,0
CDM,35000098,HCHG EEG W/O VID 2-12 HR UNMNTR,3674.0,3674.0,,,0
CDM,35000099,HCHG EEG WO VID 2-12HR INTMT MNTR,4064.0,4064.0,,,0
CDM,35000100,HCHG EEG W/O VID 2-12HR CONT MNTR,1323.0,1323.0,,,0
CDM,35000101,HCHG EEG WO VID EA 12-26HR UNMNTR,3408.0,3408.0,,,0
CDM,35000102,HCHG EEG W/O VID EA 12-26HR INTMT,7774.0,7774.0,,,0
CDM,35000103,HCHG EEG W/O VID EA 12-26HR CONT,6836.0,6836.0,,,0
CDM,35000104,HCHG VEEG 2-12 HR UNMONITORED,1560.0,1560.0,,,0
CDM,35000105,HCHG VEEG 2-12 HR INTMT MNTR,2463.0,2463.0,,,0
CDM,35000106,HCHG VEEG 2-12 HR CONT MNTR,3190.0,3190.0,,,0
CDM,35000107,HCHG VEEG EA 12-26 HR UNMNTR,2971.0,2971.0,,,0
CDM,35000108,HCHG VEEG EA 12-26HR INTMT MNTR,4721.0,4721.0,,,0
CDM,35000109,HCHG VEEG EA 12-26HR CONT MNTR,7418.0,7418.0,,,0
CDM,35000110,HCHG LTM EEG SET-UP,1182.0,1182.0,,,0
CDM,35000123,HCHG LTM EEG SETUP-NON-TECH OR W/PT PLCD ELCTRDE,798.0,798.0,,,0
CDM,39300000,HCHG MRI CARD MRI VEL FLW MAP,955.0,955.0,,,0
CDM,40900003,HCHG CORE UREA NITROGEN URINE TIMED,182.0,182.0,,,0
CDM,40900007,HCHG CORE URIC ACID UR RAN,131.0,131.0,,,0
CDM,40900010,HCHG CORE ALLERGEN SPECIFIC IGE QN/SEMI CRUDE EXT,78.0,78.0,,,0
CDM,40900011,HCHG CORE ALPH 1 ANTITRYPSN,111.0,111.0,,,0
CDM,40900012,HCHG CORE APOLIPOPROTEIN B,224.0,224.0,,,0
CDM,40900013,HCHG CORE APOLIPOPROTEIN A1,224.0,224.0,,,0
CDM,40900014,HCHG CORE NATRIURETIC PEPTIDE,601.0,601.0,,,0
CDM,40900015,HCHG CORE CHOLESTEROL,119.0,119.0,,,0
CDM,40900017,HCHG CORE PHENYTOIN FREE,488.0,488.0,,,0
CDM,40900018,HCHG CORE HDL CHOLESTEROL,136.0,136.0,,,0
CDM,40900020,HCHG CORE LDL DIRECT MSR,129.0,129.0,,,0
CDM,40900021,HCHG CORE ASSY TST BLD FCL,121.0,121.0,,,0
CDM,40900022,HCHG CORE RUBEOLA AB IGG,105.0,105.0,,,0
CDM,40900023,HCHG CORE RUBEOLA AB IGM,105.0,105.0,,,0
CDM,40900024,HCHG CORE TB TST CELL IMM MS,832.0,832.0,,,0
CDM,40900025,HCHG CORE TRIGLYCERIDE,162.0,162.0,,,0
CDM,40900026,HCHG CORE PROTN ELECTRO UR,129.0,129.0,,,0
CDM,40900027,HCHG CORE VZV AB IGG,115.0,115.0,,,0
CDM,40900028,HCHG CORE VZV AB IGM,111.0,111.0,,,0
CDM,40900031,HCHG CORE HEPARIN ASSAY,478.0,478.0,,,0
CDM,40900032,HCHG CORE FCTR V,334.0,334.0,,,0
CDM,40900033,HCHG CORE FCTR II,302.0,302.0,,,0
CDM,40900034,HCHG CORE FCTR IX,394.0,394.0,,,0
CDM,40900035,HCHG CORE FCTR VIII,143.0,143.0,,,0
CDM,40900036,HCHG CORE FCTR VII,394.0,394.0,,,0
CDM,40900037,HCHG CORE FCTR X,447.0,447.0,,,0
CDM,40900038,HCHG CORE FCTR XI,322.0,322.0,,,0
CDM,40900039,HCHG CORE FCTR XII,262.0,262.0,,,0
CDM,40900040,HCHG CORE HIV 1 RNA QN PCR W/WO REVRS TRNSCRP,572.0,572.0,,,0
CDM,40900041,HCHG CORE PROTEIN S ACTIVITY,122.0,122.0,,,0
CDM,40900042,HCHG CORE VITAMIN D 25HYDROXY,277.0,277.0,,,0
CDM,40900043,HCHG CORE PREALBUMIN,230.0,230.0,,,0
CDM,40900044,HCHG CORE PROTEIN C ACTIVATED,311.0,311.0,,,0
CDM,40900045,HCHG CORE CARDIOLIPIN IGA AB,26.0,26.0,,,0
CDM,40900046,HCHG CORE CARDIOLIPIN IGG AB,26.0,26.0,,,0
CDM,40900047,HCHG CORE CARDIOLIPIN IGM AB,26.0,26.0,,,0
CDM,40900048,HCHG CORE C REACTIVE PROTEIN,177.0,177.0,,,0
CDM,40900049,HCHG CORE DHEA SULFATE,102.0,102.0,,,0
CDM,40900050,HCHG CORE ERYTHROPOIETIN,251.0,251.0,,,0
CDM,40900051,HCHG CORE BETA HCG QUAN,395.0,395.0,,,0
CDM,40900052,HCHG CORE INSULIN,210.0,210.0,,,0
CDM,40900053,HCHG CORE PROTEIN C ACTIVITY,111.0,111.0,,,0
CDM,40900055,HCHG CORE HEP C VIRUS PCR QN W/WO REV TRNS,432.0,432.0,,,0
CDM,40900056,HCHG CORE C DIFF AMPLIFIED PROBE,421.0,421.0,,,0
CDM,40900058,HCHG CORE CAMPY ID BY IMMUNOASSAY,208.0,208.0,,,0
CDM,40900060,HCHG CORE CULT TYP FLUROSCENT,103.0,103.0,,,0
CDM,40900061,HCHG CORE MUMPS AB IGG,140.0,140.0,,,0
CDM,40900062,HCHG CORE TESTOSTERONE TOTAL,141.0,141.0,,,0
CDM,40900063,HCHG CORE SODIUM FLD,42.0,42.0,,,0
CDM,40900065,HCHG CORE DRUG SCREEN CLASS LIST A,781.0,781.0,,,0
CDM,40900067,HCHG CORE CFTR GENE COMMON VARIANTS,256.0,256.0,,,0
CDM,40900076,HCHG CORE IGE,185.0,185.0,,,0
CDM,40900077,HCHG CORE SEX HORMONE BIND GLOB,184.0,184.0,,,0
CDM,40900078,HCHG CORE F2 GENE ANALYSIS 20210G>A,201.0,201.0,,,0
CDM,40900079,HCHG CORE F5 GENE ANALYSIS LEIDEN,301.0,301.0,,,0
CDM,40900080,HCHG CORE MTHFR GENE,477.0,477.0,,,0
CDM,40900081,HCHG CORE RESP VIRUS 3-5 TARGETS,455.5,455.5,,,0
CDM,40900082,HCHG CORE RESP VIRUS 6-11 TARGETS,920.0,920.0,,,0
CDM,40900083,HCHG CORE RESP VIRUS 12-25 TARGETS,1324.0,1324.0,,,0
CDM,40900084,HCHG CORE CHLORIDE FLD,127.0,127.0,,,0
CDM,40900085,HCHG CORE AFB ISOLATE ID,107.0,107.0,,,0
CDM,40900086,HCHG CORE TISSUE HOMOGENIZATION,132.0,132.0,,,0
CDM,40900087,HCHG CORE CULT TYP AGGL,118.0,118.0,,,0
CDM,40900088,HCHG CORE ALBUMIN OTHER SOURCE QN EA,132.0,132.0,,,0
CDM,40900090,HCHG CORE KETONES QUANTITATIVE,245.0,245.0,,,0
CDM,40900094,HCHG CORE OVA & PARASITES W CONC,46.0,46.0,,,0
CDM,40900095,HCHG CORE CULT STL CAMPHYLOB EA PLT,147.0,147.0,,,0
CDM,40900096,HCHG CORE BLOOD TYPE SEROLOGIC ANTGN DONOR EA,156.0,156.0,,,0
CDM,40900097,HCHG CORE RETICYTE/HGB CONCENTRATE,51.0,51.0,,,0
CDM,40900099,HCHG CORE FCTR XA AB CHROMGN,488.0,488.0,,,0
CDM,40900102,HCHG CORE B-P PERTUSSIS DNA QUL PCR,451.0,451.0,,,0
CDM,40900103,HCHG CORE PSA TOTAL DIAGNOSTIC,242.0,242.0,,,0
CDM,40900104,HCHG CORE AFB CULT,168.0,168.0,,,0
CDM,40900105,HCHG CORE AFP TUMOR MARKER,176.0,176.0,,,0
CDM,40900106,HCHG CORE ALBUMIN SERUM/PLASMA/BLD,103.0,103.0,,,0
CDM,40900107,HCHG CORE AST (SGOT),114.0,114.0,,,0
CDM,40900108,HCHG CORE ALT (SGPT),112.0,112.0,,,0
CDM,40900109,HCHG CORE ALK PHOSPHATASE,94.0,94.0,,,0
CDM,40900110,HCHG CORE ANA (ANTI NUCLEAR AB),101.5,101.5,,,0
CDM,40900111,HCHG CORE ANA TTR,218.0,218.0,,,0
CDM,40900112,HCHG CORE ASO SCRN,104.0,104.0,,,0
CDM,40900113,HCHG CORE AT3 ACTIVITY,106.0,106.0,,,0
CDM,40900114,HCHG CORE MICROSOMAL AB,110.0,110.0,,,0
CDM,40900115,HCHG CORE VITAMIN B12,228.0,228.0,,,0
CDM,40900116,HCHG CORE BETA2 MICROGLOBULIN,182.0,182.0,,,0
CDM,40900117,HCHG CORE BILIRUBIN DIRECT,145.0,145.0,,,0
CDM,40900118,HCHG CORE BILIRUBIN TOTAL,123.0,123.0,,,0
CDM,40900119,HCHG CORE BASIC METBLC PNL TOTAL CA,346.5,346.5,,,0
CDM,40900120,HCHG CORE UREA NITROGEN QUANTITATIVE,106.0,106.0,,,0
CDM,40900121,HCHG CORE COMPLEMENT C4,94.0,94.0,,,0
CDM,40900122,HCHG CORE COMPLEMENT C3,94.0,94.0,,,0
CDM,40900123,HCHG CORE CA 125,273.0,273.0,,,0
CDM,40900124,HCHG CORE CA 15 3 (27.29),192.0,192.0,,,0
CDM,40900125,HCHG CORE CA 19 9,224.0,224.0,,,0
CDM,40900127,HCHG CORE CALCIUM,112.0,112.0,,,0
CDM,40900128,HCHG CORE CEA,286.0,286.0,,,0
CDM,40900129,HCHG CORE CERULOPLASMIN,133.0,133.0,,,0
CDM,40900130,HCHG CORE CHLAMYDIA TRACH AMP PRB,261.0,261.0,,,0
CDM,40900131,HCHG CORE GC AMP PRB,285.0,285.0,,,0
CDM,40900133,HCHG CORE COMPR MET PNL,428.5,428.5,,,0
CDM,40900134,HCHG CORE CENTROMERE AB,139.0,139.0,,,0
CDM,40900135,HCHG CORE CREATININE,117.0,117.0,,,0
CDM,40900136,HCHG CORE C REACTIVE PROTEIN HS,227.0,227.0,,,0
CDM,40900137,HCHG CORE CYCLOSPORINE,246.0,246.0,,,0
CDM,40900141,HCHG CORE ANTI DNA DBL STRAND,116.0,116.0,,,0
CDM,40900143,HCHG CORE EBV AB EARLY AG,166.0,166.0,,,0
CDM,40900144,HCHG CORE EBV VCA AB IGG,95.0,95.0,,,0
CDM,40900145,HCHG CORE EBV VCA AB IGM,95.0,95.0,,,0
CDM,40900146,HCHG CORE EBV AB EBNA,115.0,115.0,,,0
CDM,40900147,HCHG CORE IRON,140.0,140.0,,,0
CDM,40900148,HCHG CORE FERRITIN,256.0,256.0,,,0
CDM,40900149,HCHG CORE TACROLIMUS (FK506),152.0,152.0,,,0
CDM,40900150,HCHG CORE FOLATE,231.0,231.0,,,0
CDM,40900151,HCHG CORE T3 FREE,226.0,226.0,,,0
CDM,40900152,HCHG CORE GIARDIA AG EIA,161.0,161.0,,,0
CDM,40900153,HCHG CORE GGT,143.0,143.0,,,0
CDM,40900154,HCHG CORE GLUCOSE,114.0,114.0,,,0
CDM,40900155,HCHG CORE H PYLORI STL EIA,225.0,225.0,,,0
CDM,40900156,HCHG CORE HAPTOGLOBIN QN,183.0,183.0,,,0
CDM,40900157,HCHG CORE HOMOCYSTINE,318.0,318.0,,,0
CDM,40900161,HCHG CORE CULT HERPES,225.0,225.0,,,0
CDM,40900162,HCHG CORE IMMUNOFIX SER,185.0,185.0,,,0
CDM,40900163,HCHG CORE IGG,75.0,75.0,,,0
CDM,40900164,HCHG CORE IGF-1,161.0,161.0,,,0
CDM,40900165,HCHG CORE IGFBP 3,354.0,354.0,,,0
CDM,40900166,HCHG CORE IGA,75.0,75.0,,,0
CDM,40900168,HCHG CORE JO 1 AB,139.0,139.0,,,0
CDM,40900169,HCHG CORE POTASSIUM,155.0,155.0,,,0
CDM,40900170,HCHG CORE LDH,157.0,157.0,,,0
CDM,40900171,HCHG CORE LIPID PNL,343.0,343.0,,,0
CDM,40900173,HCHG CORE RUSSELL VIPER VENOM DILU,68.0,68.0,,,0
CDM,40900174,HCHG CORE MAGNESIUM,219.0,219.0,,,0
CDM,40900175,HCHG CORE MR STAPH DNA AMP PROBE,483.0,483.0,,,0
CDM,40900176,HCHG CORE SODIUM,119.0,119.0,,,0
CDM,40900177,HCHG CORE CRYPTOSPORIDIUM AG EIA,124.0,124.0,,,0
CDM,40900178,HCHG CORE PHOSPHORUS (PO4),142.0,142.0,,,0
CDM,40900179,HCHG CORE PSA FREE,252.0,252.0,,,0
CDM,40900180,HCHG CORE RHEUMATOID FCTR QN,79.0,79.0,,,0
CDM,40900181,HCHG CORE RENAL FUNCTION PNL,275.0,275.0,,,0
CDM,40900182,HCHG CORE RPR NON-TREPNML AB QL,101.0,101.0,,,0
CDM,40900183,HCHG CORE RPR TTR NON-TREPNML AB QN,18.0,18.0,,,0
CDM,40900184,HCHG CORE RUBELLA AB,123.0,123.0,,,0
CDM,40900185,HCHG CORE SCL 70 AB,139.0,139.0,,,0
CDM,40900186,HCHG CORE SICKLE CL SCRN,46.0,46.0,,,0
CDM,40900187,HCHG CORE SMITH AB,139.0,139.0,,,0
CDM,40900188,HCHG CORE PROTEIN ELECTRO SER,101.0,101.0,,,0
CDM,40900189,HCHG CORE RO(SS A) AB,139.0,139.0,,,0
CDM,40900190,HCHG CORE LA (SS B) AB,139.0,139.0,,,0
CDM,40900191,HCHG CORE T3 TOTAL,191.0,191.0,,,0
CDM,40900192,HCHG CORE THYROXINE (T4),123.0,123.0,,,0
CDM,40900193,HCHG CORE FREE T4,231.0,231.0,,,0
CDM,40900194,HCHG CORE T LYMPH CD4 (HELPER) CNT,842.0,842.0,,,0
CDM,40900195,HCHG CORE THYROGLOBULIN AB,115.0,115.0,,,0
CDM,40900196,HCHG CORE THYROGLOBULIN,166.0,166.0,,,0
CDM,40900197,HCHG CORE IRON BINDING CAPACITY,143.0,143.0,,,0
CDM,40900198,HCHG CORE TOBRAMYCIN TR,323.0,323.0,,,0
CDM,40900201,HCHG CORE TOXOPLAS AB,119.0,119.0,,,0
CDM,40900202,HCHG CORE TOXOPLAS AB IGM,287.0,287.0,,,0
CDM,40900203,HCHG CORE PROTEIN TOTAL BLOOD,56.0,56.0,,,0
CDM,40900204,HCHG CORE CULT TYP BY NA PRB DPT EA,226.0,226.0,,,0
CDM,40900205,HCHG CORE TSH,313.0,313.0,,,0
CDM,40900206,HCHG CORE MICROALBUMIN UR RAN,113.0,113.0,,,0
CDM,40900207,HCHG CORE CREATININE UR RAN,126.0,126.0,,,0
CDM,40900208,HCHG CORE AMYLASE UR RAN,220.0,220.0,,,0
CDM,40900209,HCHG CORE AMYLASE,220.0,220.0,,,0
CDM,40900210,HCHG CORE CALCIUM UR RAN,123.0,123.0,,,0
CDM,40900211,HCHG CORE CALCIUM UR 24HR,123.0,123.0,,,0
CDM,40900212,HCHG CORE CHLORIDE URINE,176.0,176.0,,,0
CDM,40900214,HCHG CORE CREATININE UR 24HR,126.0,126.0,,,0
CDM,40900215,HCHG CORE SMR FLUOR + OR ACID FAST,157.0,157.0,,,0
CDM,40900216,HCHG CORE GLUCOSE UR RAN,166.0,166.0,,,0
CDM,40900217,HCHG CORE GLUCOSE UR 24HR,180.0,180.0,,,0
CDM,40900218,HCHG CORE IMMUNOFIX UR,308.0,308.0,,,0
CDM,40900219,HCHG CORE POTASSIUM UR RAN,142.0,142.0,,,0
CDM,40900220,HCHG CORE POTASSIUM UR 24 HR,139.0,139.0,,,0
CDM,40900221,HCHG CORE MAGNESIUM UR TIM,219.0,219.0,,,0
CDM,40900222,HCHG CORE INFLUENZA B DFA,160.0,160.0,,,0
CDM,40900223,HCHG CORE INFLUENZA A DFA,146.0,146.0,,,0
CDM,40900224,HCHG CORE MICROALBUMIN UR 24HR,113.0,113.0,,,0
CDM,40900225,HCHG CORE CELL MARKER TECH ONLY 1ST,285.0,285.0,,,0
CDM,40900226,HCHG CORE MAGNESIUM UR RAN,219.0,219.0,,,0
CDM,40900227,HCHG CORE SODIUM UR 24HR,171.0,171.0,,,0
CDM,40900228,HCHG CORE PHOSPHOROUS UR RAN,104.0,104.0,,,0
CDM,40900229,HCHG CORE PHOSPHORUS UR TIM,104.0,104.0,,,0
CDM,40900230,HCHG CORE PLT CNT AUTO,148.0,148.0,,,0
CDM,40900231,HCHG CORE PREGNANCY SCRN UR,190.0,190.0,,,0
CDM,40900232,HCHG CORE PREGNANCY TEST SER QL,296.0,296.0,,,0
CDM,40900233,HCHG CORE PROGESTERONE,292.0,292.0,,,0
CDM,40900234,HCHG CORE PROLACTIN,262.0,262.0,,,0
CDM,40900235,HCHG CORE CELL MARKER TECH EA ADDL,34.0,34.0,,,0
CDM,40900236,HCHG CORE UREA NITROGEN URINE RANDOM,182.0,182.0,,,0
CDM,40900237,HCHG CORE PTH INTACT,400.0,400.0,,,0
CDM,40900238,HCHG CORE PTT PLAS OR WB,236.0,236.0,,,0
CDM,40900239,HCHG CORE RSV AG EIA,357.0,357.0,,,0
CDM,40900240,HCHG CORE MACROSCOPIC EXAM PARASITE,94.0,94.0,,,0
CDM,40900241,HCHG CORE SALICYLATE,226.0,226.0,,,0
CDM,40900242,HCHG CORE SMR AFB STAIN,157.0,157.0,,,0
CDM,40900243,HCHG CORE SMR GRAM STAIN,154.0,154.0,,,0
CDM,40900244,HCHG CORE SMR INCL BODIES PARASITE,215.0,215.0,,,0
CDM,40900245,HCHG CORE SODIUM UR RAN,171.0,171.0,,,0
CDM,40900246,HCHG CORE STL FOR WBC'S,154.0,154.0,,,0
CDM,40900247,HCHG CORE STREP GRP A AG EIA,228.0,228.0,,,0
CDM,40900249,HCHG CORE CBC AUTO W AUTO DIFF WBC,217.0,217.0,,,0
CDM,40900250,HCHG CORE TRANSFERRIN,198.0,198.0,,,0
CDM,40900251,HCHG CORE URNALYSIS AUTO W/O MICRO,102.0,102.0,,,0
CDM,40900252,HCHG CORE VALPROIC ACID TOTAL,406.0,406.0,,,0
CDM,40900253,HCHG CORE VANCOMYCIN,457.0,457.0,,,0
CDM,40900256,HCHG CORE ACETAMINOPHEN,325.0,325.0,,,0
CDM,40900257,HCHG CORE ALCOHOLS BLOOD,271.0,271.0,,,0
CDM,40900259,HCHG CORE SMR WET MOUNT,243.0,243.0,,,0
CDM,40900260,HCHG CORE PROTHROMBIN TIME,158.0,158.0,,,0
CDM,40900261,HCHG CORE URNALYSIS SGL ASSAY,47.0,47.0,,,0
CDM,40900263,HCHG CORE VANCOMYCIN TR,457.0,457.0,,,0
CDM,40900265,HCHG CORE ABO TYP SEROLOGIC,154.0,154.0,,,0
CDM,40900266,HCHG CORE RH TYPE SEROLOGIC,161.0,161.0,,,0
CDM,40900267,HCHG CORE ASSAY OF TROPONIN QUANT,492.0,492.0,,,0
CDM,40900268,HCHG CORE RETICULOCYTE AUTO,118.0,118.0,,,0
CDM,40900269,HCHG CORE CULT UR COLONY CT ONLY,237.0,237.0,,,0
CDM,40900270,HCHG CORE CULT VRE SCRN,208.0,208.0,,,0
CDM,40900271,HCHG CORE D DIMER QN,370.0,370.0,,,0
CDM,40900272,HCHG CORE DIGOXIN TOTAL,361.0,361.0,,,0
CDM,40900273,HCHG CORE ELECTROLYTE PNL,210.0,210.0,,,0
CDM,40900274,HCHG ASSAY OF TOTAL ESTRADIOL,272.0,272.0,,,0
CDM,40900275,HCHG CORE FIBRINOGEN,320.0,320.0,,,0
CDM,40900276,HCHG CORE FSH,248.0,248.0,,,0
CDM,40900277,HCHG CORE GENTAMICIN,425.0,425.0,,,0
CDM,40900278,HCHG CORE GIARDIA AB,215.0,215.0,,,0
CDM,40900279,HCHG CORE GROWTH HORMONE,90.0,90.0,,,0
CDM,40900280,HCHG CORE H PYLORI AB TOTAL,147.0,147.0,,,0
CDM,40900281,HCHG CORE HEMATOCRIT,104.0,104.0,,,0
CDM,40900282,HCHG CORE HEMOGLOBIN,73.0,73.0,,,0
CDM,40900283,HCHG CORE HEMOGLOBIN GLYCOSYLTD A1C,203.0,203.0,,,0
CDM,40900284,HCHG CORE HEPATIC FUNCTION PNL,309.0,309.0,,,0
CDM,40900285,HCHG CORE HIV 1/HIV 2 AB,172.0,172.0,,,0
CDM,40900286,HCHG CORE IGM,75.0,75.0,,,0
CDM,40900288,HCHG CORE INFLUENZA AG A OR B EACH,162.0,162.0,,,0
CDM,40900289,HCHG CORE LH,327.0,327.0,,,0
CDM,40900290,HCHG CORE LIPASE,266.0,266.0,,,0
CDM,40900291,HCHG CORE LITHIUM,234.0,234.0,,,0
CDM,40900292,HCHG CORE MONO TEST SCRN,217.0,217.0,,,0
CDM,40900294,HCHG CORE OCCLT BLD STL QL MULT SPC,96.0,96.0,,,0
CDM,40900295,HCHG CORE OSMOLALITY SER,212.0,212.0,,,0
CDM,40900296,HCHG CORE OSMOLALITY UR,224.0,224.0,,,0
CDM,40900297,HCHG CORE PHENOBARBITAL,314.0,314.0,,,0
CDM,40900298,HCHG CORE PHENYTOIN TOTAL,384.0,384.0,,,0
CDM,40900299,HCHG CORE PINWORM CELLOPHANE TAPE,58.0,58.0,,,0
CDM,40900300,HCHG CORE ANTI RNP AB,139.0,139.0,,,0
CDM,40900301,HCHG CORE TREPONEMA PALLIDUM,106.0,106.0,,,0
CDM,40900303,HCHG CORE PROTEIN UR QN 24 HR,117.0,117.0,,,0
CDM,40900304,HCHG CORE PROTEIN UR QN RAN,117.0,117.0,,,0
CDM,40900305,HCHG CORE URIC ACID,125.0,125.0,,,0
CDM,40900308,HCHG CORE AFB CULT BLD,168.0,168.0,,,0
CDM,40900309,HCHG CORE ALCOHOLS URINE,781.0,781.0,,,0
CDM,40900310,HCHG CORE AMMONIA,411.0,411.0,,,0
CDM,40900312,HCHG CORE BLD SMR EXAM W MAN DIFF,97.0,97.0,,,0
CDM,40900313,HCHG CORE CALCIUM IONIZED,218.0,218.0,,,0
CDM,40900314,HCHG CORE CARBAMAZEPINE TOTAL,361.0,361.0,,,0
CDM,40900315,HCHG CORE CBC AUTO,189.0,189.0,,,0
CDM,40900316,HCHG CORE CK TOTAL,243.0,243.0,,,0
CDM,40900318,HCHG CORE COOMBS DIRECT POLY,156.0,156.0,,,0
CDM,40900319,HCHG CORE CORTISOL (AM DRAW),283.0,283.0,,,0
CDM,40900320,HCHG CORE CORTISOL (PM DRAW),283.0,283.0,,,0
CDM,40900321,HCHG CORE CORTISOL TOTAL,283.0,283.0,,,0
CDM,40900322,HCHG CORE ADENOVIRUS DFA,184.0,184.0,,,0
CDM,40900324,HCHG CORE CULT BACT ANAEROBIC,269.0,269.0,,,0
CDM,40900325,HCHG CORE CULT BETA STREP A ONLY,208.0,208.0,,,0
CDM,40900326,HCHG CORE CULT BLD BACTERIA,469.0,469.0,,,0
CDM,40900328,HCHG CORE CULT FUNG SKIN HAIR NAIL,63.0,63.0,,,0
CDM,40900329,HCHG CORE CULT GC SCRN,208.0,208.0,,,0
CDM,40900330,HCHG CORE CULT GRP B STREP SCRN,212.0,212.0,,,0
CDM,40900331,HCHG CORE CULT MRSA SCRN,212.0,212.0,,,0
CDM,40900332,HCHG CORE CULT NASAL,372.5,372.5,,,0
CDM,40900333,HCHG CORE CULT SCRN B PERTUSSUS,208.0,208.0,,,0
CDM,40900334,HCHG CORE CULT STL SALM & SHIG,247.0,247.0,,,0
CDM,40900335,HCHG CORE CRYOGLOB QL OR SEMI QL,120.0,120.0,,,0
CDM,40900336,HCHG CORE SMEAR COMPLEX STAIN OVA AND PARASITE,22.0,22.0,,,0
CDM,40900339,HCHG CORE HSV AMPLIFIED PROBE,258.0,258.0,,,0
CDM,40900341,HCHG CORE PROTEIN S FREE,122.0,122.0,,,0
CDM,40900342,HCHG CORE THROMBIN TIME,58.0,58.0,,,0
CDM,40900345,HCHG CORE GTT 1ST 3 SPEC INADDITION,189.0,189.0,,,0
CDM,40900347,HCHG CORE H PYLORI NON RAD BREATH,354.0,354.0,,,0
CDM,40900349,HCHG CORE PLT AGGREGATION EA AGENT,292.0,292.0,,,0
CDM,40900352,HCHG CORE HAV AB IGM,154.0,154.0,,,0
CDM,40900354,HCHG CORE SUSCEPT BY ENZYME DETECT,72.0,72.0,,,0
CDM,40900363,HCHG CORE URNALYSIS AUTO W/ MICRO,133.0,133.0,,,0
CDM,40900364,HCHG CORE AG DETECT EIA MULT STEP,185.0,185.0,,,0
CDM,40900365,HCHG CORE HBS AG,147.0,147.0,,,0
CDM,40900366,HCHG CORE PRENATAL PNL,148.0,148.0,,,0
CDM,40900367,HCHG CORE CREATININE CLEARANCE,239.0,239.0,,,0
CDM,40900368,HCHG CORE SMR CRYPTOSPORIDIUM,142.0,142.0,,,0
CDM,40900369,HCHG CORE HCV AB,182.0,182.0,,,0
CDM,40900370,HCHG CORE HAV AB TOTAL,132.0,132.0,,,0
CDM,40900372,HCHG CORE HB CORE AB TOTAL,171.0,171.0,,,0
CDM,40900373,HCHG CORE HB CORE AB IGM,157.0,157.0,,,0
CDM,40900374,HCHG CORE HBS AB,139.0,139.0,,,0
CDM,40900377,HCHG CORE CULT OTHER SOURCE AEROBIC,372.5,372.5,,,0
CDM,40900393,HCHG CORE GLIADIN AB IGA,65.0,65.0,,,0
CDM,40900394,HCHG CORE FLUORESCENT AB SCRN EA AB,197.0,197.0,,,0
CDM,40900395,HCHG CORE GLIADIN AB IGG,65.0,65.0,,,0
CDM,40900396,HCHG CORE TRANSGLUTAMINASE AB IGG,65.0,65.0,,,0
CDM,40900397,HCHG CORE TRANSGLUTAMINASE AB IGA,65.0,65.0,,,0
CDM,40900401,HCHG CORE CULT SCRN ONLY,212.0,212.0,,,0
CDM,40900404,HCHG CORE D DIMER SEMI QN/QL,367.0,367.0,,,0
CDM,40900409,HCHG CORE SHIGA LIKE TOXIN EIA,129.0,129.0,,,0
CDM,40900410,HCHG CORE SUSCEPT BY E TEST,105.0,105.0,,,0
CDM,40900415,HCHG CORE FOLATE RBC,69.0,69.0,,,0
CDM,40900416,HCHG CORE LAB CAFFEINE,260.0,260.0,,,0
CDM,40900417,HCHG CORE LAB CRYOFIBRINOGEN,186.0,186.0,,,0
CDM,40900418,HCHG CORE LAB FAT STOOL QUALITATIVE,109.0,109.0,,,0
CDM,40900419,HCHG CORE LAB HEMOGLOBIN F (APT),216.0,216.0,,,0
CDM,40900420,HCHG CORE LAB CLOTTING FACTOR XIII SCREEN SOLUBILITY,355.0,355.0,,,0
CDM,40900421,HCHG CORE LAB HEINZ BODIES DIRECT,138.0,138.0,,,0
CDM,40900422,HCHG CORE HEMOLYSIN ACID (HAM'S),234.0,234.0,,,0
CDM,40900423,HCHG CORE HEPARIN NEUTRALIZATION,23.0,23.0,,,0
CDM,40900424,HCHG CORE LEUKOCYTE ALKALINE PHOSHATASE W COUNT,14.0,14.0,,,0
CDM,40900425,HCHG CORE HSV TYP 2 DFA,57.0,57.0,,,0
CDM,40900426,HCHG CORE HSV TYPE 1 DFA,27.0,27.0,,,0
CDM,40900427,HCHG CORE LEGIONELLA PNEUMOPHILA DFA,260.0,260.0,,,0
CDM,40900428,HCHG CORE PARAINFLUENZA AG BY DFA,118.0,118.0,,,0
CDM,40900429,HCHG CORE VARICELLA ZOSTER DFA,280.0,280.0,,,0
CDM,40900430,HCHG CORE INFECT AGENT POLYVAL DFA,156.0,156.0,,,0
CDM,40900431,HCHG CORE MYCOBACTERIA TB AMPLIFIED PROBE,425.0,425.0,,,0
CDM,40900432,HCHG CORE M AVIUM AMP PRB,652.0,652.0,,,0
CDM,40900433,HCHG CORE CULT STL OTHER EA PLATE,147.0,147.0,,,0
CDM,40900434,HCHG CORE SUGARS QUALITATIVE EACH SPECIMEN,109.0,109.0,,,0
CDM,40900437,HCHG CORE AB SCRN,255.0,255.0,,,0
CDM,40900438,HCHG CORE CULT VIRAL,225.0,225.0,,,0
CDM,40900441,HCHG CORE SIROLIMUS,164.0,164.0,,,0
CDM,40900442,HCHG CORE COOMBS INDIRECT EACH AB TITER,112.0,112.0,,,0
CDM,40900445,HCHG CORE HIV 1 AB,93.0,93.0,,,0
CDM,40900446,HCHG CORE HIV 2 AB,108.0,108.0,,,0
CDM,40900447,HCHG CORE INFLUENZA DNA AMP PROB >2 TYPES,83.0,83.0,,,0
CDM,40900449,HCHG CORE CLOTTING ASSAY WHOLE BLOOD,463.0,463.0,,,0
CDM,40900464,HCHG CORE HPV LOW-RISK TYPES,110.0,110.0,,,0
CDM,40900465,HCHG CORE HPV HIGH-RISK TYPES W/ POOLED RESULTS,577.0,577.0,,,0
CDM,40900466,HCHG CORE HPV TYPES 16 & 18 ONLY,76.0,76.0,,,0
CDM,40900467,HCHG CORE AG DETECT NOS DNA AMP,451.0,451.0,,,0
CDM,40900468,HCHG CORE INFECT AGENT ANTIGEN BY IMMUNOASSAY NOS,212.0,212.0,,,0
CDM,40900469,HCHG CORE MYCOPLASMA AMPLIFIED NA PROBE,323.0,323.0,,,0
CDM,40900470,HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB,316.0,316.0,,,0
CDM,40900471,HCHG CORE CULTURE CRE SCREEN,212.0,212.0,,,0
CDM,40900472,HCHG CORE CHLAMYD PNEUMO AMP PRB,306.0,306.0,,,0
CDM,40900473,HCHG CORE PROCALCITONIN (PCT),625.0,625.0,,,0
CDM,40900474,HCHG CORE BETA 2 GLYCOPROTEIN I AB EA,128.0,128.0,,,0
CDM,40900475,HCHG CORE CMV AB IGG,120.0,120.0,,,0
CDM,40900476,HCHG CORE CMV AB IGM,386.0,386.0,,,0
CDM,40900477,HCHG CORE HSV 1 AB IGG TYPE SPECIFIC,25.0,25.0,,,0
CDM,40900478,HCHG CORE HSV 2 AB IGG TYPE SPECIFIC,24.0,24.0,,,0
CDM,40900479,HCHG CORE NOROVIRUS RNA PCR,451.0,451.0,,,0
CDM,40900480,HCHG CORE HEP C SCREEN HIGH RISK/OTHER,166.5,166.5,,,0
CDM,40900481,HCHG CORE PRENATAL OBSTETRIC PANEL W/HIV,1009.0,1009.0,,,0
CDM,40900482,HCHG CORE LACTOFERRIN FECAL QUALITATIVE,226.0,226.0,,,0
CDM,40900483,HCHG CORE CULT TYPE DNA/RNA AMPLIFIED PROBE EA,268.0,268.0,,,0
CDM,40900484,HCHG CORE MASS SPECT/TANDEM QN NES,138.0,138.0,,,0
CDM,40900486,HCHG CORE PROTEIN NEPHELOMETRY,91.0,91.0,,,0
CDM,40900491,HCHG CORE CNS DNA AMP PROBE TYPE 12-25,1424.0,1424.0,,,0
CDM,40900492,HCHG CORE IADNA ENTEROVIRUS AMP PROBE W/WO RVRS TRNS,403.0,403.0,,,0
CDM,40900493,HCHG CORE SENSITIVITY MACROBROTH EA AGNT,75.0,75.0,,,0
CDM,40900495,HCHG CORE GLUCOSE PRENATAL 50 GRAM SCREEN,106.0,106.0,,,0
CDM,40900497,HCHG CORE TB AG RESPONSE T-CELL SUSP,500.0,500.0,,,0
CDM,40900498,HCHG CORE HEPATITIS B VIRUS BDNA QUANTITATIVE,388.0,388.0,,,0
CDM,40900499,HCHG CORE RSV DNA/RNA AMP PROBE,349.0,349.0,,,0
CDM,40900500,HCHG CORE STREP A AMPLIF NA PROBE,266.0,266.0,,,0
CDM,40900501,HCHG CORE TRICHOMONAS VAGINALIS AMPLIFIED PROBE,123.0,123.0,,,0
CDM,40900502,HCHG CORE CANDIDA SPECIES AMPLIFIED PROBE,115.0,115.0,,,0
CDM,40900503,HCHG CORE MULTIPLE ORGANISMS AMPLIFIED PROBE,483.0,483.0,,,0
CDM,40900504,HCHG CORE ALLERGEN SPEC IGE RECOMB EA,57.0,57.0,,,0
CDM,40900505,HCHG CORE IADNA SARS-COV-2 COVID-19 AMP PROBE TQ,382.0,382.0,,,0
CDM,40900506,HCHG CORE SARS-COV-2 COVID-19 AMP PROB HI THRUPUT TQ,75.0,75.0,,,0
CDM,40900507,HCHG CORE SARS-COV-2 COVID-19 AB IGG,81.0,81.0,,,0
CDM,40900508,HCHG CORE SARS-COV-2 COVID-19 AB TOTAL,81.0,81.0,,,0
CDM,40900509,HCHG CORE SARSCOV2 COVID-19 & INF A&B AMP PRB,532.0,532.0,,,0
CDM,40900510,HCHG CORE SARSCOV2 COVID-19 & INF A&B&RSV AMP PRB,605.0,605.0,,,0
CDM,40900511,HCHG CORE DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,1008.0,1008.0,,,0
CDM,40900516,HCHG CORE COV-19 AMP PRB HI THRUPUT W/IN 2 DAY COL,25.0,25.0,,,0
CDM,40900520,HCHG CORE CUL TYP ID BLD PTHGN MULTIPLEX 6+ TRGT,835.0,835.0,,,0
CDM,40900521,HCHG CORE GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS,69.0,69.0,,,0
CDM,40900522,HCHG CORE TISS TRNSGLUTMINSE EA IMMUNOGLOBULIN CLASS,68.0,68.0,,,0
CDM,40900523,HCHG CORE SARS-COV-2 COVID19 ANTIGEN W/OPTICAL OBS,132.0,132.0,,,0
CDM,40900524,HCHG CORE ENDOMYSIAL ANTIBODY EA IMMUNOGLOBULIN CLAS,26.0,26.0,,,0
CDM,40900525,HCHG CORE IMMUNOGLOBULIN LIGHT CHAINS FREE EACH,102.0,102.0,,,0
CDM,40900526,HCHG CORE IADNA NOS QUANTIFICATION EACH ORGANISM,363.0,363.0,,,0
CDM,40900527,HCHG CORE IADNA CYTOMEGALOVIRUS QUANTIFICATION,380.0,380.0,,,0
CDM,40900528,HCHG CORE HEPB SCREEN NON-PREGNANT HIGH RISK INDIV,178.0,178.0,,,0
CDM,40900529,HCHG CORE H PYLORI DRUG ADMINISTRATION,63.0,63.0,,,0
CDM,40900534,HCHG CORE IADNA ORTHOPOXVIRUS AMP PRB TECHNIQUE EA,101.0,101.0,,,0
CDM,40900535,HCHG CORE NFCT DS BCT/VIR R DNA/RNA 22 TRGT SARSCOV2,1538.0,1538.0,,,0
CDM,40900548,HCHG CORE COCCIDIOIDES AB,119.0,119.0,,,0
CDM,40900551,HCHG CORE IA INFECTIONS AGT AB QUANT,112.0,112.0,,,0
CDM,40900552,HCHG CORE NFCT DS BV&VAGINITIS DNA ALG,581.0,581.0,,,0
CDM,40900553,HCHG CORE HPV SEP HI-RSK TYP&POOL RSLT,609.0,609.0,,,0
CDM,40900554,HCHG CORE NFCT DS BV RNA VAG FLU ALG,78.0,78.0,,,0
CDM,40900555,HCHG CORE LRT IAD 18BCT/8VIR&7ARG RNA,1849.5,1849.5,,,0
CDM,40900556,HCHG CORE HIV AG W/HIV1&2 ANTB W/OPTIC,325.0,325.0,,,0
CDM,40900557,HCHG CORE CHLMY TRCH&NEISRA GONOR MULT,595.0,595.0,,,0
CDM,40950005,HCHG CORE CULTURE CATHETER TIP,372.5,372.5,,,0
CDM,40950006,HCHG CORE CULTURE EAR,372.5,372.5,,,0
CDM,40950007,HCHG CORE CULTURE EYE,372.5,372.5,,,0
CDM,40950010,HCHG CORE CREATININE FLD,126.0,126.0,,,0
CDM,40950011,HCHG CORE LACTIC ACID,333.0,333.0,,,0
CDM,40950013,HCHG CORE AB ID,669.0,669.0,,,0
CDM,40950014,HCHG CORE CULT BACT AEROBIC ID,185.0,185.0,,,0
CDM,40950016,HCHG CORE SUSCEPT MIC PER PLATE,301.0,301.0,,,0
CDM,40950019,HCHG CORE C DIFFICILE TOXIN EIA,194.0,194.0,,,0
CDM,40950020,HCHG CORE SEDIMENTATION RATE AUTO,101.0,101.0,,,0
CDM,40950021,HCHG CORE T3 UPTAKE,84.0,84.0,,,0
CDM,40950022,HCHG CORE CULT BACT ANAEROBIC ID,189.0,189.0,,,0
CDM,40950023,HCHG CORE CULT FUNGUS YEAST ID,222.0,222.0,,,0
CDM,40950025,HCHG CORE IMMUNOASSAY NONINFECT,65.0,65.0,,,0
CDM,40950026,HCHG CORE PROTEIN TOTAL CSF,233.0,233.0,,,0
CDM,40950027,HCHG CORE GLUCOSE FLD,180.0,180.0,,,0
CDM,40950028,HCHG CORE PROTEIN TOTAL FLD,233.0,233.0,,,0
CDM,40950029,HCHG CORE KOH PREP SKIN HAIR NAIL,186.0,186.0,,,0
CDM,40950030,HCHG CORE CELL CNT FLD W/ DIFF,280.0,280.0,,,0
CDM,40950031,HCHG CORE GLUCOSE CSF,180.0,180.0,,,0
CDM,40950033,HCHG CORE KETONES QL,158.0,158.0,,,0
CDM,40950034,HCHG CORE CRYSTAL ID TISS/FLD NO UR,207.0,207.0,,,0
CDM,40950035,HCHG CORE FETAL FIBRONECTIN,1161.0,1161.0,,,0
CDM,40950036,HCHG CORE BODY FLUID PH NOS,123.0,123.0,,,0
CDM,40950038,HCHG CORE UREA CLEARANCE,54.0,54.0,,,0
CDM,40950039,HCHG CORE C-PEPTIDE,162.0,162.0,,,0
CDM,40950040,HCHG CORE ROTAVIRUS AG EIA,226.0,226.0,,,0
CDM,40950055,HCHG CORE OCCULT BLD IA SCRN,120.0,120.0,,,0
CDM,40950057,HCHG CORE CULT STL E COLI EA PLATE,147.0,147.0,,,0
CDM,40950058,HCHG CORE GENERAL HEALTH PNL,583.0,583.0,,,0
CDM,40950059,HCHG CORE AT3 AG IMMUNOLOGIC,306.0,306.0,,,0
CDM,40950060,HCHG CORE ASO TTR,50.0,50.0,,,0
CDM,40950061,HCHG CORE T LMPH TOT CNT,192.0,192.0,,,0
CDM,40950062,HCHG CORE H PYLORI AB IGG,147.0,147.0,,,0
CDM,40950063,HCHG CORE HBS AG NEUTRALIZATION,43.0,43.0,,,0
CDM,40950070,HCHG CORE RSV RNA QUAL PCR,451.0,451.0,,,0
CDM,40950074,HCHG CORE FETAL RBC SMR (K B),181.0,181.0,,,0
CDM,40950075,HCHG CORE VISCOSITY,193.0,193.0,,,0
CDM,40950076,HCHG CORE VZV AB,111.0,111.0,,,0
CDM,40950077,HCHG CORE PSA TOTAL SCREENING,246.5,246.5,,,0
CDM,40950080,HCHG CORE ENA AB,139.0,139.0,,,0
CDM,40950086,HCHG CORE FLUOR AB SCRN EA AB TTR,101.0,101.0,,,0
CDM,40950088,HCHG CORE VITAMIN D (125 DI HYDROX),208.0,208.0,,,0
CDM,40950093,HCHG CORE HEPATITIS PNL ACUTE,391.0,391.0,,,0
CDM,40950095,HCHG CORE AMIKACIN,405.0,405.0,,,0
CDM,40950097,HCHG CORE METHOTREXATE,129.0,129.0,,,0
CDM,40950098,HCHG CORE CRYPTOCOCCAL AG AGGL,234.0,234.0,,,0
CDM,40950100,HCHG CORE CULT FLUID,372.5,372.5,,,0
CDM,40950101,HCHG CORE CULT CSF,372.5,372.5,,,0
CDM,40950103,HCHG CORE CULT GENITAL,372.5,372.5,,,0
CDM,40950109,HCHG CORE CULT UR ID EACH ISOLATE,160.0,160.0,,,0
CDM,40950110,HCHG CORE CULT FUNGUS OTHER SOURCE,175.0,175.0,,,0
CDM,40950111,HCHG CORE CULT FUNGUS BLD,311.0,311.0,,,0
CDM,40950112,HCHG CORE SUSCEPT KB DISK <=12,107.0,107.0,,,0
CDM,40950113,HCHG CORE SPEC CONCENTRATION,133.0,133.0,,,0
CDM,40950114,HCHG CORE CRYPTOCOCCAL AG TTR AGGL,112.0,112.0,,,0
CDM,40950115,HCHG CORE HISTONE AB,139.0,139.0,,,0
CDM,40950118,HCHG CORE INFLUENZA DNA AMP PROBE,640.0,640.0,,,0
CDM,40950119,HCHG CORE ASSAY OF LIPOPROTEIN(A),103.0,103.0,,,0
CDM,40950123,HCHG CORE CYCLIC CITRULLINATED PEPTIDE ANTIBODY,53.0,53.0,,,0
CDM,40950148,HCHG CORE TISS EXAM MOLECULAR STUDY,1099.5,1099.5,,,0
CDM,40950150,HCHG CORE AMYLASE FLD,220.0,220.0,,,0
CDM,40950155,HCHG CORE CULT LEGIONELLA,212.0,212.0,,,0
CDM,40950156,HCHG CORE CULT FUNGUS MOLD ID,155.0,155.0,,,0
CDM,40950164,HCHG CORE GLUCOSE 2HR PP,108.0,108.0,,,0
CDM,40950165,HCHG CORE T LYMPH CD4/8 CNT&RATIO,336.0,336.0,,,0
CDM,41050001,HCHG POCT OCCULT BLOOD STOOL QUALITATIVE  MULT SPEC DX,96.0,96.0,,,0
CDM,41050002,HCHG POCT ELECTROLYTE PANEL,220.0,220.0,,,0
CDM,41050005,HCHG POCT CREATININE,117.0,117.0,,,0
CDM,41050006,HCHG POCT GLUCOSE,114.0,114.0,,,0
CDM,41050007,HCHG POCT REAGENT STRIP BLOOD GLUCOSE,86.0,86.0,,,0
CDM,41050010,HCHG POCT POTASSIUM,155.0,155.0,,,0
CDM,41050011,HCHG POCT SODIUM,132.0,132.0,,,0
CDM,41050014,HCHG POCT BLOOD GAS ANALYSIS,802.0,802.0,,,0
CDM,41050015,HCHG POCT HEMATOCRIT,104.0,104.0,,,0
CDM,41050016,HCHG POCT HEMOGLOBIN,74.0,74.0,,,0
CDM,41050017,HCHG POCT CBC AUTO W/  AUTOMATED DIFFERENTIAL WBC,213.5,213.5,,,0
CDM,41050018,HCHG POCT ACTIVATED CLOTTING TIME,230.0,230.0,,,0
CDM,41050019,HCHG POCT PROTHROMBIN TIME,158.0,158.0,,,0
CDM,41050021,HCHG POCT URINALYSIS AUTO W/O MICRO,102.0,102.0,,,0
CDM,41050022,HCHG POCT PREGNANCY SCREEN URINE,190.0,190.0,,,0
CDM,41050023,HCHG POCT BLOOD GASES O2 SAT ONLY,296.0,296.0,,,0
CDM,41050034,HCHG POCT LACTIC ACID,333.0,333.0,,,0
CDM,41050035,HCHG POCT CALCIUM IONIZED,218.0,218.0,,,0
CDM,41050037,HCHG POCT BSC MTBLC PNL INZD CA,446.0,446.0,,,0
CDM,41050038,HCHG POCT URNALYSIS MAN W/O MICRO,47.0,47.0,,,0
CDM,41050039,HCHG POCT OCCULT BLD 1-3 SPC NO NPLSM,66.0,66.0,,,0
CDM,41050043,HCHG POCT PAMG-1 C/V QUAL EACH SPECIMEN,489.0,489.0,,,0
CDM,41050044,HCHG POCT CARBOXYHEMOGLOBIN QN,247.0,247.0,,,0
CDM,41050045,HCHG POCT BLD GAS ART,802.0,802.0,,,0
CDM,41050047,HCHG POCT PH BLD,309.0,309.0,,,0
CDM,41050048,HCHG POCT CHLORIDE,103.0,103.0,,,0
CDM,41050049,HCHG POCT HEPARIN ASSAY,398.0,398.0,,,0
CDM,41050050,HCHG POCT METHEMOGLOBIN,156.0,156.0,,,0
CDM,41050052,HCHG POCT BLOOD GAS CAPILLARY,802.0,802.0,,,0
CDM,41050057,HCHG POCT HEMOGLOBIN GLYCOSYLATED A1C,203.0,203.0,,,0
CDM,41050063,HCHG POCT IADNA SARS-COV-2 COVID-19 AMP PROBE TQ,382.0,382.0,,,0
CDM,41100000,HCHG AUTOLOGOUS PROCESSING AND STORAGE,336.0,336.0,,,0
CDM,41100001,HCHG WHOLE BLOOD PROCESSING EA UNIT,276.0,276.0,,,0
CDM,41100002,HCHG CRYO PS (POOLED CRYO (5 CRYO)),350.0,350.0,,,0
CDM,41100003,HCHG RBC LEUKOCYTES REDUCED PROCESSING EA UNIT,220.0,220.0,,,0
CDM,41100004,HCHG FRESH FROZEN PLASMA PROCESSING EA UNIT,54.0,54.0,,,0
CDM,41100005,HCHG PLATELETS EA UNIT  PROCESSING EA UNIT,75.0,75.0,,,0
CDM,41100006,HCHG PLATELET RICH PLASMA PROCESSING EA UNIT,450.0,450.0,,,0
CDM,41100007,HCHG GRANULOCYTES PHERESIS,2048.0,2048.0,,,0
CDM,41100008,HCHG WASHED RBC PROCESSING EA UNIT,306.0,306.0,,,0
CDM,41100010,HCHG PLATELETS LEUKOCYTES REDUCED PROCESSING EA UNIT,347.0,347.0,,,0
CDM,41100011,HCHG PLATELETS IRRADIATED PROCESSING EA UNIT,500.0,500.0,,,0
CDM,41100012,HCHG PLATELETS PHERESIS PROCESSING EA UNIT,481.0,481.0,,,0
CDM,41100013,HCHG PLATELETS PHERESIS LEUKOCYTE REDUCED EA UNIT,481.0,481.0,,,0
CDM,41100014,HCHG PLATELETS PHERESIS IRRADIATED PROCESSING EA UNIT,534.0,534.0,,,0
CDM,41100015,HCHG PLATELETS PHER L/R IRRAD PS EA UNIT,534.0,534.0,,,0
CDM,41100016,HCHG RBC DEGLYCEROLIZED PROCESSING EA UNIT,367.0,367.0,,,0
CDM,41100017,HCHG RBC LEUKOCYTE REDUCED IRRAD PS EA UNIT,273.0,273.0,,,0
CDM,41100018,HCHG PLASMA CRYOPRECIPITATE REDUCED PROCESSING EA UNIT,79.0,79.0,,,0
CDM,41100019,HCHG PLATELETS PHERSIS L/R HLA MATCHED PROCESSING EA UNIT,744.0,744.0,,,0
CDM,41100020,HCHG RBC FROZEN LEUKOCYTE REDUCED DEGLYCEROL/WASHED PS EA UNIT,420.0,420.0,,,0
CDM,41100021,HCHG RBC FROZEN/DEGLYCEROLIZED/WASHED LR IRRADIATED PS EA UNIT,420.0,420.0,,,0
CDM,41100022,HCHG FRESH FROZEN PLASMA 8-24 HRS OF COLLECTION EA UNIT,54.0,54.0,,,0
CDM,41100023,HCHG RBC PROCESSING,788.0,788.0,,,0
CDM,41100027,HCHG PHER L/R CMV NEG IRR PS EA UNIT,576.0,576.0,,,0
CDM,41100028,HCHG PHER L/R CMV NEG PS,523.0,523.0,,,0
CDM,41100029,HCHG FRESH FROZEN PLASMA PROCESSING JUMBO EA UNIT,162.0,162.0,,,0
CDM,41100055,HCHG CRYO PS SINGLE UNIT,54.0,54.0,,,0
CDM,41100056,HCHG FRESH FROZEN PLAZMA PROCESSING DIVIDED UNIT,54.0,54.0,,,0
CDM,41100057,HCHG THAWING FRZN BLD,355.0,355.0,,,0
CDM,41100058,HCHG BLOOD SPLIT UNIT PS,298.0,298.0,,,0
CDM,41100059,HCHG RBC IRRADIATED PS,309.0,309.0,,,0
CDM,41100060,HCHG RBC LEUKOCYTES REDUCED PROCESSING DIVIDED UNIT,220.0,220.0,,,0
CDM,41100061,HCHG RBC L/R CMV NEG IRR PS DIVIDED UNIT,315.0,315.0,,,0
CDM,41100062,HCHG PLATELETS PHER L/R IRRAD PS DIVIDED UNIT,534.0,534.0,,,0
CDM,41100063,HCHG RBC LEUKOCYTE REDUCED IRRAD PS DIVIDED UNIT,273.0,273.0,,,0
CDM,41100064,HCHG PHER L/R CMV NEG IRR PS DIVIDED UNIT,576.0,576.0,,,0
CDM,41100065,HCHG RBC L/R CMV NEG PS EACH UNIT,262.0,262.0,,,0
CDM,41100066,HCHG PLTC L/R IRRADIATED PS,220.0,220.0,,,0
CDM,41100067,HCHG PLATELETS PHERESIS LEUKOCYTE REDUCED DIVIDED,936.0,936.0,,,0
CDM,41100068,HCHG LIQUID PLASMA CRYOPPT REDUCED EACH UNIT,130.0,130.0,,,0
CDM,41100069,HCHG PLATELETS PHERESIS PATHOGEN-REDUCED EACH UNIT,944.0,944.0,,,0
CDM,41100070,HCHG PLATELETS PATHOGEN TESTING,125.0,125.0,,,0
CDM,41100071,HCHG PLASMA FRESH FROZEN CONVALESCENT,230.0,230.0,,,0
CDM,41100072,HCHG PLATELETS PHER L/R LVDS PS EA UNIT,936.0,936.0,,,0
CDM,41100073,HCHG PLATELETS PHER L/R IRRAD LVDS PS EA UNIT,1116.0,1116.0,,,0
CDM,41100074,HCHG RBC L/R IRRADIATED FOR RCNSTITUTE PROC EA UNIT,562.0,562.0,,,0
CDM,41100075,HCHG FFP 8-24 HRS OF COLL FOR RCNSTITUT PROC EA UNIT,126.0,126.0,,,0
CDM,41200000,HCHG REF ER/PR/HER-2 W/MORPHOMETRY,276.0,276.0,,,0
CDM,41200001,HCHG REF NEO TUMOR IMMUNOHISTOCHEM MAN,85.25,85.25,,,0
CDM,41200002,HCHG REF TMR IMMUNOHIST W/COM ASST,108.5,108.5,,,0
CDM,41200003,HCHG REF XM ARCHIV TISS MOLEC ANAL,22.79,22.79,,,0
CDM,41200004,HCHG REF IN SITU HYBRIDIZATION EA PROBE,154.0,154.0,,,0
CDM,41200005,HCHG REF NEO IN SITU HYBRIDIZATION EA PROBE,101.0,101.0,,,0
CDM,41200006,HCHG REF MORPHOMETRIC ANLYS IN SITU HYBRIDIZATN EA PRB AUTO,248.0,248.0,,,0
CDM,41200007,HCHG REF NEO INSITU HYBRIDIZATION AUTO,186.0,186.0,,,0
CDM,41200008,HCHG REF MORPHOMETRC ANLYS IN SITU HYBRIDIZTN EA PRB MANUAL,198.0,198.0,,,0
CDM,41200010,HCHG REF NEO INSITU HYBRIDIZATION MANUAL,186.0,186.0,,,0
CDM,41200043,HCHG REF FLOW CYTOMETRY CELL CYCLE OR DNA ANALYSIS,85.25,85.25,,,0
CDM,41200045,HCHG REF DNA ANALYSIS,208.055,208.055,,,0
CDM,41200046,HCHG REF CELL MARKER TECH ONLY 1ST,86.0,86.0,,,0
CDM,41200047,HCHG REF CELL MARKER TECHNICAL COMPONENT EA ADDL MARKER,21.0,21.0,,,0
CDM,41200050,HCHG REF CELL MARKER INTERPRETATION 2-8 MARKERS,72.5,72.5,,,0
CDM,41200052,HCHG REF CELL MARKER INTERPRET 9-15 MARKERS,120.5,120.5,,,0
CDM,41200054,HCHG REF CELL MARKER INTERPRET 16+,140.0,140.0,,,0
CDM,41200056,HCHG REF NEO CELL MARKER INTERPRET 16+,82.5,82.5,,,0
CDM,41200058,HCHG REF CYTP UR 3-5 PROBES CMPTR,426.25,426.25,,,0
CDM,41200062,HCHG REF CYTO CL BLK 5 CNT/1 KARY,130.0,130.0,,,0
CDM,41200063,HCHG REF SURGICAL PATHOLOGY LEVEL IV,263.5,263.5,,,0
CDM,41200067,HCHG REF SPECIAL STAIN I&R GROUP I MICROORGANISM,173.0,173.0,,,0
CDM,41200068,HCHG REF SPCL STN I&R GRP II NO MICROORG/ENZYME/IMCYT&IS,127.0,127.0,,,0
CDM,41200070,HCHG REF SPCL STAIN I&R HSTOCHEM STN ON FRZN TISS BLOCK,155.0,155.0,,,0
CDM,41200071,HCHG REF SPECIAL STAIN I&R GROUP III ENZYME CONSTITUENTS,186.0,186.0,,,0
CDM,41200072,HCHG REF OUTSD SLIDE CONSULT,181.0,181.0,,,0
CDM,41200073,HCHG REF CONSULT/RPRT REFERRED SLIDES REQUIRING SLIDE PP,105.0,105.0,,,0
CDM,41200077,HCHG REF PATH FRZN SECTION ADD,92.0,92.0,,,0
CDM,41200085,HCHG REF ELECTRON MICROSCOPY DIAGNOSTIC,1414.0,1414.0,,,0
CDM,41200104,HCHG REF CYTOPATHOLOGY URINE 3-5  PROBES EA SPEC MANUAL,426.25,426.25,,,0
CDM,41200105,HCHG REF TISSUE CULTURE LYMPHOCYTE,128.8,128.8,,,0
CDM,41200111,HCHG REF TISSUE CULTURE OTHER TISSUE,319.485,319.485,,,0
CDM,41200114,HCHG REF CHR0MOSOME COUNT KARYOTYPE 5 CELLS/ 1 KARYOTYPE,382.74,382.74,,,0
CDM,41200116,HCHG REF CHRMOSOME COUNT 15-20 CELLS/ 1 KARYOTYPE,270.0,270.0,,,0
CDM,41200124,HCHG REF DNA PROBE CYTOGENETICS EA,35.0,35.0,,,0
CDM,41200128,HCHG REF DNA PROBE CYTOGENETICS >100,59.0,59.0,,,0
CDM,41200133,HCHG REF CHRMOSOM ADD CL CNT EA,41.135,41.135,,,0
CDM,41200138,HCHG REF  INSITU HYBRIDIZATION (FISH) EA ADD,121.0,121.0,,,0
CDM,41200140,HCHG REF SITU HYBRID MANUAL EA ADD,500.0,500.0,,,0
CDM,41200141,HCHG REF INSITU HYBRIDIZATION (FISH) EA MULTI,500.0,500.0,,,0
CDM,41200143,HCHG REF SITU HYBRID MANUAL EA ADD MULTI,281.0,281.0,,,0
CDM,41200144,HCHG REF IMMUNOHISTO AB STAIN INITIAL SINGLE AB,246.0,246.0,,,0
CDM,41200145,HCHG REF IMMUNOHISTO ANTIBODY SLIDE EA ADD,170.0,170.0,,,0
CDM,41200146,HCHG REF IMMUNOHISTO ANTIBODY SLIDE MULTI,370.0,370.0,,,0
CDM,42000000,HCHG BASIC METABOLIC PANEL,346.5,346.5,,,0
CDM,42000001,HCHG GENERAL HEALTH PANEL,595.0,595.0,,,0
CDM,42000002,HCHG ELECTROLYTE PANEL,220.0,220.0,,,0
CDM,42000003,HCHG PRENATAL OBSTETRIC PANEL W/HIV,1009.0,1009.0,,,0
CDM,42000004,HCHG COMPREHENSIVE METABOLIC PANEL,428.5,428.5,,,0
CDM,42000005,HCHG PRENATAL PANEL,148.0,148.0,,,0
CDM,42000006,HCHG LIPID PANEL,343.0,343.0,,,0
CDM,42000007,HCHG RENAL FUNCTION PANEL,275.0,275.0,,,0
CDM,42000009,HCHG HEPATIC FUNCTION PANEL,309.0,309.0,,,0
CDM,42000101,HCHG TEST BLOOD FECAL ASSAY,121.0,121.0,,,0
CDM,42050000,HCHG AMIKACIN,405.0,405.0,,,0
CDM,42050006,HCHG CARBAMAZEPINE TOTAL,361.0,361.0,,,0
CDM,42050010,HCHG DIGOXIN TOTAL,361.0,361.0,,,0
CDM,42050011,HCHG VALPROIC ACID TOTAL,406.0,406.0,,,0
CDM,42050014,HCHG GENTAMICIN PEAK,425.0,425.0,,,0
CDM,42050015,HCHG GENTAMICIN RANDOM,425.0,425.0,,,0
CDM,42050016,HCHG GENTAMICIN TROUGH,425.0,425.0,,,0
CDM,42050020,HCHG LIDOCAINE,395.0,395.0,,,0
CDM,42050021,HCHG LITHIUM,234.0,234.0,,,0
CDM,42050023,HCHG PHENOBARBITAL,314.0,314.0,,,0
CDM,42050024,HCHG PHENYTOIN TOTAL,384.0,384.0,,,0
CDM,42050025,HCHG PHENYTOIN FREE,488.0,488.0,,,0
CDM,42050029,HCHG QUINIDINE,306.0,306.0,,,0
CDM,42050030,HCHG SIROLIMUS,164.0,164.0,,,0
CDM,42050031,HCHG SALICYLATE,226.0,226.0,,,0
CDM,42050032,HCHG TACROLIMUS (FK506),152.0,152.0,,,0
CDM,42050033,HCHG THEOPHYLLINE,286.0,286.0,,,0
CDM,42050034,HCHG TOBRAMYCIN PEAK,323.0,323.0,,,0
CDM,42050035,HCHG TOBRAMYCIN RANDOM,323.0,323.0,,,0
CDM,42050036,HCHG TOBRAMYCIN TROUGH,323.0,323.0,,,0
CDM,42050038,HCHG VANCOMYCIN PEAK,457.0,457.0,,,0
CDM,42050039,HCHG VANCOMYCIN RANDOM,457.0,457.0,,,0
CDM,42050040,HCHG VANCOMYCIN TROUGH,457.0,457.0,,,0
CDM,42050043,HCHG CAFFEINE,255.0,255.0,,,0
CDM,42050059,HCHG METHOTREXATE,129.0,129.0,,,0
CDM,42050082,HCHG CYCLOSPORINE,246.0,246.0,,,0
CDM,42100000,HCHG ACETAMINOPHEN,325.0,325.0,,,0
CDM,42100001,HCHG KETONES QUALITATIVE,158.0,158.0,,,0
CDM,42100002,HCHG KETONES QUANTITATIVE,245.0,245.0,,,0
CDM,42100006,HCHG ALBUMIN,103.0,103.0,,,0
CDM,42100007,HCHG ALBUMIN OTHER SOURCE QN EA,132.0,132.0,,,0
CDM,42100009,HCHG MICROALBUMIN URINE 24HR,109.0,109.0,,,0
CDM,42100010,HCHG MICROALBUMIN URINE RANDOM,113.0,113.0,,,0
CDM,42100012,HCHG ALCOHOLS BLOOD,271.0,271.0,,,0
CDM,42100013,HCHG ALCOHOLS URINE,781.0,781.0,,,0
CDM,42100021,HCHG ALPHA 1 ANTITRYPSIN PHENOTYPE,100.0,100.0,,,0
CDM,42100023,HCHG AFP TUMOR MARKER,170.0,170.0,,,0
CDM,42100036,HCHG AMMONIA,411.0,411.0,,,0
CDM,42100040,HCHG AMYLASE,220.0,220.0,,,0
CDM,42100041,HCHG AMYLASE FLUID,220.0,220.0,,,0
CDM,42100043,HCHG AMYLASE URINE RANDOM,220.0,220.0,,,0
CDM,42100044,HCHG AMYLASE URINE TIMED,220.0,220.0,,,0
CDM,42100059,HCHG BETA2 MICROGLOBULIN,182.0,182.0,,,0
CDM,42100063,HCHG BILIRUBIN NEONATAL,127.0,127.0,,,0
CDM,42100064,HCHG BILIRUBIN TOTAL,127.0,127.0,,,0
CDM,42100065,HCHG BILIRUBIN DIRECT,145.0,145.0,,,0
CDM,42100067,HCHG OCCULT BLOOD QUALITATIVE,120.0,120.0,,,0
CDM,42100070,HCHG VITAMIN D 25HYDROXY,277.0,277.0,,,0
CDM,42100073,HCHG CALCIUM,112.0,112.0,,,0
CDM,42100074,HCHG CALCIUM FLUID,108.0,108.0,,,0
CDM,42100075,HCHG CALCIUM IONIZED,218.0,218.0,,,0
CDM,42100076,HCHG CALCIUM URINE 24HR,123.0,123.0,,,0
CDM,42100077,HCHG CALCIUM URINE RANDOM,123.0,123.0,,,0
CDM,42100082,HCHG CALCULUS ANALYSIS XRAY DIFFRACTION,99.0,99.0,,,0
CDM,42100084,HCHG CO2 (BICARBONATE),103.0,103.0,,,0
CDM,42100085,HCHG CARBON MONOXIDE,270.0,270.0,,,0
CDM,42100086,HCHG CEA,286.0,286.0,,,0
CDM,42100094,HCHG CERULOPLASMIN,133.0,133.0,,,0
CDM,42100096,HCHG CHLORIDE,113.0,113.0,,,0
CDM,42100097,HCHG CHLORIDE URINE,176.0,176.0,,,0
CDM,42100098,HCHG CHLORIDE URINE 24HR,176.0,176.0,,,0
CDM,42100099,HCHG CHLORIDE URINE TIMED,176.0,176.0,,,0
CDM,42100100,HCHG CHLORIDE FLUID,127.0,127.0,,,0
CDM,42100102,HCHG CHLORIDE SWEAT,145.0,145.0,,,0
CDM,42100103,HCHG CHOLESTEROL,118.0,118.0,,,0
CDM,42100104,HCHG CHOLESTEROL FLUID,119.0,119.0,,,0
CDM,42100126,HCHG CORTISOL TOTAL,283.0,283.0,,,0
CDM,42100131,HCHG CK TOTAL,243.0,243.0,,,0
CDM,42100133,HCHG CK MB FRACTION,401.0,401.0,,,0
CDM,42100134,HCHG CREATININE,117.0,117.0,,,0
CDM,42100135,HCHG CREATININE FLUID,126.0,126.0,,,0
CDM,42100137,HCHG CREATININE URINE RANDOM,126.0,126.0,,,0
CDM,42100138,HCHG CREATININE URINE TIMED,126.0,126.0,,,0
CDM,42100139,HCHG CREATININE CLEARANCE,239.0,239.0,,,0
CDM,42100140,HCHG CRYOFIBRINOGEN,186.0,186.0,,,0
CDM,42100141,HCHG CRYOGLOBULIN QUALITATIVE OR SEMI QUANTITATIVE,118.0,118.0,,,0
CDM,42100143,HCHG VITAMIN B12,228.0,228.0,,,0
CDM,42100146,HCHG DHEA SULFATE,90.5,90.5,,,0
CDM,42100158,HCHG ASSAY OF TOTAL ESTRADIOL,272.0,272.0,,,0
CDM,42100164,HCHG FAT STOOL QUALITATIVE,109.0,109.0,,,0
CDM,42100165,HCHG FAT STOOL QUANTITATIVE,324.0,324.0,,,0
CDM,42100168,HCHG FERRITIN,256.0,256.0,,,0
CDM,42100169,HCHG FETAL FIBRONECTIN,1161.0,1161.0,,,0
CDM,42100170,HCHG FOLATE,231.0,231.0,,,0
CDM,42100171,HCHG FOLATE RBC,75.0,75.0,,,0
CDM,42100173,HCHG IGA,75.0,75.0,,,0
CDM,42100176,HCHG IGG,75.0,75.0,,,0
CDM,42100178,HCHG IGM,75.0,75.0,,,0
CDM,42100180,HCHG IGE,170.0,170.0,,,0
CDM,42100183,HCHG BLOOD GAS ARTERIAL,802.0,802.0,,,0
CDM,42100184,HCHG BLOOD GAS CAPILLARY,802.0,802.0,,,0
CDM,42100185,HCHG BLOOD GAS CORD ARTERIAL,802.0,802.0,,,0
CDM,42100186,HCHG BLOOD GAS CORD VENOUS,802.0,802.0,,,0
CDM,42100187,HCHG BLOOD GAS VENOUS,802.0,802.0,,,0
CDM,42100188,HCHG BLOOD GASES W/02 SATURATION,914.0,914.0,,,0
CDM,42100189,HCHG O2 SATURATION ARTERIAL,296.0,296.0,,,0
CDM,42100190,HCHG O2 SATURATION VENOUS,296.0,296.0,,,0
CDM,42100192,HCHG GLUCAGON,298.0,298.0,,,0
CDM,42100193,HCHG GLUCOSE CSF,180.0,180.0,,,0
CDM,42100194,HCHG GLUCOSE FLUID,180.0,180.0,,,0
CDM,42100195,HCHG GLUCOSE URINE QUANTITATIVE,180.0,180.0,,,0
CDM,42100196,HCHG GLUCOSE,114.0,114.0,,,0
CDM,42100197,HCHG GLUCOSE 1HR PP,108.0,108.0,,,0
CDM,42100198,HCHG GLUCOSE 2HR PP,108.0,108.0,,,0
CDM,42100199,HCHG GLUCOSE POST GLUCOSE DOSE,108.0,108.0,,,0
CDM,42100200,HCHG GLUCOSE PRENATAL 50 GRAM SCREEN,108.0,108.0,,,0
CDM,42100201,HCHG GLUCOSE TOLERANCE FIRST 3 SPECIMENS,189.0,189.0,,,0
CDM,42100202,HCHG GLUCOSE TOLERANCE EA ADDL SPECIMEN,59.0,59.0,,,0
CDM,42100206,HCHG GGT,176.0,176.0,,,0
CDM,42100208,HCHG FSH,248.0,248.0,,,0
CDM,42100210,HCHG LH,327.0,327.0,,,0
CDM,42100213,HCHG HAPTOGLOBIN QUANTITATIVE,183.0,183.0,,,0
CDM,42100220,HCHG HEMOGLOBIN F (APT),216.0,216.0,,,0
CDM,42100221,HCHG HEMOGLOBIN GLYCOSYLATED A1C,203.0,203.0,,,0
CDM,42100222,HCHG METHEMOGLOBIN QUANTITATIVE,156.0,156.0,,,0
CDM,42100223,HCHG HEMOGLOBIN PLASMA,51.0,51.0,,,0
CDM,42100227,HCHG HOMOCYSTINE,318.0,318.0,,,0
CDM,42100245,HCHG IMMUNOASSAY ANALYTE QUANTITATIVE,347.0,347.0,,,0
CDM,42100277,HCHG INSULIN,134.0,134.0,,,0
CDM,42100279,HCHG IRON,140.0,140.0,,,0
CDM,42100282,HCHG IRON BINDING CAPACITY,143.0,143.0,,,0
CDM,42100285,HCHG LACTIC ACID CSF,333.0,333.0,,,0
CDM,42100287,HCHG LACTIC ACID PLASMA,333.0,333.0,,,0
CDM,42100288,HCHG LDH,157.0,157.0,,,0
CDM,42100289,HCHG LDH CSF,156.0,156.0,,,0
CDM,42100290,HCHG LDH FLUID,157.0,157.0,,,0
CDM,42100299,HCHG LAMELLAR BODY DENSITY,534.0,534.0,,,0
CDM,42100301,HCHG LIPASE,266.0,266.0,,,0
CDM,42100305,HCHG HDL CHOLESTEROL,136.0,136.0,,,0
CDM,42100306,HCHG LDL BY DIRECT MEASURE,129.0,129.0,,,0
CDM,42100307,HCHG MAGNESIUM,219.0,219.0,,,0
CDM,42100309,HCHG MAGNESIUM URINE,219.0,219.0,,,0
CDM,42100311,HCHG MAGNESIUM URINE TIMED,219.0,219.0,,,0
CDM,42100314,HCHG MASS SPECT/TANDEM QUANTITATIVE NES,134.0,134.0,,,0
CDM,42100325,HCHG NATRIURETIC PEPTIDE,601.0,601.0,,,0
CDM,42100358,HCHG OSMOLALITY SERUM,212.0,212.0,,,0
CDM,42100359,HCHG OSMOLALITY URINE,224.0,224.0,,,0
CDM,42100364,HCHG PTH,400.0,400.0,,,0
CDM,42100367,HCHG PH FLUID,123.0,123.0,,,0
CDM,42100370,HCHG PHENYLALANINE BLOOD,212.0,212.0,,,0
CDM,42100373,HCHG ALKALINE PHOSPHATASE,97.0,97.0,,,0
CDM,42100376,HCHG PHOSPHORUS (PO4),142.0,142.0,,,0
CDM,42100377,HCHG PHOSPHOROUS URINE RANDOM,104.0,104.0,,,0
CDM,42100379,HCHG PHOSPHORUS URINE TIMED,104.0,104.0,,,0
CDM,42100385,HCHG POTASSIUM,155.0,155.0,,,0
CDM,42100386,HCHG POTASSIUM FLUID,155.0,155.0,,,0
CDM,42100388,HCHG POTASSIUM URINE RANDOM,142.0,142.0,,,0
CDM,42100389,HCHG POTASSIUM URINE TIMED,142.0,142.0,,,0
CDM,42100390,HCHG PREALBUMIN,230.0,230.0,,,0
CDM,42100393,HCHG PROGESTERONE,292.0,292.0,,,0
CDM,42100394,HCHG PROLACTIN,262.0,262.0,,,0
CDM,42100396,HCHG PSA TOTAL DIAGNOSTIC,242.0,242.0,,,0
CDM,42100397,HCHG PSA FREE,252.0,252.0,,,0
CDM,42100398,HCHG PROTEIN TOTAL BLOOD,56.0,56.0,,,0
CDM,42100400,HCHG PROTEIN URINE QUANTITATIVE RANDOM,117.0,117.0,,,0
CDM,42100401,HCHG PROTEIN URINE QUANTITATIVE TIMED,117.0,117.0,,,0
CDM,42100402,HCHG PROTEIN TOTAL CSF,233.0,233.0,,,0
CDM,42100403,HCHG PROTEIN TOTAL FLUID,233.0,233.0,,,0
CDM,42100404,HCHG PROTEIN ELECTROPHORESIS SERUM,67.0,67.0,,,0
CDM,42100406,HCHG PROTEIN ELECTROPHORETIC FRACTIONATION/QUANT,107.0,107.0,,,0
CDM,42100417,HCHG RECEPTOR ASSAY ESTROGEN,659.0,659.0,,,0
CDM,42100418,HCHG RECEPTOR ASSAY PROGESTERONE,349.0,349.0,,,0
CDM,42100429,HCHG SEX HORMONE BINDING GLOBULIN,180.0,180.0,,,0
CDM,42100431,HCHG SODIUM,132.0,132.0,,,0
CDM,42100433,HCHG SODIUM URINE RANDOM,171.0,171.0,,,0
CDM,42100434,HCHG SODIUM URINE TIMED,171.0,171.0,,,0
CDM,42100435,HCHG SODIUM FLUID,42.0,42.0,,,0
CDM,42100437,HCHG SOMATOMEDIN C,161.0,161.0,,,0
CDM,42100441,HCHG SPECIFIC GRAVITY FLUID,53.0,53.0,,,0
CDM,42100442,HCHG SUGARS QUALITATIVE EA SPECIMEN,113.0,113.0,,,0
CDM,42100445,HCHG TESTOSTERONE TOTAL,136.0,136.0,,,0
CDM,42100449,HCHG THYROGLOBULIN,166.0,166.0,,,0
CDM,42100450,HCHG THYROXINE (T4),118.0,118.0,,,0
CDM,42100452,HCHG FREE T4,231.0,231.0,,,0
CDM,42100454,HCHG TSH,313.0,313.0,,,0
CDM,42100457,HCHG AST (SGOT),114.0,114.0,,,0
CDM,42100458,HCHG ALT (SGPT),113.0,113.0,,,0
CDM,42100459,HCHG TRANSFERRIN,198.0,198.0,,,0
CDM,42100460,HCHG TRIGLYCERIDE,162.0,162.0,,,0
CDM,42100461,HCHG TRIGLYCERIDE BODY FLUID,149.0,149.0,,,0
CDM,42100462,HCHG T3 UPTAKE,84.0,84.0,,,0
CDM,42100463,HCHG T3 TOTAL,180.5,180.5,,,0
CDM,42100464,HCHG T3 FREE,226.0,226.0,,,0
CDM,42100466,HCHG ASSAY OF TROPONIN QUANT,492.0,492.0,,,0
CDM,42100468,HCHG UREA NITROGEN QUANTITATIVE,106.0,106.0,,,0
CDM,42100469,HCHG UREA NITROGEN URINE 24HR,182.0,182.0,,,0
CDM,42100470,HCHG UREA NITROGEN URINE RANDOM,182.0,182.0,,,0
CDM,42100471,HCHG UREA NITROGEN URINE TIMED,182.0,182.0,,,0
CDM,42100472,HCHG UREA CLEARANCE,54.0,54.0,,,0
CDM,42100473,HCHG URIC ACID,134.0,134.0,,,0
CDM,42100474,HCHG URIC ACID FLUID,131.0,131.0,,,0
CDM,42100475,HCHG URIC ACID URINE 24 HR,131.0,131.0,,,0
CDM,42100476,HCHG URIC ACID URINE RANDOM,131.0,131.0,,,0
CDM,42100477,HCHG URIC ACID URINE TIMED,131.0,131.0,,,0
CDM,42100496,HCHG C PEPTIDE,138.0,138.0,,,0
CDM,42100497,HCHG BETA HCG QUANTITATIVE,395.0,395.0,,,0
CDM,42100499,HCHG BETA HCG QUALITATIVE,296.0,296.0,,,0
CDM,42100500,HCHG PREGNANCY TEST SERUM QUALITATIVE,296.0,296.0,,,0
CDM,42100520,HCHG OCCULT BLOOD FECES MULTIPLE SPECIMENS SCREENING,96.0,96.0,,,0
CDM,42100537,HCHG ASSAY OF LIPOPROTEIN(A),101.0,101.0,,,0
CDM,42100540,HCHG FERN TEST,212.0,212.0,,,0
CDM,42100543,HCHG PH BLOOD,309.0,309.0,,,0
CDM,42100546,HCHG DRUG SCRN CAFFEINE,942.0,942.0,,,0
CDM,42100547,HCHG PROCALCITONIN (PCT),625.0,625.0,,,0
CDM,42100569,HCHG UREA NITROGEN FLUID,106.0,106.0,,,0
CDM,42100571,HCHG OCCULT BLD IA SCRN,120.0,120.0,,,0
CDM,42100600,HCHG PAMG-IC/V QUAL EACH SPECIMEN,489.0,489.0,,,0
CDM,42100768,HCHG MACRO EXAM ARTHROPOD,216.0,216.0,,,0
CDM,42100770,HCHG SHIGA LIKE TOXIN EIA,107.0,107.0,,,0
CDM,42100824,HCHG RPR NON-TREPNML AB QL,101.0,101.0,,,0
CDM,42100825,HCHG LACTIC ACID BLOOD,333.0,333.0,,,0
CDM,42100831,HCHG SURG PATH LVL III,203.5,203.5,,,0
CDM,42100832,HCHG CYTO CL BLK 5 CNT/1 KARY,287.0,287.0,,,0
CDM,42100834,HCHG CULT OTHER SOURCE AEROBIC,364.5,364.5,,,0
CDM,42100837,HCHG GTT 3HR 1ST 3 SPEC,189.0,189.0,,,0
CDM,42100840,HCHG HLA I & II TYPING LR,2307.0,2307.0,,,0
CDM,42100841,HCHG HLA I & II TYPE VERIFY LR,1537.0,1537.0,,,0
CDM,42100842,HCHG HLA I TYPING COMPLETE LR,1164.0,1164.0,,,0
CDM,42100843,HCHG HLA I TYPING 1 LOCUS LR,373.0,373.0,,,0
CDM,42100844,HCHG HLA I TYPING 1 ANTIGEN LR,328.0,328.0,,,0
CDM,42100845,HCHG HLA II TYPING AG EQUIV LR,1053.0,1053.0,,,0
CDM,42100846,HCHG HLA II TYPING 1 LOCUS LR,382.0,382.0,,,0
CDM,42100847,HCHG HLA II TYPE 1 AG EQUIV LR,329.0,329.0,,,0
CDM,42100848,HCHG LACTOFERRIN FECAL QUALITATIVE,222.0,222.0,,,0
CDM,42100850,HCHG GTT 4HR 1ST 3 SPEC,189.0,189.0,,,0
CDM,42100853,HCHG OCC BLD 1-3 SPC NO NPLSM,120.0,120.0,,,0
CDM,42100872,HCHG ASSAY OF SERUM POTASSIUM,155.0,155.0,,,0
CDM,43000000,HCHG BLEEDING TIME TEST,145.0,145.0,,,0
CDM,43000001,HCHG PLATELET FUNCTION TEST,145.0,145.0,,,0
CDM,43000003,HCHG BLOOD SMEAR EXAM W/ MANUAL DIFFERENTIAL,97.0,97.0,,,0
CDM,43000004,HCHG BLOOD SMEAR EXAM W/O MANUAL DIFFERENTIAL,64.0,64.0,,,0
CDM,43000006,HCHG HEMATOCRIT SPUN,86.0,86.0,,,0
CDM,43000007,HCHG HEMATOCRIT,104.0,104.0,,,0
CDM,43000008,HCHG HEMOGLOBIN,75.0,75.0,,,0
CDM,43000009,HCHG CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL,217.0,217.0,,,0
CDM,43000010,HCHG CBC AUTOMATED,189.0,189.0,,,0
CDM,43000014,HCHG RETICULOCYTE AUTOMATED,126.0,126.0,,,0
CDM,43000015,HCHG WBC COUNT AUTOMATED,55.0,55.0,,,0
CDM,43000016,HCHG PLATELET COUNT AUTOMATED,148.0,148.0,,,0
CDM,43000018,HCHG INTERPRETATION BONE MARROW SMEAR,672.0,672.0,,,0
CDM,43000019,HCHG FACTOR XA AB CHROMOGENIC,488.0,488.0,,,0
CDM,43000022,HCHG CLOTTING FACTOR V LABILE FACTOR,324.0,324.0,,,0
CDM,43000024,HCHG CLOTTING FACTOR VIII 1 STAGE,130.0,130.0,,,0
CDM,43000029,HCHG CLOTTING FACTOR IX,386.0,386.0,,,0
CDM,43000031,HCHG CLOTTING FACTOR XI,313.0,313.0,,,0
CDM,43000034,HCHG CLOTTING FACTOR XIII SCREEN SOLUBILITY,345.0,345.0,,,0
CDM,43000036,HCHG ANTITHROMBIN III ACTIVITY,106.0,106.0,,,0
CDM,43000045,HCHG FACTOR INHIBITOR TEST,405.0,405.0,,,0
CDM,43000046,HCHG ACTIVATED CLOTTING TIME,230.0,230.0,,,0
CDM,43000048,HCHG FIBRIN DEGRADATION PROD AGGLTNTN SLIDE SEMIQUAN,208.0,208.0,,,0
CDM,43000050,HCHG D DIMER SEMI QUANTITATIVE/QUALITATIVE,367.0,367.0,,,0
CDM,43000051,HCHG D DIMER QUANTITATIVE,370.0,370.0,,,0
CDM,43000052,HCHG FIBRINOGEN ACTIVITY,320.0,320.0,,,0
CDM,43000058,HCHG FETAL RBC SMEAR (KLEIHAUER BETKE),181.0,181.0,,,0
CDM,43000059,HCHG FETAL SCREEN ROSETTE,248.0,248.0,,,0
CDM,43000060,HCHG HEMOLYSIN ACID (HAM'S),234.0,234.0,,,0
CDM,43000061,HCHG HEPARIN ASSAY,478.0,478.0,,,0
CDM,43000062,HCHG HEPARIN NEUTRALIZATION,23.0,23.0,,,0
CDM,43000063,HCHG IRON STAIN BLOOD,131.0,131.0,,,0
CDM,43000064,HCHG LEUKOCYTE ALKALINE PHOSHATASE (LAP),14.0,14.0,,,0
CDM,43000066,HCHG PLATELET AGGREGATION EA AGENT,292.0,292.0,,,0
CDM,43000070,HCHG PROTHROMBIN TIME,158.0,158.0,,,0
CDM,43000073,HCHG REPTILASE TEST,227.0,227.0,,,0
CDM,43000074,HCHG SEDIMENTATION RATE MANUAL,151.5,151.5,,,0
CDM,43000075,HCHG SEDIMENTATION RATE AUTOMATED,101.0,101.0,,,0
CDM,43000076,HCHG SICKLE CELL SCREEN,46.0,46.0,,,0
CDM,43000077,HCHG THROMBIN TIME,58.0,58.0,,,0
CDM,43000078,HCHG PTT PLASMA OR WHOLE BLOOD,236.0,236.0,,,0
CDM,43000083,HCHG HEINZ BODY STAIN,138.0,138.0,,,0
CDM,43000089,HCHG DRUG SCREEN CLASS LIST A,781.0,781.0,,,0
CDM,43000094,HCHG CLOTTING ASSAY WHOLE BLOOD,463.0,463.0,,,0
CDM,43000097,HCHG FIBRINOLYSINS/COAG SCREEN INTERP&REPORT,101.0,101.0,,,0
CDM,44000000,HCHG ANTIBODY SCREEN,255.0,255.0,,,0
CDM,44000001,HCHG ANTIBODY SCREEN 2,242.0,242.0,,,0
CDM,44000002,HCHG ANTIBODY SCREEN 3,242.0,242.0,,,0
CDM,44000003,HCHG ANTIBODY ELUTION,236.0,236.0,,,0
CDM,44000004,HCHG ANTIBODY ID,669.0,669.0,,,0
CDM,44000005,HCHG COOMBS DIRECT C3,156.0,156.0,,,0
CDM,44000006,HCHG COOMBS DIRECT IGG,156.0,156.0,,,0
CDM,44000007,HCHG COOMBS DIRECT POLYSPECIFIC,156.0,156.0,,,0
CDM,44000009,HCHG ANTIBODY TITER,112.0,112.0,,,0
CDM,44000010,HCHG ABO TYPE SEROLOGIC,154.0,154.0,,,0
CDM,44000011,HCHG RH TYPE SEROLOGIC,161.0,161.0,,,0
CDM,44000013,HCHG BLD TYPE SEROLOGIC SCRN ANTGN EA UNIT PT SERUM,55.0,55.0,,,0
CDM,44000014,HCHG RBC ANTIGENS EA,193.0,193.0,,,0
CDM,44000015,HCHG RH PHENOTYPE COMPLETE,86.0,86.0,,,0
CDM,44000016,HCHG COMPATIBILITY TEST IMMEDIATE SPIN,576.0,576.0,,,0
CDM,44000017,HCHG COMPATIBILITY TEST INCUBATED,589.0,589.0,,,0
CDM,44000018,HCHG COMPATIBILITY TEST ANTIGLOBULIN,598.0,598.0,,,0
CDM,44000021,HCHG FROZEN BLOOD FREEZING W PREP,788.0,788.0,,,0
CDM,44000024,HCHG IRRADIATION BLOOD PRODUCT EA,71.0,71.0,,,0
CDM,44000026,HCHG POOLING BLOOD PRODUCTS,171.0,171.0,,,0
CDM,44000027,HCHG RBC PRETREATMENT CHEMICAL AGENT/DRUG,110.0,110.0,,,0
CDM,44000028,HCHG RBC PRETREATMENT ENZYME,153.0,153.0,,,0
CDM,44000032,HCHG SER PRETREATMENT INCUBATION W/ INHIBITORS,435.0,435.0,,,0
CDM,44000033,HCHG SERUM PRETREATMENT ABSORPTION EA,137.0,137.0,,,0
CDM,44000034,HCHG SPLITTING BLOOD PRODUCTS EA UNIT,525.0,525.0,,,0
CDM,44000035,HCHG THAWING PRODUCT PER UNIT,362.0,362.0,,,0
CDM,44000036,HCHG BLOOD TYPE SEROLOGIC ANTGN DONOR EA,159.0,159.0,,,0
CDM,44000038,HCHG RBC L/R CMV NEG IRR PS EA UNIT,315.0,315.0,,,0
CDM,44000040,HCHG AB ID 2,642.0,642.0,,,0
CDM,44000041,HCHG CROSS MATCH ELECTRONIC,554.0,554.0,,,0
CDM,44000042,HCHG ABO RECHECK UNIT/PATIENT,142.5,142.5,,,0
CDM,44000045,HCHG BLOOD TYPING ABO,154.0,154.0,,,0
CDM,45000030,HCHG ANA (ANTI NUCLEAR AB),98.0,98.0,,,0
CDM,45000034,HCHG ASO SCREEN,104.0,104.0,,,0
CDM,45000035,HCHG C REACTIVE PROTEIN,177.0,177.0,,,0
CDM,45000036,HCHG C-REACTIVE PROTEIN HIGH SENSITIVITY,227.0,227.0,,,0
CDM,45000039,HCHG CARDIOLIPIN IGA AB,22.0,22.0,,,0
CDM,45000040,HCHG CARDIOLIPIN IGG AB,22.0,22.0,,,0
CDM,45000041,HCHG CARDIOLIPIN IGM AB,22.0,22.0,,,0
CDM,45000044,HCHG COLD AGGLUTININ TITER,176.0,176.0,,,0
CDM,45000048,HCHG COMPLEMENT,94.0,94.0,,,0
CDM,45000092,HCHG CA 15 3 (27.29),192.0,192.0,,,0
CDM,45000093,HCHG CA 19 9,224.0,224.0,,,0
CDM,45000094,HCHG CA 125,256.0,256.0,,,0
CDM,45000095,HCHG HETEROPHILE AB SCREEN,217.0,217.0,,,0
CDM,45000096,HCHG MONO TEST SCREEN,217.0,217.0,,,0
CDM,45000106,HCHG IMMUNOFIXATION SERUM,159.0,159.0,,,0
CDM,45000107,HCHG IMMUNOFIXATION URINE,296.0,296.0,,,0
CDM,45000126,HCHG RHEUMATOID FACTOR QUALITATIVE,126.0,126.0,,,0
CDM,45000127,HCHG RHEUMATOID FACTOR QUANTITATIVE,78.0,78.0,,,0
CDM,45000128,HCHG RPR QUALITATIVE,101.0,101.0,,,0
CDM,45000129,HCHG VDRL CSF QUALITATIVE,101.0,101.0,,,0
CDM,45000130,HCHG RPR TITER,19.0,19.0,,,0
CDM,45000164,HCHG CMV AB,120.0,120.0,,,0
CDM,45000166,HCHG CMV AB IGM,378.0,378.0,,,0
CDM,45000193,HCHG GIARDIA AB,211.0,211.0,,,0
CDM,45000198,HCHG H PYLORI AB,147.0,147.0,,,0
CDM,45000219,HCHG HIV 1/HIV 2 AB,172.0,172.0,,,0
CDM,45000220,HCHG HEPATITIS B CORE AB TOTAL,171.0,171.0,,,0
CDM,45000221,HCHG HEPATITIS B CORE AB IGM,157.0,157.0,,,0
CDM,45000222,HCHG HEPATITIS B SURFACE AB,137.0,137.0,,,0
CDM,45000224,HCHG HEPATITIS A AB TOTAL,132.0,132.0,,,0
CDM,45000225,HCHG HEPATITIS A AB IGM,154.0,154.0,,,0
CDM,45000254,HCHG RUBELLA AB,123.0,123.0,,,0
CDM,45000258,HCHG RUBEOLA AB,90.0,90.0,,,0
CDM,45000262,HCHG TOXOPLASMA AB IGG,119.0,119.0,,,0
CDM,45000263,HCHG TOXOPLASMA AB IGM,287.0,287.0,,,0
CDM,45000265,HCHG MHA TREPONEMA PALLIDUM,104.0,104.0,,,0
CDM,45000266,HCHG VARICELLA ZOSTER AB,106.0,106.0,,,0
CDM,45000277,HCHG THYROGLOBULIN AB,115.0,115.0,,,0
CDM,45000278,HCHG HEPATITIS C  AB,182.0,182.0,,,0
CDM,45000295,HCHG HLA TYPE A B OR C MULTIPLE ANTIGENS,1484.0,1484.0,,,0
CDM,45000296,HCHG HLA TYPE DR/DQ MULTIPLE ANTIGENS,1616.0,1616.0,,,0
CDM,45000298,HCHG TRANSFUSION REACTION INVESTIGATION,541.0,541.0,,,0
CDM,45000339,HCHG PARTICLE AGGLUT ANTBDY SCRN,234.0,234.0,,,0
CDM,45000344,HCHG HEP C SCREEN HIGH RISK/OTHER,166.5,166.5,,,0
CDM,45000345,HCHG SARS-COV-2 COVID-19 AB IGG,81.0,81.0,,,0
CDM,45000346,HCHG SARS-COV-2 COVID-19 AB TOTAL,81.0,81.0,,,0
CDM,45000347,HCHG GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS,69.0,69.0,,,0
CDM,45000348,HCHG TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,68.0,68.0,,,0
CDM,45000349,HCHG IA INFECTIONS AGT AB QUANT,112.0,112.0,,,0
CDM,45000601,HCHG PPD SKIN TEST,71.0,71.0,,,0
CDM,45000612,"HCHG CHLAMYDIA PNEUMONIAE, PCR",306.0,306.0,,,0
CDM,46000000,HCHG SPECIMEN CONCENTRATION,133.0,133.0,,,0
CDM,46000001,HCHG CULTURE BLOOD,469.0,469.0,,,0
CDM,46000002,HCHG CULTURE STOOL SALMONELLA AND  SHIGELLA,223.0,223.0,,,0
CDM,46000003,HCHG CULTURE STOOL CAMPHYLOBACTER EA PLATE,147.0,147.0,,,0
CDM,46000005,HCHG CULTURE STOOL OTHER EA PLATE,147.0,147.0,,,0
CDM,46000012,HCHG CULTURE BIOPSY,306.0,306.0,,,0
CDM,46000014,HCHG CULTURE CATHETER TIP,344.5,344.5,,,0
CDM,46000017,HCHG CULTURE EAR,364.5,364.5,,,0
CDM,46000019,HCHG CULTURE EYE,364.5,364.5,,,0
CDM,46000020,HCHG CULTURE FLUID,364.5,364.5,,,0
CDM,46000021,HCHG CULTURE GENITAL,364.5,364.5,,,0
CDM,46000022,HCHG CULTURE LEGIONELLA,364.5,364.5,,,0
CDM,46000024,HCHG CULT NASAL,364.5,364.5,,,0
CDM,46000025,HCHG CULT OTHER SOURCE AEROBIC NOT UR/BLD/STL,364.5,364.5,,,0
CDM,46000029,HCHG CULTURE SPUTUM,364.5,364.5,,,0
CDM,46000035,HCHG CULTURE QUANTITATIVE ANAEROBIC,223.0,223.0,,,0
CDM,46000036,HCHG CULTURE BACTERIAL ANAEROBIC NOT BLOOD,269.0,269.0,,,0
CDM,46000037,HCHG CULTURE FLUID (ANAEROBIC),269.0,269.0,,,0
CDM,46000038,HCHG CULTURE TISSUE (ANAEROBIC),269.0,269.0,,,0
CDM,46000040,HCHG CULTURE BACTERIAL ANAEROBIC ID,189.0,189.0,,,0
CDM,46000041,HCHG CULTURE BACTERIAL AEROBIC ID,185.0,185.0,,,0
CDM,46000042,HCHG CULTURE BETA STREP A ONLY,208.0,208.0,,,0
CDM,46000043,HCHG CULTURE GC SCREEN,208.0,208.0,,,0
CDM,46000044,HCHG CULTURE GROUP B STREP SCREEN,208.0,208.0,,,0
CDM,46000046,HCHG CULTURE LEGIONELLA SCREEN,205.5,205.5,,,0
CDM,46000047,HCHG CULTURE MRSA SCREEN,208.0,208.0,,,0
CDM,46000048,HCHG CULTURE SCREEN BORDETELLA PERTUSSUS,204.5,204.5,,,0
CDM,46000050,HCHG CULTURE SCREEN ONLY,205.5,205.5,,,0
CDM,46000051,HCHG CULTURE VRE SCREEN,208.0,208.0,,,0
CDM,46000053,HCHG CULTURE URINE COLONY COUNT ONLY,237.0,237.0,,,0
CDM,46000054,HCHG CULTURE URINE ID EA ISOLATE,160.0,160.0,,,0
CDM,46000055,HCHG CULTURE FUNGUS SKIN HAIR NAIL,63.0,63.0,,,0
CDM,46000056,HCHG CULTURE FUNGUS OTHER SOURCE,175.0,175.0,,,0
CDM,46000057,HCHG CULTURE FUNGUS BLOOD,311.0,311.0,,,0
CDM,46000058,HCHG CULTURE FUNGUS YEAST ID,222.0,222.0,,,0
CDM,46000059,HCHG CULTURE FUNGUS MOLD ID,155.0,155.0,,,0
CDM,46000060,HCHG MYCOPLASMA CULTURE,275.0,275.0,,,0
CDM,46000063,HCHG AFB CULTURE,168.0,168.0,,,0
CDM,46000064,HCHG AFB CULTURE (SPUTUM),168.0,168.0,,,0
CDM,46000065,HCHG AFB CULTURE BLOOD,168.0,168.0,,,0
CDM,46000066,HCHG AFB ISOLATE ID,107.0,107.0,,,0
CDM,46000067,HCHG CULTURE TYPING FLUORESCENT,101.0,101.0,,,0
CDM,46000072,HCHG CULTURE TYPING IMMUNOLOGIC,118.0,118.0,,,0
CDM,46000074,HCHG CULTURE TYPING BY NUCLEIC ACID PROBE,226.0,226.0,,,0
CDM,46000078,HCHG MACRO EXAM PARASITE,94.0,94.0,,,0
CDM,46000079,HCHG PINWORM CELLOPHANE TAPE,58.0,58.0,,,0
CDM,46000080,HCHG TISSUE HOMOGENIZATION,132.0,132.0,,,0
CDM,46000081,HCHG OVA AND PARASITES W/ CONCENTRATION,46.0,46.0,,,0
CDM,46000082,HCHG SUSCEPTIBILITY BY E TEST,105.0,105.0,,,0
CDM,46000083,HCHG SUSCEPTIBILITY KB DISK LESS THAN OR EQUAL TO 12 AGENTS,107.0,107.0,,,0
CDM,46000084,HCHG SUSCEPTIBILITY BY ENZYME DETECT,72.0,72.0,,,0
CDM,46000085,HCHG SUSCEPTIBILITY BY MIC,301.0,301.0,,,0
CDM,46000088,HCHG SMEAR GRAM STAIN,154.0,154.0,,,0
CDM,46000089,HCHG SMEAR WRIGHT STAIN,154.0,154.0,,,0
CDM,46000090,HCHG STOOL FOR WBC'S,154.0,154.0,,,0
CDM,46000091,HCHG SMEAR AFB STAIN,157.0,157.0,,,0
CDM,46000092,HCHG SMEAR CRYPTOSPORIDIUM,142.0,142.0,,,0
CDM,46000093,HCHG SMEAR FLUORESCENT AND/OR ACID FAST,157.0,157.0,,,0
CDM,46000096,HCHG SMEAR INCLUSION BODIES PARASITE,215.0,215.0,,,0
CDM,46000097,HCHG SMEAR MALARIA,215.0,215.0,,,0
CDM,46000098,HCHG SMEAR COMPLEX STAIN OVA AND PARASITE,22.0,22.0,,,0
CDM,46000099,HCHG INDIA INK PREP CSF,243.0,243.0,,,0
CDM,46000100,HCHG SMEAR WET MOUNT,243.0,243.0,,,0
CDM,46000101,HCHG KOH PREP SKIN HAIR NAIL,186.0,186.0,,,0
CDM,46000105,HCHG CULTURE CMV,207.0,207.0,,,0
CDM,46000106,HCHG CULTURE HERPES,217.0,217.0,,,0
CDM,46000108,HCHG CULTURE V ZOSTER,207.0,207.0,,,0
CDM,46000109,HCHG CULTURE VIRAL,207.0,207.0,,,0
CDM,46000112,HCHG CULTURE HSV,708.0,708.0,,,0
CDM,46000114,HCHG ADENOVIRUS DFA,184.0,184.0,,,0
CDM,46000119,HCHG HSV TYPE 2 DFA,57.0,57.0,,,0
CDM,46000120,HCHG HSV TYPE 1 DFA,27.0,27.0,,,0
CDM,46000121,HCHG INFLUENZA B DFA,160.0,160.0,,,0
CDM,46000122,HCHG INFLUENZA A DFA,146.0,146.0,,,0
CDM,46000123,HCHG LEGIONELLA PNEUMOPHILA DFA,260.0,260.0,,,0
CDM,46000124,HCHG PARAINFLUENZA DFA,118.0,118.0,,,0
CDM,46000128,HCHG RSV DFA,246.0,246.0,,,0
CDM,46000130,HCHG VARICELLA ZOSTER DFA,272.0,272.0,,,0
CDM,46000131,HCHG C DIFFICILE TOXIN EIA,194.0,194.0,,,0
CDM,46000133,HCHG CRYPTOSPORIDIUM AG EIA,122.0,122.0,,,0
CDM,46000134,HCHG GIARDIA AG EIA,161.0,161.0,,,0
CDM,46000139,HCHG H PYLORI (NOT STOOL) EIA,89.0,89.0,,,0
CDM,46000140,HCHG HEPATITIS B SURFACE AG,150.0,150.0,,,0
CDM,46000141,HCHG HEPATITIS B SURFACE AG NEUTRALIZATION,43.0,43.0,,,0
CDM,46000146,HCHG INFLUENZA AG A OR B EA,162.0,162.0,,,0
CDM,46000147,HCHG RSV AG EIA,357.0,357.0,,,0
CDM,46000148,HCHG ROTAVIRUS AG EIA,211.0,211.0,,,0
CDM,46000150,HCHG STREP GROUP A AG EIA,228.0,228.0,,,0
CDM,46000156,HCHG CHLAMYDIA TRACH AMPLIFIED PROBE,275.0,275.0,,,0
CDM,46000161,HCHG GARDNERELLA VAGINALIS DNA DIRECT PROBE,479.0,479.0,,,0
CDM,46000171,HCHG HSV AMPLIFIED PROBE,258.0,258.0,,,0
CDM,46000180,HCHG MYCOBACTERIA TB AMPLIFIED PROBE,425.0,425.0,,,0
CDM,46000182,HCHG MYCOPLASMA AMPLIFIED NA PROBE,323.0,323.0,,,0
CDM,46000184,HCHG GC AMPLIFIED PROBE,266.0,266.0,,,0
CDM,46000186,HCHG TRICHOMONAS VAG DIRECT PROBE,152.0,152.0,,,0
CDM,46000200,HCHG INFECT AGENT POLYVAL DFA,156.0,156.0,,,0
CDM,46000210,HCHG AG DETECT NOS DNA AMP,437.0,437.0,,,0
CDM,46000215,HCHG AG DETECT EIA MULT STEP,185.0,185.0,,,0
CDM,46000217,HCHG CULTURE CSF,364.5,364.5,,,0
CDM,46000219,HCHG HIV-1 AG W/HIV-1/HIV-2 AB,316.0,316.0,,,0
CDM,46000221,HCHG CULT WOUND,306.0,306.0,,,0
CDM,46000223,HCHG SER BACTERICIDAL TTR,320.0,320.0,,,0
CDM,46000224,HCHG M AVIUM AMP PRB,633.0,633.0,,,0
CDM,46000227,HCHG C DIFF AMPLIFIED PROBE,421.0,421.0,,,0
CDM,46000229,HCHG INFLUENZA DNA AMP PROBE,640.0,640.0,,,0
CDM,46000230,HCHG INFLUENZA DNA AMP PROB >2 TYPES,81.0,81.0,,,0
CDM,46000232,HCHG CRYPTOCOCCAL ANTIGEN BY IMMUNOASSAY,212.0,212.0,,,0
CDM,46000234,HCHG HPV HIGH-RISK TYPES W/ POOLED RESULTS,568.0,568.0,,,0
CDM,46000235,HCHG HPV TYPES 16 & 18 ONLY,74.5,74.5,,,0
CDM,46000236,HCHG INFECT AGENT ANTIGEN BY IMMUNOASSAY NOS,212.0,212.0,,,0
CDM,46000238,HCHG RESP VIRUS 3-5 TARGETS,1286.0,1286.0,,,0
CDM,46000239,HCHG RESP VIRUS 12-25 TARGETS,1350.0,1350.0,,,0
CDM,46000240,HCHG CULT TYPE DNA/RNA AMPLIFIED PROBE EA,268.0,268.0,,,0
CDM,46000246,HCHG CNS DNA AMP PROBE TYPE 12-25,1424.0,1424.0,,,0
CDM,46000247,HCHG RSV DNA/RNA AMP PROBE,349.0,349.0,,,0
CDM,46000248,HCHG STREP A AMPLIF NA PROBE,266.0,266.0,,,0
CDM,46000249,HCHG IADNA SARS-COV-2 COVID-19 AMP PROBE TQ,382.0,382.0,,,0
CDM,46000250,HCHG SARS-COV-2 COVID-19 AMP PROB HI THRUPUT TQ,75.0,75.0,,,0
CDM,46000251,HCHG SARSCOV2 COVID-19 & INF A&B AMP PRB,532.0,532.0,,,0
CDM,46000252,HCHG SARSCOV2 COVID-19 & INF A&B&RSV AMP PRB,605.0,605.0,,,0
CDM,46000253,HCHG DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,845.0,845.0,,,0
CDM,46000254,HCHG COV-19 AMP PRB HI THRUPUT W/IN 2 DAY COLLT,25.0,25.0,,,0
CDM,46000255,HCHG CUL TYP ID BLD PTHGN MULTIPLEX 6+ TRGT,835.0,835.0,,,0
CDM,46000257,HCHG SARS-COV-2 COVID19 ANTIGEN W/OPTICAL OBS,132.0,132.0,,,0
CDM,46000258,HCHG HEPB SCREEN NON-PREGNANT HIGH RISK INDIV,178.0,178.0,,,0
CDM,46000259,HCHG IADNA ORTHOPOXVIRUS AMP PRB TECHNIQUE EA,101.0,101.0,,,0
CDM,46000260,HCHG HPV SEP HI-RSK TYP&POOL RSLT,609.0,609.0,,,0
CDM,46000261,HCHG HIV AG W/HIV1&2 ANTB W/OPTIC,325.0,325.0,,,0
CDM,47000001,HCHG URINALYSIS AUTOMATED W/ MICROSCOPIC EXAM,133.0,133.0,,,0
CDM,47000002,HCHG SPECIFIC GRAVITY URINE,49.0,49.0,,,0
CDM,47000003,HCHG URINALYSIS MANUAL W/OUT MICROSCOPIC EXAM,47.0,47.0,,,0
CDM,47000005,HCHG URINALYSIS SINGLE ASSAY,49.0,49.0,,,0
CDM,47000006,HCHG URINALYSIS AUTOMATED W/OUT  MICROSCOPIC EXAM,102.0,102.0,,,0
CDM,47000007,HCHG URINALYSIS QUALITATIVE OR SEMI QUANTITATIVE,83.0,83.0,,,0
CDM,47000008,HCHG MICROSCOPIC EXAM URINE,102.0,102.0,,,0
CDM,47000010,HCHG PREGNANCY SCREEN URINE,190.0,190.0,,,0
CDM,47100001,HCHG VENIPUNCTURE,50.0,50.0,,,0
CDM,47100002,HCHG OBS VENIPUNCTURE,50.0,50.0,,,0
CDM,47100003,HCHG CAPILLARY PUNCTURE,38.5,38.5,,,0
CDM,47100005,HCHG CELL COUNT FLUID W/ DIFF,280.0,280.0,,,0
CDM,47100006,HCHG CRYSTAL ID TISSUE/FLUID NOT URINE,207.0,207.0,,,0
CDM,47100007,HCHG FAT STAIN QUALITATIVE,25.0,25.0,,,0
CDM,47100008,HCHG EOSINPHILS SMEAR NASAL,146.0,146.0,,,0
CDM,47100011,HCHG SEMEN MOTILITY/COUNT (NO HUHNER),150.0,150.0,,,0
CDM,47100012,HCHG SEMEN ANALYSIS COMPLETE,253.0,253.0,,,0
CDM,47100016,HCHG ARTERIAL PUNCTURE,397.0,397.0,,,0
CDM,47100017,HCHG SPUTUM SPEC VIA AEROSOL,837.0,837.0,,,0
CDM,47100023,HCHG SPEC HANDL TO REF LAB,54.5,54.5,,,0
CDM,47100051,HCHG V CPM REQUEST PROCESSING FEE,122.0,122.0,,,0
CDM,47100052,HCHG V CPMC SLIDE RETRIEVAL 1-20 SLIDES,88.0,88.0,,,0
CDM,47100053,HCHG V CPMC REQUEST PAPANICOLAU STAIN EACH,32.5,32.5,,,0
CDM,47100060,HCHG KIT DRAW,54.5,54.5,,,0
CDM,47100063,HCHG CPMC VENIPUNCTURE BTMG,39.0,39.0,,,0
CDM,47100064,HCHG CPMC VENIPUNCTURE BTMG PRENATAL,45.0,45.0,,,0
CDM,47100068,HCHG HOPD COVID-19 SPEC COLLECT,60.5,60.5,,,0
CDM,47100070,HCHG VENIPUNCTURE CDPH PRENATAL,6.0,6.0,,,0
CDM,47100071,HCHG NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,1538.0,1538.0,,,0
CDM,47100072,HCHG NFCT DS BV&VAGINITIS DNA ALG,581.0,581.0,,,0
CDM,48100001,HCHG CYTOLOGY FLUID,229.0,229.0,,,0
CDM,48100002,HCHG CYTOLOGY URINE,229.0,229.0,,,0
CDM,48100005,HCHG CYTOLOGY CONCENTRATION TECHNIQUE,186.5,186.5,,,0
CDM,48100006,HCHG CYTOLOGY SELECTIVE CELLULAR ENHANCEMENT,197.0,197.0,,,0
CDM,48100007,HCHG PAP DIAGNOSTIC THIN LAYER PREP,88.5,88.5,,,0
CDM,48100008,HCHG PAP DIAGNOSTIC MANUAL,65.0,65.0,,,0
CDM,48100009,HCHG CYTOLOGY SMEARS OTHER SOURCE,174.0,174.0,,,0
CDM,48100010,HCHG CYTOLOGY SMEARS PREPARATION & INTERPRETATION,207.0,207.0,,,0
CDM,48100011,HCHG PAP DIAGNOSTIC BY THE BETHESDA SYSTEM METHOD,170.0,170.0,,,0
CDM,48100012,HCHG FNA ADEQUACY EVALUATION,260.5,260.5,,,0
CDM,48100013,HCHG FNA INTERPRETATION AND REPORT,258.5,258.5,,,0
CDM,48100016,HCHG DNA CELL CYCLE,674.0,674.0,,,0
CDM,48100018,HCHG CELL MARKER TECHNICAL COMPONENT 1ST CELL MARKER,285.0,285.0,,,0
CDM,48100019,HCHG CELL MARKER TECHNICAL COMPONENT EA ADDL MARKER,34.0,34.0,,,0
CDM,48100022,HCHG CELL MARKER INTERPRET 16+,114.5,114.5,,,0
CDM,48100024,"HCHG MEAT FIBERS, FECES",111.0,111.0,,,0
CDM,48100026,HCHG CYTOLOGY CSF SMR,229.0,229.0,,,0
CDM,48100029,HCHG CYTP EVL ASP CYTO STY ADD,54.0,54.0,,,0
CDM,48100072,HCHG CYTOLOGY EXTENDED STUDY,203.0,203.0,,,0
CDM,48100073,HCHG OUTSD COMPR CONSULT,567.5,567.5,,,0
CDM,48200001,HCHG TISSUE CULTURE SKIN,1481.0,1481.0,,,0
CDM,48200003,HCHG TISSUE CULTURE BONE MARROW/BLOOD,269.0,269.0,,,0
CDM,48200004,HCHG CRYOPRESERVE/STORAGE CELL,52.5,52.5,,,0
CDM,48200006,HCHG CHRMOSOME COUNT 15-20 CELLS/ 1 KARYOTYPE,348.0,348.0,,,0
CDM,48200010,HCHG DNA PROBE CYTOGENETICS EA,132.0,132.0,,,0
CDM,48200013,HCHG DNA PROBE CYTOGENETICS >100,172.0,172.0,,,0
CDM,48300002,HCHG SURGICAL PATHOLOGY LEVEL IV,309.0,309.0,,,0
CDM,48300003,HCHG SURGICAL PATHOLOGY LEVEL V,566.0,566.0,,,0
CDM,48300004,HCHG SURGICAL PATHOLOGY LEVEL VI,974.5,974.5,,,0
CDM,48300005,HCHG DECALCIFICATION,65.0,65.0,,,0
CDM,48300006,HCHG SPECIAL STAIN GROUP I MICROORGANISMS,174.0,174.0,,,0
CDM,48300007,HCHG SPECIAL STAIN GROUP II,116.5,116.5,,,0
CDM,48300008,HCHG HISTOCHEMICAL STAIN FROZEN SECTION,143.0,143.0,,,0
CDM,48300010,HCHG ENZYME HISTOCHEMISTRY,415.0,415.0,,,0
CDM,48300011,HCHG OUTSIDE SLIDE CONSULT,349.0,349.0,,,0
CDM,48300012,HCHG OUTSIDE SLIDE CONSULT PREP,232.0,232.0,,,0
CDM,48300014,HCHG PATH FROZEN SECTION 1 BLOCK,263.0,263.0,,,0
CDM,48300015,HCHG PATH FROZEN SECTION EA ADDL BLOCK,282.0,282.0,,,0
CDM,48300016,HCHG INTRAOPERATIVE CYTOPATH CONSULT INITIAL SITE,255.0,255.0,,,0
CDM,48300017,HCHG INTRAOPERATIVE CYTOPATH CONSULT EA ADDL SITE,112.5,112.5,,,0
CDM,48300019,HCHG IMMUNOFL PER SPEC SINGLE AB STAIN PROC INITIAL,215.0,215.0,,,0
CDM,48300020,HCHG ELECTRON MICROSCOPY DIAGNOSTIC,1177.0,1177.0,,,0
CDM,48300021,HCHG SURGICAL  PATHOLOGY LEVEL I,90.0,90.0,,,0
CDM,48300022,HCHG SURGICAL PATHOLOGY LEVEL II,174.0,174.0,,,0
CDM,48300028,HCHG TISS EXAM MOLECULAR STUDY,1099.5,1099.5,,,0
CDM,48300029,HCHG TISS EX MOLE STUDY ADD-ON,948.0,948.0,,,0
CDM,48300033,HCHG TUMOR IMMUNOHISTOCHEM MAN,268.5,268.5,,,0
CDM,48300067,HCHG V CPMC 1 H&E SLIDE FOR TECHNICAL PREP ONLY,14.5,14.5,,,0
CDM,48300068,HCHG IMMUNOHISTO AB STAIN INITIAL SINGLE AB,281.5,281.5,,,0
CDM,48300069,HCHG IMMUNOHISTO ANTIBODY SLIDE EA ADD,197.5,197.5,,,0
CDM,48300070,HCHG IMMUNOHISTO ANTIBODY SLIDE MULTI,408.0,408.0,,,0
CDM,48300071,HCHG PROSTATE BIOPSY  ANY METHOD,670.0,670.0,,,0
CDM,48300072,HCHG IMMUNOFL PER SPEC SINGLE AB STAIN PROC EA ADDL,147.0,147.0,,,0
CDM,48300075,HCHG V CPMC REQUEST RECUT UNSTAINED SLIDES EACH,5.0,5.0,,,0
CDM,48300076,HCHG V CPMC REQUEST H & E SLIDE EACH,16.5,16.5,,,0
CDM,48300077,HCHG V CPMC REQUEST SPECIAL STAIN SLIDE EACH,60.0,60.0,,,0
CDM,48300078,HCHG V CPMC REQUEST TISSUE BLOCK EACH,21.5,21.5,,,0
CDM,48300079,HCHG V CPMC REQUEST PATIENT PATHOLOGY RECORD EACH PATIENT,16.5,16.5,,,0
CDM,48300080,HCHG V CPMC REQUEST IHC SLIDE EACH,66.0,66.0,,,0
CDM,48300081,HCHG IN SITU HYBRIDIZATION MANUAL,230.0,230.0,,,0
CDM,48300082,HCHG IN SITU HYBRIDIZATION MANUAL EA ADD,157.5,157.5,,,0
CDM,48300083,HCHG XM ARCHIV TISS MOLEC ANAL,103.0,103.0,,,0
CDM,50000000,HCHG DIALYSIS HEMOFILTRATION,4200.0,4200.0,,,0
CDM,50000001,HCHG HEMODIALYSIS INPATIENT,4440.0,4440.0,,,0
CDM,50000002,HCHG DIALYSIS PERITONEAL NON CAPD IP,1251.0,1251.0,,,0
CDM,50000003,HCHG CAPD INPATIENT,803.0,803.0,,,0
CDM,50000004,HCHG CCPD INPATIENT,2686.0,2686.0,,,0
CDM,50000013,HCHG DIALYSIS TX EMERGENCY OUTPATIENT,2314.0,2314.0,,,0
CDM,50000014,HCHG THERAPEUTICAPHERESIS SELECTIVE,13958.0,13958.0,,,0
CDM,50000015,HCHG THERAPEUTIC APHERESIS WBC,7146.0,7146.0,,,0
CDM,50000016,HCHG THERAPEUTIC APHERESIS RBC,15095.0,15095.0,,,0
CDM,50000017,HCHG THERAPEUTIC APHERESIS PLASMA,7885.0,7885.0,,,0
CDM,50000018,HCHG THERAPEUTIC APHERESIS PLATELET,14823.0,14823.0,,,0
CDM,50000058,HCHG DIALYSIS PRITONEAL OUTPATIENT,2409.0,2409.0,,,0
CDM,50000059,HCHG DIALYSIS CONTINUOUS AMB PERITONEAL CAPD OP,2409.0,2409.0,,,0
CDM,50000060,HCHG DIALYSIS CONTINUOUS CYCLING PERITONEAL OP,2409.0,2409.0,,,0
CDM,52000001,HCHG INFUSION HYDRATION INITIAL UP TO 1 HR,1160.0,1160.0,,,0
CDM,52000002,HCHG INFUSION HYDRATION EA ADDL HR,490.0,490.0,,,0
CDM,52000003,HCHG INFUSION INITIAL W/MED UP TO 1 HR,1214.0,1214.0,,,0
CDM,52000004,HCHG INFUSION W/MED EA ADDL HR,589.0,589.0,,,0
CDM,52000005,HCHG INFUSION SEQ W MED UP TO 1 HR,549.0,549.0,,,0
CDM,52000006,HCHG INFUSION PORTABLE/IMPLANTED PUMP,740.0,740.0,,,0
CDM,52000007,HCHG BLOOD TRANSFUSION <=2 HRS,857.0,857.0,,,0
CDM,52000008,HCHG INJECTION IM/SQ EA,345.0,345.0,,,0
CDM,52000010,HCHG CHEMO NON-HORMONAL SQ/IM,715.0,715.0,,,0
CDM,52000011,HCHG CHEMO HORMONAL SQ/IM,533.0,533.0,,,0
CDM,52000012,HCHG CHEMO INFUSION PORTABLE/IMPLANTED PUMP,1821.0,1821.0,,,0
CDM,52000013,HCHG CHEMO IA PUSH,1789.0,1789.0,,,0
CDM,52000014,HCHG CHEMO INFUSION IA UP TO 1 HR,1569.0,1569.0,,,0
CDM,52000015,HCHG CHEMO INFUSION IA EA ADDL HR,882.0,882.0,,,0
CDM,52000017,HCHG REFILL PORTABLE PUMP,749.0,749.0,,,0
CDM,52000018,HCHG REFILL IMPLANTED PUMP,913.0,913.0,,,0
CDM,52000019,HCHG IRRIG IMPLNTD VNS ACC DVC,380.0,380.0,,,0
CDM,52000020,HCHG CHEMO SUBARACHNOID OR INTRAVENTRICULAR VIA SUBCUTANEOUS PUMP,1602.0,1602.0,,,0
CDM,52000021,HCHG THERAPEUTIC PHLEBOTOMY,646.0,646.0,,,0
CDM,52000022,HCHG CHEMO IV PUSH ADDL NEW DRUG,812.0,812.0,,,0
CDM,52000023,HCHG CHEMO INFUSION SEQ UP TO 1 HR,842.0,842.0,,,0
CDM,52000024,HCHG CHEMO INFUSION EA ADDL HR,684.0,684.0,,,0
CDM,52000025,HCHG INJECTION IVP ADDL SEQ NEW DRG,484.0,484.0,,,0
CDM,52000026,HCHG CHEMO IV PUSH INITIAL DRUG,1155.0,1155.0,,,0
CDM,52000027,HCHG CHEMO INFUSION INITIAL UP TO 1 HR,1768.0,1768.0,,,0
CDM,52000031,HCHG IV PUSH INITIAL DRUG,647.0,647.0,,,0
CDM,52000032,HCHG CHEMO EXTEND IV INFUS W/PUMP,1338.0,1338.0,,,0
CDM,52000033,HCHG INFUSION SUBCUT UP TO 1 HR,522.0,522.0,,,0
CDM,52000034,HCHG INFUSION/POST ADMIN MONIT BAMLANIVIMAB,1261.0,1261.0,,,0
CDM,52000035,HCHG INFUSION SUBCUT ADDL HR,154.0,154.0,,,0
CDM,52000037,HCHG INFUSION SUBCUT RESET PUMP,1197.0,1197.0,,,0
CDM,52000038,HCHG IVP SAME DRG EACH ADD (ELAPSED TIME >30M),469.0,469.0,,,0
CDM,52000039,HCHG INFUSION CONCURRENT,489.0,489.0,,,0
CDM,52000041,HCHG BLOOD TRANSFUSION 2-4 HRS,1713.0,1713.0,,,0
CDM,52000042,HCHG BLOOD TRANSFUSION 4-6 HRS,2570.0,2570.0,,,0
CDM,52000043,HCHG BLOOD TRANSFUSION > 6 HRS,3426.0,3426.0,,,0
CDM,52010021,HCHG APPLICATON ON-BODY INJECTOR,338.0,338.0,,,0
CDM,52010022,HCHG CHEMO INTRALESIONAL UP TO 7,335.0,335.0,,,0
CDM,55000000,HCHG ED PROCEDURE MAJOR,1604.0,1604.0,,,0
CDM,55000001,HCHG ED PROCEDURE MINOR,666.0,666.0,,,0
CDM,55000005,HCHG ED LEVEL 1,603.0,603.0,,,0
CDM,55000007,HCHG ED LEVEL 2,1527.0,1527.0,,,0
CDM,55000008,HCHG ED LEVEL 3,3093.0,3093.0,,,0
CDM,55000010,HCHG ED LEVEL 4,5214.0,5214.0,,,0
CDM,55000012,HCHG ED LEVEL 5,8003.0,8003.0,,,0
CDM,55000015,HCHG ED CRIT CARE 1ST 30-74 MN,9840.0,9840.0,,,0
CDM,55000017,HCHG ED CRIT CARE ADD 30 MIN,3745.0,3745.0,,,0
CDM,55000023,HCHG IPECAC/CHARCOAL ADMINISTRATION,395.0,395.0,,,0
CDM,55000026,HCHG SCRN VISUAL ACTY QN BIL,41.0,41.0,,,0
CDM,55000028,HCHG VENIPUNCTURE <3 YEARS OTHER VEIN,223.0,223.0,,,0
CDM,55000029,HCHG ED CATH SPECIMEN COLL SGL PT,123.0,123.0,,,0
CDM,55000030,HCHG ED COLL BLD PICC/CNTRL LN,459.0,459.0,,,0
CDM,55000031,HCHG ED COLL BLD IMP VEN ACCS DEV,381.0,381.0,,,0
CDM,55000032,HCHG ED CC 1ST 30-74 MN W/PROC,9840.0,9840.0,,,0
CDM,55000033,HCHG ED LEVEL 1 W/PROC,603.0,603.0,,,0
CDM,55000034,HCHG ED LEVEL 2 W/PROC,1527.0,1527.0,,,0
CDM,55000035,HCHG ED LEVEL 3 W/PROC,3093.0,3093.0,,,0
CDM,55000036,HCHG ED LEVEL 4 W/PROC,5214.0,5214.0,,,0
CDM,55000037,HCHG ED LEVEL 5 W/PROC,8003.0,8003.0,,,0
CDM,55000053,HCHG ART CATH MNTRNG PERC,1493.0,1493.0,,,0
CDM,55000054,HCHG OCC BLD 1-3 SPC NO NPLSM,120.0,120.0,,,0
CDM,55000055,HCHG CPR,1397.0,1397.0,,,0
CDM,55000056,HCHG TEMP TRANSCUTANEOUS PACING,1825.0,1825.0,,,0
CDM,55000057,HCHG CARDIOVERSION ELECTRIC EXTERNAL,2268.0,2268.0,,,0
CDM,55000066,HCHG SLIT LAMP PROCEDURE,586.0,586.0,,,0
CDM,55000068,HCHG ARTERIAL PUNCTURE,345.0,345.0,,,0
CDM,55000069,HCHG VENIPUNCTURE AGE 3 YRS/>,75.0,75.0,,,0
CDM,55000070,HCHG NT CATHETER SX/ASPIRATION,404.0,404.0,,,0
CDM,64000052,HCHG OT WHFO RIGID NO JNTS CUSTOM F/A INHOUSE,644.0,644.0,,,0
CDM,64000068,HCHG OT WHO NO JOINTS CUSTOM F/A INHOUSE,497.0,497.0,,,0
CDM,64000105,HCHG OT AFO PLASTIC/OTHER CUSTOM INHOUSE,624.0,624.0,,,0
CDM,64000120,HCHG PR KNEE LOCKING JT PF,624.0,624.0,,,0
CDM,64000163,HCHG OT EO WO JNTS STRAP CUSTOM F/A INHOUSE,264.0,264.0,,,0
CDM,64000164,HCHG OT EWHO RIGID WO JNTS CUSTOM F/A INHOUSE,1173.0,1173.0,,,0
CDM,64000165,HCHG OT EWHFO JNTS BND BKLS CUSTOM F/A INHOUSE,1243.0,1243.0,,,0
CDM,64000166,HCHG OT WHO JNTS BND BKL CUSTOM F/A INHOUSE,908.0,908.0,,,0
CDM,64000167,HCHG OT HFO WO JOINTS CUSTOM F/A INHOUSE,248.0,248.0,,,0
CDM,64000168,HCHG OT HO WO JOINTS CUSTOM F/A INHOUSE,248.0,248.0,,,0
CDM,64000169,HCHG OT HFO JNTS BNDS BKLS CUSTOM F/A INHOUSE,293.0,293.0,,,0
CDM,64000268,HCHG SO AIRPLANE W/WO JOINT CUSTOM F/A INHOUSE,981.0,981.0,,,0
CDM,64000269,HCHG KO WO JOINT RIGID CUSTOM INHOUSE,855.0,855.0,,,0
CDM,64000309,HCHG OT FINGER W JOINT CUSTOM F/A INHOUSE,196.0,196.0,,,0
CDM,64000322,HCHG OT EWHO W/JNTS BND BKL CUSTOM F/A INHOUSE,1243.0,1243.0,,,0
CDM,64000323,HCHG OT EWHFO RGD WO JNT STRP CUSTOM F/A INHOUSE,1173.0,1173.0,,,0
CDM,64000325,HCHG OT SEWHO AIRPLANE WO JNTS CUSTOM F/A INHOUSE,1816.0,1816.0,,,0
CDM,64000326,HCHG OT SEWHO AIRPLANE W JNTS CUSTOM F/A INHOUSE,1816.0,1816.0,,,0
CDM,67000769,HCHG BRACHY SRC HDR IR192,685.0,685.0,,,0
CDM,67002170,HCHG OT WHFO JNTS BND SPRNG CUSTOM F/A INHOUSE,416.0,416.0,,,0
CDM,67002171,HCHG OT FINGER WO JNTS CUSTOM F/A INHOUSE,196.0,196.0,,,0
CDM,67002172,HCHG OT SEWHO AIRPLANE WO JNTS CUSTOM F/A INHOUSE,1537.0,1537.0,,,0
CDM,68000000,HCHG C14 FOR UREA TEST,567.0,567.0,,,0
CDM,68000001,HCHG RP IOBENGAN I123 DX 15MCI,2578.0,2578.0,,,0
CDM,68000002,HCHG SM 153 LEXIDRONAM 150MCI,13510.0,13510.0,,,0
CDM,68000005,HCHG INDIUM IN-111 LABELED AUTOLOGOUS WBC DX STUDY,7260.0,7260.0,,,0
CDM,68000007,HCHG FLORBETAPIR F18,8118.0,8118.0,,,0
CDM,68000008,HCHG RP TECHNETIUM TC99M AUTO WBC,5040.0,5040.0,,,0
CDM,68000009,HCHG RADIUM RA 223 DICHLORIDE TX XOFIGO PER UCI,350.0,350.0,,,0
CDM,68000010,HCHG TECHNETIUM TC 99M TILMANOCEPT DX 0.5 MCI,1274.0,1274.0,,,0
CDM,68000016,HCHG FLORBETABEN F18 DX PER STUDY TO 8.1 MCI,8118.0,8118.0,,,0
CDM,68000019,HCHG GALLIUM GA-68 DOTATATE DX 0.1 MCI,167.0,167.0,,,0
CDM,68000020,HCHG FLUCICLOVINE F-18 DX 1 MCI,974.0,974.0,,,0
CDM,68000021,HCHG TECHNETIUM TC99M AEROSOL =< 75 MCI,381.0,381.0,,,0
CDM,68000024,HCHG LUTETIUM LU 177 DOTATATE TX 1 MCI,648.0,648.0,,,0
CDM,68000028,HCHG FLUOROESTRADIOL F18 DX 1 MCI,1954.0,1954.0,,,0
CDM,68000031,HCHG COPPER CU-64 DOTATATE DX 1 MCI,2321.0,2321.0,,,0
CDM,68000033,HCHG PIFLUFOLASTAT F18 (PYLARIFY) DX 1 MCI,1263.0,1263.0,,,0
CDM,68000034,HCHG LUTETIUM LU 177 VIPIVOTIDE 1 MCI,450.0,450.0,,,0
CDM,68000035,HCHG FLOTUFOLASTAT F18 DX 1 MCI,2216.0,2216.0,,,0
CDM,68000036,HCHG FLUDIOXYGLUCOSE F18 DX UP TO 15 MCI,213.0,213.0,,,0
CDM,68000039,HCHG GALLIUM ILLUCCIX 1 MILLICURE,2594.0,2594.0,,,0
CDM,68000050,HCHG I-123 MIBG PER DOSE,7121.0,7121.0,,,0
CDM,68000100,HCHG I-125 PER 10UCI,1207.0,1207.0,,,0
CDM,68000300,HCHG TC-99M SESTAMIBI DIAGNOSTIC UP TO 40MC,545.0,545.0,,,0
CDM,68000350,HCHG TC-99M TETROFOSMIN DX PER STUDY DOSE,383.0,383.0,,,0
CDM,68000400,HCHG TC-99M MEDRONATE DIAGNOSTIC 1 TO 30 MC,217.0,217.0,,,0
CDM,68000450,HCHG INDIUM IN-111 PENTETREOTIDE DX STUDY UP TO 6 MCI,4939.0,4939.0,,,0
CDM,68000500,HCHG TL-201 THALLOUS CHLORIDE DIAGNOSTIC PER MCI,194.0,194.0,,,0
CDM,68000550,HCHG IN-111 PROSTASCINT DIAGNOSTIC UP TO 10,4081.0,4081.0,,,0
CDM,68000600,HCHG I-131 MIBG DIAGNOSTIC PER  O.5MCI,2182.0,2182.0,,,0
CDM,68000700,HCHG TC-99M PERTECHNETATE DIAGNOSTIC PER MC,118.0,118.0,,,0
CDM,68000800,HCHG I-123 SODIUM IODIDE DX CAP PER 100 UCI UP TO 999,270.0,270.0,,,0
CDM,68000850,HCHG IODINE I-131 SODIUM IODIDE CAP(S) TX PER MCI,136.0,136.0,,,0
CDM,68000900,HCHG TC99M CERETEC DIAGNOSTIC UP TO 25MCI,1348.0,1348.0,,,0
CDM,68000950,HCHG IODINE I-131 SODIUM IODIDE CAP(S) DX PER MCI,118.0,118.0,,,0
CDM,68001050,HCHG IODINE I-131 SODIUM IODIDE SOLUTION TX PER MCI,56.0,56.0,,,0
CDM,68001100,HCHG TC-99M DEPREOTIDE DIAGNOSTIC UP TO 35MCI,3699.0,3699.0,,,0
CDM,68001150,HCHG TC-99M MEBROFENIN DIAGNOSTIC UP TO 15M,275.0,275.0,,,0
CDM,68001200,HCHG TC-99M PYROPHOSPHATE DIAGNOSTIC UP TO,150.0,150.0,,,0
CDM,68001250,HCHG TC99M PENTETATE DIAGNOSTIC UP TO 25MCI,241.0,241.0,,,0
CDM,68001300,HCHG TC-99M MAA DIAGNOSTIC UP TO 10MCI,223.0,223.0,,,0
CDM,68001350,HCHG TC99M SULFUR COLLOID DIAGNOSTIC UP TO,263.0,263.0,,,0
CDM,68001400,HCHG IN-111 IBRITUMOMAB (ZEVALIN) DIAGNOSTI,4948.0,4948.0,,,0
CDM,68001450,HCHG Y-90 IBRITUMOMAB (ZEVALIN) THERAPEUTIC,88045.0,88045.0,,,0
CDM,68001600,HCHG COBALT 57/58 DIAGNOSTIC UP TO 1UCI,964.0,964.0,,,0
CDM,68001650,HCHG IN-111 OXYQUINOLINE DX PER 0.5 MCI,2623.0,2623.0,,,0
CDM,68001700,HCHG IN-111 PENTETATE DIAGNOSTIC PER 0.5 MC,2304.0,2304.0,,,0
CDM,68001750,HCHG TC-99 GLUCEPTATE DIAGNOSTIC UP TO 25MC,133.0,133.0,,,0
CDM,68001800,HCHG TC-99 SUCCIMER DIAGNOSTIC UP TO 10MCI,251.0,251.0,,,0
CDM,68001850,HCHG F-18 FDG DIAGNOSTIC UP TO 45MCI,1313.0,1313.0,,,0
CDM,68001900,HCHG CR-51 CHROMATE DIAGNOSTIC UP TO 250UCI,717.0,717.0,,,0
CDM,68001950,HCHG I-125 IOTHALAMATE DIAGNOSTIC UP TO 10U,857.0,857.0,,,0
CDM,68002000,HCHG GA-67 GALLIUM DIAGNOSTIC PER MCI,159.0,159.0,,,0
CDM,68002100,HCHG XE-133 XENON GAS DIAGNOSTIC PER 10MCI,338.0,338.0,,,0
CDM,68002150,HCHG TC-99M LABELED RBC DIAGNOSTIC UP TO 30,540.0,540.0,,,0
CDM,68002200,HCHG TC99 OXIDRONATE DX 30MCI,179.0,179.0,,,0
CDM,68002250,HCHG TC-99 MERTIATIDE DIAGNOSTIC UP TO 15MC,805.0,805.0,,,0
CDM,68002300,HCHG P-32 SODIUM PHOSPHATE THERAPEUTIC PER,825.0,825.0,,,0
CDM,68002400,HCHG TC-99 FANOLESOMAB DIAGNOSTIC UP TO 25,747.0,747.0,,,0
CDM,68002500,HCHG SR-89 THERAPEUTIC PER MCI,4294.0,4294.0,,,0
CDM,68002552,HCHG  RP SODIUM FLUORIDE F-18 =< 30 MCI,1538.0,1538.0,,,0
CDM,68002554,HCHG RP TC99M ACUTECT DX 20MCI,1534.0,1534.0,,,0
CDM,68002555,HCHG RP I123 SOD IOD DX 1 MCI,953.0,953.0,,,0
CDM,68002569,HCHG IOFLUPANE I 123 2.5ML IJ,567.0,567.0,,,0
CDM,68002574,HCHG RP DXI123 IOFLUPN TO 5MCI,8118.0,8118.0,,,0
CDM,72000021,HCHG PSYC DIAGNOSTIC EVALUATION,597.0,597.0,,,0
CDM,72000047,HCHG PSYCHOTHERAPY PT 30MIN,438.0,438.0,,,0
CDM,72000048,HCHG PSYCHOTHERAPY PT W/E&M 30MIN,410.0,410.0,,,0
CDM,72000049,HCHG PSYCHOTHERAPY PT 45 MIN,592.0,592.0,,,0
CDM,72000050,HCHG PSYCHOTHERAPY PT W/E&M 45MIN,451.0,451.0,,,0
CDM,72000051,HCHG PSYCHOTHERAPY PT 60MIN,675.0,675.0,,,0
CDM,72000052,HCHG PSYCHOTHERAPY PT W/E&M 60MIN,472.0,472.0,,,0
CDM,72000062,HCHG PHARMACOLOGIC MGMT W/PSYTX,439.0,439.0,,,0
CDM,72000063,HCHG PSYC TX GROUP,286.0,286.0,,,0
CDM,72000083,HCHG BIOFEEDBACK TRAINING ANY MODALITY,163.0,163.0,,,0
CDM,72000099,HCHG PSYCH ELECTROCONVULSIVE THERAPY,2550.0,2550.0,,,0
CDM,72000100,HCHG INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,1309.0,1309.0,,,0
CDM,72000102,HCHG PSYCH EVALUATION RECORDS/REPORTS/TESTS,738.0,738.0,,,0
CDM,72000173,HCHG NUTRITION COUNSLNG DIETN,183.0,183.0,,,0
CDM,72000202,HCHG FAMILY TX W PT 50 MIN,708.0,708.0,,,0
CDM,72000203,HCHG FAMILY TX WO PT 50 MIN,542.0,542.0,,,0
CDM,72000207,HCHG DEVEL TST PHYS/QHP 1ST HR,874.0,874.0,,,0
CDM,72000208,HCHG DEVEL TST PHYS/QHP EA ADDL 30 MIN,470.0,470.0,,,0
CDM,72000209,HCHG PSYC NEUROBEHAVR EXAM 1ST HR,1083.0,1083.0,,,0
CDM,72000210,HCHG NEUROBH EXAM PHYS/QHP EA ADD HR,1197.0,1197.0,,,0
CDM,72000211,HCHG PSYC TEST EVAL PHYS/QHP 1ST HR,650.0,650.0,,,0
CDM,72000212,HCHG PSYC TEST EVAL PHYS/QHP EA ADD HR,649.0,649.0,,,0
CDM,72000213,HCHG NEUROPSYC TEST EVAL PHYS/QHP 1ST HR,1015.0,1015.0,,,0
CDM,72000214,HCHG NEUROPSYC TEST EVAL PHYS/QHP EA ADD HR,1151.0,1151.0,,,0
CDM,72000215,HCHG PSYC/NEURO >=2 TEST PHYS/QHP 1ST 30 MIN,595.0,595.0,,,0
CDM,72000216,HCHG PSYC/NEURO >=2 TEST PHYS/QHP EA ADD 30 MIN,499.0,499.0,,,0
CDM,72000217,HCHG PSYC/NEURO >=2 TEST BY TECH 1ST 30 MIN,606.0,606.0,,,0
CDM,72000218,HCHG PSYC/NEURO >=2 TEST BY TECH EA ADD 30 MIN,606.0,606.0,,,0
CDM,72000230,HCHG COGNTIVE FNCTN INTRVEN 1ST 15 MIN,224.0,224.0,,,0
CDM,72000231,HCHG COGNTIVE FNCTN INTRVEN EA ADDL 15 MIN,178.0,178.0,,,0
CDM,72000234,HCHG TH PSYCHOTHERAPY PT 30MIN,438.0,438.0,,,0
CDM,72000235,HCHG TH PSYCHOTHERAPY PT 45 MIN,592.0,592.0,,,0
CDM,72000236,HCHG TH PSYCHOTHERAPY PT 60MIN,675.0,675.0,,,0
CDM,72000238,HCHG TH FAMILY TX W PT 50 MIN,708.0,708.0,,,0
CDM,72000239,HCHG TH FAMILY TX WO PT 50 MIN,542.0,542.0,,,0
CDM,72000244,HCHG TH DEVEL TST PHYS/QHP 1ST HR,874.0,874.0,,,0
CDM,72000245,HCHG TH DEVEL TST PHYS/QHP EA ADDL 30 MIN,470.0,470.0,,,0
CDM,72000246,HCHG TH PSYC DIAGNOSTIC EVALUATION,597.0,597.0,,,0
CDM,72000252,HCHG TH PSYC NEUROBEHAVR EXAM 1ST HR,1083.0,1083.0,,,0
CDM,72000253,HCHG TH NEUROPSYC TEST EVAL PHYS/QHP 1ST HR,1015.0,1015.0,,,0
CDM,72000254,HCHG TH NEUROPSYC TEST EVAL PHYS/QHP EA ADD HR,1151.0,1151.0,,,0
CDM,72000255,HCHG TH PSYC/NEURO >=2 TEST PHYS/QHP 1ST 30 MIN,595.0,595.0,,,0
CDM,72000256,HCHG TH PSYC/NEURO >=2 TEST PHYS/QHP EA ADD 30 MIN,499.0,499.0,,,0
CDM,72000257,HCHG TH PSYC/NEURO >=2 TEST BY TECH 1ST 30 MIN,606.0,606.0,,,0
CDM,72000258,HCHG TH PSYC/NEURO >=2 TEST BY TECH EA ADD 30 MIN,606.0,606.0,,,0
CDM,72000259,HCHG TH NEUROBH EXAM PHYS/QHP EA ADD HR,1197.0,1197.0,,,0
CDM,72000262,HCHG TH PSYC TEST EVAL PHYS/QHP 1ST HR,650.0,650.0,,,0
CDM,72000263,HCHG TH PSYC TEST EVAL PHYS/QHP EA ADD HR,649.0,649.0,,,0
CDM,72000264,HCHG TH PSYCHOTHERAPY PT W/E&M 30MIN,410.0,410.0,,,0
CDM,72000265,HCHG TH PSYCHOTHERAPY PT W/E&M 45MIN,451.0,451.0,,,0
CDM,72000266,HCHG TH PSYCHOTHERAPY PT W/E&M 60MIN,472.0,472.0,,,0
CDM,72000267,HCHG MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60,784.0,784.0,,,0
CDM,72000268,HCHG MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL,197.0,197.0,,,0
CDM,75000000,HCHG LABOR LEVEL 1 NORMAL PER HOUR INPATIENT,907.0,907.0,,,0
CDM,75000001,HCHG LABOR LEVEL 2 HIGH RISK PER HOUR INPATIENT,1162.0,1162.0,,,0
CDM,75000002,HCHG DELIVERY VAGINAL LEVEL 1 NORMAL,6314.0,6314.0,,,0
CDM,75000003,HCHG DELIVERY VAGINAL LEVEL 2 HIGH RISK,6581.0,6581.0,,,0
CDM,75000006,HCHG OCT (OXYTOCIN CHLNG TEST),1580.0,1580.0,,,0
CDM,75000009,HCHG NST (FETAL NON-STRESS TEST),993.0,993.0,,,0
CDM,75000014,HCHG ABR SCREEN INIT IP,662.0,662.0,,,0
CDM,75000030,HCHG NON HOSPITAL DELIVERY/POST DELIVERY CARE,4130.0,4130.0,,,0
CDM,75000037,HCHG SURG LVL 1 ADDL 15 MIN L&D,1300.0,1300.0,,,0
CDM,75000038,HCHG SURG LVL 1 FIRST 30 MIN L&D,3940.0,3940.0,,,0
CDM,75000039,HCHG SURG LVL 2 ADDL 15 MIN L&D,1690.0,1690.0,,,0
CDM,75000040,HCHG SURG LVL 2 FIRST 30 MIN L&D,5122.0,5122.0,,,0
CDM,75000041,HCHG SURG LVL 3 ADDL 15 MIN L&D,2080.0,2080.0,,,0
CDM,75000042,HCHG SURG LVL 3 FIRST 30M L & D,6304.0,6304.0,,,0
CDM,75000043,HCHG SURG LVL 4 ADD 15M L & D,2991.0,2991.0,,,0
CDM,75000044,HCHG SURG LVL 4 FIRST 30M L & D,9062.0,9062.0,,,0
CDM,75000083,HCHG PLASTIC REP UTERINE CERVIX VAGINAL,15061.0,15061.0,,,0
CDM,80000001,AMINOCAPROIC ACID 250 MG/ML IV SOLN,75.6,75.6,,,0
CDM,80000001,B-COMPLEX+VITAMIN C PO TABS SH,2.0,2.0,,,0
CDM,80000001,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,75.0,75.0,,,0
CDM,80000001,FAMOTIDINE 10MG/ML IV SOLN - CONSOLIDATED,74.72,74.72,,,0
CDM,80000001,FOLIC ACID 5 MG/ML IJ SOLN,71.77,71.77,,,0
CDM,80000001,METRONIDAZOLE 500 MG/100ML IV SOLN,75.0,75.0,,,0
CDM,80000001,METRONIDAZOLE IN NACL 5-0.79 MG/ML-% IV SOLN,75.0,75.0,,,0
CDM,80000001,MISOPROSTOL 100 MCG PO TABS,14.76,14.76,,,0
CDM,80000001,MISOPROSTOL 200 MCG PO TABS,17.975,17.975,,,0
CDM,80000001,MULTIVITAMINS PO TABS SH,2.02,2.02,,,0
CDM,80000001,MULTIVITAMINS+MINERALS PO TABS SH,3.01,3.01,,,0
CDM,80000001,OLANZAPINE 10 MG IM SOLR,14.33,14.33,,,0
CDM,80000001,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR,607.16,607.16,,,0
CDM,80000001,PENTAMIDINE ISETHIONATE 300 MG/3ML IJ (WET SOLR VIAL),579.02,579.02,,,0
CDM,80000001,PROCHLORPERAZINE 25 MG PR SUPP,55.0,55.0,,,0
CDM,80000001,PROMETHAZINE HCL 12.5 MG PR SUPP,65.295,65.295,,,0
CDM,80000001,PROMETHAZINE HCL 25 MG PR SUPP,61.375,61.375,,,0
CDM,80000001,SODIUM CHLORIDE 7% IN NEBU,1.64,1.64,,,0
CDM,80000001,SODIUM TETRADECYL SULFATE 3 % IV SOLN,223.22,223.22,,,0
CDM,80000001,STERILE WATER FOR INJECTION IJ SOLN,4.7,4.7,,,0
CDM,80000001,SUFENTANIL CITRATE 100 MCG/2ML IV SOLN,90.0,90.0,,,0
CDM,80000001,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP,18.645,18.645,,,0
CDM,80000001,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN,47.125,47.125,,,0
CDM,80000003,APREPITANT 125 MG PO CAPS,38.21,38.21,,,0
CDM,80000003,APREPITANT 40 MG PO CAPS,37.165,37.165,,,0
CDM,80000003,APREPITANT 80 MG PO CAPS,38.2,38.2,,,0
CDM,80000003,CYCLOPHOSPHAMIDE 25 MG PO CAPS,42.815,42.815,,,0
CDM,80000003,CYCLOPHOSPHAMIDE 50 MG PO CAPS,34.605,34.605,,,0
CDM,80000003,DRONABINOL 2.5 MG PO CAPS,41.685,41.685,,,0
CDM,80000003,DRONABINOL 5 MG PO CAPS,32.5,32.5,,,0
CDM,80000003,METHYLPREDNISOLONE 4 MG PO TABS,14.32,14.32,,,0
CDM,80000003,METHYLPREDNISOLONE 8 MG PO TABS,5.54,5.54,,,0
CDM,80000003,PERPHENAZINE 4 MG PO TABS,13.559999999999999,13.559999999999999,,,0
CDM,80000003,PROCHLORPERAZINE MALEATE 10 MG PO TABS,8.105,8.105,,,0
CDM,80000003,PROCHLORPERAZINE MALEATE 5 MG PO TABS,8.86,8.86,,,0
CDM,80000003,PROMETHAZINE HCL 12.5 MG PO TABS,15.0,15.0,,,0
CDM,80000003,PROMETHAZINE HCL 25 MG PO TABS,7.51,7.51,,,0
CDM,80000006,STUDY RX: INVESTIGATIONAL BXQ-350 8.8MG IV SOLR,0.01,0.01,,,0
CDM,80000006,STUDY RX: INVESTIGATIONAL MIRVETUXIMAB SORAVTANSINE (IMGN853) 100MG/20ML IV SOLN SH,0.01,0.01,,,0
CDM,80000006,STUDY RX: INVESTIGATIONAL MK-2870 200MG/10ML IV SOLN SH,0.005,0.005,,,0
CDM,80000006,STUDY RX: INVESTIGATIONAL MK-3475 (PEMBROLIZUMAB) 100MG/4ML IV SOLN SH,0.0042,0.0042,,,0
CDM,80000006,STUDY RX: INVESTIGATIONAL MK-7684A (VIBOSTOLIMAB 200MG/PEMBROLIZUMB 200MG) OR PEMBROLIZUMAB 200MG IV SOLN SH,0.01,0.01,,,0
CDM,80000006,STUDY RX: INVESTIGATIONAL PACLITAXEL PROTEIN-BOUND 100MG IV SUSR,0.01,0.01,,,0
CDM,80000006,STUDY RX: INVESTIGATIONAL PEMBROLIZUMAB 100MG/4ML IV SOLN SH,0.0013,0.0013,,,0
CDM,80000006,STUDY RX: INVESTIGATIONAL STRO-002 10MG/ML IV SOLN SH,0.0033,0.0033,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL ADUCANUMAB OR PLACEBO 300MG/3ML IV SOLN SH,0.0043,0.0043,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL BUDIGALIMAB (ABBV-181) 100MG IV SOLR SH,0.0025,0.0025,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL DAPAGLIFLOZIN 10MG OR PLACEBO,0.01,0.01,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL DONANEMAB OR PLACEBO 17.5MG/ML IV SOLN SH,0.005,0.005,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL IPILIMUMAB 5MG/ML IV SOLN SH,0.0001,0.0001,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL LIVMONIPLIMAB (ABBV-151) 200MG/10ML IV SOLN SH,0.0001,0.0001,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL MRNA-4157 1MG/ML IM SOLN,0.01,0.01,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL NIVOLUMAB 100MG/10ML IV SOLN SH,0.00035,0.00035,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL R2R01 10MG/ML INJ,0.01,0.01,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL R2R01 10MG/ML IV SOLN SH,0.01,0.01,,,0
CDM,80000007,STUDY RX: INVESTIGATIONAL SARGRAMOSTIM 250MCG IV SOLR,0.01,0.01,,,0
CDM,80000007,ZZ STUDY RX: INVESTIGATIONAL MILVEXIAN 25MG PO CAPS OR PLACEBO,0.01,0.01,,,0
CDM,80000008,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,75.0,75.0,,,0
CDM,80000037,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,113.75,113.75,,,0
CDM,80000037,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN,571.995,571.995,,,0
CDM,80000037,KETAMINE 10MG/ML INJ (PEDIATRIC) SH,90.0,90.0,,,0
CDM,80000037,KETAMINE HCL-SODIUM CHLORIDE 50-0.9 MG/5ML-% IV SOSY,90.0,90.0,,,0
CDM,81000000,ABACAVIR SULFATE 300 MG PO TABS,46.72,46.72,,,0
CDM,81000000,ABACAVIR SULFATE-LAMIVUDINE 600-300 MG PO TABS,147.255,147.255,,,0
CDM,81000000,ABACAVIR-DOLUTEGRAVIR-LAMIVUD 600-50-300 MG PO TABS,449.7,449.7,,,0
CDM,81000000,ABLYSINOL IA SOLN,2043.16,2043.16,,,0
CDM,81000000,ACD FORMULA A 0.73-2.45-2.2 GM/100ML VI SOLN,78.64,78.64,,,0
CDM,81000000,ACETAMINOPHEN 120 MG PR SUPP,5.14,5.14,,,0
CDM,81000000,ACETAMINOPHEN 160 MG/5ML PO SUSP (PEDIATRIC),5.39,5.39,,,0
CDM,81000000,ACETAMINOPHEN 325 MG PO TABS,5.075,5.075,,,0
CDM,81000000,ACETAMINOPHEN 500 MG PO TABS,7.595000000000001,7.595000000000001,,,0
CDM,81000000,ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN,40.0,40.0,,,0
CDM,81000000,ACETAMINOPHEN-CODEINE 300-15 MG PO TABS,40.0,40.0,,,0
CDM,81000000,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS,25.0,25.0,,,0
CDM,81000000,ACETAMINOPHEN-CODEINE 300-60 MG PO TABS,40.0,40.0,,,0
CDM,81000000,ACETAZOLAMIDE 125 MG PO TABS,15.0,15.0,,,0
CDM,81000000,ACETAZOLAMIDE 250 MG PO TABS,23.43,23.43,,,0
CDM,81000000,ACETAZOLAMIDE ER 500 MG PO CP12,27.5,27.5,,,0
CDM,81000000,ACETIC ACID 0.25 % IR SOLN,64.58500000000001,64.58500000000001,,,0
CDM,81000000,ACETIC ACID 3 % SOLN,2.0,2.0,,,0
CDM,81000000,ACETYLCHOLINE CHLORIDE 20 MG IO SOLR,432.78,432.78,,,0
CDM,81000000,ACETYLCYSTEINE 20 % ORAL SOLN CUSTOM CREATE,50.49,50.49,,,0
CDM,81000000,ACIDOPHILUS PO TABS,1.995,1.995,,,0
CDM,81000000,ACYCLOVIR 200 MG PO CAPS,8.645,8.645,,,0
CDM,81000000,ACYCLOVIR 200 MG/5ML PO SUSP,15.67,15.67,,,0
CDM,81000000,ACYCLOVIR 400 MG PO TABS,15.0,15.0,,,0
CDM,81000000,ACYCLOVIR 5 % EX CREA,960.0,960.0,,,0
CDM,81000000,ACYCLOVIR 800 MG PO TABS,20.185000000000002,20.185000000000002,,,0
CDM,81000000,ADENOSINE 100MCG/ML IN NS (CUSTOM) NARRATOR,75.0,75.0,,,0
CDM,81000000,AEROCHAMBER Z-STAT PLUS/MEDIUM MISC,2.0,2.0,,,0
CDM,81000000,ALBENDAZOLE 200 MG PO TABS,686.72,686.72,,,0
CDM,81000000,ALBUTEROL CONTINUOUS NEB SIMPLE SH,114.44,114.44,,,0
CDM,81000000,ALBUTEROL SULFATE 2 MG PO TABS,27.5,27.5,,,0
CDM,81000000,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,342.09,342.09,,,0
CDM,81000000,ALENDRONATE SODIUM 70 MG PO TABS,81.95,81.95,,,0
CDM,81000000,ALFUZOSIN HCL ER 10 MG PO TB24,23.18,23.18,,,0
CDM,81000000,ALISKIREN FUMARATE 300 MG PO TABS,54.21,54.21,,,0
CDM,81000000,ALLOPURINOL 100 MG PO TABS,12.344999999999999,12.344999999999999,,,0
CDM,81000000,ALLOPURINOL 20MG/ML ORAL LIQD *COMPOUNDED* (PEDIATRIC) SH,1.0,1.0,,,0
CDM,81000000,ALLOPURINOL 300 MG PO TABS,14.925,14.925,,,0
CDM,81000000,ALPRAZOLAM 0.25 MG PO TABS,27.005,27.005,,,0
CDM,81000000,ALPRAZOLAM 0.25 MG PO TBDP,40.0,40.0,,,0
CDM,81000000,ALPRAZOLAM 0.5 MG PO TABS,24.755,24.755,,,0
CDM,81000000,ALPRAZOLAM 0.5 MG PO TBDP,26.67,26.67,,,0
CDM,81000000,ALPRAZOLAM 1 MG PO TABS,65.0,65.0,,,0
CDM,81000000,ALUMINUM 1% IN SW IRRIGATION SH,1230.0,1230.0,,,0
CDM,81000000,AMANTADINE HCL 100 MG PO CAPS,14.52,14.52,,,0
CDM,81000000,AMANTADINE HCL 50 MG/5ML PO SOLN,22.11,22.11,,,0
CDM,81000000,AMBRISENTAN 10 MG PO TABS,1500.0,1500.0,,,0
CDM,81000000,AMINOCAPROIC ACID 0.25 GM/ML PO SOLN,192.66,192.66,,,0
CDM,81000000,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR,6571.95,6571.95,,,0
CDM,81000000,AMIODARONE HCL 200 MG PO TABS,11.06,11.06,,,0
CDM,81000000,AMIODARONE HCL 400 MG PO TABS,60.03,60.03,,,0
CDM,81000000,AMITRIPTYLINE HCL 10 MG PO TABS,14.280000000000001,14.280000000000001,,,0
CDM,81000000,AMITRIPTYLINE HCL 100 MG PO TABS,14.4,14.4,,,0
CDM,81000000,AMITRIPTYLINE HCL 150 MG PO TABS,20.96,20.96,,,0
CDM,81000000,AMITRIPTYLINE HCL 25 MG PO TABS,14.780000000000001,14.780000000000001,,,0
CDM,81000000,AMITRIPTYLINE HCL 50 MG PO TABS,15.0,15.0,,,0
CDM,81000000,AMITRIPTYLINE HCL 75 MG PO TABS,15.0,15.0,,,0
CDM,81000000,AMLODIPINE BENZOATE 1 MG/ML PO SUSP,155.5,155.5,,,0
CDM,81000000,AMLODIPINE BESYLATE 10 MG PO TABS,34.325,34.325,,,0
CDM,81000000,AMLODIPINE BESYLATE 2.5 MG PO TABS,11.765,11.765,,,0
CDM,81000000,AMLODIPINE BESYLATE 5 MG PO TABS,15.0,15.0,,,0
CDM,81000000,AMMONIUM LACTATE 12 % EX LOTN,2.0,2.0,,,0
CDM,81000000,AMOXICILLIN 250 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,AMOXICILLIN 250 MG PO CHEW,5.0,5.0,,,0
CDM,81000000,AMOXICILLIN 250 MG/5ML PO SUSR,29.53,29.53,,,0
CDM,81000000,AMOXICILLIN 500 MG PO CAPS,12.92,12.92,,,0
CDM,81000000,AMOXICILLIN 875 MG PO TABS,15.0,15.0,,,0
CDM,81000000,AMOXICILLIN-POT CLAVULANATE 250-125 MG PO TABS,27.5,27.5,,,0
CDM,81000000,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR,45.07,45.07,,,0
CDM,81000000,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS,20.61,20.61,,,0
CDM,81000000,AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR,37.71,37.71,,,0
CDM,81000000,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS,27.509999999999998,27.509999999999998,,,0
CDM,81000000,AMPHETAMINE-DEXTROAMPHETAMINE 10 MG PO TABS,27.94,27.94,,,0
CDM,81000000,APIXABAN 2.5 MG PO TABS,53.480000000000004,53.480000000000004,,,0
CDM,81000000,APIXABAN 5 MG PO TABS,51.7,51.7,,,0
CDM,81000000,APRACLONIDINE HCL 1 % OP SOLN,99.83,99.83,,,0
CDM,81000000,AQUAPHOR EX OINT,2.0,2.0,,,0
CDM,81000000,ARIPIPRAZOLE 10 MG PO TABS,100.0,100.0,,,0
CDM,81000000,ARIPIPRAZOLE 15 MG PO TABS,88.92,88.92,,,0
CDM,81000000,ARIPIPRAZOLE 2 MG PO TABS,95.655,95.655,,,0
CDM,81000000,ARIPIPRAZOLE 20 MG PO TABS,135.04,135.04,,,0
CDM,81000000,ARIPIPRAZOLE 30 MG PO TABS,136.22,136.22,,,0
CDM,81000000,ARIPIPRAZOLE 5 MG PO TABS,75.25,75.25,,,0
CDM,81000000,ARTIFICIAL TEARS OP OINT - CONSOLIDATED,2.05,2.05,,,0
CDM,81000000,ASCORBIC ACID 500 MG PO TABS,1.69,1.69,,,0
CDM,81000000,ASPIRIN 325 MG PO TABS,10.13,10.13,,,0
CDM,81000000,ASPIRIN 81 MG PO CHEW,5.04,5.04,,,0
CDM,81000000,ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12,50.475,50.475,,,0
CDM,81000000,ATAZANAVIR SULFATE 200 MG PO CAPS,83.4,83.4,,,0
CDM,81000000,ATENOLOL 100 MG PO TABS,15.0,15.0,,,0
CDM,81000000,ATENOLOL 25 MG PO TABS,12.4,12.4,,,0
CDM,81000000,ATENOLOL 50 MG PO TABS,14.629999999999999,14.629999999999999,,,0
CDM,81000000,ATORVASTATIN CALCIUM 10 MG PO TABS,11.35,11.35,,,0
CDM,81000000,ATORVASTATIN CALCIUM 20 MG PO TABS,45.645,45.645,,,0
CDM,81000000,ATORVASTATIN CALCIUM 40 MG PO TABS,29.97,29.97,,,0
CDM,81000000,ATORVASTATIN CALCIUM 80 MG PO TABS,31.76,31.76,,,0
CDM,81000000,ATOVAQUONE 750 MG/5ML PO SUSP,177.85,177.85,,,0
CDM,81000000,ATROPINE 1% DROPS SOLN (FOR SUBLINGUAL USE),291.9,291.9,,,0
CDM,81000000,ATROPINE SULFATE 1 % OP SOLN,265.6,265.6,,,0
CDM,81000000,AYR SALINE NASAL NA GEL,2.0,2.0,,,0
CDM,81000000,AZITHROMYCIN 200 MG/5ML PO SUSR,33.405,33.405,,,0
CDM,81000000,AZITHROMYCIN 250 MG PO TABS,23.685000000000002,23.685000000000002,,,0
CDM,81000000,AZITHROMYCIN 600 MG PO TABS,56.04,56.04,,,0
CDM,81000000,BACITRACIN 500 UNIT/GM EX OINT,2.0,2.0,,,0
CDM,81000000,BACITRACIN ZINC 500 UNIT/GM EX OINT,2.145,2.145,,,0
CDM,81000000,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM EX OINT,2.0,2.0,,,0
CDM,81000000,BACITRACIN-POLYMYXIN B OP OINT,2.0,2.0,,,0
CDM,81000000,BACLOFEN 10 MG PO TABS,11.91,11.91,,,0
CDM,81000000,BACLOFEN 5 MG PO TABS,15.0,15.0,,,0
CDM,81000000,BACLOFEN 5MG/ML ORAL SUSP *COMPOUND* SH,5.83,5.83,,,0
CDM,81000000,BARICITINIB 2 MG PO TABS,283.18,283.18,,,0
CDM,81000000,BENADRYL/VISCOUS LIDOCAINE/MYLANTA (1:1:1) MOUTHWASH,51.64,51.64,,,0
CDM,81000000,BENAZEPRIL HCL 10 MG PO TABS,7.5,7.5,,,0
CDM,81000000,BENZOCAINE 10 % MT GEL,2.0,2.0,,,0
CDM,81000000,BENZOCAINE 15 MG MT LOZG,2.0,2.0,,,0
CDM,81000000,BENZOCAINE 20 % MT AERO,2.0,2.0,,,0
CDM,81000000,BENZOCAINE-MENTHOL 15-3.6 MG MT LOZG,2.0,2.0,,,0
CDM,81000000,BENZOCAINE-MENTHOL 20-0.5 % EX AERO,2.0,2.0,,,0
CDM,81000000,BENZOCAINE-MENTHOL 6-10 MG MT LOZG,1.995,1.995,,,0
CDM,81000000,BENZONATATE 100 MG PO CAPS,14.02,14.02,,,0
CDM,81000000,BENZTROPINE MESYLATE 0.5 MG PO TABS,14.17,14.17,,,0
CDM,81000000,BENZTROPINE MESYLATE 1 MG PO TABS,15.0,15.0,,,0
CDM,81000000,BENZTROPINE MESYLATE 2 MG PO TABS,15.0,15.0,,,0
CDM,81000000,BETHANECHOL CHLORIDE 10 MG PO TABS,12.26,12.26,,,0
CDM,81000000,BETHANECHOL CHLORIDE 25 MG PO TABS,15.0,15.0,,,0
CDM,81000000,BETHANECHOL CHLORIDE 5 MG PO TABS,12.655000000000001,12.655000000000001,,,0
CDM,81000000,BICALUTAMIDE 50 MG PO TABS,119.34,119.34,,,0
CDM,81000000,BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS,469.51,469.51,,,0
CDM,81000000,BIMATOPROST 0.01 % OP SOLN,1200.0,1200.0,,,0
CDM,81000000,BISACODYL 10 MG PR SUPP,2.0,2.0,,,0
CDM,81000000,BISACODYL 5 MG PO TBEC,0.8049999999999999,0.8049999999999999,,,0
CDM,81000000,BISMUTH SUBSALICYLATE 262 MG/15ML PO SUSP,1.82,1.82,,,0
CDM,81000000,BRILLIANT BLUE G 0.025 % IO SOSY,961.97,961.97,,,0
CDM,81000000,BRIMONIDINE TARTRATE 0.2 % OP SOLN,90.65,90.65,,,0
CDM,81000000,BRINZOLAMIDE 1 % OP SUSP,1279.5,1279.5,,,0
CDM,81000000,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS,34.47,34.47,,,0
CDM,81000000,BUDESONIDE 3 MG PO CPEP,66.49000000000001,66.49000000000001,,,0
CDM,81000000,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO,1208.88,1208.88,,,0
CDM,81000000,BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO,735.69,735.69,,,0
CDM,81000000,BUMETANIDE 0.25 MG/ML IJ SOLN,20.65,20.65,,,0
CDM,81000000,BUMETANIDE 0.5 MG PO TABS,10.72,10.72,,,0
CDM,81000000,BUMETANIDE 1 MG PO TABS,12.5,12.5,,,0
CDM,81000000,BUMETANIDE 2 MG PO TABS,13.05,13.05,,,0
CDM,81000000,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN,75.0,75.0,,,0
CDM,81000000,BUPIVACAINE-EPINEPHRINE (PF) 0.375 % IJ SOLN,115.36,115.36,,,0
CDM,81000000,BUPIVACAINE-EPINEPHRINE (PF) 0.5% -1:200000 IJ SOLN,74.12,74.12,,,0
CDM,81000000,BUPRENORPHINE 10 MCG/HR TD PTWK,374.6,374.6,,,0
CDM,81000000,BUPRENORPHINE 5 MCG/HR TD PTWK,193.28,193.28,,,0
CDM,81000000,BUPRENORPHINE 7.5 MCG/HR TD PTWK,270.6,270.6,,,0
CDM,81000000,BUPRENORPHINE HCL 2 MG SL SUBL,30.28,30.28,,,0
CDM,81000000,BUPRENORPHINE HCL 8 MG SL SUBL,33.33,33.33,,,0
CDM,81000000,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM,37.644999999999996,37.644999999999996,,,0
CDM,81000000,BUPRENORPHINE HCL-NALOXONE HCL 4-1 MG SL FILM,57.14,57.14,,,0
CDM,81000000,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM,50.4,50.4,,,0
CDM,81000000,BUPROPION HCL 100 MG PO TABS,14.965,14.965,,,0
CDM,81000000,BUPROPION HCL 75 MG PO TABS,13.625,13.625,,,0
CDM,81000000,BUPROPION HCL ER (SR) 100 MG PO TB12,13.780000000000001,13.780000000000001,,,0
CDM,81000000,BUPROPION HCL ER (SR) 150 MG PO TB12,14.17,14.17,,,0
CDM,81000000,BUPROPION HCL ER (XL) 150 MG PO TB24,25.225,25.225,,,0
CDM,81000000,BUPROPION HCL ER (XL) 300 MG PO TB24,26.21,26.21,,,0
CDM,81000000,BUSPIRONE HCL 10 MG PO TABS,13.13,13.13,,,0
CDM,81000000,BUSPIRONE HCL 5 MG PO TABS,10.22,10.22,,,0
CDM,81000000,BUTALBITAL-APAP-CAFFEINE 50-300-40 MG PO CAPS,16.15,16.15,,,0
CDM,81000000,BUTAMBEN-TETRACAINE-BENZOCAINE 2-2-14 % EX AERO,571.2,571.2,,,0
CDM,81000000,CADEXOMER IODINE 0.9 % EX GEL,2.0,2.0,,,0
CDM,81000000,CAFFEINE CITRATE 20 MG/ML PO SOLN,34.17,34.17,,,0
CDM,81000000,CALAMINE 8-8 % EX LOTN,2.0,2.0,,,0
CDM,81000000,CALCITRIOL 1 MCG/ML PO SOLN,172.78,172.78,,,0
CDM,81000000,CALCIUM ACETATE (PHOS BINDER) 667 MG PO TABS,9.254999999999999,9.254999999999999,,,0
CDM,81000000,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP,1.61,1.61,,,0
CDM,81000000,CALCIUM CARBONATE ANTACID 500 MG PO CHEW,1.37,1.37,,,0
CDM,81000000,CALCIUM CHLORIDE 10 % IV SOLN,146.64,146.64,,,0
CDM,81000000,CALCIUM CITRATE 950 (200 CA) MG PO TABS,1.0550000000000002,1.0550000000000002,,,0
CDM,81000000,CALCIUM GLUCONATE 20MG/ML INTERMITTENT (PEDIATRIC) SH,7.14,7.14,,,0
CDM,81000000,CAMPHOR-MENTHOL 0.5-0.5 % EX LOTN,2.0,2.0,,,0
CDM,81000000,CAMPHOR-MENTHOL-METHYL SAL 3-5-15 % EX CREA,2.0,2.0,,,0
CDM,81000000,CANNABIDIOL 100 MG/ML PO SOLN,100.0,100.0,,,0
CDM,81000000,CAPSAICIN 0.075 % EX CREA,2.0,2.0,,,0
CDM,81000000,CAPTOPRIL 12.5 MG PO TABS,15.0,15.0,,,0
CDM,81000000,CAPTOPRIL 25 MG PO TABS,15.0,15.0,,,0
CDM,81000000,CARBACHOL 0.01 % IO SOLN,311.76,311.76,,,0
CDM,81000000,CARBAMAZEPINE 100 MG PO CHEW,12.35,12.35,,,0
CDM,81000000,CARBAMAZEPINE 200 MG PO TABS,12.9,12.9,,,0
CDM,81000000,CARBAMIDE PEROXIDE 6.5 % OT SOLN,2.0,2.0,,,0
CDM,81000000,CARBIDOPA-LEVODOPA 10-100 MG PO TABS,15.0,15.0,,,0
CDM,81000000,CARBIDOPA-LEVODOPA 25-100 MG PO TABS,9.215,9.215,,,0
CDM,81000000,CARBIDOPA-LEVODOPA 25-250 MG PO TABS,15.0,15.0,,,0
CDM,81000000,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR,12.68,12.68,,,0
CDM,81000000,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR,15.0,15.0,,,0
CDM,81000000,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN,1776.14,1776.14,,,0
CDM,81000000,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % OP SOLN,2.0,2.0,,,0
CDM,81000000,CARISOPRODOL 350 MG PO TABS,52.5,52.5,,,0
CDM,81000000,CARVEDILOL 12.5 MG PO TABS,13.39,13.39,,,0
CDM,81000000,CARVEDILOL 25 MG PO TABS,15.0,15.0,,,0
CDM,81000000,CARVEDILOL 3.125 MG PO TABS,13.254999999999999,13.254999999999999,,,0
CDM,81000000,CARVEDILOL 6.25 MG PO TABS,14.02,14.02,,,0
CDM,81000000,CEFDINIR 250 MG/5ML PO SUSR,40.82,40.82,,,0
CDM,81000000,CEFDINIR 300 MG PO CAPS,28.09,28.09,,,0
CDM,81000000,CEFPODOXIME PROXETIL 100 MG PO TABS,27.5,27.5,,,0
CDM,81000000,CEFPODOXIME PROXETIL 200 MG PO TABS,46.43,46.43,,,0
CDM,81000000,CEFUROXIME AXETIL 250 MG PO TABS,22.69,22.69,,,0
CDM,81000000,CEFUROXIME AXETIL 500 MG PO TABS,46.635000000000005,46.635000000000005,,,0
CDM,81000000,CELECOXIB 100 MG PO CAPS,39.505,39.505,,,0
CDM,81000000,CELECOXIB 200 MG PO CAPS,60.239999999999995,60.239999999999995,,,0
CDM,81000000,CEPHALEXIN 250 MG PO CAPS,8.375,8.375,,,0
CDM,81000000,CEPHALEXIN 250 MG/5ML PO SUSR,29.475,29.475,,,0
CDM,81000000,CEPHALEXIN 500 MG PO CAPS,17.05,17.05,,,0
CDM,81000000,CETAPHIL MOISTURIZING EX LOTN,2.0,2.0,,,0
CDM,81000000,CETIRIZINE HCL 1 MG/ML PO SOLN,2.0,2.0,,,0
CDM,81000000,CETIRIZINE HCL 10 MG PO TABS,1.9649999999999999,1.9649999999999999,,,0
CDM,81000000,CETYLPYRIDINIUM CHLORIDE 0.05 % MT LIQD,2.0,2.0,,,0
CDM,81000000,CHARCOAL ACTIVATED PO LIQD,1.72,1.72,,,0
CDM,81000000,CHLORDIAZEPOXIDE HCL 10 MG PO CAPS,40.0,40.0,,,0
CDM,81000000,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS,40.0,40.0,,,0
CDM,81000000,CHLORDIAZEPOXIDE HCL 5 MG PO CAPS,40.0,40.0,,,0
CDM,81000000,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN,15.66,15.66,,,0
CDM,81000000,CHLORHEXIDINE GLUCONATE 4 % EX LIQD,1.93,1.93,,,0
CDM,81000000,CHLORHEXIDINE GLUCONATE 4 % EX SOLN,2.0,2.0,,,0
CDM,81000000,CHLOROTHIAZIDE 250 MG/5ML PO SUSP,21.56,21.56,,,0
CDM,81000000,CHLOROTHIAZIDE 50MG/ML PO SOLN SH,120.0,120.0,,,0
CDM,81000000,CHLORPROMAZINE HCL 10 MG PO TABS,20.595,20.595,,,0
CDM,81000000,CHLORPROMAZINE HCL 100 MG PO TABS,69.475,69.475,,,0
CDM,81000000,CHLORPROMAZINE HCL 25 MG PO TABS,25.43,25.43,,,0
CDM,81000000,CHLORTHALIDONE 25 MG PO TABS,14.705,14.705,,,0
CDM,81000000,CHOLECALCIFEROL 10 MCG (400 UNIT) PO TABS,1.56,1.56,,,0
CDM,81000000,CHOLECALCIFEROL 10 MCG/ML PO LIQD,2.0,2.0,,,0
CDM,81000000,CHOLECALCIFEROL 25 MCG (1000 UT) PO TABS,1.22,1.22,,,0
CDM,81000000,CHOLESTYRAMINE LIGHT 4 G PO PACK,23.27,23.27,,,0
CDM,81000000,CILOSTAZOL 50 MG PO TABS,15.0,15.0,,,0
CDM,81000000,CIPROFLOXACIN 250 MG/5ML (5%) PO SUSR,45.375,45.375,,,0
CDM,81000000,CIPROFLOXACIN 500 MG/5ML (10%) PO SUSR,35.51,35.51,,,0
CDM,81000000,CIPROFLOXACIN HCL 0.3 % OP OINT,1187.33,1187.33,,,0
CDM,81000000,CIPROFLOXACIN HCL 0.3 % OP SOLN,125.15,125.15,,,0
CDM,81000000,CIPROFLOXACIN HCL 250 MG PO TABS,24.4,24.4,,,0
CDM,81000000,CIPROFLOXACIN HCL 500 MG PO TABS,15.809999999999999,15.809999999999999,,,0
CDM,81000000,CIPROFLOXACIN HCL 750 MG PO TABS,31.05,31.05,,,0
CDM,81000000,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP,1135.8600000000001,1135.8600000000001,,,0
CDM,81000000,CISATRACURIUM BESYLATE (PF) 10 MG/5ML IV SOLN,106.345,106.345,,,0
CDM,81000000,CISATRACURIUM BESYLATE (PF) 200 MG/20ML IV SOLN,390.0,390.0,,,0
CDM,81000000,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN,161.46,161.46,,,0
CDM,81000000,CITALOPRAM HYDROBROMIDE 10 MG PO TABS,14.405000000000001,14.405000000000001,,,0
CDM,81000000,CITALOPRAM HYDROBROMIDE 10 MG/5ML PO SOLN,31.85,31.85,,,0
CDM,81000000,CITALOPRAM HYDROBROMIDE 20 MG PO TABS,14.91,14.91,,,0
CDM,81000000,CLARITHROMYCIN 500 MG PO TABS,35.775,35.775,,,0
CDM,81000000,CLINDAMYCIN HCL 150 MG PO CAPS,13.27,13.27,,,0
CDM,81000000,CLINDAMYCIN HCL 300 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR,49.42,49.42,,,0
CDM,81000000,CLINDAMYCIN PHOSPHATE 2 % VA CREA,806.14,806.14,,,0
CDM,81000000,CLOBAZAM 10 MG PO TABS,27.86,27.86,,,0
CDM,81000000,CLOBAZAM 2.5 MG/ML PO SUSP,477.59,477.59,,,0
CDM,81000000,CLOBETASOL PROPIONATE 0.05 % EX CREA,512.94,512.94,,,0
CDM,81000000,CLOBETASOL PROPIONATE 0.05 % EX OINT,621.78,621.78,,,0
CDM,81000000,CLOMIPRAMINE HCL 25 MG PO CAPS,55.0,55.0,,,0
CDM,81000000,CLONAZEPAM 0.125 MG PO TBDP,40.0,40.0,,,0
CDM,81000000,CLONAZEPAM 0.1MG/ML ORAL SUSP (PEDIATRIC) SH,40.0,40.0,,,0
CDM,81000000,CLONAZEPAM 0.25 MG PO TBDP,20.615000000000002,20.615000000000002,,,0
CDM,81000000,CLONAZEPAM 0.5 MG PO TABS,29.755000000000003,29.755000000000003,,,0
CDM,81000000,CLONAZEPAM 1 MG PO TABS,25.945,25.945,,,0
CDM,81000000,CLONAZEPAM 1 MG PO TBDP,38.64,38.64,,,0
CDM,81000000,CLONIDINE 0.1 MG/24HR TD PTWK,100.0,100.0,,,0
CDM,81000000,CLONIDINE 0.2 MG/24HR TD PTWK,167.39,167.39,,,0
CDM,81000000,CLONIDINE 0.3 MG/24HR TD PTWK,421.11,421.11,,,0
CDM,81000000,CLONIDINE 10MCG/ML ORAL SUSP (NEONATAL) SH,4.87,4.87,,,0
CDM,81000000,CLONIDINE HCL 0.1 MG PO TABS,9.775,9.775,,,0
CDM,81000000,CLONIDINE HCL 0.2 MG PO TABS,13.715,13.715,,,0
CDM,81000000,CLONIDINE HCL 0.3 MG PO TABS,15.0,15.0,,,0
CDM,81000000,CLOPIDOGREL BISULFATE 300 MG PO TABS,69.35,69.35,,,0
CDM,81000000,CLOPIDOGREL BISULFATE 75 MG PO TABS,23.18,23.18,,,0
CDM,81000000,CLOTRIMAZOLE 1 % EX CREA,2.0,2.0,,,0
CDM,81000000,CLOTRIMAZOLE 1 % EX SOLN,2.0,2.0,,,0
CDM,81000000,CLOTRIMAZOLE 1 % VA CREA,2.0,2.0,,,0
CDM,81000000,CLOTRIMAZOLE 10 MG MT TROC,16.945,16.945,,,0
CDM,81000000,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA,187.43,187.43,,,0
CDM,81000000,CLOZAPINE 100 MG PO TABS,16.02,16.02,,,0
CDM,81000000,COLCHICINE 0.3MG PO PRE-SPLIT TABS SH,18.52,18.52,,,0
CDM,81000000,COLCHICINE 0.6 MG PO TABS,45.489999999999995,45.489999999999995,,,0
CDM,81000000,COLLAGENASE 250 UNIT/GM EX OINT,1200.0,1200.0,,,0
CDM,81000000,CYANOCOBALAMIN 100 MCG PO TABS,1.7,1.7,,,0
CDM,81000000,CYANOCOBALAMIN 1000 MCG PO TABS,1.9100000000000001,1.9100000000000001,,,0
CDM,81000000,CYCLOBENZAPRINE HCL 10 MG PO TABS,15.0,15.0,,,0
CDM,81000000,CYCLOBENZAPRINE HCL 5 MG PO TABS,11.21,11.21,,,0
CDM,81000000,CYCLOPENTOLATE HCL 0.5 % OP SOLN,436.62,436.62,,,0
CDM,81000000,CYCLOPENTOLATE HCL 1 % OP SOLN,84.0,84.0,,,0
CDM,81000000,CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OP SOLN,208.45,208.45,,,0
CDM,81000000,CYPROHEPTADINE HCL 2 MG/5ML PO SYRP,30.0,30.0,,,0
CDM,81000000,CYPROHEPTADINE HCL 4 MG PO TABS,15.0,15.0,,,0
CDM,81000000,DABIGATRAN ETEXILATE MESYLATE 150 MG PO CAPS,21.82,21.82,,,0
CDM,81000000,DABIGATRAN ETEXILATE MESYLATE 75 MG PO CAPS,21.82,21.82,,,0
CDM,81000000,DAKINS (1/2 STRENGTH) 0.25 % EX SOLN,2.0,2.0,,,0
CDM,81000000,DAKINS (1/4 STRENGTH) 0.125 % EX SOLN,2.0,2.0,,,0
CDM,81000000,DAKINS (1/4 STRENGTH) 0.125 % EX SOLN CUSTOM,1.84,1.84,,,0
CDM,81000000,DAKINS (FULL STRENGTH) 0.5 % EX SOLN,2.0,2.0,,,0
CDM,81000000,DANTROLENE SODIUM 20 MG IV SOLR,411.29,411.29,,,0
CDM,81000000,DANTROLENE SODIUM 25 MG PO CAPS,11.85,11.85,,,0
CDM,81000000,DANTROLENE SODIUM 250 MG IV SUSR,5583.13,5583.13,,,0
CDM,81000000,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,87.11,87.11,,,0
CDM,81000000,DAPAGLIFLOZIN PROPANEDIOL 5 MG PO TABS,90.49000000000001,90.49000000000001,,,0
CDM,81000000,DAPSONE 100 MG PO TABS,16.63,16.63,,,0
CDM,81000000,DAPSONE 25 MG PO TABS,13.585,13.585,,,0
CDM,81000000,DARUN-COBIC-EMTRICIT-TENOFAF 800-150-200-10 MG PO TABS,562.78,562.78,,,0
CDM,81000000,DARUNAVIR 600 MG PO TABS,113.52000000000001,113.52000000000001,,,0
CDM,81000000,DARUNAVIR 800 MG PO TABS,258.98,258.98,,,0
CDM,81000000,DARUNAVIR-COBICISTAT 800-150 MG PO TABS,296.01,296.01,,,0
CDM,81000000,DEKAS PLUS PO CHEW,9.0,9.0,,,0
CDM,81000000,DEKAS PLUS PO LIQD,2.0,2.0,,,0
CDM,81000000,DESMOPRESSIN ACETATE 0.1 MG PO TABS,15.105,15.105,,,0
CDM,81000000,DESMOPRESSIN ACETATE 0.2 MG PO TABS,18.42,18.42,,,0
CDM,81000000,DESMOPRESSIN ACETATE SPRAY 0.01 % NA SOLN,30.0,30.0,,,0
CDM,81000000,DESVENLAFAXINE SUCCINATE ER 25 MG PO TB24,55.0,55.0,,,0
CDM,81000000,DESVENLAFAXINE SUCCINATE ER 50 MG PO TB24,47.53,47.53,,,0
CDM,81000000,DEXAMETHASONE 0.1 % OP SUSP,398.88,398.88,,,0
CDM,81000000,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % OP SOLN,323.4,323.4,,,0
CDM,81000000,DEXLANSOPRAZOLE 60 MG PO CPDR,55.0,55.0,,,0
CDM,81000000,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN,69.94,69.94,,,0
CDM,81000000,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML IV SOLN,283.725,283.725,,,0
CDM,81000000,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN,468.0,468.0,,,0
CDM,81000000,DIANEAL LOW CALCIUM/1.5% DEX 344 MOSM/L IP SOLN,260.0,260.0,,,0
CDM,81000000,DIAZEPAM 1 MG/ML PO SOLN,40.0,40.0,,,0
CDM,81000000,DIAZEPAM 10 MG PO TABS,51.64,51.64,,,0
CDM,81000000,DIAZEPAM 2 MG PO TABS,36.12,36.12,,,0
CDM,81000000,DIAZEPAM 5 MG PO TABS,34.35,34.35,,,0
CDM,81000000,DICLOFENAC SODIUM 1 % EX GEL,81.5,81.5,,,0
CDM,81000000,DICLOXACILLIN SODIUM 250 MG PO CAPS,8.26,8.26,,,0
CDM,81000000,DICLOXACILLIN SODIUM 500 MG PO CAPS,15.02,15.02,,,0
CDM,81000000,DICYCLOMINE HCL 10 MG PO CAPS,12.645,12.645,,,0
CDM,81000000,DICYCLOMINE HCL 10 MG/5ML PO SOLN,16.5,16.5,,,0
CDM,81000000,DICYCLOMINE HCL 20 MG PO TABS,15.0,15.0,,,0
CDM,81000000,DIGOXIN 0.05 MG/ML PO SOLN,40.28,40.28,,,0
CDM,81000000,DIGOXIN 125 MCG PO TABS,13.285,13.285,,,0
CDM,81000000,DIGOXIN 250 MCG PO TABS,9.27,9.27,,,0
CDM,81000000,DILTIAZEM HCL 30 MG PO TABS,10.0,10.0,,,0
CDM,81000000,DILTIAZEM HCL 60 MG PO TABS,12.265,12.265,,,0
CDM,81000000,DILTIAZEM HCL 90 MG PO TABS,15.0,15.0,,,0
CDM,81000000,DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24,13.704999999999998,13.704999999999998,,,0
CDM,81000000,DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24,13.71,13.71,,,0
CDM,81000000,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24,94.98,94.98,,,0
CDM,81000000,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24,15.0,15.0,,,0
CDM,81000000,DINOPROSTONE 10 MG VA INST,1559.0,1559.0,,,0
CDM,81000000,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,1.97,1.97,,,0
CDM,81000000,DIPHENHYDRAMINE HCL 25 MG PO CAPS,1.915,1.915,,,0
CDM,81000000,DIPHENHYDRAMINE HCL 50 MG PO CAPS,6.04,6.04,,,0
CDM,81000000,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS,29.055,29.055,,,0
CDM,81000000,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5ML PO LIQD,62.98,62.98,,,0
CDM,81000000,DIPYRIDAMOLE 75 MG PO TABS,16.84,16.84,,,0
CDM,81000000,DIVALPROEX SODIUM 125 MG PO CSDR,8.09,8.09,,,0
CDM,81000000,DIVALPROEX SODIUM 125 MG PO TBEC,12.5,12.5,,,0
CDM,81000000,DIVALPROEX SODIUM 250 MG PO TBEC,8.025,8.025,,,0
CDM,81000000,DIVALPROEX SODIUM 500 MG PO TBEC,9.91,9.91,,,0
CDM,81000000,DIVALPROEX SODIUM ER 250 MG PO TB24,19.04,19.04,,,0
CDM,81000000,DIVALPROEX SODIUM ER 500 MG PO TB24,17.189999999999998,17.189999999999998,,,0
CDM,81000000,DOCUSATE SODIUM 100 MG PO CAPS,1.7999999999999998,1.7999999999999998,,,0
CDM,81000000,DOCUSATE SODIUM 150 MG/15ML PO LIQD,1.3050000000000002,1.3050000000000002,,,0
CDM,81000000,DOCUSATE SODIUM 250 MG PO CAPS,2.0,2.0,,,0
CDM,81000000,DOFETILIDE 125 MCG PO CAPS,53.59,53.59,,,0
CDM,81000000,DOFETILIDE 250 MCG PO CAPS,42.64,42.64,,,0
CDM,81000000,DOFETILIDE 500 MCG PO CAPS,47.075,47.075,,,0
CDM,81000000,DOLUTEGRAVIR SODIUM 50 MG PO TABS,270.59,270.59,,,0
CDM,81000000,DOLUTEGRAVIR-LAMIVUDINE 50-300 MG PO TABS,357.2,357.2,,,0
CDM,81000000,DOLUTEGRAVIR-RILPIVIRINE 50-25 MG PO TABS,417.25,417.25,,,0
CDM,81000000,DONEPEZIL HCL 10 MG PO TABS,32.14,32.14,,,0
CDM,81000000,DONEPEZIL HCL 5 MG PO TABS,47.230000000000004,47.230000000000004,,,0
CDM,81000000,DORAVIRINE 100 MG PO TABS,211.28,211.28,,,0
CDM,81000000,DORZOLAMIDE HCL 2 % OP SOLN,333.75,333.75,,,0
CDM,81000000,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,488.0,488.0,,,0
CDM,81000000,DOXAZOSIN MESYLATE 1 MG PO TABS,19.42,19.42,,,0
CDM,81000000,DOXAZOSIN MESYLATE 2 MG PO TABS,18.58,18.58,,,0
CDM,81000000,DOXAZOSIN MESYLATE 4 MG PO TABS,11.45,11.45,,,0
CDM,81000000,DOXEPIN HCL 10 MG PO CAPS,14.67,14.67,,,0
CDM,81000000,DOXEPIN HCL 100 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,DOXEPIN HCL 25 MG PO CAPS,10.85,10.85,,,0
CDM,81000000,DOXEPIN HCL 50 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,DOXEPIN HCL 75 MG PO CAPS,9.96,9.96,,,0
CDM,81000000,DOXYCYCLINE 100 MG/100ML NS (MINIBAG),176.9,176.9,,,0
CDM,81000000,DOXYCYCLINE HYCLATE 100 MG PO CAPS,21.99,21.99,,,0
CDM,81000000,DOXYCYCLINE MONOHYDRATE 25 MG/5ML PO SUSR,100.83,100.83,,,0
CDM,81000000,DRONEDARONE HCL 400 MG PO TABS,63.17,63.17,,,0
CDM,81000000,DROXIDOPA 100 MG PO CAPS,110.33,110.33,,,0
CDM,81000000,DULOXETINE HCL 20 MG PO CPEP,29.08,29.08,,,0
CDM,81000000,DULOXETINE HCL 30 MG PO CPEP,38.635000000000005,38.635000000000005,,,0
CDM,81000000,DULOXETINE HCL 60 MG PO CPEP,42.01,42.01,,,0
CDM,81000000,DUTASTERIDE 0.5 MG PO CAPS,44.14,44.14,,,0
CDM,81000000,EFAVIRENZ 600 MG PO TABS,111.79,111.79,,,0
CDM,81000000,ELVITEG-COBIC-EMTRICIT-TENOFAF 150-150-200-10 MG PO TABS,466.37,466.37,,,0
CDM,81000000,EMPAGLIFLOZIN 10 MG PO TABS,97.78,97.78,,,0
CDM,81000000,EMTRICITAB-RILPIVIR-TENOFOV AF 200-25-25 MG PO TABS,434.78,434.78,,,0
CDM,81000000,EMTRICITABINE 200 MG PO CAPS,77.25,77.25,,,0
CDM,81000000,EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS,264.28,264.28,,,0
CDM,81000000,EMTRICITABINE-TENOFOVIR DF 200-300 MG PO TABS,15.0,15.0,,,0
CDM,81000000,ENALAPRIL 1MG/ML ORAL LIQD (PEDIATRIC) SH,20.490000000000002,20.490000000000002,,,0
CDM,81000000,ENALAPRIL MALEATE 10 MG PO TABS,10.805,10.805,,,0
CDM,81000000,ENALAPRIL MALEATE 5 MG PO TABS,15.0,15.0,,,0
CDM,81000000,ENALAPRILAT 1.25 MG/ML IV INJ,75.0,75.0,,,0
CDM,81000000,ENTACAPONE 200 MG PO TABS,27.17,27.17,,,0
CDM,81000000,ENTECAVIR 0.05 MG/ML PO SOLN,430.53,430.53,,,0
CDM,81000000,ENTECAVIR 0.5 MG PO TABS,126.64999999999999,126.64999999999999,,,0
CDM,81000000,ENTECAVIR 1 MG PO TABS,149.005,149.005,,,0
CDM,81000000,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IJ SOLN,77.38,77.38,,,0
CDM,81000000,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN,119.02000000000001,119.02000000000001,,,0
CDM,81000000,EPHEDRINE SULFATE 5 MG/ML INJ (SH),96.18,96.18,,,0
CDM,81000000,EPINEPHRINE 0.1MG/ML INJ (PEDIATRIC) SH,75.0,75.0,,,0
CDM,81000000,EPINEPHRINE HCL (NASAL) 0.1 % NA SOLN,1128.0,1128.0,,,0
CDM,81000000,EPINEPHRINE HCL 0.1 MG/ML IJ SOLN (IO),61.73,61.73,,,0
CDM,81000000,EPINEPHRINE-NACL 5-0.9 MG/250ML-% IV SOLN,975.0,975.0,,,0
CDM,81000000,EPLERENONE 25 MG PO TABS,24.165,24.165,,,0
CDM,81000000,EPLERENONE 50 MG PO TABS,23.08,23.08,,,0
CDM,81000000,ERGOCALCIFEROL 1.25 MG (50000 UT) PO CAPS,1.975,1.975,,,0
CDM,81000000,ERGOCALCIFEROL 200 MCG/ML PO SOLN,2.0,2.0,,,0
CDM,81000000,ERYTHROMYCIN 5 MG/GM OP OINT,51.61,51.61,,,0
CDM,81000000,ERYTHROMYCIN BASE 250 MG PO TABS,55.0,55.0,,,0
CDM,81000000,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR,30.0,30.0,,,0
CDM,81000000,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5ML PO SUSR,65.0,65.0,,,0
CDM,81000000,ESCITALOPRAM OXALATE 10 MG PO TABS,23.76,23.76,,,0
CDM,81000000,ESCITALOPRAM OXALATE 20 MG PO TABS,24.2,24.2,,,0
CDM,81000000,ESCITALOPRAM OXALATE 5 MG PO TABS,24.81,24.81,,,0
CDM,81000000,ESCITALOPRAM OXALATE 5 MG/5ML PO SOLN,51.66,51.66,,,0
CDM,81000000,ESOMEPRAZOLE MAGNESIUM 5MG PO PACK (PEDIATRIC),40.38,40.38,,,0
CDM,81000000,ESTRADIOL 0.05 MG/24HR TD PTWK,92.83,92.83,,,0
CDM,81000000,ESTRADIOL 0.075 MG/24HR TD PTWK,92.83,92.83,,,0
CDM,81000000,ESTRADIOL 0.5 MG PO TABS,15.0,15.0,,,0
CDM,81000000,ESTRADIOL 1 MG PO TABS,9.11,9.11,,,0
CDM,81000000,ESTROGENS CONJUGATED 0.625 MG/GM VA CREA,1620.18,1620.18,,,0
CDM,81000000,ETHACRYNIC ACID 25 MG PO TABS,80.28999999999999,80.28999999999999,,,0
CDM,81000000,ETHAMBUTOL HCL 100 MG PO TABS,9.0,9.0,,,0
CDM,81000000,ETHAMBUTOL HCL 400 MG PO TABS,8.65,8.65,,,0
CDM,81000000,ETHERIZED OXIDIZED CELLULOSE 0.5X2 IN EX PADS,33.22,33.22,,,0
CDM,81000000,ETHIODIZED OIL 480 MG/ML IJ OIL,3526.655,3526.655,,,0
CDM,81000000,ETOMIDATE 2 MG/ML IV SOLN,73.54,73.54,,,0
CDM,81000000,ETRAVIRINE 100 MG PO TABS,50.0,50.0,,,0
CDM,81000000,EXTRANEAL 7.5 % IP SOLN,915.2,915.2,,,0
CDM,81000000,EYE STREAM OP SOLN,2.0,2.0,,,0
CDM,81000000,EZETIMIBE 10 MG PO TABS,55.0,55.0,,,0
CDM,81000000,FAMCICLOVIR 500 MG PO TABS,55.0,55.0,,,0
CDM,81000000,FAMOTIDINE 10 MG PO TABS,1.5,1.5,,,0
CDM,81000000,FAMOTIDINE 20 MG PO TABS,1.94,1.94,,,0
CDM,81000000,FAMOTIDINE 40 MG/5ML PO SUSR,2.0,2.0,,,0
CDM,81000000,FAT EMULSION 20% IV (NEONATAL),77.87,77.87,,,0
CDM,81000000,FAT EMULSION FISH OIL BASE 20% IV EMUL (NEONATAL),77.22,77.22,,,0
CDM,81000000,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL,355.065,355.065,,,0
CDM,81000000,FEBUXOSTAT 40 MG PO TABS,47.6,47.6,,,0
CDM,81000000,FENOFIBRATE 145 MG PO TABS,15.195,15.195,,,0
CDM,81000000,FENOFIBRATE 160 MG PO TABS,27.105,27.105,,,0
CDM,81000000,FENOFIBRATE 48 MG PO TABS,15.0,15.0,,,0
CDM,81000000,FENTANYL 100 MCG/HR TD PT72,198.10500000000002,198.10500000000002,,,0
CDM,81000000,FENTANYL 12 MCG/HR TD PT72,81.205,81.205,,,0
CDM,81000000,FENTANYL 25 MCG/HR TD PT72,85.06,85.06,,,0
CDM,81000000,FENTANYL 50 MCG/HR TD PT72,116.64500000000001,116.64500000000001,,,0
CDM,81000000,FENTANYL 75 MCG/HR TD PT72,177.92,177.92,,,0
CDM,81000000,FENTANYL-BUPIVACAINE-NACL 0.2-0.1-0.9 MG/100ML-% EP SOLN,186.5,186.5,,,0
CDM,81000000,FENTANYL-BUPIVACAINE-NACL 0.5-0.125-0.9 MG/250ML-% EP SOLN,233.93,233.93,,,0
CDM,81000000,FERRIC SUBSULFATE 259 MG/GM EX SOLN,2.0,2.0,,,0
CDM,81000000,FERROUS GLUCONATE 324 (38 FE) MG PO TABS,1.995,1.995,,,0
CDM,81000000,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN,1.6,1.6,,,0
CDM,81000000,FERROUS SULFATE 324 (65 FE) MG PO TBEC,2.005,2.005,,,0
CDM,81000000,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN,2.0,2.0,,,0
CDM,81000000,FIDAXOMICIN 200 MG PO TABS,882.87,882.87,,,0
CDM,81000000,FLECAINIDE ACETATE 100 MG PO TABS,19.465,19.465,,,0
CDM,81000000,FLECAINIDE ACETATE 50 MG PO TABS,13.34,13.34,,,0
CDM,81000000,FLEET ENEMA 7-19 GM/118ML PR ENEM,1.865,1.865,,,0
CDM,81000000,FLEET PEDIATRIC 3.5-9.5 GM/59ML PR ENEM,6.65,6.65,,,0
CDM,81000000,FLUCONAZOLE 100 MG PO TABS,43.754999999999995,43.754999999999995,,,0
CDM,81000000,FLUCONAZOLE 10MG/ML ORAL SUSP (PEDIATRIC) SH,20.055,20.055,,,0
CDM,81000000,FLUCONAZOLE 200 MG PO TABS,142.02,142.02,,,0
CDM,81000000,FLUCONAZOLE 40 MG/ML PO SUSR,59.474999999999994,59.474999999999994,,,0
CDM,81000000,FLUCONAZOLE 50 MG PO TABS,29.115000000000002,29.115000000000002,,,0
CDM,81000000,FLUCYTOSINE 250 MG PO CAPS,297.95,297.95,,,0
CDM,81000000,FLUCYTOSINE 500 MG PO CAPS,492.78,492.78,,,0
CDM,81000000,FLUDROCORTISONE ACETATE 0.1 MG PO TABS,14.405000000000001,14.405000000000001,,,0
CDM,81000000,FLUMAZENIL 0.1 MG/ML IV SOLN - CONSOLIDATED,75.0,75.0,,,0
CDM,81000000,FLUMAZENIL 0.5 MG/5ML IV SOLN,75.0,75.0,,,0
CDM,81000000,FLUOCINONIDE 0.05 % EX SOLN,287.9,287.9,,,0
CDM,81000000,FLUORESCEIN SODIUM 0.6 MG OP STRP,15.0,15.0,,,0
CDM,81000000,FLUORESCEIN SODIUM 1 MG OP STRP,47.61,47.61,,,0
CDM,81000000,FLUORESCEIN SODIUM 10 % IV SOLN,50.0,50.0,,,0
CDM,81000000,FLUORESCEIN-PROPARACAINE 0.25-0.5 % OP SOLN,221.0,221.0,,,0
CDM,81000000,FLUOROMETHOLONE 0.1 % OP SUSP,375.0,375.0,,,0
CDM,81000000,FLUOXETINE HCL 10 MG PO CAPS,14.025,14.025,,,0
CDM,81000000,FLUOXETINE HCL 20 MG PO CAPS,14.364999999999998,14.364999999999998,,,0
CDM,81000000,FLUOXETINE HCL 20 MG/5ML PO SOLN,30.845,30.845,,,0
CDM,81000000,FLUPHENAZINE HCL 1 MG PO TABS,24.16,24.16,,,0
CDM,81000000,FLURBIPROFEN SODIUM 0.03 % OP SOLN,216.0,216.0,,,0
CDM,81000000,FLUTICASONE FUROATE 100 MCG/ACT IN AEPB,466.98,466.98,,,0
CDM,81000000,FLUTICASONE FUROATE 200 MCG/ACT IN AEPB,625.24,625.24,,,0
CDM,81000000,FLUTICASONE FUROATE 50 MCG/ACT IN AEPB,33.36,33.36,,,0
CDM,81000000,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP,375.0,375.0,,,0
CDM,81000000,FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO,1167.5,1167.5,,,0
CDM,81000000,FLUTICASONE PROPIONATE HFA 220 MCG/ACT IN AERO,1454.65,1454.65,,,0
CDM,81000000,FLUTICASONE PROPIONATE HFA 44 MCG/ACT IN AERO,941.845,941.845,,,0
CDM,81000000,FLUTICASONE-SALMETEROL 100-50 MCG/ACT IN AEPB,39.16,39.16,,,0
CDM,81000000,FLUVOXAMINE MALEATE 50 MG PO TABS,14.16,14.16,,,0
CDM,81000000,FOLIC ACID 1 MG PO TABS,1.97,1.97,,,0
CDM,81000000,FOSFOMYCIN TROMETHAMINE 3 G PO PACK,314.88,314.88,,,0
CDM,81000000,FUROSEMIDE 20 MG PO TABS,11.825,11.825,,,0
CDM,81000000,FUROSEMIDE 40 MG PO TABS,12.86,12.86,,,0
CDM,81000000,FUROSEMIDE 8 MG/ML PO SOLN,14.9,14.9,,,0
CDM,81000000,FUROSEMIDE 80 MG PO TABS,15.0,15.0,,,0
CDM,81000000,GABAPENTIN 100 MG PO CAPS,11.309999999999999,11.309999999999999,,,0
CDM,81000000,GABAPENTIN 250 MG/5ML PO SOLN,31.04,31.04,,,0
CDM,81000000,GABAPENTIN 300 MG PO CAPS,10.855,10.855,,,0
CDM,81000000,GABAPENTIN 400 MG PO CAPS,11.71,11.71,,,0
CDM,81000000,GABAPENTIN 600 MG PO TABS,14.725,14.725,,,0
CDM,81000000,GABAPENTIN 800 MG PO TABS,16.235,16.235,,,0
CDM,81000000,GELATIN ABSORBABLE 100 EX MISC,129.385,129.385,,,0
CDM,81000000,GELATIN ABSORBABLE 12-7 MM EX MISC,45.49,45.49,,,0
CDM,81000000,GELATIN ABSORBABLE MT POWD,289.04,289.04,,,0
CDM,81000000,GEMFIBROZIL 600 MG PO TABS,15.0,15.0,,,0
CDM,81000000,GENTAMICIN 2MG/ML NS IV SYRINGE (PEDIATRIC) SH,75.0,75.0,,,0
CDM,81000000,GLIPIZIDE 10 MG PO TABS,15.0,15.0,,,0
CDM,81000000,GLIPIZIDE 5 MG PO TABS,14.33,14.33,,,0
CDM,81000000,GLUCOSE 40 % PO GEL,1.82,1.82,,,0
CDM,81000000,GLUCOSE 40% PO GEL (NEONATAL) SH,1.98,1.98,,,0
CDM,81000000,GLYCERIN (LAXATIVE) 1 G PR SUPP,2.0,2.0,,,0
CDM,81000000,GLYCERIN (LAXATIVE) 2 G PR SUPP,2.0,2.0,,,0
CDM,81000000,GLYCERIN LIQD,2.0,2.0,,,0
CDM,81000000,GLYCERIN-HYPROMELLOSE-PEG 400 0.2-0.2-1 % OP SOLN,2.0,2.0,,,0
CDM,81000000,GLYCOPYRROLATE 1 MG PO TABS,7.359999999999999,7.359999999999999,,,0
CDM,81000000,GLYCOPYRROLATE 1 MG/5ML PO SOLN,31.560000000000002,31.560000000000002,,,0
CDM,81000000,GLYCOPYRROLATE 500MCG/ML ORAL SUSP (PEDIATRIC) SH,15.0,15.0,,,0
CDM,81000000,GUAIFENESIN 100 MG/5ML PO LIQD,1.505,1.505,,,0
CDM,81000000,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN,38.03,38.03,,,0
CDM,81000000,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP,1.97,1.97,,,0
CDM,81000000,GUANFACINE HCL ER 1 MG PO TB24,55.0,55.0,,,0
CDM,81000000,GUANFACINE HCL ER 2 MG PO TB24,55.0,55.0,,,0
CDM,81000000,HALOPERIDOL 0.5 MG PO TABS,15.0,15.0,,,0
CDM,81000000,HALOPERIDOL 1 MG PO TABS,14.53,14.53,,,0
CDM,81000000,HALOPERIDOL 10 MG PO TABS,15.0,15.0,,,0
CDM,81000000,HALOPERIDOL 2 MG PO TABS,12.69,12.69,,,0
CDM,81000000,HALOPERIDOL 5 MG PO TABS,12.825,12.825,,,0
CDM,81000000,HALOPERIDOL LACTATE 2 MG/ML PO CONC,15.0,15.0,,,0
CDM,81000000,HYDRALAZINE HCL 10 MG PO TABS,11.31,11.31,,,0
CDM,81000000,HYDRALAZINE HCL 100 MG PO TABS,15.0,15.0,,,0
CDM,81000000,HYDRALAZINE HCL 25 MG PO TABS,8.37,8.37,,,0
CDM,81000000,HYDRALAZINE HCL 50 MG PO TABS,13.93,13.93,,,0
CDM,81000000,HYDROCHLOROTHIAZIDE 12.5 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,HYDROCHLOROTHIAZIDE 25 MG PO TABS,14.885,14.885,,,0
CDM,81000000,HYDROCHLOROTHIAZIDE 50 MG PO TABS,15.0,15.0,,,0
CDM,81000000,HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS,39.085,39.085,,,0
CDM,81000000,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS,39.465,39.465,,,0
CDM,81000000,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS,40.0,40.0,,,0
CDM,81000000,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN,40.0,40.0,,,0
CDM,81000000,HYDROCORT-PRAMOXINE (PERIANAL) 1-1 % EX FOAM,888.56,888.56,,,0
CDM,81000000,HYDROCORTISONE (PERIANAL) 1 % EX CREA,2.0,2.0,,,0
CDM,81000000,HYDROCORTISONE (PERIANAL) 2.5 % EX CREA,2.0,2.0,,,0
CDM,81000000,HYDROCORTISONE 0.5 % EX CREA,2.0,2.0,,,0
CDM,81000000,HYDROCORTISONE 1 % EX CREA,2.0,2.0,,,0
CDM,81000000,HYDROCORTISONE 1 % EX LOTN,2.0,2.0,,,0
CDM,81000000,HYDROCORTISONE 1 % EX OINT,2.0,2.0,,,0
CDM,81000000,HYDROCORTISONE 10 MG PO TABS,13.92,13.92,,,0
CDM,81000000,HYDROCORTISONE 1MG/ML ORAL LIQD (PEDIATRIC) SH,10.5,10.5,,,0
CDM,81000000,HYDROCORTISONE 2.5 % EX CREA,2.0,2.0,,,0
CDM,81000000,HYDROCORTISONE 2.5 % EX LOTN,2.0,2.0,,,0
CDM,81000000,HYDROCORTISONE 20 MG PO TABS,14.57,14.57,,,0
CDM,81000000,HYDROCORTISONE 5 MG PO TABS,10.0,10.0,,,0
CDM,81000000,HYDROCORTISONE ACETATE 25 MG PR SUPP,34.18,34.18,,,0
CDM,81000000,HYDROGEN PEROXIDE 3 % EX SOLN,2.96,2.96,,,0
CDM,81000000,HYDROMORPHONE HCL 2 MG PO TABS,23.25,23.25,,,0
CDM,81000000,HYDROMORPHONE HCL 4 MG PO TABS,32.519999999999996,32.519999999999996,,,0
CDM,81000000,HYDROMORPHONE HCL 8 MG PO TABS,40.0,40.0,,,0
CDM,81000000,HYDROXYUREA 500 MG PO CAPS,32.519999999999996,32.519999999999996,,,0
CDM,81000000,HYDROXYZINE HCL 10 MG PO TABS,13.455,13.455,,,0
CDM,81000000,HYDROXYZINE HCL 10 MG/5ML PO SYRP,75.795,75.795,,,0
CDM,81000000,HYDROXYZINE HCL 25 MG PO TABS,10.66,10.66,,,0
CDM,81000000,HYDROXYZINE HCL 50 MG PO TABS,12.79,12.79,,,0
CDM,81000000,HYOSCYAMINE SULFATE 0.125 MG SL SUBL,13.100000000000001,13.100000000000001,,,0
CDM,81000000,HYPROMELLOSE 0.5 % OP SOLN,2.0,2.0,,,0
CDM,81000000,IBUPROFEN 200 MG PO TABS,4.6,4.6,,,0
CDM,81000000,IBUPROFEN 400 MG PO TABS,7.574999999999999,7.574999999999999,,,0
CDM,81000000,IBUPROFEN 600 MG PO TABS,10.1,10.1,,,0
CDM,81000000,IMIPRAMINE HCL 50 MG PO TABS,10.52,10.52,,,0
CDM,81000000,INDIGOTINDISULFONATE SODIUM 8 MG/ML IJ SOLN,963.77,963.77,,,0
CDM,81000000,INDIGOTINDISULFONATE SODIUM 8 MG/ML IV SOLN,2000.0,2000.0,,,0
CDM,81000000,INDOCYANINE GREEN 25 MG IV SOLR,230.52,230.52,,,0
CDM,81000000,INDOMETHACIN 25 MG PO CAPS,8.96,8.96,,,0
CDM,81000000,INDOMETHACIN 50 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,INDOMETHACIN 50 MG PR SUPP,1085.72,1085.72,,,0
CDM,81000000,INDOMETHACIN ER 75 MG PO CPCR,16.52,16.52,,,0
CDM,81000000,INDOMETHACIN SODIUM 1 MG IV SOLR,501.97,501.97,,,0
CDM,81000000,INFANT/TODDLER'S (UDO'S CHOICE) PROBIOTIC PO POWDER,30.0,30.0,,,0
CDM,81000000,INFUVITE ADULT IV INJ,57.51,57.51,,,0
CDM,81000000,IODINE STRONG 5 % PO SOLN,2.09,2.09,,,0
CDM,81000000,IPRATROPIUM BROMIDE HFA 17 MCG/ACT IN AERS,1697.15,1697.15,,,0
CDM,81000000,IPRATROPIUM-ALBUTEROL 20-100 MCG/ACT IN AERS,1761.64,1761.64,,,0
CDM,81000000,ISAVUCONAZONIUM SULFATE 186 MG PO CAPS,384.02,384.02,,,0
CDM,81000000,ISONIAZID 300 MG PO TABS,15.0,15.0,,,0
CDM,81000000,ISONIAZID 50 MG/5ML PO SYRP,129.6,129.6,,,0
CDM,81000000,ISOPROPYL ALCOHOL 70 % SOLN,2.0,2.0,,,0
CDM,81000000,ISOSORBIDE DINITRATE 10 MG PO TABS,11.75,11.75,,,0
CDM,81000000,ISOSORBIDE DINITRATE 20 MG PO TABS,13.775,13.775,,,0
CDM,81000000,ISOSORBIDE DINITRATE 30 MG PO TABS,8.14,8.14,,,0
CDM,81000000,ISOSORBIDE DINITRATE 40 MG PO TABS,76.94,76.94,,,0
CDM,81000000,ISOSORBIDE DINITRATE 5 MG PO TABS,8.705,8.705,,,0
CDM,81000000,ISOSORBIDE MONONITRATE ER 30 MG PO TB24,13.745000000000001,13.745000000000001,,,0
CDM,81000000,ISOSORBIDE MONONITRATE ER 60 MG PO TB24,14.254999999999999,14.254999999999999,,,0
CDM,81000000,ITRACONAZOLE 10 MG/ML PO SOLN,220.18,220.18,,,0
CDM,81000000,ITRACONAZOLE 100 MG PO CAPS,61.66,61.66,,,0
CDM,81000000,IVERMECTIN 3 MG PO TABS,17.72,17.72,,,0
CDM,81000000,K PHOS MONO-SOD PHOS DI & MONO 155-852-130 MG PO TABS,10.2,10.2,,,0
CDM,81000000,KETAMINE 10MG/ML INJ (PEDIATRIC) SH,90.0,90.0,,,0
CDM,81000000,KETAMINE HCL 10 MG/ML IJ SOLN,131.085,131.085,,,0
CDM,81000000,KETAMINE HCL 100 MG/ML IJ SOLN,90.0,90.0,,,0
CDM,81000000,KETAMINE HCL 50 MG/ML IJ SOLN,88.9,88.9,,,0
CDM,81000000,KETOCONAZOLE 2 % EX CREA,2.0,2.0,,,0
CDM,81000000,KETOCONAZOLE 2 % EX SHAM,2.0,2.0,,,0
CDM,81000000,KETOCONAZOLE 200 MG PO TABS,2.0,2.0,,,0
CDM,81000000,KETOROLAC TROMETHAMINE 0.4 % OP SOLN,364.55,364.55,,,0
CDM,81000000,KETOROLAC TROMETHAMINE 0.5 % OP SOLN,427.48,427.48,,,0
CDM,81000000,LABETALOL HCL 100 MG PO TABS,9.91,9.91,,,0
CDM,81000000,LABETALOL HCL 200 MG PO TABS,10.38,10.38,,,0
CDM,81000000,LABETALOL HCL 25MG PO PRE-SPLIT TABS SH,0.83,0.83,,,0
CDM,81000000,LABETALOL HCL 300 MG PO TABS,11.32,11.32,,,0
CDM,81000000,LACOSAMIDE 10 MG/ML PO SOLN,76.9,76.9,,,0
CDM,81000000,LACOSAMIDE 100 MG PO TABS,31.68,31.68,,,0
CDM,81000000,LACOSAMIDE 200 MG PO TABS,66.5,66.5,,,0
CDM,81000000,LACOSAMIDE 50 MG PO TABS,46.39,46.39,,,0
CDM,81000000,LACTINEX PO PACK,2.0,2.0,,,0
CDM,81000000,LACTULOSE (ENULOSE) ENEMA SH,81.82,81.82,,,0
CDM,81000000,LACTULOSE 10 G PO PACK,55.0,55.0,,,0
CDM,81000000,LACTULOSE 10 GM/15ML PO SOLN,18.515,18.515,,,0
CDM,81000000,LAMIVUDINE 10 MG/ML PO SOLN,30.0,30.0,,,0
CDM,81000000,LAMIVUDINE 100 MG PO TABS,51.95,51.95,,,0
CDM,81000000,LAMIVUDINE 150 MG PO TABS,45.77,45.77,,,0
CDM,81000000,LAMOTRIGINE 100 MG PO TABS,15.0,15.0,,,0
CDM,81000000,LAMOTRIGINE 25 MG PO CHEW,13.75,13.75,,,0
CDM,81000000,LAMOTRIGINE 25 MG PO TABS,21.97,21.97,,,0
CDM,81000000,LAMOTRIGINE 5 MG PO CHEW,14.88,14.88,,,0
CDM,81000000,LAMOTRIGINE ER 100 MG PO TB24,51.015,51.015,,,0
CDM,81000000,LANSOPRAZOLE 15 MG PO TBDD,52.05,52.05,,,0
CDM,81000000,LANSOPRAZOLE 30 MG PO TBDD,61.12,61.12,,,0
CDM,81000000,LANTHANUM CARBONATE 500 MG PO CHEW,40.375,40.375,,,0
CDM,81000000,LATANOPROST 0.005 % OP SOLN,788.63,788.63,,,0
CDM,81000000,LATANOPROSTENE BUNOD 0.024 % OP SOLN,39.83,39.83,,,0
CDM,81000000,LETROZOLE 2.5 MG PO TABS,117.34,117.34,,,0
CDM,81000000,LEUCOVORIN CALCIUM 5 MG PO TABS,18.2,18.2,,,0
CDM,81000000,LEVALBUTEROL TARTRATE 45 MCG/ACT IN AERO,371.74,371.74,,,0
CDM,81000000,LEVETIRACETAM 100 MG/ML PO SOLN,29.355,29.355,,,0
CDM,81000000,LEVETIRACETAM 250 MG PO TABS,20.474999999999998,20.474999999999998,,,0
CDM,81000000,LEVETIRACETAM 500 MG PO TABS,18.104999999999997,18.104999999999997,,,0
CDM,81000000,LEVOCARNITINE 1 GM/10ML PO SOLN,2.0,2.0,,,0
CDM,81000000,LEVOCARNITINE 330 MG PO TABS,0.6950000000000001,0.6950000000000001,,,0
CDM,81000000,LEVOFLOXACIN 25 MG/ML PO SOLN,183.61,183.61,,,0
CDM,81000000,LEVOFLOXACIN 250 MG PO TABS,53.66,53.66,,,0
CDM,81000000,LEVOFLOXACIN 500 MG PO TABS,58.17,58.17,,,0
CDM,81000000,LEVOFLOXACIN 750 MG PO TABS,98.46,98.46,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,535.77,535.77,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 100 MCG PO TABS,14.165,14.165,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 100 MCG/5ML IV SOLN,573.55,573.55,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 112 MCG PO TABS,14.925,14.925,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 125 MCG PO TABS,14.495000000000001,14.495000000000001,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 150 MCG PO TABS,14.3,14.3,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,1266.95,1266.95,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 200 MCG PO TABS,15.0,15.0,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 25 MCG PO TABS,7.475,7.475,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 50 MCG PO TABS,13.135,13.135,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 75 MCG PO TABS,13.24,13.24,,,0
CDM,81000000,LEVOTHYROXINE SODIUM 88 MCG PO TABS,14.81,14.81,,,0
CDM,81000000,LIDOCAINE 2% GEL UROJET INJ SH,2.54,2.54,,,0
CDM,81000000,LIDOCAINE 4 % EX CREA,2.04,2.04,,,0
CDM,81000000,LIDOCAINE 5 % EX OINT,1200.0,1200.0,,,0
CDM,81000000,LIDOCAINE 5 % EX PTCH,46.18,46.18,,,0
CDM,81000000,LIDOCAINE HCL 4 % EX SOLN,323.25,323.25,,,0
CDM,81000000,LIDOCAINE HCL 4 % MT SOLN,93.09,93.09,,,0
CDM,81000000,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX GEL,2.0,2.0,,,0
CDM,81000000,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY,2.0,2.0,,,0
CDM,81000000,LIDOCAINE VISCOUS HCL 2 % MT SOLN,54.43,54.43,,,0
CDM,81000000,LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN,75.0,75.0,,,0
CDM,81000000,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,70.35,70.35,,,0
CDM,81000000,LIDOCAINE-EPINEPHRINE 1 %-1:200000 IJ SOLN,79.8,79.8,,,0
CDM,81000000,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN,69.78,69.78,,,0
CDM,81000000,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN PF,75.0,75.0,,,0
CDM,81000000,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN,72.85,72.85,,,0
CDM,81000000,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN,75.0,75.0,,,0
CDM,81000000,LIDOCAINE-EPINEPHRINE 2 %-1:50000 IJ SOLN,37.5,37.5,,,0
CDM,81000000,LIDOCAINE-EPINEPHRINE 2%-1:200000 IJ SOLN PF,69.7,69.7,,,0
CDM,81000000,LIDOCAINE/EPINEPHRINE/TETRACAINE (L.E.T) TOP SOLN CUSTOM CREATE,27.95,27.95,,,0
CDM,81000000,LINACLOTIDE 145 MCG PO CAPS,85.94,85.94,,,0
CDM,81000000,LINACLOTIDE 290 MCG PO CAPS,85.37,85.37,,,0
CDM,81000000,LINACLOTIDE 72 MCG PO CAPS,84.48,84.48,,,0
CDM,81000000,LINAGLIPTIN 5 MG PO TABS,84.01,84.01,,,0
CDM,81000000,LINEZOLID 600 MG PO TABS,296.23,296.23,,,0
CDM,81000000,LIOTHYRONINE SODIUM 25 MCG PO TABS,15.0,15.0,,,0
CDM,81000000,LIOTHYRONINE SODIUM 5 MCG PO TABS,14.06,14.06,,,0
CDM,81000000,LISINOPRIL 10 MG PO TABS,9.18,9.18,,,0
CDM,81000000,LISINOPRIL 2.5 MG PO TABS,10.965,10.965,,,0
CDM,81000000,LISINOPRIL 20 MG PO TABS,11.115,11.115,,,0
CDM,81000000,LISINOPRIL 40 MG PO TABS,15.0,15.0,,,0
CDM,81000000,LISINOPRIL 5 MG PO TABS,14.6,14.6,,,0
CDM,81000000,LITHIUM CARBONATE 150 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,LITHIUM CARBONATE 300 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,LITHIUM CARBONATE 300 MG PO TABS,10.31,10.31,,,0
CDM,81000000,LITHIUM CARBONATE 600 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,LITHIUM CARBONATE ER 300 MG PO TBCR,15.0,15.0,,,0
CDM,81000000,LITHIUM CARBONATE ER 450 MG PO TBCR,15.0,15.0,,,0
CDM,81000000,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN,16.225,16.225,,,0
CDM,81000000,LOPERAMIDE HCL 2 MG PO CAPS,1.575,1.575,,,0
CDM,81000000,LORATADINE 10 MG PO TABS,2.0,2.0,,,0
CDM,81000000,LORATADINE 5 MG/5ML PO SOLN,2.0,2.0,,,0
CDM,81000000,LORAZEPAM 0.5 MG PO TABS,37.26,37.26,,,0
CDM,81000000,LORAZEPAM 1 MG PO TABS,30.11,30.11,,,0
CDM,81000000,LOSARTAN POTASSIUM 100 MG PO TABS,16.92,16.92,,,0
CDM,81000000,LOSARTAN POTASSIUM 25 MG PO TABS,11.58,11.58,,,0
CDM,81000000,LOSARTAN POTASSIUM 50 MG PO TABS,13.26,13.26,,,0
CDM,81000000,LUBIPROSTONE 24 MCG PO CAPS,37.09,37.09,,,0
CDM,81000000,LURASIDONE HCL 20 MG PO TABS,28.11,28.11,,,0
CDM,81000000,LURASIDONE HCL 40 MG PO TABS,158.05,158.05,,,0
CDM,81000000,MAGNESIUM CITRATE PO SOLN,1.9849999999999999,1.9849999999999999,,,0
CDM,81000000,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP,1.99,1.99,,,0
CDM,81000000,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS,1.125,1.125,,,0
CDM,81000000,MAGNESIUM OXIDE 400 MG PO TABS,2.0,2.0,,,0
CDM,81000000,MANNITOL 20 % IV SOLN,332.03,332.03,,,0
CDM,81000000,MANNITOL 20% IVPB INTERMITTENT SH,148.05,148.05,,,0
CDM,81000000,MARAVIROC 300 MG PO TABS,100.0,100.0,,,0
CDM,81000000,MECLIZINE HCL 12.5 MG PO TABS,2.0,2.0,,,0
CDM,81000000,MECLIZINE HCL 25 MG PO TABS,2.04,2.04,,,0
CDM,81000000,MEDIUM CHAIN TRIGLYCERIDES PO OIL,2.0,2.0,,,0
CDM,81000000,MEDROXYPROGESTERONE ACETATE 10 MG PO TABS,9.22,9.22,,,0
CDM,81000000,MEDROXYPROGESTERONE ACETATE 2.5 MG PO TABS,4.69,4.69,,,0
CDM,81000000,MEGESTROL ACETATE 400 MG/10ML PO SUSP,44.93,44.93,,,0
CDM,81000000,MELATONIN 1 MG PO TABS,2.0,2.0,,,0
CDM,81000000,MELATONIN 3 MG PO TABS,1.955,1.955,,,0
CDM,81000000,MELATONIN 5 MG PO TABS,1.44,1.44,,,0
CDM,81000000,MELOXICAM 15 MG PO TABS,22.37,22.37,,,0
CDM,81000000,MEMANTINE HCL 10 MG PO TABS,14.68,14.68,,,0
CDM,81000000,MEMANTINE HCL 5 MG PO TABS,30.17,30.17,,,0
CDM,81000000,MERCAPTOPURINE 25MG PO PRE-SPLIT TABS SH,40.0,40.0,,,0
CDM,81000000,MESALAMINE 1.2 G PO TBEC,38.735,38.735,,,0
CDM,81000000,MESALAMINE 1000 MG PR SUPP,135.925,135.925,,,0
CDM,81000000,MESALAMINE 400 MG PO CPDR,27.45,27.45,,,0
CDM,81000000,MESALAMINE 800 MG PO TBEC,50.504999999999995,50.504999999999995,,,0
CDM,81000000,MESALAMINE ER 0.375 G PO CP24,5.28,5.28,,,0
CDM,81000000,METFORMIN HCL 500 MG PO TABS,10.6,10.6,,,0
CDM,81000000,METFORMIN HCL 850 MG PO TABS,15.0,15.0,,,0
CDM,81000000,METFORMIN HCL ER 500 MG PO TB24,15.0,15.0,,,0
CDM,81000000,METHADONE 1MG/ML ORAL SYRINGE (NEONATAL) SH,40.0,40.0,,,0
CDM,81000000,METHADONE HCL 5 MG/5ML PO SOLN,13.15,13.15,,,0
CDM,81000000,METHIMAZOLE 10 MG PO TABS,14.425,14.425,,,0
CDM,81000000,METHIMAZOLE 2.5MG PO PRE-SPLIT TABS SH,15.0,15.0,,,0
CDM,81000000,METHIMAZOLE 5 MG PO TABS,13.94,13.94,,,0
CDM,81000000,METHOCARBAMOL 500 MG PO TABS,11.645,11.645,,,0
CDM,81000000,METHYLENE BLUE (ANTIDOTE) 50 MG/10ML IV SOLN,1125.08,1125.08,,,0
CDM,81000000,METHYLERGONOVINE MALEATE 0.2 MG PO TABS,201.63,201.63,,,0
CDM,81000000,METHYLPHENIDATE HCL 10 MG PO TABS,20.0,20.0,,,0
CDM,81000000,METOCLOPRAMIDE HCL 10 MG PO TABS,15.0,15.0,,,0
CDM,81000000,METOCLOPRAMIDE HCL 5 MG PO TABS,14.48,14.48,,,0
CDM,81000000,METOCLOPRAMIDE HCL 5 MG/5ML PO SOLN,15.0,15.0,,,0
CDM,81000000,METOLAZONE 10 MG PO TABS,19.29,19.29,,,0
CDM,81000000,METOLAZONE 2.5 MG PO TABS,18.1,18.1,,,0
CDM,81000000,METOLAZONE 5 MG PO TABS,19.6,19.6,,,0
CDM,81000000,METOPROLOL 10MG/ML ORAL SUSP *COMPOUNDED* SH,15.0,15.0,,,0
CDM,81000000,METOPROLOL SUCCINATE ER 100 MG PO TB24,15.0,15.0,,,0
CDM,81000000,METOPROLOL SUCCINATE ER 25 MG PO TB24,12.74,12.74,,,0
CDM,81000000,METOPROLOL SUCCINATE ER 50 MG PO TB24,10.53,10.53,,,0
CDM,81000000,METOPROLOL TARTRATE 100 MG PO TABS,15.0,15.0,,,0
CDM,81000000,METOPROLOL TARTRATE 25 MG PO TABS,14.11,14.11,,,0
CDM,81000000,METOPROLOL TARTRATE 5 MG/5ML IV SOLN,68.75,68.75,,,0
CDM,81000000,METOPROLOL TARTRATE 50 MG PO TABS,11.100000000000001,11.100000000000001,,,0
CDM,81000000,METRONIDAZOLE 0.75 % EX CREA,375.0,375.0,,,0
CDM,81000000,METRONIDAZOLE 250 MG PO TABS,10.7,10.7,,,0
CDM,81000000,METRONIDAZOLE 500 MG PO TABS,15.0,15.0,,,0
CDM,81000000,METRONIDAZOLE 50MG/ML ORAL SUSP *COMPOUNDED*,22.5,22.5,,,0
CDM,81000000,MEXILETINE HCL 150 MG PO CAPS,14.48,14.48,,,0
CDM,81000000,MEXILETINE HCL 200 MG PO CAPS,16.65,16.65,,,0
CDM,81000000,MICONAZOLE NITRATE 100 MG VA SUPP,1.0,1.0,,,0
CDM,81000000,MICONAZOLE NITRATE 2 % EX CREA,2.0,2.0,,,0
CDM,81000000,MICONAZOLE NITRATE 2 % EX POWD,2.0,2.0,,,0
CDM,81000000,MICONAZOLE NITRATE 2 % VA CREA,2.0,2.0,,,0
CDM,81000000,MICROFIBRILLAR COLL HEMOSTAT EX PADS,1160.0,1160.0,,,0
CDM,81000000,MICROFIBRILLAR COLL HEMOSTAT EX POWD,1160.0,1160.0,,,0
CDM,81000000,MIDAZOLAM HCL 2 MG/ML PO SYRP,37.89,37.89,,,0
CDM,81000000,MIDODRINE HCL 10 MG PO TABS,14.07,14.07,,,0
CDM,81000000,MIDODRINE HCL 2.5 MG PO TABS,10.22,10.22,,,0
CDM,81000000,MIDODRINE HCL 5 MG PO TABS,9.245000000000001,9.245000000000001,,,0
CDM,81000000,MIDOSTAURIN 25 MG PO CAPS,800.0,800.0,,,0
CDM,81000000,MINERAL OIL LIGHT OIL,1.83,1.83,,,0
CDM,81000000,MINERAL OIL PO OIL,14.79,14.79,,,0
CDM,81000000,MINERAL OIL PR ENEM,1.89,1.89,,,0
CDM,81000000,MINOCYCLINE HCL 100 MG PO CAPS,14.67,14.67,,,0
CDM,81000000,MINOXIDIL 10 MG PO TABS,15.0,15.0,,,0
CDM,81000000,MINOXIDIL 2.5 MG PO TABS,11.004999999999999,11.004999999999999,,,0
CDM,81000000,MIRABEGRON ER 25 MG PO TB24,53.63,53.63,,,0
CDM,81000000,MIRTAZAPINE 15 MG PO TABS,13.43,13.43,,,0
CDM,81000000,MIRTAZAPINE 15 MG PO TBDP,14.86,14.86,,,0
CDM,81000000,MIRTAZAPINE 30 MG PO TABS,15.0,15.0,,,0
CDM,81000000,MIRTAZAPINE 30 MG PO TBDP,10.19,10.19,,,0
CDM,81000000,MODAFINIL 100 MG PO TABS,46.47,46.47,,,0
CDM,81000000,MONSELS FERRIC SUBSULFATE EX SOLN,2.0,2.0,,,0
CDM,81000000,MONTELUKAST SODIUM 10 MG PO TABS,30.28,30.28,,,0
CDM,81000000,MONTELUKAST SODIUM 5 MG PO CHEW,22.58,22.58,,,0
CDM,81000000,MORPHINE 2MG/ML ORAL LIQD (PEDIATRIC) SH,40.0,40.0,,,0
CDM,81000000,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN,40.0,40.0,,,0
CDM,81000000,MORPHINE SULFATE 10 MG/5ML PO SOLN,28.36,28.36,,,0
CDM,81000000,MORPHINE SULFATE ER 100 MG PO TBCR,49.63,49.63,,,0
CDM,81000000,MORPHINE SULFATE ER 15 MG PO TBCR,30.87,30.87,,,0
CDM,81000000,MORPHINE SULFATE ER 30 MG PO TBCR,28.93,28.93,,,0
CDM,81000000,MORPHINE SULFATE ER 60 MG PO TBCR,39.48,39.48,,,0
CDM,81000000,MOUTH KOTE MT SOLN,2.0,2.0,,,0
CDM,81000000,MOXIFLOXACIN HCL 0.5 % OP SOLN,448.135,448.135,,,0
CDM,81000000,MOXIFLOXACIN HCL 400 MG PO TABS,100.0,100.0,,,0
CDM,81000000,MULTIPLE VITAMINS-MINERALS PO LIQD,18.98,18.98,,,0
CDM,81000000,MULTIVITAMIN & MINERAL PO LIQD,2.0,2.0,,,0
CDM,81000000,MULTIVITAMINS PO TABS SH,2.0,2.0,,,0
CDM,81000000,MULTIVITAMINS+MINERALS PO TABS SH,6.89,6.89,,,0
CDM,81000000,MUPIROCIN 2 % EX OINT,65.0,65.0,,,0
CDM,81000000,MUSCLE RUB 10-15 % EX CREA,2.0,2.0,,,0
CDM,81000000,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,10.72,10.72,,,0
CDM,81000000,NA CHONDROIT SULF-NA HYALURON 20-15 MG/0.5ML IO SOSY,1049.94,1049.94,,,0
CDM,81000000,NACL 0.9% FLUSH IJ SOLN RADIOLOGY SH,6.069999999999999,6.069999999999999,,,0
CDM,81000000,NACL 0.9% FLUSH IV SOLN CONSOLIDATED,11.83,11.83,,,0
CDM,81000000,NACL 0.9% IV SOLN FOR LINE FLUSH OR PRIME TKO,42.66,42.66,,,0
CDM,81000000,NADOLOL 20 MG PO TABS,26.305,26.305,,,0
CDM,81000000,NADOLOL 40 MG PO TABS,21.81,21.81,,,0
CDM,81000000,NAFCILLIN 2 GM/100ML NS (MINIBAG),91.02000000000001,91.02000000000001,,,0
CDM,81000000,NAFCILLIN 40MG/ML IV SYRINGE (PEDIATRIC),75.0,75.0,,,0
CDM,81000000,NAFCILLIN SODIUM 1 G IJ SOLR,75.0,75.0,,,0
CDM,81000000,NALOXEGOL OXALATE 12.5 MG PO TABS,62.88,62.88,,,0
CDM,81000000,NALOXEGOL OXALATE 25 MG PO TABS,63.33,63.33,,,0
CDM,81000000,NALTREXONE HCL 50 MG PO TABS,15.05,15.05,,,0
CDM,81000000,NAPROXEN 125 MG/5ML PO SUSP,2.0,2.0,,,0
CDM,81000000,NAPROXEN 250 MG PO TABS,2.0,2.0,,,0
CDM,81000000,NAPROXEN 375 MG PO TABS,1.67,1.67,,,0
CDM,81000000,NAPROXEN 500 MG PO TABS,2.0,2.0,,,0
CDM,81000000,NEBIVOLOL HCL 5 MG PO TABS,18.48,18.48,,,0
CDM,81000000,NEOMYCIN SULFATE 500 MG PO TABS,8.18,8.18,,,0
CDM,81000000,NEOMYCIN-POLYMYXIN B GU IR SOLN,95.59,95.59,,,0
CDM,81000000,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP OINT,99.3,99.3,,,0
CDM,81000000,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP SUSP,220.0,220.0,,,0
CDM,81000000,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP,402.72,402.72,,,0
CDM,81000000,NEPHRO-VITE RX 1 MG PO TABS,2.01,2.01,,,0
CDM,81000000,NETARSUDIL DIMESYLATE 0.02 % OP SOLN,50.61,50.61,,,0
CDM,81000000,NEVIRAPINE 200 MG PO TABS,48.870000000000005,48.870000000000005,,,0
CDM,81000000,NEVIRAPINE 50 MG/5ML PO SUSP,30.0,30.0,,,0
CDM,81000000,NEVIRAPINE ER 400 MG PO TB24,94.19,94.19,,,0
CDM,81000000,NIACIN 500 MG PO TABS,2.0,2.0,,,0
CDM,81000000,NIACIN ER (ANTIHYPERLIPIDEMIC) 500 MG PO TBCR,1.0,1.0,,,0
CDM,81000000,NIACINAMIDE 500 MG PO TABS,2.0,2.0,,,0
CDM,81000000,NICARDIPINE 100MCG/ML IN NS (CUSTOM) NARRATOR,677.56,677.56,,,0
CDM,81000000,NICARDIPINE HCL IN NACL 40-0.83 MG/200ML-% IV SOLN,1220.0,1220.0,,,0
CDM,81000000,NICOTINE 14 MG/24HR TD PT24,2.0,2.0,,,0
CDM,81000000,NICOTINE 21 MG/24HR TD PT24,2.035,2.035,,,0
CDM,81000000,NICOTINE 7 MG/24HR TD PT24,1.33,1.33,,,0
CDM,81000000,NICOTINE POLACRILEX 2 MG MT GUM,1.8900000000000001,1.8900000000000001,,,0
CDM,81000000,NIFEDIPINE 10 MG PO CAPS,14.91,14.91,,,0
CDM,81000000,NIFEDIPINE 20 MG PO CAPS,14.625,14.625,,,0
CDM,81000000,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24,11.559999999999999,11.559999999999999,,,0
CDM,81000000,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24,15.0,15.0,,,0
CDM,81000000,NIFEDIPINE ER OSMOTIC RELEASE 90 MG PO TB24,15.0,15.0,,,0
CDM,81000000,NIMODIPINE 30 MG PO CAPS,57.7,57.7,,,0
CDM,81000000,NIMODIPINE 6 MG/ML PO SOLN,352.83,352.83,,,0
CDM,81000000,NIRMATRELVIR & RITONAVIR (EGFR 30-59 ML/MIN) 10 X 150 MG & 10 X 100MG PO TBPK,15.0,15.0,,,0
CDM,81000000,NIRMATRELVIR & RITONAVIR (EGFR 60ML/MIN AND GREATER) 20 X 150 MG & 10 X 100MG PO TBPK,512.69,512.69,,,0
CDM,81000000,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS,24.3,24.3,,,0
CDM,81000000,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS,15.6,15.6,,,0
CDM,81000000,NITROGLYCERIN 0.1 MG/HR TD PT24,15.0,15.0,,,0
CDM,81000000,NITROGLYCERIN 0.4 % PR OINT,2191.23,2191.23,,,0
CDM,81000000,NITROGLYCERIN 0.4 MG SL SUBL,128.38,128.38,,,0
CDM,81000000,NITROGLYCERIN 0.4 MG/HR TD PT24,15.0,15.0,,,0
CDM,81000000,NITROGLYCERIN 0.4 MG/SPRAY TL SOLN,996.4449999999999,996.4449999999999,,,0
CDM,81000000,NITROGLYCERIN 100MCG/ML INJ,75.0,75.0,,,0
CDM,81000000,NITROGLYCERIN 2 % TD OINT,14.76,14.76,,,0
CDM,81000000,NITROGLYCERIN 400 MCG/SPRAY TL AERS,1200.0,1200.0,,,0
CDM,81000000,NITROPRUSSIDE 100MCG/ML IN D5W (CUSTOM) NARRATOR,75.0,75.0,,,0
CDM,81000000,NITROPRUSSIDE SODIUM-NACL 50-0.9 MG/100ML-% IV SOLN,429.0,429.0,,,0
CDM,81000000,NORTRIPTYLINE HCL 10 MG PO CAPS,12.68,12.68,,,0
CDM,81000000,NORTRIPTYLINE HCL 25 MG PO CAPS,12.17,12.17,,,0
CDM,81000000,NORTRIPTYLINE HCL 50 MG PO CAPS,12.89,12.89,,,0
CDM,81000000,NORTRIPTYLINE HCL 75 MG PO CAPS,23.2,23.2,,,0
CDM,81000000,NXSTAGE PUREFLOW RFP 400 DIALYSATE SOLUTION,150.34,150.34,,,0
CDM,81000000,NXSTAGE PUREFLOW RFP 401 DIALYSATE SOLUTION,150.47,150.47,,,0
CDM,81000000,NXSTAGE PUREFLOW RFP 402 DIALYSATE SOLUTION,150.21,150.21,,,0
CDM,81000000,NXSTAGE PUREFLOW RFP 404 DIALYSATE SOLUTION,157.38,157.38,,,0
CDM,81000000,NXSTAGE PUREFLOW RFP 456 DIALYSATE SOLUTION,150.5,150.5,,,0
CDM,81000000,NYSTATIN 100000 UNIT/GM EX CREA,109.39,109.39,,,0
CDM,81000000,NYSTATIN 100000 UNIT/GM EX OINT,85.765,85.765,,,0
CDM,81000000,NYSTATIN 100000 UNIT/GM EX POWD,126.86500000000001,126.86500000000001,,,0
CDM,81000000,NYSTATIN 100000 UNIT/ML MT SUSP,29.75,29.75,,,0
CDM,81000000,OFLOXACIN 0.3 % OP SOLN,104.7,104.7,,,0
CDM,81000000,OFLOXACIN 0.3 % OT SOLN,629.36,629.36,,,0
CDM,81000000,OLANZAPINE 10 MG PO TABS,85.095,85.095,,,0
CDM,81000000,OLANZAPINE 10 MG PO TBDP,58.39,58.39,,,0
CDM,81000000,OLANZAPINE 2.5 MG PO TABS,55.035,55.035,,,0
CDM,81000000,OLANZAPINE 5 MG PO TABS,53.765,53.765,,,0
CDM,81000000,OLANZAPINE 5 MG PO TBDP,51.93,51.93,,,0
CDM,81000000,OLANZAPINE 7.5 MG PO TABS,56.14,56.14,,,0
CDM,81000000,OLOPATADINE HCL 0.1 % OP SOLN,75.265,75.265,,,0
CDM,81000000,OLOPATADINE HCL 0.2 % OP SOLN,83.95,83.95,,,0
CDM,81000000,OMEGA-3-ACID ETHYL ESTERS 1 G PO CAPS,1.35,1.35,,,0
CDM,81000000,OMEPRAZOLE 20 MG PO CPDR,1.755,1.755,,,0
CDM,81000000,OMEPRAZOLE-SODIUM BICARBONATE 20-1680 MG PO PACK,396.82,396.82,,,0
CDM,81000000,ONDANSETRON 4 MG PO TBDP,78.655,78.655,,,0
CDM,81000000,ONDANSETRON 8 MG PO TBDP,111.4,111.4,,,0
CDM,81000000,OPIUM 10MG/ML (1%) PO TINC SH,40.0,40.0,,,0
CDM,81000000,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS,61.8,61.8,,,0
CDM,81000000,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR,93.46000000000001,93.46000000000001,,,0
CDM,81000000,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS,72.9,72.9,,,0
CDM,81000000,OXAZEPAM 15 MG PO CAPS,40.0,40.0,,,0
CDM,81000000,OXCARBAZEPINE 150 MG PO TABS,10.719999999999999,10.719999999999999,,,0
CDM,81000000,OXCARBAZEPINE 300 MG PO TABS,14.96,14.96,,,0
CDM,81000000,OXCARBAZEPINE 300 MG/5ML PO SUSP,114.33,114.33,,,0
CDM,81000000,OXIDIZED CELLULOSE 2X14 IN EX FAB SHEER,253.26,253.26,,,0
CDM,81000000,OXIDIZED CELLULOSE 2X3 IN EX FAB SHEER,92.44,92.44,,,0
CDM,81000000,OXIDIZED CELLULOSE 2X4 IN EX FAB FIBROUS,237.28,237.28,,,0
CDM,81000000,OXIDIZED CELLULOSE 4X8 IN EX FAB SHEER,126.63,126.63,,,0
CDM,81000000,OXIDIZED CELLULOSE 6X9 IN EX FAB KNITTED,180.94,180.94,,,0
CDM,81000000,OXIDIZED CELLULOSE ADHESION BARRIER PADS,329.48,329.48,,,0
CDM,81000000,OXYBUTYNIN CHLORIDE 5 MG PO TABS,14.23,14.23,,,0
CDM,81000000,OXYBUTYNIN CHLORIDE 5 MG/5ML PO SOLN,30.0,30.0,,,0
CDM,81000000,OXYCODONE HCL 100 MG/5ML PO CONC,20.4,20.4,,,0
CDM,81000000,OXYCODONE HCL 30 MG PO TABS,37.235,37.235,,,0
CDM,81000000,OXYCODONE HCL 5 MG PO TABS,26.12,26.12,,,0
CDM,81000000,OXYCODONE HCL 5 MG/5ML PO SOLN,35.795,35.795,,,0
CDM,81000000,OXYCODONE HCL ER 10 MG PO T12A,36.11,36.11,,,0
CDM,81000000,OXYCODONE HCL ER 20 MG PO T12A,60.129999999999995,60.129999999999995,,,0
CDM,81000000,OXYCODONE HCL ER 40 MG PO T12A,78.525,78.525,,,0
CDM,81000000,OXYCODONE HCL ER 80 MG PO T12A,109.73,109.73,,,0
CDM,81000000,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS,39.69,39.69,,,0
CDM,81000000,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS,38.17,38.17,,,0
CDM,81000000,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
CDM,81000000,OYSTER CALCIUM CARB 1250 MG / 500 MG ELEMENTAL PO TABS SH,1.52,1.52,,,0
CDM,81000000,OYSTER SHELL CALCIUM/VITAMIN D 250-3.125 MG-MCG PO TABS,1.3,1.3,,,0
CDM,81000000,PALIPERIDONE ER 6 MG PO TB24,58.68,58.68,,,0
CDM,81000000,PANCRELIPASE (LIP-PROT-AMYL) 10000-32000 UNITS PO CPEP,24.51,24.51,,,0
CDM,81000000,PANCRELIPASE (LIP-PROT-AMYL) 10440-39150 UNITS PO TABS,24.229999999999997,24.229999999999997,,,0
CDM,81000000,PANCRELIPASE (LIP-PROT-AMYL) 12000-38000 UNITS PO CPEP,21.39,21.39,,,0
CDM,81000000,PANCRELIPASE (LIP-PROT-AMYL) 15000-47000 UNITS PO CPEP,30.295,30.295,,,0
CDM,81000000,PANCRELIPASE (LIP-PROT-AMYL) 20000-63000 UNITS PO CPEP,34.495000000000005,34.495000000000005,,,0
CDM,81000000,PANCRELIPASE (LIP-PROT-AMYL) 24000-76000 UNITS PO CPEP,39.265,39.265,,,0
CDM,81000000,PANCRELIPASE (LIP-PROT-AMYL) 3000-9500 UNITS PO CPEP,11.58,11.58,,,0
CDM,81000000,PANCRELIPASE (LIP-PROT-AMYL) 5000-24000 UNITS PO CPEP,14.19,14.19,,,0
CDM,81000000,PANCRELIPASE (LIP-PROT-AMYL) 6000-19000 UNITS PO CPEP,14.05,14.05,,,0
CDM,81000000,PANTOPRAZOLE SODIUM 20 MG PO TBEC,21.92,21.92,,,0
CDM,81000000,PANTOPRAZOLE SODIUM 40 MG PO TBEC,22.15,22.15,,,0
CDM,81000000,PAROXETINE HCL 10 MG PO TABS,12.95,12.95,,,0
CDM,81000000,PAROXETINE HCL 10 MG/5ML PO SUSP,31.485,31.485,,,0
CDM,81000000,PAROXETINE HCL 20 MG PO TABS,14.3,14.3,,,0
CDM,81000000,PB-HYOSCY-ATROPINE-SCOPOLAMINE 16.2 MG/5ML PO ELIX,111.19999999999999,111.19999999999999,,,0
CDM,81000000,PEG 3350-KCL-NA BICARB-NACL 420 G PO SOLR,216.0,216.0,,,0
CDM,81000000,PEG 3350-KCL-NABCB-NACL-NASULF 236 G PO SOLR,68.55,68.55,,,0
CDM,81000000,PEG-KCL-NACL-NASULF-NA ASC-C 100 G PO SOLR,316.03,316.03,,,0
CDM,81000000,PENICILLIN V POTASSIUM 250 MG PO TABS,15.0,15.0,,,0
CDM,81000000,PENICILLIN V POTASSIUM 250 MG/5ML PO SOLR,30.0,30.0,,,0
CDM,81000000,PENICILLIN V POTASSIUM 500 MG PO TABS,14.865,14.865,,,0
CDM,81000000,PENTOXIFYLLINE ER 400 MG PO TBCR,15.0,15.0,,,0
CDM,81000000,PERMETHRIN 1 % EX LIQD,2.0,2.0,,,0
CDM,81000000,PERMETHRIN 5 % EX CREA,2.47,2.47,,,0
CDM,81000000,PHENAZOPYRIDINE HCL 100 MG PO TABS,1.54,1.54,,,0
CDM,81000000,PHENAZOPYRIDINE HCL 200 MG PO TABS,2.0,2.0,,,0
CDM,81000000,PHENOBARBITAL 16.2 MG PO TABS,40.0,40.0,,,0
CDM,81000000,PHENOBARBITAL 20 MG/5ML PO ELIX,40.0,40.0,,,0
CDM,81000000,PHENOBARBITAL 20MG/5ML ORAL LIQD (PEDIATRIC) SH,40.0,40.0,,,0
CDM,81000000,PHENOBARBITAL 32.4 MG PO TABS,40.0,40.0,,,0
CDM,81000000,PHENOBARBITAL 64.8 MG PO TABS,26.67,26.67,,,0
CDM,81000000,PHENOL 1.4 % MT LIQD,2.0,2.0,,,0
CDM,81000000,PHENYLEPHRINE HCL 10 % OP SOLN,148.70499999999998,148.70499999999998,,,0
CDM,81000000,PHENYLEPHRINE HCL 2.5 % OP SOLN,191.635,191.635,,,0
CDM,81000000,PHENYLEPHRINE-COCOA BUTTER 0.25-88.44 % PR SUPP,2.0,2.0,,,0
CDM,81000000,PHENYTOIN 50 MG PO CHEW,12.65,12.65,,,0
CDM,81000000,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS,9.275,9.275,,,0
CDM,81000000,PHYTONADIONE 5 MG PO TABS,1.29,1.29,,,0
CDM,81000000,PILOCARPINE HCL 1 % OP SOLN,384.63,384.63,,,0
CDM,81000000,PILOCARPINE HCL 2 % OP SOLN,391.32,391.32,,,0
CDM,81000000,PILOCARPINE HCL 5 MG PO TABS,15.75,15.75,,,0
CDM,81000000,PIOGLITAZONE HCL 15 MG PO TABS,38.54,38.54,,,0
CDM,81000000,PIOGLITAZONE HCL 30 MG PO TABS,55.0,55.0,,,0
CDM,81000000,POLY-VI-SOL PO SOLN,2.0,2.0,,,0
CDM,81000000,POLY-VI-SOL/IRON 11 MG/ML PO SOLN,2.0,2.0,,,0
CDM,81000000,POLYETHYLENE GLYCOL 3350 17 G PO PACK,1.915,1.915,,,0
CDM,81000000,POLYETHYLENE GLYCOL 400 0.25 % OP SOLN,2.0,2.0,,,0
CDM,81000000,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN,77.15,77.15,,,0
CDM,81000000,POLYSPORIN 500-10000 UNIT/GM EX OINT,2.0,2.0,,,0
CDM,81000000,POLYVINYL ALCOHOL 1.4 % OP SOLN,2.03,2.03,,,0
CDM,81000000,PORACTANT ALFA 120 MG/1.5ML TR SUSP,1266.53,1266.53,,,0
CDM,81000000,PORACTANT ALFA 240 MG/3ML TR SUSP,2834.42,2834.42,,,0
CDM,81000000,POSACONAZOLE 100 MG PO TBEC,195.91000000000003,195.91000000000003,,,0
CDM,81000000,POSACONAZOLE 40 MG/ML PO SUSP,375.0,375.0,,,0
CDM,81000000,POTASSIUM & SODIUM PHOSPHATES 280-160-250 MG PO PACK,1.71,1.71,,,0
CDM,81000000,POTASSIUM ACETATE 2 MEQ/ML IV SOLN,75.0,75.0,,,0
CDM,81000000,POTASSIUM BICARB-CITRIC ACID 10 MEQ PO TBEF,12.975,12.975,,,0
CDM,81000000,POTASSIUM BICARB-CITRIC ACID 20 MEQ PO TBEF,9.04,9.04,,,0
CDM,81000000,POTASSIUM CHLORIDE 1MEQ/ML ORAL SOLN (PEDIATRIC) SH,1.0,1.0,,,0
CDM,81000000,POTASSIUM CHLORIDE 20 MEQ/15ML (10%) PO SOLN,1.0,1.0,,,0
CDM,81000000,POTASSIUM CHLORIDE CR 10 MEQ PO TBCR SH,7.5,7.5,,,0
CDM,81000000,POTASSIUM CHLORIDE CR 20 MEQ PO TBCR SH,9.855,9.855,,,0
CDM,81000000,POTASSIUM IODIDE (EXPECTORANT) 1 GM/ML PO SOLN,1204.92,1204.92,,,0
CDM,81000000,POTASSIUM PHOSPHATES(66 MEQ K) 45 MMOLE/15ML IV SOLN,145.14,145.14,,,0
CDM,81000000,POVIDONE-IODINE 10 % EX SOLN,3.5,3.5,,,0
CDM,81000000,POVIDONE-IODINE 5 % OP SOLN,98.435,98.435,,,0
CDM,81000000,POVIDONE-IODINE 7.5 % EX SOLN,2.0,2.0,,,0
CDM,81000000,PRAMIPEXOLE DIHYDROCHLORIDE 0.125 MG PO TABS,32.36,32.36,,,0
CDM,81000000,PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS,12.935,12.935,,,0
CDM,81000000,PRAMIPEXOLE DIHYDROCHLORIDE 0.5 MG PO TABS,16.425,16.425,,,0
CDM,81000000,PRAMIPEXOLE DIHYDROCHLORIDE 1 MG PO TABS,16.689999999999998,16.689999999999998,,,0
CDM,81000000,PRAMOXINE-MENTHOL 1-0.5 % EX LOTN,2.0,2.0,,,0
CDM,81000000,PRASUGREL HCL 10 MG PO TABS,56.95,56.95,,,0
CDM,81000000,PRAVASTATIN SODIUM 10 MG PO TABS,15.91,15.91,,,0
CDM,81000000,PRAVASTATIN SODIUM 20 MG PO TABS,15.795,15.795,,,0
CDM,81000000,PRAVASTATIN SODIUM 40 MG PO TABS,23.825000000000003,23.825000000000003,,,0
CDM,81000000,PRAZOSIN HCL 1 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,PRAZOSIN HCL 2 MG PO CAPS,14.55,14.55,,,0
CDM,81000000,PRAZOSIN HCL 5 MG PO CAPS,19.345,19.345,,,0
CDM,81000000,PREDNISOLONE ACETATE 1 % OP SUSP,269.16499999999996,269.16499999999996,,,0
CDM,81000000,PREGABALIN 100 MG PO CAPS,27.61,27.61,,,0
CDM,81000000,PREGABALIN 20 MG/ML PO SOLN,59.63,59.63,,,0
CDM,81000000,PREGABALIN 25 MG PO CAPS,26.32,26.32,,,0
CDM,81000000,PREGABALIN 50 MG PO CAPS,33.34,33.34,,,0
CDM,81000000,PREGABALIN 75 MG PO CAPS,40.355000000000004,40.355000000000004,,,0
CDM,81000000,PRENATAL VITAMINS+FOLATE PO TABS SH,2.0,2.0,,,0
CDM,81000000,PRIMAQUINE PHOSPHATE 26.3 (15 BASE) MG PO TABS,13.5,13.5,,,0
CDM,81000000,PRIMIDONE 250 MG PO TABS,13.8,13.8,,,0
CDM,81000000,PRIMIDONE 50 MG PO TABS,9.705,9.705,,,0
CDM,81000000,PROBENECID 500 MG PO TABS,15.0,15.0,,,0
CDM,81000000,PROGESTERONE 100 MG PO CAPS,20.315,20.315,,,0
CDM,81000000,PROMETHAZINE-CODEINE 6.25-10 MG/5ML PO SYRP,40.0,40.0,,,0
CDM,81000000,PROPAFENONE HCL 150 MG PO TABS,12.0,12.0,,,0
CDM,81000000,PROPARACAINE HCL 0.5 % OP SOLN,201.985,201.985,,,0
CDM,81000000,PROPRANOLOL HCL 10 MG PO TABS,11.995,11.995,,,0
CDM,81000000,PROPRANOLOL HCL 20 MG PO TABS,12.925,12.925,,,0
CDM,81000000,PROPRANOLOL HCL 20 MG/5ML PO SOLN,30.0,30.0,,,0
CDM,81000000,PROPRANOLOL HCL 40 MG PO TABS,12.165,12.165,,,0
CDM,81000000,PROPRANOLOL HCL 60 MG PO TABS,14.094999999999999,14.094999999999999,,,0
CDM,81000000,PROPYLTHIOURACIL 50 MG PO TABS,14.03,14.03,,,0
CDM,81000000,PRUCALOPRIDE SUCCINATE 1 MG PO TABS,84.91,84.91,,,0
CDM,81000000,PSEUDOEPHEDRINE HCL 30 MG PO TABS,1.5,1.5,,,0
CDM,81000000,PSEUDOEPHEDRINE HCL 60 MG PO TABS,2.0,2.0,,,0
CDM,81000000,PSYLLIUM VARIABLE DOSE POWDER SF SH,1.67,1.67,,,0
CDM,81000000,PSYLLIUM VARIABLE DOSE POWDER SH,2.0,2.0,,,0
CDM,81000000,PYRAZINAMIDE 500 MG PO TABS,24.53,24.53,,,0
CDM,81000000,PYRIDOSTIGMINE BROMIDE 10 MG/2ML IV SOLN,75.0,75.0,,,0
CDM,81000000,PYRIDOSTIGMINE BROMIDE 60 MG PO TABS,55.605,55.605,,,0
CDM,81000000,PYRIDOXINE HCL 100 MG PO TABS,2.0,2.0,,,0
CDM,81000000,PYRIDOXINE HCL 25 MG PO TABS,2.0,2.0,,,0
CDM,81000000,PYRIDOXINE HCL 50 MG PO TABS,2.0,2.0,,,0
CDM,81000000,QUETIAPINE FUMARATE 100 MG PO TABS,19.4,19.4,,,0
CDM,81000000,QUETIAPINE FUMARATE 200 MG PO TABS,47.959999999999994,47.959999999999994,,,0
CDM,81000000,QUETIAPINE FUMARATE 25 MG PO TABS,19.634999999999998,19.634999999999998,,,0
CDM,81000000,QUINIDINE SULFATE 200 MG PO TABS,60.35,60.35,,,0
CDM,81000000,RACEPINEPHRINE HCL 2.25 % IN NEBU,2.0,2.0,,,0
CDM,81000000,RALTEGRAVIR POTASSIUM 400 MG PO TABS,117.55,117.55,,,0
CDM,81000000,RANOLAZINE ER 500 MG PO TB12,22.57,22.57,,,0
CDM,81000000,RASAGILINE MESYLATE 1 MG PO TABS,112.69999999999999,112.69999999999999,,,0
CDM,81000000,REMIFENTANIL HCL 1 MG IV SOLR,284.24,284.24,,,0
CDM,81000000,REMIFENTANIL HCL 2 MG IV SOLR,339.2,339.2,,,0
CDM,81000000,RIFABUTIN 150 MG PO CAPS,57.48,57.48,,,0
CDM,81000000,RIFAMPIN 150 MG PO CAPS,21.01,21.01,,,0
CDM,81000000,RIFAMPIN 300 MG PO CAPS,12.88,12.88,,,0
CDM,81000000,RIFAMPIN 600 MG/10ML IV (WET SOLR VIAL),762.55,762.55,,,0
CDM,81000000,RIFAXIMIN 200 MG PO TABS,55.0,55.0,,,0
CDM,81000000,RIFAXIMIN 550 MG PO TABS,194.33,194.33,,,0
CDM,81000000,RILPIVIRINE HCL 25 MG PO TABS,170.98,170.98,,,0
CDM,81000000,RILUZOLE 50 MG PO TABS,110.82,110.82,,,0
CDM,81000000,RIMEGEPANT SULFATE 75 MG PO TBDP,449.56,449.56,,,0
CDM,81000000,RISPERIDONE 0.25 MG PO TABS,21.41,21.41,,,0
CDM,81000000,RISPERIDONE 0.5 MG PO TABS,18.314999999999998,18.314999999999998,,,0
CDM,81000000,RISPERIDONE 0.5 MG PO TBDP,27.04,27.04,,,0
CDM,81000000,RISPERIDONE 1 MG PO TABS,18.509999999999998,18.509999999999998,,,0
CDM,81000000,RISPERIDONE 1 MG PO TBDP,31.59,31.59,,,0
CDM,81000000,RISPERIDONE 2 MG PO TABS,37.44,37.44,,,0
CDM,81000000,RISPERIDONE 2 MG PO TBDP,49.254999999999995,49.254999999999995,,,0
CDM,81000000,RISPERIDONE 3 MG PO TABS,50.335,50.335,,,0
CDM,81000000,RISPERIDONE 4 MG PO TABS,44.38,44.38,,,0
CDM,81000000,RITONAVIR 100 MG PO TABS,52.96,52.96,,,0
CDM,81000000,RIVAROXABAN 10 MG PO TABS,54.81,54.81,,,0
CDM,81000000,RIVAROXABAN 15 MG PO TABS,89.42,89.42,,,0
CDM,81000000,RIVAROXABAN 2.5 MG PO TABS,55.0,55.0,,,0
CDM,81000000,RIVAROXABAN 20 MG PO TABS,89.39,89.39,,,0
CDM,81000000,ROPINIROLE HCL 0.25 MG PO TABS,14.65,14.65,,,0
CDM,81000000,ROPINIROLE HCL 0.5 MG PO TABS,14.95,14.95,,,0
CDM,81000000,ROPINIROLE HCL 1 MG PO TABS,15.0,15.0,,,0
CDM,81000000,ROPINIROLE HCL 2 MG PO TABS,14.28,14.28,,,0
CDM,81000000,ROSUVASTATIN CALCIUM 10 MG PO TABS,15.0,15.0,,,0
CDM,81000000,ROSUVASTATIN CALCIUM 20 MG PO TABS,35.795,35.795,,,0
CDM,81000000,ROSUVASTATIN CALCIUM 5 MG PO TABS,27.89,27.89,,,0
CDM,81000000,SACCHAROMYCES BOULARDII 250 MG PO CAPS,1.9100000000000001,1.9100000000000001,,,0
CDM,81000000,SACUBITRIL-VALSARTAN 24-26 MG PO TABS,51.855000000000004,51.855000000000004,,,0
CDM,81000000,SACUBITRIL-VALSARTAN 49-51 MG PO TABS,55.03,55.03,,,0
CDM,81000000,SACUBITRIL-VALSARTAN 97-103 MG PO TABS,55.019999999999996,55.019999999999996,,,0
CDM,81000000,SALINE NASAL SPRAY 0.65 % NA SOLN,2.0,2.0,,,0
CDM,81000000,SALMETEROL XINAFOATE 50 MCG/ACT IN AEPB,1524.42,1524.42,,,0
CDM,81000000,SALT AND SODA MOUTHWASH (COMPOUND) SH,13.24,13.24,,,0
CDM,81000000,SCOPOLAMINE 1 MG/3DAYS TD PT72,97.11,97.11,,,0
CDM,81000000,SENNA 176 MG/5ML PO SYRP,2.0,2.0,,,0
CDM,81000000,SENNA 8.6 MG PO TABS,1.37,1.37,,,0
CDM,81000000,SENNOSIDES 8.8 MG/5ML PO SYRP,1.28,1.28,,,0
CDM,81000000,SERTRALINE HCL 100 MG PO TABS,13.9,13.9,,,0
CDM,81000000,SERTRALINE HCL 20 MG/ML PO CONC,44.29,44.29,,,0
CDM,81000000,SERTRALINE HCL 25 MG PO TABS,11.36,11.36,,,0
CDM,81000000,SERTRALINE HCL 50 MG PO TABS,33.095,33.095,,,0
CDM,81000000,SEVELAMER CARBONATE 0.8 G PO PACK,73.14,73.14,,,0
CDM,81000000,SEVELAMER CARBONATE 800 MG PO TABS,32.9,32.9,,,0
CDM,81000000,SILDENAFIL CITRATE 10 MG/ML PO SUSR,1090.145,1090.145,,,0
CDM,81000000,SILVER NITRATE-POT NITRATE 75-25 % EX MISC,0.9,0.9,,,0
CDM,81000000,SILVER SULFADIAZINE 1 % EX CREA,77.5,77.5,,,0
CDM,81000000,SIMETHICONE 40 MG/0.6ML PO SUSP,2.0,2.0,,,0
CDM,81000000,SIMETHICONE 80 MG PO CHEW,1.75,1.75,,,0
CDM,81000000,SIMVASTATIN 10 MG PO TABS,19.41,19.41,,,0
CDM,81000000,SIMVASTATIN 20 MG PO TABS,18.45,18.45,,,0
CDM,81000000,SIMVASTATIN 40 MG PO TABS,15.0,15.0,,,0
CDM,81000000,SIMVASTATIN 5 MG PO TABS,15.0,15.0,,,0
CDM,81000000,SITAGLIPTIN PHOSPHATE 25 MG PO TABS,91.68,91.68,,,0
CDM,81000000,"SKIN ADHESIVE (DERMABOND, EXOFIN) EX LIQD SH",82.52,82.52,,,0
CDM,81000000,SOD BICARB-CITRIC AC-SIMETH 2.21-1.53-0.04 G PO PACK,2.0,2.0,,,0
CDM,81000000,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN,24.79,24.79,,,0
CDM,81000000,SODIUM ACETATE 2 MEQ/ML IV SOLN,82.06,82.06,,,0
CDM,81000000,SODIUM BICARBONATE 4.2 % IV SOLN,57.72,57.72,,,0
CDM,81000000,SODIUM BICARBONATE 650 MG PO TABS,1.46,1.46,,,0
CDM,81000000,SODIUM BICARBONATE 8.4 % IV SOLN,81.9,81.9,,,0
CDM,81000000,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,70.66,70.66,,,0
CDM,81000000,SODIUM CHLORIDE 0.9% IN NEBU,2.0,2.0,,,0
CDM,81000000,SODIUM CHLORIDE 1 G PO TABS,1.39,1.39,,,0
CDM,81000000,SODIUM CHLORIDE 10 % IN NEBU,2.0,2.0,,,0
CDM,81000000,SODIUM CHLORIDE 3% IN NEBU,1.97,1.97,,,0
CDM,81000000,SODIUM CHLORIDE 4 MEQ/ML ORAL SOLUTION,75.0,75.0,,,0
CDM,81000000,SODIUM HYALURONATE 13.8 MG/0.6ML IO SOSY,723.19,723.19,,,0
CDM,81000000,SODIUM HYALURONATE 5.5 MG/0.55ML IO SOSY,811.71,811.71,,,0
CDM,81000000,SODIUM HYALURONATE 8.5 MG/0.85ML IO SOSY,932.6,932.6,,,0
CDM,81000000,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,145.34,145.34,,,0
CDM,81000000,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN,108.31,108.31,,,0
CDM,81000000,SODIUM POLYSTYRENE SULFONATE PO POWD,79.05,79.05,,,0
CDM,81000000,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,99.96000000000001,99.96000000000001,,,0
CDM,81000000,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PO PACK,100.0,100.0,,,0
CDM,81000000,SOTALOL HCL 120 MG PO TABS,19.05,19.05,,,0
CDM,81000000,SOTALOL HCL 160 MG PO TABS,21.53,21.53,,,0
CDM,81000000,SOTALOL HCL 240 MG PO TABS,15.0,15.0,,,0
CDM,81000000,SOTALOL HCL 80 MG PO TABS,11.57,11.57,,,0
CDM,81000000,SPIRONOLACTONE 100 MG PO TABS,10.02,10.02,,,0
CDM,81000000,SPIRONOLACTONE 12.5MG PO PRE-SPLIT TABS SH,14.71,14.71,,,0
CDM,81000000,SPIRONOLACTONE 25 MG PO TABS,13.47,13.47,,,0
CDM,81000000,SPIRONOLACTONE 25 MG/5ML PO SUSP,211.39,211.39,,,0
CDM,81000000,SPIRONOLACTONE 50 MG PO TABS,12.63,12.63,,,0
CDM,81000000,SPIRONOLACTONE 5MG/ML ORAL SUSP (PEDIATRIC),5.0,5.0,,,0
CDM,81000000,SUCRALFATE 1 G PO TABS,14.735,14.735,,,0
CDM,81000000,SUCRALFATE 1 GM/10ML PO SUSP,64.92,64.92,,,0
CDM,81000000,SUCROSE 24% SUCKING SOLN SH,2.0,2.0,,,0
CDM,81000000,SUGAMMADEX SODIUM 200 MG/2ML IV SOLN,668.475,668.475,,,0
CDM,81000000,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS,14.86,14.86,,,0
CDM,81000000,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS,13.16,13.16,,,0
CDM,81000000,SULFASALAZINE 500 MG PO TABS,10.0,10.0,,,0
CDM,81000000,SUMATRIPTAN SUCCINATE 100 MG PO TABS,100.0,100.0,,,0
CDM,81000000,SUMATRIPTAN SUCCINATE 25 MG PO TABS,100.0,100.0,,,0
CDM,81000000,SUMATRIPTAN SUCCINATE 50 MG PO TABS,100.0,100.0,,,0
CDM,81000000,SURGILUBE EX GEL,2.0,2.0,,,0
CDM,81000000,TACROLIMUS 0.5 MG/ML ORAL LIQ *COMPOUND*,37.8,37.8,,,0
CDM,81000000,TADALAFIL 20 MG PO TABS,216.19,216.19,,,0
CDM,81000000,TALC 4 G PL AERP,378.0,378.0,,,0
CDM,81000000,TAMSULOSIN HCL 0.4 MG PO CAPS,23.18,23.18,,,0
CDM,81000000,TEMAZEPAM 15 MG PO CAPS,24.71,24.71,,,0
CDM,81000000,TEMAZEPAM 7.5 MG PO CAPS,66.835,66.835,,,0
CDM,81000000,TENOFOVIR ALAFENAMIDE FUMARATE 25 MG PO TABS,171.48,171.48,,,0
CDM,81000000,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS,115.215,115.215,,,0
CDM,81000000,TERAZOSIN HCL 1 MG PO CAPS,10.89,10.89,,,0
CDM,81000000,TERAZOSIN HCL 2 MG PO CAPS,14.059999999999999,14.059999999999999,,,0
CDM,81000000,TERAZOSIN HCL 5 MG PO CAPS,10.155000000000001,10.155000000000001,,,0
CDM,81000000,TERBINAFINE HCL 250 MG PO TABS,35.0,35.0,,,0
CDM,81000000,TERBUTALINE SULFATE 5 MG PO TABS,36.24,36.24,,,0
CDM,81000000,TETRACAINE HCL 0.5 % OP SOLN,73.34,73.34,,,0
CDM,81000000,TETRACYCLINE HCL 250 MG PO CAPS,31.5,31.5,,,0
CDM,81000000,TETRAHYDROZOLINE HCL 0.05 % OP SOLN,2.0,2.0,,,0
CDM,81000000,THEOPHYLLINE ER 100 MG PO CP24,18.33,18.33,,,0
CDM,81000000,THIAMINE HCL/MONONITRATE 100 MG PO TABS - CONSOLIDATED,1.97,1.97,,,0
CDM,81000000,THIOGUANINE 40 MG PO TABS,239.88,239.88,,,0
CDM,81000000,THROMBIN (RECOMBINANT) 20000 UNITS EX SOLR,1238.4,1238.4,,,0
CDM,81000000,THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR,412.695,412.695,,,0
CDM,81000000,THROMBIN 5000 UNITS EX KIT,404.16,404.16,,,0
CDM,81000000,THROMBIN 5000 UNITS EX SOLR,375.0,375.0,,,0
CDM,81000000,THYROID 120 MG PO TABS,15.0,15.0,,,0
CDM,81000000,THYROID 15 MG PO TABS,15.0,15.0,,,0
CDM,81000000,THYROID 30 MG PO TABS,9.65,9.65,,,0
CDM,81000000,THYROID 60 MG PO TABS,13.41,13.41,,,0
CDM,81000000,TICAGRELOR 90 MG PO TABS,48.17,48.17,,,0
CDM,81000000,TIMOLOL MALEATE 0.25 % OP SOLN,30.0,30.0,,,0
CDM,81000000,TIMOLOL MALEATE 0.5 % OP SOLN,81.65,81.65,,,0
CDM,81000000,TIOTROPIUM BROMIDE MONOHYDRATE 2.5 MCG/ACT IN AERS,890.72,890.72,,,0
CDM,81000000,TIZANIDINE HCL 2 MG PO TABS,14.78,14.78,,,0
CDM,81000000,TIZANIDINE HCL 4 MG PO TABS,15.0,15.0,,,0
CDM,81000000,TOBRAMYCIN 0.3 % OP OINT,857.035,857.035,,,0
CDM,81000000,TOBRAMYCIN 0.3 % OP SOLN,265.27500000000003,265.27500000000003,,,0
CDM,81000000,TOBRAMYCIN 9.1MG/ML OPHTHALMIC SOLN *COMPOUNDED* SH,102.0,102.0,,,0
CDM,81000000,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP OINT,1136.395,1136.395,,,0
CDM,81000000,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP,365.27,365.27,,,0
CDM,81000000,TOLVAPTAN 15 MG PO TABS,1461.78,1461.78,,,0
CDM,81000000,TOLVAPTAN 30 MG PO TABS,1500.0,1500.0,,,0
CDM,81000000,TOPIRAMATE 100 MG PO TABS,32.55,32.55,,,0
CDM,81000000,TOPIRAMATE 25 MG PO TABS,14.059999999999999,14.059999999999999,,,0
CDM,81000000,TOPIRAMATE 50 MG PO TABS,25.0,25.0,,,0
CDM,81000000,TORSEMIDE 100 MG PO TABS,15.92,15.92,,,0
CDM,81000000,TORSEMIDE 20 MG PO TABS,6.96,6.96,,,0
CDM,81000000,TRAMADOL HCL 50 MG PO TABS,38.78,38.78,,,0
CDM,81000000,TRANEXAMIC ACID 1000MG/10ML TOPICAL SOLN SH,75.0,75.0,,,0
CDM,81000000,TRANEXAMIC ACID 100MG/ML SOLN FOR HEMOPTYSIS SH (PEDIATRIC)(NEBULIZATION USE),80.34,80.34,,,0
CDM,81000000,TRANEXAMIC ACID 650 MG PO TABS,27.875,27.875,,,0
CDM,81000000,TRAZODONE HCL 100 MG PO TABS,11.915,11.915,,,0
CDM,81000000,TRAZODONE HCL 150 MG PO TABS,9.0,9.0,,,0
CDM,81000000,TRAZODONE HCL 50 MG PO TABS,12.35,12.35,,,0
CDM,81000000,TRETINOIN 10 MG PO CAPS,151.67,151.67,,,0
CDM,81000000,TRIAMCINOLONE ACETONIDE 0.025 % EX OINT,39.78,39.78,,,0
CDM,81000000,TRIAMCINOLONE ACETONIDE 0.1 % EX CREA,58.24,58.24,,,0
CDM,81000000,TRIAMCINOLONE ACETONIDE 0.1 % EX LOTN,375.0,375.0,,,0
CDM,81000000,TRIAMCINOLONE ACETONIDE 0.1 % EX OINT,50.635000000000005,50.635000000000005,,,0
CDM,81000000,TRIAMCINOLONE ACETONIDE 0.1 % MT PSTE,232.27,232.27,,,0
CDM,81000000,TRIAMCINOLONE ACETONIDE 0.5 % EX CREA,65.0,65.0,,,0
CDM,81000000,TRIAMCINOLONE ACETONIDE 0.5 % EX OINT,65.0,65.0,,,0
CDM,81000000,TRIAMTERENE 50 MG PO CAPS,47.7,47.7,,,0
CDM,81000000,TRIAMTERENE-HCTZ 37.5-25 MG PO CAPS,15.0,15.0,,,0
CDM,81000000,TRIHEXYPHENIDYL HCL 2 MG PO TABS,5.0,5.0,,,0
CDM,81000000,TRIPLE ANTIBIOTIC EX OINT,2.0,2.0,,,0
CDM,81000000,TROPICAMIDE 0.5 % OP SOLN,125.03,125.03,,,0
CDM,81000000,TROPICAMIDE 1 % OP SOLN,164.73,164.73,,,0
CDM,81000000,ULTRABAG/DIANEAL/1.5% DEXTROSE 344 MOSM/L IP SOLN,434.90999999999997,434.90999999999997,,,0
CDM,81000000,ULTRABAG/DIANEAL/2.5% DEXTROSE 395 MOSM/L IP SOLN,329.64,329.64,,,0
CDM,81000000,ULTRABAG/DIANEAL/4.25% DEX 483 MOSM/L IP SOLN,468.0,468.0,,,0
CDM,81000000,UREA 15 G PO PACK,23.76,23.76,,,0
CDM,81000000,URSODIOL (ACTIGALL) 25 MG/ML ORAL SUSPENSION,3.17,3.17,,,0
CDM,81000000,URSODIOL 300 MG PO CAPS,38.82,38.82,,,0
CDM,81000000,VALACYCLOVIR HCL 500 MG PO TABS,25.990000000000002,25.990000000000002,,,0
CDM,81000000,VALGANCICLOVIR HCL 450 MG PO TABS,318.25,318.25,,,0
CDM,81000000,VALGANCICLOVIR HCL 50 MG/ML PO SOLR,347.01,347.01,,,0
CDM,81000000,VALPROATE SODIUM 250 MG/5ML PO SOLN,13.715,13.715,,,0
CDM,81000000,VALSARTAN 160 MG PO TABS,33.045,33.045,,,0
CDM,81000000,VALSARTAN 40 MG PO TABS,19.39,19.39,,,0
CDM,81000000,VALSARTAN 80 MG PO TABS,34.12,34.12,,,0
CDM,81000000,VANCOMYCIN 50MG/ML PO SOLN *COMPOUNDED*,15.0,15.0,,,0
CDM,81000000,VANCOMYCIN HCL 125 MG PO CAPS,99.94,99.94,,,0
CDM,81000000,VANCOMYCIN HCL 250 MG PO CAPS,173.15,173.15,,,0
CDM,81000000,VANCOMYCIN HCL 50 MG/ML PO SOLR,31.79,31.79,,,0
CDM,81000000,VECURONIUM 1MG/ML SW INJ (PEDIATRIC) SH,75.0,75.0,,,0
CDM,81000000,VECURONIUM BROMIDE 10 MG IV SOLR,70.44,70.44,,,0
CDM,81000000,VECURONIUM BROMIDE 20 MG IV SOLR,94.5,94.5,,,0
CDM,81000000,VENETOCLAX 10 MG PO TABS,99.225,99.225,,,0
CDM,81000000,VENETOCLAX 100 MG PO TABS,501.53,501.53,,,0
CDM,81000000,VENETOCLAX 50 MG PO TABS,460.1,460.1,,,0
CDM,81000000,VENLAFAXINE HCL 25 MG PO TABS,15.0,15.0,,,0
CDM,81000000,VENLAFAXINE HCL 37.5 MG PO TABS,15.0,15.0,,,0
CDM,81000000,VENLAFAXINE HCL 75 MG PO TABS,13.21,13.21,,,0
CDM,81000000,VENLAFAXINE HCL ER 150 MG PO CP24,25.09,25.09,,,0
CDM,81000000,VENLAFAXINE HCL ER 37.5 MG PO CP24,16.715,16.715,,,0
CDM,81000000,VENLAFAXINE HCL ER 75 MG PO CP24,57.5,57.5,,,0
CDM,81000000,VERAPAMIL 100MCG/ML IN NS (CUSTOM) NARRATOR,75.0,75.0,,,0
CDM,81000000,VERAPAMIL HCL 2.5 MG/ML IV SOLN,157.49,157.49,,,0
CDM,81000000,VERAPAMIL HCL 40 MG PO TABS,15.0,15.0,,,0
CDM,81000000,VERAPAMIL HCL 80 MG PO TABS,15.0,15.0,,,0
CDM,81000000,VERAPAMIL HCL ER 120 MG PO TBCR,14.379999999999999,14.379999999999999,,,0
CDM,81000000,VERAPAMIL HCL ER 180 MG PO TBCR,15.0,15.0,,,0
CDM,81000000,VERAPAMIL HCL ER 240 MG PO TBCR,15.0,15.0,,,0
CDM,81000000,VITAMIN A 3 MG (10000 UT) PO CAPS,1.83,1.83,,,0
CDM,81000000,VITAMIN B-1 50 MG PO TABS,1.0,1.0,,,0
CDM,81000000,VITAMIN C 250 MG PO TABS,1.025,1.025,,,0
CDM,81000000,VITAMIN C 500 MG/5ML PO LIQD,1.775,1.775,,,0
CDM,81000000,VITAMIN E (TOCOPHEROL ACETATE) 15 UNITS/0.3ML ORAL SYRINGE (NEONATAL) SH,2.0,2.0,,,0
CDM,81000000,VITAMIN E 100 UNITS PO CAPS,2.0,2.0,,,0
CDM,81000000,VITAMIN E 400 UNITS PO CAPS,1.9849999999999999,1.9849999999999999,,,0
CDM,81000000,VITAMINS A & D EX OINT,2.0,2.0,,,0
CDM,81000000,VORICONAZOLE 200 MG PO TABS,92.99,92.99,,,0
CDM,81000000,VORICONAZOLE 40 MG/ML PO SUSR,453.33,453.33,,,0
CDM,81000000,VORICONAZOLE 50 MG PO TABS,36.54,36.54,,,0
CDM,81000000,WARFARIN SODIUM 0.5MG PO PRE-SPLIT TABS SH,12.41,12.41,,,0
CDM,81000000,WARFARIN SODIUM 1 MG PO TABS,7.54,7.54,,,0
CDM,81000000,WARFARIN SODIUM 2 MG PO TABS,10.99,10.99,,,0
CDM,81000000,WARFARIN SODIUM 2.5 MG PO TABS,14.455,14.455,,,0
CDM,81000000,WARFARIN SODIUM 3 MG PO TABS,15.0,15.0,,,0
CDM,81000000,WARFARIN SODIUM 4 MG PO TABS,12.69,12.69,,,0
CDM,81000000,WARFARIN SODIUM 5 MG PO TABS,13.975,13.975,,,0
CDM,81000000,WARFARIN SODIUM 6 MG PO TABS,13.75,13.75,,,0
CDM,81000000,WATER ORAL PO LIQD,0.74,0.74,,,0
CDM,81000000,ZIDOVUDINE 50 MG/5ML PO SYRP,30.0,30.0,,,0
CDM,81000000,ZINC OXIDE 20 % EX OINT,2.0,2.0,,,0
CDM,81000000,ZINC OXIDE 40 % EX PSTE,2.0,2.0,,,0
CDM,81000000,ZINC SULFATE 220 (50 ZN) MG PO CAPS,2.0,2.0,,,0
CDM,81000000,ZINC SULFATE 44MG/ML ORAL LIQUID *COMPOUND*,29.955,29.955,,,0
CDM,81000000,ZIPRASIDONE HCL 20 MG PO CAPS,49.3,49.3,,,0
CDM,81000000,ZIPRASIDONE HCL 40 MG PO CAPS,18.21,18.21,,,0
CDM,81000000,ZOLPIDEM TARTRATE 5 MG PO TABS,31.529999999999998,31.529999999999998,,,0
CDM,81000000,ZONISAMIDE 100 MG PO CAPS,9.94,9.94,,,0
CDM,81000005,"EPOETIN ALFA 2,000 UNIT/ML INJ SOLN (NEONATAL)",115.34,115.34,,,0
CDM,81000005,EPOETIN ALFA 3000 UNIT/ML IJ SOLN (ESRD),16.25,16.25,,,0
CDM,81000005,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN,8.6,8.6,,,0
CDM,81000005,EPOETIN ALFA-EPBX 2000 UNIT/ML IJ SOLN (ESRD),8.6,8.6,,,0
CDM,81000005,EPOETIN ALFA-EPBX 3000 UNIT/ML IJ SOLN (ESRD),8.6,8.6,,,0
CDM,81000005,EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN (ESRD),8.6,8.6,,,0
CDM,81000006,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN,85.9,85.9,,,0
CDM,81000006,"EPOETIN ALFA-EPBX 20,000 UNIT/ML IJ SOLN (ESRD)",6.605,6.605,,,0
CDM,81000006,EPOETIN ALFA-EPBX 40000 UNIT/ML IJ SOLN (ESRD),6.25,6.25,,,0
CDM,81000007,ANTIHEMOPHILIC FACTOR-VWF 500-1200 UNITS IV SOLR,5.58,5.58,,,0
CDM,81000007,COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR,7.77,7.77,,,0
CDM,81000007,COAGULATION FACTOR VIIA RECOMB 2000 MCG IV SOLR,7.77,7.77,,,0
CDM,81000007,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP,210.53,210.53,,,0
CDM,81000007,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY,210.60500000000002,210.60500000000002,,,0
CDM,81000008,ABATACEPT 250 MG/10 ML IV (WET SOLR VIAL),150.0,150.0,,,0
CDM,81000008,ACETAMINOPHEN 10 MG/ML IV SOLN,1.7,1.7,,,0
CDM,81000008,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,254.325,254.325,,,0
CDM,81000008,ACETYLCYSTEINE 10 % IN SOLN,49.709999999999994,49.709999999999994,,,0
CDM,81000008,ACETYLCYSTEINE 20 % IN SOLN,59.19,59.19,,,0
CDM,81000008,ACETYLCYSTEINE 20 % ORAL SOLN CUSTOM CREATE,43.495000000000005,43.495000000000005,,,0
CDM,81000008,ACETYLCYSTEINE 200 MG/ML IV SOLN,7.73,7.73,,,0
CDM,81000008,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,1.48,1.48,,,0
CDM,81000008,ADAMTS13 RECOMBINANT-KRHN 1500 UNITS IV KIT,117.93,117.93,,,0
CDM,81000008,ADAMTS13 RECOMBINANT-KRHN 500 UNITS IV KIT,117.98,117.98,,,0
CDM,81000008,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,12.29,12.29,,,0
CDM,81000008,ADENOSINE 6 MG/2ML IV SOLN,10.195,10.195,,,0
CDM,81000008,ADO-TRASTUZUMAB EMTANSINE 100 MG/5ML IV (WET SOLR VIAL),102.96,102.96,,,0
CDM,81000008,ADO-TRASTUZUMAB EMTANSINE 160 MG/8ML IV (WET SOLR VIAL),66.175,66.175,,,0
CDM,81000008,ADUCANUMAB-AVWA 170 MG/1.7ML IV SOLN,29.41,29.41,,,0
CDM,81000008,ADUCANUMAB-AVWA 300 MG/3ML IV SOLN,27.07,27.07,,,0
CDM,81000008,ALBUMIN HUMAN 25 % IV SOLN,333.66,333.66,,,0
CDM,81000008,ALBUMIN HUMAN 5 % IV SOLN,82.23,82.23,,,0
CDM,81000008,ALBUMIN HUMAN 5 % IV SOLN SH (VOLUME REPLACEMENT),61.099999999999994,61.099999999999994,,,0
CDM,81000008,ALBUTEROL CONTINUOUS NEB SIMPLE SH,2.16,2.16,,,0
CDM,81000008,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,4.71,4.71,,,0
CDM,81000008,ALBUTEROL SULFATE (5 MG/ML) 0.5% IN NEBU,2.08,2.08,,,0
CDM,81000008,ALBUTEROL SULFATE 1.25 MG/3ML IN NEBU,7.5,7.5,,,0
CDM,81000008,ALTEPLASE 100 MG IV SOLR,171.73,171.73,,,0
CDM,81000008,ALTEPLASE 2 MG IJ SOLR,478.84,478.84,,,0
CDM,81000008,ALTEPLASE 2 MG/2ML IJ (WET SOLR VIAL),423.22,423.22,,,0
CDM,81000008,ALTEPLASE 50 MG IV SOLR,422.42,422.42,,,0
CDM,81000008,AMIKACIN SULFATE 500 MG/2ML IJ SOLN,19.795,19.795,,,0
CDM,81000008,AMINOPHYLLINE 25 MG/ML IV SOLN,64.41,64.41,,,0
CDM,81000008,AMIODARONE HCL 50 MG/ML IV SOLN - CONSOLIDATED,9.205,9.205,,,0
CDM,81000008,AMIODARONE HCL IN DEXTROSE 360-4.14 MG/200ML-% IV SOLN,30.01,30.01,,,0
CDM,81000008,AMIODARONE LOAD DOSE 150MG/100ML(D5W) SH,53.980000000000004,53.980000000000004,,,0
CDM,81000008,AMIVANTAMAB-VMJW 350 MG/7ML IV SOLN,60.045,60.045,,,0
CDM,81000008,AMPHOTERICIN B 50 MG IV SOLR,232.5,232.5,,,0
CDM,81000008,AMPHOTERICIN B LIPOSOME 50 MG/12.5ML IV SUSR (WET SOLR VIAL),234.555,234.555,,,0
CDM,81000008,"AMPICILLIN 1,000MG/50ML NS (MINIBAG)",37.5,37.5,,,0
CDM,81000008,"AMPICILLIN 2,000MG/100ML NS (MINIBAG)",25.475,25.475,,,0
CDM,81000008,AMPICILLIN 250 MG FOR DILUTION (PEDIATRIC),74.9,74.9,,,0
CDM,81000008,AMPICILLIN 500 MG FOR DILUTION (PEDIATRIC),74.63,74.63,,,0
CDM,81000008,AMPICILLIN SODIUM 1 G IJ SOLR,34.46,34.46,,,0
CDM,81000008,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR,55.92,55.92,,,0
CDM,81000008,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,53.57,53.57,,,0
CDM,81000008,AMPICILLIN/SULBACTAM 1.5GM/50ML NS (MINIBAG),62.5,62.5,,,0
CDM,81000008,AMPICILLIN/SULBACTAM 3G/100ML NS (MINIBAG),37.8,37.8,,,0
CDM,81000008,ANTI-THYMOCYTE GLOB (RABBIT) 25 MG IV SOLR,3002.695,3002.695,,,0
CDM,81000008,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR,0.0038,0.0038,,,0
CDM,81000008,ANTIINHIBITOR COAGULANT CMPLX 500 UNITS IV SOLR,0.02,0.02,,,0
CDM,81000008,ANTITHROMBIN III (HUMAN) 500 UNITS IV SOLR,15.6,15.6,,,0
CDM,81000008,ARFORMOTEROL TARTRATE 15 MCG/2ML IN NEBU,81.44,81.44,,,0
CDM,81000008,ARGATROBAN 50 MG/50ML IV SOLN,73.02,73.02,,,0
CDM,81000008,ARIPIPRAZOLE ER 400 MG IM SRER,25.38,25.38,,,0
CDM,81000008,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,307.8,307.8,,,0
CDM,81000008,ATEZOLIZUMAB 1200 MG/20ML IV SOLN,159.52,159.52,,,0
CDM,81000008,ATROPINE SULFATE (PF) 0.4 MG/ML IJ SOLN,2.105,2.105,,,0
CDM,81000008,ATROPINE SULFATE (PF) 1 MG/ML IJ SOLN,1.42,1.42,,,0
CDM,81000008,ATROPINE SULFATE 1 MG/10ML IJ SOSY,1.65,1.65,,,0
CDM,81000008,AZACITIDINE 100 MG IJ SUSR,0.27,0.27,,,0
CDM,81000008,AZACITIDINE 100 MG/10ML IJ SUSR (WET SOLR VIAL),15.59,15.59,,,0
CDM,81000008,AZATHIOPRINE 25MG PO PRE-SPLIT TABS SH,12.27,12.27,,,0
CDM,81000008,AZATHIOPRINE 50 MG PO TABS,12.66,12.66,,,0
CDM,81000008,AZITHROMYCIN 500 MG IV SOLR,75.0,75.0,,,0
CDM,81000008,AZITHROMYCIN 500 MG/250ML NS (VIAL-MATE),74.9,74.9,,,0
CDM,81000008,AZTREONAM 1 G IJ SOLR,28.5,28.5,,,0
CDM,81000008,AZTREONAM 1000 MG/4ML IJ (WET SOLR VIAL),26.729999999999997,26.729999999999997,,,0
CDM,81000008,AZTREONAM 2000 MG/8ML IJ (WET SOLR VIAL),28.59,28.59,,,0
CDM,81000008,BASILIXIMAB 10 MG/2.5ML IV (WET SOLR VIAL),14000.0,14000.0,,,0
CDM,81000008,BASILIXIMAB 20 MG/5ML IV (WET SOLR VIAL),11250.0,11250.0,,,0
CDM,81000008,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,96.43,96.43,,,0
CDM,81000008,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN,146.875,146.875,,,0
CDM,81000008,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP,80.795,80.795,,,0
CDM,81000008,BEVACIZUMAB 25 MG/ML INTRAVITREAL SOLN SH,60.0,60.0,,,0
CDM,81000008,BEVACIZUMAB 25 MG/ML IV SOLN - CONSOLIDATED,340.625,340.625,,,0
CDM,81000008,BEVACIZUMAB-AWWB 100 MG/4ML IV SOLN,308.755,308.755,,,0
CDM,81000008,BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN,142.175,142.175,,,0
CDM,81000008,BEVACIZUMAB-BVZR 100 MG/4ML IV SOLN,257.63,257.63,,,0
CDM,81000008,BIMATOPROST 10 MCG IO IMPL,713.84,713.84,,,0
CDM,81000008,BIVALIRUDIN 250MG/50ML IV BOLUS SH,15.48,15.48,,,0
CDM,81000008,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,18.2,18.2,,,0
CDM,81000008,BLEOMYCIN SULFATE 15 UNITS IJ SOLR,393.58,393.58,,,0
CDM,81000008,BLEOMYCIN SULFATE 30 UNITS IJ SOLR,304.90999999999997,304.90999999999997,,,0
CDM,81000008,BLINATUMOMAB 35 MCG IV SOLR,482.14,482.14,,,0
CDM,81000008,BORTEZOMIB 3.5 MG IJ SOLR,15.465,15.465,,,0
CDM,81000008,BORTEZOMIB 3.5 MG IV SOLR,161.29000000000002,161.29000000000002,,,0
CDM,81000008,BRENTUXIMAB VEDOTIN 50 MG IV SOLR,391.61,391.61,,,0
CDM,81000008,BUDESONIDE 0.25 MG/2ML IN SUSP,51.980000000000004,51.980000000000004,,,0
CDM,81000008,BUDESONIDE 0.5 MG/2ML IN SUSP,47.44,47.44,,,0
CDM,81000008,BUMETANIDE 0.25 MG/ML IJ SOLN,9.82,9.82,,,0
CDM,81000008,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,1.575,1.575,,,0
CDM,81000008,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,0.71,0.71,,,0
CDM,81000008,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,0.35,0.35,,,0
CDM,81000008,BUPIVACAINE HCL 0.25 % IJ SOLN,0.9299999999999999,0.9299999999999999,,,0
CDM,81000008,BUPIVACAINE HCL 0.5 % IJ SOLN,0.45,0.45,,,0
CDM,81000008,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN,4.09,4.09,,,0
CDM,81000008,BUPIVACAINE LIPOSOME 1.3 % IJ SUSP,10.95,10.95,,,0
CDM,81000008,BUPIVACAINE-EPINEPHRINE 0.25% -1:200000 IJ SOLN,0.4,0.4,,,0
CDM,81000008,BUPIVACAINE-EPINEPHRINE 0.5% -1:200000 IJ SOLN,0.43,0.43,,,0
CDM,81000008,CAFFEINE CITRATE 60 MG/3ML IV SOLN,32.739999999999995,32.739999999999995,,,0
CDM,81000008,CALASPARGASE PEGOL-MKNL 3750 UNIT/5ML IV SOLN,129.88,129.88,,,0
CDM,81000008,CALCIUM GLUCONATE 10 % IV SOLN,1.38,1.38,,,0
CDM,81000008,CALCIUM GLUCONATE 20MG/ML INTERMITTENT (PEDIATRIC) SH,1.54,1.54,,,0
CDM,81000008,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,33.18,33.18,,,0
CDM,81000008,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN,30.81,30.81,,,0
CDM,81000008,CANGRELOR TETRASODIUM 50 MG/5ML IV (WET SOLR VIAL),90.13,90.13,,,0
CDM,81000008,CARBOPLATIN 450 MG/45ML IV SOLN,47.74,47.74,,,0
CDM,81000008,CARFILZOMIB 10 MG IV SOLR,346.48,346.48,,,0
CDM,81000008,CARFILZOMIB 30 MG IV SOLR,250.0,250.0,,,0
CDM,81000008,CARFILZOMIB 60 MG IV SOLR,124.815,124.815,,,0
CDM,81000008,CASPOFUNGIN ACETATE 50 MG IV SOLR,202.2,202.2,,,0
CDM,81000008,CASPOFUNGIN ACETATE 70 MG IV SOLR,148.47,148.47,,,0
CDM,81000008,"CEFAZOLIN 1,000 MG/50ML NS (MINIBAG)",26.45,26.45,,,0
CDM,81000008,"CEFAZOLIN 2,000MG/100ML NS (MINIBAG)",18.759999999999998,18.759999999999998,,,0
CDM,81000008,CEFAZOLIN 500 MG/50ML NS (MINIBAG),64.18,64.18,,,0
CDM,81000008,CEFAZOLIN SODIUM 1 G IJ SOLR,26.58,26.58,,,0
CDM,81000008,CEFAZOLIN SODIUM 10 G IJ SOLR,12.5,12.5,,,0
CDM,81000008,CEFAZOLIN SODIUM 500 MG IJ SOLR,75.0,75.0,,,0
CDM,81000008,CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR,31.009999999999998,31.009999999999998,,,0
CDM,81000008,CEFEPIME 1000MG/50ML NS (MINIBAG),67.89,67.89,,,0
CDM,81000008,CEFEPIME 2000MG/100ML NS (MINIBAG),65.56,65.56,,,0
CDM,81000008,CEFEPIME HCL 1 G IJ SOLR,68.08,68.08,,,0
CDM,81000008,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR,13.12,13.12,,,0
CDM,81000008,CEFIDEROCOL SULFATE TOSYLATE 1000 MG/11.2ML IV (WET SOLR VIAL),12.77,12.77,,,0
CDM,81000008,CEFOXITIN (MEFOXIN) 1000MG/50ML NS (MINIBAG),79.28999999999999,79.28999999999999,,,0
CDM,81000008,CEFOXITIN (MEFOXIN) 2000MG/100ML NS (MINIBAG),80.295,80.295,,,0
CDM,81000008,CEFOXITIN SODIUM 1 G IV SOLR,75.0,75.0,,,0
CDM,81000008,CEFTAROLINE FOSAMIL 400 MG IV SOLR,40.285,40.285,,,0
CDM,81000008,CEFTAROLINE FOSAMIL 600 MG IV SOLR,26.855,26.855,,,0
CDM,81000008,CEFTAZIDIME (FORTAZ) 1000MG/50ML NS (MINIBAG),53.54,53.54,,,0
CDM,81000008,CEFTAZIDIME (FORTAZ) 2000MG/100ML NS (MINIBAG),48.0,48.0,,,0
CDM,81000008,CEFTAZIDIME 1 G IJ SOLR,42.53,42.53,,,0
CDM,81000008,CEFTAZIDIME-AVIBACTAM 2.5 (2-0.5) G IV SOLR,565.12,565.12,,,0
CDM,81000008,CEFTOLOZANE-TAZOBACTAM 1.5 (1-0.5) G IV SOLR,43.31,43.31,,,0
CDM,81000008,CEFTRIAXONE (ROCEPHIN) 1000 MG/50ML NS (MINIBAG),18.75,18.75,,,0
CDM,81000008,CEFTRIAXONE (ROCEPHIN) 2000 MG/100ML NS (MINIBAG),10.315,10.315,,,0
CDM,81000008,CEFTRIAXONE (ROCEPHIN) 500 MG/50ML NS (MINIBAG),37.5,37.5,,,0
CDM,81000008,CEFTRIAXONE 1GM/50ML D5W (ADV),18.75,18.75,,,0
CDM,81000008,CEFTRIAXONE SODIUM 1 G IJ SOLR,64.53,64.53,,,0
CDM,81000008,CEFTRIAXONE SODIUM 2 G IJ SOLR,9.87,9.87,,,0
CDM,81000008,CEFTRIAXONE SODIUM 250 MG IJ SOLR,44.37,44.37,,,0
CDM,81000008,CETUXIMAB 100 MG/50ML IV SOLN,372.5,372.5,,,0
CDM,81000008,CHLOROPROCAINE HCL (PF) 2 % IJ SOLN,0.435,0.435,,,0
CDM,81000008,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN,0.28500000000000003,0.28500000000000003,,,0
CDM,81000008,CHLOROPROCAINE HCL 2 % IJ SOLN,0.26,0.26,,,0
CDM,81000008,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,547.775,547.775,,,0
CDM,81000008,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN,225.36,225.36,,,0
CDM,81000008,CHLORPROMAZINE HCL 50 MG/2ML IJ SOLN,96.34,96.34,,,0
CDM,81000008,CIPROFLOXACIN 200MG/100ML D5W (PREMIX) CUSTOM-CREATE,40.91,40.91,,,0
CDM,81000008,CIPROFLOXACIN 2MG/ML IN D5W IV SOLN (PEDIATRIC) SH,37.5,37.5,,,0
CDM,81000008,CIPROFLOXACIN 2MG/ML IV SYRINGE (PEDIATRIC) SH,75.0,75.0,,,0
CDM,81000008,CIPROFLOXACIN 400MG/200ML D5W (PREMIX) CUSTOM-CREATE,38.525,38.525,,,0
CDM,81000008,CISPLATIN 1 MG/ML IV SOLN - CONSOLIDATED,54.615,54.615,,,0
CDM,81000008,CLEVIDIPINE 50 MG/100ML IV EMUL,20.485,20.485,,,0
CDM,81000008,CLINDAMYCIN PHOSPHATE 600 MG/4ML IJ SOLN,25.94,25.94,,,0
CDM,81000008,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,74.255,74.255,,,0
CDM,81000008,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,48.39,48.39,,,0
CDM,81000008,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,39.375,39.375,,,0
CDM,81000008,COCAINE HCL 4 % EX SOLN,4.845,4.845,,,0
CDM,81000008,COLISTIMETHATE SODIUM (CBA) 150 MG/2ML IJ (WET SOLR VIAL),165.3,165.3,,,0
CDM,81000008,COSYNTROPIN 0.25 MG IJ SOLR,693.1949999999999,693.1949999999999,,,0
CDM,81000008,COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY,975.0,975.0,,,0
CDM,81000008,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,75.0,75.0,,,0
CDM,81000008,CYCLOPHOSPHAMIDE 1 G IJ SOLR,514.22,514.22,,,0
CDM,81000008,CYCLOPHOSPHAMIDE 1000 MG/50ML IJ (WET SOLR VIAL),18.175,18.175,,,0
CDM,81000008,CYCLOPHOSPHAMIDE 2 G IJ SOLR,374.12,374.12,,,0
CDM,81000008,CYCLOPHOSPHAMIDE 2000 MG/100ML IJ (WET SOLR VIAL),197.075,197.075,,,0
CDM,81000008,CYCLOPHOSPHAMIDE 500 MG IJ SOLR,476.41,476.41,,,0
CDM,81000008,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,24.57,24.57,,,0
CDM,81000008,CYCLOPHOSPHAMIDE 500 MG/25ML IJ (WET SOLR VIAL),26.43,26.43,,,0
CDM,81000008,CYCLOSPORINE 25 MG PO CAPS,27.6,27.6,,,0
CDM,81000008,CYCLOSPORINE MODIFIED 100 MG PO CAPS,29.93,29.93,,,0
CDM,81000008,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,38.73,38.73,,,0
CDM,81000008,CYCLOSPORINE MODIFIED 25 MG PO CAPS,8.52,8.52,,,0
CDM,81000008,CYTARABINE (PF) 100 MG/ML IJ SOLN,8.11,8.11,,,0
CDM,81000008,CYTARABINE 20 MG/ML IJ SOLN,66.67,66.67,,,0
CDM,81000008,CYTARABINE 20MG/ML CHEMO IV SYRINGE (PEDIATRIC) SH,366.18,366.18,,,0
CDM,81000008,"D5W - LACTATED RINGERS WITH KCL 20 MEQ 1,000 ML",7.7,7.7,,,0
CDM,81000008,D5W - NACL 0.2% IV SOLN,37.5,37.5,,,0
CDM,81000008,"D5W - NACL 0.45% WITH KCL 10 MEQ 1,000 ML",16.1,16.1,,,0
CDM,81000008,"D5W - NACL 0.45% WITH KCL 20 MEQ 1,000 ML",7.495,7.495,,,0
CDM,81000008,"D5W - NACL 0.45% WITH KCL 40 MEQ 1,000 ML",3.975,3.975,,,0
CDM,81000008,"D5W - NACL 0.9% WITH KCL 20 MEQ 1,000 ML",7.15,7.15,,,0
CDM,81000008,DACARBAZINE 100 MG IV SOLR,122.06,122.06,,,0
CDM,81000008,DACARBAZINE 200 MG IV SOLR,52.44,52.44,,,0
CDM,81000008,DACTINOMYCIN 0.5 MG IV SOLR,6350.0,6350.0,,,0
CDM,81000008,DALBAVANCIN HCL 500 MG/25ML IV (WET SOLR VIAL),35.4,35.4,,,0
CDM,81000008,DAPTOMYCIN 350 MG IV SOLR,1.45,1.45,,,0
CDM,81000008,DAPTOMYCIN 500 MG IV SOLR,4.48,4.48,,,0
CDM,81000008,DARATUMUMAB 100 MG/5ML IV SOLN,375.0,375.0,,,0
CDM,81000008,DARATUMUMAB 400 MG/20ML IV SOLN,168.75,168.75,,,0
CDM,81000008,DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN,93.3,93.3,,,0
CDM,81000008,DARBEPOETIN ALFA 100 MCG/ML IJ SOLN,27.86,27.86,,,0
CDM,81000008,DARBEPOETIN ALFA 200 MCG/0.4ML IJ SOSY,30.0,30.0,,,0
CDM,81000008,DARBEPOETIN ALFA 60 MCG/0.3ML IJ SOSY,41.67,41.67,,,0
CDM,81000008,DAUNORUBICIN-CYTARABINE LIPO 44 MG/20ML IV SUSR (WET SOLR VIAL),417.27,417.27,,,0
CDM,81000008,DECITABINE 50 MG IV SOLR,53.91,53.91,,,0
CDM,81000008,DENOSUMAB 120 MG/1.7ML SC SOLN,87.5,87.5,,,0
CDM,81000008,DENOSUMAB 60 MG/ML SC SOSY,125.0,125.0,,,0
CDM,81000008,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,33.15,33.15,,,0
CDM,81000008,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN,110.87,110.87,,,0
CDM,81000008,DEXAMETHASONE 0.5 MG PO TABS,6.75,6.75,,,0
CDM,81000008,DEXAMETHASONE 0.5 MG/5ML PO SOLN,21.71,21.71,,,0
CDM,81000008,DEXAMETHASONE 1 MG PO TABS,3.895,3.895,,,0
CDM,81000008,DEXAMETHASONE 1 MG/ML PO CONC,2.65,2.65,,,0
CDM,81000008,DEXAMETHASONE 1.5 MG PO TABS,1.35,1.35,,,0
CDM,81000008,DEXAMETHASONE 2 MG PO TABS,1.83,1.83,,,0
CDM,81000008,DEXAMETHASONE 4 MG PO TABS,0.45,0.45,,,0
CDM,81000008,DEXAMETHASONE SOD PHOS 4 MG/ML IJ SOLN - CONSOLIDATED,7.13,7.13,,,0
CDM,81000008,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN,7.8149999999999995,7.8149999999999995,,,0
CDM,81000008,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML IJ SOLN,8.325,8.325,,,0
CDM,81000008,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN,7.5,7.5,,,0
CDM,81000008,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,8.04,8.04,,,0
CDM,81000008,DEXRAZOXANE HCL 500 MG IV SOLR,594.445,594.445,,,0
CDM,81000008,DIAZEPAM 5 MG/ML IJ SOLN,95.605,95.605,,,0
CDM,81000008,DICYCLOMINE HCL 10 MG/ML IM SOLN,655.66,655.66,,,0
CDM,81000008,DIGOXIN 0.25 MG/ML IJ SOLN,332.12,332.12,,,0
CDM,81000008,DIGOXIN IMMUNE FAB 40 MG IV SOLR,8278.2,8278.2,,,0
CDM,81000008,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN,538.69,538.69,,,0
CDM,81000008,DILTIAZEM HCL 25 MG/5ML IV SOLN,75.0,75.0,,,0
CDM,81000008,DILTIAZEM HCL 50 MG/10ML IV SOLN,75.0,75.0,,,0
CDM,81000008,DILTIAZEM HCL-DEXTROSE 125-5 MG/125ML-% IV SOLN,233.73000000000002,233.73000000000002,,,0
CDM,81000008,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,74.07,74.07,,,0
CDM,81000008,DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP,221.68,221.68,,,0
CDM,81000008,DOBUTAMINE HCL 250 MG/20ML IV SOLN,58.35,58.35,,,0
CDM,81000008,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN,68.725,68.725,,,0
CDM,81000008,DOCETAXEL 160 MG/8ML IV CONC,63.9,63.9,,,0
CDM,81000008,DOCETAXEL 20 MG/2ML IV SOLN,27.195,27.195,,,0
CDM,81000008,DOCETAXEL 80 MG/4ML IV CONC,8.29,8.29,,,0
CDM,81000008,DOCETAXEL 80 MG/8ML IV SOLN,24.58,24.58,,,0
CDM,81000008,DOPAMINE HCL 40 MG/ML IV SOLN,3.75,3.75,,,0
CDM,81000008,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN,63.46,63.46,,,0
CDM,81000008,DOPAMINE-DEXTROSE 3.2-5 MG/ML-% IV SOLN,8.55,8.55,,,0
CDM,81000008,DORNASE ALFA 2.5 MG/2.5ML IN SOLN,165.71499999999997,165.71499999999997,,,0
CDM,81000008,DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN,411.39,411.39,,,0
CDM,81000008,DOXORUBICIN HCL 2 MG/ML IV SOLN,51.59,51.59,,,0
CDM,81000008,DOXORUBICIN HCL 50 MG IV SOLR,340.42,340.42,,,0
CDM,81000008,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,1495.835,1495.835,,,0
CDM,81000008,DOXORUBICIN INTRAHEPATIC CHEMOEMBOLIZATION IN LC BEADS,410.33,410.33,,,0
CDM,81000008,DTAP-IPV-HIB VACCINE IM SUSR,887.15,887.15,,,0
CDM,81000008,DURVALUMAB 500 MG/10ML IV SOLN,144.43,144.43,,,0
CDM,81000008,ECULIZUMAB 300 MG/30ML IV SOLN,391.38,391.38,,,0
CDM,81000008,EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS,264.28,264.28,,,0
CDM,81000008,EMTRICITABINE-TENOFOVIR DF 200-300 MG PO TABS,15.0,15.0,,,0
CDM,81000008,ENFORTUMAB VEDOTIN-EJFV 20 MG/2ML IV (WET SOLR VIAL),86.26,86.26,,,0
CDM,81000008,ENFORTUMAB VEDOTIN-EJFV 30 MG/3ML IV (WET SOLR VIAL),115.88,115.88,,,0
CDM,81000008,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,12.865,12.865,,,0
CDM,81000008,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,19.92,19.92,,,0
CDM,81000008,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY,11.9,11.9,,,0
CDM,81000008,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY,12.995000000000001,12.995000000000001,,,0
CDM,81000008,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,25.0,25.0,,,0
CDM,81000008,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,14.885,14.885,,,0
CDM,81000008,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,20.08,20.08,,,0
CDM,81000008,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN,15.45,15.45,,,0
CDM,81000008,EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML IJ SOLN,6.52,6.52,,,0
CDM,81000008,EPINEPHRINE 0.1MG/ML INJ (PEDIATRIC) SH,11.115,11.115,,,0
CDM,81000008,EPINEPHRINE 1 MG/10ML IJ SOSY,10.89,10.89,,,0
CDM,81000008,EPINEPHRINE 10MCG/ML INJ SOLN,75.0,75.0,,,0
CDM,81000008,EPINEPHRINE HCL 0.1 MG/ML IJ SOLN (IO),5.79,5.79,,,0
CDM,81000008,EPINEPHRINE PF 1 MG/ML IJ SOLN,14.48,14.48,,,0
CDM,81000008,EPINEPHRINE-NACL 5-0.9 MG/250ML-% IV SOLN,1.62,1.62,,,0
CDM,81000008,EPOETIN ALFA 4000 UNIT/ML IJ SOLN,121.88,121.88,,,0
CDM,81000008,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN,47.245000000000005,47.245000000000005,,,0
CDM,81000008,"EPOETIN ALFA-EPBX 20,000 UNIT/ML IJ SOLN (ESRD)",35.785000000000004,35.785000000000004,,,0
CDM,81000008,EPOETIN ALFA-EPBX 3000 UNIT/ML IJ SOLN (ESRD),86.03,86.03,,,0
CDM,81000008,EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN (ESRD),86.04,86.04,,,0
CDM,81000008,EPOETIN ALFA-EPBX 40000 UNIT/ML IJ SOLN (ESRD),34.375,34.375,,,0
CDM,81000008,EPOPROSTENOL SODIUM 0.5 MG IV SOLR,196.7,196.7,,,0
CDM,81000008,EPOPROSTENOL SODIUM 1.5 MG IV SOLR,128.78,128.78,,,0
CDM,81000008,EPTIFIBATIDE 20 MG/10ML IV SOLN,186.1,186.1,,,0
CDM,81000008,EPTIFIBATIDE 75 MG/100ML IV SOLN,110.635,110.635,,,0
CDM,81000008,EPTINEZUMAB-JJMR 100 MG/ML IV SOLN,43.27,43.27,,,0
CDM,81000008,ERAVACYCLINE DIHYDROCHLORIDE 100 MG IV SOLR,7.915,7.915,,,0
CDM,81000008,ERAVACYCLINE DIHYDROCHLORIDE 100 MG/5ML IV (WET SOLR VIAL),7.98,7.98,,,0
CDM,81000008,ERAVACYCLINE DIHYDROCHLORIDE 50 MG IV SOLR,9.504999999999999,9.504999999999999,,,0
CDM,81000008,ERIBULIN 0.5MG/ML CHEMO IV PUSH,592.2,592.2,,,0
CDM,81000008,"ERTAPENEM 1,000MG/100ML NS (MINIBAG)",234.0,234.0,,,0
CDM,81000008,ERTAPENEM SODIUM 1 G IJ SOLR,489.88,489.88,,,0
CDM,81000008,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,484.94500000000005,484.94500000000005,,,0
CDM,81000008,ESMOLOL HCL 100 MG/10ML IV SOLN,19.48,19.48,,,0
CDM,81000008,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN,12.3,12.3,,,0
CDM,81000008,ESTROGENS CONJUGATED 25 MG IJ SOLR,2208.3,2208.3,,,0
CDM,81000008,ETONOGESTREL 68 MG SC IMPL,5550.16,5550.16,,,0
CDM,81000008,ETOPOSIDE 100 MG/5ML IV SOLN,22.99,22.99,,,0
CDM,81000008,EVEROLIMUS 0.25 MG PO TABS,65.055,65.055,,,0
CDM,81000008,EVEROLIMUS 0.5 MG PO TABS,65.15,65.15,,,0
CDM,81000008,EVEROLIMUS 0.75 MG PO TABS,65.07,65.07,,,0
CDM,81000008,FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG/5ML IV (WET SOLR VIAL),50.535,50.535,,,0
CDM,81000008,FAMOTIDINE 10MG/ML IV SOLN - CONSOLIDATED,71.18,71.18,,,0
CDM,81000008,FENTANYL 10MCG/ML IN 0.9% NACL INJ SOLN (PEDIATRIC) SH,90.0,90.0,,,0
CDM,81000008,FENTANYL 1500MCG/30ML NS IV DRIP (PREMIX) SH,12.765,12.765,,,0
CDM,81000008,FENTANYL 2500MCG/250ML NS IV DRIP (PREMIX) SH,7.86,7.86,,,0
CDM,81000008,"FENTANYL 2MCG/ML, BUPIVACAINE PF 0.1% IN NS 250ML PCEA (PREMIX)",68.51,68.51,,,0
CDM,81000008,FENTANYL CITRATE (PF) 100 MCG/2ML IJ SOLN,89.75,89.75,,,0
CDM,81000008,FENTANYL CITRATE (PF) 1000 MCG/20ML IJ SOLN,7.404999999999999,7.404999999999999,,,0
CDM,81000008,FENTANYL CITRATE (PF) 250 MCG/5ML IJ SOLN,68.52,68.52,,,0
CDM,81000008,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,5.609999999999999,5.609999999999999,,,0
CDM,81000008,FENTANYL CITRATE 50MCG/ML IJ SOLN - CONSOLIDATED,89.84,89.84,,,0
CDM,81000008,FENTANYL PF 10MCG/ML IN 0.9% NACL 10ML IV DRIP (PEDIATRIC) (PREMIX) SH,90.0,90.0,,,0
CDM,81000008,FERUMOXYTOL 510 MG/17ML IV SOLN,8.52,8.52,,,0
CDM,81000008,FILGRASTIM-AYOW 300 MCG/0.5ML SC SOSY,3.25,3.25,,,0
CDM,81000008,FILGRASTIM-AYOW 480 MCG/0.8ML SC SOSY,3.18,3.18,,,0
CDM,81000008,FILGRASTIM-SNDZ 300 MCG/0.5ML IJ SOSY,5.29,5.29,,,0
CDM,81000008,FILGRASTIM-SNDZ 480 MCG/0.8ML IJ SOSY,5.21,5.21,,,0
CDM,81000008,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN,75.3,75.3,,,0
CDM,81000008,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,48.125,48.125,,,0
CDM,81000008,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,62.445,62.445,,,0
CDM,81000008,FOMEPIZOLE 1 GM/ML IV SOLN,50.0,50.0,,,0
CDM,81000008,FONDAPARINUX SODIUM 2.5 MG/0.2ML SC SOLN - CONSOLIDATED,55.73,55.73,,,0
CDM,81000008,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,73.03,73.03,,,0
CDM,81000008,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,83.6,83.6,,,0
CDM,81000008,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,10.635000000000002,10.635000000000002,,,0
CDM,81000008,FOSAPREPITANT DIMEGLUMINE 150 MG/5ML IV (WET SOLR VIAL),11.925,11.925,,,0
CDM,81000008,FOSPHENYTOIN SODIUM 50 MG PE/ML IJ SOLN - CONSOLIDATED,67.27,67.27,,,0
CDM,81000008,FULVESTRANT 250 MG/5ML IM SOSY,260.0,260.0,,,0
CDM,81000008,FUROSEMIDE 10 MG/ML IJ SOLN,31.6,31.6,,,0
CDM,81000008,FUROSEMIDE 10MG/ML IV SOLN (PEDIATRIC) SH,75.0,75.0,,,0
CDM,81000008,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN,44.76,44.76,,,0
CDM,81000008,GANCICLOVIR SODIUM 500 MG/10ML IV (WET SOLR VIAL),247.75,247.75,,,0
CDM,81000008,GEMCITABINE HCL 1 G IV SOLR,76.225,76.225,,,0
CDM,81000008,GEMCITABINE HCL 1 GM/10ML IV SOLN,99.96,99.96,,,0
CDM,81000008,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,68.6,68.6,,,0
CDM,81000008,GEMCITABINE HCL 1.5 GM/15ML IV SOLN,80.89,80.89,,,0
CDM,81000008,GEMCITABINE HCL 1000 MG/26.3ML IV (WET SOLR VIAL),70.94,70.94,,,0
CDM,81000008,GEMCITABINE HCL 2 GM/20ML IV SOLN,88.95,88.95,,,0
CDM,81000008,GEMCITABINE HCL 200 MG IV SOLR,139.19,139.19,,,0
CDM,81000008,GEMCITABINE HCL 200 MG/2ML IV SOLN,337.875,337.875,,,0
CDM,81000008,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,106.39,106.39,,,0
CDM,81000008,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5ML IV (WET SOLR VIAL),384.93,384.93,,,0
CDM,81000008,GENTAMICIN IN SALINE 0.8-0.9 MG/ML-% IV SOLN,58.620000000000005,58.620000000000005,,,0
CDM,81000008,GENTAMICIN IN SALINE 1-0.9 MG/ML-% IV SOLN,37.5,37.5,,,0
CDM,81000008,GENTAMICIN IN SALINE 1.2-0.9 MG/ML-% IV SOLN (120MG/100ML),37.5,37.5,,,0
CDM,81000008,GENTAMICIN SULFATE 10 MG/ML IJ SOLN,143.47,143.47,,,0
CDM,81000008,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,37.5,37.5,,,0
CDM,81000008,GLUCAGON EMERGENCY 1 MG IJ KIT,1680.0,1680.0,,,0
CDM,81000008,GLUCAGON HCL (RDNA) 1 MG IJ SOLR,975.0,975.0,,,0
CDM,81000008,GLUCAGON HCL (RDNA) 1 MG/ML IJ (WET SOLR VIAL),450.0,450.0,,,0
CDM,81000008,GLUCAGON HCL 1 MG IJ SOLR - CONSOLIDATED,1273.8,1273.8,,,0
CDM,81000008,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,46.88,46.88,,,0
CDM,81000008,GOSERELIN ACETATE 10.8 MG SC IMPL,3836.4,3836.4,,,0
CDM,81000008,GOSERELIN ACETATE 3.6 MG SC IMPL,5433.3,5433.3,,,0
CDM,81000008,GRANISETRON HCL 1 MG/ML IV SOLN,12.600000000000001,12.600000000000001,,,0
CDM,81000008,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR,107.355,107.355,,,0
CDM,81000008,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN,74.46000000000001,74.46000000000001,,,0
CDM,81000008,HEPARIN (PORCINE) 2 UNITS/ML 0.9% NACL LINE PATENCY DRIP (PREMIX) SH,65.615,65.615,,,0
CDM,81000008,HEPARIN (PORCINE) IN NACL 2000-0.9 UNIT/L-% IV SOLN,37.5,37.5,,,0
CDM,81000008,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN,4.135,4.135,,,0
CDM,81000008,"HEPARIN 30,000 UNIT/1000 ML 0.9% NACL (CELL SAVER PREMIX)",9.1,9.1,,,0
CDM,81000008,HEPARIN NA (PORK) LOCK FLSH PF 10 UNIT/ML IV SOLN,3.44,3.44,,,0
CDM,81000008,HEPARIN NA (PORK) LOCK FLSH PF 100 UNIT/ML IV SOLN,0.41,0.41,,,0
CDM,81000008,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,3.0,3.0,,,0
CDM,81000008,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,24.59,24.59,,,0
CDM,81000008,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN,8.945,8.945,,,0
CDM,81000008,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,15.0,15.0,,,0
CDM,81000008,HEPARIN TOPICAL SCRUB FOR VENOUS CONGESTION SH,15.55,15.55,,,0
CDM,81000008,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY,318.42,318.42,,,0
CDM,81000008,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IJ SOLN,366.03,366.03,,,0
CDM,81000008,HEPATITIS B IMMUNE GLOBULIN IV SOLN SH,182.44,182.44,,,0
CDM,81000008,HYALURONIDASE HUMAN 150 UNIT/ML IJ SOLN,3.205,3.205,,,0
CDM,81000008,HYALURONIDASE OVINE 200 UNIT/ML IJ SOLN,3.955,3.955,,,0
CDM,81000008,HYDRALAZINE HCL 20 MG/ML IJ SOLN,83.34,83.34,,,0
CDM,81000008,HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR,93.4,93.4,,,0
CDM,81000008,HYDROCORTISONE SOD SUC (PF) 250 MG IJ SOLR,106.98,106.98,,,0
CDM,81000008,HYDROMORPHONE 1MG/ML IV PCA (NS) (PREMIX) SH,23.8,23.8,,,0
CDM,81000008,HYDROMORPHONE 1MG/ML NS CADD-SOLIS PCA (PREMIX) (PEDIATRIC) SH,96.25,96.25,,,0
CDM,81000008,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,89.36,89.36,,,0
CDM,81000008,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,88.98,88.98,,,0
CDM,81000008,HYDROMORPHONE HCL PF 2 MG/ML IJ SOLN,90.0,90.0,,,0
CDM,81000008,HYDROMORPHONE HCL PF 50 MG/5ML IJ SOLN,9.595,9.595,,,0
CDM,81000008,HYDROMORPHONE HCL-NACL 30-0.9 MG/30ML-% IV SOSY,17.619999999999997,17.619999999999997,,,0
CDM,81000008,HYDROMORPHONE HCL-NACL 50-0.9 MG/50ML-% IV SOLN,30.02,30.02,,,0
CDM,81000008,HYDROMORPHONE VARIABLE DOSE INJ,87.695,87.695,,,0
CDM,81000008,HYDROXOCOBALAMIN 5 G IV SOLR,23.36,23.36,,,0
CDM,81000008,HYDROXYZINE HCL 25 MG/ML IM SOLN,207.57,207.57,,,0
CDM,81000008,HYDROXYZINE HCL 50 MG/ML IM SOLN,119.57,119.57,,,0
CDM,81000008,IDARUBICIN 1MG/ML CHEMO IV PUSH SH,428.32,428.32,,,0
CDM,81000008,IDARUBICIN HCL 20 MG/20ML IV SOLN,378.32,378.32,,,0
CDM,81000008,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - GAMUNEX-C,251.385,251.385,,,0
CDM,81000008,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - OCTAGAM,349.66,349.66,,,0
CDM,81000008,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - PRIVIGEN,316.5,316.5,,,0
CDM,81000008,IMMUNE GLOBULIN (HUMAN) 5% IV SOLN - OCTAGAM,3496.8,3496.8,,,0
CDM,81000008,INFLIXIMAB 100 MG IV SOLR,171.0,171.0,,,0
CDM,81000008,INFLIXIMAB 100 MG/10ML IV (WET SOLR VIAL),268.83500000000004,268.83500000000004,,,0
CDM,81000008,INFLIXIMAB-AXXQ 100 MG IV SOLR,123.195,123.195,,,0
CDM,81000008,INFLIXIMAB-DYYB 100 MG/10ML IV (WET SOLR VIAL),229.61,229.61,,,0
CDM,81000008,INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY,529.3,529.3,,,0
CDM,81000008,INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY,571.25,571.25,,,0
CDM,81000008,INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY,164.68,164.68,,,0
CDM,81000008,INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY,164.68,164.68,,,0
CDM,81000008,INSULIN REG HUMAN 100 UNITS/100ML NS IV DRIP GEN MED (PREMIX) SH,0.5,0.5,,,0
CDM,81000008,IPILIMUMAB 50 MG/10ML IV SOLN,306.38,306.38,,,0
CDM,81000008,IPRATROPIUM BROMIDE 0.02 % IN SOLN,14.75,14.75,,,0
CDM,81000008,IRINOTECAN HCL 100 MG/5ML IV SOLN,46.5,46.5,,,0
CDM,81000008,IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ,168.22,168.22,,,0
CDM,81000008,IRON SUCROSE 20 MG/ML IV SOLN,3.77,3.77,,,0
CDM,81000008,ISATUXIMAB-IRFC 100 MG/5ML IV SOLN,306.25,306.25,,,0
CDM,81000008,ISAVUCONAZONIUM SULFATE 372 MG/5ML IV (WET SOLR VIAL),6.18,6.18,,,0
CDM,81000008,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,71.6,71.6,,,0
CDM,81000008,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,40.0,40.0,,,0
CDM,81000008,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,45.489999999999995,45.489999999999995,,,0
CDM,81000008,KETOROLAC VARIABLE DOSE INJ,68.52,68.52,,,0
CDM,81000008,KETOROLAC VARIABLE DOSE INJ (PEDIATRIC) SH,60.29,60.29,,,0
CDM,81000008,LABETALOL HCL 5 MG/ML IV SOLN,1.255,1.255,,,0
CDM,81000008,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,25.0,25.0,,,0
CDM,81000008,LACOSAMIDE 200 MG/20ML IV SOLN,1.72,1.72,,,0
CDM,81000008,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,138.41,138.41,,,0
CDM,81000008,LECANEMAB-IRMB 200 MG/2ML IV SOLN,6.295,6.295,,,0
CDM,81000008,LECANEMAB-IRMB 500 MG/5ML IV SOLN,6.12,6.12,,,0
CDM,81000008,LEUCOVORIN CALCIUM 100 MG IJ SOLR,180.0,180.0,,,0
CDM,81000008,LEUCOVORIN CALCIUM 100 MG/10ML IJ (WET SOLR VIAL),253.57,253.57,,,0
CDM,81000008,LEUCOVORIN CALCIUM 200 MG IJ SOLR,89.695,89.695,,,0
CDM,81000008,LEUCOVORIN CALCIUM 200 MG/20ML IJ (WET SOLR VIAL),46.44,46.44,,,0
CDM,81000008,LEUCOVORIN CALCIUM 350 MG IJ SOLR,52.31,52.31,,,0
CDM,81000008,LEUCOVORIN CALCIUM 350 MG/17.5ML IJ (WET SOLR VIAL),27.79,27.79,,,0
CDM,81000008,LEUCOVORIN CALCIUM 50 MG IJ SOLR,233.285,233.285,,,0
CDM,81000008,LEUCOVORIN CALCIUM 50 MG/5ML IJ (WET SOLR VIAL),281.97,281.97,,,0
CDM,81000008,LEUCOVORIN CALCIUM 500 MG/50ML IJ (WET SOLR VIAL),67.23,67.23,,,0
CDM,81000008,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT,4500.0,4500.0,,,0
CDM,81000008,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT,2500.0,2500.0,,,0
CDM,81000008,LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT,1897.09,1897.09,,,0
CDM,81000008,LEUPROLIDE ACETATE 3.75 MG IM KIT,7500.0,7500.0,,,0
CDM,81000008,LEUPROLIDE ACETATE 7.5 MG IM KIT,8483.01,8483.01,,,0
CDM,81000008,LEVETIRACETAM 100MG/ML IV SYRINGE LOADING DOSE SH,0.7,0.7,,,0
CDM,81000008,LEVETIRACETAM 15MG/ML IN NACL IV SYRINGE (PEDIATRIC) SH,3.77,3.77,,,0
CDM,81000008,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,2.925,2.925,,,0
CDM,81000008,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,1.165,1.165,,,0
CDM,81000008,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,2.73,2.73,,,0
CDM,81000008,LEVOFLOXACIN 250MG/50ML D5W (PREMIX) CUSTOM-CREATE,75.0,75.0,,,0
CDM,81000008,LEVOFLOXACIN 500MG/100ML D5W (PREMIX) CUSTOM-CREATE,41.85,41.85,,,0
CDM,81000008,LEVOFLOXACIN 750MG/150ML D5W (PREMIX) CUSTOM-CREATE,27.9,27.9,,,0
CDM,81000008,LEVONORGESTREL 19.5 MG IU IUD,5552.6,5552.6,,,0
CDM,81000008,LEVONORGESTREL 20 MCG/DAY IU IUD,5446.82,5446.82,,,0
CDM,81000008,LEVONORGESTREL 20.1 MCG/DAY IU IUD,4228.895,4228.895,,,0
CDM,81000008,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,76.97,76.97,,,0
CDM,81000008,LEVOTHYROXINE SODIUM 100 MCG/5ML IV SOLN,68.50999999999999,68.50999999999999,,,0
CDM,81000008,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,64.175,64.175,,,0
CDM,81000008,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY,7.41,7.41,,,0
CDM,81000008,LIDOCAINE HCL (CARDIAC) 20 MG/ML IV SOLN (ET),7.5,7.5,,,0
CDM,81000008,LIDOCAINE HCL (CARDIAC) 50 MG/5ML IV SOSY,25.215,25.215,,,0
CDM,81000008,LIDOCAINE HCL (PF) 1 % IJ SOLN,19.04,19.04,,,0
CDM,81000008,LIDOCAINE HCL (PF) 1.5 % IJ SOLN,10.0,10.0,,,0
CDM,81000008,LIDOCAINE HCL (PF) 2 % IJ SOLN,9.7,9.7,,,0
CDM,81000008,LIDOCAINE HCL (PF) 4 % IJ SOLN,2.48,2.48,,,0
CDM,81000008,LIDOCAINE HCL 0.5 % IJ SOLN,3.0,3.0,,,0
CDM,81000008,LIDOCAINE HCL 1 % IJ SOLN,6.89,6.89,,,0
CDM,81000008,LIDOCAINE HCL 2 % IJ SOLN,3.75,3.75,,,0
CDM,81000008,LIDOCAINE IN D5W 8-5 MG/ML-% IV SOLN,3.94,3.94,,,0
CDM,81000008,LINEZOLID 600 MG/300ML IV SOLN,97.5,97.5,,,0
CDM,81000008,LORAZEPAM 2 MG/ML IJ SOLN,86.03,86.03,,,0
CDM,81000008,LURBINECTEDIN 4 MG IV SOLR,349.41,349.41,,,0
CDM,81000008,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,30.369999999999997,30.369999999999997,,,0
CDM,81000008,MAGNESIUM SULFATE 20G/500ML STERILE WATER (PREMIX) SH,1.88,1.88,,,0
CDM,81000008,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,9.38,9.38,,,0
CDM,81000008,MAGNESIUM SULFATE 4G/100ML SW IV DRIP (PREMIX) SH,9.375,9.375,,,0
CDM,81000008,MAGNESIUM SULFATE 50 % IJ SOLN,36.48,36.48,,,0
CDM,81000008,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,37.19,37.19,,,0
CDM,81000008,MAGNESIUM SULFATE IN D5W 2-5 GM/50ML-% IV SOLN,61.345,61.345,,,0
CDM,81000008,MANNITOL 25 % IV SOLN,47.68,47.68,,,0
CDM,81000008,"MEASLES, MUMPS & RUBELLA VAC IJ SOLR",718.53,718.53,,,0
CDM,81000008,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,1.91,1.91,,,0
CDM,81000008,MENING ACY&W-135 TETANUS CONJ IM SOLN,572.555,572.555,,,0
CDM,81000008,MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR,975.0,975.0,,,0
CDM,81000008,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY,1320.43,1320.43,,,0
CDM,81000008,MEPERIDINE HCL 25 MG/ML IJ SOLN,90.235,90.235,,,0
CDM,81000008,MEPERIDINE HCL 50 MG/ML IJ SOLN,90.0,90.0,,,0
CDM,81000008,MEPERIDINE VARIABLE DOSE INJ,138.75,138.75,,,0
CDM,81000008,MEPIVACAINE HCL (PF) 1 % IJ SOLN,27.37,27.37,,,0
CDM,81000008,MEROPENEM 1 G IV SOLR,16.15,16.15,,,0
CDM,81000008,"MEROPENEM 1,000 MG/100ML NS (MINIBAG)",16.7,16.7,,,0
CDM,81000008,MEROPENEM 500 MG/50ML NS (MINIBAG),33.9,33.9,,,0
CDM,81000008,MESNA 100 MG/ML IV SOLN,75.0,75.0,,,0
CDM,81000008,METHADONE HCL 10 MG/ML IJ SOLN,102.535,102.535,,,0
CDM,81000008,METHOTREXATE 25MG/ML CHEMO IV SYRINGE (PEDIATRIC) SH,300.0,300.0,,,0
CDM,81000008,METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN,15.35,15.35,,,0
CDM,81000008,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN,293.57,293.57,,,0
CDM,81000008,METHOTREXATE SODIUM 1 G IJ SOLR,33.33,33.33,,,0
CDM,81000008,METHOTREXATE SODIUM 2.5 MG PO TABS,23.17,23.17,,,0
CDM,81000008,METHOTREXATE SODIUM 250 MG/10ML IJ SOLN,300.0,300.0,,,0
CDM,81000008,METHOTREXATE SODIUM 50 MG/2ML IJ SOLN,189.20499999999998,189.20499999999998,,,0
CDM,81000008,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN,235.975,235.975,,,0
CDM,81000008,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP,37.48,37.48,,,0
CDM,81000008,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,2.07,2.07,,,0
CDM,81000008,METHYLPREDNISOLONE NA SUC (PF) 1000 MG IJ SOLR,32.53,32.53,,,0
CDM,81000008,METHYLPREDNISOLONE NA SUC (PF) 125 MG IJ SOLR,36.025000000000006,36.025000000000006,,,0
CDM,81000008,METHYLPREDNISOLONE NA SUC (PF) 40 MG IJ SOLR,56.69,56.69,,,0
CDM,81000008,METHYLPREDNISOLONE NA SUC (PF) 500 MG IJ SOLR,47.550000000000004,47.550000000000004,,,0
CDM,81000008,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR,34.915,34.915,,,0
CDM,81000008,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR,75.0,75.0,,,0
CDM,81000008,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR,2.04,2.04,,,0
CDM,81000008,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,69.25,69.25,,,0
CDM,81000008,METRONIDAZOLE 500 MG/100ML IV SOLN,3.0,3.0,,,0
CDM,81000008,METRONIDAZOLE IN NACL 5-0.79 MG/ML-% IV SOLN,1.5150000000000001,1.5150000000000001,,,0
CDM,81000008,MICAFUNGIN 100MG/100ML NS (MINIBAG),11.0,11.0,,,0
CDM,81000008,MICAFUNGIN 50MG/100ML NS (MINIBAG),12.735,12.735,,,0
CDM,81000008,MICAFUNGIN SODIUM 100 MG IV SOLR,8.35,8.35,,,0
CDM,81000008,MICAFUNGIN SODIUM 100 MG/5ML IV (WET SOLR VIAL),11.22,11.22,,,0
CDM,81000008,MICAFUNGIN SODIUM 50 MG/5ML IV (WET SOLR VIAL),14.59,14.59,,,0
CDM,81000008,MIDAZOLAM HCL 1 MG/ML IJ SOLN - CONSOLIDATED,39.77,39.77,,,0
CDM,81000008,MIDAZOLAM HCL 5 MG/ML IJ SOLN - CONSOLIDATED,10.86,10.86,,,0
CDM,81000008,MIDAZOLAM HCL-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN,1.8,1.8,,,0
CDM,81000008,MIFEPRISTONE 200 MG PO TABS,129.0,129.0,,,0
CDM,81000008,MILRINONE LACTATE 20 MG/20ML IV SOLN,26.25,26.25,,,0
CDM,81000008,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN,33.6,33.6,,,0
CDM,81000008,MIRVETUXIMAB SORAVTANSINE-GYNX 100 MG/20ML IV SOLN,112.91,112.91,,,0
CDM,81000008,MITOMYCIN 5MG IV SOLR CHEMO (PF) FOR OPHTH USE,187.5,187.5,,,0
CDM,81000008,MORPHINE 1MG/ML CADD-SOLIS PCA (PREMIX) SH,104.98,104.98,,,0
CDM,81000008,MORPHINE 1MG/ML IV PCA (PREMIX) SH,101.58,101.58,,,0
CDM,81000008,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN,102.77,102.77,,,0
CDM,81000008,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN,92.19,92.19,,,0
CDM,81000008,MORPHINE SULFATE (PF) 10 MG/ML IJ SOLN,46.88,46.88,,,0
CDM,81000008,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN,90.0,90.0,,,0
CDM,81000008,MORPHINE SULFATE (PF) 2 MG/ML IJ SOLN,90.0,90.0,,,0
CDM,81000008,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,89.715,89.715,,,0
CDM,81000008,MORPHINE SULFATE (PF) 4 MG/ML IJ SOLN,86.72,86.72,,,0
CDM,81000008,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,90.0,90.0,,,0
CDM,81000008,MORPHINE SULFATE 10 MG/ML IV SOLN,52.79,52.79,,,0
CDM,81000008,MORPHINE SULFATE 2 MG/ML IJ SOLN,90.0,90.0,,,0
CDM,81000008,MORPHINE SULFATE 4 MG/ML IJ SOLN,90.0,90.0,,,0
CDM,81000008,MORPHINE SULFATE 4 MG/ML IV SOLN,88.53999999999999,88.53999999999999,,,0
CDM,81000008,MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN,11.92,11.92,,,0
CDM,81000008,MORPHINE SULFATE-NACL 150-0.9 MG/30ML-% IV SOSY,9.25,9.25,,,0
CDM,81000008,MORPHINE VARIABLE DOSE INJ,80.53999999999999,80.53999999999999,,,0
CDM,81000008,MOXIFLOXACIN HCL 0.3 MG/0.3ML IO SOSY,234.94,234.94,,,0
CDM,81000008,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,40.73,40.73,,,0
CDM,81000008,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,17.66,17.66,,,0
CDM,81000008,MYCOPHENOLATE MOFETIL 500 MG PO TABS,20.99,20.99,,,0
CDM,81000008,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,9.83,9.83,,,0
CDM,81000008,MYCOPHENOLATE SODIUM 180 MG PO TBEC,27.28,27.28,,,0
CDM,81000008,MYCOPHENOLATE SODIUM 360 MG PO TBEC,24.7,24.7,,,0
CDM,81000008,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,48.91,48.91,,,0
CDM,81000008,NACL 0.45% WITH KCL 20 MEQ 1000 ML,7.835,7.835,,,0
CDM,81000008,NACL 0.9% WITH KCL 20 MEQ 1000 ML,8.55,8.55,,,0
CDM,81000008,NALBUPHINE HCL 10 MG/ML IJ SOLN,75.0,75.0,,,0
CDM,81000008,NALOXONE HCL 0.4 MG/ML IJ SOLN,132.97,132.97,,,0
CDM,81000008,NALOXONE HCL 2 MG/2ML IJ SOSY,121.54,121.54,,,0
CDM,81000008,NALOXONE HCL 4 MG/10ML IJ SOLN,178.11,178.11,,,0
CDM,81000008,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,13.38,13.38,,,0
CDM,81000008,NICARDIPINE 2.5 MG/ML INTERVENTIONAL INJ SOLN,5.11,5.11,,,0
CDM,81000008,NICARDIPINE HCL IN NACL 40-0.83 MG/200ML-% IV SOLN,2.705,2.705,,,0
CDM,81000008,NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY,2500.0,2500.0,,,0
CDM,81000008,NITROGLYCERIN 100MCG/ML INJ,56.25,56.25,,,0
CDM,81000008,NITROGLYCERIN 200MCG/ML INJ SH,18.9,18.9,,,0
CDM,81000008,NITROGLYCERIN 5 MG/ML IV SOLN,41.225,41.225,,,0
CDM,81000008,NIVOLUMAB 240 MG/24ML IV SOLN,57.625,57.625,,,0
CDM,81000008,NIVOLUMAB 40 MG/4ML IV SOLN,128.42,128.42,,,0
CDM,81000008,NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN,326.47,326.47,,,0
CDM,81000008,NOREPINEPHRINE 8MG/250ML D5W SH (NON-WT BASED DOSING),90.82499999999999,90.82499999999999,,,0
CDM,81000008,NOREPINEPHRINE 8MG/250ML NS SH (NON-WT BASED DOSING),322.475,322.475,,,0
CDM,81000008,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN,139.7,139.7,,,0
CDM,81000008,NUSINERSEN 12 MG/5ML IT SOLN,1604.89,1604.89,,,0
CDM,81000008,OBINUTUZUMAB 1000 MG/40ML IV SOLN,170.18,170.18,,,0
CDM,81000008,OLANZAPINE 10 MG IM SOLR,17.05,17.05,,,0
CDM,81000008,ONABOTULINUMTOXINA 100 UNITS IJ SOLR,29.875,29.875,,,0
CDM,81000008,ONDANSETRON HCL 4 MG/2ML IJ SOLN,17.015,17.015,,,0
CDM,81000008,ONDANSETRON HCL 40 MG/20ML IJ SOLN,4.66,4.66,,,0
CDM,81000008,OXALIPLATIN 5 MG/ML IV SOLN - CONSOLIDATED,3.77,3.77,,,0
CDM,81000008,OXYTOCIN 10 UNIT/ML IJ SOLN,31.25,31.25,,,0
CDM,81000008,OXYTOCIN 30 UNITS/500 ML LACTATED RINGERS IV DRIP FOR INDUCTION (PREMIX) SH,207.62,207.62,,,0
CDM,81000008,OXYTOCIN-LACTATED RINGERS 30 UNIT/500ML IV SOLN,70.23,70.23,,,0
CDM,81000008,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,2.48,2.48,,,0
CDM,81000008,PACLITAXEL PROTEIN-BOUND PART 100 MG IV SUSR,57.45,57.45,,,0
CDM,81000008,PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY,44.87,44.87,,,0
CDM,81000008,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,126.03999999999999,126.03999999999999,,,0
CDM,81000008,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,159.965,159.965,,,0
CDM,81000008,PANITUMUMAB 100 MG/5ML IV SOLN,347.04999999999995,347.04999999999995,,,0
CDM,81000008,PANTOPRAZOLE SODIUM 40 MG IV SOLR,74.22,74.22,,,0
CDM,81000008,PARAGARD INTRAUTERINE COPPER IU IUD,4245.6,4245.6,,,0
CDM,81000008,PEGFILGRASTIM 6 MG/0.6ML SC PSKT,1097.07,1097.07,,,0
CDM,81000008,PEGFILGRASTIM 6 MG/0.6ML SC SOSY,1123.15,1123.15,,,0
CDM,81000008,PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOAJ,1078.7,1078.7,,,0
CDM,81000008,PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY,929.7850000000001,929.7850000000001,,,0
CDM,81000008,PEGFILGRASTIM-JMDB 6 MG/0.6ML SC SOSY,760.665,760.665,,,0
CDM,81000008,PEMBROLIZUMAB 100 MG/4ML IV SOLN,79.15,79.15,,,0
CDM,81000008,PEMETREXED DISODIUM 100 MG IV SOLR,23.4,23.4,,,0
CDM,81000008,PEMETREXED DISODIUM 500 MG/20ML IV (WET SOLR VIAL),23.35,23.35,,,0
CDM,81000008,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY,111.01,111.01,,,0
CDM,81000008,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY,112.925,112.925,,,0
CDM,81000008,PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSY,97.73,97.73,,,0
CDM,81000008,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR,12.21,12.21,,,0
CDM,81000008,PENICILLIN G POTASSIUM 5 MU/10ML IJ (WET SOLR VIAL),12.7,12.7,,,0
CDM,81000008,PENICILLIN G POTASSIUM 5000000 UNITS IJ SOLR,23.295,23.295,,,0
CDM,81000008,PENTAMIDINE ISETHIONATE 300 MG IN SOLR,571.155,571.155,,,0
CDM,81000008,PERAMIVIR 200 MG/20ML IV SOLN,8.620000000000001,8.620000000000001,,,0
CDM,81000008,PERTUZ-TRASTUZ-HYALURON-ZZXF 60-60-2000 MG-MG-U/ML SC SOLN,127.9,127.9,,,0
CDM,81000008,PERTUZUMAB 420 MG/14ML IV SOLN,30.41,30.41,,,0
CDM,81000008,PHENOBARBITAL 65MG/ML INJ (PEDIATRIC) SH,101.3,101.3,,,0
CDM,81000008,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,144.61,144.61,,,0
CDM,81000008,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN,114.235,114.235,,,0
CDM,81000008,PHENTOLAMINE MESYLATE 5 MG IJ SOLR,2257.52,2257.52,,,0
CDM,81000008,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,1.88,1.88,,,0
CDM,81000008,PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY,4.795,4.795,,,0
CDM,81000008,PHENYLEPHRINE HCL-NACL 50-0.9 MG/250ML-% IV SOLN,0.17,0.17,,,0
CDM,81000008,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,8.364999999999998,8.364999999999998,,,0
CDM,81000008,PHYTONADIONE 1 MG/0.5ML IJ SOLN,206.66,206.66,,,0
CDM,81000008,PHYTONADIONE 10 MG/ML IJ SOLN,38.23,38.23,,,0
CDM,81000008,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR,34.84,34.84,,,0
CDM,81000008,PIPERACILLIN-TAZOBACTAM IN DEX 3-0.375 GM/50ML IV SOLN,5.92,5.92,,,0
CDM,81000008,PIPERACILLIN/TAZOBACTAM 2.25 GM/100ML NS (MINIBAG),40.29,40.29,,,0
CDM,81000008,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),32.23,32.23,,,0
CDM,81000008,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),38.019999999999996,38.019999999999996,,,0
CDM,81000008,PNEUMOCOCCAL 15-VAL CONJ VACC 0.5 ML IM SUSY,1334.53,1334.53,,,0
CDM,81000008,PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY,1613.32,1613.32,,,0
CDM,81000008,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ INJ,913.25,913.25,,,0
CDM,81000008,POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR,148.37,148.37,,,0
CDM,81000008,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,14.969999999999999,14.969999999999999,,,0
CDM,81000008,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,9.39,9.39,,,0
CDM,81000008,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,7.5,7.5,,,0
CDM,81000008,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN,3.41,3.41,,,0
CDM,81000008,PREDNISONE 1 MG PO TABS,5.83,5.83,,,0
CDM,81000008,PREDNISONE 10 MG PO TABS,1.46,1.46,,,0
CDM,81000008,PREDNISONE 2.5 MG PO TABS,4.51,4.51,,,0
CDM,81000008,PREDNISONE 20 MG PO TABS,0.385,0.385,,,0
CDM,81000008,PREDNISONE 5 MG PO TABS,2.79,2.79,,,0
CDM,81000008,PREDNISONE 5 MG/5ML PO SOLN,4.43,4.43,,,0
CDM,81000008,PREDNISONE 5 MG/ML PO CONC,25.06,25.06,,,0
CDM,81000008,PREDNISONE 50 MG PO TABS,0.17,0.17,,,0
CDM,81000008,PROCAINAMIDE HCL 100 MG/ML IJ SOLN,718.0899999999999,718.0899999999999,,,0
CDM,81000008,PROCAINAMIDE HCL 500 MG/ML IJ SOLN,2700.0,2700.0,,,0
CDM,81000008,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,75.43,75.43,,,0
CDM,81000008,PROPOFOL 10 MG/ML INJ (PEDIATRIC) SH,25.0,25.0,,,0
CDM,81000008,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,2.51,2.51,,,0
CDM,81000008,PROPOFOL 200 MG/20ML IV EMUL,6.82,6.82,,,0
CDM,81000008,PROPRANOLOL HCL 1 MG/ML IV SOLN,75.0,75.0,,,0
CDM,81000008,PROTAMINE SULFATE 10 MG/ML IV SOLN,15.45,15.45,,,0
CDM,81000008,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT,8.254999999999999,8.254999999999999,,,0
CDM,81000008,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT,8.31,8.31,,,0
CDM,81000008,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN,1184.69,1184.69,,,0
CDM,81000008,RABIES IMMUNE GLOBULIN 300 UNIT/ML IJ SOLN,210.04,210.04,,,0
CDM,81000008,"RABIES VACCINE, PCEC IM SUSR",2469.81,2469.81,,,0
CDM,81000008,RAMUCIRUMAB 100 MG/10ML IV SOLN,150.0,150.0,,,0
CDM,81000008,RAMUCIRUMAB 500 MG/50ML IV SOLN,140.65,140.65,,,0
CDM,81000008,RASBURICASE 1.5 MG/ML IV (WET SOLR VIAL),1562.93,1562.93,,,0
CDM,81000008,RAVULIZUMAB-CWVZ 1100 MG/11ML IV SOLN,311.28,311.28,,,0
CDM,81000008,RAVULIZUMAB-CWVZ 300 MG/3ML IV SOLN,354.015,354.015,,,0
CDM,81000008,REGADENOSON 0.4 MG/5ML IV SOLN,204.75,204.75,,,0
CDM,81000008,REMDESIVIR 100 MG IV SOLR,24.985,24.985,,,0
CDM,81000008,REMDESIVIR 100 MG/20ML IV (WET SOLR VIAL),28.78,28.78,,,0
CDM,81000008,RHO D IMMUNE GLOBULIN 1500 UNITS IM SOSY,646.1,646.1,,,0
CDM,81000008,RHO D IMMUNE GLOBULIN 2500 UNIT/2.2ML IJ SOLN,173.82,173.82,,,0
CDM,81000008,RITUXIMAB 100 MG/10ML IV SOLN,167.05,167.05,,,0
CDM,81000008,RITUXIMAB 500 MG/50ML IV SOLN,270.0,270.0,,,0
CDM,81000008,RITUXIMAB-ABBS 100 MG/10ML IV SOLN,375.0,375.0,,,0
CDM,81000008,RITUXIMAB-ABBS 500 MG/50ML IV SOLN,225.0,225.0,,,0
CDM,81000008,RITUXIMAB-PVVR 100 MG/10ML IV SOLN,337.04999999999995,337.04999999999995,,,0
CDM,81000008,RITUXIMAB-PVVR 500 MG/50ML IV SOLN,200.67,200.67,,,0
CDM,81000008,ROCURONIUM BROMIDE 10 MG/ML IV SOLN - CONSOLIDATED,75.0,75.0,,,0
CDM,81000008,ROCURONIUM BROMIDE 50 MG/5ML IV SOSY,75.0,75.0,,,0
CDM,81000008,ROMIPLOSTIM 125 MCG SC SOLR,457.92,457.92,,,0
CDM,81000008,ROMIPLOSTIM 250 MCG SC SOLR,269.63,269.63,,,0
CDM,81000008,RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR,1770.0,1770.0,,,0
CDM,81000008,SACITUZUMAB GOVITECAN-HZIY 180 MG/18ML IV (WET SOLR VIAL),80.845,80.845,,,0
CDM,81000008,SINCALIDE 5 MCG IJ SOLR,356.37,356.37,,,0
CDM,81000008,SIPULEUCEL-T 50000000 CELLS IV SUSP,112500.0,112500.0,,,0
CDM,81000008,SIROLIMUS 0.5 MG PO TABS,65.44,65.44,,,0
CDM,81000008,SIROLIMUS 1 MG PO TABS,81.99000000000001,81.99000000000001,,,0
CDM,81000008,SIROLIMUS 1 MG/ML PO SOLN,157.9,157.9,,,0
CDM,81000008,SODIUM THIOSULFATE 250 MG/ML IV SOLN,6.03,6.03,,,0
CDM,81000008,STUDY RX: INVESTIGATIONAL PACLITAXEL PROTEIN-BOUND 100MG IV SUSR,65.08500000000001,65.08500000000001,,,0
CDM,81000008,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,15.68,15.68,,,0
CDM,81000008,SULFUR HEXAFLUORIDE MICROSPH 60.7-25 MG IJ SUSR,76.39,76.39,,,0
CDM,81000008,SUTIMLIMAB-JOME 1100 MG/22ML IV SOLN,30.76,30.76,,,0
CDM,81000008,TACROLIMUS 0.5 MG PO CAPS,15.07,15.07,,,0
CDM,81000008,TACROLIMUS 1 MG PO CAPS,22.19,22.19,,,0
CDM,81000008,TACROLIMUS 5 MG PO CAPS,17.06,17.06,,,0
CDM,81000008,TACROLIMUS 5 MG/ML IV SOLN,119.59,119.59,,,0
CDM,81000008,TACROLIMUS ER 0.75 MG PO TB24,8.95,8.95,,,0
CDM,81000008,TACROLIMUS ER 1 MG PO TB24,7.44,7.44,,,0
CDM,81000008,TACROLIMUS ER 4 MG PO TB24,6.11,6.11,,,0
CDM,81000008,TBO-FILGRASTIM 300 MCG/0.5ML SC SOSY,5.0,5.0,,,0
CDM,81000008,TEBENTAFUSP-TEBN 100 MCG/0.5ML IV SOLN,364.02,364.02,,,0
CDM,81000008,TEMOZOLOMIDE 140 MG PO CAPS,40.76,40.76,,,0
CDM,81000008,TEMSIROLIMUS 25 MG/ML IV SOLN,336.05,336.05,,,0
CDM,81000008,TENECTEPLASE 50MG/10ML INJ (FOR STROKE) SH,473.615,473.615,,,0
CDM,81000008,TEPROTUMUMAB-TRBW 500 MG IV SOLR,521.38,521.38,,,0
CDM,81000008,TERBUTALINE SULFATE 1 MG/ML IJ SOLN,74.075,74.075,,,0
CDM,81000008,TERLIPRESSIN ACETATE 0.85 MG IV SOLR,4560.0,4560.0,,,0
CDM,81000008,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY,2337.0,2337.0,,,0
CDM,81000008,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP,368.66499999999996,368.66499999999996,,,0
CDM,81000008,THIAMINE HCL 100 MG/ML IJ SOLN,45.11,45.11,,,0
CDM,81000008,THYROTROPIN ALFA 0.9 MG IM SOLR,5631.82,5631.82,,,0
CDM,81000008,TOBRAMYCIN 15MG/ML ARTIFICIAL TEARS OPHTH SOLN *COMPOUNDED* SH,65.0,65.0,,,0
CDM,81000008,TOBRAMYCIN 300 MG/5ML IN NEBU,424.08,424.08,,,0
CDM,81000008,TOBRAMYCIN SULFATE 1.2 G IJ SOLR,43.42,43.42,,,0
CDM,81000008,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN,47.83,47.83,,,0
CDM,81000008,TOBRAMYCIN SULFATE 40 MG/ML IJ SOLN - CONSOLIDATED,40.644999999999996,40.644999999999996,,,0
CDM,81000008,TOCILIZUMAB 20 MG/ML IV SOLN - CONSOLIDATED,26.95,26.95,,,0
CDM,81000008,TOPOTECAN HCL 4 MG IV SOLR,58.22,58.22,,,0
CDM,81000008,TOPOTECAN HCL 4 MG/4ML IV SOLN,13.48,13.48,,,0
CDM,81000008,TRANEXAMIC ACID 1000MG/10ML TOPICAL SOLN SH,52.55,52.55,,,0
CDM,81000008,TRANEXAMIC ACID-NACL 1000-0.7 MG/100ML-% IV SOLN,174.91,174.91,,,0
CDM,81000008,TRASTUZUMAB 150 MG IV SOLR,279.51,279.51,,,0
CDM,81000008,TRASTUZUMAB-ANNS 150 MG IV SOLR,374.48,374.48,,,0
CDM,81000008,TRASTUZUMAB-ANNS 420 MG IV SOLR,341.69,341.69,,,0
CDM,81000008,TRASTUZUMAB-ANNS 420 MG/20ML IV (WET SOLR VIAL),332.31,332.31,,,0
CDM,81000008,TRASTUZUMAB-DKST 150 MG IV SOLR,261.15,261.15,,,0
CDM,81000008,TRASTUZUMAB-QYYP 150 MG/7.15ML IV (WET SOLR VIAL),284.52,284.52,,,0
CDM,81000008,TRASTUZUMAB-QYYP 420 MG IV SOLR,287.2,287.2,,,0
CDM,81000008,TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN,234.0,234.0,,,0
CDM,81000008,TRIAMCINOLONE ACETONIDE 10 MG/ML IJ SUSP,75.0,75.0,,,0
CDM,81000008,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,19.759999999999998,19.759999999999998,,,0
CDM,81000008,TRIAMCINOLONE ACETONIDE 40 MG/ML IO SUSP,113.28,113.28,,,0
CDM,81000008,TRIPTORELIN PAMOATE 3.75 MG IM SUSR,5200.0,5200.0,,,0
CDM,81000008,TRYPAN BLUE 0.06 % IO SOSY,283.65,283.65,,,0
CDM,81000008,TRYPAN BLUE 0.15 % IO SOSY,695.52,695.52,,,0
CDM,81000008,VALPROATE SODIUM 100 MG/ML IV SOLN,57.15,57.15,,,0
CDM,81000008,"VANCOMYCIN 1,000MG/250ML 0.9% NACL (VIAL-MATE)",62.61,62.61,,,0
CDM,81000008,VANCOMYCIN 1250MG/250ML 0.9% NACL (VIAL-MATE),56.28,56.28,,,0
CDM,81000008,VANCOMYCIN 1500MG/250ML 0.9% NACL (VIAL-MATE),67.81,67.81,,,0
CDM,81000008,VANCOMYCIN 1MG/0.1ML NS INTRAVITREAL SOLN *COMPOUNDED* SH,30.0,30.0,,,0
CDM,81000008,VANCOMYCIN 25MG/ML BSS OPHTH SOLN *COMPOUND* SH,30.0,30.0,,,0
CDM,81000008,VANCOMYCIN 33MG/ML FORTIFIED OPHTH SOLN *COMPOUNDED* SH,30.0,30.0,,,0
CDM,81000008,VANCOMYCIN 5 MG/ML IV SYRINGE (PEDIATRIC) SH,103.04,103.04,,,0
CDM,81000008,VANCOMYCIN 500 MG/100ML NS (MINIBAG),71.83,71.83,,,0
CDM,81000008,VANCOMYCIN 750MG/250ML NS (VIAL-MATE),41.335,41.335,,,0
CDM,81000008,VANCOMYCIN HCL 1 G IV SOLR,64.13,64.13,,,0
CDM,81000008,VANCOMYCIN HCL 5 G IV SOLR,75.0,75.0,,,0
CDM,81000008,VANCOMYCIN HCL IN DEXTROSE 750-5 MG/150ML-% IV SOLN,49.585,49.585,,,0
CDM,81000008,VANCOMYCIN HCL IN NACL 1.25-0.9 GM/250ML-% IV SOLN,61.83,61.83,,,0
CDM,81000008,VARICELLA-ZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN,7857.24,7857.24,,,0
CDM,81000008,VASOPRESSIN 0.2 UNIT/ML IV SOLN,62.495000000000005,62.495000000000005,,,0
CDM,81000008,VASOPRESSIN 20 UNIT/ML IJ SOLN (IO),24.25,24.25,,,0
CDM,81000008,VASOPRESSIN 20 UNIT/ML IV SOLN,28.675,28.675,,,0
CDM,81000008,VASOPRESSIN-SODIUM CHLORIDE 20-0.9 UT/100ML-% IV SOLN,29.25,29.25,,,0
CDM,81000008,VEDOLIZUMAB 300 MG/5ML IV (WET SOLR VIAL),52.0,52.0,,,0
CDM,81000008,VINBLASTINE SULFATE 1 MG/ML IV SOLN,41.82,41.82,,,0
CDM,81000008,VINCRISTINE SULFATE 1 MG/ML IV SOLN,152.95,152.95,,,0
CDM,81000008,VINORELBINE TARTRATE 10 MG/ML IV SOLN,7.39,7.39,,,0
CDM,81000008,VORICONAZOLE 200 MG IV SOLR,48.75,48.75,,,0
CDM,81000008,VORICONAZOLE 200 MG/20ML IV (WET SOLR VIAL),41.61,41.61,,,0
CDM,81000008,ZIPRASIDONE MESYLATE 20 MG IM SOLR,171.5,171.5,,,0
CDM,81000008,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,243.75,243.75,,,0
CDM,81000008,ZOLEDRONIC ACID 4 MG/5ML IV CONC,128.97,128.97,,,0
CDM,81000008,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,420.0,420.0,,,0
CDM,81000008,ZZ CEFTRIAXONE (ROCEPHIN) 1 GM (MINIBAG),74.75,74.75,,,0
CDM,81000009,ABATACEPT 250 MG/10 ML IV (WET SOLR VIAL),150.0,150.0,,,0
CDM,81000009,ALPROSTADIL 500 MCG/ML IJ SOLN,2.85,2.85,,,0
CDM,81000009,ANAKINRA 100 MG/0.67ML SC SOSY,990.875,990.875,,,0
CDM,81000009,CALCITONIN (SALMON) 200 UNIT/ACT NA SOLN,474.16,474.16,,,0
CDM,81000009,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN,6379.52,6379.52,,,0
CDM,81000009,EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS,261.69,261.69,,,0
CDM,81000009,EMTRICITABINE-TENOFOVIR DF 200-300 MG PO TABS,15.0,15.0,,,0
CDM,81000009,INSULIN GLARGINE 100 UNIT/ML SC SOLN,3.7800000000000002,3.7800000000000002,,,0
CDM,81000009,INSULIN LISPRO 100 UNIT/ML IJ SOLN,8.21,8.21,,,0
CDM,81000009,INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP,3.165,3.165,,,0
CDM,81000009,INSULIN REG HUMAN 100 UNITS/100ML NS IV DRIP GEN MED (PREMIX) SH,0.5,0.5,,,0
CDM,81000009,INSULIN REGULAR HUMAN 100 UNIT/ML IJ SOLN,6.01,6.01,,,0
CDM,81000009,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SC SOLN,8.24,8.24,,,0
CDM,81000009,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN,21.03,21.03,,,0
CDM,81000009,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN,31.035,31.035,,,0
CDM,81000009,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN,15.48,15.48,,,0
CDM,81000009,PAPAVERINE HCL 30 MG/ML IJ SOLN,305.99,305.99,,,0
CDM,81000009,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,100.8,100.8,,,0
CDM,81000010,HCHG SEVOFLURANE,74.0,74.0,,,0
CDM,81000011,HCHG DESFLURANE,65.0,65.0,,,0
CDM,81000012,HCHG ISOFLURANE,13.0,13.0,,,0
CDM,81000013,ALBUTEROL SULFATE (5 MG/ML) 0.5% IN NEBU,2.445,2.445,,,0
CDM,81000013,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,14.8,14.8,,,0
CDM,81000084,ANASTROZOLE 1 MG PO TABS,63.86,63.86,,,0
CDM,81000084,CALCITRIOL 0.25 MCG PO CAPS,13.775,13.775,,,0
CDM,81000084,CALCITRIOL 0.5 MCG PO CAPS,15.0,15.0,,,0
CDM,81000084,CINACALCET HCL 30 MG PO TABS,49.285,49.285,,,0
CDM,81000084,CINACALCET HCL 60 MG PO TABS,183.92,183.92,,,0
CDM,81000084,COLISTIMETHATE SODIUM (CBA) 150 MG/2ML IJ (WET SOLR VIAL),59.529999999999994,59.529999999999994,,,0
CDM,81000084,EXEMESTANE 25 MG PO TABS,131.5,131.5,,,0
CDM,81000084,FINASTERIDE 5 MG PO TABS,17.12,17.12,,,0
CDM,81000084,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU,10.545,10.545,,,0
CDM,81000084,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU,9.870000000000001,9.870000000000001,,,0
CDM,81000084,LEVOCARNITINE 200 MG/ML IV SOLN,196.9,196.9,,,0
CDM,81000084,MEGESTROL ACETATE 20 MG PO TABS,40.0,40.0,,,0
CDM,81000084,MEGESTROL ACETATE 40 MG PO TABS,21.05,21.05,,,0
CDM,81000084,MEGESTROL ACETATE 40 MG/ML PO SUSP,23.455,23.455,,,0
CDM,81000084,MERCAPTOPURINE 50 MG PO TABS,43.275,43.275,,,0
CDM,81000084,METHADONE HCL 10 MG PO TABS,8.68,8.68,,,0
CDM,81000084,METHADONE HCL 5 MG PO TABS,35.075,35.075,,,0
CDM,81000084,SILDENAFIL CITRATE 20 MG PO TABS,78.875,78.875,,,0
CDM,81000084,TAMOXIFEN CITRATE 20 MG PO TABS,30.0,30.0,,,0
CDM,81000091,NEONATAL STARTER TPN AA3.5%-DEX10 WITH HEPARIN,1000.0,1000.0,,,0
CDM,81000091,TPN ADULT CPMC,1000.0,1000.0,,,0
CDM,81000091,TPN NEONATAL CPMC,1000.0,1000.0,,,0
CDM,81000092,BELZER UW SOLN,1160.0,1160.0,,,0
CDM,81000092,BSS IO SOLN,181.65,181.65,,,0
CDM,81000092,BSS PLUS IO SOLN,379.725,379.725,,,0
CDM,81000092,D20W COMPOUNDING - NON TPN IV SOLN SH,75.0,75.0,,,0
CDM,81000092,D50W COMPOUNDING - NON TPN IV SOLN SH,50.0,50.0,,,0
CDM,81000092,D50W IV SOLN PRELOAD SYRINGE,71.58,71.58,,,0
CDM,81000092,D50W IV SOLN PRELOAD SYRINGE (IO),75.0,75.0,,,0
CDM,81000092,DEL NIDO CARDIOPLEGIA WITH LIDOCAINE SOLN (PREMIX),342.4,342.4,,,0
CDM,81000092,HEPARIN (PORCINE) 2 UNITS/ML 0.9% NACL LINE PATENCY DRIP (PREMIX) SH,70.38,70.38,,,0
CDM,81000092,HEPARIN (PORCINE) IN NACL 2000-0.9 UNIT/L-% IV SOLN,62.7,62.7,,,0
CDM,81000092,HETASTARCH-NACL 6-0.9 % IV SOLN,149.5,149.5,,,0
CDM,81000092,LACTATED RINGERS IR SOLN,73.63499999999999,73.63499999999999,,,0
CDM,81000092,NACL 0.9% IR SOLN,71.41499999999999,71.41499999999999,,,0
CDM,81000092,NACL 3% IV CONTINUOUS INFUSION,74.23,74.23,,,0
CDM,81000092,NORMOSOL-R IV SOLN,71.59,71.59,,,0
CDM,81000092,NORMOSOL-R PH 7.4 IV SOLN,55.0,55.0,,,0
CDM,81000092,STERILE WATER FOR IRRIGATION IR SOLN,52.015,52.015,,,0
CDM,81000094,DIATRIZOATE MEGLUMINE 18 % UR SOLN,0.37,0.37,,,0
CDM,81000094,DIATRIZOATE MEGLUMINE 30 % UR SOLN,0.55,0.55,,,0
CDM,81000094,GADOBUTROL 1 MMOL/ML IV SOLN,2.795,2.795,,,0
CDM,81000094,GADOBUTROL 10 MMOL/10ML IV SOSY,2.99,2.99,,,0
CDM,81000094,GADOPENTETATE DIMEGLUMINE 469.01 MG/ML IV SOLN,14.45,14.45,,,0
CDM,81000094,IODIXANOL 320 MG/ML IV SOLN,3.45,3.45,,,0
CDM,81000094,IOHEXOL 180 MG/ML IJ SOLN,11.105,11.105,,,0
CDM,81000094,IOHEXOL 240 MG/ML IJ SOLN,8.875,8.875,,,0
CDM,81000094,IOHEXOL 300 MG/ML IJ SOLN,3.23,3.23,,,0
CDM,81000094,IOHEXOL 350 MG/ML IV SOLN,3.245,3.245,,,0
CDM,81000094,IOPAMIDOL 61 % IV SOLN,3.27,3.27,,,0
CDM,81000094,IOPAMIDOL 76 % IV SOLN,3.365,3.365,,,0
CDM,81000094,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,408.07,408.07,,,0
CDM,81000094,PERFLUTREN PROTEIN A MICROSPH IV SUSP,141.48000000000002,141.48000000000002,,,0
CDM,82000000,D5W - NACL 0.45% IV SOLN,36.95,36.95,,,0
CDM,82000000,D5W - NACL 0.9% IV SOLN,56.25,56.25,,,0
CDM,82000000,D5W IV SOLN,71.185,71.185,,,0
CDM,82000000,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN,64.29,64.29,,,0
CDM,82000000,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,36.79,36.79,,,0
CDM,82000000,LACTATED RINGERS IV SOLN,73.32499999999999,73.32499999999999,,,0
CDM,82000000,NACL 0.9% BOLUS IV SOLN CUSTOM CREATE,67.66,67.66,,,0
CDM,82000000,NACL 0.9% FLUSH IJ SOLN RADIOLOGY SH,73.0,73.0,,,0
CDM,82000000,NACL 0.9% IV SOLN,71.1,71.1,,,0
CDM,82000000,NACL 0.9% IV SOLN FOR LINE FLUSH OR PRIME TKO,53.815,53.815,,,0
CDM,82000001,D10W - NACL 0.45% IV SOLN,72.32,72.32,,,0
CDM,82000001,D10W IV SOLN,74.28999999999999,74.28999999999999,,,0
CDM,82000001,D10W NEO IV SOLN,73.74,73.74,,,0
CDM,82000001,D20W COMPOUNDING - NON TPN IV SOLN SH,75.0,75.0,,,0
CDM,82000001,D50W COMPOUNDING - NON TPN IV SOLN SH,49.2,49.2,,,0
CDM,82000001,D50W IV SOLN PRELOAD SYRINGE,45.31,45.31,,,0
CDM,82000001,D5W - NACL 0.45% IV SOLN,75.0,75.0,,,0
CDM,82000001,D70W IV SOLN,74.35499999999999,74.35499999999999,,,0
CDM,82000001,NACL 0.45% IV SOLN,74.93,74.93,,,0
CDM,82000001,NACL 0.9% FLUSH IJ SOLN RADIOLOGY SH,72.9,72.9,,,0
CDM,82000001,NACL 0.9% FLUSH IV SOLN CONSOLIDATED,75.0,75.0,,,0
CDM,82000001,NACL 0.9% IV SOLN FOR LINE FLUSH OR PRIME TKO,40.18,40.18,,,0
CDM,82000001,NACL 23.4 % IV SOLN (HYPERTONIC) SH,75.0,75.0,,,0
CDM,82000001,NACL 3% IV CONTINUOUS INFUSION,74.48,74.48,,,0
CDM,82000001,NACL NEO/PED BOLUS SOLN CUSTOM CREATE,75.0,75.0,,,0
CDM,82000001,PLASMA-LYTE A IV SOLN,115.17500000000001,115.17500000000001,,,0
CDM,82000001,SODIUM CHLORIDE 4 MEQ/ML ORAL SOLUTION,75.0,75.0,,,0
CDM,82000002,D5W - LACTATED RINGERS IV SOLN,72.285,72.285,,,0
CDM,83200003,HCHG VAC COVID-19 ASTRZNC SARSCOV2 5X1010VP/.5MLIM,0.01,0.01,,,0
CDM,87000382,HCHG RHC IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPNT,101.0,101.0,,,0
CDM,87200007,HCHG OPHTHALMIC EXAM NEW PT INTERMEDIATE,294.0,294.0,,,0
CDM,87200008,HCHG OPHTHALMIC EXAM NEW PT COMPREHENSIVE,340.0,340.0,,,0
CDM,87200009,HCHG OPHTHALMIC EXAM EST PT INTERMEDIATE,296.0,296.0,,,0
CDM,87200010,HCHG OPHTHALMIC EXAM EST PT COMPREHENSIVE,286.0,286.0,,,0
CDM,87200012,"HCHG VISUAL FIELD EXAM WITH INTERPRETATION AND REPORT,",615.0,615.0,,,0
CDM,87200017,HCHG INDOCYANINE GREEN ANGIOGRAPHY BI,985.0,985.0,,,0
CDM,87200018,HCHG FUNDUS PHOTOGRAPHY,592.0,592.0,,,0
CDM,87200019,HCHG OCULOGRAPHY ELECTIVE,1179.0,1179.0,,,0
CDM,87200021,HCHG COLOR VISION EXAM EXTENDED,407.0,407.0,,,0
CDM,87200023,HCHG SLIT LAMP PROCEDURE,622.0,622.0,,,0
CDM,87200024,HCHG ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY,537.0,537.0,,,0
CDM,87200026,HCHG TOPOGRAPHY CORNEAL,394.0,394.0,,,0
CDM,87200035,HCHG MEDICAL NUTRITION THERAPY ASSESSMENT AND INTERVENT,149.0,149.0,,,0
CDM,87200036,HCHG MEDICAL NUTRITION THERAPY REASSESSMENT AND INTERVE,145.0,145.0,,,0
CDM,87200049,HCHG CLINIC LEVEL 1,278.0,278.0,,,0
CDM,87200050,HCHG UC CLINIC LEVEL 1,278.0,278.0,,,0
CDM,87200051,HCHG CLINIC LEVEL 2,355.0,355.0,,,0
CDM,87200052,HCHG UC CLINIC LEVEL 2,355.0,355.0,,,0
CDM,87200053,HCHG CLINIC LEVEL 3,409.0,409.0,,,0
CDM,87200055,HCHG CLINIC LEVEL 4,470.0,470.0,,,0
CDM,87200057,HCHG CLINIC LEVEL 5,540.0,540.0,,,0
CDM,87200071,HCHG DIABETES SELF MANAGEMENT TRAINING INDIVIDUAL EA 30 MIN,219.0,219.0,,,0
CDM,87200073,HCHG INITIAL IMMUNIZATION ADMINISTRATION,204.0,204.0,,,0
CDM,87200074,HCHG EACH ADDITIONAL IMMUNIZATION ADMINISTRATION,150.0,150.0,,,0
CDM,87200076,HCHG CONTINUOUS GLUCOSE MONITORING UP TO 72 HR,940.0,940.0,,,0
CDM,87200078,HCHG SELF MANAGEMENT EDUCATION 1 PATIENT 30 MIN,220.0,220.0,,,0
CDM,87200081,HCHG INFLUENZA VACCINE ADMINSTRATION,193.0,193.0,,,0
CDM,87200082,HCHG PNEUMOCOCCAL VACCINE ADMINISTRATION,181.0,181.0,,,0
CDM,87200083,HCHG HEPATITIS VACCINE ADMINISTRATION,147.0,147.0,,,0
CDM,87200084,HCHG DIABETES SELF MANAGEMENT TRAINING GROUP EA 30 MIN,96.0,96.0,,,0
CDM,87200094,HCHG CCS CENTER COORDINATOR REPORT,176.0,176.0,,,0
CDM,87200096,HCHG CCS ASSESS RN SPECIAL 30M,108.0,108.0,,,0
CDM,87200097,HCHG CCS RPT CMPLX/PERIOCID RN,94.0,94.0,,,0
CDM,87200100,HCHG CCS EVAL INTERVENTION SW 30M,78.0,78.0,,,0
CDM,87200102,HCHG CCS MEDICAL CASE CONF RN 15M,108.0,108.0,,,0
CDM,87200103,HCHG CCS MEDICAL CASE CONF SW 15M,41.0,41.0,,,0
CDM,87200107,HCHG CCS ALLIED HLTH  TELE CONSULT EA 15 MI,57.0,57.0,,,0
CDM,87200137,HCHG INJ TENDON SHEATH OR LIGAMENT SINGLE BILAT,2400.0,2400.0,,,0
CDM,87200142,HCHG SCREEN PURE TONE AIR,63.0,63.0,,,0
CDM,87200169,HCHG HEPATITIS B VACCINE ADMIN,204.0,204.0,,,0
CDM,87200173,HCHG IMMUNE ADMINISTRATION <=18 W/CS 1ST CP,337.0,337.0,,,0
CDM,87200175,HCHG DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US BIL,2712.0,2712.0,,,0
CDM,87200176,HCHG CMPTR OPHTH IMG OPT NERVE BILAT,326.0,326.0,,,0
CDM,87200177,HCHG CPTR OPHTH DX IMG POST SG BILAT,276.0,276.0,,,0
CDM,87200190,HCHG AC PARACENTESIS RML AQUEOUS,7608.0,7608.0,,,0
CDM,87200195,HCHG THORACENTESIS WO IMAGING,3229.0,3229.0,,,0
CDM,87200200,HCHG THORACENTESIS W/IMAGING,3790.0,3790.0,,,0
CDM,87200207,HCHG REMV TUNN CV CATH W/O PT,4713.0,4713.0,,,0
CDM,87200210,HCHG PARENT INFANT PROGRAM HOME VISIT,146.0,146.0,,,0
CDM,87200211,HCHG PARENT INFANT PROGRAM CENTER VISIT,109.0,109.0,,,0
CDM,87200212,HCHG PARENT INFANT PROGRAM BATELLE DEV INVENTORY,146.0,146.0,,,0
CDM,87200222,HCHG INSRT NON-TUNN CV CATH<5,1485.0,1485.0,,,0
CDM,87200223,HCHG RPLC COMP NON-TUN CV CATH,12100.0,12100.0,,,0
CDM,87200224,HCHG REPLACE PICC WO PORT SAME ACCESS W/ S&I,4578.0,4578.0,,,0
CDM,87200226,HCHG REPR CV CATH W/O PORT,3942.0,3942.0,,,0
CDM,87200235,HCHG BX MUSCLE SUPERFICIAL,14211.0,14211.0,,,0
CDM,87200238,HCHG INF CHEM INTRA ART PROLNG,1594.0,1594.0,,,0
CDM,87200240,HCHG BASED CLINIC INJS ANES/STRD IMG TFRML EDRL LMBR/SAC 1 LVL BIL,7352.0,7352.0,,,0
CDM,87200246,HCHG CHEMO PLURAL CAV W/THOR,3403.0,3403.0,,,0
CDM,87200257,HCHG FLUORESCEIN ANGIOGRAPHY LT,1463.0,1463.0,,,0
CDM,87200258,HCHG FLUORSCEIN ANGIOGRAPHY RT,1463.0,1463.0,,,0
CDM,87200259,HCHG FLUORESCEIN ANGIOGRAPHY BI,1463.0,1463.0,,,0
CDM,87200261,HCHG INTMD RPR S/A/T/EXT 7.6-12.5 CM,2096.0,2096.0,,,0
CDM,87200262,HCHG CONTACT LENS FIT FOR TX LT,608.0,608.0,,,0
CDM,87200263,HCHG CONTACT LENS FIT FOR TX RT,608.0,608.0,,,0
CDM,87200264,HCHG CONTACT LENS FIT FOR TX BI,912.0,912.0,,,0
CDM,87200272,HCHG PROBE LACRIMAL CANALICULI LT,2445.0,2445.0,,,0
CDM,87200274,HCHG GONIOSCOPY,228.0,228.0,,,0
CDM,87200275,HCHG PARACENT EYE RMVL BLOOD,1898.0,1898.0,,,0
CDM,87200276,HCHG TARSORRHAPHY,10647.0,10647.0,,,0
CDM,87200283,"HCHG CCS EPSDT: CASE CONF, PHYS/DENTIST-PER CASE",130.0,130.0,,,0
CDM,87200284,HCHG CCS CASE CONF-ALLIED HEALTH-PER QT HR,40.0,40.0,,,0
CDM,87200285,HCHG CCS PATIENT REPORT-COMPLEX/COMPREHENSIVE,142.0,142.0,,,0
CDM,87200286,HCHG CCS ASESS/INTRVN ALLD 30M,129.0,129.0,,,0
CDM,87200292,HCHG BX OF ANORECTAL WALL ANAL APPROACH,12763.0,12763.0,,,0
CDM,87200335,HCHG REFILL MAIN IMPLT PUMP/RSVR DELIVERY SPINE/BRAIN,1619.0,1619.0,,,0
CDM,87200360,HCHG LACTATION CLINIC VISIT LEVEL 1,131.0,131.0,,,0
CDM,87200361,HCHG LACTATION CLINIC VISIT LEVEL 2,183.0,183.0,,,0
CDM,87200362,HCHG LACTATION CLINIC VISIT LEVEL 3,235.0,235.0,,,0
CDM,87200363,HCHG LACTATION CLINIC VISIT LEVEL 4,287.0,287.0,,,0
CDM,87200364,HCHG LACTATION CLINIC VISIT LEVEL 5,339.0,339.0,,,0
CDM,87200365,HCHG CARPAL TUNNEL  TX  INJ,1391.0,1391.0,,,0
CDM,87200380,HCHG S-PAY EDUCATIONAL THERAPY EVALUATION PER HOUR,300.0,300.0,,,0
CDM,87200387,HCHG S-PAY PARENT EDUCATION/TRAINING,104.0,104.0,,,0
CDM,87200388,HCHG HANEN/GGRC,104.0,104.0,,,0
CDM,87200389,HCHG CL TX ARTFX MCP/IP  JOINT W/MANIP,4053.0,4053.0,,,0
CDM,87200390,HCHG LIVER ELASTOGRAPHY,772.0,772.0,,,0
CDM,87200393,HCHG S-PAY SOCIAL SKILLS GROUP,104.0,104.0,,,0
CDM,87200407,HCHG CMPTR OPHTH IMG OPT NERVE LT,326.0,326.0,,,0
CDM,87200408,HCHG CMPTR OPHTH IMG OPT NERVE RT,326.0,326.0,,,0
CDM,87200412,HCHG EXTERNAL VERSION,2750.0,2750.0,,,0
CDM,87200414,HCHG INDOCYANINE GREEN ANGIOGRAPHY LT,985.0,985.0,,,0
CDM,87200415,HCHG INDOCYANINE GREEN ANGIOGRAPHY RT,985.0,985.0,,,0
CDM,87200418,HCHG INJ PVB THORACIC SINGLE SITE,3517.0,3517.0,,,0
CDM,87200419,HCHG INJ PVB THORACIC 2ND+ SITE,1753.0,1753.0,,,0
CDM,87200420,HCHG PVB THORACIC CONT INFUSION,2173.0,2173.0,,,0
CDM,87200421,HCHG TRABECULOPLASTY LASER LT,3804.0,3804.0,,,0
CDM,87200422,HCHG TRABECULOPLASTY LASER RT,3804.0,3804.0,,,0
CDM,87200423,HCHG RVSN IRIS LASR EA SESSION LT,3913.0,3913.0,,,0
CDM,87200424,HCHG RVSN IRIS LASR EA SESSION RT,3913.0,3913.0,,,0
CDM,87200425,HCHG DISCISSN 2ND MEM CAT LASR LT,3867.0,3867.0,,,0
CDM,87200426,HCHG DISCISSN 2ND MEM CAT LASR RT,3867.0,3867.0,,,0
CDM,87200427,HCHG RET LES PHOTOCOAGULATION LT,5947.0,5947.0,,,0
CDM,87200428,HCHG RET LES PHOTOCOAGULATION RT,5947.0,5947.0,,,0
CDM,87200429,HCHG REMOVE FB EYE CONJ EMBED LT,1503.0,1503.0,,,0
CDM,87200430,HCHG REMOVE FB EYE CONJ EMBED RT,1503.0,1503.0,,,0
CDM,87200431,HCHG RMV FB EYE CORN W LAMP LT,965.0,965.0,,,0
CDM,87200432,HCHG RMV FB EYE CORN W LAMP RT,965.0,965.0,,,0
CDM,87200433,HCHG INTRAVITREAL IJ DRUG LT,2626.0,2626.0,,,0
CDM,87200434,HCHG INTRAVITREAL IJ DRUG RT,2626.0,2626.0,,,0
CDM,87200435,HCHG TENON'S CAPSULE INJECTION LT,2992.0,2992.0,,,0
CDM,87200436,HCHG TENON'S CAPSULE INJECTION RT,2992.0,2992.0,,,0
CDM,87200437,HCHG INCISIONAL BIOPSY EYELID SKIN & LID MARGIN LT,962.0,962.0,,,0
CDM,87200438,HCHG INCISIONAL BIOPSY EYELID SKIN & LID MARGIN RT,962.0,962.0,,,0
CDM,87200439,HCHG TRICH EPILATION FORCEPS LT,1009.0,1009.0,,,0
CDM,87200440,HCHG TRICH EPILATION FORCEPS RT,1009.0,1009.0,,,0
CDM,87200441,HCHG SUBCONJUNCTIVAL INJECTION LT,2010.0,2010.0,,,0
CDM,87200442,HCHG SUBCONJUNCTIVAL INJECTION RT,2010.0,2010.0,,,0
CDM,87200443,HCHG INCIS/DRN LACRIMAL GLAND LT,7189.0,7189.0,,,0
CDM,87200444,HCHG INCIS/DRN LACRIMAL GLAND RT,7189.0,7189.0,,,0
CDM,87200445,HCHG LACR PUNCT CLOSUR EA PLUG LT,3968.0,3968.0,,,0
CDM,87200446,HCHG LACR PUNCT CLOSUR EA PLUG RT,3968.0,3968.0,,,0
CDM,87200447,HCHG CHEMODNRV MUSC-MUSC INNERVATED FACIAL NRV LT,1195.0,1195.0,,,0
CDM,87200448,HCHG CHEMODNRV MUSC-MUSC INNERVATED FACIAL NRV RT,1195.0,1195.0,,,0
CDM,87200449,HCHG CHEMO DENERV EXTROC MUSC LT,3027.0,3027.0,,,0
CDM,87200450,HCHG CHEMO DENERV EXTROC MUSC RT,3027.0,3027.0,,,0
CDM,87200451,HCHG BIOPSY CONJUNCTIVA LT,10223.0,10223.0,,,0
CDM,87200452,HCHG BIOPSY CONJUNCTIVA RT,10223.0,10223.0,,,0
CDM,87200453,HCHG REMOVE FB EYE CONJ SUPERF LT,676.0,676.0,,,0
CDM,87200454,HCHG REMOVE FB EYE CONJ SUPERF RT,676.0,676.0,,,0
CDM,87200455,HCHG REMV FB CORNEAL W/O LAMP LT,989.0,989.0,,,0
CDM,87200456,HCHG REMV FB CORNEAL W/O LAMP RT,989.0,989.0,,,0
CDM,87200457,HCHG BIOPSY CORNEA LT,14915.0,14915.0,,,0
CDM,87200458,HCHG BIOPSY CORNEA RT,14915.0,14915.0,,,0
CDM,87200459,HCHG EXCISION PTERYGIUM LT,7608.0,7608.0,,,0
CDM,87200460,HCHG EXCISION PTERYGIUM RT,7608.0,7608.0,,,0
CDM,87200461,HCHG CORNEAL SCRAPING DX LT,4768.0,4768.0,,,0
CDM,87200462,HCHG CORNEAL SCRAPING DX RT,4768.0,4768.0,,,0
CDM,87200463,HCHG CYCLOPHOTCOAG TRANSSCLERL LT,14083.0,14083.0,,,0
CDM,87200464,HCHG CYCLOPHOTCOAG TRANSSCLERL RT,14083.0,14083.0,,,0
CDM,87200465,HCHG REPR RETINL DETACH AIR IJ LT,14411.0,14411.0,,,0
CDM,87200466,HCHG REPR RETINL DETACH AIR IJ RT,14411.0,14411.0,,,0
CDM,87200467,HCHG PROPH RET DETACH CRYO/DIA LT,13890.0,13890.0,,,0
CDM,87200468,HCHG PROPH RET DETACH CRYO/DIA RT,13890.0,13890.0,,,0
CDM,87200469,HCHG PROPH RET DETCH PHOTOCOAG LT,5293.0,5293.0,,,0
CDM,87200470,HCHG PROPH RET DETCH PHOTOCOAG RT,5293.0,5293.0,,,0
CDM,87200471,HCHG DSTRCT RETNL LSN CRYO/DIA LT,13890.0,13890.0,,,0
CDM,87200472,HCHG DSTRCT RETNL LSN CRYO/DIA RT,13890.0,13890.0,,,0
CDM,87200473,HCHG TX RTNPTHY PHOTOCOAGULATN LT,3971.0,3971.0,,,0
CDM,87200474,HCHG TX RTNPTHY PHOTOCOAGULATN RT,3971.0,3971.0,,,0
CDM,87200477,HCHG TRICH EPILATION OTHER LT,2337.0,2337.0,,,0
CDM,87200478,HCHG TRICH EPILATION OTHER RT,2337.0,2337.0,,,0
CDM,87200479,HCHG INCISION CONJUNCTIVA LT,4445.0,4445.0,,,0
CDM,87200480,HCHG INCISION CONJUNCTIVA RT,4445.0,4445.0,,,0
CDM,87200483,HCHG BIOPSY OF LACRIMAL SAC LT,18580.0,18580.0,,,0
CDM,87200484,HCHG BIOPSY OF LACRIMAL SAC RT,18580.0,18580.0,,,0
CDM,87200485,HCHG DIL TEAR DUCT OPENING LT,1769.0,1769.0,,,0
CDM,87200486,HCHG DIL TEAR DUCT OPENING RT,1769.0,1769.0,,,0
CDM,87200487,HCHG PROBE NASOLACRIMAL DUCT LT,3039.0,3039.0,,,0
CDM,87200488,HCHG PROBE NASOLACRIMAL DUCT RT,3039.0,3039.0,,,0
CDM,87200489,HCHG TEMPORARY CLOSURE OF EYELIDS BY SUTURE RT,7558.0,7558.0,,,0
CDM,87200491,HCHG EXCISION OF LESION CONJUNCTIVA TO 1CM LT,12978.0,12978.0,,,0
CDM,87200492,HCHG EXCISION OF LESION CONJUNCTIVA TO 1CM RT,12978.0,12978.0,,,0
CDM,87200497,HCHG OPTIC NERVE DECOMPRESSION LT,91552.0,91552.0,,,0
CDM,87200498,HCHG OPTIC NERVE DECOMPRESSION RT,91552.0,91552.0,,,0
CDM,87200499,HCHG OPTIC NERVE DECOMPRESSION BI,137328.0,137328.0,,,0
CDM,87200510,HCHG OPHTHALMIC BIOMETRY,681.0,681.0,,,0
CDM,87200511,HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US BI,2798.0,2798.0,,,0
CDM,87200515,HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US LT,1922.0,1922.0,,,0
CDM,87200516,HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US RT,1922.0,1922.0,,,0
CDM,87200517,HCHG BIOPSY SOFT TISSUE LEG/ANKLE DEEP,9785.0,9785.0,,,0
CDM,87200537,HCHG FLUORESCEIN AND ICG ANGIOGRAPHY BI,2798.0,2798.0,,,0
CDM,87200538,HCHG FLUORESCEIN AND ICG ANGIOGRAPHY LT,2798.0,2798.0,,,0
CDM,87200539,HCHG FLUORESCEIN AND ICG ANGIOGRAPHY RT,2798.0,2798.0,,,0
CDM,87200542,HCHG I & D OF BARTHOLIN'S GLAND ABSCESS,956.0,956.0,,,0
CDM,87200554,HCHG RVSN IRIS PHOTOCOAG 1+ SESSIONS LT,4628.0,4628.0,,,0
CDM,87200555,HCHG RVSN IRIS PHOTOCOAG 1+ SESSIONS RT,4628.0,4628.0,,,0
CDM,87200556,HCHG RVSN IRIS PHOTOCOAG 1+ SESSIONS BIL,6942.0,6942.0,,,0
CDM,87200557,HCHG INSERT IUD,6169.0,6169.0,,,0
CDM,87200564,HCHG INSERT PICC <5 YR WO PORT WO IMAGE GUIDANCE,1663.0,1663.0,,,0
CDM,87200565,HCHG INSERT PICC >=5 YR WO PORT WO IMAGE GUIDANCE,4451.0,4451.0,,,0
CDM,87200566,HCHG INSERT PICC <5 YR WO PORT W IMAGE GUIDANCE,3223.0,3223.0,,,0
CDM,87200567,HCHG INSERT PICC >=5 YR WO PORT W IMAGE GUIDANCE,4995.0,4995.0,,,0
CDM,87200568,HCHG PATTERN ERG W/INTERP & REPORT,1087.0,1087.0,,,0
CDM,87200571,HCHG PUNCH BX SKIN SINGLE LESION,1121.0,1121.0,,,0
CDM,87200572,HCHG PUNCH BX SKIN EA SEPARATE/ADDL LES,804.0,804.0,,,0
CDM,87200577,HCHG FULL ERG W/INTERP & REPORT,1372.0,1372.0,,,0
CDM,87200578,HCHG MULTIFOCAL ERG W/INTERP & REPORT,1008.0,1008.0,,,0
CDM,87200593,HCHG BFB TRAINING 1ST 15 MIN,1040.0,1040.0,,,0
CDM,87200594,HCHG BFB TRAINING EA ADDL 15 MIN,570.0,570.0,,,0
CDM,87200597,HCHG OPSCPY EXTND RTA DRAW & SCL DEPRSN I&R BIL,329.0,329.0,,,0
CDM,87200598,HCHG OPSCPY EXTND OPTIC NRV/MACULA DRAW I&R BIL,329.0,329.0,,,0
CDM,87200602,HCHG OPSCPY EXTND RTA DRAW & SCL DEPRSN I&R LT,329.0,329.0,,,0
CDM,87200603,HCHG OPSCPY EXTND RTA DRAW & SCL DEPRSN I&R RT,329.0,329.0,,,0
CDM,87200604,HCHG OPSCPY EXTND OPTIC NRV/MACULA DRAW I&R LT,329.0,329.0,,,0
CDM,87200605,HCHG OPSCPY EXTND OPTIC NRV/MACULA DRAW I&R RT,329.0,329.0,,,0
CDM,87200614,HCHG TH LACTATION CLINIC VISIT LEVEL 1,131.0,131.0,,,0
CDM,87200618,HCHG  BLADDER INSTILATION CHEMO,5044.0,5044.0,,,0
CDM,87200619,HCHG CHEMO CONCURRENT INFUSION,418.0,418.0,,,0
CDM,87200620,HCHG  I&D OF VULVA OR PERINEAL ABSCESS,1461.0,1461.0,,,0
CDM,87200634,HCHG DEBRIDE NAIL 1 TO 5,340.0,340.0,,,0
CDM,87200635,HCHG DEBRIDE NAIL 6 OR MORE,421.0,421.0,,,0
CDM,87200641,HCHG INJ TND SHEATH/LG,1600.0,1600.0,,,0
CDM,87200642,HCHG INJ TRIGGER PT 1 OR 2 MCL,1556.0,1556.0,,,0
CDM,87200643,HCHG INJ TRIGGER PT GT 2 MCL,1541.0,1541.0,,,0
CDM,87200644,HCHG DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US,1808.0,1808.0,,,0
CDM,87200648,HCHG BLADDER IRRIG SMPL,1421.0,1421.0,,,0
CDM,87200649,HCHG INSERT CATH NONINDWLLNG,681.0,681.0,,,0
CDM,87200650,HCHG INSERT CATH TEMP INDWLLNG,768.0,768.0,,,0
CDM,87200651,HCHG INSERT CATH TMP INDWL CMP,965.0,965.0,,,0
CDM,87200652,HCHG CYSTOMETROGRAM CMPLX,1800.0,1800.0,,,0
CDM,87200653,HCHG UROFLOWMETRY COMPLEX,745.0,745.0,,,0
CDM,87200654,HCHG EMG ANAL/URETHRAL NO NDL,1043.0,1043.0,,,0
CDM,87200656,HCHG VP STUDY INTRAABDOMINAL,534.0,534.0,,,0
CDM,87200657,HCHG LUMBAR PUNCTURE DX,3056.0,3056.0,,,0
CDM,87200675,HCHG TH LACTATION CLINIC VISIT LEVEL 2,183.0,183.0,,,0
CDM,87200676,HCHG TH LACTATION CLINIC VISIT LEVEL 3,235.0,235.0,,,0
CDM,87200677,HCHG TH LACTATION CLINIC VISIT LEVEL 4,287.0,287.0,,,0
CDM,87200679,HCHG TH LACTATION CLINIC VISIT LEVEL 5,339.0,339.0,,,0
CDM,87200686,HCHG SKIN SUB GRAFT F/NK/HF/G <=100SQCM 1ST 25SQCM,5951.0,5951.0,,,0
CDM,87200704,HCHG COLP CERVIX W BX & CURETT,3655.0,3655.0,,,0
CDM,87200710,HCHG DECLOT VASC DEVICE,1307.0,1307.0,,,0
CDM,87200712,HCHG MED NUTR TX GP EA 30,38.0,38.0,,,0
CDM,87200719,HCHG SKULL SHUNT PUNCTURE,4540.0,4540.0,,,0
CDM,87200720,HCHG IRRIG IMPLNTD VNS ACC DVC,380.0,380.0,,,0
CDM,87200721,HCHG DIAGNOSTIC BONE MARROW BIOPSY,4081.0,4081.0,,,0
CDM,87200729,HCHG COLL BLD PICC/CNTRL LN,526.0,526.0,,,0
CDM,87200739,HCHG CLINIC LEVEL 2 W/PROC,355.0,355.0,,,0
CDM,87200740,HCHG CLINIC LEVEL 3 W/PROC,409.0,409.0,,,0
CDM,87200741,HCHG CLINIC LEVEL 4 W/PROC,470.0,470.0,,,0
CDM,87200742,HCHG CLINIC LEVEL 5 W/PROC,540.0,540.0,,,0
CDM,87200743,HCHG CHEMOTX ADMN PRTL CAVITY,691.0,691.0,,,0
CDM,87200747,HCHG ALLOGENEIC LYMPHOCYTE INFUSIONS,5708.0,5708.0,,,0
CDM,87200749,"HCHG LAC SMPL/F,E,N 2.5CM/LESS",1163.0,1163.0,,,0
CDM,87200758,HCHG REMOVAL FB SUBQ TISS SMPL,2055.0,2055.0,,,0
CDM,87200763,HCHG DRAIN/INJ SMALL JOINT/BURSA W/O US,1751.0,1751.0,,,0
CDM,87200766,HCHG INSRT NON-TUNN CV CATH 5+,4508.0,4508.0,,,0
CDM,87200836,HCHG EXC FACE-MM B9+MARG 0.6-1.0 CM,7349.0,7349.0,,,0
CDM,87200837,HCHG APPLY LONG ARM CAST,606.0,606.0,,,0
CDM,87200838,HCHG APPLY SHORT ARM CAST,790.0,790.0,,,0
CDM,87200839,HCHG APP SPLNT LONG ARM,842.0,842.0,,,0
CDM,87200840,HCHG APP SPLNT SHRT ARM STA,875.0,875.0,,,0
CDM,87200841,HCHG APP SPLNT FINGER STA,742.0,742.0,,,0
CDM,87200842,HCHG APPLY LONG LEG CAST,954.0,954.0,,,0
CDM,87200843,HCHG APPLY SHORT LEG CAST,1137.0,1137.0,,,0
CDM,87200844,HCHG APP LONG LEG SPLNT,926.0,926.0,,,0
CDM,87200845,HCHG APP LOW LEG SPLNT,947.0,947.0,,,0
CDM,87200846,HCHG REPR SPICA/BODY CAST/JCKT,448.0,448.0,,,0
CDM,87200847,HCHG WINDOWING OF CAST,457.0,457.0,,,0
CDM,87200848,HCHG APHERESIS PLASMA,7885.0,7885.0,,,0
CDM,87200851,HCHG PESSARY FITTING/INSERTION,747.0,747.0,,,0
CDM,87200853,HCHG REMOVE FB EYE CONJ SUPERF BI,1014.0,1014.0,,,0
CDM,87200854,HCHG REMOVE FB EYE CONJ EMBED BI,2254.0,2254.0,,,0
CDM,87200855,HCHG REMV FB CORNEAL W/O LAMP BI,1484.0,1484.0,,,0
CDM,87200856,HCHG RMV FB EYE CORN W LAMP BI,1448.0,1448.0,,,0
CDM,87200857,HCHG BIOPSY CORNEA BI,22372.0,22372.0,,,0
CDM,87200858,HCHG EXCISION PTERYGIUM BI,11412.0,11412.0,,,0
CDM,87200859,HCHG CORNEAL SCRAPING DX BI,7152.0,7152.0,,,0
CDM,87200862,HCHG TRABECULOPLASTY LASER BI,5706.0,5706.0,,,0
CDM,87200863,HCHG LASER EYE SEVER ADHESIONS,3429.0,3429.0,,,0
CDM,87200864,HCHG REP/REVISE ANTERIOR SEGMT,15971.0,15971.0,,,0
CDM,87200865,HCHG CYCLOPHOTCOAG TRANSSCLERL BI,21124.0,21124.0,,,0
CDM,87200866,HCHG RVSN IRIS LASR EA SESSION BI,5870.0,5870.0,,,0
CDM,87200867,HCHG DISCISSN 2ND MEM CAT LASR BI,5800.0,5800.0,,,0
CDM,87200868,HCHG INTRAVITREAL IJ DRUG BI,3939.0,3939.0,,,0
CDM,87200869,HCHG REPR RETINL DETACH AIR IJ BI,21616.0,21616.0,,,0
CDM,87200870,HCHG PROPH RET DETACH CRYO/DIA BI,20835.0,20835.0,,,0
CDM,87200871,HCHG PROPH RET DETCH PHOTOCOAG BI,7940.0,7940.0,,,0
CDM,87200872,HCHG DSTRCT RETNL LSN CRYO/DIA BI,20835.0,20835.0,,,0
CDM,87200873,HCHG RET LES PHOTOCOAGULATION BI,8920.0,8920.0,,,0
CDM,87200874,HCHG DSTRCT RTNPTHY CRYO/DIATH,4376.0,4376.0,,,0
CDM,87200875,HCHG TX RTNPTHY PHOTOCOAGULATN BI,5956.0,5956.0,,,0
CDM,87200876,HCHG CHEMO DENERV EXTROC MUSC BI,4540.0,4540.0,,,0
CDM,87200878,HCHG TENON'S CAPSULE INJECTION BI,4488.0,4488.0,,,0
CDM,87200879,HCHG EXCISION CHALAZION SNGL,1367.0,1367.0,,,0
CDM,87200880,HCHG INCISIONAL BIOPSY EYELID SKIN & LID MARGIN BI,1443.0,1443.0,,,0
CDM,87200881,HCHG TRICH EPILATION FORCEPS BI,1514.0,1514.0,,,0
CDM,87200882,HCHG TRICH EPILATION OTHER BI,3506.0,3506.0,,,0
CDM,87200883,HCHG INCISION CONJUNCTIVA BI,6668.0,6668.0,,,0
CDM,87200884,HCHG BIOPSY CONJUNCTIVA BI,15334.0,15334.0,,,0
CDM,87200885,HCHG SUBCONJUNCTIVAL INJECTION BI,3015.0,3015.0,,,0
CDM,87200886,HCHG INCIS/DRN LACRIMAL GLAND BI,10784.0,10784.0,,,0
CDM,87200887,HCHG BIOPSY OF LACRIMAL SAC BI,27870.0,27870.0,,,0
CDM,87200888,HCHG LACR PUNCT CLOSUR EA PLUG BI,5952.0,5952.0,,,0
CDM,87200889,HCHG DIL TEAR DUCT OPENING BI,2654.0,2654.0,,,0
CDM,87200890,HCHG PROBE NASOLACRIMAL DUCT BI,4558.0,4558.0,,,0
CDM,87200892,HCHG EDUC REMEDIATION 20-30,259.0,259.0,,,0
CDM,87200894,HCHG EDUC REMEDIATION 45-50,213.0,213.0,,,0
CDM,87200907,HCHG VISL FLD EXAM W I&R INT,623.0,623.0,,,0
CDM,87200908,HCHG VISL FLD EXAM W I&R EXT,576.0,576.0,,,0
CDM,87200914,HCHG GENETIC COUNSELING 30 MN,494.0,494.0,,,0
CDM,87200923,HCHG INSULIN PUMP THER EDUC,172.0,172.0,,,0
CDM,87200927,HCHG MED NUTR TX COND CH EA15,72.0,72.0,,,0
CDM,87200928,HCHG MED NUTR TX GP COND EA30,251.0,251.0,,,0
CDM,87200929,HCHG PANCREAS ACQUISITON COMBO,183000.0,183000.0,,,0
CDM,87200948,HCHG INTERROGATION VAD IN PERSON,312.0,312.0,,,0
CDM,87200951,HCHG TH CLINIC LEVEL 1,278.0,278.0,,,0
CDM,87200952,HCHG TH CLINIC LEVEL 2,355.0,355.0,,,0
CDM,87200953,HCHG TH CLINIC LEVEL 3,409.0,409.0,,,0
CDM,87200954,HCHG TH CLINIC LEVEL 4,470.0,470.0,,,0
CDM,87200955,HCHG TH CLINIC LEVEL 5,540.0,540.0,,,0
CDM,87200957,HCHG TH TELEHEALTH ORIGINATING SITE FEE,87.0,87.0,,,0
CDM,87200958,HCHG TH OPHTHALMIC EXAM NEW PT INTERMEDIATE,294.0,294.0,,,0
CDM,87200959,HCHG TH OPHTHALMIC EXAM NEW PT COMPREHENSIVE,340.0,340.0,,,0
CDM,87200960,HCHG TH OPHTHALMIC EXAM EST PT INTERMEDIATE,296.0,296.0,,,0
CDM,87200961,HCHG TH OPHTHALMIC EXAM EST PT COMPREHENSIVE,286.0,286.0,,,0
CDM,87200972,HCHG TH CCS ASSESS RN SPECIAL 30M,108.0,108.0,,,0
CDM,87200973,HCHG TH CCS EVAL INTERVENTION SW 30M,78.0,78.0,,,0
CDM,87200988,HCHG TH GENETIC COUNSELING 30 MN,494.0,494.0,,,0
CDM,87200989,HCHG  ASSMT & CARE PLN PT COG IMP,291.0,291.0,,,0
CDM,87200990,HCHG BRAIN CANAL INJ W MEDS,1765.0,1765.0,,,0
CDM,87200991,HCHG IMM ADM SARSCOV2 30MCG/.3ML PFIZER 1ST DOS,65.0,65.0,,,0
CDM,87200992,HCHG IMM ADM SARSCOV2 30MCG/.3ML PFIZ 2ND DOS,65.0,65.0,,,0
CDM,87200993,HCHG IMM ADM SARSCOV2 100MCG/.5ML MODRNA 1ST DOS,65.0,65.0,,,0
CDM,87200994,HCHG IMM ADM SARSCOV2 100MCG/.5ML MODRNA 2ND DOS,65.0,65.0,,,0
CDM,87200995,HCHG IMM ADM SARSCOV2 V PART/.5ML AZENECA 1ST DOS,65.0,65.0,,,0
CDM,87200996,HCHG IMM ADM SARSCOV2 V PART/.5ML AZENECA 2ND DOS,65.0,65.0,,,0
CDM,87200998,HCHG INFUSION/POST ADMIN CASIRIVIMAB IMDEVIMAB,1309.0,1309.0,,,0
CDM,87200999,HCHG IMM ADM SARSCOV2 VAC AD26 .5ML JANSSEN,65.0,65.0,,,0
CDM,87201015,HCHG IMM ADM SARSCOV2 5MCG/.5ML NOVAVAX 1ST DOS,65.0,65.0,,,0
CDM,87201016,HCHG IMM ADM SARSCOV2 5MCG/.5ML NOVAVAX 2ND DOS,65.0,65.0,,,0
CDM,87201017,HCHG SOTROVIMAB INFUSION,1402.0,1402.0,,,0
CDM,87201018,HCHG IMM ADM SARSCOV2 30MCG/0.3ML PFIZER 3RD DOSE,65.0,65.0,,,0
CDM,87201019,HCHG IMM ADM SARSCOV2 100MCG/.5ML MODRNA 3RD DOS,65.0,65.0,,,0
CDM,87201020,HCHG IMM ADM SARSCOV2 30MCG/.3ML PFIZER BSTR,65.0,65.0,,,0
CDM,87201021,HCHG IMM ADM SARSCOV2 50MCG/0.25ML MODERNA BST,65.0,65.0,,,0
CDM,87201022,HCHG IMM ADM SARSCV2 10MCG TRS-SUCR  PFIZER 1ST,65.0,65.0,,,0
CDM,87201023,HCHG IMM ADM SARSCV2 10MCG TRS-SUCR PFIZER 2ND,65.0,65.0,,,0
CDM,87201024,HCHG IMM ADM SARSCV2 30MCG TRS-SUCR PFIZER 1ST,65.0,65.0,,,0
CDM,87201025,HCHG IMM ADM SARSCV2 30MCG TRS-SUCR 2 PFIZER 2ND,65.0,65.0,,,0
CDM,87201026,HCHG IMM ADM SARSCV2 30MCG TRS-SUCR 3 PFIZER BSTR,65.0,65.0,,,0
CDM,87201027,HCHG IMM ADM SARSCV2 30MCG TRS-SUCR 3 PFIZER 3RD,65.0,65.0,,,0
CDM,87201032,HCHG TIXAGEV AND CILGAV INJ,457.0,457.0,,,0
CDM,87201033,HCHG IMM ADM SARSCV2 10MCG TRS-SUCR  PFIZER 3RD,65.0,65.0,,,0
CDM,87201034,HCHG IMM ADM SARSCOV2 VAC AD26 .5ML JANSSEN BSTR,65.0,65.0,,,0
CDM,87201035,HCHG IMM ADM SARSCV2 3MCG TRS-SUCR 1ST DOS,65.0,65.0,,,0
CDM,87201036,HCHG IMM ADM SARSCV2 3MCG TRS-SUCR 2ND DOS,65.0,65.0,,,0
CDM,87201037,HCHG BEBTELOVIMAB INJECTION,1409.0,1409.0,,,0
CDM,87201038,HCHG IMM ADM SARSCOV2 50MCG/0.5ML MODERNA BST,65.0,65.0,,,0
CDM,87201039,HCHG IMM ADM SARSCV2 10MCG TRS-SUCR PFIZER BSTR,65.0,65.0,,,0
CDM,87201040,HCHG IMM ADM SARSCOV2 25MCG/0.25ML MODERNA PED 1ST,79.0,79.0,,,0
CDM,87201041,HCHG IMM ADM SARSCOV2 25MCG/0.25ML MODERNA PED 2ND,79.0,79.0,,,0
CDM,87201042,HCHG IMM ADM SARSCV2 3MCG TRS-SUCR 3RD DOS,65.0,65.0,,,0
CDM,87201043,HCHG IMM ADM SARSCOV2 50 MCG/.5 ML1ST,65.0,65.0,,,0
CDM,87201044,HCHG IMM ADM SARSCOV2 50 MCG/.5 ML2ND,65.0,65.0,,,0
CDM,87201045,HCHG IMM ADM SARSCOV2 50 MCG/.5 ML3RD,65.0,65.0,,,0
CDM,87201046,HCHG IMM ADM SARSCOV2 25MCG/0.25ML3RD,79.0,79.0,,,0
CDM,87201047,HCHG ADM TOCILIZU COVID-19 1ST,1162.0,1162.0,,,0
CDM,87201048,HCHG ADM TOCILIZU COVID-19 2ND,1263.0,1263.0,,,0
CDM,87201049,HCHG IMM ADM SARSCV2 BVLNT 30MCG TRS-SUC PFIZER ADDL,121.0,121.0,,,0
CDM,87201050,HCHG ADM SARSCOV2 BIVALENT 50MCG/0.5ML MODERNA ADDL,100.0,100.0,,,0
CDM,87201051,HCHG IMM ADM SARSCV2 BVLNT 10MCG TRS-SUCR PFIZER ADD,79.0,79.0,,,0
CDM,87201052,HCHG ADM SARSCOV2 BVLNT 25MCG/.25ML MODERNA PED ADDL,79.0,79.0,,,0
CDM,87201053,HCHG IMM ADM SARSCOV2 5MCG/.5ML NOVAVAX BSTR,65.0,65.0,,,0
CDM,87201054,HCHG IMM ADM SARSCOV2 10MCG/0.2ML MODERNA PED ADDL,79.0,79.0,,,0
CDM,87201055,HCHG IMM ADM SARSCV2 BVL 3MCG/0.2ML 3RD,79.0,79.0,,,0
CDM,87201056,HCHG ADM SARSCV2 BVL 30MCG/.2ML ADDL,80.0,80.0,,,0
CDM,87201057,HCHG IMM ADM SARSCV2 BVLNT 30MCG TRS-SUC PFIZER 1ST,80.0,80.0,,,0
CDM,87201058,HCHG ADM SARSCOV2 BVLNT 25MCG/.25ML MODERNA PED 1ST,80.0,80.0,,,0
CDM,87201059,HCHG ADM SARSCOV2 BVLNT 25MCG/.25ML MODERNA PED 2ND,80.0,80.0,,,0
CDM,87201074,HCHG CPTR OPHTH DX IMG POST SG LT,274.0,274.0,,,0
CDM,87201075,HCHG CPTR OPHTH DX IMG POST SG RT,274.0,274.0,,,0
CDM,87201076,HCHG CMPTR OPHTH DX IM ANT SEG LT,211.0,211.0,,,0
CDM,87201077,HCHG CMPTR OPHTH DX IM ANT SEG RT,211.0,211.0,,,0
CDM,87201079,HCHG IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPNT,101.0,101.0,,,0
CDM,87201084,HCHG PEMIVIBART INFUSION,1252.0,1252.0,,,0
CDM,87201088,HCHG GENETIC COUNSELING SVC EA 30,519.0,519.0,,,0
CDM,87201089,HCHG TH GENETIC COUNSELING SVC EA 30,519.0,519.0,,,0
CDM,87201091,HCHG CPTRZ OPH IMG PST SG RTA OCT BILAT,357.0,357.0,,,0
CDM,87201092,HCHG CPTRZ OPH IMG PST SG RTA OCT LT,420.0,420.0,,,0
CDM,87201093,HCHG CPTRZ OPH IMG PST SG RTA OCT RT,420.0,420.0,,,0
CDM,87201095,HCHG CHW SUN EDUCATION IND EA 30 MIN,223.0,223.0,,,0
CDM,87201100,HCHG SENSORIMOTOR EXAMINATION,232.0,232.0,,,0
CDM,87205001,HCHG ESOPHAGEAL MOTILITY,5960.0,5960.0,,,0
CDM,87205002,HCHG GASTRIC MOTILITY,3981.0,3981.0,,,0
CDM,87205003,HCHG ESOPHAGUS ACID PERFUSION TEST,727.0,727.0,,,0
CDM,87205004,HCHG PH ESOPHAGUS NASAL CATHETER ELECTRODE,3840.0,3840.0,,,0
CDM,87205005,HCHG INSERTION PH CAPSULE GERD MUCOSAL,4849.0,4849.0,,,0
CDM,87205008,HCHG ESOPHAGEAL BALLOON DISTENSION,1236.0,1236.0,,,0
CDM,87205010,HCHG BREATH HYDROGEN METHANE TEST,717.0,717.0,,,0
CDM,87205013,HCHG GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM,6187.0,6187.0,,,0
CDM,87205014,HCHG ANORECTAL MANOMETRY,3133.0,3133.0,,,0
CDM,87205015,HCHG ELECTROGASTROGRAPHY DIAGNOSTIC,2577.0,2577.0,,,0
CDM,87205024,HCHG CMPTR OPHTH DX IM ANT SEG BILAT,211.0,211.0,,,0
CDM,87205031,HCHG TRIM NONDYSTRPHIC NAIL,319.0,319.0,,,0
CDM,87205041,HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,4901.0,4901.0,,,0
CDM,87205055,HCHG CHEMODNRV MUSC-MUSC INNERVATED FACIAL NRV BI,1792.0,1792.0,,,0
CDM,87205079,HCHG PARACENTSIS ABD NO IM,3084.0,3084.0,,,0
CDM,87205097,HCHG HI RES GASTRIC EP MAPPING,3309.0,3309.0,,,0
CDM,87300000,HCHG CLINIC CUSTOMETROGRAM W/UP,2038.0,2038.0,,,0
CDM,87300001,HCHG CLINIC CYYSTOMETROGRAM W/VP,2652.0,2652.0,,,0
CDM,87300002,HCHG CLINIC CYSTOMETROGRAM W/VP&UP,3125.0,3125.0,,,0
CDM,88000001,HCHG APC INITIAL HOSPITAL CARE LOW,385.0,385.0,,,0
CDM,88000002,HCHG APC INITIAL HOSPITAL CARE MED,520.0,520.0,,,0
CDM,88000003,HCHG APC INITIAL HOSPITAL CARE HIGH,771.0,771.0,,,0
CDM,88000004,HCHG APC SUBSEQUENT HOSPITAL CARE LOW,149.0,149.0,,,0
CDM,88000005,HCHG APC SUBSEQUENT HOSPITAL CARE MED,276.0,276.0,,,0
CDM,88000006,HCHG APC SUBSEQUENT HOSPITAL CARE HIGH,399.0,399.0,,,0
CDM,88000007,HCHG APC HOSPITAL DISCHARGE SERVICES LOW,282.0,282.0,,,0
CDM,88000008,HCHG APC HOSPITAL DISCHARGE SERVICES HIGH,413.0,413.0,,,0
CDM,88000009,HCHG APC INITIAL OBSERVATION CARE LOW,378.0,378.0,,,0
CDM,88000010,HCHG APC INITIAL OBSERVATION CARE MOD,518.0,518.0,,,0
CDM,88000011,HCHG APC INITIAL OBSERVATION CARE HIGH,705.0,705.0,,,0
CDM,88000012,HCHG APC SUBSEQUENT OBSERVATION CARE LOW,150.0,150.0,,,0
CDM,88000013,HCHG APC SUBSEQUENT OBSERVATION CARE MOD,278.0,278.0,,,0
CDM,88000014,HCHG APC SUBSEQUENT OBSERVATION CARE HIGH,400.0,400.0,,,0
CDM,88000015,HCHG APC OBSERVATION CARE DISCHARGE SERVICES,280.0,280.0,,,0
CDM,88000016,HCHG APC OBS OR INPT CARE SVCS INCL ADM/DSCHRG LOW,507.0,507.0,,,0
CDM,88000017,HCHG APC OBS OR INPT CARE SVCS INCL ADM/DSCHRG MOD,644.0,644.0,,,0
CDM,88000018,HCHG APC OBS OR INPT CARE SVCS INCL ADM/DSCHRG HIGH,828.0,828.0,,,0
CDM,88000019,HCHG APC CC 1ST 30-74 MIN,876.0,876.0,,,0
CDM,88000020,HCHG APC CC EA ADD 30 MIN,440.0,440.0,,,0
HCPCS,0001A,HCHG IMM ADM SARSCOV2 30MCG/.3ML PFIZER 1ST DOS,65.0,65.0,,,0
HCPCS,0002A,HCHG IMM ADM SARSCOV2 30MCG/.3ML PFIZ 2ND DOS,65.0,65.0,,,0
HCPCS,0003A,HCHG IMM ADM SARSCOV2 30MCG/0.3ML PFIZER 3RD DOSE,65.0,65.0,,,0
HCPCS,0004A,HCHG IMM ADM SARSCOV2 30MCG/.3ML PFIZER BSTR,65.0,65.0,,,0
HCPCS,0011A,HCHG IMM ADM SARSCOV2 100MCG/.5ML MODRNA 1ST DOS,65.0,65.0,,,0
HCPCS,0012A,HCHG IMM ADM SARSCOV2 100MCG/.5ML MODRNA 2ND DOS,65.0,65.0,,,0
HCPCS,0013A,HCHG IMM ADM SARSCOV2 100MCG/.5ML MODRNA 3RD DOS,65.0,65.0,,,0
HCPCS,0021A,HCHG IMM ADM SARSCOV2 V PART/.5ML AZENECA 1ST DOS,65.0,65.0,,,0
HCPCS,0022A,HCHG IMM ADM SARSCOV2 V PART/.5ML AZENECA 2ND DOS,65.0,65.0,,,0
HCPCS,0031A,HCHG IMM ADM SARSCOV2 VAC AD26 .5ML JANSSEN,65.0,65.0,,,0
HCPCS,0034A,HCHG IMM ADM SARSCOV2 VAC AD26 .5ML JANSSEN BSTR,65.0,65.0,,,0
HCPCS,0041A,HCHG IMM ADM SARSCOV2 5MCG/.5ML NOVAVAX 1ST DOS,65.0,65.0,,,0
HCPCS,0042A,HCHG IMM ADM SARSCOV2 5MCG/.5ML NOVAVAX 2ND DOS,65.0,65.0,,,0
HCPCS,0042T,HCHG CT PERFUSION ANALYSIS CEREBRAL WITH CONTRAST,6626.0,6626.0,,,0
HCPCS,0044A,HCHG IMM ADM SARSCOV2 5MCG/.5ML NOVAVAX BSTR,65.0,65.0,,,0
HCPCS,0051A,HCHG IMM ADM SARSCV2 30MCG TRS-SUCR PFIZER 1ST,65.0,65.0,,,0
HCPCS,0052A,HCHG IMM ADM SARSCV2 30MCG TRS-SUCR 2 PFIZER 2ND,65.0,65.0,,,0
HCPCS,0053A,HCHG IMM ADM SARSCV2 30MCG TRS-SUCR 3 PFIZER 3RD,65.0,65.0,,,0
HCPCS,0054A,HCHG IMM ADM SARSCV2 30MCG TRS-SUCR 3 PFIZER BSTR,65.0,65.0,,,0
HCPCS,0064A,HCHG IMM ADM SARSCOV2 50MCG/0.25ML MODERNA BST,65.0,65.0,,,0
HCPCS,0071A,HCHG IMM ADM SARSCV2 10MCG TRS-SUCR  PFIZER 1ST,65.0,65.0,,,0
HCPCS,0072A,HCHG IMM ADM SARSCV2 10MCG TRS-SUCR PFIZER 2ND,65.0,65.0,,,0
HCPCS,0073A,HCHG IMM ADM SARSCV2 10MCG TRS-SUCR  PFIZER 3RD,65.0,65.0,,,0
HCPCS,0074A,HCHG IMM ADM SARSCV2 10MCG TRS-SUCR PFIZER BSTR,65.0,65.0,,,0
HCPCS,0075T,HCHG STENT TRNCTH PLCMNT EXT VER ART OPN/PRQ INT VSL,27819.0,27819.0,,,0
HCPCS,0076T,HCHG STENT TRNSCTH PLCMNT EXT VERT ART EA ADD VSL,10842.0,10842.0,,,0
HCPCS,0081A,HCHG IMM ADM SARSCV2 3MCG TRS-SUCR 1ST DOS,65.0,65.0,,,0
HCPCS,0082A,HCHG IMM ADM SARSCV2 3MCG TRS-SUCR 2ND DOS,65.0,65.0,,,0
HCPCS,0083A,HCHG IMM ADM SARSCV2 3MCG TRS-SUCR 3RD DOS,65.0,65.0,,,0
HCPCS,0091A,HCHG IMM ADM SARSCOV2 50 MCG/.5 ML1ST,65.0,65.0,,,0
HCPCS,0092A,HCHG IMM ADM SARSCOV2 50 MCG/.5 ML2ND,65.0,65.0,,,0
HCPCS,0093A,HCHG IMM ADM SARSCOV2 50 MCG/.5 ML3RD,65.0,65.0,,,0
HCPCS,0094A,HCHG IMM ADM SARSCOV2 50MCG/0.5ML MODERNA BST,65.0,65.0,,,0
HCPCS,0111A,HCHG IMM ADM SARSCOV2 25MCG/0.25ML MODERNA PED 1ST,79.0,79.0,,,0
HCPCS,0112A,HCHG IMM ADM SARSCOV2 25MCG/0.25ML MODERNA PED 2ND,79.0,79.0,,,0
HCPCS,0113A,HCHG IMM ADM SARSCOV2 25MCG/0.25ML3RD,79.0,79.0,,,0
HCPCS,0121A,HCHG IMM ADM SARSCV2 BVLNT 30MCG TRS-SUC PFIZER 1ST,80.0,80.0,,,0
HCPCS,0124A,HCHG IMM ADM SARSCV2 BVLNT 30MCG TRS-SUC PFIZER ADDL,121.0,121.0,,,0
HCPCS,0134A,HCHG ADM SARSCOV2 BIVALENT 50MCG/0.5ML MODERNA ADDL,100.0,100.0,,,0
HCPCS,0141A,HCHG ADM SARSCOV2 BVLNT 25MCG/.25ML MODERNA PED 1ST,80.0,80.0,,,0
HCPCS,0142A,HCHG ADM SARSCOV2 BVLNT 25MCG/.25ML MODERNA PED 2ND,80.0,80.0,,,0
HCPCS,0144A,HCHG ADM SARSCOV2 BVLNT 25MCG/.25ML MODERNA PED ADDL,79.0,79.0,,,0
HCPCS,0154A,HCHG IMM ADM SARSCV2 BVLNT 10MCG TRS-SUCR PFIZER ADD,79.0,79.0,,,0
HCPCS,0164A,HCHG IMM ADM SARSCOV2 10MCG/0.2ML MODERNA PED ADDL,79.0,79.0,,,0
HCPCS,0173A,HCHG IMM ADM SARSCV2 BVL 3MCG/0.2ML 3RD,79.0,79.0,,,0
HCPCS,0174A,HCHG ADM SARSCV2 BVL 30MCG/.2ML ADDL,80.0,80.0,,,0
HCPCS,0200T,HCHG PRQ SACRAL AUG UNI IJ,13547.0,13547.0,,,0
HCPCS,0201T,HCHG PRQ SACRAL AUG BIL IJ,16044.0,16044.0,,,0
HCPCS,0202U,HCHG CORE NFCT DS BCT/VIR R DNA/RNA 22 TRGT SARSCOV2,1538.0,1538.0,,,0
HCPCS,0202U,HCHG NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2,1538.0,1538.0,,,0
HCPCS,0234T,HCHG TRL PER ATHR RENAL AR,68899.0,68899.0,,,0
HCPCS,0235T,HCHG TRL PER ATHR VISCERAL,68899.0,68899.0,,,0
HCPCS,0236T,HCHG TRL PR ATHR ABD AORTA,72387.0,72387.0,,,0
HCPCS,0237T,HCHG TRL PR ATHR BRCHIOCPH,70291.0,70291.0,,,0
HCPCS,0238T,HCHG TRL PR ATHR ILIAC ART,40084.0,40084.0,,,0
HCPCS,0338T,HCHG TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT,23542.0,23542.0,,,0
HCPCS,0339T,HCHG TRANSCATHETER RENAL SYMPATH DENERVATION BILAT,35313.0,35313.0,,,0
HCPCS,0483T,HCHG TMVI W/PROSTH VALVE PERC APPRCH INCL TRANS PUNC,59740.0,59740.0,,,0
HCPCS,0502T,HCHG CA HEARTFLOW FFRCT COR FFR DATA PREP & TRANSMIS,66.0,66.0,,,0
HCPCS,0503T,HCHG CA HEARTFLOW FFRCT COR FFR ALYS & GNRJ FFR MDL,5700.0,5700.0,,,0
HCPCS,0508T,HCHG US PULSE ECHO BONE DENSITY,562.0,562.0,,,0
HCPCS,0509T,HCHG PATTERN ERG W/INTERP & REPORT,1087.0,1087.0,,,0
HCPCS,0528U,HCHG CORE LRT IAD 18BCT/8VIR&7ARG RNA,1849.5,1849.5,,,0
HCPCS,0544T,HCHG TRANSCATH MITRL VALVE REPLACE,72379.0,72379.0,,,0
HCPCS,0545T,HCHG TRANSCATH TRICUS VALVE REPLACE,61059.0,61059.0,,,0
HCPCS,0569T,HCHG TTVR PERQ APPR 1ST PROSTH,53609.0,53609.0,,,0
HCPCS,0570T,HCHG TTVR PERQ EA ADDL PROSTH,27730.0,27730.0,,,0
HCPCS,0600T,HCHG ABLT IRE 1+ O/T LV/PRST8 PRQ,18597.0,18597.0,,,0
HCPCS,0633T,HCHG CT BREAST W/3D RENDERING UNI W/O CONTRAST LT,486.0,486.0,,,0
HCPCS,0633T,HCHG CT BREAST W/3D RENDERING UNI W/O CONTRAST RT,486.0,486.0,,,0
HCPCS,0634T,HCHG CT BREAST W/3D RENDERING UNI W/CONTRAST LT,796.0,796.0,,,0
HCPCS,0634T,HCHG CT BREAST W/3D RENDERING UNI W/CONTRAST RT,796.0,796.0,,,0
HCPCS,0635T,HCHG CT BRST W/3D RENDERING UNI WO CNTRST FLWD C+ LT,796.0,796.0,,,0
HCPCS,0635T,HCHG CT BRST W/3D RENDERING UNI WO CNTRST FLWD C+ RT,796.0,796.0,,,0
HCPCS,0636T,HCHG CT BREAST W/3D RENDERING BI W/O CONTRAST,1025.0,1025.0,,,0
HCPCS,0637T,HCHG CT BREAST W/3D RENDERING BI W/CONTRAST,1636.0,1636.0,,,0
HCPCS,0638T,HCHG CT BRST W/3D RENDERING BI WO CNTRST FLWD CNTRST,1636.0,1636.0,,,0
HCPCS,0644T,HCHG TCAT RMVL/DBLK ICAR MAS PERQ,19949.0,19949.0,,,0
HCPCS,0646T,HCHG TTVI/RPLCMT W/PRSTC VLV PERQ,65515.0,65515.0,,,0
HCPCS,0686T,HCHG HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,108150.0,108150.0,,,0
HCPCS,0795T,HCHG CA TCAT INS 2CHMBR LDLS PM CMPL,95378.0,95378.0,,,0
HCPCS,0796T,HCHG CA TCAT INS 2CHMBR LDLS PM RA,105447.0,105447.0,,,0
HCPCS,0797T,HCHG CA TCAT INS 2CHMBR LDLS PM RV,77763.0,77763.0,,,0
HCPCS,0800T,HCHG CA TCAT RMVL 2CHMBR LDLS PM RV,13529.0,13529.0,,,0
HCPCS,0802T,HCHG CA TCAT RMV&RPL2CHMB LDLS PM RA,11275.0,11275.0,,,0
HCPCS,0823T,HCHG CA TCAT INS 1CHMBR LDLS PM RA,70315.0,70315.0,,,0
HCPCS,0824T,HCHG CA TCAT RMV 1CHMBR LDLS PM RA,11275.0,11275.0,,,0
HCPCS,0865T,HCHG MRI QUAN MRI ALYS BRN W/O DX MRI,4052.0,4052.0,,,0
HCPCS,0866T,HCHG MRI QUAN MRI ALYS BRN W/DX MRI,4052.0,4052.0,,,0
HCPCS,0868T,HCHG HI RES GASTRIC EP MAPPING,3309.0,3309.0,,,0
HCPCS,0913T,HCHG CA PRQ TCAT THER RX NTRAC BALO1,29951.0,29951.0,,,0
HCPCS,0914T,HCHG CA PRQ TCAT THR RX NTRC BAL SEP,24526.0,24526.0,,,0
HCPCS,10005,Fna bx w/us gdn 1st les,,,3304.0,4005.0,7
HCPCS,10005,HCHG FNA BX WITH IMAGE GUIDANCE US 1ST LESION,2976.0,2976.0,,,0
HCPCS,10006,HCHG FNA BX WITH IMAGE GUIDANCE US EA ADD LESION,1798.0,1798.0,,,0
HCPCS,10007,HCHG FNA BX WITH IMAGE GUIDANCE FLUORO 1ST LESION,3579.0,3579.0,,,0
HCPCS,10008,HCHG FNA BX WITH IMAGE GUIDANCE FLUORO EA ADD LESION,2422.0,2422.0,,,0
HCPCS,10009,HCHG FNA BX WITH IMAGE GUIDANCE CT 1ST LESION,3623.0,3623.0,,,0
HCPCS,10010,HCHG FNA BX WITH IMAGE GUIDANCE CT EA ADD LESION,2330.0,2330.0,,,0
HCPCS,10030,HCHG GUIDE CATHET FLUID DRAINAGE,3210.0,3210.0,,,0
HCPCS,10035,HCHG PERQ DEV SOFT TISS 1ST IMAG,2796.0,2796.0,,,0
HCPCS,10036,HCHG PERQ DEV SOFT TISS ADD IMAG,1881.0,1881.0,,,0
HCPCS,10060,HCHG DRAINAGE ABSCESS SIMPLE/SINGLE,1254.5,1254.5,,,0
HCPCS,10060,HCHG OBS DRN ABSCESS SMPL/SNGL,1254.5,1254.5,,,0
HCPCS,10120,HCHG REMOVAL FB SUBQ TISS SMPL,2055.0,2055.0,,,0
HCPCS,10140,HCHG HEMATOMA EVACUATION,5980.0,5980.0,,,0
HCPCS,10160,"HCHG ASPIRATION OF ABSCESS, HEMATOMA, CYST",1494.0,1494.0,,,0
HCPCS,10180,HCHG I&D CPLX PSTP WND INF,11942.0,11942.0,,,0
HCPCS,11104,HCHG PUNCH BX SKIN SINGLE LESION,1121.0,1121.0,,,0
HCPCS,11105,HCHG PUNCH BX SKIN EA SEPARATE/ADDL LES,804.0,804.0,,,0
HCPCS,11441,HCHG EXC FACE-MM B9+MARG 0.6-1.0 CM,7349.0,7349.0,,,0
HCPCS,11719,HCHG TRIM NONDYSTRPHIC NAIL,319.0,319.0,,,0
HCPCS,11720,HCHG DEBRIDE NAIL 1 TO 5,340.0,340.0,,,0
HCPCS,11721,HCHG DEBRIDE NAIL 6 OR MORE,421.0,421.0,,,0
HCPCS,11770,Remove pilonidal cyst simple,,,14332.0,17372.0,7
HCPCS,11771,Remove pilonidal cyst exten,,,13815.0,16746.0,7
HCPCS,11772,Remove pilonidal cyst compl,,,15418.0,18687.0,7
HCPCS,12001,HCHG SIMPLE REPAIR WOUND 2.5CM OR LESS,1194.0,1194.0,,,0
HCPCS,12011,"HCHG LAC SMPL/F,E,N 2.5CM/LESS",1163.0,1163.0,,,0
HCPCS,12020,HCHG TX S WND DEHISC SMPL,4397.0,4397.0,,,0
HCPCS,12031,HCHG INTMD RPR S/A/T/EXT 2.5 CM/<,2377.0,2377.0,,,0
HCPCS,12034,HCHG INTMD RPR S/A/T/EXT 7.6-12.5 CM,2096.0,2096.0,,,0
HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,9350.0,11334.0,7
HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,3845.0,5103.0,10
HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,3845.0,5103.0,10
HCPCS,15275,HCHG SKIN SUB GRAFT F/NK/HF/G <=100SQCM 1ST 25SQCM,5951.0,5951.0,,,0
HCPCS,15769,Grfg autol soft tiss dir exc,,,6442.0,18663.0,9
HCPCS,15770,Derma-fat-fascia graft,,,6442.0,12870.0,5
HCPCS,15771,Grfg autol fat lipo 50 cc/<,,,6442.0,18663.0,9
HCPCS,15772,Grfg autol fat lipo ea addl,,,5582.0,6477.0,5
HCPCS,15773,Grfg autol fat lipo 25 cc/<,,,2765.0,9331.0,9
HCPCS,15774,Gfrg autol fat lipo ea addl,,,3544.0,4206.0,5
HCPCS,15823,Revision of upper eyelid,,,3845.0,6089.0,10
HCPCS,15830,Exc Skin Abd,,,10228.0,15050.0,5
HCPCS,15847,Exc Skin Abd Add-on,,,2230.0,6642.0,10
HCPCS,15877,Suction lipectomy trunk,,,6089.0,8296.0,5
HCPCS,15879,Suction lipectomy lwr extrem,,,6089.0,8296.0,5
HCPCS,17000,Destruct premalg lesion,,,727.0,1006.0,9
HCPCS,17004,Destroy premal lesions 15/>,,,774.0,1022.0,9
HCPCS,17250,HCHG CHEMICAL CAUTERIZATION OR GRANULATION OF TISSUE,679.0,679.0,,,0
HCPCS,17999,HCHG FAT POD BIOPSY,2970.0,2970.0,,,0
HCPCS,19000,HCHG ASPIRATION BREAST CYST,1878.0,1878.0,,,0
HCPCS,19001,HCHG ASPIRATION BREAST CYST EACH ADDITIONAL CYST,985.0,985.0,,,0
HCPCS,19030,HCHG INJECTION FOR DUCTOGRAM OR GALACTOGRAM,1218.0,1218.0,,,0
HCPCS,19030,HCHG INJECTION FOR DUCTOGRAM OR GALACTOGRAM BI,1827.0,1827.0,,,0
HCPCS,19081,Bx breast 1st lesion strtctc,,,7062.0,8561.0,7
HCPCS,19081,HCHG BX BREAST 1ST LESION STRTCTC,6214.0,6214.0,,,0
HCPCS,19081,HCHG BX BREAST 1ST LESION STRTCTC BI,9321.0,9321.0,,,0
HCPCS,19081,HCHG BX BREAST 1ST LESION STRTCTC LT,6214.0,6214.0,,,0
HCPCS,19081,HCHG BX BREAST 1ST LESION STRTCTC RT,6214.0,6214.0,,,0
HCPCS,19082,HCHG BX BREAST ADD LESION STRTCTC,3976.0,3976.0,,,0
HCPCS,19082,HCHG BX BREAST ADD LESION STRTCTC LT,3976.0,3976.0,,,0
HCPCS,19082,HCHG BX BREAST ADD LESION STRTCTC RT,3976.0,3976.0,,,0
HCPCS,19083,Bx breast 1st lesion us imag,,,4560.0,5528.0,7
HCPCS,19083,HCHG BX BREAST 1ST LESION US IMAG,5467.0,5467.0,,,0
HCPCS,19083,HCHG BX BREAST 1ST LESION US IMAG BI,8200.0,8200.0,,,0
HCPCS,19083,HCHG BX BREAST 1ST LESION US IMAG LT,5467.0,5467.0,,,0
HCPCS,19083,HCHG BX BREAST 1ST LESION US IMAG RT,5467.0,5467.0,,,0
HCPCS,19084,HCHG BX BREAST ADD LESION US IMAG,3118.0,3118.0,,,0
HCPCS,19084,HCHG BX BREAST ADD LESION US IMAG LT,3118.0,3118.0,,,0
HCPCS,19084,HCHG BX BREAST ADD LESION US IMAG RT,3118.0,3118.0,,,0
HCPCS,19085,Bx breast 1st lesion mr imag,,,7721.0,9357.0,7
HCPCS,19085,HCHG BX BREAST 1ST LESION MR IMAG,6797.0,6797.0,,,0
HCPCS,19085,HCHG BX BREAST 1ST LESION MR IMAG LT,6797.0,6797.0,,,0
HCPCS,19085,HCHG BX BREAST 1ST LESION MR IMAG RT,6797.0,6797.0,,,0
HCPCS,19086,HCHG BX BREAST ADD LESION MR IMAG,4436.0,4436.0,,,0
HCPCS,19086,HCHG BX BREAST ADD LESION MR IMAG LT,4436.0,4436.0,,,0
HCPCS,19086,HCHG BX BREAST ADD LESION MR IMAG RT,4436.0,4436.0,,,0
HCPCS,19100,HCHG BIOPSY BREAST PERCUTANEOUS W/O IMAGING,4004.0,4004.0,,,0
HCPCS,19120,Removal of breast lesion,,,5921.0,8707.0,10
HCPCS,19125,Excision breast lesion,,,12959.0,15710.0,7
HCPCS,19125,HCHG EXCSN BREAST W LOC,15753.0,15753.0,,,0
HCPCS,19281,HCHG PERQ DEVICE BREAST 1ST IMAG BI,4502.0,4502.0,,,0
HCPCS,19281,HCHG PERQ DEVICE BREAST 1ST IMAG LT,3001.0,3001.0,,,0
HCPCS,19281,HCHG PERQ DEVICE BREAST 1ST IMAG RT,3001.0,3001.0,,,0
HCPCS,19281,HCHG PERQ DEVICE BREAST 1ST MAMMO GUIDE,3001.0,3001.0,,,0
HCPCS,19282,HCHG PERQ DEVICE BREAST ADD MAMMO GUIDE,1378.0,1378.0,,,0
HCPCS,19283,HCHG PERQ DEV BREAST 1ST STRTCTC,2239.0,2239.0,,,0
HCPCS,19284,HCHG PERQ DEV BREAST ADD STRTCTC,2759.0,2759.0,,,0
HCPCS,19285,HCHG PERQ DEV BREAST 1ST US IMAG,3196.0,3196.0,,,0
HCPCS,19285,Perq dev breast 1st us imag,,,3894.0,4831.0,7
HCPCS,19286,HCHG PERQ DEV BREAST ADD US IMAG,986.0,986.0,,,0
HCPCS,19287,HCHG PERQ DEV BREAST 1ST MR GUIDE,2332.0,2332.0,,,0
HCPCS,19288,HCHG PERQ DEV BREAST ADD MR GUIDE,437.0,437.0,,,0
HCPCS,19297,HCHG PLACE BREAST CATH RAD,4261.0,4261.0,,,0
HCPCS,19301,Partial Mastectomy,,,11168.0,13538.0,7
HCPCS,19318,Reduction of large breast,,,11338.0,15050.0,10
HCPCS,19325,Enlarge breast with implant,,,18043.0,26669.0,10
HCPCS,19371,Removal of breast capsule,,,18782.0,22767.0,6
HCPCS,20200,HCHG BX MUSCLE SUPERFICIAL,14211.0,14211.0,,,0
HCPCS,20206,HCHG BIOPSY MUSCLE,3998.0,3998.0,,,0
HCPCS,20220,HCHG BIOPSY BONE SUPERFICIAL,4320.0,4320.0,,,0
HCPCS,20225,HCHG BIOPSY BONE DEEP,6326.0,6326.0,,,0
HCPCS,20500,HCHG INJ SINUS TRACT TX,1041.0,1041.0,,,0
HCPCS,20501,HCHG INJECTION SINOGRAM,958.0,958.0,,,0
HCPCS,20526,HCHG CARPAL TUNNEL  TX  INJ,1391.0,1391.0,,,0
HCPCS,20550,HCHG INJ TENDON SHEATH OR LIGAMENT SINGLE BILAT,2400.0,2400.0,,,0
HCPCS,20550,HCHG INJ TND SHEATH/LG,1600.0,1600.0,,,0
HCPCS,20550,HCHG INJECTION TENDON SHEATH OR LIGAMENT SINGLE,1663.5,1663.5,,,0
HCPCS,20552,HCHG INJ TRIGGER PT 1 OR 2 MCL,1556.0,1556.0,,,0
HCPCS,20552,HCHG INJECTION TRIGGER POINT 1 TO 2 MUSCLES,1556.0,1556.0,,,0
HCPCS,20553,HCHG INJ TRIGGER PT GT 2 MCL,1541.0,1541.0,,,0
HCPCS,20553,HCHG INJECTION TRIGGER POINT GREATER THAN 2  MUSCLES,1541.0,1541.0,,,0
HCPCS,20553,Inject trigger points 3/>,,,727.0,1006.0,9
HCPCS,20600,HCHG DRAIN/INJ SMALL JOINT/BURSA W/O US,1800.5,1800.5,,,0
HCPCS,20604,HCHG INJ/ASPIRATION SMALL JNT/BURSA W/GUIDANCE &RPT,2272.0,2272.0,,,0
HCPCS,20605,HCHG DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US,1808.0,1808.0,,,0
HCPCS,20605,HCHG DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US BIL,2712.0,2712.0,,,0
HCPCS,20606,HCHG INJ/ASPIRATION INTER JNT/BURSA W/GUIDANCE &RPT,2115.5,2115.5,,,0
HCPCS,20610,Drain/inj joint/bursa w/o us,,,727.0,1006.0,9
HCPCS,20610,HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US BI,2883.0,2883.0,,,0
HCPCS,20610,HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US LT,1922.0,1922.0,,,0
HCPCS,20610,HCHG DRAIN/INJ MAJOR JOINT/BURSA W/O US RT,1922.0,1922.0,,,0
HCPCS,20610,HCHG OBS DRAIN/INJ MAJOR JOINT/BURSA W/O US,1922.0,1922.0,,,0
HCPCS,20611,HCHG INJ/ASPIRATION MAJOR JNT/BURSA W/GUIDANCE &RPT,1832.0,1832.0,,,0
HCPCS,20612,HCHG INJECTION OR ASPIRATION GANGLION CYST,986.0,986.0,,,0
HCPCS,20680,Removal of support implant,,,4986.0,6642.0,9
HCPCS,20924,Removal of tendon for graft,,,8406.0,17223.0,10
HCPCS,20926,Removal of tissue for graft,,,6938.0,6938.0,1
HCPCS,20982,HCHG ABLATION BONE TUMORS RF PERCUTANEOUS,20362.0,20362.0,,,0
HCPCS,21012,HCHG EXC SFT LSN FACE SBQ>=2CM,12200.0,12200.0,,,0
HCPCS,21116,HCHG INJECTION ARTHROGRAM TMJ,2194.0,2194.0,,,0
HCPCS,21320,Closed tx nose fx w/ stablj,,,4379.0,7751.0,10
HCPCS,21501,HCHG I&D ABSC/HEMA NK/THOR,16688.0,16688.0,,,0
HCPCS,21550,HCHG BIOPSY SOFT TISSUE NECK,5867.0,5867.0,,,0
HCPCS,21554,Exc neck tum deep 5 cm/>,,,14349.0,17391.0,7
HCPCS,21555,Exc neck les sc < 3 cm,,,3663.0,4857.0,10
HCPCS,21556,Exc neck tum deep < 5 cm,,,4986.0,6642.0,10
HCPCS,21920,HCHG BX SOFT TISSUE BACK/FLANK SUPERFICIAL,566.0,566.0,,,0
HCPCS,21930,Exc back les sc < 3 cm,,,3663.0,4857.0,10
HCPCS,21931,Exc back les sc 3 cm/>,,,8967.0,10706.0,7
HCPCS,21933,Exc back tum deep 5 cm/>,,,12754.0,15460.0,7
HCPCS,22510,HCHG PERC VERTEBROPLASTY INJ CERVIOTHORACIC UNI OR BI,19982.0,19982.0,,,0
HCPCS,22511,HCHG PERC VERTEBROPLASTY INJ LUMBOSACRAL UNI OR BI,16036.0,16036.0,,,0
HCPCS,22512,HCHG PERC VERTEBROPLASTY INJ CERVO/LUMB EA ADDL,10693.0,10693.0,,,0
HCPCS,22513,HCHG PERC VERTEBRAL AUGMENTATION THORACIC UNI OR BI,29093.0,29093.0,,,0
HCPCS,22514,HCHG PERC VERTEBRAL AUGMENTATION LUMBAR UNI OR BI,24824.0,24824.0,,,0
HCPCS,22515,HCHG PERC VERTEBRAL AUGMENTATION THOR/LUMBAR EA ADDL,15694.0,15694.0,,,0
HCPCS,23030,HCHG INCISION AND DRAINAGE HEMATOMA OR ABSCESS SHOULDER,20090.0,20090.0,,,0
HCPCS,23120,Partial removal collar bone,,,7108.0,9585.0,10
HCPCS,23350,HCHG INJECTION ARTHROGRAM SHOULDER LT,1192.0,1192.0,,,0
HCPCS,23350,HCHG INJECTION ARTHROGRAM SHOULDER RT,1192.0,1192.0,,,0
HCPCS,23410,Repair rotator cuff acute,,,10280.0,16750.0,10
HCPCS,23412,Repair rotator cuff chronic,,,10280.0,16750.0,10
HCPCS,23515,Treat clavicle fracture,,,34416.0,41716.0,6
HCPCS,23615,Treat humerus fracture,,,45585.0,55255.0,6
HCPCS,23700,Fixation of shoulder,,,3145.0,4414.0,10
HCPCS,24220,HCHG INJECTION ARTHROGRAM ELBOW,3385.0,3385.0,,,0
HCPCS,24220,HCHG INJECTION ARTHROGRAM ELBOW BI,5078.0,5078.0,,,0
HCPCS,24341,Repair arm tendon/muscle,,,23998.0,29089.0,7
HCPCS,24357,Repair elbow perc,,,5973.0,9585.0,10
HCPCS,24358,Repair elbow w/deb open,,,7108.0,9585.0,10
HCPCS,24359,Repair elbow deb/attch open,,,7108.0,9585.0,10
HCPCS,25000,Incision of tendon sheath,,,4536.0,6305.0,10
HCPCS,25028,HCHG I&D HEMATOMA OR ABSCESS FOREARM AND/OR WRIST,3847.0,3847.0,,,0
HCPCS,25111,Remove wrist tendon lesion,,,4536.0,6330.0,10
HCPCS,25246,HCHG INJECTION ARTHROGRAM WRIST,814.0,814.0,,,0
HCPCS,25246,HCHG INJECTION ARTHROGRAM WRIST BI,1221.0,1221.0,,,0
HCPCS,25447,Repair wrist joints,,,9191.0,12130.0,10
HCPCS,25606,Treat Fx Distal Radial,,,5580.0,7488.0,10
HCPCS,25607,Treat Fx Rad Extra-Articul,,,17678.0,27219.0,10
HCPCS,25608,Treat Fx Rad Intra-Articul,,,17678.0,27219.0,10
HCPCS,25609,Treat Fx Radial 3+ Frag,,,17678.0,27219.0,10
HCPCS,26055,Incise finger tendon sheath,,,3355.0,4908.0,10
HCPCS,26115,Exc hand les sc < 1.5 cm,,,3663.0,4857.0,10
HCPCS,26116,Exc hand tum deep < 1.5 cm,,,3663.0,4857.0,10
HCPCS,26123,Release palm contracture,,,6037.0,8294.0,10
HCPCS,26160,Remove tendon sheath lesion,,,3355.0,4908.0,10
HCPCS,26540,Repair hand joint,,,17957.0,22132.0,7
HCPCS,26615,Treat metacarpal fracture,,,17957.0,22057.0,7
HCPCS,26735,Treat finger fracture each,,,17957.0,22081.0,7
HCPCS,26742,HCHG CL TX ARTFX MCP/IP  JOINT W/MANIP,4053.0,4053.0,,,0
HCPCS,27040,HCHG BIOPSY SOFT TISSUE HIP/PELVIS AREA SUPERFICIAL,5454.0,5454.0,,,0
HCPCS,27041,HCHG BIOPSY SOFT TISSUE HIP/PELVIS AREA DEEP,5244.0,5244.0,,,0
HCPCS,27093,HCHG INJECTION ARTHROGRAM HIP BI,2142.0,2142.0,,,0
HCPCS,27093,HCHG INJECTION ARTHROGRAM HIP LT,1428.0,1428.0,,,0
HCPCS,27093,HCHG INJECTION ARTHROGRAM HIP RT,1428.0,1428.0,,,0
HCPCS,27130,Total hip arthroplasty,,,63249.0,63249.0,1
HCPCS,27301,"HCHG I&D HEMATOMA, ABSCESS, BURSA THIGH/KNEE REGION",14739.0,14739.0,,,0
HCPCS,27323,HCHG BIOPSY SOFT TISSUE KNEE OR THIGH,5441.0,5441.0,,,0
HCPCS,27369,HCHG INJECT CONTRAST ARTHROGRAM/CT/MRI KNEE,859.0,859.0,,,0
HCPCS,27380,Repair of kneecap tendon,,,33976.0,41185.0,7
HCPCS,27427,Reconstruction knee,,,39146.0,45428.0,7
HCPCS,27447,Total knee arthroplasty,,,64740.0,64740.0,1
HCPCS,27524,Treat kneecap fracture,,,34154.0,41400.0,7
HCPCS,27602,HCHG DCMPRN FASCT LEG ANT&/LAT&PST CMPRT,17175.0,17175.0,,,0
HCPCS,27603,HCHG I&D HEMATOMA OR ABSCESS LEG OR ANKLE,6986.0,6986.0,,,0
HCPCS,27614,HCHG BIOPSY SOFT TISSUE LEG/ANKLE DEEP,9785.0,9785.0,,,0
HCPCS,27648,HCHG INJECTION ARTHROGRAM ANKLE,3935.0,3935.0,,,0
HCPCS,27648,HCHG INJECTION ARTHROGRAM ANKLE BI,5902.0,5902.0,,,0
HCPCS,27650,Repair achilles tendon,,,10280.0,16755.0,10
HCPCS,27698,Repair of ankle ligament,,,8406.0,17223.0,10
HCPCS,27792,Treatment of ankle fracture,,,11553.0,16750.0,10
HCPCS,27814,Treatment of ankle fracture,,,37064.0,44925.0,7
HCPCS,27829,Treat lower leg joint,,,34339.0,41626.0,7
HCPCS,28008,Incision of foot fascia,,,15645.0,18965.0,7
HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,4307.0,6840.0,10
HCPCS,28080,Removal of foot lesion,,,4762.0,6313.0,10
HCPCS,28110,Part removal of metatarsal,,,4762.0,7540.0,10
HCPCS,28119,Removal of heel spur,,,4762.0,7540.0,10
HCPCS,28120,Part removal of ankle/heel,,,4762.0,7540.0,10
HCPCS,28122,Partial removal of foot bone,,,4762.0,7540.0,10
HCPCS,28285,Repair of hammertoe,,,4762.0,7540.0,10
HCPCS,28289,Corrj halux rigdus w/o implt,,,4762.0,7540.0,10
HCPCS,28292,Correction hallux valgus,,,7311.0,9727.0,10
HCPCS,28296,Correction hallux valgus,,,7311.0,9727.0,10
HCPCS,28297,Correction hallux valgus,,,34606.0,41948.0,6
HCPCS,28298,Correction hallux valgus,,,23484.0,28464.0,6
HCPCS,28299,Correction hallux valgus,,,8485.0,17223.0,10
HCPCS,28485,Treat metatarsal fracture,,,25058.0,30374.0,7
HCPCS,28750,Fusion of big toe joint,,,14259.0,18814.0,10
HCPCS,29065,HCHG APPLY LONG ARM CAST,606.0,606.0,,,0
HCPCS,29065,HCHG PT APP LONG ARM CAST,682.0,682.0,,,0
HCPCS,29075,HCHG APPLY SHORT ARM CAST,790.0,790.0,,,0
HCPCS,29105,HCHG APP SPLNT LONG ARM,842.0,842.0,,,0
HCPCS,29125,HCHG APP SPLNT SHRT ARM STA,875.0,875.0,,,0
HCPCS,29130,HCHG APP SPLNT FINGER STA,742.0,742.0,,,0
HCPCS,29130,HCHG OT APPLICATION SPLINT FINGER STATIC,536.0,536.0,,,0
HCPCS,29240,HCHG OT STRAP SHOULDER,433.0,433.0,,,0
HCPCS,29345,HCHG APPLY LONG LEG CAST,954.0,954.0,,,0
HCPCS,29365,HCHG PT APP LONG LEG CYLINDER,977.0,977.0,,,0
HCPCS,29405,HCHG APPLY SHORT LEG CAST,1137.0,1137.0,,,0
HCPCS,29505,HCHG APP LONG LEG SPLNT,926.0,926.0,,,0
HCPCS,29515,HCHG APP LOW LEG SPLNT,947.0,947.0,,,0
HCPCS,29720,HCHG REPR SPICA/BODY CAST/JCKT,448.0,448.0,,,0
HCPCS,29730,HCHG WINDOWING OF CAST,457.0,457.0,,,0
HCPCS,29806,Shoulder arthroscopy/surgery,,,11874.0,16750.0,9
HCPCS,29807,Shoulder arthroscopy/surgery,,,11874.0,16750.0,9
HCPCS,29822,Shoulder arthroscopy/surgery,,,17957.0,22047.0,6
HCPCS,29823,Shoulder arthroscopy/surgery,,,17957.0,21176.0,6
HCPCS,29824,Shoulder arthroscopy/surgery,,,7691.0,15846.0,9
HCPCS,29826,Shoulder arthroscopy/surgery,,,2842.0,8468.0,9
HCPCS,29827,Arthroscop rotator cuff repr,,,11874.0,16750.0,9
HCPCS,29828,Arthroscopy biceps tenodesis,,,23331.0,28279.0,6
HCPCS,29846,Wrist arthroscopy/surgery,,,5877.0,8468.0,10
HCPCS,29848,Wrist endoscopy/surgery,,,3276.0,8209.0,10
HCPCS,29873,Knee arthroscopy/surgery,,,5877.0,8468.0,10
HCPCS,29875,Knee arthroscopy/surgery,,,5877.0,8468.0,10
HCPCS,29876,Knee arthroscopy/surgery,,,15581.0,18886.0,7
HCPCS,29877,Knee arthroscopy/surgery,,,5877.0,8468.0,10
HCPCS,29879,Knee arthroscopy/surgery,,,5877.0,8468.0,10
HCPCS,29880,Knee arthroscopy/surgery,,,5877.0,8468.0,10
HCPCS,29881,Knee arthroscopy/surgery,,,5877.0,8468.0,10
HCPCS,29882,Knee arthroscopy/surgery,,,5877.0,8468.0,10
HCPCS,29888,Knee arthroscopy/surgery,,,17274.0,25331.0,10
HCPCS,29893,Scope plantar fasciotomy,,,4762.0,7540.0,10
HCPCS,29916,Hip arthro w/labral repair,,,39536.0,48425.0,6
HCPCS,30140,Resect inferior turbinate,,,5315.0,7205.0,10
HCPCS,30520,Repair of nasal septum,,,5315.0,7113.0,10
HCPCS,30930,Ther fx nasal inf turbinate,,,4379.0,7205.0,10
HCPCS,31231,HCHG OBS DX NASAL ENDOSCOPY,929.0,929.0,,,0
HCPCS,31254,Revision of ethmoid sinus,,,7891.0,16478.0,10
HCPCS,31255,Removal of ethmoid sinus,,,7891.0,16478.0,10
HCPCS,31256,Exploration maxillary sinus,,,5493.0,8682.0,10
HCPCS,31267,Endoscopy maxillary sinus,,,7891.0,16478.0,10
HCPCS,31276,Sinus endoscopy surgical,,,7891.0,16478.0,10
HCPCS,31288,Nasal/sinus endoscopy surg,,,7891.0,16478.0,10
HCPCS,31500,HCHG INTUBATION ENDOTRACHEAL,1621.0,1621.0,,,0
HCPCS,31502,HCHG TRACHEOSTOMY TUBE CHANGE,1675.0,1675.0,,,0
HCPCS,31535,Laryngoscopy w/biopsy,,,16729.0,20277.0,7
HCPCS,31541,Larynscop w/tumr exc + scope,,,16924.0,20515.0,7
HCPCS,31575,HCHG LARYNGOSCOPY DIAGNOSTIC,1102.0,1102.0,,,0
HCPCS,31600,HCHG TRACHEOSTOMY PLANNED SEPARATE PROCEDURE,9513.0,9513.0,,,0
HCPCS,31612,HCHG TRACH PUNCTURE W TRANSTRACH ASP/INJ,9377.0,9377.0,,,0
HCPCS,31622,HCHG BRONCHOSCOPY DIAGNOSTIC,9400.0,9400.0,,,0
HCPCS,31624,HCHG DX BRONCHOSCOPE/LAVAGE,8295.0,8295.0,,,0
HCPCS,31627,HCHG BRONCHOSCOPY CA NAVGATION,8536.0,8536.0,,,0
HCPCS,31652,Bronch ebus samplng 1/2 node,,,16800.0,20364.0,7
HCPCS,31653,Bronch ebus samplng 3/> node,,,16769.0,20324.0,7
HCPCS,31720,HCHG NT CATHETER SX/ASPIRATION,404.0,404.0,,,0
HCPCS,31720,HCHG SUCTION NASOTRACHEAL,423.0,423.0,,,0
HCPCS,32400,HCHG BIOPSY PLEURA,5474.0,5474.0,,,0
HCPCS,32405,Percut bx lung/mediastinum,,,8761.0,8761.0,1
HCPCS,32408,Core ndl bx lng/med perq,,,9684.0,10620.0,4
HCPCS,32408,HCHG CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG LT,5511.0,5511.0,,,0
HCPCS,32408,HCHG CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG RT,5511.0,5511.0,,,0
HCPCS,32550,HCHG INSERTION PLEURAL CATHETER,11186.0,11186.0,,,0
HCPCS,32550,Insert pleural cath,,,17188.0,20834.0,7
HCPCS,32551,HCHG TUBE THORACOSTOMY,3854.0,3854.0,,,0
HCPCS,32552,HCHG REMOVE LUNG CATHETER,4086.0,4086.0,,,0
HCPCS,32553,HCHG INSTILLATION ID RT THOR PERC,5138.0,5138.0,,,0
HCPCS,32554,HCHG OBS THORACENTESIS WO IMAG,3229.0,3229.0,,,0
HCPCS,32554,HCHG THORACENTESIS WO IMAGING,3229.0,3229.0,,,0
HCPCS,32555,HCHG OBS THORACENTESIS W/IMAG,3790.0,3790.0,,,0
HCPCS,32555,HCHG THORACENTESIS W/IMAGING,3790.0,3790.0,,,0
HCPCS,32555,HCHG THORACENTESIS W/IMAGING BI,5685.0,5685.0,,,0
HCPCS,32555,HCHG THORACENTESIS W/IMAGING LT,3790.0,3790.0,,,0
HCPCS,32555,HCHG THORACENTESIS W/IMAGING RT,3790.0,3790.0,,,0
HCPCS,32556,HCHG INSERT CATH PLEURA W/O IMAGE,3808.0,3808.0,,,0
HCPCS,32557,HCHG INSERT CATH PLEURA W/ IMAGE,4102.0,4102.0,,,0
HCPCS,32561,HCHG INSTILLATION PLRO AGT INTL DAY,3441.0,3441.0,,,0
HCPCS,32562,HCHG INSTILLATION PLRO AGT SUBQ DAY,611.0,611.0,,,0
HCPCS,32994,HCHG ABLATE PULM TUMOR PERQ CRYBL W/ IMAG GUID,14712.0,14712.0,,,0
HCPCS,32998,HCHG PRQ RF ABLAT TX PUL TUMOR,12302.0,12302.0,,,0
HCPCS,32999,HCHG PLEURAL CATHETER EXCHANGE,2574.0,2574.0,,,0
HCPCS,33016,HCHG PERICARDIOCENTESIS W/IMAGING,7102.0,7102.0,,,0
HCPCS,33017,HCHG PRCRD DRG 6YR+ W/O CGEN CAR,4516.0,4516.0,,,0
HCPCS,33018,HCHG PRCRD DRG 0-5YR OR W/ANOMLY,5573.0,5573.0,,,0
HCPCS,33019,HCHG PERQ PRCRD DRG INSJ CATH CT,7927.0,7927.0,,,0
HCPCS,33206,HCHG PACER INSERTION OR REPLACEMENT WITH ELECTRODE ATRI,33236.0,33236.0,,,0
HCPCS,33207,HCHG PACER INSERTION OR REPLACEMENT WITH ELECTRODE VENT,34103.0,34103.0,,,0
HCPCS,33208,HCHG PACER INSERTION OR REPLACEMENT WITH ELECTRODE ATRIAL AND VENTRICULAR,40733.0,40733.0,,,0
HCPCS,33210,HCHG TEMPORARY PACER INSERTION SINGLE,18783.0,18783.0,,,0
HCPCS,33211,HCHG TEMPORARY PACER INSERTION DUAL,894.0,894.0,,,0
HCPCS,33212,HCHG PACER GENERATOR ONLY INSERTION OR REPLACEMENT SING,17449.0,17449.0,,,0
HCPCS,33213,HCHG PACER GENERATOR ONLY INSERTION OR REPLACEMENT DUAL,41592.0,41592.0,,,0
HCPCS,33214,HCHG PACER GENERATOR UPGRADE SINGLE CHAMBER TO DUAL CHA,57092.0,57092.0,,,0
HCPCS,33215,HCHG REPOSITION PREV IMP TRNSVNS PACER/ELECTRD,12768.0,12768.0,,,0
HCPCS,33216,HCHG INSERT 1 TRANSVNS ELECTRODE PACER/IMP DEFIB,18741.0,18741.0,,,0
HCPCS,33217,HCHG INSERT 2 TRANSVNS ELECTRODE PACER/IMP DEFIB,33204.0,33204.0,,,0
HCPCS,33218,HCHG REPAIR 1 TRNSVNS ELECTRODE PERM PACER/ICD,23782.0,23782.0,,,0
HCPCS,33220,HCHG REPAIR 2 TRNSVNS ELECTRODES PERM PACER/ICD,3551.0,3551.0,,,0
HCPCS,33221,HCHG INSERT PULSE GEN MULT LEADS,28861.0,28861.0,,,0
HCPCS,33222,HCHG PACER RELOCATION OF SKIN POCKET,11324.0,11324.0,,,0
HCPCS,33223,HCHG ICD RELOCATION OF SKIN POCKET,19304.0,19304.0,,,0
HCPCS,33224,HCHG INSRT ELEC/CAR VN SYS PREV PLCD PCR/ICD GEN,35251.0,35251.0,,,0
HCPCS,33225,HCHG INSRT ELEC/CAR VN SYS AND PCR/ICD GEN SAME TIME,32321.0,32321.0,,,0
HCPCS,33226,HCHG LEAD REPOSITION CORONARY SINUS/LV ON PREVIOUSLY IM,5386.0,5386.0,,,0
HCPCS,33227,HCHG REMOVE&REPLACE PM GEN SINGL,31611.0,31611.0,,,0
HCPCS,33228,HCHG REMV&REPLC PM GEN DUAL LEAD,33697.0,33697.0,,,0
HCPCS,33229,HCHG REMV&REPLC PM GEN MULT LEADS,45589.0,45589.0,,,0
HCPCS,33230,HCHG INSRT IMP DEFIB PULSE GEN ONLY W 2 LEADS,12654.0,12654.0,,,0
HCPCS,33231,HCHG INSRT IMP DEFIB PULSE GEN ONLY W MULTI LEADS,115900.0,115900.0,,,0
HCPCS,33233,HCHG PACER REMOVAL GENERATOR ONLY,19731.0,19731.0,,,0
HCPCS,33234,HCHG LEAD REMOVAL SINGLE CHAMBER PACER,14603.0,14603.0,,,0
HCPCS,33235,HCHG LEAD REMOVAL DUAL CHAMBER PACER,15449.0,15449.0,,,0
HCPCS,33240,HCHG INSRT IMP DEFIB PULSE GEN ONLY W 1 LEAD,74612.0,74612.0,,,0
HCPCS,33241,HCHG REMOVAL IMP DEFIB PULSE GEN ONLY,15291.0,15291.0,,,0
HCPCS,33244,HCHG REMOVE SNGL/DUAL IMP DEFIB ELECTRDS TRNSVNS EXT,13910.0,13910.0,,,0
HCPCS,33249,HCHG INSRT/RPLC PERM IMP DEFIB W TV LEADS SNGL/DUAL,89176.0,89176.0,,,0
HCPCS,33262,HCHG REMOVE REPLACE IMP DEFIB PULS GEN SYS 1 LEAD,80378.0,80378.0,,,0
HCPCS,33263,HCHG REMOVE REPLACE IMP DEFIB PULS GEN SYS DUAL LEAD,78628.0,78628.0,,,0
HCPCS,33264,HCHG REMOVE REPLACE IMP DEFIB PULS GEN SYS MULT LEAD,86622.0,86622.0,,,0
HCPCS,33270,HCHG INS/REP SUBQ DEFIBRILLATOR,106893.0,106893.0,,,0
HCPCS,33271,HCHG INSRT SUBQ IMPLANTABLE DEFIB ELECTRODE,28302.0,28302.0,,,0
HCPCS,33272,HCHG RMVL SUBQ IMPLTBL DFB ELCTRD,7244.0,7244.0,,,0
HCPCS,33274,HCHG INSERT/REPLACE PERM LEADLESS C PM RIGHT VENTR,64312.0,64312.0,,,0
HCPCS,33275,HCHG RMVL PERM LEDLS PM R VENTRICLE W/IMG,12201.0,12201.0,,,0
HCPCS,33285,HCHG INSERT/PROGRAM SUBQ CARDIAC RHYTHM MNTR,23980.0,23980.0,,,0
HCPCS,33286,HCHG REMOVE SUBQ CARDIAC RHYTHM MNTR,5952.0,5952.0,,,0
HCPCS,33289,HCHG RT HEART CATH IMPL PRESSURE SENSOR,84476.0,84476.0,,,0
HCPCS,33340,HCHG PERQ TRANSCATH CLSR L ATR APNDGE,43773.0,43773.0,,,0
HCPCS,33361,HCHG REPLACE AORTIC VALVE PERQ FEMORAL ARTERY,58880.0,58880.0,,,0
HCPCS,33362,HCHG REPLACE AORTIC VALVE OPEN FEMORAL ARTERY,78268.0,78268.0,,,0
HCPCS,33363,HCHG REPLACE AORTIC VALVE OPEN AXILARY ARTERY,15361.0,15361.0,,,0
HCPCS,33365,HCHG REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH,18225.0,18225.0,,,0
HCPCS,33366,HCHG TRCATH REPLACE AORTIC VALVE,81672.0,81672.0,,,0
HCPCS,33367,HCHG REPLACE AORTIC VALVE W/BYPASS PERC PA VENOUS CANN,6302.0,6302.0,,,0
HCPCS,33370,HCHG CA TCAT PLMT&RMVL CEPD PERQ,28241.0,28241.0,,,0
HCPCS,33418,HCHG REPAIR TCAT MITRAL VALVE IINITIAL PROSTH,53468.0,53468.0,,,0
HCPCS,33419,HCHG REPAIR TCAT MITRAL VALVEA ADDL PROSTH,28049.0,28049.0,,,0
HCPCS,33741,HCHG TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD,24257.0,24257.0,,,0
HCPCS,33745,HCHG TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT,14370.0,14370.0,,,0
HCPCS,33746,HCHG TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL,5655.0,5655.0,,,0
HCPCS,33880,HCHG EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT COV LSA,8470.0,8470.0,,,0
HCPCS,33881,HCHG EVAS RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA,7300.0,7300.0,,,0
HCPCS,33883,HCHG DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN,6600.0,6600.0,,,0
HCPCS,33884,HCHG THORACIC AA ENDOVASCULAR PLACEMENT PROSTHESIS ADDITIONAL EXTENSION,1725.0,1725.0,,,0
HCPCS,33886,HCHG DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART,4360.0,4360.0,,,0
HCPCS,33897,HCHG PERQ TRLUML ANGP NT/RECR COA,20853.0,20853.0,,,0
HCPCS,33946,HCHG ECMO/ECLS INITIATION VENOUS,16405.0,16405.0,,,0
HCPCS,33947,HCHG ECMO/ECLS INITIATION ARTERY,17539.0,17539.0,,,0
HCPCS,33952,HCHG ECMO/ECLS INS PERIPH CANNULA PERC >=6 YRS,25697.0,25697.0,,,0
HCPCS,33953,HCHG ECMO/ECLS INS PERIPH CANNULA OPEN <=5 YRS,30951.0,30951.0,,,0
HCPCS,33954,HCHG ECMO/ECLS INS PERIPH CANNULA OPEN >=6 YRS,31060.0,31060.0,,,0
HCPCS,33955,HCHG ECMO/ECLS INS CENTRAL CANNULA <=5 YRS,54231.0,54231.0,,,0
HCPCS,33956,HCHG ECMO/ECLS INS CENTRAL CANNULA >=6 YRS,57225.0,57225.0,,,0
HCPCS,33957,HCHG ECMO/ECLS REPOS PERIPH CANNULA PERC <=5 YRS,12053.0,12053.0,,,0
HCPCS,33958,HCHG ECMO/ECLS REPOS PERIPH CANNULA PERC >=6 YRS,11252.0,11252.0,,,0
HCPCS,33959,HCHG ECMO/ECLS REPOS PERIPH CANNULA OPEN <=5 YRS,15297.0,15297.0,,,0
HCPCS,33962,HCHG ECMO/ECLS REPOS PERIPH CANNULA OPEN >=6 YRS,15340.0,15340.0,,,0
HCPCS,33963,HCHG ECMO/ECLS REPOS CENTRAL CANNULA <=5 YRS,30573.0,30573.0,,,0
HCPCS,33964,HCHG ECMO/ECLS REPOS CENTRAL CANNULA >=6 YRS,32271.0,32271.0,,,0
HCPCS,33965,HCHG ECMO/ECLS RMVL PERIPH CANNULA PERC <=5 YRS,3072.0,3072.0,,,0
HCPCS,33966,HCHG ECMO/ECLS RMVL PERIPH CANNULA PERC >=6 YRS,3704.0,3704.0,,,0
HCPCS,33967,HCHG IABP INSERTION PERCUTANEOUSLY,13273.0,13273.0,,,0
HCPCS,33968,HCHG REM IAB ASIST DEV PRC,141.0,141.0,,,0
HCPCS,33969,HCHG ECMO/ECLS RMVL PERIPH CANNULA OPEN <=5 YRS,4548.0,4548.0,,,0
HCPCS,33984,HCHG ECMO/ECLS RMVL PERIPH CANNULA OPEN >=6 YRS,4452.0,4452.0,,,0
HCPCS,33985,HCHG ECMO/ECLS RMVL CENTRAL CANNULA <=5 YRS,8566.0,8566.0,,,0
HCPCS,33986,HCHG ECMO ECLS RMVL CENTRAL CANNULA >=6 YRS,8154.0,8154.0,,,0
HCPCS,33990,HCHG INSERT VAD LEFT ARTERY ACCESS,30404.0,30404.0,,,0
HCPCS,33992,HCHG REMOVAL PERQ L HRT VAD ARTL/ARTL&VEN SEP INSJ,2349.0,2349.0,,,0
HCPCS,33993,HCHG REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ,8249.0,8249.0,,,0
HCPCS,33995,HCHG INSJ PERQ VAD W/RS&I R HEART VENOUS ACCESS ONLY,2032.0,2032.0,,,0
HCPCS,33997,HCHG RMVL PERQ R HEART VAD VENOUS CANNULA SEP INSJ,1978.0,1978.0,,,0
HCPCS,33999,HCHG NON CONGENITAL ATRIAL SEPTOSTOMY,19534.0,19534.0,,,0
HCPCS,33999,"HCHG TAVR, OPEN CAROTID APPROACH",11066.0,11066.0,,,0
HCPCS,33999,HCHG TRANSCATHETER MYOTOMY (SESAME),39010.0,39010.0,,,0
HCPCS,34701,HCHG EVASC RPR A-AO NDGFT,15690.0,15690.0,,,0
HCPCS,34702,HCHG EVASC RPR A-AO NDGFT RPT,25495.0,25495.0,,,0
HCPCS,34703,HCHG EVASC RPR A-UNILAC NDGFT,17857.0,17857.0,,,0
HCPCS,34704,HCHG EVASC RPR A-UNILAC NDGFT RPT,34963.0,34963.0,,,0
HCPCS,34705,HCHG EVAC RPR A-BIILIAC NDGFT,17642.0,17642.0,,,0
HCPCS,34706,HCHG EVASC RPR A-BIILIAC RPT,33117.0,33117.0,,,0
HCPCS,34707,HCHG EVASC RPR ILIO-ILIAC NDGFT,13736.0,13736.0,,,0
HCPCS,34708,HCHG EVASC RPR ILIO-ILIAC RPT,28410.0,28410.0,,,0
HCPCS,34709,HCHG PLMT XTN PROSTH EVASC RPR,9984.0,9984.0,,,0
HCPCS,34710,HCHG DLYD PLMT XTN PROSTH 1ST VSL,31594.0,31594.0,,,0
HCPCS,34711,HCHG DLYD PLMT XTN PROSTH EA ADDL,36937.0,36937.0,,,0
HCPCS,34713,HCHG PERQ ACCESS & CLSR FEM ART,3648.0,3648.0,,,0
HCPCS,34715,HCHG OPN AX/SUBCLA ART EXPOS,7818.0,7818.0,,,0
HCPCS,34716,HCHG OPN AX/SUBCLA ART EXPOS CNDT,10744.0,10744.0,,,0
HCPCS,34808,HCHG PLACEMENT ILIAC OCCLUSION DEVICE,979.0,979.0,,,0
HCPCS,34842,HCHG ENDOVASC VISC AORTA 2 GRAFT,7149.0,7149.0,,,0
HCPCS,36000,HCHG INTRODUCTION NEEDLE OR INTRACATHETER INTO VEIN,603.0,603.0,,,0
HCPCS,36000,HCHG OBS INTRODUCTION NEEDLE OR INTRACATHETER INTO VEIN,603.0,603.0,,,0
HCPCS,36002,HCHG INJECTION PSEUDOANEURYSM,2295.0,2295.0,,,0
HCPCS,36005,HCHG VENOGRAM EXTREMITY INJECTION BI,4476.0,4476.0,,,0
HCPCS,36005,HCHG VENOGRAM EXTREMITY INJECTION LT,2984.0,2984.0,,,0
HCPCS,36005,HCHG VENOGRAM EXTREMITY INJECTION RT,2984.0,2984.0,,,0
HCPCS,36010,HCHG INTRODUCTION CATH SUPERIOR OR INFERIOR VENA CAVA,5299.0,5299.0,,,0
HCPCS,36011,HCHG SELECTIVE CATH VENOUS SYSTEM FIRST ORDER,5740.0,5740.0,,,0
HCPCS,36012,HCHG SELECTIVE CATH VENOUS SYSTEM SECOND ORDER,7556.0,7556.0,,,0
HCPCS,36013,HCHG SELECTIVE CATH RIGHT HEART OR MAIN PULMONARY ARTERY,14978.0,14978.0,,,0
HCPCS,36014,HCHG SELECTIVE CATH LEFT OR RIGHT PULMONARY ARTERY,7762.0,7762.0,,,0
HCPCS,36015,HCHG SELECTIVE CATH SEGMENTAL OR SUBSEGMENTAL PULMONARY ARTERY,35700.0,35700.0,,,0
HCPCS,36100,HCHG SELECTIVE CATH CAROTID OR VERTEBRAL ARTERY,4240.0,4240.0,,,0
HCPCS,36140,HCHG INTRO NEEDLE INTRACATH UPPR/LOWR EXTR ARTERY,5300.0,5300.0,,,0
HCPCS,36160,HCHG SELECTIVE CATH AORTA TRANSLUMBAR,4740.0,4740.0,,,0
HCPCS,36200,HCHG SELECTIVE CATH AORTA,6430.0,6430.0,,,0
HCPCS,36215,HCHG SELECTIVE CATH THORACIC FIRST ORDER ARTERY,7884.0,7884.0,,,0
HCPCS,36216,HCHG SELECTIVE CATH THORACIC SECOND ORDER ARTERY,8166.0,8166.0,,,0
HCPCS,36217,HCHG SELECTIVE CATH THORACIC THIRD ORDER ARTERY,10979.0,10979.0,,,0
HCPCS,36218,HCHG SELECTIVE CATH THORACIC EACH ADDITIONAL ARTERY,4713.0,4713.0,,,0
HCPCS,36221,HCHG PLACE CATH THORACIC AORTA,15070.0,15070.0,,,0
HCPCS,36222,HCHG CATH CAROTID/INOM ART CA,19608.0,19608.0,,,0
HCPCS,36222,HCHG CATH CAROTID/INOM ART CA BI,29412.0,29412.0,,,0
HCPCS,36223,HCHG CATH CAROTID/INOM ART XCA,26947.0,26947.0,,,0
HCPCS,36223,HCHG CATH CAROTID/INOM ART XCA BI,40420.0,40420.0,,,0
HCPCS,36224,HCHG PLACE CATH CAROTD ART,25251.0,25251.0,,,0
HCPCS,36224,HCHG PLACE CATH CAROTD ART BI,37876.0,37876.0,,,0
HCPCS,36225,HCHG PLACE CATH SUBCLAVIAN ART,17249.0,17249.0,,,0
HCPCS,36225,HCHG PLACE CATH SUBCLAVIAN ART BI,25874.0,25874.0,,,0
HCPCS,36226,HCHG PLACE CATH VERTEBRAL ART,26571.0,26571.0,,,0
HCPCS,36226,HCHG PLACE CATH VERTEBRAL ART BI,39856.0,39856.0,,,0
HCPCS,36227,HCHG PLACE CATH XTRNL CAROTID,19378.0,19378.0,,,0
HCPCS,36228,HCHG PLACE CATH INTRACRANIAL ART,12590.0,12590.0,,,0
HCPCS,36245,"HCHG SELECTIVE CATH ABDOMINAL, LOWER EXTREMITY, PELVIC FIRST ORDER ARTERY",7790.0,7790.0,,,0
HCPCS,36246,"HCHG SELECTIVE CATH ABDOMINAL, LOWER EXTREMITY, PELVIC SECOND ORDER ARTERY",6941.0,6941.0,,,0
HCPCS,36247,"HCHG SELECTIVE CATH ABDOMINAL, LOWER EXTREMITY, PELVIC THIRD ORDER ARTERY",8301.0,8301.0,,,0
HCPCS,36248,"HCHG SELECTIVE CATH ABDOMINAL, LOWER EXTREMITY, PELVIC EACH ADDITIONAL ARTERY",5368.0,5368.0,,,0
HCPCS,36251,HCHG INS CATH REN ART 1ST UNILAT,13523.0,13523.0,,,0
HCPCS,36252,HCHG INS CATH REN ART 1ST BI,14947.0,14947.0,,,0
HCPCS,36253,HCHG INS CATH REN ART 2ND+ UNILAT,13800.0,13800.0,,,0
HCPCS,36254,HCHG INS CATH REN ART 2ND+ BILAT,7520.0,7520.0,,,0
HCPCS,36299,HCHG INJECTION VESSEL,1828.0,1828.0,,,0
HCPCS,36406,HCHG VENIPUNCTURE <3 YEARS OTHER VEIN,223.0,223.0,,,0
HCPCS,36410,HCHG VENIPUNCTURE AGE 3 YRS/>,74.0,74.0,,,0
HCPCS,36415,HCHG CPMC VENIPUNCTURE BTMG,39.0,39.0,,,0
HCPCS,36415,HCHG CPMC VENIPUNCTURE BTMG PRENATAL,45.0,45.0,,,0
HCPCS,36415,HCHG OBS VENIPUNCTURE,50.0,50.0,,,0
HCPCS,36415,HCHG VENIPUNCTURE,50.0,50.0,,,0
HCPCS,36415,HCHG VENIPUNCTURE CDPH PRENATAL,6.0,6.0,,,0
HCPCS,36416,HCHG CAPILLARY PUNCTURE,38.5,38.5,,,0
HCPCS,36430,HCHG BLOOD TRANSFUSION 2-4 HRS,1713.0,1713.0,,,0
HCPCS,36430,HCHG BLOOD TRANSFUSION 4-6 HRS,2570.0,2570.0,,,0
HCPCS,36430,HCHG BLOOD TRANSFUSION <=2 HRS,857.0,857.0,,,0
HCPCS,36430,HCHG BLOOD TRANSFUSION > 6 HRS,3426.0,3426.0,,,0
HCPCS,36450,HCHG EXCHANGE TRANSFUSION NEWBORN,3005.0,3005.0,,,0
HCPCS,36460,HCHG TRANSFUSION INTRAUTERINE FETAL,1787.0,1787.0,,,0
HCPCS,36470,HCHG INJECTION SCLEROSANT SINGLE VEIN OT TELANG,1927.0,1927.0,,,0
HCPCS,36473,HCHG ENDOVENOUS MCHNCHEM 1ST VEIN,42586.0,42586.0,,,0
HCPCS,36474,HCHG ENDOVENOUS MCHNCHEM ADD-ON,1252.0,1252.0,,,0
HCPCS,36475,HCHG ENDOVENOUS RF 1ST VEIN,12293.0,12293.0,,,0
HCPCS,36481,HCHG SELECTIVE CATH PORTAL VEIN ANY METHOD,3265.0,3265.0,,,0
HCPCS,36482,HCHG ENDOVENOUS THERAPY CHEMICAL ADHESIVE 1ST VEIN,15942.0,15942.0,,,0
HCPCS,36483,HCHG ENDOVENOUS THERAPY CHEMICAL ADHESIVE SUBSQ,1511.0,1511.0,,,0
HCPCS,36500,HCHG SELECTIVE CATH VENOUS ORGAN BLOOD SAMPLING,4548.0,4548.0,,,0
HCPCS,36511,HCHG THERAPEUTIC APHERESIS WBC,7146.0,7146.0,,,0
HCPCS,36512,HCHG THERAPEUTIC APHERESIS RBC,15095.0,15095.0,,,0
HCPCS,36513,HCHG THERAPEUTIC APHERESIS PLATELET,14823.0,14823.0,,,0
HCPCS,36514,HCHG APHERESIS PLASMA,7885.0,7885.0,,,0
HCPCS,36514,HCHG THERAPEUTIC APHERESIS PLASMA,7885.0,7885.0,,,0
HCPCS,36516,HCHG APHERESIS ADSORP OR FILTRA & REINFUSE,13958.0,13958.0,,,0
HCPCS,36516,HCHG THERAPEUTICAPHERESIS SELECTIVE,13958.0,13958.0,,,0
HCPCS,36522,HCHG PHOTOPHERESIS,12821.0,12821.0,,,0
HCPCS,36555,HCHG CENTRAL VENOUS CATH INSERTION NON-TUNNELED LESS THAN 5YR,1485.0,1485.0,,,0
HCPCS,36555,HCHG INSRT NON-TUNN CV CATH<5,1485.0,1485.0,,,0
HCPCS,36556,HCHG CENTRAL VENOUS CATH INSERTION NON-TUNNELED 5YR OR OLDER,4508.0,4508.0,,,0
HCPCS,36556,HCHG INSRT NON-TUNN CV CATH 5+,4508.0,4508.0,,,0
HCPCS,36556,HCHG OBS CENTRAL VENOUS CATH INSERTION NON-TUNNELED 5YR OR OLDER,4383.0,4383.0,,,0
HCPCS,36557,HCHG CV CATHETER INSERTION TUNNELED WITHOUT PORT LESS THAN 5 YR,10081.0,10081.0,,,0
HCPCS,36558,HCHG CV CATHETER INSERTION TUNNELED WITHOUT PORT 5 YR OR OLDER,12097.0,12097.0,,,0
HCPCS,36560,HCHG CENTRAL VENOUS CATHETER INSERTION TUNNELED WITH PORT LESS THAN 5 YR,14959.0,14959.0,,,0
HCPCS,36561,HCHG CENTRAL VENOUS CATHETER INSERTION TUNNELED WITH PORT 5 YR OR OLDER,15158.0,15158.0,,,0
HCPCS,36561,Insert tunneled cv cath,,,14174.0,17180.0,7
HCPCS,36565,HCHG CV ACCESS DEVICE INSERTION TUNNELED REQUIRING 2 CATHETERS W/ 2 SITES W/OUT PORT,7516.0,7516.0,,,0
HCPCS,36566,HCHG CENTRAL VENOUS ACCESS DEVICE INSERTION TUNNELED REQ 2 CATH W/ 2 SITES WITH PORT,529.0,529.0,,,0
HCPCS,36568,HCHG INSERT PICC <5 YR WO PORT WO IMAGE GUIDANCE,1663.0,1663.0,,,0
HCPCS,36569,HCHG INSERT PICC >=5 YR WO PORT WO IMAGE GUIDANCE,4451.0,4451.0,,,0
HCPCS,36569,HCHG OBS INSERT PICC >=5 YR WO PORT WO IMAGE GUIDANC,4268.0,4268.0,,,0
HCPCS,36570,HCHG PICC INSERTION WITH PORT LESS THAN 5 YR,11311.0,11311.0,,,0
HCPCS,36571,HCHG PICC INSERTION WITH PORT 5 YR OR OLDER,17215.0,17215.0,,,0
HCPCS,36572,HCHG INSERT PICC <5 YR WO PORT W IMAGE GUIDANCE,3223.0,3223.0,,,0
HCPCS,36573,HCHG INSERT PICC >=5 YR WO PORT W IMAGE GUIDANCE,4995.0,4995.0,,,0
HCPCS,36573,HCHG OBS INSERT PICC >=5 YR WO PORT W IMAGE GUIDANCE,4868.0,4868.0,,,0
HCPCS,36575,HCHG CENTRAL VENOUS CATHETER REPAIR WITHOUT PORT,3942.0,3942.0,,,0
HCPCS,36575,HCHG REPR CV CATH W/O PORT,3942.0,3942.0,,,0
HCPCS,36576,HCHG REPR CV CATH W PORT,4645.0,4645.0,,,0
HCPCS,36578,HCHG CENTRAL VENOUS ACCESS REPLACEMENT CATH WITH PORT,6757.0,6757.0,,,0
HCPCS,36580,HCHG CENTRAL VENOUS CATHETER REPLACEMENT NON-TUNNELED,12100.0,12100.0,,,0
HCPCS,36580,HCHG RPLC COMP NON-TUN CV CATH,12100.0,12100.0,,,0
HCPCS,36581,HCHG CENTRAL VENOUS CATHETER REPLACEMENT TUNNELED,10190.0,10190.0,,,0
HCPCS,36582,HCHG CENTRAL VENOUS CATHETER REPLACEMENT TUNNELED WITH PORT,15826.0,15826.0,,,0
HCPCS,36583,HCHG CENTRAL VENOUS CATHETER REPLACEMENT TUNNELED WITH PUMP,21158.0,21158.0,,,0
HCPCS,36584,HCHG REPLACE PICC WO PORT SAME ACCESS W/ S&I,4578.0,4578.0,,,0
HCPCS,36585,HCHG PICC REPLACEMENT WITH PORT,7204.0,7204.0,,,0
HCPCS,36589,HCHG CENTRAL VENOUS CATHETER TUNNELED REMOVAL,4713.0,4713.0,,,0
HCPCS,36589,HCHG REMV TUNN CV CATH W/O PT,4713.0,4713.0,,,0
HCPCS,36590,HCHG CENTRAL VENOUS CATHETER TUNNELED REMOVAL WITH PORT,8425.0,8425.0,,,0
HCPCS,36591,HCHG COLL BLD IMP VEN ACCS DEV,447.0,447.0,,,0
HCPCS,36591,HCHG COLL BLD VNS ACCS DVC,447.0,447.0,,,0
HCPCS,36591,HCHG ED COLL BLD IMP VEN ACCS DEV,381.0,381.0,,,0
HCPCS,36591,HCHG OBS BLOOD DRAW IMPLANTED PORT,447.0,447.0,,,0
HCPCS,36592,HCHG COLL BLD PICC/CNTRL LN,526.0,526.0,,,0
HCPCS,36592,HCHG COLLECT BLOOD FROM PICC,526.0,526.0,,,0
HCPCS,36592,HCHG ED COLL BLD PICC/CNTRL LN,459.0,459.0,,,0
HCPCS,36592,HCHG OBS COL BLD PICC/CNTRL LN,526.0,526.0,,,0
HCPCS,36593,HCHG DECLOT VASC DEVICE,1307.0,1307.0,,,0
HCPCS,36593,HCHG DECLOT VASCULAR DEVICE WITH THROMBOLYTIC,1307.0,1307.0,,,0
HCPCS,36593,HCHG OBS DECLOT VASCULAR DEVICE WITH THROMBOLYTIC,1307.0,1307.0,,,0
HCPCS,36595,HCHG REMOVAL PERICATHETER OBSTRUCTIVE MATERIAL,7095.0,7095.0,,,0
HCPCS,36596,HCHG DECLOT VASCULAR DEVICE MECHANICAL,288.0,288.0,,,0
HCPCS,36597,HCHG CENTRAL VENOUS CATHETER REPOSITIONING UNDER FLUORO,5682.0,5682.0,,,0
HCPCS,36598,HCHG CENTRAL VENOUS ACCESS INJECTION WITH FLUORO,1331.0,1331.0,,,0
HCPCS,36600,HCHG ARTERIAL PUNCTURE,377.0,377.0,,,0
HCPCS,36620,HCHG ART CATH MNTRNG PERC,1493.0,1493.0,,,0
HCPCS,36620,HCHG ARTERIAL CATHETERIZATION,1687.0,1687.0,,,0
HCPCS,36800,HCHG HEMODIALYSIS CANNULA INSERTION VEIN TO VEIN,1047.0,1047.0,,,0
HCPCS,36821,Av fusion direct any site,,,17420.0,22145.0,7
HCPCS,36833,HCHG OPEN REVISION AV FISTULA WITH THROMBECTOMY,44643.0,44643.0,,,0
HCPCS,36861,HCHG DECLOT EXTERNAL CANNULA WITH BALLOON,10532.0,10532.0,,,0
HCPCS,36901,HCHG INTRO CATH DIALYSIS CIRCUIT,7462.0,7462.0,,,0
HCPCS,36902,HCHG INTRO CATH DIALYSIS CIRCUIT W/BAL,25038.0,25038.0,,,0
HCPCS,36903,HCHG INTRO CATH DIALYSIS CIRCUIT W/STNT,37877.0,37877.0,,,0
HCPCS,36904,HCHG THRMBC/NFS DIALYSIS CIRCUIT,23814.0,23814.0,,,0
HCPCS,36905,HCHG THRMBC/NFS DIALYSIS CIRCUIT W/BAL,42724.0,42724.0,,,0
HCPCS,36906,HCHG THRMBC/NFS DIALYSIS CIRCUIT W/STNT,55503.0,55503.0,,,0
HCPCS,36907,HCHG BALO ANGIOP CTR DIALYSIS SEG,12178.0,12178.0,,,0
HCPCS,36908,HCHG STENT PLMT CTR DIALYSIS SEG,12246.0,12246.0,,,0
HCPCS,36909,HCHG DIALYSIS CIRCUIT EMBOLJ,10545.0,10545.0,,,0
HCPCS,37140,HCHG OPEN VENOUS ANASTOMOSIS PORTACAVAL,9618.0,9618.0,,,0
HCPCS,37182,HCHG TIPS INSERTION,13246.0,13246.0,,,0
HCPCS,37183,HCHG TIPS REVISION,20596.0,20596.0,,,0
HCPCS,37184,HCHG THROMBECTOMY ARTERIAL INITIAL,21446.0,21446.0,,,0
HCPCS,37185,HCHG THROMBECTOMY ARTERIAL SECOND AND SUBSEQUENT VESSELS IN SAME VASCULAR FAMILY,12572.0,12572.0,,,0
HCPCS,37186,HCHG THROMBCTMY SCNDRY PRC W FLUORO/INJ ADD ON,9727.0,9727.0,,,0
HCPCS,37187,HCHG THROMBECTOMY MECHANICAL VENOUS WITH FLUORO,21467.0,21467.0,,,0
HCPCS,37188,HCHG MECHANICAL THROMBECTOMY VEIN SUBSEQUENT TREATMENT,30467.0,30467.0,,,0
HCPCS,37191,HCHG INSERT ENDOVASCULAR VENA CAVA FILTER,17462.0,17462.0,,,0
HCPCS,37192,HCHG REDO ENDOVAS VENA CAVA FILTR,19996.0,19996.0,,,0
HCPCS,37193,HCHG REM ENDOVAS VENA CAVA FILTER,17483.0,17483.0,,,0
HCPCS,37193,Rem endovas vena cava filter,,,15546.0,18844.0,7
HCPCS,37195,HCHG THROMBOLYSIS CEREBRAL BY INTRAVENOUS INFUSION,2021.0,2021.0,,,0
HCPCS,37197,HCHG REMOVE INTRVAS FOREIGN BODY,14944.0,14944.0,,,0
HCPCS,37200,HCHG BIOPSY TRANSCATHETER,11710.0,11710.0,,,0
HCPCS,37211,HCHG THROMBOLYTIC ART THERAPY,16785.0,16785.0,,,0
HCPCS,37212,HCHG THROMBOLYTIC VENOUS THERAPY,7891.0,7891.0,,,0
HCPCS,37213,HCHG THROMBLYTIC ART/VEN THERAPY,17273.0,17273.0,,,0
HCPCS,37214,HCHG CESSJ THERAPY CATH REMOVAL,11652.0,11652.0,,,0
HCPCS,37215,HCHG STENT TRANSCATH CCA OPN/PRQ W DEP INCLDS ANGIO,32603.0,32603.0,,,0
HCPCS,37216,HCHG STENT TRANSCATH CCA OPN/PRQ WO DEP INCLDS ANGIO,6414.0,6414.0,,,0
HCPCS,37220,HCHG ILIAC REVASC BI,38888.0,38888.0,,,0
HCPCS,37220,HCHG ILIAC REVASC LT,25925.0,25925.0,,,0
HCPCS,37220,HCHG ILIAC REVASC RT,25925.0,25925.0,,,0
HCPCS,37221,HCHG ILIAC REVASC W/STENT BI,56643.0,56643.0,,,0
HCPCS,37221,HCHG ILIAC REVASC W/STENT LT,37762.0,37762.0,,,0
HCPCS,37221,HCHG ILIAC REVASC W/STENT RT,37762.0,37762.0,,,0
HCPCS,37222,HCHG ILIAC REVASC ADD-ON,18637.0,18637.0,,,0
HCPCS,37223,HCHG ILIAC REVS W/STNT ADD,20948.0,20948.0,,,0
HCPCS,37224,HCHG FEM/POPL REVAS W/TLA,26364.0,26364.0,,,0
HCPCS,37225,HCHG FEM/POPL REVAS W/ATHR,38360.0,38360.0,,,0
HCPCS,37226,HCHG FEM/POPL REVAS W/STNT,39799.0,39799.0,,,0
HCPCS,37227,HCHG FEM/POP REVSC ST/ATHR,53408.0,53408.0,,,0
HCPCS,37228,HCHG TIB/PER REVASC W/TLA,27954.0,27954.0,,,0
HCPCS,37229,HCHG TIB/PER REVASC W/ATHR,47354.0,47354.0,,,0
HCPCS,37230,HCHG TIB/PER REVASC W/STNT,43291.0,43291.0,,,0
HCPCS,37231,HCHG TIB/PER REVAS ST/ATHR,58195.0,58195.0,,,0
HCPCS,37232,HCHG TIB/PER REVASC ADD-ON,16065.0,16065.0,,,0
HCPCS,37233,HCHG TB/PR REVS W/ATHR ADD,23075.0,23075.0,,,0
HCPCS,37234,HCHG TB/PR OP/PR REVS STNT,30250.0,30250.0,,,0
HCPCS,37236,HCHG OPEN/PERQ PLACE STENT 1ST,34023.0,34023.0,,,0
HCPCS,37237,HCHG OPEN/PERQ PLACE STENT EA ADD ART,26810.0,26810.0,,,0
HCPCS,37238,HCHG OPEN/PERQ PLACE STENT SAME,34230.0,34230.0,,,0
HCPCS,37239,HCHG OPEN/PERQ PLACE STENT EA ADD VEIN,19057.0,19057.0,,,0
HCPCS,37241,HCHG VASC EMBOLIZE/OCCLUDE VENOUS,33841.0,33841.0,,,0
HCPCS,37242,HCHG VASC EMBOLIZE/OCCLUDE ARTERY,33254.0,33254.0,,,0
HCPCS,37243,HCHG VASC EMBOLIZE/OCCLUDE ORGAN,32641.0,32641.0,,,0
HCPCS,37244,HCHG VASC EMBOLIZE/OCCLUDE BLEED,42090.0,42090.0,,,0
HCPCS,37246,HCHG TRANSLUMINAL BALLOON ANGIOP 1ST ART,22835.0,22835.0,,,0
HCPCS,37247,HCHG TRANSLUMINAL BALLOON ANGIOP ADDL ART,13230.0,13230.0,,,0
HCPCS,37248,HCHG TRANSLUMINAL BALLOON ANGIOP 1ST VEIN,22513.0,22513.0,,,0
HCPCS,37249,HCHG TRANSLUMINAL BALLOON ANGIOP ADDL VEIN,12910.0,12910.0,,,0
HCPCS,37252,HCHG INTRVASC US NONCORONARY 1ST VSL,11675.0,11675.0,,,0
HCPCS,37253,HCHG INTRVASC US NONCORONARY EACH ADDL VSL,8124.0,8124.0,,,0
HCPCS,37254,HCHG REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL,38890.0,38890.0,,,0
HCPCS,37255,HCHG REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,18638.0,18638.0,,,0
HCPCS,37256,HCHG REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL,54446.0,54446.0,,,0
HCPCS,37257,HCHG REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,26093.0,26093.0,,,0
HCPCS,37258,HCHG REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,56644.0,56644.0,,,0
HCPCS,37259,HCHG REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,20947.0,20947.0,,,0
HCPCS,37260,HCHG REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,79302.0,79302.0,,,0
HCPCS,37261,HCHG REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADD VSL,29326.0,29326.0,,,0
HCPCS,37263,HCHG REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,26364.0,26364.0,,,0
HCPCS,37265,HCHG REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,36909.0,36909.0,,,0
HCPCS,37267,HCHG REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL,39799.0,39799.0,,,0
HCPCS,37269,HCHG REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL,55719.0,55719.0,,,0
HCPCS,37270,HCHG REVSC EVSC FPVT ST PLMT UNI CPLX LES EA ADD VSL,31147.0,31147.0,,,0
HCPCS,37271,HCHG REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL,38359.0,38359.0,,,0
HCPCS,37273,HCHG REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL,53703.0,53703.0,,,0
HCPCS,37275,HCHG REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL,53409.0,53409.0,,,0
HCPCS,37277,HCHG REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL,74772.0,74772.0,,,0
HCPCS,37280,HCHG REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL,27954.0,27954.0,,,0
HCPCS,37281,HCHG REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL,16066.0,16066.0,,,0
HCPCS,37282,HCHG REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL,39136.0,39136.0,,,0
HCPCS,37283,HCHG REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADD VSL,22492.0,22492.0,,,0
HCPCS,37284,HCHG REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL,43291.0,43291.0,,,0
HCPCS,37285,HCHG REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL,30251.0,30251.0,,,0
HCPCS,37286,HCHG REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL,60607.0,60607.0,,,0
HCPCS,37287,HCHG REVSC EVSC TPVT ST PLMT UNI CPLX LES EA ADD VSL,42352.0,42352.0,,,0
HCPCS,37288,HCHG REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL,47353.0,47353.0,,,0
HCPCS,37289,HCHG REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL,23075.0,23075.0,,,0
HCPCS,37290,HCHG REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL,66295.0,66295.0,,,0
HCPCS,37291,HCHG REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL,32306.0,32306.0,,,0
HCPCS,37292,HCHG REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL,58196.0,58196.0,,,0
HCPCS,37294,HCHG REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL,81474.0,81474.0,,,0
HCPCS,37607,HCHG LIG/BAND ANG AV FIST,18795.0,18795.0,,,0
HCPCS,37609,HCHG BX TEMPORAL ARTERY,15159.0,15159.0,,,0
HCPCS,37766,Phleb veins - extrem 20+,,,17420.0,21520.0,7
HCPCS,38200,HCHG INJECTION SPLENOPORTOGRAM,616.0,616.0,,,0
HCPCS,38220,HCHG DIAGNOSTIC BONE MARROW ASPIRATION,5120.0,5120.0,,,0
HCPCS,38221,Bone marrow biopsy,,,8847.0,10268.0,7
HCPCS,38221,HCHG DIAGNOSTIC BONE MARROW BIOPSY,4081.0,4081.0,,,0
HCPCS,38221,HCHG OBS DIAGNOSTIC BONE MARROW BIOPSY,4081.0,4081.0,,,0
HCPCS,38222,HCHG ASPIRATION BONE MARROW W BX,6285.0,6285.0,,,0
HCPCS,38242,HCHG ALLOGENEIC LYMPHOCYTE INFUSIONS,5708.0,5708.0,,,0
HCPCS,38500,Biopsy/removal lymph nodes,,,17105.0,20734.0,7
HCPCS,38500,HCHG BIOPSY OR EXCISION LYMPH NODE OPEN,12887.0,12887.0,,,0
HCPCS,38505,HCHG BIOPSY LYMPH NODE SUPERFICIAL,4436.0,4436.0,,,0
HCPCS,38505,HCHG BIOPSY LYMPH NODE SUPERFICIAL BI,6654.0,6654.0,,,0
HCPCS,38510,Biopsy/removal lymph nodes,,,17326.0,21001.0,7
HCPCS,38525,HCHG BX OR EXSN LYMPH NODE(S) OPEN DEEP AXILLARY,12874.0,12874.0,,,0
HCPCS,38531,Open bx/exc inguinofem nodes,,,20984.0,24351.0,7
HCPCS,38790,HCHG INJECTION LYMPHANGIOGRAPHY,581.0,581.0,,,0
HCPCS,38792,HCHG INJ PROCEDURE RADIOACTIVE TRACER ID SENTINEL NODE WO IMAGE BI,5436.0,5436.0,,,0
HCPCS,38792,HCHG INJECTION PROCEDURE FOR SENTINEL NODE,3624.0,3624.0,,,0
HCPCS,38794,HCHG CANNULATION THOR DUCT,4354.0,4354.0,,,0
HCPCS,41010,HCHG INCISION LINGUAL FRENUM,268.0,268.0,,,0
HCPCS,41899,Dental surgery procedure,,,3348.0,4576.0,9
HCPCS,42400,HCHG BX SALIVARY GLAND NDL,3022.0,3022.0,,,0
HCPCS,42550,HCHG INJECTION SIALOGRAM,1542.0,1542.0,,,0
HCPCS,42820,Remove tonsils and adenoids,,,6462.0,14099.0,10
HCPCS,42821,Remove tonsils and adenoids,,,5315.0,7113.0,10
HCPCS,42825,Removal of tonsils,,,10161.0,13447.0,10
HCPCS,42826,Removal of tonsils,,,5315.0,7113.0,10
HCPCS,42830,Removal of adenoids,,,8105.0,13447.0,10
HCPCS,43235,Egd diagnostic brush wash,,,2230.0,3410.0,10
HCPCS,43239,Egd biopsy single/multiple,,,2230.0,3410.0,10
HCPCS,43246,HCHG UGI ENDO W GASTROSTOMY TUBE PLACEMENT,7757.0,7757.0,,,0
HCPCS,43247,Egd remove foreign body,,,2230.0,3410.0,10
HCPCS,43248,Egd guide wire insertion,,,2230.0,3410.0,10
HCPCS,43249,Esoph egd dilation <30 mm,,,3182.0,5107.0,10
HCPCS,43251,Egd remove lesion snare,,,3182.0,5107.0,10
HCPCS,43261,HCHG ERCP WITH BIOPSY,6833.0,6833.0,,,0
HCPCS,43262,HCHG ERCP W/SPHINC/PAPIL,8388.0,8388.0,,,0
HCPCS,43264,HCHG ERCP RMVL CALC DEBRIS FROM DUCT,7080.0,7080.0,,,0
HCPCS,43453,HCHG DILATION OF ESOPHAGUS OVER GUIDE WIRE,10254.0,10254.0,,,0
HCPCS,43752,HCHG NG TUBE PLACEMENT WITH FLUOROSCOPY,1668.0,1668.0,,,0
HCPCS,43761,HCHG GASTROSTOMY TUBE REPOSITIONING,3125.0,3125.0,,,0
HCPCS,43762,HCHG CHANGE G TUBE PERC W/O ENDO/IMAGE W/O REVISION,1812.0,1812.0,,,0
HCPCS,43763,HCHG CHANGE G TUBE PERC W/O ENDO/IMAGE W/REVISION,1784.0,1784.0,,,0
HCPCS,43771,HCHG LAPAROSCOPIC REVISION OF ADJUSTABLE GASTRIC BAND,6982.0,6982.0,,,0
HCPCS,44015,HCHG JEJUNOSTOMY TUBE PLACEMENT FOR ENTERAL ALIMENTATION,624.0,624.0,,,0
HCPCS,44500,HCHG GASTROINTESTINAL TUBE INSERTION (MILLER ABBOTT),1833.0,1833.0,,,0
HCPCS,45100,HCHG BX OF ANORECTAL WALL ANAL APPROACH,12763.0,12763.0,,,0
HCPCS,45330,Diagnostic sigmoidoscopy,,,1474.0,3306.0,10
HCPCS,45378,Diagnostic colonoscopy,,,2357.0,3783.0,10
HCPCS,45380,Colonoscopy and biopsy,,,2357.0,3783.0,10
HCPCS,45384,Colonoscopy w/lesion removal,,,2357.0,3783.0,10
HCPCS,45385,Colonoscopy w/lesion removal,,,2357.0,3783.0,10
HCPCS,45388,Colonoscopy w/ablation,,,2357.0,3783.0,10
HCPCS,45915,HCHG REMOV FECAL IMP OR FB W/A,10214.0,10214.0,,,0
HCPCS,46200,Removal of anal fissure,,,5305.0,7105.0,10
HCPCS,46250,Remove ext hem groups 2+,,,5305.0,7105.0,10
HCPCS,46255,Remove int/ext hem 1 group,,,5305.0,7105.0,10
HCPCS,46257,Remove in/ex hem grp & fiss,,,5305.0,7105.0,10
HCPCS,46258,Remove in/ex hem grp w/fistu,,,5305.0,7105.0,10
HCPCS,46260,Remove in/ex hem groups 2+,,,5305.0,7105.0,10
HCPCS,46261,Remove in/ex hem grps & fiss,,,5305.0,7105.0,10
HCPCS,46270,Remove anal fist subq,,,5305.0,7105.0,10
HCPCS,46275,Remove anal fist inter,,,5305.0,7105.0,10
HCPCS,46280,Remove anal fist complex,,,5305.0,7105.0,10
HCPCS,46285,Remove anal fist 2 stage,,,5305.0,7105.0,10
HCPCS,46288,Repair anal fistula,,,6333.0,9378.0,10
HCPCS,46500,HCHG SCLEROSING SOLUTION INJ HEMORRHOIDS,7702.0,7702.0,,,0
HCPCS,46922,Excision of anal lesion(s),,,4965.0,7000.0,10
HCPCS,46924,Destruction anal lesion(s),,,4965.0,7000.0,10
HCPCS,47000,HCHG OBS PERCUTANEOUS LIVER BIOPSY,4749.0,4749.0,,,0
HCPCS,47000,HCHG PERCUTANEOUS LIVER BIOPSY,4749.0,4749.0,,,0
HCPCS,47001,HCHG BIOPSY LIVER WITH OTHER MAJOR PROCEDURE,5712.0,5712.0,,,0
HCPCS,47382,HCHG ABLATION LIVER TUMOR/S RADIOFREQUENCY PERCUTANEOUS,15335.0,15335.0,,,0
HCPCS,47382,Percut ablate liver rf,,,31493.0,36568.0,6
HCPCS,47490,HCHG INCISION GALLBLADDER PERCUTANEOUS,9807.0,9807.0,,,0
HCPCS,47531,HCHG INJECTN FOR CHOLANGIOGRAM EXISTNG ACCESS W/IMAGE,5939.0,5939.0,,,0
HCPCS,47532,HCHG INJECTION FOR CHOLANGIOGRAM NEW ACCESS W/IMAGE,4206.0,4206.0,,,0
HCPCS,47533,HCHG PLMT BILIARY DRAINAGE CATH EXTERNAL W/IMAGE,11400.0,11400.0,,,0
HCPCS,47534,HCHG PLMT BILIARY DRAINAGE CATH INTRNL EXTRNL W/IMAGE,12874.0,12874.0,,,0
HCPCS,47535,HCHG CONVERSION EXT BIL DRG CATH TO INT/EXT W/IMAGE,11356.0,11356.0,,,0
HCPCS,47536,HCHG EXNG BILIARY DRG CATH INC CHOLANGRPHY W/IMGE,10919.0,10919.0,,,0
HCPCS,47537,HCHG RML BIL DRNG CATH INCL DX CHOLANGIOGRPHY W/IMG,3874.0,3874.0,,,0
HCPCS,47538,HCHG PERC PLMT BILE DUCT EXISTNG ACCESS,16894.0,16894.0,,,0
HCPCS,47539,HCHG PERC PLMT BILE DUCT NEW ACCESS WO PL CATH,12518.0,12518.0,,,0
HCPCS,47540,HCHG PERQ PLMT BILE DUCT NEW ACCSS W PL CATH,2390.0,2390.0,,,0
HCPCS,47541,HCHG PLMT ACCESS BIL TREE SM BWL NEW ACCESS W/IMAGE,7214.0,7214.0,,,0
HCPCS,47542,HCHG DILATE BILIARY DUCT/AMPULLA EA DUCT W/IMAGE,3687.0,3687.0,,,0
HCPCS,47543,HCHG ENDLMNL BX BILIARY TREE ANY MTHD SNGL/MLT W/IMG,2293.0,2293.0,,,0
HCPCS,47544,HCHG RMVL DCT GLBLDR CALC INCL DSTRCN ANY MTHD W/IMG,5072.0,5072.0,,,0
HCPCS,47554,HCHG BILIARY ENDOSCOPY STONE REMOVAL,5272.0,5272.0,,,0
HCPCS,47555,HCHG BILIARY ENDOSCOPY WITH DILATATION,2169.0,2169.0,,,0
HCPCS,47556,HCHG BILIARY ENDOSCOPY WITH DILATION WITH STENT PLACEMENT,1986.0,1986.0,,,0
HCPCS,47562,Laparoscopic cholecystectomy,,,10324.0,13708.0,10
HCPCS,47563,Laparo cholecystectomy/graph,,,10324.0,13708.0,10
HCPCS,48102,HCHG BIOPSY PANCREAS,4692.0,4692.0,,,0
HCPCS,49082,HCHG OBS PARACENTSIS ABD NO IM,3084.0,3084.0,,,0
HCPCS,49082,HCHG PARACENTSIS ABD NO IM,3084.0,3084.0,,,0
HCPCS,49083,HCHG ABD PARACENTESIS W/IMAGING,3952.0,3952.0,,,0
HCPCS,49180,HCHG BIOPSY ABDOMINAL/RETROPERITONEAL MASS,4415.0,4415.0,,,0
HCPCS,49185,HCHG SCLEROTX FLUID COLLCTN INCL CNTRST INJ W/IMAGE,5564.0,5564.0,,,0
HCPCS,49320,Diag laparo separate proc,,,8242.0,13199.0,10
HCPCS,49324,Lap insert tunnel ip cath,,,25882.0,31372.0,7
HCPCS,49400,HCHG INJECTION AIR CON PERITNL,947.0,947.0,,,0
HCPCS,49405,HCHG IMAGE CATH FLUID COLXN VISC,5233.0,5233.0,,,0
HCPCS,49406,HCHG IMAGE CATH FLUID PERI/RETRO,5613.0,5613.0,,,0
HCPCS,49406,HCHG OBS IMAGE CATH FLUID PERI/RETRO,5613.0,5613.0,,,0
HCPCS,49407,HCHG IMAGE CATH FLUID TRNS/VGNL,6385.0,6385.0,,,0
HCPCS,49411,HCHG INS ID ABD/PEL RT PER,6249.0,6249.0,,,0
HCPCS,49418,HCHG INSR TUN IP CATH PERC,11999.0,11999.0,,,0
HCPCS,49422,HCHG INTRAPERITONEAL DIALYSIS CATHETER OR CANNULA REMOVAL PERMANENT,13376.0,13376.0,,,0
HCPCS,49423,HCHG DRAINAGE CATHETER EXCHANGE,6237.0,6237.0,,,0
HCPCS,49424,HCHG INJECTION CONTRAST TO ASSESS ABSCESS,1213.0,1213.0,,,0
HCPCS,49427,HCHG INJECTION VP SHUNT,215.0,215.0,,,0
HCPCS,49436,HCHG EMBEDDED IP CATH EXIT SITE,5264.0,5264.0,,,0
HCPCS,49440,HCHG PLACE G TUBE PERC,4876.0,4876.0,,,0
HCPCS,49441,HCHG PLACE DUODEN OR JEJUN TUBE PERC W/FLUORO & W/CON,4280.0,4280.0,,,0
HCPCS,49446,HCHG CHANGE G-TUBE TO G-J PRC,6090.0,6090.0,,,0
HCPCS,49450,HCHG REPLACE G/C TUBE PERC,3430.0,3430.0,,,0
HCPCS,49451,HCHG REPLACE DUODENOSTOMY OR JEJUN TUBE PERC W/FLUORO,4025.0,4025.0,,,0
HCPCS,49452,HCHG REPLACE G-J TUBE PERC,3495.0,3495.0,,,0
HCPCS,49460,"HCHG RMV OBSTRUC FRM COLONIC TUBE, W/FLUOR & W/CONT",2397.0,2397.0,,,0
HCPCS,49465,HCHG CON IJ G/COLON TUBE,1788.0,1788.0,,,0
HCPCS,49500,Rpr ing hernia init reduce,,,11267.0,21304.0,8
HCPCS,49505,Prp i/hern init reduc >5 yr,,,7308.0,11808.0,10
HCPCS,49520,Rerepair ing hernia reduce,,,7308.0,22119.0,10
HCPCS,49572,Rpr epigastric hern blocked,,,17547.0,17547.0,1
HCPCS,49585,Rpr umbil hern reduc > 5 yr,,,8541.0,8541.0,1
HCPCS,49587,Rpr umbil hern block > 5 yr,,,16518.0,16518.0,1
HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,7308.0,12356.0,9
HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,10324.0,18282.0,9
HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,7308.0,19552.0,9
HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,10324.0,18282.0,9
HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,7308.0,19552.0,9
HCPCS,49600,Repair umbilical lesion,,,7308.0,12356.0,9
HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,7308.0,12356.0,9
HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,10324.0,18282.0,9
HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,7308.0,19552.0,9
HCPCS,49650,Lap ing hernia repair init,,,10324.0,17251.0,10
HCPCS,49651,Lap ing hernia repair recur,,,10324.0,34277.0,10
HCPCS,49653,Lap vent/abd hern proc comp,,,32953.0,32953.0,1
HCPCS,49656,Lap inc hernia repair recur,,,52171.0,52171.0,1
HCPCS,49999,HCHG PERITONEAL INSTILL TPA EXISTING CATH,700.0,700.0,,,0
HCPCS,50080,HCHG KIDNEY STONE REMOVAL UP TO 2 CM,39022.0,39022.0,,,0
HCPCS,50200,HCHG BIOPSY RENAL,4356.0,4356.0,,,0
HCPCS,50200,HCHG BIOPSY RENAL BI,6534.0,6534.0,,,0
HCPCS,50200,Renal biopsy perq,,,7608.0,9221.0,7
HCPCS,50384,HCHG REMOVE URET STNT INT,6908.0,6908.0,,,0
HCPCS,50387,HCHG CHANGE EXT NEPHROURETERAL CATH,7986.0,7986.0,,,0
HCPCS,50389,HCHG NEPHROSTOMY TUBE REMOVAL WITH FLUORO,5609.0,5609.0,,,0
HCPCS,50389,HCHG NEPHROSTOMY TUBE REMOVAL WITH FLUORO BI,8414.0,8414.0,,,0
HCPCS,50389,HCHG NEPHROSTOMY TUBE REMOVAL WITH FLUORO LT,5609.0,5609.0,,,0
HCPCS,50389,HCHG NEPHROSTOMY TUBE REMOVAL WITH FLUORO RT,5609.0,5609.0,,,0
HCPCS,50390,HCHG ASPIRATION RENAL CYST,3897.0,3897.0,,,0
HCPCS,50396,HCHG NEPHROSTOMY TUBE MANOMETRY,774.0,774.0,,,0
HCPCS,50430,HCHG INJ PROC ANTE NEPH/URETOR W/GUIDE NEW ACCESS,3207.0,3207.0,,,0
HCPCS,50431,HCHG INJ PROC ANTE NEPH/URETOR W/GUIDE INITAL ACCESS,3986.0,3986.0,,,0
HCPCS,50432,"HCHG PLACEMENT NEPHROSTOMY CATHETER W/GUIDE, S&I BI",13318.0,13318.0,,,0
HCPCS,50432,"HCHG PLACEMENT NEPHROSTOMY CATHETER W/GUIDE, S&I LT",8879.0,8879.0,,,0
HCPCS,50432,"HCHG PLACEMENT NEPHROSTOMY CATHETER W/GUIDE, S&I RT",8879.0,8879.0,,,0
HCPCS,50433,HCHG PLMT NEPHROURETERAL CATH W/GUIDE S&I NEW ACCESS BI,15432.0,15432.0,,,0
HCPCS,50433,HCHG PLMT NEPHROURETERAL CATH W/GUIDE S&I NEW ACCESS LT,10288.0,10288.0,,,0
HCPCS,50433,HCHG PLMT NEPHROURETERAL CATH W/GUIDE S&I NEW ACCESS RT,10288.0,10288.0,,,0
HCPCS,50434,HCHG CONVERT NEPHROSTOMY CATHETER W/GUIDE S&I BI,12388.0,12388.0,,,0
HCPCS,50434,HCHG CONVERT NEPHROSTOMY CATHETER W/GUIDE S&I RT,8259.0,8259.0,,,0
HCPCS,50435,HCHG EXCHANGE NEPHROSTOMY CATH W/GUIDE S&I BI,11208.0,11208.0,,,0
HCPCS,50435,HCHG EXCHANGE NEPHROSTOMY CATH W/GUIDE S&I LT,7472.0,7472.0,,,0
HCPCS,50435,HCHG EXCHANGE NEPHROSTOMY CATH W/GUIDE S&I RT,7472.0,7472.0,,,0
HCPCS,50544,Laparoscopy pyeloplasty,,,57619.0,68899.0,7
HCPCS,50553,HCHG RENAL ENDOSCOPY WITH URETERAL CATHETERIZATION,3238.0,3238.0,,,0
HCPCS,50590,Fragmenting of kidney stone,,,8506.0,14870.0,10
HCPCS,50592,HCHG ABLATION RENAL TUMOR/S PERC UNILATERAL RF,15220.0,15220.0,,,0
HCPCS,50606,HCHG ENDOLUMINAL BX URTR RENAL PELVIS W/GUIDE S&I,5575.0,5575.0,,,0
HCPCS,50684,HCHG INJECTION URETEROGRAPHY OR PYELOGRAPHY,1728.0,1728.0,,,0
HCPCS,50688,HCHG URETEROSTOMY TUBE OR URETERAL STENT CHANGE,12252.0,12252.0,,,0
HCPCS,50690,HCHG INJECTION ILEAL CONDUIT,3055.0,3055.0,,,0
HCPCS,50693,HCHG PLMT URETERAL STENT PRQ PREEXIST TRACT BI,16569.0,16569.0,,,0
HCPCS,50693,HCHG PLMT URETERAL STENT PRQ PREEXIST TRACT LT,11046.0,11046.0,,,0
HCPCS,50693,HCHG PLMT URETERAL STENT PRQ PREEXIST TRACT RT,11046.0,11046.0,,,0
HCPCS,50694,HCHG PLMT URETERAL STENT PRQ W/O SEPARATE CATH,12767.0,12767.0,,,0
HCPCS,50695,HCHG PLMT URETERAL STENT PRQ W/SEPARATE CATH,14056.0,14056.0,,,0
HCPCS,50705,HCHG URETERAL EMBOLIZATION/OCCL,6376.0,6376.0,,,0
HCPCS,50706,HCHG BALLOON DILATE URTRL STRIX,8019.0,8019.0,,,0
HCPCS,51102,HCHG ASPIRATION BLADDER WITH INSERTION SUPRAPUBIC CATHETER,9735.0,9735.0,,,0
HCPCS,51600,HCHG INJECTION CYSTOGRAM/VCUG,1219.0,1219.0,,,0
HCPCS,51610,HCHG INJECTION RETROGRADE CYSTO,1792.0,1792.0,,,0
HCPCS,51700,HCHG BLADDER IRRIG SMPL,1421.0,1421.0,,,0
HCPCS,51700,HCHG OBS IRRIGATION BLADDER SIMPLE,1421.0,1421.0,,,0
HCPCS,51701,HCHG INSERT CATH NONINDWLLNG,681.0,681.0,,,0
HCPCS,51701,HCHG INSERT STRAIGHT CATHETER,681.0,681.0,,,0
HCPCS,51701,HCHG OBS INSERT STRAIGHT CATHETER,681.0,681.0,,,0
HCPCS,51702,HCHG INSERT CATH TEMP INDWLLNG,768.0,768.0,,,0
HCPCS,51702,HCHG INSERTION FOLEY CATHETER,768.0,768.0,,,0
HCPCS,51702,HCHG OBS INSERTION FOLEY CATHETER,768.0,768.0,,,0
HCPCS,51703,HCHG INSERT CATH TMP INDWL CMP,965.0,965.0,,,0
HCPCS,51703,HCHG INSERTION FOLEY CATHETER COMPLEX,965.0,965.0,,,0
HCPCS,51705,HCHG CYSTO TUBE CHNG SMPL,1342.0,1342.0,,,0
HCPCS,51720,HCHG  BLADDER INSTILATION CHEMO,5044.0,5044.0,,,0
HCPCS,51726,Complex cystometrogram,,,786.0,1525.0,9
HCPCS,51726,HCHG CYSTOMETROGRAM CMPLX,1800.0,1800.0,,,0
HCPCS,51726,HCHG CYSTOMETROGRAM COMPLEX,1800.0,1800.0,,,0
HCPCS,51727,HCHG CLINIC CUSTOMETROGRAM W/UP,2038.0,2038.0,,,0
HCPCS,51728,HCHG CLINIC CYYSTOMETROGRAM W/VP,2652.0,2652.0,,,0
HCPCS,51729,HCHG CLINIC CYSTOMETROGRAM W/VP&UP,3125.0,3125.0,,,0
HCPCS,51741,HCHG UROFLOWMETRY COMPLEX,745.0,745.0,,,0
HCPCS,51784,HCHG EMG ANAL/URETHRAL NO NDL,1043.0,1043.0,,,0
HCPCS,51785,HCHG EMG ANAL/URETHRAL SPHNCTR,1729.0,1729.0,,,0
HCPCS,51797,HCHG VP STUDY INTRAABDOMINAL,534.0,534.0,,,0
HCPCS,51798,HCHG URODYNAMICS POST VOIDING URING,511.0,511.0,,,0
HCPCS,52000,Cystoscopy,,,1756.0,2006.0,6
HCPCS,52005,Cystoscopy & ureter catheter,,,5696.0,7514.0,10
HCPCS,52005,HCHG CYSTOSCOPY WITH URETERAL CATHETERIZATION,16506.0,16506.0,,,0
HCPCS,52204,Cystoscopy w/biopsy(s),,,11337.0,13886.0,7
HCPCS,52234,Cystoscopy and treatment,,,5696.0,8116.0,10
HCPCS,52235,Cystoscopy and treatment,,,16594.0,20113.0,7
HCPCS,52260,Cystoscopy and treatment,,,3353.0,4995.0,10
HCPCS,52310,HCHG CYSTO W FB/STNT RMV SMPL,12928.0,12928.0,,,0
HCPCS,52317,Remove bladder stone,,,16671.0,20206.0,7
HCPCS,52318,Remove bladder stone,,,18845.0,22843.0,7
HCPCS,52332,Cystoscopy and treatment,,,5696.0,8116.0,10
HCPCS,52332,HCHG CYSTO W/ INS URETERAL STENT,15748.0,15748.0,,,0
HCPCS,52334,HCHG NEPHROSTOMY,1292.0,1292.0,,,0
HCPCS,52351,Cystouretero & or pyeloscope,,,16825.0,20395.0,7
HCPCS,52352,Cystouretero w/stone remove,,,5696.0,9382.0,10
HCPCS,52353,Cystouretero W/Lithotripsy,,,8506.0,11909.0,10
HCPCS,52354,Cystouretero W/Biopsy,,,26959.0,31862.0,6
HCPCS,52356,Cysto/uretero w/lithotripsy,,,20879.0,25307.0,7
HCPCS,52601,Prostatectomy (TURP),,,21089.0,25561.0,6
HCPCS,54150,Circumcision w/regionl block,,,4951.0,6737.0,10
HCPCS,54150,HCHG CIRCUMCISION NEWBORN,484.0,484.0,,,0
HCPCS,54160,Circumcision neonate,,,2174.0,6737.0,10
HCPCS,54161,Circum 28 days or older,,,4951.0,6737.0,10
HCPCS,54230,HCHG INJECTION CORPORA CAVERNOSOGRAPHY,757.0,757.0,,,0
HCPCS,54300,Revision of penis,,,16884.0,20464.0,7
HCPCS,54304,Revision of penis,,,16884.0,20464.0,7
HCPCS,55000,HCHG PUNCT ASP HYDROCELE TUNICA VAGINALIS,6302.0,6302.0,,,0
HCPCS,55040,Removal of hydrocele,,,14214.0,17229.0,7
HCPCS,55250,Removal of sperm duct(s),,,4951.0,6737.0,10
HCPCS,55530,Revise spermatic cord veins,,,17031.0,20645.0,7
HCPCS,55700,Biopsy of prostate,,,11337.0,13712.0,7
HCPCS,55700,HCHG BIOPSY PROSTATE,9221.0,9221.0,,,0
HCPCS,55866,Laparo radical prostatectomy,,,57619.0,69572.0,7
HCPCS,55876,HCHG PLACE RADIATION THERAPY DEVICE PROSTHETIC,8956.0,8956.0,,,0
HCPCS,56405,HCHG  I&D OF VULVA OR PERINEAL ABSCESS,1461.0,1461.0,,,0
HCPCS,56420,HCHG I & D OF BARTHOLIN'S GLAND ABSCESS,956.0,956.0,,,0
HCPCS,56620,Partial removal of vulva,,,14259.0,17284.0,7
HCPCS,57156,HCHG INS VAG BRACHYTX DEVCE,2976.0,2976.0,,,0
HCPCS,57160,HCHG PESSARY FITTING/INSERTION,747.0,747.0,,,0
HCPCS,57180,HCHG OBS INS PACK FOR NON-OB VAG HEMORRHAGE,671.0,671.0,,,0
HCPCS,57287,Revise/Remove Sling Repair,,,17317.0,20093.0,7
HCPCS,57288,Repair bladder defect,,,9038.0,13283.0,10
HCPCS,57425,Laparoscopy surg colpopexy,,,35722.0,43300.0,7
HCPCS,57454,HCHG COLP CERVIX W BX & CURETT,3655.0,3655.0,,,0
HCPCS,57520,Conization of cervix,,,13554.0,16431.0,7
HCPCS,57522,Conization of cervix,,,5045.0,7160.0,10
HCPCS,57720,HCHG PLASTIC REP UTERINE CERVIX VAGINAL,15061.0,15061.0,,,0
HCPCS,58120,Dilation and curettage,,,5045.0,7160.0,10
HCPCS,58120,HCHG D&C DIAGNOSTIC OR THERAP NOT OB,11503.0,11503.0,,,0
HCPCS,58262,Vag hyst including t/o,,,27320.0,34008.0,7
HCPCS,58300,HCHG INSERT IUD,6169.0,6169.0,,,0
HCPCS,58301,Remove intrauterine device,,,727.0,1006.0,9
HCPCS,58340,HCHG INJECTION HYSTEROSONOGRAM/SALPINGOGRAPY,874.0,874.0,,,0
HCPCS,58345,HCHG FALLOPIAN TUBE CATHETERIZATION,2355.0,2355.0,,,0
HCPCS,58353,Endometr ablate thermal,,,8740.0,11926.0,10
HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,48788.0,59137.0,7
HCPCS,58546,Laparo-myomectomy complex,,,59520.0,72146.0,7
HCPCS,58555,Hysteroscopy dx sep proc,,,5045.0,7160.0,10
HCPCS,58558,Hysteroscopy biopsy,,,5045.0,7160.0,10
HCPCS,58559,Hysteroscopy lysis,,,8739.0,11926.0,10
HCPCS,58560,Hysteroscopy resect septum,,,9038.0,11926.0,10
HCPCS,58561,Hysteroscopy remove myoma,,,9038.0,11926.0,10
HCPCS,58562,Hysteroscopy remove fb,,,5045.0,7160.0,10
HCPCS,58563,Hysteroscopy ablation,,,9038.0,11926.0,10
HCPCS,58565,Hysteroscopy sterilization,,,9038.0,13283.0,10
HCPCS,58571,Tlh w/t/o 250 g or less,,,36502.0,44246.0,7
HCPCS,58573,Tlh w/t/o uterus over 250 g,,,39127.0,47427.0,7
HCPCS,58660,Laparoscopy lysis,,,27490.0,33322.0,6
HCPCS,58661,Laparoscopy remove adnexa,,,22244.0,26962.0,7
HCPCS,58662,Laparoscopy excise lesions,,,10324.0,13708.0,10
HCPCS,58670,Laparoscopy tubal cautery,,,10324.0,13708.0,10
HCPCS,58671,Laparoscopy tubal block,,,10324.0,13708.0,10
HCPCS,58900,HCHG BX OF OVARY(S),4213.0,4213.0,,,0
HCPCS,58925,Removal of ovarian cyst(s),,,27320.0,33903.0,7
HCPCS,58970,Retrieval of oocyte,,,1332.0,1809.0,10
HCPCS,59000,HCHG AMNIOCENTESIS,1105.0,1105.0,,,0
HCPCS,59015,HCHG VILLUS SAMPLING,1439.0,1439.0,,,0
HCPCS,59020,HCHG OCT (OXYTOCIN CHLNG TEST),1580.0,1580.0,,,0
HCPCS,59025,HCHG NST (FETAL NON-STRESS TEST),993.0,993.0,,,0
HCPCS,59070,HCHG AMNIOINFUSION,1069.0,1069.0,,,0
HCPCS,59151,Treat ectopic pregnancy,,,32289.0,38681.0,7
HCPCS,59160,HCHG CURETTAGE POSTPARTUM,4951.0,4951.0,,,0
HCPCS,59300,HCHG EPISIOTOMY OR VAGINAL REPAIR,7869.0,7869.0,,,0
HCPCS,59412,HCHG EXTERNAL VERSION,2750.0,2750.0,,,0
HCPCS,59812,HCHG SURG TX INCOMPL ABORTION,8793.0,8793.0,,,0
HCPCS,59820,Care of miscarriage,,,9613.0,11653.0,7
HCPCS,59820,HCHG TX OF MISSED ABORTION 1ST TRIMESTER,12528.0,12528.0,,,0
HCPCS,59821,Treatment of miscarriage,,,14192.0,17204.0,7
HCPCS,59866,HCHG MULTIFETAL PREGNANCY REDUCTIONS,1088.0,1088.0,,,0
HCPCS,59871,HCHG REMOVE CERCLAGE SUTURE,7239.0,7239.0,,,0
HCPCS,59871,Remove cerclage suture,,,9718.0,11780.0,7
HCPCS,60100,HCHG BIOPSY THYROID,2736.0,2736.0,,,0
HCPCS,60220,Partial removal of thyroid,,,29751.0,36061.0,7
HCPCS,60240,Removal of thyroid,,,32289.0,38799.0,6
HCPCS,60300,HCHG ASPIRATION OR INJECTION THYROID CYST,2477.0,2477.0,,,0
HCPCS,60500,Explore parathyroid glands,,,27134.0,32890.0,7
HCPCS,61026,HCHG BRAIN CANAL INJ W MEDS,1765.0,1765.0,,,0
HCPCS,61055,HCHG C1-C2 PUNCTURE W INJ MEDICATION,2671.0,2671.0,,,0
HCPCS,61070,HCHG ASPIRATION OR INJECTION SHUNT,4540.0,4540.0,,,0
HCPCS,61070,HCHG SKULL SHUNT PUNCTURE,4540.0,4540.0,,,0
HCPCS,61623,HCHG ENDOVASCULAR TEMPORARY OCCLUSION HEAD OR NECK,6820.0,6820.0,,,0
HCPCS,61624,HCHG ENDOVASCULAR PERMANENT OCCLUSION CNS,29012.0,29012.0,,,0
HCPCS,61626,HCHG ENDOVASCULAR PERMANENT OCCLUSION NON CNS HEAD OR NECK,34381.0,34381.0,,,0
HCPCS,61630,HCHG PTA INTRACRANIAL,27860.0,27860.0,,,0
HCPCS,61635,HCHG PTA INTRACRANIAL WITH STENT,21204.0,21204.0,,,0
HCPCS,61640,HCHG DILATATION INTRACRANIAL VASOSPASM INITIAL VESSEL,3439.0,3439.0,,,0
HCPCS,61641,HCHG BLLN DILATE IC VSPSM PRC EA ADD SAME VAS TERR,1037.0,1037.0,,,0
HCPCS,61642,HCHG BLLN DILATE IC VSPSM PRC EA ADD DIFF VAS TERR,2433.0,2433.0,,,0
HCPCS,61645,HCHG PRQ ART M THRMBCT &/NFS ANY MTHD W/IMAGE GDNCE,48239.0,48239.0,,,0
HCPCS,61650,HCHG ENDOVASC PRLNG ADMN RX AGNT INTL W/IMAGE,48972.0,48972.0,,,0
HCPCS,61651,HCHG ENDOVASC PRLNG ADMN RX AGNT EA ADDL W/IMAGE,46218.0,46218.0,,,0
HCPCS,62267,HCHG INTERDISCAL PERQ ASPIR DX,3325.0,3325.0,,,0
HCPCS,62268,HCHG ASPIRATION OF SPINAL CORD CYST,4835.0,4835.0,,,0
HCPCS,62270,HCHG LUMBAR PUNCTURE DX,3056.0,3056.0,,,0
HCPCS,62270,HCHG OBS LUMBAR PUNCTURE DX,3056.0,3056.0,,,0
HCPCS,62272,HCHG LUMBAR PUNCTURE FOR CSF DRAINAGE,4223.0,4223.0,,,0
HCPCS,62273,HCHG INJECTION BLOOD PATCH,3551.0,3551.0,,,0
HCPCS,62280,HCHG INJ NRV BLK SUBARACH,2570.0,2570.0,,,0
HCPCS,62281,"HCHG INJECTION NERVE BLOCK CERVICAL, THORACIC",5530.0,5530.0,,,0
HCPCS,62282,"HCHG INJECTION NERVE BLOCK LUMBAR, SACRAL",4913.0,4913.0,,,0
HCPCS,62284,HCHG INJ MYELOGRAM/CT LUMBAR,2971.0,2971.0,,,0
HCPCS,62290,HCHG INJECTION DISKOGRAM LUMBAR,2201.0,2201.0,,,0
HCPCS,62291,HCHG INJECTION DISKOGRAM CERVICAL,3761.0,3761.0,,,0
HCPCS,62302,HCHG IRC MYELOGRAPHY LUM IJ CERVICAL,3821.0,3821.0,,,0
HCPCS,62303,HCHG IRC MYELOGRPHY LUM IJ THORACIC,4456.0,4456.0,,,0
HCPCS,62304,HCHG IRC MYELOGRAPHY LUMBAR IJ,4465.0,4465.0,,,0
HCPCS,62305,HCHG IRC MYELOGRAPHY LUMBAR IJ 2 OR MORE REGIONS,4232.0,4232.0,,,0
HCPCS,62320,HCHG INJ INTER CERVICAL/THORACIC EPID WO IMAGE,2826.0,2826.0,,,0
HCPCS,62320,Njx interlaminar crv/thrc,,,1836.0,2491.0,10
HCPCS,62321,HCHG INJ INTER CERVICAL/THORACIC EPID W IMAGE,4966.0,4966.0,,,0
HCPCS,62321,Njx interlaminar crv/thrc,,,1836.0,4709.0,9
HCPCS,62322,HCHG INJ INTER LUMBAR/SACRAL EPID WO IMAGE,7034.0,7034.0,,,0
HCPCS,62322,Njx interlaminar lmbr/sac,,,1836.0,2491.0,10
HCPCS,62323,HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE,5452.0,5452.0,,,0
HCPCS,62323,Njx interlaminar lmbr/sac,,,1836.0,4570.0,9
HCPCS,62324,HCHG INJ INTER CERVICAL/THORAC W/CATH EPID WO IMAGE,2246.0,2246.0,,,0
HCPCS,62325,HCHG INJ INTER CERVICAL/THORAC W/CATH EPID W IMAGE,5520.0,5520.0,,,0
HCPCS,62326,HCHG INJ INTER LUMBAR/SACRAL W/CATH EPID WO IMAGE,4516.0,4516.0,,,0
HCPCS,62326,Njx interlaminar lmbr/sac,,,1836.0,3682.0,10
HCPCS,62327,HCHG INJ INTER LUMBAR/SACRAL W/CATH EPID W IMAGE,7711.0,7711.0,,,0
HCPCS,62327,Njx interlaminar lmbr/sac,,,1836.0,3570.0,4
HCPCS,62328,HCHG DX LMBR SPI PNXR W/FLUOR/CT,3202.0,3202.0,,,0
HCPCS,62329,HCHG THER SPI PNXR CSF FLUOR/CT,4391.0,4391.0,,,0
HCPCS,62350,HCHG IMPLANTATION OR REVISION INTRATHECAL OR EPIDURAL CATH FOR MED ADMIN,19308.0,19308.0,,,0
HCPCS,62355,HCHG INTRATHECAL OR EPIDURAL CATHETER REMOVAL,19234.0,19234.0,,,0
HCPCS,62365,HCHG REMOVAL SUBCUTANEOUS PUMP OR RESERVOIR FOR INTRATHECAL OR EPIDURAL INFUSION,22821.0,22821.0,,,0
HCPCS,62369,HCHG ANAL INF PMP W/RPR &RFILL,1959.0,1959.0,,,0
HCPCS,63030,Low back disk surgery,,,25939.0,31441.0,7
HCPCS,63042,Laminotomy single lumbar,,,33925.0,41121.0,7
HCPCS,63047,Remove spine lamina 1 lmbr,,,27628.0,33488.0,7
HCPCS,63650,HCHG NEUROSTIMULATOR LEAD INSERTION EPIDURAL,17127.0,17127.0,,,0
HCPCS,64405,HCHG INJ NRV AA/STRD GREATER OCCIPITAL,1644.0,1644.0,,,0
HCPCS,64405,HCHG INJ NRV AA/STRD GREATER OCCIPITAL BIL,2466.0,2466.0,,,0
HCPCS,64415,HCHG INJ AA/STRD BRACHIAL PLEX IMG SGL,6902.0,6902.0,,,0
HCPCS,64415,HCHG INJ AA/STRDBRACHIAL PLEX IMG BIL,10353.0,10353.0,,,0
HCPCS,64417,HCHG INJ AA/STRD AGENT AXILLARY NERVE IMG BIL,6933.0,6933.0,,,0
HCPCS,64417,HCHG INJ AA/STRD AGENT AXILLARY NERVE IMG SGL,4622.0,4622.0,,,0
HCPCS,64420,HCHG INJ AA/STRD NRV INTCOSTL BIL,5841.0,5841.0,,,0
HCPCS,64420,HCHG INJ AA/STRD NRV INTCOSTL SNGL,3894.0,3894.0,,,0
HCPCS,64421,HCHG INJ AA/STRD INTERCOSTAL NERVE EA ADDT,3259.0,3259.0,,,0
HCPCS,64425,HCHG INJ NRV AA/STRD ILIOINGUINAL,3023.0,3023.0,,,0
HCPCS,64445,HCHG INJ NRV AA/STRD SCIATIC IMG BIL,5244.0,5244.0,,,0
HCPCS,64445,HCHG INJ NRV AA/STRD SCIATIC IMG SNGL,3496.0,3496.0,,,0
HCPCS,64447,HCHG INJ NRV AA/STRD FEM NRV IMG,6424.0,6424.0,,,0
HCPCS,64450,HCHG INJ AA/STRD OTHER PERIPH/BRANCH,2247.0,2247.0,,,0
HCPCS,64450,HCHG INJ AA/STRD OTHER PERIPH/BRANCH BIL,3370.0,3370.0,,,0
HCPCS,64461,HCHG INJ PVB THORACIC SINGLE SITE,3517.0,3517.0,,,0
HCPCS,64462,HCHG INJ PVB THORACIC 2ND+ SITE,1753.0,1753.0,,,0
HCPCS,64463,HCHG PVB THORACIC CONT INFUSION,2173.0,2173.0,,,0
HCPCS,64479,HCHG INJS ANES&STRD W/IMG TFRML EDRL CRV/THR 1 LV BIL,6646.0,6646.0,,,0
HCPCS,64479,HCHG INJS ANES&STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,4431.0,4431.0,,,0
HCPCS,64479,Inj foramen epidural c/t,,,1836.0,2491.0,10
HCPCS,64480,HCHG INJS ANES&STRD W/IMG TFRML EDRL CRV/THRC EA LV,2769.0,2769.0,,,0
HCPCS,64480,Inj foramen epidural add-on,,,747.0,1112.0,10
HCPCS,64483,HCHG BASED CLINIC INJS ANES/STRD IMG TFRML EDRL LMBR/SAC 1 LVL BIL,7352.0,7352.0,,,0
HCPCS,64483,HCHG INJS ANES/STRD IMG TFRML EDRL LMBR/SAC 1 LVL BIL,7352.0,7352.0,,,0
HCPCS,64483,HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,4901.0,4901.0,,,0
HCPCS,64483,Inj foramen epidural l/s,,,1836.0,2491.0,10
HCPCS,64484,HCHG INJS ANES&STRD W/IMG TFRML EDRL LMBR/SAC EA LV,2470.0,2470.0,,,0
HCPCS,64484,Inj foramen epidural add-on,,,747.0,1112.0,10
HCPCS,64490,HCHG INJ PV FACET W IMAGE GUIDANCE C/T 1 LVL BIL,7342.0,7342.0,,,0
HCPCS,64490,HCHG INJECTION PV FACET C/T 1 LVL,4895.0,4895.0,,,0
HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,1836.0,2491.0,10
HCPCS,64491,HCHG INJECTION PV FACET C/T 2 LVL,1931.0,1931.0,,,0
HCPCS,64491,Inj paravert f jnt c/t 2 lev,,,727.0,1006.0,9
HCPCS,64492,HCHG INJECTION PV FACET C/T 3 LVL,1742.0,1742.0,,,0
HCPCS,64492,Inj paravert f jnt c/t 3 lev,,,727.0,1006.0,9
HCPCS,64493,HCHG INJ PV FACET W IMAGE GUIDANCE L/ST 1 LVL BIL,7508.0,7508.0,,,0
HCPCS,64493,HCHG INJECTION FACET L/S 1 LVL,5005.0,5005.0,,,0
HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,1836.0,2491.0,10
HCPCS,64494,HCHG INJECTION PV FACET W IMAGE GUIDANCE L/S 2ND LVL,2156.0,2156.0,,,0
HCPCS,64495,HCHG INJECTION FACET L/S 3 LVL,1930.0,1930.0,,,0
HCPCS,64510,HCHG INJECTION NERVE BLOCK CERVICAL SYMPATHETIC,5733.0,5733.0,,,0
HCPCS,64517,HCHG INJECTION NERVE BLOCK SUPERIOR HYPOGASTRIC PLEXUS,8068.0,8068.0,,,0
HCPCS,64520,HCHG INJECTION NERVE BLOCK LUMBAR OR THORACIC,5594.0,5594.0,,,0
HCPCS,64520,N block lumbar/thoracic,,,1836.0,2491.0,10
HCPCS,64530,HCHG INJECTION NERVE BLOCK CELIAC PLEXUS,4697.0,4697.0,,,0
HCPCS,64612,HCHG CHEMODNRV MUSC-MUSC INNERVATED FACIAL NRV BI,1792.0,1792.0,,,0
HCPCS,64612,HCHG CHEMODNRV MUSC-MUSC INNERVATED FACIAL NRV LT,1195.0,1195.0,,,0
HCPCS,64612,HCHG CHEMODNRV MUSC-MUSC INNERVATED FACIAL NRV RT,1195.0,1195.0,,,0
HCPCS,64633,HCHG DESTROY CERV/THOR FACET JNT,7008.0,7008.0,,,0
HCPCS,64633,HCHG DESTROY CERV/THOR FACET JNT BIL,10512.0,10512.0,,,0
HCPCS,64634,HCHG DESTROY C/TH FACET JNT ADDL,3476.0,3476.0,,,0
HCPCS,64635,HCHG DESTROY LUMB/SAC FACET JNT,5967.0,5967.0,,,0
HCPCS,64635,HCHG DESTROY LUMB/SAC FACET JNT BIL,8950.0,8950.0,,,0
HCPCS,64636,HCHG DESTROY L/S FACET JNT ADDL,3365.0,3365.0,,,0
HCPCS,64640,HCHG DESTRUCTION NERVE OTHER PERIPHERAL,5732.0,5732.0,,,0
HCPCS,64680,HCHG INJECTION NEUROLYTIC CELIAC PLEXUS,4156.0,4156.0,,,0
HCPCS,64681,HCHG DESTRUCTION NERVE SUPERIOR HYPOGASTRIC PLEXUS,3173.0,3173.0,,,0
HCPCS,64718,Revise ulnar nerve at elbow,,,3779.0,5389.0,10
HCPCS,64721,Carpal tunnel surgery,,,3779.0,5389.0,10
HCPCS,65205,HCHG REMOVE FB EYE CONJ SUPERF BI,1014.0,1014.0,,,0
HCPCS,65205,HCHG REMOVE FB EYE CONJ SUPERF LT,676.0,676.0,,,0
HCPCS,65205,HCHG REMOVE FB EYE CONJ SUPERF RT,676.0,676.0,,,0
HCPCS,65210,HCHG REMOVE FB EYE CONJ EMBED BI,2254.0,2254.0,,,0
HCPCS,65210,HCHG REMOVE FB EYE CONJ EMBED LT,1503.0,1503.0,,,0
HCPCS,65210,HCHG REMOVE FB EYE CONJ EMBED RT,1503.0,1503.0,,,0
HCPCS,65220,HCHG REMV FB CORNEAL W/O LAMP BI,1484.0,1484.0,,,0
HCPCS,65220,HCHG REMV FB CORNEAL W/O LAMP LT,989.0,989.0,,,0
HCPCS,65220,HCHG REMV FB CORNEAL W/O LAMP RT,989.0,989.0,,,0
HCPCS,65222,HCHG RMV FB EYE CORN W LAMP BI,1448.0,1448.0,,,0
HCPCS,65222,HCHG RMV FB EYE CORN W LAMP LT,965.0,965.0,,,0
HCPCS,65222,HCHG RMV FB EYE CORN W LAMP RT,965.0,965.0,,,0
HCPCS,65410,HCHG BIOPSY CORNEA BI,22372.0,22372.0,,,0
HCPCS,65410,HCHG BIOPSY CORNEA LT,14915.0,14915.0,,,0
HCPCS,65410,HCHG BIOPSY CORNEA RT,14915.0,14915.0,,,0
HCPCS,65420,HCHG EXCISION PTERYGIUM BI,11412.0,11412.0,,,0
HCPCS,65420,HCHG EXCISION PTERYGIUM LT,7608.0,7608.0,,,0
HCPCS,65420,HCHG EXCISION PTERYGIUM RT,7608.0,7608.0,,,0
HCPCS,65426,Removal of eye lesion,,,4194.0,6647.0,10
HCPCS,65430,HCHG CORNEAL SCRAPING DX BI,7152.0,7152.0,,,0
HCPCS,65430,HCHG CORNEAL SCRAPING DX LT,4768.0,4768.0,,,0
HCPCS,65430,HCHG CORNEAL SCRAPING DX RT,4768.0,4768.0,,,0
HCPCS,65800,HCHG AC PARACENTESIS RML AQUEOUS,7608.0,7608.0,,,0
HCPCS,65815,HCHG PARACENT EYE RMVL BLOOD,1898.0,1898.0,,,0
HCPCS,65855,HCHG TRABECULOPLASTY,3804.0,3804.0,,,0
HCPCS,65855,HCHG TRABECULOPLASTY LASER BI,5706.0,5706.0,,,0
HCPCS,65855,HCHG TRABECULOPLASTY LASER LT,3804.0,3804.0,,,0
HCPCS,65855,HCHG TRABECULOPLASTY LASER RT,3804.0,3804.0,,,0
HCPCS,65860,HCHG LASER EYE SEVER ADHESIONS,3429.0,3429.0,,,0
HCPCS,66250,HCHG REP/REVISE ANTERIOR SEGMT,15971.0,15971.0,,,0
HCPCS,66710,HCHG CYCLOPHOTCOAG TRANSSCLERL BI,21124.0,21124.0,,,0
HCPCS,66710,HCHG CYCLOPHOTCOAG TRANSSCLERL LT,14083.0,14083.0,,,0
HCPCS,66710,HCHG CYCLOPHOTCOAG TRANSSCLERL RT,14083.0,14083.0,,,0
HCPCS,66761,HCHG IRIDOTOMY OR IRIDECTOMY LASER,3913.0,3913.0,,,0
HCPCS,66761,HCHG RVSN IRIS LASR EA SESSION BI,5870.0,5870.0,,,0
HCPCS,66761,HCHG RVSN IRIS LASR EA SESSION LT,3913.0,3913.0,,,0
HCPCS,66761,HCHG RVSN IRIS LASR EA SESSION RT,3913.0,3913.0,,,0
HCPCS,66762,HCHG RVSN IRIS PHOTOCOAG 1+ SESSIONS BIL,6942.0,6942.0,,,0
HCPCS,66762,HCHG RVSN IRIS PHOTOCOAG 1+ SESSIONS LT,4628.0,4628.0,,,0
HCPCS,66762,HCHG RVSN IRIS PHOTOCOAG 1+ SESSIONS RT,4628.0,4628.0,,,0
HCPCS,66821,After cataract laser surgery,,,1213.0,1601.0,10
HCPCS,66821,HCHG CATARACT LASER CAPSULOTOMY YAG,3867.0,3867.0,,,0
HCPCS,66821,HCHG DISC 2ND MEM CAT LASR BIL,5800.0,5800.0,,,0
HCPCS,66821,HCHG DISCISSN 2ND MEM CAT LASR BI,5800.0,5800.0,,,0
HCPCS,66821,HCHG DISCISSN 2ND MEM CAT LASR LT,3867.0,3867.0,,,0
HCPCS,66821,HCHG DISCISSN 2ND MEM CAT LASR RT,3867.0,3867.0,,,0
HCPCS,66982,Cataract surgery complex,,,4788.0,6820.0,10
HCPCS,66984,Cataract surg w/iol 1 stage,,,4788.0,6820.0,10
HCPCS,67028,HCHG INTRAVITREAL IJ DRUG BI,3939.0,3939.0,,,0
HCPCS,67028,HCHG INTRAVITREAL IJ DRUG LT,2626.0,2626.0,,,0
HCPCS,67028,HCHG INTRAVITREAL IJ DRUG RT,2626.0,2626.0,,,0
HCPCS,67105,HCHG REPAIR RETINA  DET PHOTOCOAG,3945.0,3945.0,,,0
HCPCS,67110,HCHG REPR RETINL DETACH AIR IJ BI,21616.0,21616.0,,,0
HCPCS,67110,HCHG REPR RETINL DETACH AIR IJ LT,14411.0,14411.0,,,0
HCPCS,67110,HCHG REPR RETINL DETACH AIR IJ RT,14411.0,14411.0,,,0
HCPCS,67141,HCHG PROPH RET DETACH CRYO/DIA BI,20835.0,20835.0,,,0
HCPCS,67141,HCHG PROPH RET DETACH CRYO/DIA LT,13890.0,13890.0,,,0
HCPCS,67141,HCHG PROPH RET DETACH CRYO/DIA RT,13890.0,13890.0,,,0
HCPCS,67145,HCHG PROPH RET DETCH PHOTOCOAG,5293.0,5293.0,,,0
HCPCS,67145,HCHG PROPH RET DETCH PHOTOCOAG BI,7940.0,7940.0,,,0
HCPCS,67145,HCHG PROPH RET DETCH PHOTOCOAG LT,5293.0,5293.0,,,0
HCPCS,67145,HCHG PROPH RET DETCH PHOTOCOAG RT,5293.0,5293.0,,,0
HCPCS,67208,HCHG DSTRCT RETNL LSN CRYO/DIA BI,20835.0,20835.0,,,0
HCPCS,67208,HCHG DSTRCT RETNL LSN CRYO/DIA LT,13890.0,13890.0,,,0
HCPCS,67208,HCHG DSTRCT RETNL LSN CRYO/DIA RT,13890.0,13890.0,,,0
HCPCS,67210,HCHG RET LES PHOTOCOAGULATION BI,8920.0,8920.0,,,0
HCPCS,67210,HCHG RET LES PHOTOCOAGULATION LT,5947.0,5947.0,,,0
HCPCS,67210,HCHG RET LES PHOTOCOAGULATION RT,5947.0,5947.0,,,0
HCPCS,67227,HCHG DSTRCT RTNPTHY CRYO/DIATH,4376.0,4376.0,,,0
HCPCS,67228,HCHG TX RTNPTHY PHOTOCOAGULATN BI,5956.0,5956.0,,,0
HCPCS,67228,HCHG TX RTNPTHY PHOTOCOAGULATN LT,3971.0,3971.0,,,0
HCPCS,67228,HCHG TX RTNPTHY PHOTOCOAGULATN RT,3971.0,3971.0,,,0
HCPCS,67311,Revise eye muscle,,,4194.0,7245.0,10
HCPCS,67314,Revise eye muscle,,,4194.0,7245.0,10
HCPCS,67345,HCHG CHEMO DENERV EXTROC MUSC BI,4540.0,4540.0,,,0
HCPCS,67345,HCHG CHEMO DENERV EXTROC MUSC LT,3027.0,3027.0,,,0
HCPCS,67345,HCHG CHEMO DENERV EXTROC MUSC RT,3027.0,3027.0,,,0
HCPCS,67515,HCHG TENON'S CAPSULE INJECTION BI,4488.0,4488.0,,,0
HCPCS,67515,HCHG TENON'S CAPSULE INJECTION LT,2992.0,2992.0,,,0
HCPCS,67515,HCHG TENON'S CAPSULE INJECTION RT,2992.0,2992.0,,,0
HCPCS,67570,HCHG OPTIC NERVE DECOMPRESSION BI,137328.0,137328.0,,,0
HCPCS,67570,HCHG OPTIC NERVE DECOMPRESSION LT,91552.0,91552.0,,,0
HCPCS,67570,HCHG OPTIC NERVE DECOMPRESSION RT,91552.0,91552.0,,,0
HCPCS,67800,HCHG EXCISION CHALAZION SNGL,1367.0,1367.0,,,0
HCPCS,67810,HCHG INCISIONAL BIOPSY EYELID SKIN & LID MARGIN BI,1443.0,1443.0,,,0
HCPCS,67810,HCHG INCISIONAL BIOPSY EYELID SKIN & LID MARGIN LT,962.0,962.0,,,0
HCPCS,67810,HCHG INCISIONAL BIOPSY EYELID SKIN & LID MARGIN RT,962.0,962.0,,,0
HCPCS,67820,HCHG TRICH EPILATION FORCEPS BI,1514.0,1514.0,,,0
HCPCS,67820,HCHG TRICH EPILATION FORCEPS LT,1009.0,1009.0,,,0
HCPCS,67820,HCHG TRICH EPILATION FORCEPS RT,1009.0,1009.0,,,0
HCPCS,67825,HCHG TRICH EPILATION OTHER BI,3506.0,3506.0,,,0
HCPCS,67825,HCHG TRICH EPILATION OTHER LT,2337.0,2337.0,,,0
HCPCS,67825,HCHG TRICH EPILATION OTHER RT,2337.0,2337.0,,,0
HCPCS,67875,HCHG TEMPORARY CLOSURE OF EYELIDS BY SUTURE RT,7558.0,7558.0,,,0
HCPCS,67880,HCHG TARSORRHAPHY,10647.0,10647.0,,,0
HCPCS,67904,Repair eyelid defect,,,12444.0,15083.0,7
HCPCS,68020,HCHG INCISION CONJUNCTIVA BI,6668.0,6668.0,,,0
HCPCS,68020,HCHG INCISION CONJUNCTIVA LT,4445.0,4445.0,,,0
HCPCS,68020,HCHG INCISION CONJUNCTIVA RT,4445.0,4445.0,,,0
HCPCS,68100,HCHG BIOPSY CONJUNCTIVA BI,15334.0,15334.0,,,0
HCPCS,68100,HCHG BIOPSY CONJUNCTIVA LT,10223.0,10223.0,,,0
HCPCS,68100,HCHG BIOPSY CONJUNCTIVA RT,10223.0,10223.0,,,0
HCPCS,68110,HCHG EXCISION OF LESION CONJUNCTIVA TO 1CM LT,12978.0,12978.0,,,0
HCPCS,68110,HCHG EXCISION OF LESION CONJUNCTIVA TO 1CM RT,12978.0,12978.0,,,0
HCPCS,68200,HCHG SUBCONJUNCTIVAL INJECTION BI,3015.0,3015.0,,,0
HCPCS,68200,HCHG SUBCONJUNCTIVAL INJECTION LT,2010.0,2010.0,,,0
HCPCS,68200,HCHG SUBCONJUNCTIVAL INJECTION RT,2010.0,2010.0,,,0
HCPCS,68400,HCHG INCIS/DRN LACRIMAL GLAND BI,10784.0,10784.0,,,0
HCPCS,68400,HCHG INCIS/DRN LACRIMAL GLAND LT,7189.0,7189.0,,,0
HCPCS,68400,HCHG INCIS/DRN LACRIMAL GLAND RT,7189.0,7189.0,,,0
HCPCS,68525,HCHG BIOPSY OF LACRIMAL SAC BI,27870.0,27870.0,,,0
HCPCS,68525,HCHG BIOPSY OF LACRIMAL SAC LT,18580.0,18580.0,,,0
HCPCS,68525,HCHG BIOPSY OF LACRIMAL SAC RT,18580.0,18580.0,,,0
HCPCS,68761,HCHG LACR PUNCT CLOSUR EA PLUG BI,5952.0,5952.0,,,0
HCPCS,68761,HCHG LACR PUNCT CLOSUR EA PLUG LT,3968.0,3968.0,,,0
HCPCS,68761,HCHG LACR PUNCT CLOSUR EA PLUG RT,3968.0,3968.0,,,0
HCPCS,68801,HCHG DIL TEAR DUCT OPENING BI,2654.0,2654.0,,,0
HCPCS,68801,HCHG DIL TEAR DUCT OPENING LT,1769.0,1769.0,,,0
HCPCS,68801,HCHG DIL TEAR DUCT OPENING RT,1769.0,1769.0,,,0
HCPCS,68810,HCHG PROBE NASOLACRIMAL DUCT BI,4558.0,4558.0,,,0
HCPCS,68810,HCHG PROBE NASOLACRIMAL DUCT LT,3039.0,3039.0,,,0
HCPCS,68810,HCHG PROBE NASOLACRIMAL DUCT RT,3039.0,3039.0,,,0
HCPCS,68811,Probe nasolacrimal duct,,,4194.0,5610.0,10
HCPCS,68815,Probe nasolacrimal duct,,,4194.0,5610.0,10
HCPCS,68840,HCHG PROBE LACRIMAL CANALICULI LT,2445.0,2445.0,,,0
HCPCS,69310,Rebuild outer ear canal,,,28162.0,34137.0,7
HCPCS,69436,Create eardrum opening,,,3462.0,4822.0,10
HCPCS,69631,Repair eardrum structures,,,10191.0,13447.0,10
HCPCS,70015,HCHG XR CISTERNOGRAM,3620.0,3620.0,,,0
HCPCS,70030,HCHG XR EYE FOR FB,609.0,609.0,,,0
HCPCS,70100,HCHG XR MANDIBLE LESS 4 VIEW,585.0,585.0,,,0
HCPCS,70110,HCHG XR MANDIBLE 4 VIEW OR MORE,938.0,938.0,,,0
HCPCS,70120,HCHG XR MASTOIDS LESS 3 VIEW,828.0,828.0,,,0
HCPCS,70130,HCHG XR MASTOIDS 3 VIEW OR MORE,1021.0,1021.0,,,0
HCPCS,70134,HCHG XR EXAM OF MIDDLE EAR,1048.0,1048.0,,,0
HCPCS,70140,HCHG XR FACIAL BONE LESS 3 VIEW,764.0,764.0,,,0
HCPCS,70150,HCHG XR FACIAL BONE 3 VIEW OR MORE,915.0,915.0,,,0
HCPCS,70160,HCHG XR NASAL BONES 3 VIEW OR MORE,869.0,869.0,,,0
HCPCS,70190,HCHG XR OPTIC FORAMINA,437.0,437.0,,,0
HCPCS,70200,HCHG XR ORBITS 4 VIEW OR MORE,757.0,757.0,,,0
HCPCS,70210,HCHG XR SINUS PARA LESS 3 VIEW,607.0,607.0,,,0
HCPCS,70220,HCHG XR SINUS PARA 3 VIEW OR MORE,740.0,740.0,,,0
HCPCS,70240,HCHG XR SELLA TURCICA,815.0,815.0,,,0
HCPCS,70250,HCHG XR SKULL LESS 4 VIEW,967.0,967.0,,,0
HCPCS,70260,HCHG XR SKULL 4 VIEW OR MORE,1071.0,1071.0,,,0
HCPCS,70320,HCHG XR DENTAL FULL EX,1456.0,1456.0,,,0
HCPCS,70328,HCHG XR TMJ UNILATERAL LT,423.0,423.0,,,0
HCPCS,70328,HCHG XR TMJ UNILATERAL RT,423.0,423.0,,,0
HCPCS,70330,HCHG XR TMJ BILAT,704.0,704.0,,,0
HCPCS,70332,HCHG XR ARTHRO TMJ,1793.0,1793.0,,,0
HCPCS,70336,HCHG MR TEMPOROMANDIBULAR JOINTS,4939.0,4939.0,,,0
HCPCS,70355,HCHG XR ORTHOPANTOG,459.0,459.0,,,0
HCPCS,70360,HCHG XR NECK SOFT TISSUE,744.0,744.0,,,0
HCPCS,70371,HCHG PHARYNGEAL SPEECH EVAL W CINE/VIDEO,1932.0,1932.0,,,0
HCPCS,70380,HCHG XR SALIVARY GLAND CALC,936.0,936.0,,,0
HCPCS,70390,HCHG XR SIALOG,2952.0,2952.0,,,0
HCPCS,70450,Ct head/brain w/o dye,,,835.0,1410.0,10
HCPCS,70450,HCHG CT BRAIN WO CONTR,4312.0,4312.0,,,0
HCPCS,70460,HCHG CT BRAIN W CONTR,4869.0,4869.0,,,0
HCPCS,70470,Ct head/brain w/o & w/dye,,,1298.0,2194.0,10
HCPCS,70470,HCHG CT BRAIN W AND WO CONTR,5345.0,5345.0,,,0
HCPCS,70471,HCHG CTA HEAD&NECK C+ W/NONCONTRAST IMG&POST-PXESSNG,12425.0,12425.0,,,0
HCPCS,70472,HCHG CT CERE PRFUJ ALYS C+ W/CT/CTA SAME ANATOMY,6626.0,6626.0,,,0
HCPCS,70473,HCHG CT CERE PRFUJ ALYS C+ W/O CT/CTA SAME ANATOMY,6626.0,6626.0,,,0
HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,1130.0,1915.0,10
HCPCS,70480,HCHG CT ORBIT AND SELLA FOSSA WO CONTR,4511.0,4511.0,,,0
HCPCS,70481,Ct orbit/ear/fossa w/dye,,,4671.0,4671.0,1
HCPCS,70481,HCHG CT ORBIT AND SELLA FOSSA W CONTR,5596.0,5596.0,,,0
HCPCS,70482,HCHG CT ORBIT AND SELLA FOSSA W AND WO CONTR,5337.0,5337.0,,,0
HCPCS,70486,Ct maxillofacial w/o dye,,,988.0,1675.0,10
HCPCS,70486,HCHG CT MAXILLOFACIAL WO CONTR,4272.0,4272.0,,,0
HCPCS,70487,HCHG CT MAXILLOFACIAL W CONTR,5254.0,5254.0,,,0
HCPCS,70488,HCHG CT MAXILLOFACIAL W AND WO CONTR,4353.0,4353.0,,,0
HCPCS,70490,HCHG CT NECK WO CONTR,4177.0,4177.0,,,0
HCPCS,70491,Ct soft tissue neck w/dye,,,1174.0,1994.0,10
HCPCS,70491,HCHG CT NECK W CONTR,4995.0,4995.0,,,0
HCPCS,70492,HCHG CT NECK W AND WO CONTR,4572.0,4572.0,,,0
HCPCS,70496,Ct angiography head,,,3752.0,5012.0,7
HCPCS,70496,HCHG CTA HEAD/BRAIN W AND WO CONTR,6173.0,6173.0,,,0
HCPCS,70498,Ct angiography neck,,,3757.0,5019.0,7
HCPCS,70498,HCHG CTA NECK W AND WO CONTR,5871.0,5871.0,,,0
HCPCS,70540,HCHG MRI ORBIT AND FACE AND NECK WO CONTR,4351.0,4351.0,,,0
HCPCS,70542,HCHG MRI ORBIT AND FACE AND NECK W CONTR,8245.0,8245.0,,,0
HCPCS,70543,HCHG MRI ORBIT AND FACE AND NECK W AND WO CONTR,7992.0,7992.0,,,0
HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,3801.0,6450.0,10
HCPCS,70544,HCHG MRA HEAD WO CONTR,5677.0,5677.0,,,0
HCPCS,70544,Mr Angiography Head W/O Dye,,,2368.0,4009.0,10
HCPCS,70545,HCHG MRA HEAD W CONTR,6437.0,6437.0,,,0
HCPCS,70546,HCHG MRA HEAD W AND WO CONTR,7839.0,7839.0,,,0
HCPCS,70547,HCHG MRA NECK WO CONTR,5464.0,5464.0,,,0
HCPCS,70548,HCHG MRA NECK W CONTR,5978.0,5978.0,,,0
HCPCS,70549,HCHG MRA NECK W AND WO CONTR,8824.0,8824.0,,,0
HCPCS,70549,Mr angiograph neck w/o&w/dye,,,6608.0,6608.0,1
HCPCS,70551,HCHG MRI BRAIN W STEM WO CONTR,5481.0,5481.0,,,0
HCPCS,70551,Mri brain stem w/o dye,,,2235.0,3788.0,10
HCPCS,70552,HCHG MRI BRAIN W STEM W CONTR,7192.0,7192.0,,,0
HCPCS,70553,HCHG MRI BRAIN W STEM W AND WO CONTR,8334.0,8334.0,,,0
HCPCS,70553,Mri brain stem w/o & w/dye,,,3786.0,6382.0,10
HCPCS,71045,HCHG XR CHEST FRONTAL 1 VIEW,738.0,738.0,,,0
HCPCS,71046,HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW,804.0,804.0,,,0
HCPCS,71046,HCHG XR CHEST SPECIAL VIEWS 2 VIEW,804.0,804.0,,,0
HCPCS,71047,HCHG XR CHEST FRONTAL AND LATERAL W AP LORDOTIC 3 VW,723.0,723.0,,,0
HCPCS,71047,HCHG XR CHEST FRONTAL AND LATERAL W OBLIQUES 3 VIEW,723.0,723.0,,,0
HCPCS,71047,HCHG XR CHEST SPECIAL VIEWS 3 VIEW,723.0,723.0,,,0
HCPCS,71048,HCHG XR CHEST CMPL 4+ VIEW,832.0,832.0,,,0
HCPCS,71048,HCHG XR CHEST FRONTAL AND LATERAL W OBLIQUES 4+ VIEW,832.0,832.0,,,0
HCPCS,71048,HCHG XR CHEST SPECIAL VIEWS 4+ VIEW,832.0,832.0,,,0
HCPCS,71100,HCHG XR RIBS UNI 2V LT,803.0,803.0,,,0
HCPCS,71100,HCHG XR RIBS UNI 2V RT,803.0,803.0,,,0
HCPCS,71101,HCHG XR RIBS UNI & PA CHEST LT,1074.0,1074.0,,,0
HCPCS,71101,HCHG XR RIBS UNI & PA CHEST RT,1074.0,1074.0,,,0
HCPCS,71110,HCHG XR RIBS BILAT 3 VIEW,1049.0,1049.0,,,0
HCPCS,71111,HCHG XR RIBS BILAT W PA CXR,1276.0,1276.0,,,0
HCPCS,71120,HCHG XR STERNUM 2 VIEW OR MORE,728.0,728.0,,,0
HCPCS,71130,HCHG XR STERNOCLAVIC 3 VIEW MORE,589.0,589.0,,,0
HCPCS,71250,Ct thorax w/o dye,,,1065.0,1804.0,10
HCPCS,71250,HCHG CT LUNG SCREENING LTD,4097.0,4097.0,,,0
HCPCS,71250,HCHG CT THORAX DX W/O CNTRST,4097.0,4097.0,,,0
HCPCS,71260,Ct thorax w/dye,,,1305.0,2207.0,10
HCPCS,71260,HCHG CT THORAX DX W/CONTRAST,5153.0,5153.0,,,0
HCPCS,71270,Ct thorax w/o & w/dye,,,5030.0,5030.0,1
HCPCS,71270,HCHG CT THORAX DX W/O CNTRST FLWD CNTRST,5607.0,5607.0,,,0
HCPCS,71271,HCHG CT THORAX LW DOSE LUNG CANCER SCR W/O CONTRAST,304.0,304.0,,,0
HCPCS,71275,Ct angiography chest,,,3918.0,5235.0,7
HCPCS,71275,HCHG CTA CHEST W AND WO CONTR,6885.0,6885.0,,,0
HCPCS,71550,HCHG MRI CHEST WO CONTR,4588.0,4588.0,,,0
HCPCS,71551,HCHG MRI CHEST W CONTR,6294.0,6294.0,,,0
HCPCS,71552,HCHG MRI CHEST W AND WO CONTR,8053.0,8053.0,,,0
HCPCS,72020,HCHG XR SPINE SINGLE VIEW,729.0,729.0,,,0
HCPCS,72040,HCHG XR SPINE CERVICAL 2-3 VIEWS,864.0,864.0,,,0
HCPCS,72050,HCHG XR SPINE CERVICAL 4 OR 5 VIEWS,1175.0,1175.0,,,0
HCPCS,72052,HCHG XR SPINE CERVICAL 6 OR MORE VIEWS,1308.0,1308.0,,,0
HCPCS,72070,HCHG XR SPINE THOR 2 VIEW,932.0,932.0,,,0
HCPCS,72072,HCHG XR SPINE THOR 3 VIEW,980.0,980.0,,,0
HCPCS,72074,HCHG XR SPINE THOR 4 VIEW OR MORE,912.0,912.0,,,0
HCPCS,72080,HCHG XR SPINE THORACOLUMBAR JNCTN 2 VIEW,805.0,805.0,,,0
HCPCS,72081,HCHG XR SPINE SCOLIOSIS 1 VIEW,575.0,575.0,,,0
HCPCS,72082,HCHG XR SPINE SCOLIOSIS 2-3 VIEWS,820.0,820.0,,,0
HCPCS,72083,HCHG XR SPINE SCOLIOSIS 4-5 VIEWS,972.0,972.0,,,0
HCPCS,72084,HCHG XR SPINE SCOLIOSIS MIN 6 VIEWS,1244.0,1244.0,,,0
HCPCS,72100,HCHG XR SPINE LUMB 2 OR 3 VIEW,966.0,966.0,,,0
HCPCS,72110,HCHG XR SPINE LUMB 4 VIEW OR MORE,1151.0,1151.0,,,0
HCPCS,72114,HCHG XR SPINE L/S COMPLETE W BENDING VWS MIN 6 VWS,1169.0,1169.0,,,0
HCPCS,72120,HCHG XR SPINE LUMB 4 BENDING VIEW,836.0,836.0,,,0
HCPCS,72125,Ct neck spine w/o dye,,,1068.0,1807.0,10
HCPCS,72125,HCHG CT SPINE CERV WO CONTR,5058.0,5058.0,,,0
HCPCS,72126,HCHG CT SPINE CERV W CONTR,7056.0,7056.0,,,0
HCPCS,72127,HCHG CT SPINE CERV W AND WO CONTR,5699.0,5699.0,,,0
HCPCS,72128,Ct chest spine w/o dye,,,3873.0,3873.0,1
HCPCS,72128,HCHG CT SPINE THOR WO CONTR,4811.0,4811.0,,,0
HCPCS,72129,HCHG CT SPINE THOR W CONTR,6600.0,6600.0,,,0
HCPCS,72130,HCHG CT SPINE THOR W AND WO CONTR,6822.0,6822.0,,,0
HCPCS,72131,Ct lumbar spine w/o dye,,,1065.0,1803.0,10
HCPCS,72131,HCHG CT SPINE LUMB WO CONTR,4803.0,4803.0,,,0
HCPCS,72132,HCHG CT SPINE LUMB W CONTR,6202.0,6202.0,,,0
HCPCS,72133,HCHG CT SPINE LUMB W AND WO CONTR,5824.0,5824.0,,,0
HCPCS,72141,HCHG MRI SPINE CERV WO CONTR,5265.0,5265.0,,,0
HCPCS,72141,Mri neck spine w/o dye,,,2060.0,3486.0,10
HCPCS,72142,HCHG MRI SPINE CERV W CONTR,6480.0,6480.0,,,0
HCPCS,72146,HCHG MRI SPINE THOR WO CONTR,5458.0,5458.0,,,0
HCPCS,72146,Mri chest spine w/o dye,,,2175.0,3679.0,10
HCPCS,72147,HCHG MRI SPINE THOR W CONTR,6508.0,6508.0,,,0
HCPCS,72148,HCHG MRI SPINE LUMB WO CONTR,5217.0,5217.0,,,0
HCPCS,72148,Mri lumbar spine w/o dye,,,2173.0,3676.0,10
HCPCS,72149,HCHG MRI SPINE LUMB W CONTR,8076.0,8076.0,,,0
HCPCS,72156,HCHG MRI SPINE CERV W AND WO CONTR,8560.0,8560.0,,,0
HCPCS,72156,Mri neck spine w/o & w/dye,,,3754.0,6328.0,10
HCPCS,72157,HCHG MRI SPINE THOR W AND WO CONTR,8406.0,8406.0,,,0
HCPCS,72157,Mri chest spine w/o & w/dye,,,3615.0,6096.0,10
HCPCS,72158,HCHG MRI SPINE LUMB W AND WO CONTR,8441.0,8441.0,,,0
HCPCS,72158,Mri lumbar spine w/o & w/dye,,,3754.0,6326.0,10
HCPCS,72170,HCHG XR PELVIC 1 OR 2 VIEW,770.0,770.0,,,0
HCPCS,72190,HCHG XR PELVIC 3 VIEW OR MORE,890.0,890.0,,,0
HCPCS,72191,HCHG CTA PELVIS W AND WO CONTR,5400.0,5400.0,,,0
HCPCS,72192,Ct pelvis w/o dye,,,1034.0,1744.0,10
HCPCS,72192,HCHG CT PELVIS WO CONTR,4656.0,4656.0,,,0
HCPCS,72193,Ct pelvis w/dye,,,1247.0,2107.0,10
HCPCS,72193,HCHG CT PELVIS W CONTR,5746.0,5746.0,,,0
HCPCS,72194,Ct pelvis w/o & w/dye,,,1622.0,2743.0,10
HCPCS,72194,HCHG CT PELVIS W AND WO CONTR,4196.0,4196.0,,,0
HCPCS,72195,HCHG MRI PELVIS WO CONTR,5735.0,5735.0,,,0
HCPCS,72195,Mri Pelvis W/O Dye,,,2223.0,3771.0,10
HCPCS,72196,HCHG MRI PELVIS W CONTR,5220.0,5220.0,,,0
HCPCS,72197,HCHG MRI PELVIS W AND WO CONTR,8535.0,8535.0,,,0
HCPCS,72197,Mri pelvis w/o & w/dye,,,3825.0,6479.0,10
HCPCS,72200,HCHG XR SI JOINT 1 OR 2 VIEW,571.0,571.0,,,0
HCPCS,72202,HCHG XR SI JOINT 3 VIEW OR MORE,816.0,816.0,,,0
HCPCS,72220,HCHG XR SACRUM COCCYX,928.0,928.0,,,0
HCPCS,72240,HCHG XR MYELOGRAM CERV,2690.0,2690.0,,,0
HCPCS,72255,HCHG XR MYELOGRAM THOR,3075.0,3075.0,,,0
HCPCS,72265,HCHG XR MYELOGRAM LUMB,4112.0,4112.0,,,0
HCPCS,72275,HCHG EPIDUROGRAM,542.0,542.0,,,0
HCPCS,72285,HCHG XR DISCOGRAM CERV AND THOR,2982.0,2982.0,,,0
HCPCS,72295,HCHG XR DISCOGRAM LUMB,2378.0,2378.0,,,0
HCPCS,73000,HCHG XR CLAVICLE BILATERAL,1154.0,1154.0,,,0
HCPCS,73000,HCHG XR CLAVICLE LT,769.0,769.0,,,0
HCPCS,73000,HCHG XR CLAVICLE RT,769.0,769.0,,,0
HCPCS,73010,HCHG XR SCAPULA BIL,1260.0,1260.0,,,0
HCPCS,73010,HCHG XR SCAPULA LT,840.0,840.0,,,0
HCPCS,73010,HCHG XR SCAPULA RT,840.0,840.0,,,0
HCPCS,73020,HCHG XR SHOULDER 1 VIEW BIL,1040.0,1040.0,,,0
HCPCS,73020,HCHG XR SHOULDER 1 VIEW LT,693.0,693.0,,,0
HCPCS,73020,HCHG XR SHOULDER 1 VIEW RT,693.0,693.0,,,0
HCPCS,73030,HCHG XR SHOULDER 2 VIEW OR MORE BIL,1335.0,1335.0,,,0
HCPCS,73030,HCHG XR SHOULDER 2 VIEW OR MORE LT,890.0,890.0,,,0
HCPCS,73030,HCHG XR SHOULDER 2 VIEW OR MORE RT,890.0,890.0,,,0
HCPCS,73040,HCHG XR ARTHRO SHOULDER BIL,2757.0,2757.0,,,0
HCPCS,73040,HCHG XR ARTHRO SHOULDER LT,1838.0,1838.0,,,0
HCPCS,73040,HCHG XR ARTHRO SHOULDER RT,1838.0,1838.0,,,0
HCPCS,73050,HCHG XR AC JOINT,733.0,733.0,,,0
HCPCS,73060,HCHG XR HUMERUS LT,919.0,919.0,,,0
HCPCS,73060,HCHG XR HUMERUS RT,919.0,919.0,,,0
HCPCS,73070,HCHG XR ELBOW 2 VIEW BIL,1128.0,1128.0,,,0
HCPCS,73070,HCHG XR ELBOW 2 VIEW LT,752.0,752.0,,,0
HCPCS,73070,HCHG XR ELBOW 2 VIEW RT,752.0,752.0,,,0
HCPCS,73080,HCHG XR ELBOW 3 VIEW OR MORE BIL,1265.0,1265.0,,,0
HCPCS,73080,HCHG XR ELBOW 3 VIEW OR MORE LT,844.0,844.0,,,0
HCPCS,73080,HCHG XR ELBOW 3 VIEW OR MORE RT,844.0,844.0,,,0
HCPCS,73085,HCHG XR ARTHRO ELBOW BIL,7584.0,7584.0,,,0
HCPCS,73085,HCHG XR ARTHRO ELBOW LT,5056.0,5056.0,,,0
HCPCS,73085,HCHG XR ARTHRO ELBOW RT,5056.0,5056.0,,,0
HCPCS,73090,HCHG XR FOREARM BIL,1368.0,1368.0,,,0
HCPCS,73090,HCHG XR FOREARM LT,912.0,912.0,,,0
HCPCS,73090,HCHG XR FOREARM RT,912.0,912.0,,,0
HCPCS,73092,HCHG XR ARM INFANT (< 1 YEAR) BIL,974.0,974.0,,,0
HCPCS,73092,HCHG XR ARM INFANT (< 1 YEAR) LT,649.0,649.0,,,0
HCPCS,73092,HCHG XR ARM INFANT (< 1 YEAR) RT,649.0,649.0,,,0
HCPCS,73100,HCHG XR WRIST 2 VIEW BIL,1012.0,1012.0,,,0
HCPCS,73100,HCHG XR WRIST 2 VIEW LT,675.0,675.0,,,0
HCPCS,73100,HCHG XR WRIST 2 VIEW RT,675.0,675.0,,,0
HCPCS,73110,HCHG XR WRIST 3 VIEW OR MORE BIL,1294.0,1294.0,,,0
HCPCS,73110,HCHG XR WRIST 3 VIEW OR MORE LT,862.0,862.0,,,0
HCPCS,73110,HCHG XR WRIST 3 VIEW OR MORE RT,862.0,862.0,,,0
HCPCS,73115,HCHG XR ARTHRO WRIST BIL,1594.0,1594.0,,,0
HCPCS,73115,HCHG XR ARTHRO WRIST LT,1063.0,1063.0,,,0
HCPCS,73115,HCHG XR ARTHRO WRIST RT,1063.0,1063.0,,,0
HCPCS,73120,HCHG XR HAND 2 VIEW BIL,1202.0,1202.0,,,0
HCPCS,73120,HCHG XR HAND 2 VIEW LT,801.0,801.0,,,0
HCPCS,73120,HCHG XR HAND 2 VIEW RT,801.0,801.0,,,0
HCPCS,73130,HCHG XR HAND 3 VIEW OR MORE BIL,1329.0,1329.0,,,0
HCPCS,73130,HCHG XR HAND 3 VIEW OR MORE LT,886.0,886.0,,,0
HCPCS,73130,HCHG XR HAND 3 VIEW OR MORE RT,886.0,886.0,,,0
HCPCS,73140,HCHG XR FINGER(S) 2 VIEW OR MORE BI,1022.0,1022.0,,,0
HCPCS,73140,HCHG XR FINGER(S) 2 VIEW OR MORE LT,681.0,681.0,,,0
HCPCS,73140,HCHG XR FINGER(S) 2 VIEW OR MORE RT,681.0,681.0,,,0
HCPCS,73200,Ct upper extremity w/o dye,,,978.0,1653.0,10
HCPCS,73200,HCHG CT EXTREM UPPER WO CONTR BIL,6398.0,6398.0,,,0
HCPCS,73200,HCHG CT EXTREM UPPER WO CONTR LT,4265.0,4265.0,,,0
HCPCS,73200,HCHG CT EXTREM UPPER WO CONTR RT,4265.0,4265.0,,,0
HCPCS,73201,HCHG CT EXTREM UPPER W CONTR BIL,7683.0,7683.0,,,0
HCPCS,73201,HCHG CT EXTREM UPPER W CONTR LT,5122.0,5122.0,,,0
HCPCS,73201,HCHG CT EXTREM UPPER W CONTR RT,5122.0,5122.0,,,0
HCPCS,73202,HCHG CT EXTREM UPPER W AND WO CONTR BIL,8422.0,8422.0,,,0
HCPCS,73202,HCHG CT EXTREM UPPER W AND WO CONTR LT,5615.0,5615.0,,,0
HCPCS,73202,HCHG CT EXTREM UPPER W AND WO CONTR RT,5615.0,5615.0,,,0
HCPCS,73206,HCHG CTA EXTREM UPPER W AND WO CONTR LT,5928.0,5928.0,,,0
HCPCS,73206,HCHG CTA EXTREM UPPER W AND WO CONTR RT,5928.0,5928.0,,,0
HCPCS,73218,HCHG MRI EXTREM UPPER NO JOINT WO CONTR BIL,6684.0,6684.0,,,0
HCPCS,73218,HCHG MRI EXTREM UPPER NO JOINT WO CONTR LT,4456.0,4456.0,,,0
HCPCS,73218,HCHG MRI EXTREM UPPER NO JOINT WO CONTR RT,4456.0,4456.0,,,0
HCPCS,73218,Mri Upper Extremity W/O Dye,,,2236.0,3805.0,10
HCPCS,73219,HCHG MRI EXTREM UPPER NO JOINT W CONTR BIL,5882.0,5882.0,,,0
HCPCS,73219,HCHG MRI EXTREM UPPER NO JOINT W CONTR LT,3921.0,3921.0,,,0
HCPCS,73219,HCHG MRI EXTREM UPPER NO JOINT W CONTR RT,3921.0,3921.0,,,0
HCPCS,73220,HCHG MRI EXTREM UPPER NO JOINT W AND WO CONTR BIL,10300.0,10300.0,,,0
HCPCS,73220,HCHG MRI EXTREM UPPER NO JOINT W AND WO CONTR LT,6867.0,6867.0,,,0
HCPCS,73220,HCHG MRI EXTREM UPPER NO JOINT W AND WO CONTR RT,6867.0,6867.0,,,0
HCPCS,73221,HCHG MRI EXTREM UPPER JOINT WO CONTR BIL,7291.0,7291.0,,,0
HCPCS,73221,HCHG MRI EXTREM UPPER JOINT WO CONTR LT,4860.0,4860.0,,,0
HCPCS,73221,HCHG MRI EXTREM UPPER JOINT WO CONTR RT,4860.0,4860.0,,,0
HCPCS,73221,Mri joint upr extrem w/o dye,,,2143.0,3643.0,10
HCPCS,73222,HCHG MRI EXTREM UPPER JOINT W CONTR BIL,7576.0,7576.0,,,0
HCPCS,73222,HCHG MRI EXTREM UPPER JOINT W CONTR LT,5051.0,5051.0,,,0
HCPCS,73222,HCHG MRI EXTREM UPPER JOINT W CONTR RT,5051.0,5051.0,,,0
HCPCS,73223,HCHG MRI EXTREM UPPER JOINT W AND WO CONTR BIL,10739.0,10739.0,,,0
HCPCS,73223,HCHG MRI EXTREM UPPER JOINT W AND WO CONTR LT,7159.0,7159.0,,,0
HCPCS,73223,HCHG MRI EXTREM UPPER JOINT W AND WO CONTR RT,7159.0,7159.0,,,0
HCPCS,73501,HCHG XR HIP UNI W/WO PELVIS 1 VIEW,685.0,685.0,,,0
HCPCS,73502,HCHG XR HIP UNI W/WO PELVIS 2-3 VIEWS,768.0,768.0,,,0
HCPCS,73503,HCHG XR HIP UNI W/WO PELVIS MIN 4 VIEWS,1048.0,1048.0,,,0
HCPCS,73521,HCHG XR HIP BIL W/WO PELVIS 2 VIEWS,959.0,959.0,,,0
HCPCS,73522,HCHG XR HIP BIL W/WO PELVIS 3-4 VIEWS,1136.0,1136.0,,,0
HCPCS,73523,HCHG XR HIP BIL W/WO PELVIS MIN 5 VIEWS,1337.0,1337.0,,,0
HCPCS,73525,HCHG XR ARTHRO HIP BIL,3135.0,3135.0,,,0
HCPCS,73525,HCHG XR ARTHRO HIP LT,2090.0,2090.0,,,0
HCPCS,73525,HCHG XR ARTHRO HIP RT,2090.0,2090.0,,,0
HCPCS,73551,HCHG X-RAY EXAM OF FEMUR 1 VIEW BIL,1071.0,1071.0,,,0
HCPCS,73551,HCHG XR EXAM OF FEMUR 1 VIEW LT,714.0,714.0,,,0
HCPCS,73551,HCHG XR EXAM OF FEMUR 1 VIEW RT,714.0,714.0,,,0
HCPCS,73552,HCHG XR EXAM FEMUR MIN 2 VIEWS BIL,1195.0,1195.0,,,0
HCPCS,73552,HCHG XR EXAM FEMUR MIN 2 VIEWS LT,797.0,797.0,,,0
HCPCS,73552,HCHG XR EXAM FEMUR MIN 2 VIEWS RT,797.0,797.0,,,0
HCPCS,73560,HCHG XR KNEE 1 OR 2 VIEW BIL,1064.0,1064.0,,,0
HCPCS,73560,HCHG XR KNEE 1 OR 2 VIEW LT,709.0,709.0,,,0
HCPCS,73560,HCHG XR KNEE 1 OR 2 VIEW RT,709.0,709.0,,,0
HCPCS,73562,HCHG XR KNEE 3 VIEW BIL,1431.0,1431.0,,,0
HCPCS,73562,HCHG XR KNEE 3 VIEW LT,954.0,954.0,,,0
HCPCS,73562,HCHG XR KNEE 3 VIEW RT,954.0,954.0,,,0
HCPCS,73564,HCHG XR KNEE 4 VIEW OR MORE BIL,1537.0,1537.0,,,0
HCPCS,73564,HCHG XR KNEE 4 VIEW OR MORE LT,1025.0,1025.0,,,0
HCPCS,73564,HCHG XR KNEE 4 VIEW OR MORE RT,1025.0,1025.0,,,0
HCPCS,73565,HCHG XR KNEES BOTH STANDING AP,622.0,622.0,,,0
HCPCS,73580,HCHG IR ARTHRO KNEE LT,1892.0,1892.0,,,0
HCPCS,73580,HCHG IR ARTHRO KNEE RT,1892.0,1892.0,,,0
HCPCS,73580,HCHG XR ARTHRO KNEE BIL,2838.0,2838.0,,,0
HCPCS,73590,HCHG XR TIBIA FIBULA BIL,1215.0,1215.0,,,0
HCPCS,73590,HCHG XR TIBIA FIBULA LT,810.0,810.0,,,0
HCPCS,73590,HCHG XR TIBIA FIBULA RT,810.0,810.0,,,0
HCPCS,73592,HCHG XR LEG INFANT (< 1 YEAR) BIL,970.0,970.0,,,0
HCPCS,73592,HCHG XR LEG INFANT (< 1 YEAR) LT,647.0,647.0,,,0
HCPCS,73592,HCHG XR LEG INFANT (< 1 YEAR) RT,647.0,647.0,,,0
HCPCS,73600,HCHG XR ANKLE 2 VIEW BIL,1115.0,1115.0,,,0
HCPCS,73600,HCHG XR ANKLE 2 VIEW LT,743.0,743.0,,,0
HCPCS,73600,HCHG XR ANKLE 2 VIEW RT,743.0,743.0,,,0
HCPCS,73610,HCHG XR ANKLE 3 VIEW OR MORE BIL,1300.0,1300.0,,,0
HCPCS,73610,HCHG XR ANKLE 3 VIEW OR MORE LT,866.0,866.0,,,0
HCPCS,73610,HCHG XR ANKLE 3 VIEW OR MORE RT,866.0,866.0,,,0
HCPCS,73615,HCHG XR ARTHRO ANKLE BIL,10964.0,10964.0,,,0
HCPCS,73615,HCHG XR ARTHRO ANKLE LT,7309.0,7309.0,,,0
HCPCS,73615,HCHG XR ARTHRO ANKLE RT,7309.0,7309.0,,,0
HCPCS,73620,HCHG XR FOOT 1 VW BIL ARTHRITIS,1046.0,1046.0,,,0
HCPCS,73620,HCHG XR FOOT 2 VIEW BIL,1046.0,1046.0,,,0
HCPCS,73620,HCHG XR FOOT 2 VIEW LT,698.0,698.0,,,0
HCPCS,73620,HCHG XR FOOT 2 VIEW RT,698.0,698.0,,,0
HCPCS,73630,HCHG XR FOOT 3 VIEW OR MORE BIL,1377.0,1377.0,,,0
HCPCS,73630,HCHG XR FOOT 3 VIEW OR MORE LT,918.0,918.0,,,0
HCPCS,73630,HCHG XR FOOT 3 VIEW OR MORE RT,918.0,918.0,,,0
HCPCS,73650,HCHG XR CALCANEUS 2 VIEW OR MORE BIL,963.0,963.0,,,0
HCPCS,73650,HCHG XR CALCANEUS 2 VIEW OR MORE LT,642.0,642.0,,,0
HCPCS,73650,HCHG XR CALCANEUS 2 VIEW OR MORE RT,642.0,642.0,,,0
HCPCS,73660,HCHG XR TOE(S) 2 VIEW OR MORE LT,662.0,662.0,,,0
HCPCS,73660,HCHG XR TOE(S) 2V OR MORE BIL,994.0,994.0,,,0
HCPCS,73660,HCHG XR TOE(S) 2V OR MORE RT,662.0,662.0,,,0
HCPCS,73700,Ct lower extremity w/o dye,,,978.0,1653.0,10
HCPCS,73700,HCHG CT EXTREM LOWER WO CONTR BIL,6538.0,6538.0,,,0
HCPCS,73700,HCHG CT EXTREM LOWER WO CONTR LT,4359.0,4359.0,,,0
HCPCS,73700,HCHG CT EXTREM LOWER WO CONTR RT,4359.0,4359.0,,,0
HCPCS,73701,Ct lower extremity w/dye,,,6080.0,6080.0,1
HCPCS,73701,HCHG CT EXTREM LOWER W CONTR BIL,7974.0,7974.0,,,0
HCPCS,73701,HCHG CT EXTREM LOWER W CONTR LT,5316.0,5316.0,,,0
HCPCS,73701,HCHG CT EXTREM LOWER W CONTR RT,5316.0,5316.0,,,0
HCPCS,73702,HCHG CT EXTREM LOWER W AND WO CONTR BIL,8218.0,8218.0,,,0
HCPCS,73702,HCHG CT EXTREM LOWER W AND WO CONTR LT,5479.0,5479.0,,,0
HCPCS,73702,HCHG CT EXTREM LOWER W AND WO CONTR RT,5479.0,5479.0,,,0
HCPCS,73706,HCHG CTA EXTREM LOWER W AND WO CONTR BIL,10260.0,10260.0,,,0
HCPCS,73706,HCHG CTA EXTREM LOWER W AND WO CONTR LT,6840.0,6840.0,,,0
HCPCS,73706,HCHG CTA EXTREM LOWER W AND WO CONTR RT,6840.0,6840.0,,,0
HCPCS,73718,HCHG MRI EXTREM LOWER WO CONTR BIL,6744.0,6744.0,,,0
HCPCS,73718,HCHG MRI EXTREM LOWER WO CONTR LT,4496.0,4496.0,,,0
HCPCS,73718,HCHG MRI EXTREM LOWER WO CONTR RT,4496.0,4496.0,,,0
HCPCS,73718,Mri Lower Extremity W/O Dye,,,2205.0,3751.0,10
HCPCS,73719,HCHG MRI EXTREM LOWER NO JOINT W CONTR BIL,10124.0,10124.0,,,0
HCPCS,73719,HCHG MRI EXTREM LOWER NO JOINT W CONTR LT,6749.0,6749.0,,,0
HCPCS,73719,HCHG MRI EXTREM LOWER NO JOINT W CONTR RT,6749.0,6749.0,,,0
HCPCS,73720,HCHG MRI EXTREM LOWER W AND WO CONTR BIL,10040.0,10040.0,,,0
HCPCS,73720,HCHG MRI EXTREM LOWER W AND WO CONTR LT,6693.0,6693.0,,,0
HCPCS,73720,HCHG MRI EXTREM LOWER W AND WO CONTR RT,6693.0,6693.0,,,0
HCPCS,73720,Mri lwr extremity w/o&w/dye,,,7913.0,7913.0,1
HCPCS,73721,HCHG MRI EXTREM LOWER JOINT WO CONTR BIL,7464.0,7464.0,,,0
HCPCS,73721,HCHG MRI EXTREM LOWER JOINT WO CONTR LT,4976.0,4976.0,,,0
HCPCS,73721,HCHG MRI EXTREM LOWER JOINT WO CONTR RT,4976.0,4976.0,,,0
HCPCS,73721,Mri jnt of lwr extre w/o dye,,,2170.0,3689.0,10
HCPCS,73722,HCHG MRI EXTREM LOWER JOINT W CONTR BIL,7678.0,7678.0,,,0
HCPCS,73722,HCHG MRI EXTREM LOWER JOINT W CONTR LT,5118.0,5118.0,,,0
HCPCS,73722,HCHG MRI EXTREM LOWER JOINT W CONTR RT,5118.0,5118.0,,,0
HCPCS,73723,HCHG MRI EXTREM LOWER JOINT W AND WO CONTR BIL,11300.0,11300.0,,,0
HCPCS,73723,HCHG MRI EXTREM LOWER JOINT W AND WO CONTR LT,7534.0,7534.0,,,0
HCPCS,73723,HCHG MRI EXTREM LOWER JOINT W AND WO CONTR RT,7534.0,7534.0,,,0
HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,9246.0,9246.0,1
HCPCS,74018,HCHG XR ABD AP 1 VIEW,666.0,666.0,,,0
HCPCS,74019,HCHG XR ABD CMPL W DECUB / ERECT 2 VIEW,921.0,921.0,,,0
HCPCS,74021,HCHG XR ABD CMPL W DECUB / ERECT 3+ VIEW,879.0,879.0,,,0
HCPCS,74021,HCHG XR ABD W OBLIQUES AND CONE 3+ VIEW,879.0,879.0,,,0
HCPCS,74022,HCHG XR CMPL ACUTE ABD 2+ VIEWS W/1 VIEW CHEST,1179.0,1179.0,,,0
HCPCS,74150,Ct abdomen w/o dye,,,1008.0,1706.0,10
HCPCS,74150,HCHG CT ABD WO CONTR,4058.0,4058.0,,,0
HCPCS,74160,Ct abdomen w/dye,,,1357.0,2294.0,10
HCPCS,74160,HCHG CT ABD W CONTR,4755.0,4755.0,,,0
HCPCS,74170,Ct abdomen w/o & w/dye,,,1790.0,3036.0,10
HCPCS,74170,HCHG CT ABD W AND WO CONTR,4989.0,4989.0,,,0
HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,5560.0,7425.0,7
HCPCS,74174,HCHG CT ANGIO ABD&PELV W/O&W/DYE,9849.0,9849.0,,,0
HCPCS,74175,HCHG CTA ABD W AND WO CONTR,6496.0,6496.0,,,0
HCPCS,74176,Ct abd & pelvis w/o contrast,,,3871.0,5169.0,7
HCPCS,74176,HCHG CT ABD & PELVIS W/O CON,6374.0,6374.0,,,0
HCPCS,74177,Ct abd & pelv w/contrast,,,4717.0,6302.0,7
HCPCS,74177,HCHG CT ABD & PELVIS W/CON,8287.0,8287.0,,,0
HCPCS,74178,Ct abd & pelv 1/> regns,,,5023.0,6709.0,7
HCPCS,74178,HCHG CT ABD & PELVIS 1+ REGION W/WO CONTRAST,8994.0,8994.0,,,0
HCPCS,74181,HCHG MRI ABDOMEN WO CONTR,5540.0,5540.0,,,0
HCPCS,74181,Mri abdomen w/o dye,,,3192.0,4263.0,7
HCPCS,74182,HCHG MRI ABDOMEN W CONTR,5386.0,5386.0,,,0
HCPCS,74183,HCHG MRI ABDOMEN W AND WO CONTR,7712.0,7712.0,,,0
HCPCS,74183,Mri abdomen w/o & w/dye,,,3826.0,6487.0,10
HCPCS,74190,HCHG XR PERITONEOGRAM,1026.0,1026.0,,,0
HCPCS,74220,HCHG XR ESOPHAGUS 1CNTRST STUDY (BARIUM SWALLOW),1422.0,1422.0,,,0
HCPCS,74221,HCHG XR ESOPHAGUS DOUBLE CONTRAST STUDY,1225.0,1225.0,,,0
HCPCS,74230,HCHG XR SWALLOWING FUNCTION CONTRAST STUDY,1571.0,1571.0,,,0
HCPCS,74235,HCHG FB RMV ESOPHAGUS,3663.0,3663.0,,,0
HCPCS,74240,HCHG XR UGI TRC SINGLE CONTRAST STUDY,1658.0,1658.0,,,0
HCPCS,74246,HCHG XR UGI TRC DOUBLE CONTRAST STUDY,1643.0,1643.0,,,0
HCPCS,74248,HCHG XR SMALL INTESTINE FOLLOW-THROUGH STUDY,1149.0,1149.0,,,0
HCPCS,74250,HCHG XR SM BOWEL SINGLE CONTRAST STUDY,1744.0,1744.0,,,0
HCPCS,74261,HCHG CT COLONOGRAPHY W/O DYE,2682.0,2682.0,,,0
HCPCS,74263,HCHG CT COLONOGRAPHY VIRTUAL SCRN,2491.0,2491.0,,,0
HCPCS,74270,HCHG XR COLON SINGLE CONTRAST STUDY,1630.0,1630.0,,,0
HCPCS,74280,HCHG XR COLON DOUBLE CONTRAST STUDY,2003.0,2003.0,,,0
HCPCS,74283,HCHG XR BE THERP,3711.0,3711.0,,,0
HCPCS,74290,HCHG XR CHOLECYSTOG ORAL,2009.0,2009.0,,,0
HCPCS,74300,HCHG XR CHOLE OPPR,1976.0,1976.0,,,0
HCPCS,74301,HCHG XR CHOLE OPPR EA ADDITIONAL,766.0,766.0,,,0
HCPCS,74328,HCHG XR ENDO BILI DUCT,2986.0,2986.0,,,0
HCPCS,74329,HCHG XR ERCP PANC DUCT,3291.0,3291.0,,,0
HCPCS,74330,HCHG XR ERCP BILI PANC DUCT,3008.0,3008.0,,,0
HCPCS,74340,HCHG XR GI TUBE INSERT LONG,1711.0,1711.0,,,0
HCPCS,74355,HCHG XR ENTEROCLYSIS TUBE PERC,3163.0,3163.0,,,0
HCPCS,74360,HCHG XR INTRALUMINAL DILATION,1027.0,1027.0,,,0
HCPCS,74363,HCHG XR BILI DUCT DILATE PERC,3417.0,3417.0,,,0
HCPCS,74400,HCHG XR IVP W WO TOMOG,1236.0,1236.0,,,0
HCPCS,74410,HCHG XR IVP DRIP / BOLUS,2636.0,2636.0,,,0
HCPCS,74415,HCHG XR IVP W NEPHROTOMOG,3033.0,3033.0,,,0
HCPCS,74420,HCHG XR UROG RETROGRADE W WO KUB,2719.0,2719.0,,,0
HCPCS,74425,HCHG XR UROG ANTEGRADE,2106.0,2106.0,,,0
HCPCS,74430,HCHG XR CYSTOG 3 VIEW OR MORE,1268.0,1268.0,,,0
HCPCS,74440,HCHG XR VASOGRAM VESICULOGRAM,2266.0,2266.0,,,0
HCPCS,74445,HCHG XR CORPORA CAVERNOSOGRAM,1447.0,1447.0,,,0
HCPCS,74450,HCHG XR URETHROCYSTOG RETROGRADE,1911.0,1911.0,,,0
HCPCS,74455,HCHG XR URETHROCYSTOGRAM VOIDING,1633.0,1633.0,,,0
HCPCS,74470,HCHG XR RENAL CYST STUDY,1319.0,1319.0,,,0
HCPCS,74485,HCHG XR DILATION URETHRA OR URETER S&I,4933.0,4933.0,,,0
HCPCS,74710,HCHG XR PELVIMETRY,837.0,837.0,,,0
HCPCS,74712,HCHG MRI FETAL SINGLE/1ST GESTATION,1508.0,1508.0,,,0
HCPCS,74740,HCHG XR HYSTEROSALPINGOGRAM,1432.0,1432.0,,,0
HCPCS,74742,HCHG XR TRANSCERVICAL CATH OF FALLOPIAN TUBE,1953.0,1953.0,,,0
HCPCS,74775,HCHG XR PERINEOGRAM,463.0,463.0,,,0
HCPCS,75557,HCHG MRI CARD MORPH WO CON,5936.0,5936.0,,,0
HCPCS,75561,Cardiac mri for morph w/dye,,,5264.0,5264.0,1
HCPCS,75561,HCHG MRI CARD MORPH W-W/O,7233.0,7233.0,,,0
HCPCS,75563,HCHG MRI CARD W/STRSS W-WO,8346.0,8346.0,,,0
HCPCS,75565,HCHG MRI CARD MRI VEL FLW MAP,955.0,955.0,,,0
HCPCS,75571,Ct hrt w/o dye w/ca test,,,545.0,545.0,1
HCPCS,75571,HCHG CT HRT W/O DYE W/CA TEST,684.0,684.0,,,0
HCPCS,75572,Ct hrt w/3d image,,,3850.0,3850.0,1
HCPCS,75572,HCHG CT HRT W/3D IMAGE,5202.0,5202.0,,,0
HCPCS,75573,HCHG CT HRT C+ STRUX CGEN HRT DS,10285.0,10285.0,,,0
HCPCS,75574,Ct angio hrt w/3d image,,,2357.0,3148.0,7
HCPCS,75574,HCHG CT ANGIO HRT W/3D IMAGE,5054.0,5054.0,,,0
HCPCS,75577,HCHG QUAN&CHARAC C ATHEROSCLERTC PLAQ ASSES SEV C DS,5974.0,5974.0,,,0
HCPCS,75580,HCHG CTA N-INVAS EST C FFR SW ALY CTA,5761.0,5761.0,,,0
HCPCS,75600,HCHG IR AORTOGRAM THOR WO SERIALOGRAPHY,5504.0,5504.0,,,0
HCPCS,75605,HCHG IR AORTOGRAM THOR W SERIALOGRAPHY,10840.0,10840.0,,,0
HCPCS,75625,HCHG IR AORTOGRAM ABD W SERIALOGRAPHY,10950.0,10950.0,,,0
HCPCS,75630,HCHG IR AORTOGRAM ABD W BILAT LOWER EXTREM,12702.0,12702.0,,,0
HCPCS,75635,HCHG CTA ABD W RUNOFF W AND WO CONTR,7047.0,7047.0,,,0
HCPCS,75705,HCHG IR ANGIO SPINAL SELECT,12782.0,12782.0,,,0
HCPCS,75710,HCHG IR ANGIO EXT UNI LT,10621.0,10621.0,,,0
HCPCS,75710,HCHG IR ANGIO EXT UNI RT,10621.0,10621.0,,,0
HCPCS,75716,HCHG IR ANGIO EXTREM BILAT,11739.0,11739.0,,,0
HCPCS,75726,HCHG IR ANGIO VISCERAL,13544.0,13544.0,,,0
HCPCS,75731,HCHG IR ANGIO ADRENAL UNI LT,5619.0,5619.0,,,0
HCPCS,75731,HCHG IR ANGIO ADRENAL UNI RT,5619.0,5619.0,,,0
HCPCS,75733,HCHG IR ANGIO ADRENAL BILAT,7500.0,7500.0,,,0
HCPCS,75736,HCHG IR ANGIO PELVIC SELECT,14417.0,14417.0,,,0
HCPCS,75741,HCHG IR ANGIO PULM UNI SEL LT,3793.0,3793.0,,,0
HCPCS,75741,HCHG IR ANGIO PULM UNI SEL RT,3793.0,3793.0,,,0
HCPCS,75743,HCHG IR ANGIO PULM BILAT SELECT,8381.0,8381.0,,,0
HCPCS,75746,HCHG IR ANGIO PULM NON SELECT,4675.0,4675.0,,,0
HCPCS,75756,HCHG IR ANGIO INT MAMMARY,9292.0,9292.0,,,0
HCPCS,75774,HCHG IR ANGIO EA ADDL VESSEL AFTER BASIC EXAM,6201.0,6201.0,,,0
HCPCS,75801,HCHG XR LYMPHANGIOGRAM EXT UNILATERAL LT,9693.0,9693.0,,,0
HCPCS,75801,HCHG XR LYMPHANGIOGRAM EXT UNILATERAL RT,9693.0,9693.0,,,0
HCPCS,75805,HCHG XR LYMPHANGIOGRAM ABD UNILATERAL LT,4723.0,4723.0,,,0
HCPCS,75805,HCHG XR LYMPHANGIOGRAM ABD UNILATERAL RT,4723.0,4723.0,,,0
HCPCS,75807,HCHG XR LYMPHANGIO PELV BIL,9447.0,9447.0,,,0
HCPCS,75809,HCHG XR SHUNTOGRAM NONVASC,927.0,927.0,,,0
HCPCS,75810,HCHG XR SPLENOPORTOGRAM,15572.0,15572.0,,,0
HCPCS,75820,HCHG XR VENOGRAM EXT UNI LT,3907.0,3907.0,,,0
HCPCS,75820,HCHG XR VENOGRAM EXT UNI RT,3907.0,3907.0,,,0
HCPCS,75822,HCHG XR VENOGRAM EXTREM BILAT,4966.0,4966.0,,,0
HCPCS,75825,HCHG XR VENOGRAM IVC,9070.0,9070.0,,,0
HCPCS,75827,HCHG XR VENOGRAM SVC,5360.0,5360.0,,,0
HCPCS,75831,HCHG XR VENOGRAM RENL UNI LT,5147.0,5147.0,,,0
HCPCS,75831,HCHG XR VENOGRAM RENL UNI RT,5147.0,5147.0,,,0
HCPCS,75833,HCHG XR VENOGRAM RENAL BILAT,6237.0,6237.0,,,0
HCPCS,75840,HCHG XR VENOGRAM ADRENL UNI LT,4263.0,4263.0,,,0
HCPCS,75840,HCHG XR VENOGRAM ADRENL UNI RT,4263.0,4263.0,,,0
HCPCS,75842,HCHG XR VENOGRAM ADRENAL BILAT,5056.0,5056.0,,,0
HCPCS,75860,HCHG XR VENOGRAM SINUS JUGULAR,6866.0,6866.0,,,0
HCPCS,75870,HCHG XR VENOGRAM SAG SINUS,2817.0,2817.0,,,0
HCPCS,75872,HCHG XR VENOGRAM EPIDURAL,6073.0,6073.0,,,0
HCPCS,75880,HCHG XR VENOGRAM ORBITAL,2605.0,2605.0,,,0
HCPCS,75885,HCHG XR PORTOGRAM W HEMO EVAL,5953.0,5953.0,,,0
HCPCS,75887,HCHG XR PORTOGRAM WO HEMO EVAL,4986.0,4986.0,,,0
HCPCS,75889,HCHG XR VENOGRAM HEP W HEMO EVAL,10261.0,10261.0,,,0
HCPCS,75891,HCHG XR VENOGRAM HEP WO HEMO EVAL,14768.0,14768.0,,,0
HCPCS,75893,HCHG VENOUS SAMPLING,9044.0,9044.0,,,0
HCPCS,75894,HCHG XR EMBOL TRANSCATH,15840.0,15840.0,,,0
HCPCS,75898,HCHG ANGIOGRAPHY CATH F/U TRANSCATH TX NO THROMBYLSIS,6169.0,6169.0,,,0
HCPCS,75901,HCHG MECH REMVL PERICATH OBST MATERIAL CV DVC,1479.0,1479.0,,,0
HCPCS,75902,HCHG CV CATH MECH CLEAR,997.0,997.0,,,0
HCPCS,75956,HCHG IR THORACIC AA ENDOVASCULAR PROSTHESIS PLACEMENT WITH SUBCLAVIAN,2022.0,2022.0,,,0
HCPCS,75957,HCHG IR THORACIC AA ENDOVASCULAR PROSTHESIS REPAIR WITHOUT SUBCLAVIAN,1805.0,1805.0,,,0
HCPCS,75958,HCHG IR THORACIC AA DESCENDING ENDOVASCULAR PROSTHESIS PLACEMENT,2503.0,2503.0,,,0
HCPCS,75959,HCHG IR THORACIC AA DESCENDING ENDOVASCULAR PLACEMENT PROSTHESIS FOR ENDOLEAK,1047.0,1047.0,,,0
HCPCS,75970,HCHG BX TRANSCATHETER,6257.0,6257.0,,,0
HCPCS,75984,HCHG XR CHANGE PERC TUBE/DRAINAGE CATH W CONTR MON,2997.0,2997.0,,,0
HCPCS,75989,HCHG CT DRN W CATH PLACE PRC,3144.0,3144.0,,,0
HCPCS,75989,HCHG US DRN W CATH PLACE PRC,3144.0,3144.0,,,0
HCPCS,75989,HCHG XR DRAINAGE W CATH PLACEMENT PERC,3144.0,3144.0,,,0
HCPCS,76000,HCHG FLUORO 1 HR OR LESS,1733.0,1733.0,,,0
HCPCS,76010,HCHG XR FB LOCALIZATION CH,503.0,503.0,,,0
HCPCS,76080,HCHG XR ABSCESS FISTULA SINUS TRACT,1934.0,1934.0,,,0
HCPCS,76098,HCHG XR SPECIMEN SURGICAL,1281.0,1281.0,,,0
HCPCS,76100,HCHG XR TOMOGRAM,2355.0,2355.0,,,0
HCPCS,76101,HCHG XR TOMOGRAM CMPLX LT,2659.0,2659.0,,,0
HCPCS,76101,HCHG XR TOMOGRAM CMPLX RT,2659.0,2659.0,,,0
HCPCS,76120,HCHG XR CINE/VIDEO,2498.0,2498.0,,,0
HCPCS,76125,HCHG XR CINE/VIDEO COMPLEMENT,915.0,915.0,,,0
HCPCS,76376,3d render w/intrp postproces,,,1134.0,1134.0,1
HCPCS,76376,HCHG CT 3D RENDERING INTERP & POSTPROCESS SUPERVISION,1312.0,1312.0,,,0
HCPCS,76376,HCHG MR 3D RENDERING INTERP & POSTPROCESS SUPERVISION,1312.0,1312.0,,,0
HCPCS,76377,HCHG CT 3D RENDERING INTERP&POSTPROC DIF WORK STATION,2034.0,2034.0,,,0
HCPCS,76377,HCHG MR 3D RENDERING INTERP&POSTPROC DIF WORK STATION,2034.0,2034.0,,,0
HCPCS,76377,HCHG XR 3D RENDERING INTERP&POSTPROC DIF WORK STATION,2034.0,2034.0,,,0
HCPCS,76380,CAT scan follow-up study,,,702.0,1189.0,10
HCPCS,76380,HCHG CT LTD OR FOLLOW-UP STDY,1807.0,1807.0,,,0
HCPCS,76390,HCHG MR SPECTROSCOPY,5525.0,5525.0,,,0
HCPCS,76391,HCHG MRI ELASTOGRAPHY,975.0,975.0,,,0
HCPCS,76497,HCHG CT GASTRIC TUBE CHECK W CONTRAST,1495.0,1495.0,,,0
HCPCS,76497,HCHG CT SKELETAL SURVEY WO CONTRAST,2690.0,2690.0,,,0
HCPCS,76499,HCHG XR DEXA BODY COMPOSITION,443.0,443.0,,,0
HCPCS,76506,HCHG US ENCEPHALOGRAM,1788.0,1788.0,,,0
HCPCS,76510,"HCHG US OPHTH, B & QUANT A",2558.0,2558.0,,,0
HCPCS,76512,HCHG US OPHTHALMIC B-SCAN BIL,972.0,972.0,,,0
HCPCS,76512,HCHG US OPHTHALMIC B-SCAN LT,648.0,648.0,,,0
HCPCS,76512,HCHG US OPHTHALMIC B-SCAN RT,648.0,648.0,,,0
HCPCS,76513,HCHG US OPHTHALMIC ANTERIOR SEGMENT IMMERSION BI,6118.0,6118.0,,,0
HCPCS,76513,HCHG US OPHTHALMIC ANTERIOR SEGMENT IMMERSION LT,4079.0,4079.0,,,0
HCPCS,76513,HCHG US OPHTHALMIC ANTERIOR SEGMENT IMMERSION RT,4079.0,4079.0,,,0
HCPCS,76514,HCHG PACHYMETRY UNILATERAL OR BILATERAL,123.0,123.0,,,0
HCPCS,76516,HCHG US OPHTHALMIC BIOMETRY A SCAN,402.0,402.0,,,0
HCPCS,76519,HCHG US OPHTH BIO ASCAN W IO LENS BIL,749.0,749.0,,,0
HCPCS,76529,HCHG US LOCALIZE FB IN EYE,350.0,350.0,,,0
HCPCS,76536,HCHG US HEAD AND NECK SOFT TISSUE,1368.0,1368.0,,,0
HCPCS,76604,HCHG US CHEST,1377.0,1377.0,,,0
HCPCS,76641,HCHG US BREAST COMPLETE BI,1637.0,1637.0,,,0
HCPCS,76641,HCHG US BREAST COMPLETE LT,1092.0,1092.0,,,0
HCPCS,76641,HCHG US BREAST COMPLETE RT,1092.0,1092.0,,,0
HCPCS,76642,HCHG US BREAST LIMITED BI,1298.0,1298.0,,,0
HCPCS,76642,HCHG US BREAST LIMITED LT,865.0,865.0,,,0
HCPCS,76642,HCHG US BREAST LIMITED RT,865.0,865.0,,,0
HCPCS,76700,HCHG US ABD COMPLETE,1887.0,1887.0,,,0
HCPCS,76705,HCHG US ABD LTD,1656.0,1656.0,,,0
HCPCS,76706,HCHG US ABDL AORTA SCREEN AAA,1021.0,1021.0,,,0
HCPCS,76770,HCHG US RETROPERITONEUM COMPLETE,1666.0,1666.0,,,0
HCPCS,76775,HCHG US RETROPERITONEUM LTD,1330.0,1330.0,,,0
HCPCS,76776,HCHG US TRANSPLNT KDNY W/DPPLR,1984.0,1984.0,,,0
HCPCS,76800,HCHG US SPINAL CANAL,1641.0,1641.0,,,0
HCPCS,76801,HCHG US OB < 14 WEEKS SINGLE FETUS,1625.0,1625.0,,,0
HCPCS,76802,HCHG US OB < 14 WEEKS ADDL FETUS,368.0,368.0,,,0
HCPCS,76805,HCHG US OB > 14 WEEKS SINGLE FETUS,1479.0,1479.0,,,0
HCPCS,76810,HCHG US OB > 14 WEEKS ADDL FETUS,1089.0,1089.0,,,0
HCPCS,76811,HCHG US OB DETAILED SINGLE FETUS,1665.0,1665.0,,,0
HCPCS,76812,HCHG US OB DETAILED ADDL FETUS,3959.0,3959.0,,,0
HCPCS,76813,HCHG US OB NUCHAL MEAS FIRST GESTATION,769.0,769.0,,,0
HCPCS,76814,HCHG US OB NUCHAL MEAS ADD-ON,930.0,930.0,,,0
HCPCS,76815,HCHG US OB LTD 1 OR MORE FETUS,1194.0,1194.0,,,0
HCPCS,76816,HCHG US OB FOLLOW-UP RE-EVAL PER FETUS,894.0,894.0,,,0
HCPCS,76817,HCHG US OB TRANSVAGINAL,1457.0,1457.0,,,0
HCPCS,76818,HCHG US BIO PROFILE W NONSTRESS,1705.0,1705.0,,,0
HCPCS,76819,HCHG US BIO PROFILE WO NONSTRESS,1579.0,1579.0,,,0
HCPCS,76820,HCHG US OB UMBILLICAL ARTERY,742.0,742.0,,,0
HCPCS,76821,HCHG US OB MID CEREBRAL ARTERY,1368.0,1368.0,,,0
HCPCS,76825,HCHG US M-MODE FETAL,3464.0,3464.0,,,0
HCPCS,76826,HCHG US ECHO FETAL FU REPEAT,2034.0,2034.0,,,0
HCPCS,76827,HCHG US DOPPLER ECHO FETAL,875.0,875.0,,,0
HCPCS,76828,HCHG US DOPPLER ECHO FETAL FU,482.0,482.0,,,0
HCPCS,76830,HCHG US TRANSVAGINAL NON-OB,1310.0,1310.0,,,0
HCPCS,76831,HCHG US SONOHYSTEROGRAM SALINE INFUSION,1463.0,1463.0,,,0
HCPCS,76856,HCHG US PELVIC COMPLETE NON-OB,1596.0,1596.0,,,0
HCPCS,76857,HCHG US PELVIC LTD FOLLOW-UP NON-OB,944.0,944.0,,,0
HCPCS,76870,HCHG US TESTICULAR SCROTUM,1538.0,1538.0,,,0
HCPCS,76872,HCHG US TRANSRECTAL,1088.0,1088.0,,,0
HCPCS,76873,HCHG US ECHO PROSTATE VOL STDY,1316.0,1316.0,,,0
HCPCS,76881,HCHG US COMPLETE JOINT REAL TIME W/IMAGE LT,1299.0,1299.0,,,0
HCPCS,76881,HCHG US COMPLETE JOINT REAL TIME W/IMAGE RT,1299.0,1299.0,,,0
HCPCS,76882,HCHG US LIMITED JOINT/FCL EVL REAL TIME W/IMAGE LT,847.0,847.0,,,0
HCPCS,76882,HCHG US LIMITED JOINT/FCL EVL REAL TIME W/IMAGE RT,847.0,847.0,,,0
HCPCS,76885,HCHG US INFANT HIPS R-T IMG DYNAMIC WITH MANIPULATION,2292.0,2292.0,,,0
HCPCS,76886,HCHG US INFT HIPS R-T IMG LMTD STATIC NO MANIPULATION,872.0,872.0,,,0
HCPCS,76932,HCHG US BX ENDOMYOCARDIAL,1212.0,1212.0,,,0
HCPCS,76936,HCHG US GUIDE ART PSEUDOANEUR,2297.0,2297.0,,,0
HCPCS,76937,HCHG US VASC ACCESS ADD ON,1372.0,1372.0,,,0
HCPCS,76940,HCHG US GDE PRNCHYML TISS ABLN,1479.0,1479.0,,,0
HCPCS,76941,HCHG US FETAL TRANSFUSION  IUT,3802.0,3802.0,,,0
HCPCS,76942,HCHG US GUIDED NEEDLE PLACE,1894.0,1894.0,,,0
HCPCS,76945,HCHG US VILLUS SAMPLING,1318.0,1318.0,,,0
HCPCS,76946,HCHG US AMNIOCENTESIS,358.0,358.0,,,0
HCPCS,76965,HCHG US GUIDE INTERSTITIAL THERAPY,2148.0,2148.0,,,0
HCPCS,76978,HCHG US TARGET DYNM MICROBUBBLE 1ST LES,803.0,803.0,,,0
HCPCS,76979,HCHG US TARGET DYNM MICROBUBBLE EA ADD,596.0,596.0,,,0
HCPCS,76981,HCHG US ELASTOGRAPHY PARENCHYMA,866.0,866.0,,,0
HCPCS,76982,HCHG US ELASTOGRAPHY 1ST LES,407.0,407.0,,,0
HCPCS,76983,HCHG US ELASTOGRAPHY EA ADD,407.0,407.0,,,0
HCPCS,76998,HCHG US INTRAOP,1642.0,1642.0,,,0
HCPCS,77001,HCHG FLUORO CVC PLACE REPLACE REMOVE,2084.0,2084.0,,,0
HCPCS,77002,HCHG XR FLUORO NDL PLACE,1640.0,1640.0,,,0
HCPCS,77003,HCHG FLUORO GUIDE/LOC NDL/CATH TIP SPINE/THERPTC INJ,1476.0,1476.0,,,0
HCPCS,77011,HCHG CT STEREOTACTIC LOCAL,14042.0,14042.0,,,0
HCPCS,77012,HCHG CT GUIDE NEEDLE PLACEMENT,4531.0,4531.0,,,0
HCPCS,77013,HCHG CT GUIDANCE TISSUE ABLATION,3962.0,3962.0,,,0
HCPCS,77014,CT Scan for Therapy Guide,,,636.0,1079.0,10
HCPCS,77014,HCHG CT GUIDE RAD THERAPY FIELDS,2023.0,2023.0,,,0
HCPCS,77021,HCHG MRI GUIDED NEEDLE PLACEMENT,5581.0,5581.0,,,0
HCPCS,77046,HCHG MRI BREAST W/O CONTRAST LT,4129.0,4129.0,,,0
HCPCS,77046,HCHG MRI BREAST W/O CONTRAST RT,4129.0,4129.0,,,0
HCPCS,77047,HCHG MRI BREAST W/O CONTRAST BILAT,4205.0,4205.0,,,0
HCPCS,77047,Mri breast c- bilateral,,,4019.0,6790.0,10
HCPCS,77049,Mri breast c-+ w/cad bi,,,4019.0,6790.0,10
HCPCS,77053,HCHG XR MAMMARY GALACTOGRAM OR DUCTOGRAM 1 DUCT,998.0,998.0,,,0
HCPCS,77054,HCHG XR GALACTOG MULT DUCTS,2822.0,2822.0,,,0
HCPCS,77063,HCHG BREAST TOMOSYNTHESIS SCREEN BI,183.0,183.0,,,0
HCPCS,77063,HCHG BREAST TOMOSYNTHESIS SCREEN UNILATERAL,183.0,183.0,,,0
HCPCS,77065,HCHG XR MAMMO DX W/WO CAD LT,677.0,677.0,,,0
HCPCS,77065,HCHG XR MAMMO DX W/WO CAD RT,677.0,677.0,,,0
HCPCS,77066,HCHG XR MAMMO DX W/WO CAD BIL,929.0,929.0,,,0
HCPCS,77067,HCHG XR MAMMO SCREENING W/WO CAD BIL,602.0,602.0,,,0
HCPCS,77067,HCHG XR MAMMO SCREENING W/WO CAD UNI,401.0,401.0,,,0
HCPCS,77071,HCHG XR MAN APP STRS ANY JNT,735.0,735.0,,,0
HCPCS,77072,HCHG XR BONE AGE STUDY,458.0,458.0,,,0
HCPCS,77073,HCHG CT BONE LENGTH STUDY,842.0,842.0,,,0
HCPCS,77073,HCHG XR BONE LENGTH STUDY,842.0,842.0,,,0
HCPCS,77074,HCHG XR BONE SURVEY LTD,869.0,869.0,,,0
HCPCS,77075,HCHG XR BONE SURVEY COMPLETE,1521.0,1521.0,,,0
HCPCS,77076,HCHG XR BONE SURVEY INFANT,1786.0,1786.0,,,0
HCPCS,77077,HCHG XR JOINT SURVEY 1 VIEW,618.0,618.0,,,0
HCPCS,77078,HCHG CT BONE DENSTY STDY AXIAL,4470.0,4470.0,,,0
HCPCS,77080,"HCHG XR DEXA HIP, SPINE, AND/OR PELVIS",913.0,913.0,,,0
HCPCS,77081,HCHG XR DEXA APPEN,474.0,474.0,,,0
HCPCS,77085,HCHG DXA BONE DENSITY STUDY,794.0,794.0,,,0
HCPCS,77086,HCHG FRACTURE ASSESSMENT VIA DXA,389.0,389.0,,,0
HCPCS,77280,HCHG RO SIMULATION SIMPLE,2924.0,2924.0,,,0
HCPCS,77285,HCHG RO SIMULATION INTERMEDIATE,3154.0,3154.0,,,0
HCPCS,77290,HCHG RO SIMULATION COMPLEX,5584.0,5584.0,,,0
HCPCS,77293,HCHG RO RESPIRATOR MOTION MGMT SIMUL,2480.0,2480.0,,,0
HCPCS,77295,HCHG RO 3D PLAN,12764.0,12764.0,,,0
HCPCS,77300,HCHG RO BASIC DOSIMETRY CALCULATION,1523.0,1523.0,,,0
HCPCS,77301,HCHG RO IMRT PLANNING,16949.0,16949.0,,,0
HCPCS,77306,HCHG TELETHX ISODOSE PLAN SIMPLE,2099.0,2099.0,,,0
HCPCS,77307,HCHG TELETHX ISODOSE PLAN CPLX,5643.0,5643.0,,,0
HCPCS,77316,HCHG BRACHYTX ISODOSE PLAN SIMPLE,2178.0,2178.0,,,0
HCPCS,77317,HCHG BRACHYTX ISODOSE INTERMED,3253.0,3253.0,,,0
HCPCS,77318,HCHG BRACHYTX ISODOSE COMPLEX,7059.0,7059.0,,,0
HCPCS,77321,HCHG RO SPECIAL TELETHERAPY PORT PLAN,3099.0,3099.0,,,0
HCPCS,77331,HCHG RO SPECIAL DOSIMETRY,1417.0,1417.0,,,0
HCPCS,77332,HCHG RO TREATMENT DEVICE SIMPLE,1297.0,1297.0,,,0
HCPCS,77333,HCHG RO TREATMENT DEVICE INTERMEDIATE,1648.0,1648.0,,,0
HCPCS,77334,HCHG RO TREATMENT DEVICE COMPLEX,2951.0,2951.0,,,0
HCPCS,77336,HCHG RO CONTINUING MEDICAL PHYSICS CONSULT WKLY,1828.0,1828.0,,,0
HCPCS,77338,HCHG RO DSIGN MLC DEV FOR IMRT,4708.0,4708.0,,,0
HCPCS,77370,HCHG RO SPECIAL MEDICAL RADIATION PHYSICS CONSULT,2476.0,2476.0,,,0
HCPCS,77372,HCHG RO LINEAR ACCELERATOR BASED SRS,40789.0,40789.0,,,0
HCPCS,77373,HCHG RO LINEAR ACCELERATOR BASED FRACTIONATED SRS MAX 5,14886.0,14886.0,,,0
HCPCS,77385,HCHG NTSTY MODUL RAD TX DLVR SMPL,6646.0,6646.0,,,0
HCPCS,77386,HCHG NTSTY MODUL RAD TX DLVR CPLX,7955.0,7955.0,,,0
HCPCS,77387,HCHG GUIDANCE FOR RADIATION TX,1493.0,1493.0,,,0
HCPCS,77402,HCHG RO RADIATION TX DELIVERY LVL 1,1637.0,1637.0,,,0
HCPCS,77407,HCHG RO RADIATION TX DELIVERY LVL 2,6187.0,6187.0,,,0
HCPCS,77412,HCHG RO RADIATION TX DELIVERY LVL 3,8864.0,8864.0,,,0
HCPCS,77417,HCHG RO PORT IMAGE(S),949.0,949.0,,,0
HCPCS,77424,HCHG RO IO RAD TX DELIVERY BY X-RAY,3433.0,3433.0,,,0
HCPCS,77470,HCHG RO SPECIAL TREATMENT PROCEDURE,5046.0,5046.0,,,0
HCPCS,77770,HCHG RO HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHANNEL,8538.0,8538.0,,,0
HCPCS,77771,HCHG RO HDR RDNCL NTRSTL/ICAV BRCHTX 2-12 CHANNELS,10188.0,10188.0,,,0
HCPCS,77772,HCHG RO HDR RDNCL NTRSTL/ICAV BRCHTX >12 CHANNELS,19089.0,19089.0,,,0
HCPCS,77778,HCHG RO INTRSTITL RAD SRC APP CMPLX INC SUP HNDL LOAD,8023.0,8023.0,,,0
HCPCS,77790,HCHG RO SOURCE HANDLING AND LOADING,513.0,513.0,,,0
HCPCS,78012,HCHG NM THYROID UPTAKE MEASUREMENT,1895.0,1895.0,,,0
HCPCS,78013,HCHG NM THYROID IMAGING W/BLOOD FLOW,175.0,175.0,,,0
HCPCS,78014,HCHG NM THYROID IMAGING W/BLD FLOW UPTAKE MEASURE,2319.0,2319.0,,,0
HCPCS,78018,HCHG NM THYROID METS WHOLE BODY,5476.0,5476.0,,,0
HCPCS,78020,HCHG NM THYROID METS UPTAKE CALC,1397.0,1397.0,,,0
HCPCS,78070,HCHG NM PARATHYROID PLANAR IMAGING,2563.0,2563.0,,,0
HCPCS,78071,HCHG NM PARATHYROID PLANAR W/TOMOGRAPHIC (SPECT),4163.0,4163.0,,,0
HCPCS,78072,HCHG NM PARATHYROID PLANAR W/SPECT & CT,3509.0,3509.0,,,0
HCPCS,78102,HCHG NM BONE MARROW SINGLE,2576.0,2576.0,,,0
HCPCS,78104,HCHG NM BONE MARROW WHOLE BODY,4260.0,4260.0,,,0
HCPCS,78111,HCHG NM PLASMA VOLUME MULTI,2308.0,2308.0,,,0
HCPCS,78121,HCHG NM RED CELL MASS MULTI,2074.0,2074.0,,,0
HCPCS,78122,HCHG NM WHOLE BLOOD VOLUME,1903.0,1903.0,,,0
HCPCS,78130,HCHG NM RED CELL SURVIVAL,4170.0,4170.0,,,0
HCPCS,78185,HCHG NM SPLEEN SCAN,4423.0,4423.0,,,0
HCPCS,78191,HCHG NM PLATELET SURVIVAL STDY,2896.0,2896.0,,,0
HCPCS,78195,HCHG NM LYMPHATIC PATHWAY WITH IMAGING,4428.0,4428.0,,,0
HCPCS,78201,HCHG NM LIVER SCAN,4040.0,4040.0,,,0
HCPCS,78202,HCHG NM LIVER W VASCULAR FLOW,4155.0,4155.0,,,0
HCPCS,78215,HCHG NM LIVER SPLEEN SCAN,3380.0,3380.0,,,0
HCPCS,78216,HCHG NM LIVER SPLEEN W FLOW,2209.0,2209.0,,,0
HCPCS,78226,HCHG NM HEPATOBILIRY SYS IMAGE,3581.0,3581.0,,,0
HCPCS,78227,HCHG NM HEPATO SYS IMAG W/DRUG,4107.0,4107.0,,,0
HCPCS,78231,HCHG NM SALIVARY GLAND W SERIAL,1959.0,1959.0,,,0
HCPCS,78258,HCHG NM ESOPHAGEAL MOTILITY,1708.0,1708.0,,,0
HCPCS,78262,HCHG NM GASTROESOPHAGEAL REFLUX,3843.0,3843.0,,,0
HCPCS,78264,HCHG GASTRIC EMPTYING IMAGING STUDY,4274.0,4274.0,,,0
HCPCS,78267,HCHG NM H PYLORI BREATH TEST ACQ,244.5,244.5,,,0
HCPCS,78268,HCHG NM H PYLORI BREATH TEST ANALYSIS,2375.5,2375.5,,,0
HCPCS,78278,HCHG NM GI BLEEDING SCAN,3945.0,3945.0,,,0
HCPCS,78290,HCHG NM BOWEL (MECKELS) SCAN,4328.0,4328.0,,,0
HCPCS,78291,HCHG NM LEVEEN SHUNT PATENCY,5141.0,5141.0,,,0
HCPCS,78300,HCHG NM BONE SCAN SINGLE AREA,2432.0,2432.0,,,0
HCPCS,78305,HCHG NM BONE SCAN MULTIPLE AREAS,3347.0,3347.0,,,0
HCPCS,78306,HCHG NM BONE SCAN WHOLE BODY,4342.0,4342.0,,,0
HCPCS,78315,HCHG NM BONE SCAN THREE PHASE,4874.0,4874.0,,,0
HCPCS,78428,HCHG NM CARDIAC (L-R) SHUNT DETECTION,3516.0,3516.0,,,0
HCPCS,78429,HCHG PET MYOCRD IMG METAB EVAL 1 STUDY CNCRNT W/CT,6919.0,6919.0,,,0
HCPCS,78445,HCHG NM VASCULAR FLOW NONCARDIAC,3538.0,3538.0,,,0
HCPCS,78451,HCHG NM MYOCARDIAL PERFUSION SPECT SINGLE ACQ,7176.0,7176.0,,,0
HCPCS,78452,HCHG NM MYOCARDIAL PERFUSION SPECT MULTI ACQ,9698.0,9698.0,,,0
HCPCS,78453,HCHG NM MYOCARDIAL PERFUSION SINGLE ACQ,5394.0,5394.0,,,0
HCPCS,78454,HCHG NM MYOCARDIAL PERFUSION MULTIPLE ACQ,7173.0,7173.0,,,0
HCPCS,78456,HCHG NM VENOUS THROMBOSIS ACUTE,6267.0,6267.0,,,0
HCPCS,78458,HCHG NM VENOG BILATERAL,4141.0,4141.0,,,0
HCPCS,78459,HCHG PET MYOCRD IMG METAB EVAL SINGLE STUDY,6263.0,6263.0,,,0
HCPCS,78466,HCHG NM HEART MYOCARDIAL INFARCTION SCAN,3319.0,3319.0,,,0
HCPCS,78469,HCHG NM HEART MYOCARDIAL INFARCTION SCAN W SPECT,4795.0,4795.0,,,0
HCPCS,78472,HCHG NM HEART GATED WALL MOTION (MUGA) SINGLE ACQ,3159.0,3159.0,,,0
HCPCS,78473,HCHG NM HEART GATED WALL MOTION (MUGA) MULTIPLE ACQ,3674.0,3674.0,,,0
HCPCS,78494,HCHG NM HEART GATED WALL MOTION (MUGA) SPECT,3537.0,3537.0,,,0
HCPCS,78579,HCHG NM LUNG VENTILATION IMAGE,2310.0,2310.0,,,0
HCPCS,78580,HCHG NM LUNG PERFUSION IMAGING,3215.0,3215.0,,,0
HCPCS,78582,HCHG NM LUNG VENT&PERFUS IMAGE,4562.0,4562.0,,,0
HCPCS,78597,HCHG NM LUNG PERFUSION DIFFERL,2153.0,2153.0,,,0
HCPCS,78598,HCHG NM LUNG PERF&VENT DIFFERL,4083.0,4083.0,,,0
HCPCS,78601,HCHG NM BRAIN SCAN LTD W FLOW,3561.0,3561.0,,,0
HCPCS,78605,HCHG NM BRAIN SCAN COMPLETE,3704.0,3704.0,,,0
HCPCS,78606,HCHG NM BRAIN SCAN COMPLETE W FLOW,6332.0,6332.0,,,0
HCPCS,78608,HCHG PET BRAIN METABOLIC INITL,8792.0,8792.0,,,0
HCPCS,78608,HCHG PET BRAIN METABOLIC SUBSQ,8792.0,8792.0,,,0
HCPCS,78608,HCHG PET BRAIN METBLC EVAL,8792.0,8792.0,,,0
HCPCS,78609,HCHG PS BRAIN PERF EVAL,2228.0,2228.0,,,0
HCPCS,78610,HCHG NM BRAIN FLOW ONLY,3603.0,3603.0,,,0
HCPCS,78630,HCHG NM CISTERNOG,2044.0,2044.0,,,0
HCPCS,78645,HCHG NM CSF SHUNT EVAL,2102.0,2102.0,,,0
HCPCS,78650,HCHG NM CSF LEAKAGE DETECT,5626.0,5626.0,,,0
HCPCS,78700,HCHG NM RENAL SINGLE ACQ,3635.0,3635.0,,,0
HCPCS,78701,HCHG NM RENAL W FLOW,3153.0,3153.0,,,0
HCPCS,78707,HCHG NM RENOG SINGLE ACQ WO PHARM,4147.0,4147.0,,,0
HCPCS,78708,HCHG NM RENOG SINGLE ACQ W PHARM,4467.0,4467.0,,,0
HCPCS,78709,HCHG NM RENOG MULTIPLE ACQ W AND WO PHARM,6538.0,6538.0,,,0
HCPCS,78725,HCHG NM RENAL FUNCTION NO SCAN (GFR),1719.0,1719.0,,,0
HCPCS,78740,HCHG NM CYSTOG W VOIDING,3349.0,3349.0,,,0
HCPCS,78761,HCHG NM TESTICULAR W FLOW,2156.0,2156.0,,,0
HCPCS,78800,HCHG NM RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,2555.0,2555.0,,,0
HCPCS,78801,HCHG NM RP LOCTUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D,2716.0,2716.0,,,0
HCPCS,78802,HCHG NM RP LOCTUM PLNR WHOLE BODY SINGLE DAY IMAGING,6051.0,6051.0,,,0
HCPCS,78803,HCHG NM RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGIN,5048.0,5048.0,,,0
HCPCS,78804,HCHG NM RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGIN,5601.0,5601.0,,,0
HCPCS,78811,HCHG PET LIMITED AREA INITL,8170.0,8170.0,,,0
HCPCS,78811,HCHG PET TUMOR LIMITED AREA,8170.0,8170.0,,,0
HCPCS,78812,HCHG PET SKULL TO THIGH,11271.0,11271.0,,,0
HCPCS,78812,HCHG PET SKULL-MID THIGH INITL,11271.0,11271.0,,,0
HCPCS,78812,HCHG PET SKULL-MID THIGH SUBSQ,11271.0,11271.0,,,0
HCPCS,78813,HCHG PET TUMOR FULL BODY,12931.0,12931.0,,,0
HCPCS,78813,Pet image full body,,,4278.0,9251.0,10
HCPCS,78814,HCHG PET W/CT ATT ANAT LOC LTD,9867.0,9867.0,,,0
HCPCS,78814,HCHG PET/CT LTD INITL,9867.0,9867.0,,,0
HCPCS,78814,HCHG PET/CT LTD SUBSQ,9867.0,9867.0,,,0
HCPCS,78815,HCHG PET W/CT ATT SKLL TO THGH,10792.0,10792.0,,,0
HCPCS,78815,HCHG PET/CT SKULL-THGH INITL,10792.0,10792.0,,,0
HCPCS,78815,HCHG PET/CT SKULL-THGH SUBSQ,10792.0,10792.0,,,0
HCPCS,78815,Pet image w/ct skull-thigh,,,8629.0,8629.0,1
HCPCS,78816,HCHG PET W/CT WHOLE BODY,10739.0,10739.0,,,0
HCPCS,78816,HCHG PET/CT WHOLE BODY INITL,10739.0,10739.0,,,0
HCPCS,78816,HCHG PET/CT WHOLE BODY SUBSQ,10739.0,10739.0,,,0
HCPCS,78816,Pet image w/ct full body,,,9373.0,9373.0,1
HCPCS,78830,HCHG NM RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMG,6242.0,6242.0,,,0
HCPCS,78831,HCHG NM RP LOCLZ TUM SPECT 2AREA 1D IMG/1 AR IMG>2+D,3885.0,3885.0,,,0
HCPCS,78832,HCHG NM RP LOCL TUM SPECT CT 2AR 1D IMG/1 AR IMG>2+D,8841.0,8841.0,,,0
HCPCS,78835,HCHG NM RP QUANTIFICATION MEAS SINGLE AREA,1395.0,1395.0,,,0
HCPCS,79005,HCHG NM THERAPY ORAL ADMIN,2289.0,2289.0,,,0
HCPCS,79101,HCHG NM THERAPY IV ADMIN,1822.0,1822.0,,,0
HCPCS,79200,HCHG NM THERAPY INTRACAVITARY ADMIN,2010.0,2010.0,,,0
HCPCS,79403,HCHG NM THERAPY MONOCLONAL AB IV INFUSION,2710.0,2710.0,,,0
HCPCS,79445,HCHG NM RO INTRA-ART RPHARM RX,2193.0,2193.0,,,0
HCPCS,80047,HCHG POCT BSC MTBLC PNL INZD CA,446.0,446.0,,,0
HCPCS,80048,HCHG BASIC METABOLIC PANEL,346.5,346.5,,,0
HCPCS,80048,HCHG CORE BASIC METBLC PNL TOTAL CA,346.5,346.5,,,0
HCPCS,80050,HCHG CORE GENERAL HEALTH PNL,583.0,583.0,,,0
HCPCS,80050,HCHG GENERAL HEALTH PANEL,595.0,595.0,,,0
HCPCS,80051,HCHG CORE ELECTROLYTE PNL,210.0,210.0,,,0
HCPCS,80051,HCHG ELECTROLYTE PANEL,220.0,220.0,,,0
HCPCS,80051,HCHG POCT ELECTROLYTE PANEL,220.0,220.0,,,0
HCPCS,80053,HCHG COMPREHENSIVE METABOLIC PANEL,428.5,428.5,,,0
HCPCS,80053,HCHG CORE COMPR MET PNL,428.5,428.5,,,0
HCPCS,80055,HCHG CORE PRENATAL PNL,148.0,148.0,,,0
HCPCS,80055,HCHG PRENATAL PANEL,148.0,148.0,,,0
HCPCS,80061,HCHG CORE LIPID PNL,343.0,343.0,,,0
HCPCS,80061,HCHG LIPID PANEL,343.0,343.0,,,0
HCPCS,80069,HCHG CORE RENAL FUNCTION PNL,275.0,275.0,,,0
HCPCS,80069,HCHG RENAL FUNCTION PANEL,275.0,275.0,,,0
HCPCS,80074,HCHG CORE HEPATITIS PNL ACUTE,391.0,391.0,,,0
HCPCS,80076,HCHG CORE HEPATIC FUNCTION PNL,309.0,309.0,,,0
HCPCS,80076,HCHG HEPATIC FUNCTION PANEL,309.0,309.0,,,0
HCPCS,80081,HCHG CORE PRENATAL OBSTETRIC PANEL W/HIV,1009.0,1009.0,,,0
HCPCS,80081,HCHG PRENATAL OBSTETRIC PANEL W/HIV,1009.0,1009.0,,,0
HCPCS,80143,HCHG ACETAMINOPHEN,325.0,325.0,,,0
HCPCS,80143,HCHG CORE ACETAMINOPHEN,325.0,325.0,,,0
HCPCS,80150,HCHG AMIKACIN,405.0,405.0,,,0
HCPCS,80150,HCHG CORE AMIKACIN,405.0,405.0,,,0
HCPCS,80155,HCHG DRUG SCRN CAFFEINE,942.0,942.0,,,0
HCPCS,80156,HCHG CARBAMAZEPINE TOTAL,361.0,361.0,,,0
HCPCS,80156,HCHG CORE CARBAMAZEPINE TOTAL,361.0,361.0,,,0
HCPCS,80158,HCHG CORE CYCLOSPORINE,246.0,246.0,,,0
HCPCS,80158,HCHG CYCLOSPORINE,246.0,246.0,,,0
HCPCS,80162,HCHG CORE DIGOXIN TOTAL,361.0,361.0,,,0
HCPCS,80162,HCHG DIGOXIN TOTAL,361.0,361.0,,,0
HCPCS,80164,HCHG CORE VALPROIC ACID TOTAL,406.0,406.0,,,0
HCPCS,80164,HCHG VALPROIC ACID TOTAL,406.0,406.0,,,0
HCPCS,80170,HCHG CORE GENTAMICIN,425.0,425.0,,,0
HCPCS,80170,HCHG GENTAMICIN PEAK,425.0,425.0,,,0
HCPCS,80170,HCHG GENTAMICIN RANDOM,425.0,425.0,,,0
HCPCS,80170,HCHG GENTAMICIN TROUGH,425.0,425.0,,,0
HCPCS,80176,HCHG LIDOCAINE,395.0,395.0,,,0
HCPCS,80178,HCHG CORE LITHIUM,234.0,234.0,,,0
HCPCS,80178,HCHG LITHIUM,234.0,234.0,,,0
HCPCS,80179,HCHG CORE SALICYLATE,226.0,226.0,,,0
HCPCS,80179,HCHG SALICYLATE,226.0,226.0,,,0
HCPCS,80184,HCHG CORE PHENOBARBITAL,314.0,314.0,,,0
HCPCS,80184,HCHG PHENOBARBITAL,314.0,314.0,,,0
HCPCS,80185,HCHG CORE PHENYTOIN TOTAL,384.0,384.0,,,0
HCPCS,80185,HCHG PHENYTOIN TOTAL,384.0,384.0,,,0
HCPCS,80186,HCHG CORE PHENYTOIN FREE,488.0,488.0,,,0
HCPCS,80186,HCHG PHENYTOIN FREE,488.0,488.0,,,0
HCPCS,80194,HCHG QUINIDINE,306.0,306.0,,,0
HCPCS,80195,HCHG CORE SIROLIMUS,164.0,164.0,,,0
HCPCS,80195,HCHG SIROLIMUS,164.0,164.0,,,0
HCPCS,80197,HCHG CORE TACROLIMUS (FK506),152.0,152.0,,,0
HCPCS,80197,HCHG TACROLIMUS (FK506),152.0,152.0,,,0
HCPCS,80198,HCHG THEOPHYLLINE,286.0,286.0,,,0
HCPCS,80200,HCHG CORE TOBRAMYCIN TR,323.0,323.0,,,0
HCPCS,80200,HCHG TOBRAMYCIN PEAK,323.0,323.0,,,0
HCPCS,80200,HCHG TOBRAMYCIN RANDOM,323.0,323.0,,,0
HCPCS,80200,HCHG TOBRAMYCIN TROUGH,323.0,323.0,,,0
HCPCS,80202,HCHG CORE VANCOMYCIN,457.0,457.0,,,0
HCPCS,80202,HCHG CORE VANCOMYCIN TR,457.0,457.0,,,0
HCPCS,80202,HCHG VANCOMYCIN PEAK,457.0,457.0,,,0
HCPCS,80202,HCHG VANCOMYCIN RANDOM,457.0,457.0,,,0
HCPCS,80202,HCHG VANCOMYCIN TROUGH,457.0,457.0,,,0
HCPCS,80204,HCHG CORE METHOTREXATE,129.0,129.0,,,0
HCPCS,80204,HCHG METHOTREXATE,129.0,129.0,,,0
HCPCS,80299,HCHG CAFFEINE,255.0,255.0,,,0
HCPCS,80299,HCHG CORE LAB CAFFEINE,260.0,260.0,,,0
HCPCS,80307,HCHG ALCOHOLS URINE,781.0,781.0,,,0
HCPCS,80307,HCHG CORE ALCOHOLS URINE,781.0,781.0,,,0
HCPCS,80307,HCHG CORE DRUG SCREEN CLASS LIST A,781.0,781.0,,,0
HCPCS,80307,HCHG DRUG SCREEN CLASS LIST A,781.0,781.0,,,0
HCPCS,81001,HCHG CORE URNALYSIS AUTO W/ MICRO,133.0,133.0,,,0
HCPCS,81001,HCHG URINALYSIS AUTOMATED W/ MICROSCOPIC EXAM,133.0,133.0,,,0
HCPCS,81002,HCHG CORE URNALYSIS SGL ASSAY,47.0,47.0,,,0
HCPCS,81002,HCHG POCT URNALYSIS MAN W/O MICRO,47.0,47.0,,,0
HCPCS,81002,HCHG SPECIFIC GRAVITY URINE,49.0,49.0,,,0
HCPCS,81002,HCHG URINALYSIS MANUAL W/OUT MICROSCOPIC EXAM,47.0,47.0,,,0
HCPCS,81002,HCHG URINALYSIS SINGLE ASSAY,49.0,49.0,,,0
HCPCS,81003,HCHG CORE URNALYSIS AUTO W/O MICRO,102.0,102.0,,,0
HCPCS,81003,HCHG POCT URINALYSIS AUTO W/O MICRO,102.0,102.0,,,0
HCPCS,81003,HCHG URINALYSIS AUTOMATED W/OUT  MICROSCOPIC EXAM,102.0,102.0,,,0
HCPCS,81005,HCHG URINALYSIS QUALITATIVE OR SEMI QUANTITATIVE,83.0,83.0,,,0
HCPCS,81015,HCHG MICROSCOPIC EXAM URINE,102.0,102.0,,,0
HCPCS,81025,HCHG CORE PREGNANCY SCRN UR,190.0,190.0,,,0
HCPCS,81025,HCHG POCT PREGNANCY SCREEN URINE,190.0,190.0,,,0
HCPCS,81025,HCHG PREGNANCY SCREEN URINE,190.0,190.0,,,0
HCPCS,81220,HCHG CORE CFTR GENE COMMON VARIANTS,256.0,256.0,,,0
HCPCS,81240,HCHG CORE F2 GENE ANALYSIS 20210G>A,201.0,201.0,,,0
HCPCS,81241,HCHG CORE F5 GENE ANALYSIS LEIDEN,301.0,301.0,,,0
HCPCS,81291,HCHG CORE MTHFR GENE,477.0,477.0,,,0
HCPCS,81370,HCHG HLA I & II TYPING LR,2307.0,2307.0,,,0
HCPCS,81371,HCHG HLA I & II TYPE VERIFY LR,1537.0,1537.0,,,0
HCPCS,81372,HCHG HLA I TYPING COMPLETE LR,1164.0,1164.0,,,0
HCPCS,81373,HCHG HLA I TYPING 1 LOCUS LR,373.0,373.0,,,0
HCPCS,81374,HCHG HLA I TYPING 1 ANTIGEN LR,328.0,328.0,,,0
HCPCS,81375,HCHG HLA II TYPING AG EQUIV LR,1053.0,1053.0,,,0
HCPCS,81376,HCHG HLA II TYPING 1 LOCUS LR,382.0,382.0,,,0
HCPCS,81377,HCHG HLA II TYPE 1 AG EQUIV LR,329.0,329.0,,,0
HCPCS,81513,HCHG CORE NFCT DS BV RNA VAG FLU ALG,78.0,78.0,,,0
HCPCS,81515,HCHG CORE NFCT DS BV&VAGINITIS DNA ALG,581.0,581.0,,,0
HCPCS,81515,HCHG NFCT DS BV&VAGINITIS DNA ALG,581.0,581.0,,,0
HCPCS,82009,HCHG CORE KETONES QL,158.0,158.0,,,0
HCPCS,82009,HCHG KETONES QUALITATIVE,158.0,158.0,,,0
HCPCS,82010,HCHG CORE KETONES QUANTITATIVE,245.0,245.0,,,0
HCPCS,82010,HCHG KETONES QUANTITATIVE,245.0,245.0,,,0
HCPCS,82040,HCHG ALBUMIN,103.0,103.0,,,0
HCPCS,82040,HCHG CORE ALBUMIN SERUM/PLASMA/BLD,103.0,103.0,,,0
HCPCS,82042,HCHG ALBUMIN OTHER SOURCE QN EA,132.0,132.0,,,0
HCPCS,82042,HCHG CORE ALBUMIN OTHER SOURCE QN EA,132.0,132.0,,,0
HCPCS,82043,HCHG CORE MICROALBUMIN UR 24HR,113.0,113.0,,,0
HCPCS,82043,HCHG CORE MICROALBUMIN UR RAN,113.0,113.0,,,0
HCPCS,82043,HCHG MICROALBUMIN URINE 24HR,109.0,109.0,,,0
HCPCS,82043,HCHG MICROALBUMIN URINE RANDOM,113.0,113.0,,,0
HCPCS,82077,HCHG ALCOHOLS BLOOD,271.0,271.0,,,0
HCPCS,82077,HCHG CORE ALCOHOLS BLOOD,271.0,271.0,,,0
HCPCS,82103,HCHG CORE ALPH 1 ANTITRYPSN,111.0,111.0,,,0
HCPCS,82104,HCHG ALPHA 1 ANTITRYPSIN PHENOTYPE,100.0,100.0,,,0
HCPCS,82105,HCHG AFP TUMOR MARKER,170.0,170.0,,,0
HCPCS,82105,HCHG CORE AFP TUMOR MARKER,176.0,176.0,,,0
HCPCS,82140,HCHG AMMONIA,411.0,411.0,,,0
HCPCS,82140,HCHG CORE AMMONIA,411.0,411.0,,,0
HCPCS,82150,HCHG AMYLASE,220.0,220.0,,,0
HCPCS,82150,HCHG AMYLASE FLUID,220.0,220.0,,,0
HCPCS,82150,HCHG AMYLASE URINE RANDOM,220.0,220.0,,,0
HCPCS,82150,HCHG AMYLASE URINE TIMED,220.0,220.0,,,0
HCPCS,82150,HCHG CORE AMYLASE,220.0,220.0,,,0
HCPCS,82150,HCHG CORE AMYLASE FLD,220.0,220.0,,,0
HCPCS,82150,HCHG CORE AMYLASE UR RAN,220.0,220.0,,,0
HCPCS,82172,HCHG CORE APOLIPOPROTEIN A1,224.0,224.0,,,0
HCPCS,82172,HCHG CORE APOLIPOPROTEIN B,224.0,224.0,,,0
HCPCS,82232,HCHG BETA2 MICROGLOBULIN,182.0,182.0,,,0
HCPCS,82232,HCHG CORE BETA2 MICROGLOBULIN,182.0,182.0,,,0
HCPCS,82247,HCHG BILIRUBIN NEONATAL,127.0,127.0,,,0
HCPCS,82247,HCHG BILIRUBIN TOTAL,127.0,127.0,,,0
HCPCS,82247,HCHG CORE BILIRUBIN TOTAL,123.0,123.0,,,0
HCPCS,82248,HCHG BILIRUBIN DIRECT,145.0,145.0,,,0
HCPCS,82248,HCHG CORE BILIRUBIN DIRECT,145.0,145.0,,,0
HCPCS,82270,HCHG CORE OCCLT BLD STL QL MULT SPC,96.0,96.0,,,0
HCPCS,82270,HCHG OCCULT BLOOD FECES MULTIPLE SPECIMENS SCREENING,96.0,96.0,,,0
HCPCS,82270,HCHG POCT OCCULT BLOOD STOOL QUALITATIVE  MULT SPEC DX,96.0,96.0,,,0
HCPCS,82271,HCHG OCCULT BLOOD QUALITATIVE,120.0,120.0,,,0
HCPCS,82272,HCHG OCC BLD 1-3 SPC NO NPLSM,120.0,120.0,,,0
HCPCS,82272,HCHG POCT OCCULT BLD 1-3 SPC NO NPLSM,66.0,66.0,,,0
HCPCS,82274,HCHG CORE ASSY TST BLD FCL,121.0,121.0,,,0
HCPCS,82274,HCHG TEST BLOOD FECAL ASSAY,121.0,121.0,,,0
HCPCS,82306,HCHG CORE VITAMIN D 25HYDROXY,277.0,277.0,,,0
HCPCS,82306,HCHG VITAMIN D 25HYDROXY,277.0,277.0,,,0
HCPCS,82310,HCHG CALCIUM,112.0,112.0,,,0
HCPCS,82310,HCHG CALCIUM FLUID,108.0,108.0,,,0
HCPCS,82310,HCHG CORE CALCIUM,112.0,112.0,,,0
HCPCS,82330,HCHG CALCIUM IONIZED,218.0,218.0,,,0
HCPCS,82330,HCHG CORE CALCIUM IONIZED,218.0,218.0,,,0
HCPCS,82330,HCHG POCT CALCIUM IONIZED,218.0,218.0,,,0
HCPCS,82340,HCHG CALCIUM URINE 24HR,123.0,123.0,,,0
HCPCS,82340,HCHG CALCIUM URINE RANDOM,123.0,123.0,,,0
HCPCS,82340,HCHG CORE CALCIUM UR 24HR,123.0,123.0,,,0
HCPCS,82340,HCHG CORE CALCIUM UR RAN,123.0,123.0,,,0
HCPCS,82370,HCHG CALCULUS ANALYSIS XRAY DIFFRACTION,99.0,99.0,,,0
HCPCS,82374,HCHG CO2 (BICARBONATE),103.0,103.0,,,0
HCPCS,82375,HCHG CARBON MONOXIDE,270.0,270.0,,,0
HCPCS,82375,HCHG POCT CARBOXYHEMOGLOBIN QN,247.0,247.0,,,0
HCPCS,82378,HCHG CEA,286.0,286.0,,,0
HCPCS,82378,HCHG CORE CEA,286.0,286.0,,,0
HCPCS,82390,HCHG CERULOPLASMIN,133.0,133.0,,,0
HCPCS,82390,HCHG CORE CERULOPLASMIN,133.0,133.0,,,0
HCPCS,82435,HCHG CHLORIDE,113.0,113.0,,,0
HCPCS,82435,HCHG POCT CHLORIDE,103.0,103.0,,,0
HCPCS,82436,HCHG CHLORIDE URINE,176.0,176.0,,,0
HCPCS,82436,HCHG CHLORIDE URINE 24HR,176.0,176.0,,,0
HCPCS,82436,HCHG CHLORIDE URINE TIMED,176.0,176.0,,,0
HCPCS,82436,HCHG CORE CHLORIDE URINE,176.0,176.0,,,0
HCPCS,82438,HCHG CHLORIDE FLUID,127.0,127.0,,,0
HCPCS,82438,HCHG CHLORIDE SWEAT,145.0,145.0,,,0
HCPCS,82438,HCHG CORE CHLORIDE FLD,127.0,127.0,,,0
HCPCS,82465,HCHG CHOLESTEROL,118.0,118.0,,,0
HCPCS,82465,HCHG CHOLESTEROL FLUID,119.0,119.0,,,0
HCPCS,82465,HCHG CORE CHOLESTEROL,119.0,119.0,,,0
HCPCS,82533,HCHG CORE CORTISOL (AM DRAW),283.0,283.0,,,0
HCPCS,82533,HCHG CORE CORTISOL (PM DRAW),283.0,283.0,,,0
HCPCS,82533,HCHG CORE CORTISOL TOTAL,283.0,283.0,,,0
HCPCS,82533,HCHG CORTISOL TOTAL,283.0,283.0,,,0
HCPCS,82550,HCHG CK TOTAL,243.0,243.0,,,0
HCPCS,82550,HCHG CORE CK TOTAL,243.0,243.0,,,0
HCPCS,82553,HCHG CK MB FRACTION,401.0,401.0,,,0
HCPCS,82565,HCHG CORE CREATININE,117.0,117.0,,,0
HCPCS,82565,HCHG CREATININE,117.0,117.0,,,0
HCPCS,82565,HCHG POCT CREATININE,117.0,117.0,,,0
HCPCS,82570,HCHG CORE CREATININE FLD,126.0,126.0,,,0
HCPCS,82570,HCHG CORE CREATININE UR 24HR,126.0,126.0,,,0
HCPCS,82570,HCHG CORE CREATININE UR RAN,126.0,126.0,,,0
HCPCS,82570,HCHG CREATININE FLUID,126.0,126.0,,,0
HCPCS,82570,HCHG CREATININE URINE RANDOM,126.0,126.0,,,0
HCPCS,82570,HCHG CREATININE URINE TIMED,126.0,126.0,,,0
HCPCS,82575,HCHG CORE CREATININE CLEARANCE,239.0,239.0,,,0
HCPCS,82575,HCHG CREATININE CLEARANCE,239.0,239.0,,,0
HCPCS,82585,HCHG CORE LAB CRYOFIBRINOGEN,186.0,186.0,,,0
HCPCS,82585,HCHG CRYOFIBRINOGEN,186.0,186.0,,,0
HCPCS,82595,HCHG CORE CRYOGLOB QL OR SEMI QL,120.0,120.0,,,0
HCPCS,82595,HCHG CRYOGLOBULIN QUALITATIVE OR SEMI QUANTITATIVE,118.0,118.0,,,0
HCPCS,82607,HCHG CORE VITAMIN B12,228.0,228.0,,,0
HCPCS,82607,HCHG VITAMIN B12,228.0,228.0,,,0
HCPCS,82627,HCHG CORE DHEA SULFATE,102.0,102.0,,,0
HCPCS,82627,HCHG DHEA SULFATE,90.5,90.5,,,0
HCPCS,82652,HCHG CORE VITAMIN D (125 DI HYDROX),208.0,208.0,,,0
HCPCS,82668,HCHG CORE ERYTHROPOIETIN,251.0,251.0,,,0
HCPCS,82670,HCHG ASSAY OF TOTAL ESTRADIOL,272.0,272.0,,,0
HCPCS,82705,HCHG CORE LAB FAT STOOL QUALITATIVE,109.0,109.0,,,0
HCPCS,82705,HCHG FAT STOOL QUALITATIVE,109.0,109.0,,,0
HCPCS,82710,HCHG FAT STOOL QUANTITATIVE,324.0,324.0,,,0
HCPCS,82728,HCHG CORE FERRITIN,256.0,256.0,,,0
HCPCS,82728,HCHG FERRITIN,256.0,256.0,,,0
HCPCS,82731,HCHG CORE FETAL FIBRONECTIN,1161.0,1161.0,,,0
HCPCS,82731,HCHG FETAL FIBRONECTIN,1161.0,1161.0,,,0
HCPCS,82746,HCHG CORE FOLATE,231.0,231.0,,,0
HCPCS,82746,HCHG FOLATE,231.0,231.0,,,0
HCPCS,82747,HCHG CORE FOLATE RBC,69.0,69.0,,,0
HCPCS,82747,HCHG FOLATE RBC,75.0,75.0,,,0
HCPCS,82784,HCHG CORE IGA,75.0,75.0,,,0
HCPCS,82784,HCHG CORE IGG,75.0,75.0,,,0
HCPCS,82784,HCHG CORE IGM,75.0,75.0,,,0
HCPCS,82784,HCHG IGA,75.0,75.0,,,0
HCPCS,82784,HCHG IGG,75.0,75.0,,,0
HCPCS,82784,HCHG IGM,75.0,75.0,,,0
HCPCS,82785,HCHG CORE IGE,185.0,185.0,,,0
HCPCS,82785,HCHG IGE,170.0,170.0,,,0
HCPCS,82800,HCHG PH BLOOD,309.0,309.0,,,0
HCPCS,82800,HCHG POCT PH BLD,309.0,309.0,,,0
HCPCS,82803,HCHG BLOOD GAS ARTERIAL,802.0,802.0,,,0
HCPCS,82803,HCHG BLOOD GAS CAPILLARY,802.0,802.0,,,0
HCPCS,82803,HCHG BLOOD GAS CORD ARTERIAL,802.0,802.0,,,0
HCPCS,82803,HCHG BLOOD GAS CORD VENOUS,802.0,802.0,,,0
HCPCS,82803,HCHG BLOOD GAS VENOUS,802.0,802.0,,,0
HCPCS,82803,HCHG POCT BLD GAS ART,802.0,802.0,,,0
HCPCS,82803,HCHG POCT BLOOD GAS ANALYSIS,802.0,802.0,,,0
HCPCS,82803,HCHG POCT BLOOD GAS CAPILLARY,802.0,802.0,,,0
HCPCS,82805,HCHG BLOOD GASES W/02 SATURATION,914.0,914.0,,,0
HCPCS,82810,HCHG O2 SATURATION ARTERIAL,296.0,296.0,,,0
HCPCS,82810,HCHG O2 SATURATION VENOUS,296.0,296.0,,,0
HCPCS,82810,HCHG POCT BLOOD GASES O2 SAT ONLY,296.0,296.0,,,0
HCPCS,82943,HCHG GLUCAGON,298.0,298.0,,,0
HCPCS,82945,HCHG CORE GLUCOSE CSF,180.0,180.0,,,0
HCPCS,82945,HCHG CORE GLUCOSE FLD,180.0,180.0,,,0
HCPCS,82945,HCHG CORE GLUCOSE UR 24HR,180.0,180.0,,,0
HCPCS,82945,HCHG CORE GLUCOSE UR RAN,166.0,166.0,,,0
HCPCS,82945,HCHG GLUCOSE CSF,180.0,180.0,,,0
HCPCS,82945,HCHG GLUCOSE FLUID,180.0,180.0,,,0
HCPCS,82945,HCHG GLUCOSE URINE QUANTITATIVE,180.0,180.0,,,0
HCPCS,82947,HCHG CORE GLUCOSE,114.0,114.0,,,0
HCPCS,82947,HCHG GLUCOSE,114.0,114.0,,,0
HCPCS,82947,HCHG POCT GLUCOSE,114.0,114.0,,,0
HCPCS,82948,HCHG POCT REAGENT STRIP BLOOD GLUCOSE,86.0,86.0,,,0
HCPCS,82950,HCHG CORE GLUCOSE 2HR PP,108.0,108.0,,,0
HCPCS,82950,HCHG CORE GLUCOSE PRENATAL 50 GRAM SCREEN,106.0,106.0,,,0
HCPCS,82950,HCHG GLUCOSE 1HR PP,108.0,108.0,,,0
HCPCS,82950,HCHG GLUCOSE 2HR PP,108.0,108.0,,,0
HCPCS,82950,HCHG GLUCOSE POST GLUCOSE DOSE,108.0,108.0,,,0
HCPCS,82950,HCHG GLUCOSE PRENATAL 50 GRAM SCREEN,108.0,108.0,,,0
HCPCS,82951,HCHG CORE GTT 1ST 3 SPEC INADDITION,189.0,189.0,,,0
HCPCS,82951,HCHG GLUCOSE TOLERANCE FIRST 3 SPECIMENS,189.0,189.0,,,0
HCPCS,82951,HCHG GTT 3HR 1ST 3 SPEC,189.0,189.0,,,0
HCPCS,82951,HCHG GTT 4HR 1ST 3 SPEC,189.0,189.0,,,0
HCPCS,82952,HCHG GLUCOSE TOLERANCE EA ADDL SPECIMEN,59.0,59.0,,,0
HCPCS,82977,HCHG CORE GGT,143.0,143.0,,,0
HCPCS,82977,HCHG GGT,176.0,176.0,,,0
HCPCS,83001,HCHG CORE FSH,248.0,248.0,,,0
HCPCS,83001,HCHG FSH,248.0,248.0,,,0
HCPCS,83002,HCHG CORE LH,327.0,327.0,,,0
HCPCS,83002,HCHG LH,327.0,327.0,,,0
HCPCS,83003,HCHG CORE GROWTH HORMONE,90.0,90.0,,,0
HCPCS,83010,HCHG CORE HAPTOGLOBIN QN,183.0,183.0,,,0
HCPCS,83010,HCHG HAPTOGLOBIN QUANTITATIVE,183.0,183.0,,,0
HCPCS,83013,HCHG CORE H PYLORI NON RAD BREATH,354.0,354.0,,,0
HCPCS,83014,HCHG CORE H PYLORI DRUG ADMINISTRATION,63.0,63.0,,,0
HCPCS,83033,HCHG CORE LAB HEMOGLOBIN F (APT),216.0,216.0,,,0
HCPCS,83033,HCHG HEMOGLOBIN F (APT),216.0,216.0,,,0
HCPCS,83036,HCHG CORE HEMOGLOBIN GLYCOSYLTD A1C,203.0,203.0,,,0
HCPCS,83036,HCHG HEMOGLOBIN GLYCOSYLATED A1C,203.0,203.0,,,0
HCPCS,83036,HCHG POCT HEMOGLOBIN GLYCOSYLATED A1C,203.0,203.0,,,0
HCPCS,83050,HCHG METHEMOGLOBIN QUANTITATIVE,156.0,156.0,,,0
HCPCS,83050,HCHG POCT METHEMOGLOBIN,156.0,156.0,,,0
HCPCS,83051,HCHG HEMOGLOBIN PLASMA,51.0,51.0,,,0
HCPCS,83090,HCHG CORE HOMOCYSTINE,318.0,318.0,,,0
HCPCS,83090,HCHG HOMOCYSTINE,318.0,318.0,,,0
HCPCS,83516,HCHG CORE GLIADIN AB IGA,65.0,65.0,,,0
HCPCS,83516,HCHG CORE GLIADIN AB IGG,65.0,65.0,,,0
HCPCS,83516,HCHG CORE IMMUNOASSAY NONINFECT,65.0,65.0,,,0
HCPCS,83516,HCHG CORE TRANSGLUTAMINASE AB IGA,65.0,65.0,,,0
HCPCS,83516,HCHG CORE TRANSGLUTAMINASE AB IGG,65.0,65.0,,,0
HCPCS,83519,HCHG CORE IGFBP 3,354.0,354.0,,,0
HCPCS,83519,HCHG IMMUNOASSAY ANALYTE QUANTITATIVE,347.0,347.0,,,0
HCPCS,83521,HCHG CORE IMMUNOGLOBULIN LIGHT CHAINS FREE EACH,102.0,102.0,,,0
HCPCS,83525,HCHG CORE INSULIN,210.0,210.0,,,0
HCPCS,83525,HCHG INSULIN,134.0,134.0,,,0
HCPCS,83540,HCHG CORE IRON,140.0,140.0,,,0
HCPCS,83540,HCHG IRON,140.0,140.0,,,0
HCPCS,83550,HCHG CORE IRON BINDING CAPACITY,143.0,143.0,,,0
HCPCS,83550,HCHG IRON BINDING CAPACITY,143.0,143.0,,,0
HCPCS,83605,HCHG CORE LACTIC ACID,333.0,333.0,,,0
HCPCS,83605,HCHG LACTIC ACID BLOOD,333.0,333.0,,,0
HCPCS,83605,HCHG LACTIC ACID CSF,333.0,333.0,,,0
HCPCS,83605,HCHG LACTIC ACID PLASMA,333.0,333.0,,,0
HCPCS,83605,HCHG POCT LACTIC ACID,333.0,333.0,,,0
HCPCS,83615,HCHG CORE LDH,157.0,157.0,,,0
HCPCS,83615,HCHG LDH,157.0,157.0,,,0
HCPCS,83615,HCHG LDH CSF,156.0,156.0,,,0
HCPCS,83615,HCHG LDH FLUID,157.0,157.0,,,0
HCPCS,83630,HCHG CORE LACTOFERRIN FECAL QUALITATIVE,226.0,226.0,,,0
HCPCS,83630,HCHG LACTOFERRIN FECAL QUALITATIVE,222.0,222.0,,,0
HCPCS,83664,HCHG LAMELLAR BODY DENSITY,534.0,534.0,,,0
HCPCS,83690,HCHG CORE LIPASE,266.0,266.0,,,0
HCPCS,83690,HCHG LIPASE,266.0,266.0,,,0
HCPCS,83695,HCHG ASSAY OF LIPOPROTEIN(A),101.0,101.0,,,0
HCPCS,83695,HCHG CORE ASSAY OF LIPOPROTEIN(A),103.0,103.0,,,0
HCPCS,83718,HCHG CORE HDL CHOLESTEROL,136.0,136.0,,,0
HCPCS,83718,HCHG HDL CHOLESTEROL,136.0,136.0,,,0
HCPCS,83721,HCHG CORE LDL DIRECT MSR,129.0,129.0,,,0
HCPCS,83721,HCHG LDL BY DIRECT MEASURE,129.0,129.0,,,0
HCPCS,83735,HCHG CORE MAGNESIUM,219.0,219.0,,,0
HCPCS,83735,HCHG CORE MAGNESIUM UR RAN,219.0,219.0,,,0
HCPCS,83735,HCHG CORE MAGNESIUM UR TIM,219.0,219.0,,,0
HCPCS,83735,HCHG MAGNESIUM,219.0,219.0,,,0
HCPCS,83735,HCHG MAGNESIUM URINE,219.0,219.0,,,0
HCPCS,83735,HCHG MAGNESIUM URINE TIMED,219.0,219.0,,,0
HCPCS,83789,HCHG CORE MASS SPECT/TANDEM QN NES,138.0,138.0,,,0
HCPCS,83789,HCHG MASS SPECT/TANDEM QUANTITATIVE NES,134.0,134.0,,,0
HCPCS,83880,HCHG CORE NATRIURETIC PEPTIDE,601.0,601.0,,,0
HCPCS,83880,HCHG NATRIURETIC PEPTIDE,601.0,601.0,,,0
HCPCS,83883,HCHG CORE PROTEIN NEPHELOMETRY,91.0,91.0,,,0
HCPCS,83930,HCHG CORE OSMOLALITY SER,212.0,212.0,,,0
HCPCS,83930,HCHG OSMOLALITY SERUM,212.0,212.0,,,0
HCPCS,83935,HCHG CORE OSMOLALITY UR,224.0,224.0,,,0
HCPCS,83935,HCHG OSMOLALITY URINE,224.0,224.0,,,0
HCPCS,83970,HCHG CORE PTH INTACT,400.0,400.0,,,0
HCPCS,83970,HCHG PTH,400.0,400.0,,,0
HCPCS,83986,HCHG CORE BODY FLUID PH NOS,123.0,123.0,,,0
HCPCS,83986,HCHG PH FLUID,123.0,123.0,,,0
HCPCS,84030,HCHG PHENYLALANINE BLOOD,212.0,212.0,,,0
HCPCS,84075,HCHG ALKALINE PHOSPHATASE,97.0,97.0,,,0
HCPCS,84075,HCHG CORE ALK PHOSPHATASE,94.0,94.0,,,0
HCPCS,84100,HCHG CORE PHOSPHORUS (PO4),142.0,142.0,,,0
HCPCS,84100,HCHG PHOSPHORUS (PO4),142.0,142.0,,,0
HCPCS,84105,HCHG CORE PHOSPHOROUS UR RAN,104.0,104.0,,,0
HCPCS,84105,HCHG CORE PHOSPHORUS UR TIM,104.0,104.0,,,0
HCPCS,84105,HCHG PHOSPHOROUS URINE RANDOM,104.0,104.0,,,0
HCPCS,84105,HCHG PHOSPHORUS URINE TIMED,104.0,104.0,,,0
HCPCS,84112,HCHG PAMG-IC/V QUAL EACH SPECIMEN,489.0,489.0,,,0
HCPCS,84112,HCHG POCT PAMG-1 C/V QUAL EACH SPECIMEN,489.0,489.0,,,0
HCPCS,84132,HCHG ASSAY OF SERUM POTASSIUM,155.0,155.0,,,0
HCPCS,84132,HCHG CORE POTASSIUM,155.0,155.0,,,0
HCPCS,84132,HCHG POCT POTASSIUM,155.0,155.0,,,0
HCPCS,84132,HCHG POTASSIUM,155.0,155.0,,,0
HCPCS,84132,HCHG POTASSIUM FLUID,155.0,155.0,,,0
HCPCS,84133,HCHG CORE POTASSIUM UR 24 HR,139.0,139.0,,,0
HCPCS,84133,HCHG CORE POTASSIUM UR RAN,142.0,142.0,,,0
HCPCS,84133,HCHG POTASSIUM URINE RANDOM,142.0,142.0,,,0
HCPCS,84133,HCHG POTASSIUM URINE TIMED,142.0,142.0,,,0
HCPCS,84134,HCHG CORE PREALBUMIN,230.0,230.0,,,0
HCPCS,84134,HCHG PREALBUMIN,230.0,230.0,,,0
HCPCS,84144,HCHG CORE PROGESTERONE,292.0,292.0,,,0
HCPCS,84144,HCHG PROGESTERONE,292.0,292.0,,,0
HCPCS,84145,HCHG CORE PROCALCITONIN (PCT),625.0,625.0,,,0
HCPCS,84145,HCHG PROCALCITONIN (PCT),625.0,625.0,,,0
HCPCS,84146,HCHG CORE PROLACTIN,262.0,262.0,,,0
HCPCS,84146,HCHG PROLACTIN,262.0,262.0,,,0
HCPCS,84153,HCHG CORE PSA TOTAL DIAGNOSTIC,242.0,242.0,,,0
HCPCS,84153,HCHG PSA TOTAL DIAGNOSTIC,242.0,242.0,,,0
HCPCS,84154,HCHG CORE PSA FREE,252.0,252.0,,,0
HCPCS,84154,HCHG PSA FREE,252.0,252.0,,,0
HCPCS,84155,HCHG CORE PROTEIN TOTAL BLOOD,56.0,56.0,,,0
HCPCS,84155,HCHG PROTEIN TOTAL BLOOD,56.0,56.0,,,0
HCPCS,84156,HCHG CORE PROTEIN UR QN 24 HR,117.0,117.0,,,0
HCPCS,84156,HCHG CORE PROTEIN UR QN RAN,117.0,117.0,,,0
HCPCS,84156,HCHG PROTEIN URINE QUANTITATIVE RANDOM,117.0,117.0,,,0
HCPCS,84156,HCHG PROTEIN URINE QUANTITATIVE TIMED,117.0,117.0,,,0
HCPCS,84157,HCHG CORE PROTEIN TOTAL CSF,233.0,233.0,,,0
HCPCS,84157,HCHG CORE PROTEIN TOTAL FLD,233.0,233.0,,,0
HCPCS,84157,HCHG PROTEIN TOTAL CSF,233.0,233.0,,,0
HCPCS,84157,HCHG PROTEIN TOTAL FLUID,233.0,233.0,,,0
HCPCS,84165,HCHG CORE PROTEIN ELECTRO SER,101.0,101.0,,,0
HCPCS,84165,HCHG PROTEIN ELECTROPHORESIS SERUM,67.0,67.0,,,0
HCPCS,84166,HCHG CORE PROTN ELECTRO UR,129.0,129.0,,,0
HCPCS,84166,HCHG PROTEIN ELECTROPHORETIC FRACTIONATION/QUANT,107.0,107.0,,,0
HCPCS,84233,HCHG RECEPTOR ASSAY ESTROGEN,659.0,659.0,,,0
HCPCS,84234,HCHG RECEPTOR ASSAY PROGESTERONE,349.0,349.0,,,0
HCPCS,84270,HCHG CORE SEX HORMONE BIND GLOB,184.0,184.0,,,0
HCPCS,84270,HCHG SEX HORMONE BINDING GLOBULIN,180.0,180.0,,,0
HCPCS,84295,HCHG CORE SODIUM,119.0,119.0,,,0
HCPCS,84295,HCHG POCT SODIUM,132.0,132.0,,,0
HCPCS,84295,HCHG SODIUM,132.0,132.0,,,0
HCPCS,84300,HCHG CORE SODIUM UR 24HR,171.0,171.0,,,0
HCPCS,84300,HCHG CORE SODIUM UR RAN,171.0,171.0,,,0
HCPCS,84300,HCHG SODIUM URINE RANDOM,171.0,171.0,,,0
HCPCS,84300,HCHG SODIUM URINE TIMED,171.0,171.0,,,0
HCPCS,84302,HCHG CORE SODIUM FLD,42.0,42.0,,,0
HCPCS,84302,HCHG SODIUM FLUID,42.0,42.0,,,0
HCPCS,84305,HCHG CORE IGF-1,161.0,161.0,,,0
HCPCS,84305,HCHG SOMATOMEDIN C,161.0,161.0,,,0
HCPCS,84315,HCHG SPECIFIC GRAVITY FLUID,53.0,53.0,,,0
HCPCS,84376,HCHG CORE SUGARS QUALITATIVE EACH SPECIMEN,109.0,109.0,,,0
HCPCS,84376,HCHG SUGARS QUALITATIVE EA SPECIMEN,113.0,113.0,,,0
HCPCS,84403,HCHG CORE TESTOSTERONE TOTAL,141.0,141.0,,,0
HCPCS,84403,HCHG TESTOSTERONE TOTAL,136.0,136.0,,,0
HCPCS,84432,HCHG CORE THYROGLOBULIN,166.0,166.0,,,0
HCPCS,84432,HCHG THYROGLOBULIN,166.0,166.0,,,0
HCPCS,84436,HCHG CORE THYROXINE (T4),123.0,123.0,,,0
HCPCS,84436,HCHG THYROXINE (T4),118.0,118.0,,,0
HCPCS,84439,HCHG CORE FREE T4,231.0,231.0,,,0
HCPCS,84439,HCHG FREE T4,231.0,231.0,,,0
HCPCS,84443,HCHG CORE TSH,313.0,313.0,,,0
HCPCS,84443,HCHG TSH,313.0,313.0,,,0
HCPCS,84450,HCHG AST (SGOT),114.0,114.0,,,0
HCPCS,84450,HCHG CORE AST (SGOT),114.0,114.0,,,0
HCPCS,84460,HCHG ALT (SGPT),113.0,113.0,,,0
HCPCS,84460,HCHG CORE ALT (SGPT),112.0,112.0,,,0
HCPCS,84466,HCHG CORE TRANSFERRIN,198.0,198.0,,,0
HCPCS,84466,HCHG TRANSFERRIN,198.0,198.0,,,0
HCPCS,84478,HCHG CORE TRIGLYCERIDE,162.0,162.0,,,0
HCPCS,84478,HCHG TRIGLYCERIDE,162.0,162.0,,,0
HCPCS,84478,HCHG TRIGLYCERIDE BODY FLUID,149.0,149.0,,,0
HCPCS,84479,HCHG CORE T3 UPTAKE,84.0,84.0,,,0
HCPCS,84479,HCHG T3 UPTAKE,84.0,84.0,,,0
HCPCS,84480,HCHG CORE T3 TOTAL,191.0,191.0,,,0
HCPCS,84480,HCHG T3 TOTAL,180.5,180.5,,,0
HCPCS,84481,HCHG CORE T3 FREE,226.0,226.0,,,0
HCPCS,84481,HCHG T3 FREE,226.0,226.0,,,0
HCPCS,84484,HCHG ASSAY OF TROPONIN QUANT,492.0,492.0,,,0
HCPCS,84484,HCHG CORE ASSAY OF TROPONIN QUANT,492.0,492.0,,,0
HCPCS,84520,HCHG CORE UREA NITROGEN QUANTITATIVE,106.0,106.0,,,0
HCPCS,84520,HCHG UREA NITROGEN FLUID,106.0,106.0,,,0
HCPCS,84520,HCHG UREA NITROGEN QUANTITATIVE,106.0,106.0,,,0
HCPCS,84540,HCHG CORE UREA NITROGEN URINE RANDOM,182.0,182.0,,,0
HCPCS,84540,HCHG CORE UREA NITROGEN URINE TIMED,182.0,182.0,,,0
HCPCS,84540,HCHG UREA NITROGEN URINE 24HR,182.0,182.0,,,0
HCPCS,84540,HCHG UREA NITROGEN URINE RANDOM,182.0,182.0,,,0
HCPCS,84540,HCHG UREA NITROGEN URINE TIMED,182.0,182.0,,,0
HCPCS,84545,HCHG CORE UREA CLEARANCE,54.0,54.0,,,0
HCPCS,84545,HCHG UREA CLEARANCE,54.0,54.0,,,0
HCPCS,84550,HCHG CORE URIC ACID,125.0,125.0,,,0
HCPCS,84550,HCHG URIC ACID,134.0,134.0,,,0
HCPCS,84560,HCHG CORE URIC ACID UR RAN,131.0,131.0,,,0
HCPCS,84560,HCHG URIC ACID FLUID,131.0,131.0,,,0
HCPCS,84560,HCHG URIC ACID URINE 24 HR,131.0,131.0,,,0
HCPCS,84560,HCHG URIC ACID URINE RANDOM,131.0,131.0,,,0
HCPCS,84560,HCHG URIC ACID URINE TIMED,131.0,131.0,,,0
HCPCS,84681,HCHG C PEPTIDE,138.0,138.0,,,0
HCPCS,84681,HCHG CORE C-PEPTIDE,162.0,162.0,,,0
HCPCS,84702,HCHG BETA HCG QUANTITATIVE,395.0,395.0,,,0
HCPCS,84702,HCHG CORE BETA HCG QUAN,395.0,395.0,,,0
HCPCS,84703,HCHG BETA HCG QUALITATIVE,296.0,296.0,,,0
HCPCS,84703,HCHG CORE PREGNANCY TEST SER QL,296.0,296.0,,,0
HCPCS,84703,HCHG PREGNANCY TEST SERUM QUALITATIVE,296.0,296.0,,,0
HCPCS,85002,HCHG BLEEDING TIME TEST,145.0,145.0,,,0
HCPCS,85002,HCHG PLATELET FUNCTION TEST,145.0,145.0,,,0
HCPCS,85007,HCHG BLOOD SMEAR EXAM W/ MANUAL DIFFERENTIAL,97.0,97.0,,,0
HCPCS,85007,HCHG CORE BLD SMR EXAM W MAN DIFF,97.0,97.0,,,0
HCPCS,85008,HCHG BLOOD SMEAR EXAM W/O MANUAL DIFFERENTIAL,64.0,64.0,,,0
HCPCS,85013,HCHG HEMATOCRIT SPUN,86.0,86.0,,,0
HCPCS,85014,HCHG CORE HEMATOCRIT,104.0,104.0,,,0
HCPCS,85014,HCHG HEMATOCRIT,104.0,104.0,,,0
HCPCS,85014,HCHG POCT HEMATOCRIT,104.0,104.0,,,0
HCPCS,85018,HCHG CORE HEMOGLOBIN,73.0,73.0,,,0
HCPCS,85018,HCHG HEMOGLOBIN,75.0,75.0,,,0
HCPCS,85018,HCHG POCT HEMOGLOBIN,74.0,74.0,,,0
HCPCS,85025,HCHG CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL,217.0,217.0,,,0
HCPCS,85025,HCHG CORE CBC AUTO W AUTO DIFF WBC,217.0,217.0,,,0
HCPCS,85025,HCHG POCT CBC AUTO W/  AUTOMATED DIFFERENTIAL WBC,213.5,213.5,,,0
HCPCS,85027,HCHG CBC AUTOMATED,189.0,189.0,,,0
HCPCS,85027,HCHG CORE CBC AUTO,189.0,189.0,,,0
HCPCS,85045,HCHG CORE RETICULOCYTE AUTO,118.0,118.0,,,0
HCPCS,85045,HCHG RETICULOCYTE AUTOMATED,126.0,126.0,,,0
HCPCS,85046,HCHG CORE RETICYTE/HGB CONCENTRATE,51.0,51.0,,,0
HCPCS,85048,HCHG WBC COUNT AUTOMATED,55.0,55.0,,,0
HCPCS,85049,HCHG CORE PLT CNT AUTO,148.0,148.0,,,0
HCPCS,85049,HCHG PLATELET COUNT AUTOMATED,148.0,148.0,,,0
HCPCS,85097,HCHG INTERPRETATION BONE MARROW SMEAR,672.0,672.0,,,0
HCPCS,85130,HCHG CORE FCTR XA AB CHROMGN,488.0,488.0,,,0
HCPCS,85130,HCHG FACTOR XA AB CHROMOGENIC,488.0,488.0,,,0
HCPCS,85210,HCHG CORE FCTR II,302.0,302.0,,,0
HCPCS,85220,HCHG CLOTTING FACTOR V LABILE FACTOR,324.0,324.0,,,0
HCPCS,85220,HCHG CORE FCTR V,334.0,334.0,,,0
HCPCS,85230,HCHG CORE FCTR VII,394.0,394.0,,,0
HCPCS,85240,HCHG CLOTTING FACTOR VIII 1 STAGE,130.0,130.0,,,0
HCPCS,85240,HCHG CORE FCTR VIII,143.0,143.0,,,0
HCPCS,85250,HCHG CLOTTING FACTOR IX,386.0,386.0,,,0
HCPCS,85250,HCHG CORE FCTR IX,394.0,394.0,,,0
HCPCS,85260,HCHG CORE FCTR X,447.0,447.0,,,0
HCPCS,85270,HCHG CLOTTING FACTOR XI,313.0,313.0,,,0
HCPCS,85270,HCHG CORE FCTR XI,322.0,322.0,,,0
HCPCS,85280,HCHG CORE FCTR XII,262.0,262.0,,,0
HCPCS,85291,HCHG CLOTTING FACTOR XIII SCREEN SOLUBILITY,345.0,345.0,,,0
HCPCS,85291,HCHG CORE LAB CLOTTING FACTOR XIII SCREEN SOLUBILITY,355.0,355.0,,,0
HCPCS,85300,HCHG ANTITHROMBIN III ACTIVITY,106.0,106.0,,,0
HCPCS,85300,HCHG CORE AT3 ACTIVITY,106.0,106.0,,,0
HCPCS,85301,HCHG CORE AT3 AG IMMUNOLOGIC,306.0,306.0,,,0
HCPCS,85303,HCHG CORE PROTEIN C ACTIVITY,111.0,111.0,,,0
HCPCS,85306,HCHG CORE PROTEIN S ACTIVITY,122.0,122.0,,,0
HCPCS,85306,HCHG CORE PROTEIN S FREE,122.0,122.0,,,0
HCPCS,85307,HCHG CORE PROTEIN C ACTIVATED,311.0,311.0,,,0
HCPCS,85335,HCHG FACTOR INHIBITOR TEST,405.0,405.0,,,0
HCPCS,85347,HCHG ACTIVATED CLOTTING TIME,230.0,230.0,,,0
HCPCS,85347,HCHG POCT ACTIVATED CLOTTING TIME,230.0,230.0,,,0
HCPCS,85362,HCHG FIBRIN DEGRADATION PROD AGGLTNTN SLIDE SEMIQUAN,208.0,208.0,,,0
HCPCS,85378,HCHG CORE D DIMER SEMI QN/QL,367.0,367.0,,,0
HCPCS,85378,HCHG D DIMER SEMI QUANTITATIVE/QUALITATIVE,367.0,367.0,,,0
HCPCS,85379,HCHG CORE D DIMER QN,370.0,370.0,,,0
HCPCS,85379,HCHG D DIMER QUANTITATIVE,370.0,370.0,,,0
HCPCS,85384,HCHG CORE FIBRINOGEN,320.0,320.0,,,0
HCPCS,85384,HCHG FIBRINOGEN ACTIVITY,320.0,320.0,,,0
HCPCS,85390,HCHG FIBRINOLYSINS/COAG SCREEN INTERP&REPORT,101.0,101.0,,,0
HCPCS,85396,HCHG CLOTTING ASSAY WHOLE BLOOD,463.0,463.0,,,0
HCPCS,85396,HCHG CORE CLOTTING ASSAY WHOLE BLOOD,463.0,463.0,,,0
HCPCS,85441,HCHG CORE LAB HEINZ BODIES DIRECT,138.0,138.0,,,0
HCPCS,85441,HCHG HEINZ BODY STAIN,138.0,138.0,,,0
HCPCS,85460,HCHG CORE FETAL RBC SMR (K B),181.0,181.0,,,0
HCPCS,85460,HCHG FETAL RBC SMEAR (KLEIHAUER BETKE),181.0,181.0,,,0
HCPCS,85461,HCHG FETAL SCREEN ROSETTE,248.0,248.0,,,0
HCPCS,85475,HCHG CORE HEMOLYSIN ACID (HAM'S),234.0,234.0,,,0
HCPCS,85475,HCHG HEMOLYSIN ACID (HAM'S),234.0,234.0,,,0
HCPCS,85520,HCHG CORE HEPARIN ASSAY,478.0,478.0,,,0
HCPCS,85520,HCHG HEPARIN ASSAY,478.0,478.0,,,0
HCPCS,85520,HCHG POCT HEPARIN ASSAY,398.0,398.0,,,0
HCPCS,85525,HCHG CORE HEPARIN NEUTRALIZATION,23.0,23.0,,,0
HCPCS,85525,HCHG HEPARIN NEUTRALIZATION,23.0,23.0,,,0
HCPCS,85536,HCHG IRON STAIN BLOOD,131.0,131.0,,,0
HCPCS,85540,HCHG CORE LEUKOCYTE ALKALINE PHOSHATASE W COUNT,14.0,14.0,,,0
HCPCS,85540,HCHG LEUKOCYTE ALKALINE PHOSHATASE (LAP),14.0,14.0,,,0
HCPCS,85576,HCHG CORE PLT AGGREGATION EA AGENT,292.0,292.0,,,0
HCPCS,85576,HCHG PLATELET AGGREGATION EA AGENT,292.0,292.0,,,0
HCPCS,85610,HCHG CORE PROTHROMBIN TIME,158.0,158.0,,,0
HCPCS,85610,HCHG POCT PROTHROMBIN TIME,158.0,158.0,,,0
HCPCS,85610,HCHG PROTHROMBIN TIME,158.0,158.0,,,0
HCPCS,85613,HCHG CORE RUSSELL VIPER VENOM DILU,68.0,68.0,,,0
HCPCS,85635,HCHG REPTILASE TEST,227.0,227.0,,,0
HCPCS,85651,HCHG SEDIMENTATION RATE MANUAL,151.5,151.5,,,0
HCPCS,85652,HCHG CORE SEDIMENTATION RATE AUTO,101.0,101.0,,,0
HCPCS,85652,HCHG SEDIMENTATION RATE AUTOMATED,101.0,101.0,,,0
HCPCS,85660,HCHG CORE SICKLE CL SCRN,46.0,46.0,,,0
HCPCS,85660,HCHG SICKLE CELL SCREEN,46.0,46.0,,,0
HCPCS,85670,HCHG CORE THROMBIN TIME,58.0,58.0,,,0
HCPCS,85670,HCHG THROMBIN TIME,58.0,58.0,,,0
HCPCS,85730,HCHG CORE PTT PLAS OR WB,236.0,236.0,,,0
HCPCS,85730,HCHG PTT PLASMA OR WHOLE BLOOD,236.0,236.0,,,0
HCPCS,85810,HCHG CORE VISCOSITY,193.0,193.0,,,0
HCPCS,86003,HCHG CORE ALLERGEN SPECIFIC IGE QN/SEMI CRUDE EXT,78.0,78.0,,,0
HCPCS,86008,HCHG CORE ALLERGEN SPEC IGE RECOMB EA,57.0,57.0,,,0
HCPCS,86038,HCHG ANA (ANTI NUCLEAR AB),98.0,98.0,,,0
HCPCS,86038,HCHG CORE ANA (ANTI NUCLEAR AB),101.5,101.5,,,0
HCPCS,86039,HCHG CORE ANA TTR,218.0,218.0,,,0
HCPCS,86060,HCHG CORE ASO TTR,50.0,50.0,,,0
HCPCS,86063,HCHG ASO SCREEN,104.0,104.0,,,0
HCPCS,86063,HCHG CORE ASO SCRN,104.0,104.0,,,0
HCPCS,86078,HCHG TRANSFUSION REACTION INVESTIGATION,541.0,541.0,,,0
HCPCS,86140,HCHG C REACTIVE PROTEIN,177.0,177.0,,,0
HCPCS,86140,HCHG CORE C REACTIVE PROTEIN,177.0,177.0,,,0
HCPCS,86141,HCHG C-REACTIVE PROTEIN HIGH SENSITIVITY,227.0,227.0,,,0
HCPCS,86141,HCHG CORE C REACTIVE PROTEIN HS,227.0,227.0,,,0
HCPCS,86146,HCHG CORE BETA 2 GLYCOPROTEIN I AB EA,128.0,128.0,,,0
HCPCS,86147,HCHG CARDIOLIPIN IGA AB,22.0,22.0,,,0
HCPCS,86147,HCHG CARDIOLIPIN IGG AB,22.0,22.0,,,0
HCPCS,86147,HCHG CARDIOLIPIN IGM AB,22.0,22.0,,,0
HCPCS,86147,HCHG CORE CARDIOLIPIN IGA AB,26.0,26.0,,,0
HCPCS,86147,HCHG CORE CARDIOLIPIN IGG AB,26.0,26.0,,,0
HCPCS,86147,HCHG CORE CARDIOLIPIN IGM AB,26.0,26.0,,,0
HCPCS,86157,HCHG COLD AGGLUTININ TITER,176.0,176.0,,,0
HCPCS,86160,HCHG COMPLEMENT,94.0,94.0,,,0
HCPCS,86160,HCHG CORE COMPLEMENT C3,94.0,94.0,,,0
HCPCS,86160,HCHG CORE COMPLEMENT C4,94.0,94.0,,,0
HCPCS,86200,HCHG CORE CYCLIC CITRULLINATED PEPTIDE ANTIBODY,53.0,53.0,,,0
HCPCS,86225,HCHG CORE ANTI DNA DBL STRAND,116.0,116.0,,,0
HCPCS,86231,HCHG CORE ENDOMYSIAL ANTIBODY EA IMMUNOGLOBULIN CLAS,26.0,26.0,,,0
HCPCS,86235,HCHG CORE ANTI RNP AB,139.0,139.0,,,0
HCPCS,86235,HCHG CORE CENTROMERE AB,139.0,139.0,,,0
HCPCS,86235,HCHG CORE ENA AB,139.0,139.0,,,0
HCPCS,86235,HCHG CORE HISTONE AB,139.0,139.0,,,0
HCPCS,86235,HCHG CORE JO 1 AB,139.0,139.0,,,0
HCPCS,86235,HCHG CORE LA (SS B) AB,139.0,139.0,,,0
HCPCS,86235,HCHG CORE RO(SS A) AB,139.0,139.0,,,0
HCPCS,86235,HCHG CORE SCL 70 AB,139.0,139.0,,,0
HCPCS,86235,HCHG CORE SMITH AB,139.0,139.0,,,0
HCPCS,86255,HCHG CORE FLUORESCENT AB SCRN EA AB,197.0,197.0,,,0
HCPCS,86256,HCHG CORE FLUOR AB SCRN EA AB TTR,101.0,101.0,,,0
HCPCS,86258,HCHG CORE GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS,69.0,69.0,,,0
HCPCS,86258,HCHG GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS,69.0,69.0,,,0
HCPCS,86300,HCHG CA 15 3 (27.29),192.0,192.0,,,0
HCPCS,86300,HCHG CORE CA 15 3 (27.29),192.0,192.0,,,0
HCPCS,86301,HCHG CA 19 9,224.0,224.0,,,0
HCPCS,86301,HCHG CORE CA 19 9,224.0,224.0,,,0
HCPCS,86304,HCHG CA 125,256.0,256.0,,,0
HCPCS,86304,HCHG CORE CA 125,273.0,273.0,,,0
HCPCS,86308,HCHG CORE MONO TEST SCRN,217.0,217.0,,,0
HCPCS,86308,HCHG HETEROPHILE AB SCREEN,217.0,217.0,,,0
HCPCS,86308,HCHG MONO TEST SCREEN,217.0,217.0,,,0
HCPCS,86317,HCHG CORE IA INFECTIONS AGT AB QUANT,112.0,112.0,,,0
HCPCS,86317,HCHG IA INFECTIONS AGT AB QUANT,112.0,112.0,,,0
HCPCS,86334,HCHG CORE IMMUNOFIX SER,185.0,185.0,,,0
HCPCS,86334,HCHG IMMUNOFIXATION SERUM,159.0,159.0,,,0
HCPCS,86335,HCHG CORE IMMUNOFIX UR,308.0,308.0,,,0
HCPCS,86335,HCHG IMMUNOFIXATION URINE,296.0,296.0,,,0
HCPCS,86359,HCHG CORE T LMPH TOT CNT,192.0,192.0,,,0
HCPCS,86360,HCHG CORE T LYMPH CD4/8 CNT&RATIO,336.0,336.0,,,0
HCPCS,86361,HCHG CORE T LYMPH CD4 (HELPER) CNT,842.0,842.0,,,0
HCPCS,86364,HCHG CORE TISS TRNSGLUTMINSE EA IMMUNOGLOBULIN CLASS,68.0,68.0,,,0
HCPCS,86364,HCHG TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS,68.0,68.0,,,0
HCPCS,86376,HCHG CORE MICROSOMAL AB,110.0,110.0,,,0
HCPCS,86403,HCHG CORE CRYPTOCOCCAL AG AGGL,234.0,234.0,,,0
HCPCS,86403,HCHG PARTICLE AGGLUT ANTBDY SCRN,234.0,234.0,,,0
HCPCS,86406,HCHG CORE CRYPTOCOCCAL AG TTR AGGL,112.0,112.0,,,0
HCPCS,86430,HCHG RHEUMATOID FACTOR QUALITATIVE,126.0,126.0,,,0
HCPCS,86431,HCHG CORE RHEUMATOID FCTR QN,79.0,79.0,,,0
HCPCS,86431,HCHG RHEUMATOID FACTOR QUANTITATIVE,78.0,78.0,,,0
HCPCS,86480,HCHG CORE TB TST CELL IMM MS,832.0,832.0,,,0
HCPCS,86481,HCHG CORE TB AG RESPONSE T-CELL SUSP,500.0,500.0,,,0
HCPCS,86580,HCHG PPD SKIN TEST,71.0,71.0,,,0
HCPCS,86592,HCHG CORE RPR NON-TREPNML AB QL,101.0,101.0,,,0
HCPCS,86592,HCHG RPR NON-TREPNML AB QL,101.0,101.0,,,0
HCPCS,86592,HCHG RPR QUALITATIVE,101.0,101.0,,,0
HCPCS,86592,HCHG VDRL CSF QUALITATIVE,101.0,101.0,,,0
HCPCS,86593,HCHG CORE RPR TTR NON-TREPNML AB QN,18.0,18.0,,,0
HCPCS,86593,HCHG RPR TITER,19.0,19.0,,,0
HCPCS,86635,HCHG CORE COCCIDIOIDES AB,119.0,119.0,,,0
HCPCS,86644,HCHG CMV AB,120.0,120.0,,,0
HCPCS,86644,HCHG CORE CMV AB IGG,120.0,120.0,,,0
HCPCS,86645,HCHG CMV AB IGM,378.0,378.0,,,0
HCPCS,86645,HCHG CORE CMV AB IGM,386.0,386.0,,,0
HCPCS,86663,HCHG CORE EBV AB EARLY AG,166.0,166.0,,,0
HCPCS,86664,HCHG CORE EBV AB EBNA,115.0,115.0,,,0
HCPCS,86665,HCHG CORE EBV VCA AB IGG,95.0,95.0,,,0
HCPCS,86665,HCHG CORE EBV VCA AB IGM,95.0,95.0,,,0
HCPCS,86674,HCHG CORE GIARDIA AB,215.0,215.0,,,0
HCPCS,86674,HCHG GIARDIA AB,211.0,211.0,,,0
HCPCS,86677,HCHG CORE H PYLORI AB IGG,147.0,147.0,,,0
HCPCS,86677,HCHG CORE H PYLORI AB TOTAL,147.0,147.0,,,0
HCPCS,86677,HCHG H PYLORI AB,147.0,147.0,,,0
HCPCS,86695,HCHG CORE HSV 1 AB IGG TYPE SPECIFIC,25.0,25.0,,,0
HCPCS,86696,HCHG CORE HSV 2 AB IGG TYPE SPECIFIC,24.0,24.0,,,0
HCPCS,86701,HCHG CORE HIV 1 AB,93.0,93.0,,,0
HCPCS,86702,HCHG CORE HIV 2 AB,108.0,108.0,,,0
HCPCS,86703,HCHG CORE HIV 1/HIV 2 AB,172.0,172.0,,,0
HCPCS,86703,HCHG HIV 1/HIV 2 AB,172.0,172.0,,,0
HCPCS,86704,HCHG CORE HB CORE AB TOTAL,171.0,171.0,,,0
HCPCS,86704,HCHG HEPATITIS B CORE AB TOTAL,171.0,171.0,,,0
HCPCS,86705,HCHG CORE HB CORE AB IGM,157.0,157.0,,,0
HCPCS,86705,HCHG HEPATITIS B CORE AB IGM,157.0,157.0,,,0
HCPCS,86706,HCHG CORE HBS AB,139.0,139.0,,,0
HCPCS,86706,HCHG HEPATITIS B SURFACE AB,137.0,137.0,,,0
HCPCS,86708,HCHG CORE HAV AB TOTAL,132.0,132.0,,,0
HCPCS,86708,HCHG HEPATITIS A AB TOTAL,132.0,132.0,,,0
HCPCS,86709,HCHG CORE HAV AB IGM,154.0,154.0,,,0
HCPCS,86709,HCHG HEPATITIS A AB IGM,154.0,154.0,,,0
HCPCS,86735,HCHG CORE MUMPS AB IGG,140.0,140.0,,,0
HCPCS,86762,HCHG CORE RUBELLA AB,123.0,123.0,,,0
HCPCS,86762,HCHG RUBELLA AB,123.0,123.0,,,0
HCPCS,86765,HCHG CORE RUBEOLA AB IGG,105.0,105.0,,,0
HCPCS,86765,HCHG CORE RUBEOLA AB IGM,105.0,105.0,,,0
HCPCS,86765,HCHG RUBEOLA AB,90.0,90.0,,,0
HCPCS,86769,HCHG CORE SARS-COV-2 COVID-19 AB IGG,81.0,81.0,,,0
HCPCS,86769,HCHG CORE SARS-COV-2 COVID-19 AB TOTAL,81.0,81.0,,,0
HCPCS,86769,HCHG SARS-COV-2 COVID-19 AB IGG,81.0,81.0,,,0
HCPCS,86769,HCHG SARS-COV-2 COVID-19 AB TOTAL,81.0,81.0,,,0
HCPCS,86777,HCHG CORE TOXOPLAS AB,119.0,119.0,,,0
HCPCS,86777,HCHG TOXOPLASMA AB IGG,119.0,119.0,,,0
HCPCS,86778,HCHG CORE TOXOPLAS AB IGM,287.0,287.0,,,0
HCPCS,86778,HCHG TOXOPLASMA AB IGM,287.0,287.0,,,0
HCPCS,86780,HCHG CORE TREPONEMA PALLIDUM,106.0,106.0,,,0
HCPCS,86780,HCHG MHA TREPONEMA PALLIDUM,104.0,104.0,,,0
HCPCS,86787,HCHG CORE VZV AB,111.0,111.0,,,0
HCPCS,86787,HCHG CORE VZV AB IGG,115.0,115.0,,,0
HCPCS,86787,HCHG CORE VZV AB IGM,111.0,111.0,,,0
HCPCS,86787,HCHG VARICELLA ZOSTER AB,106.0,106.0,,,0
HCPCS,86800,HCHG CORE THYROGLOBULIN AB,115.0,115.0,,,0
HCPCS,86800,HCHG THYROGLOBULIN AB,115.0,115.0,,,0
HCPCS,86803,HCHG CORE HCV AB,182.0,182.0,,,0
HCPCS,86803,HCHG HEPATITIS C  AB,182.0,182.0,,,0
HCPCS,86813,HCHG HLA TYPE A B OR C MULTIPLE ANTIGENS,1484.0,1484.0,,,0
HCPCS,86817,HCHG HLA TYPE DR/DQ MULTIPLE ANTIGENS,1616.0,1616.0,,,0
HCPCS,86850,HCHG ANTIBODY SCREEN,255.0,255.0,,,0
HCPCS,86850,HCHG ANTIBODY SCREEN 2,242.0,242.0,,,0
HCPCS,86850,HCHG ANTIBODY SCREEN 3,242.0,242.0,,,0
HCPCS,86850,HCHG CORE AB SCRN,255.0,255.0,,,0
HCPCS,86860,HCHG ANTIBODY ELUTION,236.0,236.0,,,0
HCPCS,86870,HCHG AB ID 2,642.0,642.0,,,0
HCPCS,86870,HCHG ANTIBODY ID,669.0,669.0,,,0
HCPCS,86870,HCHG CORE AB ID,669.0,669.0,,,0
HCPCS,86880,HCHG COOMBS DIRECT C3,156.0,156.0,,,0
HCPCS,86880,HCHG COOMBS DIRECT IGG,156.0,156.0,,,0
HCPCS,86880,HCHG COOMBS DIRECT POLYSPECIFIC,156.0,156.0,,,0
HCPCS,86880,HCHG CORE COOMBS DIRECT POLY,156.0,156.0,,,0
HCPCS,86886,HCHG ANTIBODY TITER,112.0,112.0,,,0
HCPCS,86886,HCHG CORE COOMBS INDIRECT EACH AB TITER,112.0,112.0,,,0
HCPCS,86890,HCHG AUTOLOGOUS PROCESSING AND STORAGE,336.0,336.0,,,0
HCPCS,86900,HCHG ABO RECHECK UNIT/PATIENT,142.5,142.5,,,0
HCPCS,86900,HCHG ABO TYPE SEROLOGIC,154.0,154.0,,,0
HCPCS,86900,HCHG BLOOD TYPING ABO,154.0,154.0,,,0
HCPCS,86900,HCHG CORE ABO TYP SEROLOGIC,154.0,154.0,,,0
HCPCS,86901,HCHG CORE RH TYPE SEROLOGIC,161.0,161.0,,,0
HCPCS,86901,HCHG RH TYPE SEROLOGIC,161.0,161.0,,,0
HCPCS,86902,HCHG BLOOD TYPE SEROLOGIC ANTGN DONOR EA,159.0,159.0,,,0
HCPCS,86902,HCHG CORE BLOOD TYPE SEROLOGIC ANTGN DONOR EA,156.0,156.0,,,0
HCPCS,86904,HCHG BLD TYPE SEROLOGIC SCRN ANTGN EA UNIT PT SERUM,55.0,55.0,,,0
HCPCS,86905,HCHG RBC ANTIGENS EA,193.0,193.0,,,0
HCPCS,86906,HCHG RH PHENOTYPE COMPLETE,86.0,86.0,,,0
HCPCS,86920,HCHG COMPATIBILITY TEST IMMEDIATE SPIN,576.0,576.0,,,0
HCPCS,86921,HCHG COMPATIBILITY TEST INCUBATED,589.0,589.0,,,0
HCPCS,86922,HCHG COMPATIBILITY TEST ANTIGLOBULIN,598.0,598.0,,,0
HCPCS,86923,HCHG CROSS MATCH ELECTRONIC,554.0,554.0,,,0
HCPCS,86927,HCHG THAWING PRODUCT PER UNIT,362.0,362.0,,,0
HCPCS,86930,HCHG FROZEN BLOOD FREEZING W PREP,788.0,788.0,,,0
HCPCS,86931,HCHG THAWING FRZN BLD,355.0,355.0,,,0
HCPCS,86945,HCHG IRRADIATION BLOOD PRODUCT EA,71.0,71.0,,,0
HCPCS,86965,HCHG POOLING BLOOD PRODUCTS,171.0,171.0,,,0
HCPCS,86970,HCHG RBC PRETREATMENT CHEMICAL AGENT/DRUG,110.0,110.0,,,0
HCPCS,86971,HCHG RBC PRETREATMENT ENZYME,153.0,153.0,,,0
HCPCS,86977,HCHG SER PRETREATMENT INCUBATION W/ INHIBITORS,435.0,435.0,,,0
HCPCS,86978,HCHG SERUM PRETREATMENT ABSORPTION EA,137.0,137.0,,,0
HCPCS,86985,HCHG SPLITTING BLOOD PRODUCTS EA UNIT,525.0,525.0,,,0
HCPCS,87015,HCHG CORE SPEC CONCENTRATION,133.0,133.0,,,0
HCPCS,87015,HCHG SPECIMEN CONCENTRATION,133.0,133.0,,,0
HCPCS,87040,HCHG CORE CULT BLD BACTERIA,469.0,469.0,,,0
HCPCS,87040,HCHG CULTURE BLOOD,469.0,469.0,,,0
HCPCS,87045,HCHG CORE CULT STL SALM & SHIG,247.0,247.0,,,0
HCPCS,87045,HCHG CULTURE STOOL SALMONELLA AND  SHIGELLA,223.0,223.0,,,0
HCPCS,87046,HCHG CORE CULT STL CAMPHYLOB EA PLT,147.0,147.0,,,0
HCPCS,87046,HCHG CORE CULT STL E COLI EA PLATE,147.0,147.0,,,0
HCPCS,87046,HCHG CORE CULT STL OTHER EA PLATE,147.0,147.0,,,0
HCPCS,87046,HCHG CULTURE STOOL CAMPHYLOBACTER EA PLATE,147.0,147.0,,,0
HCPCS,87046,HCHG CULTURE STOOL OTHER EA PLATE,147.0,147.0,,,0
HCPCS,87070,HCHG CORE CULT CSF,372.5,372.5,,,0
HCPCS,87070,HCHG CORE CULT FLUID,372.5,372.5,,,0
HCPCS,87070,HCHG CORE CULT GENITAL,372.5,372.5,,,0
HCPCS,87070,HCHG CORE CULT NASAL,372.5,372.5,,,0
HCPCS,87070,HCHG CORE CULT OTHER SOURCE AEROBIC,372.5,372.5,,,0
HCPCS,87070,HCHG CORE CULTURE CATHETER TIP,372.5,372.5,,,0
HCPCS,87070,HCHG CORE CULTURE EAR,372.5,372.5,,,0
HCPCS,87070,HCHG CORE CULTURE EYE,372.5,372.5,,,0
HCPCS,87070,HCHG CULT NASAL,364.5,364.5,,,0
HCPCS,87070,HCHG CULT OTHER SOURCE AEROBIC,364.5,364.5,,,0
HCPCS,87070,HCHG CULT OTHER SOURCE AEROBIC NOT UR/BLD/STL,364.5,364.5,,,0
HCPCS,87070,HCHG CULT WOUND,306.0,306.0,,,0
HCPCS,87070,HCHG CULTURE BIOPSY,306.0,306.0,,,0
HCPCS,87070,HCHG CULTURE CATHETER TIP,344.5,344.5,,,0
HCPCS,87070,HCHG CULTURE CSF,364.5,364.5,,,0
HCPCS,87070,HCHG CULTURE EAR,364.5,364.5,,,0
HCPCS,87070,HCHG CULTURE EYE,364.5,364.5,,,0
HCPCS,87070,HCHG CULTURE FLUID,364.5,364.5,,,0
HCPCS,87070,HCHG CULTURE GENITAL,364.5,364.5,,,0
HCPCS,87070,HCHG CULTURE LEGIONELLA,364.5,364.5,,,0
HCPCS,87070,HCHG CULTURE SPUTUM,364.5,364.5,,,0
HCPCS,87073,HCHG CULTURE QUANTITATIVE ANAEROBIC,223.0,223.0,,,0
HCPCS,87075,HCHG CORE CULT BACT ANAEROBIC,269.0,269.0,,,0
HCPCS,87075,HCHG CULTURE BACTERIAL ANAEROBIC NOT BLOOD,269.0,269.0,,,0
HCPCS,87075,HCHG CULTURE FLUID (ANAEROBIC),269.0,269.0,,,0
HCPCS,87075,HCHG CULTURE TISSUE (ANAEROBIC),269.0,269.0,,,0
HCPCS,87076,HCHG CORE CULT BACT ANAEROBIC ID,189.0,189.0,,,0
HCPCS,87076,HCHG CULTURE BACTERIAL ANAEROBIC ID,189.0,189.0,,,0
HCPCS,87077,HCHG CORE CULT BACT AEROBIC ID,185.0,185.0,,,0
HCPCS,87077,HCHG CULTURE BACTERIAL AEROBIC ID,185.0,185.0,,,0
HCPCS,87081,HCHG CORE CULT BETA STREP A ONLY,208.0,208.0,,,0
HCPCS,87081,HCHG CORE CULT GC SCRN,208.0,208.0,,,0
HCPCS,87081,HCHG CORE CULT GRP B STREP SCRN,212.0,212.0,,,0
HCPCS,87081,HCHG CORE CULT LEGIONELLA,212.0,212.0,,,0
HCPCS,87081,HCHG CORE CULT MRSA SCRN,212.0,212.0,,,0
HCPCS,87081,HCHG CORE CULT SCRN B PERTUSSUS,208.0,208.0,,,0
HCPCS,87081,HCHG CORE CULT SCRN ONLY,212.0,212.0,,,0
HCPCS,87081,HCHG CORE CULT VRE SCRN,208.0,208.0,,,0
HCPCS,87081,HCHG CORE CULTURE CRE SCREEN,212.0,212.0,,,0
HCPCS,87081,HCHG CULTURE BETA STREP A ONLY,208.0,208.0,,,0
HCPCS,87081,HCHG CULTURE GC SCREEN,208.0,208.0,,,0
HCPCS,87081,HCHG CULTURE GROUP B STREP SCREEN,208.0,208.0,,,0
HCPCS,87081,HCHG CULTURE LEGIONELLA SCREEN,205.5,205.5,,,0
HCPCS,87081,HCHG CULTURE MRSA SCREEN,208.0,208.0,,,0
HCPCS,87081,HCHG CULTURE SCREEN BORDETELLA PERTUSSUS,204.5,204.5,,,0
HCPCS,87081,HCHG CULTURE SCREEN ONLY,205.5,205.5,,,0
HCPCS,87081,HCHG CULTURE VRE SCREEN,208.0,208.0,,,0
HCPCS,87086,HCHG CORE CULT UR COLONY CT ONLY,237.0,237.0,,,0
HCPCS,87086,HCHG CULTURE URINE COLONY COUNT ONLY,237.0,237.0,,,0
HCPCS,87088,HCHG CORE CULT UR ID EACH ISOLATE,160.0,160.0,,,0
HCPCS,87088,HCHG CULTURE URINE ID EA ISOLATE,160.0,160.0,,,0
HCPCS,87101,HCHG CORE CULT FUNG SKIN HAIR NAIL,63.0,63.0,,,0
HCPCS,87101,HCHG CULTURE FUNGUS SKIN HAIR NAIL,63.0,63.0,,,0
HCPCS,87102,HCHG CORE CULT FUNGUS OTHER SOURCE,175.0,175.0,,,0
HCPCS,87102,HCHG CULTURE FUNGUS OTHER SOURCE,175.0,175.0,,,0
HCPCS,87103,HCHG CORE CULT FUNGUS BLD,311.0,311.0,,,0
HCPCS,87103,HCHG CULTURE FUNGUS BLOOD,311.0,311.0,,,0
HCPCS,87106,HCHG CORE CULT FUNGUS YEAST ID,222.0,222.0,,,0
HCPCS,87106,HCHG CULTURE FUNGUS YEAST ID,222.0,222.0,,,0
HCPCS,87107,HCHG CORE CULT FUNGUS MOLD ID,155.0,155.0,,,0
HCPCS,87107,HCHG CULTURE FUNGUS MOLD ID,155.0,155.0,,,0
HCPCS,87109,HCHG MYCOPLASMA CULTURE,275.0,275.0,,,0
HCPCS,87116,HCHG AFB CULTURE,168.0,168.0,,,0
HCPCS,87116,HCHG AFB CULTURE (SPUTUM),168.0,168.0,,,0
HCPCS,87116,HCHG AFB CULTURE BLOOD,168.0,168.0,,,0
HCPCS,87116,HCHG CORE AFB CULT,168.0,168.0,,,0
HCPCS,87116,HCHG CORE AFB CULT BLD,168.0,168.0,,,0
HCPCS,87118,HCHG AFB ISOLATE ID,107.0,107.0,,,0
HCPCS,87118,HCHG CORE AFB ISOLATE ID,107.0,107.0,,,0
HCPCS,87140,HCHG CORE CULT TYP FLUROSCENT,103.0,103.0,,,0
HCPCS,87140,HCHG CULTURE TYPING FLUORESCENT,101.0,101.0,,,0
HCPCS,87147,HCHG CORE CULT TYP AGGL,118.0,118.0,,,0
HCPCS,87147,HCHG CULTURE TYPING IMMUNOLOGIC,118.0,118.0,,,0
HCPCS,87149,HCHG CORE CULT TYP BY NA PRB DPT EA,226.0,226.0,,,0
HCPCS,87149,HCHG CULTURE TYPING BY NUCLEIC ACID PROBE,226.0,226.0,,,0
HCPCS,87150,HCHG CORE CULT TYPE DNA/RNA AMPLIFIED PROBE EA,268.0,268.0,,,0
HCPCS,87150,HCHG CULT TYPE DNA/RNA AMPLIFIED PROBE EA,268.0,268.0,,,0
HCPCS,87154,HCHG CORE CUL TYP ID BLD PTHGN MULTIPLEX 6+ TRGT,835.0,835.0,,,0
HCPCS,87154,HCHG CUL TYP ID BLD PTHGN MULTIPLEX 6+ TRGT,835.0,835.0,,,0
HCPCS,87168,HCHG MACRO EXAM ARTHROPOD,216.0,216.0,,,0
HCPCS,87169,HCHG CORE MACROSCOPIC EXAM PARASITE,94.0,94.0,,,0
HCPCS,87169,HCHG MACRO EXAM PARASITE,94.0,94.0,,,0
HCPCS,87172,HCHG CORE PINWORM CELLOPHANE TAPE,58.0,58.0,,,0
HCPCS,87172,HCHG PINWORM CELLOPHANE TAPE,58.0,58.0,,,0
HCPCS,87176,HCHG CORE TISSUE HOMOGENIZATION,132.0,132.0,,,0
HCPCS,87176,HCHG TISSUE HOMOGENIZATION,132.0,132.0,,,0
HCPCS,87177,HCHG CORE OVA & PARASITES W CONC,46.0,46.0,,,0
HCPCS,87177,HCHG OVA AND PARASITES W/ CONCENTRATION,46.0,46.0,,,0
HCPCS,87181,HCHG CORE SUSCEPT BY E TEST,105.0,105.0,,,0
HCPCS,87181,HCHG SUSCEPTIBILITY BY E TEST,105.0,105.0,,,0
HCPCS,87184,HCHG CORE SUSCEPT KB DISK <=12,107.0,107.0,,,0
HCPCS,87184,HCHG SUSCEPTIBILITY KB DISK LESS THAN OR EQUAL TO 12 AGENTS,107.0,107.0,,,0
HCPCS,87185,HCHG CORE SUSCEPT BY ENZYME DETECT,72.0,72.0,,,0
HCPCS,87185,HCHG SUSCEPTIBILITY BY ENZYME DETECT,72.0,72.0,,,0
HCPCS,87186,HCHG CORE SUSCEPT MIC PER PLATE,301.0,301.0,,,0
HCPCS,87186,HCHG SUSCEPTIBILITY BY MIC,301.0,301.0,,,0
HCPCS,87188,HCHG CORE SENSITIVITY MACROBROTH EA AGNT,75.0,75.0,,,0
HCPCS,87197,HCHG SER BACTERICIDAL TTR,320.0,320.0,,,0
HCPCS,87205,HCHG CORE SMR GRAM STAIN,154.0,154.0,,,0
HCPCS,87205,HCHG CORE STL FOR WBC'S,154.0,154.0,,,0
HCPCS,87205,HCHG SMEAR GRAM STAIN,154.0,154.0,,,0
HCPCS,87205,HCHG SMEAR WRIGHT STAIN,154.0,154.0,,,0
HCPCS,87205,HCHG STOOL FOR WBC'S,154.0,154.0,,,0
HCPCS,87206,HCHG CORE SMR AFB STAIN,157.0,157.0,,,0
HCPCS,87206,HCHG CORE SMR CRYPTOSPORIDIUM,142.0,142.0,,,0
HCPCS,87206,HCHG CORE SMR FLUOR + OR ACID FAST,157.0,157.0,,,0
HCPCS,87206,HCHG SMEAR AFB STAIN,157.0,157.0,,,0
HCPCS,87206,HCHG SMEAR CRYPTOSPORIDIUM,142.0,142.0,,,0
HCPCS,87206,HCHG SMEAR FLUORESCENT AND/OR ACID FAST,157.0,157.0,,,0
HCPCS,87207,HCHG CORE SMR INCL BODIES PARASITE,215.0,215.0,,,0
HCPCS,87207,HCHG SMEAR INCLUSION BODIES PARASITE,215.0,215.0,,,0
HCPCS,87207,HCHG SMEAR MALARIA,215.0,215.0,,,0
HCPCS,87209,HCHG CORE SMEAR COMPLEX STAIN OVA AND PARASITE,22.0,22.0,,,0
HCPCS,87209,HCHG SMEAR COMPLEX STAIN OVA AND PARASITE,22.0,22.0,,,0
HCPCS,87210,HCHG CORE SMR WET MOUNT,243.0,243.0,,,0
HCPCS,87210,HCHG INDIA INK PREP CSF,243.0,243.0,,,0
HCPCS,87210,HCHG SMEAR WET MOUNT,243.0,243.0,,,0
HCPCS,87220,HCHG CORE KOH PREP SKIN HAIR NAIL,186.0,186.0,,,0
HCPCS,87220,HCHG KOH PREP SKIN HAIR NAIL,186.0,186.0,,,0
HCPCS,87252,HCHG CORE CULT HERPES,225.0,225.0,,,0
HCPCS,87252,HCHG CORE CULT VIRAL,225.0,225.0,,,0
HCPCS,87252,HCHG CULTURE CMV,207.0,207.0,,,0
HCPCS,87252,HCHG CULTURE HERPES,217.0,217.0,,,0
HCPCS,87252,HCHG CULTURE V ZOSTER,207.0,207.0,,,0
HCPCS,87252,HCHG CULTURE VIRAL,207.0,207.0,,,0
HCPCS,87255,HCHG CULTURE HSV,708.0,708.0,,,0
HCPCS,87260,HCHG ADENOVIRUS DFA,184.0,184.0,,,0
HCPCS,87260,HCHG CORE ADENOVIRUS DFA,184.0,184.0,,,0
HCPCS,87273,HCHG CORE HSV TYP 2 DFA,57.0,57.0,,,0
HCPCS,87273,HCHG HSV TYPE 2 DFA,57.0,57.0,,,0
HCPCS,87274,HCHG CORE HSV TYPE 1 DFA,27.0,27.0,,,0
HCPCS,87274,HCHG HSV TYPE 1 DFA,27.0,27.0,,,0
HCPCS,87275,HCHG CORE INFLUENZA B DFA,160.0,160.0,,,0
HCPCS,87275,HCHG INFLUENZA B DFA,160.0,160.0,,,0
HCPCS,87276,HCHG CORE INFLUENZA A DFA,146.0,146.0,,,0
HCPCS,87276,HCHG INFLUENZA A DFA,146.0,146.0,,,0
HCPCS,87278,HCHG CORE LEGIONELLA PNEUMOPHILA DFA,260.0,260.0,,,0
HCPCS,87278,HCHG LEGIONELLA PNEUMOPHILA DFA,260.0,260.0,,,0
HCPCS,87279,HCHG CORE PARAINFLUENZA AG BY DFA,118.0,118.0,,,0
HCPCS,87279,HCHG PARAINFLUENZA DFA,118.0,118.0,,,0
HCPCS,87280,HCHG RSV DFA,246.0,246.0,,,0
HCPCS,87290,HCHG CORE VARICELLA ZOSTER DFA,280.0,280.0,,,0
HCPCS,87290,HCHG VARICELLA ZOSTER DFA,272.0,272.0,,,0
HCPCS,87300,HCHG CORE INFECT AGENT POLYVAL DFA,156.0,156.0,,,0
HCPCS,87300,HCHG INFECT AGENT POLYVAL DFA,156.0,156.0,,,0
HCPCS,87324,HCHG C DIFFICILE TOXIN EIA,194.0,194.0,,,0
HCPCS,87324,HCHG CORE C DIFFICILE TOXIN EIA,194.0,194.0,,,0
HCPCS,87328,HCHG CORE CRYPTOSPORIDIUM AG EIA,124.0,124.0,,,0
HCPCS,87328,HCHG CRYPTOSPORIDIUM AG EIA,122.0,122.0,,,0
HCPCS,87329,HCHG CORE GIARDIA AG EIA,161.0,161.0,,,0
HCPCS,87329,HCHG GIARDIA AG EIA,161.0,161.0,,,0
HCPCS,87338,HCHG CORE H PYLORI STL EIA,225.0,225.0,,,0
HCPCS,87339,HCHG H PYLORI (NOT STOOL) EIA,89.0,89.0,,,0
HCPCS,87340,HCHG CORE HBS AG,147.0,147.0,,,0
HCPCS,87340,HCHG HEPATITIS B SURFACE AG,150.0,150.0,,,0
HCPCS,87341,HCHG CORE HBS AG NEUTRALIZATION,43.0,43.0,,,0
HCPCS,87341,HCHG HEPATITIS B SURFACE AG NEUTRALIZATION,43.0,43.0,,,0
HCPCS,87389,HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB,316.0,316.0,,,0
HCPCS,87389,HCHG HIV-1 AG W/HIV-1/HIV-2 AB,316.0,316.0,,,0
HCPCS,87400,HCHG CORE INFLUENZA AG A OR B EACH,162.0,162.0,,,0
HCPCS,87400,HCHG INFLUENZA AG A OR B EA,162.0,162.0,,,0
HCPCS,87420,HCHG CORE RSV AG EIA,357.0,357.0,,,0
HCPCS,87420,HCHG RSV AG EIA,357.0,357.0,,,0
HCPCS,87425,HCHG CORE ROTAVIRUS AG EIA,226.0,226.0,,,0
HCPCS,87425,HCHG ROTAVIRUS AG EIA,211.0,211.0,,,0
HCPCS,87427,HCHG CORE SHIGA LIKE TOXIN EIA,129.0,129.0,,,0
HCPCS,87427,HCHG SHIGA LIKE TOXIN EIA,107.0,107.0,,,0
HCPCS,87430,HCHG CORE STREP GRP A AG EIA,228.0,228.0,,,0
HCPCS,87430,HCHG STREP GROUP A AG EIA,228.0,228.0,,,0
HCPCS,87449,HCHG AG DETECT EIA MULT STEP,185.0,185.0,,,0
HCPCS,87449,HCHG CORE AG DETECT EIA MULT STEP,185.0,185.0,,,0
HCPCS,87481,HCHG CORE CANDIDA SPECIES AMPLIFIED PROBE,115.0,115.0,,,0
HCPCS,87483,HCHG CNS DNA AMP PROBE TYPE 12-25,1424.0,1424.0,,,0
HCPCS,87483,HCHG CORE CNS DNA AMP PROBE TYPE 12-25,1424.0,1424.0,,,0
HCPCS,87486,"HCHG CHLAMYDIA PNEUMONIAE, PCR",306.0,306.0,,,0
HCPCS,87486,HCHG CORE CHLAMYD PNEUMO AMP PRB,306.0,306.0,,,0
HCPCS,87491,HCHG CHLAMYDIA TRACH AMPLIFIED PROBE,275.0,275.0,,,0
HCPCS,87491,HCHG CORE CHLAMYDIA TRACH AMP PRB,261.0,261.0,,,0
HCPCS,87493,HCHG C DIFF AMPLIFIED PROBE,421.0,421.0,,,0
HCPCS,87493,HCHG CORE C DIFF AMPLIFIED PROBE,421.0,421.0,,,0
HCPCS,87494,HCHG CORE CHLMY TRCH&NEISRA GONOR MULT,595.0,595.0,,,0
HCPCS,87497,HCHG CORE IADNA CYTOMEGALOVIRUS QUANTIFICATION,380.0,380.0,,,0
HCPCS,87498,HCHG CORE IADNA ENTEROVIRUS AMP PROBE W/WO RVRS TRNS,403.0,403.0,,,0
HCPCS,87502,HCHG CORE INFLUENZA DNA AMP PROBE,640.0,640.0,,,0
HCPCS,87502,HCHG INFLUENZA DNA AMP PROBE,640.0,640.0,,,0
HCPCS,87503,HCHG CORE INFLUENZA DNA AMP PROB >2 TYPES,83.0,83.0,,,0
HCPCS,87503,HCHG INFLUENZA DNA AMP PROB >2 TYPES,81.0,81.0,,,0
HCPCS,87507,HCHG CORE DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,1008.0,1008.0,,,0
HCPCS,87507,HCHG DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,845.0,845.0,,,0
HCPCS,87510,HCHG GARDNERELLA VAGINALIS DNA DIRECT PROBE,479.0,479.0,,,0
HCPCS,87517,HCHG CORE HEPATITIS B VIRUS BDNA QUANTITATIVE,388.0,388.0,,,0
HCPCS,87522,HCHG CORE HEP C VIRUS PCR QN W/WO REV TRNS,432.0,432.0,,,0
HCPCS,87529,HCHG CORE HSV AMPLIFIED PROBE,258.0,258.0,,,0
HCPCS,87529,HCHG HSV AMPLIFIED PROBE,258.0,258.0,,,0
HCPCS,87536,HCHG CORE HIV 1 RNA QN PCR W/WO REVRS TRNSCRP,572.0,572.0,,,0
HCPCS,87556,HCHG CORE MYCOBACTERIA TB AMPLIFIED PROBE,425.0,425.0,,,0
HCPCS,87556,HCHG MYCOBACTERIA TB AMPLIFIED PROBE,425.0,425.0,,,0
HCPCS,87561,HCHG CORE M AVIUM AMP PRB,652.0,652.0,,,0
HCPCS,87561,HCHG M AVIUM AMP PRB,633.0,633.0,,,0
HCPCS,87581,HCHG CORE MYCOPLASMA AMPLIFIED NA PROBE,323.0,323.0,,,0
HCPCS,87581,HCHG MYCOPLASMA AMPLIFIED NA PROBE,323.0,323.0,,,0
HCPCS,87591,HCHG CORE GC AMP PRB,285.0,285.0,,,0
HCPCS,87591,HCHG GC AMPLIFIED PROBE,266.0,266.0,,,0
HCPCS,87593,HCHG CORE IADNA ORTHOPOXVIRUS AMP PRB TECHNIQUE EA,101.0,101.0,,,0
HCPCS,87593,HCHG IADNA ORTHOPOXVIRUS AMP PRB TECHNIQUE EA,101.0,101.0,,,0
HCPCS,87623,HCHG CORE HPV LOW-RISK TYPES,110.0,110.0,,,0
HCPCS,87624,HCHG CORE HPV HIGH-RISK TYPES W/ POOLED RESULTS,577.0,577.0,,,0
HCPCS,87624,HCHG HPV HIGH-RISK TYPES W/ POOLED RESULTS,568.0,568.0,,,0
HCPCS,87625,HCHG CORE HPV TYPES 16 & 18 ONLY,76.0,76.0,,,0
HCPCS,87625,HCHG HPV TYPES 16 & 18 ONLY,74.5,74.5,,,0
HCPCS,87626,HCHG CORE HPV SEP HI-RSK TYP&POOL RSLT,609.0,609.0,,,0
HCPCS,87626,HCHG HPV SEP HI-RSK TYP&POOL RSLT,609.0,609.0,,,0
HCPCS,87631,HCHG CORE RESP VIRUS 3-5 TARGETS,455.5,455.5,,,0
HCPCS,87631,HCHG RESP VIRUS 3-5 TARGETS,1286.0,1286.0,,,0
HCPCS,87632,HCHG CORE RESP VIRUS 6-11 TARGETS,920.0,920.0,,,0
HCPCS,87633,HCHG CORE RESP VIRUS 12-25 TARGETS,1324.0,1324.0,,,0
HCPCS,87633,HCHG RESP VIRUS 12-25 TARGETS,1350.0,1350.0,,,0
HCPCS,87634,HCHG CORE RSV DNA/RNA AMP PROBE,349.0,349.0,,,0
HCPCS,87634,HCHG RSV DNA/RNA AMP PROBE,349.0,349.0,,,0
HCPCS,87635,HCHG CORE IADNA SARS-COV-2 COVID-19 AMP PROBE TQ,382.0,382.0,,,0
HCPCS,87635,HCHG IADNA SARS-COV-2 COVID-19 AMP PROBE TQ,382.0,382.0,,,0
HCPCS,87635,HCHG POCT IADNA SARS-COV-2 COVID-19 AMP PROBE TQ,382.0,382.0,,,0
HCPCS,87636,HCHG CORE SARSCOV2 COVID-19 & INF A&B AMP PRB,532.0,532.0,,,0
HCPCS,87636,HCHG SARSCOV2 COVID-19 & INF A&B AMP PRB,532.0,532.0,,,0
HCPCS,87637,HCHG CORE SARSCOV2 COVID-19 & INF A&B&RSV AMP PRB,605.0,605.0,,,0
HCPCS,87637,HCHG SARSCOV2 COVID-19 & INF A&B&RSV AMP PRB,605.0,605.0,,,0
HCPCS,87641,HCHG CORE MR STAPH DNA AMP PROBE,483.0,483.0,,,0
HCPCS,87651,HCHG CORE STREP A AMPLIF NA PROBE,266.0,266.0,,,0
HCPCS,87651,HCHG STREP A AMPLIF NA PROBE,266.0,266.0,,,0
HCPCS,87660,HCHG TRICHOMONAS VAG DIRECT PROBE,152.0,152.0,,,0
HCPCS,87661,HCHG CORE TRICHOMONAS VAGINALIS AMPLIFIED PROBE,123.0,123.0,,,0
HCPCS,87798,HCHG AG DETECT NOS DNA AMP,437.0,437.0,,,0
HCPCS,87798,HCHG CORE AG DETECT NOS DNA AMP,451.0,451.0,,,0
HCPCS,87798,HCHG CORE B-P PERTUSSIS DNA QUL PCR,451.0,451.0,,,0
HCPCS,87798,HCHG CORE NOROVIRUS RNA PCR,451.0,451.0,,,0
HCPCS,87798,HCHG CORE RSV RNA QUAL PCR,451.0,451.0,,,0
HCPCS,87799,HCHG CORE IADNA NOS QUANTIFICATION EACH ORGANISM,363.0,363.0,,,0
HCPCS,87801,HCHG CORE MULTIPLE ORGANISMS AMPLIFIED PROBE,483.0,483.0,,,0
HCPCS,87806,HCHG CORE HIV AG W/HIV1&2 ANTB W/OPTIC,325.0,325.0,,,0
HCPCS,87806,HCHG HIV AG W/HIV1&2 ANTB W/OPTIC,325.0,325.0,,,0
HCPCS,87811,HCHG CORE SARS-COV-2 COVID19 ANTIGEN W/OPTICAL OBS,132.0,132.0,,,0
HCPCS,87811,HCHG SARS-COV-2 COVID19 ANTIGEN W/OPTICAL OBS,132.0,132.0,,,0
HCPCS,87899,HCHG CORE CAMPY ID BY IMMUNOASSAY,208.0,208.0,,,0
HCPCS,87899,HCHG CORE INFECT AGENT ANTIGEN BY IMMUNOASSAY NOS,212.0,212.0,,,0
HCPCS,87899,HCHG CRYPTOCOCCAL ANTIGEN BY IMMUNOASSAY,212.0,212.0,,,0
HCPCS,87899,HCHG INFECT AGENT ANTIGEN BY IMMUNOASSAY NOS,212.0,212.0,,,0
HCPCS,88104,HCHG CYTOLOGY CSF SMR,229.0,229.0,,,0
HCPCS,88104,HCHG CYTOLOGY FLUID,229.0,229.0,,,0
HCPCS,88104,HCHG CYTOLOGY URINE,229.0,229.0,,,0
HCPCS,88108,HCHG CYTOLOGY CONCENTRATION TECHNIQUE,186.5,186.5,,,0
HCPCS,88112,HCHG CYTOLOGY SELECTIVE CELLULAR ENHANCEMENT,197.0,197.0,,,0
HCPCS,88120,HCHG REF CYTOPATHOLOGY URINE 3-5  PROBES EA SPEC MANUAL,426.25,426.25,,,0
HCPCS,88121,HCHG REF CYTP UR 3-5 PROBES CMPTR,426.25,426.25,,,0
HCPCS,88142,HCHG PAP DIAGNOSTIC THIN LAYER PREP,88.5,88.5,,,0
HCPCS,88150,HCHG PAP DIAGNOSTIC MANUAL,65.0,65.0,,,0
HCPCS,88160,HCHG CYTOLOGY SMEARS OTHER SOURCE,174.0,174.0,,,0
HCPCS,88161,HCHG CYTOLOGY SMEARS PREPARATION & INTERPRETATION,207.0,207.0,,,0
HCPCS,88162,HCHG CYTOLOGY EXTENDED STUDY,203.0,203.0,,,0
HCPCS,88164,HCHG PAP DIAGNOSTIC BY THE BETHESDA SYSTEM METHOD,170.0,170.0,,,0
HCPCS,88172,HCHG FNA ADEQUACY EVALUATION,260.5,260.5,,,0
HCPCS,88173,HCHG FNA INTERPRETATION AND REPORT,258.5,258.5,,,0
HCPCS,88177,HCHG CYTP EVL ASP CYTO STY ADD,54.0,54.0,,,0
HCPCS,88182,HCHG DNA CELL CYCLE,674.0,674.0,,,0
HCPCS,88182,HCHG REF DNA ANALYSIS,208.055,208.055,,,0
HCPCS,88182,HCHG REF FLOW CYTOMETRY CELL CYCLE OR DNA ANALYSIS,85.25,85.25,,,0
HCPCS,88184,HCHG CELL MARKER TECHNICAL COMPONENT 1ST CELL MARKER,285.0,285.0,,,0
HCPCS,88184,HCHG CORE CELL MARKER TECH ONLY 1ST,285.0,285.0,,,0
HCPCS,88184,HCHG REF CELL MARKER TECH ONLY 1ST,86.0,86.0,,,0
HCPCS,88185,HCHG CELL MARKER TECHNICAL COMPONENT EA ADDL MARKER,34.0,34.0,,,0
HCPCS,88185,HCHG CORE CELL MARKER TECH EA ADDL,34.0,34.0,,,0
HCPCS,88185,HCHG REF CELL MARKER TECHNICAL COMPONENT EA ADDL MARKER,21.0,21.0,,,0
HCPCS,88187,HCHG REF CELL MARKER INTERPRETATION 2-8 MARKERS,72.5,72.5,,,0
HCPCS,88188,HCHG REF CELL MARKER INTERPRET 9-15 MARKERS,120.5,120.5,,,0
HCPCS,88189,HCHG CELL MARKER INTERPRET 16+,114.5,114.5,,,0
HCPCS,88189,HCHG REF CELL MARKER INTERPRET 16+,140.0,140.0,,,0
HCPCS,88189,HCHG REF NEO CELL MARKER INTERPRET 16+,82.5,82.5,,,0
HCPCS,88230,HCHG REF TISSUE CULTURE LYMPHOCYTE,128.8,128.8,,,0
HCPCS,88233,HCHG TISSUE CULTURE SKIN,1481.0,1481.0,,,0
HCPCS,88237,HCHG TISSUE CULTURE BONE MARROW/BLOOD,269.0,269.0,,,0
HCPCS,88239,HCHG REF TISSUE CULTURE OTHER TISSUE,319.485,319.485,,,0
HCPCS,88240,HCHG CRYOPRESERVE/STORAGE CELL,52.5,52.5,,,0
HCPCS,88261,HCHG REF CHR0MOSOME COUNT KARYOTYPE 5 CELLS/ 1 KARYOTYPE,382.74,382.74,,,0
HCPCS,88262,HCHG CHRMOSOME COUNT 15-20 CELLS/ 1 KARYOTYPE,348.0,348.0,,,0
HCPCS,88262,HCHG REF CHRMOSOME COUNT 15-20 CELLS/ 1 KARYOTYPE,270.0,270.0,,,0
HCPCS,88271,HCHG DNA PROBE CYTOGENETICS EA,132.0,132.0,,,0
HCPCS,88271,HCHG REF DNA PROBE CYTOGENETICS EA,35.0,35.0,,,0
HCPCS,88275,HCHG DNA PROBE CYTOGENETICS >100,172.0,172.0,,,0
HCPCS,88275,HCHG REF DNA PROBE CYTOGENETICS >100,59.0,59.0,,,0
HCPCS,88285,HCHG REF CHRMOSOM ADD CL CNT EA,41.135,41.135,,,0
HCPCS,88300,HCHG SURGICAL  PATHOLOGY LEVEL I,90.0,90.0,,,0
HCPCS,88302,HCHG SURGICAL PATHOLOGY LEVEL II,174.0,174.0,,,0
HCPCS,88304,HCHG SURG PATH LVL III,203.5,203.5,,,0
HCPCS,88305,HCHG CYTO CL BLK 5 CNT/1 KARY,287.0,287.0,,,0
HCPCS,88305,HCHG REF CYTO CL BLK 5 CNT/1 KARY,130.0,130.0,,,0
HCPCS,88305,HCHG REF SURGICAL PATHOLOGY LEVEL IV,263.5,263.5,,,0
HCPCS,88305,HCHG SURGICAL PATHOLOGY LEVEL IV,309.0,309.0,,,0
HCPCS,88307,HCHG SURGICAL PATHOLOGY LEVEL V,566.0,566.0,,,0
HCPCS,88309,HCHG SURGICAL PATHOLOGY LEVEL VI,974.5,974.5,,,0
HCPCS,88311,HCHG DECALCIFICATION,65.0,65.0,,,0
HCPCS,88312,HCHG REF SPECIAL STAIN I&R GROUP I MICROORGANISM,173.0,173.0,,,0
HCPCS,88312,HCHG SPECIAL STAIN GROUP I MICROORGANISMS,174.0,174.0,,,0
HCPCS,88313,HCHG REF SPCL STN I&R GRP II NO MICROORG/ENZYME/IMCYT&IS,127.0,127.0,,,0
HCPCS,88313,HCHG SPECIAL STAIN GROUP II,116.5,116.5,,,0
HCPCS,88314,HCHG HISTOCHEMICAL STAIN FROZEN SECTION,143.0,143.0,,,0
HCPCS,88314,HCHG REF SPCL STAIN I&R HSTOCHEM STN ON FRZN TISS BLOCK,155.0,155.0,,,0
HCPCS,88319,HCHG ENZYME HISTOCHEMISTRY,415.0,415.0,,,0
HCPCS,88319,HCHG REF SPECIAL STAIN I&R GROUP III ENZYME CONSTITUENTS,186.0,186.0,,,0
HCPCS,88321,HCHG OUTSIDE SLIDE CONSULT,349.0,349.0,,,0
HCPCS,88321,HCHG REF OUTSD SLIDE CONSULT,181.0,181.0,,,0
HCPCS,88323,HCHG OUTSIDE SLIDE CONSULT PREP,232.0,232.0,,,0
HCPCS,88323,HCHG REF CONSULT/RPRT REFERRED SLIDES REQUIRING SLIDE PP,105.0,105.0,,,0
HCPCS,88325,HCHG OUTSD COMPR CONSULT,567.5,567.5,,,0
HCPCS,88331,HCHG PATH FROZEN SECTION 1 BLOCK,263.0,263.0,,,0
HCPCS,88332,HCHG PATH FROZEN SECTION EA ADDL BLOCK,282.0,282.0,,,0
HCPCS,88332,HCHG REF PATH FRZN SECTION ADD,92.0,92.0,,,0
HCPCS,88333,HCHG INTRAOPERATIVE CYTOPATH CONSULT INITIAL SITE,255.0,255.0,,,0
HCPCS,88334,HCHG INTRAOPERATIVE CYTOPATH CONSULT EA ADDL SITE,112.5,112.5,,,0
HCPCS,88341,HCHG IMMUNOHISTO ANTIBODY SLIDE EA ADD,197.5,197.5,,,0
HCPCS,88341,HCHG REF IMMUNOHISTO ANTIBODY SLIDE EA ADD,170.0,170.0,,,0
HCPCS,88342,HCHG IMMUNOHISTO AB STAIN INITIAL SINGLE AB,281.5,281.5,,,0
HCPCS,88342,HCHG REF IMMUNOHISTO AB STAIN INITIAL SINGLE AB,246.0,246.0,,,0
HCPCS,88344,HCHG IMMUNOHISTO ANTIBODY SLIDE MULTI,408.0,408.0,,,0
HCPCS,88344,HCHG REF IMMUNOHISTO ANTIBODY SLIDE MULTI,370.0,370.0,,,0
HCPCS,88346,HCHG IMMUNOFL PER SPEC SINGLE AB STAIN PROC INITIAL,215.0,215.0,,,0
HCPCS,88348,HCHG ELECTRON MICROSCOPY DIAGNOSTIC,1177.0,1177.0,,,0
HCPCS,88348,HCHG REF ELECTRON MICROSCOPY DIAGNOSTIC,1414.0,1414.0,,,0
HCPCS,88350,HCHG IMMUNOFL PER SPEC SINGLE AB STAIN PROC EA ADDL,147.0,147.0,,,0
HCPCS,88360,HCHG REF ER/PR/HER-2 W/MORPHOMETRY,276.0,276.0,,,0
HCPCS,88360,HCHG REF NEO TUMOR IMMUNOHISTOCHEM MAN,85.25,85.25,,,0
HCPCS,88360,HCHG TUMOR IMMUNOHISTOCHEM MAN,268.5,268.5,,,0
HCPCS,88361,HCHG REF TMR IMMUNOHIST W/COM ASST,108.5,108.5,,,0
HCPCS,88363,HCHG REF XM ARCHIV TISS MOLEC ANAL,22.79,22.79,,,0
HCPCS,88363,HCHG XM ARCHIV TISS MOLEC ANAL,103.0,103.0,,,0
HCPCS,88364,HCHG REF  INSITU HYBRIDIZATION (FISH) EA ADD,121.0,121.0,,,0
HCPCS,88365,HCHG REF IN SITU HYBRIDIZATION EA PROBE,154.0,154.0,,,0
HCPCS,88365,HCHG REF NEO IN SITU HYBRIDIZATION EA PROBE,101.0,101.0,,,0
HCPCS,88366,HCHG REF INSITU HYBRIDIZATION (FISH) EA MULTI,500.0,500.0,,,0
HCPCS,88367,HCHG REF MORPHOMETRIC ANLYS IN SITU HYBRIDIZATN EA PRB AUTO,248.0,248.0,,,0
HCPCS,88367,HCHG REF NEO INSITU HYBRIDIZATION AUTO,186.0,186.0,,,0
HCPCS,88368,HCHG IN SITU HYBRIDIZATION MANUAL,230.0,230.0,,,0
HCPCS,88368,HCHG REF MORPHOMETRC ANLYS IN SITU HYBRIDIZTN EA PRB MANUAL,198.0,198.0,,,0
HCPCS,88368,HCHG REF NEO INSITU HYBRIDIZATION MANUAL,186.0,186.0,,,0
HCPCS,88369,HCHG IN SITU HYBRIDIZATION MANUAL EA ADD,157.5,157.5,,,0
HCPCS,88369,HCHG REF SITU HYBRID MANUAL EA ADD,500.0,500.0,,,0
HCPCS,88377,HCHG REF SITU HYBRID MANUAL EA ADD MULTI,281.0,281.0,,,0
HCPCS,88387,HCHG CORE TISS EXAM MOLECULAR STUDY,1099.5,1099.5,,,0
HCPCS,88387,HCHG TISS EXAM MOLECULAR STUDY,1099.5,1099.5,,,0
HCPCS,88388,HCHG TISS EX MOLE STUDY ADD-ON,948.0,948.0,,,0
HCPCS,89051,HCHG CELL COUNT FLUID W/ DIFF,280.0,280.0,,,0
HCPCS,89051,HCHG CORE CELL CNT FLD W/ DIFF,280.0,280.0,,,0
HCPCS,89060,HCHG CORE CRYSTAL ID TISS/FLD NO UR,207.0,207.0,,,0
HCPCS,89060,HCHG CRYSTAL ID TISSUE/FLUID NOT URINE,207.0,207.0,,,0
HCPCS,89125,HCHG FAT STAIN QUALITATIVE,25.0,25.0,,,0
HCPCS,89160,"HCHG MEAT FIBERS, FECES",111.0,111.0,,,0
HCPCS,89190,HCHG EOSINPHILS SMEAR NASAL,146.0,146.0,,,0
HCPCS,89220,HCHG SPUTUM SPEC VIA AEROSOL,837.0,837.0,,,0
HCPCS,89310,HCHG SEMEN MOTILITY/COUNT (NO HUHNER),150.0,150.0,,,0
HCPCS,89320,HCHG SEMEN ANALYSIS COMPLETE,253.0,253.0,,,0
HCPCS,90281,Human ig im,,,178.8,178.8,1
HCPCS,90283,Human ig iv,,,436.95,436.95,1
HCPCS,90284,Human ig sc,,,57.56,57.56,1
HCPCS,90291,Cmv ig iv,,,5745.52,5745.52,1
HCPCS,90296,Diphtheria antitoxin,,,10027.9,10027.9,1
HCPCS,90371,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY,318.42,318.42,,,0
HCPCS,90371,Hep b ig im,,,329.39,399.49,4
HCPCS,90375,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN,1184.69,1184.69,,,0
HCPCS,90375,RABIES IMMUNE GLOBULIN 300 UNIT/ML IJ SOLN,210.04,210.04,,,0
HCPCS,90375,Rabies ig im/sc,,,666.8,1157.74,4
HCPCS,90376,Rabies ig heat treated,,,768.93,768.93,1
HCPCS,90377,Rabies ig ht&sol human im/sc,,,554.64,554.64,3
HCPCS,90378,Rsv mab im 50mg,,,6233.81,6233.81,1
HCPCS,90380,NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY,2500.0,2500.0,,,0
HCPCS,90384,RHO D IMMUNE GLOBULIN 1500 UNITS IM SOSY,442.58,442.58,,,0
HCPCS,90384,Rh ig full-dose im,,,385.86,385.86,1
HCPCS,90385,Rh ig minidose im,,,203.55,203.55,1
HCPCS,90386,Rh ig iv,,,2103.46,2103.46,1
HCPCS,90389,Tetanus ig im,,,2263.67,2263.67,1
HCPCS,90396,VARICELLA-ZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN,7857.24,7857.24,,,0
HCPCS,90396,Varicella-zoster ig im,,,5781.67,5781.67,1
HCPCS,90399,ANTI-THYMOCYTE GLOB (RABBIT) 25 MG IV SOLR,3013.76,3013.76,,,0
HCPCS,90399,Immune globulin,,,75.39,75.39,1
HCPCS,90471,HCHG HEPATITIS B VACCINE ADMIN,204.0,204.0,,,0
HCPCS,90471,HCHG INITIAL IMMUNIZATION ADMINISTRATION,204.0,204.0,,,0
HCPCS,90472,HCHG EACH ADDITIONAL IMMUNIZATION ADMINISTRATION,150.0,150.0,,,0
HCPCS,90480,HCHG IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPNT,101.0,101.0,,,0
HCPCS,90480,HCHG RHC IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPNT,101.0,101.0,,,0
HCPCS,90581,Anthrax vaccine sc or im,,,346.24,346.24,1
HCPCS,90585,Bcg vaccine percut,,,639.02,639.02,1
HCPCS,90586,Bcg vaccine intravesical,,,361.01,475.79,4
HCPCS,90620,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY,1320.43,1320.43,,,0
HCPCS,90620,Menb rp w/omv vaccine im,,,728.83,728.83,1
HCPCS,90621,Menb rlp vaccine im,,,609.31,609.31,1
HCPCS,90632,Hepa vaccine adult im,,,165.96,203.16,4
HCPCS,90633,Hepa vacc ped/adol 2 dose im,,,131.43,131.43,1
HCPCS,90634,Hepa vacc ped/adol 3 dose,,,86.87,86.87,1
HCPCS,90636,Hep a/hep b vacc adult im,,,403.72,403.72,1
HCPCS,90644,Hib-mency vacc 6wk-18m0 im,,,66.09,66.09,1
HCPCS,90647,Hib prp-omp vacc 3 dose im,,,106.21,106.21,1
HCPCS,90648,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR,107.355,107.355,,,0
HCPCS,90648,Hib prp-t vaccine 4 dose im,,,57.07,57.07,1
HCPCS,90649,4vhpv vaccine 3 dose im,,,315.68,315.68,1
HCPCS,90651,9vhpv vaccine 3 dose im,,,926.82,926.82,1
HCPCS,90653,INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY,529.3,529.3,,,0
HCPCS,90653,INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY,571.25,571.25,,,0
HCPCS,90653,Iiv adjuvant vaccine im,,,192.03,201.82,4
HCPCS,90654,INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY,529.3,529.3,,,0
HCPCS,90655,Iiv3 vacc no prsv 0.25 ml im,,,37.93,37.93,1
HCPCS,90656,INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY,164.68,164.68,,,0
HCPCS,90656,Iiv3 vacc no prsv 0.5 ml im,,,37.93,51.41,4
HCPCS,90657,Iiv3 vaccine splt 0.25 ml im,,,25.14,37.93,4
HCPCS,90658,Iiv3 vaccine splt 0.5 ml im,,,37.93,50.27,4
HCPCS,90660,Laiv3 vaccine intranasal,,,50.18,66.4,4
HCPCS,90661,Cciiv3 vac no prsv 0.5 ml im,,,84.75,84.75,3
HCPCS,90662,Iiv no prsv increased ag im,,,189.91,192.03,4
HCPCS,90670,Pcv13 vaccine im,,,593.37,780.26,4
HCPCS,90671,PNEUMOCOCCAL 15-VAL CONJ VACC 0.5 ML IM SUSY,1334.53,1334.53,,,0
HCPCS,90671,Pcv15 vaccine im,,,600.64,600.64,3
HCPCS,90672,Laiv4 vaccine intranasal,,,91.12,91.12,1
HCPCS,90673,Riv3 vaccine no preserv im,,,192.03,192.03,3
HCPCS,90674,Cciiv4 vac no prsv 0.5 ml im,,,95.36,95.36,1
HCPCS,90675,"RABIES VACCINE, PCEC IM SUSR",2469.81,2469.81,,,0
HCPCS,90675,Rabies vaccine im,,,730.65,970.33,4
HCPCS,90676,Rabies vaccine id,,,771.4,771.4,1
HCPCS,90677,PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY,1613.32,1613.32,,,0
HCPCS,90677,Pcv20 vaccine im,,,719.67,719.67,3
HCPCS,90678,RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR,1770.0,1770.0,,,0
HCPCS,90680,Rv5 vacc 3 dose live oral,,,343.42,343.42,1
HCPCS,90681,Rv1 vacc 2 dose live oral,,,506.24,506.24,1
HCPCS,90682,Riv4 vacc recombinant dna im,,,189.91,189.91,1
HCPCS,90684,Pcv21 vaccine im,,,754.15,754.15,3
HCPCS,90685,Iiv4 vacc no prsv 0.25 ml im,,,68.96,68.96,1
HCPCS,90686,INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY,164.68,164.68,,,0
HCPCS,90686,Iiv4 vacc no prsv 0.5 ml im,,,64.51,64.51,1
HCPCS,90687,Iiv4 vaccine splt 0.25 ml im,,,31.88,31.88,1
HCPCS,90688,Iiv4 vaccine splt 0.5 ml im,,,60.48,60.48,1
HCPCS,90690,Typhoid vaccine oral,,,281.36,281.36,1
HCPCS,90691,Typhoid vaccine im,,,370.19,370.19,1
HCPCS,90696,Dtap-ipv vaccine 4-6 yrs im,,,433.3,433.3,1
HCPCS,90698,DTAP-IPV-HIB VACCINE IM SUSR,887.15,887.15,,,0
HCPCS,90698,Dtap-ipv/hib vaccine im,,,403.61,403.61,1
HCPCS,90700,DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP,221.68,221.68,,,0
HCPCS,90700,Dtap vaccine < 7 yrs im,,,113.71,113.71,1
HCPCS,90702,Dt vaccine under 7 yrs im,,,226.47,226.47,1
HCPCS,90707,"MEASLES, MUMPS & RUBELLA VAC IJ SOLR",718.53,718.53,,,0
HCPCS,90707,Mmr vaccine sc,,,318.56,318.56,1
HCPCS,90710,Mmrv vaccine sc,,,913.1,913.1,1
HCPCS,90713,Poliovirus ipv sc/im,,,139.22,139.22,1
HCPCS,90714,Td vacc no presv 7 yrs+ im,,,78.11,82.09,4
HCPCS,90715,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP,368.66499999999996,368.66499999999996,,,0
HCPCS,90715,Tdap vaccine 7 yrs/> im,,,89.86,112.22,4
HCPCS,90716,Var vaccine live subq,,,551.69,551.69,1
HCPCS,90717,Yellow fever vaccine subq,,,452.02,452.02,1
HCPCS,90723,Dtap-hep b-ipv vaccine im,,,334.81,334.81,1
HCPCS,90732,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ INJ,913.25,913.25,,,0
HCPCS,90732,Ppsv23 vacc 2 yrs+ subq/im,,,306.99,406.57,4
HCPCS,90733,Mpsv4 vaccine subq,,,249.6,249.6,1
HCPCS,90734,MENING ACY&W-135 TETANUS CONJ IM SOLN,572.555,572.555,,,0
HCPCS,90734,MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR,975.0,975.0,,,0
HCPCS,90734,Mcv4 menacwy vaccine im,,,509.47,509.47,1
HCPCS,90736,Hzv vaccine live subq,,,886.48,886.48,1
HCPCS,90738,Inactivated je vacc im,,,1036.46,1036.46,1
HCPCS,90739,Hepb vacc 2 dose adult im,,,408.38,444.47,4
HCPCS,90740,Hepb vacc 3 dose immunsup im,,,378.17,477.22,4
HCPCS,90743,Hepb vacc 2 dose adolesc im,,,172.83,250.75,4
HCPCS,90744,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP,210.53,210.53,,,0
HCPCS,90744,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY,210.60500000000002,210.60500000000002,,,0
HCPCS,90744,Hepb vacc 3 dose ped/adol im,,,72.84,95.65,4
HCPCS,90746,Hepb vaccine 3 dose adult im,,,161.86,236.15,4
HCPCS,90747,Hepb vacc 4 dose immunsup im,,,323.73,477.22,4
HCPCS,90748,Hib-hepb vaccine im,,,139.48,139.48,1
HCPCS,90756,Cciiv4 vacc abx free im,,,90.39,90.39,1
HCPCS,90759,Hep b vac 3ag 10mcg 3 dos im,,,169.77,169.77,3
HCPCS,90791,HCHG PSYC DIAGNOSTIC EVALUATION,597.0,597.0,,,0
HCPCS,90791,HCHG TH PSYC DIAGNOSTIC EVALUATION,597.0,597.0,,,0
HCPCS,90832,HCHG PSYCHOTHERAPY PT 30MIN,438.0,438.0,,,0
HCPCS,90832,HCHG TH PSYCHOTHERAPY PT 30MIN,438.0,438.0,,,0
HCPCS,90833,HCHG PSYCHOTHERAPY PT W/E&M 30MIN,410.0,410.0,,,0
HCPCS,90833,HCHG TH PSYCHOTHERAPY PT W/E&M 30MIN,410.0,410.0,,,0
HCPCS,90834,HCHG PSYCHOTHERAPY PT 45 MIN,592.0,592.0,,,0
HCPCS,90834,HCHG TH PSYCHOTHERAPY PT 45 MIN,592.0,592.0,,,0
HCPCS,90836,HCHG PSYCHOTHERAPY PT W/E&M 45MIN,451.0,451.0,,,0
HCPCS,90836,HCHG TH PSYCHOTHERAPY PT W/E&M 45MIN,451.0,451.0,,,0
HCPCS,90837,HCHG PSYCHOTHERAPY PT 60MIN,675.0,675.0,,,0
HCPCS,90837,HCHG TH PSYCHOTHERAPY PT 60MIN,675.0,675.0,,,0
HCPCS,90838,HCHG PSYCHOTHERAPY PT W/E&M 60MIN,472.0,472.0,,,0
HCPCS,90838,HCHG TH PSYCHOTHERAPY PT W/E&M 60MIN,472.0,472.0,,,0
HCPCS,90846,HCHG FAMILY TX WO PT 50 MIN,542.0,542.0,,,0
HCPCS,90846,HCHG TH FAMILY TX WO PT 50 MIN,542.0,542.0,,,0
HCPCS,90847,HCHG FAMILY TX W PT 50 MIN,708.0,708.0,,,0
HCPCS,90847,HCHG TH FAMILY TX W PT 50 MIN,708.0,708.0,,,0
HCPCS,90853,HCHG PSYC TX GROUP,286.0,286.0,,,0
HCPCS,90863,HCHG PHARMACOLOGIC MGMT W/PSYTX,439.0,439.0,,,0
HCPCS,90870,HCHG PSYCH ELECTROCONVULSIVE THERAPY,2550.0,2550.0,,,0
HCPCS,90876,HCHG INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,1309.0,1309.0,,,0
HCPCS,90885,HCHG PSYCH EVALUATION RECORDS/REPORTS/TESTS,738.0,738.0,,,0
HCPCS,90901,HCHG BIOFEEDBACK TRAINING ANY MODALITY,163.0,163.0,,,0
HCPCS,90912,HCHG BFB TRAINING 1ST 15 MIN,1040.0,1040.0,,,0
HCPCS,90913,HCHG BFB TRAINING EA ADDL 15 MIN,570.0,570.0,,,0
HCPCS,90945,HCHG DIALYSIS CONTINUOUS AMB PERITONEAL CAPD OP,2409.0,2409.0,,,0
HCPCS,90945,HCHG DIALYSIS CONTINUOUS CYCLING PERITONEAL OP,2409.0,2409.0,,,0
HCPCS,90945,HCHG DIALYSIS PRITONEAL OUTPATIENT,2409.0,2409.0,,,0
HCPCS,91010,HCHG ESOPHAGEAL MOTILITY,5960.0,5960.0,,,0
HCPCS,91020,HCHG GASTRIC MOTILITY,3981.0,3981.0,,,0
HCPCS,91030,HCHG ESOPHAGUS ACID PERFUSION TEST,727.0,727.0,,,0
HCPCS,91034,HCHG GASTROESOPH REFLUX TEST,3840.0,3840.0,,,0
HCPCS,91034,HCHG PH ESOPHAGUS NASAL CATHETER ELECTRODE,3840.0,3840.0,,,0
HCPCS,91035,HCHG INSERTION PH CAPSULE GERD MUCOSAL,4849.0,4849.0,,,0
HCPCS,91037,HCHG ESOPH IMPED FUNCTION,2467.0,2467.0,,,0
HCPCS,91038,HCHG ESOPH IMPED FUNCT >1HR,3649.0,3649.0,,,0
HCPCS,91040,HCHG ESOPHAGEAL BALLOON DISTENSION,1236.0,1236.0,,,0
HCPCS,91065,HCHG BREATH HYDROGEN METHANE TEST,717.0,717.0,,,0
HCPCS,91110,HCHG GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM,6187.0,6187.0,,,0
HCPCS,91112,HCHG GI WIRELESS CAPSULE MEASURE,3298.0,3298.0,,,0
HCPCS,91117,HCHG COLON MTLTY STDY 6HR/MORE,4877.0,4877.0,,,0
HCPCS,91117,HCHG COLON MTLTY STDY LT 6 HRS,4877.0,4877.0,,,0
HCPCS,91120,HCHG RECTAL SENSATION TEST,6538.0,6538.0,,,0
HCPCS,91122,HCHG ANORECTAL MANOMETRY,3133.0,3133.0,,,0
HCPCS,91124,HCHG RECTAL SENSATION TONE&COMPLIANCE STUDY,6538.0,6538.0,,,0
HCPCS,91125,HCHG ANRCT MANO RCT SENSATION&RCT BALO EXPULSION TST,3133.0,3133.0,,,0
HCPCS,91132,HCHG ELECTROGASTROGRAPHY DIAGNOSTIC,2577.0,2577.0,,,0
HCPCS,91200,HCHG LIVER ELASTOGRAPHY,772.0,772.0,,,0
HCPCS,91302,HCHG VAC COVID-19 ASTRZNC SARSCOV2 5X1010VP/.5MLIM,0.01,0.01,,,0
HCPCS,91304,Coronavirus vaccine 5,,,371.54,371.54,3
HCPCS,91318,Sarscov2 vac 3mcg trs-suc im,,,150.77,150.77,3
HCPCS,91319,Sarscv2 vac 10mcg trs-suc im,,,201.89,201.89,3
HCPCS,91320,Sarscv2 vac 30mcg trs-suc im,,,358.56,358.56,3
HCPCS,91321,Sarscov2 vac 25 mcg/.25ml im,,,338.24,338.24,3
HCPCS,91322,COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY,975.0,975.0,,,0
HCPCS,91322,Sarscov2 vac 50 mcg/0.5ml im,,,371.8,371.8,3
HCPCS,92002,HCHG OPHTHALMIC EXAM NEW PT INTERMEDIATE,294.0,294.0,,,0
HCPCS,92002,HCHG TH OPHTHALMIC EXAM NEW PT INTERMEDIATE,294.0,294.0,,,0
HCPCS,92004,HCHG OPHTHALMIC EXAM NEW PT COMPREHENSIVE,340.0,340.0,,,0
HCPCS,92004,HCHG TH OPHTHALMIC EXAM NEW PT COMPREHENSIVE,340.0,340.0,,,0
HCPCS,92012,HCHG OPHTHALMIC EXAM EST PT INTERMEDIATE,296.0,296.0,,,0
HCPCS,92012,HCHG TH OPHTHALMIC EXAM EST PT INTERMEDIATE,296.0,296.0,,,0
HCPCS,92014,HCHG OPHTHALMIC EXAM EST PT COMPREHENSIVE,286.0,286.0,,,0
HCPCS,92014,HCHG TH OPHTHALMIC EXAM EST PT COMPREHENSIVE,286.0,286.0,,,0
HCPCS,92020,HCHG GONIOSCOPY,228.0,228.0,,,0
HCPCS,92025,HCHG TOPOGRAPHY CORNEAL,394.0,394.0,,,0
HCPCS,92060,HCHG SENSORIMOTOR EXAMINATION,232.0,232.0,,,0
HCPCS,92071,HCHG CONTACT LENS FIT FOR TX BI,912.0,912.0,,,0
HCPCS,92071,HCHG CONTACT LENS FIT FOR TX LT,608.0,608.0,,,0
HCPCS,92071,HCHG CONTACT LENS FIT FOR TX RT,608.0,608.0,,,0
HCPCS,92081,"HCHG VISUAL FIELD EXAM WITH INTERPRETATION AND REPORT,",615.0,615.0,,,0
HCPCS,92082,HCHG VISL FLD EXAM W I&R INT,623.0,623.0,,,0
HCPCS,92083,HCHG VISL FLD EXAM W I&R EXT,576.0,576.0,,,0
HCPCS,92132,HCHG CMPTR OPHTH DX IM ANT SEG BILAT,211.0,211.0,,,0
HCPCS,92132,HCHG CMPTR OPHTH DX IM ANT SEG LT,211.0,211.0,,,0
HCPCS,92132,HCHG CMPTR OPHTH DX IM ANT SEG RT,211.0,211.0,,,0
HCPCS,92133,HCHG CMPTR OPHTH IMG OPT NERVE BILAT,326.0,326.0,,,0
HCPCS,92133,HCHG CMPTR OPHTH IMG OPT NERVE LT,326.0,326.0,,,0
HCPCS,92133,HCHG CMPTR OPHTH IMG OPT NERVE RT,326.0,326.0,,,0
HCPCS,92134,HCHG CPTR OPHTH DX IMG POST SG BILAT,276.0,276.0,,,0
HCPCS,92134,HCHG CPTR OPHTH DX IMG POST SG LT,274.0,274.0,,,0
HCPCS,92134,HCHG CPTR OPHTH DX IMG POST SG RT,274.0,274.0,,,0
HCPCS,92136,HCHG OPHTHALMIC BIOMETRY,681.0,681.0,,,0
HCPCS,92137,HCHG CPTRZ OPH IMG PST SG RTA OCT BILAT,357.0,357.0,,,0
HCPCS,92137,HCHG CPTRZ OPH IMG PST SG RTA OCT LT,420.0,420.0,,,0
HCPCS,92137,HCHG CPTRZ OPH IMG PST SG RTA OCT RT,420.0,420.0,,,0
HCPCS,92201,HCHG OPSCPY EXTND RTA DRAW & SCL DEPRSN I&R BIL,329.0,329.0,,,0
HCPCS,92201,HCHG OPSCPY EXTND RTA DRAW & SCL DEPRSN I&R LT,329.0,329.0,,,0
HCPCS,92201,HCHG OPSCPY EXTND RTA DRAW & SCL DEPRSN I&R RT,329.0,329.0,,,0
HCPCS,92202,HCHG OPSCPY EXTND OPTIC NRV/MACULA DRAW I&R BIL,329.0,329.0,,,0
HCPCS,92202,HCHG OPSCPY EXTND OPTIC NRV/MACULA DRAW I&R LT,329.0,329.0,,,0
HCPCS,92202,HCHG OPSCPY EXTND OPTIC NRV/MACULA DRAW I&R RT,329.0,329.0,,,0
HCPCS,92235,HCHG FLUORESCEIN ANGIOGRAPHY BI,1463.0,1463.0,,,0
HCPCS,92235,HCHG FLUORESCEIN ANGIOGRAPHY LT,1463.0,1463.0,,,0
HCPCS,92235,HCHG FLUORSCEIN ANGIOGRAPHY RT,1463.0,1463.0,,,0
HCPCS,92240,HCHG INDOCYANINE GREEN ANGIOGRAPHY BI,985.0,985.0,,,0
HCPCS,92240,HCHG INDOCYANINE GREEN ANGIOGRAPHY LT,985.0,985.0,,,0
HCPCS,92240,HCHG INDOCYANINE GREEN ANGIOGRAPHY RT,985.0,985.0,,,0
HCPCS,92242,HCHG FLUORESCEIN AND ICG ANGIOGRAPHY BI,2798.0,2798.0,,,0
HCPCS,92242,HCHG FLUORESCEIN AND ICG ANGIOGRAPHY LT,2798.0,2798.0,,,0
HCPCS,92242,HCHG FLUORESCEIN AND ICG ANGIOGRAPHY RT,2798.0,2798.0,,,0
HCPCS,92250,HCHG FUNDUS PHOTOGRAPHY,592.0,592.0,,,0
HCPCS,92270,HCHG OCULOGRAPHY ELECTIVE,1179.0,1179.0,,,0
HCPCS,92273,HCHG FULL ERG W/INTERP & REPORT,1372.0,1372.0,,,0
HCPCS,92274,HCHG MULTIFOCAL ERG W/INTERP & REPORT,1008.0,1008.0,,,0
HCPCS,92283,HCHG COLOR VISION EXAM EXTENDED,407.0,407.0,,,0
HCPCS,92285,HCHG SLIT LAMP PROCEDURE,604.0,604.0,,,0
HCPCS,92286,HCHG ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY,537.0,537.0,,,0
HCPCS,92507,HCHG SP TX SP/LANG/COM IND,578.0,578.0,,,0
HCPCS,92507,HCHG TH SP TX SP/LANG/COM IND,578.0,578.0,,,0
HCPCS,92508,HCHG SP TX SP/LANG/COM GP,170.0,170.0,,,0
HCPCS,92508,HCHG TH SP TX SP/LANG/COM GP,170.0,170.0,,,0
HCPCS,92521,HCHG EVALUATION OF SPEECH FLUENCY,573.0,573.0,,,0
HCPCS,92521,HCHG TH EVALUATION OF SPEECH FLUENCY,573.0,573.0,,,0
HCPCS,92522,HCHG EVALUATE SPEECH PRODUCTION,607.0,607.0,,,0
HCPCS,92522,HCHG TH EVALUATE SPEECH PRODUCTION,607.0,607.0,,,0
HCPCS,92523,HCHG EVAL SPEECH SOUND LANG COMPREH,803.0,803.0,,,0
HCPCS,92523,HCHG TH EVAL SPEECH SOUND LANG COMPREH,803.0,803.0,,,0
HCPCS,92524,HCHG SP BEHAVRAL QUALIT ANALYS VOICE,614.0,614.0,,,0
HCPCS,92524,HCHG TH SP BEHAVRAL QUALIT ANALYS VOICE,614.0,614.0,,,0
HCPCS,92526,HCHG OT TX SWALL/ORAL FNX,539.0,539.0,,,0
HCPCS,92526,HCHG SP TX SWALL/ORAL FNX,539.0,539.0,,,0
HCPCS,92526,HCHG TH OT TX SWALL/ORAL FNX,539.0,539.0,,,0
HCPCS,92526,HCHG TH SP TX SWALL/ORAL FNX,539.0,539.0,,,0
HCPCS,92537,HCHG CALORIC VSTBLR TEST REC BITHERM 3 IRRIGATIONS,356.0,356.0,,,0
HCPCS,92537,HCHG CALORIC VSTBLR TEST REC BITHERM 4 IRRIGATIONS,356.0,356.0,,,0
HCPCS,92538,HCHG CALORIC VSTBLR TEST REC MONOTHERM 1 IRRIGATION,186.0,186.0,,,0
HCPCS,92538,HCHG CALORIC VSTBLR TEST REC MONOTHERM 2 IRRIGATIONS,186.0,186.0,,,0
HCPCS,92551,HCHG SCREEN PURE TONE AIR,63.0,63.0,,,0
HCPCS,92557,HCHG AD AUDIOMETRY COMPLETE,731.0,731.0,,,0
HCPCS,92579,HCHG AD VRA EVAL PEDIATRIC GT 3 YEARS,540.0,540.0,,,0
HCPCS,92586,HCHG ABR SCREEN INIT IP,662.0,662.0,,,0
HCPCS,92588,HCHG AD EVALUATION OAE,484.0,484.0,,,0
HCPCS,92597,HCHG SP EVAL COM DEVICE,670.0,670.0,,,0
HCPCS,92605,HCHG SP EVAL RX FOR NON SP GENERATIN DEVICE PRESCRIPTION,886.0,886.0,,,0
HCPCS,92606,HCHG SP THER SVC NO SP/ALT DEV,542.0,542.0,,,0
HCPCS,92607,HCHG SP EVAL SP/COM DVC 1ST HR,538.0,538.0,,,0
HCPCS,92608,HCHG SP EVAL SP/COM DVC ADL 30,129.0,129.0,,,0
HCPCS,92609,HCHG SP THER SVC SP DEVICE,446.0,446.0,,,0
HCPCS,92610,HCHG OT EVAL FNX SWALL,826.0,826.0,,,0
HCPCS,92610,HCHG SP EVAL FNX SWALL,826.0,826.0,,,0
HCPCS,92610,HCHG TH OT EVAL FNX SWALL,826.0,826.0,,,0
HCPCS,92610,HCHG TH SP EVAL FNX SWALL,826.0,826.0,,,0
HCPCS,92611,HCHG SP EVAL MTN FLUOR SWAL,1137.0,1137.0,,,0
HCPCS,92612,HCHG SP ENDOSCOPY SWALLOW (FEES) VID,1134.0,1134.0,,,0
HCPCS,92650,HCHG AEP SCREEN W/STIMULI AUTO ALYS INIT IP,633.0,633.0,,,0
HCPCS,92650,HCHG AEP SCREEN W/STIMULI AUTO ALYS INIT OP,633.0,633.0,,,0
HCPCS,92650,HCHG AEP SCREEN W/STIMULI AUTO ALYS RESCREEN,633.0,633.0,,,0
HCPCS,92652,HCHG AEP THRESHOLD ESTIMATION MLT FREQUENCIES I&R,1280.0,1280.0,,,0
HCPCS,92653,HCHG AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT,1689.0,1689.0,,,0
HCPCS,92920,HCHG PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,28817.0,28817.0,,,0
HCPCS,92921,HCHG CA PRQ CARDIAC ANGIO ADDL ART,24337.0,24337.0,,,0
HCPCS,92924,HCHG PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART&/BRNCH,53609.0,53609.0,,,0
HCPCS,92925,HCHG CA PRQ CARD ANGIO/ATHRECT ADDL,4367.0,4367.0,,,0
HCPCS,92928,HCHG PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,47101.0,47101.0,,,0
HCPCS,92929,HCHG CA PRQ CARD STENT W/ANGIO ADDL,38229.0,38229.0,,,0
HCPCS,92933,HCHG PERQ TRLUM C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,57972.0,57972.0,,,0
HCPCS,92937,HCHG PERQ TRLUM REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,44625.0,44625.0,,,0
HCPCS,92941,HCHG PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,45308.0,45308.0,,,0
HCPCS,92943,HCHG PERQ TRLUML REVSC CHRNC TOT OCCL 1 C ART ANTGRD,48953.0,48953.0,,,0
HCPCS,92950,HCHG CA CPR,2909.0,2909.0,,,0
HCPCS,92950,HCHG CPR,1397.0,1397.0,,,0
HCPCS,92950,HCHG OBS CPR,2784.0,2784.0,,,0
HCPCS,92953,HCHG CA TEMP TRANSCUTANEOUS PACING,2581.0,2581.0,,,0
HCPCS,92953,HCHG TEMP TRANSCUTANEOUS PACING,1825.0,1825.0,,,0
HCPCS,92960,HCHG CA CARDIOVERSION ELECTRIC EXTERNAL,4349.0,4349.0,,,0
HCPCS,92960,HCHG CARDIOVERSION ELECTRIC EXTERNAL,3215.0,3215.0,,,0
HCPCS,92960,HCHG OBS CARDIOVERSION ELECTRIC EXTERNAL,4162.0,4162.0,,,0
HCPCS,92961,HCHG CA CARDIOVERSION INTERNAL,4959.0,4959.0,,,0
HCPCS,92970,HCHG CA CARDIOASSIST INTERNAL,2664.0,2664.0,,,0
HCPCS,92972,HCHG CA PERQ TRLUML CORONRY LITHOTRP,18927.0,18927.0,,,0
HCPCS,92973,HCHG PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,19401.0,19401.0,,,0
HCPCS,92974,HCHG CA PLACE RAD DEL DEVICE,10219.0,10219.0,,,0
HCPCS,92977,HCHG CA CORONARY THROMBOLYSIS INTRAVENOUS INFUSION,2484.0,2484.0,,,0
HCPCS,92978,HCHG CA ENDOLUMINL IVUS OCT C 1ST,14262.0,14262.0,,,0
HCPCS,92979,HCHG CA CA ENDOLUMINL IVUS OCT C EA,9888.0,9888.0,,,0
HCPCS,92986,HCHG CA PERQ BAL VALVULOPLASTY AORTIC,28864.0,28864.0,,,0
HCPCS,92987,HCHG CA PERQ BAL VALVULOPLASTY MITRAL,19501.0,19501.0,,,0
HCPCS,92990,HCHG CA PB VALVULOPLASTY PULMON VALVE,12582.0,12582.0,,,0
HCPCS,93005,HCHG EKG 12 LEAD TRACING ONLY,614.0,614.0,,,0
HCPCS,93017,HCHG CA CARDIAC STRESS TEST,2345.0,2345.0,,,0
HCPCS,93024,HCHG ERGONOVINE PROVOCATION TEST,1405.0,1405.0,,,0
HCPCS,93041,HCHG EKG 1-3 LEAD TRACING ONLY,230.0,230.0,,,0
HCPCS,93225,HCHG EKG UP TO 48HRS WITH SCANNING RECORDING,749.0,749.0,,,0
HCPCS,93226,HCHG EKG UP TO 48 HRS WITH SCANNING ANALYSIS AND REPORT,947.0,947.0,,,0
HCPCS,93242,HCHG EXTERNAL ECG REC>48HR<7D RECORDING,269.0,269.0,,,0
HCPCS,93246,HCHG EXTERNAL ECG REC>7D<15D RECORDING,402.0,402.0,,,0
HCPCS,93270,HCHG EVENT MONITOR HOOK UP AND RECORDING/DISCONNECT,461.0,461.0,,,0
HCPCS,93271,HCHG EXT PT ACTVTD ECG REC DWNLD UP TO 30 DAY 24H ATT,140.0,140.0,,,0
HCPCS,93278,HCHG EKG SIGNAL AVERAGED,2419.0,2419.0,,,0
HCPCS,93280,HCHG CA PACEMAKER DUAL INTERROGAT WO REPROGRAMM,284.0,284.0,,,0
HCPCS,93283,HCHG CA TRNSVNS ICD EVAL REPROGRAM 2 LEAD SYS,292.0,292.0,,,0
HCPCS,93287,HCHG CA PERIOP IMP DEFIB DEVICE EVAL,448.0,448.0,,,0
HCPCS,93288,HCHG CA PC 1L INTG DV EV WO RP,292.0,292.0,,,0
HCPCS,93288,HCHG CA PCR 1L INTG DV EV W RP,292.0,292.0,,,0
HCPCS,93293,HCHG CA TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL,2635.0,2635.0,,,0
HCPCS,93303,HCHG CA ECHO 2-D CONGENITAL ANOMALY COMPLETE,1469.0,1469.0,,,0
HCPCS,93304,HCHG CA ECHO 2-D CONGENITAL ANOMALY LIMITED,979.0,979.0,,,0
HCPCS,93306,HCHG CA TTE W/DOPPLER COMPLETE,4223.0,4223.0,,,0
HCPCS,93307,HCHG CA ECHO 2-D COMPLETE,2776.0,2776.0,,,0
HCPCS,93308,HCHG CA ECHO 2-D LIMITED,1923.0,1923.0,,,0
HCPCS,93312,HCHG ECHO TRANSESOPHAGEAL,5451.0,5451.0,,,0
HCPCS,93315,HCHG CA ECHO TRANSESOPHAGEAL CONGENITAL ANOMALY,5480.0,5480.0,,,0
HCPCS,93318,HCHG ECHO TRANSESOPHAGEAL MONITORING,5606.0,5606.0,,,0
HCPCS,93319,HCHG CA 3D ECHO IMG TEE/TTE CGEN CAR ANOMAL,1357.0,1357.0,,,0
HCPCS,93320,HCHG CA ECHO DOPPLER COMPLETE,1643.0,1643.0,,,0
HCPCS,93321,HCHG CA ECHO DOPPLER LIMITED,1157.0,1157.0,,,0
HCPCS,93325,HCHG CA ECHO DOPPLER COLOR FLOW,1256.0,1256.0,,,0
HCPCS,93350,HCHG CA ECHO 2-D STRESS WO CON,4326.0,4326.0,,,0
HCPCS,93351,HCHG CA ECHO TTE 2D W/WO M-MODE REST&STRS CONT ECG,4167.5,4167.5,,,0
HCPCS,93355,HCHG ECHO TEE 3D W/CON & REPORT DOPPLER,6639.0,6639.0,,,0
HCPCS,93356,HCHG MYOCRD STRAIN IMG SPCKL TRCK,1025.0,1025.0,,,0
HCPCS,93451,HCHG CA RIGHT HEART CATH,18918.0,18918.0,,,0
HCPCS,93452,HCHG CA LT HRT CATH W/VENTGRHY,28551.0,28551.0,,,0
HCPCS,93453,HCHG CA R&L HRT CA W/VENTRCL,37116.0,37116.0,,,0
HCPCS,93454,HCHG CA CORNRY ARTRY ANGIO S&I,27999.0,27999.0,,,0
HCPCS,93455,HCHG CA CORNRY ART/GRFT ANGIO,29893.0,29893.0,,,0
HCPCS,93456,HCHG CA CORONRY ART ANGIO RHC,43888.0,43888.0,,,0
HCPCS,93457,HCHG CA R HRT ART/GRFT ANGIO,46213.0,46213.0,,,0
HCPCS,93458,HCHG CA CORONRY ART ANGIO LHC,39399.0,39399.0,,,0
HCPCS,93459,HCHG CA L HRT ART/GRFT ANGIO,46421.0,46421.0,,,0
HCPCS,93460,HCHG CA R&L ART/VENTRCL ANGIO,47393.0,47393.0,,,0
HCPCS,93461,HCHG CA R&L ART/VENT ANGIO BYP,45969.0,45969.0,,,0
HCPCS,93462,HCHG CA LFT CATH TRNSPTL PUNCT,20861.0,20861.0,,,0
HCPCS,93463,HCHG CA DRG ADM & HEMODYN MEAS,4105.0,4105.0,,,0
HCPCS,93464,HCHG CA EXERCISE STUDY W/MEASR,505.0,505.0,,,0
HCPCS,93503,HCHG CA INSERT/PLACE FLOW DIRECTED CATH FOR MONITOR,6433.0,6433.0,,,0
HCPCS,93505,HCHG CA BIOPSY ENDOMYOCARDIAL,9444.0,9444.0,,,0
HCPCS,93530,HCHG CA HEART CATH RIGHT CONGENITAL ANOMALIES,12584.0,12584.0,,,0
HCPCS,93531,HCHG CA HEART CATH RT/LT RETRO CONG CARDIAC ANOMOLIES,31732.0,31732.0,,,0
HCPCS,93533,HCHG CA HEART CATH R AND L CONGENITAL ANOMALIES THR,36565.0,36565.0,,,0
HCPCS,93563,HCHG CA INJ CONGENTL CARD CATH,2991.0,2991.0,,,0
HCPCS,93565,HCHG CA INJ L VENTR/ARTL ANGIO,2926.0,2926.0,,,0
HCPCS,93566,HCHG CA INJ R VENTR/ARTL ANGIO,2977.0,2977.0,,,0
HCPCS,93567,HCHG CA INJ SUPRVLV AORTOGRPHY,5479.0,5479.0,,,0
HCPCS,93568,HCHG CA INJECT PULM HRT CATH,4373.0,4373.0,,,0
HCPCS,93571,HCHG CA IV DOPPLER VELCTY/PRSSRE CORO ANGIO INIT VSL,6737.0,6737.0,,,0
HCPCS,93571,HCHG IFR CA IV DPPLR VELCTY/PRSSRE INIT VSL LIMITED,5115.0,5115.0,,,0
HCPCS,93572,HCHG CA INTRAVASCULAR DOPPLER W STRESS ADD VESS,3372.0,3372.0,,,0
HCPCS,93572,HCHG IFR CA IV DPPLR VELCTY/PRSSRE  ADDL VSLS LIMITED,3106.0,3106.0,,,0
HCPCS,93580,HCHG CA ASD OR PFO CLOSURE WITH IMPLANT,51223.0,51223.0,,,0
HCPCS,93581,HCHG CONGENTIAL VSD CLOSURE,50901.0,50901.0,,,0
HCPCS,93582,HCHG CA PERQ TRANSCATH CLOSURE PDA,16373.0,16373.0,,,0
HCPCS,93583,HCHG CA PERQ TRANSCATH SEPTAL REDUXN,44114.0,44114.0,,,0
HCPCS,93590,HCHG CA PERQ TRANSCATH CLS MITRAL,67884.0,67884.0,,,0
HCPCS,93591,HCHG CA PERQ TRANSCATH CLS AORTIC,77327.0,77327.0,,,0
HCPCS,93592,HCHG CA PERQ TRANSCATH CLOSURE EACH,24357.0,24357.0,,,0
HCPCS,93593,HCHG CA R HRT CATH CHD W/IMG NML NT CNJ,11094.0,11094.0,,,0
HCPCS,93594,HCHG CA R HRT CATH CHD W/IMG ABNL NT CNJ,17486.0,17486.0,,,0
HCPCS,93596,HCHG CA R&L HRT CATH CHD W/IMG CATH NML NT CNJ,28030.0,28030.0,,,0
HCPCS,93598,HCHG CA CAR OUTP MEAS DRG CATH CHD,1975.0,1975.0,,,0
HCPCS,93600,HCHG CA BUNDLE OF HIS RECORDING,10506.0,10506.0,,,0
HCPCS,93602,HCHG CA INTRA ARTERIAL RECORDING,2874.0,2874.0,,,0
HCPCS,93603,HCHG CA RIGHT VENTRICULAR RECORDING,3154.0,3154.0,,,0
HCPCS,93609,HCHG CA INTRAVENT/ART MAP TACHY SITE ID ORIG OF TACHY,15090.0,15090.0,,,0
HCPCS,93612,HCHG CA INTRAVENTRICULAR PACING,4301.0,4301.0,,,0
HCPCS,93613,HCHG CA INTRACARDIAC EP 3 DIMENSIONAL MAPPING,17806.0,17806.0,,,0
HCPCS,93615,HCHG CA ESOPHAGEAL RECORDING ATRIAL ELECTROGRAM,744.0,744.0,,,0
HCPCS,93618,HCHG CA INDUCTION ARRHYTHMIA BY ELECTRICAL PACING,7585.0,7585.0,,,0
HCPCS,93619,HCHG CA COMP EP EVAL W RT A/V PCNG/HIS RCRD WO INDUCT,26865.0,26865.0,,,0
HCPCS,93620,HCHG CA COMP EP EVAL W RT A/V PCNG/HIS RCRD W INDUCTN,29957.0,29957.0,,,0
HCPCS,93621,HCHG CA COMP EP EVAL W LEFT ATRIAL PCNG/RECORD,15797.0,15797.0,,,0
HCPCS,93622,HCHG CA COMP EP EVAL W LEFT VENT PCNG/RECORD,13438.0,13438.0,,,0
HCPCS,93623,HCHG CA PROGRAMMED STIM/PACING AFTER IV DRUG INFUSION,13343.0,13343.0,,,0
HCPCS,93624,HCHG CA EP FOLLOW UP STDY W PCNG/RECORD W INDCTN,7600.0,7600.0,,,0
HCPCS,93640,HCHG CA EP EVAL ICD LEADS INITIAL IMPLANT/REPLACE,4452.0,4452.0,,,0
HCPCS,93641,HCHG CA EP EVAL ICD LEADS/GEN INITIAL IMPLANT/REPLACE,7078.0,7078.0,,,0
HCPCS,93642,HCHG CA EP EVAL SINGLE/DUAL TRNSVNS PAC CARD DEFIB,5803.0,5803.0,,,0
HCPCS,93650,HCHG CA INTRACARD CATH ABLATION AV NODE FX/CONDUCTION,31879.0,31879.0,,,0
HCPCS,93653,HCHG CA COMPRE EP EVAL TX SVT,78332.0,78332.0,,,0
HCPCS,93654,HCHG CA COMPRE EP EVAL TX VT,84918.0,84918.0,,,0
HCPCS,93655,HCHG CA ABLATE ARRHYTHMIA ADD ON,29463.0,29463.0,,,0
HCPCS,93656,HCHG CA COMPRE EP EVAL ABLTJ ATR FIB,90645.0,90645.0,,,0
HCPCS,93657,HCHG CA TX L/R ATRIAL FIB ADDL,31029.0,31029.0,,,0
HCPCS,93660,HCHG CA TILT TABLE TEST,4199.0,4199.0,,,0
HCPCS,93662,HCHG CA INTRACARDIAC ECHO DURING INTERVENTION,10070.0,10070.0,,,0
HCPCS,93724,HCHG CA ELEC ANALYSIS ANTITACHYCARDIA PACEMAKER SYS,2314.0,2314.0,,,0
HCPCS,93750,HCHG INTERROGATION VAD IN PERSON,312.0,312.0,,,0
HCPCS,93797,HCHG CARDIAC REHAB WO EKG,394.0,394.0,,,0
HCPCS,93798,HCHG CARDIAC REHAB W CONT MONITORING EA SESSION,465.0,465.0,,,0
HCPCS,93799,HCHG BASILICA,15712.0,15712.0,,,0
HCPCS,93799,HCHG CORNRY THROMB W/ASPIRATION OR EXTRAC CATHETER,9294.0,9294.0,,,0
HCPCS,93799,HCHG FLECAINIDE CHALLENGE,754.0,754.0,,,0
HCPCS,93799,HCHG FRACTIONAL FLOW RESERVE EVAL OF CORONARY ARTERY,725.0,725.0,,,0
HCPCS,93799,HCHG INTRACARDIAC ECHOCARDIOGRAPHY,8102.0,8102.0,,,0
HCPCS,93799,HCHG ISUPREL INFUSION,754.0,754.0,,,0
HCPCS,93799,HCHG LAMPOON PROCEDURE,15712.0,15712.0,,,0
HCPCS,93799,HCHG NON CONGENTIAL VSD CLOSURE,38128.0,38128.0,,,0
HCPCS,93880,HCHG NI DUPLEX EXTRACRANIAL BILATERAL,2747.0,2747.0,,,0
HCPCS,93882,HCHG NI DUPLEX EXTRCRAN UNI LT,1538.0,1538.0,,,0
HCPCS,93882,HCHG NI DUPLEX EXTRCRAN UNI RT,1538.0,1538.0,,,0
HCPCS,93886,HCHG NI TRANSCRANIAL DOPPLER COMPLETE,2556.0,2556.0,,,0
HCPCS,93888,HCHG NI TRANSCRANIAL DOPPLER LIMITED,2798.0,2798.0,,,0
HCPCS,93892,HCHG NI TCD EMBOLI DETECT WO/IJ,4034.0,4034.0,,,0
HCPCS,93893,HCHG NI TCD STD ICR ART VEN-ART SHNT,5488.0,5488.0,,,0
HCPCS,93895,HCHG NI CAROTID INTIMA ATHEROMA EVAL BI,2305.0,2305.0,,,0
HCPCS,93922,HCHG NI EXTREMITY ARTERIAL 1 LEVEL BILATERAL LTD,1093.0,1093.0,,,0
HCPCS,93923,HCHG NI EXTREMITY ARTERIAL MULTIPLE BILATERAL,1677.0,1677.0,,,0
HCPCS,93924,HCHG NI EXTREMITY LOW W STRESS,2400.0,2400.0,,,0
HCPCS,93925,HCHG NI DUPLEX EXTREMITY LOW BILATERAL,2759.0,2759.0,,,0
HCPCS,93926,HCHG NI DUPLEX EXT LOW UNI LT,1845.0,1845.0,,,0
HCPCS,93926,HCHG NI DUPLEX EXT LOW UNI RT,1845.0,1845.0,,,0
HCPCS,93930,HCHG NI DUPLEX EXTREMITY UPPER BILATERAL,2842.0,2842.0,,,0
HCPCS,93931,HCHG NI DUPLEX EXT UPP UNI LT,1942.0,1942.0,,,0
HCPCS,93931,HCHG NI DUPLEX EXT UPP UNI RT,1942.0,1942.0,,,0
HCPCS,93970,HCHG NI DUPLEX EXTREMITY VEINS BILATERAL,2871.0,2871.0,,,0
HCPCS,93971,HCHG NI DUPLX EXT VEINS UNI LT,2046.0,2046.0,,,0
HCPCS,93971,HCHG NI DUPLX EXT VEINS UNI RT,2046.0,2046.0,,,0
HCPCS,93975,HCHG NI DUPLEX ABDOMEN PELVIS COMPLETE,3124.0,3124.0,,,0
HCPCS,93976,HCHG NI DUPLEX ABDOMEN PELVIC LTD,2111.0,2111.0,,,0
HCPCS,93978,HCHG NI AORTA IVC ILIAC COMPLETE,2413.0,2413.0,,,0
HCPCS,93979,HCHG NI AORTA IVC ILIAC LIMITED,1654.0,1654.0,,,0
HCPCS,93980,HCHG NI PENILE VESSELS COMPLETE,2069.0,2069.0,,,0
HCPCS,93985,HCHG DUPLX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,1407.0,1407.0,,,0
HCPCS,93986,HCHG DUPLX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,626.0,626.0,,,0
HCPCS,93990,HCHG NI DIALYSIS ACCESS,1610.0,1610.0,,,0
HCPCS,94002,HCHG VENT MANAGEMENT INITIAL ADULT,5784.0,5784.0,,,0
HCPCS,94002,HCHG VENT MANAGEMENT INITIAL HF,5784.0,5784.0,,,0
HCPCS,94002,HCHG VENT MANAGEMENT INITIAL NEO/PEDS,5784.0,5784.0,,,0
HCPCS,94003,HCHG VENT MANAGEMENT SUBSEQUENT ADULT,4298.0,4298.0,,,0
HCPCS,94003,HCHG VENT MANAGEMENT SUBSEQUENT HF,4298.0,4298.0,,,0
HCPCS,94003,HCHG VENT MANAGEMENT SUBSEQUENT NEO/PEDS,4298.0,4298.0,,,0
HCPCS,94010,HCHG SPIROMETRY,653.0,653.0,,,0
HCPCS,94060,HCHG SPIROMETRY PRE AND POST BRONCHODILATOR,1449.0,1449.0,,,0
HCPCS,94070,HCHG BRONCHIAL PROVOCATION,1709.0,1709.0,,,0
HCPCS,94150,HCHG VITAL CAPACITY,243.0,243.0,,,0
HCPCS,94200,HCHG MAXIMAL VOLUNTARY VENTILATION,312.0,312.0,,,0
HCPCS,94375,HCHG RESPIRATORY FLOW VOLUME LOOP,750.0,750.0,,,0
HCPCS,94450,HCHG HYPOXIC RESPONSE CURVE,3903.0,3903.0,,,0
HCPCS,94452,HCHG HIGH ALTITUDE SIMULATION,788.0,788.0,,,0
HCPCS,94453,HCHG HIGH ALTITUDE SIMULATION WITH O2 TITRATE,804.0,804.0,,,0
HCPCS,94610,HCHG SURFACTANT ADMN THRU TUBE,427.0,427.0,,,0
HCPCS,94617,HCHG EXERCISE TEST BRNCSPSM W/ ECG,632.0,632.0,,,0
HCPCS,94618,HCHG PULMONARY STRESS TEST/6 MINUTE WALK,662.0,662.0,,,0
HCPCS,94619,HCHG EXERCISE TEST BRNCSPSM W/O ECG,204.0,204.0,,,0
HCPCS,94621,HCHG CARDIOPULM EXERCISE TESTING,2115.0,2115.0,,,0
HCPCS,94625,HCHG PHY/QHP OP PULM RHB W/O MNTR,473.0,473.0,,,0
HCPCS,94626,HCHG PHY/QHP OP PULM RHB W/MNTR,473.0,473.0,,,0
HCPCS,94640,HCHG AEROSOL TREATMENT SUBSEQUENT,685.0,685.0,,,0
HCPCS,94640,HCHG AEROSOL TX INITIAL,685.0,685.0,,,0
HCPCS,94640,HCHG AIRWAY INHALATION TREATMENT,685.0,685.0,,,0
HCPCS,94640,HCHG IPPB TREATMENT SUBSEQUENT,685.0,685.0,,,0
HCPCS,94640,HCHG IPPB TX INITIAL,685.0,685.0,,,0
HCPCS,94640,HCHG IPV INITIAL,685.0,685.0,,,0
HCPCS,94640,HCHG IPV TREATMENT SUBSEQUENT,685.0,685.0,,,0
HCPCS,94640,HCHG MDI/NEB INITIAL,685.0,685.0,,,0
HCPCS,94640,HCHG MDI/NEBULIZER TREATMENT SUBSEQUENT,685.0,685.0,,,0
HCPCS,94642,HCHG PENTAMIDINE NEBULIZATION TX,409.0,409.0,,,0
HCPCS,94644,HCHG CONTINUOUS BREATHING TREATMENT 1ST HOUR,690.0,690.0,,,0
HCPCS,94645,HCHG CONTINUOUS BREATHING TREATMENT EACH ADDITIONAL HOUR,373.0,373.0,,,0
HCPCS,94660,HCHG BIPAP/CPAP/AVAPS INITIAL DAY,2733.0,2733.0,,,0
HCPCS,94660,HCHG BIPAP/CPAP/AVAPS SUBSEQUENT DAY,2733.0,2733.0,,,0
HCPCS,94662,HCHG VENT MANAGEMENT CNP INITIAL DAY,8255.0,8255.0,,,0
HCPCS,94662,HCHG VENT MANAGEMENT CNP SUBSEQUENT DAY,8255.0,8255.0,,,0
HCPCS,94664,HCHG AEROSOL TREATMENT DEMO/EVAL,555.0,555.0,,,0
HCPCS,94664,HCHG IPPB TREATMENT DEMO/EVAL,555.0,555.0,,,0
HCPCS,94664,HCHG IPV TREATMENT DEMO/EVAL,555.0,555.0,,,0
HCPCS,94664,HCHG MDI/NEB DEMO/EVAL,555.0,555.0,,,0
HCPCS,94664,HCHG PEP THERAPY,555.0,555.0,,,0
HCPCS,94667,HCHG CHEST PHYSIOTHERAPY INITIAL,418.0,418.0,,,0
HCPCS,94668,HCHG CHEST PHYSIOTHERAPY SUBSEQUENT,350.0,350.0,,,0
HCPCS,94669,HCHG MECHANICAL CHEST WALL OSCILL,502.0,502.0,,,0
HCPCS,94681,HCHG OXYGEN UPTAKE STUDY COMPLEX,989.0,989.0,,,0
HCPCS,94690,HCHG OXYGEN UPTAKE REST,103.0,103.0,,,0
HCPCS,94726,HCHG PLETHYSMOGRAPHY LUNG VOL,992.0,992.0,,,0
HCPCS,94729,HCHG CO DIFFUSING CAPACITY,775.0,775.0,,,0
HCPCS,94780,HCHG CAR SEAT/BED TEST 60 MIN,746.0,746.0,,,0
HCPCS,94781,HCHG CAR SEAT/BED TEST +30 MIN,329.0,329.0,,,0
HCPCS,94799,HCHG COUGH ASSIST,308.0,308.0,,,0
HCPCS,95012,HCHG EXHALED NITRIC OXIDE MEAS,340.0,340.0,,,0
HCPCS,95250,HCHG CONTINUOUS GLUCOSE MONITORING UP TO 72 HR,940.0,940.0,,,0
HCPCS,95700,HCHG LTM EEG SET-UP,1182.0,1182.0,,,0
HCPCS,95705,HCHG EEG W/O VID 2-12 HR UNMNTR,3674.0,3674.0,,,0
HCPCS,95706,HCHG EEG WO VID 2-12HR INTMT MNTR,4064.0,4064.0,,,0
HCPCS,95707,HCHG EEG W/O VID 2-12HR CONT MNTR,1323.0,1323.0,,,0
HCPCS,95708,HCHG EEG WO VID EA 12-26HR UNMNTR,3408.0,3408.0,,,0
HCPCS,95709,HCHG EEG W/O VID EA 12-26HR INTMT,7774.0,7774.0,,,0
HCPCS,95710,HCHG EEG W/O VID EA 12-26HR CONT,6836.0,6836.0,,,0
HCPCS,95711,HCHG VEEG 2-12 HR UNMONITORED,1560.0,1560.0,,,0
HCPCS,95712,HCHG VEEG 2-12 HR INTMT MNTR,2463.0,2463.0,,,0
HCPCS,95713,HCHG VEEG 2-12 HR CONT MNTR,3190.0,3190.0,,,0
HCPCS,95714,HCHG VEEG EA 12-26 HR UNMNTR,2971.0,2971.0,,,0
HCPCS,95715,HCHG VEEG EA 12-26HR INTMT MNTR,4721.0,4721.0,,,0
HCPCS,95716,HCHG VEEG EA 12-26HR CONT MNTR,7418.0,7418.0,,,0
HCPCS,95806,HCHG SLEEP STUDY UNATTENDED,875.0,875.0,,,0
HCPCS,95812,HCHG EEG EXTEND MONITORING 41-60 MIN,2466.0,2466.0,,,0
HCPCS,95813,HCHG EEG 61-119 MIN,2482.0,2482.0,,,0
HCPCS,95816,HCHG EEG AWAKE AND DROWSY RECORDS 20-40 MIN,2159.0,2159.0,,,0
HCPCS,95819,HCHG EEG AWAKE AND ASLEEP RECORDS 20-40 MIN,2327.0,2327.0,,,0
HCPCS,95822,HCHG EEG SLEEP COMA RECORDS 20-40 MIN,2785.0,2785.0,,,0
HCPCS,95824,HCHG EEG CEREBRAL DEATH EVALUATION,2567.0,2567.0,,,0
HCPCS,95829,HCHG ELECTROCORTICOGRAM SURGERY,2106.0,2106.0,,,0
HCPCS,95830,HCHG SPHENOID ELECTRODE INSERTION FOR EEG,549.0,549.0,,,0
HCPCS,95851,HCHG OT ROM BODY WO HAND,474.0,474.0,,,0
HCPCS,95852,HCHG OT ROM HAND,312.0,312.0,,,0
HCPCS,95857,HCHG TENSILON TEST FOR MYASTHENIA GRAVIS,1059.0,1059.0,,,0
HCPCS,95860,HCHG EMG 1 EXTREMITY,337.0,337.0,,,0
HCPCS,95861,HCHG EMG 2 EXTREMITIES,534.0,534.0,,,0
HCPCS,95863,HCHG EMG 3 EXTREMITIES,1832.0,1832.0,,,0
HCPCS,95864,HCHG EMG 4 EXTREMITIES,470.0,470.0,,,0
HCPCS,95867,HCHG EMG CRANIAL NERVE MUSCLE UNILATERAL,4005.0,4005.0,,,0
HCPCS,95869,HCHG EMG THORACIC PARASPINAL MUSCLE,92.0,92.0,,,0
HCPCS,95870,HCHG EMG LIMITED STUDY,423.0,423.0,,,0
HCPCS,95885,HCHG MUSC TST DONE W/NERV TST LIM,350.0,350.0,,,0
HCPCS,95886,HCHG MUSC TEST DONE W/N TEST COMP,406.0,406.0,,,0
HCPCS,95887,HCHG MUSC TST DONE W/N TST NONEXT,449.0,449.0,,,0
HCPCS,95907,HCHG MOTOR&/SENS 1-2 NRV CNDJ TST,208.0,208.0,,,0
HCPCS,95908,HCHG MOTOR&/SENS 3-4 NRV CNDJ TST,261.0,261.0,,,0
HCPCS,95909,HCHG MOTOR&/SENS 5-6 NRV CNDJ TST,314.0,314.0,,,0
HCPCS,95910,HCHG MOTOR&SENS 7-8 NRV CNDJ TEST,368.0,368.0,,,0
HCPCS,95911,HCHG MOTOR&SEN 9-10 NRV CNDJ TEST,421.0,421.0,,,0
HCPCS,95912,HCHG MOTOR&SEN 11-12 NRV CND TEST,474.0,474.0,,,0
HCPCS,95913,HCHG MOTOR&SENS 13/> NRV CND TEST,527.0,527.0,,,0
HCPCS,95923,HCHG ANS FCN SUDOMOTOR,438.0,438.0,,,0
HCPCS,95925,HCHG SEP UPPER LIMBS BILATERAL,6853.0,6853.0,,,0
HCPCS,95926,HCHG SEP LOWER LIMBS BILATERAL,5486.0,5486.0,,,0
HCPCS,95926,HCHG SEP LOWER LIMBS UNILATERAL,5486.0,5486.0,,,0
HCPCS,95927,HCHG SEP TRUNK/HEAD,2961.0,2961.0,,,0
HCPCS,95928,HCHG C MOTOR EVOKED UPPR LIMBS,1171.0,1171.0,,,0
HCPCS,95929,"HCHG C MOTOR EVOKED, LWR LIMBS",1636.0,1636.0,,,0
HCPCS,95930,HCHG VISUAL EP TEST CNS,1169.0,1169.0,,,0
HCPCS,95937,HCHG NEUROMUSCULAR JUNCTION TESTING EACH NERVE,528.0,528.0,,,0
HCPCS,95938,HCHG SOMATOSENSORY TESTING BI,2432.0,2432.0,,,0
HCPCS,95939,HCHG C MOTOR EVOKED UPR&LWR LIMBS,2074.0,2074.0,,,0
HCPCS,95940,HCHG IONM IN OPERATNG ROOM EA 15 MIN,1093.0,1093.0,,,0
HCPCS,95941,HCHG IONM REMOTE>1 PT OR PER HR,7821.0,7821.0,,,0
HCPCS,95955,HCHG EEG DURING SURGERY,2404.0,2404.0,,,0
HCPCS,95958,HCHG WADA ACTIVATION TEST,4247.0,4247.0,,,0
HCPCS,95961,HCHG ELCTRDE STIM BRAIN 1ST HR ( > 31 MIN),3362.0,3362.0,,,0
HCPCS,95962,HCHG FUNCTIONAL CORTICAL MAPPING EACH ADDITIONAL HOUR,4245.0,4245.0,,,0
HCPCS,95990,HCHG REFILLING MAINTENANCE OF IMPLANTABLE PUMP SPINAL O,857.0,857.0,,,0
HCPCS,95991,HCHG REFILL MAIN IMPLT PUMP/RSVR DELIVERY SPINE/BRAIN,1619.0,1619.0,,,0
HCPCS,95992,HCHG PT CANALITH REPOSITIONING,236.0,236.0,,,0
HCPCS,95999,HCHG LTM EEG SETUP-NON-TECH OR W/PT PLCD ELCTRDE,798.0,798.0,,,0
HCPCS,96040,HCHG GENETIC COUNSELING 30 MN,494.0,494.0,,,0
HCPCS,96040,HCHG TH GENETIC COUNSELING 30 MN,494.0,494.0,,,0
HCPCS,96041,HCHG GENETIC COUNSELING SVC EA 30,519.0,519.0,,,0
HCPCS,96041,HCHG TH GENETIC COUNSELING SVC EA 30,519.0,519.0,,,0
HCPCS,96105,HCHG SP EVAL APHASIA HR,668.0,668.0,,,0
HCPCS,96105,HCHG TH SP EVALUATION APHASIA HR,668.0,668.0,,,0
HCPCS,96112,HCHG DEVEL TST PHYS/QHP 1ST HR,874.0,874.0,,,0
HCPCS,96112,HCHG OT DEVEL TST PHYS/QHP 1ST HR,842.0,842.0,,,0
HCPCS,96112,HCHG PT DEVEL TST PHYS/QHP 1ST HR,842.0,842.0,,,0
HCPCS,96112,HCHG TH DEVEL TST PHYS/QHP 1ST HR,874.0,874.0,,,0
HCPCS,96112,HCHG TH OT DEVEL TST PHYS/QHP 1ST HR,842.0,842.0,,,0
HCPCS,96112,HCHG TH PT DEVEL TST PHYS/QHP 1ST HR,842.0,842.0,,,0
HCPCS,96113,HCHG DEVEL TST PHYS/QHP EA ADDL 30 MIN,470.0,470.0,,,0
HCPCS,96113,HCHG OT DEVEL TST PHYS/QHP EA ADDL 30 MIN,431.0,431.0,,,0
HCPCS,96113,HCHG PT DEVEL TST PHYS/QHP EA ADDL 30 MIN,431.0,431.0,,,0
HCPCS,96113,HCHG TH DEVEL TST PHYS/QHP EA ADDL 30 MIN,470.0,470.0,,,0
HCPCS,96113,HCHG TH OT DEVEL TST PHYS/QHP EA ADDL 30 MIN,431.0,431.0,,,0
HCPCS,96113,HCHG TH PT DEVEL TST PHYS/QHP EA ADDL 30 MIN,431.0,431.0,,,0
HCPCS,96116,HCHG PSYC NEUROBEHAVR EXAM 1ST HR,1083.0,1083.0,,,0
HCPCS,96116,HCHG TH PSYC NEUROBEHAVR EXAM 1ST HR,1083.0,1083.0,,,0
HCPCS,96121,HCHG NEUROBH EXAM PHYS/QHP EA ADD HR,1197.0,1197.0,,,0
HCPCS,96121,HCHG TH NEUROBH EXAM PHYS/QHP EA ADD HR,1197.0,1197.0,,,0
HCPCS,96125,HCHG OT COGNTVE TEST BY HC PRO,577.0,577.0,,,0
HCPCS,96125,HCHG SP COGNTVE TEST BY HC PRO,603.0,603.0,,,0
HCPCS,96125,HCHG TH OT COGNTVE TEST BY HC PRO,577.0,577.0,,,0
HCPCS,96125,HCHG TH SP COGNTVE TEST BY HC PRO,603.0,603.0,,,0
HCPCS,96130,HCHG PSYC TEST EVAL PHYS/QHP 1ST HR,650.0,650.0,,,0
HCPCS,96130,HCHG TH PSYC TEST EVAL PHYS/QHP 1ST HR,650.0,650.0,,,0
HCPCS,96131,HCHG PSYC TEST EVAL PHYS/QHP EA ADD HR,649.0,649.0,,,0
HCPCS,96131,HCHG TH PSYC TEST EVAL PHYS/QHP EA ADD HR,649.0,649.0,,,0
HCPCS,96132,HCHG NEUROPSYC TEST EVAL PHYS/QHP 1ST HR,1015.0,1015.0,,,0
HCPCS,96132,HCHG TH NEUROPSYC TEST EVAL PHYS/QHP 1ST HR,1015.0,1015.0,,,0
HCPCS,96133,HCHG NEUROPSYC TEST EVAL PHYS/QHP EA ADD HR,1151.0,1151.0,,,0
HCPCS,96133,HCHG TH NEUROPSYC TEST EVAL PHYS/QHP EA ADD HR,1151.0,1151.0,,,0
HCPCS,96136,HCHG PSYC/NEURO >=2 TEST PHYS/QHP 1ST 30 MIN,595.0,595.0,,,0
HCPCS,96136,HCHG TH PSYC/NEURO >=2 TEST PHYS/QHP 1ST 30 MIN,595.0,595.0,,,0
HCPCS,96137,HCHG PSYC/NEURO >=2 TEST PHYS/QHP EA ADD 30 MIN,499.0,499.0,,,0
HCPCS,96137,HCHG TH PSYC/NEURO >=2 TEST PHYS/QHP EA ADD 30 MIN,499.0,499.0,,,0
HCPCS,96138,HCHG PSYC/NEURO >=2 TEST BY TECH 1ST 30 MIN,606.0,606.0,,,0
HCPCS,96138,HCHG TH PSYC/NEURO >=2 TEST BY TECH 1ST 30 MIN,606.0,606.0,,,0
HCPCS,96139,HCHG PSYC/NEURO >=2 TEST BY TECH EA ADD 30 MIN,606.0,606.0,,,0
HCPCS,96139,HCHG TH PSYC/NEURO >=2 TEST BY TECH EA ADD 30 MIN,606.0,606.0,,,0
HCPCS,96202,HCHG MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60,784.0,784.0,,,0
HCPCS,96203,HCHG MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL,197.0,197.0,,,0
HCPCS,96360,HCHG INFUSION HYDRATION INITIAL UP TO 1 HR,1160.0,1160.0,,,0
HCPCS,96360,Hydration iv infusion init,,,622.95,622.95,1
HCPCS,96361,HCHG INFUSION HYDRATION EA ADDL HR,490.0,490.0,,,0
HCPCS,96361,Hydrate iv infusion add-on,,,129.2,129.2,1
HCPCS,96365,HCHG INFUSION INITIAL W/MED UP TO 1 HR,1214.0,1214.0,,,0
HCPCS,96366,HCHG INFUSION W/MED EA ADDL HR,589.0,589.0,,,0
HCPCS,96367,HCHG INFUSION SEQ W MED UP TO 1 HR,549.0,549.0,,,0
HCPCS,96368,HCHG INFUSION CONCURRENT,489.0,489.0,,,0
HCPCS,96369,HCHG INFUSION SUBCUT UP TO 1 HR,522.0,522.0,,,0
HCPCS,96370,HCHG INFUSION SUBCUT ADDL HR,154.0,154.0,,,0
HCPCS,96371,HCHG INFUSION SUBCUT RESET PUMP,1197.0,1197.0,,,0
HCPCS,96372,HCHG INJECTION IM/SQ EA,345.0,345.0,,,0
HCPCS,96374,HCHG IV PUSH INITIAL DRUG,647.0,647.0,,,0
HCPCS,96375,HCHG INJECTION IVP ADDL SEQ NEW DRG,484.0,484.0,,,0
HCPCS,96376,HCHG IVP SAME DRG EACH ADD (ELAPSED TIME >30M),469.0,469.0,,,0
HCPCS,96377,HCHG APPLICATON ON-BODY INJECTOR,338.0,338.0,,,0
HCPCS,96401,HCHG CHEMO NON-HORMONAL SQ/IM,715.0,715.0,,,0
HCPCS,96402,HCHG CHEMO HORMONAL SQ/IM,533.0,533.0,,,0
HCPCS,96405,HCHG CHEMO INTRALESIONAL UP TO 7,335.0,335.0,,,0
HCPCS,96409,HCHG CHEMO IV PUSH INITIAL DRUG,1155.0,1155.0,,,0
HCPCS,96411,HCHG CHEMO IV PUSH ADDL NEW DRUG,812.0,812.0,,,0
HCPCS,96413,HCHG CHEMO INFUSION INITIAL UP TO 1 HR,1768.0,1768.0,,,0
HCPCS,96413,HCHG OBS INFUSN CHEMO 0-60 MN,1768.0,1768.0,,,0
HCPCS,96415,HCHG CHEMO INFUSION EA ADDL HR,684.0,684.0,,,0
HCPCS,96415,HCHG OBS INFUSN CHEM EA ADD HR,684.0,684.0,,,0
HCPCS,96416,HCHG CHEMO INFUSION PORTABLE/IMPLANTED PUMP,1821.0,1821.0,,,0
HCPCS,96417,HCHG CHEMO INFUSION SEQ UP TO 1 HR,842.0,842.0,,,0
HCPCS,96420,HCHG CHEMO IA PUSH,1789.0,1789.0,,,0
HCPCS,96422,HCHG CHEMO INFUSION IA UP TO 1 HR,1569.0,1569.0,,,0
HCPCS,96423,HCHG CHEMO INFUSION IA EA ADDL HR,882.0,882.0,,,0
HCPCS,96425,HCHG INF CHEM INTRA ART PROLNG,1594.0,1594.0,,,0
HCPCS,96440,HCHG CHEMO PLURAL CAV W/THOR,3403.0,3403.0,,,0
HCPCS,96446,HCHG CHEMOTX ADMN PRTL CAVITY,691.0,691.0,,,0
HCPCS,96450,HCHG CHEMO CNS W/SPINAL PUNCTURE,2007.0,2007.0,,,0
HCPCS,96521,HCHG REFILL PORTABLE PUMP,749.0,749.0,,,0
HCPCS,96522,HCHG REFILL IMPLANTED PUMP,913.0,913.0,,,0
HCPCS,96523,HCHG IRRIG IMPLNTD VNS ACC DVC,380.0,380.0,,,0
HCPCS,96542,HCHG CHEMO SUBARACHNOID OR INTRAVENTRICULAR VIA SUBCUTANEOUS PUMP,1602.0,1602.0,,,0
HCPCS,96549,HCHG CHEMO CONCURRENT INFUSION,418.0,418.0,,,0
HCPCS,97012,HCHG PT MECH TRACT,186.0,186.0,,,0
HCPCS,97018,HCHG OT PARAFFIN BATH,141.0,141.0,,,0
HCPCS,97018,HCHG PT PARAFFIN BATH,141.0,141.0,,,0
HCPCS,97022,HCHG OT WHIRLPOOL,141.0,141.0,,,0
HCPCS,97022,HCHG PT WHIRLPOOL,141.0,141.0,,,0
HCPCS,97032,HCHG OT ELECTRICAL STIMULATION ATTENDED EA 15 MIN,186.0,186.0,,,0
HCPCS,97032,HCHG PT ELECTRICAL STIMULATION ATTENDED EA 15 MIN,186.0,186.0,,,0
HCPCS,97033,HCHG OT IONTOPHORESIS EA 15 MIN,158.0,158.0,,,0
HCPCS,97033,HCHG PT IONTOPHORESIS EA 15 MIN,158.0,158.0,,,0
HCPCS,97034,HCHG OT CONTRAST BATHS EA 15 MIN,123.0,123.0,,,0
HCPCS,97034,HCHG PT CONTRAST BATHS EA 15 MIN,123.0,123.0,,,0
HCPCS,97035,HCHG OT ULTRASOUND EA 15 MIN,162.0,162.0,,,0
HCPCS,97035,HCHG PT ULTRASOUND EA 15 MIN,162.0,162.0,,,0
HCPCS,97037,HCHG OT LOW LVL LASER FOR POST OP PAIN,186.0,186.0,,,0
HCPCS,97037,HCHG PT LOW LVL LASER FOR POST OP PAIN,186.0,186.0,,,0
HCPCS,97110,HCHG OT THERAPEUTIC EXERCISE EA 15 MIN,236.0,236.0,,,0
HCPCS,97110,HCHG PT THERAPEUTIC EXERCISE EA 15 MIN,236.0,236.0,,,0
HCPCS,97110,HCHG TH OT THERAPEUTIC EXERCISE EA 15 MIN,236.0,236.0,,,0
HCPCS,97110,HCHG TH PT THERAPEUTIC EXERCISE EA 15 MIN,236.0,236.0,,,0
HCPCS,97112,HCHG OT NEUROMUSCULAR REEDUCATION EA 15 MIN,236.0,236.0,,,0
HCPCS,97112,HCHG PT NEUROMUSCULAR REEDUCATION EA 15 MIN,236.0,236.0,,,0
HCPCS,97112,HCHG TH OT NEUROMUSCULAR REEDUCATION EA 15 MIN,236.0,236.0,,,0
HCPCS,97112,HCHG TH PT NEUROMUSCULAR REEDUCATION EA 15 MIN,236.0,236.0,,,0
HCPCS,97113,HCHG OT AQUATIC THERAPY EA 15 MIN,243.0,243.0,,,0
HCPCS,97113,HCHG PT AQUATIC THERAPY EA 15 MIN,243.0,243.0,,,0
HCPCS,97116,HCHG PT GAIT TRAINING EA 15 MIN,239.0,239.0,,,0
HCPCS,97116,HCHG TH PT GAIT TRAINING EA 15 MIN,239.0,239.0,,,0
HCPCS,97124,HCHG OT THERAPEUTIC MASSAGE EA 15 MIN,171.0,171.0,,,0
HCPCS,97124,HCHG PT THERAPEUTIC MASSAGE EA 15 MIN,171.0,171.0,,,0
HCPCS,97129,HCHG COGNTIVE FNCTN INTRVEN 1ST 15 MIN,231.5,231.5,,,0
HCPCS,97129,HCHG TH COGNTIVE FNCTN INTRVEN 1ST 15 MIN,239.0,239.0,,,0
HCPCS,97129,HCHG TH OT COGNTIVE FNCTN INTRVEN 1ST 15 MIN,239.0,239.0,,,0
HCPCS,97130,HCHG COGNTIVE FNCTN INTRVEN EA ADDL 15 MIN,173.0,173.0,,,0
HCPCS,97130,HCHG TH COGNTIVE FNCTN INTRVEN EA ADDL 15 MIN,168.0,168.0,,,0
HCPCS,97130,HCHG TH OT COGNTIVE FNCTN INTRVEN EA ADDL 15 MIN,168.0,168.0,,,0
HCPCS,97140,HCHG OT MANUAL THERAPY EA 15 MIN,246.0,246.0,,,0
HCPCS,97140,HCHG PT MANUAL THERAPY EA 15 MIN,246.0,246.0,,,0
HCPCS,97150,HCHG OT GROUP THERAPY,211.0,211.0,,,0
HCPCS,97150,HCHG PT PROC THER GP,211.0,211.0,,,0
HCPCS,97150,HCHG TH OT GROUP THERAPY,211.0,211.0,,,0
HCPCS,97150,HCHG TH PT PROC THER GP,211.0,211.0,,,0
HCPCS,97161,HCHG PT EVAL LOW COMPLEXITY,495.0,495.0,,,0
HCPCS,97161,HCHG TH PT EVAL LOW COMPLEXITY,495.0,495.0,,,0
HCPCS,97162,HCHG PT EVAL MOD COMPLEXITY,558.0,558.0,,,0
HCPCS,97162,HCHG TH PT EVAL MOD COMPLEXITY,558.0,558.0,,,0
HCPCS,97163,HCHG PT EVAL HIGH COMPLEXITY,629.0,629.0,,,0
HCPCS,97163,HCHG TH PT EVAL HIGH COMPLEXITY,629.0,629.0,,,0
HCPCS,97164,HCHG PT RE-EVAL ESTABLISHED PLAN CARE,330.0,330.0,,,0
HCPCS,97164,HCHG TH PT RE-EVAL ESTABLISHED PLAN CARE,330.0,330.0,,,0
HCPCS,97165,HCHG OT EVAL LOW COMPLEXITY,508.0,508.0,,,0
HCPCS,97165,HCHG TH OT EVAL LOW COMPLEXITY,508.0,508.0,,,0
HCPCS,97166,HCHG OT EVAL MOD COMPLEXITY,624.0,624.0,,,0
HCPCS,97166,HCHG TH OT EVAL MOD COMPLEXITY,624.0,624.0,,,0
HCPCS,97167,HCHG OT EVAL HIGH COMPLEXITY,646.0,646.0,,,0
HCPCS,97167,HCHG TH OT EVAL HIGH COMPLEXITY,646.0,646.0,,,0
HCPCS,97168,HCHG OT RE-EVAL ESTABLISHED PLAN CARE,372.0,372.0,,,0
HCPCS,97168,HCHG TH OT RE-EVAL ESTABLISHED PLAN CARE,372.0,372.0,,,0
HCPCS,97530,HCHG OT THERAPEUTIC ACTIVITY EA 15 MIN,253.0,253.0,,,0
HCPCS,97530,HCHG PT THERAPEUTIC ACTIVITY EA 15 MIN,253.0,253.0,,,0
HCPCS,97530,HCHG TH OT THERAPEUTIC ACTIVITY EA 15 MIN,253.0,253.0,,,0
HCPCS,97530,HCHG TH PT THERAPEUTIC ACTIVITY EA 15 MIN,253.0,253.0,,,0
HCPCS,97533,HCHG OT SENSORY INTEGRATION EA 15 MIN,135.0,135.0,,,0
HCPCS,97533,HCHG PT SENSORY INTEGRATION EA 15 MIN,135.0,135.0,,,0
HCPCS,97535,HCHG OT ADL TRAINING EA 15 MIN,240.0,240.0,,,0
HCPCS,97535,HCHG PT ADL TRAINING EA 15 MIN,240.0,240.0,,,0
HCPCS,97535,HCHG TH OT ADL TRAINING EA 15 MIN,240.0,240.0,,,0
HCPCS,97535,HCHG TH PT ADL TRAINING EA 15 MIN,240.0,240.0,,,0
HCPCS,97537,HCHG OT COMMUNITY REINTEGRATION EA 15 MIN,148.0,148.0,,,0
HCPCS,97537,HCHG PT COMMUNITY REINTEGRATION EA 15 MIN,148.0,148.0,,,0
HCPCS,97542,HCHG OT WHEELCHAIR TRAINING EA 15 MIN,200.0,200.0,,,0
HCPCS,97542,HCHG PT WHEELCHAIR TRAINING EA 15 MIN,200.0,200.0,,,0
HCPCS,97542,HCHG TH OT WHEELCHAIR TRAINING EA 15 MIN,200.0,200.0,,,0
HCPCS,97542,HCHG TH PT WHEELCHAIR TRAINING EA 15 MIN,200.0,200.0,,,0
HCPCS,97545,HCHG OT WORK CONDITIONING INITIAL 120 MIN,1021.0,1021.0,,,0
HCPCS,97545,HCHG PT WORK COND INIT 120,1071.0,1071.0,,,0
HCPCS,97546,HCHG OT WORK CONDITIONING ADD 60 MIN,483.0,483.0,,,0
HCPCS,97546,HCHG PT WORK CONDITIONING ADD 60 MIN,507.0,507.0,,,0
HCPCS,97550,HCHG OT CAREGIVER TRAINING 1ST 30 MIN,471.0,471.0,,,0
HCPCS,97550,HCHG PT CAREGIVER TRAINING 1ST 30 MIN,471.0,471.0,,,0
HCPCS,97550,HCHG SP CAREGIVER TRAINING 1ST 30 MIN,471.0,471.0,,,0
HCPCS,97551,HCHG OT CAREGIVER TRAINING EA ADDL 15 MIN,236.0,236.0,,,0
HCPCS,97551,HCHG PT CAREGIVER TRAINING EA ADDL 15 MIN,236.0,236.0,,,0
HCPCS,97551,HCHG SP CAREGIVER TRAINING EA ADDL 15 MIN,236.0,236.0,,,0
HCPCS,97552,HCHG OT GROUP CAREGIVER TRAINING,211.0,211.0,,,0
HCPCS,97552,HCHG PT GROUP CAREGIVER TRAINING,211.0,211.0,,,0
HCPCS,97552,HCHG SP GROUP CAREGIVER TRAINING,211.0,211.0,,,0
HCPCS,97602,HCHG OT DEBRIDE NON-SELECT,501.0,501.0,,,0
HCPCS,97750,HCHG OT PHYSICAL PERFORMANCE TEST EA 15 MIN,192.0,192.0,,,0
HCPCS,97750,HCHG PT PHYSICAL PERFORMANCE TEST EA 15 MIN,192.0,192.0,,,0
HCPCS,97750,HCHG TH OT PHYSICAL PERFORMANCE TEST EA 15 MIN,192.0,192.0,,,0
HCPCS,97750,HCHG TH PT PHYSICAL PERFORMANCE TEST EA 15 MIN,192.0,192.0,,,0
HCPCS,97755,HCHG OT ASSISTIVE TECHNOLOGIES ASSESSMENT EA 15 MIN,204.0,204.0,,,0
HCPCS,97760,HCHG OT ORTHOTIC TRAINING INITIAL EA 15 MIN,221.0,221.0,,,0
HCPCS,97760,HCHG PT ORTHOTIC TRAINING INITIAL EA 15 MIN,221.0,221.0,,,0
HCPCS,97760,HCHG TH OT ORTHOTIC TRAINING INITIAL EA 15 MIN,221.0,221.0,,,0
HCPCS,97760,HCHG TH PT ORTHOTIC TRAINING INITIAL EA 15 MIN,221.0,221.0,,,0
HCPCS,97761,HCHG OT PROSTHETIC TRAINING INITIAL EA 15 MIN,191.0,191.0,,,0
HCPCS,97761,HCHG PT PROSTHETIC TRAINING INITIAL EA 15 MIN,191.0,191.0,,,0
HCPCS,97761,HCHG TH OT PROSTHETIC TRAINING INITIAL EA 15 MIN,191.0,191.0,,,0
HCPCS,97761,HCHG TH PT PROSTHETIC TRAINING INITIAL EA 15 MIN,191.0,191.0,,,0
HCPCS,97763,HCHG OT ORTHC/PROSTC MGMT SBSQ ENC,243.0,243.0,,,0
HCPCS,97763,HCHG PT ORTHC/PROSTC MGMT SBSQ ENC,243.0,243.0,,,0
HCPCS,97799,HCHG OT MOCA,585.0,585.0,,,0
HCPCS,97802,HCHG MEDICAL NUTRITION THERAPY ASSESSMENT AND INTERVENT,149.0,149.0,,,0
HCPCS,97803,HCHG MEDICAL NUTRITION THERAPY REASSESSMENT AND INTERVE,145.0,145.0,,,0
HCPCS,97804,HCHG MED NUTR TX GP EA 30,38.0,38.0,,,0
HCPCS,98960,HCHG CHW SUN EDUCATION IND EA 30 MIN,223.0,223.0,,,0
HCPCS,98960,HCHG SELF MANAGEMENT EDUCATION 1 PATIENT 30 MIN,220.0,220.0,,,0
HCPCS,99001,HCHG KIT DRAW,54.5,54.5,,,0
HCPCS,99001,HCHG SPEC HANDL TO REF LAB,54.5,54.5,,,0
HCPCS,99078,HCHG INSULIN PUMP THER EDUC,172.0,172.0,,,0
HCPCS,99151,HCHG MOD SED SAME MD/QHP LT 5 YRS,2107.0,2107.0,,,0
HCPCS,99152,HCHG MOD SED SAME MD/QHP GT 5 YRS,431.0,431.0,,,0
HCPCS,99155,HCHG MOD SED OTH MD/QHP LT 5 YRS,440.0,440.0,,,0
HCPCS,99156,HCHG MOD SED OTH MD/QHP GT 5 YRS,549.0,549.0,,,0
HCPCS,99173,HCHG SCRN VISUAL ACTY QN BIL,41.0,41.0,,,0
HCPCS,99175,HCHG IPECAC/CHARCOAL ADMINISTRATION,395.0,395.0,,,0
HCPCS,99195,HCHG THERAPEUTIC PHLEBOTOMY,646.0,646.0,,,0
HCPCS,99217,HCHG APC OBSERVATION CARE DISCHARGE SERVICES,280.0,280.0,,,0
HCPCS,99218,HCHG APC INITIAL OBSERVATION CARE LOW,378.0,378.0,,,0
HCPCS,99219,HCHG APC INITIAL OBSERVATION CARE MOD,518.0,518.0,,,0
HCPCS,99220,HCHG APC INITIAL OBSERVATION CARE HIGH,705.0,705.0,,,0
HCPCS,99221,HCHG APC INITIAL HOSPITAL CARE LOW,385.0,385.0,,,0
HCPCS,99222,HCHG APC INITIAL HOSPITAL CARE MED,520.0,520.0,,,0
HCPCS,99223,HCHG APC INITIAL HOSPITAL CARE HIGH,771.0,771.0,,,0
HCPCS,99224,HCHG APC SUBSEQUENT OBSERVATION CARE LOW,150.0,150.0,,,0
HCPCS,99225,HCHG APC SUBSEQUENT OBSERVATION CARE MOD,278.0,278.0,,,0
HCPCS,99226,HCHG APC SUBSEQUENT OBSERVATION CARE HIGH,400.0,400.0,,,0
HCPCS,99231,HCHG APC SUBSEQUENT HOSPITAL CARE LOW,149.0,149.0,,,0
HCPCS,99232,HCHG APC SUBSEQUENT HOSPITAL CARE MED,276.0,276.0,,,0
HCPCS,99233,HCHG APC SUBSEQUENT HOSPITAL CARE HIGH,399.0,399.0,,,0
HCPCS,99234,HCHG APC OBS OR INPT CARE SVCS INCL ADM/DSCHRG LOW,507.0,507.0,,,0
HCPCS,99235,HCHG APC OBS OR INPT CARE SVCS INCL ADM/DSCHRG MOD,644.0,644.0,,,0
HCPCS,99236,HCHG APC OBS OR INPT CARE SVCS INCL ADM/DSCHRG HIGH,828.0,828.0,,,0
HCPCS,99238,HCHG APC HOSPITAL DISCHARGE SERVICES LOW,282.0,282.0,,,0
HCPCS,99239,HCHG APC HOSPITAL DISCHARGE SERVICES HIGH,413.0,413.0,,,0
HCPCS,99281,HCHG ED LEVEL 1,603.0,603.0,,,0
HCPCS,99281,HCHG ED LEVEL 1 W/PROC,603.0,603.0,,,0
HCPCS,99282,HCHG ED LEVEL 2,1527.0,1527.0,,,0
HCPCS,99282,HCHG ED LEVEL 2 W/PROC,1527.0,1527.0,,,0
HCPCS,99283,HCHG ED LEVEL 3,3093.0,3093.0,,,0
HCPCS,99283,HCHG ED LEVEL 3 W/PROC,3093.0,3093.0,,,0
HCPCS,99284,HCHG ED LEVEL 4,5214.0,5214.0,,,0
HCPCS,99284,HCHG ED LEVEL 4 W/PROC,5214.0,5214.0,,,0
HCPCS,99285,HCHG ED LEVEL 5,8003.0,8003.0,,,0
HCPCS,99285,HCHG ED LEVEL 5 W/PROC,8003.0,8003.0,,,0
HCPCS,99291,HCHG APC CC 1ST 30-74 MIN,876.0,876.0,,,0
HCPCS,99291,HCHG ED CC 1ST 30-74 MN W/PROC,9840.0,9840.0,,,0
HCPCS,99291,HCHG ED CRIT CARE 1ST 30-74 MN,9840.0,9840.0,,,0
HCPCS,99292,HCHG APC CC EA ADD 30 MIN,440.0,440.0,,,0
HCPCS,99292,HCHG ED CRIT CARE ADD 30 MIN,3745.0,3745.0,,,0
HCPCS,99406,HCHG SMOKING CESSATION COUNSELING 3-10 M,133.0,133.0,,,0
HCPCS,99407,HCHG SMOKING CESSATION COUNSELING >10 M,159.0,159.0,,,0
HCPCS,99483,HCHG  ASSMT & CARE PLN PT COG IMP,291.0,291.0,,,0
HCPCS,A4217,STERILE WATER FOR IRRIGATION IR SOLN,33.04,33.04,,,0
HCPCS,A4641,HCHG C14 FOR UREA TEST,567.0,567.0,,,0
HCPCS,A4641,HCHG I-123 MIBG PER DOSE,7121.0,7121.0,,,0
HCPCS,A4641,HCHG I-125 PER 10UCI,1207.0,1207.0,,,0
HCPCS,A4641,HCHG IOFLUPANE I 123 2.5ML IJ,567.0,567.0,,,0
HCPCS,A4642,In111 satumomab,,,5477.92,5477.92,1
HCPCS,A9500,HCHG TC-99M SESTAMIBI DIAGNOSTIC UP TO 40MC,545.0,545.0,,,0
HCPCS,A9500,Tc99m sestamibi,,,395.21,395.21,1
HCPCS,A9502,HCHG TC-99M TETROFOSMIN DX PER STUDY DOSE,383.0,383.0,,,0
HCPCS,A9502,Tc99m tetrofosmin,,,376.88,376.88,1
HCPCS,A9503,HCHG TC-99M MEDRONATE DIAGNOSTIC 1 TO 30 MC,217.0,217.0,,,0
HCPCS,A9503,Tc99m medronate,,,57.51,57.51,1
HCPCS,A9504,HCHG RP TC99M ACUTECT DX 20MCI,1534.0,1534.0,,,0
HCPCS,A9504,Tc99m apcitide,,,1640.82,1640.82,1
HCPCS,A9505,HCHG TL-201 THALLOUS CHLORIDE DIAGNOSTIC PER MCI,194.0,194.0,,,0
HCPCS,A9505,Tl201 thallium,,,414.77,414.77,1
HCPCS,A9507,HCHG IN-111 PROSTASCINT DIAGNOSTIC UP TO 10,4081.0,4081.0,,,0
HCPCS,A9507,In111 capromab,,,3512.86,3512.86,1
HCPCS,A9508,HCHG I-131 MIBG DIAGNOSTIC PER  O.5MCI,2182.0,2182.0,,,0
HCPCS,A9508,"I131 iodobenguate, dx",,,3325.68,3325.68,1
HCPCS,A9509,HCHG RP I123 SOD IOD DX 1 MCI,953.0,953.0,,,0
HCPCS,A9509,Iodine I-123 sod iodide mil,,,1064.5,1064.5,1
HCPCS,A9510,Tc99m disofenin,,,227.59,227.59,1
HCPCS,A9512,HCHG TC-99M PERTECHNETATE DIAGNOSTIC PER MC,118.0,118.0,,,0
HCPCS,A9512,Tc99m pertechnetate,,,46.49,46.49,1
HCPCS,A9513,HCHG LUTETIUM LU 177 DOTATATE TX 1 MCI,648.0,648.0,,,0
HCPCS,A9513,Lutetium lu 177 dotatat ther,,,878.69,878.69,1
HCPCS,A9516,HCHG I-123 SODIUM IODIDE DX CAP PER 100 UCI UP TO 999,270.0,270.0,,,0
HCPCS,A9516,Iodine I-123 sod iodide mic,,,380.53,380.53,1
HCPCS,A9517,HCHG IODINE I-131 SODIUM IODIDE CAP(S) TX PER MCI,136.0,136.0,,,0
HCPCS,A9517,"I131 iodide cap, rx",,,70.15,70.15,1
HCPCS,A9520,HCHG TECHNETIUM TC 99M TILMANOCEPT DX 0.5 MCI,1274.0,1274.0,,,0
HCPCS,A9521,HCHG TC99M CERETEC DIAGNOSTIC UP TO 25MCI,1348.0,1348.0,,,0
HCPCS,A9521,Tc99m exametazime,,,5228.32,5228.32,1
HCPCS,A9524,"I131 serum albumin, dx",,,275.3,275.3,1
HCPCS,A9527,Iodine I-125 sodium iodide,,,106.02,106.02,1
HCPCS,A9528,HCHG IODINE I-131 SODIUM IODIDE CAP(S) DX PER MCI,118.0,118.0,,,0
HCPCS,A9528,"Iodine i-131 iodide cap, dx",,,357.27,357.27,1
HCPCS,A9530,HCHG IODINE I-131 SODIUM IODIDE SOLUTION TX PER MCI,56.0,56.0,,,0
HCPCS,A9530,"I131 iodide sol, rx",,,45.29,45.29,1
HCPCS,A9531,I131 max 100uci,,,15.9,15.9,1
HCPCS,A9532,"I125 serum albumin, dx",,,775.76,775.76,1
HCPCS,A9536,HCHG TC-99M DEPREOTIDE DIAGNOSTIC UP TO 35MCI,3699.0,3699.0,,,0
HCPCS,A9536,Tc99m depreotide,,,2616.0,2616.0,1
HCPCS,A9537,HCHG TC-99M MEBROFENIN DIAGNOSTIC UP TO 15M,275.0,275.0,,,0
HCPCS,A9537,Tc99m mebrofenin,,,209.21,209.21,1
HCPCS,A9538,HCHG TC-99M PYROPHOSPHATE DIAGNOSTIC UP TO,150.0,150.0,,,0
HCPCS,A9538,Tc99m pyrophosphate,,,152.93,152.93,1
HCPCS,A9539,HCHG TC99M PENTETATE DIAGNOSTIC UP TO 25MCI,241.0,241.0,,,0
HCPCS,A9539,Tc99m pentetate,,,179.85,179.85,1
HCPCS,A9540,HCHG TC-99M MAA DIAGNOSTIC UP TO 10MCI,223.0,223.0,,,0
HCPCS,A9540,Tc99m maa,,,119.92,119.92,1
HCPCS,A9541,HCHG TC99M SULFUR COLLOID DIAGNOSTIC UP TO,263.0,263.0,,,0
HCPCS,A9541,Tc99m sulfur colloid,,,203.11,203.11,1
HCPCS,A9542,HCHG IN-111 IBRITUMOMAB (ZEVALIN) DIAGNOSTI,4948.0,4948.0,,,0
HCPCS,A9542,"In111 ibritumomab, dx",,,13562.05,13562.05,1
HCPCS,A9543,HCHG Y-90 IBRITUMOMAB (ZEVALIN) THERAPEUTIC,88045.0,88045.0,,,0
HCPCS,A9543,"Y90 ibritumomab, rx",,,189311.16,189311.16,1
HCPCS,A9546,Co57/58,,,3.66,3.66,1
HCPCS,A9546,HCHG COBALT 57/58 DIAGNOSTIC UP TO 1UCI,964.0,964.0,,,0
HCPCS,A9547,HCHG IN-111 OXYQUINOLINE DX PER 0.5 MCI,2623.0,2623.0,,,0
HCPCS,A9547,In111 oxyquinoline,,,1118.35,1118.35,1
HCPCS,A9548,HCHG IN-111 PENTETATE DIAGNOSTIC PER 0.5 MC,2304.0,2304.0,,,0
HCPCS,A9548,In111 pentetate,,,670.5,670.5,1
HCPCS,A9550,HCHG TC-99 GLUCEPTATE DIAGNOSTIC UP TO 25MC,133.0,133.0,,,0
HCPCS,A9551,HCHG TC-99 SUCCIMER DIAGNOSTIC UP TO 10MCI,251.0,251.0,,,0
HCPCS,A9551,Tc99m succimer,,,1779.07,1779.07,1
HCPCS,A9552,F18 fdg,,,1002.09,1002.09,1
HCPCS,A9552,HCHG F-18 FDG DIAGNOSTIC UP TO 45MCI,1313.0,1313.0,,,0
HCPCS,A9553,Cr51 chromate,,,1334.92,1334.92,1
HCPCS,A9553,HCHG CR-51 CHROMATE DIAGNOSTIC UP TO 250UCI,717.0,717.0,,,0
HCPCS,A9554,HCHG I-125 IOTHALAMATE DIAGNOSTIC UP TO 10U,857.0,857.0,,,0
HCPCS,A9554,"I125 iothalamate, dx",,,450.28,450.28,1
HCPCS,A9555,Rb82 rubidium,,,1624.9,1624.9,1
HCPCS,A9556,Ga67 gallium,,,83.2,83.2,1
HCPCS,A9556,HCHG GA-67 GALLIUM DIAGNOSTIC PER MCI,159.0,159.0,,,0
HCPCS,A9557,Tc99m bicisate,,,1421.78,1421.78,1
HCPCS,A9558,HCHG XE-133 XENON GAS DIAGNOSTIC PER 10MCI,338.0,338.0,,,0
HCPCS,A9558,Xe133 xenon 10mci,,,767.17,767.17,1
HCPCS,A9559,Co57 cyano,,,712.1,712.1,1
HCPCS,A9560,HCHG TC-99M LABELED RBC DIAGNOSTIC UP TO 30,540.0,540.0,,,0
HCPCS,A9560,Tc99m labeled rbc,,,354.84,354.84,1
HCPCS,A9561,HCHG TC99 OXIDRONATE DX 30MCI,179.0,179.0,,,0
HCPCS,A9561,Tc99m oxidronate,,,168.85,168.85,1
HCPCS,A9562,HCHG TC-99 MERTIATIDE DIAGNOSTIC UP TO 15MC,805.0,805.0,,,0
HCPCS,A9562,Tc99m mertiatide,,,2740.81,2740.81,1
HCPCS,A9563,HCHG P-32 SODIUM PHOSPHATE THERAPEUTIC PER,825.0,825.0,,,0
HCPCS,A9563,P32 na phosphate,,,1523.32,1523.32,1
HCPCS,A9564,P32 chromic phosphate,,,572.65,572.65,1
HCPCS,A9566,HCHG TC-99 FANOLESOMAB DIAGNOSTIC UP TO 25,747.0,747.0,,,0
HCPCS,A9567,HCHG TECHNETIUM TC99M AEROSOL =< 75 MCI,381.0,381.0,,,0
HCPCS,A9567,Technetium tc-99m aerosol,,,77.1,77.1,1
HCPCS,A9568,Technetium tc99m arcitumomab,,,4187.07,4187.07,1
HCPCS,A9569,HCHG RP TECHNETIUM TC99M AUTO WBC,5040.0,5040.0,,,0
HCPCS,A9569,Technetium TC-99m auto WBC,,,5584.38,5584.38,1
HCPCS,A9570,HCHG INDIUM IN-111 LABELED AUTOLOGOUS WBC DX STUDY,7260.0,7260.0,,,0
HCPCS,A9570,Indium In-111 auto WBC,,,13633.01,13633.01,1
HCPCS,A9571,Indium IN-111 auto platelet,,,13633.01,13633.01,1
HCPCS,A9572,HCHG INDIUM IN-111 PENTETREOTIDE DX STUDY UP TO 6 MCI,4939.0,4939.0,,,0
HCPCS,A9572,Indium In-111 pentetreotide,,,21945.95,21945.95,1
HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,7.99,7.99,3
HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,0.27,0.61,4
HCPCS,A9576,Inj prohance multipack,,,3.3,4.82,4
HCPCS,A9577,Inj multihance,,,4.17,6.41,4
HCPCS,A9578,Inj multihance multipack,,,4.16,6.31,4
HCPCS,A9579,GADOPENTETATE DIMEGLUMINE 469.01 MG/ML IV SOLN,14.45,14.45,,,0
HCPCS,A9579,"Gad-base MR contrast NOS,1ml",,,3.43,5.26,4
HCPCS,A9580,HCHG  RP SODIUM FLUORIDE F-18 =< 30 MCI,1538.0,1538.0,,,0
HCPCS,A9580,Sodium fluoride F-18,,,888.31,888.31,1
HCPCS,A9581,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN,44.76,44.76,,,0
HCPCS,A9581,Gadoxetate disodium inj,,,33.84,49.97,4
HCPCS,A9582,HCHG RP IOBENGAN I123 DX 15MCI,2578.0,2578.0,,,0
HCPCS,A9582,Iodine I-123 iobenguane,,,8196.69,8196.69,1
HCPCS,A9584,HCHG RP DXI123 IOFLUPN TO 5MCI,8118.0,8118.0,,,0
HCPCS,A9585,GADOBUTROL 1 MMOL/ML IV SOLN,2.795,2.795,,,0
HCPCS,A9585,GADOBUTROL 10 MMOL/10ML IV SOSY,2.99,2.99,,,0
HCPCS,A9585,Gadobutrol injection,,,0.61,1.29,4
HCPCS,A9586,Florbetapir F18,,,10268.88,10268.88,1
HCPCS,A9586,HCHG FLORBETAPIR F18,8118.0,8118.0,,,0
HCPCS,A9587,HCHG GALLIUM GA-68 DOTATATE DX 0.1 MCI,167.0,167.0,,,0
HCPCS,A9588,HCHG FLUCICLOVINE F-18 DX 1 MCI,974.0,974.0,,,0
HCPCS,A9589,Insti hexaminolevulinate hcl,,,3170.35,3978.18,4
HCPCS,A9590,Iodine i-131 iobenguane 1mci,,,1085.31,1085.31,1
HCPCS,A9591,HCHG FLUOROESTRADIOL F18 DX 1 MCI,1954.0,1954.0,,,0
HCPCS,A9592,HCHG COPPER CU-64 DOTATATE DX 1 MCI,2321.0,2321.0,,,0
HCPCS,A9595,HCHG PIFLUFOLASTAT F18 (PYLARIFY) DX 1 MCI,1263.0,1263.0,,,0
HCPCS,A9596,HCHG GALLIUM ILLUCCIX 1 MILLICURE,2594.0,2594.0,,,0
HCPCS,A9600,HCHG SR-89 THERAPEUTIC PER MCI,4294.0,4294.0,,,0
HCPCS,A9600,Sr89 strontium,,,6935.68,6935.68,1
HCPCS,A9604,HCHG SM 153 LEXIDRONAM 150MCI,13510.0,13510.0,,,0
HCPCS,A9604,Sm 153 lexidronam,,,54373.92,54373.92,1
HCPCS,A9606,HCHG RADIUM RA 223 DICHLORIDE TX XOFIGO PER UCI,350.0,350.0,,,0
HCPCS,A9606,Radium ra223 dichloride ther,,,476.36,476.36,1
HCPCS,A9607,HCHG LUTETIUM LU 177 VIPIVOTIDE 1 MCI,450.0,450.0,,,0
HCPCS,A9608,HCHG FLOTUFOLASTAT F18 DX 1 MCI,2216.0,2216.0,,,0
HCPCS,A9609,HCHG FLUDIOXYGLUCOSE F18 DX UP TO 15 MCI,213.0,213.0,,,0
HCPCS,C1717,HCHG BRACHY SRC HDR IR192,685.0,685.0,,,0
HCPCS,C8900,HCHG MRA ABD W CON,4415.0,4415.0,,,0
HCPCS,C8901,HCHG MRA ABD W/O CON,5017.0,5017.0,,,0
HCPCS,C8902,HCHG MRA ABD W-W/O CON,6953.0,6953.0,,,0
HCPCS,C8905,HCHG MRI BREAST UNI WO/W CONTRAST W OR WO CAD LT,6493.0,6493.0,,,0
HCPCS,C8905,HCHG MRI BREAST UNI WO/W CONTRAST W OR WO CAD RT,6493.0,6493.0,,,0
HCPCS,C8908,HCHG MRI BREAST BIL WO/W CONTRAST W OR WO CAD,6731.0,6731.0,,,0
HCPCS,C8910,HCHG MRA CHEST W/O CON,5951.0,5951.0,,,0
HCPCS,C8911,HCHG MRA CHEST W-W/O CON,7678.0,7678.0,,,0
HCPCS,C8912,HCHG MRA EXT LOW W CON BI,7893.0,7893.0,,,0
HCPCS,C8912,HCHG MRA EXT LOW W CON LT,5262.0,5262.0,,,0
HCPCS,C8912,HCHG MRA EXT LOW W CON RT,5262.0,5262.0,,,0
HCPCS,C8913,HCHG MRA EXT LOW W/O CON BI,6302.0,6302.0,,,0
HCPCS,C8913,HCHG MRA EXT LOW W/O CON LT,4201.0,4201.0,,,0
HCPCS,C8913,HCHG MRA EXT LOW W/O CON RT,4201.0,4201.0,,,0
HCPCS,C8914,HCHG MRA EXT LOW W-W/O CON LT,7324.0,7324.0,,,0
HCPCS,C8914,HCHG MRA EXT LOW W-W/O CON RT,7324.0,7324.0,,,0
HCPCS,C8918,HCHG MRA PELVIS W CON,4134.0,4134.0,,,0
HCPCS,C8919,HCHG MRA PELVIS W/O CON,3390.0,3390.0,,,0
HCPCS,C8920,HCHG MRA PELVIS W-W/O CON,8875.0,8875.0,,,0
HCPCS,C8921,HCHG CA TTE W-W/O FL W/CON COM,2559.0,2559.0,,,0
HCPCS,C8923,HCHG CA ECHO 2D COM TRNS W/CON,3595.0,3595.0,,,0
HCPCS,C8924,HCHG CA ECHO 2D LTD TRNS W/CON,2243.0,2243.0,,,0
HCPCS,C8925,HCHG CA ECHO 2D TEE W/CON,5279.0,5279.0,,,0
HCPCS,C8927,HCHG CA ECHO TEE W/CON MONTRNG,17432.0,17432.0,,,0
HCPCS,C8928,HCHG CA ECHO 2D W STRESS W/CON,4242.0,4242.0,,,0
HCPCS,C8929,HCHG CA TTE W OR W/O FOL W/CONTR DOPPLER,5934.0,5934.0,,,0
HCPCS,C8930,HCHG CA TTE W OR W/O CONTR CONT ECG,6498.0,6498.0,,,0
HCPCS,C8933,HCHG MRA SPINAL CANAL W-WO CON,5266.0,5266.0,,,0
HCPCS,C8935,HCHG MRA UPPER EXT W/O CON RT,5913.0,5913.0,,,0
HCPCS,C8936,HCHG MRA UPPER EXT W-WO CON,6143.0,6143.0,,,0
HCPCS,C8937,HCHG MRI BREAST CAD,938.0,938.0,,,0
HCPCS,C8957,HCHG INFUSION PORTABLE/IMPLANTED PUMP,740.0,740.0,,,0
HCPCS,C9046,COCAINE HCL 4 % EX SOLN,4.845,4.845,,,0
HCPCS,C9046,Cocaine hcl nasal solution,,,4.1,4.1,1
HCPCS,C9047,"Injection, caplacizumab-yhdp",,,2337.28,2337.28,1
HCPCS,C9113,PANTOPRAZOLE SODIUM 40 MG IV SOLR,74.29,74.29,,,0
HCPCS,C9121,ARGATROBAN 50 MG/50ML IV SOLN,127.5,127.5,,,0
HCPCS,C9248,CLEVIDIPINE 50 MG/100ML IV EMUL,20.485,20.485,,,0
HCPCS,C9250,Artiss fibrin sealant,,,531.73,531.73,1
HCPCS,C9254,LACOSAMIDE 200 MG/20ML IV SOLN,1.72,1.72,,,0
HCPCS,C9257,BEVACIZUMAB 25 MG/ML INTRAVITREAL SOLN SH,60.0,60.0,,,0
HCPCS,C9257,Bevacizumab injection,,,6.75,6.75,1
HCPCS,C9290,BUPIVACAINE LIPOSOME 1.3 % IJ SUSP,10.95,10.95,,,0
HCPCS,C9399,TERLIPRESSIN ACETATE 0.85 MG IV SOLR,4560.0,4560.0,,,0
HCPCS,C9460,CANGRELOR TETRASODIUM 50 MG/5ML IV (WET SOLR VIAL),90.13,90.13,,,0
HCPCS,C9460,"Injection, cangrelor",,,51.91,51.91,1
HCPCS,C9462,"Injection, delafloxacin",,,1.67,1.67,1
HCPCS,C9482,Sotalol hydrochloride IV,,,33.87,33.87,1
HCPCS,C9488,Conivaptan HCL,,,106.16,106.16,1
HCPCS,C9600,HCHG PERC DRUG-EL COR STENT SING,46398.0,46398.0,,,0
HCPCS,C9601,HCHG PERC DRUG-EL COR STENT BRAN,33886.0,33886.0,,,0
HCPCS,C9602,HCHG PERC D-E COR STENT ATHER S,53998.0,53998.0,,,0
HCPCS,C9603,HCHG PERC D-E COR STENT ATHER BR,41471.0,41471.0,,,0
HCPCS,C9604,HCHG PERC D-E COR REVASC T CABG S,42981.0,42981.0,,,0
HCPCS,C9605,HCHG PERC D-E COR REVASC T CABG B,30577.0,30577.0,,,0
HCPCS,C9606,HCHG PERC D-E COR REVASC W AMI S,45050.0,45050.0,,,0
HCPCS,C9607,HCHG PERC D-E COR REVASC CHRO SIN,49767.0,49767.0,,,0
HCPCS,C9608,HCHG PERC D-E COR REVASC CHRO ADD,38451.0,38451.0,,,0
HCPCS,C9726,HCHG RO REF BREAST APPL PLACE/REMV,28929.0,28929.0,,,0
HCPCS,C9764,HCHG REVASC INTRAVCASC LITHOTRIPSY,27307.0,27307.0,,,0
HCPCS,C9765,HCHG REVASC INTRA LITHOTRIP STENT,44006.0,44006.0,,,0
HCPCS,C9766,HCHG REVASC INTRA LITHOTRIP ATHERECTOMY,37710.0,37710.0,,,0
HCPCS,C9772,HCHG REVASC LITHOTRIP TIBI/PERONE,31943.0,31943.0,,,0
HCPCS,C9803,HCHG HOPD COVID-19 SPEC COLLECT,60.5,60.5,,,0
HCPCS,G0008,HCHG INFLUENZA VACCINE ADMINSTRATION,193.0,193.0,,,0
HCPCS,G0009,HCHG PNEUMOCOCCAL VACCINE ADMINISTRATION,181.0,181.0,,,0
HCPCS,G0010,HCHG HEPATITIS VACCINE ADMINISTRATION,147.0,147.0,,,0
HCPCS,G0103,HCHG CORE PSA TOTAL SCREENING,246.5,246.5,,,0
HCPCS,G0105,Colorectal scrn; hi risk ind,,,1949.0,3353.0,10
HCPCS,G0108,HCHG DIABETES SELF MANAGEMENT TRAINING INDIVIDUAL EA 30 MIN,219.0,219.0,,,0
HCPCS,G0109,HCHG DIABETES SELF MANAGEMENT TRAINING GROUP EA 30 MIN,96.0,96.0,,,0
HCPCS,G0121,Colon ca scrn not hi rsk ind,,,1901.0,3353.0,10
HCPCS,G0237,HCHG THERAPEUTIC PROCEDURE STRENGTH/ENDURANCE 15MIN,188.0,188.0,,,0
HCPCS,G0238,HCHG THERAPEUTIC PROCEDURE RESPIRATORY FUNCTION 15MIN,191.0,191.0,,,0
HCPCS,G0239,HCHG THERAPEUTIC PROCEDURE RESPIRATORY FUNCTION GROUP,313.0,313.0,,,0
HCPCS,G0257,HCHG DIALYSIS TX EMERGENCY OUTPATIENT,2314.0,2314.0,,,0
HCPCS,G0260,HCHG IJ SI JNT ANES/ST W/GD BILAT,7692.0,7692.0,,,0
HCPCS,G0260,HCHG INJECTION SACROILIAC JOINT ANESTHESIA OR STEROID,5128.0,5128.0,,,0
HCPCS,G0269,HCHG VASCULAR CLOSURE DEVICE INSERTION,3573.0,3573.0,,,0
HCPCS,G0270,HCHG MED NUTR TX COND CH EA15,72.0,72.0,,,0
HCPCS,G0271,HCHG MED NUTR TX GP COND EA30,251.0,251.0,,,0
HCPCS,G0278,HCHG HEART CATH WITH ILIAC ANGIOGRAPHY,5635.0,5635.0,,,0
HCPCS,G0279,HCHG BREAST TOMOSYNTHESIS DX BI,282.0,282.0,,,0
HCPCS,G0279,HCHG BREAST TOMOSYNTHESIS DX UNI,188.0,188.0,,,0
HCPCS,G0283,HCHG OT E-STIM SUPERVISED,161.0,161.0,,,0
HCPCS,G0283,HCHG PT E-STIM SUPERVISED,161.0,161.0,,,0
HCPCS,G0328,HCHG CORE OCCULT BLD IA SCRN,120.0,120.0,,,0
HCPCS,G0328,HCHG OCCULT BLD IA SCRN,120.0,120.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR BLOOD TRANSFUSION,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR CARDIAC CATH,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR CARDIOLOGY,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR CHEMO ADMIN,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR DIALYSIS,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR EEG,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR GI,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR INTERVENTIONAL RAD,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR NUCLEAR MED,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR PT OT SPEECH,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR RADIOLOGY,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS CARVE OUT PER HOUR RESPIRATORY,336.0,336.0,,,0
HCPCS,G0378,HCHG OBS PER HOUR,268.0,268.0,,,0
HCPCS,G0379,HCHG OBS DIRECT ADMIT,1099.0,1099.0,,,0
HCPCS,G0416,HCHG PROSTATE BIOPSY  ANY METHOD,670.0,670.0,,,0
HCPCS,G0424,HCHG PULMONARY REHAB W EXER,473.0,473.0,,,0
HCPCS,G0463,HCHG CLINIC LEVEL 1,278.0,278.0,,,0
HCPCS,G0463,HCHG CLINIC LEVEL 2,355.0,355.0,,,0
HCPCS,G0463,HCHG CLINIC LEVEL 2 W/PROC,355.0,355.0,,,0
HCPCS,G0463,HCHG CLINIC LEVEL 3,409.0,409.0,,,0
HCPCS,G0463,HCHG CLINIC LEVEL 3 W/PROC,409.0,409.0,,,0
HCPCS,G0463,HCHG CLINIC LEVEL 4,470.0,470.0,,,0
HCPCS,G0463,HCHG CLINIC LEVEL 4 W/PROC,470.0,470.0,,,0
HCPCS,G0463,HCHG CLINIC LEVEL 5,540.0,540.0,,,0
HCPCS,G0463,HCHG CLINIC LEVEL 5 W/PROC,540.0,540.0,,,0
HCPCS,G0463,HCHG LACTATION CLINIC VISIT LEVEL 1,131.0,131.0,,,0
HCPCS,G0463,HCHG LACTATION CLINIC VISIT LEVEL 2,183.0,183.0,,,0
HCPCS,G0463,HCHG LACTATION CLINIC VISIT LEVEL 3,235.0,235.0,,,0
HCPCS,G0463,HCHG LACTATION CLINIC VISIT LEVEL 4,287.0,287.0,,,0
HCPCS,G0463,HCHG LACTATION CLINIC VISIT LEVEL 5,339.0,339.0,,,0
HCPCS,G0463,HCHG TH CLINIC LEVEL 1,278.0,278.0,,,0
HCPCS,G0463,HCHG TH CLINIC LEVEL 2,355.0,355.0,,,0
HCPCS,G0463,HCHG TH CLINIC LEVEL 3,409.0,409.0,,,0
HCPCS,G0463,HCHG TH CLINIC LEVEL 4,470.0,470.0,,,0
HCPCS,G0463,HCHG TH CLINIC LEVEL 5,540.0,540.0,,,0
HCPCS,G0463,HCHG TH LACTATION CLINIC VISIT LEVEL 1,131.0,131.0,,,0
HCPCS,G0463,HCHG TH LACTATION CLINIC VISIT LEVEL 2,183.0,183.0,,,0
HCPCS,G0463,HCHG TH LACTATION CLINIC VISIT LEVEL 3,235.0,235.0,,,0
HCPCS,G0463,HCHG TH LACTATION CLINIC VISIT LEVEL 4,287.0,287.0,,,0
HCPCS,G0463,HCHG TH LACTATION CLINIC VISIT LEVEL 5,339.0,339.0,,,0
HCPCS,G0463,HCHG UC CLINIC LEVEL 1,278.0,278.0,,,0
HCPCS,G0463,HCHG UC CLINIC LEVEL 2,355.0,355.0,,,0
HCPCS,G0472,HCHG CORE HEP C SCREEN HIGH RISK/OTHER,166.5,166.5,,,0
HCPCS,G0472,HCHG HEP C SCREEN HIGH RISK/OTHER,166.5,166.5,,,0
HCPCS,G0498,HCHG CHEMO EXTEND IV INFUS W/PUMP,1338.0,1338.0,,,0
HCPCS,G0499,HCHG CORE HEPB SCREEN NON-PREGNANT HIGH RISK INDIV,178.0,178.0,,,0
HCPCS,G0499,HCHG HEPB SCREEN NON-PREGNANT HIGH RISK INDIV,178.0,178.0,,,0
HCPCS,G0500,HCHG MOD SED ENDO SAME MD/QHP GT 5YRS,431.0,431.0,,,0
HCPCS,G1001,HCHG CDSM EVICORE AUC RAD,0.01,0.01,,,0
HCPCS,G1002,HCHG CDSM MEDCURRENT AUC RAD,0.01,0.01,,,0
HCPCS,G1003,HCHG CDSM MEDICALIS AUC RAD,0.01,0.01,,,0
HCPCS,G1004,HCHG CDSM NDSC AUC RAD,0.01,0.01,,,0
HCPCS,G1007,HCHG CDSM AIM AUC RAD,0.01,0.01,,,0
HCPCS,G1008,HCHG CDSM CRANBERRY PK AUC RAD,0.01,0.01,,,0
HCPCS,G1009,HCHG CDSM SAGE HEALTH AUC RAD,0.01,0.01,,,0
HCPCS,G1010,HCHG CDSM STANSON AUC RAD,0.01,0.01,,,0
HCPCS,G1011,HCHG CDSM QUALIFIED NOS AUC RAD,0.01,0.01,,,0
HCPCS,G1012,HCHG CDSM AGILEMD AUC RAD,0.01,0.01,,,0
HCPCS,G1013,HCHG CDSM EVIDENCECARE AUC RAD,0.01,0.01,,,0
HCPCS,G1014,HCHG CDSM INVENIQA AUC RAD,0.01,0.01,,,0
HCPCS,G1015,HCHG CDSM RELIANT AUC RAD,0.01,0.01,,,0
HCPCS,G1016,HCHG CDSM SPEED OF CARE AUC RAD,0.01,0.01,,,0
HCPCS,G1017,HCHG CDSM HEALTHHELP AUC RAD,0.01,0.01,,,0
HCPCS,G1018,HCHG CDSM INFINX AUC RAD,0.01,0.01,,,0
HCPCS,G1019,HCHG CDSM LOGICNETS AUC RAD,0.01,0.01,,,0
HCPCS,G1020,HCHG CDSM CURBSIDE AUC RAD,0.01,0.01,,,0
HCPCS,G1021,HCHG CDSM EHEALTHLINE AUC RAD,0.01,0.01,,,0
HCPCS,G1022,HCHG CDSM INTERMOUNTAIN AUC RAD,0.01,0.01,,,0
HCPCS,G1023,HCHG CDSM PERSIVIA AUC RAD,0.01,0.01,,,0
HCPCS,G1024,HCHG CDSM RADRITE AUC RAD,0.01,0.01,,,0
HCPCS,J0121,"Inj., omadacycline, 1 mg",,,8.89,11.23,4
HCPCS,J0122,ERAVACYCLINE DIHYDROCHLORIDE 100 MG IV SOLR,7.915,7.915,,,0
HCPCS,J0122,ERAVACYCLINE DIHYDROCHLORIDE 100 MG/5ML IV (WET SOLR VIAL),7.98,7.98,,,0
HCPCS,J0122,ERAVACYCLINE DIHYDROCHLORIDE 50 MG IV SOLR,9.504999999999999,9.504999999999999,,,0
HCPCS,J0122,"Inj., eravacycline, 1 mg",,,2.77,3.47,4
HCPCS,J0129,ABATACEPT 250 MG/10 ML IV (WET SOLR VIAL),150.0,150.0,,,0
HCPCS,J0129,Abatacept injection,,,99.77,186.73,6
HCPCS,J0130,Abciximab injection,,,2113.13,2113.13,1
HCPCS,J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,2.31,2.31,,,0
HCPCS,J0131,Acetaminophen injection,,,0.12,1.92,4
HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,7.73,7.73,,,0
HCPCS,J0132,Acetylcysteine injection,,,1.03,3.75,4
HCPCS,J0133,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,1.48,1.48,,,0
HCPCS,J0133,Acyclovir injection,,,0.08,0.24,4
HCPCS,J0134,Inj acetaminophen -fresenius,,,0.12,0.12,3
HCPCS,J0136,"Inj, acetaminophen (b braun)",,,0.11,0.11,3
HCPCS,J0137,ACETAMINOPHEN 10 MG/ML IV SOLN,0.94,0.94,,,0
HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.06,0.06,3
HCPCS,J0138,"Injection, acetaminoph 10 mg",,,0.5,0.5,3
HCPCS,J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,12.29,12.29,,,0
HCPCS,J0153,ADENOSINE 6 MG/2ML IV SOLN,10.195,10.195,,,0
HCPCS,J0153,Adenosine inj 1mg,,,0.89,2.12,4
HCPCS,J0171,Adrenalin epinephrine inject,,,1.68,2.85,4
HCPCS,J0171,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN,15.45,15.45,,,0
HCPCS,J0171,EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML IJ SOLN,6.52,6.52,,,0
HCPCS,J0171,EPINEPHRINE 0.1MG/ML INJ (PEDIATRIC) SH,11.115,11.115,,,0
HCPCS,J0171,EPINEPHRINE 1 MG/10ML IJ SOSY,10.89,10.89,,,0
HCPCS,J0171,EPINEPHRINE 10MCG/ML INJ SOLN,75.0,75.0,,,0
HCPCS,J0171,EPINEPHRINE HCL 0.1 MG/ML IJ SOLN (IO),5.79,5.79,,,0
HCPCS,J0171,EPINEPHRINE PF 1 MG/ML IJ SOLN,14.48,14.48,,,0
HCPCS,J0171,EPINEPHRINE-NACL 5-0.9 MG/250ML-% IV SOLN,1.62,1.62,,,0
HCPCS,J0172,ADUCANUMAB-AVWA 170 MG/1.7ML IV SOLN,29.41,29.41,,,0
HCPCS,J0172,ADUCANUMAB-AVWA 300 MG/3ML IV SOLN,27.07,27.07,,,0
HCPCS,J0172,"Inj, aducanumab-avwa, 2 mg",,,13.75,13.75,3
HCPCS,J0173,"Inj, epinephrine (belcher)",,,5.18,5.18,3
HCPCS,J0174,"Inj, lecanemab-irmb",,,3.06,3.06,3
HCPCS,J0174,LECANEMAB-IRMB 200 MG/2ML IV SOLN,6.295,6.295,,,0
HCPCS,J0174,LECANEMAB-IRMB 500 MG/5ML IV SOLN,6.12,6.12,,,0
HCPCS,J0175,"Inj, donanemab-azbt, 2 mg",,,9.62,9.62,3
HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,738.7,738.7,3
HCPCS,J0178,Aflibercept injection,,,1830.48,3181.65,4
HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,781.97,1076.71,4
HCPCS,J0180,Agalsidase beta injection,,,512.53,623.06,6
HCPCS,J0185,"Inj., aprepitant, 1 mg",,,3.93,6.82,4
HCPCS,J0202,"Injection, alemtuzumab",,,5615.43,6609.86,6
HCPCS,J0205,Alglucerase injection,,,113.78,113.78,1
HCPCS,J0206,Inj allopurinol sodium 1 mg,,,10.24,10.24,3
HCPCS,J0207,Amifostine,,,3323.02,3323.02,1
HCPCS,J0209,SODIUM THIOSULFATE 250 MG/ML IV SOLN,6.03,6.03,,,0
HCPCS,J0210,Methyldopate hcl injection,,,169.53,169.53,1
HCPCS,J0215,Alefacept,,,95.44,95.44,1
HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,1023.44,1023.44,3
HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,876.85,876.85,3
HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,178.98,178.98,3
HCPCS,J0220,Alglucosidase alfa injection,,,250.25,250.25,1
HCPCS,J0221,Lumizyme injection,,,463.6,580.47,6
HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,227.79,332.98,4
HCPCS,J0223,Inj givosiran 0.5 mg,,,267.88,360.3,4
HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,733.36,733.36,3
HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,11399.51,11399.51,3
HCPCS,J0248,"Inj, remdesivir, 1 mg?",,,14.61,14.61,3
HCPCS,J0248,REMDESIVIR 100 MG IV SOLR,24.985,24.985,,,0
HCPCS,J0248,REMDESIVIR 100 MG/20ML IV (WET SOLR VIAL),28.78,28.78,,,0
HCPCS,J0256,Alpha 1 proteinase inhibitor,,,11.87,15.03,6
HCPCS,J0257,Glassia injection,,,12.53,16.62,6
HCPCS,J0270,ALPROSTADIL 500 MCG/ML IJ SOLN,2.85,2.85,,,0
HCPCS,J0270,Alprostadil for injection,,,1.22,1.22,1
HCPCS,J0278,AMIKACIN SULFATE 500 MG/2ML IJ SOLN,19.795,19.795,,,0
HCPCS,J0278,Amikacin sulfate injection,,,1.38,3.66,4
HCPCS,J0280,AMINOPHYLLINE 25 MG/ML IV SOLN,64.41,64.41,,,0
HCPCS,J0280,Aminophyllin 250 MG inj,,,24.1,25.41,4
HCPCS,J0281,Inj aminocaproic acid 1 gram,,,3.0,3.0,3
HCPCS,J0282,AMIODARONE HCL 50 MG/ML IV SOLN - CONSOLIDATED,9.205,9.205,,,0
HCPCS,J0282,AMIODARONE HCL IN DEXTROSE 360-4.14 MG/200ML-% IV SOLN,30.01,30.01,,,0
HCPCS,J0282,AMIODARONE LOAD DOSE 150MG/100ML(D5W) SH,54.08,54.08,,,0
HCPCS,J0282,Amiodarone HCl,,,0.75,2.63,4
HCPCS,J0283,AMIODARONE HCL IN DEXTROSE 360-4.14 MG/200ML-% IV SOLN,30.01,30.01,,,0
HCPCS,J0283,AMIODARONE LOAD DOSE 150MG/100ML(D5W) SH,53.980000000000004,53.980000000000004,,,0
HCPCS,J0283,"Inj, amiodarone (nexterone)",,,5.97,5.97,3
HCPCS,J0285,AMPHOTERICIN B 50 MG IV SOLR,232.5,232.5,,,0
HCPCS,J0285,Amphotericin B,,,115.15,130.73,4
HCPCS,J0287,Amphotericin b lipid complex,,,23.69,31.19,4
HCPCS,J0288,Ampho b cholesteryl sulfate,,,267.96,267.96,1
HCPCS,J0289,AMPHOTERICIN B LIPOSOME 50 MG/12.5ML IV SUSR (WET SOLR VIAL),234.555,234.555,,,0
HCPCS,J0289,Amphotericin b liposome inj,,,53.61,92.32,4
HCPCS,J0290,"AMPICILLIN 1,000MG/50ML NS (MINIBAG)",37.5,37.5,,,0
HCPCS,J0290,"AMPICILLIN 2,000MG/100ML NS (MINIBAG)",25.475,25.475,,,0
HCPCS,J0290,AMPICILLIN 250 MG FOR DILUTION (PEDIATRIC),74.9,74.9,,,0
HCPCS,J0290,AMPICILLIN 500 MG FOR DILUTION (PEDIATRIC),74.63,74.63,,,0
HCPCS,J0290,AMPICILLIN SODIUM 1 G IJ SOLR,34.46,34.46,,,0
HCPCS,J0290,Ampicillin 500 MG inj,,,1.37,3.55,4
HCPCS,J0291,"Inj., plazomicin, 5 mg",,,8.22,10.82,4
HCPCS,J0295,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR,55.92,55.92,,,0
HCPCS,J0295,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,51.1,51.1,,,0
HCPCS,J0295,AMPICILLIN/SULBACTAM 1.5GM/50ML NS (MINIBAG),62.5,62.5,,,0
HCPCS,J0295,AMPICILLIN/SULBACTAM 3G/100ML NS (MINIBAG),37.8,37.8,,,0
HCPCS,J0295,Ampicillin sodium per 1.5 gm,,,3.62,12.13,4
HCPCS,J0300,Amobarbital 125 MG inj,,,322.64,322.64,1
HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,15.68,15.68,,,0
HCPCS,J0330,Succinycholine chloride inj,,,7.93,7.93,1
HCPCS,J0348,Anidulafungin injection,,,1.09,1.77,4
HCPCS,J0349,"Inj, rezafungin, 1 mg",,,23.96,23.96,3
HCPCS,J0360,HYDRALAZINE HCL 20 MG/ML IJ SOLN,83.34,83.34,,,0
HCPCS,J0360,Hydralazine hcl injection,,,10.12,12.78,4
HCPCS,J0364,Apomorphine hydrochloride,,,149.17,149.17,1
HCPCS,J0365,"Aprotonin, 10,000 kiu",,,9.8,9.8,1
HCPCS,J0380,Inj metaraminol bitartrate,,,3.66,3.66,1
HCPCS,J0400,Aripiprazole injection,,,1.22,1.22,1
HCPCS,J0401,ARIPIPRAZOLE ER 400 MG IM SRER,25.38,25.38,,,0
HCPCS,J0401,Inj aripiprazole ext rel 1mg,,,16.18,19.3,4
HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,13.51,13.51,3
HCPCS,J0456,AZITHROMYCIN 500 MG IV SOLR,75.0,75.0,,,0
HCPCS,J0456,AZITHROMYCIN 500 MG/250ML NS (VIAL-MATE),74.9,74.9,,,0
HCPCS,J0456,Azithromycin,,,5.11,10.54,4
HCPCS,J0457,AZTREONAM 1 G IJ SOLR,28.5,28.5,,,0
HCPCS,J0457,AZTREONAM 1000 MG/4ML IJ (WET SOLR VIAL),26.729999999999997,26.729999999999997,,,0
HCPCS,J0457,AZTREONAM 2000 MG/8ML IJ (WET SOLR VIAL),28.59,28.59,,,0
HCPCS,J0457,"Injection, aztreonam, 100 mg",,,5.7,5.7,3
HCPCS,J0461,ATROPINE SULFATE (PF) 0.4 MG/ML IJ SOLN,2.105,2.105,,,0
HCPCS,J0461,ATROPINE SULFATE (PF) 1 MG/ML IJ SOLN,1.42,1.42,,,0
HCPCS,J0461,ATROPINE SULFATE 1 MG/10ML IJ SOSY,1.65,1.65,,,0
HCPCS,J0461,Atropine sulfate injection,,,0.21,0.26,4
HCPCS,J0470,Dimecaprol injection,,,202.78,202.78,1
HCPCS,J0475,Baclofen 10 mg injection,,,402.05,602.3,4
HCPCS,J0476,Baclofen intrathecal trial,,,123.78,166.55,4
HCPCS,J0480,BASILIXIMAB 10 MG/2.5ML IV (WET SOLR VIAL),14000.0,14000.0,,,0
HCPCS,J0480,BASILIXIMAB 20 MG/5ML IV (WET SOLR VIAL),11250.0,11250.0,,,0
HCPCS,J0480,Basiliximab,,,10781.61,12902.18,4
HCPCS,J0485,Belatacept injection,,,8.95,12.81,6
HCPCS,J0490,Belimumab injection,,,126.43,154.27,6
HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,40.89,40.89,3
HCPCS,J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,655.66,655.66,,,0
HCPCS,J0500,Dicyclomine injection,,,29.57,154.02,4
HCPCS,J0515,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN,146.875,146.875,,,0
HCPCS,J0515,Inj benztropine mesylate,,,38.56,58.53,4
HCPCS,J0517,"Inj., benralizumab, 1 mg",,,375.59,576.72,6
HCPCS,J0558,PenG benzathine/procaine inj,,,36.65,39.95,4
HCPCS,J0561,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY,111.01,111.01,,,0
HCPCS,J0561,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY,112.925,112.925,,,0
HCPCS,J0561,PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSY,97.73,97.73,,,0
HCPCS,J0561,Penicillin g benzathine inj,,,46.9,62.06,4
HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,91.7,134.8,4
HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,316.96,316.96,1
HCPCS,J0571,Buprenorphine oral 1mg,,,5.38,5.38,1
HCPCS,J0572,Bupren/nal up to 3mg bupreno,,,25.59,25.59,1
HCPCS,J0573,Bupren/nal 3.1 to 6mg bupren,,,38.37,38.37,1
HCPCS,J0574,Bupren/nal 6.1 to 10mg bupre,,,42.59,42.59,1
HCPCS,J0575,Bupren/nal over 10mg bupreno,,,61.19,61.19,1
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,978.43,978.43,3
HCPCS,J0578,"Inj brixadi, more than 7 day",,,3913.71,3913.71,3
HCPCS,J0583,BIVALIRUDIN 250MG/50ML IV BOLUS SH,15.48,15.48,,,0
HCPCS,J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,18.2,18.2,,,0
HCPCS,J0583,Bivalirudin,,,0.35,2.12,4
HCPCS,J0584,"Injection, burosumab-twza 1m",,,1080.41,1198.07,4
HCPCS,J0585,"Injection,onabotulinumtoxina",,,14.9,20.72,6
HCPCS,J0585,ONABOTULINUMTOXINA 100 UNITS IJ SOLR,29.875,29.875,,,0
HCPCS,J0586,Abobotulinumtoxina,,,20.8,28.48,6
HCPCS,J0587,"Inj, rimabotulinumtoxinb",,,29.89,40.65,6
HCPCS,J0588,Incobotulinumtoxin a,,,12.26,17.06,6
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,6.88,6.88,3
HCPCS,J0592,Buprenorphine hydrochloride,,,9.61,16.1,4
HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,195.04,258.65,4
HCPCS,J0594,Busulfan injection,,,3.35,14.8,4
HCPCS,J0595,Butorphanol tartrate 1 mg,,,8.58,10.79,4
HCPCS,J0596,"Injection, ruconest",,,79.93,96.11,6
HCPCS,J0597,"C-1 esterase, berinert",,,166.21,173.83,6
HCPCS,J0598,"C-1 esterase, cinryze",,,146.92,190.3,6
HCPCS,J0599,"Inj., haegarda 10 units",,,32.78,32.78,1
HCPCS,J0600,Edetate calcium disodium inj,,,14858.06,18967.15,4
HCPCS,J0604,CINACALCET HCL 30 MG PO TABS,3.2,3.2,,,0
HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,3.49,3.49,1
HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,7.9,7.9,1
HCPCS,J0610,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,33.18,33.18,,,0
HCPCS,J0610,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN,30.81,30.81,,,0
HCPCS,J0612,CALCIUM GLUCONATE 10 % IV SOLN,1.38,1.38,,,0
HCPCS,J0612,Calcium glucon (fresenius),,,0.11,0.15,4
HCPCS,J0613,CALCIUM GLUCONATE 20MG/ML INTERMITTENT (PEDIATRIC) SH,4.34,4.34,,,0
HCPCS,J0613,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,1.66,1.66,,,0
HCPCS,J0613,Calcium glucon (wg critical),,,0.17,0.17,3
HCPCS,J0620,Calcium glycer & lact/10 ML,,,41.61,41.61,1
HCPCS,J0630,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN,6379.52,6379.52,,,0
HCPCS,J0630,Calcitonin salmon injection,,,8996.21,8996.21,1
HCPCS,J0636,Inj calcitriol per 0.1 mcg,,,2.6,2.6,1
HCPCS,J0637,CASPOFUNGIN ACETATE 50 MG IV SOLR,202.2,202.2,,,0
HCPCS,J0637,CASPOFUNGIN ACETATE 70 MG IV SOLR,148.47,148.47,,,0
HCPCS,J0637,Caspofungin acetate,,,7.67,22.16,4
HCPCS,J0638,Canakinumab injection,,,314.08,376.33,6
HCPCS,J0640,LEUCOVORIN CALCIUM 100 MG IJ SOLR,180.0,180.0,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 100 MG/10ML IJ (WET SOLR VIAL),253.57,253.57,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 200 MG IJ SOLR,89.695,89.695,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 200 MG/20ML IJ (WET SOLR VIAL),46.44,46.44,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG IJ SOLR,52.31,52.31,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG/17.5ML IJ (WET SOLR VIAL),27.79,27.79,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 50 MG IJ SOLR,233.285,233.285,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 50 MG/5ML IJ (WET SOLR VIAL),281.97,281.97,,,0
HCPCS,J0640,LEUCOVORIN CALCIUM 500 MG/50ML IJ (WET SOLR VIAL),67.23,67.23,,,0
HCPCS,J0640,Leucovorin calcium injection,,,8.08,10.29,4
HCPCS,J0641,Levoleucovorin injection,,,0.04,0.4,4
HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,2.7,6.57,4
HCPCS,J0650,"Inj, levothyroxine nos 10mcg",,,16.7,16.7,3
HCPCS,J0650,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,72.0,72.0,,,0
HCPCS,J0651,"Inj, levothyroxine, freskabi",,,14.72,14.72,3
HCPCS,J0651,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,80.97,80.97,,,0
HCPCS,J0651,LEVOTHYROXINE SODIUM 100 MCG/5ML IV SOLN,68.50999999999999,68.50999999999999,,,0
HCPCS,J0651,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,64.175,64.175,,,0
HCPCS,J0652,"Inj, levothyroxine, hikma",,,11.81,11.81,3
HCPCS,J0665,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,1.1400000000000001,1.1400000000000001,,,0
HCPCS,J0665,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,0.71,0.71,,,0
HCPCS,J0665,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,0.19,0.19,,,0
HCPCS,J0665,BUPIVACAINE HCL 0.25 % IJ SOLN,0.61,0.61,,,0
HCPCS,J0665,BUPIVACAINE HCL 0.5 % IJ SOLN,0.45,0.45,,,0
HCPCS,J0665,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN,3.5949999999999998,3.5949999999999998,,,0
HCPCS,J0665,BUPIVACAINE-EPINEPHRINE 0.25% -1:200000 IJ SOLN,0.4,0.4,,,0
HCPCS,J0665,BUPIVACAINE-EPINEPHRINE 0.5% -1:200000 IJ SOLN,0.43,0.43,,,0
HCPCS,J0665,"Inj, bupivacaine, nos, 0.5mg",,,0.02,0.02,3
HCPCS,J0666,"Inj, bupivacaine liposome",,,3.27,3.27,3
HCPCS,J0670,Inj mepivacaine HCL/10 ml,,,8.34,9.23,4
HCPCS,J0670,MEPIVACAINE HCL (PF) 1 % IJ SOLN,27.37,27.37,,,0
HCPCS,J0687,Inj cefazolin (wg crit care),,,2.24,2.24,3
HCPCS,J0688,"CEFAZOLIN 1,000 MG/50ML NS (MINIBAG)",18.75,18.75,,,0
HCPCS,J0688,"CEFAZOLIN 2,000MG/100ML NS (MINIBAG)",18.75,18.75,,,0
HCPCS,J0688,CEFAZOLIN SODIUM 1 G IJ SOLR,35.49,35.49,,,0
HCPCS,J0688,CEFAZOLIN SODIUM 10 G IJ SOLR,12.5,12.5,,,0
HCPCS,J0688,CEFAZOLIN SODIUM 500 MG IJ SOLR,75.0,75.0,,,0
HCPCS,J0688,"Inj cefazolin sodium, hikma",,,2.26,2.26,3
HCPCS,J0689,"Inj cefazolin sodium, baxter",,,2.86,2.86,3
HCPCS,J0690,"CEFAZOLIN 1,000 MG/50ML NS (MINIBAG)",26.775,26.775,,,0
HCPCS,J0690,"CEFAZOLIN 2,000MG/100ML NS (MINIBAG)",18.759999999999998,18.759999999999998,,,0
HCPCS,J0690,CEFAZOLIN 500 MG/50ML NS (MINIBAG),64.18,64.18,,,0
HCPCS,J0690,CEFAZOLIN SODIUM 1 G IJ SOLR,26.52,26.52,,,0
HCPCS,J0690,CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR,31.009999999999998,31.009999999999998,,,0
HCPCS,J0690,Cefazolin sodium injection,,,1.9,2.78,4
HCPCS,J0691,Inj lefamulin 1 mg,,,2.44,2.44,1
HCPCS,J0692,CEFEPIME 1000MG/50ML NS (MINIBAG),67.89,67.89,,,0
HCPCS,J0692,CEFEPIME 2000MG/100ML NS (MINIBAG),65.56,65.56,,,0
HCPCS,J0692,CEFEPIME HCL 1 G IJ SOLR,68.08,68.08,,,0
HCPCS,J0692,Cefepime hcl for injection,,,2.76,6.18,4
HCPCS,J0694,CEFOXITIN (MEFOXIN) 1000MG/50ML NS (MINIBAG),79.28999999999999,79.28999999999999,,,0
HCPCS,J0694,CEFOXITIN (MEFOXIN) 2000MG/100ML NS (MINIBAG),80.295,80.295,,,0
HCPCS,J0694,CEFOXITIN SODIUM 1 G IV SOLR,75.0,75.0,,,0
HCPCS,J0694,Cefoxitin sodium injection,,,11.52,24.87,4
HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM 1.5 (1-0.5) G IV SOLR,43.31,43.31,,,0
HCPCS,J0695,Inj ceftolozane tazobactam,,,18.49,19.93,4
HCPCS,J0696,CEFTRIAXONE (ROCEPHIN) 1000 MG/50ML NS (MINIBAG),18.75,18.75,,,0
HCPCS,J0696,CEFTRIAXONE (ROCEPHIN) 2000 MG/100ML NS (MINIBAG),10.315,10.315,,,0
HCPCS,J0696,CEFTRIAXONE (ROCEPHIN) 500 MG/50ML NS (MINIBAG),37.5,37.5,,,0
HCPCS,J0696,CEFTRIAXONE 1GM/50ML D5W (ADV),18.75,18.75,,,0
HCPCS,J0696,CEFTRIAXONE SODIUM 1 G IJ SOLR,64.53,64.53,,,0
HCPCS,J0696,CEFTRIAXONE SODIUM 2 G IJ SOLR,9.87,9.87,,,0
HCPCS,J0696,CEFTRIAXONE SODIUM 250 MG IJ SOLR,44.37,44.37,,,0
HCPCS,J0696,Ceftriaxone sodium injection,,,1.13,1.79,4
HCPCS,J0696,ZZ CEFTRIAXONE (ROCEPHIN) 1 GM (MINIBAG),74.75,74.75,,,0
HCPCS,J0697,Sterile cefuroxime injection,,,4.63,7.21,4
HCPCS,J0698,Cefotaxime sodium injection,,,7.9,7.9,1
HCPCS,J0699,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR,13.12,13.12,,,0
HCPCS,J0699,CEFIDEROCOL SULFATE TOSYLATE 1000 MG/11.2ML IV (WET SOLR VIAL),12.77,12.77,,,0
HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,5.25,5.25,3
HCPCS,J0701,Inj. cefepime hcl (baxter),,,13.35,13.35,3
HCPCS,J0702,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP,80.795,80.795,,,0
HCPCS,J0702,Betamethasone acet&sod phosp,,,15.75,24.82,4
HCPCS,J0703,"Inj, cefepime hcl (b braun)",,,11.6,11.6,3
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,32.739999999999995,32.739999999999995,,,0
HCPCS,J0706,Caffeine citrate injection,,,8.92,8.92,1
HCPCS,J0712,CEFTAROLINE FOSAMIL 400 MG IV SOLR,40.285,40.285,,,0
HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG IV SOLR,26.855,26.855,,,0
HCPCS,J0712,Ceftaroline fosamil inj,,,9.18,10.79,4
HCPCS,J0713,CEFTAZIDIME (FORTAZ) 1000MG/50ML NS (MINIBAG),53.54,53.54,,,0
HCPCS,J0713,CEFTAZIDIME (FORTAZ) 2000MG/100ML NS (MINIBAG),48.0,48.0,,,0
HCPCS,J0713,CEFTAZIDIME 1 G IJ SOLR,42.53,42.53,,,0
HCPCS,J0713,Inj ceftazidime per 500 mg,,,3.68,6.7,4
HCPCS,J0714,CEFTAZIDIME-AVIBACTAM 2.5 (2-0.5) G IV SOLR,565.12,565.12,,,0
HCPCS,J0714,Ceftazidime and avibactam,,,231.14,312.08,4
HCPCS,J0716,Centruroides immune f(ab),,,16349.81,16349.81,1
HCPCS,J0717,Certolizumab pegol inj 1mg,,,9.16,27.08,4
HCPCS,J0720,Chloramphenicol sodium injec,,,108.11,108.11,1
HCPCS,J0725,Chorionic gonadotropin/1000u,,,41.98,72.04,4
HCPCS,J0735,Clonidine hydrochloride,,,37.26,44.17,4
HCPCS,J0736,CLINDAMYCIN PHOSPHATE 600 MG/4ML IJ SOLN,25.94,25.94,,,0
HCPCS,J0736,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,51.98,51.98,,,0
HCPCS,J0736,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,42.23,42.23,,,0
HCPCS,J0736,"Inj, clindamycin phosp 300mg",,,3.71,3.71,3
HCPCS,J0737,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,74.255,74.255,,,0
HCPCS,J0737,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,44.8,44.8,,,0
HCPCS,J0737,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,36.52,36.52,,,0
HCPCS,J0737,"Inj, clindamycin (baxter)",,,5.81,5.81,3
HCPCS,J0739,"Injection, cabotegravir 1 mg",,,15.84,15.84,3
HCPCS,J0740,Cidofovir injection,,,1200.2,2071.76,4
HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,46.43,53.2,4
HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,5.74,5.74,3
HCPCS,J0743,Cilastatin sodium injection,,,16.88,20.46,4
HCPCS,J0744,CIPROFLOXACIN 200MG/100ML D5W (PREMIX) CUSTOM-CREATE,40.91,40.91,,,0
HCPCS,J0744,CIPROFLOXACIN 2MG/ML IN D5W IV SOLN (PEDIATRIC) SH,37.5,37.5,,,0
HCPCS,J0744,CIPROFLOXACIN 2MG/ML IV SYRINGE (PEDIATRIC) SH,75.0,75.0,,,0
HCPCS,J0744,CIPROFLOXACIN 400MG/200ML D5W (PREMIX) CUSTOM-CREATE,38.525,38.525,,,0
HCPCS,J0744,Ciprofloxacin iv,,,3.98,4.83,4
HCPCS,J0745,Inj codeine phosphate /30 MG,,,3.66,3.66,1
HCPCS,J0750,EMTRICITABINE-TENOFOVIR DF 200-300 MG PO TABS,15.0,15.0,,,0
HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,2.94,2.94,3
HCPCS,J0751,EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS,262.43,262.43,,,0
HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,163.93,163.93,3
HCPCS,J0770,COLISTIMETHATE SODIUM (CBA) 150 MG/2ML IJ (WET SOLR VIAL),165.3,165.3,,,0
HCPCS,J0770,Colistimethate sodium inj,,,27.47,61.57,4
HCPCS,J0775,"Collagenase, clost hist inj",,,168.76,170.88,4
HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,75.43,75.43,,,0
HCPCS,J0780,Prochlorperazine injection,,,6.71,26.0,4
HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,82.32,297.85,4
HCPCS,J0795,Corticorelin ovine triflutal,,,31.73,31.73,1
HCPCS,J0801,Inj. acthar gel to 40 units,,,8954.89,8954.89,3
HCPCS,J0802,"Inj. (ani), up to 40 units",,,7924.84,7924.84,3
HCPCS,J0834,COSYNTROPIN 0.25 MG IJ SOLR,693.1949999999999,693.1949999999999,,,0
HCPCS,J0834,Cosyntropin cortrosyn inj,,,76.81,139.59,4
HCPCS,J0840,Crotalidae poly immune fab,,,4038.37,10763.19,4
HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,2400.16,4275.02,4
HCPCS,J0850,Cytomegalovirus imm IV /vial,,,4167.62,4525.51,4
HCPCS,J0870,"Injection, imetelstat, 1 mg",,,127.67,127.67,3
HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.12,0.12,3
HCPCS,J0873,"Inj, daptomycin (xellia)",,,0.08,0.08,3
HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.15,0.15,3
HCPCS,J0875,DALBAVANCIN HCL 500 MG/25ML IV (WET SOLR VIAL),35.4,35.4,,,0
HCPCS,J0875,"Injection, dalbavancin",,,35.8,50.93,4
HCPCS,J0877,"Inj, daptomycin (hospira)",,,0.13,0.13,3
HCPCS,J0878,DAPTOMYCIN 350 MG IV SOLR,1.45,1.45,,,0
HCPCS,J0878,DAPTOMYCIN 500 MG IV SOLR,4.48,4.48,,,0
HCPCS,J0878,Daptomycin injection,,,0.08,0.69,4
HCPCS,J0881,DARBEPOETIN ALFA 100 MCG/ML IJ SOLN,27.86,27.86,,,0
HCPCS,J0881,DARBEPOETIN ALFA 200 MCG/0.4ML IJ SOSY,30.0,30.0,,,0
HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,6.71,12.45,6
HCPCS,J0882,DARBEPOETIN ALFA 60 MCG/0.3ML IJ SOSY,41.67,41.67,,,0
HCPCS,J0882,"Darbepoetin alfa, esrd use",,,6.71,12.45,6
HCPCS,J0883,ARGATROBAN 50 MG/50ML IV SOLN,25.5,25.5,,,0
HCPCS,J0883,Argatroban nonesrd use 1mg,,,2.19,4.79,4
HCPCS,J0884,Argatroban esrd dialysis 1mg,,,2.19,4.79,4
HCPCS,J0885,"EPOETIN ALFA 2,000 UNIT/ML INJ SOLN (NEONATAL)",115.34,115.34,,,0
HCPCS,J0885,EPOETIN ALFA 4000 UNIT/ML IJ SOLN,121.88,121.88,,,0
HCPCS,J0885,"Epoetin alfa, non-esrd",,,16.28,33.97,4
HCPCS,J0887,Epoetin beta esrd use,,,2.9,6.27,6
HCPCS,J0888,Epoetin beta non esrd,,,2.9,6.27,6
HCPCS,J0893,"Inj, decitabine (sun pharma)",,,1.79,1.79,3
HCPCS,J0894,DECITABINE 50 MG IV SOLR,53.91,53.91,,,0
HCPCS,J0894,Decitabine injection,,,4.06,15.15,4
HCPCS,J0895,Deferoxamine mesylate inj,,,18.88,28.07,4
HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,94.86,94.86,3
HCPCS,J0897,DENOSUMAB 120 MG/1.7ML SC SOLN,87.5,87.5,,,0
HCPCS,J0897,DENOSUMAB 60 MG/ML SC SOSY,125.0,125.0,,,0
HCPCS,J0897,Denosumab injection,,,61.63,65.56,6
HCPCS,J0898,Argatroban nonesrd (auromed),,,3.08,3.08,3
HCPCS,J0899,"Argatroban dialysis, auromed",,,3.08,3.08,3
HCPCS,J0941,BORTEZOMIB 3.5 MG IJ SOLR,16.565,16.565,,,0
HCPCS,J0945,Brompheniramine maleate inj,,,1.22,1.22,1
HCPCS,J1000,Depo-estradiol cypionate inj,,,73.99,97.34,4
HCPCS,J1010,"Inj, methylpred acetate 1 mg",,,0.25,0.33,4
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP,1.88,1.88,,,0
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,2.06,2.06,,,0
HCPCS,J1030,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP,73.08,73.08,,,0
HCPCS,J1040,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,151.37,151.37,,,0
HCPCS,J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,1.91,1.91,,,0
HCPCS,J1050,Medroxyprogesterone acetate,,,1.9,1.9,1
HCPCS,J1071,Inj testosterone cypionate,,,0.07,0.11,4
HCPCS,J1094,Inj dexamethasone acetate,,,1.22,1.22,1
HCPCS,J1095,"Injection, dexamethasone 9%",,,4.04,4.04,1
HCPCS,J1096,Dexametha opth insert 0.1 mg,,,254.56,471.8,4
HCPCS,J1097,Phenylep ketorolac opth soln,,,358.81,358.81,1
HCPCS,J1100,DEXAMETHASONE SOD PHOS 4 MG/ML IJ SOLN - CONSOLIDATED,7.13,7.13,,,0
HCPCS,J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN,7.8149999999999995,7.8149999999999995,,,0
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML IJ SOLN,8.325,8.325,,,0
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN,7.5,7.5,,,0
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,8.04,8.04,,,0
HCPCS,J1100,Dexamethasone sodium phos,,,0.21,0.47,4
HCPCS,J1110,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN,538.69,538.69,,,0
HCPCS,J1110,Inj dihydroergotamine mesylt,,,197.22,216.74,4
HCPCS,J1120,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,254.325,254.325,,,0
HCPCS,J1120,Acetazolamid sodium injectio,,,43.84,49.51,4
HCPCS,J1160,DIGOXIN 0.25 MG/ML IJ SOLN,332.12,332.12,,,0
HCPCS,J1160,Digoxin injection,,,11.22,16.07,4
HCPCS,J1162,DIGOXIN IMMUNE FAB 40 MG IV SOLR,8278.2,8278.2,,,0
HCPCS,J1162,Digoxin immune fab (ovine),,,11427.73,13458.33,4
HCPCS,J1165,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,8.364999999999998,8.364999999999998,,,0
HCPCS,J1165,Phenytoin sodium injection,,,1.2,2.81,4
HCPCS,J1170,HYDROMORPHONE 1MG/ML IV PCA (NS) (PREMIX) SH,23.8,23.8,,,0
HCPCS,J1170,HYDROMORPHONE 1MG/ML NS CADD-SOLIS PCA (PREMIX) (PEDIATRIC) SH,13.75,13.75,,,0
HCPCS,J1170,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,89.36,89.36,,,0
HCPCS,J1170,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,88.98,88.98,,,0
HCPCS,J1170,HYDROMORPHONE HCL PF 2 MG/ML IJ SOLN,90.0,90.0,,,0
HCPCS,J1170,HYDROMORPHONE HCL PF 50 MG/5ML IJ SOLN,9.595,9.595,,,0
HCPCS,J1170,HYDROMORPHONE HCL-NACL 30-0.9 MG/30ML-% IV SOSY,17.619999999999997,17.619999999999997,,,0
HCPCS,J1170,HYDROMORPHONE HCL-NACL 50-0.9 MG/50ML-% IV SOLN,30.02,30.02,,,0
HCPCS,J1170,HYDROMORPHONE VARIABLE DOSE INJ,87.695,87.695,,,0
HCPCS,J1171,"Inj, hydromorphone, 0.1 mg",,,0.32,0.32,3
HCPCS,J1190,DEXRAZOXANE HCL 500 MG IV SOLR,594.445,594.445,,,0
HCPCS,J1190,Dexrazoxane hcl injection,,,186.2,658.82,4
HCPCS,J1200,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,74.07,74.07,,,0
HCPCS,J1200,Diphenhydramine hcl injectio,,,1.52,2.85,4
HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,35.93,104.77,4
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,206.65,206.65,3
HCPCS,J1205,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,547.775,547.775,,,0
HCPCS,J1205,Chlorothiazide sodium inj,,,74.71,202.62,4
HCPCS,J1212,Dimethyl sulfoxide 50% 50 ML,,,1643.87,2111.89,4
HCPCS,J1230,METHADONE HCL 10 MG/ML IJ SOLN,102.535,102.535,,,0
HCPCS,J1230,Methadone injection,,,48.1,59.07,4
HCPCS,J1240,Dimenhydrinate injection,,,19.2,22.11,4
HCPCS,J1245,Dipyridamole injection,,,8.0,8.82,4
HCPCS,J1250,DOBUTAMINE HCL 250 MG/20ML IV SOLN,58.35,58.35,,,0
HCPCS,J1250,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN,68.725,68.725,,,0
HCPCS,J1250,Inj dobutamine HCL/250 mg,,,18.73,19.39,4
HCPCS,J1260,Dolasetron mesylate,,,41.38,41.38,1
HCPCS,J1265,DOPAMINE HCL 40 MG/ML IV SOLN,3.75,3.75,,,0
HCPCS,J1265,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN,63.46,63.46,,,0
HCPCS,J1265,DOPAMINE-DEXTROSE 3.2-5 MG/ML-% IV SOLN,8.55,8.55,,,0
HCPCS,J1265,Dopamine injection,,,1.63,2.03,4
HCPCS,J1267,Doripenem injection,,,3.02,3.02,1
HCPCS,J1270,"Injection, doxercalciferol",,,0.86,0.96,4
HCPCS,J1271,Inj doxycycline hyclate 1 mg,,,0.28,0.28,3
HCPCS,J1290,Ecallantide injection,,,1298.67,1682.49,6
HCPCS,J1299,"Inj, eculizumab, 2 mg",,,103.06,103.06,3
HCPCS,J1300,ECULIZUMAB 300 MG/30ML IV SOLN,391.38,391.38,,,0
HCPCS,J1300,Eculizumab injection,,,705.9,781.42,3
HCPCS,J1301,"Injection, edaravone, 1 mg",,,46.93,67.34,4
HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,41.69,41.69,3
HCPCS,J1302,SUTIMLIMAB-JOME 1100 MG/22ML IV SOLN,30.76,30.76,,,0
HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,506.73,767.17,6
HCPCS,J1303,RAVULIZUMAB-CWVZ 1100 MG/11ML IV SOLN,311.28,311.28,,,0
HCPCS,J1303,RAVULIZUMAB-CWVZ 300 MG/3ML IV SOLN,354.015,354.015,,,0
HCPCS,J1304,Inj tofersen intrathec 1 mg,,,357.28,357.28,3
HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,428.5,428.5,3
HCPCS,J1306,"Injection, inclisiran, 1 mg",,,28.23,28.23,3
HCPCS,J1308,"Inj, famotidine, 0.25 mg",,,0.02,0.02,3
HCPCS,J1322,"Elosulfase alfa, injection",,,676.05,818.5,4
HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,420.85,420.85,3
HCPCS,J1324,Enfuvirtide injection,,,2.71,2.71,1
HCPCS,J1325,EPOPROSTENOL SODIUM 0.5 MG IV SOLR,196.7,196.7,,,0
HCPCS,J1325,EPOPROSTENOL SODIUM 1.5 MG IV SOLR,128.78,128.78,,,0
HCPCS,J1325,Epoprostenol injection,,,36.97,54.85,6
HCPCS,J1327,EPTIFIBATIDE 20 MG/10ML IV SOLN,186.1,186.1,,,0
HCPCS,J1327,EPTIFIBATIDE 75 MG/100ML IV SOLN,110.635,110.635,,,0
HCPCS,J1327,Eptifibatide injection,,,10.58,10.58,1
HCPCS,J1335,"ERTAPENEM 1,000MG/100ML NS (MINIBAG)",234.0,234.0,,,0
HCPCS,J1335,ERTAPENEM SODIUM 1 G IJ SOLR,489.88,489.88,,,0
HCPCS,J1335,Ertapenem injection,,,21.12,130.35,4
HCPCS,J1364,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,484.94500000000005,484.94500000000005,,,0
HCPCS,J1364,Erythro lactobionate /500 MG,,,151.71,248.86,4
HCPCS,J1380,Estradiol valerate 10 MG inj,,,16.79,29.6,4
HCPCS,J1410,ESTROGENS CONJUGATED 25 MG IJ SOLR,2208.3,2208.3,,,0
HCPCS,J1410,Inj estrogen conjugate 25 MG,,,880.64,1045.51,4
HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,567.68,567.68,1
HCPCS,J1430,Ethanolamine oleate 100 mg,,,1144.71,1505.66,4
HCPCS,J1434,"Inj, focinvez, 1mg",,,6.95,6.95,3
HCPCS,J1435,Injection estrone per 1 MG,,,1.22,1.22,1
HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,47.9,47.9,3
HCPCS,J1438,Etanercept injection,,,2496.34,2496.34,1
HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,2.59,3.73,4
HCPCS,J1440,Fecal?microbiota jslm 1 ml,,,147.05,147.05,3
HCPCS,J1442,Inj filgrastim excl biosimil,,,2.26,3.18,4
HCPCS,J1443,Inj ferric pyrophosphate cit,,,0.13,0.13,1
HCPCS,J1444,Fe pyro cit pow 0.1 mg iron,,,0.13,0.13,1
HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.84,1.77,4
HCPCS,J1447,TBO-FILGRASTIM 300 MCG/0.5ML SC SOSY,5.0,5.0,,,0
HCPCS,J1448,"Injection, trilaciclib, 1mg",,,12.39,12.39,3
HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,52.0,52.0,3
HCPCS,J1450,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN,75.3,75.3,,,0
HCPCS,J1450,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,48.125,48.125,,,0
HCPCS,J1450,Fluconazole,,,8.23,43.64,4
HCPCS,J1451,FOMEPIZOLE 1 GM/ML IV SOLN,50.0,50.0,,,0
HCPCS,J1451,"Fomepizole, 15 mg",,,29.77,29.77,1
HCPCS,J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,10.635000000000002,10.635000000000002,,,0
HCPCS,J1453,FOSAPREPITANT DIMEGLUMINE 150 MG/5ML IV (WET SOLR VIAL),11.925,11.925,,,0
HCPCS,J1453,Fosaprepitant injection,,,0.27,4.72,4
HCPCS,J1454,"Inj fosnetupitant, palonoset",,,880.65,1455.61,4
HCPCS,J1455,Foscarnet sodium injection,,,49.75,278.92,4
HCPCS,J1456,"Inj, fosaprepitant (teva)",,,2.79,2.79,3
HCPCS,J1457,Gallium nitrate injection,,,4.86,4.86,1
HCPCS,J1458,Galsulfase injection,,,1115.22,1348.9,4
HCPCS,J1459,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - PRIVIGEN,316.5,316.5,,,0
HCPCS,J1459,Inj IVIG privigen 500 mg,,,113.11,139.75,6
HCPCS,J1460,Gamma globulin 1 CC inj,,,112.44,138.85,6
HCPCS,J1551,Inj cutaquig 100 mg,,,32.97,32.97,3
HCPCS,J1552,"Inj, alyglo, 500 mg",,,317.66,317.66,3
HCPCS,J1554,Inj. asceniv,,,1142.37,1142.37,3
HCPCS,J1555,"Inj cuvitru, 100 mg",,,38.37,47.09,6
HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,177.79,238.99,4
HCPCS,J1557,Gammaplex injection,,,132.19,187.18,6
HCPCS,J1558,"Inj. xembify, 100 mg",,,32.85,32.85,3
HCPCS,J1559,Hizentra injection,,,31.38,35.61,6
HCPCS,J1560,Gamma globulin > 10 CC inj,,,1124.36,1388.26,4
HCPCS,J1561,Gamunex-c/gammaked,,,111.19,138.4,6
HCPCS,J1561,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - GAMUNEX-C,251.385,251.385,,,0
HCPCS,J1562,"Vivaglobin, inj",,,34.27,34.27,1
HCPCS,J1566,"Immune globulin, powder",,,186.33,217.29,6
HCPCS,J1568,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - OCTAGAM,349.66,349.66,,,0
HCPCS,J1568,Octagam injection,,,110.53,137.21,6
HCPCS,J1569,Gammagard liquid injection,,,103.8,135.06,6
HCPCS,J1570,GANCICLOVIR SODIUM 500 MG/10ML IV (WET SOLR VIAL),247.75,247.75,,,0
HCPCS,J1570,Ganciclovir sodium injection,,,49.19,73.8,4
HCPCS,J1571,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IJ SOLN,366.03,366.03,,,0
HCPCS,J1571,HepaGam B IM injection,,,149.84,198.17,4
HCPCS,J1572,Flebogamma injection,,,112.98,122.13,3
HCPCS,J1573,HEPATITIS B IMMUNE GLOBULIN IV SOLN SH,182.44,182.44,,,0
HCPCS,J1573,"Hepagam B intravenous, inj",,,149.84,201.2,4
HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,40.4,47.93,6
HCPCS,J1576,"Inj, panzyga, 500 mg",,,161.99,161.99,3
HCPCS,J1580,GENTAMICIN IN SALINE 0.8-0.9 MG/ML-% IV SOLN,58.620000000000005,58.620000000000005,,,0
HCPCS,J1580,GENTAMICIN IN SALINE 1-0.9 MG/ML-% IV SOLN,37.5,37.5,,,0
HCPCS,J1580,GENTAMICIN IN SALINE 1.2-0.9 MG/ML-% IV SOLN (120MG/100ML),37.5,37.5,,,0
HCPCS,J1580,GENTAMICIN SULFATE 10 MG/ML IJ SOLN,143.47,143.47,,,0
HCPCS,J1580,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,37.5,37.5,,,0
HCPCS,J1580,Garamycin gentamicin inj,,,5.67,6.95,4
HCPCS,J1595,Injection glatiramer acetate,,,514.33,514.33,1
HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,46.88,46.88,,,0
HCPCS,J1596,"Inj, glycopyrrolate, 0.1 mg",,,1.17,1.17,3
HCPCS,J1598,Inj glycopyrrolate fres kabi,,,3.82,3.82,3
HCPCS,J1599,"Ivig non-lyophilized, NOS",,,337.67,337.67,1
HCPCS,J1600,Gold sodium thiomaleate inj,,,50.18,50.18,1
HCPCS,J1602,Golimumab for iv use 1mg,,,24.77,68.38,6
HCPCS,J1610,GLUCAGON EMERGENCY 1 MG IJ KIT,1680.0,1680.0,,,0
HCPCS,J1610,GLUCAGON HCL (RDNA) 1 MG IJ SOLR,1083.9,1083.9,,,0
HCPCS,J1610,GLUCAGON HCL 1 MG IJ SOLR - CONSOLIDATED,1329.9,1329.9,,,0
HCPCS,J1610,Glucagon hydrochloride/1 mg,,,438.75,677.66,4
HCPCS,J1611,GLUCAGON HCL (RDNA) 1 MG/ML IJ (WET SOLR VIAL),450.0,450.0,,,0
HCPCS,J1611,GLUCAGON HCL 1 MG IJ SOLR - CONSOLIDATED,1199.3400000000001,1199.3400000000001,,,0
HCPCS,J1611,"Inj glucagon hcl, fresenius",,,346.01,346.01,3
HCPCS,J1626,GRANISETRON HCL 1 MG/ML IV SOLN,12.600000000000001,12.600000000000001,,,0
HCPCS,J1626,Granisetron hcl injection,,,0.6,0.99,4
HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,5.53,12.16,4
HCPCS,J1628,"Inj., guselkumab, 1 mg",,,161.98,317.9,4
HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN,74.46000000000001,74.46000000000001,,,0
HCPCS,J1630,Haloperidol injection,,,1.78,2.81,4
HCPCS,J1631,Haloperidol decanoate inj,,,10.61,52.38,4
HCPCS,J1632,"Inj., brexanolone, 1 mg",,,260.65,260.65,1
HCPCS,J1640,"Hemin, 1 mg",,,76.07,80.43,4
HCPCS,J1642,HEPARIN NA (PORK) LOCK FLSH PF 10 UNIT/ML IV SOLN,3.44,3.44,,,0
HCPCS,J1642,HEPARIN NA (PORK) LOCK FLSH PF 100 UNIT/ML IV SOLN,0.41,0.41,,,0
HCPCS,J1642,Inj heparin sodium per 10 u,,,0.04,0.06,4
HCPCS,J1643,"Inj heparin, pfizer, 1000u",,,6.77,6.77,3
HCPCS,J1644,HEPARIN (PORCINE) 2 UNITS/ML 0.9% NACL LINE PATENCY DRIP (PREMIX) SH,65.615,65.615,,,0
HCPCS,J1644,HEPARIN (PORCINE) IN NACL 2000-0.9 UNIT/L-% IV SOLN,37.5,37.5,,,0
HCPCS,J1644,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN,4.135,4.135,,,0
HCPCS,J1644,"HEPARIN 30,000 UNIT/1000 ML 0.9% NACL (CELL SAVER PREMIX)",9.1,9.1,,,0
HCPCS,J1644,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,3.0,3.0,,,0
HCPCS,J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,24.59,24.59,,,0
HCPCS,J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN,8.945,8.945,,,0
HCPCS,J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,15.0,15.0,,,0
HCPCS,J1644,HEPARIN TOPICAL SCRUB FOR VENOUS CONGESTION SH,15.55,15.55,,,0
HCPCS,J1644,Inj heparin sodium per 1000u,,,0.5,0.84,4
HCPCS,J1645,Dalteparin sodium,,,36.9,39.76,4
HCPCS,J1650,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,12.865,12.865,,,0
HCPCS,J1650,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,19.92,19.92,,,0
HCPCS,J1650,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY,11.9,11.9,,,0
HCPCS,J1650,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY,12.995000000000001,12.995000000000001,,,0
HCPCS,J1650,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,25.0,25.0,,,0
HCPCS,J1650,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,14.885,14.885,,,0
HCPCS,J1650,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,20.08,20.08,,,0
HCPCS,J1650,Inj enoxaparin sodium,,,1.19,2.4,4
HCPCS,J1652,FONDAPARINUX SODIUM 2.5 MG/0.2ML SC SOLN - CONSOLIDATED,55.73,55.73,,,0
HCPCS,J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,73.03,73.03,,,0
HCPCS,J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,83.6,83.6,,,0
HCPCS,J1652,Fondaparinux sodium,,,1.97,5.32,4
HCPCS,J1655,Tinzaparin sodium injection,,,13.46,13.46,1
HCPCS,J1670,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY,2337.0,2337.0,,,0
HCPCS,J1670,Tetanus immune globulin inj,,,1324.25,1812.93,4
HCPCS,J1675,Histrelin acetate,,,3.66,3.66,1
HCPCS,J1720,HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR,93.4,93.4,,,0
HCPCS,J1720,HYDROCORTISONE SOD SUC (PF) 250 MG IJ SOLR,106.98,106.98,,,0
HCPCS,J1720,Hydrocortisone sodium succ i,,,43.74,47.33,4
HCPCS,J1726,"Makena, 10 mg",,,62.31,62.31,1
HCPCS,J1729,Inj hydroxyprogst capoat nos,,,36.65,36.65,1
HCPCS,J1730,Diazoxide injection,,,371.94,371.94,1
HCPCS,J1740,Ibandronate sodium injection,,,51.1,148.24,4
HCPCS,J1741,Ibuprofen injection,,,6.84,9.8,4
HCPCS,J1742,Ibutilide fumarate injection,,,820.52,820.52,1
HCPCS,J1743,Idursulfase injection,,,1247.92,1840.59,6
HCPCS,J1744,Icatibant injection,,,288.23,1145.4,4
HCPCS,J1745,INFLIXIMAB 100 MG IV SOLR,171.0,171.0,,,0
HCPCS,J1745,INFLIXIMAB 100 MG/10ML IV (WET SOLR VIAL),268.83500000000004,268.83500000000004,,,0
HCPCS,J1745,Infliximab not biosimil 10mg,,,70.2,188.86,6
HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,176.99,197.92,4
HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,141.28,141.28,3
HCPCS,J1750,Inj iron dextran,,,39.64,48.68,4
HCPCS,J1756,IRON SUCROSE 20 MG/ML IV SOLN,3.77,3.77,,,0
HCPCS,J1756,Iron sucrose injection,,,0.55,0.72,4
HCPCS,J1786,Imuglucerase injection,,,99.22,144.51,4
HCPCS,J1790,Droperidol injection,,,18.75,19.7,4
HCPCS,J1800,PROPRANOLOL HCL 1 MG/ML IV SOLN,75.0,75.0,,,0
HCPCS,J1800,Propranolol injection,,,11.54,11.54,1
HCPCS,J1805,ESMOLOL HCL 100 MG/10ML IV SOLN,19.48,19.48,,,0
HCPCS,J1805,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN,12.3,12.3,,,0
HCPCS,J1805,"Inj, esmolol hcl, 10mg",,,0.65,0.65,3
HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.94,0.94,3
HCPCS,J1808,"Inj, folic acid, 0.1 mg",,,0.14,0.14,3
HCPCS,J1811,Fiasp for insulin pump use,,,15.34,15.34,3
HCPCS,J1813,Lyumjev for insulin pump use,,,35.25,35.25,3
HCPCS,J1815,INSULIN GLARGINE 100 UNIT/ML SC SOLN,3.7800000000000002,3.7800000000000002,,,0
HCPCS,J1815,INSULIN LISPRO 100 UNIT/ML IJ SOLN,8.21,8.21,,,0
HCPCS,J1815,INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP,3.165,3.165,,,0
HCPCS,J1815,INSULIN REG HUMAN 100 UNITS/100ML NS IV DRIP GEN MED (PREMIX) SH,0.5,0.5,,,0
HCPCS,J1815,INSULIN REGULAR HUMAN 100 UNIT/ML IJ SOLN,6.01,6.01,,,0
HCPCS,J1815,Insulin injection,,,3.02,3.02,1
HCPCS,J1817,Insulin for insulin pump use,,,5.73,36.14,4
HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,1114.13,1114.13,3
HCPCS,J1826,Interferon Beta-1A inj,,,7718.55,7718.55,1
HCPCS,J1830,Interferon beta-1b / .25 MG,,,1258.86,1258.86,1
HCPCS,J1833,ISAVUCONAZONIUM SULFATE 372 MG/5ML IV (WET SOLR VIAL),6.18,6.18,,,0
HCPCS,J1833,"Injection, isavuconazonium",,,2.71,2.71,1
HCPCS,J1835,Itraconazole injection,,,3440.69,3440.69,1
HCPCS,J1836,"Inj, metronidazole, 10 mg",,,0.06,0.06,3
HCPCS,J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,2.7350000000000003,2.7350000000000003,,,0
HCPCS,J1836,METRONIDAZOLE IN NACL 5-0.79 MG/ML-% IV SOLN,1.5,1.5,,,0
HCPCS,J1885,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,71.6,71.6,,,0
HCPCS,J1885,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,40.0,40.0,,,0
HCPCS,J1885,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,45.489999999999995,45.489999999999995,,,0
HCPCS,J1885,KETOROLAC VARIABLE DOSE INJ,68.52,68.52,,,0
HCPCS,J1885,KETOROLAC VARIABLE DOSE INJ (PEDIATRIC) SH,60.29,60.29,,,0
HCPCS,J1885,Ketorolac tromethamine inj,,,1.15,1.87,4
HCPCS,J1920,"Inj, labetalol hcl, 5mg",,,0.96,0.96,3
HCPCS,J1920,LABETALOL HCL 5 MG/ML IV SOLN,1.255,1.255,,,0
HCPCS,J1920,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,25.0,25.0,,,0
HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,3.18,3.18,3
HCPCS,J1921,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,6.25,6.25,,,0
HCPCS,J1930,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,143.43,143.43,,,0
HCPCS,J1930,Lanreotide injection,,,90.97,223.24,4
HCPCS,J1931,Laronidase injection,,,88.79,109.01,4
HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,58.47,58.47,3
HCPCS,J1932,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,133.39,133.39,,,0
HCPCS,J1938,"Inj, furosemide, 1 mg",,,0.05,0.05,3
HCPCS,J1939,BUMETANIDE 0.25 MG/ML IJ SOLN,10.38,10.38,,,0
HCPCS,J1939,"Inj, bumetanide, 0.5 mg",,,1.31,1.31,3
HCPCS,J1940,FUROSEMIDE 10 MG/ML IJ SOLN,31.6,31.6,,,0
HCPCS,J1940,FUROSEMIDE 10MG/ML IV SOLN (PEDIATRIC) SH,75.0,75.0,,,0
HCPCS,J1940,Furosemide injection,,,2.15,2.15,1
HCPCS,J1943,"Inj., aristada initio, 1 mg",,,7.23,9.42,4
HCPCS,J1944,Aripirazole lauroxil 1 mg,,,7.5,9.18,4
HCPCS,J1945,Lepirudin,,,549.37,549.37,1
HCPCS,J1950,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT,4500.0,4500.0,,,0
HCPCS,J1950,LEUPROLIDE ACETATE 3.75 MG IM KIT,7500.0,7500.0,,,0
HCPCS,J1950,Leuprolide acetate /3.75 mg,,,3841.68,4897.64,6
HCPCS,J1951,Inj fensolvi 0.25 mg,,,308.79,308.79,3
HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,120.47,120.47,3
HCPCS,J1953,LEVETIRACETAM 100MG/ML IV SYRINGE LOADING DOSE SH,0.7,0.7,,,0
HCPCS,J1953,LEVETIRACETAM 15MG/ML IN NACL IV SYRINGE (PEDIATRIC) SH,3.77,3.77,,,0
HCPCS,J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,2.925,2.925,,,0
HCPCS,J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,1.165,1.165,,,0
HCPCS,J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,2.73,2.73,,,0
HCPCS,J1953,Levetiracetam injection,,,0.12,0.35,4
HCPCS,J1954,Leuprolide depot cipla 7.5mg,,,507.71,507.71,3
HCPCS,J1955,Inj levocarnitine per 1 gm,,,56.06,69.34,4
HCPCS,J1956,LEVOFLOXACIN 250MG/50ML D5W (PREMIX) CUSTOM-CREATE,75.0,75.0,,,0
HCPCS,J1956,LEVOFLOXACIN 500MG/100ML D5W (PREMIX) CUSTOM-CREATE,41.85,41.85,,,0
HCPCS,J1956,LEVOFLOXACIN 750MG/150ML D5W (PREMIX) CUSTOM-CREATE,27.9,27.9,,,0
HCPCS,J1956,Levofloxacin injection,,,1.47,2.36,4
HCPCS,J1960,Levorphanol tartrate inj,,,11.01,11.01,1
HCPCS,J1961,"Inj, lenacapavir, 1 mg",,,50.67,50.67,3
HCPCS,J1980,Hyoscyamine sulfate inj,,,107.13,107.13,1
HCPCS,J1990,Chlordiazepoxide injection,,,75.87,75.87,1
HCPCS,J2001,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY,7.41,7.41,,,0
HCPCS,J2001,LIDOCAINE HCL (CARDIAC) 20 MG/ML IV SOLN (ET),7.5,7.5,,,0
HCPCS,J2001,LIDOCAINE HCL (CARDIAC) 50 MG/5ML IV SOSY,25.215,25.215,,,0
HCPCS,J2001,LIDOCAINE HCL (PF) 1 % IJ SOLN,19.04,19.04,,,0
HCPCS,J2001,LIDOCAINE HCL (PF) 1.5 % IJ SOLN,10.0,10.0,,,0
HCPCS,J2001,LIDOCAINE HCL (PF) 2 % IJ SOLN,9.7,9.7,,,0
HCPCS,J2001,LIDOCAINE HCL (PF) 4 % IJ SOLN,2.48,2.48,,,0
HCPCS,J2001,LIDOCAINE HCL 0.5 % IJ SOLN,3.0,3.0,,,0
HCPCS,J2001,LIDOCAINE HCL 1 % IJ SOLN,6.89,6.89,,,0
HCPCS,J2001,LIDOCAINE HCL 2 % IJ SOLN,3.75,3.75,,,0
HCPCS,J2001,LIDOCAINE IN D5W 8-5 MG/ML-% IV SOLN,3.94,3.94,,,0
HCPCS,J2002,"Inj, lidocaine in d5w, 1 mg",,,0.01,0.01,3
HCPCS,J2010,Lincomycin injection,,,14.35,41.46,4
HCPCS,J2020,LINEZOLID 600 MG/300ML IV SOLN,97.5,97.5,,,0
HCPCS,J2020,Linezolid injection,,,7.99,21.12,4
HCPCS,J2021,"Inj, linezolid (hospira)",,,14.58,14.58,3
HCPCS,J2060,LORAZEPAM 2 MG/ML IJ SOLN,86.03,86.03,,,0
HCPCS,J2060,Lorazepam injection,,,2.55,3.6,4
HCPCS,J2062,Loxapine for inhalation 1 mg,,,61.03,61.03,1
HCPCS,J2150,MANNITOL 25 % IV SOLN,47.68,47.68,,,0
HCPCS,J2150,Mannitol injection,,,5.2,7.16,4
HCPCS,J2170,Mecasermin injection,,,498.98,498.98,1
HCPCS,J2175,MEPERIDINE HCL 25 MG/ML IJ SOLN,90.235,90.235,,,0
HCPCS,J2175,MEPERIDINE HCL 50 MG/ML IJ SOLN,90.0,90.0,,,0
HCPCS,J2175,MEPERIDINE VARIABLE DOSE INJ,138.75,138.75,,,0
HCPCS,J2175,Meperidine hydrochl /100 MG,,,16.96,23.31,4
HCPCS,J2180,Meperidine/promethazine inj,,,28.14,28.14,1
HCPCS,J2182,"Injection, mepolizumab, 1mg",,,70.24,97.51,6
HCPCS,J2183,Inj meropenem (wg crit care),,,3.69,3.69,3
HCPCS,J2184,"Inj, meropenem (b. braun)",,,4.8,4.8,3
HCPCS,J2185,MEROPENEM 1 G IV SOLR,16.15,16.15,,,0
HCPCS,J2185,"MEROPENEM 1,000 MG/100ML NS (MINIBAG)",16.7,16.7,,,0
HCPCS,J2185,MEROPENEM 500 MG/50ML NS (MINIBAG),33.9,33.9,,,0
HCPCS,J2185,Meropenem,,,0.99,2.75,4
HCPCS,J2186,"Inj., meropenem, vaborbactam",,,6.06,6.06,1
HCPCS,J2210,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN,235.975,235.975,,,0
HCPCS,J2210,Methylergonovin maleate inj,,,48.96,60.79,4
HCPCS,J2212,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SC SOLN,8.24,8.24,,,0
HCPCS,J2212,Methylnaltrexone injection,,,4.76,4.76,1
HCPCS,J2246,"Inj, micafungin (baxter)",,,1.47,1.47,3
HCPCS,J2247,"Inj, micafungin (par pharm)",,,0.7,0.7,3
HCPCS,J2248,MICAFUNGIN 100MG/100ML NS (MINIBAG),11.0,11.0,,,0
HCPCS,J2248,MICAFUNGIN 50MG/100ML NS (MINIBAG),12.735,12.735,,,0
HCPCS,J2248,MICAFUNGIN SODIUM 100 MG IV SOLR,8.35,8.35,,,0
HCPCS,J2248,MICAFUNGIN SODIUM 100 MG/5ML IV (WET SOLR VIAL),11.22,11.22,,,0
HCPCS,J2248,MICAFUNGIN SODIUM 50 MG/5ML IV (WET SOLR VIAL),14.59,14.59,,,0
HCPCS,J2248,Micafungin sodium injection,,,0.65,3.66,4
HCPCS,J2250,Inj midazolam hydrochloride,,,0.3,0.37,4
HCPCS,J2250,MIDAZOLAM HCL 1 MG/ML IJ SOLN - CONSOLIDATED,39.77,39.77,,,0
HCPCS,J2250,MIDAZOLAM HCL 5 MG/ML IJ SOLN - CONSOLIDATED,10.86,10.86,,,0
HCPCS,J2250,MIDAZOLAM HCL-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN,1.8599999999999999,1.8599999999999999,,,0
HCPCS,J2251,Inj midazolam (wg crit care),,,0.39,0.39,3
HCPCS,J2251,MIDAZOLAM HCL-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN,1.795,1.795,,,0
HCPCS,J2260,Inj milrinone lactate / 5 mg,,,3.61,5.63,4
HCPCS,J2260,MILRINONE LACTATE 20 MG/20ML IV SOLN,26.25,26.25,,,0
HCPCS,J2260,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN,33.6,33.6,,,0
HCPCS,J2265,Minocycline hydrochloride,,,6.7,6.7,1
HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,109.4,109.4,3
HCPCS,J2270,MORPHINE 1MG/ML IV PCA (PREMIX) SH,101.58,101.58,,,0
HCPCS,J2270,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN,102.77,102.77,,,0
HCPCS,J2270,MORPHINE SULFATE (PF) 10 MG/ML IJ SOLN,45.0,45.0,,,0
HCPCS,J2270,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN,90.0,90.0,,,0
HCPCS,J2270,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,89.715,89.715,,,0
HCPCS,J2270,MORPHINE SULFATE (PF) 4 MG/ML IJ SOLN,63.69,63.69,,,0
HCPCS,J2270,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,90.0,90.0,,,0
HCPCS,J2270,MORPHINE SULFATE 10 MG/ML IV SOLN,52.79,52.79,,,0
HCPCS,J2270,MORPHINE SULFATE 4 MG/ML IV SOLN,88.53999999999999,88.53999999999999,,,0
HCPCS,J2270,MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN,11.92,11.92,,,0
HCPCS,J2270,MORPHINE SULFATE-NACL 150-0.9 MG/30ML-% IV SOSY,9.25,9.25,,,0
HCPCS,J2270,MORPHINE VARIABLE DOSE INJ,80.53999999999999,80.53999999999999,,,0
HCPCS,J2270,Morphine sulfate injection,,,10.65,12.65,4
HCPCS,J2272,"Inj, morphine (fresenius)",,,15.27,15.27,3
HCPCS,J2272,MORPHINE SULFATE (PF) 10 MG/ML IJ SOLN,49.55,49.55,,,0
HCPCS,J2272,MORPHINE SULFATE (PF) 2 MG/ML IJ SOLN,90.0,90.0,,,0
HCPCS,J2272,MORPHINE SULFATE (PF) 4 MG/ML IJ SOLN,88.36,88.36,,,0
HCPCS,J2272,MORPHINE SULFATE 2 MG/ML IJ SOLN,90.0,90.0,,,0
HCPCS,J2272,MORPHINE SULFATE 4 MG/ML IJ SOLN,90.0,90.0,,,0
HCPCS,J2274,In morphine preservativ free,,,22.59,39.34,4
HCPCS,J2274,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN,92.19,92.19,,,0
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,58.0,58.0,3
HCPCS,J2278,Ziconotide injection,,,22.31,27.93,4
HCPCS,J2280,"Inj, moxifloxacin 100 mg",,,19.72,29.95,4
HCPCS,J2280,MOXIFLOXACIN HCL 0.3 MG/0.3ML IO SOSY,234.94,234.94,,,0
HCPCS,J2281,Inj moxifloxacin (fres kabi),,,16.34,16.34,3
HCPCS,J2300,Inj nalbuphine hydrochloride,,,7.08,8.8,4
HCPCS,J2300,NALBUPHINE HCL 10 MG/ML IJ SOLN,75.0,75.0,,,0
HCPCS,J2305,"Inj, nitroglycerin, 5 mg",,,3.08,3.08,3
HCPCS,J2305,NITROGLYCERIN 100MCG/ML INJ,75.0,75.0,,,0
HCPCS,J2305,NITROGLYCERIN 200MCG/ML INJ SH,18.9,18.9,,,0
HCPCS,J2305,NITROGLYCERIN 5 MG/ML IV SOLN,41.225,41.225,,,0
HCPCS,J2310,Inj naloxone hydrochloride,,,21.19,41.91,4
HCPCS,J2310,NALOXONE HCL 0.4 MG/ML IJ SOLN,132.97,132.97,,,0
HCPCS,J2310,NALOXONE HCL 2 MG/2ML IJ SOSY,121.54,121.54,,,0
HCPCS,J2310,NALOXONE HCL 4 MG/10ML IJ SOLN,178.11,178.11,,,0
HCPCS,J2311,"Inj, naloxone hcl (zimhi)",,,3.44,3.44,3
HCPCS,J2315,"Naltrexone, depot form",,,9.48,10.94,4
HCPCS,J2320,Nandrolone decanoate 50 MG,,,14.68,14.68,1
HCPCS,J2323,Natalizumab injection,,,56.05,70.79,6
HCPCS,J2325,Nesiritide injection,,,253.61,253.61,1
HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,3772.5,3772.5,1
HCPCS,J2326,NUSINERSEN 12 MG/5ML IT SOLN,1604.89,1604.89,,,0
HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,31.07,34.18,4
HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,137.81,157.91,4
HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,132.96,194.68,6
HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,103.93,103.93,3
HCPCS,J2353,"Octreotide injection, depot",,,470.56,698.69,6
HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN,21.03,21.03,,,0
HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN,31.29,31.29,,,0
HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN,15.48,15.48,,,0
HCPCS,J2354,"Octreotide inj, non-depot",,,1.36,2.89,4
HCPCS,J2355,Oprelvekin injection,,,4.53,4.53,1
HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,40.86,40.86,3
HCPCS,J2357,Omalizumab injection,,,92.27,125.95,6
HCPCS,J2358,Olanzapine long-acting inj,,,6.71,9.9,4
HCPCS,J2359,"Inj. olanzapine, 0.5mg",,,2.13,2.13,3
HCPCS,J2359,OLANZAPINE 10 MG IM SOLR,14.09,14.09,,,0
HCPCS,J2360,Orphenadrine injection,,,26.14,28.35,4
HCPCS,J2370,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,75.0,75.0,,,0
HCPCS,J2370,PHENYLEPHRINE HCL-NACL 50-0.9 MG/250ML-% IV SOLN,90.76,90.76,,,0
HCPCS,J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,1.085,1.085,,,0
HCPCS,J2371,PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY,4.795,4.795,,,0
HCPCS,J2371,PHENYLEPHRINE HCL-NACL 50-0.9 MG/250ML-% IV SOLN,0.13,0.13,,,0
HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.4,0.4,3
HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.32,0.32,3
HCPCS,J2400,Chloroprocaine hcl injection,,,89.51,89.51,1
HCPCS,J2401,CHLOROPROCAINE HCL (PF) 2 % IJ SOLN,0.435,0.435,,,0
HCPCS,J2401,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN,0.28500000000000003,0.28500000000000003,,,0
HCPCS,J2401,CHLOROPROCAINE HCL 2 % IJ SOLN,0.26,0.26,,,0
HCPCS,J2401,Chloroprocaine hcl injection,,,0.09,0.09,3
HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,1.39,1.39,3
HCPCS,J2404,"Inj, nicardipine 0.1 mg",,,0.2,0.2,3
HCPCS,J2404,NICARDIPINE 2.5 MG/ML INTERVENTIONAL INJ SOLN,5.11,5.11,,,0
HCPCS,J2404,NICARDIPINE HCL IN NACL 40-0.83 MG/200ML-% IV SOLN,2.705,2.705,,,0
HCPCS,J2405,ONDANSETRON HCL 4 MG/2ML IJ SOLN,17.015,17.015,,,0
HCPCS,J2405,ONDANSETRON HCL 40 MG/20ML IJ SOLN,4.66,4.66,,,0
HCPCS,J2405,Ondansetron hcl injection,,,0.2,0.32,4
HCPCS,J2406,"Injection, oritavancin 10 mg",,,98.36,98.36,3
HCPCS,J2407,"Injection, oritavancin",,,65.61,78.91,4
HCPCS,J2410,Oxymorphone hcl injection,,,8.58,8.58,1
HCPCS,J2425,Palifermin injection,,,71.98,78.18,4
HCPCS,J2426,PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY,44.87,44.87,,,0
HCPCS,J2426,Paliperidone palmitate inj,,,33.9,39.4,4
HCPCS,J2427,"Inj, invega hafyera/trinza",,,29.15,29.15,3
HCPCS,J2430,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,159.965,159.965,,,0
HCPCS,J2430,Pamidronate disodium /30 mg,,,31.91,35.05,4
HCPCS,J2440,PAPAVERINE HCL 30 MG/ML IJ SOLN,305.99,305.99,,,0
HCPCS,J2440,Papaverin hcl injection,,,153.42,153.42,1
HCPCS,J2468,"Inj, palonosetron (avyxa)",,,137.78,137.78,3
HCPCS,J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,126.03999999999999,126.03999999999999,,,0
HCPCS,J2469,Palonosetron hcl,,,1.15,11.49,4
HCPCS,J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,74.17,74.17,,,0
HCPCS,J2471,PANTOPRAZOLE SODIUM 40 MG IV SOLR,75.0,75.0,,,0
HCPCS,J2501,Paricalcitol,,,1.86,2.81,4
HCPCS,J2502,"Inj, pasireotide long acting",,,1095.34,1211.97,4
HCPCS,J2503,Pegaptanib sodium injection,,,2447.72,2447.72,1
HCPCS,J2504,"Pegademase bovine, 25 iu",,,4990.1,4990.1,1
HCPCS,J2506,Inj pegfilgrast ex bio 0.5mg,,,45.96,976.34,4
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6ML SC PSKT,1097.07,1097.07,,,0
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6ML SC SOSY,1123.15,1123.15,,,0
HCPCS,J2507,Pegloticase injection,,,8200.23,8784.12,6
HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,521.93,521.93,3
HCPCS,J2510,Penicillin g procaine inj,,,100.61,100.61,1
HCPCS,J2515,Pentobarbital sodium inj,,,126.29,126.29,1
HCPCS,J2540,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR,12.21,12.21,,,0
HCPCS,J2540,PENICILLIN G POTASSIUM 5 MU/10ML IJ (WET SOLR VIAL),12.7,12.7,,,0
HCPCS,J2540,PENICILLIN G POTASSIUM 5000000 UNITS IJ SOLR,23.295,23.295,,,0
HCPCS,J2540,Penicillin g potassium inj,,,1.78,3.61,4
HCPCS,J2543,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR,36.17,36.17,,,0
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM IN DEX 3-0.375 GM/50ML IV SOLN,5.92,5.92,,,0
HCPCS,J2543,PIPERACILLIN/TAZOBACTAM 2.25 GM/100ML NS (MINIBAG),40.29,40.29,,,0
HCPCS,J2543,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),32.23,32.23,,,0
HCPCS,J2543,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),37.98,37.98,,,0
HCPCS,J2543,Piperacillin/tazobactam,,,2.57,6.2,4
HCPCS,J2545,PENTAMIDINE ISETHIONATE 300 MG IN SOLR,571.155,571.155,,,0
HCPCS,J2545,Pentamidine non-comp unit,,,182.84,418.07,4
HCPCS,J2547,"Injection, peramivir",,,5.53,5.53,1
HCPCS,J2547,PERAMIVIR 200 MG/20ML IV SOLN,8.620000000000001,8.620000000000001,,,0
HCPCS,J2550,Promethazine hcl injection,,,6.67,7.62,4
HCPCS,J2560,PHENOBARBITAL 65MG/ML INJ (PEDIATRIC) SH,101.3,101.3,,,0
HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,144.61,144.61,,,0
HCPCS,J2560,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN,114.235,114.235,,,0
HCPCS,J2560,Phenobarbital sodium inj,,,67.7,142.16,4
HCPCS,J2562,Plerixafor injection,,,57.44,1179.2,4
HCPCS,J2590,OXYTOCIN 10 UNIT/ML IJ SOLN,31.25,31.25,,,0
HCPCS,J2590,OXYTOCIN 30 UNITS/500 ML LACTATED RINGERS IV DRIP FOR INDUCTION (PREMIX) SH,207.62,207.62,,,0
HCPCS,J2590,OXYTOCIN-LACTATED RINGERS 30 UNIT/500ML IV SOLN,70.23,70.23,,,0
HCPCS,J2590,Oxytocin injection,,,6.0,6.0,1
HCPCS,J2597,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,33.15,33.15,,,0
HCPCS,J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN,110.87,110.87,,,0
HCPCS,J2597,Inj desmopressin acetate,,,10.32,38.32,4
HCPCS,J2598,"Inj, vasopressin, 1 unit",,,3.27,3.27,3
HCPCS,J2598,VASOPRESSIN 0.2 UNIT/ML IV SOLN,63.72,63.72,,,0
HCPCS,J2598,VASOPRESSIN 20 UNIT/ML IJ SOLN (IO),24.25,24.25,,,0
HCPCS,J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,28.675,28.675,,,0
HCPCS,J2598,VASOPRESSIN-SODIUM CHLORIDE 20-0.9 UT/100ML-% IV SOLN,29.25,29.25,,,0
HCPCS,J2599,Inj vasopressin (am reg) 1 u,,,3.06,3.06,3
HCPCS,J2601,"Inj, vasopressin (baxter)",,,8.05,8.05,3
HCPCS,J2675,Inj progesterone per 50 MG,,,1.52,5.73,4
HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,16.44,16.44,3
HCPCS,J2680,Fluphenazine decanoate 25 MG,,,20.3,38.0,4
HCPCS,J2690,PROCAINAMIDE HCL 100 MG/ML IJ SOLN,718.0899999999999,718.0899999999999,,,0
HCPCS,J2690,PROCAINAMIDE HCL 500 MG/ML IJ SOLN,2700.0,2700.0,,,0
HCPCS,J2690,Procainamide hcl injection,,,329.95,653.98,4
HCPCS,J2700,Oxacillin sodium injeciton,,,1.46,3.75,4
HCPCS,J2704,"Inj, propofol, 10 mg",,,0.21,0.37,4
HCPCS,J2704,PROPOFOL 10 MG/ML INJ (PEDIATRIC) SH,25.0,25.0,,,0
HCPCS,J2704,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,2.51,2.51,,,0
HCPCS,J2704,PROPOFOL 200 MG/20ML IV EMUL,6.82,6.82,,,0
HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,13.38,13.38,,,0
HCPCS,J2710,Neostigmine methylslfte inj,,,10.82,10.82,1
HCPCS,J2720,Inj protamine sulfate/10 MG,,,3.12,3.22,4
HCPCS,J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,15.45,15.45,,,0
HCPCS,J2724,Protein C concentrate,,,34.56,51.06,4
HCPCS,J2730,Pralidoxime chloride inj,,,352.72,352.72,1
HCPCS,J2760,PHENTOLAMINE MESYLATE 5 MG IJ SOLR,2257.52,2257.52,,,0
HCPCS,J2760,Phentolaine mesylate inj,,,1033.39,1284.12,4
HCPCS,J2765,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,69.25,69.25,,,0
HCPCS,J2765,Metoclopramide hcl injection,,,2.59,4.21,4
HCPCS,J2770,Quinupristin/dalfopristin,,,1411.83,1411.83,1
HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,79.86,79.86,3
HCPCS,J2778,Ranibizumab injection,,,207.95,1163.93,4
HCPCS,J2779,"Inj, susvimo 0.1 mg",,,183.4,183.4,3
HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,331.17,331.17,3
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,247.12,247.12,3
HCPCS,J2783,RASBURICASE 1.5 MG/ML IV (WET SOLR VIAL),1562.93,1562.93,,,0
HCPCS,J2783,Rasburicase,,,852.05,992.4,4
HCPCS,J2785,REGADENOSON 0.4 MG/5ML IV SOLN,204.75,204.75,,,0
HCPCS,J2785,Regadenoson injection,,,10.15,201.28,4
HCPCS,J2786,"Injection, reslizumab, 1mg",,,24.14,33.18,6
HCPCS,J2787,Riboflavin 5?phos opth<=3ml,,,8696.29,8696.29,1
HCPCS,J2788,Rho d immune globulin 50 mcg,,,54.32,88.57,4
HCPCS,J2790,RHO D IMMUNE GLOBULIN 1500 UNITS IM SOSY,733.005,733.005,,,0
HCPCS,J2790,Rho d immune globulin inj,,,177.46,262.96,4
HCPCS,J2791,Rhophylac injection,,,11.23,16.1,4
HCPCS,J2792,RHO D IMMUNE GLOBULIN 2500 UNIT/2.2ML IJ SOLN,173.82,173.82,,,0
HCPCS,J2792,"Rho(D) immune globulin h, sd",,,74.77,97.44,4
HCPCS,J2793,Rilonacept injection,,,91.54,91.54,1
HCPCS,J2794,"Risperidone, long acting",,,24.15,34.08,4
HCPCS,J2795,Ropivacaine HCl injection,,,0.13,0.27,4
HCPCS,J2796,ROMIPLOSTIM 125 MCG SC SOLR,457.92,457.92,,,0
HCPCS,J2796,ROMIPLOSTIM 250 MCG SC SOLR,269.63,269.63,,,0
HCPCS,J2796,Romiplostim injection,,,242.46,244.89,2
HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,3.18,3.18,1
HCPCS,J2798,"Inj., perseris, 0.5 mg",,,27.95,33.12,4
HCPCS,J2799,"Inj, uzedy, 1 mg",,,56.63,56.63,3
HCPCS,J2800,Methocarbamol injection,,,14.63,24.5,4
HCPCS,J2802,"Inj, romiplostim 1 microgram",,,24.19,24.19,3
HCPCS,J2804,"Inj, rifampin, 1 mg",,,0.33,0.33,3
HCPCS,J2805,SINCALIDE 5 MCG IJ SOLR,356.37,356.37,,,0
HCPCS,J2805,Sincalide injection,,,329.49,380.48,4
HCPCS,J2810,Inj theophylline per 40 MG,,,3.08,3.08,1
HCPCS,J2820,Sargramostim injection,,,137.73,158.56,4
HCPCS,J2840,Inj sebelipase alfa 1 mg,,,1834.63,1834.63,1
HCPCS,J2850,Inj secretin synthetic human,,,117.9,117.9,1
HCPCS,J2860,"Injection, siltuximab",,,375.74,384.57,4
HCPCS,J2865,Inj sulfameth/trim 5 mg/1 mg,,,0.13,0.13,3
HCPCS,J2916,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,48.91,48.91,,,0
HCPCS,J2916,Na ferric gluconate complex,,,4.45,6.67,4
HCPCS,J2919,"Inj, methylpred sod succ 5mg",,,0.58,3.01,4
HCPCS,J2919,METHYLPREDNISOLONE NA SUC (PF) 125 MG IJ SOLR,4.14,4.14,,,0
HCPCS,J2919,METHYLPREDNISOLONE NA SUC (PF) 40 MG IJ SOLR,20.45,20.45,,,0
HCPCS,J2919,METHYLPREDNISOLONE NA SUC (PF) 500 MG IJ SOLR,3.84,3.84,,,0
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR,1.72,1.72,,,0
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR,75.0,75.0,,,0
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR,2.04,2.04,,,0
HCPCS,J2920,METHYLPREDNISOLONE NA SUC (PF) 40 MG IJ SOLR,63.165,63.165,,,0
HCPCS,J2920,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR,75.0,75.0,,,0
HCPCS,J2930,METHYLPREDNISOLONE NA SUC (PF) 1000 MG IJ SOLR,32.53,32.53,,,0
HCPCS,J2930,METHYLPREDNISOLONE NA SUC (PF) 125 MG IJ SOLR,75.52,75.52,,,0
HCPCS,J2930,METHYLPREDNISOLONE NA SUC (PF) 500 MG IJ SOLR,91.76,91.76,,,0
HCPCS,J2930,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR,62.79,62.79,,,0
HCPCS,J2941,Somatropin injection,,,285.22,285.22,1
HCPCS,J2993,Reteplase injection,,,4158.92,4158.92,1
HCPCS,J2995,Inj streptokinase /250000 IU,,,269.2,269.2,1
HCPCS,J2997,ALTEPLASE 100 MG IV SOLR,171.73,171.73,,,0
HCPCS,J2997,ALTEPLASE 2 MG IJ SOLR,478.84,478.84,,,0
HCPCS,J2997,ALTEPLASE 2 MG/2ML IJ (WET SOLR VIAL),423.22,423.22,,,0
HCPCS,J2997,ALTEPLASE 50 MG IV SOLR,422.42,422.42,,,0
HCPCS,J2997,Alteplase recombinant,,,210.36,297.34,4
HCPCS,J3000,Streptomycin injection,,,58.85,106.13,4
HCPCS,J3010,FENTANYL 10MCG/ML IN 0.9% NACL INJ SOLN (PEDIATRIC) SH,90.0,90.0,,,0
HCPCS,J3010,FENTANYL 1500MCG/30ML NS IV DRIP (PREMIX) SH,12.765,12.765,,,0
HCPCS,J3010,FENTANYL 2500MCG/250ML NS IV DRIP (PREMIX) SH,7.86,7.86,,,0
HCPCS,J3010,"FENTANYL 2MCG/ML, BUPIVACAINE PF 0.1% IN NS 250ML PCEA (PREMIX)",68.51,68.51,,,0
HCPCS,J3010,FENTANYL CITRATE (PF) 100 MCG/2ML IJ SOLN,89.75,89.75,,,0
HCPCS,J3010,FENTANYL CITRATE (PF) 1000 MCG/20ML IJ SOLN,7.404999999999999,7.404999999999999,,,0
HCPCS,J3010,FENTANYL CITRATE (PF) 250 MCG/5ML IJ SOLN,68.52,68.52,,,0
HCPCS,J3010,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,5.609999999999999,5.609999999999999,,,0
HCPCS,J3010,FENTANYL CITRATE 50MCG/ML IJ SOLN - CONSOLIDATED,89.84,89.84,,,0
HCPCS,J3010,FENTANYL PF 10MCG/ML IN 0.9% NACL 10ML IV DRIP (PEDIATRIC) (PREMIX) SH,90.0,90.0,,,0
HCPCS,J3010,Fentanyl citrate injeciton,,,1.93,2.67,4
HCPCS,J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,100.8,100.8,,,0
HCPCS,J3030,Sumatriptan succinate / 6 MG,,,561.72,561.72,1
HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,7.93,7.93,1
HCPCS,J3032,EPTINEZUMAB-JJMR 100 MG/ML IV SOLN,43.27,43.27,,,0
HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,44.44,44.44,3
HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,160.99,160.99,3
HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,93.48,134.58,4
HCPCS,J3070,Pentazocine injection,,,100.33,100.33,1
HCPCS,J3090,Inj tedizolid phosphate,,,4.14,5.3,4
HCPCS,J3095,Telavancin injection,,,16.31,17.86,4
HCPCS,J3101,TENECTEPLASE 50MG/10ML INJ (FOR STROKE) SH,473.615,473.615,,,0
HCPCS,J3101,Tenecteplase injection,,,373.65,425.66,4
HCPCS,J3105,TERBUTALINE SULFATE 1 MG/ML IJ SOLN,74.075,74.075,,,0
HCPCS,J3105,Terbutaline sulfate inj,,,3.25,6.95,4
HCPCS,J3110,Teriparatide injection,,,203.18,203.18,1
HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,,,26.44,30.63,6
HCPCS,J3121,Inj testostero enanthate 1mg,,,0.12,0.16,4
HCPCS,J3145,Testosterone undecanoate 1mg,,,4.65,5.1,4
HCPCS,J3230,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN,225.36,225.36,,,0
HCPCS,J3230,CHLORPROMAZINE HCL 50 MG/2ML IJ SOLN,96.34,96.34,,,0
HCPCS,J3230,Chlorpromazine hcl injection,,,66.79,105.65,4
HCPCS,J3240,THYROTROPIN ALFA 0.9 MG IM SOLR,5631.82,5631.82,,,0
HCPCS,J3240,Thyrotropin injection,,,4781.04,5766.7,4
HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,810.89,810.89,3
HCPCS,J3241,TEPROTUMUMAB-TRBW 500 MG IV SOLR,521.38,521.38,,,0
HCPCS,J3243,Tigecycline injection,,,0.69,5.5,4
HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,302.36,457.3,4
HCPCS,J3246,Tirofiban hcl,,,8.16,17.7,4
HCPCS,J3247,Inj secukinumab intrav 1mg,,,40.77,40.77,3
HCPCS,J3250,Trimethobenzamide hcl inj,,,115.09,124.16,4
HCPCS,J3260,TOBRAMYCIN SULFATE 1.2 G IJ SOLR,43.42,43.42,,,0
HCPCS,J3260,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN,47.83,47.83,,,0
HCPCS,J3260,TOBRAMYCIN SULFATE 40 MG/ML IJ SOLN - CONSOLIDATED,40.644999999999996,40.644999999999996,,,0
HCPCS,J3260,Tobramycin sulfate injection,,,3.67,13.46,4
HCPCS,J3262,Tocilizumab injection,,,13.53,17.26,6
HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,89.92,89.92,3
HCPCS,J3280,Thiethylperazine maleate inj,,,17.11,17.11,1
HCPCS,J3285,Treprostinil injection,,,130.72,208.97,4
HCPCS,J3299,Inj xipere 1 mg,,,110.93,110.93,3
HCPCS,J3300,TRIAMCINOLONE ACETONIDE 40 MG/ML IO SUSP,113.28,113.28,,,0
HCPCS,J3300,Triamcinolone A inj PRS-free,,,13.0,57.54,4
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML IJ SUSP,75.0,75.0,,,0
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,19.759999999999998,19.759999999999998,,,0
HCPCS,J3301,Triamcinolone acet inj nos,,,2.0,5.1,4
HCPCS,J3302,Triamcinolone diacetate inj,,,1.22,1.22,1
HCPCS,J3303,Triamcinolone hexacetonl inj,,,8.58,8.58,1
HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,41.42,63.17,4
HCPCS,J3315,Triptorelin pamoate,,,910.09,1559.58,6
HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,8063.89,10062.31,4
HCPCS,J3316,TRIPTORELIN PAMOATE 3.75 MG IM SUSR,5200.0,5200.0,,,0
HCPCS,J3355,"Urofollitropin, 75 iu",,,509.15,509.15,1
HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,629.83,629.83,1
HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,29.46,40.26,6
HCPCS,J3360,DIAZEPAM 5 MG/ML IJ SOLN,95.605,95.605,,,0
HCPCS,J3360,Diazepam injection,,,13.31,31.88,4
HCPCS,J3370,"VANCOMYCIN 1,000MG/250ML 0.9% NACL (VIAL-MATE)",62.61,62.61,,,0
HCPCS,J3370,VANCOMYCIN 1250MG/250ML 0.9% NACL (VIAL-MATE),56.3,56.3,,,0
HCPCS,J3370,VANCOMYCIN 1500MG/250ML 0.9% NACL (VIAL-MATE),73.955,73.955,,,0
HCPCS,J3370,VANCOMYCIN 1MG/0.1ML NS INTRAVITREAL SOLN *COMPOUNDED* SH,30.0,30.0,,,0
HCPCS,J3370,VANCOMYCIN 25MG/ML BSS OPHTH SOLN *COMPOUND* SH,30.0,30.0,,,0
HCPCS,J3370,VANCOMYCIN 33MG/ML FORTIFIED OPHTH SOLN *COMPOUNDED* SH,30.0,30.0,,,0
HCPCS,J3370,VANCOMYCIN 5 MG/ML IV SYRINGE (PEDIATRIC) SH,103.04,103.04,,,0
HCPCS,J3370,VANCOMYCIN 500 MG/100ML NS (MINIBAG),71.83,71.83,,,0
HCPCS,J3370,VANCOMYCIN 750MG/250ML NS (VIAL-MATE),41.335,41.335,,,0
HCPCS,J3370,VANCOMYCIN HCL 1 G IV SOLR,63.51,63.51,,,0
HCPCS,J3370,VANCOMYCIN HCL 5 G IV SOLR,75.0,75.0,,,0
HCPCS,J3370,VANCOMYCIN HCL IN DEXTROSE 750-5 MG/150ML-% IV SOLN,49.585,49.585,,,0
HCPCS,J3370,VANCOMYCIN HCL IN NACL 1.25-0.9 GM/250ML-% IV SOLN,61.83,61.83,,,0
HCPCS,J3370,Vancomycin hcl injection,,,4.48,10.08,4
HCPCS,J3371,"Inj, vancomycin hcl (mylan)",,,14.51,14.51,3
HCPCS,J3371,VANCOMYCIN 1250MG/250ML 0.9% NACL (VIAL-MATE),56.275000000000006,56.275000000000006,,,0
HCPCS,J3371,VANCOMYCIN 1500MG/250ML 0.9% NACL (VIAL-MATE),67.54,67.54,,,0
HCPCS,J3371,VANCOMYCIN HCL 1 G IV SOLR,65.59,65.59,,,0
HCPCS,J3372,"Inj, vancomycin hcl (xellia)",,,15.05,15.05,3
HCPCS,J3380,"Injection, vedolizumab",,,48.67,68.38,6
HCPCS,J3380,VEDOLIZUMAB 300 MG/5ML IV (WET SOLR VIAL),52.0,52.0,,,0
HCPCS,J3385,Velaglucerase alfa,,,861.03,1172.15,6
HCPCS,J3396,Verteporfin injection,,,26.49,37.66,4
HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,741.57,741.57,1
HCPCS,J3398,Inj luxturna 1 billion vec g,,,9863.17,9863.17,1
HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,2338.34,2338.34,3
HCPCS,J3410,HYDROXYZINE HCL 25 MG/ML IM SOLN,207.57,207.57,,,0
HCPCS,J3410,HYDROXYZINE HCL 50 MG/ML IM SOLN,119.57,119.57,,,0
HCPCS,J3410,Hydroxyzine hcl injection,,,21.46,40.85,4
HCPCS,J3411,THIAMINE HCL 100 MG/ML IJ SOLN,45.11,45.11,,,0
HCPCS,J3411,Thiamine hcl 100 mg,,,4.04,10.29,4
HCPCS,J3415,Pyridoxine hcl 100 mg,,,26.88,28.91,4
HCPCS,J3420,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,75.0,75.0,,,0
HCPCS,J3420,Vitamin b12 injection,,,1.53,7.67,4
HCPCS,J3424,HYDROXOCOBALAMIN 5 G IV SOLR,23.26,23.26,,,0
HCPCS,J3425,"Inj, hydroxocobalamin",,,0.02,0.02,3
HCPCS,J3430,PHYTONADIONE 1 MG/0.5ML IJ SOLN,206.66,206.66,,,0
HCPCS,J3430,PHYTONADIONE 10 MG/ML IJ SOLN,38.23,38.23,,,0
HCPCS,J3430,Vitamin k phytonadione inj,,,5.62,13.93,4
HCPCS,J3465,"Injection, voriconazole",,,2.44,5.94,4
HCPCS,J3465,VORICONAZOLE 200 MG IV SOLR,48.75,48.75,,,0
HCPCS,J3465,VORICONAZOLE 200 MG/20ML IV (WET SOLR VIAL),41.61,41.61,,,0
HCPCS,J3470,Hyaluronidase injection,,,73.99,227.02,4
HCPCS,J3471,HYALURONIDASE OVINE 200 UNIT/ML IJ SOLN,3.955,3.955,,,0
HCPCS,J3471,"Ovine, up to 999 usp units",,,1.15,1.47,4
HCPCS,J3472,"Ovine, 1000 USP units",,,402.54,402.54,1
HCPCS,J3473,HYALURONIDASE HUMAN 150 UNIT/ML IJ SOLN,3.205,3.205,,,0
HCPCS,J3473,Hyaluronidase recombinant,,,0.84,1.22,4
HCPCS,J3475,Inj magnesium sulfate,,,1.14,1.87,4
HCPCS,J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,30.369999999999997,30.369999999999997,,,0
HCPCS,J3475,MAGNESIUM SULFATE 20G/500ML STERILE WATER (PREMIX) SH,1.88,1.88,,,0
HCPCS,J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,9.38,9.38,,,0
HCPCS,J3475,MAGNESIUM SULFATE 4G/100ML SW IV DRIP (PREMIX) SH,9.375,9.375,,,0
HCPCS,J3475,MAGNESIUM SULFATE 50 % IJ SOLN,36.48,36.48,,,0
HCPCS,J3475,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,37.19,37.19,,,0
HCPCS,J3475,MAGNESIUM SULFATE IN D5W 2-5 GM/50ML-% IV SOLN,61.345,61.345,,,0
HCPCS,J3480,"D5W - LACTATED RINGERS WITH KCL 20 MEQ 1,000 ML",7.7,7.7,,,0
HCPCS,J3480,"D5W - NACL 0.45% WITH KCL 10 MEQ 1,000 ML",16.1,16.1,,,0
HCPCS,J3480,"D5W - NACL 0.45% WITH KCL 20 MEQ 1,000 ML",7.495,7.495,,,0
HCPCS,J3480,"D5W - NACL 0.45% WITH KCL 40 MEQ 1,000 ML",3.975,3.975,,,0
HCPCS,J3480,"D5W - NACL 0.9% WITH KCL 20 MEQ 1,000 ML",7.15,7.15,,,0
HCPCS,J3480,Inj potassium chloride,,,0.42,0.48,4
HCPCS,J3480,NACL 0.45% WITH KCL 20 MEQ 1000 ML,7.835,7.835,,,0
HCPCS,J3480,NACL 0.9% WITH KCL 20 MEQ 1000 ML,8.55,8.55,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,14.969999999999999,14.969999999999999,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,9.39,9.39,,,0
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,7.5,7.5,,,0
HCPCS,J3485,Zidovudine,,,3.48,5.12,4
HCPCS,J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,171.5,171.5,,,0
HCPCS,J3486,Ziprasidone mesylate,,,11.92,57.07,4
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,243.75,243.75,,,0
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,128.97,128.97,,,0
HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,420.0,420.0,,,0
HCPCS,J3489,Zoledronic acid 1mg,,,21.9,45.07,4
HCPCS,J3490,AMINOCAPROIC ACID 250 MG/ML IV SOLN,78.9,78.9,,,0
HCPCS,J3490,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,52.644999999999996,52.644999999999996,,,0
HCPCS,J3490,ANAKINRA 100 MG/0.67ML SC SOSY,990.875,990.875,,,0
HCPCS,J3490,B-COMPLEX+VITAMIN C PO TABS SH,2.0,2.0,,,0
HCPCS,J3490,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,75.0,75.0,,,0
HCPCS,J3490,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,43.9,43.9,,,0
HCPCS,J3490,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN,37.5,37.5,,,0
HCPCS,J3490,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,51.98,51.98,,,0
HCPCS,J3490,D50W IV SOLN PRELOAD SYRINGE (IO),75.0,75.0,,,0
HCPCS,J3490,DILTIAZEM HCL 25 MG/5ML IV SOLN,75.0,75.0,,,0
HCPCS,J3490,DILTIAZEM HCL 50 MG/10ML IV SOLN,75.0,75.0,,,0
HCPCS,J3490,DILTIAZEM HCL-DEXTROSE 125-5 MG/125ML-% IV SOLN,233.73000000000002,233.73000000000002,,,0
HCPCS,J3490,FAMOTIDINE 10MG/ML IV SOLN - CONSOLIDATED,65.08,65.08,,,0
HCPCS,J3490,FOLIC ACID 5 MG/ML IJ SOLN,69.985,69.985,,,0
HCPCS,J3490,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,75.625,75.625,,,0
HCPCS,J3490,GLYCOPYRROLATE 1 MG PO TABS,11.25,11.25,,,0
HCPCS,J3490,GLYCOPYRROLATE 1 MG/5ML PO SOLN,31.35,31.35,,,0
HCPCS,J3490,GLYCOPYRROLATE 500MCG/ML ORAL SUSP (PEDIATRIC) SH,15.0,15.0,,,0
HCPCS,J3490,HYDROXOCOBALAMIN 5 G IV SOLR,4207.3150000000005,4207.3150000000005,,,0
HCPCS,J3490,ISAVUCONAZONIUM SULFATE 372 MG/5ML IV (WET SOLR VIAL),6.18,6.18,,,0
HCPCS,J3490,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN,567.99,567.99,,,0
HCPCS,J3490,KETAMINE 10MG/ML INJ (PEDIATRIC) SH,90.0,90.0,,,0
HCPCS,J3490,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,75.0,75.0,,,0
HCPCS,J3490,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,633.5,633.5,,,0
HCPCS,J3490,METRONIDAZOLE 500 MG/100ML IV SOLN,75.0,75.0,,,0
HCPCS,J3490,METRONIDAZOLE IN NACL 5-0.79 MG/ML-% IV SOLN,75.0,75.0,,,0
HCPCS,J3490,MULTIVITAMINS PO TABS SH,2.0,2.0,,,0
HCPCS,J3490,MULTIVITAMINS+MINERALS PO TABS SH,2.0,2.0,,,0
HCPCS,J3490,NITROGLYCERIN 100MCG/ML INJ,37.5,37.5,,,0
HCPCS,J3490,NOREPINEPHRINE 8MG/250ML D5W SH (NON-WT BASED DOSING),90.82499999999999,90.82499999999999,,,0
HCPCS,J3490,NOREPINEPHRINE 8MG/250ML NS SH (NON-WT BASED DOSING),322.475,322.475,,,0
HCPCS,J3490,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN,139.7,139.7,,,0
HCPCS,J3490,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN,29.875,29.875,,,0
HCPCS,J3490,OLANZAPINE 10 MG IM SOLR,165.87,165.87,,,0
HCPCS,J3490,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR,25.0,25.0,,,0
HCPCS,J3490,PIPERACILLIN/TAZOBACTAM 2.25 GM/100ML NS (MINIBAG),43.08,43.08,,,0
HCPCS,J3490,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),38.57,38.57,,,0
HCPCS,J3490,PLASMA-LYTE A IV SOLN,116.42,116.42,,,0
HCPCS,J3490,PREDNISONE 2.5 MG PO TABS,5.0,5.0,,,0
HCPCS,J3490,PROMETHAZINE HCL 12.5 MG PR SUPP,65.295,65.295,,,0
HCPCS,J3490,PROMETHAZINE HCL 25 MG PR SUPP,65.8,65.8,,,0
HCPCS,J3490,ROCURONIUM BROMIDE 10 MG/ML IV SOLN - CONSOLIDATED,75.0,75.0,,,0
HCPCS,J3490,ROCURONIUM BROMIDE 50 MG/5ML IV SOSY,75.0,75.0,,,0
HCPCS,J3490,SODIUM CHLORIDE 7% IN NEBU,0.6,0.6,,,0
HCPCS,J3490,SODIUM TETRADECYL SULFATE 3 % IV SOLN,205.36,205.36,,,0
HCPCS,J3490,STERILE WATER FOR INJECTION IJ SOLN,4.7,4.7,,,0
HCPCS,J3490,SUFENTANIL CITRATE 100 MCG/2ML IV SOLN,90.0,90.0,,,0
HCPCS,J3490,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP,16.25,16.25,,,0
HCPCS,J3490,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN,46.25,46.25,,,0
HCPCS,J3490,TRANEXAMIC ACID 1000MG/10ML TOPICAL SOLN SH,52.55,52.55,,,0
HCPCS,J3490,TRANEXAMIC ACID-NACL 1000-0.7 MG/100ML-% IV SOLN,174.91,174.91,,,0
HCPCS,J3490,VALPROATE SODIUM 100 MG/ML IV SOLN,57.15,57.15,,,0
HCPCS,J3490,VASOPRESSIN 0.2 UNIT/ML IV SOLN,61.27,61.27,,,0
HCPCS,J3520,Edetate disodium per 150 mg,,,1.22,1.22,1
HCPCS,J3590,BUMETANIDE 0.25 MG/ML IJ SOLN,9.425,9.425,,,0
HCPCS,J7030,NACL 0.9% BOLUS IV SOLN CUSTOM CREATE,67.66,67.66,,,0
HCPCS,J7030,NACL 0.9% FLUSH IJ SOLN RADIOLOGY SH,72.9,72.9,,,0
HCPCS,J7030,NACL 0.9% IV SOLN,75.0,75.0,,,0
HCPCS,J7030,NACL 0.9% IV SOLN FOR LINE FLUSH OR PRIME TKO,58.335,58.335,,,0
HCPCS,J7030,Normal saline solution infus,,,5.68,8.77,4
HCPCS,J7040,NACL 0.9% IV SOLN,73.02,73.02,,,0
HCPCS,J7040,NACL 0.9% IV SOLN FOR LINE FLUSH OR PRIME TKO,70.18,70.18,,,0
HCPCS,J7040,Normal saline solution infus,,,2.84,4.42,4
HCPCS,J7042,5% dextrose/normal saline,,,2.88,3.47,4
HCPCS,J7042,D5W - NACL 0.9% IV SOLN,56.25,56.25,,,0
HCPCS,J7042,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,37.5,37.5,,,0
HCPCS,J7050,NACL 0.9% IV SOLN,65.92,65.92,,,0
HCPCS,J7050,NACL 0.9% IV SOLN FOR LINE FLUSH OR PRIME TKO,11.73,11.73,,,0
HCPCS,J7050,Normal saline solution infus,,,1.42,2.2,4
HCPCS,J7060,5% dextrose/water,,,4.19,6.45,4
HCPCS,J7060,D5W IV SOLN,67.72,67.72,,,0
HCPCS,J7070,D5W IV SOLN,73.11,73.11,,,0
HCPCS,J7070,D5w infusion,,,8.37,12.78,4
HCPCS,J7100,Dextran 40 infusion,,,107.94,107.94,1
HCPCS,J7120,LACTATED RINGERS IV SOLN,73.32499999999999,73.32499999999999,,,0
HCPCS,J7120,Ringers lactate infusion,,,5.3,8.17,4
HCPCS,J7121,5% dextrose in lac ringers,,,16.54,16.54,1
HCPCS,J7121,D5W - LACTATED RINGERS IV SOLN,72.0,72.0,,,0
HCPCS,J7131,Hypertonic saline sol,,,0.35,0.35,1
HCPCS,J7168,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT,8.254999999999999,8.254999999999999,,,0
HCPCS,J7168,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT,8.31,8.31,,,0
HCPCS,J7168,Prothrombin complex kcentra,,,6.82,6.82,1
HCPCS,J7169,"Inj andexxa, 10 mg",,,988.3,988.3,1
HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,119.56,160.39,6
HCPCS,J7171,ADAMTS13 RECOMBINANT-KRHN 1500 UNITS IV KIT,117.93,117.93,,,0
HCPCS,J7171,ADAMTS13 RECOMBINANT-KRHN 500 UNITS IV KIT,117.98,117.98,,,0
HCPCS,J7171,"Inj, adzynma, 10 iu",,,79.39,79.39,3
HCPCS,J7175,"Inj, factor x, (human), 1iu",,,21.93,25.51,4
HCPCS,J7177,"Inj., fibryga, 1 mg",,,2.53,3.7,4
HCPCS,J7178,Human fibrinogen conc inj,,,3.41,4.21,4
HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,4.21,6.27,4
HCPCS,J7180,Factor XIII anti-hem factor,,,24.1,29.83,4
HCPCS,J7181,Factor xiii recomb a-subunit,,,39.87,51.94,4
HCPCS,J7182,Factor viii recomb novoeight,,,3.21,4.39,4
HCPCS,J7183,Wilate injection,,,2.94,3.61,6
HCPCS,J7185,Xyntha inj,,,3.43,4.27,6
HCPCS,J7186,Antihemophilic viii/vwf comp,,,2.76,3.66,6
HCPCS,J7187,ANTIHEMOPHILIC FACTOR-VWF 500-1200 UNITS IV SOLR,5.58,5.58,,,0
HCPCS,J7187,"Humate-P, inj",,,3.33,4.1,6
HCPCS,J7188,Factor viii recomb obizur,,,7.43,10.82,4
HCPCS,J7189,COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR,7.77,7.77,,,0
HCPCS,J7189,COAGULATION FACTOR VIIA RECOMB 2000 MCG IV SOLR,7.77,7.77,,,0
HCPCS,J7189,Factor viia,,,5.81,7.36,6
HCPCS,J7190,Factor viii,,,2.57,3.55,4
HCPCS,J7192,Factor viii recombinant nos,,,3.58,4.3,6
HCPCS,J7193,Factor ix non-recombinant,,,3.17,3.93,4
HCPCS,J7194,Factor ix complex,,,3.81,5.12,4
HCPCS,J7195,Factor ix recombinant nos,,,4.25,5.16,6
HCPCS,J7196,Antithrombin recombinant,,,350.4,350.4,1
HCPCS,J7197,ANTITHROMBIN III (HUMAN) 500 UNITS IV SOLR,15.6,15.6,,,0
HCPCS,J7197,Antithrombin iii injection,,,9.07,12.26,4
HCPCS,J7198,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR,0.0038,0.0038,,,0
HCPCS,J7198,Anti-inhibitor,,,5.51,6.53,4
HCPCS,J7200,Factor ix recombinan rixubis,,,3.75,4.64,4
HCPCS,J7201,Factor ix alprolix recomb,,,8.15,10.61,6
HCPCS,J7202,Factor ix idelvion inj,,,11.92,15.08,4
HCPCS,J7203,Factor ix recomb gly rebinyn,,,9.94,13.49,4
HCPCS,J7204,Inj recombin esperoct per iu,,,4.92,4.92,3
HCPCS,J7205,Factor viii fc fusion recomb,,,5.34,7.14,6
HCPCS,J7207,Factor viii pegylated recomb,,,4.83,5.84,6
HCPCS,J7208,Inj. jivi 1 iu,,,5.64,6.82,4
HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,2.74,4.47,6
HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,3.48,4.62,6
HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,3.42,4.17,6
HCPCS,J7212,Factor viia recomb sevenfact,,,5.49,5.49,3
HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,4.42,4.42,3
HCPCS,J7214,Altuviiio per factor viii iu,,,10.57,10.57,3
HCPCS,J7294,Seg acet and eth estr yearly,,,661.67,661.67,1
HCPCS,J7295,Eth estr and eton monthly,,,661.67,661.67,1
HCPCS,J7296,"Kyleena, 19.5 mg",,,3879.29,3879.29,1
HCPCS,J7296,LEVONORGESTREL 19.5 MG IU IUD,5552.6,5552.6,,,0
HCPCS,J7297,LEVONORGESTREL 20.1 MCG/DAY IU IUD,4228.895,4228.895,,,0
HCPCS,J7297,"Liletta, 52 mg",,,3201.31,3201.31,1
HCPCS,J7298,LEVONORGESTREL 20 MCG/DAY IU IUD,5446.82,5446.82,,,0
HCPCS,J7298,"Mirena, 52 mg",,,3879.29,3879.29,1
HCPCS,J7300,Intraut copper contraceptive,,,3598.53,3598.53,1
HCPCS,J7300,PARAGARD INTRAUTERINE COPPER IU IUD,4245.6,4245.6,,,0
HCPCS,J7301,"Skyla, 13.5 mg",,,3230.17,3230.17,1
HCPCS,J7306,Levonorgestrel implant sys,,,1421.78,1421.78,1
HCPCS,J7307,ETONOGESTREL 68 MG SC IMPL,5550.16,5550.16,,,0
HCPCS,J7307,Etonogestrel implant system,,,3803.23,3803.23,1
HCPCS,J7308,Aminolevulinic acid hcl top,,,907.15,1340.0,4
HCPCS,J7310,Ganciclovir long act implant,,,15527.11,15527.11,1
HCPCS,J7311,Fluocinolone acetonide implt,,,782.08,1150.8,4
HCPCS,J7312,Dexamethasone intra implant,,,472.04,676.67,4
HCPCS,J7313,Fluocinol acet intravit imp,,,1128.76,1663.99,4
HCPCS,J7314,"Inj., yutiq, 0.01 mg",,,1206.51,1665.11,4
HCPCS,J7316,"Inj, ocriplasmin, 0.125 mg",,,3549.47,3549.47,1
HCPCS,J7318,"Inj, durolane 1 mg",,,15.94,58.42,4
HCPCS,J7320,"Genvisc 850, inj, 1mg",,,14.52,57.37,4
HCPCS,J7321,Hyalgan/supartz inj per dose,,,170.11,280.18,4
HCPCS,J7322,Hymovis injection 1 mg,,,40.26,107.37,4
HCPCS,J7323,Euflexxa inj per dose,,,296.03,478.8,4
HCPCS,J7324,Orthovisc inj per dose,,,288.19,457.81,4
HCPCS,J7325,Synvisc or Synvisc-One,,,21.28,37.3,4
HCPCS,J7326,Gel-one,,,1238.5,3953.17,4
HCPCS,J7327,Monovisc inj per dose,,,1526.37,2508.39,4
HCPCS,J7328,Gel-syn injection 0.1 mg,,,1.36,7.38,4
HCPCS,J7329,"Inj, trivisc 1 mg",,,12.85,24.42,4
HCPCS,J7330,Cultured chondrocytes implnt,,,146326.57,146326.57,1
HCPCS,J7331,"Synojoynt, inj., 1 mg",,,19.39,19.41,4
HCPCS,J7332,"Inj., triluron, 1 mg",,,23.65,87.89,4
HCPCS,J7336,Capsaicin 8% patch,,,7.77,11.01,4
HCPCS,J7340,Carbidopa levodopa ent 100ml,,,542.28,752.83,4
HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,101.6,101.6,1
HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,4.1,4.86,4
HCPCS,J7351,BIMATOPROST 10 MCG IO IMPL,713.84,713.84,,,0
HCPCS,J7351,Inj bimatoprost itc imp 1mcg,,,482.79,482.79,3
HCPCS,J7354,"Cantharidin top, applicator",,,1569.19,1569.19,3
HCPCS,J7355,Inj travoprost intra impl,,,447.15,447.15,3
HCPCS,J7402,Mometasone sinus sinuva,,,26.09,34.05,4
HCPCS,J7500,AZATHIOPRINE 25MG PO PRE-SPLIT TABS SH,12.27,12.27,,,0
HCPCS,J7500,AZATHIOPRINE 50 MG PO TABS,12.66,12.66,,,0
HCPCS,J7500,Azathioprine oral 50mg,,,2.33,2.34,4
HCPCS,J7501,Azathioprine parenteral,,,767.66,767.66,1
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,29.93,29.93,,,0
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,38.73,38.73,,,0
HCPCS,J7502,Cyclosporine oral 100 mg,,,4.65,8.73,4
HCPCS,J7503,TACROLIMUS ER 0.75 MG PO TB24,8.95,8.95,,,0
HCPCS,J7503,TACROLIMUS ER 1 MG PO TB24,7.44,7.44,,,0
HCPCS,J7503,TACROLIMUS ER 4 MG PO TB24,6.11,6.11,,,0
HCPCS,J7503,Tacrol envarsus ex rel oral,,,4.15,4.59,4
HCPCS,J7504,Lymphocyte immune globulin,,,6961.2,10065.47,4
HCPCS,J7505,Monoclonal antibodies,,,3285.32,3285.32,1
HCPCS,J7507,TACROLIMUS 0.5 MG PO CAPS,15.07,15.07,,,0
HCPCS,J7507,TACROLIMUS 1 MG PO CAPS,22.19,22.19,,,0
HCPCS,J7507,TACROLIMUS 5 MG PO CAPS,17.06,17.06,,,0
HCPCS,J7507,Tacrolimus imme rel oral 1mg,,,0.45,2.52,4
HCPCS,J7508,Tacrol astagraf ex rel oral,,,1.31,1.61,4
HCPCS,J7509,METHYLPREDNISOLONE 4 MG PO TABS,14.32,14.32,,,0
HCPCS,J7509,METHYLPREDNISOLONE 8 MG PO TABS,5.54,5.54,,,0
HCPCS,J7509,Methylprednisolone oral,,,0.56,1.43,4
HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN,3.41,3.41,,,0
HCPCS,J7510,PREDNISONE 5 MG/ML PO CONC,25.06,25.06,,,0
HCPCS,J7510,Prednisolone oral per 5 mg,,,0.35,1.11,4
HCPCS,J7511,ANTI-THYMOCYTE GLOB (RABBIT) 25 MG IV SOLR,2991.63,2991.63,,,0
HCPCS,J7511,Antithymocyte globuln rabbit,,,2160.5,2612.34,4
HCPCS,J7512,PREDNISONE 1 MG PO TABS,5.83,5.83,,,0
HCPCS,J7512,PREDNISONE 10 MG PO TABS,1.46,1.46,,,0
HCPCS,J7512,PREDNISONE 2.5 MG PO TABS,4.205,4.205,,,0
HCPCS,J7512,PREDNISONE 20 MG PO TABS,0.385,0.385,,,0
HCPCS,J7512,PREDNISONE 5 MG PO TABS,2.79,2.79,,,0
HCPCS,J7512,PREDNISONE 5 MG/5ML PO SOLN,4.43,4.43,,,0
HCPCS,J7512,PREDNISONE 50 MG PO TABS,0.17,0.17,,,0
HCPCS,J7512,Prednisone ir or dr oral 1mg,,,0.01,0.06,4
HCPCS,J7513,"Daclizumab, parenteral",,,1418.12,1418.12,1
HCPCS,J7515,CYCLOSPORINE 25 MG PO CAPS,27.6,27.6,,,0
HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,8.52,8.52,,,0
HCPCS,J7515,Cyclosporine oral 25 mg,,,1.71,2.2,4
HCPCS,J7516,Cyclosporin parenteral 250mg,,,164.22,198.58,4
HCPCS,J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,40.73,40.73,,,0
HCPCS,J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,17.66,17.66,,,0
HCPCS,J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,20.99,20.99,,,0
HCPCS,J7517,Mycophenolate mofetil oral,,,0.35,1.77,4
HCPCS,J7518,MYCOPHENOLATE SODIUM 180 MG PO TBEC,27.28,27.28,,,0
HCPCS,J7518,MYCOPHENOLATE SODIUM 360 MG PO TBEC,24.7,24.7,,,0
HCPCS,J7518,Mycophenolic acid,,,0.87,9.37,4
HCPCS,J7519,Inj. mycophenolate mofetil,,,0.7,0.7,3
HCPCS,J7519,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,10.405000000000001,10.405000000000001,,,0
HCPCS,J7520,SIROLIMUS 0.5 MG PO TABS,65.44,65.44,,,0
HCPCS,J7520,SIROLIMUS 1 MG PO TABS,81.99000000000001,81.99000000000001,,,0
HCPCS,J7520,SIROLIMUS 1 MG/ML PO SOLN,157.9,157.9,,,0
HCPCS,J7520,"Sirolimus, oral",,,2.63,19.02,4
HCPCS,J7521,Tacrolim granules oral susp,,,3.07,3.07,3
HCPCS,J7525,TACROLIMUS 5 MG/ML IV SOLN,119.59,119.59,,,0
HCPCS,J7525,Tacrolimus injection,,,586.63,717.92,4
HCPCS,J7527,EVEROLIMUS 0.25 MG PO TABS,65.055,65.055,,,0
HCPCS,J7527,EVEROLIMUS 0.5 MG PO TABS,65.15,65.15,,,0
HCPCS,J7527,EVEROLIMUS 0.75 MG PO TABS,65.07,65.07,,,0
HCPCS,J7527,Oral everolimus,,,4.64,30.42,4
HCPCS,J7601,Ensifentrine inh 3 mg,,,119.87,119.87,3
HCPCS,J7605,ARFORMOTEROL TARTRATE 15 MCG/2ML IN NEBU,81.44,81.44,,,0
HCPCS,J7605,Arformoterol non-comp unit,,,1.58,36.38,4
HCPCS,J7606,"Formoterol fumarate, inh",,,3.91,40.75,4
HCPCS,J7608,ACETYLCYSTEINE 10 % IN SOLN,49.709999999999994,49.709999999999994,,,0
HCPCS,J7608,ACETYLCYSTEINE 20 % IN SOLN,59.19,59.19,,,0
HCPCS,J7608,ACETYLCYSTEINE 20 % ORAL SOLN CUSTOM CREATE,43.495000000000005,43.495000000000005,,,0
HCPCS,J7608,Acetylcysteine non-comp unit,,,18.65,19.41,4
HCPCS,J7611,ALBUTEROL CONTINUOUS NEB SIMPLE SH,2.16,2.16,,,0
HCPCS,J7611,ALBUTEROL SULFATE (5 MG/ML) 0.5% IN NEBU,2.08,2.08,,,0
HCPCS,J7611,Albuterol non-comp con,,,0.4,0.88,4
HCPCS,J7612,Levalbuterol non-comp con,,,0.65,1.05,4
HCPCS,J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,4.71,4.71,,,0
HCPCS,J7613,ALBUTEROL SULFATE 1.25 MG/3ML IN NEBU,7.5,7.5,,,0
HCPCS,J7613,Albuterol non-comp unit,,,0.13,0.18,4
HCPCS,J7614,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU,7.5,7.5,,,0
HCPCS,J7614,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU,5.0,5.0,,,0
HCPCS,J7614,Levalbuterol non-comp unit,,,0.2,0.21,4
HCPCS,J7615,Levalbuterol comp unit,,,7.36,7.36,1
HCPCS,J7620,Albuterol ipratrop non-comp,,,0.42,0.45,4
HCPCS,J7620,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,14.24,14.24,,,0
HCPCS,J7626,BUDESONIDE 0.25 MG/2ML IN SUSP,51.980000000000004,51.980000000000004,,,0
HCPCS,J7626,BUDESONIDE 0.5 MG/2ML IN SUSP,47.44,47.44,,,0
HCPCS,J7626,Budesonide non-comp unit,,,2.74,5.89,4
HCPCS,J7627,Budesonide comp unit,,,17.11,17.11,1
HCPCS,J7631,Cromolyn sodium noncomp unit,,,0.67,7.24,4
HCPCS,J7632,Cromolyn sodium comp unit,,,1.22,1.22,1
HCPCS,J7639,DORNASE ALFA 2.5 MG/2.5ML IN SOLN,165.71499999999997,165.71499999999997,,,0
HCPCS,J7639,Dornase alfa non-comp unit,,,123.25,162.02,4
HCPCS,J7641,Flunisolide comp unit,,,37.93,37.93,1
HCPCS,J7644,IPRATROPIUM BROMIDE 0.02 % IN SOLN,14.75,14.75,,,0
HCPCS,J7644,Ipratropium bromide non-comp,,,0.72,0.83,4
HCPCS,J7665,Mannitol for inhaler,,,4.0,4.0,1
HCPCS,J7674,"Methacholine chloride, neb",,,2.58,3.75,4
HCPCS,J7677,Revefenacin inh non-com 1mcg,,,0.45,0.8,4
HCPCS,J7680,Terbutaline sulf comp con,,,47.71,47.71,1
HCPCS,J7681,Terbutaline sulf comp unit,,,47.71,47.71,1
HCPCS,J7682,TOBRAMYCIN 300 MG/5ML IN NEBU,424.08,424.08,,,0
HCPCS,J7682,Tobramycin non-comp unit,,,34.05,116.12,4
HCPCS,J7683,Triamcinolone comp con,,,17.11,17.11,1
HCPCS,J7685,Tobramycin comp unit,,,219.03,219.03,1
HCPCS,J7686,"Treprostinil, non-comp unit",,,1748.91,2078.17,4
HCPCS,J7799,D10W - NACL 0.45% IV SOLN,37.5,37.5,,,0
HCPCS,J7799,D5W - NACL 0.2% IV SOLN,37.5,37.5,,,0
HCPCS,J7799,D5W - NACL 0.45% IV SOLN,36.95,36.95,,,0
HCPCS,J7799,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN,64.29,64.29,,,0
HCPCS,J7799,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,36.79,36.79,,,0
HCPCS,J7999,MITOMYCIN 5MG IV SOLR CHEMO (PF) FOR OPHTH USE,150.0,150.0,,,0
HCPCS,J8501,APREPITANT 40 MG PO CAPS,47.175,47.175,,,0
HCPCS,J8501,APREPITANT 80 MG PO CAPS,38.2,38.2,,,0
HCPCS,J8501,Oral aprepitant,,,7.0,16.04,4
HCPCS,J8510,Oral busulfan,,,80.89,80.89,1
HCPCS,J8515,"Cabergoline, oral 0.25mg",,,60.39,60.39,1
HCPCS,J8522,"Capecitabine, oral, 50 mg",,,0.15,0.15,3
HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG PO CAPS,42.815,42.815,,,0
HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG PO CAPS,34.605,34.605,,,0
HCPCS,J8530,Cyclophosphamide oral 25 MG,,,2.62,8.3,4
HCPCS,J8540,DEXAMETHASONE 0.5 MG PO TABS,6.0,6.0,,,0
HCPCS,J8540,DEXAMETHASONE 0.5 MG/5ML PO SOLN,21.71,21.71,,,0
HCPCS,J8540,DEXAMETHASONE 1 MG PO TABS,3.75,3.75,,,0
HCPCS,J8540,DEXAMETHASONE 1 MG/ML PO CONC,2.65,2.65,,,0
HCPCS,J8540,DEXAMETHASONE 1.5 MG PO TABS,1.35,1.35,,,0
HCPCS,J8540,DEXAMETHASONE 2 MG PO TABS,1.83,1.83,,,0
HCPCS,J8540,DEXAMETHASONE 4 MG PO TABS,0.45,0.45,,,0
HCPCS,J8540,Oral dexamethasone,,,0.14,0.24,4
HCPCS,J8560,Etoposide oral 50 mg,,,175.85,252.96,4
HCPCS,J8565,Gefitinib oral,,,1056.32,1056.32,1
HCPCS,J8600,Melphalan oral 2 MG,,,43.74,43.74,1
HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG PO TABS,23.17,23.17,,,0
HCPCS,J8610,Methotrexate oral 2.5 MG,,,0.46,0.78,4
HCPCS,J8650,Nabilone oral,,,57.51,57.51,1
HCPCS,J8655,Netupitant palonosetron oral,,,752.16,940.72,4
HCPCS,J8670,"Rolapitant, oral, 1mg",,,4.11,8.77,4
HCPCS,J8700,TEMOZOLOMIDE 140 MG PO CAPS,40.76,40.76,,,0
HCPCS,J8700,Temozolomide,,,0.88,2.15,4
HCPCS,J8705,Topotecan oral,,,287.27,351.55,4
HCPCS,J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,51.59,51.59,,,0
HCPCS,J9000,DOXORUBICIN HCL 50 MG IV SOLR,340.42,340.42,,,0
HCPCS,J9000,DOXORUBICIN INTRAHEPATIC CHEMOEMBOLIZATION IN LC BEADS,410.33,410.33,,,0
HCPCS,J9000,Doxorubicin hcl injection,,,7.25,10.16,4
HCPCS,J9015,Aldesleukin injection,,,16831.89,16831.89,1
HCPCS,J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,307.8,307.8,,,0
HCPCS,J9017,Arsenic trioxide injection,,,11.02,102.49,4
HCPCS,J9019,Erwinaze injection,,,1406.44,1406.44,1
HCPCS,J9020,"Asparaginase, nos",,,193.33,193.33,1
HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,125.07,125.07,3
HCPCS,J9022,ATEZOLIZUMAB 1200 MG/20ML IV SOLN,159.52,159.52,,,0
HCPCS,J9022,"Inj, atezolizumab,10 mg",,,205.61,262.41,6
HCPCS,J9023,"Injection, avelumab, 10 mg",,,223.42,285.59,6
HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,71.01,71.01,3
HCPCS,J9025,AZACITIDINE 100 MG IJ SUSR,0.27,0.27,,,0
HCPCS,J9025,AZACITIDINE 100 MG/10ML IJ SUSR (WET SOLR VIAL),15.59,15.59,,,0
HCPCS,J9025,Azacitidine injection,,,0.72,3.02,4
HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,3612.76,3612.76,3
HCPCS,J9027,Clofarabine injection,,,36.81,218.94,4
HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,217.54,217.54,3
HCPCS,J9029,"Inj, adstiladrin, per tx dos",,,145441.9,145441.9,3
HCPCS,J9030,Bcg live intravesical 1mg,,,7.22,9.53,4
HCPCS,J9032,"Injection, belinostat, 10mg",,,117.11,139.61,4
HCPCS,J9033,"Inj., treanda 1 mg",,,2.85,88.87,4
HCPCS,J9034,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,96.43,96.43,,,0
HCPCS,J9034,"Inj., bendeka 1 mg",,,31.24,71.8,4
HCPCS,J9035,BEVACIZUMAB 25 MG/ML IV SOLN - CONSOLIDATED,340.625,340.625,,,0
HCPCS,J9035,Bevacizumab injection,,,167.27,269.74,4
HCPCS,J9036,Inj. belrapzo/bendamustine,,,32.65,69.23,4
HCPCS,J9039,BLINATUMOMAB 35 MCG IV SOLR,482.14,482.14,,,0
HCPCS,J9039,"Injection, blinatumomab",,,350.23,384.05,6
HCPCS,J9040,BLEOMYCIN SULFATE 15 UNITS IJ SOLR,393.58,393.58,,,0
HCPCS,J9040,BLEOMYCIN SULFATE 30 UNITS IJ SOLR,304.90999999999997,304.90999999999997,,,0
HCPCS,J9040,Bleomycin sulfate injection,,,49.58,86.36,4
HCPCS,J9041,BORTEZOMIB 3.5 MG IJ SOLR,14.4,14.4,,,0
HCPCS,J9041,Bortezomib injection,,,5.75,152.74,4
HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG IV SOLR,391.61,391.61,,,0
HCPCS,J9042,Brentuximab vedotin inj,,,558.06,572.65,6
HCPCS,J9043,Cabazitaxel injection,,,509.92,599.21,4
HCPCS,J9045,CARBOPLATIN 450 MG/45ML IV SOLN,47.74,47.74,,,0
HCPCS,J9045,Carboplatin injection,,,6.74,9.45,4
HCPCS,J9046,BORTEZOMIB 3.5 MG IV SOLR,161.29000000000002,161.29000000000002,,,0
HCPCS,J9047,CARFILZOMIB 10 MG IV SOLR,346.48,346.48,,,0
HCPCS,J9047,CARFILZOMIB 30 MG IV SOLR,250.0,250.0,,,0
HCPCS,J9047,CARFILZOMIB 60 MG IV SOLR,124.815,124.815,,,0
HCPCS,J9047,"Injection, carfilzomib, 1 mg",,,119.25,127.41,4
HCPCS,J9049,"Inj, bortezomib, hospira",,,3.3,3.3,3
HCPCS,J9050,Carmustine injection,,,334.87,6535.58,4
HCPCS,J9055,CETUXIMAB 100 MG/50ML IV SOLN,372.5,372.5,,,0
HCPCS,J9055,Cetuximab injection,,,178.31,213.42,6
HCPCS,J9056,"Inj, bendamustine, 1 mg",,,62.66,62.66,3
HCPCS,J9057,"Inj., copanlisib, 1 mg",,,268.59,268.59,1
HCPCS,J9060,CISPLATIN 1 MG/ML IV SOLN - CONSOLIDATED,54.615,54.615,,,0
HCPCS,J9060,Cisplatin 10 mg injection,,,6.47,6.58,4
HCPCS,J9061,AMIVANTAMAB-VMJW 350 MG/7ML IV SOLN,60.045,60.045,,,0
HCPCS,J9061,"Inj, amivantamab-vmjw",,,49.47,49.47,3
HCPCS,J9063,"Inj, elahere, 1 mg",,,156.57,156.57,3
HCPCS,J9063,MIRVETUXIMAB SORAVTANSINE-GYNX 100 MG/20ML IV SOLN,112.91,112.91,,,0
HCPCS,J9065,Inj cladribine per 1 mg,,,23.46,63.19,4
HCPCS,J9070,CYCLOPHOSPHAMIDE 1 G IJ SOLR,514.22,514.22,,,0
HCPCS,J9070,CYCLOPHOSPHAMIDE 1000 MG/50ML IJ (WET SOLR VIAL),522.97,522.97,,,0
HCPCS,J9070,CYCLOPHOSPHAMIDE 2 G IJ SOLR,374.12,374.12,,,0
HCPCS,J9070,CYCLOPHOSPHAMIDE 2000 MG/100ML IJ (WET SOLR VIAL),375.0,375.0,,,0
HCPCS,J9070,CYCLOPHOSPHAMIDE 500 MG IJ SOLR,476.41,476.41,,,0
HCPCS,J9070,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,594.56,594.56,,,0
HCPCS,J9070,CYCLOPHOSPHAMIDE 500 MG/25ML IJ (WET SOLR VIAL),498.64,498.64,,,0
HCPCS,J9071,Inj cyclophosphamd auromedic,,,2.0,2.0,3
HCPCS,J9072,Inj cyclophos dr.reddy's 5mg,,,20.82,20.82,3
HCPCS,J9073,Inj cyclophosphamd (ingenus),,,4.05,4.05,3
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,9.99,9.99,3
HCPCS,J9075,CYCLOPHOSPHAMIDE 1000 MG/50ML IJ (WET SOLR VIAL),11.92,11.92,,,0
HCPCS,J9075,CYCLOPHOSPHAMIDE 2000 MG/100ML IJ (WET SOLR VIAL),19.15,19.15,,,0
HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,23.06,23.06,,,0
HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG/25ML IJ (WET SOLR VIAL),20.07,20.07,,,0
HCPCS,J9075,"Inj, cyclophosphamide, nos",,,1.84,12.75,4
HCPCS,J9098,Cytarabine liposome inj,,,1671.18,1671.18,1
HCPCS,J9100,CYTARABINE (PF) 100 MG/ML IJ SOLN,8.11,8.11,,,0
HCPCS,J9100,CYTARABINE 20 MG/ML IJ SOLN,66.67,66.67,,,0
HCPCS,J9100,CYTARABINE 20MG/ML CHEMO IV SYRINGE (PEDIATRIC) SH,366.18,366.18,,,0
HCPCS,J9100,Cytarabine hcl 100 mg inj,,,1.87,2.24,4
HCPCS,J9118,CALASPARGASE PEGOL-MKNL 3750 UNIT/5ML IV SOLN,129.88,129.88,,,0
HCPCS,J9118,Inj. calaspargase pegol-mknl,,,176.01,259.74,4
HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,66.52,92.97,4
HCPCS,J9120,DACTINOMYCIN 0.5 MG IV SOLR,6350.0,6350.0,,,0
HCPCS,J9120,Dactinomycin injection,,,664.23,3306.08,4
HCPCS,J9130,DACARBAZINE 100 MG IV SOLR,122.06,122.06,,,0
HCPCS,J9130,DACARBAZINE 200 MG IV SOLR,52.44,52.44,,,0
HCPCS,J9130,Dacarbazine 100 mg inj,,,10.36,14.36,4
HCPCS,J9144,DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN,93.3,93.3,,,0
HCPCS,J9144,"Daratumumab, hyaluronidase",,,106.36,121.88,4
HCPCS,J9145,DARATUMUMAB 100 MG/5ML IV SOLN,375.0,375.0,,,0
HCPCS,J9145,DARATUMUMAB 400 MG/20ML IV SOLN,168.75,168.75,,,0
HCPCS,J9145,"Injection, daratumumab 10 mg",,,155.54,183.59,6
HCPCS,J9150,Daunorubicin injection,,,60.71,157.11,4
HCPCS,J9151,Daunorubicin citrate inj,,,195.75,195.75,1
HCPCS,J9153,DAUNORUBICIN-CYTARABINE LIPO 44 MG/20ML IV SUSR (WET SOLR VIAL),417.27,417.27,,,0
HCPCS,J9153,"Inj daunorubicin, cytarabine",,,572.75,671.57,4
HCPCS,J9155,Degarelix injection,,,10.02,13.13,4
HCPCS,J9171,DOCETAXEL 160 MG/8ML IV CONC,63.9,63.9,,,0
HCPCS,J9171,DOCETAXEL 20 MG/2ML IV SOLN,27.195,27.195,,,0
HCPCS,J9171,DOCETAXEL 80 MG/4ML IV CONC,8.29,8.29,,,0
HCPCS,J9171,DOCETAXEL 80 MG/8ML IV SOLN,24.58,24.58,,,0
HCPCS,J9171,Docetaxel injection,,,1.41,3.52,4
HCPCS,J9172,"Docetaxel (ingenus), 1 mg",,,118.73,118.73,3
HCPCS,J9173,DURVALUMAB 500 MG/10ML IV SOLN,144.43,144.43,,,0
HCPCS,J9173,"Inj., durvalumab, 10 mg",,,192.9,255.93,6
HCPCS,J9175,Elliotts b solution per ml,,,31.06,31.06,1
HCPCS,J9176,"Injection, elotuzumab, 1mg",,,17.78,22.29,6
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 20 MG/2ML IV (WET SOLR VIAL),86.26,86.26,,,0
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 30 MG/3ML IV (WET SOLR VIAL),115.88,115.88,,,0
HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,84.28,84.28,3
HCPCS,J9178,"Inj, epirubicin hcl, 2 mg",,,3.72,4.1,4
HCPCS,J9179,ERIBULIN 0.5MG/ML CHEMO IV PUSH,592.2,592.2,,,0
HCPCS,J9179,Eribulin mesylate injection,,,273.12,395.52,4
HCPCS,J9181,ETOPOSIDE 100 MG/5ML IV SOLN,22.99,22.99,,,0
HCPCS,J9181,Etoposide injection,,,2.08,2.45,4
HCPCS,J9185,Fludarabine phosphate inj,,,136.92,151.69,4
HCPCS,J9190,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,62.445,62.445,,,0
HCPCS,J9190,Fluorouracil injection,,,5.07,5.94,4
HCPCS,J9196,GEMCITABINE HCL 1 GM/10ML IV SOLN,99.96,99.96,,,0
HCPCS,J9196,GEMCITABINE HCL 1.5 GM/15ML IV SOLN,80.89,80.89,,,0
HCPCS,J9196,GEMCITABINE HCL 2 GM/20ML IV SOLN,88.95,88.95,,,0
HCPCS,J9196,GEMCITABINE HCL 200 MG/2ML IV SOLN,337.875,337.875,,,0
HCPCS,J9196,Inj gemcitabine hcl (accord),,,19.9,19.9,3
HCPCS,J9198,"Inj. infugem, 100 mg",,,309.21,309.21,1
HCPCS,J9200,Floxuridine injection,,,262.11,9173.17,4
HCPCS,J9201,GEMCITABINE HCL 1 G IV SOLR,76.225,76.225,,,0
HCPCS,J9201,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,68.6,68.6,,,0
HCPCS,J9201,GEMCITABINE HCL 1000 MG/26.3ML IV (WET SOLR VIAL),70.94,70.94,,,0
HCPCS,J9201,GEMCITABINE HCL 200 MG IV SOLR,139.19,139.19,,,0
HCPCS,J9201,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,106.39,106.39,,,0
HCPCS,J9201,Gemcitabine hcl injection,,,6.84,13.09,4
HCPCS,J9202,GOSERELIN ACETATE 10.8 MG SC IMPL,3836.4,3836.4,,,0
HCPCS,J9202,GOSERELIN ACETATE 3.6 MG SC IMPL,5433.3,5433.3,,,0
HCPCS,J9202,Goserelin acetate implant,,,1536.36,1696.24,6
HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5ML IV (WET SOLR VIAL),384.93,384.93,,,0
HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,536.17,676.45,4
HCPCS,J9204,"Inj mogamulizumab-kpkc, 1 mg",,,560.34,681.02,4
HCPCS,J9205,IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ,168.22,168.22,,,0
HCPCS,J9205,Inj irinotecan liposome 1 mg,,,150.14,168.76,4
HCPCS,J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,46.5,46.5,,,0
HCPCS,J9206,Irinotecan injection,,,3.77,8.44,4
HCPCS,J9207,Ixabepilone injection,,,313.28,336.9,4
HCPCS,J9208,Ifosfamide injection,,,56.62,89.0,4
HCPCS,J9209,MESNA 100 MG/ML IV SOLN,75.0,75.0,,,0
HCPCS,J9209,Mesna injection,,,2.29,3.13,4
HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,877.46,1808.33,4
HCPCS,J9211,IDARUBICIN 1MG/ML CHEMO IV PUSH SH,428.32,428.32,,,0
HCPCS,J9211,IDARUBICIN HCL 20 MG/20ML IV SOLN,378.32,378.32,,,0
HCPCS,J9211,Idarubicin hcl injection,,,100.06,112.24,4
HCPCS,J9212,Interferon alfacon-1 inj,,,23.26,23.26,1
HCPCS,J9213,Interferon alfa-2a inj,,,1380.68,1380.68,1
HCPCS,J9214,Interferon alfa-2b inj,,,113.75,113.75,1
HCPCS,J9215,Interferon alfa-n3 inj,,,122.54,122.54,1
HCPCS,J9216,Interferon gamma 1-b inj,,,27944.29,27944.29,1
HCPCS,J9217,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT,2500.0,2500.0,,,0
HCPCS,J9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT,1897.09,1897.09,,,0
HCPCS,J9217,LEUPROLIDE ACETATE 7.5 MG IM KIT,8483.01,8483.01,,,0
HCPCS,J9217,Leuprolide acetate suspnsion,,,396.26,798.0,6
HCPCS,J9218,Leuprolide acetate injeciton,,,42.0,42.0,1
HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,471.58,471.58,3
HCPCS,J9223,LURBINECTEDIN 4 MG IV SOLR,349.41,349.41,,,0
HCPCS,J9225,Vantas implant,,,14056.51,14599.28,3
HCPCS,J9226,Supprelin LA implant,,,103987.69,129708.04,6
HCPCS,J9227,ISATUXIMAB-IRFC 100 MG/5ML IV SOLN,306.25,306.25,,,0
HCPCS,J9227,Inj. isatuximab-irfc 10 mg,,,181.37,181.37,3
HCPCS,J9228,IPILIMUMAB 50 MG/10ML IV SOLN,306.38,306.38,,,0
HCPCS,J9228,Ipilimumab injection,,,414.49,526.3,6
HCPCS,J9229,Inj inotuzumab ozogam 0.1 mg,,,6113.7,7708.24,4
HCPCS,J9230,Mechlorethamine hcl inj,,,1113.02,1113.02,1
HCPCS,J9245,Inj melphalan hydrochl 50 MG,,,361.33,1767.65,4
HCPCS,J9246,"Inj., evomela, 1 mg",,,42.55,42.55,3
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,1779.74,1779.74,3
HCPCS,J9255,METHOTREXATE 25MG/ML CHEMO IV SYRINGE (PEDIATRIC) SH,300.0,300.0,,,0
HCPCS,J9258,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,2.6,2.6,,,0
HCPCS,J9259,PACLITAXEL PROTEIN-BOUND PART 100 MG IV SUSR,57.45,57.45,,,0
HCPCS,J9260,METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN,15.35,15.35,,,0
HCPCS,J9260,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN,293.57,293.57,,,0
HCPCS,J9260,METHOTREXATE SODIUM 1 G IJ SOLR,33.33,33.33,,,0
HCPCS,J9260,METHOTREXATE SODIUM 250 MG/10ML IJ SOLN,300.0,300.0,,,0
HCPCS,J9260,METHOTREXATE SODIUM 50 MG/2ML IJ SOLN,189.20499999999998,189.20499999999998,,,0
HCPCS,J9260,Methotrexate sodium inj,,,5.94,7.97,4
HCPCS,J9261,Nelarabine injection,,,145.32,517.12,4
HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,10.54,10.54,1
HCPCS,J9263,OXALIPLATIN 5 MG/ML IV SOLN - CONSOLIDATED,3.77,3.77,,,0
HCPCS,J9263,Oxaliplatin,,,0.11,0.47,4
HCPCS,J9264,Paclitaxel protein bound,,,30.05,43.14,4
HCPCS,J9264,STUDY RX: INVESTIGATIONAL PACLITAXEL PROTEIN-BOUND 100MG IV SUSR,65.08500000000001,65.08500000000001,,,0
HCPCS,J9266,Pegaspargase injection,,,60432.98,62262.23,6
HCPCS,J9267,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,2.4299999999999997,2.4299999999999997,,,0
HCPCS,J9267,Paclitaxel injection,,,0.29,0.42,4
HCPCS,J9268,Pentostatin injection,,,6148.89,6966.02,4
HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,778.62,917.47,4
HCPCS,J9271,Inj pembrolizumab,,,136.5,169.59,6
HCPCS,J9271,PEMBROLIZUMAB 100 MG/4ML IV SOLN,79.15,79.15,,,0
HCPCS,J9272,DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN,411.39,411.39,,,0
HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,482.0,552.31,4
HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,433.9,433.9,3
HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,493.94,493.94,3
HCPCS,J9274,TEBENTAFUSP-TEBN 100 MCG/0.5ML IV SOLN,364.02,364.02,,,0
HCPCS,J9280,MITOMYCIN 5MG IV SOLR CHEMO (PF) FOR OPHTH USE,1233.92,1233.92,,,0
HCPCS,J9280,Mitomycin injection,,,58.88,219.11,4
HCPCS,J9281,Mitomycin instillation,,,719.89,719.89,3
HCPCS,J9285,"Inj, olaratumab, 10 mg",,,176.54,176.54,1
HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,6377.44,6377.44,3
HCPCS,J9293,Mitoxantrone hydrochl / 5 MG,,,63.69,99.75,4
HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,8.88,8.88,3
HCPCS,J9295,"Injection, necitumumab, 1 mg",,,13.18,19.41,4
HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,22.39,22.39,3
HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,4.0,4.0,3
HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,446.38,446.38,3
HCPCS,J9298,NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN,326.47,326.47,,,0
HCPCS,J9299,"Injection, nivolumab",,,74.41,95.48,6
HCPCS,J9299,NIVOLUMAB 240 MG/24ML IV SOLN,57.625,57.625,,,0
HCPCS,J9299,NIVOLUMAB 40 MG/4ML IV SOLN,128.42,128.42,,,0
HCPCS,J9301,OBINUTUZUMAB 1000 MG/40ML IV SOLN,170.18,170.18,,,0
HCPCS,J9301,Obinutuzumab inj,,,172.99,215.21,6
HCPCS,J9302,Ofatumumab injection,,,203.49,203.49,1
HCPCS,J9303,PANITUMUMAB 100 MG/5ML IV SOLN,347.04999999999995,347.04999999999995,,,0
HCPCS,J9303,Panitumumab injection,,,379.32,402.02,6
HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,106.61,106.61,3
HCPCS,J9305,PEMETREXED DISODIUM 100 MG IV SOLR,23.4,23.4,,,0
HCPCS,J9305,PEMETREXED DISODIUM 500 MG/20ML IV (WET SOLR VIAL),23.35,23.35,,,0
HCPCS,J9305,Pemetrexed injection,,,8.67,239.11,4
HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,37.33,42.85,6
HCPCS,J9306,PERTUZUMAB 420 MG/14ML IV SOLN,30.41,30.41,,,0
HCPCS,J9307,Pralatrexate injection,,,859.67,1007.55,4
HCPCS,J9308,"Injection, ramucirumab",,,168.75,201.82,6
HCPCS,J9308,RAMUCIRUMAB 100 MG/10ML IV SOLN,150.0,150.0,,,0
HCPCS,J9308,RAMUCIRUMAB 500 MG/50ML IV SOLN,140.65,140.65,,,0
HCPCS,J9309,"Inj, polatuzumab vedotin 1mg",,,305.27,381.14,4
HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR,148.37,148.37,,,0
HCPCS,J9311,"Inj rituximab, hyaluronidase",,,86.31,143.85,6
HCPCS,J9312,"Inj., rituximab, 10 mg",,,175.8,319.29,6
HCPCS,J9312,RITUXIMAB 100 MG/10ML IV SOLN,167.05,167.05,,,0
HCPCS,J9312,RITUXIMAB 500 MG/50ML IV SOLN,270.0,270.0,,,0
HCPCS,J9313,"Inj., lumoxiti, 0.01 mg",,,74.9,74.9,1
HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,19.25,19.25,3
HCPCS,J9316,PERTUZ-TRASTUZ-HYALURON-ZZXF 60-60-2000 MG-MG-U/ML SC SOLN,127.9,127.9,,,0
HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,144.88,144.88,3
HCPCS,J9317,SACITUZUMAB GOVITECAN-HZIY 180 MG/18ML IV (WET SOLR VIAL),80.845,80.845,,,0
HCPCS,J9317,Sacituzumab govitecan-hziy,,,82.34,82.34,3
HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,72.54,94.62,4
HCPCS,J9320,Streptozocin injection,,,1191.54,1191.54,1
HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,126.18,126.18,3
HCPCS,J9323,Inj pemetrexed ditromethamin,,,23.79,23.79,3
HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,186.43,186.43,3
HCPCS,J9325,Inj talimogene laherparepvec,,,161.86,174.7,4
HCPCS,J9328,Temozolomide injection,,,23.93,35.19,4
HCPCS,J9330,TEMSIROLIMUS 25 MG/ML IV SOLN,336.05,336.05,,,0
HCPCS,J9330,Temsirolimus injection,,,69.73,153.17,4
HCPCS,J9331,Inj sirolimus prot part 1 mg,,,270.55,270.55,3
HCPCS,J9332,Inj efgartigimod 2mg,,,74.46,74.46,3
HCPCS,J9333,Inj ronzanolixizum-noli 1 mg,,,52.54,52.54,3
HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,76.75,76.75,3
HCPCS,J9340,Thiotepa injection,,,563.61,1491.9,4
HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,68.39,68.39,3
HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,317.96,317.96,3
HCPCS,J9347,TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN,234.0,234.0,,,0
HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,1476.21,1476.21,3
HCPCS,J9349,"Inj., tafasitamab-cxix",,,32.03,32.03,3
HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,1474.2,1474.2,3
HCPCS,J9351,TOPOTECAN HCL 4 MG IV SOLR,58.22,58.22,,,0
HCPCS,J9351,TOPOTECAN HCL 4 MG/4ML IV SOLN,13.48,13.48,,,0
HCPCS,J9351,Topotecan injection,,,2.93,2.97,4
HCPCS,J9352,Injection trabectedin 0.1mg,,,836.81,1060.98,4
HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,111.62,111.62,3
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 100 MG/5ML IV (WET SOLR VIAL),102.96,102.96,,,0
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 160 MG/8ML IV (WET SOLR VIAL),66.175,66.175,,,0
HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,94.54,108.7,6
HCPCS,J9355,TRASTUZUMAB 150 MG IV SOLR,279.51,279.51,,,0
HCPCS,J9355,Trastuzumab injection,,,174.09,353.28,6
HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,144.71,264.42,4
HCPCS,J9357,Valrubicin injection,,,3322.47,4756.22,4
HCPCS,J9358,FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG/5ML IV (WET SOLR VIAL),50.535,50.535,,,0
HCPCS,J9358,Inj fam-trastu deru-nxki 1mg,,,58.01,66.47,4
HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,487.59,487.59,3
HCPCS,J9360,VINBLASTINE SULFATE 1 MG/ML IV SOLN,41.82,41.82,,,0
HCPCS,J9360,Vinblastine sulfate inj,,,11.81,13.13,4
HCPCS,J9370,VINCRISTINE SULFATE 1 MG/ML IV SOLN,152.95,152.95,,,0
HCPCS,J9370,Vincristine sulfate 1 MG inj,,,16.51,18.85,4
HCPCS,J9380,Inj teclistamab cqyv 0.5 mg,,,74.56,74.56,3
HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,85.81,85.81,3
HCPCS,J9390,VINORELBINE TARTRATE 10 MG/ML IV SOLN,7.39,7.39,,,0
HCPCS,J9390,Vinorelbine tartrate inj,,,12.63,15.15,4
HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,7.64,7.64,3
HCPCS,J9395,FULVESTRANT 250 MG/5ML IM SOSY,260.0,260.0,,,0
HCPCS,J9395,"Injection, Fulvestrant",,,15.86,191.43,6
HCPCS,J9400,"Inj, ziv-aflibercept, 1mg",,,19.09,28.65,4
HCPCS,J9600,Porfimer sodium injection,,,74101.05,74101.05,1
HCPCS,J9999,STUDY RX: INVESTIGATIONAL BXQ-350 8.8MG IV SOLR,0.01,0.01,,,0
HCPCS,J9999,STUDY RX: INVESTIGATIONAL MIRVETUXIMAB SORAVTANSINE (IMGN853) 100MG/20ML IV SOLN SH,0.01,0.01,,,0
HCPCS,J9999,STUDY RX: INVESTIGATIONAL MK-2870 200MG/10ML IV SOLN SH,0.005,0.005,,,0
HCPCS,J9999,STUDY RX: INVESTIGATIONAL PACLITAXEL PROTEIN-BOUND 100MG IV SUSR,0.01,0.01,,,0
HCPCS,L1831,HCHG PR KNEE LOCKING JT PF,624.0,624.0,,,0
HCPCS,L1834,HCHG KO WO JOINT RIGID CUSTOM INHOUSE,855.0,855.0,,,0
HCPCS,L1940,HCHG OT AFO PLASTIC/OTHER CUSTOM INHOUSE,624.0,624.0,,,0
HCPCS,L3674,HCHG SO AIRPLANE W/WO JOINT CUSTOM F/A INHOUSE,981.0,981.0,,,0
HCPCS,L3702,HCHG OT EO WO JNTS STRAP CUSTOM F/A INHOUSE,264.0,264.0,,,0
HCPCS,L3763,HCHG OT EWHO RIGID WO JNTS CUSTOM F/A INHOUSE,1173.0,1173.0,,,0
HCPCS,L3764,HCHG OT EWHO W/JNTS BND BKL CUSTOM F/A INHOUSE,1243.0,1243.0,,,0
HCPCS,L3765,HCHG OT EWHFO RGD WO JNT STRP CUSTOM F/A INHOUSE,1173.0,1173.0,,,0
HCPCS,L3766,HCHG OT EWHFO JNTS BND BKLS CUSTOM F/A INHOUSE,1243.0,1243.0,,,0
HCPCS,L3806,HCHG OT WHFO JNTS BND SPRNG CUSTOM F/A INHOUSE,416.0,416.0,,,0
HCPCS,L3808,HCHG OT WHFO RIGID NO JNTS CUSTOM F/A INHOUSE,644.0,644.0,,,0
HCPCS,L3905,HCHG OT WHO JNTS BND BKL CUSTOM F/A INHOUSE,908.0,908.0,,,0
HCPCS,L3906,HCHG OT WHO NO JOINTS CUSTOM F/A INHOUSE,497.0,497.0,,,0
HCPCS,L3913,HCHG OT HFO WO JOINTS CUSTOM F/A INHOUSE,248.0,248.0,,,0
HCPCS,L3919,HCHG OT HO WO JOINTS CUSTOM F/A INHOUSE,248.0,248.0,,,0
HCPCS,L3921,HCHG OT HFO JNTS BNDS BKLS CUSTOM F/A INHOUSE,293.0,293.0,,,0
HCPCS,L3933,HCHG OT FINGER WO JNTS CUSTOM F/A INHOUSE,196.0,196.0,,,0
HCPCS,L3935,HCHG OT FINGER W JOINT CUSTOM F/A INHOUSE,196.0,196.0,,,0
HCPCS,L3967,HCHG OT SEWHO AIRPLANE WO JNTS CUSTOM F/A INHOUSE,1816.0,1816.0,,,0
HCPCS,L3973,HCHG OT SEWHO AIRPLANE W JNTS CUSTOM F/A INHOUSE,1816.0,1816.0,,,0
HCPCS,L3976,HCHG OT SEWHO AIRPLANE WO JNTS CUSTOM F/A INHOUSE,1537.0,1537.0,,,0
HCPCS,L8605,Inj bulking agent anal canal,,,2903.98,2903.98,1
HCPCS,L8607,Inj vocal cord bulking agent,,,173.9,173.9,1
HCPCS,M0220,HCHG TIXAGEV AND CILGAV INJ,457.0,457.0,,,0
HCPCS,M0222,HCHG BEBTELOVIMAB INJECTION,1409.0,1409.0,,,0
HCPCS,M0224,HCHG PEMIVIBART INFUSION,1252.0,1252.0,,,0
HCPCS,M0239,HCHG INFUSION/POST ADMIN MONIT BAMLANIVIMAB,1261.0,1261.0,,,0
HCPCS,M0243,HCHG INFUSION/POST ADMIN CASIRIVIMAB IMDEVIMAB,1309.0,1309.0,,,0
HCPCS,M0247,HCHG SOTROVIMAB INFUSION,1402.0,1402.0,,,0
HCPCS,M0249,HCHG ADM TOCILIZU COVID-19 1ST,1162.0,1162.0,,,0
HCPCS,M0250,HCHG ADM TOCILIZU COVID-19 2ND,1263.0,1263.0,,,0
HCPCS,P9010,HCHG WHOLE BLOOD PROCESSING EA UNIT,276.0,276.0,,,0
HCPCS,P9011,HCHG BLOOD SPLIT UNIT PS,298.0,298.0,,,0
HCPCS,P9012,HCHG CRYO PS (POOLED CRYO (5 CRYO)),350.0,350.0,,,0
HCPCS,P9012,HCHG CRYO PS SINGLE UNIT,54.0,54.0,,,0
HCPCS,P9016,HCHG RBC LEUKOCYTES REDUCED PROCESSING DIVIDED UNIT,220.0,220.0,,,0
HCPCS,P9016,HCHG RBC LEUKOCYTES REDUCED PROCESSING EA UNIT,220.0,220.0,,,0
HCPCS,P9017,HCHG FRESH FROZEN PLASMA PROCESSING EA UNIT,54.0,54.0,,,0
HCPCS,P9017,HCHG FRESH FROZEN PLASMA PROCESSING JUMBO EA UNIT,162.0,162.0,,,0
HCPCS,P9017,HCHG FRESH FROZEN PLAZMA PROCESSING DIVIDED UNIT,54.0,54.0,,,0
HCPCS,P9017,HCHG PLASMA FRESH FROZEN CONVALESCENT,230.0,230.0,,,0
HCPCS,P9019,HCHG PLATELETS EA UNIT  PROCESSING EA UNIT,75.0,75.0,,,0
HCPCS,P9020,HCHG PLATELET RICH PLASMA PROCESSING EA UNIT,450.0,450.0,,,0
HCPCS,P9021,HCHG RBC PROCESSING,788.0,788.0,,,0
HCPCS,P9022,HCHG WASHED RBC PROCESSING EA UNIT,306.0,306.0,,,0
HCPCS,P9031,HCHG PLATELETS LEUKOCYTES REDUCED PROCESSING EA UNIT,347.0,347.0,,,0
HCPCS,P9032,HCHG PLATELETS IRRADIATED PROCESSING EA UNIT,500.0,500.0,,,0
HCPCS,P9033,HCHG PLTC L/R IRRADIATED PS,220.0,220.0,,,0
HCPCS,P9034,HCHG PLATELETS PHERESIS PROCESSING EA UNIT,481.0,481.0,,,0
HCPCS,P9035,HCHG PLATELETS PHER L/R LVDS PS EA UNIT,936.0,936.0,,,0
HCPCS,P9035,HCHG PLATELETS PHERESIS LEUKOCYTE REDUCED DIVIDED,936.0,936.0,,,0
HCPCS,P9035,HCHG PLATELETS PHERESIS LEUKOCYTE REDUCED EA UNIT,481.0,481.0,,,0
HCPCS,P9036,HCHG PLATELETS PHERESIS IRRADIATED PROCESSING EA UNIT,534.0,534.0,,,0
HCPCS,P9037,HCHG PLATELETS PHER L/R IRRAD LVDS PS EA UNIT,1116.0,1116.0,,,0
HCPCS,P9037,HCHG PLATELETS PHER L/R IRRAD PS DIVIDED UNIT,534.0,534.0,,,0
HCPCS,P9037,HCHG PLATELETS PHER L/R IRRAD PS EA UNIT,534.0,534.0,,,0
HCPCS,P9038,HCHG RBC IRRADIATED PS,309.0,309.0,,,0
HCPCS,P9039,HCHG RBC DEGLYCEROLIZED PROCESSING EA UNIT,367.0,367.0,,,0
HCPCS,P9040,HCHG RBC L/R IRRADIATED FOR RCNSTITUTE PROC EA UNIT,562.0,562.0,,,0
HCPCS,P9040,HCHG RBC LEUKOCYTE REDUCED IRRAD PS DIVIDED UNIT,273.0,273.0,,,0
HCPCS,P9040,HCHG RBC LEUKOCYTE REDUCED IRRAD PS EA UNIT,273.0,273.0,,,0
HCPCS,P9041,ALBUMIN HUMAN 5 % IV SOLN,82.23,82.23,,,0
HCPCS,P9041,ALBUMIN HUMAN 5 % IV SOLN SH (VOLUME REPLACEMENT),61.099999999999994,61.099999999999994,,,0
HCPCS,P9041,"Albumin (human),5%, 50ml",,,24.41,35.58,4
HCPCS,P9044,HCHG LIQUID PLASMA CRYOPPT REDUCED EACH UNIT,130.0,130.0,,,0
HCPCS,P9044,HCHG PLASMA CRYOPRECIPITATE REDUCED PROCESSING EA UNIT,79.0,79.0,,,0
HCPCS,P9045,"Albumin (human), 5%, 250 ml",,,122.08,177.83,4
HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,48.83,71.11,4
HCPCS,P9047,ALBUMIN HUMAN 25 % IV SOLN,333.66,333.66,,,0
HCPCS,P9047,"Albumin (human), 25%, 50ml",,,122.08,177.83,4
HCPCS,P9050,HCHG GRANULOCYTES PHERESIS,2048.0,2048.0,,,0
HCPCS,P9051,HCHG RBC L/R CMV NEG PS EACH UNIT,262.0,262.0,,,0
HCPCS,P9052,HCHG PLATELETS PHERSIS L/R HLA MATCHED PROCESSING EA UNIT,744.0,744.0,,,0
HCPCS,P9053,HCHG PHER L/R CMV NEG IRR PS DIVIDED UNIT,576.0,576.0,,,0
HCPCS,P9053,HCHG PHER L/R CMV NEG IRR PS EA UNIT,576.0,576.0,,,0
HCPCS,P9054,HCHG RBC FROZEN LEUKOCYTE REDUCED DEGLYCEROL/WASHED PS EA UNIT,420.0,420.0,,,0
HCPCS,P9055,HCHG PHER L/R CMV NEG PS,523.0,523.0,,,0
HCPCS,P9057,HCHG RBC FROZEN/DEGLYCEROLIZED/WASHED LR IRRADIATED PS EA UNIT,420.0,420.0,,,0
HCPCS,P9058,HCHG RBC L/R CMV NEG IRR PS DIVIDED UNIT,315.0,315.0,,,0
HCPCS,P9058,HCHG RBC L/R CMV NEG IRR PS EA UNIT,315.0,315.0,,,0
HCPCS,P9059,HCHG FFP 8-24 HRS OF COLL FOR RCNSTITUT PROC EA UNIT,126.0,126.0,,,0
HCPCS,P9059,HCHG FRESH FROZEN PLASMA 8-24 HRS OF COLLECTION EA UNIT,54.0,54.0,,,0
HCPCS,P9073,HCHG PLATELETS PHERESIS PATHOGEN-REDUCED EACH UNIT,944.0,944.0,,,0
HCPCS,P9100,HCHG PLATELETS PATHOGEN TESTING,125.0,125.0,,,0
HCPCS,P9612,HCHG ED CATH SPECIMEN COLL SGL PT,123.0,123.0,,,0
HCPCS,Q0114,HCHG FERN TEST,212.0,212.0,,,0
HCPCS,Q0138,FERUMOXYTOL 510 MG/17ML IV SOLN,8.52,8.52,,,0
HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.75,3.64,4
HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.75,3.64,4
HCPCS,Q0144,"Azithromycin dihydrate, oral",,,47.71,47.71,1
HCPCS,Q0162,ONDANSETRON 4 MG PO TBDP,10.08,10.08,,,0
HCPCS,Q0162,Ondansetron oral,,,0.03,0.11,4
HCPCS,Q0163,Diphenhydramine HCl 50mg,,,3.47,3.47,1
HCPCS,Q0164,PROCHLORPERAZINE MALEATE 10 MG PO TABS,8.35,8.35,,,0
HCPCS,Q0164,PROCHLORPERAZINE MALEATE 5 MG PO TABS,11.25,11.25,,,0
HCPCS,Q0164,Prochlorperazine maleate 5mg,,,0.8,0.8,1
HCPCS,Q0166,Granisetron HCl 1 mg oral,,,2.47,2.47,1
HCPCS,Q0167,DRONABINOL 2.5 MG PO CAPS,41.955,41.955,,,0
HCPCS,Q0167,DRONABINOL 5 MG PO CAPS,32.5,32.5,,,0
HCPCS,Q0167,Dronabinol 2.5mg oral,,,2.63,3.39,4
HCPCS,Q0169,PROMETHAZINE HCL 12.5 MG PO TABS,15.0,15.0,,,0
HCPCS,Q0169,PROMETHAZINE HCL 25 MG PO TABS,7.5,7.5,,,0
HCPCS,Q0169,Promethazine HCl 12.5mg oral,,,0.99,0.99,1
HCPCS,Q0173,Trimethobenzamide HCl 250mg,,,2.44,2.44,1
HCPCS,Q0174,Thiethylperazine maleate10mg,,,2.44,2.44,1
HCPCS,Q0175,PERPHENAZINE 4 MG PO TABS,13.559999999999999,13.559999999999999,,,0
HCPCS,Q0175,Perphenazine 4mg oral,,,2.44,2.44,1
HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,7.36,7.36,1
HCPCS,Q0180,Dolasetron mesylate oral,,,487.43,487.43,1
HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,15142.05,15142.05,3
HCPCS,Q0249,TOCILIZUMAB 20 MG/ML IV SOLN - CONSOLIDATED,26.95,26.95,,,0
HCPCS,Q0249,Tocilizumab for covid-19,,,17.41,17.41,3
HCPCS,Q0515,Sermorelin acetate injection,,,4.86,4.86,1
HCPCS,Q2004,Bladder calculi irrig sol,,,52.63,52.63,1
HCPCS,Q2009,FOSPHENYTOIN SODIUM 50 MG PE/ML IJ SOLN - CONSOLIDATED,67.27,67.27,,,0
HCPCS,Q2009,Fosphenytoin inj pe,,,6.23,6.23,1
HCPCS,Q2017,"Teniposide, 50 mg",,,8969.93,8969.93,1
HCPCS,Q2026,Radiesse injection,,,752.97,752.97,1
HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,10.82,10.82,1
HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,42.83,42.83,1
HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,63.65,63.65,1
HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,45.26,45.26,1
HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,199.87,199.87,1
HCPCS,Q2039,"Influenza virus vaccine, nos",,,99.18,99.18,1
HCPCS,Q2041,Axicabtagene ciloleucel car+,,,1340483.41,1340483.41,1
HCPCS,Q2042,Tisagenlecleucel car-pos t,,,1476857.1,1476857.1,1
HCPCS,Q2043,SIPULEUCEL-T 50000000 CELLS IV SUSP,112500.0,112500.0,,,0
HCPCS,Q2043,Sipuleucel-t auto cd54+,,,131139.34,162691.22,4
HCPCS,Q2049,Imported Lipodox inj,,,1634.36,1634.36,1
HCPCS,Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,1495.835,1495.835,,,0
HCPCS,Q2050,Doxorubicin inj 10mg,,,345.94,1033.12,4
HCPCS,Q3001,Brachytherapy radioelements,,,196.98,196.98,1
HCPCS,Q3014,HCHG TH TELEHEALTH ORIGINATING SITE FEE,87.0,87.0,,,0
HCPCS,Q3027,Inj beta interferon im 1 mcg,,,180.44,180.44,1
HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,119.89,119.89,1
HCPCS,Q4074,Iloprost non-comp unit dose,,,342.16,475.09,4
HCPCS,Q4081,EPOETIN ALFA 3000 UNIT/ML IJ SOLN (ESRD),16.25,16.25,,,0
HCPCS,Q4081,"Epoetin alfa, 100 units ESRD",,,1.63,3.38,4
HCPCS,Q4101,Apligraf,,,69.83,103.33,4
HCPCS,Q4102,Oasis wound matrix,,,27.63,36.53,4
HCPCS,Q4103,Oasis burn matrix,,,28.82,28.82,3
HCPCS,Q4104,Integra bmwd,,,114.52,247.13,4
HCPCS,Q4105,Integra drt or omnigraft,,,53.47,201.15,4
HCPCS,Q4106,Dermagraft,,,108.83,108.83,1
HCPCS,Q4107,Graftjacket,,,462.68,462.68,1
HCPCS,Q4108,Integra matrix,,,116.1,226.27,4
HCPCS,Q4110,Primatrix,,,149.99,150.43,4
HCPCS,Q4111,Gammagraft,,,17.48,23.63,4
HCPCS,Q4113,Graftjacket xpress,,,6772.25,6772.25,1
HCPCS,Q4114,Integra flowable wound matri,,,3437.0,7028.67,4
HCPCS,Q4115,Alloskin,,,28.48,66.31,4
HCPCS,Q4117,Hyalomatrix,,,102.75,102.75,1
HCPCS,Q4118,Matristem micromatrix,,,5.87,22.71,4
HCPCS,Q4121,Theraskin,,,119.11,144.18,4
HCPCS,Q4122,Dermacell,,,389.24,389.24,1
HCPCS,Q4123,Alloskin,,,164.57,270.47,4
HCPCS,Q4124,Oasis tri-layer wound matrix,,,20.91,54.88,4
HCPCS,Q4126,Memoderm/derma/tranz/integup,,,145.6,314.29,4
HCPCS,Q4127,Talymed,,,109.17,157.52,4
HCPCS,Q4128,Flexhd/allopatchhd/matrixhd,,,56.27,56.27,3
HCPCS,Q4132,Grafix core,,,86.25,400.78,4
HCPCS,Q4133,Grafix prime,,,313.64,472.93,4
HCPCS,Q4137,"Amnioexcel or biodexcel, 1cm",,,235.02,242.93,4
HCPCS,Q4138,"Biodfence dryflex, 1cm",,,216.79,216.79,3
HCPCS,Q4140,Biodfence 1cm,,,388.51,388.51,3
HCPCS,Q4141,"Alloskin ac, 1 cm",,,87.09,395.86,4
HCPCS,Q4143,"Repriza, 1cm",,,78.02,78.02,3
HCPCS,Q4145,"Epifix, inj, 1mg",,,55.18,55.18,1
HCPCS,Q4148,"Neox 1k, 1cm",,,295.39,1027.32,4
HCPCS,Q4149,"Excellagen, 0.1 cc",,,589.92,589.92,1
HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,190.35,190.35,3
HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,313.89,435.15,4
HCPCS,Q4152,Dermapure 1 square cm,,,125.63,425.86,4
HCPCS,Q4153,"Dermavest, plurivest sq cm",,,294.58,1125.73,4
HCPCS,Q4154,Biovance 1 square cm,,,307.42,397.39,4
HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,60.51,60.51,3
HCPCS,Q4156,Neox 100 1 square cm,,,148.93,739.1,4
HCPCS,Q4157,Revitalon 1 square cm,,,687.91,687.91,1
HCPCS,Q4158,Marigen 1 square cm,,,146.32,720.92,4
HCPCS,Q4159,Affinity1 square cm,,,604.74,4294.24,4
HCPCS,Q4160,Nushield 1 square cm,,,213.1,303.09,4
HCPCS,Q4161,Bio-connekt per square cm,,,4263.41,4263.41,3
HCPCS,Q4162,Amnio bio and woundex flow,,,7954.65,7954.65,1
HCPCS,Q4163,Amnio bio and woundex sq cm,,,419.02,2034.34,4
HCPCS,Q4164,"Helicoll, per square cm",,,740.95,740.95,3
HCPCS,Q4165,"Keramatrix, per square cm",,,43.96,43.96,1
HCPCS,Q4166,"Cytal, per square centimeter",,,49.44,109.67,4
HCPCS,Q4167,"Truskin, per sq centimeter",,,410.3,410.3,1
HCPCS,Q4169,"Artacent wound, per sq cm",,,1226.06,1226.06,1
HCPCS,Q4170,"Cygnus, per sq cm",,,1022.9,1022.9,3
HCPCS,Q4171,"Interfyl, 1 mg",,,27.89,27.89,3
HCPCS,Q4173,Palingen or palingen xplus,,,829.17,829.17,3
HCPCS,Q4175,Miroderm,,,157.68,322.2,4
HCPCS,Q4176,"Neopatch, per sq centimeter",,,407.6,407.6,1
HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,610.27,610.27,1
HCPCS,Q4178,"Floweramniopatch, per sq cm",,,211.67,763.21,4
HCPCS,Q4180,"Revita, per sq cm",,,813.57,2369.33,4
HCPCS,Q4181,"Amnio wound, per square cm",,,552.76,552.76,1
HCPCS,Q4183,"Surgigraft, 1 sq cm",,,675.11,675.11,1
HCPCS,Q4184,"Cellesta, 1 sq cm",,,184.09,986.95,4
HCPCS,Q4186,Epifix 1 sq cm,,,364.17,547.79,4
HCPCS,Q4187,Epicord 1 sq cm,,,568.14,1042.24,4
HCPCS,Q4188,Amnioarmor 1 sq cm,,,1134.6,1134.6,3
HCPCS,Q4190,Artacent ac 1 sq cm,,,408.24,408.24,3
HCPCS,Q4191,Restorigin 1 sq cm,,,2162.35,2162.35,3
HCPCS,Q4193,Coll-e-derm 1 sq cm,,,3699.02,3699.02,3
HCPCS,Q4194,Novachor 1 sq cm,,,1084.91,1654.55,4
HCPCS,Q4195,Puraply 1 sq cm,,,230.4,385.01,4
HCPCS,Q4196,Puraply am 1 sq cm,,,242.57,371.75,4
HCPCS,Q4197,Puraply xt 1 sq cm,,,169.13,1016.61,4
HCPCS,Q4199,"Cygnus matrix, per sq cm",,,764.57,764.57,3
HCPCS,Q4201,Matrion 1 sq cm,,,198.6,198.6,3
HCPCS,Q4203,"Derma-gide, 1 sq cm",,,690.42,690.42,3
HCPCS,Q4204,Xwrap 1 sq cm,,,6736.74,6736.74,3
HCPCS,Q4205,Membrane graft or wrap sq cm,,,2428.73,2428.73,3
HCPCS,Q4208,Novafix per sq cm,,,788.12,788.12,1
HCPCS,Q4213,"Ascent, 0.5 mg",,,175.26,175.26,1
HCPCS,Q4217,Woundfix biowound plus xplus,,,629.08,849.36,4
HCPCS,Q4218,Surgicord per sq cm,,,508.79,508.79,1
HCPCS,Q4219,Surgigraft dual per sq cm,,,383.52,383.52,1
HCPCS,Q4221,Amniowrap2 per sq cm,,,4632.2,4632.2,3
HCPCS,Q4222,"Progenamatrix, per sq cm",,,312.63,312.63,3
HCPCS,Q4225,"Amniobind, per sq cm",,,3190.3,3190.3,3
HCPCS,Q4227,Amniocore per sq cm,,,2742.75,2742.75,3
HCPCS,Q4229,Cogenex amnio memb per sq cm,,,1153.57,1153.57,3
HCPCS,Q4231,"Corplex p, per cc",,,1509.11,1509.11,3
HCPCS,Q4232,"Corplex, per sq cm",,,474.91,474.91,3
HCPCS,Q4234,"Xcellerate, per sq cm",,,570.21,570.21,3
HCPCS,Q4235,Amniorepair or altiply sq cm,,,218.33,218.33,3
HCPCS,Q4236,Carepatch per sq cm,,,1110.24,1110.24,3
HCPCS,Q4238,"Derm-maxx, per sq cm",,,3783.48,3783.48,3
HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,5404.83,5404.83,3
HCPCS,Q4248,Dermacyte Amn mem allo sq cm,,,6433.35,6433.35,3
HCPCS,Q4250,AmnioAMP-MP per sq cm,,,6585.21,6585.21,3
HCPCS,Q4252,"Vendaje, per square centimet",,,227.95,227.95,3
HCPCS,Q4253,Zenith amniotic membrane psc,,,164.45,164.45,3
HCPCS,Q4256,"Mlg complet, per sq cm",,,2150.55,2150.55,3
HCPCS,Q4257,"Relese, per sq cm",,,1138.37,1138.37,3
HCPCS,Q4258,"Enverse, per sq cm",,,165.17,165.17,3
HCPCS,Q4259,Celera per sq cm,,,2243.1,2243.1,3
HCPCS,Q4262,"Dual layer impax, per sq cm",,,390.67,390.67,3
HCPCS,Q4263,"Surgraft tl, per sq cm",,,3939.9,3939.9,3
HCPCS,Q4264,"Cocoon membrane, per sq cm",,,1099.54,1099.54,3
HCPCS,Q4265,Neostim tl per sq cm,,,4025.6,4025.6,3
HCPCS,Q4266,Neostim per sq cm,,,2276.25,2276.25,3
HCPCS,Q4267,Neostim dl per sq cm,,,631.59,631.59,3
HCPCS,Q4269,Surgraft xt per sq cm,,,6582.6,6582.6,3
HCPCS,Q4270,Complete sl per sq cm,,,7752.84,7752.84,3
HCPCS,Q4271,Complete ft per sq cm,,,3217.99,3217.99,3
HCPCS,Q4274,"Esano ac, per sq cm",,,4228.07,4228.07,3
HCPCS,Q4275,"Esano aca, per sq cm",,,6155.95,6155.95,3
HCPCS,Q4276,"Orion, per sq cm",,,1067.99,1067.99,3
HCPCS,Q4278,"Epieffect, per sq cm",,,565.91,565.91,3
HCPCS,Q4279,"Vendaje ac, per sq cm",,,5485.5,5485.5,3
HCPCS,Q4280,Xcell amnio matrix per sq cm,,,7465.91,7465.91,3
HCPCS,Q4281,Barrera slor dl per sq cm,,,1288.68,1288.68,3
HCPCS,Q4282,Cygnus dual per sq cm,,,1120.82,1120.82,3
HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,1266.48,1266.48,3
HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,3685.13,3685.13,3
HCPCS,Q4290,Membrane wrap hydr per sq cm,,,4234.3,4234.3,3
HCPCS,Q4293,"Acesso dl, per sq cm",,,3644.81,3644.81,3
HCPCS,Q4294,"Amnio quad-core, per sq cm",,,6095.0,6095.0,3
HCPCS,Q4295,"Amnio tri-core, per sq cm",,,5363.6,5363.6,3
HCPCS,Q4296,"Rebound matrix, per sq cm",,,3395.1,3395.1,3
HCPCS,Q4297,"Emerge matrix, per sq cm",,,4020.91,4020.91,3
HCPCS,Q4298,"Amnicore pro, per sq cm",,,5241.7,5241.7,3
HCPCS,Q4299,"Amnicore pro+, per sq cm",,,5973.1,5973.1,3
HCPCS,Q4300,"Acesso tl, per sq cm",,,4863.81,4863.81,3
HCPCS,Q4301,"Activate matrix, per sq cm",,,4362.55,4362.55,3
HCPCS,Q4302,"Complete aca, per sq cm",,,4620.01,4620.01,3
HCPCS,Q4303,"Complete aa, per sq cm",,,7814.02,7814.02,3
HCPCS,Q4304,"Grafix plus, per sq cm",,,1732.96,1732.96,3
HCPCS,Q4309,"Via matrix, per sq cm",,,3045.12,3045.12,3
HCPCS,Q4310,"Procenta, per 100 mg",,,5090.22,5090.22,3
HCPCS,Q4313,"Dermabind fm, per sq cm",,,7675.63,7675.63,3
HCPCS,Q4319,"Sanograft, per sq cm",,,6095.0,6095.0,3
HCPCS,Q4322,"Caregraft, per sq cm",,,4266.5,4266.5,3
HCPCS,Q4323,"Alloply, per sq cm",,,3778.9,3778.9,3
HCPCS,Q4325,"Acapatch, per sq cm",,,4754.1,4754.1,3
HCPCS,Q4328,"Most, per sq cm",,,8533.0,8533.0,3
HCPCS,Q4332,"Axolotl dualgraft, per sq cm",,,3901.18,3901.18,3
HCPCS,Q4343,Dermacyte ac matrx per sq cm,,,6789.83,6789.83,3
HCPCS,Q5101,FILGRASTIM-SNDZ 300 MCG/0.5ML IJ SOSY,5.29,5.29,,,0
HCPCS,Q5101,FILGRASTIM-SNDZ 480 MCG/0.8ML IJ SOSY,5.21,5.21,,,0
HCPCS,Q5101,Inj filgrastim gcsf biosimil,,,0.77,1.67,4
HCPCS,Q5103,INFLIXIMAB-DYYB 100 MG/10ML IV (WET SOLR VIAL),229.61,229.61,,,0
HCPCS,Q5103,"Injection, inflectra",,,36.6,161.98,6
HCPCS,Q5104,"Injection, renflexis",,,64.04,169.0,6
HCPCS,Q5105,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN,8.6,8.6,,,0
HCPCS,Q5105,"EPOETIN ALFA-EPBX 20,000 UNIT/ML IJ SOLN (ESRD)",6.605,6.605,,,0
HCPCS,Q5105,EPOETIN ALFA-EPBX 2000 UNIT/ML IJ SOLN (ESRD),8.6,8.6,,,0
HCPCS,Q5105,EPOETIN ALFA-EPBX 3000 UNIT/ML IJ SOLN (ESRD),8.6,8.6,,,0
HCPCS,Q5105,EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN (ESRD),8.6,8.6,,,0
HCPCS,Q5105,EPOETIN ALFA-EPBX 40000 UNIT/ML IJ SOLN (ESRD),6.25,6.25,,,0
HCPCS,Q5105,Inj Retacrit esrd on dialysi,,,1.63,3.12,4
HCPCS,Q5106,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN,85.965,85.965,,,0
HCPCS,Q5106,"EPOETIN ALFA-EPBX 20,000 UNIT/ML IJ SOLN (ESRD)",64.95,64.95,,,0
HCPCS,Q5106,EPOETIN ALFA-EPBX 3000 UNIT/ML IJ SOLN (ESRD),86.03,86.03,,,0
HCPCS,Q5106,EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN (ESRD),86.04,86.04,,,0
HCPCS,Q5106,EPOETIN ALFA-EPBX 40000 UNIT/ML IJ SOLN (ESRD),62.5,62.5,,,0
HCPCS,Q5106,Inj Retacrit non-esrd use,,,16.26,31.23,6
HCPCS,Q5107,BEVACIZUMAB-AWWB 100 MG/4ML IV SOLN,308.755,308.755,,,0
HCPCS,Q5107,BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN,142.175,142.175,,,0
HCPCS,Q5107,Inj mvasi 10 mg,,,68.6,212.45,4
HCPCS,Q5108,"Injection, fulphila",,,259.66,1042.61,4
HCPCS,Q5108,PEGFILGRASTIM-JMDB 6 MG/0.6ML SC SOSY,760.665,760.665,,,0
HCPCS,Q5110,Nivestym,,,0.66,2.15,4
HCPCS,Q5111,"Injection, udenyca 0.5 mg",,,376.29,1091.18,4
HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOAJ,1078.7,1078.7,,,0
HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY,929.7850000000001,929.7850000000001,,,0
HCPCS,Q5112,Inj ontruzant 10 mg,,,66.1,272.93,5
HCPCS,Q5113,Inj herzuma 10 mg,,,169.98,267.53,5
HCPCS,Q5114,Inj  ogivri 10 mg,,,107.68,307.42,6
HCPCS,Q5114,TRASTUZUMAB-DKST 150 MG IV SOLR,261.15,261.15,,,0
HCPCS,Q5115,Inj truxima 10 mg,,,79.95,295.27,6
HCPCS,Q5115,RITUXIMAB-ABBS 100 MG/10ML IV SOLN,375.0,375.0,,,0
HCPCS,Q5115,RITUXIMAB-ABBS 500 MG/50ML IV SOLN,225.0,225.0,,,0
HCPCS,Q5116,"Inj., trazimera, 10 mg",,,57.34,281.95,6
HCPCS,Q5116,TRASTUZUMAB-QYYP 150 MG/7.15ML IV (WET SOLR VIAL),284.52,284.52,,,0
HCPCS,Q5116,TRASTUZUMAB-QYYP 420 MG IV SOLR,287.2,287.2,,,0
HCPCS,Q5117,"Inj., kanjinti, 10 mg",,,64.18,277.64,4
HCPCS,Q5117,TRASTUZUMAB-ANNS 150 MG IV SOLR,374.48,374.48,,,0
HCPCS,Q5117,TRASTUZUMAB-ANNS 420 MG IV SOLR,341.69,341.69,,,0
HCPCS,Q5117,TRASTUZUMAB-ANNS 420 MG/20ML IV (WET SOLR VIAL),332.31,332.31,,,0
HCPCS,Q5118,BEVACIZUMAB-BVZR 100 MG/4ML IV SOLN,257.63,257.63,,,0
HCPCS,Q5118,"Inj., zirabev, 10 mg",,,61.97,214.21,4
HCPCS,Q5119,"Inj ruxience, 10 mg",,,57.37,208.41,6
HCPCS,Q5119,RITUXIMAB-PVVR 100 MG/10ML IV SOLN,337.04999999999995,337.04999999999995,,,0
HCPCS,Q5119,RITUXIMAB-PVVR 500 MG/50ML IV SOLN,200.67,200.67,,,0
HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,56.84,1142.35,4
HCPCS,Q5121,INFLIXIMAB-AXXQ 100 MG IV SOLR,123.195,123.195,,,0
HCPCS,Q5121,"Inj. avsola, 10 mg",,,45.42,45.42,3
HCPCS,Q5122,"Inj, nyvepria",,,308.78,308.78,3
HCPCS,Q5123,"Inj. riabni, 10 mg",,,76.1,76.1,3
HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,196.81,196.81,3
HCPCS,Q5125,FILGRASTIM-AYOW 300 MCG/0.5ML SC SOSY,3.25,3.25,,,0
HCPCS,Q5125,FILGRASTIM-AYOW 480 MCG/0.8ML SC SOSY,3.18,3.18,,,0
HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.98,0.98,3
HCPCS,Q5126,Inj alymsys 10 mg,,,105.92,105.92,3
HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,577.86,577.86,3
HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,337.55,337.55,3
HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,110.58,110.58,3
HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,377.55,377.55,3
HCPCS,Q5133,"Inj, tofidence, 1 mg",,,13.73,13.73,3
HCPCS,Q5135,"Inj, tyenne, 1 mg",,,9.35,9.35,3
HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,1830.48,1830.48,3
HCPCS,Q9950,Inj sulf hexa lipid microsph,,,43.06,64.63,4
HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPH 60.7-25 MG IJ SUSR,76.39,76.39,,,0
HCPCS,Q9956,"Inj octafluoropropane mic,ml",,,96.33,109.76,4
HCPCS,Q9956,PERFLUTREN PROTEIN A MICROSPH IV SUSP,141.48000000000002,141.48000000000002,,,0
HCPCS,Q9957,"Inj perflutren lip micros,ml",,,96.33,164.6,4
HCPCS,Q9957,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,408.07,408.07,,,0
HCPCS,Q9958,DIATRIZOATE MEGLUMINE 18 % UR SOLN,0.37,0.37,,,0
HCPCS,Q9958,DIATRIZOATE MEGLUMINE 30 % UR SOLN,0.55,0.55,,,0
HCPCS,Q9958,"HOCM <=149 mg/ml iodine, 1ml",,,0.17,0.27,4
HCPCS,Q9960,"HOCM 200-249mg/ml iodine,1ml",,,0.69,0.69,1
HCPCS,Q9961,"HOCM 250-299mg/ml iodine,1ml",,,0.66,0.84,4
HCPCS,Q9963,"HOCM 350-399mg/ml iodine,1ml",,,0.5,0.65,4
HCPCS,Q9965,IOHEXOL 180 MG/ML IJ SOLN,11.105,11.105,,,0
HCPCS,Q9965,"LOCM 100-199mg/ml iodine,1ml",,,2.15,2.95,4
HCPCS,Q9966,IOHEXOL 240 MG/ML IJ SOLN,8.875,8.875,,,0
HCPCS,Q9966,"LOCM 200-299mg/ml iodine,1ml",,,0.94,1.12,4
HCPCS,Q9967,IODIXANOL 320 MG/ML IV SOLN,3.45,3.45,,,0
HCPCS,Q9967,IOHEXOL 300 MG/ML IJ SOLN,3.23,3.23,,,0
HCPCS,Q9967,IOHEXOL 350 MG/ML IV SOLN,3.245,3.245,,,0
HCPCS,Q9967,IOPAMIDOL 61 % IV SOLN,3.27,3.27,,,0
HCPCS,Q9967,IOPAMIDOL 76 % IV SOLN,3.365,3.365,,,0
HCPCS,Q9967,"LOCM 300-399mg/ml iodine,1ml",,,0.33,0.4,4
HCPCS,Q9968,TRYPAN BLUE 0.06 % IO SOSY,283.65,283.65,,,0
HCPCS,Q9968,TRYPAN BLUE 0.15 % IO SOSY,695.52,695.52,,,0
HCPCS,Q9968,Visualization adjunct,,,21.99,21.99,1
HCPCS,Q9969,Non-HEU TC-99M add-on/dose,,,33.9,33.9,1
HCPCS,Q9982,flutemetamol f18 diagnostic,,,11859.51,11859.51,1
HCPCS,Q9983,HCHG FLORBETABEN F18 DX PER STUDY TO 8.1 MCI,8118.0,8118.0,,,0
HCPCS,Q9983,florbetaben f18 diagnostic,,,10062.61,10062.61,1
HCPCS,Q9991,Buprenorph xr 100 mg or less,,,4428.03,5648.7,4
HCPCS,Q9992,Buprenorphine xr over 100 mg,,,4428.03,5648.7,4
HCPCS,S0017,AMINOCAPROIC ACID 250 MG/ML IV SOLN,75.3,75.3,,,0
HCPCS,S0020,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,56.25,56.25,,,0
HCPCS,S0020,BUPIVACAINE HCL 0.25 % IJ SOLN,75.0,75.0,,,0
HCPCS,S0028,FAMOTIDINE 10MG/ML IV SOLN - CONSOLIDATED,72.78999999999999,72.78999999999999,,,0
HCPCS,S0032,NAFCILLIN 2 GM/100ML NS (MINIBAG),77.04,77.04,,,0
HCPCS,S0032,NAFCILLIN SODIUM 1 G IJ SOLR,75.0,75.0,,,0
HCPCS,S0039,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN,105.04,105.04,,,0
HCPCS,S0080,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR,607.16,607.16,,,0
HCPCS,S0080,PENTAMIDINE ISETHIONATE 300 MG/3ML IJ (WET SOLR VIAL),579.02,579.02,,,0
HCPCS,S0090,SILDENAFIL CITRATE 20 MG PO TABS,78.875,78.875,,,0
HCPCS,S0108,MERCAPTOPURINE 50 MG PO TABS,41.61,41.61,,,0
HCPCS,S0109,METHADONE HCL 10 MG PO TABS,3.08,3.08,,,0
HCPCS,S0138,FINASTERIDE 5 MG PO TABS,16.1,16.1,,,0
HCPCS,S0142,COLISTIMETHATE SODIUM (CBA) 150 MG/2ML IJ (WET SOLR VIAL),1.46,1.46,,,0
HCPCS,S0164,PANTOPRAZOLE SODIUM 40 MG IV SOLR,74.31,74.31,,,0
HCPCS,S0169,CALCITRIOL 0.25 MCG PO CAPS,15.0,15.0,,,0
HCPCS,S0169,CALCITRIOL 0.5 MCG PO CAPS,15.7,15.7,,,0
HCPCS,S0170,ANASTROZOLE 1 MG PO TABS,40.0,40.0,,,0
HCPCS,S0179,MEGESTROL ACETATE 40 MG/ML PO SUSP,1.63,1.63,,,0
HCPCS,S0187,TAMOXIFEN CITRATE 20 MG PO TABS,20.0,20.0,,,0
HCPCS,S0190,MIFEPRISTONE 200 MG PO TABS,129.0,129.0,,,0
HCPCS,S0191,MISOPROSTOL 100 MCG PO TABS,14.99,14.99,,,0
HCPCS,S0191,MISOPROSTOL 200 MCG PO TABS,17.975,17.975,,,0
HCPCS,U0003,HCHG CORE SARS-COV-2 COVID-19 AMP PROB HI THRUPUT TQ,75.0,75.0,,,0
HCPCS,U0003,HCHG SARS-COV-2 COVID-19 AMP PROB HI THRUPUT TQ,75.0,75.0,,,0
HCPCS,U0005,HCHG CORE COV-19 AMP PRB HI THRUPUT W/IN 2 DAY COL,25.0,25.0,,,0
HCPCS,U0005,HCHG COV-19 AMP PRB HI THRUPUT W/IN 2 DAY COLLT,25.0,25.0,,,0
HCPCS,X6254,GLUCAGON HCL (RDNA) 1 MG IJ SOLR,492.53,492.53,,,0
HCPCS,X7700,D10W - NACL 0.45% IV SOLN,75.0,75.0,,,0
HCPCS,X7700,D20W COMPOUNDING - NON TPN IV SOLN SH,75.0,75.0,,,0
HCPCS,Z7610,ALBUTEROL SULFATE 1.25 MG/3ML IN NEBU,7.5,7.5,,,0
HCPCS,Z7610,APREPITANT 125 MG PO CAPS,38.21,38.21,,,0
HCPCS,Z7610,APREPITANT 40 MG PO CAPS,30.41,30.41,,,0
HCPCS,Z7610,APREPITANT 80 MG PO CAPS,38.2,38.2,,,0
HCPCS,Z7610,B-COMPLEX+VITAMIN C PO TABS SH,2.0,2.0,,,0
HCPCS,Z7610,BSS PLUS IO SOLN,21.7,21.7,,,0
HCPCS,Z7610,DEXAMETHASONE 0.5 MG PO TABS,7.5,7.5,,,0
HCPCS,Z7610,DEXAMETHASONE 1 MG PO TABS,4.04,4.04,,,0
HCPCS,Z7610,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,2.17,2.17,,,0
HCPCS,Z7610,DIPHENHYDRAMINE HCL 25 MG PO CAPS,4.24,4.24,,,0
HCPCS,Z7610,DIPHENHYDRAMINE HCL 50 MG PO CAPS,6.04,6.04,,,0
HCPCS,Z7610,DRONABINOL 2.5 MG PO CAPS,38.32,38.32,,,0
HCPCS,Z7610,DRONABINOL 5 MG PO CAPS,32.5,32.5,,,0
HCPCS,Z7610,GLYCOPYRROLATE 1 MG PO TABS,3.46,3.46,,,0
HCPCS,Z7610,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,617.665,617.665,,,0
HCPCS,Z7610,METHYLPREDNISOLONE 8 MG PO TABS,5.53,5.53,,,0
HCPCS,Z7610,MULTIVITAMINS PO TABS SH,2.02,2.02,,,0
HCPCS,Z7610,MULTIVITAMINS+MINERALS PO TABS SH,4.02,4.02,,,0
HCPCS,Z7610,ONDANSETRON 8 MG PO TBDP,111.4,111.4,,,0
HCPCS,Z7610,PROCHLORPERAZINE MALEATE 10 MG PO TABS,7.68,7.68,,,0
HCPCS,Z7610,PROCHLORPERAZINE MALEATE 5 MG PO TABS,8.86,8.86,,,0
HCPCS,Z7610,PROMETHAZINE HCL 12.5 MG PR SUPP,70.82,70.82,,,0
HCPCS,Z7610,PROMETHAZINE HCL 25 MG PO TABS,7.575,7.575,,,0
HCPCS,Z7610,PROMETHAZINE HCL 25 MG PR SUPP,61.97,61.97,,,0
HCPCS,Z7610,SEVELAMER CARBONATE 0.8 G PO PACK,73.14,73.14,,,0
HCPCS,Z7610,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP,18.035,18.035,,,0
HCPCS,Z7610,TOLVAPTAN 15 MG PO TABS,1423.56,1423.56,,,0
HCPCS,Z7610,TOLVAPTAN 30 MG PO TABS,1542.2150000000001,1542.2150000000001,,,0
HCPCS,Z7610,TRANEXAMIC ACID 650 MG PO TABS,27.5,27.5,,,0
MS-DRG,001,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,,,0
MS-DRG,002,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,,,0
MS-DRG,003,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,,,0
MS-DRG,004,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,,,0
MS-DRG,005,Liver Transplant With Mcc Or Intestinal Transplant,,,,,0
MS-DRG,006,Liver Transplant Without Mcc,,,,,0
MS-DRG,007,Lung Transplant,,,,,0
MS-DRG,008,Simultaneous Pancreas And Kidney Transplant,,,,,0
MS-DRG,010,Pancreas Transplant,,,,,0
MS-DRG,011,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,,,0
MS-DRG,012,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,,,0
MS-DRG,013,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,,,0
MS-DRG,014,Allogeneic Bone Marrow Transplant,,,,,0
MS-DRG,016,Autologous Bone Marrow Transplant With Cc/Mcc,,,,,0
MS-DRG,017,Autologous Bone Marrow Transplant Without Cc/Mcc,,,,,0
MS-DRG,018,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,,,0
MS-DRG,019,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,,,0
MS-DRG,020,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,354431.0,385336.0,4
MS-DRG,021,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,287205.0,306453.0,4
MS-DRG,022,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,354431.0,373781.0,4
MS-DRG,023,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,230569.0,250662.0,4
MS-DRG,024,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,224758.0,240030.0,4
MS-DRG,025,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,140289.0,170545.0,4
MS-DRG,026,Craniotomy And Endovascular Intracranial Procedures With Cc,,,100648.0,109516.0,4
MS-DRG,027,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,85891.0,102235.0,4
MS-DRG,028,Spinal Procedures With Mcc,,,160167.0,173943.0,4
MS-DRG,029,Spinal Procedures With Cc Or Spinal Neurostimulators,,,94127.0,100553.0,4
MS-DRG,030,Spinal Procedures Without Cc/Mcc,,,75875.0,82249.0,4
MS-DRG,031,Ventricular Shunt Procedures With Mcc,,,114623.0,124749.0,4
MS-DRG,032,Ventricular Shunt Procedures With Cc,,,108726.0,115869.0,4
MS-DRG,033,Ventricular Shunt Procedures Without Cc/Mcc,,,61883.0,67218.0,4
MS-DRG,034,Carotid Artery Stent Procedures With Mcc,,,,,0
MS-DRG,035,Carotid Artery Stent Procedures With Cc,,,,,0
MS-DRG,036,Carotid Artery Stent Procedures Without Cc/Mcc,,,,,0
MS-DRG,037,Extracranial Procedures With Mcc,,,92267.0,99068.0,4
MS-DRG,038,Extracranial Procedures With Cc,,,68986.0,73769.0,4
MS-DRG,039,Extracranial Procedures Without Cc/Mcc,,,48331.0,51807.0,4
MS-DRG,040,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,177687.0,203911.0,3
MS-DRG,041,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,100452.0,107122.0,4
MS-DRG,042,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,74105.0,79097.0,4
MS-DRG,052,Spinal Disorders And Injuries With Cc/Mcc,,,,,0
MS-DRG,053,Spinal Disorders And Injuries Without Cc/Mcc,,,,,0
MS-DRG,054,Nervous System Neoplasms With Mcc,,,,,0
MS-DRG,055,Nervous System Neoplasms Without Mcc,,,,,0
MS-DRG,056,Degenerative Nervous System Disorders With Mcc,,,,,0
MS-DRG,057,Degenerative Nervous System Disorders Without Mcc,,,,,0
MS-DRG,058,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,,,0
MS-DRG,059,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,,,0
MS-DRG,060,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,,,0
MS-DRG,061,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,102861.0,116934.0,3
MS-DRG,062,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,67726.0,76994.0,3
MS-DRG,063,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,45607.0,51842.0,3
MS-DRG,064,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,,,0
MS-DRG,065,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,,,0
MS-DRG,066,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,,,0
MS-DRG,067,Precerebral Occlusion Without Infarction With Mcc,,,,,0
MS-DRG,068,Precerebral Occlusion Without Infarction Without Mcc,,,,,0
MS-DRG,069,Transient Ischemia Without Thrombolytic,,,21562.0,24559.0,4
MS-DRG,070,Other Cerebrovascular Disorders With Mcc,,,,,0
MS-DRG,071,Other Cerebrovascular Disorders With Cc,,,,,0
MS-DRG,072,Other Cerebrovascular Disorders Without Cc/Mcc,,,,,0
MS-DRG,073,Cranial And Peripheral Nerve Disorders With Mcc,,,,,0
MS-DRG,074,Cranial And Peripheral Nerve Disorders Without Mcc,,,,,0
MS-DRG,075,Viral Meningitis With Cc/Mcc,,,37362.0,42466.0,3
MS-DRG,076,Viral Meningitis Without Cc/Mcc,,,27985.0,31875.0,4
MS-DRG,077,Hypertensive Encephalopathy With Mcc,,,,,0
MS-DRG,078,Hypertensive Encephalopathy With Cc,,,,,0
MS-DRG,079,Hypertensive Encephalopathy Without Cc/Mcc,,,,,0
MS-DRG,080,Nontraumatic Stupor And Coma With Mcc,,,,,0
MS-DRG,081,Nontraumatic Stupor And Coma Without Mcc,,,,,0
MS-DRG,082,Traumatic Stupor And Coma >1 Hour With Mcc,,,,,0
MS-DRG,083,Traumatic Stupor And Coma >1 Hour With Cc,,,,,0
MS-DRG,084,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,,,0
MS-DRG,085,Traumatic Stupor And Coma <1 Hour With Mcc,,,,,0
MS-DRG,086,Traumatic Stupor And Coma <1 Hour With Cc,,,,,0
MS-DRG,087,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,,,0
MS-DRG,088,Concussion With Mcc,,,,,0
MS-DRG,089,Concussion With Cc,,,,,0
MS-DRG,090,Concussion Without Cc/Mcc,,,,,0
MS-DRG,091,Other Disorders Of Nervous System With Mcc,,,,,0
MS-DRG,092,Other Disorders Of Nervous System With Cc,,,,,0
MS-DRG,093,Other Disorders Of Nervous System Without Cc/Mcc,,,,,0
MS-DRG,094,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,,,0
MS-DRG,095,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,,,0
MS-DRG,096,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,,,0
MS-DRG,097,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,,,0
MS-DRG,098,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,,,0
MS-DRG,099,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,,,0
MS-DRG,100,Seizures With Mcc,,,,,0
MS-DRG,101,Seizures Without Mcc,,,,,0
MS-DRG,102,Headaches With Mcc,,,,,0
MS-DRG,103,Headaches Without Mcc,,,,,0
MS-DRG,113,Orbital Procedures With Cc/Mcc,,,,,0
MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,,,0
MS-DRG,115,Extraocular Procedures Except Orbit,,,,,0
MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,,,0
MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,,,0
MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,,,0
MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,,,0
MS-DRG,123,Neurological Eye Disorders,,,,,0
MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,,,0
MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,,,0
MS-DRG,131,Description Not Available,,,54860.0,72388.0,2
MS-DRG,132,Description Not Available,,,24867.0,54032.0,9
MS-DRG,135,Sinus And Mastoid Procedures With Cc/Mcc,,,,,0
MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,,,0
MS-DRG,137,Mouth Procedures With Cc/Mcc,,,,,0
MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,,,0
MS-DRG,139,Salivary Gland Procedures,,,30349.0,40783.0,3
MS-DRG,140,Major Head And Neck Procedures With Mcc,,,,,0
MS-DRG,141,Major Head And Neck Procedures With Cc,,,,,0
MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,,,0
MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,85038.0,110431.0,3
MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,46471.0,62446.0,3
MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,24727.0,32111.0,3
MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,50196.0,67453.0,3
MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,31997.0,42998.0,3
MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,19354.0,26008.0,3
MS-DRG,149,Dysequilibrium,,,18126.0,24356.0,3
MS-DRG,150,Epistaxis With Mcc,,,54318.0,70539.0,3
MS-DRG,151,Epistaxis Without Mcc,,,18160.0,24401.0,3
MS-DRG,152,Otitis Media And Uri With Mcc,,,22983.0,31437.0,8
MS-DRG,153,Otitis Media And Uri Without Mcc,,,16172.0,23648.0,12
MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,38040.0,51118.0,3
MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,23995.0,32244.0,3
MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,12663.0,18552.0,12
MS-DRG,157,Dental And Oral Diseases With Mcc,,,,,0
MS-DRG,158,Dental And Oral Diseases With Cc,,,23749.0,31913.0,3
MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,,,0
MS-DRG,163,Major Chest Procedures With Mcc,,,118627.0,181752.0,10
MS-DRG,164,Major Chest Procedures With Cc,,,56282.0,86238.0,10
MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,44773.0,65483.0,12
MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,,,0
MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,,,0
MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,,,0
MS-DRG,173,Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism,,,,,0
MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,,,0
MS-DRG,176,Pulmonary Embolism Without Mcc,,,23647.0,34561.0,12
MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,,,0
MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,37260.0,48387.0,3
MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,19430.0,25233.0,3
MS-DRG,180,Respiratory Neoplasms With Mcc,,,,,0
MS-DRG,181,Respiratory Neoplasms With Cc,,,,,0
MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,,,0
MS-DRG,183,Major Chest Trauma With Mcc,,,,,0
MS-DRG,184,Major Chest Trauma With Cc,,,25599.0,34399.0,3
MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,,,0
MS-DRG,186,Pleural Effusion With Mcc,,,,,0
MS-DRG,187,Pleural Effusion With Cc,,,,,0
MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,,,0
MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,,,0
MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,32790.0,50245.0,10
MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,27433.0,42030.0,10
MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,20520.0,30013.0,12
MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,52947.0,68758.0,3
MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,33976.0,44122.0,3
MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,18611.0,27284.0,8
MS-DRG,196,Interstitial Lung Disease With Mcc,,,,,0
MS-DRG,197,Interstitial Lung Disease With Cc,,,,,0
MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,,,0
MS-DRG,199,Pneumothorax With Mcc,,,65959.0,85657.0,3
MS-DRG,20,Description Not Available,,,262365.0,421727.0,8
MS-DRG,200,Pneumothorax With Cc,,,44504.0,57794.0,3
MS-DRG,201,Pneumothorax Without Cc/Mcc,,,26589.0,34529.0,3
MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,26687.0,34656.0,3
MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,19751.0,25648.0,3
MS-DRG,204,Respiratory Signs And Symptoms,,,19517.0,26227.0,3
MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,,,0
MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,23374.0,31410.0,3
MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,216189.0,280748.0,3
MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,133476.0,173335.0,3
MS-DRG,209,Complex Aortic Arch Procedures,,,194584.0,285542.01,9
MS-DRG,21,Description Not Available,,,215139.0,316241.0,8
MS-DRG,212,Concomitant Aortic And Mitral Valve Procedures,,,,,0
MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,94220.0,138362.23,9
MS-DRG,215,Other Heart Assist System Implant,,,389884.0,572437.0,12
MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,270594.0,418096.0,12
MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,243536.0,347020.0,12
MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,230005.0,326115.0,12
MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,194584.0,300312.0,12
MS-DRG,22,Description Not Available,,,262365.0,421727.0,8
MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,134264.0,203642.0,12
MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,122589.0,203642.0,12
MS-DRG,228,Other Cardiothoracic Procedures With Mcc,,,162750.0,232428.0,12
MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,169904.0,231802.0,12
MS-DRG,23,Description Not Available,,,176877.0,260849.0,8
MS-DRG,230,Description Not Available,,,178847.0,235989.0,2
MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,223573.0,316576.0,12
MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,226056.0,320729.0,12
MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,183316.0,283168.0,12
MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,183316.0,283168.0,12
MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,134136.0,207134.0,12
MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,134136.0,197101.0,12
MS-DRG,239,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc,,,,,0
MS-DRG,24,Description Not Available,,,175109.0,257283.0,8
MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,,,0
MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,,,0
MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,116064.0,166687.0,12
MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,80301.0,124237.0,12
MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,66652.0,94407.0,12
MS-DRG,245,Aicd Generator Procedures,,,,,0
MS-DRG,25,Description Not Available,,,112936.0,173817.0,8
MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,59736.0,92573.0,12
MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,50177.0,77723.0,12
MS-DRG,252,Other Vascular Procedures With Mcc,,,107310.0,157419.0,12
MS-DRG,253,Other Vascular Procedures With Cc,,,71716.0,105379.0,12
MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,49720.0,76843.0,12
MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,,,0
MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,,,0
MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,,,0
MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,54905.0,84508.0,12
MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,54905.0,84508.0,12
MS-DRG,26,Description Not Available,,,77618.0,113837.0,8
MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,47752.0,73615.0,12
MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,47752.0,73615.0,12
MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,47752.0,73615.0,12
MS-DRG,263,Vein Ligation And Stripping,,,,,0
MS-DRG,264,Other Circulatory System O.R. Procedures,,,80014.0,107522.0,3
MS-DRG,265,Aicd Lead Procedures,,,,,0
MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,213587.0,429000.0,12
MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,155919.0,239033.0,12
MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,138069.0,213184.0,12
MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,84595.0,130491.0,12
MS-DRG,27,Description Not Available,,,62953.0,100433.0,8
MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,122881.0,168499.0,12
MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,82466.0,138594.0,12
MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,61755.0,124247.0,12
MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,60180.0,105281.0,12
MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,60180.0,92759.0,12
MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,222723.0,330743.0,12
MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,181527.0,280345.0,12
MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,163907.0,281441.0,12
MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,,,0
MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,,,0
MS-DRG,28,Description Not Available,,,123402.0,190594.0,8
MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,75517.0,98069.0,3
MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,33098.0,42982.0,3
MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,19528.0,28559.0,12
MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,,,0
MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,,,0
MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,,,0
MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,49006.0,75635.0,12
MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,37379.0,57681.0,12
MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,,,0
MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,,,0
MS-DRG,29,Description Not Available,,,74041.0,129264.0,8
MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,,,0
MS-DRG,291,Heart Failure And Shock With Mcc,,,,,0
MS-DRG,292,Heart Failure And Shock With Cc,,,,,0
MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,,,0
MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,,,0
MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,,,0
MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,,,0
MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,,,0
MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,,,0
MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,65132.0,84583.0,3
MS-DRG,30,Description Not Available,,,58661.0,90559.0,8
MS-DRG,300,Peripheral Vascular Disorders With Cc,,,33012.0,42870.0,3
MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,17498.0,22722.0,3
MS-DRG,302,Atherosclerosis With Mcc,,,,,0
MS-DRG,303,Atherosclerosis Without Mcc,,,18002.0,26377.0,12
MS-DRG,304,Hypertension With Mcc,,,34306.0,52567.0,10
MS-DRG,305,Hypertension Without Mcc,,,19923.0,30523.0,10
MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,,,0
MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,,,0
MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,49349.0,64087.0,3
MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,30773.0,39963.0,3
MS-DRG,31,Description Not Available,,,88350.0,136342.0,8
MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,13806.0,20192.0,12
MS-DRG,311,Angina Pectoris,,,16172.0,23648.0,12
MS-DRG,312,Syncope And Collapse,,,,,0
MS-DRG,313,Chest Pain,,,14188.0,20737.0,12
MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,,,0
MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,25682.0,34508.0,3
MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,19085.0,25646.0,3
MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,146656.0,219500.0,12
MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,59736.0,88026.82,9
MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,152394.0,208452.0,8
MS-DRG,32,Description Not Available,,,84819.0,124311.0,8
MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,87247.0,119342.0,8
MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,101651.0,157146.0,12
MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,83464.0,128589.0,12
MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,,,0
MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,,,0
MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,,,0
MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,,,0
MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,86379.0,112173.0,3
MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,20788.0,26995.0,3
MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,,,0
MS-DRG,33,Description Not Available,,,47752.0,73615.0,8
MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,42177.0,56676.0,3
MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,31656.0,49914.0,12
MS-DRG,332,Rectal Resection With Mcc,,,,,0
MS-DRG,333,Rectal Resection With Cc,,,,,0
MS-DRG,334,Rectal Resection Without Cc/Mcc,,,31044.0,50039.0,12
MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,86187.0,132043.0,10
MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,49951.0,76530.0,10
MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,24945.0,38227.0,10
MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,,,0
MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,,,0
MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,27307.0,40017.0,12
MS-DRG,347,Anal And Stomal Procedures With Mcc,,,65023.0,87376.0,3
MS-DRG,348,Anal And Stomal Procedures With Cc,,,35565.0,47792.0,3
MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,24083.0,32363.0,3
MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,,,0
MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,,,0
MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,17393.0,29958.0,12
MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,59249.0,81042.0,8
MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,30672.0,46994.0,10
MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,21280.0,34308.0,12
MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,,,0
MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,,,0
MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,,,0
MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,101651.0,149225.16,9
MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,83464.0,122414.23,9
MS-DRG,368,Major Esophageal Disorders With Mcc,,,,,0
MS-DRG,369,Major Esophageal Disorders With Cc,,,26491.0,35599.0,3
MS-DRG,37,Description Not Available,,,68803.0,106141.0,8
MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,18399.0,24723.0,3
MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,,,0
MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,,,0
MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,24256.0,35471.0,12
MS-DRG,374,Digestive Malignancy With Mcc,,,84065.0,109170.0,3
MS-DRG,375,Digestive Malignancy With Cc,,,44974.0,58404.0,3
MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,,,0
MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,76484.0,99326.0,3
MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,45836.0,59523.0,3
MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,19755.0,28921.0,12
MS-DRG,38,Description Not Available,,,53967.0,75844.0,8
MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,,,0
MS-DRG,381,Complicated Peptic Ulcer With Cc,,,27946.0,37554.0,3
MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,18902.0,25400.0,3
MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,32281.0,43377.0,3
MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,21956.0,29504.0,3
MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,48261.0,62673.0,3
MS-DRG,386,Inflammatory Bowel Disease With Cc,,,30106.0,39097.0,3
MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,28268.0,36710.0,3
MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,39957.0,53693.0,3
MS-DRG,389,Gastrointestinal Obstruction With Cc,,,21718.0,29183.0,3
MS-DRG,39,Description Not Available,,,37665.0,53667.0,8
MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,15408.0,22555.0,12
MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,,,0
MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,,,0
MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,66553.0,86428.0,3
MS-DRG,394,Other Digestive System Diagnoses With Cc,,,27690.0,35959.0,3
MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,25717.0,33396.0,3
MS-DRG,397,Appendix Procedures With Mcc,,,38928.0,75685.0,12
MS-DRG,398,Appendix Procedures With Cc,,,37379.0,57681.0,12
MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,23342.0,35170.0,12
MS-DRG,40,Description Not Available,,,133092.0,193604.0,7
MS-DRG,402,Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical,,,159972.0,242289.0,12
MS-DRG,405,"Pancreas, Liver And Shunt Procedures With Mcc",,,137393.0,210500.0,10
MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,62734.0,96123.0,10
MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,40632.0,62248.0,10
MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,99008.0,133042.0,3
MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,52048.0,69942.0,3
MS-DRG,41,Description Not Available,,,78349.0,111025.0,8
MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,38570.0,51827.0,3
MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,,,0
MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,56011.0,75265.0,3
MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,42569.0,57201.0,3
MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,89230.0,119906.0,3
MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,49964.0,67143.0,3
MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,34977.0,47003.0,3
MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,46502.0,71801.0,12
MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,46502.0,71801.0,12
MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,25930.0,40134.0,12
MS-DRG,42,Description Not Available,,,58050.0,84955.0,8
MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,,,0
MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,,,0
MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,,,0
MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,,,0
MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,60258.0,80973.0,3
MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,37941.0,50983.0,3
MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,231427.0,357388.0,12
MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,175886.0,248038.0,12
MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,147798.0,222938.0,12
MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,231427.0,357388.0,12
MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,165472.0,242289.0,12
MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,,,0
MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,,,0
MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,,,0
MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,,,0
MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,,,0
MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,,,0
MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,,,0
MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,,,0
MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,18002.0,26377.0,12
MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,,,0
MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,,,0
MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,19908.0,29104.0,12
MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,,,0
MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,26500.0,35609.0,3
MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,16933.0,24740.0,12
MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,159233.0,287303.0,12
MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,119635.0,206516.0,12
MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,159233.0,273285.0,12
MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,110394.0,168567.0,12
MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,,,0
MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,,,0
MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,,,0
MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,202272.0,312613.0,12
MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,202272.0,312613.0,12
MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,202272.0,312613.0,12
MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,192725.0,192725.0,1
MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,144893.0,144893.0,1
MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,110349.0,170626.0,12
MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,92432.0,153323.0,12
MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,180007.0,233762.0,3
MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,67950.0,88243.0,3
MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,,,0
MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,80963.0,115257.0,12
MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,89961.0,138961.0,12
MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,75566.0,106866.0,12
MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,65482.0,109518.0,12
MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,61555.0,95390.0,12
MS-DRG,471,Cervical Spinal Fusion With Mcc,,,87723.0,124929.0,12
MS-DRG,472,Cervical Spinal Fusion With Cc,,,69407.0,100815.0,12
MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,53237.0,84129.0,12
MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,107535.0,144501.0,3
MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,57942.0,77861.0,3
MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,28536.0,38345.0,3
MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,75097.0,100912.0,3
MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,52728.0,70854.0,3
MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,40455.0,54363.0,3
MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,68141.0,105280.0,12
MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,68141.0,105280.0,12
MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,45785.0,70792.0,12
MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,61701.0,95597.0,12
MS-DRG,485,Knee Procedures With Principal Diagnosis Of Infection With Mcc,,,83852.0,112677.0,3
MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,52861.0,71032.0,3
MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,40336.0,54204.0,3
MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,35338.0,47485.0,3
MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,23647.0,35312.0,12
MS-DRG,492,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc",,,56872.0,87733.0,12
MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,37023.0,57075.0,12
MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,22110.0,40100.0,12
MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,64920.0,100037.0,12
MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,58430.0,82572.0,12
MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,32729.0,50220.0,12
MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,43815.0,67767.0,12
MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,41626.0,59368.0,12
MS-DRG,500,Soft Tissue Procedures With Mcc,,,,,0
MS-DRG,501,Soft Tissue Procedures With Cc,,,35284.0,54064.0,10
MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,25048.0,38373.0,10
MS-DRG,503,Foot Procedures With Mcc,,,40778.0,62724.0,12
MS-DRG,504,Foot Procedures With Cc,,,40778.0,62724.0,12
MS-DRG,505,Foot Procedures Without Cc/Mcc,,,35884.0,50945.0,12
MS-DRG,506,Major Thumb Or Joint Procedures,,,39253.0,56459.0,12
MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,38810.0,60104.0,12
MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,38810.0,60104.0,12
MS-DRG,509,Arthroscopy,,,,,0
MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,28452.0,67232.0,12
MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,28452.0,53157.0,12
MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,28452.0,42529.0,12
MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,27829.0,44300.0,12
MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,26649.0,40942.0,12
MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,77237.0,103790.0,3
MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,34347.0,52625.0,10
MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,21736.0,33308.0,10
MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,50256.0,77851.0,12
MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,47742.0,70038.0,12
MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,33028.0,50825.0,12
MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,,,0
MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,48948.0,65777.0,3
MS-DRG,533,Fractures Of Femur With Mcc,,,34830.0,46802.0,3
MS-DRG,534,Fractures Of Femur Without Mcc,,,14133.0,18992.0,3
MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,30318.0,40740.0,3
MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,20359.0,27358.0,3
MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,,,0
MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,,,0
MS-DRG,539,Osteomyelitis With Mcc,,,,,0
MS-DRG,540,Osteomyelitis With Cc,,,42580.0,55297.0,3
MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,35451.0,46037.0,3
MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,44471.0,57752.0,3
MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,45070.0,58530.0,3
MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,,,0
MS-DRG,545,Connective Tissue Disorders With Mcc,,,,,0
MS-DRG,546,Connective Tissue Disorders With Cc,,,,,0
MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,,,0
MS-DRG,548,Septic Arthritis With Mcc,,,,,0
MS-DRG,549,Septic Arthritis With Cc,,,,,0
MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,,,0
MS-DRG,551,Medical Back Problems With Mcc,,,,,0
MS-DRG,552,Medical Back Problems Without Mcc,,,,,0
MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,,,0
MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,17544.0,25647.0,12
MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,,,0
MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,,,0
MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,,,0
MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,19298.0,28195.0,12
MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,45873.0,61644.0,3
MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,,,0
MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,,,0
MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,,,0
MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,21450.0,28823.0,3
MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,,,0
MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,,,0
MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,,,0
MS-DRG,570,Skin Debridement With Mcc,,,,,0
MS-DRG,571,Skin Debridement With Cc,,,,,0
MS-DRG,572,Skin Debridement Without Cc/Mcc,,,,,0
MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,,,0
MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,,,0
MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,,,0
MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,,,0
MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,60439.0,92596.0,10
MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,35379.0,54208.0,10
MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,38394.0,58823.0,10
MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,40625.0,68830.0,10
MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,41699.0,61975.0,10
MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,50163.0,76784.0,10
MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,38669.0,59804.0,10
MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,51560.0,79743.0,10
MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,43884.0,67870.0,10
MS-DRG,592,Skin Ulcers With Mcc,,,,,0
MS-DRG,593,Skin Ulcers With Cc,,,30092.0,40436.0,3
MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,20069.0,26966.0,3
MS-DRG,595,Major Skin Disorders With Mcc,,,,,0
MS-DRG,596,Major Skin Disorders Without Mcc,,,,,0
MS-DRG,597,Malignant Breast Disorders With Mcc,,,,,0
MS-DRG,598,Malignant Breast Disorders With Cc,,,,,0
MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,,,0
MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,,,0
MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,,,0
MS-DRG,602,Cellulitis With Mcc,,,,,0
MS-DRG,603,Cellulitis Without Mcc,,,17011.0,24919.0,12
MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,,,0
MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,22230.0,29871.0,3
MS-DRG,606,Minor Skin Disorders With Mcc,,,,,0
MS-DRG,607,Minor Skin Disorders Without Mcc,,,20369.0,27371.0,3
MS-DRG,61,Description Not Available,,,85487.0,111023.0,5
MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,58770.0,78973.0,3
MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,28170.0,37853.0,3
MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,,,0
MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,39226.0,60099.0,10
MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,,,0
MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,,,0
MS-DRG,62,Description Not Available,,,56288.0,73102.0,5
MS-DRG,620,O.R. Procedures For Obesity With Cc,,,,,0
MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,,,0
MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,88902.0,119464.0,3
MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,46026.0,61848.0,3
MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,27026.0,36317.0,3
MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,,,0
MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,29057.0,37735.0,3
MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,16172.0,30101.0,12
MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,90488.0,121593.0,3
MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,57679.0,77506.0,3
MS-DRG,63,Description Not Available,,,37901.0,49221.0,5
MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,25206.0,33872.0,3
MS-DRG,637,Diabetes With Mcc,,,,,0
MS-DRG,638,Diabetes With Cc,,,44400.0,57659.0,3
MS-DRG,639,Diabetes Without Cc/Mcc,,,15560.0,22736.0,12
MS-DRG,64,Description Not Available,,,98880.0,128409.0,3
MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,64839.0,84201.0,3
MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,38574.0,50093.0,3
MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,,,0
MS-DRG,643,Endocrine Disorders With Mcc,,,,,0
MS-DRG,644,Endocrine Disorders With Cc,,,,,0
MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,,,0
MS-DRG,65,Description Not Available,,,50175.0,65159.0,3
MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,,,0
MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,,,0
MS-DRG,652,Kidney Transplant,,,,,0
MS-DRG,653,Major Bladder Procedures With Mcc,,,,,0
MS-DRG,654,Major Bladder Procedures With Cc,,,,,0
MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,,,0
MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,129653.0,168372.0,3
MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,34603.0,46500.0,3
MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,27993.0,54096.0,12
MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,85446.0,110961.0,3
MS-DRG,66,Description Not Available,,,28410.0,36894.0,3
MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,28775.0,44090.0,10
MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,25477.0,40919.0,12
MS-DRG,662,Minor Bladder Procedures With Mcc,,,,,0
MS-DRG,663,Minor Bladder Procedures With Cc,,,39337.0,52860.0,3
MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,29114.0,39122.0,3
MS-DRG,665,Prostatectomy With Mcc,,,,,0
MS-DRG,666,Prostatectomy With Cc,,,,,0
MS-DRG,667,Prostatectomy Without Cc/Mcc,,,,,0
MS-DRG,668,Transurethral Procedures With Mcc,,,,,0
MS-DRG,669,Transurethral Procedures With Cc,,,20634.0,31610.0,10
MS-DRG,67,Description Not Available,,,35065.0,47119.0,3
MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,16172.0,23648.0,12
MS-DRG,671,Urethral Procedures With Cc/Mcc,,,,,0
MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,,,0
MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,,,0
MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,58609.0,78757.0,3
MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,,,0
MS-DRG,68,Description Not Available,,,21860.0,29376.0,3
MS-DRG,682,Renal Failure With Mcc,,,74088.0,96215.0,3
MS-DRG,683,Renal Failure With Cc,,,44469.0,57749.0,3
MS-DRG,684,Renal Failure Without Cc/Mcc,,,19908.0,29104.0,12
MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,,,0
MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,,,0
MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,,,0
MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,,,0
MS-DRG,69,Description Not Available,,,17544.0,25647.0,8
MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,18917.0,27649.0,12
MS-DRG,693,Urinary Stones With Mcc,,,,,0
MS-DRG,694,Urinary Stones Without Mcc,,,13652.0,20006.0,12
MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,,,0
MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,,,0
MS-DRG,697,Urethral Stricture,,,,,0
MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,,,0
MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,,,0
MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,,,0
MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,,,0
MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,24867.0,48212.0,12
MS-DRG,709,Penis Procedures With Cc/Mcc,,,,,0
MS-DRG,710,Penis Procedures Without Cc/Mcc,,,,,0
MS-DRG,711,Testes Procedures With Cc/Mcc,,,,,0
MS-DRG,712,Testes Procedures Without Cc/Mcc,,,,,0
MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,30441.0,46632.0,10
MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,13652.0,23658.0,12
MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,44832.0,68693.0,10
MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,36781.0,56355.0,10
MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,,,0
MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,,,0
MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,,,0
MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,,,0
MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,,,0
MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,,,0
MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,,,0
MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,,,0
MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,20520.0,30013.0,12
MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,,,0
MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,,,0
MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,56437.0,86472.0,10
MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,22119.0,45614.0,12
MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,,,0
MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,45482.0,69678.0,10
MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,24256.0,35471.0,12
MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,,,0
MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,40024.0,61319.0,10
MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,21739.0,33531.0,12
MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,28850.0,44208.0,10
MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,14952.0,29809.0,12
MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,34035.0,52147.0,10
MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,18578.0,28461.0,10
MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,,,0
MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,,,0
MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,18611.0,34537.0,12
MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,,,0
MS-DRG,75,Description Not Available,,,31046.0,40319.0,5
MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,,,0
MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,,,0
MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,,,0
MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,,,0
MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,31163.0,42627.0,8
MS-DRG,758,"Infections, Female Reproductive System With Cc",,,27020.0,35090.0,3
MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,21129.0,30921.0,10
MS-DRG,76,Description Not Available,,,22731.0,33285.0,6
MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,16766.0,25689.0,10
MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,11816.0,18099.0,10
MS-DRG,768,Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C,,,,,0
MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,,,0
MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,,,0
MS-DRG,776,Postpartum And Post Abortion Diagnoses Without O.R. Procedures,,,,,0
MS-DRG,779,Abortion Without D&C,,,,,0
MS-DRG,783,Cesarean Section With Sterilization With Mcc,,,,,0
MS-DRG,784,Cesarean Section With Sterilization With Cc,,,,,0
MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,,,0
MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,,,0
MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,,,0
MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,,,0
MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,,,0
MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,,,0
MS-DRG,791,Prematurity With Major Problems,,,,,0
MS-DRG,792,Prematurity Without Major Problems,,,,,0
MS-DRG,793,Full Term Neonate With Major Problems,,,,,0
MS-DRG,794,Neonate With Other Significant Problems,,,,,0
MS-DRG,795,Normal Newborn,,,,,0
MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,,,0
MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,,,0
MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,,,0
MS-DRG,799,Splenic Procedures With Mcc,,,,,0
MS-DRG,800,Splenic Procedures With Cc,,,,,0
MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,,,0
MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,,,0
MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,49768.0,66877.0,3
MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,36034.0,48422.0,3
MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,,,0
MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,,,0
MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,,,0
MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,72334.0,93936.0,3
MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,39362.0,51116.0,3
MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,17551.0,22794.0,3
MS-DRG,811,Red Blood Cell Disorders With Mcc,,,,,0
MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,,,0
MS-DRG,813,Coagulation Disorders,,,,,0
MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,,,0
MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,,,0
MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,,,0
MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,,,0
MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,,,0
MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,,,0
MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,,,0
MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,,,0
MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,,,0
MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,,,0
MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,,,0
MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,,,0
MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,,,0
MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,,,0
MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,,,0
MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,,,0
MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,,,0
MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,,,0
MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,,,0
MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,,,0
MS-DRG,834,Acute Leukemia With Mcc,,,,,0
MS-DRG,835,Acute Leukemia With Cc,,,,,0
MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,,,0
MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,,,0
MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,,,0
MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,84,Description Not Available,,,22272.0,29928.0,3
MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,,,0
MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,,,0
MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,,,0
MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,,,0
MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,,,0
MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,,,0
MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,,,0
MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,,,0
MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,23647.0,40772.0,10
MS-DRG,849,Radiotherapy,,,42580.0,55297.0,3
MS-DRG,850,Acute Leukemia With Other Procedures,,,,,0
MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,,,0
MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,,,0
MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,,,0
MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,,,0
MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,,,0
MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,26698.0,39106.0,12
MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,,,0
MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,,,0
MS-DRG,864,Fever And Inflammatory Conditions,,,23123.0,31072.0,3
MS-DRG,865,Viral Illness With Mcc,,,,,0
MS-DRG,866,Viral Illness Without Mcc,,,,,0
MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,,,0
MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,,,0
MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,,,0
MS-DRG,87,Description Not Available,,,21239.0,28540.0,3
MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,,,0
MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,,,0
MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,,,0
MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,,,0
MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,,,0
MS-DRG,881,Depressive Neuroses,,,,,0
MS-DRG,882,Neuroses Except Depressive,,,,,0
MS-DRG,883,Disorders Of Personality And Impulse Control,,,,,0
MS-DRG,884,Organic Disturbances And Intellectual Disability,,,,,0
MS-DRG,885,Psychoses,,,,,0
MS-DRG,886,Behavioral And Developmental Disorders,,,,,0
MS-DRG,887,Other Mental Disorder Diagnoses,,,,,0
MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,,,0
MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,,,0
MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,,,0
MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,,,0
MS-DRG,901,Wound Debridements For Injuries With Mcc,,,,,0
MS-DRG,902,Wound Debridements For Injuries With Cc,,,,,0
MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,,,0
MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,,,0
MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,,,0
MS-DRG,906,Hand Procedures For Injuries,,,77752.0,100971.0,3
MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,,,0
MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,,,0
MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,,,0
MS-DRG,913,Traumatic Injury With Mcc,,,,,0
MS-DRG,914,Traumatic Injury Without Mcc,,,,,0
MS-DRG,915,Allergic Reactions With Mcc,,,,,0
MS-DRG,916,Allergic Reactions Without Mcc,,,13652.0,20006.0,12
MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,,,0
MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,,,0
MS-DRG,919,Complications Of Treatment With Mcc,,,,,0
MS-DRG,920,Complications Of Treatment With Cc,,,,,0
MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,,,0
MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,,,0
MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,,,0
MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,,,0
MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,,,0
MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,,,0
MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,,,0
MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,,,0
MS-DRG,935,Non-Extensive Burns,,,,,0
MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,,,0
MS-DRG,94,Description Not Available,,,95973.0,128968.0,3
MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,,,0
MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,,,0
MS-DRG,945,Rehabilitation With Cc/Mcc,,,,,0
MS-DRG,946,Rehabilitation Without Cc/Mcc,,,,,0
MS-DRG,947,Signs And Symptoms With Mcc,,,,,0
MS-DRG,948,Signs And Symptoms Without Mcc,,,,,0
MS-DRG,949,Aftercare With Cc/Mcc,,,,,0
MS-DRG,95,Description Not Available,,,66146.0,88886.0,3
MS-DRG,950,Aftercare Without Cc/Mcc,,,,,0
MS-DRG,951,Other Factors Influencing Health Status,,,,,0
MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,,,0
MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,,,0
MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,,,0
MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,,,0
MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,,,0
MS-DRG,96,Description Not Available,,,61541.0,82696.0,3
MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,,,0
MS-DRG,964,Other Multiple Significant Trauma With Cc,,,,,0
MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,,,0
MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,,,0
MS-DRG,97,Description Not Available,,,150286.0,195166.0,3
MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,,,0
MS-DRG,974,Hiv With Major Related Condition With Mcc,,,,,0
MS-DRG,975,Hiv With Major Related Condition With Cc,,,,,0
MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,,,0
MS-DRG,977,Hiv With Or Without Other Related Condition,,,,,0
MS-DRG,98,Description Not Available,,,56644.0,73560.0,3
MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,,,0
MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,,,0
MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,987,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,,,0
MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,,,0
MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,,,0
MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0
MS-DRG,999,Ungroupable,,,,,0
NDC,0002-0213-01,INSULIN REGULAR HUMAN 100 UNIT/ML IJ SOLN,6.91,6.91,,,0
NDC,0002-3235-60,DULOXETINE HCL 20 MG PO CPEP,55.0,55.0,,,0
NDC,0002-3240-30,DULOXETINE HCL 30 MG PO CPEP,55.0,55.0,,,0
NDC,0002-3270-30,DULOXETINE HCL 60 MG PO CPEP,55.0,55.0,,,0
NDC,0002-4112-30,OLANZAPINE 2.5 MG PO TABS,59.39,59.39,,,0
NDC,0002-4115-30,OLANZAPINE 5 MG PO TABS,57.11,57.11,,,0
NDC,0002-4117-30,OLANZAPINE 10 MG PO TABS,100.0,100.0,,,0
NDC,0002-4182-30,BARICITINIB 2 MG PO TABS,283.18,283.18,,,0
NDC,0002-4453-85,OLANZAPINE 5 MG PO TBDP,63.5,63.5,,,0
NDC,0002-4454-85,OLANZAPINE 10 MG PO TBDP,100.0,100.0,,,0
NDC,0002-5123-30,PRASUGREL HCL 10 MG PO TABS,55.08,55.08,,,0
NDC,0002-7510-01,INSULIN LISPRO 100 UNIT/ML IJ SOLN,8.555,8.555,,,0
NDC,0002-7510-17,INSULIN LISPRO 100 UNIT/ML IJ SOLN,8.355,8.355,,,0
NDC,0002-7533-01,INSULIN LISPRO 100 UNIT/ML IJ SOLN,7.74,7.74,,,0
NDC,0002-7597-01,OLANZAPINE 10 MG IM SOLR,19.765,19.765,,,0
NDC,0002-7669-01,RAMUCIRUMAB 100 MG/10ML IV SOLN,150.0,150.0,,,0
NDC,0002-7678-01,RAMUCIRUMAB 500 MG/50ML IV SOLN,140.65,140.65,,,0
NDC,0002-8215-01,INSULIN REGULAR HUMAN 100 UNIT/ML IJ SOLN,9.39,9.39,,,0
NDC,0002-8215-17,INSULIN REGULAR HUMAN 100 UNIT/ML IJ SOLN,6.38,6.38,,,0
NDC,0002-8315-17,INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP,2.785,2.785,,,0
NDC,0003-0293-05,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,21.799999999999997,21.799999999999997,,,0
NDC,0003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML IJ SUSP,75.0,75.0,,,0
NDC,0003-0893-21,APIXABAN 2.5 MG PO TABS,53.11,53.11,,,0
NDC,0003-0893-31,APIXABAN 2.5 MG PO TABS,53.85,53.85,,,0
NDC,0003-0894-31,APIXABAN 5 MG PO TABS,51.7,51.7,,,0
NDC,0003-1611-12,ENTECAVIR 0.5 MG PO TABS,164.7,164.7,,,0
NDC,0003-1612-12,ENTECAVIR 1 MG PO TABS,164.7,164.7,,,0
NDC,0003-1614-12,ENTECAVIR 0.05 MG/ML PO SOLN,430.53,430.53,,,0
NDC,0003-2187-13,ABATACEPT 250 MG/10 ML IV (WET SOLR VIAL),150.0,150.0,,,0
NDC,0003-2327-11,IPILIMUMAB 50 MG/10ML IV SOLN,306.775,306.775,,,0
NDC,0003-2328-22,IPILIMUMAB 50 MG/10ML IV SOLN,301.15,301.15,,,0
NDC,0003-3734-13,NIVOLUMAB 240 MG/24ML IV SOLN,57.625,57.625,,,0
NDC,0003-3772-11,NIVOLUMAB 40 MG/4ML IV SOLN,128.42,128.42,,,0
NDC,0003-7125-11,NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN,326.47,326.47,,,0
NDC,0004-0038-22,VALGANCICLOVIR HCL 450 MG PO TABS,318.25,318.25,,,0
NDC,0004-0039-09,VALGANCICLOVIR HCL 50 MG/ML PO SOLR,258.46,258.46,,,0
NDC,0004-0259-01,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,37.29,37.29,,,0
NDC,0004-0260-01,MYCOPHENOLATE MOFETIL 500 MG PO TABS,35.87,35.87,,,0
NDC,0004-0261-29,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,40.73,40.73,,,0
NDC,0004-0298-09,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,13.445,13.445,,,0
NDC,0004-0800-85,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS,72.9,72.9,,,0
NDC,0004-0802-85,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS,66.88,66.88,,,0
NDC,0004-0822-05,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR,124.78,124.78,,,0
NDC,0005-2000-02,PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY,1613.32,1613.32,,,0
NDC,0005-4528-90,DEKAS PLUS PO CHEW,9.0,9.0,,,0
NDC,0006-0032-20,IVERMECTIN 3 MG PO TABS,16.75,16.75,,,0
NDC,0006-0221-28,SITAGLIPTIN PHOSPHATE 25 MG PO TABS,91.68,91.68,,,0
NDC,0006-0221-31,SITAGLIPTIN PHOSPHATE 25 MG PO TABS,91.68,91.68,,,0
NDC,0006-0227-61,RALTEGRAVIR POTASSIUM 400 MG PO TABS,117.55,117.55,,,0
NDC,0006-0464-05,APREPITANT 40 MG PO CAPS,53.12,53.12,,,0
NDC,0006-0735-31,SIMVASTATIN 10 MG PO TABS,28.5,28.5,,,0
NDC,0006-0740-54,SIMVASTATIN 20 MG PO TABS,53.2,53.2,,,0
NDC,0006-0952-54,LOSARTAN POTASSIUM 50 MG PO TABS,20.65,20.65,,,0
NDC,0006-3026-02,PEMBROLIZUMAB 100 MG/4ML IV SOLN,91.61,91.61,,,0
NDC,0006-3026-04,PEMBROLIZUMAB 100 MG/4ML IV SOLN,50.02,50.02,,,0
NDC,0006-3061-00,FOSAPREPITANT DIMEGLUMINE 150 MG/5ML IV (WET SOLR VIAL),13.39,13.39,,,0
NDC,0006-3069-01,DORAVIRINE 100 MG PO TABS,211.28,211.28,,,0
NDC,0006-3239-66,CHLOROTHIAZIDE 250 MG/5ML PO SUSP,13.12,13.12,,,0
NDC,0006-3519-36,DORZOLAMIDE HCL 2 % OP SOLN,375.0,375.0,,,0
NDC,0006-3822-10,CASPOFUNGIN ACETATE 50 MG IV SOLR,202.62,202.62,,,0
NDC,0006-3823-10,CASPOFUNGIN ACETATE 70 MG IV SOLR,148.47,148.47,,,0
NDC,0006-3843-71,ERTAPENEM SODIUM 1 G IJ SOLR,489.88,489.88,,,0
NDC,0006-4093-02,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY,210.60500000000002,210.60500000000002,,,0
NDC,0006-4329-03,PNEUMOCOCCAL 15-VAL CONJ VACC 0.5 ML IM SUSY,1334.53,1334.53,,,0
NDC,0006-4681-00,"MEASLES, MUMPS & RUBELLA VAC IJ SOLR",718.75,718.75,,,0
NDC,0006-4837-03,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ INJ,913.25,913.25,,,0
NDC,0006-4943-00,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ INJ,913.25,913.25,,,0
NDC,0006-4981-00,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP,210.53,210.53,,,0
NDC,0006-5423-12,SUGAMMADEX SODIUM 200 MG/2ML IV SOLN,668.475,668.475,,,0
NDC,0007-4139-20,CARVEDILOL 3.125 MG PO TABS,39.55,39.55,,,0
NDC,0007-4140-20,CARVEDILOL 6.25 MG PO TABS,30.17,30.17,,,0
NDC,0007-4141-20,CARVEDILOL 12.5 MG PO TABS,39.9,39.9,,,0
NDC,0007-4142-20,CARVEDILOL 25 MG PO TABS,40.35,40.35,,,0
NDC,0008-0833-22,VENLAFAXINE HCL ER 75 MG PO CP24,92.0,92.0,,,0
NDC,0008-0836-22,VENLAFAXINE HCL ER 150 MG PO CP24,100.0,100.0,,,0
NDC,0008-0841-81,PANTOPRAZOLE SODIUM 40 MG PO TBEC,69.48,69.48,,,0
NDC,0008-0843-81,PANTOPRAZOLE SODIUM 20 MG PO TBEC,69.48,69.48,,,0
NDC,0008-0923-55,PANTOPRAZOLE SODIUM 40 MG IV SOLR,71.75999999999999,71.75999999999999,,,0
NDC,0008-1040-05,SIROLIMUS 0.5 MG PO TABS,82.5,82.5,,,0
NDC,0008-1179-01,TEMSIROLIMUS 25 MG/ML IV SOLN,336.05,336.05,,,0
NDC,0008-4510-01,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5ML IV (WET SOLR VIAL),384.93,384.93,,,0
NDC,0009-0003-02,METHYLPREDNISOLONE NA SUC (PF) 500 MG IJ SOLR,47.550000000000004,47.550000000000004,,,0
NDC,0009-0011-04,HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR,93.4,93.4,,,0
NDC,0009-0012-01,HYDROCORTISONE 5 MG PO TABS,10.0,10.0,,,0
NDC,0009-0013-05,HYDROCORTISONE SOD SUC (PF) 250 MG IJ SOLR,106.98,106.98,,,0
NDC,0009-0018-20,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR,62.79,62.79,,,0
NDC,0009-0031-01,HYDROCORTISONE 1MG/ML ORAL LIQD (PEDIATRIC) SH,10.5,10.5,,,0
NDC,0009-0039-28,METHYLPREDNISOLONE NA SUC (PF) 40 MG IJ SOLR,38.57,38.57,,,0
NDC,0009-0047-22,METHYLPREDNISOLONE NA SUC (PF) 125 MG IJ SOLR,36.025000000000006,36.025000000000006,,,0
NDC,0009-0055-01,ALPRAZOLAM 0.5 MG PO TABS,32.5,32.5,,,0
NDC,0009-0090-01,ALPRAZOLAM 1 MG PO TABS,65.0,65.0,,,0
NDC,0009-0315-08,GELATIN ABSORBABLE 12-7 MM EX MISC,53.39,53.39,,,0
NDC,0009-0342-01,GELATIN ABSORBABLE 100 EX MISC,158.77,158.77,,,0
NDC,0009-0433-04,GELATIN ABSORBABLE MT POWD,289.04,289.04,,,0
NDC,0009-0698-01,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR,1.72,1.72,,,0
NDC,0009-0758-01,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR,2.04,2.04,,,0
NDC,0009-0856-08,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN,945.0,945.0,,,0
NDC,0009-3169-06,ALPROSTADIL 500 MCG/ML IJ SOLN,2.85,2.85,,,0
NDC,0009-3448-01,CLINDAMYCIN PHOSPHATE 2 % VA CREA,806.14,806.14,,,0
NDC,0009-3475-03,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,2.07,2.07,,,0
NDC,0009-5138-03,LINEZOLID 600 MG PO TABS,41.47,41.47,,,0
NDC,0009-5140-04,LINEZOLID 600 MG/300ML IV SOLN,95.55,95.55,,,0
NDC,0009-7529-03,IRINOTECAN HCL 100 MG/5ML IV SOLN,64.38,64.38,,,0
NDC,0009-7663-04,EXEMESTANE 25 MG PO TABS,299.31,299.31,,,0
NDC,0013-1114-10,TRANEXAMIC ACID 100MG/ML SOLN FOR HEMOPTYSIS SH (PEDIATRIC)(NEBULIZATION USE),85.68,85.68,,,0
NDC,0013-1114-21,TRANEXAMIC ACID 1000MG/10ML TOPICAL SOLN SH,168.0,168.0,,,0
NDC,0013-2586-91,IDARUBICIN HCL 20 MG/20ML IV SOLN,378.32,378.32,,,0
NDC,0013-2596-91,IDARUBICIN 1MG/ML CHEMO IV PUSH SH,358.71,358.71,,,0
NDC,0013-8303-04,LATANOPROST 0.005 % OP SOLN,1200.0,1200.0,,,0
NDC,0023-0240-04,ARTIFICIAL TEARS OP OINT - CONSOLIDATED,2.1,2.1,,,0
NDC,0023-0312-04,ARTIFICIAL TEARS OP OINT - CONSOLIDATED,2.0,2.0,,,0
NDC,0023-0798-15,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % OP SOLN,2.0,2.0,,,0
NDC,0023-1145-01,ONABOTULINUMTOXINA 100 UNITS IJ SOLR,29.875,29.875,,,0
NDC,0023-2181-05,KETOROLAC TROMETHAMINE 0.5 % OP SOLN,1200.0,1200.0,,,0
NDC,0023-3205-03,BIMATOPROST 0.01 % OP SOLN,1200.0,1200.0,,,0
NDC,0023-5858-01,LEVONORGESTREL 20.1 MCG/DAY IU IUD,4228.895,4228.895,,,0
NDC,0023-6111-01,PANCRELIPASE (LIP-PROT-AMYL) 15000-47000 UNITS PO CPEP,27.5,27.5,,,0
NDC,0023-6112-01,PANCRELIPASE (LIP-PROT-AMYL) 20000-63000 UNITS PO CPEP,27.85,27.85,,,0
NDC,0023-9652-01,BIMATOPROST 10 MCG IO IMPL,713.84,713.84,,,0
NDC,0024-0654-01,ISATUXIMAB-IRFC 100 MG/5ML IV SOLN,315.28499999999997,315.28499999999997,,,0
NDC,0024-0656-01,ISATUXIMAB-IRFC 100 MG/5ML IV SOLN,270.0,270.0,,,0
NDC,0024-1596-01,PRIMAQUINE PHOSPHATE 26.3 (15 BASE) MG PO TABS,13.5,13.5,,,0
NDC,0024-2792-10,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,49.13,49.13,,,0
NDC,0024-4142-60,DRONEDARONE HCL 400 MG PO TABS,63.17,63.17,,,0
NDC,0024-5150-10,RASBURICASE 1.5 MG/ML IV (WET SOLR VIAL),1562.93,1562.93,,,0
NDC,0024-5926-05,INSULIN LISPRO 100 UNIT/ML IJ SOLN,7.335,7.335,,,0
NDC,0025-1461-31,MISOPROSTOL 200 MCG PO TABS,22.24,22.24,,,0
NDC,0025-1520-34,CELECOXIB 100 MG PO CAPS,55.0,55.0,,,0
NDC,0025-1525-31,CELECOXIB 200 MG PO CAPS,78.8,78.8,,,0
NDC,0025-1720-03,EPLERENONE 50 MG PO TABS,70.97,70.97,,,0
NDC,0032-0047-70,PANCRELIPASE (LIP-PROT-AMYL) 12000-38000 UNITS PO CPEP,21.49,21.49,,,0
NDC,0032-1203-70,PANCRELIPASE (LIP-PROT-AMYL) 3000-9500 UNITS PO CPEP,11.58,11.58,,,0
NDC,0032-1206-01,PANCRELIPASE (LIP-PROT-AMYL) 6000-19000 UNITS PO CPEP,14.05,14.05,,,0
NDC,0032-1212-01,PANCRELIPASE (LIP-PROT-AMYL) 12000-38000 UNITS PO CPEP,21.29,21.29,,,0
NDC,0032-1224-01,PANCRELIPASE (LIP-PROT-AMYL) 24000-76000 UNITS PO CPEP,39.97,39.97,,,0
NDC,0032-2636-01,PANCRELIPASE (LIP-PROT-AMYL) 24000-76000 UNITS PO CPEP,38.56,38.56,,,0
NDC,0037-2001-01,CARISOPRODOL 350 MG PO TABS,65.0,65.0,,,0
NDC,0037-6822-10,HYDROCORT-PRAMOXINE (PERIANAL) 1-1 % EX FOAM,888.56,888.56,,,0
NDC,0046-0749-05,ESTROGENS CONJUGATED 25 MG IJ SOLR,2208.3,2208.3,,,0
NDC,0046-0872-21,ESTROGENS CONJUGATED 0.625 MG/GM VA CREA,1620.18,1620.18,,,0
NDC,0049-0013-83,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR,55.92,55.92,,,0
NDC,0049-0014-83,AMPICILLIN/SULBACTAM 3G/100ML NS (MINIBAG),61.14,61.14,,,0
NDC,0049-0050-01,SERTRALINE HCL 20 MG/ML PO CONC,58.58,58.58,,,0
NDC,0049-0352-60,ZIPRASIDONE HCL 20 MG PO CAPS,100.0,100.0,,,0
NDC,0049-0520-83,PENICILLIN G POTASSIUM 5000000 UNITS IJ SOLR,23.295,23.295,,,0
NDC,0049-0530-28,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR,12.16,12.16,,,0
NDC,0049-3180-30,VORICONAZOLE 200 MG PO TABS,24.57,24.57,,,0
NDC,0049-3190-28,VORICONAZOLE 200 MG/20ML IV (WET SOLR VIAL),40.91,40.91,,,0
NDC,0049-3430-30,FLUCONAZOLE 200 MG PO TABS,225.33,225.33,,,0
NDC,0049-3440-19,FLUCONAZOLE 10MG/ML ORAL SUSP (PEDIATRIC) SH,16.06,16.06,,,0
NDC,0049-3450-19,FLUCONAZOLE 40 MG/ML PO SUSR,41.82,41.82,,,0
NDC,0049-3920-83,ZIPRASIDONE MESYLATE 20 MG IM SOLR,251.27,251.27,,,0
NDC,0049-4900-30,SERTRALINE HCL 50 MG PO TABS,56.32,56.32,,,0
NDC,0049-4910-30,SERTRALINE HCL 100 MG PO TABS,68.76,68.76,,,0
NDC,0049-4960-30,SERTRALINE HCL 25 MG PO TABS,50.0,50.0,,,0
NDC,0052-0450-10,ROCURONIUM BROMIDE 10 MG/ML IV SOLN - CONSOLIDATED,269.56,269.56,,,0
NDC,0054-0010-20,FLECAINIDE ACETATE 50 MG PO TABS,14.79,14.79,,,0
NDC,0054-0010-21,FLECAINIDE ACETATE 50 MG PO TABS,11.89,11.89,,,0
NDC,0054-0011-20,FLECAINIDE ACETATE 100 MG PO TABS,19.24,19.24,,,0
NDC,0054-0011-25,FLECAINIDE ACETATE 100 MG PO TABS,19.69,19.69,,,0
NDC,0054-0017-20,PREDNISONE 10 MG PO TABS,1.17,1.17,,,0
NDC,0054-0018-20,PREDNISONE 20 MG PO TABS,0.335,0.335,,,0
NDC,0054-0019-20,PREDNISONE 50 MG PO TABS,0.18,0.18,,,0
NDC,0054-0062-58,CITALOPRAM HYDROBROMIDE 10 MG/5ML PO SOLN,31.85,31.85,,,0
NDC,0054-0237-63,MORPHINE 2MG/ML ORAL LIQD (PEDIATRIC) SH,40.0,40.0,,,0
NDC,0054-0326-56,FLUTICASONE-SALMETEROL 100-50 MCG/ACT IN AEPB,39.16,39.16,,,0
NDC,0054-0449-49,POSACONAZOLE 40 MG/ML PO SUSP,375.0,375.0,,,0
NDC,0054-0622-63,DICYCLOMINE HCL 10 MG/5ML PO SOLN,30.0,30.0,,,0
NDC,0054-0710-20,METHADONE HCL 10 MG PO TABS,5.88,5.88,,,0
NDC,0054-0748-25,DICYCLOMINE HCL 10 MG PO CAPS,15.0,15.0,,,0
NDC,0054-2526-25,LITHIUM CARBONATE 150 MG PO CAPS,15.0,15.0,,,0
NDC,0054-2531-25,LITHIUM CARBONATE 600 MG PO CAPS,15.0,15.0,,,0
NDC,0054-3176-44,DEXAMETHASONE 1 MG/ML PO CONC,2.65,2.65,,,0
NDC,0054-3177-63,DEXAMETHASONE 0.5 MG/5ML PO SOLN,21.71,21.71,,,0
NDC,0054-3194-46,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5ML PO LIQD,62.98,62.98,,,0
NDC,0054-3270-99,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP,375.0,375.0,,,0
NDC,0054-3555-63,METHADONE 1MG/ML ORAL SYRINGE (NEONATAL) SH,40.0,40.0,,,0
NDC,0054-3721-44,PREDNISONE 5 MG/ML PO CONC,25.06,25.06,,,0
NDC,0054-3722-50,PREDNISONE 5 MG/5ML PO SOLN,5.2,5.2,,,0
NDC,0054-3722-63,PREDNISONE 5 MG/5ML PO SOLN,3.66,3.66,,,0
NDC,0054-3727-63,PROPRANOLOL HCL 20 MG/5ML PO SOLN,30.0,30.0,,,0
NDC,0054-4297-31,FUROSEMIDE 20 MG PO TABS,11.15,11.15,,,0
NDC,0054-4581-11,MERCAPTOPURINE 50 MG PO TABS,49.875,49.875,,,0
NDC,0054-4581-27,MERCAPTOPURINE 25MG PO PRE-SPLIT TABS SH,40.0,40.0,,,0
NDC,0054-8084-25,AZATHIOPRINE 25MG PO PRE-SPLIT TABS SH,12.27,12.27,,,0
NDC,0054-8146-22,CLOTRIMAZOLE 10 MG MT TROC,18.89,18.89,,,0
NDC,0054-8174-25,DEXAMETHASONE 1 MG PO TABS,3.895,3.895,,,0
NDC,0054-8175-25,DEXAMETHASONE 4 MG PO TABS,0.4,0.4,,,0
NDC,0054-8176-25,DEXAMETHASONE 2 MG PO TABS,1.83,1.83,,,0
NDC,0054-8179-25,DEXAMETHASONE 0.5 MG PO TABS,6.75,6.75,,,0
NDC,0054-8181-25,DEXAMETHASONE 1.5 MG PO TABS,1.35,1.35,,,0
NDC,0054-8297-25,FUROSEMIDE 20 MG PO TABS,11.01,11.01,,,0
NDC,0054-8299-25,FUROSEMIDE 40 MG PO TABS,12.86,12.86,,,0
NDC,0054-8301-25,FUROSEMIDE 80 MG PO TABS,15.0,15.0,,,0
NDC,0054-8496-19,LEUCOVORIN CALCIUM 5 MG PO TABS,18.2,18.2,,,0
NDC,0054-8526-25,LITHIUM CARBONATE 150 MG PO CAPS,15.0,15.0,,,0
NDC,0054-8527-25,LITHIUM CARBONATE 300 MG PO CAPS,15.0,15.0,,,0
NDC,0054-8528-25,LITHIUM CARBONATE 300 MG PO TABS,10.31,10.31,,,0
NDC,0054-8553-24,METHADONE HCL 5 MG PO TABS,40.0,40.0,,,0
NDC,0054-8554-24,METHADONE HCL 10 MG PO TABS,14.12,14.12,,,0
NDC,0054-8724-25,PREDNISONE 5 MG PO TABS,2.795,2.795,,,0
NDC,0054-8739-25,PREDNISONE 1 MG PO TABS,6.68,6.68,,,0
NDC,0054-8740-25,PREDNISONE 2.5 MG PO TABS,4.755,4.755,,,0
NDC,0054-9817-25,PREDNISONE 10 MG PO TABS,1.1400000000000001,1.1400000000000001,,,0
NDC,0056-0169-70,WARFARIN SODIUM 0.5MG PO PRE-SPLIT TABS SH,12.41,12.41,,,0
NDC,0056-0172-70,WARFARIN SODIUM 5 MG PO TABS,15.27,15.27,,,0
NDC,00574-06915,GLUCOSE 40 % PO GEL,1.82,1.82,,,0
NDC,00574-06930,GLUCOSE 40 % PO GEL,1.71,1.71,,,0
NDC,0065-0023-15,CARBACHOL 0.01 % IO SOLN,311.76,311.76,,,0
NDC,0065-0275-10,BRINZOLAMIDE 1 % OP SUSP,1235.64,1235.64,,,0
NDC,0065-0359-02,CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OP SOLN,208.45,208.45,,,0
NDC,0065-0395-15,CYCLOPENTOLATE HCL 0.5 % OP SOLN,436.62,436.62,,,0
NDC,0065-0396-02,CYCLOPENTOLATE HCL 1 % OP SOLN,197.02,197.02,,,0
NDC,0065-0396-05,CYCLOPENTOLATE HCL 1 % OP SOLN,345.26,345.26,,,0
NDC,0065-0411-30,POVIDONE-IODINE 5 % OP SOLN,98.435,98.435,,,0
NDC,0065-0518-01,ARTIFICIAL TEARS OP OINT - CONSOLIDATED,2.0,2.0,,,0
NDC,0065-0530-01,EYE STREAM OP SOLN,2.0,2.0,,,0
NDC,0065-0543-01,TRIAMCINOLONE ACETONIDE 40 MG/ML IO SUSP,113.28,113.28,,,0
NDC,0065-0643-05,TOBRAMYCIN 0.3 % OP SOLN,489.92,489.92,,,0
NDC,0065-0644-35,TOBRAMYCIN 0.3 % OP OINT,519.5,519.5,,,0
NDC,0065-0647-25,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP,367.74,367.74,,,0
NDC,0065-0648-35,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP OINT,1072.79,1072.79,,,0
NDC,0065-0660-10,APRACLONIDINE HCL 1 % OP SOLN,99.83,99.83,,,0
NDC,0065-0741-14,TETRACAINE HCL 0.5 % OP SOLN,73.34,73.34,,,0
NDC,0065-0795-15,BSS IO SOLN,97.295,97.295,,,0
NDC,0065-0795-50,BSS IO SOLN,275.19,275.19,,,0
NDC,0065-0800-94,BSS PLUS IO SOLN,379.725,379.725,,,0
NDC,0065-4013-03,MOXIFLOXACIN HCL 0.5 % OP SOLN,826.88,826.88,,,0
NDC,0065-8533-02,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP,1195.65,1195.65,,,0
NDC,0067-8152-03,DICLOFENAC SODIUM 1 % EX GEL,81.5,81.5,,,0
NDC,0068-0597-01,RIFAMPIN 600 MG/10ML IV (WET SOLR VIAL),762.55,762.55,,,0
NDC,0069-0234-01,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,1.81,1.81,,,0
NDC,0069-0238-01,RITUXIMAB-PVVR 100 MG/10ML IV SOLN,337.04999999999995,337.04999999999995,,,0
NDC,0069-0249-01,RITUXIMAB-PVVR 500 MG/50ML IV SOLN,200.67,200.67,,,0
NDC,0069-0277-02,DOXORUBICIN HCL 2 MG/ML IV SOLN,150.0,150.0,,,0
NDC,0069-0305-01,TRASTUZUMAB-QYYP 420 MG IV SOLR,287.2,287.2,,,0
NDC,0069-0308-01,TRASTUZUMAB-QYYP 150 MG/7.15ML IV (WET SOLR VIAL),284.52,284.52,,,0
NDC,0069-0315-01,BEVACIZUMAB-BVZR 100 MG/4ML IV SOLN,257.63,257.63,,,0
NDC,0069-0336-21,SILDENAFIL CITRATE 10 MG/ML PO SUSR,1200.0,1200.0,,,0
NDC,0069-0344-01,RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR,1770.0,1770.0,,,0
NDC,0069-0345-30,NIRMATRELVIR & RITONAVIR (EGFR 60ML/MIN AND GREATER) 20 X 150 MG & 10 X 100MG PO TBPK,15.0,15.0,,,0
NDC,0069-0809-01,INFLIXIMAB-DYYB 100 MG/10ML IV (WET SOLR VIAL),229.61,229.61,,,0
NDC,0069-1101-20,NIRMATRELVIR & RITONAVIR (EGFR 30-59 ML/MIN) 10 X 150 MG & 10 X 100MG PO TBPK,15.0,15.0,,,0
NDC,0069-1305-10,EPOETIN ALFA-EPBX 2000 UNIT/ML IJ SOLN (ESRD),8.6,8.6,,,0
NDC,0069-1306-10,EPOETIN ALFA-EPBX 3000 UNIT/ML IJ SOLN (ESRD),47.315,47.315,,,0
NDC,0069-1307-10,EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN (ESRD),47.32,47.32,,,0
NDC,0069-1308-10,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN,47.25,47.25,,,0
NDC,0069-1309-04,EPOETIN ALFA-EPBX 40000 UNIT/ML IJ SOLN (ESRD),34.375,34.375,,,0
NDC,0069-1311-10,"EPOETIN ALFA-EPBX 20,000 UNIT/ML IJ SOLN (ESRD)",6.62,6.62,,,0
NDC,0069-1530-41,AMLODIPINE BESYLATE 5 MG PO TABS,42.38,42.38,,,0
NDC,0069-1540-68,AMLODIPINE BESYLATE 10 MG PO TABS,53.65,53.65,,,0
NDC,0069-3031-20,DOXORUBICIN HCL 2 MG/ML IV SOLN,72.24,72.24,,,0
NDC,0069-3032-20,DOXORUBICIN HCL 2 MG/ML IV SOLN,39.165,39.165,,,0
NDC,0069-3140-19,AZITHROMYCIN 200 MG/5ML PO SUSR,10.3,10.3,,,0
NDC,0069-4061-89,AZITHROMYCIN 250 MG PO TABS,18.95,18.95,,,0
NDC,0069-4190-68,SILDENAFIL CITRATE 20 MG PO TABS,156.965,156.965,,,0
NDC,0069-5321-03,NIRMATRELVIR & RITONAVIR (EGFR 60ML/MIN AND GREATER) 20 X 150 MG & 10 X 100MG PO TBPK,512.69,512.69,,,0
NDC,0069-5321-30,NIRMATRELVIR & RITONAVIR (EGFR 60ML/MIN AND GREATER) 20 X 150 MG & 10 X 100MG PO TBPK,4170.0,4170.0,,,0
NDC,0069-5800-43,DOFETILIDE 125 MCG PO CAPS,55.0,55.0,,,0
NDC,0069-6001-21,FOSPHENYTOIN SODIUM 50 MG PE/ML IJ SOLN - CONSOLIDATED,74.32,74.32,,,0
NDC,0069-6001-25,FOSPHENYTOIN SODIUM 50 MG PE/ML IJ SOLN - CONSOLIDATED,128.55,128.55,,,0
NDC,0069-6237-02,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - OCTAGAM,349.66,349.66,,,0
NDC,0069-6339-02,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - OCTAGAM,349.66,349.66,,,0
NDC,0069-8451-02,IMMUNE GLOBULIN (HUMAN) 5% IV SOLN - OCTAGAM,3496.8,3496.8,,,0
NDC,0071-0007-40,PHENYTOIN 50 MG PO CHEW,15.0,15.0,,,0
NDC,0071-0155-23,ATORVASTATIN CALCIUM 10 MG PO TABS,56.57,56.57,,,0
NDC,0071-0156-23,ATORVASTATIN CALCIUM 20 MG PO TABS,79.29,79.29,,,0
NDC,0071-0157-23,ATORVASTATIN CALCIUM 40 MG PO TABS,74.03,74.03,,,0
NDC,0071-0158-23,ATORVASTATIN CALCIUM 80 MG PO TABS,83.36,83.36,,,0
NDC,0071-0369-40,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS,11.36,11.36,,,0
NDC,0071-0418-13,NITROGLYCERIN 0.4 MG SL SUBL,238.63,238.63,,,0
NDC,0071-0513-24,GABAPENTIN 600 MG PO TABS,64.93,64.93,,,0
NDC,0071-0805-24,GABAPENTIN 300 MG PO CAPS,45.0,45.0,,,0
NDC,0071-1012-68,PREGABALIN 25 MG PO CAPS,65.0,65.0,,,0
NDC,0071-1013-68,PREGABALIN 50 MG PO CAPS,65.0,65.0,,,0
NDC,0071-1014-68,PREGABALIN 75 MG PO CAPS,58.75,58.75,,,0
NDC,0071-1015-68,PREGABALIN 100 MG PO CAPS,65.0,65.0,,,0
NDC,0071-1020-01,PREGABALIN 20 MG/ML PO SOLN,59.63,59.63,,,0
NDC,0071-2012-23,GABAPENTIN 250 MG/5ML PO SOLN,27.38,27.38,,,0
NDC,0074-0561-11,VENETOCLAX 10 MG PO TABS,99.22,99.22,,,0
NDC,0074-0561-14,VENETOCLAX 10 MG PO TABS,99.23,99.23,,,0
NDC,0074-0566-11,VENETOCLAX 50 MG PO TABS,460.1,460.1,,,0
NDC,0074-0576-11,VENETOCLAX 100 MG PO TABS,543.27,543.27,,,0
NDC,0074-0576-30,VENETOCLAX 100 MG PO TABS,459.79,459.79,,,0
NDC,0074-3108-32,CYCLOSPORINE MODIFIED 25 MG PO CAPS,12.47,12.47,,,0
NDC,0074-3109-32,CYCLOSPORINE MODIFIED 100 MG PO CAPS,29.93,29.93,,,0
NDC,0074-3189-90,FENOFIBRATE 145 MG PO TABS,15.0,15.0,,,0
NDC,0074-3333-30,RITONAVIR 100 MG PO TABS,55.0,55.0,,,0
NDC,0074-3641-03,LEUPROLIDE ACETATE 3.75 MG IM KIT,7500.0,7500.0,,,0
NDC,0074-3642-03,LEUPROLIDE ACETATE 7.5 MG IM KIT,8483.01,8483.01,,,0
NDC,0074-3663-03,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT,4500.0,4500.0,,,0
NDC,0074-3826-13,DIVALPROEX SODIUM ER 250 MG PO TB24,23.08,23.08,,,0
NDC,0074-4378-05,CISATRACURIUM BESYLATE (PF) 10 MG/5ML IV SOLN,107.44,107.44,,,0
NDC,0074-4552-11,LEVOTHYROXINE SODIUM 50 MCG PO TABS,14.02,14.02,,,0
NDC,0074-5182-11,LEVOTHYROXINE SODIUM 75 MCG PO TABS,14.08,14.08,,,0
NDC,0074-6114-13,DIVALPROEX SODIUM 125 MG PO CSDR,11.44,11.44,,,0
NDC,0074-6212-13,DIVALPROEX SODIUM 125 MG PO TBEC,15.0,15.0,,,0
NDC,0074-6624-11,LEVOTHYROXINE SODIUM 100 MCG PO TABS,15.0,15.0,,,0
NDC,0074-7269-50,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,38.73,38.73,,,0
NDC,0075-0620-40,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,14.885,14.885,,,0
NDC,0075-0621-60,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,20.86,20.86,,,0
NDC,0075-0622-80,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,20.08,20.08,,,0
NDC,0075-0623-00,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,19.92,19.92,,,0
NDC,0075-0624-30,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,25.0,25.0,,,0
NDC,0078-0181-01,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN,56.25,56.25,,,0
NDC,0078-0240-15,CYCLOSPORINE 25 MG PO CAPS,27.6,27.6,,,0
NDC,0078-0331-84,BASILIXIMAB 20 MG/5ML IV (WET SOLR VIAL),11250.0,11250.0,,,0
NDC,0078-0357-52,OXCARBAZEPINE 300 MG/5ML PO SUSP,171.98,171.98,,,0
NDC,0078-0358-34,VALSARTAN 80 MG PO TABS,55.0,55.0,,,0
NDC,0078-0359-34,VALSARTAN 160 MG PO TABS,55.0,55.0,,,0
NDC,0078-0385-66,MYCOPHENOLATE SODIUM 180 MG PO TBEC,44.79,44.79,,,0
NDC,0078-0386-66,MYCOPHENOLATE SODIUM 360 MG PO TBEC,25.58,25.58,,,0
NDC,0078-0393-61,BASILIXIMAB 10 MG/2.5ML IV (WET SOLR VIAL),14000.0,14000.0,,,0
NDC,0078-0423-15,VALSARTAN 40 MG PO TABS,27.3,27.3,,,0
NDC,0078-0440-05,METHYLPHENIDATE HCL 10 MG PO TABS,20.0,20.0,,,0
NDC,0078-0494-71,TOBRAMYCIN 300 MG/5ML IN NEBU,529.47,529.47,,,0
NDC,0078-0659-20,SACUBITRIL-VALSARTAN 24-26 MG PO TABS,53.19,53.19,,,0
NDC,0078-0659-67,SACUBITRIL-VALSARTAN 24-26 MG PO TABS,50.52,50.52,,,0
NDC,0078-0696-20,SACUBITRIL-VALSARTAN 97-103 MG PO TABS,55.04,55.04,,,0
NDC,0078-0696-67,SACUBITRIL-VALSARTAN 97-103 MG PO TABS,55.0,55.0,,,0
NDC,0078-0698-02,MIDOSTAURIN 25 MG PO CAPS,800.0,800.0,,,0
NDC,0078-0722-10,BRINZOLAMIDE 1 % OP SUSP,1323.36,1323.36,,,0
NDC,0078-0777-20,SACUBITRIL-VALSARTAN 49-51 MG PO TABS,55.03,55.03,,,0
NDC,0078-0813-01,TOBRAMYCIN 0.3 % OP OINT,1194.57,1194.57,,,0
NDC,0078-0841-01,CIPROFLOXACIN HCL 0.3 % OP OINT,1187.33,1187.33,,,0
NDC,0078-0876-01,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP OINT,1200.0,1200.0,,,0
NDC,0078-0925-25,DEXAMETHASONE 0.1 % OP SUSP,417.68,417.68,,,0
NDC,0081-0798-87,POLYSPORIN 500-10000 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,0081-0798-88,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,0085-1136-01,EPTIFIBATIDE 75 MG/100ML IV SOLN,204.47,204.47,,,0
NDC,0085-1177-01,EPTIFIBATIDE 20 MG/10ML IV SOLN,325.0,325.0,,,0
NDC,0087-0866-44,CHOLECALCIFEROL 10 MCG/ML PO LIQD,2.0,2.0,,,0
NDC,0087-5102-42,WATER ORAL PO LIQD,0.74,0.74,,,0
NDC,0088-2220-33,INSULIN GLARGINE 100 UNIT/ML SC SOLN,3.755,3.755,,,0
NDC,0093-0051-01,CARVEDILOL 3.125 MG PO TABS,13.17,13.17,,,0
NDC,0093-0073-01,ZOLPIDEM TARTRATE 5 MG PO TABS,33.66,33.66,,,0
NDC,0093-0318-01,DILTIAZEM HCL 30 MG PO TABS,10.1,10.1,,,0
NDC,0093-0319-01,DILTIAZEM HCL 60 MG PO TABS,9.53,9.53,,,0
NDC,0093-0320-01,DILTIAZEM HCL 90 MG PO TABS,15.0,15.0,,,0
NDC,0093-0787-10,ATENOLOL 25 MG PO TABS,15.0,15.0,,,0
NDC,0093-0810-01,NORTRIPTYLINE HCL 10 MG PO CAPS,15.0,15.0,,,0
NDC,0093-0812-01,NORTRIPTYLINE HCL 50 MG PO CAPS,15.21,15.21,,,0
NDC,0093-0813-01,NORTRIPTYLINE HCL 75 MG PO CAPS,23.2,23.2,,,0
NDC,0093-0832-01,CLONAZEPAM 0.5 MG PO TABS,28.57,28.57,,,0
NDC,0093-1174-01,PENICILLIN V POTASSIUM 500 MG PO TABS,15.0,15.0,,,0
NDC,0093-1177-01,NEOMYCIN SULFATE 500 MG PO TABS,8.18,8.18,,,0
NDC,0093-2203-01,METOCLOPRAMIDE HCL 10 MG PO TABS,15.0,15.0,,,0
NDC,0093-2204-01,METOCLOPRAMIDE HCL 5 MG PO TABS,13.45,13.45,,,0
NDC,0093-2268-01,AMOXICILLIN 250 MG PO CHEW,5.0,5.0,,,0
NDC,0093-2274-34,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS,20.82,20.82,,,0
NDC,0093-2275-34,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS,26.76,26.76,,,0
NDC,0093-3123-01,DICLOXACILLIN SODIUM 250 MG PO CAPS,8.26,8.26,,,0
NDC,0093-3125-01,DICLOXACILLIN SODIUM 500 MG PO CAPS,15.02,15.02,,,0
NDC,0093-3174-31,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,370.09,370.09,,,0
NDC,0093-3212-01,CLONAZEPAM 1 MG PO TABS,35.29,35.29,,,0
NDC,0093-3422-01,CYCLOBENZAPRINE HCL 10 MG PO TABS,15.0,15.0,,,0
NDC,0093-3426-01,LORAZEPAM 1 MG PO TABS,27.12,27.12,,,0
NDC,0093-3560-26,PEG-KCL-NACL-NASULF-NA ASC-C 100 G PO SOLR,322.2,322.2,,,0
NDC,0093-4127-73,PENICILLIN V POTASSIUM 250 MG/5ML PO SOLR,30.0,30.0,,,0
NDC,0093-4155-73,AMOXICILLIN 250 MG/5ML PO SUSR,30.0,30.0,,,0
NDC,0093-4155-79,AMOXICILLIN 250 MG/5ML PO SUSR,30.0,30.0,,,0
NDC,0093-4177-73,CEPHALEXIN 250 MG/5ML PO SUSR,30.0,30.0,,,0
NDC,0093-5245-65,OLANZAPINE 5 MG PO TBDP,54.71,54.71,,,0
NDC,0093-6815-73,BUDESONIDE 0.25 MG/2ML IN SUSP,51.78,51.78,,,0
NDC,0093-6816-73,BUDESONIDE 0.5 MG/2ML IN SUSP,46.82,46.82,,,0
NDC,0093-7201-98,PRAVASTATIN SODIUM 20 MG PO TABS,17.23,17.23,,,0
NDC,0093-7202-98,PRAVASTATIN SODIUM 40 MG PO TABS,26.37,26.37,,,0
NDC,0093-7295-01,CARVEDILOL 12.5 MG PO TABS,13.68,13.68,,,0
NDC,0093-7334-01,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,16.53,16.53,,,0
NDC,0093-7352-01,CALCITRIOL 0.25 MCG PO CAPS,15.0,15.0,,,0
NDC,0093-7353-01,CALCITRIOL 0.5 MCG PO CAPS,15.0,15.0,,,0
NDC,0093-7426-98,MONTELUKAST SODIUM 10 MG PO TABS,31.11,31.11,,,0
NDC,0093-7536-56,ANASTROZOLE 1 MG PO TABS,87.72,87.72,,,0
NDC,0093-7772-93,CLOZAPINE 100 MG PO TABS,13.71,13.71,,,0
NDC,0093-8119-56,FAMCICLOVIR 500 MG PO TABS,55.0,55.0,,,0
NDC,0093-9018-19,CYCLOSPORINE MODIFIED 25 MG PO CAPS,8.04,8.04,,,0
NDC,0093-9291-19,CLONAZEPAM 0.25 MG PO TBDP,23.12,23.12,,,0
NDC,0093-9701-01,CARBIDOPA-LEVODOPA 10-100 MG PO TABS,15.0,15.0,,,0
NDC,0096-0732-04,HYDROCORTISONE 1 % EX LOTN,2.0,2.0,,,0
NDC,0115-1072-01,DIPYRIDAMOLE 75 MG PO TABS,16.84,16.84,,,0
NDC,0115-1365-30,SEVELAMER CARBONATE 0.8 G PO PACK,67.965,67.965,,,0
NDC,0115-1661-01,PROPRANOLOL HCL 40 MG PO TABS,15.0,15.0,,,0
NDC,0115-2622-01,TERBUTALINE SULFATE 5 MG PO TABS,33.5,33.5,,,0
NDC,0115-3511-01,PYRIDOSTIGMINE BROMIDE 60 MG PO TABS,15.0,15.0,,,0
NDC,0115-5922-01,PILOCARPINE HCL 5 MG PO TABS,15.0,15.0,,,0
NDC,0116-2001-89,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN,15.0,15.0,,,0
NDC,0116-4005-30,LACTULOSE 10 GM/15ML PO SOLN,22.03,22.03,,,0
NDC,0121-0431-30,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP,1.98,1.98,,,0
NDC,0121-0504-05,ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN,40.0,40.0,,,0
NDC,0121-0530-05,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN,1.6,1.6,,,0
NDC,0121-0544-10,DOCUSATE SODIUM 150 MG/15ML PO LIQD,1.33,1.33,,,0
NDC,0121-0547-05,PROMETHAZINE-CODEINE 6.25-10 MG/5ML PO SYRP,40.0,40.0,,,0
NDC,0121-0577-08,LACTULOSE (ENULOSE) ENEMA SH,23.1,23.1,,,0
NDC,0121-0577-16,LACTULOSE (ENULOSE) ENEMA SH,87.6,87.6,,,0
NDC,0121-0581-05,HALOPERIDOL LACTATE 2 MG/ML PO CONC,15.0,15.0,,,0
NDC,0121-0646-10,AMANTADINE HCL 50 MG/5ML PO SOLN,22.11,22.11,,,0
NDC,0121-0747-00,SUCRALFATE 1 GM/10ML PO SUSP,64.92,64.92,,,0
NDC,0121-0759-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN,3.75,3.75,,,0
NDC,0121-0775-04,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN,40.0,40.0,,,0
NDC,0121-0853-20,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP,21.67,21.67,,,0
NDC,0121-0867-20,VANCOMYCIN HCL 125 MG PO CAPS,100.0,100.0,,,0
NDC,0121-0868-05,NYSTATIN 100000 UNIT/ML MT SUSP,30.0,30.0,,,0
NDC,0121-0873-16,LACTULOSE (ENULOSE) ENEMA SH,76.04,76.04,,,0
NDC,0121-0904-05,MORPHINE SULFATE 10 MG/5ML PO SOLN,26.55,26.55,,,0
NDC,0121-0905-05,DIAZEPAM 1 MG/ML PO SOLN,40.0,40.0,,,0
NDC,0121-0910-30,BISMUTH SUBSALICYLATE 262 MG/15ML PO SUSP,2.0,2.0,,,0
NDC,0121-0945-10,MEGESTROL ACETATE 40 MG/ML PO SUSP,16.77,16.77,,,0
NDC,0121-1154-00,LACTULOSE 10 GM/15ML PO SOLN,23.29,23.29,,,0
NDC,0121-1190-00,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN,24.79,24.79,,,0
NDC,0121-1276-00,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP,1.97,1.97,,,0
NDC,0121-1350-00,VALPROATE SODIUM 250 MG/5ML PO SOLN,30.0,30.0,,,0
NDC,0121-1488-00,GUAIFENESIN 100 MG/5ML PO LIQD,2.0,2.0,,,0
NDC,0121-1550-00,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN,40.0,40.0,,,0
NDC,0121-1576-10,METOCLOPRAMIDE HCL 5 MG/5ML PO SOLN,15.0,15.0,,,0
NDC,0121-1744-00,GUAIFENESIN 100 MG/5ML PO LIQD,1.01,1.01,,,0
NDC,0121-1775-00,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN,36.06,36.06,,,0
NDC,0121-1781-00,ACETAMINOPHEN 160 MG/5ML PO SUSP (PEDIATRIC),3.5,3.5,,,0
NDC,0121-1870-10,DOCUSATE SODIUM 150 MG/15ML PO LIQD,1.24,1.24,,,0
NDC,0121-1884-07,PHENOBARBITAL 20MG/5ML ORAL LIQD (PEDIATRIC) SH,40.0,40.0,,,0
NDC,0121-2316-40,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN,40.0,40.0,,,0
NDC,0121-4577-30,LACTULOSE 10 GM/15ML PO SOLN,11.54,11.54,,,0
NDC,0121-4675-00,VALPROATE SODIUM 250 MG/5ML PO SOLN,12.43,12.43,,,0
NDC,0121-4721-05,FLUOXETINE HCL 20 MG/5ML PO SOLN,22.57,22.57,,,0
NDC,0121-4722-15,SENNA 176 MG/5ML PO SYRP,2.0,2.0,,,0
NDC,0121-4766-05,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP,1.61,1.61,,,0
NDC,0121-4799-40,LEVETIRACETAM 100 MG/ML PO SOLN,43.54,43.54,,,0
NDC,0121-4802-05,LEVETIRACETAM 100 MG/ML PO SOLN,31.21,31.21,,,0
NDC,0121-4827-05,OXYCODONE HCL 5 MG/5ML PO SOLN,34.16,34.16,,,0
NDC,0121-4950-15,LIDOCAINE VISCOUS HCL 2 % MT SOLN,42.86,42.86,,,0
NDC,0131-1810-67,LACOSAMIDE 200 MG/20ML IV SOLN,2.32,2.32,,,0
NDC,0131-2477-60,LACOSAMIDE 50 MG PO TABS,48.54,48.54,,,0
NDC,0131-2478-35,LACOSAMIDE 100 MG PO TABS,88.38,88.38,,,0
NDC,0131-2480-60,LACOSAMIDE 200 MG PO TABS,93.0,93.0,,,0
NDC,0132-0079-12,GLYCERIN (LAXATIVE) 2 G PR SUPP,2.0,2.0,,,0
NDC,0132-0081-12,GLYCERIN (LAXATIVE) 1 G PR SUPP,2.0,2.0,,,0
NDC,0132-0201-40,FLEET ENEMA 7-19 GM/118ML PR ENEM,2.0,2.0,,,0
NDC,0132-0202-20,FLEET PEDIATRIC 3.5-9.5 GM/59ML PR ENEM,6.65,6.65,,,0
NDC,0132-0301-40,MINERAL OIL PR ENEM,1.89,1.89,,,0
NDC,0140-0005-01,DIAZEPAM 5 MG PO TABS,34.35,34.35,,,0
NDC,0140-0006-01,DIAZEPAM 10 MG PO TABS,65.0,65.0,,,0
NDC,0143-1240-01,DIGOXIN 125 MCG PO TABS,13.82,13.82,,,0
NDC,0143-1769-01,ISOSORBIDE DINITRATE 5 MG PO TABS,7.5,7.5,,,0
NDC,0143-2260-01,ISOSORBIDE MONONITRATE ER 60 MG PO TB24,15.0,15.0,,,0
NDC,0143-9085-01,DOXORUBICIN HCL 2 MG/ML IV SOLN,110.71,110.71,,,0
NDC,0143-9086-01,DOXORUBICIN HCL 2 MG/ML IV SOLN,60.0,60.0,,,0
NDC,0143-9139-01,"CEFAZOLIN 2,000MG/100ML NS (MINIBAG)",18.75,18.75,,,0
NDC,0143-9152-01,VANCOMYCIN 1250MG/250ML 0.9% NACL (VIAL-MATE),56.28,56.28,,,0
NDC,0143-9209-10,CHLOROPROCAINE HCL (PF) 2 % IJ SOLN,0.45,0.45,,,0
NDC,0143-9210-10,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN,0.31,0.31,,,0
NDC,0143-9218-01,IDARUBICIN 1MG/ML CHEMO IV PUSH SH,482.46,482.46,,,0
NDC,0143-9219-01,IDARUBICIN 1MG/ML CHEMO IV PUSH SH,428.32,428.32,,,0
NDC,0143-9245-10,DACARBAZINE 200 MG IV SOLR,52.44,52.44,,,0
NDC,0143-9260-01,MESNA 100 MG/ML IV SOLN,100.0,100.0,,,0
NDC,0143-9262-25,"CEFAZOLIN 1,000 MG/50ML NS (MINIBAG)",18.75,18.75,,,0
NDC,0143-9277-01,DOXORUBICIN INTRAHEPATIC CHEMOEMBOLIZATION IN LC BEADS,410.33,410.33,,,0
NDC,0143-9284-10,PANTOPRAZOLE SODIUM 40 MG IV SOLR,74.58,74.58,,,0
NDC,0143-9285-01,AMOXICILLIN 875 MG PO TABS,15.0,15.0,,,0
NDC,0143-9298-10,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,12.86,12.86,,,0
NDC,0143-9310-10,ETOMIDATE 2 MG/ML IV SOLN,75.0,75.0,,,0
NDC,0143-9368-01,LEUCOVORIN CALCIUM 200 MG IJ SOLR,60.71,60.71,,,0
NDC,0143-9380-01,MIDAZOLAM HCL-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN,1.8,1.8,,,0
NDC,0143-9381-10,DOXYCYCLINE 100 MG/100ML NS (MINIBAG),176.9,176.9,,,0
NDC,0143-9503-01,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,251.13,251.13,,,0
NDC,0143-9504-01,CISPLATIN 1 MG/ML IV SOLN - CONSOLIDATED,68.01,68.01,,,0
NDC,0143-9506-10,ETOMIDATE 2 MG/ML IV SOLN,73.54,73.54,,,0
NDC,0143-9507-10,ETOMIDATE 2 MG/ML IV SOLN,75.0,75.0,,,0
NDC,0143-9508-10,KETAMINE HCL 50 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,0143-9510-01,ETOPOSIDE 100 MG/5ML IV SOLN,26.64,26.64,,,0
NDC,0143-9511-01,ETOPOSIDE 100 MG/5ML IV SOLN,22.99,22.99,,,0
NDC,0143-9519-10,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN,293.57,293.57,,,0
NDC,0143-9552-01,LEUCOVORIN CALCIUM 350 MG/17.5ML IJ (WET SOLR VIAL),27.615000000000002,27.615000000000002,,,0
NDC,0143-9553-01,LEUCOVORIN CALCIUM 200 MG/20ML IJ (WET SOLR VIAL),46.44,46.44,,,0
NDC,0143-9554-01,LEUCOVORIN CALCIUM 100 MG/10ML IJ (WET SOLR VIAL),253.57,253.57,,,0
NDC,0143-9555-01,LEUCOVORIN CALCIUM 50 MG/5ML IJ (WET SOLR VIAL),281.97,281.97,,,0
NDC,0143-9559-01,ARGATROBAN 50 MG/50ML IV SOLN,71.28,71.28,,,0
NDC,0143-9564-01,PHENTOLAMINE MESYLATE 5 MG IJ SOLR,2500.0,2500.0,,,0
NDC,0143-9570-10,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,48.82,48.82,,,0
NDC,0143-9621-25,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,75.0,75.0,,,0
NDC,0143-9622-01,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,6.25,6.25,,,0
NDC,0143-9633-01,NICARDIPINE HCL IN NACL 40-0.83 MG/200ML-% IV SOLN,2.44,2.44,,,0
NDC,0143-9637-10,VALPROATE SODIUM 100 MG/ML IV SOLN,30.83,30.83,,,0
NDC,0143-9638-05,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,100.8,100.8,,,0
NDC,0143-9689-10,NICARDIPINE 2.5 MG/ML INTERVENTIONAL INJ SOLN,5.11,5.11,,,0
NDC,0143-9701-01,IRINOTECAN HCL 100 MG/5ML IV SOLN,97.09,97.09,,,0
NDC,0143-9709-10,MILRINONE LACTATE 20 MG/20ML IV SOLN,19.28,19.28,,,0
NDC,0143-9710-10,MILRINONE LACTATE 20 MG/20ML IV SOLN,26.25,26.25,,,0
NDC,0143-9719-10,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN,31.85,31.85,,,0
NDC,0143-9720-24,LEVOFLOXACIN 750MG/150ML D5W (PREMIX) CUSTOM-CREATE,25.0,25.0,,,0
NDC,0143-9721-24,LEVOFLOXACIN 500MG/100ML D5W (PREMIX) CUSTOM-CREATE,37.5,37.5,,,0
NDC,0143-9722-24,LEVOFLOXACIN 250MG/50ML D5W (PREMIX) CUSTOM-CREATE,75.0,75.0,,,0
NDC,0143-9746-10,TERBUTALINE SULFATE 1 MG/ML IJ SOLN,74.075,74.075,,,0
NDC,0143-9753-01,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR,75.0,75.0,,,0
NDC,0143-9784-10,FLUMAZENIL 0.1 MG/ML IV SOLN - CONSOLIDATED,75.0,75.0,,,0
NDC,0143-9785-10,VALPROATE SODIUM 100 MG/ML IV SOLN,95.36500000000001,95.36500000000001,,,0
NDC,0143-9787-10,ENALAPRILAT 1.25 MG/ML IV INJ,75.0,75.0,,,0
NDC,0143-9830-01,METHOTREXATE SODIUM 1 G IJ SOLR,33.33,33.33,,,0
NDC,0143-9856-25,CEFTRIAXONE (ROCEPHIN) 2000 MG/100ML NS (MINIBAG),9.665,9.665,,,0
NDC,0143-9857-25,CEFTRIAXONE SODIUM 1 G IJ SOLR,14.065000000000001,14.065000000000001,,,0
NDC,0143-9872-10,PROPRANOLOL HCL 1 MG/ML IV SOLN,75.0,75.0,,,0
NDC,0143-9875-10,AMIODARONE HCL 50 MG/ML IV SOLN - CONSOLIDATED,15.0,15.0,,,0
NDC,0143-9877-25,CEFOXITIN (MEFOXIN) 2000MG/100ML NS (MINIBAG),81.84,81.84,,,0
NDC,0143-9878-25,CEFOXITIN SODIUM 1 G IV SOLR,75.0,75.0,,,0
NDC,0143-9923-90,CEFAZOLIN SODIUM 500 MG IJ SOLR,75.0,75.0,,,0
NDC,0143-9924-90,CEFAZOLIN SODIUM 1 G IJ SOLR,33.53,33.53,,,0
NDC,0143-9929-50,CIPROFLOXACIN HCL 750 MG PO TABS,31.05,31.05,,,0
NDC,0143-9982-50,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR,52.17,52.17,,,0
NDC,0143-9983-03,CEFAZOLIN SODIUM 10 G IJ SOLR,12.5,12.5,,,0
NDC,0168-0004-80,TRIAMCINOLONE ACETONIDE 0.1 % EX CREA,54.6,54.6,,,0
NDC,0168-0006-15,TRIAMCINOLONE ACETONIDE 0.1 % EX OINT,36.27,36.27,,,0
NDC,0168-0007-15,NYSTATIN 100000 UNIT/GM EX OINT,84.0,84.0,,,0
NDC,0168-0014-31,HYDROCORTISONE 0.5 % EX CREA,2.0,2.0,,,0
NDC,0168-0015-31,HYDROCORTISONE 1 % EX CREA,2.0,2.0,,,0
NDC,0168-0021-35,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,0168-0054-15,NYSTATIN 100000 UNIT/GM EX CREA,87.53,87.53,,,0
NDC,0168-0080-31,HYDROCORTISONE 2.5 % EX CREA,2.0,2.0,,,0
NDC,0168-0099-15,KETOCONAZOLE 2 % EX CREA,2.0,2.0,,,0
NDC,0168-0111-09,BACITRACIN ZINC 500 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,0168-0162-15,CLOBETASOL PROPIONATE 0.05 % EX OINT,621.78,621.78,,,0
NDC,0168-0162-30,CLOBETASOL PROPIONATE 0.05 % EX OINT,1038.96,1038.96,,,0
NDC,0168-0163-15,CLOBETASOL PROPIONATE 0.05 % EX CREA,512.94,512.94,,,0
NDC,0168-0181-31,HYDROCORTISONE 1 % EX OINT,2.0,2.0,,,0
NDC,0168-0204-37,LIDOCAINE 5 % EX OINT,1200.0,1200.0,,,0
NDC,0168-0288-02,HYDROCORTISONE 2.5 % EX LOTN,2.0,2.0,,,0
NDC,0168-0323-46,METRONIDAZOLE 0.75 % EX CREA,375.0,375.0,,,0
NDC,0169-1833-11,INSULIN REGULAR HUMAN 100 UNIT/ML IJ SOLN,3.5549999999999997,3.5549999999999997,,,0
NDC,0169-1834-11,INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP,3.37,3.37,,,0
NDC,0169-7065-15,GLUCAGON HCL (RDNA) 1 MG IJ SOLR,1083.9,1083.9,,,0
NDC,0169-7201-01,COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR,7.77,7.77,,,0
NDC,0169-7202-01,COAGULATION FACTOR VIIA RECOMB 2000 MCG IV SOLR,7.77,7.77,,,0
NDC,0172-2083-80,HYDROCHLOROTHIAZIDE 25 MG PO TABS,15.0,15.0,,,0
NDC,0172-2089-60,HYDROCHLOROTHIAZIDE 50 MG PO TABS,15.0,15.0,,,0
NDC,0172-3926-60,DIAZEPAM 5 MG PO TABS,37.0,37.0,,,0
NDC,0172-5410-46,FLUCONAZOLE 50 MG PO TABS,30.64,30.64,,,0
NDC,0172-5411-46,FLUCONAZOLE 100 MG PO TABS,42.9,42.9,,,0
NDC,0172-5728-70,FAMOTIDINE 20 MG PO TABS,2.0,2.0,,,0
NDC,0173-0449-02,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,873.84,873.84,,,0
NDC,0173-0519-00,EPOPROSTENOL SODIUM 1.5 MG IV SOLR,126.4,126.4,,,0
NDC,0173-0521-00,SALMETEROL XINAFOATE 50 MCG/ACT IN AEPB,1524.42,1524.42,,,0
NDC,0173-0547-00,ATOVAQUONE 750 MG/5ML PO SUSP,119.36,119.36,,,0
NDC,0173-0633-02,LAMOTRIGINE 25 MG PO TABS,36.75,36.75,,,0
NDC,0173-0642-55,LAMOTRIGINE 100 MG PO TABS,46.08,46.08,,,0
NDC,0173-0682-20,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,342.09,342.09,,,0
NDC,0173-0682-24,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,136.05,136.05,,,0
NDC,0173-0712-15,DUTASTERIDE 0.5 MG PO CAPS,55.0,55.0,,,0
NDC,0173-0718-20,FLUTICASONE PROPIONATE HFA 44 MCG/ACT IN AERO,981.82,981.82,,,0
NDC,0173-0719-20,FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO,1200.0,1200.0,,,0
NDC,0173-0736-01,SUMATRIPTAN SUCCINATE 50 MG PO TABS,272.59,272.59,,,0
NDC,0173-0874-14,FLUTICASONE FUROATE 100 MCG/ACT IN AEPB,466.98,466.98,,,0
NDC,0173-0876-14,FLUTICASONE FUROATE 200 MCG/ACT IN AEPB,625.24,625.24,,,0
NDC,0173-0884-08,OMEGA-3-ACID ETHYL ESTERS 1 G PO CAPS,1.33,1.33,,,0
NDC,0173-0888-10,FLUTICASONE FUROATE 50 MCG/ACT IN AEPB,33.36,33.36,,,0
NDC,0173-0898-03,DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN,411.39,411.39,,,0
NDC,0173-0933-08,VALACYCLOVIR HCL 500 MG PO TABS,61.56,61.56,,,0
NDC,0185-0118-01,LABETALOL HCL 300 MG PO TABS,15.0,15.0,,,0
NDC,0185-0122-01,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS,14.32,14.32,,,0
NDC,0185-0129-01,BUMETANIDE 1 MG PO TABS,12.5,12.5,,,0
NDC,0185-0130-01,BUMETANIDE 2 MG PO TABS,14.03,14.03,,,0
NDC,0185-0371-01,CITALOPRAM HYDROBROMIDE 10 MG PO TABS,15.0,15.0,,,0
NDC,0185-0602-01,LISINOPRIL 2.5 MG PO TABS,10.0,10.0,,,0
NDC,0185-0610-01,LISINOPRIL 10 MG PO TABS,13.33,13.33,,,0
NDC,0185-0620-01,LISINOPRIL 20 MG PO TABS,11.25,11.25,,,0
NDC,0185-0640-10,LISINOPRIL 40 MG PO TABS,15.0,15.0,,,0
NDC,0185-0939-98,CHOLESTYRAMINE LIGHT 4 G PO PACK,18.43,18.43,,,0
NDC,0186-0370-20,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO,1405.67,1405.67,,,0
NDC,0186-0370-28,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO,871.26,871.26,,,0
NDC,0186-0372-28,BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO,735.69,735.69,,,0
NDC,0186-0777-39,TICAGRELOR 90 MG PO TABS,48.17,48.17,,,0
NDC,0186-4050-01,ESOMEPRAZOLE MAGNESIUM 5MG PO PACK (PEDIATRIC),40.38,40.38,,,0
NDC,0187-0797-42,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24,174.96,174.96,,,0
NDC,0187-0994-45,ACYCLOVIR 5 % EX CREA,960.0,960.0,,,0
NDC,0187-1704-05,PHYTONADIONE 5 MG PO TABS,1.33,1.33,,,0
NDC,0187-3010-30,PYRIDOSTIGMINE BROMIDE 60 MG PO TABS,96.21,96.21,,,0
NDC,0206-8852-16,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR,34.84,34.84,,,0
NDC,0206-8854-16,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),28.865000000000002,28.865000000000002,,,0
NDC,0206-8855-16,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),28.84,28.84,,,0
NDC,0206-8861-02,PIPERACILLIN-TAZOBACTAM IN DEX 3-0.375 GM/50ML IV SOLN,5.92,5.92,,,0
NDC,0223-1760-01,SODIUM CHLORIDE 1 G PO TABS,1.33,1.33,,,0
NDC,0224180100,PSYLLIUM VARIABLE DOSE POWDER SF SH,1.67,1.67,,,0
NDC,0225-0525-47,AYR SALINE NASAL NA GEL,2.0,2.0,,,0
NDC,0228-2027-10,ALPRAZOLAM 0.25 MG PO TABS,22.22,22.22,,,0
NDC,0228-2029-10,ALPRAZOLAM 0.5 MG PO TABS,26.11,26.11,,,0
NDC,0228-2127-10,CLONIDINE HCL 0.1 MG PO TABS,10.0,10.0,,,0
NDC,0228-2128-10,CLONIDINE HCL 0.2 MG PO TABS,15.0,15.0,,,0
NDC,0228-2129-10,CLONIDINE HCL 0.3 MG PO TABS,15.0,15.0,,,0
NDC,0228-2497-10,NIFEDIPINE 10 MG PO CAPS,15.0,15.0,,,0
NDC,0228-2530-10,NIFEDIPINE 20 MG PO CAPS,15.0,15.0,,,0
NDC,0228-2538-10,CARBIDOPA-LEVODOPA 10-100 MG PO TABS,15.0,15.0,,,0
NDC,0228-2637-11,GABAPENTIN 800 MG PO TABS,16.67,16.67,,,0
NDC,0228-3153-03,BUPRENORPHINE HCL 8 MG SL SUBL,33.03,33.03,,,0
NDC,0228-3156-03,BUPRENORPHINE HCL 2 MG SL SUBL,40.0,40.0,,,0
NDC,0234-0575-17,CHLORHEXIDINE GLUCONATE 4 % EX LIQD,1.93,1.93,,,0
NDC,0245-0012-01,SOTALOL HCL 80 MG PO TABS,13.31,13.31,,,0
NDC,0245-0036-42,CHOLESTYRAMINE LIGHT 4 G PO PACK,28.11,28.11,,,0
NDC,0245-0041-01,POTASSIUM CHLORIDE CR 10 MEQ PO TBCR SH,6.82,6.82,,,0
NDC,0245-0145-01,AMIODARONE HCL 400 MG PO TABS,63.39,63.39,,,0
NDC,0245-0147-01,AMIODARONE HCL 200 MG PO TABS,36.37,36.37,,,0
NDC,0245-0212-01,MIDODRINE HCL 5 MG PO TABS,23.58,23.58,,,0
NDC,0245-0212-11,MIDODRINE HCL 5 MG PO TABS,18.59,18.59,,,0
NDC,0245-1645-01,AMIODARONE HCL 400 MG PO TABS,60.03,60.03,,,0
NDC,0245-5316-89,POTASSIUM CHLORIDE CR 10 MEQ PO TBCR SH,7.5,7.5,,,0
NDC,0245-5317-89,POTASSIUM CHLORIDE CR 10 MEQ PO TBCR SH,9.03,9.03,,,0
NDC,0245-5319-89,POTASSIUM CHLORIDE CR 20 MEQ PO TBCR SH,10.025,10.025,,,0
NDC,0264-1280-55,D50W IV SOLN PRELOAD SYRINGE (IO),75.0,75.0,,,0
NDC,0264-2101-00,STERILE WATER FOR IRRIGATION IR SOLN,75.0,75.0,,,0
NDC,0264-2201-10,NACL 0.9% IR SOLN,75.0,75.0,,,0
NDC,0264-2304-00,ACETIC ACID 0.25 % IR SOLN,75.0,75.0,,,0
NDC,0264-3105-11,CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR,31.009999999999998,31.009999999999998,,,0
NDC,0264-3200-55,TPN ADULT CPMC,1000.0,1000.0,,,0
NDC,0264-4206-54,MAGNESIUM SULFATE 4G/100ML SW IV DRIP (PREMIX) SH,9.38,9.38,,,0
NDC,0264-4400-54,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,37.235,37.235,,,0
NDC,0264-4850-01,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,1.68,1.68,,,0
NDC,0264-7389-60,LACTATED RINGERS IR SOLN,72.27,72.27,,,0
NDC,0264-7520-10,D10W IV SOLN,75.0,75.0,,,0
NDC,0264-7610-00,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,33.89,33.89,,,0
NDC,0264-7612-00,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN,34.62,34.62,,,0
NDC,0264-7616-00,D5W - NACL 0.2% IV SOLN,37.5,37.5,,,0
NDC,0264-7622-00,D10W - NACL 0.45% IV SOLN,72.32,72.32,,,0
NDC,0264-7635-00,"D5W - NACL 0.45% WITH KCL 20 MEQ 1,000 ML",7.5,7.5,,,0
NDC,0264-7652-00,"D5W - NACL 0.9% WITH KCL 20 MEQ 1,000 ML",5.9,5.9,,,0
NDC,0264-7750-00,LACTATED RINGERS IV SOLN,75.0,75.0,,,0
NDC,0264-7750-10,LACTATED RINGERS IV SOLN,75.0,75.0,,,0
NDC,0264-7751-00,D5W - LACTATED RINGERS IV SOLN,43.025,43.025,,,0
NDC,0264-7751-10,D5W - LACTATED RINGERS IV SOLN,72.11500000000001,72.11500000000001,,,0
NDC,0264-7800-00,NACL 0.9% BOLUS IV SOLN CUSTOM CREATE,75.0,75.0,,,0
NDC,0264-7800-10,NACL 0.9% IV SOLN,73.02,73.02,,,0
NDC,0264-9341-55,TPN NEONATAL CPMC,1000.0,1000.0,,,0
NDC,0264-9598-20,LIDOCAINE IN D5W 8-5 MG/ML-% IV SOLN,0.38,0.38,,,0
NDC,0270-0149-57,DIATRIZOATE MEGLUMINE 30 % UR SOLN,0.55,0.55,,,0
NDC,0270-0556-15,SINCALIDE 5 MCG IJ SOLR,296.635,296.635,,,0
NDC,0270-1315-25,IOPAMIDOL 61 % IV SOLN,4.895,4.895,,,0
NDC,0270-1315-30,IOPAMIDOL 61 % IV SOLN,1.57,1.57,,,0
NDC,0270-1316-35,IOPAMIDOL 76 % IV SOLN,3.365,3.365,,,0
NDC,0270-1410-30,DIATRIZOATE MEGLUMINE 18 % UR SOLN,0.37,0.37,,,0
NDC,0270-7097-07,SULFUR HEXAFLUORIDE MICROSPH 60.7-25 MG IJ SUSR,64.045,64.045,,,0
NDC,0270-7099-16,SULFUR HEXAFLUORIDE MICROSPH 60.7-25 MG IJ SUSR,63.195,63.195,,,0
NDC,0281-0205-02,SURGILUBE EX GEL,2.0,2.0,,,0
NDC,0281-0326-08,NITROGLYCERIN 2 % TD OINT,14.76,14.76,,,0
NDC,0283-0679-02,BENZOCAINE 20 % MT AERO,2.0,2.0,,,0
NDC,0299-0241-32,CETAPHIL MOISTURIZING EX LOTN,2.0,2.0,,,0
NDC,0310-0272-10,QUETIAPINE FUMARATE 200 MG PO TABS,49.05,49.05,,,0
NDC,0310-0275-10,QUETIAPINE FUMARATE 25 MG PO TABS,24.46,24.46,,,0
NDC,0310-0752-90,ROSUVASTATIN CALCIUM 20 MG PO TABS,44.25,44.25,,,0
NDC,0310-1105-30,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PO PACK,100.0,100.0,,,0
NDC,0310-1110-30,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,99.92,99.92,,,0
NDC,0310-1110-39,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,100.0,100.0,,,0
NDC,0310-1969-30,NALOXEGOL OXALATE 12.5 MG PO TABS,56.86,56.86,,,0
NDC,0310-1970-30,NALOXEGOL OXALATE 25 MG PO TABS,56.86,56.86,,,0
NDC,0310-4535-30,TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN,234.0,234.0,,,0
NDC,0310-4611-50,DURVALUMAB 500 MG/10ML IV SOLN,144.43,144.43,,,0
NDC,0310-6205-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG PO TABS,92.48,92.48,,,0
NDC,0310-6210-30,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,84.05,84.05,,,0
NDC,0310-6210-39,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,90.17,90.17,,,0
NDC,0310-7370-20,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO,1208.88,1208.88,,,0
NDC,0310-7372-20,BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO,516.49,516.49,,,0
NDC,0316-0225-15,MICONAZOLE NITRATE 2 % EX POWD,2.0,2.0,,,0
NDC,0316-0229-75,CAMPHOR-MENTHOL 0.5-0.5 % EX LOTN,2.0,2.0,,,0
NDC,0316-0234-75,PRAMOXINE-MENTHOL 1-0.5 % EX LOTN,2.0,2.0,,,0
NDC,0338-0003-44,STERILE WATER FOR IRRIGATION IR SOLN,52.44499999999999,52.44499999999999,,,0
NDC,0338-0003-47,STERILE WATER FOR IRRIGATION IR SOLN,39.86,39.86,,,0
NDC,0338-0004-02,STERILE WATER FOR IRRIGATION IR SOLN,14.55,14.55,,,0
NDC,0338-0004-03,STERILE WATER FOR IRRIGATION IR SOLN,75.0,75.0,,,0
NDC,0338-0004-04,STERILE WATER FOR IRRIGATION IR SOLN,55.435,55.435,,,0
NDC,0338-0013-04,STERILE WATER FOR INJECTION IJ SOLN,3.39,3.39,,,0
NDC,0338-0017-02,D5W IV SOLN,12.3,12.3,,,0
NDC,0338-0017-03,D5W IV SOLN,73.77,73.77,,,0
NDC,0338-0017-04,D5W IV SOLN,71.185,71.185,,,0
NDC,0338-0017-41,D5W IV SOLN,10.5,10.5,,,0
NDC,0338-0017-48,D5W IV SOLN,10.95,10.95,,,0
NDC,0338-0023-03,D10W NEO IV SOLN,73.74,73.74,,,0
NDC,0338-0023-04,D10W IV SOLN,73.58,73.58,,,0
NDC,0338-0043-03,NACL 0.45% IV SOLN,75.0,75.0,,,0
NDC,0338-0043-04,NACL 0.45% IV SOLN,74.86,74.86,,,0
NDC,0338-0047-27,NACL 0.9% IR SOLN,75.0,75.0,,,0
NDC,0338-0047-44,NACL 0.9% IR SOLN,70.8,70.8,,,0
NDC,0338-0048-03,NACL 0.9% IR SOLN,72.21,72.21,,,0
NDC,0338-0048-04,NACL 0.9% IR SOLN,75.0,75.0,,,0
NDC,0338-0049-02,NACL 0.9% IV SOLN FOR LINE FLUSH OR PRIME TKO,11.73,11.73,,,0
NDC,0338-0049-03,NACL 0.9% IV SOLN FOR LINE FLUSH OR PRIME TKO,69.405,69.405,,,0
NDC,0338-0049-04,NACL 0.9% FLUSH IJ SOLN RADIOLOGY SH,72.9,72.9,,,0
NDC,0338-0054-03,NACL 3% IV CONTINUOUS INFUSION,74.355,74.355,,,0
NDC,0338-0063-01,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,1875.0,1875.0,,,0
NDC,0338-0067-01,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,1495.835,1495.835,,,0
NDC,0338-0072-25,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,38.135000000000005,38.135000000000005,,,0
NDC,0338-0077-04,D5W - NACL 0.2% IV SOLN,37.5,37.5,,,0
NDC,0338-0085-03,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN,69.64500000000001,69.64500000000001,,,0
NDC,0338-0085-04,D5W - NACL 0.45% IV SOLN,37.5,37.5,,,0
NDC,0338-0089-03,D5W - NACL 0.9% IV SOLN,75.0,75.0,,,0
NDC,0338-0089-04,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,37.5,37.5,,,0
NDC,0338-0117-03,LACTATED RINGERS IV SOLN,74.28999999999999,74.28999999999999,,,0
NDC,0338-0117-04,LACTATED RINGERS IV SOLN,63.8,63.8,,,0
NDC,0338-0125-03,D5W - LACTATED RINGERS IV SOLN,75.0,75.0,,,0
NDC,0338-0125-04,D5W - LACTATED RINGERS IV SOLN,72.57,72.57,,,0
NDC,0338-0126-12,INSULIN REG HUMAN 100 UNITS/100ML NS IV DRIP GEN MED (PREMIX) SH,0.5,0.5,,,0
NDC,0338-0221-04,PLASMA-LYTE A IV SOLN,115.17500000000001,115.17500000000001,,,0
NDC,0338-0322-01,THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR,412.8,412.8,,,0
NDC,0338-0324-01,THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR,412.8,412.8,,,0
NDC,0338-0357-02,MANNITOL 20 % IV SOLN,332.03,332.03,,,0
NDC,0338-0357-03,MANNITOL 20% IVPB INTERMITTENT SH,192.74,192.74,,,0
NDC,0338-0411-02,LIDOCAINE IN D5W 8-5 MG/ML-% IV SOLN,3.94,3.94,,,0
NDC,0338-0424-18,HEPARIN (PORCINE) 2 UNITS/ML 0.9% NACL LINE PATENCY DRIP (PREMIX) SH,75.0,75.0,,,0
NDC,0338-0503-48,GENTAMICIN IN SALINE 0.8-0.9 MG/ML-% IV SOLN,58.620000000000005,58.620000000000005,,,0
NDC,0338-0505-48,GENTAMICIN IN SALINE 1-0.9 MG/ML-% IV SOLN,37.5,37.5,,,0
NDC,0338-0507-48,GENTAMICIN IN SALINE 1.2-0.9 MG/ML-% IV SOLN (120MG/100ML),37.5,37.5,,,0
NDC,0338-0511-41,GENTAMICIN 2MG/ML NS IV SYRINGE (PEDIATRIC) SH,75.0,75.0,,,0
NDC,0338-0519-09,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL,367.25,367.25,,,0
NDC,0338-0519-58,FAT EMULSION 20% IV (NEONATAL),77.73,77.73,,,0
NDC,0338-0644-03,TPN NEONATAL CPMC,1000.0,1000.0,,,0
NDC,0338-0656-04,ACETIC ACID 0.25 % IR SOLN,75.0,75.0,,,0
NDC,0338-0669-04,"D5W - NACL 0.45% WITH KCL 10 MEQ 1,000 ML",16.8,16.8,,,0
NDC,0338-0671-04,"D5W - NACL 0.45% WITH KCL 20 MEQ 1,000 ML",7.495,7.495,,,0
NDC,0338-0675-04,"D5W - NACL 0.45% WITH KCL 40 MEQ 1,000 ML",4.2,4.2,,,0
NDC,0338-0691-04,NACL 0.9% WITH KCL 20 MEQ 1000 ML,8.64,8.64,,,0
NDC,0338-0704-34,NACL 0.45% WITH KCL 20 MEQ 1000 ML,7.835,7.835,,,0
NDC,0338-0705-48,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,7.5,7.5,,,0
NDC,0338-0709-48,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,14.95,14.95,,,0
NDC,0338-0719-06,D70W IV SOLN,75.0,75.0,,,0
NDC,0338-0722-01,PEMETREXED DISODIUM 500 MG/20ML IV (WET SOLR VIAL),23.4,23.4,,,0
NDC,0338-0803-04,"D5W - NACL 0.9% WITH KCL 20 MEQ 1,000 ML",7.51,7.51,,,0
NDC,0338-0811-04,"D5W - LACTATED RINGERS WITH KCL 20 MEQ 1,000 ML",9.1,9.1,,,0
NDC,0338-1007-02,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN,63.16,63.16,,,0
NDC,0338-1009-02,DOPAMINE-DEXTROSE 3.2-5 MG/ML-% IV SOLN,8.375,8.375,,,0
NDC,0338-1047-02,NITROGLYCERIN 100MCG/ML INJ,56.25,56.25,,,0
NDC,0338-1049-02,NITROGLYCERIN 200MCG/ML INJ SH,18.9,18.9,,,0
NDC,0338-1055-48,METRONIDAZOLE 500 MG/100ML IV SOLN,1.85,1.85,,,0
NDC,0338-1075-02,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN,156.0,156.0,,,0
NDC,0338-1305-01,MESNA 100 MG/ML IV SOLN,75.0,75.0,,,0
NDC,0338-1708-40,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,26.42,26.42,,,0
NDC,0338-1709-40,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,37.43,37.43,,,0
NDC,0338-1715-40,MAGNESIUM SULFATE 4G/100ML SW IV DRIP (PREMIX) SH,9.38,9.38,,,0
NDC,0338-3410-24,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,74.255,74.255,,,0
NDC,0338-3552-48,VANCOMYCIN 5 MG/ML IV SYRINGE (PEDIATRIC) SH,103.04,103.04,,,0
NDC,0338-3580-48,VANCOMYCIN HCL IN DEXTROSE 750-5 MG/150ML-% IV SOLN,49.585,49.585,,,0
NDC,0338-3612-24,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,44.8,44.8,,,0
NDC,0338-3814-24,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,36.52,36.52,,,0
NDC,0338-6010-48,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN,62.98,62.98,,,0
NDC,0338-6045-37,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,87.5,87.5,,,0
NDC,0338-9640-12,VASOPRESSIN-SODIUM CHLORIDE 20-0.9 UT/100ML-% IV SOLN,29.25,29.25,,,0
NDC,0363-0871-34,HYDROGEN PEROXIDE 3 % EX SOLN,2.0,2.0,,,0
NDC,0363-4122-50,NICOTINE POLACRILEX 2 MG MT GUM,2.0,2.0,,,0
NDC,0378-0088-01,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR,15.0,15.0,,,0
NDC,0378-0156-01,PROBENECID 500 MG PO TABS,15.0,15.0,,,0
NDC,0378-0222-01,CHLORTHALIDONE 25 MG PO TABS,15.0,15.0,,,0
NDC,0378-0415-01,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS,26.67,26.67,,,0
NDC,0378-0437-01,SPIRONOLACTONE 100 MG PO TABS,7.83,7.83,,,0
NDC,0378-0494-01,NIFEDIPINE ER OSMOTIC RELEASE 90 MG PO TB24,15.0,15.0,,,0
NDC,0378-0641-01,PREDNISONE 10 MG PO TABS,1.92,1.92,,,0
NDC,0378-0810-01,HYDROCHLOROTHIAZIDE 12.5 MG PO CAPS,15.0,15.0,,,0
NDC,0378-0871-99,CLONIDINE 0.1 MG/24HR TD PTWK,100.0,100.0,,,0
NDC,0378-0872-99,CLONIDINE 0.2 MG/24HR TD PTWK,167.3,167.3,,,0
NDC,0378-0873-99,CLONIDINE 0.3 MG/24HR TD PTWK,232.08,232.08,,,0
NDC,0378-1171-01,NADOLOL 40 MG PO TABS,21.83,21.83,,,0
NDC,0378-1811-77,LEVOTHYROXINE SODIUM 112 MCG PO TABS,15.0,15.0,,,0
NDC,0378-1901-01,MIDODRINE HCL 2.5 MG PO TABS,7.5,7.5,,,0
NDC,0378-1903-01,MIDODRINE HCL 10 MG PO TABS,25.29,25.29,,,0
NDC,0378-2042-01,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS,34.47,34.47,,,0
NDC,0378-2695-01,AMITRIPTYLINE HCL 150 MG PO TABS,20.96,20.96,,,0
NDC,0378-3350-99,ESTRADIOL 0.05 MG/24HR TD PTWK,92.83,92.83,,,0
NDC,0378-3351-99,ESTRADIOL 0.075 MG/24HR TD PTWK,92.83,92.83,,,0
NDC,0378-3515-93,MIRTAZAPINE 15 MG PO TABS,14.71,14.71,,,0
NDC,0378-3547-52,MERCAPTOPURINE 50 MG PO TABS,38.335,38.335,,,0
NDC,0378-4890-93,NEVIRAPINE ER 400 MG PO TB24,94.19,94.19,,,0
NDC,0378-5375-01,DOXEPIN HCL 75 MG PO CAPS,9.96,9.96,,,0
NDC,0378-5501-01,ROPINIROLE HCL 1 MG PO TABS,15.0,15.0,,,0
NDC,0378-5502-01,ROPINIROLE HCL 2 MG PO TABS,15.0,15.0,,,0
NDC,0378-5550-01,ROPINIROLE HCL 0.5 MG PO TABS,10.26,10.26,,,0
NDC,0378-6232-01,CITALOPRAM HYDROBROMIDE 20 MG PO TABS,14.91,14.91,,,0
NDC,0378-6982-88,LANSOPRAZOLE 30 MG PO TBDD,51.83,51.83,,,0
NDC,0378-6997-89,SODIUM CHLORIDE 3% IN NEBU,2.0,2.0,,,0
NDC,0378-6998-89,SODIUM CHLORIDE 10 % IN NEBU,2.0,2.0,,,0
NDC,0378-7155-01,BUDESONIDE 3 MG PO CPEP,75.38,75.38,,,0
NDC,0378-7502-32,BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO,1200.0,1200.0,,,0
NDC,0378-7734-93,ONDANSETRON 8 MG PO TBDP,111.4,111.4,,,0
NDC,0378-8270-93,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,4.390000000000001,4.390000000000001,,,0
NDC,0378-9102-93,NITROGLYCERIN 0.1 MG/HR TD PT24,15.0,15.0,,,0
NDC,0378-9112-93,NITROGLYCERIN 0.4 MG/HR TD PT24,15.0,15.0,,,0
NDC,0378-9121-98,FENTANYL 25 MCG/HR TD PT72,65.0,65.0,,,0
NDC,0378-9124-98,FENTANYL 100 MCG/HR TD PT72,160.08,160.08,,,0
NDC,0378-9671-30,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,14.685,14.685,,,0
NDC,0378-9671-93,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,15.0,15.0,,,0
NDC,0395-1031-16,GLYCERIN LIQD,2.0,2.0,,,0
NDC,0406-0123-23,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS,39.705,39.705,,,0
NDC,0406-0123-62,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS,34.88,34.88,,,0
NDC,0406-0124-23,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS,40.0,40.0,,,0
NDC,0406-0124-62,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS,40.0,40.0,,,0
NDC,0406-0125-23,HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS,38.17,38.17,,,0
NDC,0406-0125-62,HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS,40.0,40.0,,,0
NDC,0406-0483-01,ACETAMINOPHEN-CODEINE 300-15 MG PO TABS,40.0,40.0,,,0
NDC,0406-0484-23,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS,25.0,25.0,,,0
NDC,0406-0485-01,ACETAMINOPHEN-CODEINE 300-60 MG PO TABS,40.0,40.0,,,0
NDC,0406-0512-23,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS,38.17,38.17,,,0
NDC,0406-0512-62,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS,28.27,28.27,,,0
NDC,0406-0523-23,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS,39.69,39.69,,,0
NDC,0406-0552-23,OXYCODONE HCL 5 MG PO TABS,26.12,26.12,,,0
NDC,0406-0552-62,OXYCODONE HCL 5 MG PO TABS,31.05,31.05,,,0
NDC,0406-1170-03,NALTREXONE HCL 50 MG PO TABS,22.23,22.23,,,0
NDC,0406-1236-01,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS,31.44,31.44,,,0
NDC,0406-3243-01,HYDROMORPHONE HCL 2 MG PO TABS,21.89,21.89,,,0
NDC,0406-3244-01,HYDROMORPHONE HCL 4 MG PO TABS,33.79,33.79,,,0
NDC,0406-3249-01,HYDROMORPHONE HCL 8 MG PO TABS,40.0,40.0,,,0
NDC,0406-5755-23,METHADONE HCL 5 MG PO TABS,30.15,30.15,,,0
NDC,0406-5771-23,METHADONE HCL 10 MG PO TABS,8.63,8.63,,,0
NDC,0406-8315-23,MORPHINE SULFATE ER 15 MG PO TBCR,30.87,30.87,,,0
NDC,0406-8315-62,MORPHINE SULFATE ER 15 MG PO TBCR,28.87,28.87,,,0
NDC,0406-8380-23,MORPHINE SULFATE ER 60 MG PO TBCR,39.48,39.48,,,0
NDC,0406-8390-23,MORPHINE SULFATE ER 100 MG PO TBCR,49.63,49.63,,,0
NDC,0406-8530-23,OXYCODONE HCL 30 MG PO TABS,34.47,34.47,,,0
NDC,0406-9100-76,FENTANYL 100 MCG/HR TD PT72,160.08,160.08,,,0
NDC,0406-9915-01,TEMAZEPAM 7.5 MG PO CAPS,106.21,106.21,,,0
NDC,0406-9961-01,TEMAZEPAM 15 MG PO CAPS,24.71,24.71,,,0
NDC,0407-1411-10,IOHEXOL 180 MG/ML IJ SOLN,13.45,13.45,,,0
NDC,0407-1411-20,IOHEXOL 180 MG/ML IJ SOLN,8.76,8.76,,,0
NDC,0407-1412-10,IOHEXOL 240 MG/ML IJ SOLN,16.34,16.34,,,0
NDC,0407-1412-30,IOHEXOL 240 MG/ML IJ SOLN,2.73,2.73,,,0
NDC,0407-1413-10,IOHEXOL 300 MG/ML IJ SOLN,8.49,8.49,,,0
NDC,0407-1413-42,IOHEXOL 300 MG/ML IJ SOLN,3.7,3.7,,,0
NDC,0407-1413-50,IOHEXOL 300 MG/ML IJ SOLN,3.02,3.02,,,0
NDC,0407-1413-59,IOHEXOL 300 MG/ML IJ SOLN,4.51,4.51,,,0
NDC,0407-1413-61,IOHEXOL 300 MG/ML IJ SOLN,3.335,3.335,,,0
NDC,0407-1413-62,IOHEXOL 300 MG/ML IJ SOLN,3.11,3.11,,,0
NDC,0407-1413-63,IOHEXOL 300 MG/ML IJ SOLN,3.02,3.02,,,0
NDC,0407-1413-65,IOHEXOL 300 MG/ML IJ SOLN,2.92,2.92,,,0
NDC,0407-1413-72,IOHEXOL 300 MG/ML IJ SOLN,2.825,2.825,,,0
NDC,0407-1413-86,IOHEXOL 300 MG/ML IJ SOLN,3.51,3.51,,,0
NDC,0407-1414-03,IOHEXOL 350 MG/ML IV SOLN,3.02,3.02,,,0
NDC,0407-1414-72,IOHEXOL 350 MG/ML IV SOLN,2.855,2.855,,,0
NDC,0407-1414-89,IOHEXOL 350 MG/ML IV SOLN,3.435,3.435,,,0
NDC,0407-1414-90,IOHEXOL 350 MG/ML IV SOLN,3.375,3.375,,,0
NDC,0407-1414-91,IOHEXOL 350 MG/ML IV SOLN,3.385,3.385,,,0
NDC,0407-1414-93,IOHEXOL 350 MG/ML IV SOLN,3.125,3.125,,,0
NDC,0407-1414-98,IOHEXOL 350 MG/ML IV SOLN,3.215,3.215,,,0
NDC,0407-2223-01,IODIXANOL 320 MG/ML IV SOLN,5.0,5.0,,,0
NDC,0407-2223-02,IODIXANOL 320 MG/ML IV SOLN,3.7300000000000004,3.7300000000000004,,,0
NDC,0407-2223-16,IODIXANOL 320 MG/ML IV SOLN,3.5949999999999998,3.5949999999999998,,,0
NDC,0407-2223-17,IODIXANOL 320 MG/ML IV SOLN,3.56,3.56,,,0
NDC,0407-2223-19,IODIXANOL 320 MG/ML IV SOLN,3.34,3.34,,,0
NDC,0407-2223-21,IODIXANOL 320 MG/ML IV SOLN,3.03,3.03,,,0
NDC,0407-2223-23,IODIXANOL 320 MG/ML IV SOLN,3.11,3.11,,,0
NDC,0407-2707-03,PERFLUTREN PROTEIN A MICROSPH IV SUSP,141.48000000000002,141.48000000000002,,,0
NDC,0409-0152-24,METRONIDAZOLE 500 MG/100ML IV SOLN,2.44,2.44,,,0
NDC,0409-0181-01,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,69.63499999999999,69.63499999999999,,,0
NDC,0409-0183-01,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,106.39,106.39,,,0
NDC,0409-0185-01,GEMCITABINE HCL 200 MG IV SOLR,117.66499999999999,117.66499999999999,,,0
NDC,0409-0186-01,GEMCITABINE HCL 1 G IV SOLR,79.22,79.22,,,0
NDC,0409-0201-02,DOCETAXEL 20 MG/2ML IV SOLN,25.810000000000002,25.810000000000002,,,0
NDC,0409-0201-10,DOCETAXEL 80 MG/8ML IV SOLN,23.895,23.895,,,0
NDC,0409-0212-01,MILRINONE LACTATE 20 MG/20ML IV SOLN,30.2,30.2,,,0
NDC,0409-0302-01,TOPOTECAN HCL 4 MG/4ML IV SOLN,13.48,13.48,,,0
NDC,0409-0367-01,DOCETAXEL 160 MG/8ML IV CONC,27.19,27.19,,,0
NDC,0409-0829-11,AZTREONAM 1000 MG/4ML IJ (WET SOLR VIAL),26.729999999999997,26.729999999999997,,,0
NDC,0409-1144-01,VERAPAMIL 100MCG/ML IN NS (CUSTOM) NARRATOR,75.0,75.0,,,0
NDC,0409-1144-05,VERAPAMIL HCL 2.5 MG/ML IV SOLN,227.54,227.54,,,0
NDC,0409-1144-65,VERAPAMIL HCL 2.5 MG/ML IV SOLN,229.19,229.19,,,0
NDC,0409-1159-01,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,1.895,1.895,,,0
NDC,0409-1159-02,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,19.14,19.14,,,0
NDC,0409-1160-01,BUPIVACAINE HCL 0.25 % IJ SOLN,0.9299999999999999,0.9299999999999999,,,0
NDC,0409-1162-01,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,0.75,0.75,,,0
NDC,0409-1162-02,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,0.245,0.245,,,0
NDC,0409-1163-01,BUPIVACAINE HCL 0.5 % IJ SOLN,0.15,0.15,,,0
NDC,0409-1165-01,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,0.45999999999999996,0.45999999999999996,,,0
NDC,0409-1165-02,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,0.15,0.15,,,0
NDC,0409-1176-30,MEPERIDINE HCL 25 MG/ML IJ SOLN,90.235,90.235,,,0
NDC,0409-1207-03,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,37.5,37.5,,,0
NDC,0409-1209-01,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN,69.78,69.78,,,0
NDC,0409-1215-01,NALOXONE HCL 0.4 MG/ML IJ SOLN,176.7,176.7,,,0
NDC,0409-1273-32,DIAZEPAM 5 MG/ML IJ SOLN,95.605,95.605,,,0
NDC,0409-1283-05,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,88.97,88.97,,,0
NDC,0409-1283-31,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,89.75,89.75,,,0
NDC,0409-1312-30,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,0409-1323-15,LIDOCAINE HCL (CARDIAC) 20 MG/ML IV SOLN (ET),7.5,7.5,,,0
NDC,0409-1391-21,"MEROPENEM 1,000 MG/100ML NS (MINIBAG)",17.33,17.33,,,0
NDC,0409-1391-22,MEROPENEM 1 G IV SOLR,16.15,16.15,,,0
NDC,0409-1412-04,BUMETANIDE 0.25 MG/ML IJ SOLN,18.75,18.75,,,0
NDC,0409-1463-71,NALBUPHINE HCL 10 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,0409-1483-02,NITROGLYCERIN 100MCG/ML INJ,75.0,75.0,,,0
NDC,0409-1596-01,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN,389.57,389.57,,,0
NDC,0409-1632-01,VECURONIUM BROMIDE 10 MG IV SOLR,70.78,70.78,,,0
NDC,0409-1638-02,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN,69.94,69.94,,,0
NDC,0409-1660-10,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN,390.0,390.0,,,0
NDC,0409-1660-35,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN,390.0,390.0,,,0
NDC,0409-1660-50,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML IV SOLN,218.4,218.4,,,0
NDC,0409-1746-30,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN,86.29,86.29,,,0
NDC,0409-1749-29,BUPIVACAINE-EPINEPHRINE (PF) 0.5% -1:200000 IJ SOLN,74.12,74.12,,,0
NDC,0409-1752-50,BUPIVACAINE-EPINEPHRINE 0.25% -1:200000 IJ SOLN,0.4,0.4,,,0
NDC,0409-1778-05,METOPROLOL TARTRATE 5 MG/5ML IV SOLN,70.9,70.9,,,0
NDC,0409-1886-02,LEVETIRACETAM 100MG/ML IV SYRINGE LOADING DOSE SH,0.7,0.7,,,0
NDC,0409-1890-01,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,89.715,89.715,,,0
NDC,0409-1891-01,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,90.0,90.0,,,0
NDC,0409-1893-01,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN,90.0,90.0,,,0
NDC,0409-1902-01,PROCAINAMIDE HCL 100 MG/ML IJ SOLN,718.12,718.12,,,0
NDC,0409-1902-11,PROCAINAMIDE HCL 100 MG/ML IJ SOLN,718.06,718.06,,,0
NDC,0409-1932-01,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,42.965,42.965,,,0
NDC,0409-1985-30,LORAZEPAM 2 MG/ML IJ SOLN,85.535,85.535,,,0
NDC,0409-2051-05,KETAMINE HCL 100 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,0409-2066-05,LIDOCAINE HCL (PF) 2 % IJ SOLN,9.7,9.7,,,0
NDC,0409-2267-20,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,43.92,43.92,,,0
NDC,0409-2305-05,MIDAZOLAM HCL 1 MG/ML IJ SOLN - CONSOLIDATED,23.785,23.785,,,0
NDC,0409-2305-17,MIDAZOLAM HCL 1 MG/ML IJ SOLN - CONSOLIDATED,44.86,44.86,,,0
NDC,0409-2308-01,MIDAZOLAM HCL 5 MG/ML IJ SOLN - CONSOLIDATED,14.295,14.295,,,0
NDC,0409-2339-34,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,37.5,37.5,,,0
NDC,0409-2344-01,DOBUTAMINE HCL 250 MG/20ML IV SOLN,61.88,61.88,,,0
NDC,0409-2344-02,DOBUTAMINE HCL 250 MG/20ML IV SOLN,58.35,58.35,,,0
NDC,0409-2347-31,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN,64.75,64.75,,,0
NDC,0409-2347-32,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN,53.71,53.71,,,0
NDC,0409-2596-05,MIDAZOLAM HCL 5 MG/ML IJ SOLN - CONSOLIDATED,13.865,13.865,,,0
NDC,0409-2634-05,HYDROMORPHONE HCL PF 50 MG/5ML IJ SOLN,7.94,7.94,,,0
NDC,0409-2720-01,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,75.0,75.0,,,0
NDC,0409-2720-02,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,3.125,3.125,,,0
NDC,0409-2723-01,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,15.285,15.285,,,0
NDC,0409-2776-23,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN,33.6,33.6,,,0
NDC,0409-3177-01,LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN,75.0,75.0,,,0
NDC,0409-3178-01,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,72.43,72.43,,,0
NDC,0409-3178-02,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,75.0,75.0,,,0
NDC,0409-3181-01,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN PF,75.0,75.0,,,0
NDC,0409-3182-01,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN,70.7,70.7,,,0
NDC,0409-3183-01,LIDOCAINE-EPINEPHRINE 2%-1:200000 IJ SOLN PF,69.7,69.7,,,0
NDC,0409-3189-05,ROCURONIUM BROMIDE 10 MG/ML IV SOLN - CONSOLIDATED,75.0,75.0,,,0
NDC,0409-3300-01,CIPROFLOXACIN 400MG/200ML D5W (PREMIX) CUSTOM-CREATE,37.5,37.5,,,0
NDC,0409-3307-03,ACETYLCYSTEINE 10 % IN SOLN,15.0,15.0,,,0
NDC,0409-3307-11,ACETYLCYSTEINE 10 % IN SOLN,15.56,15.56,,,0
NDC,0409-3308-03,ACETYLCYSTEINE 20 % ORAL SOLN CUSTOM CREATE,32.745000000000005,32.745000000000005,,,0
NDC,0409-3365-01,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,87.745,87.745,,,0
NDC,0409-3378-11,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),32.28,32.28,,,0
NDC,0409-3379-04,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),32.76,32.76,,,0
NDC,0409-3382-22,SUFENTANIL CITRATE 100 MCG/2ML IV SOLN,90.0,90.0,,,0
NDC,0409-3385-11,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),29.28,29.28,,,0
NDC,0409-3390-11,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),29.28,29.28,,,0
NDC,0409-3414-01,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,69.25,69.25,,,0
NDC,0409-3506-01,"MEROPENEM 1,000 MG/100ML NS (MINIBAG)",22.975,22.975,,,0
NDC,0409-3515-01,VANCOMYCIN 1500MG/250ML 0.9% NACL (VIAL-MATE),73.955,73.955,,,0
NDC,0409-3578-01,TOBRAMYCIN SULFATE 40 MG/ML IJ SOLN - CONSOLIDATED,50.019999999999996,50.019999999999996,,,0
NDC,0409-3613-01,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN,4.09,4.09,,,0
NDC,0409-3793-01,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,0409-3796-01,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,28.125,28.125,,,0
NDC,0409-3814-12,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN,96.38499999999999,96.38499999999999,,,0
NDC,0409-3815-12,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,0409-4031-01,MANNITOL 25 % IV SOLN,37.5,37.5,,,0
NDC,0409-4192-05,TPN NEONATAL CPMC,1000.0,1000.0,,,0
NDC,0409-4264-01,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,89.99000000000001,89.99000000000001,,,0
NDC,0409-4264-11,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,0409-4275-01,LIDOCAINE HCL 0.5 % IJ SOLN,3.0,3.0,,,0
NDC,0409-4276-01,LIDOCAINE HCL 1 % IJ SOLN,6.5,6.5,,,0
NDC,0409-4276-02,LIDOCAINE HCL 1 % IJ SOLN,2.05,2.05,,,0
NDC,0409-4277-01,LIDOCAINE HCL 2 % IJ SOLN,1.87,1.87,,,0
NDC,0409-4279-02,LIDOCAINE HCL (PF) 1 % IJ SOLN,3.41,3.41,,,0
NDC,0409-4282-02,LIDOCAINE HCL (PF) 2 % IJ SOLN,2.775,2.775,,,0
NDC,0409-4283-01,LIDOCAINE HCL (PF) 4 % IJ SOLN,2.48,2.48,,,0
NDC,0409-4332-01,VANCOMYCIN 500 MG/100ML NS (MINIBAG),71.83,71.83,,,0
NDC,0409-4332-49,VANCOMYCIN 50MG/ML PO SOLN *COMPOUNDED*,15.0,15.0,,,0
NDC,0409-4346-73,AMINOCAPROIC ACID 250 MG/ML IV SOLN,65.905,65.905,,,0
NDC,0409-4688-12,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,37.5,37.5,,,0
NDC,0409-4699-24,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,1.81,1.81,,,0
NDC,0409-4699-30,PROPOFOL 200 MG/20ML IV EMUL,6.82,6.82,,,0
NDC,0409-4699-33,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,1.81,1.81,,,0
NDC,0409-4713-02,LIDOCAINE HCL (PF) 1 % IJ SOLN,15.0,15.0,,,0
NDC,0409-4755-03,ONDANSETRON HCL 4 MG/2ML IJ SOLN,18.75,18.75,,,0
NDC,0409-4759-01,ONDANSETRON HCL 40 MG/20ML IJ SOLN,4.54,4.54,,,0
NDC,0409-4776-01,LIDOCAINE HCL (PF) 1.5 % IJ SOLN,2.84,2.84,,,0
NDC,0409-4777-02,CIPROFLOXACIN 400MG/200ML D5W (PREMIX) CUSTOM-CREATE,37.5,37.5,,,0
NDC,0409-4777-23,CIPROFLOXACIN 200MG/100ML D5W (PREMIX) CUSTOM-CREATE,39.05,39.05,,,0
NDC,0409-4777-49,CIPROFLOXACIN 2MG/ML IV SYRINGE (PEDIATRIC) SH,75.0,75.0,,,0
NDC,0409-4887-10,STERILE WATER FOR INJECTION IJ SOLN,6.01,6.01,,,0
NDC,0409-4888-10,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,72.83,72.83,,,0
NDC,0409-4888-20,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,57.12,57.12,,,0
NDC,0409-4888-50,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,74.41,74.41,,,0
NDC,0409-4900-24,SODIUM BICARBONATE 8.4 % IV SOLN,184.15,184.15,,,0
NDC,0409-4900-34,SODIUM BICARBONATE 8.4 % IV SOLN,97.92,97.92,,,0
NDC,0409-4902-34,D50W IV SOLN PRELOAD SYRINGE,69.575,69.575,,,0
NDC,0409-4903-34,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY,7.34,7.34,,,0
NDC,0409-4904-34,LIDOCAINE HCL (CARDIAC) 50 MG/5ML IV SOSY,30.23,30.23,,,0
NDC,0409-4911-11,ATROPINE SULFATE 1 MG/10ML IJ SOSY,1.39,1.39,,,0
NDC,0409-4911-34,ATROPINE SULFATE 1 MG/10ML IJ SOSY,1.66,1.66,,,0
NDC,0409-4921-34,EPINEPHRINE HCL 0.1 MG/ML IJ SOLN (IO),7.26,7.26,,,0
NDC,0409-4928-34,CALCIUM CHLORIDE 10 % IV SOLN,115.15,115.15,,,0
NDC,0409-4933-11,EPINEPHRINE 1 MG/10ML IJ SOSY,9.195,9.195,,,0
NDC,0409-5534-34,SODIUM BICARBONATE 4.2 % IV SOLN,63.68,63.68,,,0
NDC,0409-5555-01,SODIUM BICARBONATE 4.2 % IV SOLN,55.05,55.05,,,0
NDC,0409-5555-12,SODIUM BICARBONATE 4.2 % IV SOLN,57.35,57.35,,,0
NDC,0409-5921-01,AMINOPHYLLINE 25 MG/ML IV SOLN,69.705,69.705,,,0
NDC,0409-5922-01,AMINOPHYLLINE 25 MG/ML IV SOLN,31.57,31.57,,,0
NDC,0409-5922-16,AMINOPHYLLINE 25 MG/ML IV SOLN,75.0,75.0,,,0
NDC,0409-6102-02,FUROSEMIDE 10 MG/ML IJ SOLN,67.98,67.98,,,0
NDC,0409-6102-04,FUROSEMIDE 10 MG/ML IJ SOLN,31.355,31.355,,,0
NDC,0409-6102-10,FUROSEMIDE 10 MG/ML IJ SOLN,15.11,15.11,,,0
NDC,0409-6138-03,NACL 0.9% IR SOLN,68.76,68.76,,,0
NDC,0409-6143-22,ACETIC ACID 0.25 % IR SOLN,54.17,54.17,,,0
NDC,0409-6482-01,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,484.94500000000005,484.94500000000005,,,0
NDC,0409-6509-01,VANCOMYCIN HCL 5 G IV SOLR,75.0,75.0,,,0
NDC,0409-6531-02,VANCOMYCIN 750MG/250ML NS (VIAL-MATE),41.335,41.335,,,0
NDC,0409-6533-01,"VANCOMYCIN 1,000MG/250ML 0.9% NACL (VIAL-MATE)",67.37,67.37,,,0
NDC,0409-6533-21,"VANCOMYCIN 1,000MG/250ML 0.9% NACL (VIAL-MATE)",63.83,63.83,,,0
NDC,0409-6625-02,SODIUM BICARBONATE 8.4 % IV SOLN,77.65,77.65,,,0
NDC,0409-6625-14,SODIUM BICARBONATE 8.4 % IV SOLN,76.19,76.19,,,0
NDC,0409-6625-22,SODIUM BICARBONATE 8.4 % IV SOLN,77.06,77.06,,,0
NDC,0409-6629-02,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,15.68,15.68,,,0
NDC,0409-6635-01,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,13.18,13.18,,,0
NDC,0409-6637-24,SODIUM BICARBONATE 8.4 % IV SOLN,144.02,144.02,,,0
NDC,0409-6637-34,SODIUM BICARBONATE 8.4 % IV SOLN,88.0,88.0,,,0
NDC,0409-6648-02,D50W IV SOLN PRELOAD SYRINGE,50.0,50.0,,,0
NDC,0409-6648-16,D50W COMPOUNDING - NON TPN IV SOLN SH,25.0,25.0,,,0
NDC,0409-6653-05,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,4.2,4.2,,,0
NDC,0409-6695-01,ETOMIDATE 2 MG/ML IV SOLN,74.2,74.2,,,0
NDC,0409-6695-02,ETOMIDATE 2 MG/ML IV SOLN,75.0,75.0,,,0
NDC,0409-6727-23,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,37.345,37.345,,,0
NDC,0409-6729-03,MAGNESIUM SULFATE 20G/500ML STERILE WATER (PREMIX) SH,1.88,1.88,,,0
NDC,0409-6729-11,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,34.04,34.04,,,0
NDC,0409-6729-23,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,9.38,9.38,,,0
NDC,0409-6729-24,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,31.72,31.72,,,0
NDC,0409-7074-26,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,15.0,15.0,,,0
NDC,0409-7075-26,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,7.5,7.5,,,0
NDC,0409-7138-09,NACL 0.9% IR SOLN,72.03,72.03,,,0
NDC,0409-7241-01,EPINEPHRINE 10MCG/ML INJ SOLN,75.0,75.0,,,0
NDC,0409-7248-03,HETASTARCH-NACL 6-0.9 % IV SOLN,149.5,149.5,,,0
NDC,0409-7295-01,POTASSIUM PHOSPHATES(66 MEQ K) 45 MMOLE/15ML IV SOLN,77.32,77.32,,,0
NDC,0409-7299-73,SODIUM ACETATE 2 MEQ/ML IV SOLN,75.0,75.0,,,0
NDC,0409-7332-01,CEFTRIAXONE (ROCEPHIN) 1000 MG/50ML NS (MINIBAG),15.78,15.78,,,0
NDC,0409-7333-04,CEFTRIAXONE 1GM/50ML D5W (ADV),18.75,18.75,,,0
NDC,0409-7335-03,CEFTRIAXONE (ROCEPHIN) 2000 MG/100ML NS (MINIBAG),9.38,9.38,,,0
NDC,0409-7337-01,CEFTRIAXONE SODIUM 250 MG IJ SOLR,44.37,44.37,,,0
NDC,0409-7338-01,CEFTRIAXONE (ROCEPHIN) 500 MG/50ML NS (MINIBAG),37.5,37.5,,,0
NDC,0409-7391-72,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN,81.47,81.47,,,0
NDC,0409-7517-16,D50W IV SOLN PRELOAD SYRINGE,69.65,69.65,,,0
NDC,0409-7620-03,HEPARIN (PORCINE) 2 UNITS/ML 0.9% NACL LINE PATENCY DRIP (PREMIX) SH,70.38,70.38,,,0
NDC,0409-7620-59,HEPARIN (PORCINE) IN NACL 2000-0.9 UNIT/L-% IV SOLN,50.1,50.1,,,0
NDC,0409-7650-30,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN,4.135,4.135,,,0
NDC,0409-7650-62,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN,9.14,9.14,,,0
NDC,0409-7670-03,NORMOSOL-R PH 7.4 IV SOLN,58.26,58.26,,,0
NDC,0409-7670-09,NORMOSOL-R PH 7.4 IV SOLN,55.0,55.0,,,0
NDC,0409-7809-11,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN,75.0,75.0,,,0
NDC,0409-7809-22,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN,63.46,63.46,,,0
NDC,0409-7810-22,DOPAMINE-DEXTROSE 3.2-5 MG/ML-% IV SOLN,24.47,24.47,,,0
NDC,0409-7811-24,METRONIDAZOLE IN NACL 5-0.79 MG/ML-% IV SOLN,1.5150000000000001,1.5150000000000001,,,0
NDC,0409-7828-08,LACTATED RINGERS IR SOLN,75.0,75.0,,,0
NDC,0409-7902-09,"D5W - NACL 0.45% WITH KCL 20 MEQ 1,000 ML",7.5,7.5,,,0
NDC,0409-7922-09,D5W IV SOLN,75.0,75.0,,,0
NDC,0409-7926-03,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN,75.0,75.0,,,0
NDC,0409-7926-09,D5W - NACL 0.45% IV SOLN,21.759999999999998,21.759999999999998,,,0
NDC,0409-7929-03,D5W - LACTATED RINGERS IV SOLN,75.0,75.0,,,0
NDC,0409-7929-09,D5W - LACTATED RINGERS IV SOLN,75.0,75.0,,,0
NDC,0409-7930-03,D10W IV SOLN,75.0,75.0,,,0
NDC,0409-7941-03,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,75.0,75.0,,,0
NDC,0409-7941-09,D5W - NACL 0.9% IV SOLN,37.5,37.5,,,0
NDC,0409-7953-03,LACTATED RINGERS IV SOLN,71.84,71.84,,,0
NDC,0409-7953-48,LACTATED RINGERS IV SOLN,114.43,114.43,,,0
NDC,0409-7967-09,NORMOSOL-R IV SOLN,68.18,68.18,,,0
NDC,0409-7972-08,NACL 0.9% IR SOLN,64.7,64.7,,,0
NDC,0409-7973-08,STERILE WATER FOR IRRIGATION IR SOLN,75.0,75.0,,,0
NDC,0409-7983-09,NACL 0.9% BOLUS IV SOLN CUSTOM CREATE,65.91,65.91,,,0
NDC,0409-7985-03,NACL 0.45% IV SOLN,75.0,75.0,,,0
NDC,0409-7985-09,NACL 0.45% IV SOLN,75.0,75.0,,,0
NDC,0409-8183-01,POTASSIUM ACETATE 2 MEQ/ML IV SOLN,75.0,75.0,,,0
NDC,0409-8300-10,BIVALIRUDIN 250MG/50ML IV BOLUS SH,15.48,15.48,,,0
NDC,0409-9042-01,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN,75.0,75.0,,,0
NDC,0409-9042-17,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN,57.7,57.7,,,0
NDC,0409-9045-01,BUPIVACAINE-EPINEPHRINE (PF) 0.5% -1:200000 IJ SOLN,50.0,50.0,,,0
NDC,0409-9046-01,BUPIVACAINE-EPINEPHRINE 0.5% -1:200000 IJ SOLN,0.43,0.43,,,0
NDC,0409-9094-22,FENTANYL CITRATE (PF) 100 MCG/2ML IJ SOLN,89.75,89.75,,,0
NDC,0409-9094-25,FENTANYL CITRATE (PF) 250 MCG/5ML IJ SOLN,68.52,68.52,,,0
NDC,0409-9094-31,FENTANYL CITRATE (PF) 1000 MCG/20ML IJ SOLN,9.0,9.0,,,0
NDC,0409-9094-61,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,5.22,5.22,,,0
NDC,0409-9104-21,DOPAMINE HCL 40 MG/ML IV SOLN,3.75,3.75,,,0
NDC,0409-9137-05,LIDOCAINE HCL (CARDIAC) 50 MG/5ML IV SOSY,20.2,20.2,,,0
NDC,0409-9158-01,PHYTONADIONE 10 MG/ML IJ SOLN,38.25,38.25,,,0
NDC,0409-9558-05,ROCURONIUM BROMIDE 10 MG/ML IV SOLN - CONSOLIDATED,67.425,67.425,,,0
NDC,0409-9558-10,ROCURONIUM BROMIDE 10 MG/ML IV SOLN - CONSOLIDATED,71.57,71.57,,,0
NDC,04142-00024,SACCHAROMYCES BOULARDII 250 MG PO CAPS,2.0,2.0,,,0
NDC,04351-78710,AEROCHAMBER Z-STAT PLUS/MEDIUM MISC,2.0,2.0,,,0
NDC,0436-0672-16,DAKINS (1/4 STRENGTH) 0.125 % EX SOLN CUSTOM,1.84,1.84,,,0
NDC,0436-0936-16,DAKINS (1/2 STRENGTH) 0.25 % EX SOLN,2.0,2.0,,,0
NDC,0436-0946-16,DAKINS (FULL STRENGTH) 0.5 % EX SOLN,2.0,2.0,,,0
NDC,0440-1852-60,NAPROXEN 500 MG PO TABS,2.0,2.0,,,0
NDC,0440-6030-01,ACYCLOVIR 200 MG PO CAPS,8.33,8.33,,,0
NDC,0440-7293-30,CITALOPRAM HYDROBROMIDE 20 MG PO TABS,10.0,10.0,,,0
NDC,0440-8489-40,TERBINAFINE HCL 250 MG PO TABS,15.0,15.0,,,0
NDC,0456-0400-10,CEFTAROLINE FOSAMIL 400 MG IV SOLR,40.285,40.285,,,0
NDC,0456-0457-01,THYROID 15 MG PO TABS,15.0,15.0,,,0
NDC,0456-0459-01,THYROID 60 MG PO TABS,15.0,15.0,,,0
NDC,0456-0600-10,CEFTAROLINE FOSAMIL 600 MG IV SOLR,26.855,26.855,,,0
NDC,0456-1201-30,LINACLOTIDE 145 MCG PO CAPS,85.94,85.94,,,0
NDC,0456-1202-30,LINACLOTIDE 290 MCG PO CAPS,85.37,85.37,,,0
NDC,0456-1203-30,LINACLOTIDE 72 MCG PO CAPS,84.48,84.48,,,0
NDC,0456-2010-01,ESCITALOPRAM OXALATE 10 MG PO TABS,58.27,58.27,,,0
NDC,0456-2020-01,ESCITALOPRAM OXALATE 20 MG PO TABS,73.35,73.35,,,0
NDC,0456-2700-10,CEFTAZIDIME-AVIBACTAM 2.5 (2-0.5) G IV SOLR,565.12,565.12,,,0
NDC,0456-3205-60,MEMANTINE HCL 5 MG PO TABS,48.92,48.92,,,0
NDC,0456-4300-01,FOSFOMYCIN TROMETHAMINE 3 G PO PACK,328.56,328.56,,,0
NDC,0469-0420-01,ISAVUCONAZONIUM SULFATE 372 MG/5ML IV (WET SOLR VIAL),6.18,6.18,,,0
NDC,0469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG PO CAPS,404.56,404.56,,,0
NDC,0469-0520-14,ISAVUCONAZONIUM SULFATE 186 MG PO CAPS,363.48,363.48,,,0
NDC,0469-0607-73,TACROLIMUS 0.5 MG PO CAPS,23.53,23.53,,,0
NDC,0469-0617-11,TACROLIMUS 1 MG PO CAPS,30.19,30.19,,,0
NDC,0469-0617-73,TACROLIMUS 1 MG PO CAPS,36.83,36.83,,,0
NDC,0469-0657-11,TACROLIMUS 5 MG PO CAPS,21.72,21.72,,,0
NDC,0469-2601-30,MIRABEGRON ER 25 MG PO TB24,53.63,53.63,,,0
NDC,0469-3016-01,TACROLIMUS 5 MG/ML IV SOLN,119.59,119.59,,,0
NDC,0469-3051-30,AMPHOTERICIN B LIPOSOME 50 MG/12.5ML IV SUSR (WET SOLR VIAL),238.14,238.14,,,0
NDC,0469-3211-10,MICAFUNGIN 100MG/100ML NS (MINIBAG),11.22,11.22,,,0
NDC,0469-6501-89,REGADENOSON 0.4 MG/5ML IV SOLN,294.08,294.08,,,0
NDC,0472-0242-60,PERMETHRIN 5 % EX CREA,2.0,2.0,,,0
NDC,0472-1105-34,BACITRACIN ZINC 500 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,0472-1736-07,MICONAZOLE NITRATE 100 MG VA SUPP,1.0,1.0,,,0
NDC,0472-1915-01,MESALAMINE 1000 MG PR SUPP,132.44,132.44,,,0
NDC,0480-8693-01,LEVOTHYROXINE SODIUM 88 MCG PO TABS,15.0,15.0,,,0
NDC,0486-1125-01,K PHOS MONO-SOD PHOS DI & MONO 155-852-130 MG PO TABS,10.34,10.34,,,0
NDC,0487-0201-01,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,14.945,14.945,,,0
NDC,0487-5901-99,RACEPINEPHRINE HCL 2.25 % IN NEBU,2.0,2.0,,,0
NDC,0487-9003-30,SODIUM CHLORIDE 3% IN NEBU,2.0,2.0,,,0
NDC,0487-9003-60,SODIUM CHLORIDE 3% IN NEBU,2.0,2.0,,,0
NDC,0487-9301-03,SODIUM CHLORIDE 0.9% IN NEBU,2.0,2.0,,,0
NDC,0487-9501-01,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,4.71,4.71,,,0
NDC,0487-9601-01,BUDESONIDE 0.25 MG/2ML IN SUSP,52.18,52.18,,,0
NDC,0487-9701-01,BUDESONIDE 0.5 MG/2ML IN SUSP,41.75,41.75,,,0
NDC,0487-9801-01,IPRATROPIUM BROMIDE 0.02 % IN SOLN,11.61,11.61,,,0
NDC,0487-9901-30,ALBUTEROL SULFATE (5 MG/ML) 0.5% IN NEBU,2.08,2.08,,,0
NDC,0487-9904-01,ALBUTEROL SULFATE 1.25 MG/3ML IN NEBU,7.5,7.5,,,0
NDC,0496-0882-06,LIDOCAINE 4 % EX CREA,2.0,2.0,,,0
NDC,0496-0882-15,LIDOCAINE 4 % EX CREA,2.0,2.0,,,0
NDC,0517-0031-25,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,75.0,75.0,,,0
NDC,0517-0374-05,METHYLENE BLUE (ANTIDOTE) 50 MG/10ML IV SOLN,1500.99,1500.99,,,0
NDC,0517-0375-05,INDIGOTINDISULFONATE SODIUM 8 MG/ML IJ SOLN,963.77,963.77,,,0
NDC,0517-0401-25,ATROPINE SULFATE (PF) 0.4 MG/ML IJ SOLN,1.85,1.85,,,0
NDC,0517-0720-01,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP,92.095,92.095,,,0
NDC,0517-0740-20,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN,235.975,235.975,,,0
NDC,0517-0955-01,OLANZAPINE 10 MG IM SOLR,165.87,165.87,,,0
NDC,0517-0960-01,TRANEXAMIC ACID 100MG/ML SOLN FOR HEMOPTYSIS SH (PEDIATRIC)(NEBULIZATION USE),75.0,75.0,,,0
NDC,0517-1001-01,ATROPINE SULFATE (PF) 1 MG/ML IJ SOLN,1.45,1.45,,,0
NDC,0517-1004-01,ATROPINE SULFATE (PF) 0.4 MG/ML IJ SOLN,2.34,2.34,,,0
NDC,0517-1010-25,ATROPINE SULFATE (PF) 1 MG/ML IJ SOLN,1.05,1.05,,,0
NDC,0517-2102-01,POTASSIUM PHOSPHATES(66 MEQ K) 45 MMOLE/15ML IV SOLN,163.49,163.49,,,0
NDC,0517-2102-25,POTASSIUM PHOSPHATES(66 MEQ K) 45 MMOLE/15ML IV SOLN,134.26,134.26,,,0
NDC,0517-2310-05,IRON SUCROSE 20 MG/ML IV SOLN,4.77,4.77,,,0
NDC,0517-2340-01,IRON SUCROSE 20 MG/ML IV SOLN,3.77,3.77,,,0
NDC,0517-2340-10,IRON SUCROSE 20 MG/ML IV SOLN,3.75,3.75,,,0
NDC,0517-2340-25,IRON SUCROSE 20 MG/ML IV SOLN,4.445,4.445,,,0
NDC,0517-2602-25,MAGNESIUM SULFATE IN D5W 2-5 GM/50ML-% IV SOLN,61.345,61.345,,,0
NDC,0517-2710-25,CALCIUM CHLORIDE 10 % IV SOLN,146.64,146.64,,,0
NDC,0517-4002-25,PAPAVERINE HCL 30 MG/ML IJ SOLN,314.495,314.495,,,0
NDC,0517-4201-25,HYDROXYZINE HCL 25 MG/ML IM SOLN,207.57,207.57,,,0
NDC,0517-4300-01,PACLITAXEL PROTEIN-BOUND PART 100 MG IV SUSR,57.45,57.45,,,0
NDC,0517-4601-25,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,56.75,56.75,,,0
NDC,0517-4810-25,NITROGLYCERIN 5 MG/ML IV SOLN,41.225,41.225,,,0
NDC,0517-5601-25,HYDROXYZINE HCL 50 MG/ML IM SOLN,119.57,119.57,,,0
NDC,0517-6710-01,CALCIUM CHLORIDE 10 % IV SOLN,157.52,157.52,,,0
NDC,0517-6710-10,CALCIUM CHLORIDE 10 % IV SOLN,157.69,157.69,,,0
NDC,0517-7504-01,ACETYLCYSTEINE 10 % IN SOLN,49.709999999999994,49.709999999999994,,,0
NDC,0517-7504-25,ACETYLCYSTEINE 10 % IN SOLN,50.885,50.885,,,0
NDC,0517-7604-01,ACETYLCYSTEINE 20 % ORAL SOLN CUSTOM CREATE,60.32,60.32,,,0
NDC,0517-7604-25,ACETYLCYSTEINE 20 % IN SOLN,58.08,58.08,,,0
NDC,0517-9120-01,AMINOCAPROIC ACID 250 MG/ML IV SOLN,78.9,78.9,,,0
NDC,0527-1311-01,TERBUTALINE SULFATE 5 MG PO TABS,36.55,36.55,,,0
NDC,0527-1344-01,LEVOTHYROXINE SODIUM 88 MCG PO TABS,13.12,13.12,,,0
NDC,0527-1728-74,COCAINE HCL 4 % EX SOLN,4.18,4.18,,,0
NDC,0527-1932-06,CLARITHROMYCIN 500 MG PO TABS,33.08,33.08,,,0
NDC,0527-1948-66,LEVOFLOXACIN 25 MG/ML PO SOLN,157.82,157.82,,,0
NDC,0527-1948-68,LEVOFLOXACIN 25 MG/ML PO SOLN,321.0,321.0,,,0
NDC,0527-1948-70,LEVOFLOXACIN 25 MG/ML PO SOLN,143.96,143.96,,,0
NDC,0527-2244-32,FEBUXOSTAT 40 MG PO TABS,52.8,52.8,,,0
NDC,0527-2600-37,METOPROLOL SUCCINATE ER 25 MG PO TB24,14.32,14.32,,,0
NDC,0527-2601-37,METOPROLOL SUCCINATE ER 50 MG PO TB24,11.84,11.84,,,0
NDC,0527-4095-37,BUTALBITAL-APAP-CAFFEINE 50-300-40 MG PO CAPS,16.15,16.15,,,0
NDC,0527-5125-70,LACTULOSE (ENULOSE) ENEMA SH,88.24,88.24,,,0
NDC,0536-1064-01,DOCUSATE SODIUM 250 MG PO CAPS,2.0,2.0,,,0
NDC,0536-1101-45,MUSCLE RUB 10-15 % EX CREA,2.0,2.0,,,0
NDC,0536-1118-25,CAPSAICIN 0.075 % EX CREA,2.0,2.0,,,0
NDC,0536-1186-12,PHENYLEPHRINE-COCOA BUTTER 0.25-88.44 % PR SUPP,2.0,2.0,,,0
NDC,0536-1228-58,PHENOL 1.4 % MT LIQD,2.0,2.0,,,0
NDC,0536-1263-28,BACITRACIN ZINC 500 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,0536-1268-12,CAMPHOR-MENTHOL 0.5-0.5 % EX LOTN,2.0,2.0,,,0
NDC,0536-1272-22,CLOTRIMAZOLE 1 % EX CREA,2.0,2.0,,,0
NDC,0536-1303-75,SIMETHICONE 40 MG/0.6ML PO SUSP,2.0,2.0,,,0
NDC,0536-1307-23,OLOPATADINE HCL 0.2 % OP SOLN,83.95,83.95,,,0
NDC,0536-1308-40,OLOPATADINE HCL 0.1 % OP SOLN,91.25,91.25,,,0
NDC,0536-1335-59,SENNA 176 MG/5ML PO SYRP,2.0,2.0,,,0
NDC,0536-1349-57,MUSCLE RUB 10-15 % EX CREA,2.0,2.0,,,0
NDC,0536-1362-23,NICOTINE POLACRILEX 2 MG MT GUM,1.78,1.78,,,0
NDC,0536-1366-01,CYANOCOBALAMIN 1000 MCG PO TABS,1.8,1.8,,,0
NDC,0536-1386-94,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % OP SOLN,2.0,2.0,,,0
NDC,0536-1408-94,POLYVINYL ALCOHOL 1.4 % OP SOLN,2.0,2.0,,,0
NDC,0536-2790-59,MULTIPLE VITAMINS-MINERALS PO LIQD,18.98,18.98,,,0
NDC,0536-4069-01,NIACINAMIDE 500 MG PO TABS,2.0,2.0,,,0
NDC,0536-4406-01,PYRIDOXINE HCL 25 MG PO TABS,2.0,2.0,,,0
NDC,0536-4661-10,MULTIVITAMINS+MINERALS PO TABS SH,2.0,2.0,,,0
NDC,0536-5895-88,NICOTINE 14 MG/24HR TD PT24,2.0,2.0,,,0
NDC,0536-5896-88,NICOTINE 21 MG/24HR TD PT24,2.0,2.0,,,0
NDC,0536-6412-08,MELATONIN 3 MG PO TABS,2.0,2.0,,,0
NDC,0536-7415-51,FLEET ENEMA 7-19 GM/118ML PR ENEM,1.73,1.73,,,0
NDC,05388-62808,MELATONIN 3 MG PO TABS,1.96,1.96,,,0
NDC,05388-62812,VITAMIN E 400 UNITS PO CAPS,2.0,2.0,,,0
NDC,0548-5400-00,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,2.34,2.34,,,0
NDC,0548-5601-00,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,24.82,24.82,,,0
NDC,0548-5605-00,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,12.6,12.6,,,0
NDC,0548-5850-00,GLUCAGON EMERGENCY 1 MG IJ KIT,1680.0,1680.0,,,0
NDC,0548-5900-00,COSYNTROPIN 0.25 MG IJ SOLR,807.61,807.61,,,0
NDC,0548-9502-00,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN,240.0,240.0,,,0
NDC,0555-0033-02,CHLORDIAZEPOXIDE HCL 10 MG PO CAPS,40.0,40.0,,,0
NDC,0555-0071-02,ISONIAZID 300 MG PO TABS,15.0,15.0,,,0
NDC,0555-0606-02,MEGESTROL ACETATE 20 MG PO TABS,40.0,40.0,,,0
NDC,0555-0872-02,MEDROXYPROGESTERONE ACETATE 2.5 MG PO TABS,4.69,4.69,,,0
NDC,0555-0886-02,ESTRADIOL 1 MG PO TABS,9.11,9.11,,,0
NDC,0555-0972-02,AMPHETAMINE-DEXTROAMPHETAMINE 10 MG PO TABS,40.0,40.0,,,0
NDC,0555-0997-02,FLUDROCORTISONE ACETATE 0.1 MG PO TABS,15.0,15.0,,,0
NDC,0562-7805-01,RHO D IMMUNE GLOBULIN 1500 UNITS IM SOSY,442.58,442.58,,,0
NDC,0574-0070-15,GLUCOSE 40 % PO GEL,2.0,2.0,,,0
NDC,0574-0107-70,CLOTRIMAZOLE 10 MG MT TROC,15.0,15.0,,,0
NDC,0574-0152-80,CAFFEINE CITRATE 20 MG/ML PO SOLN,34.17,34.17,,,0
NDC,0574-0508-01,FERROUS GLUCONATE 324 (38 FE) MG PO TABS,2.0,2.0,,,0
NDC,0574-0508-11,FERROUS GLUCONATE 324 (38 FE) MG PO TABS,1.99,1.99,,,0
NDC,0574-0521-74,CHARCOAL ACTIVATED PO LIQD,1.72,1.72,,,0
NDC,0574-0608-01,FERROUS SULFATE 324 (65 FE) MG PO TBEC,2.0,2.0,,,0
NDC,0574-0608-11,FERROUS SULFATE 324 (65 FE) MG PO TBEC,2.01,2.01,,,0
NDC,0574-0805-30,ACETYLCYSTEINE 200 MG/ML IV SOLN,17.29,17.29,,,0
NDC,0574-2008-15,NYSTATIN 100000 UNIT/GM EX POWD,137.33,137.33,,,0
NDC,0574-4024-11,ERYTHROMYCIN 5 MG/GM OP OINT,30.0,30.0,,,0
NDC,0574-4024-35,ERYTHROMYCIN 5 MG/GM OP OINT,86.99,86.99,,,0
NDC,0574-7050-12,BISACODYL 10 MG PR SUPP,2.0,2.0,,,0
NDC,0574-7050-50,BISACODYL 10 MG PR SUPP,2.0,2.0,,,0
NDC,0574-7090-12,HYDROCORTISONE ACETATE 25 MG PR SUPP,57.7,57.7,,,0
NDC,0574-7226-12,PROCHLORPERAZINE 25 MG PR SUPP,55.0,55.0,,,0
NDC,0574-9855-10,BUDESONIDE 3 MG PO CPEP,6.76,6.76,,,0
NDC,0591-0404-01,VERAPAMIL HCL 40 MG PO TABS,15.0,15.0,,,0
NDC,0591-0582-01,PROPAFENONE HCL 150 MG PO TABS,15.0,15.0,,,0
NDC,0591-0606-01,LABETALOL HCL 200 MG PO TABS,10.38,10.38,,,0
NDC,0591-2127-79,BRINZOLAMIDE 1 % OP SUSP,1200.0,1200.0,,,0
NDC,0591-2218-26,TRIAMCINOLONE ACETONIDE 0.1 % MT PSTE,89.54,89.54,,,0
NDC,0591-2258-04,SCOPOLAMINE 1 MG/3DAYS TD PT72,97.11,97.11,,,0
NDC,0591-2474-01,TETRACYCLINE HCL 250 MG PO CAPS,31.5,31.5,,,0
NDC,0591-2579-20,VALGANCICLOVIR HCL 50 MG/ML PO SOLR,345.01,345.01,,,0
NDC,0591-2640-01,BUTALBITAL-APAP-CAFFEINE 50-300-40 MG PO CAPS,16.15,16.15,,,0
NDC,0591-2927-54,LEVALBUTEROL TARTRATE 45 MCG/ACT IN AERO,368.48,368.48,,,0
NDC,0591-2992-39,PROMETHAZINE HCL 25 MG PR SUPP,65.28999999999999,65.28999999999999,,,0
NDC,0591-3159-01,URSODIOL 300 MG PO CAPS,38.83,38.83,,,0
NDC,0591-3331-30,BUPROPION HCL ER (XL) 150 MG PO TB24,28.36,28.36,,,0
NDC,0591-3525-30,LIDOCAINE 5 % EX PTCH,42.77,42.77,,,0
NDC,0591-3540-60,BUPROPION HCL ER (SR) 100 MG PO TB12,15.0,15.0,,,0
NDC,0591-3541-60,BUPROPION HCL ER (SR) 150 MG PO TB12,15.0,15.0,,,0
NDC,0591-3720-30,TRANEXAMIC ACID 650 MG PO TABS,27.5,27.5,,,0
NDC,0591-5658-10,CYCLOBENZAPRINE HCL 10 MG PO TABS,15.0,15.0,,,0
NDC,0597-0001-60,ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12,55.0,55.0,,,0
NDC,0597-0024-02,IPRATROPIUM-ALBUTEROL 20-100 MCG/ACT IN AERS,1761.64,1761.64,,,0
NDC,0597-0033-34,CLONIDINE 0.3 MG/24HR TD PTWK,610.14,610.14,,,0
NDC,0597-0046-60,NEVIRAPINE 200 MG PO TABS,54.36,54.36,,,0
NDC,0597-0058-01,TAMSULOSIN HCL 0.4 MG PO CAPS,53.78,53.78,,,0
NDC,0597-0087-17,IPRATROPIUM BROMIDE HFA 17 MCG/ACT IN AERS,1697.15,1697.15,,,0
NDC,0597-0100-31,TIOTROPIUM BROMIDE MONOHYDRATE 2.5 MCG/ACT IN AERS,890.72,890.72,,,0
NDC,0597-0100-51,TIOTROPIUM BROMIDE MONOHYDRATE 2.5 MCG/ACT IN AERS,375.0,375.0,,,0
NDC,0597-0100-61,TIOTROPIUM BROMIDE MONOHYDRATE 2.5 MCG/ACT IN AERS,1864.59,1864.59,,,0
NDC,0597-0140-30,LINAGLIPTIN 5 MG PO TABS,84.01,84.01,,,0
NDC,0597-0140-61,LINAGLIPTIN 5 MG PO TABS,84.01,84.01,,,0
NDC,0597-0152-37,EMPAGLIFLOZIN 10 MG PO TABS,97.78,97.78,,,0
NDC,0597-0183-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.125 MG PO TABS,46.34,46.34,,,0
NDC,0597-0355-56,DABIGATRAN ETEXILATE MESYLATE 75 MG PO CAPS,21.82,21.82,,,0
NDC,0597-0360-82,DABIGATRAN ETEXILATE MESYLATE 150 MG PO CAPS,21.82,21.82,,,0
NDC,0603-0209-22,MAGNESIUM OXIDE 400 MG PO TABS,2.0,2.0,,,0
NDC,0603-1481-58,NYSTATIN 100000 UNIT/ML MT SUSP,30.0,30.0,,,0
NDC,0603-1880-16,LIDOCAINE 5 % EX PTCH,45.82,45.82,,,0
NDC,0603-4593-21,METHYLPREDNISOLONE 4 MG PO TABS,15.0,15.0,,,0
NDC,0603-5485-21,PROPRANOLOL HCL 60 MG PO TABS,15.0,15.0,,,0
NDC,0641-0367-25,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML IJ SOLN,7.5,7.5,,,0
NDC,0641-0376-25,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,74.07,74.07,,,0
NDC,0641-0400-12,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,15.030000000000001,15.030000000000001,,,0
NDC,0641-0476-25,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN,108.24000000000001,108.24000000000001,,,0
NDC,0641-0477-25,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,203.0,203.0,,,0
NDC,0641-0493-25,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,37.1,37.1,,,0
NDC,0641-1397-35,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN,225.36,225.36,,,0
NDC,0641-1398-35,CHLORPROMAZINE HCL 50 MG/2ML IJ SOLN,96.34,96.34,,,0
NDC,0641-1410-35,DIGOXIN 0.25 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,0641-2555-45,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,4.125,4.125,,,0
NDC,0641-6001-25,LORAZEPAM 2 MG/ML IJ SOLN,89.27000000000001,89.27000000000001,,,0
NDC,0641-6007-10,BUMETANIDE 0.25 MG/ML IJ SOLN,5.65,5.65,,,0
NDC,0641-6008-10,BUMETANIDE 0.25 MG/ML IJ SOLN,19.14,19.14,,,0
NDC,0641-6013-10,DILTIAZEM HCL 25 MG/5ML IV SOLN,75.0,75.0,,,0
NDC,0641-6014-10,DILTIAZEM HCL 50 MG/10ML IV SOLN,75.0,75.0,,,0
NDC,0641-6019-10,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN,102.565,102.565,,,0
NDC,0641-6020-10,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN,114.26,114.26,,,0
NDC,0641-6022-25,FAMOTIDINE 10MG/ML IV SOLN - CONSOLIDATED,73.91,73.91,,,0
NDC,0641-6027-25,FENTANYL CITRATE 50MCG/ML IJ SOLN - CONSOLIDATED,89.84,89.84,,,0
NDC,0641-6030-01,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,6.0,6.0,,,0
NDC,0641-6044-25,LORAZEPAM 2 MG/ML IJ SOLN,85.705,85.705,,,0
NDC,0641-6046-10,LORAZEPAM 2 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,0641-6048-25,LORAZEPAM 2 MG/ML IJ SOLN,87.29499999999999,87.29499999999999,,,0
NDC,0641-6052-25,MEPERIDINE HCL 25 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,0641-6053-25,MEPERIDINE HCL 50 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,0641-6056-10,MIDAZOLAM HCL 1 MG/ML IJ SOLN - CONSOLIDATED,11.74,11.74,,,0
NDC,0641-6057-10,MIDAZOLAM HCL 1 MG/ML IJ SOLN - CONSOLIDATED,28.125,28.125,,,0
NDC,0641-6057-25,MIDAZOLAM HCL 1 MG/ML IJ SOLN - CONSOLIDATED,45.0,45.0,,,0
NDC,0641-6060-10,MIDAZOLAM HCL 5 MG/ML IJ SOLN - CONSOLIDATED,2.05,2.05,,,0
NDC,0641-6078-25,ONDANSETRON HCL 4 MG/2ML IJ SOLN,17.015,17.015,,,0
NDC,0641-6079-01,ONDANSETRON HCL 40 MG/20ML IJ SOLN,4.695,4.695,,,0
NDC,0641-6116-10,AMPICILLIN/SULBACTAM 1.5GM/50ML NS (MINIBAG),62.5,62.5,,,0
NDC,0641-6117-10,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,53.57,53.57,,,0
NDC,0641-6125-25,MORPHINE SULFATE 4 MG/ML IV SOLN,88.53999999999999,88.53999999999999,,,0
NDC,0641-6127-25,MORPHINE SULFATE 10 MG/ML IV SOLN,52.79,52.79,,,0
NDC,0641-6136-25,FOSPHENYTOIN SODIUM 50 MG PE/ML IJ SOLN - CONSOLIDATED,60.22,60.22,,,0
NDC,0641-6142-25,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,2.8,2.8,,,0
NDC,0641-6146-25,DEXAMETHASONE SOD PHOS 4 MG/ML IJ SOLN - CONSOLIDATED,4.6899999999999995,4.6899999999999995,,,0
NDC,0641-6149-01,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,23.57,23.57,,,0
NDC,0641-6151-25,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,0641-6174-10,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN,29.63,29.63,,,0
NDC,0641-6176-10,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN,13.65,13.65,,,0
NDC,0641-6184-25,DIGOXIN 0.25 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,0641-6205-01,NALOXONE HCL 2 MG/2ML IJ SOSY,120.97,120.97,,,0
NDC,0641-6205-10,NALOXONE HCL 2 MG/2ML IJ SOSY,121.88,121.88,,,0
NDC,0641-6228-25,THIAMINE HCL 100 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,0641-6231-25,HYDRALAZINE HCL 20 MG/ML IJ SOLN,92.0,92.0,,,0
NDC,0641-9217-10,DILTIAZEM HCL 25 MG/5ML IV SOLN,75.0,75.0,,,0
NDC,0703-0031-04,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP,37.48,37.48,,,0
NDC,0703-0113-03,HYDROMORPHONE HCL PF 50 MG/5ML IJ SOLN,11.25,11.25,,,0
NDC,0703-2056-01,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN,179.4,179.4,,,0
NDC,0703-2056-03,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN,179.4,179.4,,,0
NDC,0703-3216-01,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,0.22,0.22,,,0
NDC,0703-3218-01,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,2.62,2.62,,,0
NDC,0703-3671-03,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN,300.0,300.0,,,0
NDC,0703-3678-01,METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN,15.35,15.35,,,0
NDC,0703-4239-01,CARBOPLATIN 450 MG/45ML IV SOLN,48.88,48.88,,,0
NDC,0703-4246-01,CARBOPLATIN 450 MG/45ML IV SOLN,239.7,239.7,,,0
NDC,0703-4502-04,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,0703-5747-11,CISPLATIN 1 MG/ML IV SOLN - CONSOLIDATED,66.67,66.67,,,0
NDC,0703-9032-03,AMIKACIN SULFATE 500 MG/2ML IJ SOLN,20.59,20.59,,,0
NDC,0703-9040-03,AMIKACIN SULFATE 500 MG/2ML IJ SOLN,19.74,19.74,,,0
NDC,0703-9514-03,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN,52.68,52.68,,,0
NDC,0703-9526-01,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN,48.0,48.0,,,0
NDC,0713-0101-25,GLYCERIN (LAXATIVE) 2 G PR SUPP,2.0,2.0,,,0
NDC,0713-0225-31,TRIAMCINOLONE ACETONIDE 0.1 % EX CREA,54.6,54.6,,,0
NDC,0713-0252-37,MICONAZOLE NITRATE 2 % VA CREA,2.0,2.0,,,0
NDC,0713-0351-25,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,74.215,74.215,,,0
NDC,0713-0503-24,HYDROCORTISONE ACETATE 25 MG PR SUPP,10.66,10.66,,,0
NDC,0713-0526-12,PROMETHAZINE HCL 25 MG PR SUPP,61.97,61.97,,,0
NDC,0713-0564-31,NITROGLYCERIN 0.4 % PR OINT,2075.76,2075.76,,,0
NDC,0713-0655-40,TRIAMCINOLONE ACETONIDE 0.1 % MT PSTE,375.0,375.0,,,0
NDC,0713-0676-53,TRIAMCINOLONE ACETONIDE 0.1 % EX LOTN,375.0,375.0,,,0
NDC,0731-0401-06,ZINC SULFATE 220 (50 ZN) MG PO CAPS,2.0,2.0,,,0
NDC,0761-0372-20,CYANOCOBALAMIN 100 MCG PO TABS,2.0,2.0,,,0
NDC,0761-0436-20,PYRIDOXINE HCL 50 MG PO TABS,2.0,2.0,,,0
NDC,0777-3105-02,FLUOXETINE HCL 20 MG PO CAPS,58.36,58.36,,,0
NDC,0781-1061-01,ALPRAZOLAM 0.25 MG PO TABS,31.79,31.79,,,0
NDC,0781-1490-01,AMITRIPTYLINE HCL 100 MG PO TABS,7.86,7.86,,,0
NDC,0781-1506-10,ATENOLOL 50 MG PO TABS,15.0,15.0,,,0
NDC,0781-1830-01,PROMETHAZINE HCL 25 MG PO TABS,7.359999999999999,7.359999999999999,,,0
NDC,0781-1852-20,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS,27.79,27.79,,,0
NDC,0781-2074-01,TRIAMTERENE-HCTZ 37.5-25 MG PO CAPS,15.0,15.0,,,0
NDC,0781-2321-06,APREPITANT 40 MG PO CAPS,37.165,37.165,,,0
NDC,0781-2613-01,AMOXICILLIN 500 MG PO CAPS,11.83,11.83,,,0
NDC,0781-3040-95,PYRIDOSTIGMINE BROMIDE 10 MG/2ML IV SOLN,75.0,75.0,,,0
NDC,0781-3098-95,"MEROPENEM 1,000 MG/100ML NS (MINIBAG)",23.68,23.68,,,0
NDC,0781-3110-95,PIPERACILLIN/TAZOBACTAM 2.25 GM/100ML NS (MINIBAG),43.08,43.08,,,0
NDC,0781-3113-95,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),41.935,41.935,,,0
NDC,0781-3114-95,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),40.92,40.92,,,0
NDC,0781-3124-95,NAFCILLIN SODIUM 1 G IJ SOLR,75.0,75.0,,,0
NDC,0781-3152-95,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN,195.0,195.0,,,0
NDC,0781-3154-01,FERUMOXYTOL 510 MG/17ML IV SOLN,8.52,8.52,,,0
NDC,0781-3156-95,ACETAMINOPHEN 10 MG/ML IV SOLN,2.9,2.9,,,0
NDC,0781-3158-95,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,18.2,18.2,,,0
NDC,0781-3159-72,OLANZAPINE 10 MG IM SOLR,12.76,12.76,,,0
NDC,0781-3208-95,CEFTRIAXONE SODIUM 1 G IJ SOLR,70.95,70.95,,,0
NDC,0781-3209-95,CEFTRIAXONE (ROCEPHIN) 2000 MG/100ML NS (MINIBAG),73.695,73.695,,,0
NDC,0781-3232-95,PANTOPRAZOLE SODIUM 40 MG IV SOLR,75.0,75.0,,,0
NDC,0781-3246-02,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,19.545,19.545,,,0
NDC,0781-3256-66,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,19.56,19.56,,,0
NDC,0781-3289-09,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,51.98,51.98,,,0
NDC,0781-3290-09,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,42.23,42.23,,,0
NDC,0781-3299-05,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY,18.17,18.17,,,0
NDC,0781-3315-70,OXALIPLATIN 5 MG/ML IV SOLN - CONSOLIDATED,7.955,7.955,,,0
NDC,0781-3317-80,OXALIPLATIN 5 MG/ML IV SOLN - CONSOLIDATED,13.79,13.79,,,0
NDC,0781-3402-95,AMPICILLIN 250 MG FOR DILUTION (PEDIATRIC),74.95,74.95,,,0
NDC,0781-3404-95,AMPICILLIN SODIUM 1 G IJ SOLR,37.5,37.5,,,0
NDC,0781-3407-95,AMPICILLIN 500 MG FOR DILUTION (PEDIATRIC),74.63,74.63,,,0
NDC,0781-3408-95,"AMPICILLIN 2,000MG/100ML NS (MINIBAG)",29.314999999999998,29.314999999999998,,,0
NDC,0781-3411-95,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,16.79,16.79,,,0
NDC,0781-3416-94,VORICONAZOLE 200 MG IV SOLR,48.75,48.75,,,0
NDC,0781-3440-95,COSYNTROPIN 0.25 MG IJ SOLR,578.78,578.78,,,0
NDC,0781-3450-95,CEFAZOLIN 500 MG/50ML NS (MINIBAG),64.18,64.18,,,0
NDC,0781-3451-96,CEFAZOLIN SODIUM 1 G IJ SOLR,26.549999999999997,26.549999999999997,,,0
NDC,0781-3458-95,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,0.08,0.08,,,0
NDC,0781-5061-01,AMOXICILLIN 875 MG PO TABS,15.0,15.0,,,0
NDC,0781-5325-31,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS,34.47,34.47,,,0
NDC,0781-5439-20,CEFPODOXIME PROXETIL 200 MG PO TABS,46.51,46.51,,,0
NDC,0781-6014-85,BRINZOLAMIDE 1 % OP SUSP,1646.87,1646.87,,,0
NDC,0781-6041-58,AMOXICILLIN 250 MG/5ML PO SUSR,30.0,30.0,,,0
NDC,0781-6135-95,PENICILLIN G POTASSIUM 5 MU/10ML IJ (WET SOLR VIAL),12.7,12.7,,,0
NDC,0781-6136-94,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR,28.94,28.94,,,0
NDC,0781-9213-90,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),43.08,43.08,,,0
NDC,0781-9328-85,CEFTRIAXONE (ROCEPHIN) 1000 MG/50ML NS (MINIBAG),71.435,71.435,,,0
NDC,0781-9402-95,AMPICILLIN 250 MG FOR DILUTION (PEDIATRIC),72.32,72.32,,,0
NDC,0781-9404-85,"AMPICILLIN 1,000MG/50ML NS (MINIBAG)",37.5,37.5,,,0
NDC,0781-9407-95,AMPICILLIN 500 MG FOR DILUTION (PEDIATRIC),75.0,75.0,,,0
NDC,0781-9408-95,"AMPICILLIN 2,000MG/100ML NS (MINIBAG)",29.32,29.32,,,0
NDC,0832-0038-01,OXYBUTYNIN CHLORIDE 5 MG PO TABS,14.23,14.23,,,0
NDC,0832-0465-15,NYSTATIN 100000 UNIT/GM EX POWD,187.28,187.28,,,0
NDC,0832-0511-01,BETHANECHOL CHLORIDE 10 MG PO TABS,12.26,12.26,,,0
NDC,0832-0512-01,BETHANECHOL CHLORIDE 25 MG PO TABS,15.0,15.0,,,0
NDC,0832-0595-30,EXEMESTANE 25 MG PO TABS,131.5,131.5,,,0
NDC,0832-1211-00,WARFARIN SODIUM 1 MG PO TABS,7.42,7.42,,,0
NDC,0832-1211-01,WARFARIN SODIUM 1 MG PO TABS,7.66,7.66,,,0
NDC,0832-1212-01,WARFARIN SODIUM 2 MG PO TABS,10.99,10.99,,,0
NDC,0832-1213-01,WARFARIN SODIUM 2.5 MG PO TABS,13.91,13.91,,,0
NDC,0832-1214-01,WARFARIN SODIUM 3 MG PO TABS,15.0,15.0,,,0
NDC,0832-1215-01,WARFARIN SODIUM 4 MG PO TABS,12.69,12.69,,,0
NDC,0832-1216-01,WARFARIN SODIUM 5 MG PO TABS,12.68,12.68,,,0
NDC,0832-1217-01,WARFARIN SODIUM 6 MG PO TABS,13.75,13.75,,,0
NDC,0832-6017-00,CHLORPROMAZINE HCL 10 MG PO TABS,23.11,23.11,,,0
NDC,0832-7124-01,DIVALPROEX SODIUM 500 MG PO TBEC,9.91,9.91,,,0
NDC,0869-0810-43,ISOPROPYL ALCOHOL 70 % SOLN,2.0,2.0,,,0
NDC,0904-0201-61,AMITRIPTYLINE HCL 25 MG PO TABS,15.0,15.0,,,0
NDC,0904-0523-61,ASCORBIC ACID 500 MG PO TABS,1.69,1.69,,,0
NDC,0904-0523-80,ASCORBIC ACID 500 MG PO TABS,1.69,1.69,,,0
NDC,0904-0530-61,MULTIVITAMINS PO TABS SH,2.0,2.0,,,0
NDC,0904-0539-61,MULTIVITAMINS PO TABS SH,2.02,2.02,,,0
NDC,0904-1453-61,METRONIDAZOLE 250 MG PO TABS,10.0,10.0,,,0
NDC,0904-1882-60,OYSTER SHELL CALCIUM/VITAMIN D 250-3.125 MG-MCG PO TABS,1.02,1.02,,,0
NDC,0904-1883-61,OYSTER CALCIUM CARB 1250 MG / 500 MG ELEMENTAL PO TABS SH,1.52,1.52,,,0
NDC,0904-2056-61,DIPHENHYDRAMINE HCL 50 MG PO CAPS,6.04,6.04,,,0
NDC,0904-2085-60,VITAMIN A 3 MG (10000 UT) PO CAPS,1.83,1.83,,,0
NDC,0904-2272-60,NIACIN 500 MG PO TABS,2.0,2.0,,,0
NDC,0904-2533-21,CALAMINE 8-8 % EX LOTN,2.0,2.0,,,0
NDC,0904-2725-61,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS,13.16,13.16,,,0
NDC,0904-2821-61,OXYBUTYNIN CHLORIDE 5 MG PO TABS,15.0,15.0,,,0
NDC,0904-3854-61,CARBAMAZEPINE 100 MG PO CHEW,12.35,12.35,,,0
NDC,0904-3865-75,SALINE NASAL SPRAY 0.65 % NA SOLN,2.0,2.0,,,0
NDC,0904-5053-59,PSEUDOEPHEDRINE HCL 30 MG PO TABS,1.0,1.0,,,0
NDC,0904-5062-60,CALCIUM CITRATE 950 (200 CA) MG PO TABS,1.08,1.08,,,0
NDC,0904-5174-16,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,2.0,2.0,,,0
NDC,0904-5306-61,DIPHENHYDRAMINE HCL 25 MG PO CAPS,1.915,1.915,,,0
NDC,0904-5306-80,DIPHENHYDRAMINE HCL 25 MG PO CAPS,2.0,2.0,,,0
NDC,0904-5307-80,DIPHENHYDRAMINE HCL 50 MG PO CAPS,2.0,2.0,,,0
NDC,0904-5313-46,PRENATAL VITAMINS+FOLATE PO TABS SH,2.0,2.0,,,0
NDC,0904-5313-60,PRENATAL VITAMINS+FOLATE PO TABS SH,2.0,2.0,,,0
NDC,0904-5448-61,PENTOXIFYLLINE ER 400 MG PO TBCR,15.0,15.0,,,0
NDC,0904-5492-61,MULTIVITAMINS+MINERALS PO TABS SH,1.98,1.98,,,0
NDC,0904-5492-80,MULTIVITAMINS+MINERALS PO TABS SH,2.0,2.0,,,0
NDC,0904-5524-61,DOXAZOSIN MESYLATE 4 MG PO TABS,11.45,11.45,,,0
NDC,0904-5529-52,FAMOTIDINE 10 MG PO TABS,1.24,1.24,,,0
NDC,0904-5784-61,FLUOXETINE HCL 10 MG PO CAPS,13.67,13.67,,,0
NDC,0904-5785-61,FLUOXETINE HCL 20 MG PO CAPS,13.95,13.95,,,0
NDC,0904-5789-61,ACYCLOVIR 200 MG PO CAPS,8.96,8.96,,,0
NDC,0904-5790-61,ACYCLOVIR 400 MG PO TABS,14.975,14.975,,,0
NDC,0904-5823-60,CHOLECALCIFEROL 10 MCG (400 UNIT) PO TABS,1.56,1.56,,,0
NDC,0904-5824-60,CHOLECALCIFEROL 25 MCG (1000 UT) PO TABS,1.13,1.13,,,0
NDC,0904-5853-61,IBUPROFEN 400 MG PO TABS,5.06,5.06,,,0
NDC,0904-5854-61,IBUPROFEN 600 MG PO TABS,10.1,10.1,,,0
NDC,0904-5891-61,PRAVASTATIN SODIUM 10 MG PO TABS,15.91,15.91,,,0
NDC,0904-5892-61,PRAVASTATIN SODIUM 20 MG PO TABS,13.98,13.98,,,0
NDC,0904-5893-61,PRAVASTATIN SODIUM 40 MG PO TABS,21.28,21.28,,,0
NDC,0904-5921-61,DIGOXIN 125 MCG PO TABS,12.75,12.75,,,0
NDC,0904-5922-61,DIGOXIN 250 MCG PO TABS,9.27,9.27,,,0
NDC,0904-5984-26,AMMONIUM LACTATE 12 % EX LOTN,2.0,2.0,,,0
NDC,0904-6007-61,LORAZEPAM 0.5 MG PO TABS,37.26,37.26,,,0
NDC,0904-6008-61,LORAZEPAM 1 MG PO TABS,30.11,30.11,,,0
NDC,0904-6019-46,BICALUTAMIDE 50 MG PO TABS,107.02,107.02,,,0
NDC,0904-6082-61,ZOLPIDEM TARTRATE 5 MG PO TABS,29.4,29.4,,,0
NDC,0904-6084-61,CITALOPRAM HYDROBROMIDE 10 MG PO TABS,13.81,13.81,,,0
NDC,0904-6085-61,CITALOPRAM HYDROBROMIDE 20 MG PO TABS,14.92,14.92,,,0
NDC,0904-6172-61,CARBAMAZEPINE 200 MG PO TABS,10.8,10.8,,,0
NDC,0904-6238-61,CARBIDOPA-LEVODOPA 25-250 MG PO TABS,15.0,15.0,,,0
NDC,0904-6256-20,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN,14.83,14.83,,,0
NDC,0904-6269-45,ZIPRASIDONE HCL 20 MG PO CAPS,18.21,18.21,,,0
NDC,0904-6270-45,ZIPRASIDONE HCL 40 MG PO CAPS,18.21,18.21,,,0
NDC,0904-6290-61,ATORVASTATIN CALCIUM 10 MG PO TABS,11.35,11.35,,,0
NDC,0904-6291-61,ATORVASTATIN CALCIUM 20 MG PO TABS,12.0,12.0,,,0
NDC,0904-6292-06,ATORVASTATIN CALCIUM 40 MG PO TABS,10.97,10.97,,,0
NDC,0904-6292-61,ATORVASTATIN CALCIUM 40 MG PO TABS,11.22,11.22,,,0
NDC,0904-6293-04,ATORVASTATIN CALCIUM 80 MG PO TABS,15.0,15.0,,,0
NDC,0904-6294-61,CLOPIDOGREL BISULFATE 75 MG PO TABS,23.08,23.08,,,0
NDC,0904-6300-61,CARVEDILOL 3.125 MG PO TABS,12.58,12.58,,,0
NDC,0904-6301-61,CARVEDILOL 6.25 MG PO TABS,10.53,10.53,,,0
NDC,0904-6302-61,CARVEDILOL 12.5 MG PO TABS,12.82,12.82,,,0
NDC,0904-6303-61,CARVEDILOL 25 MG PO TABS,14.61,14.61,,,0
NDC,0904-6305-21,PHENOL 1.4 % MT LIQD,2.0,2.0,,,0
NDC,0904-6322-06,METOPROLOL SUCCINATE ER 25 MG PO TB24,12.74,12.74,,,0
NDC,0904-6322-61,METOPROLOL SUCCINATE ER 25 MG PO TB24,10.66,10.66,,,0
NDC,0904-6323-61,METOPROLOL SUCCINATE ER 50 MG PO TB24,10.53,10.53,,,0
NDC,0904-6324-61,METOPROLOL SUCCINATE ER 100 MG PO TB24,15.0,15.0,,,0
NDC,0904-6351-61,LEVOFLOXACIN 250 MG PO TABS,53.66,53.66,,,0
NDC,0904-6352-61,LEVOFLOXACIN 500 MG PO TABS,58.17,58.17,,,0
NDC,0904-6353-61,LEVOFLOXACIN 750 MG PO TABS,98.46,98.46,,,0
NDC,0904-6358-61,RISPERIDONE 0.5 MG PO TABS,21.63,21.63,,,0
NDC,0904-6359-61,RISPERIDONE 1 MG PO TABS,12.04,12.04,,,0
NDC,0904-6360-61,RISPERIDONE 2 MG PO TABS,37.44,37.44,,,0
NDC,0904-6361-61,RISPERIDONE 3 MG PO TABS,45.67,45.67,,,0
NDC,0904-6362-61,RISPERIDONE 4 MG PO TABS,44.38,44.38,,,0
NDC,0904-6364-61,DIVALPROEX SODIUM ER 500 MG PO TB24,15.0,15.0,,,0
NDC,0904-6369-61,AMLODIPINE BESYLATE 2.5 MG PO TABS,10.86,10.86,,,0
NDC,0904-6370-61,AMLODIPINE BESYLATE 5 MG PO TABS,13.530000000000001,13.530000000000001,,,0
NDC,0904-6371-61,AMLODIPINE BESYLATE 10 MG PO TABS,15.0,15.0,,,0
NDC,0904-6373-61,ROPINIROLE HCL 0.25 MG PO TABS,14.65,14.65,,,0
NDC,0904-6374-61,ROPINIROLE HCL 1 MG PO TABS,15.0,15.0,,,0
NDC,0904-6407-61,BISACODYL 5 MG PO TBEC,0.72,0.72,,,0
NDC,0904-6412-92,CALCIUM CARBONATE ANTACID 500 MG PO CHEW,1.31,1.31,,,0
NDC,0904-6426-61,ESCITALOPRAM OXALATE 10 MG PO TABS,21.91,21.91,,,0
NDC,0904-6427-61,ESCITALOPRAM OXALATE 20 MG PO TABS,24.2,24.2,,,0
NDC,0904-6436-04,TEMAZEPAM 7.5 MG PO CAPS,27.46,27.46,,,0
NDC,0904-6441-61,HYDRALAZINE HCL 25 MG PO TABS,13.93,13.93,,,0
NDC,0904-6442-61,HYDRALAZINE HCL 50 MG PO TABS,15.0,15.0,,,0
NDC,0904-6443-61,HYDRALAZINE HCL 100 MG PO TABS,15.0,15.0,,,0
NDC,0904-6449-61,ISOSORBIDE MONONITRATE ER 30 MG PO TB24,12.49,12.49,,,0
NDC,0904-6450-61,ISOSORBIDE MONONITRATE ER 60 MG PO TB24,13.51,13.51,,,0
NDC,0904-6461-61,PROMETHAZINE HCL 25 MG PO TABS,7.5,7.5,,,0
NDC,0904-6467-07,CLOPIDOGREL BISULFATE 300 MG PO TABS,62.96,62.96,,,0
NDC,0904-6475-61,BACLOFEN 10 MG PO TABS,11.47,11.47,,,0
NDC,0904-6488-38,ARTIFICIAL TEARS OP OINT - CONSOLIDATED,2.0,2.0,,,0
NDC,0904-6500-61,FLUCONAZOLE 100 MG PO TABS,44.61,44.61,,,0
NDC,0904-6501-61,FLUCONAZOLE 200 MG PO TABS,58.71,58.71,,,0
NDC,0904-6502-61,CELECOXIB 100 MG PO CAPS,24.01,24.01,,,0
NDC,0904-6503-61,CELECOXIB 200 MG PO CAPS,41.68,41.68,,,0
NDC,0904-6505-61,MEMANTINE HCL 5 MG PO TABS,13.57,13.57,,,0
NDC,0904-6510-06,ARIPIPRAZOLE 5 MG PO TABS,49.66,49.66,,,0
NDC,0904-6517-61,MECLIZINE HCL 25 MG PO TABS,2.76,2.76,,,0
NDC,0904-6522-61,SENNA 8.6 MG PO TABS,0.83,0.83,,,0
NDC,0904-6550-61,PROPRANOLOL HCL 10 MG PO TABS,10.95,10.95,,,0
NDC,0904-6558-61,MORPHINE SULFATE ER 30 MG PO TBCR,28.93,28.93,,,0
NDC,0904-6564-60,BENZONATATE 100 MG PO CAPS,13.64,13.64,,,0
NDC,0904-6572-61,ALLOPURINOL 300 MG PO TABS,15.0,15.0,,,0
NDC,0904-6575-61,PHENOBARBITAL 32.4 MG PO TABS,40.0,40.0,,,0
NDC,0904-6583-04,LAMIVUDINE 150 MG PO TABS,45.77,45.77,,,0
NDC,0904-6596-04,VORICONAZOLE 50 MG PO TABS,36.54,36.54,,,0
NDC,0904-6615-61,DIVALPROEX SODIUM 125 MG PO CSDR,6.15,6.15,,,0
NDC,0904-6617-61,HYDROXYZINE HCL 25 MG PO TABS,11.69,11.69,,,0
NDC,0904-6618-61,HYDROXYZINE HCL 50 MG PO TABS,12.79,12.79,,,0
NDC,0904-6619-61,ISOSORBIDE DINITRATE 10 MG PO TABS,9.93,9.93,,,0
NDC,0904-6620-61,ISOSORBIDE DINITRATE 20 MG PO TABS,12.55,12.55,,,0
NDC,0904-6622-61,PYRIDOSTIGMINE BROMIDE 60 MG PO TABS,15.0,15.0,,,0
NDC,0904-6623-61,TACROLIMUS 0.5 MG PO CAPS,15.155000000000001,15.155000000000001,,,0
NDC,0904-6624-61,TACROLIMUS 5 MG PO CAPS,10.99,10.99,,,0
NDC,0904-6627-35,CARBAMIDE PEROXIDE 6.5 % OT SOLN,2.0,2.0,,,0
NDC,0904-6635-61,BUPROPION HCL 75 MG PO TABS,12.25,12.25,,,0
NDC,0904-6637-61,GLIPIZIDE 5 MG PO TABS,14.33,14.33,,,0
NDC,0904-6638-61,QUETIAPINE FUMARATE 25 MG PO TABS,4.71,4.71,,,0
NDC,0904-6640-61,QUETIAPINE FUMARATE 100 MG PO TABS,6.37,6.37,,,0
NDC,0904-6663-61,ACETAZOLAMIDE 250 MG PO TABS,23.83,23.83,,,0
NDC,0904-6665-61,GABAPENTIN 100 MG PO CAPS,10.53,10.53,,,0
NDC,0904-6666-61,GABAPENTIN 300 MG PO CAPS,10.96,10.96,,,0
NDC,0904-6681-08,DOFETILIDE 125 MCG PO CAPS,34.07,34.07,,,0
NDC,0904-6682-08,DOFETILIDE 250 MCG PO CAPS,34.41,34.41,,,0
NDC,0904-6689-61,METFORMIN HCL 500 MG PO TABS,11.25,11.25,,,0
NDC,0904-6705-61,PROPRANOLOL HCL 20 MG PO TABS,15.0,15.0,,,0
NDC,0904-6706-06,OMEGA-3-ACID ETHYL ESTERS 1 G PO CAPS,1.35,1.35,,,0
NDC,0904-6707-06,SEVELAMER CARBONATE 800 MG PO TABS,18.88,18.88,,,0
NDC,0904-6707-82,SEVELAMER CARBONATE 800 MG PO TABS,27.4,27.4,,,0
NDC,0904-6708-06,AZITHROMYCIN 250 MG PO TABS,9.13,9.13,,,0
NDC,0904-6709-61,GLYCOPYRROLATE 1 MG PO TABS,15.0,15.0,,,0
NDC,0904-6717-61,CETIRIZINE HCL 10 MG PO TABS,1.9649999999999999,1.9649999999999999,,,0
NDC,0904-6725-59,SENNA 8.6 MG PO TABS,1.45,1.45,,,0
NDC,0904-6728-46,PSEUDOEPHEDRINE HCL 60 MG PO TABS,2.0,2.0,,,0
NDC,0904-6730-61,ACETAMINOPHEN 500 MG PO TABS,7.595000000000001,7.595000000000001,,,0
NDC,0904-6733-61,HALOPERIDOL 10 MG PO TABS,15.0,15.0,,,0
NDC,0904-6748-60,BISACODYL 5 MG PO TBEC,0.89,0.89,,,0
NDC,0904-6761-30,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
NDC,0904-6767-20,LORATADINE 5 MG/5ML PO SOLN,2.0,2.0,,,0
NDC,0904-6773-61,ACETAMINOPHEN 325 MG PO TABS,5.075,5.075,,,0
NDC,0904-6780-61,ROSUVASTATIN CALCIUM 20 MG PO TABS,8.14,8.14,,,0
NDC,0904-6782-61,HALOPERIDOL 5 MG PO TABS,14.4,14.4,,,0
NDC,0904-6786-61,MYCOPHENOLATE SODIUM 360 MG PO TBEC,25.285,25.285,,,0
NDC,0904-6789-61,BENZTROPINE MESYLATE 2 MG PO TABS,15.0,15.0,,,0
NDC,0904-6791-04,MODAFINIL 100 MG PO TABS,46.47,46.47,,,0
NDC,0904-6794-89,ASPIRIN 81 MG PO CHEW,5.04,5.04,,,0
NDC,0904-6797-61,LISINOPRIL 5 MG PO TABS,14.2,14.2,,,0
NDC,0904-6798-61,LISINOPRIL 10 MG PO TABS,8.49,8.49,,,0
NDC,0904-6799-61,LISINOPRIL 20 MG PO TABS,10.98,10.98,,,0
NDC,0904-6808-06,MONTELUKAST SODIUM 10 MG PO TABS,15.0,15.0,,,0
NDC,0904-6808-61,MONTELUKAST SODIUM 10 MG PO TABS,15.0,15.0,,,0
NDC,0904-6817-06,MIDODRINE HCL 2.5 MG PO TABS,10.22,10.22,,,0
NDC,0904-6818-06,MIDODRINE HCL 5 MG PO TABS,8.48,8.48,,,0
NDC,0904-6818-61,MIDODRINE HCL 5 MG PO TABS,9.77,9.77,,,0
NDC,0904-6819-07,MIDODRINE HCL 10 MG PO TABS,12.88,12.88,,,0
NDC,0904-6821-04,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS,31.13,31.13,,,0
NDC,0904-6823-61,GABAPENTIN 600 MG PO TABS,14.07,14.07,,,0
NDC,0904-6824-61,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS,39.52,39.52,,,0
NDC,0904-6825-61,HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS,40.0,40.0,,,0
NDC,0904-6834-07,FLUCYTOSINE 250 MG PO CAPS,301.19,301.19,,,0
NDC,0904-6836-20,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN,15.0,15.0,,,0
NDC,0904-6852-61,LORATADINE 10 MG PO TABS,2.0,2.0,,,0
NDC,0904-6860-61,DIVALPROEX SODIUM 250 MG PO TBEC,6.36,6.36,,,0
NDC,0904-6868-61,TRAZODONE HCL 50 MG PO TABS,11.82,11.82,,,0
NDC,0904-6869-61,TRAZODONE HCL 100 MG PO TABS,12.5,12.5,,,0
NDC,0904-6870-45,PANTOPRAZOLE SODIUM 40 MG PO TBEC,14.98,14.98,,,0
NDC,0904-6917-61,OMEPRAZOLE 20 MG PO CPDR,1.51,1.51,,,0
NDC,0904-6923-61,PREDNISONE 10 MG PO TABS,1.17,1.17,,,0
NDC,0904-6924-61,SERTRALINE HCL 25 MG PO TABS,11.36,11.36,,,0
NDC,0904-6926-61,SERTRALINE HCL 100 MG PO TABS,13.9,13.9,,,0
NDC,0904-6927-61,SPIRONOLACTONE 25 MG PO TABS,13.47,13.47,,,0
NDC,0904-6928-61,TOPIRAMATE 25 MG PO TABS,15.0,15.0,,,0
NDC,0904-6931-26,POLYETHYLENE GLYCOL 3350 17 G PO PACK,1.89,1.89,,,0
NDC,0904-6987-61,DICYCLOMINE HCL 10 MG PO CAPS,15.0,15.0,,,0
NDC,0904-6988-61,DICYCLOMINE HCL 20 MG PO TABS,15.0,15.0,,,0
NDC,0904-6990-61,PSEUDOEPHEDRINE HCL 30 MG PO TABS,2.0,2.0,,,0
NDC,0904-6991-61,PREGABALIN 25 MG PO CAPS,26.32,26.32,,,0
NDC,0904-6992-61,PREGABALIN 50 MG PO CAPS,29.03,29.03,,,0
NDC,0904-6993-61,AMIODARONE HCL 200 MG PO TABS,11.06,11.06,,,0
NDC,0904-6999-80,DOCUSATE SODIUM 250 MG PO CAPS,2.0,2.0,,,0
NDC,0904-7001-61,PREGABALIN 100 MG PO CAPS,21.61,21.61,,,0
NDC,0904-7006-35,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
NDC,0904-7007-61,LAMOTRIGINE 25 MG PO TABS,7.19,7.19,,,0
NDC,0904-7008-61,LAMOTRIGINE 100 MG PO TABS,8.29,8.29,,,0
NDC,0904-7016-04,BUMETANIDE 1 MG PO TABS,13.93,13.93,,,0
NDC,0904-7021-61,PRAZOSIN HCL 2 MG PO CAPS,14.1,14.1,,,0
NDC,0904-7023-67,BACITRACIN ZINC 500 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,0904-7024-04,VORICONAZOLE 200 MG PO TABS,100.0,100.0,,,0
NDC,0904-7036-04,NALTREXONE HCL 50 MG PO TABS,15.0,15.0,,,0
NDC,0904-7041-61,ALLOPURINOL 100 MG PO TABS,14.09,14.09,,,0
NDC,0904-7042-06,AMANTADINE HCL 100 MG PO CAPS,14.04,14.04,,,0
NDC,0904-7042-61,AMANTADINE HCL 100 MG PO CAPS,15.0,15.0,,,0
NDC,0904-7043-04,DULOXETINE HCL 20 MG PO CPEP,11.16,11.16,,,0
NDC,0904-7044-61,DULOXETINE HCL 30 MG PO CPEP,13.06,13.06,,,0
NDC,0904-7045-61,DULOXETINE HCL 60 MG PO CPEP,14.45,14.45,,,0
NDC,0904-7048-61,LOSARTAN POTASSIUM 50 MG PO TABS,10.48,10.48,,,0
NDC,0904-7055-61,DOXEPIN HCL 100 MG PO CAPS,15.0,15.0,,,0
NDC,0904-7071-07,NADOLOL 40 MG PO TABS,21.79,21.79,,,0
NDC,0904-7075-61,VENLAFAXINE HCL ER 37.5 MG PO CP24,14.15,14.15,,,0
NDC,0904-7076-61,VENLAFAXINE HCL ER 150 MG PO CP24,12.39,12.39,,,0
NDC,0904-7083-61,CIPROFLOXACIN HCL 500 MG PO TABS,14.39,14.39,,,0
NDC,0904-7084-04,BUPROPION HCL ER (XL) 150 MG PO TB24,12.55,12.55,,,0
NDC,0904-7095-61,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS,39.06,39.06,,,0
NDC,0904-7097-61,TACROLIMUS 1 MG PO CAPS,9.705,9.705,,,0
NDC,0904-7106-61,CAPTOPRIL 25 MG PO TABS,15.0,15.0,,,0
NDC,0904-7109-61,LABETALOL HCL 100 MG PO TABS,9.91,9.91,,,0
NDC,0904-7110-61,LABETALOL HCL 200 MG PO TABS,12.01,12.01,,,0
NDC,0904-7111-61,LABETALOL HCL 300 MG PO TABS,11.14,11.14,,,0
NDC,0904-7120-04,COLCHICINE 0.6 MG PO TABS,31.66,31.66,,,0
NDC,0904-7124-61,LEVETIRACETAM 500 MG PO TABS,10.42,10.42,,,0
NDC,0904-7126-61,METRONIDAZOLE 500 MG PO TABS,15.0,15.0,,,0
NDC,0904-7127-61,PREDNISONE 20 MG PO TABS,0.325,0.325,,,0
NDC,0904-7129-61,CHLORPROMAZINE HCL 10 MG PO TABS,18.08,18.08,,,0
NDC,0904-7130-06,CHLORPROMAZINE HCL 25 MG PO TABS,16.49,16.49,,,0
NDC,0904-7130-61,CHLORPROMAZINE HCL 25 MG PO TABS,34.37,34.37,,,0
NDC,0904-7132-61,CHLORPROMAZINE HCL 100 MG PO TABS,50.0,50.0,,,0
NDC,0904-7139-61,METOLAZONE 5 MG PO TABS,21.36,21.36,,,0
NDC,0904-7144-61,DRONABINOL 2.5 MG PO CAPS,35.864999999999995,35.864999999999995,,,0
NDC,0904-7153-61,BENZONATATE 100 MG PO CAPS,12.59,12.59,,,0
NDC,0904-7162-61,METFORMIN HCL 500 MG PO TABS,10.6,10.6,,,0
NDC,0904-7168-61,URSODIOL 300 MG PO CAPS,27.45,27.45,,,0
NDC,0904-7172-07,EMTRICITABINE-TENOFOVIR DF 200-300 MG PO TABS,15.0,15.0,,,0
NDC,0904-7177-61,FUROSEMIDE 20 MG PO TABS,13.52,13.52,,,0
NDC,0904-7179-61,TRAMADOL HCL 50 MG PO TABS,39.3,39.3,,,0
NDC,0904-7183-61,DOCUSATE SODIUM 100 MG PO CAPS,1.64,1.64,,,0
NDC,0904-7184-61,AMITRIPTYLINE HCL 25 MG PO TABS,14.56,14.56,,,0
NDC,0904-7185-61,AMITRIPTYLINE HCL 50 MG PO TABS,15.0,15.0,,,0
NDC,0904-7187-61,ATENOLOL 25 MG PO TABS,9.8,9.8,,,0
NDC,0904-7188-61,HYDROCORTISONE 10 MG PO TABS,13.52,13.52,,,0
NDC,0904-7189-04,NEBIVOLOL HCL 5 MG PO TABS,18.48,18.48,,,0
NDC,0904-7193-61,FAMOTIDINE 20 MG PO TABS,2.0,2.0,,,0
NDC,0904-7194-61,CLINDAMYCIN HCL 300 MG PO CAPS,14.02,14.02,,,0
NDC,0904-7200-61,LISINOPRIL 40 MG PO TABS,15.0,15.0,,,0
NDC,0904-7211-04,DANTROLENE SODIUM 25 MG PO CAPS,11.85,11.85,,,0
NDC,0904-7214-61,BUPROPION HCL ER (SR) 150 MG PO TB12,13.34,13.34,,,0
NDC,0904-7224-61,FOLIC ACID 1 MG PO TABS,1.97,1.97,,,0
NDC,0904-7236-61,MEGESTROL ACETATE 40 MG PO TABS,21.05,21.05,,,0
NDC,0904-7237-61,DIPHENHYDRAMINE HCL 25 MG PO CAPS,2.0,2.0,,,0
NDC,0904-7239-61,SODIUM CHLORIDE 1 G PO TABS,1.39,1.39,,,0
NDC,0904-7243-61,CIPROFLOXACIN HCL 500 MG PO TABS,14.79,14.79,,,0
NDC,0904-7244-68,LACOSAMIDE 50 MG PO TABS,15.06,15.06,,,0
NDC,0904-7245-68,LACOSAMIDE 100 MG PO TABS,27.5,27.5,,,0
NDC,0904-7247-68,LACOSAMIDE 200 MG PO TABS,40.0,40.0,,,0
NDC,0904-7252-61,SENNA 8.6 MG PO TABS,1.37,1.37,,,0
NDC,0904-7257-61,CARBIDOPA-LEVODOPA 25-100 MG PO TABS,9.26,9.26,,,0
NDC,0904-7263-61,OXCARBAZEPINE 300 MG PO TABS,6.47,6.47,,,0
NDC,0904-7266-61,DEXAMETHASONE 4 MG PO TABS,0.5650000000000001,0.5650000000000001,,,0
NDC,0904-7276-70,NYSTATIN 100000 UNIT/ML MT SUSP,29.94,29.94,,,0
NDC,0904-7278-70,ACETAMINOPHEN 160 MG/5ML PO SUSP (PEDIATRIC),5.39,5.39,,,0
NDC,0904-7279-66,DOCUSATE SODIUM 150 MG/15ML PO LIQD,1.28,1.28,,,0
NDC,0904-7281-60,DOCUSATE SODIUM 250 MG PO CAPS,2.0,2.0,,,0
NDC,0904-7304-61,PROMETHAZINE HCL 25 MG PO TABS,7.52,7.52,,,0
NDC,0904-7346-61,FLUOXETINE HCL 20 MG PO CAPS,6.08,6.08,,,0
NDC,0904-7350-06,AZITHROMYCIN 250 MG PO TABS,9.26,9.26,,,0
NDC,0904-7355-04,LURASIDONE HCL 20 MG PO TABS,13.75,13.75,,,0
NDC,0904-7361-61,RISPERIDONE 0.5 MG PO TABS,15.0,15.0,,,0
NDC,0904-7362-61,RISPERIDONE 1 MG PO TABS,8.64,8.64,,,0
NDC,0904-7375-61,MECLIZINE HCL 12.5 MG PO TABS,2.0,2.0,,,0
NDC,0904-7376-61,MECLIZINE HCL 25 MG PO TABS,2.08,2.08,,,0
NDC,0904-7403-61,CYANOCOBALAMIN 1000 MCG PO TABS,1.87,1.87,,,0
NDC,0904-7427-30,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
NDC,0904-7914-61,IBUPROFEN 200 MG PO TABS,4.6,4.6,,,0
NDC,0941-0409-01,ULTRABAG/DIANEAL/1.5% DEXTROSE 344 MOSM/L IP SOLN,507.0,507.0,,,0
NDC,0941-0409-06,DIANEAL LOW CALCIUM/1.5% DEX 344 MOSM/L IP SOLN,260.0,260.0,,,0
NDC,0941-0424-52,ULTRABAG/DIANEAL/1.5% DEXTROSE 344 MOSM/L IP SOLN,362.82,362.82,,,0
NDC,0941-0430-52,ULTRABAG/DIANEAL/2.5% DEXTROSE 395 MOSM/L IP SOLN,329.64,329.64,,,0
NDC,0941-0457-01,ULTRABAG/DIANEAL/2.5% DEXTROSE 395 MOSM/L IP SOLN,546.0,546.0,,,0
NDC,0941-0457-08,ULTRABAG/DIANEAL/2.5% DEXTROSE 395 MOSM/L IP SOLN,286.0,286.0,,,0
NDC,0941-0459-01,ULTRABAG/DIANEAL/4.25% DEX 483 MOSM/L IP SOLN,468.0,468.0,,,0
NDC,0941-0679-06,EXTRANEAL 7.5 % IP SOLN,915.2,915.2,,,0
NDC,0942-0641-04,ACD FORMULA A 0.73-2.45-2.2 GM/100ML VI SOLN,78.64,78.64,,,0
NDC,0944-0493-02,ALBUMIN HUMAN 25 % IV SOLN,300.0,300.0,,,0
NDC,0944-0495-05,ALBUMIN HUMAN 5 % IV SOLN SH (VOLUME REPLACEMENT),55.6,55.6,,,0
NDC,0955-1729-01,INSULIN GLARGINE 100 UNIT/ML SC SOLN,4.135,4.135,,,0
NDC,0990-6143-22,ACETIC ACID 0.25 % IR SOLN,75.0,75.0,,,0
NDC,0990-7074-26,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,14.995000000000001,14.995000000000001,,,0
NDC,0990-7075-26,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,7.5,7.5,,,0
NDC,0990-7111-09,"D5W - LACTATED RINGERS WITH KCL 20 MEQ 1,000 ML",4.6,4.6,,,0
NDC,0990-7120-07,D70W IV SOLN,75.0,75.0,,,0
NDC,0990-7670-09,NORMOSOL-R PH 7.4 IV SOLN,51.61,51.61,,,0
NDC,0990-7715-13,MANNITOL 20% IVPB INTERMITTENT SH,103.36,103.36,,,0
NDC,0990-7904-09,"D5W - NACL 0.45% WITH KCL 40 MEQ 1,000 ML",3.75,3.75,,,0
NDC,0990-7918-19,D70W IV SOLN,73.71,73.71,,,0
NDC,0990-7922-02,D5W IV SOLN,75.0,75.0,,,0
NDC,0990-7922-03,D5W IV SOLN,75.0,75.0,,,0
NDC,0990-7922-09,D5W IV SOLN,37.5,37.5,,,0
NDC,0990-7922-61,D5W IV SOLN,74.25999999999999,74.25999999999999,,,0
NDC,0990-7935-19,D20W COMPOUNDING - NON TPN IV SOLN SH,75.0,75.0,,,0
NDC,0990-7936-19,D50W COMPOUNDING - NON TPN IV SOLN SH,74.2,74.2,,,0
NDC,0990-7953-03,LACTATED RINGERS IV SOLN,75.0,75.0,,,0
NDC,0990-7967-09,NORMOSOL-R IV SOLN,75.0,75.0,,,0
NDC,0990-7983-02,NACL 0.9% IV SOLN,75.0,75.0,,,0
NDC,0990-7983-03,NACL 0.9% IV SOLN,37.5,37.5,,,0
NDC,0990-7983-61,NACL 0.9% IV SOLN,11.4,11.4,,,0
NDC,0990-7985-09,NACL 0.45% IV SOLN,75.0,75.0,,,0
NDC,0998-0408-15,HYPROMELLOSE 0.5 % OP SOLN,2.0,2.0,,,0
NDC,0998-0615-05,DEXAMETHASONE 0.1 % OP SUSP,380.08,380.08,,,0
NDC,10006-70028,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS,1.17,1.17,,,0
NDC,10019-075-87,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN,12.4,12.4,,,0
NDC,10019-120-01,ESMOLOL HCL 100 MG/10ML IV SOLN,13.96,13.96,,,0
NDC,10019-553-03,SCOPOLAMINE 1 MG/3DAYS TD PT72,100.0,100.0,,,0
NDC,10019-553-90,SCOPOLAMINE 1 MG/3DAYS TD PT72,100.0,100.0,,,0
NDC,10019-637-33,AMPICILLIN/SULBACTAM 3G/100ML NS (MINIBAG),37.5,37.5,,,0
NDC,10019-953-01,MESNA 100 MG/ML IV SOLN,73.24,73.24,,,0
NDC,10019-955-01,CYCLOPHOSPHAMIDE 500 MG/25ML IJ (WET SOLR VIAL),28.325,28.325,,,0
NDC,10019-956-01,CYCLOPHOSPHAMIDE 1000 MG/50ML IJ (WET SOLR VIAL),65.66,65.66,,,0
NDC,10019-957-01,CYCLOPHOSPHAMIDE 2000 MG/100ML IJ (WET SOLR VIAL),197.075,197.075,,,0
NDC,10019-991-01,BORTEZOMIB 3.5 MG IJ SOLR,14.105,14.105,,,0
NDC,10122-325-10,NICARDIPINE HCL IN NACL 40-0.83 MG/200ML-% IV SOLN,3.05,3.05,,,0
NDC,10122-510-01,PORACTANT ALFA 120 MG/1.5ML TR SUSP,1266.53,1266.53,,,0
NDC,10122-510-03,PORACTANT ALFA 240 MG/3ML TR SUSP,2834.42,2834.42,,,0
NDC,10122-611-10,CLEVIDIPINE 50 MG/100ML IV EMUL,20.485,20.485,,,0
NDC,10122-620-10,CANGRELOR TETRASODIUM 50 MG/5ML IV (WET SOLR VIAL),90.13,90.13,,,0
NDC,10135-132-01,THIAMINE HCL/MONONITRATE 100 MG PO TABS - CONSOLIDATED,2.1,2.1,,,0
NDC,10135-532-01,BACLOFEN 10 MG PO TABS,15.0,15.0,,,0
NDC,10135-541-01,PROBENECID 500 MG PO TABS,15.0,15.0,,,0
NDC,10135-664-01,METHOCARBAMOL 500 MG PO TABS,15.0,15.0,,,0
NDC,10135-671-81,CLOTRIMAZOLE 1 % EX SOLN,2.0,2.0,,,0
NDC,10135-711-01,LABETALOL HCL 100 MG PO TABS,10.11,10.11,,,0
NDC,10223-0201-3,BUTAMBEN-TETRACAINE-BENZOCAINE 2-2-14 % EX AERO,571.2,571.2,,,0
NDC,10361-793-01,SOD BICARB-CITRIC AC-SIMETH 2.21-1.53-0.04 G PO PACK,2.0,2.0,,,0
NDC,10481-0112-8,MONSELS FERRIC SUBSULFATE EX SOLN,2.0,2.0,,,0
NDC,10702-170-01,DESMOPRESSIN ACETATE 0.2 MG PO TABS,41.88,41.88,,,0
NDC,10939-50644,PYRIDOXINE HCL 100 MG PO TABS,2.0,2.0,,,0
NDC,11523-7268-8,POLYETHYLENE GLYCOL 3350 17 G PO PACK,2.0,2.0,,,0
NDC,11534-166-15,SODIUM POLYSTYRENE SULFONATE PO POWD,79.05,79.05,,,0
NDC,11704-370-01,HYDROXOCOBALAMIN 5 G IV SOLR,1981.015,1981.015,,,0
NDC,11980-779-05,OFLOXACIN 0.3 % OP SOLN,10.45,10.45,,,0
NDC,11994-011-01,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,376.09000000000003,376.09000000000003,,,0
NDC,11994-011-04,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,438.64,438.64,,,0
NDC,12496-1202-3,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM,40.0,40.0,,,0
NDC,12496-1208-3,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM,50.4,50.4,,,0
NDC,12870-0001-1,SILVER NITRATE-POT NITRATE 75-25 % EX MISC,0.9,0.9,,,0
NDC,13533-318-01,RABIES IMMUNE GLOBULIN 300 UNIT/ML IJ SOLN,210.04,210.04,,,0
NDC,13533-318-05,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN,1184.69,1184.69,,,0
NDC,13533-603-20,ANTITHROMBIN III (HUMAN) 500 UNITS IV SOLR,15.6,15.6,,,0
NDC,13533-631-02,RHO D IMMUNE GLOBULIN 1500 UNITS IM SOSY,646.1,646.1,,,0
NDC,13533-634-02,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY,2337.0,2337.0,,,0
NDC,13533-636-03,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY,318.42,318.42,,,0
NDC,13533-800-12,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - GAMUNEX-C,251.38,251.38,,,0
NDC,13533-800-15,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - GAMUNEX-C,251.39,251.39,,,0
NDC,13533-800-71,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - GAMUNEX-C,251.38,251.38,,,0
NDC,13668-103-90,DONEPEZIL HCL 10 MG PO TABS,32.14,32.14,,,0
NDC,13668-330-01,TRAZODONE HCL 50 MG PO TABS,12.54,12.54,,,0
NDC,13668-341-30,LAMOTRIGINE ER 100 MG PO TB24,52.03,52.03,,,0
NDC,13925-515-10,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR,607.16,607.16,,,0
NDC,13925-522-01,PENTAMIDINE ISETHIONATE 300 MG IN SOLR,541.5,541.5,,,0
NDC,14789-014-01,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IJ SOLN,77.38,77.38,,,0
NDC,14789-015-05,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN,576.0,576.0,,,0
NDC,14789-015-07,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN,1728.0,1728.0,,,0
NDC,14789-121-07,PAPAVERINE HCL 30 MG/ML IJ SOLN,157.5,157.5,,,0
NDC,14789-127-07,PHENOBARBITAL 65MG/ML INJ (PEDIATRIC) SH,101.3,101.3,,,0
NDC,14789-128-07,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,139.26,139.26,,,0
NDC,14789-136-07,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,13.44,13.44,,,0
NDC,14789-250-07,EPHEDRINE SULFATE 5 MG/ML INJ (SH),96.18,96.18,,,0
NDC,14789-900-02,PROCAINAMIDE HCL 500 MG/ML IJ SOLN,2880.0,2880.0,,,0
NDC,14789-900-07,PROCAINAMIDE HCL 500 MG/ML IJ SOLN,2700.0,2700.0,,,0
NDC,15054-0043-1,IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ,168.22,168.22,,,0
NDC,15054-1120-4,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,143.43,143.43,,,0
NDC,16500-02005,LIDOCAINE/EPINEPHRINE/TETRACAINE (L.E.T) TOP SOLN CUSTOM CREATE,15.0,15.0,,,0
NDC,16571-667-01,PHENOBARBITAL 64.8 MG PO TABS,26.67,26.67,,,0
NDC,16571-671-01,PHENOBARBITAL 16.2 MG PO TABS,40.0,40.0,,,0
NDC,16714-010-01,ISOSORBIDE DINITRATE 30 MG PO TABS,9.07,9.07,,,0
NDC,16714-014-01,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS,27.79,27.79,,,0
NDC,16714-019-05,BUDESONIDE 0.5 MG/2ML IN SUSP,48.81,48.81,,,0
NDC,16714-035-01,LEVETIRACETAM 500 MG PO TABS,18.15,18.15,,,0
NDC,16714-036-10,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,16.3,16.3,,,0
NDC,16714-056-01,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY,16.62,16.62,,,0
NDC,16714-071-04,BACLOFEN 10 MG PO TABS,14.42,14.42,,,0
NDC,16714-082-10,HYDROXYZINE HCL 25 MG PO TABS,13.73,13.73,,,0
NDC,16714-101-02,GEMFIBROZIL 600 MG PO TABS,15.0,15.0,,,0
NDC,16714-137-01,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,3.415,3.415,,,0
NDC,16714-143-01,ARIPIPRAZOLE 10 MG PO TABS,100.0,100.0,,,0
NDC,16714-157-01,PROGESTERONE 100 MG PO CAPS,15.44,15.44,,,0
NDC,16714-164-01,MICAFUNGIN SODIUM 50 MG/5ML IV (WET SOLR VIAL),14.59,14.59,,,0
NDC,16714-186-02,LANSOPRAZOLE 30 MG PO TBDD,63.1,63.1,,,0
NDC,16714-188-01,SIROLIMUS 1 MG PO TABS,58.72,58.72,,,0
NDC,16714-200-30,ONDANSETRON 4 MG PO TBDP,90.26,90.26,,,0
NDC,16714-235-01,PENICILLIN V POTASSIUM 500 MG PO TABS,14.73,14.73,,,0
NDC,16714-248-01,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,11.29,11.29,,,0
NDC,16714-257-01,AMITRIPTYLINE HCL 10 MG PO TABS,14.08,14.08,,,0
NDC,16714-293-01,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR,50.62,50.62,,,0
NDC,16714-293-02,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR,44.35,44.35,,,0
NDC,16714-293-03,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR,45.07,45.07,,,0
NDC,16714-294-01,AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR,37.71,37.71,,,0
NDC,16714-296-01,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS,20.82,20.82,,,0
NDC,16714-298-01,AMOXICILLIN 250 MG PO CAPS,15.0,15.0,,,0
NDC,16714-299-02,AMOXICILLIN 500 MG PO CAPS,14.71,14.71,,,0
NDC,16714-299-03,AMOXICILLIN 500 MG PO CAPS,12.92,12.92,,,0
NDC,16714-301-01,MICAFUNGIN 100MG/100ML NS (MINIBAG),11.22,11.22,,,0
NDC,16714-301-10,MICAFUNGIN SODIUM 100 MG/5ML IV (WET SOLR VIAL),11.22,11.22,,,0
NDC,16714-309-01,"VANCOMYCIN 1,000MG/250ML 0.9% NACL (VIAL-MATE)",63.265,63.265,,,0
NDC,16714-394-01,CEFPODOXIME PROXETIL 100 MG PO TABS,27.5,27.5,,,0
NDC,16714-401-01,CEFUROXIME AXETIL 500 MG PO TABS,49.18,49.18,,,0
NDC,16714-443-01,ENALAPRIL MALEATE 5 MG PO TABS,15.0,15.0,,,0
NDC,16714-444-01,ENALAPRIL MALEATE 10 MG PO TABS,9.48,9.48,,,0
NDC,16714-477-01,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS,20.6,20.6,,,0
NDC,16714-483-02,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR,35.36,35.36,,,0
NDC,16714-496-01,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA,187.43,187.43,,,0
NDC,16714-496-02,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA,357.08,357.08,,,0
NDC,16714-548-01,LACOSAMIDE 50 MG PO TABS,46.39,46.39,,,0
NDC,16714-576-02,ALLOPURINOL 100 MG PO TABS,11.75,11.75,,,0
NDC,16714-601-02,SERTRALINE HCL 20 MG/ML PO CONC,30.0,30.0,,,0
NDC,16714-625-01,LAMOTRIGINE ER 100 MG PO TB24,50.0,50.0,,,0
NDC,16714-644-01,DOXYCYCLINE 100 MG/100ML NS (MINIBAG),195.78,195.78,,,0
NDC,16714-681-02,SIMVASTATIN 5 MG PO TABS,15.0,15.0,,,0
NDC,16714-690-01,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,1.81,1.81,,,0
NDC,16714-694-01,FLUCONAZOLE 50 MG PO TABS,27.59,27.59,,,0
NDC,16714-695-01,FLUCONAZOLE 10MG/ML ORAL SUSP (PEDIATRIC) SH,24.05,24.05,,,0
NDC,16714-696-01,FLUCONAZOLE 40 MG/ML PO SUSR,93.52,93.52,,,0
NDC,16714-771-01,RASAGILINE MESYLATE 1 MG PO TABS,99.96,99.96,,,0
NDC,16714-796-01,SUMATRIPTAN SUCCINATE 25 MG PO TABS,100.0,100.0,,,0
NDC,16714-797-01,SUMATRIPTAN SUCCINATE 50 MG PO TABS,99.15,99.15,,,0
NDC,16714-798-01,SUMATRIPTAN SUCCINATE 100 MG PO TABS,100.0,100.0,,,0
NDC,16714-816-02,BICALUTAMIDE 50 MG PO TABS,119.34,119.34,,,0
NDC,16714-820-01,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS,109.54,109.54,,,0
NDC,16714-829-01,BUDESONIDE 3 MG PO CPEP,68.18,68.18,,,0
NDC,16714-834-01,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,186.72,186.72,,,0
NDC,16714-859-01,CYCLOPHOSPHAMIDE 500 MG/25ML IJ (WET SOLR VIAL),26.74,26.74,,,0
NDC,16714-897-01,PERMETHRIN 5 % EX CREA,5.78,5.78,,,0
NDC,16714-908-01,BLEOMYCIN SULFATE 30 UNITS IJ SOLR,312.32,312.32,,,0
NDC,16714-930-01,GEMCITABINE HCL 1 G IV SOLR,77.82,77.82,,,0
NDC,16714-973-02,PHYTONADIONE 5 MG PO TABS,1.0,1.0,,,0
NDC,16714-977-01,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,1.81,1.81,,,0
NDC,16729-043-01,TACROLIMUS 5 MG PO CAPS,17.8,17.8,,,0
NDC,16729-114-08,ETOPOSIDE 100 MG/5ML IV SOLN,24.14,24.14,,,0
NDC,16729-114-31,ETOPOSIDE 100 MG/5ML IV SOLN,21.355,21.355,,,0
NDC,16729-115-05,MITOMYCIN 5MG IV SOLR CHEMO (PF) FOR OPHTH USE,755.8449999999999,755.8449999999999,,,0
NDC,16729-151-31,TOPOTECAN HCL 4 MG IV SOLR,58.22,58.22,,,0
NDC,16729-275-67,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,20.0,20.0,,,0
NDC,16729-276-38,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,64.77,64.77,,,0
NDC,16729-276-68,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,134.51,134.51,,,0
NDC,16729-277-30,METHOTREXATE 25MG/ML CHEMO IV SYRINGE (PEDIATRIC) SH,300.0,300.0,,,0
NDC,16729-288-11,CISPLATIN 1 MG/ML IV SOLN - CONSOLIDATED,46.64,46.64,,,0
NDC,16729-288-38,CISPLATIN 1 MG/ML IV SOLN - CONSOLIDATED,30.0,30.0,,,0
NDC,16729-294-10,EPLERENONE 50 MG PO TABS,23.08,23.08,,,0
NDC,16729-295-12,CARBOPLATIN 450 MG/45ML IV SOLN,58.900000000000006,58.900000000000006,,,0
NDC,16729-298-05,ONDANSETRON HCL 40 MG/20ML IJ SOLN,4.69,4.69,,,0
NDC,16729-331-01,ACETAZOLAMIDE ER 500 MG PO CP12,23.62,23.62,,,0
NDC,16729-391-30,GEMCITABINE HCL 200 MG/2ML IV SOLN,337.875,337.875,,,0
NDC,16729-419-03,GEMCITABINE HCL 1 GM/10ML IV SOLN,99.96,99.96,,,0
NDC,16729-423-33,GEMCITABINE HCL 1.5 GM/15ML IV SOLN,80.89,80.89,,,0
NDC,16729-426-05,GEMCITABINE HCL 2 GM/20ML IV SOLN,88.95,88.95,,,0
NDC,16729-434-05,DAPTOMYCIN 350 MG IV SOLR,4.63,4.63,,,0
NDC,16729-434-45,DAPTOMYCIN 350 MG IV SOLR,4.08,4.08,,,0
NDC,16729-435-05,DAPTOMYCIN 500 MG IV SOLR,5.13,5.13,,,0
NDC,16729-440-10,CINACALCET HCL 30 MG PO TABS,3.33,3.33,,,0
NDC,16729-441-10,CINACALCET HCL 60 MG PO TABS,183.92,183.92,,,0
NDC,16729-500-08,FUROSEMIDE 10 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,16729-501-43,FUROSEMIDE 10 MG/ML IJ SOLN,37.5,37.5,,,0
NDC,16729-525-08,ATROPINE SULFATE (PF) 0.4 MG/ML IJ SOLN,2.52,2.52,,,0
NDC,16729-533-63,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,75.0,75.0,,,0
NDC,16837-87230,FAMOTIDINE 10 MG PO TABS,1.5,1.5,,,0
NDC,16864-68001,BENZOCAINE-MENTHOL 20-0.5 % EX AERO,2.0,2.0,,,0
NDC,16864-68002,BENZOCAINE-MENTHOL 20-0.5 % EX AERO,2.0,2.0,,,0
NDC,17238-900-11,FLUORESCEIN SODIUM 1 MG OP STRP,47.61,47.61,,,0
NDC,17271-701-05,NACL 0.9% IV SOLN,65.92,65.92,,,0
NDC,17271-701-06,NACL 0.9% IV SOLN,73.05,73.05,,,0
NDC,17271-701-07,NACL 0.9% IV SOLN,75.0,75.0,,,0
NDC,17478-060-12,POLYVINYL ALCOHOL 1.4 % OP SOLN,14.57,14.57,,,0
NDC,17478-100-02,CYCLOPENTOLATE HCL 1 % OP SOLN,71.45,71.45,,,0
NDC,17478-201-02,PHENYLEPHRINE HCL 2.5 % OP SOLN,192.93,192.93,,,0
NDC,17478-206-05,PHENYLEPHRINE HCL 10 % OP SOLN,168.82,168.82,,,0
NDC,17478-215-02,ATROPINE SULFATE 1 % OP SOLN,239.3,239.3,,,0
NDC,17478-215-05,ATROPINE SULFATE 1 % OP SOLN,291.9,291.9,,,0
NDC,17478-238-35,BACITRACIN-POLYMYXIN B OP OINT,2.0,2.0,,,0
NDC,17478-253-10,FLUORESCEIN SODIUM 10 % IV SOLN,50.0,50.0,,,0
NDC,17478-263-12,PROPARACAINE HCL 0.5 % OP SOLN,207.71,207.71,,,0
NDC,17478-403-03,FLUORESCEIN SODIUM 0.6 MG OP STRP,15.0,15.0,,,0
NDC,17478-542-02,ADENOSINE 6 MG/2ML IV SOLN,9.715,9.715,,,0
NDC,17478-701-02,INDOCYANINE GREEN 25 MG IV SOLR,376.31,376.31,,,0
NDC,17478-711-10,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX GEL,2.0,2.0,,,0
NDC,17856-0010-2,MULTIVITAMIN & MINERAL PO LIQD,2.0,2.0,,,0
NDC,17856-0138-1,LIDOCAINE VISCOUS HCL 2 % MT SOLN,192.2,192.2,,,0
NDC,17856-022-01,VITAMIN C 500 MG/5ML PO LIQD,1.55,1.55,,,0
NDC,17856-0545-1,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN,22.52,22.52,,,0
NDC,17856-057-01,DIGOXIN 0.05 MG/ML PO SOLN,16.87,16.87,,,0
NDC,17856-082-05,ACYCLOVIR 200 MG/5ML PO SUSP,15.67,15.67,,,0
NDC,17856-1045-1,NYSTATIN 100000 UNIT/ML MT SUSP,29.56,29.56,,,0
NDC,17856-116-02,DOCUSATE SODIUM 150 MG/15ML PO LIQD,2.0,2.0,,,0
NDC,17856-1286-2,BISMUTH SUBSALICYLATE 262 MG/15ML PO SUSP,1.82,1.82,,,0
NDC,17856-1304-1,DOCUSATE SODIUM 150 MG/15ML PO LIQD,2.0,2.0,,,0
NDC,17856-1313-3,BISMUTH SUBSALICYLATE 262 MG/15ML PO SUSP,1.58,1.58,,,0
NDC,17856-1508-2,PHENOBARBITAL 20 MG/5ML PO ELIX,40.0,40.0,,,0
NDC,17856-2002-3,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN,15.66,15.66,,,0
NDC,17856-423-04,PB-HYOSCY-ATROPINE-SCOPOLAMINE 16.2 MG/5ML PO ELIX,52.3,52.3,,,0
NDC,17856-496-03,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP,17.29,17.29,,,0
NDC,17856-823-02,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP,15.0,15.0,,,0
NDC,17856-842-01,VITAMIN C 500 MG/5ML PO LIQD,2.0,2.0,,,0
NDC,18029-80111,CETYLPYRIDINIUM CHLORIDE 0.05 % MT LIQD,2.0,2.0,,,0
NDC,18657-117-04,HYALURONIDASE HUMAN 150 UNIT/ML IJ SOLN,3.205,3.205,,,0
NDC,19515-810-41,INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY,164.68,164.68,,,0
NDC,19515-814-41,INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY,164.68,164.68,,,0
NDC,19515-814-52,INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY,164.68,164.68,,,0
NDC,20555-00100,VITAMIN C 250 MG PO TABS,1.1,1.1,,,0
NDC,20555-00400,MULTIVITAMINS+MINERALS PO TABS SH,3.01,3.01,,,0
NDC,20555-02500,OYSTER SHELL CALCIUM/VITAMIN D 250-3.125 MG-MCG PO TABS,1.3,1.3,,,0
NDC,20555-03300,CHOLECALCIFEROL 25 MCG (1000 UT) PO TABS,1.31,1.31,,,0
NDC,20555-03600,MELATONIN 3 MG PO TABS,1.95,1.95,,,0
NDC,20555-03601,MELATONIN 3 MG PO TABS,1.93,1.93,,,0
NDC,20555-03901,MELATONIN 5 MG PO TABS,2.0,2.0,,,0
NDC,20555-04000,ZINC SULFATE 220 (50 ZN) MG PO CAPS,2.0,2.0,,,0
NDC,21922-017-04,CLOBETASOL PROPIONATE 0.05 % EX OINT,596.94,596.94,,,0
NDC,21922-017-05,CLOBETASOL PROPIONATE 0.05 % EX OINT,997.44,997.44,,,0
NDC,21922-063-15,TRIAMCINOLONE ACETONIDE 0.1 % EX OINT,66.0,66.0,,,0
NDC,23155-001-01,HYDRALAZINE HCL 10 MG PO TABS,14.12,14.12,,,0
NDC,23155-017-01,TETRACYCLINE HCL 250 MG PO CAPS,31.5,31.5,,,0
NDC,23155-026-01,VERAPAMIL HCL 80 MG PO TABS,15.0,15.0,,,0
NDC,23155-071-01,METHIMAZOLE 10 MG PO TABS,13.85,13.85,,,0
NDC,23155-194-01,NIFEDIPINE 10 MG PO CAPS,14.82,14.82,,,0
NDC,23155-195-01,NIFEDIPINE 20 MG PO CAPS,14.25,14.25,,,0
NDC,23155-227-01,ACYCLOVIR 400 MG PO TABS,15.0,15.0,,,0
NDC,23155-228-01,ACYCLOVIR 800 MG PO TABS,20.17,20.17,,,0
NDC,23155-240-41,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,23155-290-42,AMIKACIN SULFATE 500 MG/2ML IJ SOLN,19.85,19.85,,,0
NDC,23155-294-41,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,75.855,75.855,,,0
NDC,23155-294-42,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,75.475,75.475,,,0
NDC,23155-313-31,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,309.66,309.66,,,0
NDC,23155-473-41,FUROSEMIDE 10 MG/ML IJ SOLN,69.88499999999999,69.88499999999999,,,0
NDC,23155-473-42,FUROSEMIDE 10 MG/ML IJ SOLN,18.75,18.75,,,0
NDC,23155-500-01,HYDROXYZINE HCL 10 MG PO TABS,15.0,15.0,,,0
NDC,23155-512-30,NIMODIPINE 30 MG PO CAPS,57.7,57.7,,,0
NDC,23155-549-31,ONDANSETRON HCL 40 MG/20ML IJ SOLN,4.66,4.66,,,0
NDC,23155-600-41,MIDAZOLAM HCL 1 MG/ML IJ SOLN - CONSOLIDATED,52.5,52.5,,,0
NDC,23155-606-01,GLYCOPYRROLATE 1 MG PO TABS,7.22,7.22,,,0
NDC,23155-724-01,LABETALOL HCL 200 MG PO TABS,10.05,10.05,,,0
NDC,23155-735-01,TERAZOSIN HCL 1 MG PO CAPS,10.89,10.89,,,0
NDC,23155-736-01,TERAZOSIN HCL 2 MG PO CAPS,15.0,15.0,,,0
NDC,23155-737-01,TERAZOSIN HCL 5 MG PO CAPS,8.83,8.83,,,0
NDC,23155-748-31,PENTAMIDINE ISETHIONATE 300 MG/3ML IJ (WET SOLR VIAL),579.02,579.02,,,0
NDC,23155-833-01,HYDRALAZINE HCL 25 MG PO TABS,8.37,8.37,,,0
NDC,23155-835-01,HYDRALAZINE HCL 100 MG PO TABS,15.0,15.0,,,0
NDC,23155-858-78,VANCOMYCIN HCL 125 MG PO CAPS,100.0,100.0,,,0
NDC,23900-01252,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
NDC,24200027645,METHADONE HCL 10 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,24201-100-24,ACETAMINOPHEN 10 MG/ML IV SOLN,0.955,0.955,,,0
NDC,24208-002-02,HYALURONIDASE OVINE 200 UNIT/ML IJ SOLN,3.955,3.955,,,0
NDC,24208-315-10,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN,67.2,67.2,,,0
NDC,24208-391-83,FLUORESCEIN SODIUM 1 MG OP STRP,47.69,47.69,,,0
NDC,24208-411-05,BRIMONIDINE TARTRATE 0.2 % OP SOLN,90.65,90.65,,,0
NDC,24208-411-10,BRIMONIDINE TARTRATE 0.2 % OP SOLN,170.3,170.3,,,0
NDC,24208-485-10,DORZOLAMIDE HCL 2 % OP SOLN,229.45,229.45,,,0
NDC,24208-486-10,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,337.45,337.45,,,0
NDC,24208-504-05,LATANOPROSTENE BUNOD 0.024 % OP SOLN,39.83,39.83,,,0
NDC,24208-539-20,ACETYLCHOLINE CHLORIDE 20 MG IO SOLR,432.78,432.78,,,0
NDC,24208-555-55,BACITRACIN-POLYMYXIN B OP OINT,2.0,2.0,,,0
NDC,24208-585-64,TROPICAMIDE 1 % OP SOLN,173.08,173.08,,,0
NDC,24208-590-64,TROPICAMIDE 0.5 % OP SOLN,125.03,125.03,,,0
NDC,24208-635-62,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP,402.72,402.72,,,0
NDC,24208-720-02,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % OP SOLN,323.4,323.4,,,0
NDC,24208-730-06,PROPARACAINE HCL 0.5 % OP SOLN,196.26,196.26,,,0
NDC,24208-735-01,CYCLOPENTOLATE HCL 1 % OP SOLN,76.67,76.67,,,0
NDC,24208-795-35,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP OINT,94.495,94.495,,,0
NDC,24208-910-19,ERYTHROMYCIN 5 MG/GM OP OINT,34.52,34.52,,,0
NDC,24208-910-55,ERYTHROMYCIN 5 MG/GM OP OINT,89.97,89.97,,,0
NDC,24338-260-10,NIMODIPINE 6 MG/ML PO SOLN,352.83,352.83,,,0
NDC,24357-701-06,LIDOCAINE 4 % EX CREA,2.04,2.04,,,0
NDC,24385-413-96,CALAMINE 8-8 % EX LOTN,2.0,2.0,,,0
NDC,24385-675-10,MAGNESIUM CITRATE PO SOLN,2.0,2.0,,,0
NDC,25010-215-15,ETHACRYNIC ACID 25 MG PO TABS,88.0,88.0,,,0
NDC,25021-109-10,CEFOXITIN (MEFOXIN) 1000MG/50ML NS (MINIBAG),75.0,75.0,,,0
NDC,25021-110-20,CEFOXITIN (MEFOXIN) 2000MG/100ML NS (MINIBAG),42.0,42.0,,,0
NDC,25021-114-82,CIPROFLOXACIN 200MG/100ML D5W (PREMIX) CUSTOM-CREATE,75.0,75.0,,,0
NDC,25021-114-87,CIPROFLOXACIN 400MG/200ML D5W (PREMIX) CUSTOM-CREATE,38.525,38.525,,,0
NDC,25021-127-20,CEFTAZIDIME 1 G IJ SOLR,42.53,42.53,,,0
NDC,25021-131-82,METRONIDAZOLE 500 MG/100ML IV SOLN,1.5,1.5,,,0
NDC,25021-132-81,LEVOFLOXACIN 250MG/50ML D5W (PREMIX) CUSTOM-CREATE,75.0,75.0,,,0
NDC,25021-132-82,LEVOFLOXACIN 500MG/100ML D5W (PREMIX) CUSTOM-CREATE,46.2,46.2,,,0
NDC,25021-132-83,LEVOFLOXACIN 750MG/150ML D5W (PREMIX) CUSTOM-CREATE,30.8,30.8,,,0
NDC,25021-143-30,AMPICILLIN/SULBACTAM 3G/100ML NS (MINIBAG),37.33,37.33,,,0
NDC,25021-151-20,"VANCOMYCIN 1,000MG/250ML 0.9% NACL (VIAL-MATE)",38.269999999999996,38.269999999999996,,,0
NDC,25021-169-87,LINEZOLID 600 MG/300ML IV SOLN,91.0,91.0,,,0
NDC,25021-173-04,AMIKACIN SULFATE 500 MG/2ML IJ SOLN,12.78,12.78,,,0
NDC,25021-179-15,DAPTOMYCIN 350 MG IV SOLR,1.45,1.45,,,0
NDC,25021-179-16,DAPTOMYCIN 350 MG IV SOLR,1.435,1.435,,,0
NDC,25021-184-66,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN,75.0,75.0,,,0
NDC,25021-184-67,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,32.295,32.295,,,0
NDC,25021-184-82,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN,75.6,75.6,,,0
NDC,25021-184-87,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,58.775,58.775,,,0
NDC,25021-191-10,MICAFUNGIN 100MG/100ML NS (MINIBAG),11.23,11.23,,,0
NDC,25021-191-11,MICAFUNGIN SODIUM 100 MG/5ML IV (WET SOLR VIAL),11.22,11.22,,,0
NDC,25021-192-82,CIPROFLOXACIN 2MG/ML IN D5W IV SOLN (PEDIATRIC) SH,37.5,37.5,,,0
NDC,25021-201-10,MESNA 100 MG/ML IV SOLN,75.0,75.0,,,0
NDC,25021-204-05,VINORELBINE TARTRATE 10 MG/ML IV SOLN,7.39,7.39,,,0
NDC,25021-207-25,DOXORUBICIN HCL 2 MG/ML IV SOLN,45.400000000000006,45.400000000000006,,,0
NDC,25021-215-98,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,69.32,69.32,,,0
NDC,25021-233-20,OXALIPLATIN 5 MG/ML IV SOLN - CONSOLIDATED,1.95,1.95,,,0
NDC,25021-234-10,GEMCITABINE HCL 200 MG IV SOLR,207.485,207.485,,,0
NDC,25021-235-50,GEMCITABINE HCL 1 G IV SOLR,44.685,44.685,,,0
NDC,25021-235-51,GEMCITABINE HCL 1 G IV SOLR,44.685,44.685,,,0
NDC,25021-245-04,DOCETAXEL 80 MG/4ML IV CONC,8.29,8.29,,,0
NDC,25021-248-51,CYCLOPHOSPHAMIDE 1000 MG/50ML IJ (WET SOLR VIAL),9.82,9.82,,,0
NDC,25021-253-51,CISPLATIN 1 MG/ML IV SOLN - CONSOLIDATED,46.48,46.48,,,0
NDC,25021-255-17,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,2.69,2.69,,,0
NDC,25021-255-50,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,1.99,1.99,,,0
NDC,25021-305-20,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,393.765,393.765,,,0
NDC,25021-309-82,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN,4.88,4.88,,,0
NDC,25021-311-02,FUROSEMIDE 10 MG/ML IJ SOLN,41.67,41.67,,,0
NDC,25021-311-10,FUROSEMIDE 10 MG/ML IJ SOLN,15.0,15.0,,,0
NDC,25021-313-82,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN,27.82,27.82,,,0
NDC,25021-402-01,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,16.67,16.67,,,0
NDC,25021-460-01,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN,106.895,106.895,,,0
NDC,25021-463-01,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN,31.29,31.29,,,0
NDC,25021-500-02,THIAMINE HCL 100 MG/ML IJ SOLN,45.25,45.25,,,0
NDC,25021-601-03,CAFFEINE CITRATE 60 MG/3ML IV SOLN,33.620000000000005,33.620000000000005,,,0
NDC,25021-608-20,PROPOFOL 10 MG/ML INJ (PEDIATRIC) SH,25.0,25.0,,,0
NDC,25021-608-50,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,2.625,2.625,,,0
NDC,25021-608-51,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,2.2649999999999997,2.2649999999999997,,,0
NDC,25021-612-81,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,35.18,35.18,,,0
NDC,25021-673-76,LIDOCAINE 2% GEL UROJET INJ SH,6.33,6.33,,,0
NDC,25021-674-10,ETOMIDATE 2 MG/ML IV SOLN,75.0,75.0,,,0
NDC,25021-682-20,KETAMINE HCL 10 MG/ML IJ SOLN,145.5,145.5,,,0
NDC,25021-683-10,KETAMINE HCL 50 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,25021-751-10,PANTOPRAZOLE SODIUM 40 MG IV SOLR,74.23,74.23,,,0
NDC,25021-790-02,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,74.84,74.84,,,0
NDC,25021-791-20,LACOSAMIDE 200 MG/20ML IV SOLN,1.775,1.775,,,0
NDC,25021-812-30,ACETYLCYSTEINE 200 MG/ML IV SOLN,14.805,14.805,,,0
NDC,25021-813-10,LEUCOVORIN CALCIUM 50 MG IJ SOLR,233.285,233.285,,,0
NDC,25021-814-30,LEUCOVORIN CALCIUM 100 MG IJ SOLR,173.05,173.05,,,0
NDC,25021-815-30,LEUCOVORIN CALCIUM 200 MG IJ SOLR,167.71,167.71,,,0
NDC,25021-816-30,LEUCOVORIN CALCIUM 350 MG IJ SOLR,75.3,75.3,,,0
NDC,25021-826-82,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,243.75,243.75,,,0
NDC,25021-830-82,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,420.0,420.0,,,0
NDC,25682-001-01,ECULIZUMAB 300 MG/30ML IV SOLN,391.38,391.38,,,0
NDC,25682-025-01,RAVULIZUMAB-CWVZ 300 MG/3ML IV SOLN,354.015,354.015,,,0
NDC,25682-028-01,RAVULIZUMAB-CWVZ 1100 MG/11ML IV SOLN,311.28,311.28,,,0
NDC,27241-097-06,DULOXETINE HCL 20 MG PO CPEP,29.08,29.08,,,0
NDC,27241-099-03,DULOXETINE HCL 60 MG PO CPEP,39.26,39.26,,,0
NDC,27241-139-09,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR,102.53,102.53,,,0
NDC,27241-159-19,VALGANCICLOVIR HCL 50 MG/ML PO SOLR,347.01,347.01,,,0
NDC,27808-206-01,FEBUXOSTAT 40 MG PO TABS,47.6,47.6,,,0
NDC,28595-120-49,NITROGLYCERIN 0.4 MG/SPRAY TL SOLN,10.1,10.1,,,0
NDC,28595-550-49,NITROGLYCERIN 0.4 MG/SPRAY TL SOLN,1095.01,1095.01,,,0
NDC,29033-055-01,METFORMIN HCL ER 500 MG PO TB24,15.0,15.0,,,0
NDC,29300-155-01,ALFUZOSIN HCL ER 10 MG PO TB24,23.18,23.18,,,0
NDC,29300-171-16,MEMANTINE HCL 5 MG PO TABS,30.17,30.17,,,0
NDC,29300-226-01,METRONIDAZOLE 250 MG PO TABS,11.4,11.4,,,0
NDC,29300-289-13,TADALAFIL 20 MG PO TABS,216.19,216.19,,,0
NDC,29300-349-01,ALLOPURINOL 100 MG PO TABS,15.0,15.0,,,0
NDC,29300-413-01,CYCLOBENZAPRINE HCL 5 MG PO TABS,11.21,11.21,,,0
NDC,29300-423-01,AMITRIPTYLINE HCL 100 MG PO TABS,14.4,14.4,,,0
NDC,29943-00215,POLYETHYLENE GLYCOL 400 0.25 % OP SOLN,2.0,2.0,,,0
NDC,30237-8900-6,SIPULEUCEL-T 50000000 CELLS IV SUSP,112500.0,112500.0,,,0
NDC,31722-006-31,ITRACONAZOLE 10 MG/ML PO SOLN,220.18,220.18,,,0
NDC,31722-014-90,DROXIDOPA 100 MG PO CAPS,110.33,110.33,,,0
NDC,31722-103-30,CINACALCET HCL 30 MG PO TABS,100.0,100.0,,,0
NDC,31722-131-30,DUTASTERIDE 0.5 MG PO CAPS,33.28,33.28,,,0
NDC,31722-136-31,SILDENAFIL CITRATE 10 MG/ML PO SUSR,980.29,980.29,,,0
NDC,31722-308-01,OLANZAPINE 10 MG IM SOLR,13.835,13.835,,,0
NDC,31722-505-60,NEVIRAPINE 200 MG PO TABS,43.38,43.38,,,0
NDC,31722-522-01,HYDRALAZINE HCL 100 MG PO TABS,15.0,15.0,,,0
NDC,31722-525-30,FINASTERIDE 5 MG PO TABS,17.12,17.12,,,0
NDC,31722-542-01,INDOMETHACIN 25 MG PO CAPS,9.0,9.0,,,0
NDC,31722-543-01,INDOMETHACIN 50 MG PO CAPS,15.0,15.0,,,0
NDC,31722-565-60,INDOMETHACIN ER 75 MG PO CPCR,16.52,16.52,,,0
NDC,31722-569-24,ESCITALOPRAM OXALATE 5 MG/5ML PO SOLN,62.22,62.22,,,0
NDC,31722-580-60,MARAVIROC 300 MG PO TABS,100.0,100.0,,,0
NDC,31722-630-31,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS,56.72,56.72,,,0
NDC,31722-632-31,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS,61.83,61.83,,,0
NDC,31722-701-90,LOSARTAN POTASSIUM 50 MG PO TABS,13.26,13.26,,,0
NDC,31722-738-30,DONEPEZIL HCL 10 MG PO TABS,39.94,39.94,,,0
NDC,31722-777-01,ACYCLOVIR 400 MG PO TABS,15.0,15.0,,,0
NDC,31722-819-30,ARIPIPRAZOLE 2 MG PO TABS,97.9,97.9,,,0
NDC,31722-829-30,ARIPIPRAZOLE 20 MG PO TABS,136.22,136.22,,,0
NDC,31722-830-30,ARIPIPRAZOLE 30 MG PO TABS,136.22,136.22,,,0
NDC,31722-837-10,VALGANCICLOVIR HCL 50 MG/ML PO SOLR,378.35,378.35,,,0
NDC,31722-869-03,TOLVAPTAN 30 MG PO TABS,1482.75,1482.75,,,0
NDC,31722-935-02,ALBENDAZOLE 200 MG PO TABS,750.0,750.0,,,0
NDC,31722-939-47,GLYCERIN LIQD,2.0,2.0,,,0
NDC,33342-055-10,PIOGLITAZONE HCL 30 MG PO TABS,55.0,55.0,,,0
NDC,33342-256-66,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS,56.72,56.72,,,0
NDC,35046-00393,MELATONIN 5 MG PO TABS,1.44,1.44,,,0
NDC,35356-284-60,DARUNAVIR 600 MG PO TABS,100.0,100.0,,,0
NDC,35573-428-51,PANTOPRAZOLE SODIUM 40 MG PO TBEC,15.0,15.0,,,0
NDC,35573-433-30,KETOCONAZOLE 200 MG PO TABS,2.0,2.0,,,0
NDC,36000-033-10,METOPROLOL TARTRATE 5 MG/5ML IV SOLN,68.75,68.75,,,0
NDC,36000-148-01,FLUMAZENIL 0.5 MG/5ML IV SOLN,75.0,75.0,,,0
NDC,36000-282-25,FUROSEMIDE 10 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,36000-283-25,FUROSEMIDE 10 MG/ML IJ SOLN,37.5,37.5,,,0
NDC,36000-284-25,FUROSEMIDE 10 MG/ML IJ SOLN,15.83,15.83,,,0
NDC,36000-308-10,NALOXONE HCL 0.4 MG/ML IJ SOLN,77.935,77.935,,,0
NDC,36000-322-01,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,10.940000000000001,10.940000000000001,,,0
NDC,36000-322-02,LABETALOL HCL 5 MG/ML IV SOLN,1.25,1.25,,,0
NDC,36800-206-25,NICOTINE POLACRILEX 2 MG MT GUM,2.0,2.0,,,0
NDC,37000-02410,PSYLLIUM VARIABLE DOSE POWDER SF SH,1.66,1.66,,,0
NDC,38485-80857,PSYLLIUM VARIABLE DOSE POWDER SF SH,1.77,1.77,,,0
NDC,39278-44020,CAMPHOR-MENTHOL-METHYL SAL 3-5-15 % EX CREA,2.0,2.0,,,0
NDC,39328-024-55,LIDOCAINE 4 % EX CREA,2.43,2.43,,,0
NDC,39328-064-12,DAKINS (1/4 STRENGTH) 0.125 % EX SOLN,2.0,2.0,,,0
NDC,39822-0190-1,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,223.48,223.48,,,0
NDC,39822-1000-1,TRANEXAMIC ACID 1000MG/10ML TOPICAL SOLN SH,52.55,52.55,,,0
NDC,39822-1055-5,AMPHOTERICIN B 50 MG IV SOLR,232.5,232.5,,,0
NDC,39822-1201-2,NEOMYCIN-POLYMYXIN B GU IR SOLN,95.59,95.59,,,0
NDC,39822-2100-2,DACTINOMYCIN 0.5 MG IV SOLR,5200.0,5200.0,,,0
NDC,39822-4200-2,ROCURONIUM BROMIDE 10 MG/ML IV SOLN - CONSOLIDATED,75.0,75.0,,,0
NDC,39822-6250-1,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,33.15,33.15,,,0
NDC,40565-12249,CADEXOMER IODINE 0.9 % EX GEL,2.0,2.0,,,0
NDC,40861-1027-78,NXSTAGE PUREFLOW RFP 400 DIALYSATE SOLUTION,150.3,150.3,,,0
NDC,40861-1027-92,NXSTAGE PUREFLOW RFP 401 DIALYSATE SOLUTION,150.45,150.45,,,0
NDC,41100-81123,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
NDC,41679-36503,MEDIUM CHAIN TRIGLYCERIDES PO OIL,2.0,2.0,,,0
NDC,41679-36513,MEDIUM CHAIN TRIGLYCERIDES PO OIL,2.0,2.0,,,0
NDC,42023-103-01,EPINEPHRINE HCL (NASAL) 0.1 % NA SOLN,1200.0,1200.0,,,0
NDC,42023-113-10,KETAMINE 10MG/ML INJ (PEDIATRIC) SH,94.965,94.965,,,0
NDC,42023-116-02,OXYTOCIN 10 UNIT/ML IJ SOLN,17.75,17.75,,,0
NDC,42023-116-25,OXYTOCIN 10 UNIT/ML IJ SOLN,66.12,66.12,,,0
NDC,42023-123-06,DANTROLENE SODIUM 20 MG IV SOLR,411.29,411.29,,,0
NDC,42023-159-25,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN,15.45,15.45,,,0
NDC,42023-164-25,VASOPRESSIN 20 UNIT/ML IJ SOLN (IO),24.25,24.25,,,0
NDC,42023-168-01,EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML IJ SOLN,6.52,6.52,,,0
NDC,42023-187-10,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN,624.0,624.0,,,0
NDC,42023-201-01,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,568.26,568.26,,,0
NDC,42023-205-01,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN,6000.0,6000.0,,,0
NDC,42023-216-25,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN,151.31,151.31,,,0
NDC,42023-237-10,VASOPRESSIN 0.2 UNIT/ML IV SOLN,62.495000000000005,62.495000000000005,,,0
NDC,42192-327-01,THYROID 15 MG PO TABS,15.0,15.0,,,0
NDC,42192-329-01,THYROID 30 MG PO TABS,9.65,9.65,,,0
NDC,42192-330-01,THYROID 60 MG PO TABS,11.82,11.82,,,0
NDC,42192-339-01,HYOSCYAMINE SULFATE 0.125 MG SL SUBL,11.9,11.9,,,0
NDC,42192-608-06,GABAPENTIN 250 MG/5ML PO SOLN,34.7,34.7,,,0
NDC,42192-608-16,GABAPENTIN 250 MG/5ML PO SOLN,59.21,59.21,,,0
NDC,42192-614-02,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,37.5,37.5,,,0
NDC,42192-614-10,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,37.5,37.5,,,0
NDC,42192-614-30,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,8.364999999999998,8.364999999999998,,,0
NDC,42211-102-43,INDOMETHACIN 50 MG PR SUPP,1085.72,1085.72,,,0
NDC,42289-1012-65,NXSTAGE PUREFLOW RFP 401 DIALYSATE SOLUTION,150.5,150.5,,,0
NDC,42291-266-01,ERGOCALCIFEROL 1.25 MG (50000 UT) PO CAPS,2.0,2.0,,,0
NDC,42291-413-60,DOFETILIDE 500 MCG PO CAPS,47.05,47.05,,,0
NDC,42291-476-60,LUBIPROSTONE 24 MCG PO CAPS,37.09,37.09,,,0
NDC,42291-477-11,LIDOCAINE 5 % EX PTCH,50.96,50.96,,,0
NDC,42291-495-11,LIDOCAINE 5 % EX PTCH,51.15,51.15,,,0
NDC,42292-038-20,LEVOTHYROXINE SODIUM 88 MCG PO TABS,14.81,14.81,,,0
NDC,42292-054-01,COLCHICINE 0.6 MG PO TABS,53.04,53.04,,,0
NDC,42367-203-84,ARGATROBAN 50 MG/50ML IV SOLN,81.72,81.72,,,0
NDC,42367-540-32,DANTROLENE SODIUM 250 MG IV SUSR,5583.13,5583.13,,,0
NDC,42494-415-25,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN,127.98499999999999,127.98499999999999,,,0
NDC,42494-416-25,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,142.16,142.16,,,0
NDC,42571-141-26,DORZOLAMIDE HCL 2 % OP SOLN,334.0,334.0,,,0
NDC,42571-147-26,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,488.0,488.0,,,0
NDC,42571-160-30,AMOXICILLIN-POT CLAVULANATE 250-125 MG PO TABS,27.5,27.5,,,0
NDC,42571-251-01,CLINDAMYCIN HCL 150 MG PO CAPS,13.27,13.27,,,0
NDC,42794-018-12,LIOTHYRONINE SODIUM 5 MCG PO TABS,14.06,14.06,,,0
NDC,42799-217-01,OPIUM 10MG/ML (1%) PO TINC SH,40.0,40.0,,,0
NDC,42799-806-01,IVERMECTIN 3 MG PO TABS,18.69,18.69,,,0
NDC,42806-087-01,ESTRADIOL 0.5 MG PO TABS,15.0,15.0,,,0
NDC,42806-151-34,AZITHROMYCIN 200 MG/5ML PO SUSR,47.84,47.84,,,0
NDC,42806-341-01,AMPHETAMINE-DEXTROAMPHETAMINE 10 MG PO TABS,15.88,15.88,,,0
NDC,42806-513-30,QUINIDINE SULFATE 200 MG PO TABS,60.35,60.35,,,0
NDC,42806-714-01,BENZONATATE 100 MG PO CAPS,14.86,14.86,,,0
NDC,42858-001-10,OXYCODONE HCL 5 MG PO TABS,22.009999999999998,22.009999999999998,,,0
NDC,42858-118-30,LIDOCAINE 5 % EX PTCH,15.0,15.0,,,0
NDC,42858-234-01,HYDROMORPHONE HCL 4 MG PO TABS,40.0,40.0,,,0
NDC,42858-301-01,HYDROMORPHONE HCL 2 MG PO TABS,29.33,29.33,,,0
NDC,42858-301-25,HYDROMORPHONE HCL 2 MG PO TABS,22.92,22.92,,,0
NDC,42858-302-25,HYDROMORPHONE HCL 4 MG PO TABS,28.18,28.18,,,0
NDC,42858-303-01,HYDROMORPHONE HCL 8 MG PO TABS,40.0,40.0,,,0
NDC,42858-353-40,BUPRENORPHINE 7.5 MCG/HR TD PTWK,270.6,270.6,,,0
NDC,42858-502-03,BUPRENORPHINE HCL 8 MG SL SUBL,33.33,33.33,,,0
NDC,42858-750-40,BUPRENORPHINE 5 MCG/HR TD PTWK,193.28,193.28,,,0
NDC,42858-868-06,DRONABINOL 5 MG PO CAPS,20.0,20.0,,,0
NDC,43066-007-10,ROCURONIUM BROMIDE 10 MG/ML IV SOLN - CONSOLIDATED,75.0,75.0,,,0
NDC,43066-016-10,NICARDIPINE HCL IN NACL 40-0.83 MG/200ML-% IV SOLN,2.71,2.71,,,0
NDC,43066-150-10,AMIODARONE LOAD DOSE 150MG/100ML(D5W) SH,53.980000000000004,53.980000000000004,,,0
NDC,43066-360-20,AMIODARONE HCL IN DEXTROSE 360-4.14 MG/200ML-% IV SOLN,30.01,30.01,,,0
NDC,43066-993-24,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,44.8,44.8,,,0
NDC,43066-995-24,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,36.52,36.52,,,0
NDC,43386-026-02,FLUOCINONIDE 0.05 % EX SOLN,287.9,287.9,,,0
NDC,43386-038-60,VORICONAZOLE 40 MG/ML PO SUSR,453.33,453.33,,,0
NDC,43386-140-28,METHYLERGONOVINE MALEATE 0.2 MG PO TABS,201.57,201.57,,,0
NDC,43386-770-01,FLUCYTOSINE 500 MG PO CAPS,471.83,471.83,,,0
NDC,43547-269-10,ROPINIROLE HCL 0.5 MG PO TABS,14.95,14.95,,,0
NDC,43547-288-10,BUPROPION HCL ER (SR) 100 MG PO TB12,12.56,12.56,,,0
NDC,43547-354-10,LISINOPRIL 20 MG PO TABS,11.76,11.76,,,0
NDC,43547-398-10,HYDROCHLOROTHIAZIDE 50 MG PO TABS,15.0,15.0,,,0
NDC,43547-403-10,FUROSEMIDE 80 MG PO TABS,15.0,15.0,,,0
NDC,43547-543-01,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,37.5,37.5,,,0
NDC,43547-543-25,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,31.22,31.22,,,0
NDC,43547-688-10,CIPROFLOXACIN HCL 250 MG PO TABS,24.4,24.4,,,0
NDC,43598-050-11,THIAMINE HCL 100 MG/ML IJ SOLN,35.505,35.505,,,0
NDC,43598-050-25,THIAMINE HCL 100 MG/ML IJ SOLN,36.245000000000005,36.245000000000005,,,0
NDC,43598-127-25,METHYLPREDNISOLONE NA SUC (PF) 40 MG IJ SOLR,75.0,75.0,,,0
NDC,43598-127-45,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR,75.0,75.0,,,0
NDC,43598-165-30,OLANZAPINE 7.5 MG PO TABS,56.14,56.14,,,0
NDC,43598-210-40,SILVER SULFADIAZINE 1 % EX CREA,318.0,318.0,,,0
NDC,43598-210-50,SILVER SULFADIAZINE 1 % EX CREA,11.45,11.45,,,0
NDC,43598-283-35,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,1030.12,1030.12,,,0
NDC,43598-305-62,AZACITIDINE 100 MG/10ML IJ SUSR (WET SOLR VIAL),15.59,15.59,,,0
NDC,43598-326-75,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP,1076.07,1076.07,,,0
NDC,43598-386-62,PEMETREXED DISODIUM 100 MG IV SOLR,124.02,124.02,,,0
NDC,43598-387-11,PEMETREXED DISODIUM 500 MG/20ML IV (WET SOLR VIAL),79.37,79.37,,,0
NDC,43598-405-11,PHYTONADIONE 10 MG/ML IJ SOLN,33.36,33.36,,,0
NDC,43598-426-60,BORTEZOMIB 3.5 MG IV SOLR,54.72,54.72,,,0
NDC,43598-436-11,NITROGLYCERIN 0.4 MG SL SUBL,127.0,127.0,,,0
NDC,43598-446-70,NICOTINE 7 MG/24HR TD PT24,1.33,1.33,,,0
NDC,43598-447-74,NICOTINE 14 MG/24HR TD PT24,2.0,2.0,,,0
NDC,43598-448-74,NICOTINE 21 MG/24HR TD PT24,2.07,2.07,,,0
NDC,43598-452-02,ALBENDAZOLE 200 MG PO TABS,343.36,343.36,,,0
NDC,43598-470-60,POSACONAZOLE 100 MG PO TBEC,222.02,222.02,,,0
NDC,43598-541-25,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,1458.0,1458.0,,,0
NDC,43598-549-10,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,2.18,2.18,,,0
NDC,43598-561-78,LANSOPRAZOLE 30 MG PO TBDD,59.73,59.73,,,0
NDC,43598-605-04,TOBRAMYCIN 300 MG/5ML IN NEBU,386.31,386.31,,,0
NDC,43598-616-11,REGADENOSON 0.4 MG/5ML IV SOLN,165.75,165.75,,,0
NDC,43598-635-10,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,3.11,3.11,,,0
NDC,43598-636-10,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,2.34,2.34,,,0
NDC,43598-637-10,LEVETIRACETAM 15MG/ML IN NACL IV SYRINGE (PEDIATRIC) SH,2.925,2.925,,,0
NDC,43598-698-11,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN,1913.94,1913.94,,,0
NDC,43598-698-58,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN,1776.14,1776.14,,,0
NDC,43598-750-11,NALOXONE HCL 2 MG/2ML IJ SOSY,119.88,119.88,,,0
NDC,43598-848-58,ZIPRASIDONE MESYLATE 20 MG IM SOLR,171.5,171.5,,,0
NDC,43598-865-60,BORTEZOMIB 3.5 MG IV SOLR,267.86,267.86,,,0
NDC,43598-901-11,"ERTAPENEM 1,000MG/100ML NS (MINIBAG)",390.0,390.0,,,0
NDC,43598-948-11,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,4.17,4.17,,,0
NDC,43598-977-10,DICLOFENAC SODIUM 1 % EX GEL,72.0,72.0,,,0
NDC,43825-102-01,ACETAMINOPHEN 10 MG/ML IV SOLN,3.79,3.79,,,0
NDC,43825-200-01,TERLIPRESSIN ACETATE 0.85 MG IV SOLR,4560.0,4560.0,,,0
NDC,43975-351-03,PALIPERIDONE ER 6 MG PO TB24,58.68,58.68,,,0
NDC,44128-001-08,MONSELS FERRIC SUBSULFATE EX SOLN,2.0,2.0,,,0
NDC,44206-251-05,ALBUMIN HUMAN 25 % IV SOLN,536.185,536.185,,,0
NDC,44206-251-10,ALBUMIN HUMAN 25 % IV SOLN,401.83,401.83,,,0
NDC,44206-310-25,ALBUMIN HUMAN 5 % IV SOLN,97.86500000000001,97.86500000000001,,,0
NDC,44206-310-50,ALBUMIN HUMAN 5 % IV SOLN,84.715,84.715,,,0
NDC,44206-436-05,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - PRIVIGEN,317.11,317.11,,,0
NDC,44206-437-10,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - PRIVIGEN,316.03499999999997,316.03499999999997,,,0
NDC,44206-438-20,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - PRIVIGEN,316.505,316.505,,,0
NDC,44206-439-40,IMMUNE GLOBULIN (HUMAN) 10% IV SOLN - PRIVIGEN,298.24,298.24,,,0
NDC,44567-103-10,"AMPICILLIN 2,000MG/100ML NS (MINIBAG)",23.1,23.1,,,0
NDC,44567-221-10,NAFCILLIN SODIUM 1 G IJ SOLR,75.0,75.0,,,0
NDC,44567-235-25,CEFTAZIDIME (FORTAZ) 1000MG/50ML NS (MINIBAG),53.54,53.54,,,0
NDC,44567-236-10,CEFTAZIDIME (FORTAZ) 2000MG/100ML NS (MINIBAG),48.0,48.0,,,0
NDC,44567-245-25,CEFOXITIN (MEFOXIN) 1000MG/50ML NS (MINIBAG),83.58,83.58,,,0
NDC,44567-246-25,CEFOXITIN (MEFOXIN) 2000MG/100ML NS (MINIBAG),83.79,83.79,,,0
NDC,44567-420-24,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,18.75,18.75,,,0
NDC,44567-421-24,MAGNESIUM SULFATE 4G/100ML SW IV DRIP (PREMIX) SH,9.38,9.38,,,0
NDC,44567-503-01,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,0.85,0.85,,,0
NDC,44567-611-10,MIDAZOLAM HCL-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN,1.795,1.795,,,0
NDC,44567-620-24,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,17.419999999999998,17.419999999999998,,,0
NDC,44567-621-01,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN,30.81,30.81,,,0
NDC,44567-621-24,CALCIUM GLUCONATE 20MG/ML INTERMITTENT (PEDIATRIC) SH,4.34,4.34,,,0
NDC,44567-641-01,NOREPINEPHRINE 8MG/250ML NS SH (NON-WT BASED DOSING),381.88,381.88,,,0
NDC,44567-701-25,CEFTRIAXONE (ROCEPHIN) 1000 MG/50ML NS (MINIBAG),18.75,18.75,,,0
NDC,44567-702-25,CEFTRIAXONE SODIUM 2 G IJ SOLR,9.625,9.625,,,0
NDC,44567-801-10,PIPERACILLIN/TAZOBACTAM 2.25 GM/100ML NS (MINIBAG),21.755,21.755,,,0
NDC,44567-803-10,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),18.75,18.75,,,0
NDC,45802-044-75,ACYCLOVIR 5 % EX CREA,960.0,960.0,,,0
NDC,45802-048-35,NYSTATIN 100000 UNIT/GM EX OINT,87.53,87.53,,,0
NDC,45802-049-35,TRIAMCINOLONE ACETONIDE 0.5 % EX OINT,65.0,65.0,,,0
NDC,45802-054-35,TRIAMCINOLONE ACETONIDE 0.025 % EX OINT,39.78,39.78,,,0
NDC,45802-055-35,TRIAMCINOLONE ACETONIDE 0.1 % EX OINT,36.17,36.17,,,0
NDC,45802-055-36,TRIAMCINOLONE ACETONIDE 0.1 % EX OINT,65.0,65.0,,,0
NDC,45802-059-11,NYSTATIN 100000 UNIT/GM EX CREA,131.25,131.25,,,0
NDC,45802-059-35,NYSTATIN 100000 UNIT/GM EX CREA,87.53,87.53,,,0
NDC,45802-060-70,BACITRACIN 500 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,45802-064-35,TRIAMCINOLONE ACETONIDE 0.1 % EX CREA,30.0,30.0,,,0
NDC,45802-064-36,TRIAMCINOLONE ACETONIDE 0.1 % EX CREA,61.88,61.88,,,0
NDC,45802-065-35,TRIAMCINOLONE ACETONIDE 0.5 % EX CREA,65.0,65.0,,,0
NDC,45802-112-22,MUPIROCIN 2 % EX OINT,65.0,65.0,,,0
NDC,45802-143-01,TRIPLE ANTIBIOTIC EX OINT,2.0,2.0,,,0
NDC,45802-143-70,TRIPLE ANTIBIOTIC EX OINT,2.0,2.0,,,0
NDC,45802-174-53,MUSCLE RUB 10-15 % EX CREA,2.0,2.0,,,0
NDC,45802-210-01,NITROGLYCERIN 0.4 MG/SPRAY TL SOLN,897.88,897.88,,,0
NDC,45802-269-37,PERMETHRIN 5 % EX CREA,2.47,2.47,,,0
NDC,45802-276-03,HYDROCORTISONE 1 % EX OINT,2.0,2.0,,,0
NDC,45802-410-59,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
NDC,45802-434-11,CLOTRIMAZOLE 1 % EX CREA,2.0,2.0,,,0
NDC,45802-438-03,HYDROCORTISONE 1 % EX CREA,2.0,2.0,,,0
NDC,45802-465-64,KETOCONAZOLE 2 % EX SHAM,2.0,2.0,,,0
NDC,45802-486-78,DOCUSATE SODIUM 100 MG PO CAPS,2.0,2.0,,,0
NDC,45802-52555,AMMONIUM LACTATE 12 % EX LOTN,2.0,2.0,,,0
NDC,45802-732-30,ACETAMINOPHEN 120 MG PR SUPP,5.14,5.14,,,0
NDC,45802-758-00,PROMETHAZINE HCL 12.5 MG PR SUPP,59.77,59.77,,,0
NDC,45802-758-30,PROMETHAZINE HCL 12.5 MG PR SUPP,70.82,70.82,,,0
NDC,45802-759-00,PROMETHAZINE HCL 25 MG PR SUPP,60.78,60.78,,,0
NDC,45802-937-16,HYDROCORTISONE 2.5 % EX LOTN,2.0,2.0,,,0
NDC,45963-733-68,DOXORUBICIN HCL 2 MG/ML IV SOLN,49.75,49.75,,,0
NDC,45963-734-54,DOCETAXEL 160 MG/8ML IV CONC,77.57,77.57,,,0
NDC,46287-009-01,ISONIAZID 50 MG/5ML PO SYRP,129.6,129.6,,,0
NDC,46287-020-01,SPIRONOLACTONE 25 MG/5ML PO SUSP,109.83,109.83,,,0
NDC,46287-020-04,SPIRONOLACTONE 25 MG/5ML PO SUSP,211.39,211.39,,,0
NDC,47335-049-40,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,1505.435,1505.435,,,0
NDC,47335-330-40,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,675.73,675.73,,,0
NDC,47335-485-83,BICALUTAMIDE 50 MG PO TABS,120.47,120.47,,,0
NDC,47335-929-72,TEMOZOLOMIDE 140 MG PO CAPS,40.76,40.76,,,0
NDC,47335-931-44,VECURONIUM BROMIDE 10 MG IV SOLR,68.5,68.5,,,0
NDC,47335-992-01,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,27.56,27.56,,,0
NDC,47335-993-01,METRONIDAZOLE 500 MG/100ML IV SOLN,3.0,3.0,,,0
NDC,47781-108-30,EXEMESTANE 25 MG PO TABS,131.5,131.5,,,0
NDC,47781-355-11,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM,35.29,35.29,,,0
NDC,47781-356-11,BUPRENORPHINE HCL-NALOXONE HCL 4-1 MG SL FILM,57.14,57.14,,,0
NDC,47781-357-11,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM,53.51,53.51,,,0
NDC,47781-423-47,FENTANYL 12 MCG/HR TD PT72,81.21,81.21,,,0
NDC,47781-424-47,FENTANYL 25 MCG/HR TD PT72,85.06,85.06,,,0
NDC,47781-426-47,FENTANYL 50 MCG/HR TD PT72,116.65,116.65,,,0
NDC,47781-427-47,FENTANYL 75 MCG/HR TD PT72,177.92,177.92,,,0
NDC,47781-468-13,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS,56.72,56.72,,,0
NDC,47781-470-13,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS,95.22,95.22,,,0
NDC,48102-057-11,ERYTHROMYCIN 5 MG/GM OP OINT,38.22,38.22,,,0
NDC,48433-101-01,DOCUSATE SODIUM 250 MG PO CAPS,2.0,2.0,,,0
NDC,48433-202-30,MINERAL OIL PO OIL,2.0,2.0,,,0
NDC,48433-219-05,SENNOSIDES 8.8 MG/5ML PO SYRP,1.28,1.28,,,0
NDC,48433-230-15,IODINE STRONG 5 % PO SOLN,2.09,2.09,,,0
NDC,49230-534-10,IRON SUCROSE 20 MG/ML IV SOLN,2.8,2.8,,,0
NDC,49281-400-10,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP,363.31,363.31,,,0
NDC,49281-400-20,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP,368.45,368.45,,,0
NDC,49281-400-58,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP,368.66499999999996,368.66499999999996,,,0
NDC,49281-511-05,DTAP-IPV-HIB VACCINE IM SUSR,887.15,887.15,,,0
NDC,49281-545-03,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR,107.355,107.355,,,0
NDC,49281-575-00,NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY,2500.0,2500.0,,,0
NDC,49281-590-58,MENING ACY&W-135 TETANUS CONJ IM SOLN,572.555,572.555,,,0
NDC,49348-037-29,TETRAHYDROZOLINE HCL 0.05 % OP SOLN,2.0,2.0,,,0
NDC,49348-130-27,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
NDC,49348-179-34,HYDROGEN PEROXIDE 3 % EX SOLN,3.92,3.92,,,0
NDC,49348-274-72,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,49702-206-13,ABACAVIR SULFATE-LAMIVUDINE 600-300 MG PO TABS,155.0,155.0,,,0
NDC,49702-228-13,DOLUTEGRAVIR SODIUM 50 MG PO TABS,270.59,270.59,,,0
NDC,49702-231-13,ABACAVIR-DOLUTEGRAVIR-LAMIVUD 600-50-300 MG PO TABS,449.7,449.7,,,0
NDC,49702-242-13,DOLUTEGRAVIR-RILPIVIRINE 50-25 MG PO TABS,417.25,417.25,,,0
NDC,49702-246-13,DOLUTEGRAVIR-LAMIVUDINE 50-300 MG PO TABS,357.2,357.2,,,0
NDC,49884-009-01,ISOSORBIDE DINITRATE 30 MG PO TABS,7.21,7.21,,,0
NDC,49884-042-33,GLYCOPYRROLATE 1 MG/5ML PO SOLN,31.560000000000002,31.560000000000002,,,0
NDC,49884-065-01,GLYCOPYRROLATE 500MCG/ML ORAL SUSP (PEDIATRIC) SH,15.0,15.0,,,0
NDC,49884-110-52,ALPRAZOLAM 0.25 MG PO TBDP,40.0,40.0,,,0
NDC,49884-111-52,ALPRAZOLAM 0.5 MG PO TBDP,26.67,26.67,,,0
NDC,49884-256-01,MINOXIDIL 2.5 MG PO TABS,10.0,10.0,,,0
NDC,49884-289-01,MEGESTROL ACETATE 20 MG PO TABS,40.0,40.0,,,0
NDC,49884-306-52,CLONAZEPAM 0.125 MG PO TBDP,40.0,40.0,,,0
NDC,49884-307-02,CLONAZEPAM 0.25 MG PO TBDP,14.22,14.22,,,0
NDC,49884-307-52,CLONAZEPAM 0.25 MG PO TBDP,31.11,31.11,,,0
NDC,49884-315-91,RISPERIDONE 1 MG PO TBDP,31.59,31.59,,,0
NDC,49884-401-91,RISPERIDONE 2 MG PO TBDP,51.37,51.37,,,0
NDC,49884-640-01,METHIMAZOLE 2.5MG PO PRE-SPLIT TABS SH,15.0,15.0,,,0
NDC,49884-724-01,HYDROXYUREA 500 MG PO CAPS,40.0,40.0,,,0
NDC,49884-768-52,TOLVAPTAN 15 MG PO TABS,1461.78,1461.78,,,0
NDC,49938-101-30,DAPSONE 100 MG PO TABS,18.48,18.48,,,0
NDC,49938-102-30,DAPSONE 25 MG PO TABS,15.06,15.06,,,0
NDC,50090-1820-0,"RABIES VACCINE, PCEC IM SUSR",1963.8,1963.8,,,0
NDC,50090-1860-0,"MEASLES, MUMPS & RUBELLA VAC IJ SOLR",640.57,640.57,,,0
NDC,50090-2735-0,CEFDINIR 250 MG/5ML PO SUSR,397.44,397.44,,,0
NDC,50090-3946-0,FLURBIPROFEN SODIUM 0.03 % OP SOLN,216.0,216.0,,,0
NDC,50111-327-01,HYDRALAZINE HCL 25 MG PO TABS,7.3,7.3,,,0
NDC,50111-334-01,METRONIDAZOLE 500 MG PO TABS,15.0,15.0,,,0
NDC,50111-397-01,HYDRALAZINE HCL 100 MG PO TABS,15.0,15.0,,,0
NDC,50111-560-01,TRAZODONE HCL 50 MG PO TABS,12.35,12.35,,,0
NDC,50111-561-01,TRAZODONE HCL 100 MG PO TABS,11.33,11.33,,,0
NDC,50111-648-01,FLUOXETINE HCL 20 MG PO CAPS,14.78,14.78,,,0
NDC,50111-787-10,AZITHROMYCIN 250 MG PO TABS,35.03,35.03,,,0
NDC,50111-787-51,AZITHROMYCIN 250 MG PO TABS,31.13,31.13,,,0
NDC,50111-789-10,AZITHROMYCIN 600 MG PO TABS,56.04,56.04,,,0
NDC,50190-142-63,SODIUM CHLORIDE 3% IN NEBU,1.97,1.97,,,0
NDC,50190-740-60,SODIUM CHLORIDE 7% IN NEBU,1.135,1.135,,,0
NDC,50228-109-01,CARISOPRODOL 350 MG PO TABS,40.0,40.0,,,0
NDC,50228-146-01,HYDROCHLOROTHIAZIDE 12.5 MG PO CAPS,15.0,15.0,,,0
NDC,50228-177-01,GABAPENTIN 600 MG PO TABS,14.45,14.45,,,0
NDC,50242-041-10,ALTEPLASE 2 MG/2ML IJ (WET SOLR VIAL),423.22,423.22,,,0
NDC,50242-041-64,ALTEPLASE 2 MG IJ SOLR,478.84,478.84,,,0
NDC,50242-044-13,ALTEPLASE 50 MG IV SOLR,422.42,422.42,,,0
NDC,50242-051-21,RITUXIMAB 100 MG/10ML IV SOLN,167.05,167.05,,,0
NDC,50242-053-06,RITUXIMAB 500 MG/50ML IV SOLN,270.0,270.0,,,0
NDC,50242-060-01,BEVACIZUMAB 25 MG/ML IV SOLN - CONSOLIDATED,375.0,375.0,,,0
NDC,50242-060-10,BEVACIZUMAB 25 MG/ML IV SOLN - CONSOLIDATED,375.0,375.0,,,0
NDC,50242-061-01,BEVACIZUMAB 25 MG/ML IV SOLN - CONSOLIDATED,306.25,306.25,,,0
NDC,50242-070-01,OBINUTUZUMAB 1000 MG/40ML IV SOLN,170.18,170.18,,,0
NDC,50242-085-27,ALTEPLASE 100 MG IV SOLR,171.73,171.73,,,0
NDC,50242-087-01,ADO-TRASTUZUMAB EMTANSINE 160 MG/8ML IV (WET SOLR VIAL),66.175,66.175,,,0
NDC,50242-088-01,ADO-TRASTUZUMAB EMTANSINE 100 MG/5ML IV (WET SOLR VIAL),102.96,102.96,,,0
NDC,50242-100-40,DORNASE ALFA 2.5 MG/2.5ML IN SOLN,165.71499999999997,165.71499999999997,,,0
NDC,50242-105-01,POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR,148.37,148.37,,,0
NDC,50242-120-47,TENECTEPLASE 50MG/10ML INJ (FOR STROKE) SH,473.615,473.615,,,0
NDC,50242-132-01,TRASTUZUMAB 150 MG IV SOLR,279.51,279.51,,,0
NDC,50242-136-01,TOCILIZUMAB 20 MG/ML IV SOLN - CONSOLIDATED,30.0,30.0,,,0
NDC,50242-137-01,TOCILIZUMAB 20 MG/ML IV SOLN - CONSOLIDATED,23.9,23.9,,,0
NDC,50242-145-01,PERTUZUMAB 420 MG/14ML IV SOLN,30.41,30.41,,,0
NDC,50242-260-01,PERTUZ-TRASTUZ-HYALURON-ZZXF 60-60-2000 MG-MG-U/ML SC SOLN,127.9,127.9,,,0
NDC,50242-917-01,ATEZOLIZUMAB 1200 MG/20ML IV SOLN,159.52,159.52,,,0
NDC,50268-037-11,AMITRIPTYLINE HCL 10 MG PO TABS,15.0,15.0,,,0
NDC,50268-040-11,AMITRIPTYLINE HCL 75 MG PO TABS,15.0,15.0,,,0
NDC,50268-054-11,ACETAZOLAMIDE 250 MG PO TABS,23.03,23.03,,,0
NDC,50268-061-15,ACYCLOVIR 400 MG PO TABS,20.6,20.6,,,0
NDC,50268-086-11,ATOVAQUONE 750 MG/5ML PO SUSP,187.54000000000002,187.54000000000002,,,0
NDC,50268-087-12,ARIPIPRAZOLE 2 MG PO TABS,100.0,100.0,,,0
NDC,50268-088-15,ARIPIPRAZOLE 5 MG PO TABS,98.9,98.9,,,0
NDC,50268-090-12,ARIPIPRAZOLE 15 MG PO TABS,88.92,88.92,,,0
NDC,50268-096-12,ATORVASTATIN CALCIUM 80 MG PO TABS,15.0,15.0,,,0
NDC,50268-105-11,BACLOFEN 5 MG PO TABS,15.0,15.0,,,0
NDC,50268-106-11,BACLOFEN 10 MG PO TABS,10.0,10.0,,,0
NDC,50268-110-15,BENAZEPRIL HCL 10 MG PO TABS,7.5,7.5,,,0
NDC,50268-130-11,BUMETANIDE 0.5 MG PO TABS,10.72,10.72,,,0
NDC,50268-131-11,BUMETANIDE 1 MG PO TABS,10.21,10.21,,,0
NDC,50268-132-11,BUMETANIDE 2 MG PO TABS,12.07,12.07,,,0
NDC,50268-141-15,BUPROPION HCL ER (XL) 300 MG PO TB24,26.21,26.21,,,0
NDC,50268-176-15,CILOSTAZOL 50 MG PO TABS,15.0,15.0,,,0
NDC,50268-179-13,CLARITHROMYCIN 500 MG PO TABS,38.47,38.47,,,0
NDC,50268-184-11,CLOPIDOGREL BISULFATE 300 MG PO TABS,69.35,69.35,,,0
NDC,50268-187-11,COLCHICINE 0.6 MG PO TABS,37.94,37.94,,,0
NDC,50268-189-11,CYPROHEPTADINE HCL 4 MG PO TABS,15.0,15.0,,,0
NDC,50268-190-15,CYCLOBENZAPRINE HCL 5 MG PO TABS,11.48,11.48,,,0
NDC,50268-194-11,CLONIDINE HCL 0.3 MG PO TABS,15.0,15.0,,,0
NDC,50268-268-15,DOCUSATE SODIUM 250 MG PO CAPS,2.0,2.0,,,0
NDC,50268-278-15,DOXYCYCLINE HYCLATE 100 MG PO CAPS,21.99,21.99,,,0
NDC,50268-297-11,ERGOCALCIFEROL 1.25 MG (50000 UT) PO CAPS,1.95,1.95,,,0
NDC,50268-298-12,EZETIMIBE 10 MG PO TABS,54.45,54.45,,,0
NDC,50268-314-15,FINASTERIDE 5 MG PO TABS,17.2,17.2,,,0
NDC,50268-332-11,FLUCYTOSINE 500 MG PO CAPS,513.73,513.73,,,0
NDC,50268-336-24,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN,2.0,2.0,,,0
NDC,50268-350-15,GEMFIBROZIL 600 MG PO TABS,15.0,15.0,,,0
NDC,50268-362-11,GLIPIZIDE 10 MG PO TABS,15.0,15.0,,,0
NDC,50268-402-15,HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS,40.0,40.0,,,0
NDC,50268-405-11,HYDROCORTISONE 5 MG PO TABS,9.79,9.79,,,0
NDC,50268-430-15,INDOMETHACIN 25 MG PO CAPS,8.82,8.82,,,0
NDC,50268-431-15,INDOMETHACIN 50 MG PO CAPS,15.0,15.0,,,0
NDC,50268-447-15,ISOSORBIDE DINITRATE 5 MG PO TABS,9.91,9.91,,,0
NDC,50268-448-15,ISOSORBIDE DINITRATE 10 MG PO TABS,15.0,15.0,,,0
NDC,50268-470-11,LEVETIRACETAM 100 MG/ML PO SOLN,27.5,27.5,,,0
NDC,50268-476-11,LETROZOLE 2.5 MG PO TABS,117.34,117.34,,,0
NDC,50268-504-11,LOSARTAN POTASSIUM 25 MG PO TABS,11.58,11.58,,,0
NDC,50268-523-15,MECLIZINE HCL 25 MG PO TABS,1.89,1.89,,,0
NDC,50268-524-11,MELATONIN 3 MG PO TABS,1.94,1.94,,,0
NDC,50268-526-15,MELOXICAM 15 MG PO TABS,22.37,22.37,,,0
NDC,50268-527-11,METHOTREXATE SODIUM 2.5 MG PO TABS,23.17,23.17,,,0
NDC,50268-540-15,METOPROLOL SUCCINATE ER 25 MG PO TB24,11.83,11.83,,,0
NDC,50268-541-15,METOPROLOL SUCCINATE ER 50 MG PO TB24,10.49,10.49,,,0
NDC,50268-568-11,MUPIROCIN 2 % EX OINT,33.32,33.32,,,0
NDC,50268-568-15,MUPIROCIN 2 % EX OINT,33.32,33.32,,,0
NDC,50268-572-60,MUPIROCIN 2 % EX OINT,33.32,33.32,,,0
NDC,50268-574-15,MONTELUKAST SODIUM 5 MG PO CHEW,22.58,22.58,,,0
NDC,50268-576-13,MOXIFLOXACIN HCL 400 MG PO TABS,100.0,100.0,,,0
NDC,50268-584-13,NIACIN ER (ANTIHYPERLIPIDEMIC) 500 MG PO TBCR,1.0,1.0,,,0
NDC,50268-585-11,PANTOPRAZOLE SODIUM 20 MG PO TBEC,21.92,21.92,,,0
NDC,50268-594-15,NAPROXEN 250 MG PO TABS,2.0,2.0,,,0
NDC,50268-595-15,NAPROXEN 375 MG PO TABS,1.67,1.67,,,0
NDC,50268-597-15,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24,10.52,10.52,,,0
NDC,50268-598-15,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24,15.0,15.0,,,0
NDC,50268-599-15,NIFEDIPINE ER OSMOTIC RELEASE 90 MG PO TB24,15.0,15.0,,,0
NDC,50268-605-15,NORTRIPTYLINE HCL 50 MG PO CAPS,10.57,10.57,,,0
NDC,50268-632-15,QUETIAPINE FUMARATE 100 MG PO TABS,32.43,32.43,,,0
NDC,50268-633-15,QUETIAPINE FUMARATE 200 MG PO TABS,46.87,46.87,,,0
NDC,50268-639-15,PANTOPRAZOLE SODIUM 40 MG PO TBEC,22.15,22.15,,,0
NDC,50268-640-15,PAROXETINE HCL 10 MG PO TABS,12.95,12.95,,,0
NDC,50268-662-11,PROPRANOLOL HCL 10 MG PO TABS,13.65,13.65,,,0
NDC,50268-666-11,PRAVASTATIN SODIUM 20 MG PO TABS,14.36,14.36,,,0
NDC,50268-678-15,POLYVINYL ALCOHOL 1.4 % OP SOLN,2.03,2.03,,,0
NDC,50268-684-11,PROCHLORPERAZINE MALEATE 5 MG PO TABS,11.93,11.93,,,0
NDC,50268-685-11,PROCHLORPERAZINE MALEATE 10 MG PO TABS,8.105,8.105,,,0
NDC,50268-686-15,PRIMIDONE 50 MG PO TABS,9.15,9.15,,,0
NDC,50268-687-15,PRIMIDONE 250 MG PO TABS,13.8,13.8,,,0
NDC,50268-709-15,ROSUVASTATIN CALCIUM 10 MG PO TABS,15.0,15.0,,,0
NDC,50268-717-15,SILDENAFIL CITRATE 20 MG PO TABS,50.56,50.56,,,0
NDC,50268-718-13,SIROLIMUS 1 MG PO TABS,105.26,105.26,,,0
NDC,50268-720-15,SEVELAMER CARBONATE 800 MG PO TABS,43.44,43.44,,,0
NDC,50268-724-11,SOTALOL HCL 80 MG PO TABS,10.26,10.26,,,0
NDC,50268-725-11,SOTALOL HCL 120 MG PO TABS,19.05,19.05,,,0
NDC,50268-728-15,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS,14.86,14.86,,,0
NDC,50268-742-11,ROPINIROLE HCL 0.5 MG PO TABS,15.0,15.0,,,0
NDC,50268-744-11,ROPINIROLE HCL 2 MG PO TABS,4.47,4.47,,,0
NDC,50268-756-15,TORSEMIDE 20 MG PO TABS,7.5,7.5,,,0
NDC,50268-757-15,TORSEMIDE 100 MG PO TABS,15.92,15.92,,,0
NDC,50268-759-15,TIZANIDINE HCL 2 MG PO TABS,14.78,14.78,,,0
NDC,50268-760-15,TIZANIDINE HCL 4 MG PO TABS,15.0,15.0,,,0
NDC,50268-764-11,TERAZOSIN HCL 1 MG PO CAPS,10.38,10.38,,,0
NDC,50268-765-11,TERAZOSIN HCL 2 MG PO CAPS,13.12,13.12,,,0
NDC,50268-766-11,TERAZOSIN HCL 5 MG PO CAPS,11.48,11.48,,,0
NDC,50268-779-11,TEMAZEPAM 15 MG PO CAPS,20.0,20.0,,,0
NDC,50268-787-12,VALGANCICLOVIR HCL 450 MG PO TABS,448.28,448.28,,,0
NDC,50268-788-15,VALACYCLOVIR HCL 500 MG PO TABS,30.13,30.13,,,0
NDC,50268-851-11,THIAMINE HCL/MONONITRATE 100 MG PO TABS - CONSOLIDATED,1.94,1.94,,,0
NDC,50268-852-11,CYANOCOBALAMIN 100 MCG PO TABS,1.12,1.12,,,0
NDC,50268-855-11,CYANOCOBALAMIN 1000 MCG PO TABS,1.98,1.98,,,0
NDC,50268-859-11,PYRIDOXINE HCL 100 MG PO TABS,2.0,2.0,,,0
NDC,50268-860-11,VITAMIN C 250 MG PO TABS,0.95,0.95,,,0
NDC,50268-863-11,CHOLECALCIFEROL 10 MCG (400 UNIT) PO TABS,1.47,1.47,,,0
NDC,50383-233-10,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,490.4,490.4,,,0
NDC,50383-286-04,LEVOFLOXACIN 25 MG/ML PO SOLN,209.4,209.4,,,0
NDC,50383-311-09,GABAPENTIN 250 MG/5ML PO SOLN,12.87,12.87,,,0
NDC,50383-627-50,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN,2.0,2.0,,,0
NDC,50383-741-20,ALBUTEROL CONTINUOUS NEB SIMPLE SH,173.88,173.88,,,0
NDC,50383-775-04,LIDOCAINE VISCOUS HCL 2 % MT SOLN,66.0,66.0,,,0
NDC,50383-775-17,LIDOCAINE VISCOUS HCL 2 % MT SOLN,15.0,15.0,,,0
NDC,50383-785-30,SIMETHICONE 40 MG/0.6ML PO SUSP,2.0,2.0,,,0
NDC,50383-824-21,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP,7.5,7.5,,,0
NDC,50383-917-50,CHOLECALCIFEROL 10 MCG/ML PO LIQD,2.0,2.0,,,0
NDC,50419-188-01,GADOPENTETATE DIMEGLUMINE 469.01 MG/ML IV SOLN,14.45,14.45,,,0
NDC,50419-320-01,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN,45.31,45.31,,,0
NDC,50419-320-05,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN,38.46,38.46,,,0
NDC,50419-325-01,GADOBUTROL 1 MMOL/ML IV SOLN,2.795,2.795,,,0
NDC,50419-325-03,GADOBUTROL 1 MMOL/ML IV SOLN,2.79,2.79,,,0
NDC,50419-325-11,GADOBUTROL 1 MMOL/ML IV SOLN,2.8,2.8,,,0
NDC,50419-325-12,GADOBUTROL 1 MMOL/ML IV SOLN,2.795,2.795,,,0
NDC,50419-325-28,GADOBUTROL 10 MMOL/10ML IV SOSY,2.99,2.99,,,0
NDC,50419-423-01,LEVONORGESTREL 20 MCG/DAY IU IUD,5446.82,5446.82,,,0
NDC,50419-424-01,LEVONORGESTREL 19.5 MG IU IUD,5552.6,5552.6,,,0
NDC,50419-773-01,CIPROFLOXACIN 500 MG/5ML (10%) PO SUSR,35.51,35.51,,,0
NDC,50419-777-01,CIPROFLOXACIN 250 MG/5ML (5%) PO SUSR,78.25,78.25,,,0
NDC,50421-00877,STERILE WATER FOR IRRIGATION IR SOLN,75.0,75.0,,,0
NDC,50458-290-01,ITRACONAZOLE 100 MG PO CAPS,101.32,101.32,,,0
NDC,50458-300-06,RISPERIDONE 1 MG PO TABS,48.0,48.0,,,0
NDC,50458-330-06,RISPERIDONE 3 MG PO TABS,55.0,55.0,,,0
NDC,50458-564-01,PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY,44.87,44.87,,,0
NDC,50458-577-10,RIVAROXABAN 2.5 MG PO TABS,55.0,55.0,,,0
NDC,50458-578-10,RIVAROXABAN 15 MG PO TABS,89.42,89.42,,,0
NDC,50458-579-10,RIVAROXABAN 20 MG PO TABS,89.39,89.39,,,0
NDC,50458-580-10,RIVAROXABAN 10 MG PO TABS,54.81,54.81,,,0
NDC,50474-594-40,LEVETIRACETAM 250 MG PO TABS,33.33,33.33,,,0
NDC,50474-595-40,LEVETIRACETAM 500 MG PO TABS,51.2,51.2,,,0
NDC,50484-010-30,COLLAGENASE 250 UNIT/GM EX OINT,1200.0,1200.0,,,0
NDC,50486-55032,BENZOCAINE 10 % MT GEL,2.0,2.0,,,0
NDC,50632-010-01,"RABIES VACCINE, PCEC IM SUSR",2480.8,2480.8,,,0
NDC,50632-013-01,"RABIES VACCINE, PCEC IM SUSR",2469.81,2469.81,,,0
NDC,50633-120-11,DIGOXIN IMMUNE FAB 40 MG IV SOLR,8278.2,8278.2,,,0
NDC,50633-310-11,HYDROXOCOBALAMIN 5 G IV SOLR,23.36,23.36,,,0
NDC,50742-239-01,MEXILETINE HCL 150 MG PO CAPS,14.44,14.44,,,0
NDC,50742-248-30,DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24,14.12,14.12,,,0
NDC,50742-364-01,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM,40.0,40.0,,,0
NDC,50742-374-01,BUPRENORPHINE 10 MCG/HR TD PTWK,374.6,374.6,,,0
NDC,50742-447-45,CARBOPLATIN 450 MG/45ML IV SOLN,171.27,171.27,,,0
NDC,50742-505-04,SCOPOLAMINE 1 MG/3DAYS TD PT72,91.9,91.9,,,0
NDC,50930-09802,MOUTH KOTE MT SOLN,2.0,2.0,,,0
NDC,51079-023-20,METOLAZONE 2.5 MG PO TABS,18.1,18.1,,,0
NDC,51079-024-20,METOLAZONE 5 MG PO TABS,19.6,19.6,,,0
NDC,51079-028-20,TACROLIMUS 5 MG PO CAPS,17.06,17.06,,,0
NDC,51079-051-20,PANTOPRAZOLE SODIUM 40 MG PO TBEC,28.97,28.97,,,0
NDC,51079-058-20,CHLORTHALIDONE 25 MG PO TABS,14.41,14.41,,,0
NDC,51079-072-20,FUROSEMIDE 20 MG PO TABS,12.5,12.5,,,0
NDC,51079-074-20,HYDRALAZINE HCL 10 MG PO TABS,10.46,10.46,,,0
NDC,51079-075-20,HYDRALAZINE HCL 25 MG PO TABS,7.27,7.27,,,0
NDC,51079-076-20,HYDRALAZINE HCL 50 MG PO TABS,13.38,13.38,,,0
NDC,51079-083-20,ISONIAZID 300 MG PO TABS,15.0,15.0,,,0
NDC,51079-103-20,SPIRONOLACTONE 12.5MG PO PRE-SPLIT TABS SH,14.71,14.71,,,0
NDC,51079-118-20,DICYCLOMINE HCL 10 MG PO CAPS,15.0,15.0,,,0
NDC,51079-119-20,DICYCLOMINE HCL 20 MG PO TABS,15.0,15.0,,,0
NDC,51079-131-20,AMITRIPTYLINE HCL 10 MG PO TABS,11.25,11.25,,,0
NDC,51079-141-20,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS,40.0,40.0,,,0
NDC,51079-205-20,ALLOPURINOL 100 MG PO TABS,10.34,10.34,,,0
NDC,51079-206-20,ALLOPURINOL 300 MG PO TABS,14.85,14.85,,,0
NDC,51079-255-20,METOPROLOL TARTRATE 25 MG PO TABS,14.11,14.11,,,0
NDC,51079-284-20,DIAZEPAM 2 MG PO TABS,36.12,36.12,,,0
NDC,51079-285-20,DIAZEPAM 5 MG PO TABS,29.64,29.64,,,0
NDC,51079-286-20,DIAZEPAM 10 MG PO TABS,38.28,38.28,,,0
NDC,51079-374-20,CHLORDIAZEPOXIDE HCL 5 MG PO CAPS,40.0,40.0,,,0
NDC,51079-375-20,CHLORDIAZEPOXIDE HCL 10 MG PO CAPS,40.0,40.0,,,0
NDC,51079-436-20,DOXEPIN HCL 10 MG PO CAPS,14.67,14.67,,,0
NDC,51079-437-20,DOXEPIN HCL 25 MG PO CAPS,10.85,10.85,,,0
NDC,51079-438-20,DOXEPIN HCL 50 MG PO CAPS,15.0,15.0,,,0
NDC,51079-443-20,LEVOTHYROXINE SODIUM 125 MCG PO TABS,15.0,15.0,,,0
NDC,51079-444-20,LEVOTHYROXINE SODIUM 25 MCG PO TABS,7.5,7.5,,,0
NDC,51079-445-20,LEVOTHYROXINE SODIUM 150 MCG PO TABS,14.85,14.85,,,0
NDC,51079-516-20,CHLORPROMAZINE HCL 100 MG PO TABS,88.95,88.95,,,0
NDC,51079-527-20,FUROSEMIDE 80 MG PO TABS,15.0,15.0,,,0
NDC,51079-541-20,PROCHLORPERAZINE MALEATE 5 MG PO TABS,7.5,7.5,,,0
NDC,51079-563-20,AMITRIPTYLINE HCL 100 MG PO TABS,15.0,15.0,,,0
NDC,51079-597-20,CETIRIZINE HCL 10 MG PO TABS,2.0,2.0,,,0
NDC,51079-630-20,PRAZOSIN HCL 1 MG PO CAPS,15.0,15.0,,,0
NDC,51079-631-20,PRAZOSIN HCL 2 MG PO CAPS,15.0,15.0,,,0
NDC,51079-632-20,PRAZOSIN HCL 5 MG PO CAPS,23.69,23.69,,,0
NDC,51079-684-20,ATENOLOL 50 MG PO TABS,14.26,14.26,,,0
NDC,51079-685-20,ATENOLOL 100 MG PO TABS,15.0,15.0,,,0
NDC,51079-690-20,LOPERAMIDE HCL 2 MG PO CAPS,1.66,1.66,,,0
NDC,51079-721-20,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,19.73,19.73,,,0
NDC,51079-733-20,HALOPERIDOL 0.5 MG PO TABS,15.0,15.0,,,0
NDC,51079-734-20,HALOPERIDOL 1 MG PO TABS,14.53,14.53,,,0
NDC,51079-735-20,HALOPERIDOL 2 MG PO TABS,12.69,12.69,,,0
NDC,51079-736-20,HALOPERIDOL 5 MG PO TABS,11.25,11.25,,,0
NDC,51079-745-20,DILTIAZEM HCL 30 MG PO TABS,10.0,10.0,,,0
NDC,51079-746-20,DILTIAZEM HCL 60 MG PO TABS,15.0,15.0,,,0
NDC,51079-753-20,SUCRALFATE 1 G PO TABS,15.0,15.0,,,0
NDC,51079-801-20,METOPROLOL TARTRATE 50 MG PO TABS,12.65,12.65,,,0
NDC,51079-812-20,NADOLOL 20 MG PO TABS,34.05,34.05,,,0
NDC,51079-817-20,TACROLIMUS 0.5 MG PO CAPS,15.035,15.035,,,0
NDC,51079-818-20,TACROLIMUS 1 MG PO CAPS,21.5,21.5,,,0
NDC,51079-821-20,LEVETIRACETAM 500 MG PO TABS,18.06,18.06,,,0
NDC,51079-886-20,METOCLOPRAMIDE HCL 5 MG PO TABS,15.0,15.0,,,0
NDC,51079-888-20,METOCLOPRAMIDE HCL 10 MG PO TABS,15.0,15.0,,,0
NDC,51079-922-20,CLOZAPINE 100 MG PO TABS,18.33,18.33,,,0
NDC,51079-923-20,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR,15.0,15.0,,,0
NDC,51079-928-20,LABETALOL HCL 25MG PO PRE-SPLIT TABS SH,0.83,0.83,,,0
NDC,51079-929-20,LABETALOL HCL 200 MG PO TABS,15.0,15.0,,,0
NDC,51079-931-20,CARVEDILOL 12.5 MG PO TABS,13.28,13.28,,,0
NDC,51079-932-20,CARVEDILOL 25 MG PO TABS,15.0,15.0,,,0
NDC,51079-943-20,BUPROPION HCL 75 MG PO TABS,15.0,15.0,,,0
NDC,51079-944-20,BUPROPION HCL 100 MG PO TABS,15.0,15.0,,,0
NDC,51079-957-20,DOXAZOSIN MESYLATE 1 MG PO TABS,19.42,19.42,,,0
NDC,51079-958-20,DOXAZOSIN MESYLATE 2 MG PO TABS,18.58,18.58,,,0
NDC,51079-966-20,FAMOTIDINE 20 MG PO TABS,1.87,1.87,,,0
NDC,51079-979-20,SPIRONOLACTONE 50 MG PO TABS,13.33,13.33,,,0
NDC,51079-985-20,BUSPIRONE HCL 5 MG PO TABS,10.22,10.22,,,0
NDC,51079-986-20,BUSPIRONE HCL 10 MG PO TABS,13.13,13.13,,,0
NDC,51144-020-01,ENFORTUMAB VEDOTIN-EJFV 20 MG/2ML IV (WET SOLR VIAL),86.26,86.26,,,0
NDC,51144-030-01,ENFORTUMAB VEDOTIN-EJFV 30 MG/3ML IV (WET SOLR VIAL),115.88,115.88,,,0
NDC,51144-050-01,BRENTUXIMAB VEDOTIN 50 MG IV SOLR,391.61,391.61,,,0
NDC,51285-204-01,PARAGARD INTRAUTERINE COPPER IU IUD,4245.6,4245.6,,,0
NDC,51293-801-01,PHENAZOPYRIDINE HCL 100 MG PO TABS,1.33,1.33,,,0
NDC,51409-00722,BENZOCAINE-MENTHOL 20-0.5 % EX AERO,2.0,2.0,,,0
NDC,51552-051-06,ACETIC ACID 3 % SOLN,2.0,2.0,,,0
NDC,51660-939-01,CETIRIZINE HCL 10 MG PO TABS,2.0,2.0,,,0
NDC,51672-1267-5,TRIAMCINOLONE ACETONIDE 0.1 % MT PSTE,375.0,375.0,,,0
NDC,51672-1273-2,FLUOCINONIDE 0.05 % EX SOLN,287.9,287.9,,,0
NDC,51672-1275-1,CLOTRIMAZOLE 1 % EX CREA,2.0,2.0,,,0
NDC,51672-1298-1,KETOCONAZOLE 2 % EX CREA,2.0,2.0,,,0
NDC,51672-2001-1,MICONAZOLE NITRATE 2 % EX CREA,2.0,2.0,,,0
NDC,51672-2002-1,CLOTRIMAZOLE 1 % EX CREA,2.0,2.0,,,0
NDC,51672-2002-2,CLOTRIMAZOLE 1 % EX CREA,2.0,2.0,,,0
NDC,51672-2003-6,CLOTRIMAZOLE 1 % VA CREA,2.0,2.0,,,0
NDC,51672-2010-2,HYDROCORTISONE 0.5 % EX CREA,2.0,2.0,,,0
NDC,51672-2030-3,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
NDC,51672-2037-1,CLOTRIMAZOLE 1 % EX SOLN,2.0,2.0,,,0
NDC,51672-2075-1,BACITRACIN ZINC 500 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,51672-2075-2,BACITRACIN ZINC 500 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,51672-2102-8,CETIRIZINE HCL 1 MG/ML PO SOLN,2.0,2.0,,,0
NDC,51672-2131-8,LORATADINE 5 MG/5ML PO SOLN,2.0,2.0,,,0
NDC,51672-3020-9,LIDOCAINE 5 % EX OINT,1200.0,1200.0,,,0
NDC,51672-4004-1,NORTRIPTYLINE HCL 75 MG PO CAPS,23.2,23.2,,,0
NDC,51672-4005-1,CARBAMAZEPINE 200 MG PO TABS,15.0,15.0,,,0
NDC,51672-4022-1,ACETAZOLAMIDE 125 MG PO TABS,15.0,15.0,,,0
NDC,51672-4029-1,WARFARIN SODIUM 2.5 MG PO TABS,15.0,15.0,,,0
NDC,51672-4038-1,ENALAPRIL MALEATE 5 MG PO TABS,15.0,15.0,,,0
NDC,51672-4048-1,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA,153.6,153.6,,,0
NDC,51672-4070-8,CETIRIZINE HCL 1 MG/ML PO SOLN,2.0,2.0,,,0
NDC,51754-0108-1,TRANEXAMIC ACID-NACL 1000-0.7 MG/100ML-% IV SOLN,175.655,175.655,,,0
NDC,51754-0500-1,CAFFEINE CITRATE 60 MG/3ML IV SOLN,33.08,33.08,,,0
NDC,51754-1006-1,NITROPRUSSIDE SODIUM-NACL 50-0.9 MG/100ML-% IV SOLN,429.0,429.0,,,0
NDC,51754-2001-4,POTASSIUM ACETATE 2 MEQ/ML IV SOLN,75.0,75.0,,,0
NDC,51754-5001-1,SODIUM BICARBONATE 8.4 % IV SOLN,72.1,72.1,,,0
NDC,51754-5011-1,SODIUM BICARBONATE 8.4 % IV SOLN,75.0,75.0,,,0
NDC,51754-5012-4,SODIUM BICARBONATE 4.2 % IV SOLN,57.72,57.72,,,0
NDC,51801-011-30,POTASSIUM BICARB-CITRIC ACID 20 MEQ PO TBEF,9.24,9.24,,,0
NDC,51801-012-01,POTASSIUM BICARB-CITRIC ACID 20 MEQ PO TBEF,8.84,8.84,,,0
NDC,51801-013-30,POTASSIUM BICARB-CITRIC ACID 10 MEQ PO TBEF,13.25,13.25,,,0
NDC,51801-014-30,POTASSIUM BICARB-CITRIC ACID 10 MEQ PO TBEF,12.7,12.7,,,0
NDC,51862-446-01,TAMOXIFEN CITRATE 20 MG PO TABS,30.0,30.0,,,0
NDC,51862-453-04,CLONIDINE 0.1 MG/24HR TD PTWK,100.0,100.0,,,0
NDC,51862-454-04,CLONIDINE 0.2 MG/24HR TD PTWK,167.48,167.48,,,0
NDC,51991-311-33,DESVENLAFAXINE SUCCINATE ER 50 MG PO TB24,47.53,47.53,,,0
NDC,51991-379-06,EVEROLIMUS 0.25 MG PO TABS,65.07,65.07,,,0
NDC,51991-379-60,EVEROLIMUS 0.25 MG PO TABS,65.04,65.04,,,0
NDC,51991-379-99,EVEROLIMUS 0.25 MG PO TABS,65.07,65.07,,,0
NDC,51991-380-60,EVEROLIMUS 0.5 MG PO TABS,65.07,65.07,,,0
NDC,51991-380-99,EVEROLIMUS 0.5 MG PO TABS,65.07,65.07,,,0
NDC,51991-381-60,EVEROLIMUS 0.75 MG PO TABS,65.07,65.07,,,0
NDC,51991-837-04,CETIRIZINE HCL 1 MG/ML PO SOLN,2.0,2.0,,,0
NDC,51991-878-33,EPLERENONE 50 MG PO TABS,22.91,22.91,,,0
NDC,51991-906-01,TETRACYCLINE HCL 250 MG PO CAPS,31.5,31.5,,,0
NDC,52015-080-01,FIDAXOMICIN 200 MG PO TABS,882.87,882.87,,,0
NDC,52244-100-10,THEOPHYLLINE ER 100 MG PO CP24,18.33,18.33,,,0
NDC,52268-100-01,PEG 3350-KCL-NABCB-NACL-NASULF 236 G PO SOLR,68.55,68.55,,,0
NDC,52565-009-50,LIDOCAINE HCL 4 % EX SOLN,323.25,323.25,,,0
NDC,52652-4001-1,ENALAPRIL 1MG/ML ORAL LIQD (PEDIATRIC) SH,25.98,25.98,,,0
NDC,52652-5001-1,AMLODIPINE BENZOATE 1 MG/ML PO SUSP,155.5,155.5,,,0
NDC,52817-319-10,BACLOFEN 5 MG PO TABS,15.0,15.0,,,0
NDC,52817-815-08,AMINOCAPROIC ACID 0.25 GM/ML PO SOLN,192.66,192.66,,,0
NDC,52817-830-04,LEVOCARNITINE 1 GM/10ML PO SOLN,2.0,2.0,,,0
NDC,53276-1010-2,MICROFIBRILLAR COLL HEMOSTAT EX POWD,1160.0,1160.0,,,0
NDC,53276-1010-9,MICROFIBRILLAR COLL HEMOSTAT EX PADS,1160.0,1160.0,,,0
NDC,53329-981-06,HYDROGEN PEROXIDE 3 % EX SOLN,2.0,2.0,,,0
NDC,53462-375-60,CETYLPYRIDINIUM CHLORIDE 0.05 % MT LIQD,2.0,2.0,,,0
NDC,53489-119-02,DOXYCYCLINE HYCLATE 100 MG PO CAPS,32.56,32.56,,,0
NDC,53746-101-05,GABAPENTIN 100 MG PO CAPS,15.0,15.0,,,0
NDC,53746-271-01,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS,12.27,12.27,,,0
NDC,53746-571-01,BETHANECHOL CHLORIDE 5 MG PO TABS,10.31,10.31,,,0
NDC,54092-476-12,MESALAMINE 1.2 G PO TBEC,33.7,33.7,,,0
NDC,54092-546-01,PRUCALOPRIDE SUCCINATE 1 MG PO TABS,84.91,84.91,,,0
NDC,54162-190-30,MINERAL OIL PO OIL,14.79,14.79,,,0
NDC,54288-103-10,EPINEPHRINE PF 1 MG/ML IJ SOLN,14.48,14.48,,,0
NDC,54288-105-15,ABLYSINOL IA SOLN,2043.16,2043.16,,,0
NDC,54288-154-01,EPINEPHRINE HCL (NASAL) 0.1 % NA SOLN,1056.0,1056.0,,,0
NDC,54288-165-01,CARBOPLATIN 450 MG/45ML IV SOLN,70.75,70.75,,,0
NDC,54482-144-07,LEVOCARNITINE 330 MG PO TABS,0.67,0.67,,,0
NDC,54482-145-08,LEVOCARNITINE 1 GM/10ML PO SOLN,2.0,2.0,,,0
NDC,54482-147-01,LEVOCARNITINE 200 MG/ML IV SOLN,196.9,196.9,,,0
NDC,54643-5649-1,INFUVITE ADULT IV INJ,57.51,57.51,,,0
NDC,54758-00612,SUCROSE 24% SUCKING SOLN SH,2.0,2.0,,,0
NDC,54758-00628,GLUCOSE 40% PO GEL (NEONATAL) SH,1.98,1.98,,,0
NDC,54799-507-21,FLUORESCEIN-PROPARACAINE 0.25-0.5 % OP SOLN,221.0,221.0,,,0
NDC,54838-005-30,VITAMIN E (TOCOPHEROL ACETATE) 15 UNITS/0.3ML ORAL SYRINGE (NEONATAL) SH,2.0,2.0,,,0
NDC,54838-510-80,OXYBUTYNIN CHLORIDE 5 MG/5ML PO SOLN,30.0,30.0,,,0
NDC,54838-558-40,LORATADINE 5 MG/5ML PO SOLN,2.0,2.0,,,0
NDC,54838-566-70,LAMIVUDINE 10 MG/ML PO SOLN,30.0,30.0,,,0
NDC,54879-021-01,CYCLOPHOSPHAMIDE 25 MG PO CAPS,27.25,27.25,,,0
NDC,54879-022-01,CYCLOPHOSPHAMIDE 50 MG PO CAPS,15.6,15.6,,,0
NDC,55111-197-30,SIMVASTATIN 5 MG PO TABS,15.0,15.0,,,0
NDC,55111-262-79,OLANZAPINE 5 MG PO TBDP,15.15,15.15,,,0
NDC,55111-263-79,OLANZAPINE 10 MG PO TBDP,16.78,16.78,,,0
NDC,55111-556-10,DECITABINE 50 MG IV SOLR,53.91,53.91,,,0
NDC,55111-671-31,CLOPIDOGREL BISULFATE 300 MG PO TABS,83.53,83.53,,,0
NDC,55111-678-02,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,75.01,75.01,,,0
NDC,55111-678-10,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,71.05,71.05,,,0
NDC,55111-679-10,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,83.6,83.6,,,0
NDC,55111-680-10,FONDAPARINUX SODIUM 2.5 MG/0.2ML SC SOLN - CONSOLIDATED,55.73,55.73,,,0
NDC,55111-685-07,ZOLEDRONIC ACID 4 MG/5ML IV CONC,128.97,128.97,,,0
NDC,55135-132-01,SACITUZUMAB GOVITECAN-HZIY 180 MG/18ML IV (WET SOLR VIAL),80.845,80.845,,,0
NDC,55150-113-10,AMPICILLIN SODIUM 1 G IJ SOLR,34.46,34.46,,,0
NDC,55150-114-20,"AMPICILLIN 2,000MG/100ML NS (MINIBAG)",27.85,27.85,,,0
NDC,55150-116-20,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR,59.835,59.835,,,0
NDC,55150-117-20,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,51.1,51.1,,,0
NDC,55150-119-30,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR,28.215,28.215,,,0
NDC,55150-120-30,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),24.965,24.965,,,0
NDC,55150-121-50,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),47.61,47.61,,,0
NDC,55150-123-15,NAFCILLIN 2 GM/100ML NS (MINIBAG),91.02000000000001,91.02000000000001,,,0
NDC,55150-155-20,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,1.05,1.05,,,0
NDC,55150-161-02,LIDOCAINE HCL 1 % IJ SOLN,66.235,66.235,,,0
NDC,55150-162-05,LIDOCAINE HCL (PF) 1 % IJ SOLN,19.04,19.04,,,0
NDC,55150-163-30,LIDOCAINE HCL 1 % IJ SOLN,3.77,3.77,,,0
NDC,55150-165-05,LIDOCAINE HCL (PF) 2 % IJ SOLN,2.52,2.52,,,0
NDC,55150-167-10,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,0.75,0.75,,,0
NDC,55150-169-10,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,0.75,0.75,,,0
NDC,55150-172-30,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,37.5,37.5,,,0
NDC,55150-173-01,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,92.4,92.4,,,0
NDC,55150-174-10,AZITHROMYCIN 500 MG/250ML NS (VIAL-MATE),72.33,72.33,,,0
NDC,55150-202-10,PANTOPRAZOLE SODIUM 40 MG IV SOLR,74.63499999999999,74.63499999999999,,,0
NDC,55150-208-30,"MEROPENEM 1,000 MG/100ML NS (MINIBAG)",9.24,9.24,,,0
NDC,55150-218-99,EPTIFIBATIDE 75 MG/100ML IV SOLN,65.0,65.0,,,0
NDC,55150-221-10,ETOMIDATE 2 MG/ML IV SOLN,71.59,71.59,,,0
NDC,55150-225-05,ROCURONIUM BROMIDE 10 MG/ML IV SOLN - CONSOLIDATED,147.66,147.66,,,0
NDC,55150-235-02,VECURONIUM 1MG/ML SW INJ (PEDIATRIC) SH,75.0,75.0,,,0
NDC,55150-235-10,VECURONIUM BROMIDE 10 MG IV SOLR,70.44,70.44,,,0
NDC,55150-236-20,VECURONIUM BROMIDE 20 MG IV SOLR,94.5,94.5,,,0
NDC,55150-239-30,DEXAMETHASONE SOD PHOS 4 MG/ML IJ SOLN - CONSOLIDATED,7.13,7.13,,,0
NDC,55150-247-47,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,3.51,3.51,,,0
NDC,55150-248-47,LEVETIRACETAM 15MG/ML IN NACL IV SYRINGE (PEDIATRIC) SH,6.7,6.7,,,0
NDC,55150-282-20,"ERTAPENEM 1,000MG/100ML NS (MINIBAG)",232.265,232.265,,,0
NDC,55150-287-01,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN,31.85,31.85,,,0
NDC,55150-307-01,ACETAMINOPHEN 10 MG/ML IV SOLN,1.68,1.68,,,0
NDC,55150-307-24,ACETAMINOPHEN 10 MG/ML IV SOLN,1.7,1.7,,,0
NDC,55150-328-01,NALOXONE HCL 4 MG/10ML IJ SOLN,186.88,186.88,,,0
NDC,55150-328-10,NALOXONE HCL 4 MG/10ML IJ SOLN,186.88,186.88,,,0
NDC,55150-329-01,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,1.91,1.91,,,0
NDC,55150-335-01,CARBOPLATIN 450 MG/45ML IV SOLN,37.66,37.66,,,0
NDC,55150-337-01,BORTEZOMIB 3.5 MG IJ SOLR,16.42,16.42,,,0
NDC,55150-345-01,NALOXONE HCL 2 MG/2ML IJ SOSY,116.63,116.63,,,0
NDC,55150-345-10,NALOXONE HCL 2 MG/2ML IJ SOSY,122.07,122.07,,,0
NDC,55150-365-01,AMPHOTERICIN B LIPOSOME 50 MG/12.5ML IV SUSR (WET SOLR VIAL),213.945,213.945,,,0
NDC,55150-370-01,VASOPRESSIN 20 UNIT/ML IV SOLN,28.675,28.675,,,0
NDC,55150-370-25,VASOPRESSIN 20 UNIT/ML IV SOLN,29.25,29.25,,,0
NDC,55150-386-01,CARBOPLATIN 450 MG/45ML IV SOLN,31.81,31.81,,,0
NDC,55150-400-01,HYDRALAZINE HCL 20 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,55150-431-01,DACTINOMYCIN 0.5 MG IV SOLR,7500.0,7500.0,,,0
NDC,55150-438-10,KETAMINE HCL 10 MG/ML IJ SOLN,116.67,116.67,,,0
NDC,55150-439-01,KETAMINE HCL 50 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,55150-443-01,REGADENOSON 0.4 MG/5ML IV SOLN,243.75,243.75,,,0
NDC,55150-471-01,VANCOMYCIN 1250MG/250ML 0.9% NACL (VIAL-MATE),56.3,56.3,,,0
NDC,55150-928-02,DACTINOMYCIN 0.5 MG IV SOLR,7500.0,7500.0,,,0
NDC,55390-004-01,GLUCAGON HCL (RDNA) 1 MG IJ SOLR,669.24,669.24,,,0
NDC,55390-110-10,DOXYCYCLINE 100 MG/100ML NS (MINIBAG),101.5,101.5,,,0
NDC,55513-005-04,DARBEPOETIN ALFA 100 MCG/ML IJ SOLN,27.86,27.86,,,0
NDC,55513-023-04,DARBEPOETIN ALFA 60 MCG/0.3ML IJ SOSY,41.67,41.67,,,0
NDC,55513-028-01,DARBEPOETIN ALFA 200 MCG/0.4ML IJ SOSY,30.0,30.0,,,0
NDC,55513-132-01,TRASTUZUMAB-ANNS 420 MG/20ML IV (WET SOLR VIAL),332.31,332.31,,,0
NDC,55513-141-01,TRASTUZUMAB-ANNS 150 MG IV SOLR,374.48,374.48,,,0
NDC,55513-148-10,EPOETIN ALFA 4000 UNIT/ML IJ SOLN,121.88,121.88,,,0
NDC,55513-160-01,BLINATUMOMAB 35 MCG IV SOLR,482.14,482.14,,,0
NDC,55513-164-01,TRASTUZUMAB-ANNS 420 MG IV SOLR,341.69,341.69,,,0
NDC,55513-190-01,PEGFILGRASTIM 6 MG/0.6ML SC SOSY,1123.15,1123.15,,,0
NDC,55513-192-01,PEGFILGRASTIM 6 MG/0.6ML SC PSKT,1097.07,1097.07,,,0
NDC,55513-206-01,BEVACIZUMAB-AWWB 100 MG/4ML IV SOLN,308.755,308.755,,,0
NDC,55513-207-01,BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN,142.175,142.175,,,0
NDC,55513-221-01,ROMIPLOSTIM 250 MCG SC SOLR,269.63,269.63,,,0
NDC,55513-223-01,ROMIPLOSTIM 125 MCG SC SOLR,457.92,457.92,,,0
NDC,55513-670-01,INFLIXIMAB-AXXQ 100 MG IV SOLR,123.195,123.195,,,0
NDC,55513-710-01,DENOSUMAB 60 MG/ML SC SOSY,125.0,125.0,,,0
NDC,55513-730-01,DENOSUMAB 120 MG/1.7ML SC SOLN,87.5,87.5,,,0
NDC,55513-954-01,PANITUMUMAB 100 MG/5ML IV SOLN,346.07,346.07,,,0
NDC,55513-956-01,PANITUMUMAB 100 MG/5ML IV SOLN,348.03,348.03,,,0
NDC,55520-00163,DEKAS PLUS PO LIQD,2.0,2.0,,,0
NDC,55566-2200-0,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN,121.77,121.77,,,0
NDC,55566-2800-1,DINOPROSTONE 10 MG VA INST,1559.0,1559.0,,,0
NDC,57237-011-06,MIRTAZAPINE 15 MG PO TBDP,15.0,15.0,,,0
NDC,57237-012-06,MIRTAZAPINE 30 MG PO TBDP,10.19,10.19,,,0
NDC,57237-018-30,DULOXETINE HCL 30 MG PO CPEP,41.02,41.02,,,0
NDC,57237-019-30,DULOXETINE HCL 60 MG PO CPEP,42.01,42.01,,,0
NDC,57237-040-01,PENICILLIN V POTASSIUM 250 MG PO TABS,15.0,15.0,,,0
NDC,57237-041-01,PENICILLIN V POTASSIUM 500 MG PO TABS,15.0,15.0,,,0
NDC,57237-077-10,ONDANSETRON 4 MG PO TBDP,75.57,75.57,,,0
NDC,57237-114-90,ALFUZOSIN HCL ER 10 MG PO TB24,23.18,23.18,,,0
NDC,57237-150-35,FLUCONAZOLE 40 MG/ML PO SUSR,77.13,77.13,,,0
NDC,57237-274-24,LAMIVUDINE 10 MG/ML PO SOLN,30.0,30.0,,,0
NDC,57664-126-88,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS,40.0,40.0,,,0
NDC,57664-166-52,METOPROLOL TARTRATE 50 MG PO TABS,9.55,9.55,,,0
NDC,57664-683-57,LINEZOLID 600 MG/300ML IV SOLN,169.0,169.0,,,0
NDC,57664-853-85,MINOCYCLINE HCL 100 MG PO CAPS,18.68,18.68,,,0
NDC,57841-1300-1,NALOXEGOL OXALATE 12.5 MG PO TABS,63.33,63.33,,,0
NDC,57841-1301-1,NALOXEGOL OXALATE 25 MG PO TABS,63.33,63.33,,,0
NDC,57894-030-01,INFLIXIMAB 100 MG/10ML IV (WET SOLR VIAL),268.83500000000004,268.83500000000004,,,0
NDC,57894-160-01,INFLIXIMAB 100 MG IV SOLR,171.0,171.0,,,0
NDC,57894-501-01,AMIVANTAMAB-VMJW 350 MG/7ML IV SOLN,60.045,60.045,,,0
NDC,57894-503-01,DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN,93.3,93.3,,,0
NDC,57894-505-05,DARATUMUMAB 100 MG/5ML IV SOLN,375.0,375.0,,,0
NDC,57894-505-20,DARATUMUMAB 400 MG/20ML IV SOLN,168.75,168.75,,,0
NDC,57896-002-01,NACL 0.9% IR SOLN,75.0,75.0,,,0
NDC,57896-145-14,BACITRACIN ZINC 500 UNIT/GM EX OINT,2.29,2.29,,,0
NDC,57896-181-05,GLYCERIN-HYPROMELLOSE-PEG 400 0.2-0.2-1 % OP SOLN,2.0,2.0,,,0
NDC,57896-426-01,DOCUSATE SODIUM 250 MG PO CAPS,2.0,2.0,,,0
NDC,57896-731-01,OYSTER SHELL CALCIUM/VITAMIN D 250-3.125 MG-MCG PO TABS,1.47,1.47,,,0
NDC,57970-100-01,DALBAVANCIN HCL 500 MG/25ML IV (WET SOLR VIAL),35.4,35.4,,,0
NDC,58160-810-52,DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP,221.68,221.68,,,0
NDC,58160-955-09,MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR,975.0,975.0,,,0
NDC,58160-976-06,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY,1320.43,1320.43,,,0
NDC,58177-886-05,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN,40.0,40.0,,,0
NDC,58468-0030-2,THYROTROPIN ALFA 0.9 MG IM SOLR,5631.82,5631.82,,,0
NDC,58468-0080-1,ANTI-THYMOCYTE GLOB (RABBIT) 25 MG IV SOLR,3002.695,3002.695,,,0
NDC,58468-0130-1,SEVELAMER CARBONATE 800 MG PO TABS,32.9,32.9,,,0
NDC,58468-0132-2,SEVELAMER CARBONATE 0.8 G PO PACK,81.665,81.665,,,0
NDC,58602-006-40,OLOPATADINE HCL 0.1 % OP SOLN,59.28,59.28,,,0
NDC,58602-702-04,LORATADINE 10 MG PO TABS,2.0,2.0,,,0
NDC,58657-675-01,CIPROFLOXACIN HCL 250 MG PO TABS,24.31,24.31,,,0
NDC,58914-080-52,DICYCLOMINE HCL 10 MG/ML IM SOLN,655.66,655.66,,,0
NDC,58914-112-10,PANCRELIPASE (LIP-PROT-AMYL) 10440-39150 UNITS PO TABS,21.24,21.24,,,0
NDC,58914-301-80,NITROGLYCERIN 0.4 % PR OINT,2306.7,2306.7,,,0
NDC,58914-501-56,MESALAMINE 1000 MG PR SUPP,139.41,139.41,,,0
NDC,58980-011-10,BACITRACIN ZINC 500 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,59011-410-20,OXYCODONE HCL ER 10 MG PO T12A,36.11,36.11,,,0
NDC,59011-420-10,OXYCODONE HCL ER 20 MG PO T12A,58.82,58.82,,,0
NDC,59011-420-20,OXYCODONE HCL ER 20 MG PO T12A,61.44,61.44,,,0
NDC,59011-440-10,OXYCODONE HCL ER 40 MG PO T12A,77.86,77.86,,,0
NDC,59011-440-20,OXYCODONE HCL ER 40 MG PO T12A,79.19,79.19,,,0
NDC,59011-480-20,OXYCODONE HCL ER 80 MG PO T12A,109.73,109.73,,,0
NDC,59137-231-01,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR,5780.94,5780.94,,,0
NDC,59148-006-13,ARIPIPRAZOLE 2 MG PO TABS,93.41,93.41,,,0
NDC,59148-007-13,ARIPIPRAZOLE 5 MG PO TABS,75.25,75.25,,,0
NDC,59148-010-13,ARIPIPRAZOLE 20 MG PO TABS,100.0,100.0,,,0
NDC,59148-019-70,ARIPIPRAZOLE ER 400 MG IM SRER,25.38,25.38,,,0
NDC,59148-019-71,ARIPIPRAZOLE ER 400 MG IM SRER,25.38,25.38,,,0
NDC,59148-021-50,TOLVAPTAN 30 MG PO TABS,1618.93,1618.93,,,0
NDC,59310-579-22,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,375.0,375.0,,,0
NDC,59365-6065-1,FERRIC SUBSULFATE 259 MG/GM EX SOLN,2.0,2.0,,,0
NDC,59528-0331-2,CALCIUM ACETATE (PHOS BINDER) 667 MG PO TABS,9.0,9.0,,,0
NDC,59572-102-01,AZACITIDINE 100 MG/10ML IJ SUSR (WET SOLR VIAL),42.28,42.28,,,0
NDC,59630-266-01,CEFIDEROCOL SULFATE TOSYLATE 1000 MG/11.2ML IV (WET SOLR VIAL),12.77,12.77,,,0
NDC,59630-266-10,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR,13.12,13.12,,,0
NDC,59651-120-60,DOFETILIDE 500 MCG PO CAPS,47.1,47.1,,,0
NDC,59651-256-01,PROPAFENONE HCL 150 MG PO TABS,7.73,7.73,,,0
NDC,59651-300-30,TAMOXIFEN CITRATE 20 MG PO TABS,30.0,30.0,,,0
NDC,59651-457-01,CARBIDOPA-LEVODOPA 25-100 MG PO TABS,10.41,10.41,,,0
NDC,59651-484-01,PREDNISONE 1 MG PO TABS,4.68,4.68,,,0
NDC,59651-485-01,PREDNISONE 2.5 MG PO TABS,3.9,3.9,,,0
NDC,59651-489-01,PREDNISONE 50 MG PO TABS,0.16,0.16,,,0
NDC,59676-278-01,RILPIVIRINE HCL 25 MG PO TABS,170.98,170.98,,,0
NDC,59676-302-01,"EPOETIN ALFA 2,000 UNIT/ML INJ SOLN (NEONATAL)",115.34,115.34,,,0
NDC,59676-303-01,EPOETIN ALFA 3000 UNIT/ML IJ SOLN (ESRD),16.25,16.25,,,0
NDC,59676-562-01,DARUNAVIR 600 MG PO TABS,127.04,127.04,,,0
NDC,59676-566-30,DARUNAVIR 800 MG PO TABS,258.98,258.98,,,0
NDC,59676-570-01,ETRAVIRINE 100 MG PO TABS,50.0,50.0,,,0
NDC,59676-575-30,DARUNAVIR-COBICISTAT 800-150 MG PO TABS,296.01,296.01,,,0
NDC,59676-800-30,DARUN-COBIC-EMTRICIT-TENOFAF 800-150-200-10 MG PO TABS,562.78,562.78,,,0
NDC,59746-010-32,RISPERIDONE 0.5 MG PO TBDP,27.04,27.04,,,0
NDC,59746-030-22,RISPERIDONE 2 MG PO TBDP,47.14,47.14,,,0
NDC,59746-113-06,PROCHLORPERAZINE MALEATE 5 MG PO TABS,15.0,15.0,,,0
NDC,59746-171-06,PREDNISONE 1 MG PO TABS,5.83,5.83,,,0
NDC,59746-173-06,PREDNISONE 10 MG PO TABS,1.48,1.48,,,0
NDC,59746-175-06,PREDNISONE 20 MG PO TABS,0.435,0.435,,,0
NDC,59746-383-06,TERAZOSIN HCL 1 MG PO CAPS,13.48,13.48,,,0
NDC,59762-0049-1,METHYLPREDNISOLONE 8 MG PO TABS,5.775,5.775,,,0
NDC,59762-0073-1,HYDROCORTISONE 5 MG PO TABS,10.45,10.45,,,0
NDC,59762-0075-1,HYDROCORTISONE 20 MG PO TABS,14.57,14.57,,,0
NDC,59762-0333-2,LATANOPROST 0.005 % OP SOLN,377.26,377.26,,,0
NDC,59762-0935-3,VORICONAZOLE 40 MG/ML PO SUSR,347.66,347.66,,,0
NDC,59762-1001-1,SIROLIMUS 0.5 MG PO TABS,48.38,48.38,,,0
NDC,59762-1206-1,LIOTHYRONINE SODIUM 5 MCG PO TABS,15.0,15.0,,,0
NDC,59762-1210-3,DESVENLAFAXINE SUCCINATE ER 25 MG PO TB24,55.0,55.0,,,0
NDC,59762-1710-2,EPLERENONE 25 MG PO TABS,20.97,20.97,,,0
NDC,59762-3060-3,AZITHROMYCIN 250 MG PO TABS,28.42,28.42,,,0
NDC,59762-3140-1,AZITHROMYCIN 200 MG/5ML PO SUSR,30.0,30.0,,,0
NDC,59762-3304-3,NITROGLYCERIN 0.4 MG SL SUBL,128.38,128.38,,,0
NDC,59762-3720-1,ALPRAZOLAM 0.5 MG PO TABS,23.4,23.4,,,0
NDC,59762-5000-5,SULFASALAZINE 500 MG PO TABS,10.0,10.0,,,0
NDC,59762-5007-1,MISOPROSTOL 100 MCG PO TABS,14.53,14.53,,,0
NDC,59762-5007-2,MISOPROSTOL 100 MCG PO TABS,15.0,15.0,,,0
NDC,59923-718-05,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,1.5,1.5,,,0
NDC,60219-1721-7,ETRAVIRINE 100 MG PO TABS,50.0,50.0,,,0
NDC,60219-1748-2,ATROPINE SULFATE 1 % OP SOLN,239.3,239.3,,,0
NDC,60219-1749-3,ATROPINE 1% DROPS SOLN (FOR SUBLINGUAL USE),291.9,291.9,,,0
NDC,60219-5522-9,FENOFIBRATE 160 MG PO TABS,15.0,15.0,,,0
NDC,60258-006-01,POTASSIUM & SODIUM PHOSPHATES 280-160-250 MG PO PACK,2.0,2.0,,,0
NDC,60258-006-15,POTASSIUM & SODIUM PHOSPHATES 280-160-250 MG PO PACK,1.71,1.71,,,0
NDC,60258-161-01,NEPHRO-VITE RX 1 MG PO TABS,2.01,2.01,,,0
NDC,60258-171-01,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS,1.08,1.08,,,0
NDC,60267-705-50,SODIUM THIOSULFATE 250 MG/ML IV SOLN,6.03,6.03,,,0
NDC,60432-212-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN,3.205,3.205,,,0
NDC,60505-0033-6,PENTOXIFYLLINE ER 400 MG PO TBCR,15.0,15.0,,,0
NDC,60505-0065-2,OMEPRAZOLE 20 MG PO CPDR,2.0,2.0,,,0
NDC,60505-0165-1,FLUVOXAMINE MALEATE 50 MG PO TABS,14.16,14.16,,,0
NDC,60505-0257-1,DESMOPRESSIN ACETATE 0.1 MG PO TABS,15.21,15.21,,,0
NDC,60505-0363-1,OFLOXACIN 0.3 % OT SOLN,617.12,617.12,,,0
NDC,60505-0560-0,OFLOXACIN 0.3 % OP SOLN,104.7,104.7,,,0
NDC,60505-0815-0,DESMOPRESSIN ACETATE SPRAY 0.01 % NA SOLN,30.0,30.0,,,0
NDC,60505-0823-6,CALCITONIN (SALMON) 200 UNIT/ACT NA SOLN,474.16,474.16,,,0
NDC,60505-0829-1,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP,375.0,375.0,,,0
NDC,60505-1003-1,KETOROLAC TROMETHAMINE 0.5 % OP SOLN,427.48,427.48,,,0
NDC,60505-2580-9,ATORVASTATIN CALCIUM 40 MG PO TABS,29.97,29.97,,,0
NDC,60505-3110-0,OLANZAPINE 2.5 MG PO TABS,50.68,50.68,,,0
NDC,60505-3111-0,OLANZAPINE 5 MG PO TABS,50.42,50.42,,,0
NDC,60505-3113-0,OLANZAPINE 10 MG PO TABS,70.19,70.19,,,0
NDC,60505-3250-6,LAMIVUDINE 100 MG PO TABS,51.95,51.95,,,0
NDC,60505-3275-0,OLANZAPINE 5 MG PO TBDP,46.77,46.77,,,0
NDC,60505-3275-3,OLANZAPINE 5 MG PO TBDP,51.54,51.54,,,0
NDC,60505-3927-1,GUANFACINE HCL ER 1 MG PO TB24,55.0,55.0,,,0
NDC,60505-3928-1,GUANFACINE HCL ER 2 MG PO TB24,55.0,55.0,,,0
NDC,60505-6128-0,IRINOTECAN HCL 100 MG/5ML IV SOLN,55.195,55.195,,,0
NDC,60505-6128-1,IRINOTECAN HCL 100 MG/5ML IV SOLN,45.730000000000004,45.730000000000004,,,0
NDC,60505-6130-5,ONDANSETRON HCL 4 MG/2ML IJ SOLN,17.009999999999998,17.009999999999998,,,0
NDC,60505-6132-6,OXALIPLATIN 5 MG/ML IV SOLN - CONSOLIDATED,3.92,3.92,,,0
NDC,60505-6132-7,OXALIPLATIN 5 MG/ML IV SOLN - CONSOLIDATED,3.8449999999999998,3.8449999999999998,,,0
NDC,60505-6146-0,CEFEPIME 1000MG/50ML NS (MINIBAG),67.89,67.89,,,0
NDC,60505-6146-4,CEFEPIME HCL 1 G IJ SOLR,68.08,68.08,,,0
NDC,60505-6147-0,CEFEPIME 2000MG/100ML NS (MINIBAG),65.54,65.54,,,0
NDC,60505-6147-4,CEFEPIME 2000MG/100ML NS (MINIBAG),65.58,65.58,,,0
NDC,60505-6149-4,CEFTRIAXONE SODIUM 2 G IJ SOLR,74.19,74.19,,,0
NDC,60505-6159-4,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),38.06,38.06,,,0
NDC,60505-6193-1,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,65.36,65.36,,,0
NDC,60505-6229-4,DAPTOMYCIN 500 MG IV SOLR,4.48,4.48,,,0
NDC,60505-6231-0,"CEFAZOLIN 2,000MG/100ML NS (MINIBAG)",18.75,18.75,,,0
NDC,60505-6231-5,"CEFAZOLIN 2,000MG/100ML NS (MINIBAG)",18.759999999999998,18.759999999999998,,,0
NDC,60505-7080-2,FENTANYL 12 MCG/HR TD PT72,81.2,81.2,,,0
NDC,60505-7081-2,FENTANYL 25 MCG/HR TD PT72,85.08,85.08,,,0
NDC,60505-7082-2,FENTANYL 50 MCG/HR TD PT72,116.64,116.64,,,0
NDC,60505-7084-2,FENTANYL 100 MCG/HR TD PT72,236.13,236.13,,,0
NDC,60687-100-01,URSODIOL 300 MG PO CAPS,38.82,38.82,,,0
NDC,60687-105-21,MEDROXYPROGESTERONE ACETATE 10 MG PO TABS,9.22,9.22,,,0
NDC,60687-112-21,ANASTROZOLE 1 MG PO TABS,40.0,40.0,,,0
NDC,60687-113-11,CLONIDINE HCL 0.1 MG PO TABS,9.55,9.55,,,0
NDC,60687-122-01,PREDNISONE 5 MG PO TABS,2.895,2.895,,,0
NDC,60687-124-11,CLONIDINE HCL 0.2 MG PO TABS,12.43,12.43,,,0
NDC,60687-129-01,DOCUSATE SODIUM 100 MG PO CAPS,1.61,1.61,,,0
NDC,60687-134-01,PREDNISONE 10 MG PO TABS,1.48,1.48,,,0
NDC,60687-143-01,METFORMIN HCL 850 MG PO TABS,15.0,15.0,,,0
NDC,60687-145-01,PREDNISONE 20 MG PO TABS,0.38,0.38,,,0
NDC,60687-152-01,CEPHALEXIN 250 MG PO CAPS,7.39,7.39,,,0
NDC,60687-155-01,METFORMIN HCL 500 MG PO TABS,9.17,9.17,,,0
NDC,60687-156-25,PHENYTOIN 50 MG PO CHEW,10.3,10.3,,,0
NDC,60687-163-01,CEPHALEXIN 500 MG PO CAPS,14.94,14.94,,,0
NDC,60687-178-01,PRAVASTATIN SODIUM 20 MG PO TABS,17.88,17.88,,,0
NDC,60687-179-01,ARIPIPRAZOLE 10 MG PO TABS,100.0,100.0,,,0
NDC,60687-184-57,MEMANTINE HCL 10 MG PO TABS,14.68,14.68,,,0
NDC,60687-188-21,ENTACAPONE 200 MG PO TABS,27.17,27.17,,,0
NDC,60687-195-01,DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24,13.29,13.29,,,0
NDC,60687-206-01,DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24,13.71,13.71,,,0
NDC,60687-211-21,DIVALPROEX SODIUM 125 MG PO TBEC,10.0,10.0,,,0
NDC,60687-216-25,ENTECAVIR 0.5 MG PO TABS,88.6,88.6,,,0
NDC,60687-217-01,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24,15.0,15.0,,,0
NDC,60687-224-01,GEMFIBROZIL 600 MG PO TABS,15.0,15.0,,,0
NDC,60687-228-01,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24,15.0,15.0,,,0
NDC,60687-229-01,LOPERAMIDE HCL 2 MG PO CAPS,1.49,1.49,,,0
NDC,60687-230-01,ZONISAMIDE 100 MG PO CAPS,9.94,9.94,,,0
NDC,60687-231-01,SERTRALINE HCL 25 MG PO TABS,9.18,9.18,,,0
NDC,60687-234-01,ROSUVASTATIN CALCIUM 5 MG PO TABS,27.89,27.89,,,0
NDC,60687-242-01,SERTRALINE HCL 50 MG PO TABS,9.87,9.87,,,0
NDC,60687-244-40,FLUOXETINE HCL 20 MG/5ML PO SOLN,39.12,39.12,,,0
NDC,60687-253-01,SERTRALINE HCL 100 MG PO TABS,11.61,11.61,,,0
NDC,60687-256-01,ROSUVASTATIN CALCIUM 20 MG PO TABS,30.93,30.93,,,0
NDC,60687-267-42,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,2.0,2.0,,,0
NDC,60687-272-94,CEFUROXIME AXETIL 250 MG PO TABS,22.69,22.69,,,0
NDC,60687-281-01,NORTRIPTYLINE HCL 10 MG PO CAPS,10.36,10.36,,,0
NDC,60687-292-01,DONEPEZIL HCL 5 MG PO TABS,13.48,13.48,,,0
NDC,60687-293-01,NORTRIPTYLINE HCL 25 MG PO CAPS,12.17,12.17,,,0
NDC,60687-299-25,ITRACONAZOLE 100 MG PO CAPS,22.0,22.0,,,0
NDC,60687-302-25,NADOLOL 20 MG PO TABS,18.56,18.56,,,0
NDC,60687-303-01,DONEPEZIL HCL 10 MG PO TABS,15.0,15.0,,,0
NDC,60687-304-21,CAPTOPRIL 12.5 MG PO TABS,15.0,15.0,,,0
NDC,60687-312-01,BUPROPION HCL ER (XL) 150 MG PO TB24,25.62,25.62,,,0
NDC,60687-327-01,QUETIAPINE FUMARATE 25 MG PO TABS,19.27,19.27,,,0
NDC,60687-328-11,SEVELAMER CARBONATE 800 MG PO TABS,38.16,38.16,,,0
NDC,60687-328-31,SEVELAMER CARBONATE 800 MG PO TABS,35.97,35.97,,,0
NDC,60687-333-01,LISINOPRIL 20 MG PO TABS,9.41,9.41,,,0
NDC,60687-336-65,MINOCYCLINE HCL 100 MG PO CAPS,10.66,10.66,,,0
NDC,60687-340-01,BUPROPION HCL 75 MG PO TABS,15.0,15.0,,,0
NDC,60687-345-01,CALCITRIOL 0.25 MCG PO CAPS,13.775,13.775,,,0
NDC,60687-351-01,BUPROPION HCL 100 MG PO TABS,14.93,14.93,,,0
NDC,60687-369-01,DICYCLOMINE HCL 10 MG PO CAPS,10.29,10.29,,,0
NDC,60687-373-21,EZETIMIBE 10 MG PO TABS,55.0,55.0,,,0
NDC,60687-375-01,DRONABINOL 2.5 MG PO CAPS,44.41,44.41,,,0
NDC,60687-381-94,PHYTONADIONE 5 MG PO TABS,1.29,1.29,,,0
NDC,60687-386-21,DRONABINOL 5 MG PO CAPS,34.36,34.36,,,0
NDC,60687-387-11,MIDODRINE HCL 2.5 MG PO TABS,10.3,10.3,,,0
NDC,60687-388-11,ALPRAZOLAM 0.5 MG PO TABS,23.09,23.09,,,0
NDC,60687-389-21,COLCHICINE 0.6 MG PO TABS,53.11,53.11,,,0
NDC,60687-390-01,METOPROLOL SUCCINATE ER 25 MG PO TB24,13.01,13.01,,,0
NDC,60687-394-83,IPRATROPIUM BROMIDE 0.02 % IN SOLN,12.675,12.675,,,0
NDC,60687-395-83,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,5.0,5.0,,,0
NDC,60687-397-25,MESALAMINE 1.2 G PO TBEC,43.77,43.77,,,0
NDC,60687-398-11,MIDODRINE HCL 5 MG PO TABS,7.94,7.94,,,0
NDC,60687-405-83,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,14.8,14.8,,,0
NDC,60687-408-25,MESALAMINE 800 MG PO TBEC,50.0,50.0,,,0
NDC,60687-409-25,MIDODRINE HCL 10 MG PO TABS,14.07,14.07,,,0
NDC,60687-418-01,HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS,40.0,40.0,,,0
NDC,60687-420-25,RITONAVIR 100 MG PO TABS,55.0,55.0,,,0
NDC,60687-423-21,CLOBAZAM 10 MG PO TABS,27.86,27.86,,,0
NDC,60687-428-11,FINASTERIDE 5 MG PO TABS,15.0,15.0,,,0
NDC,60687-429-45,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP,2.0,2.0,,,0
NDC,60687-431-99,POLYETHYLENE GLYCOL 3350 17 G PO PACK,1.88,1.88,,,0
NDC,60687-432-11,TRAZODONE HCL 150 MG PO TABS,9.0,9.0,,,0
NDC,60687-433-11,AMITRIPTYLINE HCL 25 MG PO TABS,15.0,15.0,,,0
NDC,60687-438-11,MYCOPHENOLATE MOFETIL 500 MG PO TABS,5.39,5.39,,,0
NDC,60687-439-11,LABETALOL HCL 100 MG PO TABS,8.44,8.44,,,0
NDC,60687-443-01,TRAZODONE HCL 50 MG PO TABS,11.24,11.24,,,0
NDC,60687-444-11,AMITRIPTYLINE HCL 50 MG PO TABS,15.0,15.0,,,0
NDC,60687-450-11,LABETALOL HCL 200 MG PO TABS,9.57,9.57,,,0
NDC,60687-451-11,EPLERENONE 25 MG PO TABS,27.36,27.36,,,0
NDC,60687-453-11,LEVOTHYROXINE SODIUM 25 MCG PO TABS,7.45,7.45,,,0
NDC,60687-461-11,LABETALOL HCL 300 MG PO TABS,11.32,11.32,,,0
NDC,60687-464-11,LEVOTHYROXINE SODIUM 50 MCG PO TABS,12.25,12.25,,,0
NDC,60687-472-11,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS,24.3,24.3,,,0
NDC,60687-473-11,PREGABALIN 25 MG PO CAPS,22.58,22.58,,,0
NDC,60687-475-11,LEVOTHYROXINE SODIUM 75 MCG PO TABS,12.4,12.4,,,0
NDC,60687-476-11,SPIRONOLACTONE 50 MG PO TABS,10.2,10.2,,,0
NDC,60687-481-11,BUPRENORPHINE HCL 2 MG SL SUBL,20.56,20.56,,,0
NDC,60687-484-11,PREGABALIN 50 MG PO CAPS,33.34,33.34,,,0
NDC,60687-486-11,LEVOTHYROXINE SODIUM 88 MCG PO TABS,15.0,15.0,,,0
NDC,60687-487-11,SPIRONOLACTONE 100 MG PO TABS,12.21,12.21,,,0
NDC,60687-492-11,BUPRENORPHINE HCL 8 MG SL SUBL,36.47,36.47,,,0
NDC,60687-493-11,VERAPAMIL HCL ER 120 MG PO TBCR,15.0,15.0,,,0
NDC,60687-495-11,PREGABALIN 75 MG PO CAPS,21.96,21.96,,,0
NDC,60687-497-11,LEVOTHYROXINE SODIUM 100 MCG PO TABS,13.33,13.33,,,0
NDC,60687-503-11,BACLOFEN 10 MG PO TABS,15.0,15.0,,,0
NDC,60687-506-11,PREGABALIN 100 MG PO CAPS,27.61,27.61,,,0
NDC,60687-508-11,LEVOTHYROXINE SODIUM 112 MCG PO TABS,14.85,14.85,,,0
NDC,60687-513-11,DOXYCYCLINE HYCLATE 100 MG PO CAPS,14.98,14.98,,,0
NDC,60687-518-11,GABAPENTIN 800 MG PO TABS,15.8,15.8,,,0
NDC,60687-519-11,LEVOTHYROXINE SODIUM 125 MCG PO TABS,13.99,13.99,,,0
NDC,60687-523-11,POSACONAZOLE 100 MG PO TBEC,169.8,169.8,,,0
NDC,60687-524-83,BUDESONIDE 0.5 MG/2ML IN SUSP,48.06,48.06,,,0
NDC,60687-525-11,CINACALCET HCL 30 MG PO TABS,100.0,100.0,,,0
NDC,60687-530-11,LEVOTHYROXINE SODIUM 150 MCG PO TABS,13.75,13.75,,,0
NDC,60687-534-36,ATOVAQUONE 750 MG/5ML PO SUSP,171.45,171.45,,,0
NDC,60687-534-40,ATOVAQUONE 750 MG/5ML PO SUSP,177.85,177.85,,,0
NDC,60687-535-11,BUMETANIDE 2 MG PO TABS,10.79,10.79,,,0
NDC,60687-538-11,FEBUXOSTAT 40 MG PO TABS,16.5,16.5,,,0
NDC,60687-544-11,CLONAZEPAM 0.5 MG PO TABS,30.94,30.94,,,0
NDC,60687-549-11,RANOLAZINE ER 500 MG PO TB12,12.25,12.25,,,0
NDC,60687-550-11,METRONIDAZOLE 500 MG PO TABS,15.0,15.0,,,0
NDC,60687-552-01,LEVOTHYROXINE SODIUM 200 MCG PO TABS,15.0,15.0,,,0
NDC,60687-555-11,CLONAZEPAM 1 MG PO TABS,16.6,16.6,,,0
NDC,60687-556-33,MESALAMINE 400 MG PO CPDR,27.45,27.45,,,0
NDC,60687-558-11,CYCLOBENZAPRINE HCL 10 MG PO TABS,15.0,15.0,,,0
NDC,60687-559-11,METHOCARBAMOL 500 MG PO TABS,8.29,8.29,,,0
NDC,60687-570-11,PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS,7.5,7.5,,,0
NDC,60687-575-11,RIFAMPIN 150 MG PO CAPS,21.01,21.01,,,0
NDC,60687-576-40,MIDAZOLAM HCL 2 MG/ML PO SYRP,38.98,38.98,,,0
NDC,60687-578-11,ACETAZOLAMIDE ER 500 MG PO CP12,31.38,31.38,,,0
NDC,60687-579-11,HYDROMORPHONE HCL 2 MG PO TABS,23.58,23.58,,,0
NDC,60687-580-11,GABAPENTIN 100 MG PO CAPS,11.84,11.84,,,0
NDC,60687-581-11,PRAMIPEXOLE DIHYDROCHLORIDE 0.5 MG PO TABS,15.0,15.0,,,0
NDC,60687-582-11,HYDROCORTISONE 10 MG PO TABS,14.32,14.32,,,0
NDC,60687-585-11,PANTOPRAZOLE SODIUM 20 MG PO TBEC,20.9,20.9,,,0
NDC,60687-586-11,RIFAMPIN 300 MG PO CAPS,12.88,12.88,,,0
NDC,60687-587-11,PROPRANOLOL HCL 10 MG PO TABS,12.54,12.54,,,0
NDC,60687-590-11,HYDROMORPHONE HCL 4 MG PO TABS,31.25,31.25,,,0
NDC,60687-591-11,GABAPENTIN 300 MG PO CAPS,10.75,10.75,,,0
NDC,60687-592-11,PRAMIPEXOLE DIHYDROCHLORIDE 1 MG PO TABS,15.0,15.0,,,0
NDC,60687-593-11,HYDROCHLOROTHIAZIDE 25 MG PO TABS,14.77,14.77,,,0
NDC,60687-595-01,FAMOTIDINE 20 MG PO TABS,1.95,1.95,,,0
NDC,60687-596-33,BUDESONIDE 3 MG PO CPEP,64.8,64.8,,,0
NDC,60687-598-11,PROPRANOLOL HCL 20 MG PO TABS,10.85,10.85,,,0
NDC,60687-599-11,FLUCYTOSINE 250 MG PO CAPS,294.71,294.71,,,0
NDC,60687-602-11,GABAPENTIN 400 MG PO CAPS,8.42,8.42,,,0
NDC,60687-603-11,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS,15.0,15.0,,,0
NDC,60687-609-11,PROPRANOLOL HCL 40 MG PO TABS,9.33,9.33,,,0
NDC,60687-612-11,VALSARTAN 40 MG PO TABS,11.48,11.48,,,0
NDC,60687-618-11,FENOFIBRATE 48 MG PO TABS,15.0,15.0,,,0
NDC,60687-620-11,METOCLOPRAMIDE HCL 5 MG PO TABS,14.48,14.48,,,0
NDC,60687-623-11,VALSARTAN 80 MG PO TABS,13.24,13.24,,,0
NDC,60687-627-11,LORAZEPAM 0.5 MG PO TABS,35.68,35.68,,,0
NDC,60687-629-21,FENOFIBRATE 145 MG PO TABS,15.39,15.39,,,0
NDC,60687-631-11,METOCLOPRAMIDE HCL 10 MG PO TABS,15.0,15.0,,,0
NDC,60687-633-11,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS,19.42,19.42,,,0
NDC,60687-634-11,VALSARTAN 160 MG PO TABS,11.09,11.09,,,0
NDC,60687-638-11,LORAZEPAM 1 MG PO TABS,40.0,40.0,,,0
NDC,60687-642-11,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS,40.0,40.0,,,0
NDC,60687-656-11,LISINOPRIL 2.5 MG PO TABS,11.93,11.93,,,0
NDC,60687-661-11,CARBIDOPA-LEVODOPA 25-100 MG PO TABS,8.79,8.79,,,0
NDC,60687-664-11,HYDROXYZINE HCL 10 MG PO TABS,14.34,14.34,,,0
NDC,60687-666-11,FENOFIBRATE 160 MG PO TABS,39.21,39.21,,,0
NDC,60687-669-11,METHIMAZOLE 5 MG PO TABS,13.94,13.94,,,0
NDC,60687-670-11,OXYBUTYNIN CHLORIDE 5 MG PO TABS,7.5,7.5,,,0
NDC,60687-677-11,ALLOPURINOL 100 MG PO TABS,12.19,12.19,,,0
NDC,60687-680-11,METHIMAZOLE 10 MG PO TABS,15.0,15.0,,,0
NDC,60687-681-11,FOLIC ACID 1 MG PO TABS,1.96,1.96,,,0
NDC,60687-687-11,LACOSAMIDE 100 MG PO TABS,31.68,31.68,,,0
NDC,60687-695-11,SUCRALFATE 1 G PO TABS,14.47,14.47,,,0
NDC,60687-699-11,CEFDINIR 300 MG PO CAPS,22.27,22.27,,,0
NDC,60687-709-11,PROPAFENONE HCL 150 MG PO TABS,12.0,12.0,,,0
NDC,60687-711-11,OXCARBAZEPINE 150 MG PO TABS,13.09,13.09,,,0
NDC,60687-717-11,DILTIAZEM HCL 30 MG PO TABS,9.37,9.37,,,0
NDC,60687-719-95,EMTRICITABINE-TENOFOVIR DF 200-300 MG PO TABS,15.0,15.0,,,0
NDC,60687-721-11,DESMOPRESSIN ACETATE 0.1 MG PO TABS,15.0,15.0,,,0
NDC,60687-722-11,OXCARBAZEPINE 300 MG PO TABS,14.96,14.96,,,0
NDC,60687-725-11,PANTOPRAZOLE SODIUM 20 MG PO TBEC,20.9,20.9,,,0
NDC,60687-734-11,DULOXETINE HCL 30 MG PO CPEP,36.25,36.25,,,0
NDC,60687-738-08,SUCRALFATE 1 GM/10ML PO SUSP,65.0,65.0,,,0
NDC,60687-742-11,AZITHROMYCIN 250 MG PO TABS,11.05,11.05,,,0
NDC,60687-746-11,MISOPROSTOL 200 MCG PO TABS,12.19,12.19,,,0
NDC,60687-747-11,LURASIDONE HCL 20 MG PO TABS,28.11,28.11,,,0
NDC,60687-760-40,MORPHINE 2MG/ML ORAL LIQD (PEDIATRIC) SH,40.0,40.0,,,0
NDC,60687-795-11,TRAMADOL HCL 50 MG PO TABS,38.05,38.05,,,0
NDC,60687-803-11,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS,42.03,42.03,,,0
NDC,60687-822-11,HYDRALAZINE HCL 25 MG PO TABS,8.4,8.4,,,0
NDC,60758-119-05,PREDNISOLONE ACETATE 1 % OP SUSP,264.0,264.0,,,0
NDC,60758-773-05,KETOROLAC TROMETHAMINE 0.4 % OP SOLN,364.55,364.55,,,0
NDC,60758-801-05,TIMOLOL MALEATE 0.5 % OP SOLN,42.64,42.64,,,0
NDC,60758-802-05,TIMOLOL MALEATE 0.25 % OP SOLN,30.0,30.0,,,0
NDC,60758-880-05,FLUOROMETHOLONE 0.1 % OP SUSP,375.0,375.0,,,0
NDC,60793-115-01,LIOTHYRONINE SODIUM 5 MCG PO TABS,15.0,15.0,,,0
NDC,60793-116-01,LIOTHYRONINE SODIUM 25 MCG PO TABS,15.0,15.0,,,0
NDC,60793-205-05,THROMBIN 5000 UNITS EX KIT,404.16,404.16,,,0
NDC,60793-215-05,THROMBIN 5000 UNITS EX SOLR,375.0,375.0,,,0
NDC,60793-700-10,PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSY,97.73,97.73,,,0
NDC,60793-701-10,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY,111.01,111.01,,,0
NDC,60793-702-10,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY,112.925,112.925,,,0
NDC,61314-019-10,DORZOLAMIDE HCL 2 % OP SOLN,333.75,333.75,,,0
NDC,61314-126-05,KETOROLAC TROMETHAMINE 0.5 % OP SOLN,422.0,422.0,,,0
NDC,61314-203-15,PILOCARPINE HCL 1 % OP SOLN,394.26,394.26,,,0
NDC,61314-204-15,PILOCARPINE HCL 2 % OP SOLN,403.26,403.26,,,0
NDC,61314-227-05,TIMOLOL MALEATE 0.5 % OP SOLN,81.65,81.65,,,0
NDC,61314-318-01,FILGRASTIM-SNDZ 300 MCG/0.5ML IJ SOSY,5.390000000000001,5.390000000000001,,,0
NDC,61314-318-10,FILGRASTIM-SNDZ 300 MCG/0.5ML IJ SOSY,5.33,5.33,,,0
NDC,61314-326-01,FILGRASTIM-SNDZ 480 MCG/0.8ML IJ SOSY,5.21,5.21,,,0
NDC,61314-326-10,FILGRASTIM-SNDZ 480 MCG/0.8ML IJ SOSY,5.21,5.21,,,0
NDC,61314-355-01,TROPICAMIDE 1 % OP SOLN,12.22,12.22,,,0
NDC,61314-396-01,CYCLOPENTOLATE HCL 1 % OP SOLN,84.0,84.0,,,0
NDC,61314-628-10,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN,87.1,87.1,,,0
NDC,61314-630-06,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP SUSP,220.0,220.0,,,0
NDC,61314-631-36,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP OINT,219.99,219.99,,,0
NDC,61314-637-05,PREDNISOLONE ACETATE 1 % OP SUSP,274.33,274.33,,,0
NDC,61314-643-05,TOBRAMYCIN 9.1MG/ML OPHTHALMIC SOLN *COMPOUNDED* SH,102.0,102.0,,,0
NDC,61314-647-25,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP,362.8,362.8,,,0
NDC,61314-656-25,CIPROFLOXACIN HCL 0.3 % OP SOLN,125.15,125.15,,,0
NDC,61442-202-01,CEPHALEXIN 250 MG/5ML PO SUSR,15.0,15.0,,,0
NDC,61570-131-55,SILVER SULFADIAZINE 1 % EX CREA,77.5,77.5,,,0
NDC,61703-303-46,CYTARABINE 20 MG/ML IJ SOLN,66.67,66.67,,,0
NDC,61703-305-38,CYTARABINE 20MG/ML CHEMO IV SYRINGE (PEDIATRIC) SH,366.18,366.18,,,0
NDC,61703-309-06,VINCRISTINE SULFATE 1 MG/ML IV SOLN,288.61,288.61,,,0
NDC,61703-309-16,VINCRISTINE SULFATE 1 MG/ML IV SOLN,150.0,150.0,,,0
NDC,61703-319-22,CYTARABINE (PF) 100 MG/ML IJ SOLN,8.135,8.135,,,0
NDC,61703-324-18,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,109.33,109.33,,,0
NDC,61703-332-18,BLEOMYCIN SULFATE 15 UNITS IJ SOLR,393.58,393.58,,,0
NDC,61703-339-18,CARBOPLATIN 450 MG/45ML IV SOLN,76.54,76.54,,,0
NDC,61703-339-50,CARBOPLATIN 450 MG/45ML IV SOLN,84.715,84.715,,,0
NDC,61703-339-56,CARBOPLATIN 450 MG/45ML IV SOLN,46.1,46.1,,,0
NDC,61703-342-22,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,1.9,1.9,,,0
NDC,61703-342-50,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,2.07,2.07,,,0
NDC,61703-349-09,IRINOTECAN HCL 100 MG/5ML IV SOLN,34.12,34.12,,,0
NDC,61703-350-38,METHOTREXATE SODIUM 50 MG/2ML IJ SOLN,189.20499999999998,189.20499999999998,,,0
NDC,61703-363-22,OXALIPLATIN 5 MG/ML IV SOLN - CONSOLIDATED,3.74,3.74,,,0
NDC,61703-408-41,METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN,57.19,57.19,,,0
NDC,61958-0401-1,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS,150.42,150.42,,,0
NDC,61958-0802-5,AMBRISENTAN 10 MG PO TABS,1500.0,1500.0,,,0
NDC,61958-1003-1,RANOLAZINE ER 500 MG PO TB12,32.89,32.89,,,0
NDC,61958-1901-1,ELVITEG-COBIC-EMTRICIT-TENOFAF 150-150-200-10 MG PO TABS,466.37,466.37,,,0
NDC,61958-2002-1,EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS,261.69,261.69,,,0
NDC,61958-2002-2,EMTRICITABINE-TENOFOVIR AF 200-25 MG PO TABS,263.17,263.17,,,0
NDC,61958-2101-1,EMTRICITAB-RILPIVIR-TENOFOV AF 200-25-25 MG PO TABS,434.78,434.78,,,0
NDC,61958-2301-1,TENOFOVIR ALAFENAMIDE FUMARATE 25 MG PO TABS,171.48,171.48,,,0
NDC,61958-2501-1,BICTEGRAVIR-EMTRICITAB-TENOFOV 50-200-25 MG PO TABS,469.51,469.51,,,0
NDC,61958-2901-1,REMDESIVIR 100 MG IV SOLR,24.985,24.985,,,0
NDC,61958-2901-2,REMDESIVIR 100 MG/20ML IV (WET SOLR VIAL),28.78,28.78,,,0
NDC,62011-0255-1,PERMETHRIN 1 % EX LIQD,2.0,2.0,,,0
NDC,62135-502-47,HYDROXYZINE HCL 10 MG/5ML PO SYRP,102.43,102.43,,,0
NDC,62135-750-47,HYDROXYZINE HCL 10 MG/5ML PO SYRP,49.16,49.16,,,0
NDC,62175-128-37,ISOSORBIDE MONONITRATE ER 30 MG PO TB24,15.0,15.0,,,0
NDC,62332-022-31,FLUOXETINE HCL 10 MG PO CAPS,14.38,14.38,,,0
NDC,62332-365-06,CLONAZEPAM 0.25 MG PO TBDP,18.11,18.11,,,0
NDC,62332-367-06,CLONAZEPAM 1 MG PO TBDP,38.64,38.64,,,0
NDC,62332-413-10,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS,56.72,56.72,,,0
NDC,62332-495-30,LURASIDONE HCL 40 MG PO TABS,113.5,113.5,,,0
NDC,62332-600-01,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,42.254999999999995,42.254999999999995,,,0
NDC,62332-618-31,CYCLOPHOSPHAMIDE 25 MG PO CAPS,58.38,58.38,,,0
NDC,62332-619-31,CYCLOPHOSPHAMIDE 50 MG PO CAPS,53.61,53.61,,,0
NDC,62332-678-02,DOCETAXEL 20 MG/2ML IV SOLN,108.81,108.81,,,0
NDC,62332-751-50,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,66.74,66.74,,,0
NDC,62332-779-31,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,44.49,44.49,,,0
NDC,62530-00011,UREA 15 G PO PACK,23.76,23.76,,,0
NDC,62559-157-10,POLYETHYLENE GLYCOL 3350 17 G PO PACK,1.89,1.89,,,0
NDC,62559-310-20,VANCOMYCIN HCL 125 MG PO CAPS,310.04,310.04,,,0
NDC,62559-390-20,VANCOMYCIN HCL 125 MG PO CAPS,99.82,99.82,,,0
NDC,62559-390-50,VANCOMYCIN HCL 125 MG PO CAPS,99.94,99.94,,,0
NDC,62559-430-01,HYDROCORTISONE (PERIANAL) 1 % EX CREA,2.0,2.0,,,0
NDC,62559-630-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR,30.0,30.0,,,0
NDC,62559-722-01,TERBUTALINE SULFATE 5 MG PO TABS,36.24,36.24,,,0
NDC,62559-820-01,MEXILETINE HCL 150 MG PO CAPS,14.52,14.52,,,0
NDC,62559-821-01,MEXILETINE HCL 200 MG PO CAPS,16.65,16.65,,,0
NDC,62559-850-60,ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12,45.95,45.95,,,0
NDC,62584-235-01,CEPHALEXIN 250 MG PO CAPS,9.36,9.36,,,0
NDC,62584-236-01,CEPHALEXIN 500 MG PO CAPS,19.16,19.16,,,0
NDC,62584-267-01,METOPROLOL TARTRATE 100 MG PO TABS,15.0,15.0,,,0
NDC,62584-713-01,ALLOPURINOL 300 MG PO TABS,15.0,15.0,,,0
NDC,62584-733-01,HYDRALAZINE HCL 25 MG PO TABS,8.93,8.93,,,0
NDC,62584-734-01,HYDRALAZINE HCL 50 MG PO TABS,15.0,15.0,,,0
NDC,62584-813-01,OXAZEPAM 15 MG PO CAPS,40.0,40.0,,,0
NDC,62584-897-01,FOLIC ACID 1 MG PO TABS,2.16,2.16,,,0
NDC,62584-988-01,ALLOPURINOL 100 MG PO TABS,12.5,12.5,,,0
NDC,62756-059-40,EPOPROSTENOL SODIUM 0.5 MG IV SOLR,196.7,196.7,,,0
NDC,62756-060-40,EPOPROSTENOL SODIUM 1.5 MG IV SOLR,131.16,131.16,,,0
NDC,62756-233-01,AMPHOTERICIN B LIPOSOME 50 MG/12.5ML IV SUSR (WET SOLR VIAL),227.565,227.565,,,0
NDC,62756-240-64,ONDANSETRON 4 MG PO TBDP,72.23,72.23,,,0
NDC,62756-589-88,LIOTHYRONINE SODIUM 5 MCG PO TABS,13.48,13.48,,,0
NDC,62756-590-88,LIOTHYRONINE SODIUM 25 MCG PO TABS,15.0,15.0,,,0
NDC,62856-212-01,LECANEMAB-IRMB 200 MG/2ML IV SOLN,6.295,6.295,,,0
NDC,62856-215-01,LECANEMAB-IRMB 500 MG/5ML IV SOLN,6.12,6.12,,,0
NDC,62856-245-30,DONEPEZIL HCL 5 MG PO TABS,80.98,80.98,,,0
NDC,62856-389-01,ERIBULIN 0.5MG/ML CHEMO IV PUSH,592.2,592.2,,,0
NDC,62935-227-10,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT,2500.0,2500.0,,,0
NDC,62935-453-45,LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT,1897.09,1897.09,,,0
NDC,62935-461-50,LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT,1897.09,1897.09,,,0
NDC,63020-049-01,BORTEZOMIB 3.5 MG IJ SOLR,274.8,274.8,,,0
NDC,63037-155-25,ROCURONIUM BROMIDE 50 MG/5ML IV SOSY,75.0,75.0,,,0
NDC,63256-100-30,TALC 4 G PL AERP,378.0,378.0,,,0
NDC,63304-203-01,OPIUM 10MG/ML (1%) PO TINC SH,40.0,40.0,,,0
NDC,63304-693-01,CLINDAMYCIN HCL 300 MG PO CAPS,20.44,20.44,,,0
NDC,63323-010-02,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,62.59,62.59,,,0
NDC,63323-010-20,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,26.8,26.8,,,0
NDC,63323-012-01,OXYTOCIN 10 UNIT/ML IJ SOLN,46.875,46.875,,,0
NDC,63323-012-02,OXYTOCIN 10 UNIT/ML IJ SOLN,25.0,25.0,,,0
NDC,63323-012-10,OXYTOCIN 10 UNIT/ML IJ SOLN,7.76,7.76,,,0
NDC,63323-012-11,OXYTOCIN 10 UNIT/ML IJ SOLN,75.0,75.0,,,0
NDC,63323-012-30,OXYTOCIN 10 UNIT/ML IJ SOLN,25.0,25.0,,,0
NDC,63323-013-02,THIAMINE HCL 100 MG/ML IJ SOLN,47.465,47.465,,,0
NDC,63323-024-25,MANNITOL 25 % IV SOLN,61.34,61.34,,,0
NDC,63323-044-00,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,75.0,75.0,,,0
NDC,63323-064-03,MAGNESIUM SULFATE 50 % IJ SOLN,36.48,36.48,,,0
NDC,63323-083-05,SODIUM BICARBONATE 4.2 % IV SOLN,76.34,76.34,,,0
NDC,63323-086-15,POTASSIUM PHOSPHATES(66 MEQ K) 45 MMOLE/15ML IV SOLN,84.77,84.77,,,0
NDC,63323-089-50,SODIUM BICARBONATE 8.4 % IV SOLN,169.98,169.98,,,0
NDC,63323-093-01,SODIUM CHLORIDE 4 MEQ/ML ORAL SOLUTION,75.0,75.0,,,0
NDC,63323-095-61,NACL 23.4 % IV SOLN (HYPERTONIC) SH,75.0,75.0,,,0
NDC,63323-103-51,CISPLATIN 1 MG/ML IV SOLN - CONSOLIDATED,63.68,63.68,,,0
NDC,63323-103-65,CISPLATIN 1 MG/ML IV SOLN - CONSOLIDATED,46.05,46.05,,,0
NDC,63323-104-05,ETOPOSIDE 100 MG/5ML IV SOLN,19.53,19.53,,,0
NDC,63323-104-06,ETOPOSIDE 100 MG/5ML IV SOLN,19.895,19.895,,,0
NDC,63323-104-25,ETOPOSIDE 100 MG/5ML IV SOLN,17.845,17.845,,,0
NDC,63323-106-01,MAGNESIUM SULFATE 4G/100ML SW IV DRIP (PREMIX) SH,9.375,9.375,,,0
NDC,63323-106-05,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,27.86,27.86,,,0
NDC,63323-108-01,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,37.005,37.005,,,0
NDC,63323-117-00,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,100.0,100.0,,,0
NDC,63323-117-10,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,51.315,51.315,,,0
NDC,63323-117-20,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,149.04,149.04,,,0
NDC,63323-117-51,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,54.84,54.84,,,0
NDC,63323-117-61,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,50.0,50.0,,,0
NDC,63323-120-20,CYTARABINE (PF) 100 MG/ML IJ SOLN,8.11,8.11,,,0
NDC,63323-123-10,METHOTREXATE SODIUM 250 MG/10ML IJ SOLN,300.0,300.0,,,0
NDC,63323-125-53,GEMCITABINE HCL 1 G IV SOLR,75.0,75.0,,,0
NDC,63323-127-10,DACARBAZINE 100 MG IV SOLR,122.06,122.06,,,0
NDC,63323-130-11,DOXYCYCLINE 100 MG/100ML NS (MINIBAG),209.76,209.76,,,0
NDC,63323-137-20,BLEOMYCIN SULFATE 30 UNITS IJ SOLR,297.5,297.5,,,0
NDC,63323-161-01,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,71.6,71.6,,,0
NDC,63323-162-01,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,40.845,40.845,,,0
NDC,63323-162-02,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,64.24,64.24,,,0
NDC,63323-165-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,14.77,14.77,,,0
NDC,63323-165-05,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN,7.5,7.5,,,0
NDC,63323-165-30,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,6.2,6.2,,,0
NDC,63323-173-01,GENTAMICIN SULFATE 10 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,63323-173-02,GENTAMICIN SULFATE 10 MG/ML IJ SOLN,149.505,149.505,,,0
NDC,63323-184-10,FOLIC ACID 5 MG/ML IJ SOLN,71.77,71.77,,,0
NDC,63323-186-01,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,69.35,69.35,,,0
NDC,63323-186-10,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,52.5,52.5,,,0
NDC,63323-186-20,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,58.0,58.0,,,0
NDC,63323-187-30,SODIUM CHLORIDE 4 MEQ/ML ORAL SOLUTION,75.0,75.0,,,0
NDC,63323-201-02,LIDOCAINE HCL 1 % IJ SOLN,16.86,16.86,,,0
NDC,63323-201-10,LIDOCAINE HCL 1 % IJ SOLN,6.645,6.645,,,0
NDC,63323-202-01,LIDOCAINE HCL 2 % IJ SOLN,16.67,16.67,,,0
NDC,63323-202-02,LIDOCAINE HCL 2 % IJ SOLN,10.315,10.315,,,0
NDC,63323-229-05,PROTAMINE SULFATE 10 MG/ML IV SOLN,25.59,25.59,,,0
NDC,63323-229-30,PROTAMINE SULFATE 10 MG/ML IV SOLN,14.885,14.885,,,0
NDC,63323-254-10,MINERAL OIL LIGHT OIL,1.83,1.83,,,0
NDC,63323-260-37,MEPIVACAINE HCL (PF) 1 % IJ SOLN,27.37,27.37,,,0
NDC,63323-262-01,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,14.870000000000001,14.870000000000001,,,0
NDC,63323-262-06,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,6.72,6.72,,,0
NDC,63323-265-30,METHYLPREDNISOLONE NA SUC (PF) 1000 MG IJ SOLR,32.53,32.53,,,0
NDC,63323-269-29,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,27.99,27.99,,,0
NDC,63323-269-50,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,2.5149999999999997,2.5149999999999997,,,0
NDC,63323-269-65,PROPOFOL 10MG/ML IV EMUL - CONSOLIDATED,2.34,2.34,,,0
NDC,63323-276-02,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,53.36,53.36,,,0
NDC,63323-278-10,VINBLASTINE SULFATE 1 MG/ML IV SOLN,41.82,41.82,,,0
NDC,63323-280-02,FUROSEMIDE 10 MG/ML IJ SOLN,68.76,68.76,,,0
NDC,63323-280-04,FUROSEMIDE 10 MG/ML IJ SOLN,37.5,37.5,,,0
NDC,63323-280-10,FUROSEMIDE 10 MG/ML IJ SOLN,15.0,15.0,,,0
NDC,63323-303-51,TOBRAMYCIN SULFATE 1.2 G IJ SOLR,43.42,43.42,,,0
NDC,63323-306-30,TOBRAMYCIN SULFATE 40 MG/ML IJ SOLN - CONSOLIDATED,22.94,22.94,,,0
NDC,63323-315-10,GANCICLOVIR SODIUM 500 MG/10ML IV (WET SOLR VIAL),313.71,313.71,,,0
NDC,63323-318-01,GRANISETRON HCL 1 MG/ML IV SOLN,16.8,16.8,,,0
NDC,63323-325-03,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,1.7000000000000002,1.7000000000000002,,,0
NDC,63323-325-10,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,1.84,1.84,,,0
NDC,63323-325-20,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,1.46,1.46,,,0
NDC,63323-356-01,CASPOFUNGIN ACETATE 50 MG IV SOLR,196.07,196.07,,,0
NDC,63323-356-10,CASPOFUNGIN ACETATE 50 MG IV SOLR,202.2,202.2,,,0
NDC,63323-360-19,CALCIUM GLUCONATE 10 % IV SOLN,1.38,1.38,,,0
NDC,63323-360-59,CALCIUM GLUCONATE 10 % IV SOLN,1.0,1.0,,,0
NDC,63323-360-61,CALCIUM GLUCONATE 10 % IV SOLN,1.79,1.79,,,0
NDC,63323-376-01,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN,20.950000000000003,20.950000000000003,,,0
NDC,63323-377-01,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN,19.38,19.38,,,0
NDC,63323-398-10,AZITHROMYCIN 500 MG IV SOLR,75.0,75.0,,,0
NDC,63323-399-23,"AMPICILLIN 2,000MG/100ML NS (MINIBAG)",18.759999999999998,18.759999999999998,,,0
NDC,63323-401-01,AZTREONAM 1 G IJ SOLR,28.5,28.5,,,0
NDC,63323-402-20,AZTREONAM 2000 MG/8ML IJ (WET SOLR VIAL),28.59,28.59,,,0
NDC,63323-403-10,FOSPHENYTOIN SODIUM 50 MG PE/ML IJ SOLN - CONSOLIDATED,17.64,17.64,,,0
NDC,63323-407-03,CAFFEINE CITRATE 60 MG/3ML IV SOLN,31.39,31.39,,,0
NDC,63323-416-05,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN,97.5,97.5,,,0
NDC,63323-417-10,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN,143.52,143.52,,,0
NDC,63323-426-05,ROCURONIUM BROMIDE 10 MG/ML IV SOLN - CONSOLIDATED,87.94,87.94,,,0
NDC,63323-451-01,MORPHINE SULFATE (PF) 10 MG/ML IJ SOLN,46.88,46.88,,,0
NDC,63323-452-01,MORPHINE SULFATE (PF) 2 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,63323-454-01,MORPHINE SULFATE (PF) 4 MG/ML IJ SOLN,86.72,86.72,,,0
NDC,63323-460-37,BUPIVACAINE-EPINEPHRINE (PF) 0.375 % IJ SOLN,115.36,115.36,,,0
NDC,63323-462-37,BUPIVACAINE-EPINEPHRINE (PF) 0.5% -1:200000 IJ SOLN,77.62,77.62,,,0
NDC,63323-466-37,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,0.25,0.25,,,0
NDC,63323-472-37,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,22.025,22.025,,,0
NDC,63323-474-01,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN,71.78,71.78,,,0
NDC,63323-476-37,CHLOROPROCAINE HCL 2 % IJ SOLN,0.26,0.26,,,0
NDC,63323-477-27,CHLOROPROCAINE HCL (PF) 2 % IJ SOLN,0.435,0.435,,,0
NDC,63323-478-27,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN,0.28500000000000003,0.28500000000000003,,,0
NDC,63323-482-01,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,57.95,57.95,,,0
NDC,63323-482-17,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,75.0,75.0,,,0
NDC,63323-482-27,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,69.07,69.07,,,0
NDC,63323-483-27,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN,75.0,75.0,,,0
NDC,63323-485-27,LIDOCAINE HCL 1 % IJ SOLN,6.22,6.22,,,0
NDC,63323-486-17,LIDOCAINE HCL 2 % IJ SOLN,2.14,2.14,,,0
NDC,63323-486-27,LIDOCAINE HCL 2 % IJ SOLN,4.65,4.65,,,0
NDC,63323-487-07,LIDOCAINE-EPINEPHRINE 1 %-1:200000 IJ SOLN,84.6,84.6,,,0
NDC,63323-487-37,LIDOCAINE-EPINEPHRINE 1 %-1:200000 IJ SOLN,75.0,75.0,,,0
NDC,63323-489-02,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN,75.0,75.0,,,0
NDC,63323-492-27,LIDOCAINE HCL (PF) 1 % IJ SOLN,68.92,68.92,,,0
NDC,63323-492-37,LIDOCAINE HCL 1 % IJ SOLN,4.13,4.13,,,0
NDC,63323-492-57,LIDOCAINE HCL (PF) 1 % IJ SOLN,13.42,13.42,,,0
NDC,63323-493-97,LIDOCAINE HCL (PF) 1.5 % IJ SOLN,14.375,14.375,,,0
NDC,63323-494-01,VALPROATE SODIUM 100 MG/ML IV SOLN,75.0,75.0,,,0
NDC,63323-494-05,VALPROATE SODIUM 100 MG/ML IV SOLN,57.15,57.15,,,0
NDC,63323-495-07,LIDOCAINE HCL (PF) 2 % IJ SOLN,4.305,4.305,,,0
NDC,63323-495-27,LIDOCAINE HCL (PF) 2 % IJ SOLN,14.57,14.57,,,0
NDC,63323-506-01,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN,7.8149999999999995,7.8149999999999995,,,0
NDC,63323-507-20,MEROPENEM 500 MG/50ML NS (MINIBAG),33.9,33.9,,,0
NDC,63323-508-30,"MEROPENEM 1,000 MG/100ML NS (MINIBAG)",6.175,6.175,,,0
NDC,63323-517-01,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN,3.135,3.135,,,0
NDC,63323-523-74,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,3.0,3.0,,,0
NDC,63323-533-83,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,25.0,25.0,,,0
NDC,63323-535-87,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,18.75,18.75,,,0
NDC,63323-540-01,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,33.7,33.7,,,0
NDC,63323-540-03,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,74.13,74.13,,,0
NDC,63323-540-11,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,7.985,7.985,,,0
NDC,63323-540-13,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,75.0,75.0,,,0
NDC,63323-540-15,HEPARIN TOPICAL SCRUB FOR VENOUS CONGESTION SH,15.55,15.55,,,0
NDC,63323-540-31,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,2.0,2.0,,,0
NDC,63323-542-01,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN,8.945,8.945,,,0
NDC,63323-559-93,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,24.675,24.675,,,0
NDC,63323-564-97,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,18.759999999999998,18.759999999999998,,,0
NDC,63323-566-21,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,12.5,12.5,,,0
NDC,63323-584-99,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,10.41,10.41,,,0
NDC,63323-586-21,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,8.125,8.125,,,0
NDC,63323-589-21,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY,7.82,7.82,,,0
NDC,63323-593-03,GLUCAGON HCL 1 MG IJ SOLR - CONSOLIDATED,1330.6599999999999,1330.6599999999999,,,0
NDC,63323-594-03,GLUCAGON HCL (RDNA) 1 MG/ML IJ (WET SOLR VIAL),450.0,450.0,,,0
NDC,63323-596-06,GLUCAGON HCL 1 MG IJ SOLR - CONSOLIDATED,953.03,953.03,,,0
NDC,63323-596-08,GLUCAGON HCL 1 MG IJ SOLR - CONSOLIDATED,975.0,975.0,,,0
NDC,63323-596-11,GLUCAGON HCL 1 MG IJ SOLR - CONSOLIDATED,1196.815,1196.815,,,0
NDC,63323-596-13,GLUCAGON HCL 1 MG IJ SOLR - CONSOLIDATED,1273.8,1273.8,,,0
NDC,63323-614-01,HYDRALAZINE HCL 20 MG/ML IJ SOLN,83.34,83.34,,,0
NDC,63323-614-55,HYDRALAZINE HCL 20 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,63323-616-03,AMIODARONE HCL 50 MG/ML IV SOLN - CONSOLIDATED,7.5,7.5,,,0
NDC,63323-623-74,NACL 0.9% IV SOLN,75.0,75.0,,,0
NDC,63323-624-04,D5W IV SOLN,73.44,73.44,,,0
NDC,63323-647-10,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,65.0,65.0,,,0
NDC,63323-649-07,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,473.775,473.775,,,0
NDC,63323-651-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,12.29,12.29,,,0
NDC,63323-655-21,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY,7.18,7.18,,,0
NDC,63323-658-20,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,1786.2,1786.2,,,0
NDC,63323-659-03,INDOMETHACIN SODIUM 1 MG IV SOLR,501.97,501.97,,,0
NDC,63323-660-05,METOPROLOL TARTRATE 5 MG/5ML IV SOLN,66.18,66.18,,,0
NDC,63323-664-01,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,74.16,74.16,,,0
NDC,63323-665-01,TERBUTALINE SULFATE 1 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,63323-686-01,NACL 0.9% WITH KCL 20 MEQ 1000 ML,7.5,7.5,,,0
NDC,63323-691-30,ACETYLCYSTEINE 10 % IN SOLN,31.765,31.765,,,0
NDC,63323-692-10,ACETYLCYSTEINE 20 % ORAL SOLN CUSTOM CREATE,40.5,40.5,,,0
NDC,63323-693-10,ACETYLCYSTEINE 10 % IN SOLN,69.79,69.79,,,0
NDC,63323-694-04,ACETYLCYSTEINE 20 % IN SOLN,62.644999999999996,62.644999999999996,,,0
NDC,63323-695-04,ACETYLCYSTEINE 10 % IN SOLN,55.0,55.0,,,0
NDC,63323-710-50,LEUCOVORIN CALCIUM 200 MG IJ SOLR,101.47,101.47,,,0
NDC,63323-711-00,LEUCOVORIN CALCIUM 500 MG/50ML IJ (WET SOLR VIAL),67.23,67.23,,,0
NDC,63323-713-03,LINEZOLID 600 MG/300ML IV SOLN,104.0,104.0,,,0
NDC,63323-728-01,MICAFUNGIN 50MG/100ML NS (MINIBAG),13.39,13.39,,,0
NDC,63323-728-10,MICAFUNGIN 50MG/100ML NS (MINIBAG),12.375,12.375,,,0
NDC,63323-729-01,MICAFUNGIN 100MG/100ML NS (MINIBAG),11.0,11.0,,,0
NDC,63323-729-10,MICAFUNGIN SODIUM 100 MG IV SOLR,10.62,10.62,,,0
NDC,63323-739-12,FAMOTIDINE 10MG/ML IV SOLN - CONSOLIDATED,74.44,74.44,,,0
NDC,63323-751-00,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,0.29,0.29,,,0
NDC,63323-763-16,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,3.73,3.73,,,0
NDC,63323-806-02,FENTANYL CITRATE 50MCG/ML IJ SOLN - CONSOLIDATED,90.0,90.0,,,0
NDC,63323-806-14,FENTANYL CITRATE (PF) 1000 MCG/20ML IJ SOLN,5.81,5.81,,,0
NDC,63323-806-50,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,6.0,6.0,,,0
NDC,63323-820-00,FAT EMULSION FISH OIL BASE 20% IV EMUL (NEONATAL),79.35,79.35,,,0
NDC,63323-820-01,FAT EMULSION FISH OIL BASE 20% IV EMUL (NEONATAL),77.22,77.22,,,0
NDC,63323-820-04,FAT EMULSION FISH OIL BASE 20% IV EMUL (NEONATAL),75.8,75.8,,,0
NDC,63323-853-25,HYDROMORPHONE HCL PF 2 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,63323-873-10,D5W - NACL 0.2% IV SOLN,37.5,37.5,,,0
NDC,63323-877-15,PENTAMIDINE ISETHIONATE 300 MG IN SOLR,600.81,600.81,,,0
NDC,63323-881-01,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN,134.9,134.9,,,0
NDC,63323-881-16,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN,108.31,108.31,,,0
NDC,63323-883-30,DOXORUBICIN HCL 2 MG/ML IV SOLN,58.57,58.57,,,0
NDC,63323-884-01,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,139.3,139.3,,,0
NDC,63323-884-06,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,151.38,151.38,,,0
NDC,63323-885-10,LEVOTHYROXINE SODIUM 100 MCG/5ML IV SOLN,70.38,70.38,,,0
NDC,63323-965-01,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,13.985,13.985,,,0
NDC,63323-965-02,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,8.870000000000001,8.870000000000001,,,0
NDC,63323-965-03,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,11.25,11.25,,,0
NDC,63323-965-10,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,8.02,8.02,,,0
NDC,63323-965-20,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,3.75,3.75,,,0
NDC,63402-302-30,LURASIDONE HCL 20 MG PO TABS,170.24,170.24,,,0
NDC,63402-304-10,LURASIDONE HCL 40 MG PO TABS,161.57,161.57,,,0
NDC,63402-510-01,LEVALBUTEROL TARTRATE 45 MCG/ACT IN AERO,375.0,375.0,,,0
NDC,63402-911-30,ARFORMOTEROL TARTRATE 15 MCG/2ML IN NEBU,94.55,94.55,,,0
NDC,63459-103-10,RITUXIMAB-ABBS 100 MG/10ML IV SOLN,375.0,375.0,,,0
NDC,63459-104-50,RITUXIMAB-ABBS 500 MG/50ML IV SOLN,225.0,225.0,,,0
NDC,63459-348-04,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,96.43,96.43,,,0
NDC,63459-910-11,TBO-FILGRASTIM 300 MCG/0.5ML SC SOSY,5.0,5.0,,,0
NDC,63481-684-47,DICLOFENAC SODIUM 1 % EX GEL,324.0,324.0,,,0
NDC,63481-687-06,LIDOCAINE 5 % EX PTCH,97.71,97.71,,,0
NDC,63629-1061-1,SPIRONOLACTONE 25 MG PO TABS,15.0,15.0,,,0
NDC,63629-1913-1,INDOMETHACIN 25 MG PO CAPS,8.96,8.96,,,0
NDC,63629-2391-1,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR,63.48,63.48,,,0
NDC,63629-2458-1,CLOBETASOL PROPIONATE 0.05 % EX OINT,56.16,56.16,,,0
NDC,63653-1171-1,CLOPIDOGREL BISULFATE 75 MG PO TABS,23.28,23.28,,,0
NDC,63713-01972,GELATIN ABSORBABLE 12-7 MM EX MISC,37.59,37.59,,,0
NDC,63713-01974,GELATIN ABSORBABLE 100 EX MISC,100.0,100.0,,,0
NDC,63736-12002,PERMETHRIN 1 % EX LIQD,2.0,2.0,,,0
NDC,63736-12003,PERMETHRIN 1 % EX LIQD,2.0,2.0,,,0
NDC,63739-008-33,VORICONAZOLE 200 MG PO TABS,92.99,92.99,,,0
NDC,63739-051-10,AMIODARONE HCL 200 MG PO TABS,9.59,9.59,,,0
NDC,63739-077-10,VALACYCLOVIR HCL 500 MG PO TABS,10.94,10.94,,,0
NDC,63739-098-10,MIRTAZAPINE 15 MG PO TABS,12.15,12.15,,,0
NDC,63739-132-33,BUPROPION HCL ER (XL) 300 MG PO TB24,15.24,15.24,,,0
NDC,63739-145-10,MIDODRINE HCL 5 MG PO TABS,8.72,8.72,,,0
NDC,63739-157-70,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN,1.47,1.47,,,0
NDC,63739-158-32,LEVETIRACETAM 100 MG/ML PO SOLN,20.72,20.72,,,0
NDC,63739-160-10,NYSTATIN 100000 UNIT/ML MT SUSP,30.0,30.0,,,0
NDC,63739-198-61,POLYETHYLENE GLYCOL 3350 17 G PO PACK,1.94,1.94,,,0
NDC,63739-225-10,SIMETHICONE 80 MG PO CHEW,1.77,1.77,,,0
NDC,63739-327-10,HYDRALAZINE HCL 25 MG PO TABS,7.82,7.82,,,0
NDC,63739-328-10,HYDRALAZINE HCL 50 MG PO TABS,13.93,13.93,,,0
NDC,63739-367-10,ISOSORBIDE DINITRATE 20 MG PO TABS,15.0,15.0,,,0
NDC,63739-403-10,NAPROXEN 500 MG PO TABS,2.0,2.0,,,0
NDC,63739-434-01,ASPIRIN 81 MG PO CHEW,10.07,10.07,,,0
NDC,63739-434-02,ASPIRIN 81 MG PO CHEW,5.04,5.04,,,0
NDC,63739-479-10,BACLOFEN 10 MG PO TABS,11.91,11.91,,,0
NDC,63739-483-10,HYDROXYZINE HCL 10 MG PO TABS,12.57,12.57,,,0
NDC,63739-486-10,HYDROXYZINE HCL 25 MG PO TABS,9.5,9.5,,,0
NDC,63739-544-10,SPIRONOLACTONE 25 MG PO TABS,10.67,10.67,,,0
NDC,63739-545-10,SPIRONOLACTONE 50 MG PO TABS,12.63,12.63,,,0
NDC,63739-560-10,GABAPENTIN 600 MG PO TABS,15.0,15.0,,,0
NDC,63739-567-10,TAMSULOSIN HCL 0.4 MG PO CAPS,13.59,13.59,,,0
NDC,63739-571-10,SIMVASTATIN 10 MG PO TABS,10.32,10.32,,,0
NDC,63739-572-10,SIMVASTATIN 20 MG PO TABS,13.29,13.29,,,0
NDC,63739-573-10,SIMVASTATIN 40 MG PO TABS,15.0,15.0,,,0
NDC,63739-645-10,FAMOTIDINE 20 MG PO TABS,1.9649999999999999,1.9649999999999999,,,0
NDC,63739-672-01,IBUPROFEN 400 MG PO TABS,10.09,10.09,,,0
NDC,63739-673-10,LOSARTAN POTASSIUM 25 MG PO TABS,5.0,5.0,,,0
NDC,63739-686-10,LOSARTAN POTASSIUM 50 MG PO TABS,11.4,11.4,,,0
NDC,63739-902-10,GABAPENTIN 100 MG PO CAPS,10.78,10.78,,,0
NDC,63739-903-10,GABAPENTIN 300 MG PO CAPS,10.57,10.57,,,0
NDC,63739-931-28,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,17.65,17.65,,,0
NDC,63739-953-25,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,15.0,15.0,,,0
NDC,63739-963-10,PAROXETINE HCL 20 MG PO TABS,13.26,13.26,,,0
NDC,63807-100-11,NACL NEO/PED BOLUS SOLN CUSTOM CREATE,75.0,75.0,,,0
NDC,63807-100-91,NACL NEO/PED BOLUS SOLN CUSTOM CREATE,75.0,75.0,,,0
NDC,63824-713-16,BENZOCAINE-MENTHOL 15-3.6 MG MT LOZG,2.0,2.0,,,0
NDC,63833-386-02,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT,8.31,8.31,,,0
NDC,63833-387-02,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT,8.254999999999999,8.254999999999999,,,0
NDC,63833-616-02,ANTIHEMOPHILIC FACTOR-VWF 500-1200 UNITS IV SOLR,5.58,5.58,,,0
NDC,63851-501-02,"RABIES VACCINE, PCEC IM SUSR",1963.8,1963.8,,,0
NDC,64193-425-02,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR,0.0038,0.0038,,,0
NDC,64193-426-02,ANTIINHIBITOR COAGULANT CMPLX 500 UNITS IV SOLR,0.02,0.02,,,0
NDC,64253-222-35,HEPARIN NA (PORK) LOCK FLSH PF 10 UNIT/ML IV SOLN,3.44,3.44,,,0
NDC,64253-333-35,HEPARIN NA (PORK) LOCK FLSH PF 100 UNIT/ML IV SOLN,0.35,0.35,,,0
NDC,64380-171-01,IMIPRAMINE HCL 50 MG PO TABS,10.52,10.52,,,0
NDC,64380-714-04,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS,120.89,120.89,,,0
NDC,64380-724-06,CALCITRIOL 0.5 MCG PO CAPS,19.265,19.265,,,0
NDC,64380-726-06,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,17.03,17.03,,,0
NDC,64380-761-11,OMEGA-3-ACID ETHYL ESTERS 1 G PO CAPS,2.0,2.0,,,0
NDC,64380-769-21,PEG 3350-KCL-NA BICARB-NACL 420 G PO SOLR,216.0,216.0,,,0
NDC,64380-797-01,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS,56.72,56.72,,,0
NDC,64380-799-01,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS,61.83,61.83,,,0
NDC,64406-058-01,NUSINERSEN 12 MG/5ML IT SOLN,1604.89,1604.89,,,0
NDC,64406-101-01,ADUCANUMAB-AVWA 170 MG/1.7ML IV SOLN,29.41,29.41,,,0
NDC,64406-102-02,ADUCANUMAB-AVWA 300 MG/3ML IV SOLN,27.07,27.07,,,0
NDC,64679-012-01,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),43.39,43.39,,,0
NDC,64679-034-01,PIPERACILLIN/TAZOBACTAM 2.25 GM/100ML NS (MINIBAG),50.75,50.75,,,0
NDC,64679-056-01,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),50.76,50.76,,,0
NDC,64679-925-02,ENALAPRIL MALEATE 10 MG PO TABS,12.13,12.13,,,0
NDC,64764-140-05,ADAMTS13 RECOMBINANT-KRHN 500 UNITS IV KIT,117.98,117.98,,,0
NDC,64764-145-05,ADAMTS13 RECOMBINANT-KRHN 1500 UNITS IV KIT,117.93,117.93,,,0
NDC,64764-175-30,DEXLANSOPRAZOLE 60 MG PO CPDR,55.0,55.0,,,0
NDC,64764-300-20,VEDOLIZUMAB 300 MG/5ML IV (WET SOLR VIAL),52.0,52.0,,,0
NDC,64764-543-11,LANSOPRAZOLE 15 MG PO TBDD,53.28,53.28,,,0
NDC,64875-001-01,MIFEPRISTONE 200 MG PO TABS,129.0,129.0,,,0
NDC,64950-362-04,COCAINE HCL 4 % EX SOLN,5.51,5.51,,,0
NDC,64980-104-01,K PHOS MONO-SOD PHOS DI & MONO 155-852-130 MG PO TABS,10.2,10.2,,,0
NDC,64980-129-50,ACIDOPHILUS PO TABS,1.99,1.99,,,0
NDC,64980-135-01,DIPYRIDAMOLE 75 MG PO TABS,16.84,16.84,,,0
NDC,64980-146-98,LACTINEX PO PACK,2.0,2.0,,,0
NDC,64980-301-30,HYDROCORTISONE (PERIANAL) 2.5 % EX CREA,2.0,2.0,,,0
NDC,64980-447-15,CALCITRIOL 1 MCG/ML PO SOLN,172.78,172.78,,,0
NDC,64980-503-12,LEVOCARNITINE 1 GM/10ML PO SOLN,2.0,2.0,,,0
NDC,64980-514-05,TIMOLOL MALEATE 0.5 % OP SOLN,83.6,83.6,,,0
NDC,65162-058-27,SEVELAMER CARBONATE 800 MG PO TABS,30.0,30.0,,,0
NDC,65162-571-10,BETHANECHOL CHLORIDE 5 MG PO TABS,15.0,15.0,,,0
NDC,65162-627-11,TRAMADOL HCL 50 MG PO TABS,40.0,40.0,,,0
NDC,65162-681-10,PHENAZOPYRIDINE HCL 100 MG PO TABS,1.75,1.75,,,0
NDC,65162-682-10,PHENAZOPYRIDINE HCL 200 MG PO TABS,2.0,2.0,,,0
NDC,65162-705-88,ESCITALOPRAM OXALATE 5 MG/5ML PO SOLN,41.1,41.1,,,0
NDC,65162-791-04,LIDOCAINE 5 % EX PTCH,46.54,46.54,,,0
NDC,65162-880-03,LURASIDONE HCL 40 MG PO TABS,158.05,158.05,,,0
NDC,65162-913-22,VORICONAZOLE 40 MG/ML PO SUSR,665.54,665.54,,,0
NDC,65219-014-01,AMPICILLIN 250 MG FOR DILUTION (PEDIATRIC),75.0,75.0,,,0
NDC,65219-016-01,AMPICILLIN 500 MG FOR DILUTION (PEDIATRIC),75.0,75.0,,,0
NDC,65219-020-03,"AMPICILLIN 2,000MG/100ML NS (MINIBAG)",18.75,18.75,,,0
NDC,65219-054-09,POTASSIUM PHOSPHATES(66 MEQ K) 45 MMOLE/15ML IV SOLN,145.14,145.14,,,0
NDC,65219-131-20,CYCLOPHOSPHAMIDE 1000 MG/50ML IJ (WET SOLR VIAL),13.98,13.98,,,0
NDC,65219-135-20,CYCLOPHOSPHAMIDE 500 MG/25ML IJ (WET SOLR VIAL),13.95,13.95,,,0
NDC,65219-142-02,"D5W - NACL 0.45% WITH KCL 10 MEQ 1,000 ML",15.4,15.4,,,0
NDC,65219-281-08,GADOBUTROL 1 MMOL/ML IV SOLN,1.95,1.95,,,0
NDC,65219-295-10,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,28.995,28.995,,,0
NDC,65219-383-04,IODIXANOL 320 MG/ML IV SOLN,3.08,3.08,,,0
NDC,65219-383-08,IODIXANOL 320 MG/ML IV SOLN,3.01,3.01,,,0
NDC,65219-436-02,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),25.0,25.0,,,0
NDC,65219-472-05,NACL 0.9% IV SOLN,37.5,37.5,,,0
NDC,65219-531-01,FAT EMULSION 20% IV (NEONATAL),78.01,78.01,,,0
NDC,65219-533-01,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL,342.88,342.88,,,0
NDC,65219-564-20,MITOMYCIN 5MG IV SOLR CHEMO (PF) FOR OPHTH USE,150.0,150.0,,,0
NDC,65219-570-01,BUMETANIDE 0.25 MG/ML IJ SOLN,23.895000000000003,23.895000000000003,,,0
NDC,65219-570-04,BUMETANIDE 0.25 MG/ML IJ SOLN,12.83,12.83,,,0
NDC,65219-572-01,BUMETANIDE 0.25 MG/ML IJ SOLN,8.15,8.15,,,0
NDC,65219-572-10,BUMETANIDE 0.25 MG/ML IJ SOLN,6.04,6.04,,,0
NDC,65250-266-09,BUPIVACAINE LIPOSOME 1.3 % IJ SUSP,10.95,10.95,,,0
NDC,65293-001-01,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,19.54,19.54,,,0
NDC,65293-006-41,THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR,412.59,412.59,,,0
NDC,65293-007-41,THROMBIN (RECOMBINANT) 20000 UNITS EX SOLR,1238.4,1238.4,,,0
NDC,65597-406-01,FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG/5ML IV (WET SOLR VIAL),50.535,50.535,,,0
NDC,65628-050-01,BENADRYL/VISCOUS LIDOCAINE/MYLANTA (1:1:1) MOUTHWASH,51.64,51.64,,,0
NDC,65628-206-05,VANCOMYCIN HCL 50 MG/ML PO SOLR,31.79,31.79,,,0
NDC,65649-201-75,PEG-KCL-NACL-NASULF-NA ASC-C 100 G PO SOLR,316.03,316.03,,,0
NDC,65649-211-24,FAMOTIDINE 40 MG/5ML PO SUSR,2.0,2.0,,,0
NDC,65649-301-03,RIFAXIMIN 200 MG PO TABS,55.0,55.0,,,0
NDC,65649-303-03,RIFAXIMIN 550 MG PO TABS,194.33,194.33,,,0
NDC,65649-311-12,CHLOROTHIAZIDE 250 MG/5ML PO SUSP,30.0,30.0,,,0
NDC,65649-501-30,HYDROCORTISONE (PERIANAL) 1 % EX CREA,2.0,2.0,,,0
NDC,65649-551-02,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SC SOLN,8.504999999999999,8.504999999999999,,,0
NDC,65649-551-03,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SC SOLN,8.12,8.12,,,0
NDC,65649-551-07,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SC SOLN,8.24,8.24,,,0
NDC,65862-021-06,MIRTAZAPINE 15 MG PO TBDP,14.72,14.72,,,0
NDC,65862-048-24,ZIDOVUDINE 50 MG/5ML PO SYRP,30.0,30.0,,,0
NDC,65862-049-30,EFAVIRENZ 600 MG PO TABS,111.79,111.79,,,0
NDC,65862-057-24,NEVIRAPINE 50 MG/5ML PO SUSP,30.0,30.0,,,0
NDC,65862-077-05,CIPROFLOXACIN HCL 500 MG PO TABS,25.83,25.83,,,0
NDC,65862-079-30,TERBINAFINE HCL 250 MG PO TABS,55.0,55.0,,,0
NDC,65862-147-36,SUMATRIPTAN SUCCINATE 50 MG PO TABS,100.0,100.0,,,0
NDC,65862-177-60,CEFDINIR 300 MG PO CAPS,28.09,28.09,,,0
NDC,65862-219-01,CEFDINIR 250 MG/5ML PO SUSR,36.71,36.71,,,0
NDC,65862-373-01,ESCITALOPRAM OXALATE 5 MG PO TABS,24.81,24.81,,,0
NDC,65862-390-10,ONDANSETRON 4 MG PO TBDP,81.74,81.74,,,0
NDC,65862-391-10,ONDANSETRON 8 MG PO TBDP,96.21000000000001,96.21000000000001,,,0
NDC,65862-496-47,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP,12.51,12.51,,,0
NDC,65862-502-20,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS,20.61,20.61,,,0
NDC,65862-503-01,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS,27.23,27.23,,,0
NDC,65862-512-30,PIOGLITAZONE HCL 15 MG PO TABS,38.54,38.54,,,0
NDC,65862-641-69,AZITHROMYCIN 250 MG PO TABS,34.63,34.63,,,0
NDC,65862-687-30,RITONAVIR 100 MG PO TABS,50.92,50.92,,,0
NDC,65862-702-60,ZIPRASIDONE HCL 20 MG PO CAPS,49.3,49.3,,,0
NDC,65862-707-01,AMOXICILLIN 250 MG/5ML PO SUSR,29.06,29.06,,,0
NDC,65862-712-60,ATAZANAVIR SULFATE 200 MG PO CAPS,83.4,83.4,,,0
NDC,65862-753-60,VALGANCICLOVIR HCL 450 MG PO TABS,206.33,206.33,,,0
NDC,65862-830-30,PRASUGREL HCL 10 MG PO TABS,58.82,58.82,,,0
NDC,65862-842-30,ENTECAVIR 1 MG PO TABS,133.31,133.31,,,0
NDC,65862-930-90,SEVELAMER CARBONATE 0.8 G PO PACK,73.14,73.14,,,0
NDC,66220-719-30,LACTULOSE 10 G PO PACK,55.0,55.0,,,0
NDC,66312-181-16,LIDOCAINE-EPINEPHRINE 2 %-1:50000 IJ SOLN,37.5,37.5,,,0
NDC,66553-001-01,ASPIRIN 325 MG PO TABS,10.13,10.13,,,0
NDC,66553-002-01,ASPIRIN 81 MG PO CHEW,2.59,2.59,,,0
NDC,66553-004-01,CALCIUM CARBONATE ANTACID 500 MG PO CHEW,1.37,1.37,,,0
NDC,66553-008-01,SODIUM BICARBONATE 650 MG PO TABS,1.17,1.17,,,0
NDC,66582-414-31,EZETIMIBE 10 MG PO TABS,55.2,55.2,,,0
NDC,66647-0120-02,DEL NIDO CARDIOPLEGIA WITH LIDOCAINE SOLN (PREMIX),342.4,342.4,,,0
NDC,66647-140-31,NEONATAL STARTER TPN AA3.5%-DEX10 WITH HEPARIN,1000.0,1000.0,,,0
NDC,66647-6010-25,ROCURONIUM BROMIDE 50 MG/5ML IV SOSY,75.0,75.0,,,0
NDC,66658-234-01,ANAKINRA 100 MG/0.67ML SC SOSY,1006.75,1006.75,,,0
NDC,66658-234-28,ANAKINRA 100 MG/0.67ML SC SOSY,975.0,975.0,,,0
NDC,66685-1012-2,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR,5.0,5.0,,,0
NDC,66689-020-50,MEGESTROL ACETATE 40 MG/ML PO SUSP,38.67,38.67,,,0
NDC,66689-023-50,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN,40.0,40.0,,,0
NDC,66689-032-50,MORPHINE SULFATE 10 MG/5ML PO SOLN,30.17,30.17,,,0
NDC,66689-038-50,LACTULOSE 10 GM/15ML PO SOLN,15.0,15.0,,,0
NDC,66689-053-01,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP,2.0,2.0,,,0
NDC,66689-062-42,ATOVAQUONE 750 MG/5ML PO SUSP,187.5,187.5,,,0
NDC,66689-063-10,PB-HYOSCY-ATROPINE-SCOPOLAMINE 16.2 MG/5ML PO ELIX,170.1,170.1,,,0
NDC,66689-327-02,DIGOXIN 0.05 MG/ML PO SOLN,40.28,40.28,,,0
NDC,66689-401-50,OXYCODONE HCL 5 MG/5ML PO SOLN,37.43,37.43,,,0
NDC,66689-790-50,SUCRALFATE 1 GM/10ML PO SUSP,56.04,56.04,,,0
NDC,66733-948-23,CETUXIMAB 100 MG/50ML IV SOLN,520.0,520.0,,,0
NDC,66733-958-23,CETUXIMAB 100 MG/50ML IV SOLN,225.0,225.0,,,0
NDC,66758-050-01,DOCETAXEL 20 MG/2ML IV SOLN,109.66,109.66,,,0
NDC,66758-190-13,POTASSIUM CHLORIDE CR 20 MEQ PO TBCR SH,7.58,7.58,,,0
NDC,66794-219-63,LINEZOLID 600 MG/300ML IV SOLN,53.2,53.2,,,0
NDC,66794-220-02,AMPICILLIN 250 MG FOR DILUTION (PEDIATRIC),75.0,75.0,,,0
NDC,66993-078-96,FLUTICASONE PROPIONATE HFA 44 MCG/ACT IN AERO,901.87,901.87,,,0
NDC,66993-079-96,FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO,1135.0,1135.0,,,0
NDC,66993-080-96,FLUTICASONE PROPIONATE HFA 220 MCG/ACT IN AERO,1454.65,1454.65,,,0
NDC,66993-142-30,ALISKIREN FUMARATE 300 MG PO TABS,54.21,54.21,,,0
NDC,66993-165-02,COLCHICINE 0.3MG PO PRE-SPLIT TABS SH,18.52,18.52,,,0
NDC,66993-422-85,LANTHANUM CARBONATE 500 MG PO CHEW,40.65,40.65,,,0
NDC,66993-456-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG PO TABS,88.5,88.5,,,0
NDC,66993-831-02,TRIAMTERENE 50 MG PO CAPS,47.7,47.7,,,0
NDC,67386-130-51,EPTINEZUMAB-JJMR 100 MG/ML IV SOLN,43.27,43.27,,,0
NDC,67386-313-21,CLOBAZAM 2.5 MG/ML PO SUSP,477.59,477.59,,,0
NDC,67386-820-19,DROXIDOPA 100 MG PO CAPS,146.2,146.2,,,0
NDC,67457-001-10,KETAMINE HCL 50 MG/ML IJ SOLN,87.8,87.8,,,0
NDC,67457-153-00,AMIODARONE HCL 50 MG/ML IV SOLN - CONSOLIDATED,15.0,15.0,,,0
NDC,67457-153-03,AMIODARONE HCL 50 MG/ML IV SOLN - CONSOLIDATED,10.91,10.91,,,0
NDC,67457-153-09,AMIODARONE HCL 50 MG/ML IV SOLN - CONSOLIDATED,4.33,4.33,,,0
NDC,67457-163-02,SODIUM TETRADECYL SULFATE 3 % IV SOLN,223.22,223.22,,,0
NDC,67457-182-10,ESMOLOL HCL 100 MG/10ML IV SOLN,30.0,30.0,,,0
NDC,67457-196-02,THIAMINE HCL 100 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,67457-198-03,REMIFENTANIL HCL 1 MG IV SOLR,284.24,284.24,,,0
NDC,67457-198-05,REMIFENTANIL HCL 2 MG IV SOLR,339.2,339.2,,,0
NDC,67457-211-02,FOMEPIZOLE 1 GM/ML IV SOLN,50.0,50.0,,,0
NDC,67457-217-20,METHADONE HCL 10 MG/ML IJ SOLN,115.07,115.07,,,0
NDC,67457-246-01,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN,15.48,15.48,,,0
NDC,67457-255-10,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,2.35,2.35,,,0
NDC,67457-265-10,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,1.81,1.81,,,0
NDC,67457-266-10,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,1.48,1.48,,,0
NDC,67457-292-02,NALOXONE HCL 0.4 MG/ML IJ SOLN,251.86,251.86,,,0
NDC,67457-299-10,NALOXONE HCL 4 MG/10ML IJ SOLN,173.66000000000003,173.66000000000003,,,0
NDC,67457-340-01,VANCOMYCIN HCL 1 G IV SOLR,64.13,64.13,,,0
NDC,67457-349-03,AMPICILLIN/SULBACTAM 3G/100ML NS (MINIBAG),53.8,53.8,,,0
NDC,67457-372-99,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,75.0,75.0,,,0
NDC,67457-374-99,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,15.0,15.0,,,0
NDC,67457-421-30,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,7.21,7.21,,,0
NDC,67457-422-54,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,5.6850000000000005,5.6850000000000005,,,0
NDC,67457-423-12,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,12.845,12.845,,,0
NDC,67457-426-12,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN,74.75999999999999,74.75999999999999,,,0
NDC,67457-428-30,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN,47.83,47.83,,,0
NDC,67457-430-10,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,210.6,210.6,,,0
NDC,67457-433-22,FAMOTIDINE 10MG/ML IV SOLN - CONSOLIDATED,70.01,70.01,,,0
NDC,67457-436-50,DOXORUBICIN HCL 50 MG IV SOLR,340.42,340.42,,,0
NDC,67457-437-10,DOXYCYCLINE 100 MG/100ML NS (MINIBAG),127.43,127.43,,,0
NDC,67457-473-22,TOBRAMYCIN SULFATE 40 MG/ML IJ SOLN - CONSOLIDATED,65.625,65.625,,,0
NDC,67457-518-05,MITOMYCIN 5MG IV SOLR CHEMO (PF) FOR OPHTH USE,187.5,187.5,,,0
NDC,67457-528-10,LEUCOVORIN CALCIUM 100 MG IJ SOLR,180.0,180.0,,,0
NDC,67457-529-20,LEUCOVORIN CALCIUM 200 MG IJ SOLR,79.39,79.39,,,0
NDC,67457-530-35,LEUCOVORIN CALCIUM 350 MG IJ SOLR,27.87,27.87,,,0
NDC,67457-532-08,DOCETAXEL 80 MG/8ML IV SOLN,26.799999999999997,26.799999999999997,,,0
NDC,67457-567-00,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,37.335,37.335,,,0
NDC,67457-621-02,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,18.75,18.75,,,0
NDC,67457-629-10,EPTIFIBATIDE 20 MG/10ML IV SOLN,47.2,47.2,,,0
NDC,67457-631-10,EPTIFIBATIDE 75 MG/100ML IV SOLN,52.0,52.0,,,0
NDC,67457-675-02,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN,6759.04,6759.04,,,0
NDC,67457-779-30,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN,46.25,46.25,,,0
NDC,67457-781-08,DOCETAXEL 160 MG/8ML IV CONC,63.9,63.9,,,0
NDC,67457-815-04,CLINDAMYCIN PHOSPHATE 600 MG/4ML IJ SOLN,25.94,25.94,,,0
NDC,67457-823-99,VANCOMYCIN 1250MG/250ML 0.9% NACL (VIAL-MATE),56.275000000000006,56.275000000000006,,,0
NDC,67457-824-99,VANCOMYCIN 1500MG/250ML 0.9% NACL (VIAL-MATE),67.54,67.54,,,0
NDC,67457-833-06,PEGFILGRASTIM-JMDB 6 MG/0.6ML SC SOSY,937.5,937.5,,,0
NDC,67457-852-04,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN,139.7,139.7,,,0
NDC,67457-853-50,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,270.86,270.86,,,0
NDC,67457-855-02,ADENOSINE 6 MG/2ML IV SOLN,10.195,10.195,,,0
NDC,67457-863-01,GRANISETRON HCL 1 MG/ML IV SOLN,8.4,8.4,,,0
NDC,67457-887-01,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,1.79,1.79,,,0
NDC,67457-889-10,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,10.56,10.56,,,0
NDC,67457-925-00,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN,639.6,639.6,,,0
NDC,67618-150-04,POVIDONE-IODINE 10 % EX SOLN,3.5,3.5,,,0
NDC,67618-151-04,POVIDONE-IODINE 7.5 % EX SOLN,2.0,2.0,,,0
NDC,67618-200-04,CHLORHEXIDINE GLUCONATE 4 % EX SOLN,2.0,2.0,,,0
NDC,67684-1901-1,ETHIODIZED OIL 480 MG/ML IJ OIL,2940.67,2940.67,,,0
NDC,67684-1901-2,ETHIODIZED OIL 480 MG/ML IJ OIL,4112.64,4112.64,,,0
NDC,67877-124-05,SILVER SULFADIAZINE 1 % EX CREA,75.5,75.5,,,0
NDC,67877-124-40,SILVER SULFADIAZINE 1 % EX CREA,324.0,324.0,,,0
NDC,67877-146-01,TEMAZEPAM 15 MG PO CAPS,30.0,30.0,,,0
NDC,67877-197-90,AMLODIPINE BESYLATE 2.5 MG PO TABS,12.67,12.67,,,0
NDC,67877-251-80,TRIAMCINOLONE ACETONIDE 0.1 % EX CREA,72.8,72.8,,,0
NDC,67877-286-60,RILUZOLE 50 MG PO TABS,110.82,110.82,,,0
NDC,67877-419-33,LINEZOLID 600 MG PO TABS,550.99,550.99,,,0
NDC,67877-430-03,ARIPIPRAZOLE 2 MG PO TABS,89.01,89.01,,,0
NDC,67877-434-03,ARIPIPRAZOLE 20 MG PO TABS,135.04,135.04,,,0
NDC,67877-548-98,CEFDINIR 250 MG/5ML PO SUSR,44.93,44.93,,,0
NDC,67877-719-33,EVEROLIMUS 0.5 MG PO TABS,65.23,65.23,,,0
NDC,67877-754-60,DRONABINOL 5 MG PO CAPS,32.5,32.5,,,0
NDC,67877-879-20,CEFPODOXIME PROXETIL 200 MG PO TABS,46.35,46.35,,,0
NDC,67919-011-01,DAPTOMYCIN 500 MG IV SOLR,4.65,4.65,,,0
NDC,67919-030-01,CEFTOLOZANE-TAZOBACTAM 1.5 (1-0.5) G IV SOLR,43.31,43.31,,,0
NDC,68001-001-00,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS,15.6,15.6,,,0
NDC,68001-575-00,DESMOPRESSIN ACETATE 0.2 MG PO TABS,18.42,18.42,,,0
NDC,68012-052-30,OMEPRAZOLE-SODIUM BICARBONATE 20-1680 MG PO PACK,396.82,396.82,,,0
NDC,68084-021-21,ABACAVIR SULFATE 300 MG PO TABS,46.72,46.72,,,0
NDC,68084-039-01,BACLOFEN 5MG/ML ORAL SUSP *COMPOUND* SH,5.83,5.83,,,0
NDC,68084-045-01,PAROXETINE HCL 20 MG PO TABS,15.34,15.34,,,0
NDC,68084-069-01,CIPROFLOXACIN HCL 250 MG PO TABS,28.76,28.76,,,0
NDC,68084-070-01,CIPROFLOXACIN HCL 500 MG PO TABS,16.83,16.83,,,0
NDC,68084-075-21,TRETINOIN 10 MG PO CAPS,151.67,151.67,,,0
NDC,68084-082-01,ISOSORBIDE DINITRATE 10 MG PO TABS,11.75,11.75,,,0
NDC,68084-083-01,ISOSORBIDE DINITRATE 20 MG PO TABS,15.0,15.0,,,0
NDC,68084-093-01,CARBIDOPA-LEVODOPA 25-100 MG PO TABS,9.17,9.17,,,0
NDC,68084-097-01,ATORVASTATIN CALCIUM 10 MG PO TABS,7.5,7.5,,,0
NDC,68084-109-01,ACYCLOVIR 800 MG PO TABS,20.2,20.2,,,0
NDC,68084-120-01,MIRTAZAPINE 30 MG PO TABS,15.0,15.0,,,0
NDC,68084-149-01,METHYLPREDNISOLONE 4 MG PO TABS,13.64,13.64,,,0
NDC,68084-157-01,MORPHINE SULFATE ER 15 MG PO TBCR,32.51,32.51,,,0
NDC,68084-185-01,OXYCODONE HCL 30 MG PO TABS,40.0,40.0,,,0
NDC,68084-196-01,LISINOPRIL 5 MG PO TABS,15.0,15.0,,,0
NDC,68084-202-01,PRIMIDONE 50 MG PO TABS,10.26,10.26,,,0
NDC,68084-204-01,MINOXIDIL 2.5 MG PO TABS,12.01,12.01,,,0
NDC,68084-205-01,MINOXIDIL 10 MG PO TABS,15.0,15.0,,,0
NDC,68084-214-11,BENZONATATE 100 MG PO CAPS,14.4,14.4,,,0
NDC,68084-215-01,VALACYCLOVIR HCL 500 MG PO TABS,21.85,21.85,,,0
NDC,68084-229-01,AZATHIOPRINE 50 MG PO TABS,12.66,12.66,,,0
NDC,68084-244-01,CLINDAMYCIN HCL 300 MG PO CAPS,15.0,15.0,,,0
NDC,68084-248-01,LORATADINE 10 MG PO TABS,2.0,2.0,,,0
NDC,68084-252-21,BUPROPION HCL ER (XL) 300 MG PO TB24,26.12,26.12,,,0
NDC,68084-253-01,HYDROXYZINE HCL 10 MG PO TABS,11.25,11.25,,,0
NDC,68084-254-01,HYDROXYZINE HCL 25 MG PO TABS,9.63,9.63,,,0
NDC,68084-270-01,RISPERIDONE 0.25 MG PO TABS,21.41,21.41,,,0
NDC,68084-272-01,RISPERIDONE 1 MG PO TABS,24.98,24.98,,,0
NDC,68084-280-01,ETHAMBUTOL HCL 400 MG PO TABS,8.65,8.65,,,0
NDC,68084-281-01,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR,10.36,10.36,,,0
NDC,68084-282-01,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR,15.0,15.0,,,0
NDC,68084-284-01,HYDROXYUREA 500 MG PO CAPS,25.04,25.04,,,0
NDC,68084-288-01,FLUDROCORTISONE ACETATE 0.1 MG PO TABS,13.81,13.81,,,0
NDC,68084-299-01,TAMSULOSIN HCL 0.4 MG PO CAPS,23.18,23.18,,,0
NDC,68084-310-01,DIVALPROEX SODIUM ER 250 MG PO TB24,15.0,15.0,,,0
NDC,68084-313-01,DIVALPROEX SODIUM 125 MG PO CSDR,8.09,8.09,,,0
NDC,68084-319-01,LAMOTRIGINE 100 MG PO TABS,15.0,15.0,,,0
NDC,68084-342-01,TOPIRAMATE 25 MG PO TABS,13.12,13.12,,,0
NDC,68084-344-01,TOPIRAMATE 100 MG PO TABS,32.55,32.55,,,0
NDC,68084-346-01,LOSARTAN POTASSIUM 25 MG PO TABS,15.0,15.0,,,0
NDC,68084-347-01,LOSARTAN POTASSIUM 50 MG PO TABS,13.38,13.38,,,0
NDC,68084-348-01,LOSARTAN POTASSIUM 100 MG PO TABS,16.92,16.92,,,0
NDC,68084-354-01,OXYCODONE HCL 5 MG PO TABS,26.63,26.63,,,0
NDC,68084-376-01,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS,7.19,7.19,,,0
NDC,68084-381-01,BENZTROPINE MESYLATE 0.5 MG PO TABS,14.17,14.17,,,0
NDC,68084-388-11,BENZTROPINE MESYLATE 1 MG PO TABS,15.0,15.0,,,0
NDC,68084-415-01,DIVALPROEX SODIUM ER 500 MG PO TB24,19.38,19.38,,,0
NDC,68084-447-01,HYDRALAZINE HCL 10 MG PO TABS,11.31,11.31,,,0
NDC,68084-491-01,MECLIZINE HCL 25 MG PO TABS,2.0,2.0,,,0
NDC,68084-512-01,SIMVASTATIN 20 MG PO TABS,18.45,18.45,,,0
NDC,68084-539-01,TORSEMIDE 20 MG PO TABS,6.42,6.42,,,0
NDC,68084-597-01,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24,12.6,12.6,,,0
NDC,68084-602-01,PERPHENAZINE 4 MG PO TABS,13.559999999999999,13.559999999999999,,,0
NDC,68084-604-21,DESMOPRESSIN ACETATE 0.2 MG PO TABS,15.23,15.23,,,0
NDC,68084-617-01,ESCITALOPRAM OXALATE 10 MG PO TABS,23.76,23.76,,,0
NDC,68084-618-01,ESCITALOPRAM OXALATE 20 MG PO TABS,21.83,21.83,,,0
NDC,68084-640-01,LITHIUM CARBONATE ER 300 MG PO TBCR,15.0,15.0,,,0
NDC,68084-654-01,SOTALOL HCL 80 MG PO TABS,11.57,11.57,,,0
NDC,68084-655-01,LITHIUM CARBONATE ER 450 MG PO TBCR,15.0,15.0,,,0
NDC,68084-692-01,DULOXETINE HCL 60 MG PO CPEP,42.35,42.35,,,0
NDC,68084-698-01,VENLAFAXINE HCL ER 37.5 MG PO CP24,19.28,19.28,,,0
NDC,68084-709-01,VENLAFAXINE HCL ER 75 MG PO CP24,23.0,23.0,,,0
NDC,68084-710-01,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS,40.0,40.0,,,0
NDC,68084-713-01,VENLAFAXINE HCL ER 150 MG PO CP24,25.09,25.09,,,0
NDC,68084-738-01,METHADONE HCL 10 MG PO TABS,15.33,15.33,,,0
NDC,68084-753-25,CYCLOBENZAPRINE HCL 5 MG PO TABS,8.87,8.87,,,0
NDC,68084-774-01,GABAPENTIN 400 MG PO CAPS,15.0,15.0,,,0
NDC,68084-776-01,DIVALPROEX SODIUM 250 MG PO TBEC,9.69,9.69,,,0
NDC,68084-790-25,CLOMIPRAMINE HCL 25 MG PO CAPS,55.0,55.0,,,0
NDC,68084-808-01,TRAMADOL HCL 50 MG PO TABS,38.26,38.26,,,0
NDC,68084-813-09,PANTOPRAZOLE SODIUM 40 MG PO TBEC,15.0,15.0,,,0
NDC,68084-823-21,METHYLPHENIDATE HCL 10 MG PO TABS,20.0,20.0,,,0
NDC,68084-844-01,VENLAFAXINE HCL 37.5 MG PO TABS,15.0,15.0,,,0
NDC,68084-853-01,OXCARBAZEPINE 300 MG PO TABS,15.14,15.14,,,0
NDC,68084-856-01,VENLAFAXINE HCL 75 MG PO TABS,13.21,13.21,,,0
NDC,68084-859-01,LEVETIRACETAM 250 MG PO TABS,7.62,7.62,,,0
NDC,68084-875-01,MONTELUKAST SODIUM 10 MG PO TABS,30.28,30.28,,,0
NDC,68084-895-01,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS,40.0,40.0,,,0
NDC,68084-896-25,VENLAFAXINE HCL 25 MG PO TABS,15.0,15.0,,,0
NDC,68084-907-21,MYCOPHENOLATE SODIUM 180 MG PO TBEC,26.365000000000002,26.365000000000002,,,0
NDC,68084-918-25,MYCOPHENOLATE SODIUM 360 MG PO TBEC,23.060000000000002,23.060000000000002,,,0
NDC,68084-928-25,PILOCARPINE HCL 5 MG PO TABS,16.5,16.5,,,0
NDC,68084-964-25,PROPYLTHIOURACIL 50 MG PO TABS,14.03,14.03,,,0
NDC,68084-988-32,CALCIUM CARBONATE ANTACID 500 MG PO CHEW,1.52,1.52,,,0
NDC,68084-996-01,PRAZOSIN HCL 1 MG PO CAPS,15.0,15.0,,,0
NDC,68094-001-62,MORPHINE 2MG/ML ORAL LIQD (PEDIATRIC) SH,40.0,40.0,,,0
NDC,68094-024-59,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,1.505,1.505,,,0
NDC,68094-043-59,SUCRALFATE 1 GM/10ML PO SUSP,65.0,65.0,,,0
NDC,68094-101-20,PHENTOLAMINE MESYLATE 5 MG IJ SOLR,2257.52,2257.52,,,0
NDC,68094-110-59,MELATONIN 3 MG PO TABS,1.96,1.96,,,0
NDC,68094-123-59,OXCARBAZEPINE 300 MG/5ML PO SUSP,56.68,56.68,,,0
NDC,68094-129-62,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN,17.45,17.45,,,0
NDC,68094-174-59,MEGESTROL ACETATE 400 MG/10ML PO SUSP,44.93,44.93,,,0
NDC,68094-193-62,VALPROATE SODIUM 250 MG/5ML PO SOLN,4.1,4.1,,,0
NDC,68094-250-62,MEGESTROL ACETATE 40 MG/ML PO SUSP,15.0,15.0,,,0
NDC,68094-587-62,ACETAMINOPHEN 160 MG/5ML PO SUSP (PEDIATRIC),10.4,10.4,,,0
NDC,68094-599-61,NYSTATIN 100000 UNIT/ML MT SUSP,15.0,15.0,,,0
NDC,68094-701-62,VALPROATE SODIUM 250 MG/5ML PO SOLN,15.0,15.0,,,0
NDC,68094-764-59,MIDAZOLAM HCL 2 MG/ML PO SYRP,36.8,36.8,,,0
NDC,68094-853-62,NALTREXONE HCL 50 MG PO TABS,15.05,15.05,,,0
NDC,68094-867-59,FUROSEMIDE 8 MG/ML PO SOLN,14.9,14.9,,,0
NDC,68176-00015,MULTIVITAMINS+MINERALS PO TABS SH,6.89,6.89,,,0
NDC,68180-124-01,CEPHALEXIN 250 MG/5ML PO SUSR,30.0,30.0,,,0
NDC,68180-166-11,VANCOMYCIN HCL 125 MG PO CAPS,99.48,99.48,,,0
NDC,68180-167-11,VANCOMYCIN HCL 250 MG PO CAPS,173.15,173.15,,,0
NDC,68180-280-01,ETHAMBUTOL HCL 100 MG PO TABS,9.0,9.0,,,0
NDC,68180-303-20,CEFUROXIME AXETIL 500 MG PO TABS,44.09,44.09,,,0
NDC,68180-319-09,BUPROPION HCL ER (XL) 150 MG PO TB24,24.83,24.83,,,0
NDC,68180-320-06,BUPROPION HCL ER (XL) 300 MG PO TB24,26.22,26.22,,,0
NDC,68180-441-01,CEPHALEXIN 250 MG/5ML PO SUSR,30.15,30.15,,,0
NDC,68180-441-02,CEPHALEXIN 250 MG/5ML PO SUSR,28.95,28.95,,,0
NDC,68180-445-01,QUETIAPINE FUMARATE 25 MG PO TABS,20.0,20.0,,,0
NDC,68180-657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5ML PO SUSR,100.83,100.83,,,0
NDC,68180-678-01,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR,84.39,84.39,,,0
NDC,68180-711-60,CEFDINIR 300 MG PO CAPS,28.13,28.13,,,0
NDC,68180-723-05,CEFDINIR 250 MG/5ML PO SUSR,30.87,30.87,,,0
NDC,68180-819-52,LANTHANUM CARBONATE 500 MG PO CHEW,40.1,40.1,,,0
NDC,68180-962-56,TOBRAMYCIN 300 MG/5ML IN NEBU,424.08,424.08,,,0
NDC,68180-963-01,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,370.09,370.09,,,0
NDC,68180-980-01,LISINOPRIL 10 MG PO TABS,9.18,9.18,,,0
NDC,68180-984-30,BUDESONIDE 0.5 MG/2ML IN SUSP,55.0,55.0,,,0
NDC,68209-623-03,ALBUMIN HUMAN 5 % IV SOLN SH (VOLUME REPLACEMENT),66.6,66.6,,,0
NDC,68209-643-01,ALBUMIN HUMAN 25 % IV SOLN,352.275,352.275,,,0
NDC,68308-152-15,NYSTATIN 100000 UNIT/GM EX POWD,109.73,109.73,,,0
NDC,68382-040-01,PROMETHAZINE HCL 12.5 MG PO TABS,15.0,15.0,,,0
NDC,68382-092-01,CARVEDILOL 3.125 MG PO TABS,13.34,13.34,,,0
NDC,68382-094-01,CARVEDILOL 12.5 MG PO TABS,13.39,13.39,,,0
NDC,68382-251-16,ATORVASTATIN CALCIUM 40 MG PO TABS,30.17,30.17,,,0
NDC,68382-354-06,BUPROPION HCL ER (XL) 300 MG PO TB24,34.61,34.61,,,0
NDC,68382-435-28,MESALAMINE 800 MG PO TBEC,51.01,51.01,,,0
NDC,68382-452-19,MESALAMINE ER 0.375 G PO CP24,5.28,5.28,,,0
NDC,68382-771-30,LANSOPRAZOLE 15 MG PO TBDD,50.82,50.82,,,0
NDC,68382-772-30,LANSOPRAZOLE 30 MG PO TBDD,62.51,62.51,,,0
NDC,68382-805-01,TRAZODONE HCL 50 MG PO TABS,12.75,12.75,,,0
NDC,68382-860-02,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN,146.875,146.875,,,0
NDC,68382-917-11,METHYLPREDNISOLONE 8 MG PO TABS,5.54,5.54,,,0
NDC,68462-137-01,OXCARBAZEPINE 150 MG PO TABS,8.35,8.35,,,0
NDC,68462-158-40,ONDANSETRON 8 MG PO TBDP,115.49,115.49,,,0
NDC,68462-180-22,MUPIROCIN 2 % EX OINT,213.73,213.73,,,0
NDC,68462-222-01,LITHIUM CARBONATE 600 MG PO CAPS,15.0,15.0,,,0
NDC,68462-228-01,LAMOTRIGINE 5 MG PO CHEW,14.88,14.88,,,0
NDC,68462-229-01,LAMOTRIGINE 25 MG PO CHEW,13.75,13.75,,,0
NDC,68462-256-01,ROPINIROLE HCL 2 MG PO TABS,14.28,14.28,,,0
NDC,68462-292-01,VERAPAMIL HCL ER 120 MG PO TBCR,13.76,13.76,,,0
NDC,68462-330-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.125 MG PO TABS,18.38,18.38,,,0
NDC,68462-331-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS,18.37,18.37,,,0
NDC,68462-332-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.5 MG PO TABS,17.85,17.85,,,0
NDC,68462-333-90,PRAMIPEXOLE DIHYDROCHLORIDE 1 MG PO TABS,18.38,18.38,,,0
NDC,68462-405-60,ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12,45.95,45.95,,,0
NDC,68462-470-40,BUMETANIDE 0.25 MG/ML IJ SOLN,9.59,9.59,,,0
NDC,68462-470-54,BUMETANIDE 0.25 MG/ML IJ SOLN,4.635,4.635,,,0
NDC,68462-583-40,APREPITANT 40 MG PO CAPS,34.474999999999994,34.474999999999994,,,0
NDC,68462-584-40,APREPITANT 80 MG PO CAPS,38.2,38.2,,,0
NDC,68462-585-40,APREPITANT 125 MG PO CAPS,38.21,38.21,,,0
NDC,68462-639-25,NITROGLYCERIN 0.4 MG SL SUBL,128.38,128.38,,,0
NDC,68516-5214-1,ALBUMIN HUMAN 5 % IV SOLN,66.9,66.9,,,0
NDC,68516-5214-2,ALBUMIN HUMAN 5 % IV SOLN,42.32,42.32,,,0
NDC,68516-5214-3,ALBUMIN HUMAN 5 % IV SOLN,66.9,66.9,,,0
NDC,68516-5214-4,ALBUMIN HUMAN 5 % IV SOLN,55.815,55.815,,,0
NDC,68516-5214-5,ALBUMIN HUMAN 5 % IV SOLN,250.0,250.0,,,0
NDC,68516-5214-6,ALBUMIN HUMAN 5 % IV SOLN,250.0,250.0,,,0
NDC,68516-5216-1,ALBUMIN HUMAN 25 % IV SOLN,333.66,333.66,,,0
NDC,68516-5216-2,ALBUMIN HUMAN 25 % IV SOLN,277.735,277.735,,,0
NDC,68516-5216-5,ALBUMIN HUMAN 25 % IV SOLN,284.36,284.36,,,0
NDC,68516-5216-6,ALBUMIN HUMAN 25 % IV SOLN,255.78,255.78,,,0
NDC,68546-229-56,RASAGILINE MESYLATE 1 MG PO TABS,125.44,125.44,,,0
NDC,68682-192-01,ISOSORBIDE DINITRATE 40 MG PO TABS,76.94,76.94,,,0
NDC,68682-201-75,PEG-KCL-NACL-NASULF-NA ASC-C 100 G PO SOLR,239.61,239.61,,,0
NDC,68727-712-01,LURBINECTEDIN 4 MG IV SOLR,349.41,349.41,,,0
NDC,68727-745-02,DAUNORUBICIN-CYTARABINE LIPO 44 MG/20ML IV SUSR (WET SOLR VIAL),417.27,417.27,,,0
NDC,68803-612-10,TRYPAN BLUE 0.06 % IO SOSY,283.65,283.65,,,0
NDC,68803-672-05,TRYPAN BLUE 0.15 % IO SOSY,695.52,695.52,,,0
NDC,68803-722-25,BRILLIANT BLUE G 0.025 % IO SOSY,961.97,961.97,,,0
NDC,68817-134-50,STUDY RX: INVESTIGATIONAL PACLITAXEL PROTEIN-BOUND 100MG IV SUSR,64.94,64.94,,,0
NDC,68992-3010-3,TACROLIMUS ER 1 MG PO TB24,7.44,7.44,,,0
NDC,68992-3040-3,TACROLIMUS ER 4 MG PO TB24,6.11,6.11,,,0
NDC,68992-3075-3,TACROLIMUS ER 0.75 MG PO TB24,8.95,8.95,,,0
NDC,69097-123-03,TOPIRAMATE 50 MG PO TABS,25.0,25.0,,,0
NDC,69097-168-87,ARFORMOTEROL TARTRATE 15 MCG/2ML IN NEBU,81.04,81.04,,,0
NDC,69097-224-16,ALENDRONATE SODIUM 70 MG PO TABS,81.95,81.95,,,0
NDC,69097-237-72,ALBENDAZOLE 200 MG PO TABS,686.72,686.72,,,0
NDC,69097-316-02,EXEMESTANE 25 MG PO TABS,84.7,84.7,,,0
NDC,69097-319-32,BUDESONIDE 0.5 MG/2ML IN SUSP,43.05,43.05,,,0
NDC,69097-362-02,ABACAVIR SULFATE-LAMIVUDINE 600-300 MG PO TABS,139.51,139.51,,,0
NDC,69097-579-67,FOSFOMYCIN TROMETHAMINE 3 G PO PACK,301.2,301.2,,,0
NDC,69097-642-02,EMTRICITABINE 200 MG PO CAPS,77.25,77.25,,,0
NDC,69097-870-67,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,133.39,133.39,,,0
NDC,69230-326-30,FAMOTIDINE 10 MG PO TABS,1.58,1.58,,,0
NDC,69238-1126-1,ETHACRYNIC ACID 25 MG PO TABS,72.58,72.58,,,0
NDC,69238-1344-1,ALBUTEROL SULFATE 2 MG PO TABS,27.5,27.5,,,0
NDC,69238-1491-1,BUMETANIDE 2 MG PO TABS,14.66,14.66,,,0
NDC,69238-1504-2,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5ML PO SUSR,65.0,65.0,,,0
NDC,69238-1532-5,CLOBETASOL PROPIONATE 0.05 % EX CREA,512.94,512.94,,,0
NDC,69238-1605-2,METHYLERGONOVINE MALEATE 0.2 MG PO TABS,201.69,201.69,,,0
NDC,69238-1605-8,METHYLERGONOVINE MALEATE 0.2 MG PO TABS,201.57,201.57,,,0
NDC,69238-1745-8,PILOCARPINE HCL 1 % OP SOLN,394.26,394.26,,,0
NDC,69238-2027-8,SPIRONOLACTONE 25 MG/5ML PO SUSP,323.86,323.86,,,0
NDC,69238-2077-1,PROPRANOLOL HCL 10 MG PO TABS,11.45,11.45,,,0
NDC,69238-2080-1,PROPRANOLOL HCL 60 MG PO TABS,13.19,13.19,,,0
NDC,69238-2141-7,ENALAPRIL 1MG/ML ORAL LIQD (PEDIATRIC) SH,15.0,15.0,,,0
NDC,69292-564-01,METOLAZONE 5 MG PO TABS,15.86,15.86,,,0
NDC,69292-566-01,METOLAZONE 10 MG PO TABS,19.29,19.29,,,0
NDC,69292-605-60,DIGOXIN 0.05 MG/ML PO SOLN,64.79,64.79,,,0
NDC,69292-722-25,FLURBIPROFEN SODIUM 0.03 % OP SOLN,216.0,216.0,,,0
NDC,69315-306-15,NYSTATIN 100000 UNIT/GM EX POWD,116.4,116.4,,,0
NDC,69315-312-28,HYDROCORTISONE (PERIANAL) 2.5 % EX CREA,2.0,2.0,,,0
NDC,69315-904-01,LORAZEPAM 0.5 MG PO TABS,40.0,40.0,,,0
NDC,69315-905-01,LORAZEPAM 1 MG PO TABS,20.87,20.87,,,0
NDC,69315-905-05,LORAZEPAM 1 MG PO TABS,33.29,33.29,,,0
NDC,69315-910-01,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS,26.67,26.67,,,0
NDC,69339-138-15,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN,30.0,30.0,,,0
NDC,69339-152-17,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,2.1399999999999997,2.1399999999999997,,,0
NDC,69344-102-33,INDOMETHACIN 50 MG PR SUPP,1085.72,1085.72,,,0
NDC,69367-250-01,K PHOS MONO-SOD PHOS DI & MONO 155-852-130 MG PO TABS,10.07,10.07,,,0
NDC,69367-272-04,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN,40.0,40.0,,,0
NDC,69367-283-02,ERGOCALCIFEROL 200 MCG/ML PO SOLN,2.0,2.0,,,0
NDC,69374-330-05,ALBUTEROL CONTINUOUS NEB SIMPLE SH,2.2,2.2,,,0
NDC,69374-946-34,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,33.93,33.93,,,0
NDC,69374-982-55,KETAMINE 10MG/ML INJ (PEDIATRIC) SH,86.91,86.91,,,0
NDC,69452-131-17,DOFETILIDE 125 MCG PO CAPS,53.59,53.59,,,0
NDC,69452-132-17,DOFETILIDE 250 MCG PO CAPS,50.87,50.87,,,0
NDC,69452-208-20,CALCITRIOL 0.5 MCG PO CAPS,14.83,14.83,,,0
NDC,69452-389-98,MAGNESIUM CITRATE PO SOLN,2.0,2.0,,,0
NDC,69452-390-98,MAGNESIUM CITRATE PO SOLN,2.0,2.0,,,0
NDC,69584-111-10,CARISOPRODOL 350 MG PO TABS,40.0,40.0,,,0
NDC,69584-843-10,SOTALOL HCL 160 MG PO TABS,21.53,21.53,,,0
NDC,69584-844-10,SOTALOL HCL 240 MG PO TABS,15.0,15.0,,,0
NDC,69618-060-76,ARTIFICIAL TEARS OP OINT - CONSOLIDATED,2.0,2.0,,,0
NDC,69784-230-10,SODIUM ACETATE 2 MEQ/ML IV SOLN,75.0,75.0,,,0
NDC,69784-230-20,SODIUM ACETATE 2 MEQ/ML IV SOLN,89.12,89.12,,,0
NDC,69918-301-30,TRANEXAMIC ACID 650 MG PO TABS,28.25,28.25,,,0
NDC,69918-899-01,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN,114.64,114.64,,,0
NDC,69918-901-10,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,86.565,86.565,,,0
NDC,69968-0060-9,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM EX OINT,2.0,2.0,,,0
NDC,69968-061-01,ZINC OXIDE 40 % EX PSTE,2.0,2.0,,,0
NDC,70007-300-65,NITROGLYCERIN 0.4 MG/SPRAY TL SOLN,1189.46,1189.46,,,0
NDC,70069-005-10,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,75.0,75.0,,,0
NDC,70069-021-25,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML IJ SOLN,8.325,8.325,,,0
NDC,70069-071-01,NALOXONE HCL 0.4 MG/ML IJ SOLN,96.67,96.67,,,0
NDC,70069-121-01,TROPICAMIDE 1 % OP SOLN,164.73,164.73,,,0
NDC,70069-131-01,TOBRAMYCIN 0.3 % OP SOLN,40.63,40.63,,,0
NDC,70069-141-01,CISATRACURIUM BESYLATE (PF) 10 MG/5ML IV SOLN,105.25,105.25,,,0
NDC,70069-141-10,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN,97.5,97.5,,,0
NDC,70069-161-01,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN,179.4,179.4,,,0
NDC,70069-161-10,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN,179.4,179.4,,,0
NDC,70069-181-01,PILOCARPINE HCL 1 % OP SOLN,375.0,375.0,,,0
NDC,70069-191-01,PILOCARPINE HCL 2 % OP SOLN,379.38,379.38,,,0
NDC,70069-231-01,BRIMONIDINE TARTRATE 0.2 % OP SOLN,65.0,65.0,,,0
NDC,70069-363-01,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN,43.84,43.84,,,0
NDC,70069-810-01,VALGANCICLOVIR HCL 50 MG/ML PO SOLR,366.45,366.45,,,0
NDC,70092-1007-36,DILTIAZEM HCL-DEXTROSE 125-5 MG/125ML-% IV SOLN,282.75,282.75,,,0
NDC,70092-1030-36,MIDAZOLAM HCL-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN,1.92,1.92,,,0
NDC,70092-1035-05,NOREPINEPHRINE 8MG/250ML NS SH (NON-WT BASED DOSING),302.645,302.645,,,0
NDC,70092-1046-46,PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY,4.795,4.795,,,0
NDC,70092-1071-24,OXYTOCIN-LACTATED RINGERS 30 UNIT/500ML IV SOLN,70.42500000000001,70.42500000000001,,,0
NDC,70092-1093-37,FENTANYL 2500MCG/250ML NS IV DRIP (PREMIX) SH,7.86,7.86,,,0
NDC,70092-1105-37,FENTANYL-BUPIVACAINE-NACL 0.5-0.125-0.9 MG/250ML-% EP SOLN,233.93,233.93,,,0
NDC,70092-1117-79,HYDROMORPHONE 1MG/ML IV PCA (NS) (PREMIX) SH,39.92,39.92,,,0
NDC,70092-1119-44,KETAMINE 10MG/ML INJ (PEDIATRIC) SH,97.205,97.205,,,0
NDC,70092-1130-36,MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN,13.0,13.0,,,0
NDC,70092-1160-37,"FENTANYL 2MCG/ML, BUPIVACAINE PF 0.1% IN NS 250ML PCEA (PREMIX)",68.51,68.51,,,0
NDC,70092-1180-79,FENTANYL 1500MCG/30ML NS IV DRIP (PREMIX) SH,12.765,12.765,,,0
NDC,70092-1281-08,"HEPARIN 30,000 UNIT/1000 ML 0.9% NACL (CELL SAVER PREMIX)",9.1,9.1,,,0
NDC,70092-1293-49,HYDROMORPHONE HCL-NACL 30-0.9 MG/30ML-% IV SOSY,17.619999999999997,17.619999999999997,,,0
NDC,70092-1380-36,MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN,11.89,11.89,,,0
NDC,70092-1400-43,FENTANYL 10MCG/ML IN 0.9% NACL INJ SOLN (PEDIATRIC) SH,90.0,90.0,,,0
NDC,70092-1478-44,EPHEDRINE SULFATE 5 MG/ML INJ (SH),115.85,115.85,,,0
NDC,70092-1499-36,FENTANYL-BUPIVACAINE-NACL 0.2-0.1-0.9 MG/100ML-% EP SOLN,186.5,186.5,,,0
NDC,70092-1522-35,MORPHINE 1MG/ML CADD-SOLIS PCA (PREMIX) SH,104.98,104.98,,,0
NDC,70092-1546-35,HYDROMORPHONE 1MG/ML NS CADD-SOLIS PCA (PREMIX) (PEDIATRIC) SH,96.25,96.25,,,0
NDC,70092-1575-36,DILTIAZEM HCL-DEXTROSE 125-5 MG/125ML-% IV SOLN,184.71,184.71,,,0
NDC,70092-1613-79,MORPHINE 1MG/ML IV PCA (PREMIX) SH,101.58,101.58,,,0
NDC,70092-1651-05,NOREPINEPHRINE 8MG/250ML NS SH (NON-WT BASED DOSING),263.575,263.575,,,0
NDC,70092-1658-44,LIDOCAINE/EPINEPHRINE/TETRACAINE (L.E.T) TOP SOLN CUSTOM CREATE,40.9,40.9,,,0
NDC,70092-2478-44,EPHEDRINE SULFATE 5 MG/ML INJ (SH),85.07,85.07,,,0
NDC,70092-9036-17,NOREPINEPHRINE 8MG/250ML D5W SH (NON-WT BASED DOSING),90.82499999999999,90.82499999999999,,,0
NDC,70092-9045-05,PHENYLEPHRINE HCL-NACL 50-0.9 MG/250ML-% IV SOLN,0.34,0.34,,,0
NDC,70092-9054-05,VANCOMYCIN HCL IN NACL 1.25-0.9 GM/250ML-% IV SOLN,61.83,61.83,,,0
NDC,70092-9119-44,KETAMINE HCL-SODIUM CHLORIDE 50-0.9 MG/5ML-% IV SOSY,90.0,90.0,,,0
NDC,70092-9546-35,HYDROMORPHONE HCL-NACL 50-0.9 MG/50ML-% IV SOLN,30.02,30.02,,,0
NDC,70100-424-01,INDOCYANINE GREEN 25 MG IV SOLR,84.73,84.73,,,0
NDC,70114-101-01,PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY,929.7850000000001,929.7850000000001,,,0
NDC,70114-120-01,PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOAJ,1078.7,1078.7,,,0
NDC,70121-1049-5,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,18.45,18.45,,,0
NDC,70121-1238-1,CYCLOPHOSPHAMIDE 500 MG IJ SOLR,476.41,476.41,,,0
NDC,70121-1239-1,CYCLOPHOSPHAMIDE 1 G IJ SOLR,514.22,514.22,,,0
NDC,70121-1240-1,CYCLOPHOSPHAMIDE 2 G IJ SOLR,374.12,374.12,,,0
NDC,70121-1388-1,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML IV SOLN,349.05,349.05,,,0
NDC,70121-1389-1,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN,639.6,639.6,,,0
NDC,70121-1568-1,FILGRASTIM-AYOW 300 MCG/0.5ML SC SOSY,3.25,3.25,,,0
NDC,70121-1568-7,FILGRASTIM-AYOW 300 MCG/0.5ML SC SOSY,3.25,3.25,,,0
NDC,70121-1570-1,FILGRASTIM-AYOW 480 MCG/0.8ML SC SOSY,3.18,3.18,,,0
NDC,70121-1574-5,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,69.38,69.38,,,0
NDC,70121-1658-1,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,303.05,303.05,,,0
NDC,70121-1658-6,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,308.56,308.56,,,0
NDC,70127-100-06,CANNABIDIOL 100 MG/ML PO SOLN,100.0,100.0,,,0
NDC,70257-051-51,HEPATITIS B IMMUNE GLOBULIN IV SOLN SH,182.44,182.44,,,0
NDC,70257-052-11,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IJ SOLN,366.03,366.03,,,0
NDC,70257-126-51,VARICELLA-ZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN,7857.24,7857.24,,,0
NDC,70257-350-02,RHO D IMMUNE GLOBULIN 2500 UNIT/2.2ML IJ SOLN,173.82,173.82,,,0
NDC,70360-001-02,BEVACIZUMAB 25 MG/ML INTRAVITREAL SOLN SH,60.0,60.0,,,0
NDC,70377-081-11,DORZOLAMIDE HCL 2 % OP SOLN,334.0,334.0,,,0
NDC,70436-027-80,EPTIFIBATIDE 75 MG/100ML IV SOLN,156.27,156.27,,,0
NDC,70436-029-80,VORICONAZOLE 200 MG/20ML IV (WET SOLR VIAL),58.305,58.305,,,0
NDC,70436-089-55,GANCICLOVIR SODIUM 500 MG/10ML IV (WET SOLR VIAL),161.375,161.375,,,0
NDC,70436-203-80,DOBUTAMINE HCL 250 MG/20ML IV SOLN,54.46,54.46,,,0
NDC,70436-203-82,DOBUTAMINE HCL 250 MG/20ML IV SOLN,54.46,54.46,,,0
NDC,70461-024-04,INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY,571.25,571.25,,,0
NDC,70461-123-03,INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY,529.3,529.3,,,0
NDC,70461-123-04,INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY,529.3,529.3,,,0
NDC,70515-260-10,DIGOXIN 0.25 MG/ML IJ SOLN,589.24,589.24,,,0
NDC,70594-023-01,COLISTIMETHATE SODIUM (CBA) 150 MG/2ML IJ (WET SOLR VIAL),117.6,117.6,,,0
NDC,70594-023-04,COLISTIMETHATE SODIUM (CBA) 150 MG/2ML IJ (WET SOLR VIAL),85.425,85.425,,,0
NDC,70594-053-01,DAPTOMYCIN 350 MG IV SOLR,0.89,0.89,,,0
NDC,70594-111-01,ACETYLCYSTEINE 200 MG/ML IV SOLN,7.73,7.73,,,0
NDC,70594-111-02,ACETYLCYSTEINE 200 MG/ML IV SOLN,7.555,7.555,,,0
NDC,70655-002-06,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN,75.0,75.0,,,0
NDC,70655-088-06,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,37.5,37.5,,,0
NDC,70677-0034-1,DOCUSATE SODIUM 100 MG PO CAPS,1.96,1.96,,,0
NDC,70677-1037-1,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
NDC,70677-1040-1,OXYMETAZOLINE HCL 0.05 % NA SOLN,2.0,2.0,,,0
NDC,70677-1111-1,MAGNESIUM CITRATE PO SOLN,1.97,1.97,,,0
NDC,70677-1154-1,CARBAMIDE PEROXIDE 6.5 % OT SOLN,2.0,2.0,,,0
NDC,70677-1248-1,HYDROGEN PEROXIDE 3 % EX SOLN,2.0,2.0,,,0
NDC,70700-162-01,PROGESTERONE 100 MG PO CAPS,25.19,25.19,,,0
NDC,70700-189-22,FLUOROURACIL 50 MG/ML IV SOLN - CONSOLIDATED,44.4,44.4,,,0
NDC,70700-268-94,FOSFOMYCIN TROMETHAMINE 3 G PO PACK,301.2,301.2,,,0
NDC,70700-268-99,FOSFOMYCIN TROMETHAMINE 3 G PO PACK,301.2,301.2,,,0
NDC,70710-1161-1,MECLIZINE HCL 12.5 MG PO TABS,2.0,2.0,,,0
NDC,70710-1359-1,LACOSAMIDE 200 MG/20ML IV SOLN,1.7,1.7,,,0
NDC,70710-1389-9,DROXIDOPA 100 MG PO CAPS,100.76,100.76,,,0
NDC,70710-1460-2,AZITHROMYCIN 200 MG/5ML PO SUSR,36.81,36.81,,,0
NDC,70710-1530-1,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,1720.5,1720.5,,,0
NDC,70710-1531-1,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,1500.0,1500.0,,,0
NDC,70710-1610-1,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,307.04,307.04,,,0
NDC,70710-1610-6,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,315.24,315.24,,,0
NDC,70710-1643-7,VERAPAMIL HCL 2.5 MG/ML IV SOLN,75.0,75.0,,,0
NDC,70710-1663-1,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,75.0,75.0,,,0
NDC,70710-1725-1,MICAFUNGIN 100MG/100ML NS (MINIBAG),6.08,6.08,,,0
NDC,70710-1725-6,MICAFUNGIN SODIUM 100 MG IV SOLR,6.08,6.08,,,0
NDC,70710-1838-1,METHYLENE BLUE (ANTIDOTE) 50 MG/10ML IV SOLN,1125.08,1125.08,,,0
NDC,70710-1838-5,METHYLENE BLUE (ANTIDOTE) 50 MG/10ML IV SOLN,385.73,385.73,,,0
NDC,70720-950-36,GOSERELIN ACETATE 3.6 MG SC IMPL,5433.3,5433.3,,,0
NDC,70720-951-30,GOSERELIN ACETATE 10.8 MG SC IMPL,3836.4,3836.4,,,0
NDC,70727-497-25,NETARSUDIL DIMESYLATE 0.02 % OP SOLN,50.61,50.61,,,0
NDC,70748-258-07,POSACONAZOLE 100 MG PO TBEC,222.02,222.02,,,0
NDC,70748-347-01,THIAMINE HCL 100 MG/ML IJ SOLN,67.19,67.19,,,0
NDC,70752-101-12,CYPROHEPTADINE HCL 2 MG/5ML PO SYRP,30.0,30.0,,,0
NDC,70752-104-06,CETIRIZINE HCL 1 MG/ML PO SOLN,2.0,2.0,,,0
NDC,70752-113-03,LIDOCAINE 5 % EX OINT,1200.0,1200.0,,,0
NDC,70756-014-02,NITROGLYCERIN 0.4 MG SL SUBL,128.38,128.38,,,0
NDC,70756-201-11,AMITRIPTYLINE HCL 10 MG PO TABS,14.48,14.48,,,0
NDC,70756-204-11,AMITRIPTYLINE HCL 75 MG PO TABS,15.0,15.0,,,0
NDC,70756-607-30,OFLOXACIN 0.3 % OP SOLN,351.75,351.75,,,0
NDC,70756-609-15,OFLOXACIN 0.3 % OT SOLN,629.36,629.36,,,0
NDC,70756-610-30,OFLOXACIN 0.3 % OT SOLN,1200.0,1200.0,,,0
NDC,70756-612-12,ARFORMOTEROL TARTRATE 15 MCG/2ML IN NEBU,81.44,81.44,,,0
NDC,70756-614-30,PHENYLEPHRINE HCL 10 % OP SOLN,128.59,128.59,,,0
NDC,70756-629-25,PHENYLEPHRINE HCL 2.5 % OP SOLN,190.34,190.34,,,0
NDC,70860-100-10,AZITHROMYCIN 500 MG/250ML NS (VIAL-MATE),74.9,74.9,,,0
NDC,70860-200-17,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,0.14,0.14,,,0
NDC,70860-200-50,PACLITAXEL 6 MG/ML IV CONC - CONSOLIDATED,3.08,3.08,,,0
NDC,70860-205-50,GEMCITABINE HCL 1 G IV SOLR,70.2,70.2,,,0
NDC,70860-211-74,FULVESTRANT 250 MG/5ML IM SOSY,260.0,260.0,,,0
NDC,70860-218-03,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,245.7,245.7,,,0
NDC,70860-218-10,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,23.06,23.06,,,0
NDC,70860-302-04,FUROSEMIDE 10 MG/ML IJ SOLN,37.5,37.5,,,0
NDC,70860-302-41,FUROSEMIDE 10 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,70860-302-43,FUROSEMIDE 10 MG/ML IJ SOLN,15.0,15.0,,,0
NDC,70860-405-41,BUMETANIDE 0.25 MG/ML IJ SOLN,19.985,19.985,,,0
NDC,70860-406-10,BUMETANIDE 0.25 MG/ML IJ SOLN,6.42,6.42,,,0
NDC,70860-406-41,BUMETANIDE 0.25 MG/ML IJ SOLN,9.38,9.38,,,0
NDC,70860-451-10,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,262.96,262.96,,,0
NDC,70860-603-82,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,4.37,4.37,,,0
NDC,70860-700-01,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,50.0,50.0,,,0
NDC,70860-776-02,ONDANSETRON HCL 4 MG/2ML IJ SOLN,18.75,18.75,,,0
NDC,70860-778-02,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,75.0,75.0,,,0
NDC,70860-784-05,VALPROATE SODIUM 100 MG/ML IV SOLN,56.25,56.25,,,0
NDC,70860-784-41,VALPROATE SODIUM 100 MG/ML IV SOLN,41.7,41.7,,,0
NDC,70954-021-10,PRAZOSIN HCL 5 MG PO CAPS,15.0,15.0,,,0
NDC,70954-041-10,RIFABUTIN 150 MG PO CAPS,57.48,57.48,,,0
NDC,70954-135-20,DAPSONE 25 MG PO TABS,12.11,12.11,,,0
NDC,70954-136-10,DAPSONE 100 MG PO TABS,16.63,16.63,,,0
NDC,70954-136-20,DAPSONE 100 MG PO TABS,15.0,15.0,,,0
NDC,70954-140-10,LEVOCARNITINE 1 GM/10ML PO SOLN,2.0,2.0,,,0
NDC,70954-151-10,NAPROXEN 125 MG/5ML PO SUSP,2.0,2.0,,,0
NDC,70954-212-10,TRIHEXYPHENIDYL HCL 2 MG PO TABS,5.0,5.0,,,0
NDC,70954-261-10,DICYCLOMINE HCL 10 MG/5ML PO SOLN,30.0,30.0,,,0
NDC,70954-273-10,FLUPHENAZINE HCL 1 MG PO TABS,24.16,24.16,,,0
NDC,70954-319-10,PAROXETINE HCL 10 MG/5ML PO SUSP,30.0,30.0,,,0
NDC,70954-443-10,MISOPROSTOL 100 MCG PO TABS,15.0,15.0,,,0
NDC,70954-484-10,PYRAZINAMIDE 500 MG PO TABS,24.53,24.53,,,0
NDC,70954-492-10,LEVOCARNITINE 330 MG PO TABS,0.72,0.72,,,0
NDC,70954-518-10,LIDOCAINE HCL 4 % EX SOLN,323.25,323.25,,,0
NDC,71225-133-01,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN,468.0,468.0,,,0
NDC,71266-5015-2,NOREPINEPHRINE 8MG/250ML NS SH (NON-WT BASED DOSING),329.385,329.385,,,0
NDC,71266-5250-1,PHENYLEPHRINE HCL-NACL 50-0.9 MG/250ML-% IV SOLN,0.08499999999999999,0.08499999999999999,,,0
NDC,71266-8603-1,MOXIFLOXACIN HCL 0.3 MG/0.3ML IO SOSY,229.26,229.26,,,0
NDC,71266-8613-1,MOXIFLOXACIN HCL 0.3 MG/0.3ML IO SOSY,240.62,240.62,,,0
NDC,71285-6039-1,OXYTOCIN-LACTATED RINGERS 30 UNIT/500ML IV SOLN,30.75,30.75,,,0
NDC,71286-3022-1,KETAMINE HCL-SODIUM CHLORIDE 50-0.9 MG/5ML-% IV SOSY,90.0,90.0,,,0
NDC,71288-006-31,AMPICILLIN/SULBACTAM 3G/100ML NS (MINIBAG),37.5,37.5,,,0
NDC,71288-016-15,DAPTOMYCIN 500 MG IV SOLR,0.485,0.485,,,0
NDC,71288-027-30,VORICONAZOLE 200 MG/20ML IV (WET SOLR VIAL),13.67,13.67,,,0
NDC,71288-032-20,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,37.5,37.5,,,0
NDC,71288-113-10,GEMCITABINE HCL 200 MG IV SOLR,144.595,144.595,,,0
NDC,71288-114-50,GEMCITABINE HCL 1000 MG/26.3ML IV (WET SOLR VIAL),70.94,70.94,,,0
NDC,71288-115-30,AZACITIDINE 100 MG IJ SUSR,0.27,0.27,,,0
NDC,71288-117-06,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,191.035,191.035,,,0
NDC,71288-117-28,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,60.0,60.0,,,0
NDC,71288-137-20,MITOMYCIN 5MG IV SOLR CHEMO (PF) FOR OPHTH USE,766.96,766.96,,,0
NDC,71288-144-08,DOCETAXEL 80 MG/8ML IV SOLN,15.6,15.6,,,0
NDC,71288-162-30,LEUCOVORIN CALCIUM 200 MG IJ SOLR,78.26,78.26,,,0
NDC,71288-163-30,LEUCOVORIN CALCIUM 350 MG/17.5ML IJ (WET SOLR VIAL),27.79,27.79,,,0
NDC,71288-164-50,LEUCOVORIN CALCIUM 500 MG/50ML IJ (WET SOLR VIAL),67.23,67.23,,,0
NDC,71288-166-10,PEMETREXED DISODIUM 100 MG IV SOLR,23.384999999999998,23.384999999999998,,,0
NDC,71288-167-50,PEMETREXED DISODIUM 500 MG/20ML IV (WET SOLR VIAL),23.315,23.315,,,0
NDC,71288-201-85,REGADENOSON 0.4 MG/5ML IV SOLN,41.480000000000004,41.480000000000004,,,0
NDC,71288-203-04,FUROSEMIDE 10 MG/ML IJ SOLN,28.12,28.12,,,0
NDC,71288-203-05,FUROSEMIDE 10 MG/ML IJ SOLN,34.375,34.375,,,0
NDC,71288-303-01,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,75.0,75.0,,,0
NDC,71288-402-10,HEPARIN TOPICAL SCRUB FOR VENOUS CONGESTION SH,25.0,25.0,,,0
NDC,71288-403-02,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,15.0,15.0,,,0
NDC,71288-410-80,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,25.0,25.0,,,0
NDC,71288-427-10,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,2.97,2.97,,,0
NDC,71288-427-11,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3.12,3.12,,,0
NDC,71288-432-80,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,25.0,25.0,,,0
NDC,71288-433-82,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,18.75,18.75,,,0
NDC,71288-434-84,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,12.67,12.67,,,0
NDC,71288-435-86,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN IPS SH,10.675,10.675,,,0
NDC,71288-713-21,CISATRACURIUM BESYLATE (PF) 200 MG/20ML IV SOLN,390.0,390.0,,,0
NDC,71288-719-10,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,7.5,7.5,,,0
NDC,71288-803-20,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,10.275,10.275,,,0
NDC,71288-803-21,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,9.92,9.92,,,0
NDC,71321-803-20,CALCIUM ACETATE (PHOS BINDER) 667 MG PO TABS,9.51,9.51,,,0
NDC,71351-010-99,POTASSIUM & SODIUM PHOSPHATES 280-160-250 MG PO PACK,1.67,1.67,,,0
NDC,71351-012-50,ACIDOPHILUS PO TABS,2.0,2.0,,,0
NDC,71399-0120-1,HYDROCORTISONE 1 % EX LOTN,2.0,2.0,,,0
NDC,71399-0122-4,VITAMINS A & D EX OINT,2.0,2.0,,,0
NDC,71456-001-01,SODIUM BICARBONATE 8.4 % IV SOLN,75.0,75.0,,,0
NDC,71469-231-01,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR,7362.96,7362.96,,,0
NDC,71773-050-12,ERAVACYCLINE DIHYDROCHLORIDE 50 MG IV SOLR,9.504999999999999,9.504999999999999,,,0
NDC,71773-100-05,ERAVACYCLINE DIHYDROCHLORIDE 100 MG IV SOLR,7.915,7.915,,,0
NDC,71773-100-12,ERAVACYCLINE DIHYDROCHLORIDE 100 MG/5ML IV (WET SOLR VIAL),7.98,7.98,,,0
NDC,71839-104-01,FOSAPREPITANT DIMEGLUMINE 150 MG/5ML IV (WET SOLR VIAL),11.82,11.82,,,0
NDC,71921-226-10,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,490.4,490.4,,,0
NDC,72140-45231,AQUAPHOR EX OINT,2.0,2.0,,,0
NDC,72140-63608,AQUAPHOR EX OINT,2.0,2.0,,,0
NDC,72196-0431-1,NEONATAL STARTER TPN AA3.5%-DEX10 WITH HEPARIN,1000.0,1000.0,,,0
NDC,72196-6039-1,OXYTOCIN 30 UNITS/500 ML LACTATED RINGERS IV DRIP FOR INDUCTION (PREMIX) SH,25.0,25.0,,,0
NDC,72205-004-90,ROSUVASTATIN CALCIUM 20 MG PO TABS,40.66,40.66,,,0
NDC,72205-025-90,ATORVASTATIN CALCIUM 80 MG PO TABS,31.76,31.76,,,0
NDC,72205-044-11,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS,61.83,61.83,,,0
NDC,72205-051-08,ALBENDAZOLE 200 MG PO TABS,686.72,686.72,,,0
NDC,72205-054-01,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,10.71,10.71,,,0
NDC,72205-099-78,SIROLIMUS 1 MG/ML PO SOLN,157.9,157.9,,,0
NDC,72205-101-01,BUMETANIDE 0.25 MG/ML IJ SOLN,19.66,19.66,,,0
NDC,72205-101-07,BUMETANIDE 0.25 MG/ML IJ SOLN,12.25,12.25,,,0
NDC,72205-102-01,BUMETANIDE 0.25 MG/ML IJ SOLN,10.71,10.71,,,0
NDC,72205-102-07,BUMETANIDE 0.25 MG/ML IJ SOLN,5.55,5.55,,,0
NDC,72266-102-01,LABETALOL HCL 5MG/ML IV SOLN - CONSOLIDATED,43.125,43.125,,,0
NDC,72266-103-01,LABETALOL HCL 5 MG/ML IV SOLN,1.26,1.26,,,0
NDC,72266-118-25,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,39.92,39.92,,,0
NDC,72266-124-01,ONDANSETRON HCL 40 MG/20ML IJ SOLN,4.695,4.695,,,0
NDC,72266-146-01,ETOMIDATE 2 MG/ML IV SOLN,64.66,64.66,,,0
NDC,72266-158-01,MOXIFLOXACIN HCL 0.5 % OP SOLN,69.39,69.39,,,0
NDC,72266-160-10,ZIPRASIDONE MESYLATE 20 MG IM SOLR,127.88,127.88,,,0
NDC,72266-197-01,DORZOLAMIDE HCL 2 % OP SOLN,90.0,90.0,,,0
NDC,72266-248-01,SINCALIDE 5 MCG IJ SOLR,364.475,364.475,,,0
NDC,72485-101-25,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,75.0,75.0,,,0
NDC,72485-104-01,CAFFEINE CITRATE 60 MG/3ML IV SOLN,32.4,32.4,,,0
NDC,72485-108-05,VERAPAMIL HCL 2.5 MG/ML IV SOLN,87.44,87.44,,,0
NDC,72485-201-01,AZACITIDINE 100 MG/10ML IJ SUSR (WET SOLR VIAL),0.29,0.29,,,0
NDC,72485-403-01,PIPERACILLIN/TAZOBACTAM 3.375 GM/100ML NS (MINIBAG),39.99,39.99,,,0
NDC,72485-404-01,PIPERACILLIN/TAZOBACTAM 4.5 GM/100ML NS (MINIBAG),37.98,37.98,,,0
NDC,72485-417-01,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,37.5,37.5,,,0
NDC,72485-422-01,"AMPICILLIN 2,000MG/100ML NS (MINIBAG)",18.75,18.75,,,0
NDC,72485-670-31,ERYTHROMYCIN 5 MG/GM OP OINT,65.0,65.0,,,0
NDC,72603-101-01,OXALIPLATIN 5 MG/ML IV SOLN - CONSOLIDATED,5.130000000000001,5.130000000000001,,,0
NDC,72603-103-01,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,2098.69,2098.69,,,0
NDC,72603-139-01,THIAMINE HCL 100 MG/ML IJ SOLN,69.09,69.09,,,0
NDC,72603-200-01,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ,2026.81,2026.81,,,0
NDC,72603-209-01,SODIUM BICARBONATE 8.4 % IV SOLN,81.62,81.62,,,0
NDC,72603-209-25,SODIUM BICARBONATE 8.4 % IV SOLN,81.9,81.9,,,0
NDC,72603-240-01,GLYCOPYRROLATE 1 MG/5ML PO SOLN,31.35,31.35,,,0
NDC,72611-716-01,DEXRAZOXANE HCL 500 MG IV SOLR,594.445,594.445,,,0
NDC,72611-722-25,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,37.5,37.5,,,0
NDC,72611-860-01,ACETYLCYSTEINE 200 MG/ML IV SOLN,4.78,4.78,,,0
NDC,72611-860-04,ACETYLCYSTEINE 200 MG/ML IV SOLN,4.8,4.8,,,0
NDC,72618-3000-2,RIMEGEPANT SULFATE 75 MG PO TBDP,449.56,449.56,,,0
NDC,72694-515-01,CALASPARGASE PEGOL-MKNL 3750 UNIT/5ML IV SOLN,129.88,129.88,,,0
NDC,72769-181-01,PERAMIVIR 200 MG/20ML IV SOLN,9.64,9.64,,,0
NDC,72769-181-03,PERAMIVIR 200 MG/20ML IV SOLN,7.6,7.6,,,0
NDC,72819-152-05,MITOMYCIN 5MG IV SOLR CHEMO (PF) FOR OPHTH USE,202.19,202.19,,,0
NDC,72888-035-01,CARVEDILOL 6.25 MG PO TABS,14.02,14.02,,,0
NDC,72888-061-30,AMIODARONE HCL 400 MG PO TABS,40.05,40.05,,,0
NDC,72903-853-01,MIRVETUXIMAB SORAVTANSINE-GYNX 100 MG/20ML IV SOLN,112.91,112.91,,,0
NDC,73293-0001-1,LIDOCAINE HCL (PF) 1 % IJ SOLN,70.465,70.465,,,0
NDC,73293-0001-2,LIDOCAINE HCL 1 % IJ SOLN,27.35,27.35,,,0
NDC,73562-104-10,PANCRELIPASE (LIP-PROT-AMYL) 10440-39150 UNITS PO TABS,27.22,27.22,,,0
NDC,73562-110-01,PANCRELIPASE (LIP-PROT-AMYL) 10000-32000 UNITS PO CPEP,24.51,24.51,,,0
NDC,73562-111-01,PANCRELIPASE (LIP-PROT-AMYL) 15000-47000 UNITS PO CPEP,33.09,33.09,,,0
NDC,73562-112-01,PANCRELIPASE (LIP-PROT-AMYL) 20000-63000 UNITS PO CPEP,41.14,41.14,,,0
NDC,73562-115-01,PANCRELIPASE (LIP-PROT-AMYL) 5000-24000 UNITS PO CPEP,14.19,14.19,,,0
NDC,74300-00070,ZINC OXIDE 40 % EX PSTE,2.0,2.0,,,0
NDC,74676-5902-1,TRIPTORELIN PAMOATE 3.75 MG IM SUSR,5200.0,5200.0,,,0
NDC,75826-115-10,PHENAZOPYRIDINE HCL 200 MG PO TABS,2.0,2.0,,,0
NDC,75834-158-01,VERAPAMIL HCL ER 180 MG PO TBCR,15.0,15.0,,,0
NDC,75834-159-01,VERAPAMIL HCL ER 240 MG PO TBCR,15.0,15.0,,,0
NDC,75834-170-01,ZINC OXIDE 20 % EX OINT,2.0,2.0,,,0
NDC,75834-242-30,ERYTHROMYCIN BASE 250 MG PO TABS,55.0,55.0,,,0
NDC,75834-280-30,POTASSIUM IODIDE (EXPECTORANT) 1 GM/ML PO SOLN,1204.92,1204.92,,,0
NDC,75834-294-01,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5ML PO SUSR,65.0,65.0,,,0
NDC,75834-295-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR,30.0,30.0,,,0
NDC,75834-314-01,THYROID 120 MG PO TABS,15.0,15.0,,,0
NDC,75987-130-15,TEPROTUMUMAB-TRBW 500 MG IV SOLR,521.38,521.38,,,0
NDC,76014-003-10,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,12.86,12.86,,,0
NDC,76014-004-33,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,0.08,0.08,,,0
NDC,76014-005-25,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN,86.73,86.73,,,0
NDC,76045-004-10,MORPHINE SULFATE 2 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,76045-005-10,MORPHINE SULFATE 4 MG/ML IJ SOLN,90.0,90.0,,,0
NDC,76075-101-01,CARFILZOMIB 60 MG IV SOLR,124.815,124.815,,,0
NDC,76075-102-01,CARFILZOMIB 30 MG IV SOLR,250.0,250.0,,,0
NDC,76075-103-01,CARFILZOMIB 10 MG IV SOLR,346.48,346.48,,,0
NDC,76204-022-60,SODIUM CHLORIDE 3% IN NEBU,1.92,1.92,,,0
NDC,76204-100-01,IPRATROPIUM BROMIDE 0.02 % IN SOLN,17.595,17.595,,,0
NDC,76204-200-01,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,4.6,4.6,,,0
NDC,76204-600-01,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,15.0,15.0,,,0
NDC,76204-800-01,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU,10.545,10.545,,,0
NDC,76204-900-01,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU,9.870000000000001,9.870000000000001,,,0
NDC,76282-225-60,GEMFIBROZIL 600 MG PO TABS,15.0,15.0,,,0
NDC,76297-001-02,NACL 0.9% IV SOLN,75.0,75.0,,,0
NDC,76297-001-31,NACL 0.9% IV SOLN,72.75,72.75,,,0
NDC,76299-430-04,NITROGLYCERIN 400 MCG/SPRAY TL AERS,1200.0,1200.0,,,0
NDC,76329-1240-1,PHYTONADIONE 1 MG/0.5ML IJ SOLN,206.66,206.66,,,0
NDC,76329-3011-5,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY,2.0,2.0,,,0
NDC,76329-3013-5,LIDOCAINE 2% GEL UROJET INJ SH,2.54,2.54,,,0
NDC,76329-3302-1,D50W IV SOLN PRELOAD SYRINGE,48.29,48.29,,,0
NDC,76329-3304-1,CALCIUM CHLORIDE 10 % IV SOLN,85.61,85.61,,,0
NDC,76329-3316-1,EPINEPHRINE 1 MG/10ML IJ SOSY,25.0,25.0,,,0
NDC,76329-3318-1,EPINEPHRINE 0.1MG/ML INJ (PEDIATRIC) SH,11.73,11.73,,,0
NDC,76329-3339-1,ATROPINE SULFATE 1 MG/10ML IJ SOSY,1.8699999999999999,1.8699999999999999,,,0
NDC,76329-3352-1,SODIUM BICARBONATE 8.4 % IV SOLN,146.25,146.25,,,0
NDC,76329-3369-1,NALOXONE HCL 2 MG/2ML IJ SOSY,119.83500000000001,119.83500000000001,,,0
NDC,76329-3390-1,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY,7.41,7.41,,,0
NDC,76329-6300-5,LIDOCAINE HCL 4 % MT SOLN,93.09,93.09,,,0
NDC,76329-9061-0,EPINEPHRINE-NACL 5-0.9 MG/250ML-% IV SOLN,488.31,488.31,,,0
NDC,76388-880-25,THIOGUANINE 40 MG PO TABS,3.36,3.36,,,0
NDC,76439-309-10,HYOSCYAMINE SULFATE 0.125 MG SL SUBL,14.3,14.3,,,0
NDC,76518-030-50,POLY-VI-SOL PO SOLN,2.0,2.0,,,0
NDC,77333-516-25,MELATONIN 3 MG PO TABS,1.98,1.98,,,0
NDC,77333-520-25,MELATONIN 5 MG PO TABS,1.42,1.42,,,0
NDC,77333-800-25,SACCHAROMYCES BOULARDII 250 MG PO CAPS,1.82,1.82,,,0
NDC,77333-812-25,SIMETHICONE 80 MG PO CHEW,1.73,1.73,,,0
NDC,77333-831-25,SODIUM BICARBONATE 650 MG PO TABS,1.75,1.75,,,0
NDC,77333-835-25,SODIUM CHLORIDE 1 G PO TABS,1.5,1.5,,,0
NDC,77333-844-10,SODIUM CHLORIDE 1 G PO TABS,1.33,1.33,,,0
NDC,77333-934-25,THIAMINE HCL/MONONITRATE 100 MG PO TABS - CONSOLIDATED,1.97,1.97,,,0
NDC,77333-938-25,CYANOCOBALAMIN 1000 MCG PO TABS,1.95,1.95,,,0
NDC,77333-940-25,PYRIDOXINE HCL 50 MG PO TABS,2.0,2.0,,,0
NDC,77333-948-25,CHOLECALCIFEROL 10 MCG (400 UNIT) PO TABS,1.86,1.86,,,0
NDC,77333-951-25,VITAMIN E 400 UNITS PO CAPS,1.97,1.97,,,0
NDC,77333-983-25,ZINC SULFATE 220 (50 ZN) MG PO CAPS,2.0,2.0,,,0
NDC,78112-01106,BENZOCAINE-MENTHOL 6-10 MG MT LOZG,1.99,1.99,,,0
NDC,78112-01107,BENZOCAINE-MENTHOL 6-10 MG MT LOZG,2.0,2.0,,,0
NDC,78112-01266,BENZOCAINE-MENTHOL 6-10 MG MT LOZG,2.0,2.0,,,0
NDC,78112-10189,BENZOCAINE 15 MG MT LOZG,2.0,2.0,,,0
NDC,78112-73621,CARBAMIDE PEROXIDE 6.5 % OT SOLN,2.0,2.0,,,0
NDC,78112-73623,CARBAMIDE PEROXIDE 6.5 % OT SOLN,2.0,2.0,,,0
NDC,78206-118-01,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP,65.485,65.485,,,0
NDC,78206-145-01,ETONOGESTREL 68 MG SC IMPL,5550.16,5550.16,,,0
NDC,80203-347-01,SUTIMLIMAB-JOME 1100 MG/22ML IV SOLN,30.76,30.76,,,0
NDC,80446-401-01,TEBENTAFUSP-TEBN 100 MCG/0.5ML IV SOLN,364.02,364.02,,,0
NDC,8065-183055,SODIUM HYALURONATE 5.5 MG/0.55ML IO SOSY,811.71,811.71,,,0
NDC,8065-183905,NA CHONDROIT SULF-NA HYALURON 20-15 MG/0.5ML IO SOSY,1049.94,1049.94,,,0
NDC,80681-01900,NIACINAMIDE 500 MG PO TABS,2.0,2.0,,,0
NDC,80681-04100,MELATONIN 1 MG PO TABS,2.0,2.0,,,0
NDC,80681-07100,CYANOCOBALAMIN 100 MCG PO TABS,1.7,1.7,,,0
NDC,80681-09700,VITAMIN B-1 50 MG PO TABS,1.0,1.0,,,0
NDC,80681-12600,B-COMPLEX+VITAMIN C PO TABS SH,2.0,2.0,,,0
NDC,80681-13400,VITAMIN E 100 UNITS PO CAPS,2.0,2.0,,,0
NDC,80681-14000,CALCIUM CITRATE 950 (200 CA) MG PO TABS,1.03,1.03,,,0
NDC,80725-630-25,THIOGUANINE 40 MG PO TABS,476.4,476.4,,,0
NDC,80777-102-01,COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY,975.0,975.0,,,0
NDC,80777-110-01,COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY,975.0,975.0,,,0
NDC,80830-1691-1,POTASSIUM PHOSPHATES(66 MEQ K) 45 MMOLE/15ML IV SOLN,162.02,162.02,,,0
NDC,80830-1691-2,POTASSIUM PHOSPHATES(66 MEQ K) 45 MMOLE/15ML IV SOLN,162.0,162.0,,,0
NDC,80830-2329-1,TRANEXAMIC ACID-NACL 1000-0.7 MG/100ML-% IV SOLN,172.2,172.2,,,0
NDC,80830-2362-1,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,165.9,165.9,,,0
NDC,80830-2465-1,METRONIDAZOLE 500 MG/100ML IV SOLN,2.565,2.565,,,0
NDC,81033-220-52,POTASSIUM CHLORIDE 20 MEQ/15ML (10%) PO SOLN,1.0,1.0,,,0
NDC,81080-5000-04,BELZER UW SOLN,1160.0,1160.0,,,0
NDC,81284-315-05,INDIGOTINDISULFONATE SODIUM 8 MG/ML IV SOLN,2000.0,2000.0,,,0
NDC,81284-411-10,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN,538.69,538.69,,,0
NDC,81284-611-00,TRANEXAMIC ACID 1000MG/10ML TOPICAL SOLN SH,70.28,70.28,,,0
NDC,81284-611-10,TRANEXAMIC ACID 1000MG/10ML TOPICAL SOLN SH,75.0,75.0,,,0
NDC,8137-001946,OXIDIZED CELLULOSE 6X9 IN EX FAB KNITTED,180.94,180.94,,,0
NDC,8137-004350,OXIDIZED CELLULOSE ADHESION BARRIER PADS,329.48,329.48,,,0
NDC,81483-0004-0,BUPIVACAINE HCL 0.5 % IJ SOLN,0.75,0.75,,,0
NDC,82347-0505-5,LIDOCAINE 5 % EX PTCH,18.75,18.75,,,0
NDC,82625-8801-1,NALOXEGOL OXALATE 12.5 MG PO TABS,62.88,62.88,,,0
NDC,82625-8802-3,NALOXEGOL OXALATE 25 MG PO TABS,66.19,66.19,,,0
NDC,8290-236712,LACTINEX PO PACK,2.0,2.0,,,0
NDC,8290-306424,HEPARIN NA (PORK) LOCK FLSH PF 100 UNIT/ML IV SOLN,0.47,0.47,,,0
NDC,8290-306499,NACL 0.9% FLUSH IV SOLN CONSOLIDATED,42.14,42.14,,,0
NDC,8290-306544,NACL 0.9% FLUSH IV SOLN CONSOLIDATED,13.67,13.67,,,0
NDC,8290-306546,NACL 0.9% FLUSH IV SOLN CONSOLIDATED,12.905000000000001,12.905000000000001,,,0
NDC,8290-306547,NACL 0.9% FLUSH IV SOLN CONSOLIDATED,11.870000000000001,11.870000000000001,,,0
NDC,83257-001-11,TRASTUZUMAB-DKST 150 MG IV SOLR,261.15,261.15,,,0
NDC,83257-005-41,PEGFILGRASTIM-JMDB 6 MG/0.6ML SC SOSY,583.83,583.83,,,0
NDC,83490-207-60,SODIUM CHLORIDE 7% IN NEBU,1.1199999999999999,1.1199999999999999,,,0
NDC,8544-508321,SODIUM HYALURONATE 13.8 MG/0.6ML IO SOSY,702.04,702.04,,,0
NDC,8544-508421,SODIUM HYALURONATE 8.5 MG/0.85ML IO SOSY,932.6,932.6,,,0
NDC,8544-636981,SODIUM HYALURONATE 8.5 MG/0.85ML IO SOSY,891.84,891.84,,,0
NDC,8544-636991,SODIUM HYALURONATE 13.8 MG/0.6ML IO SOSY,744.34,744.34,,,0
NDC,87701-14975,TETRAHYDROZOLINE HCL 0.05 % OP SOLN,2.0,2.0,,,0
NDC,8881-570121,NACL 0.9% FLUSH IV SOLN CONSOLIDATED,5.56,5.56,,,0
NDC,8881-579121,NACL 0.9% FLUSH IJ SOLN RADIOLOGY SH,1.95,1.95,,,0
NDC,99999-0001-31,ZZ CEFTRIAXONE (ROCEPHIN) 1 GM (MINIBAG),74.75,74.75,,,0
NDC,99999-0001-71,CIPROFLOXACIN 250 MG/5ML (5%) PO SUSR,12.5,12.5,,,0
NDC,99999-0002-63,FLUCONAZOLE 40 MG/ML PO SUSR,17.12,17.12,,,0
NDC,99999-0004-05,OXYCODONE HCL 100 MG/5ML PO CONC,20.4,20.4,,,0
NDC,99999-0004-22,POLY-VI-SOL/IRON 11 MG/ML PO SOLN,2.0,2.0,,,0
NDC,99999-0006-09,D50W IV SOLN PRELOAD SYRINGE,37.5,37.5,,,0
NDC,99999-0006-31,OXYTOCIN 30 UNITS/500 ML LACTATED RINGERS IV DRIP FOR INDUCTION (PREMIX) SH,207.62,207.62,,,0
NDC,99999-0006-34,PSYLLIUM VARIABLE DOSE POWDER SH,2.0,2.0,,,0
NDC,99999-0006-37,SUCROSE 24% SUCKING SOLN SH,2.0,2.0,,,0
NDC,99999-0006-43,HYDROMORPHONE VARIABLE DOSE INJ,87.695,87.695,,,0
NDC,99999-0006-45,KETOROLAC VARIABLE DOSE INJ,68.52,68.52,,,0
NDC,99999-0006-48,MEPERIDINE VARIABLE DOSE INJ,138.75,138.75,,,0
NDC,99999-0006-49,MORPHINE VARIABLE DOSE INJ,80.53999999999999,80.53999999999999,,,0
NDC,99999-0007-46,METHADONE HCL 5 MG/5ML PO SOLN,10.0,10.0,,,0
NDC,99999-0007-47,METHADONE HCL 5 MG/5ML PO SOLN,26.0,26.0,,,0
NDC,99999-0007-56,KETOROLAC VARIABLE DOSE INJ (PEDIATRIC) SH,60.29,60.29,,,0
NDC,99999-0007-93,OXIDIZED CELLULOSE 2X3 IN EX FAB SHEER,92.44,92.44,,,0
NDC,99999-0007-94,OXIDIZED CELLULOSE 2X4 IN EX FAB FIBROUS,237.28,237.28,,,0
NDC,99999-0007-95,OXIDIZED CELLULOSE 4X8 IN EX FAB SHEER,126.63,126.63,,,0
NDC,99999-0008-62,METHADONE HCL 5 MG/5ML PO SOLN,13.15,13.15,,,0
NDC,99999-0008-92,NAFCILLIN 40MG/ML IV SYRINGE (PEDIATRIC),75.0,75.0,,,0
NDC,99999-0010-24,URSODIOL (ACTIGALL) 25 MG/ML ORAL SUSPENSION,3.17,3.17,,,0
NDC,99999-0010-70,OPIUM 10MG/ML (1%) PO TINC SH,40.0,40.0,,,0
NDC,99999-0010-76,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR,55.0,55.0,,,0
NDC,99999-0011-13,AMPICILLIN/SULBACTAM 3G/100ML NS (MINIBAG),37.5,37.5,,,0
NDC,99999-0011-14,AZITHROMYCIN 500 MG/250ML NS (VIAL-MATE),75.0,75.0,,,0
NDC,99999-0011-18,CEFOXITIN (MEFOXIN) 2000MG/100ML NS (MINIBAG),78.75,78.75,,,0
NDC,99999-0011-24,CEFTRIAXONE (ROCEPHIN) 2000 MG/100ML NS (MINIBAG),74.27,74.27,,,0
NDC,99999-0011-25,"CEFAZOLIN 1,000 MG/50ML NS (MINIBAG)",26.775,26.775,,,0
NDC,99999-0011-27,CEFEPIME 2000MG/100ML NS (MINIBAG),66.04,66.04,,,0
NDC,99999-0012-28,FUROSEMIDE 10MG/ML IV SOLN (PEDIATRIC) SH,75.0,75.0,,,0
NDC,99999-0012-35,NXSTAGE PUREFLOW RFP 400 DIALYSATE SOLUTION,150.38,150.38,,,0
NDC,99999-0012-36,NXSTAGE PUREFLOW RFP 402 DIALYSATE SOLUTION,150.21,150.21,,,0
NDC,99999-0013-85,LACOSAMIDE 10 MG/ML PO SOLN,52.47,52.47,,,0
NDC,99999-0014-51,"SKIN ADHESIVE (DERMABOND, EXOFIN) EX LIQD SH",82.52,82.52,,,0
NDC,99999-0015-12,LACOSAMIDE 10 MG/ML PO SOLN,101.33,101.33,,,0
NDC,99999-0015-22,SALT AND SODA MOUTHWASH (COMPOUND) SH,13.24,13.24,,,0
NDC,99999-0015-33,ETHERIZED OXIDIZED CELLULOSE 0.5X2 IN EX PADS,33.22,33.22,,,0
NDC,99999-0015-35,SPIRONOLACTONE 5MG/ML ORAL SUSP (PEDIATRIC),5.0,5.0,,,0
NDC,99999-0015-40,CLONAZEPAM 0.1MG/ML ORAL SUSP (PEDIATRIC) SH,40.0,40.0,,,0
NDC,99999-0015-41,CAFFEINE CITRATE 60 MG/3ML IV SOLN,75.0,75.0,,,0
NDC,99999-0015-42,POTASSIUM CHLORIDE 1MEQ/ML ORAL SOLN (PEDIATRIC) SH,1.0,1.0,,,0
NDC,99999-0015-73,DICYCLOMINE HCL 10 MG/5ML PO SOLN,3.0,3.0,,,0
NDC,99999-0015-75,GLYCERIN LIQD,2.0,2.0,,,0
NDC,99999-0015-87,PAROXETINE HCL 10 MG/5ML PO SUSP,32.97,32.97,,,0
NDC,99999-0015-92,VANCOMYCIN 33MG/ML FORTIFIED OPHTH SOLN *COMPOUNDED* SH,30.0,30.0,,,0
NDC,99999-0015-94,METRONIDAZOLE 50MG/ML ORAL SUSP *COMPOUNDED*,15.0,15.0,,,0
NDC,99999-0016-26,ALLOPURINOL 20MG/ML ORAL LIQD *COMPOUNDED* (PEDIATRIC) SH,1.0,1.0,,,0
NDC,99999-0016-97,ZINC SULFATE 44MG/ML ORAL LIQUID *COMPOUND*,30.0,30.0,,,0
NDC,99999-0017-82,FENTANYL PF 10MCG/ML IN 0.9% NACL 10ML IV DRIP (PEDIATRIC) (PREMIX) SH,90.0,90.0,,,0
NDC,99999-0017-89,METOPROLOL 10MG/ML ORAL SUSP *COMPOUNDED* SH,15.0,15.0,,,0
NDC,99999-0019-21,NXSTAGE PUREFLOW RFP 404 DIALYSATE SOLUTION,157.38,157.38,,,0
NDC,99999-0019-63,VANCOMYCIN 25MG/ML BSS OPHTH SOLN *COMPOUND* SH,30.0,30.0,,,0
NDC,99999-0019-85,MINERAL OIL PO OIL,15.0,15.0,,,0
NDC,99999-0020-53,CLONIDINE 10MCG/ML ORAL SUSP (NEONATAL) SH,4.87,4.87,,,0
NDC,99999-0020-54,NXSTAGE PUREFLOW RFP 401 DIALYSATE SOLUTION,150.47,150.47,,,0
NDC,99999-0020-56,NXSTAGE PUREFLOW RFP 456 DIALYSATE SOLUTION,150.5,150.5,,,0
NDC,99999-0022-06,TACROLIMUS 0.5 MG/ML ORAL LIQ *COMPOUND*,37.8,37.8,,,0
NDC,99999-0023-34,PHENOBARBITAL 20 MG/5ML PO ELIX,40.0,40.0,,,0
NDC,99999-0023-36,INFANT/TODDLER'S (UDO'S CHOICE) PROBIOTIC PO POWDER,30.0,30.0,,,0
NDC,99999-0023-69,ADENOSINE 100MCG/ML IN NS (CUSTOM) NARRATOR,75.0,75.0,,,0
NDC,99999-0024-97,STUDY RX: INVESTIGATIONAL NIVOLUMAB 100MG/10ML IV SOLN SH,0.00035,0.00035,,,0
NDC,99999-0025-38,MORPHINE SULFATE-NACL 150-0.9 MG/30ML-% IV SOSY,9.25,9.25,,,0
NDC,99999-0025-54,STUDY RX: INVESTIGATIONAL IPILIMUMAB 5MG/ML IV SOLN SH,0.0001,0.0001,,,0
NDC,99999-0025-62,STUDY RX: INVESTIGATIONAL MK-3475 (PEMBROLIZUMAB) 100MG/4ML IV SOLN SH,0.0042,0.0042,,,0
NDC,99999-0025-87,NICARDIPINE 100MCG/ML IN NS (CUSTOM) NARRATOR,677.56,677.56,,,0
NDC,99999-0025-88,NITROPRUSSIDE 100MCG/ML IN D5W (CUSTOM) NARRATOR,75.0,75.0,,,0
NDC,99999-0026-18,STUDY RX: INVESTIGATIONAL SARGRAMOSTIM 250MCG IV SOLR,0.01,0.01,,,0
NDC,99999-0026-37,STUDY RX: INVESTIGATIONAL PEMBROLIZUMAB 100MG/4ML IV SOLN SH,0.0013,0.0013,,,0
NDC,99999-0026-56,STUDY RX: INVESTIGATIONAL MIRVETUXIMAB SORAVTANSINE (IMGN853) 100MG/20ML IV SOLN SH,0.01,0.01,,,0
NDC,99999-0026-76,NOREPINEPHRINE 8MG/250ML NS SH (NON-WT BASED DOSING),1725.0,1725.0,,,0
NDC,99999-0026-83,HYDROMORPHONE 1MG/ML IV PCA (NS) (PREMIX) SH,17.94,17.94,,,0
NDC,99999-0030-45,ZINC SULFATE 44MG/ML ORAL LIQUID *COMPOUND*,29.91,29.91,,,0
NDC,99999-0030-65,METOPROLOL 10MG/ML ORAL SUSP *COMPOUNDED* SH,15.0,15.0,,,0
NDC,99999-0032-57,STUDY RX: INVESTIGATIONAL MRNA-4157 1MG/ML IM SOLN,0.01,0.01,,,0
NDC,99999-0032-90,CHLOROTHIAZIDE 50MG/ML PO SOLN SH,120.0,120.0,,,0
NDC,99999-0032-96,TOBRAMYCIN 15MG/ML ARTIFICIAL TEARS OPHTH SOLN *COMPOUNDED* SH,65.0,65.0,,,0
NDC,99999-0033-16,STUDY RX: INVESTIGATIONAL DAPAGLIFLOZIN 10MG OR PLACEBO,0.01,0.01,,,0
NDC,99999-0036-10,STUDY RX: INVESTIGATIONAL STRO-002 10MG/ML IV SOLN SH,0.0033,0.0033,,,0
NDC,99999-0036-50,ALUMINUM 1% IN SW IRRIGATION SH,1230.0,1230.0,,,0
NDC,99999-0036-87,STUDY RX: INVESTIGATIONAL PACLITAXEL PROTEIN-BOUND 100MG IV SUSR,0.01,0.01,,,0
NDC,99999-0036-88,STUDY RX: INVESTIGATIONAL BXQ-350 8.8MG IV SOLR,0.01,0.01,,,0
NDC,99999-0037-21,STUDY RX: INVESTIGATIONAL ADUCANUMAB OR PLACEBO 300MG/3ML IV SOLN SH,0.0043,0.0043,,,0
NDC,99999-0037-24,OXIDIZED CELLULOSE 2X14 IN EX FAB SHEER,253.26,253.26,,,0
NDC,99999-0037-25,STUDY RX: INVESTIGATIONAL MK-7684A (VIBOSTOLIMAB 200MG/PEMBROLIZUMB 200MG) OR PEMBROLIZUMAB 200MG IV SOLN SH,0.01,0.01,,,0
NDC,99999-0037-42,STUDY RX: INVESTIGATIONAL R2R01 10MG/ML INJ,0.01,0.01,,,0
NDC,99999-0037-45,STUDY RX: INVESTIGATIONAL R2R01 10MG/ML IV SOLN SH,0.01,0.01,,,0
NDC,99999-0037-65,ZZ STUDY RX: INVESTIGATIONAL MILVEXIAN 25MG PO CAPS OR PLACEBO,0.01,0.01,,,0
NDC,99999-0037-74,STUDY RX: INVESTIGATIONAL LIVMONIPLIMAB (ABBV-151) 200MG/10ML IV SOLN SH,0.0001,0.0001,,,0
NDC,99999-0037-75,STUDY RX: INVESTIGATIONAL BUDIGALIMAB (ABBV-181) 100MG IV SOLR SH,0.0025,0.0025,,,0
NDC,99999-0037-78,STUDY RX: INVESTIGATIONAL DONANEMAB OR PLACEBO 17.5MG/ML IV SOLN SH,0.005,0.005,,,0
NDC,99999-0037-80,METRONIDAZOLE 50MG/ML ORAL SUSP *COMPOUNDED*,30.0,30.0,,,0
NDC,99999-0038-26,VANCOMYCIN 1MG/0.1ML NS INTRAVITREAL SOLN *COMPOUNDED* SH,30.0,30.0,,,0
NDC,99999-0038-45,STUDY RX: INVESTIGATIONAL MK-2870 200MG/10ML IV SOLN SH,0.005,0.005,,,0