code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
APC,0701,Sr89 strontium,,,5021.97,6736.88,4
APC,0702,"Inj, human-lans, per i.u",,,1.53,2.05,4
APC,0703,Inj daxibotulinumtoxina-lanm,,,3.77,5.05,4
APC,0704,"Inj, aflibercept hd, 1 mg",,,387.26,519.5,4
APC,0705,Inj avacincaptad pegol 0.1mg,,,128.26,172.06,4
APC,0706,Inj talquetamab-tgvs 0.25 mg,,,87.69,117.63,4
APC,0707,"Cantharidin top, applicator",,,811.0,1087.94,4
APC,0708,"Inj, elranatamab-bcmm, 1 mg",,,224.44,301.09,4
APC,0709,Flortaucipir inj 1 millicuri,,,4493.49,6027.93,4
APC,0710,Inj velmanase alfa-tycv 1 mg,,,563.26,755.6,4
APC,0711,"Inj, artesunate, 1mg",,,62.77,84.21,4
APC,0713,Inj roctavian ml 2x10^13vc g,,,14980.17,20095.62,4
APC,0714,Inj delandistrogene mox rokl,,,4026665.83,5401697.64,4
APC,0715,Pegunigalsidase alfa-iwxj,,,278.91,374.15,4
APC,0716,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,1256.14,1685.09,4
APC,0717,"Instill adstiladrin, tx dose",,,76826.63,103061.5,4
APC,0718,"Inj, carmustine (accord)",,,314.54,421.96,4
APC,0719,Inj cyclophos frindovyx 5 mg,,,10.9,14.63,4
APC,0720,"Inj glofitamab gxbm, 2.5 mg",,,3355.67,4501.57,4
APC,0721,Inj rozanolixizum-noli 1 mg,,,28.05,37.63,4
APC,0722,"Dexmedetomidine film, 1 mcg",,,0.78,1.04,4
APC,0723,Inj efgart-alfa 2mg hya-qvfc,,,40.86,54.81,4
APC,0725,Inj secukinumab intrav 1mg,,,21.61,28.99,4
APC,0726,Dexrazoxane HCl injection,,,38.86,52.13,4
APC,0727,"Inj, adzynma, 10 iu",,,43.1,57.82,4
APC,0728,"Inj, mirikizumab-mrkz, 1 mg",,,58.47,78.43,4
APC,0729,"Inj, motixafortide, 0.25 mg",,,30.54,40.97,4
APC,0730,Inj melphalan (hepzato) 1 mg,,,954.16,1279.98,4
APC,0731,Sargramostim injection,,,67.94,91.14,4
APC,0732,"Inj, brixadi, 7 days or less",,,512.12,687.0,4
APC,0733,"Inj brixadi, more than 7 day",,,2048.48,2748.0,4
APC,0734,"Inj, levothyroxine, freskabi",,,8.59,11.53,4
APC,0735,"Inj, levothyroxine, hikma",,,6.22,8.35,4
APC,0736,Amphotericin b liposome inj,,,27.39,36.75,4
APC,0737,"Inj, cipaglucosidase, 5 mg",,,108.76,145.9,4
APC,0738,Rasburicase,,,455.99,611.7,4
APC,0739,"Inj, rykindo, 0.5 mg",,,15.78,21.17,4
APC,0740,Inj hydroxocobalamin iv 25mg,,,6.28,8.42,4
APC,0741,Inj cyclophosphamd (ingenus),,,1.4,1.88,4
APC,0742,Outpatient Services,,,70.64,94.76,4
APC,0743,"Inj, cyclophosphamide, nos",,,0.76,1.01,4
APC,0744,Inst tauro 1.35mg/hep 100u,,,9.31,12.48,4
APC,0745,"Inj, toripalimab-tpzi, 1 mg",,,47.84,64.18,4
APC,0746,"Inj, betibeglogene autotemce",,,3573822.29,4794216.42,4
APC,0747,"Inj, zolbetuximab-clzb, 2 mg",,,40.64,54.52,4
APC,0748,"Inj, lovotibeglogene autotem",,,3950098.58,5298984.09,4
APC,0749,Inj travoprost intra impl,,,236.49,317.24,4
APC,0750,"Inj, nithiodote, 3mg / 125mg",,,2.62,3.52,4
APC,0752,Dactinomycin injection,,,366.9,492.18,4
APC,0753,Inj cefazolin (wg crit care),,,1.21,1.63,4
APC,0754,Daptomycin (xellia) unrefrig,,,0.06,0.08,4
APC,0755,Oral methotrexate (jylamvo),,,22.44,30.1,4
APC,0756,Oral methotrexate (xatmep),,,27.44,36.82,4
APC,0757,"Docetaxel (docivyx), 1 mg",,,59.44,79.74,4
APC,0759,"Naltrexone, depot form",,,5.13,6.89,4
APC,0760,Tc-99m graphite crucible,,,398.0,533.9,4
APC,0761,"Inj, focinvez, 1mg",,,3.47,4.66,4
APC,0762,"Bupivacaine implant, 1 mg",,,3.2,4.29,4
APC,0763,"Inj, bupivacaine liposome",,,1.81,2.43,4
APC,0764,Ketorolac tromethamine inj,,,0.42,0.56,4
APC,0765,"Inj, donanemab-azbt, 2 mg",,,5.02,6.73,4
APC,0766,Outpatient Services,,,971.78,1303.63,4
APC,0767,"Inj, nogapendekin pmln 1 mcg",,,113.99,152.92,4
APC,0768,"Inj, tarlatamab-dlle, 1 mg",,,1898.52,2546.83,4
APC,0769,"In111 ibritumomab, dx",,,966.55,1296.61,4
APC,0770,In111 oxyquinoline,,,935.81,1255.37,4
APC,0771,In111 pentetate,,,866.35,1162.19,4
APC,0772,"Inj, pegulicianine, 1 mg",,,44.14,59.22,4
APC,0773,"Inj, beqvez, per tx dose",,,4493489.89,6027933.47,4
APC,0774,Tc99m bicisate,,,828.21,1111.02,4
APC,0775,Technetium tc99m arcitumomab,,,980.47,1315.28,4
APC,0776,Technetium tc-99m auto wbc,,,1260.02,1690.29,4
APC,0777,Indium in-111 auto wbc,,,1249.2,1675.78,4
APC,0778,"Inj, vasopressin (baxter)",,,3.56,4.77,4
APC,0779,Indium in-111 pentetreotide,,,2318.94,3110.82,4
APC,0780,Iodine i-123 iobenguane,,,2512.98,3371.11,4
APC,0781,Iodine i-123 ioflupane,,,1681.15,2255.23,4
APC,0782,"Inj, pemrydi rtu, 10 mg",,,97.02,130.14,4
APC,0784,"Inj, tyenne, 1 mg",,,5.68,7.62,4
APC,0785,"Inj, cyclophosphamd, sandoz",,,5.1,6.84,4
APC,0786,"Inj, tofidence, 1 mg",,,7.02,9.41,4
APC,0788,"Inj cefazolin sodium, hikma",,,1.11,1.49,4
APC,0789,Inj daptomycin (xellia),,,0.05,0.07,4
APC,0790,"Inj, methylpred acetate 1 mg",,,0.15,0.2,4
APC,0792,"Inj, glycopyrrolate, 0.1 mg",,,0.52,0.7,4
APC,0793,Inj glycopyrrolate fres kabi,,,2.24,3.01,4
APC,0794,"Inj, bumetanide, 0.5 mg",,,0.74,0.99,4
APC,0796,Inj meropenem (wg crit care),,,1.97,2.64,4
APC,0797,"Inj, immphentiv, 20 mcg",,,0.16,0.21,4
APC,0798,"Inj, sezaby, 1 mg",,,1.39,1.86,4
APC,0799,Inj fluphenazine hcl 1.25 mg,,,9.0,12.07,4
APC,0800,Leuprolide acetate,,,2103.94,2822.4,4
APC,0801,"Inj, methylpred sod succ 5mg",,,0.31,0.42,4
APC,0803,Hydroxocobalamin im 10mcg,,,0.01,0.01,4
APC,0804,"Capecitabine, oral, 50 mg",,,0.06,0.09,4
APC,0805,"Hiv prep, inj, cabotegravir",,,8.52,11.43,4
APC,0806,"Hiv prep, ftc/tdf 200/300mg",,,2.1,2.82,4
APC,0807,Aldesleukin injection,,,6420.8,8613.38,4
APC,0808,"Hiv prep, ftc/taf 200/25mg",,,86.33,115.8,4
APC,0810,Outpatient Services,,,889.19,1192.83,4
APC,0811,"Inj, nyposi 1 mcg",,,0.67,0.89,4
APC,0812,Carmustine injection,,,210.31,282.13,4
APC,0813,"Injection, imetelstat, 1 mg",,,69.06,92.65,4
APC,0814,"Inj, magtrace per study dose",,,13783.16,18489.85,4
APC,0815,"Inj, palonosetron (posfrea)",,,71.26,95.59,4
APC,0816,"Inj, tislelizumab-jsgr",,,69.54,93.29,4
APC,0817,"Inj, adalimumab, 1 mg",,,111.1,149.03,4
APC,0818,"Inj, crovalimab-akkz, 10 mg",,,667.98,896.09,4
APC,0819,"Inj, alyglo, 500 mg",,,158.81,213.04,4
APC,0820,Daunorubicin injection,,,23.93,32.11,4
APC,0821,Indigotindisulfonate sod 1mg,,,12.06,16.18,4
APC,0822,"Inj, romiplostim 1 microgram",,,13.32,17.87,4
APC,0824,"Inj, exagamglogene autotem",,,2824479.36,3788986.76,4
APC,0825,Nelarabine injection,,,76.76,102.98,4
APC,0826,"Inj adalimumab-fkjp, 1 mg",,,105.54,141.58,4
APC,0827,Floxuridine injection,,,4996.8,6703.11,4
APC,0828,"Inj adalimumab-aaty, 1 mg",,,52.77,70.79,4
APC,0829,"Inj adalimumab-ryvk, 1 mg",,,12.88,17.28,4
APC,0830,"Inj adalimumab-adbm, 1 mg",,,12.64,16.95,4
APC,0831,Obecbtge autol up to 400 mil,,,327473.67,439299.87,4
APC,0833,"Inj, idacio, 1 mg",,,10.8,14.49,4
APC,0834,"Inj, abrilada, 1 mg",,,32.25,43.26,4
APC,0835,"Datopotamab deruxtecan, 1 mg",,,61.02,81.85,4
APC,0837,"Inj, treosulfan, 50 mg",,,38.05,51.04,4
APC,0839,Inj axatilimab-csfr 0.1 mg,,,65.49,87.86,4
APC,0840,Inj melpha hydroch nos 50 mg,,,130.84,175.53,4
APC,0841,"Inj, docetaxel (beizray) 1mg",,,63.55,85.25,4
APC,0842,"Inj, melphalan (apotex) 1 mg",,,78.46,105.25,4
APC,0843,Pegaspargase injection,,,34426.74,46182.84,4
APC,0844,Pentostatin injection,,,3081.12,4133.27,4
APC,0845,"Inj, atidarsagene autotemcel",,,5301954.72,7112474.07,4
APC,0846,"Inj, eculizumab-aeeb, 2 mg",,,50.25,67.41,4
APC,0847,Inj thiotepa nos 1 mg,,,14.82,19.88,4
APC,0848,Inj nivolumab 2 mg hyaluron,,,32.38,43.44,4
APC,0852,"Inj, eculizumab-aagh, 2 mg",,,37.97,50.94,4
APC,0853,Inj zenocutuzumab-zbco 1 mg,,,39.51,53.0,4
APC,0855,"Inj ustekinumab-stba, 1 mg",,,2.91,3.91,4
APC,0856,Outpatient Services,,,29345.06,39365.85,4
APC,0857,"Inj ustekinumab-kfce, 1 mg",,,3.84,5.15,4
APC,0858,Inj cladribine per 1 mg,,,11.78,15.8,4
APC,0859,"Inj ustekinumab-aekn, 1 mg",,,57.89,77.66,4
APC,0864,Mitoxantrone hydrochl,,,35.85,48.09,4
APC,0872,"Inj. denosumab-bbdz, 1 mg",,,33.35,44.74,4
APC,0874,Synvisc or synvisc-one,,,11.01,14.77,4
APC,0875,Euflexxa inj per dose,,,138.66,186.01,4
APC,0877,Orthovisc inj per dose,,,118.33,158.74,4
APC,0887,Azathioprine parenteral,,,272.48,365.52,4
APC,0890,Lymphocyte immune globulin,,,6071.79,8145.2,4
APC,0901,Alpha 1 proteinase inhibitor,,,6.28,8.42,4
APC,0902,"Injection,onabotulinumtoxinA",,,7.88,10.56,4
APC,0903,Cytomegalovirus imm IV /vial,,,2191.57,2939.95,4
APC,0925,Factor viii,,,1.37,1.84,4
APC,0927,Factor viii recombinant,,,1.86,2.49,4
APC,0928,Factor ix complex,,,2.06,2.77,4
APC,0929,Anti-inhibitor,,,2.97,3.98,4
APC,0931,Factor IX non-recombinant,,,1.62,2.17,4
APC,0932,Factor ix recombinant nos,,,2.27,3.05,4
APC,0943,Octagam injection,,,58.59,78.6,4
APC,0944,Gammagard liquid injection,,,57.89,77.66,4
APC,0946,Hepagam b im injection,,,86.8,116.44,4
APC,0947,Flebogamma injection,,,67.54,90.6,4
APC,0948,Gamunex-C/Gammaked,,,58.17,78.04,4
APC,0963,"Albumin (human), 5%, 250 ml",,,64.29,86.24,4
APC,0964,"Albumin (human), 25%, 20 ml",,,25.71,34.5,4
APC,1015,Injection glatiramer acetate,,,194.26,260.6,4
APC,1064,"I131 iodide cap, rx",,,28.02,37.58,4
APC,1138,"Hepagam b intravenous, inj",,,86.8,116.44,4
APC,1139,Protein c concentrate,,,1.82,2.44,4
APC,1142,Supprelin LA implant,,,55181.98,74025.61,4
APC,1150,"I131 iodide sol, rx",,,25.29,33.93,4
APC,1168,"Inj, temsirolimus",,,39.1,52.46,4
APC,1178,Busulfan injection,,,2.23,2.99,4
APC,1203,Verteporfin injection,,,13.99,18.77,4
APC,1207,"Octreotide injection, depot",,,257.01,344.78,4
APC,1213,Antihemophilic viii/vwf comp,,,1.49,1.99,4
APC,1214,Inj IVIG privigen 500 mg,,,61.08,81.94,4
APC,1232,Mitomycin injection,,,34.24,45.94,4
APC,1235,Valrubicin injection,,,1667.54,2236.97,4
APC,1237,Inj iron dextran,,,21.83,29.29,4
APC,1253,Triamcinolone a inj prs-free,,,29.68,39.82,4
APC,1263,Antithrombin iii injection,,,4.95,6.64,4
APC,1268,Xyntha inj,,,1.87,2.5,4
APC,1274,Edetate calcium disodium inj,,,7817.66,10487.25,4
APC,1281,Bevacizumab injection,,,2.21,2.97,4
APC,1289,AbobotulinumtoxinA,,,11.11,14.9,4
APC,1295,Sm 153 lexidronam,,,5226.15,7010.78,4
APC,1296,Degarelix injection,,,5.28,7.08,4
APC,1297,"Ferumoxytol, non-esrd",,,0.37,0.5,4
APC,1311,Canakinumab injection,,,170.77,229.09,4
APC,1312,Hizentra injection,,,17.11,22.95,4
APC,1327,Imiglucerase injection,,,52.43,70.34,4
APC,1331,Olanzapine long-acting inj,,,3.53,4.74,4
APC,1340,"Collagenase, clost hist inj",,,88.62,118.88,4
APC,1352,Wilate injection,,,1.54,2.06,4
APC,1353,Belimumab injection,,,67.83,91.0,4
APC,1413,Lumizyme injection,,,250.25,335.7,4
APC,1415,Glassia injection,,,6.92,9.28,4
APC,1416,Factor XIII anti-hem factor,,,13.06,17.51,4
APC,1417,Gel-one,,,634.68,851.41,4
APC,1420,Aflibercept injection,,,956.88,1283.64,4
APC,1421,Imported lipodox inj,,,640.55,859.28,4
APC,1426,Eribulin mesylate injection,,,126.67,169.93,4
APC,1431,Outpatient Services,,,5885.15,7894.82,4
APC,1433,Calcitonin salmon injection,,,1012.31,1358.0,4
APC,1440,Inj desmopressin acetate,,,4.72,6.33,4
APC,1442,Non-HEU TC-99M add-on/dose,,,12.11,16.25,4
APC,1443,Icatibant injection,,,141.0,189.14,4
APC,1446,Visualization adjunct,,,9.52,12.77,4
APC,1458,Phentolaine mesylate inj,,,528.69,709.23,4
APC,1468,"Inj, abilify maintena, 1 mg",,,8.76,11.76,4
APC,1469,Inj filgrastim excl biosimil,,,1.19,1.6,4
APC,1471,"Injection, Pertuzumab, 1 mg",,,20.46,27.45,4
APC,1472,Inj beta interferon im 1 mcg,,,69.61,93.38,4
APC,1474,Certolizumab pegol inj 1mg,,,5.43,7.29,4
APC,1475,Golimumab for iv use 1mg,,,13.36,17.92,4
APC,1476,Obinutuzumab inj,,,95.03,127.48,4
APC,1478,Inj human fibrinogen con nos,,,1.84,2.47,4
APC,1480,"Elosulfase alfa, injection",,,371.58,498.47,4
APC,1482,"Darbepoetin alfa, esrd use",,,3.63,4.87,4
APC,1485,"Ferumoxytol, esrd use",,,0.37,0.5,4
APC,1486,Factor ix fc fusion recomb,,,4.39,5.89,4
APC,1488,"Injection, ramucirumab",,,90.18,120.97,4
APC,1489,Inj vedolizumab iv 1 mg,,,26.72,35.85,4
APC,1490,Inj pembrolizumab,,,70.93,95.15,4
APC,1491,New Technology  - Level 1A ($0-$10),,,6.06,8.13,4
APC,1492,New Technology  - Level 1B ($11-$20),,,18.77,25.18,4
APC,1493,New Technology  - Level 1C ($21-$30),,,30.89,41.44,4
APC,1494,New Technology  - Level 1D ($31-$40),,,42.99,57.68,4
APC,1495,New Technology  - Level 1E ($41-$50),,,55.11,73.93,4
APC,1496,New Technology  - Level 1A ($0-$10),,,6.06,8.13,4
APC,1497,New Technology  - Level 1B ($11-$20),,,18.77,25.18,4
APC,1498,New Technology  - Level 1C ($21-$30),,,30.89,41.44,4
APC,1499,New Technology  - Level 1D ($31-$40),,,42.99,57.68,4
APC,1500,New Technology  - Level 1E ($41-$50),,,55.11,73.93,4
APC,1502,New Technology - Level 2 ($51 - $100),,,91.44,122.67,4
APC,1503,New Technology - Level 3 ($101 - $200),,,182.28,244.53,4
APC,1504,New Technology - Level 4 ($201 - $300),,,303.4,407.01,4
APC,1505,New Technology - Level 5 ($301 - $400),,,424.52,569.48,4
APC,1506,New Technology - Level 6 ($401 - $500),,,545.64,731.96,4
APC,1507,New Technology - Level 7 ($501 - $600),,,666.76,894.45,4
APC,1508,New Technology - Level 8 ($601 - $700),,,787.87,1056.91,4
APC,1509,New Technology - Level 9 ($701 - $800),,,908.99,1219.4,4
APC,1510,New Technology - Level 10 ($801 - $900),,,1030.11,1381.88,4
APC,1511,New Technology - Level 11 ($901 - $1000),,,1151.23,1544.35,4
APC,1512,New Technology - Level 12 ($1001 - $1100),,,1272.35,1706.83,4
APC,1513,New Technology - Level 13 ($1101 - $1200),,,1393.47,1869.31,4
APC,1514,New Technology - Level 14 ($1201- $1300),,,1514.58,2031.78,4
APC,1515,New Technology - Level 15 ($1301 - $1400),,,1635.7,2194.27,4
APC,1516,New Technology - Level 16  ($1401 - $1500),,,1756.83,2356.75,4
APC,1517,New Technology - Level 17 ($1501-$1600),,,1877.94,2519.22,4
APC,1518,New Technology - Level 18 ($1601-$1700),,,1999.06,2681.7,4
APC,1519,New Technology - Level 19 ($1701-$1800),,,2120.18,2844.18,4
APC,1520,New Technology - Level 20 ($1801-$1900),,,2241.29,3006.65,4
APC,1521,New Technology - Level 21 ($1901-$2000),,,2362.41,3169.13,4
APC,1522,New Technology - Level 22 ($2001-$2500),,,2725.77,3656.57,4
APC,1523,New Technology - Level 23 ($2501-$3000),,,3331.36,4468.95,4
APC,1524,New Technology - Level 24 ($3001-$3500),,,3936.96,5281.35,4
APC,1525,New Technology - Level 25 ($3501-$4000),,,4542.54,6093.74,4
APC,1526,New Technology - Level 26 ($4001-$4500),,,5148.13,6906.13,4
APC,1527,New Technology - Level 27 ($4501-$5000),,,5753.72,7718.51,4
APC,1528,New Technology - Level 28 ($5001-$5500),,,6359.32,8530.91,4
APC,1529,New Technology - Level 29 ($5501-$6000),,,6964.91,9343.3,4
APC,1530,New Technology - Level 30 ($6001-$6500),,,7570.5,10155.68,4
APC,1531,New Technology - Level 31 ($6501-$7000),,,8176.1,10968.08,4
APC,1532,New Technology - Level 32 ($7001-$7500),,,8781.69,11780.47,4
APC,1533,New Technology - Level 33 ($7501-$8000),,,9387.27,12592.85,4
APC,1534,New Technology - Level 34 ($8001-$8500),,,9992.87,13405.25,4
APC,1535,New Technology - Level 35 ($8501-$9000),,,10598.46,14217.64,4
APC,1536,New Technology - Level 36 ($9001-$9500),,,11204.05,15030.03,4
APC,1537,New Technology - Level 37 ($9501-$10000),,,11809.64,15842.41,4
APC,1539,New Technology - Level 2 ($51 - $100),,,91.44,122.67,4
APC,1540,New Technology - Level 3 ($101 - $200),,,182.28,244.53,4
APC,1541,New Technology - Level 4 ($201 - $300),,,303.4,407.01,4
APC,1542,New Technology - Level 5 ($301 - $400),,,424.52,569.48,4
APC,1543,New Technology - Level 6 ($401 - $500),,,545.64,731.96,4
APC,1544,New Technology - Level 7 ($501 - $600),,,666.76,894.45,4
APC,1545,New Technology - Level 8 ($601 - $700),,,787.87,1056.91,4
APC,1546,New Technology - Level 9 ($701 - $800),,,908.99,1219.4,4
APC,1547,New Technology - Level 10 ($801 - $900),,,1030.11,1381.88,4
APC,1548,New Technology - Level 11 ($901 - $1000),,,1151.23,1544.35,4
APC,1549,New Technology - Level 12 ($1001 - $1100),,,1272.35,1706.83,4
APC,1550,New Technology - Level 13 ($1101 - $1200),,,1393.47,1869.31,4
APC,1551,New Technology - Level 14 ($1201- $1300),,,1514.58,2031.78,4
APC,1552,New Technology - Level 15 ($1301 - $1400),,,1635.7,2194.27,4
APC,1553,New Technology - Level 16 ($1401 - $1500),,,1756.83,2356.75,4
APC,1554,New Technology - Level 17 ($1501-$1600),,,1877.94,2519.22,4
APC,1555,New Technology - Level 18 ($1601-$1700),,,1999.06,2681.7,4
APC,1556,New Technology - Level 19 ($1701-$1800),,,2120.18,2844.18,4
APC,1557,New Technology - Level 20 ($1801-$1900),,,2241.29,3006.65,4
APC,1558,New Technology - Level 21 ($1901-$2000),,,2362.41,3169.13,4
APC,1559,New Technology - Level 22 ($2001-$2500),,,2725.77,3656.57,4
APC,1560,New Technology - Level 23 ($2501-$3000),,,3331.36,4468.95,4
APC,1561,New Technology - Level 24 ($3001-$3500),,,3936.96,5281.35,4
APC,1562,New Technology - Level 25 ($3501-$4000),,,4542.54,6093.74,4
APC,1563,New Technology - Level 26 ($4001-$4500),,,5148.13,6906.13,4
APC,1564,New Technology - Level 27 ($4501-$5000),,,5753.72,7718.51,4
APC,1565,New Technology - Level 28 ($5001-$5500),,,6359.32,8530.91,4
APC,1566,New Technology - Level 29 ($5501-$6000),,,6964.91,9343.3,4
APC,1567,New Technology - Level 30 ($6001-$6500),,,7570.5,10155.68,4
APC,1568,New Technology - Level 31 ($6501-$7000),,,8176.1,10968.08,4
APC,1569,New Technology - Level 32 ($7001-$7500),,,8781.69,11780.47,4
APC,1570,New Technology - Level 33 ($7501-$8000),,,9387.27,12592.85,4
APC,1571,New Technology - Level 34 ($8001-$8500),,,9992.87,13405.25,4
APC,1572,New Technology - Level 35 ($8501-$9000),,,10598.46,14217.64,4
APC,1573,New Technology - Level 36 ($9001-$9500),,,11204.05,15030.03,4
APC,1574,New Technology - Level 37 ($9501-$10000),,,11809.64,15842.41,4
APC,1575,"New Technology - Level 38 ($10,001-$15,000)",,,15140.4,20310.57,4
APC,1576,"New Technology - Level 39 ($15,001-$20,000)",,,21196.32,28434.47,4
APC,1577,"New Technology - Level 40 ($20,001-$25,000)",,,27252.23,36558.37,4
APC,1578,"New Technology - Level 41 ($25,001-$30,000)",,,33308.15,44682.27,4
APC,1579,"New Technology - Level 42 ($30,001-$40,000)",,,42392.02,56868.11,4
APC,1580,"New Technology - Level 43 ($40,001-$50,000)",,,54503.85,73115.91,4
APC,1581,"New Technology - Level 44 ($50,001-$60,000)",,,66615.69,89363.71,4
APC,1582,"New Technology - Level 45 ($60,001-$70,000)",,,78727.52,105611.51,4
APC,1583,"New Technology - Level 46 ($70,001-$80,000)",,,90839.35,121859.31,4
APC,1584,"New Technology - Level 47 ($80,001-$90,000)",,,102951.18,138107.11,4
APC,1585,"New Technology - Level 48 ($90,001-$100,000)",,,115063.02,154354.91,4
APC,1589,"New Technology - Level 38 ($10,001-$15,000)",,,15140.4,20310.57,4
APC,1590,"New Technology - Level 39 ($15,001-$20,000)",,,21196.32,28434.47,4
APC,1591,"New Technology - Level 40 ($20,001-$25,000)",,,27252.23,36558.37,4
APC,1592,"New Technology - Level 41 ($25,001-$30,000)",,,33308.15,44682.27,4
APC,1593,"New Technology - Level 42 ($30,001-$40,000)",,,42392.02,56868.11,4
APC,1594,"New Technology - Level 43 ($40,001-$50,000)",,,54503.85,73115.91,4
APC,1595,"New Technology - Level 44 ($50,001-$60,000)",,,66615.69,89363.71,4
APC,1596,"New Technology - Level 45 ($60,001-$70,000)",,,78727.52,105611.51,4
APC,1597,"New Technology - Level 46 ($70,001-$80,000)",,,90839.35,121859.31,4
APC,1598,"New Technology - Level 47 ($80,001-$90,000)",,,102951.18,138107.11,4
APC,1599,"New Technology - Level 48 ($90,001-$100,000)",,,115063.02,154354.91,4
APC,1608,Etanercept injection,,,1309.15,1756.19,4
APC,1609,"Rho(D) immune globulin h, sd",,,37.27,50.0,4
APC,1613,Trastuzumab injection,,,92.27,123.78,4
APC,1630,"Hep b ig, im",,,158.26,212.3,4
APC,1643,"Y90 ibritumomab, rx",,,68824.94,92327.39,4
APC,1656,Factor VIII FC Fusion Recomb,,,2.93,3.93,4
APC,1658,"Injection, belinostat, 10mg",,,63.03,84.55,4
APC,1660,"Injection, oritavancin",,,34.54,46.34,4
APC,1662,Inj tedizolid phosphate,,,2.32,3.11,4
APC,1664,Florbetapir f18,,,2658.09,3565.77,4
APC,1670,Tetanus immune globulin inj,,,698.91,937.57,4
APC,1675,P32 Na phosphate,,,216.95,291.03,4
APC,1683,Basiliximab,,,5659.21,7591.73,4
APC,1685,"Darbepoetin alfa, non-esrd",,,3.63,4.87,4
APC,1686,"Epoetin alfa, non-esrd",,,9.3,12.47,4
APC,1687,Digoxin immune fab (ovine),,,6017.86,8072.85,4
APC,1688,Ethanolamine oleate,,,629.23,844.1,4
APC,1689,Fomepizole,,,7.3,9.79,4
APC,1690,Hemin,,,41.38,55.51,4
APC,1694,Ziconotide injection,,,12.27,16.46,4
APC,1696,Palifermin injection,,,43.5,58.35,4
APC,1700,Inj secretin synthetic human,,,53.04,71.15,4
APC,1701,Treprostinil injection,,,67.2,90.15,4
APC,1704,"Humate-P, inj",,,1.8,2.42,4
APC,1705,Factor viia recomb novoseven,,,3.2,4.3,4
APC,1710,Clofarabine injection,,,17.83,23.91,4
APC,1712,Paclitaxel protein bound,,,14.68,19.69,4
APC,1745,Radium ra223 dichloride ther,,,208.06,279.11,4
APC,1746,Factor xiii recomb a-subunit,,,22.16,29.72,4
APC,1747,Monovisc inj per dose,,,640.2,858.82,4
APC,1748,Inj tbo filgrastim 1 microg,,,0.36,0.48,4
APC,1761,Outpatient Services,,,1.89,2.53,4
APC,1809,"Injection, alemtuzumab",,,2956.14,3965.6,4
APC,1822,"Injection, zarxio",,,0.44,0.6,4
APC,1823,"Injection, dalbavancin",,,18.83,25.27,4
APC,1824,Ceftaroline fosamil inj,,,5.14,6.9,4
APC,1825,Ceftazidime and avibactam,,,127.11,170.52,4
APC,1826,Hyqvia 100mg immuneglobulin,,,22.27,29.87,4
APC,1827,Factor viii recomb obizur,,,3.91,5.25,4
APC,1829,Penicillin g benzathine inj,,,35.49,47.61,4
APC,1832,Dimethyl sulfoxide 50% 50 ml,,,899.78,1207.04,4
APC,1836,Penicillin g procaine inj,,,57.16,76.67,4
APC,1844,Factor viii pegylated recomb,,,2.61,3.5,4
APC,1846,Factor viii nuwiq recomb 1iu,,,1.42,1.91,4
APC,1847,"Injection, inflectra",,,23.83,31.97,4
APC,1848,Artiss fibrin sealant,,,172.07,230.83,4
APC,1849,Foscarnet sodium injection,,,18.88,25.32,4
APC,1850,Gamma globulin 1 cc inj,,,58.65,78.68,4
APC,1851,Gamma globulin > 10 cc inj,,,202.34,271.44,4
APC,1852,Interferon beta-1a inj,,,2668.41,3579.62,4
APC,1853,Minocycline hydrochloride,,,3.23,4.33,4
APC,1856,Factor viii recomb novoeight,,,1.84,2.46,4
APC,1857,"Inj, factor x, (human), 1iu",,,12.0,16.1,4
APC,1859,Argatroban nonesrd use 1mg,,,0.9,1.2,4
APC,1861,"Inj., bendeka 1 mg",,,15.89,21.32,4
APC,1901,"New Technology - Level 49 ($100,001-$115,000)",,,130202.8,174664.65,4
APC,1902,"New Technology - Level 49 ($100,001-$115,000)",,,130202.8,174664.65,4
APC,1903,"New Technology - Level 50 ($115,001-$130,000)",,,148370.55,199036.35,4
APC,1904,"New Technology - Level 50 ($115,001-$130,000)",,,148370.55,199036.35,4
APC,1905,"New Technology - Level 51 ($130,001-$145,000)",,,166538.3,223408.05,4
APC,1906,"New Technology - Level 51 ($130,001-$145,000)",,,166538.3,223408.05,4
APC,1907,"New Technology - Level 52 ($145,001-$160,000)",,,184706.05,247779.75,4
APC,1908,"New Technology - Level 52 ($145,001-$160,000)",,,184706.05,247779.75,4
APC,2062,"Inj zanidatamab-hrii, 2 mg",,,30.38,40.75,4
APC,2064,"Inj marstacim-hncq, 0.5 mg",,,61.42,82.4,4
APC,2065,"Flurpiridaz f18, diag, 1 mci",,,641.93,861.13,4
APC,2066,Inj bortezomib boruzu 0.1 mg,,,31.75,42.59,4
APC,2067,Afamitresgene autoleucel,,,933362.04,1252087.9,4
APC,2068,"Inj, aflibercept-ayyh, 1 mg",,,1052.62,1412.07,4
APC,2069,"Inj, testosterone, azmiro",,,1.6,2.15,4
APC,2070,"Inj, eculizumab, 2 mg",,,54.23,72.74,4
APC,2071,Inj ocrelizumab 1mg hya-ocsq,,,57.22,76.76,4
APC,2072,"Inj, erzofri, 1 mg",,,20.77,27.86,4
APC,2073,Inj atezolizumb 5mg hya-tqjs,,,38.32,51.4,4
APC,2075,Inj acetaminoph 10mg/ibu 3mg,,,0.26,0.35,4
APC,2076,"Inj, pemetrexed dipotassium",,,100.87,135.32,4
APC,2616,"Brachytx, non-str,Yttrium-90",,,21177.67,28409.45,4
APC,2632,Iodine I-125 sodium iodide,,,252.62,338.89,4
APC,2634,"Brachytx, non-str, HA, I-125",,,197.23,264.58,4
APC,2635,"Brachytx, non-str, HA, P-103",,,84.03,112.73,4
APC,2636,"Brachy linear, non-str,P-103",,,64.09,85.97,4
APC,2638,"Brachytx, stranded, I-125",,,44.86,60.18,4
APC,2639,"Brachytx, non-stranded,I-125",,,42.53,57.05,4
APC,2640,"Brachytx, stranded, P-103",,,84.41,113.24,4
APC,2641,"Brachytx, non-stranded,P-103",,,96.62,129.61,4
APC,2642,"Brachytx, stranded, C-131",,,130.64,175.25,4
APC,2643,"Brachytx, non-stranded,C-131",,,116.95,156.89,4
APC,2645,"Brachytx, non-str, Gold-198",,,1051.7,1410.84,4
APC,2646,"Brachytx, non-str, HDR Ir-192",,,414.7,556.31,4
APC,2647,"Brachytx, NS, Non-HDRIr-192",,,683.72,917.19,4
APC,2648,"Brachytx planar, p-103",,,5.68,7.62,4
APC,2698,"Brachytx, stranded, NOS",,,44.86,60.18,4
APC,2699,"Brachytx, non-stranded, NOS",,,42.53,57.05,4
APC,2731,"Immune globulin, powder",,,98.96,132.75,4
APC,2770,Quinupristin/dalfopristin,,,5.16,6.92,4
APC,4001,Echo guidance radiotherapy,,,168.77,226.4,4
APC,4002,Stereoscopic x-ray guidance,,,63.87,85.68,4
APC,4003,"Radiation treatment delivery, MeV <= 5; simple",,,175.74,235.75,4
APC,4004,"Radiation treatment delivery, 6-10 MeV; simple",,,142.45,191.1,4
APC,4005,"Radiation treatment delivery, 11-19 MeV; simple",,,142.45,191.1,4
APC,4006,"Radiation treatment delivery, MeV>=20; simple",,,141.67,190.05,4
APC,4007,"Radiation treatment delivery, MeV<=5; intermediate",,,252.76,339.08,4
APC,4008,"Radiation treatment delivery, 6-10 MeV; intermediate",,,196.26,263.28,4
APC,4009,"Radiation treatment delivery, 11-19 MeV; intermediate",,,197.8,265.35,4
APC,4010,"Radiation treatment delivery, MeV >=20; intermediate",,,194.69,261.18,4
APC,4011,"Radiation treatment delivery, MeV<=5; complex",,,258.56,346.86,4
APC,4012,"Radiation treatment delivery, 6-10 MeV; complex",,,258.95,347.38,4
APC,4013,"Radiation treatment delivery, 11-19 MeV; complex",,,260.13,348.96,4
APC,4014,"Radiation treatment delivery, MeV >=20; complex",,,258.56,346.86,4
APC,4015,Radiation tx delivery imrt,,,403.73,541.59,4
APC,4016,Delivery comp imrt,,,402.17,539.5,4
APC,5012,Clinic Visits and Related Services,,,156.08,209.38,4
APC,5021,Level 1 Type A ED Visits,,,106.65,143.07,4
APC,5022,Level 2 Type A ED Visits,,,191.8,257.29,4
APC,5023,Level 3 Type A ED Visits,,,335.36,449.88,4
APC,5024,Level 4 Type A ED Visits,,,515.74,691.86,4
APC,5025,Level 5 Type A ED Visits,,,742.58,996.15,4
APC,5031,Level 1 Type B ED Visits,,,101.82,136.59,4
APC,5032,Level 2 Type B ED Visits,,,134.03,179.8,4
APC,5033,Level 3 Type B ED Visits,,,225.99,303.16,4
APC,5034,Level 4 Type B ED Visits,,,345.85,463.95,4
APC,5035,Level 5 Type B ED Visits,,,489.19,656.23,4
APC,5041,Critical Care,,,1020.56,1369.06,4
APC,5045,Trauma Response with Critical Care,,,1602.6,2149.86,4
APC,5051,Level 1 Skin Procedures,,,240.67,322.85,4
APC,5052,Level 2 Skin Procedures,,,483.9,649.15,4
APC,5053,Level 3 Skin Procedures,,,741.4,994.57,4
APC,5054,Level 4 Skin Procedures,,,2215.53,2972.1,4
APC,5055,Level 5 Skin Procedures,,,4434.1,5948.27,4
APC,5061,Hyperbaric Oxygen,,,167.02,224.06,4
APC,5071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,852.17,1143.18,4
APC,5072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,1962.4,2632.53,4
APC,5073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,3466.47,4650.2,4
APC,5091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,4637.96,6221.74,4
APC,5092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,7898.68,10595.93,4
APC,5093,Level 3 Breast/Lymphatic Surgery and Related Procedures,,,11589.87,15547.59,4
APC,5094,Level 4 Breast/Lymphatic Surgery and Related Procedures,,,21072.59,28268.49,4
APC,5101,Level 1 Strapping and Cast Application,,,191.12,256.38,4
APC,5102,Level 2 Strapping and Cast Application,,,321.67,431.51,4
APC,5111,Level 1 Musculoskeletal Procedures,,,290.54,389.76,4
APC,5112,Level 2 Musculoskeletal Procedures,,,1938.39,2600.32,4
APC,5113,Level 3 Musculoskeletal Procedures,,,3929.82,5271.78,4
APC,5114,Level 4 Musculoskeletal Procedures,,,8652.37,11606.99,4
APC,5115,Level 5 Musculoskeletal Procedures,,,15584.08,20905.75,4
APC,5116,Level 6 Musculoskeletal Procedures,,,22273.71,29879.78,4
APC,5151,Level 1 Airway Endoscopy,,,235.14,315.43,4
APC,5152,Level 2 Airway Endoscopy,,,470.32,630.92,4
APC,5153,Level 3 Airway Endoscopy,,,2088.66,2801.89,4
APC,5154,Level 4 Airway Endoscopy,,,4465.57,5990.48,4
APC,5155,Level 5 Airway Endoscopy,,,8384.37,11247.48,4
APC,5161,Level 1 ENT Procedures,,,281.26,377.31,4
APC,5162,Level 2 ENT Procedures,,,616.8,827.42,4
APC,5163,Level 3 ENT Procedures,,,1794.11,2406.76,4
APC,5164,Level 4 ENT Procedures,,,3927.95,5269.27,4
APC,5165,Level 5 ENT Procedures,,,7164.95,9611.64,4
APC,5166,Cochlear Implant Procedure,,,38525.1,51680.71,4
APC,5181,Level 1 Vascular Procedures,,,748.83,1004.54,4
APC,5182,Level 2 Vascular Procedures,,,1881.5,2524.0,4
APC,5183,Level 3 Vascular Procedures,,,3812.19,5113.99,4
APC,5184,Level 4 Vascular Procedures,,,6547.29,8783.07,4
APC,5191,Level 1 Endovascular Procedures,,,3895.67,5225.97,4
APC,5192,Level 2 Endovascular Procedures,,,6905.58,9263.71,4
APC,5193,Level 3 Endovascular Procedures,,,13735.5,18425.93,4
APC,5194,Level 4 Endovascular Procedures,,,21748.88,29175.72,4
APC,5200,Implantation Wireless PA Pressure Monitor,,,34431.91,46189.77,4
APC,5211,Level 1 Electrophysiologic Procedures,,,1470.37,1972.47,4
APC,5212,Level 2 Electrophysiologic Procedures,,,9190.58,12329.0,4
APC,5213,Level 3 Electrophysiologic Procedures,,,29713.11,39859.59,4
APC,5221,Level 1 Pacemaker and Similar Procedures,,,4407.86,5913.06,4
APC,5222,Level 2 Pacemaker and Similar Procedures,,,10023.73,13446.65,4
APC,5223,Level 3 Pacemaker and Similar Procedures,,,12675.43,17003.86,4
APC,5224,Level 4 Pacemaker and Similar Procedures,,,23098.67,30986.44,4
APC,5231,Level 1 ICD and Similar Procedures,,,27186.45,36470.12,4
APC,5232,Level 2 ICD and Similar Procedures,,,38832.45,52093.01,4
APC,5241,Level 1 Blood Product Exchange and Related Services,,,529.5,710.32,4
APC,5242,Level 2 Blood Product Exchange and Related Services,,,1985.47,2663.47,4
APC,5243,Level 3 Blood Product Exchange and Related Services,,,5674.6,7612.37,4
APC,5244,Level 4 Blood Product Exchange and Related Services,,,71632.2,96093.27,4
APC,5301,Level 1 Upper GI Procedures,,,1135.56,1523.33,4
APC,5302,Level 2 Upper GI Procedures,,,2297.6,3082.19,4
APC,5303,Level 3 Upper GI Procedures,,,4607.98,6181.52,4
APC,5311,Level 1 Lower GI Procedures,,,1104.25,1481.33,4
APC,5312,Level 2 Lower GI Procedures,,,1428.08,1915.75,4
APC,5313,Level 3 Lower GI Procedures,,,3321.54,4455.78,4
APC,5331,Complex GI Procedures,,,7209.94,9672.0,4
APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,4274.34,5733.94,4
APC,5342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,7557.48,10138.22,4
APC,5361,Level 1 Laparoscopy and Related Services,,,7066.48,9479.56,4
APC,5362,Level 2 Laparoscopy and Related Services,,,12609.9,16915.94,4
APC,5371,Level 1 Urology and Related Services,,,294.57,395.16,4
APC,5372,Level 2 Urology and Related Services,,,808.42,1084.48,4
APC,5373,Level 3 Urology and Related Services,,,2481.12,3328.37,4
APC,5374,Level 4 Urology and Related Services,,,4177.33,5603.81,4
APC,5375,Level 5 Urology and Related Services,,,6157.2,8259.77,4
APC,5376,Level 6 Urology and Related Services,,,11199.99,15024.58,4
APC,5377,Level 7 Urology and Related Services,,,15736.2,21109.83,4
APC,5378,Level 8 Urology and Related Services,,,24379.38,32704.49,4
APC,5401,Dialysis,,,847.49,1136.89,4
APC,5411,Level 1 Gynecologic Procedures,,,243.66,326.86,4
APC,5412,Level 2 Gynecologic Procedures,,,368.43,494.24,4
APC,5413,Level 3 Gynecologic Procedures,,,1054.63,1414.77,4
APC,5414,Level 4 Gynecologic Procedures,,,3850.99,5166.03,4
APC,5415,Level 5 Gynecologic Procedures,,,5978.94,8020.64,4
APC,5416,Level 6 Gynecologic Procedures,,,8956.47,12014.94,4
APC,5431,Level 1 Nerve Procedures,,,2365.17,3172.83,4
APC,5432,Level 2 Nerve Procedures,,,7756.51,10405.21,4
APC,5441,Level 1 Nerve Injections,,,357.53,479.63,4
APC,5442,Level 2 Nerve Injections,,,838.77,1125.2,4
APC,5443,Level 3 Nerve Injections,,,1078.3,1446.53,4
APC,5461,Level 1 Neurostimulator and Related Procedures,,,4165.27,5587.63,4
APC,5462,Level 2 Neurostimulator and Related Procedures,,,7948.88,10663.27,4
APC,5463,Level 3 Neurostimulator and Related Procedures,,,15103.83,20261.51,4
APC,5464,Level 4 Neurostimulator and Related Procedures,,,25973.08,34842.41,4
APC,5465,Level 5 Neurostimulator and Related Procedures,,,36909.1,49512.87,4
APC,5471,Implantation of Drug Infusion Device,,,21406.59,28716.55,4
APC,5481,Laser Eye Procedures,,,664.46,891.36,4
APC,5491,Level 1 Intraocular Procedures,,,2762.38,3705.68,4
APC,5492,Level 2 Intraocular Procedures,,,4872.42,6536.26,4
APC,5493,Level 3 Intraocular Procedures,,,6249.36,8383.39,4
APC,5494,Level 4 Intraocular Procedures,,,17306.97,23216.98,4
APC,5495,Level 5 Intraocular Procedures,,,18609.62,24964.46,4
APC,5496,Level 6 Intraocular Procedures,,,19883.32,26673.1,4
APC,5501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,362.06,485.7,4
APC,5502,"Level 2 Extraocular, Repair, and Plastic Eye Procedures",,,1173.07,1573.66,4
APC,5503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,2825.64,3790.54,4
APC,5504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,4567.37,6127.05,4
APC,5521,Level 1 Imaging without Contrast,,,106.64,143.05,4
APC,5522,Level 2 Imaging without Contrast,,,128.8,172.78,4
APC,5523,Level 3 Imaging without Contrast,,,292.77,392.74,4
APC,5524,Level 4 Imaging without Contrast,,,664.09,890.87,4
APC,5571,Level 1 Imaging with Contrast,,,215.61,289.24,4
APC,5572,Level 2 Imaging with Contrast,,,432.55,580.26,4
APC,5573,Level 3 Imaging with Contrast,,,956.9,1283.67,4
APC,5591,Level 1 Nuclear Medicine and Related Services,,,486.69,652.89,4
APC,5592,Level 2 Nuclear Medicine and Related Services,,,651.94,874.57,4
APC,5593,Level 3 Nuclear Medicine and Related Services,,,1581.17,2121.12,4
APC,5594,Level 4 Nuclear Medicine and Related Services,,,1766.62,2369.89,4
APC,5611,Level 1 Therapeutic Radiation Treatment Preparation,,,160.81,215.73,4
APC,5612,Level 2 Therapeutic Radiation Treatment Preparation,,,443.38,594.79,4
APC,5613,Level 3 Therapeutic Radiation Treatment Preparation,,,1657.22,2223.13,4
APC,5621,Level 1 Radiation Therapy,,,132.62,177.91,4
APC,5622,Level 2 Radiation Therapy,,,318.51,427.28,4
APC,5623,Level 3 Radiation Therapy,,,700.64,939.89,4
APC,5624,Level 4 Radiation Therapy,,,840.33,1127.28,4
APC,5625,Level 5 Radiation Therapy,,,1544.88,2072.42,4
APC,5626,Level 6 Radiation Therapy,,,2126.73,2852.96,4
APC,5627,Level 7 Radiation Therapy,,,9258.88,12420.62,4
APC,5661,Therapeutic Nuclear Medicine,,,271.46,364.16,4
APC,5671,Level 1 Pathology,,,64.71,86.81,4
APC,5672,Level 2 Pathology,,,207.55,278.43,4
APC,5673,Level 3 Pathology,,,435.68,584.46,4
APC,5674,Level 4 Pathology,,,989.42,1327.29,4
APC,5691,Level 1 Drug Administration,,,55.88,74.96,4
APC,5692,Level 2 Drug Administration,,,86.21,115.64,4
APC,5693,Level 3 Drug Administration,,,255.18,342.32,4
APC,5694,Level 4 Drug Administration,,,401.74,538.92,4
APC,5721,Level 1 Diagnostic Tests and Related Services,,,189.5,254.21,4
APC,5722,Level 2 Diagnostic Tests and Related Services,,,377.16,505.95,4
APC,5723,Level 3 Diagnostic Tests and Related Services,,,642.65,862.11,4
APC,5724,Level 4 Diagnostic Tests and Related Services,,,1232.25,1653.04,4
APC,5731,Level 1 Minor Procedures,,,29.67,39.8,4
APC,5732,Level 2 Minor Procedures,,,47.54,63.78,4
APC,5733,Level 3 Minor Procedures,,,71.94,96.5,4
APC,5734,Level 4 Minor Procedures,,,156.12,209.44,4
APC,5735,Level 5 Minor Procedures,,,483.31,648.35,4
APC,5741,Level 1 Electronic Analysis of Devices,,,45.17,60.59,4
APC,5742,Level 2 Electronic Analysis of Devices,,,111.18,149.14,4
APC,5743,Level 3 Electronic Analysis of Devices,,,363.25,487.29,4
APC,5771,Cardiac Rehabilitation,,,152.5,204.57,4
APC,5781,Resuscitation and Cardioversion,,,792.58,1063.23,4
APC,5791,Pulmonary Treatment,,,246.35,330.47,4
APC,5801,Ventilation Initiation and Management,,,800.71,1074.14,4
APC,5811,Manipulation Therapy,,,30.64,41.1,4
APC,5821,Level 1 Health and Behavior Services,,,36.08,48.4,4
APC,5822,Level 2 Health and Behavior Services,,,112.04,150.3,4
APC,5823,Level 3 Health and Behavior Services,,,194.61,261.06,4
APC,5851,Intensive Outpatient (3 services) for CMHCs,,,134.73,180.74,4
APC,5852,Intensive Outpatient (4 or more services) for CMHCs,,,203.87,273.49,4
APC,5853,Partial Hospitalization (3 services) for CMHCs,,,134.73,180.74,4
APC,5854,Partial Hospitalization (4 or more services) for CMHCs,,,203.87,273.49,4
APC,5861,Intensive Outpatient (3 services) for Hospital-based IOPs,,,326.04,437.38,4
APC,5862,Intensive Outpatient (4 or more services) for Hospital-based IOPs,,,494.82,663.8,4
APC,5863,Partial Hospitalization (3 services) for Hospital-based PHPs,,,326.04,437.38,4
APC,5864,Partial Hospitalization (4 or more services) for Hospital-based PHPs,,,494.82,663.8,4
APC,5871,Dental Procedures,,,2013.75,2701.4,4
APC,5881,Ancillary Outpatient Services When Patient Dies,,,16366.47,21955.32,4
APC,7043,Infliximab not biosimil 10mg,,,37.76,50.66,4
APC,7046,Doxorubicin inj 10mg,,,132.36,177.56,4
APC,7048,Alteplase recombinant,,,114.04,152.98,4
APC,7308,Aminolevulinic acid hcl top,,,477.05,639.96,4
APC,8004,Ultrasound Composite,,,371.23,498.0,4
APC,8005,CT and CTA without Contrast Composite,,,271.98,364.85,4
APC,8006,CT and CTA with Contrast Composite,,,527.01,706.97,4
APC,8007,MRI and MRA without Contrast Composite,,,654.36,877.81,4
APC,8008,MRI and MRA with Contrast Composite,,,1035.35,1388.91,4
APC,8010,Mental Health Services Composite,,,494.82,663.8,4
APC,8011,Comprehensive Observation Services,,,3206.89,4301.98,4
APC,9002,Tenecteplase injection,,,208.25,279.36,4
APC,9003,Rsv mab im 50mg,,,871.89,1169.63,4
APC,9004,"Injection, inclisiran, 1 mg",,,14.96,20.07,4
APC,9005,Reteplase injection,,,3517.97,4719.3,4
APC,9006,Tacrolimus injection,,,317.61,426.07,4
APC,9008,"Inj tezepelumab-ekko, 1mg",,,22.17,29.74,4
APC,9009,"Inj, vutrisiran, 1 mg",,,6036.36,8097.67,4
APC,9010,Inj efgartigimod 2mg,,,39.24,52.64,4
APC,9012,Arsenic trioxide injection,,,7.09,9.52,4
APC,9013,Inj risankizumab-rzaa 1 mg,,,17.97,24.11,4
APC,9016,"Inj., triptorelin xr 3.75 mg",,,4569.61,6130.05,4
APC,9017,"Inj. byooviz, 0.1 mg",,,75.28,100.98,4
APC,9018,"Inj, rimabotulinumtoxinB",,,16.16,21.68,4
APC,9020,Argatroban nonesrd (accord),,,2.2,2.95,4
APC,9022,Argatroban nonesrd (auromed),,,1.76,2.36,4
APC,9024,Amphotericin b lipid complex,,,12.47,16.73,4
APC,9025,"Inj glucagon hcl, fresenius",,,175.48,235.4,4
APC,9026,"Inj, bortezomib, dr. reddy’s",,,5.95,7.98,4
APC,9027,"Inj, bortezomib freseniuskab",,,19.98,26.81,4
APC,9028,Inj inotuzumab ozogam 0.1 mg,,,3267.84,4383.74,4
APC,9029,"Inj., guselkumab, 1 mg",,,90.67,121.64,4
APC,9032,Baclofen 10 MG injection,,,212.95,285.67,4
APC,9033,Cidofovir injection,,,641.17,860.12,4
APC,9034,"Inj cuvitru, 100 mg",,,21.3,28.58,4
APC,9035,Axicabtagene ciloleucel car+,,,645653.3,866131.95,4
APC,9036,"Injection, renflexis",,,30.34,40.71,4
APC,9038,Inj estrogen conjugate,,,473.26,634.87,4
APC,9042,Glucagon hydrochloride,,,237.14,318.12,4
APC,9043,"Inj, afstyla, 1 i.u.",,,1.91,2.57,4
APC,9044,Ibutilide fumarate injection,,,265.32,355.92,4
APC,9045,Idursulfase injection,,,676.52,907.54,4
APC,9046,"Inj., fibryga, 1 mg",,,1.46,1.96,4
APC,9048,"Inj, alymsys, 10 mg",,,51.6,69.21,4
APC,9049,"Inj, oliceridine 0.1 mg",,,1.58,2.12,4
APC,9050,"Leuprolide inj, camcevi, 1mg",,,62.26,83.52,4
APC,9051,"Inj, lanreotide, (cipla) 1mg",,,29.61,39.73,4
APC,9052,Fluciclovine f-18,,,325.11,436.12,4
APC,9053,Fluorodopa f-18 diag per mci,,,603.93,810.15,4
APC,9054,Lutetium lu 177 vipivotide,,,306.65,411.36,4
APC,9055,Gallium locametz 1 millicuri,,,1057.9,1419.15,4
APC,9056,Gallium Ga-68,,,61.88,83.01,4
APC,9057,Inj nivol relatlimab 3mg/1mg,,,239.39,321.14,4
APC,9059,Vonvendi inj 1 iu vwf:rco,,,2.24,3.0,4
APC,9067,Lutetium lu 177 dotatat ther,,,378.72,508.05,4
APC,9068,Smallpox&monkeypox vac 0.5ml,,,0.01,0.02,4
APC,9070,Inj luxturna 1 billion vec g,,,3831.15,5139.42,4
APC,9071,Capsaicin 8% patch,,,4.09,5.49,4
APC,9073,Buprenorph xr 100 mg or less,,,2393.97,3211.46,4
APC,9075,"Inj, kovaltry, 1 i.u.",,,1.91,2.57,4
APC,9077,Epoetin beta non esrd,,,1.71,2.3,4
APC,9078,Testosterone undecanoate 1mg,,,2.41,3.24,4
APC,9079,"Genvisc 850, inj, 1mg",,,7.3,9.79,4
APC,9080,Fludarabine phosphate inj,,,86.78,116.41,4
APC,9087,"Inj, clevidipine, 1 mg",,,3.49,4.68,4
APC,9088,Peng benzathine/procaine inj,,,21.04,28.22,4
APC,9094,Radiesse injection,,,403.83,541.73,4
APC,9095,"Inj, sculptra, 0.5mg",,,1.21,1.62,4
APC,9096,Inj retacrit esrd on dialysi,,,0.92,1.23,4
APC,9097,Inj retacrit non-esrd use,,,9.16,12.29,4
APC,9099,"Inj fosnetupitant, palonoset",,,734.41,985.19,4
APC,9101,Vaccinia vrs vac 0.3 ml perq,,,0.01,0.02,4
APC,9102,"Inj, fulvestrant (teva)",,,55.97,75.08,4
APC,9103,"Inj, fulvestrant (fresenius)",,,4.02,5.4,4
APC,9104,Antithymocyte globuln rabbit,,,1206.81,1618.92,4
APC,9105,Inj pemetrexed (teva) 10mg,,,4.59,6.16,4
APC,9106,"Inj, bupivacaine (posimir)",,,0.62,0.83,4
APC,9107,Outpatient Services,,,2.32,3.11,4
APC,9108,Thyrotropin injection,,,2559.52,3433.55,4
APC,9109,"Inj, elahere, 1 mg",,,84.2,112.95,4
APC,9110,"Inj, tremelimumab-actl, 1 mg",,,170.98,229.36,4
APC,9111,Inj teclistamab cqyv 0.5 mg,,,40.29,54.05,4
APC,9112,Inj teplizumab mzwv 5 mcg,,,45.6,61.17,4
APC,9113,Inj olipudase alfa-rpcp 1mg,,,476.99,639.88,4
APC,9114,Inj eflapegrastim-xnst 0.1mg,,,25.58,34.31,4
APC,9115,"Inj, spesolimab-sbzo, 1 mg",,,79.61,106.79,4
APC,9116,Outpatient Services,,,0.73,0.97,4
APC,9117,"Inj, cimerli, 0.1 mg",,,104.78,140.56,4
APC,9118,"Inj, fylnetra, 0.5 mg",,,180.72,242.44,4
APC,9119,"Inj, pedmark, 100 mg",,,115.23,154.58,4
APC,9120,"Injection, Fulvestrant",,,8.45,11.34,4
APC,9122,Triptorelin pamoate,,,595.78,799.23,4
APC,9123,"Inj pemetrexed, hospira 10mg",,,5.96,8.0,4
APC,9125,"Risperidone, long acting",,,13.25,17.78,4
APC,9126,Natalizumab injection,,,29.22,39.2,4
APC,9127,Inj pemetrexed (accord) 10mg,,,11.79,15.82,4
APC,9129,"Inj, stimufend, 0.5 mg",,,277.5,372.26,4
APC,9131,"Inj, Ado-trastuzumab Emt 1mg",,,50.69,68.0,4
APC,9132,Prothrombin complex kcentra,,,2.59,3.48,4
APC,9133,"Rabies ig, im/sc",,,322.7,432.9,4
APC,9134,"Rabies ig, heat treated",,,420.67,564.32,4
APC,9135,"Varicella-zoster ig, im",,,2858.27,3834.31,4
APC,9136,Inj leu acet lutr dpt 7.5 mg,,,267.36,358.66,4
APC,9138,"Inj, hemgenix, per tx dose",,,4463533.29,5987747.25,4
APC,9139,"Rabies vaccine, im",,,377.93,506.98,4
APC,9140,"Rabies vaccine, id",,,320.32,429.71,4
APC,9141,Inj onase abepar-xioi treat,,,2969961.36,3984148.16,4
APC,9142,Fecal microbiota jslm 1 ml,,,77.55,104.03,4
APC,9144,"Inj, panzyga, 500 mg",,,90.18,120.98,4
APC,9145,"Inj, invega hafyera/trinza",,,15.69,21.05,4
APC,9146,"Inj, ixinity, 1 i.u.",,,2.32,3.11,4
APC,9149,"Inj ublituximab-xiiy, 1 mg",,,87.09,116.83,4
APC,9150,"Inj mosunetuzumab-axgb, 1 mg",,,790.59,1060.57,4
APC,9154,"Inj, vivimusta, 1 mg",,,33.98,45.59,4
APC,9155,Inj lenacapavir (hiv tx) 1mg,,,26.67,35.78,4
APC,9156,Outpatient Services,,,12.53,16.8,4
APC,9157,"Lecanemab-irmb, for iv inj",,,1.61,2.16,4
APC,9158,"Inj, pegcetacoplan, 1mg",,,171.88,230.57,4
APC,9159,"Inj, vegzelma, 10 mg",,,52.83,70.87,4
APC,9166,"Inj, fosaprepitant (teva)",,,1.37,1.84,4
APC,9171,Factor ix idelvion inj,,,6.47,8.68,4
APC,9173,"Injection, fulphila",,,125.61,168.5,4
APC,9174,"Inj, durolane 1 mg",,,8.1,10.86,4
APC,9178,"Inj., meropenem, vaborbactam",,,2.64,3.54,4
APC,9179,"Inj., aristada initio, 1 mg",,,3.94,5.29,4
APC,9180,"Inj., patisiran, 0.1 mg",,,120.9,162.18,4
APC,9181,"Inj., perseris, 0.5 mg",,,14.7,19.72,4
APC,9182,"Inj mogamulizumab-kpkc, 1 mg",,,300.98,403.75,4
APC,9183,"Inj., plazomicin, 5 mg",,,4.33,5.81,4
APC,9186,"Inj., rituximab, 10 mg",,,91.97,123.37,4
APC,9187,"Injection, burosumab-twza 1m",,,583.27,782.44,4
APC,9188,Outpatient Services,,,1264.64,1696.5,4
APC,9189,"Inj., ibalizumab-uiyk, 10 mg",,,96.15,128.99,4
APC,9193,Nivestym,,,0.35,0.47,4
APC,9194,Tisagenlecleucel car-pos t,,,700457.05,939650.16,4
APC,9195,"Injection, udenyca 0.5 mg",,,164.77,221.04,4
APC,9196,"Inj, trivisc 1 mg",,,6.59,8.85,4
APC,9198,"Inj andexxa, 10 mg",,,159.34,213.75,4
APC,9200,"Inj, remdesivir, 1 mg",,,8.15,10.93,4
APC,9201,Rabies ig ht&sol human im/sc,,,287.17,385.24,4
APC,9202,"Difelikefalin, esrd on dialy",,,0.09,0.12,4
APC,9203,Inj cyclophosphamd auromedic,,,0.95,1.27,4
APC,9204,"Inj tisotu vedotin-tftv, 1mg",,,228.49,306.51,4
APC,9205,Inj lon tesirin-lpyl 0.075mg,,,262.52,352.16,4
APC,9206,Inj plasminogen tvmh 1mg,,,39.13,52.49,4
APC,9208,Agalsidase beta injection,,,278.89,374.13,4
APC,9209,Laronidase injection,,,48.3,64.8,4
APC,9213,Inj. pemetrexed nos 10mg,,,4.52,6.07,4
APC,9214,Bevacizumab injection,,,88.48,118.69,4
APC,9215,Cetuximab injection,,,95.04,127.49,4
APC,9217,Leuprolide acetate suspnsion,,,188.24,252.52,4
APC,9219,Procainamide hcl injection,,,235.35,315.72,4
APC,9225,Fluocinolone acetonide implt,,,411.52,552.04,4
APC,9230,Abatacept injection,,,53.89,72.29,4
APC,9233,Ranibizumab injection,,,110.35,148.04,4
APC,9235,Panitumumab injection,,,208.99,280.35,4
APC,9237,"Inj, lanreotide acetate",,,44.4,59.56,4
APC,9239,Buprenorphine xr over 100 mg,,,2393.97,3211.46,4
APC,9240,"Injection, ixabepilone",,,167.96,225.31,4
APC,9241,Inj sirolimus prot part 1 mg,,,102.38,137.34,4
APC,9243,"Inj, bendamustine hcl, 1mg",,,2.24,3.01,4
APC,9246,"Inj, abilify asimtufii, 1 mg",,,7.31,9.8,4
APC,9247,"Inj, amisulpride, 1 mg",,,11.7,15.69,4
APC,9250,Inj epcoritamab-bysp 0.16 mg,,,67.41,90.43,4
APC,9251,C1 esterase inhibitor inj,,,79.6,106.79,4
APC,9252,Plerixafor injection,,,144.7,194.11,4
APC,9253,Temozolomide injection,,,12.59,16.89,4
APC,9254,Flotufolastat f18 diag 1 mci,,,812.97,1090.58,4
APC,9255,"Inj, invega sustenna, 1 mg",,,18.27,24.51,4
APC,9256,Dexamethasone intra implant,,,248.63,333.53,4
APC,9257,"Inj., emicizumab-kxwh 0.5 mg",,,69.56,93.32,4
APC,9258,Telavancin injection,,,9.04,12.13,4
APC,9259,Pralatrexate injection,,,470.94,631.76,4
APC,9260,Ofatumumab injection,,,75.38,101.12,4
APC,9261,"Ustekinumab sub cu inj, 1 mg",,,190.98,256.2,4
APC,9262,Inj tofersen intrathec 1 mg,,,188.15,252.39,4
APC,9263,Ecallantide injection,,,702.47,942.35,4
APC,9264,Tocilizumab injection,,,7.01,9.4,4
APC,9266,"Inj, uzedy, 1 mg",,,30.37,40.74,4
APC,9267,"Inj, rezafungin, 1 mg",,,12.86,17.25,4
APC,9269,"C-1 esterase, berinert",,,91.88,123.26,4
APC,9270,Gammaplex IVIG,,,75.66,101.49,4
APC,9271,Velaglucerase alfa,,,460.47,617.71,4
APC,9272,"Inj, denosumab",,,35.41,47.5,4
APC,9273,Sipuleucel-T auto CD54+,,,67760.82,90899.89,4
APC,9274,Crotalidae Poly Immune Fab,,,2254.17,3023.93,4
APC,9276,Cabazitaxel injection,,,275.06,368.99,4
APC,9277,Altuviiio per factor viii iu,,,5.66,7.59,4
APC,9278,Incobotulinumtoxin A,,,6.43,8.62,4
APC,9280,"Inj, retifanlimab-dlwr, 1 mg",,,36.31,48.71,4
APC,9281,"Injection, pegloticase",,,4407.33,5912.35,4
APC,9284,Ipilimumab injection,,,222.15,298.01,4
APC,9285,Inj allopurinol sodium 1 mg,,,5.5,7.38,4
APC,9286,Belatacept injection,,,4.71,6.32,4
APC,9287,Brentuximab vedotin inj,,,313.11,420.03,4
APC,9294,"Inj, taliglucerase alfa 10 u",,,49.74,66.72,4
APC,9295,"Injection, Carfilzomib, 1 mg",,,66.72,89.51,4
APC,9296,"Inj, ziv-aflibercept, 1mg",,,9.66,12.96,4
APC,9299,Inj. jivi 1 iu,,,3.21,4.31,4
APC,9300,Omalizumab injection,,,49.13,65.91,4
APC,9301,"Aminolevulinic acid, 10% gel",,,2.19,2.94,4
APC,9302,"Inj daunorubicin, cytarabine",,,308.96,414.47,4
APC,9304,"Inj., cemiplimab-rwlc, 1 mg",,,34.76,46.63,4
APC,9305,"Inj., lumoxiti, 0.01 mg",,,28.33,38.01,4
APC,9306,"Inj., tildrakizumab, 1 mg",,,152.9,205.11,4
APC,9308,Dexametha opth insert 0.1 mg,,,122.92,164.89,4
APC,9309,Inj. tagraxofusp-erzs 10 mcg,,,422.24,566.42,4
APC,9310,"Inj., emapalumab-lzsg, 1 mg",,,462.24,620.08,4
APC,9311,"Inj., omadacycline, 1 mg",,,4.86,6.52,4
APC,9312,"Inj., ravulizumab-cwvz 10 mg",,,272.75,365.89,4
APC,9313,Inj. belrapzo/bendamustine,,,14.53,19.49,4
APC,9314,"Inj. herceptin hylecta, 10mg",,,76.27,102.32,4
APC,9319,Somatropin injection,,,59.25,79.48,4
APC,9320,Carbidopa levodopa ent 100ml,,,294.5,395.06,4
APC,9323,Gallium ga-68 dotatoc,,,4.91,6.58,4
APC,9324,Phenylep ketorolac opth soln,,,117.99,158.28,4
APC,9327,Inj. romosozumab-aqqg 1 mg,,,14.54,19.5,4
APC,9328,"Inj., yutiq, 0.01 mg",,,645.05,865.33,4
APC,9329,Inj mvasi 10 mg,,,34.94,46.87,4
APC,9330,"Inj., kanjinti, 10 mg",,,52.41,70.31,4
APC,9331,"Inj, polatuzumab vedotin 1mg",,,165.0,221.34,4
APC,9335,Oral busulfan,,,101.99,136.82,4
APC,9336,Inj truxima 10 mg,,,37.76,50.66,4
APC,9338,"Inj., triluron, 1 mg",,,12.31,16.51,4
APC,9340,"Inj, brolucizumab-dbll, 1 mg",,,419.3,562.49,4
APC,9341,Inj  ogivri 10 mg,,,54.01,72.45,4
APC,9343,Inj givosiran 0.5 mg,,,141.94,190.41,4
APC,9345,Inj pegfilgrastim-bmez 0.5mg,,,33.9,45.47,4
APC,9346,Mometasone sinus sinuva,,,13.74,18.43,4
APC,9347,Inj luspatercept-aamt 0.25mg,,,50.82,68.18,4
APC,9348,"Inj., zirabev, 10 mg",,,28.98,38.88,4
APC,9349,Inj herzuma 10 mg,,,93.86,125.91,4
APC,9350,"Inj., trazimera, 10 mg",,,34.66,46.49,4
APC,9351,Inj bimatoprost itc imp 1mcg,,,257.21,345.04,4
APC,9353,Inj fam-trastu deru-nxki 1mg,,,36.34,48.75,4
APC,9354,Inj recombin esperoct per iu,,,2.74,3.67,4
APC,9355,Inj. teprotumumab-trbw 10 mg,,,434.92,583.44,4
APC,9357,Inj. eptinezumab-jjmr 1 mg,,,24.04,32.25,4
APC,9358,Inj xipere 1 mg,,,58.14,77.99,4
APC,9359,Inj crizanlizumab-tmca 5mg,,,156.94,210.54,4
APC,9361,Inj. cetirizine hcl 0.5mg,,,19.86,26.64,4
APC,9362,Inj imip 4 cilas 4 releb 2mg,,,3.16,4.24,4
APC,9364,Inj enfort vedo-ejfv 0.25mg,,,44.41,59.57,4
APC,9366,Fiasp for insulin pump use,,,9.4,12.61,4
APC,9367,"Inj ruxience, 10 mg",,,32.1,43.06,4
APC,9370,Fluoroestradiol f 18,,,603.98,810.23,4
APC,9372,"Inj. xembify, 100 mg",,,18.06,24.23,4
APC,9374,Mitomycin instillation,,,384.46,515.74,4
APC,9375,"Inj., evomela, 1 mg",,,21.04,28.23,4
APC,9376,Sacituzumab govitecan-hziy,,,43.91,58.91,4
APC,9377,Inj. isatuximab-irfc 10 mg,,,100.36,134.63,4
APC,9378,"Daratumumab, hyaluronidase",,,66.21,88.82,4
APC,9381,"Inj. avsola, 10 mg",,,25.3,33.94,4
APC,9382,Inj ontruzant 10 mg,,,26.63,35.72,4
APC,9383,Copper cu 64 dotatate diag,,,720.77,966.91,4
APC,9385,"Inj., tafasitamab-cxix",,,17.05,22.87,4
APC,9388,Inj. fe derisomaltose 10 mg,,,22.95,30.79,4
APC,9389,"Inj. lurbinectedin, 0.1 mg",,,249.65,334.91,4
APC,9390,"Pertuzu, trastuzu, 10 mg",,,76.77,102.99,4
APC,9391,Brexucabtagene car pos t,,,593140.67,795687.22,4
APC,9392,Inj. asceniv,,,601.36,806.71,4
APC,9394,"Inj. inebilizumab-cdon, 1 mg",,,598.85,803.35,4
APC,9396,"Afamelanotide implant, 1 mg",,,3565.02,4782.41,4
APC,9398,Covid-19 Vaccine Administration,,,50.28,67.46,4
APC,9399,"Pneumococcal, Influenza, Hepatitis B, and/or Covid-19 Vaccine Home Administration",,,44.64,59.88,4
APC,9406,"Inj, nyvepria",,,159.92,214.53,4
APC,9407,"Inj. lumasiran, 0.5 mg",,,398.6,534.72,4
APC,9408,"Inj. naxitamab-gqgk, 1 mg",,,830.76,1114.45,4
APC,9409,Gallium ga-68 psma-11 ucsf,,,647.87,869.11,4
APC,9410,"Gallium ga-68 psma-11, ucla",,,450.77,604.69,4
APC,9411,"Inj. riabni, 10 mg",,,36.24,48.61,4
APC,9413,lisocabtagene car pos t,,,656020.04,880038.74,4
APC,9414,"Inj, cabote rilpivir 2mg 3mg",,,28.62,38.39,4
APC,9415,"Injection, trilaciclib, 1mg",,,6.53,8.76,4
APC,9416,"Inj, evinacumab-dgnb, 5 mg",,,229.82,308.3,4
APC,9418,"Inj. margetuximab-cmkb, 5 mg",,,61.1,81.97,4
APC,9419,Inj fensolvi 0.25 mg,,,170.08,228.16,4
APC,9421,"Inj, granisetron, xr, 0.1 mg",,,6.01,8.06,4
APC,9422,Idecabtagene vicleucel car,,,655565.59,879429.1,4
APC,9426,"Inj, cefiderocol, 10 mg",,,2.91,3.9,4
APC,9427,"Injection, oritavancin 10 mg",,,50.15,67.27,4
APC,9428,Inj romidepsin non-lyo 0.1mg,,,34.54,46.33,4
APC,9429,Inj romidepsin lyophil 0.1mg,,,37.64,50.49,4
APC,9430,"Piflu f-18, dia 1 millicurie",,,402.65,540.14,4
APC,9431,"Inj, dostarlimab-gxly, 10 mg",,,295.31,396.16,4
APC,9432,"Inj, amivantamab-vmjw",,,26.9,36.08,4
APC,9433,Inj aval alfa-nqpt 4mg,,,97.81,131.2,4
APC,9434,Inj anifrolumab-fnia 1mg,,,21.93,29.41,4
APC,9436,Inj pegfilgrast ex bio 0.5mg,,,70.73,94.88,4
APC,9437,"Inj, aspara, rylaze, 0.1 mg",,,66.98,89.85,4
APC,9438,"Injection, aducanumab-avwa, 2 mg",,,7.24,9.71,4
APC,9439,"Inj, susvimo 0.1 mg",,,94.99,127.43,4
APC,9440,"Instill, bupivac and meloxic",,,0.98,1.31,4
APC,9441,Inj Ferric Carboxymaltos 1mg,,,1.39,1.86,4
APC,9442,"Inj. pemetrexed, 10 mg",,,63.88,85.69,4
APC,9443,Gallium illuccix 1 millicure,,,1179.26,1581.95,4
APC,9444,"Inj, sutimlimab-jome, 10 mg",,,21.93,29.42,4
APC,9445,"Injection, ruconest",,,44.49,59.69,4
APC,9446,"Inj, tebentafusp-tebn, 1 mcg",,,262.93,352.72,4
APC,9447,"Inj, releuko 1 mcg",,,0.49,0.66,4
APC,9448,"Oral netupitant, palonosetro",,,496.0,665.38,4
APC,9449,"Injection, blinatumomab",,,197.67,265.17,4
APC,9450,Fluocinol acet intravit imp,,,602.92,808.81,4
APC,9451,"Injection, peramivir",,,2.03,2.73,4
APC,9452,Inj ceftolozane tazobactam,,,11.06,14.83,4
APC,9453,"Injection, nivolumab",,,39.97,53.62,4
APC,9454,"Inj, pasireotide long acting",,,682.85,916.03,4
APC,9455,"Injection, siltuximab",,,196.16,263.14,4
APC,9456,"Injection, isavuconazonium",,,1.22,1.64,4
APC,9458,florbetaben f18 diagnostic,,,1542.76,2069.58,4
APC,9459,Flutemetamol f18 diagnostic,,,2260.77,3032.79,4
APC,9460,"Injection, cangrelor",,,23.99,32.18,4
APC,9461,Choline c-11,,,2498.6,3351.82,4
APC,9463,"Inj., aprepitant, 1 mg",,,2.15,2.88,4
APC,9466,"Inj., benralizumab, 1 mg",,,203.64,273.17,4
APC,9467,"Inj rituximab, hyaluronidase",,,44.77,60.06,4
APC,9468,Factor ix recomb gly rebinyn,,,5.55,7.44,4
APC,9469,Inj triamcinolone ace xr 1mg,,,22.05,29.59,4
APC,9470,Aripirazole lauroxil 1 mg,,,4.04,5.42,4
APC,9471,"Hyaluronan, hymo or hymo one",,,21.12,28.34,4
APC,9472,Inj talimogene laherparepvec,,,89.08,119.5,4
APC,9473,"Injection, mepolizumab, 1mg",,,37.94,50.9,4
APC,9474,Inj irinotecan liposome 1 mg,,,79.04,106.02,4
APC,9475,"Injection, necitumumab, 1 mg",,,6.94,9.31,4
APC,9476,"Injection, daratumumab 10 mg",,,84.58,113.47,4
APC,9477,"Injection, elotuzumab, 1mg",,,9.54,12.8,4
APC,9478,Inj sebelipase alfa 1 mg,,,653.67,876.88,4
APC,9480,Injection trabectedin 0.1mg,,,463.96,622.4,4
APC,9481,"Injection, reslizumab",,,12.81,17.18,4
APC,9482,Outpatient Services,,,30.34,40.7,4
APC,9483,"Inj, atezolizumab,10 mg",,,110.24,147.89,4
APC,9487,"Ustekinumab, iv inject,1 mg",,,16.1,21.59,4
APC,9489,"Inj, nusinersen, 0.1mg",,,1510.27,2025.99,4
APC,9490,"Inj, bezlotoxumab, 10 mg",,,48.23,64.71,4
APC,9491,"Injection, avelumab, 10 mg",,,121.48,162.96,4
APC,9492,"Inj., durvalumab, 10 mg",,,103.25,138.51,4
APC,9493,"Injection, edaravone, 1 mg",,,22.81,30.61,4
APC,9494,"Injection, ocrelizumab",,,72.31,97.01,4
APC,9495,Gemtuzumab ozogamicin inj,,,286.59,384.45,4
APC,9496,"Inj, faricimab-svoa, 0.1mg",,,41.76,56.02,4
APC,9498,Ciltacabtagene car-pos t,,,670243.17,899118.81,4
APC,9500,"Platelets, irradiated",,,164.45,220.61,4
APC,9501,Platelet pheres leukoreduced,,,589.97,791.44,4
APC,9502,Platelet pheresis irradiated,,,711.75,954.8,4
APC,9503,Fr frz plasma donor retested,,,59.26,79.5,4
APC,9504,RBC deglycerolized,,,791.8,1062.19,4
APC,9505,RBC irradiated,,,180.73,242.44,4
APC,9507,"Platelets, pheresis",,,481.0,645.25,4
APC,9508,Plasma 1 donor frz w/in 8 hr,,,102.09,136.96,4
APC,9509,"Frozen plasma, pooled, sd",,,75.47,101.24,4
APC,9510,Whole blood for transfusion,,,272.66,365.76,4
APC,9511,Cryoprecipitate each unit,,,76.99,103.28,4
APC,9512,RBC leukocytes reduced,,,220.44,295.71,4
APC,9513,"Plasma, frz between 8-24hour",,,86.11,115.51,4
APC,9514,"Plasma protein fract,5%,50ml",,,9.77,13.11,4
APC,9515,"Platelets, each unit",,,92.01,123.42,4
APC,9516,Plaelet rich plasma unit,,,675.02,905.53,4
APC,9517,Red blood cells unit,,,174.8,234.49,4
APC,9518,Washed red blood cells unit,,,480.69,644.83,4
APC,9519,"Plasmaprotein fract,5%,250ml",,,89.28,119.77,4
APC,9520,Blood split unit,,,171.74,230.39,4
APC,9521,Platelets leukoreduced irrad,,,248.77,333.72,4
APC,9522,RBC leukoreduced irradiated,,,309.82,415.62,4
APC,9523,Cryoprecipitatereducedplasma,,,178.41,239.33,4
APC,9524,"Blood, l/r, cmv-neg",,,208.57,279.79,4
APC,9525,"Platelets, hla-m, l/r, unit",,,941.68,1263.25,4
APC,9526,Platelets leukocytes reduced,,,152.33,204.35,4
APC,9527,"Blood, l/r, froz/degly/wash",,,293.64,393.91,4
APC,9528,"Plt, aph/pher, l/r, cmv-neg",,,275.24,369.23,4
APC,9529,"Blood, l/r, irradiated",,,101.94,136.75,4
APC,9530,Plate pheres leukoredu irrad,,,818.35,1097.8,4
APC,9531,"Plt, pher, l/r cmv-neg, irr",,,556.21,746.15,4
APC,9532,"RBC, frz/deg/wsh, l/r, irrad",,,587.88,788.63,4
APC,9533,"RBC, l/r, cmv-neg, irrad",,,269.92,362.1,4
APC,9534,Pathogen reduced plasma pool,,,67.95,91.16,4
APC,9535,Pathogen reduced plasma sing,,,354.3,475.29,4
APC,9536,Platelets pheresis path redu,,,711.3,954.19,4
APC,9537,Blood component/product noc,,,59.26,79.5,4
APC,9538,Plasma cryo redu path each,,,163.7,219.59,4
APC,9539,Cryo fib comp path redu each,,,380.03,509.8,4
APC,9540,Covid-19 convalescent plasma,,,515.51,691.54,4
APC,9541,Rbc o2 co2 reduced,,,589.97,791.44,4
APR-DRG,001-1,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,19441.83,139479.0,5
APR-DRG,001-2,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,23660.41,157095.0,5
APR-DRG,001-3,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,29324.26,252068.0,5
APR-DRG,001-4,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,53099.89,302662.0,5
APR-DRG,0011,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,137341.0,137341.0,1
APR-DRG,0012,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,154090.0,154090.0,1
APR-DRG,0013,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,205721.0,205721.0,1
APR-DRG,0014,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,324591.0,324591.0,1
APR-DRG,002-1,HEART AND/OR LUNG TRANSPLANT,,,29967.3,207473.0,5
APR-DRG,002-2,HEART AND/OR LUNG TRANSPLANT,,,39092.79,242015.0,5
APR-DRG,002-3,HEART AND/OR LUNG TRANSPLANT,,,50647.26,326117.0,5
APR-DRG,002-4,HEART AND/OR LUNG TRANSPLANT,,,93658.59,683652.0,5
APR-DRG,0021,HEART AND/OR LUNG TRANSPLANT,,,113389.0,113389.0,1
APR-DRG,0022,HEART AND/OR LUNG TRANSPLANT,,,137924.0,137924.0,1
APR-DRG,0023,HEART AND/OR LUNG TRANSPLANT,,,191635.0,191635.0,1
APR-DRG,0024,HEART AND/OR LUNG TRANSPLANT,,,302786.0,302786.0,1
APR-DRG,004-1,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,16769.42,108844.0,5
APR-DRG,004-2,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,23669.07,162995.0,5
APR-DRG,004-3,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,37953.9,235620.0,5
APR-DRG,004-4,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,57255.86,305155.0,5
APR-DRG,0041,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,105336.0,105336.0,1
APR-DRG,0042,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,144219.0,144219.0,1
APR-DRG,0043,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,209400.0,209400.0,1
APR-DRG,0044,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,313304.0,313304.0,1
APR-DRG,005-1,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,9694.27,121508.0,5
APR-DRG,005-2,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,19242.36,146323.0,5
APR-DRG,005-3,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,28734.49,207545.0,5
APR-DRG,005-4,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,40728.87,335931.0,5
APR-DRG,0051,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,92066.0,92066.0,1
APR-DRG,0052,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,109080.0,109080.0,1
APR-DRG,0053,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,163478.0,163478.0,1
APR-DRG,0054,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,230861.0,230861.0,1
APR-DRG,006-1,PANCREAS TRANSPLANT,,,20795.52,137231.0,5
APR-DRG,006-2,PANCREAS TRANSPLANT,,,25770.37,174586.0,5
APR-DRG,006-3,PANCREAS TRANSPLANT,,,30475.47,201112.0,5
APR-DRG,006-4,PANCREAS TRANSPLANT,,,35808.31,284650.0,5
APR-DRG,0061,PANCREAS TRANSPLANT,,,121336.0,121336.0,1
APR-DRG,0062,PANCREAS TRANSPLANT,,,146063.0,146063.0,1
APR-DRG,0063,PANCREAS TRANSPLANT,,,177816.0,177816.0,1
APR-DRG,0064,PANCREAS TRANSPLANT,,,224604.0,224604.0,1
APR-DRG,007-1,ALLOGENEIC BONE MARROW TRANSPLANT,,,21297.37,151051.0,5
APR-DRG,007-2,ALLOGENEIC BONE MARROW TRANSPLANT,,,25585.55,170577.0,5
APR-DRG,007-3,ALLOGENEIC BONE MARROW TRANSPLANT,,,34375.36,218069.0,5
APR-DRG,007-4,ALLOGENEIC BONE MARROW TRANSPLANT,,,57695.77,313912.0,5
APR-DRG,0071,ALLOGENEIC BONE MARROW TRANSPLANT,,,119231.0,119231.0,1
APR-DRG,0072,ALLOGENEIC BONE MARROW TRANSPLANT,,,151179.0,151179.0,1
APR-DRG,0073,ALLOGENEIC BONE MARROW TRANSPLANT,,,180982.0,180982.0,1
APR-DRG,0074,ALLOGENEIC BONE MARROW TRANSPLANT,,,334815.0,334815.0,1
APR-DRG,008-1,AUTOLOGOUS BONE MARROW TRANSPLANT,,,11233.78,41285.0,5
APR-DRG,008-2,AUTOLOGOUS BONE MARROW TRANSPLANT,,,13308.44,54939.0,5
APR-DRG,008-3,AUTOLOGOUS BONE MARROW TRANSPLANT,,,16444.07,104673.0,5
APR-DRG,008-4,AUTOLOGOUS BONE MARROW TRANSPLANT,,,25070.38,186326.0,5
APR-DRG,0081,AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,50556.0,50556.0,1
APR-DRG,0082,AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,79425.0,79425.0,1
APR-DRG,0083,AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,90352.0,90352.0,1
APR-DRG,0084,AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,162521.0,162521.0,1
APR-DRG,009-1,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,18824.76,92494.0,5
APR-DRG,009-2,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,23266.79,112702.0,5
APR-DRG,009-3,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,42399.26,154520.0,5
APR-DRG,009-4,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,74947.39,292815.0,5
APR-DRG,0091,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,86550.0,86550.0,1
APR-DRG,0092,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,91105.0,91105.0,1
APR-DRG,0093,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,156043.0,156043.0,1
APR-DRG,0094,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,390412.0,390412.0,1
APR-DRG,011-1,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,24335.21,60561.0,5
APR-DRG,011-2,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,35814.56,89128.0,5
APR-DRG,011-3,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,67613.47,168263.0,5
APR-DRG,011-4,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,103131.42,271159.0,5
APR-DRG,0111,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,24714.0,24714.0,1
APR-DRG,0112,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,49450.0,49450.0,1
APR-DRG,0113,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,69229.0,69229.0,1
APR-DRG,0114,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,253215.0,253215.0,1
APR-DRG,020-1,OPEN CRANIOTOMY FOR TRAUMA,,,6134.06,36834.0,5
APR-DRG,020-2,OPEN CRANIOTOMY FOR TRAUMA,,,7751.82,45840.0,5
APR-DRG,020-3,OPEN CRANIOTOMY FOR TRAUMA,,,11209.47,69922.0,5
APR-DRG,020-4,OPEN CRANIOTOMY FOR TRAUMA,,,16936.26,127072.0,5
APR-DRG,0201,OPEN CRANIOTOMY FOR TRAUMA,,,38712.0,38712.0,1
APR-DRG,0202,OPEN CRANIOTOMY FOR TRAUMA,,,41212.0,41212.0,1
APR-DRG,0203,OPEN CRANIOTOMY FOR TRAUMA,,,57713.0,57713.0,1
APR-DRG,0204,OPEN CRANIOTOMY FOR TRAUMA,,,161272.0,161272.0,1
APR-DRG,021-1,OPEN CRANIOTOMY EXCEPT TRAUMA,,,7032.19,36127.0,5
APR-DRG,021-2,OPEN CRANIOTOMY EXCEPT TRAUMA,,,9372.59,40742.0,5
APR-DRG,021-3,OPEN CRANIOTOMY EXCEPT TRAUMA,,,13024.05,66831.0,5
APR-DRG,021-4,OPEN CRANIOTOMY EXCEPT TRAUMA,,,19114.81,127559.0,5
APR-DRG,0211,OPEN CRANIOTOMY EXCEPT TRAUMA,,,36209.0,36209.0,1
APR-DRG,0212,OPEN CRANIOTOMY EXCEPT TRAUMA,,,43774.0,43774.0,1
APR-DRG,0213,OPEN CRANIOTOMY EXCEPT TRAUMA,,,81514.0,81514.0,1
APR-DRG,0214,OPEN CRANIOTOMY EXCEPT TRAUMA,,,141845.0,141845.0,1
APR-DRG,022-1,VENTRICULAR SHUNT PROCEDURES,,,4391.41,22026.0,5
APR-DRG,022-2,VENTRICULAR SHUNT PROCEDURES,,,5381.12,23902.0,5
APR-DRG,022-3,VENTRICULAR SHUNT PROCEDURES,,,7244.98,34441.0,5
APR-DRG,022-4,VENTRICULAR SHUNT PROCEDURES,,,13783.31,104704.0,5
APR-DRG,0221,VENTRICULAR SHUNT PROCEDURES,,,26434.0,26434.0,1
APR-DRG,0222,VENTRICULAR SHUNT PROCEDURES,,,30507.0,30507.0,1
APR-DRG,0223,VENTRICULAR SHUNT PROCEDURES,,,38914.0,38914.0,1
APR-DRG,0224,VENTRICULAR SHUNT PROCEDURES,,,81698.0,81698.0,1
APR-DRG,023-1,SPINAL PROCEDURES,,,5085.41,26165.0,5
APR-DRG,023-2,SPINAL PROCEDURES,,,7257.97,35969.0,5
APR-DRG,023-3,SPINAL PROCEDURES,,,12000.71,73756.0,5
APR-DRG,023-4,SPINAL PROCEDURES,,,18443.13,149951.0,5
APR-DRG,0231,SPINAL PROCEDURES,,,31915.0,31915.0,1
APR-DRG,0232,SPINAL PROCEDURES,,,42952.0,42952.0,1
APR-DRG,0233,SPINAL PROCEDURES,,,84459.0,84459.0,1
APR-DRG,0234,SPINAL PROCEDURES,,,153498.0,153498.0,1
APR-DRG,024-1,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,3412.69,18555.0,5
APR-DRG,024-2,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,4208.92,24861.0,5
APR-DRG,024-3,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,7460.11,40771.0,5
APR-DRG,024-4,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,11552.81,77410.0,5
APR-DRG,0241,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,16059.0,16059.0,1
APR-DRG,0242,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,21242.0,21242.0,1
APR-DRG,0243,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,36712.0,36712.0,1
APR-DRG,0244,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,81605.0,81605.0,1
APR-DRG,026-1,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,4016.44,21632.0,5
APR-DRG,026-2,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,5861.65,29029.0,5
APR-DRG,026-3,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,7840.4,53880.0,5
APR-DRG,026-4,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,12625.77,91761.0,5
APR-DRG,0261,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,14531.0,14531.0,1
APR-DRG,0262,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,20404.0,20404.0,1
APR-DRG,0263,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,47527.0,47527.0,1
APR-DRG,0264,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,90609.0,90609.0,1
APR-DRG,027-1,OTHER OPEN CRANIOTOMY,,,5335.83,29038.0,5
APR-DRG,027-2,OTHER OPEN CRANIOTOMY,,,6970.91,33804.0,5
APR-DRG,027-3,OTHER OPEN CRANIOTOMY,,,10607.39,41275.0,5
APR-DRG,027-4,OTHER OPEN CRANIOTOMY,,,15016.12,116478.0,5
APR-DRG,0271,OTHER OPEN CRANIOTOMY,,,26432.0,26432.0,1
APR-DRG,0272,OTHER OPEN CRANIOTOMY,,,37776.0,37776.0,1
APR-DRG,0273,OTHER OPEN CRANIOTOMY,,,71381.0,71381.0,1
APR-DRG,0274,OTHER OPEN CRANIOTOMY,,,109773.0,109773.0,1
APR-DRG,029-1,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,5297.2,43106.0,5
APR-DRG,029-2,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,6628.91,45261.0,5
APR-DRG,029-3,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,9878.1,46777.0,5
APR-DRG,029-4,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,13793.64,85453.0,5
APR-DRG,0291,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,52256.0,52256.0,1
APR-DRG,0292,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,59129.0,59129.0,1
APR-DRG,0293,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,101003.0,101003.0,1
APR-DRG,0294,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,110141.0,110141.0,1
APR-DRG,030-1,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,5079.75,43065.0,5
APR-DRG,030-2,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,8262.0,48934.0,5
APR-DRG,030-3,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,10560.1,65783.0,5
APR-DRG,030-4,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,14427.02,90022.0,5
APR-DRG,0301,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,46849.0,46849.0,1
APR-DRG,0302,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,60146.0,60146.0,1
APR-DRG,0303,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,78140.0,78140.0,1
APR-DRG,0304,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,116356.0,116356.0,1
APR-DRG,040-1,SPINAL DISORDERS AND INJURIES,,,2820.93,21245.0,5
APR-DRG,040-2,SPINAL DISORDERS AND INJURIES,,,4039.42,34114.0,5
APR-DRG,040-3,SPINAL DISORDERS AND INJURIES,,,5699.48,47065.0,5
APR-DRG,040-4,SPINAL DISORDERS AND INJURIES,,,8132.12,57113.0,5
APR-DRG,0401,SPINAL DISORDERS AND INJURIES,,,20199.0,20199.0,1
APR-DRG,0402,SPINAL DISORDERS AND INJURIES,,,28520.0,28520.0,1
APR-DRG,0403,SPINAL DISORDERS AND INJURIES,,,29971.0,29971.0,1
APR-DRG,0404,SPINAL DISORDERS AND INJURIES,,,56048.0,56048.0,1
APR-DRG,041-1,NERVOUS SYSTEM MALIGNANCY,,,2387.69,18272.0,5
APR-DRG,041-2,NERVOUS SYSTEM MALIGNANCY,,,2807.28,20767.0,5
APR-DRG,041-3,NERVOUS SYSTEM MALIGNANCY,,,3784.67,22641.0,5
APR-DRG,041-4,NERVOUS SYSTEM MALIGNANCY,,,5378.79,49782.0,5
APR-DRG,0411,NERVOUS SYSTEM MALIGNANCY,,,15933.0,15933.0,1
APR-DRG,0412,NERVOUS SYSTEM MALIGNANCY,,,16569.0,16569.0,1
APR-DRG,0413,NERVOUS SYSTEM MALIGNANCY,,,23864.0,23864.0,1
APR-DRG,0414,NERVOUS SYSTEM MALIGNANCY,,,35359.0,35359.0,1
APR-DRG,042-1,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,2274.46,22271.0,5
APR-DRG,042-2,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,2857.56,25560.0,5
APR-DRG,042-3,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,3853.93,45451.0,5
APR-DRG,042-4,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,7092.79,77009.0,5
APR-DRG,0421,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,14487.0,14487.0,1
APR-DRG,0422,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,15682.0,15682.0,1
APR-DRG,0423,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,52675.0,52675.0,1
APR-DRG,0424,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,53413.0,53413.0,1
APR-DRG,043-1,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,2930.49,19857.0,5
APR-DRG,043-2,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,4210.92,27275.0,5
APR-DRG,043-3,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,6457.41,52441.0,5
APR-DRG,043-4,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,12585.47,75423.0,5
APR-DRG,0431,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,17349.0,17349.0,1
APR-DRG,0432,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,21104.0,21104.0,1
APR-DRG,0433,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,31230.0,31230.0,1
APR-DRG,0434,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,83826.0,83826.0,1
APR-DRG,044-1,INTRACRANIAL HEMORRHAGE,,,2281.46,16249.0,5
APR-DRG,044-2,INTRACRANIAL HEMORRHAGE,,,3088.67,25166.0,5
APR-DRG,044-3,INTRACRANIAL HEMORRHAGE,,,4091.37,37047.0,5
APR-DRG,044-4,INTRACRANIAL HEMORRHAGE,,,6172.35,58536.0,5
APR-DRG,0441,INTRACRANIAL HEMORRHAGE,,,16099.0,16099.0,1
APR-DRG,0442,INTRACRANIAL HEMORRHAGE,,,23000.0,23000.0,1
APR-DRG,0443,INTRACRANIAL HEMORRHAGE,,,38001.0,38001.0,1
APR-DRG,0444,INTRACRANIAL HEMORRHAGE,,,83088.0,83088.0,1
APR-DRG,045-1,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,2518.23,12830.0,5
APR-DRG,045-2,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,3108.65,16787.0,5
APR-DRG,045-3,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,4159.97,25096.0,5
APR-DRG,045-4,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,6522.68,47644.0,5
APR-DRG,0451,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,11723.0,11723.0,1
APR-DRG,0452,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,15823.0,15823.0,1
APR-DRG,0453,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,24690.0,24690.0,1
APR-DRG,0454,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,54638.0,54638.0,1
APR-DRG,046-1,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,2122.94,13811.0,5
APR-DRG,046-2,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,2703.05,17414.0,5
APR-DRG,046-3,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,3509.93,21253.0,5
APR-DRG,046-4,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,6414.12,36798.0,5
APR-DRG,0461,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,14355.0,14355.0,1
APR-DRG,0462,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,14794.0,14794.0,1
APR-DRG,0463,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,18606.0,18606.0,1
APR-DRG,0464,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,42218.0,42218.0,1
APR-DRG,047-1,TRANSIENT ISCHEMIA,,,2133.93,13176.0,5
APR-DRG,047-2,TRANSIENT ISCHEMIA,,,2459.28,15038.0,5
APR-DRG,047-3,TRANSIENT ISCHEMIA,,,3107.99,20883.0,5
APR-DRG,047-4,TRANSIENT ISCHEMIA,,,4813.0,28781.0,5
APR-DRG,0471,TRANSIENT ISCHEMIA,,,12122.0,12122.0,1
APR-DRG,0472,TRANSIENT ISCHEMIA,,,13894.0,13894.0,1
APR-DRG,0473,TRANSIENT ISCHEMIA,,,14057.0,14057.0,1
APR-DRG,0474,TRANSIENT ISCHEMIA,,,34972.0,34972.0,1
APR-DRG,048-1,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,1964.1,12756.0,5
APR-DRG,048-2,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,2420.65,15591.0,5
APR-DRG,048-3,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,3377.39,22204.0,5
APR-DRG,048-4,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,5954.23,38628.0,5
APR-DRG,0481,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,10128.0,10128.0,1
APR-DRG,0482,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,14413.0,14413.0,1
APR-DRG,0483,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,21605.0,21605.0,1
APR-DRG,0484,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,38092.0,38092.0,1
APR-DRG,049-1,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,3201.23,18440.0,5
APR-DRG,049-2,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,4250.55,35323.0,5
APR-DRG,049-3,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,6014.17,38129.0,5
APR-DRG,049-4,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,9902.74,74292.0,5
APR-DRG,0491,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,25465.0,25465.0,1
APR-DRG,0492,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,34665.0,34665.0,1
APR-DRG,0493,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,50155.0,50155.0,1
APR-DRG,0494,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,96802.0,96802.0,1
APR-DRG,050-1,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,2326.75,13674.0,5
APR-DRG,050-2,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,3919.2,23672.0,5
APR-DRG,050-3,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,6146.38,46188.0,5
APR-DRG,050-4,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,10928.75,52619.0,5
APR-DRG,0501,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,17435.0,17435.0,1
APR-DRG,0502,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,20339.0,20339.0,1
APR-DRG,0503,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,43051.0,43051.0,1
APR-DRG,0504,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,125443.0,125443.0,1
APR-DRG,051-1,VIRAL MENINGITIS,,,2007.06,9849.0,5
APR-DRG,051-2,VIRAL MENINGITIS,,,2712.04,14983.0,5
APR-DRG,051-3,VIRAL MENINGITIS,,,4105.36,25625.0,5
APR-DRG,051-4,VIRAL MENINGITIS,,,7013.87,47898.0,5
APR-DRG,0511,VIRAL MENINGITIS,,,10115.0,10115.0,1
APR-DRG,0512,VIRAL MENINGITIS,,,11414.0,11414.0,1
APR-DRG,0513,VIRAL MENINGITIS,,,21479.0,21479.0,1
APR-DRG,0514,VIRAL MENINGITIS,,,48654.0,48654.0,1
APR-DRG,052-1,ALTERATION IN CONSCIOUSNESS,,,1883.84,7574.0,5
APR-DRG,052-2,ALTERATION IN CONSCIOUSNESS,,,2497.25,12703.0,5
APR-DRG,052-3,ALTERATION IN CONSCIOUSNESS,,,3504.27,23189.0,5
APR-DRG,052-4,ALTERATION IN CONSCIOUSNESS,,,5876.97,42823.0,5
APR-DRG,0521,ALTERATION IN CONSCIOUSNESS,,,8732.0,8732.0,1
APR-DRG,0522,ALTERATION IN CONSCIOUSNESS,,,10306.0,10306.0,1
APR-DRG,0523,ALTERATION IN CONSCIOUSNESS,,,24329.0,24329.0,1
APR-DRG,0524,ALTERATION IN CONSCIOUSNESS,,,50416.0,50416.0,1
APR-DRG,053-1,SEIZURE,,,1506.21,9388.0,5
APR-DRG,053-2,SEIZURE,,,2114.28,12098.0,5
APR-DRG,053-3,SEIZURE,,,3366.41,18389.0,5
APR-DRG,053-4,SEIZURE,,,6346.18,39205.0,5
APR-DRG,0531,SEIZURE,,,8957.0,8957.0,1
APR-DRG,0532,SEIZURE,,,11605.0,11605.0,1
APR-DRG,0533,SEIZURE,,,15090.0,15090.0,1
APR-DRG,0534,SEIZURE,,,56463.0,56463.0,1
APR-DRG,054-1,MIGRAINE AND OTHER HEADACHES,,,1899.16,13044.0,5
APR-DRG,054-2,MIGRAINE AND OTHER HEADACHES,,,2297.11,13371.0,5
APR-DRG,054-3,MIGRAINE AND OTHER HEADACHES,,,2983.11,20880.0,5
APR-DRG,054-4,MIGRAINE AND OTHER HEADACHES,,,4359.44,30847.0,5
APR-DRG,0541,MIGRAINE AND OTHER HEADACHES,,,10717.0,10717.0,1
APR-DRG,0542,MIGRAINE AND OTHER HEADACHES,,,14448.0,14448.0,1
APR-DRG,0543,MIGRAINE AND OTHER HEADACHES,,,16340.0,16340.0,1
APR-DRG,0544,MIGRAINE AND OTHER HEADACHES,,,27721.0,27721.0,1
APR-DRG,055-1,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,1963.1,10620.0,5
APR-DRG,055-2,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,2791.3,17128.0,5
APR-DRG,055-3,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,4312.49,32221.0,5
APR-DRG,055-4,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,7524.04,63528.0,5
APR-DRG,0551,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,9798.0,9798.0,1
APR-DRG,0552,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,14783.0,14783.0,1
APR-DRG,0553,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,32779.0,32779.0,1
APR-DRG,0554,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,64684.0,64684.0,1
APR-DRG,056-1,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,1871.19,12333.0,5
APR-DRG,056-2,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,2589.82,16532.0,5
APR-DRG,056-3,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,4032.76,23958.0,5
APR-DRG,056-4,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,6929.62,44792.0,5
APR-DRG,0561,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,11388.0,11388.0,1
APR-DRG,0562,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,15730.0,15730.0,1
APR-DRG,0563,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,27081.0,27081.0,1
APR-DRG,0564,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,41974.0,41974.0,1
APR-DRG,057-1,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,1713.34,9374.0,5
APR-DRG,057-2,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,2663.42,13443.0,5
APR-DRG,057-3,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,3775.34,24075.0,5
APR-DRG,057-4,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,6405.13,50118.0,5
APR-DRG,0571,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,7777.0,7777.0,1
APR-DRG,0572,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,9893.0,9893.0,1
APR-DRG,0573,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,12343.0,12343.0,1
APR-DRG,0574,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,43019.0,43019.0,1
APR-DRG,058-1,OTHER DISORDERS OF NERVOUS SYSTEM,,,2211.52,18848.0,5
APR-DRG,058-2,OTHER DISORDERS OF NERVOUS SYSTEM,,,3312.46,25291.0,5
APR-DRG,058-3,OTHER DISORDERS OF NERVOUS SYSTEM,,,4650.49,29896.0,5
APR-DRG,058-4,OTHER DISORDERS OF NERVOUS SYSTEM,,,6185.34,40425.0,5
APR-DRG,0581,OTHER DISORDERS OF NERVOUS SYSTEM,,,11705.0,11705.0,1
APR-DRG,0582,OTHER DISORDERS OF NERVOUS SYSTEM,,,14001.0,14001.0,1
APR-DRG,0583,OTHER DISORDERS OF NERVOUS SYSTEM,,,24513.0,24513.0,1
APR-DRG,0584,OTHER DISORDERS OF NERVOUS SYSTEM,,,28997.0,28997.0,1
APR-DRG,059-1,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,1627.09,11305.0,5
APR-DRG,059-2,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,2825.93,18567.0,5
APR-DRG,059-3,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,4134.99,19970.0,5
APR-DRG,059-4,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,6377.15,34283.0,5
APR-DRG,0591,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,11584.0,11584.0,1
APR-DRG,0592,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,16999.0,16999.0,1
APR-DRG,0593,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,24660.0,24660.0,1
APR-DRG,0594,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,54153.0,54153.0,1
APR-DRG,073-1,ORBIT AND EYE PROCEDURES,,,2825.93,13198.0,5
APR-DRG,073-2,ORBIT AND EYE PROCEDURES,,,3771.68,22055.0,5
APR-DRG,073-3,ORBIT AND EYE PROCEDURES,,,5717.13,42887.0,5
APR-DRG,073-4,ORBIT AND EYE PROCEDURES,,,10719.95,82724.0,5
APR-DRG,0731,ORBIT AND EYE PROCEDURES,,,22792.0,22792.0,1
APR-DRG,0732,ORBIT AND EYE PROCEDURES,,,33386.0,33386.0,1
APR-DRG,0733,ORBIT AND EYE PROCEDURES,,,52572.0,52572.0,1
APR-DRG,0734,ORBIT AND EYE PROCEDURES,,,70843.0,70843.0,1
APR-DRG,082-1,EYE INFECTIONS AND OTHER EYE DISORDERS,,,1701.68,10853.0,5
APR-DRG,082-2,EYE INFECTIONS AND OTHER EYE DISORDERS,,,2222.51,13503.0,5
APR-DRG,082-3,EYE INFECTIONS AND OTHER EYE DISORDERS,,,3127.3,18247.0,5
APR-DRG,082-4,EYE INFECTIONS AND OTHER EYE DISORDERS,,,5402.77,39104.0,5
APR-DRG,0821,EYE INFECTIONS AND OTHER EYE DISORDERS,,,9421.0,9421.0,1
APR-DRG,0822,EYE INFECTIONS AND OTHER EYE DISORDERS,,,13565.0,13565.0,1
APR-DRG,0823,EYE INFECTIONS AND OTHER EYE DISORDERS,,,22928.0,22928.0,1
APR-DRG,0824,EYE INFECTIONS AND OTHER EYE DISORDERS,,,38882.0,38882.0,1
APR-DRG,089-1,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,4731.42,30475.0,5
APR-DRG,089-2,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,6538.33,39618.0,5
APR-DRG,089-3,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,12309.74,77684.0,5
APR-DRG,089-4,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,17649.9,120735.0,5
APR-DRG,0891,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,25482.0,25482.0,1
APR-DRG,0892,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,33841.0,33841.0,1
APR-DRG,0893,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,68519.0,68519.0,1
APR-DRG,0894,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,118938.0,118938.0,1
APR-DRG,091-1,OTHER MAJOR HEAD AND NECK PROCEDURES,,,5163.66,26028.0,5
APR-DRG,091-2,OTHER MAJOR HEAD AND NECK PROCEDURES,,,8380.55,34636.0,5
APR-DRG,091-3,OTHER MAJOR HEAD AND NECK PROCEDURES,,,13169.57,66055.0,5
APR-DRG,091-4,OTHER MAJOR HEAD AND NECK PROCEDURES,,,20733.91,134675.0,5
APR-DRG,0911,OTHER MAJOR HEAD AND NECK PROCEDURES,,,29447.0,29447.0,1
APR-DRG,0912,OTHER MAJOR HEAD AND NECK PROCEDURES,,,43957.0,43957.0,1
APR-DRG,0913,OTHER MAJOR HEAD AND NECK PROCEDURES,,,79914.0,79914.0,1
APR-DRG,0914,OTHER MAJOR HEAD AND NECK PROCEDURES,,,140050.0,140050.0,1
APR-DRG,092-1,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,4304.5,23343.0,5
APR-DRG,092-2,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,5450.39,30780.0,5
APR-DRG,092-3,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,8161.76,48722.0,5
APR-DRG,092-4,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,15087.38,108329.0,5
APR-DRG,0921,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,27296.0,27296.0,1
APR-DRG,0922,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,39862.0,39862.0,1
APR-DRG,0923,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,88411.0,88411.0,1
APR-DRG,0924,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,108207.0,108207.0,1
APR-DRG,095-1,CLEFT LIP AND PALATE REPAIR,,,2771.65,10909.0,5
APR-DRG,095-2,CLEFT LIP AND PALATE REPAIR,,,3098.0,16496.0,5
APR-DRG,095-3,CLEFT LIP AND PALATE REPAIR,,,4084.38,33600.0,5
APR-DRG,095-4,CLEFT LIP AND PALATE REPAIR,,,7386.18,47966.0,5
APR-DRG,0951,CLEFT LIP AND PALATE REPAIR,,,16581.0,16581.0,1
APR-DRG,0952,CLEFT LIP AND PALATE REPAIR,,,23014.0,23014.0,1
APR-DRG,0953,CLEFT LIP AND PALATE REPAIR,,,29086.0,29086.0,1
APR-DRG,0954,CLEFT LIP AND PALATE REPAIR,,,48404.0,48404.0,1
APR-DRG,097-1,TONSIL AND ADENOID PROCEDURES,,,1741.65,12018.0,5
APR-DRG,097-2,TONSIL AND ADENOID PROCEDURES,,,2807.28,14517.0,5
APR-DRG,097-3,TONSIL AND ADENOID PROCEDURES,,,4111.68,26927.0,5
APR-DRG,097-4,TONSIL AND ADENOID PROCEDURES,,,7173.38,54791.0,5
APR-DRG,0971,TONSIL AND ADENOID PROCEDURES,,,11281.0,11281.0,1
APR-DRG,0972,TONSIL AND ADENOID PROCEDURES,,,16287.0,16287.0,1
APR-DRG,0973,TONSIL AND ADENOID PROCEDURES,,,25090.0,25090.0,1
APR-DRG,0974,TONSIL AND ADENOID PROCEDURES,,,52202.0,52202.0,1
APR-DRG,098-1,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,6116.14,15221.0,3
APR-DRG,098-1,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,2700.72,2700.72,2
APR-DRG,098-2,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,11153.08,27756.0,3
APR-DRG,098-2,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,4407.4,4407.4,2
APR-DRG,098-3,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,17421.73,43356.0,3
APR-DRG,098-3,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,6896.32,6896.32,2
APR-DRG,098-4,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,28156.84,70071.0,3
APR-DRG,098-4,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,11785.91,11785.91,2
APR-DRG,0981,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,14485.0,14485.0,1
APR-DRG,0982,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,27531.0,27531.0,1
APR-DRG,0983,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,38236.0,38236.0,1
APR-DRG,0984,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,83025.0,83025.0,1
APR-DRG,110-1,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,2469.27,15658.0,5
APR-DRG,110-2,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,2670.75,16751.0,5
APR-DRG,110-3,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,3959.5,28755.0,5
APR-DRG,110-4,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,6733.81,46825.0,5
APR-DRG,1101,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,14447.0,14447.0,1
APR-DRG,1102,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,16327.0,16327.0,1
APR-DRG,1103,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,27207.0,27207.0,1
APR-DRG,1104,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,43105.0,43105.0,1
APR-DRG,111-1,VERTIGO AND OTHER LABYRINTH DISORDERS,,,1844.88,10697.0,5
APR-DRG,111-2,VERTIGO AND OTHER LABYRINTH DISORDERS,,,2101.63,11447.0,5
APR-DRG,111-3,VERTIGO AND OTHER LABYRINTH DISORDERS,,,2652.1,14844.0,5
APR-DRG,111-4,VERTIGO AND OTHER LABYRINTH DISORDERS,,,4717.1,24714.0,5
APR-DRG,1111,VERTIGO AND OTHER LABYRINTH DISORDERS,,,9647.0,9647.0,1
APR-DRG,1112,VERTIGO AND OTHER LABYRINTH DISORDERS,,,9889.0,9889.0,1
APR-DRG,1113,VERTIGO AND OTHER LABYRINTH DISORDERS,,,15610.0,15610.0,1
APR-DRG,1114,VERTIGO AND OTHER LABYRINTH DISORDERS,,,34804.0,34804.0,1
APR-DRG,113-1,INFECTIONS OF UPPER RESPIRATORY TRACT,,,1058.31,6390.0,5
APR-DRG,113-2,INFECTIONS OF UPPER RESPIRATORY TRACT,,,1604.11,10339.0,5
APR-DRG,113-3,INFECTIONS OF UPPER RESPIRATORY TRACT,,,2467.61,14257.0,5
APR-DRG,113-4,INFECTIONS OF UPPER RESPIRATORY TRACT,,,4735.41,27933.0,5
APR-DRG,1131,INFECTIONS OF UPPER RESPIRATORY TRACT,,,7349.0,7349.0,1
APR-DRG,1132,INFECTIONS OF UPPER RESPIRATORY TRACT,,,9668.0,9668.0,1
APR-DRG,1133,INFECTIONS OF UPPER RESPIRATORY TRACT,,,16899.0,16899.0,1
APR-DRG,1134,INFECTIONS OF UPPER RESPIRATORY TRACT,,,37407.0,37407.0,1
APR-DRG,114-1,DENTAL DISEASES AND DISORDERS,,,1266.77,10721.0,5
APR-DRG,114-2,DENTAL DISEASES AND DISORDERS,,,1773.61,13097.0,5
APR-DRG,114-3,DENTAL DISEASES AND DISORDERS,,,2667.08,23998.0,5
APR-DRG,114-4,DENTAL DISEASES AND DISORDERS,,,6090.1,39085.0,5
APR-DRG,1141,DENTAL DISEASES AND DISORDERS,,,9886.0,9886.0,1
APR-DRG,1142,DENTAL DISEASES AND DISORDERS,,,11863.0,11863.0,1
APR-DRG,1143,DENTAL DISEASES AND DISORDERS,,,18012.0,18012.0,1
APR-DRG,1144,DENTAL DISEASES AND DISORDERS,,,35242.0,35242.0,1
APR-DRG,115-1,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,1461.25,9916.0,5
APR-DRG,115-2,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,2097.3,14942.0,5
APR-DRG,115-3,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,3170.59,25154.0,5
APR-DRG,115-4,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,5840.67,64006.0,5
APR-DRG,1151,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,10044.0,10044.0,1
APR-DRG,1152,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,10973.0,10973.0,1
APR-DRG,1153,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,25386.0,25386.0,1
APR-DRG,1154,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,41335.0,41335.0,1
APR-DRG,120-1,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,6164.36,29512.0,5
APR-DRG,120-2,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,7479.09,36663.0,5
APR-DRG,120-3,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,10660.67,51941.0,5
APR-DRG,120-4,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,17324.55,127583.0,5
APR-DRG,1201,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,32897.0,32897.0,1
APR-DRG,1202,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,38483.0,38483.0,1
APR-DRG,1203,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,70841.0,70841.0,1
APR-DRG,1204,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,107864.0,107864.0,1
APR-DRG,121-1,OTHER RESPIRATORY AND CHEST PROCEDURES,,,4469.67,22725.0,5
APR-DRG,121-2,OTHER RESPIRATORY AND CHEST PROCEDURES,,,5805.04,28784.0,5
APR-DRG,121-3,OTHER RESPIRATORY AND CHEST PROCEDURES,,,8982.96,53892.0,5
APR-DRG,121-4,OTHER RESPIRATORY AND CHEST PROCEDURES,,,14647.48,107441.0,5
APR-DRG,1211,OTHER RESPIRATORY AND CHES+E1054T PROCEDURES,,,30334.0,30334.0,1
APR-DRG,1212,OTHER RESPIRATORY AND CHEST PROCEDURES,,,33121.0,33121.0,1
APR-DRG,1213,OTHER RESPIRATORY AND CHEST PROCEDURES,,,57574.0,57574.0,1
APR-DRG,1214,OTHER RESPIRATORY AND CHEST PROCEDURES,,,108696.0,108696.0,1
APR-DRG,130-1,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,9024.59,73112.0,5
APR-DRG,130-2,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,11264.09,73129.0,5
APR-DRG,130-3,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,13804.29,109396.0,5
APR-DRG,130-4,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,18459.12,155317.0,5
APR-DRG,1301,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,65684.0,65684.0,1
APR-DRG,1302,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,71437.0,71437.0,1
APR-DRG,1303,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,101144.0,101144.0,1
APR-DRG,1304,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,124070.0,124070.0,1
APR-DRG,131-1,CYSTIC FIBROSIS - PULMONARY DISEASE,,,2733.68,18978.0,5
APR-DRG,131-2,CYSTIC FIBROSIS - PULMONARY DISEASE,,,4825.66,26610.0,5
APR-DRG,131-3,CYSTIC FIBROSIS - PULMONARY DISEASE,,,6763.45,35443.0,5
APR-DRG,131-4,CYSTIC FIBROSIS - PULMONARY DISEASE,,,7268.96,46104.0,5
APR-DRG,1311,CYSTIC FIBROSIS - PULMONARY DISEASE,,,23428.0,23428.0,1
APR-DRG,1312,CYSTIC FIBROSIS - PULMONARY DISEASE,,,24636.0,24636.0,1
APR-DRG,1313,CYSTIC FIBROSIS - PULMONARY DISEASE,,,37887.0,37887.0,1
APR-DRG,1314,CYSTIC FIBROSIS - PULMONARY DISEASE,,,52318.0,52318.0,1
APR-DRG,132-1,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,1218.15,8494.0,5
APR-DRG,132-2,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,1799.26,11994.0,5
APR-DRG,132-3,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,2906.18,14502.0,5
APR-DRG,132-4,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,4231.9,24635.0,5
APR-DRG,1321,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,7693.0,7693.0,1
APR-DRG,1322,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,10350.0,10350.0,1
APR-DRG,1323,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,21372.0,21372.0,1
APR-DRG,1324,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,32129.0,32129.0,1
APR-DRG,133-1,RESPIRATORY FAILURE,,,1859.2,9919.0,5
APR-DRG,133-2,RESPIRATORY FAILURE,,,2473.27,13664.0,5
APR-DRG,133-3,RESPIRATORY FAILURE,,,3570.54,27193.0,5
APR-DRG,133-4,RESPIRATORY FAILURE,,,5629.55,50512.0,5
APR-DRG,1331,RESPIRATORY FAILURE,,,8496.0,8496.0,1
APR-DRG,1332,RESPIRATORY FAILURE,,,13523.0,13523.0,1
APR-DRG,1333,RESPIRATORY FAILURE,,,27442.0,27442.0,1
APR-DRG,1334,RESPIRATORY FAILURE,,,39405.0,39405.0,1
APR-DRG,134-1,PULMONARY EMBOLISM,,,1831.56,11709.0,5
APR-DRG,134-2,PULMONARY EMBOLISM,,,2383.36,16561.0,5
APR-DRG,134-3,PULMONARY EMBOLISM,,,3639.14,23722.0,5
APR-DRG,134-4,PULMONARY EMBOLISM,,,5861.99,38470.0,5
APR-DRG,1341,PULMONARY EMBOLISM,,,12611.0,12611.0,1
APR-DRG,1342,PULMONARY EMBOLISM,,,17556.0,17556.0,1
APR-DRG,1343,PULMONARY EMBOLISM,,,24765.0,24765.0,1
APR-DRG,1344,PULMONARY EMBOLISM,,,34842.0,34842.0,1
APR-DRG,135-1,MAJOR CHEST AND RESPIRATORY TRAUMA,,,1981.41,13815.0,5
APR-DRG,135-2,MAJOR CHEST AND RESPIRATORY TRAUMA,,,2503.91,16078.0,5
APR-DRG,135-3,MAJOR CHEST AND RESPIRATORY TRAUMA,,,3691.76,22036.0,5
APR-DRG,135-4,MAJOR CHEST AND RESPIRATORY TRAUMA,,,6624.25,41321.0,5
APR-DRG,1351,MAJOR CHEST AND RESPIRATORY TRAUMA,,,10613.0,10613.0,1
APR-DRG,1352,MAJOR CHEST AND RESPIRATORY TRAUMA,,,12140.0,12140.0,1
APR-DRG,1353,MAJOR CHEST AND RESPIRATORY TRAUMA,,,21554.0,21554.0,1
APR-DRG,1354,MAJOR CHEST AND RESPIRATORY TRAUMA,,,40186.0,40186.0,1
APR-DRG,136-1,RESPIRATORY MALIGNANCY,,,2132.93,13657.0,5
APR-DRG,136-2,RESPIRATORY MALIGNANCY,,,2747.34,16902.0,5
APR-DRG,136-3,RESPIRATORY MALIGNANCY,,,3771.68,27835.0,5
APR-DRG,136-4,RESPIRATORY MALIGNANCY,,,5681.16,50123.0,5
APR-DRG,1361,RESPIRATORY MALIGNANCY,,,13737.0,13737.0,1
APR-DRG,1362,RESPIRATORY MALIGNANCY,,,16098.0,16098.0,1
APR-DRG,1363,RESPIRATORY MALIGNANCY,,,26096.0,26096.0,1
APR-DRG,1364,RESPIRATORY MALIGNANCY,,,31040.0,31040.0,1
APR-DRG,137-1,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,1956.44,13395.0,5
APR-DRG,137-2,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,2165.9,17145.0,5
APR-DRG,137-3,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,3078.35,18435.0,5
APR-DRG,137-4,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,5724.12,32260.0,5
APR-DRG,1371,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,12764.0,12764.0,1
APR-DRG,1372,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,14233.0,14233.0,1
APR-DRG,1373,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,17086.0,17086.0,1
APR-DRG,1374,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,39301.0,39301.0,1
APR-DRG,138-1,BRONCHIOLITIS AND RSV PNEUMONIA,,,929.77,7072.0,5
APR-DRG,138-2,BRONCHIOLITIS AND RSV PNEUMONIA,,,1475.57,9237.0,5
APR-DRG,138-3,BRONCHIOLITIS AND RSV PNEUMONIA,,,2685.73,13491.0,5
APR-DRG,138-4,BRONCHIOLITIS AND RSV PNEUMONIA,,,5066.42,31145.0,5
APR-DRG,1381,BRONCHIOLITIS AND RSV PNEUMONIA,,,7628.0,7628.0,1
APR-DRG,1382,BRONCHIOLITIS AND RSV PNEUMONIA,,,9276.0,9276.0,1
APR-DRG,1383,BRONCHIOLITIS AND RSV PNEUMONIA,,,13060.0,13060.0,1
APR-DRG,1384,BRONCHIOLITIS AND RSV PNEUMONIA,,,28479.0,28479.0,1
APR-DRG,139-1,OTHER PNEUMONIA,,,1569.48,10219.0,5
APR-DRG,139-2,OTHER PNEUMONIA,,,2147.25,13436.0,5
APR-DRG,139-3,OTHER PNEUMONIA,,,3085.34,16297.0,5
APR-DRG,139-4,OTHER PNEUMONIA,,,4815.0,27679.0,5
APR-DRG,1391,OTHER PNEUMONIA,,,9120.0,9120.0,1
APR-DRG,1392,OTHER PNEUMONIA,,,12529.0,12529.0,1
APR-DRG,1393,OTHER PNEUMONIA,,,17637.0,17637.0,1
APR-DRG,1394,OTHER PNEUMONIA,,,28082.0,28082.0,1
APR-DRG,140-1,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,1772.62,12674.0,5
APR-DRG,140-2,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,2128.94,14517.0,5
APR-DRG,140-3,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,2852.24,17625.0,5
APR-DRG,140-4,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,4787.69,25430.0,5
APR-DRG,1401,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,10897.0,10897.0,1
APR-DRG,1402,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,13952.0,13952.0,1
APR-DRG,1403,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,20720.0,20720.0,1
APR-DRG,1404,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,30834.0,30834.0,1
APR-DRG,141-1,ASTHMA,,,1249.12,7613.0,5
APR-DRG,141-2,ASTHMA,,,1850.87,10709.0,5
APR-DRG,141-3,ASTHMA,,,2569.18,12593.0,5
APR-DRG,141-4,ASTHMA,,,4310.82,21387.0,5
APR-DRG,1411,ASTHMA,,,7087.0,7087.0,1
APR-DRG,1412,ASTHMA,,,10291.0,10291.0,1
APR-DRG,1413,ASTHMA,,,13034.0,13034.0,1
APR-DRG,1414,ASTHMA,,,29356.0,29356.0,1
APR-DRG,142-1,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,1957.77,14032.0,5
APR-DRG,142-2,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,2574.17,16525.0,5
APR-DRG,142-3,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,3770.01,28611.0,5
APR-DRG,142-4,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,5933.25,53525.0,5
APR-DRG,1421,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,13991.0,13991.0,1
APR-DRG,1422,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,15402.0,15402.0,1
APR-DRG,1423,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,22222.0,22222.0,1
APR-DRG,1424,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,38052.0,38052.0,1
APR-DRG,143-1,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,1687.37,11327.0,5
APR-DRG,143-2,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,2337.74,15122.0,5
APR-DRG,143-3,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,3499.61,25137.0,5
APR-DRG,143-4,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,5530.97,48516.0,5
APR-DRG,1431,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,11384.0,11384.0,1
APR-DRG,1432,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,13255.0,13255.0,1
APR-DRG,1433,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,21726.0,21726.0,1
APR-DRG,1434,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,36339.0,36339.0,1
APR-DRG,144-1,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,1610.44,9028.0,5
APR-DRG,144-2,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,2289.12,9518.0,5
APR-DRG,144-3,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,3230.54,20085.0,5
APR-DRG,144-4,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,5140.35,47161.0,5
APR-DRG,1441,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,11281.0,11281.0,1
APR-DRG,1442,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,14722.0,14722.0,1
APR-DRG,1443,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,19091.0,19091.0,1
APR-DRG,1444,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,34301.0,34301.0,1
APR-DRG,145-1,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,1484.56,6947.0,5
APR-DRG,145-2,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,1876.52,13184.0,5
APR-DRG,145-3,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,2611.8,14070.0,5
APR-DRG,145-4,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,4204.93,17592.0,5
APR-DRG,1451,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,9274.0,9274.0,1
APR-DRG,1452,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,10152.0,10152.0,1
APR-DRG,1453,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,16327.0,16327.0,1
APR-DRG,1454,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,29247.0,29247.0,1
APR-DRG,160-1,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,10195.46,47963.0,5
APR-DRG,160-2,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,14127.98,55703.0,5
APR-DRG,160-3,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,18097.13,82006.0,5
APR-DRG,160-4,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,41172.78,202642.0,5
APR-DRG,1601,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,41496.0,41496.0,1
APR-DRG,1602,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,49290.0,49290.0,1
APR-DRG,1603,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,77719.0,77719.0,1
APR-DRG,1604,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,239399.0,239399.0,1
APR-DRG,161-1,IMPLANTABLE HEART ASSIST SYSTEMS,,,42353.3,263954.0,5
APR-DRG,161-2,IMPLANTABLE HEART ASSIST SYSTEMS,,,42353.3,277847.0,5
APR-DRG,161-3,IMPLANTABLE HEART ASSIST SYSTEMS,,,62664.29,346049.0,5
APR-DRG,161-4,IMPLANTABLE HEART ASSIST SYSTEMS,,,77875.22,443150.0,5
APR-DRG,1611,IMPLANTABLE HEART ASSIST SYSTEMS,,,308552.0,308552.0,1
APR-DRG,1612,IMPLANTABLE HEART ASSIST SYSTEMS,,,324403.0,324403.0,1
APR-DRG,1613,IMPLANTABLE HEART ASSIST SYSTEMS,,,456671.0,456671.0,1
APR-DRG,1614,IMPLANTABLE HEART ASSIST SYSTEMS,,,620723.0,620723.0,1
APR-DRG,162-1,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,14648.81,62571.0,5
APR-DRG,162-2,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,17048.82,73324.0,5
APR-DRG,162-3,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,22277.08,96366.0,5
APR-DRG,162-4,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,31101.53,161729.0,5
APR-DRG,1621,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,75611.0,75611.0,1
APR-DRG,1622,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,87072.0,87072.0,1
APR-DRG,1623,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,109229.0,109229.0,1
APR-DRG,1624,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,176249.0,176249.0,1
APR-DRG,163-1,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,12297.75,60875.0,5
APR-DRG,163-2,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,14205.24,65932.0,5
APR-DRG,163-3,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,18689.89,83437.0,5
APR-DRG,163-4,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,27341.51,140359.0,5
APR-DRG,1631,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,61301.0,61301.0,1
APR-DRG,1632,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,70335.0,70335.0,1
APR-DRG,1633,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,88997.0,88997.0,1
APR-DRG,1634,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,141714.0,141714.0,1
APR-DRG,165-1,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,13557.53,62391.0,5
APR-DRG,165-2,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,14850.28,75976.0,5
APR-DRG,165-3,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,18071.49,91908.0,5
APR-DRG,165-4,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,24512.58,136832.0,5
APR-DRG,1651,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,60784.0,60784.0,1
APR-DRG,1652,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,70580.0,70580.0,1
APR-DRG,1653,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,90495.0,90495.0,1
APR-DRG,1654,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,108277.0,108277.0,1
APR-DRG,166-1,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,11462.89,52600.0,5
APR-DRG,166-2,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,12731.33,58903.0,5
APR-DRG,166-3,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,15387.43,73627.0,5
APR-DRG,166-4,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,21196.13,110520.0,5
APR-DRG,1661,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,52549.0,52549.0,1
APR-DRG,1662,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,56998.0,56998.0,1
APR-DRG,1663,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,72869.0,72869.0,1
APR-DRG,1664,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,116344.0,116344.0,1
APR-DRG,167-1,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,7691.88,7691.88,2
APR-DRG,167-1,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,17801.1,44300.0,3
APR-DRG,167-2,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,9842.8,9842.8,2
APR-DRG,167-2,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,21198.95,52756.0,3
APR-DRG,167-3,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,12912.49,12912.49,2
APR-DRG,167-3,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,27318.96,67986.0,3
APR-DRG,167-4,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,20804.51,20804.51,2
APR-DRG,167-4,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,57780.93,143794.0,3
APR-DRG,1671,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,44220.0,44220.0,1
APR-DRG,1672,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,48092.0,48092.0,1
APR-DRG,1673,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,65187.0,65187.0,1
APR-DRG,1674,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,159806.0,159806.0,1
APR-DRG,169-1,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,9082.87,52568.0,5
APR-DRG,169-2,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,10587.41,57889.0,5
APR-DRG,169-3,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,13007.4,72997.0,5
APR-DRG,169-4,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,19138.12,168537.0,5
APR-DRG,1691,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,60607.0,60607.0,1
APR-DRG,1692,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,61741.0,61741.0,1
APR-DRG,1693,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,62393.0,62393.0,1
APR-DRG,1694,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,127465.0,127465.0,1
APR-DRG,170-1,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,7551.68,53395.0,5
APR-DRG,170-2,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,7551.68,60652.0,5
APR-DRG,170-3,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,10154.16,68649.0,5
APR-DRG,170-4,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,14044.73,96525.0,5
APR-DRG,1701,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,45925.0,45925.0,1
APR-DRG,1702,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,50889.0,50889.0,1
APR-DRG,1703,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,63571.0,63571.0,1
APR-DRG,1704,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,96322.0,96322.0,1
APR-DRG,171-1,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,5087.74,34302.0,5
APR-DRG,171-2,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,5953.57,37835.0,5
APR-DRG,171-3,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,7886.69,44747.0,5
APR-DRG,171-4,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,12205.84,72699.0,5
APR-DRG,1711,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,29160.0,29160.0,1
APR-DRG,1712,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,36129.0,36129.0,1
APR-DRG,1713,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,42923.0,42923.0,1
APR-DRG,1714,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,106309.0,106309.0,1
APR-DRG,174-1,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,6174.02,33632.0,5
APR-DRG,174-2,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,7865.38,36745.0,5
APR-DRG,174-3,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,8892.38,44055.0,5
APR-DRG,174-4,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,12528.86,68587.0,5
APR-DRG,1741,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,27684.0,27684.0,1
APR-DRG,1742,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,31436.0,31436.0,1
APR-DRG,1743,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,38257.0,38257.0,1
APR-DRG,1744,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,62501.0,62501.0,1
APR-DRG,175-1,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,6404.13,40709.0,5
APR-DRG,175-2,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,8342.92,42517.0,5
APR-DRG,175-3,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,9757.88,56655.0,5
APR-DRG,175-4,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,13884.22,79281.0,5
APR-DRG,1751,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,39510.0,39510.0,1
APR-DRG,1752,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,41568.0,41568.0,1
APR-DRG,1753,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,55182.0,55182.0,1
APR-DRG,1754,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,84262.0,84262.0,1
APR-DRG,176-1,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,4990.83,37727.0,5
APR-DRG,176-2,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,7108.78,38153.0,5
APR-DRG,176-3,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,9335.62,57431.0,5
APR-DRG,176-4,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,13065.67,108642.0,5
APR-DRG,1761,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,36101.0,36101.0,1
APR-DRG,1762,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,43156.0,43156.0,1
APR-DRG,1763,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,61125.0,61125.0,1
APR-DRG,1764,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,102158.0,102158.0,1
APR-DRG,177-1,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,3750.37,25555.0,5
APR-DRG,177-2,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,5636.87,31835.0,5
APR-DRG,177-3,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,7128.09,60542.0,5
APR-DRG,177-4,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,10936.07,83887.0,5
APR-DRG,1771,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,24022.0,24022.0,1
APR-DRG,1772,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,32264.0,32264.0,1
APR-DRG,1773,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,47795.0,47795.0,1
APR-DRG,1774,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,70380.0,70380.0,1
APR-DRG,178-1,EXTERNAL HEART ASSIST DEVICES,,,15294.85,15294.85,2
APR-DRG,178-1,EXTERNAL HEART ASSIST SYSTEMS,,,49660.82,123586.0,3
APR-DRG,178-2,EXTERNAL HEART ASSIST DEVICES,,,16670.52,16670.52,2
APR-DRG,178-2,EXTERNAL HEART ASSIST SYSTEMS,,,51734.29,128746.0,3
APR-DRG,178-3,EXTERNAL HEART ASSIST DEVICES,,,20679.63,20679.63,2
APR-DRG,178-3,EXTERNAL HEART ASSIST SYSTEMS,,,52654.22,131036.0,3
APR-DRG,178-4,EXTERNAL HEART ASSIST DEVICES,,,25501.96,25501.96,2
APR-DRG,178-4,EXTERNAL HEART ASSIST SYSTEMS,,,80114.11,199372.0,3
APR-DRG,1781,EXTERNAL HEART ASSIST SYSTEMS,,,108299.0,108299.0,1
APR-DRG,1782,EXTERNAL HEART ASSIST SYSTEMS,,,115089.0,115089.0,1
APR-DRG,1783,EXTERNAL HEART ASSIST SYSTEMS,,,132054.0,132054.0,1
APR-DRG,1784,EXTERNAL HEART ASSIST SYSTEMS,,,193753.0,193753.0,1
APR-DRG,179-1,DEFIBRILLATOR IMPLANTS,,,10822.85,69992.0,5
APR-DRG,179-2,DEFIBRILLATOR IMPLANTS,,,12850.55,79320.0,5
APR-DRG,179-3,DEFIBRILLATOR IMPLANTS,,,15632.52,100724.0,5
APR-DRG,179-4,DEFIBRILLATOR IMPLANTS,,,21175.48,133870.0,5
APR-DRG,1791,DEFIBRILLATOR IMPLANTS,,,76338.0,76338.0,1
APR-DRG,1792,DEFIBRILLATOR IMPLANTS,,,77847.0,77847.0,1
APR-DRG,1793,DEFIBRILLATOR IMPLANTS,,,90658.0,90658.0,1
APR-DRG,1794,DEFIBRILLATOR IMPLANTS,,,121101.0,121101.0,1
APR-DRG,180-1,OTHER CIRCULATORY SYSTEM PROCEDURES,,,4020.11,18541.0,5
APR-DRG,180-2,OTHER CIRCULATORY SYSTEM PROCEDURES,,,4707.44,30569.0,5
APR-DRG,180-3,OTHER CIRCULATORY SYSTEM PROCEDURES,,,6922.63,41778.0,5
APR-DRG,180-4,OTHER CIRCULATORY SYSTEM PROCEDURES,,,12087.29,92222.0,5
APR-DRG,1801,OTHER CIRCULATORY SYSTEM PROCEDURES,,,18105.0,18105.0,1
APR-DRG,1802,OTHER CIRCULATORY SYSTEM PROCEDURES,,,22238.0,22238.0,1
APR-DRG,1803,OTHER CIRCULATORY SYSTEM PROCEDURES,,,30937.0,30937.0,1
APR-DRG,1804,OTHER CIRCULATORY SYSTEM PROCEDURES,,,55965.0,55965.0,1
APR-DRG,181-1,LOWER EXTREMITY ARTERIAL PROCEDURES,,,10218.67,25430.0,3
APR-DRG,181-1,LOWER EXTREMITY VASCULAR PROCEDURES,,,5588.92,5588.92,2
APR-DRG,181-2,LOWER EXTREMITY ARTERIAL PROCEDURES,,,15379.16,38273.0,3
APR-DRG,181-2,LOWER EXTREMITY VASCULAR PROCEDURES,,,7479.09,7479.09,2
APR-DRG,181-3,LOWER EXTREMITY ARTERIAL PROCEDURES,,,26054.41,64839.0,3
APR-DRG,181-3,LOWER EXTREMITY VASCULAR PROCEDURES,,,10068.25,10068.25,2
APR-DRG,181-4,LOWER EXTREMITY ARTERIAL PROCEDURES,,,46856.63,116608.0,3
APR-DRG,181-4,LOWER EXTREMITY VASCULAR PROCEDURES,,,15003.13,15003.13,2
APR-DRG,1811,LOWER EXTREMITY ARTERIAL PROCEDURES,,,24094.0,24094.0,1
APR-DRG,1812,LOWER EXTREMITY ARTERIAL PROCEDURES,,,37882.0,37882.0,1
APR-DRG,1813,LOWER EXTREMITY ARTERIAL PROCEDURES,,,54621.0,54621.0,1
APR-DRG,1814,LOWER EXTREMITY ARTERIAL PROCEDURES,,,114635.0,114635.0,1
APR-DRG,182-1,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,4770.38,42299.0,5
APR-DRG,182-2,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,5896.62,49203.0,5
APR-DRG,182-3,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,7597.97,66516.0,5
APR-DRG,182-4,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,12103.61,115330.0,5
APR-DRG,1821,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,41974.0,41974.0,1
APR-DRG,1822,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,46327.0,46327.0,1
APR-DRG,1823,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,75330.0,75330.0,1
APR-DRG,1824,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,132338.0,132338.0,1
APR-DRG,183-1,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,12306.74,67758.0,5
APR-DRG,183-2,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,13042.03,68721.0,5
APR-DRG,183-3,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,15944.89,75628.0,5
APR-DRG,183-4,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,22629.41,107510.0,5
APR-DRG,1831,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,81214.0,81214.0,1
APR-DRG,1832,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,82981.0,82981.0,1
APR-DRG,1833,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,100835.0,100835.0,1
APR-DRG,1834,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,164329.0,164329.0,1
APR-DRG,190-1,ACUTE MYOCARDIAL INFARCTION,,,2556.52,12852.0,5
APR-DRG,190-2,ACUTE MYOCARDIAL INFARCTION,,,2817.27,14418.0,5
APR-DRG,190-3,ACUTE MYOCARDIAL INFARCTION,,,3655.46,18886.0,5
APR-DRG,190-4,ACUTE MYOCARDIAL INFARCTION,,,5828.69,43608.0,5
APR-DRG,1901,ACUTE MYOCARDIAL INFARCTION,,,13518.0,13518.0,1
APR-DRG,1902,ACUTE MYOCARDIAL INFARCTION,,,14489.0,14489.0,1
APR-DRG,1903,ACUTE MYOCARDIAL INFARCTION,,,17819.0,17819.0,1
APR-DRG,1904,ACUTE MYOCARDIAL INFARCTION,,,48509.0,48509.0,1
APR-DRG,191-1,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,3006.42,13820.0,5
APR-DRG,191-2,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,3556.89,15646.0,5
APR-DRG,191-3,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,4698.11,20818.0,5
APR-DRG,191-4,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,7211.35,45347.0,5
APR-DRG,1911,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,12370.0,12370.0,1
APR-DRG,1912,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,14818.0,14818.0,1
APR-DRG,1913,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,25416.0,25416.0,1
APR-DRG,1914,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,48528.0,48528.0,1
APR-DRG,192-1,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,3270.5,14858.0,5
APR-DRG,192-2,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,4156.97,18913.0,5
APR-DRG,192-3,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,5922.93,32916.0,5
APR-DRG,192-4,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,9734.24,61082.0,5
APR-DRG,1921,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,13411.0,13411.0,1
APR-DRG,1922,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,19137.0,19137.0,1
APR-DRG,1923,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,30618.0,30618.0,1
APR-DRG,1924,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,51136.0,51136.0,1
APR-DRG,193-1,ACUTE AND SUBACUTE ENDOCARDITIS,,,3134.63,21772.0,5
APR-DRG,193-2,ACUTE AND SUBACUTE ENDOCARDITIS,,,3781.0,25106.0,5
APR-DRG,193-3,ACUTE AND SUBACUTE ENDOCARDITIS,,,5082.74,35724.0,5
APR-DRG,193-4,ACUTE AND SUBACUTE ENDOCARDITIS,,,7221.67,57426.0,5
APR-DRG,1931,ACUTE AND SUBACUTE ENDOCARDITIS,,,16126.0,16126.0,1
APR-DRG,1932,ACUTE AND SUBACUTE ENDOCARDITIS,,,26360.0,26360.0,1
APR-DRG,1933,ACUTE AND SUBACUTE ENDOCARDITIS,,,29545.0,29545.0,1
APR-DRG,1934,ACUTE AND SUBACUTE ENDOCARDITIS,,,59411.0,59411.0,1
APR-DRG,194-1,HEART FAILURE,,,1708.34,13412.0,5
APR-DRG,194-2,HEART FAILURE,,,2305.77,16840.0,5
APR-DRG,194-3,HEART FAILURE,,,3553.56,22389.0,5
APR-DRG,194-4,HEART FAILURE,,,6763.11,39279.0,5
APR-DRG,1941,HEART FAILURE,,,11455.0,11455.0,1
APR-DRG,1942,HEART FAILURE,,,14220.0,14220.0,1
APR-DRG,1943,HEART FAILURE,,,22911.0,22911.0,1
APR-DRG,1944,HEART FAILURE,,,49033.0,49033.0,1
APR-DRG,196-1,CARDIAC ARREST AND SHOCK,,,1390.32,8007.0,5
APR-DRG,196-2,CARDIAC ARREST AND SHOCK,,,1794.59,14183.0,5
APR-DRG,196-3,CARDIAC ARREST AND SHOCK,,,2873.22,21803.0,5
APR-DRG,196-4,CARDIAC ARREST AND SHOCK,,,5442.39,50627.0,5
APR-DRG,1961,CARDIAC ARREST AND SHOCK,,,9549.0,9549.0,1
APR-DRG,1962,CARDIAC ARREST AND SHOCK,,,14031.0,14031.0,1
APR-DRG,1963,CARDIAC ARREST AND SHOCK,,,20329.0,20329.0,1
APR-DRG,1964,CARDIAC ARREST AND SHOCK,,,49571.0,49571.0,1
APR-DRG,197-1,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,1593.46,13609.0,5
APR-DRG,197-2,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,2152.91,15276.0,5
APR-DRG,197-3,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,3324.11,24318.0,5
APR-DRG,197-4,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,5887.96,42107.0,5
APR-DRG,1971,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,15051.0,15051.0,1
APR-DRG,1972,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,15325.0,15325.0,1
APR-DRG,1973,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,20881.0,20881.0,1
APR-DRG,1974,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,60293.0,60293.0,1
APR-DRG,198-1,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,1534.51,7786.0,5
APR-DRG,198-2,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,1861.53,11415.0,5
APR-DRG,198-3,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,2409.67,15062.0,5
APR-DRG,198-4,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,4195.27,33543.0,5
APR-DRG,1981,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,8508.0,8508.0,1
APR-DRG,1982,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,10836.0,10836.0,1
APR-DRG,1983,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,18907.0,18907.0,1
APR-DRG,1984,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,28725.0,28725.0,1
APR-DRG,199-1,HYPERTENSION,,,1654.06,10632.0,5
APR-DRG,199-2,HYPERTENSION,,,2046.68,14104.0,5
APR-DRG,199-3,HYPERTENSION,,,2958.47,19542.0,5
APR-DRG,199-4,HYPERTENSION,,,5335.5,27878.0,5
APR-DRG,1991,HYPERTENSION,,,9672.0,9672.0,1
APR-DRG,1992,HYPERTENSION,,,13220.0,13220.0,1
APR-DRG,1993,HYPERTENSION,,,19491.0,19491.0,1
APR-DRG,1994,HYPERTENSION,,,57404.0,57404.0,1
APR-DRG,200-1,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,1489.22,11144.0,5
APR-DRG,200-2,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,2179.89,12030.0,5
APR-DRG,200-3,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,3320.12,35251.0,5
APR-DRG,200-4,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,5873.64,95869.0,5
APR-DRG,2001,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,9390.0,9390.0,1
APR-DRG,2002,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,14603.0,14603.0,1
APR-DRG,2003,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,20345.0,20345.0,1
APR-DRG,2004,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,36197.0,36197.0,1
APR-DRG,201-1,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,1461.92,10387.0,5
APR-DRG,201-2,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,1972.09,12826.0,5
APR-DRG,201-3,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,2903.52,19629.0,5
APR-DRG,201-4,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,5096.73,28966.0,5
APR-DRG,2011,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,8308.0,8308.0,1
APR-DRG,2012,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,10724.0,10724.0,1
APR-DRG,2013,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,16312.0,16312.0,1
APR-DRG,2014,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,36078.0,36078.0,1
APR-DRG,203-1,CHEST PAIN,,,1541.84,8874.0,5
APR-DRG,203-2,CHEST PAIN,,,1842.55,10414.0,5
APR-DRG,203-3,CHEST PAIN,,,2317.09,12213.0,5
APR-DRG,203-4,CHEST PAIN,,,3648.8,23045.0,5
APR-DRG,2031,CHEST PAIN,,,8757.0,8757.0,1
APR-DRG,2032,CHEST PAIN,,,11668.0,11668.0,1
APR-DRG,2033,CHEST PAIN,,,14536.0,14536.0,1
APR-DRG,2034,CHEST PAIN,,,24949.0,24949.0,1
APR-DRG,204-1,SYNCOPE AND COLLAPSE,,,1805.25,12026.0,5
APR-DRG,204-2,SYNCOPE AND COLLAPSE,,,2145.92,14980.0,5
APR-DRG,204-3,SYNCOPE AND COLLAPSE,,,2776.31,18396.0,5
APR-DRG,204-4,SYNCOPE AND COLLAPSE,,,4466.01,25658.0,5
APR-DRG,2041,SYNCOPE AND COLLAPSE,,,7802.0,7802.0,1
APR-DRG,2042,SYNCOPE AND COLLAPSE,,,10580.0,10580.0,1
APR-DRG,2043,SYNCOPE AND COLLAPSE,,,12752.0,12752.0,1
APR-DRG,2044,SYNCOPE AND COLLAPSE,,,30022.0,30022.0,1
APR-DRG,205-1,CARDIOMYOPATHY,,,1554.16,10068.0,5
APR-DRG,205-2,CARDIOMYOPATHY,,,2064.33,13167.0,5
APR-DRG,205-3,CARDIOMYOPATHY,,,3145.95,24222.0,5
APR-DRG,205-4,CARDIOMYOPATHY,,,5812.04,31335.0,5
APR-DRG,2051,CARDIOMYOPATHY,,,8496.0,8496.0,1
APR-DRG,2052,CARDIOMYOPATHY,,,11975.0,11975.0,1
APR-DRG,2053,CARDIOMYOPATHY,,,28019.0,28019.0,1
APR-DRG,2054,CARDIOMYOPATHY,,,39245.0,39245.0,1
APR-DRG,206-1,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,1839.88,23691.0,5
APR-DRG,206-2,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,2331.41,24159.0,5
APR-DRG,206-3,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,3540.24,36219.0,5
APR-DRG,206-4,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,6602.27,45239.0,5
APR-DRG,2061,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,12547.0,12547.0,1
APR-DRG,2062,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,21330.0,21330.0,1
APR-DRG,2063,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,31743.0,31743.0,1
APR-DRG,2064,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,52938.0,52938.0,1
APR-DRG,207-1,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,1651.73,11247.0,5
APR-DRG,207-2,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,2159.24,15881.0,5
APR-DRG,207-3,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,3074.02,19984.0,5
APR-DRG,207-4,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,5662.85,40084.0,5
APR-DRG,2071,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,9197.0,9197.0,1
APR-DRG,2072,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,13882.0,13882.0,1
APR-DRG,2073,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,20161.0,20161.0,1
APR-DRG,2074,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,50442.0,50442.0,1
APR-DRG,220-1,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,4622.85,24652.0,5
APR-DRG,220-2,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,6740.8,37206.0,5
APR-DRG,220-3,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,9941.7,55701.0,5
APR-DRG,220-4,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,17576.97,155236.0,5
APR-DRG,2201,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,22133.0,22133.0,1
APR-DRG,2202,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,37527.0,37527.0,1
APR-DRG,2203,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,51241.0,51241.0,1
APR-DRG,2204,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,144885.0,144885.0,1
APR-DRG,222-1,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,2465.28,13859.0,5
APR-DRG,222-2,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,4373.43,21522.0,5
APR-DRG,222-3,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,6800.74,51492.0,5
APR-DRG,222-4,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,12288.76,142819.0,5
APR-DRG,2221,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,14045.0,14045.0,1
APR-DRG,2222,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,28318.0,28318.0,1
APR-DRG,2223,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,38947.0,38947.0,1
APR-DRG,2224,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,85498.0,85498.0,1
APR-DRG,223-1,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,3858.93,20566.0,5
APR-DRG,223-2,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,4773.04,30410.0,5
APR-DRG,223-3,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,6819.39,42364.0,5
APR-DRG,223-4,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,11867.84,59939.0,5
APR-DRG,2231,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,21132.0,21132.0,1
APR-DRG,2232,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,27589.0,27589.0,1
APR-DRG,2233,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,39697.0,39697.0,1
APR-DRG,2234,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,74850.0,74850.0,1
APR-DRG,224-1,PERITONEAL ADHESIOLYSIS,,,4227.9,22024.0,5
APR-DRG,224-2,PERITONEAL ADHESIOLYSIS,,,5309.52,27895.0,5
APR-DRG,224-3,PERITONEAL ADHESIOLYSIS,,,7814.1,42777.0,5
APR-DRG,224-4,PERITONEAL ADHESIOLYSIS,,,12339.71,76094.0,5
APR-DRG,2241,PERITONEAL ADHESIOLYSIS,,,24558.0,24558.0,1
APR-DRG,2242,PERITONEAL ADHESIOLYSIS,,,25053.0,25053.0,1
APR-DRG,2243,PERITONEAL ADHESIOLYSIS,,,43119.0,43119.0,1
APR-DRG,2244,PERITONEAL ADHESIOLYSIS,,,146732.0,146732.0,1
APR-DRG,226-1,ANAL AND PERINEAL PROCEDURES,,,2567.51,16391.0,5
APR-DRG,226-2,ANAL AND PERINEAL PROCEDURES,,,3163.93,21688.0,5
APR-DRG,226-3,ANAL AND PERINEAL PROCEDURES,,,4957.86,31818.0,5
APR-DRG,226-4,ANAL AND PERINEAL PROCEDURES,,,8357.57,65144.0,5
APR-DRG,2261,ANAL AND PERINEAL PROCEDURES,,,15036.0,15036.0,1
APR-DRG,2262,ANAL AND PERINEAL PROCEDURES,,,18136.0,18136.0,1
APR-DRG,2263,ANAL AND PERINEAL PROCEDURES,,,30150.0,30150.0,1
APR-DRG,2264,ANAL AND PERINEAL PROCEDURES,,,58119.0,58119.0,1
APR-DRG,227-1,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,3747.37,22716.0,5
APR-DRG,227-2,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,4564.24,28508.0,5
APR-DRG,227-3,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,6456.08,39142.0,5
APR-DRG,227-4,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,12212.17,67162.0,5
APR-DRG,2271,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,20923.0,20923.0,1
APR-DRG,2272,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,28742.0,28742.0,1
APR-DRG,2273,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,39890.0,39890.0,1
APR-DRG,2274,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,80145.0,80145.0,1
APR-DRG,228-1,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,2986.11,16823.0,5
APR-DRG,228-2,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,3806.65,19105.0,5
APR-DRG,228-3,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,5237.26,30778.0,5
APR-DRG,228-4,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,9247.71,55511.0,5
APR-DRG,2281,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,13959.0,13959.0,1
APR-DRG,2282,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,23111.0,23111.0,1
APR-DRG,2283,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,28912.0,28912.0,1
APR-DRG,2284,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,64293.0,64293.0,1
APR-DRG,229-1,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,3626.15,21265.0,5
APR-DRG,229-2,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,5076.42,25423.0,5
APR-DRG,229-3,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,7741.5,44814.0,5
APR-DRG,229-4,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,12458.93,77881.0,5
APR-DRG,2291,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,18280.0,18280.0,1
APR-DRG,2292,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,27466.0,27466.0,1
APR-DRG,2293,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,47951.0,47951.0,1
APR-DRG,2294,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,71879.0,71879.0,1
APR-DRG,230-1,MAJOR SMALL BOWEL PROCEDURES,,,3871.92,24666.0,5
APR-DRG,230-2,MAJOR SMALL BOWEL PROCEDURES,,,6279.92,31587.0,5
APR-DRG,230-3,MAJOR SMALL BOWEL PROCEDURES,,,9233.05,48970.0,5
APR-DRG,230-4,MAJOR SMALL BOWEL PROCEDURES,,,15033.1,91312.0,5
APR-DRG,2301,MAJOR SMALL BOWEL PROCEDURES,,,23303.0,23303.0,1
APR-DRG,2302,MAJOR SMALL BOWEL PROCEDURES,,,33126.0,33126.0,1
APR-DRG,2303,MAJOR SMALL BOWEL PROCEDURES,,,44088.0,44088.0,1
APR-DRG,2304,MAJOR SMALL BOWEL PROCEDURES,,,91391.0,91391.0,1
APR-DRG,231-1,MAJOR LARGE BOWEL PROCEDURES,,,4928.23,28176.0,5
APR-DRG,231-2,MAJOR LARGE BOWEL PROCEDURES,,,6137.39,33189.0,5
APR-DRG,231-3,MAJOR LARGE BOWEL PROCEDURES,,,8676.59,45655.0,5
APR-DRG,231-4,MAJOR LARGE BOWEL PROCEDURES,,,13154.92,78169.0,5
APR-DRG,2311,MAJOR LARGE BOWEL PROCEDURES,,,26059.0,26059.0,1
APR-DRG,2312,MAJOR LARGE BOWEL PROCEDURES,,,30748.0,30748.0,1
APR-DRG,2313,MAJOR LARGE BOWEL PROCEDURES,,,43967.0,43967.0,1
APR-DRG,2314,MAJOR LARGE BOWEL PROCEDURES,,,80408.0,80408.0,1
APR-DRG,232-1,GASTRIC FUNDOPLICATION,,,3776.67,17851.0,5
APR-DRG,232-2,GASTRIC FUNDOPLICATION,,,4434.04,21808.0,5
APR-DRG,232-3,GASTRIC FUNDOPLICATION,,,6879.34,41393.0,5
APR-DRG,232-4,GASTRIC FUNDOPLICATION,,,10702.3,90839.0,5
APR-DRG,2321,GASTRIC FUNDOPLICATION,,,21701.0,21701.0,1
APR-DRG,2322,GASTRIC FUNDOPLICATION,,,28404.0,28404.0,1
APR-DRG,2323,GASTRIC FUNDOPLICATION,,,40383.0,40383.0,1
APR-DRG,2324,GASTRIC FUNDOPLICATION,,,98535.0,98535.0,1
APR-DRG,233-1,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,3360.74,17741.0,5
APR-DRG,233-2,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,4329.81,23314.0,5
APR-DRG,233-3,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,6160.36,33113.0,5
APR-DRG,233-4,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,9286.67,72690.0,5
APR-DRG,2331,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,17642.0,17642.0,1
APR-DRG,2332,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,24580.0,24580.0,1
APR-DRG,2333,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,35782.0,35782.0,1
APR-DRG,2334,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,56016.0,56016.0,1
APR-DRG,234-1,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,2720.7,13722.0,5
APR-DRG,234-2,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,3470.64,17805.0,5
APR-DRG,234-3,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,5157.0,29665.0,5
APR-DRG,234-4,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,8320.61,50522.0,5
APR-DRG,2341,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,14222.0,14222.0,1
APR-DRG,2342,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,20066.0,20066.0,1
APR-DRG,2343,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,25842.0,25842.0,1
APR-DRG,2344,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,54621.0,54621.0,1
APR-DRG,240-1,DIGESTIVE MALIGNANCY,,,2150.58,16648.0,5
APR-DRG,240-2,DIGESTIVE MALIGNANCY,,,2776.64,18087.0,5
APR-DRG,240-3,DIGESTIVE MALIGNANCY,,,3915.87,25606.0,5
APR-DRG,240-4,DIGESTIVE MALIGNANCY,,,6112.08,53157.0,5
APR-DRG,2401,DIGESTIVE MALIGNANCY,,,13388.0,13388.0,1
APR-DRG,2402,DIGESTIVE MALIGNANCY,,,16043.0,16043.0,1
APR-DRG,2403,DIGESTIVE MALIGNANCY,,,31449.0,31449.0,1
APR-DRG,2404,DIGESTIVE MALIGNANCY,,,56999.0,56999.0,1
APR-DRG,241-1,PEPTIC ULCER AND GASTRITIS,,,2111.95,11098.0,5
APR-DRG,241-2,PEPTIC ULCER AND GASTRITIS,,,2631.12,14281.0,5
APR-DRG,241-3,PEPTIC ULCER AND GASTRITIS,,,3801.98,23052.0,5
APR-DRG,241-4,PEPTIC ULCER AND GASTRITIS,,,6981.9,49434.0,5
APR-DRG,2411,PEPTIC ULCER AND GASTRITIS,,,12820.0,12820.0,1
APR-DRG,2412,PEPTIC ULCER AND GASTRITIS,,,13886.0,13886.0,1
APR-DRG,2413,PEPTIC ULCER AND GASTRITIS,,,20969.0,20969.0,1
APR-DRG,2414,PEPTIC ULCER AND GASTRITIS,,,61437.0,61437.0,1
APR-DRG,242-1,MAJOR ESOPHAGEAL DISORDERS,,,2006.72,11019.0,5
APR-DRG,242-2,MAJOR ESOPHAGEAL DISORDERS,,,2558.52,13424.0,5
APR-DRG,242-3,MAJOR ESOPHAGEAL DISORDERS,,,3707.41,20856.0,5
APR-DRG,242-4,MAJOR ESOPHAGEAL DISORDERS,,,6993.56,43615.0,5
APR-DRG,2421,MAJOR ESOPHAGEAL DISORDERS,,,10643.0,10643.0,1
APR-DRG,2422,MAJOR ESOPHAGEAL DISORDERS,,,13002.0,13002.0,1
APR-DRG,2423,MAJOR ESOPHAGEAL DISORDERS,,,19794.0,19794.0,1
APR-DRG,2424,MAJOR ESOPHAGEAL DISORDERS,,,43645.0,43645.0,1
APR-DRG,243-1,OTHER ESOPHAGEAL DISORDERS,,,1742.64,10880.0,5
APR-DRG,243-2,OTHER ESOPHAGEAL DISORDERS,,,2326.75,12859.0,5
APR-DRG,243-3,OTHER ESOPHAGEAL DISORDERS,,,3354.75,19638.0,5
APR-DRG,243-4,OTHER ESOPHAGEAL DISORDERS,,,6119.07,33377.0,5
APR-DRG,2431,OTHER ESOPHAGEAL DISORDERS,,,10012.0,10012.0,1
APR-DRG,2432,OTHER ESOPHAGEAL DISORDERS,,,11002.0,11002.0,1
APR-DRG,2433,OTHER ESOPHAGEAL DISORDERS,,,25414.0,25414.0,1
APR-DRG,2434,OTHER ESOPHAGEAL DISORDERS,,,35499.0,35499.0,1
APR-DRG,244-1,DIVERTICULITIS AND DIVERTICULOSIS,,,1678.71,11029.0,5
APR-DRG,244-2,DIVERTICULITIS AND DIVERTICULOSIS,,,2245.49,14020.0,5
APR-DRG,244-3,DIVERTICULITIS AND DIVERTICULOSIS,,,3361.74,19718.0,5
APR-DRG,244-4,DIVERTICULITIS AND DIVERTICULOSIS,,,6033.15,33031.0,5
APR-DRG,2441,DIVERTICULITIS AND DIVERTICULOSIS,,,10333.0,10333.0,1
APR-DRG,2442,DIVERTICULITIS AND DIVERTICULOSIS,,,13348.0,13348.0,1
APR-DRG,2443,DIVERTICULITIS AND DIVERTICULOSIS,,,16610.0,16610.0,1
APR-DRG,2444,DIVERTICULITIS AND DIVERTICULOSIS,,,24362.0,24362.0,1
APR-DRG,245-1,INFLAMMATORY BOWEL DISEASE,,,1832.56,10873.0,5
APR-DRG,245-2,INFLAMMATORY BOWEL DISEASE,,,2386.02,14767.0,5
APR-DRG,245-3,INFLAMMATORY BOWEL DISEASE,,,3469.64,22391.0,5
APR-DRG,245-4,INFLAMMATORY BOWEL DISEASE,,,6023.16,31126.0,5
APR-DRG,2451,INFLAMMATORY BOWEL DISEASE,,,10929.0,10929.0,1
APR-DRG,2452,INFLAMMATORY BOWEL DISEASE,,,14718.0,14718.0,1
APR-DRG,2453,INFLAMMATORY BOWEL DISEASE,,,21579.0,21579.0,1
APR-DRG,2454,INFLAMMATORY BOWEL DISEASE,,,36164.0,36164.0,1
APR-DRG,246-1,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,1985.74,13263.0,5
APR-DRG,246-2,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,2437.64,16840.0,5
APR-DRG,246-3,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,3475.63,23532.0,5
APR-DRG,246-4,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,5104.39,38496.0,5
APR-DRG,2461,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,9477.0,9477.0,1
APR-DRG,2462,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,12986.0,12986.0,1
APR-DRG,2463,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,20089.0,20089.0,1
APR-DRG,2464,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,36879.0,36879.0,1
APR-DRG,247-1,INTESTINAL OBSTRUCTION,,,1532.52,9347.0,5
APR-DRG,247-2,INTESTINAL OBSTRUCTION,,,1988.74,12052.0,5
APR-DRG,247-3,INTESTINAL OBSTRUCTION,,,3002.09,19701.0,5
APR-DRG,247-4,INTESTINAL OBSTRUCTION,,,5247.58,41996.0,5
APR-DRG,2471,INTESTINAL OBSTRUCTION,,,8778.0,8778.0,1
APR-DRG,2472,INTESTINAL OBSTRUCTION,,,11668.0,11668.0,1
APR-DRG,2473,INTESTINAL OBSTRUCTION,,,19596.0,19596.0,1
APR-DRG,2474,INTESTINAL OBSTRUCTION,,,57984.0,57984.0,1
APR-DRG,248-1,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,1768.29,11204.0,5
APR-DRG,248-2,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,2345.39,14949.0,5
APR-DRG,248-3,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,3422.35,24926.0,5
APR-DRG,248-4,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,5861.65,35332.0,5
APR-DRG,2481,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,10485.0,10485.0,1
APR-DRG,2482,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,13244.0,13244.0,1
APR-DRG,2483,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,18727.0,18727.0,1
APR-DRG,2484,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,32495.0,32495.0,1
APR-DRG,249-1,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,1506.87,8759.0,5
APR-DRG,249-2,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,1899.83,12059.0,5
APR-DRG,249-3,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,2744.01,18764.0,5
APR-DRG,249-4,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,4857.63,31796.0,5
APR-DRG,2491,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,8839.0,8839.0,1
APR-DRG,2492,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,10617.0,10617.0,1
APR-DRG,2493,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,16489.0,16489.0,1
APR-DRG,2494,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,35587.0,35587.0,1
APR-DRG,251-1,ABDOMINAL PAIN,,,1528.85,10604.0,5
APR-DRG,251-2,ABDOMINAL PAIN,,,1984.74,12840.0,5
APR-DRG,251-3,ABDOMINAL PAIN,,,2572.51,18252.0,5
APR-DRG,251-4,ABDOMINAL PAIN,,,3906.55,30088.0,5
APR-DRG,2511,ABDOMINAL PAIN,,,11104.0,11104.0,1
APR-DRG,2512,ABDOMINAL PAIN,,,12664.0,12664.0,1
APR-DRG,2513,ABDOMINAL PAIN,,,16781.0,16781.0,1
APR-DRG,2514,ABDOMINAL PAIN,,,25295.0,25295.0,1
APR-DRG,252-1,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,1844.55,11363.0,5
APR-DRG,252-2,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,2345.39,15084.0,5
APR-DRG,252-3,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,3376.4,23062.0,5
APR-DRG,252-4,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,6066.46,54255.0,5
APR-DRG,2521,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,13598.0,13598.0,1
APR-DRG,2522,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,14671.0,14671.0,1
APR-DRG,2523,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,24913.0,24913.0,1
APR-DRG,2524,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,43415.0,43415.0,1
APR-DRG,253-1,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,1902.82,13445.0,5
APR-DRG,253-2,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,2474.94,15836.0,5
APR-DRG,253-3,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,3532.91,20323.0,5
APR-DRG,253-4,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,5889.96,47471.0,5
APR-DRG,2531,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,11830.0,11830.0,1
APR-DRG,2532,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,14895.0,14895.0,1
APR-DRG,2533,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,20057.0,20057.0,1
APR-DRG,2534,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,32167.0,32167.0,1
APR-DRG,254-1,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,1677.37,10517.0,5
APR-DRG,254-2,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,2310.43,14365.0,5
APR-DRG,254-3,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,3327.78,23114.0,5
APR-DRG,254-4,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,5546.29,40120.0,5
APR-DRG,2541,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,9314.0,9314.0,1
APR-DRG,2542,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,13561.0,13561.0,1
APR-DRG,2543,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,22459.0,22459.0,1
APR-DRG,2544,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,25586.0,25586.0,1
APR-DRG,260-1,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,5554.95,32827.0,5
APR-DRG,260-2,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,7894.68,37590.0,5
APR-DRG,260-3,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,10386.27,59665.0,5
APR-DRG,260-4,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,18082.81,114611.0,5
APR-DRG,2601,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,29798.0,29798.0,1
APR-DRG,2602,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,38332.0,38332.0,1
APR-DRG,2603,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,58186.0,58186.0,1
APR-DRG,2604,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,130655.0,130655.0,1
APR-DRG,261-1,MAJOR BILIARY TRACT PROCEDURES,,,4840.31,25495.0,5
APR-DRG,261-2,MAJOR BILIARY TRACT PROCEDURES,,,6797.41,33367.0,5
APR-DRG,261-3,MAJOR BILIARY TRACT PROCEDURES,,,8414.85,50635.0,5
APR-DRG,261-4,MAJOR BILIARY TRACT PROCEDURES,,,16017.48,132030.0,5
APR-DRG,2611,MAJOR BILIARY TRACT PROCEDURES,,,31968.0,31968.0,1
APR-DRG,2612,MAJOR BILIARY TRACT PROCEDURES,,,38774.0,38774.0,1
APR-DRG,2613,MAJOR BILIARY TRACT PROCEDURES,,,60912.0,60912.0,1
APR-DRG,2614,MAJOR BILIARY TRACT PROCEDURES,,,110092.0,110092.0,1
APR-DRG,263-1,CHOLECYSTECTOMY,,,3585.86,19285.0,5
APR-DRG,263-2,CHOLECYSTECTOMY,,,4594.22,22958.0,5
APR-DRG,263-3,CHOLECYSTECTOMY,,,6285.24,29089.0,5
APR-DRG,263-4,CHOLECYSTECTOMY,,,10410.58,46303.0,5
APR-DRG,2631,CHOLECYSTECTOMY,,,17900.0,17900.0,1
APR-DRG,2632,CHOLECYSTECTOMY,,,22283.0,22283.0,1
APR-DRG,2633,CHOLECYSTECTOMY,,,27249.0,27249.0,1
APR-DRG,2634,CHOLECYSTECTOMY,,,46891.0,46891.0,1
APR-DRG,264-1,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,3813.31,19686.0,5
APR-DRG,264-2,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,4972.18,22648.0,5
APR-DRG,264-3,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,7401.83,33084.0,5
APR-DRG,264-4,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,13836.26,97704.0,5
APR-DRG,2641,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,27042.0,27042.0,1
APR-DRG,2642,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,28716.0,28716.0,1
APR-DRG,2643,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,37873.0,37873.0,1
APR-DRG,2644,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,97782.0,97782.0,1
APR-DRG,279-1,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,1613.44,9059.0,5
APR-DRG,279-2,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,2222.51,13306.0,5
APR-DRG,279-3,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,3550.89,22761.0,5
APR-DRG,279-4,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,6847.37,52273.0,5
APR-DRG,2791,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,10499.0,10499.0,1
APR-DRG,2792,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,12936.0,12936.0,1
APR-DRG,2793,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,20855.0,20855.0,1
APR-DRG,2794,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,67500.0,67500.0,1
APR-DRG,280-1,ALCOHOLIC LIVER DISEASE,,,1879.85,10548.0,5
APR-DRG,280-2,ALCOHOLIC LIVER DISEASE,,,2470.27,13611.0,5
APR-DRG,280-3,ALCOHOLIC LIVER DISEASE,,,3756.03,23052.0,5
APR-DRG,280-4,ALCOHOLIC LIVER DISEASE,,,7408.16,57339.0,5
APR-DRG,2801,ALCOHOLIC LIVER DISEASE,,,10119.0,10119.0,1
APR-DRG,2802,ALCOHOLIC LIVER DISEASE,,,13605.0,13605.0,1
APR-DRG,2803,ALCOHOLIC LIVER DISEASE,,,22674.0,22674.0,1
APR-DRG,2804,ALCOHOLIC LIVER DISEASE,,,54328.0,54328.0,1
APR-DRG,281-1,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,2087.64,11206.0,5
APR-DRG,281-2,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,2883.21,17971.0,5
APR-DRG,281-3,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,3869.25,23669.0,5
APR-DRG,281-4,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,5897.29,33802.0,5
APR-DRG,2811,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,12636.0,12636.0,1
APR-DRG,2812,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,17521.0,17521.0,1
APR-DRG,2813,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,23430.0,23430.0,1
APR-DRG,2814,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,35603.0,35603.0,1
APR-DRG,282-1,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,1728.99,11872.0,5
APR-DRG,282-2,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,2309.43,14721.0,5
APR-DRG,282-3,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,3614.17,22922.0,5
APR-DRG,282-4,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,7703.2,59492.0,5
APR-DRG,2821,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,10951.0,10951.0,1
APR-DRG,2822,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,14164.0,14164.0,1
APR-DRG,2823,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,23086.0,23086.0,1
APR-DRG,2824,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,57054.0,57054.0,1
APR-DRG,283-1,OTHER DISORDERS OF THE LIVER,,,1713.34,9568.0,5
APR-DRG,283-2,OTHER DISORDERS OF THE LIVER,,,2367.04,13611.0,5
APR-DRG,283-3,OTHER DISORDERS OF THE LIVER,,,3478.3,20102.0,5
APR-DRG,283-4,OTHER DISORDERS OF THE LIVER,,,6506.03,44329.0,5
APR-DRG,2831,OTHER DISORDERS OF THE LIVER,,,10512.0,10512.0,1
APR-DRG,2832,OTHER DISORDERS OF THE LIVER,,,12660.0,12660.0,1
APR-DRG,2833,OTHER DISORDERS OF THE LIVER,,,19099.0,19099.0,1
APR-DRG,2834,OTHER DISORDERS OF THE LIVER,,,28295.0,28295.0,1
APR-DRG,284-1,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,2028.37,13047.0,5
APR-DRG,284-2,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,2846.58,15838.0,5
APR-DRG,284-3,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,3844.94,22447.0,5
APR-DRG,284-4,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,6568.97,41907.0,5
APR-DRG,2841,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,12508.0,12508.0,1
APR-DRG,2842,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,15116.0,15116.0,1
APR-DRG,2843,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,23908.0,23908.0,1
APR-DRG,2844,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,26243.0,26243.0,1
APR-DRG,299-1,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,12894.51,12894.51,2
APR-DRG,299-2,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,15152.32,15152.32,2
APR-DRG,299-3,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,20224.07,20224.07,2
APR-DRG,299-4,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,25796.01,25796.01,2
APR-DRG,300-1,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,9435.53,9435.53,2
APR-DRG,300-2,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,10333.66,10333.66,2
APR-DRG,300-3,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,13325.42,13325.42,2
APR-DRG,300-4,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,19505.44,19505.44,2
APR-DRG,303-1,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,12552.84,64801.0,5
APR-DRG,303-2,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,14227.22,76466.0,5
APR-DRG,303-3,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,19034.56,98528.0,5
APR-DRG,303-4,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,28512.04,171401.0,5
APR-DRG,3031,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,88774.0,88774.0,1
APR-DRG,3032,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,110637.0,110637.0,1
APR-DRG,3033,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,143221.0,143221.0,1
APR-DRG,3034,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,211048.0,211048.0,1
APR-DRG,304-1,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,8111.81,48098.0,5
APR-DRG,304-2,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,10842.5,55504.0,5
APR-DRG,304-3,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,14969.83,83860.0,5
APR-DRG,304-4,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,20957.36,107996.0,5
APR-DRG,3041,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,58587.0,58587.0,1
APR-DRG,3042,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,72885.0,72885.0,1
APR-DRG,3043,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,103219.0,103219.0,1
APR-DRG,3044,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,135667.0,135667.0,1
APR-DRG,305-1,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,3622.49,22120.0,5
APR-DRG,305-2,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,4844.64,28277.0,5
APR-DRG,305-3,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,7124.1,43111.0,5
APR-DRG,305-4,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,12021.35,102105.0,5
APR-DRG,3051,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,22690.0,22690.0,1
APR-DRG,3052,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,31214.0,31214.0,1
APR-DRG,3053,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,48723.0,48723.0,1
APR-DRG,3054,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,74301.0,74301.0,1
APR-DRG,308-1,HIP AND FEMUR FRACTURE REPAIR,,,4505.63,24313.0,5
APR-DRG,308-2,HIP AND FEMUR FRACTURE REPAIR,,,5596.24,31715.0,5
APR-DRG,308-3,HIP AND FEMUR FRACTURE REPAIR,,,7016.87,42061.0,5
APR-DRG,308-4,HIP AND FEMUR FRACTURE REPAIR,,,10110.54,58497.0,5
APR-DRG,3081,HIP AND FEMUR FRACTURE REPAIR,,,22823.0,22823.0,1
APR-DRG,3082,HIP AND FEMUR FRACTURE REPAIR,,,33017.0,33017.0,1
APR-DRG,3083,HIP AND FEMUR FRACTURE REPAIR,,,50694.0,50694.0,1
APR-DRG,3084,HIP AND FEMUR FRACTURE REPAIR,,,81085.0,81085.0,1
APR-DRG,309-1,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,4591.55,24099.0,5
APR-DRG,309-2,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,6146.38,32738.0,5
APR-DRG,309-3,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,8247.01,45383.0,5
APR-DRG,309-4,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,12190.19,110006.0,5
APR-DRG,3091,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,24238.0,24238.0,1
APR-DRG,3092,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,26495.0,26495.0,1
APR-DRG,3093,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,50325.0,50325.0,1
APR-DRG,3094,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,113050.0,113050.0,1
APR-DRG,310-1,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,3749.7,21959.0,5
APR-DRG,310-2,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,5134.69,26478.0,5
APR-DRG,310-3,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,7659.58,47034.0,5
APR-DRG,310-4,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,10904.1,86265.0,5
APR-DRG,3101,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,20788.0,20788.0,1
APR-DRG,3102,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,26315.0,26315.0,1
APR-DRG,3103,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,72520.0,72520.0,1
APR-DRG,3104,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,92011.0,92011.0,1
APR-DRG,312-1,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,3775.01,3775.01,2
APR-DRG,312-1,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,12205.25,30374.0,3
APR-DRG,312-2,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,5938.91,5938.91,2
APR-DRG,312-2,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,13374.23,33283.0,3
APR-DRG,312-3,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,9380.91,9380.91,2
APR-DRG,312-3,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,29987.04,74626.0,3
APR-DRG,312-4,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,16740.45,16740.45,2
APR-DRG,312-4,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,52050.91,129534.0,3
APR-DRG,3121,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,27896.0,27896.0,1
APR-DRG,3122,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,49790.0,49790.0,1
APR-DRG,3123,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,71770.0,71770.0,1
APR-DRG,3124,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,118454.0,118454.0,1
APR-DRG,313-1,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,4384.75,24585.0,5
APR-DRG,313-2,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,5835.01,31722.0,5
APR-DRG,313-3,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,8206.38,45967.0,5
APR-DRG,313-4,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,12605.12,96424.0,5
APR-DRG,3131,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,27402.0,27402.0,1
APR-DRG,3132,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,37149.0,37149.0,1
APR-DRG,3133,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,57422.0,57422.0,1
APR-DRG,3134,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,85740.0,85740.0,1
APR-DRG,314-1,FOOT AND TOE PROCEDURES,,,3117.65,20056.0,5
APR-DRG,314-2,FOOT AND TOE PROCEDURES,,,4080.71,21349.0,5
APR-DRG,314-3,FOOT AND TOE PROCEDURES,,,5899.95,29550.0,5
APR-DRG,314-4,FOOT AND TOE PROCEDURES,,,9919.06,55905.0,5
APR-DRG,3141,FOOT AND TOE PROCEDURES,,,23542.0,23542.0,1
APR-DRG,3142,FOOT AND TOE PROCEDURES,,,23822.0,23822.0,1
APR-DRG,3143,FOOT AND TOE PROCEDURES,,,36144.0,36144.0,1
APR-DRG,3144,FOOT AND TOE PROCEDURES,,,46046.0,46046.0,1
APR-DRG,315-1,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,3506.27,13304.0,5
APR-DRG,315-2,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,5422.75,27501.0,5
APR-DRG,315-3,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,7504.73,40656.0,5
APR-DRG,315-4,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,11832.87,54860.0,5
APR-DRG,3151,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,15626.0,15626.0,1
APR-DRG,3152,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,28553.0,28553.0,1
APR-DRG,3153,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,39722.0,39722.0,1
APR-DRG,3154,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,85097.0,85097.0,1
APR-DRG,316-1,HAND AND WRIST PROCEDURES,,,2728.69,16710.0,5
APR-DRG,316-2,HAND AND WRIST PROCEDURES,,,3694.75,18541.0,5
APR-DRG,316-3,HAND AND WRIST PROCEDURES,,,5669.17,34782.0,5
APR-DRG,316-4,HAND AND WRIST PROCEDURES,,,9595.7,73903.0,5
APR-DRG,3161,HAND AND WRIST PROCEDURES,,,13742.0,13742.0,1
APR-DRG,3162,HAND AND WRIST PROCEDURES,,,18362.0,18362.0,1
APR-DRG,3163,HAND AND WRIST PROCEDURES,,,34905.0,34905.0,1
APR-DRG,3164,HAND AND WRIST PROCEDURES,,,64291.0,64291.0,1
APR-DRG,317-1,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,3210.89,19994.0,5
APR-DRG,317-2,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,4185.61,28911.0,5
APR-DRG,317-3,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,6132.73,44199.0,5
APR-DRG,317-4,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,10444.21,116490.0,5
APR-DRG,3171,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,17822.0,17822.0,1
APR-DRG,3172,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,26539.0,26539.0,1
APR-DRG,3173,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,37960.0,37960.0,1
APR-DRG,3174,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,64798.0,64798.0,1
APR-DRG,320-1,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,3510.93,19643.0,5
APR-DRG,320-2,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,4902.58,23698.0,5
APR-DRG,320-3,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,7102.45,50627.0,5
APR-DRG,320-4,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,11302.72,64049.0,5
APR-DRG,3201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,21530.0,21530.0,1
APR-DRG,3202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,29005.0,29005.0,1
APR-DRG,3203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,36889.0,36889.0,1
APR-DRG,3204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,77095.0,77095.0,1
APR-DRG,321-1,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,5186.31,31811.0,5
APR-DRG,321-2,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,7072.81,38996.0,5
APR-DRG,321-3,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,11072.27,54202.0,5
APR-DRG,321-4,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,15429.72,104238.0,5
APR-DRG,3211,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,39349.0,39349.0,1
APR-DRG,3212,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,49751.0,49751.0,1
APR-DRG,3213,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,58598.0,58598.0,1
APR-DRG,3214,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,93042.0,93042.0,1
APR-DRG,322-1,SHOULDER AND ELBOW JOINT REPLACEMENT,,,5769.08,30405.0,5
APR-DRG,322-2,SHOULDER AND ELBOW JOINT REPLACEMENT,,,6591.61,33699.0,5
APR-DRG,322-3,SHOULDER AND ELBOW JOINT REPLACEMENT,,,8657.28,63537.0,5
APR-DRG,322-4,SHOULDER AND ELBOW JOINT REPLACEMENT,,,11535.16,85650.0,5
APR-DRG,3221,SHOULDER AND ELBOW JOINT REPLACEMENT,,,37072.0,37072.0,1
APR-DRG,3222,SHOULDER AND ELBOW JOINT REPLACEMENT,,,40392.0,40392.0,1
APR-DRG,3223,SHOULDER AND ELBOW JOINT REPLACEMENT,,,57830.0,57830.0,1
APR-DRG,3224,SHOULDER AND ELBOW JOINT REPLACEMENT,,,80319.0,80319.0,1
APR-DRG,323-1,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,5487.35,29485.0,5
APR-DRG,323-2,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,6310.55,35983.0,5
APR-DRG,323-3,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,8391.54,44694.0,5
APR-DRG,323-4,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,11756.28,70852.0,5
APR-DRG,3231,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,31025.0,31025.0,1
APR-DRG,3232,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,40039.0,40039.0,1
APR-DRG,3233,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,49608.0,49608.0,1
APR-DRG,3234,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,106132.0,106132.0,1
APR-DRG,324-1,ELECTIVE HIP JOINT REPLACEMENT,,,4738.41,24025.0,5
APR-DRG,324-2,ELECTIVE HIP JOINT REPLACEMENT,,,5319.18,28399.0,5
APR-DRG,324-3,ELECTIVE HIP JOINT REPLACEMENT,,,7566.67,36027.0,5
APR-DRG,324-4,ELECTIVE HIP JOINT REPLACEMENT,,,11287.06,70504.0,5
APR-DRG,3241,ELECTIVE HIP JOINT REPLACEMENT,,,30034.0,30034.0,1
APR-DRG,3242,ELECTIVE HIP JOINT REPLACEMENT,,,36220.0,36220.0,1
APR-DRG,3243,ELECTIVE HIP JOINT REPLACEMENT,,,46090.0,46090.0,1
APR-DRG,3244,ELECTIVE HIP JOINT REPLACEMENT,,,79998.0,79998.0,1
APR-DRG,325-1,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,6805.74,37096.0,5
APR-DRG,325-2,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,8211.04,41590.0,5
APR-DRG,325-3,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,9983.99,50841.0,5
APR-DRG,325-4,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,12882.52,89501.0,5
APR-DRG,3251,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,47045.0,47045.0,1
APR-DRG,3252,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,48822.0,48822.0,1
APR-DRG,3253,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,60075.0,60075.0,1
APR-DRG,3254,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,116249.0,116249.0,1
APR-DRG,326-1,ELECTIVE KNEE JOINT REPLACEMENT,,,4700.11,23982.0,5
APR-DRG,326-2,ELECTIVE KNEE JOINT REPLACEMENT,,,4990.83,27758.0,5
APR-DRG,326-3,ELECTIVE KNEE JOINT REPLACEMENT,,,7165.06,37840.0,5
APR-DRG,326-4,ELECTIVE KNEE JOINT REPLACEMENT,,,9983.99,70775.0,5
APR-DRG,3261,ELECTIVE KNEE JOINT REPLACEMENT,,,28525.0,28525.0,1
APR-DRG,3262,ELECTIVE KNEE JOINT REPLACEMENT,,,33394.0,33394.0,1
APR-DRG,3263,ELECTIVE KNEE JOINT REPLACEMENT,,,43873.0,43873.0,1
APR-DRG,3264,ELECTIVE KNEE JOINT REPLACEMENT,,,65826.0,65826.0,1
APR-DRG,340-1,FRACTURE OF FEMUR,,,1571.48,10690.0,5
APR-DRG,340-2,FRACTURE OF FEMUR,,,2007.39,13287.0,5
APR-DRG,340-3,FRACTURE OF FEMUR,,,2865.89,25730.0,5
APR-DRG,340-4,FRACTURE OF FEMUR,,,4281.52,39301.0,5
APR-DRG,3401,FRACTURE OF FEMUR,,,10236.0,10236.0,1
APR-DRG,3402,FRACTURE OF FEMUR,,,14874.0,14874.0,1
APR-DRG,3403,FRACTURE OF FEMUR,,,23757.0,23757.0,1
APR-DRG,3404,FRACTURE OF FEMUR,,,40881.0,40881.0,1
APR-DRG,341-1,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,1701.68,13344.0,5
APR-DRG,341-2,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,2113.29,15848.0,5
APR-DRG,341-3,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,3094.67,26785.0,5
APR-DRG,341-4,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,5425.41,42210.0,5
APR-DRG,3411,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,12138.0,12138.0,1
APR-DRG,3412,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,16892.0,16892.0,1
APR-DRG,3413,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,21626.0,21626.0,1
APR-DRG,3414,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,32330.0,32330.0,1
APR-DRG,342-1,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,1663.72,10685.0,5
APR-DRG,342-2,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,2229.84,15788.0,5
APR-DRG,342-3,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,3236.2,21433.0,5
APR-DRG,342-4,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,5805.71,44867.0,5
APR-DRG,3421,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,9108.0,9108.0,1
APR-DRG,3422,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,11577.0,11577.0,1
APR-DRG,3423,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,22681.0,22681.0,1
APR-DRG,3424,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,36765.0,36765.0,1
APR-DRG,343-1,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,2542.2,18106.0,5
APR-DRG,343-2,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,2998.76,20292.0,5
APR-DRG,343-3,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,4429.38,29516.0,5
APR-DRG,343-4,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,7008.54,69805.0,5
APR-DRG,3431,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,20604.0,20604.0,1
APR-DRG,3432,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,23622.0,23622.0,1
APR-DRG,3433,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,33372.0,33372.0,1
APR-DRG,3434,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,54645.0,54645.0,1
APR-DRG,344-1,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,2125.27,17522.0,5
APR-DRG,344-2,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,2869.89,20669.0,5
APR-DRG,344-3,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,4230.57,34088.0,5
APR-DRG,344-4,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,6560.64,53376.0,5
APR-DRG,3441,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,14021.0,14021.0,1
APR-DRG,3442,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,18622.0,18622.0,1
APR-DRG,3443,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,25912.0,25912.0,1
APR-DRG,3444,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,44113.0,44113.0,1
APR-DRG,346-1,CONNECTIVE TISSUE DISORDERS,,,2133.27,12350.0,5
APR-DRG,346-2,CONNECTIVE TISSUE DISORDERS,,,2932.16,20981.0,5
APR-DRG,346-3,CONNECTIVE TISSUE DISORDERS,,,4402.07,31820.0,5
APR-DRG,346-4,CONNECTIVE TISSUE DISORDERS,,,8432.16,51588.0,5
APR-DRG,3461,CONNECTIVE TISSUE DISORDERS,,,13433.0,13433.0,1
APR-DRG,3462,CONNECTIVE TISSUE DISORDERS,,,17733.0,17733.0,1
APR-DRG,3463,CONNECTIVE TISSUE DISORDERS,,,38572.0,38572.0,1
APR-DRG,3464,CONNECTIVE TISSUE DISORDERS,,,50090.0,50090.0,1
APR-DRG,347-1,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,1922.8,13503.0,5
APR-DRG,347-2,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,2557.86,17971.0,5
APR-DRG,347-3,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,3684.76,20928.0,5
APR-DRG,347-4,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,6132.73,36925.0,5
APR-DRG,3471,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,12615.0,12615.0,1
APR-DRG,3472,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,15339.0,15339.0,1
APR-DRG,3473,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,22851.0,22851.0,1
APR-DRG,3474,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,43799.0,43799.0,1
APR-DRG,349-1,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,1771.62,13263.0,5
APR-DRG,349-2,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,2478.6,17873.0,5
APR-DRG,349-3,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,3583.53,23525.0,5
APR-DRG,349-4,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,6031.49,38042.0,5
APR-DRG,3491,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,11360.0,11360.0,1
APR-DRG,3492,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,15521.0,15521.0,1
APR-DRG,3493,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,24231.0,24231.0,1
APR-DRG,3494,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,41291.0,41291.0,1
APR-DRG,351-1,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,1603.78,12718.0,5
APR-DRG,351-2,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,2121.94,15475.0,5
APR-DRG,351-3,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,3110.32,21515.0,5
APR-DRG,351-4,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,5502.34,47927.0,5
APR-DRG,3511,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,10080.0,10080.0,1
APR-DRG,3512,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,12215.0,12215.0,1
APR-DRG,3513,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,24911.0,24911.0,1
APR-DRG,3514,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,36020.0,36020.0,1
APR-DRG,361-1,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,4504.3,35697.0,5
APR-DRG,361-2,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,5984.2,45494.0,5
APR-DRG,361-3,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,8273.32,65877.0,5
APR-DRG,361-4,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,15763.06,119068.0,5
APR-DRG,3611,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,25908.0,25908.0,1
APR-DRG,3612,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,52356.0,52356.0,1
APR-DRG,3613,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,55378.0,55378.0,1
APR-DRG,3614,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,116898.0,116898.0,1
APR-DRG,362-1,MASTECTOMY PROCEDURES,,,4260.54,32721.0,5
APR-DRG,362-2,MASTECTOMY PROCEDURES,,,6645.23,36728.0,5
APR-DRG,362-3,MASTECTOMY PROCEDURES,,,6732.81,47824.0,5
APR-DRG,362-4,MASTECTOMY PROCEDURES,,,10236.08,88506.0,5
APR-DRG,3621,MASTECTOMY PROCEDURES,,,31393.0,31393.0,1
APR-DRG,3622,MASTECTOMY PROCEDURES,,,43653.0,43653.0,1
APR-DRG,3623,MASTECTOMY PROCEDURES,,,47268.0,47268.0,1
APR-DRG,3624,MASTECTOMY PROCEDURES,,,77656.0,77656.0,1
APR-DRG,363-1,BREAST PROCEDURES EXCEPT MASTECTOMY,,,3646.8,24371.0,5
APR-DRG,363-2,BREAST PROCEDURES EXCEPT MASTECTOMY,,,6383.82,33641.0,5
APR-DRG,363-3,BREAST PROCEDURES EXCEPT MASTECTOMY,,,8765.84,49518.0,5
APR-DRG,363-4,BREAST PROCEDURES EXCEPT MASTECTOMY,,,10456.2,73422.0,5
APR-DRG,3631,BREAST PROCEDURES EXCEPT MASTECTOMY,,,22786.0,22786.0,1
APR-DRG,3632,BREAST PROCEDURES EXCEPT MASTECTOMY,,,30357.0,30357.0,1
APR-DRG,3633,BREAST PROCEDURES EXCEPT MASTECTOMY,,,50246.0,50246.0,1
APR-DRG,3634,BREAST PROCEDURES EXCEPT MASTECTOMY,,,77756.0,77756.0,1
APR-DRG,364-1,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,2422.99,15319.0,5
APR-DRG,364-2,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,3268.5,23247.0,5
APR-DRG,364-3,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,5305.86,37840.0,5
APR-DRG,364-4,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,8999.61,96020.0,5
APR-DRG,3641,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,13786.0,13786.0,1
APR-DRG,3642,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,25508.0,25508.0,1
APR-DRG,3643,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,38309.0,38309.0,1
APR-DRG,3644,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,67926.0,67926.0,1
APR-DRG,380-1,SKIN ULCERS,,,1735.32,12239.0,5
APR-DRG,380-2,SKIN ULCERS,,,2243.16,17438.0,5
APR-DRG,380-3,SKIN ULCERS,,,3277.82,29685.0,5
APR-DRG,380-4,SKIN ULCERS,,,5431.4,44163.0,5
APR-DRG,3801,SKIN ULCERS,,,12904.0,12904.0,1
APR-DRG,3802,SKIN ULCERS,,,15255.0,15255.0,1
APR-DRG,3803,SKIN ULCERS,,,18755.0,18755.0,1
APR-DRG,3804,SKIN ULCERS,,,38339.0,38339.0,1
APR-DRG,381-1,MAJOR SKIN DISORDERS,,,1254.78,8691.0,5
APR-DRG,381-2,MAJOR SKIN DISORDERS,,,2144.26,19045.0,5
APR-DRG,381-3,MAJOR SKIN DISORDERS,,,3560.55,26271.0,5
APR-DRG,381-4,MAJOR SKIN DISORDERS,,,7151.4,54161.0,5
APR-DRG,3811,MAJOR SKIN DISORDERS,,,8366.0,8366.0,1
APR-DRG,3812,MAJOR SKIN DISORDERS,,,12545.0,12545.0,1
APR-DRG,3813,MAJOR SKIN DISORDERS,,,38683.0,38683.0,1
APR-DRG,3814,MAJOR SKIN DISORDERS,,,50021.0,50021.0,1
APR-DRG,382-1,MALIGNANT BREAST DISORDERS,,,1751.97,13412.0,5
APR-DRG,382-2,MALIGNANT BREAST DISORDERS,,,2414.33,15062.0,5
APR-DRG,382-3,MALIGNANT BREAST DISORDERS,,,3359.74,25865.0,5
APR-DRG,382-4,MALIGNANT BREAST DISORDERS,,,5681.83,31232.0,5
APR-DRG,3821,MALIGNANT BREAST DISORDERS,,,10783.0,10783.0,1
APR-DRG,3822,MALIGNANT BREAST DISORDERS,,,14503.0,14503.0,1
APR-DRG,3823,MALIGNANT BREAST DISORDERS,,,20427.0,20427.0,1
APR-DRG,3824,MALIGNANT BREAST DISORDERS,,,31450.0,31450.0,1
APR-DRG,383-1,CELLULITIS AND OTHER SKIN INFECTIONS,,,1441.6,10169.0,5
APR-DRG,383-2,CELLULITIS AND OTHER SKIN INFECTIONS,,,1970.42,14161.0,5
APR-DRG,383-3,CELLULITIS AND OTHER SKIN INFECTIONS,,,2977.12,25075.0,5
APR-DRG,383-4,CELLULITIS AND OTHER SKIN INFECTIONS,,,5518.99,34218.0,5
APR-DRG,3831,CELLULITIS AND OTHER SKIN INFECTIONS,,,11039.0,11039.0,1
APR-DRG,3832,CELLULITIS AND OTHER SKIN INFECTIONS,,,14348.0,14348.0,1
APR-DRG,3833,CELLULITIS AND OTHER SKIN INFECTIONS,,,22771.0,22771.0,1
APR-DRG,3834,CELLULITIS AND OTHER SKIN INFECTIONS,,,38430.0,38430.0,1
APR-DRG,384-1,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,1823.57,9662.0,5
APR-DRG,384-2,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,2364.38,14500.0,5
APR-DRG,384-3,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,3438.34,29817.0,5
APR-DRG,384-4,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,5933.58,42080.0,5
APR-DRG,3841,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,7793.0,7793.0,1
APR-DRG,3842,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,11367.0,11367.0,1
APR-DRG,3843,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,19624.0,19624.0,1
APR-DRG,3844,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,37140.0,37140.0,1
APR-DRG,385-1,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,1438.27,8915.0,5
APR-DRG,385-2,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,1959.1,13931.0,5
APR-DRG,385-3,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,2976.78,28128.0,5
APR-DRG,385-4,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,5159.67,38395.0,5
APR-DRG,3851,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,9122.0,9122.0,1
APR-DRG,3852,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,15542.0,15542.0,1
APR-DRG,3853,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,26143.0,26143.0,1
APR-DRG,3854,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,33955.0,33955.0,1
APR-DRG,401-1,ADRENAL PROCEDURES,,,3885.24,22432.0,5
APR-DRG,401-2,ADRENAL PROCEDURES,,,5035.12,48636.0,5
APR-DRG,401-3,ADRENAL PROCEDURES,,,9274.68,64721.0,5
APR-DRG,401-4,ADRENAL PROCEDURES,,,17441.1,100150.0,5
APR-DRG,4011,ADRENAL PROCEDURES,,,19430.0,19430.0,1
APR-DRG,4012,ADRENAL PROCEDURES,,,49352.0,49352.0,1
APR-DRG,4013,ADRENAL PROCEDURES,,,64747.0,64747.0,1
APR-DRG,4014,ADRENAL PROCEDURES,,,107121.0,107121.0,1
APR-DRG,403-1,PROCEDURES FOR OBESITY,,,3371.73,20124.0,5
APR-DRG,403-2,PROCEDURES FOR OBESITY,,,4343.13,22867.0,5
APR-DRG,403-3,PROCEDURES FOR OBESITY,,,6386.81,26965.0,5
APR-DRG,403-4,PROCEDURES FOR OBESITY,,,14034.74,86390.0,5
APR-DRG,4031,PROCEDURES FOR OBESITY,,,21282.0,21282.0,1
APR-DRG,4032,PROCEDURES FOR OBESITY,,,22755.0,22755.0,1
APR-DRG,4033,PROCEDURES FOR OBESITY,,,32565.0,32565.0,1
APR-DRG,4034,PROCEDURES FOR OBESITY,,,104120.0,104120.0,1
APR-DRG,404-1,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,3125.31,18716.0,5
APR-DRG,404-2,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,4505.3,23076.0,5
APR-DRG,404-3,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,7409.82,29312.0,5
APR-DRG,404-4,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,13546.88,104664.0,5
APR-DRG,4041,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,16238.0,16238.0,1
APR-DRG,4042,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,19191.0,19191.0,1
APR-DRG,4043,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,48640.0,48640.0,1
APR-DRG,4044,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,93736.0,93736.0,1
APR-DRG,405-1,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,3813.64,29231.0,5
APR-DRG,405-2,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,4741.41,42664.0,5
APR-DRG,405-3,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,7066.15,73552.0,5
APR-DRG,405-4,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,14143.63,103684.0,5
APR-DRG,4051,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,24339.0,24339.0,1
APR-DRG,4052,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,37124.0,37124.0,1
APR-DRG,4053,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,53715.0,53715.0,1
APR-DRG,4054,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,93692.0,93692.0,1
APR-DRG,420-1,DIABETES,,,1563.15,9518.0,5
APR-DRG,420-2,DIABETES,,,2076.65,12357.0,5
APR-DRG,420-3,DIABETES,,,2998.1,20972.0,5
APR-DRG,420-4,DIABETES,,,5515.32,37888.0,5
APR-DRG,4201,DIABETES,,,8848.0,8848.0,1
APR-DRG,4202,DIABETES,,,11595.0,11595.0,1
APR-DRG,4203,DIABETES,,,18331.0,18331.0,1
APR-DRG,4204,DIABETES,,,50460.0,50460.0,1
APR-DRG,421-1,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,1225.15,11512.0,5
APR-DRG,421-2,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,2043.02,25517.0,5
APR-DRG,421-3,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,3205.23,30977.0,5
APR-DRG,421-4,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,5593.91,57003.0,5
APR-DRG,4211,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,11178.0,11178.0,1
APR-DRG,4212,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,14604.0,14604.0,1
APR-DRG,4213,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,24220.0,24220.0,1
APR-DRG,4214,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,39915.0,39915.0,1
APR-DRG,422-1,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,1227.48,7666.0,5
APR-DRG,422-2,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,1752.97,10743.0,5
APR-DRG,422-3,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,2500.58,17440.0,5
APR-DRG,422-4,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,3881.91,33194.0,5
APR-DRG,4221,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,7304.0,7304.0,1
APR-DRG,4222,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,8850.0,8850.0,1
APR-DRG,4223,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,15409.0,15409.0,1
APR-DRG,4224,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,29997.0,29997.0,1
APR-DRG,423-1,INBORN ERRORS OF METABOLISM,,,1782.61,12866.0,5
APR-DRG,423-2,INBORN ERRORS OF METABOLISM,,,2447.63,21058.0,5
APR-DRG,423-3,INBORN ERRORS OF METABOLISM,,,3739.04,33077.0,5
APR-DRG,423-4,INBORN ERRORS OF METABOLISM,,,9453.84,46966.0,5
APR-DRG,4231,INBORN ERRORS OF METABOLISM,,,24565.0,24565.0,1
APR-DRG,4232,INBORN ERRORS OF METABOLISM,,,44265.0,44265.0,1
APR-DRG,4233,INBORN ERRORS OF METABOLISM,,,70873.0,70873.0,1
APR-DRG,4234,INBORN ERRORS OF METABOLISM,,,77959.0,77959.0,1
APR-DRG,424-1,OTHER ENDOCRINE DISORDERS,,,1601.45,10162.0,5
APR-DRG,424-2,OTHER ENDOCRINE DISORDERS,,,2303.1,15660.0,5
APR-DRG,424-3,OTHER ENDOCRINE DISORDERS,,,3489.95,19477.0,5
APR-DRG,424-4,OTHER ENDOCRINE DISORDERS,,,5926.59,39479.0,5
APR-DRG,4241,OTHER ENDOCRINE DISORDERS,,,10203.0,10203.0,1
APR-DRG,4242,OTHER ENDOCRINE DISORDERS,,,10492.0,10492.0,1
APR-DRG,4243,OTHER ENDOCRINE DISORDERS,,,17430.0,17430.0,1
APR-DRG,4244,OTHER ENDOCRINE DISORDERS,,,37924.0,37924.0,1
APR-DRG,425-1,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,1490.22,11221.0,5
APR-DRG,425-2,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,1858.2,13352.0,5
APR-DRG,425-3,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,2643.77,21358.0,5
APR-DRG,425-4,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,5098.39,29476.0,5
APR-DRG,4251,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,11388.0,11388.0,1
APR-DRG,4252,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,12845.0,12845.0,1
APR-DRG,4253,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,25219.0,25219.0,1
APR-DRG,4254,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,43504.0,43504.0,1
APR-DRG,426-1,NON-HYPOVOLEMIC SODIUM DISORDERS,,,1541.51,11163.0,5
APR-DRG,426-2,NON-HYPOVOLEMIC SODIUM DISORDERS,,,2039.36,14178.0,5
APR-DRG,426-3,NON-HYPOVOLEMIC SODIUM DISORDERS,,,3036.72,22377.0,5
APR-DRG,426-4,NON-HYPOVOLEMIC SODIUM DISORDERS,,,5342.49,47267.0,5
APR-DRG,4261,NON-HYPOVOLEMIC SODIUM DISORDERS,,,9029.0,9029.0,1
APR-DRG,4262,NON-HYPOVOLEMIC SODIUM DISORDERS,,,12899.0,12899.0,1
APR-DRG,4263,NON-HYPOVOLEMIC SODIUM DISORDERS,,,22918.0,22918.0,1
APR-DRG,4264,NON-HYPOVOLEMIC SODIUM DISORDERS,,,61218.0,61218.0,1
APR-DRG,427-1,THYROID DISORDERS,,,1492.89,10844.0,5
APR-DRG,427-2,THYROID DISORDERS,,,2101.63,11274.0,5
APR-DRG,427-3,THYROID DISORDERS,,,3386.05,20448.0,5
APR-DRG,427-4,THYROID DISORDERS,,,6454.41,41975.0,5
APR-DRG,4271,THYROID DISORDERS,,,11490.0,11490.0,1
APR-DRG,4272,THYROID DISORDERS,,,14268.0,14268.0,1
APR-DRG,4273,THYROID DISORDERS,,,21749.0,21749.0,1
APR-DRG,4274,THYROID DISORDERS,,,38045.0,38045.0,1
APR-DRG,428-1,GENETIC DISORDERS,,,1623.76,1623.76,2
APR-DRG,428-2,GENETIC DISORDERS,,,2687.73,2687.73,2
APR-DRG,428-3,GENETIC DISORDERS,,,7632.27,7632.27,2
APR-DRG,428-4,GENETIC DISORDERS,,,14037.4,14037.4,2
APR-DRG,440-1,KIDNEY TRANSPLANT,,,15543.27,106124.0,5
APR-DRG,440-2,KIDNEY TRANSPLANT,,,17013.18,132441.0,5
APR-DRG,440-3,KIDNEY TRANSPLANT,,,19710.57,154421.0,5
APR-DRG,440-4,KIDNEY TRANSPLANT,,,29609.65,190760.0,5
APR-DRG,4401,KIDNEY TRANSPLANT,,,97417.0,97417.0,1
APR-DRG,4402,KIDNEY TRANSPLANT,,,151459.0,151459.0,1
APR-DRG,4403,KIDNEY TRANSPLANT,,,171093.0,171093.0,1
APR-DRG,4404,KIDNEY TRANSPLANT,,,273801.0,273801.0,1
APR-DRG,441-1,MAJOR BLADDER PROCEDURES,,,6769.77,23955.0,5
APR-DRG,441-2,MAJOR BLADDER PROCEDURES,,,8598.0,38611.0,5
APR-DRG,441-3,MAJOR BLADDER PROCEDURES,,,10717.28,46044.0,5
APR-DRG,441-4,MAJOR BLADDER PROCEDURES,,,16732.46,121895.0,5
APR-DRG,4411,MAJOR BLADDER PROCEDURES,,,28955.0,28955.0,1
APR-DRG,4412,MAJOR BLADDER PROCEDURES,,,33470.0,33470.0,1
APR-DRG,4413,MAJOR BLADDER PROCEDURES,,,43617.0,43617.0,1
APR-DRG,4414,MAJOR BLADDER PROCEDURES,,,138427.0,138427.0,1
APR-DRG,442-1,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,4565.58,23926.0,5
APR-DRG,442-2,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,5311.52,27451.0,5
APR-DRG,442-3,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,7746.16,42191.0,5
APR-DRG,442-4,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,13375.04,86918.0,5
APR-DRG,4421,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,21009.0,21009.0,1
APR-DRG,4422,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,23048.0,23048.0,1
APR-DRG,4423,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,40297.0,40297.0,1
APR-DRG,4424,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,83900.0,83900.0,1
APR-DRG,443-1,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,3905.88,17087.0,5
APR-DRG,443-2,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,4853.63,23986.0,5
APR-DRG,443-3,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,6565.64,37622.0,5
APR-DRG,443-4,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,10899.44,67544.0,5
APR-DRG,4431,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,19300.0,19300.0,1
APR-DRG,4432,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,20837.0,20837.0,1
APR-DRG,4433,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,31193.0,31193.0,1
APR-DRG,4434,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,70338.0,70338.0,1
APR-DRG,444-1,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,3465.31,19783.0,5
APR-DRG,444-2,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,4971.52,23018.0,5
APR-DRG,444-3,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,7068.82,47807.0,5
APR-DRG,444-4,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,11937.43,101382.0,5
APR-DRG,4441,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,19616.0,19616.0,1
APR-DRG,4442,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,25137.0,25137.0,1
APR-DRG,4443,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,38879.0,38879.0,1
APR-DRG,4444,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,81772.0,81772.0,1
APR-DRG,445-1,OTHER BLADDER PROCEDURES,,,3300.14,18005.0,5
APR-DRG,445-2,OTHER BLADDER PROCEDURES,,,4381.75,22214.0,5
APR-DRG,445-3,OTHER BLADDER PROCEDURES,,,6125.07,34102.0,5
APR-DRG,445-4,OTHER BLADDER PROCEDURES,,,9273.68,69874.0,5
APR-DRG,4451,OTHER BLADDER PROCEDURES,,,17220.0,17220.0,1
APR-DRG,4452,OTHER BLADDER PROCEDURES,,,26411.0,26411.0,1
APR-DRG,4453,OTHER BLADDER PROCEDURES,,,35633.0,35633.0,1
APR-DRG,4454,OTHER BLADDER PROCEDURES,,,70133.0,70133.0,1
APR-DRG,446-1,URETHRAL AND TRANSURETHRAL PROCEDURES,,,2790.63,15168.0,5
APR-DRG,446-2,URETHRAL AND TRANSURETHRAL PROCEDURES,,,3671.78,17142.0,5
APR-DRG,446-3,URETHRAL AND TRANSURETHRAL PROCEDURES,,,5448.06,26886.0,5
APR-DRG,446-4,URETHRAL AND TRANSURETHRAL PROCEDURES,,,8793.48,75556.0,5
APR-DRG,4461,URETHRAL AND TRANSURETHRAL PROCEDURES,,,12569.0,12569.0,1
APR-DRG,4462,URETHRAL AND TRANSURETHRAL PROCEDURES,,,13737.0,13737.0,1
APR-DRG,4463,URETHRAL AND TRANSURETHRAL PROCEDURES,,,37110.0,37110.0,1
APR-DRG,4464,URETHRAL AND TRANSURETHRAL PROCEDURES,,,60263.0,60263.0,1
APR-DRG,447-1,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,4044.41,4044.41,2
APR-DRG,447-1,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,11967.79,29783.0,3
APR-DRG,447-2,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,5024.8,5024.8,2
APR-DRG,447-2,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,14020.02,34890.0,3
APR-DRG,447-3,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,7075.15,7075.15,2
APR-DRG,447-3,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,15401.36,38328.0,3
APR-DRG,447-4,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,13409.67,13409.67,2
APR-DRG,447-4,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,52440.89,130505.0,3
APR-DRG,4471,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,19074.0,19074.0,1
APR-DRG,4472,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,22646.0,22646.0,1
APR-DRG,4473,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,62889.0,62889.0,1
APR-DRG,4474,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,93741.0,93741.0,1
APR-DRG,448-1,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,4227.24,4227.24,2
APR-DRG,448-2,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,6001.85,6001.85,2
APR-DRG,448-3,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,8031.22,8031.22,2
APR-DRG,448-4,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,13020.72,13020.72,2
APR-DRG,461-1,KIDNEY AND URINARY TRACT MALIGNANCY,,,1971.76,19425.0,5
APR-DRG,461-2,KIDNEY AND URINARY TRACT MALIGNANCY,,,2491.25,21277.0,5
APR-DRG,461-3,KIDNEY AND URINARY TRACT MALIGNANCY,,,3773.34,32707.0,5
APR-DRG,461-4,KIDNEY AND URINARY TRACT MALIGNANCY,,,6107.08,46248.0,5
APR-DRG,4611,KIDNEY AND URINARY TRACT MALIGNANCY,,,18052.0,18052.0,1
APR-DRG,4612,KIDNEY AND URINARY TRACT MALIGNANCY,,,22110.0,22110.0,1
APR-DRG,4613,KIDNEY AND URINARY TRACT MALIGNANCY,,,22571.0,22571.0,1
APR-DRG,4614,KIDNEY AND URINARY TRACT MALIGNANCY,,,35834.0,35834.0,1
APR-DRG,462-1,NEPHRITIS AND NEPHROSIS,,,1448.6,8924.0,5
APR-DRG,462-2,NEPHRITIS AND NEPHROSIS,,,2292.11,15699.0,5
APR-DRG,462-3,NEPHRITIS AND NEPHROSIS,,,4146.65,24385.0,5
APR-DRG,462-4,NEPHRITIS AND NEPHROSIS,,,8094.16,68949.0,5
APR-DRG,4621,NEPHRITIS AND NEPHROSIS,,,9539.0,9539.0,1
APR-DRG,4622,NEPHRITIS AND NEPHROSIS,,,13866.0,13866.0,1
APR-DRG,4623,NEPHRITIS AND NEPHROSIS,,,32642.0,32642.0,1
APR-DRG,4624,NEPHRITIS AND NEPHROSIS,,,48023.0,48023.0,1
APR-DRG,463-1,KIDNEY AND URINARY TRACT INFECTIONS,,,1606.11,10121.0,5
APR-DRG,463-2,KIDNEY AND URINARY TRACT INFECTIONS,,,2028.7,13787.0,5
APR-DRG,463-3,KIDNEY AND URINARY TRACT INFECTIONS,,,2726.36,19434.0,5
APR-DRG,463-4,KIDNEY AND URINARY TRACT INFECTIONS,,,4331.14,42181.0,5
APR-DRG,4631,KIDNEY AND URINARY TRACT INFECTIONS,,,9253.0,9253.0,1
APR-DRG,4632,KIDNEY AND URINARY TRACT INFECTIONS,,,11402.0,11402.0,1
APR-DRG,4633,KIDNEY AND URINARY TRACT INFECTIONS,,,18792.0,18792.0,1
APR-DRG,4634,KIDNEY AND URINARY TRACT INFECTIONS,,,34099.0,34099.0,1
APR-DRG,465-1,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,1819.57,9037.0,5
APR-DRG,465-2,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,2308.1,11389.0,5
APR-DRG,465-3,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,3399.04,21964.0,5
APR-DRG,465-4,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,6052.14,27314.0,5
APR-DRG,4651,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,8412.0,8412.0,1
APR-DRG,4652,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,10126.0,10126.0,1
APR-DRG,4653,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,20836.0,20836.0,1
APR-DRG,4654,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,36211.0,36211.0,1
APR-DRG,466-1,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,1705.01,9854.0,5
APR-DRG,466-2,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,2223.85,14337.0,5
APR-DRG,466-3,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,3310.13,18680.0,5
APR-DRG,466-4,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,5704.47,37956.0,5
APR-DRG,4661,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,8988.0,8988.0,1
APR-DRG,4662,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,11595.0,11595.0,1
APR-DRG,4663,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,19183.0,19183.0,1
APR-DRG,4664,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,40314.0,40314.0,1
APR-DRG,468-1,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,1520.53,11055.0,5
APR-DRG,468-2,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,2036.69,15891.0,5
APR-DRG,468-3,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,3090.67,24371.0,5
APR-DRG,468-4,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,5414.42,36449.0,5
APR-DRG,4681,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,8750.0,8750.0,1
APR-DRG,4682,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,14266.0,14266.0,1
APR-DRG,4683,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,18801.0,18801.0,1
APR-DRG,4684,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,29940.0,29940.0,1
APR-DRG,469-1,ACUTE KIDNEY INJURY,,,1545.5,10258.0,5
APR-DRG,469-2,ACUTE KIDNEY INJURY,,,2103.96,13693.0,5
APR-DRG,469-3,ACUTE KIDNEY INJURY,,,3422.02,22480.0,5
APR-DRG,469-4,ACUTE KIDNEY INJURY,,,6573.3,42544.0,5
APR-DRG,4691,ACUTE KIDNEY INJURY,,,8168.0,8168.0,1
APR-DRG,4692,ACUTE KIDNEY INJURY,,,13204.0,13204.0,1
APR-DRG,4693,ACUTE KIDNEY INJURY,,,24495.0,24495.0,1
APR-DRG,4694,ACUTE KIDNEY INJURY,,,70860.0,70860.0,1
APR-DRG,470-1,CHRONIC KIDNEY DISEASE,,,1483.56,14863.0,5
APR-DRG,470-2,CHRONIC KIDNEY DISEASE,,,1897.83,19124.0,5
APR-DRG,470-3,CHRONIC KIDNEY DISEASE,,,3150.95,23605.0,5
APR-DRG,470-4,CHRONIC KIDNEY DISEASE,,,5607.23,33298.0,5
APR-DRG,4701,CHRONIC KIDNEY DISEASE,,,8524.0,8524.0,1
APR-DRG,4702,CHRONIC KIDNEY DISEASE,,,19361.0,19361.0,1
APR-DRG,4703,CHRONIC KIDNEY DISEASE,,,33181.0,33181.0,1
APR-DRG,4704,CHRONIC KIDNEY DISEASE,,,36807.0,36807.0,1
APR-DRG,480-1,MAJOR MALE PELVIC PROCEDURES,,,9613.42,23924.0,3
APR-DRG,480-2,MAJOR MALE PELVIC PROCEDURES,,,10388.56,25853.0,3
APR-DRG,480-3,MAJOR MALE PELVIC PROCEDURES,,,16692.93,41542.0,3
APR-DRG,480-4,MAJOR MALE PELVIC PROCEDURES,,,35438.09,88191.0,3
APR-DRG,4801,MAJOR MALE PELVIC PROCEDURES,,,20681.0,20681.0,1
APR-DRG,4802,MAJOR MALE PELVIC PROCEDURES,,,22227.0,22227.0,1
APR-DRG,4803,MAJOR MALE PELVIC PROCEDURES,,,48929.0,48929.0,1
APR-DRG,4804,MAJOR MALE PELVIC PROCEDURES,,,84532.0,84532.0,1
APR-DRG,482-1,TRANSURETHRAL PROSTATECTOMY,,,2369.04,14351.0,5
APR-DRG,482-2,TRANSURETHRAL PROSTATECTOMY,,,3327.11,16487.0,5
APR-DRG,482-3,TRANSURETHRAL PROSTATECTOMY,,,5418.08,45016.0,5
APR-DRG,482-4,TRANSURETHRAL PROSTATECTOMY,,,8161.76,80740.0,5
APR-DRG,4821,TRANSURETHRAL PROSTATECTOMY,,,18429.0,18429.0,1
APR-DRG,4822,TRANSURETHRAL PROSTATECTOMY,,,21896.0,21896.0,1
APR-DRG,4823,TRANSURETHRAL PROSTATECTOMY,,,33294.0,33294.0,1
APR-DRG,4824,TRANSURETHRAL PROSTATECTOMY,,,59210.0,59210.0,1
APR-DRG,483-1,"PENIS, TESTES AND SCROTAL PROCEDURES",,,2685.4,18211.0,5
APR-DRG,483-2,"PENIS, TESTES AND SCROTAL PROCEDURES",,,4128.67,25226.0,5
APR-DRG,483-3,"PENIS, TESTES AND SCROTAL PROCEDURES",,,6448.42,36464.0,5
APR-DRG,483-4,"PENIS, TESTES AND SCROTAL PROCEDURES",,,10559.77,72075.0,5
APR-DRG,4831,"PENIS, TESTES AND SCROTAL PROCEDURES",,,17766.0,17766.0,1
APR-DRG,4832,"PENIS, TESTES AND SCROTAL PROCEDURES",,,24324.0,24324.0,1
APR-DRG,4833,"PENIS, TESTES AND SCROTAL PROCEDURES",,,37887.0,37887.0,1
APR-DRG,4834,"PENIS, TESTES AND SCROTAL PROCEDURES",,,69064.0,69064.0,1
APR-DRG,484-1,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,3609.17,17743.0,5
APR-DRG,484-2,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,4412.06,22675.0,5
APR-DRG,484-3,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,6809.74,31188.0,5
APR-DRG,484-4,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,11802.9,87408.0,5
APR-DRG,4841,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,17347.0,17347.0,1
APR-DRG,4842,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,21077.0,21077.0,1
APR-DRG,4843,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,32984.0,32984.0,1
APR-DRG,4844,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,82078.0,82078.0,1
APR-DRG,485-1,PROSTATECTOMY PROCEDURES,,,4486.99,4486.99,2
APR-DRG,485-2,PROSTATECTOMY PROCEDURES,,,5012.81,5012.81,2
APR-DRG,485-3,PROSTATECTOMY PROCEDURES,,,7724.18,7724.18,2
APR-DRG,485-4,PROSTATECTOMY PROCEDURES,,,15968.86,15968.86,2
APR-DRG,500-1,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,1731.99,11315.0,5
APR-DRG,500-2,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,2301.77,13337.0,5
APR-DRG,500-3,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,3532.58,27847.0,5
APR-DRG,500-4,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,5373.79,44706.0,5
APR-DRG,5001,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,10419.0,10419.0,1
APR-DRG,5002,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,12972.0,12972.0,1
APR-DRG,5003,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,24509.0,24509.0,1
APR-DRG,5004,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,38481.0,38481.0,1
APR-DRG,501-1,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,1510.54,9842.0,5
APR-DRG,501-2,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,1999.06,14735.0,5
APR-DRG,501-3,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,2983.44,20357.0,5
APR-DRG,501-4,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,5478.36,40992.0,5
APR-DRG,5011,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,12350.0,12350.0,1
APR-DRG,5012,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,13469.0,13469.0,1
APR-DRG,5013,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,28572.0,28572.0,1
APR-DRG,5014,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,41200.0,41200.0,1
APR-DRG,510-1,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,10519.84,26180.0,3
APR-DRG,510-2,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,11876.09,29555.0,3
APR-DRG,510-3,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,21198.95,52756.0,3
APR-DRG,510-4,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,43612.25,108534.0,3
APR-DRG,5101,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,23156.0,23156.0,1
APR-DRG,5102,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,24417.0,24417.0,1
APR-DRG,5103,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,51217.0,51217.0,1
APR-DRG,5104,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,105427.0,105427.0,1
APR-DRG,511-1,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,4381.09,23138.0,5
APR-DRG,511-2,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,5333.83,27972.0,5
APR-DRG,511-3,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,7878.37,41333.0,5
APR-DRG,511-4,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,14761.7,90272.0,5
APR-DRG,5111,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,22502.0,22502.0,1
APR-DRG,5112,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,27589.0,27589.0,1
APR-DRG,5113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,37934.0,37934.0,1
APR-DRG,5114,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,101082.0,101082.0,1
APR-DRG,512-1,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,4237.23,24030.0,5
APR-DRG,512-2,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,4972.85,27465.0,5
APR-DRG,512-3,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,7885.03,39995.0,5
APR-DRG,512-4,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,14689.43,83200.0,5
APR-DRG,5121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,20860.0,20860.0,1
APR-DRG,5122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,22767.0,22767.0,1
APR-DRG,5123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,48447.0,48447.0,1
APR-DRG,5124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,92574.0,92574.0,1
APR-DRG,513-1,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,3232.87,18077.0,5
APR-DRG,513-2,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,3993.8,22706.0,5
APR-DRG,513-3,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,6289.24,36694.0,5
APR-DRG,513-4,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,11788.91,62997.0,5
APR-DRG,5131,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,14892.0,14892.0,1
APR-DRG,5132,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,18972.0,18972.0,1
APR-DRG,5133,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,34607.0,34607.0,1
APR-DRG,5134,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,61083.0,61083.0,1
APR-DRG,514-1,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,3059.04,17075.0,5
APR-DRG,514-2,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,4474.33,28001.0,5
APR-DRG,514-3,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,5885.96,50798.0,5
APR-DRG,514-4,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,10863.14,84900.0,5
APR-DRG,5141,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,17460.0,17460.0,1
APR-DRG,5142,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,26974.0,26974.0,1
APR-DRG,5143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,43951.0,43951.0,1
APR-DRG,5144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,89628.0,89628.0,1
APR-DRG,517-1,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,2375.03,15559.0,5
APR-DRG,517-2,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,3281.49,19751.0,5
APR-DRG,517-3,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,4937.22,29310.0,5
APR-DRG,517-4,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,8450.48,56184.0,5
APR-DRG,5171,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,9686.0,9686.0,1
APR-DRG,5172,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,11977.0,11977.0,1
APR-DRG,5173,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,26380.0,26380.0,1
APR-DRG,5174,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,54002.0,54002.0,1
APR-DRG,518-1,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,2695.39,17541.0,5
APR-DRG,518-2,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,4380.09,23667.0,5
APR-DRG,518-3,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,6935.61,48064.0,5
APR-DRG,518-4,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,11879.49,88372.0,5
APR-DRG,5181,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,17262.0,17262.0,1
APR-DRG,5182,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,18215.0,18215.0,1
APR-DRG,5183,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,43617.0,43617.0,1
APR-DRG,5184,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,95649.0,95649.0,1
APR-DRG,519-1,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,3013.08,16282.0,5
APR-DRG,519-2,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,3830.96,20395.0,5
APR-DRG,519-3,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,6547.66,44629.0,5
APR-DRG,519-4,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,12063.65,85369.0,5
APR-DRG,5191,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,14312.0,14312.0,1
APR-DRG,5192,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,18166.0,18166.0,1
APR-DRG,5193,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,35719.0,35719.0,1
APR-DRG,5194,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,80340.0,80340.0,1
APR-DRG,520-1,OTHER GYN PROCEDURES FOR MALIGNANCY,,,4165.63,4165.63,2
APR-DRG,520-2,OTHER GYN PROCEDURES FOR MALIGNANCY,,,5287.88,5287.88,2
APR-DRG,520-3,OTHER GYN PROCEDURES FOR MALIGNANCY,,,7854.06,7854.06,2
APR-DRG,520-4,OTHER GYN PROCEDURES FOR MALIGNANCY,,,16549.63,16549.63,2
APR-DRG,530-1,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,1860.2,12280.0,5
APR-DRG,530-2,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,2461.28,14685.0,5
APR-DRG,530-3,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,3706.41,27758.0,5
APR-DRG,530-4,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,5555.62,56434.0,5
APR-DRG,5301,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,11369.0,11369.0,1
APR-DRG,5302,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,17891.0,17891.0,1
APR-DRG,5303,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,26813.0,26813.0,1
APR-DRG,5304,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,34600.0,34600.0,1
APR-DRG,531-1,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,1598.12,9400.0,5
APR-DRG,531-2,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,2088.64,14755.0,5
APR-DRG,531-3,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,3263.17,19559.0,5
APR-DRG,531-4,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,6063.13,32010.0,5
APR-DRG,5311,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,9060.0,9060.0,1
APR-DRG,5312,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,13823.0,13823.0,1
APR-DRG,5313,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,26485.0,26485.0,1
APR-DRG,5314,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,36974.0,36974.0,1
APR-DRG,532-1,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,1357.35,9153.0,5
APR-DRG,532-2,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,1836.89,11903.0,5
APR-DRG,532-3,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,2655.43,14942.0,5
APR-DRG,532-4,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,4410.06,24717.0,5
APR-DRG,5321,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,6322.0,6322.0,1
APR-DRG,5322,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,9053.0,9053.0,1
APR-DRG,5323,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,17349.0,17349.0,1
APR-DRG,5324,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,29678.0,29678.0,1
APR-DRG,539-1,CESAREAN SECTION WITH STERILIZATION,,,1929.13,14387.0,5
APR-DRG,539-2,CESAREAN SECTION WITH STERILIZATION,,,2373.37,16489.0,5
APR-DRG,539-3,CESAREAN SECTION WITH STERILIZATION,,,4150.98,23021.0,5
APR-DRG,539-4,CESAREAN SECTION WITH STERILIZATION,,,8149.1,41581.0,5
APR-DRG,5391,CESAREAN SECTION WITH STERILIZATION,,,13311.0,13311.0,1
APR-DRG,5392,CESAREAN SECTION WITH STERILIZATION,,,16843.0,16843.0,1
APR-DRG,5393,CESAREAN SECTION WITH STERILIZATION,,,24920.0,24920.0,1
APR-DRG,5394,CESAREAN SECTION WITH STERILIZATION,,,56240.0,56240.0,1
APR-DRG,540-1,CESAREAN SECTION WITHOUT STERILIZATION,,,1886.51,14471.0,5
APR-DRG,540-2,CESAREAN SECTION WITHOUT STERILIZATION,,,2380.69,18560.0,5
APR-DRG,540-3,CESAREAN SECTION WITHOUT STERILIZATION,,,3276.16,22862.0,5
APR-DRG,540-4,CESAREAN SECTION WITHOUT STERILIZATION,,,7049.17,34001.0,5
APR-DRG,5401,CESAREAN SECTION WITHOUT STERILIZATION,,,13390.0,13390.0,1
APR-DRG,5402,CESAREAN SECTION WITHOUT STERILIZATION,,,17023.0,17023.0,1
APR-DRG,5403,CESAREAN SECTION WITHOUT STERILIZATION,,,22515.0,22515.0,1
APR-DRG,5404,CESAREAN SECTION WITHOUT STERILIZATION,,,44938.0,44938.0,1
APR-DRG,541-1,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,1965.43,15098.0,5
APR-DRG,541-2,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,2131.6,15992.0,5
APR-DRG,541-3,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,2858.23,17368.0,5
APR-DRG,541-4,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,5168.33,24366.0,5
APR-DRG,5411,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,12976.0,12976.0,1
APR-DRG,5412,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,13602.0,13602.0,1
APR-DRG,5413,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,22995.0,22995.0,1
APR-DRG,5414,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,26781.0,26781.0,1
APR-DRG,542-1,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,1307.07,11413.0,5
APR-DRG,542-2,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,1519.86,13027.0,5
APR-DRG,542-3,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,2587.49,18252.0,5
APR-DRG,542-4,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,7268.62,23403.0,5
APR-DRG,5421,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,9910.0,9910.0,1
APR-DRG,5422,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,11570.0,11570.0,1
APR-DRG,5423,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,14429.0,14429.0,1
APR-DRG,5424,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,54833.0,54833.0,1
APR-DRG,543-1,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,1589.13,9986.0,5
APR-DRG,543-2,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,2091.64,11190.0,5
APR-DRG,543-3,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,3385.72,22233.0,5
APR-DRG,543-4,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,5916.6,49080.0,5
APR-DRG,5431,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,11349.0,11349.0,1
APR-DRG,5432,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,12823.0,12823.0,1
APR-DRG,5433,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,20597.0,20597.0,1
APR-DRG,5434,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,38437.0,38437.0,1
APR-DRG,547-1,ANTEPARTUM WITH O.R. PROCEDURE,,,1526.19,12600.0,5
APR-DRG,547-2,ANTEPARTUM WITH O.R. PROCEDURE,,,2998.76,19641.0,5
APR-DRG,547-3,ANTEPARTUM WITH O.R. PROCEDURE,,,4627.52,30883.0,5
APR-DRG,547-4,ANTEPARTUM WITH O.R. PROCEDURE,,,8585.02,38232.0,5
APR-DRG,5471,ANTEPARTUM WITH O.R. PROCEDURE,,,13298.0,13298.0,1
APR-DRG,5472,ANTEPARTUM WITH O.R. PROCEDURE,,,19784.0,19784.0,1
APR-DRG,5473,ANTEPARTUM WITH O.R. PROCEDURE,,,32811.0,32811.0,1
APR-DRG,5474,ANTEPARTUM WITH O.R. PROCEDURE,,,64384.0,64384.0,1
APR-DRG,548-1,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,1182.52,9782.0,5
APR-DRG,548-2,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,3255.51,17253.0,5
APR-DRG,548-3,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,5113.71,33869.0,5
APR-DRG,548-4,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,9456.84,57945.0,5
APR-DRG,5481,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,10159.0,10159.0,1
APR-DRG,5482,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,19595.0,19595.0,1
APR-DRG,5483,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,28425.0,28425.0,1
APR-DRG,5484,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,69201.0,69201.0,1
APR-DRG,560-1,VAGINAL DELIVERY,,,1129.91,9640.0,5
APR-DRG,560-2,VAGINAL DELIVERY,,,1311.73,11240.0,5
APR-DRG,560-3,VAGINAL DELIVERY,,,1850.54,14875.0,5
APR-DRG,560-4,VAGINAL DELIVERY,,,3274.16,23643.0,5
APR-DRG,5601,VAGINAL DELIVERY,,,8792.0,8792.0,1
APR-DRG,5602,VAGINAL DELIVERY,,,9835.0,9835.0,1
APR-DRG,5603,VAGINAL DELIVERY,,,14553.0,14553.0,1
APR-DRG,5604,VAGINAL DELIVERY,,,29125.0,29125.0,1
APR-DRG,561-1,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,794.9,6193.0,5
APR-DRG,561-2,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,1237.8,8117.0,5
APR-DRG,561-3,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,2219.85,13575.0,5
APR-DRG,561-4,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,4272.86,23619.0,5
APR-DRG,5611,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,6257.0,6257.0,1
APR-DRG,5612,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,7614.0,7614.0,1
APR-DRG,5613,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,11274.0,11274.0,1
APR-DRG,5614,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,47014.0,47014.0,1
APR-DRG,564-1,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,1023.34,7908.0,5
APR-DRG,564-2,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,1311.06,9434.0,5
APR-DRG,564-3,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,2241.5,13169.0,5
APR-DRG,564-4,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,4818.33,29295.0,5
APR-DRG,5641,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,7917.0,7917.0,1
APR-DRG,5642,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,10587.0,10587.0,1
APR-DRG,5643,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,13728.0,13728.0,1
APR-DRG,5644,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,39918.0,39918.0,1
APR-DRG,566-1,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,793.9,7154.0,5
APR-DRG,566-2,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,1137.23,12883.0,5
APR-DRG,566-3,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,2108.29,19093.0,5
APR-DRG,566-4,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,4438.03,29113.0,5
APR-DRG,5661,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,7020.0,7020.0,1
APR-DRG,5662,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,10191.0,10191.0,1
APR-DRG,5663,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,10976.0,10976.0,1
APR-DRG,5664,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,28599.0,28599.0,1
APR-DRG,580-1,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,934.76,5059.0,5
APR-DRG,580-2,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,1333.04,6801.0,5
APR-DRG,580-3,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,2357.05,11156.0,5
APR-DRG,580-4,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,3695.75,19619.0,5
APR-DRG,5801,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,4585.0,4585.0,1
APR-DRG,5802,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,7793.0,7793.0,1
APR-DRG,5803,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,12862.0,12862.0,1
APR-DRG,5804,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,30089.0,30089.0,1
APR-DRG,581-1,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,336.67,2313.0,5
APR-DRG,581-2,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,487.19,2455.0,5
APR-DRG,581-3,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,837.52,2522.0,5
APR-DRG,581-4,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,1208.56,3008.0,5
APR-DRG,5811,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,3015.0,3015.0,1
APR-DRG,5812,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,4421.0,4421.0,1
APR-DRG,5813,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,5954.0,5954.0,1
APR-DRG,5814,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,9891.0,9891.0,1
APR-DRG,583-1,NEONATE WITH ECMO,,,58213.27,284739.0,5
APR-DRG,583-2,NEONATE WITH ECMO,,,68993.49,348014.0,5
APR-DRG,583-3,NEONATE WITH ECMO,,,109945.81,539099.0,5
APR-DRG,583-4,NEONATE WITH ECMO,,,182097.58,922176.0,5
APR-DRG,5831,NEONATE WITH ECMO,,,343409.0,343409.0,1
APR-DRG,5832,NEONATE WITH ECMO,,,424058.0,424058.0,1
APR-DRG,5833,NEONATE WITH ECMO,,,675764.0,675764.0,1
APR-DRG,5834,NEONATE WITH ECMO,,,775963.0,775963.0,1
APR-DRG,588-1,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,47791.03,219823.0,5
APR-DRG,588-2,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,71854.05,333956.0,5
APR-DRG,588-3,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,74503.48,412003.0,5
APR-DRG,588-4,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,115092.49,596568.0,5
APR-DRG,5881,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,240328.0,240328.0,1
APR-DRG,5882,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,343056.0,343056.0,1
APR-DRG,5883,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,352428.0,352428.0,1
APR-DRG,5884,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,623404.0,623404.0,1
APR-DRG,589-1,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,61127.11,613612.0,5
APR-DRG,589-2,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,61127.11,490890.0,5
APR-DRG,589-3,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,61127.11,416747.0,5
APR-DRG,589-4,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,221.12,154799.0,5
APR-DRG,5891,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,343359.0,343359.0,1
APR-DRG,5892,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,528890.0,528890.0,1
APR-DRG,5893,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,581779.0,581779.0,1
APR-DRG,5894,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,639958.0,639958.0,1
APR-DRG,591-1,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,1274.43,204013.0,5
APR-DRG,591-2,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,48857.66,224413.0,5
APR-DRG,591-3,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,60170.37,291885.0,5
APR-DRG,591-4,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,79190.61,560212.0,5
APR-DRG,5911,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,132522.0,132522.0,1
APR-DRG,5912,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,145775.0,145775.0,1
APR-DRG,5913,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,282101.0,282101.0,1
APR-DRG,5914,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,466061.0,466061.0,1
APR-DRG,593-1,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,19247.35,309547.0,5
APR-DRG,593-2,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,38826.72,340500.0,5
APR-DRG,593-3,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,49936.95,428720.0,5
APR-DRG,593-4,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,69902.28,551456.0,5
APR-DRG,5931,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,189848.0,189848.0,1
APR-DRG,5932,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,208832.0,208832.0,1
APR-DRG,5933,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,310573.0,310573.0,1
APR-DRG,5934,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,392122.0,392122.0,1
APR-DRG,602-1,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,15256.22,125417.0,5
APR-DRG,602-2,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,26017.46,190073.0,5
APR-DRG,602-3,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,35589.19,329644.0,5
APR-DRG,602-4,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,51055.87,418049.0,5
APR-DRG,6021,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,38195.0,38195.0,1
APR-DRG,6022,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,155819.0,155819.0,1
APR-DRG,6023,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,200852.0,200852.0,1
APR-DRG,6024,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,321383.0,321383.0,1
APR-DRG,603-1,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,872.49,69382.0,5
APR-DRG,603-2,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,13002.4,94896.0,5
APR-DRG,603-3,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,15113.02,158818.0,5
APR-DRG,603-4,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,36926.56,326365.0,5
APR-DRG,6031,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,62836.0,62836.0,1
APR-DRG,6032,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,69120.0,69120.0,1
APR-DRG,6033,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,137817.0,137817.0,1
APR-DRG,6034,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,285412.0,285412.0,1
APR-DRG,607-1,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,11362.66,61654.0,5
APR-DRG,607-2,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,18178.72,147642.0,5
APR-DRG,607-3,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,26689.14,254228.0,5
APR-DRG,607-4,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,38003.85,363299.0,5
APR-DRG,6071,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,47404.0,47404.0,1
APR-DRG,6072,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,96790.0,96790.0,1
APR-DRG,6073,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,138129.0,138129.0,1
APR-DRG,6074,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,292311.0,292311.0,1
APR-DRG,608-1,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,4843.97,57118.0,5
APR-DRG,608-2,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,11226.12,112449.0,5
APR-DRG,608-3,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,18610.3,153893.0,5
APR-DRG,608-4,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,18610.3,167117.0,5
APR-DRG,6081,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,26558.0,26558.0,1
APR-DRG,6082,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,95925.0,95925.0,1
APR-DRG,6083,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,113957.0,113957.0,1
APR-DRG,6084,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,116556.0,116556.0,1
APR-DRG,609-1,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,12810.26,44809.0,5
APR-DRG,609-2,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,15914.91,84533.0,5
APR-DRG,609-3,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,24853.92,186321.0,5
APR-DRG,609-4,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,80933.59,479208.0,5
APR-DRG,6091,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,82240.0,82240.0,1
APR-DRG,6092,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,91379.0,91379.0,1
APR-DRG,6093,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,155789.0,155789.0,1
APR-DRG,6094,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,418080.0,418080.0,1
APR-DRG,611-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,3570.21,45306.0,5
APR-DRG,611-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,8151.77,83147.0,5
APR-DRG,611-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,13922.18,244263.0,5
APR-DRG,611-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,32025.64,330598.0,5
APR-DRG,6111,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,26516.0,26516.0,1
APR-DRG,6112,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,91221.0,91221.0,1
APR-DRG,6113,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,118186.0,118186.0,1
APR-DRG,6114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,175196.0,175196.0,1
APR-DRG,612-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,7187.37,53568.0,5
APR-DRG,612-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,10691.31,114544.0,5
APR-DRG,612-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,16239.27,143265.0,5
APR-DRG,612-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,23469.6,207389.0,5
APR-DRG,6121,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,50880.0,50880.0,1
APR-DRG,6122,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,78471.0,78471.0,1
APR-DRG,6123,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,100141.0,100141.0,1
APR-DRG,6124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,200988.0,200988.0,1
APR-DRG,613-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,5130.03,33410.0,5
APR-DRG,613-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,8280.98,60638.0,5
APR-DRG,613-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,15073.06,97601.0,5
APR-DRG,613-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,20440.53,149672.0,5
APR-DRG,6131,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,34400.0,34400.0,1
APR-DRG,6132,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,61895.0,61895.0,1
APR-DRG,6133,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,94618.0,94618.0,1
APR-DRG,6134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,131875.0,131875.0,1
APR-DRG,614-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,2684.73,48420.0,5
APR-DRG,614-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,6652.89,74941.0,5
APR-DRG,614-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,12824.91,98958.0,5
APR-DRG,614-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,15472.68,128996.0,5
APR-DRG,6141,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,34867.0,34867.0,1
APR-DRG,6142,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,68906.0,68906.0,1
APR-DRG,6143,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,88268.0,88268.0,1
APR-DRG,6144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,110442.0,110442.0,1
APR-DRG,621-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,1073.29,25584.0,5
APR-DRG,621-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,4050.08,91497.0,5
APR-DRG,621-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,9502.79,128069.0,5
APR-DRG,621-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,21926.76,320261.0,5
APR-DRG,6211,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,8732.0,8732.0,1
APR-DRG,6212,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,38504.0,38504.0,1
APR-DRG,6213,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,61178.0,61178.0,1
APR-DRG,6214,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,115131.0,115131.0,1
APR-DRG,622-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,4181.28,53385.0,5
APR-DRG,622-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6374.82,64198.0,5
APR-DRG,622-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,9697.94,88484.0,5
APR-DRG,622-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,13707.05,132311.0,5
APR-DRG,6221,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,48865.0,48865.0,1
APR-DRG,6222,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,52558.0,52558.0,1
APR-DRG,6223,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,58945.0,58945.0,1
APR-DRG,6224,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,124784.0,124784.0,1
APR-DRG,623-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,2665.75,19965.0,5
APR-DRG,623-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,4955.87,38770.0,5
APR-DRG,623-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,9975.34,85306.0,5
APR-DRG,623-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,13175.57,103448.0,5
APR-DRG,6231,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,22895.0,22895.0,1
APR-DRG,6232,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,31373.0,31373.0,1
APR-DRG,6233,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,70470.0,70470.0,1
APR-DRG,6234,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,83393.0,83393.0,1
APR-DRG,625-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,2823.6,44922.0,5
APR-DRG,625-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,4263.87,67133.0,5
APR-DRG,625-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,8616.98,80559.0,5
APR-DRG,625-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,12515.54,86510.0,5
APR-DRG,6251,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,42893.0,42893.0,1
APR-DRG,6252,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,56947.0,56947.0,1
APR-DRG,6253,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,71167.0,71167.0,1
APR-DRG,6254,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,83759.0,83759.0,1
APR-DRG,626-1,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,457.22,5691.0,5
APR-DRG,626-2,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,756.27,8456.0,5
APR-DRG,626-3,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,2140.59,18930.0,5
APR-DRG,626-4,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,6782.43,75721.0,5
APR-DRG,6261,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,6035.0,6035.0,1
APR-DRG,6262,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,6520.0,6520.0,1
APR-DRG,6263,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,22660.0,22660.0,1
APR-DRG,6264,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,49403.0,49403.0,1
APR-DRG,630-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,7138.08,50563.0,5
APR-DRG,630-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,12556.83,97005.0,5
APR-DRG,630-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,31878.12,172873.0,5
APR-DRG,630-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,58696.47,233268.0,5
APR-DRG,6301,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,45182.0,45182.0,1
APR-DRG,6302,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,96255.0,96255.0,1
APR-DRG,6303,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,149889.0,149889.0,1
APR-DRG,6304,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,166542.0,166542.0,1
APR-DRG,631-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,1362.01,15973.0,5
APR-DRG,631-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,10122.86,72164.0,5
APR-DRG,631-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,19103.49,86695.0,5
APR-DRG,631-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,69076.41,302590.0,5
APR-DRG,6311,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,57115.0,57115.0,1
APR-DRG,6312,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,62826.0,62826.0,1
APR-DRG,6313,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,94606.0,94606.0,1
APR-DRG,6314,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,173063.0,173063.0,1
APR-DRG,633-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,582.77,6421.0,5
APR-DRG,633-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,2012.72,16864.0,5
APR-DRG,633-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,6779.1,67458.0,5
APR-DRG,633-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,22974.74,170221.0,5
APR-DRG,6331,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,6366.0,6366.0,1
APR-DRG,6332,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,21155.0,21155.0,1
APR-DRG,6333,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,48502.0,48502.0,1
APR-DRG,6334,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,129160.0,129160.0,1
APR-DRG,634-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,1712.34,17878.0,5
APR-DRG,634-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,2863.56,29730.0,5
APR-DRG,634-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6401.13,33571.0,5
APR-DRG,634-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,13014.06,93878.0,5
APR-DRG,6341,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,21931.0,21931.0,1
APR-DRG,6342,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,22991.0,22991.0,1
APR-DRG,6343,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,24041.0,24041.0,1
APR-DRG,6344,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,101017.0,101017.0,1
APR-DRG,636-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,1678.37,15288.0,5
APR-DRG,636-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,2649.77,20506.0,5
APR-DRG,636-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6858.02,41741.0,5
APR-DRG,636-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,8444.15,82099.0,5
APR-DRG,6361,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,19614.0,19614.0,1
APR-DRG,6362,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,34229.0,34229.0,1
APR-DRG,6363,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,37547.0,37547.0,1
APR-DRG,6364,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,63884.0,63884.0,1
APR-DRG,639-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,814.21,8703.0,5
APR-DRG,639-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,1448.6,26624.0,5
APR-DRG,639-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,5107.72,54586.0,5
APR-DRG,639-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,7320.91,78614.0,5
APR-DRG,6391,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,8952.0,8952.0,1
APR-DRG,6392,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,20108.0,20108.0,1
APR-DRG,6393,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,40924.0,40924.0,1
APR-DRG,6394,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,51953.0,51953.0,1
APR-DRG,640-1,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,343.33,2909.0,5
APR-DRG,640-2,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,471.21,3959.0,5
APR-DRG,640-3,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,880.48,9088.0,5
APR-DRG,640-4,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,6317.21,68591.0,5
APR-DRG,6401,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,3279.0,3279.0,1
APR-DRG,6402,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,4708.0,4708.0,1
APR-DRG,6403,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,10736.0,10736.0,1
APR-DRG,6404,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,42917.0,42917.0,1
APR-DRG,650-1,SPLENECTOMY,,,8327.64,20724.0,3
APR-DRG,650-1,SPLENIC PROCEDURES,,,4723.76,4723.76,2
APR-DRG,650-2,SPLENECTOMY,,,13132.91,32683.0,3
APR-DRG,650-2,SPLENIC PROCEDURES,,,6507.36,6507.36,2
APR-DRG,650-3,SPLENECTOMY,,,22070.62,54925.0,3
APR-DRG,650-3,SPLENIC PROCEDURES,,,8536.06,8536.06,2
APR-DRG,650-4,SPLENECTOMY,,,42095.77,104760.0,3
APR-DRG,650-4,SPLENIC PROCEDURES,,,13495.92,13495.92,2
APR-DRG,6501,SPLENIC PROCEDURES,,,20070.0,20070.0,1
APR-DRG,6502,SPLENIC PROCEDURES,,,38123.0,38123.0,1
APR-DRG,6503,SPLENIC PROCEDURES,,,46251.0,46251.0,1
APR-DRG,6504,SPLENIC PROCEDURES,,,84494.0,84494.0,1
APR-DRG,651-1,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,3654.46,17784.0,5
APR-DRG,651-2,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,5293.21,21772.0,5
APR-DRG,651-3,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,6997.55,45162.0,5
APR-DRG,651-4,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,14833.96,115207.0,5
APR-DRG,6511,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,22646.0,22646.0,1
APR-DRG,6512,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,31827.0,31827.0,1
APR-DRG,6513,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,46891.0,46891.0,1
APR-DRG,6514,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,93303.0,93303.0,1
APR-DRG,660-1,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,1899.16,15194.0,5
APR-DRG,660-2,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,2460.62,17856.0,5
APR-DRG,660-3,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,3819.3,25630.0,5
APR-DRG,660-4,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,6988.56,71729.0,5
APR-DRG,6601,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,15563.0,15563.0,1
APR-DRG,6602,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,18278.0,18278.0,1
APR-DRG,6603,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,24785.0,24785.0,1
APR-DRG,6604,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,56172.0,56172.0,1
APR-DRG,661-1,COAGULATION AND PLATELET DISORDERS,,,2340.73,18805.0,5
APR-DRG,661-2,COAGULATION AND PLATELET DISORDERS,,,2970.46,21971.0,5
APR-DRG,661-3,COAGULATION AND PLATELET DISORDERS,,,4316.15,58428.0,5
APR-DRG,661-4,COAGULATION AND PLATELET DISORDERS,,,7430.8,112296.0,5
APR-DRG,6611,COAGULATION AND PLATELET DISORDERS,,,15216.0,15216.0,1
APR-DRG,6612,COAGULATION AND PLATELET DISORDERS,,,22883.0,22883.0,1
APR-DRG,6613,COAGULATION AND PLATELET DISORDERS,,,27279.0,27279.0,1
APR-DRG,6614,COAGULATION AND PLATELET DISORDERS,,,61420.0,61420.0,1
APR-DRG,662-1,SICKLE CELL ANEMIA CRISIS,,,1734.99,12590.0,5
APR-DRG,662-2,SICKLE CELL ANEMIA CRISIS,,,2331.41,19341.0,5
APR-DRG,662-3,SICKLE CELL ANEMIA CRISIS,,,3653.79,27299.0,5
APR-DRG,662-4,SICKLE CELL ANEMIA CRISIS,,,6839.71,38909.0,5
APR-DRG,6621,SICKLE CELL ANEMIA CRISIS,,,13956.0,13956.0,1
APR-DRG,6622,SICKLE CELL ANEMIA CRISIS,,,20327.0,20327.0,1
APR-DRG,6623,SICKLE CELL ANEMIA CRISIS,,,20751.0,20751.0,1
APR-DRG,6624,SICKLE CELL ANEMIA CRISIS,,,45235.0,45235.0,1
APR-DRG,663-1,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,1587.46,9592.0,5
APR-DRG,663-2,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,2258.81,14522.0,5
APR-DRG,663-3,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,3146.62,20073.0,5
APR-DRG,663-4,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,5391.11,50406.0,5
APR-DRG,6631,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,9635.0,9635.0,1
APR-DRG,6632,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,13500.0,13500.0,1
APR-DRG,6633,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,19798.0,19798.0,1
APR-DRG,6634,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,49362.0,49362.0,1
APR-DRG,680-1,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,4988.17,26771.0,5
APR-DRG,680-2,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,6832.71,34864.0,5
APR-DRG,680-3,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,10832.51,57378.0,5
APR-DRG,680-4,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,20405.23,122635.0,5
APR-DRG,6801,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,29855.0,29855.0,1
APR-DRG,6802,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,41087.0,41087.0,1
APR-DRG,6803,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,60016.0,60016.0,1
APR-DRG,6804,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,120037.0,120037.0,1
APR-DRG,681-1,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,3876.24,18416.0,5
APR-DRG,681-2,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,5095.4,27210.0,5
APR-DRG,681-3,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,7942.97,58195.0,5
APR-DRG,681-4,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,16494.35,128259.0,5
APR-DRG,6811,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,18827.0,18827.0,1
APR-DRG,6812,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,33691.0,33691.0,1
APR-DRG,6813,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,48957.0,48957.0,1
APR-DRG,6814,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,116351.0,116351.0,1
APR-DRG,690-1,ACUTE LEUKEMIA,,,3309.13,25819.0,5
APR-DRG,690-2,ACUTE LEUKEMIA,,,5857.33,49996.0,5
APR-DRG,690-3,ACUTE LEUKEMIA,,,9914.06,93126.0,5
APR-DRG,690-4,ACUTE LEUKEMIA,,,17357.85,142329.0,5
APR-DRG,6901,ACUTE LEUKEMIA,,,19808.0,19808.0,1
APR-DRG,6902,ACUTE LEUKEMIA,,,40041.0,40041.0,1
APR-DRG,6903,ACUTE LEUKEMIA,,,83056.0,83056.0,1
APR-DRG,6904,ACUTE LEUKEMIA,,,162027.0,162027.0,1
APR-DRG,691-1,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,2772.65,17791.0,5
APR-DRG,691-2,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,3839.28,28820.0,5
APR-DRG,691-3,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,5793.05,46116.0,5
APR-DRG,691-4,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,10241.08,97570.0,5
APR-DRG,6911,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,27638.0,27638.0,1
APR-DRG,6912,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,30139.0,30139.0,1
APR-DRG,6913,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,48775.0,48775.0,1
APR-DRG,6914,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,70138.0,70138.0,1
APR-DRG,692-1,RADIOTHERAPY,,,2182.22,13294.0,5
APR-DRG,692-2,RADIOTHERAPY,,,4431.37,32214.0,5
APR-DRG,692-3,RADIOTHERAPY,,,7215.34,37230.0,5
APR-DRG,692-4,RADIOTHERAPY,,,9220.73,76620.0,5
APR-DRG,6921,RADIOTHERAPY,,,13463.0,13463.0,1
APR-DRG,6922,RADIOTHERAPY,,,30788.0,30788.0,1
APR-DRG,6923,RADIOTHERAPY,,,42583.0,42583.0,1
APR-DRG,6924,RADIOTHERAPY,,,68745.0,68745.0,1
APR-DRG,694-1,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,1906.15,14164.0,5
APR-DRG,694-2,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,2610.14,17166.0,5
APR-DRG,694-3,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,3858.93,30242.0,5
APR-DRG,694-4,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,6348.52,49044.0,5
APR-DRG,6941,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,13172.0,13172.0,1
APR-DRG,6942,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,15195.0,15195.0,1
APR-DRG,6943,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,27687.0,27687.0,1
APR-DRG,6944,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,42185.0,42185.0,1
APR-DRG,695-1,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,2251.15,16436.0,5
APR-DRG,695-2,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,3257.51,22764.0,5
APR-DRG,695-3,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,6403.13,44540.0,5
APR-DRG,695-4,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,15027.11,109941.0,5
APR-DRG,6951,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,13051.0,13051.0,1
APR-DRG,6952,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,13817.0,13817.0,1
APR-DRG,6953,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,30004.0,30004.0,1
APR-DRG,6954,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,72184.0,72184.0,1
APR-DRG,696-1,OTHER CHEMOTHERAPY,,,2025.04,15045.0,5
APR-DRG,696-2,OTHER CHEMOTHERAPY,,,2588.16,19158.0,5
APR-DRG,696-3,OTHER CHEMOTHERAPY,,,3898.22,31078.0,5
APR-DRG,696-4,OTHER CHEMOTHERAPY,,,7300.59,74345.0,5
APR-DRG,6961,OTHER CHEMOTHERAPY,,,12866.0,12866.0,1
APR-DRG,6962,OTHER CHEMOTHERAPY,,,15702.0,15702.0,1
APR-DRG,6963,OTHER CHEMOTHERAPY,,,24196.0,24196.0,1
APR-DRG,6964,OTHER CHEMOTHERAPY,,,43660.0,43660.0,1
APR-DRG,710-1,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,3872.58,16967.0,5
APR-DRG,710-2,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,5990.86,26439.0,5
APR-DRG,710-3,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,8947.33,45400.0,5
APR-DRG,710-4,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,14209.23,114746.0,5
APR-DRG,7101,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,16184.0,16184.0,1
APR-DRG,7102,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,29922.0,29922.0,1
APR-DRG,7103,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,50063.0,50063.0,1
APR-DRG,7104,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,103531.0,103531.0,1
APR-DRG,711-1,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,3337.77,18985.0,5
APR-DRG,711-2,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,4838.65,26345.0,5
APR-DRG,711-3,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,7685.55,39810.0,5
APR-DRG,711-4,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,13737.02,95427.0,5
APR-DRG,7111,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,20166.0,20166.0,1
APR-DRG,7112,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,23631.0,23631.0,1
APR-DRG,7113,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,36583.0,36583.0,1
APR-DRG,7114,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,111895.0,111895.0,1
APR-DRG,720-1,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,1996.73,12266.0,5
APR-DRG,720-2,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,2734.68,15218.0,5
APR-DRG,720-3,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,4146.32,23247.0,5
APR-DRG,720-4,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,7549.69,49746.0,5
APR-DRG,7201,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,12554.0,12554.0,1
APR-DRG,7202,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,16331.0,16331.0,1
APR-DRG,7203,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,24495.0,24495.0,1
APR-DRG,7204,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,54896.0,54896.0,1
APR-DRG,721-1,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,1858.87,13933.0,5
APR-DRG,721-2,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,2579.83,15696.0,5
APR-DRG,721-3,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,4242.56,22278.0,5
APR-DRG,721-4,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,7422.14,41542.0,5
APR-DRG,7211,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,11076.0,11076.0,1
APR-DRG,7212,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,15044.0,15044.0,1
APR-DRG,7213,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,24322.0,24322.0,1
APR-DRG,7214,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,44405.0,44405.0,1
APR-DRG,722-1,FEVER AND INFLAMMATORY CONDITIONS,,,1304.07,8487.0,5
APR-DRG,722-2,FEVER AND INFLAMMATORY CONDITIONS,,,1828.56,14526.0,5
APR-DRG,722-3,FEVER AND INFLAMMATORY CONDITIONS,,,2481.6,20609.0,5
APR-DRG,722-4,FEVER AND INFLAMMATORY CONDITIONS,,,3434.01,41677.0,5
APR-DRG,7221,FEVER AND INFLAMMATORY CONDITIONS,,,9725.0,9725.0,1
APR-DRG,7222,FEVER AND INFLAMMATORY CONDITIONS,,,11122.0,11122.0,1
APR-DRG,7223,FEVER AND INFLAMMATORY CONDITIONS,,,20318.0,20318.0,1
APR-DRG,7224,FEVER AND INFLAMMATORY CONDITIONS,,,31030.0,31030.0,1
APR-DRG,723-1,VIRAL ILLNESS,,,1200.84,8490.0,5
APR-DRG,723-2,VIRAL ILLNESS,,,1764.62,12093.0,5
APR-DRG,723-3,VIRAL ILLNESS,,,2745.67,18000.0,5
APR-DRG,723-4,VIRAL ILLNESS,,,5041.12,34554.0,5
APR-DRG,7231,VIRAL ILLNESS,,,8576.0,8576.0,1
APR-DRG,7232,VIRAL ILLNESS,,,11013.0,11013.0,1
APR-DRG,7233,VIRAL ILLNESS,,,14962.0,14962.0,1
APR-DRG,7234,VIRAL ILLNESS,,,69211.0,69211.0,1
APR-DRG,724-1,OTHER INFECTIOUS AND PARASITIC DISEASES,,,1609.11,13373.0,5
APR-DRG,724-2,OTHER INFECTIOUS AND PARASITIC DISEASES,,,2366.37,18308.0,5
APR-DRG,724-3,OTHER INFECTIOUS AND PARASITIC DISEASES,,,3723.39,27924.0,5
APR-DRG,724-4,OTHER INFECTIOUS AND PARASITIC DISEASES,,,6999.22,56657.0,5
APR-DRG,7241,OTHER INFECTIOUS AND PARASITIC DISEASES,,,13032.0,13032.0,1
APR-DRG,7242,OTHER INFECTIOUS AND PARASITIC DISEASES,,,13873.0,13873.0,1
APR-DRG,7243,OTHER INFECTIOUS AND PARASITIC DISEASES,,,25612.0,25612.0,1
APR-DRG,7244,OTHER INFECTIOUS AND PARASITIC DISEASES,,,41838.0,41838.0,1
APR-DRG,740-1,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,2453.96,24895.0,5
APR-DRG,740-2,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,4200.26,31491.0,5
APR-DRG,740-3,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,7523.04,55749.0,5
APR-DRG,740-4,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,17533.35,129580.0,5
APR-DRG,7401,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,19232.0,19232.0,1
APR-DRG,7402,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,26332.0,26332.0,1
APR-DRG,7403,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,53070.0,53070.0,1
APR-DRG,7404,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,108391.0,108391.0,1
APR-DRG,750-1,SCHIZOPHRENIA,,,11700.4,29118.0,3
APR-DRG,750-1,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,1677.37,1677.37,2
APR-DRG,750-2,SCHIZOPHRENIA,,,15200.58,37828.0,3
APR-DRG,750-2,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,2175.89,2175.89,2
APR-DRG,750-3,SCHIZOPHRENIA,,,28276.53,70369.0,3
APR-DRG,750-3,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,3251.18,3251.18,2
APR-DRG,750-4,SCHIZOPHRENIA,,,40849.57,101658.0,3
APR-DRG,750-4,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,6845.03,6845.03,2
APR-DRG,7501,SCHIZOPHRENIA,,,17475.0,17475.0,1
APR-DRG,7502,SCHIZOPHRENIA,,,20760.0,20760.0,1
APR-DRG,7503,SCHIZOPHRENIA,,,38562.0,38562.0,1
APR-DRG,7504,SCHIZOPHRENIA,,,63402.0,63402.0,1
APR-DRG,751-1,DEPRESSIVE DISORDERS,,,1170.53,1170.53,2
APR-DRG,751-1,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,6056.29,15072.0,3
APR-DRG,751-2,DEPRESSIVE DISORDERS,,,1489.22,1489.22,2
APR-DRG,751-2,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,8327.64,20724.0,3
APR-DRG,751-3,DEPRESSIVE DISORDERS,,,2725.03,2725.03,2
APR-DRG,751-3,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,11732.26,29197.0,3
APR-DRG,751-4,DEPRESSIVE DISORDERS,,,5735.78,5735.78,2
APR-DRG,751-4,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,26519.69,65997.0,3
APR-DRG,7511,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,10385.0,10385.0,1
APR-DRG,7512,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,13698.0,13698.0,1
APR-DRG,7513,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,31256.0,31256.0,1
APR-DRG,7514,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,39368.0,39368.0,1
APR-DRG,752-1,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,4182.64,10409.0,3
APR-DRG,752-1,PERSONALITY DISORDERS,,,1084.95,1084.95,2
APR-DRG,752-2,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,6317.89,15723.0,3
APR-DRG,752-2,PERSONALITY DISORDERS,,,1413.63,1413.63,2
APR-DRG,752-3,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,13050.86,32478.0,3
APR-DRG,752-3,PERSONALITY DISORDERS,,,2933.82,2933.82,2
APR-DRG,752-4,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,35749.89,88967.0,3
APR-DRG,752-4,PERSONALITY DISORDERS,,,12827.57,12827.57,2
APR-DRG,7521,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,6492.0,6492.0,1
APR-DRG,7522,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,10562.0,10562.0,1
APR-DRG,7523,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,18499.0,18499.0,1
APR-DRG,7524,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,79088.0,79088.0,1
APR-DRG,753-1,BIPOLAR DISORDERS,,,1311.73,16191.0,5
APR-DRG,753-2,BIPOLAR DISORDERS,,,1645.74,25243.0,5
APR-DRG,753-3,BIPOLAR DISORDERS,,,2817.27,37120.0,5
APR-DRG,753-4,BIPOLAR DISORDERS,,,5258.57,65882.0,5
APR-DRG,7531,BIPOLAR DISORDERS,,,11044.0,11044.0,1
APR-DRG,7532,BIPOLAR DISORDERS,,,18243.0,18243.0,1
APR-DRG,7533,BIPOLAR DISORDERS,,,26527.0,26527.0,1
APR-DRG,7534,BIPOLAR DISORDERS,,,43825.0,43825.0,1
APR-DRG,754-1,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,4672.05,11627.0,3
APR-DRG,754-2,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,7295.74,18156.0,3
APR-DRG,754-3,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,11574.91,28805.0,3
APR-DRG,754-4,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,15053.85,37463.0,3
APR-DRG,7541,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,8343.0,8343.0,1
APR-DRG,7542,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,11900.0,11900.0,1
APR-DRG,7543,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,25303.0,25303.0,1
APR-DRG,7544,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,35347.0,35347.0,1
APR-DRG,755-1,ADJUSTMENT DISORDERS,,,839.52,839.52,2
APR-DRG,755-1,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,5265.71,13104.0,3
APR-DRG,755-2,ADJUSTMENT DISORDERS,,,1130.57,1130.57,2
APR-DRG,755-2,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,8727.28,21719.0,3
APR-DRG,755-3,ADJUSTMENT DISORDERS,,,2095.64,2095.64,2
APR-DRG,755-3,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,13640.65,33946.0,3
APR-DRG,755-4,ADJUSTMENT DISORDERS,,,3326.44,3326.44,2
APR-DRG,755-4,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,23514.71,58519.0,3
APR-DRG,7551,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,7164.0,7164.0,1
APR-DRG,7552,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,10249.0,10249.0,1
APR-DRG,7553,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,26602.0,26602.0,1
APR-DRG,7554,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,29263.0,29263.0,1
APR-DRG,756-1,ACUTE ANXIETY AND DELIRIUM STATES,,,4781.13,11898.0,3
APR-DRG,756-1,ACUTE ANXIETY AND STRESS SYNDROMES,,,1283.09,1283.09,2
APR-DRG,756-2,ACUTE ANXIETY AND DELIRIUM STATES,,,5901.84,14687.0,3
APR-DRG,756-2,ACUTE ANXIETY AND STRESS SYNDROMES,,,1913.48,1913.48,2
APR-DRG,756-3,ACUTE ANXIETY AND DELIRIUM STATES,,,6661.54,16578.0,3
APR-DRG,756-3,ACUTE ANXIETY AND STRESS SYNDROMES,,,2706.71,2706.71,2
APR-DRG,756-4,ACUTE ANXIETY AND DELIRIUM STATES,,,14386.83,35803.0,3
APR-DRG,756-4,ACUTE ANXIETY AND STRESS SYNDROMES,,,4226.24,4226.24,2
APR-DRG,7561,ACUTE ANXIETY AND DELIRIUM STATES,,,8697.0,8697.0,1
APR-DRG,7562,ACUTE ANXIETY AND DELIRIUM STATES,,,10312.0,10312.0,1
APR-DRG,7563,ACUTE ANXIETY AND DELIRIUM STATES,,,15472.0,15472.0,1
APR-DRG,7564,ACUTE ANXIETY AND DELIRIUM STATES,,,29635.0,29635.0,1
APR-DRG,757-1,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,1422.62,1422.62,2
APR-DRG,757-1,ORGANIC MENTAL HEALTH DISTURBANCES,,,6885.48,17135.0,3
APR-DRG,757-2,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,2159.91,2159.91,2
APR-DRG,757-2,ORGANIC MENTAL HEALTH DISTURBANCES,,,9605.7,23905.0,3
APR-DRG,757-3,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,3119.31,3119.31,2
APR-DRG,757-3,ORGANIC MENTAL HEALTH DISTURBANCES,,,11992.89,29846.0,3
APR-DRG,757-4,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,7492.07,7492.07,2
APR-DRG,757-4,ORGANIC MENTAL HEALTH DISTURBANCES,,,29747.65,74030.0,3
APR-DRG,7571,ORGANIC MENTAL HEALTH DISTURBANCES,,,10270.0,10270.0,1
APR-DRG,7572,ORGANIC MENTAL HEALTH DISTURBANCES,,,13556.0,13556.0,1
APR-DRG,7573,ORGANIC MENTAL HEALTH DISTURBANCES,,,21580.0,21580.0,1
APR-DRG,7574,ORGANIC MENTAL HEALTH DISTURBANCES,,,42986.0,42986.0,1
APR-DRG,758-1,BEHAVIORAL DISORDERS,,,7189.55,17892.0,3
APR-DRG,758-1,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,1298.08,1298.08,2
APR-DRG,758-2,BEHAVIORAL DISORDERS,,,7193.42,17902.0,3
APR-DRG,758-2,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,1607.44,1607.44,2
APR-DRG,758-3,BEHAVIORAL DISORDERS,,,10346.09,25747.0,3
APR-DRG,758-3,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,2615.8,2615.8,2
APR-DRG,758-4,BEHAVIORAL DISORDERS,,,13411.88,33377.0,3
APR-DRG,758-4,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,8771.17,8771.17,2
APR-DRG,7581,BEHAVIORAL DISORDERS,,,11754.0,11754.0,1
APR-DRG,7582,BEHAVIORAL DISORDERS,,,13339.0,13339.0,1
APR-DRG,7583,BEHAVIORAL DISORDERS,,,14909.0,14909.0,1
APR-DRG,7584,BEHAVIORAL DISORDERS,,,22644.0,22644.0,1
APR-DRG,759-1,EATING DISORDERS,,,2377.36,15742.0,5
APR-DRG,759-2,EATING DISORDERS,,,3237.2,21104.0,5
APR-DRG,759-3,EATING DISORDERS,,,5023.8,32488.0,5
APR-DRG,759-4,EATING DISORDERS,,,9222.73,87653.0,5
APR-DRG,7591,EATING DISORDERS,,,15065.0,15065.0,1
APR-DRG,7592,EATING DISORDERS,,,30397.0,30397.0,1
APR-DRG,7593,EATING DISORDERS,,,40344.0,40344.0,1
APR-DRG,7594,EATING DISORDERS,,,78643.0,78643.0,1
APR-DRG,760-1,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,1234.47,1234.47,2
APR-DRG,760-1,OTHER MENTAL HEALTH DISORDERS,,,5748.36,14305.0,3
APR-DRG,760-2,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,1679.04,1679.04,2
APR-DRG,760-2,OTHER MENTAL HEALTH DISORDERS,,,11424.33,28431.0,3
APR-DRG,760-3,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,2283.12,2283.12,2
APR-DRG,760-3,OTHER MENTAL HEALTH DISORDERS,,,13641.62,33949.0,3
APR-DRG,760-4,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,4595.88,4595.88,2
APR-DRG,760-4,OTHER MENTAL HEALTH DISORDERS,,,20634.25,51350.0,3
APR-DRG,7601,OTHER MENTAL HEALTH DISORDERS,,,10550.0,10550.0,1
APR-DRG,7602,OTHER MENTAL HEALTH DISORDERS,,,14929.0,14929.0,1
APR-DRG,7603,OTHER MENTAL HEALTH DISORDERS,,,21502.0,21502.0,1
APR-DRG,7604,OTHER MENTAL HEALTH DISORDERS,,,34253.0,34253.0,1
APR-DRG,761-1,SCHIZOAFFECTIVE DISORDERS,,,2003.73,2003.73,2
APR-DRG,761-2,SCHIZOAFFECTIVE DISORDERS,,,2068.0,2068.0,2
APR-DRG,761-3,SCHIZOAFFECTIVE DISORDERS,,,3709.74,3709.74,2
APR-DRG,761-4,SCHIZOAFFECTIVE DISORDERS,,,7459.77,7459.77,2
APR-DRG,762-1,OBSESSIVE COMPULSIVE DISORDERS,,,1710.34,1710.34,2
APR-DRG,762-2,OBSESSIVE COMPULSIVE DISORDERS,,,1994.4,1994.4,2
APR-DRG,762-3,OBSESSIVE COMPULSIVE DISORDERS,,,3253.85,3253.85,2
APR-DRG,762-4,OBSESSIVE COMPULSIVE DISORDERS,,,5004.48,5004.48,2
APR-DRG,770-1,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,829.86,7778.0,5
APR-DRG,770-2,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,1300.74,9501.0,5
APR-DRG,770-3,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,2110.95,12782.0,5
APR-DRG,770-4,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,4235.23,30972.0,5
APR-DRG,7701,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,6584.0,6584.0,1
APR-DRG,7702,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,7719.0,7719.0,1
APR-DRG,7703,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,11789.0,11789.0,1
APR-DRG,7704,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,28323.0,28323.0,1
APR-DRG,772-1,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,1484.89,17419.0,5
APR-DRG,772-2,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,1745.64,21481.0,5
APR-DRG,772-3,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,2641.77,37163.0,5
APR-DRG,772-4,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,7295.93,49330.0,5
APR-DRG,7721,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,14890.0,14890.0,1
APR-DRG,7722,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,18187.0,18187.0,1
APR-DRG,7723,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,18855.0,18855.0,1
APR-DRG,7724,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,46698.0,46698.0,1
APR-DRG,773-1,OPIOID ABUSE AND DEPENDENCE,,,1008.36,9263.0,5
APR-DRG,773-2,OPIOID ABUSE AND DEPENDENCE,,,1419.62,16873.0,5
APR-DRG,773-3,OPIOID ABUSE AND DEPENDENCE,,,2646.44,18401.0,5
APR-DRG,773-4,OPIOID ABUSE AND DEPENDENCE,,,5695.82,52775.0,5
APR-DRG,7731,OPIOID ABUSE AND DEPENDENCE,,,10354.0,10354.0,1
APR-DRG,7732,OPIOID ABUSE AND DEPENDENCE,,,11337.0,11337.0,1
APR-DRG,7733,OPIOID ABUSE AND DEPENDENCE,,,17177.0,17177.0,1
APR-DRG,7734,OPIOID ABUSE AND DEPENDENCE,,,44521.0,44521.0,1
APR-DRG,774-1,COCAINE ABUSE AND DEPENDENCE,,,1058.97,6822.0,5
APR-DRG,774-2,COCAINE ABUSE AND DEPENDENCE,,,1340.7,8004.0,5
APR-DRG,774-3,COCAINE ABUSE AND DEPENDENCE,,,2294.78,18034.0,5
APR-DRG,774-4,COCAINE ABUSE AND DEPENDENCE,,,5811.04,34311.0,5
APR-DRG,7741,COCAINE ABUSE AND DEPENDENCE,,,8916.0,8916.0,1
APR-DRG,7742,COCAINE ABUSE AND DEPENDENCE,,,12718.0,12718.0,1
APR-DRG,7743,COCAINE ABUSE AND DEPENDENCE,,,14632.0,14632.0,1
APR-DRG,7744,COCAINE ABUSE AND DEPENDENCE,,,40691.0,40691.0,1
APR-DRG,775-1,ALCOHOL ABUSE AND DEPENDENCE,,,1266.11,9575.0,5
APR-DRG,775-2,ALCOHOL ABUSE AND DEPENDENCE,,,1827.56,11819.0,5
APR-DRG,775-3,ALCOHOL ABUSE AND DEPENDENCE,,,3198.23,20498.0,5
APR-DRG,775-4,ALCOHOL ABUSE AND DEPENDENCE,,,7432.8,54351.0,5
APR-DRG,7751,ALCOHOL ABUSE AND DEPENDENCE,,,9647.0,9647.0,1
APR-DRG,7752,ALCOHOL ABUSE AND DEPENDENCE,,,12070.0,12070.0,1
APR-DRG,7753,ALCOHOL ABUSE AND DEPENDENCE,,,22015.0,22015.0,1
APR-DRG,7754,ALCOHOL ABUSE AND DEPENDENCE,,,78764.0,78764.0,1
APR-DRG,776-1,OTHER DRUG ABUSE AND DEPENDENCE,,,1091.28,14450.0,5
APR-DRG,776-2,OTHER DRUG ABUSE AND DEPENDENCE,,,1425.62,15838.0,5
APR-DRG,776-3,OTHER DRUG ABUSE AND DEPENDENCE,,,2566.85,18742.0,5
APR-DRG,776-4,OTHER DRUG ABUSE AND DEPENDENCE,,,4818.66,31460.0,5
APR-DRG,7761,OTHER DRUG ABUSE AND DEPENDENCE,,,10326.0,10326.0,1
APR-DRG,7762,OTHER DRUG ABUSE AND DEPENDENCE,,,13314.0,13314.0,1
APR-DRG,7763,OTHER DRUG ABUSE AND DEPENDENCE,,,16049.0,16049.0,1
APR-DRG,7764,OTHER DRUG ABUSE AND DEPENDENCE,,,43992.0,43992.0,1
APR-DRG,792-1,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,4627.18,24991.0,5
APR-DRG,792-2,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,5894.96,39034.0,5
APR-DRG,792-3,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,8644.29,55898.0,5
APR-DRG,792-4,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,14920.21,110674.0,5
APR-DRG,7921,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,25610.0,25610.0,1
APR-DRG,7922,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,38970.0,38970.0,1
APR-DRG,7923,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,42125.0,42125.0,1
APR-DRG,7924,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,80666.0,80666.0,1
APR-DRG,793-1,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,3357.41,20232.0,5
APR-DRG,793-2,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,4428.04,25807.0,5
APR-DRG,793-3,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6186.34,43024.0,5
APR-DRG,793-4,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,11361.66,81696.0,5
APR-DRG,7931,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,15670.0,15670.0,1
APR-DRG,7932,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,20492.0,20492.0,1
APR-DRG,7933,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,36870.0,36870.0,1
APR-DRG,7934,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,87658.0,87658.0,1
APR-DRG,794-1,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,2720.7,14267.0,5
APR-DRG,794-2,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,3592.52,18339.0,5
APR-DRG,794-3,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,5258.57,40065.0,5
APR-DRG,794-4,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,10549.11,72656.0,5
APR-DRG,7941,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,16187.0,16187.0,1
APR-DRG,7942,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,20857.0,20857.0,1
APR-DRG,7943,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,34891.0,34891.0,1
APR-DRG,7944,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,59152.0,59152.0,1
APR-DRG,810-1,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,1519.53,12465.0,5
APR-DRG,810-2,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,2130.6,14156.0,5
APR-DRG,810-3,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,3239.86,20491.0,5
APR-DRG,810-4,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,6221.64,50969.0,5
APR-DRG,8101,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,8403.0,8403.0,1
APR-DRG,8102,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,12520.0,12520.0,1
APR-DRG,8103,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,28888.0,28888.0,1
APR-DRG,8104,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,37370.0,37370.0,1
APR-DRG,811-1,ALLERGIC REACTIONS,,,1089.61,7968.0,5
APR-DRG,811-2,ALLERGIC REACTIONS,,,1571.81,12069.0,5
APR-DRG,811-3,ALLERGIC REACTIONS,,,3089.67,22149.0,5
APR-DRG,811-4,ALLERGIC REACTIONS,,,5838.68,45636.0,5
APR-DRG,8111,ALLERGIC REACTIONS,,,10562.0,10562.0,1
APR-DRG,8112,ALLERGIC REACTIONS,,,12412.0,12412.0,1
APR-DRG,8113,ALLERGIC REACTIONS,,,20792.0,20792.0,1
APR-DRG,8114,ALLERGIC REACTIONS,,,44376.0,44376.0,1
APR-DRG,812-1,POISONING OF MEDICINAL AGENTS,,,1160.88,9241.0,5
APR-DRG,812-2,POISONING OF MEDICINAL AGENTS,,,1793.6,10543.0,5
APR-DRG,812-3,POISONING OF MEDICINAL AGENTS,,,2821.6,16487.0,5
APR-DRG,812-4,POISONING OF MEDICINAL AGENTS,,,5412.76,29478.0,5
APR-DRG,8121,POISONING OF MEDICINAL AGENTS,,,5972.0,5972.0,1
APR-DRG,8122,POISONING OF MEDICINAL AGENTS,,,10899.0,10899.0,1
APR-DRG,8123,POISONING OF MEDICINAL AGENTS,,,17628.0,17628.0,1
APR-DRG,8124,POISONING OF MEDICINAL AGENTS,,,30755.0,30755.0,1
APR-DRG,813-1,OTHER COMPLICATIONS OF TREATMENT,,,1730.99,11528.0,5
APR-DRG,813-2,OTHER COMPLICATIONS OF TREATMENT,,,2293.78,15828.0,5
APR-DRG,813-3,OTHER COMPLICATIONS OF TREATMENT,,,3286.15,22509.0,5
APR-DRG,813-4,OTHER COMPLICATIONS OF TREATMENT,,,5612.9,33072.0,5
APR-DRG,8131,OTHER COMPLICATIONS OF TREATMENT,,,11842.0,11842.0,1
APR-DRG,8132,OTHER COMPLICATIONS OF TREATMENT,,,14794.0,14794.0,1
APR-DRG,8133,OTHER COMPLICATIONS OF TREATMENT,,,19293.0,19293.0,1
APR-DRG,8134,OTHER COMPLICATIONS OF TREATMENT,,,41229.0,41229.0,1
APR-DRG,815-1,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,1226.15,15372.0,5
APR-DRG,815-2,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,1911.81,21884.0,5
APR-DRG,815-3,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,3185.58,32711.0,5
APR-DRG,815-4,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,6797.75,91531.0,5
APR-DRG,8151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,7513.0,7513.0,1
APR-DRG,8152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,20650.0,20650.0,1
APR-DRG,8153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,25528.0,25528.0,1
APR-DRG,8154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,46823.0,46823.0,1
APR-DRG,816-1,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,1321.72,7980.0,5
APR-DRG,816-2,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,1895.16,12684.0,5
APR-DRG,816-3,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,3457.65,15593.0,5
APR-DRG,816-4,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,7131.09,31256.0,5
APR-DRG,8161,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,6741.0,6741.0,1
APR-DRG,8162,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,12405.0,12405.0,1
APR-DRG,8163,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,13381.0,13381.0,1
APR-DRG,8164,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,30600.0,30600.0,1
APR-DRG,817-1,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,1253.45,10894.0,5
APR-DRG,817-2,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,1788.93,18103.0,5
APR-DRG,817-3,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,3306.8,19550.0,5
APR-DRG,817-4,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,6720.49,42433.0,5
APR-DRG,8171,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,9749.0,9749.0,1
APR-DRG,8172,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,14070.0,14070.0,1
APR-DRG,8173,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,21114.0,21114.0,1
APR-DRG,8174,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,41941.0,41941.0,1
APR-DRG,841-1,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,5784.4,53887.0,5
APR-DRG,841-2,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,10516.81,61339.0,5
APR-DRG,841-3,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,20146.48,188807.0,5
APR-DRG,841-4,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,66622.12,588897.0,5
APR-DRG,8411,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,36187.0,36187.0,1
APR-DRG,8412,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,41193.0,41193.0,1
APR-DRG,8413,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,123565.0,123565.0,1
APR-DRG,8414,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,341317.0,341317.0,1
APR-DRG,842-1,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,3970.49,28299.0,5
APR-DRG,842-2,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,6354.51,64138.0,5
APR-DRG,842-3,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,12425.96,95943.0,5
APR-DRG,842-4,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,35627.48,160307.0,5
APR-DRG,8421,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,33365.0,33365.0,1
APR-DRG,8422,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,51489.0,51489.0,1
APR-DRG,8423,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,95640.0,95640.0,1
APR-DRG,8424,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,267986.0,267986.0,1
APR-DRG,843-1,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,1740.31,8922.0,5
APR-DRG,843-2,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,2287.45,17546.0,5
APR-DRG,843-3,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,4500.97,21467.0,5
APR-DRG,843-4,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,6533.67,47283.0,5
APR-DRG,8431,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,10617.0,10617.0,1
APR-DRG,8432,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,13095.0,13095.0,1
APR-DRG,8433,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,22779.0,22779.0,1
APR-DRG,8434,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,43492.0,43492.0,1
APR-DRG,844-1,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,1205.83,10373.0,5
APR-DRG,844-2,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,2093.31,18389.0,5
APR-DRG,844-3,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,3616.83,28265.0,5
APR-DRG,844-4,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,7454.78,72226.0,5
APR-DRG,8441,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,6515.0,6515.0,1
APR-DRG,8442,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,12368.0,12368.0,1
APR-DRG,8443,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,22904.0,22904.0,1
APR-DRG,8444,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,48603.0,48603.0,1
APR-DRG,850-1,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,4176.95,29778.0,5
APR-DRG,850-2,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,7214.34,45571.0,5
APR-DRG,850-3,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,10500.49,69692.0,5
APR-DRG,850-4,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,18159.41,133661.0,5
APR-DRG,8501,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,36977.0,36977.0,1
APR-DRG,8502,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,56980.0,56980.0,1
APR-DRG,8503,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,80697.0,80697.0,1
APR-DRG,8504,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,150401.0,150401.0,1
APR-DRG,851-1,GENDER RELATED PROCEDURES,,,5136.69,5136.69,2
APR-DRG,851-2,GENDER RELATED PROCEDURES,,,6099.76,6099.76,2
APR-DRG,851-3,GENDER RELATED PROCEDURES,,,8705.57,8705.57,2
APR-DRG,851-4,GENDER RELATED PROCEDURES,,,26802.03,26802.03,2
APR-DRG,8511,GENDER RELATED PROCEDURES,,,21307.0,21307.0,1
APR-DRG,8512,GENDER RELATED PROCEDURES,,,24537.0,24537.0,1
APR-DRG,8513,GENDER RELATED PROCEDURES,,,56307.0,56307.0,1
APR-DRG,8514,GENDER RELATED PROCEDURES,,,184240.0,184240.0,1
APR-DRG,860-1,REHABILITATION,,,3209.22,20148.0,5
APR-DRG,860-2,REHABILITATION,,,3857.93,32771.0,5
APR-DRG,860-3,REHABILITATION,,,5030.13,46335.0,5
APR-DRG,860-4,REHABILITATION,,,6237.29,48256.0,5
APR-DRG,861-1,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,1376.33,11826.0,5
APR-DRG,861-2,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,2048.02,14666.0,5
APR-DRG,861-3,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,2948.81,20770.0,5
APR-DRG,861-4,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,4769.38,43481.0,5
APR-DRG,8611,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,9728.0,9728.0,1
APR-DRG,8612,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,12995.0,12995.0,1
APR-DRG,8613,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,21346.0,21346.0,1
APR-DRG,8614,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,34173.0,34173.0,1
APR-DRG,862-1,OTHER AFTERCARE AND CONVALESCENCE,,,684.0,15410.0,5
APR-DRG,862-2,OTHER AFTERCARE AND CONVALESCENCE,,,2054.01,20859.0,5
APR-DRG,862-3,OTHER AFTERCARE AND CONVALESCENCE,,,2237.17,25238.0,5
APR-DRG,862-4,OTHER AFTERCARE AND CONVALESCENCE,,,2237.17,32166.0,5
APR-DRG,8621,OTHER AFTERCARE AND CONVALESCENCE,,,10887.0,10887.0,1
APR-DRG,8622,OTHER AFTERCARE AND CONVALESCENCE,,,15193.0,15193.0,1
APR-DRG,8623,OTHER AFTERCARE AND CONVALESCENCE,,,19505.0,19505.0,1
APR-DRG,8624,OTHER AFTERCARE AND CONVALESCENCE,,,21456.0,21456.0,1
APR-DRG,863-1,NEONATAL AFTERCARE,,,3048.71,33105.0,5
APR-DRG,863-2,NEONATAL AFTERCARE,,,7058.83,51091.0,5
APR-DRG,863-3,NEONATAL AFTERCARE,,,14144.63,99578.0,5
APR-DRG,863-4,NEONATAL AFTERCARE,,,30555.4,157179.0,5
APR-DRG,8631,NEONATAL AFTERCARE,,,26497.0,26497.0,1
APR-DRG,8632,NEONATAL AFTERCARE,,,39385.0,39385.0,1
APR-DRG,8633,NEONATAL AFTERCARE,,,87963.0,87963.0,1
APR-DRG,8634,NEONATAL AFTERCARE,,,169955.0,169955.0,1
APR-DRG,890-1,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,2278.46,19463.0,5
APR-DRG,890-2,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,3132.3,20489.0,5
APR-DRG,890-3,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,5059.1,30566.0,5
APR-DRG,890-4,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,9509.45,58675.0,5
APR-DRG,8901,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,16617.0,16617.0,1
APR-DRG,8902,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,17493.0,17493.0,1
APR-DRG,8903,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,32609.0,32609.0,1
APR-DRG,8904,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,65423.0,65423.0,1
APR-DRG,892-1,HIV WITH MAJOR HIV RELATED CONDITION,,,2047.02,14505.0,5
APR-DRG,892-2,HIV WITH MAJOR HIV RELATED CONDITION,,,2569.84,16097.0,5
APR-DRG,892-3,HIV WITH MAJOR HIV RELATED CONDITION,,,3664.12,24080.0,5
APR-DRG,892-4,HIV WITH MAJOR HIV RELATED CONDITION,,,6049.14,34753.0,5
APR-DRG,8921,HIV WITH MAJOR HIV RELATED CONDITION,,,15635.0,15635.0,1
APR-DRG,8922,HIV WITH MAJOR HIV RELATED CONDITION,,,18713.0,18713.0,1
APR-DRG,8923,HIV WITH MAJOR HIV RELATED CONDITION,,,26383.0,26383.0,1
APR-DRG,8924,HIV WITH MAJOR HIV RELATED CONDITION,,,39073.0,39073.0,1
APR-DRG,893-1,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,2182.22,17210.0,5
APR-DRG,893-2,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,2847.24,18641.0,5
APR-DRG,893-3,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,3511.93,26413.0,5
APR-DRG,893-4,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,5978.54,40322.0,5
APR-DRG,8931,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,16425.0,16425.0,1
APR-DRG,8932,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,18808.0,18808.0,1
APR-DRG,8933,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,21786.0,21786.0,1
APR-DRG,8934,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,35333.0,35333.0,1
APR-DRG,894-1,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,1845.21,14132.0,5
APR-DRG,894-2,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,2271.13,18435.0,5
APR-DRG,894-3,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,3070.69,23506.0,5
APR-DRG,894-4,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,5130.03,36329.0,5
APR-DRG,8941,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,12322.0,12322.0,1
APR-DRG,8942,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,14126.0,14126.0,1
APR-DRG,8943,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,20439.0,20439.0,1
APR-DRG,8944,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,33191.0,33191.0,1
APR-DRG,910-1,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,8700.57,64580.0,5
APR-DRG,910-2,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,8721.55,70513.0,5
APR-DRG,910-3,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,12994.74,81451.0,5
APR-DRG,910-4,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,21944.07,143280.0,5
APR-DRG,9101,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,57395.0,57395.0,1
APR-DRG,9102,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,58738.0,58738.0,1
APR-DRG,9103,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,110141.0,110141.0,1
APR-DRG,9104,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,160856.0,160856.0,1
APR-DRG,911-1,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,5987.2,34410.0,5
APR-DRG,911-2,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,7268.62,45900.0,5
APR-DRG,911-3,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,11259.76,63222.0,5
APR-DRG,911-4,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,21069.92,139571.0,5
APR-DRG,9111,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,32897.0,32897.0,1
APR-DRG,9112,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,42668.0,42668.0,1
APR-DRG,9113,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,66491.0,66491.0,1
APR-DRG,9114,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,180878.0,180878.0,1
APR-DRG,912-1,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,6320.88,33223.0,5
APR-DRG,912-2,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,8241.35,33694.0,5
APR-DRG,912-3,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,11942.43,60827.0,5
APR-DRG,912-4,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,20114.85,123195.0,5
APR-DRG,9121,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,37459.0,37459.0,1
APR-DRG,9122,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,39429.0,39429.0,1
APR-DRG,9123,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,68387.0,68387.0,1
APR-DRG,9124,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,114903.0,114903.0,1
APR-DRG,930-1,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,2488.59,15502.0,5
APR-DRG,930-2,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,3218.22,16484.0,5
APR-DRG,930-3,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,4980.84,25939.0,5
APR-DRG,930-4,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,9043.57,53253.0,5
APR-DRG,9301,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,12010.0,12010.0,1
APR-DRG,9302,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,14131.0,14131.0,1
APR-DRG,9303,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,26059.0,26059.0,1
APR-DRG,9304,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,61578.0,61578.0,1
APR-DRG,950-1,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,4780.7,24606.0,5
APR-DRG,950-2,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6444.76,34655.0,5
APR-DRG,950-3,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,10032.95,61495.0,5
APR-DRG,950-4,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,17229.31,139335.0,5
APR-DRG,9501,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,30488.0,30488.0,1
APR-DRG,9502,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,37855.0,37855.0,1
APR-DRG,9503,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,59094.0,59094.0,1
APR-DRG,9504,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,150176.0,150176.0,1
APR-DRG,951-1,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,3457.98,18096.0,5
APR-DRG,951-2,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,5140.35,27784.0,5
APR-DRG,951-3,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,7664.24,48773.0,5
APR-DRG,951-4,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,13098.64,100993.0,5
APR-DRG,9511,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,22029.0,22029.0,1
APR-DRG,9512,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,25927.0,25927.0,1
APR-DRG,9513,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,47927.0,47927.0,1
APR-DRG,9514,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,117706.0,117706.0,1
APR-DRG,952-1,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,2913.51,18478.0,5
APR-DRG,952-2,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,4267.87,21529.0,5
APR-DRG,952-3,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6590.28,44660.0,5
APR-DRG,952-4,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,11659.37,97687.0,5
APR-DRG,9521,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,21544.0,21544.0,1
APR-DRG,9522,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,22864.0,22864.0,1
APR-DRG,9523,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,43422.0,43422.0,1
APR-DRG,9524,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,84790.0,84790.0,1
CDT,D0120,periodic oral evaluation - established patient,,,58.59,166.26,3
CDT,D0140,limited oral evaluation - problem focused,,,58.59,166.26,3
CDT,D0145,oral evaluation for a patient under three years of age and counseling with primary caregiver,,,89.89,89.89,3
CDT,D0150,comprehensive oral evaluation - new or established patient,,,58.59,166.26,5
CDT,D0160,"detailed and extensive oral evaluation - problem focused, by report",,,58.59,166.26,3
CDT,D0170,"re-evaluation - limited, problem focused (established patient; not post-operative visit)",,,58.59,166.26,3
CDT,D0171,re-evaluation – post-operative office visit,,,58.59,166.26,3
CDT,D0180,comprehensive periodontal evaluation - new or established patient,,,58.59,166.26,3
CDT,D0190,screening of a patient,,,67.37,67.37,3
CDT,D0191,assessment of a patient,,,58.59,166.26,3
CDT,D0210,intraoral – comprehensive series of radiographic images,,,108.61,308.19,3
CDT,D0220,intraoral - periapical first radiographic image,,,40.28,114.29,3
CDT,D0230,intraoral - periapical each additional radiographic image,,,1.0,1.0,3
CDT,D0240,intraoral - occlusal radiographic image,,,40.28,114.29,5
CDT,D0250,"extra-oral – 2D projection radiographic image created using a stationary radiation source, and detector",,,40.28,114.29,5
CDT,D0251,extra-oral posterior dental radiographic image,,,40.28,114.29,3
CDT,D0270,bitewing - single radiographic image,,,40.28,114.29,5
CDT,D0272,bitewings - two radiographic images,,,40.28,114.29,5
CDT,D0273,bitewings - three radiographic images,,,108.61,308.19,3
CDT,D0274,bitewings - four radiographic images,,,108.61,308.19,5
CDT,D0277,vertical bitewings - 7 to 8 radiographic images,,,108.61,308.19,5
CDT,D0310,sialography,,,108.61,308.19,3
CDT,D0320,"temporomandibular joint arthrogram, including injection",,,108.61,308.19,3
CDT,D0321,"other temporomandibular joint radiographic images, by report",,,40.28,114.29,3
CDT,D0322,tomographic survey,,,48.73,138.29,3
CDT,D0330,panoramic radiographic image,,,108.61,308.19,3
CDT,D0340,"2D cephalometric radiographic image – acquisition, measurement and analysis",,,40.28,114.29,3
CDT,D0350,2D oral/facial photographic image obtained intra-orally or extra-orally,,,40.28,114.29,3
CDT,D0364,cone beam CT capture and interpretation with limited field of view – less than one whole jaw,,,48.73,138.29,3
CDT,D0365,cone beam CT capture and interpretation with field of view of one full dental arch – mandible,,,48.73,138.29,3
CDT,D0366,"cone beam CT capture and interpretation with field of view of one full dental arch – maxilla, with or without cranium",,,48.73,138.29,3
CDT,D0367,cone beam CT capture and interpretation with field of view of both jaws; with or without cranium,,,48.73,138.29,3
CDT,D0368,cone beam CT capture and interpretation for TMJ series including two or more exposures,,,48.73,138.29,3
CDT,D0369,maxillofacial MRI capture and interpretation,,,48.73,138.29,3
CDT,D0370,maxillofacial ultrasound capture and interpretation,,,48.73,138.29,3
CDT,D0371,sialoendoscopy capture and interpretation,,,40.28,114.29,3
CDT,D0372,intraoral tomosynthesis – comprehensive series of radiographic images,,,170.83,170.83,3
CDT,D0373,intraoral tomosynthesis – bitewing radiographic image,,,35.0,35.0,3
CDT,D0374,intraoral tomosynthesis – periapical radiographic image,,,35.0,35.0,3
CDT,D0380,cone beam CT image capture with limited field of view – less than one whole jaw,,,48.73,138.29,3
CDT,D0381,cone beam CT image capture with field of view of one full dental arch – mandible,,,48.73,138.29,3
CDT,D0382,"cone beam CT image capture with field of view of one full dental arch – maxilla, with or without cranium",,,48.73,138.29,3
CDT,D0383,cone beam CT image capture with field of view of both jaws; with or without cranium,,,48.73,138.29,3
CDT,D0384,cone beam CT image capture for TMJ series including two or more exposures,,,48.73,138.29,3
CDT,D0385,maxillofacial MRI image capture,,,48.73,138.29,3
CDT,D0386,maxillofacial ultrasound image capture,,,48.73,138.29,3
CDT,D0387,intraoral tomosynthesis – comprehensive series of radiographic images – image capture only,,,105.9,105.9,3
CDT,D0388,intraoral tomosynthesis – bitewing radiographic image – image capture only,,,21.68,21.68,3
CDT,D0389,intraoral tomosynthesis – periapical radiographic image – image capture only,,,21.68,21.68,3
CDT,D0391,"interpretation of diagnostic image by a practitioner not associated with capture of the image, including report",,,456.93,456.93,3
CDT,D0393,virtual treatment simulation using 3D image volume or surface scan,,,40.28,114.29,3
CDT,D0394,digital subtraction of two or more images or image volumes of the same modality,,,40.28,114.29,3
CDT,D0395,fusion of two or more 3D image volumes of one or more modalities,,,40.28,114.29,3
CDT,D0396,3D printing of a 3D dental surface scan,,,148.61,148.61,3
CDT,D0411,HbA1c in-office point of service testing,,,17.92,17.92,3
CDT,D0412,blood glucose level test – in-office using a glucose meter,,,17.92,17.92,3
CDT,D0414,"laboratory processing of microbial specimen to include culture and sensitivity studies, preparation and transmission of written report",,,238.92,238.92,3
CDT,D0415,collection of microorganisms for culture and sensitivity,,,145.67,145.67,3
CDT,D0416,viral culture,,,131.41,131.41,3
CDT,D0417,collection and preparation of saliva sample for laboratory analysis,,,143.0,143.0,3
CDT,D0418,analysis of saliva sample - laboratory,,,133.89,133.89,3
CDT,D0419,assessment of salivary flow by measurement,,,17.92,17.92,3
CDT,D0422,collection and preparation of genetic sample material for laboratory analysis and report,,,88.0,88.0,3
CDT,D0423,genetic test for susceptibility to diseases – specimen analysis,,,90.88,90.88,3
CDT,D0425,caries susceptibility tests,,,59.13,59.13,3
CDT,D0431,"adjunctive pre-diagnostic test that aids in detection of mucosal abnormalities including premalignant and malignant lesions, not to include cytology or biopsy procedures",,,93.84,93.84,3
CDT,D0460,pulp vitality tests,,,332.55,943.66,5
CDT,D0470,diagnostic casts,,,168.42,168.42,3
CDT,D0472,"accession of tissue, gross examination, preparation and transmission of written report",,,128.0,128.0,3
CDT,D0473,"accession of tissue, gross and microscopic examination, preparation and transmission of written report",,,238.92,238.92,3
CDT,D0474,"accession of tissue, gross and microscopic examination, including assessment of surgical margins for presence of disease, preparation and transmission of written report",,,358.38,358.38,3
CDT,D0475,decalcification procedure,,,139.17,139.17,3
CDT,D0476,special stains for microorganisms,,,358.38,358.38,3
CDT,D0477,"special stains, not for microorganisms",,,358.38,358.38,3
CDT,D0478,immunohistochemical stains,,,196.27,196.27,3
CDT,D0479,"tissue in-situ hybridization, including interpretation",,,264.48,264.48,3
CDT,D0480,"accession of exfoliative cytologic smears, microscopic examination, preparation and transmission of written report",,,196.27,196.27,3
CDT,D0481,electron microscopy,,,490.09,490.09,3
CDT,D0482,direct immunofluorescence,,,163.36,163.36,3
CDT,D0483,indirect immunofluorescence,,,197.11,197.11,3
CDT,D0484,consultation on slides prepared elsewhere,,,298.65,298.65,3
CDT,D0485,"consultation, including preparation of slides from biopsy material supplied by referring source",,,402.88,402.88,3
CDT,D0486,"laboratory accession of transepithelial cytologic sample, microscopic examination, preparation and transmission of written report",,,356.89,356.89,3
CDT,D0502,"other oral pathology procedures, by report",,,230.38,230.38,3
CDT,D0600,"non-ionizing diagnostic procedure capable of quantifying,  monitoring, and recording changes in structure of enamel, dentin, and cementum",,,55.53,157.58,3
CDT,D0601,"caries risk assessment and documentation, with a finding of low risk",,,97.68,97.68,3
CDT,D0602,"caries risk assessment and documentation, with a finding of moderate risk",,,97.68,97.68,3
CDT,D0603,"caries risk assessment and documentation, with a finding of high risk",,,181.9,181.9,3
CDT,D0604,"antigen testing for a public health related pathogen, including coronavirus",,,17.92,17.92,3
CDT,D0605,"antibody testing for a public health related pathogen, including coronavirus",,,17.92,17.92,3
CDT,D0606,"molecular testing for a public health related pathogen, including coronavirus",,,17.92,17.92,3
CDT,D0701,panoramic radiographic image – image capture only,,,40.28,114.29,3
CDT,D0702,2-D cephalometric radiographic image – image capture only,,,40.28,114.29,3
CDT,D0703,2-D oral/facial photographic image obtained intra-orally or extra-orally – image capture only,,,40.28,114.29,3
CDT,D0705,extra-oral posterior dental radiographic image – image capture only,,,40.28,114.29,3
CDT,D0706,intraoral – occlusal radiographic image – image capture only,,,40.28,114.29,3
CDT,D0707,intraoral – periapical radiographic image – image capture only,,,40.28,114.29,3
CDT,D0708,intraoral – bitewing radiographic image – image capture only,,,40.28,114.29,3
CDT,D0709,intraoral – comprehensive series of radiographic images – image capture only,,,40.28,114.29,3
CDT,D0801,3D intraoral surface scan – direct,,,97.72,97.72,3
CDT,D0802,3D dental surface scan – indirect,,,97.72,97.72,3
CDT,D0803,3D facial surface scan – direct,,,97.72,97.72,3
CDT,D0804,3D facial surface scan – indirect,,,97.72,97.72,3
CDT,D0999,"unspecified diagnostic procedure, by report",,,11.7,11.7,3
CDT,D1110,prophylaxis - adult,,,58.59,166.26,3
CDT,D1120,prophylaxis - child,,,89.42,89.42,3
CDT,D1206,FLUORIDE VARNISH,30.0,24.0,7.94,62.0,26
CDT,D1208,topical application of fluoride – excluding varnish,,,51.51,51.51,3
CDT,D1301,immunization counseling,,,42.05,42.05,3
CDT,D1310,nutritional counseling for control of dental disease,,,52.0,52.0,3
CDT,D1320,tobacco counseling for the control and prevention of oral disease,,,51.37,51.37,3
CDT,D1321,"counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use",,,59.73,59.73,3
CDT,D1330,oral hygiene instructions,,,64.84,64.84,3
CDT,D1351,sealant - per tooth,,,69.53,69.53,3
CDT,D1352,Outpatient Services - CDT,,,187.86,187.86,3
CDT,D1353,sealant repair – per tooth,,,69.53,69.53,3
CDT,D1354,application of caries arresting medicament – per tooth,,,1.0,1.0,3
CDT,D1355,caries preventive medicament application – per tooth,,,59.73,59.73,3
CDT,D1510,"space maintainer - fixed, unilateral – per quadrant",,,390.26,1107.42,5
CDT,D1516,"space maintainer - fixed - bilateral, maxillary",,,390.26,1107.42,3
CDT,D1517,"space maintainer - fixed - bilateral, mandibular",,,390.26,1107.42,3
CDT,D1520,"space maintainer - removable, unilateral - per quadrant",,,390.26,1107.42,5
CDT,D1526,"space maintainer - removable - bilateral, maxillary",,,390.26,1107.42,3
CDT,D1527,"space maintainer - removable - bilateral, mandibular",,,390.26,1107.42,3
CDT,D1551,re-cement or re-bond bilateral space maintainer - maxillary,,,390.26,1107.42,3
CDT,D1552,re-cement or re-bond bilateral space maintainer - mandibular,,,390.26,1107.42,3
CDT,D1553,re-cement or re-bond unilateral space maintainer - per quadrant,,,390.26,1107.42,3
CDT,D1556,removal of fixed unilateral space maintainer - per quadrant,,,93.84,93.84,3
CDT,D1557,removal of fixed bilateral space maintainer - maxillary,,,93.84,93.84,3
CDT,D1558,removal of fixed bilateral space maintainer - mandibular,,,93.84,93.84,3
CDT,D1575,"distal shoe space maintainer - fixed, unilateral - per quadrant",,,390.26,1107.42,3
CDT,D1701,Pfizer-BioNTech Covid-19 vaccine administration – first dose,,,40.0,47.78,4
CDT,D1702,Pfizer-BioNTech Covid-19 vaccine administration – second dose,,,40.0,47.78,4
CDT,D1703,Moderna Covid-19 vaccine administration – first dose,,,40.0,47.78,4
CDT,D1704,Moderna Covid-19 vaccine administration – second dose,,,40.0,47.78,4
CDT,D1705,Covid Codes - CDT,,,40.0,40.0,1
CDT,D1705,Outpatient Services - CDT,,,47.78,47.78,3
CDT,D1706,Covid Codes - CDT,,,40.0,40.0,1
CDT,D1706,Outpatient Services - CDT,,,47.78,47.78,3
CDT,D1707,Covid Codes - CDT,,,40.0,40.0,1
CDT,D1707,Outpatient Services - CDT,,,47.78,47.78,3
CDT,D1708,Pfizer-BioNTech Covid-19 vaccine administration – third dose,,,47.78,47.78,3
CDT,D1709,Pfizer-BioNTech Covid-19 vaccine administration – booster dose,,,47.78,47.78,3
CDT,D1710,Moderna Covid-19 vaccine administration – third dose,,,47.78,47.78,3
CDT,D1711,Moderna Covid-19 vaccine administration – booster dose,,,47.78,47.78,3
CDT,D1712,Outpatient Services - CDT,,,47.78,47.78,3
CDT,D1713,Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric – first dose,,,47.78,47.78,3
CDT,D1714,Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric – second dose,,,47.78,47.78,3
CDT,D1781,vaccine administration – human papillomavirus – Dose 1,,,47.78,47.78,3
CDT,D1782,vaccine administration – human papillomavirus – Dose 2,,,47.78,47.78,3
CDT,D1783,vaccine administration – human papillomavirus – Dose 3,,,47.78,47.78,3
CDT,D2140,"amalgam - one surface, primary or permanent",,,390.26,1107.42,3
CDT,D2150,"amalgam - two surfaces, primary or permanent",,,390.26,1107.42,3
CDT,D2160,"amalgam - three surfaces, primary or permanent",,,390.26,1107.42,3
CDT,D2161,"amalgam - four or more surfaces, primary or permanent",,,390.26,1107.42,3
CDT,D2330,"resin-based composite - one surface, anterior",,,390.26,1107.42,3
CDT,D2331,"resin-based composite - two surfaces, anterior",,,390.26,1107.42,3
CDT,D2332,"resin-based composite - three surfaces, anterior",,,390.26,1107.42,3
CDT,D2335,resin-based composite - four or more surfaces (anterior),,,390.26,1107.42,3
CDT,D2390,"resin-based composite crown, anterior",,,390.26,1107.42,3
CDT,D2391,"resin-based composite – one surface, posterior",,,390.26,1107.42,3
CDT,D2392,"resin-based composite - two surfaces, posterior",,,390.26,1107.42,3
CDT,D2393,"resin-based composite - three surfaces, posterior",,,390.26,1107.42,3
CDT,D2394,"resin-based composite - four or more surfaces, posterior",,,390.26,1107.42,3
CDT,D2410,gold foil - one surface,,,390.26,1107.42,3
CDT,D2420,gold foil - two surfaces,,,390.26,1107.42,3
CDT,D2430,gold foil - three surfaces,,,390.26,1107.42,3
CDT,D2510,inlay - metallic - one surface,,,390.26,1107.42,3
CDT,D2520,inlay - metallic - two surfaces,,,390.26,1107.42,3
CDT,D2530,inlay - metallic - three or more surfaces,,,390.26,1107.42,3
CDT,D2542,onlay - metallic - two surfaces,,,390.26,1107.42,3
CDT,D2543,onlay - metallic - three surfaces,,,390.26,1107.42,3
CDT,D2544,onlay - metallic - four or more surfaces,,,390.26,1107.42,3
CDT,D2610,inlay - porcelain/ceramic - one surface,,,390.26,1107.42,3
CDT,D2620,inlay - porcelain/ceramic - two surfaces,,,390.26,1107.42,3
CDT,D2630,inlay - porcelain/ceramic - three or more surfaces,,,390.26,1107.42,3
CDT,D2642,onlay - porcelain/ceramic - two surfaces,,,390.26,1107.42,3
CDT,D2643,onlay - porcelain/ceramic - three surfaces,,,390.26,1107.42,3
CDT,D2644,onlay - porcelain/ceramic - four or more surfaces,,,390.26,1107.42,3
CDT,D2650,inlay - resin-based composite - one surface,,,390.26,1107.42,3
CDT,D2651,inlay - resin-based composite - two surfaces,,,390.26,1107.42,3
CDT,D2652,inlay - resin-based composite - three or more surfaces,,,390.26,1107.42,3
CDT,D2662,onlay - resin-based composite - two surfaces,,,390.26,1107.42,3
CDT,D2663,onlay - resin-based composite - three surfaces,,,390.26,1107.42,3
CDT,D2664,onlay - resin-based composite - four or more surfaces,,,390.26,1107.42,3
CDT,D2710,crown - resin-based composite (indirect),,,390.26,1107.42,3
CDT,D2712,crown - ¾ resin-based composite (indirect),,,390.26,1107.42,3
CDT,D2720,crown - resin with high noble metal,,,390.26,1107.42,3
CDT,D2721,crown - resin with predominantly base metal,,,390.26,1107.42,3
CDT,D2722,crown - resin with noble metal,,,390.26,1107.42,3
CDT,D2740,crown - porcelain/ceramic,,,390.26,1107.42,3
CDT,D2750,crown - porcelain fused to high noble metal,,,390.26,1107.42,3
CDT,D2751,crown - porcelain fused to predominantly base metal,,,390.26,1107.42,3
CDT,D2752,crown - porcelain fused to noble metal,,,390.26,1107.42,3
CDT,D2753,crown - porcelain fused to titanium and titanium alloys,,,390.26,1107.42,3
CDT,D2780,crown - 3/4 cast high noble metal,,,390.26,1107.42,3
CDT,D2781,crown - 3/4 cast predominantly base metal,,,390.26,1107.42,3
CDT,D2782,crown - 3/4 cast noble metal,,,390.26,1107.42,3
CDT,D2783,crown - 3/4 porcelain/ceramic,,,390.26,1107.42,3
CDT,D2790,crown - full cast high noble metal,,,390.26,1107.42,3
CDT,D2791,crown - full cast predominantly base metal,,,390.26,1107.42,3
CDT,D2792,crown - full cast noble metal,,,390.26,1107.42,3
CDT,D2794,crown - titanium and titanium alloys,,,390.26,1107.42,3
CDT,D2799,interim crown – further treatment or completion of diagnosis necessary prior to final impression,,,390.26,1107.42,3
CDT,D2910,"re-cement or re-bond inlay, onlay, veneer or partial coverage restoration",,,390.26,1107.42,3
CDT,D2915,re-cement or re-bond indirectly fabricated or prefabricated post and core,,,390.26,1107.42,3
CDT,D2920,re-cement or re-bond crown,,,390.26,1107.42,3
CDT,D2921,"reattachment of tooth fragment, incisal edge or cusp",,,390.26,1107.42,3
CDT,D2928,prefabricated porcelain/ceramic crown – permanent tooth,,,390.26,1107.42,3
CDT,D2929,prefabricated porcelain/ceramic crown – primary tooth,,,390.26,1107.42,3
CDT,D2930,prefabricated stainless steel crown - primary tooth,,,390.26,1107.42,3
CDT,D2931,prefabricated stainless steel crown - permanent tooth,,,390.26,1107.42,3
CDT,D2932,prefabricated resin crown,,,390.26,1107.42,3
CDT,D2933,prefabricated stainless steel crown with resin window,,,390.26,1107.42,3
CDT,D2934,prefabricated esthetic coated stainless steel crown - primary tooth,,,390.26,1107.42,3
CDT,D2940,placement of interim direct restoration,,,390.26,1107.42,3
CDT,D2941,Outpatient Services - CDT,,,390.26,1107.42,3
CDT,D2949,restorative foundation for an indirect restoration,,,390.26,1107.42,3
CDT,D2950,"core buildup, including any pins when required",,,390.26,1107.42,3
CDT,D2951,"pin retention - per tooth, in addition to restoration",,,390.26,1107.42,3
CDT,D2952,"post and core in addition to crown, indirectly fabricated",,,390.26,1107.42,3
CDT,D2953,each additional indirectly fabricated post - same tooth,,,1.0,1.0,3
CDT,D2954,prefabricated post and core in addition to crown,,,390.26,1107.42,3
CDT,D2955,post removal,,,1.0,1.0,3
CDT,D2957,each additional prefabricated post - same tooth,,,390.26,1107.42,3
CDT,D2960,labial veneer (resin laminate) - direct,,,390.26,1107.42,3
CDT,D2961,labial veneer (resin laminate) - indirect,,,390.26,1107.42,3
CDT,D2962,labial veneer (porcelain laminate) - indirect,,,390.26,1107.42,3
CDT,D2971,additional procedures to customize a crown to fit under an existing partial denture framework,,,390.26,1107.42,3
CDT,D2975,coping,,,390.26,1107.42,3
CDT,D2976,band stabilization – per tooth,,,390.26,1107.42,3
CDT,D2980,crown repair necessitated by restorative material failure,,,390.26,1107.42,3
CDT,D2981,inlay repair necessitated by restorative material failure,,,390.26,1107.42,3
CDT,D2982,onlay repair necessitated by restorative material failure,,,390.26,1107.42,3
CDT,D2983,veneer repair necessitated by restorative material failure,,,390.26,1107.42,3
CDT,D2989,excavation of a tooth resulting in the determination of non-restorability,,,477.84,477.84,3
CDT,D2990,resin infiltration of incipient smooth surface lesions,,,390.26,1107.42,3
CDT,D2991,application of hydroxyapatite regeneration medicament – per tooth,,,8.72,8.72,3
CDT,D2999,"unspecified restorative procedure, by report",,,390.26,1107.42,5
CDT,D3110,pulp cap - direct (excluding final restoration),,,390.26,1107.42,3
CDT,D3120,pulp cap - indirect (excluding final restoration),,,390.26,1107.42,3
CDT,D3220,therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction and application of medicament,,,390.26,1107.42,3
CDT,D3221,"pulpal debridement, primary and permanent teeth",,,390.26,1107.42,3
CDT,D3222,partial pulpotomy for apexogenesis - permanent tooth with incomplete root development,,,390.26,1107.42,3
CDT,D3230,"pulpal therapy (resorbable filling) - anterior, primary tooth (excluding final restoration)",,,390.26,1107.42,3
CDT,D3240,"pulpal therapy (resorbable filling) - posterior, primary tooth (excluding final restoration)",,,390.26,1107.42,3
CDT,D3310,"endodontic therapy, anterior tooth (excluding final restoration)",,,390.26,1107.42,3
CDT,D3320,"endodontic therapy, premolar tooth (excluding final restoration)",,,390.26,1107.42,3
CDT,D3330,"endodontic therapy, molar tooth (excluding final restoration)",,,390.26,1107.42,3
CDT,D3331,treatment of root canal obstruction; non-surgical access,,,390.26,1107.42,3
CDT,D3332,"incomplete endodontic therapy; inoperable, unrestorable or fractured tooth",,,390.26,1107.42,3
CDT,D3333,internal root repair of perforation defects,,,390.26,1107.42,3
CDT,D3346,retreatment of previous root canal therapy - anterior,,,390.26,1107.42,3
CDT,D3347,retreatment of previous root canal therapy - premolar,,,390.26,1107.42,3
CDT,D3348,retreatment of previous root canal therapy - molar,,,390.26,1107.42,3
CDT,D3351,"apexification/recalcification – initial visit (apical closure / calcific repair of perforations, root resorption, etc.)",,,390.26,1107.42,3
CDT,D3352,apexification/recalcification – interim medication replacement,,,390.26,1107.42,3
CDT,D3353,"apexification/recalcification - final visit (includes completed root canal therapy - apical closure/calcific repair of perforations, root resorption, etc.)",,,390.26,1107.42,3
CDT,D3355,pulpal regeneration - initial visit,,,390.26,1107.42,3
CDT,D3356,pulpal regeneration - interim medication replacement,,,390.26,1107.42,3
CDT,D3357,pulpal regeneration - completion of treatment,,,390.26,1107.42,3
CDT,D3410,apicoectomy - anterior,,,390.26,1107.42,3
CDT,D3421,apicoectomy - premolar (first root),,,390.26,1107.42,3
CDT,D3425,apicoectomy - molar (first root),,,390.26,1107.42,3
CDT,D3426,apicoectomy (each additional root),,,1.0,1.0,3
CDT,D3427,Outpatient Services - CDT,,,390.26,1107.42,3
CDT,D3428,"bone graft in conjunction with periradicular surgery – per tooth, single site",,,390.26,1107.42,3
CDT,D3429,bone graft in conjunction with periradicular surgery – each additional contiguous tooth in the same surgical site,,,1.0,1.0,3
CDT,D3430,retrograde filling - per root,,,390.26,1107.42,3
CDT,D3431,biologic materials to aid in soft and osseous tissue regeneration in conjunction with periradicular surgery,,,390.26,1107.42,3
CDT,D3432,"guided tissue regeneration, resorbable barrier, per site, in conjunction with periradicular surgery",,,390.26,1107.42,3
CDT,D3450,root amputation - per root,,,390.26,1107.42,3
CDT,D3460,endodontic endosseous implant,,,390.26,1107.42,5
CDT,D3470,intentional reimplantation (including necessary splinting),,,390.26,1107.42,3
CDT,D3471,surgical repair of root resorption - anterior,,,390.26,1107.42,3
CDT,D3472,surgical repair of root resorption – premolar,,,390.26,1107.42,3
CDT,D3473,surgical repair of root resorption – molar,,,390.26,1107.42,3
CDT,D3501,surgical exposure of root surface without apicoectomy or repair of root resorption – anterior,,,390.26,1107.42,3
CDT,D3502,surgical exposure of root surface without apicoectomy or repair of root resorption – premolar,,,390.26,1107.42,3
CDT,D3503,surgical exposure of root surface without apicoectomy or repair of root resorption – molar,,,390.26,1107.42,3
CDT,D3910,surgical procedure for isolation of tooth with rubber dam,,,390.26,1107.42,3
CDT,D3911,Intraorifice Barrier,,,390.26,1107.42,3
CDT,D3920,"hemisection (including any root removal), not including root canal therapy",,,390.26,1107.42,3
CDT,D3921,Decoronation or Submergence of An Erupted Tooth,,,390.26,1107.42,3
CDT,D3950,canal preparation and fitting of preformed dowel or post,,,390.26,1107.42,3
CDT,D3999,"unspecified endodontic procedure, by report",,,390.26,1107.42,5
CDT,D4210,gingivectomy or gingivoplasty - four or more contiguous teeth or tooth bounded spaces per quadrant,,,1427.04,4049.48,3
CDT,D4211,gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per quadrant,,,1427.04,4049.48,3
CDT,D4212,"gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth",,,1427.04,4049.48,3
CDT,D4230,anatomical crown exposure – four or more contiguous teeth or tooth bounded spaces per quadrant,,,1427.04,4049.48,3
CDT,D4231,anatomical crown exposure – one to three teeth or tooth bounded spaces per quadrant,,,675.95,1918.13,3
CDT,D4240,"gingival flap procedure, including root planing - four or more contiguous teeth or tooth bounded spaces per quadrant",,,1427.04,4049.48,3
CDT,D4241,"gingival flap procedure, including root planing - one to three contiguous teeth or tooth bounded spaces per quadrant",,,675.95,1918.13,3
CDT,D4245,apically positioned flap,,,675.95,1918.13,3
CDT,D4249,clinical crown lengthening – hard tissue,,,390.26,1107.42,3
CDT,D4260,osseous surgery (including elevation of a full thickness flap and closure) – four or more contiguous teeth or tooth bounded spaces per quadrant,,,2595.65,7365.62,5
CDT,D4261,osseous surgery (including elevation of a full thickness flap and closure) – one to three contiguous teeth or tooth bounded spaces per quadrant,,,1427.04,4049.48,3
CDT,D4263,bone replacement graft – retained natural tooth – first site in quadrant,,,390.26,1107.42,5
CDT,D4264,bone replacement graft – retained natural tooth – each additional site in quadrant,,,1.0,1.0,3
CDT,D4265,"biologic materials to aid in soft and osseous tissue regeneration, per site",,,390.26,1107.42,3
CDT,D4266,"guided tissue regeneration, natural teeth – resorbable barrier, per site",,,675.95,1918.13,3
CDT,D4267,"guided tissue regeneration, natural teeth – non-resorbable barrier, per site",,,675.95,1918.13,3
CDT,D4268,"surgical revision procedure, per tooth",,,390.26,1107.42,5
CDT,D4270,pedicle soft tissue graft procedure,,,675.95,1918.13,5
CDT,D4273,"autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant, or edentulous tooth position in graft",,,675.95,1918.13,5
CDT,D4274,"mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures in the same anatomical area)",,,390.26,1107.42,3
CDT,D4275,"non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft",,,675.95,1918.13,3
CDT,D4276,"combined connective tissue and pedicle graft, per tooth",,,675.95,1918.13,3
CDT,D4277,"free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant or edentulous tooth position in graft",,,675.95,1918.13,3
CDT,D4278,"free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant or edentulous tooth position in same graft site",,,1.0,1.0,3
CDT,D4283,"autogenous connective tissue graft procedure (including donor and recipient surgical sites) – each additional contiguous tooth, implant or edentulous tooth position in same graft site",,,1.0,1.0,3
CDT,D4285,"non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) – each additional contiguous tooth, implant or edentulous tooth position in same graft site",,,1.0,1.0,3
CDT,D4286,removal of non-resorbable barrier,,,58.59,166.26,3
CDT,D4320,Outpatient Services - CDT,,,58.59,166.26,3
CDT,D4321,Outpatient Services - CDT,,,58.59,166.26,3
CDT,D4322,Splint – Intra-Coronal; Natural Teeth or Prosthetic Crowns,,,390.26,1107.42,3
CDT,D4323,Splint – Extra-Coronal; Natural Teeth or Prosthetic Crowns,,,390.26,1107.42,3
CDT,D4341,periodontal scaling and root planing - four or more teeth per quadrant,,,390.26,1107.42,3
CDT,D4342,periodontal scaling and root planing - one to three teeth per quadrant,,,390.26,1107.42,3
CDT,D4346,"scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation",,,390.26,1107.42,3
CDT,D4355,full mouth debridement to enable a comprehensive periodontal evaluation and diagnosis on a subsequent visit,,,390.26,1107.42,5
CDT,D4381,"localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue, per tooth",,,390.26,1107.42,5
CDT,D4910,periodontal maintenance,,,390.26,1107.42,3
CDT,D4920,unscheduled dressing change (by someone other than treating dentist or their staff),,,390.26,1107.42,3
CDT,D4921,gingival irrigation with a medicinal agent – per quadrant,,,58.59,166.26,3
CDT,D4999,"unspecified periodontal procedure, by report",,,108.27,307.23,3
CDT,D5110,complete denture - maxillary,,,390.26,1107.42,3
CDT,D5120,complete denture - mandibular,,,390.26,1107.42,3
CDT,D5130,immediate denture - maxillary,,,2393.7,2393.7,3
CDT,D5140,immediate denture - mandibular,,,2375.52,2375.52,3
CDT,D5211,"maxillary partial denture – resin base (including, retentive/clasping materials, rests, and teeth)",,,1736.36,1736.36,3
CDT,D5212,"mandibular partial denture – resin base (including, retentive/clasping materials, rests, and teeth)",,,1810.46,1810.46,3
CDT,D5213,"maxillary partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)",,,390.26,1107.42,3
CDT,D5214,"mandibular partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)",,,390.26,1107.42,3
CDT,D5221,"immediate maxillary partial denture - resin base (including retentive/clasping materials, rests and teeth)",,,2198.48,2198.48,3
CDT,D5222,"immediate mandibular partial denture - resin base (including retentive/clasping materials, rests and teeth)",,,2198.48,2198.48,3
CDT,D5223,"immediate maxillary partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)",,,390.26,1107.42,3
CDT,D5224,"immediate mandibular partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)",,,390.26,1107.42,3
CDT,D5225,"maxillary partial denture - flexible base (including retentive/clasping materials, rests, and teeth)",,,1821.77,1821.77,3
CDT,D5226,"mandibular partial denture - flexible base (including retentive/clasping materials, rests, and teeth)",,,1821.77,1821.77,3
CDT,D5227,"Immediate Maxillary Partial Denture - Flexible Base (Including Any Clasps, Rests and Teeth)",,,1641.44,1641.44,3
CDT,D5228,"Immediate Mandibular Partial Denture - Flexible Base (Including Any Clasps, Rests and Teeth)",,,1641.44,1641.44,3
CDT,D5282,"removable unilateral partial denture – one piece cast metal (including retentive/clasping materials, rests, and teeth), maxillary",,,1189.01,1189.01,3
CDT,D5283,"removable unilateral partial denture – one piece cast metal (including rententive/clasping materias, rests, and teeth), mandibular",,,1189.01,1189.01,3
CDT,D5284,"removable unilateral partial denture – one piece flexible base (including retentive/clasping materials, rests, and teeth) – per quadrant",,,1027.12,1027.12,3
CDT,D5286,"removable unilateral partial denture – one piece resin (including retentive/clasping materials, rests, and teeth) – per quadrant",,,1027.12,1027.12,3
CDT,D5410,adjust complete denture - maxillary,,,126.32,126.32,3
CDT,D5411,adjust complete denture - mandibular,,,147.35,147.35,3
CDT,D5421,adjust partial denture - maxillary,,,122.95,122.95,3
CDT,D5422,adjust partial denture - mandibular,,,113.67,113.67,3
CDT,D5511,"repair broken complete denture base, mandibular",,,336.83,336.83,3
CDT,D5512,"repair broken complete denture base, maxillary",,,265.24,265.24,3
CDT,D5520,replace missing or broken teeth - complete denture - per tooth,,,226.51,226.51,3
CDT,D5611,"repair resin partial denture base, mandibular",,,277.03,277.03,3
CDT,D5612,"repair resin partial denture base, maxillary",,,277.03,277.03,3
CDT,D5621,"repair cast partial framework, mandibular",,,336.83,336.83,3
CDT,D5622,"repair cast partial framework, maxillary",,,248.41,248.41,3
CDT,D5630,repair or replace broken retentive clasping materials – per tooth,,,294.73,294.73,3
CDT,D5640,replace missing or broken teeth – partial denture – per tooth,,,225.67,225.67,3
CDT,D5650,add tooth to existing partial denture - per tooth,,,325.6,325.6,3
CDT,D5660,add clasp to existing partial denture - per tooth,,,374.73,374.73,3
CDT,D5670,replace all teeth and acrylic on cast metal framework (maxillary),,,1076.16,1076.16,3
CDT,D5671,replace all teeth and acrylic on cast metal framework (mandibular),,,1076.16,1076.16,3
CDT,D5710,rebase complete maxillary denture,,,829.21,829.21,3
CDT,D5711,rebase complete mandibular denture,,,829.21,829.21,3
CDT,D5720,rebase maxillary partial denture,,,707.35,707.35,3
CDT,D5721,rebase mandibular partial denture,,,707.35,707.35,3
CDT,D5725,Rebase Hybrid Prosthesis,,,631.41,631.41,3
CDT,D5730,reline complete maxillary denture (direct),,,447.43,447.43,3
CDT,D5731,reline complete mandibular denture (direct),,,447.43,447.43,3
CDT,D5740,reline maxillary partial denture (direct),,,492.6,492.6,3
CDT,D5741,reline mandibular partial denture (direct),,,395.92,395.92,3
CDT,D5750,reline complete maxillary denture (indirect),,,676.7,676.7,3
CDT,D5751,reline complete mandibular denture (indirect),,,685.79,685.79,3
CDT,D5760,reline maxillary partial denture (indirect),,,617.11,617.11,3
CDT,D5761,reline mandibular partial denture (indirect),,,617.11,617.11,3
CDT,D5765,Soft Liner for Complete or Partial Removable Denture – Indirect,,,559.67,559.67,3
CDT,D5810,interim complete denture (maxillary),,,1531.72,1531.72,3
CDT,D5811,interim complete denture (mandibular),,,1186.75,1186.75,3
CDT,D5820,"interim partial denture (including retentive/clasping materials, rests, and teeth), maxillary",,,853.24,853.24,3
CDT,D5821,"interim partial denture (including retentive/clasping materials, rests, and teeth), mandibular",,,853.24,853.24,3
CDT,D5850,"tissue conditioning, maxillary",,,221.84,221.84,3
CDT,D5851,"tissue conditioning, mandibular",,,221.84,221.84,3
CDT,D5862,"precision attachment, by report",,,759.41,759.41,3
CDT,D5863,overdenture – complete maxillary – natural tooth borne<br>,,,390.26,1107.42,3
CDT,D5864,overdenture – partial maxillary – natural tooth borne,,,390.26,1107.42,3
CDT,D5865,overdenture – complete mandibular – natural tooth borne,,,390.26,1107.42,3
CDT,D5866,overdenture – partial mandibular – natural tooth borne,,,390.26,1107.42,3
CDT,D5867,"replacement of replaceable part of semi-precision or precision attachment of natural tooth borne prosthesis, per attachment",,,324.21,324.21,3
CDT,D5875,modification of removable prosthesis following implant surgery,,,1334.21,1334.21,3
CDT,D5876,add metal substructure to acrylic complete denture – per arch,,,235.28,235.28,3
CDT,D5911,facial moulage (sectional),,,390.26,1661.13,8
CDT,D5912,facial moulage (complete),,,390.26,1107.42,5
CDT,D5913,nasal prosthesis,,,390.26,1107.42,3
CDT,D5914,auricular prosthesis,,,390.26,1107.42,3
CDT,D5915,orbital prosthesis,,,390.26,1107.42,3
CDT,D5916,ocular prosthesis,,,390.26,1107.42,3
CDT,D5919,facial prosthesis,,,390.26,1107.42,3
CDT,D5922,nasal septal prosthesis,,,390.26,1107.42,3
CDT,D5923,"ocular prosthesis, interim",,,390.26,1107.42,3
CDT,D5924,cranial prosthesis,,,390.26,1107.42,3
CDT,D5925,facial augmentation implant prosthesis,,,390.26,1107.42,3
CDT,D5926,"nasal prosthesis, replacement",,,390.26,1107.42,3
CDT,D5927,"auricular prosthesis, replacement",,,390.26,1107.42,3
CDT,D5928,"orbital prosthesis, replacement",,,390.26,1107.42,3
CDT,D5929,"facial prosthesis, replacement",,,390.26,1107.42,3
CDT,D5931,"obturator prosthesis, surgical",,,390.26,1107.42,3
CDT,D5932,"obturator prosthesis, definitive",,,390.26,1107.42,3
CDT,D5933,"obturator prosthesis, modification",,,390.26,1107.42,3
CDT,D5934,mandibular guidance prosthesis with guide flange,,,390.26,1107.42,3
CDT,D5935,mandibular guidance prosthesis without guide flange,,,390.26,1107.42,3
CDT,D5936,"obturator prosthesis, interim",,,390.26,1107.42,3
CDT,D5937,trismus appliance (not for TMD treatment),,,108.27,307.23,3
CDT,D5951,feeding aid,,,390.26,1107.42,3
CDT,D5952,"speech aid prosthesis, pediatric",,,390.26,1107.42,3
CDT,D5953,"speech aid prosthesis, adult",,,390.26,1107.42,3
CDT,D5954,palatal augmentation prosthesis,,,390.26,1107.42,3
CDT,D5955,"palatal lift prosthesis, definitive",,,390.26,1107.42,3
CDT,D5958,"palatal lift prosthesis, interim",,,390.26,1107.42,3
CDT,D5959,"palatal lift prosthesis, modification",,,390.26,1107.42,3
CDT,D5960,"speech aid prosthesis, modification",,,390.26,1107.42,3
CDT,D5982,surgical stent for soft tissue healing,,,390.26,1107.42,3
CDT,D5983,radiation carrier,,,390.26,1107.42,5
CDT,D5984,radiation shield,,,390.26,1107.42,5
CDT,D5985,radiation cone locator,,,390.26,1107.42,5
CDT,D5986,fluoride gel carrier,,,292.0,292.0,3
CDT,D5987,commissure splint,,,390.26,1107.42,5
CDT,D5988,surgical splint,,,390.26,1107.42,3
CDT,D5991,vesiculobullous disease medicament carrier,,,108.27,307.23,3
CDT,D5992,"adjust maxillofacial prosthetic appliance, by report",,,108.27,307.23,3
CDT,D5993,"maintenance and cleaning of a maxillofacial prosthesis (extra- or intra-oral) other than required adjustments, by report",,,108.27,307.23,3
CDT,D5995,periodontal medicament carrier with peripheral seal – laboratory processed – maxillary,,,164.0,164.0,3
CDT,D5996,periodontal medicament carrier with peripheral seal – laboratory processed – mandibular,,,164.0,164.0,3
CDT,D5999,"unspecified maxillofacial prosthesis, by report",,,390.26,1107.42,3
CDT,D6010,surgical placement of implant body: endosteal implant,,,3227.63,3227.63,3
CDT,D6011,surgical access to an implant body (second stage implant surgery),,,300.0,300.0,3
CDT,D6012,surgical placement of interim implant body for transitional prosthesis: endosteal implant,,,3099.69,3099.69,3
CDT,D6013,surgical placement of mini implant,,,3280.73,3280.73,3
CDT,D6040,surgical placement: eposteal implant,,,11287.21,11287.21,3
CDT,D6050,surgical placement: transosteal implant,,,8420.78,8420.78,3
CDT,D6051,placement of interim implant abutment<br>,,,746.63,746.63,3
CDT,D6055,connecting bar – implant supported or abutment supported,,,1332.64,1332.64,3
CDT,D6056,prefabricated abutment – includes modification and placement,,,861.61,861.61,3
CDT,D6057,custom fabricated abutment – includes placement,,,1076.16,1076.16,3
CDT,D6058,abutment supported porcelain/ceramic crown,,,1672.56,1672.56,3
CDT,D6059,abutment supported porcelain fused to metal crown (high noble metal),,,1739.74,1739.74,3
CDT,D6060,abutment supported porcelain fused to metal crown (predominantly base metal),,,1678.26,1678.26,3
CDT,D6061,abutment supported porcelain fused to metal crown (noble metal),,,1796.99,1796.99,3
CDT,D6062,abutment supported cast metal crown (high noble metal),,,1790.25,1790.25,3
CDT,D6063,abutment supported cast metal crown (predominantly base metal),,,1558.69,1558.69,3
CDT,D6064,abutment supported cast metal crown (noble metal),,,1630.26,1630.26,3
CDT,D6065,implant supported porcelain/ceramic crown,,,2044.56,2044.56,3
CDT,D6066,implant supported crown - porcelain fused to high noble alloys,,,2872.31,2872.31,3
CDT,D6067,"implant supported metal crown (titanium, titanium alloy, high noble metal)",,,1896.78,1896.78,3
CDT,D6068,abutment supported retainer for porcelain/ceramic FPD,,,1871.94,1871.94,3
CDT,D6069,abutment supported retainer for porcelain fused to metal FPD (high noble metal),,,1863.51,1863.51,3
CDT,D6070,abutment supported retainer for porcelain fused to metal FPD (predominantly base metal),,,1760.78,1760.78,3
CDT,D6071,abutment supported retainer for porcelain fused to metal FPD (noble metal),,,1796.99,1796.99,3
CDT,D6072,abutment supported retainer for cast metal FPD (high noble metal),,,1818.88,1818.88,3
CDT,D6073,abutment supported retainer for cast metal FPD (predominantly base metal),,,1660.57,1660.57,3
CDT,D6074,abutment supported retainer for cast metal FPD (noble metal),,,1765.0,1765.0,3
CDT,D6075,implant supported retainer for ceramic FPD,,,1941.22,1941.22,3
CDT,D6076,implant supported retainer for FPD - porcelain fused to high noble alloys,,,1891.73,1891.73,3
CDT,D6077,implant supported retainer for metal FPD - high noble alloys,,,1834.16,1834.16,3
CDT,D6080,"implant maintenance procedures when a full arch fixed hybrid prosthesis is removed and reinserted, including cleansing of prosthesis and abutments",,,294.8,294.8,3
CDT,D6081,"scaling and debridement of a single implant in the presence of mucositis, including inflammation, bleeding upon probing and increased pocket depths; includes cleaning of the implant surfaces, without ",,,79.16,79.16,3
CDT,D6082,implant supported crown - porcelain fused to predominantly base alloys,,,1472.46,1472.46,3
CDT,D6083,implant supported crown - porcelain fused to noble alloys,,,1516.13,1516.13,3
CDT,D6084,implant supported crown - porcelain fused to titanium and titanium alloys,,,1516.13,1516.13,3
CDT,D6085,interim implant crown,,,810.92,810.92,3
CDT,D6086,implant supported crown - predominantly base alloys,,,1368.65,1368.65,3
CDT,D6087,implant supported crown - noble alloys,,,1492.35,1492.35,3
CDT,D6088,implant supported crown - titanium and titanium alloys,,,1492.35,1492.35,3
CDT,D6089,accessing and retorquing loose implant screw - per screw,,,132.42,132.42,3
CDT,D6090,repair of implant/abutment supported prosthesis,,,362.8,362.8,3
CDT,D6091,"replacement of replaceable part of semi-precision or precision attachment of implant/abutment supported prosthesis, per attachment",,,750.87,750.87,3
CDT,D6092,re-cement or re-bond implant/abutment supported crown,,,144.83,144.83,3
CDT,D6093,re-cement or re-bond implant/abutment supported fixed partial denture,,,227.36,227.36,3
CDT,D6094,abutment supported crown - titanium and titanium alloys,,,1477.84,1477.84,3
CDT,D6095,Outpatient Services - CDT,,,734.0,734.0,3
CDT,D6096,remove broken implant retaining screw,,,244.06,244.06,3
CDT,D6097,abutment supported crown - porcelain fused to titanium and titanium alloys,,,1516.13,1516.13,3
CDT,D6098,implant supported retainer - porcelain fused to predominantly base alloys,,,1390.04,1390.04,3
CDT,D6099,implant supported retainer for FPD - porcelain fused to noble alloys,,,1516.13,1516.13,3
CDT,D6100,surgical removal of implant body,,,1263.12,1263.12,3
CDT,D6101,"debridement of a peri-implant defect or defects surrounding a single implant, and surface cleaning of the exposed implant surfaces, including flap entry and closure",,,1178.91,1178.91,3
CDT,D6102,"debridement and osseous contouring of a peri-implant defect or defects surrounding a single implant and includes surface cleaning of the exposed implant surfaces, including flap entry and closure",,,1525.85,1525.85,3
CDT,D6103,bone graft for repair of peri-implant defect – does not include flap entry and closure,,,959.97,959.97,3
CDT,D6104,bone graft at time of implant placement,,,830.0,830.0,3
CDT,D6105,removal of implant body not requiring bone removal or flap elevation,,,552.0,552.0,3
CDT,D6106,"guided tissue regeneration – resorbable barrier, per implant",,,1097.0,1097.0,3
CDT,D6107,"guided tissue regeneration – non-resorbable barrier, per implant",,,1343.0,1343.0,3
CDT,D6110,implant /abutment supported removable denture for edentulous arch – maxillary,,,3028.97,3028.97,3
CDT,D6111,implant /abutment supported removable denture for edentulous arch – mandibular,,,3028.97,3028.97,3
CDT,D6112,implant /abutment supported removable denture for partially edentulous arch – maxillary,,,3028.97,3028.97,3
CDT,D6113,implant /abutment supported removable denture for partially edentulous arch – mandibular,,,3028.97,3028.97,3
CDT,D6114,implant /abutment supported fixed denture for edentulous arch – maxillary,,,7708.32,7708.32,3
CDT,D6115,implant /abutment supported fixed denture for edentulous arch – mandibular,,,7708.32,7708.32,3
CDT,D6116,implant /abutment supported fixed denture for partially edentulous arch – maxillary,,,3748.11,3748.11,3
CDT,D6117,implant /abutment supported fixed denture for partially edentulous arch – mandibular,,,3748.11,3748.11,3
CDT,D6118,implant/abutment supported interim fixed denture for edentulous arch – mandibular,,,2230.65,2230.65,3
CDT,D6119,implant/abutment supported interim fixed denture for edentulous arch – maxillary,,,2230.65,2230.65,3
CDT,D6120,implant supported retainer – porcelain fused to titanium and titanium alloys,,,1516.13,1516.13,3
CDT,D6121,implant supported retainer for metal FPD – predominantly base alloys,,,1492.35,1492.35,3
CDT,D6122,implant supported retainer for metal FPD – noble alloys,,,1492.35,1492.35,3
CDT,D6123,implant supported retainer for metal FPD – titanium and titanium alloys,,,1492.35,1492.35,3
CDT,D6190,"radiographic/surgical implant index, by report",,,842.08,842.08,3
CDT,D6191,semi-precision abutment – placement,,,542.95,542.95,3
CDT,D6192,semi-precision attachment – placement,,,542.95,542.95,3
CDT,D6194,abutment supported retainer crown for FPD – titanium and titanium alloys,,,1523.31,1523.31,3
CDT,D6195,abutment supported retainer - porcelain fused to titanium and titanium alloys,,,1516.13,1516.13,3
CDT,D6197,"replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis, per implant",,,132.42,132.42,3
CDT,D6198,Remove Interim Implant Component,,,99.57,99.57,3
CDT,D6205,pontic - indirect resin based composite,,,1127.7,1127.7,3
CDT,D6210,pontic - cast high noble metal,,,1321.65,1321.65,3
CDT,D6211,pontic - cast predominantly base metal,,,1321.65,1321.65,3
CDT,D6212,pontic - cast noble metal,,,1321.65,1321.65,3
CDT,D6214,pontic - titanium and titanium alloys,,,1321.65,1321.65,3
CDT,D6240,pontic - porcelain fused to high noble metal,,,1431.53,1431.53,3
CDT,D6241,pontic - porcelain fused to predominantly base metal,,,1337.71,1337.71,3
CDT,D6242,pontic - porcelain fused to noble metal,,,1337.71,1337.71,3
CDT,D6243,pontic - porcelain fused to titanium and titanium alloys,,,1337.71,1337.71,3
CDT,D6245,pontic - porcelain/ceramic,,,1347.34,1347.34,3
CDT,D6250,pontic - resin with high noble metal,,,1224.47,1224.47,3
CDT,D6251,pontic - resin with predominantly base metal,,,1224.47,1224.47,3
CDT,D6252,pontic - resin with noble metal,,,1224.47,1224.47,3
CDT,D6253,interim pontic - further treatment or completion of diagnosis necessary prior to final  impression,,,466.52,466.52,3
CDT,D6545,retainer - cast metal for resin bonded fixed prosthesis,,,390.26,1107.42,3
CDT,D6548,retainer - porcelain/ceramic for resin bonded fixed prosthesis,,,390.26,1107.42,3
CDT,D6549,retainer – for resin bonded fixed prosthesis,,,390.26,1107.42,3
CDT,D6600,"retainer inlay - porcelain/ceramic, two surfaces",,,390.26,1107.42,3
CDT,D6601,"retainer inlay - porcelain/ceramic, three or more surfaces",,,390.26,1107.42,3
CDT,D6602,"retainer inlay - cast high noble metal, two surfaces",,,390.26,1107.42,3
CDT,D6603,"retainer inlay - cast high noble metal, three or more surfaces",,,390.26,1107.42,3
CDT,D6604,"retainer inlay - cast predominantly base metal, two surfaces",,,390.26,1107.42,3
CDT,D6605,"retainer inlay - cast predominantly base metal, three or more surfaces",,,390.26,1107.42,3
CDT,D6606,"retainer inlay - cast noble metal, two surfaces",,,390.26,1107.42,3
CDT,D6607,"retainer inlay - cast noble metal, three or more surfaces",,,390.26,1107.42,3
CDT,D6608,"retainer onlay - porcelain/ceramic, two surfaces",,,390.26,1107.42,3
CDT,D6609,"retainer onlay - porcelain/ceramic, three or more surfaces",,,390.26,1107.42,3
CDT,D6610,"retainer onlay - cast high noble metal, two surfaces",,,390.26,1107.42,3
CDT,D6611,"retainer onlay - cast high noble metal, three or more surfaces",,,390.26,1107.42,3
CDT,D6612,"retainer onlay - cast predominantly base metal, two surfaces",,,390.26,1107.42,3
CDT,D6613,"retainer onlay - cast predominantly base metal, three or more surfaces",,,390.26,1107.42,3
CDT,D6614,"retainer onlay - cast noble metal, two surfaces",,,390.26,1107.42,3
CDT,D6615,"retainer onlay - cast noble metal, three or more surfaces",,,390.26,1107.42,3
CDT,D6624,retainer inlay - titanium,,,390.26,1107.42,3
CDT,D6634,retainer onlay - titanium,,,390.26,1107.42,3
CDT,D6710,retainer crown - indirect resin based composite,,,390.26,1107.42,3
CDT,D6720,retainer crown - resin with high noble metal,,,1301.34,1301.34,3
CDT,D6721,retainer crown - resin with predominantly base metal,,,1158.7,1158.7,3
CDT,D6722,retainer crown - resin with noble metal,,,1217.48,1217.48,3
CDT,D6740,retainer crown - porcelain/ceramic,,,1523.12,1523.12,3
CDT,D6750,retainer crown - porcelain fused to high noble metal,,,1505.2,1505.2,3
CDT,D6751,retainer crown - porcelain fused to predominantly base metal,,,1390.04,1390.04,3
CDT,D6752,retainer crown - porcelain fused to noble metal,,,1516.13,1516.13,3
CDT,D6753,retainer crown - porcelain fused to titanium and titanium alloys,,,1516.13,1516.13,3
CDT,D6780,retainer crown - 3/4 cast high noble metal,,,1492.35,1492.35,3
CDT,D6781,retainer crown - 3/4 cast predominantly base metal,,,1300.86,1300.86,3
CDT,D6782,retainer crown - 3/4 cast noble metal,,,1313.1,1313.1,3
CDT,D6783,retainer crown - 3/4 porcelain/ceramic,,,1278.04,1278.04,3
CDT,D6784,retainer crown ¾ - titanium and titanium alloys,,,1313.1,1313.1,3
CDT,D6790,retainer crown - full cast high noble metal,,,1492.35,1492.35,3
CDT,D6791,retainer crown - full cast predominantly base metal,,,1368.65,1368.65,3
CDT,D6792,retainer crown - full cast noble metal,,,1492.35,1492.35,3
CDT,D6793,interim retainer crown - further treatment or completion of diagnosis necessary prior to final impression,,,390.26,1107.42,3
CDT,D6794,retainer crown - titanium and titanium alloys,,,1368.65,1368.65,3
CDT,D6920,connector bar,,,390.26,1107.42,5
CDT,D6930,re-cement or re-bond fixed partial denture,,,390.26,1107.42,3
CDT,D6940,stress breaker,,,390.26,1107.42,3
CDT,D6950,precision attachment,,,390.26,1107.42,3
CDT,D6980,fixed partial denture repair necessitated by restorative material failure,,,321.18,321.18,3
CDT,D6985,"pediatric partial denture, fixed",,,1151.89,1151.89,3
CDT,D7111,"extraction, coronal remnants – primary tooth",,,390.26,1107.42,5
CDT,D7140,"extraction, erupted tooth or exposed root (elevation and/or forceps removal)",,,390.26,1107.42,5
CDT,D7210,"extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated",,,675.95,1918.13,5
CDT,D7220,removal of impacted tooth - soft tissue,,,390.26,1107.42,5
CDT,D7230,removal of impacted tooth - partially bony,,,390.26,1107.42,5
CDT,D7240,removal of impacted tooth - completely bony,,,390.26,1107.42,5
CDT,D7241,"removal of impacted tooth - completely bony, with unusual surgical complications",,,390.26,1107.42,5
CDT,D7250,removal of residual tooth roots (cutting procedure),,,390.26,1107.42,5
CDT,D7251,"coronectomy – intentional partial tooth removal, impacted teeth only",,,675.95,1918.13,3
CDT,D7260,oroantral fistula closure,,,390.26,1107.42,5
CDT,D7261,primary closure of a sinus perforation,,,390.26,1107.42,3
CDT,D7270,tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth,,,390.26,1107.42,3
CDT,D7272,tooth transplantation (includes reimplantation from one site to another and splinting and/or stabilization),,,390.26,1107.42,3
CDT,D7280,exposure of an unerupted tooth,,,390.26,1107.42,3
CDT,D7282,mobilization of erupted or malpositioned tooth to aid eruption,,,108.27,307.23,3
CDT,D7283,placement of device to facilitate eruption of impacted tooth,,,108.27,307.23,3
CDT,D7284,excisional biopsy of minor salivary glands,,,108.27,307.23,3
CDT,D7285,"incisional biopsy of oral tissue – hard (bone, tooth)",,,108.27,307.23,3
CDT,D7286,incisional biopsy of oral tissue-soft,,,651.0,651.0,3
CDT,D7287,exfoliative cytological sample collection,,,108.27,307.23,3
CDT,D7288,brush biopsy - transepithelial sample collection,,,108.27,307.23,3
CDT,D7290,surgical repositioning of teeth,,,611.05,611.05,3
CDT,D7291,"transseptal fiberotomy/supra crestal fiberotomy, by report",,,390.26,1107.42,5
CDT,D7292,placement of temporary anchorage device [screw retained plate] requiring flap,,,108.27,307.23,3
CDT,D7293,placement of temporary anchorage device requiring flap,,,108.27,307.23,3
CDT,D7294,placement of temporary anchorage device without flap,,,108.27,307.23,3
CDT,D7295,harvest of bone for use in autogenous grafting procedure,,,108.27,307.23,3
CDT,D7296,"corticotomy – one to three teeth or tooth spaces, per quadrant",,,390.26,1107.42,3
CDT,D7297,"corticotomy – four or more teeth or tooth spaces, per quadrant",,,390.26,1107.42,3
CDT,D7298,"Removal of Temporary Anchorage Device [Screw Retained Plate], Requiring Flap",,,390.26,1107.42,3
CDT,D7299,"Removal of Temporary Anchorage Device, Requiring Flap",,,390.26,1107.42,3
CDT,D7300,Removal of Temporary Anchorage Device Without Flap,,,108.27,307.23,3
CDT,D7310,"alveoloplasty in conjunction with extractions - four or more teeth or tooth spaces, per quadrant",,,675.95,1918.13,3
CDT,D7311,"alveoloplasty in conjunction with extractions - one to three teeth or tooth spaces, per quadrant",,,675.95,1918.13,3
CDT,D7320,"alveoloplasty not in conjunction with extractions - four or more teeth or tooth spaces, per quadrant",,,108.27,307.23,3
CDT,D7321,"alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces, per quadrant",,,108.27,307.23,3
CDT,D7340,vestibuloplasty - ridge extension (secondary epithelialization),,,2595.65,7365.62,3
CDT,D7350,"vestibuloplasty - ridge extension (including soft tissue grafts, muscle reattachment, revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue)",,,2595.65,7365.62,3
CDT,D7410,excision of benign lesion up to 1.25 cm,,,675.95,1918.13,3
CDT,D7411,excision of benign lesion greater than 1.25 cm,,,675.95,1918.13,3
CDT,D7412,"excision of benign lesion, complicated",,,675.95,1918.13,3
CDT,D7413,excision of malignant lesion up to 1.25 cm,,,675.95,1918.13,3
CDT,D7414,excision of malignant lesion greater than 1.25 cm,,,675.95,1918.13,3
CDT,D7415,"excision of malignant lesion, complicated",,,675.95,1918.13,3
CDT,D7440,excision of malignant tumor - lesion diameter up to 1.25 cm,,,1427.04,4049.48,3
CDT,D7441,excision of malignant tumor - lesion diameter greater than 1.25 cm,,,1427.04,4049.48,3
CDT,D7450,removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm,,,1427.04,4049.48,3
CDT,D7451,removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm,,,1427.04,4049.48,3
CDT,D7460,removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm,,,390.26,1107.42,3
CDT,D7461,removal of benign nonodontogenic cyst or tumor - lesion diameter greater than 1.25 cm,,,390.26,1107.42,3
CDT,D7465,"destruction of lesion(s) by physical or chemical method, by report",,,108.27,307.23,3
CDT,D7471,removal of lateral exostosis (maxilla or mandible),,,108.27,307.23,3
CDT,D7472,removal of torus palatinus,,,390.26,1107.42,3
CDT,D7473,removal of torus mandibularis,,,390.26,1107.42,3
CDT,D7485,reduction of osseous tuberosity,,,2595.65,7365.62,3
CDT,D7490,radical resection of maxilla or mandible,,,390.26,1107.42,3
CDT,D7509,marsupialization of odontogenic cyst,,,108.27,307.23,3
CDT,D7510,incision and drainage of abscess - intraoral soft tissue,,,311.84,884.91,3
CDT,D7511,incision and drainage of abscess - intraoral soft tissue - complicated (includes drainage of multiple fascial spaces),,,311.84,884.91,3
CDT,D7520,incision and drainage of abscess - extraoral soft tissue,,,311.84,884.91,3
CDT,D7521,incision and drainage of abscess - extraoral soft tissue - complicated (includes drainage of multiple fascial spaces),,,311.84,884.91,3
CDT,D7530,"removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue",,,390.26,1107.42,3
CDT,D7540,"removal of reaction producing foreign bodies, musculoskeletal system",,,390.26,1107.42,3
CDT,D7550,partial ostectomy/sequestrectomy for  removal of non-vital bone,,,390.26,1107.42,3
CDT,D7560,maxillary sinusotomy for removal of tooth fragment or foreign body,,,390.26,1107.42,3
CDT,D7610,"maxilla - open reduction (teeth immobilized, if present)",,,675.95,1918.13,3
CDT,D7620,"maxilla - closed reduction (teeth immobilized, if present)",,,390.26,1107.42,3
CDT,D7630,"mandible - open reduction (teeth immobilized, if present)",,,675.95,1918.13,3
CDT,D7640,"mandible - closed reduction (teeth immobilized, if present)",,,390.26,1107.42,3
CDT,D7650,malar and/or zygomatic arch - open reduction,,,390.26,1107.42,3
CDT,D7660,malar and/or zygomatic arch - closed reduction,,,108.27,307.23,3
CDT,D7670,"alveolus - closed reduction, may include stabilization of teeth",,,1427.04,4049.48,3
CDT,D7671,"alveolus - open reduction, may include stabilization of teeth",,,2595.65,7365.62,3
CDT,D7680,facial bones - complicated reduction with fixation and multiple surgical approaches,,,390.26,1107.42,3
CDT,D7710,maxilla - open reduction,,,1427.04,4049.48,3
CDT,D7720,maxilla - closed reduction,,,108.27,307.23,3
CDT,D7730,mandible - open reduction,,,1427.04,4049.48,3
CDT,D7740,mandible - closed reduction,,,390.26,1107.42,3
CDT,D7750,malar and/or zygomatic arch - open reduction,,,390.26,1107.42,3
CDT,D7760,malar and/or zygomatic arch - closed reduction,,,108.27,307.23,3
CDT,D7770,alveolus - open reduction stabilization of teeth,,,2595.65,7365.62,3
CDT,D7771,"alveolus, closed reduction stabilization of teeth",,,1427.04,4049.48,3
CDT,D7780,facial bones - complicated reduction with fixation and multiple approaches,,,108.27,307.23,3
CDT,D7810,open reduction of dislocation,,,675.95,1918.13,3
CDT,D7820,closed reduction of dislocation,,,108.27,307.23,3
CDT,D7830,manipulation under anesthesia,,,108.27,307.23,3
CDT,D7840,condylectomy,,,675.95,1918.13,3
CDT,D7850,"surgical discectomy, with/without implant",,,675.95,1918.13,3
CDT,D7852,disc repair,,,675.95,1918.13,3
CDT,D7854,synovectomy,,,675.95,1918.13,3
CDT,D7856,myotomy,,,675.95,1918.13,3
CDT,D7858,joint reconstruction,,,1427.04,4049.48,3
CDT,D7860,arthrotomy,,,1427.04,4049.48,3
CDT,D7865,arthroplasty,,,1427.04,4049.48,3
CDT,D7870,arthrocentesis,,,646.0,646.0,3
CDT,D7871,non-arthroscopic lysis and lavage,,,108.27,307.23,3
CDT,D7872,"arthroscopy - diagnosis, with or without biopsy",,,108.27,307.23,3
CDT,D7873,arthroscopy: lavage and lysis of adhesions,,,675.95,1918.13,3
CDT,D7874,arthroscopy: disc repositioning and stabilization,,,1434.68,4071.15,3
CDT,D7875,arthroscopy: synovectomy,,,675.95,1918.13,3
CDT,D7876,arthroscopy: discectomy,,,675.95,1918.13,3
CDT,D7877,arthroscopy: debridement,,,675.95,1918.13,3
CDT,D7880,"occlusal orthotic device, by report",,,108.27,307.23,3
CDT,D7881,occlusal orthotic device adjustment,,,120.0,120.0,3
CDT,D7899,"unspecified TMD therapy, by report",,,108.27,307.23,3
CDT,D7910,suture of recent small wounds up to 5 cm,,,747.4,747.4,3
CDT,D7911,complicated suture - up to 5 cm,,,1461.84,1461.84,3
CDT,D7912,complicated suture - greater than 5 cm,,,2630.65,2630.65,3
CDT,D7920,"skin graft (identify defect covered, location and type of graft)",,,108.27,307.23,3
CDT,D7921,collection and application of autologous blood concentrate product,,,108.27,307.23,3
CDT,D7922,"placement of intra-socket biological dressing to aid in hemostasis or clot stabilization, per site",,,390.26,1107.42,3
CDT,D7939,indexing for osteotomy using dynamic robotic assisted or dynamic navigation,,,373.85,373.85,3
CDT,D7940,osteoplasty - for orthognathic deformities,,,390.26,1107.42,3
CDT,D7941,osteotomy - mandibular rami,,,675.95,1918.13,3
CDT,D7943,osteotomy - mandibular rami with bone graft; includes obtaining the graft,,,1427.04,4049.48,3
CDT,D7944,osteotomy - segmented or subapical,,,675.95,1918.13,3
CDT,D7945,osteotomy - body of mandible,,,675.95,1918.13,3
CDT,D7946,LeFort I (maxilla - total),,,1427.04,4049.48,3
CDT,D7947,LeFort I (maxilla - segmented),,,1427.04,4049.48,3
CDT,D7948,LeFort II or LeFort III (osteoplasty of facial bones for midface hypoplasia or retrusion) - without bone graft,,,1427.04,4049.48,3
CDT,D7949,LeFort II or LeFort III - with bone graft,,,1427.04,4049.48,3
CDT,D7950,"osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla - autogenous or nonautogenous, by report",,,2595.65,7365.62,3
CDT,D7951,sinus augmentation with bone or bone substitutes via a lateral open approach,,,390.26,1107.42,3
CDT,D7952,sinus augmentation via a vertical approach,,,390.26,1107.42,3
CDT,D7953,bone replacement graft for ridge preservation - per site,,,390.26,1107.42,3
CDT,D7955,repair of maxillofacial soft and/or hard tissue defect,,,390.26,1107.42,3
CDT,D7956,"guided tissue regeneration, edentulous area – resorbable barrier, per site",,,1097.0,1097.0,3
CDT,D7957,"guided tissue regeneration, edentulous area – non-resorbable barrier, per site",,,1343.0,1343.0,3
CDT,D7960,Outpatient Services - CDT,,,108.27,307.23,3
CDT,D7961,buccal / labial frenectomy (frenulectomy),,,108.27,307.23,3
CDT,D7962,lingual frenectomy (frenulectomy),,,108.27,307.23,3
CDT,D7963,frenuloplasty,,,108.27,307.23,3
CDT,D7970,excision of hyperplastic tissue - per arch,,,390.26,1107.42,3
CDT,D7971,excision of pericoronal gingiva,,,108.27,307.23,3
CDT,D7972,surgical reduction of fibrous tuberosity,,,108.27,307.23,3
CDT,D7979,non – surgical sialolithotomy,,,108.27,307.23,3
CDT,D7980,surgical sialolithotomy,,,390.26,1107.42,3
CDT,D7981,"excision of salivary gland, by report",,,108.27,307.23,3
CDT,D7982,sialodochoplasty,,,675.95,1918.13,3
CDT,D7983,closure of salivary fistula,,,108.27,307.23,3
CDT,D7990,emergency tracheotomy,,,675.95,1918.13,3
CDT,D7991,coronoidectomy,,,675.95,1918.13,3
CDT,D7993,surgical placement of craniofacial implant – extra oral,,,390.26,1107.42,3
CDT,D7994,surgical placement: zygomatic implant,,,390.26,1107.42,3
CDT,D7995,"synthetic graft - mandible or facial bones, by report",,,108.27,307.23,3
CDT,D7996,"implant-mandible for augmentation purposes (excluding alveolar ridge), by report",,,390.26,1107.42,3
CDT,D7997,"appliance removal (not by dentist who placed appliance), includes removal of archbar",,,108.27,307.23,3
CDT,D7998,intraoral placement of a fixation device not in conjunction with a fracture,,,108.27,307.23,3
CDT,D7999,"unspecified oral surgery procedure, by report",,,108.27,307.23,3
CDT,D8010,limited orthodontic treatment of the primary dentition,,,3180.0,3180.0,3
CDT,D8020,limited orthodontic treatment of the transitional dentition,,,3619.73,3619.73,3
CDT,D8030,limited orthodontic treatment of the adolescent dentition,,,4097.54,4097.54,3
CDT,D8040,limited orthodontic treatment of the adult dentition,,,4868.0,4868.0,3
CDT,D8070,comprehensive orthodontic treatment of the transitional dentition,,,6654.44,6654.44,3
CDT,D8080,comprehensive orthodontic treatment of the adolescent dentition,,,6654.44,6654.44,3
CDT,D8090,comprehensive orthodontic treatment of the adult dentition,,,6654.44,6654.44,3
CDT,D8210,removable appliance therapy,,,1336.16,1336.16,3
CDT,D8220,fixed appliance therapy,,,1336.16,1336.16,3
CDT,D8660,pre-orthodontic treatment examination to monitor growth and development,,,591.11,591.11,3
CDT,D8670,periodic orthodontic treatment visit,,,367.14,367.14,3
CDT,D8680,"orthodontic retention (removal of appliances, construction and placement of retainer(s))",,,906.7,906.7,3
CDT,D8681,removable orthodontic retainer adjustment,,,258.55,258.55,3
CDT,D8695,removal of fixed orthodontic appliances for reasons other than completion of treatment,,,477.84,477.84,3
CDT,D8696,repair of orthodontic appliance – maxillary,,,277.33,277.33,3
CDT,D8697,repair of orthodontic appliance – mandibular,,,277.33,277.33,3
CDT,D8698,re-cement or re-bond fixed retainer – maxillary,,,114.0,114.0,3
CDT,D8699,re-cement or re-bond fixed retainer – mandibular,,,114.0,114.0,3
CDT,D8701,"repair of fixed retainer, includes reattachment – maxillary",,,271.77,271.77,3
CDT,D8702,"repair of fixed retainer, includes reattachment – mandibular",,,271.77,271.77,3
CDT,D8703,replacement of lost or broken retainer – maxillary,,,681.34,681.34,3
CDT,D8704,replacement of lost or broken retainer – mandibular,,,681.34,681.34,3
CDT,D9110,palliative treatment of dental pain – per visit,,,1.0,1.0,3
CDT,D9120,fixed partial denture sectioning,,,280.4,280.4,3
CDT,D9130,temporomandibular joint dysfunction – non-invasive physical therapies,,,102.97,102.97,3
CDT,D9210,local anesthesia not in conjunction with operative or surgical procedures,,,75.79,75.79,3
CDT,D9211,regional block anesthesia,,,64.0,64.0,3
CDT,D9212,trigeminal division block anesthesia,,,100.2,100.2,3
CDT,D9215,local anesthesia in conjunction with operative or surgical procedures,,,60.63,60.63,3
CDT,D9219,"evaluation for moderate sedation, deep sedation or general anesthesia",,,113.67,113.67,3
CDT,D9222,"administration of deep sedation/general anesthesia – first 15 minute increment, or any portion thereof",,,361.68,361.68,3
CDT,D9223,"administration of deep sedation/general anesthesia – each subsequent 15 minute increment, or any portion thereof",,,361.68,361.68,3
CDT,D9230,administration of nitrous oxide,,,1.0,1.0,3
CDT,D9239,"administration of moderate sedation – intravenous – first 15 minute increment, or any portion thereof",,,323.36,323.36,3
CDT,D9243,"administration of moderate sedation – intravenous – each subsequent 15 minute increment, or any portion thereof",,,365.46,365.46,3
CDT,D9248,Outpatient Services - CDT,,,1.0,1.0,3
CDT,D9310,consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician,,,277.88,277.88,3
CDT,D9311,consultation with a medical health care professional,,,319.14,319.14,3
CDT,D9410,house/extended care facility call,,,365.46,365.46,3
CDT,D9420,hospital or ambulatory surgical center call,,,514.5,514.5,3
CDT,D9430,office visit for observation (during regularly scheduled hours) - no other services performed,,,85.03,85.03,3
CDT,D9440,office visit - after regularly scheduled hours,,,217.25,217.25,3
CDT,D9450,"case presentation, subsequent to detailed and extensive treatment planning",,,126.32,126.32,3
CDT,D9610,"therapeutic parenteral drug, single administration",,,93.28,93.28,3
CDT,D9612,"therapeutic parenteral drugs, two or more administrations, different medications",,,213.3,213.3,3
CDT,D9613,"infiltration of sustained release therapeutic drug, per quadrant",,,86.25,86.25,3
CDT,D9630,drugs or medicaments dispensed in the office for home use,,,62.32,62.32,3
CDT,D9910,application of desensitizing medicament,,,92.63,92.63,3
CDT,D9911,"application of desensitizing resin for cervical and/or root surface, per tooth",,,85.03,85.03,3
CDT,D9912,Pre-Visit Patient Screening,,,22.82,22.82,3
CDT,D9920,"behavior management, by report",,,145.0,145.0,3
CDT,D9930,"treatment of complications (post-surgical) - unusual circumstances, by report",,,390.26,1107.42,5
CDT,D9932,"cleaning and inspection of removable complete denture, maxillary",,,171.78,171.78,3
CDT,D9933,"cleaning and inspection of removable complete denture, mandibular",,,171.78,171.78,3
CDT,D9934,"cleaning and inspection of removable partial denture, maxillary",,,171.78,171.78,3
CDT,D9935,"cleaning and inspection of removable partial denture, mandibular",,,171.78,171.78,3
CDT,D9938,fabrication of a custom removable clear plastic temporary aesthetic appliance,,,853.24,853.24,3
CDT,D9939,placement of a custom removable clear plastic temporary aesthetic appliance,,,44.2,44.2,3
CDT,D9940,Outpatient Services - CDT,,,390.26,1107.42,3
CDT,D9941,fabrication of athletic mouthguard,,,247.46,247.46,3
CDT,D9942,repair and/or reline of occlusal guard,,,283.77,283.77,3
CDT,D9943,occlusal guard adjustment,,,390.26,1107.42,3
CDT,D9944,"occlusal guard – hard appliance, full arch",,,390.26,1107.42,3
CDT,D9945,"occlusal guard – soft appliance, full arch",,,390.26,1107.42,3
CDT,D9946,"occlusal guard – hard appliance, partial arch",,,390.26,1107.42,3
CDT,D9947,Custom Sleep Apnea Appliance Fabrication and Placement,,,703.8,703.8,3
CDT,D9948,Adjustment of Custom Sleep Apnea Appliance,,,86.25,86.25,3
CDT,D9949,Repair of Custom Sleep Apnea Appliance,,,160.08,160.08,3
CDT,D9950,occlusion analysis - mounted case,,,390.26,1107.42,3
CDT,D9951,occlusal adjustment - limited,,,390.26,1107.42,5
CDT,D9952,occlusal adjustment - complete,,,390.26,1107.42,5
CDT,D9953,reline custom sleep apnea appliance (indirect),,,160.08,160.08,3
CDT,D9954,fabrication and delivery of oral appliance therapy (OAT) morning repositioning device,,,703.8,703.8,3
CDT,D9955,oral appliance therapy (OAT) titration visit,,,89.6,89.6,3
CDT,D9956,administration of home sleep apnea test,,,17.92,17.92,3
CDT,D9957,screening for sleep related breathing disorders,,,27.42,27.42,3
CDT,D9961,duplicate/copy patient's records,,,29.87,29.87,3
CDT,D9970,enamel microabrasion,,,160.82,160.82,3
CDT,D9971,odontoplasty - per tooth,,,140.39,140.39,3
CDT,D9972,external bleaching - per arch - performed in office,,,502.15,502.15,3
CDT,D9973,external bleaching - per tooth,,,119.0,119.0,3
CDT,D9974,internal bleaching - per tooth,,,380.48,380.48,3
CDT,D9975,"external bleaching for home application, per arch; includes materials and fabrication of custom trays",,,399.15,399.15,3
CDT,D9990,certified translation or sign-language services – per visit,,,12.5,12.5,3
CDT,D9991,dental case management - addressing appointment compliance barriers,,,69.88,69.88,3
CDT,D9992,dental case management - care coordination,,,69.88,69.88,3
CDT,D9993,dental case management - motivational interviewing,,,69.88,69.88,3
CDT,D9994,dental case management - patient education to improve oral health literacy,,,96.0,96.0,3
CDT,D9995,teledentistry – synchronous; real-time encounter,,,319.14,319.14,3
CDT,D9996,teledentistry – asynchronous; information stored and forwarded to dentist for subsequent review,,,239.99,239.99,3
CDT,D9997,dental case management - patients with special health care needs,,,32.55,32.55,3
CPT,0001A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0001U,RBC DNA HEA 35 AG 11 BLD GRP,,,684.0,1977.98,15
CPT,0002A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0002M,LIVER DIS 10 ASSAYS W/ASH,,,478.23,1382.94,15
CPT,0002U,ONC CLRCT 3 UR METAB ALG PLP,,,23.75,68.68,15
CPT,0003A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0003M,LIVER DIS 10 ASSAYS W/NASH,,,478.23,1382.94,15
CPT,0003U,ONC OVAR 5 PRTN SER ALG SCOR,,,902.5,2609.84,15
CPT,0004A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0004M,SCOLIOSIS DNA ALYS,,,75.05,217.03,15
CPT,0005U,ONCO PRST8 3 GENE UR ALG,,,722.0,2087.87,15
CPT,0006M,ONC HEP GENE RISK CLASSIFIER,,,142.5,412.08,15
CPT,0007M,ONC GASTRO 51 GENE NOMOGRAM,,,356.25,1030.2,15
CPT,0007U,RX TEST PRSMV UR W/DEF CONF,,,108.71,314.36,15
CPT,0008U,HPYLORI DETCJ ABX RSTNC DNA,,,568.01,1642.58,15
CPT,0009U,ONC BRST CA ERBB2 AMP/NONAMP,,,101.65,293.95,15
CPT,00100,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00102,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00103,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00104,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0010U,NFCT DS STRN TYP WHL GEN SEQ,,,405.9,1173.77,15
CPT,0011A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0011M,ONC PRST8 CA MRNA 12 GEN ALG,,,722.0,2087.87,15
CPT,0011U,RX MNTR LC-MS/MS ORAL FLUID,,,108.71,314.36,15
CPT,00120,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00124,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00126,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0012A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0012M,ONC MRNA 5 GEN RSK URTHL CA,,,722.0,2087.87,15
CPT,0013A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0013M,ONC MRNA 5 GEN RECR URTHL CA,,,722.0,2087.87,15
CPT,00140,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00142,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00144,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00145,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00147,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00148,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0014M,Outpatient Services,,,167.38,185.0,8
CPT,0015M,ADRNL CORTCL TUM BCHM ASY 25,,,1240.1,3586.11,15
CPT,00160,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00162,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00164,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0016M,ONC BLADDER MRNA 219 GEN ALG,,,3315.15,9586.71,15
CPT,0016U,ONC HMTLMF NEO RNA BCR/ABL1,,,155.76,450.43,15
CPT,00170,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00172,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00174,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0017M,ONC DLBCL MRNA 20 GENES ALG,,,2384.7,6896.05,15
CPT,0017U,ONC HMTLMF NEO JAK2 MUT DNA,,,87.08,251.81,15
CPT,0018M,TRNSPLJ RNL MEAS CD154+CLL,,,608.69,1760.21,15
CPT,0018U,ONC THYR 10 MICRORNA SEQ ALG,,,2851.99,8247.34,15
CPT,00190,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0019M,CV DS PLASMA ALYS PRTN BMRK,,,676.78,1957.11,12
CPT,0019U,ONC RNA TISS PREDICT ALG,,,3491.25,10095.96,15
CPT,00210,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00212,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00216,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00218,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0021A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0021U,ONC PRST8 DETCJ 8 AUTOANTB,,,722.0,2087.87,15
CPT,00220,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00222,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0022A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0022U,TGSAP NSM LUNG NEO DNA&RNA23,,,1852.5,5357.04,15
CPT,0023U,ONC AML DNA DETCJ/NONDETCJ,,,236.08,682.71,15
CPT,0024U,GLYCA NUC MR SPECTRSC QUAN,,,32.48,93.93,15
CPT,0025U,TENOFOVIR LIQ CHROM UR QUAN,,,85.77,314.36,15
CPT,0026U,ONC THYR DNA&MRNA 112 GENES,,,3420.0,9889.92,15
CPT,0027U,JAK2 GENE TRGT SEQ ALYS,,,115.81,334.91,15
CPT,0029U,RX METAB ADVRS TRGT SEQ ALYS,,,705.16,2039.16,15
CPT,00300,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0030U,RX METAB WARF TRGT SEQ ALYS,,,127.42,368.48,15
CPT,0031A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0031A,Outpatient Services,,,39.44,43.6,8
CPT,0031U,CYP1A2 GENE,,,166.07,480.24,15
CPT,00320,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00322,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00326,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0032U,COMT GENE,,,166.07,480.24,15
CPT,0033U,Laboratory,,,715.99,960.48,4
CPT,0033U,Outpatient Services,,,332.14,367.1,8
CPT,0033U,Outpatient Services - CPT/HCPCS,,,349.62,349.62,3
CPT,0034A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0034A,Outpatient Services,,,39.44,43.6,8
CPT,0034U,TPMT NUDT15 GENES,,,442.86,1280.66,15
CPT,00350,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00352,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0035U,NEURO CSF PRION PRTN QUAL,,,513.94,1486.21,15
CPT,0036U,XOME TUM & NML SPEC SEQ ALYS,,,4541.0,13131.62,15
CPT,0037U,TRGT GEN SEQ DNA 324 GENES,,,3325.0,9615.2,15
CPT,0038U,VITAMIN D SRM MICROSAMP QUAN,,,28.12,81.32,15
CPT,0039U,DNA ANTB 2STRAND HI AVIDITY,,,13.05,37.75,15
CPT,00400,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00402,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00404,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00406,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0040U,BCR/ABL1 GENE MAJOR BP QUAN,,,389.41,1126.08,15
CPT,00410,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0041A,Covid Codes - CPT/HCPCS,,,40.69,40.69,1
CPT,0041U,B BRGDRFERI ANTB 5 PRTN IGM,,,16.35,47.28,15
CPT,0042A,Covid Codes - CPT/HCPCS,,,40.69,40.69,1
CPT,0042T,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0042U,B BRGDRFERI ANTB 12 PRTN IGG,,,16.35,47.28,15
CPT,0043U,TBRF B GRP ANTB 4 PRTN IGM,,,14.12,40.82,15
CPT,0044A,Covid Codes - CPT/HCPCS,,,40.69,40.69,1
CPT,0044U,TBRF B GRP ANTB 4 PRTN IGG,,,14.12,40.82,15
CPT,00450,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00454,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0045U,ONC BRST DUX CARC IS 12 GENE,,,3679.35,10639.91,15
CPT,0046U,FLT3 GENE ITD VARIANTS QUAN,,,387.06,1119.29,15
CPT,00470,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00472,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0047U,ONC PRST8 MRNA 17 GENE ALG,,,3679.35,10639.91,15
CPT,0048U,ONC SLD ORG NEO DNA 468 GENE,,,2773.62,8020.73,15
CPT,0049U,NPM1 GENE ANALYSIS QUAN,,,387.06,1119.29,15
CPT,00500,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0050U,TRGT GEN SEQ DNA 194 GENES,,,2770.77,8012.48,15
CPT,0051A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0051U,RX MNTR LC-MS/MS UR/BLD 31,,,193.71,678.34,15
CPT,00520,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00522,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00528,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00529,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0052A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0052U,LPOPRTN BLD W/5 MAJ CLASSES,,,32.17,93.02,15
CPT,00530,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00532,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00534,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00537,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00539,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0053A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,00541,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00548,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0054A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0054T,BONE SRGRY CMPTR FLUOR IMAGE,,,1.0,1.0,3
CPT,0054U,RX MNTR 14+ DRUGS & SBSTS,,,148.96,545.98,15
CPT,00550,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0055T,BONE SRGRY CMPTR CT/MRI IMAG,,,1.0,1.0,3
CPT,0055U,CARD HRT TRNSPL 96 DNA SEQ,,,3078.0,8900.93,15
CPT,00563,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00566,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0058U,ONC MERKEL CLL CARC SRM QUAN,,,306.81,887.24,15
CPT,0059U,ONC MERKEL CLL CARC SRM +/-,,,306.81,887.24,15
CPT,00600,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0060U,TWN ZYG GEN SEQ ALYS CHRMS2,,,721.1,2085.26,15
CPT,0061U,TC MEAS 5 BMRK SFDI M-S ALYS,,,23.85,68.95,15
CPT,00620,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00625,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00626,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0062U,AI SLE IGG&IGM ALYS 80 BMRK,,,361.68,1045.91,15
CPT,00630,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00635,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0063U,NEURO AUTISM 32 AMINES ALG,,,712.5,2060.4,15
CPT,00640,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0064A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0064U,ANTB TP TOTAL&RPR IA QUAL,,,29.76,86.07,15
CPT,0065U,SYFLS TST NONTREPONEMAL ANTB,,,17.19,49.7,15
CPT,0066U,Laboratory,,,31.31,42.0,4
CPT,0066U,Outpatient Services,,,14.53,16.05,8
CPT,00670,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0067U,ONC BRST IMHCHEM PRFL 4 BMRK,,,1802.15,5211.44,15
CPT,0068U,CANDIDA SPECIES PNL AMP PRB,,,135.5,391.83,15
CPT,0069U,ONC CLRCT MICRORNA MIR-31-3P,,,361.0,1043.94,15
CPT,00700,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00702,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0070U,CYP2D6 GEN COM&SLCT RAR VRNT,,,642.55,1858.12,15
CPT,0071A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0071T,US LEIOMYOMATA ABLATE <200,,,1385.71,3932.21,11
CPT,0071U,CYP2D6 FULL GENE SEQUENCE,,,570.0,1648.32,15
CPT,0072A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0072T,FCSD US ABLTJ LEIOMYOM>=200,,,1385.71,3932.21,11
CPT,0072U,CYP2D6 GEN CYP2D6-2D7 HYBRID,,,428.36,1238.74,15
CPT,00730,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00731,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00732,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0073A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0073U,CYP2D6 GEN CYP2D7-2D6 HYBRID,,,428.36,1238.74,15
CPT,0074A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0074U,CYP2D6 NONDUPLICATED GENE,,,428.36,1238.74,15
CPT,00750,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00752,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00754,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00756,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0075T,SURG 0075T EXTRACRANIAL VERTEBRAL ARTERY STNT PLC INITIAL VESSEL,7803.0,6242.4,2063.89,7188.92,26
CPT,0075U,CYP2D6 5' GENE DUP/MLT,,,428.36,1238.74,15
CPT,0076T,SURG 0076T TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL,7535.0,6028.0,1993.01,13836.77,26
CPT,0076U,CYP2D6 3' GENE DUP/MLT,,,428.36,1238.74,15
CPT,00770,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0077U,IG PARAPROTEIN QUAL BLD/UR,,,41.26,119.31,15
CPT,0078U,Laboratory,,,923.42,1238.74,4
CPT,0078U,Outpatient Services,,,428.36,473.46,8
CPT,0078U,Outpatient Services - CPT/HCPCS,,,450.91,450.91,3
CPT,00790,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00797,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00800,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00802,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0080U,ONC LNG 5 CLIN RSK FACTR ALG,,,3344.0,9670.14,15
CPT,00811,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00812,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00813,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0081A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,00820,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0082A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0082U,RX TEST DEF 90+ RX/SBSTS UR,,,234.57,678.34,15
CPT,00830,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00832,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00834,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00836,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0083A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0083U,ONC RSPSE CHEMO CNTRST TOMOG,,,158.98,459.74,15
CPT,00840,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00842,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0084U,RBC DNA GNOTYP 10 BLD GROUPS,,,684.0,1977.98,15
CPT,00851,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00860,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00862,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00865,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0086U,NFCT DS BACT&FNG ORG ID 6+,,,190.0,549.44,15
CPT,00870,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00872,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00873,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0087U,CRD HRT TRNSPL MRNA 1283 GEN,,,3001.45,8679.56,15
CPT,00880,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0088U,TRNSPLJ KDN ALGRFT REJ 1494,,,3001.45,8679.56,15
CPT,0089U,ONC MLNMA PRAME & LINC00518,,,722.0,2087.87,15
CPT,00902,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00906,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0090U,ONC CUTAN MLNMA MRNA 23 GENE,,,1852.5,5357.04,15
CPT,00910,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00912,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00914,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00916,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00918,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0091A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,00920,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00921,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00922,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00924,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00926,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00928,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0092A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0092U,ONC LNG 3 PRTN BMRK PLSM ALG,,,2363.6,6835.03,15
CPT,00930,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00938,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0093A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0093U,RX MNTR 65 COM DRUGS URINE,,,59.03,170.71,15
CPT,00940,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00942,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00944,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00948,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0094A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0094U,GENOME RAPID SEQUENCE ALYS,,,7203.09,20829.82,15
CPT,00950,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,00952,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0095T,RMVL ARTIFIC DISC ADDL CRVCL,,,8260.14,23439.61,3
CPT,0095U,EE 2 PRTN BMRK MBP ELISA EST,,,733.38,2120.78,15
CPT,0096U,HPV HI RISK TYPES MALE URINE,,,33.34,96.4,15
CPT,0098T,REV ARTIFIC DISC ADDL,,,8260.14,23439.61,3
CPT,0100T,PROSTH RETINA RECEIVE&GEN,,,1035.75,2939.12,3
CPT,0101T,ESW MUSCSKEL SYS NOS,,,104.52,296.6,11
CPT,0101U,HERED COLON CA DO 15 GENES,,,1656.75,4790.98,15
CPT,0102T,ESW PHY ANES LAT HMRL EPCNDL,,,1434.68,4071.15,11
CPT,0102U,HERED BRST CA RLTD DO 17 GEN,,,1238.75,3582.21,15
CPT,0103U,HERED OVA CA PNL 24 GENES,,,1656.75,4790.98,15
CPT,0104A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0105U,NEPH CKD MULT ECLIA TUM NEC,,,902.5,2609.84,15
CPT,0106T,TOUCH QUANT SENSORY TEST,,,17.78,50.45,11
CPT,0106U,GSTR EMPTG 7 TIMED BRTH SPEC,,,830.77,2402.4,15
CPT,0107T,VIBRATE QUANT SENSORY TEST,,,17.78,50.45,11
CPT,0107U,C DIFF TOX AG DETCJ IA STOOL,,,15.2,43.96,15
CPT,0108T,COOL QUANT SENSORY TEST,,,27.11,76.93,11
CPT,0108U,GI BARRETT ESOPH 9 PRTN BMRK,,,4702.5,13598.64,15
CPT,0109T,HEAT QUANT SENSORY TEST,,,17.78,50.45,11
CPT,0109U,ID ASPERGILLUS DNA 4 SPECIES,,,135.5,391.83,15
CPT,0110T,NOS QUANT SENSORY TEST,,,56.62,160.67,11
CPT,0110U,RX MNTR 1+ORAL ONC RX&SBSTS,,,25.75,74.48,15
CPT,01112,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0111A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0111U,ONC COLON CA KRAS&NRAS ALYS,,,648.18,1874.39,15
CPT,01120,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0112A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0112U,IADI 16S&18S RRNA GENES,,,338.32,978.36,15
CPT,01130,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0113A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0113U,ONC PRST8 PCA3&TMPRSS2-ERG,,,722.0,2087.87,15
CPT,0114U,GI BARRETTS ESOPH VIM&CCNA1,,,1841.11,5324.1,15
CPT,0115U,RESPIR IADNA 18 VIRAL&2 BACT,,,261.58,756.44,15
CPT,01160,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0116U,RX MNTR NZM IA 35+ORAL FLU,,,234.57,678.34,15
CPT,01170,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01173,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0117U,PAIN MGMT 11 ENDOGENOUS ANAL,,,798.62,2309.43,15
CPT,0118U,TRNSPLJ DON-DRV CLL-FR DNA,,,2615.59,7563.73,15
CPT,0119U,CRD CERAMIDES LIQ CHROM PLSM,,,79.57,230.11,15
CPT,01200,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01202,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0120U,ONC B CLL LYMPHM MRNA 58 GEN,,,2384.7,6896.05,15
CPT,01210,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01214,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01215,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0121A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0121U,SC DIS VCAM-1 WHOLE BLOOD,,,483.74,1398.87,15
CPT,01220,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0122U,SC DIS P-SELECTIN WHL BLOOD,,,499.92,1445.66,15
CPT,01230,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0123U,MCHNL FRAGILITY RBC PRFLG,,,339.75,982.48,15
CPT,0124A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,01250,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01260,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01270,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0129U,HERED BRST CA RLTD DO PANEL,,,1238.75,3582.21,15
CPT,0130U,HERED COLON CA DO MRNA PNL,,,555.66,1606.84,15
CPT,0131U,Laboratory,,,1454.01,1950.51,4
CPT,0131U,Outpatient Services,,,674.5,745.5,8
CPT,0131U,Outpatient Services - CPT/HCPCS,,,710.0,710.0,3
CPT,01320,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0132U,Laboratory,,,1518.8,2037.43,4
CPT,0132U,Outpatient Services,,,704.56,778.72,8
CPT,0132U,Outpatient Services - CPT/HCPCS,,,741.64,741.64,3
CPT,0133U,HERED PRST8 CA RLTD DO 11,,,655.78,1896.36,15
CPT,01340,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0134A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0134U,HERED PAN CA MRNA PNL 18 GEN,,,710.97,2055.98,15
CPT,0135U,Laboratory,,,1434.68,1924.58,4
CPT,0135U,Outpatient Services,,,665.53,735.59,8
CPT,0135U,Outpatient Services - CPT/HCPCS,,,700.56,700.56,3
CPT,01360,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0136U,ATM MRNA SEQ ALYS,,,387.06,1119.29,15
CPT,0137U,PALB2 MRNA SEQ ALYS,,,268.74,777.13,15
CPT,01380,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01382,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0138U,BRCA1 BRCA2 MRNA SEQ ALYS,,,444.91,1286.6,15
CPT,01390,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01392,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01400,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01402,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0140U,NFCT DS FUNGI DNA 15 TRGT,,,148.91,430.62,15
CPT,0141U,NFCT DS BACT&FNG GRAM POS,,,148.91,430.62,15
CPT,01420,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0142U,NFCT DS BACT&FNG GRAM NEG,,,148.91,430.62,15
CPT,01430,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01432,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01440,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0144A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,01462,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01464,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01470,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01472,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01474,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01480,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01482,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01484,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01486,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01490,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01500,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0151A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,01520,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01522,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0152U,NFCT DS DNA UNTRGT NGNRJ SEQ,,,2019.89,5841.1,15
CPT,0153U,ONC BREAST MRNA 101 GENES,,,3001.45,8679.56,15
CPT,0154A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0154U,ONC URTHL CA RNA FGFR3 GENE,,,458.03,1324.54,15
CPT,0155U,ONC BRST CA DNA PIK3CA GENE,,,261.09,755.01,15
CPT,0156U,COPY NUMBER SEQUENCE ALYS,,,1653.0,4780.13,15
CPT,0157U,APC MRNA SEQ ALYS,,,268.74,777.13,15
CPT,0158U,MLH1 MRNA SEQ ALYS,,,268.74,777.13,15
CPT,0159U,MSH2 MRNA SEQ ALYS,,,268.74,777.13,15
CPT,0160U,MSH6 MRNA SEQ ALYS,,,268.74,777.13,15
CPT,01610,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0161U,PMS2 MRNA SEQ ALYS,,,268.74,777.13,15
CPT,01620,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01622,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0162U,HERED COLON CA TRGT MRNA PNL,,,462.21,1336.62,15
CPT,01630,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01638,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0163T,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,0163U,ONC CLRCT SCR 3 PRTN ALG,,,371.21,1073.47,15
CPT,0164A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0164T,REMOVE LUMB ARTIF DISC ADDL,,,8260.14,23439.61,3
CPT,0164U,GI IBS IA ANTI-CDTB&VINCULIN,,,106.42,307.74,15
CPT,01650,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0165T,REVISE LUMB ARTIF DISC ADDL,,,8260.14,23439.61,3
CPT,0165U,PEANUT ALLG ASMT EPI PRB ALL,,,440.57,1274.04,15
CPT,0166U,LIVER DS 10 BIOCHEM ASY SRM,,,478.23,1382.94,15
CPT,01670,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0167U,Outpatient Services,,,7.14,7.9,8
CPT,0167U,Outpatient Services - CPT/HCPCS,,,7.52,7.52,3
CPT,01680,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0169U,NUDT15&TPMT GENE COM VRNT,,,442.86,1280.66,15
CPT,0170U,NEURO ASD RNA NEXT GEN SEQ,,,1852.5,5357.04,15
CPT,01710,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01712,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01714,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01716,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0171A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0171U,TRGT GEN SEQ ALYS PNL DNA 23,,,1443.11,4173.16,15
CPT,0172A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0172U,ONC SLD TUM ALYS BRCA1 BRCA2,,,2878.5,8324.02,15
CPT,01730,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01732,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0173A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0173U,PSYC GEN ALYS PANEL 14 GENES,,,442.86,1280.66,15
CPT,01740,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01742,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01744,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0174A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0174T,CAD CXR WITH INTERP,,,1.0,1.0,3
CPT,0174U,ONC SOLID TUMOR 30 PRTN TRGT,,,1240.1,3586.11,15
CPT,01758,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0175T,CAD CXR REMOTE,,,1.0,1.0,3
CPT,0175U,PSYC GEN ALYS PANEL 15 GENES,,,1269.29,3670.51,15
CPT,01760,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0176U,CDTB&VINCULIN IGG ANTB IA,,,60.98,176.34,15
CPT,01770,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01772,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0177U,ONC BRST CA DNA PIK3CA 11,,,261.09,755.01,15
CPT,01780,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01782,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0178U,PEANUT ALLG ASMT EPI CLIN RX,,,436.87,1263.33,15
CPT,0179U,ONC NONSM CLL LNG CA ALYS 23,,,1846.05,5338.39,15
CPT,0180U,ABO GNOTYP ABO 7 EXONS,,,261.09,755.01,15
CPT,01810,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0181U,CO GNOTYP AQP1 EXON 1,,,175.94,508.78,15
CPT,01820,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01829,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0182U,CROM GNOTYP CD55 EXONS 1-10,,,286.28,827.87,15
CPT,01830,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01832,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0183U,DI GNOTYP SLC4A1 EXON 19,,,175.94,508.78,15
CPT,01840,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01842,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01844,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0184T,EXC RECTAL TUMOR ENDOSCOPIC,,,2526.09,7168.24,11
CPT,0184U,DO GNOTYP ART4 EXON 2,,,175.94,508.78,15
CPT,01850,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01852,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0185U,FUT1 GNOTYP FUT1 EXON 4,,,175.94,508.78,15
CPT,01860,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0186U,FUT2 GNOTYP FUT2 EXON 2,,,175.94,508.78,15
CPT,0187U,FY GNOTYP ACKR1 EXONS 1-2,,,261.09,755.01,15
CPT,0188U,GE GNOTYP GYPC EXONS 1-4,,,261.09,755.01,15
CPT,0189U,GYPA GNOTYP NTRNS 1 5 EXON 2,,,261.09,755.01,15
CPT,0190T,Outpatient Services - CPT/HCPCS,,,614.15,1742.77,3
CPT,0190U,GYPB GNOTYP NTRNS 1 5 SEUX 3,,,261.09,755.01,15
CPT,01916,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0191T,Outpatient Services - CPT/HCPCS,,,1032.9,2931.04,3
CPT,0191U,IN GNOTYP CD44 EXONS 2 3 6,,,261.09,755.01,15
CPT,01920,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01922,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01924,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01925,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01926,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0192U,JK GNOTYP SLC14A1 EXON 9,,,261.09,755.01,15
CPT,01930,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01931,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01932,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01933,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0193U,JR GNOTYP ABCG2 EXONS 2-26,,,268.74,777.13,15
CPT,0194U,KEL GNOTYP KEL EXON 8,,,175.94,508.78,15
CPT,01951,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01952,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01953,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01958,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0195T,Outpatient Services - CPT/HCPCS,,,104.52,296.6,3
CPT,0195U,KLF1 TARGETED SEQUENCING,,,356.49,1030.89,15
CPT,01960,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01961,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01962,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01963,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01965,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01966,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01967,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01968,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01969,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0196T,Outpatient Services - CPT/HCPCS,,,104.52,296.6,3
CPT,0196U,LU GNOTYP BCAM EXON 3,,,175.94,508.78,15
CPT,0197U,LW GNOTYP ICAM4 EXON 1,,,175.94,508.78,15
CPT,0198T,OCULAR BLOOD FLOW MEASURE,,,56.62,160.67,11
CPT,0198U,RHD&RHCE GNTYP RHD1-10&RHCE5,,,268.74,777.13,15
CPT,01991,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01992,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01996,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,01999,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0199U,SC GNOTYP ERMAP EXONS 4 12,,,261.09,755.01,15
CPT,0200T,SURG 0200T SACROPLASTY UNILAT INCLUD IMAG GUID BX WHEN PERF,8754.0,7003.2,2315.43,13497.09,37
CPT,0200U,XK GNOTYP XK EXONS 1-3,,,261.09,755.01,15
CPT,0201T,SURG 0201T SACROPLASTY BILAT INCLUD IMAG GUID BX WHEN PERF,10042.0,8033.6,2656.11,9037.8,34
CPT,0201U,YT GNOTYP ACHE EXON 2,,,175.94,508.78,15
CPT,0202T,POST VERT ARTHRPLST 1 LUMBAR,,,104.52,296.6,3
CPT,0202U,NFCT DS 22 TRGT SARS-COV-2,,,395.94,1144.98,16
CPT,0203U,AI IBD MRNA XPRSN PRFL 17,,,722.0,2087.87,15
CPT,0204U,Outpatient Services,,,2773.62,3065.58,8
CPT,0204U,Outpatient Services - CPT/HCPCS,,,2919.6,2919.6,3
CPT,0205U,OPH AMD ALYS 3 GENE VARIANTS,,,44.65,129.12,15
CPT,0206U,NEURO ALZHEIMER CELL AGGREGJ,,,2104.63,6086.15,15
CPT,0207T,CLEAR EYELID GLAND W/HEAT,,,56.62,160.67,11
CPT,0207U,NEURO ALZHEIMER QUAN IMAGING,,,1.0,1404.37,15
CPT,0208T,AUDIOMETRY AIR ONLY,,,17.78,50.45,13
CPT,0209T,AUDIOMETRY AIR & BONE,,,17.78,50.45,13
CPT,0209U,CYTOG CONST ALYS INTERROG,,,747.79,2162.46,15
CPT,0210T,SPEECH AUDIOMETRY THRESHOLD,,,17.78,50.45,13
CPT,0210U,SYPHILIS TST ANTB IA QUAN,,,17.7,51.18,15
CPT,0211T,SPEECH AUDIOM THRESH & RECOG,,,17.78,50.45,13
CPT,0211U,ONC PAN-TUM DNA&RNA GNRJ SEQ,,,8032.25,23227.58,15
CPT,0212T,COMPRE AUDIOMETRY EVALUATION,,,69.23,196.46,13
CPT,0212U,RARE DS GEN DNA ALYS PROBAND,,,5201.44,15041.47,15
CPT,0213T,NJX PARAVERT W/US CER/THOR,,,404.0,1719.63,16
CPT,0213U,RARE DS GEN DNA ALYS EA COMP,,,2574.45,7444.77,15
CPT,0214T,NJX PARAVERT W/US CER/THOR,,,1.0,1.5,6
CPT,0214U,RARE DS XOM DNA ALYS PROBAND,,,4963.37,14353.02,15
CPT,0215T,NJX PARAVERT W/US CER/THOR,,,1.0,1.5,6
CPT,0215U,RARE DS XOM DNA ALYS EA COMP,,,2445.92,7073.08,15
CPT,0216T,NJX PARAVERT W/US LUMB/SAC,,,404.0,1719.63,16
CPT,0216U,NEURO INH ATAXIA DNA 12 COM,,,1460.17,4222.5,15
CPT,0217T,NJX PARAVERT W/US LUMB/SAC,,,1.0,1.5,6
CPT,0217U,NEURO INH ATAXIA DNA 51 GENE,,,2088.43,6039.31,15
CPT,0218T,NJX PARAVERT W/US LUMB/SAC,,,1.0,1.5,6
CPT,0218U,NEURO MUSC DYS DMD SEQ ALYS,,,2165.05,6260.87,15
CPT,0219T,PLMT POST FACET IMPLT CERV,,,8260.14,23439.61,3
CPT,0219U,NFCT AGT HIV GNRJ SEQ ALYS,,,688.75,1991.72,15
CPT,0220T,PLMT POST FACET IMPLT THOR,,,3170.92,8998.06,3
CPT,0220U,ONC BRST CA AI ASSMT 12 FEAT,,,670.94,1940.21,15
CPT,0221T,PLMT POST FACET IMPLT LUMB,,,3170.92,8998.06,11
CPT,0221U,ABO GNOTYP NEXT GNRJ SEQ ABO,,,261.09,755.01,15
CPT,0222T,PLMT POST FACET IMPLT ADDL,,,1.0,1.0,3
CPT,0222U,RHD&RHCE GNTYP NEXT GNRJ SEQ,,,268.74,777.13,15
CPT,0223U,NFCT DS 22 TRGT SARS-COV-2,,,395.94,1144.98,16
CPT,0224U,ANTIBODY SARS-COV-2 TITER(S),,,42.13,141.29,16
CPT,0225U,NFCT DS DNA&RNA 21 SARSCOV2,,,395.94,1144.98,16
CPT,0226U,SVNT SARSCOV2 ELISA PLSM SRM,,,40.17,116.15,16
CPT,0227U,RX ASY PRSMV 30+RX/METABLT,,,59.03,170.71,15
CPT,0228T,Outpatient Services - CPT/HCPCS,,,306.51,869.79,3
CPT,0228U,ONC PRST8 MA MOLEC PRFL ALG,,,164.38,475.35,15
CPT,0229T,Outpatient Services - CPT/HCPCS,,,306.51,869.79,3
CPT,0229U,BCAT1&IKZF1 PRMTR MTHLN ALYS,,,364.8,1054.92,15
CPT,0230T,Outpatient Services - CPT/HCPCS,,,306.51,869.79,3
CPT,0230U,AR FULL SEQUENCE ANALYSIS,,,286.28,827.87,15
CPT,0231T,Outpatient Services - CPT/HCPCS,,,306.51,869.79,3
CPT,0231U,CACNA1A FULL GENE ANALYSIS,,,803.96,2324.87,15
CPT,0232T,SURG 0232T INJ PLTLT PLASMA W/IMG HARVEST/PREPARATION,669.0,535.2,176.6,602.1,34
CPT,0232T,SURG 0232T TWO INJ PLATLT RICH PLASMA,669.0,535.2,176.6,602.1,34
CPT,0232U,CSTB FULL GENE ANALYSIS,,,261.09,755.01,15
CPT,0233U,FXN GENE ANALYSIS,,,261.09,755.01,15
CPT,0234T,SURG 0234T ATHRC RENAL ART,15865.0,12692.0,4196.29,14278.5,34
CPT,0234U,MECP2 FULL GENE ANALYSIS,,,501.48,1450.16,15
CPT,0235T,SURG 0235T ATHRC VISCERAL ART,9359.0,7487.2,2475.46,8423.1,26
CPT,0235U,PTEN FULL GENE ANALYSIS,,,570.0,1648.32,15
CPT,0236T,SURG 0236T ATHRC ABD AORTA,15865.0,12692.0,4196.29,14278.5,34
CPT,0236U,SMN1&SMN2 FULL GENE ANALYSIS,,,572.57,1655.74,15
CPT,0237T,SURG 0237T ATHRC BRACHIOCEPH EA VESL,19210.0,15368.0,4876.09,17289.0,34
CPT,0237U,CAR ION CHNLPTHY GEN SEQ PNL,,,555.66,1606.84,15
CPT,0238T,SURG 0238T ATHRC ILIAC ART EA VESL,26240.0,20992.0,6940.48,23616.0,34
CPT,0238U,ONC LNCH SYN GEN DNA SEQ ALY,,,555.66,1606.84,15
CPT,0239U,TRGT GEN SEQ ALYS PNL 311+,,,3325.0,9615.2,15
CPT,0240U,Covid Codes - CPT/HCPCS,,,142.63,142.63,1
CPT,0240U,Laboratory,,,292.09,391.83,8
CPT,0240U,Outpatient Services,,,135.5,149.76,8
CPT,0240U,Outpatient Services - CPT/HCPCS,,,142.63,142.63,3
CPT,0241U,Covid Codes - CPT/HCPCS,,,142.63,142.63,1
CPT,0241U,Laboratory,,,292.09,391.83,8
CPT,0241U,Outpatient Services,,,135.5,149.76,8
CPT,0241U,Outpatient Services - CPT/HCPCS,,,142.63,142.63,3
CPT,0242U,TRGT GEN SEQ ALYS PNL 55-74,,,4750.0,13736.0,15
CPT,0243U,OB PE BIOCHEM ASSAY PGF ALG,,,61.19,176.95,15
CPT,0244U,ONC SOLID ORGN DNA 257 GENES,,,3325.0,9615.2,15
CPT,0245U,ONC THYR MUT ALYS 10 GEN&37,,,1202.77,3478.15,15
CPT,0246U,RBC DNA GNOTYP 16 BLD GROUPS,,,684.0,1977.98,15
CPT,0247U,OB PRTRM BRTH IBP4 SHBG MEAS,,,712.5,2060.4,15
CPT,0248U,ONC SPHRD CELL CUL 12 RX PNL,,,2882.17,8334.62,15
CPT,0249T,Outpatient Services - CPT/HCPCS,,,88.73,251.79,3
CPT,0249U,ONC BRST ALYS 32 PHSPRTN ALG,,,2108.17,6096.39,15
CPT,0250U,ONC SLD ORG NEO DNA 505 GENE,,,2773.62,8020.73,15
CPT,0251U,HEPCIDIN-25 ELISA SERUM/PLSM,,,16.41,47.44,15
CPT,0252U,FTL ANEUPLOIDY STR ALYS DNA,,,721.1,2085.26,15
CPT,0253T,INSERT AQUEOUS DRAIN DEVICE,,,1802.12,5113.83,11
CPT,0253U,RPRDTVE MED RNA GEN PRFL 238,,,3001.45,8679.56,15
CPT,0254T,Outpatient Services - CPT/HCPCS,,,2533.38,7188.92,3
CPT,0254U,REPRDTVE MED ALYS 24 CHRMSM,,,721.1,2085.26,15
CPT,0255U,ANDROLOGY INFERTILITY ASSMT,,,30.02,86.81,15
CPT,0256U,TMA/TMAO PRFL LCMS/MS UR ALG,,,151.95,439.41,15
CPT,0257U,VLCAD LEUK NZM ACTV WHL BLD,,,676.85,1957.3,15
CPT,0258U,AI PSOR MRNA 50-100 GEN ALG,,,3491.25,10095.96,15
CPT,0259U,NEPH CKD NUC MRS MEAS GFR,,,50.07,144.8,15
CPT,0260U,RARE DS ID OPT GENOME MAPG,,,1200.35,3471.17,15
CPT,0261U,ONC CLRCT CA IMG ALYS W/AI,,,2387.59,6904.4,15
CPT,0262U,ONC SLD TUM RT-PCR 7 GEN,,,3040.0,8791.04,15
CPT,0263T,IM B1 MRW CEL THER CMPL,,,2051.2,5820.66,11
CPT,0263U,NEURO ASD MEAS 16 C METBLT,,,712.5,2060.4,15
CPT,0264T,IM B1 MRW CEL THER XCL HRVST,,,2051.2,5820.66,11
CPT,0264U,RARE DS ID OPT GENOME MAPG,,,1200.35,3471.17,15
CPT,0265T,IM B1 MRW CEL THER HRVST ONL,,,2051.2,5820.66,11
CPT,0265U,RAR DO WHL GN&MTCDRL DNA ALS,,,5202.01,15043.12,15
CPT,0266T,Outpatient Services,,,42750.48,47250.53,8
CPT,0266T,Outpatient Services - CPT/HCPCS,,,20912.25,59342.25,3
CPT,0266U,UNXPL CNST HRTBL DO GN XPRSN,,,3040.0,8791.04,15
CPT,0267T,Outpatient Services,,,3267.06,3610.96,8
CPT,0267T,Outpatient Services - CPT/HCPCS,,,1508.11,4279.54,3
CPT,0267U,RARE DO ID OPT GEN MAPG&SEQ,,,6402.36,18514.29,15
CPT,0268T,Outpatient Services,,,28949.91,31997.27,8
CPT,0268T,Outpatient Services - CPT/HCPCS,,,13763.39,39056.09,3
CPT,0268U,HEM AHUS GEN SEQ ALYS 15 GEN,,,577.76,1670.76,15
CPT,0269T,Outpatient Services,,,6083.87,6724.27,8
CPT,0269T,Outpatient Services - CPT/HCPCS,,,2952.58,8378.47,3
CPT,0269U,HEM AUT DM CGEN TRMBCTPNA 22,,,577.76,1670.76,15
CPT,0270T,Outpatient Services,,,3267.06,3610.96,8
CPT,0270T,Outpatient Services - CPT/HCPCS,,,1508.11,4279.54,3
CPT,0270U,HEM CGEN COAGJ DO 20 GENES,,,577.76,1670.76,15
CPT,0271T,Outpatient Services,,,3267.06,3610.96,8
CPT,0271T,Outpatient Services - CPT/HCPCS,,,1508.11,4279.54,3
CPT,0271U,HEM CGEN NEUTROPENIA 24 GEN,,,577.76,1670.76,15
CPT,0272T,Outpatient Services,,,148.64,164.28,8
CPT,0272T,Outpatient Services - CPT/HCPCS,,,69.23,196.46,3
CPT,0272U,HEM GENETIC BLD DO 60 GENES,,,577.76,1670.76,15
CPT,0273T,Outpatient Services,,,148.64,164.28,8
CPT,0273T,Outpatient Services - CPT/HCPCS,,,69.23,196.46,3
CPT,0273U,HEM GEN HYPRFIBRNLYSIS 9 GEN,,,577.76,1670.76,15
CPT,0274T,PRQ LAMOT/LAM DCMPR CRV/THRC,,,3170.92,8998.06,11
CPT,0274U,HEM GEN PLTLT DO 62 GENES,,,577.76,1670.76,15
CPT,0275T,Outpatient Services,,,6786.54,7500.92,8
CPT,0275T,Outpatient Services - CPT/HCPCS,,,3170.92,8998.06,3
CPT,0275U,HEM HEPRN NDUC TRMBCTPNA SRM,,,17.45,50.47,15
CPT,0276U,HEM INH THROMBOCYTOPENIA 42,,,2326.13,6726.68,15
CPT,0277U,HEM GEN PLTLT FUNCJ DO 40,,,577.76,1670.76,15
CPT,0278T,TEMPR,,,69.23,196.46,11
CPT,0278U,HEM GEN THROMBOSIS 14 GENES,,,577.76,1670.76,15
CPT,0279U,HEM VW FACTOR&CLGN III BNDG,,,10.95,31.68,15
CPT,0280U,HEM VW FACTOR&CLGN IV BNDG,,,16.41,47.44,15
CPT,0281U,HEM VWD PROPEPTIDE AG LVL,,,16.41,47.44,15
CPT,0282U,RBC DNA GNTYP 12 BLD GRP GEN,,,684.0,1977.98,15
CPT,0283U,VW FACTOR TYPE 2B EVAL PLSM,,,17.48,50.55,15
CPT,0284U,VW FACTOR TYPE 2N EVAL PLSM,,,16.41,47.44,15
CPT,0285U,ONC DS PROG&RSPSE MNTR RADJ,,,421.14,1217.86,15
CPT,0286U,CEP72 NUDT15&TPMT GENE ALYS,,,127.42,368.48,15
CPT,0287U,ONC THYR DNA&MRNA 112 GENES,,,3420.0,9889.92,15
CPT,0288U,ONC LUNG MRNA QUAN PCR 11&3,,,3679.35,10639.91,15
CPT,0289U,NEURO ALZHEIMER MRNA 24 GEN,,,722.0,2087.87,15
CPT,0290T,Outpatient Services - CPT/HCPCS,,,1035.75,2939.12,3
CPT,0290U,PAIN MGMT MRNA GEN XPRSN 36,,,722.0,2087.87,15
CPT,0291U,PSYC MOOD DO MRNA 144 GENES,,,1667.25,4821.34,15
CPT,0292U,PSYC STRS DO MRNA 72 GENES,,,1667.25,4821.34,15
CPT,0293U,PSYC SUICIDAL IDEA MRNA 54,,,722.0,2087.87,15
CPT,0294U,LNGVTY&MRTLTY RSK MRNA 18GEN,,,722.0,2087.87,15
CPT,0295U,ONC BRST DUX CARC 7 PROTEINS,,,5163.25,14931.03,15
CPT,0296U,ONC ORL&/OROP CA 20 MLC FEAT,,,1852.5,5357.04,15
CPT,0297U,ONC PAN TUM WHL GEN SEQ DNA,,,2773.62,8020.73,15
CPT,0298U,ONC PAN TUM WHL TRNS SEQ RNA,,,2773.62,8020.73,15
CPT,0299U,ONC PAN TUM WHL GEN OPT MAPG,,,1770.06,5118.64,15
CPT,0300U,ONC PAN TUM WHL GEN SEQ&OPT,,,3973.97,11491.89,15
CPT,0301U,IADNA BARTONELLA DDPCR,,,249.58,721.74,15
CPT,0302U,IADNA BRTNLA DDPCR FLWG LIQ,,,343.3,992.76,15
CPT,0303U,HEM RBC ADS WHL BLD HYPOXIC,,,2091.54,6048.29,15
CPT,0304U,HEM RBC ADS WHL BLD NORMOXIC,,,1972.01,5702.64,15
CPT,0305U,HEM RBC FNCLTY&DFRM SHR STRS,,,629.45,1820.24,15
CPT,0306U,ONC MRD NXT-GNRJ ALYS 1ST,,,3684.53,10654.88,15
CPT,0307U,ONC MRD NXT-GNRJ ALYS SBSQ,,,754.77,2182.62,15
CPT,0308T,INSJ OCULAR TELESCOPE PROSTH,,,7689.86,32732.03,14
CPT,0308U,CRD CAD ALYS 3 PRTN 3 PARAM,,,371.21,1073.47,15
CPT,0309U,CRD CV DS ALY 4 PRTN PLM ALG,,,371.21,1073.47,15
CPT,0310U,PED VSCLTS KD ALYS 3 BMRKS,,,371.21,1073.47,15
CPT,0311U,NFCT DS BCT QUAN ANTMCRB SC,,,7.68,22.2,15
CPT,0312T,Outpatient Services - CPT/HCPCS,,,6037.75,17133.18,3
CPT,0312U,AI DS SLE ALYS 8 IGG AUTOANT,,,798.62,2309.43,15
CPT,0313T,Outpatient Services - CPT/HCPCS,,,855.78,2428.44,3
CPT,0313U,ONC PNCRS DNA&MRNA SEQ 74,,,3420.0,9889.92,15
CPT,0314T,Outpatient Services - CPT/HCPCS,,,855.78,2428.44,3
CPT,0314U,ONC CUTAN MLNMA MRNA 35 GENE,,,1852.5,5357.04,15
CPT,0315T,Outpatient Services - CPT/HCPCS,,,855.78,2428.44,3
CPT,0315U,ONC CUTAN SQ CLL CA MRNA 40,,,8075.0,23351.2,15
CPT,0316T,Outpatient Services - CPT/HCPCS,,,6037.75,17133.18,3
CPT,0316U,B BRGDRFERI LYME DS OSPA EVL,,,17.73,51.26,15
CPT,0317U,ONC LUNG CA 4-PRB FISH ASSAY,,,1928.5,5576.82,15
CPT,0318U,PED WHL GEN MTHYLTN ALYS 50+,,,1681.96,4863.86,15
CPT,0319U,NEPH RNA PRETRNSPL PERPH BLD,,,2517.5,7280.08,15
CPT,0320U,NEPH RNA PSTTRNSPL PERPH BLD,,,2517.5,7280.08,15
CPT,0321U,IADNA GU PTHGN 20BCT&FNG ORG,,,603.1,1744.03,15
CPT,0322U,NEURO ASD MEAS 14 ACYL CARN,,,712.5,2060.4,15
CPT,0323U,IADNA CNS PTHGN NEXT GEN SEQ,,,2019.89,5841.1,15
CPT,0326U,TRGT GEN SEQ ALYS PNL 83+,,,4750.0,13736.0,15
CPT,0327U,FTL ANEUPLOIDY TRSMY DNA SEQ,,,755.25,2184.02,15
CPT,0328U,DRUG ASSAY 120+ RX&METABLT,,,108.71,314.36,15
CPT,0329T,"Monitoring of intraocular pressure for 24 hours or longer, unilateral or bilateral, with interpretation and report",,,83.9,83.9,3
CPT,0329U,ONC NEO XOME&TRNS SEQ ALYS,,,3266.08,9444.82,15
CPT,0330T,"Tear film imaging, unilateral or bilateral, with interpretation and report",,,17.78,50.45,11
CPT,0330U,IADNA VAG PTHGN PANEL 27 ORG,,,395.94,1144.98,15
CPT,0331T,HEART SYMP IMAGE PLNR,,,629.38,1785.97,11
CPT,0331U,ONC HL NEO OPT GEN MAPPING,,,1770.06,5118.64,15
CPT,0332T,"Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; with tomographic SPECT",,,629.38,1785.97,11
CPT,0332U,ONC PAN TUM GEN PRFLG 8 DNA,,,1084.96,3137.47,15
CPT,0333T,VISUAL EP SCR ACUITY AUTO,,,256.9,256.9,3
CPT,0333U,ONC LVR SURVEILANC HCC CFDNA,,,629.2,1819.53,15
CPT,0334U,ONC SLD ORGN TGSA DNA 84/+,,,2919.6,9615.2,15
CPT,0335T,INSJ SINUS TARSI IMPLANT,,,3170.92,8998.06,11
CPT,0335U,RARE DS WHL GEN SEQ FETAL,,,4963.37,14353.02,15
CPT,0336U,RARE DS WHL GEN SEQ BLD/SLV,,,2445.92,7073.08,15
CPT,0337U,ONC PLSM CELL DO&MYELOMA ID,,,2313.25,6689.43,15
CPT,0338T,TRNSCTH RENAL SYMP DENRV UNL,,,2533.38,7188.92,11
CPT,0338U,ONC SLD TUM CRCG TUM CL SLCT,,,2313.25,6689.43,15
CPT,0339T,TRNSCTH RENAL SYMP DENRV BIL,,,2533.38,7188.92,11
CPT,0339U,ONC PRST8 MRNA HOXC6 & DLX1,,,722.0,2087.87,15
CPT,0340U,ONC PAN CA ALYS MRD PLASMA,,,3590.0,10769.02,15
CPT,0341U,FTL ANEUP DNA SEQ CMPR ALYS,,,1805.19,5220.23,15
CPT,0342T,Therapeutic apheresis with selective HDL delipidation and plasma reinfusion,,,2051.2,5820.66,11
CPT,0342U,ONC PNCRTC CA MULT IA ECLIA,,,852.15,2464.24,15
CPT,0343U,ONC PRST8 XOM ALY 442 SNCRNA,,,722.0,2087.87,15
CPT,0344U,HEP NAFLD SEMIQ EVL 28 LIPID,,,752.56,2176.25,15
CPT,0345T,Transcatheter mitral valve repair percutaneous approach via the coronary sinus,,,3693.75,3693.75,3
CPT,0345U,PSYC GENOM ALYS PNL 15 GEN,,,1269.29,3670.51,15
CPT,0346U,Outpatient Services,,,88.6,97.92,8
CPT,0346U,Outpatient Services - CPT/HCPCS,,,93.26,93.26,3
CPT,0347T,INS BONE DEVICE FOR RSA,,,27.11,76.93,11
CPT,0347U,RX METAB/PCX DNA 16 GEN ALYS,,,1269.29,3670.51,15
CPT,0348T,RSA SPINE EXAM,,,48.73,138.29,11
CPT,0348U,RX METAB/PCX DNA 25 GEN ALYS,,,705.16,2039.16,15
CPT,0349T,RSA UPPER EXTR EXAM,,,48.73,138.29,11
CPT,0349U,RX METAB/PCX DNA 27GEN RX IA,,,705.16,2039.16,15
CPT,0350T,RSA LOWER EXTR EXAM,,,40.28,114.29,11
CPT,0350U,RX METAB/PCX DNA 27 GEN ALYS,,,1269.29,3670.51,15
CPT,0351T,INTRAOP OCT BRST/NODE SPEC,,,1.0,1.0,3
CPT,0351U,NFCT DS BCT/VIRAL TRAIL IP10,,,247.48,715.65,15
CPT,0352T,OCT BRST/NODE I&R PER SPEC,,,148.83,148.83,3
CPT,0352U,Outpatient Services,,,135.5,149.76,8
CPT,0352U,Outpatient Services - CPT/HCPCS,,,142.63,142.63,3
CPT,0353T,INTRAOP OCT BREAST CAVITY,,,1.0,1.0,3
CPT,0353U,Outpatient Services,,,66.67,73.69,8
CPT,0353U,Outpatient Services - CPT/HCPCS,,,70.18,70.18,3
CPT,0354T,OCT BREAST SURG CAVITY I&R,,,148.83,148.83,3
CPT,0354U,Outpatient Services,,,33.34,36.84,8
CPT,0354U,Outpatient Services - CPT/HCPCS,,,35.09,35.09,3
CPT,0355T,Outpatient Services - CPT/HCPCS,,,401.78,1140.14,3
CPT,0355U,APOL1 RISK VARIANTS,,,130.15,376.37,15
CPT,0356U,ONC OROP/ANAL 17 DNA DDPCR,,,1710.0,4944.96,15
CPT,0358T,BIA WHOLE BODY,,,0.05,25.71,11
CPT,0358U,NEURO ALYS ß-AMYL 1-42&1-40,,,247.48,715.65,15
CPT,0359T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0359U,ONC PRST8 CA ALYS ALL PSA,,,722.0,2087.87,15
CPT,0360T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0360U,ONC LUNG ELISA 7 AUTOANT ALG,,,743.78,2150.87,15
CPT,0361T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0361U,Laboratory,,,238.03,319.31,4
CPT,0361U,Outpatient Services,,,110.42,122.04,8
CPT,0362T,BHV ID SUPRT ASSMT EA 15 MIN,,,12.72,36.11,11
CPT,0362U,ONC PAP THYR CA RNA 82&10,,,3420.0,9889.92,15
CPT,0363T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0363U,ONC URTHL MRNA 5 GEN ALG,,,722.0,2087.87,15
CPT,0364T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0364U,ONC HL NEO GEN SEQ ALYS ALG,,,457.0,5514.32,15
CPT,0365T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0365U,ONC BLDR 10 UR HRBR URTHL CA,,,852.15,2464.24,15
CPT,0366T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0366U,ONC BLDR 10 PRB RECR BLDR CA,,,852.15,2464.24,15
CPT,0367T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0367U,ONC BLDR 10 FLWG TRURL RESCJ,,,857.07,2478.47,15
CPT,0368T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0368U,ONC CLRCT CA MUT&MTHYLTN MRK,,,390.75,1144.98,15
CPT,0369T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0369U,Laboratory,,,853.52,1144.98,4
CPT,0369U,Outpatient Services,,,395.94,437.62,8
CPT,0369U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,3
CPT,0370T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0370U,Laboratory,,,853.52,1144.98,4
CPT,0370U,Outpatient Services,,,395.94,437.62,8
CPT,0370U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,3
CPT,0371T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0371U,IADNA GU PTHGN SEMIQ DNA16&1,,,395.94,1144.98,15
CPT,0372T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0372U,NFCT DS GU PTHGN ARG DETCJ,,,395.94,1144.98,15
CPT,0373T,ADAPT BHV TX EA 15 MIN,,,12.72,36.11,11
CPT,0373U,Laboratory,,,853.52,1144.98,4
CPT,0373U,Outpatient Services,,,395.94,437.62,8
CPT,0373U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,3
CPT,0374T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0374U,Laboratory,,,853.52,1144.98,4
CPT,0374U,Outpatient Services,,,395.94,437.62,8
CPT,0374U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,3
CPT,0375T,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,0375U,ONC OVRN BCHM ASY 7 PRTN ALG,,,852.15,2464.24,15
CPT,0376T,Outpatient Services - CPT/HCPCS,,,1032.9,2931.04,3
CPT,0376U,ONC PRST8 CA IMG ALYS 128,,,670.94,1940.21,15
CPT,0377T,Outpatient Services - CPT/HCPCS,,,523.05,1484.24,3
CPT,0377U,CV DS QUAN ADVSRM/PLSM LPRTN,,,45.2,130.71,15
CPT,0378T,VISUAL FIELD ASSMNT REV/RPRT,,,58.64,58.64,3
CPT,0378U,RFC1 REPEAT XPNSJ VRNT ALYS,,,130.15,376.37,15
CPT,0379T,VIS FIELD ASSMNT TECH SUPPT,,,17.78,50.45,13
CPT,0379U,TGSAP SL OR NEO DNA523&RNA55,,,2189.7,9034.19,15
CPT,0380U,Outpatient Services,,,395.94,437.62,8
CPT,0380U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,3
CPT,0381U,MAPLE SYRUP UR DS MNTR QUAN,,,41.91,121.21,12
CPT,0382U,HYPRPHENYLALNINMIA MNTR QUAN,,,49.06,141.87,12
CPT,0383U,TYROSINEMIA TYP I MNTR QUAN,,,49.45,142.99,12
CPT,0384U,NEPH CKD RSK HI STG KDN DS,,,712.5,2060.4,15
CPT,0385U,NEPH CKD ALG RSK DBTC KDN DS,,,371.21,1073.47,15
CPT,0387T,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,0387U,ONC MLNMA AMBRA1&AMLO,,,901.08,2605.72,15
CPT,0388T,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,0388U,ONC NONSM CLL LNG CA 37 GEN,,,1943.21,9615.2,15
CPT,0389U,PED FBRL KD IFI27&MCEMP1 RNA,,,66.69,192.85,12
CPT,0390U,OB PE KDR ENG&RBP4 IA ALG,,,61.19,176.95,15
CPT,0391U,ONC SLD TUM DNA&RNA 437 GEN,,,3420.0,9889.92,15
CPT,0392U,RX METAB GEN-RX IA 16 GENES,,,1269.29,3670.51,15
CPT,0393U,NEU PRKSN MSFL a-SYNCLN PRTN,,,513.94,1486.21,15
CPT,0394T,Outpatient Services,,,249.83,276.13,8
CPT,0394T,Outpatient Services - CPT/HCPCS,,,119.12,338.02,3
CPT,0394U,PFAS 16 PFAS COMPND LC MS/MS,,,188.8,545.98,15
CPT,0395T,HDR ELCTR NTRST/NTRCV BRCHTX,,,317.79,901.78,11
CPT,0395U,ONC LNG MULTIOMICS PLSM ALG,,,757.58,2190.75,15
CPT,0396T,Outpatient Services - CPT/HCPCS,,,712.37,2021.46,3
CPT,0396U,Outpatient Services - CPT/HCPCS,,,759.05,759.05,3
CPT,0397T,ERCP W/OPTICAL ENDOMICROSCPY,,,1.0,1.0,3
CPT,0398T,Outpatient Services - CPT/HCPCS,,,6037.75,17133.18,3
CPT,0398U,GI BARET ESPH DNA MTHYLN ALY,,,1667.25,4821.34,15
CPT,0399T,Outpatient Services - CPT/HCPCS,,,108.61,308.19,3
CPT,0399U,NEURO CERE FOLATE DEFNCY SRM,,,285.0,824.16,12
CPT,0400U,OB XPND CAR SCR 145 GENES,,,979.42,4002.34,15
CPT,0401U,CRD C HRT DS 9 GEN 12 VRNTS,,,465.2,1345.25,15
CPT,0402T,COLGN CRS-LINK CRN&PACHYMTRY,,,1035.75,2939.12,13
CPT,0402U,NFCT AGT STI MULT AMP PRB TQ,,,135.5,391.83,15
CPT,0403T,DIABETES PREV STANDARD CURR,,,13.62,13.62,3
CPT,0403U,ONC PRST8 MRNA 18 GEN 1ST UR,,,722.0,2087.87,15
CPT,0404T,Outpatient Services - CPT/HCPCS,,,2204.61,6255.96,3
CPT,0404U,ONC BRST SEMIQ MEAS THYM KN,,,306.81,887.24,15
CPT,0405U,ONC PNCRTC 59 MTHLTN BLK MRK,,,1681.96,4863.86,15
CPT,0406T,Outpatient Services - CPT/HCPCS,,,180.99,513.58,3
CPT,0406U,ONC LUNG FLOW CYTMTRY 5 MRK,,,722.0,2087.87,15
CPT,0407T,Outpatient Services - CPT/HCPCS,,,180.99,513.58,3
CPT,0407U,NEPH DBTC CKD MULT ECLIA ALG,,,902.5,2609.84,15
CPT,0408T,INSJ/RPLC CARDIAC MODULJ SYS,,,14582.0,41379.02,11
CPT,0408U,IAAD BLK AC WV BSNSR SARSCV2,,,13.42,38.82,12
CPT,0409T,INSJ/RPLC CAR MODULJ PLS GN,,,10447.66,29647.1,11
CPT,0409U,ONC SLD TUM DNA 80 & RNA 36,,,2773.62,8020.73,15
CPT,0410T,INSJ/RPLC CAR MODULJ ATR ELT,,,3765.57,10685.48,11
CPT,0410U,ONC PNCRTC DNA WHL GN SEQ 5-,,,1102.0,3186.75,15
CPT,0411T,INSJ/RPLC CAR MODULJ VNT ELT,,,3765.57,10685.48,11
CPT,0411U,PSYC GENOM ALYS PNL 15 GEN,,,1269.29,3670.51,15
CPT,0412T,RMVL CARDIAC MODULJ PLS GEN,,,1740.59,4939.22,11
CPT,0412U,BETA AMYLOID Aß42/40 IMPRCIP,,,712.5,2060.4,12
CPT,0413T,RMVL CAR MODULJ TRANVNS ELT,,,1740.59,4939.22,11
CPT,0413U,ONC HL NEO OPT GEN MAPG DNA,,,1200.35,3471.17,15
CPT,0414T,RMVL & RPL CAR MODULJ PLS GN,,,10447.66,29647.1,11
CPT,0414U,ONC LNG AUG ALG ALY WHL SLD8,,,670.94,1940.21,15
CPT,0415T,REPOS CAR MODULJ TRANVNS ELT,,,278.44,790.13,11
CPT,0415U,CV DS ACS BLD ALG 5 YR SCORE,,,371.21,1073.47,15
CPT,0416T,RELOC SKIN POCKET PLS GEN,,,808.29,2293.66,11
CPT,0416U,Outpatient Services,,,395.94,437.62,8
CPT,0416U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,3
CPT,0417T,PRGRMG EVAL CARDIAC MODULJ,,,16.72,47.45,11
CPT,0417U,RARE DS ALYS 335 NUC GENES,,,2700.4,7809.0,15
CPT,0418T,INTERRO EVAL CARDIAC MODULJ,,,16.72,47.45,11
CPT,0418U,ONC BRST AUG ALG ALY WHL SL8,,,670.94,1940.21,15
CPT,0419T,DSTRJ NEUROFIBROMA XTNSV,,,278.37,789.93,11
CPT,0419U,NRPSYC GEN SEQ VRNT ALY 13,,,1269.29,3670.51,15
CPT,0420T,DSTRJ NEUROFIBROMA XTNSV,,,278.37,789.93,11
CPT,0420U,ONC URTHL MRNA XPRSN 6 SNP,,,570.0,570.0,3
CPT,0421T,Outpatient Services,,,8784.79,9709.51,8
CPT,0421T,Outpatient Services - CPT/HCPCS,,,4083.21,11586.83,3
CPT,0421U,ONC CLRCT SCR SGL AMP 8 RNA,,,483.43,1397.97,15
CPT,0422T,TACTILE BREAST IMG UNI/BI,,,40.28,114.29,11
CPT,0422U,ONC PAN SOLID TUM ALYS DNA,,,3920.0,3920.0,3
CPT,0423U,PSYC GENOMIC ALYS PNL 26 GEN,,,237.5,1144.98,15
CPT,0424T,Outpatient Services - CPT/HCPCS,,,6037.75,17133.18,3
CPT,0424U,ONC PRST8 XOM ALYS 53 SNCRNA,,,369.21,2087.87,15
CPT,0425T,Outpatient Services - CPT/HCPCS,,,3031.34,8601.97,3
CPT,0425U,GENOM RPD SEQ ALYS EA CMPRTR,,,2709.95,2709.95,3
CPT,0426T,Outpatient Services - CPT/HCPCS,,,3031.34,8601.97,3
CPT,0426U,GENOME ULTRA-RAPID SEQ ALYS,,,5031.2,5031.2,3
CPT,0427T,Outpatient Services - CPT/HCPCS,,,6037.75,17133.18,3
CPT,0427U,MONOCYTE DSTRBJ WDTH WHL BLD,,,4.26,12.31,12
CPT,0428T,Outpatient Services - CPT/HCPCS,,,855.78,2428.44,3
CPT,0428U,Outpatient Services - CPT/HCPCS,,,1399.63,1399.63,3
CPT,0429T,Outpatient Services - CPT/HCPCS,,,855.78,2428.44,3
CPT,0429U,HPV OROP SWAB 14 HI-RISK TYP,,,33.34,96.4,12
CPT,0430T,Outpatient Services - CPT/HCPCS,,,855.78,2428.44,3
CPT,0430U,GI MALABS AAT CALPRO PNCRTC,,,58.46,169.06,12
CPT,0431T,Outpatient Services - CPT/HCPCS,,,6037.75,17133.18,3
CPT,0431U,GLY RCPTR ALPHA1 IGG SRM/CSF,,,34.74,100.47,12
CPT,0432T,Outpatient Services - CPT/HCPCS,,,855.78,2428.44,3
CPT,0432U,KLHL11 ANTB SR/CSF ASY QUAL,,,34.74,100.47,12
CPT,0433T,Outpatient Services - CPT/HCPCS,,,855.78,2428.44,3
CPT,0433U,ONC PRST8 5 DNA REG MRK PCR,,,369.21,2087.87,15
CPT,0434U,RX METAB ADVRS VRNT ALYS 25,,,237.5,1144.98,15
CPT,0435U,ONC CHEMO RX CYTOX CSC 14 RX,,,1305.37,8334.62,15
CPT,0436U,ONC LNG PLSM ALYS 388 PRTN,,,570.0,570.0,3
CPT,0437T,IMPLTJ SYNTH RNFCMT ABDL WAL,,,1.0,1.0,3
CPT,0437U,PSYC ANXIETY DO MRNA 15 BMRK,,,722.0,2087.87,15
CPT,0438U,RX METAB ADVRS VRNT ALYS 33,,,237.5,1144.98,15
CPT,0439T,MYOCRD CONTRAST PRFUJ ECHO,,,1.0,1.0,3
CPT,0440T,SURG 0440T SURG CRYOABLATION UPPER EXT DISTAL PERIPH NERVE W IMAGING,16536.0,13228.8,855.78,14882.4,34
CPT,0441T,SURG 0441T SURG CRYOABLATION LOWER EXT DISTAL PERIPH NERVE W IMAGING,5500.0,4400.0,855.78,4950.0,34
CPT,0442T,SURG 0442T SURG CRYOABLATION PLEXUS TRUNCAL NERVE W IMAGING,16207.0,12965.6,2952.58,14586.3,34
CPT,0442U,NFCT DS RESPIR NFCTJ MXA&CRP,,,39.31,113.68,12
CPT,0443T,R-T SPCTRL ALYS PRST8 TISS,,,1.0,1.0,3
CPT,0444T,1ST PLMT DRUG ELUT OC INS,,,1.0,1.0,3
CPT,0444U,ONC SLD ORGN NEO TGSAP 361,,,2773.62,8020.73,12
CPT,0445T,SBSQT PLMT DRUG ELUT OC INS,,,1.0,1.0,3
CPT,0445U,ABETA42 & PTAU181 ECLIA CSF,,,247.48,715.65,12
CPT,0446T,INSJ IMPLTBL GLUCOSE SENSOR,,,55.92,3413.03,15
CPT,0446U,AI DS SLE ALYS 10 CYTOKINE,,,798.62,2309.43,12
CPT,0447T,RMVL IMPLTBL GLUCOSE SENSOR,,,65.58,251.79,15
CPT,0447U,AI DS SLE ALYS 11 CYTOKINE,,,798.62,2309.43,12
CPT,0448T,REMVL INSJ IMPLTBL GLUC SENS,,,93.2,3413.03,15
CPT,0449T,INSJ AQUEOUS DRAIN DEV 1ST,,,2316.58,6573.7,11
CPT,0449U,CAR SCR SEV INH COND 5 GENES,,,1733.64,5013.31,12
CPT,0450T,INSJ AQUEOUS DRAIN DEV EACH,,,1.0,1.0,3
CPT,0450U,Laboratory,,,88.94,119.31,4
CPT,0450U,Outpatient Services,,,41.26,45.6,8
CPT,0451U,Laboratory,,,88.94,119.31,4
CPT,0451U,Outpatient Services,,,41.26,45.6,8
CPT,0452U,ONC BLDR MTHYL PENK LTE-QMSP,,,182.4,527.46,12
CPT,0453T,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,0453U,ONC CLRCT CA CFDNA QPCR ASY,,,182.4,527.46,12
CPT,0454T,Outpatient Services - CPT/HCPCS,,,278.44,790.13,3
CPT,0454U,RARE DS ID OPT GENOME MAPG,,,1200.35,3471.17,12
CPT,0455U,NFCT AGT STI MULT AMP PRB UR,,,135.5,391.83,12
CPT,0457T,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,0457U,PFAS 9 CMPND LC-MS/MS PLS/SR,,,188.8,545.98,12
CPT,0458T,Outpatient Services - CPT/HCPCS,,,278.44,790.13,3
CPT,0458U,ONC BRST CA S100 A8&A9 ELISA,,,247.48,715.65,12
CPT,0459U,ABETA42 & TTAU ECLIA CSF,,,247.48,715.65,12
CPT,0460T,Outpatient Services - CPT/HCPCS,,,278.44,790.13,3
CPT,0462U,MELATONIN LVL TST SLP STD7/9,,,16.41,47.44,12
CPT,0464T,VISUAL EP TEST FOR GLAUCOMA,,,69.23,196.46,11
CPT,0464U,ONC CLRCT SCR QRTSA DNA MRK,,,562.32,1626.12,12
CPT,0465U,ONC URTHL CARC DNA QMSP 2GEN,,,1841.11,5324.1,12
CPT,0466T,Outpatient Services - CPT/HCPCS,,,6037.75,17133.18,3
CPT,0467T,Outpatient Services - CPT/HCPCS,,,855.78,2428.44,3
CPT,0467U,ONC BLDR DNA NGS 60GEN&ANEUP,,,1443.11,4173.16,12
CPT,0468T,Outpatient Services - CPT/HCPCS,,,855.78,2428.44,3
CPT,0468U,HEP NASH MIR-34A5P A2M YKL40,,,239.12,691.47,12
CPT,0469T,RTA POLARIZE SCAN OC SCR BI,,,72.44,72.44,3
CPT,0469U,RARE DS WHL GEN SEQ FTL SAMP,,,1138.04,3290.98,12
CPT,0471U,ONC CLRC CA 35 VRN KRAS&NRAS,,,722.0,2087.87,12
CPT,0472T,PRGRMG IO RTA ELTRD RA,,,132.39,375.67,11
CPT,0473T,REPRGRMG IO RTA ELTRD RA,,,42.91,121.76,11
CPT,0473U,ONC SLD TUM BLD/SLV 648 GENE,,,4275.0,12362.4,12
CPT,0474T,INSJ AQUEOUS DRG DEV IO RSVR,,,1032.9,2931.04,3
CPT,0474U,HERED PAN CA GSAP 88GENE NGS,,,1238.75,3582.21,12
CPT,0475U,HERED PRST8 CA GSAP 23 GENES,,,1238.75,3582.21,12
CPT,0476U,RX METAB PSYC 14GEN&CYP2D6,,,395.94,1144.98,12
CPT,0477U,RX METAB PSY 14&CYP2D6 GN-RX,,,395.94,1144.98,12
CPT,0479T,FXJL ABL LSR 1ST 100 SQ CM,,,278.37,789.93,13
CPT,0479U,TAU PHOSPHORYLATED PTAU217,,,16.41,47.44,12
CPT,0480T,FXJL ABL LSR EA ADDL 100SQCM,,,1.0,1.0,3
CPT,0480U,NFCT DS CSF METAG NGS ALYS,,,2019.89,5841.1,12
CPT,0481T,NJX AUTOL WBC CONCENTRATE,,,176.6,501.13,11
CPT,0481U,IDH1 IDH2&TERT PROMOTER NGS,,,640.53,1852.27,12
CPT,0482T,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,0482U,OB PE BIOCHEM ASY SFLT1&PLGF,,,122.38,353.89,12
CPT,0483T,SURG 0483T TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH,25317.0,20253.6,4531.17,22785.3,26
CPT,0484T,TMVI TRANSTHORACIC EXPOSURE,,,4531.17,12858.0,3
CPT,0485T,OCT MID EAR I&R UNILATERAL,,,17.78,75.68,14
CPT,0486T,OCT MID EAR I&R BILATERAL,,,17.78,50.45,11
CPT,0487U,ONC SOL TUM CFCDNA TGSAP 84,,,2773.62,8020.73,12
CPT,0488T,DIABETES PREV ONLINE/ELEC,,,44.0,44.0,3
CPT,0488U,OB FETAL AG NIPT CFDNA ALYS,,,721.1,2085.26,12
CPT,0489T,REGN CELL TX SCLDR HANDS,,,176.6,501.13,3
CPT,0490T,REGN CELL TX SCLDR H MLT INJ,,,176.6,501.13,3
CPT,0490U,ONC CUTAN/UVEAL MLNMA CD146,,,2313.25,6689.43,12
CPT,0491T,Outpatient Services - CPT/HCPCS,,,34.22,97.11,3
CPT,0491U,ONC SOL TUM CTC SLCT ER PRTN,,,2313.25,6689.43,12
CPT,0492T,Outpatient Services - CPT/HCPCS,,,34.22,97.11,3
CPT,0492U,ONC SOL TUM CTC SLCTN PD-L1,,,2313.25,6689.43,12
CPT,0493U,TRNSPL MED QUAN DD-CFDNA NGS,,,2615.59,7563.73,12
CPT,0494T,PREP & CANNULJ CDVR DON LUNG,,,1485.0,1485.0,3
CPT,0494U,RBC AG FTL RHD GENE ALYS NGS,,,721.1,2085.26,12
CPT,0495T,MNTR CDVR DON LNG 1ST 2 HRS,,,879.25,879.25,3
CPT,0495U,ONC PRST8 ALYS CRCG PLSM PRT,,,722.0,2087.87,12
CPT,0496T,MNTR CDVR DON LNG EA ADDL HR,,,439.63,439.63,3
CPT,0497U,ONC PRST8 MRNA RT-PCR 6GENES,,,3679.35,10639.91,12
CPT,0499T,Outpatient Services - CPT/HCPCS,,,302.78,859.19,3
CPT,0499U,ONC CLRCT&LNG DNA NGS 8GENES,,,568.01,1642.58,12
CPT,0500T,Outpatient Services - CPT/HCPCS,,,52.95,52.95,3
CPT,0500U,AUTOINFLAM DS VEXAS SYND DNA,,,166.63,481.86,12
CPT,0502U,HPV E6/E7 MRK HI-RSK TYP CRV,,,33.34,96.4,12
CPT,0503U,NEURO ALZ DS ßAMYL&TAU PRTN,,,712.5,2060.4,12
CPT,0504U,NFCT DS UTI ID 17 PATH ORGS,,,395.94,1144.98,12
CPT,0505T,EV FEMPOP ARTL REVSC,,,4876.09,13836.77,11
CPT,0505U,NFCT DS VAG INFCTJ ID 32ORGS,,,645.78,1867.46,12
CPT,0506T,MAC PGMT OPT DNS MEAS HFP,,,27.11,76.93,11
CPT,0506U,GI BARRETTS ESOPHGL CELL 89,,,1841.11,5324.1,12
CPT,0507T,NEAR IFR 2IMG MIBMN GLND I&R,,,27.11,76.93,11
CPT,0507U,ONC OVR DNA WHOLE GEN W/5HMC,,,1102.0,3186.75,12
CPT,0509T,PATTERN ERG W/I&R,,,75.9,394.78,15
CPT,0510T,RMVL SINUS TARSI IMPLANT,,,1434.68,6106.72,16
CPT,0511T,RMVL&RINSJ SINUS TARSI IMPLT,,,3170.92,13497.09,16
CPT,0511U,ONC SOL TUM 3DMICROENVIR 36+,,,2882.17,8334.62,12
CPT,0512T,ESW INTEG WND HLG 1ST WND,,,88.73,251.79,13
CPT,0512U,ONC PRST8 ALYS DGTZ IMG MSI,,,670.94,1940.21,12
CPT,0513T,ESW INTEG WND HLG EA ADDL,,,1.0,1.0,3
CPT,0513U,ONC PRST8 ALG ALYS MSI&HRD,,,670.94,1940.21,12
CPT,0514U,GI IBD IA QUAN DETER ADL LVL,,,36.64,105.96,12
CPT,0515T,INSJ WCS LV COMPL SYS,,,10447.66,29647.1,11
CPT,0515U,GI IBD IA QUAN DETER IFX LVL,,,36.64,105.96,12
CPT,0516T,INSJ WCS LV ELTRD ONLY,,,4732.97,13430.65,11
CPT,0516U,RX METAB RXGENOMIC GNOTYP 40,,,395.94,1144.98,12
CPT,0517T,INSJ WCS LV BOTH COMPNT PG,,,4732.97,13430.65,11
CPT,0517U,THER RX MNTR 80+ PSYACTIV RX,,,234.57,678.34,12
CPT,0518T,RMVL PG WCS LV BATTERY ONLY,,,1740.59,4939.22,11
CPT,0518U,THER RX MNTR 90+ PN&MTL HLTH,,,234.57,678.34,12
CPT,0519T,RMV&RPLCMT PG WCS LV BOTH,,,4732.97,13430.65,11
CPT,0519U,THER RX MNTR MEDS P/D/A 110+,,,234.57,678.34,12
CPT,0520T,RMV&RPLCMT PG WCS LV BATTERY,,,4732.97,13430.65,11
CPT,0520U,THER RX MNTR 200+ RX/SBSTS,,,234.57,678.34,12
CPT,0521T,INTERROG DEV EVAL WCS IP,,,13.2,37.46,11
CPT,0522T,PRGRMG DEV EVAL WCS IP,,,16.72,47.45,11
CPT,0523T,INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING,5726.0,4580.8,1.0,5153.4,26
CPT,0524T,EV CATH DIR CHEM ABLTJ W/IMG,,,1412.81,6013.64,14
CPT,0525T,INSJ/RPLCMT COMPL IIMS,,,4732.97,20024.72,11
CPT,0526T,INSJ/RPLCMT IIMS ELTRD ONLY,,,3765.57,10685.48,11
CPT,0527T,INSJ/RPLCMT IIMS IMPLT MNTR,,,3765.57,10685.48,11
CPT,0528T,PRGRMG DEV EVAL IIMS IP,,,16.72,47.45,11
CPT,0529T,INTERROG DEV EVAL IIMS IP,,,16.72,47.45,11
CPT,0530T,REMOVAL COMPLETE IIMS,,,1740.59,4939.22,11
CPT,0531T,REMOVAL IIMS ELECTRODE ONLY,,,1740.59,4939.22,11
CPT,0532T,REMOVAL IIMS IMPLT MNTR ONLY,,,1740.59,4939.22,11
CPT,0537T,Outpatient Services - CPT/HCPCS,,,234.56,234.56,3
CPT,0537U,ONC CLRCT CA CFDNA >2500 DMR,,,1420.25,1569.75,8
CPT,0540T,Outpatient Services - CPT/HCPCS,,,150.11,425.97,3
CPT,0541T,MYOCARDIAL IMAGING MCG,,,237.56,674.12,11
CPT,0542T,MYOCARDIAL IMAGING MCG I&R,,,40.28,114.29,3
CPT,0543T,TA MV RPR W/ARTIF CHORD TEND,,,4531.17,12858.0,3
CPT,0544T,TCAT MV ANNULUS RCNSTJ,,,4531.17,12858.0,3
CPT,0545T,TCAT TV ANNULUS RCNSTJ,,,4531.17,12858.0,3
CPT,0546T,RF SPECTRSC NTRAOP MRGN ASMT,,,1.0,1.0,3
CPT,0548T,Outpatient Services - CPT/HCPCS,,,2293.45,6508.07,3
CPT,0549T,Outpatient Services - CPT/HCPCS,,,302.78,859.19,3
CPT,0550T,Outpatient Services - CPT/HCPCS,,,302.78,859.19,3
CPT,0551T,Outpatient Services - CPT/HCPCS,,,27.11,76.93,3
CPT,0553T,Outpatient Services - CPT/HCPCS,,,4876.09,13836.77,3
CPT,0555T,B1 STR&FX RSK TRANSMIS DATA,,,13.2,37.46,11
CPT,0556T,B1 STR & FX RSK ASSESSMENT,,,108.61,308.19,11
CPT,0558T,CT SCAN F/BIOMCHN CT ALYS,,,40.28,114.29,11
CPT,0559T,ANTMC MDL 3D PRINT 1ST CMPNT,,,27.11,76.93,13
CPT,0560T,ANTMC MDL 3D PRINT EA ADDL,,,1.0,1.0,3
CPT,0561T,ANTMC GUIDE 3D PRINT 1ST GD,,,27.11,76.93,11
CPT,0562T,ANTMC GUIDE 3D PRINT EA ADDL,,,1.0,1.0,3
CPT,0563T,EVAC MEIBOMIAN GLND HEAT BI,,,27.11,76.93,11
CPT,0564T,Outpatient Services - CPT/HCPCS,,,24.02,68.15,3
CPT,0566T,AUTOL CELL IMPLT ADPS NJX,,,131.28,372.52,3
CPT,0567T,Outpatient Services - CPT/HCPCS,,,1385.71,3932.21,3
CPT,0569T,TTVR PERQ APPR 1ST PROSTH,,,4531.17,12858.0,3
CPT,0570T,TTVR PERQ EA ADDL PROSTH,,,4531.17,12858.0,3
CPT,0571T,INSJ/RPLCMT ICDS SS ELTRD,,,14582.0,41379.02,11
CPT,0572T,INSERTION SS DFB ELECTRODE,,,3765.57,10685.48,11
CPT,0573T,REMOVAL SS DFB ELECTRODE,,,1740.59,4939.22,11
CPT,0574T,REPOS PREV SS IMPL DFB ELTRD,,,1740.59,4939.22,11
CPT,0575T,PRGRMG DEV EVAL ICDS SS IP,,,16.72,47.45,11
CPT,0576T,INTERROG DEV EVAL ICDS SS IP,,,16.72,47.45,11
CPT,0577T,EPHYS EVAL ICDS SS,,,527.51,1496.9,11
CPT,0579T,REM INTERROG DEV ICDS TECH,,,16.72,47.45,11
CPT,0580T,RMVL SS IMPL DFB PG ONLY,,,1740.59,4939.22,11
CPT,0581T,ABLTJ MAL BRST TUM PERQ CRTX,,,1689.49,4794.22,11
CPT,0582T,TRURL ABLTJ MAL PRST8 TISS,,,1545.18,4384.72,3
CPT,0583T,TMPST AUTO TUBE DLVR SYS,,,675.95,1918.13,11
CPT,0584T,PERQ ISLET CELL TRANSPLANT,,,2557.45,7257.21,3
CPT,0585T,LAPS ISLET CELL TRANSPLANT,,,2557.45,7257.21,3
CPT,0586T,OPEN ISLET CELL TRANSPLANT,,,2557.45,7257.21,3
CPT,0587T,PERQ IMPLTJ/RPLCMT ISDNS PTN,,,3031.34,8601.97,11
CPT,0588T,REVISION/REMOVAL ISDNS PTN,,,1508.11,4279.54,11
CPT,0589T,ELEC ALYS SMPL PRGRMG IINS,,,42.91,121.76,11
CPT,0590T,ELEC ALYS CPLX PRGRMG IINS,,,42.91,121.76,11
CPT,0591T,HLTH&WB COACHING INDIV 1ST,,,47.55,47.55,3
CPT,0592T,HLTH&WB COACHING INDIV F-UP,,,47.55,47.55,3
CPT,0593T,HLTH&WB COACHING GROUP,,,23.47,23.47,3
CPT,0594T,OSTEOT HUM XTRNL LNGTH DEV,,,3170.92,8998.06,11
CPT,0596T,TEMP FML IU VLV-PMP 1ST INSJ,,,302.78,859.19,11
CPT,0597T,TEMP FML IU VALVE-PMP RPLCMT,,,302.78,859.19,11
CPT,0598T,R-T FLUOR WOUND IMG 1ST SITE,,,139.12,394.78,13
CPT,0599T,R-T FLUOR WOUND IMG EA ADDL,,,1.0,1.0,3
CPT,0600T,ABLT IRE 1+ O/T LV/PRST8 PRQ,,,4562.52,12946.98,11
CPT,0601T,ABLTJ IRE 1+TUMORS OPEN,,,4562.52,12946.98,11
CPT,0604T,REM OCT RTA DEV SETUP&EDUCAJ,,,58.59,166.26,3
CPT,0605T,REM OCT RTA TECHL SPRT MIN 8,,,16.72,47.45,3
CPT,0609T,MRS DISC PAIN ACQUISJ DATA,,,108.61,308.19,11
CPT,0610T,MRS DISC PAIN TRANSMIS DATA,,,1.0,1.0,3
CPT,0611T,MRS DISC PAIN ALG ALYS DATA,,,108.61,308.19,11
CPT,0613T,PERQ TCAT INTRATRL SEPTL SHT,,,4531.17,12858.0,3
CPT,0614T,RMVL&RPLCMT SS IMPL DFB PG,,,10447.66,29647.1,11
CPT,0615T,AUTO ALYS BINOCULAR EYE MVMT,,,56.62,160.67,11
CPT,0616T,Outpatient Services - CPT/HCPCS,,,7689.86,21821.35,3
CPT,0617T,Outpatient Services - CPT/HCPCS,,,7689.86,21821.35,3
CPT,0618T,Outpatient Services - CPT/HCPCS,,,7689.86,21821.35,3
CPT,0619T,Outpatient Services,,,8784.79,9709.51,8
CPT,0619T,Outpatient Services - CPT/HCPCS,,,4083.21,11586.83,3
CPT,0620T,SURG 0620T ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN,37040.0,29632.0,9797.08,54397.45,37
CPT,0621T,TRABECULOSTOMY INTERNO LASER,,,257.64,4224.0,14
CPT,0622T,TRABECULOSTOMY INT LSR W/SCP,,,257.64,1096.63,6
CPT,0624T,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,0625T,Outpatient Services,,,902.98,998.03,8
CPT,0625T,Outpatient Services - CPT/HCPCS,,,441.71,1253.43,3
CPT,0627T,PERQ NJX ALGC FLUOR LMBR 1ST,,,5833.46,16553.5,11
CPT,0628T,PERQ NJX ALGC FLUOR LMBR EA,,,1.0,1.0,3
CPT,0629T,PERQ NJX ALGC CT LMBR 1ST,,,5833.46,16553.5,11
CPT,0630T,PERQ NJX ALGC CT LMBR EA,,,1.0,1.0,3
CPT,0631T,Outpatient Services,,,23.27,25.71,8
CPT,0631T,Outpatient Services - CPT/HCPCS,,,13.2,37.46,3
CPT,0632T,PERQ TCAT US ABLTJ NRV P-ART,,,7772.16,22054.9,11
CPT,0633T,CT BREAST W/3D UNI C-,,,48.73,138.29,11
CPT,0634T,CT BREAST W/3D UNI C+,,,81.44,231.09,11
CPT,0635T,CT BREAST W/3D UNI C-/C+,,,81.44,231.09,11
CPT,0636T,CT BREAST W/3D BI C-,,,108.61,308.19,11
CPT,0637T,CT BREAST W/3D BI C+,,,170.46,483.7,11
CPT,0638T,CT BREAST W/3D BI C-/C+,,,170.46,483.7,11
CPT,0640T,NCNTC IFR SPCTRSC O/T PAD 1,,,17.78,50.45,11
CPT,0643T,TCAT L VENTR RSTRJ DEV IMPLT,,,4531.17,12858.0,3
CPT,0644T,TRANSCATH REM DEBULK INTERCARD MASS VIA SUCTION DEVICE,6739.0,5391.2,1782.47,7188.92,34
CPT,0645T,TCAT IMPLTJ C SINS RDCTJ DEV,,,7772.16,22054.9,11
CPT,0646T,SURG 0646T TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH,29023.0,23218.4,4531.17,26120.7,26
CPT,0647T,INSJ GTUBE PERQ MAG GASTRPXY,,,843.4,2393.29,11
CPT,0648T,QUAN MR TIS WO MRI 1ORGN,,,441.71,1253.43,11
CPT,0649T,QUAN MR ALYS TISS COMPOSITION W MRI SINGLE ORGAN,1114.0,891.2,294.65,1253.43,34
CPT,0650T,PRGRMG DEV EVAL SCRMS REMOTE,,,16.72,47.45,11
CPT,0651T,MAG CTRLD CAPSULE ENDOSCOPY,,,401.78,1140.14,11
CPT,0652T,EGD FLX TRANSNASAL DX BR/WA,,,843.4,2393.29,11
CPT,0653T,EGD FLX TRANSNASAL BX 1/MLT,,,843.4,2393.29,11
CPT,0654T,EGD FLX TRANSNASAL TUBE/CATH,,,1697.48,4816.89,11
CPT,0655T,TPRNL FOCAL ABLTJ MAL PRST8,,,1545.18,5337.8,11
CPT,0656T,ANT LMBR VRT BDY TETH <7 SEG,,,8260.14,23439.61,3
CPT,0657T,ANT LMBR VRT BDY TETH 8+ SEG,,,8260.14,23439.61,3
CPT,0658T,ELEC IMPD SPECTRSC 1+SKN LES,,,27.11,76.93,11
CPT,0659T,TCAT INTRA-C NFS SUPERSAT O2,,,2533.38,7188.92,3
CPT,0660T,IMPLT ANT SGM IO NBIO RX SYS,,,129.12,4224.0,14
CPT,0661T,RMVL&RIMPLTJ ANT SGM IMPLT,,,129.12,4224.0,14
CPT,0662T,Outpatient Services,,,1662.98,1838.03,8
CPT,0662T,Outpatient Services - CPT/HCPCS,,,581.12,1649.04,3
CPT,0665T,DON HYSTERECTOMY OPEN LIV,,,1385.71,3932.21,3
CPT,0666T,DON HYSTERECTOMY LAPS LIV,,,1385.71,3932.21,3
CPT,0671T,INSJ ANT SGM AQ DRG DEV 1+,,,2316.58,9860.55,14
CPT,0673T,ABLTJ B9 THYR NDUL PERQ LASR,,,718.61,2039.17,11
CPT,0674T,LAPS INSJ NW/RPCMT PRM ISDSS,,,3031.34,31997.27,11
CPT,0675T,LAPS INSJ NW/RPCMT ISDSS 1LD,,,855.78,13093.83,11
CPT,0676T,LAPS INSJ NW/RPCMT ISDSS EA,,,855.78,2428.44,3
CPT,0677T,LAPS REPOS LEAD ISDSS 1ST LD,,,855.78,10931.78,11
CPT,0678T,LAPS REPOS LEAD ISDSS EA ADD,,,855.78,2428.44,3
CPT,0679T,LAPS RMVL LEAD ISDSS,,,855.78,10931.78,11
CPT,0680T,INSJ/RPLCMT PG ONLY ISDSS,,,3031.34,22516.61,11
CPT,0681T,RLCJ PULSE GEN ONLY ISDSS,,,855.78,3610.96,11
CPT,0682T,REMOVAL PULSE GEN ONLY ISDSS,,,855.78,3610.96,11
CPT,0683T,PRGRMG DEV EVAL ISDSS IP,,,35.43,39.15,8
CPT,0685T,INTERROG DEV EVAL ISDSS IP,,,35.43,39.15,8
CPT,0686T,HISTOTRIPSY MAL HEPATCEL TIS,,,8132.68,23077.94,11
CPT,0689T,QUAN US TIS CHARAC W/O DX US,,,40.28,114.29,11
CPT,0690T,QUAN US TIS CHARAC W/DX US,,,1.0,1.0,3
CPT,0692T,THERAPEUTIC ULTRAFILTRATION,,,192.41,1721.24,11
CPT,0693T,COMPRE FUL BDY 3D MTN ALYS,,,162.88,462.21,11
CPT,0695T,BDY SRF MPG PM/CVDFB TM IMPL,,,1.0,1.0,3
CPT,0696T,BDY SURF MAPG PM/CVDFB F/UP,,,16.72,47.45,11
CPT,0697T,QUAN MR TIS WO MRI MLT ORGN,,,441.71,1253.43,11
CPT,0698T,QUAN MR TISS W/MRI MLT ORGN,,,441.71,1253.43,11
CPT,0699T,NJX PST CHMBR EYE MEDICATION,,,1032.9,4396.57,14
CPT,0703T,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,0707T,NJX B1 SUB MTRL SBCHDRL DFCT,,,1434.68,6106.72,14
CPT,0708T,ID CA IMMNTX PREP & 1ST NJX,,,21.05,59.74,3
CPT,0709T,ID CA IMMNTX EACH ADDL NJX,,,21.05,59.74,3
CPT,0712T,N-NVS ARTL PLAQ ALYS QUAN,,,40.28,114.29,11
CPT,0714T,TPLA B9 PRST8 HYPRPLSA<50ML,,,2293.45,6508.07,11
CPT,0715T,Outpatient Services - CPT/HCPCS,,,2533.38,7188.92,3
CPT,0716T,CAR ACOUS WAVFRM REC CAD RSK,,,27.11,76.93,11
CPT,0717T,ADRC THER PRTL RC TEAR,,,1590.16,6768.54,14
CPT,0718T,ADRC THER PRTL RC TEAR NJX,,,1590.16,6768.54,14
CPT,0719T,PST VRT JT RPLCMT LMBR 1 SGM,,,104.52,296.6,3
CPT,0720T,Outpatient Services,,,966.52,1068.26,8
CPT,0720T,Outpatient Services - CPT/HCPCS,,,463.42,1315.04,3
CPT,0721T,QUAN CT TISS CHARAC W/O CT,,,302.29,857.82,11
CPT,0722T,QUAN CT TISS CHARAC W/CT,,,302.29,857.82,11
CPT,0723T,QMRCP W/O DX MRI SM ANAT SES,,,441.71,1253.43,11
CPT,0724T,QMRCP W/DX MRI SAME ANATOMY,,,441.71,1253.43,11
CPT,0725T,VESTIBULAR DEV IMPLTJ UNI,,,1427.04,6074.23,6
CPT,0726T,RMVL IMPLT VSTIBULAR DEV UNI,,,675.95,2877.2,6
CPT,0727T,RMVL&RPLCMT IMPLT VSTBLR DEV,,,1427.04,6074.23,6
CPT,0728T,DX ALYS VSTBLR IMPLT UNI 1ST,,,210.92,316.38,6
CPT,0729T,DX ALYS VSTBLR IMPLT UNI SBQ,,,210.92,316.38,6
CPT,0730T,TRABECULOTOMY LSR W/OCT GDN,,,1032.9,4396.57,6
CPT,0731T,AUGMNT AI-BASED FCL PHNT A/R,,,27.11,76.93,11
CPT,0733T,REM R-T MTN NREHAB THER SPLY,,,16.72,368.03,11
CPT,0735T,PREP TUM CAV IORT PRIM CRNOT,,,1427.04,4049.48,3
CPT,0736T,COLONIC LAVAGE 35+L WATER,,,148.64,164.28,8
CPT,0737T,XENOGRAFT IMPLTJ ARTCLR SURF,,,104.52,13510.16,14
CPT,0739T,ABLTJ MAL PRST8 MAG FLD NDCT,,,1545.18,4384.72,3
CPT,0740T,REM AUTON ALG NSLN CAL SETUP,,,27.11,76.93,11
CPT,0741T,REM AUTON ALG NSLN DATA COLL,,,16.72,47.45,11
CPT,0742T,AQMBF SPECT XERS/STRS & REST,,,1.0,1.0,3
CPT,0743T,B1 STR & FX RSK VRT FX ASSMT,,,229.63,253.81,8
CPT,0744T,INSJ BIOPROSTC VLV FEM VN,,,2435.72,10367.69,14
CPT,0745T,CAR ABLT RAD ARR N-INVAS LOC,,,3310.15,9393.14,3
CPT,0746T,CAR ABLT RAD ARR CNV LOC MAP,,,3310.15,9393.14,3
CPT,0747T,CAR ABLT RAD ARRHYT DLVR RAD,,,3310.15,9393.14,3
CPT,0748T,NJX STM CL PRDCT ANL SFT TIS,,,88.73,251.79,3
CPT,0764T,ASSTV ALG ECG RSK ASMT CNCRT,,,122.46,135.35,8
CPT,0765T,ASSTV ALG ECG RSK ASMT PREV,,,122.46,135.35,8
CPT,0766T,TC MAG STIMJ PN 1ST NERVE,,,69.23,326.97,11
CPT,0767T,TC MAG STIMJ PN EA ADDL NRV,,,1.0,1.0,3
CPT,0775T,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,0777T,R-T PRS SENSING EDRL GDN SYS,,,306.51,869.79,3
CPT,0778T,SMMG CNCRNT APPL IMU SNR,,,69.23,196.46,11
CPT,0779T,GI MYOELECTRICAL ACTV STUDY,,,237.56,674.12,11
CPT,0780T,INSTLJ FECAL MICROBIOTA SSP,,,56.62,160.67,11
CPT,0781T,BRNCHSC RF DSTRJ PULM NRV BI,,,87.79,249.13,3
CPT,0782T,BRNCHSC RF DSTRJ PLM NRV UNI,,,87.79,249.13,3
CPT,0783T,TC AURICULR NEUROSTIMULATION,,,69.23,196.46,11
CPT,0784T,INS/RPLMT ELTRD RA SPI NSTIM,,,6037.75,17133.18,11
CPT,0785T,REVJ/RMVL NEA SPI W/NSTIM,,,1508.11,4279.54,11
CPT,0786T,INSJ/RPLCMT PRQ RA SAC NSTIM,,,6037.75,17133.18,3
CPT,0787T,REVJ/RMVL NEA SAC W/NSTIM,,,1508.11,4279.54,11
CPT,0788T,ELEC ALY SMP IINS SP/SAC NRV,,,42.91,121.76,11
CPT,0789T,ELEC ALY CPX IINS SP/SAC NRV,,,42.91,121.76,11
CPT,0790T,REVJ RPLCMT/RMVL VRT TETHRG,,,8260.14,23439.61,3
CPT,0793T,PRQ TCAT THRM ABLT NRV P-ART,,,7772.16,22054.9,11
CPT,0794T,PT SPEC ALG RX-ONC TX OPTION,,,27.11,76.93,11
CPT,0795T,TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS,44125.0,35300.0,8636.51,39712.5,34
CPT,0796T,TCAT INS 2CHMBR LDLS PM RA,,,8636.51,24507.64,11
CPT,0797T,TCAT INS 2CHMBR LDLS PM RV,,,8636.51,24507.64,11
CPT,0798T,TCAT RMV 2CHMBR LDLS PM CMPL,,,1412.81,4009.09,11
CPT,0799T,TCAT RMVL 2CHMBR LDLS PM RA,,,1412.81,4009.09,11
CPT,0800T,TCAT RMVL 2CHMBR LDLS PM RV,,,1412.81,4009.09,11
CPT,0801T,TCAT RMV&RPL 2CHMBR LDLS PM,,,8636.51,24507.64,11
CPT,0802T,TCAT RMV&RPL2CHMB LDLS PM RA,,,8636.51,24507.64,11
CPT,0803T,TCAT RMV&RPL2CHMB LDLS PM RV,,,8636.51,24507.64,11
CPT,0804T,PRGRMG EVL LDLS PM 2CHMBR IP,,,16.72,47.45,11
CPT,0805T,TCAT S&IVC PRSTC VL IMPL PRQ,,,4531.17,12858.0,3
CPT,0806T,TCAT S&IVC PRSTC VL IMPL OPN,,,4531.17,12858.0,3
CPT,0807T,PULM TISS VNTJ ALYS PREV CT,,,139.12,394.78,11
CPT,0808T,PULM TISS VNTJ ALYS W/CT,,,139.12,394.78,11
CPT,0809T,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,0810T,SUBRTA NJX RX AGT W/VTRC,,,1975.26,8407.71,14
CPT,0811T,REM MLT DAY UROFLOW SETUP,,,58.59,166.26,11
CPT,0812T,REM MLT DAY UROFLOW DEV SPLY,,,16.72,164.28,11
CPT,0813T,EGD VOL ADJMT BARIATRIC BALO,,,401.78,1140.14,11
CPT,0814T,PRQ NJX BIOD OSTEO MATRL FEM,,,712.37,3032.2,6
CPT,0816T,OPN INSJ/RPLCMT INS PTN SUBQ,,,9695.98,27514.08,11
CPT,0817T,OPN INSJ/RPLCMT INS PTN SUBF,,,9695.98,27514.08,11
CPT,0818T,REVJ/RMVL INS PTN SUBQ,,,1508.11,4279.54,11
CPT,0819T,REVJ/RMVL INS PTN SUBF,,,1508.11,4279.54,11
CPT,0820T,MNTR PSYCHDLC MED 1STPHY/QHP,,,70.67,200.54,3
CPT,0821T,MNTR PSYCHDLC MED 2NDPHY/QHP,,,1.0,1.0,3
CPT,0822T,MNTR PSYCHDLC MED CLN STAFF,,,1.0,1.0,3
CPT,0823T,TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL,38160.0,30528.0,8636.51,34344.0,34
CPT,0824T,TCAT RMV 1CHMBR LDLS PM RA,,,1412.81,4009.09,11
CPT,0825T,TCAT RMV&RPL1CHMB LDLS PM RA,,,8636.51,24507.64,11
CPT,0826T,PRGRMG EVL LDLS PM 1CHMBR IP,,,16.72,47.45,11
CPT,0827T,DGTZ GLS MCRSCP CYTP SMEARS,,,1.0,1.0,3
CPT,0828T,DGTZ GLS MCRSCP CYTP SMPL FL,,,1.0,1.0,3
CPT,0829T,DGTZ GLS MCRSCP CYTP CONCTRJ,,,1.0,1.0,3
CPT,0830T,DGTZ GLS MCRSCP CYTP SLCTV,,,1.0,1.0,3
CPT,0831T,DGTZ GLS MCRSCP CYTP C/V,,,1.0,1.0,3
CPT,0832T,DGTZ GLS MCRSCP CYTP OTH SCR,,,1.0,1.0,3
CPT,0833T,DGTZ GLS MCRSCP CYTP OTH PRP,,,1.0,1.0,3
CPT,0834T,DGTZ GLS MCRSCP CYTP OTH XTN,,,1.0,1.0,3
CPT,0835T,DGTZ GLS MCRSCP FNA 1ST EA,,,1.0,1.0,3
CPT,0836T,DGTZ GLS MCRSCP FNA EA ADDL,,,1.0,1.0,3
CPT,0837T,DGTZ GLS MCRSCP FNA I&R,,,1.0,1.0,3
CPT,0838T,DGTZ GLS MCRSCP CSLT SLD ELS,,,1.0,1.0,3
CPT,0839T,DGTZ GLS MCRSCP CSLT MAT PRP,,,1.0,1.0,3
CPT,0840T,DGTZ GLS MCRSCP CSLT COMPRE,,,1.0,1.0,3
CPT,0841T,DGTZ GLS MCRSCP PTH CSLT 1ST,,,1.0,1.0,3
CPT,0842T,DGTZ GLS MCRSCP PTH CSLT EA,,,1.0,1.0,3
CPT,0843T,DGTZ GLS MCRSCP CSLT CYT 1ST,,,1.0,1.0,3
CPT,0844T,DGTZ GLS MCRSCP CSLT CYT EA,,,1.0,1.0,3
CPT,0845T,DGTZ GLS MCRSCP IMFLUOR 1ST,,,1.0,1.0,3
CPT,0846T,DGTZ GLS MCRSCP IMFLUOR EA,,,1.0,1.0,3
CPT,0847T,DGTZ GLS MCRSCP XM ARCH TISS,,,1.0,1.0,3
CPT,0848T,DGTZ GLS MCRSCP ISH 1ST,,,1.0,1.0,3
CPT,0849T,DGTZ GLS MCRSCP ISH EA ADL 1,,,1.0,1.0,3
CPT,0850T,DGTZ GLS MCRSCP ISH EA MULT,,,1.0,1.0,3
CPT,0851T,DGTZ GLS MCRSCP MPHMTRC 1ST,,,1.0,1.0,3
CPT,0852T,DGTZ GLS MCRSCP MPHMTRC EA 1,,,1.0,1.0,3
CPT,0853T,DGTZ GLS MCRSCP MPHMTRC EA M,,,1.0,1.0,3
CPT,0854T,DGTZ GLS MCRSCP BLD SMR PRPH,,,1.0,1.0,3
CPT,0855T,DGTZ GLS MCRSCP B1 MAROW SMR,,,1.0,1.0,3
CPT,0856T,DGTZ GLS MCRSCP ELECTRON MIC,,,1.0,1.0,3
CPT,0857T,OPTO-ACOUSTIC IMG BREAST UNI,,,48.73,207.45,14
CPT,0858T,EXT TRNSCRANL MAG STIMJ MEAS,,,139.12,394.78,3
CPT,0859T,NCNTC IFR SPCTRSC O/T PAD EA,,,1.0,1.0,3
CPT,0861T,RMVL PG WCS LV BOTH COMPNT,,,1740.59,4939.22,11
CPT,0862T,RLCJ PG WCS LV BATTERY ONLY,,,808.29,2293.66,11
CPT,0863T,RLCJ PG WCS LV TRNSMTR ONLY,,,808.29,2293.66,11
CPT,0864T,LOW NTSTY ESWT CORPUS CVRNSM,,,109.54,310.84,11
CPT,0865T,QUAN MRI ALYS BRN W/O DX MRI,,,108.61,308.19,11
CPT,0866T,QUAN MRI ALYS BRN W/DX MRI,,,108.61,308.19,11
CPT,0867T,TPLA B9 PRST8 HYPRPLSA>=50ML,,,4829.44,5337.8,8
CPT,0868T,HI-RES GASTRIC EP MAPPING,,,504.07,557.13,8
CPT,0869T,NJX B1 SUB MTRL HW FIXJ AUG,,,3082.38,3406.84,8
CPT,0877T,AUGMNT ALYS CH CT ILD W/O CT,,,617.98,683.03,8
CPT,0878T,AUGMNT ALYS CH CT ILD W/CT,,,617.98,683.03,8
CPT,0881T,CRYOTHERAPY ORAL CAVITY,,,379.09,418.99,8
CPT,0884T,ESPHGSC FLX 1ST TNDSC DILAT,,,5655.17,6250.45,8
CPT,0885T,COLSC FLX 1ST TNDSC DILAT,,,5655.17,6250.45,8
CPT,0886T,SGMDSC FLX 1ST TNDSC DILAT,,,5655.17,6250.45,8
CPT,0888T,HISTOTRIPSY MAL RENAL TISSUE,,,16625.48,18375.53,8
CPT,0889T,PRSNLZ TRGT DVL ARHFCMRIGTBS,,,902.98,998.03,8
CPT,0890T,ARHFCMRIGTBS 1ST TX DAY,,,3562.98,3938.03,8
CPT,0891T,ARHFCMRIGTBS SBSQ TX DAY,,,3562.98,3938.03,8
CPT,0892T,ARHFCMRIGTBS SBSQ PER TX DAY,,,3562.98,3938.03,8
CPT,0893T,N-INVAS ASSMT BLD OXYGNATION,,,56.43,62.37,8
CPT,0897T,N-INVAS AUGMNT ARRHYT ALYS,,,966.52,1068.26,8
CPT,0898T,N-INVAS PRST8 CANCER EST MAP,,,966.52,1068.26,8
CPT,0902T,QTC NTRVL AUGMNT ALG ALY ECG,,,122.46,135.35,8
CPT,0904T,ECG ALG 12 LD RDCD TRCG ONLY,,,56.43,62.37,8
CPT,0906T,COMS THER 1ST APPL<=50 SQ CM,,,188.77,208.64,8
CPT,0913T,PERQ TCAT THER RX DLVR INTRACAR RX BALLOON 1 MAJ C ART,21991.0,17592.8,5416.44,19791.9,34
CPT,0914T,PERQ TCAT THER RX DLVR INTRACAR RX BALLOON SEPARATE LESION,17019.0,13615.2,4501.53,15317.1,26
CPT,0915T,INSJ PERM CCM-D SYS PG&ELTRD,,,30458.5,33664.66,8
CPT,0916T,INSJ PERM CCM-D SYS PG ONLY,,,21323.88,23568.5,8
CPT,0917T,INSJ PERM CCM-D SYS 1 LEAD,,,7862.18,8689.78,8
CPT,0918T,INSJ PERM CCM-D SYS DUAL LD,,,7862.18,8689.78,8
CPT,0919T,RMVL PERM CCM-D SYS PG ONLY,,,3457.34,3821.27,8
CPT,0920T,RMVL PERM CCM-D SYS 1 PAC LD,,,3457.34,3821.27,8
CPT,0921T,RMVL PERM CCM-D SYS 1 DFB LD,,,3457.34,3821.27,8
CPT,0922T,RMVL PERM CCM-D SYS DUAL LD,,,3457.34,3821.27,8
CPT,0923T,RMVL&RPLCMT PERM CCM-D PG,,,21323.88,23568.5,8
CPT,0924T,RPOS PRV CCM-D TRNSVNS ELTRD,,,587.35,649.17,8
CPT,0925T,RLCJ SKIN POCKET CCM-D PG,,,1737.77,1920.69,8
CPT,0926T,PRGRMG DEV EVAL CCM-D IP,,,35.43,39.15,8
CPT,0927T,INTERROG DEV EVAL CCM-D IP,,,35.43,39.15,8
CPT,0929T,REM INTERROG DEV CCM-D TECH,,,35.43,39.15,8
CPT,0930T,EPHYS EVAL CCM-D LD 1ST IMPL,,,1153.29,1274.69,8
CPT,0931T,EPHYS EVAL CCM-D LD SEPARATE,,,1153.29,1274.69,8
CPT,0932T,N-INVS DET HRT FAIL AUG ECHO,,,284.91,314.91,8
CPT,0933T,TCAT IMPL WRLS L ATR PRS SNR,,,3055.59,3377.23,8
CPT,0944T,3D CNTR SIMULA TRGT LVR LES,,,229.63,253.81,8
CPT,0946T,ORTHO IMPL MVMT ALYS PAIR CT,,,101.02,111.66,8
CPT,0949T,REM INTERROG DEV CCM TECH,,,35.43,39.15,8
CPT,0950T,ABLTJ B9 PRST8 TISSUE HIFU,,,8784.79,9709.51,8
CPT,0956T,PRT CRN CH CR&TUN ELT S-SCLP,,,21375.48,23625.53,8
CPT,0957T,REV S-SCLP ELTR RA RCVR&TLMT,,,1520.39,1680.43,8
CPT,0958T,RMV S-SCLP ELTR RA RCVR&TLMT,,,3082.38,3406.84,8
CPT,0959T,RMV/RPLC MAGNET COIL ASSEM,,,1539.23,1701.25,8
CPT,0960T,RPL S-SCLP ELTR RA RCVR&TLMT,,,21375.48,23625.53,8
CPT,0962T,ASSTV ALG ALYS ACOUS&ECG REC,,,122.46,135.35,8
CPT,0963T,ANOSC SBMCSL NJX BULKING AGT,,,1120.13,1238.03,8
CPT,0964T,I&CUST PREP JAW XPNSJ 1ARCH,,,3080.92,3405.22,8
CPT,0965T,I&CST PRP JW XPN DL ARCH NON,,,3080.92,3405.22,8
CPT,0966T,I&CST PRP JW XPN DL ARCH FXD,,,3080.92,3405.22,8
CPT,0967T,TRANAL INS TMP CLRC ANST DEV,,,1120.13,1238.03,8
CPT,0970T,ABLT B9 BRST TUM PERQ LSR EA,,,3637.82,4020.74,8
CPT,0971T,ABLT MAL BRST TUM PQ LSR UNI,,,3637.82,4020.74,8
CPT,0973T,SLCTV NZMTC DBRDMT T/A/L 1ST,,,379.55,419.51,8
CPT,0975T,SLCTV NZMTC DBRDMT S/N/HF 1,,,379.55,419.51,8
CPT,0977T,UPR GI BLD DETCJ SNR CAPSULE,,,890.68,984.44,8
CPT,0981T,TCAT IMPL WRLS IVC SNR,,,17058.88,18854.56,8
CPT,0982T,REM MNTR IMPL IVC SNR SET-UP,,,122.43,135.31,8
CPT,0983T,REM MNTR IMPL IVC SNR PHYS,,,35.43,39.15,8
CPT,10004,FNA BX W/O IMG GDN EA ADDL,,,1.0,51.61,15
CPT,10005,ED 10005 FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,2302.0,1841.6,71.9,2071.8,36
CPT,10005,SURG 10005 FINE NDL ASPIR BX W US GDN 1ST LESION,2301.0,1840.8,71.9,2070.9,36
CPT,10006,SURG 10006 FINE NDL ASPIR BX W US GDN EA ADDL LESION,704.0,563.2,1.0,633.6,34
CPT,10007,SURG 10007 FINE NDL ASPIR BX W FLURO GDN 1ST LESION,2336.0,1868.8,88.21,2102.4,36
CPT,10008,SURG 10008 FINE NDL ASPIR BX W FLURO GDN EA ADDL LESION,598.0,478.4,1.0,538.2,34
CPT,10009,SURG 10009 FINE NDL ASPIR BX W CT GDN 1ST LESION,3876.0,3100.8,106.52,3488.4,36
CPT,10010,SURG 10010 FINE NDL ASPIR BX W CT GDN EA ADDL LESION,704.0,563.2,1.0,633.6,34
CPT,10011,FNA BX W/MR GDN 1ST LES,,,311.84,884.91,13
CPT,10012,FNA BX W/MR GDN EA ADDL,,,1.0,1.0,3
CPT,10021,ED 10021 FINE NDLE ASP WO IMAGING 1ST LES,931.0,744.8,54.26,837.9,36
CPT,10022,Outpatient Services - CPT/HCPCS,,,176.74,501.53,3
CPT,10030,SURG 10030 IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,4054.0,3243.2,132.15,3648.6,36
CPT,10035,SURG 10035 PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE,1902.0,1521.6,82.22,1711.8,39
CPT,10036,PLMT SFT TISS LOCLZJ DEV EA,,,1.0,287.95,15
CPT,10040,EXTRACTION,,,51.6,251.79,17
CPT,10060,ED 10060 I&D SKIN ABSCESS SMPL,670.0,536.0,88.73,603.0,36
CPT,10060,SURG 10060 INCISION & DRAINAGE ABSCESS SMPL SNGL,670.0,536.0,88.73,603.0,36
CPT,10060,TX RM 10060 I&D ABSCESS SIMPLE,670.0,536.0,88.73,603.0,36
CPT,10061,ED 10061 I&D SKIN ABSCESS COMPL,941.0,752.8,176.74,846.9,36
CPT,10061,SURG 10061 INCISION & DRAINAGE ABSCESS CMPL MULTIPLE,941.0,752.8,176.74,846.9,36
CPT,10080,ED 10080 I&D PILONIDAL CYST SMPL,1264.0,1011.2,105.85,1137.6,36
CPT,10081,ED 10081 I&D PILONIDAL CYST COMPL,2305.0,1844.0,171.43,2074.5,36
CPT,10120,ED 10120 INC&REMV FB SMPL,1069.0,855.2,106.19,962.1,36
CPT,10120,SURG 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,1069.0,855.2,106.19,962.1,36
CPT,10120,TX RM 10120 INCISION  RMV FB SUBQ SMP,1069.0,855.2,106.19,962.1,36
CPT,10121,ED 10121 INC&REMV FB COMPL,5200.0,4160.0,183.75,4680.0,36
CPT,10121,SURG 10121 INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL,5200.0,4160.0,183.75,4680.0,36
CPT,10140,ED 10140 I&D HEMATOMA FLUID,3135.0,2508.0,118.84,2821.5,36
CPT,10140,SURG 10140 DRAIN HEMATOMA SEROMA,4663.0,3730.4,118.84,4196.7,36
CPT,10140,TX RM 10140 DRAIN HEMATOMA SEROMA,4566.0,3652.8,118.84,4109.4,36
CPT,10160,ED 10160 PUNC DRAINAGE LESN,904.0,723.2,96.87,813.6,36
CPT,10160,SURG 10160 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,904.0,723.2,96.87,813.6,36
CPT,10180,ED 10180 I&D POSTOP WOUND INF,5619.0,4495.2,179.42,5057.1,36
CPT,10180,SURG 10180 INCISION & DRAINAGE CMPLX POSTOP WND INFECTION,5619.0,4495.2,179.42,5057.1,36
CPT,11000,ED 11000 DEBR SKIN 10% BODY SURFACE,1113.0,890.4,27.3,1001.7,36
CPT,11000,TX RM 11000 DEBRIDE INFECT SKIN NECRO,1113.0,890.4,27.3,1001.7,36
CPT,11001,TX RM 11001 DEBRIDE ADDITIN 10% BODY,293.0,234.4,1.0,263.7,34
CPT,11004,TX RM 11004 DEBRIDE GENITALIA & PERINEUM,3707.0,2965.6,243.87,3336.3,34
CPT,11005,TX RM 11005 DEBRIDE SKIN/SUBQ/MUSCLE NECROTIZ ABDOMINAL WALL,4674.0,3739.2,243.87,4206.6,34
CPT,11006,TX RM 11006 DEBRIDE GENIT/PER/ABDOM WALL,3133.0,2506.4,243.87,2819.7,34
CPT,11008,TX RM 11008 REMOVAL PROSTHETIC MATERIAL MESH ABDOMINAL WALL,3553.0,2842.4,225.86,3197.7,34
CPT,11010,ED 11010 DEBR SKIN FX DISLOC,2147.0,1717.6,274.95,1932.3,36
CPT,11010,SURG 11010 DEBRIDEMENT WREMVL FOREIGN MATL OPEN FX DISLOCATION SKIN SUBQ,2147.0,1717.6,274.95,1932.3,36
CPT,11010,TX RM 11010 DEBR OPEN FX DSLOC SKIN SUBQ TISS INCL FB RMVL,2147.0,1717.6,274.95,1932.3,36
CPT,11011,SURG 11011 DEBRID WREMVL FORGN MATL OPEN FX DISLOC SKN SQ MUSCLE FASCIA MU,4605.0,3684.0,295.59,4144.5,36
CPT,11011,TX RM 11011 DEBR OPEN FX DSLOC SKIN SUBQ MUSC INCL FB RMVL,4605.0,3684.0,295.59,4144.5,36
CPT,11012,ED 11012 DEBR ASSC WOP FX DISLOC,5317.0,4253.6,412.77,4785.3,36
CPT,11012,SURG 11012 DEBRID WREMVL FOREIGN MATL OPN FX DISLOC SKN SQ MUSCL FASC MUSCL,5317.0,4253.6,412.77,4785.3,36
CPT,11012,TX RM 11012 DEBR OPEN FX DSLOC SKIN SUBQ MUSC BONE INCL FB RMVL,5317.0,4253.6,412.77,4785.3,36
CPT,11042,ED 11042 DEBR SKN SUBQ TISS 20 CM <,1151.0,920.8,60.25,1035.9,36
CPT,11042,SURG 11042 DEBRIDEMENT SKIN & SUBQ TISSUE,1151.0,920.8,60.25,1035.9,36
CPT,11042,TX RM 11042 DEBRIDE SKIN & SUBQ TISSUE,1151.0,920.8,60.25,1035.9,36
CPT,11043,SURG 11043 DEBRIDEMENT SKIN SUBQ TISSUE & MUSCLE,1293.0,1034.4,152.46,1163.7,36
CPT,11043,TX RM 11043 DEBRIDMNT SUBQ TIS MUSCL,1293.0,1034.4,152.46,1163.7,36
CPT,11044,ED 11044 DEBR TO BONE 20 CM <,2187.0,1749.6,223.69,2039.17,36
CPT,11044,SURG 11044 DEBRIDEMENT SKIN SUBQ TISSUE MUSCLE & BONE,2187.0,1749.6,223.69,2039.17,36
CPT,11044,TX RM 11044 DEBR SKIN MUSCLE BONE,2187.0,1749.6,223.69,2039.17,36
CPT,11045,ED 11045 DEBR SKIN SUBQ TISSUE EA ADD 20 SQ CM,979.0,783.2,1.0,881.1,34
CPT,11045,TX RM 11045 DEBR SKN SUBQ TIS ADD20SQCM,979.0,783.2,1.0,881.1,34
CPT,11046,ED 11046 DEBRIDE MUSCLE AND/OR FASCIA EA ADD 20 SQ CM,719.0,575.2,1.0,647.1,34
CPT,11046,TX RM 11046 DBR MUSCLE FASC EA+20,719.0,575.2,1.0,647.1,34
CPT,11047,ED 11047 DEBRIDE BONE EA ADD20 SQCM,2340.0,1872.0,1.0,2106.0,34
CPT,11047,TX RM 11047 DBR BONE EA+20SQCM,2340.0,1872.0,1.0,2106.0,34
CPT,11055,ED 11055 PARING LESN BENIGN,320.0,256.0,15.31,288.0,36
CPT,11055,SURG 11055 PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,320.0,256.0,15.31,288.0,36
CPT,11055,TX RM 11055 PARING OR CUTTING BENIGN SINGLE LESION,320.0,256.0,15.31,288.0,36
CPT,11056,TX RM 11056 PARING CORN CALLUS 2-4 LESIONS,323.0,258.4,21.64,290.7,36
CPT,11057,SURG 11057 PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4,353.0,282.4,28.29,317.7,36
CPT,11057,TX RM 11057 PARING CORN CALLUS 4+ LESIONS,353.0,282.4,28.29,317.7,36
CPT,11100,Outpatient Services - CPT/HCPCS,,,88.73,251.79,3
CPT,11101,Outpatient Services - CPT/HCPCS,,,88.73,251.79,3
CPT,11102,SURG 11102 TANGENTIAL BX SKIN SINGLE LESION,529.0,423.2,37.28,476.1,36
CPT,11103,SURG 11103 TANGENTIAL BX SKIN EA SEP OR ADDL LESION,323.0,258.4,1.0,290.7,34
CPT,11104,SURG 11104 PUNCH BIOPSY SKIN SINGLE LESION,651.0,520.8,46.27,585.9,36
CPT,11105,SURG 11105 PUNCH BX SKIN EA SEP OR ADDL LESION,354.0,283.2,1.0,318.6,34
CPT,11106,SURG 11106 INCISIONAL BX SKIN SINGLE LESION,1644.0,1315.2,55.92,1479.6,36
CPT,11107,SURG 11107 INCISIONAL BX SKIN EA SEP OR ADDL LESION,805.0,644.0,1.0,724.5,34
CPT,11200,ED 11200 SKIN TAG RMV <16,528.0,422.4,76.89,475.2,36
CPT,11201,RMVL SKIN TAGS EA ADDL 10,,,1.0,18.05,15
CPT,11300,SHAVE SKIN LESION 0.5 CM/<,,,33.62,501.53,17
CPT,11301,SHAVE SKIN LESION 0.6-1.0 CM,,,50.6,251.79,17
CPT,11302,SHAVE SKIN LESION 1.1-2.0 CM,,,58.92,251.79,17
CPT,11303,SHAVE SKIN LESION >2.0 CM,,,70.24,501.53,17
CPT,11305,SHAVE SKIN LESION 0.5 CM/<,,,36.95,251.79,17
CPT,11306,TX RM 11306 SHAVE SGL NK HND FT GEN .6-1CM,247.0,197.6,48.27,251.79,36
CPT,11307,TX RM 11307 SHAVE SGL NK HND FT GEN .1-2CM,281.0,224.8,61.58,252.9,36
CPT,11308,SHAVE SKIN LESION >2.0 CM,,,68.91,501.53,17
CPT,11310,SHAVE SKIN LESION 0.5 CM/<,,,44.94,251.79,17
CPT,11311,SHAVE SKIN LESION 0.6-1.0 CM,,,61.91,251.79,17
CPT,11312,SHAVE SKIN LESION 1.1-2.0 CM,,,73.23,501.53,17
CPT,11313,SHAVE SKIN LESION >2.0 CM,,,94.87,501.53,17
CPT,11400,ED 11400 EXC BNGN LSN .5 CM OR <TAL,1459.0,1167.2,84.88,1313.1,36
CPT,11400,SURG 11400 EXC LESN BGN TRUNK ARM <0.5CM,1459.0,1167.2,84.88,1313.1,36
CPT,11401,SURG 11401 EXC BENGN SKN LESN INC MARGN NO SKN TAG TRNK ARM LEG DIA 0.6-1.0,1565.0,1252.0,106.19,1408.5,36
CPT,11401,TX RM 11401 EXC BNGN LSN TRUNK EXTREM 0.6-1.0CM,1565.0,1252.0,106.19,1408.5,36
CPT,11402,SURG 11402 EXC BENGN SKN LESN INC MARGN NO SKN TAG TRNK ARM LEG DIA 1.1-2.0,2462.0,1969.6,116.17,2215.8,36
CPT,11403,EXC TR-EXT B9+MARG 2.1-3CM,,,150.46,884.91,17
CPT,11404,ED 11404 EXC BND LSN 3.1-4.0 CM TAL,4079.0,3263.2,165.44,3671.1,36
CPT,11406,ED 11406 ESC BNGN LSN >4.0 CM TAL,5252.0,4201.6,249.32,4726.8,36
CPT,11420,ED 11420 EXC LESN BGN SCALP/HND <0.5,2200.0,1760.0,82.55,2039.17,36
CPT,11420,SURG 11420 EXC BNGN LSN SCLP NCK HNDS FT GENITAL <0.5CM,2200.0,1760.0,82.55,2039.17,36
CPT,11421,SURG 11421 EXC BNGN LSN SCALP NECK HANDS FEET GENITAL 0.6-1.0CM,2675.0,2140.0,109.52,2407.5,36
CPT,11422,SURG 11422 EXC BNGN LSN S/N/H/F/G 1.1-2.0CM,3348.0,2678.4,136.48,3013.2,36
CPT,11423,SURG 11423 EXC BNGN LSN S/N/H/F/G 2.1-3.0CM,4008.0,3206.4,157.78,3607.2,36
CPT,11424,SURG 11424 EXC BNGN LSN S/N/H/F/G 3.1-4.0CM,4360.0,3488.0,181.75,3924.0,36
CPT,11426,EXC H-F-NK-SP B9+MARG >4 CM,,,268.3,3573.89,17
CPT,11440,ED 11440 EXC BGN LSN FACE/EAR/LIP < 5CM,1908.0,1526.4,107.85,1717.2,36
CPT,11441,ED 11441 EXCISION LESION BENIGN FACE/EAR/LIP 0.6-1.0CM,2044.0,1635.2,134.15,1839.6,36
CPT,11442,EXC FACE-MM B9+MARG 1.1-2 CM,,,147.8,884.91,17
CPT,11443,EXC FACE-MM B9+MARG 2.1-3 CM,,,179.75,2039.17,17
CPT,11444,EXC FACE-MM B9+MARG 3.1-4 CM,,,226.02,2039.17,17
CPT,11446,EXC FACE-MM B9+MARG >4 CM,,,317.23,3573.89,17
CPT,11450,EXC SKN HDRDNT AX SMPL/NTRM,,,264.3,5360.84,20
CPT,11451,EXC SKN HDRDNT AX COMPLEX,,,333.54,5360.84,20
CPT,11462,EXC SKN HDRDNT ING SMPL/NTRM,,,251.65,5360.84,20
CPT,11463,EXC SKN HDRDNT ING COMPLEX,,,335.21,5360.84,20
CPT,11470,EXC SKN H/P/P/U SMPL/NTRM,,,288.94,3573.89,17
CPT,11471,EXC SKN H/P/P/U COMPLEX,,,353.51,3573.89,17
CPT,11600,EXC TR-EXT MAL+MARG 0.5 CM/<,,,122.5,884.91,17
CPT,11601,EXC TR-EXT MAL+MARG 0.6-1 CM,,,148.13,884.91,17
CPT,11602,EXC TR-EXT MAL+MARG 1.1-2 CM,,,160.78,501.53,17
CPT,11603,EXC TR-EXT MAL+MARG 2.1-3 CM,,,192.07,884.91,17
CPT,11604,EXC TR-EXT MAL+MARG 3.1-4 CM,,,211.38,884.91,17
CPT,11606,EXC TR-EXT MAL+MARG >4 CM,,,314.9,2039.17,17
CPT,11620,EXC H-F-NK-SP MAL+MARG 0.5/<,,,123.5,2039.17,17
CPT,11621,EXC S/N/H/F/G MAL+MRG 0.6-1,,,148.8,884.91,17
CPT,11622,EXC S/N/H/F/G MAL+MRG 1.1-2,,,168.77,884.91,17
CPT,11623,EXC S/N/H/F/G MAL+MRG 2.1-3,,,208.05,2039.17,17
CPT,11624,EXC S/N/H/F/G MAL+MRG 3.1-4,,,236.67,2039.17,17
CPT,11626,EXC S/N/H/F/G MAL+MRG >4 CM,,,289.27,3573.89,17
CPT,11640,EXC F/E/E/N/L MAL+MRG 0.5CM<,,,126.83,884.91,17
CPT,11641,EXC F/E/E/N/L MAL+MRG 0.6-1,,,155.12,884.91,17
CPT,11642,EXC F/E/E/N/L MAL+MRG 1.1-2,,,181.42,884.91,17
CPT,11643,EXC F/E/E/N/L MAL+MRG 2.1-3,,,226.02,2039.17,17
CPT,11644,EXC F/E/E/N/L MAL+MRG 3.1-4,,,279.95,2039.17,17
CPT,11646,EXC F/E/E/N/L MAL+MRG >4 CM,,,386.47,3573.89,17
CPT,11719,SURG 11719 TRIMMING NONDYSTROPHIC NAILS ANY NUMBER,142.0,113.6,7.32,127.8,36
CPT,11720,ED 11720 DEBR OF NAILS 1-5,177.0,141.6,13.98,159.3,36
CPT,11720,SURG 11720 DEBRIDEMENT NAIL(S) ANY METHOD(S) 1-5,177.0,141.6,13.98,159.3,36
CPT,11720,TX RM 11720 DEBRIDE NAILS 1-5,177.0,141.6,13.98,159.3,36
CPT,11721,ED 11721 DEBRIDE NAIL(S) 6 OR MORE,208.0,166.4,23.3,187.2,36
CPT,11721,SURG 11721 DEBRIDEMENT NAIL(S) ANY METHOD(S) 6+,208.0,166.4,23.3,187.2,36
CPT,11721,TX RM 11721 DEBRIDE NAILS 6+,208.0,166.4,23.3,187.2,36
CPT,11730,ED 11730 REMV OF NAIL PLATE,541.0,432.8,53.26,486.9,36
CPT,11730,SURG 11730 AVULSION NAIL PLATE PARTIAL COMP SMPL SNGL,541.0,432.8,53.26,486.9,36
CPT,11730,TX RM 11730 REMOV NAIL PLATE PART COMP SGL,541.0,432.8,53.26,486.9,36
CPT,11732,ED 11732 AVULSION NAIL PLATE SIMPLE EACH ADDL,200.0,160.0,1.0,180.0,34
CPT,11732,SURG 11732 AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,200.0,160.0,1.0,180.0,34
CPT,11732,TX RM 11732 REMOV NAIL PLAT PART COMP ADDL,200.0,160.0,1.0,180.0,34
CPT,11740,ED 11740 DRAIN BLOOD UNDER NAIL,217.0,173.6,32.29,195.3,36
CPT,11750,ED 11750 REMV OF NAIL BED,1448.0,1158.4,101.86,1303.2,36
CPT,11750,SURG 11750 EXC NAIL NAIL MATRIX PERM REMVL,1448.0,1158.4,101.86,1303.2,36
CPT,11755,SURG 11755 BX NAIL UNIT (SEP PROC),1455.0,1164.0,59.92,1309.5,36
CPT,11760,ED 11760 RPR OF NAIL BED,1091.0,872.8,109.52,981.9,36
CPT,11760,SURG 11760 RPR NAIL BED,1091.0,872.8,109.52,981.9,36
CPT,11762,RECONSTRUCTION OF NAIL BED,,,186.74,2293.66,17
CPT,11765,ED 11765 EXC OF NAIL FOLD,572.0,457.6,93.2,514.8,36
CPT,11765,SURG 11765 WEDGE EXC SKIN NAIL FOLD,572.0,457.6,93.2,514.8,36
CPT,11770,EXC PILONIDAL CYST SIMPLE,,,186.41,3573.89,17
CPT,11771,EXC PILONIDAL CYST XTNSV,,,453.38,3573.89,17
CPT,11772,EXC PILONIDAL CYST COMP,,,582.86,3573.89,17
CPT,11900,INJECT SKIN LESIONS </W 7,,,29.63,251.79,17
CPT,11901,TX RM 11901 INJ INTRALESIONAL > 7 LSNS,305.0,244.0,44.94,274.5,36
CPT,11920,CORRECT SKIN COLOR 6.0 CM/<,,,113.51,789.93,17
CPT,11921,CORRECT SKN COLOR 6.1-20.0CM,,,130.15,789.93,17
CPT,11922,CORRECT SKIN COLOR EA 20.0CM,,,1.0,60.81,15
CPT,11950,SUBQ NJX FILLING MATRL 1CC/<,,,51.6,251.79,17
CPT,11951,SUBQ NJX FIL MATRL 1.1-5.0CC,,,72.23,789.93,17
CPT,11952,SUBQ NJX FIL MATRL 5.1-10CC,,,101.53,789.93,17
CPT,11954,SUBQ NJX FIL MATRL>10.0 CC,,,110.85,789.93,17
CPT,11960,INSERT TISSUE EXPANDER(S),,,1018.26,4512.36,17
CPT,11970,RPLCMT TISS XPNDR PERM IMPLT,,,564.22,13497.09,20
CPT,11971,RMVL TIS XPNDR WO INSJ IMPLT,,,555.57,5360.84,20
CPT,11976,REMOVE CONTRACEPTIVE CAPSULE,,,92.21,884.91,17
CPT,11980,IMPLANT HORMONE PELLET(S),,,54.92,501.13,17
CPT,11981,SURG 11981 INSERTION DRUG DELIVERY IMPLANT,566.0,452.8,56.62,509.4,36
CPT,11982,ED 11982 REM IMPL DRUG DELIV NON-BIO,1337.0,1069.6,72.57,1203.3,36
CPT,11982,SURG 11982 REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,1337.0,1069.6,72.57,1203.3,36
CPT,11982,TX RM 11982 REMOVAL DRUG DELIVERY IMPLANT,1019.0,815.2,72.57,917.1,36
CPT,11983,SURG 11983 RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT,995.0,796.0,102.53,895.5,36
CPT,12001,ED 12001 RPR SUPERFCL WND 2.5CM OR<,643.0,514.4,44.61,578.7,36
CPT,12001,TX RM 12001 RPR SUPRFICIAL WND <= 2.5CM,643.0,514.4,44.61,578.7,36
CPT,12002,ED 12002 RPR SUPERFCL WND 2.6-7.5CM,643.0,514.4,58.59,578.7,36
CPT,12004,ED 12004 RPR SUPRFCL WND 7.6-12.5CM,668.0,534.4,73.23,601.2,36
CPT,12005,ED 12005 RPR SUPRFL WND 12.6-20.0CM,831.0,664.8,94.2,747.9,36
CPT,12006,ED 12006 RPR SUPRFL WND 20.1-30.0CM,782.0,625.6,115.17,703.8,36
CPT,12007,ED 12007 RPR SUPERFCL WND >30CM,770.0,616.0,88.73,693.0,36
CPT,12011,ED 12011 RPR SUPERFCL WND 2.5CM OR<,643.0,514.4,55.26,578.7,36
CPT,12013,ED 12013 RPR SUPERFCL WND 2.6-5.0CM,643.0,514.4,57.59,578.7,36
CPT,12014,ED 12014 RPR SUPERFCL WND 5.1-7.5CM,726.0,580.8,74.56,653.4,36
CPT,12015,ED 12015 RPR SUPERFL WND 7.6-12.5CM,781.0,624.8,88.73,702.9,36
CPT,12016,ED 12016 SMPL RPR FACE 12.6-20.0 CM,767.0,613.6,126.83,690.3,36
CPT,12017,ED 12017 RPR SUPRFL WND 20.1-30.0CM,673.0,538.4,153.12,605.7,36
CPT,12018,ED 12018 SMPL RPR LAC FCE EARS LID NSE LPS MOUTH>30.0CM,654.0,523.2,88.73,588.6,36
CPT,12020,ED 12020 WND TX DEHISCENCE SUPERFCL,1189.0,951.2,188.41,1070.1,36
CPT,12020,SURG 12020 TX SUPERL WND DEHISCENCE SMPL CLOSURE,1189.0,951.2,188.41,1070.1,36
CPT,12020,TX RM 12020 CLOSURE SIMPLE WOUND DEHISCENCE SUPERFICIAL,1189.0,951.2,188.41,1070.1,36
CPT,12021,ED 12021 WND TX DEHISCENCE WPACK,1083.0,866.4,141.47,974.7,36
CPT,12031,ED 12031 LYR CLSR OF WND 2.5CM OR <,1224.0,979.2,151.13,1101.6,36
CPT,12031,TX RM 12031 REPAIR LAC INTERMED SCALP AXIL TRUNK <2.5CM,1224.0,979.2,151.13,1101.6,36
CPT,12032,ED 12032 LYR CLSR OF WND 2.6-7.5CM,849.0,679.2,176.74,764.1,36
CPT,12032,TX RM 12032 LAYER CLOSURE WNDS SCALP/AXILLAE/TRUNK/EXTREM 2.6-7.5 CM,849.0,679.2,176.74,764.1,36
CPT,12034,ED 12034 LYR CLSR OF WND 7.6-12.5CM,849.0,679.2,176.74,764.1,36
CPT,12035,ED 12035 LYR CLSR OF WD 12.6-20.0CM,1232.0,985.6,176.74,1108.8,36
CPT,12036,ED 12036 LYR CLSR WD 20.1-30.0 CM,1207.0,965.6,278.37,1086.3,36
CPT,12037,ED 12037 LYR CLSR OF WND >30.0CM,3855.0,3084.0,327.55,3469.5,36
CPT,12041,ED 12041 LYR CLSR WND 2.5CM OR <NHF,767.0,613.6,144.8,690.3,36
CPT,12042,ED 12042 LYR CLSR WND 2.6-7.5CM NHF,849.0,679.2,176.74,764.1,36
CPT,12044,ED 12044 LYR CLSR WD 7.6-12.5CM NHF,1103.0,882.4,213.71,992.7,36
CPT,12045,ED 12045 LYR CLR WD 12.6-20.0CM NHF,1103.0,882.4,273.62,992.7,36
CPT,12046,ED 12046 INTRMD RPR LAC NCK HNDS FEET GNTL 20.1-30.0CM,635.0,508.0,212.73,789.93,36
CPT,12047,ED 12047 LYR CLSR WND >30.0CM NHF,2353.0,1882.4,353.51,2293.66,36
CPT,12051,ED 12051 LYR CLSR OF WND 2.5CM OR <,849.0,679.2,169.1,764.1,36
CPT,12052,ED 12052 LYR CLSR OF WND 2.6-5.0CM,849.0,679.2,176.74,764.1,36
CPT,12053,ED 12053 LYR CLSR OF WND 5.1-7.5CM,798.0,638.4,176.74,718.2,36
CPT,12054,ED 12054 LYR CLSR OF WND 7.6-12.5CM,849.0,679.2,176.74,764.1,36
CPT,12055,ED 12055 LYR CLSR  WND 12.6-20.0CM,727.0,581.6,176.74,654.3,36
CPT,12056,ED 12056 INTRMD RPR LAC FCE EAR LID NS LP MTH20.1-30CM,673.0,538.4,176.74,605.7,36
CPT,12057,ED 12057 INTRMD RPR LAC FCE EAR LID NSE LIP MTH>30.0CM,504.0,403.2,168.84,501.53,36
CPT,13100,ED 13100 EXC LSN MAL FACE EAR 2.1-3,2838.0,2270.4,199.06,2554.2,36
CPT,13101,ED 13101 RPR CMPLX TRUNK 2.6-7.5CM,1160.0,928.0,245.0,1044.0,36
CPT,13102,ED 13102 RPR CPX TRK EA ADD 5CM OR <,852.0,681.6,1.0,766.8,34
CPT,13120,ED 13120 RPR CMPLX WND 1.1-2.5CM,877.0,701.6,230.02,789.93,36
CPT,13121,ED 13121 RPR CMPLX WND 2.6-7.5 CM,1160.0,928.0,255.65,1044.0,36
CPT,13122,ED 13122 RPR CMPLX EACH ADD 5CM,853.0,682.4,1.0,767.7,34
CPT,13131,ED 13131 RPR CPX WD OR LSN 1.1-2.5CM,924.0,739.2,176.74,831.6,36
CPT,13132,ED 13132 RPR CPX WD OR LSN 2.6-7.5CM,1210.0,968.0,278.37,1089.0,36
CPT,13132,SURG 13132 RPR CMPLX FOREHEAD CHK CHN MOUTH NCK AXIL GENITAL HND FT 2.6-7.5,1210.0,968.0,278.37,1089.0,36
CPT,13133,ED 13133 RPR CX WD OR LN EA AD 5CM <,814.0,651.2,1.0,732.6,34
CPT,13151,ED 13151 RPR CX WD OR LSN 1.1-2.5CM,1160.0,928.0,275.62,1044.0,36
CPT,13152,ED 13152 RPR CX WD OR LSN 2.6-7.5CM,1140.0,912.0,278.37,1026.0,36
CPT,13153,ED 13153 RPR CMPLX WND OR LSN EA ADD 5CM,821.0,656.8,1.0,738.9,34
CPT,13160,ED 13160 CLOSURE WOUND COMPLEX SECONDARY,8332.0,6665.6,795.24,7498.8,36
CPT,13160,SURG 13160 SECONDARY CLOSURE SURGICAL WND DEHISCENCE EXTNSV CMPL,8332.0,6665.6,795.24,7498.8,36
CPT,14000,TIS TRNFR TRUNK 10 SQ CM/<,,,505.97,2293.66,17
CPT,14001,TIS TRNFR TRUNK 10.1-30SQCM,,,654.43,2293.66,17
CPT,14020,SURG 14020 ADJ TISSUE XFER REARRANGE SCALP ARMS & OR LEGS DEFECT 10 SQ CM <,6694.0,5355.2,567.88,6024.6,36
CPT,14021,TIS TRNFR S/A/L 10.1-30 SQCM,,,708.03,2293.66,17
CPT,14040,SURG 14040 TRNSFR TISS HND<10CM,5712.0,4569.6,623.47,5140.8,36
CPT,14041,SURG 14041 ADJ TISSU XFR FOREHD CHK CHN MOUTH NCK AXIL GEN HND FT 10.1-30.,7285.0,5828.0,760.29,6556.5,36
CPT,14060,TIS TRNFR E/N/E/L 10 SQ CM/<,,,664.09,2293.66,17
CPT,14061,TIS TRNFR E/N/E/L10.1-30SQCM,,,808.29,2293.66,17
CPT,14301,TIS TRNFR ANY 30.1-60 SQ CM,,,867.14,4512.36,17
CPT,14302,TIS TRNFR ADDL 30 SQ CM,,,1.0,213.04,15
CPT,14350,FILLETED FINGER/TOE FLAP,,,675.4,2293.66,17
CPT,15002,TX RM 15002 SURGICAL PREP RECIPIEN,4183.0,3346.4,217.37,3764.7,36
CPT,15003,WOUND PREP ADDL 100 CM,,,1.0,66.4,15
CPT,15004,SURG 15004 EXC OPN WNDS SCAR 100SQ CM,3832.0,3065.6,256.65,3448.8,36
CPT,15004,TX RM 15004 EXC OPN WNDS SCAR 100SQ CM,3832.0,3065.6,256.65,3448.8,36
CPT,15005,WND PREP F/N/HF/G ADDL CM,,,1.0,111.74,15
CPT,15011,HRV SKN CLL SSP AGRFT 1ST 25,,,1737.77,1920.69,8
CPT,15013,PREPJ SKN CLL SSP AGRFT 1ST,,,6887.98,7613.03,8
CPT,15015,APP SKN CL SSP AGRFT T/A/L 1,,,1737.77,1920.69,8
CPT,15017,APP SKN CLL SSP F/N/G/HF 1ST,,,1737.77,1920.69,8
CPT,15040,HARVEST CULTURED SKIN GRAFT,,,124.5,2293.66,17
CPT,15050,ED 15050 SKIN PINCH GRAFT,1120.0,896.0,278.37,1008.0,36
CPT,15100,TX RM 15100 SKIN SPLT GRFT TRNK ARM LEG,7007.0,5605.6,716.01,6306.3,36
CPT,15101,TX RM 15101 SKIN SPLT GRFT TRNK ARM LEG EA ADDL 100 SQCM,3035.0,2428.0,1.0,2731.5,34
CPT,15110,TX RM 15110 EPIDERMAL AUTOGRAFT TRUNK ARMS LEGS <100SQCM,4494.0,3595.2,715.02,4044.6,36
CPT,15111,TX RM 15111 EPIDERMAL AUTOGRAFT TRUNK ARMS LEGS EA ADD 100SQCM,2312.0,1849.6,1.0,2080.8,34
CPT,15115,TX RM 15115 EPIDERMAL AUTOGRAFT FACE HANDS FEET GENITAL <100SQCM,4283.0,3426.4,695.71,3854.7,36
CPT,15116,TX RM 15116 EPIDERM AUTOGRFT FCE HND FT GEN EA ADD 100SQCM,2381.0,1904.8,1.0,2142.9,34
CPT,15120,TX RM 15120 SKN SPLT AGRFT FAC NCK HF G,7260.0,5808.0,690.05,6534.0,36
CPT,15121,TX RM 15121 SKN SPLT AGRFT FAC NCK HF G EA ADDL 100 SQCM,3224.0,2579.2,1.0,2901.6,34
CPT,15130,DRM AGRFT T/A/L 1ST 100 SQCM,,,598.18,2293.66,17
CPT,15131,DRM AGRFT T/A/L EA ADDL,,,1.0,94.32,15
CPT,15135,DRM AGRFT F/S/N/H/F/G/M 1ST,,,756.62,4512.36,17
CPT,15136,DRM AGRFT F/S/N/H/F/G/M EA,,,1.0,92.96,15
CPT,15150,TIS CLTR SKN AGRFT T/A/L 1ST,,,640.78,2293.66,17
CPT,15151,TIS CLTR SKN AGRFT T/A/L ADD,,,1.0,110.55,15
CPT,15152,TIS CLTR SKN AGRFT T/A/L EA,,,1.0,146.0,15
CPT,15155,TIS CLTR AGRFT F/S/N/H/F/G 1,,,727.66,4512.36,17
CPT,15156,TIS CLT AGRFT F/S/N/H/F/G AD,,,1.0,148.8,15
CPT,15157,TIS CLT AGRFT F/S/N/H/F/G EA,,,1.0,165.2,15
CPT,15200,FTH/GFT FR TRNK 20 SQ CM/<,,,674.07,2293.66,17
CPT,15201,FTH/GFT FR TRNK EACH ADDL,,,1.0,135.7,15
CPT,15220,FTH/GFT FR S/A/L 20 SQ CM/<,,,610.49,2293.66,17
CPT,15221,FTH/GFT FR S/A/L EACH ADDL,,,1.0,124.99,15
CPT,15240,FTH/GFT F/C/C/M/N/AX/G/H/F20,,,796.24,2293.66,17
CPT,15241,FTH/GFT F/C/C/M/N/A/G/H/F EA,,,1.0,169.85,15
CPT,15260,FTH/GFT FR N/E/E/L 20 SQCM/<,,,808.29,2293.66,17
CPT,15261,FTH/GFT FR N/E/E/L EACH ADDL,,,1.0,200.59,15
CPT,15271,TX RM 15271 SKIN SUB GRAFT TRNK ARM LEG,3716.0,2972.8,83.22,3344.4,36
CPT,15272,TX RM 15272 SKIN SUB GRAFT T A L ADD-ON,2313.0,1850.4,1.0,2081.7,34
CPT,15273,TX RM 15273 SKIN SUB GRFT T ARM LG CHILD,6434.0,5147.2,193.07,5790.6,36
CPT,15274,TX RM 15274 SKN SUB GRFT T A L CHILD ADD,3431.0,2744.8,1.0,3087.9,34
CPT,15275,TX RM 15275 SKIN SUB GRAFT FACE NK HF G,3766.0,3012.8,92.21,3389.4,36
CPT,15276,TX RM 15276 SKIN SUB GRAFT F N HF G ADDL,2140.0,1712.0,1.0,1926.0,34
CPT,15277,TX RM 15277 SKN SUB GRFT F N HF G CHILD,4483.0,3586.4,220.03,4034.7,36
CPT,15278,TX RM 15278 SKN SUB GRFT F N HF G CH ADD,2461.0,1968.8,1.0,2214.9,34
CPT,15570,SKIN PEDICLE FLAP TRUNK,,,729.0,2293.66,17
CPT,15572,SKIN PEDICLE FLAP ARMS/LEGS,,,737.32,4512.36,17
CPT,15574,PEDCLE FH/CH/CH/M/N/AX/G/H/F,,,739.98,2293.66,17
CPT,15576,PEDICLE E/N/E/L/NTRORAL,,,646.44,2293.66,17
CPT,15600,DELAY FLAP TRUNK,,,214.04,4512.36,17
CPT,15610,DELAY FLAP ARMS/LEGS,,,246.33,2293.66,17
CPT,15620,DELAY FLAP F/C/C/N/AX/G/H/F,,,328.55,2293.66,17
CPT,15630,DELAY FLAP EYE/NOS/EAR/LIP,,,345.52,2293.66,17
CPT,15650,TRANSFER SKIN PEDICLE FLAP,,,406.11,2293.66,17
CPT,15730,MDFC FLAP W/PRSRV VASC PEDCL,,,911.74,4512.36,17
CPT,15731,FOREHEAD FLAP W/VASC PEDICLE,,,995.96,4512.36,17
CPT,15733,MUSC MYOQ/FSCQ FLP H&N PEDCL,,,1026.92,4512.36,17
CPT,15734,MUSCLE-SKIN GRAFT TRUNK,,,1498.27,4512.36,17
CPT,15736,MUSCLE-SKIN GRAFT ARM,,,808.29,2293.66,17
CPT,15738,SURG 15738 MUSCLE MYOCUTANEOUS FASCIOCUTANEOUS FLAP LOWER EXTREMITY,6997.0,5597.6,1264.59,6297.3,36
CPT,15740,ISLAND PEDICLE FLAP GRAFT,,,808.29,2293.66,17
CPT,15750,NEUROVASCULAR PEDICLE FLAP,,,935.38,4512.36,17
CPT,15756,FREE MYO/SKIN FLAP MICROVASC,,,278.37,2270.87,15
CPT,15757,FREE SKIN FLAP MICROVASC,,,278.37,2255.89,15
CPT,15758,FREE FASCIAL FLAP MICROVASC,,,278.37,2246.57,15
CPT,15760,COMPOSITE SKIN GRAFT,,,698.04,2293.66,17
CPT,15769,GRFG AUTOL SOFT TISS DIR EXC,,,482.0,4512.36,17
CPT,15770,DERMA-FAT-FASCIA GRAFT,,,676.07,4512.36,17
CPT,15771,GRFG AUTOL FAT LIPO 50 CC/<,,,513.96,4512.36,17
CPT,15772,GRFG AUTOL FAT LIPO EA ADDL,,,1.0,187.25,15
CPT,15773,GRFG AUTOL FAT LIPO 25 CC/<,,,502.97,2293.66,17
CPT,15774,GFRG AUTOL FAT LIPO EA ADDL,,,1.0,182.71,15
CPT,15775,HAIR TRNSPL 1-15 PUNCH GRFTS,,,176.74,501.53,17
CPT,15776,HAIR TRNSPL >15 PUNCH GRAFTS,,,176.74,501.53,17
CPT,15777,ACELLULAR DERM MATRIX IMPLT,,,1.0,212.04,18
CPT,15778,IMPL ABSRB MSH/PRSTH DLY CLS,,,278.37,789.93,15
CPT,15780,DERMABRASION TOTAL FACE,,,663.42,3573.89,17
CPT,15781,DERMABRASION SEGMENTAL FACE,,,311.84,884.91,17
CPT,15782,DERMABRASION OTHER THAN FACE,,,370.82,3573.89,17
CPT,15783,DERMABRASION SUPRFL ANY SITE,,,176.74,501.53,17
CPT,15786,ABRASION LESION SINGLE,,,88.73,251.79,17
CPT,15787,ABRASION LESIONS ADD-ON,,,1.0,29.94,15
CPT,15788,CHEMICAL PEEL FACIAL EPIDRM,,,176.74,501.53,15
CPT,15789,CHEMICAL PEEL FACIAL DERMAL,,,278.37,789.93,15
CPT,15792,CHEM PEEL NONFACIAL EPIDRM,,,211.71,789.93,15
CPT,15793,CHEMICAL PEEL NONFACIAL DRM,,,176.74,501.53,15
CPT,15819,Outpatient Services - CPT/HCPCS,,,808.29,2293.66,5
CPT,15819,Therapy,,,801.56,801.56,4
CPT,15820,BLEPHAROPLASTY LOWER EYELID,,,515.29,3440.49,20
CPT,15821,BLEPHARP LWR EYELID FAT PAD,,,549.58,3440.49,20
CPT,15822,BLEPHAROPLASTY UPPER EYELID,,,399.12,3440.49,20
CPT,15823,BLEPHARP UPR EYELID XCSV SKN,,,549.91,3440.49,20
CPT,15824,RHYTIDECTOMY FOREHEAD,,,808.29,3440.49,14
CPT,15825,RHYTDCT NCK PLTYSML TGHTG,,,1590.16,6768.54,14
CPT,15826,RHYTIDECTOMY GLBLR FRN LINES,,,1590.16,6768.54,14
CPT,15828,RHYTIDECTOMY CHEEK CHN & NCK,,,1590.16,6768.54,14
CPT,15829,RHYTIDECTOMY SMAS FLAP,,,1590.16,6768.54,16
CPT,15830,EXC EXCESSIVE SKIN ABDOMEN,,,1171.39,8201.93,17
CPT,15832,EXC EXCESSIVE SKIN THIGH,,,923.06,5360.84,20
CPT,15833,EXC EXCESSIVE SKIN LEG,,,878.46,5360.84,20
CPT,15834,EXC EXCESSIVE SKIN HIP,,,894.1,5360.84,20
CPT,15835,EXC EXCESSIVE SKIN BUTTOCK,,,931.72,3573.89,17
CPT,15836,EXC EXCESSIVE SKIN ARM,,,798.9,5360.84,20
CPT,15837,EXC EXCSV SKIN FOREARM/HAND,,,718.01,3573.89,17
CPT,15838,EXC EXCSV SUBMENTAL FAT PAD,,,651.77,3573.89,17
CPT,15839,EXC EXCESSIVE SKN OTHER AREA,,,740.98,3573.89,17
CPT,15840,NERVE PALSY FASCIAL GRAFT,,,1011.27,4512.36,17
CPT,15841,NERVE PALSY MUSCLE GRAFT,,,1590.16,4512.36,17
CPT,15842,NERVE PALSY MICROSURG GRAFT,,,808.29,2683.31,17
CPT,15845,SKIN AND MUSCLE REPAIR FACE,,,1063.2,4512.36,17
CPT,15847,EXC SKIN ABD ADD-ON,,,1.0,1.0,3
CPT,15850,Outpatient Services - CPT/HCPCS,,,278.37,789.93,3
CPT,15851,TX RM 15851 REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA,2689.0,2151.2,64.91,2420.1,36
CPT,15852,SURG 15852 DRESSING CHG (FOR OTH THAN BURNS) UNDER ANES (OTH THAN LOCAL),2445.0,1956.0,44.27,2200.5,36
CPT,15852,TX RM 15852 DRSG CHG WANES NOT FOR BURN,2445.0,1956.0,44.27,2200.5,36
CPT,15853,ED 15853 REMOVAL SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,146.0,116.8,1.0,131.4,34
CPT,15854,REMOVAL SUTR&STAPL XREQ ANES,,,1.0,15.98,15
CPT,15860,IV NJX TST VASC FLO FLAP/GRF,,,105.19,501.13,17
CPT,15876,SUCTION LIPECTOMY HEAD&NECK,,,1590.16,4512.36,13
CPT,15877,TX RM 15877 SUCTION LIPECTOMY TRUNK,6884.0,5507.2,1590.16,6195.6,36
CPT,15878,SUCTION LIPECTOMY UPR EXTREM,,,808.29,3440.49,16
CPT,15879,SUCTION LIPECTOMY LWR EXTREM,,,1590.16,6768.54,16
CPT,15920,EXC COCCYGL PR ULC PRIM SUTR,,,634.13,3573.89,17
CPT,15922,EXC COCCYGL PR ULC FLAP CLSR,,,799.57,4512.36,17
CPT,15931,EXC SACRAL PR ULC PRIM SUTR,,,707.36,3573.89,17
CPT,15933,EXC SAC PR ULC PRIM STR OSTC,,,875.79,3573.89,17
CPT,15934,EXC SACRAL PR ULC SKN FLAP,,,985.98,4512.36,17
CPT,15935,EXC SAC PR ULC SKN FLP OSTC,,,1156.07,4512.36,17
CPT,15936,EXC SAC PR ULC PREP MUS FLAP,,,808.29,2293.66,17
CPT,15937,EXC SAC PR ULC PREP MUS OSTC,,,808.29,2293.66,17
CPT,15940,EXC ISCHIAL PR ULC PRIM SUTR,,,711.69,3573.89,17
CPT,15941,EXC ISCH PR ULC PRM SUT OSTC,,,930.05,3573.89,17
CPT,15944,EXC ISCH PR ULC SKN FLP CLSR,,,936.04,4512.36,17
CPT,15945,EXC ISCH PR ULC SKN FLP OSTC,,,808.29,2293.66,17
CPT,15946,EXC ISCH PR ULC PREP MUS FLP,,,808.29,2293.66,17
CPT,15950,EXC TRCHNTR PR ULC PRIM SUTR,,,639.45,2039.17,17
CPT,15951,EXC TRCHNTR PR ULC OSTC,,,901.09,3573.89,17
CPT,15952,EXC TRCHNTR PR ULC FLP CLSR,,,808.29,2293.66,17
CPT,15953,EXC TRCHNTR PR ULC FLP OSTC,,,1010.94,4512.36,17
CPT,15956,EXC TRCHNTR PR ULC PREP FLAP,,,808.29,2293.66,17
CPT,15958,EXC TRCHNTR PR ULC PREP OSTC,,,1175.05,4512.36,17
CPT,15999,UNLISTED PX EXC PRESSURE ULC,,,311.84,884.91,13
CPT,16000,ED 16000 BURN FIRST DEGREE INIT TX,506.0,404.8,45.27,455.4,36
CPT,16000,TX RM 16000 BURN INITIAL 1ST DEGREE,506.0,404.8,45.27,455.4,36
CPT,16020,ED 16020 DRSG DEBRIDEMENT BURN<5% BSA,568.0,454.4,55.92,511.2,36
CPT,16020,TX RM 16020 DRESS DEB BURN <5% TOTAL SM,568.0,454.4,55.92,511.2,36
CPT,16025,ED 16025 BURN DRESS DEBRID MEDIUM,469.0,375.2,88.73,422.1,36
CPT,16025,TX RM 16025 DRESS DEB BURN 5-10% TOTAL MD,469.0,375.2,88.73,422.1,36
CPT,16030,ED 16030 BURN DRESS DEBRID LARGE,736.0,588.8,131.49,662.4,36
CPT,16030,TX RM 16030 DRESS DEBR BURN >10% TOTAL LRG,736.0,588.8,131.49,662.4,36
CPT,16035,ESCHAROTOMY 1ST INCISION,,,176.74,501.53,17
CPT,16036,ESCHAROTOMY EA ADDL INCISION,,,34.22,97.11,15
CPT,17000,SURG 17000 CRYOTHERAPY X 1 LESION,276.0,220.8,55.26,251.79,36
CPT,17003,SURG 17003 CRYOTHERAPY 2-24 LESIONS,247.0,197.6,1.0,222.3,34
CPT,17004,DESTROY PREMAL LESIONS 15/>,,,98.2,501.53,17
CPT,17106,DSTR CUT VSC PRLF LES<10SQCM,,,176.74,501.53,17
CPT,17107,DSTR CUT VSC PRLF LES10-50SQ,,,278.37,789.93,17
CPT,17108,DSTR CUT VSC PRLF LES>50SQCM,,,527.94,2293.66,17
CPT,17110,DESTRUCTION B9 LES UP TO 14,,,68.91,251.79,17
CPT,17111,TX RM 17111 DESTRUCT BENIGN LESN 15+,300.0,240.0,83.55,270.0,36
CPT,17250,ED 17250 CHEMICAL CAUTERY TISSUE,462.0,369.6,37.61,415.8,36
CPT,17250,SURG 17250 CHEMICAL CAUTERY GRANULATION TISSUE,462.0,369.6,37.61,415.8,36
CPT,17250,TX RM 17250 CHEM CAUT GRANULATION,462.0,369.6,37.61,415.8,36
CPT,17260,DSTRJ MAL LES T/A/L 0.5 CM/<,,,70.57,251.79,17
CPT,17261,DSTRJ MAL LES T/A/L .6-1.0CM,,,87.21,251.79,17
CPT,17262,DSTRJ MAL LES T/A/L 1.1-2.0,,,88.73,251.79,17
CPT,17263,DSTRJ MAL LES T/A/L 2.1-3.0,,,88.73,251.79,17
CPT,17264,DSTRJ MAL LES T/A/L 3.1-4.0,,,130.15,501.53,17
CPT,17266,DSTRJ MAL LES T/A/L >4.0 CM,,,152.46,501.53,17
CPT,17270,DSTR MAL LES S/N/H/F/G .5 /<,,,88.73,251.79,17
CPT,17271,DSTR MAL LES S/N/H/F/G 0.6-1,,,88.73,251.79,17
CPT,17272,DSTR MAL LES S/N/H/F/G 1.1-2,,,88.73,251.79,17
CPT,17273,DSTR MAL LES S/N/H/F/G 2.1-3,,,136.48,501.53,17
CPT,17274,DSTR MAL LES S/N/H/F/G 3.1-4,,,166.44,501.53,17
CPT,17276,DSTR MAL LES S/N/H/F/G >4.0,,,176.74,501.53,17
CPT,17280,DSTR MAL LS F/E/E/N/L/M .5/<,,,86.88,251.79,17
CPT,17281,DSTR MAL LS F/E/E/N/L/M .6-1,,,117.84,501.53,17
CPT,17282,DSTR MAL LS F/E/E/N/L/M1.1-2,,,135.81,501.53,17
CPT,17283,DSTR MAL LS F/E/E/N/L/M2.1-3,,,169.77,501.53,17
CPT,17284,DSTR MAL LS F/E/E/N/L/M3.1-4,,,197.39,789.93,17
CPT,17286,DSTR MAL LS F/E/E/N/L/M>4.0,,,267.96,789.93,17
CPT,17311,MOHS 1 STAGE H/N/HF/G,,,278.37,789.93,17
CPT,17312,MOHS ADDL STAGE,,,1.0,412.11,15
CPT,17313,MOHS 1 STAGE T/A/L,,,278.37,789.93,17
CPT,17314,MOHS ADDL STAGE T/A/L,,,1.0,395.16,15
CPT,17315,MOHS SURG ADDL BLOCK,,,1.0,80.51,15
CPT,17340,CRYOTHERAPY FOR ACNE,,,27.11,76.93,17
CPT,17360,CHEMICAL EXFOLIATION ACNE,,,88.73,251.79,17
CPT,17380,ELECTROLYSIS EPILATION EA 30,,,278.37,789.93,13
CPT,17999,ED 17999 SKIN MUC MEM SUBQ TISSUE UNLISTED PROCEDURE,4633.0,3706.4,88.73,4169.7,36
CPT,17999,SURG 17999 PERCUTANEOUS ABDOMINAL FAT PAD BX,4633.0,3706.4,88.73,4169.7,36
CPT,19000,ED 19000 PUNCTURE ASP CYST BREAST,1043.0,834.4,41.61,938.7,36
CPT,19001,PUNCTURE ASPIR CYST BRST EA,,,1.0,25.65,15
CPT,19020,ED 19020 MASTOTOMY W EXPLORE DRAINAGE ABSCESS DEEP,4283.0,3426.4,316.9,3854.7,39
CPT,19030,NJX PX ONLY MAM DUCTO/GLCTO,,,1.0,161.58,18
CPT,19081,BX BREAST 1ST LESION STRTCTC,,,159.45,3058.77,20
CPT,19082,SURG 19082 BX BREAST W DVC STEREOTACTIC ADDL LSN,3466.0,2772.8,1.0,3119.4,34
CPT,19083,SURG 19083 BX BREAST W DVC US GUIDE 1ST LSN,4095.0,3276.0,150.79,3685.5,39
CPT,19084,BX BREAST ADD LESION US IMAG,,,1.0,365.83,15
CPT,19085,SURG 19085 BX BREAST W DVC MR GUIDE  1ST LSN,3642.0,2913.6,175.09,3277.8,39
CPT,19086,SURG 19086 BX BREAST W DVC MR GUIDE ADDL LSN,2571.0,2056.8,1.0,2313.9,34
CPT,19100,BX BREAST PERCUT W/O IMAGE,,,68.57,3058.77,20
CPT,19101,BIOPSY OF BREAST OPEN,,,224.36,7191.33,20
CPT,19105,CRYOSURG ABLATE FA EACH,,,208.71,7191.33,18
CPT,19110,NIPPLE EXPLORATION,,,356.18,7191.33,20
CPT,19112,EXCISE BREAST DUCT FISTULA,,,326.88,7191.33,20
CPT,19120,REMOVAL OF BREAST LESION,,,421.42,7191.33,20
CPT,19125,EXCISION BREAST LESION,,,466.03,7191.33,20
CPT,19126,EXCISION ADDL BREAST LESION,,,1.0,158.78,15
CPT,19260,Outpatient Services - CPT/HCPCS,,,108.27,307.23,3
CPT,19271,Outpatient Services - CPT/HCPCS,,,1259.44,3573.89,3
CPT,19272,Outpatient Services - CPT/HCPCS,,,1259.44,3573.89,3
CPT,19281,PERQ DEVICE BREAST 1ST IMAG,,,96.2,3058.77,20
CPT,19282,PERQ DEVICE BREAST EA IMAG,,,1.0,169.16,15
CPT,19283,PERQ DEV BREAST 1ST STRTCTC,,,97.2,1327.38,20
CPT,19284,PERQ DEV BREAST ADD STRTCTC,,,1.0,184.7,15
CPT,19285,PERQ DEV BREAST 1ST US IMAG,,,82.22,1327.38,20
CPT,19286,PERQ DEV BREAST ADD US IMAG,,,1.0,290.41,15
CPT,19287,PERQ DEV BREAST 1ST MR GUIDE,,,122.83,1327.38,20
CPT,19288,PERQ DEV BREAST ADD MR GUIDE,,,1.0,472.64,15
CPT,19294,PREPJ TUM CAV IORT PRTL MAST,,,1.0,162.78,15
CPT,19296,PLACE PO BREAST CATH FOR RAD,,,209.05,17784.6,20
CPT,19297,PLACE BREAST CATH FOR RAD,,,1.0,92.87,15
CPT,19298,PLACE BREAST RAD TUBE/CATHS,,,314.57,12302.9,20
CPT,19300,MASTECTOMY FOR GYNECOMASTIA,,,435.07,7191.33,20
CPT,19301,PARTIAL MASTECTOMY,,,663.42,7191.33,20
CPT,19302,P-MASTECTOMY W/LN REMOVAL,,,910.75,12302.9,20
CPT,19303,MAST SIMPLE COMPLETE,,,961.34,12302.9,20
CPT,19304,Outpatient Services - CPT/HCPCS,,,1689.49,4794.22,3
CPT,19305,MAST RADICAL,,,982.82,12302.9,18
CPT,19306,MAST RAD URBAN TYPE,,,1049.43,12302.9,18
CPT,19307,MAST MOD RAD,,,1183.37,12302.9,20
CPT,19316,MASTOPEXY,,,794.24,12302.9,20
CPT,19318,BREAST REDUCTION,,,1092.83,12302.9,20
CPT,19324,Outpatient Services - CPT/HCPCS,,,718.61,2039.17,3
CPT,19325,BREAST AUGMENTATION W/IMPLT,,,617.82,17784.6,20
CPT,19328,RMVL INTACT BREAST IMPLANT,,,556.23,7191.33,20
CPT,19330,RMVL RUPTURED BREAST IMPLANT,,,647.77,7191.33,20
CPT,19340,INSJ BREAST IMPLT SM D MAST,,,761.29,12302.9,20
CPT,19342,INSJ/RPLCMT BRST IMPLT SEP D,,,763.28,17784.6,20
CPT,19350,NIPPLE/AREOLA RECONSTRUCTION,,,675.4,7191.33,20
CPT,19355,CORRECT INVERTED NIPPLE(S),,,618.81,7191.33,20
CPT,19357,TISS XPNDR PLMT BRST RCNSTJ,,,1162.07,33246.09,20
CPT,19361,BRST RCNSTJ LATSMS DRSI FLAP,,,1365.04,12302.9,18
CPT,19364,BRST RCNSTJ FREE FLAP,,,2364.25,12302.9,18
CPT,19366,Outpatient Services - CPT/HCPCS,,,2890.37,8201.93,3
CPT,19367,BRST RCNSTJ 1 PDCL TRAM FLAP,,,1550.15,7191.33,18
CPT,19368,BRST RCNSTJ 1PDCL TRAM ANAST,,,1890.1,12302.9,18
CPT,19369,BRST RCNSTJ 2 PDCL TRAM FLAP,,,1689.49,7191.33,18
CPT,19370,REVJ PERI-IMPLT CAPSULE BRST,,,674.07,7191.33,20
CPT,19371,PERI-IMPLT CAPSLC BRST COMPL,,,713.35,7191.33,20
CPT,19380,REVJ RECONSTRUCTED BREAST,,,809.22,12302.9,20
CPT,19396,DESIGN CUSTOM BREAST IMPLANT,,,142.14,7191.33,20
CPT,19499,SURG 19499 BREAST LOCALIZATION WITH TOMOSYNTHESIS,2711.0,2168.8,717.06,7191.33,39
CPT,20005,Outpatient Services - CPT/HCPCS,,,712.37,2021.46,3
CPT,20100,ED 20100 EXPLORE PENETRATING WOUND NECK,1573.0,1258.4,243.87,1415.7,39
CPT,20101,ED 20101 EXPLORE PENETRATING WOUND CHEST,4381.0,3504.8,209.71,3942.9,36
CPT,20102,ED 20102 EXPLORE PENETRATING WOUND ABDOMEN/BACK/FLANK,3211.0,2568.8,256.65,2889.9,36
CPT,20103,ED 20103 EXPLOR WND EXTREMITY,2107.0,1685.6,345.52,2039.17,36
CPT,20150,EXCISION EPIPHYSEAL BAR,,,1007.95,6106.72,20
CPT,20200,MUSCLE BIOPSY SUPERFICIAL,,,95.2,2039.17,17
CPT,20205,DEEP MUSCLE BIOPSY,,,155.12,3573.89,17
CPT,20206,SURG 20206 BIOPSY MUSCLE PERC NEEDLE,2634.0,2107.2,56.26,2370.6,36
CPT,20220,SURG 20220 BIOPSY BONE,2933.0,2346.4,85.55,2639.7,36
CPT,20225,SURG 20225 BIOP BONE TROCAR NDL DEEP,4114.0,3291.2,126.83,3702.6,36
CPT,20240,BONE BIOPSY OPEN SUPERFICIAL,,,139.14,3573.89,17
CPT,20245,SURG 20245 BX BONE EXCAL DEEP,7553.0,6042.4,341.2,6797.7,36
CPT,20250,BIOPSY VRT BDY OPEN THORACIC,,,394.12,4071.15,17
CPT,20251,BIOPSY VRT BDY OPEN LMBR/CRV,,,421.42,8998.06,17
CPT,20500,SURG 20500 INJ SINUS TRACT THERAPEUTIC,1868.0,1494.4,89.54,1918.13,36
CPT,20501,SURG 20501 INJ SINUS TRACT DIAGNOSTIC,798.0,638.4,1.0,718.2,34
CPT,20520,ED 20520 RMVL FB MUSC TEND SMPL,2290.0,1832.0,148.8,2061.0,36
CPT,20520,SURG 20520 REMVL FB IN MUSCLE TENDON SHEATH SMPL,2290.0,1832.0,148.8,2061.0,36
CPT,20525,ED 20525 REM FB MUSC TEND CPLX,4439.0,3551.2,247.99,3995.1,36
CPT,20525,SURG 20525 REMVL FB IN MUSCLE TENDON SHEATH DEEP CMPL,4439.0,3551.2,247.99,3995.1,36
CPT,20526,SURG 20526 INJ CARPAL TUNNEL THERAPEUTIC,556.0,444.8,56.59,558.79,39
CPT,20527,SURG 20527 INJ ENZYME PALM FASC CORD,494.0,395.2,65.58,558.79,39
CPT,20550,ED 20550 INJECT SLG TENDON SHEATH LIGAMENT APONEUROSISA,792.0,633.6,38.61,712.8,39
CPT,20550,SURG 20550 INJ SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS,792.0,633.6,38.61,712.8,39
CPT,20551,ED 20551 INJ SGL TENDON ORIGIN INSRT,519.0,415.2,38.28,467.1,36
CPT,20552,ED 20552 INJ 1-2 MUSC GRPS,843.0,674.4,36.62,758.7,36
CPT,20552,SURG 20552 INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,843.0,674.4,36.62,758.7,36
CPT,20553,SURG 20553 INJ SINGLE/MLT TRIGGER POINT 3/> MUSCLES,851.0,680.8,41.61,765.9,36
CPT,20555,PLACE NDL MUSC/TIS FOR RT,,,332.88,4071.15,17
CPT,20560,DRY NEEDLING 1 OR 2 MUSCLE(S) 20560,47.0,37.6,13.2,42.3,34
CPT,20561,DRY NEEDLING 3 OR MORE MUSCLE(S) 20561,80.0,64.0,13.2,72.0,34
CPT,20600,ED 20600 ASP INJ JOINT BURSA SMALL WO US GUID,675.0,540.0,35.62,607.5,39
CPT,20600,SURG 20600 ARTHROCENTESIS ASP INJ SM JNT BURSA WO US GUID,675.0,540.0,35.62,607.5,39
CPT,20604,ED 20604 ARTHROCENT ASP INJ JT BURSA SMALL W US,1391.0,1112.8,45.27,1251.9,39
CPT,20604,SURG 20604 ARTHROCENT ASP INJ JT BURSA SMALL W US,1391.0,1112.8,45.27,1251.9,39
CPT,20605,ED 20605 ASP INJ JOINT BURSA INTERMED WO US GUID,1124.0,899.2,36.62,1011.6,39
CPT,20605,SURG 20605 ARTHROCENTESIS ASP INJ INTRM JNT BURSA WO US GUID,1124.0,899.2,36.62,1011.6,39
CPT,20606,SURG 20606 ARTHRO ASP INJ JT BURSA INTERMED W US,1919.0,1535.2,51.6,1727.1,39
CPT,20610,ED 20610 ASP INJ JOINT BURSA MAJOR WO US GUID,1125.0,900.0,45.27,1012.5,39
CPT,20610,SURG 20610 ARTHROCENTESIS ASP INJ MJR JNT BURSA WO US GUID,1125.0,900.0,45.27,1012.5,39
CPT,20610,SURG 20610 INJ MAJOR JOINT BURSA WO US GUID,1125.0,900.0,45.27,1012.5,39
CPT,20611,ED 20611 ARTHROCENT ASP INJ JT BURSA MAJOR W US,1863.0,1490.4,58.59,1676.7,39
CPT,20611,SURG 20611 ARTHROCENT ASP INJ JT BURSA MAJOR W US,1863.0,1490.4,58.59,1676.7,39
CPT,20612,ED 20612 ASP INJ GANGLION CYST(S),732.0,585.6,40.94,658.8,36
CPT,20612,SURG 20612 ASP OF GANGLION CYST(S),732.0,585.6,40.94,658.8,36
CPT,20615,SURG 20615 ASPIRATION & INJ TREAT BONE CYST,1305.0,1044.0,163.11,1174.5,36
CPT,20650,INSERT AND REMOVE BONE PIN,,,168.43,4071.15,17
CPT,20660,APPLY REM FIXATION DEVICE,,,239.67,2021.46,17
CPT,20661,APPLICATION HALO CRANIAL,,,455.03,2021.46,15
CPT,20662,APPLICATION HALO PELVIC,,,529.94,2021.46,17
CPT,20663,APPLICATION HALO FEMORAL,,,489.66,6106.72,20
CPT,20664,APPL HALO CRANIAL 6+PINS,,,712.37,3392.43,17
CPT,20665,RMVL TONGS/HALO ANTHR INDIV,,,97.87,501.13,17
CPT,20670,ED 20670 RMVL IMPLANT SUPERFICIAL,5868.0,4694.4,145.8,5281.2,36
CPT,20670,SURG 20670 REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE,5868.0,4694.4,145.8,5281.2,36
CPT,20680,ED 20680 REMV OF IMPLANT DEEP,8689.0,6951.2,423.08,7820.1,36
CPT,20680,SURG 20680 REMVL OF IMPLANT DEEP,8689.0,6951.2,423.08,7820.1,36
CPT,20690,ED 20690 APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM,7574.0,6059.2,600.51,8998.06,36
CPT,20692,APPL MLTPLN UNI EXT FIXJ SYS,,,1134.77,16553.5,17
CPT,20693,ADJMT/REVJ EXT FIXJ SYS ANES,,,452.04,8998.06,17
CPT,20694,RMVL EXT FIXJ SYS UNDER ANES,,,346.86,2021.46,17
CPT,20696,APP MLTPLN UNI XTRNL FIX 1ST,,,1168.06,23439.61,17
CPT,20697,APP MLTPLN UNI XTRNL FIX XCH,,,712.37,2021.46,17
CPT,20700,MNL PREP&INSJ DP RX DLVR DEV,,,1.0,83.88,15
CPT,20701,RMVL DEEP RX DELIVERY DEVICE,,,1.0,63.58,15
CPT,20702,MNL PREP&INSJ IMED RX DEV,,,1.0,141.14,15
CPT,20703,RMVL IMED RX DELIVERY DEVICE,,,1.0,103.19,15
CPT,20704,MNL PREP&INSJ I-ARTIC RX DEV,,,1.0,148.46,15
CPT,20705,RMVL I-ARTIC RX DELIVERY DEV,,,1.0,122.83,15
CPT,20802,REPLANTATION ARM COMPLETE,,,2378.43,24830.25,20
CPT,20805,REPLANT FOREARM COMPLETE,,,1259.44,19531.91,20
CPT,20808,REPLANTATION HAND COMPLETE,,,712.37,19531.91,20
CPT,20816,REPLANTATION DIGIT COMPLETE,,,712.37,7497.96,17
CPT,20822,REPLANTATION DIGIT COMPLETE,,,712.37,2021.46,17
CPT,20824,REPLANTATION THUMB COMPLETE,,,712.37,7497.96,20
CPT,20827,REPLANTATION THUMB COMPLETE,,,712.37,7497.96,20
CPT,20838,REPLANTATION FOOT COMPLETE,,,712.37,19531.91,20
CPT,20900,REMOVAL OF BONE FOR GRAFT,,,179.42,8998.06,17
CPT,20902,REMOVAL OF BONE FOR GRAFT,,,273.62,8998.06,17
CPT,20910,REMOVE CARTILAGE FOR GRAFT,,,278.37,789.93,17
CPT,20912,REMOVE CARTILAGE FOR GRAFT,,,486.66,4512.36,17
CPT,20920,REMOVAL OF FASCIA FOR GRAFT,,,403.78,2293.66,17
CPT,20922,REMOVAL OF FASCIA FOR GRAFT,,,502.97,2293.66,17
CPT,20924,REMOVAL OF TENDON FOR GRAFT,,,509.96,8998.06,17
CPT,20926,Outpatient Services - CPT/HCPCS,,,278.37,789.93,3
CPT,20930,SP BONE ALGRFT MORSEL ADD-ON,,,1.0,1.0,3
CPT,20931,SP BONE ALGRFT STRUCT ADD-ON,,,1.0,109.85,15
CPT,20932,OSTEOART ALGRFT W/SURF & B1,,,1.0,746.64,15
CPT,20933,HEMICRT INTRCLRY ALGRFT PRTL,,,1.0,684.72,15
CPT,20934,INTERCALARY ALGRFT COMPL,,,1.0,745.97,15
CPT,20936,SP BONE AGRFT LOCAL ADD-ON,,,1.0,1.0,3
CPT,20937,SP BONE AGRFT MORSEL ADD-ON,,,1.0,165.77,15
CPT,20938,SP BONE AGRFT STRUCT ADD-ON,,,1.0,182.75,15
CPT,20939,BONE MARROW ASPIR BONE GRFG,,,1.0,69.24,18
CPT,20950,ED 20950 FLUID PRESSURE MUSCLE,1171.0,936.8,88.54,1053.9,36
CPT,20955,FIBULA BONE GRAFT MICROVASC,,,1434.68,4071.15,15
CPT,20956,ILIAC BONE GRAFT MICROVASC,,,712.37,7497.96,17
CPT,20957,MT BONE GRAFT MICROVASC,,,712.37,7497.96,17
CPT,20962,OTHER BONE GRAFT MICROVASC,,,1434.68,4071.15,15
CPT,20969,BONE/SKIN GRAFT MICROVASC,,,1434.68,4071.15,15
CPT,20970,BONE/SKIN GRAFT ILIAC CREST,,,712.37,2837.76,15
CPT,20972,BONE/SKIN GRAFT METATARSAL,,,2829.44,8998.06,17
CPT,20973,BONE/SKIN GRAFT GREAT TOE,,,2988.22,13497.09,20
CPT,20974,ESTIM AID BONE HEALG N-INVAS,,,51.26,106.54,15
CPT,20975,ESTIM AID BONE HEALG INVASIV,,,1.0,176.09,15
CPT,20979,LW NTSTY US STIMJ BONE HEALG,,,13.2,37.46,17
CPT,20982,SURG 20982 ABLATION RF BONE TUMOR W IMAGING,14089.0,11271.2,360.17,24830.25,39
CPT,20983,SURG 20983 CRYOABLATION BONE TMR PERCUT W IMAGING,15709.0,12567.2,334.87,14138.1,39
CPT,20985,CPTR-ASST DIR MS PX,,,1.0,143.14,15
CPT,20999,SURG 20999 UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL,10734.0,8587.2,104.52,9660.6,36
CPT,21010,INCISION OF JAW JOINT,,,739.32,6074.23,20
CPT,21011,EXC FACE LES SC <2 CM,,,263.3,2039.17,17
CPT,21012,EXC FACE LES SBQ 2 CM/>,,,342.53,2039.17,17
CPT,21013,EXC FACE TUM DEEP < 2 CM,,,405.11,2039.17,17
CPT,21014,EXC FACE TUM DEEP 2 CM/>,,,525.28,3573.89,17
CPT,21015,RESECT FACE/SCALP TUM < 2 CM,,,700.37,3573.89,17
CPT,21016,RESECT FACE/SCALP TUM 2 CM/>,,,1008.61,3573.89,17
CPT,21025,EXCISION OF BONE LOWER JAW,,,662.09,7365.62,17
CPT,21026,EXCISION OF FACIAL BONE(S),,,429.74,7365.62,17
CPT,21029,CONTOUR OF FACE BONE LESION,,,628.14,4049.48,17
CPT,21030,EXCISE MAX/ZYGOMA B9 TUMOR,,,360.84,11048.44,20
CPT,21031,REMOVE EXOSTOSIS MANDIBLE,,,272.96,6074.23,20
CPT,21032,REMOVE EXOSTOSIS MAXILLA,,,261.31,4049.48,17
CPT,21034,EXCISE MAX/ZYGOMA MAL TUMOR,,,1124.78,7365.62,17
CPT,21040,EXCISE MANDIBLE LESION,,,362.17,4049.48,17
CPT,21044,REMOVAL OF JAW BONE LESION,,,863.81,7365.62,17
CPT,21045,EXTENSIVE JAW SURGERY,,,1062.05,6137.68,17
CPT,21046,REMOVE MANDIBLE CYST COMPLEX,,,984.31,7365.62,17
CPT,21047,EXCISE LWR JAW CYST W/REPAIR,,,1205.67,7365.62,17
CPT,21048,REMOVE MAXILLA CYST COMPLEX,,,992.97,7365.62,17
CPT,21049,EXCIS UPPR JAW CYST W/REPAIR,,,1145.76,7365.62,17
CPT,21050,REMOVAL OF JAW JOINT,,,860.81,11048.44,20
CPT,21060,REMOVE JAW JOINT CARTILAGE,,,780.26,11048.44,20
CPT,21070,REMOVE CORONOID PROCESS,,,614.49,11048.44,20
CPT,21073,MNPJ OF TMJ W/ANESTH,,,240.0,2877.2,20
CPT,21076,IMPRES&PREP SURG OBT PROSTH,,,675.95,1918.13,17
CPT,21077,IMPRES&PREP ORBITAL PROSTH,,,1725.62,11048.44,20
CPT,21079,IMPRES&PREP INTRM OBT PROSTH,,,1160.07,4049.48,17
CPT,21080,IMPRES&PREP DEF OBT PROSTH,,,1308.86,4049.48,17
CPT,21081,IMPRES&PREP MNDBL RES PROSTH,,,1201.68,7365.62,17
CPT,21082,IMPRES&PREP PALTL AUG PROSTH,,,1108.47,4049.48,17
CPT,21083,IMPRES&PREP PALTL LFT PROSTH,,,1024.59,4049.48,17
CPT,21084,IMPRES&PREP SP AID PROSTH,,,1185.37,4049.48,17
CPT,21085,IMPRES&PREP ORAL SURG SPLINT,,,108.27,481.34,17
CPT,21086,IMPRES&PREP AURICULAR PROSTH,,,1271.58,6074.23,20
CPT,21087,IMPRES&PREP NASAL PROSTH,,,1271.58,7365.62,17
CPT,21088,IMPRES&PREP FACIAL PROSTH,,,1427.04,4049.48,13
CPT,21089,UNLISTED MAXLFCL PROSTH PX,,,108.27,307.23,13
CPT,21100,MAXILLOFACIAL FIXATION,,,356.84,7365.62,17
CPT,21110,ED 21110 APPL INTERDENTAL FIXN DEVICE NON-FX DISLC,6378.0,5102.4,675.95,5740.2,36
CPT,21116,SURG 21116 INJ TMJ ARTHROGRAPHY,425.0,340.0,1.0,382.5,37
CPT,21120,GENIOPLASTY AUGMENTATION,,,509.63,7365.62,17
CPT,21121,GENIOP SLDG OSTEOT 1,,,529.27,4049.48,17
CPT,21122,GENIOP SLDG OSTEOT 2/>,,,749.3,7365.62,17
CPT,21123,GENIOP SLDG AUGMENTATION,,,841.51,4049.48,17
CPT,21125,AUGMENTATION MNDBLR PROSTC,,,666.08,7365.62,17
CPT,21127,AUGMENTATION MNDBLR B1 GRF,,,771.6,7365.62,17
CPT,21137,RDCTJ FOREHEAD CNTRG ONLY,,,752.63,4049.48,17
CPT,21138,RDCTJ FOREHEAD CNTRG&PROSTC,,,915.07,7365.62,17
CPT,21139,RDCTJ FOREHEAD CNTRG&SETBACK,,,1088.5,7365.62,17
CPT,21141,RCNSTJ MIDFACE LEFORT I 1PC,,,1323.18,7365.62,17
CPT,21142,RCNSTJ MIDFACE LEFORT I 2PCS,,,1357.8,7365.62,17
CPT,21143,RCNSTJ MDFACE LEFORT I 3/>PC,,,1399.41,7365.62,17
CPT,21145,RCNSTJ MDFC LEFORT I 1 W/GRF,,,1383.99,6137.68,17
CPT,21146,RCNSTJ MDFC LEFORT I 2 W/GRF,,,1427.04,6137.68,17
CPT,21147,RCNSTJ MDFC LEFORT I 3/>GRF,,,1427.04,6137.68,17
CPT,21150,RCNSTJ MDFC LEFRTII ANT NTRU,,,1639.74,7365.62,17
CPT,21151,RCNSTJ MDFC LEFRTII W/B1 GRF,,,1427.04,6137.68,17
CPT,21154,RCNSTJ MDFC LEFORT III W/O I,,,1427.04,6137.68,17
CPT,21155,RCNSTJ MDFC LEFORT III W/I,,,1427.04,6137.68,17
CPT,21159,RCNST MDFC LFRTIII ADVM WO I,,,1427.04,6137.68,17
CPT,21160,RCNST MDFC LFRTIII ADVM W/I,,,1427.04,6137.68,17
CPT,21172,RCNST SUPR-LAT ORB RM&LW FHD,,,2142.05,7365.62,17
CPT,21175,RCNST BFRNT SP ORB RM&LW FHD,,,2197.31,7365.62,17
CPT,21179,RCNSTJ FOREHEAD WITH GRAFTS,,,1329.51,6137.68,17
CPT,21180,RCNSTJ FOREHEAD W/AUTOGRAFT,,,1427.04,6137.68,17
CPT,21181,RCNST CNTRG B9 TUM CRNL XTRC,,,742.31,7365.62,17
CPT,21182,RECONSTRUCT CRANIAL BONE,,,1427.04,6137.68,17
CPT,21183,RECONSTRUCT CRANIAL BONE,,,1427.04,6137.68,17
CPT,21184,RECONSTRUCT CRANIAL BONE,,,1427.04,6137.68,17
CPT,21188,RECONSTRUCTION OF MIDFACE,,,1409.9,6137.68,17
CPT,21193,RECONST LWR JAW W/O GRAFT,,,1221.65,7365.62,17
CPT,21194,RECONST LWR JAW W/GRAFT,,,1412.06,7365.62,17
CPT,21195,RECONST LWR JAW W/O FIXATION,,,1329.5,7365.62,17
CPT,21196,RECONST LWR JAW W/FIXATION,,,1420.04,7365.62,17
CPT,21198,RECONSTR LWR JAW SEGMENT,,,1005.28,7365.62,17
CPT,21199,RECONSTR LWR JAW W/ADVANCE,,,1008.94,7365.62,17
CPT,21206,RECONSTRUCT UPPER JAW BONE,,,965.34,7365.62,17
CPT,21208,AUGMENTATION OF FACIAL BONES,,,735.32,7365.62,17
CPT,21209,REDUCTION OF FACIAL BONES,,,606.17,7365.62,17
CPT,21210,FACE BONE GRAFT,,,756.96,7365.62,17
CPT,21215,LOWER JAW BONE GRAFT,,,786.58,7365.62,17
CPT,21230,RIB CARTILAGE GRAFT,,,748.64,7365.62,17
CPT,21235,EAR CARTILAGE GRAFT,,,573.88,7365.62,17
CPT,21240,RECONSTRUCTION OF JAW JOINT,,,1041.57,11048.44,20
CPT,21242,RECONSTRUCTION OF JAW JOINT,,,1006.95,11048.44,20
CPT,21243,RECONSTRUCTION OF JAW JOINT,,,1666.04,35159.42,20
CPT,21244,RECONSTRUCTION OF LOWER JAW,,,1005.95,7365.62,17
CPT,21245,RECONSTRUCTION OF JAW,,,941.37,7365.62,17
CPT,21246,RECONSTRUCTION OF JAW,,,844.17,7365.62,17
CPT,21247,RECONSTRUCT LOWER JAW BONE,,,1412.3,6137.68,20
CPT,21248,RECONSTRUCTION OF JAW,,,790.25,7365.62,17
CPT,21249,RECONSTRUCTION OF JAW,,,1103.15,7365.62,17
CPT,21255,RECONSTRUCT LOWER JAW BONE,,,1326.51,11048.44,20
CPT,21256,RECONSTRUCTION OF ORBIT,,,1239.63,11048.44,20
CPT,21260,REVISE EYE SOCKETS,,,1364.45,7365.62,17
CPT,21261,REVISE EYE SOCKETS,,,2414.68,7365.62,17
CPT,21263,REVISE EYE SOCKETS,,,2234.26,7365.62,17
CPT,21267,REVISE EYE SOCKETS,,,1595.47,11048.44,20
CPT,21268,REVISE EYE SOCKETS,,,1427.04,6137.68,20
CPT,21270,AUGMENTATION CHEEK BONE,,,748.64,11048.44,20
CPT,21275,REVISION ORBITOFACIAL BONES,,,844.5,7365.62,17
CPT,21280,MEDIAL CANTHOPEXY,,,589.19,6074.23,20
CPT,21282,LATERAL CANTHOPEXY,,,401.45,6074.23,20
CPT,21295,REVISION OF JAW MUSCLE/BONE,,,200.06,2877.2,20
CPT,21296,REVISION OF JAW MUSCLE/BONE,,,411.43,6074.23,20
CPT,21299,UNLISTED CRANFCL&MAXLFCL PX,,,108.27,307.23,13
CPT,21315,ED 21315 CLSD TX NSL BONE FX W MANIP WO STAB,3031.0,2424.8,59.58,2727.9,36
CPT,21320,ED 21320 CLSD TX NASAL BONE FX W MANIP WSTAB,3740.0,2992.0,94.87,4049.48,36
CPT,21325,OPEN TX NOSE FX UNCOMPLICATD,,,447.72,4049.48,17
CPT,21330,OPEN TX NOSE FX W/SKELE FIXJ,,,537.93,7365.62,17
CPT,21335,OPEN TX NOSE & SEPTAL FX,,,720.34,4049.48,17
CPT,21336,OPEN TX SEPTAL FX W/WO STABJ,,,640.12,4071.15,17
CPT,21337,ED 21337 CLSD TX NOSE FXW WO STABL,5300.0,4240.0,304.25,4770.0,36
CPT,21338,OPEN NASOETHMOID FX W/O FIXJ,,,673.74,7365.62,17
CPT,21339,OPEN NASOETHMOID FX W/ FIXJ,,,760.62,7365.62,17
CPT,21340,PERQ TX NASOETHMOID FX,,,756.96,4049.48,17
CPT,21343,OPEN TX DPRSD FRONT SINUS FX,,,968.91,4049.48,15
CPT,21344,OPEN TX COMPL FRONT SINUS FX,,,1229.41,6137.68,17
CPT,21345,CLOSED TX NOSE/JAW FX,,,645.78,1918.13,17
CPT,21346,OPN TX NASOMAX FX W/FIXJ,,,1022.92,7365.62,17
CPT,21347,OPN TX NASOMAX FX MULTPLE,,,1038.57,7365.62,17
CPT,21348,OPN TX NASOMAX FX W/GRAFT,,,965.78,6137.68,17
CPT,21355,PERQ TX MALAR FRACTURE,,,331.88,6074.23,20
CPT,21356,OPN TX DPRSD ZYGOMATIC ARCH,,,406.11,11048.44,20
CPT,21360,OPN TX DPRSD MALAR FRACTURE,,,530.27,11048.44,20
CPT,21365,OPN TX COMPLX MALAR FX,,,1078.52,11048.44,20
CPT,21366,OPN TX COMPLX MALAR W/GRFT,,,1274.25,11048.44,20
CPT,21385,OPN TX ORBIT FX TRANSANTRAL,,,734.32,11048.44,20
CPT,21386,OPN TX ORBIT FX PERIORBITAL,,,694.04,11048.44,20
CPT,21387,OPN TX ORBIT FX COMBINED,,,766.28,11048.44,20
CPT,21390,OPN TX ORBIT PERIORBTL IMPLT,,,803.56,11048.44,20
CPT,21395,OPN TX ORBIT PERIORBT W/GRFT,,,1006.28,11048.44,20
CPT,21400,ED 21400 CLSD TX ORB FX BL WO MANP,1498.0,1198.4,172.43,1348.2,39
CPT,21401,CLOSED TX ORBIT W/MANIPULJ,,,333.54,2877.2,20
CPT,21406,OPN TX ORBIT FX W/O IMPLANT,,,586.86,11048.44,20
CPT,21407,OPN TX ORBIT FX W/IMPLANT,,,643.11,11048.44,20
CPT,21408,OPN TX ORBIT FX W/BONE GRFT,,,902.76,11048.44,20
CPT,21421,CLTX PALATAL/MAX FX WIRE FIX,,,544.25,4049.48,17
CPT,21422,OPTX PALATAL/MAX FRACTURE,,,624.14,7365.62,15
CPT,21423,OPTX PALATAL/MAX FX COMP,,,702.36,6137.68,17
CPT,21431,CLTX CRANIOFACIAL SEPARATION,,,629.04,6137.68,17
CPT,21432,OPTX CRANFCL SEP W/WIRING,,,634.4,6137.68,17
CPT,21433,OPTX CRANFCL SEP COMP MLT,,,1427.04,6137.68,17
CPT,21435,OPTX CRNFC SEP COMP INT&/XTR,,,1238.91,6137.68,17
CPT,21436,OPTX CRNFCL SEP COMP MLT INT,,,1427.04,6137.68,17
CPT,21440,ED 21440 CLSD TX MANDIBULAR OR MAX,6562.0,5249.6,606.83,5905.8,36
CPT,21445,OPTX MNDBLR/MAX ALV RIDGE FX,,,628.47,7365.62,17
CPT,21450,ED 21450 CLSD TX MANDIBLE WO MANIP,777.0,621.6,243.87,699.3,36
CPT,21451,ED 21451 CLSD TX MANDIBLE FX WMNIP,6503.0,5202.4,639.79,5852.7,36
CPT,21452,PERQ TX MNDBLR FX XTRNL FIXJ,,,457.37,7365.62,17
CPT,21453,CLTX MNDBLR FX NTRDNTL FIXJ,,,929.72,7365.62,17
CPT,21454,OPTX MNDBLR FX XTRNL FIXJ,,,489.66,7365.62,17
CPT,21461,OPTX MNDBLR FX WO NTRDNTL,,,1062.54,7365.62,17
CPT,21462,OPTX MNDBLR FX W/NTRDNTL,,,1158.4,7365.62,17
CPT,21465,OPTX MNDBLR CNDYLR FX,,,796.57,11048.44,20
CPT,21470,OPTX COMPLICATED MNDBLR FX,,,1164.4,7365.62,17
CPT,21480,ED 21480 CLSD TX TEMPMAND DISL,633.0,506.4,30.96,569.7,39
CPT,21485,CLTX TMPRMAND DISLC COMP,,,675.95,2877.2,20
CPT,21490,OPTX TMPRMAND DISLOCATION,,,785.25,6074.23,20
CPT,21497,INTERDENTAL WIRG OTH/THN FX,,,587.19,1918.13,17
CPT,21499,UNLISTED MUSCSKEL PX HEAD,,,108.27,307.23,13
CPT,21501,SURG 21501 I&D DEEP ABSCESS/HMTMA SOFT TISSUE NECK/THORAX,6373.0,5098.4,341.2,5735.7,36
CPT,21502,I&D DP ABS/HMTM NCK RIB OSTC,,,509.63,4071.15,17
CPT,21510,INC DEEP OPNG B1 CRTX THORAX,,,108.27,455.37,15
CPT,21550,SURG 21550 BIOPSY TISSUE NECK THORAX,3826.0,3060.8,156.45,3443.4,36
CPT,21552,EXC NECK LES SC 3 CM/>,,,451.38,3573.89,17
CPT,21554,EXC NECK TUM DEEP 5 CM/>,,,735.65,3573.89,17
CPT,21555,EXC NECK LES SC < 3 CM,,,310.91,2039.17,17
CPT,21556,EXC NECK TUM DEEP < 5 CM,,,533.93,3573.89,17
CPT,21557,RESECT NECK THORAX TUMOR<5CM,,,961.34,3573.89,17
CPT,21558,RESECT NECK TUMOR 5 CM/>,,,1259.44,3573.89,17
CPT,21600,PARTIAL REMOVAL OF RIB,,,571.88,8998.06,17
CPT,21601,EXC CHEST WALL TUMOR W/RIBS,,,1147.09,3573.89,17
CPT,21602,EXC CH WAL TUM W/O LYMPHADEC,,,1259.44,7497.96,17
CPT,21603,EXC CH WAL TUM W/LYMPHADEC,,,1259.44,7497.96,17
CPT,21610,COSTOTRANSVERSECTOMY,,,1227.31,4071.15,17
CPT,21615,SURG 21615 EXC 1ST & OR CERVICAL RIB,15036.0,12028.8,529.35,13532.4,39
CPT,21616,EXC 1ST&/CRV RIB W/SYMPTH,,,598.66,7497.96,20
CPT,21620,OSTECTOMY STERNUM PARTIAL,,,108.27,504.64,15
CPT,21627,STERNAL DEBRIDEMENT,,,108.27,7497.96,17
CPT,21630,RADICAL RESECTION STERNUM,,,1155.94,7497.96,17
CPT,21632,Outpatient Services - CPT/HCPCS,,,1259.44,7497.96,5
CPT,21632,Therapy,,,1207.34,1207.34,4
CPT,21685,HYOID MYOTOMY & SUSPENSION,,,985.31,7365.62,17
CPT,21700,REVISION OF NECK MUSCLE,,,353.85,13497.09,20
CPT,21705,REVISION OF NECK MUSCLE/RIB,,,104.52,7497.96,20
CPT,21720,REVISION OF NECK MUSCLE,,,544.25,4071.15,17
CPT,21725,REVISION OF NECK MUSCLE,,,311.84,884.91,17
CPT,21740,RECONSTRUCTION OF STERNUM,,,862.46,7497.96,17
CPT,21742,REPAIR STERN/NUSS W/O SCOPE,,,1434.68,4071.15,13
CPT,21743,REPAIR STERNUM/NUSS W/SCOPE,,,1434.68,4071.15,13
CPT,21750,REPAIR OF STERNUM SEPARATION,,,572.91,7497.96,17
CPT,21811,OPTX OF RIB FX W/FIXJ SCOPE,,,587.86,13497.09,20
CPT,21812,TREATMENT OF RIB FRACTURE,,,709.36,13497.09,20
CPT,21813,TREATMENT OF RIB FRACTURE,,,712.37,3032.2,20
CPT,21820,ED 21820 CLSD TX STERNUM FX,447.0,357.6,104.52,402.3,36
CPT,21825,TREAT STERNUM FRACTURE,,,482.37,7497.96,17
CPT,21899,SURG 21899 SCLRSIS FLD COL NCK THORX,2982.0,2385.6,108.27,2683.8,36
CPT,21920,BIOPSY SOFT TISSUE OF BACK,,,155.45,2039.17,17
CPT,21925,BIOPSY SOFT TISSUE OF BACK,,,383.8,2039.17,17
CPT,21930,EXC BACK LES SC < 3 CM,,,369.49,2039.17,17
CPT,21931,EXC BACK LES SC 3 CM/>,,,474.01,2039.17,17
CPT,21932,EXC BACK TUM DEEP < 5 CM,,,667.08,3573.89,17
CPT,21933,EXC BACK TUM DEEP 5 CM/>,,,741.98,3573.89,17
CPT,21935,RESECT BACK TUM < 5 CM,,,1024.59,3573.89,17
CPT,21936,RESECT BACK TUM 5 CM/>,,,1259.44,3573.89,17
CPT,22010,I&D P-SPINE C/T/CERV-THOR,,,841.68,8998.06,17
CPT,22015,I&D ABSCESS P-SPINE L/S/LS,,,826.38,8998.06,17
CPT,22100,REMOVE PART OF NECK VERTEBRA,,,964.34,8998.06,17
CPT,22101,REMOVE PART THORAX VERTEBRA,,,889.44,8998.06,17
CPT,22102,REMOVE PART LUMBAR VERTEBRA,,,777.6,8998.06,17
CPT,22103,REMOVE EXTRA SPINE SEGMENT,,,1.0,133.48,15
CPT,22110,REMOVE PART OF NECK VERTEBRA,,,907.16,8998.06,17
CPT,22112,REMOVE PART THORAX VERTEBRA,,,966.98,8998.06,17
CPT,22114,REMOVE PART LUMBAR VERTEBRA,,,966.98,8998.06,17
CPT,22116,REMOVE EXTRA SPINE SEGMENT,,,116.52,8998.06,15
CPT,22206,INCIS SPINE 3 COLUMN THORAC,,,104.52,7497.96,17
CPT,22207,INCIS SPINE 3 COLUMN LUMBAR,,,104.52,7497.96,17
CPT,22208,INCIS SPINE 3 COLUMN ADL SEG,,,104.52,586.86,15
CPT,22210,INCIS 1 VERTEBRAL SEG CERV,,,104.52,7497.96,17
CPT,22212,INCIS 1 VERTEBRAL SEG THORAC,,,104.52,7497.96,17
CPT,22214,INCIS 1 VERTEBRAL SEG LUMBAR,,,104.52,7497.96,17
CPT,22216,INCIS ADDL SPINE SEGMENT,,,301.14,8998.06,15
CPT,22220,OSTEOT DSC ANT 1 VRT SGM CRV,,,104.52,7497.96,17
CPT,22222,OSTEOT DSC ANT 1VRT SGM THRC,,,104.52,7497.96,17
CPT,22224,OSTEOT DSC ANT 1VRT SGM LMBR,,,104.52,7497.96,17
CPT,22226,OSTEOT DSC ANT 1VRT SGM EA,,,104.52,356.18,15
CPT,22310,CLOSED TX VERT FX W/O MANJ,,,104.52,302.92,17
CPT,22315,CLOSED TX VERT FX W/MANJ,,,788.91,4071.15,17
CPT,22318,TREAT ODONTOID FX W/O GRAFT,,,1384.15,13793.8,17
CPT,22319,TREAT ODONTOID FX W/GRAFT,,,1527.87,13793.8,17
CPT,22325,TREAT SPINE FRACTURE,,,1264.29,8998.06,15
CPT,22326,TREAT NECK SPINE FRACTURE,,,1281.03,8998.06,15
CPT,22327,TREAT THORAX SPINE FRACTURE,,,1311.42,8998.06,15
CPT,22328,TREAT EACH ADD SPINE FX,,,230.89,8998.06,15
CPT,22505,MANIPULATION OF SPINE,,,130.82,2021.46,17
CPT,22510,SURG 22510 PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC,9605.0,7684.0,427.08,8644.5,36
CPT,22511,SURG 22511 PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL,9190.0,7352.0,402.11,8271.0,36
CPT,22512,SURG 22512 VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL,5549.0,4439.2,1.0,4994.1,34
CPT,22513,SURG 22513 KYPHOPLASTY PERC THORACIC W/IMG,16718.0,13374.4,506.3,15046.2,36
CPT,22514,SURG 22514 PERQ VERT AUGMENT CAVITY CREAT UNI/BIL CANNULATION LMBR,15780.0,12624.0,472.02,14202.0,36
CPT,22515,SURG 22515 KYPHOPLASTY PERC EA ADDL W/IMG,8282.0,6625.6,1.0,7453.8,34
CPT,22526,IDET SINGLE LEVEL,,,104.52,1883.95,15
CPT,22527,IDET 1 OR MORE LEVELS,,,104.52,1548.44,15
CPT,22532,ARTHRD LAT XTRCVTRY TQ THRC,,,1520.63,23439.61,17
CPT,22533,ARTHRD LAT XTRCVTRY TQ LMBR,,,1430.52,23439.61,17
CPT,22534,ARTHRD LAT XTRCVTRY TQ EA AD,,,298.92,23439.61,15
CPT,22548,ARTHRD ANT TORAL/XORAL C1-C2,,,1639.57,23439.61,17
CPT,22551,ARTHRD ANT NTRBDY CERVICAL,,,1714.31,16553.5,17
CPT,22552,ARTHRD ANT NTRBD CERVICAL EA,,,1.0,394.46,15
CPT,22554,ARTHRD ANT NTRBD MIN DSC CRV,,,1276.24,16553.5,17
CPT,22556,ARTHRD ANT NTRBD MIN DSC THC,,,1432.01,23439.61,17
CPT,22558,ARTHRD ANT NTRBD MIN DSC LUM,,,1300.46,19531.91,17
CPT,22585,ARTHRD ANT NTRBD MIN DSC EA,,,1.0,322.56,15
CPT,22586,ARTHRD PRE-SAC NTRBDY L5-S1,,,1694.4,19531.91,17
CPT,22590,ARTHRD PST TQ CRANIOCERVICAL,,,1345.71,23439.61,17
CPT,22595,ARTHRD PST TQ ATLAS-AXIS,,,1287.46,23439.61,17
CPT,22600,ARTHRD PST TQ 1NTRSPC CRV,,,1113.35,19531.91,17
CPT,22610,ARTHRD PST TQ 1NTRSPC THRC,,,1099.88,23439.61,17
CPT,22612,ARTHRD PST TQ 1NTRSPC LUMBAR,,,1590.81,23439.61,17
CPT,22614,ARTHRD PST TQ 1NTRSPC EA ADD,,,1.0,389.46,15
CPT,22630,ARTHRD PST TQ 1NTRSPC LUM,,,1577.49,23439.61,17
CPT,22632,ARTHRD PST TQ 1NTRSPC LM EA,,,262.05,8998.06,15
CPT,22633,ARTHRD CMBN 1NTRSPC LUMBAR,,,1820.49,23439.61,17
CPT,22634,ARTHRD CMBN 1NTRSPC EA ADDL,,,1.0,482.34,15
CPT,22800,ARTHRD PST DFRM<6 VRT SGM,,,1177.24,23439.61,17
CPT,22802,ARTHRD PST DFRM 7-12 VRT SGM,,,1798.64,23439.61,17
CPT,22804,ARTHRD PST DFRM 13+ VRT SGM,,,2063.54,23439.61,17
CPT,22808,ARTHRD ANT DFRM 2-3 VRT SGM,,,1541.48,23439.61,17
CPT,22810,ARTHRD ANT DFRM 4-7 VRT SGM,,,1742.35,23439.61,17
CPT,22812,ARTHRD ANT DFRM 8+ VRT SGM,,,1910.56,23439.61,17
CPT,22818,KYPHECTOMY 1-2 SEGMENTS,,,1860.39,23439.61,17
CPT,22819,KYPHECTOMY 3 OR MORE,,,2141.86,23439.61,17
CPT,22830,EXPLORATION OF SPINAL FUSION,,,104.52,13793.8,17
CPT,22836,ANT THRC VRT BODY TETHRG <7,,,1520.91,23439.61,15
CPT,22837,ANT THRC VRT BODY TETHRG 8+,,,1675.02,23439.61,15
CPT,22838,REV RPLC/RMV THRC VRT TETHRG,,,1697.0,23439.61,15
CPT,22840,INSERT SPINE FIXATION DEVICE,,,1.0,752.3,15
CPT,22841,INSERT SPINE FIXATION DEVICE,,,104.52,296.6,3
CPT,22842,INSERT SPINE FIXATION DEVICE,,,1.0,759.29,15
CPT,22843,INSERT SPINE FIXATION DEVICE,,,104.52,813.21,15
CPT,22844,INSERT SPINE FIXATION DEVICE,,,104.52,976.99,15
CPT,22845,INSERT SPINE FIXATION DEVICE,,,1.0,723.0,15
CPT,22846,INSERT SPINE FIXATION DEVICE,,,621.33,8998.06,15
CPT,22847,INSERT SPINE FIXATION DEVICE,,,104.52,789.91,15
CPT,22848,INSERT PELV FIXATION DEVICE,,,104.52,357.51,15
CPT,22849,REINSERT SPINAL FIXATION,,,1113.59,19531.91,17
CPT,22850,REMOVE SPINE FIXATION DEVICE,,,104.52,13793.8,17
CPT,22852,REMOVE SPINE FIXATION DEVICE,,,104.52,13793.8,17
CPT,22853,INSJ BIOMECHANICAL DEVICE,,,1.0,256.31,15
CPT,22854,INSJ BIOMECHANICAL DEVICE,,,1.0,333.87,15
CPT,22855,REMOVAL ANTERIOR INSTRMJ,,,104.52,13793.8,17
CPT,22856,TOT DISC ARTHRP 1NTRSPC CRV,,,1635.08,23439.61,17
CPT,22857,TOT DISC ARTHRP 1NTRSPC LMBR,,,1518.14,19531.91,17
CPT,22858,TOT DISC ARTHRP 2ND LVL CRV,,,1.0,502.97,15
CPT,22859,INSJ BIOMECHANICAL DEVICE,,,1.0,331.54,15
CPT,22860,TOT DISC ARTHRP 2NTRSPC LMBR,,,341.2,8998.06,15
CPT,22861,REV RPLCM ARTHRP 1NTRSPC CRV,,,1915.5,19531.91,17
CPT,22862,REV RPLCM RTHRP 1NTRSPC LMBR,,,1922.5,8998.06,15
CPT,22864,RMVL TOT ARTHRP 1NTRSPC CRV,,,1714.52,13793.8,17
CPT,22865,RMVL TOT ARTHRP 1NTRSPC LMBR,,,1878.13,8998.06,15
CPT,22867,INSJ STABLJ DEV W/DCMPRN,,,1080.85,23439.61,15
CPT,22868,INSJ STABLJ DEV W/DCMPRN,,,1.0,241.33,15
CPT,22869,INSJ STABLJ DEV W/O DCMPRN,,,433.07,16553.5,15
CPT,22870,INSJ STABLJ DEV W/O DCMPRN,,,1.0,116.17,15
CPT,22899,ED 22899 UNLISTED PROC SPINE,4867.0,3893.6,104.52,4380.3,36
CPT,22900,EXC ABDL TUM DEEP < 5 CM,,,570.88,3573.89,17
CPT,22901,EXC ABDL TUM DEEP 5 CM/>,,,670.74,3573.89,17
CPT,22902,SURG 22902 EXC TUMOR ABDMIN WALL SUBQ<3CM,5723.0,4578.4,338.2,5150.7,36
CPT,22903,EXC ABD LES SC 3 CM/>,,,444.39,3573.89,17
CPT,22904,RADICAL RESECT ABD TUMOR<5CM,,,1050.22,3573.89,17
CPT,22905,RAD RESECT ABD TUMOR 5 CM/>,,,1259.44,3573.89,17
CPT,22999,SURG 22999 SCLEROSIS FLUID COLL ABD,4082.0,3265.6,104.52,3673.8,36
CPT,22999,SURG 22999 UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM,4082.0,3265.6,104.52,3673.8,36
CPT,23000,RMVL SBDLTD CLCREOUS DEP OPN,,,364.17,5360.84,20
CPT,23020,CAPSULAR CONTRACTURE RELEASE,,,699.04,6106.72,20
CPT,23030,I&D SHOULDER DEEP ABSC/HMTMA,,,257.31,3573.89,17
CPT,23031,I&D SHOULDER INFECTED BURSA,,,225.36,5360.84,20
CPT,23035,INCISION BONE CORTEX SHO,,,686.06,3032.2,20
CPT,23040,ARTHRT GH JT EXPL/DRG/RMV FB,,,726.0,6106.72,20
CPT,23044,ARTHRT AC SC JT EXP/RMVL FB,,,573.54,6106.72,20
CPT,23065,BIOPSY SHOULDER TISSUES,,,160.78,3058.77,20
CPT,23066,BIOPSY SHOULDER TISSUES,,,375.48,5360.84,20
CPT,23071,EXC SHOULDER LES SC 3 CM/>,,,424.75,3058.77,20
CPT,23073,EXC SHOULDER TUM DEEP 5 CM/>,,,702.37,5360.84,20
CPT,23075,EXC SHOULDER LES SC < 3 CM,,,334.21,3058.77,20
CPT,23076,EXC SHOULDER TUM DEEP < 5 CM,,,549.58,5360.84,20
CPT,23077,RAD RESCJ TUM SHOULDER<5 CM,,,1133.44,5360.84,20
CPT,23078,RAD RESCJ TUM SHOULDER 5CM/>,,,1259.44,5360.84,20
CPT,23100,ARTHROTOMY GLENHUMRL JT W/BX,,,516.95,6106.72,20
CPT,23101,ARTHRT ACRMCLV/STRNCLAV JT,,,467.69,6106.72,20
CPT,23105,ARTHROTOMY GLENOHUMERAL JT,,,651.44,13497.09,20
CPT,23106,ARTHROTOMY STRNCLAV JOINT,,,512.96,6106.72,20
CPT,23107,ARTHRT GLENHUMRL JT W/EXPL,,,674.74,13497.09,20
CPT,23120,CLAVICULECTOMY PARTIAL,,,599.18,6106.72,20
CPT,23125,CLAVICULECTOMY TOTAL,,,720.01,6106.72,20
CPT,23130,ACROMP/ACROMIONECTOMY PRTL,,,628.8,6106.72,20
CPT,23140,REMOVAL OF BONE LESION,,,565.89,6106.72,20
CPT,23145,REMOVAL OF BONE LESION,,,705.7,6106.72,20
CPT,23146,REMOVAL OF BONE LESION,,,634.79,13497.09,20
CPT,23150,REMOVAL OF HUMERUS LESION,,,677.4,6106.72,20
CPT,23155,REMOVAL OF HUMERUS LESION,,,807.22,13497.09,20
CPT,23156,REMOVAL OF HUMERUS LESION,,,689.05,13497.09,20
CPT,23170,SEQUESTRECTOMY CLAVICLE,,,575.54,6106.72,20
CPT,23172,SEQUESTRECTOMY SCAPULA,,,581.2,6106.72,20
CPT,23174,SQSTRCTMY HUMRL HEAD SRG NCK,,,775.6,13497.09,20
CPT,23180,PRTL EXCISION BONE CLAVICLE,,,669.74,13497.09,20
CPT,23182,PRTL EXCISION BONE SCAPULA,,,682.73,13497.09,20
CPT,23184,PRTL EXCISION BONE PROX HUM,,,751.3,13497.09,20
CPT,23190,OSTECTOMY SCAPULA PARTIAL,,,585.53,6106.72,20
CPT,23195,RESECTION HUMERAL HEAD,,,756.62,13497.09,20
CPT,23200,RADICAL RESCJ TUMOR CLAVICLE,,,712.37,7497.96,20
CPT,23210,RADICAL RESCJ TUMOR SCAPULA,,,712.37,7497.96,20
CPT,23220,RADICAL RESCJ TUMOR PROX HUM,,,712.37,7497.96,20
CPT,23330,REMOVE SHOULDER FOREIGN BODY,,,170.1,3058.77,20
CPT,23333,REMOVE SHOULDER FB DEEP,,,482.34,5360.84,20
CPT,23334,SHOULDER PROSTHESIS REMOVAL,,,1064.2,5360.84,20
CPT,23335,SHOULDER PROSTHESIS REMOVAL,,,712.37,3032.2,20
CPT,23350,SURG 23350 INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG,1162.0,929.6,1.0,1045.8,37
CPT,23395,MUSCLE TRANSFER SHOULDER/ARM,,,1290.22,8998.06,17
CPT,23397,MUSCLE TRANSFERS,,,1146.75,8998.06,17
CPT,23400,FIXATION OF SHOULDER BLADE,,,979.98,13497.09,20
CPT,23405,INCISION OF TENDON & MUSCLE,,,622.81,8998.06,17
CPT,23406,INCISE TENDON(S) & MUSCLE(S),,,736.65,8998.06,17
CPT,23410,REPAIR ROTATOR CUFF ACUTE,,,827.53,13497.09,20
CPT,23412,REPAIR ROTATOR CUFF CHRONIC,,,860.15,13497.09,20
CPT,23415,RELEASE OF SHOULDER LIGAMENT,,,707.69,13497.09,20
CPT,23420,REPAIR OF SHOULDER,,,982.98,13497.09,20
CPT,23430,REPAIR BICEPS TENDON,,,753.3,13497.09,20
CPT,23440,REMOVE/TRANSPLANT TENDON,,,765.95,13497.09,20
CPT,23450,REPAIR SHOULDER CAPSULE,,,952.36,13497.09,20
CPT,23455,REPAIR SHOULDER CAPSULE,,,991.97,13497.09,20
CPT,23460,REPAIR SHOULDER CAPSULE,,,1096.82,13497.09,20
CPT,23462,REPAIR SHOULDER CAPSULE,,,1073.19,13497.09,20
CPT,23465,REPAIR SHOULDER CAPSULE,,,1124.45,13497.09,20
CPT,23466,REPAIR SHOULDER CAPSULE,,,1130.78,13497.09,20
CPT,23470,RECONSTRUCT SHOULDER JOINT,,,1201.68,24830.25,20
CPT,23472,RECONSTRUCT SHOULDER JOINT,,,1445.68,35159.42,20
CPT,23473,REVIS RECONST SHOULDER JOINT,,,1607.45,24830.25,20
CPT,23474,REVIS RECONST SHOULDER JOINT,,,1511.33,24830.25,20
CPT,23480,REVISION OF COLLAR BONE,,,828.53,13497.09,20
CPT,23485,REVISION OF COLLAR BONE,,,960.34,24830.25,20
CPT,23490,REINFORCE CLAVICLE,,,868.8,13497.09,20
CPT,23491,REINFORCE SHOULDER BONES,,,1022.92,24830.25,20
CPT,23500,ED 23500 CLSD TX CLAVICLE FX,573.0,458.4,104.52,515.7,39
CPT,23505,ED 23505 CLSD TX CLVCLE FX WMANIP,2472.0,1977.6,347.19,3032.2,39
CPT,23515,OPTX CLAVICULAR FX W/INT FIX,,,729.99,13497.09,20
CPT,23520,ED 23520 CLSD TX CLAVICLE DISLOC,2493.0,1994.4,249.66,3032.2,39
CPT,23525,ED 23525 CLAVICULAR DISLOCATION W MANIPULATION,422.0,337.6,104.52,444.9,39
CPT,23530,OPTX STRNCLAV DISLC AQT/CHRN,,,585.86,13497.09,20
CPT,23532,OPTX STRCLV DSLC AQ/CHRN GRF,,,637.12,13497.09,20
CPT,23540,ED 23540 CLSD TX CLAVICLE DISLOC,565.0,452.0,104.52,508.5,39
CPT,23545,ED 23545 CLSD TX CLAVICLE DISLOC WMANIP,541.0,432.8,104.52,486.9,39
CPT,23550,OPTX ACROMCLV DISLC AQT/CHRN,,,581.53,13497.09,20
CPT,23552,OPTX ACRCLV DSLC AQ/CHRN GRF,,,658.76,13497.09,20
CPT,23570,ED 23570 CLSD TX SCAPULA FX,428.0,342.4,104.52,444.9,39
CPT,23575,ED 23575 CLSD TX SCAPULA FX WMANIP,1984.0,1587.2,393.46,3032.2,39
CPT,23585,OPTX SCAPULAR FX W/INT FIXJ,,,981.98,13497.09,20
CPT,23600,ED 23600 CLSD TX HUMERAL FX,591.0,472.8,104.52,531.9,39
CPT,23605,ED 23605 CLSD TX HUMERAL WMANIP,3042.0,2433.6,441.39,3032.2,39
CPT,23615,OPTX PROX HUMRL FX W/INT FIX,,,891.77,24830.25,20
CPT,23616,OPTX PRX HMRL FX FIX RPR RPL,,,1241.29,35159.42,20
CPT,23620,ED 23620 CLSD TX GT HUMERAL,565.0,452.0,104.52,508.5,39
CPT,23625,ED 23625 CLSD TX GT HUMERAL WMANIP,2897.0,2317.6,366.5,3032.2,39
CPT,23630,OPTX GR HMRL TBRS FX INT FIX,,,790.91,13497.09,20
CPT,23650,ED 23650 CLSD TX SHOULDER DISLOC W MANIP WO ANES,597.0,477.6,104.52,537.3,39
CPT,23655,ED 23655 CLSD TX SLDR DSL WMNP ANS,2969.0,2375.2,419.42,3032.2,39
CPT,23660,OPTX ACUTE SHOULDER DISLC,,,595.18,13497.09,20
CPT,23665,ED 23665 CLSD TX SHLDR DSLOC WFX WMAN,2320.0,1856.0,414.76,3032.2,39
CPT,23670,OPTX SHO DISLC FX,,,881.12,13497.09,20
CPT,23675,ED 23675 CLSD TX SHR DISLC NECK FX,2230.0,1784.0,516.62,3032.2,39
CPT,23680,OPTX SHO DISLC NECK FX FIXJ,,,928.72,24830.25,20
CPT,23700,MNPJ ANES SHO JT FIXJ APRATS,,,198.39,3032.2,20
CPT,23800,ARTHRODESIS GLENOHUMERAL JT,,,1034.24,13497.09,20
CPT,23802,ARTHRD GLENOHUMERAL JT W/GRF,,,1289.89,24830.25,20
CPT,23900,INTERTHORACOSCPLR AMPUTATION,,,1210.53,16553.5,17
CPT,23920,DISARTICULATION SHOULDER,,,988.69,24830.25,20
CPT,23921,DISARTICULATION SHO SEC CLSR,,,481.67,3440.49,20
CPT,23929,ED 23929 UNLISTED PROC SHOULDER,386.0,308.8,102.1,347.4,36
CPT,23929,SURG 23929 TENOTOMY SHOULDER PERC,5743.0,4594.4,104.52,5168.7,36
CPT,23930,ED 23930 I&D ABSC ARM ELBOW DEEP,4182.0,3345.6,217.37,5360.84,39
CPT,23931,I&D UPR A/E BURSA,,,163.77,3058.77,20
CPT,23935,INC DP OPN B1 CRTX HUM/ELBW,,,523.95,6106.72,20
CPT,24000,ARTHRT ELBW EXPL DRG/RMVL FB,,,488.33,6106.72,20
CPT,24006,ARTHRT ELBW CAPSL EXC RLS,,,723.67,6106.72,20
CPT,24065,BIOPSY ARM/ELBOW SOFT TISSUE,,,164.11,3058.77,20
CPT,24066,BIOPSY ARM/ELBOW SOFT TISSUE,,,429.74,5360.84,20
CPT,24071,EXC ARM/ELBOW LES SC 3 CM/>,,,410.1,5360.84,20
CPT,24073,EX ARM/ELBOW TUM DEEP 5 CM/>,,,698.37,5360.84,20
CPT,24075,SURG 24075 EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ <3CM,4674.0,3739.2,334.54,4206.6,39
CPT,24076,EX ARM/ELBOW TUM DEEP < 5 CM,,,553.9,5360.84,20
CPT,24077,RAD RESCJ TUM TISS A/E <5CM,,,1031.25,5360.84,20
CPT,24079,RAD RESCJ TUM TISS A/E 5 CM+,,,1259.44,5360.84,20
CPT,24100,ARTHRT ELBW SYNOVIAL BX ONLY,,,430.41,6106.72,20
CPT,24101,ARTHRT ELBW JT EXPL BX RMVL,,,513.29,6106.72,20
CPT,24102,ARTHRT ELBOW W/SYNOVECTOMY,,,627.14,6106.72,20
CPT,24105,EXCISION OLECRANON BURSA,,,370.16,6106.72,20
CPT,24110,EXC/CURTG B1 CST/B9 TUM HUM,,,601.51,6106.72,20
CPT,24115,EXC/CRTG B1 CST/TUM HUM AGRF,,,747.3,13497.09,20
CPT,24116,EXC/CRTG B1 CST/TUM HUM ALGR,,,868.47,13497.09,20
CPT,24120,EXC/CRTG B1 CST/B9 TUM RDS,,,542.92,6106.72,20
CPT,24125,EXC/CRTG B1 CST/TUM RDS AGRF,,,633.79,6106.72,20
CPT,24126,EXC/CRTG B1 CST/TUM RDS ALGR,,,661.09,13497.09,20
CPT,24130,EXCISION RADIAL HEAD,,,520.95,6106.72,20
CPT,24134,SEQUESTRECTOMY SHFT/DSTL HUM,,,757.29,13497.09,20
CPT,24136,SEQUESTRECTOMY RADIAL H/N,,,642.78,6106.72,20
CPT,24138,SEQUESTRECTOMY OLECRN PROCES,,,699.7,13497.09,20
CPT,24140,PARTIAL EXC BONE HUMERUS,,,712.35,6106.72,20
CPT,24145,PRTL EXC BONE RADIAL H/N,,,604.83,13497.09,20
CPT,24147,PRTL EXC BONE OLECRN PROCESS,,,638.79,6106.72,20
CPT,24149,RADICAL RESECTION OF ELBOW,,,1191.03,13497.09,20
CPT,24150,RAD RESCJ TUM DSTL/SHFT HUM,,,1545.54,13497.09,20
CPT,24152,RAD RESECTION TUM RADIAL H/N,,,1346.81,13497.09,20
CPT,24155,RESECTION OF ELBOW JOINT,,,859.82,6106.72,20
CPT,24160,RMVL PROSTHHUMRL&ULNAR CMPNT,,,1260.93,6106.72,20
CPT,24164,REMOVAL PROSTH RADIAL HEAD,,,733.99,6106.72,20
CPT,24200,RMVL FB UPPER ARM/ELBW SUBQ,,,143.14,3058.77,20
CPT,24201,RMVL FB UPPER ARM/ELBW DEEP,,,408.44,5360.84,20
CPT,24220,SURG 24220 INJECTION ELBOW ARTHROGRAPHY,1247.0,997.6,1.0,1122.3,37
CPT,24300,MNPJ ELBOW UNDER ANES,,,452.38,3032.2,20
CPT,24301,MUSC/TDN TRANSFER UPR A/E 1,,,759.62,8998.06,17
CPT,24305,TENDON LNGTH UPR A/E EA TDN,,,589.85,4071.15,17
CPT,24310,TNOT OPN ELBW TO SHO EA TDN,,,483.67,4071.15,17
CPT,24320,TENOPLASTY ELBOW TO SHO 1,,,789.25,8998.06,17
CPT,24330,FLEXOR-PLASTY ELBOW,,,728.0,13497.09,20
CPT,24331,FLEXOR-PLASTY ELBW W/ADVMNT,,,794.24,13497.09,20
CPT,24332,TENOLYSIS TRICEPS,,,626.8,6106.72,20
CPT,24340,TENODESIS BICEPS TDN AT ELBW,,,606.83,13497.09,20
CPT,24341,RPR TDN/MUSC UPR A/E EACH,,,761.62,13497.09,20
CPT,24342,REPAIR OF RUPTURED TENDON,,,782.59,13497.09,20
CPT,24343,REPR ELBOW LAT LIGMNT W/TISS,,,726.0,6106.72,20
CPT,24344,RECONSTRUCT ELBOW LAT LIGMNT,,,1114.8,13497.09,20
CPT,24345,REPR ELBW MED LIGMNT W/TISSU,,,722.67,13497.09,20
CPT,24346,RECONSTRUCT ELBOW MED LIGMNT,,,1114.8,24830.25,20
CPT,24357,SURG 24357 TENOTOMY ELBOW LAT MEDIAL PERCUTANEOUS,6781.0,5424.8,423.42,6106.72,39
CPT,24358,REPAIR ELBOW W/DEB OPEN,,,540.26,6106.72,20
CPT,24359,REPAIR ELBOW DEB/ATTCH OPEN,,,673.74,6106.72,20
CPT,24360,RECONSTRUCT ELBOW JOINT,,,911.41,13497.09,20
CPT,24361,RECONSTRUCT ELBOW JOINT,,,1014.6,35159.42,20
CPT,24362,RECONSTRUCT ELBOW JOINT,,,1067.53,24830.25,20
CPT,24363,REPLACE ELBOW JOINT,,,1451.67,35159.42,20
CPT,24365,RECONSTRUCT HEAD OF RADIUS,,,650.77,24830.25,20
CPT,24366,RECONSTRUCT HEAD OF RADIUS,,,689.05,24830.25,20
CPT,24370,REVISE RECONST ELBOW JOINT,,,1537.55,24830.25,20
CPT,24371,REVISE RECONST ELBOW JOINT,,,1766.57,35159.42,20
CPT,24400,OSTEOT HUMERUS W/WO INT FIXJ,,,836.51,13497.09,20
CPT,24410,MLT OSTEOT RLGNM IMED RD HUM,,,1065.53,24830.25,20
CPT,24420,OSTEOPLASTY HUMERUS,,,1072.19,13497.09,20
CPT,24430,RPR NON/MAL HUMERUS WO GRAFT,,,1062.2,24830.25,20
CPT,24435,RPR NON/MAL HUM WITH AGRFT,,,1089.83,24830.25,20
CPT,24470,HEMIEPIPHYSEAL ARREST,,,682.73,6106.72,20
CPT,24495,DECOMPRESSION FASCT FOREARM,,,928.39,13497.09,20
CPT,24498,PROPH TX W/WO MTHYLMTHCRYLT,,,875.13,24830.25,20
CPT,24500,ED 24500 CLSD TX HUMERAL FX,601.0,480.8,104.52,540.9,39
CPT,24505,ED 24505 CLSD TX HUMERAL FX W MANIP,2319.0,1855.2,467.02,3032.2,39
CPT,24515,OPTX HUMRL SHFT FX PLATE/SCR,,,889.44,24830.25,20
CPT,24516,TX HUMRL SHAFT FX IMED IMPLT,,,866.47,24830.25,20
CPT,24530,ED 24530 CLSD TX HUMERAL FX,586.0,468.8,104.52,527.4,39
CPT,24535,ED 24535 CLSD TX HUMERAL FX W MANIP,2261.0,1808.8,588.52,3032.2,39
CPT,24538,PRQ SKEL FIX SPRCNDLR HUM FX,,,800.56,13497.09,20
CPT,24545,OPTX HUM FX WO NTRCNDYLR XTN,,,936.71,24830.25,20
CPT,24546,OPTX HUM FX W/NTRCNDYLR XTN,,,1044.23,24830.25,20
CPT,24560,ED 24560 CLSD TX HUMERAL WO MANIP,517.0,413.6,104.52,465.3,39
CPT,24565,ED 24565 TX FX HUMER EPICOND WMAN,2512.0,2009.6,510.63,3032.2,39
CPT,24566,PRQ SKEL FIX EPCNDYLR HUM FX,,,712.37,3032.2,20
CPT,24575,OPTX HUMERAL EPCNDYLR FX,,,743.64,24830.25,20
CPT,24576,ED 24576 CLSD TX HUMERAL FX,541.0,432.8,104.52,486.9,39
CPT,24577,ED 24577 TX FX HUMER CONDYLAR MAN CL,2230.0,1784.0,523.28,3032.2,39
CPT,24579,OPTX HUMRL CNDYLR FRACTURE,,,844.5,24830.25,20
CPT,24582,PRQ SKEL FIX HUMRL CNDYLR FX,,,829.86,13497.09,20
CPT,24586,OPTX PARTCLR FX&/DISLC ELBOW,,,1092.83,24830.25,20
CPT,24587,OPTX PARTCLR FX&/DSLC ELBW W,,,1095.16,24830.25,20
CPT,24600,ED 24600 CLSD TX ELBOW DISLOC W/O ANES,618.0,494.4,104.52,556.2,39
CPT,24605,ED 24605 CLSD TX ELBOW DISLOC W ANES,3258.0,2606.4,490.66,3032.2,39
CPT,24615,OPTX AQT/CHRNC ELBOW DISLC,,,722.67,13497.09,20
CPT,24620,ED 24620 CLSD TX ELBOW FX,2814.0,2251.2,602.17,3032.2,39
CPT,24635,OPTX MONTEGGIA FX DISLC ELBW,,,686.06,13497.09,20
CPT,24640,ED 24640 CLSD TX RADIAL HEAD ELB W MANIP,502.0,401.6,80.56,451.8,39
CPT,24650,ED 24650 CLSD TX RADIAL HEAD NECK,653.0,522.4,104.52,587.7,39
CPT,24655,ED 24655 CLSD TX RAD HEAD NECK FX WMAN,2294.0,1835.2,421.42,3032.2,39
CPT,24665,OPTX RADIAL HEAD/NECK FX,,,668.41,13497.09,20
CPT,24666,OPTX RADIAL HEAD/NCK FX RPLC,,,741.98,24830.25,20
CPT,24670,ED 24670 CLSD TX OLECRANON FX,596.0,476.8,104.52,536.4,39
CPT,24675,ED 24675 CLSD TX ULNA FX WMANIP,2327.0,1861.6,431.74,3032.2,39
CPT,24685,OPTX ULNAR FX PROX END W/FIX,,,664.75,13497.09,20
CPT,24800,ARTHRODESIS ELBW JOINT LOCAL,,,843.51,13497.09,20
CPT,24802,ARTHRD ELBOW JT AUTOG GRAFT,,,1009.61,24830.25,20
CPT,24900,AMPUTATION OF UPPER ARM,,,680.41,24830.25,20
CPT,24920,AMPUTATION OF UPPER ARM,,,651.72,24830.25,20
CPT,24925,AMPUTATION FOLLOW-UP SURGERY,,,579.87,6106.72,20
CPT,24930,AMPUTATION FOLLOW-UP SURGERY,,,686.12,24830.25,20
CPT,24931,AMPUTATE UPPER ARM & IMPLANT,,,820.6,24830.25,20
CPT,24935,REVISION OF AMPUTATION,,,1229.31,13497.09,20
CPT,24940,REVISION OF UPPER ARM,,,1004.9,13793.8,8
CPT,24999,ED 24999 HUMERUS ELBOW UNLSTD PROC,433.0,346.4,104.52,444.9,39
CPT,24999,SURG 24999 TENOTOMY HUMERUS OR ELBOW PERC,4765.0,3812.0,104.52,4288.5,39
CPT,25000,SURG 25000 INCIS EXTENSOR TENDON SHEATH WRIST,5542.0,4433.6,355.51,4987.8,39
CPT,25001,INCISE FLEXOR CARPI RADIALIS,,,357.17,6106.72,20
CPT,25020,DECOMPRESS FOREARM 1 SPACE,,,712.37,3032.2,20
CPT,25023,DECOMPRESS FOREARM 1 SPACE,,,1316.85,6106.72,20
CPT,25024,DECOMPRESS FOREARM 2 SPACES,,,788.58,6106.72,20
CPT,25025,DECOMPRESS FOREARM 2 SPACES,,,712.37,3032.2,20
CPT,25028,SURG 25028 INCISION & DRAINAGE FOREARM & OR WRIST DEEP ABSCESS HEMATOMA,6943.0,5554.4,699.04,6248.7,39
CPT,25031,I&D FOREARM&/WRIST BURSA,,,377.81,3032.2,20
CPT,25035,INC DP BONE CRTX F/ARM&/WRST,,,600.17,13497.09,20
CPT,25040,ARTHRT RDCRPL/MIDCARPL JT,,,567.88,6106.72,20
CPT,25065,BIOPSY FOREARM SOFT TISSUES,,,159.11,3058.77,20
CPT,25066,BIOPSY FOREARM SOFT TISSUES,,,375.48,5360.84,20
CPT,25071,SURG 25071 EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>,6063.0,4850.4,429.74,5456.7,39
CPT,25073,EXC FOREARM TUM DEEP 3 CM/>,,,543.58,5360.84,20
CPT,25075,SURG 25075 EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM,4459.0,3567.2,321.22,4013.1,39
CPT,25076,SURG 25076 EXC TUMOR SOFT TISSUE FOREARM&/WRIST SUBFASC <3CM,6615.0,5292.0,527.27,5953.5,39
CPT,25077,RESECT FOREARM/WRIST TUM<3CM,,,864.14,5360.84,20
CPT,25078,RESECT FORARM/WRIST TUM 3CM>,,,1170.39,5360.84,20
CPT,25085,SURG 25085 CAPSULOTOMY WRIST,4836.0,3868.8,458.7,6106.72,39
CPT,25100,BIOPSY OF WRIST JOINT,,,359.17,6106.72,20
CPT,25101,EXPLORE/TREAT WRIST JOINT,,,416.09,6106.72,20
CPT,25105,SURG 25105 ARTHROTOMY WRIST JOINT WSYNOVECTOMY,5126.0,4100.8,497.65,6106.72,39
CPT,25107,REMOVE WRIST JOINT CARTILAGE,,,629.8,6106.72,20
CPT,25109,EXCISE TENDON FOREARM/WRIST,,,546.25,6106.72,20
CPT,25110,REMOVE WRIST TENDON LESION,,,354.84,3032.2,20
CPT,25111,SURG 25111 EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY,5926.0,4740.8,334.21,5333.4,39
CPT,25112,SURG 25112 EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT,6401.0,5120.8,400.78,5760.9,39
CPT,25115,SURG 25115 RADICAL EXC BURSA SYNOVIA WRIST FOREARM TENDON SHEATHS FLEXORS,4876.0,3900.8,712.37,4388.4,39
CPT,25116,SURG 25116 RADICAL EXC BURSA SYNOVIA WRIST FOREARM TENDON SHEATHS EXTENSORS,6485.0,5188.0,616.15,6106.72,39
CPT,25118,SURG 25118 SYNOVECTOMY EXTENSOR TENDON SHEATH WRIST SNGL COMPARTMENT,5142.0,4113.6,392.79,4627.8,39
CPT,25119,PARTIAL REMOVAL OF ULNA,,,512.96,6106.72,20
CPT,25120,REMOVAL OF FOREARM LESION,,,512.29,6106.72,20
CPT,25125,REMOVE/GRAFT FOREARM LESION,,,606.83,3032.2,20
CPT,25126,REMOVE/GRAFT FOREARM LESION,,,611.16,6106.72,20
CPT,25130,SURG 25130 EXC CURETTAGE BONE CYST BENIGN TUMOR CARPAL BONES,5392.0,4313.6,461.7,6106.72,39
CPT,25135,REMOVE & GRAFT WRIST LESION,,,572.88,13497.09,20
CPT,25136,REMOVE & GRAFT WRIST LESION,,,508.63,13497.09,20
CPT,25145,REMOVE FOREARM BONE LESION,,,532.27,6106.72,20
CPT,25150,PARTIAL REMOVAL OF ULNA,,,576.87,6106.72,20
CPT,25151,PARTIAL REMOVAL OF RADIUS,,,594.51,6106.72,20
CPT,25170,RESECT RADIUS/ULNAR TUMOR,,,1469.31,13497.09,20
CPT,25210,REMOVAL OF WRIST BONE,,,503.97,4071.15,17
CPT,25215,REMOVAL OF WRIST BONES,,,630.13,6106.72,20
CPT,25230,PARTIAL REMOVAL OF RADIUS,,,443.06,6106.72,20
CPT,25240,PARTIAL REMOVAL OF ULNA,,,440.39,6106.72,20
CPT,25246,SURG 25246 INJECTION WRIST ARTHROGRAPHY,1510.0,1208.0,1.0,1359.0,37
CPT,25248,REMOVE FOREARM FOREIGN BODY,,,433.4,3032.2,20
CPT,25250,REMOVAL OF WRIST PROSTHESIS,,,544.58,3032.2,20
CPT,25251,REMOVAL OF WRIST PROSTHESIS,,,729.66,6106.72,20
CPT,25259,MANIPULATE WRIST W/ANESTHES,,,444.72,3032.2,20
CPT,25260,REPAIR FOREARM TENDON/MUSCLE,,,645.78,4071.15,17
CPT,25263,REPAIR FOREARM TENDON/MUSCLE,,,645.78,8998.06,17
CPT,25265,REPAIR FOREARM TENDON/MUSCLE,,,764.28,4071.15,17
CPT,25270,SURG 25270 RPR TENDON MUSCLE EXTENSR FOREARM & OR WRIST PRIME SNGL EA TENDN,5732.0,4585.6,504.64,5158.8,36
CPT,25272,SURG 25272 RPR TENDON MUSCLE EXTENSOR FOREARM & OR WRIST SECOND SNGL EA T,6842.0,5473.6,570.88,6157.8,36
CPT,25274,REPAIR FOREARM TENDON/MUSCLE,,,674.74,4071.15,17
CPT,25275,SURG 25275 RPR TENDON SHEATH EXTENSOR FOREARM & OR WRIST WFREE GRAFT,8456.0,6764.8,682.73,7610.4,39
CPT,25280,REVISE WRIST/FOREARM TENDON,,,576.54,4071.15,17
CPT,25290,INCISE WRIST/FOREARM TENDON,,,446.05,4071.15,17
CPT,25295,SURG 25295 TENOLYSIS FLEXOR EXTENSOR TENDON FOREARM & OR WRIST SNGL EA TEND,4376.0,3500.8,537.26,4071.15,36
CPT,25300,FUSION OF TENDONS AT WRIST,,,701.37,6106.72,20
CPT,25301,FUSION OF TENDONS AT WRIST,,,654.1,6106.72,20
CPT,25310,SURG 25310 TENDON TRANSPLANTATION XFER FLEXOR EXTENSOR FOREARM & OR WRST SN,5799.0,4639.2,632.13,5219.1,36
CPT,25312,TRANSPLANT FOREARM TENDON,,,727.0,4071.15,17
CPT,25315,REVISE PALSY HAND TENDON(S),,,779.26,13497.09,20
CPT,25316,REVISE PALSY HAND TENDON(S),,,925.06,13497.09,20
CPT,25320,REPAIR/REVISE WRIST JOINT,,,1002.95,13497.09,20
CPT,25332,REVISE WRIST JOINT,,,854.49,6106.72,20
CPT,25335,CENTRALIZATION WRIST ON ULNA,,,952.36,6106.72,20
CPT,25337,RECONSTRUCT ULNA/RADIOULNAR,,,899.43,13497.09,20
CPT,25350,REVISION OF RADIUS,,,684.39,13497.09,20
CPT,25355,REVISION OF RADIUS,,,774.93,6106.72,20
CPT,25360,REVISION OF ULNA,,,666.75,13497.09,20
CPT,25365,REVISE RADIUS & ULNA,,,925.73,24830.25,20
CPT,25370,REVISE RADIUS OR ULNA,,,1020.93,6106.72,20
CPT,25375,REVISE RADIUS & ULNA,,,961.68,6106.72,20
CPT,25390,SHORTEN RADIUS OR ULNA,,,777.6,13497.09,20
CPT,25391,LENGTHEN RADIUS OR ULNA,,,1003.29,24830.25,20
CPT,25392,SHORTEN RADIUS & ULNA,,,1020.59,13497.09,20
CPT,25393,LENGTHEN RADIUS & ULNA,,,1135.1,13497.09,20
CPT,25394,REPAIR CARPAL BONE SHORTEN,,,794.24,6106.72,20
CPT,25400,REPAIR RADIUS OR ULNA,,,810.55,13497.09,20
CPT,25405,REPAIR/GRAFT RADIUS OR ULNA,,,1043.23,13497.09,20
CPT,25415,REPAIR RADIUS & ULNA,,,975.66,13497.09,20
CPT,25420,REPAIR/GRAFT RADIUS & ULNA,,,1172.39,13497.09,20
CPT,25425,REPAIR/GRAFT RADIUS OR ULNA,,,971.33,13497.09,20
CPT,25426,REPAIR/GRAFT RADIUS & ULNA,,,1128.78,6106.72,20
CPT,25430,VASC GRAFT INTO CARPAL BONE,,,742.98,6106.72,20
CPT,25431,REPAIR NONUNION CARPAL BONE,,,797.57,13497.09,20
CPT,25440,REPAIR NONU SCPHD CARPL B1,,,777.93,13497.09,20
CPT,25441,ARTHRP W/PROSTC DSTL RDS,,,946.36,24830.25,20
CPT,25442,ARTHRP W/PROSTC DSTL ULNA,,,818.21,35159.42,20
CPT,25443,ARTHRP PROSTC DSTL SCPH CRPL,,,795.9,13497.09,20
CPT,25444,ARTHRP W/PROSTC LUNATE,,,831.52,24830.25,20
CPT,25445,ARTHRP W/PROSTC TRAPEZIUM,,,729.99,13497.09,20
CPT,25446,ARTHRP W/PROSTC DST RDS&CRPS,,,1178.04,35159.42,20
CPT,25447,ARTHRP NTRCRP/CRP/MTCR NTRPS,,,842.84,6106.72,20
CPT,25448,ARTHRP NTRCRPL/CRP/MTCRP SSP,,,3082.38,3406.84,8
CPT,25449,REVJ ARTHRP WRIST JOINT,,,1039.57,13497.09,20
CPT,25450,EPIPHYSL ARRST DSTL RDS/ULNA,,,628.8,6106.72,20
CPT,25455,EPIPHYSL ARRST DSTL RDS&ULNA,,,741.31,6106.72,20
CPT,25490,PROPHYLACTIC TX RADIUS,,,729.33,13497.09,20
CPT,25491,PROPHYLACTIC TX ULNA,,,749.3,24830.25,20
CPT,25492,PROPHYLACTIC TX RADIUS&ULNA,,,915.74,6106.72,20
CPT,25500,ED 25500 CLSD TX RAD SHAFT FX,472.0,377.6,104.52,444.9,39
CPT,25505,ED 25505 CLSD TX RAD SHAFT FX W MANIP,2097.0,1677.6,477.01,3032.2,39
CPT,25515,OPTX RADIAL SHAFT FRACTURE,,,682.06,13497.09,20
CPT,25520,ED 25520 CLSD TX RADIAL SHAFT FX WDISLOC RADIO-ULNAR,3198.0,2558.4,560.56,3032.2,39
CPT,25525,OPTX RDL SHFT FX&CLTX RAD/UL,,,801.56,13497.09,20
CPT,25526,OPTX RDL SHFT FX&DSTL RAD/UL,,,967.0,13497.09,20
CPT,25530,ED 25530 CLSD TX ULNAR SHAFT FX,696.0,556.8,104.52,626.4,39
CPT,25535,ED 25535 CLSD TX ULNAR SHAFT FX WMANIP,531.0,424.8,104.52,477.9,39
CPT,25545,OPTX ULNAR SHFT FX INT FIXJ,,,636.46,13497.09,20
CPT,25560,ED 25560 CLSD TX RAD ULNAR SHAFT,678.0,542.4,104.52,610.2,39
CPT,25565,ED 25565 CLSD TX RAD ULNAR SHAFT WMANIP,2173.0,1738.4,479.67,3032.2,39
CPT,25574,OPTX RDL&ULN SHFT FX RDS/ULN,,,686.39,13497.09,20
CPT,25575,OPTX RDL&ULN SHFT FX RDS&ULN,,,914.74,13497.09,20
CPT,25600,ED 25600 CLSD TX DISTAL RADIAL FX,560.0,448.0,104.52,504.0,39
CPT,25605,ED 25605 CLSD TX DISTAL RADIAL WMANIP,2173.0,1738.4,526.61,3032.2,39
CPT,25606,PERQ SKEL FIXJ DSTL RDL FX,,,681.73,6106.72,20
CPT,25607,OPTX DST RD XARTC FX/EPI SEP,,,752.3,13497.09,20
CPT,25608,OPTX DST RD XART FX/EPI SEP2,,,839.84,13497.09,20
CPT,25609,OPTX DST RD XART FX/EP SEP3+,,,1063.2,13497.09,20
CPT,25622,ED 25622 CLSD TX NAVICULAR FX WO MANIP,541.0,432.8,104.52,486.9,39
CPT,25624,ED 25624 CLSD TX NAVICULAR FX WMANIP,2613.0,2090.4,461.36,3032.2,39
CPT,25628,OPTX CARPL SCPHD FX INT FIXJ,,,729.33,13497.09,20
CPT,25630,ED 25630 CLSD TX CARPAL BONE FX,549.0,439.2,104.52,494.1,39
CPT,25635,ED 25635 CLSD TX CARPAL FX WMANIPULATION,2209.0,1767.2,438.73,3032.2,39
CPT,25645,OPTX CRPL FX OTH/THN SCPH EA,,,582.2,6106.72,20
CPT,25650,ED 25650 CLSD TX ULNAR FX,823.0,658.4,104.52,740.7,39
CPT,25651,PERQ SKEL FIX ULNAR STYLD FX,,,502.97,6106.72,20
CPT,25652,OPTX ULNAR STYLOID FRACTURE,,,634.46,13497.09,20
CPT,25660,ED 25660 CLSD TX WRIST DISLOC,531.0,424.8,104.52,477.9,39
CPT,25670,OPTX RDCRPL/NTRCRPL DISLC 1+,,,617.82,13497.09,20
CPT,25671,PERQ SKEL FIX RAD/ULN DISLC,,,547.91,6106.72,20
CPT,25675,ED 25675 CLSD TX WRIST DISLOC WMANIP,820.0,656.0,104.52,738.0,39
CPT,25676,SURG 25676 OPEN TX DISTAL RADIOULNAR DISLOCATION ACUTE CHRONIC,3259.0,2607.2,641.78,13497.09,39
CPT,25680,CLTX TRNS-SCPHPRLNR FX MNPJ,,,104.52,544.92,20
CPT,25685,OPTX TRNS-SCPHPRLNR FX DISLC,,,745.31,13497.09,20
CPT,25690,ED 25690 CLSD TX LNTE DISLC WMANIP,3083.0,2466.4,506.64,3032.2,39
CPT,25695,OPTX LUNATE DISLOCATION,,,644.78,13497.09,20
CPT,25800,ARTHRD WRIST COMPLETE WO GRF,,,739.98,13497.09,20
CPT,25805,ARTHRD WRIST W/SLIDING GRAFT,,,857.15,13497.09,20
CPT,25810,ARTHRD WRST ILIAC/OTH AGRFT,,,876.79,24830.25,20
CPT,25820,ARTHRD WRIST LMTD W/O B1 GRF,,,658.76,13497.09,20
CPT,25825,ARTHRD WRIST WITH AUTOGRAFT,,,803.56,13497.09,20
CPT,25830,ARTHRD DST RAD/UL JT SGM RSC,,,1039.24,13497.09,20
CPT,25900,AMPUTATION OF FOREARM,,,644.14,13793.8,20
CPT,25905,AMPUTATION OF FOREARM,,,624.99,24830.25,20
CPT,25907,AMPUTATION FOLLOW-UP SURGERY,,,625.47,6106.72,20
CPT,25909,AMPUTATION FOLLOW-UP SURGERY,,,694.71,13497.09,20
CPT,25915,AMPUTATION OF FOREARM,,,1022.17,24830.25,20
CPT,25920,AMPUTATE HAND AT WRIST,,,650.98,7497.96,20
CPT,25922,AMPUTATE HAND AT WRIST,,,656.1,3032.2,20
CPT,25924,AMPUTATION FOLLOW-UP SURGERY,,,635.71,7497.96,20
CPT,25927,AMPUTATION OF HAND,,,712.37,3392.43,20
CPT,25929,AMPUTATION FOLLOW-UP SURGERY,,,609.49,3440.49,20
CPT,25931,AMPUTATION FOLLOW-UP SURGERY,,,807.22,6106.72,20
CPT,25999,ED 25999 FOREARM/WRIST UNLSTD PROC,417.0,333.6,104.52,444.9,39
CPT,26010,ED 26010 DRN FINGER ABSCESS SIMPLE,759.0,607.2,88.73,683.1,36
CPT,26010,SURG 26010 DRAINAGE FINGER ABSCESS SMPL,759.0,607.2,88.73,683.1,36
CPT,26011,ED 26011 DRN FINGER ABSCESS COMPL,2326.0,1860.8,187.41,2093.4,36
CPT,26011,SURG 26011 DRAINAGE FINGER ABSCESS CMPL,2326.0,1860.8,187.41,2093.4,36
CPT,26020,SURG 26020 DRAINAGE TENDON SHEATH DIGIT & OR PALM EACH,6311.0,5048.8,566.22,5679.9,36
CPT,26025,DRAINAGE OF PALM BURSA,,,427.41,6106.72,20
CPT,26030,DRAINAGE OF PALM BURSAS,,,500.64,6106.72,20
CPT,26034,SURG 26034 INCISION BONE CORTEX HAND FINGER,5377.0,4301.6,561.89,4839.3,36
CPT,26035,DECOMPRESS FINGERS/HAND,,,872.13,4071.15,17
CPT,26037,DECOMPRESS FINGERS/HAND,,,570.21,6106.72,20
CPT,26040,RELEASE PALM CONTRACTURE,,,324.89,3032.2,20
CPT,26045,SURG 26045 FASCIOTOMY PALMAR OPEN PARTIAL,7187.0,5749.6,483.0,6468.3,39
CPT,26055,SURG 26055 TENDON SHEATH INCISION,4543.0,3634.4,298.92,4088.7,36
CPT,26060,INCISION OF FINGER TENDON,,,261.97,2021.46,17
CPT,26070,SURG 26070 ARTHROTOMY CMC W EXPL REM FB,3944.0,3155.2,331.54,3549.6,39
CPT,26075,SURG 26075 ARTHROTOMY METACARPOPHAL EA,5535.0,4428.0,347.19,6106.72,39
CPT,26080,SURG 26080 ARTHROTOMY INTERPHALANGEAL HAND REM FB,5132.0,4105.6,409.1,4618.8,36
CPT,26100,BIOPSY HAND JOINT LINING,,,349.19,6106.72,20
CPT,26105,BIOPSY FINGER JOINT LINING,,,351.18,6106.72,20
CPT,26110,BIOPSY FINGER JOINT LINING,,,334.21,2021.46,17
CPT,26111,SURG 26111 EXC TUMR HAND FNGR SUBQ 1.5CM+,6006.0,4804.8,423.08,5405.4,36
CPT,26113,SURG 26113 EXC TUMR HND FNGR SUBFAC1.5CM+,6709.0,5367.2,556.23,6038.1,36
CPT,26115,SURG 26115 EXC HAND LES SC < 1.5 CM,5386.0,4308.8,339.53,4847.4,36
CPT,26116,SURG 26116 EXC TUMOR SOFT TISSUE VASC MALF HAND FINGER SUBFASC <1.5CM,3125.0,2500.0,534.26,2812.5,36
CPT,26117,RAD RESECT HAND TUMOR < 3 CM,,,752.63,3573.89,17
CPT,26118,RAD RESECT HAND TUMOR 3 CM/>,,,1055.55,3573.89,17
CPT,26121,SURG 26121 FASCIECTOMY PALM W WO,6778.0,5422.4,610.16,6106.72,39
CPT,26123,SURG 26123 FASCIECTOMY PART PALMAR WRELEASE SNGL DIGIT WPROX IP JOINT WWO,10309.0,8247.2,850.16,9278.1,39
CPT,26125,SURG 26125 FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR,4032.0,3225.6,1.0,3628.8,34
CPT,26130,REMOVE WRIST JOINT LINING,,,480.34,6106.72,20
CPT,26135,REVISE FINGER JOINT EACH,,,563.89,4071.15,17
CPT,26140,SURG 26140 SYNOVEC PROX INTERPHALANGEAL JOINT W EXT RECON EACH,4220.0,3376.0,518.95,3798.0,36
CPT,26145,SURG 26145 SYNOVECTOMY TENDON SHEATH RADICL FLEXR TENDN PALM & OR FINGER EA,4517.0,3613.6,526.61,4065.3,36
CPT,26160,SURG 26160 EXC LESION TDN SHTH/JT CAPSL HAND/FNGR,5429.0,4343.2,324.22,4886.1,36
CPT,26170,REMOVAL OF PALM TENDON EACH,,,418.09,2021.46,17
CPT,26180,SURG 26180 EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH,4128.0,3302.4,460.7,3715.2,36
CPT,26185,REMOVE FINGER BONE,,,570.21,3032.2,20
CPT,26200,SURG 26200 EXC CURETTAGE BONE CYST BENIGN TUMOR METACARPAL,5407.0,4325.6,460.7,4866.3,36
CPT,26205,REMOVE/GRAFT BONE LESION,,,615.49,8998.06,17
CPT,26210,REMOVAL OF FINGER LESION,,,458.7,2021.46,17
CPT,26215,REMOVE/GRAFT FINGER LESION,,,578.2,4071.15,17
CPT,26230,SURG 26230 PARTIAL EXC BONE METACARPAL,5588.0,4470.4,509.63,5029.2,36
CPT,26235,SURG 26235 PARTIAL EXC BONE PROXIMAL MIDDLE PHALANX FINGER,4065.0,3252.0,502.97,3658.5,36
CPT,26236,ED 26236 PART EXC DIST PHALANX,3225.0,2580.0,451.71,2902.5,36
CPT,26236,SURG 26236 PARTIAL EXC BONE DISTAL PHALANX FINGER,3225.0,2580.0,451.71,2902.5,36
CPT,26250,EXTENSIVE HAND SURGERY,,,1072.86,4071.15,17
CPT,26260,RESECT PROX FINGER TUMOR,,,804.89,4071.15,17
CPT,26262,RESECT DISTAL FINGER TUMOR,,,640.78,2021.46,17
CPT,26320,SURG 26320 REMVL IMPLANT FINGER HAND,5904.0,4723.2,357.51,5313.6,36
CPT,26340,MANIPULATE FINGER W/ANESTH,,,367.83,3032.2,20
CPT,26341,SURG 26341 MANIP PALM FASC CORD POST ENZYME INJ SGL CORD,477.0,381.6,79.22,444.9,39
CPT,26350,REPAIR FINGER/HAND TENDON,,,756.29,4071.15,17
CPT,26352,REPAIR/GRAFT HAND TENDON,,,840.84,8998.06,17
CPT,26356,SURG 26356 RPR/ADVMNT FLXR TDN ZONE 2 PRIMARY W/O FR GRFT EA TENDON,6944.0,5555.2,807.22,6249.6,36
CPT,26357,SURG 26357 RPR/ADVMNT FLXR TDN ZONE 2 SECONDARY W/O FR GRFT EA TENDON,5294.0,4235.2,903.76,4764.6,36
CPT,26358,REPAIR/GRAFT HAND TENDON,,,995.63,8998.06,17
CPT,26370,REPAIR FINGER/HAND TENDON,,,791.91,4071.15,17
CPT,26372,REPAIR/GRAFT HAND TENDON,,,924.39,8998.06,17
CPT,26373,REPAIR FINGER/HAND TENDON,,,889.77,4071.15,17
CPT,26390,REVISE HAND/FINGER TENDON,,,886.78,8998.06,17
CPT,26392,REPAIR/GRAFT HAND TENDON,,,1010.61,8998.06,17
CPT,26410,ED 26410 RPR HAND TENDOR,4308.0,3446.4,609.49,3877.2,36
CPT,26410,SURG 26410 RPR EXTENSOR TENDON HAND PRIME SECONDARY WO FREE GRAFT EA TENDON,4308.0,3446.4,609.49,3877.2,36
CPT,26412,REPAIR/GRAFT HAND TENDON,,,724.34,4071.15,17
CPT,26415,EXCISION HAND/FINGER TENDON,,,859.82,4071.15,17
CPT,26416,GRAFT HAND OR FINGER TENDON,,,930.39,4071.15,17
CPT,26418,ED 26418 RPR EXT TENDON FINGER EACH,4341.0,3472.8,633.79,3906.9,36
CPT,26418,SURG 26418 RPR EXTENSOR TENDON FINGER PRIME SECONDARY WO FREE GRAFT EA TEND,4341.0,3472.8,633.79,3906.9,36
CPT,26420,REPAIR/GRAFT FINGER TENDON,,,751.63,4071.15,17
CPT,26426,SURG 26426 RPR EXT TENDON CENT SLIP SECOND LOCAL TISSUE EA FINGER,5602.0,4481.6,514.29,5041.8,36
CPT,26428,REPAIR/GRAFT FINGER TENDON,,,806.22,4071.15,17
CPT,26432,ED 26432 RPR TENDON DISTAL EXTN CLSD,3719.0,2975.2,551.57,3347.1,36
CPT,26433,SURG 26433 RPR EXTENSOR TENDON DISTAL INSERT PRIME SECONDARY WO GRAFT,7107.0,5685.6,579.54,6396.3,36
CPT,26434,REPAIR/GRAFT FINGER TENDON,,,705.03,4071.15,17
CPT,26437,SURG 26437 REALIGNMENT EXTENSOR TENDON HAND EACH TENDON,3400.0,2720.0,675.74,4071.15,36
CPT,26440,SURG 26440 TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON,4312.0,3449.6,658.43,3880.8,36
CPT,26442,SURG 26442 TENOLYSIS FLEXOR TENDON PALM & FINGER EACH TENDON,4771.0,3816.8,1000.96,4293.9,36
CPT,26445,SURG 26445 TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH TENDON,4013.0,3210.4,611.82,4071.15,36
CPT,26449,RELEASE FOREARM/HAND TENDON,,,712.35,4071.15,17
CPT,26450,INCISION OF PALM TENDON,,,471.68,4071.15,17
CPT,26455,INCISION OF FINGER TENDON,,,468.69,2021.46,17
CPT,26460,INCISE HAND/FINGER TENDON,,,459.03,2021.46,17
CPT,26471,FUSION OF FINGER TENDONS,,,669.08,4071.15,17
CPT,26474,FUSION OF FINGER TENDONS,,,661.42,2021.46,17
CPT,26476,TENDON LENGTHENING,,,653.43,4071.15,17
CPT,26477,TENDON SHORTENING,,,638.12,4071.15,17
CPT,26478,LENGTHENING OF HAND TENDON,,,666.75,4071.15,17
CPT,26479,SHORTENING OF HAND TENDON,,,685.39,4071.15,17
CPT,26480,SURG 26480 TENDON XFER TRANSPLANT CARPOMETACARP DORSM HND WO FREE GRFT EA T,5472.0,4377.6,794.57,4924.8,36
CPT,26483,TRANSPLANT/GRAFT HAND TENDON,,,880.79,4071.15,17
CPT,26485,TRANSPLANT PALM TENDON,,,845.5,4071.15,17
CPT,26489,TRANSPLANT/GRAFT PALM TENDON,,,973.66,4071.15,17
CPT,26490,REVISE THUMB TENDON,,,848.5,4071.15,17
CPT,26492,TENDON TRANSFER WITH GRAFT,,,938.04,4071.15,17
CPT,26494,HAND TENDON/MUSCLE TRANSFER,,,852.16,4071.15,17
CPT,26496,REVISE THUMB TENDON,,,916.74,4071.15,17
CPT,26497,FINGER TENDON TRANSFER,,,915.41,4071.15,17
CPT,26498,FINGER TENDON TRANSFER,,,1188.36,4071.15,17
CPT,26499,CORRECTION CLAW FINGER OTHER,,,881.12,4071.15,17
CPT,26500,HAND TENDON RECONSTRUCTION,,,697.37,8998.06,17
CPT,26502,SURG 26502 RECONSTRUCT TENDON PULLEY EA TENDON WTENDON FASC GRFT(INC OBTA,9577.0,7661.6,765.61,8619.3,36
CPT,26508,RELEASE THUMB CONTRACTURE,,,686.39,6106.72,20
CPT,26510,THUMB TENDON TRANSFER,,,649.44,4071.15,17
CPT,26516,FUSION OF KNUCKLE JOINT,,,752.63,6106.72,20
CPT,26517,FUSION OF KNUCKLE JOINTS,,,876.13,6106.72,20
CPT,26518,FUSION OF KNUCKLE JOINTS,,,887.11,13497.09,20
CPT,26520,SURG 26520 CAPSULECTOMY CAPSULOTOMY METACARPOPHALANGEAL JOINT EACH JOINT,3804.0,3043.2,690.05,4071.15,36
CPT,26525,SURG 26525 CAPSULECTOMY CAPSULOTOMY INTERPHALANGEAL JOINT EACH JOINT,3963.0,3170.4,694.04,3566.7,36
CPT,26530,REVISE KNUCKLE JOINT,,,552.91,8998.06,17
CPT,26531,REVISE KNUCKLE WITH IMPLANT,,,642.45,8998.06,17
CPT,26535,REVISE FINGER JOINT,,,448.05,4071.15,17
CPT,26536,REVISE/IMPLANT FINGER JOINT,,,758.62,8998.06,17
CPT,26540,SURG 26540 RPR COLLAT LIG METACARPOPHALANGEAL INTERPHALANGEAL JOINT,8445.0,6756.0,708.36,7600.5,36
CPT,26541,REPAIR HAND JOINT WITH GRAFT,,,845.17,4071.15,17
CPT,26542,REPAIR HAND JOINT WITH GRAFT,,,731.33,4071.15,17
CPT,26545,RECONSTRUCT FINGER JOINT,,,744.31,4071.15,17
CPT,26546,REPAIR NONUNION HAND,,,1049.22,13497.09,20
CPT,26548,SURG 26548 RPR & RECONSTRUCT FINGER VOLAR PLATE INTERPHALANGEAL JOINT,6953.0,5562.4,809.22,6257.7,36
CPT,26550,POLLICIZATION DIGIT,,,1434.68,6106.72,20
CPT,26551,GREAT TOE-HAND TRANSFER,,,712.37,3289.8,18
CPT,26553,SINGLE TRANSFER TOE-HAND,,,712.37,3267.83,18
CPT,26554,DOUBLE TRANSFER TOE-HAND,,,712.37,3802.43,18
CPT,26555,POSITIONAL CHANGE OF FINGER,,,1394.75,8998.06,17
CPT,26556,TOE JOINT TRANSFER,,,712.37,7497.96,17
CPT,26560,REPAIR OF WEB FINGER,,,645.11,2021.46,17
CPT,26561,REPAIR OF WEB FINGER,,,992.3,4071.15,17
CPT,26562,REPAIR OF WEB FINGER,,,1387.76,4071.15,17
CPT,26565,CORRECT METACARPAL FLAW,,,719.68,4071.15,17
CPT,26567,CORRECT FINGER DEFORMITY,,,728.33,4071.15,17
CPT,26568,LENGTHEN METACARPAL/FINGER,,,939.37,8998.06,17
CPT,26580,REPAIR CLEFT HAND,,,1434.68,6106.72,20
CPT,26587,RECONSTRUCT EXTRA FINGER,,,1053.22,4071.15,17
CPT,26590,REPAIR FINGER DEFORMITY,,,712.37,2021.46,17
CPT,26591,REPAIR MUSCLES OF HAND,,,496.32,4071.15,17
CPT,26593,RELEASE MUSCLES OF HAND,,,653.43,4071.15,17
CPT,26596,EXCISION CONSTRICTING TISSUE,,,827.86,4071.15,17
CPT,26600,ED 26600 CLSD TX METACARPAL FX WO MANIP EA BONE,616.0,492.8,104.52,554.4,36
CPT,26605,ED 26605 CLSD TX METACARPAL FX WMANIP,1034.0,827.2,104.52,930.6,36
CPT,26607,TREAT METACARPAL FRACTURE,,,518.62,4071.15,17
CPT,26608,TREAT METACARPAL FRACTURE,,,493.99,4071.15,17
CPT,26615,TREAT METACARPAL FRACTURE,,,586.86,4071.15,17
CPT,26641,ED 26641 CLSD TX CMC THUMB DISLOC,547.0,437.6,104.52,492.3,39
CPT,26645,ED 26645 TX FX THUMB WMAN CLSD,2350.0,1880.0,409.1,3032.2,39
CPT,26650,TREAT THUMB FRACTURE,,,493.65,6106.72,20
CPT,26665,TREAT THUMB FRACTURE,,,637.79,6106.72,20
CPT,26670,ED 26670 CLSD TX CMC DISLOC,517.0,413.6,104.52,465.3,36
CPT,26675,ED 26675 CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES,1480.0,1184.0,437.06,2021.46,36
CPT,26676,PIN HAND DISLOCATION,,,522.95,4071.15,17
CPT,26685,TREAT HAND DISLOCATION,,,587.52,4071.15,17
CPT,26686,TREAT HAND DISLOCATION,,,633.13,4071.15,17
CPT,26700,ED 26700 CLSD TX KNUCKLE DISLOC W MANIP,750.0,600.0,104.52,675.0,36
CPT,26705,ED 26705 TX DISL (M-P) W ANES CLSD,2355.0,1884.0,411.1,2119.5,36
CPT,26706,PIN KNUCKLE DISLOCATION,,,458.7,4071.15,17
CPT,26715,TREAT KNUCKLE DISLOCATION,,,584.86,4071.15,17
CPT,26720,ED 26720 CLSD TX FINGER FX,656.0,524.8,104.52,590.4,36
CPT,26725,ED 26725 CLSD TX FINGER FX WMANIP,779.0,623.2,104.52,701.1,36
CPT,26725,SURG 26725 CLSD TX FX SHAFT PROX MIDDLE FINGER THUMB W MANIP EA,779.0,623.2,104.52,701.1,36
CPT,26727,TREAT FINGER FRACTURE EACH,,,487.0,4071.15,17
CPT,26735,TREAT FINGER FRACTURE EACH,,,606.5,4071.15,17
CPT,26740,ED 26740 CLSD TX FINGER FX,547.0,437.6,104.52,492.3,36
CPT,26742,ED 26742 CLSD TX ARTICULAR FX W MC/IP JNT W MANIP EA,2274.0,1819.2,347.52,2046.6,36
CPT,26746,TREAT FINGER FRACTURE EACH,,,751.96,4071.15,17
CPT,26750,ED 26750 CLSD TX FINGER FX,637.0,509.6,104.52,573.3,36
CPT,26755,ED 26755 CLSD TX FINGER FX W MANIP EACH,809.0,647.2,104.52,728.1,36
CPT,26756,SURG 26756 PERQ SKELETAL FIXN DISTAL PHALANGEAL FX FING THUMB EACH,5743.0,4594.4,436.07,5168.7,36
CPT,26765,ED 26765 OPEN TX DST PHALANGEAL W/O M,5505.0,4404.0,515.29,4954.5,36
CPT,26765,SURG 26765 OPEN TX DISTAL PHALANG FX FINGER THUMB WWO INT EXT FIX EACH,5505.0,4404.0,515.29,4954.5,36
CPT,26770,ED 26770 CLSD TX FINGER DISLOC W MANIP,796.0,636.8,104.52,716.4,36
CPT,26775,ED 26775 CLSD TX DISLOC IP JNT W MANIP W ANES,1324.0,1059.2,119.04,1191.6,36
CPT,26776,PIN FINGER DISLOCATION,,,461.7,4071.15,17
CPT,26785,TREAT FINGER DISLOCATION,,,558.9,4071.15,17
CPT,26820,THUMB FUSION WITH GRAFT,,,839.84,13497.09,20
CPT,26841,FUSION OF THUMB,,,785.25,13497.09,20
CPT,26842,THUMB FUSION WITH GRAFT,,,842.17,13497.09,20
CPT,26843,FUSION OF HAND JOINT,,,792.24,8998.06,17
CPT,26844,FUSION/GRAFT OF HAND JOINT,,,870.47,8998.06,17
CPT,26850,FUSION OF KNUCKLE,,,743.64,8998.06,17
CPT,26852,FUSION OF KNUCKLE WITH GRAFT,,,843.84,8998.06,17
CPT,26860,FUSION OF FINGER JOINT,,,621.48,4071.15,17
CPT,26861,FUSION OF FINGER JNT ADD-ON,,,1.0,100.86,15
CPT,26862,FUSION/GRAFT OF FINGER JOINT,,,776.6,4071.15,17
CPT,26863,FUSE/GRAFT ADDED JOINT,,,1.0,225.02,15
CPT,26910,AMPUTATE METACARPAL BONE,,,770.61,4071.15,17
CPT,26951,ED 26951 AMP FINGR THMB WNEURECTMY,4478.0,3582.4,712.35,4071.15,36
CPT,26951,SURG 26951 AMP FINGER THUMB PRIM SECOND ANY JOINT SNGL W DIRECT CLOSE,4478.0,3582.4,712.35,4071.15,36
CPT,26952,AMPUTATION OF FINGER/THUMB,,,692.38,4071.15,17
CPT,26989,ED 26989 HAND/FINGER UNLSTD PROC,324.0,259.2,85.7,296.6,36
CPT,26990,DRAINAGE OF PELVIS LESION,,,688.39,4071.15,17
CPT,26991,DRAINAGE OF PELVIS BURSA,,,534.6,2021.46,17
CPT,26992,DRAINAGE OF BONE LESION,,,712.37,2021.46,15
CPT,27000,TENOTOMY ADDUCTOR HIP PERQ,,,395.12,3032.2,20
CPT,27001,TENOTOMY ADDUCTOR HIP OPEN,,,548.25,6106.72,20
CPT,27003,TNOT ADDUCTR SUBQ OPN NEURCT,,,609.49,13497.09,20
CPT,27005,TENOTOMY HIP FLEXOR OPEN,,,642.55,7497.96,20
CPT,27006,SURG 27006 TENOTOMY ABDUCTORS & OR EXTENSOR(S) HIP OPEN (SEP PROC),6870.0,5496.0,722.01,6183.0,39
CPT,27025,FASCIOTOMY HIP/THIGH ANY TYP,,,712.37,7497.96,20
CPT,27027,DCMPRN FASCT PEL COMPARTMENT,,,891.44,13497.09,20
CPT,27030,ARTHROTOMY HIP W/DRAINAGE,,,712.37,3032.2,18
CPT,27033,ARTHRT HIP EXPL/RMV LOOSE/FB,,,977.32,13497.09,20
CPT,27035,DENERVATION OF HIP JOINT,,,1128.11,6106.72,20
CPT,27036,CAPSULECTOMY/CAPSULOTOMY HIP,,,712.37,7497.96,20
CPT,27040,SURG 27040 BX TISSUE PELVIS HIP SUPERFIC,2214.0,1771.2,199.39,3058.77,39
CPT,27041,SURG 27041 BX TISSUE PELVIS HIP DEEP,3044.0,2435.2,714.35,3058.77,39
CPT,27043,EXC HIP PELVIS LES SC 3 CM/>,,,473.68,5360.84,20
CPT,27045,EXC HIP/PELV TUM DEEP 5 CM/>,,,737.65,5360.84,20
CPT,27047,EXC HIP/PELVIS LES SC < 3 CM,,,366.5,5360.84,20
CPT,27048,EXC HIP/PELV TUM DEEP < 5 CM,,,618.15,5360.84,20
CPT,27049,RESECT HIP/PELV TUM < 5 CM,,,1259.44,5360.84,20
CPT,27050,BIOPSY OF SACROILIAC JOINT,,,415.43,3032.2,20
CPT,27052,BIOPSY OF HIP JOINT,,,589.52,3032.2,20
CPT,27054,REMOVAL OF HIP JOINT LINING,,,614.03,3392.43,20
CPT,27057,BUTTOCK FASCIOTOMY W/DBRDMT,,,712.37,3032.2,20
CPT,27059,RESECT HIP/PELV TUM 5 CM/>,,,1259.44,5360.84,20
CPT,27060,REMOVAL OF ISCHIAL BURSA,,,475.68,13497.09,20
CPT,27062,REMOVE FEMUR LESION/BURSA,,,462.7,6106.72,20
CPT,27065,REMOVE HIP BONE LES SUPER,,,532.27,13497.09,20
CPT,27066,REMOVE HIP BONE LES DEEP,,,824.2,6106.72,20
CPT,27067,REMOVE/GRAFT HIP BONE LESION,,,1043.23,13497.09,20
CPT,27070,PART REMOVE HIP BONE SUPER,,,712.37,7497.96,20
CPT,27071,PART REMOVAL HIP BONE DEEP,,,712.37,7497.96,20
CPT,27075,RESECT HIP TUMOR,,,712.37,7497.96,17
CPT,27076,RESECT HIP TUM INCL ACETABUL,,,712.37,7497.96,17
CPT,27077,RESECT HIP TUM W/INNOM BONE,,,2421.57,23439.61,17
CPT,27078,RSECT HIP TUM INCL FEMUR,,,712.37,13793.8,20
CPT,27080,REMOVAL OF TAIL BONE,,,515.29,4071.15,17
CPT,27086,REMOVE HIP FOREIGN BODY,,,171.43,5360.84,20
CPT,27087,REMOVE HIP FOREIGN BODY,,,621.81,6106.72,20
CPT,27090,REMOVAL OF HIP PROSTHESIS,,,712.37,3032.2,20
CPT,27091,REMOVAL OF HIP PROSTHESIS,,,712.37,3032.2,20
CPT,27093,SURG 27093 INJ HIP ARTHROGRAPHY W/O ANESTHESIA,958.0,766.4,1.0,862.2,37
CPT,27095,SURG 27095 INJ HIP ARTHROGRAPHY W/ANESTHESIA,333.0,266.4,1.0,300.72,37
CPT,27096,SURG 27096 INJ SI JOINT UNILAT,1371.0,1096.8,82.22,1233.9,37
CPT,27097,REVISION OF HIP TENDON,,,692.38,6106.72,20
CPT,27098,TRANSFER TENDON TO PELVIS,,,705.03,6106.72,20
CPT,27100,TRANSFER OF ABDOMINAL MUSCLE,,,839.51,13497.09,20
CPT,27105,TRANSFER OF SPINAL MUSCLE,,,879.46,6106.72,20
CPT,27110,TRANSFER OF ILIOPSOAS MUSCLE,,,978.32,13497.09,20
CPT,27111,TRANSFER OF ILIOPSOAS MUSCLE,,,911.74,6106.72,20
CPT,27120,RECONSTRUCTION OF HIP SOCKET,,,712.37,13793.8,20
CPT,27122,RECONSTRUCTION OF HIP SOCKET,,,712.37,13793.8,20
CPT,27125,PARTIAL HIP REPLACEMENT,,,993.2,13793.8,20
CPT,27130,TOTAL HIP ARTHROPLASTY,,,1285.9,24830.25,20
CPT,27132,TOTAL HIP ARTHROPLASTY,,,1453.85,24830.25,20
CPT,27134,REVISE HIP JOINT REPLACEMENT,,,1648.53,24830.25,20
CPT,27137,REVISE HIP JOINT REPLACEMENT,,,1274.61,24830.25,20
CPT,27138,REVISE HIP JOINT REPLACEMENT,,,1323.35,24830.25,20
CPT,27140,TRANSPLANT FEMUR RIDGE,,,712.37,13793.8,20
CPT,27146,INCISION OF HIP BONE,,,712.37,7497.96,20
CPT,27147,REVISION OF HIP BONE,,,712.37,7497.96,20
CPT,27151,INCISION OF HIP BONES,,,712.37,7497.96,20
CPT,27156,REVISION OF HIP BONES,,,712.37,7497.96,20
CPT,27158,REVISION OF PELVIS,,,712.37,7497.96,17
CPT,27161,INCISION OF NECK OF FEMUR,,,712.37,7497.96,20
CPT,27165,INCISION/FIXATION OF FEMUR,,,712.37,7497.96,20
CPT,27170,REPAIR/GRAFT FEMUR HEAD/NECK,,,712.37,7497.96,20
CPT,27175,TREAT SLIPPED EPIPHYSIS,,,591.83,7497.96,20
CPT,27176,TREAT SLIPPED EPIPHYSIS,,,712.37,13793.8,20
CPT,27177,TREAT SLIPPED EPIPHYSIS,,,712.37,7497.96,20
CPT,27178,TREAT SLIPPED EPIPHYSIS,,,712.37,7497.96,20
CPT,27179,REVISE HEAD/NECK OF FEMUR,,,985.31,13497.09,20
CPT,27181,TREAT SLIPPED EPIPHYSIS,,,712.37,7497.96,20
CPT,27185,REVISION OF FEMUR EPIPHYSIS,,,639.9,7497.96,20
CPT,27187,REINFORCE HIP BONES,,,712.37,7497.96,20
CPT,27197,CLSD TX PELVIC RING FX,,,104.52,296.6,17
CPT,27198,CLSD TX PELVIC RING FX,,,104.52,316.23,17
CPT,27200,ED 27200 CLSD TX COCCYGEAL FX,398.0,318.4,104.52,358.2,36
CPT,27202,TREAT TAIL BONE FRACTURE,,,534.93,4071.15,17
CPT,27215,TREAT PELVIC FRACTURE(S),,,539.33,2021.46,15
CPT,27216,TREAT PELVIC RING FRACTURE,,,712.37,2021.46,15
CPT,27217,TREAT PELVIC RING FRACTURE,,,712.37,2021.46,15
CPT,27218,TREAT PELVIC RING FRACTURE,,,712.37,2021.46,15
CPT,27220,ED 27220 CLSD TX HIP SOCKET FX,720.0,576.0,104.52,648.0,39
CPT,27222,ED 27222 TX FX ACETAB WMANIP CLSD,1845.0,1476.0,104.52,1660.5,39
CPT,27226,TREAT HIP WALL FRACTURE,,,712.37,7497.96,20
CPT,27227,TREAT HIP FRACTURE(S),,,712.37,7497.96,20
CPT,27228,TREAT HIP FRACTURE(S),,,712.37,7497.96,20
CPT,27230,ED 27230 CLSD TX FEMUR FX,495.0,396.0,104.52,490.32,39
CPT,27232,ED 27232 CLSD TX FEMUR FX WMANIP,3122.0,2497.6,104.52,2809.8,39
CPT,27235,TREAT THIGH FRACTURE,,,913.08,13497.09,20
CPT,27236,TREAT THIGH FRACTURE,,,712.37,7497.96,20
CPT,27238,ED 27238 CLSD TX FEMUR FX,2125.0,1700.0,479.01,3032.2,39
CPT,27240,ED 27240 FX FEMUR TROCH WMAN CLSD,2169.0,1735.2,104.52,1952.1,39
CPT,27244,TREAT THIGH FRACTURE,,,712.37,7497.96,20
CPT,27245,TREAT THIGH FRACTURE,,,712.37,7497.96,20
CPT,27246,ED 27246 CLSD TX THIGH FX,495.0,396.0,104.52,445.5,39
CPT,27248,TREAT THIGH FRACTURE,,,656.77,7497.96,20
CPT,27250,ED 27250 CLSD TX HIP DISLOC,531.0,424.8,104.52,477.9,39
CPT,27252,ED 27252 CLSD TX HIP DSLC TRM WANS,3044.0,2435.2,712.37,3032.2,39
CPT,27253,TREAT HIP DISLOCATION,,,712.37,3392.43,20
CPT,27254,TREAT HIP DISLOCATION,,,712.37,3392.43,20
CPT,27256,ED 27256 TX DISLOC HIP SPONTANEOUS W/O ANES W/O MANIP,418.0,334.4,104.52,444.9,39
CPT,27257,ED 27257 TX DISLOC HIP SPONTANEOUS W/ANES W/MANIP,3265.0,2612.0,363.5,3032.2,39
CPT,27258,TREAT HIP DISLOCATION,,,712.37,3392.43,20
CPT,27259,TREAT HIP DISLOCATION,,,712.37,3392.43,20
CPT,27265,ED 27265 CLSD TX HIP DISLOC WO ANES,540.0,432.0,104.52,486.0,39
CPT,27266,ED 27266 CLSD TX HIP DISLOC WANES,3949.0,3159.2,592.18,3554.1,39
CPT,27267,CLTX THIGH FX,,,452.71,6106.72,20
CPT,27268,CLTX THIGH FX W/MNPJ,,,104.52,3392.43,20
CPT,27269,OPTX THIGH FX,,,712.37,3032.2,20
CPT,27275,MANIPULATION OF HIP JOINT,,,186.74,2021.46,17
CPT,27278,ARTHRD SI JT PLMT IARTIC DEV,,,467.02,35159.42,18
CPT,27279,ARTHRD SI JT PLMT TARTCLR DV,,,804.23,35159.42,20
CPT,27280,ARTHR SI JT OPN B1GRF INSTRM,,,1163.07,35159.42,20
CPT,27282,ARTHRODESIS SYMPHYSIS PUBIS,,,762.41,23439.61,17
CPT,27284,ARTHRODESIS HIP JOINT,,,1392.21,35159.42,20
CPT,27286,ARTHRD HIP JT SBTRCHC OSTEOT,,,1429.94,35159.42,20
CPT,27290,AMPUTATION OF LEG AT HIP,,,1416.05,23439.61,17
CPT,27295,AMPUTATION OF LEG AT HIP,,,1088.4,35159.42,20
CPT,27299,ED 27299 PELVIS/HIP JT UNLSTD PROC,518.0,414.4,104.52,466.2,39
CPT,27299,SURG 27299 INJ PROCEDURE PELVIS HIP,1012.0,809.6,104.52,910.8,39
CPT,27299,SURG 27299 TENOTOMY PELVIS OR HIP JOINT PERC,10046.0,8036.8,104.52,9041.4,39
CPT,27301,DRAIN THIGH/KNEE LESION,,,515.62,5360.84,20
CPT,27303,DRAINAGE OF BONE LESION,,,572.06,3032.2,18
CPT,27305,INCISE THIGH TENDON & FASCIA,,,491.99,6106.72,20
CPT,27306,INCISION OF THIGH TENDON,,,348.85,6106.72,20
CPT,27307,INCISION OF THIGH TENDONS,,,413.76,6106.72,20
CPT,27310,EXPLORATION OF KNEE JOINT,,,741.98,6106.72,20
CPT,27323,BIOPSY THIGH SOFT TISSUES,,,176.09,3058.77,20
CPT,27324,BIOPSY THIGH SOFT TISSUES,,,417.76,5360.84,20
CPT,27325,NEURECTOMY HAMSTRING,,,574.88,3642.66,20
CPT,27326,NEURECTOMY POPLITEAL,,,532.93,3642.66,20
CPT,27327,EXC THIGH/KNEE LES SC < 3 CM,,,320.23,3058.77,20
CPT,27328,EXC THIGH/KNEE TUM DEEP <5CM,,,630.47,5360.84,20
CPT,27329,RESECT THIGH/KNEE TUM < 5 CM,,,1044.56,5360.84,20
CPT,27330,BIOPSY KNEE JOINT LINING,,,432.74,6106.72,20
CPT,27331,EXPLORE/TREAT KNEE JOINT,,,486.33,6106.72,20
CPT,27332,REMOVAL OF KNEE CARTILAGE,,,656.1,6106.72,20
CPT,27333,REMOVAL OF KNEE CARTILAGE,,,600.17,6106.72,20
CPT,27334,REMOVE KNEE JOINT LINING,,,696.04,6106.72,20
CPT,27335,REMOVE KNEE JOINT LINING,,,775.6,13497.09,20
CPT,27337,EXC THIGH/KNEE LES SC 3 CM/>,,,424.08,5360.84,20
CPT,27339,EXC THIGH/KNEE TUM DEP 5CM/>,,,761.29,5360.84,20
CPT,27340,REMOVAL OF KNEECAP BURSA,,,384.47,6106.72,20
CPT,27345,REMOVAL OF KNEE CYST,,,495.98,6106.72,20
CPT,27347,REMOVE KNEE CYST,,,537.26,6106.72,20
CPT,27350,REMOVAL OF KNEECAP,,,664.42,13497.09,20
CPT,27355,REMOVE FEMUR LESION,,,617.48,6106.72,20
CPT,27356,REMOVE FEMUR LESION/GRAFT,,,749.97,24830.25,20
CPT,27357,REMOVE FEMUR LESION/GRAFT,,,827.53,13497.09,20
CPT,27358,REMOVE FEMUR LESION/FIXATION,,,1.0,271.29,15
CPT,27360,PARTIAL REMOVAL LEG BONE(S),,,911.41,6106.72,20
CPT,27364,RESECT THIGH/KNEE TUM 5 CM/>,,,1259.44,5360.84,20
CPT,27365,RESECT FEMUR/KNEE TUMOR,,,712.37,7497.96,20
CPT,27369,SURG 27369 INJ CONTRAST KNEE ARTHG OR CONTRAST ENHANCD CT/MRI KNEE,801.0,640.8,1.0,720.9,37
CPT,27372,ED 27372 REMOVE FB THIGH KNEE DEEP,4218.0,3374.4,405.77,5360.84,39
CPT,27380,REPAIR OF KNEECAP TENDON,,,632.13,13497.09,20
CPT,27381,REPAIR/GRAFT KNEECAP TENDON,,,829.19,13497.09,20
CPT,27385,REPAIR OF THIGH MUSCLE,,,616.82,13497.09,20
CPT,27386,REPAIR/GRAFT OF THIGH MUSCLE,,,865.48,13497.09,20
CPT,27390,INCISION OF THIGH TENDON,,,460.7,6106.72,20
CPT,27391,INCISION OF THIGH TENDONS,,,589.19,4071.15,17
CPT,27392,INCISION OF THIGH TENDONS,,,723.67,4071.15,17
CPT,27393,LENGTHENING OF THIGH TENDON,,,510.3,13497.09,20
CPT,27394,LENGTHENING OF THIGH TENDONS,,,665.08,8998.06,17
CPT,27395,LENGTHENING OF THIGH TENDONS,,,891.44,4071.15,17
CPT,27396,TRANSPLANT OF THIGH TENDON,,,628.47,13497.09,20
CPT,27397,TRANSPLANTS OF THIGH TENDONS,,,924.73,13497.09,20
CPT,27400,REVISE THIGH MUSCLES/TENDONS,,,705.7,13497.09,20
CPT,27403,REPAIR OF KNEE CARTILAGE,,,655.1,13497.09,20
CPT,27405,REPAIR OF KNEE LIGAMENT,,,686.06,13497.09,20
CPT,27407,REPAIR OF KNEE LIGAMENT,,,806.56,13497.09,20
CPT,27409,REPAIR OF KNEE LIGAMENTS,,,974.66,13497.09,20
CPT,27412,AUTOCHONDROCYTE IMPLANT KNEE,,,1650.06,13497.09,20
CPT,27415,OSTEOCHONDRAL KNEE ALLOGRAFT,,,1378.1,24830.25,20
CPT,27416,OSTEOCHONDRAL KNEE AUTOGRAFT,,,986.97,13497.09,20
CPT,27418,REPAIR DEGENERATED KNEECAP,,,829.86,13497.09,20
CPT,27420,REVISION OF UNSTABLE KNEECAP,,,759.62,13497.09,20
CPT,27422,REVISION OF UNSTABLE KNEECAP,,,750.97,13497.09,20
CPT,27424,REVISION/REMOVAL OF KNEECAP,,,758.29,13497.09,20
CPT,27425,LAT RETINACULAR RELEASE OPEN,,,464.69,6106.72,20
CPT,27427,RECONSTRUCTION KNEE,,,717.35,13497.09,20
CPT,27428,RECONSTRUCTION KNEE,,,1126.45,24830.25,20
CPT,27429,RECONSTRUCTION KNEE,,,1269.59,24830.25,20
CPT,27430,REVISION OF THIGH MUSCLES,,,751.96,13497.09,20
CPT,27435,INCISION OF KNEE JOINT,,,816.88,6106.72,20
CPT,27437,REVISE KNEECAP,,,671.08,13497.09,20
CPT,27438,REVISE KNEECAP WITH IMPLANT,,,848.83,24830.25,20
CPT,27440,REVISION OF KNEE JOINT,,,806.56,24830.25,20
CPT,27441,REVISION OF KNEE JOINT,,,832.19,24830.25,20
CPT,27442,REVISION OF KNEE JOINT,,,876.13,24830.25,20
CPT,27443,REVISION OF KNEE JOINT,,,825.2,24830.25,20
CPT,27445,Outpatient Services,,,1098.12,1213.71,8
CPT,27445,Outpatient Services - CPT/HCPCS,,,5833.46,24830.25,8
CPT,27445,Therapy,,,1257.93,1257.93,4
CPT,27446,REVISION OF KNEE JOINT,,,1151.41,24830.25,20
CPT,27447,TOTAL KNEE ARTHROPLASTY,,,1283.9,24830.25,20
CPT,27448,INCISION OF THIGH,,,712.37,7497.96,20
CPT,27450,INCISION OF THIGH,,,712.37,7497.96,20
CPT,27454,REALIGNMENT OF THIGH BONE,,,712.37,7497.96,20
CPT,27455,REALIGNMENT OF KNEE,,,847.72,7497.96,20
CPT,27457,REALIGNMENT OF KNEE,,,840.29,7497.96,20
CPT,27465,SHORTENING OF THIGH BONE,,,712.37,7497.96,20
CPT,27466,LENGTHENING OF THIGH BONE,,,712.37,7497.96,20
CPT,27468,Outpatient Services,,,1173.31,1296.82,8
CPT,27468,Outpatient Services - CPT/HCPCS,,,712.37,7497.96,8
CPT,27468,Therapy,,,1344.15,1344.15,4
CPT,27470,REPAIR OF THIGH,,,712.37,7497.96,20
CPT,27472,REPAIR/GRAFT OF THIGH,,,712.37,7497.96,20
CPT,27475,SURGERY TO STOP LEG GROWTH,,,673.07,13497.09,20
CPT,27477,SURGERY TO STOP LEG GROWTH,,,742.64,13497.09,20
CPT,27479,SURGERY TO STOP LEG GROWTH,,,925.73,13497.09,20
CPT,27485,SURGERY TO STOP LEG GROWTH,,,681.06,13497.09,20
CPT,27486,REVISE/REPLACE KNEE JOINT,,,1227.4,24830.25,20
CPT,27487,REVISE/REPLACE KNEE JOINT,,,1523.82,24830.25,20
CPT,27488,REMOVAL OF KNEE PROSTHESIS,,,1053.82,7497.96,20
CPT,27495,REINFORCE THIGH,,,712.37,7497.96,20
CPT,27496,DECOMPRESSION OF THIGH/KNEE,,,559.9,6106.72,20
CPT,27497,DECOMPRESSION OF THIGH/KNEE,,,589.85,6106.72,20
CPT,27498,DECOMPRESSION OF THIGH/KNEE,,,667.41,3032.2,20
CPT,27499,DECOMPRESSION OF THIGH/KNEE,,,712.02,13497.09,20
CPT,27500,ED 27500 CLSD TX FEM SHAFT FX WO MANIP,495.0,396.0,104.52,490.66,39
CPT,27501,ED 27501 CLSD TX SUPRACOND FX WO MANIP,495.0,396.0,104.52,507.63,39
CPT,27502,ED 27502 CLSD TX FMRL SHFT FX WMNP,2844.0,2275.2,712.37,3032.2,39
CPT,27503,ED 27503 FX FEM SUPR WMAN CLS,2292.0,1833.6,712.37,3032.2,39
CPT,27506,TREATMENT OF THIGH FRACTURE,,,712.37,7497.96,20
CPT,27507,TREATMENT OF THIGH FRACTURE,,,712.37,3032.2,18
CPT,27508,ED 27508 CLSD TX FEM FX DIST WO MANIP,495.0,396.0,104.52,510.3,39
CPT,27509,TREATMENT OF THIGH FRACTURE,,,684.72,13497.09,20
CPT,27510,ED 27510 CLSD TX FEMORAL FX DISTAL WMAN,2398.0,1918.4,691.05,3032.2,39
CPT,27511,TREATMENT OF THIGH FRACTURE,,,712.37,3032.2,18
CPT,27513,TREATMENT OF THIGH FRACTURE,,,712.37,3032.2,18
CPT,27514,TREATMENT OF THIGH FRACTURE,,,712.37,7497.96,20
CPT,27516,ED 27516 CLSD TX FEMORAL EPIPHYS WO MAN,305.0,244.0,102.18,499.65,39
CPT,27517,TREAT THIGH FX GROWTH PLATE,,,701.03,3032.2,20
CPT,27519,TREAT THIGH FX GROWTH PLATE,,,712.37,7497.96,20
CPT,27520,ED 27520 CLSD TX PATELLAR FX,555.0,444.0,104.52,499.5,39
CPT,27524,TREAT KNEECAP FRACTURE,,,761.95,13497.09,20
CPT,27530,ED 27530 CLSD TX TIBIAL FX PROX,629.0,503.2,104.52,566.1,39
CPT,27532,TREAT KNEE FRACTURE,,,591.85,6106.72,20
CPT,27535,TREAT KNEE FRACTURE,,,712.37,3032.2,18
CPT,27536,TREAT KNEE FRACTURE,,,712.37,7497.96,20
CPT,27538,ED 27538 TX FX INTERCOND TUBER CLSD,495.0,396.0,104.52,463.69,39
CPT,27540,TREAT KNEE FRACTURE,,,712.37,7497.96,20
CPT,27550,ED 27550 CLSD TX KNEE DISLOC WO ANES,495.0,396.0,104.52,483.0,39
CPT,27552,ED 27552 CLSD TX KNEE DISLOC W ANES,4569.0,3655.2,646.11,4112.1,39
CPT,27556,TREAT KNEE DISLOCATION,,,767.07,7497.96,20
CPT,27557,TREAT KNEE DISLOCATION,,,910.74,7497.96,20
CPT,27558,TREAT KNEE DISLOCATION,,,1033.62,7497.96,20
CPT,27560,ED 27560 CLSD TX KNEECAP DISLOC WO ANES,615.0,492.0,104.52,553.5,39
CPT,27562,ED 27562 CLSD TX PAT DISLOCTN WANES,746.0,596.8,104.52,671.4,39
CPT,27566,TREAT KNEECAP DISLOCATION,,,900.76,13497.09,20
CPT,27570,ED 27570 MANIP KNEE JOINT,4675.0,3740.0,156.45,4207.5,39
CPT,27580,FUSION OF KNEE,,,1290.82,13793.8,20
CPT,27590,AMPUTATE LEG AT THIGH,,,658.95,19531.91,20
CPT,27591,AMPUTATE LEG AT THIGH,,,712.37,19531.91,20
CPT,27592,AMPUTATE LEG AT THIGH,,,574.92,19531.91,20
CPT,27594,AMPUTATION FOLLOW-UP SURGERY,,,506.64,6106.72,20
CPT,27596,AMPUTATION FOLLOW-UP SURGERY,,,607.97,7497.96,20
CPT,27598,AMPUTATE LOWER LEG AT KNEE,,,595.13,13793.8,20
CPT,27599,ED 27599 FEMUR/KNEE UNLISTED PROCEDURE,452.0,361.6,104.52,444.9,39
CPT,27599,SURG 27599 TENOTOMY FEMUR OR KNEE PERC,7201.0,5760.8,104.52,6480.9,39
CPT,27599,SURG 27599 UNLISTED PROC FEMUR KNEE,7201.0,5760.8,104.52,6480.9,39
CPT,27600,SURG 27600 DECOMPRESSION FASCIOTOMY LEG ANTERIOR & OR LAT COMPARTMENTS ONLY,6717.0,5373.6,401.45,6106.72,39
CPT,27601,DECOMPRESSION OF LOWER LEG,,,446.39,6106.72,20
CPT,27602,SURG 27602 DECOMPRESS FASCIA LEG ANT & OR LAT & POSTR COMP,7295.0,5836.0,475.35,6565.5,39
CPT,27603,DRAIN LOWER LEG LESION,,,393.46,5360.84,20
CPT,27604,DRAIN LOWER LEG BURSA,,,326.22,6106.72,20
CPT,27605,SURG 27605 TENOTOMY PERCUTANEOUS ACHILLES TENDON,5139.0,4111.2,183.75,4625.1,39
CPT,27606,INCISION OF ACHILLES TENDON,,,270.96,6106.72,20
CPT,27607,TREAT LOWER LEG BONE LESION,,,604.5,6106.72,20
CPT,27610,EXPLORE/TREAT ANKLE JOINT,,,651.77,6106.72,20
CPT,27612,EXPLORATION OF ANKLE JOINT,,,578.2,6106.72,20
CPT,27613,BIOPSY LOWER LEG SOFT TISSUE,,,162.78,3058.77,20
CPT,27614,BIOPSY LOWER LEG SOFT TISSUE,,,420.42,5360.84,20
CPT,27615,RESECT LEG/ANKLE TUM < 5 CM,,,1016.6,5360.84,20
CPT,27616,RESECT LEG/ANKLE TUM 5 CM/>,,,1259.44,5360.84,20
CPT,27618,SURG 27618 EXC TUMOR SOFT TISSUE LEG ANKLE SUBQ <3CM,5793.0,4634.4,310.24,5213.7,39
CPT,27619,EXC LEG/ANKLE TUM DEEP <5 CM,,,475.68,5360.84,20
CPT,27620,EXPLORE/TREAT ANKLE JOINT,,,454.04,6106.72,20
CPT,27625,REMOVE ANKLE JOINT LINING,,,578.54,6106.72,20
CPT,27626,REMOVE ANKLE JOINT LINING,,,625.47,6106.72,20
CPT,27630,REMOVAL OF TENDON LESION,,,362.17,6106.72,20
CPT,27632,EXC LEG/ANKLE LES SC 3 CM/>,,,412.43,5360.84,20
CPT,27634,EXC LEG/ANKLE TUM DEP 5 CM/>,,,677.07,5360.84,20
CPT,27635,REMOVE LOWER LEG BONE LESION,,,586.19,6106.72,20
CPT,27637,REMOVE/GRAFT LEG BONE LESION,,,754.96,13497.09,20
CPT,27638,REMOVE/GRAFT LEG BONE LESION,,,748.64,13497.09,20
CPT,27640,PARTIAL REMOVAL OF TIBIA,,,837.51,6106.72,20
CPT,27641,PARTIAL REMOVAL OF FIBULA,,,657.76,6106.72,20
CPT,27645,RESECT TIBIA TUMOR,,,1434.68,7497.96,20
CPT,27646,RESECT FIBULA TUMOR,,,1339.01,7497.96,20
CPT,27647,RESECT TALUS/CALCANEUS TUM,,,991.3,6106.72,20
CPT,27648,INJECTION FOR ANKLE X-RAY,,,1.0,205.05,18
CPT,27650,REPAIR ACHILLES TENDON,,,663.75,13497.09,20
CPT,27652,REPAIR/GRAFT ACHILLES TENDON,,,676.4,13497.09,20
CPT,27654,REPAIR OF ACHILLES TENDON,,,722.01,13497.09,20
CPT,27656,REPAIR LEG FASCIA DEFECT,,,345.52,6106.72,20
CPT,27658,REPAIR OF LEG TENDON EACH,,,374.15,4071.15,17
CPT,27659,REPAIR OF LEG TENDON EACH,,,477.68,8998.06,17
CPT,27664,REPAIR OF LEG TENDON EACH,,,367.49,8998.06,17
CPT,27665,REPAIR OF LEG TENDON EACH,,,430.07,8998.06,17
CPT,27675,REPAIR LOWER LEG TENDONS,,,500.98,6106.72,20
CPT,27676,REPAIR LOWER LEG TENDONS,,,615.82,13497.09,20
CPT,27680,RELEASE OF LOWER LEG TENDON,,,426.08,4071.15,17
CPT,27681,RELEASE OF LOWER LEG TENDONS,,,513.96,6106.72,20
CPT,27685,TX RM 27685 LENGTHEN SHORTEN TENDON LEG ANKLE SINGLE,6164.0,4931.2,471.68,6106.72,39
CPT,27686,REVISE LOWER LEG TENDONS,,,537.93,6106.72,20
CPT,27687,REVISION OF CALF TENDON,,,459.7,6106.72,20
CPT,27690,REVISE LOWER LEG TENDON,,,643.78,13497.09,20
CPT,27691,REVISE LOWER LEG TENDON,,,749.63,13497.09,20
CPT,27692,REVISE ADDITIONAL LEG TENDON,,,1.0,100.86,15
CPT,27695,REPAIR OF ANKLE LIGAMENT,,,492.32,13497.09,20
CPT,27696,REPAIR OF ANKLE LIGAMENTS,,,552.91,13497.09,20
CPT,27698,REPAIR OF ANKLE LIGAMENT,,,642.78,13497.09,20
CPT,27700,REVISION OF ANKLE JOINT,,,720.67,13497.09,20
CPT,27702,RECONSTRUCT ANKLE JOINT,,,966.67,35159.42,20
CPT,27703,RECONSTRUCTION ANKLE JOINT,,,980.2,24830.25,20
CPT,27704,REMOVAL OF ANKLE IMPLANT,,,573.21,6106.72,20
CPT,27705,OSTEOTOMY TIBIA,,,755.63,13497.09,20
CPT,27707,OSTEOTOMY FIBULA,,,412.77,6106.72,20
CPT,27709,OSTEOTOMY TIBIA & FIBULA,,,1149.42,24830.25,20
CPT,27712,OSTEOT MLT RELIGNMT IMED ROD,,,970.85,13793.8,20
CPT,27715,OSTPL TIBFIB LNGTH/SHRT,,,942.87,6106.72,18
CPT,27720,REPAIR OF TIBIA,,,879.46,13497.09,20
CPT,27722,REPAIR/GRAFT OF TIBIA,,,903.42,13497.09,20
CPT,27724,REPAIR/GRAFT OF TIBIA,,,712.37,7497.96,20
CPT,27725,REPAIR OF LOWER LEG,,,1071.29,7497.96,20
CPT,27726,REPAIR FIBULA NONUNION,,,960.34,13497.09,20
CPT,27727,REPAIR OF LOWER LEG,,,915.65,7497.96,20
CPT,27730,REPAIR OF TIBIA EPIPHYSIS,,,598.51,6106.72,20
CPT,27732,REPAIR OF FIBULA EPIPHYSIS,,,464.03,6106.72,20
CPT,27734,REPAIR LOWER LEG EPIPHYSES,,,667.75,6106.72,20
CPT,27740,REPAIR OF LEG EPIPHYSES,,,718.01,6106.72,20
CPT,27742,REPAIR OF LEG EPIPHYSES,,,786.92,6106.72,20
CPT,27745,REINFORCE TIBIA,,,752.63,13497.09,20
CPT,27750,ED 27750 CLSD TX TIBIAL SHAFT FX WO MAN,730.0,584.0,104.52,657.0,39
CPT,27752,ED 27752 TX FX TIB SHAFT WMAN,2734.0,2187.2,502.64,3032.2,39
CPT,27756,TREATMENT OF TIBIA FRACTURE,,,587.52,13497.09,20
CPT,27758,TREATMENT OF TIBIA FRACTURE,,,904.42,24830.25,20
CPT,27759,TREATMENT OF TIBIA FRACTURE,,,1002.95,24830.25,20
CPT,27760,ED 27760 CLSD TX ANKLE FX WO MANIP,618.0,494.4,104.52,556.2,39
CPT,27762,ED 27762 CLSD TX ANKLE FX WMANIP,2629.0,2103.2,454.71,3032.2,39
CPT,27766,OPTX MEDIAL ANKLE FX,,,613.16,13497.09,20
CPT,27767,CLTX POST ANKLE FX,,,104.52,444.9,20
CPT,27768,ED 27768 CLOSED TX PST MALLEOLUS FX W MANJ,3451.0,2760.8,462.03,3105.9,39
CPT,27769,OPTX POST ANKLE FX,,,733.99,13497.09,20
CPT,27780,ED 27780 CLSD TX PROX FIB FX WO MANIP,776.0,620.8,104.52,698.4,39
CPT,27781,ED 27781 CLSD TX PRS FBLA FX WMANP,2963.0,2370.4,417.43,3032.2,39
CPT,27784,TREATMENT OF FIBULA FRACTURE,,,724.34,13497.09,20
CPT,27786,ED 27786 CLSD TX ANKLE FX WO MANIP,600.0,480.0,104.52,540.0,39
CPT,27788,ED 27788 CLSD TX ANKLE FX WMANIP,1001.0,800.8,104.52,900.9,39
CPT,27792,TREATMENT OF ANKLE FRACTURE,,,653.1,13497.09,20
CPT,27808,ED 27808 CLSD TX BIMAL FX WO MANIP,798.0,638.4,104.52,718.2,39
CPT,27810,ED 27810 CLSD TX BIMAL FX WMANIP,2337.0,1869.6,441.73,3032.2,39
CPT,27814,TREATMENT OF ANKLE FRACTURE,,,771.94,13497.09,20
CPT,27816,ED 27816 CLSD TX TRIMAL FX WO MANIP,538.0,430.4,104.52,484.2,39
CPT,27818,ED 27818 CLSD TX TRIMAL WMANIP,2497.0,1997.6,453.71,3032.2,39
CPT,27822,TREATMENT OF ANKLE FRACTURE,,,881.45,13497.09,20
CPT,27823,TREATMENT OF ANKLE FRACTURE,,,992.3,13497.09,20
CPT,27824,ED 27824 CLSD TX ART FX TIB WO MANIP,577.0,461.6,104.52,519.3,39
CPT,27825,ED 27825 CLSD TX ART FX TIB WMANIP,3935.0,3148.0,503.64,3541.5,39
CPT,27826,TREAT LOWER LEG FRACTURE,,,861.48,13497.09,20
CPT,27827,TREAT LOWER LEG FRACTURE,,,1128.11,24830.25,20
CPT,27828,TREAT LOWER LEG FRACTURE,,,1333.16,24830.25,20
CPT,27829,TREAT LOWER LEG JOINT,,,715.02,13497.09,20
CPT,27830,ED 27830 CLSD TX DISLOC TIB FIB JOINT PROX WO ANES,427.0,341.6,104.52,444.9,39
CPT,27831,TREAT LOWER LEG DISLOCATION,,,421.09,6106.72,20
CPT,27832,TREAT LOWER LEG DISLOCATION,,,768.28,13497.09,20
CPT,27840,ED 27840 CLSD TX ANKLE DISLOC WO ANES,929.0,743.2,104.52,836.1,39
CPT,27842,ED 27842 CLD TX ANKLE DISLOC W ANES,2647.0,2117.6,502.97,3032.2,39
CPT,27846,TREAT ANKLE DISLOCATION,,,734.99,13497.09,20
CPT,27848,TREAT ANKLE DISLOCATION,,,795.57,13497.09,20
CPT,27860,FIXATION OF ANKLE JOINT,,,164.77,6106.72,20
CPT,27870,FUSION OF ANKLE JOINT OPEN,,,1012.94,24830.25,20
CPT,27871,FUSION OF TIBIOFIBULAR JOINT,,,698.37,24830.25,20
CPT,27880,AMPUTATION OF LOWER LEG,,,757.87,19531.91,20
CPT,27881,AMPUTATION OF LOWER LEG,,,707.24,7497.96,20
CPT,27882,AMPUTATION OF LOWER LEG,,,501.0,7497.96,20
CPT,27884,AMPUTATION FOLLOW-UP SURGERY,,,578.87,6106.72,20
CPT,27886,AMPUTATION FOLLOW-UP SURGERY,,,556.81,7497.96,20
CPT,27888,AMPUTATION OF FOOT AT ANKLE,,,479.62,13793.8,20
CPT,27889,ANKLE DISARTICULATION,,,638.45,13497.09,20
CPT,27892,DECOMPRESSION OF LEG,,,539.59,6106.72,20
CPT,27893,DECOMPRESSION OF LEG,,,624.14,13497.09,20
CPT,27894,DECOMPRESSION OF LEG,,,815.88,6106.72,20
CPT,27899,ED 27899 LEG/ANKLE UNLISTED PROCEDURE,426.0,340.8,104.52,444.9,39
CPT,27899,SURG 27899 SCLRSIS FLD LOWR EXTRMITY,3461.0,2768.8,104.52,3114.9,39
CPT,27899,SURG 27899 TENOTOMY LEG OR ANKLE PERC,5184.0,4147.2,104.52,4665.6,39
CPT,28001,DRAINAGE OF BURSA OF FOOT,,,95.2,2039.17,17
CPT,28002,TX RM 28002 I&D SUBFASCIA W/WO TENDON SHEATH FOOT SINGLE BURSA,3893.0,3114.4,139.47,3503.7,36
CPT,28003,TREATMENT OF FOOT INFECTION,,,256.65,4071.15,17
CPT,28005,TREAT FOOT BONE LESION,,,573.54,4071.15,17
CPT,28008,TX RM 28008 28008 FASCIOTOMY FOOT&/TOE,5509.0,4407.2,296.59,6106.72,39
CPT,28010,TX RM 28010 TENOTOMY TOE SINGLE TENDON PERQ,4550.0,3640.0,210.38,4095.0,36
CPT,28011,TX RM 28011 TENOTOMY TOE MULTIPLE TENDONS PERQ,3714.0,2971.2,281.95,3342.6,36
CPT,28020,EXPLORATION OF FOOT JOINT,,,368.83,4071.15,17
CPT,28022,EXPLORATION OF FOOT JOINT,,,330.54,4071.15,17
CPT,28024,EXPLORATION OF TOE JOINT,,,311.24,2021.46,17
CPT,28035,DECOMPRESSION OF TIBIA NERVE,,,361.84,3642.66,20
CPT,28039,EXC FOOT/TOE TUM SC 1.5 CM/>,,,340.53,5360.84,20
CPT,28041,EXC FOOT/TOE TUM DEP 1.5CM/>,,,453.71,5360.84,20
CPT,28043,EXC FOOT/TOE TUM SC < 1.5 CM,,,263.3,3058.77,20
CPT,28045,EXC FOOT/TOE TUM DEEP <1.5CM,,,349.52,5360.84,20
CPT,28046,RESECT FOOT/TOE TUMOR < 3 CM,,,700.37,5360.84,20
CPT,28047,RESECT FOOT/TOE TUMOR 3 CM/>,,,1035.91,5360.84,20
CPT,28050,BIOPSY OF FOOT JOINT LINING,,,281.28,6106.72,20
CPT,28052,BIOPSY OF FOOT JOINT LINING,,,257.98,6106.72,20
CPT,28054,BIOPSY OF TOE JOINT LINING,,,236.01,6106.72,20
CPT,28055,NEURECTOMY FOOT,,,391.79,3642.66,20
CPT,28060,PARTIAL REMOVAL FOOT FASCIA,,,363.5,6106.72,20
CPT,28062,REMOVAL OF FOOT FASCIA,,,406.77,6106.72,20
CPT,28070,REMOVAL OF FOOT JOINT LINING,,,345.52,8998.06,17
CPT,28072,REMOVAL OF FOOT JOINT LINING,,,328.55,4071.15,17
CPT,28080,REMOVAL OF FOOT LESION,,,382.47,2021.46,17
CPT,28086,EXCISE FOOT TENDON SHEATH,,,353.51,6106.72,20
CPT,28088,EXCISE FOOT TENDON SHEATH,,,297.26,6106.72,20
CPT,28090,REMOVAL OF FOOT LESION,,,311.57,3032.2,20
CPT,28092,REMOVAL OF TOE LESIONS,,,275.62,2021.46,17
CPT,28100,REMOVAL OF ANKLE/HEEL LESION,,,421.75,6106.72,20
CPT,28102,REMOVE/GRAFT FOOT LESION,,,620.81,13497.09,20
CPT,28103,REMOVE/GRAFT FOOT LESION,,,389.13,13497.09,20
CPT,28104,REMOVAL OF FOOT LESION,,,357.84,4071.15,17
CPT,28106,REMOVE/GRAFT FOOT LESION,,,427.74,8998.06,17
CPT,28107,REMOVE/GRAFT FOOT LESION,,,348.19,8998.06,17
CPT,28108,REMOVAL OF TOE LESIONS,,,291.27,2021.46,17
CPT,28110,PART REMOVAL OF METATARSAL,,,296.59,6106.72,20
CPT,28111,PART REMOVAL OF METATARSAL,,,320.89,6106.72,20
CPT,28112,PART REMOVAL OF METATARSAL,,,315.9,6106.72,20
CPT,28113,PART REMOVAL OF METATARSAL,,,430.41,6106.72,20
CPT,28114,REMOVAL OF METATARSAL HEADS,,,842.51,6106.72,20
CPT,28116,REVISION OF FOOT,,,585.86,6106.72,20
CPT,28118,REMOVAL OF HEEL BONE,,,426.75,6106.72,20
CPT,28119,REMOVAL OF HEEL SPUR,,,367.83,6106.72,20
CPT,28120,PART REMOVAL OF ANKLE/HEEL,,,499.65,6106.72,20
CPT,28122,PARTIAL REMOVAL OF FOOT BONE,,,442.72,6106.72,20
CPT,28124,PARTIAL REMOVAL OF TOE,,,337.54,6106.72,20
CPT,28126,PARTIAL REMOVAL OF TOE,,,253.32,4071.15,17
CPT,28130,REMOVAL OF ANKLE BONE,,,622.81,13497.09,20
CPT,28140,REMOVAL OF METATARSAL,,,427.41,4071.15,17
CPT,28150,REMOVAL OF TOE,,,281.95,4071.15,17
CPT,28153,PARTIAL REMOVAL OF TOE,,,266.63,4071.15,17
CPT,28160,PARTIAL REMOVAL OF TOE,,,269.63,4071.15,17
CPT,28171,RESECT TARSAL TUMOR,,,1111.14,4071.15,17
CPT,28173,RESECT METATARSAL TUMOR,,,724.0,4071.15,17
CPT,28175,RESECT PHALANX OF TOE TUMOR,,,470.69,2021.46,17
CPT,28190,ED 28190 REMV FB FOOT,2338.0,1870.4,133.15,2104.2,39
CPT,28192,ED 28192 REMOVE FB FOOT DEEP,4243.0,3394.4,312.24,3818.7,39
CPT,28193,ED 28193 REMOVAL FB FOOT COMPLICATED,3942.0,3153.6,367.49,3547.8,39
CPT,28200,REPAIR OF FOOT TENDON,,,329.88,4071.15,17
CPT,28202,REPAIR/GRAFT OF FOOT TENDON,,,430.74,8998.06,17
CPT,28208,ED 28208  RPR TENDON EXTNS FOOT,6677.0,5341.6,324.55,6009.3,36
CPT,28210,REPAIR/GRAFT OF FOOT TENDON,,,427.41,8998.06,17
CPT,28220,RELEASE OF FOOT TENDON,,,308.24,3032.2,20
CPT,28222,RELEASE OF FOOT TENDONS,,,373.49,6106.72,20
CPT,28225,RELEASE OF FOOT TENDON,,,267.63,6106.72,20
CPT,28226,RELEASE OF FOOT TENDONS,,,406.77,6106.72,20
CPT,28230,INCISION OF FOOT TENDON(S),,,287.27,3032.2,20
CPT,28232,INCISION OF TOE TENDON,,,243.66,2021.46,17
CPT,28234,INCISION OF FOOT TENDON,,,272.96,2021.46,17
CPT,28238,REVISION OF FOOT TENDON,,,492.32,13497.09,20
CPT,28240,RELEASE OF BIG TOE,,,296.26,6106.72,20
CPT,28250,REVISION OF FOOT FASCIA,,,416.09,6106.72,20
CPT,28260,RELEASE OF MIDFOOT JOINT,,,544.92,6106.72,20
CPT,28261,REVISION OF FOOT TENDON,,,712.37,3032.2,20
CPT,28262,REVISION OF FOOT AND ANKLE,,,1111.47,13497.09,20
CPT,28264,RELEASE OF MIDFOOT JOINT,,,673.74,3032.2,20
CPT,28270,RELEASE OF FOOT CONTRACTURE,,,337.2,6106.72,20
CPT,28272,RELEASE OF TOE JOINT EACH,,,253.32,3032.2,20
CPT,28280,FUSION OF TOES,,,347.52,6106.72,20
CPT,28285,REPAIR OF HAMMERTOE,,,390.46,6106.72,20
CPT,28286,REPAIR OF HAMMERTOE,,,300.25,6106.72,20
CPT,28288,PARTIAL REMOVAL OF FOOT BONE,,,439.73,4071.15,17
CPT,28289,CORRJ HALUX RIGDUS W/O IMPLT,,,465.36,6106.72,20
CPT,28291,CORRJ HALUX RIGDUS W/IMPLT,,,483.33,13497.09,18
CPT,28292,COR HLX VLGS RSC PRX PHLX BS,,,489.99,6106.72,20
CPT,28295,COR HLX VLGS PRX MTAR OSTEOT,,,606.83,6106.72,20
CPT,28296,COR HLX VLGS DSTL MTAR OSTEO,,,516.95,6106.72,20
CPT,28297,COR HLX VLGS JT ARTHRD,,,605.5,13510.16,20
CPT,28298,COR HLX VLGS PRX PHLX OSTEOT,,,511.96,13497.09,20
CPT,28299,COR HLX VLGS DOUBLE OSTEOT,,,599.51,13497.09,20
CPT,28300,INCISION OF HEEL BONE,,,655.76,13497.09,20
CPT,28302,INCISION OF ANKLE BONE,,,725.0,13497.09,20
CPT,28304,INCISION OF MIDFOOT BONES,,,618.48,13497.09,20
CPT,28305,INCISE/GRAFT MIDFOOT BONES,,,679.06,13497.09,20
CPT,28306,INCISION OF METATARSAL,,,411.43,13497.09,20
CPT,28307,INCISION OF METATARSAL,,,525.61,13497.09,20
CPT,28308,INCISION OF METATARSAL,,,392.13,6106.72,20
CPT,28309,INCISION OF METATARSALS,,,910.08,13497.09,20
CPT,28310,REVISION OF BIG TOE,,,367.16,13497.09,20
CPT,28312,REVISION OF TOE,,,348.85,4071.15,17
CPT,28313,REPAIR DEFORMITY OF TOE,,,365.5,4071.15,17
CPT,28315,REMOVAL OF SESAMOID BONE,,,328.55,6106.72,20
CPT,28320,REPAIR OF FOOT BONES,,,621.81,24830.25,20
CPT,28322,REPAIR OF METATARSALS,,,583.53,8998.06,17
CPT,28340,RESECT ENLARGED TOE TISSUE,,,410.1,4071.15,17
CPT,28341,RESECT ENLARGED TOE,,,487.33,4071.15,17
CPT,28344,REPAIR EXTRA TOE(S),,,281.61,6106.72,20
CPT,28345,REPAIR WEBBED TOE(S),,,364.17,2021.46,17
CPT,28360,RECONSTRUCT CLEFT FOOT,,,1107.48,13497.09,20
CPT,28400,ED 28400 CLSD TX HEEL FX,656.0,524.8,104.52,590.4,39
CPT,28405,ED 28405 CLSD TX CALCANEAL FX W/MANIPULATION,1816.0,1452.8,104.52,1634.4,39
CPT,28406,PRQ SKEL FIX CLCNL FX W/MNPJ,,,601.51,13497.09,20
CPT,28415,OPTX CALCANEAL FRACTURE,,,1127.45,13497.09,20
CPT,28420,OPTX CALCANEAL FX W/BONE GRF,,,1304.87,24830.25,20
CPT,28430,ED 28430 CLSD TX TALUS FX WO MANIP,563.0,450.4,104.52,506.7,39
CPT,28435,ED 28435 CLSD TX TALUS WMANIP,2745.0,2196.0,339.53,3032.2,39
CPT,28436,PRQ SKEL FIX TALUS FX W/MNPJ,,,507.3,13497.09,20
CPT,28445,OPTX TALUS FRACTURE,,,1055.21,13497.09,20
CPT,28446,OPN OSTEOCHONDRL AGRFT TALUS,,,1230.97,13497.09,20
CPT,28450,ED 28450 TX TARSAL BONE WO MANIP,602.0,481.6,104.52,541.8,36
CPT,28455,ED 28455 TX BONE TARSAL W/MANIPULATION,3521.0,2816.8,233.68,3168.9,36
CPT,28456,PRQ SKEL FIX TARSL FX W/MNPJ,,,379.48,8998.06,17
CPT,28465,OPTX TARSAL BONE FX EACH,,,648.44,8998.06,17
CPT,28470,ED 28470 CLSD TX METATARSAL FX WO MANIP,796.0,636.8,104.52,716.4,36
CPT,28475,ED 28475 CLSD TX METATARSAL FX WMANIP,669.0,535.2,104.52,602.1,36
CPT,28476,PRQ SKEL FIX METAR FX W/MNPJ,,,394.46,4071.15,17
CPT,28485,OPTX METATARSAL FX EACH,,,570.55,8998.06,17
CPT,28490,ED 28490 CLSD TX BIG TOE FX WO MANIP,528.0,422.4,104.52,475.2,39
CPT,28495,ED 28495 CLSD TX BIG TOE FX WMANIP,597.0,477.6,104.52,537.3,39
CPT,28496,TREAT BIG TOE FRACTURE,,,280.61,6106.72,20
CPT,28505,TREAT BIG TOE FRACTURE,,,500.98,6106.72,20
CPT,28510,ED 28510 CLSD TX TOE FX NOT GREAT TOE WO MANIP,571.0,456.8,104.52,513.9,36
CPT,28515,ED 28515 CLSD TX TOE FX NOT GREAT TOE W MANIP,597.0,477.6,104.52,537.3,36
CPT,28525,TREAT TOE FRACTURE,,,412.43,4071.15,17
CPT,28530,ED 28530 TREAT SESAMOID BONE FRACT,380.0,304.0,104.52,444.9,39
CPT,28531,TREAT SESAMOID BONE FRACTURE,,,183.75,13497.09,20
CPT,28540,ED 28540 CLSD TX FOOT DISLOC WO ANES,490.0,392.0,104.52,444.9,39
CPT,28545,TREAT FOOT DISLOCATION,,,280.95,6106.72,20
CPT,28546,TREAT FOOT DISLOCATION,,,362.17,3032.2,20
CPT,28555,REPAIR FOOT DISLOCATION,,,668.75,13497.09,20
CPT,28570,ED 28570 CLSD TX FOOT DISLOC WO ANES,580.0,464.0,104.52,522.0,39
CPT,28575,TREAT FOOT DISLOCATION,,,350.85,6106.72,20
CPT,28576,TREAT FOOT DISLOCATION,,,398.12,13497.09,20
CPT,28585,REPAIR FOOT DISLOCATION,,,712.69,13497.09,20
CPT,28600,ED 28600 TX DSLOC JNT TMTTARSL WO ANES,495.0,396.0,104.52,445.5,36
CPT,28605,TREAT FOOT DISLOCATION,,,104.52,316.23,17
CPT,28606,TREAT FOOT DISLOCATION,,,399.45,4071.15,17
CPT,28615,REPAIR FOOT DISLOCATION,,,836.85,8998.06,17
CPT,28630,ED 28630 CLSD TX TOE DISLOC WO ANES,679.0,543.2,104.52,611.1,36
CPT,28635,ED 28635 TX DISL METATARSOPH CLSD WITH ANES,2906.0,2324.8,132.15,2615.4,36
CPT,28636,TREAT TOE DISLOCATION,,,226.36,4071.15,17
CPT,28645,REPAIR TOE DISLOCATION,,,491.66,4071.15,17
CPT,28660,ED 28660 CLSD TX TOE DISLOC WO ANES,535.0,428.0,95.87,481.5,36
CPT,28665,TREAT TOE DISLOCATION,,,119.04,337.79,17
CPT,28666,TREAT TOE DISLOCATION,,,176.42,4071.15,17
CPT,28675,REPAIR OF TOE DISLOCATION,,,419.09,4071.15,17
CPT,28705,ARTHRODESIS PANTALAR,,,1222.32,35159.42,20
CPT,28715,ARTHRODESIS TRIPLE,,,945.03,24830.25,20
CPT,28725,ARTHRODESIS SUBTALAR,,,784.25,24830.25,20
CPT,28730,FUSION OF FOOT BONES,,,729.99,24830.25,20
CPT,28735,FUSION OF FOOT BONES,,,779.93,24830.25,20
CPT,28737,REVISION OF FOOT BONES,,,695.38,24830.25,20
CPT,28740,FUSION OF FOOT BONES,,,620.81,13497.09,20
CPT,28750,FUSION OF BIG TOE JOINT,,,580.2,13497.09,20
CPT,28755,FUSION OF BIG TOE JOINT,,,337.87,13497.09,20
CPT,28760,FUSION OF BIG TOE JOINT,,,576.21,13497.09,20
CPT,28800,AMPUTATION OF MIDFOOT,,,472.75,3392.43,20
CPT,28805,AMPUTATION THRU METATARSAL,,,704.7,6106.72,20
CPT,28810,AMPUTATION TOE & METATARSAL,,,424.08,4071.15,17
CPT,28820,TX RM 28820 AMPUTATION TOE METATARSOPHALANGEAL JOINT,4273.0,3418.4,176.42,4071.15,36
CPT,28825,SURG 28825 AMPUTATION TOE INTERPHALANGEAL JOINT,3472.0,2777.6,172.1,4071.15,36
CPT,28890,HI ENRGY ESWT PLANTAR FASCIA,,,225.02,3032.2,20
CPT,28899,ED 28899 FOOT/TOES UNLISTED SURGERY,484.0,387.2,104.52,435.6,36
CPT,28899,SURG 28899 UNLISTED PROCEDURE FOOT/TOES,4690.0,3752.0,104.52,4221.0,36
CPT,29000,APPL HALO TYPE BODY CAST,,,119.04,337.79,17
CPT,29010,APPL RISSER JACKET BODY ONLY,,,119.04,337.79,17
CPT,29015,APPL RISSR JACKET BDY W/HEAD,,,119.04,337.79,17
CPT,29035,APPL BODY CAST SHO TO HIPS,,,119.04,337.79,17
CPT,29040,APPL BDY CST SHO TO HIP HEAD,,,119.04,337.79,17
CPT,29044,APPL BDY CST SHO TO HIP 1THI,,,69.84,198.19,17
CPT,29046,APPL BDY CST SHO TO HIP B TH,,,119.04,337.79,17
CPT,29049,APPL CAST FIGURE-OF-EIGHT,,,70.24,337.79,17
CPT,29055,APPL CAST SHOULDER SPICA,,,119.04,337.79,17
CPT,29058,APPL CAST PLASTER VELPEAU,,,93.87,337.79,17
CPT,29065,ED 29065 APPL  CAST LONG ARM,486.0,388.8,68.57,506.68,39
CPT,29075,ED 29075 APPL CAST FOREARM ARM,427.0,341.6,62.91,506.68,39
CPT,29085,ED 29085 APPLICATION CAST HAND/LOWER FOREARM (GAUNTLET),358.0,286.4,67.91,322.2,39
CPT,29086,APPLICATION CAST FINGER,,,49.6,297.29,20
CPT,29105,ED 29105 APPL SPLINT LONG ARM,507.0,405.6,41.61,456.3,39
CPT,29125,ED 29125 APPL SPLINT FOREARM,450.0,360.0,40.61,405.0,39
CPT,29126,APPL SHORT ARM SPLINT DYN,,,49.6,241.01,20
CPT,29130,ED 29130 APPL SPLINT FINGER,364.0,291.2,28.96,327.6,39
CPT,29131,APPL FINGER SPLINT DYNAMIC,,,27.11,115.4,20
CPT,29200,STRAPPING THORAX,,,17.98,198.19,17
CPT,29240,ED 29240 STRAPPING SHOULDER,365.0,292.0,17.64,328.5,39
CPT,29260,STRAPPING OF ELBOW OR WRIST,,,18.64,115.4,20
CPT,29280,ED 29280 STRAPPING HAND FINGER,351.0,280.8,19.97,315.9,39
CPT,29305,APPL HIP SPICA CAST 1 LEG,,,119.04,337.79,17
CPT,29325,APPL HIP SPICA CAST1&1/2,,,119.04,337.79,17
CPT,29345,ED 29345 APPLICATION LONG LEG CAST,586.0,468.8,99.2,527.4,39
CPT,29355,APPL LONG LEG CAST WALKER,,,106.52,506.68,20
CPT,29358,APPL LONG LEG CAST BRACE,,,103.52,506.68,20
CPT,29365,APPL CYLINDER CAST,,,88.21,506.68,20
CPT,29405,ED 29405 APPL CAST SHORT LEG,448.0,358.4,58.92,506.68,39
CPT,29425,ED 29425 APPLICATION CAST LEG SHORT WALKER AMB,490.0,392.0,54.26,506.68,39
CPT,29435,APPL PATLLR TDN BEARING CAST,,,86.88,506.68,20
CPT,29440,ADDING WALKER TO PREV CAST,,,27.96,297.29,20
CPT,29445,TX RM 29445 CAST LEG RIGID CONTACT,863.0,690.4,98.2,776.7,39
CPT,29450,SURG 29450 APPLN CLUBFOOT CAST WMOLDING MANIP LONG SHORT LEG,455.0,364.0,69.84,409.5,39
CPT,29505,ED 29505 APPL SPLINT LONG LEG,357.0,285.6,52.59,321.3,39
CPT,29515,ED 29515 APPL SPLINT SHORT LEG,342.0,273.6,49.93,307.8,39
CPT,29515,TX RM 29515 APPLY SHORT LEG SPLINT,342.0,273.6,49.93,307.8,39
CPT,29520,STRAPPING OF HIP,,,17.98,241.01,20
CPT,29530,ED 29530 STRAPPING KNEE,281.0,224.8,17.64,252.9,39
CPT,29540,ED 29540 STRAPPING ANKLE & OR FOOT,294.0,235.2,16.98,297.29,39
CPT,29550,ED 29550 STRAPPING TOES,248.0,198.4,10.98,223.2,39
CPT,29580,ED 29580 STRAPPING UNNA BOOT,326.0,260.8,25.96,297.29,39
CPT,29580,SURG 29580 STRAPPING UNNA BOOT,326.0,260.8,25.96,297.29,39
CPT,29580,TX RM 29580 STRAPPING UNNA BOOT,326.0,260.8,25.96,297.29,39
CPT,29581,TX RM 29581 MULTI-LAYER COMPRESS SYS LWR LEG,518.0,414.4,26.3,466.2,39
CPT,29584,APPL MLTLAY CMPRN SYS UP ARM,,,15.31,297.29,20
CPT,29700,ED 29700 RMVL BIVALVING CAST BODY,548.0,438.4,32.95,493.2,36
CPT,29705,ED 29705 REMV BIVALVING CAST,521.0,416.8,44.27,506.68,39
CPT,29710,RMVL/BIVLV SHO/HIP SPICA,,,81.89,506.68,20
CPT,29720,ED 29720 RPR SPICA CAST BODY JACKET,242.0,193.6,43.61,217.8,36
CPT,29730,ED 29730 WINDOWING OF CAST,302.0,241.6,44.61,271.8,36
CPT,29740,WEDGING OF CAST,,,68.57,337.79,17
CPT,29750,WEDGING OF CLUBFOOT CAST,,,76.56,506.68,20
CPT,29799,SURG 29799 UNLISTED PROC CASTING STRAPPING,415.0,332.0,69.84,373.5,36
CPT,29800,JAW ARTHROSCOPY/SURGERY,,,539.59,6106.72,20
CPT,29804,JAW ARTHROSCOPY/SURGERY,,,594.85,6106.72,20
CPT,29805,SHO ARTHRS DX +- SYNOVIAL BX,,,474.68,6106.72,20
CPT,29806,SHO ARTHRS SRG CAPSULORRAPHY,,,1065.87,13497.09,20
CPT,29807,SHO ARTHRS SRG RPR SLAP LES,,,1040.9,13497.09,20
CPT,29819,SHO ARTHRS SRG RMVL LOOSE/FB,,,594.85,6106.72,20
CPT,29820,SHO ARTHRS SRG PRTL SYNVCT,,,540.26,13497.09,20
CPT,29821,SHO ARTHRS SRG COMPL SYNVCT,,,600.17,6106.72,20
CPT,29822,SHO ARTHRS SRG LMTD DBRDMT,,,549.24,6106.72,20
CPT,29823,SHO ARTHRS SRG XTNSV DBRDMT,,,600.51,6106.72,20
CPT,29824,SHO ARTHRS SRG DSTL CLAVICLC,,,685.39,6106.72,20
CPT,29825,SHO ARTHRS SRG LSS&RESCJ ADS,,,593.52,6106.72,20
CPT,29826,SHO ARTHRS SRG DECOMPRESSION,,,1.0,169.77,18
CPT,29827,SHO ARTHRS SRG RT8TR CUF RPR,,,1073.85,13497.09,20
CPT,29828,SHO ARTHRS SRG BICP TENODSIS,,,922.4,13497.09,20
CPT,29830,ELBOW ARTHROSCOPY,,,463.69,6106.72,20
CPT,29834,ELBOW ARTHROSCOPY/SURGERY,,,498.98,6106.72,20
CPT,29835,ELBOW ARTHROSCOPY/SURGERY,,,517.95,6106.72,20
CPT,29836,ELBOW ARTHROSCOPY/SURGERY,,,592.52,13497.09,20
CPT,29837,ELBOW ARTHROSCOPY/SURGERY,,,532.6,6106.72,20
CPT,29838,ELBOW ARTHROSCOPY/SURGERY,,,603.5,6106.72,20
CPT,29840,WRIST ARTHROSCOPY,,,458.37,6106.72,20
CPT,29843,WRIST ARTHROSCOPY/SURGERY,,,495.65,6106.72,20
CPT,29844,WRIST ARTHROSCOPY/SURGERY,,,506.97,6106.72,20
CPT,29845,WRIST ARTHROSCOPY/SURGERY,,,595.18,6106.72,20
CPT,29846,WRIST ARTHROSCOPY/SURGERY,,,530.6,6106.72,20
CPT,29847,WRIST ARTHROSCOPY/SURGERY,,,552.91,13497.09,20
CPT,29848,SURG 29848 ENDOSCOPY WRIST SURGICAL WRELEASE TRANSVERSE CARPAL LIG,6531.0,5224.8,521.95,5877.9,39
CPT,29850,KNEE ARTHROSCOPY/SURGERY,,,633.46,3032.2,20
CPT,29851,KNEE ARTHROSCOPY/SURGERY,,,712.37,3032.2,20
CPT,29855,TIBIAL ARTHROSCOPY/SURGERY,,,787.58,13497.09,20
CPT,29856,TIBIAL ARTHROSCOPY/SURGERY,,,998.96,24830.25,20
CPT,29860,HIP ARTHROSCOPY DX,,,663.09,13497.09,20
CPT,29861,HIP ARTHRO W/FB REMOVAL,,,721.01,13497.09,20
CPT,29862,HIP ARTHR0 W/DEBRIDEMENT,,,823.2,13497.09,20
CPT,29863,HIP ARTHR0 W/SYNOVECTOMY,,,822.53,6106.72,20
CPT,29866,AUTGRFT IMPLNT KNEE W/SCOPE,,,1060.87,13497.09,20
CPT,29867,ALLGRFT IMPLNT KNEE W/SCOPE,,,1285.56,24830.25,20
CPT,29868,MENISCAL TRNSPL KNEE W/SCPE,,,1671.03,13497.09,20
CPT,29870,ARTHRS KNEE DX W/WO SYN BX,,,417.43,6106.72,20
CPT,29871,ARTHRS KNEE SURG FOR INFCTJ,,,523.28,6106.72,20
CPT,29873,ARTHRS KNEE SURG W/LAT RLS,,,547.25,6106.72,20
CPT,29874,ARTHRS KNEE SURG RMV LOOS/FB,,,545.92,6106.72,20
CPT,29875,ARTHRS KNEE SURG SYNVCT LMTD,,,504.31,6106.72,20
CPT,29876,ARTHRS KNEE SURG SYNVCT MAJ,,,660.76,6106.72,20
CPT,29877,ARTHRS KNEE SURG DBRDMT/SHVG,,,628.8,6106.72,20
CPT,29879,ARTHRS KNE SRG ABRASJ ARTHRP,,,669.74,6106.72,20
CPT,29880,ARTHRS KNE SRG MNISECTMY M&L,,,569.88,6106.72,20
CPT,29881,ARTHRS KNE SRG MNISECTMY M/L,,,549.24,6106.72,20
CPT,29882,ARTHRS KNE SRG MNISC RPR M/L,,,695.71,6106.72,20
CPT,29883,ARTHRS KNE SRG MNISC RPR M&L,,,850.83,6106.72,20
CPT,29884,ARTHRS KNEE SURG LYSIS ADS,,,627.8,6106.72,20
CPT,29885,ARTHRS KNE SRG DRLG OST DISS,,,765.61,13497.09,20
CPT,29886,ARTHRS KNEE SURG DRLG OD LES,,,645.78,6106.72,20
CPT,29887,ARTHRS KNEE SRG DRLG OD FIXJ,,,762.95,13497.09,20
CPT,29888,ARTHRS AID ACL RPR/AGMNTJ,,,979.32,13497.09,20
CPT,29889,ARTHRS AID PCL RPR/AGMNTJ,,,1232.97,24830.25,20
CPT,29891,ARTHR ANK OSTCHN DF TAL&/TIB,,,680.4,6106.72,20
CPT,29892,ARTHRS AID RPR OD LES/TIB FX,,,646.11,13497.09,20
CPT,29893,ENDOSCOPIC PLANTR FASCIOTOMY,,,442.39,6106.72,20
CPT,29894,ANKLE ARTHROSCOPY/SURGERY,,,509.3,6106.72,20
CPT,29895,ANKLE ARTHROSCOPY/SURGERY,,,467.02,6106.72,20
CPT,29897,ANKLE ARTHROSCOPY/SURGERY,,,499.98,6106.72,20
CPT,29898,ANKLE ARTHROSCOPY/SURGERY,,,564.56,6106.72,20
CPT,29899,ANKLE ARTHROSCOPY/SURGERY,,,1009.28,13497.09,20
CPT,29900,MCP JOINT ARTHROSCOPY DX,,,514.96,6106.72,20
CPT,29901,MCP JOINT ARTHROSCOPY SURG,,,551.24,6106.72,20
CPT,29902,MCP JOINT ARTHROSCOPY SURG,,,584.2,3032.2,20
CPT,29904,SUBTALAR ARTHRO W/FB RMVL,,,648.11,6106.72,20
CPT,29905,SUBTALAR ARTHRO W/EXC,,,516.62,13497.09,20
CPT,29906,SUBTALAR ARTHRO W/DEB,,,658.76,6106.72,20
CPT,29907,SUBTALAR ARTHRO W/FUSION,,,885.78,24830.25,20
CPT,29914,HIP ARTHRO W/FEMOROPLASTY,,,997.96,13497.09,20
CPT,29915,HIP ARTHRO ACETABULOPLASTY,,,1022.92,13497.09,20
CPT,29916,HIP ARTHRO W/LABRAL REPAIR,,,1018.6,13497.09,20
CPT,29999,UNLISTED PX ARTHROSCOPY,,,104.52,444.9,16
CPT,30000,DRAINAGE OF NOSE LESION,,,108.27,307.23,17
CPT,30020,ED 30020 DRN ABSCESS HEMATOMA NASAL SEPTUM,1860.0,1488.0,123.83,1674.0,36
CPT,30100,INTRANASAL BIOPSY,,,68.57,1918.13,17
CPT,30110,REMOVAL OF NOSE POLYP(S),,,134.15,2877.2,20
CPT,30115,REMOVAL OF NOSE POLYP(S),,,469.69,6074.23,20
CPT,30117,REMOVAL OF INTRANASAL LESION,,,416.09,4049.48,17
CPT,30118,REMOVAL OF INTRANASAL LESION,,,713.68,4049.48,17
CPT,30120,REVISION OF NOSE,,,422.09,4049.48,17
CPT,30124,REMOVAL OF NOSE LESION,,,307.91,1918.13,17
CPT,30125,REMOVAL OF NOSE LESION,,,659.43,7365.62,17
CPT,30130,EXCISE INFERIOR TURBINATE,,,419.42,6074.23,20
CPT,30140,RESECT INFERIOR TURBINATE,,,177.42,6074.23,20
CPT,30150,RHINECTOMY PARTIAL,,,804.23,7365.62,17
CPT,30160,RHINECTOMY TOTAL,,,820.2,7365.62,17
CPT,30200,SURG 30200 INJ TURBINATE THERAPEUTIC,1251.0,1000.8,59.92,1125.9,36
CPT,30210,NASAL SINUS THERAPY,,,103.86,1918.13,17
CPT,30220,INSERT NASAL SEPTAL BUTTON,,,129.49,1918.13,17
CPT,30300,ED 30300 REMV FB NOSE,529.0,423.2,56.62,476.1,36
CPT,30310,REMOVE NASAL FOREIGN BODY,,,209.71,4049.48,17
CPT,30320,REMOVE NASAL FOREIGN BODY,,,492.32,1918.13,17
CPT,30400,RECONSTRUCTION OF NOSE,,,1232.97,7365.62,17
CPT,30410,RECONSTRUCTION OF NOSE,,,1418.05,7365.62,17
CPT,30420,RECONSTRUCTION OF NOSE,,,1457.99,7365.62,17
CPT,30430,REVISION OF NOSE,,,1078.52,7365.62,17
CPT,30435,REVISION OF NOSE,,,1342.82,7365.62,17
CPT,30450,REVISION OF NOSE,,,1751.59,7365.62,17
CPT,30460,REVISION OF NOSE,,,830.52,7365.62,17
CPT,30462,REVISION OF NOSE,,,1594.8,7365.62,17
CPT,30465,REPAIR NASAL STENOSIS,,,1031.91,7365.62,17
CPT,30468,RPR NSL VLV COLLAPSE W/IMPLT,,,168.43,7365.62,17
CPT,30469,RPR NSL VLV COLLAPSE W/RMDLG,,,150.13,7365.62,15
CPT,30520,REPAIR OF NASAL SEPTUM,,,680.06,4049.48,17
CPT,30540,RPR CHOANAL ATRESIA NTRANASL,,,744.31,7365.62,17
CPT,30545,RPR CHOANAL ATRESIA TRSNPLTN,,,1007.61,7365.62,17
CPT,30560,LYSIS INTRANASAL SYNECHIA,,,152.46,692.02,17
CPT,30580,REPAIR UPPER JAW FISTULA,,,460.7,7365.62,17
CPT,30600,REPAIR MOUTH/NOSE FISTULA,,,384.8,7365.62,17
CPT,30620,INTRANASAL RECONSTRUCTION,,,679.73,7365.62,17
CPT,30630,REPAIR NASAL SEPTUM DEFECT,,,673.74,4049.48,17
CPT,30801,ABLATE INF TURBINATE SUPERF,,,153.12,1918.13,17
CPT,30802,ABLATE INF TURBINATE SUBMUC,,,203.72,1918.13,17
CPT,30901,ED 30901 CONTROL NOSEBLEED ANT SMPL,508.0,406.4,56.26,457.2,39
CPT,30903,ED 30903 CONTROL NOSEBLEED ANT CMPLX,556.0,444.8,56.62,500.4,39
CPT,30905,ED 30905 CONTROL NOSEBLEED POST INIT,567.0,453.6,56.62,510.3,36
CPT,30906,ED 30906 CONTROL NOSEBLEE POST SUBS,564.0,451.2,108.27,507.6,36
CPT,30915,LIGATION NASAL SINUS ARTERY,,,607.83,4009.09,17
CPT,30920,LIGATION UPPER JAW ARTERY,,,876.79,4009.09,17
CPT,30930,THER FX NASAL INF TURBINATE,,,119.5,4049.48,17
CPT,30999,UNLISTED PROCEDURE NOSE,,,108.27,307.23,13
CPT,31000,IRRIGATION MAXILLARY SINUS,,,108.27,460.85,20
CPT,31002,IRRIGATION SPHENOID SINUS,,,190.07,2877.2,20
CPT,31020,EXPLORATION MAXILLARY SINUS,,,343.19,6074.23,20
CPT,31030,EXPLORATION MAXILLARY SINUS,,,515.96,11048.44,20
CPT,31032,EXPLORE SINUS REMOVE POLYPS,,,597.84,11048.44,20
CPT,31040,EXPLORATION BEHIND UPPER JAW,,,810.55,11048.44,20
CPT,31050,EXPLORATION SPHENOID SINUS,,,520.62,11048.44,20
CPT,31051,SPHENOID SINUS SURGERY,,,698.37,11048.44,20
CPT,31070,EXPLORATION OF FRONTAL SINUS,,,479.34,11048.44,20
CPT,31075,EXPLORATION OF FRONTAL SINUS,,,832.52,11048.44,20
CPT,31080,REMOVAL OF FRONTAL SINUS,,,1095.16,11048.44,20
CPT,31081,REMOVAL OF FRONTAL SINUS,,,1173.38,11048.44,20
CPT,31084,REMOVAL OF FRONTAL SINUS,,,1214.33,11048.44,20
CPT,31085,REMOVAL OF FRONTAL SINUS,,,1250.94,11048.44,20
CPT,31086,REMOVAL OF FRONTAL SINUS,,,1182.37,11048.44,20
CPT,31087,REMOVAL OF FRONTAL SINUS,,,1125.78,11048.44,20
CPT,31090,EXPLORATION OF SINUSES,,,1113.8,11048.44,20
CPT,31200,REMOVAL OF ETHMOID SINUS,,,629.13,11048.44,20
CPT,31201,REMOVAL OF ETHMOID SINUS,,,675.95,2877.2,20
CPT,31205,REMOVAL OF ETHMOID SINUS,,,943.03,6074.23,20
CPT,31225,REMOVAL OF UPPER JAW,,,390.26,1799.86,18
CPT,31230,REMOVAL OF UPPER JAW,,,1427.04,6074.23,18
CPT,31231,ED 31231 NASAL ENDOSCOPY DIAG,597.0,477.6,64.24,537.3,36
CPT,31231,SURG 31231 NASAL ENDOSCOPY DIAGNOSTIC UNI/BIL SEPARATE PROC,597.0,477.6,64.24,537.3,36
CPT,31233,ED 31233 NASAL ENDOSCOPY DIAGNOSTIC,876.0,700.8,135.15,788.4,39
CPT,31235,NSL/SINS NDSC DX SPHN SINUSC,,,159.11,3202.11,20
CPT,31237,NSL/SINS NDSC SURG BX POLYPC,,,159.45,3202.11,20
CPT,31238,ED 31238 ENDO NASAL EPISTAXIS,3574.0,2859.2,166.77,3216.6,39
CPT,31239,NSL/SINUS ENDOSCOPY SURG DCR,,,605.17,7065.16,20
CPT,31240,NSL/SNS NDSC CNCH BULL RESCJ,,,158.45,3202.11,20
CPT,31241,NSL/SNS NDSC LIG SPHNPTN ART,,,441.73,3202.11,20
CPT,31242,NSL/SINUS NDSC RF ABLTJ PNN,,,157.12,7365.62,15
CPT,31243,NSL/SINUS NDSC CRYOABLTJ PNN,,,157.12,7365.62,15
CPT,31253,NSL/SINS NDSC TOTAL,,,495.32,12912.68,20
CPT,31254,NSL/SINS NDSC W/PRTL ETHMDCT,,,241.33,12912.68,20
CPT,31255,NSL/SINS NDSC W/TOT ETHMDCT,,,320.56,12912.68,20
CPT,31256,EXPLORATION MAXILLARY SINUS,,,178.75,7065.16,20
CPT,31257,NSL/SINS NDSC TOT W/SPHENDT,,,442.06,12912.68,20
CPT,31259,NSL/SINS NDSC SPHN TISS RMVL,,,467.02,12912.68,20
CPT,31267,ENDOSCOPY MAXILLARY SINUS,,,263.64,12912.68,20
CPT,31276,NSL/SINS NDSC FRNT TISS RMVL,,,375.15,12912.68,20
CPT,31287,NASAL/SINUS ENDOSCOPY SURG,,,199.73,12912.68,20
CPT,31288,NASAL/SINUS ENDOSCOPY SURG,,,232.35,12912.68,20
CPT,31290,NASAL/SINUS ENDOSCOPY SURG,,,752.28,3202.11,18
CPT,31291,NASAL/SINUS ENDOSCOPY SURG,,,752.28,3202.11,18
CPT,31292,NSL/SINS NDSC MED/INF DCMPRN,,,987.64,12912.68,20
CPT,31293,NSL/SINS NDSC MED&INF DCMPRN,,,1072.52,12912.68,20
CPT,31294,NSL/SINS NDSC SURG ON DCMPRN,,,1224.31,12912.68,20
CPT,31295,NSL/SINS NDSC SURG MAX SINS,,,156.78,12912.68,20
CPT,31296,NSL/SINS NDSC SURG FRNT SINS,,,178.09,12912.68,20
CPT,31297,NSL/SINS NDSC SURG SPHN SINS,,,143.14,12912.68,20
CPT,31298,NSL/SINS NDSC SURG FRNT&SPHN,,,253.98,12912.68,20
CPT,31299,UNLISTED PX ACCESSORY SINUS,,,108.27,307.23,13
CPT,31300,REMOVAL OF LARYNX LESION,,,1252.28,4049.48,17
CPT,31360,REMOVAL OF LARYNX,,,1427.04,4049.48,15
CPT,31365,REMOVAL OF LARYNX,,,2231.88,5257.68,15
CPT,31367,PARTIAL REMOVAL OF LARYNX,,,1427.04,4049.48,15
CPT,31368,PARTIAL REMOVAL OF LARYNX,,,2119.18,4983.04,15
CPT,31370,PARTIAL REMOVAL OF LARYNX,,,1427.04,4049.48,15
CPT,31375,PARTIAL REMOVAL OF LARYNX,,,1427.04,4049.48,15
CPT,31380,PARTIAL REMOVAL OF LARYNX,,,1427.04,4049.48,15
CPT,31382,PARTIAL REMOVAL OF LARYNX,,,1427.04,4049.48,15
CPT,31390,REMOVAL OF LARYNX & PHARYNX,,,2456.97,5799.36,15
CPT,31395,RECONSTRUCT LARYNX & PHARYNX,,,2576.82,6083.69,15
CPT,31400,REVISION OF LARYNX,,,1014.94,7365.62,17
CPT,31420,EPIGLOTTIDECTOMY,,,835.18,7365.62,17
CPT,31500,ED 31500 INTUBATE ENDOTRACEAL,496.0,396.8,108.27,446.4,36
CPT,31502,ED 31502 CHANGE OF WINDPIPE AIRWAY,427.0,341.6,34.62,384.3,36
CPT,31505,ED 31505 DIAG LARYNGOSCOPY,383.0,306.4,49.6,344.7,36
CPT,31505,TX RM 31505 LARYNGOSCOPY INDIRECT,383.0,306.4,49.6,344.7,36
CPT,31510,LARYNGOSCOPY WITH BIOPSY,,,120.83,4710.1,17
CPT,31511,ED 31511 LARYNGOSCOPY INDIR RMV FB,291.0,232.8,87.79,261.9,36
CPT,31512,REMOVAL OF LARYNX LESION,,,129.16,4710.1,17
CPT,31513,INJECTION INTO VOCAL CORD,,,130.82,513.58,17
CPT,31515,ED 31515 LARYNGOSCOPY FOR ASPRTION,4078.0,3262.4,110.51,3670.2,36
CPT,31520,DX LARYNGOSCOPY NEWBORN,,,155.79,513.58,17
CPT,31525,DX LARYNGOSCOPY EXCL NB,,,159.45,2134.74,17
CPT,31526,DX LARYNGOSCOPY W/OPER SCOPE,,,156.12,2134.74,17
CPT,31527,LARYNGOSCOPY FOR TREATMENT,,,193.4,4710.1,17
CPT,31528,LARYNGOSCOPY AND DILATION,,,143.47,4710.1,17
CPT,31529,LARYNGOSCOPY AND DILATION,,,160.11,4710.1,17
CPT,31530,ED 31530 LARYNGOSCOPY WFB REMV,5835.0,4668.0,197.39,5251.5,36
CPT,31531,LARYNGOSCOPY W/FB & OP SCOPE,,,209.38,4710.1,17
CPT,31535,LARYNGOSCOPY W/BIOPSY,,,187.74,4710.1,17
CPT,31536,LARYNGOSCOPY W/BX & OP SCOPE,,,208.38,4710.1,17
CPT,31540,LARYNGOSCOPY W/EXC OF TUMOR,,,239.0,4710.1,17
CPT,31541,LARYNSCOP W/TUMR EXC + SCOPE,,,260.64,4710.1,17
CPT,31545,REMOVE VC LESION W/SCOPE,,,358.17,7065.16,20
CPT,31546,REMOVE VC LESION SCOPE/GRAFT,,,542.59,12912.68,20
CPT,31551,LARYNGOPLASTY LARYNGEAL STEN,,,1545.21,7365.62,17
CPT,31552,LARYNGOPLASTY LARYNGEAL STEN,,,1491.61,7365.62,17
CPT,31553,LARYNGOPLASTY LARYNGEAL STEN,,,1682.68,7365.62,17
CPT,31554,LARYNGOPLASTY LARYNGEAL STEN,,,1683.35,7365.62,17
CPT,31560,LARYNGOSCOP W/ARYTENOIDECTOM,,,308.91,8608.45,17
CPT,31561,LARYNSCOP REMVE CART + SCOP,,,337.87,8608.45,17
CPT,31570,LARYNGOSCOPE W/VC INJ,,,227.35,4710.1,17
CPT,31571,LARYNGOSCOP W/VC INJ + SCOPE,,,246.66,4710.1,17
CPT,31572,LARGSC W/LASER DSTRJ LES,,,179.42,7065.16,20
CPT,31573,LARGSC W/THER INJECTION,,,148.13,3202.11,20
CPT,31574,SURG 31574 LARYNGOSCOPY FLEX W INJ AUGMENTATION UNILAT,3644.0,2915.2,148.8,3279.6,39
CPT,31575,ED 31575 DIAG LARYNGOSCOPY FIBEROPTIC,698.0,558.4,68.57,628.2,36
CPT,31575,SURG 31575 LARYNGOSCOPY FLEXIBLE DIAGNOSTIC,698.0,558.4,68.57,628.2,72
CPT,31575,TX RM 31575 LARYNGOSCOPY FLEX,698.0,558.4,68.57,628.2,36
CPT,31576,ED 31576 LARYNGOSCOPY W/BIOPSY,3205.0,2564.0,119.17,2884.5,36
CPT,31577,ED 31577 LRYNGSCPY WFB REMV FBRPTC,1182.0,945.6,132.82,1063.8,36
CPT,31578,ED 31578 LARYNGOSCOPY W LESION REMOVAL,5162.0,4129.6,148.8,4710.1,36
CPT,31579,SURG 31579 STROBOSCOPIC EVALUATION 31579,1617.0,1293.6,119.17,1455.3,36
CPT,31580,LARYNGOPLASTY LARYNGEAL WEB,,,1285.9,7365.62,17
CPT,31584,LARYNGOPLASTY FX RDCTJ FIXJ,,,1413.05,7365.62,17
CPT,31587,LARYNGOPLASTY CRICOID SPLIT,,,1211.0,7365.62,17
CPT,31590,REINNERVATE LARYNX,,,929.05,7365.62,17
CPT,31591,LARYNGOPLASTY MEDIALIZATION,,,1104.81,11048.44,20
CPT,31592,CRICOTRACHEAL RESECTION,,,1733.61,7365.62,17
CPT,31595,Outpatient Services - CPT/HCPCS,,,675.95,1918.13,3
CPT,31599,UNLISTED PROCEDURE LARYNX,,,108.27,307.23,13
CPT,31600,PLANNED TRACHEOSTOMY,,,301.92,4049.48,17
CPT,31601,PLANNED TRACHEOSTOMY<2 YRS,,,446.39,7365.62,17
CPT,31603,ED 31603 TRACHEOSTOMY EMERGENT,3103.0,2482.4,316.56,2792.7,36
CPT,31605,ED 31605 TRACHEOSTOMY CRICOTHYROID,1788.0,1430.4,108.27,1609.2,36
CPT,31610,TRACHEOSTOMY FENEST SKIN FLP,,,959.01,7365.62,17
CPT,31611,CONSTJ TRACHESOPHGL FSTL,,,539.59,4049.48,17
CPT,31612,PERQ TRCHL PNXR TTRACH ASPIR,,,47.6,4049.48,17
CPT,31613,TRACHEOSTOMA REVJ SIMPLE,,,426.08,4049.48,17
CPT,31614,TRACHEOSTOMA REVJ COMPLEX,,,715.02,7365.62,17
CPT,31615,ED 31615 TRACHEOBRONCHOSCOPY,2322.0,1857.6,115.17,2089.8,36
CPT,31622,ED 31622 BRONCHOSCOPY  DIAG,4693.0,3754.4,129.82,4223.7,36
CPT,31623,DX BRONCHOSCOPE/BRUSH,,,128.82,2134.74,17
CPT,31624,DX BRONCHOSCOPE/LAVAGE,,,130.49,2134.74,17
CPT,31625,BRONCHOSCOPY W/BIOPSY(S),,,152.46,2134.74,17
CPT,31626,BRONCHOSCOPY W/MARKERS,,,192.4,8608.45,17
CPT,31627,NAVIGATIONAL BRONCHOSCOPY,,,1.0,1022.87,15
CPT,31628,BRONCHOSCOPY/LUNG BX EACH,,,171.43,4710.1,17
CPT,31629,BRONCHOSCOPY/NEEDLE BX EACH,,,182.08,4710.1,17
CPT,31630,BRONCHOSCOPY DILATE/FX REPR,,,193.73,4710.1,17
CPT,31631,BRONCHOSCOPY DILATE W/STENT,,,220.7,8608.45,17
CPT,31632,BRONCHOSCOPY/LUNG BX ADDL,,,1.0,63.53,15
CPT,31633,BRONCHOSCOPY/NEEDLE BX ADDL,,,1.0,79.12,15
CPT,31634,BRONCH W/BALLOON OCCLUSION,,,183.41,8608.45,17
CPT,31635,ED 31635 BRONCHOSCOPY W REMOVAL,2980.0,2384.0,171.43,2682.0,36
CPT,31636,BRONCHOSCOPY BRONCH STENTS,,,211.04,8608.45,17
CPT,31637,BRONCHOSCOPY STENT ADD-ON,,,1.0,73.9,15
CPT,31638,BRONCHOSCOPY REVISE STENT,,,239.67,8608.45,17
CPT,31640,BRONCHOSCOPY W/TUMOR EXCISE,,,241.0,4710.1,17
CPT,31641,BRONCHOSCOPY TREAT BLOCKAGE,,,247.66,4710.1,17
CPT,31643,DIAG BRONCHOSCOPE/CATHETER,,,165.11,2134.74,17
CPT,31645,BRNCHSC W/THER ASPIR 1ST,,,143.8,2134.74,17
CPT,31646,BRNCHSC W/THER ASPIR SBSQ,,,138.81,513.58,17
CPT,31647,BRONCHIAL VALVE INIT INSERT,,,200.06,8608.45,17
CPT,31648,BRONCHIAL VALVE REMOV INIT,,,193.07,4710.1,17
CPT,31649,BRONCHIAL VALVE REMOV ADDL,,,64.91,2134.74,17
CPT,31651,BRONCHIAL VALVE ADDL INSERT,,,1.0,73.9,15
CPT,31652,BRONCH EBUS SAMPLNG 1/2 NODE,,,214.7,4710.1,17
CPT,31653,BRONCH EBUS SAMPLNG 3/> NODE,,,238.01,4710.1,17
CPT,31654,BRONCH EBUS IVNTJ PERPH LES,,,1.0,118.52,15
CPT,31660,BRONCH THERMOPLSTY 1 LOBE,,,184.75,8608.45,15
CPT,31661,BRONCH THERMOPLSTY 2/> LOBES,,,195.06,8608.45,15
CPT,31717,BRONCHIAL BRUSH BIOPSY,,,103.86,513.58,17
CPT,31720,CLEARANCE OF AIRWAYS,,,47.6,268.26,17
CPT,31725,CLEARANCE OF AIRWAYS,,,68.75,513.58,15
CPT,31730,INTRO WINDPIPE WIRE/TUBE,,,146.13,2134.74,17
CPT,31750,TRACHEOPLASTY CERVICAL,,,1350.81,7365.62,17
CPT,31755,TRACHPLSTY TRCHPHRYNGL FSTLJ,,,1731.95,7365.62,17
CPT,31760,TRACHEOPLASTY INTRATHORACIC,,,1148.43,2820.47,15
CPT,31766,CARINAL RECONSTRUCTION,,,1468.87,3627.11,15
CPT,31770,REPAIR/GRAFT OF BRONCHUS,,,1100.61,2714.62,15
CPT,31775,RECONSTRUCT BRONCHUS,,,1160.21,3573.89,15
CPT,31780,RECONSTRUCT WINDPIPE,,,108.27,1197.68,15
CPT,31781,RECONSTRUCT WINDPIPE,,,1259.32,3573.89,15
CPT,31785,REMOVE WINDPIPE LESION,,,1072.52,7365.62,17
CPT,31786,REMOVE WINDPIPE LESION,,,1195.67,2947.76,15
CPT,31800,REPAIR OF WINDPIPE INJURY,,,108.27,708.69,15
CPT,31805,REPAIR OF WINDPIPE INJURY,,,689.04,1684.53,15
CPT,31820,CLOSURE OF WINDPIPE LESION,,,334.87,4049.48,17
CPT,31825,REPAIR OF WINDPIPE DEFECT,,,489.33,4049.48,17
CPT,31830,REVISE WINDPIPE SCAR,,,371.16,4049.48,17
CPT,31899,UNLISTED PX TRACHEA BRONCHI,,,87.79,249.13,13
CPT,32035,THORACOSTOMY W/RIB RESECTION,,,624.05,5360.84,18
CPT,32036,THORACOSTOMY W/FLAP DRAINAGE,,,665.78,5360.84,18
CPT,32096,OPEN WEDGE/BX LUNG INFILTR,,,673.63,1640.95,15
CPT,32097,OPEN WEDGE/BX LUNG NODULE,,,672.99,3573.89,15
CPT,32098,OPEN BIOPSY OF LUNG PLEURA,,,634.71,3573.89,15
CPT,32100,ED 32100 THORACOTOMY W EXPLORATION,1188.0,950.4,397.98,3573.89,34
CPT,32110,ED 32110 THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,3157.0,2525.6,1057.6,3573.89,34
CPT,32120,RE-EXPLORATION OF CHEST,,,737.36,3573.89,15
CPT,32124,EXPLORE CHEST FREE ADHESIONS,,,777.89,1894.84,15
CPT,32140,REMOVAL OF LUNG LESION(S),,,830.68,2034.58,15
CPT,32141,REMOVE/TREAT LUNG LESIONS,,,1259.44,3573.89,15
CPT,32150,REMOVAL OF LUNG LESION(S),,,856.9,3573.89,15
CPT,32151,REMOVE LUNG FOREIGN BODY,,,842.33,2064.33,15
CPT,32160,ED 32160 THORACOTOMY CARDIAC MASSAGE,3249.0,2599.2,679.91,2924.1,34
CPT,32200,DRAIN OPEN LUNG LESION,,,960.04,3573.89,15
CPT,32215,TREAT CHEST LINING,,,677.42,2479.07,18
CPT,32220,RELEASE OF LUNG,,,1342.02,4920.78,18
CPT,32225,PARTIAL RELEASE OF LUNG,,,835.89,3063.29,18
CPT,32310,REMOVAL OF CHEST LINING,,,771.88,1887.92,15
CPT,32320,FREE/REMOVE CHEST LINING,,,1342.55,3290.2,15
CPT,32400,SURG 32400 BX PLEU PERC NEEDLE,2768.0,2214.4,81.89,2491.2,36
CPT,32405,Outpatient Services - CPT/HCPCS,,,150.11,425.97,3
CPT,32408,SURG 32408 CORE NDL BX LNG/MED PERQ,3060.0,2448.0,148.46,2754.0,36
CPT,32440,REMOVE LUNG PNEUMONECTOMY,,,1307.02,3209.95,15
CPT,32442,SLEEVE PNEUMONECTOMY,,,2503.98,6214.44,15
CPT,32445,REMOVAL OF LUNG EXTRAPLEURAL,,,2907.88,7196.1,15
CPT,32480,PARTIAL REMOVAL OF LUNG,,,1231.31,3573.89,15
CPT,32482,BILOBECTOMY,,,1318.29,3234.17,15
CPT,32484,SEGMENTECTOMY,,,1191.11,3573.89,15
CPT,32486,SLEEVE LOBECTOMY,,,1923.68,4769.27,15
CPT,32488,COMPLETION PNEUMONECTOMY,,,1973.08,4878.57,15
CPT,32491,LUNG VOLUME REDUCTION,,,1229.07,4527.48,18
CPT,32501,REPAIR BRONCHUS ADD-ON,,,197.57,493.95,15
CPT,32503,RESECT APICAL LUNG TUMOR,,,1486.5,3666.54,15
CPT,32504,RESECT APICAL LUNG TUM/CHEST,,,1689.22,4175.01,15
CPT,32505,WEDGE RESECT OF LUNG INITIAL,,,780.95,3573.89,15
CPT,32506,WEDGE RESECT OF LUNG ADD-ON,,,126.95,3573.89,15
CPT,32507,WEDGE RESECT OF LUNG DIAG,,,126.95,316.15,15
CPT,32540,REMOVAL OF LUNG LESION,,,1433.11,3533.71,15
CPT,32550,SURG 32550 PLEURAL CATH INS PERM TUN,6421.0,5136.8,199.73,5778.9,36
CPT,32551,ED 32551 TUBE THORACOSTOMY,1303.0,1042.4,152.79,3021.52,39
CPT,32552,SURG 32552 REMVL PLEURAL TUN CATH,2265.0,1812.0,155.12,2038.5,36
CPT,32553,SURG 32553 PLMT INTRSTL DEV RADIATION THER GID PERQ INTRATHRC 1/MLT,3736.0,2988.8,170.76,3362.4,36
CPT,32554,ED 32554 ASPIRATE PLEURA WO IMAGING,1238.0,990.4,86.88,1185.2,39
CPT,32555,ED 32555 THORACENTESIS W IMAGING,2350.0,1880.0,106.52,2115.0,39
CPT,32555,SURG 32555 THORACENTESIS W IMAGING,2350.0,1880.0,106.52,2115.0,39
CPT,32556,ED 32556 PLEURAL DRAINAGE PERC W/INSERT CATH WO IMAGING GUID,2765.0,2212.0,121.83,3589.93,39
CPT,32557,ED 32557 PLEURAL DRAINAGE PERC W/INSERT CATH W IMAGING GUID,3336.0,2668.8,145.47,3021.52,39
CPT,32557,SURG 32557 PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING,3336.0,2668.8,145.47,3021.52,39
CPT,32557,SURG 32557 PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING M52,3336.0,2668.8,145.47,3021.52,39
CPT,32560,SURG 32560 INSTILLATION VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS,1461.0,1168.8,74.56,1314.9,36
CPT,32561,SURG 32561 LYSE CHEST FIBRIN INIT DAY,1668.0,1334.4,65.91,1501.2,36
CPT,32562,SURG 32562 LYSE CHEST FIBRIN SUBQ DAY,1522.0,1217.6,58.92,1369.8,36
CPT,32601,THORACOSCOPY DIAGNOSTIC,,,302.58,7257.21,17
CPT,32604,THORACOSCOPY WBX SAC,,,469.69,12946.98,17
CPT,32606,THORACOSCOPY W/BX MED SPACE,,,452.38,7257.21,17
CPT,32607,THORACOSCOPY W/BX INFILTRATE,,,301.92,12946.98,17
CPT,32608,THORACOSCOPY W/BX NODULE,,,371.16,12946.98,17
CPT,32609,THORACOSCOPY W/BX PLEURA,,,251.32,7257.21,17
CPT,32650,THORACOSCOPY W/PLEURODESIS,,,565.92,5360.84,18
CPT,32651,THORACOSCOPY REMOVE CORTEX,,,915.32,5360.84,18
CPT,32652,THORACOSCOPY REM TOTL CORTEX,,,1381.44,5098.22,18
CPT,32653,THORACOSCOPY REMOV FB/FIBRIN,,,108.27,1043.23,15
CPT,32654,THORACOSCOPY CONTRL BLEEDING,,,1001.64,5360.84,18
CPT,32655,THORACOSCOPY RESECT BULLAE,,,801.22,5360.84,18
CPT,32656,THORACOSCOPY W/PLEURECTOMY,,,108.27,794.24,18
CPT,32658,THORACOSCOPY W/SAC FB REMOVE,,,602.06,3573.89,15
CPT,32659,THORACOSCOPY W/SAC DRAINAGE,,,619.32,3573.89,15
CPT,32661,THORACOSCOPY W/PERICARD EXC,,,669.94,3573.89,15
CPT,32662,THORACOSCOPY W/MEDIAST EXC,,,749.62,3573.89,15
CPT,32663,THORACOSCOPY W/LOBECTOMY,,,1159.66,3573.89,15
CPT,32664,THORACOSCOPY W/ TH NRV EXC,,,710.25,5360.84,18
CPT,32665,THORACOSCOP W/ESOPH MUSC EXC,,,1023.07,3573.89,15
CPT,32666,THORACOSCOPY W/WEDGE RESECT,,,730.46,5360.84,18
CPT,32667,THORACOSCOPY W/W RESECT ADDL,,,127.07,3573.89,15
CPT,32668,THORACOSCOPY W/W RESECT DIAG,,,127.37,3573.89,15
CPT,32669,THORACOSCOPY REMOVE SEGMENT,,,1114.2,3573.89,15
CPT,32670,THORACOSCOPY BILOBECTOMY,,,1325.48,3265.99,15
CPT,32671,THORACOSCOPY PNEUMONECTOMY,,,1462.39,3614.66,15
CPT,32672,THORACOSCOPY FOR LVRS,,,1254.94,3099.26,15
CPT,32673,THORACOSCOPY W/THYMUS RESECT,,,1010.48,3573.89,15
CPT,32674,THORACOSCOPY LYMPH NODE EXC,,,174.72,3573.89,15
CPT,32701,THORAX STEREO RAD TARGETW/TX,,,174.55,426.15,15
CPT,32800,REPAIR LUNG HERNIA,,,799.61,3573.89,15
CPT,32810,CLOSE CHEST AFTER DRAINAGE,,,757.61,3573.89,15
CPT,32815,CLOSE BRONCHIAL FISTULA,,,2313.96,5716.34,15
CPT,32820,RECONSTRUCT INJURED CHEST,,,1177.7,3573.89,15
CPT,32850,DONOR PNEUMONECTOMY,,,1485.0,1485.0,3
CPT,32851,LUNG TRANSPLANT SINGLE,,,2699.29,6668.95,15
CPT,32852,LUNG TRANSPLANT WITH BYPASS,,,2917.31,7176.04,15
CPT,32853,LUNG TRANSPLANT DOUBLE,,,3772.49,9315.78,15
CPT,32854,LUNG TRANSPLANT WITH BYPASS,,,3984.72,9862.3,15
CPT,32855,PREPARE DONOR LUNG SINGLE,,,879.25,879.25,3
CPT,32856,PREPARE DONOR LUNG DOUBLE,,,6.5,6.5,3
CPT,32900,REMOVAL OF RIB(S),,,1236.81,3573.89,15
CPT,32905,REVISE & REPAIR CHEST WALL,,,1109.43,2731.23,15
CPT,32906,REVISE & REPAIR CHEST WALL,,,1259.44,3573.89,15
CPT,32940,REVISION OF LUNG,,,1027.4,2525.07,15
CPT,32960,THERAPEUTIC PNEUMOTHORAX,,,88.88,790.13,17
CPT,32994,SURG 32994 ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION UNI W IMAGE GD,15973.0,12778.4,425.08,19420.47,39
CPT,32997,TOTAL LUNG LAVAGE,,,292.9,1025.25,18
CPT,32998,SURG 32998 ABLATION RF PULM TUMOR 1 OR MORE UNI,13631.0,10904.8,425.75,12267.9,39
CPT,32998,SURG 32998 ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY,13631.0,10904.8,425.75,12267.9,39
CPT,32999,SURG 32999 MANIP PLEURAL CATHETER,1893.0,1514.4,278.44,1703.7,36
CPT,32999,SURG 32999 UNLISTED PROCEDURE LUNGS & PLEURA,9848.0,7878.4,278.44,8863.2,36
CPT,33010,Outpatient Services - CPT/HCPCS,,,150.11,425.97,3
CPT,33011,Outpatient Services - CPT/HCPCS,,,150.11,425.97,3
CPT,33015,Outpatient Services - CPT/HCPCS,,,150.11,425.97,3
CPT,33016,ED 33016 PERICARDIOCENTESIS W IMAGING,3668.0,2934.4,228.69,3301.2,36
CPT,33016,SURG 33016 PERICARDIOCENTESIS; INCL IMAGING WHEN PERFORMED,3668.0,2934.4,228.69,3301.2,36
CPT,33017,SURG 33017 PERQ PERICARD DRAINAGE 6YR+ W/O CONGENITAL CARD ANOMALY,4344.0,3475.2,150.11,3909.6,34
CPT,33018,SURG 33018 PERQ PERICARD DRAINAGE 0-5YR/ANY AGE W/CONGEN CARD ANOMALY,4057.0,3245.6,150.11,3651.3,34
CPT,33019,PERQ PRCRD DRG INSJ CATH CT,,,150.11,425.97,15
CPT,33020,INCISION OF HEART SAC,,,692.48,1685.92,15
CPT,33025,INCISION OF HEART SAC,,,644.99,1578.0,15
CPT,33030,PARTIAL REMOVAL OF HEART SAC,,,1653.93,4076.09,15
CPT,33031,PARTIAL REMOVAL OF HEART SAC,,,2038.66,5032.85,15
CPT,33050,RESECT HEART SAC LESION,,,843.06,2066.41,15
CPT,33120,EXC ICAR TUM RESC W/CARD BYP,,,1722.68,4251.8,15
CPT,33130,RESCJ EXTERNAL CARDIAC TUMOR,,,1136.44,2779.65,15
CPT,33140,HEART REVASCULARIZE (TMR),,,1286.3,3157.38,15
CPT,33141,HEART TMR W/OTHER PROCEDURE,,,107.27,267.03,15
CPT,33202,INSERT EPICARD ELTRD OPEN,,,644.33,1578.0,15
CPT,33203,INSERT EPICARD ELTRD ENDO,,,674.7,4009.09,15
CPT,33206,INSERT REPL PPM ATRIAL,21710.0,17368.0,446.39,19539.0,36
CPT,33207,INSERT REPL PPM VENTRICULAR,23435.0,18748.0,469.02,21091.5,36
CPT,33208,INSERT REPL PPM ATR VENT,25312.0,20249.6,507.63,22780.8,36
CPT,33210,ED 33210 INSERT/REPLACE LEAD TEMPORARY SINGLE CHAMBER,15313.0,12250.4,157.12,13781.7,36
CPT,33210,SURG 33210 TPM INSERTION,15313.0,12250.4,157.12,13781.7,36
CPT,33211,INSERT CARD ELECTRODES DUAL,,,164.44,10685.48,17
CPT,33212,INS PPM GEN W EXIST SINGL LEAD,17493.0,13994.4,317.9,15743.7,36
CPT,33213,INS PPM GEN W EXIST DUAL LEADS,21880.0,17504.0,332.88,19692.0,36
CPT,33214,UPGRADE PPM TO DUAL,24692.0,19753.6,470.35,22222.8,36
CPT,33215,SURG 33215 RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE,6383.0,5106.4,305.25,5744.7,36
CPT,33216,INSERT LEAD TRANSVENOUS PPM  DEFIB SNGL,13781.0,11024.8,365.5,12402.9,36
CPT,33217,INSERT 2 LEADS TRANSVENOUS PPM  DEFIB,14940.0,11952.0,362.83,13446.0,36
CPT,33218,REPAIR SNGLE ELECTRODE PPM  DEFIB,6632.0,5305.6,383.47,5968.8,36
CPT,33220,REPAIR LEAD PACE-DEFIB DUAL,,,374.82,4939.22,17
CPT,33221,INSERT PULSE GEN MULT LEADS,34379.0,27503.2,351.52,30941.1,36
CPT,33222,REVISION POCKET PPM,3756.0,3004.8,338.87,3380.4,36
CPT,33223,RELOCATION SKN POCKET FOR DEFIB,3756.0,3004.8,402.45,3380.4,36
CPT,33224,INS ELECTRODE CARD VEN SYS TO PREV PLACED PPM DEFIB GEN,23190.0,18552.0,498.98,20871.0,36
CPT,33225,INS ELECTRODE CARD VEN SYS LV PACING WINS DEFIB PPM GEN,14747.0,11797.6,1.0,13272.3,34
CPT,33226,REPOSIT BIV PM IC LEAD,6343.0,5074.4,477.68,5708.7,36
CPT,33227,REMOVE&REPLACE PPM GEN SINGL,20202.0,16161.6,333.87,18181.8,36
CPT,33228,REMOVE & REPLACE PPM GEN DUAL LEAD SYS,23204.0,18563.2,348.52,20883.6,36
CPT,33229,REMOV PMKR GEN MULTIPLE LEAD,37552.0,30041.6,366.5,33796.8,36
CPT,33230,INSERT DEFIB GENERATOR W EXIST DUAL LEADS,45123.0,36098.4,367.83,40610.7,36
CPT,33231,INSERT DEFIB GENERATOR W EXIST MULT LEADS,62736.0,50188.8,394.12,56462.4,36
CPT,33233,RMVL PPM-GENERATOR ONLY,17246.0,13796.8,230.35,15521.4,36
CPT,33234,PPM LEAD REMOVAL SINGLE,7868.0,6294.4,475.35,7081.2,36
CPT,33235,PPM LEAD REMOVAL DUAL,7379.0,5903.2,624.81,6641.1,36
CPT,33236,REMOVE ELECTRODE/THORACOTOMY,,,663.38,1604.98,15
CPT,33237,REMOVE ELECTRODE/THORACOTOMY,,,709.64,1721.89,15
CPT,33238,REMOVE ELECTRODE/THORACOTOMY,,,798.72,1948.11,15
CPT,33240,INSERT DEFIB GENERATOR W EXIST SNGLE LEAD,49378.0,39502.4,362.17,44440.2,36
CPT,33241,RMVL DEFIB GENERATOR ONLY,7366.0,5892.8,212.04,6629.4,36
CPT,33243,REMOVE ELTRD/THORACOTOMY,,,1145.79,2812.17,15
CPT,33244,RMVL SNGL DUAL CVD LEAD,7366.0,5892.8,846.83,6629.4,36
CPT,33249,INSERT DEFIB SYSTEM W LEAD(S) SGL DUAL CHAMBER,69721.0,55776.8,893.77,62748.9,36
CPT,33250,ABLATE HEART DYSRHYTHM FOCUS,,,1209.05,2959.52,15
CPT,33251,ABLATE HEART DYSRHYTHM FOCUS,,,1346.96,3325.48,15
CPT,33254,ABLATE ATRIA LMTD,,,1130.78,2781.73,15
CPT,33255,ABLATE ATRIA W/O BYPASS EXT,,,1348.52,3301.96,15
CPT,33256,ABLATE ATRIA W/BYPASS EXTEN,,,1593.49,3909.36,15
CPT,33257,ABLATE ATRIA LMTD ADD-ON,,,490.16,1193.36,15
CPT,33258,ABLATE ATRIA X10SV ADD-ON,,,544.67,1325.49,15
CPT,33259,ABLATE ATRIA W/BYPASS ADD-ON,,,711.52,1733.65,15
CPT,33261,ABLATE HEART DYSRHYTHM FOCUS,,,1335.57,3271.52,15
CPT,33262,RMVL & REPLC DEFIB GEN SNGLE LEAD,47285.0,37828.0,365.83,42556.5,36
CPT,33263,RMVL & REPLC DEFIB GEN DUAL LEADS,50148.0,40118.4,380.14,45133.2,36
CPT,33264,RMVL & REPLC DEFIB GEN MULT LEADS,69721.0,55776.8,396.45,62748.9,36
CPT,33265,ABLATE ATRIA LMTD ENDO,,,1133.43,2779.65,15
CPT,33266,ABLATE ATRIA X10SV ENDO,,,1523.63,3749.56,15
CPT,33267,EXCL LAA OPEN ANY METHOD,,,868.31,2130.74,15
CPT,33268,EXCL LAA OPN OTH PX ANY METH,,,105.68,262.19,15
CPT,33269,EXCL LAA THRSCP ANY METHOD,,,693.07,12858.0,15
CPT,33270,SURG 33270 INSERT/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD,66533.0,53226.4,549.24,59879.7,36
CPT,33271,SURG 33271 INSERT OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,15671.0,12536.8,447.05,14103.9,36
CPT,33272,SURG 33272 RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,6627.0,5301.6,341.53,5964.3,36
CPT,33273,SURG 33273 REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB,6627.0,5301.6,395.79,5964.3,36
CPT,33274,TRANSCATH INS OR REPL PERM LEADLESS PACEMAKER,33190.0,26552.0,468.69,29871.0,34
CPT,33275,TRANSCATH REMOVAL PERM LEADLESS PACKMACKER RT VENTR W IMAGING,5981.0,4784.8,495.32,5382.9,34
CPT,33276,INSJ PHRNC NRV STIM SYS,,,567.55,59342.25,15
CPT,33277,INSJ PHRNC NRV STIM TRANSVNS,,,1.0,296.92,15
CPT,33278,RMVL PHRNC NRV STIM SYS,,,564.89,4279.54,15
CPT,33279,RMVL PHRNC NRV STIM TRANSVNS,,,341.2,4279.54,15
CPT,33280,RMVL PHRNC NRV STIM PG ONLY,,,205.38,4279.54,15
CPT,33281,REPOSG PHRNC NRV STIM TRNSVN,,,369.16,4279.54,15
CPT,33282,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,33284,Outpatient Services - CPT/HCPCS,,,278.44,790.13,3
CPT,33285,INS SUBQ CARDIAC RHYTHM MNTR INC PROGRAMMING,18954.0,15163.2,85.55,17058.6,36
CPT,33286,REMOVAL SUBQ CARDIAC RHYTHM MNTR,3373.0,2698.4,83.88,3035.7,36
CPT,33287,RMV&RPLCMT PHRNC NRV STIM PG,,,380.81,39056.09,15
CPT,33288,RMV&RPLCMT PHRNC NRV STIM LD,,,501.98,17133.18,15
CPT,33289,TRANSCATH IMPL WIRELESS PUL ART PRESS SENSOR W RT HEART CATH & ANGIO,70321.0,56256.8,325.88,63288.9,36
CPT,33300,REPAIR OF HEART WOUND,,,2014.15,4967.12,15
CPT,33305,REPAIR OF HEART WOUND,,,3349.7,8314.05,15
CPT,33310,EXPLORATORY HEART SURGERY,,,976.46,2381.18,15
CPT,33315,EXPLORATORY HEART SURGERY,,,1576.6,3901.75,15
CPT,33320,REPAIR MAJOR BLOOD VESSEL(S),,,889.81,2188.16,15
CPT,33321,REPAIR MAJOR VESSEL,,,990.23,2417.84,15
CPT,33322,REPAIR MAJOR BLOOD VESSEL(S),,,1152.06,2854.37,15
CPT,33330,INSERT MAJOR VESSEL GRAFT,,,1183.32,2895.87,15
CPT,33335,INSERT MAJOR VESSEL GRAFT,,,1543.97,3788.99,15
CPT,33340,SURG 33340 PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT (WATCHMAN),25238.0,20190.4,643.15,22714.2,34
CPT,33361,SURG 33361 TAVI WPROS VALVE PERC FEMORAL,30729.0,24583.2,992.63,27656.1,34
CPT,33362,SURG 33362 TAVI WPROS VALVE OPEN FEMORAL,29371.0,23496.8,1082.13,26433.9,34
CPT,33363,SURG 33363 TAVI WPROS VALVE OPEN AXILLARY,29023.0,23218.4,1120.74,26120.7,34
CPT,33364,REPLACE AORTIC VALVE OPEN,,,1117.28,12858.0,15
CPT,33365,SURG 33365 TAVI TRANSAORTIC APPROACH,38770.0,31016.0,1167.69,34893.0,34
CPT,33366,SURG 33366 TAVI WPROS VALVE TRANSAPICAL EXPOSURE,30148.0,24118.4,1288.36,27133.2,34
CPT,33367,REPLACE AORTIC VALVE W/BYP,,,497.29,12858.0,15
CPT,33368,REPLACE AORTIC VALVE W/BYP,,,602.19,12858.0,15
CPT,33369,REPLACE AORTIC VALVE W/BYP,,,794.71,12858.0,15
CPT,33370,TCAT PLMT&RMVL CEPD PERQ,,,1.0,129.82,15
CPT,33390,VALVULOPLASTY AORTIC VALVE,,,1591.38,3907.29,15
CPT,33391,VALVULOPLASTY AORTIC VALVE,,,1884.64,4630.91,15
CPT,33404,PREPARE HEART-AORTA CONDUIT,,,1448.85,3551.01,15
CPT,33405,REPLACEMENT AORTIC VALVE OPN,,,1872.51,4618.46,15
CPT,33406,REPLACEMENT AORTIC VALVE OPN,,,2367.92,5867.16,15
CPT,33410,REPLACEMENT AORTIC VALVE OPN,,,2096.59,5166.36,15
CPT,33411,REPLACEMENT OF AORTIC VALVE,,,2754.8,6807.31,15
CPT,33412,REPLACEMENT OF AORTIC VALVE,,,2579.93,6360.41,15
CPT,33413,REPLACEMENT OF AORTIC VALVE,,,2647.8,6519.52,15
CPT,33414,REPAIR OF AORTIC VALVE,,,1763.81,4372.87,15
CPT,33415,REVISION SUBVALVULAR TISSUE,,,1673.62,4124.51,15
CPT,33416,REVISE VENTRICLE MUSCLE,,,1671.92,4119.67,15
CPT,33417,REPAIR OF AORTIC VALVE,,,1384.32,3412.65,15
CPT,33418,SURG 33418 SURG TRANSCATH MITRAL VALVE RPR INITIAL PROST,30201.0,24160.8,1487.48,27180.9,34
CPT,33419,SURG 33419 SURG TRANSCATH MITRAL VALVE RPR ADDL PROST,15008.0,12006.4,1.0,13507.2,34
CPT,33420,REVISION OF MITRAL VALVE,,,1204.7,2949.14,15
CPT,33422,REVISION OF MITRAL VALVE,,,1380.59,3379.44,15
CPT,33425,REPAIR OF MITRAL VALVE,,,2245.04,5550.31,15
CPT,33426,REPAIR OF MITRAL VALVE,,,1966.08,4848.13,15
CPT,33427,REPAIR OF MITRAL VALVE,,,2013.33,4957.44,15
CPT,33430,REPLACEMENT OF MITRAL VALVE,,,2311.43,5698.36,15
CPT,33440,RPLCMT A-VALVE TLCJ AUTOL PV,,,2789.36,6877.18,15
CPT,33460,REVISION OF TRICUSPID VALVE,,,1970.67,4854.36,15
CPT,33463,VALVULOPLASTY TRICUSPID,,,2533.63,6246.26,15
CPT,33464,VALVULOPLASTY TRICUSPID,,,2013.73,4955.36,15
CPT,33465,REPLACE TRICUSPID VALVE,,,2267.52,5595.97,15
CPT,33468,REVISION OF TRICUSPID VALVE,,,2009.49,4985.8,15
CPT,33471,Outpatient Services - CPT/HCPCS,,,2713.24,2713.24,3
CPT,33471,Therapy,,,1305.54,1305.54,4
CPT,33474,REVISION OF PULMONARY VALVE,,,1796.2,4442.74,15
CPT,33475,REPLACEMENT PULMONARY VALVE,,,1917.3,4718.77,15
CPT,33476,REVISION OF HEART CHAMBER,,,1267.36,3119.33,15
CPT,33477,SURG 33477 TRANSCATH PULM VALVE IMPL,47499.0,37999.2,1096.47,42749.1,34
CPT,33478,REVISION OF HEART CHAMBER,,,1308.28,3220.33,15
CPT,33496,REPAIR PROSTH VALVE CLOT,,,1380.21,3380.83,15
CPT,33500,REPAIR HEART VESSEL FISTULA,,,1294.15,3170.52,15
CPT,33501,REPAIR HEART VESSEL FISTULA,,,930.4,2271.87,15
CPT,33502,CORONARY ARTERY CORRECTION,,,1068.26,2621.92,15
CPT,33503,CORONARY ARTERY GRAFT,,,1112.05,2725.69,15
CPT,33504,CORONARY ARTERY GRAFT,,,1221.6,3003.8,15
CPT,33505,REPAIR ARTERY W/TUNNEL,,,1683.87,4186.08,15
CPT,33506,REPAIR ARTERY TRANSLOCATION,,,1682.65,4175.01,15
CPT,33507,REPAIR ART INTRAMURAL,,,1415.31,3504.66,15
CPT,33508,ENDOSCOPIC VEIN HARVEST,,,1.0,15.65,15
CPT,33509,NDSC HRV UXTR ART 1 SGM CAB,,,141.22,349.36,15
CPT,33510,CABG VEIN SINGLE,,,1597.28,3934.96,15
CPT,33511,CABG VEIN TWO,,,1754.02,4320.98,15
CPT,33512,CABG VEIN THREE,,,1994.64,4922.16,15
CPT,33513,CABG VEIN FOUR,,,2038.1,5025.93,15
CPT,33514,CABG VEIN FIVE,,,2148.03,5283.97,15
CPT,33516,CABG VEIN SIX OR MORE,,,2223.1,5468.68,15
CPT,33517,CABG ARTERY-VEIN SINGLE,,,152.25,379.11,15
CPT,33518,CABG ARTERY-VEIN TWO,,,334.51,830.16,15
CPT,33519,CABG ARTERY-VEIN THREE,,,441.8,1098.58,15
CPT,33521,CABG ARTERY-VEIN FOUR,,,530.15,1316.5,15
CPT,33522,CABG ARTERY-VEIN FIVE,,,595.33,1479.76,15
CPT,33523,CABG ART-VEIN SIX OR MORE,,,672.41,1665.16,15
CPT,33530,CORONARY ARTERY BYPASS/REOP,,,426.61,1059.84,15
CPT,33533,CABG ARTERIAL SINGLE,,,1547.33,3811.13,15
CPT,33534,CABG ARTERIAL TWO,,,1816.63,4475.25,15
CPT,33535,CABG ARTERIAL THREE,,,2017.94,4971.97,15
CPT,33536,CABG ARTERIAL FOUR OR MORE,,,2172.2,5357.3,15
CPT,33542,REMOVAL OF HEART LESION,,,2165.53,5329.63,15
CPT,33545,REPAIR OF HEART DAMAGE,,,2519.03,6204.06,15
CPT,33548,RESTORE/REMODEL VENTRICLE,,,2430.04,5974.38,15
CPT,33572,OPEN CORONARY ENDARTERECTOMY,,,187.06,466.97,15
CPT,33600,CLOSURE OF VALVE,,,1425.62,3515.73,15
CPT,33602,CLOSURE OF VALVE,,,1384.93,3413.34,15
CPT,33606,ANASTOMOSIS/ARTERY-AORTA,,,1472.89,3633.33,15
CPT,33608,REPAIR ANOMALY W/CONDUIT,,,1492.2,3679.68,15
CPT,33610,REPAIR BY ENLARGEMENT,,,1471.85,3629.18,15
CPT,33611,REPAIR DOUBLE VENTRICLE,,,1603.13,3970.93,15
CPT,33612,REPAIR DOUBLE VENTRICLE,,,1645.4,4077.47,15
CPT,33615,REPAIR MODIFIED FONTAN,,,1648.74,4075.39,15
CPT,33617,REPAIR SINGLE VENTRICLE,,,1783.65,4412.99,15
CPT,33619,REPAIR SINGLE VENTRICLE,,,2268.84,5604.96,15
CPT,33620,APPLY R&L PULM ART BANDS,,,1356.2,3358.0,15
CPT,33621,TRANSTHOR CATH FOR STENT,,,772.8,1901.07,15
CPT,33622,REDO COMPL CARDIAC ANOMALY,,,2803.8,6966.43,15
CPT,33641,REPAIR HEART SEPTUM DEFECT,,,1350.84,3341.39,15
CPT,33645,REVISION OF HEART VEINS,,,1426.33,3528.18,15
CPT,33647,REPAIR HEART SEPTUM DEFECTS,,,1494.94,3699.75,15
CPT,33660,REPAIR OF HEART DEFECTS,,,1445.68,3577.3,15
CPT,33665,REPAIR OF HEART DEFECTS,,,1572.98,3895.53,15
CPT,33670,REPAIR OF HEART CHAMBERS,,,1612.52,4006.91,15
CPT,33675,CLOSE MULT VSD,,,1619.55,4012.44,15
CPT,33676,CLOSE MULT VSD W/RESECTION,,,1661.93,4118.98,15
CPT,33677,CL MULT VSD W/REM PUL BAND,,,1725.59,4276.71,15
CPT,33681,CLOSURE 1 VSD W/WO PATCH,,,1530.55,3770.31,15
CPT,33684,CLSR 1 VSD W/WO PATCH W/VLVT,,,1552.71,3844.33,15
CPT,33688,CLSR 1VSD W/WO PTCH RMVL BND,,,1542.09,3827.73,15
CPT,33690,BANDING PULMONARY ARTERY,,,1006.03,2466.96,15
CPT,33692,COMP RPR TOF WO PULM ATRESIA,,,1601.51,3975.08,15
CPT,33694,CMP RPR TOF WO PLM ATRS PTCH,,,1603.13,3970.93,15
CPT,33697,COMPL RPR TOF W/PULM ATRESIA,,,1687.78,4182.62,15
CPT,33702,REPAIR OF HEART DEFECTS,,,1283.92,3163.6,15
CPT,33710,REPAIR OF HEART DEFECTS,,,1684.97,4173.63,15
CPT,33720,REPAIR OF HEART DEFECT,,,1284.84,3165.68,15
CPT,33724,REPAIR VENOUS ANOMALY,,,1268.88,3134.55,15
CPT,33726,REPAIR PUL VENOUS STENOSIS,,,1669.05,4135.58,15
CPT,33730,REPAIR HEART-VEIN DEFECT(S),,,1654.98,4092.0,15
CPT,33732,REPAIR HEART-VEIN DEFECT,,,1368.58,3373.22,15
CPT,33735,REVISION OF HEART CHAMBER,,,1083.41,2660.66,15
CPT,33736,REVISION OF HEART CHAMBER,,,1173.21,2884.11,15
CPT,33737,Outpatient Services - CPT/HCPCS,,,2661.35,2661.35,3
CPT,33737,Therapy,,,1280.57,1280.57,4
CPT,33741,SURG 33741 TAS CONGENITAL CAR ANOMAL,9632.0,7705.6,615.89,12858.0,34
CPT,33745,TIS CGEN CAR ANOMAL 1ST SHNT,,,880.14,12858.0,15
CPT,33746,TIS CGEN CAR ANOMAL EA ADDL,,,351.89,12858.0,15
CPT,33750,SHUNT SUBCLAVIAN TO PULM ART,,,1046.65,2580.41,15
CPT,33755,SHUNT AS-AORT TO PULM ART,,,1100.49,2702.86,15
CPT,33762,SHUNT DESC AORTA TO PULM ART,,,1063.0,2621.23,15
CPT,33764,SHUNT CENTRAL W/PROSTC GRAFT,,,1100.49,2702.86,15
CPT,33766,SHUNT SUPR V/C P-ART 1 LUNG,,,1103.38,2722.23,15
CPT,33767,SHUNT SUPR V/C P-ART BTH LNG,,,1176.22,2904.87,15
CPT,33768,ANAST CAVOPULM SEC SUP V/C,,,337.37,842.61,15
CPT,33770,RPR TGA W/O SURG ENLGMNT VSD,,,1733.87,4302.3,15
CPT,33771,RPR TGA W/SURG ENLGMNT VSD,,,1778.33,4421.29,15
CPT,33774,RPR TGA ATRIAL BAFFLE PX,,,1493.26,3680.38,15
CPT,33775,RPR TGA ATR BFL RMVL PLM BND,,,1534.58,3786.22,15
CPT,33776,RPR TGA ATR BFL CLSR VSD,,,1623.83,4006.21,15
CPT,33777,RPR TGA BFL RPR SBPULM OBSTR,,,1558.38,3856.09,15
CPT,33778,RPR TGA AORTIC PULM ART RCNS,,,1933.54,4790.02,15
CPT,33779,RPR TGA RCNSTJ RMVL PLM BND,,,1899.92,4720.84,15
CPT,33780,RPR TGA RCNSTJ CLSR VSD,,,1937.86,4811.47,15
CPT,33781,RPR TGA RCNSTJ RPR SBPL OBST,,,1887.01,4692.48,15
CPT,33782,NIKAIDOH PROC,,,2637.91,6552.04,15
CPT,33783,NIKAIDOH PROC W/OSTIA IMPLT,,,2848.95,7080.57,15
CPT,33786,REPAIR ARTERIAL TRUNK,,,1866.85,4632.29,15
CPT,33788,REVISION OF PULMONARY ARTERY,,,1266.14,3128.32,15
CPT,33800,AORTIC SUSPENSION,,,819.23,2017.29,15
CPT,33802,DIVISION ABERRANT VESSEL,,,909.55,2230.36,15
CPT,33803,DIV ABERRANT VSL W/REANAST,,,953.98,2352.81,15
CPT,33813,Outpatient Services - CPT/HCPCS,,,2543.75,2543.75,3
CPT,33813,Therapy,,,1223.98,1223.98,4
CPT,33814,OBLTRJ A-PULM SEP DEF W/BYP,,,1268.29,3121.4,15
CPT,33820,REPAIR PDA BY LIGATION,,,807.02,1982.7,15
CPT,33822,REPAIR PDA DIV<18 YEARS,,,849.9,2089.93,15
CPT,33824,REPAIR PDA DIV 18 YRS&OLDER,,,986.93,2423.38,15
CPT,33840,EXC COA W/DIRECT ANASTOMOSIS,,,1034.78,2540.98,15
CPT,33845,EXCISION COA W/GRAFT,,,1114.76,2737.45,15
CPT,33851,EXC COA RPR L SUBCL ART/PRST,,,1061.97,2609.47,15
CPT,33852,RPR HYPOPL A-ARCH WO BYP,,,1164.35,2866.13,15
CPT,33853,RPR HYPOPL A-ARCH W/BYP,,,1518.42,3746.79,15
CPT,33858,AS-AORT GRF F/AORTIC DSJ,,,2779.9,6879.95,15
CPT,33859,AS-AORT GRF F/DS OTH/THN DSJ,,,2001.62,4945.68,15
CPT,33863,ASCENDING AORTIC GRAFT,,,2577.37,6377.01,15
CPT,33864,ASCENDING AORTIC GRAFT,,,2632.96,6512.61,15
CPT,33866,AORTIC HEMIARCH GRAFT,,,1.0,894.77,15
CPT,33871,TRANSVRS A-ARCH GRF HYPTHRM,,,2664.52,6601.16,15
CPT,33875,THORACIC AORTIC GRAFT,,,2248.97,5571.76,15
CPT,33877,THORACOABDOMINAL GRAFT,,,2936.72,7307.48,15
CPT,33880,SURG 33880 EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA,12766.0,10212.8,1449.47,11489.4,34
CPT,33881,SURG 33881 EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA,12766.0,10212.8,1245.4,11489.4,34
CPT,33882,SURG 33882 EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS,12766.0,10212.8,3376.61,11489.4,26
CPT,33883,DELAYED PLMT PROX XTN PROSTH,,,903.41,7188.92,15
CPT,33884,Outpatient Services,,,316.25,349.54,8
CPT,33884,Outpatient Services - CPT/HCPCS,,,2533.38,7188.92,3
CPT,33884,Therapy,,,383.47,383.47,4
CPT,33886,DELAYED PLMT DSTL XTN PROSTH,,,781.12,7188.92,15
CPT,33889,Outpatient Services,,,642.97,710.65,8
CPT,33889,Outpatient Services - CPT/HCPCS,,,1606.36,2409.54,6
CPT,33889,Therapy,,,772.94,772.94,4
CPT,33891,Outpatient Services,,,771.29,852.47,8
CPT,33891,Outpatient Services - CPT/HCPCS,,,2435.72,10367.69,6
CPT,33891,Therapy,,,934.71,934.71,4
CPT,33894,EVASC ST RPR THRC/AA ACRS BR,,,803.97,7188.92,15
CPT,33895,EVASC ST RPR THRC/AA X CRSG,,,639.61,7188.92,15
CPT,33897,SURG 33897 PERQ TRANSLUMINAL ANGIOPLASTY NATIVE RECR COA,14326.0,11460.8,475.68,12893.4,34
CPT,33900,PERQ P-ART REVSC 1 NM NT UNI,,,564.56,13836.77,15
CPT,33901,PERQ P-ART REVSC 1 NM NT BI,,,741.98,13836.77,15
CPT,33902,PERQ P-ART REVSC 1 ABNOR UNI,,,716.35,22054.9,15
CPT,33903,PERQ P-ART REVSC 1 ABNOR BI,,,844.17,13836.77,15
CPT,33904,PERQ P-ART REVSC EACH ADDL,,,1.0,283.61,15
CPT,33910,REMOVE LUNG ARTERY EMBOLI,,,2151.76,5294.35,15
CPT,33915,REMOVE LUNG ARTERY EMBOLI,,,1137.44,2790.72,15
CPT,33916,SURGERY OF GREAT VESSEL,,,3419.89,8449.65,15
CPT,33917,REPAIR PULMONARY ARTERY,,,1214.32,2987.19,15
CPT,33920,REPAIR PULMONARY ATRESIA,,,1490.78,3687.99,15
CPT,33922,TRANSECT PULMONARY ARTERY,,,1156.08,2846.76,15
CPT,33924,REMOVE PULMONARY SHUNT,,,231.68,12858.0,15
CPT,33925,RPR PUL ART UNIFOCAL W/O CPB,,,1410.96,3494.28,15
CPT,33926,REPR PUL ART UNIFOCAL W/CPB,,,1977.94,4910.4,15
CPT,33927,IMPLTJ TOT RPLCMT HRT SYS,,,2067.23,5160.83,15
CPT,33935,TRANSPLANTATION HEART/LUNG,,,4047.78,9968.15,15
CPT,33945,TRANSPLANTATION OF HEART,,,3996.41,9874.06,15
CPT,33946,"SURG 33946 ECMO/ECLS BY DR;INITIATION,VENO-VENOUS",5524.0,4419.2,255.52,4971.6,34
CPT,33947,SURG 33947 ECMO/ECLS INITIATION VENO-ARTERIAL,5303.0,4242.4,282.52,4772.7,34
CPT,33948,ECMO/ECLS DAILY MGMT-VENOUS,,,200.57,482.18,15
CPT,33949,ECMO/ECLS DAILY MGMT ARTERY,,,195.73,471.12,15
CPT,33951,ECMO/ECLS INSJ PRPH CANNULA,,,344.84,851.61,15
CPT,33952,SURG 33952 ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ,4958.0,3966.4,350.24,4462.2,34
CPT,33953,ECMO/ECLS INSJ PRPH CANNULA,,,384.8,951.23,15
CPT,33954,ECMO/ECLS INSJ PRPH CANNULA,,,389.14,962.99,15
CPT,33955,ECMO/ECLS INSJ CTR CANNULA,,,672.79,1665.85,15
CPT,33956,ECMO/ECLS INSJ CTR CANNULA,,,680.23,1692.14,15
CPT,33957,ECMO/ECLS REPOS PERPH CNULA,,,150.56,370.8,15
CPT,33958,ECMO/ECLS REPOS PERPH CNULA,,,150.56,370.8,15
CPT,33959,ECMO/ECLS REPOS PERPH CNULA,,,190.93,472.5,15
CPT,33962,ECMO/ECLS REPOS PERPH CNULA,,,190.93,472.5,15
CPT,33963,ECMO/ECLS REPOS PERPH CNULA,,,380.03,940.16,15
CPT,33964,ECMO/ECLS REPOS PERPH CNULA,,,400.87,992.73,15
CPT,33965,ECMO/ECLS RMVL PERPH CANNULA,,,150.56,370.8,15
CPT,33966,ECMO/ECLS RMVL PRPH CANNULA,,,194.39,480.11,15
CPT,33967,IABP INSERT,3050.0,2440.0,212.34,4009.09,34
CPT,33968,SURG 33968 REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PERQ,3797.0,3037.6,27.88,4009.09,34
CPT,33969,ECMO/ECLS RMVL PERPH CANNULA,,,221.58,548.6,15
CPT,33970,AORTIC CIRCULATION ASSIST,,,288.42,713.94,15
CPT,33971,AORTIC CIRCULATION ASSIST,,,591.22,1448.63,15
CPT,33973,INSERT BALLOON DEVICE,,,407.95,1009.34,15
CPT,33974,REMOVE INTRA-AORTIC BALLOON,,,748.38,1820.13,15
CPT,33975,IMPLANT VENTRICULAR DEVICE,,,1064.1,2639.91,15
CPT,33976,IMPLANT VENTRICULAR DEVICE,,,1286.07,3187.12,15
CPT,33977,REMOVE VENTRICULAR DEVICE,,,923.7,2277.41,15
CPT,33978,REMOVE VENTRICULAR DEVICE,,,1089.62,2684.18,15
CPT,33979,INSERT INTRACORPOREAL DEVICE,,,1580.97,3933.57,15
CPT,33980,REMOVE INTRACORPOREAL DEVICE,,,1457.52,3613.96,15
CPT,33981,REPLACE VAD PUMP EXT,,,673.76,1668.62,15
CPT,33982,REPLACE VAD INTRA W/O BP,,,1583.84,3923.89,15
CPT,33983,REPLACE VAD INTRA W/BP,,,1863.19,4617.77,15
CPT,33984,ECMO/ECLS RMVL PRPH CANNULA,,,231.29,574.19,15
CPT,33985,ECMO/ECLS RMVL CTR CANNULA,,,417.29,1032.17,15
CPT,33986,ECMO/ECLS RMVL CTR CANNULA,,,428.72,1059.84,15
CPT,33987,ARTERY EXPOS/GRAFT ARTERY,,,168.94,419.23,15
CPT,33988,INSERTION OF LEFT HEART VENT,,,631.3,1562.08,15
CPT,33989,REMOVAL OF LEFT HEART VENT,,,400.87,992.73,15
CPT,33990,SURG 33990 INSERT VAD LEFT HEART ARTERIAL ACCESS,2631.0,2104.8,295.44,4009.09,34
CPT,33991,INSJ PERQ VAD L HRT ARTL&VEN,,,369.72,4009.09,15
CPT,33992,SURG 33992 REMVL LEFT HEART VAD ART OR ART & VENOUS SEP SESSION,2462.0,1969.6,153.94,4009.09,34
CPT,33993,SURG 33993 REPOSITION RIGHT OR LEFT HEART VAD SEP SESSION,2416.0,1932.8,137.38,4009.09,34
CPT,33995,SURG 33995 INSJ PERQ VAD R HRT VENOUS,2154.0,1723.2,290.29,4009.09,34
CPT,33997,RMVL PERQ RIGHT HEART VAD,,,132.25,4009.09,15
CPT,33999,INSERT VENT ASSIST DEVICE,2445.0,1956.0,278.44,2200.5,36
CPT,33999,SURG 33999 LAA CLOSURE,26337.0,21069.6,278.44,23703.3,36
CPT,33999,SURG 33999 THROMBECTOMY RT ATRIUM VENTRICLE,8250.0,6600.0,278.44,7425.0,36
CPT,33999,SURG 33999 TRANSCAROTID TAVI,28000.0,22400.0,278.44,25200.0,36
CPT,34001,REMOVAL OF ARTERY CLOT,,,743.36,6013.64,18
CPT,34051,REMOVAL OF ARTERY CLOT,,,831.79,10783.38,18
CPT,34101,REMOVAL OF ARTERY CLOT,,,582.53,10367.69,20
CPT,34111,REMOVAL OF ARM ARTERY CLOT,,,581.87,10367.69,20
CPT,34151,REMOVAL OF ARTERY CLOT,,,1131.28,4230.71,18
CPT,34201,SURG 34201 EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART,8789.0,7031.2,996.29,10367.69,39
CPT,34203,REMOVAL OF LEG ARTERY CLOT,,,925.73,10367.69,20
CPT,34401,REMOVAL OF VEIN CLOT,,,1085.49,4570.04,18
CPT,34421,REMOVAL OF VEIN CLOT,,,679.73,6013.64,20
CPT,34451,REMOVAL OF VEIN CLOT,,,1162.54,4366.64,18
CPT,34471,REMOVAL OF VEIN CLOT,,,278.44,1185.2,20
CPT,34490,REMOVAL OF VEIN CLOT,,,563.22,6013.64,20
CPT,34501,REPAIR VALVE FEMORAL VEIN,,,876.46,10367.69,20
CPT,34502,RECONSTRUCT VENA CAVA,,,1284.14,3153.22,15
CPT,34510,TRANSPOSITION OF VEIN VALVE,,,997.63,10367.69,20
CPT,34520,CROSS-OVER VEIN GRAFT,,,966.34,10367.69,20
CPT,34530,LEG VEIN FUSION,,,920.73,6013.64,20
CPT,34701,SURG 34701 ENDOVASC RPR DPLMNT AORTO-AORTIC ENDOGRAFT,16581.0,13264.8,1005.31,14922.9,34
CPT,34702,SURG 34702 ENDOVASC RPR DPLMNT AORTO-AORTIC ENDOGRAFT FOR RUPTURE,20723.0,16578.4,1446.68,18650.7,34
CPT,34703,EVASC RPR A-UNILAC NDGFT,,,1112.28,7188.92,15
CPT,34704,EVASC RPR A-UNILAC NDGFT RPT,,,1846.53,7188.92,15
CPT,34705,SURG 34705 ENDOVASC RPR DPLMNT AORTO-BI-ILIAC ENDOGRAFT,12766.0,10212.8,1236.92,11489.4,34
CPT,34706,SURG 34706 ENDOVASC RPR DPLMNT AORTO-BI-ILIAC ENDOGRAFT FOR RUPTURE,29120.0,23296.0,1841.48,26208.0,34
CPT,34707,SURG 34707 ENDOVASC RPR DPLMNT ILIO-ILIAC ENDOGRAFT,16912.0,13529.6,945.61,15220.8,37
CPT,34708,SURG 34708 ENDOVASC RPR DPLMNT ILIO-ILIAC ENDOGRAFT FOR RUPTURE,21568.0,17254.4,1465.91,19411.2,37
CPT,34709,SURG 34709 PLACEMENT EXTENSION PROSTH FOR ENDOVASCULAR RPR,6743.0,5394.4,259.23,7188.92,34
CPT,34710,SURG 34710 DELAYED PLACEMENT EXTENSION PROSTHESIS FOR EVASC RPR 1ST VESSEL,16246.0,12996.8,648.85,14621.4,34
CPT,34711,SURG 34711 DELAYED PLACEMENT EXTENSION PROSTHESIS FOR EVASC RPR EA ADDL VSL,6613.0,5290.4,236.85,7188.92,34
CPT,34712,TCAT DLVR ENHNCD FIXJ DEV,,,536.42,7188.92,15
CPT,34713,SURG 34713 PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT,5468.0,4374.4,1.0,4921.2,37
CPT,34714,OPN FEM ART EXPOS CNDT CRTJ,,,1.0,261.97,18
CPT,34715,SURG 34715 OPEN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI,3134.0,2507.2,1.0,2820.6,37
CPT,34716,SURG 34716 OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRT,10030.0,8024.0,1.0,9027.0,37
CPT,34717,SURG 34717 EVASC RPR ILIAC ART TIME OF A-ILIAC ART NDGFT UNI,12766.0,10212.8,355.39,11489.4,34
CPT,34718,SURG 34718 EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,12766.0,10212.8,1000.88,11489.4,34
CPT,34808,SURG 34808 ENDOVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE,12766.0,10212.8,162.43,11489.4,34
CPT,34812,SURG 34812 OPEN FEM ART EXPOS DLVR EVASC PROSTH UNI,1796.0,1436.8,165.31,1616.4,37
CPT,34813,FEMORAL ENDOVAS GRAFT ADD-ON,,,188.47,7188.92,15
CPT,34820,OPN ILIAC ART EXPOS,,,270.02,10783.38,18
CPT,34830,OPEN AORTIC TUBE PROSTH REPR,,,1424.05,3569.69,15
CPT,34831,OPEN AORTOILIAC PROSTH REPR,,,1565.32,3903.83,15
CPT,34832,OPEN AORTOFEMOR PROSTH REPR,,,1530.29,3837.41,15
CPT,34833,OPN ILAC ART EXPOS CNDT CRTJ,,,314.79,10783.38,18
CPT,34834,SURG 34834 OPEN BRACHIAL ARTERY EXPOS DELIVERY ENDOVASC PROSTHES UNI,1796.0,1436.8,103.69,1616.4,37
CPT,34839,PLNNING PT SPEC FENEST GRAFT,,,227.9,227.9,3
CPT,34841,ENDOVASC VISC AORTA 1 GRAFT,,,2533.38,7188.92,3
CPT,34842,SURG 34842 ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT,12766.0,10212.8,2533.38,11489.4,26
CPT,34843,SURG 34843 ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT,12766.0,10212.8,2533.38,11489.4,26
CPT,34844,SURG 34844 ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT,12766.0,10212.8,2533.38,11489.4,26
CPT,34845,VISC & INFRAREN ABD 1 PROSTH,,,2533.38,7188.92,3
CPT,34846,SURG 34846 ENDOVASC VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS,12766.0,10212.8,2533.38,11489.4,26
CPT,34847,SURG 34847 ENDOVASC VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS,12766.0,10212.8,2533.38,11489.4,26
CPT,34848,SURG 34848 ENDOVASC VISCER AND INFRARENAL ABDOM AORTA 4+ PROSTHESIS,12766.0,10212.8,2533.38,11489.4,26
CPT,35001,REPAIR DEFECT OF ARTERY,,,905.18,6013.64,18
CPT,35002,REPAIR ARTERY RUPTURE NECK,,,924.44,6013.64,18
CPT,35005,REPAIR DEFECT OF ARTERY,,,811.08,6013.64,18
CPT,35011,REPAIR DEFECT OF ARTERY,,,987.97,10367.69,20
CPT,35013,REPAIR ARTERY RUPTURE ARM,,,278.44,1239.96,18
CPT,35021,REPAIR DEFECT OF ARTERY,,,1048.69,3845.72,18
CPT,35022,REPAIR ARTERY RUPTURE CHEST,,,1196.48,4396.74,18
CPT,35045,REPAIR DEFECT OF ARM ARTERY,,,948.36,10367.69,20
CPT,35081,REPAIR DEFECT OF ARTERY,,,1401.51,3505.35,15
CPT,35082,REPAIR ARTERY RUPTURE AORTA,,,1755.2,4375.64,15
CPT,35091,REPAIR DEFECT OF ARTERY,,,1438.49,5400.2,18
CPT,35092,REPAIR ARTERY RUPTURE AORTA,,,2100.48,7879.26,18
CPT,35102,REPAIR DEFECT OF ARTERY,,,1521.11,5716.7,18
CPT,35103,REPAIR ARTERY RUPTURE AORTA,,,1747.65,6729.48,18
CPT,35111,REPAIR DEFECT OF ARTERY,,,1076.42,2693.87,15
CPT,35112,REPAIR ARTERY RUPTURE SPLEEN,,,1321.47,4965.39,18
CPT,35121,REPAIR DEFECT OF ARTERY,,,1278.28,4802.48,18
CPT,35122,REPAIR ARTERY RUPTURE BELLY,,,1526.63,5743.67,18
CPT,35131,REPAIR DEFECT OF ARTERY,,,1127.46,4200.62,18
CPT,35132,REPAIR ARTERY RUPTURE GROIN,,,1321.47,4965.39,18
CPT,35141,REPAIR DEFECT OF ARTERY,,,278.44,1185.2,18
CPT,35142,REPAIR ARTERY RUPTURE THIGH,,,278.44,1286.56,18
CPT,35151,REPAIR DEFECT OF ARTERY,,,278.44,1211.0,18
CPT,35152,REPAIR RUPTD POPLITEAL ART,,,278.44,1362.79,18
CPT,35180,RPR CGEN AV FISTULA HEAD&NCK,,,709.86,2014.34,17
CPT,35182,RPR CGEN AV FISTULA THRX&ABD,,,1484.04,3660.31,15
CPT,35184,RPR CGEN AV FISTULA XTR,,,942.04,4009.09,17
CPT,35188,RPR ACQ AV FISTULA HEAD&NECK,,,1302.21,6911.79,17
CPT,35189,RPR ACQ AV FISTULA THRX&ABD,,,1221.53,3059.83,15
CPT,35190,REPAIR ACQ AV FISTULA XTR,,,741.98,6911.79,17
CPT,35201,REPAIR BLOOD VESSEL DIR NECK,,,916.07,10367.69,20
CPT,35206,REPAIR BLOOD VESSEL DIR UXTR,,,778.26,6013.64,20
CPT,35207,RPR BLD VSL DIR HAND FINGER,,,757.29,6013.64,20
CPT,35211,RPR BLVSL DIR NTRATHRC W/BYP,,,1156.16,4263.92,18
CPT,35216,RPR BLVSL DIR NTRTHRC WO BYP,,,1730.07,6449.31,18
CPT,35221,RPR BLD VSL DIR INTRA-ABDL,,,1214.11,4515.03,18
CPT,35226,ED 35226 REP BLOOD VESS DIRECT LOWER ETREM,2153.0,1722.4,311.84,1937.7,39
CPT,35226,SURG 35226 RPR BLOOD VESSEL DIRECT LOWER EXTREMITY,2153.0,1722.4,311.84,1937.7,39
CPT,35231,REPAIR BLVSL VN GRF NECK,,,1232.97,6013.64,20
CPT,35236,REPAIR BLVSL VN GRF UXTR,,,979.98,10367.69,20
CPT,35241,RPR BLVSL VN GRF NTRTHRC W/B,,,1191.4,4378.05,18
CPT,35246,RPR BLVSL VN GRF NTRTHRC W/O,,,1293.94,4759.94,18
CPT,35251,RPR BLVSL VN GRF INTRA-ABDL,,,1422.31,5318.22,18
CPT,35256,REPAIR BLVSL VN GRF LXTR,,,988.31,10367.69,20
CPT,35261,RPR BLVSL GRF OTH/THN VN NCK,,,958.35,6013.64,20
CPT,35266,RPR BLVSL GRF OTH/TH VN UXTR,,,847.5,10367.69,20
CPT,35271,RPR BLVS GR OT/TH VN NTRTH W,,,1143.69,4241.09,18
CPT,35276,RPR BLVS GR OT/T VN NTRTH WO,,,1211.58,4448.63,18
CPT,35281,RPR BLVSL GR OT/TH VN NTR-AB,,,1337.98,4940.49,18
CPT,35286,SURG 35286 RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY,8039.0,6431.2,905.42,10367.69,39
CPT,35301,RECHANNELING OF ARTERY,,,917.1,6013.64,18
CPT,35302,SURG 35302 THROMBOENDARTERECTOMY SFA,12609.0,10087.2,278.44,11348.1,37
CPT,35303,RECHANNELING OF ARTERY,,,278.44,1194.36,18
CPT,35304,RECHANNELING OF ARTERY,,,278.44,1243.29,18
CPT,35305,RECHANNELING OF ARTERY,,,278.44,1196.02,18
CPT,35306,RECHANNELING OF ARTERY,,,278.44,790.13,15
CPT,35311,RECHANNELING OF ARTERY,,,1280.74,4725.69,18
CPT,35321,RECHANNELING OF ARTERY,,,878.12,10367.69,20
CPT,35331,RECHANNELING OF ARTERY,,,1176.08,4420.61,18
CPT,35341,RECHANNELING OF ARTERY,,,1116.98,4216.17,18
CPT,35351,RECHANNELING OF ARTERY,,,1044.94,3905.91,18
CPT,35355,SURG 35355 THROMBOENDARTERECTOMY-IF,12609.0,10087.2,278.44,11348.1,37
CPT,35361,RECHANNELING OF ARTERY,,,1231.69,4628.15,18
CPT,35363,RECHANNELING OF ARTERY,,,1313.12,4933.23,18
CPT,35371,SURG 35371 THROMBOENDAR W/WO PATCH GRAFT COMMON FEMORAL,12609.0,10087.2,278.44,11348.1,37
CPT,35372,RECHANNELING OF ARTERY,,,278.44,5759.51,20
CPT,35390,REOPERATION CAROTID ADD-ON,,,128.2,4009.09,15
CPT,35400,ANGIOSCOPY,,,115.51,298.17,15
CPT,35500,HARVEST VEIN FOR BYPASS,,,1.0,308.91,15
CPT,35501,ART BYP GRFT IPSILAT CAROTID,,,1178.93,6013.64,18
CPT,35506,ART BYP GRFT SUBCLAV-CAROTID,,,1031.0,6013.64,18
CPT,35508,ART BYP GRFT CAROTID-VERTBRL,,,1078.6,6013.64,18
CPT,35509,ART BYP GRFT CONTRAL CAROTID,,,1141.39,6013.64,18
CPT,35510,ART BYP GRFT CAROTID-BRCHIAL,,,995.07,6013.64,18
CPT,35511,ART BYP GRFT SUBCLAV-SUBCLAV,,,907.11,3405.74,18
CPT,35512,ART BYP GRFT SUBCLAV-BRCHIAL,,,975.96,10367.69,18
CPT,35515,ART BYP GRFT SUBCLAV-VERTBRL,,,1078.6,4041.84,18
CPT,35516,ART BYP GRFT SUBCLAV-AXILARY,,,987.65,10367.69,18
CPT,35518,ART BYP GRFT AXILLARY-AXILRY,,,925.04,10367.69,18
CPT,35521,ART BYP GRFT AXILL-FEMORAL,,,996.21,3735.72,18
CPT,35522,ART BYP GRFT AXILL-BRACHIAL,,,947.3,10367.69,18
CPT,35523,ART BYP GRFT BRCHL-ULNR-RDL,,,997.75,10367.69,18
CPT,35525,ART BYP GRFT BRACHIAL-BRCHL,,,891.38,10367.69,18
CPT,35526,ART BYP GRFT AOR/CAROT/INNOM,,,1428.0,5263.22,18
CPT,35531,ART BYP GRFT AORCEL/AORMESEN,,,1573.72,5922.15,18
CPT,35533,ART BYP GRFT AXILL/FEM/FEM,,,278.44,1469.64,18
CPT,35535,ART BYP GRFT HEPATORENAL,,,1536.37,5780.0,18
CPT,35536,ART BYP GRFT SPLENORENAL,,,1366.24,5133.5,18
CPT,35537,ART BYP GRFT AORTOILIAC,,,1681.45,4219.98,15
CPT,35538,ART BYP GRFT AORTOBI-ILIAC,,,1883.31,4725.69,15
CPT,35539,ART BYP GRFT AORTOFEMORAL,,,1767.5,6653.73,18
CPT,35540,ART BYP GRFT AORTBIFEMORAL,,,1968.55,7413.33,18
CPT,35556,SURG 35556 BYPASS W/VEIN FEMORAL-POPLITEAL,11441.0,9152.8,1129.9,10367.69,37
CPT,35558,ART BYP GRFT FEM-FEMORAL,,,994.46,10367.69,18
CPT,35560,ART BYP GRFT AORTORENAL,,,1377.93,5179.16,18
CPT,35563,ART BYP GRFT ILIOILIAC,,,1073.07,4026.27,18
CPT,35565,ART BYP GRFT ILIOFEMORAL,,,1062.83,3986.85,18
CPT,35566,SURG 35566 BYPASS W/VEIN FEMORAL-TIBIAL/PERONEAL,12807.0,10245.6,1342.96,11526.3,37
CPT,35570,ART BYP TIBIAL-TIB/PERONEAL,,,1193.18,10367.69,18
CPT,35571,SURG 35571 BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL,11441.0,9152.8,1072.42,10367.69,37
CPT,35572,SURG 35572 HARVEST FEMOROPOPLITEAL VEIN ONE SEG VASC RECONSTRUCT PROC,4384.0,3507.2,1.0,3945.6,34
CPT,35583,VEIN BYP GRFT FEM-POPLITEAL,,,1168.18,10367.69,18
CPT,35585,VEIN BYP FEM-TIBIAL PERONEAL,,,1350.8,10367.69,18
CPT,35587,VEIN BYP POP-TIBL PERONEAL,,,1080.06,10367.69,18
CPT,35600,OPEN HRV UXTR ART 1 SGM CAB,,,151.33,376.34,15
CPT,35601,BPG COM CRTD-IPSI INT CRTD,,,1141.72,6013.64,18
CPT,35606,BPG CAROTID-SUBCLAVIAN,,,953.86,6013.64,18
CPT,35612,BPG SUBCLAVIAN-SUBCLAVIAN,,,849.9,3183.66,18
CPT,35616,BPG SUBCLAVIAN-AXILLARY,,,892.65,10367.69,18
CPT,35621,BPG AXILLARY-FEMORAL,,,888.04,10367.69,18
CPT,35623,BPG AXILLARY-POP/-TIBIAL,,,1065.53,10367.69,18
CPT,35626,BPG AOR-SUBCLA/INNOM/CAROTID,,,1310.3,4828.43,18
CPT,35631,BPG AOR-CELIAC-MSN-RENAL,,,1495.14,5626.41,18
CPT,35632,BPG ILIO-CELIAC,,,1459.2,5487.36,18
CPT,35633,BPG ILIO-MESENTERIC,,,1597.98,6018.66,18
CPT,35634,BPG ILIORENAL,,,1428.28,5370.11,18
CPT,35636,BPG SPLENORENAL,,,1289.93,4846.07,18
CPT,35637,BPG AORTOILIAC,,,1341.01,3358.69,15
CPT,35638,BPG AORTOBI-ILIAC,,,1415.97,3510.89,15
CPT,35642,BPG CAROTID-VERTEBRAL,,,806.95,6013.64,18
CPT,35645,BPG SUBCLAVIAN-VERTEBRAL,,,770.39,2884.8,18
CPT,35646,BPG AORTOBIFEMORAL,,,1379.16,3450.7,15
CPT,35647,BPG AORTOFEMORAL,,,1244.63,10367.69,18
CPT,35650,BPG AXILLARY-AXILLARY,,,828.3,10367.69,18
CPT,35654,BPG AXILLARY-FEMORAL-FEMORAL,,,1108.21,2760.97,15
CPT,35656,BPG FEMORAL-POPLITEAL,,,869.37,10367.69,18
CPT,35661,SURG 35661 GRAFT BYPASS OTHER THAN VEIN FEMORAL-FEMORAL,12807.0,10245.6,881.01,11526.3,37
CPT,35663,BPG ILIOILIAC,,,988.67,3707.7,18
CPT,35665,BPG ILIOFEMORAL,,,952.28,10367.69,18
CPT,35666,SURG 35666 BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART,12807.0,10245.6,1046.74,11526.3,37
CPT,35671,BPG POP-TIBL/-PRNL ARTERY,,,918.63,3445.17,18
CPT,35681,COMPOSITE BYP GRFT PROS&VEIN,,,63.89,6911.79,15
CPT,35682,COMPOSITE BYP GRFT 2 VEINS,,,281.6,6911.79,15
CPT,35683,COMPOSITE BYP GRFT 3/> SEGMT,,,327.76,6911.79,15
CPT,35685,BYPASS GRAFT PATENCY/PATCH,,,1.0,192.07,15
CPT,35686,BYPASS GRAFT/AV FIST PATENCY,,,1.0,155.79,15
CPT,35691,ART TRNSPOSJ VERTBRL CAROTID,,,769.36,6013.64,18
CPT,35693,ART TRNSPOSJ SUBCLAVIAN,,,685.71,2554.82,18
CPT,35694,ART TRNSPOSJ SUBCLAV CAROTID,,,803.4,6013.64,18
CPT,35695,ART TRNSPOSJ CAROTID SUBCLAV,,,833.29,6013.64,18
CPT,35697,REIMPLANT ARTERY EACH,,,117.66,790.13,15
CPT,35700,REOPERATION BYPASS GRAFT,,,121.7,790.13,15
CPT,35701,EXPL N/FLWD SURG NECK ART,,,377.41,6013.64,18
CPT,35702,EXPL N/FLWD SURG UXTR ART,,,278.44,1185.2,18
CPT,35703,"SURG 35703 EXPLORATION NOT FOLLOWED BY SURG REPAIR, ARTERY;LOWER EXTREMITY",6943.0,5554.4,278.44,6248.7,37
CPT,35721,Outpatient Services - CPT/HCPCS,,,278.44,790.13,3
CPT,35741,Outpatient Services - CPT/HCPCS,,,278.44,790.13,3
CPT,35761,Outpatient Services - CPT/HCPCS,,,278.44,790.13,3
CPT,35800,SURG 35800 EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK,4532.0,3625.6,278.44,5759.51,36
CPT,35820,EXPLORE CHEST VESSELS,,,278.44,1970.95,15
CPT,35840,EXPLORE ABDOMINAL VESSELS,,,1026.47,7188.92,15
CPT,35860,EXPLORE LIMB VESSELS,,,825.53,4009.09,17
CPT,35870,REPAIR VESSEL GRAFT DEFECT,,,1012.14,2530.6,15
CPT,35875,REMOVAL OF CLOT IN GRAFT,,,578.2,6911.79,17
CPT,35876,REMOVAL OF CLOT IN GRAFT,,,919.07,6911.79,17
CPT,35879,REVISE GRAFT W/VEIN,,,898.43,10367.69,20
CPT,35881,REVISE GRAFT W/VEIN,,,1004.28,10367.69,20
CPT,35883,REVJ FEM ANAST NONAUTOG GRF,,,1165.06,10367.69,20
CPT,35884,REVJ FEM ANAST AUTOG VN GRF,,,1208.0,10367.69,20
CPT,35901,EXCISION GRAFT NECK,,,278.44,790.13,15
CPT,35903,EXCISION GRAFT EXTREMITY,,,553.9,4009.09,17
CPT,35905,EXCISION GRAFT THORAX,,,1357.97,3402.96,15
CPT,35907,EXCISION GRAFT ABDOMEN,,,1547.77,3865.78,15
CPT,36000,ED 36000 INTRO NDL INTRACATH VEIN,424.0,339.2,1.0,381.6,34
CPT,36000,SURG 36000 INTRODUCTION NEEDLE/INTRACATHETER VEIN,424.0,339.2,1.0,381.6,34
CPT,36002,SURG 36002 INJ PROC PERQ TX EXTREMITY PSEUDOANEURYSM,1409.0,1127.2,101.86,1268.1,39
CPT,36005,SURG 36005 VENOGRAM INJ,1518.0,1214.4,1.0,1366.2,37
CPT,36010,SURG 36010 VENA CAVA NON-SEL CA,3115.0,2492.0,1.0,2803.5,37
CPT,36011,SURG 36011 SEL 1ST ORDER VENOUS,3268.0,2614.4,1.0,2941.2,37
CPT,36012,SURG 36012 SEL 2ND ORDER VENOUS,4263.0,3410.4,1.0,3836.7,37
CPT,36013,SURG 36013 INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,2565.0,2052.0,1.0,2308.5,34
CPT,36014,SURG 36014 PULM ART CATH SEL,2765.0,2212.0,1.0,2488.5,37
CPT,36015,SURG 36015 PULM ART SUP SEL,3254.0,2603.2,1.0,2928.6,37
CPT,36100,ESTABLISH ACCESS TO ARTERY,,,1.0,520.11,18
CPT,36140,ED 36140 INJ PROC EXTREMITY ARTERY,2291.0,1832.8,1.0,2061.9,34
CPT,36140,SURG 36140 INTRO NDLE OR EXT CATH UPPER OR LOWER EXT ART,2291.0,1832.8,1.0,2061.9,34
CPT,36160,SURG 36160 INTROCATH AORTA TLA,3548.0,2838.4,1.0,3193.2,34
CPT,36200,SURG 36200 INTROCATH AORTA,3032.0,2425.6,1.0,2728.8,37
CPT,36215,SURG 36215 SELCTIV CATHETER EA 1ST ORD THRC/BRCH/CPHLC BRNCH,3060.0,2448.0,1.0,2754.0,34
CPT,36216,SURG 36216 INITIAL 2ND ORDER AD,3925.0,3140.0,1.0,3532.5,34
CPT,36217,SURG 36217 INITIAL 3RD ORDER AD,4731.0,3784.8,1.0,4257.9,34
CPT,36218,SURG 36218 SEL EA ADD 2ND 3RDAD,1531.0,1224.8,1.0,1377.9,34
CPT,36221,SURG 36221 NONSELECTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART,9377.0,7501.6,194.73,8439.3,36
CPT,36222,SURG 36222 SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART,10842.0,8673.6,280.28,9757.8,39
CPT,36223,SURG 36223 SEL CATH CAROTID INNOM ART UNIL W ANG  INCL S&I,11359.0,9087.2,323.89,10367.69,39
CPT,36224,SURG 36224 SEL CATH INT CAROTID UNIL W ANG INTRACRN ART INCL S&I,14464.0,11571.2,363.83,13017.6,39
CPT,36225,SURG 36225 SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,10330.0,8264.0,321.22,9297.0,39
CPT,36226,SURG 36226 SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY,13084.0,10467.2,361.5,11775.6,39
CPT,36227,SURG 36227 SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,9207.0,7365.6,1.0,8286.3,37
CPT,36228,SURG 36228 SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT,5738.0,4590.4,1.0,5164.2,37
CPT,36245,SURG 36245 SEL CATH 1ST ORD-BD,3744.0,2995.2,1.0,3369.6,37
CPT,36246,SURG 36246 INITIAL 2ND ORDER BD,4308.0,3446.4,1.0,3877.2,37
CPT,36247,SURG 36247 INITIAL 3RD ORDER BD,5016.0,4012.8,1.0,4514.4,37
CPT,36248,SURG 36248 SEL EA ADD 2ND 3RDBD,1581.0,1264.8,1.0,1422.9,34
CPT,36251,SURG 36251 SELECTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN,8390.0,6712.0,248.32,7551.0,36
CPT,36252,SURG 36252 SELECTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL,10766.0,8612.8,347.19,9689.4,36
CPT,36253,SURG 36253 SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I UNILAT,8868.0,7094.4,342.53,7981.2,36
CPT,36254,SURG 36254 SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I BILAT,10842.0,8673.6,404.78,9757.8,36
CPT,36260,INSERTION OF INFUSION PUMP,,,658.76,6911.79,17
CPT,36261,REVISION OF INFUSION PUMP,,,415.1,4939.22,17
CPT,36262,REMOVAL OF INFUSION PUMP,,,317.56,4939.22,17
CPT,36299,SURG 36299 UNLISTED PROCEDURE VASCULAR INJECTION,2182.0,1745.6,1.0,1963.8,26
CPT,36400,TX RM 36400 VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,400.0,320.0,1.0,360.0,34
CPT,36405,VNPNXR<3YRS PHY/QHP SCALP VN,,,1.0,23.69,15
CPT,36406,VNPNXR<3YRS PHY/QHP OTHER VN,,,1.0,17.79,15
CPT,36410,ED 36410 VENIPUNCTURE > 3 YEARS,179.0,143.2,1.0,161.1,34
CPT,36410,TX RM 36410 VENIPUNCTURE NON-ROUTINE,179.0,143.2,1.0,161.1,34
CPT,36415,COLL VENOUS BLD VENIPUNCTURE,,,8.64,24.97,15
CPT,36416,COLLJ CAPILLARY BLOOD SPEC,,,1.0,1.0,3
CPT,36420,VENIPUNCTURE CUTDOWN < 1 YR,,,46.94,160.67,17
CPT,36425,VENIPUNCTURE CUTDOWN 1 YR/>,,,38.95,501.13,17
CPT,36430,ED 36430 TRANSFUSION BLOOD,1295.0,1036.0,42.28,1165.5,36
CPT,36430,TRANSFUSION BLOOD,1295.0,1036.0,42.28,1165.5,36
CPT,36440,BLD PUSH TFUJ 2 YR/<,,,49.27,546.0,17
CPT,36450,BLD EXCHANGE TRUJ NEWBORN,,,167.44,546.0,17
CPT,36455,BLD EXCHANGE TRUJ OTH THN NB,,,122.83,546.0,17
CPT,36456,PRTL EXCHANGE TRANSFUSE NB,,,95.54,546.0,17
CPT,36460,IUBT,3621.0,2896.8,192.41,3258.9,36
CPT,36465,SURG 36465 INJ NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN,4802.0,3841.6,116.17,4321.8,39
CPT,36466,NJX NONCMPND SCLRSNT MLT VN,,,148.13,3440.49,20
CPT,36468,SURG 36468 INJ SCLEROSANT FOR SPIDER VEINS LIM/TRNK,967.0,773.6,176.74,870.3,34
CPT,36470,SURG 36470 INJ SCLEROSANT SINGLE INCMPTNT VEIN,725.0,580.0,37.28,752.29,39
CPT,36471,SURG 36471 INJ SCLEROSANT MULTIPLE INCMPTNT VEINS,782.0,625.6,74.23,752.29,39
CPT,36473,SURG 36473 ENDOVENOUS ABL MECHANOCHEMICAL 1ST VEIN,5745.0,4596.0,177.09,6013.64,39
CPT,36474,SURG 36474 ENDOVENOUS ABL MECHANOCHEMICAL ADDL VIEN SAME LEG,3061.0,2448.8,1.0,2754.9,37
CPT,36475,SURG 36475 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,9087.0,7269.6,271.29,8178.3,39
CPT,36476,SURG 36476 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS,6366.0,5092.8,1.0,5729.4,37
CPT,36478,ENDOVENOUS LASER 1ST VEIN,,,271.29,6013.64,20
CPT,36479,ENDOVENOUS LASER VEIN ADDON,,,1.0,290.94,18
CPT,36481,SURG 36481 PORTAL VEIN CATH,3797.0,3037.6,1.0,3417.3,34
CPT,36482,SURG 36482 ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN,10378.0,8302.4,175.09,10367.69,37
CPT,36483,SURG 36483 ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN,5634.0,4507.2,1.0,5070.6,37
CPT,36500,SURG 36500 VENOUS ORGAN BLD SU,2747.0,2197.6,1.0,2472.3,34
CPT,36510,ED 36510 CATH VEIN UMBILICAL NEWBORN,465.0,372.0,1.0,418.5,34
CPT,36511,LEUKOPHERESIS,5563.0,4450.4,109.18,5006.7,36
CPT,36512,APHERESIS RED CELL,5330.0,4264.0,103.86,4797.0,36
CPT,36513,PLATELETPHERESIS THERAPY,4591.0,3672.8,104.19,4131.9,36
CPT,36514,PLASMAPHERESIS,5351.0,4280.8,91.54,4815.9,36
CPT,36516,APHERESIS IMMUNOADS SLCTV,,,84.55,5820.66,17
CPT,36522,PHOTOPHERESIS,,,93.87,5820.66,17
CPT,36555,ED 36555 INSERT CATH CENTRAL VENOUS NON-TUNNEL < 5 YRS,3231.0,2584.8,82.55,4009.09,36
CPT,36555,SURG 36555 INSERT NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,3231.0,2584.8,82.55,4009.09,36
CPT,36556,ED 36556 INST NON-TNNL CV CTH>5 YRS,3425.0,2740.0,82.89,4009.09,36
CPT,36556,SURG 36556 INS NT CENT CVA >5,3425.0,2740.0,82.89,4009.09,36
CPT,36556,TX RM 36556 INS CATH CV NON-TUNL >5YRS,3425.0,2740.0,82.89,4009.09,36
CPT,36557,SURG 36557 INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR,6086.0,4868.8,319.56,10367.69,39
CPT,36558,ED 36558 INSERT TUNNEL CV CATH WO PORT>5,7042.0,5633.6,253.98,6337.8,39
CPT,36558,SURG 36558 INS TUN CVA >5,7042.0,5633.6,253.98,6337.8,39
CPT,36560,INSERT TUNNELED CV CATH,,,381.81,6013.64,20
CPT,36561,SURG 36561 INS TUN CVA WPORT,8368.0,6694.4,326.55,7531.2,39
CPT,36563,INSERT TUNNELED CV CATH,,,356.84,6911.79,17
CPT,36565,INSERT TUNNELED CV CATH,,,332.21,6013.64,20
CPT,36566,INSERT TUNNELED CV CATH,,,351.18,10367.69,20
CPT,36568,ED 36568 INSERT PICC WO PORT WO IMAG < 5YRS,3136.0,2508.8,89.88,2822.4,36
CPT,36568,SURG 36568 INSERTION PICC W/O IMG GDN < 5 YR,3136.0,2508.8,89.88,2822.4,36
CPT,36569,ED 36569 INSERT PICC CATH WO IMAG  > 5 YRS,3283.0,2626.4,92.87,2954.7,36
CPT,36569,SURG 36569 INSERTION PICC W/O IMG GDN 5 YR/>,3283.0,2626.4,92.87,2954.7,36
CPT,36570,INSERT PICVAD CATH,,,331.54,6013.64,20
CPT,36571,SURG 36571 INSERT PVA WPORT >5,7731.0,6184.8,309.24,6957.9,39
CPT,36572,ED 36572 INSERT PICC WO PORT W/IMAGING < 5 YR,2814.0,2251.2,79.22,2532.6,36
CPT,36572,SURG 36572 INSERT PICC WO PORT W/IMAGING < 5 YR,2814.0,2251.2,79.22,2532.6,36
CPT,36573,ED 36573 INSERT PICC WO PORT W/IMAGING > 5 YR,4016.0,3212.8,81.22,3614.4,36
CPT,36573,SURG 36573 INSERT PICC WO PORT W/IMAGING > 5 YR,4016.0,3212.8,81.22,3614.4,36
CPT,36575,SURG 36575 REPAIR CVA CATH,1875.0,1500.0,32.62,1687.5,36
CPT,36576,SURG 36576 RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT,3820.0,3056.0,180.75,3438.0,36
CPT,36578,SURG 36578 RPLCMT CATH CTR VAD SUBQ PORT/PMP,7716.0,6172.8,201.06,6944.4,36
CPT,36580,ED 36580 REPLACE CATH CENTRAL VENOUS NON-TNL W/O PORT,4114.0,3291.2,63.58,3702.6,36
CPT,36580,SURG 36580 CHG CENTRAL CVA,4114.0,3291.2,63.58,3702.6,36
CPT,36581,SURG 36581 RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP,6912.0,5529.6,179.09,6220.8,36
CPT,36582,SURG 36582 RPLCMT COMPL TUN CTR VAD W/SUBQ PORT,8757.0,7005.6,282.28,7881.3,36
CPT,36583,REPLACE TUNNELED CV CATH,,,327.55,6911.79,17
CPT,36584,ED 36584 REPL PICC WO PORT INCL IMAGING,3365.0,2692.0,56.92,3028.5,36
CPT,36584,SURG 36584 CHG PICC INCL IMAGING,3365.0,2692.0,56.92,3028.5,36
CPT,36585,REPLACE PICVAD CATH,,,274.62,4009.09,17
CPT,36589,ED 36589 RMV TUN CV CTH WO SBQ PRT,2379.0,1903.2,134.15,2141.1,36
CPT,36589,SURG 36589 RMVL TUN CVC W/O SUBQ PORT/PMP,2379.0,1903.2,134.15,2141.1,36
CPT,36589,TX RM 36589 REM PORT ACCESS RESERV SUBQ,2379.0,1903.2,134.15,2141.1,36
CPT,36590,ED 36590 REMOVE CVAD W PORT OR PUMP,4271.0,3416.8,187.08,3843.9,36
CPT,36590,SURG 36590 RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,4271.0,3416.8,187.08,3843.9,36
CPT,36591,TX RM 36591 NURSING BLD COLLECTION IVAD,180.0,144.0,27.63,162.0,36
CPT,36592,COLLECT BLOOD FROM PICC,,,29.96,160.67,17
CPT,36593,ED 36593 DECLOT PORT W THROMBOLYTIC,796.0,636.8,34.62,716.4,36
CPT,36593,SURG 36593 DECLOT WTHROM AGENT VAD CATH,796.0,636.8,34.62,716.4,36
CPT,36593,TX RM 36593 DECLOT PORT WTHROMB AGENT,796.0,636.8,34.62,716.4,36
CPT,36595,SURG 36595 PERICATH CVA STRIP,4998.0,3998.4,176.09,4498.2,36
CPT,36596,SURG 36596 MECH REML INTRLUM OBSTR,3945.0,3156.0,44.27,3550.5,36
CPT,36597,SURG 36597 REPOSITION CV PICC,2804.0,2243.2,58.59,2523.6,36
CPT,36598,SURG 36598 CHECK CVAP PATENCY,1383.0,1106.4,34.62,1244.7,39
CPT,36600,ARTERIAL PUNCTURE,202.0,161.6,14.65,181.8,36
CPT,36600,ED 36600 ARTERIAL PUNCTURE,202.0,161.6,14.65,181.8,36
CPT,36620,ED 36620 ARTERIAL CATH PERCUTANEOUS,465.0,372.0,1.0,418.5,34
CPT,36620,SURG 36620 ART CATH MON TRANS SEP PROC,465.0,372.0,1.0,418.5,34
CPT,36625,SURG 36625 ARTERIAL CUTDOWN,777.0,621.6,1.0,699.3,34
CPT,36640,INSERTION CATHETER ARTERY,,,116.51,4009.09,17
CPT,36660,INSERTION CATHETER ARTERY,,,59.87,139.05,15
CPT,36680,ED 36680 INSERT NEEDLE BONE CAVITY INFUSION,639.0,511.2,58.92,575.1,36
CPT,36800,INSERTION OF CANNULA,,,118.5,6911.79,17
CPT,36810,INSERTION OF CANNULA,,,206.05,4009.09,17
CPT,36815,INSERTION OF CANNULA,,,132.15,6911.79,17
CPT,36818,AV FUSE UPPR ARM CEPHALIC,,,674.4,6911.79,17
CPT,36819,AV FUSE UPPR ARM BASILIC,,,714.02,6911.79,17
CPT,36820,AV FUSION/FOREARM VEIN,,,710.36,10367.69,20
CPT,36821,AV FUSION DIRECT ANY SITE,,,645.44,4009.09,17
CPT,36823,INSERTION OF CANNULA(S),,,278.44,1400.74,15
CPT,36825,ARTERY-VEIN AUTOGRAFT,,,776.26,6911.79,17
CPT,36830,ARTERY-VEIN NONAUTOGRAFT,,,651.77,6911.79,17
CPT,36831,SURG 36831 THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF,14554.0,11643.2,603.84,13098.6,36
CPT,36832,SURG 36832 REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF,12452.0,9961.6,739.98,11206.8,36
CPT,36833,SURG 36833 REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF,17300.0,13840.0,789.25,15570.0,36
CPT,36835,INSERTION THOMAS SHUNT,,,479.67,4009.09,17
CPT,36836,PRQ AV FSTL CRTJ UXTR 1 ACS,,,346.19,22054.9,17
CPT,36837,PRQ AV FSTL CRT UXTR SEP ACS,,,447.72,22054.9,17
CPT,36838,DIST REVAS LIGATION HEMO,,,1111.8,10367.69,20
CPT,36860,SURG 36860 EXTERNAL CANNULA DECLOTTNG SEPARATE PROC W/O BALOON CATH,1995.0,1596.0,108.52,2014.34,36
CPT,36861,CANNULA DECLOTTING,,,136.15,6911.79,17
CPT,36901,SURG 36901 INTRO DIALYSIS CIRCUIT W ANGIO,4950.0,3960.0,163.11,4455.0,36
CPT,36902,SURG 36902 INTRO DIALYSIS CIRCUIT W ANGIO & ANGIOPLASTY,23692.0,18953.6,232.68,21322.8,36
CPT,36903,SURG 36903 INTRO DIALYSIS CIRCUIT W ANGIO & STENT,32768.0,26214.4,305.91,29491.2,36
CPT,36904,SURG 36904 THROMBECTOMY DIALYSIS CIRCUIT,15692.0,12553.6,356.84,14122.8,36
CPT,36905,SURG 36905 THROMBECTOMY DIALYSIS CIRCUIT W ANGIOPLASTY,32384.0,25907.2,428.41,29145.6,36
CPT,36906,SURG 36906 THROMBECTOMY DIALYSIS CIRCUIT W STENT,49641.0,39712.8,494.65,44676.9,36
CPT,36907,SURG 36907 ANGIOPLASTY CENTRAL DIALYSIS SEGMENT,13100.0,10480.0,1.0,11790.0,34
CPT,36908,SURG 36908 STENT CENTRAL DIALYSIS SEGMENT,17847.0,14277.6,1.0,16062.3,34
CPT,36909,SURG 36909 EMBOLIZATION OCCLUSION DIALYSIS CIRCUIT,18397.0,14717.6,1.0,16557.3,34
CPT,37140,REVISION OF CIRCULATION,,,1945.54,4794.17,15
CPT,37145,REVISION OF CIRCULATION,,,278.44,2140.72,15
CPT,37160,REVISION OF CIRCULATION,,,1854.93,4569.34,15
CPT,37180,REVISION OF CIRCULATION,,,1783.29,4392.24,15
CPT,37181,SPLICE SPLEEN/KIDNEY VEINS,,,1945.54,4794.17,15
CPT,37182,SURG 37182 INSRT INTRHEP PORTO,19313.0,15450.4,698.74,17381.7,36
CPT,37183,SURG 37183 REVISION TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT,21019.0,16815.2,361.17,18917.1,36
CPT,37184,SURG 37184 PRIM PERCUT TRLUML MCHNL THRMBC N-COR N-ICRA 1ST,12976.0,10380.8,417.76,33082.34,39
CPT,37184,SURG 37184 PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST,12976.0,10380.8,417.76,33082.34,39
CPT,37185,SURG 37185 PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ,8781.0,7024.8,1.0,7902.9,34
CPT,37186,SURG 37186 THROMB W INTERVENTION,10045.0,8036.0,1.0,9040.5,34
CPT,37187,SURG 37187 THROMB ONLY VENOUS,8892.0,7113.6,381.14,20755.16,39
CPT,37188,SURG 37188 PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX,8529.0,6823.2,272.62,7676.1,39
CPT,37191,SURG 37191 INSERT INTRVAS VC FILTR W/WO VASC ACCESS VSL SELECTION RS&I,12297.0,9837.6,213.71,11067.3,36
CPT,37192,SURG 37192 REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,7928.0,6342.4,334.54,7135.2,36
CPT,37193,SURG 37193 RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,13733.0,10986.4,335.87,12359.7,36
CPT,37195,ED 37195 THROMBOLYSIS CEREBRAL IV INFUSION,998.0,798.4,150.11,898.2,36
CPT,37197,SURG 37197 PERQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING,8733.0,6986.4,291.6,7859.7,36
CPT,37200,SURG 37200 TRANSCATH BIOPSY,7990.0,6392.0,207.38,7191.0,36
CPT,37211,SURG 37211 THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,8377.0,6701.6,375.48,10367.69,39
CPT,37212,SURG 37212 THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,6475.0,5180.0,327.22,6013.64,39
CPT,37213,SURG 37213 THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX,8104.0,6483.2,223.69,7293.6,36
CPT,37214,SURG 37214 CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL,10427.0,8341.6,118.17,9384.3,36
CPT,37215,SURG 37215 CER CAROTID W DIST,16367.0,13093.6,805.24,20755.16,37
CPT,37216,SURG 37216 CERV CAROTID WO DIST,16340.0,13072.0,865.38,14706.0,34
CPT,37217,SURG 37217 COMMON CAROTID/INNOMINATE STENT PLACEMENT RETRO,10462.0,8369.6,883.37,20755.16,37
CPT,37218,SURG 37218 TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,13537.0,10829.6,683.49,20755.16,37
CPT,37220,Outpatient Services,,,5416.44,5986.6,8
CPT,37220,Outpatient Services - CPT/HCPCS,,,2533.38,10783.38,8
CPT,37220,Therapy,,,387.47,387.47,4
CPT,37221,Outpatient Services,,,10773.54,11907.6,8
CPT,37221,Outpatient Services - CPT/HCPCS,,,4876.09,20755.16,8
CPT,37221,Therapy,,,477.34,477.34,4
CPT,37222,Outpatient Services,,,528.64,584.29,8
CPT,37222,Outpatient Services - CPT/HCPCS,,,1.0,1.5,6
CPT,37222,Therapy,,,179.09,179.09,4
CPT,37223,Outpatient Services,,,1079.34,1192.96,8
CPT,37223,Outpatient Services - CPT/HCPCS,,,1.0,1.5,6
CPT,37223,Therapy,,,205.05,205.05,4
CPT,37224,Outpatient Services,,,5416.44,5986.6,8
CPT,37224,Outpatient Services - CPT/HCPCS,,,2533.38,10783.38,8
CPT,37224,Therapy,,,430.74,430.74,4
CPT,37225,Outpatient Services,,,17058.88,18854.56,8
CPT,37225,Outpatient Services - CPT/HCPCS,,,7772.16,33082.34,8
CPT,37225,Therapy,,,579.54,579.54,4
CPT,37226,Outpatient Services,,,10773.54,11907.6,8
CPT,37226,Outpatient Services - CPT/HCPCS,,,4876.09,20755.16,8
CPT,37226,Therapy,,,502.31,502.31,4
CPT,37227,Outpatient Services,,,17058.88,18854.56,8
CPT,37227,Outpatient Services - CPT/HCPCS,,,7772.16,33082.34,8
CPT,37227,Therapy,,,693.38,693.38,4
CPT,37228,Outpatient Services,,,10773.54,11907.6,8
CPT,37228,Outpatient Services - CPT/HCPCS,,,4876.09,20755.16,8
CPT,37228,Therapy,,,523.61,523.61,4
CPT,37229,Outpatient Services,,,17058.88,18854.56,8
CPT,37229,Outpatient Services - CPT/HCPCS,,,7772.16,33082.34,8
CPT,37229,Therapy,,,670.74,670.74,4
CPT,37230,Outpatient Services,,,17058.88,18854.56,8
CPT,37230,Outpatient Services - CPT/HCPCS,,,7772.16,33082.34,8
CPT,37230,Therapy,,,671.08,671.08,4
CPT,37231,Outpatient Services,,,17058.88,18854.56,8
CPT,37231,Outpatient Services - CPT/HCPCS,,,7772.16,33082.34,8
CPT,37231,Therapy,,,710.69,710.69,4
CPT,37232,Outpatient Services,,,698.27,771.77,8
CPT,37232,Outpatient Services - CPT/HCPCS,,,1.0,1.5,6
CPT,37232,Therapy,,,192.73,192.73,4
CPT,37233,Outpatient Services,,,906.32,1001.72,8
CPT,37233,Outpatient Services - CPT/HCPCS,,,1.0,1.5,6
CPT,37233,Therapy,,,311.57,311.57,4
CPT,37234,Outpatient Services,,,3097.29,3423.32,8
CPT,37234,Outpatient Services - CPT/HCPCS,,,1.0,1.5,6
CPT,37234,Therapy,,,272.29,272.29,4
CPT,37235,Outpatient Services,,,3434.89,3796.45,8
CPT,37235,Outpatient Services - CPT/HCPCS,,,1.0,1.5,6
CPT,37235,Therapy,,,355.84,355.84,4
CPT,37236,SURG 37236 OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL,24433.0,19546.4,427.41,21989.7,39
CPT,37237,SURG 37237 OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL,17077.0,13661.6,1.0,15369.3,37
CPT,37238,SURG 37238 OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,23888.0,19110.4,297.59,21499.2,39
CPT,37239,SURG 37239 OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL,17830.0,14264.0,1.0,16047.0,37
CPT,37241,SURG 37241 VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,22841.0,18272.8,413.76,20556.9,36
CPT,37242,SURG 37242 VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I,22195.0,17756.0,460.7,22054.9,36
CPT,37243,SURG 37243 VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,23066.0,18452.8,541.25,20759.4,36
CPT,37244,SURG 37244 VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,23849.0,19079.2,638.12,21464.1,36
CPT,37246,SURG 37246 ANGIOPLASTY INITIAL ARTERY OCCLUSIVE DISEASE,18525.0,14820.0,337.54,16672.5,39
CPT,37247,SURG 37247 ANGIOPLASTY INITIAL ARTERY OCCLUSIVE DISEASE ADDL ART,11670.0,9336.0,1.0,10503.0,37
CPT,37248,SURG 37248 ANGIOPLASTY VEIN INITIAL,15795.0,12636.0,287.94,14215.5,39
CPT,37249,SURG 37249 ANGIOPLASTY VEIN ADDL VEIN,8995.0,7196.0,1.0,8095.5,37
CPT,37252,SURG 37252 INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,4706.0,3764.8,1.0,4235.4,34
CPT,37253,SURG 37253 INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,3916.0,3132.8,1.0,3524.4,34
CPT,37254,SURG 37254 REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL,16302.0,13041.6,4311.88,14671.8,26
CPT,37255,SURG 37255 REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,11513.0,9210.4,3045.19,10361.7,26
CPT,37256,SURG 37256 REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL,20302.0,16241.6,5369.88,18271.8,26
CPT,37257,SURG 37257 REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,15513.0,12410.4,4103.19,13961.7,26
CPT,37258,SURG 37258 REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,25239.0,20191.2,6675.72,22715.1,26
CPT,37259,SURG 37259 REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,14988.0,11990.4,3964.33,13489.2,26
CPT,37260,SURG 37260 REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,29239.0,23391.2,7733.72,26315.1,26
CPT,37261,SURG 37261 REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,18988.0,15190.4,5022.33,17089.2,26
CPT,37262,SURG 37262 INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY,8000.0,6400.0,2116.0,7200.0,26
CPT,37263,SURG 37263 REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,16585.0,13268.0,4386.73,14926.5,26
CPT,37264,SURG 37264 REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL,12000.0,9600.0,3174.0,10800.0,26
CPT,37265,SURG 37265 REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,20585.0,16468.0,5444.73,18526.5,26
CPT,37266,SURG 37266 REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL,16000.0,12800.0,4232.0,14400.0,26
CPT,37267,SURG 37267 REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL,27476.0,21980.8,7267.4,24728.4,26
CPT,37268,SURG 37268 REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL,17000.0,13600.0,4496.5,15300.0,26
CPT,37269,SURG 37269 REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL,31476.0,25180.8,8325.4,28328.4,26
CPT,37270,SURG 37270 REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL,21000.0,16800.0,5554.5,18900.0,26
CPT,37271,SURG 37271 REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL,28064.0,22451.2,7422.93,25257.6,26
CPT,37272,SURG 37272 REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL,18000.0,14400.0,4761.0,16200.0,26
CPT,37273,SURG 37273 REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL,32064.0,25651.2,8480.93,28857.6,26
CPT,37274,SURG 37274 REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL,22000.0,17600.0,5819.0,19800.0,26
CPT,37275,SURG 37275 REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL,40439.0,32351.2,10696.12,36395.1,26
CPT,37276,SURG 37276 REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL,30000.0,24000.0,7935.0,27000.0,26
CPT,37277,SURG 37277 REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL,44439.0,35551.2,11754.12,39995.1,26
CPT,37278,SURG 37278 REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL,34000.0,27200.0,8993.0,30600.0,26
CPT,37279,SURG 37279 INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY,10000.0,8000.0,2645.0,9000.0,26
CPT,37280,SURG 37280 REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL,21353.0,17082.4,5647.87,19217.7,26
CPT,37281,SURG 37281 REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL,12813.0,10250.4,3389.04,11531.7,26
CPT,37282,SURG 37282 REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL,25353.0,20282.4,6705.87,22817.7,26
CPT,37283,SURG 37283 REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL,16813.0,13450.4,4447.04,15131.7,26
CPT,37284,SURG 37284 REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL,35801.0,28640.8,9469.36,32220.9,26
CPT,37285,SURG 37285 REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL,15842.0,12673.6,4190.21,14257.8,26
CPT,37286,SURG 37286 REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL,39801.0,31840.8,10527.36,35820.9,26
CPT,37287,SURG 37287 REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL,19842.0,15873.6,5248.21,17857.8,26
CPT,37288,SURG 37288 REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL,35801.0,28640.8,9469.36,32220.9,26
CPT,37289,SURG 37289 REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL,19611.0,15688.8,5187.11,17649.9,26
CPT,37290,SURG 37290 REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL,39801.0,31840.8,10527.36,35820.9,26
CPT,37291,SURG 37291 REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL,23611.0,18888.8,6245.11,21249.9,26
CPT,37292,SURG 37292 REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL,39258.0,31406.4,10383.74,35332.2,26
CPT,37293,SURG 37293 REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL,23206.0,18564.8,6137.99,20885.4,26
CPT,37294,SURG 37294 REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL,43258.0,34606.4,11441.74,38932.2,26
CPT,37295,SURG 37295 REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL,27206.0,21764.8,7195.99,24485.4,26
CPT,37296,SURG 37296 REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL,21353.0,17082.4,5647.87,19217.7,26
CPT,37297,SURG 37297 REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL,12813.0,10250.4,3389.04,11531.7,26
CPT,37298,SURG 37298 REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL,25353.0,20282.4,6705.87,22817.7,26
CPT,37299,SURG 37299 REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL,16813.0,13450.4,4447.04,15131.7,26
CPT,37500,Outpatient Services,,,5135.42,5675.99,8
CPT,37500,Outpatient Services - CPT/HCPCS,,,2435.72,10367.69,8
CPT,37500,Therapy,,,618.15,618.15,4
CPT,37501,UNLISTED VASC ENDOSCOPY PX,,,278.44,1185.2,16
CPT,37565,LIGATION INT JUGULAR VEIN,,,723.34,6013.64,20
CPT,37600,LIGATION XTRNL CAROTID ART,,,743.98,4009.09,17
CPT,37605,LIGATION INT/COM CAROTID ART,,,722.67,4009.09,17
CPT,37606,LIG INT/COM CAROTID ART OCCL,,,744.97,4009.09,17
CPT,37607,SURG 37607 LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA,10731.0,8584.8,368.49,9657.9,36
CPT,37609,LIGATION/BX TEMPORAL ARTERY,,,203.39,3058.77,20
CPT,37615,LIGATION MAJOR ARTERY NECK,,,514.29,4009.09,17
CPT,37616,LIGATION MAJOR ARTERY CHEST,,,961.47,2317.53,15
CPT,37617,LIGATION MAJOR ARTERY ABD,,,1106.54,3340.71,17
CPT,37618,SURG 37618 LIGATION MAJOR ARTERY EXTREMITY,6124.0,4899.2,278.44,5511.6,34
CPT,37619,LIGATION OF INF VENA CAVA,,,1714.64,6911.79,17
CPT,37650,SURG 37650 LIGATION OF FEMORAL VEIN,6355.0,5084.0,451.38,6013.64,39
CPT,37660,LIGATION COMMON ILIAC VEIN,,,1106.93,4080.24,18
CPT,37700,SURG 37700 LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPTION,7303.0,5842.4,241.67,6572.7,39
CPT,37718,LIG DIV&STRPG SHORT SAPH VN,,,386.47,6013.64,20
CPT,37722,LIG DIV&STRPG LONG SAPH VEIN,,,453.71,6013.64,20
CPT,37735,LIG&DIV&COMPL STRPG SAPH VN,,,571.55,6013.64,20
CPT,37760,SURG 37760 LIGATION PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG,5628.0,4502.4,565.89,6013.64,39
CPT,37761,LIGATE LEG VEINS OPEN,,,529.27,6013.64,20
CPT,37765,SURG 37765 STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS,7931.0,6344.8,265.63,7137.9,39
CPT,37766,PHLEB VEINS - EXTREM 20+,,,325.55,6013.64,20
CPT,37780,SURG 37780 LIGATION & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SEPARATE PROC,6099.0,4879.2,233.35,6013.64,39
CPT,37785,SURG 37785 LIGATION DIVISION &/OR EXCISION VARICOSE VEIN CLUSTER 1 LEG,6655.0,5324.0,252.32,6013.64,39
CPT,37788,REVASCULARIZATION PENIS,,,1105.93,2594.25,15
CPT,37790,PENILE VENOUS OCCLUSION,,,484.0,4384.72,17
CPT,37799,ED 37799 UNLISTED PROC VASCULAR SRG,4932.0,3945.6,278.44,4438.8,36
CPT,37799,SURG 37799 CAROTID ANGIOPLASTY,6900.0,5520.0,278.44,6210.0,36
CPT,37799,SURG 37799 FIBRIN SHEATH DISRUPTION,2789.0,2231.2,278.44,2510.1,36
CPT,37799,SURG 37799 PACLITAXEL INFUSION,2215.0,1772.0,278.44,1993.5,36
CPT,37799,SURG 37799 PERQ PERIPHRL THROM,2871.0,2296.8,278.44,2583.9,36
CPT,37799,SURG 37799 TRANSCATH MITRAL VALVE-IN-VALVE REPL,25756.0,20604.8,278.44,23180.4,36
CPT,37799,SURG 37799 UNLISTED PROCEDURE VASCULAR SURGERY,4932.0,3945.6,278.44,4438.8,36
CPT,38100,REMOVAL OF SPLEEN TOTAL,,,975.96,4009.09,15
CPT,38101,REMOVAL OF SPLEEN PARTIAL,,,983.95,4009.09,15
CPT,38102,REMOVAL OF SPLEEN TOTAL,,,219.79,4009.09,15
CPT,38115,REPAIR OF RUPTURED SPLEEN,,,1089.21,4009.09,15
CPT,38120,LAPAROSCOPY SPLENECTOMY,,,1059.87,12946.98,17
CPT,38129,UNLISTED LAPS PX SPLEEN,,,2557.45,7257.21,13
CPT,38200,INJECTION FOR SPLEEN X-RAY,,,1.0,127.16,15
CPT,38204,BL DONOR SEARCH MANAGEMENT,,,1.0,99.53,15
CPT,38205,HARVEST ALLOGENEIC STEM CELL,,,74.31,546.0,15
CPT,38206,HARVEST AUTO STEM CELLS,,,81.22,1929.8,17
CPT,38207,CRYOPRESERVE STEM CELLS,,,44.27,546.0,17
CPT,38208,THAW PRESERVED STEM CELLS,,,27.96,546.0,17
CPT,38209,WASH HARVEST STEM CELLS,,,11.65,546.0,17
CPT,38210,T-CELL DEPLETION OF HARVEST,,,77.89,546.0,17
CPT,38211,TUMOR CELL DEPLETE OF HARVST,,,70.57,546.0,17
CPT,38212,RBC DEPLETION OF HARVEST,,,46.6,546.0,17
CPT,38213,PLATELET DEPLETE OF HARVEST,,,11.65,546.0,17
CPT,38214,VOLUME DEPLETE OF HARVEST,,,39.94,546.0,17
CPT,38215,HARVEST STEM CELL CONCENTRTE,,,46.6,546.0,17
CPT,38220,SURG 38220 DIAGNOSTIC BONE MARROW ASPIRATIONS,2021.0,1616.8,66.24,3058.77,39
CPT,38221,SURG 38221 DIAGNOSTIC BONE MARROW BIOPSIES,2960.0,2368.0,69.24,3058.77,78
CPT,38222,SURG 38222 DX BONE MARROW BX AND ASPIRATION,3281.0,2624.8,73.9,5360.84,39
CPT,38225,CAR-T HRV BLD-DRV T LYMPHCYT,,,85.32,94.3,8
CPT,38226,CAR-T PREP T LYMPHCYT F/TRNS,,,34.62,38.27,8
CPT,38227,CAR-T RECEIPT&PREPJ ADMN,,,34.93,38.61,8
CPT,38228,CAR-T ADMN AUTOLOGOUS,,,315.11,348.27,8
CPT,38230,BONE MARROW HARVEST ALLOGEN,,,201.06,1929.8,17
CPT,38232,BONE MARROW HARVEST AUTOLOG,,,186.74,5820.66,17
CPT,38240,TRANSPLT ALLO HCT/DONOR,,,238.34,68731.22,17
CPT,38241,TRANSPLT AUTOL HCT/DONOR,,,176.09,1929.8,17
CPT,38242,TRANSPLT ALLO LYMPHOCYTES,,,124.5,1929.8,17
CPT,38243,TRANSPLJ HEMATOPOIETIC BOOST,,,122.17,1929.8,17
CPT,38300,DRAINAGE LYMPH NODE LESION,,,211.71,3573.89,17
CPT,38305,DRAINAGE LYMPH NODE LESION,,,499.31,3573.89,17
CPT,38308,INCISION OF LYMPH CHANNELS,,,472.68,4794.22,17
CPT,38380,THORACIC DUCT PROCEDURE,,,192.41,580.87,15
CPT,38381,THORACIC DUCT PROCEDURE,,,684.41,3573.89,15
CPT,38382,THORACIC DUCT PROCEDURE,,,581.0,4009.09,15
CPT,38500,SURG 38500 SURG BX LYMPH NODES(S) SUPERFICIAL OPEN,6351.0,5080.8,256.31,7191.33,39
CPT,38505,SURG 38505 BIOPSY EXCISION LYMPH NODE NEEDLE SUPERFICIAL,2845.0,2276.0,84.22,3058.77,39
CPT,38510,BIOPSY/REMOVAL LYMPH NODES,,,418.76,7191.33,20
CPT,38520,BIOPSY/REMOVAL LYMPH NODES,,,469.69,7191.33,20
CPT,38525,BIOPSY/REMOVAL LYMPH NODES,,,444.06,7191.33,20
CPT,38530,BIOPSY/REMOVAL LYMPH NODES,,,568.22,7191.33,20
CPT,38531,OPEN BX/EXC INGUINOFEM NODES,,,450.05,7191.33,20
CPT,38542,EXPLORE DEEP NODE(S) NECK,,,526.28,10885.82,20
CPT,38550,REMOVAL NECK/ARMPIT LESION,,,526.94,4794.22,17
CPT,38555,REMOVAL NECK/ARMPIT LESION,,,1028.92,8201.93,17
CPT,38562,REMOVAL PELVIC LYMPH NODES,,,621.35,10788.54,17
CPT,38564,REMOVAL ABDOMEN LYMPH NODES,,,606.78,4009.09,15
CPT,38570,LAPAROSCOPY LYMPH NODE BIOP,,,516.95,7257.21,17
CPT,38571,LAPAROSCOPY LYMPHADENECTOMY,,,658.09,12946.98,17
CPT,38572,LAPAROSCOPY LYMPHADENECTOMY,,,896.1,12946.98,17
CPT,38573,LAPS PELVIC LYMPHADEC,,,1175.71,12946.98,17
CPT,38589,UNLISTED LAPS PX LYMPHTC SYS,,,2557.45,10885.82,16
CPT,38700,REMOVAL OF LYMPH NODES NECK,,,807.89,12302.9,20
CPT,38720,REMOVAL OF LYMPH NODES NECK,,,1344.82,12302.9,20
CPT,38724,REMOVAL OF LYMPH NODES NECK,,,192.41,1451.34,18
CPT,38740,REMOVE ARMPIT LYMPH NODES,,,705.7,10885.82,20
CPT,38745,REMOVE ARMPIT LYMPH NODES,,,886.11,10885.82,20
CPT,38746,REMOVE THORACIC LYMPH NODES,,,174.6,3573.89,15
CPT,38747,REMOVE ABDOMINAL LYMPH NODES,,,221.65,4009.09,15
CPT,38760,REMOVE GROIN LYMPH NODES,,,837.85,12302.9,20
CPT,38765,REMOVE GROIN LYMPH NODES,,,192.41,1306.53,18
CPT,38770,REMOVE PELVIS LYMPH NODES,,,706.06,6013.64,18
CPT,38780,REMOVE ABDOMEN LYMPH NODES,,,913.7,4009.09,15
CPT,38790,SURG 38790 LYMPHANGIOGRAPHY INJ,1977.0,1581.6,1.0,1779.3,37
CPT,38792,SURG 38792 INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE,1541.0,1232.8,31.62,1386.9,39
CPT,38794,ACCESS THORACIC LYMPH DUCT,,,1.0,278.28,15
CPT,38900,IO MAP OF SENT LYMPH NODE,,,1.0,136.15,18
CPT,38999,SURG 38999 SCLEROSIS LYMPHOCELE,3557.0,2845.6,192.41,3201.3,36
CPT,38999,SURG 38999 SURG SPLEEN BIOPSY PERC NDLE,3557.0,2845.6,192.41,3201.3,36
CPT,39000,EXPLORATION OF CHEST,,,108.27,504.31,15
CPT,39010,EXPLORATION OF CHEST,,,665.58,3573.89,15
CPT,39200,RESECT MEDIASTINAL CYST,,,726.0,1784.84,15
CPT,39220,RESECT MEDIASTINAL TUMOR,,,959.7,3573.89,15
CPT,39401,MEDIASTINOSCPY W/MEDSTNL BX,,,303.25,7257.21,17
CPT,39402,MEDIASTINOSCPY W/LMPH NOD BX,,,395.79,7257.21,17
CPT,39499,UNLISTED PX MEDIASTINUM,,,150.11,425.97,3
CPT,39501,REPAIR DIAPHRAGM LACERATION,,,724.8,12946.98,15
CPT,39503,REPAIR OF DIAPHRAGM HERNIA,,,4562.52,12946.98,15
CPT,39540,REPAIR OF DIAPHRAGM HERNIA,,,729.65,12946.98,15
CPT,39541,REPAIR OF DIAPHRAGM HERNIA,,,791.72,12946.98,15
CPT,39545,REVISION OF DIAPHRAGM,,,757.85,12946.98,15
CPT,39560,RESECT DIAPHRAGM SIMPLE,,,688.88,12946.98,15
CPT,39561,RESECT DIAPHRAGM COMPLEX,,,1071.33,12946.98,15
CPT,39599,UNLISTED PX DIAPHRAGM,,,4562.52,12946.98,3
CPT,40490,BIOPSY OF LIP,,,68.57,307.23,17
CPT,40500,PARTIAL EXCISION OF LIP,,,373.82,4049.48,17
CPT,40510,PARTIAL EXCISION OF LIP,,,351.85,4049.48,17
CPT,40520,PARTIAL EXCISION OF LIP,,,359.51,4049.48,17
CPT,40525,RECONSTRUCT LIP WITH FLAP,,,555.24,4049.48,17
CPT,40527,RECONSTRUCT LIP WITH FLAP,,,632.46,7365.62,17
CPT,40530,PARTIAL REMOVAL OF LIP,,,408.77,4049.48,17
CPT,40650,ED 40650 RPR LIP FULL THICK VERMILION ONLY,1644.0,1315.2,243.87,1479.6,36
CPT,40652,ED 40652 RPR LIP FULL THK UP TO HLF,2103.0,1682.4,243.87,1892.7,36
CPT,40654,ED 40654 REPAIR LIP FULL THICKNESS,2364.0,1891.2,430.07,2127.6,36
CPT,40700,REPAIR CLEFT LIP/NASAL,,,1008.28,7365.62,17
CPT,40701,REPAIR CLEFT LIP/NASAL,,,1188.7,7365.62,17
CPT,40702,REPAIR CLEFT LIP/NASAL,,,999.29,7365.62,17
CPT,40720,REPAIR CLEFT LIP/NASAL,,,1025.26,6074.23,20
CPT,40761,REPAIR CLEFT LIP/NASAL,,,1076.18,7365.62,17
CPT,40799,UNLISTED PROCEDURE LIPS,,,108.27,307.23,13
CPT,40800,ED 40800 DRN MOUTH LESN SMPL,1053.0,842.4,119.17,947.7,36
CPT,40801,DRAINAGE OF MOUTH LESION,,,199.06,692.02,17
CPT,40804,ED 40804 EXC FB VEST MOUTH SMP,624.0,499.2,114.51,1140.14,36
CPT,40805,REMOVAL FOREIGN BODY MOUTH,,,197.73,692.02,17
CPT,40806,INCISION OF LIP FOLD,,,29.63,692.02,17
CPT,40808,BIOPSY OF MOUTH LESION,,,89.54,692.02,17
CPT,40810,ED 40810 EXC LES VESTIBULE MOUTH W/O RPR,3909.0,3127.2,123.16,4049.48,36
CPT,40812,EXCISE/REPAIR MOUTH LESION,,,182.42,1918.13,17
CPT,40814,EXCISE/REPAIR MOUTH LESION,,,283.61,4049.48,17
CPT,40816,EXCISION OF MOUTH LESION,,,305.25,4049.48,17
CPT,40818,EXCISE ORAL MUCOSA FOR GRAFT,,,243.87,692.02,17
CPT,40819,EXCISE LIP OR CHEEK FOLD,,,200.06,1918.13,17
CPT,40820,ED 40820 DESTRUCTION OF LESION OF MOUTH VESTIBULE,3909.0,3127.2,166.77,4049.48,36
CPT,40830,ED 40830 CLSR MOUTH LACRN < 2.5CM,851.0,680.8,108.27,765.9,36
CPT,40831,ED 40831 CLSR MOUTH LACRN > 2.5CM,1629.0,1303.2,200.72,1466.1,36
CPT,40840,RECONSTRUCTION OF MOUTH,,,635.13,7365.62,17
CPT,40842,RECONSTRUCTION OF MOUTH,,,679.73,7365.62,17
CPT,40843,RECONSTRUCTION OF MOUTH,,,870.8,7365.62,17
CPT,40844,RECONSTRUCTION OF MOUTH,,,1178.38,7365.62,17
CPT,40845,RECONSTRUCTION OF MOUTH,,,1206.01,7365.62,17
CPT,40899,UNLISTED PX VESTIBULE MOUTH,,,108.27,307.23,13
CPT,41000,DRAINAGE OF MOUTH LESION,,,104.52,692.02,17
CPT,41005,DRAINAGE OF MOUTH LESION,,,108.27,307.23,17
CPT,41006,DRAINAGE OF MOUTH LESION,,,231.35,1918.13,17
CPT,41007,DRAINAGE OF MOUTH LESION,,,221.69,1918.13,17
CPT,41008,DRAINAGE OF MOUTH LESION,,,258.64,4049.48,17
CPT,41009,DRAINAGE OF MOUTH LESION,,,243.87,692.02,17
CPT,41010,TX RM 41010 FRENOTOMY INCISION OF LINGUAL FRENUM,1478.0,1182.4,110.85,1918.13,36
CPT,41015,DRAINAGE OF MOUTH LESION,,,243.87,692.02,17
CPT,41016,DRAINAGE OF MOUTH LESION,,,344.86,7365.62,17
CPT,41017,DRAINAGE OF MOUTH LESION,,,342.86,4049.48,17
CPT,41018,DRAINAGE OF MOUTH LESION,,,399.78,1918.13,17
CPT,41019,PLACE NEEDLES H&N FOR RT,,,484.67,7365.62,17
CPT,41100,BIOPSY OF TONGUE,,,107.85,692.02,17
CPT,41105,BIOPSY OF TONGUE,,,110.85,4049.48,17
CPT,41108,BIOPSY OF FLOOR OF MOUTH,,,91.87,2039.17,17
CPT,41110,EXCISION OF TONGUE LESION,,,130.82,4049.48,17
CPT,41112,EXCISION OF TONGUE LESION,,,244.0,4049.48,17
CPT,41113,EXCISION OF TONGUE LESION,,,264.64,4049.48,17
CPT,41114,EXCISION OF TONGUE LESION,,,623.47,4049.48,17
CPT,41115,EXCISION OF TONGUE FOLD,,,147.13,1918.13,17
CPT,41116,EXCISION OF MOUTH LESION,,,217.7,4049.48,17
CPT,41120,PARTIAL REMOVAL OF TONGUE,,,1055.21,7365.62,17
CPT,41130,PARTIAL REMOVAL OF TONGUE,,,675.95,1918.13,15
CPT,41135,TONGUE AND NECK SURGERY,,,1427.04,4049.48,15
CPT,41140,REMOVAL OF TONGUE,,,1427.04,4049.48,15
CPT,41145,TONGUE REMOVAL NECK SURGERY,,,1427.04,4049.48,15
CPT,41150,TONGUE MOUTH JAW SURGERY,,,1427.04,4049.48,15
CPT,41153,TONGUE MOUTH NECK SURGERY,,,1427.04,4049.48,15
CPT,41155,TONGUE JAW & NECK SURGERY,,,1427.04,4049.48,15
CPT,41250,ED 41250 RPR LAC MOUTH <2.5CM ANT TONGUE,611.0,488.8,154.45,549.9,36
CPT,41251,ED 41251 RPR LAC MTH TONG PSTR1 3,985.0,788.0,108.27,886.5,36
CPT,41252,ED 41252 RPR LAC MOUTH FLOOR/TONGUE > 2.6CM/CMPLX,1498.0,1198.4,108.27,1348.2,36
CPT,41500,Outpatient Services - CPT/HCPCS,,,243.87,692.02,3
CPT,41510,TONGUE TO LIP SURGERY,,,455.04,4049.48,17
CPT,41512,TONGUE SUSPENSION,,,666.42,7365.62,15
CPT,41520,RECONSTRUCTION TONGUE FOLD,,,253.32,4049.48,17
CPT,41530,TONGUE BASE VOL REDUCTION,,,377.48,4049.48,17
CPT,41599,UNLISTED PX TONGUE FLR MOUTH,,,108.27,307.23,13
CPT,41800,ED 41800 I&D ABSCESS DENTOALVEOLAR,634.0,507.2,56.62,570.6,36
CPT,41805,REMOVAL FOREIGN BODY GUM,,,195.06,1918.13,17
CPT,41806,REMOVAL FOREIGN BODY JAWBONE,,,275.95,1918.13,17
CPT,41820,EXCISION GUM EACH QUADRANT,,,1427.04,4049.48,13
CPT,41821,EXCISION OF GUM FLAP,,,675.95,1918.13,13
CPT,41822,EXCISION OF GUM LESION,,,202.39,1918.13,17
CPT,41823,EXCISION OF GUM LESION,,,370.16,7365.62,17
CPT,41825,EXCISION OF GUM LESION,,,122.17,4049.48,17
CPT,41826,EXCISION OF GUM LESION,,,195.06,4049.48,17
CPT,41827,EXCISION OF GUM LESION,,,288.94,7365.62,17
CPT,41828,EXCISION OF GUM LESION,,,222.36,1918.13,17
CPT,41830,REMOVAL OF GUM TISSUE,,,314.57,4049.48,17
CPT,41850,TREATMENT OF GUM LESION,,,675.95,1918.13,13
CPT,41870,PERIODONTAL MUCOSAL GRAFTING,,,675.95,1918.13,13
CPT,41872,GINGIVOPLASTY EACH QUADRANT,,,306.91,4049.48,17
CPT,41874,ALVEOLOPLASTY EACH QUADRANT,,,244.33,4049.48,17
CPT,41899,ED 41899 UNLST PRC TTH RMPL OR STLZ,6799.0,5439.2,108.27,6119.1,36
CPT,42000,DRAINAGE MOUTH ROOF LESION,,,108.27,307.23,17
CPT,42100,ED 42100 BX PALATE UVULA,2139.0,1711.2,110.85,1925.1,36
CPT,42104,EXCISION LESION MOUTH ROOF,,,135.81,4049.48,17
CPT,42106,EXCISION LESION MOUTH ROOF,,,160.78,4049.48,17
CPT,42107,EXCISION LESION MOUTH ROOF,,,324.22,7365.62,17
CPT,42120,REMOVE PALATE/LESION,,,1000.96,7365.62,17
CPT,42140,EXCISION OF UVULA,,,164.77,4049.48,17
CPT,42145,REPAIR PALATE PHARYNX/UVULA,,,692.05,7365.62,17
CPT,42160,TREATMENT MOUTH ROOF LESION,,,141.47,4049.48,17
CPT,42180,REPAIR LAC PALATE<2 CM,,,188.74,692.02,17
CPT,42182,REPAIR PALATE,,,259.64,7365.62,17
CPT,42200,RECONSTRUCT CLEFT PALATE,,,926.72,7365.62,17
CPT,42205,RECONSTRUCT CLEFT PALATE,,,963.67,4049.48,17
CPT,42210,RECONSTRUCT CLEFT PALATE,,,1075.52,7365.62,17
CPT,42215,RECONSTRUCT CLEFT PALATE,,,704.03,7365.62,17
CPT,42220,RECONSTRUCT CLEFT PALATE,,,580.53,7365.62,17
CPT,42225,RECONSTRUCT CLEFT PALATE,,,981.32,7365.62,17
CPT,42226,LENGTHENING OF PALATE,,,907.75,7365.62,17
CPT,42227,LENGTHENING OF PALATE,,,845.84,7365.62,17
CPT,42235,REPAIR PALATE,,,744.64,7365.62,17
CPT,42260,REPAIR NOSE TO LIP FISTULA,,,674.4,7365.62,17
CPT,42280,PREPARATION PALATE MOLD,,,108.52,692.02,17
CPT,42281,INSERTION PALATE PROSTHESIS,,,161.11,7365.62,17
CPT,42299,UNLISTED PX PALATE UVULA,,,108.27,307.23,13
CPT,42300,DRAINAGE OF SALIVARY GLAND,,,157.78,1918.13,17
CPT,42305,DRAINAGE OF SALIVARY GLAND,,,437.06,4049.48,17
CPT,42310,DRAINAGE OF SALIVARY GLAND,,,135.48,692.02,17
CPT,42320,DRAINAGE OF SALIVARY GLAND,,,180.75,692.02,17
CPT,42330,REMOVAL OF SALIVARY STONE,,,166.77,4049.48,17
CPT,42335,REMOVAL OF SALIVARY STONE,,,265.97,4049.48,17
CPT,42340,REMOVAL OF SALIVARY STONE,,,348.52,6074.23,20
CPT,42400,SURG 42400 BIOP SALIVARY GLAND NDLE,2093.0,1674.4,52.59,1883.7,36
CPT,42405,BIOPSY OF SALIVARY GLAND,,,228.35,1918.13,17
CPT,42408,EXCISION OF SALIVARY CYST,,,349.19,4049.48,17
CPT,42409,DRAINAGE OF SALIVARY CYST,,,235.01,4049.48,17
CPT,42410,EXCISE PAROTID GLAND/LESION,,,634.13,11048.44,20
CPT,42415,EXCISE PAROTID GLAND/LESION,,,1061.87,11048.44,20
CPT,42420,EXCISE PAROTID GLAND/LESION,,,1187.37,11048.44,20
CPT,42425,EXCISE PAROTID GLAND/LESION,,,842.51,11048.44,20
CPT,42426,EXCISE PAROTID GLAND/LESION,,,1183.83,6074.23,18
CPT,42440,EXCISE SUBMAXILLARY GLAND,,,419.76,11048.44,20
CPT,42450,EXCISE SUBLINGUAL GLAND,,,367.83,7365.62,17
CPT,42500,REPAIR SALIVARY DUCT,,,348.52,7365.62,17
CPT,42505,REPAIR SALIVARY DUCT,,,462.7,7365.62,17
CPT,42507,PAROTID DUCT DIVERSION,,,498.65,7365.62,17
CPT,42509,PAROTID DUCT DIVERSION,,,820.87,7365.62,17
CPT,42510,PAROTID DUCT DIVERSION,,,611.49,4049.48,17
CPT,42550,SURG 42550 INJ SIALOGRAPHY,730.0,584.0,1.0,657.0,34
CPT,42600,CLOSURE OF SALIVARY FISTULA,,,360.17,4049.48,17
CPT,42650,DILATION OF SALIVARY DUCT,,,59.25,1918.13,17
CPT,42660,DILATION OF SALIVARY DUCT,,,86.55,692.02,17
CPT,42665,LIGATION OF SALIVARY DUCT,,,220.36,4049.48,17
CPT,42699,UNLISTED PX SALIVRY GLND/DUX,,,108.27,307.23,13
CPT,42700,ED 42700 I&D TONSIL ABSCESS,867.0,693.6,108.27,780.3,36
CPT,42700,TX RM 42700 I&D ABSCESS PERITONSILLAR,867.0,693.6,108.27,780.3,36
CPT,42720,I&D ABSC PHRNGL NTRAORL APPR,,,386.14,4049.48,17
CPT,42725,I&D ABSC PHRNGL XTRNL APPR,,,801.56,7365.62,17
CPT,42800,BIOPSY OF THROAT,,,118.17,1918.13,17
CPT,42804,BIOPSY OF UPPER NOSE/THROAT,,,124.5,4049.48,17
CPT,42806,BIOPSY OF UPPER NOSE/THROAT,,,143.14,4049.48,17
CPT,42808,EXCISE PHARYNX LESION,,,167.44,4049.48,17
CPT,42809,ED 42809 REMV FB PHARYNX,641.0,512.8,127.82,576.9,36
CPT,42810,EXCISION OF NECK CYST,,,286.27,6074.23,20
CPT,42815,EXCISION OF NECK CYST,,,542.25,11048.44,20
CPT,42820,REMOVE TONSILS AND ADENOIDS,,,294.59,7365.62,17
CPT,42821,REMOVE TONSILS AND ADENOIDS,,,307.58,4049.48,17
CPT,42825,REMOVAL OF TONSILS,,,271.96,7365.62,17
CPT,42826,REMOVAL OF TONSILS,,,258.98,4049.48,17
CPT,42830,REMOVAL OF ADENOIDS,,,216.04,4049.48,17
CPT,42831,REMOVAL OF ADENOIDS,,,234.68,4049.48,17
CPT,42835,REMOVAL OF ADENOIDS,,,201.72,4049.48,17
CPT,42836,REMOVAL OF ADENOIDS,,,248.66,4049.48,17
CPT,42842,EXTENSIVE SURGERY OF THROAT,,,1010.28,7365.62,17
CPT,42844,EXTENSIVE SURGERY OF THROAT,,,1373.78,7365.62,17
CPT,42845,EXTENSIVE SURGERY OF THROAT,,,1427.04,4049.48,15
CPT,42860,EXCISION OF TONSIL TAGS,,,197.39,4049.48,17
CPT,42870,EXCISION OF LINGUAL TONSIL,,,590.19,7365.62,17
CPT,42890,LIMITED PHARYNGECTOMY,,,1412.72,7365.62,17
CPT,42892,REVISION OF PHARYNGEAL WALLS,,,1855.45,7365.62,17
CPT,42894,REVISION OF PHARYNGEAL WALLS,,,1427.04,4049.48,15
CPT,42900,REPAIR THROAT WOUND,,,332.88,1918.13,17
CPT,42950,RECONSTRUCTION OF THROAT,,,797.57,7365.62,17
CPT,42953,REPAIR THROAT ESOPHAGUS,,,675.95,1918.13,15
CPT,42955,SURGICAL OPENING OF THROAT,,,675.95,1918.13,17
CPT,42960,ED 42960 CONTROL THROAT BLEEDING SMPL,432.0,345.6,144.72,692.02,36
CPT,42961,CONTROL THROAT BLEEDING,,,243.87,692.02,15
CPT,42962,CONTROL THROAT BLEEDING,,,521.28,4049.48,17
CPT,42970,CONTROL NOSE/THROAT BLEEDING,,,108.27,415.1,17
CPT,42971,CONTROL NOSE/THROAT BLEEDING,,,404.18,949.84,15
CPT,42972,CONTROL NOSE/THROAT BLEEDING,,,510.63,4049.48,17
CPT,42975,DISE EVAL SLP DO BRTH FLX DX,,,96.87,2134.74,17
CPT,42999,"ED 42999 UNLISTED PROC PHARYNX, ADENOIDS OR TONSILS",923.0,738.4,108.27,830.7,36
CPT,43020,INCISION OF ESOPHAGUS,,,569.55,1918.13,17
CPT,43030,CRICOPHARYNGEAL MYOTOMY,,,527.61,7365.62,17
CPT,43045,ESOPHAGOTOMY THRC RMVL FB,,,1095.42,3573.89,15
CPT,43100,EXCISION OF ESOPHAGUS LESION,,,401.78,1140.14,15
CPT,43101,EXCISION OF ESOPHAGUS LESION,,,401.78,1140.14,15
CPT,43107,REMOVAL OF ESOPHAGUS,,,401.78,2934.96,15
CPT,43108,REMOVAL OF ESOPHAGUS,,,401.78,4352.34,15
CPT,43112,ESPHG TOT W/THRCM,,,401.78,3400.65,15
CPT,43113,REMOVAL OF ESOPHAGUS,,,401.78,4259.47,15
CPT,43116,PARTIAL REMOVAL OF ESOPHAGUS,,,401.78,4864.97,15
CPT,43117,PARTIAL REMOVAL OF ESOPHAGUS,,,401.78,3206.58,15
CPT,43118,PARTIAL REMOVAL OF ESOPHAGUS,,,401.78,3552.44,15
CPT,43121,PARTIAL REMOVAL OF ESOPHAGUS,,,401.78,2809.13,15
CPT,43122,PARTIAL REMOVAL OF ESOPHAGUS,,,401.78,2544.16,15
CPT,43123,PARTIAL REMOVAL OF ESOPHAGUS,,,401.78,4414.26,15
CPT,43124,REMOVAL OF ESOPHAGUS,,,401.78,3737.85,15
CPT,43130,REMOVAL OF ESOPHAGUS POUCH,,,795.9,7365.62,17
CPT,43135,REMOVAL OF ESOPHAGUS POUCH,,,401.78,1448.01,15
CPT,43180,ESOPHAGOSCOPY RIGID TRNSO,,,547.58,7365.62,17
CPT,43191,ESOPHAGOSCOPY RIGID TRNSO DX,,,155.12,2393.29,17
CPT,43192,ESOPHAGOSCP RIG TRNSO INJECT,,,169.43,2393.29,17
CPT,43193,ESOPHAGOSCP RIG TRNSO BIOPSY,,,168.77,2393.29,17
CPT,43194,ESOPHAGOSCP RIG TRNSO REM FB,,,189.07,2393.29,17
CPT,43195,ESOPHAGOSCOPY RIGID BALLOON,,,184.41,4816.89,17
CPT,43196,ESOPHAGOSCP GUIDE WIRE DILAT,,,195.06,2393.29,17
CPT,43197,ESOPHAGOSCOPY FLEX DX BRUSH,,,81.22,1140.14,17
CPT,43198,ESOPHAGOSC FLEX TRNSN BIOPSY,,,96.87,1140.14,17
CPT,43200,ESOPHAGOSCOPY FLEXIBLE BRUSH,,,87.21,1140.14,17
CPT,43201,ESOPH SCOPE W/SUBMUCOUS INJ,,,102.53,2393.29,17
CPT,43202,ESOPHAGOSCOPY FLEX BIOPSY,,,101.86,2393.29,17
CPT,43204,ESOPH SCOPE W/SCLEROSIS INJ,,,132.82,2393.29,17
CPT,43205,ESOPHAGUS ENDOSCOPY/LIGATION,,,138.81,2393.29,17
CPT,43206,ESOPH OPTICAL ENDOMICROSCOPY,,,130.49,2393.29,17
CPT,43210,EGD ESOPHAGOGASTRC FNDOPLSTY,,,423.42,12946.98,17
CPT,43211,ESOPHAGOSCOP MUCOSAL RESECT,,,230.35,2393.29,17
CPT,43212,ESOPHAGOSCOP STENT PLACEMENT,,,185.74,7168.24,17
CPT,43213,ESOPHAGOSCOPY RETRO BALLOON,,,255.65,2393.29,17
CPT,43214,ESOPHAGOSC DILATE BALLOON 30,,,191.4,2393.29,17
CPT,43215,ED 43215 ESOPHAGOSCOPY WREMV FB,2950.0,2360.0,139.47,2655.0,36
CPT,43216,ESOPHAGOSCOPY LESION REMOVAL,,,131.49,2393.29,17
CPT,43217,ESOPHAGOSCOPY SNARE LES REMV,,,157.45,2393.29,17
CPT,43220,ESOPHAGOSCOPY BALLOON <30MM,,,116.51,2393.29,17
CPT,43226,ESOPH ENDOSCOPY DILATION,,,128.82,2393.29,17
CPT,43227,ESOPHAGOSCOPY CONTROL BLEED,,,162.44,2393.29,17
CPT,43229,ESOPHAGOSCOPY LESION ABLATE,,,193.4,4816.89,17
CPT,43231,ESOPHAGOSCOP ULTRASOUND EXAM,,,154.45,2393.29,17
CPT,43232,ESOPHAGOSCOPY W/US NEEDLE BX,,,195.4,2393.29,17
CPT,43233,EGD BALLOON DIL ESOPH30 MM/>,,,225.36,2393.29,17
CPT,43235,ED 43235 UPPER GI DIAG,3174.0,2539.2,120.83,2856.6,36
CPT,43236,UPPR GI SCOPE W/SUBMUC INJ,,,136.48,1140.14,17
CPT,43237,ENDOSCOPIC US EXAM ESOPH,,,192.07,2393.29,17
CPT,43238,EGD US FINE NEEDLE BX/ASPIR,,,227.69,2393.29,17
CPT,43239,ED 43239 UPPER GI BX,3175.0,2540.0,136.48,2857.5,36
CPT,43240,EGD W/TRANSMURAL DRAIN CYST,,,384.14,7168.24,17
CPT,43241,EGD TUBE/CATH INSERTION,,,140.14,2393.29,17
CPT,43242,EGD US FINE NEEDLE BX/ASPIR,,,257.65,2393.29,17
CPT,43243,EGD INJECTION VARICES,,,233.35,2393.29,17
CPT,43244,EGD VARICES LIGATION,,,240.34,2393.29,17
CPT,43245,EGD DILATE STRICTURE,,,172.76,2393.29,17
CPT,43246,EGD PLACE GASTROSTOMY TUBE,,,197.06,2393.29,17
CPT,43247,ED 43247 UPPER GI WREMV FB,3539.0,2831.2,173.76,3185.1,36
CPT,43248,EGD GUIDE WIRE INSERTION,,,163.44,1140.14,17
CPT,43249,ESOPH EGD DILATION <30 MM,,,151.13,2393.29,17
CPT,43250,EGD CAUTERY TUMOR POLYP,,,167.44,2393.29,17
CPT,43251,EGD REMOVE LESION SNARE,,,192.4,2393.29,17
CPT,43252,EGD OPTICAL ENDOMICROSCOPY,,,165.44,2393.29,17
CPT,43253,EGD US TRANSMURAL INJXN/MARK,,,257.31,2393.29,17
CPT,43254,EGD ENDO MUCOSAL RESECTION,,,264.64,2393.29,17
CPT,43255,EGD CONTROL BLEEDING ANY,,,196.4,2393.29,17
CPT,43257,EGD W/THRML TXMNT GERD,,,230.02,4816.89,17
CPT,43259,EGD US EXAM DUODENUM/JEJUNUM,,,221.36,2393.29,17
CPT,43260,ERCP W/SPECIMEN COLLECTION,,,316.23,4816.89,17
CPT,43261,ENDO CHOLANGIOPANCREATOGRAPH,,,331.88,4816.89,17
CPT,43262,ENDO CHOLANGIOPANCREATOGRAPH,,,349.52,4816.89,17
CPT,43263,ERCP SPHINCTER PRESSURE MEAS,,,350.18,2393.29,17
CPT,43264,ERCP REMOVE DUCT CALCULI,,,356.51,4816.89,17
CPT,43265,ERCP LITHOTRIPSY CALCULI,,,424.08,7168.24,17
CPT,43266,EGD ENDOSCOPIC STENT PLACE,,,213.71,7168.24,17
CPT,43270,EGD LESION ABLATION,,,220.03,2393.29,17
CPT,43273,ENDOSCOPIC PANCREATOSCOPY,,,1.0,116.51,15
CPT,43274,ERCP DUCT STENT PLACEMENT,,,453.04,7168.24,17
CPT,43275,ERCP REMOVE FORGN BODY DUCT,,,368.49,2393.29,17
CPT,43276,ERCP STENT EXCHANGE W/DILATE,,,471.68,7168.24,17
CPT,43277,ERCP EA DUCT/AMPULLA DILATE,,,370.49,4816.89,17
CPT,43278,ERCP LESION ABLATE W/DILATE,,,424.08,4816.89,17
CPT,43279,LAP MYOTOMY HELLER,,,1080.42,4512.36,15
CPT,43280,LAPAROSCOPY FUNDOPLASTY,,,1075.85,12946.98,17
CPT,43281,LAP PARAESOPHAG HERN REPAIR,,,1529.23,12946.98,17
CPT,43282,LAP PARAESOPH HER RPR W/MESH,,,1722.3,12946.98,17
CPT,43283,LAP ESOPH LENGTHENING,,,129.83,12946.98,15
CPT,43284,LAPS ESOPHGL SPHNCTR AGMNTJ,,,655.1,12946.98,15
CPT,43285,RMVL ESOPHGL SPHNCTR DEV,,,673.41,7257.21,17
CPT,43286,ESPHG TOT W/LAPS MOBLJ,,,401.78,3130.69,15
CPT,43287,ESPHG DSTL 2/3 W/LAPS MOBLJ,,,401.78,3498.52,15
CPT,43288,ESPHG THRSC MOBLJ,,,401.78,3689.59,15
CPT,43289,UNLISTED LAPS PX ESOPH,,,2557.45,10885.82,16
CPT,43290,EGD FLX TRNSORL DPLMNT BALO,,,179.09,2393.29,15
CPT,43291,EGD FLX TRNSORL RMVL BALO,,,157.78,1140.14,15
CPT,43300,REPAIR OF ESOPHAGUS,,,401.78,1140.14,15
CPT,43305,REPAIR ESOPHAGUS AND FISTULA,,,401.78,1140.14,15
CPT,43310,REPAIR OF ESOPHAGUS,,,1230.9,4512.36,15
CPT,43312,REPAIR ESOPHAGUS AND FISTULA,,,1306.95,4512.36,15
CPT,43313,ESOPHAGOPLASTY CONGENITAL,,,1590.16,4512.36,15
CPT,43314,TRACHEO-ESOPHAGOPLASTY CONG,,,1590.16,4512.36,15
CPT,43320,FUSE ESOPHAGUS & STOMACH,,,401.78,1395.74,15
CPT,43325,REVISE ESOPHAGUS & STOMACH,,,1150.7,4512.36,15
CPT,43327,ESOPH FUNDOPLASTY LAP,,,710.23,4512.36,15
CPT,43328,ESOPH FUNDOPLASTY THOR,,,931.72,4512.36,15
CPT,43330,ESOPHAGOMYOTOMY ABDOMINAL,,,1132.01,4512.36,15
CPT,43331,ESOPHAGOMYOTOMY THORACIC,,,1120.03,4512.36,15
CPT,43332,TRANSAB ESOPH HIAT HERN RPR,,,967.39,12946.98,15
CPT,43333,TRANSAB ESOPH HIAT HERN RPR,,,1063.56,12946.98,15
CPT,43334,TRANSTHOR DIAPHRAG HERN RPR,,,1029.59,12946.98,15
CPT,43335,TRANSTHOR DIAPHRAG HERN RPR,,,1103.13,12946.98,15
CPT,43336,THORABD DIAPHR HERN REPAIR,,,1199.99,12946.98,15
CPT,43337,THORABD DIAPHR HERN REPAIR,,,1277.6,12946.98,15
CPT,43338,ESOPH LENGTHENING,,,93.3,4512.36,15
CPT,43340,FUSE ESOPHAGUS & INTESTINE,,,401.78,1378.77,15
CPT,43341,FUSE ESOPHAGUS & INTESTINE,,,401.78,1384.09,15
CPT,43351,SURGICAL OPENING ESOPHAGUS,,,401.78,1307.2,15
CPT,43352,SURGICAL OPENING ESOPHAGUS,,,401.78,1140.14,15
CPT,43360,GASTROINTESTINAL REPAIR,,,401.78,2215.95,15
CPT,43361,GASTROINTESTINAL REPAIR,,,401.78,2687.97,15
CPT,43400,LIGATE ESOPHAGUS VEINS,,,401.78,1519.91,15
CPT,43401,Outpatient Services - CPT/HCPCS,,,401.78,1140.14,3
CPT,43405,LIGATE/STAPLE ESOPHAGUS,,,401.78,1442.68,15
CPT,43410,REPAIR ESOPHAGUS WOUND,,,401.78,1140.14,15
CPT,43415,REPAIR ESOPHAGUS WOUND,,,401.78,2547.83,15
CPT,43420,REPAIR ESOPHAGUS OPENING,,,1019.26,4049.48,17
CPT,43425,REPAIR ESOPHAGUS OPENING,,,401.78,1424.37,15
CPT,43450,DILATE ESOPHAGUS 1/MULT PASS,,,78.89,1140.14,17
CPT,43453,SURG 43453 DILATION ESOPHAGUS GUIDE WIRE,4644.0,3715.2,85.88,4179.6,36
CPT,43460,PRESSURE TREATMENT ESOPHAGUS,,,184.67,1140.14,15
CPT,43496,FREE JEJUNUM FLAP MICROVASC,,,401.78,1140.14,3
CPT,43497,TRANSORL LWR ESOPHGL MYOTOMY,,,781.92,7168.24,17
CPT,43499,UNLISTED PROCEDURE ESOPHAGUS,,,401.78,1140.14,13
CPT,43500,SURGICAL OPENING OF STOMACH,,,401.78,1140.14,15
CPT,43501,SURGICAL REPAIR OF STOMACH,,,401.78,1350.81,15
CPT,43502,SURGICAL REPAIR OF STOMACH,,,401.78,1523.57,15
CPT,43510,SURGICAL OPENING OF STOMACH,,,401.78,1140.14,17
CPT,43520,INCISION OF PYLORIC MUSCLE,,,401.78,1140.14,15
CPT,43605,BIOPSY OF STOMACH,,,401.78,1140.14,15
CPT,43610,EXCISION OF STOMACH LESION,,,401.78,1140.14,15
CPT,43611,EXCISION OF STOMACH LESION,,,401.78,1227.98,15
CPT,43620,REMOVAL OF STOMACH,,,401.78,1974.95,15
CPT,43621,REMOVAL OF STOMACH,,,401.78,2262.88,15
CPT,43622,REMOVAL OF STOMACH,,,401.78,2299.5,15
CPT,43631,REMOVAL OF STOMACH PARTIAL,,,401.78,1447.01,15
CPT,43632,REMOVAL OF STOMACH PARTIAL,,,401.78,2027.21,15
CPT,43633,REMOVAL OF STOMACH PARTIAL,,,401.78,1918.03,15
CPT,43634,REMOVAL OF STOMACH PARTIAL,,,401.78,2116.09,15
CPT,43635,REMOVAL OF STOMACH PARTIAL,,,93.37,1140.14,15
CPT,43640,VAGOTOMY & PYLORUS REPAIR,,,401.78,1192.03,15
CPT,43641,VAGOTOMY & PYLORUS REPAIR,,,401.78,1205.67,15
CPT,43644,LAP GASTRIC BYPASS/ROUX-EN-Y,,,1467.38,4512.36,15
CPT,43645,LAP GASTR BYPASS INCL SMLL I,,,1563.45,4512.36,15
CPT,43647,LAP IMPL ELECTRODE ANTRUM,,,6037.75,17133.18,13
CPT,43648,LAP REVISE/REMV ELTRD ANTRUM,,,4562.52,12946.98,13
CPT,43651,LAPAROSCOPY VAGUS NERVE,,,661.09,7257.21,17
CPT,43652,LAPAROSCOPY VAGUS NERVE,,,769.27,7257.21,17
CPT,43653,LAPAROSCOPY GASTROSTOMY,,,581.87,7257.21,17
CPT,43659,UNLISTED LAPS PX STOMACH,,,2557.45,10885.82,16
CPT,43752,ED 43752 NG TUBE PLACEMENT,755.0,604.0,39.28,679.5,36
CPT,43752,SURG 43752 NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDNCE,755.0,604.0,39.28,679.5,36
CPT,43753,ED 43753 GASTRIC INTUBATION,531.0,424.8,21.3,477.9,36
CPT,43754,DX GASTR INTUB W/ASP SPEC,,,37.95,394.78,17
CPT,43755,DX GASTR INTUB W/ASP SPECS,,,59.25,196.46,17
CPT,43756,DX DUOD INTUB W/ASP SPEC,,,50.6,1140.14,17
CPT,43757,DX DUOD INTUB W/ASP SPECS,,,76.23,1140.14,17
CPT,43761,SURG 43761 REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO,1534.0,1227.2,102.86,1380.6,36
CPT,43762,ED 43762 RPLC G TUBE PERC WO IMG OR ENDO GDN NO REVISION,632.0,505.6,36.95,568.8,36
CPT,43762,SURG 43762 RPLC G TUBE PERC WO IMG OR ENDO GDN NO REVISION,632.0,505.6,36.95,568.8,36
CPT,43762,TX RM 43762 RPLC G TUBE PERC WO IMG OR ENDO GDN NO REVISION,632.0,505.6,36.95,568.8,36
CPT,43763,ED 43763 RPLC G TUBE PERC WO IMG OR ENDO GDN W REVISION,632.0,505.6,86.88,568.8,36
CPT,43763,SURG 43763 RPLC G TUBE PERC WO IMG OR ENDO GDN W REVISION,632.0,505.6,86.88,568.8,36
CPT,43770,LAP PLACE GASTR ADJ DEVICE,,,1127.78,12946.98,17
CPT,43771,LAP REVISE GASTR ADJ DEVICE,,,1086.42,4512.36,15
CPT,43772,LAP RMVL GASTR ADJ DEVICE,,,951.02,4816.89,17
CPT,43773,LAP REPLACE GASTR ADJ DEVICE,,,1278.91,7257.21,17
CPT,43774,LAP RMVL GASTR ADJ ALL PARTS,,,962.01,4816.89,17
CPT,43775,LAP SLEEVE GASTRECTOMY,,,401.78,1140.14,15
CPT,43800,PYLOROPLASTY,,,401.78,1140.14,15
CPT,43810,GASTRODUODENOSTOMY,,,401.78,1140.14,15
CPT,43820,GASTROJEJUNOSTOMY WO VAGOTMY,,,401.78,1344.15,15
CPT,43825,GASTROJEJUNOSTOMY W/VAGOTOMY,,,401.78,1311.19,15
CPT,43830,GSTRST OPEN WO CONSTJ TUBE,,,705.36,2393.29,17
CPT,43831,GASTROSTOMY OPEN NEONATAL,,,401.78,1140.14,17
CPT,43832,GSTRST OPEN W/CONSTJ TUBE,,,401.78,1140.14,15
CPT,43840,GSTRRPHY SUTR DUOL/GSTR ULCR,,,401.78,5973.21,17
CPT,43842,GSTR RSTCV PX V-BANDED GSTP,,,1022.47,4512.36,15
CPT,43843,GSTR RSTCV OTH/THN V-BAND,,,1089.74,4512.36,15
CPT,43845,GASTROPLASTY DUODENAL SWITCH,,,1590.16,4512.36,15
CPT,43846,GSTR RSTCV PX SHRT ROUX-EN-Y,,,1399.29,4512.36,15
CPT,43847,GSTR RSTCV PX SM INT RCNSTJ,,,1528.94,4512.36,15
CPT,43848,REVJ OPEN GSTR RSTCV PX,,,1590.16,4512.36,15
CPT,43850,Outpatient Services - CPT/HCPCS,,,401.78,1140.14,3
CPT,43855,Outpatient Services - CPT/HCPCS,,,401.78,1140.14,3
CPT,43860,REVJ GSTR/JJ ANAST W/O VGTMY,,,401.78,1631.42,15
CPT,43865,REVJ GSTR/JJ ANAST W/VGTMY,,,401.78,1705.65,15
CPT,43870,CLOSURE GASTROSTOMY SURGICAL,,,710.36,4816.89,17
CPT,43880,CLOSURE GASTROCOLIC FISTULA,,,401.78,1603.46,15
CPT,43881,IMPL/RPLCMT GSTR NSTIM ELTRD,,,401.78,1140.14,3
CPT,43882,REV/RMVL GSTR NSTIM ELTRD,,,401.78,1140.14,3
CPT,43886,GSTR RSTCV PX OPN REVJ PORT,,,372.82,4512.36,17
CPT,43887,GSTR RSTCV PX OPN RMVL PORT,,,336.87,2293.66,17
CPT,43888,GSTR RSTCV PX OPN RMVL&RPLC,,,469.35,4512.36,17
CPT,43999,UNLISTED PROCEDURE STOMACH,,,401.78,1140.14,13
CPT,44005,FREEING OF BOWEL ADHESION,,,926.74,7257.21,15
CPT,44010,INCISION OF SMALL BOWEL,,,401.78,1140.14,15
CPT,44015,INSERT NEEDLE CATH BOWEL,,,117.1,7257.21,15
CPT,44020,EXPLORE SMALL INTESTINE,,,829.08,7257.21,15
CPT,44021,DECOMPRESS SMALL BOWEL,,,401.78,1140.14,15
CPT,44025,INCISION OF LARGE BOWEL,,,401.78,1140.14,15
CPT,44050,REDUCE BOWEL OBSTRUCTION,,,797.24,7257.21,15
CPT,44055,CORRECT MALROTATION OF BOWEL,,,1261.64,7257.21,15
CPT,44100,BIOPSY OF BOWEL,,,104.86,1140.14,17
CPT,44110,EXCISE INTESTINE LESION(S),,,401.78,1140.14,15
CPT,44111,EXCISION OF BOWEL LESION(S),,,401.78,1140.14,15
CPT,44120,REMOVAL OF SMALL INTESTINE,,,1035.69,7257.21,15
CPT,44121,REMOVAL OF SMALL INTESTINE,,,200.58,7257.21,15
CPT,44125,REMOVAL OF SMALL INTESTINE,,,1001.6,7257.21,15
CPT,44126,ENTERECTOMY W/O TAPER CONG,,,2077.11,7257.21,15
CPT,44127,ENTERECTOMY W/TAPER CONG,,,2393.12,7257.21,15
CPT,44128,ENTERECTOMY CONG ADD-ON,,,200.95,7257.21,15
CPT,44130,BOWEL TO BOWEL FUSION,,,401.78,1312.19,15
CPT,44139,MOBILIZATION OF COLON,,,100.52,7257.21,15
CPT,44140,PARTIAL REMOVAL OF COLON,,,401.78,1337.49,15
CPT,44141,PARTIAL REMOVAL OF COLON,,,1536.07,7257.21,15
CPT,44143,PARTIAL REMOVAL OF COLON,,,1398.03,7257.21,15
CPT,44144,PARTIAL REMOVAL OF COLON,,,401.78,1752.92,15
CPT,44145,PARTIAL REMOVAL OF COLON,,,1404.08,7257.21,15
CPT,44146,PARTIAL REMOVAL OF COLON,,,1783.45,7257.21,15
CPT,44147,PARTIAL REMOVAL OF COLON,,,401.78,1918.69,15
CPT,44150,REMOVAL OF COLON,,,1578.96,7257.21,15
CPT,44151,REMOVAL OF COLON/ILEOSTOMY,,,1812.9,7257.21,15
CPT,44155,REMOVAL OF COLON/ILEOSTOMY,,,1765.13,7257.21,15
CPT,44156,REMOVAL OF COLON/ILEOSTOMY,,,1936.99,7257.21,15
CPT,44157,COLECTOMY W/ILEOANAL ANAST,,,1842.71,7257.21,15
CPT,44158,COLECTOMY W/NEO-RECTUM POUCH,,,1887.94,7257.21,15
CPT,44160,REMOVAL OF COLON,,,401.78,1237.3,15
CPT,44180,LAP ENTEROLYSIS,,,919.4,7257.21,17
CPT,44186,LAP JEJUNOSTOMY,,,653.1,7257.21,17
CPT,44187,LAP ILEO/JEJUNO-STOMY,,,401.78,1140.14,15
CPT,44188,LAP COLOSTOMY,,,1039.42,7257.21,15
CPT,44202,LAP ENTERECTOMY,,,1177.65,7257.21,15
CPT,44203,LAP RESECT S/INTESTINE ADDL,,,200.15,7257.21,15
CPT,44204,LAPARO PARTIAL COLECTOMY,,,1306.24,7257.21,15
CPT,44205,LAP COLECTOMY PART W/ILEUM,,,401.78,1323.51,15
CPT,44206,LAP PART COLECTOMY W/STOMA,,,1476.07,7257.21,15
CPT,44207,L COLECTOMY/COLOPROCTOSTOMY,,,1541.42,7257.21,15
CPT,44208,L COLECTOMY/COLOPROCTOSTOMY,,,1678.82,7257.21,15
CPT,44210,LAPARO TOTAL PROCTOCOLECTOMY,,,1519.45,7257.21,15
CPT,44211,LAP COLECTOMY W/PROCTECTOMY,,,1837.6,7257.21,15
CPT,44212,LAPARO TOTAL PROCTOCOLECTOMY,,,1746.55,7257.21,15
CPT,44213,LAP MOBIL SPLENIC FL ADD-ON,,,156.76,7257.21,15
CPT,44227,LAP CLOSE ENTEROSTOMY,,,1406.15,7257.21,15
CPT,44238,UNLISTED LAPS PX INTESTINE,,,2557.45,10885.82,16
CPT,44300,OPEN BOWEL TO SKIN,,,401.78,1994.29,17
CPT,44310,ILEOSTOMY/JEJUNOSTOMY,,,401.78,1140.14,15
CPT,44312,REVISION OF ILEOSTOMY,,,598.51,4512.36,17
CPT,44314,REVISION OF ILEOSTOMY,,,401.78,3760.09,17
CPT,44316,DEVISE BOWEL POUCH,,,401.78,1413.39,15
CPT,44320,COLOSTOMY,,,1026.69,7257.21,15
CPT,44322,COLOSTOMY WITH BIOPSIES,,,401.78,1140.14,15
CPT,44340,REVISION OF COLOSTOMY,,,632.46,4512.36,17
CPT,44345,REVISION OF COLOSTOMY,,,401.78,1140.14,15
CPT,44346,REVISION OF COLOSTOMY,,,1013.18,7257.21,15
CPT,44360,SMALL BOWEL ENDOSCOPY,,,141.47,2393.29,17
CPT,44361,SMALL BOWEL ENDOSCOPY/BIOPSY,,,155.79,2393.29,17
CPT,44363,SMALL BOWEL ENDOSCOPY,,,188.07,2393.29,17
CPT,44364,SMALL BOWEL ENDOSCOPY,,,200.39,2393.29,17
CPT,44365,SMALL BOWEL ENDOSCOPY,,,179.09,2393.29,17
CPT,44366,SMALL BOWEL ENDOSCOPY,,,235.01,2393.29,17
CPT,44369,SMALL BOWEL ENDOSCOPY,,,240.67,2393.29,17
CPT,44370,SMALL BOWEL ENDOSCOPY/STENT,,,261.97,7168.24,17
CPT,44372,SMALL BOWEL ENDOSCOPY,,,235.01,2393.29,17
CPT,44373,SMALL BOWEL ENDOSCOPY,,,187.74,2393.29,17
CPT,44376,SMALL BOWEL ENDOSCOPY,,,277.95,2393.29,17
CPT,44377,SMALL BOWEL ENDOSCOPY/BIOPSY,,,293.26,2393.29,17
CPT,44378,SMALL BOWEL ENDOSCOPY,,,376.48,2393.29,17
CPT,44379,S BOWEL ENDOSCOPE W/STENT,,,401.45,7168.24,17
CPT,44380,SMALL BOWEL ENDOSCOPY BR/WA,,,56.92,1140.14,17
CPT,44381,SMALL BOWEL ENDOSCOPY BR/WA,,,83.88,2393.29,17
CPT,44382,SMALL BOWEL ENDOSCOPY,,,73.23,1140.14,17
CPT,44384,SMALL BOWEL ENDOSCOPY,,,149.79,2393.29,17
CPT,44385,ENDOSCOPY OF BOWEL POUCH,,,72.23,1149.53,17
CPT,44386,ENDOSCOPY BOWEL POUCH/BIOP,,,88.21,1149.53,17
CPT,44388,COLONOSCOPY THRU STOMA SPX,,,153.79,1149.53,17
CPT,44389,COLONOSCOPY WITH BIOPSY,,,168.77,1484.24,17
CPT,44390,COLONOSCOPY FOR FOREIGN BODY,,,206.38,1149.53,17
CPT,44391,COLONOSCOPY FOR BLEEDING,,,226.36,1484.24,17
CPT,44392,COLONOSCOPY & POLYPECTOMY,,,196.73,1484.24,17
CPT,44394,COLONOSCOPY W/SNARE,,,221.36,1484.24,17
CPT,44401,COLONOSCOPY WITH ABLATION,,,237.67,1484.24,17
CPT,44402,COLONOSCOPY W/STENT PLCMT,,,256.31,7168.24,17
CPT,44403,COLONOSCOPY W/RESECTION,,,298.26,1484.24,17
CPT,44404,COLONOSCOPY W/INJECTION,,,168.77,1484.24,17
CPT,44405,COLONOSCOPY W/DILATION,,,180.09,1484.24,17
CPT,44406,COLONOSCOPY W/ULTRASOUND,,,225.02,1484.24,17
CPT,44407,COLONOSCOPY W/NDL ASPIR/BX,,,269.63,1484.24,17
CPT,44408,COLONOSCOPY W/DECOMPRESSION,,,227.02,1149.53,17
CPT,44500,SURG 44500 INTRO LONG GI TUBE,1450.0,1160.0,18.64,1305.0,36
CPT,44500,SURG 44500 INTRO LONG GI TUBE SEPARATE PROCEDURE,1450.0,1160.0,18.64,1305.0,36
CPT,44602,SUTURE SMALL INTESTINE,,,1184.64,7257.21,17
CPT,44603,SUTURE SMALL INTESTINE,,,401.78,1606.79,15
CPT,44604,SUTURE LARGE INTESTINE,,,894.19,7257.21,15
CPT,44605,REPAIR OF BOWEL LESION,,,401.78,1280.57,15
CPT,44615,INTESTINAL STRICTUROPLASTY,,,911.33,7257.21,15
CPT,44620,REPAIR BOWEL OPENING,,,401.78,1140.14,15
CPT,44625,REPAIR BOWEL OPENING,,,401.78,1140.14,15
CPT,44626,REPAIR BOWEL OPENING,,,1346.06,7257.21,15
CPT,44640,REPAIR BOWEL-SKIN FISTULA,,,1183.61,7257.21,15
CPT,44650,REPAIR BOWEL FISTULA,,,401.78,1429.37,15
CPT,44660,REPAIR BOWEL-BLADDER FISTULA,,,401.78,1332.17,15
CPT,44661,REPAIR BOWEL-BLADDER FISTULA,,,401.78,1528.56,15
CPT,44680,SURGICAL REVISION INTESTINE,,,401.78,1140.14,15
CPT,44700,SUSPEND BOWEL W/PROSTHESIS,,,401.78,1140.14,15
CPT,44701,INTRAOP COLON LAVAGE ADD-ON,,,1.0,167.44,15
CPT,44705,PREPARE FECAL MICROBIOTA,,,69.23,196.46,15
CPT,44720,PREP DONOR INTESTINE/VENOUS,,,226.13,561.05,15
CPT,44721,PREP DONOR INTESTINE/ARTERY,,,316.93,785.19,15
CPT,44799,SURG 44799 FISTULA TREATMENT SMALL INTESTINE,3571.0,2856.8,401.78,3213.9,36
CPT,44799,SURG 44799.02 CHG ANTEGRADE CONTINENT ENTEROSTOMY APPLIANCE,921.0,736.8,243.6,1140.14,36
CPT,44799,TX RM 44799 ACE TUBE CHANGE,632.0,505.6,167.16,1140.14,36
CPT,44799,TX RM 44799 FECAL TRANSPLANT  NG TUBE,3817.0,3053.6,401.78,3435.3,36
CPT,44800,EXCISION OF BOWEL POUCH,,,401.78,1140.14,15
CPT,44820,EXCISION OF MESENTERY LESION,,,401.78,1140.14,15
CPT,44850,REPAIR OF MESENTERY,,,401.78,1140.14,15
CPT,44899,UNLISTED PX MECKEL'S DVRTCLM,,,401.78,1140.14,3
CPT,44900,I&D APPENDIX ABSCESS OPEN,,,401.78,1140.14,15
CPT,44950,APPENDECTOMY,,,643.11,9515.64,17
CPT,44955,APPENDECTOMY ADD-ON,,,1.0,82.55,15
CPT,44960,APPENDECTOMY,,,745.96,7257.21,15
CPT,44970,LAPAROSCOPY APPENDECTOMY,,,605.17,7257.21,17
CPT,44979,UNLISTED LAPS PX APPENDIX,,,2557.45,10885.82,16
CPT,45000,DRAINAGE OF PELVIC ABSCESS,,,431.07,1484.24,17
CPT,45005,ED 45005 I & D ABCESS RECTUM,3641.0,2912.8,166.44,3276.9,36
CPT,45020,DRAINAGE OF RECTAL ABSCESS,,,570.21,3531.51,17
CPT,45100,BIOPSY OF RECTUM,,,305.58,3531.51,17
CPT,45108,ANORECTAL MYOMECTOMY,,,378.15,3531.51,17
CPT,45110,REMOVAL OF RECTUM,,,523.05,1800.52,15
CPT,45111,PARTIAL REMOVAL OF RECTUM,,,523.05,1484.24,15
CPT,45112,REMOVAL OF RECTUM,,,523.05,1791.87,15
CPT,45113,PARTIAL PROCTECTOMY,,,523.05,1842.13,15
CPT,45114,PARTIAL REMOVAL OF RECTUM,,,523.05,1810.84,15
CPT,45116,PARTIAL REMOVAL OF RECTUM,,,523.05,1528.23,15
CPT,45119,REMOVE RECTUM W/RESERVOIR,,,523.05,1855.78,15
CPT,45120,REMOVAL OF RECTUM,,,523.05,1598.13,15
CPT,45121,REMOVAL OF RECTUM AND COLON,,,523.05,1743.93,15
CPT,45123,PARTIAL PROCTECTOMY,,,523.05,1484.24,15
CPT,45126,PELVIC EXENTERATION,,,1412.81,4009.09,15
CPT,45130,EXCISION OF RECTAL PROLAPSE,,,523.05,1484.24,15
CPT,45135,EXCISION OF RECTAL PROLAPSE,,,523.05,1484.24,15
CPT,45136,EXCISE ILEOANAL RESERVIOR,,,523.05,1764.9,15
CPT,45150,EXCISION OF RECTAL STRICTURE,,,427.74,1484.24,17
CPT,45160,EXCISION OF RECTAL LESION,,,1028.58,3531.51,17
CPT,45171,EXC RECT TUM TRANSANAL PART,,,618.81,3531.51,17
CPT,45172,EXC RECT TUM TRANSANAL FULL,,,823.87,3531.51,17
CPT,45190,DESTRUCTION RECTAL TUMOR,,,698.04,3531.51,17
CPT,45300,ED 45300 PROCTOSIGMOIDOSCOPY DX,1531.0,1224.8,47.93,1377.9,36
CPT,45303,PROCTOSIGMOIDOSCOPY DILATE,,,85.22,1484.24,17
CPT,45305,PROCTOSIGMOIDOSCOPY W/BX,,,72.57,1484.24,17
CPT,45307,ED 45307 PROCTOSIGMOIDOSCOPY RIGID WREMVL FB,6301.0,5040.8,100.2,5670.9,36
CPT,45308,PROCTOSIGMOIDOSCOPY REMOVAL,,,84.55,3531.51,17
CPT,45309,PROCTOSIGMOIDOSCOPY REMOVAL,,,89.54,1484.24,17
CPT,45315,PROCTOSIGMOIDOSCOPY REMOVAL,,,105.52,1484.24,17
CPT,45317,PROCTOSIGMOIDOSCOPY BLEED,,,110.18,1484.24,17
CPT,45320,PROCTOSIGMOIDOSCOPY ABLATE,,,104.52,3531.51,17
CPT,45321,PROCTOSIGMOIDOSCOPY VOLVUL,,,103.19,3531.51,17
CPT,45327,PROCTOSIGMOIDOSCOPY W/STENT,,,116.51,7168.24,17
CPT,45330,ED 45330 SIGMOIDOSCOPY DIAG,4160.0,3328.0,56.26,3744.0,36
CPT,45331,SIGMOIDOSCOPY AND BIOPSY,,,71.57,1149.53,17
CPT,45332,SIGMOIDOSCOPY W/FB REMOVAL,,,104.19,1484.24,17
CPT,45333,SIGMOIDOSCOPY & POLYPECTOMY,,,93.2,1149.53,17
CPT,45334,SIGMOIDOSCOPY FOR BLEEDING,,,115.84,1484.24,17
CPT,45335,SIGMOIDOSCOPY W/SUBMUC INJ,,,66.24,1149.53,17
CPT,45337,SIGMOIDOSCOPY & DECOMPRESS,,,112.51,1149.53,17
CPT,45338,SIGMOIDOSCOPY W/TUMR REMOVE,,,118.5,1484.24,17
CPT,45340,SIG W/TNDSC BALLOON DILATION,,,77.56,1484.24,17
CPT,45341,SIGMOIDOSCOPY W/ULTRASOUND,,,122.17,1149.53,17
CPT,45342,SIGMOIDOSCOPY W/US GUIDE BX,,,167.77,1484.24,17
CPT,45346,SIGMOIDOSCOPY W/ABLATION,,,157.78,1484.24,17
CPT,45347,SIGMOIDOSCOPY W/PLCMT STENT,,,151.46,7168.24,17
CPT,45349,SIGMOIDOSCOPY W/RESECTION,,,194.4,3531.51,17
CPT,45350,SGMDSC W/BAND LIGATION,,,99.86,1484.24,17
CPT,45378,DIAGNOSTIC COLONOSCOPY,,,181.42,1149.53,17
CPT,45379,COLONOSCOPY W/FB REMOVAL,,,234.01,1484.24,17
CPT,45380,COLONOSCOPY AND BIOPSY,,,197.06,1484.24,17
CPT,45381,COLONOSCOPY SUBMUCOUS NJX,,,196.73,1484.24,17
CPT,45382,COLONOSCOPY W/CONTROL BLEED,,,253.65,1484.24,17
CPT,45384,COLONOSCOPY W/LESION REMOVAL,,,224.36,1484.24,17
CPT,45385,COLONOSCOPY W/LESION REMOVAL,,,249.32,1484.24,17
CPT,45386,COLONOSCOPY W/BALLOON DILAT,,,208.05,1484.24,17
CPT,45388,COLONOSCOPY W/ABLATION,,,265.3,1484.24,17
CPT,45389,COLONOSCOPY W/STENT PLCMT,,,283.94,7168.24,17
CPT,45390,COLONOSCOPY W/RESECTION,,,325.88,3531.51,17
CPT,45391,COLONOSCOPY W/ENDOSCOPE US,,,252.65,1484.24,17
CPT,45392,COLONOSCOPY W/ENDOSCOPIC FNB,,,298.26,1484.24,17
CPT,45393,COLONOSCOPY W/DECOMPRESSION,,,246.66,1484.24,17
CPT,45395,LAP REMOVAL OF RECTUM,,,523.05,1937.33,15
CPT,45397,LAP REMOVE RECTUM W/POUCH,,,523.05,2096.11,15
CPT,45398,COLONOSCOPY W/BAND LIGATION,,,231.35,1484.24,17
CPT,45399,SURG 45399 FISTULA TREATMENT COLON,3515.0,2812.0,405.09,3163.5,36
CPT,45399,SURG 45399 FISTULA TREATMENT STOMACH,3515.0,2812.0,405.09,3163.5,36
CPT,45400,LAPAROSCOPIC PROC,,,523.05,1484.24,15
CPT,45402,LAP PROCTOPEXY W/SIG RESECT,,,523.05,1502.93,15
CPT,45499,LAPAROSCOPE PROC RECTUM,,,2557.45,7257.21,13
CPT,45500,REPAIR OF RECTUM,,,573.21,3531.51,17
CPT,45505,REPAIR OF RECTUM,,,604.17,3531.51,17
CPT,45520,TREATMENT OF RECTAL PROLAPSE,,,40.61,1149.53,17
CPT,45540,CORRECT RECTAL PROLAPSE,,,523.05,1484.24,15
CPT,45541,CORRECT RECTAL PROLAPSE,,,935.71,3531.51,17
CPT,45550,REPAIR RECTUM/REMOVE SIGMOID,,,523.05,1484.24,15
CPT,45560,REPAIR OF RECTOCELE,,,691.38,3531.51,17
CPT,45562,EXPLORATION/REPAIR OF RECTUM,,,523.05,1484.24,15
CPT,45563,EXPLORATION/REPAIR OF RECTUM,,,523.05,1653.72,15
CPT,45800,REPAIR RECT/BLADDER FISTULA,,,523.05,1484.24,15
CPT,45805,REPAIR FISTULA W/COLOSTOMY,,,523.05,1484.24,15
CPT,45820,REPAIR RECTOURETHRAL FISTULA,,,523.05,1484.24,15
CPT,45825,REPAIR FISTULA W/COLOSTOMY,,,523.05,1534.22,15
CPT,45900,ED 45900 REDUCTION RECTAL PROLAPSE,2283.0,1826.4,213.71,2054.7,36
CPT,45905,TX RM 45905 DILATION OF ANAL SPHINCTER,2931.0,2344.8,171.1,2637.9,36
CPT,45910,DILATION OF RECTAL NARROWING,,,193.73,1484.24,17
CPT,45915,ED 45915 RMV FECAL IMP OR F B WANS,4543.0,3634.4,229.35,4088.7,36
CPT,45990,SURG DX EXAM ANORECTAL,,,105.19,3531.51,17
CPT,45999,UNLISTED PROCEDURE RECTUM,,,405.09,1149.53,13
CPT,46020,PLACEMENT OF SETON,,,116.51,3531.51,17
CPT,46030,REMOVAL ANAL SETON OTH MRK,,,86.21,1484.24,17
CPT,46040,ED 46040 I&D PERIRECTAL ABSCESS,5420.0,4336.0,429.41,4878.0,36
CPT,46045,I&D ABSC TRANAL UNDER ANES,,,443.06,3531.51,17
CPT,46050,ED 46050 I&D PERIAL ABSCESS SUPRFCL,2003.0,1602.4,102.19,1802.7,36
CPT,46060,I&D ISCHIORECTAL/NTRMRL ABSC,,,489.99,3531.51,17
CPT,46070,INCISION ANAL SEPTUM INFANT,,,273.62,3531.51,17
CPT,46080,SPHNCTROTMY ANAL DIV SPHNCTR,,,158.12,3531.51,17
CPT,46083,ED 46083 INC EXTERNAL HEMORRHOID,781.0,624.8,109.54,702.9,36
CPT,46083,TX RM 46083 INC HEMORRHOID EXTERNAL,781.0,624.8,109.54,702.9,36
CPT,46200,REMOVAL OF ANAL FISSURE,,,341.53,3531.51,17
CPT,46220,EXCISE ANAL EXT TAG/PAPILLA,,,122.5,1484.24,17
CPT,46221,ED 46221 HEMORRHOIDECTOMY SMPL LIG,1350.0,1080.0,193.07,1215.0,36
CPT,46230,REMOVAL OF ANAL TAGS,,,174.43,3531.51,17
CPT,46250,REMOVE EXT HEM GROUPS 2+,,,320.56,3531.51,17
CPT,46255,REMOVE INT/EXT HEM 1 GROUP,,,356.84,3531.51,17
CPT,46257,REMOVE IN/EX HEM GRP & FISS,,,418.76,3531.51,17
CPT,46258,REMOVE IN/EX HEM GRP W/FISTU,,,487.0,3531.51,17
CPT,46260,REMOVE IN/EX HEM GROUPS 2+,,,484.67,3531.51,17
CPT,46261,REMOVE IN/EX HEM GRPS & FISS,,,536.26,3531.51,17
CPT,46262,REMOVE IN/EX HEM GRPS W/FIST,,,590.19,3531.51,17
CPT,46270,REMOVE ANAL FIST SUBQ,,,404.44,3531.51,17
CPT,46275,REMOVE ANAL FIST INTER,,,425.75,3531.51,17
CPT,46280,REMOVE ANAL FIST COMPLEX,,,483.67,3531.51,17
CPT,46285,REMOVE ANAL FIST 2 STAGE,,,427.08,3531.51,17
CPT,46288,REPAIR ANAL FISTULA,,,561.89,3531.51,17
CPT,46320,ED 46320 REMV HEMORRHOID CLOT,4357.0,3485.6,114.18,3921.3,36
CPT,46500,INJECTION INTO HEMORRHOID(S),,,184.41,1149.53,17
CPT,46505,CHEMODENERVATION ANAL MUSC,,,251.32,2226.36,20
CPT,46600,ED 46600 ANOSCOPY DIAG,380.0,304.0,41.28,342.0,36
CPT,46601,DIAGNOSTIC ANOSCOPY,,,56.62,418.99,17
CPT,46604,ANOSCOPY AND DILATION,,,65.91,1484.24,17
CPT,46606,ANOSCOPY AND BIOPSY,,,75.23,1484.24,17
CPT,46607,DIAGNOSTIC ANOSCOPY & BIOPSY,,,123.83,1484.24,17
CPT,46608,ED 46608 ANOSCOPY WREMV FB,2013.0,1610.4,84.55,1811.7,36
CPT,46610,ANOSCOPY REMOVE LESION,,,79.89,3531.51,17
CPT,46611,ANOSCOPY,,,80.22,1149.53,17
CPT,46612,ANOSCOPY REMOVE LESIONS,,,95.2,3531.51,17
CPT,46614,ANOSCOPY CONTROL BLEEDING,,,64.24,1484.24,17
CPT,46615,ANOSCOPY,,,90.21,3531.51,17
CPT,46700,REPAIR OF ANAL STRICTURE,,,654.43,3531.51,17
CPT,46705,REPAIR OF ANAL STRICTURE,,,501.37,1484.24,15
CPT,46706,REPR OF ANAL FISTULA W/GLUE,,,181.42,3531.51,17
CPT,46707,REPAIR ANORECTAL FIST W/PLUG,,,507.97,3531.51,17
CPT,46710,REPR PER/VAG POUCH SNGL PROC,,,523.05,1484.24,15
CPT,46712,REPR PER/VAG POUCH DBL PROC,,,523.05,2207.63,15
CPT,46715,REP PERF ANOPER FISTU,,,483.83,1484.24,15
CPT,46716,REP PERF ANOPER/VESTIB FISTU,,,523.05,1484.24,15
CPT,46730,CONSTRUCTION OF ABSENT ANUS,,,523.05,1989.93,15
CPT,46735,CONSTRUCTION OF ABSENT ANUS,,,523.05,2287.52,15
CPT,46740,CONSTRUCTION OF ABSENT ANUS,,,523.05,2170.01,15
CPT,46742,REPAIR OF IMPERFORATED ANUS,,,523.05,2504.22,15
CPT,46744,REPAIR OF CLOACAL ANOMALY,,,523.05,3523.81,15
CPT,46746,REPAIR OF CLOACAL ANOMALY,,,523.05,3879.99,15
CPT,46748,REPAIR OF CLOACAL ANOMALY,,,523.05,4203.21,15
CPT,46750,REPAIR OF ANAL SPHINCTER,,,748.64,3531.51,17
CPT,46751,REPAIR OF ANAL SPHINCTER,,,523.05,1484.24,15
CPT,46753,RECONSTRUCTION OF ANUS,,,622.81,3531.51,17
CPT,46754,REMOVAL OF SUTURE FROM ANUS,,,244.0,3531.51,17
CPT,46760,REPAIR OF ANAL SPHINCTER,,,1100.15,3531.51,17
CPT,46761,REPAIR OF ANAL SPHINCTER,,,911.08,3531.51,17
CPT,46762,Outpatient Services - CPT/HCPCS,,,523.05,1484.24,3
CPT,46900,DESTRUCTION ANAL LESION(S),,,138.14,501.53,17
CPT,46910,DESTRUCTION ANAL LESION(S),,,136.15,2293.66,17
CPT,46916,CRYOSURGERY ANAL LESION(S),,,88.73,251.79,17
CPT,46917,LASER SURGERY ANAL LESIONS,,,129.82,3531.51,17
CPT,46922,EXCISION OF ANAL LESION(S),,,138.81,3531.51,17
CPT,46924,TX RM 46924 DSTRJ LESION ANUS EXTENSIVE.,4270.0,3416.0,181.75,3843.0,36
CPT,46930,DESTROY INTERNAL HEMORRHOIDS,,,152.46,1484.24,17
CPT,46940,TREATMENT OF ANAL FISSURE,,,145.13,3531.51,17
CPT,46942,TREATMENT OF ANAL FISSURE,,,130.49,1149.53,17
CPT,46945,INT HRHC LIG 1 HROID W/O IMG,,,342.2,3531.51,17
CPT,46946,INT HRHC LIG 2+HROID W/O IMG,,,382.14,3531.51,17
CPT,46947,HEMORRHOIDOPEXY BY STAPLING,,,392.13,3531.51,17
CPT,46948,INT HRHC TRANAL DARTLZJ 2+,,,446.05,3531.51,17
CPT,46999,ED 46999 UNLISTED PROC ANUS,2000.0,1600.0,405.09,1800.0,36
CPT,47000,SURG 47000 BX LIVER NEEDLE BIOPSY,3311.0,2648.8,85.88,2979.9,36
CPT,47001,NDL BIOPSY LVR TM OTH MAJ PX,,,1.0,102.19,15
CPT,47010,HEPATOT OPN DRG ABSC/CST 1/2,,,1034.38,7257.21,15
CPT,47015,LAPT ASPIR&/NJX HEP PRST CST,,,991.65,7257.21,15
CPT,47100,WEDGE BIOPSY OF LIVER,,,729.61,7257.21,15
CPT,47120,PARTIAL REMOVAL OF LIVER,,,1975.83,7257.21,15
CPT,47122,EXTENSIVE REMOVAL OF LIVER,,,2557.45,7257.21,15
CPT,47125,PARTIAL REMOVAL OF LIVER,,,2557.45,7257.21,15
CPT,47130,PARTIAL REMOVAL OF LIVER,,,2557.45,7257.21,15
CPT,47133,REMOVAL OF DONOR LIVER,,,4095.48,4095.48,3
CPT,47135,TRANSPLANTATION OF LIVER,,,4566.54,11173.95,15
CPT,47140,PARTIAL REMOVAL DONOR LIVER,,,3022.75,7404.34,15
CPT,47141,PARTIAL REMOVAL DONOR LIVER,,,3606.76,8843.97,15
CPT,47142,PARTIAL REMOVAL DONOR LIVER,,,3966.46,9734.32,15
CPT,47143,PREP DONOR LIVER WHOLE,,,1574.77,1574.77,3
CPT,47146,PREP DONOR LIVER/VENOUS,,,271.12,671.74,15
CPT,47147,PREP DONOR LIVER/ARTERIAL,,,316.51,784.5,15
CPT,47300,SURGERY FOR LIVER LESION,,,966.71,7257.21,15
CPT,47350,REPAIR LIVER WOUND,,,311.84,1360.13,15
CPT,47360,REPAIR LIVER WOUND,,,311.84,1867.43,15
CPT,47361,REPAIR LIVER WOUND,,,2533.79,7257.21,15
CPT,47362,REPAIR LIVER WOUND,,,311.84,1447.67,15
CPT,47370,LAPARO ABLATE LIVER TUMOR RF,,,1253.61,12946.98,17
CPT,47371,LAPARO ABLATE LIVER CRYOSURG,,,1258.93,12946.98,17
CPT,47379,UNLISTED LAPS PX LIVER,,,2557.45,7257.21,13
CPT,47380,OPEN ABLATE LIVER TUMOR RF,,,1227.51,7257.21,15
CPT,47381,OPEN ABLATE LIVER TUMOR CRYO,,,311.84,1478.96,15
CPT,47382,SURG 47382 ABLATION RF LIVER TUMOR 1 OR MORE,12561.0,10048.8,716.01,11304.9,36
CPT,47383,SURG 47383 CRYOABLATION LIVER,12785.0,10228.0,436.4,12946.98,36
CPT,47399,SURG 47399 BILIARY MANNOMETRY,1328.0,1062.4,311.84,1195.2,36
CPT,47399,SURG 47399 UNLISTED PROCEDURE LIVER,9989.0,7991.2,311.84,8990.1,36
CPT,47400,INCISION OF LIVER DUCT,,,311.84,2141.05,15
CPT,47420,INCISION OF BILE DUCT,,,1133.19,7257.21,15
CPT,47425,INCISION OF BILE DUCT,,,1157.75,7257.21,15
CPT,47460,INCISE BILE DUCT SPHINCTER,,,311.84,1268.59,15
CPT,47480,INCISION OF GALLBLADDER,,,756.74,7257.21,15
CPT,47490,SURG 47490 GB DRAIN PERC CHOLE,6314.0,5051.2,325.88,5682.6,36
CPT,47531,SURG 47531 INJ CHOLANGIOGRAPHY PERC COMPL DX INCL IMG GUID INCL S&I,3978.0,3182.4,68.57,4351.41,36
CPT,47532,SURG 47532 INJ CHOLANGIOGRAM NEW ACCESS PERQ,5126.0,4100.8,204.39,4613.4,36
CPT,47533,SURG 47533 PERCUT PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL,6606.0,5284.8,254.32,5945.4,36
CPT,47534,SURG 47534 PERCUT PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT,6606.0,5284.8,355.84,5945.4,36
CPT,47535,SURG 47535 CONVERT EXT BIL DRG CATH TO INTERNAL-EXT PERQ,6752.0,5401.6,189.07,6076.8,36
CPT,47536,SURG 47536 EXCHANGE BILIARY DRG CATHETER PERQ W/IMG GUID RS&I,6752.0,5401.6,127.49,6076.8,36
CPT,47537,SURG 47537 REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I,2664.0,2131.2,93.54,2397.6,36
CPT,47538,SURG 47538 PLMT BILE DUCT STENT PRQ EXISTING ACCESS,12134.0,9707.2,226.36,10920.6,36
CPT,47539,SURG 47539 PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH,8092.0,6473.6,411.1,7282.8,36
CPT,47540,SURG 47540 PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH,10472.0,8377.6,423.42,9424.8,36
CPT,47541,SURG 47541 PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW,6888.0,5510.4,324.22,9515.64,34
CPT,47542,SURG 47542 BALLOON DILATE EA BILIARY DUCT AMPULLA PERQ,6073.0,4858.4,1.0,5465.7,34
CPT,47543,SURG 47543 ENDOLUMINAL BX BILIARY TREE PERQ ANY METH 1/MLT,6340.0,5072.0,1.0,5706.0,34
CPT,47544,SURG 47544 REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I,5912.0,4729.6,1.0,5320.8,34
CPT,47550,BILE DUCT ENDOSCOPY ADD-ON,,,1.0,161.44,15
CPT,47552,SURG 47552 BIL BRUSH BX,5135.0,4108.0,270.96,9515.64,36
CPT,47553,BILIARY ENDOSCOPY THRU SKIN,,,271.29,9515.64,17
CPT,47554,SURG 47554 BILIARY W REMOVAL CALCULUS,9599.0,7679.2,437.4,12946.98,36
CPT,47555,SURG 47555 DILTN BIL STRIC WO,6939.0,5551.2,323.22,6245.1,36
CPT,47556,SURG 47556 DILTN BIL STRIC WST,9483.0,7586.4,366.16,12946.98,36
CPT,47562,LAPAROSCOPIC CHOLECYSTECTOMY,,,663.09,7257.21,17
CPT,47563,LAPARO CHOLECYSTECTOMY/GRAPH,,,720.67,7257.21,17
CPT,47564,LAPARO CHOLECYSTECTOMY/EXPLR,,,1120.12,12946.98,17
CPT,47570,LAPARO CHOLECYSTOENTEROSTOMY,,,661.67,7257.21,15
CPT,47579,UNLISTED LAPS PX BILIARY TRC,,,2557.45,10885.82,16
CPT,47600,CHOLECYSTECTOMY,,,913.78,7257.21,15
CPT,47605,CHOLECYSTECTOMY W/CHOLANG,,,959.59,7257.21,15
CPT,47610,REMOVAL OF GALLBLADDER,,,1064.28,7257.21,15
CPT,47612,REMOVAL OF GALLBLADDER,,,1076.53,7257.21,15
CPT,47620,REMOVAL OF GALLBLADDER,,,1160.83,7257.21,15
CPT,47700,EXPLORATION OF BILE DUCTS,,,311.84,1061.21,15
CPT,47701,BILE DUCT REVISION,,,311.84,1732.28,15
CPT,47711,EXCISION OF BILE DUCT TUMOR,,,311.84,1555.52,15
CPT,47712,EXCISION OF BILE DUCT TUMOR,,,311.84,1988.26,15
CPT,47715,EXCISION OF BILE DUCT CYST,,,311.84,1330.17,15
CPT,47720,FUSE GALLBLADDER & BOWEL,,,983.95,7257.21,15
CPT,47721,FUSE UPPER GI STRUCTURES,,,1149.17,7257.21,15
CPT,47740,FUSE GALLBLADDER & BOWEL,,,1114.63,7257.21,15
CPT,47741,FUSE GALLBLADDER & BOWEL,,,1249.66,7257.21,15
CPT,47760,FUSE BILE DUCTS AND BOWEL,,,1897.74,7257.21,15
CPT,47765,FUSE LIVER DUCTS & BOWEL,,,2540.28,7257.21,15
CPT,47780,FUSE BILE DUCTS AND BOWEL,,,2083.59,7257.21,15
CPT,47785,FUSE BILE DUCTS AND BOWEL,,,2557.45,7257.21,15
CPT,47800,RECONSTRUCTION OF BILE DUCTS,,,311.84,1550.86,15
CPT,47801,PLACEMENT BILE DUCT SUPPORT,,,945.31,7257.21,15
CPT,47802,Outpatient Services - CPT/HCPCS,,,311.84,884.91,3
CPT,47802,Therapy,,,1522.57,1522.57,4
CPT,47900,SUTURE BILE DUCT INJURY,,,311.84,1378.1,15
CPT,47999,UNLISTED PX BILIARY TRACT,,,401.78,1140.14,13
CPT,48000,DRAINAGE OF ABDOMEN,,,1585.3,7257.21,15
CPT,48001,PLACEMENT OF DRAIN PANCREAS,,,1935.62,7257.21,15
CPT,48020,REMOVAL OF PANCREATIC STONE,,,311.84,1180.37,15
CPT,48100,BIOPSY OF PANCREAS OPEN,,,758.3,7257.21,15
CPT,48102,SURG 48102 NDLE BIOPSY PANCREAS,3699.0,2959.2,230.02,3329.1,36
CPT,48105,RESECT/DEBRIDE PANCREAS,,,2397.99,7257.21,15
CPT,48120,REMOVAL OF PANCREAS LESION,,,944.24,7257.21,15
CPT,48140,PARTIAL REMOVAL OF PANCREAS,,,1328.04,7257.21,15
CPT,48145,PARTIAL REMOVAL OF PANCREAS,,,1379.01,7257.21,15
CPT,48146,PANCREATECTOMY,,,1593.91,7257.21,15
CPT,48148,REMOVAL OF PANCREATIC DUCT,,,311.84,1250.61,15
CPT,48150,PARTIAL REMOVAL OF PANCREAS,,,2557.45,7257.21,15
CPT,48152,PANCREATECTOMY,,,2424.01,7257.21,15
CPT,48153,PANCREATECTOMY,,,2557.45,7257.21,15
CPT,48154,PANCREATECTOMY,,,2434.55,7257.21,15
CPT,48155,REMOVAL OF PANCREAS,,,1544.98,7257.21,15
CPT,48160,PANCREAS REMOVAL/TRANSPLANT,,,2557.45,7257.21,3
CPT,48400,INJECTION INTRAOP ADD-ON,,,88.22,218.61,15
CPT,48500,SURGERY OF PANCREATIC CYST,,,311.84,1150.42,15
CPT,48510,DRAIN PANCREATIC PSEUDOCYST,,,935.3,7257.21,15
CPT,48520,FUSE PANCREAS CYST AND BOWEL,,,311.84,1099.49,15
CPT,48540,FUSE PANCREAS CYST AND BOWEL,,,311.84,1304.87,15
CPT,48545,PANCREATORRHAPHY,,,311.84,1345.81,15
CPT,48547,DUODENAL EXCLUSION,,,311.84,1786.21,15
CPT,48548,FUSE PANCREAS AND BOWEL,,,311.84,1667.7,15
CPT,48550,DONOR PANCREATECTOMY,,,2768.57,2768.57,3
CPT,48552,PREP DONOR PANCREAS/VENOUS,,,194.52,483.57,15
CPT,48554,TRANSPL ALLOGRAFT PANCREAS,,,2274.35,5472.83,15
CPT,48556,REMOVAL ALLOGRAFT PANCREAS,,,311.84,1293.55,15
CPT,48999,UNLISTED PROCEDURE PANCREAS,,,311.84,884.91,13
CPT,49000,EXPLORATION OF ABDOMEN,,,658.93,4009.09,15
CPT,49002,REOPENING OF ABDOMEN,,,885.75,4009.09,15
CPT,49010,EXPLORATION BEHIND ABDOMEN,,,784.71,4009.09,17
CPT,49013,PRPERTL PEL PACK HEMRRG TRMA,,,378.08,4009.09,15
CPT,49014,REEXPLORATION PELVIC WOUND,,,316.73,4009.09,15
CPT,49020,DRAINAGE ABDOM ABSCESS OPEN,,,1357.57,4009.09,15
CPT,49040,DRAIN OPEN ABDOM ABSCESS,,,858.99,12946.98,15
CPT,49060,DRAIN OPEN RETROPERI ABSCESS,,,943.9,4009.09,15
CPT,49062,DRAIN TO PERITONEAL CAVITY,,,657.54,4009.09,15
CPT,49082,ED 49082 ABD PARACENTESIS,1568.0,1254.4,72.57,1411.2,36
CPT,49083,ED 49083 ABD PARACNTSIS WIMAG GUID,2452.0,1961.6,103.86,2206.8,36
CPT,49083,SURG 49083 ABD PARACENTESIS W IMAGING,2452.0,1961.6,103.86,2206.8,36
CPT,49084,PERITONEAL LAVAGE,,,105.52,1140.14,17
CPT,49180,SURG 49180 BIOPSY ABDOMEN RETRO PERC NDL,3082.0,2465.6,80.56,2773.8,36
CPT,49185,SURG 49185 SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID,3181.0,2544.8,116.17,2862.9,36
CPT,49186,OPN EXC/DSTR NTRA-ABD 5 CM/<,,,1130.24,1249.22,8
CPT,49187,OPN EXC/DSTR NTRA-ABD 5.1-10,,,1431.95,1582.68,8
CPT,49188,OPN EXC/DST NTRA-ABD 10.1-20,,,1711.91,1892.12,8
CPT,49189,OPN EXC/DST NTRA-ABD 20.1-30,,,1989.15,2198.53,8
CPT,49190,OPN EXC/DSTR NTRA-ABD >30 CM,,,2453.73,2712.02,8
CPT,49203,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,49203,Therapy,,,1193.36,1193.36,4
CPT,49204,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,49204,Therapy,,,1520.24,1520.24,4
CPT,49205,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,49205,Therapy,,,1743.93,1743.93,4
CPT,49215,EXCISE SACRAL SPINE TUMOR,,,523.05,2211.29,15
CPT,49220,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,49250,EXCISION OF UMBILICUS,,,597.84,4351.41,17
CPT,49255,REMOVAL OF OMENTUM,,,686.7,4009.09,17
CPT,49320,DIAG LAPARO SEPARATE PROC,,,330.88,7257.21,17
CPT,49321,LAPAROSCOPY BIOPSY,,,345.86,7257.21,17
CPT,49322,LAPAROSCOPY ASPIRATION,,,376.15,7257.21,17
CPT,49323,LAPARO DRAIN LYMPHOCELE,,,640.78,7257.21,17
CPT,49324,LAP INSERT TUNNEL IP CATH,,,387.13,7257.21,17
CPT,49325,LAP REVISION PERM IP CATH,,,412.77,7257.21,17
CPT,49326,LAP W/OMENTOPEXY ADD-ON,,,1.0,186.08,15
CPT,49327,LAP INS DEVICE FOR RT,,,1.0,128.49,15
CPT,49329,UNLSTD LAPS PX ABD PERTM&OMN,,,2557.45,10885.82,16
CPT,49400,SURG 49400 INJECTION AIR/CONTRAST PERITONEAL CAVITY SEPARATE PROC,1709.0,1367.2,1.0,1538.1,34
CPT,49402,REMOVE FOREIGN BODY ADBOMEN,,,854.82,4351.41,17
CPT,49405,SURG 49405 IMAGE-GUIDE FLUID COLLECTION DRAINAGE CATH VISC PERQ,7511.0,6008.8,188.74,6759.9,36
CPT,49406,ED 49406 DRAIN FLUID COLL CATH RETRO PERITON PERC,7095.0,5676.0,188.74,6385.5,36
CPT,49406,SURG 49406 IMAGE-GUIDE FLUID COLLECTION DRAINAG CATH PERITON PERQ,7095.0,5676.0,188.74,6385.5,36
CPT,49407,SURG 49407 IMAGE FLUID COLLECTION DRAINAG CATH TRANSREC/VAGINAL,7151.0,5720.8,200.06,6435.9,36
CPT,49411,SURG 49411 INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT,4132.0,3305.6,181.08,3718.8,36
CPT,49412,INS DEVICE FOR RT GUIDE OPEN,,,68.19,6255.96,15
CPT,49418,SURG 49418 PLCMNT PERITONEAL CATH TUN W/IMG GUID,9066.0,7252.8,194.73,8159.4,36
CPT,49419,SURG 49419 INS PERITONEAL PORT,6560.0,5248.0,415.43,6911.79,36
CPT,49421,SURG 49421 PERITONEAL CATH INS PERM,7380.0,5904.0,224.02,6642.0,36
CPT,49422,SURG 49422 RMVL PERITONEAL TUN CATH,6356.0,5084.8,219.03,5720.4,36
CPT,49423,SURG 49423 ABCS DRAN CATH CHG,3334.0,2667.2,68.57,3000.6,36
CPT,49424,SURG 49424 CNTRST INJ ASSMT ABSCESS OR CYST  VIA DRG CATH TUBE,990.0,792.0,1.0,891.0,34
CPT,49425,INSERT ABDOMEN-VENOUS DRAIN,,,668.61,4009.09,15
CPT,49426,REVISE ABDOMEN-VENOUS SHUNT,,,673.41,4351.41,17
CPT,49427,INJECTION ABDOMINAL SHUNT,,,1.0,37.95,15
CPT,49428,LIGATION OF SHUNT,,,367.78,4009.09,15
CPT,49429,REMOVAL OF SHUNT,,,457.7,4009.09,17
CPT,49435,INSERT SUBQ EXTEN TO IP CATH,,,1.0,116.17,15
CPT,49436,EMBEDDED IP CATH EXIT-SITE,,,186.74,2393.29,17
CPT,49440,ED 49440 INSERT GASTRO TUBE PERCUT,3273.0,2618.4,197.39,2945.7,36
CPT,49440,SURG 49440 G-TUBE PLMT,3273.0,2618.4,197.39,2945.7,36
CPT,49441,SURG 49441 J TUBE PLMT PERC,4517.0,3613.6,235.34,4065.3,36
CPT,49442,SURG 49442 COLONIC TUBE PLMT PERC,4050.0,3240.0,201.72,3645.0,36
CPT,49446,SURG 49446 CONVERT G TO GJ TUBE,3078.0,2462.4,141.8,2770.2,36
CPT,49450,ED 49450 RPLC GASTRO TUBE PERCUTANEOUS,2233.0,1786.4,63.58,2009.7,36
CPT,49450,SURG 49450 G CECOSTOMY TUBE CHANGE,2233.0,1786.4,63.58,2009.7,36
CPT,49451,ED 49451 RPLC DUODEN/JEJUN TB FLUORO,2320.0,1856.0,85.88,2088.0,36
CPT,49451,SURG 49451 REPLACE DUOD/JEJ TUBE PERQ,2320.0,1856.0,85.88,2088.0,36
CPT,49452,ED 49452 REPLACE G-J TUBE PERC,2327.0,1861.6,132.15,2094.3,36
CPT,49452,SURG 49452 REPLACE G-J TUBE PERQ,2327.0,1861.6,132.15,2094.3,36
CPT,49460,SURG 49460 MECH REML OBST G GJ J TBE,1505.0,1204.0,49.6,1354.5,36
CPT,49465,SURG 49465 INJ G J GJ TUBE,871.0,696.8,29.63,783.9,36
CPT,49491,RPR HERN PREEMIE REDUC,,,802.23,10885.82,20
CPT,49492,RPR ING HERN PREMIE BLOCKED,,,963.01,6527.13,20
CPT,49495,RPR ING HERNIA BABY REDUC,,,412.1,6527.13,20
CPT,49496,RPR ING HERNIA BABY BLOCKED,,,620.15,6527.13,20
CPT,49500,RPR ING HERNIA INIT REDUCE,,,420.75,14273.46,20
CPT,49501,RPR ING HERNIA INIT BLOCKED,,,610.83,6527.13,20
CPT,49505,PRP I/HERN INIT REDUC >5 YR,,,526.61,6527.13,20
CPT,49507,PRP I/HERN INIT BLOCK >5 YR,,,591.52,6527.13,20
CPT,49520,REREPAIR ING HERNIA REDUCE,,,637.12,6527.13,20
CPT,49521,REREPAIR ING HERNIA BLOCKED,,,719.68,14273.46,20
CPT,49525,REPAIR ING HERNIA SLIDING,,,577.21,6527.13,20
CPT,49540,REPAIR LUMBAR HERNIA,,,674.4,10885.82,20
CPT,49550,RPR REM HERNIA INIT REDUCE,,,581.53,6527.13,20
CPT,49553,RPR FEM HERNIA INIT BLOCKED,,,635.79,6527.13,20
CPT,49555,REREPAIR FEM HERNIA REDUCE,,,608.5,6527.13,20
CPT,49557,REREPAIR FEM HERNIA BLOCKED,,,725.67,6527.13,20
CPT,49560,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49561,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49565,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49566,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49568,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49570,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49572,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49580,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49582,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49585,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49587,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49590,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49591,RPR AA HRN 1ST < 3 CM RDC,,,341.2,4351.41,17
CPT,49592,RPR AA HRN 1ST < 3 NCR/STRN,,,474.01,7257.21,17
CPT,49593,RPR AA HRN 1ST 3-10 RDC,,,570.88,6551.74,17
CPT,49594,RPR AA HRN 1ST 3-10 NCR/STRN,,,742.98,7257.21,17
CPT,49595,RPR AA HRN 1ST > 10 RDC,,,767.94,6551.74,17
CPT,49596,RPR AA HRN 1ST > 10 NCR/STRN,,,861.37,4351.41,15
CPT,49600,REPAIR UMBILICAL LESION,,,738.32,4351.41,17
CPT,49605,REPAIR UMBILICAL LESION,,,1533.44,4881.94,15
CPT,49606,REPAIR UMBILICAL LESION,,,962.52,4351.41,15
CPT,49610,REPAIR UMBILICAL LESION,,,596.21,4351.41,15
CPT,49611,REPAIR UMBILICAL LESION,,,526.98,4351.41,15
CPT,49613,RPR AA HRN RCR < 3 RDC,,,420.42,4351.41,17
CPT,49614,RPR AA HRN RCR < 3 NCR/STRN,,,569.22,7257.21,17
CPT,49615,RPR AA HRN RCR 3-10 RDC,,,636.46,6551.74,17
CPT,49616,RPR AA HRN RCR 3-10 NCR/STRN,,,720.12,4351.41,15
CPT,49617,RPR AA HRN RCR > 10 RDC,,,747.21,4351.41,15
CPT,49618,RPR AA HRN RCR > 10 NCR/STRN,,,1043.66,4351.41,15
CPT,49621,RPR PARASTOMAL HERNIA RDC,,,635.7,4351.41,15
CPT,49622,RPR PARASTOMAL HRNA NCR/STRN,,,787.66,4351.41,15
CPT,49623,RMVL NINFCT MESH HERNIA RPR,,,169.55,4351.41,15
CPT,49650,LAP ING HERNIA REPAIR INIT,,,436.73,10885.82,20
CPT,49651,LAP ING HERNIA REPAIR RECUR,,,569.88,10885.82,20
CPT,49652,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49653,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49654,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49655,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49656,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49657,Outpatient Services - CPT/HCPCS,,,1533.44,4351.41,3
CPT,49659,UNLSTD LAPS PX HRNAP HRNRPHY,,,2557.45,10885.82,16
CPT,49900,ED 49900 SUT ABD WALL EVISCERATION DEHISCENCE,5977.0,4781.6,714.62,5379.3,34
CPT,49904,OMENTAL FLAP EXTRA-ABDOM,,,1185.88,4009.09,15
CPT,49905,OMENTAL FLAP INTRA-ABDOM,,,294.43,4009.09,15
CPT,49906,FREE OMENTAL FLAP MICROVASC,,,1412.81,4009.09,3
CPT,49999,SURG 49999 ABLAT ANT ABD WALL LESION,11291.0,9032.8,401.78,10161.9,36
CPT,50010,RENAL EXPLORATION,,,624.46,3842.75,18
CPT,50020,DRG PERIRNL/RENAL ABSC OPEN,,,902.79,2561.83,17
CPT,50040,NFROS NFROT W/DRG,,,815.3,3842.75,18
CPT,50045,NEPHROTOMY W/EXPLORATION,,,821.37,3842.75,18
CPT,50060,NL REMOVAL CALCULUS,,,902.79,3842.75,18
CPT,50065,NL SEC SURG OPERJ CALCULUS,,,902.79,3842.75,18
CPT,50070,NL COMP CGEN KDN ABNORMALITY,,,902.79,3842.75,18
CPT,50075,NL RMVL LG STAGHORN CALCULUS,,,902.79,3842.75,18
CPT,50080,PERQ NL/PL LITHOTRP SMPL<2CM,,,692.05,17380.24,20
CPT,50081,PERQ NL/PL LITHOTRP CPLX>2CM,,,1113.13,17380.24,20
CPT,50100,TRNSXJ/REPOS ABRRNT RNL VSLS,,,902.79,3842.75,18
CPT,50120,PYELOTOMY W/EXPLORATION,,,835.48,3842.75,18
CPT,50125,PYELOTOMY W/DRG PYELOSTOMY,,,864.33,3842.75,18
CPT,50130,PYELOTOMY W/REMOVAL CALCULUS,,,907.65,6577.09,18
CPT,50135,Outpatient Services - CPT/HCPCS,,,902.79,3842.75,6
CPT,50135,Therapy,,,1109.47,1109.47,4
CPT,50200,SURG 50200 CT BIOPSY RENAL,3537.0,2829.6,123.83,3183.3,39
CPT,50200,SURG 50200 RENAL BX PERC NDLE TRO,3537.0,2829.6,123.83,3183.3,39
CPT,50205,RENAL BX SURG EXPOSURE KDN,,,647.09,3842.75,18
CPT,50220,REMOVE KIDNEY OPEN,,,902.79,3842.75,18
CPT,50225,REMOVAL KIDNEY OPEN COMPLEX,,,902.79,3842.75,18
CPT,50230,REMOVAL KIDNEY OPEN RADICAL,,,902.79,3842.75,18
CPT,50234,REMOVAL OF KIDNEY & URETER,,,902.79,3842.75,18
CPT,50236,REMOVAL OF KIDNEY & URETER,,,1281.64,4510.88,18
CPT,50240,NEPHRECTOMY PARTIAL,,,902.79,3842.75,18
CPT,50250,OPN ABLTJ 1/> RNL MAS CRYSRG,,,902.79,2561.83,15
CPT,50280,EXC/UNROOFING CYST KIDNEY,,,832.78,3842.75,18
CPT,50290,EXCISION PERINEPHRIC CYST,,,792.04,2561.83,15
CPT,50300,REMOVE CADAVER DONOR KIDNEY,,,860.05,860.05,3
CPT,50320,REMOVE KIDNEY LIVING DONOR,,,1316.9,4768.23,18
CPT,50323,PREP CADAVER RENAL ALLOGRAFT,,,146.74,146.74,3
CPT,50325,PREP DONOR RENAL GRAFT,,,140.16,140.16,3
CPT,50327,PREP RENAL GRAFT/VENOUS,,,179.55,444.14,15
CPT,50328,PREP RENAL GRAFT/ARTERIAL,,,157.67,389.48,15
CPT,50329,PREP RENAL GRAFT/URETERAL,,,149.82,368.73,15
CPT,50340,RECIPIENT NEPHRECTOMY,,,831.34,3842.75,18
CPT,50360,RNL ALTRNSPLJ W/O RCP NFRCT,,,902.79,2561.83,15
CPT,50365,RNL ALTRNSPLJ W/RCP NFRCT,,,2486.18,9058.08,18
CPT,50370,RMVL TRANSPLANTED RNL ALGRFT,,,902.79,2561.83,15
CPT,50380,RNL AUTOTRNSPLJ RIMPLTJ KDN,,,1760.9,4256.65,15
CPT,50382,SURG 50382 RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ,6090.0,4872.0,243.66,5481.0,39
CPT,50384,SURG 50384 REMVL URETRL STENT,4454.0,3563.2,220.03,4008.6,39
CPT,50385,SURG 50385 REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL,6859.0,5487.2,210.04,6173.1,39
CPT,50386,REMOVE STENT VIA TRANSURETH,,,159.45,3842.75,20
CPT,50387,SURG 50387 RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH,4160.0,3328.0,80.56,3842.75,39
CPT,50389,SURG 50389 REMVL NEPH TUBE FLO,1933.0,1546.4,51.93,1739.7,39
CPT,50390,SURG 50390 RENAL CYST ASPIRATION,2348.0,1878.4,91.87,2113.2,39
CPT,50391,INSTLL RX AGNT INTO RNAL TUB,,,96.53,466.27,20
CPT,50395,Outpatient Services - CPT/HCPCS,,,1545.18,4384.72,3
CPT,50396,SURG 50396 NEPHRSTMY MANOMETRY,1176.0,940.8,113.51,1288.78,39
CPT,50400,REVISION OF KIDNEY/URETER,,,902.79,3842.75,18
CPT,50405,REVISION OF KIDNEY/URETER,,,902.79,3842.75,18
CPT,50430,SURG 50430 INJ NEPHROSTOGRAM URETEROGRAM NEW ACCESS,2400.0,1920.0,149.79,2160.0,39
CPT,50431,SURG 50431 INJ NEPHROSTOGRAM URETEROGRAM EXIST ACCESS,2375.0,1900.0,64.91,2137.5,39
CPT,50432,SURG 50432 PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,6311.0,5048.8,198.39,5679.9,39
CPT,50433,SURG 50433 PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I,7184.0,5747.2,246.33,6577.09,39
CPT,50434,SURG 50434 CONVERT NEPHROSTOMY CATHETER PERQ VIA EXIST,4687.0,3749.6,185.08,4218.3,39
CPT,50435,SURG 50435 EXCHANGE NEPHROSTOMY CATHETER PERQ W/IMG GUID RS&I,4552.0,3641.6,97.2,4096.8,39
CPT,50436,SURG 50436 DILAT EXIST TRACT PERC ENDOUROLOGIC PX INC IMAG GD,4657.0,3725.6,145.8,6577.09,39
CPT,50437,SURG 50437 DILAT EXIST TRACT PERC ENDOUROLOGIC PX INC IMAG GD NEW ACCESS,7759.0,6207.2,241.33,6983.1,39
CPT,50500,REPAIR OF KIDNEY WOUND,,,1092.82,2676.57,15
CPT,50520,CLOSE KIDNEY-SKIN FISTULA,,,986.82,2412.31,15
CPT,50525,CLOSE NEPHROVISCERAL FISTULA,,,1246.68,3054.99,15
CPT,50526,CLOSE NEPHROVISCERAL FISTULA,,,1333.75,3270.14,15
CPT,50540,REVISION OF HORSESHOE KIDNEY,,,1005.89,2359.04,15
CPT,50541,LAPARO ABLATE RENAL CYST,,,908.42,19420.47,20
CPT,50542,LAPARO ABLATE RENAL MASS,,,1149.08,19420.47,20
CPT,50543,LAPARO PARTIAL NEPHRECTOMY,,,1473.64,19420.47,20
CPT,50544,LAPAROSCOPY PYELOPLASTY,,,1225.31,19420.47,20
CPT,50545,LAPARO RADICAL NEPHRECTOMY,,,902.79,3842.75,18
CPT,50546,LAPAROSCOPIC NEPHRECTOMY,,,902.79,3842.75,18
CPT,50547,LAPARO REMOVAL DONOR KIDNEY,,,902.79,3842.75,18
CPT,50548,LAPARO REMOVE W/URETER,,,902.79,3842.75,18
CPT,50549,UNLISTED LAPS PX RENAL,,,2557.45,10885.82,16
CPT,50551,KIDNEY ENDOSCOPY,,,288.27,9762.11,20
CPT,50553,KIDNEY ENDOSCOPY,,,308.24,9762.11,20
CPT,50555,KIDNEY ENDOSCOPY & BIOPSY,,,334.54,17380.24,20
CPT,50557,KIDNEY ENDOSCOPY & TREATMENT,,,338.87,17380.24,20
CPT,50561,KIDNEY ENDOSCOPY & TREATMENT,,,387.13,9762.11,20
CPT,50562,RENAL SCOPE W/TUMOR RESECT,,,568.55,11586.83,17
CPT,50570,KIDNEY ENDOSCOPY,,,481.67,6577.09,20
CPT,50572,KIDNEY ENDOSCOPY,,,302.78,1288.78,20
CPT,50574,KIDNEY ENDOSCOPY & BIOPSY,,,552.91,6577.09,20
CPT,50575,KIDNEY ENDOSCOPY,,,698.04,9762.11,20
CPT,50576,KIDNEY ENDOSCOPY & TREATMENT,,,551.24,17380.24,20
CPT,50580,KIDNEY ENDOSCOPY & TREATMENT,,,594.18,9762.11,20
CPT,50590,FRAGMENTING OF KIDNEY STONE,,,570.88,6577.09,20
CPT,50592,SURG 50592 ABLATION RF RENAL TUMOR 1 OR MORE UNI,12561.0,10048.8,334.21,11304.9,39
CPT,50593,SURG 50593 CRYOABLATION RENAL TUMOR(S) UNILAT,15793.0,12634.4,445.72,19420.47,39
CPT,50600,EXPLORATION OF URETER,,,823.8,6577.09,18
CPT,50605,INSERT URETERAL SUPPORT,,,860.23,6577.09,18
CPT,50606,SURG 50606 ENDOLUMINAL BX URETER &/RENAL PELVIS NONENDOSCOPIC,6480.0,5184.0,1.0,5832.0,37
CPT,50610,REMOVAL OF URETER STONE,,,830.06,6577.09,18
CPT,50620,REMOVAL OF URETER STONE,,,794.24,6577.09,18
CPT,50630,REMOVAL OF URETER STONE,,,784.78,6577.09,18
CPT,50650,REMOVAL OF URETER,,,911.24,6577.09,18
CPT,50660,REMOVAL OF URETER,,,1002.28,2351.43,15
CPT,50684,INJECTION FOR URETER X-RAY,,,1.0,125.35,18
CPT,50686,MEASURE URETER PRESSURE,,,69.23,196.46,17
CPT,50688,SURG 50688 CHANGE URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL,3785.0,3028.0,76.89,3406.5,36
CPT,50690,SURG 50690 LOOPOGRAM INJ,1177.0,941.6,1.0,1059.3,34
CPT,50693,SURG 50693 PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT,8285.0,6628.0,197.39,7456.5,39
CPT,50694,SURG 50694 PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH,8580.0,6864.0,257.65,7722.0,39
CPT,50695,SURG 50695 PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH,9944.0,7955.2,330.54,8949.6,39
CPT,50700,REVISION OF URETER,,,815.6,3842.75,18
CPT,50705,SURG 50705 URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I,2278.0,1822.4,1.0,2050.2,37
CPT,50706,SURG 50706 BALLOON DILATE URETERAL STRICTURE,2675.0,2140.0,1.0,2407.5,37
CPT,50715,RELEASE OF URETER,,,1046.52,6577.09,18
CPT,50722,RELEASE OF URETER,,,884.57,2118.98,15
CPT,50725,RELEASE/REVISE URETER,,,902.79,2561.83,15
CPT,50727,REVISE URETER,,,512.63,4384.72,17
CPT,50728,REVISE URETER,,,620.47,4384.72,15
CPT,50740,FUSION OF URETER & KIDNEY,,,1040.86,3821.85,18
CPT,50750,FUSION OF URETER & KIDNEY,,,1011.23,3557.24,18
CPT,50760,URETEROURETEROSTOMY,,,902.79,3842.75,18
CPT,50770,SPLICING OF URETERS,,,1011.23,2371.49,15
CPT,50780,REIMPLANT URETER IN BLADDER,,,970.4,6577.09,18
CPT,50782,REIMPLANT URETER IN BLADDER,,,943.67,3317.52,18
CPT,50783,REIMPLANT URETER IN BLADDER,,,988.48,3477.33,18
CPT,50785,REIMPLANT URETER IN BLADDER,,,1061.64,6577.09,18
CPT,50800,IMPLANT URETER IN BOWEL,,,813.29,2854.71,18
CPT,50810,FUSION OF URETER & BOWEL,,,1197.41,2924.93,15
CPT,50815,URINE SHUNT TO INTESTINE,,,1075.94,3781.38,18
CPT,50820,CONSTRUCT BOWEL BLADDER,,,1148.67,6577.09,18
CPT,50825,CONSTRUCT BOWEL BLADDER,,,1440.19,3379.44,15
CPT,50830,REVISE URINE FLOW,,,1573.41,3694.21,15
CPT,50840,REPLACE URETER BY BOWEL,,,1081.94,3801.09,18
CPT,50845,APPENDICO-VESICOSTOMY,,,1104.8,4384.72,15
CPT,50860,TRANSPLANT URETER TO SKIN,,,832.48,3842.75,18
CPT,50900,REPAIR OF URETER,,,743.88,2610.86,18
CPT,50920,CLOSURE URETER/SKIN FISTULA,,,777.44,1819.43,15
CPT,50930,CLOSURE URETER/BOWEL FISTULA,,,966.38,2264.95,15
CPT,50940,RELEASE OF URETER,,,782.47,2746.79,18
CPT,50945,LAPAROSCOPY URETEROLITHOTOMY,,,960.34,10885.82,20
CPT,50947,LAPARO NEW URETER/BLADDER,,,1368.12,19420.47,20
CPT,50948,LAPARO NEW URETER/BLADDER,,,1254.61,19420.47,20
CPT,50949,UNLISTED LAPS PX URETER,,,2557.45,10885.82,16
CPT,50951,ENDOSCOPY OF URETER,,,301.25,6577.09,20
CPT,50953,ENDOSCOPY OF URETER,,,320.23,6577.09,20
CPT,50955,URETER ENDOSCOPY & BIOPSY,,,345.52,9762.11,20
CPT,50957,URETER ENDOSCOPY & TREATMENT,,,347.19,9762.11,20
CPT,50961,URETER ENDOSCOPY & TREATMENT,,,311.24,9762.11,20
CPT,50970,URETER ENDOSCOPY,,,363.17,6577.09,20
CPT,50972,URETER ENDOSCOPY & CATHETER,,,350.52,6577.09,20
CPT,50974,URETER ENDOSCOPY & BIOPSY,,,463.36,9762.11,20
CPT,50976,URETER ENDOSCOPY & TREATMENT,,,457.04,9762.11,20
CPT,50980,URETER ENDOSCOPY & TREATMENT,,,348.85,9762.11,20
CPT,51020,CYSTOTOMY/CYSTOSTOMY W/FULG,,,471.35,4384.72,17
CPT,51030,Outpatient Services - CPT/HCPCS,,,1545.18,4384.72,5
CPT,51030,Therapy,,,474.68,474.68,4
CPT,51040,ED 51040 CYSTOSTOMY WDRN,7758.0,6206.4,292.93,6982.2,36
CPT,51045,INCISE BLADDER/DRAIN URETER,,,498.65,2561.83,17
CPT,51050,REMOVAL OF BLADDER STONE,,,472.02,6508.07,17
CPT,51060,REMOVAL OF URETER STONE,,,582.2,2561.83,17
CPT,51065,REMOVE URETER CALCULUS,,,579.54,4384.72,17
CPT,51080,DRAINAGE OF BLADDER ABSCESS,,,409.77,3573.89,17
CPT,51100,ED 51100 ASP BLADDER NEEDLE,1008.0,806.4,38.61,907.2,36
CPT,51101,DRAIN BLADDER BY TROCAR/CATH,,,50.26,1315.04,17
CPT,51102,ED 51102 DRN BLADDER WCATH INSERT,5009.0,4007.2,140.47,4508.1,36
CPT,51102,SURG 51102 ASP BLADDER W INSERT SUPR CATH,5009.0,4007.2,140.47,4508.1,36
CPT,51500,REMOVAL OF BLADDER CYST,,,635.46,7257.21,17
CPT,51520,REMOVAL OF BLADDER LESION,,,594.51,4384.72,17
CPT,51525,REMOVAL OF BLADDER LESION,,,755.19,4384.72,15
CPT,51530,REMOVAL OF BLADDER LESION,,,680.05,4384.72,15
CPT,51535,REPAIR OF URETER LESION,,,774.93,6577.09,20
CPT,51550,PARTIAL REMOVAL OF BLADDER,,,842.76,4384.72,15
CPT,51555,PARTIAL REMOVAL OF BLADDER,,,1102.82,4384.72,15
CPT,51565,REVISE BLADDER & URETER(S),,,1129.99,2648.9,15
CPT,51570,REMOVAL OF BLADDER,,,1284.6,4384.72,15
CPT,51575,REMOVAL OF BLADDER & NODES,,,1545.18,4384.72,15
CPT,51580,REMOVE BLADDER/REVISE TRACT,,,1656.57,3889.3,15
CPT,51585,REMOVAL OF BLADDER & NODES,,,1841.17,4323.06,15
CPT,51590,REMOVE BLADDER/REVISE TRACT,,,1545.18,4384.72,15
CPT,51595,REMOVE BLADDER/REVISE TRACT,,,1545.18,4384.72,15
CPT,51596,REMOVE BLADDER/CREATE POUCH,,,2054.88,4826.0,15
CPT,51597,REMOVAL OF PELVIC STRUCTURES,,,2000.24,4714.62,15
CPT,51600,SURG 51600 CYSTOGRAPHY INJ,1632.0,1305.6,1.0,1468.8,34
CPT,51605,PREPARATION FOR BLADDER XRAY,,,1.0,38.28,15
CPT,51610,SURG 51610 INJ RETROGRADE URETHROCSTOGRAPY,1076.0,860.8,1.0,968.4,34
CPT,51700,ED 51700 BLADDER IRRIGATION,526.0,420.8,29.63,473.4,36
CPT,51700,SURG 51700 SURG BLADDER IRRIGATION SIMPLE,526.0,420.8,29.63,473.4,36
CPT,51701,ED 51701 INSERT NON-INDWELLING BLADDER CATH,303.0,242.4,25.3,272.7,36
CPT,51701,SURG 51701 INSERT NON-NDWELLG BLADDER CATHETER,303.0,242.4,25.3,272.7,36
CPT,51702,ED 51702 INSERT BLADDER CATH TEMP SMPL,331.0,264.8,24.97,297.9,36
CPT,51702,SURG 51702 INSERT TEMP NDWELLG BLADDER CATHETER SIMPLE,331.0,264.8,24.97,297.9,36
CPT,51702,TX RM 51702 INSERT TEMP INDEWELLING CATH/SIMPLE,331.0,264.8,24.97,297.9,36
CPT,51703,ED 51703 INSERT BLADDER CATH TEMP CMPLX,331.0,264.8,69.23,297.9,36
CPT,51703,SURG 51703 FOLEY CATH COMPLICATED,331.0,264.8,69.23,297.9,36
CPT,51705,ED 51705 CHANGE CYSTOSTOMY TUBE SMPL,526.0,420.8,51.26,473.4,36
CPT,51705,TX RM 51705 CHANGE OF BLADDER TUBE,526.0,420.8,51.26,473.4,36
CPT,51710,SURG 51710 CHG CYSTSTMY TUBE COMP,2153.0,1722.4,79.56,1937.7,36
CPT,51715,ENDOSCOPIC INJECTION/IMPLANT,,,197.06,4384.72,17
CPT,51720,SURG 51720 CHEMO BLADDER INSTILL,659.0,527.2,42.94,859.19,36
CPT,51720,TX RM 51720 CHEMO BLADDER INSTILL,659.0,527.2,42.94,859.19,36
CPT,51721,INS TRURL ABLT TRNSDC THR US,,,489.85,541.42,8
CPT,51725,SIMPLE CYSTOMETROGRAM,,,109.54,310.84,17
CPT,51726,COMPLEX CYSTOMETROGRAM,,,109.54,310.84,17
CPT,51727,CYSTOMETROGRAM W/UP,,,302.78,859.19,17
CPT,51728,SURG 51728 COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,1356.0,1084.8,302.78,1220.4,36
CPT,51729,CYSTOMETROGRAM W/VP&UP,,,302.78,859.19,17
CPT,51736,URINE FLOW MEASUREMENT,,,13.65,160.67,17
CPT,51741,ELECTRO-UROFLOWMETRY FIRST,,,14.31,394.78,17
CPT,51784,EMG STDS ANAL/URTL SPHNCTR OTHER THAN NEEDLE,459.0,367.2,64.24,413.1,36
CPT,51785,EMG NDL ANAL URETHRL SPHINCTER,950.0,760.0,109.54,855.0,36
CPT,51792,URINARY REFLEX STUDY,,,27.11,273.62,17
CPT,51797,SURG 51797 VOID PRESSURE STUDIES INTRAABDOMINAL,525.0,420.0,1.0,472.5,34
CPT,51798,BLADDER SCAN,250.0,200.0,11.32,225.0,36
CPT,51798,ED 51798 BLADDER SCAN,250.0,200.0,11.32,225.0,36
CPT,51800,REVISION OF BLADDER/URETHRA,,,912.38,4384.72,15
CPT,51820,REVISION OF URINARY TRACT,,,954.61,2235.21,15
CPT,51840,ATTACH BLADDER/URETHRA,,,612.42,5213.01,17
CPT,51841,ATTACH BLADDER/URETHRA,,,710.78,4384.72,15
CPT,51845,REPAIR BLADDER NECK,,,580.87,6255.96,17
CPT,51860,REPAIR OF BLADDER WOUND,,,743.64,11586.83,17
CPT,51865,REPAIR OF BLADDER WOUND,,,784.63,4384.72,15
CPT,51880,REPAIR OF BLADDER OPENING,,,466.03,4384.72,17
CPT,51900,REPAIR BLADDER/VAGINA LESION,,,728.28,3932.21,15
CPT,51920,CLOSE BLADDER-UTERUS FISTULA,,,675.51,1578.69,15
CPT,51925,HYSTERECTOMY/BLADDER REPAIR,,,937.03,2242.82,15
CPT,51940,CORRECTION OF BLADDER DEFECT,,,1433.74,3366.3,15
CPT,51960,REVISION OF BLADDER & BOWEL,,,1213.96,4384.72,15
CPT,51980,CONSTRUCT BLADDER OPENING,,,631.2,4384.72,15
CPT,51990,LAPARO URETHRAL SUSPENSION,,,739.65,7257.21,17
CPT,51992,LAPARO SLING OPERATION,,,834.18,7257.21,17
CPT,51999,UNLISTED LAPS PX BLADDER,,,2557.45,7257.21,13
CPT,52000,ED 52000 CYSTOURETHROSCOPY,1907.0,1525.6,79.22,1716.3,36
CPT,52001,CYSTO W/IRRG&EVAC MLT CLOTS,,,281.95,4384.72,17
CPT,52005,ED 52005 CYSTO BLADDER W/URETERAL CATHETERIZATION,4864.0,3891.2,131.49,4377.6,36
CPT,52007,CYSTO URTRL CATHJ BRUSH BX,,,163.77,6577.09,20
CPT,52010,SURG 52010 CYSTOURETHROSCOPY SURG,1228.0,982.4,162.78,1105.2,36
CPT,52204,CYSTOSCOPY W/BIOPSY(S),,,139.47,2561.83,17
CPT,52214,CYSTOSCOPY AND TREATMENT,,,171.43,4384.72,17
CPT,52224,CYSTOSCOPY AND TREATMENT,,,198.39,4384.72,17
CPT,52234,CYSTOSCOPY AND TREATMENT,,,241.33,4384.72,17
CPT,52235,CYSTOSCOPY AND TREATMENT,,,283.28,4384.72,17
CPT,52240,CYSTOSCOPY AND TREATMENT,,,384.47,6508.07,17
CPT,52250,CYSTOSCOPY AND RADIOTRACER,,,234.68,4384.72,17
CPT,52260,CYSTOSCOPY AND TREATMENT,,,207.05,2561.83,17
CPT,52265,CYSTOSCOPY AND TREATMENT,,,160.11,2561.83,17
CPT,52270,CYSTOSCOPY & REVISE URETHRA,,,178.42,2561.83,17
CPT,52275,CYSTOSCOPY & REVISE URETHRA,,,243.66,2561.83,17
CPT,52276,CYSTOSCOPY AND TREATMENT,,,259.31,2561.83,17
CPT,52277,CYSTOSCOPY AND TREATMENT,,,316.9,4384.72,17
CPT,52281,ED 52281 CYSTE WCLIB DIL URTH STEN,4528.0,3622.4,149.79,4075.2,36
CPT,52282,CYSTOSCOPY IMPLANT STENT,,,330.88,4384.72,17
CPT,52283,CYSTOSCOPY AND TREATMENT,,,198.06,2561.83,17
CPT,52284,CYSTO RX BALO CATH URTL STRX,,,161.78,6508.07,15
CPT,52285,CYSTOSCOPY AND TREATMENT,,,193.07,859.19,17
CPT,52287,CYSTOSCOPY CHEMODENERVATION,,,166.1,2561.83,17
CPT,52290,CYSTOSCOPY AND TREATMENT,,,239.0,2561.83,17
CPT,52300,CYSTOSCOPY AND TREATMENT,,,274.62,4384.72,17
CPT,52301,CYSTOSCOPY AND TREATMENT,,,284.61,4384.72,17
CPT,52305,CYSTOSCOPY AND TREATMENT,,,272.62,6508.07,17
CPT,52310,ED 52310 CYSTOURCOPY WREMV FB SMPL,5070.0,4056.0,149.13,4563.0,36
CPT,52315,CYSTOSCOPY AND TREATMENT,,,269.3,2561.83,17
CPT,52317,REMOVE BLADDER STONE,,,339.53,4384.72,17
CPT,52318,REMOVE BLADDER STONE,,,464.03,4384.72,17
CPT,52320,CYSTOSCOPY AND TREATMENT,,,241.33,6577.09,20
CPT,52325,CYSTOSCOPY STONE REMOVAL,,,313.57,9762.11,20
CPT,52327,CYSTOSCOPY INJECT MATERIAL,,,253.65,9762.11,20
CPT,52330,CYSTOSCOPY AND TREATMENT,,,258.31,6577.09,20
CPT,52332,CYSTOSCOPY AND TREATMENT,,,153.12,6577.09,20
CPT,52334,CREATE PASSAGE TO KIDNEY,,,179.42,4384.72,17
CPT,52341,ED 52341 CYSTOURETHROSCOPY W TX OF URETERAL STRICTURE,5558.0,4446.4,278.95,6577.09,39
CPT,52342,CYSTO W/UP STRICTURE TX,,,303.58,6577.09,20
CPT,52343,CYSTO W/RENAL STRICTURE TX,,,337.2,6577.09,20
CPT,52344,CYSTO/URETERO STRICTURE TX,,,362.5,6577.09,20
CPT,52345,CYSTO/URETERO W/UP STRICTURE,,,386.8,6577.09,20
CPT,52346,CYSTOURETERO W/RENAL STRICT,,,437.4,9762.11,20
CPT,52351,CYSTOURETERO & OR PYELOSCOPE,,,297.26,4384.72,17
CPT,52352,CYSTOURETERO W/STONE REMOVE,,,347.19,6577.09,20
CPT,52353,CYSTOURETERO W/LITHOTRIPSY,,,384.14,9762.11,20
CPT,52354,CYSTOURETERO W/BIOPSY,,,408.77,9762.11,20
CPT,52355,CYSTOURETERO W/EXCISE TUMOR,,,458.04,9762.11,20
CPT,52356,CYSTO/URETERO W/LITHOTRIPSY,,,407.44,9762.11,20
CPT,52400,CYSTO CGEN POST URTL VALVES,,,473.68,4384.72,17
CPT,52402,CYSTO TRURL RESCJ EJACUL DUX,,,259.98,4384.72,17
CPT,52441,CYSTO INSJ TRNSPRSTC 1 IMPLT,,,205.72,2561.83,15
CPT,52442,CYSTO INS TRNSPRSTC IMPLT EA,,,49.6,4384.72,15
CPT,52450,TRANSURETHRAL INC PROSTATE,,,475.35,4384.72,17
CPT,52500,TRURL RESECTION BLADDER NECK,,,493.32,4384.72,17
CPT,52601,PROSTATECTOMY (TURP),,,723.34,6508.07,17
CPT,52630,REMOVE PROSTATE REGROWTH,,,406.11,6508.07,17
CPT,52640,RELIEVE BLADDER CONTRACTURE,,,324.22,4384.72,17
CPT,52647,Outpatient Services,,,4829.44,5337.8,8
CPT,52647,Outpatient Services - CPT/HCPCS,,,2293.45,6508.07,5
CPT,52647,Therapy,,,647.44,647.44,4
CPT,52648,LASER SURGERY OF PROSTATE,,,689.72,6508.07,17
CPT,52649,PROSTATE LASER ENUCLEATION,,,820.2,6508.07,17
CPT,52700,DRAINAGE OF PROSTATE ABSCESS,,,442.39,4384.72,17
CPT,53000,INCISION OF URETHRA,,,148.8,2561.83,17
CPT,53010,INCISION OF URETHRA,,,298.92,6508.07,17
CPT,53020,INCISION OF URETHRA,,,95.54,2561.83,17
CPT,53025,INCISION OF URETHRA,,,68.24,2561.83,17
CPT,53040,DRAINAGE OF URETHRA ABSCESS,,,392.46,4384.72,17
CPT,53060,DRAINAGE OF URETHRA ABSCESS,,,166.44,2561.83,17
CPT,53080,DRAINAGE OF URINARY LEAKAGE,,,302.78,859.19,17
CPT,53085,DRAINAGE OF URINARY LEAKAGE,,,646.11,2561.83,17
CPT,53200,BIOPSY OF URETHRA,,,140.81,2561.83,17
CPT,53210,REMOVAL OF URETHRA,,,772.27,4384.72,17
CPT,53215,REMOVAL OF URETHRA,,,918.74,6508.07,17
CPT,53220,TREATMENT OF URETHRA LESION,,,452.04,4384.72,17
CPT,53230,REMOVAL OF URETHRA LESION,,,609.16,6508.07,17
CPT,53235,REMOVAL OF URETHRA LESION,,,632.46,6508.07,17
CPT,53240,SURGERY FOR URETHRA POUCH,,,425.41,4384.72,17
CPT,53250,REMOVAL OF URETHRA GLAND,,,396.79,4384.72,17
CPT,53260,TREATMENT OF URETHRA LESION,,,181.42,4384.72,17
CPT,53265,TREATMENT OF URETHRA LESION,,,188.74,2561.83,17
CPT,53270,REMOVAL OF URETHRA GLAND,,,184.75,4384.72,17
CPT,53275,REPAIR OF URETHRA DEFECT,,,261.97,4384.72,17
CPT,53400,REVISE URETHRA STAGE 1,,,795.57,6508.07,17
CPT,53405,REVISE URETHRA STAGE 2,,,867.14,6508.07,17
CPT,53410,RECONSTRUCTION OF URETHRA,,,972.0,6508.07,17
CPT,53415,RECONSTRUCTION OF URETHRA,,,991.05,6508.07,15
CPT,53420,RECONSTRUCT URETHRA STAGE 1,,,834.52,6508.07,17
CPT,53425,RECONSTRUCT URETHRA STAGE 2,,,928.06,6508.07,17
CPT,53430,RECONSTRUCTION OF URETHRA,,,968.0,6508.07,17
CPT,53431,RECONSTRUCT URETHRA/BLADDER,,,1141.1,6508.07,17
CPT,53440,MALE SLING PROCEDURE,,,748.97,16145.61,17
CPT,53442,REMOVE/REVISE MALE SLING,,,783.25,6508.07,17
CPT,53444,INSERT TANDEM CUFF,,,788.58,25371.18,17
CPT,53445,INSERT URO/VES NCK SPHINCTER,,,754.29,25371.18,17
CPT,53446,REMOVE URO SPHINCTER,,,641.12,6508.07,17
CPT,53447,REMOVE/REPLACE UR SPHINCTER,,,801.56,25371.18,17
CPT,53448,REMOV/REPLC UR SPHINCTR COMP,,,1119.38,6508.07,15
CPT,53449,REPAIR URO SPHINCTER,,,611.16,11586.83,17
CPT,53450,REVISION OF URETHRA,,,409.44,4384.72,17
CPT,53451,TPRNL BALO CNTNC DEV BI,,,5689.72,16145.61,13
CPT,53452,TPRNL BALO CNTNC DEV UNI,,,4083.21,11586.83,13
CPT,53453,TPRNL BALO CNTNC DEV RMVL EA,,,1545.18,4384.72,13
CPT,53454,TPRNL BALO CNTNC DEV ADJMT,,,109.54,310.84,13
CPT,53460,REVISION OF URETHRA,,,458.04,4384.72,17
CPT,53500,URETHRLYS TRANSVAG W/ SCOPE,,,746.31,4384.72,17
CPT,53502,REPAIR OF URETHRA INJURY,,,486.33,4384.72,17
CPT,53505,REPAIR OF URETHRA INJURY,,,486.0,6508.07,17
CPT,53510,REPAIR OF URETHRA INJURY,,,630.8,6508.07,17
CPT,53515,REPAIR OF URETHRA INJURY,,,790.25,6508.07,17
CPT,53520,REPAIR OF URETHRA DEFECT,,,558.9,6508.07,17
CPT,53600,ED 53600 DILATION URETHRA MALE,706.0,564.8,62.58,635.4,36
CPT,53601,DILATE URETHRA STRICTURE,,,52.59,160.67,17
CPT,53605,DILATE URETHRA STRICTURE,,,62.91,4384.72,17
CPT,53620,ED 53620 DLTION URTHRA STR WFILFRM,2739.0,2191.2,85.88,2465.1,36
CPT,53621,DILATE URETHRA STRICTURE,,,70.9,310.84,17
CPT,53660,DILATION OF URETHRA,,,41.28,196.46,17
CPT,53661,DILATION OF URETHRA,,,39.94,160.67,17
CPT,53665,DILATION OF URETHRA,,,37.28,2561.83,17
CPT,53850,PROSTATIC MICROWAVE THERMOTX,,,356.84,4384.72,17
CPT,53852,PROSTATIC RF THERMOTX,,,382.14,4384.72,17
CPT,53854,TRURL DSTRJ PRST8 TISS RF WV,,,382.14,4384.72,17
CPT,53855,INSERT PROST URETHRAL STENT,,,80.56,2561.83,17
CPT,53860,TRANSURETHRAL RF TREATMENT,,,221.69,2561.83,15
CPT,53865,CYSTO INSJ DEV ISCHMC RMDLG,,,8784.79,9709.51,8
CPT,53866,CATHJ RMVL DEV ISCHMC RMDLG,,,231.05,255.37,8
CPT,53899,SURG 53899 UNLISTED PROCEDURE URINARY SYSTEM,496.0,396.8,109.54,446.4,36
CPT,54000,SLITTING OF PREPUCE,,,111.51,4384.72,17
CPT,54001,ED 54001 SLITTING OF PREPUCE,5842.0,4673.6,140.81,5257.8,36
CPT,54015,I&D PENIS DEEP,,,303.58,2039.17,17
CPT,54050,DESTRUCTION PENIS LESION(S),,,107.52,501.53,17
CPT,54055,DESTRUCTION PENIS LESION(S),,,96.53,2293.66,17
CPT,54056,CRYOSURGERY PENIS LESION(S),,,88.73,251.79,17
CPT,54057,LASER SURG PENIS LESION(S),,,98.53,2293.66,17
CPT,54060,EXCISION OF PENIS LESION(S),,,132.15,2293.66,17
CPT,54065,DESTRUCTION PENIS LESION(S),,,172.1,2293.66,17
CPT,54100,BIOPSY OF PENIS,,,120.83,2039.17,17
CPT,54105,BIOPSY OF PENIS,,,212.71,3573.89,17
CPT,54110,TREATMENT OF PENIS LESION,,,622.48,4384.72,17
CPT,54111,TREAT PENIS LESION GRAFT,,,793.91,6508.07,17
CPT,54112,TREAT PENIS LESION GRAFT,,,930.39,11586.83,17
CPT,54115,TREATMENT OF PENIS LESION,,,427.74,3573.89,17
CPT,54120,PARTIAL REMOVAL OF PENIS,,,631.13,4384.72,17
CPT,54125,REMOVAL OF PENIS,,,729.07,4384.72,15
CPT,54130,REMOVE PENIS & NODES,,,1048.13,4384.72,15
CPT,54135,REMOVE PENIS & NODES,,,1321.74,3102.03,15
CPT,54150,CIRCUMCISION W/REGIONL BLOCK,,,94.87,2561.83,17
CPT,54160,CIRCUMCISION NEONATE,,,145.13,859.19,17
CPT,54161,CIRCUM 28 DAYS OR OLDER,,,197.06,2561.83,17
CPT,54162,TX RM 54162 PENILE LYSIS  DEEP SEDATION,6653.0,5322.4,200.39,5987.7,36
CPT,54163,REPAIR OF CIRCUMCISION,,,220.03,2561.83,17
CPT,54164,FRENULOTOMY OF PENIS,,,195.4,2561.83,17
CPT,54200,INJECTION PX PEYRONIE DS,,,87.88,310.84,17
CPT,54205,NJX PX PEYRONIE DS EXPS PLAQ,,,532.27,6508.07,17
CPT,54220,ED 54220 CORPORA CAVERNOSA,541.0,432.8,109.54,486.9,36
CPT,54230,SURG 54230 INJ CORPORA CAV,786.0,628.8,1.0,707.4,34
CPT,54231,DYNAMIC CAVERNOSOMETRY,,,109.54,310.84,17
CPT,54235,ED 54235 PENILE INJECTION,504.0,403.2,73.57,453.6,36
CPT,54240,PENILE PLETHYSMOGRAPHY,,,107.19,394.78,17
CPT,54250,NCTRNL PEN TMSCN&/RGDITY TST,,,109.54,310.84,17
CPT,54300,REVISION OF PENIS,,,643.11,4384.72,17
CPT,54304,REVISION OF PENIS,,,743.64,4384.72,17
CPT,54308,RECONSTRUCTION OF URETHRA,,,713.02,6508.07,17
CPT,54312,RECONSTRUCTION OF URETHRA,,,813.88,4384.72,17
CPT,54316,RECONSTRUCTION OF URETHRA,,,986.31,11586.83,17
CPT,54318,RECONSTRUCTION OF URETHRA,,,709.36,4384.72,17
CPT,54322,RECONSTRUCTION OF URETHRA,,,776.26,4384.72,17
CPT,54324,RECONSTRUCTION OF URETHRA,,,960.68,4384.72,17
CPT,54326,RECONSTRUCTION OF URETHRA,,,935.38,4384.72,17
CPT,54328,REVISE PENIS/URETHRA,,,929.39,4384.72,17
CPT,54332,REVISE PENIS/URETHRA,,,1001.62,4384.72,17
CPT,54336,REVISE PENIS/URETHRA,,,1177.38,4384.72,17
CPT,54340,RPR HYPSPAD COMP SIMPLE,,,568.88,4384.72,17
CPT,54344,RRP HYPSPAD COMP MOBLJ&URTP,,,937.38,11586.83,17
CPT,54348,RPR HYPSPAD COMP DSJ & URTP,,,1001.95,6508.07,17
CPT,54352,REVJ PRIOR HYPSPAD REPAIR,,,1398.41,6508.07,17
CPT,54360,PENIS PLASTIC SURGERY,,,717.68,4384.72,17
CPT,54380,REPAIR PENIS,,,794.91,2561.83,17
CPT,54385,REPAIR PENIS,,,902.79,2561.83,17
CPT,54390,REPAIR PENIS AND BLADDER,,,1089.79,4384.72,15
CPT,54400,INSERT SEMI-RIGID PROSTHESIS,,,531.27,16145.61,17
CPT,54401,INSERT SELF-CONTD PROSTHESIS,,,666.08,25371.18,17
CPT,54405,INSERT MULTI-COMP PENIS PROS,,,802.89,25371.18,17
CPT,54406,REMOVE MUTI-COMP PENIS PROS,,,728.33,4384.72,17
CPT,54408,REPAIR MULTI-COMP PENIS PROS,,,787.58,6508.07,17
CPT,54410,REMOVE/REPLACE PENIS PROSTH,,,859.15,25371.18,17
CPT,54411,REMOV/REPLC PENIS PROS COMP,,,1021.93,25371.18,17
CPT,54415,REMOVE SELF-CONTD PENIS PROS,,,532.6,4384.72,17
CPT,54416,REMV/REPL PENIS CONTAIN PROS,,,716.35,25371.18,17
CPT,54417,REMV/REPLC PENIS PROS COMPL,,,893.44,16145.61,17
CPT,54420,ED 54420 SHUNT CORP CAV SAPH,6292.0,5033.6,699.7,5662.8,36
CPT,54430,REVISION OF PENIS,,,109.54,637.12,15
CPT,54435,REVISION OF PENIS,,,415.1,4384.72,17
CPT,54437,REPAIR CORPOREAL TEAR,,,677.73,4384.72,17
CPT,54438,Outpatient Services - CPT/HCPCS,,,2749.91,2749.91,3
CPT,54438,Therapy,,,1323.18,1323.18,4
CPT,54440,REPAIR OF PENIS,,,1545.18,4384.72,13
CPT,54450,ED 54450 PREPUTIAL STRETCHING,922.0,737.6,56.26,829.8,36
CPT,54500,BIOPSY OF TESTIS,,,73.9,5360.84,20
CPT,54505,BIOPSY OF TESTIS,,,209.05,6577.09,20
CPT,54512,EXCISE LESION TESTIS,,,536.93,6577.09,20
CPT,54520,REMOVAL OF TESTIS,,,329.21,6577.09,20
CPT,54522,ORCHIECTOMY PARTIAL,,,585.86,6577.09,20
CPT,54530,REMOVAL OF TESTIS,,,509.3,6527.13,20
CPT,54535,EXTENSIVE TESTIS SURGERY,,,740.98,6577.09,20
CPT,54550,EXPLORATION FOR TESTIS,,,491.66,6527.13,20
CPT,54560,EXPLORATION FOR TESTIS,,,684.72,3842.75,20
CPT,54600,REDUCE TESTIS TORSION,,,453.38,6577.09,20
CPT,54620,SUSPENSION OF TESTIS,,,297.26,6577.09,20
CPT,54640,ORCHIOPEXY INGUN/SCROT APPR,,,430.07,6527.13,20
CPT,54650,ORCHIOPEXY (FOWLER-STEPHENS),,,710.36,6527.13,20
CPT,54660,REVISION OF TESTIS,,,359.84,9762.11,20
CPT,54670,REPAIR TESTIS INJURY,,,410.1,6577.09,20
CPT,54680,RELOCATION OF TESTIS(ES),,,782.92,6577.09,20
CPT,54690,LAPAROSCOPY ORCHIECTOMY,,,652.44,10885.82,20
CPT,54692,LAPAROSCOPY ORCHIOPEXY,,,750.3,10885.82,20
CPT,54699,UNLISTED LAPS PX TESTIS,,,2557.45,10885.82,16
CPT,54700,ED 54700 I&D EPIDIDYMIS TESTIS,6187.0,4949.6,213.37,5568.3,39
CPT,54800,BIOPSY OF EPIDIDYMIS,,,124.16,3058.77,20
CPT,54830,REMOVE EPIDIDYMIS LESION,,,373.82,6577.09,20
CPT,54840,REMOVE EPIDIDYMIS LESION,,,322.89,3842.75,20
CPT,54860,REMOVAL OF EPIDIDYMIS,,,419.76,4384.72,17
CPT,54861,REMOVAL OF EPIDIDYMIS,,,568.22,4384.72,17
CPT,54865,EXPLORE EPIDIDYMIS,,,361.5,4384.72,17
CPT,54900,FUSION OF SPERMATIC DUCTS,,,795.9,2561.83,17
CPT,54901,FUSION OF SPERMATIC DUCTS,,,1049.55,4384.72,17
CPT,55000,SURG 55000 PUNCTURE ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED,1148.0,918.4,84.22,1327.38,39
CPT,55040,REMOVAL OF HYDROCELE,,,339.87,4351.41,17
CPT,55041,REMOVAL OF HYDROCELES,,,512.29,4351.41,17
CPT,55060,REPAIR OF HYDROCELE,,,380.81,6577.09,20
CPT,55100,ED 55100 DRN SCROTUM ABSCESS,2587.0,2069.6,168.77,2328.3,36
CPT,55100,SURG 55100 DRAINAGE SCROTAL WALL ABSCESS,2587.0,2069.6,168.77,2328.3,36
CPT,55110,EXPLORE SCROTUM,,,389.13,4384.72,17
CPT,55120,REMOVAL OF SCROTUM LESION,,,356.84,2561.83,17
CPT,55150,REMOVAL OF SCROTUM,,,493.65,4384.72,17
CPT,55175,REVISION OF SCROTUM,,,366.16,4384.72,17
CPT,55180,REVISION OF SCROTUM,,,687.05,6508.07,17
CPT,55200,INCISION OF SPERM DUCT,,,278.28,4384.72,17
CPT,55250,REMOVAL OF SPERM DUCT(S),,,230.68,2561.83,17
CPT,55300,PREPARE SPERM DUCT X-RAY,,,1.0,183.41,15
CPT,55400,REPAIR OF SPERM DUCT,,,499.65,6577.09,18
CPT,55500,REMOVAL OF HYDROCELE,,,393.13,6577.09,20
CPT,55520,REMOVAL OF SPERM CORD LESION,,,462.03,6577.09,20
CPT,55530,REVISE SPERMATIC CORD VEINS,,,353.18,6577.09,20
CPT,55535,REVISE SPERMATIC CORD VEINS,,,431.07,14273.46,20
CPT,55540,REVISE HERNIA & SPERM VEINS,,,558.9,6527.13,20
CPT,55550,LAPARO LIGATE SPERMATIC VEIN,,,430.41,10885.82,20
CPT,55559,UNLSTD LAPS PX SPRMATIC CORD,,,2557.45,10885.82,16
CPT,55600,VESICULOTOMY,,,422.75,3842.75,20
CPT,55605,VESICULOTOMY COMPLICATED,,,109.54,524.61,18
CPT,55650,REMOVE SPERM DUCT POUCH,,,109.54,715.35,18
CPT,55680,REMOVE SPERM POUCH LESION,,,348.19,6577.09,20
CPT,55700,Outpatient Services,,,1946.08,2150.94,8
CPT,55700,Outpatient Services - CPT/HCPCS,,,902.79,2561.83,5
CPT,55700,Therapy,,,128.49,128.49,4
CPT,55705,BX PRST8 ANY APPROACH NONIMG,,,263.64,4384.72,17
CPT,55706,BX PRST8 NDL SAT SAMPLING,,,374.82,4384.72,17
CPT,55713,SURG 55713 BX PROSTATE INBORE CT MRI BX ADDL TRGT LES 1ST,5612.0,4489.6,1484.37,5050.8,26
CPT,55720,DRAINAGE OF PROSTATE ABSCESS,,,452.04,4384.72,17
CPT,55725,DRAINAGE OF PROSTATE ABSCESS,,,595.51,4384.72,17
CPT,55801,REMOVAL OF PROSTATE,,,963.45,4384.72,15
CPT,55810,EXTENSIVE PROSTATE SURGERY,,,1144.95,4384.72,15
CPT,55812,EXTENSIVE PROSTATE SURGERY,,,1406.75,3301.27,15
CPT,55815,EXTENSIVE PROSTATE SURGERY,,,1539.24,4384.72,15
CPT,55821,REMOVAL OF PROSTATE,,,738.51,4384.72,15
CPT,55831,REMOVAL OF PROSTATE,,,756.85,4384.72,15
CPT,55840,EXTENSIVE PROSTATE SURGERY,,,1027.42,4384.72,15
CPT,55842,EXTENSIVE PROSTATE SURGERY,,,1026.1,4384.72,15
CPT,55845,EXTENSIVE PROSTATE SURGERY,,,1192.3,4384.72,15
CPT,55860,SURGICAL EXPOSURE PROSTATE,,,867.81,6508.07,17
CPT,55862,EXTENSIVE PROSTATE SURGERY,,,961.84,2254.58,15
CPT,55865,EXTENSIVE PROSTATE SURGERY,,,1170.42,2743.68,15
CPT,55866,LAPS SURG PRST8ECT RPBIC RAD,,,1182.7,12946.98,17
CPT,55867,LAPS SURG PRST8ECT SMPL STOT,,,1038.9,12946.98,15
CPT,55870,ELECTROEJACULATION,,,140.47,1011.14,17
CPT,55873,CRYOABLATE PROSTATE,,,760.29,11586.83,17
CPT,55874,TPRNL PLMT BIODEGRDABL MATRL,,,162.11,6508.07,17
CPT,55875,TRANSPERI NEEDLE PLACE PROS,,,775.93,6508.07,17
CPT,55876,SURG 55876 PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT,3546.0,2836.8,101.53,3191.4,36
CPT,55880,ABLTJ MAL PRST8 TISS HIFU,,,972.33,11586.83,17
CPT,55881,ABLT TRURL PRST8 TIS THRM US,,,8061.09,8909.63,8
CPT,55882,ABLT TRURL PRST8 TIS TRNSDCR,,,12342.8,13642.04,8
CPT,55899,UNLISTED PX MALE GENITAL SYS,,,109.54,310.84,13
CPT,55920,PLACE NEEDLES PELVIC FOR RT,,,456.7,6255.96,17
CPT,55970,SEX TRANSFORMATION M TO F,,,2204.61,6255.96,11
CPT,55980,SEX TRANSFORMATION F TO M,,,1545.18,4384.72,11
CPT,56405,ED 56405 I&D VULVA PERINEUM,641.0,512.8,128.16,576.9,36
CPT,56420,ED 56420 I&D BARTHOLINS GLAND ABSCESS,490.0,392.0,88.32,441.0,36
CPT,56420,SURG 56420 I&D OF BARTHOLINS GLAND ABSCESS,490.0,392.0,88.32,441.0,36
CPT,56440,ED 56440 MARSUP CYST BARTH'S GLAND,4143.0,3314.4,182.75,3932.21,36
CPT,56441,TX RM 56441 LYSIS LABIAL ADHESIONS,4434.0,3547.2,156.78,3990.6,36
CPT,56442,HYMENOTOMY,,,47.6,3932.21,17
CPT,56501,SURG 56501 DESTRUCTION LESIONS VULVA SIMPLE,5747.0,4597.6,134.81,5172.3,36
CPT,56515,DESTROY VULVA LESION/S COMPL,,,214.04,2293.66,17
CPT,56605,TX RM 56605 BX VULVA PERINEUM (SEP PROC) 1 LESN,2764.0,2211.2,58.92,2487.6,36
CPT,56606,BIOPSY OF VULVA/PERINEUM,,,1.0,36.7,15
CPT,56620,VULVECTOMY SIMPLE PARTIAL,,,592.85,3932.21,17
CPT,56625,VULVECTOMY SIMPLE COMPLETE,,,674.4,3932.21,17
CPT,56630,VULVECTOMY RADICAL PARTIAL,,,844.24,5213.01,17
CPT,56631,VLVCTMY RAD PRTL UNI LYMPHAD,,,1042.79,3932.21,15
CPT,56632,VLVCTMY RAD PRTL BI LYMPHAD,,,1262.22,3932.21,15
CPT,56633,VULVECTOMY RADICAL COMPLETE,,,1010.77,3932.21,15
CPT,56634,VLVCTMY RAD COMP UNI LYMPHAD,,,1139.49,3932.21,15
CPT,56637,VLVCTMY RAD COMP BI LYMPHAD,,,1332.89,3932.21,15
CPT,56640,VLVCTMY RAD COMP W/LYMPHADEC,,,1338.73,5898.32,18
CPT,56700,PRTL HYMNCTMY/REVJ HYMNL RNG,,,204.72,3932.21,17
CPT,56740,EXC BARTHOLINS GLAND/CYST,,,316.9,5898.32,20
CPT,56800,PLASTIC REPAIR INTROITUS,,,254.98,3932.21,17
CPT,56805,CLITOROPLASTY INTERSEX STATE,,,1168.72,3932.21,17
CPT,56810,PERINEOPLASTY RPR PER NONOB,,,274.95,3932.21,17
CPT,56820,TX RM 56820 COLPOSCOPY (VULVAR),236.0,188.8,79.06,250.63,36
CPT,56821,COLPOSCOPY VULVA W/BIOPSY,,,113.18,403.5,17
CPT,57000,COLPOTOMY W/EXPLORATION,,,203.39,3932.21,17
CPT,57010,COLPOTOMY DRG PEL ABSCESS,,,461.7,3932.21,17
CPT,57020,ED 57020 COLPOCENTESIS (SEP PROC),2912.0,2329.6,78.89,6255.96,36
CPT,57022,I&D VAGINAL HEMATOMA OB/PP,,,182.42,3573.89,17
CPT,57023,I&D VAGINAL HEMATOMA NON-OB,,,321.89,3573.89,17
CPT,57061,DESTRUCTION VAG LESIONS SMPL,,,116.51,3932.21,17
CPT,57065,DESTRUCTION VAG LESION XTNSV,,,187.41,3932.21,17
CPT,57100,ED 57100 BX VAGINAL MUCOSA SIMPLE,1452.0,1161.6,65.24,1306.8,36
CPT,57105,BIOPSY VAGINAL MUCOSA XTNSV,,,148.13,3932.21,17
CPT,57106,VAGNC PRTL RMVL VAG WALL,,,541.92,3932.21,17
CPT,57107,VAGNC COMPL RMVL PARAVAG TIS,,,1385.71,3932.21,17
CPT,57109,VAGNC BI TOTAL PEL LYMPHADEC,,,1385.71,3932.21,17
CPT,57110,VAGNC COMPL RMVL VAG WALL,,,787.51,3932.21,15
CPT,57111,VAGNC COMPL RMVL PARAVAG TIS,,,1385.71,3932.21,15
CPT,57120,COLPOCLEISIS LE FORT TYPE,,,534.26,6255.96,17
CPT,57130,EXCISION VAGINAL SEPTUM,,,174.43,3932.21,17
CPT,57135,EXCISION VAGINAL CYST/TUMOR,,,189.41,3932.21,17
CPT,57150,TREAT VAGINA INFECTION,,,25.63,76.93,17
CPT,57155,SURG 57155 INSERTION UTERINE TANDEM&/VAGINAL OVOIDS,5879.0,4703.2,282.28,6255.96,36
CPT,57156,SURG 57156 INSERTION VAGINAL RADIATION DEVICE,3732.0,2985.6,142.19,3358.8,36
CPT,57160,INSERT PESSARY/OTHER DEVICE,,,45.6,250.63,17
CPT,57170,FITTING OF DIAPHRAGM/CAP,,,46.94,250.63,17
CPT,57180,TREAT VAGINAL BLEEDING,,,88.32,250.63,17
CPT,57200,ED 57200 COLPOAPHY INJURY OF VAGINA,4493.0,3594.4,335.87,4043.7,36
CPT,57210,REPAIR VAGINA/PERINEUM,,,396.79,3932.21,17
CPT,57220,REVISION OF URETHRA,,,349.19,6255.96,17
CPT,57230,REPAIR OF URETHRAL LESION,,,422.75,3932.21,17
CPT,57240,ANTERIOR COLPORRHAPHY,,,616.15,6255.96,17
CPT,57250,REPAIR RECTUM & VAGINA,,,618.81,6255.96,17
CPT,57260,CMBN ANT PST COLPRHY,,,781.26,6255.96,17
CPT,57265,CMBN AP COLPRHY W/NTRCL RPR,,,873.46,6255.96,17
CPT,57267,INSERT MESH/PELVIC FLR ADDON,,,1.0,248.32,15
CPT,57268,REPAIR OF BOWEL BULGE,,,510.3,6255.96,17
CPT,57270,REPAIR OF BOWEL POUCH,,,88.73,816.21,15
CPT,57280,SUSPENSION OF VAGINA,,,843.19,3932.21,15
CPT,57282,COLPOPEXY EXTRAPERITONEAL,,,696.37,9504.25,17
CPT,57283,COLPOPEXY INTRAPERITONEAL,,,701.37,9504.25,17
CPT,57284,REPAIR PARAVAG DEFECT OPEN,,,834.18,6255.96,17
CPT,57285,REPAIR PARAVAG DEFECT VAG,,,694.71,9504.25,17
CPT,57287,REVISE/REMOVE SLING REPAIR,,,745.97,3932.21,17
CPT,57288,REPAIR BLADDER DEFECT,,,746.31,6255.96,17
CPT,57289,REPAIR BLADDER & VAGINA,,,797.9,9504.25,17
CPT,57291,CONSTRUCTION OF VAGINA,,,553.9,6255.96,17
CPT,57292,CONSTRUCT VAGINA WITH GRAFT,,,831.19,6255.96,17
CPT,57295,REVISE VAG GRAFT VIA VAGINA,,,504.64,3932.21,17
CPT,57296,REVISE VAG GRAFT OPEN ABD,,,832.82,3932.21,15
CPT,57300,REPAIR RECTUM-VAGINA FISTULA,,,617.48,3932.21,17
CPT,57305,REPAIR RECTUM-VAGINA FISTULA,,,523.05,1484.24,15
CPT,57307,FISTULA REPAIR & COLOSTOMY,,,953.6,2244.89,15
CPT,57308,FISTULA REPAIR TRANSPERINE,,,589.58,2293.66,15
CPT,57310,REPAIR URETHROVAGINAL LESION,,,495.32,9504.25,17
CPT,57311,REPAIR URETHROVAGINAL LESION,,,495.32,3932.21,15
CPT,57320,REPAIR BLADDER-VAGINA LESION,,,568.88,6255.96,17
CPT,57330,REPAIR BLADDER-VAGINA LESION,,,765.95,9504.25,17
CPT,57335,REPAIR VAGINA,,,1180.71,6255.96,17
CPT,57400,DILATION OF VAGINA,,,130.15,3932.21,17
CPT,57410,PELVIC EXAMINATION,,,106.19,3338.51,17
CPT,57415,REMOVE VAGINAL FOREIGN BODY,,,177.09,3932.21,17
CPT,57420,EXAM OF VAGINA W/SCOPE,,,89.54,403.5,17
CPT,57421,EXAM/BIOPSY OF VAG W/SCOPE,,,121.5,1011.14,17
CPT,57423,REPAIR PARAVAG DEFECT LAP,,,929.72,12946.98,17
CPT,57425,LAPAROSCOPY SURG COLPOPEXY,,,973.99,12946.98,17
CPT,57426,REVISE PROSTH VAG GRAFT LAP,,,876.46,9504.25,17
CPT,57452,ED 57452 COLPOSCOPY CERVIX INCL VAGINA,319.0,255.2,88.32,287.1,36
CPT,57452,TX RM 57452 COLPOSCOPY (VAGINAL),319.0,255.2,88.32,287.1,36
CPT,57454,BX/CURETT OF CERVIX W/SCOPE,,,133.48,403.5,17
CPT,57455,BIOPSY OF CERVIX W/SCOPE,,,108.18,403.5,17
CPT,57456,ENDOCERV CURETTAGE W/SCOPE,,,100.86,403.5,17
CPT,57460,BX OF CERVIX W/SCOPE LEEP,,,159.11,3932.21,17
CPT,57461,CONZ OF CERVIX W/SCOPE LEEP,,,182.08,3932.21,17
CPT,57465,CAM CERVIX UTERI DRG COLP,,,1.0,52.89,15
CPT,57500,ED 57500 BX OF CERVIX,1267.0,1013.6,75.23,1140.3,36
CPT,57505,ENDOCERVICAL CURETTAGE,,,110.51,1011.14,17
CPT,57510,CAUTERIZATION OF CERVIX,,,113.51,3932.21,17
CPT,57511,CRYOCAUTERY OF CERVIX,,,142.19,403.5,17
CPT,57513,LASER SURGERY OF CERVIX,,,148.13,3932.21,17
CPT,57520,CONIZATION OF CERVIX,,,299.59,3932.21,17
CPT,57522,CONIZATION OF CERVIX,,,257.65,3932.21,17
CPT,57530,REMOVAL OF CERVIX,,,378.15,6255.96,17
CPT,57531,REMOVAL OF CERVIX RADICAL,,,1519.51,6255.96,15
CPT,57540,REMOVAL OF RESIDUAL CERVIX,,,689.74,6255.96,15
CPT,57545,REMOVE CERVIX/REPAIR PELVIS,,,725.87,6255.96,15
CPT,57550,REMOVAL OF RESIDUAL CERVIX,,,436.07,6255.96,17
CPT,57555,REMOVE CERVIX/REPAIR VAGINA,,,622.81,6255.96,17
CPT,57556,REMOVE CERVIX REPAIR BOWEL,,,591.52,6255.96,17
CPT,57558,D&C OF CERVICAL STUMP,,,130.15,3932.21,17
CPT,57700,REVISION OF CERVIX,,,360.84,3932.21,17
CPT,57720,REVISION OF CERVIX,,,337.54,3932.21,17
CPT,57800,ED 57800 DILATE CANAL CERVICAL INSTRUMENTAL,4942.0,3953.6,48.27,4447.8,36
CPT,58100,ED 58100 ENDOMETRIAL BX,490.0,392.0,62.91,441.0,36
CPT,58100,TX RM 58100 BIOPSY ENDOMETRIAL SAMPLING W/O DILATATION,490.0,392.0,62.91,441.0,36
CPT,58110,BX DONE W/COLPOSCOPY ADD-ON,,,1.0,48.22,15
CPT,58120,ED 58120 D&C DIAGNOSTIC/THERAPEUTIC NON-OB,3849.0,3079.2,235.01,3932.21,36
CPT,58140,MYOMECTOMY ABDOM METHOD,,,801.18,6255.96,15
CPT,58145,MYOMECTOMY VAG METHOD,,,573.21,3932.21,17
CPT,58146,MYOMECTOMY ABDOM COMPLEX,,,1001.05,6255.96,15
CPT,58150,TOTAL HYSTERECTOMY,,,888.31,6255.96,15
CPT,58152,TOTAL HYSTERECTOMY,,,1073.31,6255.96,15
CPT,58180,PARTIAL HYSTERECTOMY,,,837.24,3932.21,15
CPT,58200,EXTENSIVE HYSTERECTOMY,,,1178.3,6255.96,15
CPT,58210,EXTENSIVE HYSTERECTOMY,,,1588.24,6255.96,15
CPT,58240,REMOVAL OF PELVIS CONTENTS,,,2204.61,6255.96,15
CPT,58260,VAGINAL HYSTERECTOMY,,,842.51,6255.96,17
CPT,58262,VAG HYST INCLUDING T/O,,,930.72,6255.96,17
CPT,58263,VAG HYST W/T/O & VAG REPAIR,,,997.29,6255.96,17
CPT,58267,VAG HYST W/URINARY REPAIR,,,929.76,3932.21,15
CPT,58270,VAG HYST W/ENTEROCELE REPAIR,,,897.1,6255.96,17
CPT,58275,HYSTERECTOMY/REVISE VAGINA,,,863.64,3932.21,15
CPT,58280,HYSTERECTOMY/REVISE VAGINA,,,920.8,3932.21,15
CPT,58285,EXTENSIVE HYSTERECTOMY,,,1245.02,3932.21,15
CPT,58290,VAG HYST COMPLEX,,,1153.08,9504.25,17
CPT,58291,VAG HYST INCL T/O COMPLEX,,,1245.29,6255.96,17
CPT,58292,VAG HYST T/O & REPAIR COMPL,,,1312.19,9504.25,17
CPT,58293,Outpatient Services - CPT/HCPCS,,,1385.71,3932.21,3
CPT,58294,VAG HYST W/ENTEROCELE COMPL,,,1218.66,6255.96,17
CPT,58300,ED 58300 INSERTION INTRAUTERINE DEVICE IUD,578.0,462.4,49.93,520.2,34
CPT,58300,TX RM 58300 INSERT INTRAUTERINE DEVICE,578.0,462.4,49.93,520.2,34
CPT,58301,ED 58301 REMV INTRAUTERINE DEVICE,629.0,503.2,65.91,566.1,36
CPT,58301,TX RM 58301 RMV DVC INTRAUTERINE,629.0,503.2,65.91,566.1,36
CPT,58321,ARTIFICIAL INSEMINATION,,,47.93,403.5,15
CPT,58322,ARTIFICIAL INSEMINATION,,,57.25,250.63,15
CPT,58323,SPERM WASHING,,,11.98,250.63,15
CPT,58340,SURG 58340 HYSTERO INJ CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI,813.0,650.4,1.0,731.7,34
CPT,58345,REOPEN FALLOPIAN TUBE,,,290.6,5898.32,20
CPT,58346,INSERT HEYMAN UTERI CAPSULE,,,497.32,6255.96,17
CPT,58350,REOPEN FALLOPIAN TUBE,,,95.87,9383.95,20
CPT,58353,ENDOMETR ABLATE THERMAL,,,232.01,6255.96,17
CPT,58356,ENDOMETRIAL CRYOABLATION,,,353.85,6255.96,17
CPT,58400,SUSPENSION OF UTERUS,,,407.81,3932.21,15
CPT,58410,SUSPENSION OF UTERUS,,,710.23,6255.96,15
CPT,58520,REPAIR OF RUPTURED UTERUS,,,695.69,6255.96,15
CPT,58540,REVISION OF UTERUS,,,797.68,6255.96,15
CPT,58541,LSH UTERUS 250 G OR LESS,,,733.66,12946.98,17
CPT,58542,LSH W/T/O UT 250 G OR LESS,,,832.85,12946.98,17
CPT,58543,LSH UTERUS ABOVE 250 G,,,845.84,12946.98,17
CPT,58544,LSH W/T/O UTERUS ABOVE 250 G,,,908.75,12946.98,17
CPT,58545,LAPAROSCOPIC MYOMECTOMY,,,905.09,7257.21,17
CPT,58546,LAPARO-MYOMECTOMY COMPLEX,,,1115.13,12946.98,17
CPT,58548,LAP RADICAL HYST,,,1641.69,6255.96,15
CPT,58550,LAPARO-ASST VAG HYSTERECTOMY,,,885.45,7257.21,17
CPT,58552,LAPARO-VAG HYST INCL T/O,,,983.31,12946.98,17
CPT,58553,LAPARO-VAG HYST COMPLEX,,,1121.46,12946.98,17
CPT,58554,LAPARO-VAG HYST W/T/O COMPL,,,1306.87,12946.98,17
CPT,58555,HYSTEROSCOPY DX SEP PROC,,,150.79,3932.21,17
CPT,58558,HYSTEROSCOPY BIOPSY,,,230.35,3932.21,17
CPT,58559,HYSTEROSCOPY LYSIS,,,282.61,6255.96,17
CPT,58560,HYSTEROSCOPY RESECT SEPTUM,,,311.24,6255.96,17
CPT,58561,HYSTEROSCOPY REMOVE MYOMA,,,356.18,6255.96,17
CPT,58562,HYSTEROSCOPY REMOVE FB,,,220.7,3932.21,17
CPT,58563,HYSTEROSCOPY ABLATION,,,244.66,6255.96,17
CPT,58565,HYSTEROSCOPY STERILIZATION,,,460.7,6255.96,17
CPT,58570,TLH UTERUS 250 G OR LESS,,,810.88,12946.98,17
CPT,58571,TLH W/T/O 250 G OR LESS,,,913.08,12946.98,17
CPT,58572,TLH UTERUS OVER 250 G,,,1017.27,12946.98,17
CPT,58573,TLH W/T/O UTERUS OVER 250 G,,,1222.32,12946.98,17
CPT,58575,LAPS TOT HYST RESJ MAL,,,1685.91,6255.96,15
CPT,58578,UNLISTED LAPS PX UTERUS,,,2557.45,10885.82,16
CPT,58579,UNLISTED HYSTSC PX UTERUS,,,88.32,375.95,16
CPT,58580,TRANSCRV ABLTJ UTRN FIBRD RF,,,398.12,9504.25,17
CPT,58600,DIVISION OF FALLOPIAN TUBE,,,373.82,3932.21,17
CPT,58605,DIVISION OF FALLOPIAN TUBE,,,295.8,3573.89,15
CPT,58611,LIGATE OVIDUCT(S) ADD-ON,,,64.58,3573.89,15
CPT,58615,OCCLUDE FALLOPIAN TUBE(S),,,255.32,3932.21,17
CPT,58660,LAPAROSCOPY LYSIS,,,687.39,7257.21,17
CPT,58661,LAPAROSCOPY REMOVE ADNEXA,,,654.1,10885.82,20
CPT,58662,LAPAROSCOPY EXCISE LESIONS,,,716.01,7257.21,17
CPT,58670,LAPAROSCOPY TUBAL CAUTERY,,,374.48,7257.21,17
CPT,58671,LAPAROSCOPY TUBAL BLOCK,,,374.48,7257.21,17
CPT,58672,LAPAROSCOPY FIMBRIOPLASTY,,,732.32,10885.82,20
CPT,58673,LAPAROSCOPY SALPINGOSTOMY,,,794.57,19420.47,20
CPT,58674,LAPS ABLTJ UTERINE FIBROIDS,,,815.21,12946.98,17
CPT,58679,UNLISTED LAPS PX OVIDCT OVRY,,,2557.45,10885.82,16
CPT,58700,REMOVAL OF FALLOPIAN TUBE,,,698.38,6255.96,15
CPT,58720,REMOVAL OF OVARY/TUBE(S),,,665.09,6255.96,15
CPT,58740,ADHESIOLYSIS TUBE OVARY,,,786.11,6255.96,15
CPT,58750,REPAIR OVIDUCT,,,791.11,9383.95,18
CPT,58752,REVISE OVARIAN TUBE(S),,,788.65,2838.11,18
CPT,58760,FIMBRIOPLASTY,,,714.46,2568.32,18
CPT,58770,CREATE NEW TUBAL OPENING,,,864.81,5898.32,20
CPT,58800,DRAINAGE OF OVARIAN CYST(S),,,318.56,3932.21,17
CPT,58805,DRAINAGE OF OVARIAN CYST(S),,,432.07,3932.21,17
CPT,58820,DRAIN OVARY ABSCESS OPEN,,,342.53,5898.32,20
CPT,58822,DRAIN OVARY ABSCESS PERCUT,,,623.69,2239.35,18
CPT,58825,TRANSPOSITION OVARY(S),,,618.77,6255.96,15
CPT,58900,BIOPSY OF OVARY(S),,,441.06,3932.21,17
CPT,58920,PARTIAL REMOVAL OF OVARY(S),,,717.68,9504.25,17
CPT,58925,REMOVAL OF OVARIAN CYST(S),,,770.94,6255.96,17
CPT,58940,REMOVAL OF OVARY(S),,,487.0,3932.21,15
CPT,58943,REMOVAL OF OVARY(S),,,1052.14,6255.96,15
CPT,58950,RESECT OVARIAN MALIGNANCY,,,1009.2,6255.96,15
CPT,58951,RESECT OVARIAN MALIGNANCY,,,1259.35,6255.96,15
CPT,58952,RESECT OVARIAN MALIGNANCY,,,1436.55,6255.96,15
CPT,58953,TAH RAD DISSECT FOR DEBULK,,,1744.39,6255.96,15
CPT,58954,TAH RAD DEBULK/LYMPH REMOVE,,,1886.55,6255.96,15
CPT,58956,BSO OMENTECTOMY W/TAH,,,1188.63,6255.96,15
CPT,58957,Outpatient Services - CPT/HCPCS,,,2204.61,6255.96,3
CPT,58957,Therapy,,,1596.14,1596.14,4
CPT,58958,RESC RECR OVR TBL PP UTR MAL,,,1435.11,6255.96,15
CPT,58960,EXPLORATION OF ABDOMEN,,,876.16,6255.96,15
CPT,58970,RETRIEVAL OF OOCYTE,,,195.4,1011.14,15
CPT,58974,EMBRYO TRANSFER INTRAUTERINE,,,356.33,1011.14,11
CPT,58976,TRANSFER OF EMBRYO,,,142.19,403.5,15
CPT,58999,ED 58999 SUTURE OF BLDNG MASS UTRUS,383.0,306.4,88.32,344.7,36
CPT,59000,SURG 59000 AMNIOCENTESIS ANY METHD,1595.0,1276.0,80.89,1435.5,36
CPT,59001,AMNIOTIC FLUID REDUC,1225.0,980.0,142.19,1102.5,36
CPT,59012,SURG 59012 PUBS CORDOCENTESIS INTRAUTERINE,547.0,437.6,142.19,492.3,36
CPT,59015,TX RM 59015 CHORIONIC VILLUS SAMPLING ANY METHOD,1227.0,981.6,131.49,1104.3,36
CPT,59020,FETAL CONTRACT STRESS TEST,,,71.57,250.63,17
CPT,59025,FETAL NON STRESS TEST,615.0,492.0,49.27,553.5,36
CPT,59030,FETAL SCALP BLOOD SAMPLING,,,111.85,403.5,17
CPT,59050,FETAL MONITOR W/REPORT,,,40.97,250.63,15
CPT,59051,FETAL MONITOR/INTERPRET ONLY,,,34.23,87.17,15
CPT,59070,SURG 59070 TRANSABD AMNIO INFUS,1266.0,1012.8,142.19,1139.4,36
CPT,59072,UMBILICAL CORD OCCLUD W/US,,,142.19,519.62,17
CPT,59074,SURG 59074 FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE,1317.0,1053.6,142.19,1185.3,36
CPT,59076,SURG 59076 FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE,3330.0,2664.0,142.19,2997.0,36
CPT,59100,REMOVE UTERUS LESION,,,863.81,6255.96,17
CPT,59120,TREAT ECTOPIC PREGNANCY,,,685.47,3932.21,15
CPT,59121,TREAT ECTOPIC PREGNANCY,,,685.4,3932.21,15
CPT,59130,TREAT ECTOPIC PREGNANCY,,,793.49,3932.21,15
CPT,59136,TREAT ECTOPIC PREGNANCY,,,753.11,3932.21,15
CPT,59140,TREAT ECTOPIC PREGNANCY,,,354.23,3932.21,15
CPT,59150,TREAT ECTOPIC PREGNANCY,,,799.57,7257.21,17
CPT,59151,TREAT ECTOPIC PREGNANCY,,,782.26,7257.21,17
CPT,59160,ED 59160 D&C POSTPARTUM,4697.0,3757.6,190.4,4227.3,36
CPT,59200,SURG 59200 INSERTION CERVICAL DILATOR SEPARATE PROCEDURE,602.0,481.6,44.27,541.8,36
CPT,59300,ED 59300 EPISIOTOMY VAGINAL RPR OTHER THAN ATTENDING PHYSICIAN,2851.0,2280.8,148.13,3932.21,36
CPT,59300,EPISIOTOMY VAGINAL RPR OTHER THAN ATTENDING,2796.0,2236.8,148.13,3932.21,36
CPT,59320,REVISION OF CERVIX,,,151.79,3932.21,17
CPT,59325,REVISION OF CERVIX,,,198.93,3573.89,15
CPT,59350,REPAIR OF UTERUS,,,227.8,3573.89,15
CPT,59400,OBSTETRICAL CARE,,,1385.71,3932.21,15
CPT,59409,ED 59409 ED DELIVERY VAGINAL ONLY,4398.0,3518.4,799.23,3958.2,36
CPT,59410,OBSTETRICAL CARE,,,901.16,3932.21,15
CPT,59412,VERSION,4523.0,3618.4,102.86,4070.7,36
CPT,59414,DELIVERY PLACENTA,2768.0,2214.4,90.54,3932.21,36
CPT,59414,ED 59414 DELIVERY OF PLACENTA,2823.0,2258.4,90.54,3932.21,36
CPT,59425,ANTEPARTUM CARE ONLY,,,433.4,900.72,15
CPT,59426,ANTEPARTUM CARE ONLY,,,795.9,1654.09,15
CPT,59430,CARE AFTER DELIVERY,,,179.42,372.88,15
CPT,59510,CESAREAN DELIVERY,,,2252.1,5615.34,15
CPT,59514,CESAREAN DELIVERY ONLY,,,745.94,1883.77,15
CPT,59515,CESAREAN DELIVERY,,,1108.49,2792.8,15
CPT,59525,REMOVE UTERUS AFTER CESAREAN,,,393.62,3932.21,15
CPT,59610,VBAC DELIVERY,,,1385.71,3932.21,15
CPT,59612,VBAC DELIVERY ONLY,,,905.75,3932.21,17
CPT,59614,VBAC CARE AFTER DELIVERY,,,961.51,3932.21,15
CPT,59618,ATTEMPTED VBAC DELIVERY,,,2273.02,5675.53,15
CPT,59620,ATTEMPTED VBAC DELIVERY ONLY,,,768.93,1950.18,15
CPT,59622,ATTEMPTED VBAC AFTER CARE,,,1147.33,2895.18,15
CPT,59812,ED 59812 TX INCOMPLETE ABORTION,4493.0,3594.4,311.24,4043.7,36
CPT,59820,CARE OF MISCARRIAGE,,,391.79,3932.21,17
CPT,59821,TREATMENT OF MISCARRIAGE,,,382.81,3932.21,17
CPT,59830,TREAT UTERUS INFECTION,,,142.19,469.69,15
CPT,59840,INDUCED ABORTION D&C,,,225.02,3932.21,17
CPT,59841,INDUCED ABORTION DILAT&EVAC,,,376.48,3932.21,17
CPT,59850,INDUCED ABORTION 1+ NJX,,,142.19,403.5,15
CPT,59851,INDUCED ABORTION 1+NJX D&C,,,142.19,433.74,15
CPT,59852,INDUCED ABORTION 1+NJX HYST,,,142.19,595.85,15
CPT,59855,INDUCED ABORTION 1+VAG SUPP,,,142.19,430.07,15
CPT,59856,INDUCED AB 1+VAG SUPP D&C,,,142.19,502.64,15
CPT,59857,INDUCED AB 1+VAG SUPP HYST,,,142.19,584.86,15
CPT,59866,ABORTION (MPR),,,142.19,403.5,17
CPT,59870,EVACUATE MOLE OF UTERUS,,,543.25,3932.21,17
CPT,59871,REMOVE CERCLAGE SUTURE,,,133.82,3932.21,17
CPT,59897,UNLISTED FETAL INVAS PX W/US,,,88.32,250.63,13
CPT,59898,UNLSTD LAPS PX MAT CARE&DLVR,,,2557.45,10885.82,16
CPT,59899,UNLISTED PX MAT CARE&DLVR,,,88.32,250.63,13
CPT,60000,I&D THYROGLSSL DUX CST INFCT,,,159.78,1918.13,17
CPT,60100,SURG 60100 BIOPSY THYROID PERC CORE NDL,1780.0,1424.0,75.23,1602.0,36
CPT,60200,REMOVE THYROID LESION,,,672.74,7257.21,17
CPT,60210,PARTIAL THYROID EXCISION,,,710.02,7257.21,17
CPT,60212,PARTIAL THYROID EXCISION,,,1027.59,7257.21,17
CPT,60220,PARTIAL REMOVAL OF THYROID,,,709.36,7257.21,17
CPT,60225,PARTIAL REMOVAL OF THYROID,,,940.7,7257.21,17
CPT,60240,REMOVAL OF THYROID,,,918.4,7257.21,17
CPT,60252,REMOVAL OF THYROID,,,1319.52,7365.62,17
CPT,60254,EXTENSIVE THYROID SURGERY,,,1435.44,7257.21,15
CPT,60260,REPEAT THYROID SURGERY,,,1088.17,11048.44,20
CPT,60270,REMOVAL OF THYROID,,,1169.67,7257.21,15
CPT,60271,REMOVAL OF THYROID,,,1054.88,7365.62,17
CPT,60280,REMOVE THYROID DUCT LESION,,,458.7,7257.21,17
CPT,60281,REMOVE THYROID DUCT LESION,,,600.17,7257.21,17
CPT,60300,SURG 60300 ASP INJ THYROID CYST,1534.0,1227.2,47.6,1380.6,36
CPT,60500,EXPLORE PARATHYROID GLANDS,,,972.0,7365.62,17
CPT,60502,RE-EXPLORE PARATHYROIDS,,,1304.87,7365.62,17
CPT,60505,EXPLORE PARATHYROID GLANDS,,,1228.5,7257.21,15
CPT,60512,AUTOTRANSPLANT PARATHYROID,,,1.0,239.34,15
CPT,60520,REMOVAL OF THYMUS GLAND,,,1049.22,7365.62,17
CPT,60521,REMOVAL OF THYMUS GLAND,,,946.45,3573.89,15
CPT,60522,REMOVAL OF THYMUS GLAND,,,1142.27,2799.02,15
CPT,60540,EXPLORE ADRENAL GLAND,,,927.84,6013.64,18
CPT,60545,EXPLORE ADRENAL GLAND,,,1064.45,6013.64,18
CPT,60600,REMOVE CAROTID BODY LESION,,,1132.44,4009.09,15
CPT,60605,REMOVE CAROTID BODY LESION,,,1335.99,4009.09,15
CPT,60650,LAPAROSCOPY ADRENALECTOMY,,,1020.13,6013.64,18
CPT,60659,UNLISTED LAPS PX ENDOC SYS,,,2557.45,10885.82,16
CPT,60660,SURG 60660 ABLTJ 1/+THYROID NODULE 1 LOBE/ISTHMUS PERQ RF,10519.0,8415.2,1539.23,9467.1,34
CPT,60661,SURG 60661 ABLTJ 1/+THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY,5259.0,4207.2,354.58,4733.1,34
CPT,60699,SURG 60699 THYROID NODULE ABLATION,10417.0,8333.6,2557.45,9375.3,36
CPT,61000,REMOVE CRANIAL CAVITY FLUID,,,114.84,869.79,17
CPT,61001,REMOVE CRANIAL CAVITY FLUID,,,108.85,869.79,17
CPT,61020,REMOVE BRAIN CAVITY FLUID,,,107.85,1146.41,17
CPT,61026,INJECTION INTO BRAIN CANAL,,,110.18,869.79,17
CPT,61050,REMOVE BRAIN CANAL FLUID,,,78.89,372.52,17
CPT,61055,SURG 61055 CTCISTRNL LAT CER PUN WIN,563.0,450.4,116.17,506.7,36
CPT,61070,ED 61070 PUNC SHUNT FOR ASP OR INJ,1022.0,817.6,55.92,919.8,36
CPT,61070,SURG 61070 SHUNT RESERVOIR ASP INJ,1022.0,817.6,55.92,919.8,36
CPT,61105,TDH SDRL/VENTR PNXR,,,400.58,4049.48,15
CPT,61107,SURG 61107 TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE,11110.0,8888.0,251.72,9999.0,34
CPT,61108,TDH PNXR EVAC&/DRG SDRL HMTA,,,770.98,4049.48,15
CPT,61120,BURR HOLE FOR VENTR PUNCTURE,,,637.29,4049.48,15
CPT,61140,BURR HOLE/TREPH BX BRAIN/LES,,,1067.63,4049.48,15
CPT,61150,BUR HOL/TRPH DRG BRN ABS/CST,,,1126.09,4049.48,15
CPT,61151,BURR HOLE/TREPH SBSQ TAPPING,,,834.11,4049.48,15
CPT,61154,BURR HOLE W/EVAC&/DRG HMTMA,,,1075.41,6074.23,18
CPT,61156,BURR HOL ASPIR HMTM/CST ICER,,,1034.31,4049.48,15
CPT,61210,BURR HOLE IMPLT VENTR CATH,,,294.97,4049.48,15
CPT,61215,INS SUBQ RSVR PMP/NFS SYS,,,529.27,8378.47,17
CPT,61250,BURR HOLE/TREPH STTL EXPL,,,732.91,6074.23,18
CPT,61253,BURR HOLE TREPH ITTL UNI/BI,,,834.11,4049.48,15
CPT,61304,CRNEC/CRNOT EXPL SUPRATNTORL,,,1363.64,4049.48,15
CPT,61305,CRNEC/CRNOT EXPL INFRATNTORL,,,1427.04,4049.48,15
CPT,61312,CRNEC/CRNOT STTL XDRL/SDRL,,,1427.04,4049.48,15
CPT,61313,CRNEC/CRNOT STTL ICERE,,,1427.04,4049.48,15
CPT,61314,CRNEC/CRNOT ITTL XDRL/SDRL,,,1427.04,4049.48,15
CPT,61315,CRNEC/CRNOT ITTL NTRACEREBLR,,,1427.04,4049.48,15
CPT,61316,INC&SUBQ PLMT CRNL BONE GRF,,,70.42,4049.48,15
CPT,61320,CRNEC/CRNOT DRG ICR ABS STTL,,,1427.04,4049.48,15
CPT,61321,CRNEC/CRNOT DRG ICR ABS ITTL,,,1427.04,4049.48,15
CPT,61322,CRNEC/CRNOT DCMPRV W/O LOBEC,,,1427.04,4049.48,15
CPT,61323,CRNEC/CRNOT DCMPRV W/LOBEC,,,1427.04,4049.48,15
CPT,61330,DCMPRN ORBIT ONLY TRANSCRNL,,,1427.04,6074.23,20
CPT,61332,Outpatient Services - CPT/HCPCS,,,1427.04,4049.48,3
CPT,61333,EXPL ORBIT W/REMOVAL LESION,,,1427.04,6074.23,18
CPT,61340,SUBTEMPORAL CRANIAL DCMPRN,,,1201.48,6074.23,18
CPT,61343,CRNEC SOPL CRV LAM DCMPRN,,,1427.04,4049.48,15
CPT,61345,OTH CRANIAL DCMPRN PST FOSSA,,,1427.04,4049.48,15
CPT,61450,CRNEC STPL SCTJ CMPRN/DCMPRN,,,1427.04,4049.48,15
CPT,61458,CRNEC SOPL XPL/DCMPR CRL NRV,,,1427.04,4049.48,15
CPT,61460,CRNEC SOPL SCTJ 1+CRNL NRV,,,1427.04,4049.48,15
CPT,61480,Outpatient Services - CPT/HCPCS,,,1427.04,4049.48,3
CPT,61500,CRNEC EXC TUM/BONE LES SKULL,,,1105.85,4049.48,15
CPT,61501,CRANIECTOMY F/OSTEOMYELITIS,,,972.08,4049.48,15
CPT,61510,CRNEC TREPH EXC BRN TUM STTL,,,1427.04,4049.48,15
CPT,61512,CRNEC TREPH EXC MNGIOMA STTL,,,1427.04,4049.48,15
CPT,61514,CRNEC TREPH EXC BRN ABS STTL,,,1427.04,4049.48,15
CPT,61516,CRNEC TREPH EXC CYST STTL,,,1427.04,4049.48,15
CPT,61517,IMPLT BRN INTRCV CHEMOTX AGT,,,70.11,4049.48,15
CPT,61518,REMOVAL OF BRAIN LESION,,,1427.04,4049.48,15
CPT,61519,REMOVE BRAIN LINING LESION,,,1427.04,4049.48,15
CPT,61520,REMOVAL OF BRAIN LESION,,,1427.04,4049.48,15
CPT,61521,REMOVAL OF BRAIN LESION,,,1427.04,4049.48,15
CPT,61522,REMOVAL OF BRAIN ABSCESS,,,1427.04,4049.48,15
CPT,61524,REMOVAL OF BRAIN LESION,,,1427.04,4049.48,15
CPT,61526,REMOVAL OF BRAIN LESION,,,1427.04,4049.48,15
CPT,61530,REMOVAL OF BRAIN LESION,,,1427.04,4049.48,15
CPT,61531,IMPLANT BRAIN ELECTRODES,,,1033.19,4049.48,15
CPT,61533,IMPLANT BRAIN ELECTRODES,,,1271.97,4049.48,15
CPT,61534,REMOVAL OF BRAIN LESION,,,1376.97,4049.48,15
CPT,61535,REMOVE BRAIN ELECTRODES,,,851.28,4049.48,15
CPT,61536,REMOVAL OF BRAIN LESION,,,1427.04,4049.48,15
CPT,61537,REMOVAL OF BRAIN TISSUE,,,1427.04,4049.48,15
CPT,61538,REMOVAL OF BRAIN TISSUE,,,1427.04,4049.48,15
CPT,61539,REMOVAL OF BRAIN TISSUE,,,1427.04,4049.48,15
CPT,61540,REMOVAL OF BRAIN TISSUE,,,1427.04,4049.48,15
CPT,61541,INCISION OF BRAIN TISSUE,,,1427.04,4049.48,15
CPT,61543,REMOVAL OF BRAIN TISSUE,,,1427.04,4049.48,15
CPT,61544,REMOVE & TREAT BRAIN LESION,,,1427.04,4049.48,15
CPT,61545,EXCISION OF BRAIN TUMOR,,,1427.04,4049.48,15
CPT,61546,REMOVAL OF PITUITARY GLAND,,,1427.04,4049.48,15
CPT,61548,REMOVAL OF PITUITARY GLAND,,,1315.67,4049.48,15
CPT,61550,RELEASE OF SKULL SEAMS,,,1013.52,4049.48,15
CPT,61552,RELEASE OF SKULL SEAMS,,,1244.99,4049.48,15
CPT,61556,INCISE SKULL/SUTURES,,,1421.21,4049.48,15
CPT,61557,INCISE SKULL/SUTURES,,,1409.53,4049.48,15
CPT,61558,EXCISION OF SKULL/SUTURES,,,1427.04,4049.48,15
CPT,61559,EXCISION OF SKULL/SUTURES,,,1427.04,4049.48,15
CPT,61563,EXCISION OF SKULL TUMOR,,,1427.04,4049.48,15
CPT,61564,EXCISION OF SKULL TUMOR,,,1427.04,6074.23,18
CPT,61566,REMOVAL OF BRAIN TISSUE,,,1427.04,4049.48,15
CPT,61567,INCISION OF BRAIN TISSUE,,,1427.04,4049.48,15
CPT,61570,REMOVE FOREIGN BODY BRAIN,,,1427.04,4049.48,15
CPT,61571,INCISE SKULL FOR BRAIN WOUND,,,1427.04,4049.48,15
CPT,61575,SKULL BASE/BRAINSTEM SURGERY,,,1427.04,4049.48,15
CPT,61576,SKULL BASE/BRAINSTEM SURGERY,,,1427.04,4211.53,15
CPT,61580,CRANIOFACIAL APPROACH SKULL,,,1427.04,6074.23,18
CPT,61581,CRANIOFACIAL APPROACH SKULL,,,1427.04,6074.23,18
CPT,61582,CRANIOFACIAL APPROACH SKULL,,,1427.04,4049.48,15
CPT,61583,CRANIOFACIAL APPROACH SKULL,,,1427.04,4049.48,15
CPT,61584,ORBITOCRANIAL APPROACH/SKULL,,,1427.04,6074.23,18
CPT,61585,ORBITOCRANIAL APPROACH/SKULL,,,1427.04,6074.23,18
CPT,61586,RESECT NASOPHARYNX SKULL,,,1427.04,4049.48,15
CPT,61590,INFRATEMPORAL APPROACH/SKULL,,,1427.04,6074.23,18
CPT,61591,INFRATEMPORAL APPROACH/SKULL,,,1427.04,6074.23,18
CPT,61592,ORBITOCRANIAL APPROACH/SKULL,,,1427.04,6074.23,18
CPT,61595,TRANSTEMPORAL APPROACH/SKULL,,,1427.04,6074.23,18
CPT,61596,TRANSCOCHLEAR APPROACH/SKULL,,,1427.04,6074.23,18
CPT,61597,TRANSCONDYLAR APPROACH/SKULL,,,1427.04,6074.23,18
CPT,61598,TRANSPETROSAL APPROACH/SKULL,,,1427.04,4049.48,15
CPT,61600,RESECT/EXCISE CRANIAL LESION,,,855.78,2428.44,15
CPT,61601,RESECT/EXCISE CRANIAL LESION,,,855.78,2456.28,15
CPT,61605,RESECT/EXCISE CRANIAL LESION,,,855.78,2428.44,15
CPT,61606,RESECT/EXCISE CRANIAL LESION,,,855.78,2923.64,15
CPT,61607,RESECT/EXCISE CRANIAL LESION,,,855.78,3066.78,15
CPT,61608,RESECT/EXCISE CRANIAL LESION,,,855.78,3309.11,15
CPT,61610,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,61611,TRANSECT ARTERY SINUS,,,375.24,4009.09,15
CPT,61612,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,61613,REMOVE ANEURYSM SINUS,,,1412.81,6013.64,18
CPT,61615,RESECT/EXCISE LESION SKULL,,,855.78,2843.09,15
CPT,61616,RESECT/EXCISE LESION SKULL,,,855.78,3367.03,15
CPT,61618,REPAIR DURA,,,855.78,2428.44,15
CPT,61619,REPAIR DURA,,,855.78,2428.44,15
CPT,61623,SURG 61623 EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK,16683.0,13346.4,573.88,15014.7,36
CPT,61624,SURG 61624 TRANSCATHETER PERM OCCLUSION EMBOLIZATION PERCUTANEOUS CNS,18776.0,15020.8,955.95,18378.04,36
CPT,61626,SURG 61626 TRANSCATHETER PERM OCCLUSION EMBOLIZATION PERCUT NON-CNS,16134.0,12907.2,897.1,14520.6,36
CPT,61630,SURG 61630 BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS,6880.0,5504.0,1138.17,13836.77,34
CPT,61635,SURG 61635 TRANSCAT PLMT IV STENT INTRACRAN W/BALO ANGIOP IF PFRMD,8613.0,6890.4,1244.11,13836.77,34
CPT,61640,SURG 61640 PTA INTRCRN VAS INJ,13162.0,10529.6,398.42,13836.77,34
CPT,61641,SURG 61641 PTA INTRACRN VS SUB,5762.0,4609.6,139.98,13836.77,34
CPT,61642,SURG 61642 DILATE IC VASOSPASM EA ADDL VES,3666.0,2932.8,279.97,13836.77,34
CPT,61645,SURG 61645 ART MECH THROMBECT INFUS LYSIS  INTRACRAN PERQ,17680.0,14144.0,700.0,20755.16,37
CPT,61650,SURG 61650 ART INTRACRAN PROLONG ADM PHARM AGENT 1ST VASC,14489.0,11591.2,479.42,13836.77,34
CPT,61651,SURG 61651 ART INTRACRAN PROLONG ADM PHARM AGENT EA ADDL VASC,16199.0,12959.2,204.69,14579.1,34
CPT,61680,INTRACRANIAL VESSEL SURGERY,,,1412.81,4009.09,15
CPT,61682,INTRACRANIAL VESSEL SURGERY,,,1412.81,4200.55,15
CPT,61684,INTRACRANIAL VESSEL SURGERY,,,1412.81,4009.09,15
CPT,61686,INTRACRANIAL VESSEL SURGERY,,,1412.81,4523.11,15
CPT,61690,INTRACRANIAL VESSEL SURGERY,,,1412.81,4009.09,15
CPT,61692,INTRACRANIAL VESSEL SURGERY,,,1412.81,4009.09,15
CPT,61697,BRAIN ANEURYSM REPR COMPLX,,,1412.81,4256.14,15
CPT,61698,BRAIN ANEURYSM REPR COMPLX,,,1412.81,4657.25,15
CPT,61700,BRAIN ANEURYSM REPR SIMPLE,,,1412.81,4009.09,15
CPT,61702,INNER SKULL VESSEL SURGERY,,,1412.81,4051.42,15
CPT,61703,CLAMP NECK ARTERY,,,1137.49,4009.09,15
CPT,61705,REVISE CIRCULATION TO HEAD,,,1412.81,4009.09,15
CPT,61708,REVISE CIRCULATION TO HEAD,,,1412.81,4009.09,15
CPT,61710,REVISE CIRCULATION TO HEAD,,,1412.81,4009.09,15
CPT,61711,FUSION OF SKULL ARTERIES,,,1412.81,4009.09,15
CPT,61715,MRGFUS STRTCTC ABLT TRGT ICR,,,11846.79,13093.83,8
CPT,61720,INCISE SKULL/BRAIN SURGERY,,,1294.55,8378.47,17
CPT,61735,INCISE SKULL/BRAIN SURGERY,,,1329.6,4049.48,15
CPT,61736,LITT ICR 1 TRAJ 1 SMPL LES,,,992.23,4049.48,15
CPT,61737,LITT ICR MLT TRJ MLT/CPLX LS,,,1176.63,6074.23,18
CPT,61750,INCISE SKULL/BRAIN BIOPSY,,,1174.34,4049.48,15
CPT,61751,BRAIN BIOPSY W/CT/MR GUIDE,,,1164.37,4049.48,15
CPT,61760,IMPLANT BRAIN ELECTRODES,,,1318.96,4049.48,15
CPT,61770,INCISE SKULL FOR TREATMENT,,,1646.07,8378.47,17
CPT,61781,SCAN PROC CRANIAL INTRA,,,1.0,235.68,15
CPT,61782,SCAN PROC CRANIAL EXTRA,,,1.0,170.76,15
CPT,61783,SCAN PROC SPINAL,,,1.0,230.68,15
CPT,61790,TREAT TRIGEMINAL NERVE,,,855.78,3642.66,20
CPT,61791,TREAT TRIGEMINAL TRACT,,,855.78,3642.66,20
CPT,61796,SRS CRANIAL LESION SIMPLE,,,855.61,9794.49,15
CPT,61797,SRS CRAN LES SIMPLE ADDL,,,175.96,9794.49,15
CPT,61798,SRS CRANIAL LESION COMPLEX,,,1148.75,9794.49,15
CPT,61799,SRS CRAN LES COMPLEX ADDL,,,243.03,9794.49,15
CPT,61800,APPLY SRS HEADFRAME ADD-ON,,,121.8,9794.49,15
CPT,61850,IMPLANT NEUROELECTRODES,,,828.99,17133.18,15
CPT,61860,IMPLANT NEUROELECTRODES,,,1298.16,17133.18,15
CPT,61863,IMPLANT NEUROELECTRODE,,,1259.0,25699.78,18
CPT,61864,IMPLANT NEUROELECTRDE ADDL,,,227.18,17133.18,15
CPT,61867,IMPLANT NEUROELECTRODE,,,1883.01,25699.78,18
CPT,61868,IMPLANT NEUROELECTRDE ADDL,,,400.33,17133.18,15
CPT,61870,Outpatient Services - CPT/HCPCS,,,6037.75,17133.18,3
CPT,61880,REVISE/REMOVE NEUROELECTRODE,,,600.51,6419.32,20
CPT,61885,INSRT/REDO NEUROSTIM 1 ARRAY,,,539.26,41271.13,20
CPT,61886,IMPLANT NEUROSTIM ARRAYS,,,899.76,39056.09,17
CPT,61888,REVISE/REMOVE NEURORECEIVER,,,405.11,25699.78,20
CPT,61889,INS SK-MNT CRNL NSTM PG/RCVR,,,1106.62,25699.78,18
CPT,61891,REV/RPLCMT SK-MNT CRNL NSTM,,,598.84,41271.13,18
CPT,61892,RMV SK-MNT CRNL NSTM PG/RCVR,,,826.2,6106.72,18
CPT,62000,TREAT SKULL FRACTURE,,,1054.88,4049.48,17
CPT,62005,TREAT SKULL FRACTURE,,,1063.95,4049.48,15
CPT,62010,TREATMENT OF HEAD INJURY,,,1282.5,4049.48,15
CPT,62100,REPAIR BRAIN FLUID LEAKAGE,,,1323.76,4049.48,15
CPT,62115,REDUCTION OF SKULL DEFECT,,,1413.61,4049.48,15
CPT,62117,REDUCTION OF SKULL DEFECT,,,1427.04,4049.48,15
CPT,62120,REPAIR SKULL CAVITY LESION,,,1427.04,4049.48,15
CPT,62121,INCISE SKULL REPAIR,,,1332.48,4049.48,15
CPT,62140,CRNOP SKULL DEFECT<5 CM DIAM,,,867.18,4049.48,15
CPT,62141,CRNOP SKULL DEFECT>5 CM DIAM,,,964.58,4049.48,15
CPT,62142,RMVL B1 FLP/PROSTC PLATE SKL,,,758.66,4049.48,15
CPT,62143,RPL B1 FLP/PROSTC PLATE SKL,,,881.07,4049.48,15
CPT,62145,REPAIR OF SKULL & BRAIN,,,1171.08,4049.48,15
CPT,62146,CRNOP W/AUTOGRAFT<5 CM DIAM,,,1046.09,4049.48,15
CPT,62147,CRNOP W/AUTOGRAFT>5 CM DIAM,,,1193.64,4049.48,15
CPT,62148,RETR BONE FLAP TO FIX SKULL,,,101.2,4049.48,15
CPT,62160,NEUROENDOSCOPY ADD-ON,,,1.0,188.07,15
CPT,62161,DISSECT BRAIN W/SCOPE,,,1271.44,4049.48,15
CPT,62162,REMOVE COLLOID CYST W/SCOPE,,,1427.04,4049.48,15
CPT,62163,Outpatient Services - CPT/HCPCS,,,1427.04,4049.48,3
CPT,62164,REMOVE BRAIN TUMOR W/SCOPE,,,1427.04,4049.48,15
CPT,62165,REMOVE PITUIT TUMOR W/SCOPE,,,1289.52,4049.48,15
CPT,62180,ESTABLISH BRAIN CAVITY SHUNT,,,1331.15,8378.47,15
CPT,62190,ESTABLISH BRAIN CAVITY SHUNT,,,787.4,8378.47,15
CPT,62192,ESTABLISH BRAIN CAVITY SHUNT,,,837.13,8378.47,15
CPT,62194,REPLACE/IRRIGATE CATHETER,,,506.3,2428.44,17
CPT,62200,ESTABLISH BRAIN CAVITY SHUNT,,,1148.02,8378.47,15
CPT,62201,BRAIN CAVITY SHUNT W/SCOPE,,,1024.58,8378.47,15
CPT,62220,ESTABLISH BRAIN CAVITY SHUNT,,,816.95,8378.47,15
CPT,62223,ESTABLISH BRAIN CAVITY SHUNT,,,873.69,8378.47,15
CPT,62225,REPLACE/IRRIGATE CATHETER,,,549.24,8378.47,17
CPT,62230,REPLACE/REVISE BRAIN SHUNT,,,856.15,8378.47,17
CPT,62252,ED 62252 REPROGRAM CEREBROSPINAL SHUNT,622.0,497.6,86.21,559.8,36
CPT,62252,SURG 62252 CSF SHUNT REPROGRAM,622.0,497.6,86.21,559.8,36
CPT,62256,REMOVE BRAIN CAVITY SHUNT,,,523.08,8378.47,15
CPT,62258,REPLACE BRAIN CAVITY SHUNT,,,933.79,8378.47,15
CPT,62263,EPIDURAL LYSIS MULT SESSIONS,,,323.55,1146.41,17
CPT,62264,EPIDURAL LYSIS ON SINGLE DAY,,,242.67,1146.41,17
CPT,62267,SURG 62267 DISC ASPIRATION,3799.0,3039.2,151.46,3419.1,36
CPT,62268,DRAIN SPINAL CORD CYST,,,331.54,1146.41,17
CPT,62269,NEEDLE BIOPSY SPINAL CORD,,,254.65,2039.17,17
CPT,62270,ED 62270 SPINAL TAP LUMBAR DIAG,1616.0,1292.8,63.25,1454.4,36
CPT,62270,SURG 62270 SPINAL PUNCTURE LUMBAR DIAG,1616.0,1292.8,63.25,1454.4,36
CPT,62272,ED 62272 DRN CEREBRO SPINAL FLUID,2018.0,1614.4,91.54,1816.2,36
CPT,62272,SURG 62272 THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF,2018.0,1614.4,91.54,1816.2,36
CPT,62273,SURG 62273 BLOOD PATCH,2359.0,1887.2,112.18,2123.1,36
CPT,62280,TREAT SPINAL CORD LESION,,,159.11,1146.41,17
CPT,62281,TREAT SPINAL CORD LESION,,,154.45,1146.41,17
CPT,62282,TREAT SPINAL CANAL LESION,,,141.14,1146.41,17
CPT,62284,SURG 62284 INJ MYELOGRAPHY AND OR CT LUMBAR,2699.0,2159.2,1.0,2429.1,34
CPT,62287,DCMPRN PQ NUC PUL 1/MLT LMBR,,,602.17,2428.44,15
CPT,62290,SURG 62290 DSC INJ LMBR EA LEV,4591.0,3672.8,1.0,4131.9,34
CPT,62291,SURG 62291 DISC INJ C T EA LEV,3469.0,2775.2,1.0,3122.1,34
CPT,62292,NJX CHEMONUCLEOLYSIS LMBR,,,581.2,2428.44,17
CPT,62294,INJECTION INTO SPINAL ARTERY,,,404.0,1146.41,17
CPT,62302,SURG 62302 CERV MYELOGRAPHY LUMB INJ INCL S&I,4920.0,3936.0,116.84,4428.0,36
CPT,62303,SURG 62303 THOR MYELOGRAPHY LUMB INJ INCL S&I,4675.0,3740.0,116.84,4207.5,36
CPT,62304,SURG 62304 LUMB MYELOGRAPHY LUMB INJ INCL S&I,5453.0,4362.4,115.51,4907.7,36
CPT,62305,SURG 62305 MYELOGRAPHY LUMB INJ 2 + REGIONS INCL S&I,6723.0,5378.4,119.84,6050.7,36
CPT,62320,SURG 62320 INJ IL NDL CATH CERV THOR WO GUID,2623.0,2098.4,99.2,2360.7,36
CPT,62321,SURG 62321 INJ IL NDL CATH CERV THOR W GUID,2718.0,2174.4,106.52,2446.2,36
CPT,62322,NJX INTERLAMINAR LMBR/SAC,,,78.56,1146.41,17
CPT,62323,SURG 62323 INJ IL NDL CATH LUMB SACR W GUID,2614.0,2091.2,98.53,2352.6,36
CPT,62324,NJX INTERLAMINAR CRV/THRC,,,87.88,1146.41,17
CPT,62325,NJX INTERLAMINAR CRV/THRC,,,109.18,1146.41,17
CPT,62326,NJX INTERLAMINAR LMBR/SAC,,,84.22,1146.41,17
CPT,62327,NJX INTERLAMINAR LMBR/SAC,,,106.52,1146.41,17
CPT,62328,SURG 62328 DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,2409.0,1927.2,83.88,2168.1,36
CPT,62329,SURG 62329 THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT,2501.0,2000.8,102.86,2250.9,36
CPT,62350,IMPLANT SPINAL CANAL CATH,,,400.78,8378.47,17
CPT,62351,IMPLANT SPINAL CANAL CATH,,,927.72,8998.06,17
CPT,62355,REMOVE SPINAL CANAL CATHETER,,,278.95,2428.44,17
CPT,62360,INSERT SPINE INFUSION DEVICE,,,313.24,22431.2,17
CPT,62361,IMPLANT SPINE INFUSION PUMP,,,444.72,22431.2,17
CPT,62362,IMPLANT SPINE INFUSION PUMP,,,388.8,22431.2,17
CPT,62365,REMOVE SPINE INFUSION DEVICE,,,301.58,8378.47,17
CPT,62367,ANLYS PAIN PUMP WO REPROG,679.0,543.2,24.63,611.1,36
CPT,62367,ED 62367 ANLYS PAIN PUMP WO REPROG,679.0,543.2,24.63,611.1,36
CPT,62368,SURG 62368 ANALYSIS & PROGRAMMING,869.0,695.2,33.95,782.1,36
CPT,62369,TX RM 62369 ANLYS PAIN PUMP WPROG REFILL,1138.0,910.4,34.62,1024.2,36
CPT,62370,SURG 62370 ELECT ANLYS IMPLT INTRATHEC/EPIDURL PMP W/REPRGM PHYS/QHP,1062.0,849.6,45.27,955.8,36
CPT,62370,TX RM 62370 ANLYS PAIN PUMP WPRG RFL WMD,1062.0,849.6,45.27,955.8,36
CPT,62380,NDSC DCMPRN 1 NTRSPC LUMBAR,,,3170.92,13497.09,16
CPT,63001,REMOVE SPINE LAMINA 1/2 CRVL,,,1246.28,8998.06,17
CPT,63003,REMOVE SPINE LAMINA 1/2 THRC,,,1250.94,8998.06,17
CPT,63005,REMOVE SPINE LAMINA 1/2 LMBR,,,1218.32,8998.06,17
CPT,63011,REMOVE SPINE LAMINA 1/2 SCRL,,,1098.82,8998.06,17
CPT,63012,REMOVE LAMINA/FACETS LUMBAR,,,1208.67,8998.06,17
CPT,63015,REMOVE SPINE LAMINA >2 CRVCL,,,1502.26,8998.06,17
CPT,63016,REMOVE SPINE LAMINA >2 THRC,,,1544.54,8998.06,17
CPT,63017,REMOVE SPINE LAMINA >2 LMBR,,,1284.56,8998.06,17
CPT,63020,LAMOT DCMPRN NRV RT 1 CERV,,,1111.8,13497.09,20
CPT,63030,LAMOT DCMPRN NRV RT 1 LMBR,,,927.06,13497.09,20
CPT,63035,LAMOT DCMPRN NRV RT EA ADDL,,,1.0,232.35,18
CPT,63040,LAMINOTOMY SINGLE CERVICAL,,,1389.42,13497.09,20
CPT,63042,LAMINOTOMY SINGLE LUMBAR,,,1307.87,13497.09,20
CPT,63043,LAMINOTOMY ADDL CERVICAL,,,1.0,1.5,6
CPT,63044,LAMINOTOMY ADDL LUMBAR,,,1.0,1.5,6
CPT,63045,LAM FACETEC & FORAMOT CRV,,,1304.87,8998.06,17
CPT,63046,LAM FACETEC & FORAMOT THRC,,,1244.95,8998.06,17
CPT,63047,LAM FACETEC & FORAMOT LUMBAR,,,1118.79,8998.06,17
CPT,63048,LAM FACETEC &FORAMOT EA ADDL,,,1.0,209.71,15
CPT,63050,CERVICAL LAMINOPLSTY 2/> SEG,,,1266.72,8998.06,15
CPT,63051,C-LAMINOPLASTY W/GRAFT/PLATE,,,1438.5,8998.06,15
CPT,63052,LAM FACETC/FRMT ARTHRD LUM 1,,,1.0,256.98,15
CPT,63053,LAM FACTC/FRMT ARTHRD LUM EA,,,1.0,228.35,15
CPT,63055,DECOMPRESS SPINAL CORD THRC,,,1643.74,8998.06,17
CPT,63056,DECOMPRESS SPINAL CORD LMBR,,,1503.93,8998.06,17
CPT,63057,DECOMPRESS SPINE CORD ADD-ON,,,1.0,320.23,15
CPT,63064,DECOMPRESS SPINAL CORD THRC,,,1794.53,8998.06,17
CPT,63066,DECOMPRESS SPINE CORD ADD-ON,,,1.0,205.38,15
CPT,63075,NECK SPINE DISK SURGERY,,,1366.12,8998.06,17
CPT,63076,NECK SPINE DISK SURGERY,,,1.0,240.34,15
CPT,63077,SPINE DISK SURGERY THORAX,,,104.52,1461.65,15
CPT,63078,SPINE DISK SURGERY THORAX,,,165.92,8998.06,15
CPT,63081,REMOVE VERT BODY DCMPRN CRVL,,,1485.73,8998.06,15
CPT,63082,REMOVE VERTEBRAL BODY ADD-ON,,,218.37,23439.61,15
CPT,63085,REMOVE VERT BODY DCMPRN THRC,,,1622.15,23439.61,15
CPT,63086,REMOVE VERTEBRAL BODY ADD-ON,,,157.09,23439.61,15
CPT,63087,REMOV VERTBR DCMPRN THRCLMBR,,,2034.96,23439.61,15
CPT,63088,REMOVE VERTEBRAL BODY ADD-ON,,,212.06,23439.61,15
CPT,63090,REMOVE VERT BODY DCMPRN LMBR,,,1653.33,23439.61,15
CPT,63091,REMOVE VERTEBRAL BODY ADD-ON,,,146.02,23439.61,15
CPT,63101,REMOVE VERT BODY DCMPRN THRC,,,1944.6,23439.61,15
CPT,63102,REMOVE VERT BODY DCMPRN LMBR,,,1934.47,23439.61,15
CPT,63103,REMOVE VERTEBRAL BODY ADD-ON,,,241.17,23439.61,15
CPT,63170,INCISE SPINAL CORD TRACT(S),,,1330.81,23439.61,15
CPT,63172,DRAINAGE OF SPINAL CYST,,,104.52,1437.35,15
CPT,63173,DRAINAGE OF SPINAL CYST,,,1436.78,23439.61,15
CPT,63180,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,63182,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,63185,INCISE SPINE NRV HALF SEGMNT,,,104.52,1253.27,15
CPT,63190,INCISE SPINE NRV >2 SEGMNTS,,,104.52,1243.62,15
CPT,63191,INCISE SPINE ACCESSORY NERVE,,,104.52,1407.06,18
CPT,63194,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,63195,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,63196,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,63197,LAM W/CORDOTOMY 1STG THRC,,,1425.51,23439.61,15
CPT,63198,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,63199,Outpatient Services - CPT/HCPCS,,,8260.14,23439.61,3
CPT,63200,RELEASE SPINAL CORD LUMBAR,,,1294.68,8998.06,15
CPT,63250,REVISE SPINAL CORD VSLS CRVL,,,2432.99,23439.61,15
CPT,63251,REVISE SPINAL CORD VSLS THRC,,,2489.67,23439.61,15
CPT,63252,REVISE SPINE CORD VSL THRLMB,,,2489.36,23439.61,15
CPT,63265,EXCISE INTRASPINL LESION CRV,,,1693.0,8998.06,15
CPT,63266,EXCISE INTRSPINL LESION THRC,,,1737.61,8998.06,15
CPT,63267,EXCISE INTRSPINL LESION LMBR,,,1389.42,8998.06,17
CPT,63268,EXCISE INTRSPINL LESION SCRL,,,1489.28,8998.06,15
CPT,63270,EXCISE INTRSPINL LESION CRVL,,,1720.63,8998.06,15
CPT,63271,EXCISE INTRSPINL LESION THRC,,,1721.78,23439.61,15
CPT,63272,EXCISE INTRSPINL LESION LMBR,,,1580.45,8998.06,15
CPT,63273,EXCISE INTRSPINL LESION SCRL,,,1552.32,8998.06,15
CPT,63275,BX/EXC XDRL SPINE LESN CRVL,,,1503.73,23439.61,15
CPT,63276,BX/EXC XDRL SPINE LESN THRC,,,1494.31,23439.61,15
CPT,63277,BX/EXC XDRL SPINE LESN LMBR,,,1316.86,23439.61,15
CPT,63278,BX/EXC XDRL SPINE LESN SCRL,,,1332.11,23439.61,15
CPT,63280,BX/EXC IDRL SPINE LESN CRVL,,,1756.14,23439.61,15
CPT,63281,BX/EXC IDRL SPINE LESN THRC,,,1742.08,23439.61,15
CPT,63282,BX/EXC IDRL SPINE LESN LMBR,,,1649.73,8998.06,15
CPT,63283,BX/EXC IDRL SPINE LESN SCRL,,,1584.58,23439.61,15
CPT,63285,BX/EXC IDRL IMED LESN CERVL,,,2156.33,23439.61,15
CPT,63286,BX/EXC IDRL IMED LESN THRC,,,2133.5,23439.61,15
CPT,63287,BX/EXC IDRL IMED LESN THRLMB,,,2258.76,23439.61,15
CPT,63290,BX/EXC XDRL/IDRL LSN ANY LVL,,,2296.2,23439.61,15
CPT,63295,REPAIR LAMINECTOMY DEFECT,,,104.52,328.88,15
CPT,63300,REMOVE VERT XDRL BODY CRVCL,,,1529.35,23439.61,15
CPT,63301,REMOVE VERT XDRL BODY THRC,,,1772.61,23439.61,15
CPT,63302,REMOVE VERT XDRL BODY THRLMB,,,1806.67,23439.61,15
CPT,63303,REMOV VERT XDRL BDY LMBR/SAC,,,1910.79,23439.61,15
CPT,63304,REMOVE VERT IDRL BODY CRVCL,,,1943.42,23439.61,15
CPT,63305,REMOVE VERT IDRL BODY THRC,,,2064.32,23439.61,15
CPT,63306,REMOV VERT IDRL BDY THRCLMBR,,,2029.62,23439.61,15
CPT,63307,REMOV VERT IDRL BDY LMBR/SAC,,,1985.32,23439.61,15
CPT,63308,REMOVE VERTEBRAL BODY ADD-ON,,,260.82,23439.61,15
CPT,63600,REMOVE SPINAL CORD LESION,,,855.78,2428.44,17
CPT,63610,STIMULATION OF SPINAL CORD,,,583.2,2428.44,17
CPT,63615,Outpatient Services - CPT/HCPCS,,,306.51,869.79,3
CPT,63620,SRS SPINAL LESION,,,941.92,9794.49,15
CPT,63621,SRS SPINAL LESION ADDL,,,202.4,9794.49,15
CPT,63650,SURG 63650 PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,9100.0,7280.0,413.43,8601.97,36
CPT,63655,IMPLANT NEUROELECTRODES,,,852.16,27514.08,17
CPT,63661,REMOVE SPINE ELTRD PERQ ARAY,,,331.21,2428.44,17
CPT,63662,REMOVE SPINE ELTRD PLATE,,,865.14,4279.54,17
CPT,63663,REVISE SPINE ELTRD PERQ ARAY,,,451.38,8601.97,17
CPT,63664,REVISE SPINE ELTRD PLATE,,,900.43,17133.18,17
CPT,63685,INS/RPLC SPI NPG/RCVR POCKET,,,342.2,39056.09,17
CPT,63688,REV/RMV IMP SP NPG/R DTCH CN,,,302.58,4279.54,17
CPT,63700,REPAIR OF SPINAL HERNIATION,,,104.52,1338.49,15
CPT,63702,REPAIR OF SPINAL HERNIATION,,,104.52,1460.66,15
CPT,63704,REPAIR OF SPINAL HERNIATION,,,104.52,1698.99,15
CPT,63706,REPAIR OF SPINAL HERNIATION,,,104.52,1883.74,15
CPT,63707,REPAIR SPINAL FLUID LEAKAGE,,,104.52,951.69,15
CPT,63709,REPAIR SPINAL FLUID LEAKAGE,,,952.65,8998.06,15
CPT,63710,GRAFT REPAIR OF SPINE DEFECT,,,933.3,8998.06,15
CPT,63740,INSTALL SPINAL SHUNT,,,837.14,8378.47,15
CPT,63741,INSTALL SPINAL SHUNT,,,695.04,8378.47,17
CPT,63744,REVISION OF SPINAL SHUNT,,,698.04,8378.47,17
CPT,63746,REMOVAL OF SPINAL SHUNT,,,626.14,2428.44,17
CPT,64400,ED 64400 INJ ANES AG TRIG NRV EA BRANCH,952.0,761.6,51.6,856.8,39
CPT,64400,SURG 64400 TRIGEMINAL NERVE BLK EA BRANCH,952.0,761.6,51.6,856.8,39
CPT,64402,Outpatient Services - CPT/HCPCS,,,131.28,372.52,3
CPT,64405,ED 64405 INJ NERVE BLOCK GR OCCPTAL,1028.0,822.4,52.59,925.2,39
CPT,64405,SURG 64405 GR OCCIPITAL NERVE BLOCK,1028.0,822.4,52.59,925.2,39
CPT,64405,TX RM 64405 INJ ANES NRV GREAT OCCIPITAL,1028.0,822.4,52.59,925.2,39
CPT,64408,NJX AA&/STRD VAGUS NRV,,,44.61,558.79,20
CPT,64410,Outpatient Services - CPT/HCPCS,,,131.28,372.52,3
CPT,64413,Outpatient Services - CPT/HCPCS,,,131.28,372.52,3
CPT,64415,ED 64415 INJ ANESTHETIC AGENT BRACHIAL PLEXUS INCL IMAGING,2581.0,2064.8,68.57,2322.9,39
CPT,64416,NJX AA&/STRD BRCH PL NFS IMG,,,75.9,1719.63,20
CPT,64417,ED 64417 INJ ANESTHETIC AGENT AXILLARY NERVE INCL IMAGING,2002.0,1601.6,63.25,1801.8,39
CPT,64417,SURG 64417 INJ ANESTHETIC AGENT AXILLARY NERVE INCL IMAGING,2002.0,1601.6,63.25,1801.8,39
CPT,64418,ED 64418 INJ ANES SUPRASCAPULAR NERVE,1800.0,1440.0,54.92,1620.0,39
CPT,64418,SURG 64418 SUPRASCAPULAR NERVE BLOCK,1800.0,1440.0,54.92,1620.0,39
CPT,64420,ED 64420 INJ NERVE BLOCK INTERCOSTL SNGL LVL,1926.0,1540.8,57.59,1733.4,39
CPT,64420,SURG 64420 INJ INTERCOSTAL NERVE SINGLE LEVEL,1926.0,1540.8,57.59,1733.4,39
CPT,64421,ED 64421 INJ ANES NERVE INTRCOSTAL EA ADDL LVL,1954.0,1563.2,24.63,1758.6,39
CPT,64421,SURG 64421 INJ ANES AGENT INTERCOSTAL NERVE EA ADDL LVL,1954.0,1563.2,24.63,1758.6,39
CPT,64425,SURG 64425 INJ ILIOHYPOGASTRIC NRVS,1772.0,1417.6,53.93,1594.8,39
CPT,64430,SURG 64430 INJ PUNDENDAL NERVE,2541.0,2032.8,54.26,2286.9,39
CPT,64435,NJX AA&/STRD PARACRV NRV,,,43.61,1304.68,20
CPT,64445,NJX AA&/STRD SCIATIC NRV IMG,,,71.24,1304.68,20
CPT,64446,NJX AA&/STRD SC NRV NFS IMG,,,74.23,1719.63,20
CPT,64447,ED 64447 INJ FEMORAL NERVE INCL IMAGING,2082.0,1665.6,62.25,1873.8,39
CPT,64447,SURG 64447 INJ FEMORAL NERVE INCL IMAGING,2082.0,1665.6,62.25,1873.8,39
CPT,64448,NJX AA&/STRD FEM NRV NFS IMG,,,70.9,1719.63,20
CPT,64449,NJX AA&/STRD LMBR PLEX NFS,,,62.91,1719.63,20
CPT,64450,ED 64450 INJ NERVE BLOCK OTH PRPHRL,1641.0,1312.8,41.61,1476.9,39
CPT,64450,SURG 64450 INJ ANES OTHER PERIPHERAL NERVE BRANCH,1641.0,1312.8,41.61,1476.9,39
CPT,64451,NJX AA&/STRD NRV NRVTG SI JT,,,80.89,1304.68,20
CPT,64454,SURG 64454 INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG,2179.0,1743.2,81.55,1961.1,39
CPT,64455,ED 64455 INJ ANESTH AGNT STEROID NERVE PLANTAR DIGIT,496.0,396.8,32.95,558.79,39
CPT,64461,SURG 64461 PVB THORACIC SINGLE INJECTION SITE W/IMG GID,1869.0,1495.2,76.89,1682.1,39
CPT,64462,PVB THORACIC 2ND+ INJ SITE,,,1.0,69.98,18
CPT,64463,PVB THORACIC CONT INFUSION,,,80.22,1304.68,20
CPT,64466,SURG 64466 THORACIC FASCIAL PLANE BLOCK UNI INJECTION,1872.0,1497.6,111.16,1684.8,34
CPT,64467,SURG 64467 THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION,1872.0,1497.6,207.76,1684.8,34
CPT,64468,SURG 64468 THORACIC FASCIAL PLANE BLOCK BI INJECTION,1872.0,1497.6,128.48,1684.8,34
CPT,64469,SURG 64469 THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION,1872.0,1497.6,318.7,1684.8,34
CPT,64473,LWR XTR FSCL PLN BLK UNI NJX,,,105.08,116.14,8
CPT,64474,LWR XTR FSCL PLN BLK UNI NFS,,,205.31,226.92,8
CPT,64479,SURG 64479 INJ TRNFRM EPID CERV THOR 1LVL,2318.0,1854.4,129.49,2086.2,39
CPT,64480,SURG 64480 INJ TRNFRM CER THOR EA ADDL,1696.0,1356.8,1.0,1526.4,37
CPT,64483,SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL,2751.0,2200.8,110.51,2475.9,39
CPT,64484,SURG 64484 INJ TRNFRM EPID LUM SAC EA ADD,1965.0,1572.0,1.0,1768.5,37
CPT,64486,SURG 64486 TAP BLOCK UNILATERAL BY INJECTION,1776.0,1420.8,1.0,1598.4,37
CPT,64487,TAP BLOCK UNI BY INFUSION,,,1.0,205.13,18
CPT,64488,SURG 64488 TAP BLOCK BILATERAL BY INJECTION,3672.0,2937.6,1.0,3304.8,34
CPT,64489,TAP BLOCK BI BY INFUSION,,,1.0,335.6,15
CPT,64490,SURG 64490 INJ FACET JNT CER THOR W/IMAGE GUIDE 1 LVL,2804.0,2243.2,104.52,2523.6,39
CPT,64491,SURG 64491 INJ DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,1588.0,1270.4,1.0,1429.2,37
CPT,64492,SURG 64492 INJ DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,2313.0,1850.4,1.0,2081.7,37
CPT,64493,SURG 64493 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,2544.0,2035.2,89.88,2289.6,39
CPT,64494,SURG 64494 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,1473.0,1178.4,1.0,1325.7,37
CPT,64495,SURG 64495 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,1360.0,1088.0,1.0,1224.0,37
CPT,64505,ED 64505 INJ ANESTHETIC AGENT SPHENOPALATINE GANGLION,1006.0,804.8,105.52,905.4,39
CPT,64505,SURG 64505 INJ ANES AGENT SPHENOPALATINE GANGLION,1006.0,804.8,105.52,905.4,39
CPT,64508,Outpatient Services - CPT/HCPCS,,,131.28,372.52,3
CPT,64510,SURG 64510 INJ ANES STELLATE GANGLION CRV SYMPATHETIC,2307.0,1845.6,76.56,2076.3,39
CPT,64510,SURG 64510 NJX ANES STELLATE GANGLION CRV SYMPATHETIC,2307.0,1845.6,76.56,2076.3,39
CPT,64517,N BLOCK INJ HYPOGAS PLXS,,,125.16,1146.41,17
CPT,64520,SURG 64520 SYMP NVE BLK LUM THOR,2378.0,1902.4,84.55,2140.2,39
CPT,64530,SURG 64530 INJ ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,2682.0,2145.6,93.87,2413.8,36
CPT,64553,IMPLANT NEUROELECTRODES,,,457.37,17133.18,17
CPT,64555,IMPLANT NEUROELECTRODES,,,322.22,8601.97,17
CPT,64561,IMPLANT NEUROELECTRODES,,,301.58,12902.96,20
CPT,64566,NEUROELTRD STIM POST TIBIAL,,,29.96,372.52,17
CPT,64568,OPN IMPLTJ CRNL NRV NEA&PG,,,606.83,58584.14,20
CPT,64569,REVISE/REPL VAGUS N ELTRD,,,781.59,25699.78,20
CPT,64570,REMOVE VAGUS N ELTRD,,,752.3,12567.71,20
CPT,64575,OPN IMPLTJ NEA PERPH NERVE,,,315.57,17133.18,17
CPT,64580,OPN IMPLTJ NEA NEUROMUSCULAR,,,317.56,27514.08,17
CPT,64581,OPN IMPLTJ NEA SACRAL NERVE,,,653.1,8601.97,17
CPT,64582,OPN MPLTJ HPGLSL NSTM ARY PG,,,836.51,58584.14,20
CPT,64583,REV/RPLCT HPGLSL NSTM ARY PG,,,863.48,25699.78,20
CPT,64584,RMVL HPGLSL NSTIM ARY PG,,,728.66,12567.71,20
CPT,64585,REV/RMV PERPH NSTIM ELTRD RA,,,144.13,4279.54,17
CPT,64590,INS/RPL PRPH SAC/GSTR NPG/R,,,293.93,27514.08,17
CPT,64595,REV/RMV PRPH SAC/GSTR NPG/R,,,229.35,4279.54,17
CPT,64596,INS/RPLCMT PRQ ELTRD RA PN 1,,,6037.75,17133.18,11
CPT,64597,INS/RPLCM PRQ ELTRD RA PN EA,,,1.0,1.0,3
CPT,64598,REVJ/RMVL NEA PN W/INT NSTIM,,,1508.11,4279.54,11
CPT,64600,SURG 64600 TRIGEMINAL BLOCK,4252.0,3401.6,238.01,3826.8,36
CPT,64605,INJECTION TREATMENT OF NERVE,,,430.07,3642.66,20
CPT,64610,INJECTION TREATMENT OF NERVE,,,483.67,3642.66,20
CPT,64611,CHEMODENERV SALIV GLANDS,,,114.18,372.52,17
CPT,64612,DESTROY NERVE FACE MUSCLE,,,119.84,558.79,20
CPT,64615,TX RM 64615 CHEMDNRVTN MSCL FAC TRIG CERV SPIN BILAT,940.0,752.0,123.16,846.0,36
CPT,64616,TX RM 64616 CHEM DEST NERVE MUSCLE NECK,1142.0,913.6,110.18,1027.8,39
CPT,64617,CHEMODENER MUSCLE LARYNX EMG,,,107.85,1304.68,20
CPT,64620,SURG 64620 DESTRUCTION NEUROLYTIC AGENT INTERCOSTAL NERVE,3537.0,2829.6,177.09,3183.3,36
CPT,64624,SURG 64624 DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG,4802.0,3841.6,145.13,4321.8,39
CPT,64625,RF ABLTJ NRV NRVTG SI JT,,,194.4,3642.66,20
CPT,64628,TRML DSTRJ IOS BVN 1ST 2 L/S,,,411.77,16553.5,17
CPT,64629,TRML DSTRJ IOS BVN EA ADDL,,,1.0,194.73,15
CPT,64630,INJECTION TREATMENT OF NERVE,,,191.07,1146.41,17
CPT,64632,N BLOCK INJ COMMON DIGIT,,,66.91,558.79,20
CPT,64633,SURG 64633 DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,4346.0,3476.8,191.07,3911.4,39
CPT,64634,SURG 64634 DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,1649.0,1319.2,1.0,1484.1,37
CPT,64635,SURG 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,3824.0,3059.2,191.4,3642.66,39
CPT,64636,SURG 64636 DSTRUCT NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,2060.0,1648.0,1.0,1854.0,37
CPT,64640,SURG 64640 DSTRUCT NEUROLYTIC AGENT OTHER PERIPHERAL NERVE,2672.0,2137.6,118.5,2404.8,39
CPT,64642,TX RM 64642 CHEMODENERV 1 EXT 1-4 MUSCLE,1374.0,1099.2,107.19,1236.6,36
CPT,64643,TX RM 64643 CHEMODEN 1 EXT 1-4 MUSCLE ADDL,1105.0,884.0,1.0,994.5,34
CPT,64644,SURG 64644 CHEMODENERV 1 EXT 5+ MUSCLES,1437.0,1149.6,115.84,1293.3,36
CPT,64644,TX RM 64644 CHEMODENERV 1 EXT 5+ MUSCLES,1437.0,1149.6,115.84,1293.3,36
CPT,64645,SURG 64645 CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES,1190.0,952.0,1.0,1071.0,34
CPT,64645,TX RM 64645 CHEMODEN 1 EXT 5+ MUSCLES ADDL,1190.0,952.0,1.0,1071.0,34
CPT,64646,SURG 64646 CHEMODENERVATION TRUNK 1-5 MUSLCES,1544.0,1235.2,116.17,1389.6,36
CPT,64646,TX RM 64646 CHEMODENERV TRUNK 1-5 MUSCLES,1544.0,1235.2,116.17,1389.6,36
CPT,64647,SURG 64647 CHEMODENERVATION TRUNK 6+ MUSLCES,1598.0,1278.4,133.82,1438.2,36
CPT,64647,TX RM 64647 CHEMODENERV TRUNK 6+ MUSCLES,1598.0,1278.4,133.82,1438.2,36
CPT,64650,CHEMODENERV ECCRINE GLANDS,,,40.61,372.52,17
CPT,64653,CHEMODENERV ECCRINE GLANDS,,,51.6,372.52,17
CPT,64680,INJECTION TREATMENT OF NERVE,,,159.45,1146.41,17
CPT,64681,INJECTION TREATMENT OF NERVE,,,217.03,1146.41,17
CPT,64702,SURG 64702 NEUROPLASTY DIGITAL ONE BOTH SAME DIGIT,4255.0,3404.0,521.62,3829.5,36
CPT,64704,SURG 64704 NEUROPLASTY NERVE HAND FOOT,4421.0,3536.8,327.55,3978.9,36
CPT,64708,SURG 64708 NEUROPLASTY MAJOR PERIPHERAL NERVE ARM LEG OTHER THAN SPECIFIED,7278.0,5822.4,514.96,6550.2,36
CPT,64712,REVISION OF SCIATIC NERVE,,,601.17,3642.66,20
CPT,64713,REVISION OF ARM NERVE(S),,,808.55,3642.66,20
CPT,64714,REVISE LOW BACK NERVE(S),,,772.94,3642.66,20
CPT,64716,REVISION OF CRANIAL NERVE,,,515.62,2428.44,17
CPT,64718,SURG 64718 NEUROPLASTY & OR TRANSPOSITION ULNAR NERVE AT ELBOW,6766.0,5412.8,612.82,6089.4,39
CPT,64719,SURG 64719 NEUROPLASTY & OR TRANSPOSITION ULNAR NERVE AT WRIST,5249.0,4199.2,414.76,4724.1,39
CPT,64721,SURG 64721 CARPAL TUNNEL RELEASE,5741.0,4592.8,445.05,5166.9,39
CPT,64722,SURG 64722 DECOMPRESSION UNSPECIFIED NERVE(S) (SPECIFY),6418.0,5134.4,376.15,5776.2,36
CPT,64726,DCMPRN PLANTAR DIGITAL NERVE,,,270.63,2428.44,17
CPT,64727,INTERNAL NEUROLYSIS,,,1.0,177.09,15
CPT,64732,INCISION OF BROW NERVE,,,466.03,3642.66,20
CPT,64734,INCISION OF CHEEK NERVE,,,525.94,3642.66,20
CPT,64736,INCISION OF CHIN NERVE,,,331.88,3642.66,20
CPT,64738,INCISION OF JAW NERVE,,,449.38,3642.66,20
CPT,64740,INCISION OF TONGUE NERVE,,,458.7,3642.66,20
CPT,64742,INCISION OF FACIAL NERVE,,,493.65,3642.66,20
CPT,64744,INCISE NERVE BACK OF HEAD,,,518.29,3642.66,20
CPT,64746,INCISE DIAPHRAGM NERVE,,,432.07,3642.66,20
CPT,64755,INCISION OF STOMACH NERVES,,,783.38,4009.09,15
CPT,64760,INCISION OF VAGUS NERVE,,,451.33,4009.09,15
CPT,64763,INCISE HIP/THIGH NERVE,,,519.28,3642.66,20
CPT,64766,INCISE HIP/THIGH NERVE,,,640.45,3642.66,20
CPT,64771,SURG 64771 TRANSECTION AVULSION OTHER CRANIAL NERVE EXTRADURAL,5953.0,4762.4,582.86,5357.7,36
CPT,64772,SURG 64772 TRANSECTION/AVULSION OTH SPINAL NRV XDRL,5428.0,4342.4,563.56,4885.2,36
CPT,64774,REMOVE SKIN NERVE LESION,,,433.07,2428.44,17
CPT,64776,SURG 64776 EXC NEUROMA DIGITAL NERVE ONE BOTH SAME DIGIT,6891.0,5512.8,409.77,6201.9,36
CPT,64778,DIGIT NERVE SURGERY ADD-ON,,,1.0,178.09,15
CPT,64782,REMOVE LIMB NERVE LESION,,,459.03,2428.44,17
CPT,64783,LIMB NERVE SURGERY ADD-ON,,,1.0,212.37,15
CPT,64784,REMOVE NERVE LESION,,,728.66,2428.44,17
CPT,64786,REMOVE SCIATIC NERVE LESION,,,1006.95,12567.71,20
CPT,64787,IMPLANT NERVE END,,,1.0,231.02,15
CPT,64788,SURG 64788 EXC NEUROFIBROMA NEUROLEMMOMA CUTANEOUS NERVE,6328.0,5062.4,414.1,5695.2,36
CPT,64790,REMOVAL OF NERVE LESION,,,855.78,2428.44,17
CPT,64792,REMOVAL OF NERVE LESION,,,1082.84,8378.47,17
CPT,64795,BIOPSY OF NERVE,,,195.06,2428.44,17
CPT,64802,SYMPATHECTOMY CERVICAL,,,855.78,3642.66,20
CPT,64804,SYMPATHECTOMY CERVICOTHORAC,,,855.78,3642.66,20
CPT,64809,SYMPATHECTOMY THORACOLUMBAR,,,855.78,3642.66,18
CPT,64818,SYMPATHECTOMY LUMBAR,,,685.03,3642.66,18
CPT,64820,SYMPATHECTOMY DIGITAL ARTERY,,,773.27,2428.44,17
CPT,64821,SYMPATHECTOMY RADIAL ARTERY,,,707.03,6106.72,20
CPT,64822,SYMPATHECTOMY ULNAR ARTERY,,,707.03,6106.72,20
CPT,64823,SYMPATHECTOMY SUPFC PALMAR,,,799.57,6106.72,20
CPT,64831,SURG 64831 SUTURE DIGITAL NERVE HAND FOOT ONE NERVE,5997.0,4797.6,700.7,5397.3,39
CPT,64832,REPAIR NERVE ADD-ON,,,1.0,328.55,15
CPT,64834,REPAIR OF HAND OR FOOT NERVE,,,749.3,12567.71,20
CPT,64835,REPAIR OF HAND OR FOOT NERVE,,,821.87,12567.71,20
CPT,64836,REPAIR OF HAND OR FOOT NERVE,,,821.87,12567.71,20
CPT,64837,REPAIR NERVE ADD-ON,,,1.0,358.51,15
CPT,64840,REPAIR OF LEG NERVE,,,966.67,12567.71,20
CPT,64856,REPAIR/TRANSPOSE NERVE,,,1008.61,8378.47,17
CPT,64857,REPAIR ARM/LEG NERVE,,,1054.22,8378.47,17
CPT,64858,REPAIR SCIATIC NERVE,,,855.78,3642.66,20
CPT,64859,NERVE SURGERY,,,1.0,243.66,15
CPT,64861,REPAIR OF ARM NERVES,,,855.78,3642.66,20
CPT,64862,REPAIR OF LOW BACK NERVES,,,1372.11,12567.71,20
CPT,64864,REPAIR OF FACIAL NERVE,,,858.48,8378.47,17
CPT,64865,REPAIR OF FACIAL NERVE,,,1084.84,8378.47,17
CPT,64866,FUSION OF FACIAL/OTHER NERVE,,,855.78,2428.44,15
CPT,64868,FUSION OF FACIAL/OTHER NERVE,,,855.78,2428.44,15
CPT,64872,SUBSEQUENT REPAIR OF NERVE,,,1.0,113.84,15
CPT,64874,REPAIR & REVISE NERVE ADD-ON,,,1.0,170.76,15
CPT,64876,REPAIR NERVE/SHORTEN BONE,,,1.0,193.4,15
CPT,64885,NERVE GRAFT HEAD/NECK <4 CM,,,1073.52,8378.47,17
CPT,64886,NERVE GRAFT HEAD/NECK >4 CM,,,1284.9,8378.47,17
CPT,64890,NRV GRF 1STRND HND/FOOT <4CM,,,1080.85,8378.47,17
CPT,64891,NRV GRF 1STRND HND/FOOT >4CM,,,1149.08,8378.47,17
CPT,64892,NRV GRF 1STRND ARM/LEG <4CM,,,1052.22,8378.47,17
CPT,64893,NRV GRF 1STRND ARM/LEG >4 CM,,,1121.46,8378.47,17
CPT,64895,NRV GRF MLTST HND/FOOT <4 CM,,,1322.85,8378.47,17
CPT,64896,NRV GRF MLTST HND/FOOT >4 CM,,,1427.04,8378.47,17
CPT,64897,NRV GRF MLTST ARM/LEG <4 CM,,,1265.26,8378.47,17
CPT,64898,NRV GRF MLTST ARM/LEG >4 CM,,,1370.11,8378.47,17
CPT,64901,NERVE GRAFT ADD-ON,,,1.0,585.19,15
CPT,64902,NERVE GRAFT ADD-ON,,,1.0,677.07,15
CPT,64905,NERVE PEDICLE TRANSFER,,,1002.29,8378.47,17
CPT,64907,NERVE PEDICLE TRANSFER,,,1298.21,8378.47,17
CPT,64910,NERVE REPAIR W/ALLOGRAFT,,,764.95,8378.47,17
CPT,64911,NEURORRAPHY W/VEIN AUTOGRAFT,,,1026.25,8378.47,17
CPT,64912,NRV RPR W/NRV ALGRFT 1ST,,,897.43,8378.47,17
CPT,64913,NRV RPR W/NRV ALGRFT EA ADDL,,,1.0,170.43,15
CPT,64999,ED 64999 FASCIA ILIACA NERVE BLOCK,2617.0,2093.6,131.28,2355.3,36
CPT,64999,SURG 64999 ABLATION NERVES OF THUMB,5428.0,4342.4,131.28,4885.2,36
CPT,64999,SURG 64999 ERECTOR SPINAE BLOCK INCL IMG GUID,1865.0,1492.0,131.28,1678.5,36
CPT,64999,SURG 64999 FACIAL NERVE INJECTION,1068.0,854.4,131.28,961.2,36
CPT,64999,SURG 64999 IDTA,3833.0,3066.4,131.28,3449.7,36
CPT,64999,SURG 64999 INJ GANGLION SACROC LIG PRESAC W FLUORO,2439.0,1951.2,131.28,2195.1,36
CPT,64999,SURG 64999 UNLISTED PROCEDURE NERVOUS SYSTEM,2785.0,2228.0,131.28,2506.5,36
CPT,64999,TX RM 64999 CERVICAL PLEXUS BLOCK,2617.0,2093.6,131.28,2355.3,36
CPT,65091,REVISE EYE,,,739.98,7294.45,20
CPT,65093,REVISE EYE WITH IMPLANT,,,733.99,7294.45,20
CPT,65101,REMOVAL OF EYE,,,847.17,7294.45,20
CPT,65103,REMOVE EYE/INSERT IMPLANT,,,874.46,7294.45,20
CPT,65105,REMOVE EYE/ATTACH IMPLANT,,,950.69,7294.45,20
CPT,65110,REMOVAL OF EYE,,,1310.53,7294.45,20
CPT,65112,REMOVE EYE/REVISE SOCKET,,,1500.93,7294.45,20
CPT,65114,REMOVE EYE/REVISE SOCKET,,,1565.84,7294.45,20
CPT,65125,REVISE OCULAR IMPLANT,,,292.6,4408.68,20
CPT,65130,INSERT OCULAR IMPLANT,,,850.16,7294.45,20
CPT,65135,INSERT OCULAR IMPLANT,,,860.48,7294.45,20
CPT,65140,ATTACH OCULAR IMPLANT,,,924.06,7294.45,20
CPT,65150,REVISE OCULAR IMPLANT,,,698.7,7294.45,20
CPT,65155,REINSERT OCULAR IMPLANT,,,960.68,7294.45,20
CPT,65175,REMOVAL OF OCULAR IMPLANT,,,776.26,7294.45,20
CPT,65205,ED 65205 REMV FB EYE CONJ SUPERFCL,640.0,512.0,28.63,576.0,39
CPT,65205,TX RM 65205 REMOVE FB EYE EXTERIOR CONJUNCTIVAL SUPERFICIAL,640.0,512.0,28.63,576.0,39
CPT,65210,ED 65210 REMV FB EYE CONJ EMBEDDED,560.0,448.0,35.28,751.7,39
CPT,65220,ED 65220 REMV FB EYE CORNEAL WO SL,577.0,461.6,40.94,751.7,39
CPT,65222,ED 65222 REMV FB EYE CORNEAL WSLIT LAMP,484.0,387.2,49.6,435.6,39
CPT,65235,REMOVE FOREIGN BODY FROM EYE,,,726.0,4396.57,20
CPT,65260,REMOVE FOREIGN BODY FROM EYE,,,971.0,4396.57,20
CPT,65265,REMOVE FOREIGN BODY FROM EYE,,,1032.9,4396.57,20
CPT,65270,ED 65270 RPR EYE WOUND,4217.0,3373.6,138.81,4408.68,39
CPT,65272,REPAIR OF EYE WOUND,,,349.19,4408.68,20
CPT,65273,REPAIR OF EYE WOUND,,,337.8,1169.49,18
CPT,65275,REPAIR OF EYE WOUND,,,455.04,7294.45,20
CPT,65280,REPAIR OF EYE WOUND,,,662.42,9860.55,20
CPT,65285,REPAIR OF EYE WOUND,,,1091.16,9860.55,20
CPT,65286,REPAIR OF EYE WOUND,,,489.66,4396.57,20
CPT,65290,REPAIR OF EYE SOCKET WOUND,,,484.33,7294.45,20
CPT,65400,REMOVAL OF EYE LESION,,,448.74,1910.07,20
CPT,65410,BIOPSY OF CORNEA,,,101.19,4408.68,20
CPT,65420,REMOVAL OF EYE LESION,,,377.81,4408.68,20
CPT,65426,REMOVAL OF EYE LESION,,,474.01,4408.68,20
CPT,65430,CORNEAL SMEAR,,,99.86,751.7,20
CPT,65435,ED 65435 REMV CORNEA EPITHELIUM,1707.0,1365.6,68.91,1910.07,39
CPT,65436,CURETTE/TREAT CORNEA,,,366.16,4408.68,20
CPT,65450,TREATMENT OF CORNEAL LESION,,,129.12,549.61,20
CPT,65600,REVISION OF CORNEA,,,338.2,4408.68,20
CPT,65710,CORNEAL TRANSPLANT,,,1126.78,9860.55,20
CPT,65730,CORNEAL TRANSPLANT,,,1237.96,7670.76,20
CPT,65750,CORNEAL TRANSPLANT,,,1244.95,9860.55,20
CPT,65755,CORNEAL TRANSPLANT,,,1241.29,7670.76,20
CPT,65756,CORNEAL TRNSPL ENDOTHELIAL,,,1165.4,7670.76,20
CPT,65757,PREP CORNEAL ENDO ALLOGRAFT,,,1.0,1.0,3
CPT,65760,KERATOMILEUSIS,,,129.12,366.4,3
CPT,65765,KERATOPHAKIA,,,129.12,366.4,3
CPT,65767,EPIKERATOPLASTY,,,129.12,366.4,3
CPT,65770,KERATOPROSTHESIS,,,1388.75,23388.96,20
CPT,65771,RADIAL KERATOTOMY,,,129.12,366.4,3
CPT,65772,CORRECTION OF ASTIGMATISM,,,401.78,1910.07,20
CPT,65775,CORRECTION OF ASTIGMATISM,,,569.22,4408.68,20
CPT,65778,COVER EYE W/MEMBRANE,,,43.27,1910.07,20
CPT,65779,COVER EYE W/MEMBRANE SUTURE,,,116.17,7294.45,20
CPT,65780,OCULAR RECONST TRANSPLANT,,,586.19,7294.45,20
CPT,65781,OCULAR RECONST TRANSPLANT,,,1309.2,9860.55,20
CPT,65782,OCULAR RECONST TRANSPLANT,,,1131.11,7294.45,20
CPT,65785,IMPLTJ NTRSTRML CRNL RNG SEG,,,439.73,7670.76,20
CPT,65800,DRAINAGE OF EYE,,,87.55,4396.57,20
CPT,65810,DRAINAGE OF EYE,,,460.03,4396.57,20
CPT,65815,DRAINAGE OF EYE,,,472.02,4396.57,20
CPT,65820,GONIOTOMY,,,816.88,7670.76,20
CPT,65850,TRABECULOTOMY AB EXTERNO,,,833.52,4396.57,20
CPT,65855,TRABECULOPLASTY LASER SURG,,,202.72,1096.63,20
CPT,65860,SEVERING ADS ANT SGM LASER,,,245.66,1096.63,20
CPT,65865,INCISE INNER EYE ADHESIONS,,,474.35,4396.57,20
CPT,65870,INCISE INNER EYE ADHESIONS,,,588.86,4396.57,20
CPT,65875,INCISE INNER EYE ADHESIONS,,,628.8,4396.57,20
CPT,65880,INCISE INNER EYE ADHESIONS,,,660.42,7670.76,20
CPT,65900,REMOVE EYE LESION,,,980.65,4396.57,20
CPT,65920,REMOVE IMPLANT OF EYE,,,783.92,4396.57,20
CPT,65930,REMOVE BLOOD CLOT FROM EYE,,,635.46,4396.57,20
CPT,66020,INJECTION TREATMENT OF EYE,,,130.15,4396.57,20
CPT,66030,INJECTION TREATMENT OF EYE,,,110.51,4396.57,20
CPT,66130,REMOVE EYE LESION,,,557.9,4408.68,20
CPT,66150,GLAUCOMA SURGERY,,,869.8,7670.76,20
CPT,66155,GLAUCOMA SURGERY,,,869.47,7670.76,20
CPT,66160,GLAUCOMA SURGERY,,,976.66,4396.57,20
CPT,66170,GLAUCOMA SURGERY,,,1032.9,4396.57,20
CPT,66172,INCISION OF EYE,,,1032.9,4396.57,20
CPT,66174,TRLUML DIL AQ O/F CAN W/O ST,,,618.15,7670.76,20
CPT,66175,TRLUML DIL AQ O/F CAN W/ST,,,717.68,9860.55,20
CPT,66179,AQUEOUS SHUNT EYE W/O GRAFT,,,1069.53,9860.55,20
CPT,66180,AQUEOUS SHUNT EYE W/GRAFT,,,1126.45,7670.76,20
CPT,66183,INSERT ANT DRAINAGE DEVICE,,,1019.26,7670.76,20
CPT,66184,REVISION OF AQUEOUS SHUNT,,,784.92,4396.57,20
CPT,66185,REVISE AQUEOUS SHUNT EYE,,,842.51,4396.57,20
CPT,66220,Outpatient Services - CPT/HCPCS,,,1032.9,2931.04,3
CPT,66225,REPAIR/GRAFT EYE LESION,,,925.06,9860.55,20
CPT,66250,FOLLOW-UP SURGERY OF EYE,,,550.91,4408.68,20
CPT,66500,INCISION OF IRIS,,,392.46,4396.57,20
CPT,66505,INCISION OF IRIS,,,426.75,4396.57,20
CPT,66600,REMOVE IRIS AND LESION,,,897.43,7670.76,20
CPT,66605,REMOVAL OF IRIS,,,1032.9,4396.57,20
CPT,66625,REMOVAL OF IRIS,,,425.08,4396.57,20
CPT,66630,REMOVAL OF IRIS,,,561.56,4396.57,20
CPT,66635,REMOVAL OF IRIS,,,566.55,4396.57,20
CPT,66680,REPAIR IRIS & CILIARY BODY,,,516.62,4396.57,20
CPT,66682,REPAIR IRIS & CILIARY BODY,,,707.03,4396.57,20
CPT,66683,IMPLANTATION IRIS PROSTHESIS,,,15595.62,17237.26,8
CPT,66700,DESTRUCTION CILIARY BODY,,,387.8,4396.57,20
CPT,66710,CILIARY TRANSSLERAL THERAPY,,,387.47,4408.68,20
CPT,66711,ECP CILIARY BODY DESTRUCTION,,,502.64,4396.57,20
CPT,66720,DESTRUCTION CILIARY BODY,,,408.44,4408.68,20
CPT,66740,DESTRUCTION CILIARY BODY,,,387.8,4408.68,20
CPT,66761,REVISION OF IRIS,,,234.01,1096.63,20
CPT,66762,REVISION OF IRIS,,,257.64,1096.63,20
CPT,66770,REMOVAL OF INNER EYE LESION,,,257.64,1096.63,20
CPT,66820,INCISION SECONDARY CATARACT,,,466.36,4396.57,20
CPT,66821,AFTER CATARACT LASER SURGERY,,,257.64,1096.63,20
CPT,66825,REPOSITION INTRAOCULAR LENS,,,826.2,4396.57,20
CPT,66830,REMOVAL OF LENS LESION,,,701.7,4396.57,20
CPT,66840,REMOVAL OF LENS MATERIAL,,,685.06,4396.57,20
CPT,66850,REMOVAL OF LENS MATERIAL,,,778.93,4396.57,20
CPT,66852,REMOVAL OF LENS MATERIAL,,,828.53,7670.76,20
CPT,66920,EXTRACTION OF LENS,,,739.65,4396.57,20
CPT,66930,EXTRACTION OF LENS,,,846.83,7670.76,20
CPT,66940,EXTRACTION OF LENS,,,775.6,4396.57,20
CPT,66982,XCAPSL CTRC RMVL CPLX WO ECP,,,735.99,4396.57,20
CPT,66983,CATARACT SURG W/IOL 1 STAGE,,,1032.9,4396.57,16
CPT,66984,XCAPSL CTRC RMVL W/O ECP,,,537.26,4396.57,20
CPT,66985,INSERT LENS PROSTHESIS,,,760.62,4396.57,20
CPT,66986,EXCHANGE LENS PROSTHESIS,,,891.11,4396.57,20
CPT,66987,XCAPSL CTRC RMVL CPLX W/ECP,,,1802.12,7670.76,16
CPT,66988,XCAPSL CTRC RMVL W/ECP,,,1802.12,7670.76,16
CPT,66989,XCPSL CTRC RMVL CPLX INSJ 1+,,,844.5,9860.55,20
CPT,66990,OPHTHALMIC ENDOSCOPE ADD-ON,,,1.0,86.55,15
CPT,66991,XCAPSL CTRC RMVL INSJ 1+,,,675.07,9860.55,20
CPT,66999,ED 66999 UNLISTED PROC ANTERIOR SEGMENT EYE,4468.0,3574.4,1032.9,4396.57,39
CPT,67005,PARTIAL REMOVAL OF EYE FLUID,,,473.02,4396.57,20
CPT,67010,PARTIAL REMOVAL OF EYE FLUID,,,540.59,4396.57,20
CPT,67015,RELEASE OF EYE FLUID,,,599.18,4396.57,20
CPT,67025,REPLACE EYE FLUID,,,623.81,4396.57,20
CPT,67027,IMPLANT EYE DRUG SYSTEM,,,836.51,29777.76,20
CPT,67028,INJECTION EYE DRUG,,,90.21,638.95,20
CPT,67030,INCISE INNER EYE STRANDS,,,553.57,4396.57,20
CPT,67031,LASER SURGERY EYE STRANDS,,,257.64,1096.63,20
CPT,67036,REMOVAL OF INNER EYE FLUID,,,885.11,7670.76,20
CPT,67039,LASER TREATMENT OF RETINA,,,946.7,7670.76,20
CPT,67040,LASER TREATMENT OF RETINA,,,1021.26,7670.76,20
CPT,67041,VIT FOR MACULAR PUCKER,,,1125.45,7670.76,20
CPT,67042,VIT FOR MACULAR HOLE,,,1125.45,7670.76,20
CPT,67043,VIT FOR MEMBRANE DISSECT,,,1186.7,7670.76,20
CPT,67101,REPAIR DETACHED RETINA CRTX,,,281.95,4396.57,20
CPT,67105,REPAIR DETACHED RETINA PC,,,257.64,1096.63,20
CPT,67107,REPAIR DETACHED RETINA,,,1106.48,7670.76,20
CPT,67108,REPAIR DETACHED RETINA,,,1171.05,7670.76,20
CPT,67110,REPAIR DETACHED RETINA,,,804.56,4396.57,20
CPT,67113,REPAIR RETINAL DETACH CPLX,,,1309.2,9860.55,20
CPT,67115,RELEASE ENCIRCLING MATERIAL,,,494.32,7670.76,20
CPT,67120,REMOVE EYE IMPLANT MATERIAL,,,549.24,4396.57,20
CPT,67121,REMOVE EYE IMPLANT MATERIAL,,,892.1,4396.57,20
CPT,67141,PROPH RTA DTCHMNT CRTX DTHRM,,,129.12,549.61,20
CPT,67145,PROPH RTA DTCHMNT PC,,,214.7,1096.63,20
CPT,67208,TREATMENT OF RETINAL LESION,,,129.12,570.21,20
CPT,67210,TREATMENT OF RETINAL LESION,,,257.64,1096.63,20
CPT,67218,TREATMENT OF RETINAL LESION,,,1369.45,7294.45,20
CPT,67220,TREATMENT OF CHOROID LESION,,,257.64,1096.63,20
CPT,67221,OCULAR PHOTODYNAMIC THER,,,204.39,731.09,17
CPT,67225,EYE PHOTODYNAMIC THER ADD-ON,,,1.0,28.71,15
CPT,67227,DSTRJ EXTENSIVE RETINOPATHY,,,251.32,7294.45,20
CPT,67228,TREATMENT X10SV RETINOPATHY,,,257.64,1096.63,20
CPT,67229,TR RETINAL LES PRETERM INF,,,257.64,1141.1,20
CPT,67250,REINFORCE EYE WALL,,,898.1,4408.68,20
CPT,67255,REINFORCE/GRAFT EYE WALL,,,682.73,7670.76,20
CPT,67299,UNLISTED PX POSTERIOR SEGMNT,,,1032.9,4396.57,16
CPT,67311,REVISE EYE MUSCLE,,,451.05,4408.68,20
CPT,67312,REVISE TWO EYE MUSCLES,,,656.1,7294.45,20
CPT,67314,REVISE EYE MUSCLE,,,451.05,4408.68,20
CPT,67316,REVISE TWO EYE MUSCLES,,,703.36,4408.68,20
CPT,67318,REVISE EYE MUSCLE(S),,,680.4,4408.68,20
CPT,67320,REVISE EYE MUSCLE(S) ADD-ON,,,1.0,171.43,15
CPT,67331,EYE SURGERY FOLLOW-UP ADD-ON,,,1.0,153.46,18
CPT,67332,REREVISE EYE MUSCLES ADD-ON,,,1.0,199.39,18
CPT,67334,REVISE EYE MUSCLE W/SUTURE,,,1.0,151.13,18
CPT,67335,EYE SUTURE DURING SURGERY,,,1.0,183.08,18
CPT,67340,REVISE EYE MUSCLE ADD-ON,,,1.0,286.27,15
CPT,67343,RELEASE EYE TISSUE,,,667.08,4408.68,20
CPT,67345,DESTROY NERVE OF EYE MUSCLE,,,129.12,549.61,20
CPT,67346,BIOPSY EYE MUSCLE,,,189.74,7294.45,20
CPT,67399,UNLISTED PX EXTRAOCULAR MUSC,,,129.12,549.61,16
CPT,67400,EXPLORE/BIOPSY EYE SOCKET,,,1029.92,7294.45,20
CPT,67405,EXPLORE/DRAIN EYE SOCKET,,,900.43,4408.68,20
CPT,67412,EXPLORE/TREAT EYE SOCKET,,,982.65,4408.68,20
CPT,67413,EXPLORE/TREAT EYE SOCKET,,,957.35,4408.68,20
CPT,67414,EXPLR/DECOMPRESS EYE SOCKET,,,1441.02,7294.45,20
CPT,67415,ASPIRATION ORBITAL CONTENTS,,,100.86,4408.68,20
CPT,67420,EXPLORE/TREAT EYE SOCKET,,,1713.71,7294.45,20
CPT,67430,EXPLORE/TREAT EYE SOCKET,,,1376.11,7294.45,20
CPT,67440,EXPLORE/DRAIN EYE SOCKET,,,1334.83,7294.45,20
CPT,67445,EXPLR/DECOMPRESS EYE SOCKET,,,1514.58,7294.45,20
CPT,67450,EXPLORE/BIOPSY EYE SOCKET,,,1382.76,7294.45,20
CPT,67500,INJECT/TREAT EYE SOCKET,,,63.58,549.61,20
CPT,67505,INJECT/TREAT EYE SOCKET,,,70.9,549.61,20
CPT,67515,INJECT/TREAT EYE SOCKET,,,46.27,549.61,20
CPT,67516,SPRCHOROIDAL SPC NJX RX AGT,,,95.54,425.97,15
CPT,67550,INSERT EYE SOCKET IMPLANT,,,1077.18,7294.45,20
CPT,67560,REVISE EYE SOCKET IMPLANT,,,1101.48,7294.45,20
CPT,67570,DECOMPRESS OPTIC NERVE,,,1263.26,7294.45,20
CPT,67599,UNLISTED PROCEDURE ORBIT,,,129.12,549.61,16
CPT,67700,ED 67700 BLEPHAROTOMY DRN EYELID ABSCESS,828.0,662.4,115.51,745.2,39
CPT,67710,SEVERING TARSORRHAPHY,,,97.53,1910.07,20
CPT,67715,ED 67715 CANTHOTOMY,3578.0,2862.4,106.85,4408.68,39
CPT,67800,REMOVE EYELID LESION,,,101.19,366.4,17
CPT,67801,REMOVE EYELID LESIONS,,,129.82,1273.38,17
CPT,67805,REMOVE EYELID LESIONS,,,129.12,366.4,17
CPT,67808,REMOVE EYELID LESION(S),,,364.83,2939.12,17
CPT,67810,INCAL BX EYELID SKN LID MRGN,,,66.91,549.61,20
CPT,67820,REVISE EYELASHES,,,21.97,241.01,20
CPT,67825,REVISE EYELASHES,,,121.17,549.61,20
CPT,67830,REVISE EYELASHES,,,136.15,1910.07,20
CPT,67835,REVISE EYELASHES,,,436.73,4408.68,20
CPT,67840,REMOVE EYELID LESION,,,155.45,1910.07,20
CPT,67850,DSTRJ LESION LID MARGIN <1CM,,,130.15,1910.07,20
CPT,67875,CLOSURE OF EYELID BY SUTURE,,,94.54,1910.07,20
CPT,67880,REVISION OF EYELID,,,364.83,4408.68,20
CPT,67882,REVISION OF EYELID,,,466.03,4408.68,20
CPT,67900,REPAIR BROW DEFECT,,,499.98,4408.68,20
CPT,67901,REPAIR EYELID DEFECT,,,583.2,4408.68,20
CPT,67902,REPAIR EYELID DEFECT,,,717.01,7294.45,20
CPT,67903,REPAIR EYELID DEFECT,,,474.68,4408.68,20
CPT,67904,REPAIR EYELID DEFECT,,,588.86,4408.68,20
CPT,67906,REPAIR EYELID DEFECT,,,498.65,7294.45,20
CPT,67908,REPAIR EYELID DEFECT,,,428.08,4408.68,20
CPT,67909,REVISE EYELID DEFECT,,,433.07,4408.68,20
CPT,67911,REVISE EYELID DEFECT,,,553.24,4408.68,20
CPT,67912,CORRECTION EYELID W/IMPLANT,,,481.34,4408.68,20
CPT,67914,REPAIR EYELID DEFECT,,,327.22,4408.68,20
CPT,67915,REPAIR EYELID DEFECT,,,199.06,4408.68,20
CPT,67916,REPAIR EYELID DEFECT,,,425.41,4408.68,20
CPT,67917,REPAIR EYELID DEFECT,,,451.38,4408.68,20
CPT,67921,REPAIR EYELID DEFECT,,,310.57,4408.68,20
CPT,67922,REPAIR EYELID DEFECT,,,199.06,4408.68,20
CPT,67923,REPAIR EYELID DEFECT,,,425.75,4408.68,20
CPT,67924,REPAIR EYELID DEFECT,,,451.38,4408.68,20
CPT,67930,REPAIR EYELID WOUND,,,232.68,4408.68,20
CPT,67935,ED 67935 SUTURE EYELID WND FULL,4409.0,3527.2,432.74,4408.68,39
CPT,67938,ED 67938 REMV FB EYELID,956.0,764.8,116.84,860.4,39
CPT,67950,REVISION OF EYELID,,,457.37,4408.68,20
CPT,67961,REVISION OF EYELID,,,449.38,4408.68,20
CPT,67966,REVISION OF EYELID,,,645.78,4408.68,20
CPT,67971,RECONSTRUCTION OF EYELID,,,709.36,4408.68,20
CPT,67973,RECONSTRUCTION OF EYELID,,,912.41,4408.68,20
CPT,67974,RECONSTRUCTION OF EYELID,,,910.08,7294.45,20
CPT,67975,RECONSTRUCTION OF EYELID,,,672.07,4408.68,20
CPT,67999,UNLISTED PROCEDURE EYELIDS,,,129.12,549.61,16
CPT,68020,INCISE/DRAIN EYELID LINING,,,109.18,1910.07,20
CPT,68040,TREATMENT OF EYELID LESIONS,,,46.94,549.61,20
CPT,68100,BIOPSY CONJUNCTIVA,,,94.2,4408.68,20
CPT,68110,EXC LES CONJUNCTIVA <1 CM,,,147.13,4408.68,20
CPT,68115,EXC LES CONJUNCTIVA >1 CM,,,181.08,4408.68,20
CPT,68130,EXC LES CONJUNCTIVA ADJ SCL,,,409.44,4408.68,20
CPT,68135,DESTRUCTION LES CONJUNCTIVA,,,148.13,4408.68,20
CPT,68200,TREAT EYELID BY INJECTION,,,33.62,751.7,20
CPT,68320,REVISE/GRAFT EYELID LINING,,,534.93,4408.68,20
CPT,68325,REVISE/GRAFT EYELID LINING,,,648.44,7294.45,20
CPT,68326,REVISE/GRAFT EYELID LINING,,,637.12,7294.45,20
CPT,68328,REVISE/GRAFT EYELID LINING,,,695.38,4408.68,20
CPT,68330,REVISE EYELID LINING,,,455.71,4396.57,20
CPT,68335,REVISE/GRAFT EYELID LINING,,,638.79,7294.45,20
CPT,68340,SEPARATE EYELID ADHESIONS,,,394.12,4408.68,20
CPT,68360,REVISE EYELID LINING,,,406.44,7294.45,20
CPT,68362,REVISE EYELID LINING,,,647.44,4408.68,20
CPT,68371,HARVEST EYE TISSUE ALOGRAFT,,,408.44,4408.68,20
CPT,68399,UNLISTED PX CONJUNCTIVA,,,129.12,549.61,16
CPT,68400,I&D LACRIMAL GLAND,,,130.15,1910.07,20
CPT,68420,ED 68420 INCISION LACRIMAL SAC,3423.0,2738.4,164.77,4408.68,39
CPT,68440,SNIP INC LACRIMAL PUNCTUM,,,99.86,549.61,20
CPT,68500,REMOVAL OF TEAR GLAND,,,1053.55,7294.45,20
CPT,68505,PARTIAL REMOVAL TEAR GLAND,,,1048.89,7294.45,20
CPT,68510,BIOPSY OF TEAR GLAND,,,282.28,4408.68,20
CPT,68520,REMOVAL OF TEAR SAC,,,732.66,7294.45,20
CPT,68525,BIOPSY OF TEAR SAC,,,252.98,4408.68,20
CPT,68530,CLEARANCE OF TEAR DUCT,,,129.12,549.61,20
CPT,68540,REMOVE TEAR GLAND LESION,,,974.99,4408.68,20
CPT,68550,REMOVE TEAR GLAND LESION,,,1213.66,7294.45,20
CPT,68700,REPAIR TEAR DUCTS,,,595.85,4408.68,20
CPT,68705,REVISE TEAR DUCT OPENING,,,129.12,549.61,20
CPT,68720,CREATE TEAR SAC DRAIN,,,803.56,7294.45,20
CPT,68745,CREATE TEAR DUCT DRAIN,,,807.89,7294.45,20
CPT,68750,CREATE TEAR DUCT DRAIN,,,853.82,7294.45,20
CPT,68760,CLOSE TEAR DUCT OPENING,,,129.12,549.61,20
CPT,68761,CLOSE TEAR DUCT OPENING,,,116.17,549.61,20
CPT,68770,CLOSE TEAR SYSTEM FISTULA,,,619.48,4408.68,20
CPT,68801,DILATE TEAR DUCT OPENING,,,79.22,751.7,20
CPT,68810,PROBE NASOLACRIMAL DUCT,,,126.83,549.61,20
CPT,68811,PROBE NASOLACRIMAL DUCT,,,133.82,4408.68,20
CPT,68815,PROBE NASOLACRIMAL DUCT,,,220.36,4408.68,20
CPT,68816,PROBE NL DUCT W/BALLOON,,,155.45,4408.68,20
CPT,68840,EXPLORE/IRRIGATE TEAR DUCTS,,,116.51,549.61,20
CPT,68841,INSJ RX ELUT IMPLT LAC CANAL,,,31.96,2449.61,20
CPT,68850,INJECTION FOR TEAR SAC X-RAY,,,1.0,57.5,18
CPT,68899,UNLISTED PX LACRIMAL SYSTEM,,,129.12,549.61,16
CPT,69000,ED 69000 I&D EXT EAR ABSCESS SIMPLE,1053.0,842.4,126.49,1327.38,39
CPT,69005,ED 69005 I&D EXT EAR ABSCESS COMP,3301.0,2640.8,162.78,3058.77,39
CPT,69020,ED 69020 DRN ABSC EXT AUD CAN,1082.0,865.6,145.13,1327.38,39
CPT,69100,BIOPSY OF EXTERNAL EAR,,,45.94,307.23,17
CPT,69105,BIOPSY OF EXTERNAL EAR CANAL,,,63.91,2877.2,20
CPT,69110,REMOVE EXTERNAL EAR PARTIAL,,,329.88,5360.84,20
CPT,69120,REMOVAL OF EXTERNAL EAR,,,389.8,7365.62,17
CPT,69140,REMOVE EAR CANAL LESION(S),,,905.75,11048.44,20
CPT,69145,REMOVE EAR CANAL LESION(S),,,259.98,5360.84,20
CPT,69150,EXTENSIVE EAR CANAL SURGERY,,,1009.28,7365.62,17
CPT,69155,EXTENSIVE EAR/NECK SURGERY,,,243.87,1630.75,15
CPT,69200,ED 69200 REMV FB OUTER EAR WO ANES,389.0,311.2,47.27,350.1,39
CPT,69205,CLEAR OUTER EAR CANAL,,,95.87,3058.77,20
CPT,69209,ED 69209 RMVL IMPACTED CERUMEN IRRIGATION LAVAGE UNI,247.0,197.6,15.98,222.3,39
CPT,69210,ED 69210 REMV IMPACTED EAR WAX INSTRUMENT UNI,328.0,262.4,27.11,295.2,36
CPT,69210,TX RM 69210 REMOVAL IMPACTED CERUMEN EAR WAX,328.0,262.4,27.11,295.2,36
CPT,69220,CLEAN OUT MASTOID CAVITY,,,51.26,377.69,20
CPT,69222,CLEAN OUT MASTOID CAVITY,,,137.81,1038.03,20
CPT,69300,REVISE EXTERNAL EAR,,,473.35,6074.23,20
CPT,69310,REBUILD OUTER EAR CANAL,,,1119.79,11048.44,20
CPT,69320,REBUILD OUTER EAR CANAL,,,1562.18,11048.44,20
CPT,69399,UNLISTED PX EXTERNAL EAR,,,108.27,307.23,13
CPT,69420,ED 69420 MYRINGOT W/INFL EUST TUBE,763.0,610.4,108.27,686.7,39
CPT,69421,INCISION OF EARDRUM,,,152.79,6074.23,20
CPT,69424,REMOVE VENTILATING TUBE,,,60.58,6074.23,20
CPT,69433,CREATE EARDRUM OPENING,,,133.82,1038.03,20
CPT,69436,CREATE EARDRUM OPENING,,,161.11,2877.2,20
CPT,69440,EXPLORATION OF MIDDLE EAR,,,697.04,6074.23,20
CPT,69450,EARDRUM REVISION,,,552.24,6074.23,20
CPT,69501,MASTOIDECTOMY,,,714.35,11048.44,20
CPT,69502,MASTOIDECTOMY,,,948.36,11048.44,20
CPT,69505,REMOVE MASTOID STRUCTURES,,,1231.3,11048.44,20
CPT,69511,EXTENSIVE MASTOID SURGERY,,,1260.26,11048.44,20
CPT,69530,EXTENSIVE MASTOID SURGERY,,,1676.69,11048.44,20
CPT,69535,REMOVE PART OF TEMPORAL BONE,,,1427.04,6074.23,18
CPT,69540,EXCISION AURAL POLYP,,,131.49,2877.2,20
CPT,69550,EXC AURL GLOMUS TUM TRNSCANL,,,1065.87,11048.44,20
CPT,69552,EXC AURL GLOMUS TUM TRNSMSTD,,,1587.48,11048.44,20
CPT,69554,EXC AURL GLOMUS TUM EXTENDED,,,1427.04,6074.23,18
CPT,69601,REVJ MSTDC RSLTG COMPL MSTDC,,,1021.93,11048.44,20
CPT,69602,REV MSTDC RSLT MOD RAD MSTDC,,,1093.49,11048.44,20
CPT,69603,REVJ MSTDC RSLTG RAD MSTDC,,,1286.89,11048.44,20
CPT,69604,REVJ MSTDC RSLTG TYMPANPLSTY,,,1116.8,11048.44,20
CPT,69605,Outpatient Services - CPT/HCPCS,,,1427.04,4049.48,3
CPT,69610,TYMPANIC MEMBRANE REPAIR,,,288.6,2877.2,20
CPT,69620,MYRINGOPLASTY,,,498.31,6074.23,20
CPT,69631,REPAIR EARDRUM STRUCTURES,,,895.1,11048.44,20
CPT,69632,REBUILD EARDRUM STRUCTURES,,,1085.51,11048.44,20
CPT,69633,REBUILD EARDRUM STRUCTURES,,,1057.54,11048.44,20
CPT,69635,REPAIR EARDRUM STRUCTURES,,,1283.9,11048.44,20
CPT,69636,REBUILD EARDRUM STRUCTURES,,,1410.72,11048.44,20
CPT,69637,REBUILD EARDRUM STRUCTURES,,,1405.07,11048.44,20
CPT,69641,REVISE MIDDLE EAR & MASTOID,,,1046.23,11048.44,20
CPT,69642,REVISE MIDDLE EAR & MASTOID,,,1342.82,11048.44,20
CPT,69643,REVISE MIDDLE EAR & MASTOID,,,1226.98,11048.44,20
CPT,69644,REVISE MIDDLE EAR & MASTOID,,,1507.92,11048.44,20
CPT,69645,REVISE MIDDLE EAR & MASTOID,,,1479.63,11048.44,20
CPT,69646,REVISE MIDDLE EAR & MASTOID,,,1574.17,11048.44,20
CPT,69650,STAPES MOBILIZATION,,,807.89,6074.23,20
CPT,69660,REVISE MIDDLE EAR BONE,,,928.06,11048.44,20
CPT,69661,REVISE MIDDLE EAR BONE,,,1208.67,11048.44,20
CPT,69662,REVISE MIDDLE EAR BONE,,,1161.07,11048.44,20
CPT,69666,REPAIR MIDDLE EAR STRUCTURES,,,812.88,6074.23,20
CPT,69667,REPAIR MIDDLE EAR STRUCTURES,,,815.54,6074.23,20
CPT,69670,REMOVE MASTOID AIR CELLS,,,948.03,11048.44,20
CPT,69676,REMOVE MIDDLE EAR NERVE,,,838.84,6074.23,20
CPT,69700,CLOSE MASTOID FISTULA,,,669.74,2877.2,20
CPT,69705,NPS SURG DILAT EUST TUBE UNI,,,172.76,7365.62,15
CPT,69706,NPS SURG DILAT EUST TUBE BI,,,241.33,7365.62,15
CPT,69710,IMPLANT/REPLACE HEARING AID,,,1427.04,4049.48,3
CPT,69711,REMOVE/REPAIR HEARING AID,,,842.51,6074.23,20
CPT,69714,IMPL OI IMPLT SKULL PERQ ESP,,,496.98,24830.25,20
CPT,69715,Outpatient Services - CPT/HCPCS,,,1427.04,4049.48,3
CPT,69716,IMPL OI IMPLT SK TC ESP<100,,,621.81,24830.25,20
CPT,69717,RPLCMT OI IMPLT SKL PRQ ESP,,,562.89,13497.09,20
CPT,69718,Outpatient Services - CPT/HCPCS,,,1427.04,4049.48,3
CPT,69719,RPLCM OI IMPLT SK TC ESP<100,,,645.78,24830.25,20
CPT,69720,RELEASE FACIAL NERVE,,,1181.04,11048.44,20
CPT,69725,RELEASE FACIAL NERVE,,,1869.43,11048.44,20
CPT,69726,RMV NTR OI IMPLT SKL PRQ ESP,,,479.01,6106.72,20
CPT,69727,RMV NTR OI IMP SK TC ESP<100,,,534.26,6106.72,20
CPT,69728,RMV NTR OI IMP SK TC>=100,,,604.17,6106.72,20
CPT,69729,IMPL OI IMPLT SK TC ESP>=100,,,674.4,24830.25,20
CPT,69730,RPLC OI IMPLT SK TC ESP>=100,,,699.37,24830.25,20
CPT,69740,REPAIR FACIAL NERVE,,,1163.07,11048.44,20
CPT,69745,REPAIR FACIAL NERVE,,,1239.63,11048.44,20
CPT,69799,UNLISTED PX MIDDLE EAR,,,108.27,460.85,16
CPT,69801,INCISE INNER EAR,,,124.16,2877.2,20
CPT,69805,EXPLORE INNER EAR,,,1031.91,11048.44,20
CPT,69806,EXPLORE INNER EAR,,,924.39,11048.44,20
CPT,69905,REMOVE INNER EAR,,,922.73,11048.44,20
CPT,69910,REMOVE INNER EAR & MASTOID,,,993.63,11048.44,20
CPT,69915,INCISE INNER EAR NERVE,,,1427.04,6074.23,20
CPT,69930,IMPLANT COCHLEAR DEVICE,,,1216.99,63267.35,20
CPT,69949,UNLISTED PX INNER EAR,,,108.27,460.85,16
CPT,69950,INCISE INNER EAR NERVE,,,1427.04,6074.23,18
CPT,69955,RELEASE FACIAL NERVE,,,1965.96,11048.44,20
CPT,69960,RELEASE INNER EAR CANAL,,,1883.07,11048.44,20
CPT,69970,REMOVE INNER EAR LESION,,,2125.07,11048.44,20
CPT,69979,UNLISTED PX TEMPORAL BONE,,,108.27,460.85,16
CPT,69990,MICROSURGERY ADD-ON,,,1.0,217.03,15
CPT,70010,CONTRAST X-RAY OF BRAIN,,,57.25,483.7,17
CPT,70015,S&I CISTERNOGRAM,2068.0,1654.4,165.77,1861.2,36
CPT,70030,RAD EXAM EYE FOREIGN BODY,342.0,273.6,32.62,307.8,36
CPT,70100,RAD EXAM MANDIBLE PARTIAL < 4 VWS,394.0,315.2,38.95,354.6,36
CPT,70110,RAD EXAM MANDIBLE COMPL MIN 4 VWS,759.0,607.2,43.61,683.1,36
CPT,70120,X-RAY EXAM OF MASTOIDS,,,38.28,138.29,17
CPT,70130,RAD EXAM MASTOIDS COMPL MIN 3 VWS PER SIDE,673.0,538.4,48.73,605.7,36
CPT,70134,X-RAY EXAM OF MIDDLE EAR,,,61.91,693.86,17
CPT,70140,RAD EXAM FACIAL BONES < 3 VWS,392.0,313.6,31.96,352.8,36
CPT,70150,RAD EXAM FACIAL BONES COMPL MIN 3 VWS,777.0,621.6,47.27,699.3,36
CPT,70160,RAD EXAM NASAL BONES COMPL MIN 3 VWS,544.0,435.2,37.61,489.6,36
CPT,70170,X-RAY EXAM OF TEAR DUCT,,,108.61,308.19,13
CPT,70190,X-RAY EXAM OF EYE SOCKETS,,,37.61,114.29,17
CPT,70200,RAD EXAM OPTIC FORAMINA COMPL MIN 4 VWS,597.0,477.6,47.93,537.3,36
CPT,70210,RAD EXAM SINUSES PARANASAL < 3 VWS,404.0,323.2,32.29,363.6,36
CPT,70220,RAD EXAM SINUSES PARANASAL COMPL MIN 3 VWS,1170.0,936.0,37.61,1053.0,36
CPT,70240,X-RAY EXAM PITUITARY SADDLE,,,32.95,114.29,17
CPT,70250,RAD EXAM SKULL < 4 VWS,543.0,434.4,35.95,488.7,36
CPT,70260,RAD EXAM SKULL COMPL MIN 4 VWS,975.0,780.0,44.61,877.5,36
CPT,70300,RAD EXAM TEETH SINGLE VW,199.0,159.2,12.98,179.1,36
CPT,70310,X-RAY EXAM OF TEETH,,,40.61,308.19,17
CPT,70320,RAD EXAM TEETH COMPL FULL MOUTH,442.0,353.6,53.26,397.8,36
CPT,70328,X-RAY EXAM OF JAW JOINT,,,34.62,114.29,17
CPT,70330,RAD EXAM TMJ OPEN CLOSED MOUTH BILAT,540.0,432.0,40.28,486.0,36
CPT,70332,RAD S&I TMJ ARTHROGRAPHY,1609.0,1287.2,82.55,1448.1,36
CPT,70336,MRI TEMPOROMANDIBULAR JOINT,4061.0,3248.8,108.61,3654.9,36
CPT,70350,X-RAY HEAD FOR ORTHODONTIA,,,16.64,114.29,17
CPT,70355,RAD ORTHOPANTOGRAM,541.0,432.8,18.31,486.9,36
CPT,70360,RAD EXAM NECK SOFT TISSUE,485.0,388.0,31.29,436.5,36
CPT,70370,THROAT X-RAY & FLUOROSCOPY,,,40.28,114.29,17
CPT,70371,SPEECH EVALUATION COMPLEX,,,108.61,308.19,17
CPT,70380,X-RAY EXAM OF SALIVARY GLAND,,,37.61,114.29,17
CPT,70390,RAD S&I SIALOGRAPHY,796.0,636.8,108.61,716.4,36
CPT,70450,CT HEAD WO CONTRAST,2918.0,2334.4,48.73,2626.2,36
CPT,70460,CT HEAD W CONTRAST,3311.0,2648.8,81.44,2979.9,36
CPT,70470,CT HEAD WO THEN W CONTRAST,3666.0,2932.8,81.44,3299.4,36
CPT,70471,CTA HEAD NECK W CONTRAST AND NONCONTRAST IMG POST PROC,4214.0,3371.2,1114.6,3792.6,26
CPT,70472,CT CERE PERFUSION ALYS W CONTRAST W CT CTA SAME ANATOMY,1000.0,800.0,264.5,900.0,26
CPT,70473,CT CERE PERFUSION ALYS W CONTRAST WO CT CTA SAME ANATOMY,1000.0,800.0,264.5,900.0,26
CPT,70480,CT ORBIT SELLA FOSSA EAR WO CONTRAST,2623.0,2098.4,48.73,2360.7,36
CPT,70481,CT ORBIT SELLA FOSSA EAR W CONTRAST,3689.0,2951.2,81.44,3320.1,36
CPT,70482,CT ORBIT SELLA FOSSA EAR WO THEN W CONTRAST,4028.0,3222.4,81.44,3625.2,36
CPT,70486,CT MAXILLOFACIAL WO CONT,2749.0,2199.2,48.73,2474.1,36
CPT,70487,CT MAXILLOFACIAL W CONT,3473.0,2778.4,81.44,3125.7,36
CPT,70488,CT MAXILLOFACIAL WO W CONT,3727.0,2981.6,81.44,3354.3,36
CPT,70490,CT SOFT TISSUE NECK WO CON,3160.0,2528.0,48.73,2844.0,36
CPT,70491,CT SOFT TISSUE NECK W CONTRAST,3510.0,2808.0,81.44,3159.0,36
CPT,70492,CT SFT TISUE NECK WWO THEN W,4113.0,3290.4,81.44,3701.7,36
CPT,70496,CTA HEAD W CONT WO IF PERF,4214.0,3371.2,81.44,3792.6,36
CPT,70498,CT ANGIO NECK W CON+WO IF PERF,4214.0,3371.2,81.44,3792.6,36
CPT,70540,MRI FACE NECK ORB WO CONTRAST,4209.0,3367.2,108.61,3788.1,36
CPT,70542,MRI FACE NECK ORB W CONTRAST,4814.0,3851.2,170.46,4332.6,36
CPT,70543,MRI FACE NECK ORB WO THEN W CONT,5975.0,4780.0,170.46,5377.5,36
CPT,70544,MRA HEAD WO CONTRAST,3317.0,2653.6,108.61,2985.3,36
CPT,70545,MRA HEAD W CONTRAST,3750.0,3000.0,170.46,3375.0,36
CPT,70546,MRA HEAD WO THEN W CONT,4647.0,3717.6,170.46,4182.3,36
CPT,70547,MRA NECK WO CONTRAST,3208.0,2566.4,108.61,2887.2,36
CPT,70548,MRA NECK W CONTRAST,3751.0,3000.8,170.46,3375.9,36
CPT,70549,MRA NECK WO THEN W CONT,4447.0,3557.6,170.46,4002.3,36
CPT,70551,MRI BRAIN WO CONTRAST,3927.0,3141.6,108.61,3534.3,36
CPT,70552,MRI BRAIN W CONTRAST,4003.0,3202.4,170.46,3602.7,36
CPT,70553,MRI BRAIN WO THEN W CONT,5976.0,4780.8,170.46,5378.4,36
CPT,70554,MRI BRAIN IMAG WO PHY ADMIN,3507.0,2805.6,108.61,3156.3,36
CPT,70555,MRI BRAIN IMAG W PHYS ADMIN,2622.0,2097.6,108.61,2359.8,36
CPT,70557,MRI BRAIN W/O DYE,,,244.52,693.86,13
CPT,70558,MRI BRAIN W/DYE,,,81.44,231.09,13
CPT,70559,MRI BRAIN W/O & W/DYE,,,81.44,231.09,13
CPT,71045,RAD EXAM CHEST SINGLE VW,384.0,307.2,25.63,345.6,36
CPT,71046,RAD EXAM CHEST 2 VWS,476.0,380.8,33.62,428.4,36
CPT,71047,RAD EXAM CHEST 3 VWS,490.0,392.0,40.28,441.0,36
CPT,71048,RAD EXAM CHEST 4 OR MORE VWS,621.0,496.8,45.6,558.9,36
CPT,71100,RAD EXAM RIBS UNILAT 2 VWS,651.0,520.8,36.62,585.9,36
CPT,71101,RAD EXAM RIBS UNILAT W CHEST MIN 3 VWS,770.0,616.0,42.28,693.0,36
CPT,71110,RAD EXAM RIBS BILAT 3 VWS,921.0,736.8,43.94,828.9,36
CPT,71111,RAD EXAM RIBS BILAT W CHEST MIN 4 VWS,1036.0,828.8,48.73,932.4,36
CPT,71120,RAD EXAM STERNUM MIN 2 VWS,594.0,475.2,33.62,534.6,36
CPT,71130,RAD EXAM STERNUM JNT OR JNTS MIN 3 VWS,543.0,434.4,40.28,488.7,36
CPT,71250,CT THORAX DIAGNOSTIC WO CONTRAST,3212.0,2569.6,48.73,2890.8,36
CPT,71260,CT THORAX DIAGNOSTIC WITH CONTRAST,3712.0,2969.6,81.44,3340.8,36
CPT,71270,CT THORAX DIAGNOSTIC WO THEN W CONTRAST,4357.0,3485.6,81.44,3921.3,36
CPT,71271,CT THORAX LW DOSE LUNG CA SCR NO CONTRAST,3813.0,3050.4,48.73,3431.7,36
CPT,71275,CTA CHEST WCONT +WO IF PERF,4373.0,3498.4,81.44,3935.7,36
CPT,71550,MRI CHEST WO CONTRAST,4612.0,3689.6,108.61,4150.8,36
CPT,71551,MRI CHEST W/DYE,,,354.89,1007.05,17
CPT,71552,MRI CHEST WO THEN W CONT,5905.0,4724.0,170.46,5314.5,36
CPT,71555,MRA CHEST W CONTRAST,4310.0,3448.0,108.61,3879.0,34
CPT,71555,MRA CHEST WO CONTRAST,4310.0,3448.0,108.61,3879.0,34
CPT,71555,MRA CHEST WO THEN W CONT,5481.0,4384.8,108.61,4932.9,34
CPT,72020,RAD EXAM SPINE SINGLE VW,486.0,388.8,24.3,437.4,36
CPT,72040,RAD EXAM SPINE CERV 2 OR 3 VWS,632.0,505.6,39.61,568.8,36
CPT,72050,RAD EXAM SPINE CERV 4 OR 5 VWS,920.0,736.0,48.73,828.0,36
CPT,72052,RAD EXAM SPINE CERV 6 + VWS,1340.0,1072.0,48.73,1206.0,36
CPT,72070,RAD EXAM SPINE THOR 2 VWS,628.0,502.4,32.95,565.2,36
CPT,72072,RAD EXAM SPINE THOR 3 VWS,767.0,613.6,39.61,690.3,36
CPT,72074,RAD EXAM SPINE THOR MIN 4 VWS,812.0,649.6,44.61,730.8,36
CPT,72080,RAD EXAM SPINE THORACOLUMBAR JUNC MIN 2 VWS,702.0,561.6,34.62,631.8,36
CPT,72081,RAD EXAM SPINE ENTIRE THOR LUMB 1 VW,697.0,557.6,40.28,627.3,36
CPT,72082,RAD EXAM SPINE ENTIRE THOR LUMB 2 OR 3 VWS,793.0,634.4,48.73,713.7,36
CPT,72083,RAD EXAM SPINE ENTIRE THOR LUMB 4 OR 5 VWS,851.0,680.8,48.73,765.9,36
CPT,72084,RAD EXAM SPINE ENTIRE THOR LUMB 6 + VWS,934.0,747.2,48.73,840.6,36
CPT,72100,RAD EXAM SPINE LUMB 2 OR 3 VWS,732.0,585.6,39.94,658.8,36
CPT,72110,RAD EXAM SPINE LUMB MIN 4 VWS,970.0,776.0,48.73,873.0,36
CPT,72114,RAD EXAM SPINE LUMB COMPL W BEND VW MIN 6 VWS,923.0,738.4,48.73,830.7,36
CPT,72120,RAD EXAM SPINE LUMB BENDING VWS ONLY 2 OR 3 VWS,719.0,575.2,40.61,647.1,36
CPT,72125,CT CERVICAL SPINE WO CONTRAST,3394.0,2715.2,48.73,3054.6,36
CPT,72126,CT CERVICAL SPINE W CONTRAST,3497.0,2797.6,170.46,3147.3,36
CPT,72127,CT CERV SPINE WO THEN W CONT,4070.0,3256.0,81.44,3663.0,36
CPT,72128,CT THORACIC SPINE WO CONT,3232.0,2585.6,48.73,2908.8,36
CPT,72129,CT THORACIC SPINE W CONTRAST,3531.0,2824.8,81.44,3177.9,36
CPT,72130,CT THOR SPINE WO THEN W CONT,3945.0,3156.0,81.44,3550.5,36
CPT,72131,CT LUMBAR SPINE WO CONT,3315.0,2652.0,48.73,2983.5,36
CPT,72132,CT LUMBAR SPINE W CONT,3254.0,2603.2,170.46,2928.6,36
CPT,72133,CT LUMBAR SPINE WO THEN WCON,3945.0,3156.0,81.44,3550.5,36
CPT,72141,MRI C SPINE WO CONTRAST,4574.0,3659.2,108.61,4116.6,36
CPT,72142,MRI C SPINE W CONTRAST,4072.0,3257.6,170.46,3664.8,36
CPT,72146,MRI T SPINE WO CONTRAST,4609.0,3687.2,108.61,4148.1,36
CPT,72147,MRI T SPINE W CONTRAST,3941.0,3152.8,170.46,3546.9,36
CPT,72148,MRI L SPINE WO CONTRAST,4444.0,3555.2,108.61,3999.6,36
CPT,72149,MRI L SPINE W CONTRAST,4112.0,3289.6,170.46,3700.8,36
CPT,72156,MRI C SPINE WO THEN W CONT,6292.0,5033.6,170.46,5662.8,36
CPT,72157,MRI T SPINE WO THEN W CONT,6299.0,5039.2,170.46,5669.1,36
CPT,72158,MRI L SPINE WO THEN W CONT,6082.0,4865.6,170.46,5473.8,36
CPT,72159,MRA SPINAL CANAL W OR WO CONT,1932.0,1545.6,108.61,1738.8,34
CPT,72170,RAD EXAM PELVIS 1 OR 2 VWS,490.0,392.0,27.96,441.0,36
CPT,72190,RAD EXAM PELVIS COMPL MIN 3 VWS,703.0,562.4,42.28,632.7,36
CPT,72191,CTA PELVIS WCONT +WO IF PERF,3276.0,2620.8,81.44,2948.4,36
CPT,72192,CT PELVIS WO CONTRAST,2938.0,2350.4,48.73,2644.2,36
CPT,72193,CT PELVIS W CONTRAST,2854.0,2283.2,81.44,2568.6,36
CPT,72194,CT PELVIS WO THEN W CONT,3409.0,2727.2,81.44,3068.1,36
CPT,72195,MRI PELVIS WO CONTRAST,4503.0,3602.4,108.61,4052.7,36
CPT,72196,MRI PELVIS W/DYE,,,170.46,483.7,17
CPT,72197,MRI PELVIS WO THEN W CONT,6014.0,4811.2,170.46,5412.6,36
CPT,72198,MRA PELVIS WO CONTRAST,3490.0,2792.0,108.61,3141.0,34
CPT,72198,MRA PELVIS WO THEN W CONT,4426.0,3540.8,108.61,3983.4,34
CPT,72200,RAD EXAM SACROILIAC JNTS < 3 VWS,397.0,317.6,33.29,357.3,36
CPT,72202,RAD EXAM SACROILIAC JNTS 3 + VWS,568.0,454.4,39.28,511.2,36
CPT,72220,RAD EXAM SACRUM COCCYX MIN 2 VWS,551.0,440.8,32.62,495.9,36
CPT,72240,MYELOGRAPHY NECK SPINE,,,111.85,1007.05,17
CPT,72255,MYELOGRAPHY THORACIC SPINE,,,107.52,1007.05,17
CPT,72265,S&I MYELOGRAM LUMBAR,2376.0,1900.8,108.85,2138.4,36
CPT,72270,MYELOGPHY 2/> SPINE REGIONS,,,152.46,1007.05,17
CPT,72285,S&I DISCOGRAM CERVICAL THORACIC,4259.0,3407.2,131.82,3833.1,36
CPT,72295,S&I DISCOGRAM LUMBAR,5164.0,4131.2,111.18,4647.6,36
CPT,73000,RAD EXAM CLAVICLE COMPL,523.0,418.4,32.62,470.7,36
CPT,73010,RAD EXAM SCAPULA COMPL,494.0,395.2,23.97,444.6,36
CPT,73020,RAD EXAM SHOULDER  1 VW,483.0,386.4,21.64,434.7,36
CPT,73030,RAD EXAM SHOULDER COMPL MIN 2 VWS,577.0,461.6,34.95,519.3,36
CPT,73040,RAD S&I EXAM SHOULDER ARTHROGRAPHY,1361.0,1088.8,131.49,1224.9,36
CPT,73050,RAD EXAM AC JOINTS BILAT W WO WTS,577.0,461.6,28.96,519.3,36
CPT,73060,RAD EXAM HUMERUS MIN 2 VWS,505.0,404.0,31.96,454.5,36
CPT,73070,RAD EXAM ELBOW 2 VWS,434.0,347.2,29.29,390.6,36
CPT,73080,RAD EXAM ELBOW COMPL MIN 3 VWS,570.0,456.0,32.95,513.0,36
CPT,73085,RAD S&I EXAM ELBOW ARTHROGRAPHY,1245.0,996.0,99.86,1120.5,36
CPT,73090,RAD EXAM FOREARM 2 VWS,509.0,407.2,29.29,458.1,36
CPT,73092,RAD EXAM UPPER EXTREM INFANT MIN 2 VWS,506.0,404.8,31.62,455.4,36
CPT,73100,RAD EXAM WRIST 2 VWS,374.0,299.2,33.95,336.6,36
CPT,73110,RAD EXAM WRIST COMPL MIN 3 VWS,551.0,440.8,40.28,495.9,36
CPT,73115,RAD S&I EXAM WRIST ARTHORGRAPHY,1295.0,1036.0,134.81,1165.5,36
CPT,73120,RAD EXAM HAND 2 VWS,432.0,345.6,31.62,388.8,36
CPT,73130,RAD EXAM HAND MIN 3 VWS,541.0,432.8,37.28,486.9,36
CPT,73140,RAD EXAM FINGER(S) MIN 2 VWS,427.0,341.6,38.28,384.3,36
CPT,73200,CT EXT UPPER WO CONT,3069.0,2455.2,48.73,2762.1,36
CPT,73201,CT EXT UPPER W CONT,3913.0,3130.4,170.46,3521.7,36
CPT,73202,CT EXT UPPER WWO CONTRAST,3857.0,3085.6,81.44,3471.3,36
CPT,73206,CTA EXT UPPER WCONT+WO IF PERF,3312.0,2649.6,81.44,2980.8,36
CPT,73218,MRI UP EXT WO CONT,3933.0,3146.4,108.61,3539.7,36
CPT,73219,MRI UPPER EXT W CONTRAST,3940.0,3152.0,170.46,3546.0,36
CPT,73220,MRI UPPER EXT WO THEN W CONT,5661.0,4528.8,170.46,5094.9,36
CPT,73221,MRI UPPER EXT JT WO CONTRAST,4089.0,3271.2,108.61,3680.1,36
CPT,73222,MRI UP EXT JT WCONT,4813.0,3850.4,321.89,4331.7,36
CPT,73223,MRI UPPER EXT JT WO THEN W CONT,5234.0,4187.2,170.46,4710.6,36
CPT,73225,MRA UPPER EXT W CONTRAST,3793.0,3034.4,108.61,3413.7,34
CPT,73225,MRA UPPER EXT WO THEN W CONT,5063.0,4050.4,108.61,4556.7,34
CPT,73501,RAD EXAM HIP UNILAT W PELV WHEN PERF 1 VW,367.0,293.6,32.95,330.3,36
CPT,73502,RAD EXAM HIP UNILAT W PELV WHEN PERF 2 OR 3 VWS,448.0,358.4,40.28,403.2,36
CPT,73503,RAD EXAM HIP UNILAT W PELV WHEN PERF MIN 4 VWS,579.0,463.2,48.73,521.1,36
CPT,73521,RAD EXAM HIPS BILAT W PELV WHEN PERF 2 VWS,659.0,527.2,41.28,593.1,36
CPT,73522,RAD EXAM HIPS BILAT W PELV WHEN PERF 3 OR 4 VWS,741.0,592.8,48.73,666.9,36
CPT,73523,RAD EXAM HIPS BILAT W PELV WHEN PERF MIN 5 VWS,790.0,632.0,48.73,711.0,36
CPT,73525,RAD S&I EXAM HIP ARTHROGRAPHY,1676.0,1340.8,128.82,1508.4,36
CPT,73551,RAD EXAM FEMUR 1 VW,448.0,358.4,29.29,403.2,36
CPT,73552,RAD EXAM FEMUR MIN 2 VWS,569.0,455.2,35.62,512.1,36
CPT,73560,RAD EXAM KNEE 1 OR 2 VWS,497.0,397.6,34.29,447.3,36
CPT,73562,RAD EXAM KNEE 3 VWS,508.0,406.4,40.28,457.2,36
CPT,73564,RAD EXAM KNEE COMPL 4 + VWS,755.0,604.0,47.27,679.5,36
CPT,73565,RAD EXAM KNEE BOTH STANDING ANTEROPOSTERIOR,504.0,403.2,39.94,453.6,36
CPT,73580,RAD S&I EXAM KNEE ARTHROGRAPHY,1619.0,1295.2,110.51,1457.1,36
CPT,73590,RAD EXAM TIBIA FIBULA 2 VWS,557.0,445.6,31.62,501.3,36
CPT,73592,RAD EXAM LOWER EXTREM INFANT MIN 2 VWS,409.0,327.2,31.62,368.1,36
CPT,73600,RAD EXAM ANKLE 2 VWS,372.0,297.6,32.29,334.8,36
CPT,73610,RAD EXAM ANKLE MIN 3 VWS,584.0,467.2,36.62,525.6,36
CPT,73615,CONTRAST X-RAY OF ANKLE,,,127.82,483.7,17
CPT,73620,RAD EXAM FOOT 2 VWS,368.0,294.4,28.63,331.2,36
CPT,73630,RAD EXAM FOOT MIN 3 VWS,610.0,488.0,34.29,549.0,36
CPT,73650,RAD EXAM CALCANEUS MIN 2 VWS,504.0,403.2,28.63,453.6,36
CPT,73660,RAD EXAM TOES MIN 2 VWS,430.0,344.0,29.29,387.0,36
CPT,73700,CT EXT LOWER WO CONT,3065.0,2452.0,48.73,2758.5,36
CPT,73701,CT EXT LOWER W CONT,3429.0,2743.2,81.44,3086.1,36
CPT,73702,CT EXT LOWER WO THEN W CONT,3745.0,2996.0,81.44,3370.5,36
CPT,73706,CTA EXT LOWER W CONT +WO IF PERF,3610.0,2888.0,81.44,3249.0,36
CPT,73718,MRI LOWER EXT WO CONTRAST,4089.0,3271.2,108.61,3680.1,36
CPT,73719,MRI LOWER EXT W CONTRAST,4414.0,3531.2,170.46,3972.6,36
CPT,73720,MRI LOWER EXT WO THEN W CONT,5606.0,4484.8,170.46,5045.4,36
CPT,73721,MRI LOWER EXT JT WO CONTRAST,4106.0,3284.8,108.61,3695.4,36
CPT,73722,MRI LOWER EXT JT W CONTRAST,4813.0,3850.4,322.22,4331.7,36
CPT,73723,MRI LOWER EXT JT WO THEN W CONT,5743.0,4594.4,170.46,5168.7,36
CPT,73725,MRA LOWER EXT W CONTRAST,3793.0,3034.4,108.61,3413.7,34
CPT,73725,MRA LOWER EXT WO CONTRAST,3793.0,3034.4,108.61,3413.7,34
CPT,73725,MRA LOWER EXT WO THEN W CONT,4502.0,3601.6,108.61,4051.8,34
CPT,74018,RAD EXAM ABDOMEN 1 VW,494.0,395.2,30.29,444.6,36
CPT,74019,RAD EXAM ABDOMEN 2 VWS,501.0,400.8,36.62,450.9,36
CPT,74021,RAD EXAM ABDOMEN 3 OR MORE VWS,553.0,442.4,42.94,497.7,36
CPT,74022,RADEX COMPL AQT ABD SERIES,,,48.73,138.29,17
CPT,74150,CT ABDOMEN WO CONTRAST,2822.0,2257.6,48.73,2539.8,36
CPT,74160,CT ABDOMEN W CONTRAST,3805.0,3044.0,81.44,3424.5,36
CPT,74170,CT ABDOMEN WO THEN W CONT,3334.0,2667.2,81.44,3000.6,36
CPT,74174,CTA ABD PELVIS W CONTRAST+WO IF PERFORM,5792.0,4633.6,170.46,5212.8,36
CPT,74175,CTA ABD WCONT +WO IF PERF,4354.0,3483.2,81.44,3918.6,36
CPT,74176,CT ABD  PELVIS WO CONTRAST,5294.0,4235.2,108.61,4764.6,36
CPT,74177,CT ABD  PELVIS W CONTRAST,6104.0,4883.2,170.46,5493.6,36
CPT,74178,CT ABD PELVIS WO THEN W CONT,6516.0,5212.8,170.46,5864.4,36
CPT,74181,MRI ABDOMEN WO CONTRAST,4389.0,3511.2,108.61,3950.1,36
CPT,74182,MRI ABDOMEN W CONTRAST,3821.0,3056.8,170.46,3438.9,36
CPT,74183,MRI ABDOMEN WO THEN W CONT,6082.0,4865.6,170.46,5473.8,36
CPT,74185,MRA ABDOMEN W CONTRAST,3369.0,2695.2,108.61,3032.1,34
CPT,74185,MRA ABDOMEN WO CONTRAST,3369.0,2695.2,108.61,3032.1,34
CPT,74185,MRA ABDOMEN WO THEN W CONT,4207.0,3365.6,108.61,3786.3,34
CPT,74190,S&I PERTNL DIAL CATH REPO,1350.0,1080.0,198.57,1215.0,36
CPT,74210,X-RAY XM PHRNX&/CRV ESOPH C+,,,81.44,231.09,17
CPT,74220,RAD EXAM ESOPHAGUS,1052.0,841.6,81.44,946.8,36
CPT,74221,"RAD EXAMINATION ESOPHAGUS, DOUBLE-CONTRAST",761.0,608.8,81.44,684.9,36
CPT,74230,RAD SWALLOWING FUNC W CINERAD OR VIDEORAD,947.0,757.6,81.44,852.3,36
CPT,74235,REMOVE ESOPHAGUS OBSTRUCTION,,,1.0,1.0,3
CPT,74240,RAD EXAM GI UPPER W WO DELAYED IMG WO KUB,1300.0,1040.0,81.44,1170.0,36
CPT,74246,RAD EXAM GI UPPER W AIR CNTRST WO KUB,1341.0,1072.8,81.44,1206.9,36
CPT,74248,RAD X-RAY SM INT F-THRU STD,341.0,272.8,74.03,306.9,34
CPT,74250,RADIOLOGIC EXAM SMALL BOWEL WMULTIPLE SERIAL FILMS SGL CNTRST,1198.0,958.4,81.44,1078.2,36
CPT,74251,RAD EXAM SMALL INTESTINE INCL MULT SER IMG DBL CNTRST,1858.0,1486.4,81.44,1672.2,36
CPT,74261,CT COLONOGRAPHY DX,,,48.73,424.75,17
CPT,74262,CT COLONOGRAPHY DX W/DYE,,,81.44,478.01,17
CPT,74263,CT COLONOGRAPHY SCREENING,,,40.28,673.07,15
CPT,74270,RADIOLOGIC EXAM COLON  W SCOUT SGL CNTRST,1309.0,1047.2,81.44,1178.1,36
CPT,74280,RAD EXAM COLON  W SCOUT DBL CNTRST W GLUC,1932.0,1545.6,81.44,1738.8,36
CPT,74283,RAD THERP ENEMA CTRST OR AIR REDC INTUSSUSCEPTION,1169.0,935.2,81.44,1052.1,36
CPT,74290,CONTRAST X-RAY GALLBLADDER,,,81.44,231.09,17
CPT,74300,RAD S&I CHOLANGIO AND OR PANCREATO INTRAOP,1517.0,1213.6,1.0,1365.3,26
CPT,74301,X-RAYS AT SURGERY ADD-ON,,,1.0,1.0,3
CPT,74328,RAD S&I ENDO CATH BILIARY DUCT SYST,1682.0,1345.6,1.0,1513.8,26
CPT,74329,RAD S&I ENDO CATH PANCREATIC DUCT SYST,1452.0,1161.6,1.0,1306.8,26
CPT,74330,RAD S&I ENDO CATH COMB BIL AND PANCR DUCT SYST,1783.0,1426.4,1.0,1604.7,26
CPT,74340,RAD S&I INTRO LONG GI TUBE INCL MULT FLUORO AND IMGS,1115.0,892.0,1.0,1003.5,26
CPT,74355,X-RAY GUIDE INTESTINAL TUBE,,,1.0,1.0,3
CPT,74360,S&I ESOPHAGEAL DILATION,1735.0,1388.0,1.0,1561.5,26
CPT,74363,S&I BILIARY STRICTURE DILATION,2216.0,1772.8,1.0,1994.4,26
CPT,74400,RAD UROGRAPHY IV W WO KUB W WO TOMO,1406.0,1124.8,81.44,1265.4,36
CPT,74410,UROGRAPHY NFS DRIP&/BOLUS,,,81.44,231.09,17
CPT,74415,UROGRAPHY NFS DRIP&/BLS W/NF,,,81.44,231.09,17
CPT,74420,RAD UROGRAPHY RETROGRADE W WO KUB,1363.0,1090.4,77.89,1226.7,36
CPT,74425,UROGRAPHY ANTEGRADE RADIOLOGICAL S&I,1174.0,939.2,135.48,1056.6,36
CPT,74430,RAD S&I CYSTOGRAPHY MIN 3 VWS,1120.0,896.0,41.28,1008.0,36
CPT,74440,X-RAY MALE GENITAL TRACT,,,97.2,308.19,17
CPT,74445,S&I CORPORA CAV,3850.0,3080.0,48.73,3465.0,36
CPT,74450,RAD S&I URETHROCYSTOGRAPHY RETROGRADE,1058.0,846.4,108.61,952.2,36
CPT,74455,RAD S&I URETHROCYSTOGRAPHY VOIDING,1829.0,1463.2,103.86,1646.1,36
CPT,74470,S&I RENAL CYST STUDY,1374.0,1099.2,223.02,1236.6,36
CPT,74485,RAD S&I DILATION  URETERS OR URETHRA,3260.0,2608.0,119.17,2934.0,36
CPT,74712,MRI FETAL SINGLE 1ST GESTATION,3114.0,2491.2,108.61,2802.6,36
CPT,74713,MRI FETAL EA ADDL GESTATION,1315.0,1052.0,1.0,1183.5,34
CPT,74740,RAD S&I HYSTEROSALPINGOGRAPHY,1416.0,1132.8,93.54,1274.4,36
CPT,74742,X-RAY FALLOPIAN TUBE,,,1.0,1.0,3
CPT,74775,RAD PERINEOGRAM,1094.0,875.2,108.61,984.6,36
CPT,75557,MRI CARDIAC WO CONTRAST,4371.0,3496.8,108.61,3933.9,36
CPT,75559,CARDIAC MRI W/STRESS IMG,,,244.52,693.86,17
CPT,75561,MRI CARDIAC WO THEN W CONT,5617.0,4493.6,170.46,5055.3,36
CPT,75563,CARD MRI W/STRESS IMG & DYE,,,354.89,1007.05,17
CPT,75565,MRI CARDIAC VELOCITY FLOW MAP,1028.0,822.4,1.0,925.2,34
CPT,75571,CT HEART SCORE,1205.0,964.0,40.28,1084.5,36
CPT,75572,CT HEART CONTRAST EVAL CARDIAC STRUCTURE & MORPH W 3D,5022.0,4017.6,81.44,4519.8,36
CPT,75573,CT HEART C+ CARDIAC STRUX&MORPH CGEN HRT DS,4997.0,3997.6,81.44,4497.3,36
CPT,75574,CTA HEART CORONARY ART BYPASS GRAFTS CONTRAST 3D POST,5419.0,4335.2,81.44,4877.1,36
CPT,75580,N-INVAS EST C FFR SW ALY CTA,,,463.42,1315.04,17
CPT,75600,THORACIC WO SERIALOGRAPHY,6242.0,4993.6,182.08,5617.8,36
CPT,75605,THORACIC WSERIALOGRAPHY,7285.0,5828.0,120.5,6911.79,36
CPT,75625,S&I ANGIO - AORTA ABD,7532.0,6025.6,126.16,6778.8,36
CPT,75625,S&I ANGIO - TRANSLUMB,7532.0,6025.6,126.16,6778.8,36
CPT,75630,S&I ABD AND RUN OFFS,5785.0,4628.0,156.45,5206.5,36
CPT,75635,CTA ABD AO & EXT W CONTRAST+WO IF PERFORM,4546.0,3636.8,81.44,4091.4,36
CPT,75705,S&I SPINAL SELECTIVE ANGIOGRAM,8270.0,6616.0,249.99,7443.0,36
CPT,75710,S&I EXTREMITY UNI,7104.0,5683.2,149.79,6393.6,36
CPT,75716,S&I EXTREMITY ANGIOGRAM BIL,7972.0,6377.6,162.44,7174.8,36
CPT,75726,S&I ANGIO VISC SEL OR SUPSEL,9169.0,7335.2,169.43,8252.1,36
CPT,75731,ARTERY X-RAYS ADRENAL GLAND,,,153.12,4009.09,17
CPT,75733,ARTERY X-RAYS ADRENALS,,,172.1,4009.09,17
CPT,75736,S&I PELVIC SEL. SUPRA SEL,7809.0,6247.2,143.14,7028.1,36
CPT,75741,S&I PULMONARY UNI SEL,6779.0,5423.2,129.49,6101.1,36
CPT,75743,S&I PULMONARY BIL,6904.0,5523.2,147.13,6213.6,36
CPT,75746,S&I PULMONARY NONSELECT,4504.0,3603.2,134.48,4053.6,36
CPT,75756,ANGIO INT MAM RAD S&I,5113.0,4090.4,164.77,4601.7,36
CPT,75774,S&I ANGIO SEL EA ADD VES,3649.0,2919.2,1.0,3284.1,34
CPT,75801,LYMPH VESSEL X-RAY ARM/LEG,,,278.44,790.13,13
CPT,75803,LYMPH VESSEL X-RAY ARMS/LEGS,,,709.86,2014.34,13
CPT,75805,LYMPH VESSEL X-RAY TRUNK,,,1412.81,4009.09,13
CPT,75807,LYMPH VESSEL X-RAY TRUNK,,,1412.81,4009.09,13
CPT,75809,S&I SHUNTOGRAM NONVASCUL,999.0,799.2,48.73,899.1,36
CPT,75810,VEIN X-RAY SPLEEN/LIVER,,,1412.81,4009.09,13
CPT,75820,S&I VENOGRAM EXTREM UNILATERAL,2748.0,2198.4,107.52,2473.2,36
CPT,75822,S&I VENOGRAM EXTREMI BILATERAL,3364.0,2691.2,133.15,3027.6,36
CPT,75825,S&I VENACAVOGRAM INFERIOR,6944.0,5555.2,113.84,6249.6,36
CPT,75827,S&I VENOCAVOGRAM SUPERIOR,3509.0,2807.2,118.5,3158.1,36
CPT,75831,S&I VENOGRPH RENAL UNI,6364.0,5091.2,119.17,5727.6,36
CPT,75833,S&I VENOGRAPH RENAL BILAT,6386.0,5108.8,147.8,5747.4,36
CPT,75840,VENOGRAPHY ADRENAL UNIL,5587.0,4469.6,128.16,5028.3,36
CPT,75842,Outpatient Services,,,5135.42,5675.99,8
CPT,75842,Outpatient Services - CPT/HCPCS,,,2435.72,6911.79,5
CPT,75842,Therapy,,,158.45,158.45,4
CPT,75860,S&I VENOGRAM SINUS JUGULAR,5002.0,4001.6,125.16,4501.8,36
CPT,75870,S&I VENO SUP SAG SINUS,3720.0,2976.0,155.12,4009.09,36
CPT,75872,VEIN X-RAY SKULL EPIDURAL,,,128.16,790.13,17
CPT,75880,VEIN X-RAY EYE SOCKET,,,107.52,790.13,17
CPT,75885,S&I PERCUT TRNSHPTC WHE,5064.0,4051.2,136.15,4557.6,36
CPT,75887,S&I PERCUT TRNSHPC WO HE,4063.0,3250.4,137.14,4009.09,36
CPT,75889,S&I HEP VENO WEDG OR FRE,6549.0,5239.2,123.16,5894.1,36
CPT,75891,S&I HEP VENO WDG FREE WO PRES,5522.0,4417.6,123.83,4969.8,36
CPT,75893,S&I VEN ORGAN SAMP THRU CATH,6867.0,5493.6,104.86,6911.79,36
CPT,75894,S&I COILING OF ANEURYSM,6117.0,4893.6,1.0,5505.3,26
CPT,75894,S&I EMBOLIZATION,6117.0,4893.6,1.0,5505.3,26
CPT,75898,S&I ANGIO POST EMBO INF THERAP,2319.0,1855.2,613.38,4009.09,36
CPT,75901,S&I PERICATH CVA STRIP,888.0,710.4,1.0,799.2,34
CPT,75902,S&I RMVL INTRLUMINL OBST,734.0,587.2,1.0,660.6,34
CPT,75956,Outpatient Services - CPT/HCPCS,,,642.94,642.94,3
CPT,75957,Outpatient Services - CPT/HCPCS,,,552.22,552.22,3
CPT,75958,Outpatient Services - CPT/HCPCS,,,362.23,362.23,3
CPT,75959,Outpatient Services - CPT/HCPCS,,,321.47,321.47,3
CPT,75970,S&I TRANSCATHETER BIOPY,4641.0,3712.8,1.0,4176.9,26
CPT,75984,S&I DRAINAGE TUBE REVISION,1293.0,1034.4,1.0,1163.7,34
CPT,75989,CT GUIDANCE ABSCESS,1855.0,1484.0,1.0,1669.5,34
CPT,75989,IMAGE GUIDANCE PERC DRAINAGE,1855.0,1484.0,1.0,1669.5,34
CPT,75989,US GUIDANCE PERC DRAINAGE,1855.0,1484.0,1.0,1669.5,34
CPT,76000,RAD FLUOROSCOPY UP TO 1 HOUR,1014.0,811.2,42.61,912.6,36
CPT,76010,RAD EXAM NOSE TO RECTUM FB SNGL VW CHILD,466.0,372.8,29.29,419.4,36
CPT,76014,MR SFTY IMPLT&/FB ASMT STF 1,,,23.27,25.71,8
CPT,76015,MR SFTY MPLT&/FB ASMT STF EA,,,47.91,52.95,8
CPT,76016,MR SAFETY DETER PHYS/QHP,,,83.65,92.45,8
CPT,76017,MR SFTY MED PHYSICS XM CSTMZ,,,229.63,253.81,8
CPT,76018,MR SAFETY IMPLANT ELEC PREPJ,,,87.2,96.38,8
CPT,76019,MR SAFETY IMPLT POS&/IMMOBLJ,,,56.43,62.37,8
CPT,76080,RAD S&I EXAM ABSCESS FISTULA OR SINUS TRACT STDY,1222.0,977.6,59.58,1099.8,36
CPT,76098,RAD EXAM SURGICAL SPECIMEN,904.0,723.2,42.61,813.6,36
CPT,76100,RAD EXAM SNGL PLANE BODY SECT OTH THAN W UROGRAPHY,967.0,773.6,48.73,870.3,36
CPT,76120,CINE/VIDEO X-RAYS,,,48.73,138.29,17
CPT,76125,CINE/VIDEO X-RAYS ADD-ON,,,1.0,1.0,3
CPT,76140,X-RAY CONSULTATION,,,13.97,13.97,3
CPT,76145,MED PHYSIC DOS EVAL RAD EXPS,,,237.56,905.42,17
CPT,76376,CT 3D RECONSTRUCT WO IPP,1117.0,893.6,1.0,1005.3,34
CPT,76376,ECHO 3D RECONSTRUCT WO IPP,1117.0,893.6,1.0,1005.3,34
CPT,76376,MRI 3D RECONSTRUCT WO IPP,1117.0,893.6,1.0,1005.3,34
CPT,76377,CT 3D RECONSTRUCT W IPP,1354.0,1083.2,1.0,1218.6,34
CPT,76377,ECHO 3D RECONSTRUCT W IPP,1354.0,1083.2,1.0,1218.6,34
CPT,76377,MRI 3D RECONSTRUCT W IPP,1354.0,1083.2,1.0,1218.6,34
CPT,76377,RADIOGRAPHY 3D RECONSTRUCT W IPP,1354.0,1083.2,1.0,1218.6,34
CPT,76380,CT LIMITED OR LOCALIZED FOLLOW UP STUDY,1625.0,1300.0,40.28,1462.5,36
CPT,76390,MR SPECTROSCOPY,2226.0,1780.8,40.28,2003.4,36
CPT,76391,MAGNETIC RESONANCE ELASTOGRAPHY,1324.0,1059.2,108.61,1191.6,36
CPT,76496,RAD FLUORO UNLISTED PROCEDURE,347.0,277.6,40.28,312.3,36
CPT,76497,CT LOW DOSE WHOLE BODY,188.0,150.4,40.28,169.2,36
CPT,76498,MRI SCOLIOSIS,3177.0,2541.6,40.28,2859.3,36
CPT,76498,MRI TP-53,259.0,207.2,40.28,233.1,36
CPT,76498,MRI UNLISTED,2840.0,2272.0,40.28,2556.0,36
CPT,76499,NEURO STIMULATOR PUMP CHECK,1189.0,951.2,40.28,1070.1,36
CPT,76499,PAIN PUMP SERIES,1189.0,951.2,40.28,1070.1,36
CPT,76499,S&I ANGIOGRAPHY UNLISTED,1189.0,951.2,40.28,1070.1,36
CPT,76499,XRAY SHUNT SURVEY,1189.0,951.2,40.28,1070.1,36
CPT,76506,US HEAD,945.0,756.0,48.73,850.5,36
CPT,76510,OPH US DX B-SCAN&QUAN A-SCAN,,,56.62,160.67,17
CPT,76511,OPH US DX QUAN A-SCAN ONLY,,,48.73,138.29,17
CPT,76512,OPH US DX B-SCAN,,,47.93,138.29,17
CPT,76513,OPH US DX ANT SGM US UNI/BI,,,48.73,138.29,17
CPT,76514,ECHO EXAM OF EYE THICKNESS,,,11.32,37.46,17
CPT,76516,ECHO EXAM OF EYE,,,46.6,138.29,17
CPT,76519,ECHO EXAM OF EYE,,,48.73,138.29,17
CPT,76529,ECHO EXAM OF EYE,,,40.28,114.29,17
CPT,76536,US SOFT TISSUE HEAD NECK,1115.0,892.0,48.73,1003.5,36
CPT,76604,US CHEST,909.0,727.2,48.73,818.1,36
CPT,76641,US UNILATERAL BREAST COMPLETE,653.0,522.4,48.73,587.7,39
CPT,76642,US UNILATERAL BREAST LIMITED,569.0,455.2,40.28,512.1,39
CPT,76700,US ABD COMPLETE,1412.0,1129.6,48.73,1270.8,36
CPT,76705,ED 76705 US ABD LIMITED,1031.0,824.8,48.73,927.9,36
CPT,76705,US ABD LIMITED,1031.0,824.8,48.73,927.9,36
CPT,76706,US ABD AORTA SCREEN AAA,779.0,623.2,48.73,701.1,36
CPT,76770,US RETROPERITONEUM,1295.0,1036.0,48.73,1165.5,36
CPT,76775,US RETROPERITONEUM LTD,891.0,712.8,48.73,801.9,36
CPT,76776,US TRANSPLANT KIDNEY,1138.0,910.4,48.73,1024.2,36
CPT,76800,US SPINE,840.0,672.0,48.73,756.0,36
CPT,76801,US PREG UTER 1ST TRI SGL,1231.0,984.8,48.73,1107.9,36
CPT,76802,US PRG UTR 1ST TRI EA AD,622.0,497.6,1.0,559.8,34
CPT,76805,US PG UTR 2-3TRI SGL 1ST,1200.0,960.0,48.73,1080.0,36
CPT,76810,US PG UTR MLT GST 2-3TRI,1670.0,1336.0,1.0,1503.0,34
CPT,76811,US PG UTR TRNSABD SG,1217.0,973.6,108.61,1095.3,36
CPT,76812,US PREG UTER TRANSABD EA ADDL,691.0,552.8,1.0,621.9,34
CPT,76813,US OB NUCHAL TRANSLUCENCY,640.0,512.0,48.73,576.0,36
CPT,76814,OB US NUCHAL MEAS ADD-ON,,,1.0,74.23,15
CPT,76815,US OB REAL TIME LTD,685.0,548.0,48.73,616.5,36
CPT,76816,US PREG UTERUS FOLLOWUP PER FETUS,629.0,503.2,48.73,566.1,36
CPT,76816,US PREG UTERUS FU REPEAT ADDL FETUS M59,388.0,310.4,48.73,349.2,36
CPT,76817,US PG UTR TRANSVAG,1142.0,913.6,48.73,1027.8,36
CPT,76818,US FETAL BPP W NST EA ADDL M59,859.0,687.2,48.73,773.1,36
CPT,76818,US FETAL BPP WNST,1263.0,1010.4,48.73,1136.7,36
CPT,76819,US FETAL BPP WO NST,960.0,768.0,48.73,864.0,36
CPT,76819,US FETAL BPP WO NST ADDL M59,534.0,427.2,48.73,480.6,36
CPT,76820,DOPPLER FETAL UMBIL,639.0,511.2,44.61,575.1,36
CPT,76820,"DOPPLER FETAL,UMBIL M59",639.0,511.2,44.61,575.1,36
CPT,76821,DOPPLER FETAL MID-CEREBR,675.0,540.0,48.73,607.5,36
CPT,76821,DOPPLER FETAL MID-CEREBR M59,675.0,540.0,48.73,607.5,36
CPT,76825,ECHO FETAL,2329.0,1863.2,244.52,2096.1,36
CPT,76825,ECHO FETAL M59,2329.0,1863.2,244.52,2096.1,36
CPT,76826,ECHO FETAL FOLLOW-UP,1736.0,1388.8,108.61,1562.4,36
CPT,76827,DOPP FETAL,932.0,745.6,48.73,838.8,36
CPT,76827,DOPPLER FETAL M59,932.0,745.6,48.73,838.8,36
CPT,76828,DOPP FETAL FOLLOWUP,555.0,444.0,48.6,499.5,36
CPT,76830,US TRANSVAGINAL,1086.0,868.8,48.73,977.4,36
CPT,76831,ECHO EXAM UTERUS,,,108.61,308.19,17
CPT,76856,US PELVIC COMPLETE,1245.0,996.0,48.73,1120.5,36
CPT,76857,US PELVIC LIMITED,636.0,508.8,48.73,572.4,36
CPT,76870,US SCROTUM,1154.0,923.2,48.73,1038.6,36
CPT,76872,US TRANSRECTAL,982.0,785.6,48.73,883.8,36
CPT,76873,US PROSTATE VOLUME STUDY,2108.0,1686.4,48.73,1897.2,36
CPT,76881,US COMPLETE JNT REAL TIME W IMAGE DOC,810.0,648.0,48.73,729.0,36
CPT,76882,US LMTD JNT OR FOC EVAL REAL TIME WIMAGE DOC,589.0,471.2,48.73,530.1,36
CPT,76883,US NRV&ACC STRUX 1XTR COMPRE,,,48.73,138.29,17
CPT,76885,US HIPS INFANT,982.0,785.6,40.28,883.8,36
CPT,76886,US INFANT HIPS REAL TIME LIMITED STATIC,940.0,752.0,40.28,846.0,36
CPT,76932,ECHO GUIDE FOR HEART BIOPSY,,,1.0,1.0,3
CPT,76936,US REPAIR OF PSEUDOANEURYSM,2200.0,1760.0,139.12,1980.0,36
CPT,76937,ED 76937 US GUIDE VASC ACCESS,1022.0,817.6,1.0,919.8,34
CPT,76937,US GUIDED VASCULAR ACCESS,1022.0,817.6,1.0,919.8,34
CPT,76940,US S&I TUMOR ABLATN LIV,623.0,498.4,1.0,560.7,26
CPT,76941,S&I US GUIDE FETAL TRANSFUSION,676.0,540.8,1.0,608.4,26
CPT,76942,ED 76942 US GUIDANCE S&I,1213.0,970.4,1.0,1091.7,34
CPT,76942,US S&I GUID NDLE PLMT,1213.0,970.4,1.0,1091.7,34
CPT,76945,CVS US GUIDE,639.0,511.2,1.0,575.1,26
CPT,76946,US S&I OBGYN AMNIO,1099.0,879.2,1.0,989.1,34
CPT,76948,ECHO GUIDE OVA ASPIRATION,,,1.0,80.75,15
CPT,76965,ECHO GUIDANCE RADIOTHERAPY,,,1.0,96.09,15
CPT,76975,GI ENDOSCOPIC ULTRASOUND,,,108.61,308.19,13
CPT,76977,US BONE DENSITY MEASURE,,,7.32,138.29,17
CPT,76978,US TRGT DYN MBUBB 1ST LES,,,81.44,231.09,17
CPT,76979,US TRGT DYN MBUBB EA ADDL,,,112.75,281.37,15
CPT,76981,USE PARENCHYMA,,,48.73,138.29,17
CPT,76982,USE 1ST TARGET LESION,,,48.73,138.29,17
CPT,76983,USE EA ADDL TARGET LESION,,,54.13,121.62,15
CPT,76984,DX INTRAOP THORACIC AORTA US,,,60.48,60.48,3
CPT,76987,DX INTRAOP EPICAR CAR US CHD,,,184.73,184.73,3
CPT,76988,DX NTROP EPCR US CHD IMG ACQ,,,117.67,117.67,3
CPT,76989,DX INTRAOP EPCAR US CHD I&R,,,69.03,69.03,3
CPT,76998,US GUIDE INTRAOPERATIVE GUID,1481.0,1184.8,1.0,1332.9,26
CPT,76999,UNLISTED ULTRASOUND,774.0,619.2,40.28,696.6,36
CPT,77001,RAD S&I FLUORO CENTRAL VENOUS ACCESS DEV PLMNT,1308.0,1046.4,1.0,1177.2,34
CPT,77002,RAD FLUORO GUID NDL PLCMNT ADD ON,984.0,787.2,1.0,885.6,34
CPT,77003,RAD FLUORO GUID LOCLZ NDL OR CATH SPINE INJ ADD ON,878.0,702.4,1.0,790.2,34
CPT,77011,CT STEREOTACTIC LOCALIZATION,2511.0,2008.8,1.0,2259.9,34
CPT,77011,TOMOGRAPHY GUIDANCE,2511.0,2008.8,1.0,2259.9,34
CPT,77012,CT GUIDANCE NEEDLE PLACEMENT,3230.0,2584.0,1.0,2907.0,34
CPT,77013,CT GUIDED PARENCHYMAL TISSUE ABLATION,2225.0,1780.0,1.0,2002.5,26
CPT,77014,Outpatient Services,,,109.06,120.54,8
CPT,77014,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,77014,Therapy,,,119.5,119.5,4
CPT,77021,MRI GUIDANCE NDL PLMT RS&I,,,1.0,424.75,15
CPT,77022,MRI GDN PARNCHYMA TISS ABLTJ,,,1.0,1.0,3
CPT,77046,MRI BREAST C- UNILATERAL,,,108.61,308.19,17
CPT,77047,MRI BREAST C- BILATERAL,,,108.61,308.19,17
CPT,77048,MRI BREAST C-+ W/CAD UNI,,,81.44,344.86,15
CPT,77049,MRI BREAST C-+ W/CAD BI,,,81.44,351.85,15
CPT,77053,X-RAY OF MAMMARY DUCT,,,53.93,308.19,17
CPT,77054,X-RAY OF MAMMARY DUCTS,,,69.24,308.19,17
CPT,77058,Outpatient Services - CPT/HCPCS,,,81.44,231.09,3
CPT,77059,Outpatient Services - CPT/HCPCS,,,81.44,231.09,3
CPT,77061,BREAST TOMOSYNTHESIS UNI,,,15.52,15.52,3
CPT,77062,BREAST TOMOSYNTHESIS BI,,,31.81,31.81,3
CPT,77063,BREAST TOMOSYNTHESIS BI,,,47.68,102.55,15
CPT,77065,DX MAMMO INCL CAD UNI,,,114.71,247.18,15
CPT,77066,DX MAMMO INCL CAD BI,,,144.82,312.92,15
CPT,77067,SCR MAMMO BI INCL CAD,,,117.36,252.44,15
CPT,77071,MNL APPL STRS JT RADIOGRAPHY,,,40.28,114.29,17
CPT,77072,RAD BONE AGE STUDIES,483.0,386.4,25.96,434.7,36
CPT,77073,CT BONE LENGTH STUDY,937.0,749.6,45.27,843.3,36
CPT,77073,RAD BONE LENGTH STUDIES,937.0,749.6,45.27,843.3,36
CPT,77074,RAD EXAM OSSEOUS SURVEY LTD,709.0,567.2,48.73,638.1,36
CPT,77075,RAD EXAM OSSEOUS SURVEY COMPL,1364.0,1091.2,48.73,1227.6,36
CPT,77076,BONE SURVEY INFANT,1329.0,1063.2,48.73,1196.1,36
CPT,77077,JOINT SURVEY SINGLE VW2+JOINT,422.0,337.6,46.94,379.8,36
CPT,77078,CT BONE DENSITY STUDY QCT,1076.0,860.8,40.28,968.4,36
CPT,77080,BONE DENSITY DEXA AXIAL SKELET,597.0,477.6,38.95,537.3,36
CPT,77081,DXA BONE DENSITY APPENDICULR,,,31.62,114.29,17
CPT,77084,MRI BONE MARROW BLOOD SUPPLY,3682.0,2945.6,108.61,3313.8,36
CPT,77085,DXA BONE DENSITY AXL VRT FX,,,48.73,138.29,17
CPT,77086,VRT FRACTURE ASSMT VIA DXA,,,33.62,114.29,17
CPT,77089,TBS DXA CAL W/I&R FX RISK,,,36.31,79.55,15
CPT,77090,TBS TECHL PREP&TRANSMIS DATA,,,2.66,95.24,17
CPT,77091,TBS TECHL CALCULATION ONLY,,,27.96,114.29,17
CPT,77092,TBS I&R FX RSK QHP,,,8.72,19.06,15
CPT,77261,THER RADIOLOGY TX PLNG SMPL,,,64.01,138.71,15
CPT,77262,THER RADIOLOGY TX PLNG INTRM,,,98.32,212.34,15
CPT,77263,THER RADIOLOGY TX PLNG CPLX,,,152.16,329.36,15
CPT,77280,SIMPLE SIM THERAPY RAD,1602.0,1281.6,60.14,1441.8,36
CPT,77285,INTERMED SIM THERAPY RAD,2559.0,2047.2,163.77,2303.1,36
CPT,77290,COMPLEX SIM THERAPY RAD,3309.0,2647.2,163.77,2978.1,36
CPT,77293,RESP MOTION MGMT SIMULATION,1655.0,1324.0,1.0,1489.5,34
CPT,77295,3-D SIM THERAPY RAD,9284.0,7427.2,480.01,8355.6,36
CPT,77299,UNLISTED PX THER RAD TX PLNG,,,60.14,170.65,13
CPT,77300,BASIC DOSIMETRY CALCULTN,973.0,778.4,60.14,875.7,36
CPT,77301,RADIATION THER TRMT PLAN,11036.0,8828.8,614.15,9932.4,36
CPT,77306,TELETHERAPY ISODOSE PLAN SIMPLE INCLUD BASIC DOSIM CAL,4389.0,3511.2,148.13,3950.1,36
CPT,77307,TELETHERAPY ISODOSE PLAN COMPLEX INCLUD BASIC DOSIM CAL,7719.0,6175.2,163.77,6947.1,36
CPT,77316,BRACHYTHER ISODOSE PLAN SIMPLE INCLUD BASIC DOSIM CAL,2253.0,1802.4,163.77,2027.7,36
CPT,77317,BRACHYTHER ISODOSE PLAN INTERMED INCL BAS DOSIC CAL,2509.0,2007.2,163.77,2258.1,36
CPT,77318,BRACHYTHER ISODOSE PLAN COMPLEX INCLUD BASIC DOSIM CAL,2931.0,2344.8,163.77,2637.9,36
CPT,77321,TELETHERAPY PLAN,3570.0,2856.0,94.2,3213.0,36
CPT,77331,DOSIMETRY SP,1232.0,985.6,60.14,1108.8,36
CPT,77332,SI TREATMENT DEVICE,960.0,768.0,39.28,864.0,36
CPT,77333,IN TREATMENT DEVICE,1192.0,953.6,60.14,1072.8,36
CPT,77334,COMPLEX TREATMENT DEVICE,2208.0,1766.4,125.49,1987.2,36
CPT,77336,MED PHYSICS CONSULTATION,1234.0,987.2,60.14,1110.6,36
CPT,77338,DESIGN MLC DEVICE FOR IMRT,4828.0,3862.4,163.77,4345.2,36
CPT,77370,SP MED PHYSICS CONSULT,1748.0,1398.4,60.14,1573.2,36
CPT,77371,SRS MULTISOURCE,,,3451.58,9794.49,13
CPT,77372,SRS - 1 SESSION,32540.0,26032.0,951.69,29286.0,36
CPT,77372,SRS - 1 SESSION WITH HEAD FRAME,32540.0,26032.0,951.69,29286.0,36
CPT,77373,SRT CRANIAL UP TO 5 SESSIONS,14181.0,11344.8,790.89,12762.9,36
CPT,77373,SRT SBRT - 5 SESSION MAX,14181.0,11344.8,790.89,12762.9,36
CPT,77385,Outpatient Services,,,549.55,607.39,8
CPT,77385,Outpatient Services - CPT/HCPCS,,,260.91,740.39,5
CPT,77386,Outpatient Services,,,549.55,607.39,8
CPT,77386,Outpatient Services - CPT/HCPCS,,,260.91,740.39,5
CPT,77387,GUIDANCE FOR RADIATION TX INCLUD INTRAFRA TRACK,948.0,758.4,1.0,853.2,26
CPT,77399,FUSION DOSIMETRY TECH ONLY,801.0,640.8,60.14,720.9,36
CPT,77401,Outpatient Services,,,104.03,114.98,8
CPT,77401,Outpatient Services - CPT/HCPCS,,,53.15,150.82,5
CPT,77401,Therapy,,,41.61,41.61,4
CPT,77402,RADIATION TREATMENT DELIVERY LEVEL 1,941.0,752.8,53.15,846.9,36
CPT,77407,RADIATION TREATMENT DELIVERY LEVEL 2,3566.0,2852.8,119.12,3209.4,36
CPT,77412,RADIATION TREATMENT DELIVERY LEVEL 3,5104.0,4083.2,119.12,4593.6,36
CPT,77417,RAD THERAPY PORT FILMS,716.0,572.8,1.0,644.4,34
CPT,77423,NEUTRON BEAM TX COMPLEX,,,260.91,740.39,13
CPT,77424,INTRAOP RADIATION TX DELIVERY BY XRAY,20089.0,16071.2,3451.58,18080.1,34
CPT,77425,IO RAD TX DELIVER BY ELCTRNS,,,3451.58,9794.49,11
CPT,77427,RADIATION TX MANAGEMENT X5,,,173.41,374.72,15
CPT,77431,RADIATION THERAPY MANAGEMENT,,,97.75,211.68,15
CPT,77432,STEREOTACTIC RADIATION TRMT,,,383.83,832.93,15
CPT,77435,SBRT MANAGEMENT,,,1.0,641.63,15
CPT,77469,IO RADIATION TX MANAGEMENT,,,289.88,626.5,15
CPT,77470,SPECIAL TREATMENT PROC,4624.0,3699.2,141.8,4161.6,36
CPT,77520,PROTON TRMT SIMPLE W/O COMP,,,260.91,740.39,13
CPT,77522,PROTON TRMT SIMPLE W/COMP,,,628.76,1784.23,13
CPT,77523,PROTON TRMT INTERMEDIATE,,,628.76,1784.23,13
CPT,77525,PROTON TREATMENT COMPLEX,,,628.76,1784.23,13
CPT,77600,HYPERTHERMIA EXT GEN SUPFC,,,119.12,544.25,17
CPT,77605,HYPERTHERMIA EXT GEN DEEP,,,317.79,943.7,17
CPT,77610,HYPERTHERMIA NTRSTL PRB 5/<,,,260.91,740.39,17
CPT,77615,HYPERTHERMIA NTRSTL PRB>5,,,260.91,1073.19,17
CPT,77620,HYPERTHERMIA GEN INTRCV PRB,,,260.91,740.39,17
CPT,77750,INFUSE RADIOACTIVE MATERIALS,,,119.12,392.79,17
CPT,77761,APPLY INTRCAV RADIAT SIMPLE,,,260.91,740.39,17
CPT,77762,APPLY INTRCAV RADIAT INTERM,,,260.91,740.39,17
CPT,77763,APPLY INTRCAV RADIAT COMPL,,,317.79,901.78,17
CPT,77767,HDR RDNCL SKN SURF BRACHYTX,,,119.12,338.02,17
CPT,77768,HDR RDNCL SKN SURF BRACHYTX,,,119.12,365.83,17
CPT,77770,HDR RDNCL INTERSTL INTRACAV BRACHY 1 CHANNEL,6121.0,4896.8,317.79,5508.9,36
CPT,77771,HDR RDNCL INTERSTL INTRACAV BRACHY 2-12 CHANNELS,8325.0,6660.0,317.79,7492.5,36
CPT,77772,HDR RDNCL INTERSTL INTRACAV BRACHY 13+ CHANNELS,9514.0,7611.2,317.79,8562.6,36
CPT,77778,INTERSTITL SOURCE APP COMPLEX,6621.0,5296.8,317.79,5958.9,36
CPT,77789,APPLY SURF LDR RADIONUCLIDE,,,53.15,150.82,17
CPT,77790,NM SUPV HANDLING LOADING RAD SOURCE,734.0,587.2,1.0,660.6,34
CPT,77799,UNLISTED PX CLIN BRACHYTX,,,53.15,150.82,13
CPT,78012,NM THYROID UPTAKE SNGL MULT QUANT MEAS,1120.0,896.0,80.89,1008.0,36
CPT,78013,NM THYROID IMG W VASC FLOW,1585.0,1268.0,171.1,1426.5,36
CPT,78014,NM THYROID IMG W SNGL MULT UPTAKE,2012.0,1609.6,182.81,1810.8,36
CPT,78015,THYROID MET IMAGING,,,182.81,518.75,17
CPT,78016,THYROID MET IMAGING/STUDIES,,,182.81,518.75,17
CPT,78018,NM THYROID CARCINOMA METASTASES IMG WHOLE BODY,3010.0,2408.0,239.57,2709.0,36
CPT,78020,NM THYROID CARCINOMA METASTASES UPTAKE,768.0,614.4,1.0,691.2,34
CPT,78070,NM PARATHYROID PLANAR IMG,2609.0,2087.2,182.81,2348.1,36
CPT,78071,NM PARATHYROID PLANAR IMG W SPECT,2851.0,2280.8,182.81,2565.9,36
CPT,78072,NM PARATHYROID PLANAR IMG W SPECT AND CT,3170.0,2536.0,239.57,2853.0,36
CPT,78075,ADRENAL CORTEX & MEDULLA IMG,,,405.11,1785.97,17
CPT,78099,UNLISTED ENDOCRINE PX DX NUC,,,182.81,518.75,13
CPT,78102,BONE MARROW IMAGING LTD,,,160.11,518.75,17
CPT,78103,BONE MARROW IMAGING MULT,,,170.76,518.75,17
CPT,78104,NM BONE MARROW IMG WHOLE BODY,2055.0,1644.0,182.81,1849.5,36
CPT,78110,PLASMA VOLUME SINGLE,,,68.91,1785.97,17
CPT,78111,PLASMA VOLUME MULTIPLE,,,72.9,1785.97,17
CPT,78120,RED CELL MASS SINGLE,,,70.57,518.75,17
CPT,78121,NM RED CELL VOL DETERM SPX MULT,1700.0,1360.0,76.89,1530.0,36
CPT,78122,WHL BLD VOLUME DETERMINATION,,,97.87,679.83,17
CPT,78130,RED CELL SURVIVAL STUDY,,,123.83,518.75,17
CPT,78135,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78140,RED CELL SEQUESTRATION,,,109.18,518.75,17
CPT,78185,NM SPLEEN IMG ONLY W WO VASC FLOW,2693.0,2154.4,154.45,2423.7,36
CPT,78191,PLATELET SURVIVAL STUDY,,,123.83,518.75,17
CPT,78195,NM LYMPHATICS AND LYMPH NODES IMG,3074.0,2459.2,239.57,2766.6,36
CPT,78199,UNLSTD HEMATOP RET/ENDO LYMP,,,182.81,518.75,13
CPT,78201,NM LIVER IMG STATIC ONLY,2272.0,1817.6,176.42,2044.8,36
CPT,78202,LIVER IMAGING WITH VASC FLOW,,,194.07,679.83,17
CPT,78205,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78206,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78215,NM LIVER AND SPLEEN IMG STATIC ONLY,2018.0,1614.4,181.75,1816.2,36
CPT,78216,LIVER SPLEEN FLOW,959.0,767.2,127.49,863.1,36
CPT,78226,NM HEPATOBILIARY IMG INCL GALLBLADDER,2840.0,2272.0,182.81,2556.0,36
CPT,78227,NM HEPATOBILIARY IMG INCL GALLBLADDER W PHARM INTV,2839.0,2271.2,239.57,2555.1,36
CPT,78230,SALIVARY GLAND IMAGING,,,163.44,518.75,17
CPT,78231,SALIVARY GLND IMG SERIAL IMG,,,103.52,518.75,17
CPT,78232,SALIVARY GLAND FUNCTION STD,,,101.53,518.75,17
CPT,78258,ESOPHAGEAL MOTILITY,,,182.81,518.75,17
CPT,78261,GASTRIC MUCOSA IMAGING,,,182.81,518.75,17
CPT,78262,NM GASTROESOPHAGEAL REFLUX STUDY,2109.0,1687.2,182.81,1898.1,36
CPT,78264,NM GASTRIC EMPTYING IMG STUDY,2908.0,2326.4,182.81,2617.2,36
CPT,78265,GSTR EMPTG IMG SM BWL TRNST,,,182.81,518.75,17
CPT,78266,GSTR EMPT IMG SM BWL&COLON,,,239.57,679.83,17
CPT,78267,UREA BREATH TST C-14 ACQUISJ,,,10.51,30.38,15
CPT,78268,UREA BREATH TEST C-14 ALYS,,,89.69,259.36,15
CPT,78270,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78271,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78272,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78278,NM ACUTE GASTROINTESTINAL BLOOD LOSS IMG,2028.0,1622.4,182.81,1825.2,36
CPT,78282,GI PROTEIN LOSS,,,182.81,518.75,13
CPT,78290,NM INTESTINE IMG,2365.0,1892.0,182.81,2128.5,36
CPT,78291,NM PERITONEAL VENOUS SHUNT PATENCY TEST,1561.0,1248.8,182.81,1404.9,36
CPT,78299,UNLISTED GI PX DX NUC MED,,,182.81,518.75,13
CPT,78300,NM BONE AND OR JNT IMG LTD AREA,993.0,794.4,182.81,893.7,36
CPT,78305,NM BONE AND OR JNT IMG MULT AREA,1652.0,1321.6,182.81,1486.8,36
CPT,78306,NM BONE AND OR JNT IMG WHOLE BODY,2709.0,2167.2,182.81,2438.1,36
CPT,78315,NM BONE AND OR JNT IMG 3 PHASE STDY,3236.0,2588.8,182.81,2912.4,36
CPT,78320,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78350,BONE MINERAL SINGLE PHOTON,,,29.12,518.75,15
CPT,78351,BONE MINERAL DUAL PHOTON,,,13.14,518.75,15
CPT,78399,UNLISTED MUSCSKEL PX DX NUC,,,182.81,518.75,13
CPT,78414,NON-IMAGING HEART FUNCTION,,,239.57,679.83,13
CPT,78428,CARDIAC SHUNT IMAGING,,,173.43,518.75,17
CPT,78429,"PET MYOCARD IMAGING PET, METABOLIC EVALUATION STUDY SINGLE; WITH CT",6173.0,4938.4,693.41,5555.7,36
CPT,78430,"PET MYOCARD IMAGING PET, PERFUSION STUDY SINGLE REST/STRESS WITH CT",6509.0,5207.2,693.41,5858.1,36
CPT,78431,"PET MYOCARD IMAGING PET, PERFUSION STUDY MULTI REST/STRESS WITH CT",8758.0,7006.4,1045.83,7882.2,36
CPT,78432,MYOCRD IMG PET 2RTRACER,,,859.95,2440.26,13
CPT,78433,MYOCRD IMG PET 2RTRACER CT,,,906.42,2572.13,13
CPT,78434,PET AQMBF REST & RX STRESS ADD ON,526.0,420.8,139.13,518.75,26
CPT,78445,VASCULAR FLOW IMAGING,,,182.81,518.75,17
CPT,78451,NM MYOCARDIAL SPECT SNGL STDY,4349.0,3479.2,312.57,3914.1,36
CPT,78452,NM MYOCARDIAL SPECT MULT STDY,6264.0,5011.2,432.4,5637.6,36
CPT,78453,HT MUSCLE IMAGE PLANAR SING,,,265.97,1785.97,17
CPT,78454,HT MUSC IMAGE PLANAR MULT,,,397.45,1785.97,17
CPT,78456,ACUTE VENOUS THROMBUS IMAGE,,,287.94,1785.97,17
CPT,78457,VENOUS THROMBOSIS IMAGING,,,154.45,679.83,17
CPT,78458,ACCUTECT SCAN DVT,2633.0,2106.4,182.81,2369.7,36
CPT,78459,PET MYOCARD METABOLIC EVAL,7843.0,6274.4,629.38,7058.7,36
CPT,78466,NM MYOCARDIAL IMG INFARCT AVID PLANAR QUAL OR QUAN,1278.0,1022.4,166.44,1150.2,36
CPT,78468,HEART INFARCT IMAGE (EF),,,183.08,679.83,17
CPT,78469,HEART INFARCT IMAGE (3D),,,205.05,679.83,17
CPT,78472,NM CARDIAC BLOOD POOL IMG GATED PLANAR SNGL,2775.0,2220.0,182.81,2497.5,36
CPT,78473,GATED HEART MULTIPLE,,,182.81,518.75,17
CPT,78481,HEART FIRST PASS SINGLE,,,165.11,679.83,17
CPT,78483,NM CARDIAC BLOOD POOL IMG PLANAR FIRST PASS MULT,2308.0,1846.4,221.69,2077.2,36
CPT,78491,MYOCARDIAL PET SNGL STUDY REST OR STRESS,7273.0,5818.4,693.41,6545.7,36
CPT,78492,MYOCARDIAL PET MULTIPLE STUDIES REST AND STRESS,8078.0,6462.4,693.41,7270.2,36
CPT,78494,HEART IMAGE SPECT,,,182.81,518.75,17
CPT,78496,NM CARDIAC BLOOD POOL IMG GATED SNGL RT VENT EJC,583.0,466.4,1.0,524.7,34
CPT,78499,UNLISTED CV PX DX NUC MED,,,182.81,518.75,13
CPT,78579,NM PULM VENTILATION IMG,1578.0,1262.4,172.1,1420.2,36
CPT,78580,NM PULM PERFUSION IMG,1010.0,808.0,182.81,909.0,36
CPT,78582,NM PULM VENTILATION AND PERFUSION IMG,2462.0,1969.6,239.57,2215.8,36
CPT,78597,NM QUANT DIFF PULM PERF W OR WO IMG,1869.0,1495.2,182.81,1682.1,36
CPT,78598,NM QUANT DIFF PULM PERF AND VENT W OR WO IMG,2504.0,2003.2,239.57,2253.6,36
CPT,78599,UNLISTED RESP PX DX NUC MED,,,182.81,518.75,13
CPT,78600,BRAIN IMAGE < 4 VIEWS,,,168.1,518.75,17
CPT,78601,BRAIN IMAGE W/FLOW < 4 VIEWS,,,182.81,518.75,17
CPT,78605,BRAIN STATICS ONLY,1191.0,952.8,185.74,1071.9,36
CPT,78606,NM BRAIN IMG MIN 4 STATIC VIEWS W VASC FLOW,1886.0,1508.8,239.57,1697.4,36
CPT,78607,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78608,PET BRAIN METABOLIC EVAL,8671.0,6936.8,693.41,7803.9,36
CPT,78609,BRAIN IMAGING (PET),,,64.58,518.75,15
CPT,78610,BRAIN FLOW IMAGING ONLY,,,161.78,679.83,17
CPT,78630,NM CEREBROSPINAL FLUID FLOW IMG CISTERNOGRAPHY,1959.0,1567.2,239.57,1763.1,36
CPT,78635,CSF VENTRICULOGRAPHY,,,239.57,679.83,17
CPT,78645,CSF SHUNT EVALUATION,,,239.57,679.83,17
CPT,78647,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78650,NM CEREBROSPINAL FLUID LKG DETECTION LOCALIZATION,2330.0,1864.0,247.33,2097.0,36
CPT,78660,NUCLEAR EXAM OF TEAR FLOW,,,132.48,518.75,17
CPT,78699,UNLISTED NRVS SYS PX DX NUC,,,182.81,518.75,13
CPT,78700,KIDNEY IMAGING MORPHOL,,,158.12,518.75,17
CPT,78701,KIDNEY IMAGING WITH FLOW,,,182.81,518.75,17
CPT,78707,NM KIDNEY IMG MORPH W VASC FLOW FUNC SNGL WO RX,2263.0,1810.4,214.7,2036.7,36
CPT,78708,NM KIDNEY IMG MORPH W VASC FLOW FUNC SNGL W RX,3011.0,2408.8,174.76,2709.9,36
CPT,78709,K FLOW/FUNCT IMAGE MULTIPLE,,,239.57,679.83,17
CPT,78710,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78725,NM KIDNEY FUNC STDY NONIMG RADIOISOTOPIC STDY,2216.0,1772.8,96.53,1994.4,36
CPT,78730,NM URINARY BLADDER RESIDUAL STDY,287.0,229.6,1.0,258.3,34
CPT,78740,NM URETERAL RELUX STDY RADIOPHARM VOIDING CYSTOGRAM,1605.0,1284.0,182.81,1444.5,36
CPT,78761,TESTICULAR SCAN FLOW,1486.0,1188.8,182.81,1337.4,36
CPT,78799,UNLISTED GU PX DX NUC MED,,,182.81,518.75,13
CPT,78800,NM RADIOPHARM LOCA TUMOR AGENT DISTRIB PLANAR SGL AREA SGL DAY IMAG,1284.0,1027.2,182.81,1155.6,36
CPT,78801,NM RADIOPHARM LOCA TUMOR AGENT DISTRIB PLANAR 2+ AREAS,2646.0,2116.8,182.81,2381.4,36
CPT,78802,NM RADIOPHARM LOCAL TUMOR PLANAR WHOLE BODY SNGL DAY IMAGING,4584.0,3667.2,280.95,4125.6,36
CPT,78803,NM RP LOC TUM SPECT SGL AREA/ACQ SGL DAY,4148.0,3318.4,346.86,3733.2,36
CPT,78804,NM RADIOPHARM LOCAL TUMOR PLANAR WHOLE BODY 2+ DAYS IMAG,5386.0,4308.8,585.19,4847.4,36
CPT,78805,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78806,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78807,Outpatient Services - CPT/HCPCS,,,182.81,518.75,3
CPT,78808,NM INJ PROC RADIOPHARM LOCLZ NON IMG STDY IV,991.0,792.8,39.61,891.9,36
CPT,78811,PET IMAGE LTD AREA,,,629.38,1785.97,13
CPT,78812,PET SKULL-THIGH,7534.0,6027.2,693.41,6780.6,36
CPT,78813,PET IMAGE FULL BODY,,,693.41,1967.69,13
CPT,78814,PET CT LIMITED AREA,8199.0,6559.2,693.41,7379.1,36
CPT,78815,PET CT SKULL BASE TO MID THIGH,9375.0,7500.0,693.41,8437.5,36
CPT,78816,PET CT WHOLE BODY,9865.0,7892.0,693.41,8878.5,36
CPT,78830,NM RP LOC TUM SPECT W/CT SGL AREA/ACQ SGL DAY,4851.0,3880.8,434.4,4365.9,36
CPT,78831,NM RP LOC TUM SPECT 2 AREAS/ACQS SGL DAY OR SGL AREA/ACQ 2 DAYS,4851.0,3880.8,629.38,4365.9,36
CPT,78832,NM RP LOC TUM SPECT W/CT 2 AREAS/ACQS SGL DAY OR SGL AREA/ACQ 2 DAYS,5949.0,4759.2,693.41,5354.1,36
CPT,78835,RP QUAN MEAS SINGLE AREA,,,1.0,89.37,15
CPT,78999,UNLISTED MISC PX DX NUC MED,,,182.81,518.75,13
CPT,79005,NM RADIOPHARM THERAPY BY ORAL ADMIN,2103.0,1682.4,110.27,1892.7,36
CPT,79101,NM RADIOPHARM THERAPY BY IV ADMIN,1828.0,1462.4,110.27,1645.2,36
CPT,79200,NUCLEAR RX INTRACAV ADMIN,,,110.27,312.91,17
CPT,79300,P32 THERAPY,1120.0,896.0,110.27,1008.0,36
CPT,79403,NM RADIOPHARM THERAPY RADIOLABELED MONO ANTIBODY,1408.0,1126.4,110.27,1267.2,36
CPT,79440,NUCLEAR RX INTRA-ARTICULAR,,,110.27,312.91,17
CPT,79445,RADIOPAHARM THRPY INTRA-ART ADM,1913.0,1530.4,110.27,1721.7,36
CPT,79999,RP THERAPY UNLISTED PX,,,110.27,312.91,13
CPT,80047,BASIC METABLC PNL IONIZED CA,,,13.04,37.72,19
CPT,80048,BASIC METABOLIC PNL TOTAL CA,,,8.04,23.24,19
CPT,80050,GENERAL HEALTH PANEL,,,50.13,50.13,3
CPT,80051,ELECTROLYTE PANEL,,,6.66,19.26,19
CPT,80053,COMPREHEN METABOLIC PANEL,,,10.03,29.01,19
CPT,80055,OBSTETRIC PANEL,,,45.42,131.34,15
CPT,80061,LIPID PANEL,,,12.72,36.79,19
CPT,80069,RENAL FUNCTION PANEL,,,8.25,23.85,19
CPT,80074,ACUTE HEPATITIS PANEL,,,45.25,130.85,15
CPT,80076,HEPATIC FUNCTION PANEL,,,7.76,22.44,15
CPT,80081,OBSTETRIC PANEL INC HIV TSTG,,,71.12,205.66,15
CPT,80143,DRUG ASSAY ACETAMINOPHEN,,,17.71,51.21,15
CPT,80145,DRUG ASSAY ADALIMUMAB,,,36.64,105.96,15
CPT,80150,ASSAY OF AMIKACIN,,,14.33,41.43,15
CPT,80151,DRUG ASSAY AMIODARONE,,,17.71,51.21,15
CPT,80155,DRUG ASSAY CAFFEINE,,,36.64,105.96,15
CPT,80156,ASSAY CARBAMAZEPINE TOTAL,,,13.84,40.03,15
CPT,80157,ASSAY CARBAMAZEPINE FREE,,,12.59,36.4,15
CPT,80158,DRUG ASSAY CYCLOSPORINE,,,17.15,49.59,15
CPT,80159,DRUG ASSAY CLOZAPINE,,,19.14,55.36,15
CPT,80161,"ASY CARBAMAZEPIN 10,11-EPXID",,,17.71,51.21,15
CPT,80162,ASSAY OF DIGOXIN TOTAL,,,12.62,36.48,15
CPT,80163,ASSAY OF DIGOXIN FREE,,,12.62,36.48,15
CPT,80164,ASSAY DIPROPYLACETIC ACD TOT,,,12.86,37.2,15
CPT,80165,DIPROPYLACETIC ACID FREE,,,12.86,37.2,15
CPT,80167,DRUG ASSAY FELBAMATE,,,17.71,51.21,15
CPT,80168,ASSAY OF ETHOSUXIMIDE,,,15.52,44.89,15
CPT,80169,DRUG ASSAY EVEROLIMUS,,,13.04,37.72,15
CPT,80170,ASSAY OF GENTAMICIN,,,15.56,45.0,15
CPT,80171,DRUG SCREEN QUANT GABAPENTIN,,,20.59,59.53,15
CPT,80173,ASSAY OF HALOPERIDOL,,,14.99,43.35,15
CPT,80175,DRUG SCREEN QUAN LAMOTRIGINE,,,12.59,36.4,15
CPT,80176,ASSAY OF LIDOCAINE,,,13.96,40.36,15
CPT,80177,DRUG SCRN QUAN LEVETIRACETAM,,,12.59,36.4,15
CPT,80178,ASSAY OF LITHIUM,,,6.28,18.16,19
CPT,80179,DRUG ASSAY SALICYLATE,,,17.71,51.21,15
CPT,80180,DRUG SCRN QUAN MYCOPHENOLATE,,,17.15,49.59,15
CPT,80181,DRUG ASSAY FLECAINIDE,,,17.71,51.21,15
CPT,80183,DRUG SCRN QUANT OXCARBAZEPIN,,,12.59,36.4,15
CPT,80184,ASSAY OF PHENOBARBITAL,,,14.54,42.03,15
CPT,80185,ASSAY OF PHENYTOIN TOTAL,,,12.59,36.4,15
CPT,80186,ASSAY OF PHENYTOIN FREE,,,13.07,37.8,15
CPT,80187,DRUG ASSAY POSACONAZOLE,,,25.75,74.48,15
CPT,80188,ASSAY OF PRIMIDONE,,,15.76,45.58,15
CPT,80189,DRUG ASSAY ITRACONAZOLE,,,25.75,74.48,15
CPT,80190,ASSAY OF PROCAINAMIDE,,,57.0,164.83,15
CPT,80192,ASSAY OF PROCAINAMIDE,,,15.91,46.02,15
CPT,80193,DRUG ASSAY LEFLUNOMIDE,,,36.64,105.96,15
CPT,80194,ASSAY OF QUINIDINE,,,13.87,40.11,15
CPT,80195,ASSAY OF SIROLIMUS,,,13.04,37.72,15
CPT,80197,ASSAY OF TACROLIMUS,,,13.04,37.72,15
CPT,80198,ASSAY OF THEOPHYLLINE,,,13.43,38.85,15
CPT,80199,DRUG SCREEN QUANT TIAGABINE,,,25.75,74.48,15
CPT,80200,ASSAY OF TOBRAMYCIN,,,15.32,44.31,15
CPT,80201,ASSAY OF TOPIRAMATE,,,11.32,32.75,15
CPT,80202,ASSAY OF VANCOMYCIN,,,12.86,37.2,15
CPT,80203,DRUG SCREEN QUANT ZONISAMIDE,,,12.59,36.4,15
CPT,80204,DRUG ASSAY METHOTREXATE,,,36.64,105.96,15
CPT,80210,DRUG ASSAY RUFINAMIDE,,,25.75,74.48,15
CPT,80220,DRUG ASY HYDROXYCHLOROQUINE,,,17.71,51.21,15
CPT,80230,DRUG ASSAY INFLIXIMAB,,,36.64,105.96,15
CPT,80235,DRUG ASSAY LACOSAMIDE,,,25.75,74.48,15
CPT,80280,DRUG ASSAY VEDOLIZUMAB,,,36.64,105.96,15
CPT,80285,DRUG ASSAY VORICONAZOLE,,,25.75,74.48,15
CPT,80299,QUANTITATIVE ASSAY DRUG,,,17.71,51.21,15
CPT,80305,DRUG TEST PRSMV DIR OPT OBS,,,11.97,34.61,19
CPT,80306,DRUG TEST PRSMV INSTRMNT,,,16.28,47.09,15
CPT,80307,DRUG TEST PRSMV CHEM ANLYZR,,,59.03,170.71,15
CPT,80320,DRUG SCREEN QUANTALCOHOLS,,,17.2,17.2,3
CPT,80321,ALCOHOLS BIOMARKERS 1OR 2,,,17.2,17.2,3
CPT,80322,ALCOHOLS BIOMARKERS 3/MORE,,,16.21,16.21,3
CPT,80323,ALKALOIDS NOS,,,54.32,54.32,3
CPT,80324,DRUG SCREEN AMPHETAMINES 1/2,,,28.12,28.12,3
CPT,80325,AMPHETAMINES 3OR 4,,,27.57,27.57,3
CPT,80326,AMPHETAMINES 5 OR MORE,,,7.32,7.32,3
CPT,80327,ANABOLIC STEROID 1 OR 2,,,44.91,44.91,3
CPT,80328,ANABOLIC STEROID 3 OR MORE,,,44.03,44.03,3
CPT,80329,ANALGESICS NON-OPIOID 1 OR 2,,,34.51,34.51,3
CPT,80330,ANALGESICS NON-OPIOID 3-5,,,34.51,34.51,3
CPT,80331,ANALGESICS NON-OPIOID 6/MORE,,,6.94,6.94,3
CPT,80332,ANTIDEPRESSANTS CLASS 1 OR 2,,,23.11,23.11,3
CPT,80333,ANTIDEPRESSANTS CLASS 3-5,,,9.91,9.91,3
CPT,80334,ANTIDEPRESSANTS CLASS 6/MORE,,,9.23,9.23,3
CPT,80335,ANTIDEPRESSANT TRICYCLIC 1/2,,,32.4,32.4,3
CPT,80336,ANTIDEPRESSANT TRICYCLIC 3-5,,,30.53,30.53,3
CPT,80337,TRICYCLIC & CYCLICALS 6/MORE,,,14.0,14.0,3
CPT,80338,ANTIDEPRESSANT NOT SPECIFIED,,,10.22,10.22,3
CPT,80339,ANTIEPILEPTICS NOS 1-3,,,25.05,25.05,3
CPT,80340,ANTIEPILEPTICS NOS 4-6,,,23.61,23.61,3
CPT,80341,ANTIEPILEPTICS NOS 7/MORE,,,11.07,11.07,3
CPT,80342,ANTIPSYCHOTICS NOS 1-3,,,27.09,27.09,3
CPT,80343,ANTIPSYCHOTICS NOS 4-6,,,26.56,26.56,3
CPT,80344,ANTIPSYCHOTICS NOS 7/MORE,,,5.74,5.74,3
CPT,80345,DRUG SCREENING BARBITURATES,,,20.32,20.32,3
CPT,80346,BENZODIAZEPINES1-12,,,35.82,35.82,3
CPT,80347,BENZODIAZEPINES 13 OR MORE,,,7.35,7.35,3
CPT,80348,DRUG SCREENING BUPRENORPHINE,,,24.79,24.79,3
CPT,80349,CANNABINOIDS NATURAL,,,24.79,24.79,3
CPT,80350,CANNABINOIDS SYNTHETIC 1-3,,,23.35,23.35,3
CPT,80351,CANNABINOIDS SYNTHETIC 4-6,,,23.82,23.82,3
CPT,80352,CANNABINOID SYNTHETIC 7/MORE,,,23.35,23.35,3
CPT,80353,DRUG SCREENING COCAINE,,,27.44,27.44,3
CPT,80354,DRUG SCREENING FENTANYL,,,24.79,24.79,3
CPT,80355,GABAPENTIN NON-BLOOD,,,23.02,23.02,3
CPT,80356,HEROIN METABOLITE,,,28.42,28.42,3
CPT,80357,KETAMINE AND NORKETAMINE,,,24.79,24.79,3
CPT,80358,DRUG SCREENING METHADONE,,,17.27,17.27,3
CPT,80359,METHYLENEDIOXYAMPHETAMINES,,,28.12,28.12,3
CPT,80360,METHYLPHENIDATE,,,28.12,28.12,3
CPT,80361,OPIATES 1 OR MORE,,,32.97,32.97,3
CPT,80362,OPIOIDS & OPIATE ANALOGS 1/2,,,30.46,30.46,3
CPT,80363,OPIOIDS & OPIATE ANALOGS 3/4,,,29.86,29.86,3
CPT,80364,OPIOID &OPIATE ANALOG 5/MORE,,,20.1,20.1,3
CPT,80365,DRUG SCREENING OXYCODONE,,,21.38,21.38,3
CPT,80366,DRUG SCREENING PREGABALIN,,,26.59,26.59,3
CPT,80367,DRUG SCREENING PROPOXYPHENE,,,8.79,8.79,3
CPT,80368,SEDATIVE HYPNOTICS,,,21.87,21.87,3
CPT,80369,SKELETAL MUSCLE RELAXANT 1/2,,,27.59,27.59,3
CPT,80370,SKEL MUSC RELAXANT 3 OR MORE,,,21.92,21.92,3
CPT,80371,STIMULANTS SYNTHETIC,,,21.87,21.87,3
CPT,80372,DRUG SCREENING TAPENTADOL,,,24.79,24.79,3
CPT,80373,DRUG SCREENING TRAMADOL,,,24.79,24.79,3
CPT,80374,STEREOISOMER ANALYSIS,,,23.82,23.82,3
CPT,80375,DRUG/SUBSTANCE NOS 1-3,,,23.82,23.82,3
CPT,80376,DRUG/SUBSTANCE NOS 4-6,,,24.3,24.3,3
CPT,80377,DRUG/SUBSTANCE NOS 7/MORE,,,5.65,5.65,3
CPT,80400,ACTH STIMULATION PANEL,,,30.99,89.61,15
CPT,80402,ACTH STIMULATION PANEL,,,82.61,238.9,15
CPT,80406,ACTH STIMULATION PANEL,,,74.35,215.0,15
CPT,80408,ALDOSTERONE SUPPRESSION EVAL,,,119.23,344.77,15
CPT,80410,CALCITONIN STIMUL PANEL,,,76.35,220.79,15
CPT,80412,CRH STIMULATION PANEL,,,761.54,2202.21,15
CPT,80414,TESTOSTERONE RESPONSE PANEL,,,49.06,141.87,15
CPT,80415,TOT ESTRADIOL RESPONSE PANEL,,,53.1,153.54,15
CPT,80416,RENIN STIMULATION PANEL,,,198.85,575.04,15
CPT,80417,RENIN STIMULATION PANEL,,,41.79,120.85,15
CPT,80418,PITUITARY EVALUATION PANEL,,,550.51,1591.95,15
CPT,80420,DEXAMETHASONE PANEL,,,153.79,444.72,15
CPT,80422,GLUCAGON TOLERANCE PANEL,,,43.77,126.56,15
CPT,80424,GLUCAGON TOLERANCE PANEL,,,47.98,138.73,15
CPT,80426,GONADOTROPIN HORMONE PANEL,,,140.99,407.71,15
CPT,80428,GROWTH HORMONE PANEL,,,63.37,183.24,15
CPT,80430,GROWTH HORMONE PANEL,,,122.86,355.3,15
CPT,80432,INSULIN SUPPRESSION PANEL,,,157.33,454.96,15
CPT,80434,INSULIN TOLERANCE PANEL,,,270.78,783.03,15
CPT,80435,INSULIN TOLERANCE PANEL,,,97.85,282.96,15
CPT,80436,METYRAPONE PANEL,,,86.6,250.43,15
CPT,80438,TRH STIMULATION PANEL,,,47.89,138.49,15
CPT,80439,TRH STIMULATION PANEL,,,63.85,184.64,15
CPT,80503,PATH CLIN CONSLTJ SF 5-20,,,21.64,68.15,17
CPT,80504,PATH CLIN CONSLTJ MOD 21-40,,,46.6,214.84,17
CPT,80505,PATH CLIN CONSLTJ HIGH 41-60,,,75.71,214.84,17
CPT,80506,PATH CLIN CONSLTJ PROLNG SVC,,,1.0,41.95,15
CPT,81000,URINALYSIS NONAUTO W/SCOPE,,,3.82,11.04,15
CPT,81001,URINALYSIS AUTO W/SCOPE,,,3.01,8.71,15
CPT,81002,URINALYSIS NONAUTO W/O SCOPE,,,3.31,9.56,15
CPT,81003,URINALYSIS AUTO W/O SCOPE,,,2.14,6.18,19
CPT,81005,URINALYSIS,,,2.06,5.96,15
CPT,81007,URINE SCREEN FOR BACTERIA,,,28.48,82.36,19
CPT,81015,MICROSCOPIC EXAM OF URINE,,,2.9,8.38,15
CPT,81020,URINALYSIS GLASS TEST,,,4.47,12.91,15
CPT,81025,URINE PREGNANCY TEST,,,8.18,23.65,15
CPT,81050,URINALYSIS VOLUME MEASURE,,,3.46,10.0,15
CPT,81105,HPA-1 GENOTYPING,,,116.11,335.76,15
CPT,81106,HPA-2 GENOTYPING,,,116.11,335.76,15
CPT,81107,HPA-3 GENOTYPING,,,116.11,335.76,15
CPT,81108,HPA-4 GENOTYPING,,,116.11,335.76,15
CPT,81109,HPA-5 GENOTYPING,,,116.11,335.76,15
CPT,81110,HPA-6 GENOTYPING,,,116.11,335.76,15
CPT,81111,HPA-9 GENOTYPING,,,116.11,335.76,15
CPT,81112,HPA-15 GENOTYPING,,,116.11,335.76,15
CPT,81120,IDH1 COMMON VARIANTS,,,183.59,530.9,15
CPT,81121,IDH2 COMMON VARIANTS,,,281.0,812.59,15
CPT,81161,DMD DUP/DELET ANALYSIS,,,265.05,766.47,15
CPT,81162,BRCA1&2 GEN FULL SEQ DUP/DEL,,,1211.0,5013.31,15
CPT,81163,BRCA1&2 GENE FULL SEQ ALYS,,,444.6,1285.69,15
CPT,81164,BRCA1&2 GEN FUL DUP/DEL ALYS,,,555.02,1605.0,15
CPT,81165,BRCA1 GENE FULL SEQ ALYS,,,268.74,777.13,15
CPT,81166,BRCA1 GENE FULL DUP/DEL ALYS,,,286.28,827.87,15
CPT,81167,BRCA2 GENE FULL DUP/DEL ALYS,,,268.74,777.13,15
CPT,81168,CCND1/IGH TRANSLOCATION ALYS,,,196.94,569.52,15
CPT,81170,ABL1 GENE,,,285.0,824.16,15
CPT,81171,AFF2 GEN ALY DETC ABNL ALLEL,,,130.15,376.37,15
CPT,81172,AFF2 GEN ALYS CHARAC ALLELES,,,261.09,755.01,15
CPT,81173,AR GENE FULL GENE SEQUENCE,,,286.28,827.87,15
CPT,81174,AR GENE KNOWN FAMIL VARIANT,,,175.94,508.78,15
CPT,81175,ASXL1 FULL GENE SEQUENCE,,,642.68,1858.48,15
CPT,81176,ASXL1 GENE TARGET SEQ ALYS,,,229.81,664.55,15
CPT,81177,ATN1 GENE DETC ABNOR ALLELES,,,130.15,376.37,15
CPT,81178,ATXN1 GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81179,ATXN2 GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81180,ATXN3 GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81181,ATXN7 GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81182,ATXN8OS GEN DETC ABNOR ALLEL,,,130.15,376.37,15
CPT,81183,ATXN10 GENE DETC ABNOR ALLEL,,,130.15,376.37,15
CPT,81184,CACNA1A GEN DETC ABNOR ALLEL,,,130.15,376.37,15
CPT,81185,CACNA1A GENE FULL GENE SEQ,,,803.96,2324.87,15
CPT,81186,CACNA1A GEN KNOWN FAMIL VRNT,,,175.94,508.78,15
CPT,81187,CNBP GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81188,CSTB GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81189,CSTB GENE FULL GENE SEQUENCE,,,261.09,755.01,15
CPT,81190,CSTB GENE KNOWN FAMIL VRNT,,,175.94,508.78,15
CPT,81191,NTRK1 TRANSLOCATION ANALYSIS,,,196.94,569.52,15
CPT,81192,NTRK2 TRANSLOCATION ANALYSIS,,,196.94,569.52,15
CPT,81193,NTRK3 TRANSLOCATION ANALYSIS,,,196.94,569.52,15
CPT,81194,NTRK TRANSLOCATION ANALYSIS,,,492.37,1423.82,15
CPT,81195,CYTOG GENOM-WID ALYS HEM MAL,,,1200.35,3471.17,12
CPT,81200,ASPA GENE,,,44.89,129.81,15
CPT,81201,APC GENE FULL SEQUENCE,,,741.0,2142.82,15
CPT,81202,APC GENE KNOWN FAM VARIANTS,,,266.0,769.22,15
CPT,81203,APC GENE DUP/DELET VARIANTS,,,190.0,549.44,15
CPT,81204,AR GENE CHARAC ALLELES,,,130.15,376.37,15
CPT,81205,BCKDHB GENE,,,90.24,260.96,15
CPT,81206,BCR/ABL1 GENE MAJOR BP,,,133.0,450.43,15
CPT,81207,BCR/ABL1 GENE MINOR BP,,,137.6,397.9,15
CPT,81208,BCR/ABL1 GENE OTHER BP,,,203.89,589.6,15
CPT,81209,BLM GENE,,,37.34,107.99,15
CPT,81210,BRAF GENE,,,166.63,481.86,15
CPT,81212,BRCA1&2 185&5385&6174 VRNT,,,418.0,1208.77,15
CPT,81215,BRCA1 GENE KNOWN FAMIL VRNT,,,356.49,1030.89,15
CPT,81216,BRCA2 GENE FULL SEQ ALYS,,,175.86,508.56,15
CPT,81217,BRCA2 GENE KNOWN FAMIL VRNT,,,356.49,1030.89,15
CPT,81218,CEBPA GENE FULL SEQUENCE,,,229.81,664.55,15
CPT,81219,CALR GENE COM VARIANTS,,,115.55,334.14,15
CPT,81220,CFTR GENE COM VARIANTS,,,375.0,1529.09,15
CPT,81221,CFTR GENE KNOWN FAM VARIANTS,,,92.36,267.08,15
CPT,81222,CFTR GENE DUP/DELET VARIANTS,,,413.32,1195.22,15
CPT,81223,CFTR GENE FULL SEQUENCE,,,474.05,1370.85,15
CPT,81224,CFTR GENE INTRON POLY T,,,160.31,463.59,15
CPT,81225,CYP2C19 GENE COM VARIANTS,,,276.79,800.42,15
CPT,81226,CYP2D6 GENE COM VARIANTS,,,428.36,1238.74,15
CPT,81227,CYP2C9 GENE COM VARIANTS,,,166.07,480.24,15
CPT,81228,CYTOG ALYS CHRML ABNR CGH,,,855.0,2472.48,15
CPT,81229,CYTOG ALYS CHRML ABNR SNPCGH,,,1102.0,3186.75,15
CPT,81230,CYP3A4 GENE COMMON VARIANTS,,,166.07,480.24,15
CPT,81231,CYP3A5 GENE COMMON VARIANTS,,,166.07,480.24,15
CPT,81232,DPYD GENE COMMON VARIANTS,,,166.07,480.24,15
CPT,81233,BTK GENE COMMON VARIANTS,,,166.63,481.86,15
CPT,81234,DMPK GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81235,EGFR GENE COM VARIANTS,,,308.35,891.69,15
CPT,81236,EZH2 GENE FULL GENE SEQUENCE,,,268.74,777.13,15
CPT,81237,EZH2 GENE COMMON VARIANTS,,,166.63,481.86,15
CPT,81238,F9 FULL GENE SEQUENCE,,,570.0,1648.32,15
CPT,81239,DMPK GENE CHARAC ALLELES,,,261.09,755.01,15
CPT,81240,F2 GENE,,,62.41,180.46,15
CPT,81241,F5 GENE,,,69.7,201.56,15
CPT,81242,FANCC GENE,,,34.79,100.6,15
CPT,81243,FMR1 GEN ALY DETC ABNL ALLEL,,,54.19,156.7,15
CPT,81244,FMR1 GEN ALYS CHARAC ALLELES,,,42.65,123.32,15
CPT,81245,FLT3 GENE,,,157.23,454.69,15
CPT,81246,FLT3 GENE ANALYSIS,,,78.85,228.02,15
CPT,81247,G6PD GENE ALYS CMN VARIANT,,,166.07,480.24,15
CPT,81248,G6PD KNOWN FAMILIAL VARIANT,,,356.49,1030.89,15
CPT,81249,G6PD FULL GENE SEQUENCE,,,570.0,1648.32,15
CPT,81250,G6PC GENE,,,55.57,160.68,15
CPT,81251,GBA GENE,,,44.89,129.81,15
CPT,81252,GJB2 GENE FULL SEQUENCE,,,96.06,277.8,15
CPT,81253,GJB2 GENE KNOWN FAM VARIANTS,,,58.44,169.01,15
CPT,81254,GJB6 GENE COM VARIANTS,,,33.25,96.15,15
CPT,81255,HEXA GENE,,,48.88,141.34,15
CPT,81256,HFE GENE,,,62.09,179.56,15
CPT,81257,HBA1/HBA2 GENE,,,97.15,280.93,15
CPT,81258,HBA1/HBA2 GENE FAM VRNT,,,356.49,1030.89,15
CPT,81259,HBA1/HBA2 FULL GENE SEQUENCE,,,570.0,1648.32,15
CPT,81260,IKBKAP GENE,,,37.34,107.99,15
CPT,81261,IGH GENE REARRANGE AMP METH,,,188.09,543.92,15
CPT,81262,IGH GENE REARRANG DIR PROBE,,,65.12,188.32,15
CPT,81263,IGH VARI REGIONAL MUTATION,,,279.79,809.11,15
CPT,81264,IGK REARRANGEABN CLONAL POP,,,164.09,474.52,15
CPT,81265,STR MARKERS SPECIMEN ANAL,,,221.42,640.29,15
CPT,81266,STR MARKERS SPEC ANAL ADDL,,,289.57,837.37,15
CPT,81267,CHIMERISM ANAL NO CELL SELEC,,,197.09,569.93,15
CPT,81268,CHIMERISM ANAL W/CELL SELECT,,,247.75,716.44,15
CPT,81269,HBA1/HBA2 GENE DUP/DEL VRNTS,,,192.28,556.03,15
CPT,81270,JAK2 GENE,,,87.08,251.81,15
CPT,81271,HTT GENE DETC ABNOR ALLELES,,,130.15,376.37,15
CPT,81272,KIT GENE TARGETED SEQ ANALYS,,,313.03,905.23,15
CPT,81273,KIT GENE ANALYS D816 VARIANT,,,118.63,343.04,15
CPT,81274,HTT GENE CHARAC ALLELES,,,261.09,755.01,15
CPT,81275,KRAS GENE VARIANTS EXON 2,,,183.59,530.9,15
CPT,81276,KRAS GENE ADDL VARIANTS,,,183.59,530.9,15
CPT,81277,CYTOGENOMIC NEO MICRORA ALYS,,,1102.0,3186.75,15
CPT,81278,IGH@/BCL2 TRANSLOCATION ALYS,,,196.94,569.52,15
CPT,81279,JAK2 GENE TRGT SEQUENCE ALYS,,,175.94,508.78,15
CPT,81283,IFNL3 GENE,,,69.7,201.56,15
CPT,81284,FXN GENE DETC ABNOR ALLELES,,,130.15,376.37,15
CPT,81285,FXN GENE CHARAC ALLELES,,,261.09,755.01,15
CPT,81286,FXN GENE FULL GENE SEQUENCE,,,261.09,755.01,15
CPT,81287,MGMT GENE PRMTR MTHYLTN ALYS,,,118.41,342.41,15
CPT,81288,MLH1 GENE,,,182.7,528.34,15
CPT,81289,FXN GENE KNOWN FAMIL VARIANT,,,175.94,508.78,15
CPT,81290,MCOLN1 GENE,,,37.34,107.99,15
CPT,81291,MTHFR GENE,,,62.07,179.5,15
CPT,81292,MLH1 GENE FULL SEQ,,,641.63,1855.46,15
CPT,81293,MLH1 GENE KNOWN VARIANTS,,,314.45,909.32,15
CPT,81294,MLH1 GENE DUP/DELETE VARIANT,,,192.28,556.03,15
CPT,81295,MSH2 GENE FULL SEQ,,,362.62,1048.61,15
CPT,81296,MSH2 GENE KNOWN VARIANTS,,,320.84,927.81,15
CPT,81297,MSH2 GENE DUP/DELETE VARIANT,,,202.64,585.98,15
CPT,81298,MSH6 GENE FULL SEQ,,,609.76,1763.29,15
CPT,81299,MSH6 GENE KNOWN VARIANTS,,,292.6,846.14,15
CPT,81300,MSH6 GENE DUP/DELETE VARIANT,,,226.1,653.83,15
CPT,81301,MICROSATELLITE INSTABILITY,,,331.13,957.56,15
CPT,81302,MECP2 GENE FULL SEQ,,,501.48,1450.16,15
CPT,81303,MECP2 GENE KNOWN VARIANT,,,114.0,329.66,15
CPT,81304,MECP2 GENE DUP/DELET VARIANT,,,142.5,412.08,15
CPT,81305,MYD88 GENE P.LEU265PRO VRNT,,,166.63,481.86,15
CPT,81306,NUDT15 GENE COMMON VARIANTS,,,276.79,800.42,15
CPT,81307,PALB2 GENE FULL GENE SEQ,,,642.68,1858.48,15
CPT,81308,PALB2 GENE KNOWN FAMIL VRNT,,,286.28,827.87,15
CPT,81309,PIK3CA GENE TRGT SEQ ALYS,,,261.09,755.01,15
CPT,81310,NPM1 GENE,,,234.19,677.24,15
CPT,81311,NRAS GENE VARIANTS EXON 2&3,,,281.0,812.59,15
CPT,81312,PABPN1 GENE DETC ABNOR ALLEL,,,130.15,376.37,15
CPT,81313,PCA3/KLK3 ANTIGEN,,,242.3,700.67,15
CPT,81314,PDGFRA GENE,,,313.03,905.23,15
CPT,81315,PML/RARALPHA COM BREAKPOINTS,,,196.94,569.52,15
CPT,81316,PML/RARALPHA 1 BREAKPOINT,,,196.94,569.52,15
CPT,81317,PMS2 GENE FULL SEQ ANALYSIS,,,642.68,1858.48,15
CPT,81318,PMS2 KNOWN FAMILIAL VARIANTS,,,314.45,909.32,15
CPT,81319,PMS2 GENE DUP/DELET VARIANTS,,,193.33,559.06,15
CPT,81320,PLCG2 GENE COMMON VARIANTS,,,276.79,800.42,15
CPT,81321,PTEN GENE FULL SEQUENCE,,,570.0,1648.32,15
CPT,81322,PTEN GENE KNOWN FAM VARIANT,,,44.27,128.02,15
CPT,81323,PTEN GENE DUP/DELET VARIANT,,,285.0,824.16,15
CPT,81324,PMP22 GENE DUP/DELET,,,720.44,2083.37,15
CPT,81325,PMP22 GENE FULL SEQUENCE,,,731.1,2114.19,15
CPT,81326,PMP22 GENE KNOWN FAM VARIANT,,,44.27,128.02,15
CPT,81327,SEPT9 GEN PRMTR MTHYLTN ALYS,,,182.4,527.46,15
CPT,81328,SLCO1B1 GENE COM VARIANTS,,,166.07,480.24,15
CPT,81329,SMN1 GENE DOS/DELETION ALYS,,,130.15,376.37,15
CPT,81330,SMPD1 GENE COMMON VARIANTS,,,44.65,129.12,15
CPT,81331,SNRPN/UBE3A GENE,,,48.52,140.3,15
CPT,81332,SERPINA1 GENE,,,41.47,119.92,15
CPT,81333,TGFBI GENE COMMON VARIANTS,,,130.15,376.37,15
CPT,81334,RUNX1 GENE TARGETED SEQ ALYS,,,313.03,905.23,15
CPT,81335,TPMT GENE COM VARIANTS,,,166.07,480.24,15
CPT,81336,SMN1 GENE FULL GENE SEQUENCE,,,286.28,827.87,15
CPT,81337,SMN1 GEN NOWN FAMIL SEQ VRNT,,,175.94,508.78,15
CPT,81338,MPL GENE COMMON VARIANTS,,,142.81,412.99,15
CPT,81339,MPL GENE SEQ ALYS EXON 10,,,175.94,508.78,15
CPT,81340,TRB@ GENE REARRANGE AMPLIFY,,,198.47,573.95,15
CPT,81341,TRB@ GENE REARRANGE DIRPROBE,,,47.11,136.23,15
CPT,81342,TRG GENE REARRANGEMENT ANAL,,,191.43,553.56,15
CPT,81343,PPP2R2B GEN DETC ABNOR ALLEL,,,130.15,376.37,15
CPT,81344,TBP GENE DETC ABNOR ALLELES,,,130.15,376.37,15
CPT,81345,TERT GENE TARGETED SEQ ALYS,,,175.94,508.78,15
CPT,81346,TYMS GENE COM VARIANTS,,,166.07,480.24,15
CPT,81347,SF3B1 GENE COMMON VARIANTS,,,183.59,530.9,15
CPT,81348,SRSF2 GENE COMMON VARIANTS,,,166.63,481.86,15
CPT,81349,CYTOG ALYS CHRML ABNR LW-PS,,,1138.04,3290.98,15
CPT,81350,UGT1A1 GENE COMMON VARIANTS,,,222.3,642.84,15
CPT,81351,TP53 GENE FULL GENE SEQUENCE,,,609.76,1763.29,15
CPT,81352,TP53 GENE TRGT SEQUENCE ALYS,,,313.03,905.23,15
CPT,81353,TP53 GENE KNOWN FAMIL VRNT,,,292.6,846.14,15
CPT,81355,VKORC1 GENE,,,83.79,242.3,15
CPT,81357,U2AF1 GENE COMMON VARIANTS,,,183.59,530.9,15
CPT,81360,ZRSR2 GENE COMMON VARIANTS,,,183.59,530.9,15
CPT,81361,HBB GENE COM VARIANTS,,,166.07,480.24,15
CPT,81362,HBB GENE KNOWN FAM VARIANT,,,356.49,1030.89,15
CPT,81363,HBB GENE DUP/DEL VARIANTS,,,192.28,556.03,15
CPT,81364,HBB FULL GENE SEQUENCE,,,308.35,891.69,15
CPT,81370,HLA I & II TYPING LR,,,382.01,1104.7,15
CPT,81371,HLA I & II TYPE VERIFY LR,,,384.29,1111.3,15
CPT,81372,HLA I TYPING COMPLETE LR,,,383.41,1108.74,15
CPT,81373,HLA I TYPING 1 LOCUS LR,,,121.06,350.08,15
CPT,81374,HLA CHARGE CODE ABC,292.0,233.6,70.61,262.8,34
CPT,81375,HLA-DR DQ TYPE MOLECULAR 81375,856.0,684.8,209.7,770.4,34
CPT,81376,HLA II TYPING 1 LOCUS LR,,,116.11,335.76,15
CPT,81377,HLA II TYPE 1 AG EQUIV LR,,,90.0,260.27,15
CPT,81378,HLA I & II TYPING HR,,,328.29,949.35,15
CPT,81379,HLA I TYPING COMPLETE HR,,,318.61,921.36,15
CPT,81380,HLA I TYPING 1 LOCUS HR,,,168.39,486.94,15
CPT,81381,HLA I TYPING 1 ALLELE HR,,,161.41,466.75,15
CPT,81382,HLA II TYPING 1 LOC HR,,,117.5,339.77,15
CPT,81383,HLA II TYPING 1 ALLELE HR,,,103.67,299.8,15
CPT,81400,MOPATH PROCEDURE LEVEL 1,,,60.76,175.71,15
CPT,81401,MOPATH PROCEDURE LEVEL 2,,,130.15,376.37,15
CPT,81402,MOPATH PROCEDURE LEVEL 3,,,142.81,412.99,15
CPT,81403,HUMAN ERYTHROCYTE ANTIGEN (HEA) PANEL VA CONTRACT,617.55,494.04,175.94,555.8,34
CPT,81404,MOPATH PROCEDURE LEVEL 5,,,261.09,755.01,15
CPT,81405,MOPATH PROCEDURE LEVEL 6,,,286.28,827.87,15
CPT,81406,MOPATH PROCEDURE LEVEL 7,,,268.74,777.13,15
CPT,81407,MOPATH PROCEDURE LEVEL 8,,,803.96,2324.87,15
CPT,81408,MOPATH PROCEDURE LEVEL 9,,,1900.0,5494.4,15
CPT,81410,AORTIC DYSFUNCTION/DILATION,,,478.8,1384.59,15
CPT,81411,AORTIC DYSFUNCTION/DILATION,,,1282.68,3709.24,15
CPT,81412,ASHKENAZI JEWISH ASSOC DIS,,,2326.13,6726.68,15
CPT,81413,CAR ION CHNNLPATH INC 10 GNS,,,555.66,1606.84,15
CPT,81414,CAR ION CHNNLPATH INC 2 GNS,,,555.66,1606.84,15
CPT,81415,EXOME SEQUENCE ANALYSIS,,,4541.0,13131.62,15
CPT,81416,EXOME SEQUENCE ANALYSIS,,,2760.0,32966.4,15
CPT,81417,EXOME RE-EVALUATION,,,304.0,879.1,15
CPT,81418,RX METAB GEN SEQ ALYS PNL 6,,,871.23,2519.4,15
CPT,81419,EPILEPSY GEN SEQ ALYS PANEL,,,2326.13,6726.68,15
CPT,81420,FETAL CHRMOML ANEUPLOIDY,,,584.0,2085.26,15
CPT,81422,FETAL CHRMOML MICRODELTJ,,,721.1,2085.26,15
CPT,81425,GENOME SEQUENCE ANALYSIS,,,4779.64,13821.71,15
CPT,81426,GENOME SEQUENCE ANALYSIS,,,2574.45,7444.77,15
CPT,81427,GENOME RE-EVALUATION,,,2220.77,6421.99,15
CPT,81430,HEARING LOSS SEQUENCE ANALYS,,,1543.75,4464.2,15
CPT,81431,HEARING LOSS DUP/DEL ANALYS,,,645.59,1866.91,15
CPT,81432,HRDTRY BRST CA-RLATD DO 5+,,,657.0,3582.21,15
CPT,81433,Laboratory,,,898.88,1205.83,4
CPT,81433,Outpatient Services,,,416.98,460.88,8
CPT,81433,Outpatient Services - CPT/HCPCS,,,438.93,438.93,3
CPT,81434,HERED RTA DO GEN SEQ 15,,,568.01,1642.58,15
CPT,81435,HERED COLON CA-RLATD DO 5+,,,584.9,3582.21,15
CPT,81436,Laboratory,,,1197.82,1606.84,4
CPT,81436,Outpatient Services,,,555.66,614.15,8
CPT,81436,Outpatient Services - CPT/HCPCS,,,584.9,584.9,3
CPT,81437,HERED NEUROEND TUM-RLT DO 5+,,,438.93,3582.21,15
CPT,81438,Laboratory,,,898.88,1205.83,4
CPT,81438,Outpatient Services,,,416.98,460.88,8
CPT,81438,Outpatient Services - CPT/HCPCS,,,438.93,438.93,3
CPT,81439,HRDTRY CARDMYPY GENE PANEL,,,555.66,1606.84,15
CPT,81440,MITOCHONDRIAL GENE,,,3157.8,9131.69,15
CPT,81441,IBMFS SEQ ALYS PNL 30 GENES,,,2326.13,6726.68,15
CPT,81442,NOONAN SPECTRUM DISORDERS,,,2036.42,5888.9,15
CPT,81443,GENETIC TSTG SEVERE INH COND,,,2326.13,6726.68,15
CPT,81445,SO NEO GSAP 5-50DNA/DNA&RNA,,,568.01,1642.58,15
CPT,81448,HRDTRY PERPH NEURPHY PANEL,,,555.66,1606.84,15
CPT,81449,SO NEO GSAP 5-50 RNA ALYS,,,568.01,1642.58,15
CPT,81450,HL NEO GSAP 5-50DNA/DNA&RNA,,,721.55,2086.58,15
CPT,81451,HL NEO GSAP 5-50 RNA ALYS,,,721.55,2086.58,15
CPT,81455,SO/HL 51/>GSAP DNA/DNA&RNA,,,2249.0,8020.73,15
CPT,81456,SO/HL 51/>GSAP RNA ALYS,,,2773.62,8020.73,15
CPT,81457,SO NEO GSAP DNA MCRSTL INS,,,852.03,2463.88,15
CPT,81458,SO GSAP DNA CPY NMBR&MCRSTL,,,994.03,2874.53,15
CPT,81459,SO NEO GSAP DNA/DNA&RNA,,,2189.7,8212.89,15
CPT,81460,WHOLE MITOCHONDRIAL GENOME,,,1222.65,3535.65,15
CPT,81462,SO GSAP CLL FR DNA/DNA&RNA,,,1136.04,3285.18,12
CPT,81463,SO GSAP CL FR CPY NMBR&MCRST,,,1278.04,3695.84,12
CPT,81464,SO GSAP CLL FR MCRSTL INS,,,3124.08,9034.19,12
CPT,81465,WHOLE MITOCHONDRIAL GENOME,,,889.2,2571.38,15
CPT,81470,X-LINKED INTELLECTUAL DBLT,,,868.3,2510.94,15
CPT,81471,X-LINKED INTELLECTUAL DBLT,,,868.3,2510.94,15
CPT,81490,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score",,,798.62,2309.43,15
CPT,81493,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score",,,997.5,2884.56,15
CPT,81500,ONCO (OVAR) TWO PROTEINS,,,247.48,715.65,15
CPT,81503,ONCO (OVAR) FIVE PROTEINS,,,852.15,2464.24,15
CPT,81504,ONCOLOGY TISSUE OF ORIGIN,,,494.0,1428.54,15
CPT,81506,ENDO ASSAY SEVEN ANAL,,,65.47,189.34,15
CPT,81507,FETAL ANEUPLOIDY TRISOM RISK,,,755.25,2184.02,15
CPT,81508,FTL CGEN ABNOR TWO PROTEINS,,,51.59,149.17,15
CPT,81509,FTL CGEN ABNOR 3 PROTEINS,,,1413.0,4086.1,15
CPT,81510,FTL CGEN ABNOR THREE ANAL,,,52.76,152.58,15
CPT,81511,FTL CGEN ABNOR FOUR ANAL,,,145.83,421.7,15
CPT,81512,FTL CGEN ABNOR FIVE ANAL,,,66.04,190.99,15
CPT,81513,NFCT DS BV RNA VAG FLU ALG,,,135.5,391.83,15
CPT,81514,NFCT DS BV&VAGINITIS DNA ALG,,,249.84,722.49,15
CPT,81515,NFCT DS BV&VAGINITIS DNA ALG,,,249.84,722.49,16
CPT,81517,LIVER DS ALYS 3 BMRK SRM ALG,,,167.38,484.03,15
CPT,81518,ONC BRST MRNA 11 GENES,,,3679.35,10639.91,15
CPT,81519,ONCOLOGY BREAST MRNA,,,3679.35,10639.91,15
CPT,81520,ONC BREAST MRNA 58 GENES,,,2384.7,6896.05,15
CPT,81521,ONC BREAST MRNA 70 GENES,,,3679.35,10639.91,15
CPT,81522,ONC BREAST MRNA 12 GENES,,,3679.35,10639.91,15
CPT,81523,ONC BRST MRNA 70 CNT 31 GENE,,,3679.35,10639.91,15
CPT,81525,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,2960.2,8560.28,15
CPT,81528,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,483.43,1397.97,15
CPT,81529,ONC CUTAN MLNMA MRNA 31 GENE,,,6833.35,19760.61,15
CPT,81535,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,550.49,1591.89,15
CPT,81536,ONCOLOGY GYNECOLOGIC,,,168.68,487.79,15
CPT,81538,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival",,,2727.45,7887.21,15
CPT,81539,ONCOLOGY PROSTATE PROB SCORE,,,722.0,2087.87,15
CPT,81540,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3562.5,10302.0,15
CPT,81541,ONC PROSTATE MRNA 46 GENES,,,3679.35,10639.91,15
CPT,81542,ONC PROSTATE MRNA 22 CNT GEN,,,3679.35,10639.91,15
CPT,81546,"ONC THYR MRNA 10,196 GEN ALG",,,3240.0,9889.92,15
CPT,81551,ONC PROSTATE 3 GENES,,,1928.5,5576.82,15
CPT,81552,ONC UVEAL MLNMA MRNA 15 GENE,,,7387.2,21362.23,15
CPT,81554,PULM DS IPF MRNA 190 GEN ALG,,,5172.75,14958.5,15
CPT,81558,TRNSPL REJ KDN MRNA QPCR 139,,,3078.0,8900.93,12
CPT,81560,TRNSPLJ PD LVR&BWL CD154+CLL,,,608.69,1760.21,15
CPT,81595,CARDIOLOGY HRT TRNSPL MRNA,,,3078.0,8900.93,15
CPT,81596,NFCT DS CHRNC HCV 6 ASSAYS,,,68.58,198.32,15
CPT,81599,UNLISTED MAAA,,,72.0,72.0,3
CPT,82009,KETONE BODYS QUAL,,,4.29,12.42,15
CPT,82010,KETONE BODYS QUAN,,,7.76,22.44,19
CPT,82013,ACETYLCHOLINESTERASE ASSAY,,,11.68,33.76,15
CPT,82016,ACYLCARNITINES QUAL,,,15.67,45.3,15
CPT,82017,ACYLCARNITINES QUANT,,,16.03,46.35,15
CPT,82024,ASSAY OF ACTH,,,36.69,106.1,15
CPT,82030,ASSAY OF ADP & AMP,,,24.51,70.88,15
CPT,82040,ASSAY OF SERUM ALBUMIN,,,4.7,13.6,19
CPT,82042,OTHER SOURCE ALBUMIN QUAN EA,,,7.39,21.37,19
CPT,82043,UR ALBUMIN QUANTITATIVE,,,5.49,15.88,19
CPT,82044,UR ALBUMIN SEMIQUANTITATIVE,,,5.92,17.12,19
CPT,82045,ALBUMIN ISCHEMIA MODIFIED,,,32.24,93.24,15
CPT,82075,ASSAY OF BREATH ETHANOL,,,28.5,82.42,15
CPT,82077,ASSAY SPEC XCP UR&BREATH IA,,,16.41,47.44,15
CPT,82085,ASSAY OF ALDOLASE,,,9.22,26.68,15
CPT,82088,ASSAY OF ALDOSTERONE,,,38.71,111.95,15
CPT,82103,ALPHA-1-ANTITRYPSIN TOTAL,,,12.77,36.92,15
CPT,82104,ALPHA-1-ANTITRYPSIN PHENO,,,13.74,39.72,15
CPT,82105,ALPHA-FETOPROTEIN SERUM,,,15.93,46.07,15
CPT,82106,ALPHA-FETOPROTEIN AMNIOTIC,,,16.15,46.7,15
CPT,82107,ALPHA-FETOPROTEIN L3,,,61.19,176.95,15
CPT,82108,ASSAY OF ALUMINUM,,,24.21,70.0,15
CPT,82120,AMINES VAGINAL FLUID QUAL,,,5.69,16.46,19
CPT,82127,AMINO ACID SINGLE QUAL,,,13.47,38.96,15
CPT,82128,AMINO ACIDS MULT QUAL,,,13.18,38.1,15
CPT,82131,AMINO ACIDS SINGLE QUANT,,,21.83,63.13,15
CPT,82135,ASSAY AMINOLEVULINIC ACID,,,15.63,45.19,15
CPT,82136,AMINO ACIDS QUANT 2-5,,,18.63,53.87,15
CPT,82139,AMINO ACIDS QUAN 6 OR MORE,,,16.03,46.35,15
CPT,82140,ASSAY OF AMMONIA,,,13.84,40.03,15
CPT,82143,AMNIOTIC FLUID SCAN,,,8.88,25.69,15
CPT,82150,ASSAY OF AMYLASE,,,6.16,17.8,19
CPT,82154,ANDROSTANEDIOL GLUCURONIDE,,,27.39,79.2,15
CPT,82157,ASSAY OF ANDROSTENEDIONE,,,27.82,80.44,15
CPT,82160,ASSAY OF ANDROSTERONE,,,24.27,70.19,15
CPT,82163,ASSAY OF ANGIOTENSIN II,,,19.49,56.37,15
CPT,82164,ANGIOTENSIN I ENZYME TEST,,,13.87,40.11,15
CPT,82166,ASSAY ANTI-MULLERIAN HORM,,,36.69,106.1,15
CPT,82172,ASSAY OF APOLIPOPROTEIN,,,20.04,57.94,15
CPT,82175,ASSAY OF ARSENIC,,,18.02,52.11,15
CPT,82180,ASSAY OF ASCORBIC ACID,,,9.4,27.17,15
CPT,82190,ATOMIC ABSORPTION,,,15.11,43.68,15
CPT,82232,ASSAY OF BETA-2 PROTEIN,,,15.37,44.45,15
CPT,82239,BILE ACIDS TOTAL,,,16.26,47.03,15
CPT,82240,BILE ACIDS CHOLYLGLYCINE,,,25.25,73.02,15
CPT,82247,BILIRUBIN TOTAL,,,4.77,13.79,19
CPT,82248,BILIRUBIN DIRECT,,,4.77,13.79,15
CPT,82252,FECAL BILIRUBIN TEST,,,4.33,12.53,15
CPT,82261,ASSAY OF BIOTINIDASE,,,16.03,46.35,15
CPT,82270,OCCULT BLOOD FECES,,,4.16,12.03,15
CPT,82271,OCCULT BLOOD OTHER SOURCES,,,5.05,14.62,19
CPT,82272,OCCULT BLD FECES 1-3 TESTS,,,4.02,11.62,15
CPT,82274,ASSAY TEST FOR BLOOD FECAL,,,15.12,43.74,19
CPT,82286,ASSAY OF BRADYKININ,,,4.9,14.18,15
CPT,82300,ASSAY OF CADMIUM,,,22.46,64.94,15
CPT,82306,VITAMIN D 25 HYDROXY,,,28.12,81.32,15
CPT,82308,ASSAY OF CALCITONIN,,,25.45,73.6,15
CPT,82310,ASSAY OF CALCIUM,,,4.9,14.18,19
CPT,82330,ASSAY OF CALCIUM,,,13.0,37.58,19
CPT,82331,CALCIUM INFUSION TEST,,,12.67,36.65,15
CPT,82340,ASSAY OF CALCIUM IN URINE,,,5.73,16.57,15
CPT,82355,CALCULUS ANALYSIS QUAL,,,11.0,31.81,15
CPT,82360,CALCULUS ASSAY QUANT,,,12.23,35.36,15
CPT,82365,CALCULUS SPECTROSCOPY,,,12.26,35.44,15
CPT,82370,X-RAY ASSAY CALCULUS,,,11.89,34.39,15
CPT,82373,ASSAY C-D TRANSFER MEASURE,,,17.16,49.61,15
CPT,82374,ASSAY BLOOD CARBON DIOXIDE,,,4.64,13.41,19
CPT,82375,ASSAY CARBOXYHB QUANT,,,11.7,33.85,15
CPT,82376,ASSAY CARBOXYHB QUAL,,,13.37,38.65,15
CPT,82378,CARCINOEMBRYONIC ANTIGEN,,,18.01,52.09,15
CPT,82379,ASSAY OF CARNITINE,,,16.03,46.35,15
CPT,82380,ASSAY OF CAROTENE,,,8.76,25.33,15
CPT,82382,ASSAY URINE CATECHOLAMINES,,,25.94,75.0,15
CPT,82383,ASSAY BLOOD CATECHOLAMINES,,,27.63,79.89,15
CPT,82384,ASSAY THREE CATECHOLAMINES,,,23.99,69.37,15
CPT,82387,ASSAY OF CATHEPSIN-D,,,17.16,49.61,15
CPT,82390,ASSAY OF CERULOPLASMIN,,,10.2,29.5,15
CPT,82397,CHEMILUMINESCENT ASSAY,,,13.41,38.79,15
CPT,82415,ASSAY OF CHLORAMPHENICOL,,,12.04,34.81,15
CPT,82435,ASSAY OF BLOOD CHLORIDE,,,4.37,12.64,19
CPT,82436,ASSAY OF URINE CHLORIDE,,,5.46,15.8,15
CPT,82438,ASSAY OTHER FLUID CHLORIDES,,,4.75,13.74,15
CPT,82441,TEST FOR CHLOROHYDROCARBONS,,,5.71,16.51,15
CPT,82465,ASSAY BLD/SERUM CHOLESTEROL,,,4.13,11.95,19
CPT,82480,ASSAY SERUM CHOLINESTERASE,,,7.48,21.62,15
CPT,82482,ASSAY RBC CHOLINESTERASE,,,9.32,26.95,15
CPT,82485,ASSAY CHONDROITIN SULFATE,,,19.62,56.73,15
CPT,82495,ASSAY OF CHROMIUM,,,19.27,55.71,15
CPT,82507,ASSAY OF CITRATE,,,26.41,76.37,15
CPT,82523,COLLAGEN CROSSLINKS,,,17.75,51.32,19
CPT,82525,ASSAY OF COPPER,,,11.79,34.09,15
CPT,82528,ASSAY OF CORTICOSTERONE,,,21.39,61.87,15
CPT,82530,CORTISOL FREE,,,15.87,45.91,15
CPT,82533,TOTAL CORTISOL,,,15.49,44.78,15
CPT,82540,ASSAY OF CREATINE,,,4.41,12.75,15
CPT,82542,COL CHROMOTOGRAPHY QUAL/QUAN,,,22.89,66.18,15
CPT,82550,ASSAY OF CK (CPK),,,6.18,17.88,19
CPT,82552,ASSAY OF CPK IN BLOOD,,,12.72,36.79,15
CPT,82553,CREATINE MB FRACTION,,,10.97,31.73,15
CPT,82554,CREATINE ISOFORMS,,,11.28,32.61,15
CPT,82565,ASSAY OF CREATININE,,,4.86,14.07,19
CPT,82570,ASSAY OF URINE CREATININE,,,4.92,14.23,19
CPT,82575,CREATININE CLEARANCE TEST,,,8.99,25.99,15
CPT,82585,ASSAY OF CRYOFIBRINOGEN,,,13.43,38.85,15
CPT,82595,ASSAY OF CRYOGLOBULIN,,,6.15,17.77,15
CPT,82600,ASSAY OF CYANIDE,,,18.43,53.3,15
CPT,82607,VITAMIN B-12,,,14.33,41.43,15
CPT,82608,B-12 BINDING CAPACITY,,,13.6,39.34,15
CPT,82610,CYSTATIN C,,,17.59,50.88,15
CPT,82615,TEST FOR URINE CYSTINES,,,9.07,26.24,15
CPT,82626,DEHYDROEPIANDROSTERONE,,,24.01,69.42,15
CPT,82627,DEHYDROEPIANDROSTERONE,,,21.12,61.07,15
CPT,82633,DESOXYCORTICOSTERONE,,,29.43,85.11,15
CPT,82634,DEOXYCORTISOL,,,27.82,80.44,15
CPT,82638,ASSAY OF DIBUCAINE NUMBER,,,11.64,33.65,15
CPT,82642,DIHYDROTESTOSTERONE,,,27.82,80.44,15
CPT,82652,VIT D 1 25-DIHYDROXY,,,36.58,105.77,15
CPT,82653,EL-1 FECAL QUANTITATIVE,,,21.82,63.1,15
CPT,82656,EL-1 FECAL QUAL/SEMIQ,,,10.95,31.68,15
CPT,82657,ENZYME CELL ACTIVITY,,,21.06,60.91,15
CPT,82658,ENZYME CELL ACTIVITY RA,,,41.83,120.96,15
CPT,82664,ELECTROPHORETIC TEST,,,58.43,168.95,15
CPT,82668,ASSAY OF ERYTHROPOIETIN,,,17.85,51.62,15
CPT,82670,ASSAY OF TOTAL ESTRADIOL,,,26.54,76.76,15
CPT,82671,ASSAY OF ESTROGENS,,,30.69,88.73,15
CPT,82672,ASSAY OF ESTROGEN,,,20.62,59.61,15
CPT,82677,ASSAY OF ESTRIOL,,,22.97,66.43,15
CPT,82679,ASSAY OF ESTRONE,,,23.7,68.54,19
CPT,82681,ASSAY DIR MEAS FR ESTRADIOL,,,26.54,76.76,15
CPT,82693,ASSAY OF ETHYLENE GLYCOL,,,14.16,40.93,15
CPT,82696,ASSAY OF ETIOCHOLANOLONE,,,24.93,72.09,15
CPT,82705,FATS/LIPIDS FECES QUAL,,,4.85,14.01,15
CPT,82710,FATS/LIPIDS FECES QUANT,,,15.96,46.15,15
CPT,82715,ASSAY OF FECAL FAT,,,21.82,63.1,15
CPT,82725,ASSAY OF BLOOD FATTY ACIDS,,,17.83,51.56,15
CPT,82726,LONG CHAIN FATTY ACIDS,,,18.76,54.26,15
CPT,82728,ASSAY OF FERRITIN,,,12.95,37.44,15
CPT,82731,ASSAY OF FETAL FIBRONECTIN,,,61.19,176.95,15
CPT,82735,ASSAY OF FLUORIDE,,,17.61,50.93,15
CPT,82746,ASSAY OF FOLIC ACID SERUM,,,13.97,40.38,15
CPT,82747,ASSAY OF FOLIC ACID RBC,,,16.77,48.49,15
CPT,82757,ASSAY OF SEMEN FRUCTOSE,,,16.47,47.64,15
CPT,82759,ASSAY OF RBC GALACTOKINASE,,,20.41,59.01,15
CPT,82760,ASSAY OF GALACTOSE,,,10.64,30.77,15
CPT,82775,ASSAY GALACTOSE TRANSFERASE,,,20.02,57.88,15
CPT,82776,GALACTOSE TRANSFERASE TEST,,,11.15,32.25,15
CPT,82777,GALECTIN-3,,,42.04,121.56,15
CPT,82784,ASSAY IGA/IGD/IGG/IGM EACH,,,8.84,25.55,15
CPT,82785,ASSAY OF IGE,,,15.64,45.22,15
CPT,82787,IGG 1 2 3 OR 4 EACH,,,7.62,22.03,15
CPT,82800,BLOOD PH,,,10.45,30.22,15
CPT,82803,BLOOD GASES ANY COMBINATION,,,24.77,71.62,15
CPT,82805,BLOOD GASES W/O2 SATURATION,,,74.83,216.4,15
CPT,82810,BLOOD GASES O2 SAT ONLY,,,9.28,26.84,15
CPT,82820,HEMOGLOBIN-OXYGEN AFFINITY,,,12.67,36.65,15
CPT,82930,GASTRIC ANALY W/PH EA SPEC,,,6.37,18.43,15
CPT,82938,GASTRIN TEST,,,16.81,48.6,15
CPT,82941,ASSAY OF GASTRIN,,,16.75,48.43,15
CPT,82943,ASSAY OF GLUCAGON,,,13.58,39.26,15
CPT,82945,GLUCOSE OTHER FLUID,,,3.73,10.8,15
CPT,82946,GLUCAGON TOLERANCE TEST,,,16.88,48.82,15
CPT,82947,ASSAY GLUCOSE BLOOD QUANT,,,3.73,10.8,19
CPT,82948,REAGENT STRIP/BLOOD GLUCOSE,,,4.79,13.85,15
CPT,82950,GLUCOSE TEST,,,4.51,13.05,19
CPT,82951,GLUCOSE TOLERANCE TEST (GTT),,,12.23,35.36,19
CPT,82952,GTT-ADDED SAMPLES,,,3.72,10.77,19
CPT,82955,ASSAY OF G6PD ENZYME,,,9.22,26.65,15
CPT,82960,TEST FOR G6PD ENZYME,,,5.75,16.62,15
CPT,82962,GLUCOSE BLOOD TEST,,,3.12,9.01,15
CPT,82963,ASSAY OF GLUCOSIDASE,,,20.41,59.01,15
CPT,82965,ASSAY OF GDH ENZYME,,,12.49,36.13,15
CPT,82977,ASSAY OF GGT,,,6.84,19.78,19
CPT,82978,ASSAY OF GLUTATHIONE,,,14.68,42.44,15
CPT,82979,ASSAY RBC GLUTATHIONE,,,8.97,25.93,15
CPT,82985,ASSAY OF GLYCATED PROTEIN,,,15.92,46.04,19
CPT,83001,ASSAY OF GONADOTROPIN (FSH),,,17.65,51.04,19
CPT,83002,ASSAY OF GONADOTROPIN (LH),,,17.59,50.88,19
CPT,83003,ASSAY GROWTH HORMONE (HGH),,,15.84,45.8,15
CPT,83006,GROWTH STIMULATION GENE 2,,,71.82,207.69,15
CPT,83009,H PYLORI (C-13) BLOOD,,,63.99,185.05,15
CPT,83010,ASSAY OF HAPTOGLOBIN QUANT,,,11.95,34.56,15
CPT,83012,ASSAY OF HAPTOGLOBINS,,,25.55,73.87,15
CPT,83013,H PYLORI (C-13) BREATH,,,63.99,185.05,15
CPT,83014,H PYLORI DRUG ADMIN,,,7.47,21.59,15
CPT,83015,HEAVY METAL QUAL ANY NUMBER,,,19.89,57.53,15
CPT,83018,HEAVY METAL QUAN EACH NES,,,20.86,60.33,15
CPT,83020,HEMOGLOBIN ELECTROPHORESIS,,,12.23,35.36,15
CPT,83021,HEMOGLOBIN CHROMOTOGRAPHY,,,17.16,49.61,15
CPT,83026,HEMOGLOBIN COPPER SULFATE,,,3.81,11.02,15
CPT,83030,HEMOGLOBIN F FETAL CHEMICAL,,,10.2,29.5,15
CPT,83033,HEMOGLOBIN FTL F ASSAY QUAL,,,7.6,21.98,15
CPT,83036,HEMOGLOBIN GLYCOSYLATED A1C,,,9.22,26.68,19
CPT,83037,HB GLYCOSYLATED A1C HOME DEV,,,9.22,26.68,19
CPT,83045,HGB METHEMOGLOBIN QUAL,,,6.17,17.83,15
CPT,83050,HGB METHEMOGLOBIN QUAN,,,7.79,22.53,15
CPT,83051,HEMOGLOBIN PLASMA,,,6.94,20.08,15
CPT,83060,HGB SULFHEMOGLOBIN QUAN,,,8.36,24.18,15
CPT,83065,HEMOGLOBIN THERMOLABILE,,,8.55,24.72,15
CPT,83068,HEMOGLOBIN UNSTABLE SCREEN,,,9.0,26.02,15
CPT,83069,HEMOGLOBIN URINE,,,3.75,10.85,15
CPT,83070,ASSAY OF HEMOSIDERIN QUAL,,,4.51,13.05,15
CPT,83080,ASSAY OF B HEXOSAMINIDASE EA,,,16.03,46.35,15
CPT,83088,ASSAY OF HISTAMINE,,,28.05,81.12,15
CPT,83090,ASSAY OF HOMOCYSTEINE,,,17.02,49.23,15
CPT,83150,ASSAY OF HOMOVANILLIC ACID,,,21.29,61.56,15
CPT,83491,ASY HYDROXYCORTICOSTEROIDS17,,,17.01,49.17,15
CPT,83497,ASSAY OF 5-HIAA,,,12.26,35.44,15
CPT,83498,ASY HYDROXYPROGESTERONE 17-D,,,25.81,74.64,15
CPT,83500,ASSAY FREE HYDROXYPROLINE,,,21.52,62.22,15
CPT,83505,ASSAY TOTAL HYDROXYPROLINE,,,23.09,66.76,15
CPT,83516,IMMUNOASSAY NONANTIBODY,,,10.95,31.68,19
CPT,83518,IMMUNOASSAY DIPSTICK,,,9.16,26.48,19
CPT,83519,RIA NONANTIBODY,,,17.48,50.55,15
CPT,83520,IMMUNOASSAY QUANT NOS NONAB,,,16.41,47.44,19
CPT,83521,IG LIGHT CHAINS FREE EACH,,,16.41,47.44,15
CPT,83525,ASSAY OF INSULIN,,,10.86,31.4,15
CPT,83527,ASSAY OF INSULIN,,,12.3,35.58,15
CPT,83528,ASSAY OF INTRINSIC FACTOR,,,18.83,54.45,15
CPT,83529,ASAY OF INTERLEUKIN-6 (IL-6),,,16.41,47.44,15
CPT,83540,ASSAY OF IRON,,,6.15,17.77,15
CPT,83550,IRON BINDING TEST,,,8.3,24.01,15
CPT,83570,ASSAY OF IDH ENZYME,,,8.41,24.31,15
CPT,83582,ASSAY OF KETOGENIC STEROIDS,,,14.7,42.5,15
CPT,83586,ASSAY 17- KETOSTEROIDS,,,12.16,35.16,15
CPT,83593,FRACTIONATION KETOSTEROIDS,,,27.08,78.3,15
CPT,83605,ASSAY OF LACTIC ACID,,,10.99,31.79,19
CPT,83615,LACTATE (LD) (LDH) ENZYME,,,5.74,16.59,15
CPT,83625,ASSAY OF LDH ENZYMES,,,12.15,35.14,15
CPT,83630,LACTOFERRIN FECAL (QUAL),,,18.72,54.12,15
CPT,83631,LACTOFERRIN FECAL (QUANT),,,18.65,53.93,15
CPT,83632,PLACENTAL LACTOGEN,,,19.21,55.55,15
CPT,83633,TEST URINE FOR LACTOSE,,,10.69,30.91,15
CPT,83655,ASSAY OF LEAD,,,11.5,33.27,19
CPT,83661,L/S RATIO FETAL LUNG,,,20.89,60.41,15
CPT,83662,FOAM STABILITY FETAL LUNG,,,17.96,51.95,15
CPT,83663,FLUORO POLARIZE FETAL LUNG,,,17.96,51.95,15
CPT,83664,LAMELLAR BDY FETAL LUNG,,,18.35,53.08,15
CPT,83670,ASSAY OF LAP ENZYME,,,9.32,26.95,15
CPT,83690,ASSAY OF LIPASE,,,6.55,18.93,15
CPT,83695,ASSAY OF LIPOPROTEIN(A),,,13.6,39.34,15
CPT,83698,ASSAY LIPOPROTEIN PLA2,,,43.99,127.22,15
CPT,83700,LIPOPRO BLD ELECTROPHORETIC,,,10.7,30.93,15
CPT,83701,LIPOPROTEIN BLD HR FRACTION,,,32.17,93.02,15
CPT,83704,LIPOPROTEIN BLD QUAN PART,,,32.48,93.93,15
CPT,83718,ASSAY OF LIPOPROTEIN,,,7.78,22.5,19
CPT,83719,ASSAY OF BLOOD LIPOPROTEIN,,,12.11,35.03,15
CPT,83721,ASSAY OF BLOOD LIPOPROTEIN,,,9.98,28.85,19
CPT,83722,LIPOPRTN DIR MEAS SD LDL CHL,,,32.48,93.93,15
CPT,83727,ASSAY OF LRH HORMONE,,,16.33,47.22,15
CPT,83735,ASSAY OF MAGNESIUM,,,6.37,18.41,15
CPT,83775,ASSAY MALATE DEHYDROGENASE,,,7.0,20.25,15
CPT,83785,ASSAY OF MANGANESE,,,25.32,73.21,15
CPT,83789,MASS SPECTROMETRY QUAL/QUAN,,,22.9,66.23,15
CPT,83825,ASSAY OF MERCURY,,,15.45,44.67,15
CPT,83835,ASSAY OF METANEPHRINES,,,16.09,46.54,15
CPT,83857,ASSAY OF METHEMALBUMIN,,,10.2,29.5,15
CPT,83861,MICROFLUID ANALY TEARS,,,21.36,61.76,19
CPT,83864,MUCOPOLYSACCHARIDES,,,27.08,78.3,15
CPT,83872,ASSAY SYNOVIAL FLUID MUCIN,,,5.57,16.1,15
CPT,83873,ASSAY OF CSF PROTEIN,,,16.34,47.25,15
CPT,83874,ASSAY OF MYOGLOBIN,,,12.27,35.49,15
CPT,83876,ASSAY MYELOPEROXIDASE,,,48.32,139.72,15
CPT,83880,ASSAY OF NATRIURETIC PEPTIDE,,,37.3,107.86,19
CPT,83883,ASSAY NEPHELOMETRY NOT SPEC,,,12.92,37.36,15
CPT,83885,ASSAY OF NICKEL,,,23.28,67.33,15
CPT,83915,ASSAY OF NUCLEOTIDASE,,,10.59,30.63,15
CPT,83916,OLIGOCLONAL BANDS,,,26.02,75.25,15
CPT,83918,ORGANIC ACIDS TOTAL QUANT,,,22.42,64.83,15
CPT,83919,ORGANIC ACIDS QUAL EACH,,,15.63,45.19,15
CPT,83921,ORGANIC ACID SINGLE QUANT,,,20.15,58.27,15
CPT,83930,ASSAY OF BLOOD OSMOLALITY,,,6.28,18.16,15
CPT,83935,ASSAY OF URINE OSMOLALITY,,,6.48,18.74,15
CPT,83937,ASSAY OF OSTEOCALCIN,,,28.36,82.0,15
CPT,83945,ASSAY OF OXALATE,,,13.73,39.7,15
CPT,83950,ONCOPROTEIN HER-2/NEU,,,61.19,176.95,15
CPT,83951,ONCOPROTEIN DCP,,,61.19,176.95,15
CPT,83970,ASSAY OF PARATHORMONE,,,39.22,113.4,15
CPT,83986,ASSAY PH BODY FLUID NOS,,,3.4,9.83,19
CPT,83987,EXHALED BREATH CONDENSATE,,,3.4,9.83,15
CPT,83992,ASSAY FOR PHENCYCLIDINE,,,16.8,16.8,3
CPT,83993,ASSAY FOR CALPROTECTIN FECAL,,,18.65,53.93,15
CPT,84030,ASSAY OF BLOOD PKU,,,5.23,15.11,15
CPT,84035,ASSAY OF PHENYLKETONES,,,3.78,10.93,15
CPT,84060,ASSAY ACID PHOSPHATASE,,,7.26,20.99,15
CPT,84066,ASSAY PROSTATE PHOSPHATASE,,,9.18,26.54,15
CPT,84075,ASSAY ALKALINE PHOSPHATASE,,,4.92,14.23,19
CPT,84078,ASSAY ALKALINE PHOSPHATASE,,,7.85,22.69,15
CPT,84080,ASSAY ALKALINE PHOSPHATASES,,,14.04,40.6,15
CPT,84081,ASSAY PHOSPHATIDYLGLYCEROL,,,15.69,45.38,15
CPT,84085,ASSAY OF RBC PG6D ENZYME,,,8.97,25.93,15
CPT,84087,ASSAY PHOSPHOHEXOSE ENZYMES,,,10.19,29.48,15
CPT,84100,ASSAY OF PHOSPHORUS,,,4.5,13.02,15
CPT,84105,ASSAY OF URINE PHOSPHORUS,,,5.49,15.88,15
CPT,84106,TEST FOR PORPHOBILINOGEN,,,5.53,15.99,15
CPT,84110,ASSAY OF PORPHOBILINOGEN,,,8.02,23.19,15
CPT,84112,EVAL AMNIOTIC FLUID PROTEIN,,,93.2,269.53,15
CPT,84119,TEST URINE FOR PORPHYRINS,,,12.69,36.7,15
CPT,84120,ASSAY OF URINE PORPHYRINS,,,13.97,40.41,15
CPT,84126,ASSAY OF FECES PORPHYRINS,,,37.15,107.44,15
CPT,84132,ASSAY OF SERUM POTASSIUM,,,4.52,13.08,19
CPT,84133,ASSAY OF URINE POTASSIUM,,,4.49,12.99,15
CPT,84134,ASSAY OF PREALBUMIN,,,13.86,40.08,15
CPT,84135,ASSAY OF PREGNANEDIOL,,,20.21,58.43,15
CPT,84138,ASSAY OF PREGNANETRIOL,,,20.0,57.83,15
CPT,84140,ASSAY OF PREGNENOLONE,,,19.64,56.78,15
CPT,84143,ASSAY OF 17-HYDROXYPREGNENO,,,21.67,62.66,15
CPT,84144,ASSAY OF PROGESTERONE,,,19.82,57.31,15
CPT,84145,PROCALCITONIN (PCT),,,25.86,74.78,15
CPT,84146,ASSAY OF PROLACTIN,,,18.41,53.24,15
CPT,84150,ASSAY OF PROSTAGLANDIN,,,39.68,114.75,15
CPT,84152,ASSAY OF PSA COMPLEXED,,,17.47,50.52,15
CPT,84153,ASSAY OF PSA TOTAL,,,17.47,50.52,15
CPT,84154,ASSAY OF PSA FREE,,,17.47,50.52,15
CPT,84155,ASSAY OF PROTEIN SERUM,,,3.49,10.08,19
CPT,84156,ASSAY OF PROTEIN URINE,,,3.49,10.08,15
CPT,84157,ASSAY OF PROTEIN OTHER,,,3.8,10.99,19
CPT,84160,ASSAY OF PROTEIN ANY SOURCE,,,5.33,15.41,15
CPT,84163,PAPPA SERUM,,,14.3,41.35,15
CPT,84165,PROTEIN E-PHORESIS SERUM,,,10.2,29.5,15
CPT,84166,PROTEIN E-PHORESIS/URINE/CSF,,,16.94,48.98,15
CPT,84181,WESTERN BLOT TEST,,,16.18,46.78,15
CPT,84182,PROTEIN WESTERN BLOT TEST,,,27.36,80.25,15
CPT,84202,ASSAY RBC PROTOPORPHYRIN,,,13.63,39.42,15
CPT,84203,TEST RBC PROTOPORPHYRIN,,,9.25,26.76,15
CPT,84206,ASSAY OF PROINSULIN,,,25.36,73.32,15
CPT,84207,ASSAY OF VITAMIN B-6,,,26.7,77.2,15
CPT,84210,ASSAY OF PYRUVATE,,,13.76,39.78,15
CPT,84220,ASSAY OF PYRUVATE KINASE,,,8.97,25.93,15
CPT,84228,ASSAY OF QUININE,,,11.05,31.95,15
CPT,84233,ASSAY OF ESTROGEN,,,83.49,241.42,15
CPT,84234,ASSAY OF PROGESTERONE,,,61.64,178.24,15
CPT,84235,ASSAY OF ENDOCRINE HORMONE,,,67.67,195.68,15
CPT,84238,ASSAY NONENDOCRINE RECEPTOR,,,34.74,100.47,15
CPT,84244,ASSAY OF RENIN,,,20.89,60.41,15
CPT,84252,ASSAY OF VITAMIN B-2,,,19.23,55.6,15
CPT,84255,ASSAY OF SELENIUM,,,24.25,70.14,15
CPT,84260,ASSAY OF SEROTONIN,,,29.43,85.11,15
CPT,84270,ASSAY OF SEX HORMONE GLOBUL,,,20.64,59.7,15
CPT,84275,ASSAY OF SIALIC ACID,,,12.77,36.92,15
CPT,84285,ASSAY OF SILICA,,,23.95,69.26,15
CPT,84295,ASSAY OF SERUM SODIUM,,,4.57,13.21,19
CPT,84300,ASSAY OF URINE SODIUM,,,4.81,13.9,15
CPT,84302,ASSAY OF SWEAT SODIUM,,,4.62,13.35,15
CPT,84305,ASSAY OF SOMATOMEDIN,,,20.2,58.41,15
CPT,84307,ASSAY OF SOMATOSTATIN,,,17.37,50.22,15
CPT,84311,SPECTROPHOTOMETRY,,,7.7,22.25,15
CPT,84315,BODY FLUID SPECIFIC GRAVITY,,,3.12,9.01,15
CPT,84375,CHROMATOGRAM ASSAY SUGARS,,,37.05,107.14,15
CPT,84376,SUGARS SINGLE QUAL,,,5.23,15.11,15
CPT,84377,SUGARS MULTIPLE QUAL,,,5.23,15.11,15
CPT,84378,SUGARS SINGLE QUANT,,,10.95,31.68,15
CPT,84379,SUGARS MULTIPLE QUANT,,,10.95,31.68,15
CPT,84392,ASSAY OF URINE SULFATE,,,5.22,15.08,15
CPT,84402,ASSAY OF FREE TESTOSTERONE,,,24.2,69.97,15
CPT,84403,ASSAY OF TOTAL TESTOSTERONE,,,24.52,70.91,15
CPT,84410,TESTOSTERONE BIOAVAILABLE,,,48.72,140.88,15
CPT,84425,ASSAY OF VITAMIN B-1,,,20.17,58.32,15
CPT,84430,ASSAY OF THIOCYANATE,,,11.05,31.95,15
CPT,84431,THROMBOXANE URINE,,,33.35,96.45,15
CPT,84432,ASSAY OF THYROGLOBULIN,,,15.26,44.12,15
CPT,84433,ASY THIOPURIN S-MTHYLTRNSFRS,,,21.06,60.91,15
CPT,84436,ASSAY OF TOTAL THYROXINE,,,6.53,18.87,15
CPT,84437,ASSAY OF NEONATAL THYROXINE,,,6.15,17.77,15
CPT,84439,ASSAY OF FREE THYROXINE,,,8.57,24.78,15
CPT,84442,ASSAY OF THYROID ACTIVITY,,,14.04,40.6,15
CPT,84443,ASSAY THYROID STIM HORMONE,,,15.96,46.15,19
CPT,84445,ASSAY OF TSI GLOBULIN,,,48.32,139.72,15
CPT,84446,ASSAY OF VITAMIN E,,,13.47,38.96,15
CPT,84449,ASSAY OF TRANSCORTIN,,,17.1,49.45,15
CPT,84450,TRANSFERASE (AST) (SGOT),,,4.92,14.23,19
CPT,84460,ALANINE AMINO (ALT) (SGPT),,,5.04,14.56,19
CPT,84466,ASSAY OF TRANSFERRIN,,,12.12,35.05,15
CPT,84478,ASSAY OF TRIGLYCERIDES,,,5.45,15.77,19
CPT,84479,ASSAY OF THYROID (T3 OR T4),,,6.15,17.77,15
CPT,84480,ASSAY TRIIODOTHYRONINE (T3),,,13.47,38.96,15
CPT,84481,FREE ASSAY (FT-3),,,16.09,46.54,15
CPT,84482,T3 REVERSE,,,14.97,43.3,15
CPT,84484,ASSAY OF TROPONIN QUANT,,,11.85,34.26,15
CPT,84485,ASSAY DUODENAL FLUID TRYPSIN,,,6.84,19.78,15
CPT,84488,TEST FECES FOR TRYPSIN,,,6.94,20.05,15
CPT,84490,ASSAY OF FECES FOR TRYPSIN,,,9.43,27.28,15
CPT,84510,ASSAY OF TYROSINE,,,10.1,29.2,15
CPT,84512,ASSAY OF TROPONIN QUAL,,,9.59,27.72,15
CPT,84520,ASSAY OF UREA NITROGEN,,,3.75,10.85,19
CPT,84525,UREA NITROGEN SEMI-QUANT,,,4.87,14.09,15
CPT,84540,ASSAY OF URINE/UREA-N,,,5.28,15.27,15
CPT,84545,UREA-N CLEARANCE TEST,,,6.84,19.78,15
CPT,84550,ASSAY OF BLOOD/URIC ACID,,,4.29,12.42,19
CPT,84560,ASSAY OF URINE/URIC ACID,,,4.83,13.96,15
CPT,84577,ASSAY OF FECES/UROBILINOGEN,,,15.96,46.15,15
CPT,84578,TEST URINE UROBILINOGEN,,,4.25,12.28,15
CPT,84580,ASSAY OF URINE UROBILINOGEN,,,9.07,26.24,15
CPT,84583,ASSAY OF URINE UROBILINOGEN,,,5.75,16.62,15
CPT,84585,ASSAY OF URINE VMA,,,14.73,42.58,15
CPT,84586,ASSAY OF VIP,,,33.56,97.06,15
CPT,84588,ASSAY OF VASOPRESSIN,,,32.24,93.24,15
CPT,84590,ASSAY OF VITAMIN A,,,11.03,31.89,15
CPT,84591,ASSAY OF NOS VITAMIN,,,16.21,46.87,15
CPT,84597,ASSAY OF VITAMIN K,,,13.03,37.69,15
CPT,84600,ASSAY OF VOLATILES,,,16.25,47.0,15
CPT,84620,XYLOSE TOLERANCE TEST,,,12.26,35.47,15
CPT,84630,ASSAY OF ZINC,,,10.82,31.29,15
CPT,84681,ASSAY OF C-PEPTIDE,,,19.77,57.17,15
CPT,84702,CHORIONIC GONADOTROPIN TEST,,,14.3,41.35,15
CPT,84703,CHORIONIC GONADOTROPIN ASSAY,,,7.14,20.66,19
CPT,84704,HCG FREE BETACHAIN TEST,,,14.53,42.0,15
CPT,84830,OVULATION TESTS,,,12.07,34.89,15
CPT,85002,BLEEDING TIME TEST,,,4.58,13.24,15
CPT,85004,AUTOMATED DIFF WBC COUNT,,,6.15,17.77,15
CPT,85007,BL SMEAR W/DIFF WBC COUNT,,,3.61,10.44,15
CPT,85008,BL SMEAR W/O DIFF WBC COUNT,,,3.26,9.42,15
CPT,85009,MANUAL DIFF WBC COUNT B-COAT,,,4.82,13.93,15
CPT,85013,SPUN MICROHEMATOCRIT,,,6.65,19.23,15
CPT,85014,HEMATOCRIT,,,2.25,6.51,19
CPT,85018,HEMOGLOBIN,,,2.25,6.51,19
CPT,85025,COMPLETE CBC W/AUTO DIFF WBC,,,7.38,21.35,19
CPT,85027,COMPLETE CBC AUTOMATED,,,6.15,17.77,15
CPT,85032,MANUAL CELL COUNT EACH,,,4.09,11.84,15
CPT,85041,AUTOMATED RBC COUNT,,,2.87,8.3,15
CPT,85044,MANUAL RETICULOCYTE COUNT,,,4.09,11.84,15
CPT,85045,AUTOMATED RETICULOCYTE COUNT,,,3.79,10.96,15
CPT,85046,RETICYTE/HGB CONCENTRATE,,,5.29,15.3,15
CPT,85048,AUTOMATED LEUKOCYTE COUNT,,,2.41,6.98,15
CPT,85049,AUTOMATED PLATELET COUNT,,,4.26,12.31,15
CPT,85055,RETICULATED PLATELET ASSAY,,,33.95,98.18,15
CPT,85060,BLOOD SMEAR INTERPRETATION,,,20.94,36.83,15
CPT,85097,BONE MARROW INTERPRETATION,,,46.94,978.35,15
CPT,85130,CHROMOGENIC SUBSTRATE ASSAY,,,11.3,32.66,15
CPT,85170,BLOOD CLOT RETRACTION,,,15.49,44.78,15
CPT,85175,BLOOD CLOT LYSIS TIME,,,19.35,55.96,15
CPT,85210,CLOT FACTOR II PROTHROM SPEC,,,12.33,35.66,15
CPT,85220,BLOOC CLOT FACTOR V TEST,,,16.77,48.49,15
CPT,85230,CLOT FACTOR VII PROCONVERTIN,,,17.01,49.17,15
CPT,85240,CLOT FACTOR VIII AHG 1 STAGE,,,17.01,49.17,15
CPT,85244,CLOT FACTOR VIII RELTD ANTGN,,,19.4,56.1,15
CPT,85245,CLOT FACTOR VIII VW RISTOCTN,,,21.79,63.02,15
CPT,85246,CLOT FACTOR VIII VW ANTIGEN,,,21.79,63.02,15
CPT,85247,CLOT FACTOR VIII MULTIMETRIC,,,21.79,63.02,15
CPT,85250,CLOT FACTOR IX PTC/CHRSTMAS,,,18.09,52.31,15
CPT,85260,CLOT FACTOR X STUART-POWER,,,17.01,49.17,15
CPT,85270,CLOT FACTOR XI PTA,,,17.01,49.17,15
CPT,85280,CLOT FACTOR XII HAGEMAN,,,18.38,53.16,15
CPT,85290,CLOT FACTOR XIII FIBRIN STAB,,,15.52,44.89,15
CPT,85291,CLOT FACTOR XIII FIBRIN SCRN,,,8.65,25.03,15
CPT,85292,CLOT FACTOR FLETCHER FACT,,,17.98,52.0,15
CPT,85293,CLOT FACTOR WGHT KININOGEN,,,17.98,52.0,15
CPT,85300,ANTITHROMBIN III ACTIVITY,,,11.26,32.55,15
CPT,85301,ANTITHROMBIN III ANTIGEN,,,10.27,29.7,15
CPT,85302,CLOT INHIBIT PROT C ANTIGEN,,,11.41,32.99,15
CPT,85303,CLOT INHIBIT PROT C ACTIVITY,,,13.15,38.02,15
CPT,85305,CLOT INHIBIT PROT S TOTAL,,,11.03,31.89,15
CPT,85306,CLOT INHIBIT PROT S FREE,,,14.55,42.09,15
CPT,85307,ASSAY ACTIVATED PROTEIN C,,,14.55,42.09,15
CPT,85335,FACTOR INHIBITOR TEST,,,12.23,35.36,15
CPT,85337,THROMBOMODULIN,,,16.41,47.44,15
CPT,85345,COAGULATION TIME LEE & WHITE,,,4.46,12.88,15
CPT,85347,COAGULATION TIME ACTIVATED,,,4.07,11.76,15
CPT,85348,COAGULATION TIME OTR METHOD,,,4.27,12.33,15
CPT,85360,EUGLOBULIN LYSIS,,,7.99,23.1,15
CPT,85362,FIBRIN DEGRADATION PRODUCTS,,,6.55,18.93,15
CPT,85366,FIBRINOGEN TEST,,,76.44,221.04,15
CPT,85370,FIBRINOGEN TEST,,,11.81,34.15,15
CPT,85378,FIBRIN DEGRADE SEMIQUANT,,,9.23,26.7,15
CPT,85379,FIBRIN DEGRADATION QUANT,,,9.67,27.97,15
CPT,85380,FIBRIN DEGRADJ D-DIMER,,,9.67,27.97,15
CPT,85384,FIBRINOGEN ACTIVITY,,,9.23,26.7,15
CPT,85385,FIBRINOGEN ANTIGEN,,,13.74,39.72,15
CPT,85390,FIBRINOLYSINS SCREEN I&R,,,14.71,55.78,15
CPT,85396,CLOTTING ASSAY WHOLE BLOOD,,,1.0,18.97,15
CPT,85397,CLOTTING FUNCT ACTIVITY,,,29.32,84.78,15
CPT,85400,FIBRINOLYTIC PLASMIN,,,7.32,21.18,15
CPT,85410,FIBRINOLYTIC ANTIPLASMIN,,,7.32,21.18,15
CPT,85415,FIBRINOLYTIC PLASMINOGEN,,,16.33,47.22,15
CPT,85420,FIBRINOLYTIC PLASMINOGEN,,,6.2,17.94,15
CPT,85421,FIBRINOLYTIC PLASMINOGEN,,,9.67,27.97,15
CPT,85441,HEINZ BODIES DIRECT,,,3.99,11.54,15
CPT,85445,HEINZ BODIES INDUCED,,,6.48,18.74,15
CPT,85460,HEMOGLOBIN FETAL,,,7.34,21.24,15
CPT,85461,HEMOGLOBIN FETAL,,,8.89,25.71,15
CPT,85475,HEMOLYSIN ACID,,,8.43,24.37,15
CPT,85520,HEPARIN ASSAY,,,12.44,35.96,15
CPT,85525,HEPARIN NEUTRALIZATION,,,11.25,32.53,15
CPT,85530,HEPARIN-PROTAMINE TOLERANCE,,,12.44,35.96,15
CPT,85536,IRON STAIN PERIPHERAL BLOOD,,,6.54,18.9,15
CPT,85540,WBC ALKALINE PHOSPHATASE,,,8.17,23.63,15
CPT,85547,RBC MECHANICAL FRAGILITY,,,8.17,23.63,15
CPT,85549,MURAMIDASE,,,17.81,51.51,15
CPT,85555,RBC OSMOTIC FRAGILITY,,,7.1,20.52,15
CPT,85557,RBC OSMOTIC FRAGILITY,,,12.69,36.7,15
CPT,85576,BLOOD PLATELET AGGREGATION,,,23.66,68.43,19
CPT,85597,PHOSPHOLIPID PLTLT NEUTRALIZ,,,17.08,49.39,15
CPT,85598,HEXAGNAL PHOSPH PLTLT NEUTRL,,,17.08,49.39,15
CPT,85610,PROTHROMBIN TIME,,,4.08,11.79,19
CPT,85611,PROTHROMBIN TEST,,,3.74,10.82,15
CPT,85612,VIPER VENOM PROTHROMBIN TIME,,,16.62,48.05,15
CPT,85613,RUSSELL VIPER VENOM DILUTED,,,9.1,26.32,15
CPT,85635,REPTILASE TEST,,,9.36,27.06,15
CPT,85651,RBC SED RATE NONAUTOMATED,,,4.06,11.73,15
CPT,85652,RBC SED RATE AUTOMATED,,,2.57,7.42,15
CPT,85660,RBC SICKLE CELL TEST,,,5.23,15.14,15
CPT,85670,THROMBIN TIME PLASMA,,,5.48,15.85,15
CPT,85675,THROMBIN TIME TITER,,,6.51,18.82,15
CPT,85705,THROMBOPLASTIN INHIBITION,,,9.15,26.46,15
CPT,85730,THROMBOPLASTIN TIME PARTIAL,,,5.71,16.51,15
CPT,85732,THROMBOPLASTIN TIME PARTIAL,,,6.15,17.77,15
CPT,85810,BLOOD VISCOSITY EXAMINATION,,,11.09,32.06,15
CPT,86000,AGGLUTININS FEBRILE ANTIGEN,,,6.63,19.18,15
CPT,86001,ALLERGEN SPECIFIC IGG,,,7.43,21.48,15
CPT,86003,ALLG SPEC IGE CRUDE XTRC EA,,,4.96,14.34,15
CPT,86005,ALLG SPEC IGE MULTIALLG SCR,,,7.57,21.9,15
CPT,86008,ALLG SPEC IGE RECOMB EA,,,17.03,49.26,15
CPT,86015,ACTIN ANTIBODY EACH,,,11.45,33.1,15
CPT,86021,WBC ANTIBODY IDENTIFICATION,,,14.3,41.35,15
CPT,86022,PLATELET ANTIBODIES,,,17.45,50.47,15
CPT,86023,IMMUNOGLOBULIN ASSAY,,,11.84,34.23,15
CPT,86036,ANCA SCREEN EACH ANTIBODY,,,11.45,33.1,15
CPT,86037,ANCA TITER EACH ANTIBODY,,,11.45,33.1,15
CPT,86038,ANTINUCLEAR ANTIBODIES,,,11.49,33.21,15
CPT,86039,ANTINUCLEAR ANTIBODIES (ANA),,,10.6,30.66,15
CPT,86041,ACETYLCHOLN RCPTR BNDNG ANTB,,,17.48,50.55,15
CPT,86042,ACETYLCHOLN RCPTR BLCKG ANTB,,,17.48,50.55,15
CPT,86043,ACETYLCHOLN RCPTR MODLG ANTB,,,11.45,33.1,15
CPT,86051,AQUAPORIN-4 ANTB ELISA,,,10.95,31.68,15
CPT,86052,AQUAPORIN-4 ANTB CBA EACH,,,11.45,33.1,15
CPT,86053,AQAPRN-4 ANTB FLO CYTMTRY EA,,,35.84,103.65,15
CPT,86060,ANTISTREPTOLYSIN O TITER,,,6.94,20.05,15
CPT,86063,ANTISTREPTOLYSIN O SCREEN,,,5.48,15.85,15
CPT,86077,PHYS BLOOD BANK SERV XMATCH,,,13.2,47.93,15
CPT,86078,PHYS BLOOD BANK SERV REACTJ,,,47.93,214.84,15
CPT,86079,PHYS BLOOD BANK SERV AUTHRJ,,,24.02,68.15,15
CPT,86140,C-REACTIVE PROTEIN,,,4.92,14.23,15
CPT,86141,C-REACTIVE PROTEIN HS,,,12.3,35.58,15
CPT,86146,BETA-2 GLYCOPROTEIN ANTIBODY,,,24.18,69.92,15
CPT,86147,CARDIOLIPIN ANTIBODY EA IG,,,24.18,69.92,15
CPT,86148,ANTI-PHOSPHOLIPID ANTIBODY,,,15.27,44.15,15
CPT,86152,CELL ENUMERATION & ID,,,238.24,688.94,15
CPT,86153,CELL ENUMERATION PHYS INTERP,,,51.57,51.57,3
CPT,86155,CHEMOTAXIS ASSAY,,,15.19,43.93,15
CPT,86156,COLD AGGLUTININ SCREEN,,,7.67,22.17,15
CPT,86157,COLD AGGLUTININ TITER,,,7.66,22.14,15
CPT,86160,COMPLEMENT ANTIGEN,,,11.4,32.97,15
CPT,86161,COMPLEMENT/FUNCTION ACTIVITY,,,11.4,32.97,15
CPT,86162,COMPLEMENT TOTAL (CH50),,,19.3,55.82,15
CPT,86171,COMPLEMENT FIXATION EACH,,,9.51,27.5,15
CPT,86200,CCP ANTIBODY,,,12.3,35.58,15
CPT,86215,DEOXYRIBONUCLEASE ANTIBODY,,,12.59,36.4,15
CPT,86225,DNA ANTIBODY NATIVE,,,13.05,37.75,15
CPT,86226,DNA ANTIBODY SINGLE STRAND,,,11.5,33.27,15
CPT,86231,EMA EACH IG CLASS,,,11.49,33.21,15
CPT,86235,NUCLEAR ANTIGEN ANTIBODY,,,17.03,49.26,15
CPT,86255,FLUORESCENT ANTIBODY SCREEN,,,11.45,33.1,15
CPT,86256,FLUORESCENT ANTIBODY TITER,,,11.45,33.1,15
CPT,86258,DGP ANTIBODY EACH IG CLASS,,,11.45,33.1,15
CPT,86277,GROWTH HORMONE ANTIBODY,,,14.95,43.24,15
CPT,86280,HEMAGGLUTINATION INHIBITION,,,7.78,22.5,15
CPT,86294,IMMUNOASSAY TUMOR QUAL,,,24.29,70.25,19
CPT,86300,IMMUNOASSAY TUMOR CA 15-3,,,19.77,57.17,15
CPT,86301,IMMUNOASSAY TUMOR CA 19-9,,,19.77,57.17,15
CPT,86304,IMMUNOASSAY TUMOR CA 125,,,19.77,57.17,15
CPT,86305,HUMAN EPIDIDYMIS PROTEIN 4,,,19.77,57.17,15
CPT,86308,HETEROPHILE ANTIBODY SCREEN,,,4.92,14.23,19
CPT,86309,HETEROPHILE ANTIBODY TITER,,,6.15,17.77,15
CPT,86310,HETEROPHILE ANTIBODY ABSRBJ,,,7.0,20.25,15
CPT,86316,IMMUNOASSAY TUMOR OTHER,,,19.77,57.17,15
CPT,86317,IMMUNOASSAY INFECTIOUS AGENT,,,14.24,41.18,15
CPT,86318,IA INFECTIOUS AGENT ANTIBODY,,,17.19,49.7,20
CPT,86320,SERUM IMMUNOELECTROPHORESIS,,,27.36,82.2,15
CPT,86325,OTHER IMMUNOELECTROPHORESIS,,,21.97,63.54,15
CPT,86327,Laboratory,,,61.27,82.2,4
CPT,86327,Outpatient Services,,,28.42,31.42,8
CPT,86327,Outpatient Services - CPT/HCPCS,,,33.15,33.15,3
CPT,86328,IA NFCT AB SARSCOV2 COVID19,,,43.02,124.39,20
CPT,86329,IMMUNODIFFUSION NES,,,13.35,38.6,15
CPT,86331,IMMUNODIFFUSION OUCHTERLONY,,,11.38,32.91,15
CPT,86332,IMMUNE COMPLEX ASSAY,,,23.15,66.95,15
CPT,86334,IMMUNOFIX E-PHORESIS SERUM,,,21.22,61.37,15
CPT,86335,IMMUNFIX E-PHORSIS/URINE/CSF,,,27.36,80.63,15
CPT,86336,INHIBIN A,,,14.81,42.83,15
CPT,86337,INSULIN ANTIBODIES,,,20.34,58.82,15
CPT,86340,INTRINSIC FACTOR ANTIBODY,,,14.33,41.43,15
CPT,86341,ISLET CELL ANTIBODY,,,22.39,64.75,15
CPT,86343,LEUKOCYTE HISTAMINE RELEASE,,,11.84,34.23,15
CPT,86344,LEUKOCYTE PHAGOCYTOSIS,,,9.87,28.54,15
CPT,86352,CELL FUNCTION ASSAY W/STIM,,,129.07,373.23,15
CPT,86353,LYMPHOCYTE TRANSFORMATION,,,46.58,134.7,15
CPT,86355,B CELLS TOTAL COUNT,,,35.84,103.65,15
CPT,86356,MONONUCLEAR CELL ANTIGEN,,,25.44,73.57,15
CPT,86357,NK CELLS TOTAL COUNT,,,35.84,103.65,15
CPT,86359,T CELLS TOTAL COUNT,,,35.84,103.65,15
CPT,86360,T CELL ABSOLUTE COUNT/RATIO,,,44.63,129.06,15
CPT,86361,T CELL ABSOLUTE COUNT,,,25.44,73.57,15
CPT,86362,MOG-IGG1 ANTB CBA EACH,,,11.45,33.1,15
CPT,86363,MOG-IGG1 ANTB FLO CYTMTRY EA,,,35.84,103.65,15
CPT,86364,TISS TRNSGLTMNASE EA IG CLAS,,,10.95,31.68,15
CPT,86366,MUSCLE-SPECIFIC KINASE ANTB,,,17.48,50.55,15
CPT,86367,STEM CELLS TOTAL COUNT,,,73.89,213.68,15
CPT,86376,MICROSOMAL ANTIBODY EACH,,,13.82,39.97,15
CPT,86381,MITOCHONDRIAL ANTIBODY EACH,,,24.18,69.92,15
CPT,86382,NEUTRALIZATION TEST VIRAL,,,16.06,46.46,15
CPT,86384,NITROBLUE TETRAZOLIUM DYE,,,12.93,37.39,15
CPT,86386,NUCLEAR MATRIX PROTEIN 22,,,20.69,59.83,19
CPT,86403,PARTICLE AGGLUT ANTBDY SCRN,,,10.96,31.7,15
CPT,86406,PARTICLE AGGLUT ANTBDY TITR,,,10.11,29.23,15
CPT,86408,NEUTRLZG ANTB SARSCOV2 SCR,,,40.02,115.74,16
CPT,86409,NEUTRLZG ANTB SARSCOV2 TITER,,,75.63,218.7,16
CPT,86413,SARS-COV-2 ANTB QUANTITATIVE,,,42.13,141.29,16
CPT,86430,RHEUMATOID FACTOR TEST QUAL,,,5.83,16.87,15
CPT,86431,RHEUMATOID FACTOR QUANT,,,5.39,15.58,15
CPT,86480,TB TEST CELL IMMUN MEASURE,,,58.88,170.27,15
CPT,86481,TB AG RESPONSE T-CELL SUSP,,,95.0,274.72,15
CPT,86485,SKIN TEST CANDIDA,,,13.2,37.46,11
CPT,86486,SKIN TEST UNLISTED ANTIGN EA,,,6.32,37.46,15
CPT,86490,Outpatient Services - CPT/HCPCS,,,27.11,76.93,3
CPT,86490,Therapy,,,76.23,76.23,4
CPT,86510,HISTOPLASMOSIS SKIN TEST,,,7.66,50.45,15
CPT,86580,TB INTRADERMAL TEST,,,10.32,37.46,15
CPT,86590,STREPTOKINASE ANTIBODY,,,12.03,34.78,15
CPT,86592,SYPHILIS TEST NON-TREP QUAL,,,4.06,11.73,15
CPT,86593,SYPHILIS TEST NON-TREP QUANT,,,4.18,12.09,15
CPT,86596,VOLTAGE-GTD CA CHNL ANTB EA,,,11.45,33.1,15
CPT,86602,ANTINOMYCES ANTIBODY,,,9.67,27.97,16
CPT,86603,ADENOVIRUS ANTIBODY,,,12.23,35.36,15
CPT,86606,ASPERGILLUS ANTIBODY,,,14.3,41.35,15
CPT,86609,BACTERIUM ANTIBODY,,,12.24,35.38,15
CPT,86611,BARTONELLA ANTIBODY,,,9.67,27.97,15
CPT,86612,BLASTOMYCES ANTIBODY,,,12.26,35.44,15
CPT,86615,BORDETELLA ANTIBODY,,,12.53,36.24,15
CPT,86617,LYME DISEASE ANTIBODY,,,14.72,42.55,15
CPT,86618,LYME DISEASE ANTIBODY,,,16.18,46.78,19
CPT,86619,BORRELIA ANTIBODY,,,12.71,36.76,15
CPT,86622,BRUCELLA ANTIBODY,,,8.48,24.53,15
CPT,86625,CAMPYLOBACTER ANTIBODY,,,12.46,36.04,15
CPT,86628,CANDIDA ANTIBODY,,,11.41,32.99,15
CPT,86631,CHLAMYDIA ANTIBODY,,,11.23,32.47,15
CPT,86632,CHLAMYDIA IGM ANTIBODY,,,12.05,34.83,15
CPT,86635,COCCIDIOIDES ANTIBODY,,,10.9,31.51,16
CPT,86638,Q FEVER ANTIBODY,,,11.51,33.3,15
CPT,86641,CRYPTOCOCCUS ANTIBODY,,,13.69,39.59,15
CPT,86644,CMV ANTIBODY,,,13.67,39.53,15
CPT,86645,CMV ANTIBODY IGM,,,16.01,46.29,15
CPT,86648,DIPHTHERIA ANTIBODY,,,14.45,41.78,15
CPT,86651,ENCEPHALITIS CALIFORN ANTBDY,,,12.53,36.24,15
CPT,86652,ENCEPHALTIS EAST EQNE ANBDY,,,12.53,36.24,15
CPT,86653,ENCEPHALTIS ST LOUIS ANTBODY,,,12.53,36.24,15
CPT,86654,ENCEPHALTIS WEST EQNE ANTBDY,,,12.53,36.24,15
CPT,86658,ENTEROVIRUS ANTIBODY,,,12.38,35.8,15
CPT,86663,EPSTEIN-BARR ANTIBODY,,,12.46,36.04,15
CPT,86664,EPSTEIN-BARR NUCLEAR ANTIGEN,,,14.53,42.0,15
CPT,86665,EPSTEIN-BARR CAPSID VCA,,,17.23,49.83,15
CPT,86666,EHRLICHIA ANTIBODY,,,9.67,27.97,15
CPT,86668,FRANCISELLA TULARENSIS,,,13.45,38.9,15
CPT,86671,FUNGUS NES ANTIBODY,,,11.64,33.65,15
CPT,86674,GIARDIA LAMBLIA ANTIBODY,,,13.98,40.44,15
CPT,86677,HELICOBACTER PYLORI ANTIBODY,,,16.01,46.29,15
CPT,86682,HELMINTH ANTIBODY,,,12.36,35.74,15
CPT,86684,HEMOPHILUS INFLUENZA ANTIBDY,,,15.05,43.52,15
CPT,86687,HTLV-I ANTIBODY,,,8.64,24.97,15
CPT,86688,HTLV-II ANTIBODY,,,13.3,38.46,15
CPT,86689,HTLV/HIV CONFIRMJ ANTIBODY,,,18.38,53.16,15
CPT,86692,HEPATITIS DELTA AGENT ANTBDY,,,16.3,47.14,15
CPT,86694,HERPES SIMPLEX NES ANTBDY,,,13.67,39.53,15
CPT,86695,HERPES SIMPLEX TYPE 1 TEST,,,12.53,36.24,15
CPT,86696,HERPES SIMPLEX TYPE 2 TEST,,,18.38,53.16,15
CPT,86698,HISTOPLASMA ANTIBODY,,,13.1,37.88,15
CPT,86701,HIV-1ANTIBODY,,,8.45,24.42,19
CPT,86702,HIV-2 ANTIBODY,,,12.84,37.14,15
CPT,86703,HIV-1/HIV-2 1 RESULT ANTBDY,,,13.02,37.66,15
CPT,86704,HEP B CORE ANTIBODY TOTAL,,,11.45,33.1,15
CPT,86705,HEP B CORE ANTIBODY IGM,,,11.18,32.33,15
CPT,86706,HEP B SURFACE ANTIBODY,,,10.2,29.5,15
CPT,86707,HEPATITIS BE ANTIBODY,,,10.99,31.79,15
CPT,86708,HEPATITIS A ANTIBODY,,,11.77,34.04,15
CPT,86709,HEPATITIS A IGM ANTIBODY,,,10.7,30.93,15
CPT,86710,INFLUENZA VIRUS ANTIBODY,,,12.87,37.22,15
CPT,86711,JOHN CUNNINGHAM ANTIBODY,,,16.05,46.4,15
CPT,86713,LEGIONELLA ANTIBODY,,,14.54,42.03,15
CPT,86717,LEISHMANIA ANTIBODY,,,11.64,33.65,15
CPT,86720,LEPTOSPIRA ANTIBODY,,,15.39,44.5,15
CPT,86723,LISTERIA MONOCYTOGENES,,,12.53,36.24,15
CPT,86727,LYMPH CHORIOMENINGITIS AB,,,12.23,35.36,15
CPT,86732,MUCORMYCOSIS ANTIBODY,,,14.25,41.21,15
CPT,86735,MUMPS ANTIBODY,,,12.4,35.85,15
CPT,86738,MYCOPLASMA ANTIBODY,,,12.58,36.37,15
CPT,86741,NEISSERIA MENINGITIDIS,,,12.53,36.24,15
CPT,86744,NOCARDIA ANTIBODY,,,15.19,43.93,15
CPT,86747,PARVOVIRUS ANTIBODY,,,14.28,41.29,15
CPT,86750,MALARIA ANTIBODY,,,12.53,36.24,15
CPT,86753,PROTOZOA ANTIBODY NOS,,,11.77,34.04,15
CPT,86756,RESPIRATORY VIRUS ANTIBODY,,,15.1,43.65,15
CPT,86757,RICKETTSIA ANTIBODY,,,18.38,53.16,15
CPT,86759,ROTAVIRUS ANTIBODY,,,17.32,50.08,15
CPT,86762,RUBELLA ANTIBODY,,,13.67,39.53,15
CPT,86765,RUBEOLA ANTIBODY,,,12.24,35.38,15
CPT,86768,SALMONELLA ANTIBODY,,,12.53,36.24,15
CPT,86769,SARS-COV-2 COVID-19 ANTIBODY,,,40.02,115.74,16
CPT,86771,SHIGELLA ANTIBODY,,,23.26,67.25,15
CPT,86774,TETANUS ANTIBODY,,,14.06,40.66,15
CPT,86777,TOXOPLASMA ANTIBODY,,,13.67,39.53,15
CPT,86778,TOXOPLASMA ANTIBODY IGM,,,13.69,39.59,15
CPT,86780,TREPONEMA PALLIDUM,,,12.58,36.37,19
CPT,86784,TRICHINELLA ANTIBODY,,,11.93,34.5,15
CPT,86787,VARICELLA-ZOSTER ANTIBODY,,,12.24,35.38,15
CPT,86788,WEST NILE VIRUS AB IGM,,,16.01,46.29,15
CPT,86789,WEST NILE VIRUS ANTIBODY,,,13.67,39.53,15
CPT,86790,VIRUS ANTIBODY NOS,,,12.24,35.38,15
CPT,86793,YERSINIA ANTIBODY,,,12.53,36.24,15
CPT,86794,ZIKA VIRUS IGM ANTIBODY,,,16.01,46.29,15
CPT,86800,THYROGLOBULIN ANTIBODY,,,15.11,43.71,15
CPT,86803,HEPATITIS C AB TEST,,,13.56,39.2,19
CPT,86804,HEP C AB TEST CONFIRM,,,14.72,42.55,15
CPT,86805,LYMPHOCYTOTOXICITY ASSAY,,,180.03,520.62,15
CPT,86806,LYMPHOCYTOTOXICITY ASSAY,,,45.21,130.74,15
CPT,86807,CYTOTOXIC ANTIBODY SCREENING,,,74.72,216.07,15
CPT,86808,CYTOTOXIC ANTIBODY SCREENING,,,28.2,81.54,15
CPT,86812,HLA B27 TYPING 86812,202.0,161.6,24.52,181.8,34
CPT,86813,HLA TYPING A B OR C,,,55.1,159.34,15
CPT,86816,HLA TYPING DR/DQ,,,28.66,82.88,15
CPT,86817,HLA TYPING DR/DQ,,,100.83,291.59,15
CPT,86821,LYMPHOCYTE CULTURE MIXED,,,34.73,100.44,15
CPT,86825,HLA X-MATH NON-CYTOTOXIC,,,104.02,300.79,15
CPT,86826,HLA X-MATCH NONCYTOTOXC ADDL,,,34.7,100.36,15
CPT,86828,HLA CLASS I&II ANTIBODY QUAL,,,60.98,176.34,15
CPT,86829,HLA CLASS I/II ANTIBODY QUAL,,,60.98,176.34,15
CPT,86830,HLA CLASS I PHENOTYPE QUAL,,,90.74,262.41,15
CPT,86831,HLA CLASS II PHENOTYPE QUAL,,,77.79,224.94,15
CPT,86832,HLA ABY ANALYSIS CLASS I,1000.0,800.0,307.56,900.0,34
CPT,86833,HLA ABY ANALYSIS CLASS II,1007.0,805.6,309.51,906.3,34
CPT,86834,HLA CLASS I SEMIQUANT PANEL,,,339.68,982.29,15
CPT,86835,HLA CLASS II SEMIQUANT PANEL,,,306.81,887.24,15
CPT,86849,IMMUNOLOGY PROCEDURE,,,1.0,1.0,3
CPT,86850,ANTIBODY SCREEN CONTRACT 86850,17.86,14.29,5.98,68.15,34
CPT,86850,ANTIBODY SCREEN CONTRACT ENC HLTH 86850,16.0,12.8,5.36,68.15,34
CPT,86850,ANTIBODY SCREEN CONTRACT HAWARDEN 86850,15.0,12.0,5.03,68.15,34
CPT,86860,RBC ANTIBODY ELUTION,,,75.71,214.84,11
CPT,86870,ANTIBODY ID CONTRACT 86870,88.4,70.72,23.38,452.09,34
CPT,86870,ANTIBODY ID CONTRACT ENC HLTH 86870,108.0,86.4,28.57,452.09,34
CPT,86870,ANTIBODY ID CONTRACT HAWARDEN 86870,101.0,80.8,26.71,452.09,34
CPT,86880,DIRECT COOMBS CONTRACT 86880,25.64,20.52,8.59,71.08,34
CPT,86885,COOMBS TEST INDIRECT QUAL,,,11.71,179.93,15
CPT,86886,COOMBS TEST INDIRECT TITER,,,10.61,179.93,15
CPT,86890,AUTOLOGOUS PROCESSING CONTRACT,274.56,219.65,72.62,247.1,34
CPT,86891,AUTOLOGOUS BLOOD OP SALVAGE,,,381.13,1081.53,11
CPT,86900,ABO CONTRACT 86900,14.56,11.65,4.88,135.35,34
CPT,86900,ABO TYPING CONTRACT ENC HLTH 86900,36.0,28.8,6.12,135.35,34
CPT,86900,ABO TYPING CONTRACT HAWARDEN 86900,34.0,27.2,6.12,135.35,34
CPT,86901,RH CONTRACT 83901,14.56,11.65,4.88,41.21,34
CPT,86901,RH TYPING CONTRACT ENC HLTH 86901,36.0,28.8,6.12,41.21,34
CPT,86901,RH TYPING CONTRACT HAWARDEN 86901,34.0,27.2,6.12,41.21,34
CPT,86902,RBC ANTIG TYP CONTRACT 86902 905,85.28,68.23,13.0,377.71,34
CPT,86904,BLOOD TYPING PATIENT SERUM,,,27.11,76.93,15
CPT,86905,BLOOD TYPING RBC ANTIGENS,,,7.84,377.71,15
CPT,86906,PHENOTYPING VA CONTRACT 86906,131.25,105.0,15.87,118.13,34
CPT,86910,BLOOD TYPING PATERNITY TEST,,,24.96,24.96,3
CPT,86920,CROSSMATCH CONTRACT 86920 86922,67.86,54.29,17.95,214.84,34
CPT,86921,COMPATIBILITY TEST INCUBATE,,,51.4,179.93,11
CPT,86922,COMPATIBILITY TEST ANTIGLOB,,,75.71,214.84,11
CPT,86923,CROSSMATCH CONTRACT ENC HLTH 86923,70.0,56.0,18.52,203.08,34
CPT,86927,PLASMA FRESH FROZEN,,,58.93,179.93,11
CPT,86930,FROZEN BLOOD PREP,,,75.71,214.84,11
CPT,86931,FROZEN BLOOD THAW,,,75.71,214.84,11
CPT,86932,FROZEN BLOOD FREEZE/THAW,,,17.78,50.45,11
CPT,86940,HEMOLYSINS/AGGLUTININS AUTO,,,8.33,24.09,15
CPT,86941,HEMOLYSINS/AGGLUTININS,,,11.5,33.27,15
CPT,86945,IRRADIATION CHARGE CONTRACT,131.04,104.84,17.78,117.94,34
CPT,86945,IRRADIATION CONTRACT CHARGE AVERA,43.0,34.4,11.37,50.45,34
CPT,86945,IRRADIATION FEE CONTRACT ENC HLTH 86945,129.0,103.2,17.78,116.1,34
CPT,86945,IRRADIATION FEE CONTRACT HAWARDEN 86945,121.0,96.8,17.78,108.9,34
CPT,86950,LEUKACYTE TRANSFUSION,,,75.71,214.84,11
CPT,86960,VOL REDUCTION OF BLOOD/PROD,,,75.71,214.84,11
CPT,86965,POOLING FEE CONTRACT,30.16,24.13,7.98,214.84,34
CPT,86965,POOLING FEE CONTRACT ENC HLTH 86965,39.0,31.2,10.32,214.84,34
CPT,86970,RBC PRETX INCUBATJ W/CHEMICL,,,27.11,76.93,11
CPT,86971,RBC PRETX INCUBATJ W/ENZYMES,,,75.71,214.84,11
CPT,86972,RBC PRETX INCUBATJ W/DENSITY,,,75.71,214.84,11
CPT,86975,RBC SERUM PRETX INCUBJ DRUGS,,,136.67,418.99,11
CPT,86976,RBC SERUM PRETX ID DILUTION,,,13.2,37.46,11
CPT,86977,RBC SERUM PRETX INCUBJ/INHIB,,,75.71,214.84,11
CPT,86978,RBC PRETREATMENT SERUM,,,27.11,76.93,11
CPT,86985,SPLIT BLOOD OR PRODUCTS,,,75.71,214.84,11
CPT,86999,UNLISTED TRANSFUSION MED PX,,,13.2,37.46,11
CPT,87003,SMALL ANIMAL INOCULATION,,,16.0,46.26,15
CPT,87015,SPECIMEN INFECT AGNT CONCNTJ,,,6.35,18.35,15
CPT,87040,BLOOD CULTURE FOR BACTERIA,,,9.8,28.35,15
CPT,87045,FECES CULTURE AEROBIC BACT,,,8.97,25.93,15
CPT,87046,STOOL CULTR AEROBIC BACT EA,,,8.97,25.93,15
CPT,87070,CULTURE OTHR SPECIMN AEROBIC,,,8.19,23.68,15
CPT,87071,CULTURE AEROBIC QUANT OTHER,,,9.4,27.17,15
CPT,87073,CULTURE BACTERIA ANAEROBIC,,,9.18,26.54,15
CPT,87075,CULTR BACTERIA EXCEPT BLOOD,,,9.0,26.02,15
CPT,87076,CULTURE ANAEROBE IDENT EACH,,,7.68,22.2,15
CPT,87077,CULTURE AEROBIC IDENTIFY,,,7.68,22.2,19
CPT,87081,CULTURE SCREEN ONLY,,,6.3,18.21,15
CPT,87084,CULTURE OF SPECIMEN BY KIT,,,25.72,74.37,15
CPT,87086,URINE CULTURE/COLONY COUNT,,,7.67,22.17,15
CPT,87088,URINE BACTERIA CULTURE,,,7.69,22.22,15
CPT,87101,SKIN FUNGI CULTURE,,,7.32,21.18,15
CPT,87102,FUNGUS ISOLATION CULTURE,,,7.99,23.1,15
CPT,87103,BLOOD FUNGUS CULTURE,,,19.44,56.21,15
CPT,87106,FUNGI IDENTIFICATION YEAST,,,9.8,28.35,15
CPT,87107,FUNGI IDENTIFICATION MOLD,,,9.8,28.35,15
CPT,87109,MYCOPLASMA,,,14.62,42.28,15
CPT,87110,CHLAMYDIA CULTURE,,,18.62,53.85,15
CPT,87116,MYCOBACTERIA CULTURE,,,10.26,29.67,15
CPT,87118,MYCOBACTERIC IDENTIFICATION,,,13.88,40.14,15
CPT,87140,CULTURE TYPE IMMUNOFLUORESC,,,5.29,15.3,15
CPT,87143,CULTURE TYPING GLC/HPLC,,,11.89,34.39,15
CPT,87147,CULTURE TYPE IMMUNOLOGIC,,,4.92,14.23,15
CPT,87149,DNA/RNA DIRECT PROBE,,,19.05,55.08,15
CPT,87150,DNA/RNA AMPLIFIED PROBE,,,33.34,96.4,15
CPT,87152,CULTURE TYPE PULSE FIELD GEL,,,7.35,21.26,15
CPT,87153,DNA/RNA SEQUENCING,,,109.59,316.92,15
CPT,87154,CUL TYP ID BLD PTHGN 6+ TRGT,,,207.16,599.05,15
CPT,87158,CULTURE TYPING ADDED METHOD,,,7.35,21.26,15
CPT,87164,DARK FIELD EXAM SPEC COLLJ,,,10.2,29.5,15
CPT,87166,DARK FIELD EXAM W/O COLLJ,,,10.74,31.04,15
CPT,87168,MACROSCOPIC EXAM ARTHROPOD,,,4.06,11.73,15
CPT,87169,MACROSCOPIC EXAM PARASITE,,,4.09,11.84,15
CPT,87172,PINWORM EXAM,,,4.06,11.73,15
CPT,87176,TISSUE HOMOGENIZATION CULTR,,,5.59,16.15,15
CPT,87177,OVA AND PARASITES SMEARS,,,8.46,24.45,15
CPT,87181,SC STD AGAR DILUTION PER AGT,,,4.51,13.05,15
CPT,87184,SC STD DISK METHOD PER PLATE,,,7.11,20.55,15
CPT,87185,SC STD ENZYME DETCJ PER NZM,,,4.51,13.05,15
CPT,87186,SC STD MICRODIL/AGAR DIL,,,8.22,23.76,15
CPT,87187,SC STD MICRODIL/AGAR MLC,,,38.16,110.36,15
CPT,87188,SC STD MACROBROTH DIL METH,,,6.31,18.24,15
CPT,87190,SC STD MYOBACTERIA PROP METH,,,6.94,20.08,15
CPT,87197,SERUM BACTERICIDAL TITER,,,14.27,41.26,15
CPT,87205,SMEAR GRAM STAIN,,,4.06,11.73,15
CPT,87206,SMEAR FLUORESCENT/ACID STAI,,,5.12,14.81,15
CPT,87207,SMEAR SPECIAL STAIN,,,5.69,27.36,15
CPT,87209,SMEAR COMPLEX STAIN,,,17.08,49.39,15
CPT,87210,SMEAR WET MOUNT SALINE/INK,,,5.53,15.99,19
CPT,87220,TISSUE EXAM FOR FUNGI,,,4.06,11.73,15
CPT,87230,TOXIN/ANTITOXIN ASY TISS CUL,,,18.75,54.23,15
CPT,87250,VIRUS INOCULATE EGGS/ANIMAL,,,18.58,53.74,15
CPT,87252,VIRUS INOCULATION TISSUE,,,24.77,71.62,15
CPT,87253,VIRUS INOCULATE TISSUE ADDL,,,19.19,55.49,15
CPT,87254,VIRUS INOCULATION SHELL VIA,,,18.58,53.74,15
CPT,87255,GENET VIRUS ISOLATE HSV,,,32.17,93.02,15
CPT,87260,ADENOVIRUS AG IF,,,13.71,39.64,15
CPT,87265,PERTUSSIS AG IF,,,11.38,32.91,15
CPT,87267,ENTEROVIRUS ANTIBODY DFA,,,12.75,36.87,15
CPT,87269,GIARDIA AG IF,,,12.93,37.39,15
CPT,87270,CHLAMYDIA TRACHOMATIS AG IF,,,11.38,32.91,15
CPT,87271,CYTOMEGALOVIRUS DFA,,,12.75,36.87,15
CPT,87272,CRYPTOSPORIDIUM AG IF,,,11.38,32.91,15
CPT,87273,HERPES SIMPLEX 2 AG IF,,,11.38,32.91,15
CPT,87274,HERPES SIMPLEX 1 AG IF,,,11.38,32.91,15
CPT,87275,INFLUENZA B AG IF,,,11.64,33.65,15
CPT,87276,INFLUENZA A AG IF,,,15.27,44.15,15
CPT,87278,LEGION PNEUMOPHILIA AG IF,,,14.82,42.86,15
CPT,87279,PARAINFLUENZA AG IF,,,15.61,45.14,15
CPT,87280,RESPIRATORY SYNCYTIAL AG IF,,,12.75,36.87,15
CPT,87281,PNEUMOCYSTIS CARINII AG IF,,,11.38,32.91,15
CPT,87283,RUBEOLA AG IF,,,57.76,167.03,15
CPT,87285,TREPONEMA PALLIDUM AG IF,,,11.57,33.46,15
CPT,87290,VARICELLA ZOSTER AG IF,,,12.75,36.87,15
CPT,87299,ANTIBODY DETECTION NOS IF,,,15.3,44.23,15
CPT,87300,AG DETECTION POLYVAL IF,,,11.38,32.91,15
CPT,87301,ADENOVIRUS AG IA,,,11.38,32.91,15
CPT,87305,ASPERGILLUS AG IA,,,11.38,32.91,15
CPT,87320,CHLMYD TRACH AG IA,,,14.25,41.21,15
CPT,87324,CLOSTRIDIUM AG IA,,,11.38,32.91,15
CPT,87327,CRYPTOCOCCUS NEOFORM AG IA,,,12.75,36.87,15
CPT,87328,CRYPTOSPORIDIUM AG IA,,,13.13,37.97,15
CPT,87329,GIARDIA AG IA,,,11.38,32.91,15
CPT,87332,CYTOMEGALOVIRUS AG IA,,,11.38,32.91,15
CPT,87335,E COLI 0157 AG IA,,,12.03,34.78,15
CPT,87336,ENTAMOEB HIST DISPR AG IA,,,15.2,43.96,15
CPT,87337,ENTAMOEB HIST GROUP AG IA,,,11.38,32.91,15
CPT,87338,HPYLORI STOOL AG IA,,,13.66,39.5,19
CPT,87339,H PYLORI AG IA,,,15.2,43.96,15
CPT,87340,HEPATITIS B SURFACE AG IA,,,9.81,28.38,15
CPT,87341,HEP B SURFACE AG NEUTRLZJ IA,,,9.81,28.38,15
CPT,87350,HEPATITIS BE AG IA,,,10.95,31.68,15
CPT,87380,HEPATITIS DELTA AGENT AG IA,,,17.44,50.44,15
CPT,87385,HISTOPLASMA CAPSUL AG IA,,,12.59,36.4,15
CPT,87389,HIV-1 AG W/HIV-1&-2 AB AG IA,,,22.88,66.15,19
CPT,87390,HIV-1 AG IA,,,22.86,66.1,15
CPT,87391,HIV-2 AG IA,,,20.81,60.16,15
CPT,87400,INFLUENZA A/B EACH AG IA,,,13.42,38.82,19
CPT,87420,RESP SYNCYTIAL VIRUS AG IA,,,13.21,38.21,19
CPT,87425,ROTAVIRUS AG IA,,,11.38,32.91,15
CPT,87426,SARSCOV CORONAVIRUS AG IA,,,33.56,97.06,20
CPT,87427,SHIGA-LIKE TOXIN AG IA,,,11.38,32.91,15
CPT,87428,SARSCOV & INF VIR A&B AG IA,,,66.78,193.1,20
CPT,87430,STREP A AG IA,,,15.97,46.18,19
CPT,87449,NOS EACH ORGANISM AG IA,,,11.38,32.91,19
CPT,87451,POLYVALENT MULT ORG EA AG IA,,,9.98,28.87,15
CPT,87467,HEPATITIS B SURFACE AG QUAN,,,15.05,69.56,15
CPT,87468,ANAPLSMA PHGCYTOPHLM AMP PRB,,,33.34,96.4,15
CPT,87469,BABESIA MICROTI AMP PRB,,,33.34,96.4,15
CPT,87471,BARTONELLA DNA AMP PROBE,,,33.34,96.4,15
CPT,87472,BARTONELLA DNA QUANT,,,40.7,117.69,15
CPT,87475,LYME DIS DNA DIR PROBE,,,19.05,55.08,15
CPT,87476,LYME DIS DNA AMP PROBE,,,33.34,96.4,15
CPT,87478,BORRELIA MIYAMOTOI AMP PRB,,,33.34,96.4,15
CPT,87480,CANDIDA DNA DIR PROBE,,,19.05,55.08,15
CPT,87481,CANDIDA DNA AMP PROBE,,,33.34,96.4,15
CPT,87482,CANDIDA DNA QUANT,,,52.95,153.13,15
CPT,87483,CNS DNA AMP PROBE TYPE 12-25,,,395.94,1144.98,15
CPT,87484,EHRLICHA CHAFFEENSIS AMP PRB,,,33.34,96.4,15
CPT,87485,CHLMYD PNEUM DNA DIR PROBE,,,19.05,55.08,15
CPT,87486,CHLMYD PNEUM DNA AMP PROBE,,,33.34,96.4,15
CPT,87487,CHLMYD PNEUM DNA QUANT,,,40.7,117.69,15
CPT,87490,CHLMYD TRACH DNA DIR PROBE,,,21.61,62.5,15
CPT,87491,CHLMYD TRACH DNA AMP PROBE,,,33.34,96.4,15
CPT,87492,CHLMYD TRACH DNA QUANT,,,50.8,146.89,15
CPT,87493,C DIFF AMPLIFIED PROBE,,,35.41,102.39,15
CPT,87495,CYTOMEG DNA DIR PROBE,,,28.53,82.5,15
CPT,87496,CYTOMEG DNA AMP PROBE,,,33.34,96.4,15
CPT,87497,CYTOMEG DNA QUANT,,,40.7,117.69,15
CPT,87498,ENTEROVIRUS PROBE&REVRS TRNS,,,33.34,96.4,15
CPT,87500,VANOMYCIN DNA AMP PROBE,,,33.34,96.4,15
CPT,87501,INFLUENZA DNA AMP PROB 1+,,,48.74,140.96,15
CPT,87502,INFLUENZA DNA AMP PROBE,,,91.01,263.18,19
CPT,87503,INFLUENZA DNA AMP PROB ADDL,,,27.76,80.27,15
CPT,87505,NFCT AGENT DETECTION GI,,,121.88,352.44,15
CPT,87506,IADNA-DNA/RNA PROBE TQ 6-11,,,249.84,722.49,15
CPT,87507,IADNA-DNA/RNA PROBE TQ 12-25,,,395.94,1144.98,15
CPT,87510,GARDNER VAG DNA DIR PROBE,,,19.05,55.08,15
CPT,87511,GARDNER VAG DNA AMP PROBE,,,33.34,96.4,15
CPT,87512,GARDNER VAG DNA QUANT,,,39.67,114.72,15
CPT,87513,H PYLRI CLRTHMCN RST AMP PRB,,,33.34,96.4,12
CPT,87516,HEPATITIS B DNA AMP PROBE,,,33.34,96.4,15
CPT,87517,HEPATITIS B DNA QUANT,,,40.7,117.69,15
CPT,87520,HEPATITIS C RNA DIR PROBE,,,29.66,85.77,15
CPT,87521,HEPATITIS C PROBE&RVRS TRNSC,,,33.34,96.4,19
CPT,87522,HEPATITIS C REVRS TRNSCRPJ,,,40.7,117.69,15
CPT,87523,HEPATITIS D QUANTIFICATION,,,40.7,117.69,15
CPT,87525,HEPATITIS G DNA DIR PROBE,,,28.31,81.87,15
CPT,87526,HEPATITIS G DNA AMP PROBE,,,37.3,107.86,15
CPT,87527,HEPATITIS G DNA QUANT,,,39.67,114.72,15
CPT,87528,HSV DNA DIR PROBE,,,19.05,55.08,15
CPT,87529,HSV DNA AMP PROBE,,,33.34,96.4,15
CPT,87530,HSV DNA QUANT,,,40.7,117.69,15
CPT,87531,HHV-6 DNA DIR PROBE,,,55.1,159.34,15
CPT,87532,HHV-6 DNA AMP PROBE,,,33.34,96.4,15
CPT,87533,HHV-6 DNA QUANT,,,39.67,114.72,15
CPT,87534,HIV-1 DNA DIR PROBE,,,20.82,60.22,15
CPT,87535,HIV-1 PROBE&REVERSE TRNSCRPJ,,,33.34,96.4,15
CPT,87536,HIV-1 QUANT&REVRSE TRNSCRPJ,,,80.85,233.79,15
CPT,87537,HIV-2 DNA DIR PROBE,,,20.82,60.22,15
CPT,87538,HIV-2 PROBE&REVRSE TRNSCRIPJ,,,33.34,96.4,15
CPT,87539,HIV-2 QUANT&REVRSE TRNSCRIPJ,,,55.69,161.04,15
CPT,87540,LEGION PNEUMO DNA DIR PROB,,,19.05,55.08,15
CPT,87541,LEGION PNEUMO DNA AMP PROB,,,33.34,96.4,15
CPT,87542,LEGION PNEUMO DNA QUANT,,,39.67,114.72,15
CPT,87550,MYCOBACTERIA DNA DIR PROBE,,,19.05,55.08,15
CPT,87551,MYCOBACTERIA DNA AMP PROBE,,,45.83,132.52,15
CPT,87552,MYCOBACTERIA DNA QUANT,,,40.7,117.69,15
CPT,87555,M.TUBERCULO DNA DIR PROBE,,,25.54,73.84,15
CPT,87556,M.TUBERCULO DNA AMP PROBE,,,39.6,114.5,15
CPT,87557,M.TUBERCULO DNA QUANT,,,40.7,117.69,15
CPT,87560,M.AVIUM-INTRA DNA DIR PROB,,,25.93,74.97,15
CPT,87561,M.AVIUM-INTRA DNA AMP PROB,,,33.34,96.4,15
CPT,87562,M.AVIUM-INTRA DNA QUANT,,,40.7,117.69,15
CPT,87563,M. GENITALIUM AMP PROBE,,,33.34,96.4,15
CPT,87564,MTB RIFAMPIN RST AMP PRB TQ,,,72.93,210.9,12
CPT,87580,M.PNEUMON DNA DIR PROBE,,,19.05,55.08,15
CPT,87581,M.PNEUMON DNA AMP PROBE,,,33.34,96.4,15
CPT,87582,M.PNEUMON DNA QUANT,,,287.49,831.36,15
CPT,87590,N.GONORRHOEAE DNA DIR PROB,,,25.54,73.84,15
CPT,87591,N.GONORRHOEAE DNA AMP PROB,,,33.34,96.4,15
CPT,87592,N.GONORRHOEAE DNA QUANT,,,40.7,117.69,15
CPT,87593,ORTHOPOXVIRUS AMP PRB EACH,,,48.74,140.96,15
CPT,87594,PNEUMCYSTS JIROVECII AMP PRB,,,33.34,96.4,12
CPT,87623,HPV LOW-RISK TYPES,,,33.34,96.4,15
CPT,87624,HPV HI-RISK TYP POOLED RSLT,,,33.34,96.4,15
CPT,87625,HPV TYPES 16 & 18 ONLY,,,38.52,111.4,15
CPT,87626,HPV SEP HI-RSK TYP&POOL RSLT,,,66.69,192.85,12
CPT,87631,RESP VIRUS 3-5 TARGETS,,,135.5,391.83,19
CPT,87632,RESP VIRUS 6-11 TARGETS,,,207.16,599.05,15
CPT,87633,RESP VIRUS 12-25 TARGETS,,,395.94,1144.98,19
CPT,87634,RSV DNA/RNA AMP PROBE,,,66.69,192.85,19
CPT,87635,SARS-COV-2 COVID-19 AMP PRB,,,48.74,140.96,20
CPT,87636,SARSCOV2 & INF A&B AMP PRB,,,135.5,391.83,20
CPT,87637,SARSCOV2&INF A&B&RSV AMP PRB,,,135.5,391.83,20
CPT,87640,STAPH A DNA AMP PROBE,,,33.34,96.4,15
CPT,87641,MR-STAPH DNA AMP PROBE,,,33.34,96.4,15
CPT,87650,STREP A DNA DIR PROBE,,,19.05,55.08,19
CPT,87651,STREP A DNA AMP PROBE,,,33.34,96.4,19
CPT,87652,STREP A DNA QUANT,,,39.67,114.72,15
CPT,87653,STREP B DNA AMP PROBE,,,33.34,96.4,15
CPT,87660,TRICHOMONAS VAGIN DIR PROBE,,,19.05,55.08,15
CPT,87661,TRICHOMONAS VAGINALIS AMPLIF,,,33.34,96.4,15
CPT,87662,ZIKA VIRUS DNA/RNA AMP PROBE,,,48.74,140.96,15
CPT,87797,DETECT AGENT NOS DNA DIR,,,28.53,82.5,15
CPT,87798,DETECT AGENT NOS DNA AMP,,,33.34,96.4,15
CPT,87799,DETECT AGENT NOS DNA QUANT,,,40.7,117.69,15
CPT,87800,DETECT AGNT MULT DNA DIREC,,,41.49,119.97,15
CPT,87801,DETECT AGNT MULT DNA AMPLI,,,66.69,192.85,19
CPT,87802,STREP B ASSAY W/OPTIC,,,12.09,34.97,15
CPT,87803,CLOSTRIDIUM TOXIN A W/OPTIC,,,15.2,43.96,15
CPT,87804,INFLUENZA ASSAY W/OPTIC,,,15.72,45.47,19
CPT,87806,HIV AG W/HIV1&2 ANTB W/OPTIC,,,31.13,90.03,19
CPT,87807,RSV ASSAY W/OPTIC,,,12.45,35.99,19
CPT,87808,TRICHOMONAS ASSAY W/OPTIC,,,14.53,42.0,19
CPT,87809,ADENOVIRUS ASSAY W/OPTIC,,,20.67,59.78,19
CPT,87810,CHLMYD TRACH ASSAY W/OPTIC,,,33.53,96.95,15
CPT,87811,SARS-COV-2 COVID19 W/OPTIC,,,39.31,113.68,20
CPT,87850,N. GONORRHOEAE ASSAY W/OPTIC,,,23.33,67.47,15
CPT,87880,STREP A ASSAY W/OPTIC,,,15.7,45.41,19
CPT,87899,AGENT NOS ASSAY W/OPTIC,,,15.27,44.15,19
CPT,87900,PHENOTYPE INFECT AGENT DRUG,,,123.83,358.1,15
CPT,87901,NFCT AGT GNTYP ALYS HIV1 REV,,,244.58,707.27,15
CPT,87902,NFCT AGT GNTYP ALYS HEP C,,,244.58,707.27,15
CPT,87903,PHENOTYPE DNA HIV W/CULTURE,,,464.23,1342.45,15
CPT,87904,PHENOTYPE DNA HIV W/CLT ADD,,,24.77,71.62,15
CPT,87905,IA NZMTC ACTV OTH/THN VIRUS,,,11.61,33.57,19
CPT,87906,NFCT AGT GNTYP ALYS HIV1,,,122.29,353.65,15
CPT,87910,NFCT AGT GNTYP ALYS CMV,,,244.58,707.27,15
CPT,87912,NFCT AGT GNTYP ALYS HEP B,,,244.58,707.27,15
CPT,87913,NFCT AGT GNTYP ALYS SARSCOV2,,,244.58,707.27,15
CPT,87999,UNLISTED MICROBIOLOGY PX,,,1.0,1.0,3
CPT,88007,AUTOPSY (NECROPSY) GROSS,,,9.29,9.29,3
CPT,88014,AUTOPSY (NECROPSY) GROSS,,,35.65,35.65,3
CPT,88104,CYTOPATH FLUID ETC 88104,188.0,150.4,17.78,169.2,34
CPT,88106,CYTOPATH FL NONGYN FILTER,,,13.2,71.24,15
CPT,88108,CYTOPATH CONC 88108,200.0,160.0,17.78,180.0,34
CPT,88112,CYTOPATH WINTERP 88112,179.0,143.2,24.02,161.1,34
CPT,88120,CYTP URNE 3-5 PROBES EA SPEC,,,75.71,578.87,15
CPT,88121,CYTP URINE 3-5 PROBES CMPTR,,,75.71,418.76,15
CPT,88125,FORENSIC CYTOPATHOLOGY,,,24.02,68.15,15
CPT,88130,SEX CHROMATIN IDENTIFICATION,,,17.08,49.39,15
CPT,88140,SEX CHROMATIN IDENTIFICATION,,,7.59,21.95,15
CPT,88141,CYTOPATH C/V INTERPRET,,,1.0,25.26,15
CPT,88142,CYTO CERV THN MAN 88142,87.0,69.6,19.25,78.3,34
CPT,88143,CYTOPATH C/V THIN LAYER REDO,,,21.89,63.3,15
CPT,88147,CYTOPATH C/V AUTOMATED,,,48.03,138.9,15
CPT,88148,CYTOPATH C/V AUTO RESCREEN,,,17.28,49.97,15
CPT,88150,CYTOPATH C/V MANUAL,,,17.28,49.97,15
CPT,88152,CYTOPATH C/V AUTO REDO,,,26.26,75.93,15
CPT,88153,CYTOPATH C/V REDO,,,22.83,66.02,15
CPT,88155,CYTOPATH C/V INDEX ADD-ON,,,13.92,40.25,15
CPT,88160,CYTOP SMR OTH SCRN INTRP 88160,178.0,142.4,13.2,160.2,34
CPT,88161,CYTOP SMR PREP SCRN INTRP88161,161.0,128.8,13.2,144.9,34
CPT,88162,CYTOPATH SMEAR OTHER SOURCE,,,24.02,128.49,15
CPT,88164,CYTOPATH CERV BETH 88164,54.0,43.2,17.28,49.97,34
CPT,88165,CYTOPATH TBS C/V REDO,,,40.11,115.99,15
CPT,88166,CYTOPATH TBS C/V AUTO REDO,,,17.28,49.97,15
CPT,88167,CYTOPATH TBS C/V SELECT,,,17.28,49.97,15
CPT,88172,FNA IMMED EVAL 88172,81.0,64.8,27.14,214.84,34
CPT,88173,FNA INTERP REPORT 88173,308.0,246.4,24.02,277.2,34
CPT,88174,CYTOPATH C/V AUTO IN FLUID,,,24.1,69.7,15
CPT,88175,CYTO CERV THN AUTO 88175,113.0,90.4,25.28,101.7,34
CPT,88177,CYTOPATHOLOGY FNA EVAL EA ADDL 88177,54.0,43.2,1.0,48.6,34
CPT,88182,CELL MARKER STUDY,,,24.02,166.77,15
CPT,88184,FLOW TC 1ST MARKER 88184,281.0,224.8,77.89,452.09,34
CPT,88184,PI LINKED AG 1ST MARKER 88184,281.0,224.8,77.89,452.09,34
CPT,88185,FLOW ADDITIONAL MARKERS 88185.023,123.0,98.4,1.0,110.7,34
CPT,88185,FLOW TR ADDNL MARKER 88185,177.0,141.6,1.0,159.3,34
CPT,88185,PCLI ADDITIONAL MARKER 88185,177.0,141.6,1.0,159.3,34
CPT,88185,PI LINKED AG ADDNL MARKR 88185,177.0,141.6,1.0,159.3,34
CPT,88187,FLOWCYTOMETRY/READ 2-8,,,32.0,55.25,15
CPT,88188,FLOWCYTOMETRY/READ 9-15,,,54.36,95.24,15
CPT,88189,FLOWCYTOMETRY/READ 16 & >,,,73.96,128.92,15
CPT,88199,UNLISTED CYTOPATHOLOGY PX,,,24.02,68.15,11
CPT,88230,TISSUE CULTURE LYMPHOCYTE,,,110.67,320.02,15
CPT,88233,TISSUE CULTURE SKIN/BIOPSY,,,133.69,386.61,15
CPT,88235,TISSUE CULTURE PLACENTA,,,142.79,412.9,15
CPT,88237,CHROMOSOME TISSUE BM BL 88237,557.0,445.6,136.56,501.3,34
CPT,88239,TISSUE CULTURE TUMOR,,,140.14,405.27,15
CPT,88240,CELL CRYOPRESERVE/STORAGE,,,12.42,35.91,15
CPT,88241,FROZEN CELL PREPARATION,,,11.49,33.21,15
CPT,88245,CHROMOSOME ANALYSIS 20-25,,,164.51,475.73,15
CPT,88248,CHROMOSOME ANALYSIS 50-100,,,164.51,475.73,15
CPT,88249,CHROMOSOME ANALYSIS 100,,,164.51,475.73,15
CPT,88261,CHROMOSOME ANALYSIS 5,,,251.12,726.19,15
CPT,88262,CHROMOSOME ANALYSIS 15-20,,,119.22,344.75,15
CPT,88263,CHROMOSOME ANALYSIS 45,,,142.78,412.88,15
CPT,88264,CHROMOSOME ANALYSIS 20-25,,,137.38,397.27,15
CPT,88267,CHROMOSOME ANALYS PLACENTA,,,179.14,518.04,15
CPT,88269,CHROMOSOME AMN ANALYSIS 88269,653.0,522.4,164.98,587.7,34
CPT,88271,CYTOGENETICS DNA PROBE,,,20.35,58.85,15
CPT,88272,CYTOGENETICS 3-5,,,38.67,111.81,15
CPT,88273,CYTOGENETICS 10-30,,,33.07,95.63,15
CPT,88274,CYTOGENETICS 25-99,,,40.26,116.43,15
CPT,88275,CYTOGENETICS 100-300,,,48.63,140.63,15
CPT,88280,CHROMOSOME KARYOTYPE STUDY,,,31.8,91.95,15
CPT,88283,CHROMOSOME BANDING STUDY,,,65.17,188.46,15
CPT,88285,CHROMOSOME COUNT ADDITIONAL,,,25.56,73.93,15
CPT,88289,CHROMOSOME STUDY ADDITIONAL,,,32.71,94.59,15
CPT,88291,CYTO/MOLECULAR REPORT,,,30.96,52.62,15
CPT,88299,UNLISTED CYTOGENETIC STUDY,,,24.02,68.15,11
CPT,88300,GROSS ONLY 88300,43.0,34.4,13.2,38.7,34
CPT,88302,SURGICAL PATH LEVEL II 88302,104.0,83.2,13.2,93.6,34
CPT,88304,SURGICAL PATH LEVEL III 88304,139.0,111.2,24.02,125.1,34
CPT,88305,PROSTATE BIOPSY 88305.05,143.0,114.4,24.02,128.7,34
CPT,88305,SURGICAL PATH LEVEL IV 88305,143.0,114.4,24.02,128.7,34
CPT,88307,SURGICAL PATH LEVEL V 88307,876.0,700.8,159.32,788.4,34
CPT,88309,SURGICAL PATH LEVEL VI 88309,1246.0,996.8,381.13,1121.4,34
CPT,88311,DECALCIFIED TISSUE 88311,88.0,70.4,1.0,79.2,34
CPT,88312,STAIN SPECIAL I 88312,275.0,220.0,24.02,247.5,34
CPT,88313,STAIN SPECIAL II 88313,220.0,176.0,27.11,198.0,34
CPT,88314,FROZEN SECT SP PROCEDURE 88314,244.0,195.2,1.0,219.6,34
CPT,88319,ESTERASE NONSPECIFIC 88319,355.0,284.0,118.93,1081.53,34
CPT,88319,ESTERASE SPECIFIC,355.0,284.0,118.93,1081.53,34
CPT,88321,CONSLTJ&REPRT SLD PREP ELSWR,,,17.78,81.22,15
CPT,88323,CONS &REPRT WSLIDE PREP 88323,126.0,100.8,24.02,114.84,34
CPT,88323,CONSULT OSS WITH RECUT 88323,126.0,100.8,24.02,114.84,34
CPT,88323,"NPUP NERVEPATH CONSULT, W/USS PROF 88323.003",126.0,100.8,24.02,114.84,34
CPT,88325,CONSLTJ COMPRE RVW REC REPRT,,,75.71,214.84,15
CPT,88329,PATH CONSLTJ DRG SURG,,,27.11,76.93,15
CPT,88331,FROZEN SECTION INITIAL 88331,133.0,106.4,44.56,214.84,34
CPT,88332,FROZEN SECT ADDNL SLIDE 88332,79.0,63.2,1.0,71.1,34
CPT,88333,TOUCH PREP INITIAL CYTE,144.0,115.2,48.24,1081.53,34
CPT,88334,TOUCH PREP EA ADDT SITE,90.0,72.0,1.0,81.0,34
CPT,88341,IMMUNOHISTO ANTIBODY SLIDE EA ADDL SINGLE STAIN 88341,189.0,151.2,1.0,170.1,34
CPT,88342,IMMUNOPEROXIDASE STAIN 88342,212.0,169.6,71.02,214.84,34
CPT,88342,PNS1 IHC INITIAL SINGLE ANTIBODY STAIN  88342.001,212.0,169.6,71.02,214.84,34
CPT,88344,IMMUNOHISTO ANTIBODY SLIDE EA MULTIPLEX STAIN 88344,519.0,415.2,159.32,467.1,34
CPT,88346,IMMUNOFLOUR RENAL BX 88346,376.0,300.8,75.71,338.4,34
CPT,88348,ELECTRON MICROSCOPY DIAGNOSTIC 88348,1278.0,1022.4,381.13,1150.2,34
CPT,88350,IMMUNOFLUOR ANTB ADDL STAIN 88350,273.0,218.4,1.0,245.7,34
CPT,88355,M/PHMTRC ALYS SKELETAL MUSC,,,75.71,214.84,15
CPT,88356,ANALYSIS NERVE,,,24.02,235.01,15
CPT,88358,MORPHOMETRIC ANALYSIS TUMOR (DNA PLOIDY) 88358,261.0,208.8,75.71,234.9,34
CPT,88360,MORPHOMET ANALYS MANUAL 88360,249.0,199.2,75.71,224.1,34
CPT,88361,TUMOR IMMUNOHISTOCHEM/COMPUT,,,119.17,452.09,15
CPT,88362,NERVE TEASING PREPARATIONS,,,228.69,1081.53,15
CPT,88363,XM ARCHIVE TISSUE MOLEC ANAL,,,13.2,37.46,15
CPT,88364,INSITU HYBRID (FISH) EA ADDL SINGLE PROBE STAIN 88364,391.0,312.8,1.0,351.9,34
CPT,88365,FISH INITIAL PROBE 88365,537.0,429.6,75.71,483.3,34
CPT,88365,HSV HPV ISH INITIAL 88365,537.0,429.6,75.71,483.3,34
CPT,88366,INSITU HYBRIDIZATION (FISH),,,75.71,271.29,15
CPT,88367,INSITU HYBRIDIZATION AUTO,,,111.51,452.09,15
CPT,88368,IN SITU HYBRID MANUAL EA PROBE 88368,326.0,260.8,109.21,452.09,34
CPT,88369,IN SITU HYBRID MANUAL EA ADDL SINGLE STAIN 88369,289.0,231.2,1.0,260.1,34
CPT,88371,PROTEIN WESTERN BLOT TISSUE,,,1.0,61.07,15
CPT,88372,PROTEIN ANALYSIS W/PROBE,,,1.0,72.03,15
CPT,88373,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,1.0,67.57,15
CPT,88374,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,75.71,287.27,15
CPT,88375,OPTICAL ENDOMICROSCPY INTERP,,,41.95,73.67,15
CPT,88377,MORPHOMETRIC ANLYS IN SITU HYBRID MANL PER SPEC EA MULTIX PROBE STAIN 88377,1002.0,801.6,75.71,901.8,34
CPT,88380,MICRODISSECTION LASER,,,1.0,127.33,15
CPT,88381,MICRODISSECTION MANUAL,,,1.0,201.06,15
CPT,88387,MACROSCOPIC XM DSJ&PREP TISS,,,1.0,33.54,15
CPT,88388,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,88388,Therapy,,,35.95,35.95,4
CPT,88399,UNLISTED SURGICAL PATH PX,,,24.02,68.15,11
CPT,88720,BILIRUBIN TOTAL TRANSCUT,,,4.77,13.79,15
CPT,88738,HGB QUANT TRANSCUTANEOUS,,,4.77,13.79,15
CPT,88740,TRANSCUTANEOUS CARBOXYHB,,,8.9,25.74,15
CPT,88741,TRANSCUTANEOUS METHB,,,8.9,25.74,15
CPT,89049,CHCT FOR MAL HYPERTHERMIA,,,60.58,214.84,15
CPT,89050,BODY FLUID CELL COUNT,,,4.48,12.97,15
CPT,89051,BODY FLUID CELL COUNT,,,5.32,15.38,15
CPT,89055,LEUKOCYTE ASSESSMENT FECAL,,,4.06,11.73,15
CPT,89060,EXAM SYNOVIAL FLUID CRYSTALS,,,6.96,27.36,15
CPT,89125,SPECIMEN FAT STAIN,,,5.59,16.15,15
CPT,89160,EXAM FECES FOR MEAT FIBERS,,,4.61,13.32,15
CPT,89190,NASAL SMEAR FOR EOSINOPHILS,,,5.5,15.91,15
CPT,89220,SPUTUM SPECIMEN COLLECTION,,,19.31,214.84,15
CPT,89230,COLLECT SWEAT FOR TEST,,,3.0,62.51,15
CPT,89240,UNLISTED MISC PATH TEST,,,24.02,68.15,11
CPT,89250,CULTR OOCYTE/EMBRYO <4 DAYS,,,75.71,214.84,11
CPT,89251,CULTR OOCYTE/EMBRYO <4 DAYS,,,75.71,214.84,11
CPT,89253,EMBRYO HATCHING,,,75.71,214.84,11
CPT,89254,OOCYTE IDENTIFICATION,,,75.71,214.84,11
CPT,89255,PREPARE EMBRYO FOR TRANSFER,,,24.02,68.15,11
CPT,89257,SPERM IDENTIFICATION,,,24.02,68.15,11
CPT,89258,CRYOPRESERVATION EMBRYO(S),,,381.13,1081.53,11
CPT,89259,CRYOPRESERVATION SPERM,,,75.71,214.84,11
CPT,89260,SPERM ISOLATION SIMPLE,,,24.02,68.15,11
CPT,89261,SPERM ISOLATION COMPLEX,,,24.02,68.15,11
CPT,89264,IDENTIFY SPERM TISSUE,,,24.02,68.15,11
CPT,89268,INSEMINATION OF OOCYTES,,,75.71,214.84,11
CPT,89272,EXTENDED CULTURE OF OOCYTES,,,381.13,1081.53,11
CPT,89280,ASSIST OOCYTE FERTILIZATION,,,381.13,1081.53,11
CPT,89281,ASSIST OOCYTE FERTILIZATION,,,75.71,214.84,11
CPT,89290,BIOPSY OOCYTE POLAR BODY <=5,,,75.71,214.84,11
CPT,89291,BIOPSY OOCYTE POLAR BODY,,,75.71,214.84,11
CPT,89300,SEMEN ANALYSIS W/HUHNER,,,9.35,27.03,19
CPT,89310,SEMEN ANALYSIS W/COUNT,,,8.18,23.65,15
CPT,89320,SEMEN ANAL VOL/COUNT/MOT,,,11.69,33.82,15
CPT,89321,LV SPERM POST VAS 89321.002,75.0,60.0,11.45,67.5,38
CPT,89321,SPERM PRESENCE MOTILITY 89321,75.0,60.0,11.45,67.5,38
CPT,89322,SEMEN ANAL STRICT CRITERIA 89322,187.0,149.6,14.73,168.3,34
CPT,89325,SPERM ANTIBODY TEST,,,10.14,29.31,15
CPT,89329,SPERM EVALUATION TEST,,,18.61,53.82,15
CPT,89330,EVALUATION CERVICAL MUCUS,,,9.86,28.52,15
CPT,89331,SEMEN EVALUATION RETROGRADE EJACULATION 89331,63.0,50.4,18.61,56.7,34
CPT,89331,SPERM RETRO EJECUL 89331,232.0,185.6,18.61,208.8,34
CPT,89335,CRYOPRESERVE TESTICULAR TISS,,,24.02,68.15,11
CPT,89337,CRYOPRESERVATION OOCYTE(S),,,75.71,214.84,11
CPT,89342,STORAGE/YEAR EMBRYO(S),,,75.71,214.84,11
CPT,89343,STORAGE/YEAR SPERM/SEMEN,,,75.71,214.84,11
CPT,89344,STORAGE/YEAR REPROD TISSUE,,,75.71,214.84,11
CPT,89346,STORAGE/YEAR OOCYTE(S),,,75.71,214.84,11
CPT,89352,THAWING CRYOPRESRVED EMBRYO,,,75.71,214.84,11
CPT,89353,THAWING CRYOPRESRVED SPERM,,,24.02,68.15,11
CPT,89354,THAW CRYOPRSVRD REPROD TISS,,,75.71,214.84,11
CPT,89356,THAWING CRYOPRESRVED OOCYTE,,,75.71,214.84,11
CPT,89398,SEMEN STRICT MORPHOLOGY 89398.002,77.0,61.6,20.37,69.3,34
CPT,90281,HUMAN IG IM,,,101.55,106.12,7
CPT,90283,HUMAN IG IV,,,54.0,75.85,7
CPT,90284,HUMAN IG SC,,,15.17,19.81,7
CPT,90287,BOTULINUM ANTITOXIN,,,306.51,306.51,3
CPT,90288,BOTULISM IG IV,,,48705.0,58905.0,7
CPT,90291,CMV IG IV,,,1791.99,1791.99,7
CPT,90296,DIPHTHERIA ANTITOXIN,,,220.07,220.07,3
CPT,90371,HEP B IG IM,,,127.48,146.86,15
CPT,90375,Rabies Immune Globulin (Human) Inj 1500 Unt/5ML (300 Unt/ML),8086.57,6469.26,265.86,7277.91,68
CPT,90375,Rabies Immune Globulin (Human) Inj 300 Unit/ML,1763.19,1410.56,265.86,1586.87,68
CPT,90375,Rabies Immune Globulin (Human) Inj 900 Unt/3ML (300 Unt/ML),5122.24,4097.8,265.86,4610.02,68
CPT,90376,RABIES IG HEAT TREATED,,,170.9,461.62,15
CPT,90377,RABIES IG HT&SOL HUMAN IM/SC,,,211.13,250.49,15
CPT,90378,Palivizumab IM Soln 100 MG/ML,11664.58,9331.67,339.68,10498.12,68
CPT,90378,Palivizumab IM Soln 50 MG/0.5ML,6247.91,4998.33,339.68,5623.12,68
CPT,90380,Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML,783.88,627.11,262.6,705.49,52
CPT,90381,Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML,1532.08,1225.67,504.9,1378.87,26
CPT,90382,RSV MONOC ANTB SEASN .7ML IM,,,567.12,567.12,4
CPT,90384,RHO(D) IMMUNE GLOB(RHIG) HUMAN,324.0,259.2,84.49,291.6,26
CPT,90385,RH IG MINIDOSE IM,,,1.0,1.0,3
CPT,90386,RH IG IV,,,36.94,36.94,7
CPT,90389,TETANUS IG IM,,,662.15,662.15,7
CPT,90396,VARICELLA-ZOSTER IG IM,,,2049.23,2479.91,15
CPT,90460,IM ADMIN 1ST/ONLY COMPONENT,,,20.82,40.14,15
CPT,90461,IM ADMIN EACH ADDL COMPONENT,,,7.8,15.12,15
CPT,90471,ADMIN HEPATITIS B VACCINE,90.5,72.39999999999999,8.04,141.3,68
CPT,90471,ADMIN INFLUENZA VIR VAC,157.0,125.6,20.64,141.3,34
CPT,90471,ADMIN PNEUMOCOCCAL VAC,157.0,125.6,20.64,141.3,34
CPT,90471,ED 90471 IMMUNE ADMIN 1 VACCINE,160.0,128.0,20.64,144.0,34
CPT,90471,ED G0008 ADMIN INFLUENZA VIRUS VACCINE,121.0,96.8,20.64,108.9,34
CPT,90471,ED G0010 ADMIN HEPATITIS B VACCINE,121.0,96.8,20.64,108.9,34
CPT,90471,IMMUN ADMIN 1 VACCINE,90.5,72.39999999999999,8.04,141.3,68
CPT,90472,ED 90472 IMMUN ADMIN EA ADDL VACCINE,132.0,105.6,1.0,118.8,34
CPT,90472,IMMUN ADMIN EA ADDL VACCINE,114.0,91.2,1.0,102.6,34
CPT,90473,IMMUN ADM 1 VACC INTRANAS ORAL,130.0,104.0,16.64,117.0,34
CPT,90474,IMMUN ADM ADDL VACC ORAL NASAL,111.0,88.8,1.0,99.9,34
CPT,90476,ADENOVIRUS VACCINE TYPE 4,,,166.36,472.07,3
CPT,90480,CDMR IMM ADMN SARSCOV2 VACCINE 1ST OR ONLY COMPONENT,89.0,71.2,19.29,80.1,34
CPT,90581,ANTHRAX VACCINE SC OR IM,,,100.98,201.96,7
CPT,90585,BCG VACCINE PERCUT,,,160.21,185.61,7
CPT,90586,BCG VACCINE INTRAVESICAL,,,144.5,178.35,7
CPT,90587,DENGUE VACC QUAD 3 DOSE SUBQ,,,67.32,106.09,7
CPT,90589,CHIKUNGUNYA VACCINE LIVE IM,,,140.25,140.25,7
CPT,90593,CHIKUNGUNYA VACC RECOMB IM,,,280.5,280.5,4
CPT,90611,SMALLPOX&MONKEYPOX VAC 0.5ML,,,0.01,275.4,14
CPT,90619,"Meningococcal (A, C, Y, and W-135) Tetanus Conjugate Vaccine",495.26,396.21,165.91,445.73,26
CPT,90620,Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe,516.37,413.1,172.98,464.73,52
CPT,90621,Meningococcal Group B Vac (Recomb) IM Susp Prefilled Syr,507.56,406.05,170.03,456.8,52
CPT,90622,VACCINIA VRS VAC 0.3 ML PERQ,,,0.01,0.01,10
CPT,90623,MENACWY-TT MENB-FHBP VACC IM,,,235.24,242.28,7
CPT,90624,MENB-4C&MENACWY VACC IM,,,255.64,255.64,4
CPT,90625,CHOLERA VACCINE LIVE ORAL,,,280.5,297.33,7
CPT,90626,TIC-BRN ENCEPH VAC 0.25ML IM,,,295.22,309.98,7
CPT,90627,TIC-BRN ENCEPH VAC 0.5ML IM,,,295.22,309.98,7
CPT,90630,Outpatient Services - CPT/HCPCS,,,20.34,20.34,3
CPT,90632,Hepatitis A Vaccine Inj Susp 50 Unit/ML,447.12,357.7,1.0,402.41,26
CPT,90633,Hepatitis A Vaccine Inj Susp 25 Unit/0.5ML,412.93,330.35,1.0,371.64,52
CPT,90634,HEPA VACC PED/ADOL 3 DOSE,,,38.64,38.64,3
CPT,90636,Hep A-Hep B Vaccine Susp Pref Syr 720-20 ELU-MCG/ML,477.75,382.2,1.0,429.98,26
CPT,90644,HIB-MENCY VACC 6WK-18M0 IM,,,340.39,340.39,3
CPT,90647,Haemophilus B Polysaccharide Conj Vac IM Susp 7.5 MCG/0.5 ML,410.41,328.33,1.0,369.37,26
CPT,90648,Haemophilus B Polysaccharide Conjugate Vaccine For Inj,405.54,324.44,1.0,364.99,26
CPT,90649,4VHPV VACCINE 3 DOSE IM,,,163.41,163.41,3
CPT,90650,2VHPV VACCINE 3 DOSE IM,,,266.31,266.31,3
CPT,90651,Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr,564.43,451.55,189.08,507.99,26
CPT,90653,Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML,70.06,56.05,23.47,103.07,68
CPT,90654,Outpatient Services - CPT/HCPCS,,,18.92,18.92,3
CPT,90655,IIV3 VACC NO PRSV 0.25 ML IM,,,17.24,17.24,3
CPT,90656,CDMR PF 90656 FLU VACC TRIVALENT SPLT PF 0.5 ML DOSAGE IM,33.0,26.4,11.06,29.7,34
CPT,90657,IIV3 VACCINE SPLT 0.25 ML IM,,,6.02,11.59,15
CPT,90658,IIV3 VACCINE SPLT 0.5 ML IM,,,12.5,23.17,15
CPT,90660,LAIV3 VACCINE INTRANASAL,,,20.99,31.2,15
CPT,90661,CDMR PF 90661 FLU VAC TRIVALENT CELL CULT ANTIBIOTIC FREE 0.5 ML IM,52.0,41.6,17.42,51.97,34
CPT,90661,Influenza Virus Vac Tiss-Cult Subunit Susp Pref Syr 0.5 ML,31.96,25.57,10.71,51.97,68
CPT,90662,IIV NO PRSV INCREASED AG IM,,,73.4,103.07,15
CPT,90670,PCV13 VACCINE IM,,,230.83,270.89,15
CPT,90671,Pneumococcal 15-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML,570.17,456.14,191.01,513.15,68
CPT,90672,LAIV4 VACCINE INTRANASAL,,,27.79,27.79,7
CPT,90673,Influenza Virus Vacc Recombinant HA PF Soln Pref Syr 0.5 ML,71.97,57.58,24.11,103.07,68
CPT,90674,CCIIV4 VAC NO PRSV 0.5 ML IM,,,34.17,34.17,7
CPT,90675,"Rabies Vaccine, PCEC For Inj",663.5799999999999,530.865,152.68,608.04,68
CPT,90675,"Rabies Virus Vaccine, HDC For Inj Susp",644.79,515.8399999999999,152.68,591.79,68
CPT,90676,RABIES VACCINE ID,,,118.57,336.45,11
CPT,90677,Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML,659.39,527.52,220.9,593.45,34
CPT,90678,PF 90678 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE,463.0,370.4,155.11,416.7,26
CPT,90679,RSV VACC PREF RECOMB ADJT IM,,,312.48,312.48,4
CPT,90680,"Rotavirus Vaccine, Live Oral Pentavalent Soln",73.44,58.76,24.6,104.67,26
CPT,90681,RV1 VACC 2 DOSE LIVE ORAL,,,141.39,149.83,7
CPT,90682,"CDMR PF 90682 FLU VACCINE RIV4, QUADRIVALENT 0.5 ML DOSE IM",108.0,86.4,36.18,97.2,26
CPT,90683,RSV VACC MRNA LIPID NANO IM,,,295.8,295.8,4
CPT,90684,Pneumococcal 21-Valent Conjugate Vaccine Soln Pref Syr 0.5ML,613.23,490.59,205.43,551.91,68
CPT,90685,CDMR PF 90685 FLU VACC QUAD PRESSERV 0.25 ML DOSAGE IM,32.0,25.6,8.46,28.8,26
CPT,90686,"CDMR PF 90686 FLU VACC QUAD , PRESSERVFREE, 0.5 ML DOSAGE IM",33.0,26.4,11.06,29.7,26
CPT,90687,IIV4 VACCINE SPLT 0.25 ML IM,,,10.44,10.44,7
CPT,90688,IIV4 VACCINE SPLT 0.5 ML IM,,,20.88,20.88,7
CPT,90690,TYPHOID VACCINE ORAL,,,27.2,27.2,3
CPT,90691,TYPHOID VACCINE IM,,,1.0,1.0,3
CPT,90694,VACC AIIV4 NO PRSRV 0.5ML IM,,,77.36,77.36,7
CPT,90696,"Diph-Tetanus-Acell Pert-Polio, IPV Vacc Susp Pref Syr 0.5 ML",431.82,345.46,1.0,388.64,26
CPT,90697,Diph-Tet Tox-Ac Pert Ad-Polio IPV-Hib-Hep B Rec Susp Pre Syr,504.34,403.48,149.28,453.91,52
CPT,90698,Diph-Ac Per-Tet Tox Ad-PolioV-Haemoph B Poly Vac For IM Susp,453.28,362.63,1.0,407.95,78
CPT,90700,"Diph, Acellular Pert & Tet Tox Inj 15 LF-23 MCG-5 LF/0.5ML",407.39,325.92,1.0,366.65,52
CPT,90702,DT VACCINE UNDER 7 YRS IM,,,1.0,1.0,3
CPT,90707,Measles-Mumps-Rubella Virus Vaccines For Inj Soln,448.84,359.08,1.0,403.96,52
CPT,90710,Measles-Mumps-Rubella-Varicella Virus Vaccines For Susp,570.71,456.57,74.35,513.64,26
CPT,90713,"Poliovirus Vaccine, IPV Injection",410.215,328.17499999999995,1.0,371.05,52
CPT,90714,Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU,412.44,329.96,1.0,375.74,78
CPT,90715,PF 90715 TDAP VACC >7 YR IM,140.0,112.0,1.0,126.0,26
CPT,90715,Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML,421.15999999999997,336.93,1.0,379.94,78
CPT,90716,Varicella Virus Vac Live For Inj 1350 PFU/0.5ML,483.05,386.44,161.82,434.75,26
CPT,90717,YELLOW FEVER VACCINE SUBQ,,,1.0,1.0,3
CPT,90723,Diph-Tet Tox-Acell Pert-Hep B-Polio IPV Vac Susp Pref Syr,472.74,378.2,99.29,425.47,26
CPT,90732,Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML,293.23,234.59,98.23,263.91,34
CPT,90733,MPSV4 VACCINE SUBQ,,,106.49,106.49,3
CPT,90734,"Meningococcal (A, C, Y, and W-135) Oligo Conj Vac For Inj",496.07,396.86,151.6,446.46,52
CPT,90736,HZV VACCINE LIVE SUBQ,,,196.36,196.36,3
CPT,90738,INACTIVATED JE VACC IM,,,293.35,300.99,7
CPT,90739,Hepatitis B Vaccine Recomb Adjuvanted Pref Syr 20 MCG/0.5ML,484.35,387.48,158.87,435.92,68
CPT,90740,HEPB VACC 3 DOSE IMMUNSUP IM,,,152.12,199.89,15
CPT,90743,HEPB VACC 2 DOSE ADOLESC IM,,,71.39,78.9,15
CPT,90744,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 5 MCG/0.5ML,32.41,25.93,10.86,33.25,68
CPT,90746,Hepatitis B Vaccine (Recombinant) Susp 10 MCG/ML,419.75,335.8,66.86,377.78,34
CPT,90746,Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML,440.98,352.79,66.86,396.88,34
CPT,90746,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML,436.77,349.42,66.86,393.09,34
CPT,90747,"Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML",492.97,394.38,133.71,443.67,34
CPT,90747,Hepatitis B Vaccine (Recombinant) Susp 40 MCG/ML,486.59,389.28,133.71,437.93,34
CPT,90748,HIB-HEPB VACCINE IM,,,42.9,42.9,3
CPT,90749,UNLISTED VACCINE/TOXOID,,,1.0,1.0,3
CPT,90750,HZV VACC RECOMBINANT IM,,,183.55,219.82,7
CPT,90756,CCIIV4 VACC ABX FREE IM,,,32.37,32.38,7
CPT,90759,HEP B VAC 3AG 10MCG 3 DOS IM,,,66.05,77.51,15
CPT,90785,PSYTX COMPLEX INTERACTIVE,,,1.0,14.73,15
CPT,90791,PSYCH DIAGNOSTIC EVAL,409.0,327.2,70.67,368.1,36
CPT,90792,PSYCH DX EVAL W MED SVCS,385.0,308.0,70.67,346.5,36
CPT,90832,PSYCHOTHERAPY W/PATIENT 16-37 MINUTES,245.0,196.0,68.24,220.5,36
CPT,90833,PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 16-37 MINUTES,169.0,135.2,1.0,152.1,34
CPT,90834,PSYCHOTHERAPY W/PATIENT 38-52 MINUTES,321.0,256.8,70.67,288.9,36
CPT,90836,PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 38-52 MINUTES,238.0,190.4,1.0,214.2,34
CPT,90837,PSYCHOTHERAPY W/PATIENT 53+ MINUTES,363.0,290.4,70.67,326.7,36
CPT,90838,PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 53+ MINUTES,294.0,235.2,1.0,264.6,34
CPT,90839,PSYCH THERAPY CRISIS 1ST 60 MINS,450.0,360.0,70.67,405.0,36
CPT,90840,PSYCH THERAPY CRISIS ADDL 30 MINS,195.0,156.0,1.0,175.5,34
CPT,90845,PSYCHOANALYSIS,584.0,467.2,70.67,525.6,34
CPT,90846,PSYCH THERAPY FAMILY WO PATIENT,310.0,248.0,70.67,279.0,36
CPT,90847,PSYCH THERAPY FAMILY WPATIENT,358.0,286.4,70.67,322.2,36
CPT,90849,PSYCH THERAPY GROUP FAMILY MULTI,304.0,243.2,29.29,273.6,36
CPT,90853,PSYCH THERAPY GROUP,266.0,212.8,23.97,239.4,36
CPT,90863,PHARMACOLOGIC MGMT W/PSYTX,,,22.48,40.72,15
CPT,90865,NARCOSYNTHESIS,,,70.67,200.54,15
CPT,90867,TCRANIAL MAGN STIM TX PLAN,,,139.12,394.78,13
CPT,90868,TCRANIAL MAGN STIM TX DELI,,,139.12,394.78,13
CPT,90869,TCRAN MAGN STIM REDETEMINE,,,139.12,394.78,13
CPT,90870,ECT,1919.0,1535.2,103.86,1727.1,36
CPT,90875,PSYCHOPHYSIOLOGICAL THERAPY,,,52.64,101.22,15
CPT,90876,PSYCHOPHYSIOLOGICAL THERAPY,,,91.87,160.55,15
CPT,90880,HYPNOTHERAPY,,,39.51,112.1,15
CPT,90882,ENVRN IVNTJ MED MGMT PSYC PT,,,12.72,36.11,3
CPT,90885,PSY EVALUATION OF RECORDS,,,1.0,46.94,15
CPT,90887,FEEDBACK SESSION,244.0,195.2,1.0,219.6,34
CPT,90889,PREPARATION OF REPORT,,,1.0,1.0,3
CPT,90899,BEHAVIORAL HEALTH TRIAGE VISIT,178.0,142.4,12.72,160.2,36
CPT,90901,BIOFEEDBACK 90901,240.0,192.0,18.97,216.0,34
CPT,90912,BFB TRAINING 1ST 15 MIN,,,41.94,80.67,15
CPT,90913,BFB TRAINING EA ADDL 15 MIN,,,23.63,41.3,15
CPT,90935,HEMODIALYSIS OP NON-ESRD,2065.0,1652.0,309.73,1858.5,36
CPT,90937,HEMODIALYSIS REPEATED EVAL,,,90.95,557.07,15
CPT,90940,HEMODIALYSIS ACCESS STUDY,,,1.0,1.0,3
CPT,90945,UNSCHED OP ESRD PERITONEAL DIALYSIS,1660.0,1328.0,196.31,1494.0,36
CPT,90947,DIALYSIS REPEATED EVAL,,,108.32,557.07,15
CPT,90951,ESRD SERV 4 VISITS P MO <2YR,,,1032.08,2020.83,15
CPT,90952,ESRD SERV 2-3 VSTS P MO <2YR,,,884.99,884.99,3
CPT,90953,ESRD SERV 1 VISIT P MO <2YRS,,,884.99,884.99,3
CPT,90954,ESRD SERV 4 VSTS P MO 2-11,,,890.4,1732.3,15
CPT,90955,ESRD SRV 2-3 VSTS P MO 2-11,,,466.8,901.05,15
CPT,90956,ESRD SRV 1 VISIT P MO 2-11,,,312.79,600.9,15
CPT,90957,ESRD SRV 4 VSTS P MO 12-19,,,684.17,1326.28,15
CPT,90958,ESRD SRV 2-3 VSTS P MO 12-19,,,445.9,863.24,15
CPT,90959,ESRD SERV 1 VST P MO 12-19,,,291.59,563.09,15
CPT,90960,ESRD SRV 4 VISITS P MO 20+,,,317.75,610.79,15
CPT,90961,ESRD SRV 2-3 VSTS P MO 20+,,,263.96,507.24,15
CPT,90962,ESRD SERV 1 VISIT P MO 20+,,,182.85,350.18,15
CPT,90963,ESRD HOME PT SERV P MO <2YRS,,,538.81,1047.06,15
CPT,90964,ESRD HOME PT SERV P MO 2-11,,,462.11,897.56,15
CPT,90965,ESRD HOME PT SERV P MO 12-19,,,444.98,861.5,15
CPT,90966,ESRD HOME PT SERV P MO 20+,,,263.96,507.24,15
CPT,90967,ESRD SVC PR DAY PT <2,,,15.6,557.07,15
CPT,90968,ESRD SVC PR DAY PT 2-11,,,15.29,557.07,15
CPT,90969,ESRD SVC PR DAY PT 12-19,,,14.98,557.07,15
CPT,90970,ESRD SVC PR DAY PT 20+,,,8.72,557.07,15
CPT,90989,DIALYSIS TRAINING COMPLETE,,,305.66,305.66,3
CPT,90993,DIALYSIS TRAINING INCOMPL,,,61.55,61.55,3
CPT,90997,HEMOPERFUSION,,,78.23,557.07,15
CPT,90999,CAPD OUTPT DAILY RATE,2025.0,1620.0,175.82,1822.5,27
CPT,90999,CAPD RETRAIN DAILY NOT COMPLETE,1530.0,1224.0,175.82,1377.0,27
CPT,90999,CAPD TRAIN DAILY NOT COMPLETE,2025.0,1620.0,175.82,1822.5,27
CPT,90999,CCPD OUTPT DAILY RATE,2025.0,1620.0,293.0,1822.5,27
CPT,90999,CCPD RETRAIN DAILY NOT COMPLETE,1530.0,1224.0,293.0,1377.0,27
CPT,90999,CCPD TRAIN DAILY NOT COMPLETE,2025.0,1620.0,293.0,1822.5,27
CPT,90999,HOME HEMODIALYSIS DAILY,2025.0,1620.0,410.24,1822.5,27
CPT,90999,HOME HEMODIALYSIS DAILY IN NURSING HOME,2025.0,1620.0,410.24,1822.5,27
CPT,90999,HOME HEMODIALYSIS DAILY IN-FACILITY BACKUP,2025.0,1620.0,410.24,1822.5,27
CPT,90999,HOME HEMODIALYSIS RETRAINING DAILY,2025.0,1620.0,410.24,1822.5,27
CPT,90999,HOME HEMODIALYSIS TRAINING DAILY,2025.0,1620.0,410.24,1822.5,27
CPT,90999,OP CHRONIC DIALYSIS,2025.0,1620.0,410.24,1822.5,27
CPT,90999,ULTRAFILTRATION ONLY,2025.0,1620.0,535.61,1822.5,27
CPT,91010,ESOPH MOTILITY STUDY,2389.0,1911.2,220.7,2150.1,36
CPT,91013,ESOPHGL MOTIL W/STIM/PERFUS,,,1.0,25.3,15
CPT,91020,GASTRIC MOTILITY STUDIES,,,237.56,674.12,17
CPT,91022,DUODENAL MOTILITY STUDY,,,173.43,674.12,17
CPT,91030,ACID PERFUSION OF ESOPHAGUS,,,145.13,674.12,17
CPT,91034,PH STUDY,3274.0,2619.2,191.07,2946.6,36
CPT,91035,BRAVO PLACEMENT,3404.0,2723.2,237.56,3063.6,36
CPT,91037,ESOPH IMPED FUNCTION TEST,,,139.12,394.78,17
CPT,91038,PH STUDY W IMPEDANCE,3300.0,2640.0,237.56,2970.0,36
CPT,91040,ENDOLUMINAL FUNCTIONAL LUMEN IMAGING PROBE ENDOFLIP,2072.0,1657.6,237.56,1864.8,36
CPT,91065,BREATH HYDROGEN/METHANE TEST,,,69.23,196.46,17
CPT,91110,CAPSULE ENDOSCOPY,3393.0,2714.4,401.78,3053.7,36
CPT,91111,GI TRC IMG INTRAL ESOPHAGUS,,,401.78,1140.14,17
CPT,91112,GI WIRELESS CAPSULE MEASURE,,,401.78,1606.79,15
CPT,91113,GI TRC IMG INTRAL COLON I&R,,,405.09,1149.53,17
CPT,91117,COLON MOTILITY 6 HR STUDY,,,133.82,394.78,17
CPT,91120,Outpatient Services,,,295.83,326.97,8
CPT,91120,Outpatient Services - CPT/HCPCS,,,139.12,394.78,5
CPT,91120,Therapy,,,499.31,499.31,4
CPT,91122,Outpatient Services,,,295.83,326.97,8
CPT,91122,Outpatient Services - CPT/HCPCS,,,139.12,394.78,5
CPT,91122,Therapy,,,275.62,275.62,4
CPT,91124,RECTAL SENSATION TONE & COMPLIANCE STUDY,1114.0,891.2,294.65,1002.6,26
CPT,91125,ANORECTAL MANOMETRY W RECTAL SENSATION & RECTAL BALLOON EXPULSION TEST,2194.0,1755.2,580.31,1974.6,26
CPT,91132,ELECTROGASTROGRAPHY,,,139.12,436.73,17
CPT,91133,ELECTROGASTROGRAPHY W/TEST,,,56.62,459.03,17
CPT,91200,LIVER ELASTOGRAPHY,,,30.62,196.46,17
CPT,91299,HIGH RESOLUTION ESOPHAGEAL MANOMETRY,2319.0,1855.2,69.23,2087.1,36
CPT,91300,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91301,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91302,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91303,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91304,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,148.2,171.72,13
CPT,91305,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91306,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91307,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91308,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91309,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91310,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91311,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91312,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91313,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91314,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91315,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91316,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91317,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91318,SARSCOV2 VAC 3MCG TRS-SUC IM,,,58.65,68.83,16
CPT,91319,SARSCV2 VAC 10MCG TRS-SUC IM,,,84.82,99.54,16
CPT,91320,COVID-19 mRNA Vac TriS-Pfizer IM Susp Pref Syr 30 MCG/0.3ML,495.12,396.1,131.1,445.61,34
CPT,91321,SARSCOV2 VAC 25 MCG/.25ML IM,,,131.58,154.41,16
CPT,91322,SARSCOV2 VAC 50 MCG/0.5ML IM,,,144.64,169.73,16
CPT,92002,INTRM OPH EXAM NEW PATIENT,,,44.61,166.26,17
CPT,92004,COMPRE OPH EXAM NEW PT 1/>,,,58.59,166.26,17
CPT,92012,INTRM OPH EXAM EST PATIENT,,,49.27,166.26,17
CPT,92014,COMPRE OPH EXAM EST PT 1/>,,,58.59,166.26,17
CPT,92015,DETERMINE REFRACTIVE STATE,,,17.14,24.16,15
CPT,92018,COMPL OPH EXAM GENERAL ANES,,,136.81,2939.12,17
CPT,92019,LMTD OPH EXAM GENERAL ANES,,,71.57,2939.12,17
CPT,92020,GONIOSCOPY,,,19.97,160.67,17
CPT,92025,CPTRIZED CORNEAL TOPOGRAPHY,,,27.11,76.93,17
CPT,92060,SENSORIMOTOR EXAMINATION,,,27.11,76.93,17
CPT,92065,ORTHOP TRAING PFRMD PHYS/QHP,,,32.95,57.59,15
CPT,92066,ORTHOP TRAING SUPVJ PHYS/QHP,,,26.3,76.93,17
CPT,92071,CONTACT LENS FITTING FOR TX,,,1.0,36.26,18
CPT,92072,FITG C-LENS KERATOCONUS 1ST,,,1.0,125.25,15
CPT,92081,LIMITED VISUAL FIELD XM,,,27.11,76.93,17
CPT,92082,INTERMEDIATE VISUAL FIELD XM,,,27.11,76.93,17
CPT,92083,EXTENDED VISUAL FIELD XM,,,56.62,160.67,17
CPT,92100,SERIAL TONOMETRY,,,1.0,85.85,15
CPT,92132,CPTRZD OPH DX IMG ANT SGM,,,27.11,76.93,17
CPT,92133,CPTRZD OPH DX IMG PST SGM ON,,,27.11,76.93,17
CPT,92134,CPTRZ OPH DX IMG PST SGM RTA,,,27.11,76.93,17
CPT,92136,OPHTHALMIC BIOMETRY,,,46.94,160.67,17
CPT,92137,CPTRZ OPH IMG PST SG RTA OCT,,,295.83,326.97,8
CPT,92145,CORNEAL HYSTERESIS DETER,,,12.98,76.93,17
CPT,92201,OPSCPY EXTND RTA DRAW UNI/BI,,,22.3,76.93,17
CPT,92202,OPSCPY EXTND ON/MAC DRAW,,,14.31,76.93,17
CPT,92227,IMG RTA DETCJ/MNTR DS STAFF,,,17.64,76.93,17
CPT,92228,IMG RTA DETC/MNTR DS PHY/QHP,,,17.78,50.45,17
CPT,92229,IMG RTA DETC/MNTR DS POC ALY,,,27.11,76.93,17
CPT,92230,FLUORESCEIN ANGIOSCOPY I&R,,,33.95,674.12,17
CPT,92235,FLUORESCEIN ANGRPH MLTIFRAME,,,139.12,394.78,17
CPT,92240,ICG ANGIOGRAPHY I&R UNI/BI,,,139.12,394.78,17
CPT,92242,FLUORESCEIN&ICG ANGIOGRAPHY,,,139.12,394.78,17
CPT,92250,FUNDUS PHOTOGRAPHY W/I&R,,,36.95,160.67,17
CPT,92260,OPHTHALMODYNAMOMETRY,,,10.65,50.45,17
CPT,92265,NDL OCULOELECTROMYOGRAPHY 1+,,,27.11,86.88,17
CPT,92270,ELECTRO-OCULOGRAPHY W/I&R,,,56.62,160.67,17
CPT,92273,FULL FIELD ERG W/I&R,,,125.83,394.78,15
CPT,92274,MULTIFOCAL ERG W/I&R,,,69.23,196.46,15
CPT,92283,EXTND COLOR VISION XM,,,27.11,76.93,17
CPT,92284,DX DARK ADAPTATION EXAM I&R,,,37.28,501.13,17
CPT,92285,EXTERNAL OCULAR PHOTOGRAPHY,,,17.78,50.45,17
CPT,92286,ANT SGM IMG I&R SPECLR MIC,,,38.95,160.67,17
CPT,92287,ANT SGM IMG IR FLRSCN ANGRPH,,,56.62,160.67,17
CPT,92310,CONTACT LENS FITTING OU,,,56.26,99.27,15
CPT,92311,CONTACT LENS FITG APHAKIA 1,,,50.26,501.13,17
CPT,92312,CONTACT LENS FITG APHAKIA OU,,,56.62,160.67,15
CPT,92313,C-LENS FITG CORNEOSCLRL LENS,,,41.94,160.67,15
CPT,92314,C-LENS FITG TECH OU,,,33.29,86.45,15
CPT,92315,C-LENS FITG TECH APHAKIA 1,,,20.31,160.67,15
CPT,92316,C-LENS FITG TECH APHAKIA OU,,,30.62,160.67,15
CPT,92317,C-LENS FITG TECH CORNEOSCLRL,,,17.78,50.45,15
CPT,92325,MODIFICATION OF CONTACT LENS,,,40.94,160.67,15
CPT,92326,REPLACEMENT OF CONTACT LENS,,,27.11,76.93,15
CPT,92340,FIT SPECTACLES MONOFOCAL,,,17.64,34.9,15
CPT,92341,FIT SPECTACLES BIFOCAL,,,22.64,39.79,15
CPT,92342,FIT SPECTACLES MULTIFOCAL,,,25.63,44.79,15
CPT,92352,FIT APHAKIA SPECTCL MONOFOCL,,,17.64,76.93,15
CPT,92353,FIT APHAKIA SPECTCL MULTIFOC,,,23.97,76.93,15
CPT,92354,FITG SPECT LOW VIS 1SYSTEM,,,13.98,50.45,15
CPT,92355,FITG SPECT LW VIS CMPND LENS,,,17.78,50.45,15
CPT,92358,APHAKIA PROSTH SERVICE TEMP,,,11.65,76.93,15
CPT,92370,RPR&REFITG SPECT XCP APHAKIA,,,15.31,30.49,15
CPT,92371,RPR&REFIT SPCT PRSTH APHAKIA,,,11.98,76.93,15
CPT,92499,UNLISTED OPH SVC/PROCEDURE,,,13.2,37.46,13
CPT,92502,EAR AND THROAT EXAMINATION,,,94.87,692.02,17
CPT,92504,EAR MICROSCOPY EXAMINATION,,,1.0,29.0,15
CPT,92507,SPEECH THERAPY TX 92507,390.0,312.0,69.23,351.0,34
CPT,92508,SPEECH THERAPY GROUP 92508,105.0,84.0,22.24,94.5,34
CPT,92511,ED 92511 NASOPHARYNGOSCOPY,373.0,298.4,37.61,335.7,36
CPT,92511,TX RM 92511 NASOPHARYNGOSCOPY W/ENDOSCOPE,501.0,400.8,37.61,450.9,36
CPT,92512,NASAL FUNCTION STUDIES,,,26.96,394.78,17
CPT,92516,FACIAL NERVE FUNCTION TEST,,,22.3,394.78,17
CPT,92517,VEMP TEST I&R CERVICAL,,,41.61,196.46,17
CPT,92518,VEMP TEST I&R OCULAR,,,42.28,196.46,17
CPT,92519,VEMP TST I&R CERVICAL&OCULAR,,,62.58,394.78,17
CPT,92520,LARYNGEAL FUNCTION STUDY 92520,484.0,387.2,39.28,435.6,36
CPT,92521,SPEECH EVAL FLUENCY 92521,484.0,387.2,69.23,435.6,34
CPT,92522,SPEECH EVAL SOUND PRODUCTION 92522,484.0,387.2,69.23,435.6,34
CPT,92523,SPEECH EVAL LANG COMP EXPRESSION 92523,584.0,467.2,69.23,525.6,34
CPT,92524,ST BEHAVIOR QUALIT ANALYSIS VOICE 92524,494.0,395.2,69.23,444.6,34
CPT,92526,DYSPHAGIA THERAPY 92526,349.0,279.2,78.1,314.1,34
CPT,92526,SWALLOW DYSFUNCTN TREAT,349.0,279.2,78.1,314.1,34
CPT,92531,SPONTANEOUS NYSTAGMUS STUDY,,,1.0,1.0,3
CPT,92532,POSITIONAL NYSTAGMUS TEST,,,1.0,1.0,3
CPT,92533,CALORIC VESTIBULAR TEST,,,1.0,1.0,3
CPT,92534,OPTOKINETIC NYSTAGMUS TEST,,,1.0,1.0,3
CPT,92537,CALORIC VSTBLR TEST W/REC,,,39.61,196.46,17
CPT,92538,CALORIC VSTBLR TEST W/REC,,,22.3,196.46,17
CPT,92540,BASIC VESTIBULAR EVALUATION,,,69.23,196.46,17
CPT,92541,SPONTANEOUS NYSTAGMUS TEST,,,24.97,160.67,17
CPT,92542,POSITIONAL NYSTAGMUS TEST,,,28.63,160.67,17
CPT,92544,OPTOKINETIC NYSTAGMUS TEST,,,17.64,196.46,17
CPT,92545,OSCILLATING TRACKING TEST,,,16.64,383.61,17
CPT,92546,SINUSOIDAL ROTATIONAL TEST,,,69.23,196.46,17
CPT,92547,SUPPLEMENTAL ELECTRICAL TEST,,,1.0,10.65,15
CPT,92548,CDP-SOT 6 COND W/I&R,,,46.94,160.67,15
CPT,92549,CDP-SOT 6 COND W/I&R MCT&ADT,,,56.62,160.67,17
CPT,92550,TYMPANOMETRY & REFLEX THRESH,,,21.64,196.46,17
CPT,92551,HEARING SCREENING,271.0,216.8,11.49,243.9,34
CPT,92552,AUDIOMETRY AIR ONLY,176.0,140.8,37.95,160.67,36
CPT,92553,AUDIOMETRY AIR BONE,250.0,200.0,45.94,225.0,36
CPT,92555,SPEECH AUDIOMETRY THRESHOLD,134.0,107.2,27.11,120.6,36
CPT,92556,SPEECH AUDIO W SPEECH RECOG,190.0,152.0,27.11,171.0,36
CPT,92557,AUDIOMETRY COMPREHENSIVE,251.0,200.8,31.29,225.9,36
CPT,92558,EVOKED AUDITORY TEST QUAL,,,8.32,14.54,15
CPT,92562,LOUDNESS BALANCE TEST,,,48.27,394.78,17
CPT,92563,TONE DECAY HEARING TEST,,,17.78,50.45,17
CPT,92565,STENGER TEST PURE TONE,,,20.97,76.93,17
CPT,92567,TYMPANOMETRY,97.0,77.6,10.65,87.3,36
CPT,92568,ACOUSTIC REFL THRESHOLD TST,,,14.65,50.45,17
CPT,92570,ACOUSTIC REFLX DECAY TEST,125.0,100.0,28.63,196.46,36
CPT,92571,FILTERED SPEECH TEST,,,17.78,50.45,17
CPT,92572,STAGGERED SPONDAIC WORD TEST,,,53.26,196.46,17
CPT,92575,SENSORINEURAL ACUITY LVL TST,,,17.78,73.9,17
CPT,92576,SYNTHETIC SENTENCE ID TEST,,,17.78,50.45,17
CPT,92577,STENGER TEST SPEECH,,,21.97,561.75,17
CPT,92579,VISUAL REINFORCE AUDIOMETRY,268.0,214.4,36.28,241.2,36
CPT,92582,CONDITIONING PLAY AUDIOMETRY,432.0,345.6,69.23,388.8,36
CPT,92583,SELECT PICTURE AUDIOMETRY,220.0,176.0,27.11,198.0,36
CPT,92584,ELECTROCOCHLEOGRAPHY,,,69.23,196.46,17
CPT,92587,OTOACOUSTIC EMISSION LTD 92587,22.0,17.6,7.37,394.78,36
CPT,92588,EVOKED AUDITORY TST COMPLETE,,,32.95,394.78,17
CPT,92590,Outpatient Services - CPT/HCPCS,,,41.15,41.15,3
CPT,92591,Outpatient Services - CPT/HCPCS,,,52.3,52.3,3
CPT,92592,Outpatient Services - CPT/HCPCS,,,16.36,16.36,3
CPT,92593,Outpatient Services - CPT/HCPCS,,,26.77,26.77,3
CPT,92594,Outpatient Services - CPT/HCPCS,,,15.61,15.61,3
CPT,92595,Outpatient Services - CPT/HCPCS,,,33.46,33.46,3
CPT,92596,EAR PROTECTOR EVALUATION,,,17.78,76.89,17
CPT,92597,VOICE PROSTHETIC EVAL 92597,643.0,514.4,66.84,578.7,34
CPT,92601,COCHLEAR IMPLT F/UP EXAM <7,,,69.23,196.46,17
CPT,92602,REPROGRAM COCHLEAR IMPLT <7,,,67.91,196.46,17
CPT,92603,COCHLEAR IMPLT F/UP EXAM 7/>,,,69.23,196.46,17
CPT,92604,REPROGRAM COCHLEAR IMPLT 7/>,,,64.91,196.46,17
CPT,92605,EX FOR NONSPEECH DEVICE RX,,,69.23,196.46,15
CPT,92606,NON-SPEECH DEVICE SERVICE,,,67.24,117.5,15
CPT,92607,EVAL SP COMM DVC 1ST HR 92607,470.0,376.0,69.23,423.0,34
CPT,92608,EVAL SP COM DVC ADDL 30M 92608,93.0,74.4,31.16,196.46,34
CPT,92609,TX SPEECH COMM DVC 92609,186.0,148.8,62.31,180.33,34
CPT,92610,EVAL ORAL & PHARYNGEAL SWALLOW 92610,475.0,380.0,69.23,427.5,34
CPT,92611,VIDEO SWALLOW W XRAY 92611,700.0,560.0,83.56,630.0,34
CPT,92612,FIBEROPTIC ENDOSCOPIC EVAL,589.0,471.2,65.58,530.1,34
CPT,92613,ENDOSCOPY SWALLOW (FEES) I&R,,,32.74,62.82,15
CPT,92614,LARYNGOSCOPIC SENSORY VID,,,64.58,151.92,15
CPT,92615,LARYNGOSCOPIC SENSORY I&R,,,29.05,56.42,15
CPT,92616,FEES W/LARYNGEAL SENSE TEST,,,98.2,233.61,15
CPT,92617,FEES W/LARYNGEAL SENSE I&R,,,36.42,70.39,15
CPT,92618,EX FOR NONSPEECH DEV RX ADD,,,28.43,196.46,15
CPT,92620,AUDITORY FUNCTION 60 MIN,,,69.23,196.46,17
CPT,92621,AUDITORY FUNCTION + 15 MIN,,,1.0,21.87,15
CPT,92622,DX ALY AUD OI SND PRCSR 1ST,,,65.24,196.46,17
CPT,92623,DX ALY AUD OI SND PRCSR EACH,,,17.31,30.25,15
CPT,92625,TINNITUS ASSESSMENT,,,59.92,196.46,17
CPT,92626,EVAL AUD FUNCTION SURG IMPLNT DEVICE 1ST HR 92626,483.0,386.4,69.23,434.7,34
CPT,92627,EVAL AUD FUNCJ EA ADDL 15,,,1.0,20.51,15
CPT,92630,AUD REHAB PRE-LING HEAR LOSS,,,66.47,66.47,3
CPT,92633,AUD REHAB POSTLING HEAR LOSS,,,95.58,95.58,3
CPT,92640,AUD BRAINSTEM IMPLT PROGRAMG,,,69.23,196.46,17
CPT,92650,AEP SCREEN AUDITORY POTENTIAL W/STIMULI AUTO ALYS,381.0,304.8,23.9,342.9,34
CPT,92651,AEP HEARING STATUS DETER BROADBAND STIMULI I&R,446.0,356.8,82.55,401.4,36
CPT,92652,AEP THRESHOLD ESTIMATION MLT FREQUENCIES I&R,706.0,564.8,111.85,635.4,36
CPT,92653,AEP NEURODIAGNOSTIC INTERPRET AND REPORT,689.0,551.2,82.89,620.1,36
CPT,92700,UNLISTED ORL SERVICE/PX,,,13.2,37.46,13
CPT,92920,PTCA SGL MAJ ARTERY BRANCH AND OR BRANCHES,18375.0,14700.0,514.29,16537.5,36
CPT,92921,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,92924,PTCA CORONARY ANGIO ARTHRECT SGL MAJ ARTERY AND OR BRANCHES,25467.0,20373.6,613.49,22920.3,36
CPT,92925,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,92928,COR BMS SGL MAJ ARTERY BRNCH 1 LES 1+ C SEGMENTS,27696.0,22156.8,572.21,24926.4,36
CPT,92929,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,92930,PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,35000.0,28000.0,9257.5,31500.0,26
CPT,92933,COR ATHER BMS PTCA ART BRNCH,31245.0,24996.0,641.78,28120.5,36
CPT,92934,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,92937,COR BYP GRFT REVASC ANY COMBO BMS ATHERECT ANGIO SGL MAJ COR ART & BRANCH,32422.0,25937.6,572.21,29179.8,36
CPT,92938,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,92941,PERQ TRLUML REVSC ASP THROMBECT ACUTE TOT/STOT OCCLS AMI 1MAJ C ART,24070.0,19256.0,541.89,21663.0,36
CPT,92941,PERQ TRLUML REVSC BMS TOT/STOT OCCLS AMI 1MAJ C ART,32422.0,25937.6,541.89,29179.8,36
CPT,92941,PERQ TRLUML REVSC PCTA ACUTE TOT/STOT OCCLS AMI 1MAJ C ART,24070.0,19256.0,541.89,21663.0,36
CPT,92943,PERQ TRLUML REVSC ANGIO (PTCA) CHRNC TOT OCCLS 1 C ART ANTGRD,25355.0,20284.0,642.45,22819.5,36
CPT,92943,PERQ TRLUML REVSC BMS CHRNC TOT OCCLS 1 C ART ANTGRD,34627.0,27701.6,642.45,31164.3,36
CPT,92944,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
CPT,92950,CARDIOPULMONARY RESUSCITATION,1292.0,1033.6,139.12,1162.8,36
CPT,92950,ED 92950 CARDIOPULMON RESUSCITATION,1662.0,1329.6,139.12,1495.8,36
CPT,92953,ED 92953 TEMPORARY TRANSCUTANEOUS PACING,1090.0,872.0,1.0,981.0,36
CPT,92960,CARDIOVERSION,2248.0,1798.4,105.85,2023.2,36
CPT,92960,ED 92960 CARDIOVERSION,1342.0,1073.6,105.85,1207.8,36
CPT,92960,ED 92960 CARDIOVERSION ELECTIVE EXTERNAL,1342.0,1073.6,105.85,1207.8,36
CPT,92961,CARDIOVERSION ELECTRIC INT,,,238.34,818.57,17
CPT,92970,CARDIOASSIST INTERNAL,,,154.55,320.52,15
CPT,92971,CARDIOASSIST EXTERNAL,,,82.94,818.57,15
CPT,92972,PERQ TRANSLUMINAL CORONARY LITHOTRIPSY,6130.0,4904.0,127.13,7188.92,34
CPT,92973,PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,6380.0,5104.0,1.0,5742.0,34
CPT,92974,CATH PLACE CARDIO BRACHYTX,,,1.0,157.12,15
CPT,92975,Outpatient Services,,,307.64,340.02,8
CPT,92975,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,92975,Therapy,,,365.5,365.5,4
CPT,92977,Outpatient Services,,,315.11,348.27,8
CPT,92977,Outpatient Services - CPT/HCPCS,,,150.11,425.97,5
CPT,92977,Therapy,,,55.26,55.26,4
CPT,92978,ENDOLUMINAL IMAG IVUS/OCT INITIAL COR GRFT,4468.0,3574.4,1.0,4021.2,26
CPT,92979,ENDOLUMINAL IMAG IVUS/OCT EA ADDL COR GRFT,3400.0,2720.0,1.0,3060.0,26
CPT,92986,AORTIC VALVULOPLASTY,18257.0,14605.6,1297.55,16431.3,36
CPT,92987,VALVULOPLASTY-MITRAL,20633.0,16506.4,1337.16,18569.7,36
CPT,92990,VALVULOPLASTY- PULMONARY,20612.0,16489.6,1070.86,18550.8,36
CPT,92997,SURG 92997 PERCUT TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL,18692.0,14953.6,616.82,16822.8,36
CPT,92998,SURG 92998 PERCUT TRLUML PULMONARY ART BALLOON ANGIOP EA VSL,9412.0,7529.6,1.0,8470.8,34
CPT,93000,ELECTROCARDIOGRAM COMPLETE,,,12.83,25.01,15
CPT,93005,ECG TRACING WO INTERP,338.0,270.4,6.32,304.2,36
CPT,93005,EKG 18 LEAD,502.0,401.6,6.32,451.8,36
CPT,93010,ELECTROCARDIOGRAM REPORT,,,7.19,13.96,15
CPT,93015,CV STRESS TEST SUPVJ I&R,,,66.54,125.65,15
CPT,93016,CV STRESS TEST SUPVJ ONLY,,,18.86,36.07,15
CPT,93017,CARDIAC STRESS TEST TRACING,1894.0,1515.2,37.61,1704.6,36
CPT,93018,CV STRESS TEST I&R ONLY,,,12.72,23.85,15
CPT,93024,ERGONOVINE PROVOCATION TEST,,,111.51,501.13,17
CPT,93025,MICROVOLT T-WAVE ASSESS,,,69.23,196.46,17
CPT,93040,RHYTHM ECG WITH REPORT,,,11.91,22.69,15
CPT,93041,RHYTHM ECG 1-3 LEADS WO I&R,184.0,147.2,6.32,165.6,36
CPT,93042,RHYTHM ECG REPORT,,,5.96,11.63,15
CPT,93050,ART PRESSURE WAVEFORM ANALYS,,,13.2,37.46,17
CPT,93150,THERAPY ACTIVATION IPNSS,,,41.94,121.76,15
CPT,93151,INTERROG&PRGRMG IPNSS,,,39.61,121.76,15
CPT,93152,INTERROG&PRGRMG IPNSS POLYSM,,,92.54,375.67,15
CPT,93153,INTERROG W/O PRGRMG IPNSS,,,21.3,121.76,15
CPT,93224,XTRNL ECG REC UP TO 48 HRS,,,64.27,125.65,15
CPT,93225,HOLTER MONITOR APP UP TO 48 HOURS,765.0,612.0,18.31,688.5,36
CPT,93226,HOLTER MONITOR SCAN UP TO 48HR,1569.0,1255.2,27.11,1412.1,36
CPT,93227,XTRNL ECG REC<48 HR R&I,,,16.4,31.41,15
CPT,93228,REMOTE 30 DAY ECG REV/REPORT,,,22.48,43.05,15
CPT,93229,REMOTE 30 DAY ECG TECH SUPP,,,139.12,812.88,17
CPT,93241,XTRNL ECG REC>48HR<7D,,,246.0,450.82,15
CPT,93242,EXTERNAL ECG REC > 48HR < 7D RECORDING,234.0,187.2,11.98,210.6,36
CPT,93243,EXT ECG>48HR<7D SCAN A/R,,,56.62,223.36,17
CPT,93244,EXT ECG>48HR<7D REV&INTERPJ,,,20.52,39.56,15
CPT,93245,EXT ECG>7D<15D REC SCAN A/R,,,256.14,474.09,15
CPT,93246,EXTERNAL ECG REC > 7D < 15D RECORDING,292.0,233.6,11.98,262.8,36
CPT,93247,EXTERNAL ECG REC > 7D < 15D SCANNING ALYS W REP,508.0,406.4,56.62,457.2,36
CPT,93248,EXT ECG>7D<15D REV&INTERPJ,,,22.67,43.63,15
CPT,93260,PRGRMG DEV EVAL IMPLTBL SYS,,,16.72,75.23,17
CPT,93261,INTERROGATE SUBQ DEFIB,,,16.72,69.24,17
CPT,93264,REM MNTR WRLS P-ART PRS SNR,,,34.95,61.08,15
CPT,93268,ECG RECORD/REVIEW,,,154.42,305.39,15
CPT,93270,EVENT MONITOR RECORDING 30 DAY,400.0,320.0,8.32,360.0,36
CPT,93271,ECG/MONITORING AND ANALYSIS,,,42.91,142.8,17
CPT,93272,ECG/REVIEW INTERPRET ONLY,,,21.44,41.3,15
CPT,93278,SIGNAL AVERAGE ECG,817.0,653.6,27.11,735.3,36
CPT,93279,PRGRMG DEV EVAL PM/LDLS PM,,,16.72,66.91,17
CPT,93280,PM DEVICE PROGR EVAL DUAL,,,16.72,78.23,17
CPT,93281,PM DEVICE PROGR EVAL MULTI,,,16.72,83.22,17
CPT,93282,ICD FU-SINGLE-REPROG IN PERSON,1936.0,1548.8,16.72,1742.4,36
CPT,93283,ICD FU-DUAL-REPROG IN PERSON,1936.0,1548.8,16.72,1742.4,36
CPT,93284,PRGRMG EVAL IMPLANTABLE DFB,,,16.72,104.52,17
CPT,93285,PRGRMG DEV EVAL SCRMS IP,,,16.72,59.58,17
CPT,93286,PERI-PROC EVAL PACE (ALL),207.0,165.6,1.0,186.3,34
CPT,93287,PERI-PROC EVAL ICD (ALL),279.0,223.2,1.0,251.1,34
CPT,93288,ED 93288 INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,170.0,136.0,16.72,153.0,36
CPT,93289,ICD FU-DUAL-NO PROG IN PERSON,1936.0,1548.8,16.72,1742.4,36
CPT,93289,ICD FU-SINGLE-NO PROG IN PERSON,1936.0,1548.8,16.72,1742.4,36
CPT,93290,INTERROG DEV EVAL ICPMS IP,,,16.72,52.93,17
CPT,93291,INTERROG DEV EVAL SCRMS IP,,,13.2,48.6,17
CPT,93292,WCD DEVICE INTERROGATE,,,16.72,50.93,17
CPT,93293,PM PHONE R-STRIP DEVICE EVAL,,,16.72,47.45,17
CPT,93294,REM INTERROG EVL PM/LDLS PM,,,25.97,50.61,15
CPT,93295,DEV INTERROG REMOTE 1/2/MLT,,,32.12,62.82,15
CPT,93296,REM INTERROG EVL PM/IDS,,,16.72,47.45,17
CPT,93297,REM INTERROG DEV EVAL ICPMS,,,35.43,105.29,15
CPT,93298,REM INTERROG DEV EVAL SCRMS,,,35.43,177.42,15
CPT,93303,ECHO CONGENITL COMP,2968.0,2374.4,219.03,2671.2,36
CPT,93304,ECHO CONGENITL LTD,2027.0,1621.6,155.12,1824.3,36
CPT,93306,ECHO (2D) COMPLETE W DOPPLER & COLOR,3557.0,2845.6,196.06,3201.3,36
CPT,93307,ECHO 2D WO DOP COL COMP,2039.0,1631.2,108.61,1835.1,36
CPT,93308,ECHO 2-D LIMITED,1314.0,1051.2,98.53,1182.6,36
CPT,93312,ECHO TRANSESOPHAGEAL,4208.0,3366.4,235.01,3787.2,36
CPT,93313,TEE 2D PROBE PLCMNT ONLY,2454.0,1963.2,10.98,2208.6,36
CPT,93314,ECHO TRANSESOPHAGEAL,,,1.0,225.36,15
CPT,93315,TEE CONGENITAL,4163.0,3330.4,244.52,3746.7,36
CPT,93316,ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY,4163.0,3330.4,25.3,3746.7,36
CPT,93317,ECHO TRANSESOPHAGEAL,,,1.0,1.0,3
CPT,93318,TEE MONITORING,3388.0,2710.4,244.52,3049.2,36
CPT,93319,3D ECHO IMG CGEN CAR ANOMAL,,,1.0,53.84,15
CPT,93320,DOPPLER SPECTRAL DISPLAY COMP,934.0,747.2,1.0,840.6,34
CPT,93321,DOPPLER LIMITED,652.0,521.6,1.0,586.8,34
CPT,93325,COLOR FLOW VEL MAP,1036.0,828.8,1.0,932.4,34
CPT,93350,ECHO 2D WITH STRESS,2757.0,2205.6,185.08,2481.3,36
CPT,93350,ECHO WITH DOBUTAMINE,2688.0,2150.4,185.08,2419.2,36
CPT,93351,STRESS TTE COMPLETE,,,231.68,693.86,17
CPT,93352,ADMIN ECG CONTRAST AGENT,,,31.89,308.19,15
CPT,93355,ECHO TRANSESOPHAGEAL (TEE) FOR STRUCTURAL INTERVENTION,4635.0,3708.0,1.0,4171.5,34
CPT,93356,MYOCRD STRAIN IMG SPCKL TRCK ADD ON,715.0,572.0,1.0,643.5,34
CPT,93451,RT HRT W O2 SAT & CO,12448.0,9958.4,848.83,11203.2,36
CPT,93452,LT HRT W LV ANGIO,14987.0,11989.6,882.78,13488.3,36
CPT,93453,RT LT HRT W LV ANGIO,17849.0,14279.2,1126.45,16064.1,36
CPT,93454,ANGIO CORONARY ARTERY,15582.0,12465.6,890.11,14023.8,36
CPT,93455,ANGIO CORONARY ARTERY GRAFT,16532.0,13225.6,991.63,14878.8,36
CPT,93456,RT HRT COR ART ANGIO,18094.0,14475.2,1107.48,16284.6,36
CPT,93457,RT HRT COR ART GRAFT ANGIO,20087.0,16069.6,1207.0,18078.3,36
CPT,93458,LT HRT COR ART & LV ANGIO,19388.0,15510.4,1023.92,17449.2,36
CPT,93459,LT HRT COR ART GRAFT ANGIO,20994.0,16795.2,1101.48,18894.6,36
CPT,93460,RT LT HRT COR ART & LV ANGIO,21048.0,16838.4,1221.98,18943.2,36
CPT,93461,CATH COR BYP GRFT W/ LT RT HEART CATH,21281.0,17024.8,1348.14,19152.9,36
CPT,93462,LT HRT TRANSSEPT TRANSAPICAL,11357.0,9085.6,1.0,10221.3,34
CPT,93463,DRUG ADMIN & HEMODYNAMIC MEAS,1789.0,1431.2,1.0,1610.1,34
CPT,93464,EXERCISE W/HEMODYNAMIC MEAS,,,1.0,217.37,15
CPT,93503,INSERT PLACE HEART CATH,4095.0,3276.0,85.55,3685.5,36
CPT,93505,BX ENDOMYOCARDIAL,6540.0,5232.0,636.46,5886.0,36
CPT,93530,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,93531,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,93532,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,93533,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
CPT,93563,COR ART INJ CONGENITAL HRT,2886.0,2308.8,1.0,2597.4,34
CPT,93564,COR ART GRAFT INJ CONGEN HRT,2887.0,2309.6,1.0,2598.3,34
CPT,93565,LA  LV ANGIO CONGENITAL HRT,2516.0,2012.8,1.0,2264.4,34
CPT,93566,RA  RV ANGIO CONGENITAL HRT,2577.0,2061.6,1.0,2319.3,34
CPT,93567,AORTO ANGIO CONGENITAL HRT,2061.0,1648.8,1.0,1854.9,34
CPT,93568,INJECT PULMONARY ANG NONSELECT PULM ART ANGIO,2616.0,2092.8,1.0,2354.4,34
CPT,93569,PULMONARY ANGIO SELECTIVE ARTERIAL UNILATERAL,3142.0,2513.6,1.0,2827.8,34
CPT,93571,IV DOP VEL&/PRESS C/FLO RSRV MEAS 1ST VESSEL,4641.0,3712.8,1.0,4176.9,26
CPT,93572,IV DOP VEL&/PRESS C/FLO RSRV MEAS EA ADDL VSL,2366.0,1892.8,1.0,2129.4,26
CPT,93573,PULMONARY ANGIO SELECTIVE ARTERIAL BILATERAL,2467.0,1973.6,1.0,2220.3,34
CPT,93574,PULMONARY ANGIO SELECTIVE VENOUS,1405.0,1124.0,1.0,1264.5,34
CPT,93575,NJX CATH SLCT P ANGRPH MAPCA,,,1.0,90.54,15
CPT,93580,PFO ASD,39068.0,31254.4,949.36,35161.2,36
CPT,93581,PFO VSD,28211.0,22568.8,1288.23,25389.9,36
CPT,93582,SURG 93582 PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS,39550.0,31640.0,643.11,35595.0,36
CPT,93583,PERQ TRANSCATH SEPTAL REDUXN,,,608.07,12858.0,15
CPT,93584,VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG,6646.0,5316.8,51.26,5981.4,34
CPT,93585,VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM,5328.0,4262.4,48.19,4795.2,34
CPT,93586,VNGRPH CHD CORONARY SINUS,,,61.14,4009.09,15
CPT,93587,VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT,5328.0,4262.4,89.88,4795.2,34
CPT,93588,VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART,4494.0,3595.2,90.92,4044.6,34
CPT,93590,PERQ TRANSCATH CLS MITRAL,,,1040.57,22054.9,17
CPT,93591,PERQ TRANSCATH CLS AORTIC,,,855.49,22054.9,17
CPT,93592,PERQ TRANSCATH CLOSURE EACH,,,1.0,374.82,15
CPT,93593,R HRT CATH CHD W IMG CATH TRGT ZONE NML NATIVE CONNECT,10721.0,8576.8,1444.3,9648.9,36
CPT,93594,R HRT CATH CHD W IMG CATH TRGT ZON ABNL NATIVE CONNECT,10721.0,8576.8,1444.3,9648.9,36
CPT,93595,L HRT CATH CHD IMG CATH TRGT ZON NML ABNL NATIVE CONNECT,10418.0,8334.4,1444.3,9376.2,36
CPT,93596,R&L HRT CATH CHD IMG CATH TRGT ZONE NML NATIVE CONNECT,14543.0,11634.4,1444.3,13088.7,36
CPT,93597,R&L HRT CATH CHD IMG CATH TRGT ZON ABNL NATIVE CONNECT,14543.0,11634.4,1444.3,13088.7,36
CPT,93598,CAR OUTP MEAS DRG CATH CHD,,,113.43,113.43,3
CPT,93600,HIS BUNDLE RECORD,7579.0,6063.2,2004.65,9393.14,36
CPT,93602,INTRA-ATRIAL RECORDING,8046.0,6436.8,2128.17,9393.14,36
CPT,93603,RV RECORDING,3760.0,3008.0,527.51,3384.0,36
CPT,93609,MAPPING OF TACHY SITE(S),6421.0,5136.8,1.0,5778.9,26
CPT,93610,INTRA-ATRIAL PACING,7746.0,6196.8,2048.82,9393.14,36
CPT,93612,INTRAVENTRICULAR PACING,8611.0,6888.8,2277.61,9393.14,36
CPT,93613,3D MAPPING,13719.0,10975.2,1.0,12347.1,34
CPT,93615,ESOPH RECORDING,3017.0,2413.6,527.51,2715.3,36
CPT,93616,ESOPH RECORDING WPACING,2541.0,2032.8,527.51,2286.9,36
CPT,93618,INDUCT ARRH W PACE,2720.0,2176.0,527.51,2448.0,36
CPT,93619,EP EVAL WO INDUCTION,15475.0,12380.0,3310.15,13927.5,36
CPT,93620,EP EVAL W INDUCTION,20350.0,16280.0,3310.15,18315.0,36
CPT,93621,EP EVAL WLA INDUCTION,7923.0,6338.4,1.0,7130.7,26
CPT,93622,EP EVAL WLV INDUCTION,7923.0,6338.4,1.0,7130.7,26
CPT,93623,IV DRUG INF WSTIM&PACE,4824.0,3859.2,1.0,4341.6,26
CPT,93624,EP FOLLOWUP STUDY LMTD,11532.0,9225.6,3050.21,10378.8,36
CPT,93631,NTRAOP EPICAR&ENDCAR PAC&MAP,,,1.0,1.0,3
CPT,93640,EP EVAL OF AICD,3678.0,2942.4,1.0,3310.2,26
CPT,93641,EP EVAL OF ICD WTST GEN,4465.0,3572.0,1.0,4018.5,26
CPT,93642,DFT TESTING,2733.0,2186.4,325.22,2459.7,36
CPT,93644,EP EVAL SUBQ IMPL DFB,,,1.0,190.35,15
CPT,93650,CARDIAC ABLATION CHB,19383.0,15506.4,565.89,17444.7,36
CPT,93653,COMPRE EP EVAL ABLTJ 3D MAPG TX SVT,45322.0,36257.6,812.88,40789.8,36
CPT,93654,COMPRE EP EVAL ABLTJ 3D MAPG TX VT,48286.0,38628.8,979.32,43457.4,36
CPT,93655,ABLATION ICAR ARRHY ADD ON,18453.0,14762.4,1.0,16607.7,34
CPT,93656,COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION,52975.0,42380.0,921.73,47677.5,36
CPT,93657,ABLATE LA RA AFIB ADD ON,17297.0,13837.6,1.0,15567.3,34
CPT,93660,TILT TABLE EVALUATION,3352.0,2681.6,161.78,3016.8,36
CPT,93662,IC ECHO INCLUDE S&I,2978.0,2382.4,1.0,2680.2,26
CPT,93668,PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION,171.0,136.8,14.65,153.9,36
CPT,93701,BIOIMPEDANCE CV ANALYSIS,,,26.96,160.67,17
CPT,93702,BIS XTRACELL FLUID ANALYSIS,,,69.23,196.46,17
CPT,93724,ELECTRONIC ANALYSIS PACEMAKER ANTITACHYCARDIA,1315.0,1052.0,132.39,1183.5,36
CPT,93740,TEMPERATURE GRADIENT STUDIES,,,7.66,196.46,17
CPT,93745,SET-UP CARDIOVERT-DEFIBRILL,,,132.39,375.67,13
CPT,93750,INTERROGATION VAD IN PERSON,,,39.28,121.76,17
CPT,93770,DETERMINATION VENOUS PRESS,,,1.0,7.66,15
CPT,93784,AMBL BP MNTR W/SOFTWARE,,,41.84,80.27,15
CPT,93786,AMBL BP MNTR W/SW REC ONLY,,,22.64,160.67,17
CPT,93788,AMBL BP MNTR W/SW A/R,,,5.66,135.35,17
CPT,93790,AMBL BP MNTR W/SW I&R,,,16.1,30.83,15
CPT,93792,PT/CAREGIVER TRAING HOME INR,,,62.73,122.74,15
CPT,93793,ANTICOAG MGMT PT WARFARIN,,,10.26,19.78,15
CPT,93797,PHASE 2 OUTPT WO MONITOR CARDIAC REHAB,352.0,281.6,8.65,316.8,36
CPT,93798,PHASE 1 INPT CARDIAC REHAB,322.0,257.6,13.32,289.8,36
CPT,93798,PHASE 2 OUTPT CARDIAC REHAB,402.0,321.6,13.32,361.8,36
CPT,93799,COR REVASC LITHOTRIPSY,5901.0,4720.8,69.23,5310.9,36
CPT,93799,DOTTER OF CORONARY ARTERY,5003.0,4002.4,69.23,4502.7,36
CPT,93799,"IVUS, ICE AND/OR  FFR WITHOUT HEART CATH",2244.0,1795.2,69.23,2019.6,36
CPT,93799,RECALIBRATION CARDIOMEMS DEVICE,12085.0,9668.0,69.23,10876.5,36
CPT,93799,SURG 93799 CLOSURE PATENT DUCTUS ART<18YRS,7096.0,5676.8,69.23,6386.4,36
CPT,93799,SURG 93799 FFR RENAL ARTERY,2314.0,1851.2,69.23,2082.6,36
CPT,93799,SURG 93799 MANUAL ASPIRATION THROMBECTOMY COR ART,4427.0,3541.6,69.23,3984.3,36
CPT,93799,SURG 93799 TRANSCATHETER TRICUSPID VALVE INSERTION,22946.0,18356.8,69.23,20651.4,36
CPT,93799,SURG 93799 UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE,2260.0,1808.0,69.23,2034.0,36
CPT,93880,DUP CAROTID BILAT,1605.0,1284.0,108.61,1444.5,36
CPT,93882,DUPLEX EXTRACRANIAL CAROTID UNILAT,1151.0,920.8,48.73,1035.9,36
CPT,93886,TRANSCRANIAL DOPP COMPL,1511.0,1208.8,108.61,1359.9,36
CPT,93888,TRANSCRANIAL DOPP LTD,1058.0,846.4,48.73,952.2,36
CPT,93890,Outpatient Services - CPT/HCPCS,,,108.61,308.19,5
CPT,93890,Therapy,,,283.61,283.61,4
CPT,93892,TCD EMBOLI DETECT W/O INJ,,,48.73,326.88,17
CPT,93893,TCD STD ICR ART VEN-ART SHNT,,,48.73,402.45,17
CPT,93895,CAROTID INTIMA ATHEROMA EVAL,,,135.37,135.37,3
CPT,93896,VSRCTV STD TCD ICR ART COMPL,,,163.26,180.45,8
CPT,93897,EMBOLI DETCJ WO IV MBUBB NJX,,,205.48,227.11,8
CPT,93898,VEN-ARTL SHUNT DET MBUBB NJX,,,215.31,237.98,8
CPT,93922,LIMITED BILAT PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS,693.0,554.4,56.62,623.7,36
CPT,93922,UNILAT  PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS 52 MOD,464.0,371.2,56.62,417.6,36
CPT,93922,UNILAT PHYSIOLOGIC STUDIES EXT ART 3+ LVLS,857.0,685.6,56.62,771.3,36
CPT,93923,CMPL BILAT PHYSIOLOGIC STUDIES EXT ART 3+ LVLS,1383.0,1106.4,69.23,1244.7,36
CPT,93924,CMPL BILAT PHYS STUDIES LOWER EXT ART PRE POST EXER,1220.0,976.0,69.23,1098.0,36
CPT,93925,DUPLEX ART LOWER EXT CMPL BILAT,1784.0,1427.2,108.61,1605.6,36
CPT,93926,DUPLEX ART LOWER EXT UNILAT LTD,1179.0,943.2,48.73,1061.1,36
CPT,93930,DUPLEX ART UPPER EXT CMPL BILAT,1784.0,1427.2,108.61,1605.6,36
CPT,93931,DUPLEX ART UPPER EXT UNILAT LTD,1246.0,996.8,48.73,1121.4,36
CPT,93970,DUPLEX VENOUS EXT CMPL BILAT,1796.0,1436.8,108.61,1616.4,36
CPT,93971,DUPLEX VENOUS EXT LTD UNILAT,1225.0,980.0,48.73,1102.5,36
CPT,93975,DUPLEX ABD PELVIS RETROPERITONEAL CMPL,1749.5,1399.6,108.61,1801.8,72
CPT,93976,DUPLEX ABD PELVIS RETROPERITONEAL LTD,1089.0,871.2,48.73,980.1,36
CPT,93978,DUPLEX AORTA IVC ILIAC OR GRAFT CMPL,1627.0,1301.6,108.61,1464.3,36
CPT,93979,DUPLEX AORTA IVC ILIAC OR GRAFT UNILAT LTD,1072.0,857.6,48.73,964.8,36
CPT,93980,PENILE PLETHYSMOGRAPHY,1028.0,822.4,48.73,925.2,36
CPT,93981,PENILE VASCULAR STUDY,,,48.73,138.29,17
CPT,93985,DUPLEX SCAN ARTERIAL INFLOW & VENOUS O/F HEMO COMPL BILAT STD,1075.0,860.0,108.61,967.5,36
CPT,93986,DUPLEX SCAN ARTERIAL INFLOW & VENOUS O/F HEMO COMPL UNILAT STD,696.0,556.8,48.73,626.4,36
CPT,93990,DUPLEX HEMODIALYS ACCESS,882.0,705.6,48.73,793.8,36
CPT,93998,UNLISTD NONINVAS VASC DX STD,,,13.2,37.46,13
CPT,94002,VENT HI FREQ INIT DAY,2185.0,1748.0,89.88,1966.5,36
CPT,94002,VENT INFANT INITAL DAY,2185.0,1748.0,89.88,1966.5,36
CPT,94002,VENT INITIAL DAY,2185.0,1748.0,89.88,1966.5,36
CPT,94002,VENT PED INIT DAY,2185.0,1748.0,89.88,1966.5,36
CPT,94002,VENT POST OP INITIAL DAY,2185.0,1748.0,89.88,1966.5,36
CPT,94002,VENT-HOME INITIAL DAY,2185.0,1748.0,89.88,1966.5,36
CPT,94003,VENT ADULT ESOPH BAL SUBSQ DAY,2095.0,1676.0,63.25,1885.5,36
CPT,94003,VENT HI FREQ SUBSEQ DAY,2095.0,1676.0,63.25,1885.5,36
CPT,94003,VENT INFANT SUBSQ DAY,2095.0,1676.0,63.25,1885.5,36
CPT,94003,VENT PED SUBSEQ DAY,2095.0,1676.0,63.25,1885.5,36
CPT,94003,VENT POST OP SUBSEQ DAY,2095.0,1676.0,63.25,1885.5,36
CPT,94003,VENT SUBSEQ DAY,2095.0,1676.0,63.25,1885.5,36
CPT,94003,VENT-HOME SUBSEQ DAY,2095.0,1676.0,63.25,1885.5,36
CPT,94004,VENT MGMT NF PER DAY,,,41.69,788.19,15
CPT,94005,HOME VENT MGMT SUPERVISION,,,81.76,157.06,15
CPT,94010,PFT SCREEN  SPIROMETRY (NO BD),587.0,469.6,27.3,528.3,36
CPT,94011,SPIROMETRY UP TO 2 YRS OLD,,,69.23,196.46,17
CPT,94012,SPIRMTRY W/BRNCHDIL INF-2 YR,,,136.48,394.78,17
CPT,94013,MEAS LUNG VOL THRU 2 YRS,,,18.31,561.75,17
CPT,94014,PATIENT RECORDED SPIROMETRY,,,55.92,501.13,17
CPT,94015,PATIENT RECORDED SPIROMETRY,,,31.96,394.78,17
CPT,94016,REVIEW PATIENT SPIROMETRY,,,21.75,41.88,15
CPT,94060,PFT SCREEN  SPIROMETRY (WITH BD),870.0,696.0,38.95,783.0,36
CPT,94070,EVALUATION OF WHEEZING CMPLX,1577.0,1261.6,62.91,1419.3,36
CPT,94150,VITAL CAPACITY TEST,,,25.3,196.46,17
CPT,94200,LUNG FUNCTION TEST (MBC/MVV),,,14.98,76.93,17
CPT,94375,RESPIRATORY FLOW VOLUME LOOP,,,38.95,394.78,17
CPT,94450,BREATHING RESPONSE HYPOXIA,,,69.23,196.46,17
CPT,94452,HAST W/I&R PHYS/QHP,,,50.26,160.67,17
CPT,94453,HAST W/SUPPL OXYGEN TITRJ,,,56.62,160.67,17
CPT,94610,INTRAPULM SURFACTANT ADMN,,,55.59,268.26,17
CPT,94617,EXERCISE TST BRNCSPSM W/ECG,,,56.62,160.67,17
CPT,94618,PULMONARY STRESS TESTING (EG. 6-MINUTE WALK TEST),409.0,327.2,33.95,368.1,36
CPT,94618,SIX MINUTE WALK TEST PULMONARY REHAB,409.0,327.2,33.95,368.1,36
CPT,94619,EXERCISE TST BRNCSPSM WO ECG,,,27.11,76.93,17
CPT,94621,CARDIOPULM EXERCISE TESTING,2012.0,1609.6,139.12,1810.8,36
CPT,94625,PULM REHAB WO CONT OX MONIT PER SESSION,268.0,214.4,18.31,241.2,36
CPT,94626,PULM REHAB W CONT OX MONIT PER SESSION,268.0,214.4,26.96,241.2,36
CPT,94640,ALTERA NEB INTITIAL TX,985.0,788.0,7.99,886.5,36
CPT,94640,DIAGNOSTIC SPUTUM,363.0,290.4,7.99,326.7,36
CPT,94640,ED 94640 NEBULIZER TREATMENT,324.0,259.2,7.99,291.6,36
CPT,94640,ED 94640 NON OR PRES'D INHALATION TX,315.0,252.0,7.99,283.5,36
CPT,94640,EZ PAP INITIAL,324.0,259.2,7.99,291.6,36
CPT,94640,EZ PAP SUBSEQUENT,324.0,259.2,7.99,291.6,36
CPT,94640,IPPB INITIAL TX,324.0,259.2,7.99,291.6,36
CPT,94640,IPPB SUBSEQUENT TX,324.0,259.2,7.99,291.6,36
CPT,94640,MDI INITIAL TX,324.0,259.2,7.99,291.6,36
CPT,94640,MDI SUBSEQ TX,324.0,259.2,7.99,291.6,36
CPT,94640,NEB INITIAL TX,324.0,259.2,7.99,291.6,36
CPT,94640,NEB RX PFT,324.0,259.2,7.99,291.6,36
CPT,94640,NEB SUBSEQ TX,324.0,259.2,7.99,291.6,36
CPT,94640,OLE INITIAL RX,360.0,288.0,7.99,324.0,36
CPT,94640,OLE SUBSEQUENT RX,324.0,259.2,7.99,291.6,36
CPT,94642,NEB PENTAMIDINE,439.0,351.2,94.54,395.1,36
CPT,94642,NEB PENTAMIDINE (PULM),439.0,351.2,94.54,395.1,36
CPT,94644,CONTINUOUS INHAL TX W AEROSOL 1ST HR,629.0,503.2,56.62,566.1,36
CPT,94645,CONTINUOUS INHAL TX W AEROSOL ADD HR,253.0,202.4,1.0,227.7,34
CPT,94660,BIPAP ET TRACH INIT DAY,1230.0,984.0,36.62,1107.0,36
CPT,94660,BIPAP ET TRACH SUBSQ DAY,816.0,652.8,36.62,734.4,36
CPT,94660,BIPAP MASK INIT DAY,1369.0,1095.2,36.62,1232.1,36
CPT,94660,BIPAP MASK SUBSQ DAY,814.0,651.2,36.62,732.6,36
CPT,94660,CPAP MASK INIT DAY,1369.0,1095.2,36.62,1232.1,36
CPT,94660,CPAP MASK SUBSQ DAY,818.0,654.4,36.62,736.2,36
CPT,94662,Outpatient Services,,,628.05,694.16,8
CPT,94662,Outpatient Services - CPT/HCPCS,,,277.76,788.19,5
CPT,94662,Therapy,,,34.29,34.29,4
CPT,94664,EZ PAP WDEMO,278.0,222.4,17.98,268.26,36
CPT,94664,IPPB TX WDEMO,272.0,217.6,17.98,268.26,36
CPT,94664,MDI TX WDEMO,278.0,222.4,17.98,268.26,36
CPT,94664,NEB MDI IPPB DEMO ONLY,278.0,222.4,17.98,268.26,36
CPT,94664,NEB TX WDEMO,278.0,222.4,17.98,268.26,36
CPT,94664,OLE RX WDEMO,354.0,283.2,17.98,318.6,36
CPT,94667,CPT INITIAL,393.0,314.4,24.97,353.7,36
CPT,94668,CPT SUBSQ M76,200.0,160.0,39.28,180.0,36
CPT,94669,MECHANICAL CHEST WALL OSCILL,,,20.64,268.26,17
CPT,94680,O2 UPTK RST&XERS DIR SIMPLE,,,53.93,196.46,17
CPT,94681,O2 UPTAKE EXPIRED GAS WCO2,500.0,400.0,47.93,450.0,36
CPT,94690,O2 UPTK REST INDIRECT,,,27.11,76.93,17
CPT,94726,PLETHYSMOGRAPHY,709.0,567.2,55.92,638.1,36
CPT,94727,GAS DIL/WSHOT DETER LNG VOL,,,44.61,196.46,17
CPT,94728,AIRWY RESIST BY OSCILLOMETRY,,,44.27,196.46,17
CPT,94729,DIFFUSION CAPACITY,511.0,408.8,1.0,459.9,34
CPT,94760,OXIMETRY SINGLE DET,161.0,128.8,1.0,144.9,34
CPT,94761,OXIMETER EVAL (PULM),287.0,229.6,1.0,258.3,34
CPT,94761,OXIMETER EVALUATION MULT,282.0,225.6,1.0,253.8,34
CPT,94761,OXIMETRY-MULTIPLE DET,714.0,571.2,1.0,642.6,34
CPT,94762,OVERNIGHT OXIMETRY,511.0,408.8,25.3,459.9,36
CPT,94762,SLEEP STUDY OXIMETRY (PULM),1206.0,964.8,25.3,1085.4,36
CPT,94772,PNEUMOGRAM 2 CHANNEL,1427.0,1141.6,237.56,1284.3,36
CPT,94772,PNEUMOGRAM 3 CHANNEL,2393.0,1914.4,237.56,2153.7,36
CPT,94772,PNEUMOGRAM 4 CHANNEL,2691.0,2152.8,237.56,2421.9,36
CPT,94772,RESEARCH PNEUMOGRAM,274.0,219.2,72.47,674.12,36
CPT,94774,PED HOME APNEA MNTR EVNT REC,,,432.41,432.41,3
CPT,94775,PED HOME APNEA MNTR ATT ONLY,,,69.23,196.46,11
CPT,94776,PEDIATRIC APNEA MONITOR ANALYSES COMPUTER,609.0,487.2,69.23,548.1,36
CPT,94777,PED HOME APNEA MNTR RVW I&R,,,21.31,21.31,3
CPT,94780,CAR SEAT BED TEST AIR TO 12 MOS 60MIN,91.0,72.8,17.78,81.9,36
CPT,94781,CAR SEAT BED TEST AIR  TO 12 MOS ADDL 30 MIN,42.0,33.6,1.0,37.8,34
CPT,94799,PNEUMOGRAM 4 CHANNEL>12MONTHS,2377.0,1901.6,69.23,2139.3,36
CPT,94799,PULM REHAB REASSESSMENT,282.0,225.6,69.23,253.8,36
CPT,95004,PERQ TESTS W/ALRGNC XTRCS,,,3.66,1095.8,17
CPT,95012,NITRIC EXPIRED GAS DETERMINE,187.0,149.6,17.78,168.3,36
CPT,95017,ALL TSTG PERQ&IQ W/VENOMS,,,3.66,37.46,17
CPT,95018,ALLG TEST PERQ & IC DRUG/BIOL IMMED REACT W/I&R,83.0,66.4,6.99,74.7,36
CPT,95024,IQ TESTS W/ALLERGENIC XTRCS,,,1.0,64.11,17
CPT,95027,IQ TSTS SEQL&INCRL AIRBORNE,,,4.99,37.46,17
CPT,95028,IQ TSTS ALLERGY DELAYED RXN,,,12.65,50.45,17
CPT,95044,PATCH/APPLICATION TESTS,,,4.99,1095.8,17
CPT,95052,PHOTO PATCH TESTS,,,6.32,76.93,17
CPT,95056,PHOTO TESTS,,,52.26,160.67,17
CPT,95060,OPH MUCOUS MEMBRANE TESTS,,,39.28,160.67,17
CPT,95065,DIR NSL MUCOUS MEMBRANE TEST,,,17.78,50.45,17
CPT,95070,INHLJ BRNCL CHALLENGE TSTG,,,34.95,674.12,17
CPT,95076,INGESTION CHALLENGE TEST INITIAL 120 MINUTES,800.0,640.0,72.57,720.0,36
CPT,95079,INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES,347.0,277.6,1.0,312.3,34
CPT,95115,IMMUNOTHERAPY ONE INJECTION,,,10.32,59.74,17
CPT,95117,IMMUNOTHERAPY INJECTIONS,,,12.32,59.74,17
CPT,95120,IMMUNOTHERAPY ONE INJECTION,,,8.67,8.67,3
CPT,95125,IMMUNOTHERAPY 2/> INJECTIONS,,,10.9,10.9,3
CPT,95130,IMMNTX 1 STING INSECT,,,13.34,13.34,3
CPT,95131,IMMNTX 2 STING INSECTS,,,16.93,16.93,3
CPT,95132,IMMNTX 3 STING INSECTS,,,21.35,21.35,3
CPT,95133,IMMNTX 4 STING INSECTS,,,27.76,27.76,3
CPT,95134,IMMNTX 5 STING INSECTS,,,38.0,38.0,3
CPT,95144,ANTIGEN THERAPY SERVICES,,,3.33,59.74,17
CPT,95145,ANTIGEN THERAPY SERVICES,,,3.0,59.74,17
CPT,95146,ANTIGEN THERAPY SERVICES,,,3.0,59.74,17
CPT,95147,ANTIGEN THERAPY SERVICES,,,3.0,74.73,17
CPT,95148,ANTIGEN THERAPY SERVICES,,,3.0,74.73,17
CPT,95149,ANTIGEN THERAPY SERVICES,,,3.0,74.73,17
CPT,95165,ANTIGEN THERAPY SERVICES,,,3.33,59.74,17
CPT,95170,ANTIGEN THERAPY SERVICES,,,3.0,59.74,17
CPT,95180,RAPID DESENSITIZATION,,,100.86,501.13,17
CPT,95199,UNLISTED ALL/IMMLG SVC/PX,,,13.2,37.46,13
CPT,95249,CONT GLUC MONITOR IN TISSUE PT PROV EQUIP,245.0,196.0,27.11,220.5,36
CPT,95250,CONT GLUC MONITOR IN TISSUE PHYS PROV EQUIP,342.0,273.6,58.59,307.8,36
CPT,95251,CONT GLUC MNTR ANALYSIS I&R,,,30.89,59.92,15
CPT,95700,EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,1787.0,1429.6,69.23,1608.3,36
CPT,95705,EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED,2251.0,1800.8,139.12,2025.9,36
CPT,95706,EEG WO VID 2-12HR INTMT MNTR,,,139.12,394.78,13
CPT,95707,EEG W/O VID 2-12HR CONT MNTR,,,139.12,394.78,13
CPT,95708,EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED,2679.0,2143.2,237.56,2411.1,36
CPT,95709,EEG W/O VID EA 12-26HR INTMT,,,237.56,674.12,13
CPT,95710,EEG W/O VID EA 12-26HR CONT,,,237.56,674.12,13
CPT,95711,VEEG BY TECH 2-12 HOURS UNMONITORED,4872.0,3897.6,139.12,4384.8,36
CPT,95712,VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,5617.0,4493.6,139.12,5055.3,36
CPT,95713,VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,6284.0,5027.2,237.56,5655.6,36
CPT,95714,VEEG BY TECH EA INCR 12-26 HR UNMONITORED,6381.0,5104.8,237.56,5742.9,36
CPT,95715,VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,7071.0,5656.8,237.56,6363.9,36
CPT,95716,VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,7925.0,6340.0,463.42,7132.5,36
CPT,95717,EEG PHYS/QHP 2-12 HR W/O VID,,,69.23,196.46,15
CPT,95718,EEG PHYS/QHP 2-12 HR W/VEEG,,,69.23,196.46,15
CPT,95719,EEG PHYS/QHP EA INCR W/O VID,,,69.23,196.46,15
CPT,95720,EEG PHY/QHP EA INCR W/VEEG,,,69.23,204.28,15
CPT,95721,EEG PHY/QHP>36<60 HR W/O VID,,,69.23,204.49,15
CPT,95722,EEG PHY/QHP>36<60 HR W/VEEG,,,139.12,394.78,15
CPT,95723,EEG PHY/QHP>60<84 HR W/O VID,,,139.12,394.78,15
CPT,95724,EEG PHY/QHP>60<84 HR W/VEEG,,,139.12,394.78,15
CPT,95725,EEG PHY/QHP>84 HR W/O VID,,,139.12,394.78,15
CPT,95726,EEG PHY/QHP>84 HR W/VEEG,,,139.12,400.41,15
CPT,95782,PSG DIAG < 6 YRS,6696.0,5356.8,463.42,6026.4,36
CPT,95782,PSG DIAG < 6 YRS PARTIAL M52,4625.0,3700.0,463.42,4162.5,36
CPT,95783,PSG CPAP < 6 YRS,6455.0,5164.0,463.42,5809.5,36
CPT,95783,PSG CPAP < 6 YRS PARTIAL M52,4266.0,3412.8,463.42,3839.4,36
CPT,95800,UNATTEND SLEEP STDY SIML&SLEEP,813.0,650.4,69.23,731.7,34
CPT,95801,SLP STDY UNATND W/ANAL,,,27.11,97.2,15
CPT,95803,ACTIGRAPHY TESTING,,,27.11,135.15,15
CPT,95805,MULTIPLE SLEEP LATENCY 95805,4183.0,3346.4,237.56,3764.7,36
CPT,95805,MULTIPLE SLEEP LATENCY 95805 52 MOD,3752.0,3001.6,237.56,3376.8,36
CPT,95805,OUTREACH PSG MSLT,2786.0,2228.8,237.56,2507.4,36
CPT,95806,UNATTENDED SLEEP STUDY 95806,942.0,753.6,69.23,847.8,34
CPT,95807,SLEEP STUDY ATTENDED,,,237.56,674.12,17
CPT,95808,POLYSOM ANY AGE 1-3> PARAM,,,463.42,1315.04,17
CPT,95810,OUTREACH PSG,2568.0,2054.4,463.42,2311.2,36
CPT,95810,PSG 4+ PARAMETERS,6422.0,5137.6,463.42,5779.8,36
CPT,95810,SLEEP STUDY PARTIAL 95810 M52,4622.0,3697.6,463.42,4159.8,36
CPT,95811,OUTREACH PSG (SPLIT NIGHT),2568.0,2054.4,463.42,2311.2,36
CPT,95811,OUTREACH PSG CPAP TITRATION,2786.0,2228.8,463.42,2507.4,36
CPT,95811,PSG CPAP BIPAP 4+ PARAMETERS,6698.0,5358.4,463.42,6028.2,36
CPT,95811,SLEEP STUDY CPAP PARTIAL M52,4444.0,3555.2,463.42,3999.6,36
CPT,95811,SLEEP STUDY SPLT NGHT 95811,6698.0,5358.4,463.42,6028.2,36
CPT,95812,EEG 41-60 MINUTES,1601.0,1280.8,139.12,1440.9,36
CPT,95813,EEG EXTENDED MONITORING 61-119 MINUTES,2103.0,1682.4,139.12,1892.7,36
CPT,95816,EEG AWAKE DROWSY,1426.0,1140.8,139.12,1283.4,36
CPT,95819,EEG AWAKE & ASLEEP,1573.0,1258.4,139.12,1415.7,36
CPT,95819,EEG MEASUREMENT,1538.0,1230.4,139.12,1384.2,36
CPT,95822,EEG COMA SLEEP ONLY,1556.0,1244.8,139.12,1400.4,36
CPT,95824,EEG CEREBRAL DEATH ONLY,,,237.56,674.12,13
CPT,95827,Outpatient Services - CPT/HCPCS,,,139.12,394.78,3
CPT,95829,SURGERY ELECTROCORTICOGRAM,,,1.0,1767.23,15
CPT,95830,INSERT ELECTRODES FOR EEG,,,90.21,668.66,15
CPT,95836,ECOG IMPLTD BRN NPGT <30 D,,,16.72,104.19,17
CPT,95851,RANGE OF MOTION MEASUREMENTS,,,7.66,24.58,15
CPT,95852,RANGE OF MOTION MEASUREMENTS,,,5.33,20.85,15
CPT,95857,CHOLINESTERASE CHALLENGE,,,27.96,394.78,17
CPT,95860,EMG NEEDLE ONE EXTREMITY,414.0,331.2,56.62,372.6,36
CPT,95861,EMG NEEDLE TWO EXTREMITY,453.0,362.4,56.62,407.7,36
CPT,95863,EMG NEEDLE THREE EXTREMITY,426.0,340.8,69.23,383.4,36
CPT,95864,EMG NEEDLE FOUR EXTREMITY,426.0,340.8,69.23,383.4,36
CPT,95865,NEEDLE EMG LARYNX,,,56.62,160.67,17
CPT,95866,NEEDLE EMG HEMIDIAPHRAGM,,,69.23,196.46,17
CPT,95867,EMG CRANIAL NERVE UNILATERAL,1832.0,1465.6,106.19,1648.8,36
CPT,95868,EMG NEEDLE CRANIAL NERVE SUPPLIED MUSCLES BILAT,1886.0,1508.8,138.14,1697.4,36
CPT,95869,EMG THORACIC PARASPINAL MUSCLE,386.0,308.8,94.87,394.78,36
CPT,95870,EMG NEEDLE LIMITED 1 EXTREMITY,229.0,183.2,56.62,206.1,36
CPT,95870,NUVASIVE EMG 1 EXTERMITY,229.0,183.2,56.62,206.1,36
CPT,95872,EMG 1 FIBER EA MUSC,1144.0,915.2,69.23,1029.6,36
CPT,95873,GUIDE NERV DESTR ELEC STIM,,,1.0,70.24,15
CPT,95874,EMG GUIDANCE WITH CHEMODENERVATION,219.0,175.2,1.0,197.1,34
CPT,95875,LIMB EXERCISE TEST,,,69.23,196.46,17
CPT,95885,NEEDLE ELECTROMYOGRAPHY EA EXTREM,322.0,257.6,1.0,289.8,34
CPT,95886,MUSC TEST DONE W/N TEST COMP,,,1.0,95.87,15
CPT,95887,MUSC TST DONE W/N TST NONEXT,,,1.0,82.55,15
CPT,95905,MOTOR &/ SENS NRVE CNDJ TEST,,,33.62,501.13,17
CPT,95907,NVR CNDJ TST 1-2 STUDIES,,,69.23,196.46,17
CPT,95908,NRV CNDJ TST 3-4 STUDIES,,,111.51,394.78,17
CPT,95909,NRV CNDJ TST 5-6 STUDIES,,,133.82,394.78,17
CPT,95910,NRV CNDJ TEST 7-8 STUDIES,,,139.12,394.78,17
CPT,95911,NRV CONDUCTION TEST 9-10 STUDIES,822.0,657.6,210.71,739.8,36
CPT,95912,NRV CNDJ TEST 11-12 STUDIES,,,237.56,674.12,17
CPT,95913,NRV CNDJ TEST 13/> STUDIES,,,237.56,674.12,17
CPT,95919,QUAN PUPLMTRY PHY/QHP UNI/BI,,,15.65,160.67,15
CPT,95921,AUTONOMIC NRV PARASYM INERVJ,,,69.23,196.46,17
CPT,95922,AUTONOMIC NRV ADRENRG INERVJ,,,56.62,160.67,17
CPT,95923,AUTONOMIC NRV SYST FUNJ TEST,,,56.62,160.67,17
CPT,95924,ANS PARASYMP & SYMP W/TILT,,,139.12,394.78,17
CPT,95925,SSEP UPPER LIMBS BILAT,2397.0,1917.6,139.12,2157.3,36
CPT,95925,SSEP UPPER LIMBS UNILAT M52,1588.0,1270.4,139.12,1429.2,36
CPT,95926,SSEP LOWER LIMB UNILATERAL M52,1529.0,1223.2,139.12,1376.1,36
CPT,95926,SSEP LOWER LIMBS BILAT,2088.0,1670.4,139.12,1879.2,36
CPT,95927,SSEP TRUNK HEAD,1436.0,1148.8,139.12,1292.4,36
CPT,95928,MEP UPPER LIMBS BILATERAL,1989.0,1591.2,240.34,1790.1,36
CPT,95929,MEP LOWER LIMBS BILATERAL,2022.0,1617.6,237.56,1819.8,36
CPT,95930,VISUAL EVOKED POTENTIAL,1607.0,1285.6,67.24,1446.3,36
CPT,95933,BLINK REFLEX TEST,,,27.11,82.22,17
CPT,95937,REPETITIVE STIMU EACH NERVE,416.0,332.8,69.23,374.4,36
CPT,95938,SOMATOSENSORY UP & LOW LIMBS,3690.0,2952.0,237.56,3321.0,36
CPT,95939,MEP UPPER & LOWER LIMBS BIL,4544.0,3635.2,463.42,4089.6,36
CPT,95940,OPERATIVE EVOKED POT 15 MINS,325.0,260.0,1.0,292.5,34
CPT,95941,IONM REMOTE/>1 PT OR PER HR,,,1.0,1.0,3
CPT,95950,Outpatient Services - CPT/HCPCS,,,139.12,394.78,3
CPT,95951,Outpatient Services - CPT/HCPCS,,,139.12,394.78,3
CPT,95953,Outpatient Services - CPT/HCPCS,,,139.12,394.78,3
CPT,95954,EEG MONITORING/GIVING DRUGS,,,237.56,674.12,17
CPT,95955,EEG NONINTRACRANIAL SURGERY,1271.0,1016.8,1.0,1143.9,34
CPT,95956,Outpatient Services - CPT/HCPCS,,,139.12,394.78,3
CPT,95957,EEG DIGITAL ANALYSIS,,,1.0,293.52,15
CPT,95958,EEG MONITORING/FUNCTION TEST,,,463.42,1315.04,17
CPT,95961,ELECTRODE STIMULATION BRAIN,,,327.88,1315.04,17
CPT,95962,ELECTRODE STIM BRAIN ADD-ON,,,1.0,280.57,15
CPT,95965,MEG SPONTANEOUS,,,463.42,1315.04,13
CPT,95966,MEG EVOKED SINGLE,,,463.42,1315.04,13
CPT,95967,MEG EVOKED EACH ADDL,,,1.0,1.0,3
CPT,95970,ALYS NPGT W/O PRGRMG,,,17.98,160.67,17
CPT,95971,ALYS SMPL SP/PN NPGT W/PRGRM,,,38.28,121.76,17
CPT,95972,ALYS CPLX SP/PN NPGT W/PRGRM,,,39.61,121.76,17
CPT,95976,ALYS SMPL CN NPGT PRGRMG,,,16.72,47.45,17
CPT,95977,ALYS CPLX CN NPGT PRGRMG,,,42.91,121.76,17
CPT,95980,IO ANAL GAST N-STIM INIT,,,1.0,44.61,15
CPT,95981,IO ANAL GAST N-STIM SUBSQ,,,17.64,76.93,17
CPT,95982,IO GA N-STIM SUBSQ W/REPROG,,,16.72,47.45,17
CPT,95983,ALYS BRN NPGT PRGRMG 15 MIN,,,42.91,121.76,17
CPT,95984,ALYS BRN NPGT PRGRMG ADDL 15,,,1.0,42.61,15
CPT,95990,REFILL PUMP PROC,857.0,685.6,90.21,771.3,36
CPT,95991,REFILL & MAINT PUMP BY PHYS,716.0,572.8,39.28,644.4,36
CPT,95992,CANALITH REPOSITION PROC 95992,231.0,184.8,35.28,207.9,34
CPT,95999,UNLISTED NEUROLOGICAL DX PX,,,69.23,196.46,13
CPT,96000,MOTION ANALYSIS VIDEO/3D,,,81.89,674.12,17
CPT,96001,MOTION TEST W/FT PRESS MEAS,,,108.52,1315.04,17
CPT,96002,DYNAMIC SURFACE EMG,,,20.97,394.78,17
CPT,96003,Outpatient Services - CPT/HCPCS,,,132.44,375.83,5
CPT,96003,Therapy,,,16.31,16.31,4
CPT,96004,PHYS REVIEW OF MOTION TESTS,,,94.37,185.56,15
CPT,96020,FUNCTIONAL BRAIN MAPPING,816.0,652.8,1.0,734.4,26
CPT,96040,Outpatient Services - CPT/HCPCS,,,90.16,90.16,3
CPT,96040,Therapy,,,51.6,51.6,4
CPT,96041,GENETIC COUNSELING SVC EA 30,,,46.87,51.8,8
CPT,96101,Outpatient Services - CPT/HCPCS,,,13.2,37.46,3
CPT,96102,Outpatient Services - CPT/HCPCS,,,13.2,37.46,3
CPT,96103,Outpatient Services - CPT/HCPCS,,,13.2,37.46,3
CPT,96105,APHASIA EVAL PER HR 96105,484.0,387.2,13.2,435.6,34
CPT,96110,DEVELOPMENTAL SCREEN W/SCORE,,,10.57,37.46,15
CPT,96111,Outpatient Services - CPT/HCPCS,,,13.2,37.46,3
CPT,96112,DEVELOPMENTAL TESTING PHYS OR QHP W INTERP RPT 1ST HR,516.0,412.8,69.23,464.4,36
CPT,96113,DEVELOPMENTAL TESTING PHYS OR QHP W INTERP RPT EA ADDL 30 MIN,260.0,208.0,13.2,234.0,34
CPT,96116,NEUROBEHVRL STATUS EXAM 1ST HOUR,518.0,414.4,78.89,466.2,36
CPT,96118,Outpatient Services - CPT/HCPCS,,,13.2,37.46,3
CPT,96119,Outpatient Services - CPT/HCPCS,,,13.2,37.46,3
CPT,96120,Outpatient Services - CPT/HCPCS,,,13.2,37.46,3
CPT,96121,NUBHVL XM PHY/QHP EA ADDL HR,,,13.2,75.58,15
CPT,96125,COGNITIVE TEST STNDRD HR 96125,357.0,285.6,13.2,321.3,34
CPT,96127,BRIEF EMOTIONAL/BEHAV ASSMT,,,4.66,50.45,17
CPT,96130,PSYCL TST EVAL PHYS/QHP 1ST,,,108.18,394.78,17
CPT,96131,PSYCL TST EVAL PHYS/QHP EA,,,13.2,86.11,15
CPT,96132,NRPSYC TST EVAL PHYS/QHP 1ST,,,104.52,674.12,17
CPT,96133,NRPSYC TST EVAL PHYS/QHP EA,,,13.2,97.32,15
CPT,96136,PSYCL/NRPSYC TST PHY/QHP 1ST,,,22.97,160.67,17
CPT,96137,PSYCL/NRPSYC TST PHY/QHP EA,,,13.2,37.49,15
CPT,96138,PSYCL/NRPSYC TECH 1ST,,,34.29,501.13,17
CPT,96139,PSYCL/NRPSYC TST TECH EA,,,1.0,35.28,15
CPT,96146,PSYCL/NRPSYC TST AUTO RESULT,,,2.33,37.46,17
CPT,96150,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,96151,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,96153,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
CPT,96154,Outpatient Services - CPT/HCPCS,,,70.67,200.54,3
CPT,96155,Outpatient Services - CPT/HCPCS,,,70.67,200.54,3
CPT,96156,HLTH BHV ASSMT/REASSESSMENT,,,39.51,112.1,17
CPT,96158,HLTH BHV IVNTJ INDIV 1ST 30,,,58.59,200.54,17
CPT,96159,HLTH BHV IVNTJ INDIV EA ADDL,,,1.0,24.24,15
CPT,96160,PT-FOCUSED HLTH RISK ASSMT,,,3.0,36.11,17
CPT,96161,CAREGIVER HEALTH RISK ASSMT,,,3.0,36.11,17
CPT,96164,HLTH BHV IVNTJ GRP 1ST 30,,,9.32,36.11,17
CPT,96165,HLTH BHV IVNTJ GRP EA ADDL,,,1.0,5.09,15
CPT,96167,HLTH BHV IVNTJ FAM 1ST 30,,,12.72,61.91,17
CPT,96168,HLTH BHV IVNTJ FAM EA ADDL,,,1.0,26.75,15
CPT,96170,HLTH BHV IVNTJ FAM WO PT 1ST,,,69.77,126.23,15
CPT,96171,HLTH BHV IVNTJ FAM W/O PT EA,,,25.24,45.37,15
CPT,96202,MLT FAM GRP BHV TRAIN 1ST 60,,,12.72,36.11,15
CPT,96203,MLT FAM GRP BHV TRAIN EA ADD,,,5.53,36.11,15
CPT,96360,ED 96360 IV INFUS THERAPY HYDRATION FLUIDS INITIAL 31 MIN-1HR,613.0,490.4,32.29,551.7,36
CPT,96360,IV HYDRAT INITIAL 31-60MINS,613.0,490.4,32.29,551.7,36
CPT,96360,IV HYDRAT INITIAL31-60MIN2VM59,613.0,490.4,32.29,551.7,36
CPT,96361,ED 96361 IV INFUS THERAPY HYDRATION FLUIDS ADDL HR,254.0,203.2,12.32,228.6,36
CPT,96361,IV HYDRATION EACH ADDL HR,254.0,203.2,12.32,228.6,36
CPT,96365,CDMR ED 96365 IV INFUS THER PROPH DIAG INIT UP TO 1HR SELF ADMIN MED GY,50.0,40.0,27.5,269.58,36
CPT,96365,CDMR IV INFUS THER PROPH DIAG INIT UP TO 1HR SELF ADMIN MED GY,50.0,40.0,27.5,269.58,36
CPT,96365,ED 96365 IV INFUS THER PROPH DIAG INITIAL UP TO 1HR,666.0,532.8,62.58,599.4,36
CPT,96365,INFUS TX PX DX 1 HR 2V M59,647.0,517.6,62.58,582.3,36
CPT,96365,INFUS TX PX DX 1 HR 3V M59,647.0,517.6,62.58,582.3,36
CPT,96365,INFUS TX PX DX 1 HR 4V M59,615.0,492.0,62.58,553.5,36
CPT,96365,INFUSION TX PROP DX 1HR 1V,666.0,532.8,62.58,599.4,36
CPT,96365,IV INFUSION TX PROPH DX INIT TO 1HR,666.0,532.8,62.58,599.4,36
CPT,96366,CDMR ED 96366 IV INFUS THER PROPH DIAG EA ADDL HR SELF ADMIN MED GY,50.0,40.0,20.31,59.74,36
CPT,96366,CDMR IV INFUS THER PROPH DIAG EA ADDL HR SELF ADMIN MED GY,50.0,40.0,20.31,59.74,36
CPT,96366,ED 96366 IV INFUS THER PROPH DIAG EA ADDL HR,307.0,245.6,20.31,276.3,36
CPT,96366,INFUS TX PX DX ADDL HR 2V M59,307.0,245.6,20.31,276.3,36
CPT,96366,INFUS TX PX DX ADDL HR 3V M59,287.0,229.6,20.31,258.3,36
CPT,96366,IV INFUSION EA ADD HR,307.0,245.6,20.31,276.3,36
CPT,96367,ED 96367 IV INFUS THER PROPH DIAG ADDL SEQ NEW DRUG UP TO 1 HR,366.0,292.8,28.29,329.4,36
CPT,96367,IV INFUS ADD SEQUEN NEW DRG1HR,366.0,292.8,28.29,329.4,36
CPT,96368,ED 96368 IV INFUS FOR THER PROPH DIAG CONCUR,319.0,255.2,1.0,287.1,34
CPT,96368,INFUSION TX CONCURRENT,319.0,255.2,1.0,287.1,34
CPT,96369,SUBQ INFUS TX PX INITIAL <1 HR,656.0,524.8,95.0,590.4,36
CPT,96370,SUBQ INFUS TX PX EA ADDL HR,159.0,127.2,15.98,143.1,36
CPT,96371,SC THER INFUSION RESET PUMP,,,31.22,148.0,19
CPT,96372,CDMR ED 96372 INJECT SQ IM SELF ADM MED GY,25.0,20.0,13.75,88.6,36
CPT,96372,CDMR INJECT SQ IM SELF ADM MED GY,25.0,20.0,13.75,88.6,36
CPT,96372,ED 96372 THER PROPH DIAG INJECTION SQ IM,142.0,113.6,14.31,127.8,36
CPT,96372,INJ SUBQ IM THERAP RAD,142.0,113.6,14.31,127.8,36
CPT,96372,SC IM INJECTION,142.0,113.6,14.31,127.8,36
CPT,96372,TX RM 96372 THER PROPH DIAG INJ SQ IM,137.0,109.6,14.31,123.3,36
CPT,96373,ED 96373 TX PX DX INJ INTRA-ART,369.0,295.2,18.64,332.1,36
CPT,96374,ED 96374 THER PROPH DIAG INJ IV PUSH INITIAL,489.0,391.2,36.62,440.1,36
CPT,96374,IV PUSH INITIAL,489.0,391.2,36.62,440.1,36
CPT,96374,IV PUSH INITIAL 2V M59,489.0,391.2,36.62,440.1,36
CPT,96374,IV PUSH INITIAL 3V M59,489.0,391.2,36.62,440.1,36
CPT,96375,CDMR ED 96375 TX PX DX INJ ADDL SEQ PUSH SELF ADM DRUG GY,25.0,20.0,13.75,59.74,36
CPT,96375,CDMR IV PUSH SEQUENTIAL NEW DRUG SELF ADM DRUG GY,25.0,20.0,13.75,59.74,36
CPT,96375,ED 96375 THER PROPH DIAG INJ IV PUSH ADDL SEQ,342.0,273.6,15.31,307.8,36
CPT,96375,IV PUSH SEQUENTIAL NEW DRUG,342.0,273.6,15.31,307.8,36
CPT,96376,CDMR ED 96376 THER PROPH DIAG INJ IV PUSH SAME DRUG >30MINS GY,25.0,20.0,1.0,33.6,26
CPT,96376,CDMR THER PROPH DIAG INJ IV PUSH SAME DRUG >30MINS GY,25.0,20.0,1.0,33.6,26
CPT,96376,ED 96376 THER PROPH DIAG INJ IV PUSH SAME DRUG >30MINS,464.0,371.2,1.0,417.6,26
CPT,96376,IV PUSH ADDL SAME DRUG >30MINS,464.0,371.2,1.0,417.6,26
CPT,96377,APPLICATON ON-BODY INJECTOR,182.0,145.6,18.31,163.8,34
CPT,96379,ED 96379 UNLISTED PROC INJ TX PX DX,186.0,148.8,6.97,167.4,36
CPT,96380,ADMN RSV MONOC ANTB IM CNSL,,,21.01,39.56,15
CPT,96381,ADMN RSV MONOC ANTB IM NJX,,,17.94,34.32,15
CPT,96401,CHEMO SQ IM NON HORMONAL,411.0,328.8,31.22,369.9,36
CPT,96401,ED 96401 CHEMO ANTI-NEOPL SQ/IM,399.0,319.2,31.22,359.1,36
CPT,96402,CHEMO SQ IM HORMONAL,470.0,376.0,31.22,423.0,36
CPT,96405,CHEMO ADMIN INTRALESIONAL 1-7 LESIONS,336.0,268.8,28.29,302.4,36
CPT,96406,CHEMO ADMIN INTRALESIONAL > 7 LESIONS,529.0,423.2,43.94,476.1,36
CPT,96409,CHEMO IV PUSH,621.0,496.8,99.86,558.9,36
CPT,96411,CHEMO IV PUSH EA ADD DRUG,454.0,363.2,31.22,408.6,36
CPT,96413,CHEMO INFUSION 1ST HR,960.0,768.0,129.16,864.0,36
CPT,96415,CHEMO INFUSION EA ADD HR,492.0,393.6,27.63,442.8,36
CPT,96416,CHEMO ADM IV >8 HRS W PUMP,1109.0,887.2,127.16,998.1,36
CPT,96417,CHEMO EACH ADD SEQ INFUSION,533.0,426.4,31.22,479.7,36
CPT,96420,CHEMO ADMIN INTRA-ARTERIAL PUSH TECHNIQUE,854.0,683.2,101.86,768.6,36
CPT,96422,CHEMO IA INFUSION UP TO 1 HR,,,150.11,425.97,19
CPT,96423,CHEMO IA INFUSE EACH ADDL HR,,,21.05,176.0,19
CPT,96425,CHEMOTHERAPY INFUSION METHOD,,,150.11,425.97,19
CPT,96440,CHMOTX ADMN PLRL CAV THRCNTS,,,133.48,1822.4,19
CPT,96446,CHEMO ADMIN INTO PERITONEAL CAVITY IMPLNT PORT OR CATH,1278.0,1022.4,20.31,1150.2,36
CPT,96450,CHEMO ADMIN INTRATHECAL,1227.0,981.6,75.23,1104.3,36
CPT,96521,REFILL/MAINT PORTABLE PUMP NURSE ONLY,174.0,139.2,95.0,300.8,36
CPT,96522,REFILL/MAINT PUMP/RESVR SYST,,,95.0,284.8,19
CPT,96523,ED 96523 IRRIGATE IMPLANTED VENOUS ACCESS DEVICE,168.0,134.4,24.97,151.2,36
CPT,96523,IRRIG IMPL VENOUS ACCESS DEVIC,180.0,144.0,24.97,162.0,36
CPT,96542,CHEMO INJ SUBARACH INTRAVENT,641.0,512.8,41.61,576.9,36
CPT,96547,INTRAOP HIPEC PX 1ST 60 MIN,,,305.69,337.86,8
CPT,96548,NTRAOP HIPEC PX EA ADD 30MIN,,,140.38,155.16,8
CPT,96549,UNLISTED CHEMOTHERAPY PX,,,21.05,59.74,13
CPT,96567,PDT DSTR PRMLG LES SKN,,,88.73,251.79,17
CPT,96570,PHOTODYNMC TX 30 MIN ADD-ON,,,1.0,51.32,15
CPT,96571,PHOTODYNAMIC TX ADDL 15 MIN,,,1.0,24.63,15
CPT,96573,PDT DSTR PRMLG LES PHYS/QHP,,,88.73,251.79,17
CPT,96574,DBRDMT PRMLG LES W/PDT,,,88.73,277.28,17
CPT,96900,ACTINOTHERAPY UV LIGHT,,,17.78,50.45,17
CPT,96902,MCRSCP XM HAIR PLUCK/CLIPPED,,,1.0,21.66,15
CPT,96904,WHOLE BODY PHOTOGRAPHY,,,1.0,68.57,15
CPT,96910,PHOTCHMTX TAR&UVB/PTRLTM&UVB,,,27.11,118.5,17
CPT,96912,PHOTOCHEMOTHERAPY PUVA,,,27.11,100.86,17
CPT,96913,PHOTOCHEMOTX SEV DERMATOSES,,,152.79,501.53,17
CPT,96920,EXCIMER LSR PSRIASIS<250SQCM,,,62.58,251.79,17
CPT,96921,EXCIMER LSR PSRIASIS 250-500,,,70.9,251.79,17
CPT,96922,EXCIMER LSR PSRIASIS>500SQCM,,,114.18,501.53,17
CPT,96931,RCM IMG ACQUISJ&I&R 1ST LES,,,152.89,296.09,15
CPT,96932,RCM IMG ACQUISJ ONLY 1ST LES,,,1.0,126.83,15
CPT,96933,RCM I&R ONLY 1ST LESION,,,39.07,74.46,15
CPT,96934,RCM IMG ACQUISJ&I&R EA ADDL,,,1.0,119.26,15
CPT,96935,RCM IMG ACQUISJ ONLY EA ADDL,,,1.0,77.44,15
CPT,96936,RCM I&R ONLY EA ADDL LESION,,,1.0,41.83,15
CPT,96999,UNLISTED SPEC DERM SVC/PX,,,88.73,251.79,13
CPT,97010,HOT OR COLD PACKS THERAPY,,,5.96,8.35,15
CPT,97012,TRACTION MECHANICAL 97012,174.0,139.2,13.33,156.6,34
CPT,97014,ELEC STIM UNATTENDED 97014,131.0,104.8,11.49,117.9,34
CPT,97016,VASOPNEUMATIC DVC APPL 97016,135.0,108.0,10.87,121.5,34
CPT,97018,PARAFFIN BATH 97018,123.0,98.4,5.65,110.7,34
CPT,97022,FLUIDOTHERAPY 97022,170.0,136.0,14.56,153.0,34
CPT,97022,WHIRLPOOL 97022,183.0,146.4,14.56,164.7,34
CPT,97024,DIATHERMY EG MICROWAVE,,,6.57,9.66,15
CPT,97026,INFRARED LIGHT THERAPY 97026,127.0,101.6,6.26,114.3,34
CPT,97028,ULTRAVIOLET THERAPY,,,7.49,10.98,15
CPT,97032,ELEC STIM MAN PER 15 MIN 97032,152.0,121.6,13.33,136.8,34
CPT,97032,TENS DAILY 97032,150.0,120.0,13.33,135.0,34
CPT,97033,IONTOPHORESIS 15 MIN 97033,230.0,184.0,17.63,207.0,34
CPT,97034,CONTRAST BATH 15 MIN 97034,109.0,87.2,12.72,98.1,34
CPT,97035,PHONOPHORESIS 15 MIN 97035,158.0,126.4,13.02,142.2,34
CPT,97035,ULTRASOUND 15 MIN 97035,162.0,129.6,13.02,145.8,34
CPT,97036,APP MDLTY 1+HUBBRD TNK EA 15,,,32.38,46.13,15
CPT,97037,APPL MODALITY 1+ AREAS LLLT PO PAIN REDUCT 97037,86.0,68.8,17.78,77.4,34
CPT,97039,UNLISTED MODALITY,,,21.88,21.88,3
CPT,97110,PT UNIT CHG,160.0,128.0,27.16,144.0,34
CPT,97110,THER EXERCISE EA 15 MIN 97110,166.0,132.8,27.16,149.4,34
CPT,97112,NEUROMUSC RE ED EA 15MIN 97112,161.0,128.8,30.23,144.9,34
CPT,97113,AQUATIC THERAPY 15 MIN 97113,160.0,128.0,34.53,144.0,34
CPT,97116,GAIT TRAINING 15 MIN 97116,150.0,120.0,27.16,135.0,34
CPT,97124,MASSAGE 15 MIN 97124,153.0,122.4,28.08,137.7,34
CPT,97129,THER INT COG FUNC 1ST 15MIN 97129,140.0,112.0,20.4,126.0,34
CPT,97130,THER INT COG FUNC EA ADDL 15MIN 97130,68.0,54.4,19.48,61.2,34
CPT,97139,CPM DAILY 97139,150.0,120.0,22.59,135.0,26
CPT,97139,THERAPEUTIC REC EVAL,259.0,207.2,22.59,233.1,26
CPT,97140,MANUAL THERAPY 15 MIN 97140,167.0,133.6,25.62,150.3,34
CPT,97150,COMM REINTEGRATION GRP,144.0,115.2,16.4,129.6,34
CPT,97150,GROUP THERAPY 97150,151.0,120.8,16.4,135.9,34
CPT,97150,INTERDISCIPLINARY GROUP,150.0,120.0,16.4,135.0,34
CPT,97150,OT GROUP - CJS,150.0,120.0,16.4,135.0,34
CPT,97150,THERAPEUTIC REC GROUP,143.0,114.4,16.4,128.7,34
CPT,97151,BHV ID ASSMT BY PHYS/QHP,,,39.51,112.1,13
CPT,97152,BHV ID SUPRT ASSMT BY 1 TECH,,,39.51,112.1,11
CPT,97153,ADAPTIVE BEHAVIOR TX BY TECH,,,39.51,112.1,13
CPT,97154,GRP ADAPT BHV TX BY TECH,,,12.72,36.11,13
CPT,97155,ADAPT BEHAVIOR TX PHYS/QHP,,,70.67,200.54,13
CPT,97156,FAM ADAPT BHV TX GDN PHY/QHP,,,12.72,36.11,13
CPT,97157,MULT FAM ADAPT BHV TX GDN,,,12.72,36.11,13
CPT,97158,GRP ADAPT BHV TX BY PHY/QHP,,,12.72,36.11,11
CPT,97161,PT EVAL LOW COMPLEXITY 97161,340.0,272.0,92.35,306.0,34
CPT,97162,PT EVAL MODERATE COMPLEXITY 97162,372.0,297.6,92.35,334.8,34
CPT,97163,PT EVAL HIGH COMPLEXITY 97163,459.0,367.2,92.35,413.1,34
CPT,97164,PT RE-EVAL EST PLAN CARE 97164,302.0,241.6,63.84,271.8,34
CPT,97165,OT EVAL LOW COMPLEXITY 97165,349.0,279.2,94.81,314.1,34
CPT,97166,OT EVAL MODERATE COMPLEXITY 97166,421.0,336.8,94.81,378.9,34
CPT,97167,OT EVAL HIGH COMPLEXITY 97167,469.0,375.2,94.81,422.1,34
CPT,97168,OT RE-EVAL EST PLAN CARE 97168,320.0,256.0,65.5,288.0,34
CPT,97530,PULMONARY EXERCISE,168.0,134.4,32.69,151.2,34
CPT,97530,THER ACTIVITIES EA15 MIN 97530,167.0,133.6,32.69,150.3,34
CPT,97530,THERAPEUTIC ACT - TR,163.0,130.4,32.69,146.7,34
CPT,97533,SENS INTEGRATION 15 MIN 97533,163.0,130.4,54.61,146.7,34
CPT,97535,PULMONARY ADL,150.0,120.0,30.23,135.0,34
CPT,97535,SLFCR HOME MGMT TRN15MIN 97535,162.0,129.6,30.23,145.8,34
CPT,97537,AVOCATIONAL SKILLS TRAIN,185.0,148.0,29.92,166.5,34
CPT,97537,COMM WORK REINTGR EA15MIN97537,194.0,155.2,29.92,174.6,34
CPT,97537,SENS INTEG EA 15M SEP PROC M59,145.0,116.0,29.92,130.5,34
CPT,97542,WHLCHR MGMT 15 MIN 97542,153.0,122.4,29.0,137.7,34
CPT,97545,WORK HARDENING,,,116.49,116.49,3
CPT,97546,WORK HARDENING ADD-ON,,,37.81,37.81,3
CPT,97550,CAREGIVER TRAINING STRATEGIES 1ST 30 MIN,156.0,124.8,45.27,140.4,34
CPT,97551,CAREGIVER TRAINING STRATEGIES EA ADDL 15 MIN,77.0,61.6,24.09,69.3,34
CPT,97552,GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE,66.0,52.8,10.65,59.4,34
CPT,97597,ED 97597 SELECT DEBRIDE OPEN WOUND FIRST 20 SQCM OR LESS,574.0,459.2,34.95,516.6,36
CPT,97597,TX RM 97597 SELECT DEBRIDE OPEN WOUND FIRST 20 SQCM OR LESS,610.0,488.0,34.95,549.0,36
CPT,97598,ED 97598 SELECT DEBRIDE OPEN WOUND EA ADDL 20 SQCM,472.0,377.6,1.0,424.8,34
CPT,97598,SURG 97598 SELECT DEBRIDE OPEN WOUND EA ADDL 20 SQCM,349.0,279.2,1.0,314.1,34
CPT,97598,TX RM 97598 SELECT DEBRIDE OPEN WOUND EA ADDL 20 SQCM,492.0,393.6,1.0,442.8,34
CPT,97602,NONSELCT DEBRIDMNT LEV 3,459.0,367.2,88.73,413.1,36
CPT,97602,NONSELCT DEBRIDMNT LEV 4,522.0,417.6,88.73,469.8,36
CPT,97602,NONSELECT DEBRIDE LEV 1 97602,320.0,256.0,84.64,288.0,36
CPT,97602,NONSELECT DEBRIDE LEV 2 97602,396.0,316.8,88.73,356.4,36
CPT,97602,TX RM 97602 NONSELCT DEBRIDEMENT 97602,482.0,385.6,88.73,433.8,36
CPT,97605,TX RM 97605 WND NEG PRESS UTILIZ DME <= 50SQCM 97605,495.0,396.0,23.97,445.5,36
CPT,97606,TX RM 97606 WND NEG PRESS UTILIZ DME >50 SQ CM 97606,702.0,561.6,26.3,631.8,36
CPT,97607,ED 97607 NEG PRESSURE WOUND TX DISP NON-DME <=50 SQ CM,899.0,719.2,20.97,809.1,36
CPT,97607,TX RM 97607 NEG PRESSURE WOUND TX DISP NON-DME<  =50 SQ CM 97607,724.0,579.2,20.97,651.6,36
CPT,97608,TX RM 97608 NEG PRESSURE WOUND TX DISP NON-DME  >50 SQ CM 97608,710.0,568.0,24.63,639.0,36
CPT,97610,LOW FREQUENCY NON-THERMAL US,,,17.64,251.79,15
CPT,97750,CERVICAL STRENGTH TEST,410.0,328.0,31.46,369.0,34
CPT,97750,CERVICL STRENGTH RE-TEST,196.0,156.8,31.46,176.4,34
CPT,97750,COMPUTERIZED FCE 3 HR,1297.0,1037.6,31.46,1167.3,34
CPT,97750,COMPUTERIZED FCE LEVEL 1,178.0,142.4,31.46,160.2,34
CPT,97750,COMPUTERIZED FCE LEVEL 2,1708.0,1366.4,31.46,1537.2,34
CPT,97750,COMPUTERIZED FCE LEVEL 3,2154.0,1723.2,31.46,1938.6,34
CPT,97750,COMPUTERIZED FCE LEVEL 4,2586.0,2068.8,31.46,2327.4,34
CPT,97750,ISOKINETIC EVALUATION,423.0,338.4,31.46,380.7,34
CPT,97750,LUMBAR STENGTH TEST,393.0,314.4,31.46,353.7,34
CPT,97750,LUMBAR STRENGTH RE-TEST,196.0,156.8,31.46,176.4,34
CPT,97750,OC REHAB EVA,100.0,80.0,31.46,90.0,34
CPT,97750,PHYSICAL PERFORMANCE TEST 97750,180.0,144.0,31.46,162.0,34
CPT,97755,ASSISTIVE TECHNOLOGY ASSESS,,,35.27,50.52,15
CPT,97760,ORTHO FITING INITL LEV 2,256.0,204.8,43.45,230.4,34
CPT,97760,ORTHO FITING INITL LEV 3,361.0,288.8,43.45,324.9,34
CPT,97760,ORTHOTICS MGMT&TRAIN INITIAL 15MIN 97760,333.5,266.8,43.45,397.8,68
CPT,97761,PROSTHETIC TRAIN INITIAL 15 MIN 97761,153.0,122.4,38.22,137.7,34
CPT,97763,ORTHC/PROSTC MGMT SBSQ ENCTR 97763,160.0,128.0,47.44,144.0,34
CPT,97802,MNT INITIAL INDIVIDUAL15 MIN,63.0,50.4,21.11,56.7,34
CPT,97803,MNT REASSESSMENT INDIVID 15MIN,72.0,57.6,24.12,64.8,34
CPT,97804,MNT GROUP 30 MIN,62.0,49.6,15.31,55.8,34
CPT,97810,ACUP 1/> WO ESTIM 1ST 15 MIN,,,13.2,37.46,17
CPT,97811,ACUP 1/> W/O ESTIM EA ADD 15,,,23.71,44.21,15
CPT,97813,ACUP 1/> W/ESTIM 1ST 15 MIN,,,13.2,37.46,17
CPT,97814,ACUP 1/> W/ESTIM EA ADDL 15,,,26.78,48.86,15
CPT,98000,SYNCH AUDIO-VIDEO NEW SF 15,,,46.37,51.25,8
CPT,98001,SYNCH AUDIO-VIDEO NEW LOW 30,,,76.15,84.17,8
CPT,98002,SYNCH AUDIO-VIDEO NEW MOD 45,,,121.41,134.2,8
CPT,98003,SYNCH AUDIO-VIDEO NEW HI 60,,,161.03,177.98,8
CPT,98004,SYNCH AUDIO-VIDEO EST SF 10,,,35.81,39.58,8
CPT,98005,SYNCH AUDIO-VIDEO EST LOW 20,,,62.59,69.18,8
CPT,98006,SYNCH AUDIO-VIDEO EST MOD 30,,,91.87,101.54,8
CPT,98007,SYNCH AUDIO-VIDEO EST HI 40,,,122.03,134.87,8
CPT,98008,SYNCH AUDIO-ONLY NEW SF 15,,,44.1,48.75,8
CPT,98009,SYNCH AUDIO-ONLY NEW LOW 30,,,72.85,80.51,8
CPT,98010,SYNCH AUDIO-ONLY NEW MOD 45,,,112.81,124.69,8
CPT,98011,SYNCH AUDIO-ONLY NEW HIGH 60,,,147.15,162.64,8
CPT,98012,SYNCH AUDIO-ONLY EST SF 10,,,32.74,36.18,8
CPT,98013,SYNCH AUDIO-ONLY EST LOW 20,,,57.25,63.27,8
CPT,98014,SYNCH AUDIO-ONLY EST MOD 30,,,83.15,91.9,8
CPT,98015,SYNCH AUDIO-ONLY EST HIGH 40,,,121.11,133.86,8
CPT,98016,BRIEF COMUNICAJ TECH-BSD SVC,,,14.68,16.22,8
CPT,98925,OSTEOPATH MANJ 1-2 REGIONS,,,11.5,32.64,17
CPT,98926,OSTEOPATH MANJ 3-4 REGIONS,,,11.5,34.29,17
CPT,98927,OSTEOPATH MANJ 5-6 REGIONS,,,11.5,45.6,17
CPT,98928,OSTEOPATH MANJ 7-8 REGIONS,,,11.5,57.59,17
CPT,98929,OSTEOPATH MANJ 9-10 REGIONS,,,11.5,68.91,17
CPT,98940,CHIROPRACT MANJ 1-2 REGIONS,,,11.5,32.64,17
CPT,98941,CHIROPRACT MANJ 3-4 REGIONS,,,11.5,33.29,17
CPT,98942,CHIROPRACTIC MANJ 5 REGIONS,,,11.5,44.61,17
CPT,98943,CHIROPRACT MANJ XTRSPINL 1/>,,,22.3,38.97,15
CPT,98960,ASTHMA EDUCATION 1PT EA 30MINS PULMONARY,130.0,104.0,1.0,117.0,34
CPT,98960,ASTHMA EDUCATION 1PT EA 30MINS RT,130.0,104.0,1.0,117.0,34
CPT,98960,COPD EDUCATION 1 PT EA 30MINS RT,130.0,104.0,1.0,117.0,34
CPT,98960,SELF-MANAGEMENT EDUC & TRAIN 30MINS 1 PT PARENT,132.0,105.6,1.0,118.8,34
CPT,98961,EDU&TRN PT SLF-MGMT NQHP 2-4,,,1.0,15.07,15
CPT,98962,EDU&TRN PT SLF-MGMT NQHP 5-8,,,1.0,11.0,15
CPT,98966,HC PRO PHONE CALL 5-10 MIN,32.0,25.6,10.72,28.8,34
CPT,98967,HC PRO PHONE CALL 11-20 MIN,64.0,51.2,21.44,57.6,34
CPT,98968,HC PRO PHONE CALL 21-30 MIN,96.0,76.8,30.62,86.4,34
CPT,98970,NQHP OL DIG ASSMT&MGMT 5-10,,,10.57,20.36,11
CPT,98971,NQHP OL DIG ASSMT&MGMT 11-20,,,19.71,36.07,11
CPT,98972,NQHP OL DIG ASSMT&MGMT 21+,,,30.16,52.93,11
CPT,98975,RTM 1ST SET-UP&PT EDUCAJ EQP,,,19.97,166.26,17
CPT,98976,RTM DEV SPLY RESP SYS 16-30D,,,16.72,47.45,17
CPT,98977,RTM DEV SPLY MSCSKL 16-30 D,,,16.72,47.45,17
CPT,98978,RTM DEV SPLY CBT 16-30 D,,,16.72,47.45,11
CPT,98980,RTM TX MGMT 1ST 20 MIN,,,30.29,52.93,15
CPT,98981,RTM TX MGMT EA ADDL 20 MIN,,,29.96,52.35,15
CPT,99000,SPECIMEN HANDLING OFFICE-LAB,,,3.0,3.0,3
CPT,99001,SPECIMEN HANDLING PT-LAB,,,8.5,8.5,3
CPT,99002,DEVICE HANDLING PHYS/QHP,,,8.5,8.5,3
CPT,99024,POSTOP FOLLOW-UP VISIT,,,1.59,1.59,3
CPT,99078,GROUP HEALTH EDUCATION,,,1.0,1.0,3
CPT,99080,SPECIAL REPORTS OR FORMS,,,0.6,0.6,3
CPT,99091,COLLJ & INTERPJ DATA EA 30 D,,,1.0,53.59,15
CPT,99151,ED 99151 MOD SED SAME PHYS INT 15 MINS < 5 YRS,291.0,232.8,1.0,261.9,34
CPT,99151,MOD SED SAME PHYS/QHP INITIAL 15 MINS < 5 YRS,347.0,277.6,1.0,312.3,34
CPT,99152,ED 99152 MOD SED SAME PHYS INT 15 MINS AGE 5 OR >,320.0,256.0,1.0,288.0,34
CPT,99152,MOD SED SAME PHYS/QHP INITIAL 15 MINS AGE 5 OR >,331.0,264.8,1.0,297.9,34
CPT,99153,ED 99153 MOD SED SAME PHYS EA ADDL 15 MINS,247.0,197.6,1.0,222.3,34
CPT,99153,MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,261.0,208.8,1.0,234.9,34
CPT,99155,ED 99155 MOD SED OTHER PHYS INT 15 MINS <5 YRS,314.0,251.2,1.0,282.6,34
CPT,99156,ED 99156 MOD SED OTHER PHYS INT 15 MINS AGE 5 OR >,320.0,256.0,1.0,288.0,34
CPT,99157,ED 99157 MOD SED OTHER PHYS EA ADDL 15 MINS,243.0,194.4,1.0,218.7,34
CPT,99170,EXAM ANOGENITAL COLPOSCOPIC,214.0,171.2,71.69,250.63,36
CPT,99172,OCULAR FUNCTION SCREEN,,,13.08,13.08,3
CPT,99173,VISUAL ACUITY SCREEN,,,2.88,5.82,15
CPT,99174,OCULAR INSTRUMNT SCREEN BIL,,,5.65,11.05,15
CPT,99175,INDUCTION OF VOMITING,,,1.0,30.36,15
CPT,99177,OCULAR INSTRUMNT SCREEN BIL,,,4.42,8.73,15
CPT,99183,HYPERBARIC OXYGEN THERAPY,,,91.98,182.65,15
CPT,99184,HYPOTHERMIA ILL NEONATE,,,189.32,368.8,15
CPT,99188,APP TOPICAL FLUORIDE VARNISH,,,9.65,16.87,15
CPT,99190,SPECIAL PUMP SERVICES,,,205.8,205.8,3
CPT,99191,SPECIAL PUMP SERVICES,,,147.7,147.7,3
CPT,99192,SPECIAL PUMP SERVICES,,,178.52,178.52,3
CPT,99195,THERAPEUTIC PHLEBOTOMY,318.0,254.4,56.62,286.2,36
CPT,99195,THERAPEUTIC PHLEBOTOMY NURSING,320.0,256.0,56.62,288.0,36
CPT,99202,LEVEL 2 NEW W MOD 25,200.0,160.0,52.9,180.0,34
CPT,99202,NEUROSCIENCE CLINIC NEW LVL 2,200.0,160.0,52.9,180.0,34
CPT,99202,NEW AMS OR CONSULT PATIENT LVL 2,200.0,160.0,52.9,180.0,34
CPT,99202,NEW OB CHECK LVL 2 W MOD 25,406.0,324.8,65.05,365.4,34
CPT,99202,NEW OB CHECK LVL2,406.0,324.8,65.05,365.4,34
CPT,99202,NEW PATIENT LEVEL 2,200.0,160.0,52.9,180.0,34
CPT,99203,LEVEL 3 NEW W MOD 25,247.0,197.6,65.33,222.3,34
CPT,99203,NEUROSCIENCE CLINIC NEW LVL 3,247.0,197.6,65.33,222.3,34
CPT,99203,NEW AMS OR CONSULT PATIENT LVL 3,247.0,197.6,65.33,222.3,34
CPT,99203,NEW OB CHECK LVL 3 W MOD 25,676.0,540.8,100.52,608.4,34
CPT,99203,NEW OB CHECK LVL3,676.0,540.8,100.52,608.4,34
CPT,99203,NEW PATIENT LEVEL 3,247.0,197.6,65.33,222.3,34
CPT,99204,LEVEL 4 NEW W MOD 25,475.0,380.0,125.64,427.5,34
CPT,99204,NEUROSCIENCE CLINIC NEW LVL 4,926.0,740.8,150.62,833.4,34
CPT,99204,NEW AMS OR CONSULT PATIENT LVL 4,221.0,176.8,58.45,237.41,34
CPT,99204,NEW OB CHECK LVL 4 W MOD 25,890.0,712.0,150.62,801.0,34
CPT,99204,NEW OB CHECK LVL4,890.0,712.0,150.62,801.0,34
CPT,99204,NEW PATIENT LEVEL 4,489.0,391.2,129.34,440.1,34
CPT,99205,LEVEL 5 NEW W MOD 25,511.0,408.8,135.16,459.9,34
CPT,99205,NEUROSCIENCE CLINIC NEW LVL 5,1201.0,960.8,198.51,1080.9,34
CPT,99205,NEW AMS OR CONSULT PATIENT LVL 5,294.0,235.2,77.76,322.92,34
CPT,99205,NEW OB CHECK LVL 5 W MOD 25,1203.0,962.4,198.51,1082.7,34
CPT,99205,NEW OB CHECK LVL5,1203.0,962.4,198.51,1082.7,34
CPT,99205,NEW PATIENT LEVEL 5,521.0,416.8,137.8,468.9,34
CPT,99211,CARDIAC OR PULM REHAB INITIAL INTAKE VISIT,242.0,193.6,15.55,217.8,34
CPT,99211,DRESSING CHANGE - OP,133.0,106.4,15.55,119.7,34
CPT,99211,EST AMS OR CONSULT PATIENT LVL 1,155.0,124.0,15.55,139.5,34
CPT,99211,EST OB CHECK LVL 1 W MOD 25,285.0,228.0,15.55,256.5,34
CPT,99211,EST OB CHECK LVL1,285.0,228.0,15.55,256.5,34
CPT,99211,ESTAB LEVEL 1,287.0,229.6,15.55,258.3,34
CPT,99211,FOLLOWUP LEVEL 1,291.0,232.8,15.55,261.9,34
CPT,99211,LEVEL 1 EST W MOD 25,274.0,219.2,15.55,246.6,34
CPT,99211,NEUROSCIENCE CLINIC EST LVL 1,455.0,364.0,15.55,409.5,34
CPT,99212,EST AMS OR CONSULT PATIENT LVL 2,220.0,176.0,51.29,198.0,34
CPT,99212,EST OB CHECK LVL 2 W MOD 25,419.0,335.2,51.29,377.1,34
CPT,99212,EST OB CHECK LVL2,419.0,335.2,51.29,377.1,34
CPT,99212,EST POSTPARTUM CHECK,419.0,335.2,51.29,377.1,34
CPT,99212,EST POSTPARTUM CHECK W MOD 25,419.0,335.2,51.29,377.1,34
CPT,99212,ESTAB LEVEL 2,220.0,176.0,51.29,198.0,34
CPT,99212,LEVEL 2 EST W MOD 25,220.0,176.0,51.29,198.0,34
CPT,99212,NEUROSCIENCE CLINIC EST LVL 2,220.0,176.0,51.29,198.0,34
CPT,99213,EST AMS OR CONSULT PATIENT LVL 3,176.0,140.8,46.55,158.4,34
CPT,99213,EST OB CHECK LVL 3 W MOD 25,703.0,562.4,82.61,632.7,34
CPT,99213,EST OB CHECK LVL3,703.0,562.4,82.61,632.7,34
CPT,99213,ESTAB LEVEL 3,347.0,277.6,82.61,312.3,34
CPT,99213,LEVEL 3 EST W MOD 25,337.0,269.6,82.61,303.3,34
CPT,99213,NEUROSCIENCE CLINIC EST LVL 3,880.0,704.0,82.61,792.0,34
CPT,99214,EST AMS OR CONSULT PATIENT LVL 4,236.0,188.8,62.42,212.4,34
CPT,99214,EST OB CHECK LVL 4 W MOD 25,975.0,780.0,116.07,877.5,34
CPT,99214,EST OB CHECK LVL4,1247.0,997.6,116.07,1122.3,34
CPT,99214,ESTAB LEVEL 4,559.0,447.2,116.07,503.1,34
CPT,99214,LEVEL 4 EST W MOD 25,542.0,433.6,116.07,487.8,34
CPT,99214,NEUROSCIENCE CLINIC EST LVL 4,1100.0,880.0,116.07,990.0,34
CPT,99215,EST AMS OR CONSULT PATIENT LVL 5,253.0,202.4,66.92,256.54,34
CPT,99215,EST OB CHECK LVL 5 W MOD 25,1247.0,997.6,162.87,1122.3,34
CPT,99215,EST OB CHECK LVL5,975.0,780.0,162.87,877.5,34
CPT,99215,ESTAB LEVEL 5,599.0,479.2,158.44,539.1,34
CPT,99215,LEVEL 5 EST W MOD 25,977.0,781.6,162.87,879.3,34
CPT,99215,NEUROSCIENCE CLINIC EST LVL 5,1369.0,1095.2,162.87,1232.1,34
CPT,99221,1ST HOSP IP/OBS SF/LOW 40,,,72.37,147.11,15
CPT,99222,1ST HOSP IP/OBS MODERATE 55,,,115.05,232.02,15
CPT,99223,1ST HOSP IP/OBS HIGH 75,,,153.55,307.37,15
CPT,99231,SBSQ HOSP IP/OBS SF/LOW 25,,,43.35,87.91,15
CPT,99232,SBSQ HOSP IP/OBS MODERATE 35,,,70.05,139.93,15
CPT,99233,SBSQ HOSP IP/OBS HIGH 50,,,104.94,210.5,15
CPT,99234,HOSP IP/OBS SM DT SF/LOW 45,,,86.08,173.42,15
CPT,99235,HOSP IP/OBS SAME DATE MOD 70,,,140.48,282.85,15
CPT,99236,HOSP IP/OBS SAME DATE HI 85,,,183.33,369.56,15
CPT,99238,HOSP IP/OBS DSCHRG MGMT 30/<,,,72.09,144.12,15
CPT,99239,HOSP IP/OBS DSCHRG MGMT >30,,,102.06,203.32,15
CPT,99242,OFF/OP CONSLTJ NEW/EST SF 20,,,55.26,99.27,15
CPT,99243,OFFICE OP CONSULT EST LOW MDM 30 MIN,347.0,277.6,87.21,312.3,34
CPT,99244,OFFICE OP CONSULT EST MOD MDM 40 MIN,559.0,447.2,132.82,503.1,34
CPT,99245,OFFICE OP CONSULT EST HIGH MDM 55 MIN,617.0,493.6,178.42,555.3,34
CPT,99252,IP/OBS CONSLTJ NEW/EST SF 35,,,63.01,126.18,15
CPT,99253,IP/OBS CNSLTJ NEW/EST LOW 45,,,88.8,177.01,15
CPT,99254,IP/OBS CNSLTJ NEW/EST MOD 60,,,123.26,245.78,15
CPT,99255,IP/OBS CONSLTJ NEW/EST HI 80,,,165.45,330.69,15
CPT,99281,ED 99281 EMER CASE LEVEL I,370.0,296.0,11.32,333.0,36
CPT,99282,ED 99282 EMER CASE LEVEL II,635.0,508.0,41.28,571.5,36
CPT,99283,ED 99283 EMER CASE LEVEL III,1081.0,864.8,70.24,972.9,36
CPT,99284,ED 99284 EMER CASE LEVEL IV,1730.0,1384.0,119.5,1557.0,36
CPT,99285,ED 99285 EMER CASE LEVEL V,2547.0,2037.6,173.1,2292.3,36
CPT,99288,DIRECT ADVANCED LIFE SUPPORT,,,91.77,91.77,3
CPT,99291,ED 99291 CRITICAL CARE E&M 30-74 MIN,3492.0,2793.6,210.04,3142.8,36
CPT,99292,ED 99292 CRIT CARE EA ADDL 30 MINS,700.0,560.0,1.0,630.0,34
CPT,99304,1ST NF CARE SF/LOW MDM 25,,,71.47,142.92,15
CPT,99305,1ST NF CARE MODERATE MDM 35,,,118.96,237.41,15
CPT,99306,1ST NF CARE HIGH MDM 50,,,162.37,324.12,15
CPT,99307,SBSQ NF CARE SF MDM 10,,,35.81,71.76,15
CPT,99308,SBSQ NF CARE LOW MDM 20,,,66.7,132.76,15
CPT,99309,SBSQ NF CARE MODERATE MDM 30,,,96.48,191.96,15
CPT,99310,SBSQ NF CARE HIGH MDM 45,,,137.25,273.88,15
CPT,99315,NF DSCHRG MGMT 30 MIN/LESS,,,72.77,145.31,15
CPT,99316,NF DSCHRG MGMT 30 MIN+,,,116.5,233.22,15
CPT,99341,HOME/RES VST NEW SF MDM 15,,,44.41,87.91,15
CPT,99342,HOME/RES VST NEW LOW MDM 30,,,70.58,139.33,15
CPT,99344,HOME/RES VST NEW MOD MDM 60,,,126.95,252.95,15
CPT,99345,HOME/RES VST NEW HIGH MDM 75,,,179.32,359.4,15
CPT,99347,HOME/RES VST EST SF MDM 20,,,40.72,80.73,15
CPT,99348,HOME/RES VST EST LOW MDM 30,,,68.85,136.34,15
CPT,99349,HOME/RES VST EST MOD MDM 40,,,113.43,226.64,15
CPT,99350,HOME/RES VST EST HIGH MDM 60,,,164.64,330.1,15
CPT,99358,PROLONG SERVICE W/O CONTACT,,,1.0,88.16,15
CPT,99359,PROLONG SERV W/O CONTACT ADD,,,1.0,37.54,15
CPT,99360,PHYSICIAN STANDBY SERVICES,,,52.02,104.05,15
CPT,99366,TEAM CONF W/PAT BY HC PROF,,,1.0,40.26,15
CPT,99367,TEAM CONF W/O PAT BY PHYS,,,1.0,53.26,15
CPT,99368,TEAM CONF W/O PAT BY HC PRO,,,1.0,34.62,15
CPT,99374,HOME HEALTH CARE SUPERVISION,,,53.26,95.68,15
CPT,99375,HOME HEALTH CARE SUPERVISION,,,83.22,149.5,15
CPT,99377,HOSPICE CARE SUPERVISION,,,53.26,95.68,15
CPT,99378,HOSPICE CARE SUPERVISION,,,83.22,149.5,15
CPT,99379,NURSING FAC CARE SUPERVISION,,,53.26,95.68,15
CPT,99380,NURSING FAC CARE SUPERVISION,,,83.22,149.5,15
CPT,99381,INIT PM E/M NEW PAT INFANT,,,72.23,129.77,15
CPT,99382,INIT PM E/M NEW PAT 1-4 YRS,,,77.23,138.74,15
CPT,99383,PREV VISIT NEW AGE 5-11,,,81.89,147.11,15
CPT,99384,PREV VISIT NEW AGE 12-17,,,96.53,173.42,15
CPT,99385,PREV VISIT NEW AGE 18-39,,,92.54,166.24,15
CPT,99386,PREV VISIT NEW AGE 40-64,,,112.18,201.53,15
CPT,99387,INIT PM E/M NEW PAT 65+ YRS,,,120.5,216.48,15
CPT,99391,PER PM REEVAL EST PAT INFANT,,,65.91,118.4,15
CPT,99392,PREV VISIT EST AGE 1-4,,,72.23,129.77,15
CPT,99393,PREV VISIT EST AGE 5-11,,,72.23,129.77,15
CPT,99394,PREV VISIT EST AGE 12-17,,,81.89,147.11,15
CPT,99395,PREV VISIT EST AGE 18-39,,,84.55,151.89,15
CPT,99396,PREV VISIT EST AGE 40-64,,,91.87,165.05,15
CPT,99397,PER PM REEVAL EST PAT 65+ YR,,,96.53,173.42,15
CPT,99401,PREV MED CNSL INDIV APPRX 15,,,23.3,41.86,15
CPT,99402,PREV MED CNSL INDIV APPRX 30,,,47.27,84.92,15
CPT,99403,PREV MED CNSL INDIV APPRX 45,,,70.57,126.78,15
CPT,99404,PREV MED CNSL INDIV APPRX 60,,,94.2,169.23,15
CPT,99406,TOBACCO CONSULT 3-10 MIN,67.0,53.6,11.65,60.3,36
CPT,99407,TOBACCO CONSULT>10 MIN,111.0,88.8,12.72,99.9,36
CPT,99408,AUDIT/DAST 15-30 MIN,,,30.58,56.21,15
CPT,99409,AUDIT/DAST OVER 30 MIN,,,58.9,112.42,15
CPT,99411,PREVENTIVE COUNSELING GROUP,,,7.32,19.83,15
CPT,99412,PREVENTIVE COUNSELING GROUP,,,12.32,24.71,15
CPT,99415,PROLNG CLIN STAFF SVC 1ST HR,,,18.86,37.08,15
CPT,99416,PROLNG CLIN STAFF SVC EA ADD,,,8.72,17.34,15
CPT,99417,PROLNG OP E/M EACH 15 MIN,,,27.51,53.22,15
CPT,99418,PROLNG IP/OBS E/M EA 15 MIN,,,35.19,69.97,15
CPT,99421,OL DIG E/M SVC 5-10 MIN,,,13.45,22.72,11
CPT,99422,OL DIG E/M SVC 11-20 MIN,,,26.28,44.85,11
CPT,99423,OL DIG E/M SVC 21+ MIN,,,41.95,71.76,11
CPT,99424,PRIN CARE MGMT PHYS 1ST 30,,,73.57,132.16,15
CPT,99425,PRIN CARE MGMT PHYS EA ADDL,,,50.6,90.9,15
CPT,99426,PRIN CARE MGMT STAFF 1ST 30,,,39.51,112.1,15
CPT,99427,PRIN CARE MGMT STAFF EA ADDL,,,34.29,61.59,15
CPT,99437,CHRNC CARE MGMT PHYS EA ADDL,,,49.93,89.7,15
CPT,99439,CHRNC CARE MGMT STAF EA ADDL,,,1.0,47.39,15
CPT,99441,Outpatient Services - CPT/HCPCS,,,62.19,62.19,3
CPT,99441,Therapy,,,34.62,34.62,4
CPT,99442,Outpatient Services - CPT/HCPCS,,,116.61,116.61,3
CPT,99442,Therapy,,,64.91,64.91,4
CPT,99443,Outpatient Services - CPT/HCPCS,,,172.82,172.82,3
CPT,99443,Therapy,,,96.2,96.2,4
CPT,99446,NTRPROF PH1/NTRNET/EHR 5-10,,,15.72,31.69,15
CPT,99447,NTRPROF PH1/NTRNET/EHR 11-20,,,31.74,64.58,15
CPT,99448,NTRPROF PH1/NTRNET/EHR 21-30,,,47.34,95.68,15
CPT,99449,NTRPROF PH1/NTRNET/EHR 31/>,,,63.79,127.37,15
CPT,99450,BASIC LIFE DISABILITY EXAM,,,20.84,20.84,3
CPT,99451,NTRPROF PH1/NTRNET/EHR 5/>,,,30.58,62.19,15
CPT,99452,NTRPROF PH1/NTRNET/EHR RFRL,,,31.2,60.4,15
CPT,99453,REM MNTR PHYSIOL PARAM SETUP,,,19.97,166.26,15
CPT,99454,REM MNTR PHYSIOL PARAM 16-30,,,16.72,47.45,15
CPT,99456,DISABILITY EXAMINATION,,,2500.0,2500.0,3
CPT,99457,RPM TX MGMT 1ST 20 MIN,,,29.63,53.22,15
CPT,99458,RPM TX MGMT EA ADDL 20 MIN,,,29.63,53.22,15
CPT,99459,PF 99459 PELVIC EXAMINATION,103.0,82.4,19.67,92.7,34
CPT,99460,INIT NB EM PER DAY HOSP,,,58.59,166.26,17
CPT,99461,INIT NB EM PER DAY NON-FAC,,,60.25,108.24,15
CPT,99462,SBSQ NB EM PER DAY HOSP,,,35.62,72.36,15
CPT,99463,SAME DAY NB DISCHARGE,,,58.59,166.26,17
CPT,99464,ATTENDANCE AT DELIVERY,,,1.0,71.57,15
CPT,99465,NB RESUSCITATION,,,140.14,818.57,17
CPT,99466,PED CRIT CARE TRANSPORT,,,1.0,228.69,15
CPT,99467,PED CRIT CARE TRANSPORT ADDL,,,1.0,114.84,15
CPT,99468,NEONATE CRIT CARE INITIAL,,,786.4,1583.5,15
CPT,99469,NEONATE CRIT CARE SUBSQ,,,340.36,684.71,15
CPT,99471,PED CRITICAL CARE INITIAL,,,680.66,1371.81,15
CPT,99472,PED CRITICAL CARE SUBSQ,,,349.26,702.65,15
CPT,99473,SELF-MEAS BP PT EDUCAJ/TRAIN,,,13.2,37.46,15
CPT,99474,SELF-MEAS BP 2 READG BID 30D,,,8.65,17.11,15
CPT,99475,PED CRIT CARE AGE 2-5 INIT,,,492.52,988.49,15
CPT,99476,PED CRIT CARE AGE 2-5 SUBSQ,,,298.12,595.01,15
CPT,99477,INIT DAY HOSP NEONATE CARE,,,298.29,599.79,15
CPT,99478,"SBSQ IC VLBW INF<1,500 GM",,,117.04,236.21,15
CPT,99479,"SBSQ IC LBW INF 1,500-2,500",,,106.36,214.68,15
CPT,99480,"SBSQ IC INF PBW 2,501-5,000",,,102.36,206.31,15
CPT,99483,ASSMT & CARE PLN PT COG IMP,,,39.51,191.07,15
CPT,99484,CARE MGMT SVC BHVL HLTH COND,,,12.72,43.61,15
CPT,99485,SUPRV INTERFACILTY TRANSPORT,,,65.16,129.77,15
CPT,99486,SUPRV INTERFAC TRNSPORT ADDL,,,56.44,112.42,15
CPT,99487,CPLX CHRNC CARE 1ST 60 MIN,,,70.67,200.54,15
CPT,99489,CPLX CHRNC CARE EA ADDL 30,,,1.0,72.78,15
CPT,99490,CHRNC CARE MGMT STAFF 1ST 20,,,39.51,112.1,15
CPT,99491,CHRNC CARE MGMT PHYS 1ST 30,,,74.56,133.95,15
CPT,99492,1ST PSYC COLLAB CARE MGMT,,,39.51,112.1,15
CPT,99493,SBSQ PSYC COLLAB CARE MGMT,,,70.67,200.54,15
CPT,99494,1ST/SBSQ PSYC COLLAB CARE,,,1.0,57.92,15
CPT,99495,TRANSJ CARE MGMT MOD F2F 14D,,,58.59,166.26,17
CPT,99496,TRANSJ CARE MGMT HIGH F2F 7D,,,58.59,188.07,17
CPT,99497,ADVNCD CARE PLAN 30 MIN,,,39.51,112.1,15
CPT,99498,ADVNCD CARE PLAN ADDL 30 MIN,,,1.0,70.24,15
CPT,99500,HOME VISIT PRENATAL,,,125.32,125.32,3
CPT,99501,HOME VISIT POSTNATAL,,,66.81,66.81,3
CPT,99502,HOME VISIT NB CARE,,,66.81,66.81,3
CPT,99504,HOME VISIT MECH VENTILATOR,,,277.76,788.19,3
CPT,99601,HOME NFS VISIT <2 HRS,,,125.32,125.32,3
CPT,99602,HOME NFS VISIT EACH ADDL HR,,,62.66,62.66,3
CPT,99605,MTMS BY PHARM NP 15 MIN,,,55.0,55.0,3
CPT,99606,MTMS BY PHARM EST 15 MIN,,,50.0,50.0,3
CPT,99607,MTMS BY PHARM ADDL 15 MIN,,,31.0,31.0,3
EAPG,10,"LEVEL II SKIN EXCISIONS, BIOPSIES, AND REPAIRS",,,3005.68,3005.68,1
EAPG,103,LEVEL II VARICOSE VEIN AND RELATED PROCEDURES,,,6305.28,6305.28,1
EAPG,104,MAJOR OPEN CORONARY ARTERY PROCEDURES INCLUDING CABG,,,40339.84,40339.84,1
EAPG,105,MAJOR OPEN CARDIAC AND CARDIAC VALVE PROCEDURES,,,29551.07,29551.07,1
EAPG,106,MAJOR OPEN ABDOMINAL AND THORACIC VASCULAR PROCEDURES,,,21430.56,21430.56,1
EAPG,107,CHOLECYSTECTOMY AND RELATED BILIARY PROCEDURES,,,9453.82,9453.82,1
EAPG,108,OTHER INTRA-ABDOMINAL AND INTRAPERITONEAL SURGICAL PROCEDURES,,,7549.92,7549.92,1
EAPG,109,ANCILLARY DRUG ADMINISTRATION,,,42.69,42.69,1
EAPG,11,"LEVEL III SKIN EXCISIONS, BIOPSIES, AND REPAIRS",,,5517.94,5517.94,1
EAPG,110,PHARMACOTHERAPY BY EXTENDED INFUSION,,,771.74,771.74,1
EAPG,111,PHARMACOTHERAPY EXCEPT BY EXTENDED INFUSION,,,471.25,471.25,1
EAPG,113,LEVEL I BLOOD PRODUCT EXCHANGE SERVICES,,,414.61,414.61,1
EAPG,114,LEVEL II BLOOD PRODUCT EXCHANGE SERVICES,,,3307.81,3307.81,1
EAPG,115,DEEP LYMPH STRUCTURE PROCEDURES,,,5215.81,5215.81,1
EAPG,116,LEVEL I ALLERGY TESTS,,,1282.4,1282.4,1
EAPG,117,HOME INFUSION,,,542.68,542.68,1
EAPG,118,NUTRITION THERAPY,,,144.5,144.5,1
EAPG,119,CAR T-CELL IMMUNOTHERAPY PREPARATION SERVICES,,,321.01,321.01,1
EAPG,121,LEVEL II PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES,,,22260.59,22260.59,1
EAPG,122,PERCUTANEOUS INTRA-ABDOMINAL OR INTRATHORACIC VASCULAR PROCEDURES,,,35711.86,35711.86,1
EAPG,123,PERIPHERAL VASCULAR BYPASS PROCEDURES,,,13389.69,13389.69,1
EAPG,124,BONE MARROW BIOPSIES,,,2004.06,2004.06,1
EAPG,125,LEVEL I ESOPHAGEAL AND GASTRIC SURGICAL PROCEDURES,,,11129.48,11129.48,1
EAPG,126,LEVEL II ESOPHAGEAL AND GASTRIC SURGICAL PROCEDURES,,,11651.63,11651.63,1
EAPG,127,LEVEL I SMALL AND LARGE INTESTINE SURGICAL PROCEDURES,,,6612.33,6612.33,1
EAPG,128,LEVEL II SMALL AND LARGE INTESTINE SURGICAL PROCEDURES,,,9115.56,9115.56,1
EAPG,129,ESOPHAGOGASTRIC RESTRICTIVE PROCEDURES AND GASTRIC FUNDOPLICATION,,,13021.88,13021.88,1
EAPG,130,MINOR GASTROINTESTINAL PROCEDURES INCLUDING TUBE INSERTION OR PLACEMENT,,,1560.72,1560.72,1
EAPG,134,LEVEL I UPPER GI ENDOSCOPY,,,2538.53,2538.53,1
EAPG,135,LEVEL II UPPER GI ENDOSCOPY,,,4708.44,4708.44,1
EAPG,136,LEVEL I LOWER GI ENDOSCOPY,,,2926.04,2926.04,1
EAPG,137,LEVEL II LOWER GI ENDOSCOPY,,,3849.67,3849.67,1
EAPG,138,LEVEL I ERCP AND RELATED ENDOSCOPIC PROCEDURES,,,5799.54,5799.54,1
EAPG,141,LEVEL I ANAL AND RECTAL PROCEDURES,,,3972.82,3972.82,1
EAPG,142,LEVEL II ANAL AND RECTAL PROCEDURES,,,4951.45,4951.45,1
EAPG,150,ABDOMINAL PARACENTESIS AND RELATED PERITONEAL DRAINAGE PROCEDURES,,,1533.63,1533.63,1
EAPG,151,LEVEL I HEPATOBILIARY AND PANCREAS PROCEDURES,,,3529.48,3529.48,1
EAPG,152,LEVEL II HEPATOBILIARY AND PANCREAS PROCEDURES,,,13582.62,13582.62,1
EAPG,153,LEVEL II ERCP AND RELATED ENDOSCOPIC PROCEDURES,,,10317.51,10317.51,1
EAPG,154,LEVEL III UPPER GI ENDOSCOPY,,,14342.05,14342.05,1
EAPG,155,LEVEL III BLOOD PRODUCT EXCHANGE SERVICES,,,6195.27,6195.27,1
EAPG,156,OCULAR IMAGING AND RELATED SERVICES,,,151.89,151.89,1
EAPG,157,REPRODUCTIVE PATHOLOGY TESTS,,,78.82,78.82,1
EAPG,158,PATHOLOGY CONSULTATION AND INTERPRETATION,,,81.28,81.28,1
EAPG,159,MINOR UROLOGY SERVICES,,,295.56,295.56,1
EAPG,16,SIMPLE WOUND REPAIR AND TREATMENT,,,688.82,688.82,1
EAPG,161,URINARY STUDIES AND PROCEDURES,,,683.89,683.89,1
EAPG,166,LEVEL I URETHRAL PROCEDURES,,,8397.19,8397.19,1
EAPG,167,LEVEL II URETHRAL PROCEDURES,,,11842.1,11842.1,1
EAPG,168,DIALYSIS PROCEDURES,,,1805.38,1805.38,1
EAPG,17,INTERMEDIATE WOUND REPAIR AND TREATMENT,,,1225.75,1225.75,1
EAPG,170,LEVEL I KIDNEY AND URETERAL PROCEDURES,,,2281.56,2281.56,1
EAPG,171,LEVEL II KIDNEY AND URETERAL PROCEDURES,,,6785.57,6785.57,1
EAPG,172,LEVEL III KIDNEY AND URETERAL PROCEDURES,,,15825.6,15825.6,1
EAPG,173,LEVEL I BLADDER AND URETERAL PROCEDURES,,,2911.27,2911.27,1
EAPG,174,LEVEL II BLADDER AND URETERAL PROCEDURES,,,8625.43,8625.43,1
EAPG,175,LEVEL III BLADDER AND URETERAL PROCEDURES,,,12561.3,12561.3,1
EAPG,176,LEVEL I PROSTATE PROCEDURES,,,3210.93,3210.93,1
EAPG,177,MINOR DERMATOLOGY SERVICES,,,87.03,87.03,1
EAPG,178,ANTEPARTUM PROCEDURES,,,4430.94,4430.94,1
EAPG,179,ECTOPIC PREGNANCY PROCEDURES,,,7370.94,7370.94,1
EAPG,18,COMPLEX WOUND REPAIR AND TREATMENT,,,3844.74,3844.74,1
EAPG,180,TESTICULAR AND EPIDIDYMAL PROCEDURES,,,2822.6,2822.6,1
EAPG,182,INSERTION OF PENILE PROSTHESIS,,,48081.87,48081.87,1
EAPG,183,LEVEL I PENILE PROCEDURES,,,3632.1,3632.1,1
EAPG,184,LEVEL II PROSTATE PROCEDURES,,,9918.5,9918.5,1
EAPG,187,LEVEL II PENILE PROCEDURES,,,6432.54,6432.54,1
EAPG,188,LEVEL I PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES,,,4160.83,4160.83,1
EAPG,189,LEVEL II PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES,,,11777.25,11777.25,1
EAPG,19,MOHS MICROGRAPHIC SURGERY,,,969.6,969.6,1
EAPG,190,ARTIFICIAL FERTILIZATION,,,324.3,324.3,1
EAPG,191,LEVEL I FETAL PROCEDURES,,,514.77,514.77,1
EAPG,192,LEVEL II FETAL PROCEDURES,,,2561.52,2561.52,1
EAPG,194,ABORTION AND MISCARRIAGE TREATMENT AND PROCEDURES,,,3710.1,3710.1,1
EAPG,195,VAGINAL DELIVERY PROCEDURES,,,6008.9,6008.9,1
EAPG,2,SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION,,,1236.43,1236.43,1
EAPG,20,"BREAST BIOPSIES, EXCISIONS, AND OTHER RELATED PROCEDURES",,,3101.74,3101.74,1
EAPG,2016,LEVEL II ALLERGY TESTS,,,2763.49,2763.49,1
EAPG,202,CESAREAN DELIVERY PROCEDURES,,,6646.0,6646.0,1
EAPG,2020,NONINVASIVE VENTILATION SUPPORT,,,500.81,500.81,1
EAPG,203,GLOBAL ANTEPARTUM AND POSTPARTUM VISITS,,,777.49,777.49,1
EAPG,2030,MINOR MUSCULOSKELETAL PROCEDURES,,,1114.1,1114.1,1
EAPG,204,LEVEL I HYSTERECTOMY AND MYOMECTOMY PROCEDURES,,,8163.2,8163.2,1
EAPG,2040,LEVEL I DRUG SCREENING AND DEFINITIVE TESTS,,,55.83,55.83,1
EAPG,2041,LEVEL II DRUG SCREENING AND DEFINITIVE TESTS,,,123.97,123.97,1
EAPG,2042,LEVEL III DRUG SCREENING AND DEFINITIVE TESTS,,,280.78,280.78,1
EAPG,2043,LEVEL III BLOOD AND TISSUE TYPING TESTS,,,165.02,165.02,1
EAPG,2044,"LEVEL IV COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",,,698.67,698.67,1
EAPG,2045,ADVANCED MOLECULAR PATHOLOGY AND GENETIC TESTS,,,768.46,768.46,1
EAPG,205,OBSTETRICAL PROCEDURES,,,3795.48,3795.48,1
EAPG,2050,HEALTH CARE PROFESSIONAL HOME HEALTH SERVICES,,,65.68,65.68,1
EAPG,206,LEVEL II HYSTERECTOMY AND MYOMECTOMY PROCEDURES,,,13501.35,13501.35,1
EAPG,2061,CLASS I BLOOD PRODUCTS,,,515.59,515.59,1
EAPG,2062,CLASS II BLOOD PRODUCTS,,,607.54,607.54,1
EAPG,207,LEVEL I OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES,,,6198.55,6198.55,1
EAPG,2070,MONTHLY CARE AND CASE MANAGEMENT SERVICES,,,142.85,142.85,1
EAPG,2071,MONTHLY BEHAVIORAL HEALTH CARE AND CASE MANAGEMENT SERVICES,,,253.69,253.69,1
EAPG,2072,MONTHLY TREATMENT MANAGEMENT SERVICES,,,175.69,175.69,1
EAPG,208,LEVEL II OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES,,,7945.64,7945.64,1
EAPG,209,OTHER GYNECOLOGICAL PROCEDURES,,,839.06,839.06,1
EAPG,21,LEVEL I MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES,,,8815.9,8815.9,1
EAPG,210,EXTENDED EEG STUDIES,,,1111.63,1111.63,1
EAPG,211,ELECTROENCEPHALOGRAM,,,623.14,623.14,1
EAPG,212,ELECTROCONVULSIVE THERAPY,,,674.86,674.86,1
EAPG,213,NERVE AND MUSCLE TESTS,,,685.54,685.54,1
EAPG,214,LEVEL I NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP,,,743.83,743.83,1
EAPG,217,LEVEL I PERIPHERAL NERVE PROCEDURES,,,3747.04,3747.04,1
EAPG,218,LEVEL II PERIPHERAL NERVE PROCEDURES,,,7040.9,7040.9,1
EAPG,22,LEVEL II MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES,,,13175.41,13175.41,1
EAPG,220,LEVEL II NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP,,,2411.28,2411.28,1
EAPG,222,SLEEP STUDIES ATTENDED,,,2987.62,2987.62,1
EAPG,223,LEVEL I NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION,,,14413.48,14413.48,1
EAPG,224,LEVEL II NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION,,,65826.14,65826.14,1
EAPG,225,OTHER INTRACRANIAL NEUROSURGERY PROCEDURES,,,9214.08,9214.08,1
EAPG,226,SLEEP STUDIES UNATTENDED,,,683.89,683.89,1
EAPG,227,LEVEL I CRANIOFACIAL BONE PROCEDURES,,,6157.5,6157.5,1
EAPG,228,LEVEL II CRANIOFACIAL BONE PROCEDURES,,,14463.56,14463.56,1
EAPG,229,MINOR AUDIOMETRY TESTS AND AUDIOLOGY SCREENING SERVICES,,,270.93,270.93,1
EAPG,23,LEVEL I FOREARM AND WRIST PROCEDURES,,,4632.08,4632.08,1
EAPG,230,MINOR OPHTHALMOLOGICAL PROCEDURES AND DIAGNOSTIC SERVICES,,,913.77,913.77,1
EAPG,233,CATARACT AND OTHER INTROCULAR LENS PROCEDURES,,,4786.43,4786.43,1
EAPG,234,LEVEL I ANTERIOR CHAMBER EYE PROCEDURES,,,2914.55,2914.55,1
EAPG,235,LEVEL II ANTERIOR CHAMBER EYE PROCEDURES,,,10714.87,10714.87,1
EAPG,237,"LEVEL I INTRAVITREAL, RETINAL AND OTHER POSTERIOR CHAMBER EYE PROCEDURES",,,1238.07,1238.07,1
EAPG,238,"LEVEL II INTRAVITREAL, RETINAL AND OTHER POSTERIOR CHAMBER EYE PROCEDURES",,,10596.65,10596.65,1
EAPG,239,EXTRAOCULAR MUSCLE PROCEDURES,,,4819.27,4819.27,1
EAPG,24,LEVEL II FOREARM AND WRIST PROCEDURES,,,10997.3,10997.3,1
EAPG,241,OCULAR RECONSTRUCTIVE PROCEDURES W OR W/O OCULAR DEVICE,,,7155.84,7155.84,1
EAPG,247,LEVEL I CORNEAL AND OTHER ANTERIOR SURFACE EYE PROCEDURES,,,1157.61,1157.61,1
EAPG,248,LEVEL II CORNEAL AND OTHER ANTERIOR SURFACE EYE PROCEDURES,,,7221.52,7221.52,1
EAPG,249,"MINOR EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,360.42,360.42,1
EAPG,25,LEVEL I SHOULDER AND UPPER ARM PROCEDURES,,,10960.35,10960.35,1
EAPG,250,COCHLEAR DEVICE IMPLANTATION,,,79459.66,79459.66,1
EAPG,251,OTORHINOLARYNGOLOGIC FUNCTION TESTS,,,280.78,280.78,1
EAPG,252,"LEVEL I EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,3132.12,3132.12,1
EAPG,253,"LEVEL II EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,4403.02,4403.02,1
EAPG,254,"LEVEL III EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,7820.03,7820.03,1
EAPG,255,"LEVEL IV EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,9311.78,9311.78,1
EAPG,256,TONSIL AND ADENOID PROCEDURES,,,3982.67,3982.67,1
EAPG,257,AUDIOMETRY,,,256.97,256.97,1
EAPG,258,"LEVEL I EYELID, LACRIMAL AND CONJUNCTIVAL PROCEDURES",,,2772.52,2772.52,1
EAPG,259,"LEVEL II EYELID, LACRIMAL AND CONJUNCTIVAL PROCEDURES",,,3183.84,3183.84,1
EAPG,26,LEVEL I KNEE AND LOWER LEG PROCEDURES,,,7579.47,7579.47,1
EAPG,260,CASE MANAGEMENT AND CARE PLANNING SERVICES,,,304.59,304.59,1
EAPG,261,ESRD MONTHLY CASE MANAGEMENT,,,434.31,434.31,1
EAPG,262,CLEFT LIP AND PALATE REPAIR,,,6145.19,6145.19,1
EAPG,263,THYROID AND PARATHYROID PROCEDURES,,,10133.6,10133.6,1
EAPG,264,MAJOR CRANIOTOMY AND CRANIECTOMY SURGICAL PROCEDURES,,,10115.54,10115.54,1
EAPG,265,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,27579.03,27579.03,1
EAPG,266,OPEN INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,12241.11,12241.11,1
EAPG,267,OTHER CRANIOTOMY PROCEDURES INCLUDING CRANIOPLASTY,,,15859.26,15859.26,1
EAPG,268,CRANIAL AND SPINAL SHUNT PROCEDURES,,,14898.69,14898.69,1
EAPG,269,LEVEL II ANCILLARY THERAPEUTIC SERVICES,,,196.22,196.22,1
EAPG,27,LEVEL I HIP AND FEMUR PROCEDURES,,,7962.88,7962.88,1
EAPG,270,OCCUPATIONAL THERAPY,,,224.13,224.13,1
EAPG,271,PHYSICAL THERAPY,,,248.76,248.76,1
EAPG,272,SPEECH THERAPY AND EVALUATION,,,232.34,232.34,1
EAPG,276,PROCEDURES FOR REVISION OR REMOVAL OF NEUROSTIMULATOR DEVICES,,,14099.85,14099.85,1
EAPG,277,LEVEL I VASCULAR RADIOLOGICAL PROCEDURES,,,1215.9,1215.9,1
EAPG,278,INJECTION(S) FOR RADIOLOGICAL IMAGING,,,545.97,545.97,1
EAPG,279,LEVEL II VASCULAR RADIOLOGICAL PROCEDURES,,,2843.12,2843.12,1
EAPG,28,LEVEL I SPINE PROCEDURES,,,9016.22,9016.22,1
EAPG,280,LEVEL III VASCULAR RADIOLOGICAL PROCEDURES,,,9788.78,9788.78,1
EAPG,282,MAGNETIC RESONANCE ANGIOGRAPHY,,,662.55,662.55,1
EAPG,284,MYELOGRAPHY AND DISCOGRAPHY IMAGING PROCEDURES,,,1627.22,1627.22,1
EAPG,286,MAMMOGRAPHY AND OTHER RELATED PROCEDURES,,,225.78,225.78,1
EAPG,288,LEVEL I DIAGNOSTIC ULTRASOUND,,,283.25,283.25,1
EAPG,289,LEVEL II DIAGNOSTIC ULTRASOUND,,,432.67,432.67,1
EAPG,29,LEVEL II SPINE PROCEDURES,,,17892.87,17892.87,1
EAPG,290,PET SCANS,,,3939.16,3939.16,1
EAPG,291,BONE DENSITY AND RELATED PROCEDURES,,,241.37,241.37,1
EAPG,293,MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST,,,791.44,791.44,1
EAPG,295,MAGNETIC RESONANCE IMAGING WITH CONTRAST,,,1090.29,1090.29,1
EAPG,297,MAGNETOCEPHALOGRAPHY,,,838.24,838.24,1
EAPG,299,LEVEL I COMPUTED TOMOGRAPHY,,,344.0,344.0,1
EAPG,3,"LEVEL I SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX",,,323.47,323.47,1
EAPG,300,LEVEL II COMPUTED TOMOGRAPHY,,,916.24,916.24,1
EAPG,301,COMPUTED TOMOGRAPHY- OTHER,,,573.06,573.06,1
EAPG,3011,BONE CONDUCTION HEARING DEVICE IMPLANTATION,,,17461.85,17461.85,1
EAPG,302,COMPUTED TOMOGRAPHIC ANGIOGRAPHY,,,731.51,731.51,1
EAPG,3030,SPINAL IMPLANTATION OF DRUG INFUSION DEVICE,,,35633.04,35633.04,1
EAPG,3033,"INGUINAL, FEMORAL AND UMBILICAL HERNIA REPAIR",,,9008.01,9008.01,1
EAPG,3035,ABDOMINAL HERNIA REPAIR,,,9476.8,9476.8,1
EAPG,304,MINOR SPECIMEN COLLECTION SERVICES,,,12.32,12.32,1
EAPG,305,LEVEL I SURGICAL PATHOLOGY TESTS,,,110.01,110.01,1
EAPG,3050,OTHER TRANSPLANT PROCEDURES,,,14199.2,14199.2,1
EAPG,3051,HEART AND/OR LUNG TRANSPLANT,,,32345.76,32345.76,1
EAPG,3052,KIDNEY TRANSPLANT,,,19225.36,19225.36,1
EAPG,306,LEVEL II SURGICAL PATHOLOGY TESTS,,,254.51,254.51,1
EAPG,3060,VENTRICULAR ASSIST DEVICE PROCEDURES,,,76770.07,76770.07,1
EAPG,3070,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) PROCEDURES,,,19947.84,19947.84,1
EAPG,308,LEVEL III PATHOLOGY TESTS,,,193.76,193.76,1
EAPG,309,ADAPTIVE BEHAVIORAL HEALTH TREATMENT SERVICES,,,117.4,117.4,1
EAPG,310,DEVELOPMENTAL AND NEUROPSYCHOLOGICAL TESTING,,,388.33,388.33,1
EAPG,315,COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY,,,127.26,127.26,1
EAPG,316,INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY,,,279.14,279.14,1
EAPG,317,FAMILY PSYCHOTHERAPY,,,279.14,279.14,1
EAPG,318,GROUP PSYCHOTHERAPY,,,209.36,209.36,1
EAPG,319,ACTIVITY THERAPY,,,146.96,146.96,1
EAPG,320,BEHAVIORAL HEALTH - CASE MANAGEMENT AND TREATMENT PLAN DEVELOPMENT,,,205.25,205.25,1
EAPG,321,CRISIS INTERVENTION,,,682.25,682.25,1
EAPG,322,MEDICATION ADMINISTRATION AND OBSERVATION,,,41.05,41.05,1
EAPG,323,BEHAVIORAL HEALTH ASSESSMENT,,,243.02,243.02,1
EAPG,324,SCREENING FOR BEHAVIORAL CHANGE OR RISK ASSESSMENT,,,115.76,115.76,1
EAPG,325,PREVENTION COUNSELING,,,298.84,298.84,1
EAPG,33,LEVEL I HAND PROCEDURES,,,3339.01,3339.01,1
EAPG,331,LEVEL I DIAGNOSTIC NUCLEAR MEDICINE,,,1030.36,1030.36,1
EAPG,332,LEVEL II DIAGNOSTIC NUCLEAR MEDICINE,,,2256.11,2256.11,1
EAPG,335,CLASS I BRACHYTHERAPY SOURCES,,,584.55,584.55,1
EAPG,336,CLASS II BRACHYTHERAPY SOURCES,,,6756.01,6756.01,1
EAPG,337,CLASS III BRACHYTHERAPY SOURCES,,,28980.48,28980.48,1
EAPG,34,LEVEL II HAND PROCEDURES,,,6543.37,6543.37,1
EAPG,340,THERAPEUTIC NUCLEAR MEDICINE,,,1132.98,1132.98,1
EAPG,343,LEVEL I RADIATION THERAPY,,,386.69,386.69,1
EAPG,346,RADIOSURGERY,,,12794.46,12794.46,1
EAPG,347,LEVEL II RADIATION THERAPY,,,1172.39,1172.39,1
EAPG,348,LEVEL III RADIATION THERAPY,,,2702.73,2702.73,1
EAPG,35,LEVEL I FOOT PROCEDURES,,,5526.97,5526.97,1
EAPG,350,ADJUNCTIVE DENTAL SERVICES,,,694.57,694.57,1
EAPG,352,LEVEL I PERIODONTICS,,,667.47,667.47,1
EAPG,353,"LEVEL I PROSTHODONTICS, FIXED",,,373.56,373.56,1
EAPG,354,"LEVEL II PROSTHODONTICS, FIXED",,,1397.34,1397.34,1
EAPG,355,"LEVEL III PROSTHODONTICS, FIXED",,,1729.03,1729.03,1
EAPG,356,"LEVEL I PROSTHODONTICS, REMOVABLE",,,756.96,756.96,1
EAPG,357,"LEVEL II PROSTHODONTICS, REMOVABLE",,,1448.24,1448.24,1
EAPG,358,"LEVEL III PROSTHODONTICS, REMOVABLE",,,1114.92,1114.92,1
EAPG,359,LEVEL I MAXILLOFACIAL PROSTHETICS,,,270.93,270.93,1
EAPG,36,LEVEL II FOOT PROCEDURES,,,14016.93,14016.93,1
EAPG,360,LEVEL II MAXILLOFACIAL PROSTHETICS,,,315.26,315.26,1
EAPG,361,LEVEL I DENTAL RESTORATIONS,,,1179.78,1179.78,1
EAPG,362,LEVEL II DENTAL RESTORATIONS,,,1624.76,1624.76,1
EAPG,363,LEVEL III DENTAL RESTORATIONS,,,2607.5,2607.5,1
EAPG,364,LEVEL I ENDODONTICS,,,1369.43,1369.43,1
EAPG,365,LEVEL II ENDODONTICS,,,1506.54,1506.54,1
EAPG,366,LEVEL III ENDODONTICS,,,1656.78,1656.78,1
EAPG,367,LEVEL I ORAL SURGERY PROCEDURES,,,4034.39,4034.39,1
EAPG,368,LEVEL II ORAL SURGERY PROCEDURES,,,5778.2,5778.2,1
EAPG,369,LEVEL III ORAL SURGERY PROCEDURES,,,6355.36,6355.36,1
EAPG,37,LEVEL I ARTHROSCOPY,,,5504.81,5504.81,1
EAPG,371,LEVEL I ORTHODONTICS,,,894.07,894.07,1
EAPG,372,SEALANT,,,128.08,128.08,1
EAPG,373,LEVEL I DENTAL IMAGING,,,94.42,94.42,1
EAPG,374,LEVEL II DENTAL IMAGING,,,362.06,362.06,1
EAPG,375,DENTAL ANESTHESIA,,,16.42,16.42,1
EAPG,376,DIAGNOSTIC DENTAL PROCEDURES,,,324.3,324.3,1
EAPG,377,PREVENTIVE DENTAL PROCEDURES,,,291.46,291.46,1
EAPG,379,LEVEL II ORTHODONTICS,,,986.84,986.84,1
EAPG,38,LEVEL II ARTHROSCOPY,,,15066.17,15066.17,1
EAPG,380,ANESTHESIA,,,58.29,58.29,1
EAPG,381,LEVEL I DENTAL IMPLANTS,,,3326.69,3326.69,1
EAPG,382,LEVEL II DENTAL IMPLANTS,,,3659.2,3659.2,1
EAPG,384,LEVEL III CHEMISTRY TESTS,,,269.29,269.29,1
EAPG,385,"LEVEL I COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",,,125.61,125.61,1
EAPG,386,"LEVEL II COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",,,155.17,155.17,1
EAPG,387,"LEVEL III COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",,,365.35,365.35,1
EAPG,388,LEVEL III MICROBIOLOGY TESTS,,,267.65,267.65,1
EAPG,389,LEVEL II CONVENTIONAL RADIOLOGY,,,346.46,346.46,1
EAPG,39,CAST APPLICATION OR REPLACEMENT,,,470.43,470.43,1
EAPG,390,LEVEL I PATHOLOGY TESTS,,,50.9,50.9,1
EAPG,391,LEVEL II PATHOLOGY TESTS,,,78.82,78.82,1
EAPG,392,PAP SMEARS,,,56.65,56.65,1
EAPG,393,LEVEL II BLOOD AND TISSUE TYPING TESTS,,,152.71,152.71,1
EAPG,394,LEVEL I IMMUNOLOGY TESTS,,,44.33,44.33,1
EAPG,395,LEVEL II IMMUNOLOGY TESTS,,,117.4,117.4,1
EAPG,396,LEVEL I MICROBIOLOGY TESTS,,,37.77,37.77,1
EAPG,397,LEVEL II MICROBIOLOGY TESTS,,,98.52,98.52,1
EAPG,398,LEVEL I ENDOCRINOLOGY TESTS,,,51.72,51.72,1
EAPG,399,LEVEL II ENDOCRINOLOGY TESTS,,,109.19,109.19,1
EAPG,4,"LEVEL II SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX",,,2048.4,2048.4,1
EAPG,40,MINOR SPLINT AND STRAPPING APPLICATION,,,123.15,123.15,1
EAPG,400,LEVEL I CHEMISTRY TESTS,,,65.68,65.68,1
EAPG,4001,EMERGING TECHNOLOGY PROCEDURES,,,1866.13,1866.13,1
EAPG,401,LEVEL II CHEMISTRY TESTS,,,138.75,138.75,1
EAPG,4010,LEVEL I OPIOID TREATMENT PROGRAM SERVICES,,,778.31,778.31,1
EAPG,4011,LEVEL II OPIOID TREATMENT PROGRAM SERVICES,,,958.93,958.93,1
EAPG,402,BASIC CHEMISTRY TESTS,,,35.3,35.3,1
EAPG,403,ORGAN OR DISEASE ORIENTED PANELS,,,62.4,62.4,1
EAPG,404,TOXICOLOGY TESTS,,,34.48,34.48,1
EAPG,405,THERAPEUTIC DRUG MONITORING,,,80.46,80.46,1
EAPG,406,LEVEL I CLOTTING TESTS,,,32.84,32.84,1
EAPG,407,LEVEL II CLOTTING TESTS,,,103.45,103.45,1
EAPG,408,LEVEL I HEMATOLOGY TESTS,,,30.38,30.38,1
EAPG,409,LEVEL II HEMATOLOGY TESTS,,,32.84,32.84,1
EAPG,41,CLOSED TREATMENT FX AND DISLOCATION,,,2458.9,2458.9,1
EAPG,410,URINALYSIS,,,28.74,28.74,1
EAPG,412,ANCILLARY RESPIRATORY THERAPY AND OTHER PULMONARY TESTS AND SERVICES,,,231.52,231.52,1
EAPG,413,CARDIOGRAM,,,81.28,81.28,1
EAPG,414,LEVEL I IMMUNIZATION,,,74.71,74.71,1
EAPG,415,LEVEL II IMMUNIZATION,,,330.04,330.04,1
EAPG,417,MINOR FEMALE REPRODUCTIVE PROCEDURES,,,273.39,273.39,1
EAPG,418,AMBULATORY PATIENT MONITORING AND RELATED ASSESSMENTS,,,192.11,192.11,1
EAPG,419,ANCILLARY OPHTHALMOLOGY OR OPTOMETRY SERVICES,,,167.48,167.48,1
EAPG,420,"ELECTRONIC ANALYSIS FOR CARDIAC, NEUROLOGICAL AND OTHER DEVICES",,,645.31,645.31,1
EAPG,423,VASCULAR ACCESS BY NEEDLE OR CATHETER,,,1774.18,1774.18,1
EAPG,427,BIOFEEDBACK AND OTHER TRAINING,,,264.36,264.36,1
EAPG,428,"PATIENT EDUCATION, INDIVIDUAL",,,240.55,240.55,1
EAPG,429,"PATIENT EDUCATION, GROUP",,,120.69,120.69,1
EAPG,43,OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES,,,11510.42,11510.42,1
EAPG,44,BONE OR JOINT MANIPULATION UNDER ANESTHESIA,,,2654.29,2654.29,1
EAPG,448,EXPANDED HOURS ACCESS,,,112.48,112.48,1
EAPG,449,ADDITIONAL UNDIFFERENTIATED MEDICAL VISITS/SERVICES,,,423.64,423.64,1
EAPG,450,OBSERVATION,,,1664.99,1664.99,1
EAPG,454,TPN FORMULAE,,,86.21,86.21,1
EAPG,458,ALLERGY THERAPY,,,191.29,191.29,1
EAPG,459,VACCINE ADMINISTRATION,,,42.69,42.69,1
EAPG,46,LEVEL I ARTHROPLASTY,,,9733.78,9733.78,1
EAPG,47,LEVEL II ARTHROPLASTY,,,29625.79,29625.79,1
EAPG,470,OBSTETRICAL ULTRASOUND,,,296.38,296.38,1
EAPG,471,LEVEL I CONVENTIONAL RADIOLOGY,,,140.39,140.39,1
EAPG,472,ULTRASOUND GUIDANCE,,,417.89,417.89,1
EAPG,473,CT GUIDANCE,,,320.19,320.19,1
EAPG,474,RADIOLOGICAL GUIDANCE FOR THERAPEUTIC OR DIAGNOSTIC PROCEDURES,,,577.98,577.98,1
EAPG,475,MRI GUIDANCE,,,517.23,517.23,1
EAPG,476,LEVEL I RADIATION TREATMENT PREPARATION AND PLANNING,,,323.47,323.47,1
EAPG,477,LEVEL II RADIATION TREATMENT PREPARATION AND PLANNING,,,749.57,749.57,1
EAPG,478,LEVEL III RADIATION TREATMENT PREPARATION AND PLANNING,,,3289.75,3289.75,1
EAPG,483,RADIATION THERAPY MANAGEMENT,,,781.59,781.59,1
EAPG,485,CORNEAL TISSUE PROCESSING,,,6641.89,6641.89,1
EAPG,486,LEVEL I BLOOD AND TISSUE TYPING TESTS,,,51.72,51.72,1
EAPG,488,MINOR DEVICE EVALUATION AND INTERROGATION,,,121.51,121.51,1
EAPG,49,"LEVEL I JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES",,,794.73,794.73,1
EAPG,493,LEVEL I ANCILLARY THERAPEUTIC SERVICES,,,96.06,96.06,1
EAPG,494,COMPLEX BLOOD COLLECTION SERVICES,,,469.61,469.61,1
EAPG,495,MINOR CHEMOTHERAPY DRUGS,,,704.42,704.42,1
EAPG,496,MINOR PHARMACOTHERAPY,,,237.27,237.27,1
EAPG,497,TELEHEALTH FACILITATION,,,78.82,78.82,1
EAPG,498,PEN FORMULAE,,,64.86,64.86,1
EAPG,499,"BLOOD PROCESSING, STORAGE AND RELATED SERVICES",,,214.28,214.28,1
EAPG,5,NAIL PROCEDURES,,,380.12,380.12,1
EAPG,50,"LEVEL II JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES",,,1149.4,1149.4,1
EAPG,51,"MUSCULOSKELETAL EXCISIONS, BIOPSIES, AND DRAINAGE PROCEDURES",,,3919.45,3919.45,1
EAPG,518,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,559.1,559.1,1
EAPG,519,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM,,,532.01,532.01,1
EAPG,52,LEVEL II KNEE AND LOWER LEG PROCEDURES,,,14853.53,14853.53,1
EAPG,520,SPINAL DIAGNOSES AND INJURIES,,,637.1,637.1,1
EAPG,521,NERVOUS SYSTEM MALIGNANCY,,,473.72,473.72,1
EAPG,522,DEGENERATIVE NERVOUS SYSTEM DIAGNOSES EXC MULT SCLEROSIS,,,541.04,541.04,1
EAPG,523,MULTIPLE SCLEROSIS AND OTHER DEMYELINATING DISEASES,,,515.59,515.59,1
EAPG,524,OTHER CENTRAL NERVOUS SYSTEM DIAGNOSES,,,678.15,678.15,1
EAPG,526,TRANSIENT ISCHEMIA,,,792.27,792.27,1
EAPG,527,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DIAGNOSES",,,646.13,646.13,1
EAPG,528,ANOXIC AND OTHER SEVERE BRAIN DAMAGE OR COMA,,,479.46,479.46,1
EAPG,529,SEIZURE,,,811.97,811.97,1
EAPG,53,SPINE INJECTIONS AND OTHER RELATED PROCEDURES,,,1541.02,1541.02,1
EAPG,530,HEADACHES OTHER THAN MIGRAINE,,,695.39,695.39,1
EAPG,531,MIGRAINE,,,921.98,921.98,1
EAPG,532,HEAD TRAUMA WITH OR WITHOUT LOC/COMA LESS THAN 1 HR,,,478.64,478.64,1
EAPG,533,AFTEREFFECTS OF CEREBROVASCULAR ACCIDENT,,,404.75,404.75,1
EAPG,534,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION W/O INFARC,,,315.26,315.26,1
EAPG,535,CVA AND PRECEREBRAL OCCLUSION W INFARCT,,,572.24,572.24,1
EAPG,536,CEREBRAL PALSY,,,421.99,421.99,1
EAPG,537,"MALFUNCTION, REACTION, COMPLICATION OF NEUROLOGICAL DEVICE OR PROC",,,477.82,477.82,1
EAPG,538,HEAD TRAUMA WITH LOC/COMA MORE THEN 1 HR,,,1362.04,1362.04,1
EAPG,539,INTRACRANIAL HEMORRHAGE,,,685.54,685.54,1
EAPG,54,FIXATION DEVICE INSERTION OR REPLACEMENT PROCEDURES,,,4670.67,4670.67,1
EAPG,545,"PERIPHERAL, CRANIAL, AND AUTONOMIC NERVE INJURIES",,,559.92,559.92,1
EAPG,548,PERIPHERAL AND OTHER VASCULAR RELATED INJURIES,,,728.23,728.23,1
EAPG,55,LEVEL II HIP AND FEMUR PROCEDURES,,,37088.68,37088.68,1
EAPG,550,ACUTE MAJOR EYE INFECTIONS,,,515.59,515.59,1
EAPG,551,CATARACTS,,,680.61,680.61,1
EAPG,552,GLAUCOMA,,,371.09,371.09,1
EAPG,553,OTHER OPHTHALMIC SYSTEM DIAGNOSES,,,597.69,597.69,1
EAPG,555,CONJUNCTIVITIS,,,568.95,568.95,1
EAPG,556,OCULAR AND PERIOCULAR MALIGNANCY,,,364.52,364.52,1
EAPG,557,OTHER EYE INFECTION DIAGNOSES,,,486.03,486.03,1
EAPG,558,"MALFUNCTION, REACTION, OR COMPLICATION OF OCULAR DEVICE OR PROCEDURE",,,346.46,346.46,1
EAPG,56,SKIN AND CONNECTIVE TISSUE GRAFTING AND FLAP PROCEDURES,,,3609.94,3609.94,1
EAPG,560,"EAR, NOSE, MOUTH, THROAT, CRANIAL AND FACIAL MALIGNANCIES",,,596.87,596.87,1
EAPG,561,VERTIGO AND OTHER LABYRINTH DISORDERS,,,972.89,972.89,1
EAPG,562,INFECTIONS OF UPPER RESPIRATORY TRACT AND OTITIS MEDIA,,,714.27,714.27,1
EAPG,563,DENTAL AND ORAL DIAGNOSES AND INJURIES,,,536.11,536.11,1
EAPG,564,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIOFACIAL DIAGNOSES",,,570.6,570.6,1
EAPG,566,"MALFUNCTION, REACTION, OR COMPLICATION OF OTOLARYNGOLOGIC DEVICE OR PROCEDURE",,,394.08,394.08,1
EAPG,57,LEVEL III SPINE PROCEDURES,,,26849.16,26849.16,1
EAPG,570,CYSTIC FIBROSIS - PULMONARY DISEASE,,,727.41,727.41,1
EAPG,571,RESPIRATORY MALIGNANCY,,,640.38,640.38,1
EAPG,572,BRONCHIOLITIS AND RSV PNEUMONIA,,,848.91,848.91,1
EAPG,574,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,1571.39,1571.39,1
EAPG,575,ASTHMA,,,1114.1,1114.1,1
EAPG,576,OTHER RESPIRATORY SYSTEM DIAGNOSES,,,961.39,961.39,1
EAPG,579,STATUS ASTHMATICUS,,,1262.7,1262.7,1
EAPG,58,LEVEL II SHOULDER AND UPPER ARM PROCEDURES,,,21414.96,21414.96,1
EAPG,580,MAJOR CHEST AND RESPIRATORY TRAUMA,,,876.01,876.01,1
EAPG,581,PULMONARY INFECTION DIAGNOSES INCLUDING PNEUMONIA,,,1117.38,1117.38,1
EAPG,582,INTERSTITIAL AND ALVEOLAR LUNG DIAGNOSES,,,1385.03,1385.03,1
EAPG,583,"MALFUNCTION, REACTION, OR COMPLICATION OF PULMONARY DEVICE OR PROCEDURE",,,708.52,708.52,1
EAPG,584,ACUTE BRONCHITIS,,,1027.07,1027.07,1
EAPG,585,"AFTERCARE, OPEN WOUNDS AND OTHER TRAUMATIC INJURIES",,,401.47,401.47,1
EAPG,586,PULMONARY EMBOLISM,,,605.08,605.08,1
EAPG,587,RESPIRATORY FAILURE,,,1598.49,1598.49,1
EAPG,589,"MALFUNCTION, REACTION, OR COMPLICATION OF CARDIOVASCULAR DEVICE OR PROC",,,675.68,675.68,1
EAPG,59,ARTERIOVENOUS FISTULA CREATION OR REVISION FOR HEMODIALYSIS,,,6074.58,6074.58,1
EAPG,591,ACUTE MYOCARDIAL INFARCTION,,,2607.5,2607.5,1
EAPG,592,OTHER CARDIOVASCULAR SYSTEM DIAGNOSES,,,1160.89,1160.89,1
EAPG,594,HEART FAILURE,,,1555.8,1555.8,1
EAPG,595,CARDIAC ARREST OR OTHER CAUSES OF MORTALITY,,,1481.08,1481.08,1
EAPG,596,PERIPHERAL AND OTHER VASCULAR DIAGNOSES,,,570.6,570.6,1
EAPG,597,PHLEBITIS,,,560.74,560.74,1
EAPG,598,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,1839.04,1839.04,1
EAPG,599,HYPERTENSION,,,1045.95,1045.95,1
EAPG,60,PULMONARY FUNCTION TESTS,,,488.5,488.5,1
EAPG,600,CARDIAC STRUCTURAL AND VALVULAR DIAGNOSES,,,477.0,477.0,1
EAPG,601,CARDIAC ARRHYTHMIA AND CONDUCTION DIAGNOSES,,,1244.64,1244.64,1
EAPG,602,ATRIAL FIBRILLATION,,,1437.57,1437.57,1
EAPG,604,CHEST PAIN,,,1370.25,1370.25,1
EAPG,605,SYNCOPE AND COLLAPSE,,,991.77,991.77,1
EAPG,607,CARDIOMYOPATHY DIAGNOSES,,,698.67,698.67,1
EAPG,608,ACUTE AND SUBACUTE ENDOCARDITIS,,,349.75,349.75,1
EAPG,610,CONTUSIONS TO EXTERNAL ORGANS OTHER THAN HEAD TRAUMA,,,729.05,729.05,1
EAPG,616,DIVERTICULITIS AND DIVERTICULOSIS,,,722.48,722.48,1
EAPG,617,GASTROINTESTINAL HEMORRHAGE AND RELATED POSTPROCEDURAL HEMORRHAGE DIAGNOSES,,,705.24,705.24,1
EAPG,618,INTESTINAL OBSTRUCTION DIAGNOSES,,,827.57,827.57,1
EAPG,619,GASTROINTESTINAL AND PERITONEAL INFECTION DIAGNOSES,,,663.37,663.37,1
EAPG,62,LEVEL I ENDOSCOPY OF THE UPPER AIRWAY,,,3625.54,3625.54,1
EAPG,620,DIGESTIVE MALIGNANCY,,,373.56,373.56,1
EAPG,621,PEPTIC ULCER AND GASTRITIS,,,960.57,960.57,1
EAPG,623,ESOPHAGITIS AND OTHER ESOPHAGEAL DIAGNOSES,,,1043.49,1043.49,1
EAPG,624,OTHER GASTROINTESTINAL SYSTEM DIAGNOSES,,,664.19,664.19,1
EAPG,626,INFLAMMATORY BOWEL DISEASE,,,850.56,850.56,1
EAPG,627,"NON-BACTERIAL GASTROENTERITIS, NAUSEA AND VOMITING",,,710.17,710.17,1
EAPG,628,ABDOMINAL PAIN,,,844.81,844.81,1
EAPG,629,"MALFUNCTION, REACTION AND COMPLICATION OF GI DEVICE OR PROCEDURE",,,749.57,749.57,1
EAPG,63,LEVEL II ENDOSCOPY OF THE UPPER AIRWAY,,,4035.22,4035.22,1
EAPG,630,CONSTIPATION,,,855.48,855.48,1
EAPG,631,HERNIA,,,545.14,545.14,1
EAPG,632,IRRITABLE BOWEL SYNDROME,,,958.93,958.93,1
EAPG,633,ALCOHOLIC LIVER DISEASE,,,1090.29,1090.29,1
EAPG,634,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,574.7,574.7,1
EAPG,635,PANCREAS DIAGNOSES EXCEPT MALIGNANCY,,,897.35,897.35,1
EAPG,636,HEPATITIS WITHOUT COMA,,,488.5,488.5,1
EAPG,637,GALLBLADDER AND BILIARY TRACT DIAGNOSES,,,678.15,678.15,1
EAPG,638,CHOLECYSTITIS,,,944.15,944.15,1
EAPG,639,OTHER HEPATOBILIARY SYSTEM DIAGNOSES,,,577.98,577.98,1
EAPG,64,LEVEL I LOWER AIRWAY ENDOSCOPY,,,2415.38,2415.38,1
EAPG,641,HEPATIC COMA AND MAJOR ACUTE LIVER DIAGNOSES,,,773.38,773.38,1
EAPG,642,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,581.27,581.27,1
EAPG,647,"FRACTURES, DISLOCATIONS, OTHER INJURIES - UPPER EXTREMITY INCLUDING SHOULDER",,,903.92,903.92,1
EAPG,648,"FRACTURES, DISLOCATIONS AND SPRAINS OF THE SKULL, CRANIUM AND FACE",,,646.13,646.13,1
EAPG,649,OTHER PATHOLOGICAL FRACTURES W/O MUSCULOSKELETAL MALIGNANCY,,,919.52,919.52,1
EAPG,650,"FRACTURES, DISLOCATIONS, OTHER INJURIES - LOWER EXTREMITY INCLUDING FEMUR",,,825.11,825.11,1
EAPG,651,"FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE PELVIS AND HIP",,,725.76,725.76,1
EAPG,652,OTHER INJURIES AND DISORDERS OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE,,,701.96,701.96,1
EAPG,653,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FX DUE TO MALIGNANCY,,,485.21,485.21,1
EAPG,654,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,905.56,905.56,1
EAPG,655,CONNECTIVE TISSUE DIAGNOSES,,,604.26,604.26,1
EAPG,656,"FRACTURES, DISLOCATIONS, OTHER INJURIES OF THE NECK, UPPER BACK AND CHEST",,,760.25,760.25,1
EAPG,657,"FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE LOWER BACK",,,784.06,784.06,1
EAPG,658,SCIATICA AND LOW BACK PAIN,,,723.3,723.3,1
EAPG,659,"MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",,,706.06,706.06,1
EAPG,66,PULMONARY REHABILITATIVE SERVICES,,,196.22,196.22,1
EAPG,660,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,733.97,733.97,1
EAPG,662,OSTEOPOROSIS,,,404.75,404.75,1
EAPG,663,PAIN RELATED DIAGNOSES,,,671.58,671.58,1
EAPG,67,VENTILATION ASSISTANCE AND MANAGEMENT,,,3566.42,3566.42,1
EAPG,670,NON-PRESSURE CHRONIC SKIN ULCERS,,,542.68,542.68,1
EAPG,671,MAJOR SKIN DIAGNOSES,,,531.19,531.19,1
EAPG,672,MALIGNANT BREAST DIAGNOSES,,,307.05,307.05,1
EAPG,673,CELLULITIS AND OTHER BACTERIAL SKIN INFECTIONS,,,596.87,596.87,1
EAPG,674,"OPEN WOUNDS, PUNCTURES AND OTHER OPEN TRAUMATIC INJURIES",,,697.85,697.85,1
EAPG,675,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DIAGNOSES",,,541.86,541.86,1
EAPG,676,PRESSURE ULCERS,,,543.5,543.5,1
EAPG,68,"THORACENTESIS, RELATED BIOPSY AND PLEURAL DRAINAGE PROCEDURES",,,1784.03,1784.03,1
EAPG,69,LEVEL I THORACIC AND CHEST PROCEDURES,,,4389.89,4389.89,1
EAPG,690,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DIAGNOSES",,,542.68,542.68,1
EAPG,691,INBORN ERRORS OF METABOLISM,,,384.23,384.23,1
EAPG,692,OTHER ENDOCRINE SYSTEM DIAGNOSES,,,882.58,882.58,1
EAPG,694,ELECTROLYTE DISORDERS,,,1097.68,1097.68,1
EAPG,695,OBESITY,,,346.46,346.46,1
EAPG,696,THYROID AND PARATHYROID DIAGNOSES,,,1008.19,1008.19,1
EAPG,70,LEVEL II THORACIC AND CHEST PROCEDURES,,,14015.29,14015.29,1
EAPG,71,LEVEL II LOWER AIRWAY ENDOSCOPY,,,5187.9,5187.9,1
EAPG,710,DIABETES WITH OPHTHALMIC MANIFESTATIONS,,,435.95,435.95,1
EAPG,711,DIABETES WITH OTHER MANIFESTATIONS AND COMPLICATIONS,,,973.71,973.71,1
EAPG,712,DIABETES WITH NEUROLOGIC MANIFESTATIONS,,,615.75,615.75,1
EAPG,713,DIABETES WITHOUT COMPLICATIONS,,,646.13,646.13,1
EAPG,714,DIABETES WITH RENAL MANIFESTATIONS,,,476.18,476.18,1
EAPG,715,DIABETES WITH VASCULAR COMPLICATIONS INCLUDING FOOT AND OTHER SKIN ULCERS,,,689.64,689.64,1
EAPG,72,TRACHEOSTOMY AND RELATED TRACHEAL PROCEDURES,,,5655.87,5655.87,1
EAPG,720,CHRONIC KIDNEY DISEASE,,,866.98,866.98,1
EAPG,721,KIDNEY AND URINARY TRACT MALIGNANCY,,,342.36,342.36,1
EAPG,722,NEPHRITIS AND NEPHROSIS,,,475.36,475.36,1
EAPG,723,COMPLEX KIDNEY AND URINARY TRACT INFECTIONS,,,669.94,669.94,1
EAPG,724,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,969.6,969.6,1
EAPG,725,"MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",,,615.75,615.75,1
EAPG,726,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,738.08,738.08,1
EAPG,727,ACUTE LOWER URINARY TRACT INFECTIONS,,,824.28,824.28,1
EAPG,729,ACUTE KIDNEY INJURY,,,940.87,940.87,1
EAPG,73,DIAPHRAGMATIC PROCEDURES AND RELATED HERNIA REPAIR,,,17068.59,17068.59,1
EAPG,74,"REVISION, REPLACEMENT OR REMOVAL OF CARDIAC DEVICE COMPONENT",,,1972.86,1972.86,1
EAPG,740,MALE REPRODUCTIVE SYSTEM MALIGNANCY,,,457.3,457.3,1
EAPG,741,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES,,,730.69,730.69,1
EAPG,743,PROSTATITIS,,,868.62,868.62,1
EAPG,744,MALE REPRODUCTIVE SYSTEM INFECTIONS,,,357.14,357.14,1
EAPG,75,LEVEL I CENTRAL VENOUS ACCESS PROCEDURES,,,3095.17,3095.17,1
EAPG,750,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,350.57,350.57,1
EAPG,751,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,642.02,642.02,1
EAPG,752,OTHER FEMALE REPRODUCTIVE SYSTEM AND MENSTRUAL DIAGNOSES,,,702.78,702.78,1
EAPG,76,"REVISION, REPAIR OR REMOVAL OF CENTRAL VENOUS ACCESS DEVICE",,,1926.07,1926.07,1
EAPG,760,LABOR AND DELIVERY RELATED DIAGNOSES,,,1076.33,1076.33,1
EAPG,761,POSTPARTUM AND POST ABORTION DIAGNOSES,,,752.04,752.04,1
EAPG,762,PRETERM LABOR DIAGNOSES,,,944.97,944.97,1
EAPG,763,ABORTION RELATED DIAGNOSES,,,1008.19,1008.19,1
EAPG,764,FALSE LABOR,,,788.98,788.98,1
EAPG,765,OTHER ANTEPARTUM COMPLICATION DIAGNOSES,,,779.95,779.95,1
EAPG,766,ROUTINE PRENATAL CARE,,,551.71,551.71,1
EAPG,767,COMPLICATIONS OF TREATMENT AFFECTING PREGNANCY,,,832.49,832.49,1
EAPG,768,ANTEPARTUM ENCOUNTERS FOR NON-ROUTINE AND ABNORMAL FINDINGS,,,779.13,779.13,1
EAPG,77,LEVEL I PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES,,,8337.26,8337.26,1
EAPG,770,NORMAL NEONATE,,,855.48,855.48,1
EAPG,771,NEONATAL DIAGNOSES,,,515.59,515.59,1
EAPG,777,SUPERFICIAL INJURY TO SKIN AND SUBCUTANEOUS TISSUE,,,590.3,590.3,1
EAPG,78,"LEVEL I PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION",,,4590.21,4590.21,1
EAPG,780,OTHER HEMATOLOGICAL DIAGNOSES,,,691.28,691.28,1
EAPG,781,COAGULATION AND PLATELET DISORDERS AND CONGENITAL FACTOR DEFICIENCIES,,,756.96,756.96,1
EAPG,783,SICKLE CELL ANEMIA CRISIS,,,821.82,821.82,1
EAPG,785,"ANEMIA, BLOOD AND BLOOD-FORMING ORGAN DISORDERS",,,996.69,996.69,1
EAPG,787,"AFTERCARE, BURNS, CORROSIONS, OTHER INJURIES RELATED TO THE SKIN AND SUB TIS",,,463.04,463.04,1
EAPG,79,LEVEL II PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES,,,9170.57,9170.57,1
EAPG,80,EXERCISE TOLERANCE TESTS,,,417.07,417.07,1
EAPG,800,ACUTE LEUKEMIA,,,701.96,701.96,1
EAPG,801,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,596.05,596.05,1
EAPG,802,RADIOTHERAPY,,,358.78,358.78,1
EAPG,803,CHEMOTHERAPY,,,548.43,548.43,1
EAPG,804,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,539.4,539.4,1
EAPG,805,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,1720.82,1720.82,1
EAPG,806,"INTRAOPERATIVE, POST-OPERATIVE OR POST-TRAUMATIC INFECTIONS AND COMPLICATIONS",,,546.79,546.79,1
EAPG,807,FEVER AND OTHER INFLAMMATORY CONDITIONS,,,624.78,624.78,1
EAPG,808,VIRAL ILLNESS,,,798.83,798.83,1
EAPG,809,OTHER INFECTIOUS AND PARASITIC DISEASES,,,552.53,552.53,1
EAPG,81,ECHOCARDIOGRAPHY,,,1392.42,1392.42,1
EAPG,810,H. PYLORI INFECTION,,,312.8,312.8,1
EAPG,812,VIRAL MENINGITIS,,,504.92,504.92,1
EAPG,82,COMPREHENSIVE CARDIAC ELECTROPHYSIOLOGIC PROCEDURES WITH ABLATION,,,34326.01,34326.01,1
EAPG,820,SCHIZOPHRENIA,,,578.81,578.81,1
EAPG,821,MAJOR DEPRESSIVE DIAGNOSES AND  OTHER OR UNSPECIFIED PSYCHOSES,,,816.07,816.07,1
EAPG,822,PERSONALITY AND IMPULSE CONTROL DIAGNOSES,,,563.21,563.21,1
EAPG,823,BIPOLAR DISORDERS,,,655.98,655.98,1
EAPG,824,DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES,,,581.27,581.27,1
EAPG,825,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,654.34,654.34,1
EAPG,826,ACUTE ANXIETY AND DELIRIUM STATES,,,835.78,835.78,1
EAPG,827,ORGANIC BEHAVIORAL HEALTH DISTURBANCES,,,440.88,440.88,1
EAPG,828,INTELLECTUAL DISABILITY,,,315.26,315.26,1
EAPG,829,CHILDHOOD BEHAVIORAL DIAGNOSES,,,593.58,593.58,1
EAPG,83,LEVEL II CENTRAL VENOUS ACCESS PROCEDURES,,,5153.42,5153.42,1
EAPG,830,EATING DISORDERS,,,398.19,398.19,1
EAPG,831,OTHER BEHAVIORAL HEALTH DIAGNOSES,,,577.16,577.16,1
EAPG,832,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,1274.19,1274.19,1
EAPG,84,CARDIAC CATHETERIZATION PROCEDURES,,,5386.58,5386.58,1
EAPG,840,OPIOID ABUSE AND DEPENDENCE,,,587.02,587.02,1
EAPG,841,COCAINE ABUSE AND DEPENDENCE,,,773.38,773.38,1
EAPG,842,ALCOHOL ABUSE AND DEPENDENCE,,,564.03,564.03,1
EAPG,843,OTHER DRUG ABUSE AND DEPENDENCE,,,627.24,627.24,1
EAPG,85,LEVEL III PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES,,,11814.19,11814.19,1
EAPG,850,ALLERGIC REACTIONS,,,623.14,623.14,1
EAPG,851,POISONING OR TOXIC EFFECTS OF MEDICINAL AGENTS,,,752.86,752.86,1
EAPG,852,OTHER COMPLICATIONS OF TREATMENT,,,559.1,559.1,1
EAPG,853,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,754.5,754.5,1
EAPG,854,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,693.75,693.75,1
EAPG,86,PACEMAKER AND OTHER CARDIOVASCULAR DEVICE INSERTION AND REPLACEMENT,,,20052.93,20052.93,1
EAPG,860,EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS,,,741.36,741.36,1
EAPG,861,PARTIAL THICKNESS BURNS,,,664.19,664.19,1
EAPG,867,ENCOUNTERS FOR CONTACT WITH HEALTH SERVICES,,,440.88,440.88,1
EAPG,869,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE INJURIES",,,702.78,702.78,1
EAPG,87,REMOVAL OR REVISION OF PACEMAKERS AND OTHER CARDIOVASCULAR DEVICES,,,16821.47,16821.47,1
EAPG,870,REHABILITATION,,,273.39,273.39,1
EAPG,871,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,656.8,656.8,1
EAPG,872,OTHER AFTERCARE AND CONVALESCENCE,,,404.75,404.75,1
EAPG,873,NEONATAL AFTERCARE,,,454.83,454.83,1
EAPG,874,AFTERCARE FOR JOINT REPLACEMENT,,,449.09,449.09,1
EAPG,875,CONTRACEPTIVE MANAGEMENT,,,443.34,443.34,1
EAPG,876,ADULT PREVENTIVE MEDICINE,,,537.76,537.76,1
EAPG,877,CHILD PREVENTIVE MEDICINE,,,408.86,408.86,1
EAPG,878,GYNECOLOGIC PREVENTIVE MEDICINE,,,303.77,303.77,1
EAPG,879,PREVENTIVE OR SCREENING ENCOUNTER,,,463.87,463.87,1
EAPG,880,HIV INFECTION,,,578.81,578.81,1
EAPG,881,AIDS,,,582.91,582.91,1
EAPG,882,GENETIC COUNSELING,,,230.7,230.7,1
EAPG,883,ALTERATION IN CONSCIOUSNESS,,,790.62,790.62,1
EAPG,9,"LEVEL I SKIN EXCISIONS, BIOPSIES, AND REPAIRS",,,798.01,798.01,1
EAPG,90,LEVEL I VARICOSE VEIN AND RELATED PROCEDURES,,,2405.53,2405.53,1
EAPG,900,AUTOPSY AND POST-MORTEM EXAMINATION SERVICES,,,386.69,386.69,1
EAPG,91,"LEVEL II PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION",,,9398.81,9398.81,1
EAPG,92,RESUSCITATION,,,2435.91,2435.91,1
EAPG,93,CARDIOVERSION,,,1456.45,1456.45,1
EAPG,94,CARDIAC REHABILITATION,,,399.01,399.01,1
EAPG,96,CARDIAC ELECTROPHYSIOLOGIC PROCEDURES INCLUDING PACING AND RECORDING,,,18603.04,18603.04,1
EAPG,97,AICD AND RELATED CARDIAC DEVICE INSERTION OR REPLACEMENT,,,56837.01,56837.01,1
EAPG,99,LEVEL I PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES,,,17808.31,17808.31,1
HCPCS,A0390,AMBUL ALS PER MILE,31.0,24.8,8.2,27.9,26
HCPCS,A0425,SCT GRND TRANSPORT MILES,35.0,28.0,9.26,31.5,26
HCPCS,A0427,AMBUL ALS1 EMERG HOSP TO HOSP,1918.0,1534.4,507.31,1726.2,26
HCPCS,A0427,AMBULANCE ALS EMERGENCY LVL 1,1918.0,1534.4,507.31,1726.2,26
HCPCS,A0430,FW TRANSPORT LEVEL 1,15750.0,12600.0,5276.25,14175.0,26
HCPCS,A0431,RW TRANSPORT,18400.0,14720.0,6164.0,16560.0,26
HCPCS,A0434,SCT GRND TRANSPORT,2477.0,1981.6,655.17,2229.3,26
HCPCS,A0435,FW LOADED MILES,48.0,38.4,16.08,43.2,26
HCPCS,A0436,RW LOADED MILES,115.0,92.0,38.53,103.5,26
HCPCS,A0998,FIXED WING AMBULANCE RESP TREATMENT NO TRANSPORT,15750.0,12600.0,4165.88,14175.0,26
HCPCS,A0998,ROTARY WING AMBULANCE RESP TREATMENT NO TRANSPORT,18400.0,14720.0,4866.8,16560.0,26
HCPCS,A2001,"Innovamatrix ac, per sq cm",,,1.0,1.0,3
HCPCS,A2002,Mirragen adv wnd mat per sq,,,1.0,1.0,3
HCPCS,A2004,"Xcellistem, 1 mg",,,1.0,1.0,3
HCPCS,A2005,"Microlyte matrix, per sq cm",,,1.0,1.0,3
HCPCS,A2006,SCAF NOVOSORB BTM 10X10=100SQ,55.0,44.0,1.0,49.5,26
HCPCS,A2006,SCAF NOVOSORB BTM 10X20=200SQ,55.0,44.0,1.0,49.5,26
HCPCS,A2006,SCAF NOVOSORB BTM 5X5=25SQ,288.0,230.4,1.0,259.2,26
HCPCS,A2006,SCAF NOVOSORB MTX 10X10=100SQ,73.0,58.4,1.0,65.7,26
HCPCS,A2006,SCAF NOVOSORB MTX 10X20=200SQ,73.0,58.4,1.0,65.7,26
HCPCS,A2006,SCAF NOVOSORB MTX 5X5=25SQ,280.0,224.0,1.0,252.0,26
HCPCS,A2007,"Restrata, per sq cm",,,1.0,1.0,3
HCPCS,A2008,"Theragenesis, per sq cm",,,1.0,1.0,3
HCPCS,A2009,"Symphony, per sq cm",,,1.0,1.0,3
HCPCS,A2010,"Apis, per square centimeter",,,1.0,1.0,3
HCPCS,A2011,"Supra sdrm, per sq cm",,,1.0,1.0,3
HCPCS,A2012,"Suprathel, per sq cm",,,1.0,1.0,3
HCPCS,A2013,"Innovamatrix fs, per sq cm",,,1.0,1.0,3
HCPCS,A2014,Omeza collag compl 100 mg,,,1.0,1.0,3
HCPCS,A2015,"Phoenix wnd mtrx, per sq cm",,,1.0,1.0,3
HCPCS,A2016,"Permeaderm b, per sq cm",,,1.0,1.0,3
HCPCS,A2017,"Permeaderm glove, each",,,1.0,1.0,3
HCPCS,A2018,"Permeaderm c, per sq cm",,,1.0,1.0,3
HCPCS,A2019,GRAFT WND SHIELD ADH 1.77SQCM,901.0,720.8,1.0,810.9,26
HCPCS,A2019,GRAFT WND SHIELD ADH 7.07SQCM,2214.0,1771.2,1.0,1992.6,26
HCPCS,A2019,GRAFT WND SHIELDSPIRAL7.07SQCM,2214.0,1771.2,1.0,1992.6,26
HCPCS,A2020,Ac5 wound system,,,1.0,1.0,3
HCPCS,A2021,Neomatrix per sq cm,,,1.0,1.0,3
HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,1.0,1.0,3
HCPCS,A2023,"Innovamatrix pd, 1 mg",,,1.0,1.0,3
HCPCS,A2024,Resolve or xenopatch sq cm,,,1.0,1.0,3
HCPCS,A2025,Miro3d per cubic cm,,,1.0,1.0,3
HCPCS,A2027,DRSG MATRIDERM 1MM 21X29.7=624,64.96,51.97,17.18,58.46,26
HCPCS,A2027,DRSG MATRIDERM 1MM 3.7X5.2=20,641.0,512.8,169.54,576.9,26
HCPCS,A2027,DRSG MATRIDERM 1MM 5.2X7.4=39,373.0,298.4,98.66,335.7,26
HCPCS,A2027,DRSG MATRIDERM 2MM 21X29.7=624,74.71,59.77,19.76,67.24,26
HCPCS,A2027,DRSG MATRIDERM1MM10.5X14.8=156,96.73,77.39,25.59,87.06,26
HCPCS,A2027,DRSG MATRIDERM2MM10.5X14.8=156,111.0,88.8,29.36,99.9,26
HCPCS,A2028,PTCL WND MICROMATRIX FLEX 5CC,2631.53,2105.23,696.04,2368.38,26
HCPCS,A4100,Nosht skin sub fda clrd nos,,,1.0,1.0,3
HCPCS,A4206,1 CC sterile syringe&needle,,,1.0,1.0,3
HCPCS,A4207,2 CC sterile syringe&needle,,,1.0,1.0,3
HCPCS,A4208,3 CC sterile syringe&needle,,,1.0,1.0,3
HCPCS,A4209,5+ CC sterile syringe&needle,,,1.0,1.0,3
HCPCS,A4210,Nonneedle injection device,,,0.27,0.27,3
HCPCS,A4211,Supp for self-adm injections,,,1.0,1.0,3
HCPCS,A4212,Non coring needle or stylet,,,1.0,1.0,3
HCPCS,A4213,20+ CC syringe only,,,1.0,1.0,3
HCPCS,A4215,Sterile needle,,,1.0,1.0,3
HCPCS,A4216,"Sterile water/saline, 10 ml",,,0.5,1.0,15
HCPCS,A4217,"Sterile water/saline, 500 ml",,,1.0,5.51,15
HCPCS,A4218,Sterile saline or water,,,1.0,1.0,3
HCPCS,A4220,Infusion pump refill kit,,,1.0,1.0,3
HCPCS,A4221,Supp non-insulin inf cath/wk,,,1.0,31.67,15
HCPCS,A4222,Infusion supplies with pump,,,1.0,60.08,15
HCPCS,A4223,Infusion supplies w/o pump,,,1.0,1.0,3
HCPCS,A4224,Supply insulin inf cath/wk,,,1.0,31.67,15
HCPCS,A4225,Sup/ext insulin inf pump syr,,,1.0,4.25,15
HCPCS,A4230,Infus insulin pump non needl,,,1.0,1.0,3
HCPCS,A4231,Infusion insulin pump needle,,,1.0,1.0,3
HCPCS,A4232,Syringe w/needle insulin 3cc,,,3.04,5.04,7
HCPCS,A4233,Alkalin batt for glucose mon,,,0.48,0.64,7
HCPCS,A4234,J-cell batt for glucose mon,,,2.24,2.97,7
HCPCS,A4235,Lithium batt for glucose mon,,,0.95,1.26,7
HCPCS,A4236,Silvr oxide batt glucose mon,,,1.1,1.46,7
HCPCS,A4238,Adju cgm supply allowance,,,255.32,346.05,7
HCPCS,A4239,Non-adju cgm supply allow,,,248.56,336.88,15
HCPCS,A4244,Alcohol or peroxide per pint,,,1.0,1.0,3
HCPCS,A4245,Alcohol wipes per box,,,1.0,1.0,3
HCPCS,A4246,Betadine/phisohex solution,,,1.0,1.0,3
HCPCS,A4247,Betadine/iodine swabs/wipes,,,1.0,1.0,3
HCPCS,A4248,Chlorhexidine antisept,,,1.0,1.0,3
HCPCS,A4250,Urine reagent strips/tablets,,,12.39,18.5,7
HCPCS,A4252,Blood ketone test or strip,,,1.79,4.26,7
HCPCS,A4253,Blood glucose/reagent strips,,,1.0,10.46,7
HCPCS,A4255,Glucose monitor platforms,,,1.0,7.22,15
HCPCS,A4256,Calibrator solution/chips,,,1.0,4.25,15
HCPCS,A4257,Replace Lensshield Cartridge,,,16.54,22.42,15
HCPCS,A4258,Lancet device each,,,1.0,2.67,15
HCPCS,A4259,Lancets per box,,,1.0,1.79,15
HCPCS,A4262,Temporary tear duct plug,,,1.0,1.0,3
HCPCS,A4263,STNT LACRIMAL MASTERKA 30MM,1140.0,912.0,1.0,1026.0,26
HCPCS,A4263,STNT LACRIMAL MASTERKA 35MM,1140.0,912.0,1.0,1026.0,26
HCPCS,A4263,STNT LACRIMAL MASTERKA 40MM,1140.0,912.0,1.0,1026.0,26
HCPCS,A4263,STNT LACRIMAL MONOKA MD 3MM,1020.0,816.0,1.0,918.0,26
HCPCS,A4263,TB TEAR DUCT ST 3.5X10MM,523.0,418.4,1.0,470.7,26
HCPCS,A4264,Intratubal occlusion device,,,398.29,398.29,3
HCPCS,A4265,Paraffin,,,1.0,5.99,15
HCPCS,A4266,Diaphragm,,,72.9,72.9,3
HCPCS,A4267,Male condom,,,0.43,0.43,3
HCPCS,A4268,Female condom,,,2.44,2.44,3
HCPCS,A4269,Spermicide,,,9.28,9.28,3
HCPCS,A4270,Disposable endoscope sheath,,,1.0,1.0,3
HCPCS,A4271,Home lancing/test cartridges,,,31.76,42.03,12
HCPCS,A4280,Brst prsths adhsv attchmnt,,,1.0,9.42,15
HCPCS,A4281,Replacement breastpump tube,,,4.13,4.13,3
HCPCS,A4282,Replacement breastpump adpt,,,3.8,3.8,3
HCPCS,A4283,Replacement breastpump cap,,,4.05,4.05,3
HCPCS,A4284,Replcmnt breast pump shield,,,11.54,11.54,3
HCPCS,A4285,Replcmnt breast pump bottle,,,4.75,4.75,3
HCPCS,A4286,Replcmnt breastpump lok ring,,,4.05,4.05,3
HCPCS,A4290,Sacral nerve stim test lead,,,1.0,1.0,3
HCPCS,A4300,Cath impl vasc access portal,,,1.0,1.0,3
HCPCS,A4301,Implantable access syst perc,,,1.0,1.0,3
HCPCS,A4305,Drug delivery system >=50 ML,,,1.0,1.0,3
HCPCS,A4306,Drug delivery system <=50 ml,,,1.0,1.0,3
HCPCS,A4310,Insert tray w/o bag/cath,,,1.0,13.57,15
HCPCS,A4311,Catheter w/o bag 2-way latex,,,1.0,26.03,15
HCPCS,A4312,Cath w/o bag 2-way silicone,,,1.0,28.19,15
HCPCS,A4313,Catheter w/bag 3-way,,,1.0,28.19,15
HCPCS,A4314,Cath w/drainage 2-way latex,,,1.0,44.41,15
HCPCS,A4315,Cath w/drainage 2-way silcne,,,1.0,46.34,15
HCPCS,A4316,Cath w/drainage 3-way,,,1.0,48.13,15
HCPCS,A4320,Irrigation tray,,,1.0,9.38,15
HCPCS,A4321,Cath therapeutic irrig agent,,,1.0,1.0,3
HCPCS,A4322,Irrigation syringe,,,1.0,5.36,15
HCPCS,A4326,Male external catheter,,,1.0,17.14,15
HCPCS,A4327,Fem urinary collect dev cup,,,1.0,78.36,15
HCPCS,A4328,Fem urinary collect pouch,,,1.0,18.33,15
HCPCS,A4330,Stool collection pouch,,,1.0,12.59,15
HCPCS,A4331,Extension drainage tubing,,,1.0,5.58,15
HCPCS,A4332,Lube sterile packet,,,0.14,1.0,15
HCPCS,A4333,Urinary cath anchor device,,,1.0,3.9,15
HCPCS,A4334,Urinary cath leg strap,,,1.0,8.64,15
HCPCS,A4335,Incontinence supply,,,1.0,1.0,3
HCPCS,A4336,Urethral insert,,,1.0,2.53,15
HCPCS,A4337,Incontinent rectal insert,,,1.0,1.0,3
HCPCS,A4338,Indwelling catheter latex,,,1.0,21.55,15
HCPCS,A4340,Indwelling catheter special,,,1.0,55.78,15
HCPCS,A4341,Iduc valve pat inst repl,,,316.29,428.69,15
HCPCS,A4342,Iduc valve sply repl,,,1.0,1082.42,15
HCPCS,A4344,Cath indw foley 2 way silicn,,,1.0,26.95,15
HCPCS,A4346,Cath indw foley 3 way,,,1.0,34.4,15
HCPCS,A4349,Disposable male external cat,,,1.0,3.53,15
HCPCS,A4351,Straight tip urine catheter,,,1.0,2.7,15
HCPCS,A4352,Coude tip urinary catheter,,,1.0,9.58,15
HCPCS,A4353,Intermittent urinary cath,,,1.0,12.31,15
HCPCS,A4354,Cath insertion tray w/bag,,,1.0,20.31,15
HCPCS,A4355,Bladder irrigation tubing,,,1.0,13.32,15
HCPCS,A4356,Ext ureth clmp or compr dvc,,,1.0,80.16,15
HCPCS,A4357,Bedside drainage bag,,,1.0,17.06,15
HCPCS,A4358,Urinary leg or abdomen bag,,,1.0,9.91,15
HCPCS,A4360,Disposable ext urethral dev,,,0.66,1.0,15
HCPCS,A4361,Ostomy face plate,,,1.0,27.41,15
HCPCS,A4362,Solid skin barrier,,,1.0,6.1,15
HCPCS,A4363,"Ostomy clamp, replacement",,,2.67,3.53,15
HCPCS,A4364,"Adhesive, liquid or equal",,,1.0,4.39,15
HCPCS,A4366,Ostomy vent,,,1.0,2.26,15
HCPCS,A4367,Ostomy belt,,,1.0,12.93,15
HCPCS,A4368,Ostomy filter,,,0.33,1.0,15
HCPCS,A4369,Skin barrier liquid per oz,,,1.0,3.62,15
HCPCS,A4371,Skin barrier powder per oz,,,1.0,6.31,15
HCPCS,A4372,Skin barrier solid 4x4 equiv,,,1.0,7.38,15
HCPCS,A4373,Skin barrier with flange,,,1.0,11.01,15
HCPCS,A4375,Drainable plastic pch w fcpl,,,1.0,30.17,15
HCPCS,A4376,Drainable rubber pch w fcplt,,,1.0,83.59,15
HCPCS,A4377,Drainable plstic pch w/o fp,,,1.0,7.53,15
HCPCS,A4378,Drainable rubber pch w/o fp,,,1.0,54.02,15
HCPCS,A4379,Urinary plastic pouch w fcpl,,,1.0,26.38,15
HCPCS,A4380,Urinary rubber pouch w fcplt,,,1.0,65.59,15
HCPCS,A4381,Urinary plastic pouch w/o fp,,,1.0,8.12,15
HCPCS,A4382,Urinary hvy plstc pch w/o fp,,,1.0,43.25,15
HCPCS,A4383,Urinary rubber pouch w/o fp,,,1.0,49.52,15
HCPCS,A4384,Ostomy faceplt/silicone ring,,,1.0,16.87,15
HCPCS,A4385,Ost skn barrier sld ext wear,,,1.0,8.95,15
HCPCS,A4387,Ost clsd pouch w att st barr,,,1.0,3.95,15
HCPCS,A4388,Drainable pch w ex wear barr,,,1.0,7.66,15
HCPCS,A4389,Drainable pch w st wear barr,,,1.0,10.9,15
HCPCS,A4390,Drainable pch ex wear convex,,,1.0,16.86,15
HCPCS,A4391,Urinary pouch w ex wear barr,,,1.0,12.41,15
HCPCS,A4392,Urinary pouch w st wear barr,,,1.0,14.36,15
HCPCS,A4393,Urine pch w ex wear bar conv,,,1.0,15.88,15
HCPCS,A4394,Ostomy pouch liq deodorant,,,1.0,4.55,15
HCPCS,A4395,Ostomy pouch solid deodorant,,,0.05,1.0,15
HCPCS,A4396,Peristomal hernia supprt blt,,,1.0,71.12,15
HCPCS,A4398,Ostomy irrigation bag,,,1.0,22.26,15
HCPCS,A4399,Ostomy irrig cone/cath w brs,,,1.0,21.55,15
HCPCS,A4400,Ostomy irrigation set,,,1.0,85.86,15
HCPCS,A4402,Lubricant per ounce,,,1.0,2.8,15
HCPCS,A4404,Ostomy ring each,,,1.0,2.58,15
HCPCS,A4405,Nonpectin based ostomy paste,,,1.0,6.0,15
HCPCS,A4406,Pectin based ostomy paste,,,1.0,10.06,15
HCPCS,A4407,"Ext wear ost skn barr <=4sq""",,,1.0,15.39,15
HCPCS,A4408,"Ext wear ost skn barr >4sq""",,,1.0,17.34,15
HCPCS,A4409,Ost skn barr convex <=4 sq i,,,1.0,10.9,15
HCPCS,A4410,Ost skn barr extnd >4 sq,,,1.0,15.88,15
HCPCS,A4411,Ost skn barr extnd =4sq,,,1.0,8.95,15
HCPCS,A4412,Ost pouch drain high output,,,1.0,4.75,15
HCPCS,A4413,2 pc drainable ost pouch,,,1.0,9.68,15
HCPCS,A4414,Ost sknbar w/o conv<=4 sq in,,,1.0,8.64,15
HCPCS,A4415,Ost skn barr w/o conv >4 sqi,,,1.0,10.54,15
HCPCS,A4416,Ost pch clsd w barrier/filtr,,,1.0,4.84,15
HCPCS,A4417,Ost pch w bar/bltinconv/fltr,,,1.0,6.55,15
HCPCS,A4418,Ost pch clsd w/o bar w filtr,,,1.0,3.18,15
HCPCS,A4419,Ost pch for bar w flange/flt,,,1.0,3.03,15
HCPCS,A4420,Ost pch clsd for bar w lk fl,,,1.0,1.0,3
HCPCS,A4421,Ostomy supply misc,,,1.0,1.0,3
HCPCS,A4422,Ost pouch absorbent material,,,0.14,1.0,15
HCPCS,A4423,Ost pch for bar w lk fl/fltr,,,1.0,3.26,15
HCPCS,A4424,Ost pch drain w bar & filter,,,1.0,8.36,15
HCPCS,A4425,Ost pch drain for barrier fl,,,1.0,6.29,15
HCPCS,A4426,Ost pch drain 2 piece system,,,1.0,4.79,15
HCPCS,A4427,Ost pch drain/barr lk flng/f,,,1.0,4.9,15
HCPCS,A4428,Urine ost pouch w faucet/tap,,,1.0,11.45,15
HCPCS,A4429,Urine ost pouch w bltinconv,,,1.0,14.5,15
HCPCS,A4430,Ost urine pch w b/bltin conv,,,1.0,14.96,15
HCPCS,A4431,Ost pch urine w barrier/tapv,,,1.0,10.9,15
HCPCS,A4432,Os pch urine w bar/fange/tap,,,1.0,6.3,15
HCPCS,A4433,Urine ost pch bar w lock fln,,,1.0,5.9,15
HCPCS,A4434,Ost pch urine w lock flng/ft,,,1.0,6.6,15
HCPCS,A4435,1pc ost pch drain hgh output,,,1.0,10.12,15
HCPCS,A4436,Irr supply sleev reus per mo,,,1.0,33.69,15
HCPCS,A4437,Irr supply sleev disp per mo,,,1.0,33.69,15
HCPCS,A4438,Adhesive clip ext ens contr,,,2.44,3.23,12
HCPCS,A4450,Non-waterproof tape,,,0.14,1.0,7
HCPCS,A4452,Waterproof tape,,,0.49,1.0,7
HCPCS,A4453,"Rec cath any transanal, each",,,1.0,14.45,11
HCPCS,A4455,Adhesive remover per ounce,,,1.0,2.5,15
HCPCS,A4456,"Adhesive remover, wipes",,,0.32,1.0,15
HCPCS,A4457,Enema tube any type repl,,,5.36,5.36,3
HCPCS,A4458,Reusable enema bag,,,1.0,1.0,3
HCPCS,A4459,"Transanal irrigation, any",,,1.0,165.13,11
HCPCS,A4461,Surgicl dress hold non-reuse,,,1.0,5.8,15
HCPCS,A4463,Surgical dress holder reuse,,,1.0,23.39,15
HCPCS,A4465,Non-elastic extremity binder,,,1.0,1.0,3
HCPCS,A4467,Belt strap sleev grmnt cover,,,30.48,30.48,3
HCPCS,A4470,Gravlee jet washer,,,1.0,1.0,3
HCPCS,A4480,Vabra aspirator,,,1.0,1.0,3
HCPCS,A4481,Tracheostoma filter,,,0.48,1.0,15
HCPCS,A4483,Moisture exchanger,,,1.0,1.0,3
HCPCS,A4490,Above knee surgical stocking,,,22.75,22.75,3
HCPCS,A4495,Thigh length surg stocking,,,29.75,29.75,3
HCPCS,A4500,Below knee surgical stocking,,,19.2,19.2,3
HCPCS,A4510,Full length surg stocking,,,56.5,56.5,3
HCPCS,A4520,Incontinence garment anytype,,,0.36,0.36,3
HCPCS,A4541,Monthly supp use with e0733,,,37.35,49.81,15
HCPCS,A4542,Supp ext up limb tremor stim,,,479.19,649.47,15
HCPCS,A4544,Electro nerve stimulator rls,,,5.91,7.82,12
HCPCS,A4545,Suppl accessor tibial stim,,,38.54,51.01,12
HCPCS,A4550,Surgical trays,,,12.0,12.0,3
HCPCS,A4554,Disposable underpads,,,0.43,0.43,3
HCPCS,A4555,Ca tx e-stim electr/transduc,,,9.69,9.69,3
HCPCS,A4556,"Electrodes, pair",,,1.0,21.34,15
HCPCS,A4557,"Lead wires, pair",,,1.0,14.98,15
HCPCS,A4558,Conductive gel or paste,,,1.0,8.15,15
HCPCS,A4559,Coupling gel or paste,,,0.12,1.0,15
HCPCS,A4561,Pessary reusable rub anytype,,,1.0,36.3,15
HCPCS,A4562,Pessary reusable nonrubber,,,1.0,90.41,15
HCPCS,A4563,Vag inser rectal control sys,,,1528.56,2098.59,15
HCPCS,A4565,Slings,,,1.0,13.53,15
HCPCS,A4566,Should sling/vest/abrestrain,,,10.58,10.58,3
HCPCS,A4570,Splint,,,15.27,15.27,3
HCPCS,A4575,Hyperbaric o2 chamber disps,,,440.0,440.0,3
HCPCS,A4580,Cast supplies (plaster),,,17.99,17.99,3
HCPCS,A4590,Special casting material,,,27.2,27.2,3
HCPCS,A4594,Neuromod adj rehab mouthpie,,,3034.43,3815.49,4
HCPCS,A4595,TENS suppl 2 lead per month,,,1.0,15.0,15
HCPCS,A4596,Ces system monthly supp,,,1.0,49.81,15
HCPCS,A4600,"Sleeve, inter limb comp dev",,,7.93,7.93,3
HCPCS,A4601,Lith ion non prosth recharge,,,45.65,45.65,3
HCPCS,A4602,Replace lithium battery 1.5v,,,1.0,6.55,7
HCPCS,A4604,Tubing with heating element,,,1.0,60.37,7
HCPCS,A4605,Trach suction cath close sys,,,1.0,28.82,7
HCPCS,A4606,Oxygen probe used w oximeter,,,1.0,1.0,3
HCPCS,A4608,Transtracheal oxygen cath,,,1.0,88.07,15
HCPCS,A4611,Heavy duty battery,,,106.5,106.5,3
HCPCS,A4612,Battery cables,,,67.69,67.69,3
HCPCS,A4613,Battery charger,,,87.55,87.55,3
HCPCS,A4614,Hand-held PEFR meter,,,1.0,41.78,15
HCPCS,A4615,Cannula nasal,,,0.97,1.28,15
HCPCS,A4616,Tubing (oxygen) per foot,,,0.08,1.0,15
HCPCS,A4617,Mouth piece,,,1.0,5.44,15
HCPCS,A4618,Breathing circuits,,,1.0,15.63,7
HCPCS,A4619,Face tent,,,1.0,1.0,3
HCPCS,A4620,Variable concentration mask,,,0.85,1.12,15
HCPCS,A4623,Tracheostomy inner cannula,,,1.0,11.52,15
HCPCS,A4624,Tracheal suction tube,,,1.0,3.95,7
HCPCS,A4625,Trach care kit for new trach,,,1.0,10.35,15
HCPCS,A4626,Tracheostomy cleaning brush,,,1.0,4.75,15
HCPCS,A4627,Spacer bag/reservoir,,,32.0,32.0,3
HCPCS,A4628,Oropharyngeal suction cath,,,1.0,6.41,7
HCPCS,A4629,Tracheostomy care kit,,,1.0,8.12,15
HCPCS,A4630,Repl bat t.e.n.s. own by pt,,,6.87,10.95,7
HCPCS,A4633,Uvl replacement bulb,,,53.2,72.1,7
HCPCS,A4634,Replacement bulb th lightbox,,,1.0,1.0,3
HCPCS,A4635,Underarm crutch pad,,,5.62,8.98,7
HCPCS,A4636,Handgrip for cane etc,,,3.86,4.85,7
HCPCS,A4637,Repl tip cane/crutch/walker,,,2.0,2.69,7
HCPCS,A4639,Infrared ht sys replcmnt pad,,,40.14,391.0,7
HCPCS,A4640,Alternating pressure pad,,,65.46,82.31,7
HCPCS,A4641,Radiopharm dx agent noc,,,1.0,1.0,3
HCPCS,A4642,In111 satumomab,,,1.0,1.0,3
HCPCS,A4648,CARTRDG MARKER FIDUCIAL 1X5MM,1284.0,1027.2,1.0,1155.6,26
HCPCS,A4648,MARKER BREAST BIODUR 14GX10CM,555.0,444.0,1.0,499.5,26
HCPCS,A4648,MARKER BREAST EVIVA TITOPHAT13,537.0,429.6,1.0,483.3,26
HCPCS,A4648,MARKER BREAST HEART 14GX10CM,555.0,444.0,1.0,499.5,26
HCPCS,A4648,MARKER BREAST MRI M 14GX13CM,555.0,444.0,1.0,499.5,26
HCPCS,A4648,MARKER BREAST MRI SSINFINITY,563.0,450.4,1.0,506.7,26
HCPCS,A4648,MARKER BREAST MRI X 14GX13CM,555.0,444.0,1.0,499.5,26
HCPCS,A4648,MARKER BREAST SENOMARK RBN 10G,555.0,444.0,1.0,499.5,26
HCPCS,A4648,MARKER BREAST SENOMARK TI O10G,555.0,444.0,1.0,499.5,26
HCPCS,A4648,MARKER BREAST TUFLEX 18G 10CM,2206.0,1764.8,1.0,1985.4,26
HCPCS,A4648,MARKER BREAST TUFLEX 18G 5CM,2206.0,1764.8,1.0,1985.4,26
HCPCS,A4648,MARKER BREAST TUFLEX 18G 7.5CM,2206.0,1764.8,1.0,1985.4,26
HCPCS,A4648,MARKER BREAST TUFLEX PREM18G10,2828.0,2262.4,1.0,2545.2,26
HCPCS,A4648,MARKER BREAST TUFLEXPREM18G7.5,2828.0,2262.4,1.0,2545.2,26
HCPCS,A4648,MARKER BREAST TUMARK VISION18G,794.0,635.2,1.0,714.6,26
HCPCS,A4648,MARKER BREAST ULTCORECURL17G,765.0,612.0,1.0,688.5,26
HCPCS,A4648,MARKER BREAST ULTRACORERING17G,707.0,565.6,1.0,636.3,26
HCPCS,A4648,MARKER BREAST ULTRSND SSBUCKLE,537.0,429.6,1.0,483.3,26
HCPCS,A4648,MARKER DBS FIDUCIAL 13MM,624.0,499.2,1.0,561.6,26
HCPCS,A4648,MARKER FIDUCIAL 17GX20 1.2X3MM,2057.0,1645.6,1.0,1851.3,26
HCPCS,A4648,MARKER FIDUCIAL 18GX20 1X5MM,1301.0,1040.8,1.0,1170.9,26
HCPCS,A4648,MARKER FIDUCIAL 18GX25 1X5MM,1625.0,1300.0,1.0,1462.5,26
HCPCS,A4648,MARKER FIDUCIAL 20CM 1.2X3 PK1,734.0,587.2,1.0,660.6,26
HCPCS,A4648,MARKER FIDUCIAL 20CM 1.2X3 PK3,1484.0,1187.2,1.0,1335.6,26
HCPCS,A4648,MARKER FIDUCIAL GLD 20G40X10MM,1235.0,988.0,1.0,1111.5,26
HCPCS,A4648,MARKER FIDUCIAL GLD 20X.40X10C,1330.0,1064.0,1.0,1197.0,26
HCPCS,A4648,MARKER FIDUCIAL GLD 22G40X10MM,1235.0,988.0,1.0,1111.5,26
HCPCS,A4648,MARKER FIDUCIAL SUPERLOCK*NLU*,1822.0,1457.6,1.0,1639.8,26
HCPCS,A4648,MARKER MAM HYDROMARK BRL 15G,849.0,679.2,1.0,764.1,26
HCPCS,A4648,MARKER MAM HYDROMARK DRGNFL15G,938.0,750.4,1.0,844.2,26
HCPCS,A4648,MARKER MAMM*VAT SEE FORMULARY*,707.0,565.6,1.0,636.3,26
HCPCS,A4648,MARKER NEURO DBS FIDUCIAL 10MM,624.0,499.2,1.0,561.6,26
HCPCS,A4648,MARKER TIS18GX12*DISC 6346020*,5473.0,4378.4,1.0,4925.7,26
HCPCS,A4648,MARKER TISS18GX7*DISC 6346019*,5473.0,4378.4,1.0,4925.7,26
HCPCS,A4649,Surgical supplies,,,1.0,1.0,3
HCPCS,A4650,Implant radiation dosimeter,,,1.0,1.0,3
HCPCS,A4651,Calibrated microcap tube,,,1.0,1.0,3
HCPCS,A4652,Microcapillary tube sealant,,,1.0,1.0,3
HCPCS,A4653,PD catheter anchor belt,,,1.0,1.0,3
HCPCS,A4657,Syringe w/wo needle,,,1.0,1.0,3
HCPCS,A4660,Sphyg/bp app w cuff and stet,,,1.0,1.0,3
HCPCS,A4663,Dialysis blood pressure cuff,,,1.0,1.0,3
HCPCS,A4670,"Automatic bp monitor, dial",,,73.8,73.8,3
HCPCS,A4671,Disposable cycler set,,,29.24,29.24,3
HCPCS,A4680,"Activated carbon filter, ea",,,1.0,1.0,3
HCPCS,A4690,"Dialyzer, each",,,1.0,1.0,3
HCPCS,A4706,Bicarbonate conc sol per gal,,,1.0,1.0,3
HCPCS,A4707,Bicarbonate conc pow per pac,,,1.0,1.0,3
HCPCS,A4708,Acetate conc sol per gallon,,,1.0,1.0,3
HCPCS,A4709,Acid conc sol per gallon,,,1.0,1.0,3
HCPCS,A4714,Treated water per gallon,,,1.0,1.0,3
HCPCS,A4719,"""Y set"" tubing",,,1.0,1.0,3
HCPCS,A4720,Dialysat sol fld vol > 249cc,,,1.0,1.0,3
HCPCS,A4721,Dialysat sol fld vol > 999cc,,,1.0,1.0,3
HCPCS,A4722,Dialys sol fld vol > 1999cc,,,1.0,1.0,3
HCPCS,A4723,Dialys sol fld vol > 2999cc,,,1.0,1.0,3
HCPCS,A4724,Dialys sol fld vol > 3999cc,,,1.0,1.0,3
HCPCS,A4725,Dialys sol fld vol > 4999cc,,,1.0,1.0,3
HCPCS,A4726,Dialys sol fld vol > 5999cc,,,1.0,1.0,3
HCPCS,A4728,"Dialysate solution, non-dex",,,3.88,3.88,3
HCPCS,A4730,"Fistula cannulation set, ea",,,1.0,1.0,3
HCPCS,A4736,"Topical anesthetic, per gram",,,1.0,1.0,3
HCPCS,A4737,Inj anesthetic per 10 ml,,,1.0,1.0,3
HCPCS,A4740,Shunt accessory,,,1.0,1.0,3
HCPCS,A4750,Art or venous blood tubing,,,1.0,1.0,3
HCPCS,A4755,Comb art/venous blood tubing,,,1.0,1.0,3
HCPCS,A4760,"Dialysate sol test kit, each",,,1.0,1.0,3
HCPCS,A4765,Dialysate conc pow per pack,,,1.0,1.0,3
HCPCS,A4766,Dialysate conc sol add 10 ml,,,1.0,1.0,3
HCPCS,A4770,Blood collection tube/vacuum,,,1.0,1.0,3
HCPCS,A4771,Serum clotting time tube,,,1.0,1.0,3
HCPCS,A4772,Blood glucose test strips,,,1.0,1.0,3
HCPCS,A4773,Occult blood test strips,,,1.0,1.0,3
HCPCS,A4774,Ammonia test strips,,,1.0,1.0,3
HCPCS,A4802,Protamine sulfate per 50 mg,,,1.0,1.0,3
HCPCS,A4860,Disposable catheter tips,,,1.0,1.0,3
HCPCS,A4870,Plumb/elec wk hm hemo equip,,,1.0,1.0,3
HCPCS,A4890,Repair/maint cont hemo equip,,,1.0,1.0,3
HCPCS,A4911,Drain bag/bottle,,,1.0,1.0,3
HCPCS,A4913,Misc dialysis supplies noc,,,1.0,1.0,3
HCPCS,A4918,Venous pressure clamp,,,1.0,1.0,3
HCPCS,A4927,Non-sterile gloves,,,1.0,1.0,3
HCPCS,A4928,Surgical mask,,,1.0,1.0,3
HCPCS,A4929,"Tourniquet for dialysis, ea",,,1.0,1.0,3
HCPCS,A4930,"Sterile, gloves per pair",,,1.0,1.0,3
HCPCS,A4931,Reusable oral thermometer,,,1.0,1.0,3
HCPCS,A4932,Reusable rectal thermometer,,,1.0,1.0,3
HCPCS,A5051,Pouch clsd w barr attached,,,1.0,3.62,15
HCPCS,A5052,Clsd ostomy pouch w/o barr,,,1.0,2.62,15
HCPCS,A5053,Clsd ostomy pouch faceplate,,,1.0,2.58,15
HCPCS,A5054,Clsd ostomy pouch w/flange,,,1.0,3.16,15
HCPCS,A5055,Stoma cap,,,1.0,2.49,15
HCPCS,A5056,1 pc ost pouch w filter,,,1.0,8.21,15
HCPCS,A5057,1 pc ost pou w built-in conv,,,1.0,16.86,15
HCPCS,A5061,Pouch drainable w barrier at,,,1.0,6.21,15
HCPCS,A5062,Drnble ostomy pouch w/o barr,,,1.0,3.65,15
HCPCS,A5063,Drain ostomy pouch w/flange,,,1.0,4.75,15
HCPCS,A5071,Urinary pouch w/barrier,,,1.0,10.56,15
HCPCS,A5072,Urinary pouch w/o barrier,,,1.0,6.05,15
HCPCS,A5073,Urinary pouch on barr w/flng,,,1.0,5.51,15
HCPCS,A5081,"Stoma plug or seal, any type",,,1.0,4.95,15
HCPCS,A5082,Continent stoma catheter,,,1.0,20.91,15
HCPCS,A5083,Stoma absorptive cover,,,0.86,1.13,15
HCPCS,A5093,Ostomy accessory convex inse,,,1.0,3.43,15
HCPCS,A5102,Bedside drain btl w/wo tube,,,1.0,39.34,15
HCPCS,A5105,Urinary suspensory,,,1.0,68.21,15
HCPCS,A5112,Urinary leg bag,,,1.0,60.83,15
HCPCS,A5113,Latex leg strap,,,5.31,7.03,15
HCPCS,A5114,Foam/fabric leg strap,,,11.48,15.72,15
HCPCS,A5120,"Skin barrier, wipe or swab",,,0.34,1.0,7
HCPCS,A5121,Solid skin barrier 6x6,,,1.0,13.09,15
HCPCS,A5122,Solid skin barrier 8x8,,,1.0,22.56,15
HCPCS,A5126,Disk/foam pad +or- adhesive,,,1.0,2.3,15
HCPCS,A5131,Appliance cleaner,,,1.0,27.85,15
HCPCS,A5200,Percutaneous catheter anchor,,,1.0,19.84,15
HCPCS,A5500,Diab shoe for density insert,,,82.43,111.72,15
HCPCS,A5501,Diabetic custom molded shoe,,,247.21,335.06,15
HCPCS,A5503,Diabetic shoe w/roller/rockr,,,42.04,56.91,15
HCPCS,A5504,Diabetic shoe with wedge,,,42.04,56.91,15
HCPCS,A5505,Diab shoe w/metatarsal bar,,,42.04,56.91,15
HCPCS,A5506,Diabetic shoe w/off set heel,,,42.04,56.91,15
HCPCS,A5507,Modification diabetic shoe,,,42.04,56.91,15
HCPCS,A5508,Diabetic deluxe shoe,,,22.89,22.89,3
HCPCS,A5510,Compression form shoe insert,,,1.0,1.0,3
HCPCS,A5512,Multi den insert direct form,,,33.62,45.57,15
HCPCS,A5513,Multi den insert custom mold,,,50.17,68.0,15
HCPCS,A5514,Mult den insert dir carv/cam,,,50.17,68.0,15
HCPCS,A6010,HEMO COLLAGEN CELLERATE RX 1GM,3960.0,3168.0,1.0,3564.0,34
HCPCS,A6010,HEMO COLLAGEN CELLERATE RX 2GM,2820.0,2256.0,1.0,2538.0,34
HCPCS,A6011,Collagen gel/paste wound fil,,,1.0,4.01,15
HCPCS,A6021,Collagen dressing <=16 sq in,,,1.0,36.94,15
HCPCS,A6022,Collagen drsg>16<=48 sq in,,,1.0,36.94,15
HCPCS,A6023,Collagen dressing >48 sq in,,,1.0,334.34,15
HCPCS,A6024,Collagen dsg wound filler,,,1.0,10.86,15
HCPCS,A6025,"Silicone gel sheet, each",,,1.0,1.0,3
HCPCS,A6154,Wound pouch each,,,1.0,25.24,15
HCPCS,A6196,Alginate dressing <=16 sq in,,,1.0,12.93,15
HCPCS,A6197,Alginate drsg >16 <=48 sq in,,,1.0,28.9,15
HCPCS,A6198,alginate dressing > 48 sq in,,,1.0,1.0,3
HCPCS,A6199,Alginate drsg wound filler,,,1.0,9.27,15
HCPCS,A6203,Composite drsg <= 16 sq in,,,1.0,5.92,15
HCPCS,A6204,Composite drsg >16<=48 sq in,,,1.0,10.93,15
HCPCS,A6205,Composite drsg > 48 sq in,,,1.0,1.0,3
HCPCS,A6206,Contact layer <= 16 sq in,,,1.0,1.0,3
HCPCS,A6207,Contact layer >16<= 48 sq in,,,1.0,12.9,15
HCPCS,A6208,Contact layer > 48 sq in,,,1.0,1.0,3
HCPCS,A6209,Foam drsg <=16 sq in w/o bdr,,,1.0,13.13,15
HCPCS,A6210,Foam drg >16<=48 sq in w/o b,,,1.0,35.01,15
HCPCS,A6211,Foam drg > 48 sq in w/o brdr,,,1.0,51.6,15
HCPCS,A6212,Foam drg <=16 sq in w/border,,,1.0,17.06,15
HCPCS,A6213,Foam drg >16<=48 sq in w/bdr,,,1.0,1.0,3
HCPCS,A6214,Foam drg > 48 sq in w/border,,,1.0,18.09,15
HCPCS,A6215,Foam dressing wound filler,,,1.0,1.0,3
HCPCS,A6216,Non-sterile gauze<=16 sq in,,,0.05,1.0,15
HCPCS,A6217,Non-sterile gauze>16<=48 sq,,,1.0,1.0,3
HCPCS,A6218,Non-sterile gauze > 48 sq in,,,1.0,1.0,3
HCPCS,A6219,Gauze <= 16 sq in w/border,,,1.0,1.67,15
HCPCS,A6220,Gauze >16 <=48 sq in w/bordr,,,1.0,4.55,15
HCPCS,A6221,Gauze > 48 sq in w/border,,,1.0,1.0,3
HCPCS,A6222,Gauze <=16 in no w/sal w/o b,,,1.0,3.75,15
HCPCS,A6223,Gauze >16<=48 no w/sal w/o b,,,1.0,4.26,15
HCPCS,A6224,Gauze > 48 in no w/sal w/o b,,,1.0,6.32,15
HCPCS,A6228,Gauze <= 16 sq in water/sal,,,1.0,1.0,3
HCPCS,A6229,Gauze >16<=48 sq in watr/sal,,,1.0,6.32,15
HCPCS,A6230,Gauze > 48 sq in water/salne,,,1.0,1.0,3
HCPCS,A6231,Hydrogel dsg<=16 sq in,,,1.0,8.24,15
HCPCS,A6232,Hydrogel dsg>16<=48 sq in,,,1.0,12.06,15
HCPCS,A6233,Hydrogel dressing >48 sq in,,,1.0,33.69,15
HCPCS,A6234,Hydrocolld drg <=16 w/o bdr,,,1.0,11.51,15
HCPCS,A6235,Hydrocolld drg >16<=48 w/o b,,,1.0,29.55,15
HCPCS,A6236,Hydrocolld drg > 48 in w/o b,,,1.0,47.87,15
HCPCS,A6237,Hydrocolld drg <=16 in w/bdr,,,1.0,13.89,15
HCPCS,A6238,Hydrocolld drg >16<=48 w/bdr,,,1.0,40.06,15
HCPCS,A6239,Hydrocolld drg > 48 in w/bdr,,,1.0,1.0,3
HCPCS,A6240,Hydrocolld drg filler paste,,,1.0,21.51,15
HCPCS,A6241,Hydrocolloid drg filler dry,,,1.0,4.51,15
HCPCS,A6242,Hydrogel drg <=16 in w/o bdr,,,1.0,10.64,15
HCPCS,A6243,Hydrogel drg >16<=48 w/o bdr,,,1.0,21.65,15
HCPCS,A6244,Hydrogel drg >48 in w/o bdr,,,1.0,69.02,15
HCPCS,A6245,Hydrogel drg <= 16 in w/bdr,,,1.0,12.78,15
HCPCS,A6246,Hydrogel drg >16<=48 in w/b,,,1.0,17.45,15
HCPCS,A6247,Hydrogel drg > 48 sq in w/b,,,1.0,41.78,15
HCPCS,A6248,Hydrogel drsg gel filler,,,1.0,28.54,15
HCPCS,A6250,Skin seal protect moisturizr,,,1.0,1.0,3
HCPCS,A6251,Absorpt drg <=16 sq in w/o b,,,1.0,3.5,15
HCPCS,A6252,Absorpt drg >16 <=48 w/o bdr,,,1.0,5.72,15
HCPCS,A6253,Absorpt drg > 48 sq in w/o b,,,1.0,11.13,15
HCPCS,A6254,Absorpt drg <=16 sq in w/bdr,,,1.0,2.1,15
HCPCS,A6255,Absorpt drg >16<=48 in w/bdr,,,1.0,5.34,15
HCPCS,A6256,Absorpt drg > 48 sq in w/bdr,,,1.0,1.0,3
HCPCS,A6257,Transparent film <= 16 sq in,,,1.0,2.69,15
HCPCS,A6258,Transparent film >16<=48 in,,,1.0,7.57,15
HCPCS,A6259,Transparent film > 48 sq in,,,1.0,19.21,15
HCPCS,A6260,Wound cleanser any type/size,,,1.0,1.0,3
HCPCS,A6261,Wound filler gel/paste /oz,,,1.0,1.0,3
HCPCS,A6262,Wound filler dry form / gram,,,1.0,1.0,3
HCPCS,A6266,Impreg gauze no h20/sal/yard,,,1.0,3.36,15
HCPCS,A6402,Sterile gauze <= 16 sq in,,,0.14,1.0,15
HCPCS,A6403,Sterile gauze>16 <= 48 sq in,,,0.54,1.0,15
HCPCS,A6404,Sterile gauze > 48 sq in,,,1.0,1.0,3
HCPCS,A6407,"Packing strips, non-impreg",,,1.0,3.28,15
HCPCS,A6410,Sterile eye pad,,,0.49,1.0,15
HCPCS,A6411,Non-sterile eye pad,,,1.0,1.0,3
HCPCS,A6412,Occlusive eye patch,,,1.0,1.0,3
HCPCS,A6413,"Adhesive bandage, first-aid",,,0.15,0.15,3
HCPCS,A6441,"Pad band w>=3"" <5""/yd",,,0.9,1.19,15
HCPCS,A6442,"Conform band n/s w<3""/yd",,,0.22,1.0,15
HCPCS,A6443,"Conform band n/s w>=3""<5""/yd",,,0.37,1.0,15
HCPCS,A6444,"Conform band n/s w>=5""/yd",,,0.74,1.0,15
HCPCS,A6445,"Conform band s w <3""/yd",,,0.42,1.0,15
HCPCS,A6446,"Conform band s w>=3"" <5""/yd",,,0.51,1.0,15
HCPCS,A6447,"Conform band s w >=5""/yd",,,0.9,1.19,15
HCPCS,A6448,"Lt compres band <3""/yd",,,1.0,2.02,15
HCPCS,A6449,"Lt compres band >=3"" <5""/yd",,,1.0,3.08,15
HCPCS,A6450,"Lt compres band >=5""/yd",,,1.0,3.08,15
HCPCS,A6451,"Mod compres band w>=3""<5""/yd",,,1.0,3.08,15
HCPCS,A6452,"High compres band w>=3""<5""yd",,,1.0,10.36,15
HCPCS,A6453,"Self-adher band w <3""/yd",,,0.84,1.11,15
HCPCS,A6454,"Self-adher band w>=3"" <5""/yd",,,1.0,1.38,15
HCPCS,A6455,"Self-adher band >=5""/yd",,,1.0,2.45,15
HCPCS,A6456,"Zinc paste band w >=3""<5""/yd",,,1.0,2.2,15
HCPCS,A6457,Tubular dressing,,,1.0,2.0,15
HCPCS,A6460,Synthetic drsg <= 16 sq in,,,1.0,1.0,3
HCPCS,A6461,Synthetic drsg >16<=48 sq in,,,1.0,1.0,3
HCPCS,A6501,Compres burngarment bodysuit,,,1.0,1.0,3
HCPCS,A6502,Compres burngarment chinstrp,,,1.0,1.0,3
HCPCS,A6503,Compres burngarment facehood,,,1.0,1.0,3
HCPCS,A6504,Cmprsburngarment glove-wrist,,,1.0,1.0,3
HCPCS,A6505,Cmprsburngarment glove-elbow,,,1.0,1.0,3
HCPCS,A6506,Cmprsburngrmnt glove-axilla,,,1.0,1.0,3
HCPCS,A6507,Cmprs burngarment foot-knee,,,1.0,1.0,3
HCPCS,A6508,Cmprs burngarment foot-thigh,,,1.0,1.0,3
HCPCS,A6509,Compres burn garment jacket,,,1.0,1.0,3
HCPCS,A6510,Compres burn garment leotard,,,1.0,1.0,3
HCPCS,A6511,Compres burn garment panty,,,1.0,1.0,3
HCPCS,A6512,"Compres burn garment, noc",,,1.0,1.0,3
HCPCS,A6520,G com garmnt glove nghttime,,,113.56,154.82,15
HCPCS,A6521,G com garmnt glove nght cust,,,450.61,614.32,15
HCPCS,A6522,G com garment arm nighttime,,,275.95,376.19,15
HCPCS,A6523,G com garment arm nght custm,,,654.71,892.57,15
HCPCS,A6524,G com garmnt lwr leg/ft nght,,,344.27,469.34,15
HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,695.02,947.51,15
HCPCS,A6526,G com garmt full leg/ft nght,,,622.42,848.54,15
HCPCS,A6527,G garmt full leg/ft nght cus,,,1144.56,1560.36,15
HCPCS,A6528,G com garment bra nighttime,,,598.5,815.93,15
HCPCS,A6529,G com garmt bra night custm,,,945.72,1289.3,15
HCPCS,A6530,Compression stocking BK18-30,,,35.08,47.83,15
HCPCS,A6531,Compress stking bk30-40 surg,,,56.08,76.01,7
HCPCS,A6532,Compress stking bk40-50 surg,,,79.02,107.11,7
HCPCS,A6533,Gc stocking thighlngth 18-30,,,49.27,67.17,15
HCPCS,A6534,Gc stocking thighlngth 30-40,,,56.26,76.7,15
HCPCS,A6535,Gc stocking thighlngth 40+,,,64.77,88.31,15
HCPCS,A6536,Gc stocking full lngth 18-30,,,66.41,90.55,15
HCPCS,A6537,Gc stocking full lngth 30-40,,,78.74,107.34,15
HCPCS,A6538,Gc stocking full lngth 40+,,,92.19,125.68,15
HCPCS,A6539,Gc stocking waistlngth 18-30,,,87.88,119.82,15
HCPCS,A6540,Gc stocking waistlngth 30-40,,,104.79,142.85,15
HCPCS,A6541,Gc stocking waistlngth 40+,,,124.13,169.22,15
HCPCS,A6544,Gc stocking garter belt,,,28.97,28.97,3
HCPCS,A6545,Grad com non-elastic bk surg,,,110.43,149.67,7
HCPCS,A6550,Neg pres wound ther drsg set,,,1.0,38.9,15
HCPCS,A6552,Grad com stocking bk 30-40,,,52.07,70.98,15
HCPCS,A6553,G com stcking bk 30-40 custm,,,203.31,277.17,15
HCPCS,A6554,Grad com stocking bk 40+,,,71.59,97.6,15
HCPCS,A6555,G com stcking bk 40+ custm,,,203.31,277.17,15
HCPCS,A6556,G com stcking thgh18-30 cust,,,278.63,379.85,15
HCPCS,A6557,G com stcking thgh30-40 cust,,,278.63,379.85,15
HCPCS,A6558,G com stcking thgh 40+ cust,,,287.54,391.99,15
HCPCS,A6562,G com stckng waist18-30 cust,,,911.89,1243.17,15
HCPCS,A6563,G com stckng waist30-40 cust,,,911.89,1243.17,15
HCPCS,A6564,G com stckng waist 40+ cust,,,982.3,1339.16,15
HCPCS,A6565,Grad comp gauntlet custom,,,157.57,214.81,15
HCPCS,A6566,Grad com garment neck/head,,,228.79,311.9,15
HCPCS,A6567,G com garment neck/head cust,,,718.85,979.99,15
HCPCS,A6568,G com garment torso/shldr,,,149.31,203.56,15
HCPCS,A6569,G com garmnt torso/shdr cust,,,850.25,1159.13,15
HCPCS,A6570,Grad com garment genital,,,101.74,138.69,15
HCPCS,A6571,G com garment genital custm,,,611.45,833.58,15
HCPCS,A6572,Grad com garment toe caps,,,94.4,128.69,15
HCPCS,A6573,Grad com garmnt toe cap cust,,,224.01,305.38,15
HCPCS,A6574,Custom gradient sleev/glov,,,285.58,389.33,15
HCPCS,A6575,Gradient comp sleev/glov,,,92.55,126.17,15
HCPCS,A6576,Custom grad com sleeve med,,,175.28,238.94,15
HCPCS,A6577,Custom grad cm sleeve heavy,,,145.06,197.76,15
HCPCS,A6578,Gradient comp sleeve,,,71.44,97.4,15
HCPCS,A6579,Custom grad com glove med,,,281.33,383.53,15
HCPCS,A6580,Custom grad com glove heavy,,,279.26,380.72,15
HCPCS,A6581,Gradient comp glove,,,65.55,89.36,15
HCPCS,A6582,Gradient comp gauntlet,,,43.72,59.6,15
HCPCS,A6583,Grad com wrap w straps bk,,,143.81,196.05,15
HCPCS,A6585,Grad com wrap w straps ak,,,170.28,232.14,15
HCPCS,A6586,Grad com wrap w strap fu leg,,,501.66,683.9,15
HCPCS,A6587,Grad com wrap w straps foot,,,65.71,89.59,15
HCPCS,A6588,Grad com wrap w strap arm,,,219.01,298.58,15
HCPCS,A6589,Grad com wrap w straps bra,,,86.46,117.87,15
HCPCS,A6590,Urinary cath disp suc pump,,,1.0,549.99,15
HCPCS,A6591,Urinary cath suc pump,,,1.0,111.73,15
HCPCS,A6594,G comp bandge liner lwr extr,,,31.48,42.92,15
HCPCS,A6595,G comp bandge liner upr extr,,,30.96,42.21,15
HCPCS,A6596,G comp bandge conform gauze,,,0.16,0.23,15
HCPCS,A6597,G comp bandage long stretch,,,1.4,1.9,15
HCPCS,A6598,G comp bandage med stretch,,,0.67,0.92,15
HCPCS,A6599,G comp bandage short stretch,,,1.53,2.09,15
HCPCS,A6600,G com bandge hgh dn foam sht,,,2.76,3.76,15
HCPCS,A6601,G com bandge hgh dn foam pad,,,3.1,4.22,15
HCPCS,A6602,G com bandge hgh dn foamroll,,,4.52,6.16,15
HCPCS,A6603,G com bandge low dn foamchnl,,,2.12,2.89,15
HCPCS,A6604,G com bandge low dn foam flt,,,1.23,1.68,15
HCPCS,A6605,G com bandage padded foam,,,1.42,1.92,15
HCPCS,A6606,G com bandage padded textile,,,4.2,5.72,15
HCPCS,A6607,G com bandage tub protct lyr,,,1.12,1.53,15
HCPCS,A6608,G com bandage tub protct pad,,,4.67,6.38,15
HCPCS,A6610,G com stcking bk 18-30 custm,,,203.31,277.17,15
HCPCS,A7000,Disposable canister for pump,,,9.49,12.9,7
HCPCS,A7001,Nondisposable pump canister,,,42.87,58.1,7
HCPCS,A7002,Tubing used w suction pump,,,4.97,6.74,7
HCPCS,A7003,Nebulizer administration set,,,1.87,2.49,7
HCPCS,A7004,Disposable nebulizer sml vol,,,1.54,1.95,7
HCPCS,A7005,Nondisposable nebulizer set,,,14.44,26.43,7
HCPCS,A7006,Filtered nebulizer admin set,,,8.03,10.64,7
HCPCS,A7007,Lg vol nebulizer disposable,,,3.64,4.96,7
HCPCS,A7008,Disposable nebulizer prefill,,,14.25,19.31,7
HCPCS,A7009,Nebulizer reservoir bottle,,,54.51,73.88,7
HCPCS,A7010,Disposable corrugated tubing,,,17.94,24.79,7
HCPCS,A7012,Nebulizer water collec devic,,,3.31,4.16,7
HCPCS,A7013,Disposable compressor filter,,,0.68,0.88,7
HCPCS,A7014,Compressor nondispos filter,,,3.86,4.91,7
HCPCS,A7015,Aerosol mask used w nebulize,,,1.53,1.92,7
HCPCS,A7016,Nebulizer dome & mouthpiece,,,9.4,12.75,7
HCPCS,A7017,Nebulizer not used w oxygen,,,129.6,162.96,7
HCPCS,A7018,Water distilled w/nebulizer,,,0.36,0.48,15
HCPCS,A7020,"Interface, cough stim device",,,18.76,25.42,7
HCPCS,A7021,Suppl and access lung expan,,,132.8,166.98,4
HCPCS,A7025,Replace chest compress vest,,,1.0,76.41,7
HCPCS,A7026,Replace chst cmprss sys hose,,,37.26,50.5,7
HCPCS,A7027,Combination oral/nasal mask,,,145.1,187.92,7
HCPCS,A7028,Repl oral cushion combo mask,,,41.11,53.24,7
HCPCS,A7029,Repl nasal pillow comb mask,,,18.21,23.59,7
HCPCS,A7030,CPAP full face mask,,,105.23,136.28,7
HCPCS,A7031,Replacement facemask interfa,,,40.02,51.83,7
HCPCS,A7032,Replacement nasal cushion,,,22.23,28.78,7
HCPCS,A7033,Replacement nasal pillows,,,18.48,23.94,7
HCPCS,A7034,Nasal application device,,,67.07,86.86,7
HCPCS,A7035,Pos airway press headgear,,,21.72,28.13,7
HCPCS,A7036,Pos airway press chinstrap,,,12.26,15.88,7
HCPCS,A7037,Pos airway pressure tubing,,,13.41,17.38,7
HCPCS,A7038,Pos airway pressure filter,,,2.41,3.12,7
HCPCS,A7039,"Filter, non disposable w pap",,,6.98,9.04,7
HCPCS,A7040,One way chest drain valve,,,1.0,72.0,15
HCPCS,A7041,Water seal drain container,,,1.0,135.25,15
HCPCS,A7044,PAP oral interface,,,97.13,125.8,7
HCPCS,A7045,Repl exhalation port for PAP,,,13.73,17.78,7
HCPCS,A7046,"Repl water chamber, PAP dev",,,16.04,20.77,7
HCPCS,A7047,Resp suction oral interface,,,1.0,212.41,7
HCPCS,A7048,Vacuum drain bottle/tube kit,,,1.0,75.27,15
HCPCS,A7501,Tracheostoma valve w diaphra,,,1.0,184.5,15
HCPCS,A7502,Replacement diaphragm/fplate,,,1.0,87.7,15
HCPCS,A7503,HMES filter holder or cap,,,1.0,19.93,15
HCPCS,A7504,Tracheostoma HMES filter,,,0.9,1.19,15
HCPCS,A7505,HMES or trach valve housing,,,1.0,8.24,15
HCPCS,A7506,HMES/trachvalve adhesivedisk,,,0.43,1.0,15
HCPCS,A7507,Integrated filter & holder,,,1.0,4.39,15
HCPCS,A7508,Housing & Integrated Adhesiv,,,1.0,5.04,15
HCPCS,A7509,Heat & moisture exchange sys,,,1.0,2.48,15
HCPCS,A7520,Trach/laryn tube non-cuffed,,,1.0,83.4,15
HCPCS,A7521,Trach/laryn tube cuffed,,,1.0,82.65,15
HCPCS,A7522,Trach/laryn tube stainless,,,1.0,79.34,15
HCPCS,A7523,Tracheostomy shower protect,,,1.0,1.0,3
HCPCS,A7524,Tracheostoma stent/stud/bttn,,,1.0,136.01,15
HCPCS,A7525,Tracheostomy mask,,,1.0,3.62,15
HCPCS,A7526,Tracheostomy tube collar,,,1.0,5.96,15
HCPCS,A7527,Trach/laryn tube plug/stop,,,1.0,6.29,15
HCPCS,A8000,Soft protect helmet prefab,,,198.8,269.44,7
HCPCS,A8001,Hard protect helmet prefab,,,198.8,269.44,7
HCPCS,A8002,Soft protect helmet custom,,,153.35,153.35,3
HCPCS,A8003,Hard protect helmet custom,,,153.35,153.35,3
HCPCS,A8004,"Repl soft interface, helmet",,,105.25,105.25,3
HCPCS,A9154,"Artificial saliva, 1 ml",,,0.17,0.17,4
HCPCS,A9155,Pharmacy,,,5.1,5.1,4
HCPCS,A9156,Oral mucoadhesive per 1 ml,,,1.0,1.0,3
HCPCS,A9180,"Lice treatment, topical",,,0.06,0.06,4
HCPCS,A9272,"Disp wound suct, drsg/access",,,23.69,23.69,3
HCPCS,A9274,Ext amb insulin delivery sys,,,37.79,63.44,7
HCPCS,A9275,Disp home glucose monitor,,,188.56,188.56,3
HCPCS,A9276,"Disposable sensor, cgm sys",,,12.06,12.06,3
HCPCS,A9277,"External transmitter, cgm",,,377.69,377.69,3
HCPCS,A9278,"External receiver, cgm sys",,,452.46,452.46,3
HCPCS,A9279,Monitoring feature/deviceNOC,,,37.87,37.87,3
HCPCS,A9280,"Alert device, noc",,,162.27,162.27,3
HCPCS,A9281,Reaching/grabbing device,,,14.34,14.34,3
HCPCS,A9282,Wig any type,,,350.0,350.0,3
HCPCS,A9283,Foot press off load supp dev,,,10.56,10.56,3
HCPCS,A9284,Non-electronic spirometer,,,1.0,1.0,3
HCPCS,A9285,Inversion eversion cor devic,,,9.95,9.95,3
HCPCS,A9286,"Any hygienic item, device",,,0.05,0.05,3
HCPCS,A9300,Exercise equipment,,,5.26,5.26,3
HCPCS,A9500,TC99M SESTAMIBI PER STUDY DOSE,440.0,352.0,1.0,396.0,26
HCPCS,A9501,Technetium TC-99m teboroxime,,,1.0,1.0,3
HCPCS,A9502,TC99M TETROFOSMIN PER STUDY DOSE,150.0,120.0,1.0,135.0,26
HCPCS,A9503,Tc99m medronate,,,1.0,1.0,3
HCPCS,A9504,Tc99m apcitide,,,1.0,1.0,3
HCPCS,A9505,TI201 THALLIUM PER MCI,98.0,78.4,1.0,88.2,26
HCPCS,A9506,Tc-99m graphite crucible,,,312.17,345.03,12
HCPCS,A9507,In111 capromab,,,1.0,1.0,3
HCPCS,A9508,"I131 iodobenguate, dx",,,1.0,1.0,3
HCPCS,A9509,I123 SOD IODIDE DX PER MCI,823.0,658.4,1.0,740.7,26
HCPCS,A9510,Tc99m disofenin,,,1.0,1.0,3
HCPCS,A9512,TC99M PERTECHNETATE PER MCI,135.0,108.0,1.0,121.5,26
HCPCS,A9513,LUTETIUM LU 177 DOTATATE TX 1 MCI,634.0,507.2,212.39,570.6,34
HCPCS,A9515,Choline c-11,,,1.0,5100.0,15
HCPCS,A9516,I123 SOD IODIDE DX PER 100 UCI UP TO 999 UCI,281.0,224.8,1.0,252.9,26
HCPCS,A9517,I131 IODIDE CAP THERP PER MCI,175.0,140.0,21.97,157.5,34
HCPCS,A9520,TC99M TILMANOCEPT DIAG UP TO 0.5 MCI,1464.0,1171.2,1.0,1317.6,26
HCPCS,A9521,TC99M EXAMETAZIME PER STUDY DOSE UP TO 25 MCI,4304.0,3443.2,1.0,3873.6,34
HCPCS,A9524,"I131 serum albumin, dx",,,1.0,1.0,3
HCPCS,A9526,Nitrogen N-13 ammonia,,,1.0,1.0,3
HCPCS,A9527,Iodine I-125 sodium iodide,,,60.21,219.01,11
HCPCS,A9528,"Iodine I-131 iodide cap, dx",,,1.0,1.0,3
HCPCS,A9529,"I131 iodide sol, dx",,,1.0,1.0,3
HCPCS,A9530,"I131 iodide sol, rx",,,19.84,22.71,11
HCPCS,A9531,I131 max 100uCi,,,1.0,1.0,3
HCPCS,A9532,"I125 serum albumin, dx",,,1.0,1.0,3
HCPCS,A9536,Tc99m depreotide,,,1.0,1.0,3
HCPCS,A9537,TC99M MEBROFENIN PER STUDY DOSE UP TO 15 MCI,223.0,178.4,1.0,200.7,26
HCPCS,A9538,TC99M PYROPHOSPHATE PER STUDY DOSE UP TO 25 MCI,233.0,186.4,1.0,209.7,26
HCPCS,A9539,TC99M PENTETATE PER STUDY DOSE UP TO 25 MCI,486.0,388.8,1.0,437.4,26
HCPCS,A9540,TC99M MAA PER STUDY DOSE UP TO 10 MCI,1171.0,936.8,1.0,1053.9,26
HCPCS,A9541,TC99M SULFUR COLLOID PER STUDY DOSE UP TO 20 MCI,385.0,308.0,1.0,346.5,26
HCPCS,A9542,"In111 ibritumomab, dx",,,1.0,837.92,11
HCPCS,A9543,"Y90 ibritumomab, rx",,,53983.32,69162.84,15
HCPCS,A9546,Co57/58,,,1.0,1.0,3
HCPCS,A9547,IN111 OXYQUINOLINE  PER 0.5 MCI,6176.0,4940.8,1.0,5558.4,34
HCPCS,A9548,IN111PENTETATE PER 0.5 MCI,6468.0,5174.4,1.0,5821.2,34
HCPCS,A9550,Tc99m gluceptate,,,1.0,1.0,3
HCPCS,A9551,TC99M SUCCIMER PER STUDY DOSE UP TO 10 MCI,6706.0,5364.8,1.0,6035.4,26
HCPCS,A9552,F18 FDG PER STUDY DOSE UP TO 45 MCI,464.0,371.2,1.0,417.6,26
HCPCS,A9553,Cr51 chromate,,,1.0,1.0,3
HCPCS,A9554,I125 IOTHALAMATE DX PER STUDY DOSE UP TO 10 UCI,2884.0,2307.2,1.0,2595.6,26
HCPCS,A9555,RB82 RUBIDIUM PER STUDY DOSE UP TO 60 MCI,950.0,760.0,1.0,855.0,26
HCPCS,A9556,GA67 GALLIUM PER MCI,241.0,192.8,1.0,216.9,26
HCPCS,A9557,TC99M BICISATE PER STUDY DOSE UP TO 25 MCI,3918.0,3134.4,1.0,3526.2,34
HCPCS,A9558,XE133 XENON PER 10MCI,376.0,300.8,1.0,338.4,26
HCPCS,A9559,Co57 cyano,,,1.0,1.0,3
HCPCS,A9560,TC99M LABELED RBC PER STUDY DOSE UP TO 30 MCI,535.0,428.0,1.0,481.5,26
HCPCS,A9561,TC99M OXIDRONATE PER STUDY DOSE UP TO 30 MCI,210.0,168.0,1.0,189.0,26
HCPCS,A9562,TC99M MERTIATIDE PER STUDY DOSE UP TO 15 MCI,945.0,756.0,1.0,850.5,26
HCPCS,A9563,P32 Na phosphate,,,1.0,188.08,11
HCPCS,A9564,P32 chromic phosphate,,,290.47,290.47,3
HCPCS,A9566,Tc99m fanolesomab,,,1.0,1.0,3
HCPCS,A9567,TC99M PENTETATE AEROSOL PER STUDY DOSE UP TO 75 MCI,486.0,388.8,1.0,437.4,26
HCPCS,A9568,Technetium tc99m arcitumomab,,,1.0,849.99,11
HCPCS,A9569,Technetium TC-99m auto WBC,,,1.0,1748.25,15
HCPCS,A9570,IN111 AUTO WBC DX PER STUDY DOSE,6160.0,4928.0,1.0,5544.0,34
HCPCS,A9571,Indium IN-111 auto platelet,,,1.0,1.0,3
HCPCS,A9572,IN111 PENTETREOTIDE PER STUDY DOSE UP TO 6 MCI,10010.0,8008.0,1.0,9009.0,34
HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,1.0,1.0,3
HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,1.0,1.0,3
HCPCS,A9576,Inj prohance multipack,,,1.0,1.0,3
HCPCS,A9577,Gadobenate Dimeglumine IV Soln 529 MG/ML,90.0,72.0,1.0,81.0,26
HCPCS,A9578,Inj multihance multipack,,,1.0,1.0,3
HCPCS,A9579,"Gad-base MR contrast NOS,1ml",,,1.0,1.0,3
HCPCS,A9580,Sodium fluoride F-18,,,1.0,1.0,3
HCPCS,A9581,Gadoxetate Disodium IV Soln 0.25 MMOL/ML (181.43 MG/ML),60.0,48.0,1.0,54.0,26
HCPCS,A9582,I123 IOBENGUANE PER STUDY DOSE UP TO 15 MCI,7041.0,5632.8,1.0,7815.87,34
HCPCS,A9583,Gadofosveset trisodium inj,,,1.0,1.0,3
HCPCS,A9584,I123 IOFLUPANE PER STUDY DOSE UP TO 5 MCI,6801.0,5440.8,1.0,6120.9,34
HCPCS,A9585,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),90.0,72.0,1.0,81.0,156
HCPCS,A9586,FLORBETAPIR F18 DIAGNOSTIC PER STUDY DOSE UP TO 10 MCI,3845.0,3076.0,1.0,3460.5,34
HCPCS,A9587,GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE,213.0,170.4,1.0,191.7,34
HCPCS,A9588,F-18 FLUCICLOVINE/AXUMIN PER MCI,686.0,548.8,1.0,617.4,34
HCPCS,A9589,Insti hexaminolevulinate hcl,,,1321.84,1321.84,3
HCPCS,A9590,Iodine i-131 iobenguane 1mci,,,157.1,445.79,3
HCPCS,A9591,Fluoroestradiol F 18,,,1.0,4707.3,15
HCPCS,A9592,COPPER CU-64 DOTATATE DIAGNOSTIC PER MCI,1293.0,1034.4,1.0,1163.7,34
HCPCS,A9593,Gallium GA-68 PSMA-11 UCSF,,,374.62,1063.06,11
HCPCS,A9594,"Gallium GA-68 PSMA-11, UCLA",,,353.56,1040.85,11
HCPCS,A9595,PIFLUFOLASTAT F-18(PYLARIFY) PER MILLICURIE,1100.0,880.0,269.7,990.0,34
HCPCS,A9596,GA-68 PSMA-11(ILLUCCIX) PER MILLICURIE,1722.0,1377.6,462.53,1549.8,34
HCPCS,A9597,"Pet, dx, for tumor id, noc",,,1.0,1.0,3
HCPCS,A9598,"Pet dx for non-tumor id, noc",,,1.0,1.0,3
HCPCS,A9600,Sr89 strontium,,,3825.0,4353.65,15
HCPCS,A9601,Flortaucipir inj 1 millicuri,,,3524.5,3895.5,15
HCPCS,A9602,Fluorodopa f-18 diag per mci,,,207.67,917.53,15
HCPCS,A9603,"Inj, pafolacianine, 0.1 mg",,,1.0,1.0,3
HCPCS,A9604,Sm 153 lexidronam,,,4099.16,17259.85,11
HCPCS,A9606,RADIUM RA-223 DICHLORIDE THERP PER UCI,236.0,188.8,79.06,212.4,34
HCPCS,A9607,LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN 1 MCI,320.0,256.0,107.2,288.0,34
HCPCS,A9608,Flotufolastat f18 diag 1 mci,,,285.7,810.71,11
HCPCS,A9609,"F18 fdg, 15 millicuries",,,1.0,1.0,3
HCPCS,A9611,"Flurpiridaz f18, diag, 1 mci",,,503.5,556.5,12
HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,35.63,39.38,12
HCPCS,A9616,"GALLIUM GA-68 GOZETOTIDE (GOZELLIX), DIAGNOSTIC, 1 MCI",1658.0,1326.4,555.43,1492.2,34
HCPCS,A9697,TRACER LYMPH NODE MAGTRACE,6421.0,5136.8,1.0,5778.9,34
HCPCS,A9698,Non-rad contrast materialNOC,,,1.0,1.0,3
HCPCS,A9699,Radiopharm rx agent noc,,,1.0,1.0,3
HCPCS,A9700,Echocardiography Contrast,,,1.0,1.0,3
HCPCS,A9800,Gallium locametz 1 millicuri,,,361.96,1151.81,15
HCPCS,A9901,Delivery/set up/dispensing,,,91.73,91.73,3
HCPCS,B4034,Enter feed supkit syr by day,,,3.57,5.59,15
HCPCS,B4035,Enteral feed supp pump per d,,,6.35,10.31,15
HCPCS,B4036,Enteral feed sup kit grav by,,,4.9,7.42,15
HCPCS,B4081,Enteral ng tubing w/ stylet,,,17.59,23.29,15
HCPCS,B4082,Enteral ng tubing w/o stylet,,,12.96,17.15,15
HCPCS,B4083,Enteral stomach tube levine,,,1.9,2.51,15
HCPCS,B4087,"Gastro/jejuno tube, std",,,29.86,39.52,15
HCPCS,B4088,"Gastro/jejuno tube, low-pro",,,35.12,46.49,15
HCPCS,B4100,Food thickener oral,,,0.64,1.39,7
HCPCS,B4102,EF adult fluids and electro,,,5.09,5.09,3
HCPCS,B4103,EF ped fluid and electrolyte,,,0.68,0.68,3
HCPCS,B4104,Additive for enteral formula,,,3.54,16.35,7
HCPCS,B4105,Digestive Enzyme Cartridge - Device,129.62,103.7,34.28,131.19,52
HCPCS,B4148,Enteral feed elastomer daily,,,6.75,8.93,12
HCPCS,B4149,EF blenderized foods,,,1.19,1.58,15
HCPCS,B4150,EF complet w/intact nutrient,,,0.45,0.65,15
HCPCS,B4152,EF calorie dense>/=1.5Kcal,,,0.36,0.53,15
HCPCS,B4153,EF hydrolyzed/amino acids,,,1.45,1.92,15
HCPCS,B4154,EF spec metabolic noninherit,,,0.79,1.14,15
HCPCS,B4155,EF incomplete/modular,,,0.84,1.11,15
HCPCS,B4157,EF special metabolic inherit,,,4.99,4.99,3
HCPCS,B4158,EF ped complete intact nut,,,3.05,3.05,3
HCPCS,B4159,EF ped complete soy based,,,1.03,1.03,3
HCPCS,B4160,EF ped caloric dense>/=0.7kc,,,1.54,1.54,3
HCPCS,B4161,EF ped hydrolyzed/amino acid,,,3.23,3.23,3
HCPCS,B4162,EF ped specmetabolic inherit,,,6.08,6.08,3
HCPCS,B4164,Parenteral 50% dextrose solu,,,22.88,31.01,15
HCPCS,B4168,Parenteral sol amino acid 3.,,,33.36,45.22,15
HCPCS,B4176,Parenteral sol amino acid 7-,,,64.54,87.48,15
HCPCS,B4178,Parenteral sol amino acid >,,,77.45,104.98,15
HCPCS,B4180,Parenteral sol carb > 50%,,,32.84,44.51,15
HCPCS,B4185,Pn soln nos 10 grams lipids,,,4.35,17.1,15
HCPCS,B4187,"Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML",248.875,199.10000000000002,10.32,421.65,238
HCPCS,B4189,Parenteral sol amino acid &,,,239.27,324.28,15
HCPCS,B4193,Parenteral sol 52-73 gm prot,,,309.16,419.02,15
HCPCS,B4197,Parenteral sol 74-100 gm pro,,,376.4,510.15,15
HCPCS,B4199,Parenteral sol > 100gm prote,,,430.09,582.93,15
HCPCS,B4216,Parenteral nutrition additiv,,,10.39,14.08,15
HCPCS,B4220,Parenteral supply kit premix,,,10.77,14.6,15
HCPCS,B4222,Parenteral supply kit homemi,,,13.29,18.02,15
HCPCS,B4224,Parenteral administration ki,,,33.65,45.61,15
HCPCS,B5000,Parenteral sol renal-amirosy,,,16.01,21.69,15
HCPCS,B5100,Parenteral solution hepatic,,,6.25,8.47,15
HCPCS,B5200,Parenteral sol hepatic fream,,,0.11,0.11,3
HCPCS,B9002,Enter nutr inf pump any type,,,38.43,1123.27,7
HCPCS,B9004,Parenteral infus pump portab,,,289.75,3396.26,7
HCPCS,B9006,Parenteral infus pump statio,,,289.75,3396.26,7
HCPCS,C1052,HEMO ENDO HEMOSPRAY 10FR,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1052,HEMO ENDO HEMOSPRAY 7FR,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1062,EXPANSION KT SPINEJACK 5.8MM,5621.0,4496.8,1.0,5058.9,26
HCPCS,C1062,SYS VCF SPINEJACK 4.2MM,14578.0,11662.4,1.0,13120.2,26
HCPCS,C1062,SYS VCF SPINEJACK 5.0MM,14578.0,11662.4,1.0,13120.2,26
HCPCS,C1062,SYS VCF SPINEJACK 5.8MM 3PCS,14578.0,11662.4,1.0,13120.2,26
HCPCS,C1601,BRONCHSCP ASCOPE 5 2.7/1.2,3843.0,3074.4,1016.47,3458.7,26
HCPCS,C1602,SCAF BONE CERAMENT G 10ML,31900.0,25520.0,8437.55,28710.0,26
HCPCS,C1602,SCAF BONE CERAMENT G 5ML,18900.0,15120.0,4999.05,17010.0,26
HCPCS,C1602,SCAF BONE CERAMENT G BONS 10ML,31900.0,25520.0,8437.55,28710.0,26
HCPCS,C1602,SCAF BONE CERAMENT G BONS 5ML,18900.0,15120.0,4999.05,17010.0,26
HCPCS,C1713,ADPTR MULTPNT OCT SYMPY,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,ADPTR ROD CT3.2-4 TL5.5-6.35,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1713,ALLO BONE CELLULAR V92-FC+ 1CC,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,ALLO BONE CELLULAR V92-FC+ 5CC,12338.0,9870.4,1.0,11104.2,26
HCPCS,C1713,ALLO BONE CELLULARV92-FC+2.5CC,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1713,ALLO BONE OSSIGRAFT PRIME 5CC,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1713,ALLO DBM FBR GRAFTON *NLU VAT*,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,ALLO DBM GRAFTON ORTHOBLEND5CC,5369.0,4295.2,1.0,4832.1,26
HCPCS,C1713,ALLO DBM PUTTY BEAST 100 1CC,2604.0,2083.2,1.0,2343.6,26
HCPCS,C1713,ALLO DBM PUTTY BEAST+ 2.5CC,5159.0,4127.2,1.0,4643.1,26
HCPCS,C1713,ALLO DBM PUTTY CONNEXUS*NLU*,2325.0,1860.0,1.0,2092.5,26
HCPCS,C1713,ALLO DBM PUTTY DBX FNDTN 10ML,5211.0,4168.8,1.0,4689.9,26
HCPCS,C1713,ALLO DBM PUTTY DBX FNDTN 1ML,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,ALLO DBM PUTTY DBX FNDTN 2.5ML,2452.0,1961.6,1.0,2206.8,26
HCPCS,C1713,ALLO DBM PUTTY DBX FNDTN 5ML,3956.0,3164.8,1.0,3560.4,26
HCPCS,C1713,ALLO DBM PUTTY EVO3 5CC*NLU*,5375.0,4300.0,1.0,4837.5,26
HCPCS,C1713,ALLO DBM PUTTY OSTEO-LIN*NLU*,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1713,ALLO DBM PUTTY STAGRAFT+ 2CC,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,ALLO DBM PUTTY X*DISC NO REPL*,5784.0,4627.2,1.0,5205.6,26
HCPCS,C1713,ALLO DBM VIVIGEN 10CC,11760.0,9408.0,1.0,10584.0,26
HCPCS,C1713,ALLO DBM VIVIGEN 15CC,14805.0,11844.0,1.0,13324.5,26
HCPCS,C1713,ALLO DBM VIVIGEN 5CC,8550.0,6840.0,1.0,7695.0,26
HCPCS,C1713,ALLO DBM VIVIGEN FORM SPINE1CC,3858.0,3086.4,1.0,3472.2,26
HCPCS,C1713,ALLO DBM VIVIGEN FORM SPINE5CC,10670.0,8536.0,1.0,9603.0,26
HCPCS,C1713,ALLO DBM VIVIGEN FORMABLE 3CC,8381.0,6704.8,1.0,7542.9,26
HCPCS,C1713,ALLO DBM VIVIGEN FORMSPINE10CC,14676.0,11740.8,1.0,13208.4,26
HCPCS,C1713,ALLO DBM VIVIGEN FORMSPINE15CC,13198.0,10558.4,1.0,11878.2,26
HCPCS,C1713,ALLO DBM VIVIGEN FORMTRAUMA1CC,3858.0,3086.4,1.0,3472.2,26
HCPCS,C1713,ALLO DBM VIVIGEN FORMTRAUMA5CC,10670.0,8536.0,1.0,9603.0,26
HCPCS,C1713,ALLO DBM VIVIGENFORMTRAUMA10CC,14676.0,11740.8,1.0,13208.4,26
HCPCS,C1713,ALLO DBM VIVIGENFORMTRAUMA15CC,12690.0,10152.0,1.0,11421.0,26
HCPCS,C1713,ALLO GRAFTLINK7.5-10.5X60-80MM,10845.0,8676.0,1.0,9760.5,26
HCPCS,C1713,ALLO GRAFTLINK8.5-12.5X65-95MM,10376.0,8300.8,1.0,9338.4,26
HCPCS,C1713,ALLO SPACER COALTN AGX 10X16MM,5910.0,4728.0,1.0,5319.0,26
HCPCS,C1713,ANCHOR ALPHAVENT KNTLS PEEK5.5,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1713,ANCHOR ALPHAVENT KNTLSPEEK4.75,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1713,ANCHOR ARTX FASTAK 2.4MM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1713,ANCHOR ARTX FASTAK II 2.*NLU*,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,ANCHOR BIO CRKSCRWFT 4NDLE 5.5,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,ANCHOR BIO M*DISC USE 6296337*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,ANCHOR BIO SUT TAK ARTX 3X12.7,3740.0,2992.0,1.0,3366.0,26
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW 2FBR4.5,2860.0,2288.0,1.0,2574.0,26
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW 2FBR6.5,2948.0,2358.4,1.0,2653.2,26
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW2TAPE4.7,3124.0,2499.2,1.0,2811.6,26
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW2TAPE5.5,3124.0,2499.2,1.0,2811.6,26
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW4NDLE5.5,2948.0,2358.4,1.0,2653.2,26
HCPCS,C1713,ANCHOR BIOCOMP FBR KNTLS4.75,4081.0,3264.8,1.0,3672.9,26
HCPCS,C1713,ANCHOR BIOCOMP KNTLS 4.75X19.1,3542.0,2833.6,1.0,3187.8,26
HCPCS,C1713,ANCHOR BIOCOMP KNTLS 4.75X24.5,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,ANCHOR BIOCOMP S*DISC 6321041*,2860.0,2288.0,1.0,2574.0,26
HCPCS,C1713,ANCHOR BIOCOMP S*DISC 6324240*,2860.0,2288.0,1.0,2574.0,26
HCPCS,C1713,ANCHOR BIOCOMP SUT KNTLSDX4.75,4967.0,3973.6,1.0,4470.3,26
HCPCS,C1713,ANCHOR BIOCOMP SUTTAK 1FBR 2MM,2684.0,2147.2,1.0,2415.6,26
HCPCS,C1713,ANCHOR BIOCOMP SUTTAK 2FBR 3MM,2684.0,2147.2,1.0,2415.6,26
HCPCS,C1713,ANCHOR BIOCOMP SWVLK 4.75X19.1,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR BIOCOMP SWVLK 4.75X24.5,3622.0,2897.6,1.0,3259.8,26
HCPCS,C1713,ANCHOR BIOCOMP SWVLK C5.5X19.1,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR BIOCOMP SWVLK SPPEEK5.5,3622.0,2897.6,1.0,3259.8,26
HCPCS,C1713,ANCHOR BIOCOMP SWVLK3.5X15.8MM,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR BIOCOMP SWVLK3.9X17.9MM,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR BIOCOMP SWVLKC4.75X19.1,3619.0,2895.2,1.0,3257.1,26
HCPCS,C1713,ANCHOR BIOCOMP SWVLKCTIGER4.75,3619.0,2895.2,1.0,3257.1,26
HCPCS,C1713,ANCHOR BIOCOMP TIGER KNTLS4.75,4081.0,3264.8,1.0,3672.9,26
HCPCS,C1713,ANCHOR BIOCOMPCRKSCRW2TIGER4.5,3036.0,2428.8,1.0,2732.4,26
HCPCS,C1713,ANCHOR BIOCOMPCRKSCRW2TIGER5.5,3036.0,2428.8,1.0,2732.4,26
HCPCS,C1713,ANCHOR BIOCOMPDXSWVLKKNTLS4.75,4235.0,3388.0,1.0,3811.5,26
HCPCS,C1713,ANCHOR BIOCOMPSUTTAK 1FBR2 2.4,2684.0,2147.2,1.0,2415.6,26
HCPCS,C1713,ANCHOR BIOCOMPSUTTAK 2FBR2 2.4,2816.0,2252.8,1.0,2534.4,26
HCPCS,C1713,ANCHOR BIOCOMPSUTTAK 2TIGER2 3,2992.0,2393.6,1.0,2692.8,26
HCPCS,C1713,ANCHOR BIOCOMPSWVLKSP4.75X24.5,3696.0,2956.8,1.0,3326.4,26
HCPCS,C1713,ANCHOR BIOSWVLKKNTLS5.5X19.1MM,3542.0,2833.6,1.0,3187.8,26
HCPCS,C1713,ANCHOR BTB TIGHTROPE,3740.0,2992.0,1.0,3366.0,26
HCPCS,C1713,ANCHOR BTB TIGHTROPE ABS*OBS*,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,ANCHOR CHONDRAL DART 1.3X1MM,266.0,212.8,1.0,239.4,26
HCPCS,C1713,ANCHOR ENDOBTN CL ULT 15MM,2328.0,1862.4,1.0,2095.2,26
HCPCS,C1713,ANCHOR FBRSTITCH FBRWIRE CURV,4237.0,3389.6,1.0,3813.3,26
HCPCS,C1713,ANCHOR FBRSTITCH FBRWIRE ST,4237.0,3389.6,1.0,3813.3,26
HCPCS,C1713,ANCHOR FBRTAK 2.6 KL 2 BLU/BLK,4081.0,3264.8,1.0,3672.9,26
HCPCS,C1713,ANCHOR FBRWIRE SUTTAK 3.0X12.7,3740.0,2992.0,1.0,3366.0,26
HCPCS,C1713,ANCHOR FIBERSTITCH 1.5 CURV,4235.0,3388.0,1.0,3811.5,26
HCPCS,C1713,ANCHOR FIBERSTITCH 1.5 CURV24D,4237.0,3389.6,1.0,3813.3,26
HCPCS,C1713,ANCHOR FIBERSTITCH 1.5 ST,4237.0,3389.6,1.0,3813.3,26
HCPCS,C1713,ANCHOR FIBERSTITCH 1.5RVRSCURV,4237.0,3389.6,1.0,3813.3,26
HCPCS,C1713,ANCHOR FIBERSTITCH CURV,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,ANCHOR FIBERSTITCH CURV 24D,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,ANCHOR FIBRSTITCH FIBRWIRE 2-0,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,ANCHOR FOOTPRINT ULT PK4-5MM,2704.0,2163.2,1.0,2433.6,26
HCPCS,C1713,ANCHOR GII QK PLUS 2 CP2 ETHI,2576.0,2060.8,1.0,2318.4,26
HCPCS,C1713,ANCHOR GII QK PLUS W ORTHOCORD,4416.0,3532.8,1.0,3974.4,26
HCPCS,C1713,ANCHOR HEALI REGENESORB 5.5MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,ANCHOR HEALI ULTTP BLU 4.5MM,3342.0,2673.6,1.0,3007.8,26
HCPCS,C1713,ANCHOR HEALI ULTTP BLU 4.75MM,3517.0,2813.6,1.0,3165.3,26
HCPCS,C1713,ANCHOR HEALI ULTTP ULTBR5.5MM,3442.0,2753.6,1.0,3097.8,26
HCPCS,C1713,ANCHOR HEALI ULTTPCOBRAID4.5MM,5022.0,4017.6,1.0,4519.8,26
HCPCS,C1713,ANCHOR HEALIULTTPCOBRAID4.75MM,3503.0,2802.4,1.0,3152.7,26
HCPCS,C1713,ANCHOR HEALIX ADV BR BLK 6.5MM,3408.0,2726.4,1.0,3067.2,26
HCPCS,C1713,ANCHOR HEALIX ADV BR WHT 5.5MM,3408.0,2726.4,1.0,3067.2,26
HCPCS,C1713,ANCHOR HEALIX ADV BR WHT 6.5MM,3408.0,2726.4,1.0,3067.2,26
HCPCS,C1713,ANCHOR HEALIX ADV KNTLS,4615.0,3692.0,1.0,4153.5,26
HCPCS,C1713,ANCHOR HEALIX ADV KNTLS4.75,4615.0,3692.0,1.0,4153.5,26
HCPCS,C1713,ANCHOR HEALIX ADV PEEKBLK4.5MM,3408.0,2726.4,1.0,3067.2,26
HCPCS,C1713,ANCHOR HEALIX ADV PEEKBLK5.5MM,3408.0,2726.4,1.0,3067.2,26
HCPCS,C1713,ANCHOR HEALIX ADV PEEKBLK6.5MM,3408.0,2726.4,1.0,3067.2,26
HCPCS,C1713,ANCHOR HEALIX ADV PEEKWHT4.5MM,3408.0,2726.4,1.0,3067.2,26
HCPCS,C1713,ANCHOR HEALIX ADV PEEKWHT5.5MM,3408.0,2726.4,1.0,3067.2,26
HCPCS,C1713,ANCHOR HEALIX ADV PEEKWHT6.5MM,3408.0,2726.4,1.0,3067.2,26
HCPCS,C1713,ANCHOR HEALIX ADV SP PEEK 4.9,3752.0,3001.6,1.0,3376.8,26
HCPCS,C1713,ANCHOR HEALIX ADV SP PEEK 5.5,3752.0,3001.6,1.0,3376.8,26
HCPCS,C1713,ANCHOR HEALIX ADV SP PEEK 6.5,3752.0,3001.6,1.0,3376.8,26
HCPCS,C1713,ANCHOR HEALIX ADV SPBIOCOMP6.5,3752.0,3001.6,1.0,3376.8,26
HCPCS,C1713,ANCHOR HEALIX ADVBRWHTBLU4.5MM,4416.0,3532.8,1.0,3974.4,26
HCPCS,C1713,ANCHOR HTO IBALANCECNCLS6.5X20,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ANCHOR HTO IBALANCECNCLS6.5X22,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X36MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X38MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X40MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X46MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X50MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X52MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ANCHOR ICONIX 1.2XBRAID1.4MM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1713,ANCHOR ICONIX 1.4MM 1.2MM BRD,3911.0,3128.8,1.0,3519.9,26
HCPCS,C1713,ANCHOR ICONIX 2STRD 1.2/2.0MM,4998.0,3998.4,1.0,4498.2,26
HCPCS,C1713,ANCHOR ICONIX 3STRD TT 2.3X1.2,4998.0,3998.4,1.0,4498.2,26
HCPCS,C1713,ANCHOR ICONIX HA+ 3STRDXBRD2.3,7178.0,5742.4,1.0,6460.2,26
HCPCS,C1713,ANCHOR ICONIX HA+ TT1.8XBRD2.3,7529.0,6023.2,1.0,6776.1,26
HCPCS,C1713,ANCHOR ICONIX KNTLS BLUBLK 1.4,6363.0,5090.4,1.0,5726.7,26
HCPCS,C1713,ANCHOR ICONIX XBRD TT 2.0MM,4998.0,3998.4,1.0,4498.2,26
HCPCS,C1713,ANCHOR ICONIXKNTLSBLUBLKWHT1.4,6363.0,5090.4,1.0,5726.7,26
HCPCS,C1713,ANCHOR JUGGERKNOT 1.4MM 10PK,2056.0,1644.8,1.0,1850.4,26
HCPCS,C1713,ANCHOR JUGGERKNOT SGL *NLU*,3952.0,3161.6,1.0,3556.8,26
HCPCS,C1713,ANCHOR JUGGERKNOT SGL 1.5MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,ANCHOR JUGGERKNOT SHRTRIGIDSZ1,2528.0,2022.4,1.0,2275.2,26
HCPCS,C1713,ANCHOR JUGGERKNOTMINI2-0 1.0MM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1713,ANCHOR JUGGERKNOTMINI3-0 1.0MM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1713,ANCHOR KNOTILUS KNTLS 2.9X12.5,5760.0,4608.0,1.0,5184.0,26
HCPCS,C1713,ANCHOR KNOTILUS+ KNTLS2.9X12.5,6746.0,5396.8,1.0,6071.4,26
HCPCS,C1713,ANCHOR KNTLS CRKSCRW3.9X11.2MM,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1713,ANCHOR KNTLS CRKSCRW4.75X14MM,3542.0,2833.6,1.0,3187.8,26
HCPCS,C1713,ANCHOR KNTLSCRKSCRW 5 3.9X11.2,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR MENISC AIR+ CURV DOWN9D,3912.0,3129.6,1.0,3520.8,26
HCPCS,C1713,ANCHOR MENISC AIR+ CURV UP 15D,3912.0,3129.6,1.0,3520.8,26
HCPCS,C1713,ANCHOR MENISC JU*DISC 6353549*,2604.0,2083.2,1.0,2343.6,26
HCPCS,C1713,ANCHOR MENISC JUGGERSTITCH ST,2960.0,2368.0,1.0,2664.0,26
HCPCS,C1713,ANCHOR MENISC JUGGERSTITCHCURV,3108.0,2486.4,1.0,2797.2,26
HCPCS,C1713,ANCHOR MENISC MA*DISC NO REPL*,2768.0,2214.4,1.0,2491.2,26
HCPCS,C1713,ANCHOR MENISC MAXFIRE ST*DISC*,2768.0,2214.4,1.0,2491.2,26
HCPCS,C1713,ANCHOR MENISC TRUESPAN NDLE12D,3536.0,2828.8,1.0,3182.4,26
HCPCS,C1713,ANCHOR MENISC TRUESPAN NDLE24D,3536.0,2828.8,1.0,3182.4,26
HCPCS,C1713,ANCHOR MENISC TRUESPAN PLGA24D,5194.0,4155.2,1.0,4674.6,26
HCPCS,C1713,ANCHOR MENISC W BIOCOMP SWVLK,8415.0,6732.0,1.0,7573.5,26
HCPCS,C1713,ANCHOR MENISCJUG*DISC 6353550*,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,ANCHOR MICRO QK 4/0,4595.0,3676.0,1.0,4135.5,26
HCPCS,C1713,ANCHOR MICRO QK DEPU 1.3MM,2576.0,2060.8,1.0,2318.4,26
HCPCS,C1713,ANCHOR MICRO QK PLUS4-0 C1CORD,2576.0,2060.8,1.0,2318.4,26
HCPCS,C1713,ANCHOR MICRO W 3-0 CORD 1.3MM,2576.0,2060.8,1.0,2318.4,26
HCPCS,C1713,ANCHOR MINI QK PLUS 0 OS2 CORD,4761.0,3808.8,1.0,4284.9,26
HCPCS,C1713,ANCHOR MINI QK PLUS2-0 V5 CORD,2576.0,2060.8,1.0,2318.4,26
HCPCS,C1713,ANCHOR MINI QK PLUS2-0 V5 ETHI,2576.0,2060.8,1.0,2318.4,26
HCPCS,C1713,ANCHOR MINIBIOCO*DISC 6330294*,2860.0,2288.0,1.0,2574.0,26
HCPCS,C1713,ANCHOR MINIQKPLUS 2-0 ETHI BIT,4595.0,3676.0,1.0,4135.5,26
HCPCS,C1713,ANCHOR NANOTACK FLEX PIVM,3696.0,2956.8,1.0,3326.4,26
HCPCS,C1713,ANCHOR NANOTACK PIVM,3277.0,2621.6,1.0,2949.3,26
HCPCS,C1713,ANCHOR OSTEORAPTOR HIP 2.*NLU*,3520.0,2816.0,1.0,3168.0,52
HCPCS,C1713,ANCHOR OSTEORAPTOR SN 2.3*NLU*,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR PEEK CRKSCRW 3.9X10.2MM,3388.0,2710.4,1.0,3049.2,26
HCPCS,C1713,ANCHOR PEEK CRKSCRW FT 2FBR4.5,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,ANCHOR PEEK KNTLS 6.5MM,4722.0,3777.6,1.0,4249.8,26
HCPCS,C1713,ANCHOR PEEK KNTLS SGL 3.9MM,14519.0,11615.2,1.0,13067.1,26
HCPCS,C1713,ANCHOR PEEK OMEGA KNTLS 4.75MM,4974.0,3979.2,1.0,4476.6,26
HCPCS,C1713,ANCHOR PEEK PLK 2.9X15.5MM,3168.0,2534.4,1.0,2851.2,26
HCPCS,C1713,ANCHOR PEEK PLK 3.5X19.5,3168.0,2534.4,1.0,2851.2,26
HCPCS,C1713,ANCHOR PEEKOMEGAKNTLSDBLDBL3.9,6233.0,4986.4,1.0,5609.7,26
HCPCS,C1713,ANCHOR SPDBRG ACHILLES,8613.0,6890.4,1.0,7751.7,26
HCPCS,C1713,ANCHOR SPDBRG ACHILLES JUMP,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,ANCHOR SPDBRG ACHILLES MIDSUB,4826.0,3860.8,1.0,4343.4,26
HCPCS,C1713,ANCHOR SPDBRG ACHILLES PARS,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,ANCHOR SPDBRG HIP 4.75MM,9606.0,7684.8,1.0,8645.4,26
HCPCS,C1713,ANCHOR SPDBRG KNTLS 4.75/4.75,10643.0,8514.4,1.0,9578.7,26
HCPCS,C1713,ANCHOR SPDBRG KTNLS DX 3.9,11146.0,8916.8,1.0,10031.4,26
HCPCS,C1713,ANCHOR SPDBRG MIS DX 3.9MM,12301.0,9840.8,1.0,11070.9,26
HCPCS,C1713,ANCHOR SPDBRG MIS KTNLS DX3.9,12301.0,9840.8,1.0,11070.9,26
HCPCS,C1713,ANCHOR SPDBRG PNCH 4.75/4.75,8613.0,6890.4,1.0,7751.7,26
HCPCS,C1713,ANCHOR SUT ARGO KNTLS1MM4.75MM,4753.0,3802.4,1.0,4277.7,26
HCPCS,C1713,ANCHOR SUT ARGO KNTLSSP1MM4.75,4753.0,3802.4,1.0,4277.7,26
HCPCS,C1713,ANCHOR SUT BICEP FBRTAK DBL,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR SUT BICEP LNT HD 4.75,4986.0,3988.8,1.0,4487.4,26
HCPCS,C1713,ANCHOR SUT BICEP LNT KL HD4.75,5382.0,4305.6,1.0,4843.8,26
HCPCS,C1713,ANCHOR SUT BICEP LNT SWVLK 3.9,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,ANCHOR SUT BICEP LNT SWVLK4.75,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,ANCHOR SUT BIO INSRTTAPESTRYRC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,ANCHOR SUT BIO MINI PLK2.5X8MM,842.0,673.6,1.0,757.8,26
HCPCS,C1713,ANCHOR SUT BIOCOMP SWVLK 3.9MM,3927.0,3141.6,1.0,3534.3,26
HCPCS,C1713,ANCHOR SUT CRKSC*DISC 6183409*,2244.0,1795.2,1.0,2019.6,26
HCPCS,C1713,ANCHOR SUT CRKSCRW 3.5X10MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,ANCHOR SUT CRKSCRW 3.5X12MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,ANCHOR SUT CRKSCRW 4.5X14MM,2860.0,2288.0,1.0,2574.0,26
HCPCS,C1713,ANCHOR SUT CRKSCRWII 4.5X14MM,2024.0,1619.2,1.0,1821.6,26
HCPCS,C1713,ANCHOR SUT CRKSCRWII FIBER SZ2,2156.0,1724.8,1.0,1940.4,26
HCPCS,C1713,ANCHOR SUT CRKSCRWII NDLE 5.5,2244.0,1795.2,1.0,2019.6,26
HCPCS,C1713,ANCHOR SUT CRKSCRWII TIGER SZ2,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ANCHOR SUT DX FBRTAK,3581.0,2864.8,1.0,3222.9,26
HCPCS,C1713,ANCHOR SUT DX FBRTAK 2MTS,4582.0,3665.6,1.0,4123.8,26
HCPCS,C1713,ANCHOR SUT DX FBRTAK DBL LOAD,4043.0,3234.4,1.0,3638.7,26
HCPCS,C1713,ANCHOR SUT ECLIPSE GUN 4X10MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1713,ANCHOR SUT FBRTAK 2 SPKNTLS2.6,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,ANCHOR SUT FBRTAK 5 SPKNTLS2.6,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1713,ANCHOR SUT FBRTAK BTN 2.6MM,5207.0,4165.6,1.0,4686.3,26
HCPCS,C1713,ANCHOR SUT FBRTAK DBL LOAD 1.3,733.0,586.4,1.0,659.7,26
HCPCS,C1713,ANCHOR SUT FBRTAK DBLLOADWNDLE,3744.0,2995.2,1.0,3369.6,26
HCPCS,C1713,ANCHOR SUT FBRTAK HIP KNTLS1.8,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,ANCHOR SUT FBRTAK HIP KNTLS2.0,3916.0,3132.8,1.0,3524.4,26
HCPCS,C1713,ANCHOR SUT FBRTAK KNEEWFBRTAPE,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,ANCHOR SUT FBRTAK KNTLS 1.8MM,3872.0,3097.6,1.0,3484.8,26
HCPCS,C1713,ANCHOR SUT FBRTAK KNTLS 2.0MM,3696.0,2956.8,1.0,3326.4,26
HCPCS,C1713,ANCHOR SUT FBRTAK KNTLS BLU1.8,3876.0,3100.8,1.0,3488.4,26
HCPCS,C1713,ANCHOR SUT FBRTAK KNTLS DBL,4043.0,3234.4,1.0,3638.7,26
HCPCS,C1713,ANCHOR SUT FBRTAK KNTLSDBLSLFP,4043.0,3234.4,1.0,3638.7,26
HCPCS,C1713,ANCHOR SUT FBRTAK RC BK-BL 2.6,3619.0,2895.2,1.0,3257.1,26
HCPCS,C1713,ANCHOR SUT FBRTAK RC SP 2.6,3619.0,2895.2,1.0,3257.1,26
HCPCS,C1713,ANCHOR SUT FBRTAK RC SP BL 2.6,3619.0,2895.2,1.0,3257.1,26
HCPCS,C1713,ANCHOR SUT FBRTAK SPDBLLOAD1.3,782.0,625.6,1.0,703.8,26
HCPCS,C1713,ANCHOR SUT FBRTAK SZ2 TIGER,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1713,ANCHOR SUT FBRTK SLFPUNCH1.3MM,3608.0,2886.4,1.0,3247.2,26
HCPCS,C1713,ANCHOR SUT FLEXBAND 0.3X16CM,10935.0,8748.0,1.0,9841.5,26
HCPCS,C1713,ANCHOR SUT FLEXBAND TWIST 12CM,19843.0,15874.4,1.0,17858.7,26
HCPCS,C1713,ANCHOR SUT FLEXBAND TWIST 30CM,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1713,ANCHOR SUT GENESYS CROSSFT 4.5,3973.0,3178.4,1.0,3575.7,26
HCPCS,C1713,ANCHOR SUT GENESYS KNTLS 4.75,5078.0,4062.4,1.0,4570.2,26
HCPCS,C1713,ANCHOR SUT GENESYS KNTLS 5.5,5078.0,4062.4,1.0,4570.2,26
HCPCS,C1713,ANCHOR SUT GRAVITY 5.5X12*NLU*,3528.0,2822.4,1.0,3175.2,26
HCPCS,C1713,ANCHOR SUT HIP PLK 2.4X8.9MM,3696.0,2956.8,1.0,3326.4,26
HCPCS,C1713,ANCHOR SUT HIP PLKSHRT2.9X12.5,3696.0,2956.8,1.0,3326.4,26
HCPCS,C1713,ANCHOR SUT HYBRID FBRTAK KNEE,4043.0,3234.4,1.0,3638.7,26
HCPCS,C1713,ANCHOR SUT HYBRID FBRTAK WNDLE,4043.0,3234.4,1.0,3638.7,26
HCPCS,C1713,ANCHOR SUT INTRLBRCSLFPUNCH2.6,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,ANCHOR SUT KNTLS FBRTAK BL 2.6,4081.0,3264.8,1.0,3672.9,26
HCPCS,C1713,ANCHOR SUT KNTLS FBRTAK KNEE,3740.0,2992.0,1.0,3366.0,26
HCPCS,C1713,ANCHOR SUT KT BICEPFBRTAKKNTLS,4901.0,3920.8,1.0,4410.9,26
HCPCS,C1713,ANCHOR SUT KT FBRTAK DX KNTLS,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,ANCHOR SUT MICRO CRKSCRW 2-0,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,ANCHOR SUT MICRO CRKSCRW 4-0,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,ANCHOR SUT NANA CRKSCRW1.7X5MM,3740.0,2992.0,1.0,3366.0,26
HCPCS,C1713,ANCHOR SUT PEEK 1.4 3STRD 4.75,5262.0,4209.6,1.0,4735.8,26
HCPCS,C1713,ANCHOR SUT PEEK 1.8 2STRD 4.75,4962.0,3969.6,1.0,4465.8,26
HCPCS,C1713,ANCHOR SUT PEEK GRY 3.5MM,4193.0,3354.4,1.0,3773.7,26
HCPCS,C1713,ANCHOR SUT PEEK ORG 2.7MM,4193.0,3354.4,1.0,3773.7,26
HCPCS,C1713,ANCHOR SUT PEEK SHRT 2.5X10MM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,ANCHOR SUT PEEK1.4 1.8STRD4.75,5022.0,4017.6,1.0,4519.8,26
HCPCS,C1713,ANCHOR SUT PIVOT1.4MMTT1.2MM,4452.0,3561.6,1.0,4006.8,26
HCPCS,C1713,ANCHOR SUT PK FOOTPRINTMINI3.5,3906.0,3124.8,1.0,3515.4,26
HCPCS,C1713,ANCHOR SUT PLK BIOCOMP2.4X11.3,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR SUT PLK BIOCOMP2.9X12.5,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR SUT PLK BIOCOMP3.5X19.5,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR SUT PLK BIOCOMP4.5X24MM,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR SUT QFIX 1.8MM,3569.0,2855.2,1.0,3212.1,26
HCPCS,C1713,ANCHOR SUT QFIX 2.8MM,4974.0,3979.2,1.0,4476.6,26
HCPCS,C1713,ANCHOR SUT QFIX MINI 1.8MM,4843.0,3874.4,1.0,4358.7,26
HCPCS,C1713,ANCHOR SUT ROOT REPAIR ULTBR,5076.0,4060.8,1.0,4568.4,26
HCPCS,C1713,ANCHOR SUT S-TAK 2.4 SNGL LOAD,3740.0,2992.0,1.0,3366.0,26
HCPCS,C1713,ANCHOR SUT SLFPUNCHPLK3.5X19.5,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,ANCHOR SUT SUPERHAWK 3.75/4.75,11638.0,9310.4,1.0,10474.2,26
HCPCS,C1713,ANCHOR SUT SUPHAWK 3.75/4.75MM,9100.0,7280.0,1.0,8190.0,26
HCPCS,C1713,ANCHOR SUT SZ2 HS AGILE 2.5MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,ANCHOR SUT TIGER 3X14.5MM,2860.0,2288.0,1.0,2574.0,26
HCPCS,C1713,ANCHOR SUT TRUSHOT FA Y-KNOT 2,4716.0,3772.8,1.0,4244.4,26
HCPCS,C1713,ANCHOR SUT TRUSHOT Y-KNOT SZ2,4622.0,3697.6,1.0,4159.8,26
HCPCS,C1713,ANCHOR SUT VERSALOOP 1.8MM,3697.0,2957.6,1.0,3327.3,26
HCPCS,C1713,ANCHOR SUT Y-KNTLS GRN/BLK 1.8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1713,ANCHOR SUT Y-KNTLS WHT/BLK 1.8,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1713,ANCHOR SUT YKNOT3RC 1.3MM2.8MM,3636.0,2908.8,1.0,3272.4,26
HCPCS,C1713,ANCHOR SUTBLU/BLUKNTLSHIFI4.75,5078.0,4062.4,1.0,4570.2,26
HCPCS,C1713,ANCHOR SUTFIX COBRAID BLU*NLU*,3720.0,2976.0,1.0,3348.0,26
HCPCS,C1713,ANCHOR SUTFIX ULTBR BLU X*NLU*,3469.0,2775.2,1.0,3122.1,26
HCPCS,C1713,ANCHOR SUTQ-FIXASAW2MINISUT2.8,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,ANCHOR SUTURETAK 0.9TAPE 4NDLE,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1713,ANCHOR SUTURETAK 1.3TAPE 2NDLE,3740.0,2992.0,1.0,3366.0,26
HCPCS,C1713,ANCHOR SUTURETAK DBL 3X14.5MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,ANCHOR SUTWHT/BLKKNTLSHIFI4.75,5967.0,4773.6,1.0,5370.3,26
HCPCS,C1713,ANCHOR SWIFTLOCK,294.0,235.2,1.0,264.6,26
HCPCS,C1713,ANCHOR SWVLK KNTLS 4.75X24.5,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,ANCHOR SWVLK KNTLS 5.5X19.1,3828.0,3062.4,1.0,3445.2,26
HCPCS,C1713,ANCHOR SWVLK PEEK SP5.5X24.5MM,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,ANCHOR SWVLK TENDODESIS PEEK,3828.0,3062.4,1.0,3445.2,26
HCPCS,C1713,ANCHOR SYS BONE ADV REGENETEN,5126.0,4100.8,1.0,4613.4,26
HCPCS,C1713,ANCHOR SYS PLK BIOCOMP SHRT2.9,4653.0,3722.4,1.0,4187.7,26
HCPCS,C1713,ANCHOR TENDON CITRELOCK 4X10MM,7098.0,5678.4,1.0,6388.2,26
HCPCS,C1713,ANCHOR TENDON CITRELOCK 5X15MM,7098.0,5678.4,1.0,6388.2,26
HCPCS,C1713,ANCHOR TENDON CITRELOCK 6X15MM,7098.0,5678.4,1.0,6388.2,26
HCPCS,C1713,ANCHOR TENDON REGENETEN,4794.0,3835.2,1.0,4314.6,26
HCPCS,C1713,ANCHOR TI SCREW TPR 5MM SZ2,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,ANCHOR TI-SCREW CUT 5MM SZ2,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,ANCHOR TI-SCREW W NDLE 5MM SZ2,2720.0,2176.0,1.0,2448.0,26
HCPCS,C1713,ANCHOR TIGHTROPE II BTB IB,4967.0,3973.6,1.0,4470.3,26
HCPCS,C1713,ANCHOR TISS BIOT*DISC 6323792*,2506.0,2004.8,1.0,2255.4,26
HCPCS,C1713,ANCHOR TISS BIOTRANSFIX 5X40MM,2506.0,2004.8,1.0,2255.4,26
HCPCS,C1713,ANCHOR TISS OTSC 165CM,3703.0,2962.4,1.0,3332.7,26
HCPCS,C1713,ANCHOR TWINFIX ULT 2 6.5M*NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ANCHOR VERT BODY TETHER 12MM,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,ANCHOR W 2-0 ORTHOCORD,3968.0,3174.4,1.0,3571.2,26
HCPCS,C1713,ANCHOR W NDLE OSSIOFIBER2X4.75,10440.0,8352.0,1.0,9396.0,26
HCPCS,C1713,ANCHORBIOCRKSCRW2TIGER5.5*NLU*,2440.0,1952.0,1.0,2196.0,26
HCPCS,C1713,ANCHORMICROBIOCOMPSUTAK2.4X6.5,2860.0,2288.0,1.0,2574.0,26
HCPCS,C1713,ANCHORPEEKOMEGAKNTLSDBLDBL4.75,6233.0,4986.4,1.0,5609.7,26
HCPCS,C1713,ANK INFINITY ATTACH NUT,4382.0,3505.6,1.0,3943.8,26
HCPCS,C1713,ANK INFINITY NUT SCREW*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1713,ANK STEINMAN PIN INBONE 2.4MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,ANK SYS LIG RECON FDL 4.75MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,ANK SYS LIG RECON FDL 5.5MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,ANK SYS LIG RECON FHL 6.25MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,ANK SYS LIG RECON FHL 7.0MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,ARCH BAR ERICH 1 METER CO*NLU*,78.0,62.4,1.0,70.2,26
HCPCS,C1713,ASSY SCREW HDBODY STD TAU*NLU*,3656.0,2924.8,1.0,3290.4,26
HCPCS,C1713,BAR PECTUS BLU OFFSET STBL TI,11816.0,9452.8,1.0,10634.4,26
HCPCS,C1713,BASEPLATE ULNA PROX ASSY ISJ-E,15945.0,12756.0,1.0,14350.5,26
HCPCS,C1713,BD CA VSP RECON W CUT GD*NLU*,18033.0,14426.4,1.0,16229.7,26
HCPCS,C1713,BEAM FIX AXIS 5.5X80MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1713,BEAM FIX AXIS 5.5X85MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1713,BEAM FIX AXIS 6.5X120MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1713,BEAM FIX AXIS 7.5X110MM,15750.0,12600.0,1.0,14175.0,26
HCPCS,C1713,BEAM FIX AXIS 7.5X125MM,15750.0,12600.0,1.0,14175.0,26
HCPCS,C1713,BEAM FT FUSN GBEAM 5.4X120MM,7740.0,6192.0,1.0,6966.0,26
HCPCS,C1713,BEAM FT FUSN GBEAM 7.4X130MM,8514.0,6811.2,1.0,7662.6,26
HCPCS,C1713,BEAM FULL ARTEMIS 6.5X60MM,9083.0,7266.4,1.0,8174.7,26
HCPCS,C1713,BEAM FULL ARTEMIS 6.5X80MM,9083.0,7266.4,1.0,8174.7,26
HCPCS,C1713,BEAM FULL ARTEMIS 6.5X90MM,9083.0,7266.4,1.0,8174.7,26
HCPCS,C1713,BEAM FULL REDEMPTION 5.0X105MM,15925.0,12740.0,1.0,14332.5,26
HCPCS,C1713,BEAM FULL REDEMPTION 5.0X35MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,BEAM FULL REDEMPTION 5.0X45MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,BEAM FULL REDEMPTION 5.0X50MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,BEAM FULL REDEMPTION 5.0X55MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,BEAM FULL REDEMPTION 6.5X40MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,BEAM FULL REDEMPTION 6.5X45MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,BEAM FULL REDEMPTION 6.5X65MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,BEAM FULL REDEMPTION 6.5X70MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,BEAM FULL REDEMPTION 6.5X75MM,15925.0,12740.0,1.0,14332.5,26
HCPCS,C1713,BEAM PART ARTEMIS 6.5X47.5MM,9083.0,7266.4,1.0,8174.7,26
HCPCS,C1713,BEAM PART REDEMPTION 6.5X120MM,15925.0,12740.0,1.0,14332.5,26
HCPCS,C1713,BEAM PART REDEMPTION 6.5X130MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,BEAM PART REDEMPTION 6.5X70MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,BEAM SALVATION FT 7X105MM,7317.0,5853.6,1.0,6585.3,26
HCPCS,C1713,BEAM SALVATION FT 7X110MM,7317.0,5853.6,1.0,6585.3,26
HCPCS,C1713,BEAM SALVATION FT 7X115MM,7317.0,5853.6,1.0,6585.3,26
HCPCS,C1713,BEAM SALVATION FT 7X120MM,7317.0,5853.6,1.0,6585.3,26
HCPCS,C1713,BEAM SALVATION FT 7X80MM,7317.0,5853.6,1.0,6585.3,26
HCPCS,C1713,BEAM SALVATION FT 7X90MM,7317.0,5853.6,1.0,6585.3,26
HCPCS,C1713,BIT DRILL MDSH 4MM*DNR*,2720.0,2176.0,1.0,2448.0,26
HCPCS,C1713,BIT DRILL PRE-DRILL VILX 4.0MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,BIT DRILL PRE-DRILL VILX 5.2MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X100MM,4022.0,3217.6,1.0,3619.8,26
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X105MM,4022.0,3217.6,1.0,3619.8,26
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X110MM,4022.0,3217.6,1.0,3619.8,26
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X115MM,4022.0,3217.6,1.0,3619.8,26
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X120MM,4022.0,3217.6,1.0,3619.8,26
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X80MM,4022.0,3217.6,1.0,3619.8,26
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X85MM,4022.0,3217.6,1.0,3619.8,26
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X90MM,4022.0,3217.6,1.0,3619.8,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6290182*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6290183*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6290252*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291516*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291876*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291902*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291903*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291904*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291905*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291906*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297713*,4040.0,3232.0,1.0,3636.0,26
HCPCS,C1713,BLADE HEL TFNA TI S100MM*DISC*,4359.0,3487.2,1.0,3923.1,26
HCPCS,C1713,BLADE HLX LCP DHHS 100MM,2802.0,2241.6,1.0,2521.8,26
HCPCS,C1713,BLADE HLX LCP DHHS 105MM,2802.0,2241.6,1.0,2521.8,26
HCPCS,C1713,BLADE HLX LCP DHHS 110MM,2802.0,2241.6,1.0,2521.8,26
HCPCS,C1713,BLADE HLX LCP DHHS 80MM,2765.0,2212.0,1.0,2488.5,26
HCPCS,C1713,BLADE HLX LCP DHHS 85MM,2765.0,2212.0,1.0,2488.5,26
HCPCS,C1713,BLADE HLX LCP DHHS 90MM,2765.0,2212.0,1.0,2488.5,26
HCPCS,C1713,BLADE HLX LCP DHHS 95MM,2765.0,2212.0,1.0,2488.5,26
HCPCS,C1713,BLADE POWERDRIV STERNALK REUS,3896.0,3116.8,1.0,3506.4,26
HCPCS,C1713,BLADE SPIRAL 42*DISC NO REPL*,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE SPIRAL H44*DISC NO REPL*,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 34MM,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 36MM,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 38MM,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 40MM,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 46MM,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 48MM,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 50MM,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 52MM,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 54MM,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,BLADE STERNALK SHRT REUS,3744.0,2995.2,1.0,3369.6,26
HCPCS,C1713,BLADE STERNALK XP REUS,3896.0,3116.8,1.0,3506.4,26
HCPCS,C1713,BOLT ANTIDRIFT FULL 3.5X40MM,4166.0,3332.8,1.0,3749.4,26
HCPCS,C1713,BOLT FEM NECK STER 100MM,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,BOLT FEM NECK STER 105MM,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,BOLT FEM NECK STER 110MM,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,BOLT FEM NECK STER 115MM,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,BOLT FEM NECK STER 120MM,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,BOLT FEM NECK STER 75MM,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,BOLT FEM NECK STER 80MM,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,BOLT FEM NECK STER 85MM,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,BOLT FEM NECK STER 90MM,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,BOLT FEM NECK STER 95MM,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,BOLT IXLIF DECADE LG 6.5X55MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,BOLT MIDFT FUSN 6.5X130MM,3696.0,2956.8,1.0,3326.4,26
HCPCS,C1713,BOLT VPR DEPU 10X100MM,4712.0,3769.6,1.0,4240.8,26
HCPCS,C1713,BOLT VPR DEPU 10X80MM,4712.0,3769.6,1.0,4240.8,26
HCPCS,C1713,BOLT VPR DEPU 10X90MM,703.0,562.4,1.0,632.7,26
HCPCS,C1713,BOLT XLIF DECADE LG 5.5X5*NLU*,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,BOLT XLIF DECADE LG 5.5X60MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,BONE FILL CRANIOSCULPT *DISC*,5416.0,4332.8,1.0,4874.4,26
HCPCS,C1713,BONE FILLER *DISC 6293100*,10427.0,8341.6,1.0,9384.3,26
HCPCS,C1713,BTN ABS TIGHTROP*DISC 6332791*,2094.0,1675.2,1.0,1884.6,26
HCPCS,C1713,BTN ABS TIGHTROPE 8X12MM,1337.0,1069.6,1.0,1203.3,26
HCPCS,C1713,BTN ABS TIGHTROPE CNCV 14MM,2094.0,1675.2,1.0,1884.6,26
HCPCS,C1713,BTN ABS TIGHTROPE CNCV 20MM,2094.0,1675.2,1.0,1884.6,26
HCPCS,C1713,BTN ABS TIGHTROPE CNCV 3HL 11,2420.0,1936.0,1.0,2178.0,26
HCPCS,C1713,BTN ABS TIGHTROPE RD 14MM,2001.0,1600.8,1.0,1800.9,26
HCPCS,C1713,BTN ABS TIGHTROPE RD CNCV 17,2424.0,1939.2,1.0,2181.6,26
HCPCS,C1713,BTN CERCLAGE ARTX 3.5MM,1148.0,918.4,1.0,1033.2,26
HCPCS,C1713,BTN FBRTAK KNEE ARTX,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,BTN FBRTAK KNEE SLFPUNCH 2.6MM,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,BTN PLATE CLAV KNTLS DIST,4876.0,3900.8,1.0,4388.4,26
HCPCS,C1713,CAGE CORPECT 5D 12X14MM 38-54,16250.0,13000.0,1.0,14625.0,26
HCPCS,C1713,CAGE OBLIQ OLLIF TI27X9.5X13MM,16349.0,13079.2,1.0,14714.1,26
HCPCS,C1713,CANN BONE HYDROSET 12GAX7.5CM,43.0,34.4,1.0,38.7,26
HCPCS,C1713,CANN INJ BONE CMT TRAUMACEM V+,2339.0,1871.2,1.0,2105.1,26
HCPCS,C1713,CAP LK CREO FOR SCREW,570.0,456.0,1.0,513.0,26
HCPCS,C1713,CAP LK RIBFIX ADV X-DRV,2416.0,1932.8,1.0,2174.4,26
HCPCS,C1713,CAP LK THRD,570.0,456.0,1.0,513.0,26
HCPCS,C1713,CAP ROD SLIM LG 3.5X5.0MM,1343.0,1074.4,1.0,1208.7,26
HCPCS,C1713,CATH ULTRSND SOUNDSTAR SIEM8FR,10637.0,8509.6,1.0,9573.3,26
HCPCS,C1713,CBL CERCLAGE SUPERCABLE 1.5MM,3528.0,2822.4,1.0,3175.2,26
HCPCS,C1713,CBL CERLAGE W CRIMP 1.7X750MM,3242.0,2593.6,1.0,2917.8,26
HCPCS,C1713,CINCH ANCHOR MENISC CURV TIP,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,CMNT BONE AUTOPLEX HALF DOSE,3964.0,3171.2,1.0,3567.6,26
HCPCS,C1713,CMNT BONE BRAVO HV 40G,618.0,494.4,1.0,556.2,26
HCPCS,C1713,CMNT BONE BRAVO HV+G 40/80,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,CMNT BONE CARTRDG KYPHON 2PK,713.0,570.4,1.0,641.7,26
HCPCS,C1713,CMNT BONE CMNT-R 1X40,616.0,492.8,1.0,554.4,26
HCPCS,C1713,CMNT BONE CMNT-R W GENTAMICIN,2057.0,1645.6,1.0,1851.3,26
HCPCS,C1713,CMNT BONE CMW2 FAST 20GM,703.0,562.4,1.0,632.7,26
HCPCS,C1713,CMNT BONE COBALT HV 40/20*CIP*,561.0,448.8,1.0,504.9,26
HCPCS,C1713,CMNT BONE CONFLOW 40G,523.0,418.4,1.0,470.7,26
HCPCS,C1713,CMNT BONE CONFLOW G 40G,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1713,CMNT BONE GENTAMICIN HVSC,2080.0,1664.0,1.0,1872.0,26
HCPCS,C1713,CMNT BONE GENTAMICIN MVSC,2080.0,1664.0,1.0,1872.0,26
HCPCS,C1713,CMNT BONE HV-R KYPHON,810.0,648.0,1.0,729.0,26
HCPCS,C1713,CMNT BONE KT BONESYNC 10CC,9606.0,7684.8,1.0,8645.4,26
HCPCS,C1713,CMNT BONE KT BONESYNC 1CC,3906.0,3124.8,1.0,3515.4,26
HCPCS,C1713,CMNT BONE KT BONESYNC 3CC,6188.0,4950.4,1.0,5569.2,26
HCPCS,C1713,CMNT BONE KT BONESYNC 5CC,8168.0,6534.4,1.0,7351.2,26
HCPCS,C1713,CMNT BONE KT HV-R KYPHX,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,CMNT BONE KYPHON XPEDE W MIXER,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,CMNT BONE OTOMIMIX 2GM,3057.0,2445.6,1.0,2751.3,26
HCPCS,C1713,CMNT BONE PAL R *DISC NO REPL*,665.0,532.0,1.0,598.5,26
HCPCS,C1713,CMNT BONE QUICKSET 10CC,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,CMNT BONE QUICKSET 20CC,11138.0,8910.4,1.0,10024.2,26
HCPCS,C1713,CMNT BONE SIM40GM*USE 6122312*,665.0,532.0,1.0,598.5,26
HCPCS,C1713,CMNT BONE SIMPLEX P FULL 40GM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,CMNT BONE SIMPLEX SPEED 40GM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,CMNT BONE SIMPLEX TOBRAMYACIN,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,CMNT BONE SPEED S*USE 6174747*,665.0,532.0,1.0,598.5,26
HCPCS,C1713,CMNT BONE TRAUMACEM V+ W MIXER,2587.0,2069.6,1.0,2328.3,26
HCPCS,C1713,CMNT BONE VERTAPL*DUP 6212663*,4519.0,3615.2,1.0,4067.1,26
HCPCS,C1713,CMNT BONE VERTAPLEX HV 20GM,3013.0,2410.4,1.0,2711.7,26
HCPCS,C1713,CMNT BONE WO NDLE AUTOPLEX,4301.0,3440.8,1.0,3870.9,26
HCPCS,C1713,CNTRSINK CO/CA SCREW ACUM,1819.0,1455.2,1.0,1637.1,26
HCPCS,C1713,CNTRSINK ORTHOLOC CANN 4.0,1153.0,922.4,1.0,1037.7,26
HCPCS,C1713,CNTRSINK SCREWS 3.5MM,2288.0,1830.4,1.0,2059.2,26
HCPCS,C1713,CONN DOMINO AXIAL CLSD 3.5/3.5,4151.0,3320.8,1.0,3735.9,26
HCPCS,C1713,CONN DOMINO AXIALCLSD3.5/5.5-6,4151.0,3320.8,1.0,3735.9,26
HCPCS,C1713,CONN IMPLATE TI TEAL 7.5D 2MM,3899.0,3119.2,1.0,3509.1,26
HCPCS,C1713,CONN LAT CLSD 13MM,4151.0,3320.8,1.0,3735.9,26
HCPCS,C1713,CONN LAT CLSD 19MM,4151.0,3320.8,1.0,3735.9,26
HCPCS,C1713,CONN LAT CLSD CLSD 9X5.5-6.35M,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,CONN LAT OPEN 13MM,4151.0,3320.8,1.0,3735.9,26
HCPCS,C1713,CONN LAT TOP LOADING OFFSET,4823.0,3858.4,1.0,4340.7,26
HCPCS,C1713,CONN MA SCREW EXT 3.2/3.5MM,4151.0,3320.8,1.0,3735.9,26
HCPCS,C1713,CONN MULTAXIAL CRS 30MM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1713,CONN OFFSET LAT EVEREST 25MM,4151.0,3320.8,1.0,3735.9,26
HCPCS,C1713,CONN OPEN REV INVICTUS 11MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,CONN OPEN-OFFSET INVICTUS 10MM,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1713,CONN PRLL SIDE LOAD MARINER8MM,9207.0,7365.6,1.0,8286.3,26
HCPCS,C1713,CONN PRLL TOP LOADING,4823.0,3858.4,1.0,4340.7,26
HCPCS,C1713,CONN PRLL TOP LOADING 12 10MM,9207.0,7365.6,1.0,8286.3,26
HCPCS,C1713,CONN PRLL TOP LOADING 14 10MM,9207.0,7365.6,1.0,8286.3,26
HCPCS,C1713,CONN PRLL TOP LOADING5.5-6.0MM,4823.0,3858.4,1.0,4340.7,26
HCPCS,C1713,CONN PRLL TOP/SIDE MARINER10MM,9207.0,7365.6,1.0,8286.3,26
HCPCS,C1713,CONN ROD SIDE OPENTIGER3.5X3.5,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1713,CONN ROD SPNL SIDE LOADING12MM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1713,CONN ROD XTR WIDE OPEN/OPEN,4151.0,3320.8,1.0,3735.9,26
HCPCS,C1713,CONN SCREW SET SPNL SM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,CONN SPNL ROD TO ROD LG 3.5MM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1713,CONN THRD HD CREO LNG 15MM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1713,CONN THRD HD CREO LNG 20MM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1713,CONN TRNVRS EVEREST 5.5/6MM SM,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,COUNTERSINK ORTHOLOC CANN 5.0,1153.0,922.4,1.0,1037.7,26
HCPCS,C1713,COV BUR HL ULTONE TAB 6HL 23MM,1277.0,1021.6,1.0,1149.3,26
HCPCS,C1713,COV BUR MTXNEURO TI 15MM,1251.0,1000.8,1.0,1125.9,26
HCPCS,C1713,CRANFAC PIN SONICPINS 2.1X3MM,989.0,791.2,1.0,890.1,26
HCPCS,C1713,CRANFAC PIN SONICPINS 2.1X4MM,989.0,791.2,1.0,890.1,26
HCPCS,C1713,CRANFAC PIN SONICPINS 2.1X5MM,989.0,791.2,1.0,890.1,26
HCPCS,C1713,CRANI PLATE 00017 PEEK IPSCUST,23913.0,19130.4,1.0,21521.7,26
HCPCS,C1713,CRANI PLATE 00018 PEEK IPSCUST,31464.0,25171.2,1.0,28317.6,26
HCPCS,C1713,CRANI PLATE 00022 PEEK IPSCUST,31464.0,25171.2,1.0,28317.6,26
HCPCS,C1713,CRANI PLATE 00023 PEEK IPSCUST,37505.0,30004.0,1.0,33754.5,26
HCPCS,C1713,CROSSBAR CONT 5.5 ROD SM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1713,CROSSBAR CONT 6.0 ROD SM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1713,CROSSLINK OC MAS/MAS MD,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,CROSSLINK ROD CONT MD 5.5MM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1713,CROSSLINK ROD-ROD LG,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,CROSSLINK ROD-ROD SM,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,CROSSLINK SCREW-SCREW LG,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,CROSSLINK SCREW-SCREW SM,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,CROSSLINK SCREW-SCREW STER LG,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,CROSSLINK SCREW-SCREW STER SM,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,DART PIP 10D BEND 3X30MM,4582.0,3665.6,1.0,4123.8,26
HCPCS,C1713,DART PIP PEEK 10D 3X30MM,4582.0,3665.6,1.0,4123.8,26
HCPCS,C1713,DART PIP PEEK ST 2.5X30MM,4582.0,3665.6,1.0,4123.8,26
HCPCS,C1713,DART PIP ST 2.5X30MM*NLU*,4165.0,3332.0,1.0,3748.5,26
HCPCS,C1713,DEL SYS DISTBICEP REPAIR,5610.0,4488.0,1.0,5049.0,26
HCPCS,C1713,DEL SYS PECTORAL REPAIR,8168.0,6534.4,1.0,7351.2,26
HCPCS,C1713,DEL SYS TIGHTROPE ACL RT,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1713,DEV FIX EZLOC ZIMM LNG 7-8MM,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,DEV FIX EZLOC ZIMM LNG 9-10MM,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,DEV FIX EZLOC ZIMM SHRT 7-8MM,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,DEV FIX EZLOC ZIMM SHRT 9-10MM,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,DEV FIX EZLOC ZIMM STD 7-8MM,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,DEV FIX EZLOC ZIMM STD 9-10MM,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,DEV FIXSYNDESMOTICSYNCHFIXEVT5,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,DEV TIB FIX ZIMM 10MM*DISC*,3392.0,2713.6,1.0,3052.8,26
HCPCS,C1713,DEV TIB WASHERLOC ZIMM 14MM,3120.0,2496.0,1.0,2808.0,26
HCPCS,C1713,DEV TIB WASHERLOC ZIMM 16MM,3120.0,2496.0,1.0,2808.0,26
HCPCS,C1713,DEV TIB WASHERLOC ZIMM 18MM,3120.0,2496.0,1.0,2808.0,26
HCPCS,C1713,DRILL PIN ARTX 3.7MM,1216.0,972.8,1.0,1094.4,26
HCPCS,C1713,END CAP 12MM TI STER W EXT 5MM,1831.0,1464.8,1.0,1647.9,26
HCPCS,C1713,END CAP 12MM TI STER W EXT10MM,1831.0,1464.8,1.0,1647.9,26
HCPCS,C1713,END CAP 12MM TI STER W EXT15MM,1831.0,1464.8,1.0,1647.9,26
HCPCS,C1713,END CAP 12MM TI STER W EXT20MM,1831.0,1464.8,1.0,1647.9,26
HCPCS,C1713,END CAP 12MM TI W EXT 15MM,1549.0,1239.2,1.0,1394.1,26
HCPCS,C1713,END CAP 12MM TI W EXT 5MM,1549.0,1239.2,1.0,1394.1,26
HCPCS,C1713,END CAP 8X20MM,2374.0,1899.2,1.0,2136.6,26
HCPCS,C1713,END CAP DYNANAIL,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,END CAP FEM NAIL LOPRO *DISC*,2304.0,1843.2,1.0,2073.6,26
HCPCS,C1713,END CAP FEM TI T40 EXT 0MM,1549.0,1239.2,1.0,1394.1,26
HCPCS,C1713,END CAP GAMMA3 TI 11X0MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,END CAP HINDFT DUALCOMP 10 MM,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,END CAP HINDFT DUALCOMP 5 MM,3812.0,3049.6,1.0,3430.8,26
HCPCS,C1713,END CAP HIP NAIL AFFIXUS FLUSH,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,END CAP HUMR MULTILOC STER 0MM,1542.0,1233.6,1.0,1387.8,26
HCPCS,C1713,END CAP HUMR MULTLOC STER 5MM,1542.0,1233.6,1.0,1387.8,26
HCPCS,C1713,END CAP HUMR MULTLOC STER10MM,1542.0,1233.6,1.0,1387.8,26
HCPCS,C1713,END CAP LOW COMP GBEAM SSSTER,1462.0,1169.6,1.0,1315.8,26
HCPCS,C1713,END CAP NAIL HUMR T2 6MM +0,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,END CAP NAIL T2 8X4MM,1516.0,1212.8,1.0,1364.4,26
HCPCS,C1713,END CAP NAIL TIB STER 0MM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1713,END CAP NAIL TIB STER 10MM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1713,END CAP NAIL TIB STER 5MM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1713,END CAP PEDS ZIMM*DISC*,2560.0,2048.0,1.0,2304.0,26
HCPCS,C1713,END CAP STRY +5,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,END CAP STRY T2 08MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,END CAP T2 ALPHA LWR EXTRMTY,2450.0,1960.0,1.0,2205.0,26
HCPCS,C1713,END CAP T2 STRY 12X +10,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,END CAP T25 NAIL EX SPIRAL TI,1474.0,1179.2,1.0,1326.6,26
HCPCS,C1713,END CAP T25 NAIL EX STER TI,1878.0,1502.4,1.0,1690.2,26
HCPCS,C1713,END CAP T25 NAILEXSPIRALSTERTI,1878.0,1502.4,1.0,1690.2,26
HCPCS,C1713,END CAP T40 5MM,1150.0,920.0,1.0,1035.0,26
HCPCS,C1713,END CAP T40 GLD 0MM,1367.0,1093.6,1.0,1230.3,26
HCPCS,C1713,END CAP T40 GLD STER 0MM,1774.0,1419.2,1.0,1596.6,26
HCPCS,C1713,END CAP T40 STARDRIVE 0MM,1150.0,920.0,1.0,1035.0,26
HCPCS,C1713,END CAP T40 STARDRIVE STER 0MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,END CAP T40 STER 5MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,END CAP TI EXT GRN 0MM,1307.0,1045.6,1.0,1176.3,26
HCPCS,C1713,END CAP TI EXT GRN 10MM,1307.0,1045.6,1.0,1176.3,26
HCPCS,C1713,END CAP TI EXT GRN 5MM,1307.0,1045.6,1.0,1176.3,26
HCPCS,C1713,END CAP TI GRN CANN TIB *DISC*,835.0,668.0,1.0,751.5,26
HCPCS,C1713,END CAP TI T25 15MM,950.0,760.0,1.0,855.0,26
HCPCS,C1713,END CAP TIB NAIL LOPRO *DISC*,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,END CAP TIB TI T40 EXT STER5MM,1914.0,1531.2,1.0,1722.6,26
HCPCS,C1713,END CAP TIB TI T40 EXTSTER10MM,1914.0,1531.2,1.0,1722.6,26
HCPCS,C1713,END CAP TIB TI T40 EXTSTER15MM,1914.0,1531.2,1.0,1722.6,26
HCPCS,C1713,ENDCAP CORNERSTONE6X14X11*NLU*,4944.0,3955.2,1.0,4449.6,26
HCPCS,C1713,ENDCAP CORNERSTONE7X14X11*NLU*,4944.0,3955.2,1.0,4449.6,26
HCPCS,C1713,ENDCAP RFNA TI STER 0MM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1713,ENDCAP RFNA TI STER 5MM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1713,ENDCAP TIB T2 ALPHA 11.5MM +10,2450.0,1960.0,1.0,2205.0,26
HCPCS,C1713,ENDCAP TIB T2 ALPHA 11.5MM +15,2450.0,1960.0,1.0,2205.0,26
HCPCS,C1713,ENDCAP TIB T2 ALPHA 11.5MM +20,2450.0,1960.0,1.0,2205.0,26
HCPCS,C1713,ENDCAP TIB T2 ALPHA 11.5MM +25,2450.0,1960.0,1.0,2205.0,26
HCPCS,C1713,ENDCAP TIB T2 ALPHA 11.5MM +5,2450.0,1960.0,1.0,2205.0,26
HCPCS,C1713,ENDPLT LAT OBELISC 0D GRN 45MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LAT OBELISC 0D YEL 35MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LAT OBELISC 10D BLU55MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LAT OBELISC 10D GRN45MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LAT OBELISC 10D YEL35MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LAT OBELISC 15D BLU55MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LAT OBELISC 15D GRN45MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LAT OBELISC 15D YEL35MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LAT OBELISC 5D BLU 55MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LAT OBELISC 5D GRN 45MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LAT OBELISC 5D YEL 35MM,11467.0,9173.6,1.0,10320.3,26
HCPCS,C1713,ENDPLT LWR NO SPIKE 4D 22X40,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,FIX KT ANK SYNDMSIS ENOFIX,5970.0,4776.0,1.0,5373.0,26
HCPCS,C1713,FIX KT INTEGRITY IMPLT ANIK,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1713,FIX TMPR PLATE AXSOS3,2677.0,2141.6,1.0,2409.3,26
HCPCS,C1713,GD BIMAXIL KT FULL TRUMATCH,27089.0,21671.2,1.0,24380.1,26
HCPCS,C1713,GD MAXILLARY KT FULL TRUMATCH,24034.0,19227.2,1.0,21630.6,26
HCPCS,C1713,GD PIN ARIX MAXX 1.3MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,GD PLATE THRD 3.0MM*NLU*,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,GDWIRE HIP GAMMA4 STER 3X800MM,2070.0,1656.0,1.0,1863.0,26
HCPCS,C1713,GDWIRE KT DISP STYLE A 11MM,9990.0,7992.0,1.0,8991.0,26
HCPCS,C1713,GDWIRE NTHRD W TROC ARTX 2.4MM,28.0,22.4,1.0,25.2,26
HCPCS,C1713,GDWIRE OMNI 1.4X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,GDWIRE SGL TROC VILX 1.4X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,GDWIRE UNITE NTHRD 1.1X150MM,210.0,168.0,1.0,189.0,26
HCPCS,C1713,GDWIRE UNITE NTHRD 1.6X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,GRAFT BONE MASTER 20CC *DISC*,5958.0,4766.4,1.0,5362.2,26
HCPCS,C1713,GRAFT BONE PEPTIDE I-FACT*NLU*,6737.5,5390.0,1.0,8662.5,52
HCPCS,C1713,GRAFT BONEPEPTIDEI-FACTOR*NLU*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,GRAFTBOLT TIB ARTX 9MM,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,GRID CRANI FLEXBLK MEDPOR,15225.0,12180.0,1.0,13702.5,26
HCPCS,C1713,GRIP TROCH 2HL PLATE 1*NLU*,7470.0,5976.0,1.0,6723.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X10,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X12,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X14,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X16,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X22,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X24,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X26,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X28,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X30,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X6,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X8,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK4.5X3X10,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK4.5X3X12,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,HAMMERTOE KT OSSIOFBR 0D2.5X16,9958.0,7966.4,1.0,8962.2,26
HCPCS,C1713,HAMMERTOE KT OSSIOFBR 0D2.9X19,9958.0,7966.4,1.0,8962.2,26
HCPCS,C1713,HAND DIGIT WIDGIT AGEE,8370.0,6696.0,1.0,7533.0,26
HCPCS,C1713,HIP CBL BONE PLATE 1.8X635MM,3528.0,2822.4,1.0,3175.2,26
HCPCS,C1713,HIP NAIL GAMMA4 RT 125D 11X240,11847.0,9477.6,1.0,10662.3,26
HCPCS,C1713,HIP NAIL GAMMA4 RT 125D 12X240,11847.0,9477.6,1.0,10662.3,26
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X15MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X20MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X25MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X30MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X35MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X40MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X50MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X60MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X15,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X20,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X25,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X30,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X35,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X40,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X50,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X60,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X70,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X80,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW C2A TPR 6.5X20MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW C2A TPR 6.5X25MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW C2A TPR 6.5X30MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW C2A TPR 6.5X35MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW C2A TPR 6.5X40MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW C2A TPR 6.5X45MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW C2A TPR 6.5X6.5MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW CNCLS RFLCT 20MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,HIP SCREW CNCLS RFLCT 25MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,HIP SCREW CNCLS RFLCT 30MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,HIP SCREW CNCLS RFLCT 35MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,HIP SCREW CNCLS STRY 6.5X20MM,1024.0,819.2,1.0,921.6,26
HCPCS,C1713,HIP SCREW CNCLS STRY 6.5X45MM,1024.0,819.2,1.0,921.6,26
HCPCS,C1713,HIP SCREW CNCLS STRY 6.5X50MM,1024.0,819.2,1.0,921.6,26
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X16,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X20,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X25,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X30,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X35,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X40,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X45,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X50,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW DOME LOPROG7 6.5X20M,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW DOME LOPROG7 6.5X25M,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW G7 LOPRODOME6.5X35MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW G7 LOPRODOME6.5X40MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW G7 LOPRODOME6.5X45MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW G7 LOPRODOME6.5X70MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X15MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X20MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X25MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X30MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X35MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X40MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X45MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X50MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 5.5*NLU*,1197.0,957.6,1.0,1077.3,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 5.5X40MM,1516.0,1212.8,1.0,1364.4,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 5.5X70MM,1516.0,1212.8,1.0,1364.4,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X15MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X20MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X25MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X30MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X35MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X40MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X45MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X50MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X55MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X60MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,HIP SCREW ROOF PILESLFTP6*NLU*,1524.0,1219.2,1.0,1371.6,26
HCPCS,C1713,HIP SCREW ROOF PILESLFTP6.5X15,1935.0,1548.0,1.0,1741.5,26
HCPCS,C1713,HIP SCREW ROOF PILESLFTP6.5X30,1935.0,1548.0,1.0,1741.5,26
HCPCS,C1713,HIP SCREW ROOF PILESLFTP6.5X50,1935.0,1548.0,1.0,1741.5,26
HCPCS,C1713,HIPSCREWLKPAGRIPTN5.5X25*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,HIPSCREWLKPAGRIPTN5.5X35*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,HOOK LAMINA CREO THRD NARW SM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,HOOK LAMINA CREO THRD TALL SM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,HOOK LAMINA RELINE WIDE 10MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1713,HOOK TRNSVRS PROCESSCREOTHRDRT,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,HOOK TRNSVRSPROCESSCREOTHRDLFT,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,HUMR BONE STBL 11X160MM,16392.0,13113.6,1.0,14752.8,26
HCPCS,C1713,HUMR BONE STBL 17X180MM,12709.0,10167.2,1.0,11438.1,26
HCPCS,C1713,HUMR BONE STBL 18/22X90MM,17193.0,13754.4,1.0,15473.7,26
HCPCS,C1713,IMPLT OSTEOCOIL ACTIVE COMP7X9,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1713,IMPLT SYNDESMOTIC KT BOLO BTN,10325.0,8260.0,1.0,9292.5,26
HCPCS,C1713,INST KT PLATE DYNAFORCE STER,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,INST KT PREP DYNAFORCE 18MM,2370.0,1896.0,1.0,2133.0,26
HCPCS,C1713,INST PK HD DARTFIRE EDGE 2.5MM,3832.0,3065.6,1.0,3448.8,26
HCPCS,C1713,INST PK HDLSS DARTFIRE EDGE3.0,3832.0,3065.6,1.0,3448.8,26
HCPCS,C1713,KIT STAPLE ELITE 2LEG 20X15MM,7749.0,6199.2,1.0,6974.1,26
HCPCS,C1713,KNEE CPLE LFT 10/12 TPR 70MM,20031.0,16024.8,1.0,18027.9,26
HCPCS,C1713,KNEE SCREW M/G ZIMM 48MM*DISC*,641.0,512.8,1.0,576.9,26
HCPCS,C1713,KNEE SPEEDPIN SN RIM 30MM,259.0,207.2,1.0,233.1,26
HCPCS,C1713,KNEE SUTPLATE II STAR STER LG,10761.0,8608.8,1.0,9684.9,26
HCPCS,C1713,KT ANCHOR SONIC STRY FBR 0/C2,4244.0,3395.2,1.0,3819.6,26
HCPCS,C1713,KT ANCHOR SONIC STRY FBR 2 C7,4244.0,3395.2,1.0,3819.6,26
HCPCS,C1713,KT ANCHORSONIC STRY FBR 2-0/C2,4244.0,3395.2,1.0,3819.6,26
HCPCS,C1713,KT B2B TI BTN DRILLS2.9MM3.5MM,4998.0,3998.4,1.0,4498.2,26
HCPCS,C1713,KT BEAD MINI OSTEOSET FAST 5CC,4556.0,3644.8,1.0,4100.4,26
HCPCS,C1713,KT BONE CMNT SPNL 11CC,5366.0,4292.8,1.0,4829.4,26
HCPCS,C1713,KT BOX CBL PLATE THORECON,5387.0,4309.6,1.0,4848.3,26
HCPCS,C1713,KT FIX ACL BACKUP SWVLK*DISC*,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1713,KT FIX SECOND SWVLK4.75X19,4785.0,3828.0,1.0,4306.5,26
HCPCS,C1713,KT HAMMERTOE CCI STD 1.25KWIRE,7290.0,5832.0,1.0,6561.0,26
HCPCS,C1713,KT HAMMERTOE PRCD NEXTRA STER,7250.0,5800.0,1.0,6525.0,26
HCPCS,C1713,KT HAMMERTOE PRCD STER 4.5MM,7250.0,5800.0,1.0,6525.0,26
HCPCS,C1713,KT META MSP SHRT STER LFT,6424.0,5139.2,1.0,5781.6,26
HCPCS,C1713,KT META MSP SHRT STER RT,6424.0,5139.2,1.0,5781.6,26
HCPCS,C1713,KT P ORTHOSORB LS 1.3MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,KT PLATE LAPIPLASTY SYS1,13633.0,10906.4,1.0,12269.7,26
HCPCS,C1713,KT PLATE LAPIPLASTY SYS2,17150.0,13720.0,1.0,15435.0,26
HCPCS,C1713,KT PLATE X CBL,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1713,KT REPAIR SYNDMSIS FIBULINK SS,5299.0,4239.2,1.0,4769.1,26
HCPCS,C1713,KT REPAIR SYNDMSIS FIBULINK TI,5299.0,4239.2,1.0,4769.1,26
HCPCS,C1713,KT SCREW TORQ EXAT,2748.0,2198.4,1.0,2473.2,26
HCPCS,C1713,KT STAPLE SUP CLASC 9X9X9*NLU*,5370.0,4296.0,1.0,4833.0,26
HCPCS,C1713,KT STYLE A IMPLT 11MM DISP,5880.0,4704.0,1.0,5292.0,26
HCPCS,C1713,KT TIGHTROPE PLATE BTRS*DISC*,4613.0,3690.4,1.0,4151.7,26
HCPCS,C1713,KT X CBL PLATE THORECON,7493.0,5994.4,1.0,6743.7,26
HCPCS,C1713,KWIRE 1.0X160MM,226.0,180.8,1.0,203.4,26
HCPCS,C1713,KWIRE 1.1X160MM,169.0,135.2,1.0,152.1,26
HCPCS,C1713,KWIRE 1.5X350MM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1713,KWIRE 2.5X150MM,966.0,772.8,1.0,869.4,26
HCPCS,C1713,KWIRE ANCHORAGE 1.2X70MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,KWIRE ANCHORAGE 1.6X150MM,316.0,252.8,1.0,284.4,26
HCPCS,C1713,KWIRE ANK AXIOM KT STER QTY4,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,KWIRE ARSENAL STD 0.094X6,300.0,240.0,1.0,270.0,26
HCPCS,C1713,KWIRE ARTEMIS 2.0X101MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,KWIRE ARTEMIS 2.2X190MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,KWIRE BIOM 0.045,147.0,117.6,1.0,132.3,26
HCPCS,C1713,KWIRE BLNT BEVED TIP 1.7X230,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE BLNT BEVED TIP 1.7X470,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE BLNT BLNT TIP 1.7X470,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE BLNT SHARP TIP 1.5X470,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE BLNT SHARP TIP 1.7X230,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE BLNT SHARP TIP 1.7X335,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE BLNT SHARP TIP 1.7X450,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE BLNT THRD,1190.0,952.0,1.0,1071.0,26
HCPCS,C1713,KWIRE BLNT TIP 1.6MM 500ML,500.0,400.0,1.0,450.0,26
HCPCS,C1713,KWIRE BLNT TIP PATHFINDER,440.0,352.0,1.0,396.0,26
HCPCS,C1713,KWIRE BLNT TROC 0.9X150MM,254.0,203.2,1.0,228.6,26
HCPCS,C1713,KWIRE BLNT TROC 1.1X150MM,254.0,203.2,1.0,228.6,26
HCPCS,C1713,KWIRE BLNT TROC 1.4X150MM,254.0,203.2,1.0,228.6,26
HCPCS,C1713,KWIRE BUN-YO-MATIC 2.3MMX19CM,220.0,176.0,1.0,198.0,26
HCPCS,C1713,KWIRE CALIB PIN SNAP OFF 1.1MM,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,KWIRE CANN DARTFIRESTER1.1X150,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1713,KWIRE CANN ZIMM 1.6MMX6IN,420.0,336.0,1.0,378.0,26
HCPCS,C1713,KWIRE CANN ZIMM 1.6MMX9IN,400.0,320.0,1.0,360.0,26
HCPCS,C1713,KWIRE COND STER 1.8X310MM,771.0,616.8,1.0,693.9,26
HCPCS,C1713,KWIRE CRCOBLNT SHARP 1.65X340,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE CROS 1.6MMX6IN,646.0,516.8,1.0,581.4,26
HCPCS,C1713,KWIRE DBL DIMND SMTH 0.045X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL DIMND SMTH 0.045X6,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL DIMND SMTH 0.062X6,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL END TRIL 0.035X5,100.0,80.0,1.0,90.0,26
HCPCS,C1713,KWIRE DBL END TRIL 0.045X6,100.0,80.0,1.0,90.0,26
HCPCS,C1713,KWIRE DBL END TRIL 0.054X6,100.0,80.0,1.0,90.0,26
HCPCS,C1713,KWIRE DBL END TROC 1.25X150MM,88.0,70.4,1.0,79.2,26
HCPCS,C1713,KWIRE DBL END TROC 1.6X150MM,88.0,70.4,1.0,79.2,26
HCPCS,C1713,KWIRE DBL END TROC 1X150MM,88.0,70.4,1.0,79.2,26
HCPCS,C1713,KWIRE DBL END TROC 2X150MM,88.0,70.4,1.0,79.2,26
HCPCS,C1713,KWIRE DBL SMTHT2RECON3.2X400MM,904.0,723.2,1.0,813.6,26
HCPCS,C1713,KWIRE DBL TIP 0.8X120MM*DISC*,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,KWIRE DBL TROC 0.9X150MM,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE DBL TROC 1.6X30MM*NLU*,240.0,192.0,1.0,216.0,26
HCPCS,C1713,KWIRE DBL TROC OSTE 0.035X4,400.0,320.0,1.0,360.0,26
HCPCS,C1713,KWIRE DBL TROC RDCTN0.9X152MM,646.0,516.8,1.0,581.4,26
HCPCS,C1713,KWIRE DBL TROC RDCTN1.4X165MM,460.0,368.0,1.0,414.0,26
HCPCS,C1713,KWIRE DBL TROC SMTH 0.028X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTH 0.035X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTH 0.045X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTH 0.045X6,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTH 0.054X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTH 0.054X6,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTH 0.054X9,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTH 0.062X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTH 0.062X6,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTH PRGN 1.6MM,293.0,234.4,1.0,263.7,26
HCPCS,C1713,KWIRE DBL TROC SMTHBRAS0.028X9,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTHBRAS0.035X9,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTHBRAS0.045X9,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC SMTHBRAS0.062X9,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE DBL TROC STRY 0.9MM,265.0,212.0,1.0,238.5,26
HCPCS,C1713,KWIRE DBL TROC THRD 0.035X9,68.0,54.4,1.0,61.2,26
HCPCS,C1713,KWIRE DBL TROC THRD 0.045X9,68.0,54.4,1.0,61.2,26
HCPCS,C1713,KWIRE DBL TROC THRD 0.054X9,68.0,54.4,1.0,61.2,26
HCPCS,C1713,KWIRE DBL TROC THRD 0.062X9,68.0,54.4,1.0,61.2,26
HCPCS,C1713,KWIRE DBL TROC TRMI 0.8X120MM,200.0,160.0,1.0,180.0,26
HCPCS,C1713,KWIRE DBLE END 0.062X6,140.0,112.0,1.0,126.0,26
HCPCS,C1713,KWIRE DIMND SGL SKDY 1.6X127MM,440.0,352.0,1.0,396.0,26
HCPCS,C1713,KWIRE DRILL PNT ARTK 2.4*NLU*,1003.0,802.4,1.0,902.7,26
HCPCS,C1713,KWIRE DRILL TIP 2.0X100MM,349.0,279.2,1.0,314.1,26
HCPCS,C1713,KWIRE DRILL TIP 2.7X150MM,349.0,279.2,1.0,314.1,26
HCPCS,C1713,KWIRE DRILL TIP MARKED 2.8X300,595.0,476.0,1.0,535.5,26
HCPCS,C1713,KWIRE DRILL TIP STRY 2.0X234MM,367.0,293.6,1.0,330.3,26
HCPCS,C1713,KWIRE DRILLEND VARIAX1.6X200MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,KWIRE EXTL FIX TENXOR 2X4*NLU*,312.0,249.6,1.0,280.8,26
HCPCS,C1713,KWIRE FIX T2 WCH CTD 3X285MM,788.0,630.4,1.0,709.2,26
HCPCS,C1713,KWIRE FLUTE STER 2.4X110MM,780.0,624.0,1.0,702.0,26
HCPCS,C1713,KWIRE FULL THRD STRY 1.6X200MM,431.0,344.8,1.0,387.9,26
HCPCS,C1713,KWIRE FUZEMIX MINI STD 1.1MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,KWIRE GAMMA 3.2X450MM,830.0,664.0,1.0,747.0,26
HCPCS,C1713,KWIRE GAMMA3 3.2X450MM,830.0,664.0,1.0,747.0,26
HCPCS,C1713,KWIRE GD GROWTH SHARP1.6X150MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,KWIRE GLENO EXAT 2.0MM,641.0,512.8,1.0,576.9,26
HCPCS,C1713,KWIRE MARKED TRIL 0.035,150.0,120.0,1.0,135.0,26
HCPCS,C1713,KWIRE NIT BLNT THRD RELN MAS,450.0,360.0,1.0,405.0,26
HCPCS,C1713,KWIRE NIT BLNT TIP 1.6X500MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,KWIRE NIT BULK 1.5X480MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,KWIRE NOTCHED STER 2.3X100MM,360.0,288.0,1.0,324.0,26
HCPCS,C1713,KWIRE OLIVE PANGEA 1.6X100MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,KWIRE OLIVE SMTH SHRT 1.6,765.0,612.0,1.0,688.5,26
HCPCS,C1713,KWIRE ONE END TROC 0.045 9IN,35.0,28.0,1.0,31.5,26
HCPCS,C1713,KWIRE PART THRD TRIL 0.035X5,100.0,80.0,1.0,90.0,26
HCPCS,C1713,KWIRE PART THRD TRIL 0.045X6,100.0,80.0,1.0,90.0,26
HCPCS,C1713,KWIRE PARTIAL THRD 0.045*NLU*,230.0,184.0,1.0,207.0,26
HCPCS,C1713,KWIRE PARTLY THRD TRIL 0.062X6,140.0,112.0,1.0,126.0,26
HCPCS,C1713,KWIRE PIN ANK WRIT 1.4X228MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,KWIRE PLAINONEENDTROC0.062 9IN,35.0,28.0,1.0,31.5,26
HCPCS,C1713,KWIRE PLATE MDTFX MD 1.2MM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,KWIRE PRSP 335X1.7MM*NLU*,440.0,352.0,1.0,396.0,26
HCPCS,C1713,KWIRE SGL END TROC 1.25X150MM,115.0,92.0,1.0,103.5,26
HCPCS,C1713,KWIRE SGL END TROC 1.6X152MM,115.0,92.0,1.0,103.5,26
HCPCS,C1713,KWIRE SGL END TROC 2.0X150MM,115.0,92.0,1.0,103.5,26
HCPCS,C1713,KWIRE SGL ENDSMTHTROCPNT1X150,66.0,52.8,1.0,59.4,26
HCPCS,C1713,KWIRE SGL OLIVE MDAR 1.6X60MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,KWIRE SGL PREMARK TRMI 1.1MM,200.0,160.0,1.0,180.0,26
HCPCS,C1713,KWIRE SGL TROC 0.91X80MM,160.0,128.0,1.0,144.0,26
HCPCS,C1713,KWIRE SGL TROC 1.6X150MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,KWIRE SGL TROC MDAR 1.6X150MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,KWIRE SGL TROC OSTE 0.035X4,170.0,136.0,1.0,153.0,26
HCPCS,C1713,KWIRE SGL TROC OSTE 0.035X6,170.0,136.0,1.0,153.0,26
HCPCS,C1713,KWIRE SGL TROC SMTH 0.028X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE SGL TROC SMTH 0.035X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE SGL TROC SMTH 0.045X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE SGL TROC SMTH 0.054X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE SGL TROC SMTH 0.062X4,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE SGL TROC SMTH 0.062X9,26.0,20.8,1.0,23.4,26
HCPCS,C1713,KWIRE SGL TROC SMTH 1.5X200MM,1133.0,906.4,1.0,1019.7,26
HCPCS,C1713,KWIRE SGL TROC SMTH STER.062X9,45.0,36.0,1.0,40.5,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN0.9X150,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.1X100,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.1X150,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.2X100,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.2X150,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.4X100,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.4X150,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.6X150,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.6X200,878.0,702.4,1.0,790.2,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN2.0X150,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN2.0X200,294.0,235.2,1.0,264.6,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN2.3X150,315.0,252.0,1.0,283.5,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN2.3X230,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN2.3X300,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC THRD 0.062X9,68.0,54.4,1.0,61.2,26
HCPCS,C1713,KWIRE SGL TROC THRD GRV2.3X230,898.0,718.4,1.0,808.2,26
HCPCS,C1713,KWIRE SGL TROC THRDPRGN1.2X150,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC THRDPRGN2.3X230,368.0,294.4,1.0,331.2,26
HCPCS,C1713,KWIRE SGL TROC THRDPRGN2.3X300,260.0,208.0,1.0,234.0,26
HCPCS,C1713,KWIRE SGL TROC THRDSTER0.062X9,97.0,77.6,1.0,87.3,26
HCPCS,C1713,KWIRE SGL TROC TRMI 0.8X120MM,200.0,160.0,1.0,180.0,26
HCPCS,C1713,KWIRE SGL TROC TRMI 0.8X80MM,200.0,160.0,1.0,180.0,26
HCPCS,C1713,KWIRE SGL TROC TRMI 1.1X100MM,200.0,160.0,1.0,180.0,26
HCPCS,C1713,KWIRE SGL TROC TRMI 1.1X120MM,200.0,160.0,1.0,180.0,26
HCPCS,C1713,KWIRE SGL TROC TRMI 1.6X100MM,200.0,160.0,1.0,180.0,26
HCPCS,C1713,KWIRE SGL TROC TRMI 1.6X65MM,200.0,160.0,1.0,180.0,26
HCPCS,C1713,KWIRE SGLTROCSMTHFLOURO2.3X230,878.0,702.4,1.0,790.2,26
HCPCS,C1713,KWIRE SHLDR EQUINOXE 3X250MM,707.0,565.6,1.0,636.3,26
HCPCS,C1713,KWIRE SMARTNAIL 1.5X170MM,206.0,164.8,1.0,185.4,26
HCPCS,C1713,KWIRE SMTH ARTX 0.062X3,220.0,176.0,1.0,198.0,26
HCPCS,C1713,KWIRE SMTH SGL SHARP 2.5X285MM,581.0,464.8,1.0,522.9,26
HCPCS,C1713,KWIRE SMTH SGL TROC 0.062 9IN,35.0,28.0,1.0,31.5,26
HCPCS,C1713,KWIRE SMTH STRY 1.4X200MM,175.0,140.0,1.0,157.5,26
HCPCS,C1713,KWIRE SMTH TIP MINI STRY 3.0MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,KWIRE SMTH TIP MINI STRY 4.0MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,KWIRE SMTH TIP WRIT 2.0X228MM,254.0,203.2,1.0,228.6,26
HCPCS,C1713,KWIRE SPADE 2X350MM,626.0,500.8,1.0,563.4,26
HCPCS,C1713,KWIRE SPHERICAL AVID 1.8MM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,KWIRE SS DVR ZIMM 2.0X152MM,433.0,346.4,1.0,389.7,26
HCPCS,C1713,KWIRE SS STD SKDY 0.9X152MM,646.0,516.8,1.0,581.4,26
HCPCS,C1713,KWIRE SS STD SKDY 1.5X127MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,KWIRE SS STD SKDY 2.0X152MM,532.0,425.6,1.0,478.8,26
HCPCS,C1713,KWIRE SS TROC TIP 1.25X150MM,66.0,52.8,1.0,59.4,26
HCPCS,C1713,KWIRE SS TROC TIP 1.6X150MM,66.0,52.8,1.0,59.4,26
HCPCS,C1713,KWIRE SS TROC TIP 2.0X150MM,179.0,143.2,1.0,161.1,26
HCPCS,C1713,KWIRE STD FUZEFIX 0.9MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,KWIRE STD FUZEFIX 2.0MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,KWIRE STD FUZEFIX 2.8MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,KWIRE STD MARKED TRIL 0.045X6,150.0,120.0,1.0,135.0,26
HCPCS,C1713,KWIRE STD SKDY 1.5X127MM,646.0,516.8,1.0,581.4,26
HCPCS,C1713,KWIRE STD TRIL 0.045X6,100.0,80.0,1.0,90.0,26
HCPCS,C1713,KWIRE STD TRIL 0.062X6,100.0,80.0,1.0,90.0,26
HCPCS,C1713,KWIRE STD TRIL 0.094X12,300.0,240.0,1.0,270.0,26
HCPCS,C1713,KWIRE STD TRIL 0.110X12*NLU*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,KWIRE STD TRIL 1.1X140MM,100.0,80.0,1.0,90.0,26
HCPCS,C1713,KWIRE STRY 1.2X100MM,276.0,220.8,1.0,248.4,26
HCPCS,C1713,KWIRE STRY 3.2X150MM,554.0,443.2,1.0,498.6,26
HCPCS,C1713,KWIRE STRY 3.2X220MM,554.0,443.2,1.0,498.6,26
HCPCS,C1713,KWIRE T2 ALPHA STER 3.2X400MM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,KWIRE T2 ALPHA STER 3X285MM,754.0,603.2,1.0,678.6,26
HCPCS,C1713,KWIRE TEMP FIX SHARP 3X285MM,788.0,630.4,1.0,709.2,26
HCPCS,C1713,KWIRE THRD 2.8X200MM,302.0,241.6,1.0,271.8,26
HCPCS,C1713,KWIRE THRD EXAT 3.2MM,641.0,512.8,1.0,576.9,26
HCPCS,C1713,KWIRE THRD FUZEFIX 1.4MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,KWIRE THRD FUZEFIX MINI 0.9MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,KWIRE THRD ORPE 1.6MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,KWIRE THRD RECON,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,KWIRE THRD STYLE 1 1.6X229MM,240.0,192.0,1.0,216.0,26
HCPCS,C1713,KWIRE THRD STYLE1 0.9X229MM,247.0,197.6,1.0,222.3,26
HCPCS,C1713,KWIRE THRD TIP 1.25X100MM,384.0,307.2,1.0,345.6,26
HCPCS,C1713,KWIRE THRD TIP 15X1.6X150MM,139.0,111.2,1.0,125.1,26
HCPCS,C1713,KWIRE THRD TIP 15X2.0X150MM,144.0,115.2,1.0,129.6,26
HCPCS,C1713,KWIRE THRD TIP 15X2.5X150MM,153.0,122.4,1.0,137.7,26
HCPCS,C1713,KWIRE THRD TIP 2.0X280MM,344.0,275.2,1.0,309.6,26
HCPCS,C1713,KWIRE THRD TIP 5X1.6X150MM,139.0,111.2,1.0,125.1,26
HCPCS,C1713,KWIRE THRD TIP SS 1.25X80MM,147.0,117.6,1.0,132.3,26
HCPCS,C1713,KWIRE THRD TIP ZIMM 1.6MM,400.0,320.0,1.0,360.0,26
HCPCS,C1713,KWIRE TI ACUM 0.035X5.75,618.0,494.4,1.0,556.2,26
HCPCS,C1713,KWIRE TIMAX 1.2X150MM*DISC*,56.0,44.8,1.0,50.4,26
HCPCS,C1713,KWIRE TIP STD 1.1X152MM,532.0,425.6,1.0,478.8,26
HCPCS,C1713,KWIRE TMPR FIX SYNT 2.5X150MM,270.0,216.0,1.0,243.0,26
HCPCS,C1713,KWIRE TMPR FIX SYNT 2.5X220MM,270.0,216.0,1.0,243.0,26
HCPCS,C1713,KWIRE TROC 0.6X70MM,65.0,52.0,1.0,58.5,26
HCPCS,C1713,KWIRE TROC 0.8X70MM,65.0,52.0,1.0,58.5,26
HCPCS,C1713,KWIRE TROC 1.25X150MM,75.0,60.0,1.0,67.5,26
HCPCS,C1713,KWIRE TROC 1.3X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE TROC 1.6X150MM,75.0,60.0,1.0,67.5,26
HCPCS,C1713,KWIRE TROC 1.6X285MM,93.0,74.4,1.0,83.7,26
HCPCS,C1713,KWIRE TROC 1X150MM,75.0,60.0,1.0,67.5,26
HCPCS,C1713,KWIRE TROC 2.0X285MM,93.0,74.4,1.0,83.7,26
HCPCS,C1713,KWIRE TROC 2.5X285MM,93.0,74.4,1.0,83.7,26
HCPCS,C1713,KWIRE TROC 2X150MM,75.0,60.0,1.0,67.5,26
HCPCS,C1713,KWIRE TROC 3X150MM,75.0,60.0,1.0,67.5,26
HCPCS,C1713,KWIRE TROC PNT 1.2X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE TROC PNT 1.6X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE TROC SMTH 2.5X270MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE TROC SMTH FIXOS 1.4X150,864.0,691.2,1.0,777.6,26
HCPCS,C1713,KWIRE TROC SN 1.25X150MM,331.0,264.8,1.0,297.9,26
HCPCS,C1713,KWIRE TROC TI 1.0X150MM,86.0,68.8,1.0,77.4,26
HCPCS,C1713,KWIRE TROC TI 1.25X150MM,86.0,68.8,1.0,77.4,26
HCPCS,C1713,KWIRE TROC TI 1.6X150MM,86.0,68.8,1.0,77.4,26
HCPCS,C1713,KWIRE TROC TIP 0.062X9.25,28.0,22.4,1.0,25.2,26
HCPCS,C1713,KWIRE TROC TIP 1.6X400MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,KWIRE TROC TIP EQUINOXE 3.2MM,641.0,512.8,1.0,576.9,26
HCPCS,C1713,KWIRE TROC TIP NVIS 1.0X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE TROC TIP SMTH ARTX 2MM,110.0,88.0,1.0,99.0,26
HCPCS,C1713,KWIRE TROC TIP ZIMM 2X280MM,346.0,276.8,1.0,311.4,26
HCPCS,C1713,KWIRE TROCDISTRA*DISC NO REPL*,103.0,82.4,1.0,92.7,26
HCPCS,C1713,KWIRE W OLIVE STOP STRY,235.0,188.0,1.0,211.5,26
HCPCS,C1713,KWIRE W STOP STRY 2MM,626.0,500.8,1.0,563.4,26
HCPCS,C1713,KWIRE W THRD BALL 1.6 4.0X70MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,KWIRE ZIMM 0.028,147.0,117.6,1.0,132.3,26
HCPCS,C1713,KWIRE ZIMM 0.045X6*NLU*,480.0,384.0,1.0,432.0,26
HCPCS,C1713,KWIRE ZIMM 0.062,147.0,117.6,1.0,132.3,26
HCPCS,C1713,KWIRE ZIMM 0.062*DISC NO REPL*,165.0,132.0,1.0,148.5,26
HCPCS,C1713,KWIRE ZIMM 1.6X127MM,346.0,276.8,1.0,311.4,26
HCPCS,C1713,KWIRE ZIMM 2.0MM 3PK,3245.0,2596.0,1.0,2920.5,26
HCPCS,C1713,L-PLATE DIST TIB 4HL RT 2.7X72,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1713,L-PLATE DIST TIB 4HLLFT 2.7X72,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1713,L-PLATE DIST TIB 6HL LFT 2.7X9,5537.0,4429.6,1.0,4983.3,26
HCPCS,C1713,L-PLATE DIST TIB 6HL RT 2.7X90,5034.0,4027.2,1.0,4530.6,26
HCPCS,C1713,L-PLATE DISTTIBSTER4HLRT2.7X72,5324.0,4259.2,1.0,4791.6,26
HCPCS,C1713,L-PLATEDISTTIBSTER4HLLFT2.7X72,5324.0,4259.2,1.0,4791.6,26
HCPCS,C1713,LATE FUSN TRILEAP TI 10D LFTMD,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,MAND PLATE 00063 TI IPS CUST,26445.0,21156.0,1.0,23800.5,26
HCPCS,C1713,MAND PLATE 00064 TI IPS CUST,23598.0,18878.4,1.0,21238.2,26
HCPCS,C1713,MAND PLATE 00065 TI IPS CUST,29877.0,23901.6,1.0,26889.3,26
HCPCS,C1713,MAND PLATE 00067 TI IPS CUST,9464.0,7571.2,1.0,8517.6,26
HCPCS,C1713,MAND PLATE 00068 TI IPS CUST,11721.0,9376.8,1.0,10548.9,26
HCPCS,C1713,MENISC ARROW CONMED 13MM*NLU*,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,MESH 3D STER TI KLS 49MM 0.6MM,3482.0,2785.6,1.0,3133.8,26
HCPCS,C1713,MESH 3D TI KLS 100MM 0.8MM,10206.0,8164.8,1.0,9185.4,26
HCPCS,C1713,MESH 3D TI KLS 49MM 0.6MM,3293.0,2634.4,1.0,2963.7,26
HCPCS,C1713,MESH 3D TI KLS 75MM 0.6MM,4593.0,3674.4,1.0,4133.7,26
HCPCS,C1713,MESH PARIETAL 0.6MM RT SZ5,9333.0,7466.4,1.0,8399.7,26
HCPCS,C1713,MESH PSTR PARASAG STER SZ7 0.6,10661.0,8528.8,1.0,9594.9,26
HCPCS,C1713,MESH RECON TI GLD 150X150MM,8982.0,7185.6,1.0,8083.8,26
HCPCS,C1713,MESH RECON TI GLD DIA 100MM,8399.0,6719.2,1.0,7559.1,26
HCPCS,C1713,MESH SUBOCCIPITAL 8 LFTSTER0.6,11851.0,9480.8,1.0,10665.9,26
HCPCS,C1713,MIDFACE PLATE 00069 IPS TICUST,9464.0,7571.2,1.0,8517.6,26
HCPCS,C1713,MIDFACE PLATE 00072 IPS TICUST,5891.0,4712.8,1.0,5301.9,26
HCPCS,C1713,MIDFACE PLATE 00076 IPS TICUST,26268.0,21014.4,1.0,23641.2,26
HCPCS,C1713,MIDFACE PLATE 00077 IPS TICUST,32928.0,26342.4,1.0,29635.2,26
HCPCS,C1713,MIDFACE PLATE LK LG IPS TI,25877.0,20701.6,1.0,23289.3,26
HCPCS,C1713,MULTSCREW HEXALOBE 2.3X13MM,1071.0,856.8,1.0,963.9,26
HCPCS,C1713,NAIL ANK PHOE LK 10X180MM,12152.0,9721.6,1.0,10936.8,26
HCPCS,C1713,NAIL ANK PHOE LK 10X210MM,12152.0,9721.6,1.0,10936.8,26
HCPCS,C1713,NAIL ANK PHOE LK 11X210MM,12152.0,9721.6,1.0,10936.8,26
HCPCS,C1713,NAIL ANK PHOE LK 12X210MM,12152.0,9721.6,1.0,10936.8,26
HCPCS,C1713,NAIL ANK T2 STRY RT 11X300MM,9348.0,7478.4,1.0,8413.2,26
HCPCS,C1713,NAIL ARTHRODESIS T2 RT 10X700,15356.0,12284.8,1.0,13820.4,26
HCPCS,C1713,NAIL ARTHRODESIS T2 RT 10X740,15356.0,12284.8,1.0,13820.4,26
HCPCS,C1713,NAIL ARTHRODESIS T2 RT11.5X580,15356.0,12284.8,1.0,13820.4,26
HCPCS,C1713,NAIL ARTHRODESIS T2LFT11.5X780,15356.0,12284.8,1.0,13820.4,26
HCPCS,C1713,NAIL CANN LNG C CLAMP,3437.0,2749.6,1.0,3093.3,26
HCPCS,C1713,NAIL CANN OSSIOFBR TRIM4.0X100,9790.0,7832.0,1.0,8811.0,26
HCPCS,C1713,NAIL CANN SHRT C CLAMP,3437.0,2749.6,1.0,3093.3,26
HCPCS,C1713,NAIL CAP FEM RETROGRD 15MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,NAIL CAP FEM RETROGRD 5MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,NAIL CAP HUMR M/DN ZIMM*DISC*,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,NAIL CAP M/DN EXT 10MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,NAIL CAP M/DN EXT 15MM*DISC*,2688.0,2150.4,1.0,2419.2,26
HCPCS,C1713,NAIL CAP M/DN EXT 5MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,NAIL ELAS SS 1.5*DISC 6341624*,1903.0,1522.4,1.0,1712.7,26
HCPCS,C1713,NAIL ELAS SS 2.0*DISC 6184134*,2035.0,1628.0,1.0,1831.5,26
HCPCS,C1713,NAIL ELAS SS 2.5*DISC 6184135*,2063.0,1650.4,1.0,1856.7,26
HCPCS,C1713,NAIL ELAS SS 3.0*DISC 6184136*,2174.0,1739.2,1.0,1956.6,26
HCPCS,C1713,NAIL ELAS SS 3.5*DISC 6184137*,2302.0,1841.6,1.0,2071.8,26
HCPCS,C1713,NAIL ELAS SS 4.0*DISC 6184138*,2470.0,1976.0,1.0,2223.0,26
HCPCS,C1713,NAIL ELAS STER BLU TI 3.5X440,2456.0,1964.8,1.0,2210.4,26
HCPCS,C1713,NAIL ELAS STER GLD TI 3.0X440,2265.0,1812.0,1.0,2038.5,26
HCPCS,C1713,NAIL ELAS STER GRN TI 2.0X440,2033.0,1626.4,1.0,1829.7,26
HCPCS,C1713,NAIL ELAS STER PNK TI 2.5X440,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,NAIL ELAS STER PUR TI 4.0X440,2527.0,2021.6,1.0,2274.3,26
HCPCS,C1713,NAIL ELAS TI BLU*DISC 6184137*,2238.0,1790.4,1.0,2014.2,26
HCPCS,C1713,NAIL ELAS TI GLD*DISC 6184136*,2110.0,1688.0,1.0,1899.0,26
HCPCS,C1713,NAIL ELAS TI GRN*DISC 6184134*,1974.0,1579.2,1.0,1776.6,26
HCPCS,C1713,NAIL ELAS TI PNK*DISC 6184135*,2124.0,1699.2,1.0,1911.6,26
HCPCS,C1713,NAIL ELAS TI PUR*DISC 6184138*,2399.0,1919.2,1.0,2159.1,26
HCPCS,C1713,NAIL ELAS TI PUR*DISC 6341624*,1860.0,1488.0,1.0,1674.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 11X240MM,6471.0,5176.8,1.0,5823.9,26
HCPCS,C1713,NAIL EX HUMR CANN TI 11X250MM,6471.0,5176.8,1.0,5823.9,26
HCPCS,C1713,NAIL EX HUMR CANN TI 11X260MM,6471.0,5176.8,1.0,5823.9,26
HCPCS,C1713,NAIL EX HUMR CANN TI 11X270MM,6471.0,5176.8,1.0,5823.9,26
HCPCS,C1713,NAIL EX HUMR CANN TI 11X290MM,6471.0,5176.8,1.0,5823.9,26
HCPCS,C1713,NAIL EX HUMR CANN TI 7X210MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 7X220MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 7X230MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 7X240MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 7X250MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 7X260MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 7X270MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 9X220MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 9X230MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 9X240MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 9X250MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 9X260MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 9X270MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 9X280MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX HUMR CANN TI 9X290MM,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL EX TIB CANN TI 10X285MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 10X315MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 10X330MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 10X345MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 10X360MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 10X375MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 11X315MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 11X330MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 11X345MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 11X360MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 11X375MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 11X390MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 12X315MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 12X330MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 12X345MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 12X360MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 12X375MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 12X390MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 8X315MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 8X330MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 9X300MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 9X315MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL EX TIB CANN TI 9X360MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL FEM ANTERET TI10X300*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI10X320*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI10X340*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI10X360*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI10X380*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI10X420*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI10X440*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI11X320*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI11X340*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI11X360*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI11X380*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI11X400*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI11X420*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI12X300*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI12X320*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI12X340*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI12X360*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI12X380*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI12X400*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI12X420*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI13X320*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI13X340*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI13X360*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI13X380*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI13X400*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI13X420*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET TI14X380*CIP*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM ANTERET*DISC NO REPL*,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1713,NAIL FEM CANN LFT 10X360*DISC*,5353.0,4282.4,1.0,4817.7,26
HCPCS,C1713,NAIL FEM CANN RT 13X400M*DISC*,5353.0,4282.4,1.0,4817.7,26
HCPCS,C1713,NAIL FEM CANN TI GRN 10X*DISC*,5257.0,4205.6,1.0,4731.3,26
HCPCS,C1713,NAIL FEM GREATER STER LFT9X280,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER LFT9X300,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER LFT9X320,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER LFT9X340,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER LFT9X360,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER LFT9X400,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER LFT9X420,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER LFT9X460,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER LFT9X480,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X280,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X300,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X320,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X340,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X360,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X380,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X400,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X420,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X440,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X460,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT 9X480,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT10X280,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT10X300,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT10X320,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT10X340,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT10X360,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT10X400,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT10X420,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT10X440,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT10X460,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT10X480,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT11X300,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT11X320,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT11X340,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT11X380,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT11X400,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT11X420,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT11X440,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT11X480,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT12X300,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT12X340,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT12X380,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT12X400,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT12X420,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT12X440,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT12X460,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT12X480,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STER RT14X300,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STER RT14X320,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STER RT14X340,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STER RT14X360,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STER RT14X380,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STER RT14X400,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STER RT14X420,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STER RT14X440,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STER RT14X460,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STER RT14X480,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X280,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X300,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X320,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X340,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X360,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X380,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X400,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X420,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X440,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X460,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT10X480,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT11X300,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT11X320,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT11X340,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT11X380,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT11X400,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT11X420,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT11X440,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT11X460,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT11X480,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT12X300,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT12X320,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT12X340,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT12X360,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT12X380,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT12X400,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT12X420,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT12X440,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT12X460,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT12X480,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GREATER STERLFT14X300,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STERLFT14X320,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STERLFT14X340,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STERLFT14X380,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STERLFT14X400,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STERLFT14X420,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STERLFT14X440,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STERLFT14X460,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STERLFT14X480,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM GREATER STERRT11X460,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM GT STER LFT 13X380MM,11434.0,9147.2,1.0,10290.6,26
HCPCS,C1713,NAIL FEM GT STER LFT 9X340MM,11434.0,9147.2,1.0,10290.6,26
HCPCS,C1713,NAIL FEM GT STER LFT 9X360MM,11434.0,9147.2,1.0,10290.6,26
HCPCS,C1713,NAIL FEM GT STER RT 11X380MM,11434.0,9147.2,1.0,10290.6,26
HCPCS,C1713,NAIL FEM LK T2 R1.5 10X340MM,7233.0,5786.4,1.0,6509.7,26
HCPCS,C1713,NAIL FEM LK T2 R1.5 10X400MM,7233.0,5786.4,1.0,6509.7,26
HCPCS,C1713,NAIL FEM LK T2 R1.5 11X360MM,7233.0,5786.4,1.0,6509.7,26
HCPCS,C1713,NAIL FEM LK T2 R1.5 11X400MM,7233.0,5786.4,1.0,6509.7,26
HCPCS,C1713,NAIL FEM LK T2 R1.5 12X360MM,7233.0,5786.4,1.0,6509.7,26
HCPCS,C1713,NAIL FEM LK T2 R1.5 9X360MM,7233.0,5786.4,1.0,6509.7,26
HCPCS,C1713,NAIL FEM LK T2 R3.0 12X300MM,8240.0,6592.0,1.0,7416.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX24CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX26CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX28CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX30CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX32CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX34CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX36CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX38CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX40CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX42CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX44CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX46CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 10MMX48CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX26CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX28CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX30CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX32CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX34CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX36CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX38CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX40CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX42CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX44CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX46CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 11MMX48CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX24CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX26CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX28CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX30CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX32CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX34CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX36CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX38CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX40CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX42CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX44CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX46CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 12MMX48CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX24CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX26CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX28CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX30CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX32CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX34CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX36CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX38CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX40CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX42CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX44CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX46CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX48CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 13MMX50CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX28CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX30CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX32CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX34CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX36CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX38CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX40CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX42CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX44CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX46CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX48CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 14MMX50CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX30CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX32CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX34CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX36CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX38CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX40CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX42CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX44CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX46CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX48CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 15MMX50CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX30CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX32CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX34CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX36CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX38CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX40CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX42CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX44CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX46CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX48CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 16MMX50CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX24CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX26CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX28CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX30CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX32CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX34CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX36CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX38CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX40CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX42CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 8MMX44CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX24CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX26CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX28CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX30CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX32CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX34CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX36CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX38CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX40CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX42CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX44CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN 9MMX46CM*DISC*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM M/DN ZIMM 11MMX24CM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEM PEDS 5.5MM 30CM*DISC*,6696.0,5356.8,1.0,6026.4,26
HCPCS,C1713,NAIL FEM PEDS 5.5MM 34CM*DISC*,6696.0,5356.8,1.0,6026.4,26
HCPCS,C1713,NAIL FEM PEDS 6.5MM 36CM*DISC*,6696.0,5356.8,1.0,6026.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT 10X360MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT 10X380MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT 10X400MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT 10X420MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT 10X440MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT 11X400MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT 11X440MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT 12X320MM,8366.0,6692.8,1.0,7529.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT 12X380MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT 12X440MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT10X340MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT11X360MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM LFT11X380MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 10X340MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 10X360MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 10X380MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 10X400MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 10X420MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 10X440MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 11X380MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 11X400MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 11X420MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 12X400MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 12X420MM,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM RT 9X36*NLU*,8366.0,6692.8,1.0,7529.4,26
HCPCS,C1713,NAIL FEM PIRIFORM STER RT9X320,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM STER RT9X340,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM STER RT9X380,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM STER RT9X400,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM STER RT9X420,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM STER RT9X440,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM STERLFT9X360,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM STERLFT9X380,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORM STERRT12X440,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORMSTERLFT11X420,8046.0,6436.8,1.0,7241.4,26
HCPCS,C1713,NAIL FEM PIRIFORMSTERLFT14X420,8690.0,6952.0,1.0,7821.0,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT 9X300,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT 9X360,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT 9X380,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT 9X400,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT10X360,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT10X380,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT10X400,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT10X420,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X340,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X360,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X380,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X400,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X420,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X44,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT12X380,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT12X400,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT12X420,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT13X380,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT13X400,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT13X420,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TI RT15X420,5784.0,4627.2,1.0,5205.6,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT10X380,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT10X400,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT10X420,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT11X360,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT11X380,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT11X400,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X360,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X380,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X400,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X420,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT13X400,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RECON LAT TILFT13X420,5429.0,4343.2,1.0,4886.1,26
HCPCS,C1713,NAIL FEM RETRO ZIMM 13M*DISC*,9360.0,7488.0,1.0,8424.0,26
HCPCS,C1713,NAIL FEM RETROGR*DISC NO REPL*,5083.5,4066.8,1.0,4649.4,156
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X160,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X200,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X240,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X280,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X300,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X320,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X340,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X380,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X400,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X420,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X440,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X160,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X200,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X240,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X280,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X300,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X320,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X340,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X360,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X380,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X400,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X420,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X440,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X460,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X480,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRD STER10X340MM,11959.0,9567.2,1.0,10763.1,26
HCPCS,C1713,NAIL FEM RETROGRD STER10X360MM,11959.0,9567.2,1.0,10763.1,26
HCPCS,C1713,NAIL FEM RETROGRD STER10X400MM,11959.0,9567.2,1.0,10763.1,26
HCPCS,C1713,NAIL FEM RETROGRD STER11X220M,11959.0,9567.2,1.0,10763.1,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D 9X360,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D 9X460,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D 9X480,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X160,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X200,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X240,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X280,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X300,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X320,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X340,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X360,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X380,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X400,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X420,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X440,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X460,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X480,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X160,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X200,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X240,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X280,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X300,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X320,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X340,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X360,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X380,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X400,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X420,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X440,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X460,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X480,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X160,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X200,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X240,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X280,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X300,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X320,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X340,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X360,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X380,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X400,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X420,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X440,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X460,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X480,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D14X360,8108.0,6486.4,1.0,7297.2,26
HCPCS,C1713,NAIL FEM RETROGRD STER5D14X400,8108.0,6486.4,1.0,7297.2,26
HCPCS,C1713,NAIL FEM RETROGRD TI 13X160MM,5155.0,4124.0,1.0,4639.5,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X160,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X200,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X240,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X280,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X300,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X320,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X340,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X360,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X380,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X400,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X420,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X440,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X460,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X480,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X200,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X240,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X280,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X320,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X340,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X360,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X400,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X420,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X440,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X460,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X480,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X160,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X200,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X240,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X280,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X300,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X320,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X340,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X360,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X380,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X400,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X420,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X440,8286.0,6628.8,1.0,7457.4,26
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X460,8609.0,6887.2,1.0,7748.1,26
HCPCS,C1713,NAIL FEM RETROGRDSTERSTD14X380,7464.0,5971.2,1.0,6717.6,26
HCPCS,C1713,NAIL FEM RETROGRDSTERSTD14X420,8108.0,6486.4,1.0,7297.2,26
HCPCS,C1713,NAIL FEM STER 14X150MM,6325.0,5060.0,1.0,5692.5,26
HCPCS,C1713,NAIL FEM STER 14X200MM,6325.0,5060.0,1.0,5692.5,26
HCPCS,C1713,NAIL FEM T2 PF LFT 11X420MM,11434.0,9147.2,1.0,10290.6,26
HCPCS,C1713,NAIL FEM T2 PF STER RT10X360MM,11434.0,9147.2,1.0,10290.6,26
HCPCS,C1713,NAIL FEM T2GTN STER RT 8X380,8571.0,6856.8,1.0,7713.9,26
HCPCS,C1713,NAIL FEM TROCH 65D 11.5X250MM,48277.0,38621.6,1.0,43449.3,26
HCPCS,C1713,NAIL FEM TROCH 80D 10.7X275MM,60819.0,48655.2,1.0,54737.1,26
HCPCS,C1713,NAIL FEM TROCH 80D 11.5X280MM,49726.0,39780.8,1.0,44753.4,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX16CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX200M,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX24CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX28CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX30CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX32CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX34CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX38CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX40CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX42CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX44CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX16CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX20CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX24CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX28CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX30CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX32CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX38CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX40CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX42CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX44CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX16CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX20CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX24CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX28CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX34CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX38CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX40CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX42CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX44CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAIL FEMUR F/D PEMD 4.0MM,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1713,NAIL FEMUR MALE F/D SS 4.0MM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FEMUR MALE F/D SS 4X333MM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,NAIL FIB FLEXTHRDSTERTI3.5X130,15925.0,12740.0,1.0,14332.5,26
HCPCS,C1713,NAIL FIB FLEXTHRDSTERTI3.5X180,15925.0,12740.0,1.0,14332.5,26
HCPCS,C1713,NAIL FIB FLEXTHRDSTERTI4.5X130,15925.0,12740.0,1.0,14332.5,26
HCPCS,C1713,NAIL FIB FLEXTHRDSTERTI4.5X180,15925.0,12740.0,1.0,14332.5,26
HCPCS,C1713,NAIL FIB LFT 3.0X130MM,11531.0,9224.8,1.0,10377.9,26
HCPCS,C1713,NAIL FIB LFT 3.0X180MM,11531.0,9224.8,1.0,10377.9,26
HCPCS,C1713,NAIL FIB LFT 3.8X130MM,11531.0,9224.8,1.0,10377.9,26
HCPCS,C1713,NAIL FIB LFT 3.8X180MM,11531.0,9224.8,1.0,10377.9,26
HCPCS,C1713,NAIL FIB NAIL 2 STER 2.6X110MM,11928.0,9542.4,1.0,10735.2,26
HCPCS,C1713,NAIL FIB NAIL 2 STER 2.6X145MM,11928.0,9542.4,1.0,10735.2,26
HCPCS,C1713,NAIL FIB NAIL 2 STER 3.6X270MM,11928.0,9542.4,1.0,10735.2,26
HCPCS,C1713,NAIL FIB RT 3.0X130MM,11531.0,9224.8,1.0,10377.9,26
HCPCS,C1713,NAIL FIB RT 3.0X180MM,11531.0,9224.8,1.0,10377.9,26
HCPCS,C1713,NAIL FIB RT 3.8X130MM,11531.0,9224.8,1.0,10377.9,26
HCPCS,C1713,NAIL FIB RT 3.8X180MM,11531.0,9224.8,1.0,10377.9,26
HCPCS,C1713,NAIL FIB STER TI LFT 2.8X130MM,9550.0,7640.0,1.0,8595.0,26
HCPCS,C1713,NAIL FIB STER TI LFT 3.4X130MM,9550.0,7640.0,1.0,8595.0,26
HCPCS,C1713,NAIL FIB STER TI LFT 4.0X130MM,8801.0,7040.8,1.0,7920.9,26
HCPCS,C1713,NAIL FIB STER TI LFT 4.0X180MM,9550.0,7640.0,1.0,8595.0,26
HCPCS,C1713,NAIL FIB STER TI RT 2.8X130MM,1734.0,1387.2,1.0,1560.6,26
HCPCS,C1713,NAIL FIB STER TI RT 5.5X130MM,9550.0,7640.0,1.0,8595.0,26
HCPCS,C1713,NAIL FIB STER TI RT 5.5X180MM,9550.0,7640.0,1.0,8595.0,26
HCPCS,C1713,NAIL FIB TROCH 125D 11X170MM,7813.0,6250.4,1.0,7031.7,26
HCPCS,C1713,NAIL FLEX T2 PEDS STER 2.5X300,2042.0,1633.6,1.0,1837.8,26
HCPCS,C1713,NAIL FLEX T2 PEDS STER 2.5X450,2043.0,1634.4,1.0,1838.7,26
HCPCS,C1713,NAIL FLEX T2 PEDS STER 3.0X450,2099.0,1679.2,1.0,1889.1,26
HCPCS,C1713,NAIL FUSN DYNANAIL 10MMX22CM,25841.0,20672.8,1.0,23256.9,26
HCPCS,C1713,NAIL FUSN DYNANAIL 12MMX22CM,25841.0,20672.8,1.0,23256.9,26
HCPCS,C1713,NAIL FUSN DYNANAIL XL10MMX26CM,28739.0,22991.2,1.0,25865.1,26
HCPCS,C1713,NAIL FUSN DYNANAIL XL10MMX30CM,28739.0,22991.2,1.0,25865.1,26
HCPCS,C1713,NAIL FUSN DYNANAIL XL12MMX26CM,28739.0,22991.2,1.0,25865.1,26
HCPCS,C1713,NAIL FUSN DYNANAIL XL12MMX30CM,28739.0,22991.2,1.0,25865.1,26
HCPCS,C1713,NAIL FUSN MINI DYNANAIL7.0X110,15738.0,12590.4,1.0,14164.2,26
HCPCS,C1713,NAIL FUSN MINI DYNANAIL7.0X130,15738.0,12590.4,1.0,14164.2,26
HCPCS,C1713,NAIL GAMMA LFT*DISC NO REPL*,8335.0,6668.0,1.0,7501.5,182
HCPCS,C1713,NAIL GAMMA RT L*DISC NO REPL*,7834.0,6267.2,1.0,7050.6,182
HCPCS,C1713,NAIL GAMMA RT LN*DISC NO REPL*,7834.0,6267.2,1.0,7050.6,26
HCPCS,C1713,NAIL GAMMA3 LFT LNG 125D10X340,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 LFT LNG 125D10X360,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 LFT LNG 125D10X380,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 LFT LNG 125D10X400,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 LFT LNG 125D13X400,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 LFT LNG 130D10X320,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 LFT LNG 130D10X380,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 LFT LNG 130D10X400,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 LFT*DISC NO REPL*,7834.0,6267.2,1.0,7050.6,208
HCPCS,C1713,NAIL GAMMA3 RT L*DISC NO REPL*,7834.0,6267.2,1.0,7050.6,208
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 10X360,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 10X380,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 10X400,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 10X420,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X400,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X420,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X440,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 10X340,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 10X400,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 11X300,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 11X320,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 11X360,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 11X380,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL GAMMA4 LFT LNG 130D11X380,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1713,NAIL GAMMA4 RT LNG 125D 12X280,9325.0,7460.0,1.0,8392.5,26
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X60,15733.0,12586.4,1.0,14159.7,26
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X65,15733.0,12586.4,1.0,14159.7,26
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X70,15733.0,12586.4,1.0,14159.7,26
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X75,15733.0,12586.4,1.0,14159.7,26
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X80,15733.0,12586.4,1.0,14159.7,26
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X85,15733.0,12586.4,1.0,14159.7,26
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X95,15733.0,12586.4,1.0,14159.7,26
HCPCS,C1713,NAIL HINDFT CANN LFT TI 10X150,6993.0,5594.4,1.0,6293.7,26
HCPCS,C1713,NAIL HINDFT CANN LFT TI 10X180,6993.0,5594.4,1.0,6293.7,26
HCPCS,C1713,NAIL HINDFT CANN LFT TI 10X240,6993.0,5594.4,1.0,6293.7,26
HCPCS,C1713,NAIL HINDFT CANN LFT TI 12X180,6993.0,5594.4,1.0,6293.7,26
HCPCS,C1713,NAIL HINDFT CANN LFT TI 12X240,6993.0,5594.4,1.0,6293.7,26
HCPCS,C1713,NAIL HINDFT CANN LFT TI 13X180,7201.0,5760.8,1.0,6480.9,26
HCPCS,C1713,NAIL HINDFT CANN RT TI 10X150,6993.0,5594.4,1.0,6293.7,26
HCPCS,C1713,NAIL HINDFT CANN RT TI 10X180,6993.0,5594.4,1.0,6293.7,26
HCPCS,C1713,NAIL HINDFT CANN RT TI 12X150,7201.0,5760.8,1.0,6480.9,26
HCPCS,C1713,NAIL HINDFT CANN RT TI 12X180,6993.0,5594.4,1.0,6293.7,26
HCPCS,C1713,NAIL HINDFT CANN RT TI 13X150,7201.0,5760.8,1.0,6480.9,26
HCPCS,C1713,NAIL HINDFT CANN RT TI 13X180,7201.0,5760.8,1.0,6480.9,26
HCPCS,C1713,NAIL HINDFT DUALCOMP10.5X180MM,31626.0,25300.8,1.0,28463.4,26
HCPCS,C1713,NAIL HINDFT DUALCOMP10.5X210MM,31625.0,25300.0,1.0,28462.5,26
HCPCS,C1713,NAIL HINDFT DUALCOMP11.5X180MM,31626.0,25300.8,1.0,28463.4,26
HCPCS,C1713,NAIL HINDFT DUALCOMP11.5X210MM,31626.0,25300.8,1.0,28463.4,26
HCPCS,C1713,NAIL HINDFT DUALCOMP11.5X240MM,31625.0,25300.0,1.0,28462.5,26
HCPCS,C1713,NAIL HINDFT DUALCOMP12.5X210MM,31625.0,25300.0,1.0,28462.5,26
HCPCS,C1713,NAIL HINDFT DUALCOMP12.5X240MM,31625.0,25300.0,1.0,28462.5,26
HCPCS,C1713,NAIL HIP AFFIXUS 130D 11X180MM,9648.0,7718.4,1.0,8683.2,26
HCPCS,C1713,NAIL HIP AFFIXUS 130D 13X180MM,9648.0,7718.4,1.0,8683.2,26
HCPCS,C1713,NAIL HUMR ARTX LNG 9MMX25CM,9991.0,7992.8,1.0,8991.9,26
HCPCS,C1713,NAIL HUMR LK T2 STER 6X13.5MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,NAIL HUMR LK T2 STER 7X250MM,6338.0,5070.4,1.0,5704.2,26
HCPCS,C1713,NAIL HUMR LK T2 STER 8X230MM,6338.0,5070.4,1.0,5704.2,26
HCPCS,C1713,NAIL HUMR LK T2 STER 8X240MM,6338.0,5070.4,1.0,5704.2,26
HCPCS,C1713,NAIL HUMR LK T2 STER 8X260MM,6338.0,5070.4,1.0,5704.2,26
HCPCS,C1713,NAIL HUMR LK T2 STER 8X280MM,6338.0,5070.4,1.0,5704.2,26
HCPCS,C1713,NAIL HUMR LK T2 STER 9X240MM,6338.0,5070.4,1.0,5704.2,26
HCPCS,C1713,NAIL HUMR LK T2 STER 9X260MM,6338.0,5070.4,1.0,5704.2,26
HCPCS,C1713,NAIL HUMR LK T2 STER 9X290MM,6338.0,5070.4,1.0,5704.2,26
HCPCS,C1713,NAIL HUMR M/DN 10MMX18CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 10MMX21CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 10MMX24CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 10MMX27CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 10MMX30CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 10X19.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 10X22.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 10X25.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 10X28.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 11MMX18CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 11MMX21CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 11MMX24CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 11MMX27CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 11MMX30CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 11X19.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 11X22.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 11X25.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 11X28.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 12MMX18CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 12MMX21CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 12MMX24CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 12MMX27CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 12MMX30CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 12X19.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 12X22.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 12X25.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 12X28.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 13MMX18CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 13MMX21CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 13MMX24CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 13MMX27CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 13MMX30CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 13X19.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 13X22.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 13X25.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 13X28.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 6MMX18CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 6MMX21CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 6MMX24CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 6MMX27CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 6MMX30CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 6X19.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 6X22.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 6X25.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 6X28.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 7MMX18CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 7MMX21CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 7MMX24CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 7MMX27CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 7MMX30CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 7X19.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 7X22.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 7X25.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 7X28.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 8MMX18CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 8MMX21CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 8MMX24CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 8MMX27CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 8MMX30CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 8X19.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 8X22.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 8X25.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 8X28.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 9MMX18CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 9MMX21CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 9MMX24CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 9MMX27CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 9MMX30CM*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 9X19.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 9X22.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 9X25.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR M/DN 9X28.5*DISC*,8712.0,6969.6,1.0,7840.8,26
HCPCS,C1713,NAIL HUMR MULTLOC LFT 7X240MM,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC LFT 7X255MM,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC RT 7X240MM,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC RT 7X255MM,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC RT 7X270MM,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC RT8.5X240MM,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC RT8.5X255MM,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC STER RT7X195,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC STER RT7X285,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC STERLFT7X195,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC STERLFT7X210,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC STERLFT7X225,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC STERLFT7X270,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC STERLFT7X285,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOC TILFT8.5X270,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOCSTERRT8.5X195,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOCSTERRT8.5X210,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOCSTERRT8.5X270,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOCSTERRT8.5X285,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOCTILFT8.5X195,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOCTILFT8.5X210,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOCTILFT8.5X240,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR MULTLOCTILFT8.5X285,7592.0,6073.6,1.0,6832.8,26
HCPCS,C1713,NAIL HUMR PROX AOSL 8.0MMX15CM,9991.0,7992.8,1.0,8991.9,26
HCPCS,C1713,NAIL HUMR PROX CANN TI 11X150M,6260.0,5008.0,1.0,5634.0,26
HCPCS,C1713,NAIL HUMR PROX CANN TI 7X150MM,6076.0,4860.8,1.0,5468.4,26
HCPCS,C1713,NAIL HUMR PROX CANN TI 9X150MM,6076.0,4860.8,1.0,5468.4,26
HCPCS,C1713,NAIL HUMR PROX T2 LFT LNG8X260,7708.0,6166.4,1.0,6937.2,26
HCPCS,C1713,NAIL HUMR PROX T2 RT 8X150,8479.0,6783.2,1.0,7631.1,26
HCPCS,C1713,NAIL HUMR PROX T2 RT LNG 8X260,7708.0,6166.4,1.0,6937.2,26
HCPCS,C1713,NAIL HUMR TORNIER LFT 8X130MM,10446.0,8356.8,1.0,9401.4,26
HCPCS,C1713,NAIL IM FEM FEMALE CMPNT 5.6,10780.0,8624.0,1.0,9702.0,26
HCPCS,C1713,NAIL IM FEMMALELNGCMPNT5.6X410,6930.0,5544.0,1.0,6237.0,26
HCPCS,C1713,NAIL IM PLTFM CHILD LFT 7X26MM,12718.0,10174.4,1.0,11446.2,26
HCPCS,C1713,NAIL INFRAME STER 2.0X12MM,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL INFRAME STER 2.0X18MM,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL INFRAME STER 2.0X24MM,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL INFRAME STER 2.0X28MM,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL INFRAME STER 2.0X34MM,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL INFRAME STER 2.0X38MM,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL INFRAME STER 2.0X40MM,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL INFRAME STER 2.0X42MM,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL INFRAME STER 2.0X44MM,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL INTRAMEDULLARYLFT11.5X150,10588.0,8470.4,1.0,9529.2,26
HCPCS,C1713,NAIL METACARPAL INNATE 3.6X35,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL METACARPAL INNATE 3.6X40,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL METACARPAL INNATE 3.6X50,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL METACARPAL INNATE 4.5X45,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1713,NAIL MIDFT VILX 7.5-115,21375.0,17100.0,1.0,19237.5,26
HCPCS,C1713,NAIL MIDFT VILX 7.5-125,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1713,NAIL MIDFT VILX 7.5-130,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1713,NAIL MIDFT VILX 7.5-135,21375.0,17100.0,1.0,19237.5,26
HCPCS,C1713,NAIL MIDFT VILX 7.5-140,21375.0,17100.0,1.0,19237.5,26
HCPCS,C1713,NAIL MIDFT VILX 8.2-110,21375.0,17100.0,1.0,19237.5,26
HCPCS,C1713,NAIL PROX HUMR STERTIRT8.0X160,7286.0,5828.8,1.0,6557.4,26
HCPCS,C1713,NAIL PROX HUMR STERTIRT9.5X160,7286.0,5828.8,1.0,6557.4,26
HCPCS,C1713,NAIL PROX HUMRSTERTILFT8.0X160,7286.0,5828.8,1.0,6557.4,26
HCPCS,C1713,NAIL PROX HUMRSTERTILFT9.5X160,7286.0,5828.8,1.0,6557.4,26
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X340,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X360,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X380,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X400,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X420,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X440,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X460,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D13X380,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D13X420,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X340,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X360,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X380,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X400,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X420,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X440,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X460,8101.0,6480.8,1.0,7290.9,26
HCPCS,C1713,NAIL R2.0 GAMMA3*DISC NO REPL*,8084.5,6467.6,1.0,7501.5,494
HCPCS,C1713,NAIL RECON STRYK RT 9X420MM,7215.0,5772.0,1.0,6493.5,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X14*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X16*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X18*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X20*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X22*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X24*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X26*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X28*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X30*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X32*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X34*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X36*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X38*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X40*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X42*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X44*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X46*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 10X48*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X14*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X16*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X18*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X20*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X22*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X24*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X26*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X28*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X30*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X32*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X34*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X36*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X38*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X40*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X42*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X44*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X46*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 11X48*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X14*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X16*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X18*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X20*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X22*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X24*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X26*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X28*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X30*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X32*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X34*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X36*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X38*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X40*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X42*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X44*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X46*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 12X48*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X14*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X16*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X18*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X20*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X22*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X24*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X26*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X28*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X30*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X32*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X34*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X36*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X38*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X40*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X42*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X44*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X46*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 13X48*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X14*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X16*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X18*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X20*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X22*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X24*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X26*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X28*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X30*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X32*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X34*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X36*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X38*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X40*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X42*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X44*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X46*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 14X48*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X14*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X16*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X18*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X20*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X22*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X24*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X26*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X28*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X30*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X32*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X34*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X36*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X38*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X40*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X42*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X44*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X46*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL RETROGRD M/DN 9X48*DISC*,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,NAIL SLV INSRT STER 8-11SPI,830.0,664.0,1.0,747.0,26
HCPCS,C1713,NAIL SM SHRT THRD 3.2X202MM,14700.0,11760.0,1.0,13230.0,26
HCPCS,C1713,NAIL STD SHRT THRD 3.2X197MM,14700.0,11760.0,1.0,13230.0,26
HCPCS,C1713,NAIL SYS GAMMA3 125D 10X170MM,7225.0,5780.0,1.0,6502.5,26
HCPCS,C1713,NAIL SYS OSSIOFBR STER 4X100MM,13703.0,10962.4,1.0,12332.7,26
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X235,6362.0,5089.6,1.0,5725.8,26
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X360,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X400,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X320,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X340,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X360,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X380,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X400,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X420,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X440,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X380,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X420,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X440,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X170,5534.0,4427.2,1.0,4980.6,26
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X320,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X340,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X380,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X400,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X420,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X440,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D10X170,5534.0,4427.2,1.0,4980.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D10X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D10X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D10X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D10X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D10X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D10X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D11X170,5534.0,4427.2,1.0,4980.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D11X320,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D11X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D11X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D11X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D11X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D11X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D11X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D12X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT125D12X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X235,6362.0,5089.6,1.0,5725.8,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X260,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X280,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X300,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X320,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D10X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D11X170,5534.0,4427.2,1.0,4980.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D11X235,6362.0,5089.6,1.0,5725.8,26
HCPCS,C1713,NAIL TFNA TI STER RT130D11X300,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D11X320,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D11X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D11X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D11X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D11X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D11X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D11X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D12X235,6362.0,5089.6,1.0,5725.8,26
HCPCS,C1713,NAIL TFNA TI STER RT130D12X320,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D12X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D12X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D12X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D12X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D12X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D12X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D12X460,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D14X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D14X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D14X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D14X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D14X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STER RT130D9X360,8734.0,6987.2,1.0,7860.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X320,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X235,6362.0,5089.6,1.0,5725.8,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X320,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X235,6362.0,5089.6,1.0,5725.8,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X235,6362.0,5089.6,1.0,5725.8,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X260,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X280,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X300,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X320,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X235,6362.0,5089.6,1.0,5725.8,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X300,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X320,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X235,6362.0,5089.6,1.0,5725.8,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X320,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X460,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X340,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X360,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X380,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X420,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X440,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TI STERLFT135D11X400,8284.0,6627.2,1.0,7455.6,26
HCPCS,C1713,NAIL TFNA TISTERSHRT125D12X170,5534.0,4427.2,1.0,4980.6,26
HCPCS,C1713,NAIL TFNA TISTERSHRT130D10X170,5534.0,4427.2,1.0,4980.6,26
HCPCS,C1713,NAIL TFNA TISTERSHRT130D12X170,5534.0,4427.2,1.0,4980.6,26
HCPCS,C1713,NAIL TI METACARPAL STD 4.6MM,5531.0,4424.8,1.0,4977.9,26
HCPCS,C1713,NAIL TIB ADV STER 10X255MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 10X270MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 10X285MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 10X300MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 10X315MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 10X330MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 10X345MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 10X360MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 10X375MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 10X390MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 10X405MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 10X420MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 10X435MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 10X450MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 10X465MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 11X255MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 11X270MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 11X285MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 11X300MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 11X315MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 11X330MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 11X345MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 11X360MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 11X375MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 11X390MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 11X405MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 11X420MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 11X435MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 11X450MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 11X465MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 12X255MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 12X270MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 12X285MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 12X300MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 12X315MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 12X360MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 12X375MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 12X390MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 12X405MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 12X420MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 12X435MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 12X450MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 12X465MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 13X255MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X270MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X285MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X300MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X315MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X330MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X345MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X360MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X375MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X390MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X405MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X420MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X435MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X450MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 13X465MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X255MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X270MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X285MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X300MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X330MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X360MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X375MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X390MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X405MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X420MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X435MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X450MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 8X465MM,6889.0,5511.2,1.0,6200.1,26
HCPCS,C1713,NAIL TIB ADV STER 9X255MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 9X270MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 9X285MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 9X300MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 9X315MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 9X330MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 9X345MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 9X360MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 9X375MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 9X405MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 9X420MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER 9X435MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 9X450MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER 9X465MM,6568.0,5254.4,1.0,5911.2,26
HCPCS,C1713,NAIL TIB ADV STER12X330MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB ADV STER12X345MM,6247.0,4997.6,1.0,5622.3,26
HCPCS,C1713,NAIL TIB CANN 10X285MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 10X300MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 10X315MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 10X330MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 10X345MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 10X360MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 10X375MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 10X390MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 10X405MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 11X285MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 11X300MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 11X315MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 11X330MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 11X345MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 11X360MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 11X375MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 11X390MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 11X405MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 12X300MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 12X315MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 12X330MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 12X345MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 12X360MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 12X375MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 12X390MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 13X330MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 13X345MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 13X360MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 13X375MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 13X390MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 8X285MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 8X300MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 8X315MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 8X330MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 8X345MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 8X360MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 8X375MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 8X405MM,5872.0,4697.6,1.0,5284.8,26
HCPCS,C1713,NAIL TIB CANN 9X285MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 9X300MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 9X315MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 9X330MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 9X345MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 9X360MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 9X375MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB CANN 9X390MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,NAIL TIB M/DN 10MMX18CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX20CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX22CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX24CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX26CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX28CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX30CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX32CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX34CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX36CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX38CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX40CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 10MMX42CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX18CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX20CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX22CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX24CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX26CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX28CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX30CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX32CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX34CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX36CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX38CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX40CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX42CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 11MMX46CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX20CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX22CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX24CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX26CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX28CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX30CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX32CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX34CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX36CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX38CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX40CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX42CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 12MMX46CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX22CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX24CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX26CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX28CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX30CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX32CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX34CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX36CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX38CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX40CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX42CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 13MMX46CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 14MMX24CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 14MMX26CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 14MMX28CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 14MMX30CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 14MMX32CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 14MMX34CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 14MMX36CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 14MMX38CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 14MMX40CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 14MMX42CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 15MMX24CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 15MMX26CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 15MMX28CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 15MMX30CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 15MMX32CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 15MMX34CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 15MMX36CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 15MMX38CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 15MMX40CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 15MMX42CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX18CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX20CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX22CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX24CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX26CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX28CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX30CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX32CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX34CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX36CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 6MMX38CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX18CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX20CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX22CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX24CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX26CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX28CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX30CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX32CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX34CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX36CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX38CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 7MMX40CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX18CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX20CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX22CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX24CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX26CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX28CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX30CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX32CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX34CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX36CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX38CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX40CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 8MMX42CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX18CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX20CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX22CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX24CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX26CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX28CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX30CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX32CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX34CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX36CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX38CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX40CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB M/DN 9MMX42CM*DISC*,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 8X345MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X270MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X285MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X300MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X315MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X330MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X345MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X360MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X375MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X390MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X405MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X420MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X270MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X285MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X300MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X310MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X330MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X345MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X360MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X375MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X390MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X405MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X420MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X270MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X285MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X300MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X315MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X330MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X345MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X360MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X375MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X405MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X420MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X270MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X285MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X300MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X315MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X330MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X360MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X375MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X390MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X405MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X420MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHA STER14X330MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 ALPHASTER12X47.5MM,8963.0,7170.4,1.0,8066.7,26
HCPCS,C1713,NAIL TIB T2 STD 10X330MM,6286.0,5028.8,1.0,5657.4,26
HCPCS,C1713,NAIL TIB T2 STD 11X360MM,6286.0,5028.8,1.0,5657.4,26
HCPCS,C1713,NAIL TIB T2 STD 11X405MM,6286.0,5028.8,1.0,5657.4,26
HCPCS,C1713,NAIL TIB T2 STD 12X360MM,6286.0,5028.8,1.0,5657.4,26
HCPCS,C1713,NAIL TIB T2 STD 12X375MM,6286.0,5028.8,1.0,5657.4,26
HCPCS,C1713,NAIL TIB T2 STD 12X420MM,6286.0,5028.8,1.0,5657.4,26
HCPCS,C1713,NAIL TIB T2 STD 9X315MM,6286.0,5028.8,1.0,5657.4,26
HCPCS,C1713,NAIL TIB T2 STD 9X330MM,6286.0,5028.8,1.0,5657.4,26
HCPCS,C1713,NAIL TIB T2 STD 9X345MM,6286.0,5028.8,1.0,5657.4,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X170MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X200MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X260MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X280MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X300MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X320MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X340MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X360MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X380MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X400MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X440MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X200MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X260MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X300MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X320MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X340MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X360MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X380MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X320MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X340MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X360MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X380MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X400MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X360MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X380MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X400MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X200MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X360MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X380MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X400MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X420MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X170MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X200MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X260MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X280MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X300MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X320MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X360MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X380MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X400MM,8335.0,6668.0,1.0,7501.5,26
HCPCS,C1713,NAIL TIB/HUMR FEMALE 4X333MM,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1713,NAIL TIB/HUMR STD SHRT 4X333MM,14700.0,11760.0,1.0,13230.0,26
HCPCS,C1713,NAIL TRIGEN ADOLESCENT 8.5X34,8749.0,6999.2,1.0,7874.1,26
HCPCS,C1713,NAIL TROCH ES LFT130D11MMX33CM,10133.0,8106.4,1.0,9119.7,26
HCPCS,C1713,NAIL TROCH ES LFT130D11MMX39CM,11146.0,8916.8,1.0,10031.4,26
HCPCS,C1713,NAIL TROCH ES RT 130D11MMX42CM,11146.0,8916.8,1.0,10031.4,26
HCPCS,C1713,NAIL TROCH GAMMA4 130D 11X170,7813.0,6250.4,1.0,7031.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X300,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X320,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X340,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X360,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X380,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X400,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X420,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X440,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X460,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X300,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X320,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X340,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X360,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X380,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X400,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X420,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X440,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X460,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X300,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X320,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X340,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X360,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X380,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X400,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X420,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X440,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X460,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X300,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X320,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X340,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X360,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X380,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X400,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X420,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X440,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X460,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X300,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X320,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X340,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X360,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X380,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X400,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X420,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X440,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X460,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X300,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X320,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X340,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X360,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X380,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X400,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X420,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X440,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X460,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X300,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X320,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X340,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X360,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X380,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X400,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X420,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X440,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X460,8651.0,6920.8,1.0,7785.9,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X300,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X320,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X340,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X360,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X380,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X400,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X420,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X440,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X460,8915.0,7132.0,1.0,8023.5,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X300,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X320,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X340,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X360,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X380,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X400,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X420,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X440,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X460,8373.0,6698.4,1.0,7535.7,26
HCPCS,C1713,NAIL TROCH TI 125D 10X170MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 125D 10X235MM,5895.0,4716.0,1.0,5305.5,26
HCPCS,C1713,NAIL TROCH TI 125D 11X170MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 125D 11X235MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 125D 12X170MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 125D 12X235MM,6363.0,5090.4,1.0,5726.7,26
HCPCS,C1713,NAIL TROCH TI 130D 10X170MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 130D 10X235MM,5895.0,4716.0,1.0,5305.5,26
HCPCS,C1713,NAIL TROCH TI 130D 11X170MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 130D 11X235MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 130D 12X170MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 130D 12X235MM,6363.0,5090.4,1.0,5726.7,26
HCPCS,C1713,NAIL TROCH TI 135D 10X170MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 135D 10X235MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 135D 11X170MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 135D 11X235MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 135D 12X170MM,5709.0,4567.2,1.0,5138.1,26
HCPCS,C1713,NAIL TROCH TI 135D 12X235MM,6363.0,5090.4,1.0,5726.7,26
HCPCS,C1713,NAIL ULNA FLEXTHRD 4.5X210MM,15925.0,12740.0,1.0,14332.5,26
HCPCS,C1713,NAIL UNIFLEX 3.0X160CM*DISC*,12780.0,10224.0,1.0,11502.0,26
HCPCS,C1713,NAIL VALOR LFT MD 10X200MM,9752.0,7801.6,1.0,8776.8,26
HCPCS,C1713,NAIL VALOR LFT SM 11.5X150MM,9752.0,7801.6,1.0,8776.8,26
HCPCS,C1713,NAIL VALOR RT MD 10X200MM,9752.0,7801.6,1.0,8776.8,26
HCPCS,C1713,NAIL VERSANAIL 10MMX15CM*DISC*,10388.0,8310.4,1.0,9349.2,26
HCPCS,C1713,NAIL VERSANAIL 10MMX20CM*DISC*,10388.0,8310.4,1.0,9349.2,26
HCPCS,C1713,NAIL VERSANAIL 12MMX20CM*DISC*,10388.0,8310.4,1.0,9349.2,26
HCPCS,C1713,NAIL VERSANAIL 12MMX25CM*DISC*,10388.0,8310.4,1.0,9349.2,26
HCPCS,C1713,NAIL Z CANC PART 6.0X60MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,NAIL Z CANC PART 6.0X65MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,NAIL Z RF UNIV 13MMX32CM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1713,NAILEX LAT ENTRY TI LFT 9X300,5713.0,4570.4,1.0,5141.7,26
HCPCS,C1713,NAILEX LAT ENTRY TI LFT 9X360,5713.0,4570.4,1.0,5141.7,26
HCPCS,C1713,NAILEX LAT ENTRY TI LFT8.2X360,5713.0,4570.4,1.0,5141.7,26
HCPCS,C1713,NAILEX LAT ENTRY TI RT 9X280,5713.0,4570.4,1.0,5141.7,26
HCPCS,C1713,NAILEX LAT ENTRY TI RT 9X300,5713.0,4570.4,1.0,5141.7,26
HCPCS,C1713,NAILEX LAT ENTRY TI RT 9X380,5713.0,4570.4,1.0,5141.7,26
HCPCS,C1713,NAILEX LAT ENTRY TIRT8.2X300MM,5713.0,4570.4,1.0,5141.7,26
HCPCS,C1713,NDLE FAST FIX 360 CURV,3536.0,2828.8,1.0,3182.4,26
HCPCS,C1713,NUT CORT SCREW 4.5MM,248.0,198.4,1.0,223.2,26
HCPCS,C1713,NUT CORT SCREW 5MM,1121.0,896.8,1.0,1008.9,26
HCPCS,C1713,NUT LK SPNL OCT SYMPY,500.0,400.0,1.0,450.0,26
HCPCS,C1713,NUT SCREW COND STRY 5MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,OLIVE WIRE MF NONTHRD POLYLOCK,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1713,ORB PLATE 00078 IPS TICUST,15985.0,12788.0,1.0,14386.5,26
HCPCS,C1713,ORB PLATE 00080 IPS TICUST,19248.0,15398.4,1.0,17323.2,26
HCPCS,C1713,ORB PLATE 2 WALL LP TI-6AL-4V,19248.0,15398.4,1.0,17323.2,26
HCPCS,C1713,P AN THRD TROC 1/8X9*DISC*,240.0,192.0,1.0,216.0,26
HCPCS,C1713,P ANN BYNT 4.7X228.6*DISC*,240.0,192.0,1.0,216.0,26
HCPCS,C1713,PASR SUT SWIFTSTITCH CRESENT,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,PEG ANK LK CORT ACUM 2.3X26MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X10MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X12MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X14MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X15MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X16MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X18MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X20MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X22MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X24MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X28MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG INTERLK 3.8X25MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,PEG INTERLK 3.8X33MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,PEG LK HIGH COMP TI 2.7X10MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,PEG LK SMTH DVR ZIMM 2.2X18MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,PEG LK SMTH SKDY 2.0X14MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,PEG LK SMTH ZIMM 2X30MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X10MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X12MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X14MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X16MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X18MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X20MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,PEG NL THRD SKDY 2.7X18MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,PEG PART THRD ZIMM 2.5X14MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG PART THRD ZIMM 2.5X16MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG PART THRD ZIMM 2.5X18MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG PART THRD ZIMM 2.5X20MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG PART THRD ZIMM 2.5X22MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG PART THRD ZIMM 2.5X24MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG PART THRD ZIMM 2.5X26MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG PART THRD ZIMM 2.5X28MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG PART THRD ZIMM 2.5X30MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG SMTH LK 2.2X16MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,PEG SMTH TORX 1.8X22MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,PEG SMTH ZIMM 2.0X14MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG SMTH ZIMM 2.0X16MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG SMTH ZIMM 2.0X18MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG SMTH ZIMM LNG 20MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG SMTH ZIMM LNG 22MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG SMTH ZIMM LNG 24MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG SMTH ZIMM LNG 26MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X12MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X14MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X15MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X16MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X18MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X22MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X24MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PEG THRD PHANTOM 2.7X16MM,1951.0,1560.8,1.0,1755.9,26
HCPCS,C1713,PEG THRD PHANTOM 2.7X18MM,1951.0,1560.8,1.0,1755.9,26
HCPCS,C1713,PEG THRD PHANTOM 2.7X26MM,1951.0,1560.8,1.0,1755.9,26
HCPCS,C1713,PEG THRD PHANTOM 3.5X52MM,1951.0,1560.8,1.0,1755.9,26
HCPCS,C1713,PEG THRD PHANTOM 3.5X54MM,1951.0,1560.8,1.0,1755.9,26
HCPCS,C1713,PEG THRD PHANTOM 3.5X60MM,1951.0,1560.8,1.0,1755.9,26
HCPCS,C1713,PEG THRD PHANTOM 3.5X66MM,1951.0,1560.8,1.0,1755.9,26
HCPCS,C1713,PEG THRD PHANTOM 3.5X70MM,1951.0,1560.8,1.0,1755.9,26
HCPCS,C1713,PEG THRD PHANTOM 5.0X30MM,2420.0,1936.0,1.0,2178.0,26
HCPCS,C1713,PEG THRD PHANTOM 7.2X70MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PEG WRIST LK CORT ACUM2.3X22MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PIN ANK NEWC 1.6X150MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,PIN ANK NEWC 2.2X200MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,PIN AXIS IJS-E 2.5X50MM,2896.0,2316.8,1.0,2606.4,26
HCPCS,C1713,PIN AXIS IJS-E 2.5X60MM,2896.0,2316.8,1.0,2606.4,26
HCPCS,C1713,PIN BTRS STARDR1.8X14MM,817.0,653.6,1.0,735.3,26
HCPCS,C1713,PIN BTRS STARDR1.8X18MM,817.0,653.6,1.0,735.3,26
HCPCS,C1713,PIN BTRS STARDR1.8X20MM,817.0,653.6,1.0,735.3,26
HCPCS,C1713,PIN BTRS VOLAR TRMI 32MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X200,776.0,620.8,1.0,698.4,26
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X225,776.0,620.8,1.0,698.4,26
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X250,776.0,620.8,1.0,698.4,26
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X275,776.0,620.8,1.0,698.4,26
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X300,776.0,620.8,1.0,698.4,26
HCPCS,C1713,PIN CLAV SET MIDSHAFT ANSR,11155.0,8924.0,1.0,10039.5,26
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X12,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X22,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X26,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X28,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X30,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X50,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,PIN CRANFAC SONICPINS RXG2.1X4,4073.0,3258.4,1.0,3665.7,26
HCPCS,C1713,PIN CRANFAC SONICPINS RXG2.1X5,4073.0,3258.4,1.0,3665.7,26
HCPCS,C1713,PIN CROSS RIGIDFIX TENDON,3040.0,2432.0,1.0,2736.0,26
HCPCS,C1713,PIN FIX DOCKING 3.3X10MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PIN FIX FLUTE CAS 3.2X150MM,250.0,200.0,1.0,225.0,26
HCPCS,C1713,PIN FIX SHRT HD 34MM,248.0,198.4,1.0,223.2,26
HCPCS,C1713,PIN FIX STER SS 1/8X3,605.0,484.0,1.0,544.5,26
HCPCS,C1713,PIN FIX TMPR ACP GM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PIN FIX TMPR MINI SMTH1.1X10MM,935.0,748.0,1.0,841.5,26
HCPCS,C1713,PIN FIX TMPR MINI THRD1.1X10MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PIN FIX TMPR SMTH 1.1X15MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PIN FIX TMPR SMTH 2.0X20MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PIN GD ALTIVATE SHLDR 3.2X152,2464.0,1971.2,1.0,2217.6,26
HCPCS,C1713,PIN NTHRD BB-TAK ARTX,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,PIN OLIVE,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,PIN OLIVE SM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,PIN RDCTN CNCLS VARIAX 5.0MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PIN SMTH TACK FIX ORTF,935.0,748.0,1.0,841.5,26
HCPCS,C1713,PIN STEINMAN BLNT SHRT 22*NLU*,440.0,352.0,1.0,396.0,26
HCPCS,C1713,PIN STEINMAN DBL*DISC NO REPL*,133.0,106.4,1.0,119.7,78
HCPCS,C1713,PIN STEINMAN DYNANAIL 3.1MM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1713,PIN STEINMAN HDLSS 3,142.0,113.6,1.0,127.8,26
HCPCS,C1713,PIN STEINMAN QK LNG 2.8MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PIN STEINMAN QK LNG 2MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC1/8,37.0,29.6,1.0,33.3,26
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC3/16,46.0,36.8,1.0,41.4,26
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC3/32,29.0,23.2,1.0,26.1,26
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC5/32,46.0,36.8,1.0,41.4,26
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC5/64,29.0,23.2,1.0,26.1,26
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC7/64,29.0,23.2,1.0,26.1,26
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC9/64,37.0,29.6,1.0,33.3,26
HCPCS,C1713,PIN STEINMAN SMTH DIMNDSTER1/8,54.0,43.2,1.0,48.6,26
HCPCS,C1713,PIN STEINMAN SMTH SGL STER5/32,54.0,43.2,1.0,48.6,26
HCPCS,C1713,PIN STEINMAN SMTH SGL STER5/64,46.0,36.8,1.0,41.4,26
HCPCS,C1713,PIN STEINMAN SMTH SGL TROC3/32,29.0,23.2,1.0,26.1,26
HCPCS,C1713,PIN STEINMAN THRD 1/8 9,73.0,58.4,1.0,65.7,26
HCPCS,C1713,PIN STEINMAN THRD 1/8X2.5,1547.0,1237.6,1.0,1392.3,26
HCPCS,C1713,PIN STEINMAN THRD 3/16 9,73.0,58.4,1.0,65.7,26
HCPCS,C1713,PIN STEINMAN THRD 3/32 9,73.0,58.4,1.0,65.7,26
HCPCS,C1713,PIN STEINMAN THRD 5/32 9,73.0,58.4,1.0,65.7,26
HCPCS,C1713,PIN STEINMAN THRD 5/64 9,73.0,58.4,1.0,65.7,26
HCPCS,C1713,PIN STEINMAN THRD 7/64 9,73.0,58.4,1.0,65.7,26
HCPCS,C1713,PIN STEINMAN THRD 9/64 9,73.0,58.4,1.0,65.7,26
HCPCS,C1713,PIN STEINMAN THRDSGLTROC3/32X9,73.0,58.4,1.0,65.7,26
HCPCS,C1713,PIN STEINMAN TROC ZIMM 2.0MM,264.0,211.2,1.0,237.6,26
HCPCS,C1713,PIN STEINMAN TROC ZIMM 3.6MM,1121.0,896.8,1.0,1008.9,26
HCPCS,C1713,PIN STEINMAN TYPE F 5/64X9,265.0,212.0,1.0,238.5,26
HCPCS,C1713,PIN STEINMAN ZIMM 0.14X9*DISC*,480.0,384.0,1.0,432.0,26
HCPCS,C1713,PIN STEINMAN ZIMM 3.2X9MM,918.0,734.4,1.0,826.2,26
HCPCS,C1713,PIN STEINMAN ZIMM 3/32IN*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,PIN STEINMANN STER 3.2X178MM,707.0,565.6,1.0,636.3,26
HCPCS,C1713,PIN STEINMANN THRD 2.8X229MM,247.0,197.6,1.0,222.3,26
HCPCS,C1713,PIN STEINMANN THRD 3.2MMX9IN,859.0,687.2,1.0,773.1,26
HCPCS,C1713,PIN STEINMANN THRD2MMX9IN*CIP*,240.0,192.0,1.0,216.0,26
HCPCS,C1713,PIN STEINMANN3.6X228.6MM*DISC*,240.0,192.0,1.0,216.0,26
HCPCS,C1713,PIN STEINMANN3.9X228.6MM*DISC*,240.0,192.0,1.0,216.0,26
HCPCS,C1713,PIN TEMP FIX CLAW II 1.1MM,665.0,532.0,1.0,598.5,26
HCPCS,C1713,PIN TEMP FIX ORTHOLOC SM 1.4MM,644.0,515.2,1.0,579.6,26
HCPCS,C1713,PIN TEMP FIX OZARK COARSE,440.0,352.0,1.0,396.0,26
HCPCS,C1713,PIN THRD BB-TAK MTP 3.0MM,842.0,673.6,1.0,757.8,26
HCPCS,C1713,PIN THRD COLARLESS SZ5.1 2PK,2220.0,1776.0,1.0,1998.0,26
HCPCS,C1713,PIN THRD HD STER 3.2X67MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,PIN THRD SIGMA HP HEADED STER,978.0,782.4,1.0,880.2,26
HCPCS,C1713,PIN THRD STER SS 3.2X76.2MM,288.0,230.4,1.0,259.2,26
HCPCS,C1713,PIN TMPR FIX BONE 22MM*NLU*,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,PLATE 1/3 TUBLR 10HL 119MM,3448.0,2758.4,1.0,3103.2,26
HCPCS,C1713,PLATE 1/3 TUBLR 10HL 3.5X122MM,4532.0,3625.6,1.0,4078.8,26
HCPCS,C1713,PLATE 1/3 TUBLR 12HL 143MM,3448.0,2758.4,1.0,3103.2,26
HCPCS,C1713,PLATE 1/3 TUBLR 12HL 3.5X146MM,4532.0,3625.6,1.0,4078.8,26
HCPCS,C1713,PLATE 1/3 TUBLR 14HL 3.5X170MM,6062.0,4849.6,1.0,5455.8,26
HCPCS,C1713,PLATE 1/3 TUBLR 2HL 23MM,2386.0,1908.8,1.0,2147.4,26
HCPCS,C1713,PLATE 1/3 TUBLR 2HL 3.5X26MM,4921.0,3936.8,1.0,4428.9,26
HCPCS,C1713,PLATE 1/3 TUBLR 3HL 3.5X38MM,4921.0,3936.8,1.0,4428.9,26
HCPCS,C1713,PLATE 1/3 TUBLR 3HL 35MM,2386.0,1908.8,1.0,2147.4,26
HCPCS,C1713,PLATE 1/3 TUBLR 4HL 3.5X50MM,5082.0,4065.6,1.0,4573.8,26
HCPCS,C1713,PLATE 1/3 TUBLR 4HL 47MM,2571.0,2056.8,1.0,2313.9,26
HCPCS,C1713,PLATE 1/3 TUBLR 5HL 3.5X62MM,5082.0,4065.6,1.0,4573.8,26
HCPCS,C1713,PLATE 1/3 TUBLR 5HL 59MM,2571.0,2056.8,1.0,2313.9,26
HCPCS,C1713,PLATE 1/3 TUBLR 6HL 3.5X74MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1713,PLATE 1/3 TUBLR 6HL 71MM,2571.0,2056.8,1.0,2313.9,26
HCPCS,C1713,PLATE 1/3 TUBLR 7HL 3.5X86MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1713,PLATE 1/3 TUBLR 7HL 83MM,2571.0,2056.8,1.0,2313.9,26
HCPCS,C1713,PLATE 1/3 TUBLR 8HL 3.5X98MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1713,PLATE 1/3 TUBLR 8HL 95MM,2571.0,2056.8,1.0,2313.9,26
HCPCS,C1713,PLATE 1/3 TUBLR 9HL 107MM,3448.0,2758.4,1.0,3103.2,26
HCPCS,C1713,PLATE 1/3 TUBLR 9HL 3.5X110MM,4532.0,3625.6,1.0,4078.8,26
HCPCS,C1713,PLATE 1/3 TUBLR SM 7HL 85MM,986.0,788.8,1.0,887.4,26
HCPCS,C1713,PLATE 1/3 TUBLR STER 14HL167MM,4175.0,3340.0,1.0,3757.5,26
HCPCS,C1713,PLATE 1/3 TUBLR STER 3HL 35MM,2386.0,1908.8,1.0,2147.4,26
HCPCS,C1713,PLATE 1/3 TUBLR STER 4HL 47MM,2571.0,2056.8,1.0,2313.9,26
HCPCS,C1713,PLATE 1/3 TUBLR STER 5HL 59MM,2571.0,2056.8,1.0,2313.9,26
HCPCS,C1713,PLATE 1/3 TUBLR STER 6HL 71MM,2571.0,2056.8,1.0,2313.9,26
HCPCS,C1713,PLATE 1/3 TUBLR STER 7HL 83MM,2571.0,2056.8,1.0,2313.9,26
HCPCS,C1713,PLATE 1/3TUBLR COLAR 2HL 25MM,1000.0,800.0,1.0,900.0,26
HCPCS,C1713,PLATE 1/3TUBLR COLAR 3HL 37MM,1025.0,820.0,1.0,922.5,26
HCPCS,C1713,PLATE 1/3TUBLR COLAR 4HL 49MM,1185.0,948.0,1.0,1066.5,26
HCPCS,C1713,PLATE 1/3TUBLR COLAR 5HL 61MM,1185.0,948.0,1.0,1066.5,26
HCPCS,C1713,PLATE 1/3TUBLR COLAR 6HL 73MM,1217.0,973.6,1.0,1095.3,26
HCPCS,C1713,PLATE 1/3TUBLR COLAR 7HL 85MM,1217.0,973.6,1.0,1095.3,26
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 4HL45,1192.0,953.6,1.0,1072.8,26
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 5HL57,1192.0,953.6,1.0,1072.8,26
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 6HL69,1192.0,953.6,1.0,1072.8,26
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 7HL81,1192.0,953.6,1.0,1072.8,26
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 8HL93,1274.0,1019.2,1.0,1146.6,26
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR9HL105,1307.0,1045.6,1.0,1176.3,26
HCPCS,C1713,PLATE 1/3TUBLR LCPCOLAR10HL117,1307.0,1045.6,1.0,1176.3,26
HCPCS,C1713,PLATE 1/3TUBLR LCPCOLAR12HL141,1339.0,1071.2,1.0,1205.1,26
HCPCS,C1713,PLATE 1/3TUBLR TI LCP COLAR5HL,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,PLATE 1/3TUBLR TI LCP COLAR6HL,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,PLATE 1/3TUBLR TI LCPCOLAR10HL,1385.0,1108.0,1.0,1246.5,26
HCPCS,C1713,PLATE 1/3TUBLR TI LCPCOLAR12HL,1435.0,1148.0,1.0,1291.5,26
HCPCS,C1713,PLATE 1/3TUBLR W COLAR 3.5 8HL,1264.0,1011.2,1.0,1137.6,26
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 3HL,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 4HL,1207.0,965.6,1.0,1086.3,26
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 5HL,1171.0,936.8,1.0,1053.9,26
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 6HL,1171.0,936.8,1.0,1053.9,26
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 7HL,1192.0,953.6,1.0,1072.8,26
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 8HL,1264.0,1011.2,1.0,1137.6,26
HCPCS,C1713,PLATE 2COL SS LFT STD 6/2HL2.4,3630.0,2904.0,1.0,3267.0,26
HCPCS,C1713,PLATE 2COL SS LFT STD 6/3HL2.4,3735.0,2988.0,1.0,3361.5,26
HCPCS,C1713,PLATE 2COL SS LFTNARW 6/4HL2.4,3934.0,3147.2,1.0,3540.6,26
HCPCS,C1713,PLATE 2COL SS RT NARW 6/2HL2.4,3630.0,2904.0,1.0,3267.0,26
HCPCS,C1713,PLATE 2COL SS RT NARW 6/3HL2.4,3735.0,2988.0,1.0,3361.5,26
HCPCS,C1713,PLATE 2COL SS RT STD 6/3HL 2.4,3735.0,2988.0,1.0,3361.5,26
HCPCS,C1713,PLATE 2COL SS RT STD 7/3HL 2.4,3782.0,3025.6,1.0,3403.8,26
HCPCS,C1713,PLATE 2COL SS RT STD 7/4HL 2.4,3939.0,3151.2,1.0,3545.1,26
HCPCS,C1713,PLATE 2COL TI LFT NARW6/2HL2.4,3995.0,3196.0,1.0,3595.5,26
HCPCS,C1713,PLATE 2COL TI LFT NARW6/3HL2.4,4108.0,3286.4,1.0,3697.2,26
HCPCS,C1713,PLATE 2COL TI LFT NARW6/5HL2.4,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1713,PLATE 2COL TI LFT STD 6/2HL2.4,3995.0,3196.0,1.0,3595.5,26
HCPCS,C1713,PLATE 2COL TI LFT STD 6/3HL2.4,4108.0,3286.4,1.0,3697.2,26
HCPCS,C1713,PLATE 2COL TI LFT STD 6/4HL2.4,4329.0,3463.2,1.0,3896.1,26
HCPCS,C1713,PLATE 2COL TI LFT STD 6/5HL2.4,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1713,PLATE 2COL TI LFT WIDE7/2HL2.4,4017.0,3213.6,1.0,3615.3,26
HCPCS,C1713,PLATE 2COL TI LFT WIDE7/3HL2.4,4160.0,3328.0,1.0,3744.0,26
HCPCS,C1713,PLATE 2COL TI LFT WIDE7/4HL2.4,4333.0,3466.4,1.0,3899.7,26
HCPCS,C1713,PLATE 2COL TI LFT WIDE7/5HL2.4,4496.0,3596.8,1.0,4046.4,26
HCPCS,C1713,PLATE 2COL TI LFTNARW 6/4HL2.4,4329.0,3463.2,1.0,3896.1,26
HCPCS,C1713,PLATE 2COL TI RT NARW 6/2HL2.4,3995.0,3196.0,1.0,3595.5,26
HCPCS,C1713,PLATE 2COL TI RT NARW 6/3HL2.4,4108.0,3286.4,1.0,3697.2,26
HCPCS,C1713,PLATE 2COL TI RT NARW 6/4HL2.4,4329.0,3463.2,1.0,3896.1,26
HCPCS,C1713,PLATE 2COL TI RT NARW 6/5HL2.4,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1713,PLATE 2COL TI RT STD 6/2HL 2.4,3995.0,3196.0,1.0,3595.5,26
HCPCS,C1713,PLATE 2COL TI RT STD 6/3HL 2.4,4108.0,3286.4,1.0,3697.2,26
HCPCS,C1713,PLATE 2COL TI RT STD 6/4HL 2.4,4329.0,3463.2,1.0,3896.1,26
HCPCS,C1713,PLATE 2COL TI RT STD 6/5HL 2.4,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1713,PLATE 2COL TI RT WIDE 7/2HL2.4,4017.0,3213.6,1.0,3615.3,26
HCPCS,C1713,PLATE 2COL TI RT WIDE 7/3HL2.4,4160.0,3328.0,1.0,3744.0,26
HCPCS,C1713,PLATE 2COL TI RT WIDE 7/4HL2.4,4333.0,3466.4,1.0,3899.7,26
HCPCS,C1713,PLATE 2COL TI RT WIDE 7/5HL2.4,4496.0,3596.8,1.0,4046.4,26
HCPCS,C1713,PLATE 2COL TISTERRTSTD6/2HL2.4,4355.0,3484.0,1.0,3919.5,26
HCPCS,C1713,PLATE 2COLSS RTSTD6/7HL2.4/2.7,5128.0,4102.4,1.0,4615.2,26
HCPCS,C1713,PLATE 2COLSSLFTSTD6/7HL2.4/2.7,5128.0,4102.4,1.0,4615.2,26
HCPCS,C1713,PLATE 2COLSSRTSTD6/13HL2.4/2.7,5690.0,4552.0,1.0,5121.0,26
HCPCS,C1713,PLATE 2COLSTERSSRTNARW6/4HL2.4,4329.0,3463.2,1.0,3896.1,26
HCPCS,C1713,PLATE 2COLTISTERLFTSTD6/5HL2.4,4904.0,3923.2,1.0,4413.6,26
HCPCS,C1713,PLATE 2COLTISTERRTNARW6/2HL2.4,4355.0,3484.0,1.0,3919.5,26
HCPCS,C1713,PLATE 2ND META LFT STD 1.5MM,8629.0,6903.2,1.0,7766.1,26
HCPCS,C1713,PLATE 3.5 CALC LFT LNG 76MM,4334.0,3467.2,1.0,3900.6,26
HCPCS,C1713,PLATE 3.5 CALC RT LNG 76MM,4334.0,3467.2,1.0,3900.6,26
HCPCS,C1713,PLATE 3.5 CALC SHRT LFT 69MM,4063.0,3250.4,1.0,3656.7,26
HCPCS,C1713,PLATE 3.5 CALC SHRT RT 69MM,4063.0,3250.4,1.0,3656.7,26
HCPCS,C1713,PLATE 3.5 LC-DCP 10HL 129MM,2554.0,2043.2,1.0,2298.6,26
HCPCS,C1713,PLATE 3.5 LC-DCP 6HL 77MM,2181.0,1744.8,1.0,1962.9,26
HCPCS,C1713,PLATE 3.5 LC-DCP 7HL 90MM,2265.0,1812.0,1.0,2038.5,26
HCPCS,C1713,PLATE 3.5 LC-DCP 8HL 103MM,2379.0,1903.2,1.0,2141.1,26
HCPCS,C1713,PLATE 3.5 LC-DCP 9HL 116MM,2476.0,1980.8,1.0,2228.4,26
HCPCS,C1713,PLATE 3.5 LCP 10HL 137MM,2433.0,1946.4,1.0,2189.7,26
HCPCS,C1713,PLATE 3.5 LCP 11HL 150MM,2570.0,2056.0,1.0,2313.0,26
HCPCS,C1713,PLATE 3.5 LCP 12HL 163MM,2691.0,2152.8,1.0,2421.9,26
HCPCS,C1713,PLATE 3.5 LCP 13HL 176MM,3125.0,2500.0,1.0,2812.5,26
HCPCS,C1713,PLATE 3.5 LCP 14HL 189MM,3543.0,2834.4,1.0,3188.7,26
HCPCS,C1713,PLATE 3.5 LCP 15HL 202MM,3813.0,3050.4,1.0,3431.7,26
HCPCS,C1713,PLATE 3.5 LCP 16HL 215MM,3987.0,3189.6,1.0,3588.3,26
HCPCS,C1713,PLATE 3.5 LCP 18HL 241MM,4475.0,3580.0,1.0,4027.5,26
HCPCS,C1713,PLATE 3.5 LCP 2HL 33MM,1878.0,1502.4,1.0,1690.2,26
HCPCS,C1713,PLATE 3.5 LCP 3HL 46MM,1949.0,1559.2,1.0,1754.1,26
HCPCS,C1713,PLATE 3.5 LCP 5HL 72MM,2085.0,1668.0,1.0,1876.5,26
HCPCS,C1713,PLATE 3.5 LCP 6HL 85MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,PLATE 3.5 LCP 7HL 98MM,2127.0,1701.6,1.0,1914.3,26
HCPCS,C1713,PLATE 3.5 LCP 8HL 111MM,2221.0,1776.8,1.0,1998.9,26
HCPCS,C1713,PLATE 3.5 LCP 9HL 124MM,2362.0,1889.6,1.0,2125.8,26
HCPCS,C1713,PLATE 3.5MMX100D 6OFFS3HL*NLU*,11014.0,8811.2,1.0,9912.6,26
HCPCS,C1713,PLATE 4 ORTHOGNATICS FACIALID,28215.0,22572.0,1.0,25393.5,26
HCPCS,C1713,PLATE 5TH META HOOK ORTHOLOC,5765.0,4612.0,1.0,5188.5,26
HCPCS,C1713,PLATE 8-PLATE GD GROWTH 12MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,PLATE 8-PLATE GD GROWTH 16MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,PLATE ACU-LOC DORSAL NARW LFT,4802.0,3841.6,1.0,4321.8,26
HCPCS,C1713,PLATE ACU-LOC DORSAL NARW RT,4802.0,3841.6,1.0,4321.8,26
HCPCS,C1713,PLATE ACU-LOC DORSAL STD LFT,4802.0,3841.6,1.0,4321.8,26
HCPCS,C1713,PLATE ACU-LOC DORSAL STD RT,4802.0,3841.6,1.0,4321.8,26
HCPCS,C1713,PLATE ACU-LOC EX ACUM NARW,5292.0,4233.6,1.0,4762.8,26
HCPCS,C1713,PLATE ACU-LOC EX ACUM STD,5292.0,4233.6,1.0,4762.8,26
HCPCS,C1713,PLATE ACU-LOC VDU ACUM RT LNG,5736.0,4588.8,1.0,5162.4,26
HCPCS,C1713,PLATE ACU-LOC VDU ACUM STD LFT,5736.0,4588.8,1.0,5162.4,26
HCPCS,C1713,PLATE ACU-LOC VDU ACUM STD RT,5736.0,4588.8,1.0,5162.4,26
HCPCS,C1713,PLATE ACU-LOC VDU LFT LNG,5736.0,4588.8,1.0,5162.4,26
HCPCS,C1713,PLATE ACU-LOC2 DORSAL RIM LFT,5376.0,4300.8,1.0,4838.4,26
HCPCS,C1713,PLATE ACU-LOC2 STD LFT,5369.0,4295.2,1.0,4832.1,26
HCPCS,C1713,PLATE ACU-LOC2 STD RT,5369.0,4295.2,1.0,4832.1,26
HCPCS,C1713,PLATE ADIRA RLX 2HL 17MM,25910.0,20728.0,1.0,23319.0,26
HCPCS,C1713,PLATE ADOLESCENT 90D 15X40MM,4575.0,3660.0,1.0,4117.5,26
HCPCS,C1713,PLATE ADOLESCENT 90D 15X50MM,4575.0,3660.0,1.0,4117.5,26
HCPCS,C1713,PLATE ADPTN COMBI 12HL 2.0X93,4537.0,3629.6,1.0,4083.3,26
HCPCS,C1713,PLATE ADPTN COMBI 12HL 2.4X107,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE ADPTN COMBI 12HL 2.7X107,4792.0,3833.6,1.0,4312.8,26
HCPCS,C1713,PLATE ADPTN COMBI 20HL 2.0X153,5834.0,4667.2,1.0,5250.6,26
HCPCS,C1713,PLATE ADPTN COMBI 20HL 2.4X179,4665.0,3732.0,1.0,4198.5,26
HCPCS,C1713,PLATE ADPTN COMBI 20HL 2.7X177,5390.0,4312.0,1.0,4851.0,26
HCPCS,C1713,PLATE ADPTN COMBI 6HL 2.0X47,4537.0,3629.6,1.0,4083.3,26
HCPCS,C1713,PLATE ADPTN COMBI 6HL 2.4X54,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE ADPTN COMBI 6HL 2.7X54,4792.0,3833.6,1.0,4312.8,26
HCPCS,C1713,PLATE ADPTN LCP 2.0MM 12HL,2701.0,2160.8,1.0,2430.9,26
HCPCS,C1713,PLATE ADPTN LCP 2.4MM 12HL,2977.0,2381.6,1.0,2679.3,26
HCPCS,C1713,PLATE ADPTN LCP 2.7MM 12HL,2977.0,2381.6,1.0,2679.3,26
HCPCS,C1713,PLATE ADPTN LG TI 20HL 0.8MM,5041.0,4032.8,1.0,4536.9,26
HCPCS,C1713,PLATE ADPTN LOPRO TI SYNT 20HL,3535.0,2828.0,1.0,3181.5,26
HCPCS,C1713,PLATE ADPTN MD TI 20HL 0.7MM,5041.0,4032.8,1.0,4536.9,26
HCPCS,C1713,PLATE ADPTN MICRO TI 20HL 0.4,3573.0,2858.4,1.0,3215.7,26
HCPCS,C1713,PLATE ADPTN MINI TI 20HL 0.5MM,5031.0,4024.8,1.0,4527.9,26
HCPCS,C1713,PLATE ADPTN MTXNEURO TI 20HL,2527.0,2021.6,1.0,2274.3,26
HCPCS,C1713,PLATE ADPTN MTXNEURO TI 5HL,1325.0,1060.0,1.0,1192.5,26
HCPCS,C1713,PLATE ADPTN MTXNEURO TI 7HL,1584.0,1267.2,1.0,1425.6,26
HCPCS,C1713,PLATE ADPTN TI 1.0MM 12HL,4904.0,3923.2,1.0,4413.6,26
HCPCS,C1713,PLATE ADPTN TI 1.0MM 20HL,5221.0,4176.8,1.0,4698.9,26
HCPCS,C1713,PLATE ADPTN VOLT SS 12HL2.0X65,4913.0,3930.4,1.0,4421.7,26
HCPCS,C1713,PLATE ADPTN VOLT SS 12HL2.4X75,5214.0,4171.2,1.0,4692.6,26
HCPCS,C1713,PLATE ADPTN VOLT SS 12HL2.7X84,5114.0,4091.2,1.0,4602.6,26
HCPCS,C1713,PLATE ADPTN VOLT SS 6HL 2.0X33,4913.0,3930.4,1.0,4421.7,26
HCPCS,C1713,PLATE ADPTN VOLT SS 6HL 2.4X38,5214.0,4171.2,1.0,4692.6,26
HCPCS,C1713,PLATE ADPTN VOLT SS 6HL 2.7X42,5114.0,4091.2,1.0,4602.6,26
HCPCS,C1713,PLATE ADPTN VOLT SS20HL2.0X108,4738.0,3790.4,1.0,4264.2,26
HCPCS,C1713,PLATE ADPTN VOLT SS20HL2.4X125,5027.0,4021.6,1.0,4524.3,26
HCPCS,C1713,PLATE ADPTN VOLT SS20HL2.7X140,5752.0,4601.6,1.0,5176.8,26
HCPCS,C1713,PLATE ADPTN W GD 6HL 1.5MM,2960.0,2368.0,1.0,2664.0,26
HCPCS,C1713,PLATE ALIF ACCUFIT 21MM,10904.0,8723.2,1.0,9813.6,26
HCPCS,C1713,PLATE ALIF ACCUFIT 23MM,10904.0,8723.2,1.0,9813.6,26
HCPCS,C1713,PLATE ALIF ACCUFIT 25MM,10904.0,8723.2,1.0,9813.6,26
HCPCS,C1713,PLATE ALIF ACCUFIT 27MM,10904.0,8723.2,1.0,9813.6,26
HCPCS,C1713,PLATE ANCHOR ROI-C LNG,4613.0,3690.4,1.0,4151.7,26
HCPCS,C1713,PLATE ANCHORAGE UTILITY ST 4HL,4746.0,3796.8,1.0,4271.4,26
HCPCS,C1713,PLATE ANG 130D 6HL 80X104MM,5103.0,4082.4,1.0,4592.7,26
HCPCS,C1713,PLATE ANG BD TI 2.0MM 3X3HL,4650.0,3720.0,1.0,4185.0,26
HCPCS,C1713,PLATE ANK ANT DIST GORILLA11HL,10283.0,8226.4,1.0,9254.7,26
HCPCS,C1713,PLATE ANK ANT TT CP RT,11575.0,9260.0,1.0,10417.5,26
HCPCS,C1713,PLATE ANK ANTLAT DIST RT 15HL,10465.0,8372.0,1.0,9418.5,26
HCPCS,C1713,PLATE ANK LATMALLEO HOOK RT6HL,7590.0,6072.0,1.0,6831.0,26
HCPCS,C1713,PLATE ANK MEDL CLOSING DTO SZ2,11550.0,9240.0,1.0,10395.0,26
HCPCS,C1713,PLATE ANK MEDL OPEN HTO RT SZ2,9100.0,7280.0,1.0,8190.0,26
HCPCS,C1713,PLATE ANK POLYLOCK ST 4HL,14700.0,11760.0,1.0,13230.0,26
HCPCS,C1713,PLATE ANK POLYLOCK ST 5HL,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1713,PLATE ANK POLYLOCK ST 6HL,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1713,PLATE ANK PSTR TRIMALLEO 3HL,4826.0,3860.8,1.0,4343.4,26
HCPCS,C1713,PLATE ANK PSTR TRIMALLEO 4HL,4826.0,3860.8,1.0,4343.4,26
HCPCS,C1713,PLATE ANT 2LVL AVIATOR 6HL34MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE ANT LAT CURE 33MM*NLU*,10904.0,8723.2,1.0,9813.6,26
HCPCS,C1713,PLATE ANT LAT VARIAX 8HL 83MM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE ANT MERIDIAN 4HL 12MM,9251.0,7400.8,1.0,8325.9,26
HCPCS,C1713,PLATE ANT MID VARIAX 10HL 118M,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE ANT MID VARIAX 8HL 97MM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE ANT SHORELINE 2HL 5MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 2HL 6MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 2HL 7MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 3HL 5MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 3HL 7MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 3HL 8MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 3HL 9MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 4HL 5MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 4HL 6MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 4HL 7MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 4HL 8MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE 4HL 9MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELINE THRD4HL7MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT SHORELN 3HL 11MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE ANT TT CONT LFT STD,10515.0,8412.0,1.0,9463.5,26
HCPCS,C1713,PLATE ANT TT FLAT RT LNG,12583.0,10066.4,1.0,11324.7,26
HCPCS,C1713,PLATE ANT TT FLAT RT STD,8808.0,7046.4,1.0,7927.2,26
HCPCS,C1713,PLATE ANTCERV LVL1 12X20*NLU*,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE ANTCERV LVL1 14X22*NLU*,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE ANTCERV LVL1 16X24*NLU*,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE ANTCERV LVL1 18X26*NLU*,5037.0,4029.6,1.0,4533.3,26
HCPCS,C1713,PLATE ANTCERV LVL1 20X28*NLU*,5037.0,4029.6,1.0,4533.3,26
HCPCS,C1713,PLATE ANTCERV LVL1 26X34*NLU*,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE ANTCERV LVL2 24X32*NLU*,5154.0,4123.2,1.0,4638.6,26
HCPCS,C1713,PLATE ANTCERV LVL2 30X38*NLU*,5154.0,4123.2,1.0,4638.6,26
HCPCS,C1713,PLATE ANTCERV LVL2 33X41*NLU*,5156.0,4124.8,1.0,4640.4,26
HCPCS,C1713,PLATE ANTCERV LVL2 36X44*NLU*,5154.0,4123.2,1.0,4638.6,26
HCPCS,C1713,PLATE ANTCERV LVL2 39X47*NLU*,5154.0,4123.2,1.0,4638.6,26
HCPCS,C1713,PLATE ANTCERV LVL3 46X54*NLU*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,PLATE ANTCERV LVL3 49X57*NLU*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,PLATE ANTCERV LVL3 52X60*NLU*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,PLATE ANTCERV LVL3 55X63*NLU*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,PLATE ANTCERV LVL4 70X78*NLU*,5652.0,4521.6,1.0,5086.8,26
HCPCS,C1713,PLATE ANTCERVLOPROLVL1STER29MM,4793.0,3834.4,1.0,4313.7,26
HCPCS,C1713,PLATE ARM EXT VA TI AXSOS3 5MM,3784.0,3027.2,1.0,3405.6,26
HCPCS,C1713,PLATE ARTX STER SS 2HL,5610.0,4488.0,1.0,5049.0,26
HCPCS,C1713,PLATE ARTX TI 2HL,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE ASSY RETENTION ANT LG,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,PLATE ASSY RETENTION ANT MD,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,PLATE ASSY RETENTION ANT SM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,PLATE ASSY RETENTION OBLIQ LG,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,PLATE ASSY RETENTION OBLIQ MD,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,PLATE ASSY RETENTION OBLIQ SM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,PLATE ATLANTIS VISION1LV*NLU*,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 21MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 23MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 25MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 37.5,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 40MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 42.5,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 45MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 52.5,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 55MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 57MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 62.5,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 80MM,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE ATLANTIS WIN 1LVL 21MM,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE ATLANTIS WIN 1LVL 25MM,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE ATLANTIS WIN 1LVL 27.5MM,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE ATLANTIS WIN 2LVL 32.5MM,5154.0,4123.2,1.0,4638.6,26
HCPCS,C1713,PLATE ATLANTIS WIN 2LVL 40MM,5154.0,4123.2,1.0,4638.6,26
HCPCS,C1713,PLATE BASE DIST ULNA LFT LNG67,4662.0,3729.6,1.0,4195.8,26
HCPCS,C1713,PLATE BASE DIST ULNA RT SHRT43,4662.0,3729.6,1.0,4195.8,26
HCPCS,C1713,PLATE BD CURV 10HL 3.5MM,3871.0,3096.8,1.0,3483.9,26
HCPCS,C1713,PLATE BD CURV 12HL 3.5MM,4401.0,3520.8,1.0,3960.9,26
HCPCS,C1713,PLATE BD CURV 14HL 3.5MM,4719.0,3775.2,1.0,4247.1,26
HCPCS,C1713,PLATE BD CURV 16HL 3.5MM,5098.0,4078.4,1.0,4588.2,26
HCPCS,C1713,PLATE BD CURV 18HL 3.5MM,4922.0,3937.6,1.0,4429.8,26
HCPCS,C1713,PLATE BD CURV 20HL 3.5MM,5239.0,4191.2,1.0,4715.1,26
HCPCS,C1713,PLATE BD CURV 22HL 3.5MM,5519.0,4415.2,1.0,4967.1,26
HCPCS,C1713,PLATE BD CURV 24HL 3.5MM,5519.0,4415.2,1.0,4967.1,26
HCPCS,C1713,PLATE BD CURV 26HL 3.5MM,5854.0,4683.2,1.0,5268.6,26
HCPCS,C1713,PLATE BD CURV 28HL 3.5MM,4823.0,3858.4,1.0,4340.7,26
HCPCS,C1713,PLATE BD CURV 30HL 3.5MM,5260.0,4208.0,1.0,4734.0,26
HCPCS,C1713,PLATE BD CURV STER 10HL 3.5MM,3728.0,2982.4,1.0,3355.2,26
HCPCS,C1713,PLATE BD ST 10HL 2.7X110MM,7470.0,5976.0,1.0,6723.0,26
HCPCS,C1713,PLATE BD ST 10HL 3.5X160MM,10922.0,8737.6,1.0,9829.8,26
HCPCS,C1713,PLATE BD ST 11HL 3.5X181MM,10922.0,8737.6,1.0,9829.8,26
HCPCS,C1713,PLATE BD ST 12HL 2.7X134MM,8784.0,7027.2,1.0,7905.6,26
HCPCS,C1713,PLATE BD ST 13HL 3.5X215MM,11130.0,8904.0,1.0,10017.0,26
HCPCS,C1713,PLATE BD ST 14HL 2.7X158MM,8784.0,7027.2,1.0,7905.6,26
HCPCS,C1713,PLATE BD ST 14HL 3.5X228MM,11715.0,9372.0,1.0,10543.5,26
HCPCS,C1713,PLATE BD ST 4HL 2.7X38MM,7470.0,5976.0,1.0,6723.0,26
HCPCS,C1713,PLATE BD ST 4HL 3.5X62MM,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,PLATE BD ST 5HL 3.5X79MM,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,PLATE BD ST 6HL 2.7X62MM,7470.0,5976.0,1.0,6723.0,26
HCPCS,C1713,PLATE BD ST 6HL 3.5X92MM,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,PLATE BD ST 7HL 3.5X113MM,6026.0,4820.8,1.0,5423.4,26
HCPCS,C1713,PLATE BD ST 8HL 2.7X86MM,7470.0,5976.0,1.0,6723.0,26
HCPCS,C1713,PLATE BD ST 8HL 3.5X126MM,8285.0,6628.0,1.0,7456.5,26
HCPCS,C1713,PLATE BD ST 9HL 3.5X147MM,10922.0,8737.6,1.0,9829.8,26
HCPCS,C1713,PLATE BIF DCP 115D 3.5X30X5MM,3491.0,2792.8,1.0,3141.9,26
HCPCS,C1713,PLATE BINARY 2LVL 26MM*NLU*,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE BINARY 2LVL 30MM*NLU*,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE BINARY 3LVL 55MM*NLU*,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE BINARY 4LVL 80MM*NLU*,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE BONE MAND *DISC 6333356*,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1713,PLATE BONE MAND *DISC 6333357*,22500.0,18000.0,1.0,20250.0,26
HCPCS,C1713,PLATE BONE MAND *DISC 6333358*,24380.0,19504.0,1.0,21942.0,26
HCPCS,C1713,PLATE BONE MIDFA*DISC 6333363*,23500.0,18800.0,1.0,21150.0,26
HCPCS,C1713,PLATE BONE VOLT 8HL 3.5X104MM,4926.0,3940.8,1.0,4433.4,26
HCPCS,C1713,PLATE BOX 4HL,2896.0,2316.8,1.0,2606.4,26
HCPCS,C1713,PLATE BOX JUNCTION 10HL,4638.0,3710.4,1.0,4174.2,26
HCPCS,C1713,PLATE BOX LOPRO TI 4HL 10X16MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,PLATE BOX LOPRO TI 4HL 14X14MM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1713,PLATE BOX MICRO TI 10X10X0.4MM,1958.0,1566.4,1.0,1762.2,26
HCPCS,C1713,PLATE BOX MTXNEURO TI 10X16MM,1358.0,1086.4,1.0,1222.2,26
HCPCS,C1713,PLATE BOX MTXNEURO TI 14X14MM,1465.0,1172.0,1.0,1318.5,26
HCPCS,C1713,PLATE BOX TI 4HL 10X10X0.5MM,1958.0,1566.4,1.0,1762.2,26
HCPCS,C1713,PLATE BOX TI 4HL 10X10X0.7MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,PLATE BOX TI 4HL 5X10X0.4MM,2561.0,2048.8,1.0,2304.9,26
HCPCS,C1713,PLATE BOX TI 4HL 5X10X0.5MM,1930.0,1544.0,1.0,1737.0,26
HCPCS,C1713,PLATE BOX TI 4HL 5X10X0.7MM,2561.0,2048.8,1.0,2304.9,26
HCPCS,C1713,PLATE BOX TI SYNT 4HL 13X8MM,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,PLATE BRIDGE TRMI,6548.0,5238.4,1.0,5893.2,26
HCPCS,C1713,PLATE BUNION NVIS 30MM,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1713,PLATE BUR HL BENT THINFLAP13MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,PLATE BUR HL BENT THINFLAP18MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,PLATE BUR HL BENT THINFLAP24MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,PLATE BUR HL LOPRO KLS 17MM,1028.0,822.4,1.0,925.2,26
HCPCS,C1713,PLATE BUR HL LOPRO TI 12MM,1675.0,1340.0,1.0,1507.5,26
HCPCS,C1713,PLATE BUR HL LOPRO TI 17MM,1675.0,1340.0,1.0,1507.5,26
HCPCS,C1713,PLATE BUR HL LOPRO TI 24MM,1675.0,1340.0,1.0,1507.5,26
HCPCS,C1713,PLATE BUR LOPRO KLS 0.3X17MM,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,PLATE CAGE TI 2X5HL 2.0MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE CALC ANT PROCESS LFT LNG,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE CALC ANT PROCESS RT LNG,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE CALC MESH STRY LG,5105.0,4084.0,1.0,4594.5,26
HCPCS,C1713,PLATE CALC MESH STRY MD,5105.0,4084.0,1.0,4594.5,26
HCPCS,C1713,PLATE CALC MESH STRY SM,5105.0,4084.0,1.0,4594.5,26
HCPCS,C1713,PLATE CALC PERC ANT PSTR RTLNG,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE CALC PERC ANT PSTR RTSTD,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE CALC PERC ANT PSTRLFTLNG,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE CALC PERC ANT PSTRLFTSTD,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE CALC PERIMETER LFT LG,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE CALC PERIMETER RT LG,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE CALC PERIMETER RT MD,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE CALC PERIMETER RT XS,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE CALC STRY STD LG,5105.0,4084.0,1.0,4594.5,26
HCPCS,C1713,PLATE CALC VA LFT LNG2.7X56MM,4544.0,3635.2,1.0,4089.6,26
HCPCS,C1713,PLATE CALC VA LG LFT 2.7X70MM,4778.0,3822.4,1.0,4300.2,26
HCPCS,C1713,PLATE CALC VA MD LFT 2.7X64MM,4743.0,3794.4,1.0,4268.7,26
HCPCS,C1713,PLATE CALC VA MD RT 2.7X64MM,4743.0,3794.4,1.0,4268.7,26
HCPCS,C1713,PLATE CALC VA RT LNG 2.7X56MM,4544.0,3635.2,1.0,4089.6,26
HCPCS,C1713,PLATE CALC VA SHRT LFT2.7X40MM,5101.0,4080.8,1.0,4590.9,26
HCPCS,C1713,PLATE CALC VA SHRT RT 2.7X40MM,5101.0,4080.8,1.0,4590.9,26
HCPCS,C1713,PLATE CALC VA SM LFT 2.7X58MM,4710.0,3768.0,1.0,4239.0,26
HCPCS,C1713,PLATE CALC VA SM RT 2.7X58MM,4710.0,3768.0,1.0,4239.0,26
HCPCS,C1713,PLATE CALC VA STER LFTLNG27X56,4995.0,3996.0,1.0,4495.5,26
HCPCS,C1713,PLATE CALC VA STERSHRTLFT27X40,4806.0,3844.8,1.0,4325.4,26
HCPCS,C1713,PLATE CALC VA STERSHRTRT2.7X40,4806.0,3844.8,1.0,4325.4,26
HCPCS,C1713,PLATE CALCANEAL LAT RT REG,4424.0,3539.2,1.0,3981.6,26
HCPCS,C1713,PLATE CALCANEAL ZIMM LG*DISC*,4256.0,3404.8,1.0,3830.4,26
HCPCS,C1713,PLATE CALCANEAL ZIMM SM*DISC*,4032.0,3225.6,1.0,3628.8,26
HCPCS,C1713,PLATE CALCANEAL ZIMM XL*DISC*,4256.0,3404.8,1.0,3830.4,26
HCPCS,C1713,PLATE CALCANEAL ZIMM XS*DISC*,4032.0,3225.6,1.0,3628.8,26
HCPCS,C1713,PLATE CAPTURED 10HL 189*DISC*,3840.0,3072.0,1.0,3456.0,26
HCPCS,C1713,PLATE CAPTURED 12HL 220*DISC*,3840.0,3072.0,1.0,3456.0,26
HCPCS,C1713,PLATE CAPTURED 14HL 250*DISC*,3864.0,3091.2,1.0,3477.6,26
HCPCS,C1713,PLATE CAPTURED 6HL 128MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,PLATE CAPTURED 8HL 1588*DISC*,3456.0,2764.8,1.0,3110.4,26
HCPCS,C1713,PLATE CAPTURED Z*DISC NO REPL*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,PLATE CAPTURED ZIMM 4HL*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,PLATE CAYMAN UNITED LFT1HLSZ16,10904.0,8723.2,1.0,9813.6,26
HCPCS,C1713,PLATE CERV 1LVL ZAVA 14MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV 1LVL ZAVA 16MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV 2LVL AEGI 17X4*NLU*,5208.0,4166.4,1.0,4687.2,52
HCPCS,C1713,PLATE CERV 3LVL AEGI 17X3*NLU*,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV 3LVL AEGI 17X6*NLU*,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV 3LVL AEGI 17X7*NLU*,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV 4LVL AEGI 17X7*NLU*,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE CERV ADMRL LVL1 10MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL1 11MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL1 13MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL1 14MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL1 16MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL1 22MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL1 24MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL1 7MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL1 8MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL1 9MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL2 22MM,5054.0,4043.2,1.0,4548.6,26
HCPCS,C1713,PLATE CERV ADMRL LVL2 24MM,5054.0,4043.2,1.0,4548.6,26
HCPCS,C1713,PLATE CERV ADMRL LVL2 26MM,5054.0,4043.2,1.0,4548.6,26
HCPCS,C1713,PLATE CERV ADMRL LVL2 28MM,5054.0,4043.2,1.0,4548.6,26
HCPCS,C1713,PLATE CERV ADMRL LVL2 30MM,5054.0,4043.2,1.0,4548.6,26
HCPCS,C1713,PLATE CERV ADMRL LVL2 32MM,5054.0,4043.2,1.0,4548.6,26
HCPCS,C1713,PLATE CERV ADMRL LVL2 40MM,5054.0,4043.2,1.0,4548.6,26
HCPCS,C1713,PLATE CERV ADMRL LVL3 39MM,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL3 42MM,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL3 45MM,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL3 48MM,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL3 51MM,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL3 54MM,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE CERV ADMRL LVL4 70MM,5310.0,4248.0,1.0,4779.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 1LVL20MM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 1LVL22MM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 1LVL24MM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 2LVL38MM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 2LVL42MM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 2LVL44MM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 3LVL54MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 3LVL60MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 4LVL66MM,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 4LVL70MM,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI 4LVL86MM,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI DLVL36MM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI TLVL48MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1713,PLATE CERV ANT ACP TI TLVL62MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1713,PLATE CERV ANT INSIGNIA 1LVL20,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,PLATE CERV ANT X*DISC NO REPL*,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE CERV ANT XTEND 1LVL 22MM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 24MM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,PLATE CERV ANT XTEND 3LVL 42MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1713,PLATE CERV ANT XTEND 5LVL 86MM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,PLATE CERV ASSY LVL1 20MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV ASSY LVL1 24MM,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE CERV INVIZIA 1LVL 18MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV INVIZIA 1LVL 20MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV INVIZIA 1LVL 24MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV OZARK 1LVL 18MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV OZARK 1LVL 20MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV OZARK 2LVL 34MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV OZARK 2LVL 36MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV OZARK 2LVL 42MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV OZARK 2LVL 44MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV OZARK 3LVL 51MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV OZARK 3LVL 57MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV OZARK 3LVL 63MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV OZARK AA 2LVL 38MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV REFLEX STRY 14*NLU*,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV REFLEX STRY 26*NLU*,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV REGENT 1LVL 14*NLU*,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV REGENT 2LVL 40*NLU*,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV REGENT 3LVL 43*NLU*,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV REGENT 3LVL 61*NLU*,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV REGENT 4LVL 60*NLU*,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE CERV REGENT 4LVL 64*NLU*,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE CERV REGENT 4LVL 68*NLU*,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE CERV STRUXLVL2 34MM*NLU*,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL1 17MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL1 18MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL1 20MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL1 22MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL1 24MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL1 26MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL1 28MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL1 30MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL1 34MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL1 36MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL2 34MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL2 36MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL2 38MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL2 40MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL2 42MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL2 44MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL2 46MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL2 48MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL2*NLU*,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL3 48MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL3 51MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL3 54MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL3 57MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL3 60MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL3 63MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL4 76MM,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE CERV STRUXXURE LVL4*NLU*,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE CERV TESERA LK TI*NLU*,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,PLATE CERV UNION STD 1LVL 12MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,PLATE CERV UNION STD 1LVL 14MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,PLATE CERV UNION STD 1LVL 24MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,PLATE CERV UNION STD 1LVL 26MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,PLATE CERV UNION STD 2LVL 28MM,5130.0,4104.0,1.0,4617.0,26
HCPCS,C1713,PLATE CERV UNION STD 2LVL 30MM,5130.0,4104.0,1.0,4617.0,26
HCPCS,C1713,PLATE CERV UNION STD 2LVL 32MM,5130.0,4104.0,1.0,4617.0,26
HCPCS,C1713,PLATE CERV UNION STD 2LVL 34MM,5130.0,4104.0,1.0,4617.0,26
HCPCS,C1713,PLATE CERV UNION STD 2LVL 37MM,5130.0,4104.0,1.0,4617.0,26
HCPCS,C1713,PLATE CERV UNION STD 3LVL 39MM,5985.0,4788.0,1.0,5386.5,26
HCPCS,C1713,PLATE CERV UNION STD 3LVL 42MM,5985.0,4788.0,1.0,5386.5,26
HCPCS,C1713,PLATE CERV UNION STD 3LVL 45MM,5985.0,4788.0,1.0,5386.5,26
HCPCS,C1713,PLATE CERV UNION STD 3LVL 48MM,5985.0,4788.0,1.0,5386.5,26
HCPCS,C1713,PLATE CERV UNION STD 3LVL 51MM,5985.0,4788.0,1.0,5386.5,26
HCPCS,C1713,PLATE CERV UNION STD 3LVL 54MM,5985.0,4788.0,1.0,5386.5,26
HCPCS,C1713,PLATE CERV UNION STD 3LVL 57MM,5985.0,4788.0,1.0,5386.5,26
HCPCS,C1713,PLATE CERV UNION STD 4LVL 64MM,7268.0,5814.4,1.0,6541.2,26
HCPCS,C1713,PLATE CERV UNION STD 4LVL 72MM,7268.0,5814.4,1.0,6541.2,26
HCPCS,C1713,PLATE CERV UNION STD 4LVL 76MM,7268.0,5814.4,1.0,6541.2,26
HCPCS,C1713,PLATE CERV ZAVATION 1LVL 10MM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1713,PLATE CHILD 100D 3HL 40X6MM,6984.0,5587.2,1.0,6285.6,26
HCPCS,C1713,PLATE CHILD 90D 3HL 35X6MM,6984.0,5587.2,1.0,6285.6,26
HCPCS,C1713,PLATE CHILD 90D 3HL 40X6MM,6984.0,5587.2,1.0,6285.6,26
HCPCS,C1713,PLATE CHILD 90D 3HL 50X10MM,6984.0,5587.2,1.0,6285.6,26
HCPCS,C1713,PLATE CHIN 2.0 MINI TI 5MM,1567.0,1253.6,1.0,1410.3,26
HCPCS,C1713,PLATE CHIN 2.0 MINI TI 7MM,1567.0,1253.6,1.0,1410.3,26
HCPCS,C1713,PLATE CHIN 2.0 MINI TI 9MM,1567.0,1253.6,1.0,1410.3,26
HCPCS,C1713,PLATE CHIN GRIFFIN KLS 9MM,1329.0,1063.2,1.0,1196.1,26
HCPCS,C1713,PLATE CHIN GRIFFIN TI 3MM,1205.0,964.0,1.0,1084.5,26
HCPCS,C1713,PLATE CHIN LINDORF 1.5MM 3MM,1278.0,1022.4,1.0,1150.2,26
HCPCS,C1713,PLATE CITADEL ANT SYM2LVL 54MM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1713,PLATE CLAV +CURV STD RT 8HL 97,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE CLAV ACUM RT 8HL*DISC*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE CLAV ANT LFT 7HL 3.5MM,5312.0,4249.6,1.0,4780.8,26
HCPCS,C1713,PLATE CLAV ANT RT 7HL 3.5MM,5312.0,4249.6,1.0,4780.8,26
HCPCS,C1713,PLATE CLAV ANT ST 6HL 3.5MM,5453.0,4362.4,1.0,4907.7,26
HCPCS,C1713,PLATE CLAV ANT ST 7HL 3.5MM,5453.0,4362.4,1.0,4907.7,26
HCPCS,C1713,PLATE CLAV ANT ST 8HL 3.5MM,5453.0,4362.4,1.0,4907.7,26
HCPCS,C1713,PLATE CLAV ANT STER 6HL 3.5MM,5995.0,4796.0,1.0,5395.5,26
HCPCS,C1713,PLATE CLAV CENT 1/3 10HL RT MD,5610.0,4488.0,1.0,5049.0,26
HCPCS,C1713,PLATE CLAV CENT 1/3 7HL RT SM,5610.0,4488.0,1.0,5049.0,26
HCPCS,C1713,PLATE CLAV CENT 1/3 8HL LFT XS,5610.0,4488.0,1.0,5049.0,26
HCPCS,C1713,PLATE CLAV CENT 1/3 8HL RT XS,5528.0,4422.4,1.0,4975.2,26
HCPCS,C1713,PLATE CLAV DIST 1/3 5HL RT SM,5610.0,4488.0,1.0,5049.0,26
HCPCS,C1713,PLATE CLAV DIST 1/3 8HL LFT MD,5610.0,4488.0,1.0,5049.0,26
HCPCS,C1713,PLATE CLAV DIST 1/3 8HL RT MD,5610.0,4488.0,1.0,5049.0,26
HCPCS,C1713,PLATE CLAV DIST LFT 12HL 3.5MM,5531.0,4424.8,1.0,4977.9,26
HCPCS,C1713,PLATE CLAV DIST LFT 13HL 2.3MM,5531.0,4424.8,1.0,4977.9,26
HCPCS,C1713,PLATE CLAV DIST LFT 16HL 2.3MM,6084.0,4867.2,1.0,5475.6,26
HCPCS,C1713,PLATE CLAV DIST LFT 9HL 3.5MM,5531.0,4424.8,1.0,4977.9,26
HCPCS,C1713,PLATE CLAV DIST RT 12HL 3.5MM,5531.0,4424.8,1.0,4977.9,26
HCPCS,C1713,PLATE CLAV DIST RT 16HL 2.3MM,6084.0,4867.2,1.0,5475.6,26
HCPCS,C1713,PLATE CLAV DIST RT 9HL 3.5MM,5531.0,4424.8,1.0,4977.9,26
HCPCS,C1713,PLATE CLAV EXT LFT 3HL 3.5MM,4957.0,3965.6,1.0,4461.3,26
HCPCS,C1713,PLATE CLAV EXT LFT 4HL 3.5MM,5035.0,4028.0,1.0,4531.5,26
HCPCS,C1713,PLATE CLAV EXT LFT 5HL 3.5MM,5123.0,4098.4,1.0,4610.7,26
HCPCS,C1713,PLATE CLAV EXT LFT 6HL 3.5MM,5179.0,4143.2,1.0,4661.1,26
HCPCS,C1713,PLATE CLAV EXT RT 3HL 3.5MM,4957.0,3965.6,1.0,4461.3,26
HCPCS,C1713,PLATE CLAV EXT RT 4HL 3.5MM,5035.0,4028.0,1.0,4531.5,26
HCPCS,C1713,PLATE CLAV EXT RT 5HL 3.5MM,5123.0,4098.4,1.0,4610.7,26
HCPCS,C1713,PLATE CLAV EXT STER RT5HL3.5MM,5635.0,4508.0,1.0,5071.5,26
HCPCS,C1713,PLATE CLAV EXT STER RT8HL3.5MM,5995.0,4796.0,1.0,5395.5,26
HCPCS,C1713,PLATE CLAV HOOK 3.5 LFT4HL15MM,4581.0,3664.8,1.0,4122.9,26
HCPCS,C1713,PLATE CLAV HOOK 3.5 RT 4HL12MM,4581.0,3664.8,1.0,4122.9,26
HCPCS,C1713,PLATE CLAV HOOK 3.5 RT 4HL15MM,4581.0,3664.8,1.0,4122.9,26
HCPCS,C1713,PLATE CLAV HOOK 5HL 3.5 RT15MM,4791.0,3832.8,1.0,4311.9,26
HCPCS,C1713,PLATE CLAV HOOK 5HL 3.5LFT12MM,4791.0,3832.8,1.0,4311.9,26
HCPCS,C1713,PLATE CLAV HOOK 5HL 3.5LFT18MM,4791.0,3832.8,1.0,4311.9,26
HCPCS,C1713,PLATE CLAV HOOK 6HL 3.5LFT15MM,4927.0,3941.6,1.0,4434.3,26
HCPCS,C1713,PLATE CLAV J LOPRO LFT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV J LOPRO RT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LAT ANT 7HL 2.7/3.5,5453.0,4362.4,1.0,4907.7,26
HCPCS,C1713,PLATE CLAV LAT ANT 9HL 2.7/3.6,5453.0,4362.4,1.0,4907.7,26
HCPCS,C1713,PLATE CLAV LAT ANT ACUM 10HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LAT ANT ACUM 6HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LAT ANT ACUM 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LAT ANT10HL 2.7/3.7,5453.0,4362.4,1.0,4907.7,26
HCPCS,C1713,PLATE CLAV LAT CS1 SS LFT 2.7,5658.0,4526.4,1.0,5092.2,26
HCPCS,C1713,PLATE CLAV LAT CS2 SS LFT 2.7,5567.0,4453.6,1.0,5010.3,26
HCPCS,C1713,PLATE CLAV LAT CS2 SS RT 2.7,5567.0,4453.6,1.0,5010.3,26
HCPCS,C1713,PLATE CLAV LAT CS3 SS RT 2.7,5575.0,4460.0,1.0,5017.5,26
HCPCS,C1713,PLATE CLAV LCP EXT TI LFT 6HL,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,PLATE CLAV LOPRO LFT 10HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LOPRO LG LFT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LOPRO LG RT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LOPRO MD LFT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LOPRO MD RT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LOPRO RT 10HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LOPRO SM LFT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LOPRO SM RT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LOPRO ST LFT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV LOPRO ST RT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV MEDL ANT ACUM 6HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV MEDL ANT ACUM 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV NARW LFT 6HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV NARW LG LFT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV NARW LG RT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV NARW RT 6HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV NARW ST LFT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV NARW ST RT 8HL,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,PLATE CLAV SHAFT CS1 SS RT 2.7,5382.0,4305.6,1.0,4843.8,26
HCPCS,C1713,PLATE CLAV SHAFT CS1 SSLFT2.7,5382.0,4305.6,1.0,4843.8,26
HCPCS,C1713,PLATE CLAV SHAFT CS1 TI RT 2.7,5920.0,4736.0,1.0,5328.0,26
HCPCS,C1713,PLATE CLAV SHAFT CS1STERLFT2.7,5920.0,4736.0,1.0,5328.0,26
HCPCS,C1713,PLATE CLAV SHAFT CS2 SS LFT2.7,5222.0,4177.6,1.0,4699.8,26
HCPCS,C1713,PLATE CLAV SHAFT CS2 SS RT 2.7,5222.0,4177.6,1.0,4699.8,26
HCPCS,C1713,PLATE CLAV SHAFT CS2 TI RT 2.7,5744.0,4595.2,1.0,5169.6,26
HCPCS,C1713,PLATE CLAV SHAFT CS3 SS RT 2.7,5313.0,4250.4,1.0,4781.7,26
HCPCS,C1713,PLATE CLAV SUPR EXT RT6HL3.5MM,5179.0,4143.2,1.0,4661.1,26
HCPCS,C1713,PLATE CLAV SUPR EXT RT7HL3.5MM,5312.0,4249.6,1.0,4780.8,26
HCPCS,C1713,PLATE CLAV SUPR EXTLFT6HL3.5MM,5179.0,4143.2,1.0,4661.1,26
HCPCS,C1713,PLATE CLAV SUPR EXTLFT7HL3.5MM,5312.0,4249.6,1.0,4780.8,26
HCPCS,C1713,PLATE CLAV SUPR EXTLFT8HL3.5MM,5453.0,4362.4,1.0,4907.7,26
HCPCS,C1713,PLATE CLAV SUPR EXTRT 8HL3.5MM,5453.0,4362.4,1.0,4907.7,26
HCPCS,C1713,PLATE CLAV SUPR LFT 6HL 3.5MM,5179.0,4143.2,1.0,4661.1,26
HCPCS,C1713,PLATE CLAV SUPR LFT 7HL 3.5MM,5312.0,4249.6,1.0,4780.8,26
HCPCS,C1713,PLATE CLAV SUPR LFT 8HL 3.5MM,5453.0,4362.4,1.0,4907.7,26
HCPCS,C1713,PLATE CLAV SUPR RT 6HL 3.5MM,5179.0,4143.2,1.0,4661.1,26
HCPCS,C1713,PLATE CLAV SUPR RT 7HL 3.5MM,5312.0,4249.6,1.0,4780.8,26
HCPCS,C1713,PLATE CLAV SUPR RT 8HL 3.5MM,5453.0,4362.4,1.0,4907.7,26
HCPCS,C1713,PLATE CLAV SUPR STERLFT7HL3.5M,5844.0,4675.2,1.0,5259.6,26
HCPCS,C1713,PLATE CLAV SUPR STERRT6HL3.5MM,5698.0,4558.4,1.0,5128.2,26
HCPCS,C1713,PLATE CLAV SUPR STERRT7HL3.5MM,5844.0,4675.2,1.0,5259.6,26
HCPCS,C1713,PLATE CLAV SUPRSTERLFT8HL3.5MM,5995.0,4796.0,1.0,5395.5,26
HCPCS,C1713,PLATE CLAV VALCP RT SHT 2.7X12,4821.0,3856.8,1.0,4338.9,26
HCPCS,C1713,PLATE CLAV VALCP RT SHT 2.7X15,4821.0,3856.8,1.0,4338.9,26
HCPCS,C1713,PLATE CLAV+CURVBRIDGELFT8HL120,4817.0,3853.6,1.0,4335.3,26
HCPCS,C1713,PLATE CLAVLATANTSTER7HL2.7/3.5,5995.0,4796.0,1.0,5395.5,26
HCPCS,C1713,PLATE CLAW WRIT 3.5MM 2H*NLU*,8568.0,6854.4,1.0,7711.2,26
HCPCS,C1713,PLATE CLX CALC STD RT,9567.0,7653.6,1.0,8610.3,26
HCPCS,C1713,PLATE COMP BABY GORILLA RT 8HL,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,PLATE COMP GORILLA ST 5HL1.5MM,5777.0,4621.6,1.0,5199.3,26
HCPCS,C1713,PLATE COMP INTEGRA2HL20MM*NLU*,6695.0,5356.0,1.0,6025.5,26
HCPCS,C1713,PLATE COMP INTN 2HL 17MM*NLU*,6695.0,5356.0,1.0,6025.5,26
HCPCS,C1713,PLATE COMP LAPIDUS LFT 3HL STD,7166.0,5732.8,1.0,6449.4,26
HCPCS,C1713,PLATE COMP LAPIDUS LFT 4HL STD,7166.0,5732.8,1.0,6449.4,26
HCPCS,C1713,PLATE COMP LAPIDUS RT 3HL STD,7166.0,5732.8,1.0,6449.4,26
HCPCS,C1713,PLATE COMP MTP PET LFT OD,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,PLATE COMP MTP PET RT 5D,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,PLATE COMP MTP STD LFT 0D,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,PLATE COMP NARW 7HL 4.5X119MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,PLATE COMP NARW ST 12HL 150MM,4779.0,3823.2,1.0,4301.1,26
HCPCS,C1713,PLATE COMP PA CLAW II 2HL 20MM,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1713,PLATE COMP RT 6HL 2.3MM,2206.0,1764.8,1.0,1985.4,26
HCPCS,C1713,PLATE COMP UNITE 2HL LNG,9100.0,7280.0,1.0,8190.0,26
HCPCS,C1713,PLATE COMP ZIMM 5HL*DISC*,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,PLATE COMP ZIMM 6HL*DISC*,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,PLATE COMP ZIMM 7HL*DISC*,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,PLATE COMP ZIMM 8HL*DISC*,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,PLATE COMP ZIMM 9HL*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,PLATE COMP ZIMM10HL*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,PLATE COMPACT ST 10HL 2.0X52,4738.0,3790.4,1.0,4264.2,26
HCPCS,C1713,PLATE COMPACT ST 10HL 2.4X70,5027.0,4021.6,1.0,4524.3,26
HCPCS,C1713,PLATE COMPACT ST 10HL 2.7X76,5752.0,4601.6,1.0,5176.8,26
HCPCS,C1713,PLATE COMPACT ST 4HL 2.4X31,5214.0,4171.2,1.0,4692.6,26
HCPCS,C1713,PLATE COMPACT ST 4HL 2.7X34,5114.0,4091.2,1.0,4602.6,26
HCPCS,C1713,PLATE COMPACT ST 5HL 2.0X29,4913.0,3930.4,1.0,4421.7,26
HCPCS,C1713,PLATE COMPACT ST 5HL 2.4X38,5214.0,4171.2,1.0,4692.6,26
HCPCS,C1713,PLATE COMPACT ST 5HL 2.7X41,5114.0,4091.2,1.0,4602.6,26
HCPCS,C1713,PLATE COMPACT ST 6HL 2.0X34,4913.0,3930.4,1.0,4421.7,26
HCPCS,C1713,PLATE COMPACT ST 6HL 2.4X44,5214.0,4171.2,1.0,4692.6,26
HCPCS,C1713,PLATE COMPACT ST 6HL 2.7X48,5114.0,4091.2,1.0,4602.6,26
HCPCS,C1713,PLATE COMPACT ST 7HL 2.0X38,4913.0,3930.4,1.0,4421.7,26
HCPCS,C1713,PLATE COMPACT ST 7HL 2.4X51,5214.0,4171.2,1.0,4692.6,26
HCPCS,C1713,PLATE COMPACT ST 7HL 2.7X55,5114.0,4091.2,1.0,4602.6,26
HCPCS,C1713,PLATE COMPACT ST 8HL 2.0X43,4738.0,3790.4,1.0,4264.2,26
HCPCS,C1713,PLATE COMPACT ST 8HL 2.4X57,5027.0,4021.6,1.0,4524.3,26
HCPCS,C1713,PLATE COMPACT ST 8HL 2.7X62,5752.0,4601.6,1.0,5176.8,26
HCPCS,C1713,PLATE COND 12HL 50MM,5976.0,4780.8,1.0,5378.4,26
HCPCS,C1713,PLATE COND 12HL 60MM,5976.0,4780.8,1.0,5378.4,26
HCPCS,C1713,PLATE COND 12HL 70MM,5976.0,4780.8,1.0,5378.4,26
HCPCS,C1713,PLATE COND 12HL 80MM,5976.0,4780.8,1.0,5378.4,26
HCPCS,C1713,PLATE COND 2.0MM LFT 7HL,4576.0,3660.8,1.0,4118.4,26
HCPCS,C1713,PLATE COND 2.0MM RT 7HL,4576.0,3660.8,1.0,4118.4,26
HCPCS,C1713,PLATE COND 5HL 50MM,4969.0,3975.2,1.0,4472.1,26
HCPCS,C1713,PLATE COND 5HL 60MM,4969.0,3975.2,1.0,4472.1,26
HCPCS,C1713,PLATE COND 5HL 70MM,4969.0,3975.2,1.0,4472.1,26
HCPCS,C1713,PLATE COND 5HL 80MM,4969.0,3975.2,1.0,4472.1,26
HCPCS,C1713,PLATE COND 7HL 50MM,5237.0,4189.6,1.0,4713.3,26
HCPCS,C1713,PLATE COND 7HL 60MM,5237.0,4189.6,1.0,4713.3,26
HCPCS,C1713,PLATE COND 7HL 70MM,5237.0,4189.6,1.0,4713.3,26
HCPCS,C1713,PLATE COND 7HL 80MM,5237.0,4189.6,1.0,4713.3,26
HCPCS,C1713,PLATE COND 95D 16HL 80X267MM,10414.0,8331.2,1.0,9372.6,26
HCPCS,C1713,PLATE COND 95D 18HL 80X299MM,8961.0,7168.8,1.0,8064.9,26
HCPCS,C1713,PLATE COND 9HL 50MM,5489.0,4391.2,1.0,4940.1,26
HCPCS,C1713,PLATE COND 9HL 60MM,5489.0,4391.2,1.0,4940.1,26
HCPCS,C1713,PLATE COND 9HL 70MM,5489.0,4391.2,1.0,4940.1,26
HCPCS,C1713,PLATE COND 9HL 80MM,5489.0,4391.2,1.0,4940.1,26
HCPCS,C1713,PLATE COND CURV LCP LFT 6HL4.5,7856.0,6284.8,1.0,7070.4,26
HCPCS,C1713,PLATE COND CURV LCP LFT 8HL4.5,7887.0,6309.6,1.0,7098.3,26
HCPCS,C1713,PLATE COND CURV LCP LFT10HL4.5,8162.0,6529.6,1.0,7345.8,26
HCPCS,C1713,PLATE COND CURV LCP LFT12HL4.5,8297.0,6637.6,1.0,7467.3,26
HCPCS,C1713,PLATE COND CURV LCP LFT14HL4.5,8928.0,7142.4,1.0,8035.2,26
HCPCS,C1713,PLATE COND CURV LCP LFT16HL4.5,9261.0,7408.8,1.0,8334.9,26
HCPCS,C1713,PLATE COND CURV LCP LFT18HL4.5,10240.0,8192.0,1.0,9216.0,26
HCPCS,C1713,PLATE COND CURV LCP RT 10HL4.5,8162.0,6529.6,1.0,7345.8,26
HCPCS,C1713,PLATE COND CURV LCP RT 12HL4.5,8297.0,6637.6,1.0,7467.3,26
HCPCS,C1713,PLATE COND CURV LCP RT 14HL4.5,8928.0,7142.4,1.0,8035.2,26
HCPCS,C1713,PLATE COND CURV LCP RT 16HL4.5,9261.0,7408.8,1.0,8334.9,26
HCPCS,C1713,PLATE COND CURV LCP RT 18HL4.5,10240.0,8192.0,1.0,9216.0,26
HCPCS,C1713,PLATE COND CURV LCP RT 6HL 4.5,7856.0,6284.8,1.0,7070.4,26
HCPCS,C1713,PLATE COND CURV LCP RT 8HL 4.5,7887.0,6309.6,1.0,7098.3,26
HCPCS,C1713,PLATE COND CURV LCP RT20HL 4.5,9797.0,7837.6,1.0,8817.3,26
HCPCS,C1713,PLATE COND LCP 2.0MM 7HL,4395.0,3516.0,1.0,3955.5,26
HCPCS,C1713,PLATE COND LFT 10HL 4.5MM,6366.0,5092.8,1.0,5729.4,26
HCPCS,C1713,PLATE COND LFT 12HL 4.5MM,6494.0,5195.2,1.0,5844.6,26
HCPCS,C1713,PLATE COND LFT 14HL 4.5MM,6851.0,5480.8,1.0,6165.9,26
HCPCS,C1713,PLATE COND LFT 16HL 4.5MM,6736.0,5388.8,1.0,6062.4,26
HCPCS,C1713,PLATE COND LFT 18HL 4.5MM,6871.0,5496.8,1.0,6183.9,26
HCPCS,C1713,PLATE COND LFT 6HL 4.5MM,6027.0,4821.6,1.0,5424.3,26
HCPCS,C1713,PLATE COND LFT 8HL 2.4MM,4078.0,3262.4,1.0,3670.2,26
HCPCS,C1713,PLATE COND LFT 8HL 4.5MM,6139.0,4911.2,1.0,5525.1,26
HCPCS,C1713,PLATE COND PED 90D 3.5MM 3HL,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1713,PLATE COND PED 90D 3.5MM 5HL,4549.0,3639.2,1.0,4094.1,26
HCPCS,C1713,PLATE COND PED 90D 3.5MM 7HL,4778.0,3822.4,1.0,4300.2,26
HCPCS,C1713,PLATE COND PED 90D 5MM 3HL,5236.0,4188.8,1.0,4712.4,26
HCPCS,C1713,PLATE COND PED 90D 5MM 5HL,4791.0,3832.8,1.0,4311.9,26
HCPCS,C1713,PLATE COND PED 90D 5MM 7HL,5116.0,4092.8,1.0,4604.4,26
HCPCS,C1713,PLATE COND PED STER 90D 5MM3HL,4939.0,3951.2,1.0,4445.1,26
HCPCS,C1713,PLATE COND PED STER 90D 5MM5HL,5269.0,4215.2,1.0,4742.1,26
HCPCS,C1713,PLATE COND PIN 2*DISC NO REPL*,3657.0,2925.6,1.0,3291.3,26
HCPCS,C1713,PLATE COND PIN 2.7MM RT 6HL,3657.0,2925.6,1.0,3291.3,26
HCPCS,C1713,PLATE COND RT 10HL 4.5MM,6366.0,5092.8,1.0,5729.4,26
HCPCS,C1713,PLATE COND RT 12HL 4.5MM,6494.0,5195.2,1.0,5844.6,26
HCPCS,C1713,PLATE COND RT 14HL 4.5MM,6851.0,5480.8,1.0,6165.9,26
HCPCS,C1713,PLATE COND RT 16HL 4.5MM,6736.0,5388.8,1.0,6062.4,26
HCPCS,C1713,PLATE COND RT 18HL 4.5MM,6871.0,5496.8,1.0,6183.9,26
HCPCS,C1713,PLATE COND RT 6HL 4.5MM,6027.0,4821.6,1.0,5424.3,26
HCPCS,C1713,PLATE COND RT 8HL 2.4MM,4078.0,3262.4,1.0,3670.2,26
HCPCS,C1713,PLATE COND RT 8HL 4.5MM,6139.0,4911.2,1.0,5525.1,26
HCPCS,C1713,PLATE COND TI 7HL LFT 1.5X36MM,3733.0,2986.4,1.0,3359.7,26
HCPCS,C1713,PLATE COND TI 7HL LFT 2.0X39MM,4851.0,3880.8,1.0,4365.9,26
HCPCS,C1713,PLATE COND TI 7HL RT 1.5X36MM,3733.0,2986.4,1.0,3359.7,26
HCPCS,C1713,PLATE COND TI 7HL RT 2.0X39MM,4851.0,3880.8,1.0,4365.9,26
HCPCS,C1713,PLATE COND VOLT SS 10HL 2.0X73,4537.0,3629.6,1.0,4083.3,26
HCPCS,C1713,PLATE COND VOLT SS 10HL 2.4X88,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE COND VOLT SS 10HL 2.7X95,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE COND VOLT SS 6HL 2.0X45,4537.0,3629.6,1.0,4083.3,26
HCPCS,C1713,PLATE COND VOLT SS 6HL 2.4X54,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE COND VOLT SS 6HL 2.7X58,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE COND W GD 4HL 1.5MM,3652.0,2921.6,1.0,3286.8,26
HCPCS,C1713,PLATE CONDHAND TI LFT8HL 2.4MM,3701.0,2960.8,1.0,3330.9,26
HCPCS,C1713,PLATE CONDHAND TI RT 8HL 2.4MM,3701.0,2960.8,1.0,3330.9,26
HCPCS,C1713,PLATE CORONOID ACUM EXT LT,5855.0,4684.0,1.0,5269.5,26
HCPCS,C1713,PLATE CORONOID ACUM EXT RT,5855.0,4684.0,1.0,5269.5,26
HCPCS,C1713,PLATE CORONOID ACUM LT,5166.0,4132.8,1.0,4649.4,26
HCPCS,C1713,PLATE CORONOID ACUM RT,5166.0,4132.8,1.0,4649.4,26
HCPCS,C1713,PLATE CORONOID PROTEAN RT,7196.0,5756.8,1.0,6476.4,26
HCPCS,C1713,PLATE COV PYRAMID 25MM*NLU*,4596.0,3676.8,1.0,4136.4,26
HCPCS,C1713,PLATE CRANFAC KLS 2X21HL 0.6MM,1734.0,1387.2,1.0,1560.6,26
HCPCS,C1713,PLATE CRANI CUST BIOM*NLU*,26284.0,21027.2,1.0,23655.6,26
HCPCS,C1713,PLATE CRANI MESH TI 80X53X0.6,4622.0,3697.6,1.0,4159.8,26
HCPCS,C1713,PLATE CRANI PEEK CUST 60X60MM,23499.0,18799.2,1.0,21149.1,26
HCPCS,C1713,PLATE CRANI ST TI 2HL 12MM,462.0,369.6,1.0,415.8,26
HCPCS,C1713,PLATE CRANI ST TI 2HL 9MM,485.0,388.0,1.0,436.5,26
HCPCS,C1713,PLATE CRANI ST TI 4HL 12MM,494.0,395.2,1.0,444.6,26
HCPCS,C1713,PLATE CROSSLINK STRY 40MM*NLU*,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,PLATE CRST BD 2X2HL 2.0MM,3682.0,2945.6,1.0,3313.8,26
HCPCS,C1713,PLATE CRST BD 3X3HL 2.0MM,3958.0,3166.4,1.0,3562.2,26
HCPCS,C1713,PLATE CUBIOD LFT 2.4/2.7MM,4621.0,3696.8,1.0,4158.9,26
HCPCS,C1713,PLATE CUBIOD RT 2.4/2.7MM,4621.0,3696.8,1.0,4158.9,26
HCPCS,C1713,PLATE CUBOID 2.4MM,5219.0,4175.2,1.0,4697.1,26
HCPCS,C1713,PLATE CUBOID H TRILEAP TI LFT,8009.0,6407.2,1.0,7208.1,26
HCPCS,C1713,PLATE CUBOID H TRILEAP TI RT,8009.0,6407.2,1.0,7208.1,26
HCPCS,C1713,PLATE CUBOID W TRILEAP TI LG,8009.0,6407.2,1.0,7208.1,26
HCPCS,C1713,PLATE CUBOID W TRILEAP TI STD,8009.0,6407.2,1.0,7208.1,26
HCPCS,C1713,PLATE CURV STRY 11HL*NLU*,1987.0,1589.6,1.0,1788.3,26
HCPCS,C1713,PLATE CURV STRY 5HL RT,4142.0,3313.6,1.0,3727.8,26
HCPCS,C1713,PLATE CURVSAG LOPRO TI6HL*NLU*,1838.0,1470.4,1.0,1654.2,26
HCPCS,C1713,PLATE DBL COMP ST 2HL 20M*NLU*,5370.0,4296.0,1.0,4833.0,26
HCPCS,C1713,PLATE DBL Y KLS TI 6HL 1.0MM,2036.0,1628.8,1.0,1832.4,26
HCPCS,C1713,PLATE DBL Y MD TI 6HL 0.7MM,1958.0,1566.4,1.0,1762.2,26
HCPCS,C1713,PLATE DBL Y MICRO TI 6HL 0.4MM,1958.0,1566.4,1.0,1762.2,26
HCPCS,C1713,PLATE DBL Y RESORB X 6HL 1.0MM,2455.0,1964.0,1.0,2209.5,26
HCPCS,C1713,PLATE DBL Y THINFLAP 18MM,2032.0,1625.6,1.0,1828.8,26
HCPCS,C1713,PLATE DFSO 18DFLARE90D4HL4.5MM,15089.0,12071.2,1.0,13580.1,26
HCPCS,C1713,PLATE DFSO 18DFLARE90D6HL4.5MM,15089.0,12071.2,1.0,13580.1,26
HCPCS,C1713,PLATE DFSO 5D FLARE90D4HL4.5MM,15089.0,12071.2,1.0,13580.1,26
HCPCS,C1713,PLATE DHS SHRT 135D 4HL 78MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS SHRT STER135D4HL78MM,3775.0,3020.0,1.0,3397.5,26
HCPCS,C1713,PLATE DHS STD 130D 3HL 62MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 130D 4HL 78MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 130D 5HL 94MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 130D 6HL 110MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 135D 3HL 62MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 135D 4HL 78MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 135D 5HL 94MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 135D 6HL 110MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 140D 4HL 78MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 140D 5HL 94MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 140D 6HL 110MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 145D 4HL 78MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 145D 5HL 94MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 145D 6HL 110MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD 150D 4HL 78MM,3921.0,3136.8,1.0,3528.9,26
HCPCS,C1713,PLATE DHS STD STER 130D2HL46MM,3775.0,3020.0,1.0,3397.5,26
HCPCS,C1713,PLATE DHS STD STER 130D3HL62MM,3775.0,3020.0,1.0,3397.5,26
HCPCS,C1713,PLATE DHS STD STER 135D2HL46MM,3775.0,3020.0,1.0,3397.5,26
HCPCS,C1713,PLATE DHS STD STER 135D3HL62MM,3775.0,3020.0,1.0,3397.5,26
HCPCS,C1713,PLATE DHS STD STER 135D4HL78MM,3775.0,3020.0,1.0,3397.5,26
HCPCS,C1713,PLATE DIMND 2LVL AMEN 42M*NLU*,7106.0,5684.8,1.0,6395.4,26
HCPCS,C1713,PLATE DIMND 3LVL AMEN 62M*NLU*,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE DIST CLAV RT 13HL 2.3MM,5531.0,4424.8,1.0,4977.9,26
HCPCS,C1713,PLATE DIST FEM LFT 12HL 278MM,8172.0,6537.6,1.0,7354.8,26
HCPCS,C1713,PLATE DIST FEM LFT 15HL 317MM,8640.0,6912.0,1.0,7776.0,26
HCPCS,C1713,PLATE DIST FEM LFT 18HL 355MM,9072.0,7257.6,1.0,8164.8,26
HCPCS,C1713,PLATE DIST FEM LFT 5HL,8244.0,6595.2,1.0,7419.6,26
HCPCS,C1713,PLATE DIST FEM LISS TI L*DISC*,6600.0,5280.0,1.0,5940.0,26
HCPCS,C1713,PLATE DIST FEM RT 12HL 278MM,8172.0,6537.6,1.0,7354.8,26
HCPCS,C1713,PLATE DIST FEM RT 15HL 317MM,8640.0,6912.0,1.0,7776.0,26
HCPCS,C1713,PLATE DIST FEM RT 18HL 355MM,9072.0,7257.6,1.0,8164.8,26
HCPCS,C1713,PLATE DIST FEMNCBSTERLFT9HL238,7740.0,6192.0,1.0,6966.0,26
HCPCS,C1713,PLATE DIST FEMNCBSTERRT21HL393,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT8/3HL,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT8/4HL,4529.0,3623.2,1.0,4076.1,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT8/5HL,4660.0,3728.0,1.0,4194.0,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT9/3HL,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT9/4HL,4529.0,3623.2,1.0,4076.1,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT9/5HL,4660.0,3728.0,1.0,4194.0,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 8/3HL,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 8/4HL,4529.0,3623.2,1.0,4076.1,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 8/5HL,4660.0,3728.0,1.0,4194.0,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 9/3HL,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 9/4HL,4529.0,3623.2,1.0,4076.1,26
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 9/5HL,4660.0,3728.0,1.0,4194.0,26
HCPCS,C1713,PLATE DIST RAD COL LFT 8/3HL,4892.0,3913.6,1.0,4402.8,26
HCPCS,C1713,PLATE DIST RAD COL RT 8/3HL,4892.0,3913.6,1.0,4402.8,26
HCPCS,C1713,PLATE DIST RAD COL RT 8/4HL,5045.0,4036.0,1.0,4540.5,26
HCPCS,C1713,PLATE DIST RAD COL RT 9/4HL,5045.0,4036.0,1.0,4540.5,26
HCPCS,C1713,PLATE DIST RAD TRILK LFT7HL2.5,6948.0,5558.4,1.0,6253.2,26
HCPCS,C1713,PLATE DIST RAD VOLAR LFT 3HL,14438.0,11550.4,1.0,12994.2,26
HCPCS,C1713,PLATE DIST RAD VOLAR LFT 5HL,6015.0,4812.0,1.0,5413.5,26
HCPCS,C1713,PLATE DIST RAD VOLAR LFT 7HL,6162.0,4929.6,1.0,5545.8,26
HCPCS,C1713,PLATE DIST RAD VOLAR LFT 9HL,6309.0,5047.2,1.0,5678.1,26
HCPCS,C1713,PLATE DIST RAD VOLAR LFTWIDE55,7641.0,6112.8,1.0,6876.9,26
HCPCS,C1713,PLATE DIST RAD VOLAR NARWRT3HL,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE DIST RAD VOLAR RT 3HL2.4,14438.0,11550.4,1.0,12994.2,26
HCPCS,C1713,PLATE DIST RAD VOLAR RT 5HL,6015.0,4812.0,1.0,5413.5,26
HCPCS,C1713,PLATE DIST RAD VOLAR RT 7HL,6218.0,4974.4,1.0,5596.2,26
HCPCS,C1713,PLATE DIST RAD VOLAR RT 9HL,6309.0,5047.2,1.0,5678.1,26
HCPCS,C1713,PLATE DIST RAD VOLAR RT STD 54,7259.0,5807.2,1.0,6533.1,26
HCPCS,C1713,PLATE DIST RAD VOLAR RT WIDE55,7641.0,6112.8,1.0,6876.9,26
HCPCS,C1713,PLATE DIST RAD VOLAR STD RT3HL,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE DIST RAD VOLAR STD RT5HL,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE DIST RAD VOLAR STDLFT3HL,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE DIST RAD VOLAR STDLFT5HL,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE DIST RAD VOLAR WIDERT3HL,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE DIST RAD VOLAR WIDERT5HL,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE DIST RAD VOLARRTSTD3HL47,7259.0,5807.2,1.0,6533.1,26
HCPCS,C1713,PLATE DIST RAD VOLARRTSTD7HL75,9176.0,7340.8,1.0,8258.4,26
HCPCS,C1713,PLATE DIST RAD VOLARSTERLFT7HL,6779.0,5423.2,1.0,6101.1,26
HCPCS,C1713,PLATE DIST RAD VOLARWIDELFT3HL,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT NARW53,6178.0,4942.4,1.0,5560.2,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT NARW58,9637.0,7709.6,1.0,8673.3,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT NARW69,7415.0,5932.0,1.0,6673.5,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT NARW76,8031.0,6424.8,1.0,7227.9,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT STD 55,5253.0,4202.4,1.0,4727.7,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT STD 60,8031.0,6424.8,1.0,7227.9,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT STD 70,7102.0,5681.6,1.0,6391.8,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT STD 77,7722.0,6177.6,1.0,6949.8,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT WIDE56,6178.0,4942.4,1.0,5560.2,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT WIDE62,9637.0,7709.6,1.0,8673.3,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT WIDE70,7415.0,5932.0,1.0,6673.5,26
HCPCS,C1713,PLATE DIST RAD VOLT LFT WIDE79,8340.0,6672.0,1.0,7506.0,26
HCPCS,C1713,PLATE DIST RAD VOLT RT NARW 53,6178.0,4942.4,1.0,5560.2,26
HCPCS,C1713,PLATE DIST RAD VOLT RT NARW 58,9637.0,7709.6,1.0,8673.3,26
HCPCS,C1713,PLATE DIST RAD VOLT RT NARW 69,7415.0,5932.0,1.0,6673.5,26
HCPCS,C1713,PLATE DIST RAD VOLT RT NARW 76,8031.0,6424.8,1.0,7227.9,26
HCPCS,C1713,PLATE DIST RAD VOLT RT STD 55,5253.0,4202.4,1.0,4727.7,26
HCPCS,C1713,PLATE DIST RAD VOLT RT STD 60,8031.0,6424.8,1.0,7227.9,26
HCPCS,C1713,PLATE DIST RAD VOLT RT STD 70,7102.0,5681.6,1.0,6391.8,26
HCPCS,C1713,PLATE DIST RAD VOLT RT STD 77,7722.0,6177.6,1.0,6949.8,26
HCPCS,C1713,PLATE DIST RAD VOLT RT WIDE 56,6178.0,4942.4,1.0,5560.2,26
HCPCS,C1713,PLATE DIST RAD VOLT RT WIDE 62,9637.0,7709.6,1.0,8673.3,26
HCPCS,C1713,PLATE DIST RAD VOLT RT WIDE 70,7415.0,5932.0,1.0,6673.5,26
HCPCS,C1713,PLATE DIST RAD VOLT RT WIDE 79,8340.0,6672.0,1.0,7506.0,26
HCPCS,C1713,PLATE DIST RADVOLARLFTSTD3HL47,7259.0,5807.2,1.0,6533.1,26
HCPCS,C1713,PLATE DIST RADVOLARLFTSTD4HL54,7259.0,5807.2,1.0,6533.1,26
HCPCS,C1713,PLATE DIST RADVOLARLFTSTD7HL47,9176.0,7340.8,1.0,8258.4,26
HCPCS,C1713,PLATE DIST TIB OPEN WEDGE*NLU*,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,PLATE DISTHUMPOSTLATRT11HL94MM,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DISTRAD STER2/3HL2.4+90D,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1713,PLATE DISTRAD TI 2/3HL 2.4+90D,4425.0,3540.0,1.0,3982.5,26
HCPCS,C1713,PLATE DISTRAD TI 2/3HL 2.4-90D,4425.0,3540.0,1.0,3982.5,26
HCPCS,C1713,PLATE DISTRAD TI 2/5HL 2.4+90D,4654.0,3723.2,1.0,4188.6,26
HCPCS,C1713,PLATE DISTRAD TI 2/5HL 2.4-90D,4654.0,3723.2,1.0,4188.6,26
HCPCS,C1713,PLATE DORSAL DR LFT NARWSHRT47,5794.0,4635.2,1.0,5214.6,26
HCPCS,C1713,PLATE DORSAL DR MEDL LFT LNG,4110.0,3288.0,1.0,3699.0,26
HCPCS,C1713,PLATE DORSAL DR MEDL LFT SHRT,4110.0,3288.0,1.0,3699.0,26
HCPCS,C1713,PLATE DORSAL DR MEDL LFTSHRT39,4942.0,3953.6,1.0,4447.8,26
HCPCS,C1713,PLATE DORSAL DR MEDL RT LNG,4110.0,3288.0,1.0,3699.0,26
HCPCS,C1713,PLATE DORSAL DR MEDL RT SHRT,4110.0,3288.0,1.0,3699.0,26
HCPCS,C1713,PLATE DORSAL DR MEDL RT SHRT39,4942.0,3953.6,1.0,4447.8,26
HCPCS,C1713,PLATE DORSAL DR STRY LFT STD,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1713,PLATE DORSAL DR STRY LFT WIDE,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1713,PLATE DORSAL DR STRY RT STD,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1713,PLATE DORSAL DR STRY RT WIDE,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1713,PLATE DORSAL DR STRY RTXLNGSTD,5562.0,4449.6,1.0,5005.8,26
HCPCS,C1713,PLATE DORSAL DR STRYLFTXLNGSTD,5562.0,4449.6,1.0,5005.8,26
HCPCS,C1713,PLATE DORSAL DR STRYRTXLNGWIDE,5562.0,4449.6,1.0,5005.8,26
HCPCS,C1713,PLATE DORSAL DRSTRYLFTXLNGWIDE,5562.0,4449.6,1.0,5005.8,26
HCPCS,C1713,PLATE DORSAL TRILK RT 11HL 2.5,11079.0,8863.2,1.0,9971.1,26
HCPCS,C1713,PLATE DORSAL TRMI 4HL,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,PLATE DORSAL TRMI 6HL,4980.0,3984.0,1.0,4482.0,26
HCPCS,C1713,PLATE DR LAT STRY LNG 57MM,4110.0,3288.0,1.0,3699.0,26
HCPCS,C1713,PLATE DR LAT STRY SHRT 44MM,4110.0,3288.0,1.0,3699.0,26
HCPCS,C1713,PLATE DR VOLAR LFT 7HL 74MM,9176.0,7340.8,1.0,8258.4,26
HCPCS,C1713,PLATE DVR ANATOM FAST SHRT RT,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR CROSSLOCK NRW RT,4932.0,3945.6,1.0,4438.8,26
HCPCS,C1713,PLATE DVR ZIMM EXT LFT,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR ZIMM EXT RT,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR ZIMM NARW LFT,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR ZIMM NARW RT,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR ZIMM SHRT LFT 3HL,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR ZIMM SHRT RT,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR ZIMM STD LFT,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR ZIMM STD RT,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR ZIMM WIDE LFT,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR ZIMM WIDE RT,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DVR ZIMMNARW SHRT LFT3HL,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE DYNABUNION LFT SHRT 18MM,9667.0,7733.6,1.0,8700.3,26
HCPCS,C1713,PLATE DYNABUNION LFT STD 18MM,9667.0,7733.6,1.0,8700.3,26
HCPCS,C1713,PLATE DYNABUNION RT STD 18MM,9667.0,7733.6,1.0,8700.3,26
HCPCS,C1713,PLATE DYNAFORCE STER 4HL 15MM,9142.0,7313.6,1.0,8227.8,26
HCPCS,C1713,PLATE DYNAMET JI NARW STER 15,8708.0,6966.4,1.0,7837.2,26
HCPCS,C1713,PLATE ELBOW ACUM LFT 10HL,5238.0,4190.4,1.0,4714.2,26
HCPCS,C1713,PLATE ELBOW ACUM LFT 14HL,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,PLATE ELBOW ACUM LFT 20HL,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,PLATE ELBOW ACUM LFT 6HL,5238.0,4190.4,1.0,4714.2,26
HCPCS,C1713,PLATE ELBOW ACUM MEDL 12HL,5238.0,4190.4,1.0,4714.2,26
HCPCS,C1713,PLATE ELBOW ACUM MEDL 16HL,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,PLATE ELBOW ACUM MEDL 7HL,5238.0,4190.4,1.0,4714.2,26
HCPCS,C1713,PLATE ELBOW ACUM MEDL 8HL,5238.0,4190.4,1.0,4714.2,26
HCPCS,C1713,PLATE ELBOW ACUM MEDL LONG 9HL,5238.0,4190.4,1.0,4714.2,26
HCPCS,C1713,PLATE ELBOW ACUM MEDL SHRT 9HL,5238.0,4190.4,1.0,4714.2,26
HCPCS,C1713,PLATE ELBOW ACUM PSTR,5198.0,4158.4,1.0,4678.2,26
HCPCS,C1713,PLATE ELBOW ACUM RT 10HL,5238.0,4190.4,1.0,4714.2,26
HCPCS,C1713,PLATE ELBOW ACUM RT 14HL,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,PLATE ELBOW ACUM RT 20HL,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,PLATE ELBOW ACUM RT 6HL,5238.0,4190.4,1.0,4714.2,26
HCPCS,C1713,PLATE ELBOW BASE ASSY IJS TI,15945.0,12756.0,1.0,14350.5,26
HCPCS,C1713,PLATE EXTL FIX BLOCK 140/160,19125.0,15300.0,1.0,17212.5,26
HCPCS,C1713,PLATE F3 HIGH STRENGTH RT,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE FAN SYNPOR 0.8MM,5559.0,4447.2,1.0,5003.1,26
HCPCS,C1713,PLATE FAN SYNPOR REINF 0.8MM,5746.0,4596.8,1.0,5171.4,26
HCPCS,C1713,PLATE FAN SYNPOR REINF 1.5MM,5746.0,4596.8,1.0,5171.4,26
HCPCS,C1713,PLATE FAN SYNPOR SMTH 0.8MM,5859.0,4687.2,1.0,5273.1,26
HCPCS,C1713,PLATE FAN SYNPOR SMTH0.08X35MM,3919.0,3135.2,1.0,3527.1,26
HCPCS,C1713,PLATE FAN SYNPOR SMTHH/0 0.8MM,5925.0,4740.0,1.0,5332.5,26
HCPCS,C1713,PLATE FEM 2HL NECK,4598.0,3678.4,1.0,4138.2,26
HCPCS,C1713,PLATE FEM CONTOURLOCK RT SM/MD,5569.0,4455.2,1.0,5012.1,26
HCPCS,C1713,PLATE FEM DIST DFOS 90D 4HL3.5,12216.0,9772.8,1.0,10994.4,26
HCPCS,C1713,PLATE FEM DIST LAT LFT 12HL274,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LAT LFT 14HL310,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LAT LFT 16HL343,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LAT LFT 4HL 130,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LAT LFT 6HL 166,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LAT LFT 8HL 202,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LAT RT 10HL 238,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LAT RT 16HL 343,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LAT RT 4HL 130,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LAT RT 6HL 166,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LAT RT 8HL 202,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DIST LCP TI RT 9HL,7250.0,5800.0,1.0,6525.0,26
HCPCS,C1713,PLATE FEM DIST PANGEA LFT280MM,15901.0,12720.8,1.0,14310.9,26
HCPCS,C1713,PLATE FEM DIST PANGEA LFT318MM,15901.0,12720.8,1.0,14310.9,26
HCPCS,C1713,PLATE FEM DIST PANGEA RT280MM,15901.0,12720.8,1.0,14310.9,26
HCPCS,C1713,PLATE FEM DISTLAT RT 14HL 310,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM DISTLATSTERRT18HL379,9551.0,7640.8,1.0,8595.9,26
HCPCS,C1713,PLATE FEM LAT DIST TI LFT 4HL,5112.0,4089.6,1.0,4600.8,26
HCPCS,C1713,PLATE FEM LAT DIST TI RT 4HL,5112.0,4089.6,1.0,4600.8,26
HCPCS,C1713,PLATE FEM MEDL TOMOFIX LFT 4HL,5599.0,4479.2,1.0,5039.1,26
HCPCS,C1713,PLATE FEM MEDL TOMOFIX RT 4HL,5599.0,4479.2,1.0,5039.1,26
HCPCS,C1713,PLATE FEM NECK SYS STER 1HL,4598.0,3678.4,1.0,4138.2,26
HCPCS,C1713,PLATE FEM OPEN WDG 12.5MM,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1713,PLATE FEM PROX 4.5/5 LFT 6HL,5681.0,4544.8,1.0,5112.9,26
HCPCS,C1713,PLATE FEM PROX 4.5/5 LFT 8HL,5957.0,4765.6,1.0,5361.3,26
HCPCS,C1713,PLATE FEM PROX 4.5/5 RT 8HL,5957.0,4765.6,1.0,5361.3,26
HCPCS,C1713,PLATE FEM PROX HOOK 12HL 4.5/5,7333.0,5866.4,1.0,6599.7,26
HCPCS,C1713,PLATE FEM PROX HOOK 6HL 4.5/5,6517.0,5213.6,1.0,5865.3,26
HCPCS,C1713,PLATE FEM PROX PANGEA LFT320MM,15901.0,12720.8,1.0,14310.9,26
HCPCS,C1713,PLATE FEM PROX PANGEA RT 320MM,15901.0,12720.8,1.0,14310.9,26
HCPCS,C1713,PLATE FEM PROX ZIMM LFT 14HL,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1713,PLATE FEM PROX ZIMM RT 10HL,8604.0,6883.2,1.0,7743.6,26
HCPCS,C1713,PLATE FEM PROXHOOKSTER2HL4.5/5,6961.0,5568.8,1.0,6264.9,26
HCPCS,C1713,PLATE FEM PROXHOOKSTER4HL4.5/5,7055.0,5644.0,1.0,6349.5,26
HCPCS,C1713,PLATE FEM PROXSTER4.5/5LFT12HL,7437.0,5949.6,1.0,6693.3,26
HCPCS,C1713,PLATE FEM VA-LCP PROX SS RT7HL,9203.0,7362.4,1.0,8282.7,26
HCPCS,C1713,PLATE FEM VA-LCP PROX SS RT8HL,10979.0,8783.2,1.0,9881.1,26
HCPCS,C1713,PLATE FEM VA-LCP PROX SS RT9HL,10387.0,8309.6,1.0,9348.3,26
HCPCS,C1713,PLATE FEM VA-LCP PROX SSLFT8HL,9795.0,7836.0,1.0,8815.5,26
HCPCS,C1713,PLATE FEM VA-LCP PROX SSLFT9HL,10387.0,8309.6,1.0,9348.3,26
HCPCS,C1713,PLATE FEM VA-LCP PROX SSRT11HL,8998.0,7198.4,1.0,8098.2,26
HCPCS,C1713,PLATE FEM VA-LCP PROXSSLFT10HL,10979.0,8783.2,1.0,9881.1,26
HCPCS,C1713,PLATE FEM VA-LCP PROXSSLFT11HL,8998.0,7198.4,1.0,8098.2,26
HCPCS,C1713,PLATE FEM VA-LCPPROXSTERLFT2HL,6839.0,5471.2,1.0,6155.1,26
HCPCS,C1713,PLATE FEM VA-LCPPROXSTERRT10HL,9393.0,7514.4,1.0,8453.7,26
HCPCS,C1713,PLATE FEM ZIMM LFT 6HL*DISC*,8784.0,7027.2,1.0,7905.6,26
HCPCS,C1713,PLATE FEM ZIMM LFT 9HL*DISC*,8784.0,7027.2,1.0,7905.6,26
HCPCS,C1713,PLATE FEMMEDLTOMOFIXSTERLFT4HL,6187.0,4949.6,1.0,5568.3,26
HCPCS,C1713,PLATE FEMUR DIST MEDL LFT2HL96,15551.0,12440.8,1.0,13995.9,26
HCPCS,C1713,PLATE FEMUR DIST MEDL RT 2HL96,15551.0,12440.8,1.0,13995.9,26
HCPCS,C1713,PLATE FEMVA-LCPPROXSSLFTLG10HL,9171.0,7336.8,1.0,8253.9,26
HCPCS,C1713,PLATE FEMVA-LCPPROXSSLFTSM10HL,9171.0,7336.8,1.0,8253.9,26
HCPCS,C1713,PLATE FIB ANK AR*DISC 6324410*,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,PLATE FIB ANK AR*DISC 6325780*,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1713,PLATE FIB ANK AR*DISC 6332012*,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1713,PLATE FIB ANK FLEX 6HL,10575.0,8460.0,1.0,9517.5,26
HCPCS,C1713,PLATE FIB ANK FLEX 7HL,10575.0,8460.0,1.0,9517.5,26
HCPCS,C1713,PLATE FIB CLUSTER LFT 9HL,7298.0,5838.4,1.0,6568.2,26
HCPCS,C1713,PLATE FIB COMPOSITE 7HL,2624.0,2099.2,1.0,2361.6,26
HCPCS,C1713,PLATE FIB DIST LAT LFT 4HL81MM,7326.0,5860.8,1.0,6593.4,26
HCPCS,C1713,PLATE FIB DIST LAT RT 4HL 81MM,7326.0,5860.8,1.0,6593.4,26
HCPCS,C1713,PLATE FIB DIST LAT RT 5HL 95MM,7817.0,6253.6,1.0,7035.3,26
HCPCS,C1713,PLATE FIB DIST LAT RT 6HL*NLU*,5664.0,4531.2,1.0,5097.6,26
HCPCS,C1713,PLATE FIB DIST LAT RT 8HL132MM,4572.0,3657.6,1.0,4114.8,26
HCPCS,C1713,PLATE FIB DIST PSTR LFT 6HL 79,9373.0,7498.4,1.0,8435.7,26
HCPCS,C1713,PLATE FIB DIST PSTR RT 10HL109,10546.0,8436.8,1.0,9491.4,26
HCPCS,C1713,PLATE FIB DIST PSTR RT 2HL,4592.0,3673.6,1.0,4132.8,26
HCPCS,C1713,PLATE FIB DIST PSTRLAT TI 5HL,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,PLATE FIB DIST PSTRLAT TI 6HL,4703.0,3762.4,1.0,4232.7,26
HCPCS,C1713,PLATE FIB DIST PSTRLAT TI 8HL,5198.0,4158.4,1.0,4678.2,26
HCPCS,C1713,PLATE FIB DIST PSTRLAT TIRT6HL,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,PLATE FIB DIST PSTRLAT TIRT8HL,6188.0,4950.4,1.0,5569.2,26
HCPCS,C1713,PLATE FIB DIST PSTRLATRT7HL123,7997.0,6397.6,1.0,7197.3,26
HCPCS,C1713,PLATE FIB DIST PSTRLATSSLFT6HL,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,PLATE FIB DIST PSTRLATSSLFT8HL,6188.0,4950.4,1.0,5569.2,26
HCPCS,C1713,PLATE FIB DIST RT6HL2.7X111MM,9428.0,7542.4,1.0,8485.2,26
HCPCS,C1713,PLATE FIB DIST VARIAX 3HL 77MM,4032.0,3225.6,1.0,3628.8,26
HCPCS,C1713,PLATE FIB DIST VARIAX 4HL 89MM,4032.0,3225.6,1.0,3628.8,26
HCPCS,C1713,PLATE FIB DIST VARIAX 5HL101MM,4032.0,3225.6,1.0,3628.8,26
HCPCS,C1713,PLATE FIB DIST VARIAX 6HL113MM,4183.0,3346.4,1.0,3764.7,26
HCPCS,C1713,PLATE FIB DIST VARIAX 7HL125MM,4542.0,3633.6,1.0,4087.8,26
HCPCS,C1713,PLATE FIB DIST VARIAX 8HL137MM,4542.0,3633.6,1.0,4087.8,26
HCPCS,C1713,PLATE FIB DIST VARIAX 9HL149MM,4542.0,3633.6,1.0,4087.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 2HL135,4592.0,3673.6,1.0,4132.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 2HL136,4592.0,3673.6,1.0,4132.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 4HL135,4592.0,3673.6,1.0,4132.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 4HL136,4592.0,3673.6,1.0,4132.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 6HL135,4648.0,3718.4,1.0,4183.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 6HL136,4648.0,3718.4,1.0,4183.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 8HL135,4760.0,3808.0,1.0,4284.0,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 8HL136,4760.0,3808.0,1.0,4284.0,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT10HL135,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT10HL136,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT12HL135,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT12HL136,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT14HL135,5184.0,4147.2,1.0,4665.6,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT14HL136,5184.0,4147.2,1.0,4665.6,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT16HL135,5664.0,4531.2,1.0,5097.6,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT16HL136,5664.0,4531.2,1.0,5097.6,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT18HL135,4572.0,3657.6,1.0,4114.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT18HL136,4572.0,3657.6,1.0,4114.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT20HL135,4968.0,3974.4,1.0,4471.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM LFT20HL136,4968.0,3974.4,1.0,4471.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 10HL135,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 10HL136,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 12HL135,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 12HL136,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 14HL135,5184.0,4147.2,1.0,4665.6,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 14HL136,5184.0,4147.2,1.0,4665.6,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 16HL135,5664.0,4531.2,1.0,5097.6,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 16HL136,5664.0,4531.2,1.0,5097.6,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 18HL135,4572.0,3657.6,1.0,4114.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 18HL136,4572.0,3657.6,1.0,4114.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 20HL135,4968.0,3974.4,1.0,4471.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 20HL136,4968.0,3974.4,1.0,4471.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 2HL,4592.0,3673.6,1.0,4132.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 4HL135,4592.0,3673.6,1.0,4132.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 4HL136,4592.0,3673.6,1.0,4132.8,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 6HL135,4648.0,3718.4,1.0,4183.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 6HL136,4648.0,3718.4,1.0,4183.2,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 8HL135,4760.0,3808.0,1.0,4284.0,26
HCPCS,C1713,PLATE FIB DIST ZIMM RT 8HL136,4760.0,3808.0,1.0,4284.0,26
HCPCS,C1713,PLATE FIB DISTPSTRLATLFT6HL109,7758.0,6206.4,1.0,6982.2,26
HCPCS,C1713,PLATE FIB LAT ANATOM LFT 11HL,14700.0,11760.0,1.0,13230.0,26
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 3HL,4019.0,3215.2,1.0,3617.1,26
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 4HL,4166.0,3332.8,1.0,3749.4,26
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 5HL,4389.0,3511.2,1.0,3950.1,26
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 6HL,4639.0,3711.2,1.0,4175.1,26
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 7HL,4869.0,3895.2,1.0,4382.1,26
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 3HL,4019.0,3215.2,1.0,3617.1,26
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 4HL,4166.0,3332.8,1.0,3749.4,26
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 5HL,4389.0,3511.2,1.0,3950.1,26
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 6HL,4639.0,3711.2,1.0,4175.1,26
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 7HL,4869.0,3895.2,1.0,4382.1,26
HCPCS,C1713,PLATE FIB LAT DIST LFT 11HL,3234.0,2587.2,1.0,2910.6,26
HCPCS,C1713,PLATE FIB LAT DIST LFT 3HL,2842.0,2273.6,1.0,2557.8,26
HCPCS,C1713,PLATE FIB LAT DIST LFT 4HL,2864.0,2291.2,1.0,2577.6,26
HCPCS,C1713,PLATE FIB LAT DIST LFT 5HL,2907.0,2325.6,1.0,2616.3,26
HCPCS,C1713,PLATE FIB LAT DIST LFT 6HL,2971.0,2376.8,1.0,2673.9,26
HCPCS,C1713,PLATE FIB LAT DIST LFT 7HL,3018.0,2414.4,1.0,2716.2,26
HCPCS,C1713,PLATE FIB LAT DIST LFT 9HL,3179.0,2543.2,1.0,2861.1,26
HCPCS,C1713,PLATE FIB LAT DIST LFT5HL2.8MM,9428.0,7542.4,1.0,8485.2,26
HCPCS,C1713,PLATE FIB LAT DIST RT 11HL,3234.0,2587.2,1.0,2910.6,26
HCPCS,C1713,PLATE FIB LAT DIST RT 3HL,2842.0,2273.6,1.0,2557.8,26
HCPCS,C1713,PLATE FIB LAT DIST RT 4HL,2864.0,2291.2,1.0,2577.6,26
HCPCS,C1713,PLATE FIB LAT DIST RT 5HL,2907.0,2325.6,1.0,2616.3,26
HCPCS,C1713,PLATE FIB LAT DIST RT 6HL,2971.0,2376.8,1.0,2673.9,26
HCPCS,C1713,PLATE FIB LAT DIST RT 7HL,3018.0,2414.4,1.0,2716.2,26
HCPCS,C1713,PLATE FIB LAT DIST RT 9HL,3179.0,2543.2,1.0,2861.1,26
HCPCS,C1713,PLATE FIB LAT LCP TI LFT 5HL,3343.0,2674.4,1.0,3008.7,26
HCPCS,C1713,PLATE FIB LAT LCP TI LFT 9HL,3656.0,2924.8,1.0,3290.4,26
HCPCS,C1713,PLATE FIB LAT NON SYM 8HL RT,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1713,PLATE FIB LAT OFFSET LFT 89MM,7289.0,5831.2,1.0,6560.1,26
HCPCS,C1713,PLATE FIB LAT OMNI AF LFT 5HL,9428.0,7542.4,1.0,8485.2,26
HCPCS,C1713,PLATE FIB LAT OMNI AF LFT 7HL,9428.0,7542.4,1.0,8485.2,26
HCPCS,C1713,PLATE FIB LAT OMNI AF RT 7HL,9428.0,7542.4,1.0,8485.2,26
HCPCS,C1713,PLATE FIB LAT OMNI AF RT 9HL,9428.0,7542.4,1.0,8485.2,26
HCPCS,C1713,PLATE FIB LAT ORTHOLOC LFT77MM,7079.0,5663.2,1.0,6371.1,26
HCPCS,C1713,PLATE FIB LAT ORTHOLOC RT 77MM,7079.0,5663.2,1.0,6371.1,26
HCPCS,C1713,PLATE FIB LAT ORTHOLOC RT101MM,7394.0,5915.2,1.0,6654.6,26
HCPCS,C1713,PLATE FIB LATDISTSTER2.7LFT5HL,4816.0,3852.8,1.0,4334.4,26
HCPCS,C1713,PLATE FIB LFT8HL*DISC 6332072*,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1713,PLATE FIB PRGN ST 10HL,4875.0,3900.0,1.0,4387.5,26
HCPCS,C1713,PLATE FIB PRGN ST 5HL,4875.0,3900.0,1.0,4387.5,26
HCPCS,C1713,PLATE FIB PRGN ST 6HL,4875.0,3900.0,1.0,4387.5,26
HCPCS,C1713,PLATE FIB PRGN ST 7HL,4875.0,3900.0,1.0,4387.5,26
HCPCS,C1713,PLATE FIB PRGN ST 9HL,4875.0,3900.0,1.0,4387.5,26
HCPCS,C1713,PLATE FIB PSTR LAT RT 4HL 78MM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,PLATE FIB PSTR OMNI AF LFT 7HL,9428.0,7542.4,1.0,8485.2,26
HCPCS,C1713,PLATE FIB PSTRLAT ANAT DISTRT8,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,PLATE FIB PSTRLAT ANATDISTLFT4,5445.0,4356.0,1.0,4900.5,26
HCPCS,C1713,PLATE FIB PSTRLAT ANATDISTLFT6,5693.0,4554.4,1.0,5123.7,26
HCPCS,C1713,PLATE FIB PSTRLAT ANATDISTLFT8,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,PLATE FIB PSTRLAT ANATDISTRT10,6188.0,4950.4,1.0,5569.2,26
HCPCS,C1713,PLATE FIB PSTRLAT DIST SS 4HL,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE FIB PSTRLAT DIST SS 5HL,5412.0,4329.6,1.0,4870.8,26
HCPCS,C1713,PLATE FIB PSTRLAT DIST SS 6HL,5544.0,4435.2,1.0,4989.6,26
HCPCS,C1713,PLATE FIB PSTRLAT DIST SS 8HL,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1713,PLATE FIB PSTRLAT DIST SSRT4HL,5445.0,4356.0,1.0,4900.5,26
HCPCS,C1713,PLATE FIB PSTRLAT DIST SSRT6HL,5693.0,4554.4,1.0,5123.7,26
HCPCS,C1713,PLATE FIB PSTRLAT LFT 3HL 66MM,5004.0,4003.2,1.0,4503.6,26
HCPCS,C1713,PLATE FIB PSTRLAT RT 6HL 102MM,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE FIB PSTRLATANATDISTLFT10,6188.0,4950.4,1.0,5569.2,26
HCPCS,C1713,PLATE FIB RT 6HL*DISC 6331176*,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,PLATE FIB RT5HL*DISC 6325284*,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1713,PLATE FIB RT8HL*DISC 6331418*,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1713,PLATE FIB ST OMNI AF 10HL,9428.0,7542.4,1.0,8485.2,26
HCPCS,C1713,PLATE FIB ST OMNI AF 8HL,9428.0,7542.4,1.0,8485.2,26
HCPCS,C1713,PLATE FIB VARIAX ST 10HL 132MM,3265.0,2612.0,1.0,2938.5,26
HCPCS,C1713,PLATE FIB VARIAX ST 5HL 72MM,3144.0,2515.2,1.0,2829.6,26
HCPCS,C1713,PLATE FIB VARIAX ST 6HL 84MM,3144.0,2515.2,1.0,2829.6,26
HCPCS,C1713,PLATE FIB VARIAX ST 7HL 96MM,3144.0,2515.2,1.0,2829.6,26
HCPCS,C1713,PLATE FIB VARIAX ST 8HL 108MM,3144.0,2515.2,1.0,2829.6,26
HCPCS,C1713,PLATE FIB ZIMM 10HL*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,PLATE FIB ZIMM 11HL*DISC*,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,PLATE FIB ZIMM 12HL*DISC*,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,PLATE FIB ZIMM 14HL*DISC*,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,PLATE FIB ZIMM 5HL*DISC*,1632.0,1305.6,1.0,1468.8,26
HCPCS,C1713,PLATE FIB ZIMM 7HL*DISC*,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,PLATE FIB ZIMM 8HL*DISC*,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,PLATE FIB ZIMM 9HL*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,PLATE FIX SOLERA TI 4.75 28MM,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,PLATE FLEX ST MATTA 3HL 34.5,2775.0,2220.0,1.0,2497.5,26
HCPCS,C1713,PLATE FLEX ST MATTA 4HL 46.5,2775.0,2220.0,1.0,2497.5,26
HCPCS,C1713,PLATE FLEX ST MATTA 6HL 70.5,3311.0,2648.8,1.0,2979.9,26
HCPCS,C1713,PLATE FRAC OLEC TI LFT 2HL,6412.0,5129.6,1.0,5770.8,26
HCPCS,C1713,PLATE FRAC ST TYME 3HL 2.0MM,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1713,PLATE FRAC TLTS ANG 6HL 3.0,5083.0,4066.4,1.0,4574.7,26
HCPCS,C1713,PLATE FRAC TLTS BENT 6HL 2.0,4683.0,3746.4,1.0,4214.7,26
HCPCS,C1713,PLATE FRAC TLTS BENT 6HL 3.0,4443.0,3554.4,1.0,3998.7,26
HCPCS,C1713,PLATE FRAC TLTS CURV 6HL 2.5,3939.0,3151.2,1.0,3545.1,26
HCPCS,C1713,PLATE FRAC TLTS CURV LNG4HL1.5,3889.0,3111.2,1.0,3500.1,26
HCPCS,C1713,PLATE FRAC TLTS CURVSHRT4HL1.5,3889.0,3111.2,1.0,3500.1,26
HCPCS,C1713,PLATE FRAC TLTS ST 6HL 1.5,3919.0,3135.2,1.0,3527.1,26
HCPCS,C1713,PLATE FRAC TLTS ST 6HL 2.0,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1713,PLATE FRAC TLTS ST 6HL 2.5MM,3889.0,3111.2,1.0,3500.1,26
HCPCS,C1713,PLATE FRAC TLTS ST 6HL 3.0,4392.0,3513.6,1.0,3952.8,26
HCPCS,C1713,PLATE FRAC TLTS ST LNG 4HL 1.5,3383.0,2706.4,1.0,3044.7,26
HCPCS,C1713,PLATE FRAC TLTS ST SHRT 4HL1.5,3236.0,2588.8,1.0,2912.4,26
HCPCS,C1713,PLATE FRAC TLTS ST SHRT 4HL2.0,3268.0,2614.4,1.0,2941.2,26
HCPCS,C1713,PLATE FRAC TRILEAP 2.0 T TI4HL,4847.0,3877.6,1.0,4362.3,26
HCPCS,C1713,PLATE FRAC TRILEAP 2.0 T TI5HL,4847.0,3877.6,1.0,4362.3,26
HCPCS,C1713,PLATE FRAC TRILEAP 2.0 T TI6HL,4847.0,3877.6,1.0,4362.3,26
HCPCS,C1713,PLATE FRAC TRILEAP 2.0 Y TI6HL,5151.0,4120.8,1.0,4635.9,26
HCPCS,C1713,PLATE FRAC TRILEAP ST 2.0TI5HL,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1713,PLATE FRAC TRILEAP ST 2.0TI6HL,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1713,PLATE FRAC TRILEAP ST 2.0TI7HL,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1713,PLATE FRACT TLTS ANG 8HL 2.0,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1713,PLATE FRAGMENT 6HL 2.7MM,3152.0,2521.6,1.0,2836.8,26
HCPCS,C1713,PLATE FUSN ANK ANT TT LFT,10271.0,8216.8,1.0,9243.9,26
HCPCS,C1713,PLATE FUSN ANT RT,10271.0,8216.8,1.0,9243.9,26
HCPCS,C1713,PLATE FUSN CLOVERLF LNG2.4/2.7,4922.0,3937.6,1.0,4429.8,26
HCPCS,C1713,PLATE FUSN CLOVERLFSHRT2.4/2.7,4687.0,3749.6,1.0,4218.3,26
HCPCS,C1713,PLATE FUSN CLOVERLFSTD 2.4/2.7,4808.0,3846.4,1.0,4327.2,26
HCPCS,C1713,PLATE FUSN INTERCARPAL2.4X15MM,5151.0,4120.8,1.0,4635.9,26
HCPCS,C1713,PLATE FUSN INTERCARPAL2.4X17MM,5151.0,4120.8,1.0,4635.9,26
HCPCS,C1713,PLATE FUSN MCP TI ACUM LFT,3619.0,2895.2,1.0,3257.1,26
HCPCS,C1713,PLATE FUSN MININVAS ANT TT44MM,8885.0,7108.0,1.0,7996.5,26
HCPCS,C1713,PLATE FUSN PLANTAR LFT3.5X78MM,6553.0,5242.4,1.0,5897.7,26
HCPCS,C1713,PLATE FUSN TALUS RT 3.5X95MM,6553.0,5242.4,1.0,5897.7,26
HCPCS,C1713,PLATE FUSN TRILEAP PRIM0DLFTSM,9918.0,7934.4,1.0,8926.2,26
HCPCS,C1713,PLATE FUSN TRILEAP TI 0D LFTMD,9918.0,7934.4,1.0,8926.2,26
HCPCS,C1713,PLATE FUSN TRILEAP TI 0D LFTSM,9918.0,7934.4,1.0,8926.2,26
HCPCS,C1713,PLATE FUSN TRILEAP TI 10D RTSM,9918.0,7934.4,1.0,8926.2,26
HCPCS,C1713,PLATE FUSN TRILEAP TI 5D LFTSM,9918.0,7934.4,1.0,8926.2,26
HCPCS,C1713,PLATE FUSN TRILEAP TI 5D RT SM,9918.0,7934.4,1.0,8926.2,26
HCPCS,C1713,PLATE FUSN TRILEAP TI0DRT6HLXS,10256.0,8204.8,1.0,9230.4,26
HCPCS,C1713,PLATE FUSN TRILEAP TI5DRT6HLXS,10256.0,8204.8,1.0,9230.4,26
HCPCS,C1713,PLATE FUSN TRILEAP TN TI SHRT,9350.0,7480.0,1.0,8415.0,26
HCPCS,C1713,PLATE FUSN TRILEAPTI0DLFT5HLXS,10256.0,8204.8,1.0,9230.4,26
HCPCS,C1713,PLATE FUSN TRILEAPTI0DLFT6HLXS,10256.0,8204.8,1.0,9230.4,26
HCPCS,C1713,PLATE FUSN TRILEAPTI5DLFT6HLXS,10256.0,8204.8,1.0,9230.4,26
HCPCS,C1713,PLATE FUSN VA FIRST TMT STD,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE FUSN VA LCP TMT 43MM,4922.0,3937.6,1.0,4429.8,26
HCPCS,C1713,PLATE FUSN ZIMM INLINE 2.5MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,PLATE GENIOPLASTY KLS 3MM*NLU*,1168.0,934.4,1.0,1051.2,26
HCPCS,C1713,PLATE GENIOPLASTY KLS 9MM,1278.0,1022.4,1.0,1150.2,26
HCPCS,C1713,PLATE GRAFT ADJACENT CANOPY7MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1713,PLATE GRAFT IN-LINE CANOPY 7MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1713,PLATE H EXT TI LFT 1.3X19MM,3024.0,2419.2,1.0,2721.6,26
HCPCS,C1713,PLATE H EXT TI LFT 8HL 1.5MM,3007.0,2405.6,1.0,2706.3,26
HCPCS,C1713,PLATE H EXT TI R*DISC NO REPL*,3007.0,2405.6,1.0,2706.3,26
HCPCS,C1713,PLATE H EXT TI RT 1.3X19MM,2799.0,2239.2,1.0,2519.1,26
HCPCS,C1713,PLATE H LCP EXT W GD RT1.5,3004.0,2403.2,1.0,2703.6,26
HCPCS,C1713,PLATE H LG TI SYNT 11HL 0.8MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,PLATE H MTXSTRNM 8HL SM,3769.0,3015.2,1.0,3392.1,26
HCPCS,C1713,PLATE HELIOS 1LVL 12MM*NLU*,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE HELIOS 2LVL 26M*NLU*,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE HELIOS 3LVL 58MM*NLU*,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE HEVANS LFT MD 20MM,7054.0,5643.2,1.0,6348.6,26
HCPCS,C1713,PLATE HEVANS RT MD 20MM,6435.0,5148.0,1.0,5791.5,26
HCPCS,C1713,PLATE HEVANS RT SM 16MM,7054.0,5643.2,1.0,6348.6,26
HCPCS,C1713,PLATE HI STRENGTH LFT11.7X45.3,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE HI STRENGTH ST 5.6X50MM,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE HIND/MIDFOOT 2.4/2.7 8HL,4791.0,3832.8,1.0,4311.9,26
HCPCS,C1713,PLATE HIND/MIDFOOT 5HL 2.7MM,4554.0,3643.2,1.0,4098.6,26
HCPCS,C1713,PLATE HIND/MIDFOOT 8HL 2.7MM,4705.0,3764.0,1.0,4234.5,26
HCPCS,C1713,PLATE HIP CHILD 100D 4.5X35MM,4575.0,3660.0,1.0,4117.5,26
HCPCS,C1713,PLATE HIP CHILD 100D 4.5X45MM,4575.0,3660.0,1.0,4117.5,26
HCPCS,C1713,PLATE HIP CHILD 90D 4.5X35MM,4575.0,3660.0,1.0,4117.5,26
HCPCS,C1713,PLATE HIP CHILD 90D 4.5X45MM,4575.0,3660.0,1.0,4117.5,26
HCPCS,C1713,PLATE HIP PEDS LCP 100D 2.7MM,4836.0,3868.8,1.0,4352.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 100D 3.5MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 100D 5.0MM,5236.0,4188.8,1.0,4712.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 110D 2.7MM,4836.0,3868.8,1.0,4352.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 110D 3.5MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 110D 5.0MM,5236.0,4188.8,1.0,4712.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 120D 3.5MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 120D 5.0MM,5236.0,4188.8,1.0,4712.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 130D 2.7MM,4836.0,3868.8,1.0,4352.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 150D 3.5MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 150D 5.0MM,5236.0,4188.8,1.0,4712.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 3.5 130D3HL,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 3.5 130D5HL,4549.0,3639.2,1.0,4094.1,26
HCPCS,C1713,PLATE HIP PEDS LCP 3.5 130D7HL,4778.0,3822.4,1.0,4300.2,26
HCPCS,C1713,PLATE HIP PEDS LCP 3.5 130D9HL,5025.0,4020.0,1.0,4522.5,26
HCPCS,C1713,PLATE HIP PEDS LCP 5.0 130D3HL,5236.0,4188.8,1.0,4712.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 5.0 130D5HL,4791.0,3832.8,1.0,4311.9,26
HCPCS,C1713,PLATE HIP PEDS LCP 5.0 130D7HL,5116.0,4092.8,1.0,4604.4,26
HCPCS,C1713,PLATE HIP PEDS LCP 5.0 130D9HL,5415.0,4332.0,1.0,4873.5,26
HCPCS,C1713,PLATE HIP PEDS LCP ST 140D 3.5,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1713,PLATE HIP PEDS LCP ST 140D 5.0,5236.0,4188.8,1.0,4712.4,26
HCPCS,C1713,PLATE HIP PEDS LCP5STER130D3HL,4939.0,3951.2,1.0,4445.1,26
HCPCS,C1713,PLATE HIP TODDLER 90D 4X32MM,4575.0,3660.0,1.0,4117.5,26
HCPCS,C1713,PLATE HLX R NUVA 1LVL 22MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,PLATE HLX R NUVA 2LVL 38MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,PLATE HMMF SMARTLOCK,2680.0,2144.0,1.0,2412.0,26
HCPCS,C1713,PLATE HMMF SMARTLOCK STRY SM,2832.0,2265.6,1.0,2548.8,26
HCPCS,C1713,PLATE HOOK 5TH META STD LFT,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1713,PLATE HOOK 5TH META STD RT,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1713,PLATE HOOK CLAV RT 9HL 12MM,9747.0,7797.6,1.0,8772.3,26
HCPCS,C1713,PLATE HOOK COMP RT 5HL 1.2MM,6669.0,5335.2,1.0,6002.1,26
HCPCS,C1713,PLATE HOOK COMP RT 6HL 1.2MM,6669.0,5335.2,1.0,6002.1,26
HCPCS,C1713,PLATE HOOK DIST ULNA RT SHRT47,5131.0,4104.8,1.0,4617.9,26
HCPCS,C1713,PLATE HOOK FPS OSTE 2.7MM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,PLATE HOOK LCP 3HL 3.5X62MM,3199.0,2559.2,1.0,2879.1,26
HCPCS,C1713,PLATE HOOK LCP STER 3HL 3.5X62,3519.0,2815.2,1.0,3167.1,26
HCPCS,C1713,PLATE HOOK LCP STERTI3HL3.5X62,3839.0,3071.2,1.0,3455.1,26
HCPCS,C1713,PLATE HOOK ORTHOLOC 3DI LGSHRT,6315.0,5052.0,1.0,5683.5,26
HCPCS,C1713,PLATE HOOK PANGEA 3HL 2.7X37MM,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,PLATE HOOK PANGEA 3HL 3.5X49MM,9792.0,7833.6,1.0,8812.8,26
HCPCS,C1713,PLATE HOOK PANGEA 5HL 2.7X57MM,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,PLATE HOOK PANGEA 5HL 3.5X79MM,10544.0,8435.2,1.0,9489.6,26
HCPCS,C1713,PLATE HOOK PANGEA 7HL 2.7X72MM,10544.0,8435.2,1.0,9489.6,26
HCPCS,C1713,PLATE HOOK PANGEA 7HL3.5X103MM,8785.0,7028.0,1.0,7906.5,26
HCPCS,C1713,PLATE HOOK RT 2.7MM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,PLATE HOOK UNIV 5TH META,4579.0,3663.2,1.0,4121.1,26
HCPCS,C1713,PLATE HOOK VOLT SS 10HL 2.0X76,4855.0,3884.0,1.0,4369.5,26
HCPCS,C1713,PLATE HOOK VOLT SS 10HL 2.4X89,4792.0,3833.6,1.0,4312.8,26
HCPCS,C1713,PLATE HOOK VOLT SS 10HL 2.7X98,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE HOOK VOLT SS 6HL 2.0X47,4855.0,3884.0,1.0,4369.5,26
HCPCS,C1713,PLATE HOOK VOLT SS 6HL 2.4X56,4792.0,3833.6,1.0,4312.8,26
HCPCS,C1713,PLATE HOOK VOLT SS 6HL 2.7X61,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE HTO ST WEDGE LFT 1*NLU*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE HUMR DIST LAT RT 4HL,5856.0,4684.8,1.0,5270.4,26
HCPCS,C1713,PLATE HUMR DIST LCP XTR LFT6HL,5581.0,4464.8,1.0,5022.9,26
HCPCS,C1713,PLATE HUMR DIST LCP XTR LFT8HL,5924.0,4739.2,1.0,5331.6,26
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT 4HL,4879.0,3903.2,1.0,4391.1,26
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT 6HL,5581.0,4464.8,1.0,5022.9,26
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT 8HL,5924.0,4739.2,1.0,5331.6,26
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT10HL,6270.0,5016.0,1.0,5643.0,26
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT12HL,7164.0,5731.2,1.0,6447.6,26
HCPCS,C1713,PLATE HUMR DIST LCP XTRLFT10HL,6270.0,5016.0,1.0,5643.0,26
HCPCS,C1713,PLATE HUMR DIST LFT LNG 7HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST LFT XLNG 9HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST LNG SUPP RT7HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR DIST LNG SUPPLFT7HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR DIST MD LFT 4HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST MD RT 10HL97MM,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE HUMR DIST MD RT 4HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST MD RT 9HL 88MM,5904.0,4723.2,1.0,5313.6,26
HCPCS,C1713,PLATE HUMR DIST MD SUPP LFT4HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR DIST MD SUPP RT 4HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5LFT3HL,4733.0,3786.4,1.0,4259.7,26
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5LFT5HL,4503.0,3602.4,1.0,4052.7,26
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5LFT7HL,4952.0,3961.6,1.0,4456.8,26
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5LFT9HL,5347.0,4277.6,1.0,4812.3,26
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5RT 3HL,4733.0,3786.4,1.0,4259.7,26
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5RT 5HL,4503.0,3602.4,1.0,4052.7,26
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5RT 7HL,4952.0,3961.6,1.0,4456.8,26
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5RT 9HL,5347.0,4277.6,1.0,4812.3,26
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5RT14HL,5501.0,4400.8,1.0,4950.9,26
HCPCS,C1713,PLATE HUMR DIST MEDL LFT 10HL,4619.0,3695.2,1.0,4157.1,26
HCPCS,C1713,PLATE HUMR DIST MEDL LNGLFT4HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST MEDL MD LFT2HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST MEDL MD RT 2HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST MEDL RT LNG4HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST MEDL RTXLNG6HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST MEDL SHRTRT1HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST MEDL3.5LFT14HL,5501.0,4400.8,1.0,4950.9,26
HCPCS,C1713,PLATE HUMR DIST MEDLSHRTLFT1HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST MEDLXLNGLFT6HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST PSTRLAT LFT3HL,4733.0,3786.4,1.0,4259.7,26
HCPCS,C1713,PLATE HUMR DIST PSTRLAT LFT5HL,4503.0,3602.4,1.0,4052.7,26
HCPCS,C1713,PLATE HUMR DIST PSTRLAT LFT7HL,4952.0,3961.6,1.0,4456.8,26
HCPCS,C1713,PLATE HUMR DIST PSTRLAT LFT9HL,5347.0,4277.6,1.0,4812.3,26
HCPCS,C1713,PLATE HUMR DIST PSTRLAT RT 3HL,4733.0,3786.4,1.0,4259.7,26
HCPCS,C1713,PLATE HUMR DIST PSTRLAT RT 5HL,4503.0,3602.4,1.0,4052.7,26
HCPCS,C1713,PLATE HUMR DIST PSTRLAT RT 7HL,4952.0,3961.6,1.0,4456.8,26
HCPCS,C1713,PLATE HUMR DIST PSTRLAT RT 9HL,5347.0,4277.6,1.0,4812.3,26
HCPCS,C1713,PLATE HUMR DIST PSTRLAT RT14HL,5501.0,4400.8,1.0,4950.9,26
HCPCS,C1713,PLATE HUMR DIST PSTRLATLFT14HL,5501.0,4400.8,1.0,4950.9,26
HCPCS,C1713,PLATE HUMR DIST RT LNG 7HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST RT XLNG 9HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST SHRT LFT 3HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST SHRT RT 3HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR DIST SHRT SUPPRT3HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR DIST SHRTSUPPLFT3HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR DISTARTICULFT6HL164,9842.0,7873.6,1.0,8857.8,26
HCPCS,C1713,PLATE HUMR DISTARTICULFT8HL198,11158.0,8926.4,1.0,10042.2,26
HCPCS,C1713,PLATE HUMR DISTLCPXTRSTERRT6HL,6140.0,4912.0,1.0,5526.0,26
HCPCS,C1713,PLATE HUMR DISTLCPXTRSTERRT8HL,6514.0,5211.2,1.0,5862.6,26
HCPCS,C1713,PLATE HUMR DISTMEDLSTERMDRT2HL,4867.0,3893.6,1.0,4380.3,26
HCPCS,C1713,PLATE HUMR DISTXLNG SUPP RT9HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR DISTXLNG SUPPLFT9HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR LAT ARTX 12HL,9083.0,7266.4,1.0,8174.7,26
HCPCS,C1713,PLATE HUMR LAT DIST LFT 9HL173,4619.0,3695.2,1.0,4157.1,26
HCPCS,C1713,PLATE HUMR LAT DIST LFT LNG5HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR LAT DIST LFT MD 2HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR LAT DIST LFTSHRT1HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR LAT DIST LFTXLNG7HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR LAT DIST RT LNG 5HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR LAT DIST RT MD 2HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR LAT DIST RT SHRT1HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR LAT DIST RT XLNG7HL,5897.0,4717.6,1.0,5307.3,26
HCPCS,C1713,PLATE HUMR LAT DISTSTERRTMD2HL,4867.0,3893.6,1.0,4380.3,26
HCPCS,C1713,PLATE HUMR LAT LCP TI LFT 5HL,5788.0,4630.4,1.0,5209.2,26
HCPCS,C1713,PLATE HUMR LAT LCP TI RT 7HL,4774.0,3819.2,1.0,4296.6,26
HCPCS,C1713,PLATE HUMR MEDL EXT LFT LNG4HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR MEDL EXT MD LFT 2HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR MEDL EXT MD RT 2HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR MEDL EXT RT LNG 4HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR MEDL EXT RT XLNG6HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR MEDL EXT SHRT RT1HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR MEDL EXT SHRTLFT1HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR MEDL EXT STERLFT1HL,5477.0,4381.6,1.0,4929.3,26
HCPCS,C1713,PLATE HUMR MEDL EXT XLNGLFT6HL,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE HUMR MEDL LCP TI LFT 5HL,4861.0,3888.8,1.0,4374.9,26
HCPCS,C1713,PLATE HUMR MEDL LCP TI RT 7HL,5349.0,4279.2,1.0,4814.1,26
HCPCS,C1713,PLATE HUMR POST LAT LFT 5HL,5414.0,4331.2,1.0,4872.6,26
HCPCS,C1713,PLATE HUMR POST LAT RT 5HL,5414.0,4331.2,1.0,4872.6,26
HCPCS,C1713,PLATE HUMR POST LAT RT 7HL,6138.0,4910.4,1.0,5524.2,26
HCPCS,C1713,PLATE HUMR PROX 95D 3HL,10865.0,8692.0,1.0,9778.5,26
HCPCS,C1713,PLATE HUMR PROX ALPHA LFT 11HL,10761.0,8608.8,1.0,9684.9,26
HCPCS,C1713,PLATE HUMR PROX ALPHA LFT 4HL,10376.0,8300.8,1.0,9338.4,26
HCPCS,C1713,PLATE HUMR PROX ALPHA LFT 5HL,10376.0,8300.8,1.0,9338.4,26
HCPCS,C1713,PLATE HUMR PROX ALPHA LFT 7HL,10761.0,8608.8,1.0,9684.9,26
HCPCS,C1713,PLATE HUMR PROX ALPHA RT 5HL,10376.0,8300.8,1.0,9338.4,26
HCPCS,C1713,PLATE HUMR PROX ARTX 3HL,10865.0,8692.0,1.0,9778.5,26
HCPCS,C1713,PLATE HUMR PROX LCP 3.5 3HL 90,6475.0,5180.0,1.0,5827.5,26
HCPCS,C1713,PLATE HUMR PROX LCP 3.5 5HL114,6678.0,5342.4,1.0,6010.2,26
HCPCS,C1713,PLATE HUMR PROX LCP 3.5 5HL142,6995.0,5596.0,1.0,6295.5,26
HCPCS,C1713,PLATE HUMR PROX LCP 3.5 6HL160,7206.0,5764.8,1.0,6485.4,26
HCPCS,C1713,PLATE HUMR PROX LCP 3.5 8HL196,7282.0,5825.6,1.0,6553.8,26
HCPCS,C1713,PLATE HUMR PROX LCP STER3.5 8H,7495.0,5996.0,1.0,6745.5,26
HCPCS,C1713,PLATE HUMR PROX LFT 10HL 3.5MM,8725.0,6980.0,1.0,7852.5,26
HCPCS,C1713,PLATE HUMR PROX LFT 12HL 3.5MM,9069.0,7255.2,1.0,8162.1,26
HCPCS,C1713,PLATE HUMR PROX LFT 2HL 3.5MM,7185.0,5748.0,1.0,6466.5,26
HCPCS,C1713,PLATE HUMR PROX LFT 3HL 3.5MM,7454.0,5963.2,1.0,6708.6,26
HCPCS,C1713,PLATE HUMR PROX LFT 4HL 105MM,12719.0,10175.2,1.0,11447.1,26
HCPCS,C1713,PLATE HUMR PROX LFT 4HL 3.5MM,7676.0,6140.8,1.0,6908.4,26
HCPCS,C1713,PLATE HUMR PROX LFT 5HL 3.5MM,7901.0,6320.8,1.0,7110.9,26
HCPCS,C1713,PLATE HUMR PROX LFT 6HL 133MM,14371.0,11496.8,1.0,12933.9,26
HCPCS,C1713,PLATE HUMR PROX LFT 6HL 3.5 MM,8096.0,6476.8,1.0,7286.4,26
HCPCS,C1713,PLATE HUMR PROX LFT 6HL*DISC*,3008.0,2406.4,1.0,2707.2,26
HCPCS,C1713,PLATE HUMR PROX LFT 8HL 161MM,15022.0,12017.6,1.0,13519.8,26
HCPCS,C1713,PLATE HUMR PROX LFT 8HL 3.5MM,8336.0,6668.8,1.0,7502.4,26
HCPCS,C1713,PLATE HUMR PROX RT 10HL 3.5MM,8725.0,6980.0,1.0,7852.5,26
HCPCS,C1713,PLATE HUMR PROX RT 12HL 3.5MM,9069.0,7255.2,1.0,8162.1,26
HCPCS,C1713,PLATE HUMR PROX RT 2HL 3.5MM,7185.0,5748.0,1.0,6466.5,26
HCPCS,C1713,PLATE HUMR PROX RT 3HL 3.5MM,7454.0,5963.2,1.0,6708.6,26
HCPCS,C1713,PLATE HUMR PROX RT 4HL 105MM,12719.0,10175.2,1.0,11447.1,26
HCPCS,C1713,PLATE HUMR PROX RT 4HL 3.5MM,7676.0,6140.8,1.0,6908.4,26
HCPCS,C1713,PLATE HUMR PROX RT 5HL 3.5MM,7901.0,6320.8,1.0,7110.9,26
HCPCS,C1713,PLATE HUMR PROX RT 6HL 3.5MM,8096.0,6476.8,1.0,7286.4,26
HCPCS,C1713,PLATE HUMR PROX RT 6HL*DISC*,3008.0,2406.4,1.0,2707.2,26
HCPCS,C1713,PLATE HUMR PROX RT 8HL 3.5MM,8336.0,6668.8,1.0,7502.4,26
HCPCS,C1713,PLATE HUMR PROX STER RT 2HL3.5,7903.0,6322.4,1.0,7112.7,26
HCPCS,C1713,PLATE HUMR PROX STER RT 8HL3.5,9168.0,7334.4,1.0,8251.2,26
HCPCS,C1713,PLATE HUMR PROX STER RT10HL3.5,9599.0,7679.2,1.0,8639.1,26
HCPCS,C1713,PLATE HUMR PROX VOLT 3HL3.5X93,15956.0,12764.8,1.0,14360.4,26
HCPCS,C1713,PLATE HUMR PROX VOLT5HL3.5X119,15956.0,12764.8,1.0,14360.4,26
HCPCS,C1713,PLATE HUMR PROX VOLT8HL3.5X196,13514.0,10811.2,1.0,12162.6,26
HCPCS,C1713,PLATE HUMR PROXLAT STERRT3HL86,10461.0,8368.8,1.0,9414.9,26
HCPCS,C1713,PLATE HUMR PROXLAT STERRT4HL99,10461.0,8368.8,1.0,9414.9,26
HCPCS,C1713,PLATE HUMR PROXLATSTERLFT3HL86,10461.0,8368.8,1.0,9414.9,26
HCPCS,C1713,PLATE HUMR PROXLCP 3.5 10HL232,7645.0,6116.0,1.0,6880.5,26
HCPCS,C1713,PLATE HUMR PROXLCP 3.5 12HL268,8170.0,6536.0,1.0,7353.0,26
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPP RT3HL,4654.0,3723.2,1.0,4188.6,26
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPP RT5HL,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPP RT7HL,5501.0,4400.8,1.0,4950.9,26
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPPLFT3HL,4654.0,3723.2,1.0,4188.6,26
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPPLFT5HL,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPPLFT7HL,5501.0,4400.8,1.0,4950.9,26
HCPCS,C1713,PLATE HUMR SUT TI 3HL 90MM,1047.0,837.6,1.0,942.3,26
HCPCS,C1713,PLATE HUMRDISTMEDLSTERRTLNG4HL,4867.0,3893.6,1.0,4380.3,26
HCPCS,C1713,PLATE HUMRPROXLATSTERLFT5HL112,10461.0,8368.8,1.0,9414.9,26
HCPCS,C1713,PLATE HUMRPROXLATSTERRT10HL176,9388.0,7510.4,1.0,8449.2,26
HCPCS,C1713,PLATE HUMRPROXLATSTERRT12HL202,9804.0,7843.2,1.0,8823.6,26
HCPCS,C1713,PLATE I ORTHOPEDIATRICS 16MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,PLATE I ORTHOPEDIATRICS 22MM,4351.0,3480.8,1.0,3915.9,26
HCPCS,C1713,PLATE INFANT 90D 25/12MM,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1713,PLATE INFANT 90D 25/7MM,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1713,PLATE INFANT 90D 2HL 25X5MM,6984.0,5587.2,1.0,6285.6,26
HCPCS,C1713,PLATE INFANT 90D 2HL 30X5MM,6984.0,5587.2,1.0,6285.6,26
HCPCS,C1713,PLATE INFANT 90D 32/12MM,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1713,PLATE INFANT 90D 32/7MM,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1713,PLATE INFANT 90D 3HL 25X5MM,6984.0,5587.2,1.0,6285.6,26
HCPCS,C1713,PLATE INFANT 90D 3HL 30X5MM,6984.0,5587.2,1.0,6285.6,26
HCPCS,C1713,PLATE INFANT 90D 3HL 35X5MM,6984.0,5587.2,1.0,6285.6,26
HCPCS,C1713,PLATE INTERAXIS 2HL 25MM,6695.0,5356.0,1.0,6025.5,26
HCPCS,C1713,PLATE INTERCONT 0D 20X9M*NLU*,22525.0,18020.0,1.0,20272.5,26
HCPCS,C1713,PLATE INTRMD LFT SHRT 11HL56MM,5051.0,4040.8,1.0,4545.9,26
HCPCS,C1713,PLATE INTRMD RAD 2/3HL2.4 +90D,4766.0,3812.8,1.0,4289.4,26
HCPCS,C1713,PLATE INTRMD RAD 2/3HL2.4 -90D,4766.0,3812.8,1.0,4289.4,26
HCPCS,C1713,PLATE INTRMD RAD 2/4HL2.4 +90D,4942.0,3953.6,1.0,4447.8,26
HCPCS,C1713,PLATE INTRMD RAD 2/4HL2.4 -90D,4942.0,3953.6,1.0,4447.8,26
HCPCS,C1713,PLATE INTRMD RESORB X 4HL1.0MM,2087.0,1669.6,1.0,1878.3,26
HCPCS,C1713,PLATE INTRMD RT SHRT 11HL 56MM,5051.0,4040.8,1.0,4545.9,26
HCPCS,C1713,PLATE INTRPEL STER EXT LFTSM3.,10388.0,8310.4,1.0,9349.2,26
HCPCS,C1713,PLATE INTRPEL STER EXT RTLG3.5,10388.0,8310.4,1.0,9349.2,26
HCPCS,C1713,PLATE INTRPEL STER EXT RTSM3.5,10388.0,8310.4,1.0,9349.2,26
HCPCS,C1713,PLATE INTRPEL STER EXTLFTLG3.5,10388.0,8310.4,1.0,9349.2,26
HCPCS,C1713,PLATE INTRPEL STER STD RTLG3.5,9987.0,7989.6,1.0,8988.3,26
HCPCS,C1713,PLATE INTRPEL STER STD RTSM3.5,9987.0,7989.6,1.0,8988.3,26
HCPCS,C1713,PLATE INTRPEL STER STDLFTLG3.5,9987.0,7989.6,1.0,8988.3,26
HCPCS,C1713,PLATE INTRPEL STER STDLFTSM3.5,9987.0,7989.6,1.0,8988.3,26
HCPCS,C1713,PLATE J LK RECON LOPRO LFT10HL,4667.0,3733.6,1.0,4200.3,26
HCPCS,C1713,PLATE J LK RECON LOPRO LFT12HL,4927.0,3941.6,1.0,4434.3,26
HCPCS,C1713,PLATE J LK RECON LOPRO LFT14HL,5194.0,4155.2,1.0,4674.6,26
HCPCS,C1713,PLATE J LK RECON LOPRO LFT16HL,5494.0,4395.2,1.0,4944.6,26
HCPCS,C1713,PLATE J LK RECON LOPRO RT10HL3,4667.0,3733.6,1.0,4200.3,26
HCPCS,C1713,PLATE J LK RECON LOPRO RT12HL3,4927.0,3941.6,1.0,4434.3,26
HCPCS,C1713,PLATE J LK RECON LOPRO RT14HL3,5194.0,4155.2,1.0,4674.6,26
HCPCS,C1713,PLATE J LK RECON LOPRO RT16HL3,5494.0,4395.2,1.0,4944.6,26
HCPCS,C1713,PLATE J RECON LOPRO LFT10HL3.5,3831.0,3064.8,1.0,3447.9,26
HCPCS,C1713,PLATE J RECON LOPRO LFT12HL3.5,4134.0,3307.2,1.0,3720.6,26
HCPCS,C1713,PLATE J RECON LOPRO LFT14HL3.5,4448.0,3558.4,1.0,4003.2,26
HCPCS,C1713,PLATE J RECON LOPRO LFT16HL3.5,4757.0,3805.6,1.0,4281.3,26
HCPCS,C1713,PLATE J RECON LOPRO RT10HL3.5,3831.0,3064.8,1.0,3447.9,26
HCPCS,C1713,PLATE J RECON LOPRO RT12HL3.5,4134.0,3307.2,1.0,3720.6,26
HCPCS,C1713,PLATE J RECON LOPRO RT14HL3.5,4448.0,3558.4,1.0,4003.2,26
HCPCS,C1713,PLATE J RECON LOPRO RT16HL3.5,4757.0,3805.6,1.0,4281.3,26
HCPCS,C1713,PLATE JL STERNALK 8HL,3552.0,2841.6,1.0,3196.8,26
HCPCS,C1713,PLATE JL STERNALOCK 8HL,3112.0,2489.6,1.0,2800.8,26
HCPCS,C1713,PLATE KT LAPIPLASTY SYS3,18738.0,14990.4,1.0,16864.2,26
HCPCS,C1713,PLATE L 2.7MM 3HL LFT,2302.0,1841.6,1.0,2071.8,26
HCPCS,C1713,PLATE L 2.7MM 3HL RT,2302.0,1841.6,1.0,2071.8,26
HCPCS,C1713,PLATE L ARSENAL LFT,5445.0,4356.0,1.0,4900.5,26
HCPCS,C1713,PLATE L ARSENAL RT,5445.0,4356.0,1.0,4900.5,26
HCPCS,C1713,PLATE L BONE STRY LFT 5MM*NLU*,1756.0,1404.8,1.0,1580.4,26
HCPCS,C1713,PLATE L COMP POLYLOCK RT 5HL,10675.0,8540.0,1.0,9607.5,26
HCPCS,C1713,PLATE L DIST RAD +90D 2HL 40MM,4096.0,3276.8,1.0,3686.4,26
HCPCS,C1713,PLATE L DIST RAD -20D 3HL 52MM,4292.0,3433.6,1.0,3862.8,26
HCPCS,C1713,PLATE L DISTRAD TI3/3HL2.4+90D,4425.0,3540.0,1.0,3982.5,26
HCPCS,C1713,PLATE L DISTRAD TI3/3HL2.4-90D,4425.0,3540.0,1.0,3982.5,26
HCPCS,C1713,PLATE L DISTRAD TI3/5HL2.4+90D,4654.0,3723.2,1.0,4188.6,26
HCPCS,C1713,PLATE L DISTRAD TI3/5HL2.4-90D,4654.0,3723.2,1.0,4188.6,26
HCPCS,C1713,PLATE L FUSN VA LFT LNG 2.4MM,5070.0,4056.0,1.0,4563.0,26
HCPCS,C1713,PLATE L FUSN VA RT SHRT 2.4MM,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1713,PLATE L FUSN VA RT STD 2.4MM,4939.0,3951.2,1.0,4445.1,26
HCPCS,C1713,PLATE L KLS LFT 5HL,1023.0,818.4,1.0,920.7,26
HCPCS,C1713,PLATE L KLS LFT LNG,1023.0,818.4,1.0,920.7,26
HCPCS,C1713,PLATE L KLS LFT MD,1023.0,818.4,1.0,920.7,26
HCPCS,C1713,PLATE L KLS RT 5HL,1023.0,818.4,1.0,920.7,26
HCPCS,C1713,PLATE L KLS RT 7HL,1023.0,818.4,1.0,920.7,26
HCPCS,C1713,PLATE L KLS RT LNG,1023.0,818.4,1.0,920.7,26
HCPCS,C1713,PLATE L KLS RT MD,1023.0,818.4,1.0,920.7,26
HCPCS,C1713,PLATE L LAPIDUS LFT 60MM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE L LCP LFT 2/3HL 2.7X32MM,2560.0,2048.0,1.0,2304.0,26
HCPCS,C1713,PLATE L LCP LFT 4HL 2.7MM,2587.0,2069.6,1.0,2328.3,26
HCPCS,C1713,PLATE L LCP RT 3HL 2.7X32MM,2560.0,2048.0,1.0,2304.0,26
HCPCS,C1713,PLATE L LG LFT TI 2X3HL 0.8MM,1958.0,1566.4,1.0,1762.2,26
HCPCS,C1713,PLATE L LG LFT TI 3X4HL 0.8MM,2666.0,2132.8,1.0,2399.4,26
HCPCS,C1713,PLATE L LG RT TI 2X3HL 0.8MM,1958.0,1566.4,1.0,1762.2,26
HCPCS,C1713,PLATE L LG RT TI 3X4HL 0.8MM,2666.0,2132.8,1.0,2399.4,26
HCPCS,C1713,PLATE L LG TI LFT 4X6HL 0.8MM,2760.0,2208.0,1.0,2484.0,26
HCPCS,C1713,PLATE L LG TI RT 4X6HL 0.8MM,2760.0,2208.0,1.0,2484.0,26
HCPCS,C1713,PLATE L LK M VARIAX LFT 6HL2.3,2542.0,2033.6,1.0,2287.8,26
HCPCS,C1713,PLATE L MD LFT TI 4X6HL 0.7MM,2073.0,1658.4,1.0,1865.7,26
HCPCS,C1713,PLATE L MD RT TI 4X6HL 0.7MM,2755.0,2204.0,1.0,2479.5,26
HCPCS,C1713,PLATE L MD TI LFT 2X3HL 0.7MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,PLATE L MD TI LFT 3X4HL 0.7MM,2005.0,1604.0,1.0,1804.5,26
HCPCS,C1713,PLATE L MD TI RT 2X3HL 0.7MM,1958.0,1566.4,1.0,1762.2,26
HCPCS,C1713,PLATE L MD TI RT 3X4HL 0.7MM,2666.0,2132.8,1.0,2399.4,26
HCPCS,C1713,PLATE L MIDFACE 10HL 0.8MM,1995.0,1596.0,1.0,1795.5,26
HCPCS,C1713,PLATE L MIDFACE 10HL 1.0MM,1995.0,1596.0,1.0,1795.5,26
HCPCS,C1713,PLATE L MIDFACE 7HL 0.8MM,1995.0,1596.0,1.0,1795.5,26
HCPCS,C1713,PLATE L MIDFACE 7HL 1.0MM,1995.0,1596.0,1.0,1795.5,26
HCPCS,C1713,PLATE L MIDFACE STD LFT 1.7X8,1869.0,1495.2,1.0,1682.1,26
HCPCS,C1713,PLATE L MIDFACE STD RT 1.7X12,2944.0,2355.2,1.0,2649.6,26
HCPCS,C1713,PLATE L MINI TI LFT 4X6HL0.5MM,2073.0,1658.4,1.0,1865.7,26
HCPCS,C1713,PLATE L MINI TI LFT2X3HL0.5MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,PLATE L MINI TI LFT3X4HL0.5MM,2005.0,1604.0,1.0,1804.5,26
HCPCS,C1713,PLATE L MINI TI RT 4X6HL 0.5MM,2073.0,1658.4,1.0,1865.7,26
HCPCS,C1713,PLATE L MINI TI RT2X3HL0.5MM,2603.0,2082.4,1.0,2342.7,26
HCPCS,C1713,PLATE L MINI TI RT3X4HL0.5MM,2005.0,1604.0,1.0,1804.5,26
HCPCS,C1713,PLATE L MTX 90D 2HL 0.7MM*NLU*,1544.0,1235.2,1.0,1389.6,52
HCPCS,C1713,PLATE L MTX 90D 2HL 0.8MM*NLU*,1544.0,1235.2,1.0,1389.6,26
HCPCS,C1713,PLATE L MTX OBLIQ 3HL0.7M*NLU*,1610.0,1288.0,1.0,1449.0,26
HCPCS,C1713,PLATE L OBLIQ 2.*DISC NO REPL*,1092.0,873.6,1.0,982.8,26
HCPCS,C1713,PLATE L OBLIQ 2.0RT2HL19*CIP*,1092.0,873.6,1.0,982.8,26
HCPCS,C1713,PLATE L OBLIQ 2.7MM LFT 3HL,2302.0,1841.6,1.0,2071.8,26
HCPCS,C1713,PLATE L OBLIQ 2.7MM RT 3HL,2302.0,1841.6,1.0,2071.8,26
HCPCS,C1713,PLATE L OBLIQ LCP LFT3HL2.7X35,2560.0,2048.0,1.0,2304.0,26
HCPCS,C1713,PLATE L OBLIQ LCPRT3HL2.7X35MM,2560.0,2048.0,1.0,2304.0,26
HCPCS,C1713,PLATE L OBLIQ RAD TI 3/3HL+20D,4425.0,3540.0,1.0,3982.5,26
HCPCS,C1713,PLATE L OBLIQ RAD TI 3/3HL-20D,4425.0,3540.0,1.0,3982.5,26
HCPCS,C1713,PLATE L OBLIQ RAD TI 3/5HL+20D,4654.0,3723.2,1.0,4188.6,26
HCPCS,C1713,PLATE L OBLIQ RADSTER3/3HL+20D,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1713,PLATE L OBLIQ RVRSSHRT3X3HL0.8,2402.0,1921.6,1.0,2161.8,26
HCPCS,C1713,PLATE L OBLIQ TI RT 2.0 4X6HL,1986.0,1588.8,1.0,1787.4,26
HCPCS,C1713,PLATE L RAD 2.4 TI +20D 3/3HL,4508.0,3606.4,1.0,4057.2,26
HCPCS,C1713,PLATE L RAD 2.4 TI +20D 4/3HL,4721.0,3776.8,1.0,4248.9,26
HCPCS,C1713,PLATE L RAD 2.4 TI +90D 3/2HL,4508.0,3606.4,1.0,4057.2,26
HCPCS,C1713,PLATE L RAD 2.4 TI +90D 3/3HL,4508.0,3606.4,1.0,4057.2,26
HCPCS,C1713,PLATE L RAD 2.4 TI +90D 4/2HL,4721.0,3776.8,1.0,4248.9,26
HCPCS,C1713,PLATE L RAD 2.4 TI +90D 4/3HL,4721.0,3776.8,1.0,4248.9,26
HCPCS,C1713,PLATE L RAD 2.4 TI -20D 3/3HL,4508.0,3606.4,1.0,4057.2,26
HCPCS,C1713,PLATE L RAD 2.4 TI -20D 4/3HL,4721.0,3776.8,1.0,4248.9,26
HCPCS,C1713,PLATE L RAD 2.4 TI -90D 3/2HL,4508.0,3606.4,1.0,4057.2,26
HCPCS,C1713,PLATE L RAD 2.4 TI -90D 3/3HL,4508.0,3606.4,1.0,4057.2,26
HCPCS,C1713,PLATE L RAD 2.4 TI -90D 4/2HL,4721.0,3776.8,1.0,4248.9,26
HCPCS,C1713,PLATE L RAD 2.4 TI -90D 4/3HL,4721.0,3776.8,1.0,4248.9,26
HCPCS,C1713,PLATE L STERNALK 100D 4HL,3612.0,2889.6,1.0,3250.8,26
HCPCS,C1713,PLATE L STERNALOCK 100D 4HL,2680.0,2144.0,1.0,2412.0,26
HCPCS,C1713,PLATE L-BUNION 5.0MM,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1713,PLATE L2 COMP LFT 6HL 1.1MM,5831.0,4664.8,1.0,5247.9,26
HCPCS,C1713,PLATE L2 COMP RT 6HL 1.1MM,5831.0,4664.8,1.0,5247.9,26
HCPCS,C1713,PLATE LA GRIDLOCK LFT SM,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,PLATE LA GRIDLOCK RT SM,6480.0,5184.0,1.0,5832.0,26
HCPCS,C1713,PLATE LADDER MTXSTRNM 10HL LG,4894.0,3915.2,1.0,4404.6,26
HCPCS,C1713,PLATE LADDER MTXSTRNM 10HL SM,4847.0,3877.6,1.0,4362.3,26
HCPCS,C1713,PLATE LADDER MTXSTRNM 8HL LG,4140.0,3312.0,1.0,3726.0,26
HCPCS,C1713,PLATE LADDER STERNALK 12HL,4739.0,3791.2,1.0,4265.1,26
HCPCS,C1713,PLATE LADDER STERNALK WIDE12HL,4602.0,3681.6,1.0,4141.8,26
HCPCS,C1713,PLATE LADDER STERNALOCK 12HL,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,PLATE LADDERSTERNALOCKWIDE12HL,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,PLATE LAMBDA SUBCOND LFT7HL1MM,5193.0,4154.4,1.0,4673.7,26
HCPCS,C1713,PLATE LAPIDUS ALPHALOK 42MM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE LAPIDUS ARSENAL PET LFT,6188.0,4950.4,1.0,5569.2,26
HCPCS,C1713,PLATE LAPIDUS ARTX,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE LAPIDUS ARTX PLANTAR RT,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,PLATE LAPIDUS LNG,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE LAPIDUS MEDL TI SHRT,10845.0,8676.0,1.0,9760.5,26
HCPCS,C1713,PLATE LAPIDUS ORTHOLOC 4MM,9216.0,7372.8,1.0,8294.4,26
HCPCS,C1713,PLATE LAPIDUS PLANTAR SHRT LFT,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,PLATE LAPIDUS REV 6HL,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1713,PLATE LAPIDUS TI LFT STEP 0MM,10845.0,8676.0,1.0,9760.5,26
HCPCS,C1713,PLATE LAT ELBOW STRY LFT 3HL,6175.0,4940.0,1.0,5557.5,26
HCPCS,C1713,PLATE LAT ELBOW STRY LFT 4HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE LAT ELBOW STRY LFT 6HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE LAT ELBOW STRY LFT 8HL,5352.0,4281.6,1.0,4816.8,26
HCPCS,C1713,PLATE LAT HUMR RT 3HL 84MM,6175.0,4940.0,1.0,5557.5,26
HCPCS,C1713,PLATE LAT HUMR RT 4HL 84MM,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE LAT HUMR RT 6HL 84MM,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE LAT HUMR RT 8HL 84MM,5352.0,4281.6,1.0,4816.8,26
HCPCS,C1713,PLATE LAT PSTR HUMR LFT3HL80MM,6175.0,4940.0,1.0,5557.5,26
HCPCS,C1713,PLATE LAT PSTR STRY LFT 4HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE LAT PSTR STRY LFT 6HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE LAT PSTR STRY LFT 8HL,5352.0,4281.6,1.0,4816.8,26
HCPCS,C1713,PLATE LAT PSTR STRY RT 3HL,6175.0,4940.0,1.0,5557.5,26
HCPCS,C1713,PLATE LAT PSTR STRY RT 4HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE LAT PSTR STRY RT 6HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE LAT PSTR STRY RT 8HL,5352.0,4281.6,1.0,4816.8,26
HCPCS,C1713,PLATE LC-ANG 90D 8HL 4.5*DISC*,4664.0,3731.2,1.0,4197.6,26
HCPCS,C1713,PLATE LC-DCP 2.0MM 4HL 27MM,2863.0,2290.4,1.0,2576.7,26
HCPCS,C1713,PLATE LC-DCP 2.0MM 6HL 39MM,3343.0,2674.4,1.0,3008.7,26
HCPCS,C1713,PLATE LC-DCP 2.0MM 8HL 51MM,3834.0,3067.2,1.0,3450.6,26
HCPCS,C1713,PLATE LC-DCP 4HL 2.4MM,3955.0,3164.0,1.0,3559.5,26
HCPCS,C1713,PLATE LC-DCP 6HL 2.4MM,3901.0,3120.8,1.0,3510.9,26
HCPCS,C1713,PLATE LC-DCP 8HL 2.4MM,4216.0,3372.8,1.0,3794.4,26
HCPCS,C1713,PLATE LC-DCP BD 10HL 4.5X178MM,3604.0,2883.2,1.0,3243.6,26
HCPCS,C1713,PLATE LC-DCP HAND TI 4HL 2.0MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,PLATE LC-DCP HAND TI 4HL 2.4MM,3988.0,3190.4,1.0,3589.2,26
HCPCS,C1713,PLATE LC-DCP HAND TI 6HL 2.0MM,2923.0,2338.4,1.0,2630.7,26
HCPCS,C1713,PLATE LC-DCP HAND TI 6HL 2.4MM,3937.0,3149.6,1.0,3543.3,26
HCPCS,C1713,PLATE LC-DCP HAND TI 8HL 2.0MM,3310.0,2648.0,1.0,2979.0,26
HCPCS,C1713,PLATE LC-DCP HAND TI 8HL 2.4MM,4254.0,3403.2,1.0,3828.6,26
HCPCS,C1713,PLATE LCDCP CRST TI 4HL 2.4MM,3682.0,2945.6,1.0,3313.8,26
HCPCS,C1713,PLATE LCP BD 10HL 4.5X188MM,3604.0,2883.2,1.0,3243.6,26
HCPCS,C1713,PLATE LCP BD 11HL 4.5X206MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,PLATE LCP BD 12HL 4.5X224MM,4072.0,3257.6,1.0,3664.8,26
HCPCS,C1713,PLATE LCP BD 14HL 4.5X260MM,4531.0,3624.8,1.0,4077.9,26
HCPCS,C1713,PLATE LCP BD 16HL 4.5X296MM,4715.0,3772.0,1.0,4243.5,26
HCPCS,C1713,PLATE LCP BD 18HL 4.5X332MM,5743.0,4594.4,1.0,5168.7,26
HCPCS,C1713,PLATE LCP BD 20HL 4.5X368MM,4755.0,3804.0,1.0,4279.5,26
HCPCS,C1713,PLATE LCP BD 22HL 4.5X404MM,5211.0,4168.8,1.0,4689.9,26
HCPCS,C1713,PLATE LCP BD 6HL 4.5X116MM,2732.0,2185.6,1.0,2458.8,26
HCPCS,C1713,PLATE LCP BD 7HL 4.5X134MM,2896.0,2316.8,1.0,2606.4,26
HCPCS,C1713,PLATE LCP BD 8HL 4.5X152MM,3538.0,2830.4,1.0,3184.2,26
HCPCS,C1713,PLATE LCP BD 9HL 4.5X170MM,3830.0,3064.0,1.0,3447.0,26
HCPCS,C1713,PLATE LCP COND CURV LFT 10HL,6428.0,5142.4,1.0,5785.2,26
HCPCS,C1713,PLATE LCP COND CURV LFT 12HL,6566.0,5252.8,1.0,5909.4,26
HCPCS,C1713,PLATE LCP COND CURV LFT 14HL,6700.0,5360.0,1.0,6030.0,26
HCPCS,C1713,PLATE LCP COND CURV LFT 16HL,6829.0,5463.2,1.0,6146.1,26
HCPCS,C1713,PLATE LCP COND CURV LFT 18HL,7210.0,5768.0,1.0,6489.0,26
HCPCS,C1713,PLATE LCP COND CURV RT 10HL,6428.0,5142.4,1.0,5785.2,26
HCPCS,C1713,PLATE LCP COND CURV RT 12HL,6566.0,5252.8,1.0,5909.4,26
HCPCS,C1713,PLATE LCP COND CURV RT 14HL,6700.0,5360.0,1.0,6030.0,26
HCPCS,C1713,PLATE LCP COND CURV RT 16HL,6829.0,5463.2,1.0,6146.1,26
HCPCS,C1713,PLATE LCP COND CURV RT 18HL,7210.0,5768.0,1.0,6489.0,26
HCPCS,C1713,PLATE LCP COND CURV STERRT12HL,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1713,PLATE LCP COND CURV STERRT14HL,7371.0,5896.8,1.0,6633.9,26
HCPCS,C1713,PLATE LCP COND CURVSTERLFT12HL,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1713,PLATE LCP COND CURVSTERLFT14HL,7371.0,5896.8,1.0,6633.9,26
HCPCS,C1713,PLATE LCP COND CURVSTERLFT16HL,7509.0,6007.2,1.0,6758.1,26
HCPCS,C1713,PLATE LCP COND SS 7HL 2.4X50MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,PLATE LCP COND SS 7HL 2.7X66MM,3657.0,2925.6,1.0,3291.3,26
HCPCS,C1713,PLATE LCP CURV 12HL 4.5X229MM,4072.0,3257.6,1.0,3664.8,26
HCPCS,C1713,PLATE LCP CURV 14HL 4.5X265MM,4531.0,3624.8,1.0,4077.9,26
HCPCS,C1713,PLATE LCP CURV 16HL 4.5X300MM,4715.0,3772.0,1.0,4243.5,26
HCPCS,C1713,PLATE LCP CURV 18HL 4.5X336MM,5388.0,4310.4,1.0,4849.2,26
HCPCS,C1713,PLATE LCP CURV STER14HL4.5X265,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1713,PLATE LCP CURV STER16HL4.5X300,5191.0,4152.8,1.0,4671.9,26
HCPCS,C1713,PLATE LCP CURV STER18HL4.5X336,5927.0,4741.6,1.0,5334.3,26
HCPCS,C1713,PLATE LCP DHHS S*DISC 6183826*,4216.0,3372.8,1.0,3794.4,26
HCPCS,C1713,PLATE LCP DHHS STD 130D 3HL,4216.0,3372.8,1.0,3794.4,26
HCPCS,C1713,PLATE LCP DHHS STD 130D 4HL,4216.0,3372.8,1.0,3794.4,26
HCPCS,C1713,PLATE LCP DHHS STD 135D 2HL,4216.0,3372.8,1.0,3794.4,26
HCPCS,C1713,PLATE LCP DHHS STD 135D 4HL,4216.0,3372.8,1.0,3794.4,26
HCPCS,C1713,PLATE LCP DHHS STD 135D 6HL,4216.0,3372.8,1.0,3794.4,26
HCPCS,C1713,PLATE LCP DIST FEM LFT5HL156MM,6326.0,5060.8,1.0,5693.4,26
HCPCS,C1713,PLATE LCP DIST FEM LFT7HL196MM,6451.0,5160.8,1.0,5805.9,26
HCPCS,C1713,PLATE LCP DIST FEM LFT9HL236MM,6592.0,5273.6,1.0,5932.8,26
HCPCS,C1713,PLATE LCP DIST FEM RT 11HL,6719.0,5375.2,1.0,6047.1,26
HCPCS,C1713,PLATE LCP DIST FEM RT 13HL,6847.0,5477.6,1.0,6162.3,26
HCPCS,C1713,PLATE LCP DIST FEM RT 5HL156MM,6326.0,5060.8,1.0,5693.4,26
HCPCS,C1713,PLATE LCP DIST FEM RT 7HL196MM,6451.0,5160.8,1.0,5805.9,26
HCPCS,C1713,PLATE LCP DIST FEM RT 9HL,7250.0,5800.0,1.0,6525.0,26
HCPCS,C1713,PLATE LCP DIST FEM RT 9HL236MM,6592.0,5273.6,1.0,5932.8,26
HCPCS,C1713,PLATE LCP DISTFEM LFT11HL276MM,6719.0,5375.2,1.0,6047.1,26
HCPCS,C1713,PLATE LCP DISTFEM LFT13HL316MM,6847.0,5477.6,1.0,6162.3,26
HCPCS,C1713,PLATE LCP META3.5/4.5/5.0 18HL,5060.0,4048.0,1.0,4554.0,26
HCPCS,C1713,PLATE LCP NARW 10HL 4.5X188MM,3558.0,2846.4,1.0,3202.2,26
HCPCS,C1713,PLATE LCP NARW 11HL 4.5X206MM,3830.0,3064.0,1.0,3447.0,26
HCPCS,C1713,PLATE LCP NARW 12HL 4.5X224MM,3604.0,2883.2,1.0,3243.6,26
HCPCS,C1713,PLATE LCP NARW 14HL 4.5X260MM,4043.0,3234.4,1.0,3638.7,26
HCPCS,C1713,PLATE LCP NARW 16HL 4.5X296MM,4722.0,3777.6,1.0,4249.8,26
HCPCS,C1713,PLATE LCP NARW 18HL 4.5X332MM,4914.0,3931.2,1.0,4422.6,26
HCPCS,C1713,PLATE LCP NARW 20HL 4.5X368MM,4685.0,3748.0,1.0,4216.5,26
HCPCS,C1713,PLATE LCP NARW 22HL 4.5X404MM,5112.0,4089.6,1.0,4600.8,26
HCPCS,C1713,PLATE LCP NARW 2HL 4.5X44MM,2117.0,1693.6,1.0,1905.3,26
HCPCS,C1713,PLATE LCP NARW 3HL 4.5X62MM,2144.0,1715.2,1.0,1929.6,26
HCPCS,C1713,PLATE LCP NARW 5HL 4.5X98MM,2416.0,1932.8,1.0,2174.4,26
HCPCS,C1713,PLATE LCP NARW 6HL 4.5X116MM,2554.0,2043.2,1.0,2298.6,26
HCPCS,C1713,PLATE LCP NARW 7HL 4.5X134MM,2960.0,2368.0,1.0,2664.0,26
HCPCS,C1713,PLATE LCP NARW 8HL 4.5X152MM,3132.0,2505.6,1.0,2818.8,26
HCPCS,C1713,PLATE LCP NARW 9HL 4.5X170MM,3276.0,2620.8,1.0,2948.4,26
HCPCS,C1713,PLATE LCP PROXHUMR TI 10HL 232,8408.0,6726.4,1.0,7567.2,26
HCPCS,C1713,PLATE LCP SS 4HL 2.4X36MM,2554.0,2043.2,1.0,2298.6,26
HCPCS,C1713,PLATE LCP SS 4HL 2.7X40MM,2698.0,2158.4,1.0,2428.2,26
HCPCS,C1713,PLATE LCP SS 4HL 3.5X59MM,2038.0,1630.4,1.0,1834.2,26
HCPCS,C1713,PLATE LCP SS 5HL 2.7X49MM,2698.0,2158.4,1.0,2428.2,26
HCPCS,C1713,PLATE LCP SS 6HL 2.4X52MM,2554.0,2043.2,1.0,2298.6,26
HCPCS,C1713,PLATE LCP SS 6HL 2.7X58MM,2698.0,2158.4,1.0,2428.2,26
HCPCS,C1713,PLATE LCP SS 7HL 2.7X67MM,2698.0,2158.4,1.0,2428.2,26
HCPCS,C1713,PLATE LCP SS 8HL 2.4X68MM,2554.0,2043.2,1.0,2298.6,26
HCPCS,C1713,PLATE LCP STER 16HL 2.7X148MM,3239.0,2591.2,1.0,2915.1,26
HCPCS,C1713,PLATE LCP STER 20HL 2.7X161MM,3871.0,3096.8,1.0,3483.9,26
HCPCS,C1713,PLATE LCP TI ADPTN 6HL 1.MM,3256.0,2604.8,1.0,2930.4,26
HCPCS,C1713,PLATE LCP W GD 4HL 1.5MM,1853.0,1482.4,1.0,1667.7,26
HCPCS,C1713,PLATE LCP W GD 6HL 1.5MM,1853.0,1482.4,1.0,1667.7,26
HCPCS,C1713,PLATE LCP WRIST STD BEND 118MM,7108.0,5686.4,1.0,6397.2,26
HCPCS,C1713,PLATE LEGACY MULT TI45-57*NLU*,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,PLATE LIS FRANC ARSENAL,7178.0,5742.4,1.0,6460.2,26
HCPCS,C1713,PLATE LISFARNC ARSENAL STD 10D,7785.0,6228.0,1.0,7006.5,26
HCPCS,C1713,PLATE LISFRANC 1ST/2ND RT MD,9809.0,7847.2,1.0,8828.1,26
HCPCS,C1713,PLATE LISFRANC 2ND/3RD LFT SM,9809.0,7847.2,1.0,8828.1,26
HCPCS,C1713,PLATE LISFRANC DUAL1 2 RT SM,8892.0,7113.6,1.0,8002.8,26
HCPCS,C1713,PLATE LISFRANC LFT LG,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE LISFRANC LFT MD,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE LISFRANC LFT SM,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE LISFRANC RT LG,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE LISFRANC RT MD,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE LISFRANC RT SM,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE LISFRANC SLANTED LFT 3HL,6581.0,5264.8,1.0,5922.9,26
HCPCS,C1713,PLATE LISFRANC SLANTED-TLFT4HL,6581.0,5264.8,1.0,5922.9,26
HCPCS,C1713,PLATE LK 1/3 TUBLR 10HL3.5X133,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,PLATE LK 1/3 TUBLR 6HL 3.5X81,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,PLATE LK 1/3 TUBLR ARTX TI 4HL,2104.0,1683.2,1.0,1893.6,26
HCPCS,C1713,PLATE LK 1/3 TUBLR ARTX TI 5HL,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,PLATE LK 1/3 TUBLR ARTX TI 6HL,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,PLATE LK 1/3 TUBLR ARTX TI 7HL,2244.0,1795.2,1.0,2019.6,26
HCPCS,C1713,PLATE LK 1/3 TUBLR ARTX TI 8HL,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,PLATE LK 1/3 TUBLR ARTX TI10HL,2464.0,1971.2,1.0,2217.6,26
HCPCS,C1713,PLATE LK ATTACH A SS 4HL 3.5MM,3901.0,3120.8,1.0,3510.9,26
HCPCS,C1713,PLATE LK ATTACH A SS 8HL 3.5MM,3735.0,2988.0,1.0,3361.5,26
HCPCS,C1713,PLATE LK ATTACH B SS 4HL 3.5MM,3901.0,3120.8,1.0,3510.9,26
HCPCS,C1713,PLATE LK ATTACH B SS 8HL 3.5MM,3735.0,2988.0,1.0,3361.5,26
HCPCS,C1713,PLATE LK BABY GORILLAST4HL 1.1,5047.0,4037.6,1.0,4542.3,26
HCPCS,C1713,PLATE LK BABY GORILLAST6HL 1.1,5831.0,4664.8,1.0,5247.9,26
HCPCS,C1713,PLATE LK BABY GORILLAST6HL 1.5,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE LK CALC LCP HEX 60MM,5368.0,4294.4,1.0,4831.2,26
HCPCS,C1713,PLATE LK CALC LCP HEX 70MM,5403.0,4322.4,1.0,4862.7,26
HCPCS,C1713,PLATE LK CALC ZIMM LFT LG,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE LK COMBO ACUM 4D RT,4704.0,3763.2,1.0,4233.6,26
HCPCS,C1713,PLATE LK COMP 10HL 4.0MM 136MM,5769.0,4615.2,1.0,5192.1,26
HCPCS,C1713,PLATE LK COMP 14HL 4.0MM 188MM,5936.0,4748.8,1.0,5342.4,26
HCPCS,C1713,PLATE LK COMP BD 6HL 5.0MM 119,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1713,PLATE LK COMP BD 9HL 5.0MM 173,7506.0,6004.8,1.0,6755.4,26
HCPCS,C1713,PLATE LK COMP NARW 6HL5.0MM115,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1713,PLATE LK CONT HTO FLAT LFT71MM,5445.0,4356.0,1.0,4900.5,26
HCPCS,C1713,PLATE LK COV MERIDIAN 12MM,2864.0,2291.2,1.0,2577.6,26
HCPCS,C1713,PLATE LK COV SHORELINE ASC 5MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK COV SHORELINE ASC 6-7,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK COV SHORELINE ASC 6MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK COV SHORELINE ASC 7MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK COV SHORELINE ASC 8MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK COV SHORELINE ASC 9MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK COV SHORELINE ASC8-12,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK COV SHORELINE BACKUP7,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK COV THRDSHORELINEASC7,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK COV THRDSHORELINEASC8,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK COV THRDSHORELINEASC9,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,PLATE LK DIST FIB TI LFT 10HL,4604.0,3683.2,1.0,4143.6,26
HCPCS,C1713,PLATE LK DIST FIB TI RT 10HL,4604.0,3683.2,1.0,4143.6,26
HCPCS,C1713,PLATE LK DUALCOMP 6HL 3.5X79MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,PLATE LK DUALCOMP 8HL3.5X105MM,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,PLATE LK DVR NARW LFT 22X51MM,4932.0,3945.6,1.0,4438.8,26
HCPCS,C1713,PLATE LK DVR RT MD 24X62MM,5544.0,4435.2,1.0,4989.6,26
HCPCS,C1713,PLATE LK FEM PROX 130D 4HL 3.5,10386.0,8308.8,1.0,9347.4,26
HCPCS,C1713,PLATE LK FEM PROX 140D 4HL 3.5,10883.0,8706.4,1.0,9794.7,26
HCPCS,C1713,PLATE LK FEM VA ATTACH 4HL 3.5,4399.0,3519.2,1.0,3959.1,26
HCPCS,C1713,PLATE LK FEM VA SPAN LFTLNG4HL,5287.0,4229.6,1.0,4758.3,26
HCPCS,C1713,PLATE LK FEM VA SPAN RT LNG4HL,5287.0,4229.6,1.0,4758.3,26
HCPCS,C1713,PLATE LK FEM VA SPAN SS LFT4HL,5156.0,4124.8,1.0,4640.4,26
HCPCS,C1713,PLATE LK FEM VA SPAN SS RT 4HL,5156.0,4124.8,1.0,4640.4,26
HCPCS,C1713,PLATE LK FEM VA TROCH 3.5MM LG,7909.0,6327.2,1.0,7118.1,26
HCPCS,C1713,PLATE LK FEM VA TROCH 3.5MM SM,7909.0,6327.2,1.0,7118.1,26
HCPCS,C1713,PLATE LK FIB DIST ARTX SSRT4HL,4736.0,3788.8,1.0,4262.4,26
HCPCS,C1713,PLATE LK FIB DIST ARTX SSRT5HL,4785.0,3828.0,1.0,4306.5,26
HCPCS,C1713,PLATE LK FIB DIST ARTX SSRT6HL,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE LK FIB DIST ARTX SSRT8HL,5775.0,4620.0,1.0,5197.5,26
HCPCS,C1713,PLATE LK FIB DIST ARTXSSLFT4HL,4736.0,3788.8,1.0,4262.4,26
HCPCS,C1713,PLATE LK FIB DIST ARTXSSLFT5HL,4785.0,3828.0,1.0,4306.5,26
HCPCS,C1713,PLATE LK FIB DIST ARTXSSLFT6HL,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE LK FIB DIST ARTXSSLFT8HL,5775.0,4620.0,1.0,5197.5,26
HCPCS,C1713,PLATE LK FIB DIST TI LFT 4HL,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1713,PLATE LK FIB DIST TI LFT 5HL,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1713,PLATE LK FIB DISTARTXSSLFT10HL,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,PLATE LK FINGER BASE TI 8HL2.0,3746.0,2996.8,1.0,3371.4,26
HCPCS,C1713,PLATE LK HAND FRAC ST 1.5MM,3808.0,3046.4,1.0,3427.2,26
HCPCS,C1713,PLATE LK HAND FRAC ST 2.5MM,3976.0,3180.8,1.0,3578.4,26
HCPCS,C1713,PLATE LK HIGH FLEX RT13.0X42.7,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE LK HIGH FLEX ST 5.6X50.1,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE LK HIGH FLEX Y 16.1X40.5,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE LK HIGH FLEXLFT13.0X42.7,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE LK KLS LG 4HL 1MM,2474.0,1979.2,1.0,2226.6,26
HCPCS,C1713,PLATE LK KLS LG 6HL 1MM,2711.0,2168.8,1.0,2439.9,26
HCPCS,C1713,PLATE LK KLS REG 14HL 1MM,3990.0,3192.0,1.0,3591.0,26
HCPCS,C1713,PLATE LK KLS REG 4HL 1MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,PLATE LK LAT HOOK ARTX SS 3HL,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1713,PLATE LK LAT HOOK ARTX SS 5HL,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1713,PLATE LK LAT HOOK ARTX SS 7HL,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1713,PLATE LK LAT HOOK ARTX TI 3HL,4579.0,3663.2,1.0,4121.1,26
HCPCS,C1713,PLATE LK LAT HOOK ARTX TI 5HL,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE LK LAT HOOK ARTX TI 7HL,4925.0,3940.0,1.0,4432.5,26
HCPCS,C1713,PLATE LK MEDL HOOK ARTX SS 3HL,5445.0,4356.0,1.0,4900.5,26
HCPCS,C1713,PLATE LK MEDL HOOK ARTX SS 5HL,5445.0,4356.0,1.0,4900.5,26
HCPCS,C1713,PLATE LK MEDL HOOK TI 3HL,4579.0,3663.2,1.0,4121.1,26
HCPCS,C1713,PLATE LK MEDL HOOK TI 5HL,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE LK MEDL HOOK TI 7HL,4925.0,3940.0,1.0,4432.5,26
HCPCS,C1713,PLATE LK MIDFT 1ST TMT 4HL,4704.0,3763.2,1.0,4233.6,26
HCPCS,C1713,PLATE LK MIDFT 2ND/3RD TMT 4HL,4704.0,3763.2,1.0,4233.6,26
HCPCS,C1713,PLATE LK MIS CALC EXT LFTLG2HL,6084.0,4867.2,1.0,5475.6,26
HCPCS,C1713,PLATE LK MPT AVID LFT 0D SM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE LK MPT AVID RT 0D MD,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE LK MPT AVID RT 0D SM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE LK MTP FUSN DORSAL LFT,4704.0,3763.2,1.0,4233.6,26
HCPCS,C1713,PLATE LK MTP MPJ ACUM LFT,4704.0,3763.2,1.0,4233.6,26
HCPCS,C1713,PLATE LK MTP MPJ ACUM RT,4704.0,3763.2,1.0,4233.6,26
HCPCS,C1713,PLATE LK NAVICULAR LFT MD 9HL,6420.0,5136.0,1.0,5778.0,26
HCPCS,C1713,PLATE LK NAVICULAR RT MD 9HL,6420.0,5136.0,1.0,5778.0,26
HCPCS,C1713,PLATE LK NAVICULAR STER RT,4714.0,3771.2,1.0,4242.6,26
HCPCS,C1713,PLATE LK NECK FA STD,6072.0,4857.6,1.0,5464.8,26
HCPCS,C1713,PLATE LK PA CROSS T10 LFT,11635.0,9308.0,1.0,10471.5,26
HCPCS,C1713,PLATE LK PA CUBOID T8 9HL,5544.0,4435.2,1.0,4989.6,26
HCPCS,C1713,PLATE LK PA TALAR NECK TI,4817.0,3853.6,1.0,4335.3,26
HCPCS,C1713,PLATE LK PA TALONAVICULAR SHRT,4546.0,3636.8,1.0,4091.4,26
HCPCS,C1713,PLATE LK POW ARTX TI 3MM SZ00,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE LK POW ARTX TI 3MM SZ3.5,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE LK RECON LOPRO 10HL130MM,5230.0,4184.0,1.0,4707.0,26
HCPCS,C1713,PLATE LK RECON LOPRO 11HL143MM,4644.0,3715.2,1.0,4179.6,26
HCPCS,C1713,PLATE LK RECON LOPRO 12HL156MM,4796.0,3836.8,1.0,4316.4,26
HCPCS,C1713,PLATE LK RECON LOPRO 13HL169MM,4952.0,3961.6,1.0,4456.8,26
HCPCS,C1713,PLATE LK RECON LOPRO 14HL182MM,5113.0,4090.4,1.0,4601.7,26
HCPCS,C1713,PLATE LK RECON LOPRO 15HL195MM,5269.0,4215.2,1.0,4742.1,26
HCPCS,C1713,PLATE LK RECON LOPRO 16HL208MM,5423.0,4338.4,1.0,4880.7,26
HCPCS,C1713,PLATE LK RECON LOPRO 18HL234MM,5582.0,4465.6,1.0,5023.8,26
HCPCS,C1713,PLATE LK RECON LOPRO 20HL260MM,5741.0,4592.8,1.0,5166.9,26
HCPCS,C1713,PLATE LK RECON LOPRO 3HL 39MM,3951.0,3160.8,1.0,3555.9,26
HCPCS,C1713,PLATE LK RECON LOPRO 5HL 65MM,4337.0,3469.6,1.0,3903.3,26
HCPCS,C1713,PLATE LK RECON LOPRO 6HL 78MM,4513.0,3610.4,1.0,4061.7,26
HCPCS,C1713,PLATE LK RECON LOPRO 7HL 91MM,4686.0,3748.8,1.0,4217.4,26
HCPCS,C1713,PLATE LK RECON LOPRO 8HL 104MM,4869.0,3895.2,1.0,4382.1,26
HCPCS,C1713,PLATE LK RECON LOPRO 9HL 117MM,5051.0,4040.8,1.0,4545.9,26
HCPCS,C1713,PLATE LK RECON LOPRO4HL 52MM,4151.0,3320.8,1.0,3735.9,26
HCPCS,C1713,PLATE LK S REPLANT 3D 4X2H1.7,3433.0,2746.4,1.0,3089.7,26
HCPCS,C1713,PLATE LK ST ARTX SS 10HL,4582.0,3665.6,1.0,4123.8,26
HCPCS,C1713,PLATE LK ST ARTX SS 12HL,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,PLATE LK ST ARTX SS 4HL,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1713,PLATE LK ST ARTX SS 6HL,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,PLATE LK ST ARTX TI 7HL,4043.0,3234.4,1.0,3638.7,26
HCPCS,C1713,PLATE LK ST METFX 4HL,8528.0,6822.4,1.0,7675.2,26
HCPCS,C1713,PLATE LK ST METFX 6HL 42MM,8528.0,6822.4,1.0,7675.2,26
HCPCS,C1713,PLATE LK STRUT OBLIQTIRT8HL1.3,2597.0,2077.6,1.0,2337.3,26
HCPCS,C1713,PLATE LK TALUS 2.4/2.7MM,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1713,PLATE LK TIB DIST 6HL 107MM,5977.0,4781.6,1.0,5379.3,26
HCPCS,C1713,PLATE LK TIB DIST TI RT 8HL,5577.0,4461.6,1.0,5019.3,26
HCPCS,C1713,PLATE LK TROCH UNIV 131MM,4748.0,3798.4,1.0,4273.2,26
HCPCS,C1713,PLATE LK TUBLR ARTX SS 10HL,2464.0,1971.2,1.0,2217.6,26
HCPCS,C1713,PLATE LK TUBLR ARTX SS 12HL,2640.0,2112.0,1.0,2376.0,26
HCPCS,C1713,PLATE LK TUBLR ARTX SS 4HL,2104.0,1683.2,1.0,1893.6,26
HCPCS,C1713,PLATE LK TUBLR ARTX SS 5HL,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,PLATE LK TUBLR ARTX SS 6HL,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,PLATE LK TUBLR ARTX SS 7HL,2244.0,1795.2,1.0,2019.6,26
HCPCS,C1713,PLATE LK TUBLR ARTX SS 8HL,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,PLATE LK VA ANT PTLA SMSTER2.7,7843.0,6274.4,1.0,7058.7,26
HCPCS,C1713,PLATE LK VA ANT PTLASTER3HL2.7,7843.0,6274.4,1.0,7058.7,26
HCPCS,C1713,PLATE LK VA ANT PTLASTER6HL2.7,8628.0,6902.4,1.0,7765.2,26
HCPCS,C1713,PLATE LK VA ANTPTLACORESTER2.7,7843.0,6274.4,1.0,7058.7,26
HCPCS,C1713,PLATE LK VA BOX 4HL 2MM,3636.0,2908.8,1.0,3272.4,26
HCPCS,C1713,PLATE LK VA COND SS 2/6HL 2.0,3851.0,3080.8,1.0,3465.9,26
HCPCS,C1713,PLATE LK VA COND TI 2X6HL 2.0,3654.0,2923.2,1.0,3288.6,26
HCPCS,C1713,PLATE LK VA COND TI 2X6HL1.5,3555.0,2844.0,1.0,3199.5,26
HCPCS,C1713,PLATE LK VA NAVICULAR SS 2.4MM,4621.0,3696.8,1.0,4158.9,26
HCPCS,C1713,PLATE LK VA PHALANG 2X6HL 1.5,3716.0,2972.8,1.0,3344.4,26
HCPCS,C1713,PLATE LK VA ST SS 12HL 2.0MM,3599.0,2879.2,1.0,3239.1,26
HCPCS,C1713,PLATE LK VA ST TI 12HL 1.5MM,3390.0,2712.0,1.0,3051.0,26
HCPCS,C1713,PLATE LK VA ST TI 12HL 2.0,3904.0,3123.2,1.0,3513.6,26
HCPCS,C1713,PLATE LK VA STRUT 12HL 1.5MM,3716.0,2972.8,1.0,3344.4,26
HCPCS,C1713,PLATE LK VA TI RT SM 2.7X58MM,5176.0,4140.8,1.0,4658.4,26
HCPCS,C1713,PLATE LK VAANTPTLASMSTER3HL2.7,7843.0,6274.4,1.0,7058.7,26
HCPCS,C1713,PLATE LK VAANTPTLASMSTER6HL2.7,8628.0,6902.4,1.0,7765.2,26
HCPCS,C1713,PLATE LK VARIAX BD 10HL 80,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE LK VARIAX BD 10HL 90,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE LK VARIAX BD 12HL 108,5342.0,4273.6,1.0,4807.8,26
HCPCS,C1713,PLATE LK VARIAX BD 12HL 96,4706.0,3764.8,1.0,4235.4,26
HCPCS,C1713,PLATE LK VARIAX BD 14HL 125,5342.0,4273.6,1.0,4807.8,26
HCPCS,C1713,PLATE LK VARIAX BD 4HL 28,4378.0,3502.4,1.0,3940.2,26
HCPCS,C1713,PLATE LK VARIAX BD 4HL 39,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE LK VARIAX BD 6HL 41,4378.0,3502.4,1.0,3940.2,26
HCPCS,C1713,PLATE LK VARIAX BD 6HL 56,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE LK VARIAX BD 8HL 65,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE LK VARIAX BD 8HL 73,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE LK VARIAX BD ST 7HL 91,3088.0,2470.4,1.0,2779.2,26
HCPCS,C1713,PLATE LK VARIAX BD ST 8HL 103,3963.0,3170.4,1.0,3566.7,26
HCPCS,C1713,PLATE LK VARIAX BD STER20HL2.4,5718.0,4574.4,1.0,5146.2,26
HCPCS,C1713,PLATE LK VARIAX NARW 10HL 69,4749.0,3799.2,1.0,4274.1,26
HCPCS,C1713,PLATE LK VARIAX NARW 10HL 79,4706.0,3764.8,1.0,4235.4,26
HCPCS,C1713,PLATE LK VARIAX NARW 20HL 135,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE LK VARIAX NARW 20HL 155,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE LK VARIAX NARW 4HL 23,4007.0,3205.6,1.0,3606.3,26
HCPCS,C1713,PLATE LK VARIAX NARW 4HL 28,4749.0,3799.2,1.0,4274.1,26
HCPCS,C1713,PLATE LK VARIAX NARW 4HL 32,4706.0,3764.8,1.0,4235.4,26
HCPCS,C1713,PLATE LK VARIAX NARW 6HL 34,4007.0,3205.6,1.0,3606.3,26
HCPCS,C1713,PLATE LK VARIAX NARW 6HL 41,4749.0,3799.2,1.0,4274.1,26
HCPCS,C1713,PLATE LK VARIAX NARW 6HL 47,4706.0,3764.8,1.0,4235.4,26
HCPCS,C1713,PLATE LK VARIAX NARW 8HL 46,4007.0,3205.6,1.0,3606.3,26
HCPCS,C1713,PLATE LK VARIAX NARW 8HL 56,4749.0,3799.2,1.0,4274.1,26
HCPCS,C1713,PLATE LK VARIAX NARW 8HL 64,4706.0,3764.8,1.0,4235.4,26
HCPCS,C1713,PLATE LK VARIAX NARW ST 7HL 90,3088.0,2470.4,1.0,2779.2,26
HCPCS,C1713,PLATE LK VARIAX PROFILE 10HL54,3222.0,2577.6,1.0,2899.8,26
HCPCS,C1713,PLATE LK VARIAX PROFILE 4HL 28,3222.0,2577.6,1.0,2899.8,26
HCPCS,C1713,PLATE LK VARIZX Y 10HL 81MM,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE LKVARIAXTRIANGNARW10HL92,5660.0,4528.0,1.0,5094.0,26
HCPCS,C1713,PLATE LNG ST 4HL,702.0,561.6,1.0,631.8,26
HCPCS,C1713,PLATE LOPRO 1.5MM 2HL ST LNG,312.0,249.6,1.0,280.8,26
HCPCS,C1713,PLATE LOPRO 1.5MM 2HL ST SHRT,314.0,251.2,1.0,282.6,26
HCPCS,C1713,PLATE LOPRO 1.5MM 4HL ST XLNG,643.0,514.4,1.0,578.7,26
HCPCS,C1713,PLATE LOPRO 1.5MM 6HL DBL YLNG,1381.0,1104.8,1.0,1242.9,26
HCPCS,C1713,PLATE LOPRO ARTX LFT 3.5*NLU*,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1713,PLATE LOPRO ARTX LFT 3MM*NLU*,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1713,PLATE LOPRO ARTX LFT 4.5MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE LOPRO ARTX LFT 4MM*NLU*,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1713,PLATE LOPRO ARTX LFT 5.5MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE LOPRO ARTX LFT 5MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE LOPRO ARTX RT 3.5MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE LOPRO ARTX RT 4.5MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE LOPRO ARTX RT 5MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE LOPRO NEURO ST TI 2HL,450.0,360.0,1.0,405.0,26
HCPCS,C1713,PLATE LOPRO NEURO ST TI 4HL,546.0,436.8,1.0,491.4,26
HCPCS,C1713,PLATE LOPRO ST 4HL 2.4MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,PLATE LOQTEQTUBLR1/3 6HL3.5X76,9428.0,7542.4,1.0,8485.2,26
HCPCS,C1713,PLATE LORENZ CURV THINFLAP 4HL,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,PLATE LORENZ GAP THINFLAP 35MM,3504.0,2803.2,1.0,3153.6,26
HCPCS,C1713,PLATE LORENZ L REG RT 2MM*NLU*,1981.0,1584.8,1.0,1782.9,26
HCPCS,C1713,PLATE LORENZ MTX 2X3MM,2944.0,2355.2,1.0,2649.6,26
HCPCS,C1713,PLATE LORENZ SQ THINFLAP 4HL,2057.0,1645.6,1.0,1851.3,26
HCPCS,C1713,PLATE LORENZ ST THINFLAP *NLU*,2624.0,2099.2,1.0,2361.6,26
HCPCS,C1713,PLATE LORENZ ST THINFLAP 2HL,523.0,418.4,1.0,470.7,26
HCPCS,C1713,PLATE LORENZ WIDE THINFLAP 2HL,828.0,662.4,1.0,745.2,26
HCPCS,C1713,PLATE LVL1 CMF MAND 7HL0.5X102,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1713,PLATE LVL1 CMF MAND 7HL0.5X110,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1713,PLATE MALAREXTMEDPORLFT45*NLU*,3703.0,2962.4,1.0,3332.7,26
HCPCS,C1713,PLATE MAND MIDFACE TRUMATCH TI,29088.0,23270.4,1.0,26179.2,26
HCPCS,C1713,PLATE MAND RECON CUST*DISC*,28256.0,22604.8,1.0,25430.4,26
HCPCS,C1713,PLATE MAND RECON PRIM HEMI 2.0,28932.0,23145.6,1.0,26038.8,26
HCPCS,C1713,PLATE MAND RECON SECONDHEMI2.8,29162.0,23329.6,1.0,26245.8,26
HCPCS,C1713,PLATE MAND TI KLS CUST*NLU*,14988.0,11990.4,1.0,13489.2,26
HCPCS,C1713,PLATE MAND TRUMATCH TI 3D MD,21002.0,16801.6,1.0,18901.8,26
HCPCS,C1713,PLATE MAND TRUMATCH TI MINI,12238.0,9790.4,1.0,11014.2,26
HCPCS,C1713,PLATE MAND TRUMATCH TI SM,17483.0,13986.4,1.0,15734.7,26
HCPCS,C1713,PLATE MAND VERTICAL LFT SZ11,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1713,PLATE MAND VERTICAL RT SZ11,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1713,PLATE MATA MPS CURV R88 10HL,3824.0,3059.2,1.0,3441.6,26
HCPCS,C1713,PLATE MATA MPS CURV R88 12HL,3824.0,3059.2,1.0,3441.6,26
HCPCS,C1713,PLATE MATA MPS CURV R88 14HL,4061.0,3248.8,1.0,3654.9,26
HCPCS,C1713,PLATE MATA MPS CURV R88 4HL,3148.0,2518.4,1.0,2833.2,26
HCPCS,C1713,PLATE MATA MPS CURV R88 6HL,3148.0,2518.4,1.0,2833.2,26
HCPCS,C1713,PLATE MATA MPS CURVR88 8HL,3824.0,3059.2,1.0,3441.6,26
HCPCS,C1713,PLATE MATA MPS CVD R88 5HL,3148.0,2518.4,1.0,2833.2,26
HCPCS,C1713,PLATE MAXLOCK UNIV ILSC*NLU*,7353.0,5882.4,1.0,6617.7,26
HCPCS,C1713,PLATE MD ST 4HL,702.0,561.6,1.0,631.8,26
HCPCS,C1713,PLATE MEDL COL LFT LG 3.5MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,PLATE MEDL COL LFT SM 3.5MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,PLATE MEDL COL NCM LFT LNG,10325.0,8260.0,1.0,9292.5,26
HCPCS,C1713,PLATE MEDL COL RT MD 3.5MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,PLATE MEDL COL RT SM 3.5MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,PLATE MEDL ELBOW STRY 4HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE MEDL HUMR STRY RT 6HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE MEDL HUMR STRY RT 8HL,5352.0,4281.6,1.0,4816.8,26
HCPCS,C1713,PLATE MEDL PI3HL*DISC NO REPL*,3136.0,2508.8,1.0,2822.4,26
HCPCS,C1713,PLATE MEDL PILON 5HL*DISC*,3392.0,2713.6,1.0,3052.8,26
HCPCS,C1713,PLATE MEDL PILON 7HL*DISC*,3776.0,3020.8,1.0,3398.4,26
HCPCS,C1713,PLATE MEDL PILON 9HL*DISC*,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,PLATE MEDL PILON LFT LNG 21HL,9048.0,7238.4,1.0,8143.2,26
HCPCS,C1713,PLATE MEDL PSTR STRY LFT 4HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE MEDL PSTR STRY LFT 6HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE MEDL PSTR STRY LFT 8HL,5352.0,4281.6,1.0,4816.8,26
HCPCS,C1713,PLATE MEDL PSTR STRY RT 3HL,6175.0,4940.0,1.0,5557.5,26
HCPCS,C1713,PLATE MEDL PSTR STRY RT 4HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE MEDL PSTR STRY RT 6HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE MEDL PSTR STRY RT 8HL,5352.0,4281.6,1.0,4816.8,26
HCPCS,C1713,PLATE MEDL STD UNITE RT,10325.0,8260.0,1.0,9292.5,26
HCPCS,C1713,PLATE MEDL STRY 6HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE MEDL STRY LFT-RT 3HL,6175.0,4940.0,1.0,5557.5,26
HCPCS,C1713,PLATE MEDL STRY LFT-RT 4HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE MEDL TNCM EXT REV,10325.0,8260.0,1.0,9292.5,26
HCPCS,C1713,PLATE MEDL TNCM EXT RT LNG,10325.0,8260.0,1.0,9292.5,26
HCPCS,C1713,PLATE MEDL TNCM EXT RT STD,10325.0,8260.0,1.0,9292.5,26
HCPCS,C1713,PLATE MEDPOR 38X50X1.5MM *NLU*,3647.0,2917.6,1.0,3282.3,26
HCPCS,C1713,PLATE MESH ORB RESORBX0.6X23MM,4672.0,3737.6,1.0,4204.8,26
HCPCS,C1713,PLATE MESH ORB RESORBX0.6X30MM,4898.0,3918.4,1.0,4408.2,26
HCPCS,C1713,PLATE MESH RESORB 0.8X11X126MM,5537.0,4429.6,1.0,4983.3,26
HCPCS,C1713,PLATE MESH RESORB 1.5MM 50X0.8,4742.0,3793.6,1.0,4267.8,26
HCPCS,C1713,PLATE MESH RESORB X0.6X26X26MM,4171.0,3336.8,1.0,3753.9,26
HCPCS,C1713,PLATE MESH RESORB X0.6X5*NLU*,7313.0,5850.4,1.0,6581.7,26
HCPCS,C1713,PLATE MESH RESORB X0.6X51X51MM,7336.0,5868.8,1.0,6602.4,26
HCPCS,C1713,PLATE MESH RESORB X0.8X51X51MM,7698.0,6158.4,1.0,6928.2,26
HCPCS,C1713,PLATE MESH RESORB X1.0X51X51MM,7698.0,6158.4,1.0,6928.2,26
HCPCS,C1713,PLATE MESH RESORB XG 11X126MM,5451.0,4360.8,1.0,4905.9,26
HCPCS,C1713,PLATE MESH RESORB XG 22HL111MM,3466.0,2772.8,1.0,3119.4,26
HCPCS,C1713,PLATE MESH RESORB XG 6HL 23MM,2381.0,1904.8,1.0,2142.9,26
HCPCS,C1713,PLATE MESH RESORB XG 8HL 41MM,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,PLATE MESH RESORBX1.0X126X11MM,5537.0,4429.6,1.0,4983.3,26
HCPCS,C1713,PLATE META LCP 11HL 3.5MM,4733.0,3786.4,1.0,4259.7,26
HCPCS,C1713,PLATE META LCP 6HL 3.5MM,5080.0,4064.0,1.0,4572.0,26
HCPCS,C1713,PLATE META LCP 7HL 3.5MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,PLATE META LCP 9HL 3.5MM,4581.0,3664.8,1.0,4122.9,26
HCPCS,C1713,PLATE META ST MEDL 5HL,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1713,PLATE META ST MEDL 7HL,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1713,PLATE META T MEDL 7HL,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1713,PLATE META VA ST 2.5 6HL 39MM,9975.0,7980.0,1.0,8977.5,26
HCPCS,C1713,PLATE META VA ST 2.5 7HL 45MM,9975.0,7980.0,1.0,8977.5,26
HCPCS,C1713,PLATE META VA ST 2.5 8HL 51MM,9975.0,7980.0,1.0,8977.5,26
HCPCS,C1713,PLATE META VA ST 2.5 8HL42.5MM,9975.0,7980.0,1.0,8977.5,26
HCPCS,C1713,PLATE META ZIMM 7HL*DISC*,3968.0,3174.4,1.0,3571.2,26
HCPCS,C1713,PLATE META ZIMM 9HL*DISC*,3864.0,3091.2,1.0,3477.6,26
HCPCS,C1713,PLATE META ZIMM LG 3HL*DISC*,3392.0,2713.6,1.0,3052.8,26
HCPCS,C1713,PLATE META ZIMM LG 5HL*DISC*,3712.0,2969.6,1.0,3340.8,26
HCPCS,C1713,PLATE META ZIMM SM 3HL*DISC*,2816.0,2252.8,1.0,2534.4,26
HCPCS,C1713,PLATE META ZIMM SM 5HL*DISC*,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,PLATE META ZIMM SM 7HL*DISC*,3392.0,2713.6,1.0,3052.8,26
HCPCS,C1713,PLATE MICRO 1.0MM 8HL CURV,1132.0,905.6,1.0,1018.8,26
HCPCS,C1713,PLATE MICRO 1.5MM 10HL CURV,1205.0,964.0,1.0,1084.5,26
HCPCS,C1713,PLATE MICRO 1.5MM 16HL ST,1266.0,1012.8,1.0,1139.4,26
HCPCS,C1713,PLATE MICRO 1.5MM 4HL L LFT MD,1096.0,876.8,1.0,986.4,26
HCPCS,C1713,PLATE MICRO 1.5MM 4HL L LFTLNG,1096.0,876.8,1.0,986.4,26
HCPCS,C1713,PLATE MICRO 1.5MM 4HL L RT LNG,1096.0,876.8,1.0,986.4,26
HCPCS,C1713,PLATE MICRO 1.5MM 4HL L RT MD,1096.0,876.8,1.0,986.4,26
HCPCS,C1713,PLATE MICRO 1.5MM 4HL ST,583.0,466.4,1.0,524.7,26
HCPCS,C1713,PLATE MICRO 1.5MM 4HL ST SHRT,555.0,444.0,1.0,499.5,26
HCPCS,C1713,PLATE MICRO 1.5MM 5HL L LFTLNG,1096.0,876.8,1.0,986.4,26
HCPCS,C1713,PLATE MICRO 1.5MM 5HL L RT LNG,1096.0,876.8,1.0,986.4,26
HCPCS,C1713,PLATE MICRO 1.5MM 6HL L LFT,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,PLATE MICRO 1.5MM 6HL L RT,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,PLATE MICRO 1.5MM 6HL ST SHRT,688.0,550.4,1.0,619.2,26
HCPCS,C1713,PLATE MICRO 1.5MM 6HL T*NLU*,1001.0,800.8,1.0,900.9,26
HCPCS,C1713,PLATE MICRO 1.5MM 7HL L L*NLU*,1068.0,854.4,1.0,961.2,26
HCPCS,C1713,PLATE MICRO 1.5MM 7HL L R*NLU*,1068.0,854.4,1.0,961.2,26
HCPCS,C1713,PLATE MICRO 6HL ST 1.5MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,PLATE MICRO LNG 6HL,705.0,564.0,1.0,634.5,26
HCPCS,C1713,PLATE MID FUSN RECON LFT SM,9744.0,7795.2,1.0,8769.6,26
HCPCS,C1713,PLATE MID FUSN RECON RT SM,9856.0,7884.8,1.0,8870.4,26
HCPCS,C1713,PLATE MIDDLE COL NC2M2 STD,10325.0,8260.0,1.0,9292.5,26
HCPCS,C1713,PLATE MIDFACE 0.6MM 12HL CURV,2086.0,1668.8,1.0,1877.4,26
HCPCS,C1713,PLATE MIDFACE 0.6MM 6HL DBL Y,2036.0,1628.8,1.0,1832.4,26
HCPCS,C1713,PLATE MIDFACE 0.8MM 12HL ST,2446.0,1956.8,1.0,2201.4,26
HCPCS,C1713,PLATE MIDFACE 0.8MM 6HL DBL Y,2036.0,1628.8,1.0,1832.4,26
HCPCS,C1713,PLATE MIDFACE 0.8MM 7HL Y,1995.0,1596.0,1.0,1795.5,26
HCPCS,C1713,PLATE MIDFACE 1.0MM 12HL CURV,2086.0,1668.8,1.0,1877.4,26
HCPCS,C1713,PLATE MIDFACE 12HL 2ROW 0.6MM,2353.0,1882.4,1.0,2117.7,26
HCPCS,C1713,PLATE MIDFACE 12HL ORB 0.8MM,2086.0,1668.8,1.0,1877.4,26
HCPCS,C1713,PLATE MIDFACE 4HL ST 0.6MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,PLATE MIDFACE 6HL ST 0.6MM,1229.0,983.2,1.0,1106.1,26
HCPCS,C1713,PLATE MIDFACE 6HL ST 1.0MM,1229.0,983.2,1.0,1106.1,26
HCPCS,C1713,PLATE MIDFACE ORBITAL STD 10HL,3032.0,2425.6,1.0,2728.8,26
HCPCS,C1713,PLATE MIDFACE SM 24HL ST 0.6MM,2446.0,1956.8,1.0,2201.4,26
HCPCS,C1713,PLATE MIDFACE STD CURV 10HL,2231.0,1784.8,1.0,2007.9,26
HCPCS,C1713,PLATE MIDFACE TRUMATCH TI,12238.0,9790.4,1.0,11014.2,26
HCPCS,C1713,PLATE MIDFT FUSN MEDL ST 5HL,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1713,PLATE MIDFT FUSN MEDL ST 6HL,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1713,PLATE MIDFT FUSN MEDL ST 8HL,7965.0,6372.0,1.0,7168.5,26
HCPCS,C1713,PLATE MIDFT SCP 4HL 15MM,5771.0,4616.8,1.0,5193.9,26
HCPCS,C1713,PLATE MIDFT SCP 4HL 18MM,5771.0,4616.8,1.0,5193.9,26
HCPCS,C1713,PLATE MIDFT SCP NARW 15MM,8708.0,6966.4,1.0,7837.2,26
HCPCS,C1713,PLATE MIDLINE CERES 2LVL 37MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE MIDLINE UNION 1LVL 12MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,PLATE MIDLINE UNION 1LVL 14MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,PLATE MIDLINE UNION 1LVL 16MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,PLATE MIDLINE UNION 2LVL 30MM,5130.0,4104.0,1.0,4617.0,26
HCPCS,C1713,PLATE MIDLINE UNION 2LVL 32MM,5130.0,4104.0,1.0,4617.0,26
HCPCS,C1713,PLATE MIDLINE UNION 2LVL 34MM,5130.0,4104.0,1.0,4617.0,26
HCPCS,C1713,PLATE MIDLINE UNION 2LVL 37MM,5130.0,4104.0,1.0,4617.0,26
HCPCS,C1713,PLATE MIDLINE UNION 3LVL 28MM,5130.0,4104.0,1.0,4617.0,26
HCPCS,C1713,PLATE MINI CHAMPY TLTS LFT 2.0,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,PLATE MINI CHAMPY TLTS RT 2.0,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,PLATE MINI COND TLTS 2.0-2.3MM,2900.0,2320.0,1.0,2610.0,26
HCPCS,C1713,PLATE MINI CURV LNG SAG 6*NLU*,1001.0,800.8,1.0,900.9,26
HCPCS,C1713,PLATE MINI CURV MD SAG 6H*NLU*,1001.0,800.8,1.0,900.9,26
HCPCS,C1713,PLATE MINI HOOK TRMI 5HL,4760.0,3808.0,1.0,4284.0,26
HCPCS,C1713,PLATE MINI HOOK TRMI 7HL,4530.0,3624.0,1.0,4077.0,26
HCPCS,C1713,PLATE MINI KLS 4HL LNG,555.0,444.0,1.0,499.5,26
HCPCS,C1713,PLATE MINI KLS 4HL MD,547.0,437.6,1.0,492.3,26
HCPCS,C1713,PLATE MINI KLS 4HL REG,563.0,450.4,1.0,506.7,26
HCPCS,C1713,PLATE MINI KLS 8HL REG,694.0,555.2,1.0,624.6,26
HCPCS,C1713,PLATE MINI LORENZ 8HL REG*NLU*,650.0,520.0,1.0,585.0,26
HCPCS,C1713,PLATE MINI SAG TLTS 6HL 1.0,3052.0,2441.6,1.0,2746.8,26
HCPCS,C1713,PLATE MINI SAG TLTS CURV6HL1.0,3052.0,2441.6,1.0,2746.8,26
HCPCS,C1713,PLATE MINI SAG TLTS LNG 6HL1.0,3082.0,2465.6,1.0,2773.8,26
HCPCS,C1713,PLATE MINI ST 4HL LG 1MM,1879.0,1503.2,1.0,1691.1,26
HCPCS,C1713,PLATE MINI ST 4HL MD 1MM,1794.0,1435.2,1.0,1614.6,26
HCPCS,C1713,PLATE MINI TENS PREBENTRT2X3HL,3266.0,2612.8,1.0,2939.4,26
HCPCS,C1713,PLATE MINI TENSION BD 2X2HL,3815.0,3052.0,1.0,3433.5,26
HCPCS,C1713,PLATE MINI TENSION BD 2X3HL,3561.0,2848.8,1.0,3204.9,26
HCPCS,C1713,PLATE MINI TENSION BD 3X3HL,3027.0,2421.6,1.0,2724.3,26
HCPCS,C1713,PLATE MINI TENSION MALLEA2X2HL,3050.0,2440.0,1.0,2745.0,26
HCPCS,C1713,PLATE MINI TENSION MALLEA3X3HL,3322.0,2657.6,1.0,2989.8,26
HCPCS,C1713,PLATE MINI TENSION NARW 2X2HL,3050.0,2440.0,1.0,2745.0,26
HCPCS,C1713,PLATE MINI TENSION NARW 3X3HL,3322.0,2657.6,1.0,2989.8,26
HCPCS,C1713,PLATE MINI TLTS CURV 12HL 1.0,3824.0,3059.2,1.0,3441.6,26
HCPCS,C1713,PLATE MINI TLTS ST 12HL 1.0,3735.0,2988.0,1.0,3361.5,26
HCPCS,C1713,PLATE MINITENS PREBENTLFT2X3HL,3266.0,2612.8,1.0,2939.4,26
HCPCS,C1713,PLATE MPJ ARSENAL PET LFT,7178.0,5742.4,1.0,6460.2,26
HCPCS,C1713,PLATE MPJ ARSENAL PET RT,7178.0,5742.4,1.0,6460.2,26
HCPCS,C1713,PLATE MPJ ARSENAL PET RT 0D,7178.0,5742.4,1.0,6460.2,26
HCPCS,C1713,PLATE MPJ ARSENAL STD LFT,7178.0,5742.4,1.0,6460.2,26
HCPCS,C1713,PLATE MPJ ARSENAL STD RT,7178.0,5742.4,1.0,6460.2,26
HCPCS,C1713,PLATE MPJ STEP GRIDLOCK LFT,6930.0,5544.0,1.0,6237.0,26
HCPCS,C1713,PLATE MPJ VLC GRIDLK PET LFT,6930.0,5544.0,1.0,6237.0,26
HCPCS,C1713,PLATE MPS CURV R108 10HL,3824.0,3059.2,1.0,3441.6,26
HCPCS,C1713,PLATE MPS CURV R108 12HL,3824.0,3059.2,1.0,3441.6,26
HCPCS,C1713,PLATE MPS CURV R108 4HL,3148.0,2518.4,1.0,2833.2,26
HCPCS,C1713,PLATE MPS CURV R108 5HL,3148.0,2518.4,1.0,2833.2,26
HCPCS,C1713,PLATE MPS CURV R108 6HL,3824.0,3059.2,1.0,3441.6,26
HCPCS,C1713,PLATE MPS CURV R108 8HL,3824.0,3059.2,1.0,3441.6,26
HCPCS,C1713,PLATE MPS ST FLEX 9HL 106.5MM,3311.0,2648.8,1.0,2979.9,26
HCPCS,C1713,PLATE MPS SYMP 4HL 75MM,4938.0,3950.4,1.0,4444.2,26
HCPCS,C1713,PLATE MPS SYMP 6HL 75MM,5203.0,4162.4,1.0,4682.7,26
HCPCS,C1713,PLATE MTP 0D LFT MD,7250.0,5800.0,1.0,6525.0,26
HCPCS,C1713,PLATE MTP 0D RT MD,6918.0,5534.4,1.0,6226.2,26
HCPCS,C1713,PLATE MTP 5D LFT LNG,6918.0,5534.4,1.0,6226.2,26
HCPCS,C1713,PLATE MTP ACUM 4D,4704.0,3763.2,1.0,4233.6,26
HCPCS,C1713,PLATE MTP ACUM LFT,4578.0,3662.4,1.0,4120.2,26
HCPCS,C1713,PLATE MTP ACUM RT,4578.0,3662.4,1.0,4120.2,26
HCPCS,C1713,PLATE MTP ANCHORAGE CP RT,6876.0,5500.8,1.0,6188.4,26
HCPCS,C1713,PLATE MTP ARSENAL PET LFT 0D,8190.0,6552.0,1.0,7371.0,26
HCPCS,C1713,PLATE MTP ARSENAL PET LFT 5D,8190.0,6552.0,1.0,7371.0,26
HCPCS,C1713,PLATE MTP ARSENAL PET RT 0D,8190.0,6552.0,1.0,7371.0,26
HCPCS,C1713,PLATE MTP ARSENAL PET RT 5D,8190.0,6552.0,1.0,7371.0,26
HCPCS,C1713,PLATE MTP ARSENAL RT STD 5D,8190.0,6552.0,1.0,7371.0,26
HCPCS,C1713,PLATE MTP ARSENAL STD LFT 0D,8190.0,6552.0,1.0,7371.0,26
HCPCS,C1713,PLATE MTP ARSENAL STD LFT 5D,8190.0,6552.0,1.0,7371.0,26
HCPCS,C1713,PLATE MTP ARSENAL STD RT 0D,8190.0,6552.0,1.0,7371.0,26
HCPCS,C1713,PLATE MTP COMP 0D LNG RT,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,PLATE MTP COMP 0D PET RT,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,PLATE MTP COMP 0D VALGUS STDRT,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,PLATE MTP COMP VALGUS 5D LNGRT,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,PLATE MTP COMP VALGUS 5DLNGLFT,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,PLATE MTP COMP5D STD RT,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,PLATE MTP DYNAFORCE LFTLNG0D20,9270.0,7416.0,1.0,8343.0,26
HCPCS,C1713,PLATE MTP DYNAFORCE RT LNG0D18,9270.0,7416.0,1.0,8343.0,26
HCPCS,C1713,PLATE MTP FUSN MEDL LFT 0D MD,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1713,PLATE MTP FUSN MEDL LFT 0D SM,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1713,PLATE MTP FUSN MEDL LFT 0D XS,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1713,PLATE MTP FUSN MEDL REV LFTLNG,9100.0,7280.0,1.0,8190.0,26
HCPCS,C1713,PLATE MTP FUSN MEDL REV RT LNG,9100.0,7280.0,1.0,8190.0,26
HCPCS,C1713,PLATE MTP FUSN MEDL RT 0D MD,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1713,PLATE MTP FUSN MEDL RT 0D SM,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1713,PLATE MTP FUSN MEDL RT 10D SM,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1713,PLATE MTP FUSN WRIT RT 5D SM,6408.0,5126.4,1.0,5767.2,26
HCPCS,C1713,PLATE MTP FUSN ZIMM LFT SM,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,PLATE MTP GRAFT SPAN RT 5D,9001.0,7200.8,1.0,8100.9,26
HCPCS,C1713,PLATE MTP LFT 2SHRT 2HL 0D,6918.0,5534.4,1.0,6226.2,26
HCPCS,C1713,PLATE MTP LFT MD 5D,7617.0,6093.6,1.0,6855.3,26
HCPCS,C1713,PLATE MTP LFT SHRT 0D,6918.0,5534.4,1.0,6226.2,26
HCPCS,C1713,PLATE MTP LFT SHRT 5D,6918.0,5534.4,1.0,6226.2,26
HCPCS,C1713,PLATE MTP LOPRO CONT LFT LNG,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE MTP LOPRO CONT RT LNG,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE MTP LOPRO CONT SHRT LFT,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE MTP LOPRO CONT SHRT RT,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE MTP LOPRO CONT STD LFT,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE MTP LOPRO CONT STD RT,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE MTP LOPRO ST SHRT,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE MTP LOPRO ST STD,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE MTP RECON ACUM LFT,4991.0,3992.8,1.0,4491.9,26
HCPCS,C1713,PLATE MTP RT LNG 0D,6918.0,5534.4,1.0,6226.2,26
HCPCS,C1713,PLATE MTP RT MD 5D,6918.0,5534.4,1.0,6226.2,26
HCPCS,C1713,PLATE MTP RT SHRT 5D,6918.0,5534.4,1.0,6226.2,26
HCPCS,C1713,PLATE MTP VALGUS 10D STD,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,PLATE MTP VILX LFT MD 0D 45MM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE MTP VILX LFT SM 0D 40MM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE MTP VILX LFT SM 5D 40MM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE MTP VILX RT SM 0D 40MM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE MTP VILX ST LFT 48MM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE MTX LORENZ SHRT 2X6*NLU*,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1713,PLATE MTX LORNEZ TALL 2X2*NLU*,3507.0,2805.6,1.0,3156.3,26
HCPCS,C1713,PLATE MTX MAXIL BENT LFT *NLU*,2430.0,1944.0,1.0,2187.0,52
HCPCS,C1713,PLATE MTX MAXIL BENT LFT 4MM,3841.0,3072.8,1.0,3456.9,26
HCPCS,C1713,PLATE MTX MAXIL BENT LFT 6MM,2958.0,2366.4,1.0,2662.2,26
HCPCS,C1713,PLATE MTX MAXIL BENT LFT 8MM,2958.0,2366.4,1.0,2662.2,26
HCPCS,C1713,PLATE MTX MAXIL BENT RT 6MM,2958.0,2366.4,1.0,2662.2,26
HCPCS,C1713,PLATE MTX MAXIL BENT RT 8MM,2958.0,2366.4,1.0,2662.2,26
HCPCS,C1713,PLATE MTXMAND 12HL 1.25MM,5110.0,4088.0,1.0,4599.0,26
HCPCS,C1713,PLATE MTXMAND 2X2HL 1.25MM,3533.0,2826.4,1.0,3179.7,26
HCPCS,C1713,PLATE MTXMAND 2X2HL 1.5MM,4604.0,3683.2,1.0,4143.6,26
HCPCS,C1713,PLATE MTXMAND 3X3HL 1.5MM,3580.0,2864.0,1.0,3222.0,26
HCPCS,C1713,PLATE MTXMAND ANG3X3HL1.5MM,5221.0,4176.8,1.0,4698.9,26
HCPCS,C1713,PLATE MTXMAND DCPTIST2X2HL1.25,2964.0,2371.2,1.0,2667.6,26
HCPCS,C1713,PLATE MTXMAND DCPTIST3X3HL1.25,3478.0,2782.4,1.0,3130.2,26
HCPCS,C1713,PLATE MTXMAND FIX COND HDTI0MM,2633.0,2106.4,1.0,2369.7,26
HCPCS,C1713,PLATE MTXMAND HD COND TI,10032.0,8025.6,1.0,9028.8,26
HCPCS,C1713,PLATE MTXMAND TI 20HL 2.0MM,13585.0,10868.0,1.0,12226.5,26
HCPCS,C1713,PLATE MTXMAND TI ST 12HL 1.5MM,5064.0,4051.2,1.0,4557.6,26
HCPCS,C1713,PLATE MTXMAND TI ST 20HL 1.5MM,5223.0,4178.4,1.0,4700.7,26
HCPCS,C1713,PLATE MTXMAND TI ST 3X3HL1.5MM,5150.0,4120.0,1.0,4635.0,26
HCPCS,C1713,PLATE MTXMAND TI ST 6HL 1.5MM,3793.0,3034.4,1.0,3413.7,26
HCPCS,C1713,PLATE MTXMANDTHICK3X3HL 1.5MM,4555.0,3644.0,1.0,4099.5,26
HCPCS,C1713,PLATE MTXNEURO RECON 200X*NLU*,8845.0,7076.0,1.0,7960.5,26
HCPCS,C1713,PLATE NARW CURV 10HL 3.5MM,3068.0,2454.4,1.0,2761.2,26
HCPCS,C1713,PLATE NARW CURV 10HL 3.5X149MM,10544.0,8435.2,1.0,9489.6,26
HCPCS,C1713,PLATE NARW CURV 10HL 4.5MM,4434.0,3547.2,1.0,3990.6,26
HCPCS,C1713,PLATE NARW CURV 11HL 3.5X172MM,10544.0,8435.2,1.0,9489.6,26
HCPCS,C1713,PLATE NARW CURV 12HL 3.5X183MM,9373.0,7498.4,1.0,8435.7,26
HCPCS,C1713,PLATE NARW CURV 12HL 4.5MM,5110.0,4088.0,1.0,4599.0,26
HCPCS,C1713,PLATE NARW CURV 12HL L3.5MM,4078.0,3262.4,1.0,3670.2,26
HCPCS,C1713,PLATE NARW CURV 13HL 3.5X206MM,11130.0,8904.0,1.0,10017.0,26
HCPCS,C1713,PLATE NARW CURV 14HL 3.5MM,4719.0,3775.2,1.0,4247.1,26
HCPCS,C1713,PLATE NARW CURV 14HL 3.5X217MM,12299.0,9839.2,1.0,11069.1,26
HCPCS,C1713,PLATE NARW CURV 14HL 4.5MM,4682.0,3745.6,1.0,4213.8,26
HCPCS,C1713,PLATE NARW CURV 16HL 3.5MM,5098.0,4078.4,1.0,4588.2,26
HCPCS,C1713,PLATE NARW CURV 16HL 4.5MM,5262.0,4209.6,1.0,4735.8,26
HCPCS,C1713,PLATE NARW CURV 18HL 3.5MM,4922.0,3937.6,1.0,4429.8,26
HCPCS,C1713,PLATE NARW CURV 18HL 4.5MM,4816.0,3852.8,1.0,4334.4,26
HCPCS,C1713,PLATE NARW CURV 20HL 3.5MM,5458.0,4366.4,1.0,4912.2,26
HCPCS,C1713,PLATE NARW CURV 20HL 4.5MM,5691.0,4552.8,1.0,5121.9,26
HCPCS,C1713,PLATE NARW CURV 22HL 3.5MM,5458.0,4366.4,1.0,4912.2,26
HCPCS,C1713,PLATE NARW CURV 22HL 4.5MM,6349.0,5079.2,1.0,5714.1,26
HCPCS,C1713,PLATE NARW CURV 8HL 3.5X115MM,9792.0,7833.6,1.0,8812.8,26
HCPCS,C1713,PLATE NARW CURV 9HL 3.5X138MM,9792.0,7833.6,1.0,8812.8,26
HCPCS,C1713,PLATE NARW LCP SS 4HL 4.5X80MM,2258.0,1806.4,1.0,2032.2,26
HCPCS,C1713,PLATE NARW LCP TI 4HL 4.5MM,2483.0,1986.4,1.0,2234.7,26
HCPCS,C1713,PLATE NARW ST 10HL 2.7X76MM,7470.0,5976.0,1.0,6723.0,26
HCPCS,C1713,PLATE NARW ST 10HL 3.5X149MM,7529.0,6023.2,1.0,6776.1,26
HCPCS,C1713,PLATE NARW ST 11HL 3.5X172MM,7529.0,6023.2,1.0,6776.1,26
HCPCS,C1713,PLATE NARW ST 12HL 3.5X183MM,9036.0,7228.8,1.0,8132.4,26
HCPCS,C1713,PLATE NARW ST 13HL 3.5X206MM,9373.0,7498.4,1.0,8435.7,26
HCPCS,C1713,PLATE NARW ST 14HL 3.5X217MM,9373.0,7498.4,1.0,8435.7,26
HCPCS,C1713,PLATE NARW ST 20HL 2.7X152MM,9666.0,7732.8,1.0,8699.4,26
HCPCS,C1713,PLATE NARW ST 4HL 2.7X31MM,7029.0,5623.2,1.0,6326.1,26
HCPCS,C1713,PLATE NARW ST 4HL 3.5X51MM,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,PLATE NARW ST 5HL 3.5X70MM,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,PLATE NARW ST 6HL 2.7X46MM,7470.0,5976.0,1.0,6723.0,26
HCPCS,C1713,PLATE NARW ST 6HL 3.5X81MM,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,PLATE NARW ST 7HL 3.5X104MM,5270.0,4216.0,1.0,4743.0,26
HCPCS,C1713,PLATE NARW ST 7HL 5.0X143MM,11088.0,8870.4,1.0,9979.2,26
HCPCS,C1713,PLATE NARW ST 8HL 2.7X61MM,7470.0,5976.0,1.0,6723.0,26
HCPCS,C1713,PLATE NARW ST 8HL 3.5X115MM,7529.0,6023.2,1.0,6776.1,26
HCPCS,C1713,PLATE NARW ST 8HL 5.0X160MM,11743.0,9394.4,1.0,10568.7,26
HCPCS,C1713,PLATE NARW ST 9HL 3.5X138MM,7529.0,6023.2,1.0,6776.1,26
HCPCS,C1713,PLATE NAVICULAR TRILEAP TI LNG,8009.0,6407.2,1.0,7208.1,26
HCPCS,C1713,PLATE NAVICULAR TRILEAP TISHRT,8009.0,6407.2,1.0,7208.1,26
HCPCS,C1713,PLATE NC FUSN LFT MD 1.5MM,8175.0,6540.0,1.0,7357.5,26
HCPCS,C1713,PLATE NECK LAT TRILEAP TI LNAR,8009.0,6407.2,1.0,7208.1,26
HCPCS,C1713,PLATE NECK LAT TRILEAPTIBTRFLY,8009.0,6407.2,1.0,7208.1,26
HCPCS,C1713,PLATE NEURO LORENZ ST 2HL*NLU*,627.0,501.6,1.0,564.3,26
HCPCS,C1713,PLATE NL TUBLR ARTX SS 7HL,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,PLATE O JUNCTION 10HL,5142.0,4113.6,1.0,4627.8,26
HCPCS,C1713,PLATE O ORTHO PEDS 12MM,4351.0,3480.8,1.0,3915.9,26
HCPCS,C1713,PLATE O ORTHOPED 24MM,4351.0,3480.8,1.0,3915.9,26
HCPCS,C1713,PLATE O ORTHOPED 24MM*NLU*,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,PLATE O ORTHOPEDIATRICS 16MM,4351.0,3480.8,1.0,3915.9,26
HCPCS,C1713,PLATE O ORTHOPEDS 20MM,4351.0,3480.8,1.0,3915.9,26
HCPCS,C1713,PLATE OC ADJ SM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,PLATE OC ADJ STD,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,PLATE OCC QUARTEX GM LG,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1713,PLATE OCC QUARTEX GM SM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1713,PLATE OCC YUKON MD,8668.0,6934.4,1.0,7801.2,26
HCPCS,C1713,PLATE OCCIPITAL ADJ VERTEX,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,PLATE OCT MTNR DEPU 31MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,PLATE OFFSET MINBUNIONLNG3.5MM,8603.0,6882.4,1.0,7742.7,26
HCPCS,C1713,PLATE OLEC ACUM 11HL,5396.0,4316.8,1.0,4856.4,26
HCPCS,C1713,PLATE OLEC ACUM 9HL,5396.0,4316.8,1.0,4856.4,26
HCPCS,C1713,PLATE OLEC ACUM LFT 17HL,6116.0,4892.8,1.0,5504.4,26
HCPCS,C1713,PLATE OLEC ACUM LNG 13HL,5396.0,4316.8,1.0,4856.4,26
HCPCS,C1713,PLATE OLEC ACUM RT 17HL,6116.0,4892.8,1.0,5504.4,26
HCPCS,C1713,PLATE OLEC ACUM STD LFT 3HL,5688.0,4550.4,1.0,5119.2,26
HCPCS,C1713,PLATE OLEC ACUM STD LFT 5HL,5688.0,4550.4,1.0,5119.2,26
HCPCS,C1713,PLATE OLEC ACUM STD RT 5HL,5688.0,4550.4,1.0,5119.2,26
HCPCS,C1713,PLATE OLEC ACUM STD RT 7HL,6453.0,5162.4,1.0,5807.7,26
HCPCS,C1713,PLATE OLEC ACUM XLNG 13HL,5396.0,4316.8,1.0,4856.4,26
HCPCS,C1713,PLATE OLEC LFT 2HL,4518.0,3614.4,1.0,4066.2,26
HCPCS,C1713,PLATE OLEC LFT 2HL 90MM,5289.0,4231.2,1.0,4760.1,26
HCPCS,C1713,PLATE OLEC LFT 4HL,4715.0,3772.0,1.0,4243.5,26
HCPCS,C1713,PLATE OLEC LFT 4HL 116MM,5431.0,4344.8,1.0,4887.9,26
HCPCS,C1713,PLATE OLEC LFT 6HL,4861.0,3888.8,1.0,4374.9,26
HCPCS,C1713,PLATE OLEC LFT 6HL 142MM,5509.0,4407.2,1.0,4958.1,26
HCPCS,C1713,PLATE OLEC PROX LFT 2HL 73MM,4733.0,3786.4,1.0,4259.7,26
HCPCS,C1713,PLATE OLEC PROX RT 2HL 73MM,4733.0,3786.4,1.0,4259.7,26
HCPCS,C1713,PLATE OLEC RT 2HL,4518.0,3614.4,1.0,4066.2,26
HCPCS,C1713,PLATE OLEC RT 2HL 90MM,5289.0,4231.2,1.0,4760.1,26
HCPCS,C1713,PLATE OLEC RT 4HL,4715.0,3772.0,1.0,4243.5,26
HCPCS,C1713,PLATE OLEC RT 4HL 116MM,5431.0,4344.8,1.0,4887.9,26
HCPCS,C1713,PLATE OLEC RT 6HL,4861.0,3888.8,1.0,4374.9,26
HCPCS,C1713,PLATE OLEC RT 6HL 142MM,5509.0,4407.2,1.0,4958.1,26
HCPCS,C1713,PLATE OLEC STER LFT 4HL 116MM,5975.0,4780.0,1.0,5377.5,26
HCPCS,C1713,PLATE OLEC STER LFT 6HL 142MM,4545.0,3636.0,1.0,4090.5,26
HCPCS,C1713,PLATE OLEC STERLFT2HL2.7/3.5MM,5680.0,4544.0,1.0,5112.0,26
HCPCS,C1713,PLATE OLEC STRY LFT 12HL 184MM,5352.0,4281.6,1.0,4816.8,26
HCPCS,C1713,PLATE OLEC STRY LFT4HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE OLEC STRY LFT6HL,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE OLEC STRY LFT8HL,5352.0,4281.6,1.0,4816.8,26
HCPCS,C1713,PLATE OLEC TI 3.5MM RT 4HL,5184.0,4147.2,1.0,4665.6,26
HCPCS,C1713,PLATE OLECRANON LG 13HL 104MM,5544.0,4435.2,1.0,4989.6,26
HCPCS,C1713,PLATE OLECRANON RT 4HL 65MM,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE OLECRANON RT 6HL 65MM,5593.0,4474.4,1.0,5033.7,26
HCPCS,C1713,PLATE OLECRANON SM 10HL 79MM,5544.0,4435.2,1.0,4989.6,26
HCPCS,C1713,PLATE ORB CMF LVL1 LFT 40X35MM,5539.0,4431.2,1.0,4985.1,26
HCPCS,C1713,PLATE ORB CMF LVL1 RT 40X35MM,5539.0,4431.2,1.0,4985.1,26
HCPCS,C1713,PLATE ORB FLOOR ANATOM MD BLU,5820.0,4656.0,1.0,5238.0,26
HCPCS,C1713,PLATE ORB FLOOR ANATOM SM BLU,5820.0,4656.0,1.0,5238.0,26
HCPCS,C1713,PLATE ORB FLOOR SYNPOR0.8X35MM,3470.0,2776.0,1.0,3123.0,26
HCPCS,C1713,PLATE ORB FLOOR SYNPOR1.5X35MM,3246.0,2596.8,1.0,2921.4,26
HCPCS,C1713,PLATE ORB KLS 1.5X3MM,3729.0,2983.2,1.0,3356.1,26
HCPCS,C1713,PLATE ORB KLS 3D LG TI LFT 0.4,5225.0,4180.0,1.0,4702.5,26
HCPCS,C1713,PLATE ORB KLS 3D LG TI RT 0.4,5225.0,4180.0,1.0,4702.5,26
HCPCS,C1713,PLATE ORB KLS 3D XS TI LFT 0.4,5438.0,4350.4,1.0,4894.2,26
HCPCS,C1713,PLATE ORB MESH MTXMID 0.3MM,4528.0,3622.4,1.0,4075.2,26
HCPCS,C1713,PLATE ORB MESH MTXMID 0.4MM,4528.0,3622.4,1.0,4075.2,26
HCPCS,C1713,PLATE ORB PE TITAN 3DRTLG*NLU*,9398.0,7518.4,1.0,8458.2,26
HCPCS,C1713,PLATE ORB PE TITAN 3DRTSM*NLU*,9475.0,7580.0,1.0,8527.5,26
HCPCS,C1713,PLATE ORB PREFORM GLD LFT LG,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1713,PLATE ORB PREFORM GLD RT LG,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1713,PLATE ORB PREFORM PUR LFT SM,7667.0,6133.6,1.0,6900.3,26
HCPCS,C1713,PLATE ORB PREFORM PUR RT SM,7686.0,6148.8,1.0,6917.4,26
HCPCS,C1713,PLATE ORB RIM MD TI 12HL 0.7MM,3167.0,2533.6,1.0,2850.3,26
HCPCS,C1713,PLATE ORB RIM MTXMID 12HL 0.4,3167.0,2533.6,1.0,2850.3,26
HCPCS,C1713,PLATE ORB RIM MTXMID 12HL 0.5,3167.0,2533.6,1.0,2850.3,26
HCPCS,C1713,PLATE ORB TITAN 3D MTB LF*NLU*,9475.0,7580.0,1.0,8527.5,26
HCPCS,C1713,PLATE ORB TITAN MTBRT41X4*NLU*,5535.0,4428.0,1.0,4981.5,26
HCPCS,C1713,PLATE ORB TITANMTBLFT41X4*NLU*,5535.0,4428.0,1.0,4981.5,26
HCPCS,C1713,PLATE ORB TRUMATCH TI 0.4MM,21141.0,16912.8,1.0,19026.9,26
HCPCS,C1713,PLATE ORTHOG DBL Y TAN 6HL24MM,1242.0,993.6,1.0,1117.8,26
HCPCS,C1713,PLATE ORTHOG DBL Y TAN 6HL28MM,1242.0,993.6,1.0,1117.8,26
HCPCS,C1713,PLATE OSTEO STER 110D 75MM,5632.0,4505.6,1.0,5068.8,26
HCPCS,C1713,PLATE OSTEO STER 110D 85MM,5632.0,4505.6,1.0,5068.8,26
HCPCS,C1713,PLATE P-L DIST TIB3.5X186MM13H,8687.0,6949.6,1.0,7818.3,26
HCPCS,C1713,PLATE PELVIC FLEX PRO RT 12HL,14610.0,11688.0,1.0,13149.0,26
HCPCS,C1713,PLATE PELVIC QLS LFT SM,7326.0,5860.8,1.0,6593.4,26
HCPCS,C1713,PLATE PELVIC QLS STER RT,8640.0,6912.0,1.0,7776.0,26
HCPCS,C1713,PLATE PELVIC QLS STRY LFT,9158.0,7326.4,1.0,8242.2,26
HCPCS,C1713,PLATE PERIPROS TROC WIDE LFT,6156.0,4924.8,1.0,5540.4,26
HCPCS,C1713,PLATE PILON ANTLAT LFT 9HL,14630.0,11704.0,1.0,13167.0,26
HCPCS,C1713,PLATE PILON ANTLAT RT 7HL,13860.0,11088.0,1.0,12474.0,26
HCPCS,C1713,PLATE POLARUS 3 PSTR 4HL RT,6719.0,5375.2,1.0,6047.1,26
HCPCS,C1713,PLATE PREBENT TI 4 HL 2.0*NLU*,2172.0,1737.6,1.0,1954.8,26
HCPCS,C1713,PLATE PROX FEM NCB LFT 245MM,7740.0,6192.0,1.0,6966.0,26
HCPCS,C1713,PLATE PROX FEM NCB LFT 401MM,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1713,PLATE PROX FEM NCB RT 245MM,7740.0,6192.0,1.0,6966.0,26
HCPCS,C1713,PLATE PROX FEM NCB RT 401MM,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1713,PLATE PROX FEM NCBLFT12HL285MM,8172.0,6537.6,1.0,7354.8,26
HCPCS,C1713,PLATE PROX FEM RT 15HL 324MM,8640.0,6912.0,1.0,7776.0,26
HCPCS,C1713,PLATE PROX RAD SM 2.5MM,5664.0,4531.2,1.0,5097.6,26
HCPCS,C1713,PLATE PROX TIB LISS TI L*DISC*,6600.0,5280.0,1.0,5940.0,26
HCPCS,C1713,PLATE PSI CRANI PEEK CUST,24347.0,19477.6,1.0,21912.3,26
HCPCS,C1713,PLATE PSTR RIM PRO 2HL BD,4966.0,3972.8,1.0,4469.4,26
HCPCS,C1713,PLATE PSTR RIM PRO 2HL NARW,4964.0,3971.2,1.0,4467.6,26
HCPCS,C1713,PLATE PUBIS SYMP 3.5 4HL,5077.0,4061.6,1.0,4569.3,26
HCPCS,C1713,PLATE PUBIS SYMP 3.5 6HL,4775.0,3820.0,1.0,4297.5,26
HCPCS,C1713,PLATE PUBIS SYMP DCP 2HL 3.5 4,4783.0,3826.4,1.0,4304.7,26
HCPCS,C1713,PLATE PUBIS SYMP DCP 2HL 3.5 6,5242.0,4193.6,1.0,4717.8,26
HCPCS,C1713,PLATE QUADLAT STER SHRT 3.5MM,3699.0,2959.2,1.0,3329.1,26
HCPCS,C1713,PLATE QUADLAT STER STD 3.5MM,3557.0,2845.6,1.0,3201.3,26
HCPCS,C1713,PLATE R HD STD RIM,6072.0,4857.6,1.0,5464.8,26
HCPCS,C1713,PLATE RAD APTIS SZ10 2X15MM,17280.0,13824.0,1.0,15552.0,26
HCPCS,C1713,PLATE RAD COL TI 5HL 2.4MM,4342.0,3473.6,1.0,3907.8,26
HCPCS,C1713,PLATE RAD COL TI 6HL 2.4MM,4572.0,3657.6,1.0,4114.8,26
HCPCS,C1713,PLATE RAD COL TRMI 3HL,4340.0,3472.0,1.0,3906.0,26
HCPCS,C1713,PLATE RAD COL TRMI 5HL,4165.0,3332.0,1.0,3748.5,26
HCPCS,C1713,PLATE RAD DIST 5/3HL LFT 43MM,5242.0,4193.6,1.0,4717.8,26
HCPCS,C1713,PLATE RAD DIST ACUM LFT EXT,5490.0,4392.0,1.0,4941.0,26
HCPCS,C1713,PLATE RAD DIST ACUM LFT LNG,4694.0,3755.2,1.0,4224.6,26
HCPCS,C1713,PLATE RAD DIST ACUM LFT NARW,5490.0,4392.0,1.0,4941.0,26
HCPCS,C1713,PLATE RAD DIST ACUM LFT WIDE,5490.0,4392.0,1.0,4941.0,26
HCPCS,C1713,PLATE RAD DIST ACUM RT EXT,5490.0,4392.0,1.0,4941.0,26
HCPCS,C1713,PLATE RAD DIST ACUM RT LNG,4694.0,3755.2,1.0,4224.6,26
HCPCS,C1713,PLATE RAD DIST ACUM RT WIDE,5490.0,4392.0,1.0,4941.0,26
HCPCS,C1713,PLATE RAD DIST ACUM STD LFT,5490.0,4392.0,1.0,4941.0,26
HCPCS,C1713,PLATE RAD DIST ACUM STD RT,5490.0,4392.0,1.0,4941.0,26
HCPCS,C1713,PLATE RAD DIST XARTICU 3/4HLRT,5242.0,4193.6,1.0,4717.8,26
HCPCS,C1713,PLATE RAD DIST XARTICU3/4HLLFT,5242.0,4193.6,1.0,4717.8,26
HCPCS,C1713,PLATE RAD DIST XARTICU3/5HLLFT,5242.0,4193.6,1.0,4717.8,26
HCPCS,C1713,PLATE RAD DIST XARTICU5/5HLLFT,4758.0,3806.4,1.0,4282.2,26
HCPCS,C1713,PLATE RAD DORSAL RT WIDE*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,PLATE RAD HD ACUM,5742.0,4593.6,1.0,5167.8,26
HCPCS,C1713,PLATE RAD HD ACUM CURV 3HL,5603.0,4482.4,1.0,5042.7,26
HCPCS,C1713,PLATE RAD HD ACUM CURV STD 3HL,5603.0,4482.4,1.0,5042.7,26
HCPCS,C1713,PLATE RAD HD BIOM STD*DISC*,4568.0,3654.4,1.0,4111.2,26
HCPCS,C1713,PLATE RAD HD LFT 2HL2.4X34MM,3998.0,3198.4,1.0,3598.2,26
HCPCS,C1713,PLATE RAD HD NECK 2HL 2.4X28,3998.0,3198.4,1.0,3598.2,26
HCPCS,C1713,PLATE RAD HD NECK 3HL 2.4X40,4122.0,3297.6,1.0,3709.8,26
HCPCS,C1713,PLATE RAD HD PROTEAN LFT,8834.0,7067.2,1.0,7950.6,26
HCPCS,C1713,PLATE RAD HD RT 2HL 2.4X34MM,3998.0,3198.4,1.0,3598.2,26
HCPCS,C1713,PLATE RAD OSTEOTOMY RT 4HL4PEG,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1713,PLATE RAD SIT ACUM RT NARW,5490.0,4392.0,1.0,4941.0,26
HCPCS,C1713,PLATE RAD VOLAR TI 6/5HL2.4 RT,4579.0,3663.2,1.0,4121.1,26
HCPCS,C1713,PLATE RAD VOLAR TI 7/5HL2.4 RT,4579.0,3663.2,1.0,4121.1,26
HCPCS,C1713,PLATE RAD XTR TI LFT4/3HL 47MM,4551.0,3640.8,1.0,4095.9,26
HCPCS,C1713,PLATE RAD XTR TI RT 4/5H*DISC*,4822.0,3857.6,1.0,4339.8,26
HCPCS,C1713,PLATE RAD XTR TI RT 5/5H*DISC*,4822.0,3857.6,1.0,4339.8,26
HCPCS,C1713,PLATE RAD ZIMM RT NARW*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,PLATE RADVOLAR TI 6/5HL2.4 LFT,4579.0,3663.2,1.0,4121.1,26
HCPCS,C1713,PLATE RADVOLAR TI 7/5HL2.4 LFT,4579.0,3663.2,1.0,4121.1,26
HCPCS,C1713,PLATE RD BOX MALLEA TI 4HL 1.0,2387.0,1909.6,1.0,2148.3,26
HCPCS,C1713,PLATE RD STRUT CURV MALLEA 8HL,4094.0,3275.2,1.0,3684.6,26
HCPCS,C1713,PLATE RD STRUT ST MALLEA TI8HL,3448.0,2758.4,1.0,3103.2,26
HCPCS,C1713,PLATE RECON 14HL 4.5X221MM,4757.0,3805.6,1.0,4281.3,26
HCPCS,C1713,PLATE RECON 2.7MM 10HL 80MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1713,PLATE RECON 2.7MM 12HL 96MM,4254.0,3403.2,1.0,3828.6,26
HCPCS,C1713,PLATE RECON 2.7MM 14HL 112MM,4525.0,3620.0,1.0,4072.5,26
HCPCS,C1713,PLATE RECON 2.7MM 6HL 48MM,3683.0,2946.4,1.0,3314.7,26
HCPCS,C1713,PLATE RECON 2.7MM 8HL 64MM,3810.0,3048.0,1.0,3429.0,26
HCPCS,C1713,PLATE RECON 3.5MM 10HL 118MM,3693.0,2954.4,1.0,3323.7,26
HCPCS,C1713,PLATE RECON 3.5MM 11HL 130MM,3693.0,2954.4,1.0,3323.7,26
HCPCS,C1713,PLATE RECON 3.5MM 12HL 142MM,3578.0,2862.4,1.0,3220.2,26
HCPCS,C1713,PLATE RECON 3.5MM 13HL 154MM,3872.0,3097.6,1.0,3484.8,26
HCPCS,C1713,PLATE RECON 3.5MM 14HL 166MM,4019.0,3215.2,1.0,3617.1,26
HCPCS,C1713,PLATE RECON 3.5MM 15HL 178MM,4357.0,3485.6,1.0,3921.3,26
HCPCS,C1713,PLATE RECON 3.5MM 16HL 190MM,4357.0,3485.6,1.0,3921.3,26
HCPCS,C1713,PLATE RECON 3.5MM 18HL 214MM,4566.0,3652.8,1.0,4109.4,26
HCPCS,C1713,PLATE RECON 3.5MM 5HL 58MM,2816.0,2252.8,1.0,2534.4,26
HCPCS,C1713,PLATE RECON 3.5MM 6HL 70MM,3252.0,2601.6,1.0,2926.8,26
HCPCS,C1713,PLATE RECON 3.5MM 7HL 82MM,3410.0,2728.0,1.0,3069.0,26
HCPCS,C1713,PLATE RECON 3.5MM 8HL 94MM,3558.0,2846.4,1.0,3202.2,26
HCPCS,C1713,PLATE RECON 3.5MM 9HL 106MM,3753.0,3002.4,1.0,3377.7,26
HCPCS,C1713,PLATE RECON 4HL 4.5X61MM,3209.0,2567.2,1.0,2888.1,26
HCPCS,C1713,PLATE RECON 5HL 4.5X77MM,3498.0,2798.4,1.0,3148.2,26
HCPCS,C1713,PLATE RECON 9HL 4.5X141MM,3831.0,3064.8,1.0,3447.9,26
HCPCS,C1713,PLATE RECON ANG RT 7X23HL 2.0,9074.0,7259.2,1.0,8166.6,26
HCPCS,C1713,PLATE RECON ANG RT 7X23HL*NLU*,8001.0,6400.8,1.0,7200.9,26
HCPCS,C1713,PLATE RECON CALC 2.7MM 8HL,2466.0,1972.8,1.0,2219.4,26
HCPCS,C1713,PLATE RECON CALC 2.7MM 9HL,2557.0,2045.6,1.0,2301.3,26
HCPCS,C1713,PLATE RECON CURV 3.5 10HL118MM,4825.0,3860.0,1.0,4342.5,26
HCPCS,C1713,PLATE RECON CURV 3.5 12HL142MM,5054.0,4043.2,1.0,4548.6,26
HCPCS,C1713,PLATE RECON CURV 3.5 14HL166MM,4864.0,3891.2,1.0,4377.6,26
HCPCS,C1713,PLATE RECON CURV 3.5 8HL 94MM,4613.0,3690.4,1.0,4151.7,26
HCPCS,C1713,PLATE RECON DBL ANG TI 2.5 SM,8768.0,7014.4,1.0,7891.2,26
HCPCS,C1713,PLATE RECON LCP *DISC NO REPL*,4864.0,3891.2,1.0,5046.3,130
HCPCS,C1713,PLATE RECON LCP 3.5MM 5HL 70MM,2816.0,2252.8,1.0,2534.4,26
HCPCS,C1713,PLATE RECON LCP 3.5MM 6HL 84MM,3252.0,2601.6,1.0,2926.8,26
HCPCS,C1713,PLATE RECON LCP 3.5MM 7HL 99MM,3410.0,2728.0,1.0,3069.0,26
HCPCS,C1713,PLATE RECON LCP 3.5MM 8HL113MM,3562.0,2849.6,1.0,3205.8,26
HCPCS,C1713,PLATE RECON LCP 3.5MM10HL140MM,3693.0,2954.4,1.0,3323.7,26
HCPCS,C1713,PLATE RECON LCP 3.5MM11HL154MM,3502.0,2801.6,1.0,3151.8,26
HCPCS,C1713,PLATE RECON LCP 3.5MM12HL168MM,3578.0,2862.4,1.0,3220.2,26
HCPCS,C1713,PLATE RECON LCP 3.5MM13HL182MM,3872.0,3097.6,1.0,3484.8,26
HCPCS,C1713,PLATE RECON LCP 3.5MM14HL196MM,4019.0,3215.2,1.0,3617.1,26
HCPCS,C1713,PLATE RECON LCP 3.5MM16HL224MM,4357.0,3485.6,1.0,3921.3,26
HCPCS,C1713,PLATE RECON LCP 3.5MM18HL252MM,4569.0,3655.2,1.0,4112.1,26
HCPCS,C1713,PLATE RECON LCP 3.5MM20HL280MM,4748.0,3798.4,1.0,4273.2,26
HCPCS,C1713,PLATE RECON LCP 3.5MM22HL308MM,4934.0,3947.2,1.0,4440.6,26
HCPCS,C1713,PLATE RECON LCP CURV 3.5MM 4HL,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 3HL 39,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 4HL 52,2916.0,2332.8,1.0,2624.4,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 5HL 65,3051.0,2440.8,1.0,2745.9,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 6HL 78,3373.0,2698.4,1.0,3035.7,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 7HL 91,3535.0,2828.0,1.0,3181.5,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 8HL104,3686.0,2948.8,1.0,3317.4,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 9HL117,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM10HL130,3793.0,3034.4,1.0,3413.7,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM11HL143,3504.0,2803.2,1.0,3153.6,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM12HL156,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM13HL169,3819.0,3055.2,1.0,3437.1,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM14HL182,3957.0,3165.6,1.0,3561.3,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM15HL195,4157.0,3325.6,1.0,3741.3,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM16HL208,4339.0,3471.2,1.0,3905.1,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM18HL234,4525.0,3620.0,1.0,4072.5,26
HCPCS,C1713,PLATE RECON LOPRO 3.5MM20HL260,4657.0,3725.6,1.0,4191.3,26
HCPCS,C1713,PLATE RECON LOPRO 88RAD3.5 6HL,4486.0,3588.8,1.0,4037.4,26
HCPCS,C1713,PLATE RECON LOPRO 88RAD3.5 8HL,4872.0,3897.6,1.0,4384.8,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 10HL,3716.0,2972.8,1.0,3344.4,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 11HL,3904.0,3123.2,1.0,3513.6,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 12HL,3610.0,2888.0,1.0,3249.0,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 13HL,3793.0,3034.4,1.0,3413.7,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 14HL,3957.0,3165.6,1.0,3561.3,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 15HL,4157.0,3325.6,1.0,3741.3,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 16HL,4339.0,3471.2,1.0,3905.1,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 18HL,4525.0,3620.0,1.0,4072.5,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 20HL,4689.0,3751.2,1.0,4220.1,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 3HL,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 4HL,2916.0,2332.8,1.0,2624.4,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 5HL,3051.0,2440.8,1.0,2745.9,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 6HL,3182.0,2545.6,1.0,2863.8,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 7HL,3316.0,2652.8,1.0,2984.4,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 8HL,3434.0,2747.2,1.0,3090.6,26
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 9HL,3572.0,2857.6,1.0,3214.8,26
HCPCS,C1713,PLATE RECON LOPRO CURV 3.5 6HL,4486.0,3588.8,1.0,4037.4,26
HCPCS,C1713,PLATE RECON LOPRO CURV 3.5 8HL,4872.0,3897.6,1.0,4384.8,26
HCPCS,C1713,PLATE RECON LOPRO CURV3.5 10HL,5098.0,4078.4,1.0,4588.2,26
HCPCS,C1713,PLATE RECON LOPRO CURV3.5 12HL,4579.0,3663.2,1.0,4121.1,26
HCPCS,C1713,PLATE RECON LOPRO CURV3.5 14HL,5138.0,4110.4,1.0,4624.2,26
HCPCS,C1713,PLATE RECON LOPRO CURV3.5 16HL,5494.0,4395.2,1.0,4944.6,26
HCPCS,C1713,PLATE RECON LOPRO88RAD3.5 10HL,5098.0,4078.4,1.0,4588.2,26
HCPCS,C1713,PLATE RECON LOPRO88RAD3.5 12HL,4579.0,3663.2,1.0,4121.1,26
HCPCS,C1713,PLATE RECON LOPRO88RAD3.5 14HL,5138.0,4110.4,1.0,4624.2,26
HCPCS,C1713,PLATE RECON LOPRO88RAD3.5 16HL,5494.0,4395.2,1.0,4944.6,26
HCPCS,C1713,PLATE RECON TLTS ANG 6HL 2.0,4645.0,3716.0,1.0,4180.5,26
HCPCS,C1713,PLATE RECON TLTS ANG RT26HL2.0,6983.0,5586.4,1.0,6284.7,26
HCPCS,C1713,PLATE RECON TLTS ANG RT26HL3.0,8404.0,6723.2,1.0,7563.6,26
HCPCS,C1713,PLATE RECON TLTS ANGLFT26HL2.0,6983.0,5586.4,1.0,6284.7,26
HCPCS,C1713,PLATE RECON TLTS ANGLFT26HL3.0,8404.0,6723.2,1.0,7563.6,26
HCPCS,C1713,PLATE RECON TLTS LFT 26HL 2.0,6799.0,5439.2,1.0,6119.1,26
HCPCS,C1713,PLATE RECON TLTS RT 26HL 2.0,6799.0,5439.2,1.0,6119.1,26
HCPCS,C1713,PLATE RECON TLTS ST 12HL 2.5,5335.0,4268.0,1.0,4801.5,26
HCPCS,C1713,PLATE RECON TLTS ST 12HL 3.0,5699.0,4559.2,1.0,5129.1,26
HCPCS,C1713,PLATE RECON TLTS ST 20HL 2.0,5693.0,4554.4,1.0,5123.7,26
HCPCS,C1713,PLATE RECON TLTS ST 20HL 3.0,5451.0,4360.8,1.0,4905.9,26
HCPCS,C1713,PLATE RECON ZIMM 10HL*DISC*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1713,PLATE RECON ZIMM 12HL*DISC*,3488.0,2790.4,1.0,3139.2,26
HCPCS,C1713,PLATE RECON ZIMM 14 HL*DISC*,3672.0,2937.6,1.0,3304.8,26
HCPCS,C1713,PLATE RECON ZIMM 3HL*DISC*,2616.0,2092.8,1.0,2354.4,26
HCPCS,C1713,PLATE RECON ZIMM 4HL*DISC*,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1713,PLATE RECON ZIMM 5HL*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,PLATE RECON ZIMM 6HL*DISC*,2968.0,2374.4,1.0,2671.2,26
HCPCS,C1713,PLATE RECON ZIMM 7HL*DISC*,2968.0,2374.4,1.0,2671.2,26
HCPCS,C1713,PLATE RECON ZIMM 8HL*DISC*,3056.0,2444.8,1.0,2750.4,26
HCPCS,C1713,PLATE RECON ZIMM 9HL*DISC*,3240.0,2592.0,1.0,2916.0,26
HCPCS,C1713,PLATE RESORB L KLS LFT 3X*NLU*,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1713,PLATE REV MTP RT MD 5D,8468.0,6774.4,1.0,7621.2,26
HCPCS,C1713,PLATE RGD LORENZ8HL ST 1.*NLU*,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1713,PLATE RIB 3 MATRIXRIB LFT 15HL,6736.0,5388.8,1.0,6062.4,26
HCPCS,C1713,PLATE RIB 3 MATRIXRIB RT 15HL,7056.0,5644.8,1.0,6350.4,26
HCPCS,C1713,PLATE RIB 4-5 MATRIXRIBLFT16HL,6736.0,5388.8,1.0,6062.4,26
HCPCS,C1713,PLATE RIB 4-5 MATRIXRIBRT16HL,6736.0,5388.8,1.0,6062.4,26
HCPCS,C1713,PLATE RIB 6-7 MATRIXRIB RT17HL,6736.0,5388.8,1.0,6062.4,26
HCPCS,C1713,PLATE RIB 6-7 MATRIXRIBLFT17HL,6736.0,5388.8,1.0,6062.4,26
HCPCS,C1713,PLATE RIB 8-9 MATRIXRIB RT18HL,7949.0,6359.2,1.0,7154.1,26
HCPCS,C1713,PLATE RIB 8-9 MATRIXRIBLFT18HL,6736.0,5388.8,1.0,6062.4,26
HCPCS,C1713,PLATE RIB MATRIXRIB I TI 9HL,4578.0,3662.4,1.0,4120.2,26
HCPCS,C1713,PLATE RIB MATRIXRIB ST TI 24HL,8543.0,6834.4,1.0,7688.7,26
HCPCS,C1713,PLATE RIB MATRIXRIB ST TI 30HL,10174.0,8139.2,1.0,9156.6,26
HCPCS,C1713,PLATE RIB MATRIXRIB UNIV 8HL,4594.0,3675.2,1.0,4134.6,26
HCPCS,C1713,PLATE RIM VA LCP RT 6X5HL 2.4,4857.0,3885.6,1.0,4371.3,26
HCPCS,C1713,PLATE SCAPULA ACROMION LFT 6HL,7596.0,6076.8,1.0,6836.4,26
HCPCS,C1713,PLATE SCRL CURE 33MM*NLU*,10904.0,8723.2,1.0,9813.6,26
HCPCS,C1713,PLATE SHRTENING ULNA PROX,9855.0,7884.0,1.0,8869.5,26
HCPCS,C1713,PLATE SINUS TARSI SUPP LFT SM,6362.0,5089.6,1.0,5725.8,26
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 12MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 14MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 16MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 18MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 28MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 28MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 30MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 32MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 34MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 36MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE SKYLINE 3LVL DEPU 48MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE SKYLINE 3LVL DEPU 51MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE SKYLINE 3LVL DEPU 54MM,5046.0,4036.8,1.0,4541.4,26
HCPCS,C1713,PLATE SLOPED HTO ARTX 7.5*OBS*,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,PLATE SM FRAG CLOVERLF TI 4HL,1952.0,1561.6,1.0,1756.8,26
HCPCS,C1713,PLATE SPNL AMP II CTR SCREW2HL,11550.0,9240.0,1.0,10395.0,26
HCPCS,C1713,PLATE SPNL AMP-LTX 2HL,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,PLATE SPNL AMP-LTXCTRSCREW2HL,22125.0,17700.0,1.0,19912.5,26
HCPCS,C1713,PLATE SPNL BRIDGPOINT 35-*NLU*,16500.0,13200.0,1.0,14850.0,26
HCPCS,C1713,PLATE SPNL HNG ALLO HLS 10MM,9900.0,7920.0,1.0,8910.0,26
HCPCS,C1713,PLATE SPNL NOPRO 3HL 10MM,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1713,PLATE SPNL NOPRO 3HL 12MM,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1713,PLATE SPNL NOPRO 3HL 14MM,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1713,PLATE SPNL SPS 4HL ACP 14MM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,PLATE SPRING PRO 2HL,3233.0,2586.4,1.0,2909.7,26
HCPCS,C1713,PLATE SPRING PRO 3HL,3463.0,2770.4,1.0,3116.7,26
HCPCS,C1713,PLATE SPRING STER 2HL 3.5MM,3027.0,2421.6,1.0,2724.3,26
HCPCS,C1713,PLATE SPRING STER 3HL 3.5MM,3269.0,2615.2,1.0,2942.1,26
HCPCS,C1713,PLATE SQ KLS 0.6,1304.0,1043.2,1.0,1173.6,26
HCPCS,C1713,PLATE SQ MTXSTRNM 4HL LG,3630.0,2904.0,1.0,3267.0,26
HCPCS,C1713,PLATE SQ MTXSTRNM 4HL SM,3820.0,3056.0,1.0,3438.0,26
HCPCS,C1713,PLATE SQ STERNALK 4HL,4018.0,3214.4,1.0,3616.2,26
HCPCS,C1713,PLATE SQ STERNALOCK 4HL,2680.0,2144.0,1.0,2412.0,26
HCPCS,C1713,PLATE SS DALL MILES STRY 6.5IN,3515.0,2812.0,1.0,3163.5,26
HCPCS,C1713,PLATE SS DALL MILES STRY 8.0IN,3515.0,2812.0,1.0,3163.5,26
HCPCS,C1713,PLATE ST 2.0MM 2*DISC NO REPL*,2043.0,1634.4,1.0,1838.7,26
HCPCS,C1713,PLATE ST 6HL 1.6MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE ST ARTX 10HL 2.4MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE ST ARTX 4HL 2.7MM,5915.0,4732.0,1.0,5323.5,26
HCPCS,C1713,PLATE ST ARTX 6HL 2.4MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE ST ARTX 6HL 2.7MM,5915.0,4732.0,1.0,5323.5,26
HCPCS,C1713,PLATE ST ARTX 8HL 2.5MM,5915.0,4732.0,1.0,5323.5,26
HCPCS,C1713,PLATE ST ARTX SS 2HL 2.7MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,PLATE ST ARTX SS 3HL 2.7MM,2420.0,1936.0,1.0,2178.0,26
HCPCS,C1713,PLATE ST ARTX SS 4HL 2.7MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,PLATE ST ARTX SS 5HL 2.7MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,PLATE ST CMF 8HL,3591.0,2872.8,1.0,3231.9,26
HCPCS,C1713,PLATE ST DIST RAD LCP TI 5HL,4418.0,3534.4,1.0,3976.2,26
HCPCS,C1713,PLATE ST DIST RAD LCP TI 6HL,4663.0,3730.4,1.0,4196.7,26
HCPCS,C1713,PLATE ST HAND TI 12HL 2.4X72MM,3266.0,2612.8,1.0,2939.4,26
HCPCS,C1713,PLATE ST HAND TI 6HL 2.4X36MM,2957.0,2365.6,1.0,2661.3,26
HCPCS,C1713,PLATE ST KLS REG 16HL,913.0,730.4,1.0,821.7,26
HCPCS,C1713,PLATE ST LC DCP TI 4HL 2.4MM,3828.0,3062.4,1.0,3445.2,26
HCPCS,C1713,PLATE ST LC DCP TI 5HL 2*NLU*,3164.0,2531.2,1.0,2847.6,26
HCPCS,C1713,PLATE ST LC-DCP 4HL 2.7X37MM,2698.0,2158.4,1.0,2428.2,26
HCPCS,C1713,PLATE ST LC-DCP 6HL 2.7X55MM,2698.0,2158.4,1.0,2428.2,26
HCPCS,C1713,PLATE ST LCP 10 HL 2.0MM,1699.0,1359.2,1.0,1529.1,26
HCPCS,C1713,PLATE ST LCP 2.4MM 10HL 84MM,2554.0,2043.2,1.0,2298.6,26
HCPCS,C1713,PLATE ST LCP 2.4MM 5HL 44MM,2554.0,2043.2,1.0,2298.6,26
HCPCS,C1713,PLATE ST LCP 2.4MM 7HL 60MM,2554.0,2043.2,1.0,2298.6,26
HCPCS,C1713,PLATE ST LCP 2.7MM 10HL 94MM,2698.0,2158.4,1.0,2428.2,26
HCPCS,C1713,PLATE ST LCP 2.7MM 8HL 76MM,2698.0,2158.4,1.0,2428.2,26
HCPCS,C1713,PLATE ST LCP 4HL 2.0MM,1778.0,1422.4,1.0,1600.2,26
HCPCS,C1713,PLATE ST LCP 5HL 2.0MM,1778.0,1422.4,1.0,1600.2,26
HCPCS,C1713,PLATE ST LCP 6HL 2.0MM,1778.0,1422.4,1.0,1600.2,26
HCPCS,C1713,PLATE ST LCP 7HL 2.0MM,1778.0,1422.4,1.0,1600.2,26
HCPCS,C1713,PLATE ST LCP 8HL 2.0MM,1778.0,1422.4,1.0,1600.2,26
HCPCS,C1713,PLATE ST LP KLS 17HL,1497.0,1197.6,1.0,1347.3,26
HCPCS,C1713,PLATE ST MATTA 2HL 26.5MM,2355.0,1884.0,1.0,2119.5,26
HCPCS,C1713,PLATE ST MATTA 3HL 42.5MM,2355.0,1884.0,1.0,2119.5,26
HCPCS,C1713,PLATE ST MATTA 4HL 58.5MM,2355.0,1884.0,1.0,2119.5,26
HCPCS,C1713,PLATE ST MATTA 5HL 74.5MM,2355.0,1884.0,1.0,2119.5,26
HCPCS,C1713,PLATE ST MATTA 6HL 90.5MM,3172.0,2537.6,1.0,2854.8,26
HCPCS,C1713,PLATE ST MATTA 7HL 106.5MM,3172.0,2537.6,1.0,2854.8,26
HCPCS,C1713,PLATE ST MATTA 8HL 122.5MM,3172.0,2537.6,1.0,2854.8,26
HCPCS,C1713,PLATE ST REINF 6HL 2.0MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE ST REINF ARTX 20HL 2.7MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,PLATE ST REINF ARTX 6HL 2.4MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE ST REINF ARTX 6HL 2.7MM,5915.0,4732.0,1.0,5323.5,26
HCPCS,C1713,PLATE ST REINF ARTX 8HL 2.4MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE ST REINF ARTX 8HL 2.7MM,5915.0,4732.0,1.0,5323.5,26
HCPCS,C1713,PLATE ST SB POLYLOCK 6HL,12768.0,10214.4,1.0,11491.2,26
HCPCS,C1713,PLATE ST SS VOLT 10HL 2.7X104,4792.0,3833.6,1.0,4312.8,26
HCPCS,C1713,PLATE ST STAPLE ASSY 8X8MM,6420.0,5136.0,1.0,5778.0,26
HCPCS,C1713,PLATE ST SYNT TI 2.0MM 12HL,5803.0,4642.4,1.0,5222.7,26
HCPCS,C1713,PLATE ST SYNT TI 2.0MM 20HL,5378.0,4302.4,1.0,4840.2,26
HCPCS,C1713,PLATE ST SYNT TI 2.0MM 6HL,3682.0,2945.6,1.0,3313.8,26
HCPCS,C1713,PLATE ST TI 1.0MM 24HL,2446.0,1956.8,1.0,2201.4,26
HCPCS,C1713,PLATE ST TI 12HL 1.3X47MM,2738.0,2190.4,1.0,2464.2,26
HCPCS,C1713,PLATE ST TI 12HL 1.5X59MM,2705.0,2164.0,1.0,2434.5,26
HCPCS,C1713,PLATE ST TI 12HL 2.0X71MM,2678.0,2142.4,1.0,2410.2,26
HCPCS,C1713,PLATE ST TI 6HL 1.3X23MM,2483.0,1986.4,1.0,2234.7,26
HCPCS,C1713,PLATE ST TI 6HL 1.5X29MM,3182.0,2545.6,1.0,2863.8,26
HCPCS,C1713,PLATE ST TI 6HL 2.0MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE ST TI 6HL 2.0X35MM,3252.0,2601.6,1.0,2926.8,26
HCPCS,C1713,PLATE ST TI ARTX 11HL,5973.0,4778.4,1.0,5375.7,26
HCPCS,C1713,PLATE ST VOLT SS 10HL 2.0X72,4537.0,3629.6,1.0,4083.3,26
HCPCS,C1713,PLATE ST VOLT SS 10HL 2.4X96,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE ST VOLT SS 14HL 2.0X99,5834.0,4667.2,1.0,5250.6,26
HCPCS,C1713,PLATE ST VOLT SS 14HL 2.4X132,4665.0,3732.0,1.0,4198.5,26
HCPCS,C1713,PLATE ST VOLT SS 14HL 2.7X144,5390.0,4312.0,1.0,4851.0,26
HCPCS,C1713,PLATE ST VOLT SS 18HL 2.0X126,5834.0,4667.2,1.0,5250.6,26
HCPCS,C1713,PLATE ST VOLT SS 18HL 2.4X164,4665.0,3732.0,1.0,4198.5,26
HCPCS,C1713,PLATE ST VOLT SS 18HL 2.7X184,5390.0,4312.0,1.0,4851.0,26
HCPCS,C1713,PLATE ST VOLT SS 6HL 2.0X45,4537.0,3629.6,1.0,4083.3,26
HCPCS,C1713,PLATE ST VOLT SS 6HL 2.4X60,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE ST VOLT SS 6HL 2.7X64,4792.0,3833.6,1.0,4312.8,26
HCPCS,C1713,PLATE ST VOLT SS 7HL 2.0X52,4537.0,3629.6,1.0,4083.3,26
HCPCS,C1713,PLATE ST VOLT SS 7HL 2.4X69,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE ST VOLT SS 7HL 2.7X74,4792.0,3833.6,1.0,4312.8,26
HCPCS,C1713,PLATE ST VOLT SS 8HL 2.0X58,4537.0,3629.6,1.0,4083.3,26
HCPCS,C1713,PLATE ST VOLT SS 8HL 2.4X78,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE ST VOLT SS 8HL 2.7X84,4792.0,3833.6,1.0,4312.8,26
HCPCS,C1713,PLATE ST VOLT SS 8HL 3.5X111,4805.0,3844.0,1.0,4324.5,26
HCPCS,C1713,PLATE ST ZIMM 10HL*DISC*,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,PLATE ST ZIMM 3HL*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,PLATE ST ZIMM 4HL*DISC*,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,PLATE ST ZIMM 6HL*DISC*,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,PLATE ST ZIMM 8HL*DISC*,2304.0,1843.2,1.0,2073.6,26
HCPCS,C1713,PLATE ST ZIMM12HL*DISC*,2688.0,2150.4,1.0,2419.2,26
HCPCS,C1713,PLATE STAR MTXSTRNM 6HL LG,3617.0,2893.6,1.0,3255.3,26
HCPCS,C1713,PLATE STD RT*NLU*,8568.0,6854.4,1.0,7711.2,26
HCPCS,C1713,PLATE STEP LAPIDUS LFT 2M*NLU*,8083.0,6466.4,1.0,7274.7,26
HCPCS,C1713,PLATE STEP MPJ VLC GRIDLKPETRT,6930.0,5544.0,1.0,6237.0,26
HCPCS,C1713,PLATE STERNAL 1.8MMLADDER 18HL,4613.0,3690.4,1.0,4151.7,26
HCPCS,C1713,PLATE STERNAL 1.8MMLADDER 26HL,5495.0,4396.0,1.0,4945.5,26
HCPCS,C1713,PLATE STERNAL H 6HL,3048.0,2438.4,1.0,2743.2,26
HCPCS,C1713,PLATE STERNAL LADDER NARW 12HL,5430.0,4344.0,1.0,4887.0,26
HCPCS,C1713,PLATE STERNAL LADDER WIDE 16HL,4721.0,3776.8,1.0,4248.9,26
HCPCS,C1713,PLATE STERNAL ST 8HL,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,PLATE STERNAL TI 4HL 1.5MM,3280.0,2624.0,1.0,2952.0,26
HCPCS,C1713,PLATE STERNAL TI 6HL 1.5MM,4228.0,3382.4,1.0,3805.2,26
HCPCS,C1713,PLATE STERNALK ST 4HL,3048.0,2438.4,1.0,2743.2,26
HCPCS,C1713,PLATE STERNALOCK ST 4HL,2680.0,2144.0,1.0,2412.0,26
HCPCS,C1713,PLATE STRUT LOPRO TI SYNT 6HL,3188.0,2550.4,1.0,2869.2,26
HCPCS,C1713,PLATE STRUT LOPRO TI SYNT 8HL,3938.0,3150.4,1.0,3544.2,26
HCPCS,C1713,PLATE STRUT MALLEA TI 2.0*NLU*,2873.0,2298.4,1.0,2585.7,26
HCPCS,C1713,PLATE STRUT MD TI 18HL 0.7MM,4802.0,3841.6,1.0,4321.8,26
HCPCS,C1713,PLATE STRUT MICRO TI 18HL0.4MM,3884.0,3107.2,1.0,3495.6,26
HCPCS,C1713,PLATE STRUT MINI TI 18HL 0.5MM,3531.0,2824.8,1.0,3177.9,26
HCPCS,C1713,PLATE STRUT MTXNEURO TI 2X3HL,2317.0,1853.6,1.0,2085.3,26
HCPCS,C1713,PLATE STRUT MTXNEURO TI 2X4HL,3848.0,3078.4,1.0,3463.2,26
HCPCS,C1713,PLATE STRUT RESORB 1.5MM2X10HL,2968.0,2374.4,1.0,2671.2,26
HCPCS,C1713,PLATE STRUT SUBCOND LFT 5HL1MM,5207.0,4165.6,1.0,4686.3,26
HCPCS,C1713,PLATE STRUT SUBCOND RT 5HL 1MM,5207.0,4165.6,1.0,4686.3,26
HCPCS,C1713,PLATE SUPERIOR BRIDGELFT6HL99,4817.0,3853.6,1.0,4335.3,26
HCPCS,C1713,PLATE SUPERIOR BRIDGELFT8HL109,4817.0,3853.6,1.0,4335.3,26
HCPCS,C1713,PLATE SUPR CURV LFT 10HL 122MM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE SUPR CURV LFT 6HL 75MM,5258.0,4206.4,1.0,4732.2,26
HCPCS,C1713,PLATE SUPR CURV LFT 7HL 88MM,5258.0,4206.4,1.0,4732.2,26
HCPCS,C1713,PLATE SUPR CURV LFT 8HL 99MM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE SUPR CURV RT 10HL 12MM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE SUPR CURV RT 7HL 88MM,5258.0,4206.4,1.0,4732.2,26
HCPCS,C1713,PLATE SUPR CURV RT 8HL 122MM,4817.0,3853.6,1.0,4335.3,26
HCPCS,C1713,PLATE SUPR CURV RT 8HL 99MM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE SUPR LAT LFT 3HL 98MM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE SUPR LAT LFT 4HL 86MM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE SUPR LAT LFT 5HL 98MM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE SUPR LAT LFT 7HL 122MM,5402.0,4321.6,1.0,4861.8,26
HCPCS,C1713,PLATE SUPR LAT RT 4HL 86MM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1713,PLATE SUPRACO 10HL 203MM*DISC*,5760.0,4608.0,1.0,5184.0,26
HCPCS,C1713,PLATE SUPRACO 12HL 239MM*DISC*,4716.0,3772.8,1.0,4244.4,26
HCPCS,C1713,PLATE SUPRACO 14HL 275MM*DISC*,4716.0,3772.8,1.0,4244.4,26
HCPCS,C1713,PLATE SUPRACO 6HL 131MM*DISC*,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE SUPRACO 8HL 161MM*DISC*,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1713,PLATE SURFIX INTERAXIS 2HL17MM,6695.0,5356.0,1.0,6025.5,26
HCPCS,C1713,PLATE SYNDMSIS FRAC ORTHOLOC,3825.0,3060.0,1.0,3442.5,26
HCPCS,C1713,PLATE SYNDMSIS STER 2 HL 1.5MM,5610.0,4488.0,1.0,5049.0,26
HCPCS,C1713,PLATE SYS BONE FRAC MOTOBAND,2255.0,1804.0,1.0,2029.5,26
HCPCS,C1713,PLATE SYS MPJ SHRT CLIP 10D 18,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1713,PLATE SYS MPJ SHRT CLIP 5D 18,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1713,PLATE SYS MPJ STD CLIP 0D 18MM,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1713,PLATE T 2.0MM 2H*DISC NO REPL*,507.0,405.6,1.0,456.3,26
HCPCS,C1713,PLATE T 2.0MM 3/10HL,3286.0,2628.8,1.0,2957.4,26
HCPCS,C1713,PLATE T 2.0MM 4/*DISC NO REPL*,3286.0,2628.8,1.0,2957.4,26
HCPCS,C1713,PLATE T 2.4MM 10HL,3417.0,2733.6,1.0,3075.3,26
HCPCS,C1713,PLATE T 3HL 2.7X32MM,2587.0,2069.6,1.0,2328.3,26
HCPCS,C1713,PLATE T ARTX 2X6HL 2.7MM,5915.0,4732.0,1.0,5323.5,26
HCPCS,C1713,PLATE T ARTX 3X10HL 2.7MM,5915.0,4732.0,1.0,5323.5,26
HCPCS,C1713,PLATE T ARTX 3X6HL 2.7MM,5916.0,4732.8,1.0,5324.4,26
HCPCS,C1713,PLATE T ARTX 6HL 2.4MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE T ARTX 8HL 1.4MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE T ARTX 8HL 2.4MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE T COMP GORILLA 5HL,5835.0,4668.0,1.0,5251.5,26
HCPCS,C1713,PLATE T DIST RAD LCP TI 40MM,4241.0,3392.8,1.0,3816.9,26
HCPCS,C1713,PLATE T DIST RAD LCP TI 49MM,4415.0,3532.0,1.0,3973.5,26
HCPCS,C1713,PLATE T DIST TIB 4HL 2.7MM72MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1713,PLATE T DIST TIB 6HL 2.7MM90MM,5034.0,4027.2,1.0,4530.6,26
HCPCS,C1713,PLATE T DISTRAD TI 3/3HL 2.4MM,4572.0,3657.6,1.0,4114.8,26
HCPCS,C1713,PLATE T DISTRAD TI 3/5HL 2.4MM,4766.0,3812.8,1.0,4289.4,26
HCPCS,C1713,PLATE T FRAGMENT 8HL 2.7MM,3152.0,2521.6,1.0,2836.8,26
HCPCS,C1713,PLATE T FUSN VA LNG 2.4/2.7 61,4922.0,3937.6,1.0,4429.8,26
HCPCS,C1713,PLATE T FUSN VA LNG 2.4/2.7 92,4621.0,3696.8,1.0,4158.9,26
HCPCS,C1713,PLATE T FUSN VA SHRT 2.4/2.7MM,4687.0,3749.6,1.0,4218.3,26
HCPCS,C1713,PLATE T FUSN VA STD 2.4/2.7MM,4808.0,3846.4,1.0,4327.2,26
HCPCS,C1713,PLATE T HAND TI 12HL 2.4 2X8HL,4075.0,3260.0,1.0,3667.5,26
HCPCS,C1713,PLATE T HAND TI 12HL 2.4 3X8HL,4075.0,3260.0,1.0,3667.5,26
HCPCS,C1713,PLATE T LCP 2.0MM 3/7HL,2822.0,2257.6,1.0,2539.8,26
HCPCS,C1713,PLATE T LCP 2HL 2.4X58MM,4104.0,3283.2,1.0,3693.6,26
HCPCS,C1713,PLATE T LCP COND SS3/7HL2.4X58,4104.0,3283.2,1.0,3693.6,26
HCPCS,C1713,PLATE T LCP LG 4HL 4.5X83MM,3955.0,3164.0,1.0,3559.5,26
HCPCS,C1713,PLATE T LCP LG 6HL 4.5X115MM,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1713,PLATE T LCP LG 8HL 4.5X147MM,4578.0,3662.4,1.0,4120.2,26
HCPCS,C1713,PLATE T LCP OBLIQ LFT3HL3.5X52,2312.0,1849.6,1.0,2080.8,26
HCPCS,C1713,PLATE T LCP OBLIQ LFT4HL3.5X63,2419.0,1935.2,1.0,2177.1,26
HCPCS,C1713,PLATE T LCP OBLIQ LFT5HL3.5X74,2527.0,2021.6,1.0,2274.3,26
HCPCS,C1713,PLATE T LCP OBLIQ LFT6HL3.5X85,2705.0,2164.0,1.0,2434.5,26
HCPCS,C1713,PLATE T LCP OBLIQ LFT7HL3.5X96,2738.0,2190.4,1.0,2464.2,26
HCPCS,C1713,PLATE T LCP OBLIQ RT 3HL3.5X52,2308.0,1846.4,1.0,2077.2,26
HCPCS,C1713,PLATE T LCP OBLIQ RT 4HL3.5X63,2412.0,1929.6,1.0,2170.8,26
HCPCS,C1713,PLATE T LCP OBLIQ RT 5HL3.5X74,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1713,PLATE T LCP OBLIQ RT 6HL3.5X85,2698.0,2158.4,1.0,2428.2,26
HCPCS,C1713,PLATE T LCP OBLIQ RT 7HL3.5X96,2735.0,2188.0,1.0,2461.5,26
HCPCS,C1713,PLATE T LCP OBLIQ RT8HL3.5X107,2967.0,2373.6,1.0,2670.3,26
HCPCS,C1713,PLATE T LCP OBLIQLFT8HL3.5X107,2977.0,2381.6,1.0,2679.3,26
HCPCS,C1713,PLATE T LCP RTANG 3HD3HL3.5X50,2056.0,1644.8,1.0,1850.4,26
HCPCS,C1713,PLATE T LCP RTANG 3HD4HL3.5X57,2194.0,1755.2,1.0,1974.6,26
HCPCS,C1713,PLATE T LCP RTANG 4HD3HL3.5X50,2110.0,1688.0,1.0,1899.0,26
HCPCS,C1713,PLATE T LCP RTANG 4HD4HL3.5X56,2127.0,1701.6,1.0,1914.3,26
HCPCS,C1713,PLATE T LCP RTANG3HD5HL 3.5X67,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,PLATE T LCP RTANG3HD6HL 3.5X77,2802.0,2241.6,1.0,2521.8,26
HCPCS,C1713,PLATE T LCP RTANG3HD7HL 3.5X87,3407.0,2725.6,1.0,3066.3,26
HCPCS,C1713,PLATE T LCP RTANG3HD8HL 3.5X97,3575.0,2860.0,1.0,3217.5,26
HCPCS,C1713,PLATE T LCP RTANG4HD5HL 3.5X67,2409.0,1927.2,1.0,2168.1,26
HCPCS,C1713,PLATE T LCP RTANG4HD6HL 3.5X78,2725.0,2180.0,1.0,2452.5,26
HCPCS,C1713,PLATE T LCP RTANG4HD7HL 3.5X89,3397.0,2717.6,1.0,3057.3,26
HCPCS,C1713,PLATE T LCP RTANG4HD8HL3.5X100,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1713,PLATE T LCP SS 2/3HL 2.7X32MM,4104.0,3283.2,1.0,3693.6,26
HCPCS,C1713,PLATE T LG TI SYNT 3X4HL 0.8MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,PLATE T LK HAND FRAC 1.5MM,3808.0,3046.4,1.0,3427.2,26
HCPCS,C1713,PLATE T LK HAND FRAC 1.5MM SM,3904.0,3123.2,1.0,3513.6,26
HCPCS,C1713,PLATE T LK HAND FRAC 2.5MM,3976.0,3180.8,1.0,3578.4,26
HCPCS,C1713,PLATE T LK METFX MD 38MM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1713,PLATE T LK S VARIAX WIDE 8H1.7,3433.0,2746.4,1.0,3089.7,26
HCPCS,C1713,PLATE T LK VA ST TI 3X7HL 1.5,3390.0,2712.0,1.0,3051.0,26
HCPCS,C1713,PLATE T LK VA TI 3X7HL 2.0,3904.0,3123.2,1.0,3513.6,26
HCPCS,C1713,PLATE T LK VARIAX NARW 2X5HL34,4378.0,3502.4,1.0,3940.2,26
HCPCS,C1713,PLATE T LK VARIAX NARW 2X5HL41,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE T LK VARIAX NARW 2X5HL47,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE T LK VARIAX NARW 3X5HL41,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE T LK VARIAX NARW 3X5HL47,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE T LK VARIAX NARW2X10HL62,4378.0,3502.4,1.0,3940.2,26
HCPCS,C1713,PLATE T LK VARIAX NARW2X10HL76,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE T LK VARIAX NARW2X10HL87,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE T LK VARIAX NARW3X10HL76,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE T LK VARIAX NARW3X10HL87,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE T LK VARIAX NARW5X10HL62,4378.0,3502.4,1.0,3940.2,26
HCPCS,C1713,PLATE T LK VARIAX NARW5X10HL76,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1713,PLATE T LK VARIAX NARW5X10HL87,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1713,PLATE T LOPRO ARTX 3HL 2.4MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,PLATE T LOPRO ARTX 3HL 3MM,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE T LOPRO ARTX 4HL 2.4MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,PLATE T LOPRO ARTX 4HL 3MM,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE T LOPRO ARTX 5HL 2.4MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,PLATE T LOPRO ARTX 6HL 2.4MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,PLATE T LOPRO ARTX 7HL 2.4MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,PLATE T MD TI SYNT 3X4HL 0.7MM,2318.0,1854.4,1.0,2086.2,26
HCPCS,C1713,PLATE T MINI TI 3X4HL 0.5MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,PLATE T ORTHOLOC 3DI 6HL,4487.0,3589.6,1.0,4038.3,26
HCPCS,C1713,PLATE T PANGEA 3TX10HL 2.7X89,8348.0,6678.4,1.0,7513.2,26
HCPCS,C1713,PLATE T PANGEA 3TX10HL 3.5X137,8348.0,6678.4,1.0,7513.2,26
HCPCS,C1713,PLATE T PANGEA 3TX5HL 2.7X51,8348.0,6678.4,1.0,7513.2,26
HCPCS,C1713,PLATE T PANGEA 3TX5HL 3.5X71,8348.0,6678.4,1.0,7513.2,26
HCPCS,C1713,PLATE T PANGEA 5TX10HL 2.7X89,9239.0,7391.2,1.0,8315.1,26
HCPCS,C1713,PLATE T PANGEA 5TX10HL 3.5X137,9239.0,7391.2,1.0,8315.1,26
HCPCS,C1713,PLATE T REINF ARTX 3X10HL2.7MM,5915.0,4732.0,1.0,5323.5,26
HCPCS,C1713,PLATE T REINF ARTX 6HL 2.4MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE T REINF ARTX 8HL 2.4MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE T ROTATION 5HL 2.0MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE T SB POLYLOCK 6HL,9450.0,7560.0,1.0,8505.0,26
HCPCS,C1713,PLATE T SB POLYLOCK 7HL,9450.0,7560.0,1.0,8505.0,26
HCPCS,C1713,PLATE T STRY LNG*DISC NO REPL*,4069.0,3255.2,1.0,3662.1,26
HCPCS,C1713,PLATE T STRY SHR*DISC NO REPL*,4069.0,3255.2,1.0,3662.1,26
HCPCS,C1713,PLATE T TI 2/8HL 2.0X53MM,2806.0,2244.8,1.0,2525.4,26
HCPCS,C1713,PLATE T TI 3/8HL 1.5X44MM,3121.0,2496.8,1.0,2808.9,26
HCPCS,C1713,PLATE T TI 3/8HL 2.0X53MM,2849.0,2279.2,1.0,2564.1,26
HCPCS,C1713,PLATE T TI 3HL 1.3X35MM,2722.0,2177.6,1.0,2449.8,26
HCPCS,C1713,PLATE T TI 4/8HL 1.5X44MM,3121.0,2496.8,1.0,2808.9,26
HCPCS,C1713,PLATE T TI 4HL 1.3X35MM,2799.0,2239.2,1.0,2519.1,26
HCPCS,C1713,PLATE T TI WIDE 6HL 2.0MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE T TIB DIST LCPSTER5HL3.5,4877.0,3901.6,1.0,4389.3,26
HCPCS,C1713,PLATE T TIB PSTR LCP 8HL 3.5MM,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE T TIB PSTR LCPSTER8HL3.5,5980.0,4784.0,1.0,5382.0,26
HCPCS,C1713,PLATE T VARIAX OBLIQ RT,3881.0,3104.8,1.0,3492.9,26
HCPCS,C1713,PLATE T VOLT SS 3X10HL 2.0X73,4533.0,3626.4,1.0,4079.7,26
HCPCS,C1713,PLATE T VOLT SS 3X10HL 2.4X87,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE T VOLT SS 3X10HL 2.7X95,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE T VOLT SS 3X6HL 2.0X45,4533.0,3626.4,1.0,4079.7,26
HCPCS,C1713,PLATE T VOLT SS 3X6HL 2.4X53,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE T VOLT SS 3X6HL 2.7X58,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE T VOLT SS 5X10HL 2.0X73,4533.0,3626.4,1.0,4079.7,26
HCPCS,C1713,PLATE T VOLT SS 5X10HL 2.4X87,4839.0,3871.2,1.0,4355.1,26
HCPCS,C1713,PLATE T VOLT SS 5X10HL 2.7X95,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE T/Y LK HAND FRAC 2.5MM,3976.0,3180.8,1.0,3578.4,26
HCPCS,C1713,PLATE T2 COMP 8HL 1.1MM,5831.0,4664.8,1.0,5247.9,26
HCPCS,C1713,PLATE TENSION TI SYNT 4HL*NLU*,2330.0,1864.0,1.0,2097.0,26
HCPCS,C1713,PLATE THORACIC BOX 4HL,3672.0,2937.6,1.0,3304.8,26
HCPCS,C1713,PLATE THORACIC LADDER 16HL,5103.0,4082.4,1.0,4592.7,26
HCPCS,C1713,PLATE THORACIC RECT 10HL,4753.0,3802.4,1.0,4277.7,26
HCPCS,C1713,PLATE THORACIC V-PLATE 4HL,3192.0,2553.6,1.0,2872.8,26
HCPCS,C1713,PLATE THORACIC X-PLATE 8HL,3913.0,3130.4,1.0,3521.7,26
HCPCS,C1713,PLATE TI ARTX ST 3.0MM 5HL,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1713,PLATE TI BD LCP 10HL 4.5MM,3963.0,3170.4,1.0,3566.7,26
HCPCS,C1713,PLATE TI BD LCP 11HL 4.5MM,4219.0,3375.2,1.0,3797.1,26
HCPCS,C1713,PLATE TI BD LCP 12HL 4.5MM,4478.0,3582.4,1.0,4030.2,26
HCPCS,C1713,PLATE TI BD LCP 14HL 4.5MM,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1713,PLATE TI BD LCP 6HL 4.5MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,PLATE TI BD LCP 7HL 4.5MM,3185.0,2548.0,1.0,2866.5,26
HCPCS,C1713,PLATE TI BD LCP 8HL 4.5MM,3894.0,3115.2,1.0,3504.6,26
HCPCS,C1713,PLATE TI BD LCP 9HL 4.5MM,3687.0,2949.6,1.0,3318.3,26
HCPCS,C1713,PLATE TI MTXWAVE MMF SHRT 10HL,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,PLATE TI MTXWAVE MMF TALL 10HL,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,PLATE TI NARW LCP 10HL 4.5MM,3911.0,3128.8,1.0,3519.9,26
HCPCS,C1713,PLATE TI NARW LCP 11HL 4.5MM,3687.0,2949.6,1.0,3318.3,26
HCPCS,C1713,PLATE TI NARW LCP 12HL 4.5MM,3963.0,3170.4,1.0,3566.7,26
HCPCS,C1713,PLATE TI NARW LCP 5HL 4.5MM,2658.0,2126.4,1.0,2392.2,26
HCPCS,C1713,PLATE TI NARW LCP 6HL 4.5MM,2812.0,2249.6,1.0,2530.8,26
HCPCS,C1713,PLATE TI NARW LCP 8HL 4.5MM,3444.0,2755.2,1.0,3099.6,26
HCPCS,C1713,PLATE TIB ANT DIST 5HL,4703.0,3762.4,1.0,4232.7,26
HCPCS,C1713,PLATE TIB ANT DIST VALCP RT6HL,7280.0,5824.0,1.0,6552.0,26
HCPCS,C1713,PLATE TIB ANT GORILLA LG,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1713,PLATE TIB ANT LAT VALCP 4HL RT,6632.0,5305.6,1.0,5968.8,26
HCPCS,C1713,PLATE TIB ANT LAT VALCP 4HLLFT,6632.0,5305.6,1.0,5968.8,26
HCPCS,C1713,PLATE TIB ANT LAT VALCP 6HL RT,6709.0,5367.2,1.0,6038.1,26
HCPCS,C1713,PLATE TIB ANT LAT VALCP 6HLLFT,6709.0,5367.2,1.0,6038.1,26
HCPCS,C1713,PLATE TIB ANT LAT VALCP 8HL RT,6781.0,5424.8,1.0,6102.9,26
HCPCS,C1713,PLATE TIB ANT LAT VALCP 8HLLFT,6781.0,5424.8,1.0,6102.9,26
HCPCS,C1713,PLATE TIB ANT LAT VALCP10HL RT,6841.0,5472.8,1.0,6156.9,26
HCPCS,C1713,PLATE TIB ANT LAT VALCP10HLLFT,6841.0,5472.8,1.0,6156.9,26
HCPCS,C1713,PLATE TIB ANT LAT VALCP12HL RT,7767.0,6213.6,1.0,6990.3,26
HCPCS,C1713,PLATE TIB ANT LAT VALCP16HLLFT,10062.0,8049.6,1.0,9055.8,26
HCPCS,C1713,PLATE TIB ANTLAT DIST SSRT10HL,9306.0,7444.8,1.0,8375.4,26
HCPCS,C1713,PLATE TIB ANTLAT DISTSSLFT10HL,9306.0,7444.8,1.0,8375.4,26
HCPCS,C1713,PLATE TIB ANTLAT LFT 12HL203,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1713,PLATE TIB ANTLAT LFT 14HL229,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1713,PLATE TIB ANTLAT LFT 4HL 102,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1713,PLATE TIB ANTLAT LFT 6HL 127,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1713,PLATE TIB ANTLAT LFT 8HL 178,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1713,PLATE TIB ANTLAT RT 12HL 203,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1713,PLATE TIB ANTLAT RT 4HL 102,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1713,PLATE TIB ANTLAT RT 6HL 127,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1713,PLATE TIB ANTLAT RT 8HL 153,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1713,PLATE TIB AXSOS RT 2HL 95MM,5685.0,4548.0,1.0,5116.5,26
HCPCS,C1713,PLATE TIB DIST ANT LAT RT 17HL,6624.0,5299.2,1.0,5961.6,26
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 11HL,5630.0,4504.0,1.0,5067.0,26
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 13HL,5696.0,4556.8,1.0,5126.4,26
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 15HL,5772.0,4617.6,1.0,5194.8,26
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 7HL,5524.0,4419.2,1.0,4971.6,26
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 9HL,5581.0,4464.8,1.0,5022.9,26
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT3HL91,11813.0,9450.4,1.0,10631.7,26
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 11HL,5630.0,4504.0,1.0,5067.0,26
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 13HL,5696.0,4556.8,1.0,5126.4,26
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 15HL,5772.0,4617.6,1.0,5194.8,26
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 7HL,5524.0,4419.2,1.0,4971.6,26
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 9HL,5581.0,4464.8,1.0,5022.9,26
HCPCS,C1713,PLATE TIB DIST ANTLAT RT4HL105,11813.0,9450.4,1.0,10631.7,26
HCPCS,C1713,PLATE TIB DIST ANTLAT RT5HL128,15350.0,12280.0,1.0,13815.0,26
HCPCS,C1713,PLATE TIB DIST ANTLAT RT5HL3.5,5645.0,4516.0,1.0,5080.5,26
HCPCS,C1713,PLATE TIB DIST ANTLAT RT6HL133,12142.0,9713.6,1.0,10927.8,26
HCPCS,C1713,PLATE TIB DIST ANTLATLFT5HL128,15350.0,12280.0,1.0,13815.0,26
HCPCS,C1713,PLATE TIB DIST ANTLATLFT5HL3.5,5645.0,4516.0,1.0,5080.5,26
HCPCS,C1713,PLATE TIB DIST ANTLATRT10HL189,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,PLATE TIB DIST L*DISC NO REPL*,5535.5,4428.4,1.0,5006.7,52
HCPCS,C1713,PLATE TIB DIST MEDL LFT 10HL,6429.0,5143.2,1.0,5786.1,26
HCPCS,C1713,PLATE TIB DIST MEDL LFT 14HL,8371.0,6696.8,1.0,7533.9,26
HCPCS,C1713,PLATE TIB DIST MEDL LFT 4HL,6233.0,4986.4,1.0,5609.7,26
HCPCS,C1713,PLATE TIB DIST MEDL LFT 6HL,6303.0,5042.4,1.0,5672.7,26
HCPCS,C1713,PLATE TIB DIST MEDL LFT 8HL,6369.0,5095.2,1.0,5732.1,26
HCPCS,C1713,PLATE TIB DIST MEDL LFT10HL175,10319.0,8255.2,1.0,9287.1,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 10HL,6429.0,5143.2,1.0,5786.1,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 10HL175,10319.0,8255.2,1.0,9287.1,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 12HL,7506.0,6004.8,1.0,6755.4,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 12HL201,10319.0,8255.2,1.0,9287.1,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 14HL,8371.0,6696.8,1.0,7533.9,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 16HL253,10319.0,8255.2,1.0,9287.1,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 20HL305,10319.0,8255.2,1.0,9287.1,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 4HL,6233.0,4986.4,1.0,5609.7,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 4HL 97,10319.0,8255.2,1.0,9287.1,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 6HL,6303.0,5042.4,1.0,5672.7,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 6HL 123,10319.0,8255.2,1.0,9287.1,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 8HL,6369.0,5095.2,1.0,5732.1,26
HCPCS,C1713,PLATE TIB DIST MEDL RT 8HL 149,10319.0,8255.2,1.0,9287.1,26
HCPCS,C1713,PLATE TIB DIST MEDL STERRT12HL,8257.0,6605.6,1.0,7431.3,26
HCPCS,C1713,PLATE TIB DIST MEDL STERRT14HL,9207.0,7365.6,1.0,8286.3,26
HCPCS,C1713,PLATE TIB DIST MEDLSTERLFT12HL,8257.0,6605.6,1.0,7431.3,26
HCPCS,C1713,PLATE TIB DIST MEDLSTERLFT14HL,9207.0,7365.6,1.0,8286.3,26
HCPCS,C1713,PLATE TIB DIST PSTRMEDLRT3HL49,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1713,PLATE TIB DIST W TAB RT 6HL3.5,5773.0,4618.4,1.0,5195.7,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT 10HL,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT 4HL 61,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT 4HL 96,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT 6HL 85,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT 6HL120,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT 8HL109,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT 8HL144,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT12HL157,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT12HL192,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT14HL181,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT14HL216,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT16HL205,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE TIB DIST ZIMM LFT16HL240,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE TIB DIST ZIMM MD LFT,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 10HL133,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 10HL168,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 12HL157,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 12HL192,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 14HL181,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 14HL216,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 16HL205,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 16HL240,4896.0,3916.8,1.0,4406.4,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 4HL,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 6HL 120,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 6HL 85,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 8HL 109,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DIST ZIMM RT 8HL 144,5952.0,4761.6,1.0,5356.8,26
HCPCS,C1713,PLATE TIB DISTPSTRMEDLLFT3HL49,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1713,PLATE TIB LOW STER LFT 10HL3.5,5627.0,4501.6,1.0,5064.3,26
HCPCS,C1713,PLATE TIB LOW STER LFT 14HL3.5,5763.0,4610.4,1.0,5186.7,26
HCPCS,C1713,PLATE TIB LOW STER LFT 6HL 3.5,5515.0,4412.0,1.0,4963.5,26
HCPCS,C1713,PLATE TIB LOW STER RT 10HL 3.5,5627.0,4501.6,1.0,5064.3,26
HCPCS,C1713,PLATE TIB LOW STER RT 12HL 3.5,5689.0,4551.2,1.0,5120.1,26
HCPCS,C1713,PLATE TIB LOW STER RT 14HL 3.5,5763.0,4610.4,1.0,5186.7,26
HCPCS,C1713,PLATE TIB LOW TI RT 6HL3.5X135,5515.0,4412.0,1.0,4963.5,26
HCPCS,C1713,PLATE TIB MEDL DIST LFT 12HL,8910.0,7128.0,1.0,8019.0,26
HCPCS,C1713,PLATE TIB MEDL DIST LFT 6HL,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,PLATE TIB MEDL DIST R3CON 11HL,7817.0,6253.6,1.0,7035.3,26
HCPCS,C1713,PLATE TIB MEDL DIST R3CON 15HL,10133.0,8106.4,1.0,9119.7,26
HCPCS,C1713,PLATE TIB MEDL DIST R3CON 17HL,7817.0,6253.6,1.0,7035.3,26
HCPCS,C1713,PLATE TIB MEDL DIST R3CON 21HL,10133.0,8106.4,1.0,9119.7,26
HCPCS,C1713,PLATE TIB MEDL DIST RT 10HL,8811.0,7048.8,1.0,7929.9,26
HCPCS,C1713,PLATE TIB MEDL HI TOMOFIX TISM,5112.0,4089.6,1.0,4600.8,26
HCPCS,C1713,PLATE TIB MEDL HI TOMOFIXTI4HL,5112.0,4089.6,1.0,4600.8,26
HCPCS,C1713,PLATE TIB MEDL ORTHOLOC 3DI LG,7542.0,6033.6,1.0,6787.8,26
HCPCS,C1713,PLATE TIB MEDL ORTHOLOC 3DI SM,6888.0,5510.4,1.0,6199.2,26
HCPCS,C1713,PLATE TIB MEDL PROX 3.5 LFT4HL,6624.0,5299.2,1.0,5961.6,26
HCPCS,C1713,PLATE TIB MEDL PROX 3.5 LFT6HL,6821.0,5456.8,1.0,6138.9,26
HCPCS,C1713,PLATE TIB MEDL PROX 3.5 LFT8HL,7038.0,5630.4,1.0,6334.2,26
HCPCS,C1713,PLATE TIB MEDL PROX 3.5LFT 4HL,6022.0,4817.6,1.0,5419.8,26
HCPCS,C1713,PLATE TIB MEDL PROX 3.5LFT 6HL,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1713,PLATE TIB MEDL PROX RT 4HL 3.5,6022.0,4817.6,1.0,5419.8,26
HCPCS,C1713,PLATE TIB MEDL PROX RT 6HL 3.5,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1713,PLATE TIB MEDL PROX RT 8HL 3.5,6398.0,5118.4,1.0,5758.2,26
HCPCS,C1713,PLATE TIB MEDL PROX3.5 LFT 8HL,6398.0,5118.4,1.0,5758.2,26
HCPCS,C1713,PLATE TIB MEDL PROX3.5 LFT10HL,6543.0,5234.4,1.0,5888.7,26
HCPCS,C1713,PLATE TIB MEDL PROX3.5 RT 10HL,6543.0,5234.4,1.0,5888.7,26
HCPCS,C1713,PLATE TIB MEDL PROX3.5 RT 12HL,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,PLATE TIB MEDL PROX3.5LFT 12HL,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,PLATE TIB MEDL PROX3.5LFT 18HL,7506.0,6004.8,1.0,6755.4,26
HCPCS,C1713,PLATE TIB MEDLPROX TI3.5LFT8HL,7086.0,5668.8,1.0,6377.4,26
HCPCS,C1713,PLATE TIB MEDLPROXLCP RT8HL4.5,7390.0,5912.0,1.0,6651.0,26
HCPCS,C1713,PLATE TIB MEDLPROXSTERRT4HL3.5,6624.0,5299.2,1.0,5961.6,26
HCPCS,C1713,PLATE TIB MEDLPROXSTERRT4HL4.5,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1713,PLATE TIB MEDLPROXSTERRT6HL3.5,6821.0,5456.8,1.0,6138.9,26
HCPCS,C1713,PLATE TIB MEDLPROXSTERRT8HL3.5,7038.0,5630.4,1.0,6334.2,26
HCPCS,C1713,PLATE TIB PLATEAU LFT 10HL 131,4680.0,3744.0,1.0,4212.0,26
HCPCS,C1713,PLATE TIB PLATEAU LFT 10HL 169,4680.0,3744.0,1.0,4212.0,26
HCPCS,C1713,PLATE TIB PLATEAU LFT 14HL 178,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1713,PLATE TIB PLATEAU LFT 14HL 233,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1713,PLATE TIB PLATEAU LFT 4HL 59,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU LFT 4HL 74,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU LFT 6HL 105,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU LFT 6HL 83,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU LFT 8HL 107,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU LFT 8HL 137,4680.0,3744.0,1.0,4212.0,26
HCPCS,C1713,PLATE TIB PLATEAU LFT ZIMM 16H,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1713,PLATE TIB PLATEAU RT 10HL 131,4680.0,3744.0,1.0,4212.0,26
HCPCS,C1713,PLATE TIB PLATEAU RT 10HL 169,4680.0,3744.0,1.0,4212.0,26
HCPCS,C1713,PLATE TIB PLATEAU RT 12HL 154,4680.0,3744.0,1.0,4212.0,26
HCPCS,C1713,PLATE TIB PLATEAU RT 12HL 201,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1713,PLATE TIB PLATEAU RT 14HL 178,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1713,PLATE TIB PLATEAU RT 14HL 233,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1713,PLATE TIB PLATEAU RT 4HL 59,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU RT 4HL 74,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU RT 6HL 105,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU RT 6HL 83,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU RT 8HL 107,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU RT 8HL 137,4680.0,3744.0,1.0,4212.0,26
HCPCS,C1713,PLATE TIB PLATEAU ZIMM LFT 12H,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1713,PLATE TIB PLATEAU ZIMM LFT 2HL,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB PLATEAU ZIMM RT 16HL,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1713,PLATE TIB PLATEAU ZIMM RT 2HL,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE TIB POSTLAT DIST LFT 6HL,5821.0,4656.8,1.0,5238.9,26
HCPCS,C1713,PLATE TIB POSTLAT DIST LFT 8HL,5821.0,4656.8,1.0,5238.9,26
HCPCS,C1713,PLATE TIB POSTLAT DIST RT 7HL,5821.0,4656.8,1.0,5238.9,26
HCPCS,C1713,PLATE TIB POSTLAT DIST RT 8HL,5821.0,4656.8,1.0,5238.9,26
HCPCS,C1713,PLATE TIB PROX 2HL 3.5,5809.0,4647.2,1.0,5228.1,26
HCPCS,C1713,PLATE TIB PROX 8HL LFT 3*DISC*,4556.0,3644.8,1.0,4100.4,26
HCPCS,C1713,PLATE TIB PROX LAT LFT 10HL207,13699.0,10959.2,1.0,12329.1,26
HCPCS,C1713,PLATE TIB PROX LAT LFT 2HL 95,10051.0,8040.8,1.0,9045.9,26
HCPCS,C1713,PLATE TIB PROX LAT LFT 4HL 121,10051.0,8040.8,1.0,9045.9,26
HCPCS,C1713,PLATE TIB PROX LAT LFT 6HL 147,10051.0,8040.8,1.0,9045.9,26
HCPCS,C1713,PLATE TIB PROX LAT LFT 6HL151,12068.0,9654.4,1.0,10861.2,26
HCPCS,C1713,PLATE TIB PROX LAT LFT 8HL 173,10051.0,8040.8,1.0,9045.9,26
HCPCS,C1713,PLATE TIB PROX LAT RT 10HL 199,10051.0,8040.8,1.0,9045.9,26
HCPCS,C1713,PLATE TIB PROX LAT RT 10HL 207,13699.0,10959.2,1.0,12329.1,26
HCPCS,C1713,PLATE TIB PROX LAT RT 4HL 121,10051.0,8040.8,1.0,9045.9,26
HCPCS,C1713,PLATE TIB PROX LAT RT 4HL 123,11743.0,9394.4,1.0,10568.7,26
HCPCS,C1713,PLATE TIB PROX LAT RT 6HL 147,10051.0,8040.8,1.0,9045.9,26
HCPCS,C1713,PLATE TIB PROX LAT RT 6HL 151,12068.0,9654.4,1.0,10861.2,26
HCPCS,C1713,PLATE TIB PROX LAT RT 8HL 173,10051.0,8040.8,1.0,9045.9,26
HCPCS,C1713,PLATE TIB PROX LAT TI 3.5RT4HL,6471.0,5176.8,1.0,5823.9,26
HCPCS,C1713,PLATE TIB PROX LATAXSOSRT2HL95,10051.0,8040.8,1.0,9045.9,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 10HL3.5,6572.0,5257.6,1.0,5914.8,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 10HL4.5,6205.0,4964.0,1.0,5584.5,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 12HL3.5,6696.0,5356.8,1.0,6026.4,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 12HL4.5,6279.0,5023.2,1.0,5651.1,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 14HL3.5,6790.0,5432.0,1.0,6111.0,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 14HL4.5,6343.0,5074.4,1.0,5708.7,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 16HL3.5,7266.0,5812.8,1.0,6539.4,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 4HL 3.5,6042.0,4833.6,1.0,5437.8,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 4HL 4.5,5995.0,4796.0,1.0,5395.5,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 6HL 3.5,6119.0,4895.2,1.0,5507.1,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 6HL 4.5,6073.0,4858.4,1.0,5465.7,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 8HL 3.5,6446.0,5156.8,1.0,5801.4,26
HCPCS,C1713,PLATE TIB PROX LCP LFT 8HL 4.5,6141.0,4912.8,1.0,5526.9,26
HCPCS,C1713,PLATE TIB PROX LCP RT 10HL 3.5,6572.0,5257.6,1.0,5914.8,26
HCPCS,C1713,PLATE TIB PROX LCP RT 10HL 4.5,6205.0,4964.0,1.0,5584.5,26
HCPCS,C1713,PLATE TIB PROX LCP RT 12HL 3.5,6696.0,5356.8,1.0,6026.4,26
HCPCS,C1713,PLATE TIB PROX LCP RT 12HL 4.5,6279.0,5023.2,1.0,5651.1,26
HCPCS,C1713,PLATE TIB PROX LCP RT 14HL 3.5,6790.0,5432.0,1.0,6111.0,26
HCPCS,C1713,PLATE TIB PROX LCP RT 14HL 4.5,6343.0,5074.4,1.0,5708.7,26
HCPCS,C1713,PLATE TIB PROX LCP RT 16HL 3.5,7266.0,5812.8,1.0,6539.4,26
HCPCS,C1713,PLATE TIB PROX LCP RT 4HL 3.5,6042.0,4833.6,1.0,5437.8,26
HCPCS,C1713,PLATE TIB PROX LCP RT 4HL 4.5,5995.0,4796.0,1.0,5395.5,26
HCPCS,C1713,PLATE TIB PROX LCP RT 6HL 3.5,6119.0,4895.2,1.0,5507.1,26
HCPCS,C1713,PLATE TIB PROX LCP RT 6HL 4.5,6073.0,4858.4,1.0,5465.7,26
HCPCS,C1713,PLATE TIB PROX LCP RT 8HL 3.5,6446.0,5156.8,1.0,5801.4,26
HCPCS,C1713,PLATE TIB PROX LCP RT 8HL 4.5,6141.0,4912.8,1.0,5526.9,26
HCPCS,C1713,PLATE TIB PROX LCPSTERTILFT5HL,7257.0,5805.6,1.0,6531.3,26
HCPCS,C1713,PLATE TIB PROX LCPSTERTILFT7HL,7402.0,5921.6,1.0,6661.8,26
HCPCS,C1713,PLATE TIB PROX LCPSTERTILFT9HL,7562.0,6049.6,1.0,6805.8,26
HCPCS,C1713,PLATE TIB PROX LOW LFT 10HL3.5,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1713,PLATE TIB PROX LOW LFT 12HL3.5,6313.0,5050.4,1.0,5681.7,26
HCPCS,C1713,PLATE TIB PROX LOW LFT 14HL3.5,6411.0,5128.8,1.0,5769.9,26
HCPCS,C1713,PLATE TIB PROX LOW LFT 16HL3.5,6634.0,5307.2,1.0,5970.6,26
HCPCS,C1713,PLATE TIB PROX LOW LFT 4HL 3.5,5564.0,4451.2,1.0,5007.6,26
HCPCS,C1713,PLATE TIB PROX LOW LFT 6HL 3.5,5583.0,4466.4,1.0,5024.7,26
HCPCS,C1713,PLATE TIB PROX LOW LFT 8HL 3.5,5819.0,4655.2,1.0,5237.1,26
HCPCS,C1713,PLATE TIB PROX LOW RT 10HL 3.5,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1713,PLATE TIB PROX LOW RT 12HL 3.5,6313.0,5050.4,1.0,5681.7,26
HCPCS,C1713,PLATE TIB PROX LOW RT 14HL 3.5,6411.0,5128.8,1.0,5769.9,26
HCPCS,C1713,PLATE TIB PROX LOW RT 16HL 3.5,6634.0,5307.2,1.0,5970.6,26
HCPCS,C1713,PLATE TIB PROX LOW RT 4HL 3.5,5564.0,4451.2,1.0,5007.6,26
HCPCS,C1713,PLATE TIB PROX LOW RT 6HL 3.5,5583.0,4466.4,1.0,5024.7,26
HCPCS,C1713,PLATE TIB PROX LOW RT 8HL 3.5,5819.0,4655.2,1.0,5237.1,26
HCPCS,C1713,PLATE TIB PROX MEDL LFT 6HL100,12467.0,9973.6,1.0,11220.3,26
HCPCS,C1713,PLATE TIB PROX MEDL LFT 8HL128,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,PLATE TIB PROX MEDL LFT14HL212,14452.0,11561.6,1.0,13006.8,26
HCPCS,C1713,PLATE TIB PROX MEDL LFT4HL71MM,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1713,PLATE TIB PROX MEDL LFT5HL84MM,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1713,PLATE TIB PROX MEDL LFT6HL97MM,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1713,PLATE TIB PROX MEDL RT 4HL 68,10819.0,8655.2,1.0,9737.1,26
HCPCS,C1713,PLATE TIB PROX MEDL RT 5HL 86,11158.0,8926.4,1.0,10042.2,26
HCPCS,C1713,PLATE TIB PROX MEDL RT 6HL 100,11813.0,9450.4,1.0,10631.7,26
HCPCS,C1713,PLATE TIB PROX MEDL RT 6HL97MM,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1713,PLATE TIB PROX MEDL RT4HL 71MM,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1713,PLATE TIB PROX MEDL RT8HL123MM,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1713,PLATE TIB PROX MEDLLFT8HL123MM,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1713,PLATE TIB PROX MEDLRT14HL201MM,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1713,PLATE TIB PROX PART LFT 3HL 85,13045.0,10436.0,1.0,11740.5,26
HCPCS,C1713,PLATE TIB PROX PART LFT 4HL 99,13045.0,10436.0,1.0,11740.5,26
HCPCS,C1713,PLATE TIB PROX PART LFT 6HL127,13699.0,10959.2,1.0,12329.1,26
HCPCS,C1713,PLATE TIB PROX PART RT 3HL 85,13045.0,10436.0,1.0,11740.5,26
HCPCS,C1713,PLATE TIB PROX PSTRMEDLRT5HL82,12170.0,9736.0,1.0,10953.0,26
HCPCS,C1713,PLATE TIB PROX STER 1HL 3.5,4742.0,3793.6,1.0,4267.8,26
HCPCS,C1713,PLATE TIB PROX STER 2HL 3.5,4793.0,3834.4,1.0,4313.7,26
HCPCS,C1713,PLATE TIB PROX STER 3.5 R*NLU*,5810.0,4648.0,1.0,5229.0,26
HCPCS,C1713,PLATE TIB PROX STER 4HL 3.5,4846.0,3876.8,1.0,4361.4,26
HCPCS,C1713,PLATE TIB PROX TILFT6HL4.5X118,7313.0,5850.4,1.0,6581.7,26
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 10HL,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 4HL 59,5856.0,4684.8,1.0,5270.4,26
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 4HL 81,5856.0,4684.8,1.0,5270.4,26
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 4HL 97,7560.0,6048.0,1.0,6804.0,26
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 6HL 82,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 6HL113,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 6HL128,7668.0,6134.4,1.0,6901.2,26
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 8HL106,4644.0,3715.2,1.0,4179.6,26
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 8HL145,4644.0,3715.2,1.0,4179.6,26
HCPCS,C1713,PLATE TIB PROX ZIMM RT 10HL,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1713,PLATE TIB PROX ZIMM RT 4HL 59,5856.0,4684.8,1.0,5270.4,26
HCPCS,C1713,PLATE TIB PROX ZIMM RT 4HL 81,5856.0,4684.8,1.0,5270.4,26
HCPCS,C1713,PLATE TIB PROX ZIMM RT 6HL 113,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE TIB PROX ZIMM RT 6HL 82,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE TIB PROX ZIMM RT 8HL 106,4644.0,3715.2,1.0,4179.6,26
HCPCS,C1713,PLATE TIB PROX ZIMM RT 8HL 145,4644.0,3715.2,1.0,4179.6,26
HCPCS,C1713,PLATE TIB PROXLATPANGEART2HL95,11743.0,9394.4,1.0,10568.7,26
HCPCS,C1713,PLATE TIB PROXLOWSTERLFT4HL3.5,6118.0,4894.4,1.0,5506.2,26
HCPCS,C1713,PLATE TIB PROXLOWSTERLFT6HL3.5,6143.0,4914.4,1.0,5528.7,26
HCPCS,C1713,PLATE TIB PROXMEDLLFT10HL149MM,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1713,PLATE TIB PSTR DIST SS 3HL,4925.0,3940.0,1.0,4432.5,26
HCPCS,C1713,PLATE TIB PSTR DIST SS 5HL,4925.0,3940.0,1.0,4432.5,26
HCPCS,C1713,PLATE TIB PSTRLAT DIST RT 6HL,6658.0,5326.4,1.0,5992.2,26
HCPCS,C1713,PLATE TIB PSTRLAT DIST RT3HL48,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1713,PLATE TIB PSTRLAT DISTLFT3HL48,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1713,PLATE TIB SM LFT 4HL 3.5X87MM,6489.0,5191.2,1.0,5840.1,26
HCPCS,C1713,PLATE TIB SM LFT 6HL 3.5X117MM,6680.0,5344.0,1.0,6012.0,26
HCPCS,C1713,PLATE TIB SM LFT 8HL 3.5X147MM,7816.0,6252.8,1.0,7034.4,26
HCPCS,C1713,PLATE TIB SM LFT10HL 3.5X177MM,7957.0,6365.6,1.0,7161.3,26
HCPCS,C1713,PLATE TIB SM LFT12HL 3.5X207MM,8924.0,7139.2,1.0,8031.6,26
HCPCS,C1713,PLATE TIB SM LFT14HL 3.5X237MM,9334.0,7467.2,1.0,8400.6,26
HCPCS,C1713,PLATE TIB SM RT 10HL 3.5X177MM,7957.0,6365.6,1.0,7161.3,26
HCPCS,C1713,PLATE TIB SM RT 12HL 3.5X207MM,8924.0,7139.2,1.0,8031.6,26
HCPCS,C1713,PLATE TIB SM RT 14HL 3.5X237MM,9334.0,7467.2,1.0,8400.6,26
HCPCS,C1713,PLATE TIB SM RT 4HL 3.5X87MM,6489.0,5191.2,1.0,5840.1,26
HCPCS,C1713,PLATE TIB SM RT 6HL 3.5X117MM,6680.0,5344.0,1.0,6012.0,26
HCPCS,C1713,PLATE TIB SM RT 8HL 3.5X147MM,7816.0,6252.8,1.0,7034.4,26
HCPCS,C1713,PLATE TIB SM STERRT14HL3.5X237,10267.0,8213.6,1.0,9240.3,26
HCPCS,C1713,PLATE TIB VA CURV TI LFT8HL128,6048.0,4838.4,1.0,5443.2,26
HCPCS,C1713,PLATE TIB VA CURV TI LFT8HL195,7887.0,6309.6,1.0,7098.3,26
HCPCS,C1713,PLATE TIB VA CURV TI RT 6HL159,7856.0,6284.8,1.0,7070.4,26
HCPCS,C1713,PLATE TIB VA CURV TI RT10HL230,8162.0,6529.6,1.0,7345.8,26
HCPCS,C1713,PLATE TIB VA CURV TI RT14HL301,8928.0,7142.4,1.0,8035.2,26
HCPCS,C1713,PLATE TIB VA CURV TI RT16HL336,9261.0,7408.8,1.0,8334.9,26
HCPCS,C1713,PLATE TIB VA CURV TILFT10HL230,8162.0,6529.6,1.0,7345.8,26
HCPCS,C1713,PLATE TIB VA CURV TILFT12HL180,6405.0,5124.0,1.0,5764.5,26
HCPCS,C1713,PLATE TIB VA CURV TILFT12HL266,8297.0,6637.6,1.0,7467.3,26
HCPCS,C1713,PLATE TIB VA CURV TILFT16HL336,9261.0,7408.8,1.0,8334.9,26
HCPCS,C1713,PLATE TIB VA CURV TILFT18HL370,10240.0,8192.0,1.0,9216.0,26
HCPCS,C1713,PLATE TIB WDG OPEN 15.0MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,PLATE TIB WEDGE ARTX 17.5*NLU*,5110.0,4088.0,1.0,4599.0,26
HCPCS,C1713,PLATE TIB WEDGE OPEN 12.5*NLU*,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1713,PLATE TIBL PROX LAT TI RT 5HL,9221.0,7376.8,1.0,8298.9,26
HCPCS,C1713,PLATE TIBMEDLPROXSTERLFT4HL4.5,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1713,PLATE TIBMEDLPROXSTERLFT6HL4.5,7309.0,5847.2,1.0,6578.1,26
HCPCS,C1713,PLATE TIBMEDLPROXSTERLFT8HL4.5,7390.0,5912.0,1.0,6651.0,26
HCPCS,C1713,PLATE TIBPROXLCPSTERRT18HL4.5,6931.0,5544.8,1.0,6237.9,26
HCPCS,C1713,PLATE TINE VOLT SS 10HL 2.0X75,4855.0,3884.0,1.0,4369.5,26
HCPCS,C1713,PLATE TINE VOLT SS 10HL 2.4X89,4792.0,3833.6,1.0,4312.8,26
HCPCS,C1713,PLATE TINE VOLT SS 10HL 2.7X98,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE TINE VOLT SS 6HL 2.0X47,4855.0,3884.0,1.0,4369.5,26
HCPCS,C1713,PLATE TINE VOLT SS 6HL 2.4X55,4792.0,3833.6,1.0,4312.8,26
HCPCS,C1713,PLATE TINE VOLT SS 6HL 2.7X61,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE TMT OFFSET UNITE 5HL,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1713,PLATE TMT UNITE ST 3HL,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1713,PLATE TMT UNITE ST 4HL,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1713,PLATE TMT UNITE ST 5HL,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1713,PLATE TRAPZD SUBCOND LFT4HL1MM,4461.0,3568.8,1.0,4014.9,26
HCPCS,C1713,PLATE TRIANG VOLT 5X10HL2.4X93,5214.0,4171.2,1.0,4692.6,26
HCPCS,C1713,PLATE TRIANG VOLTSS10HL2.7X101,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE TROCH STBL 138MM,4822.0,3857.6,1.0,4339.8,26
HCPCS,C1713,PLATE TROCH STBL 148MM,4822.0,3857.6,1.0,4339.8,26
HCPCS,C1713,PLATE TRUSS GM 49MM,10904.0,8723.2,1.0,9813.6,26
HCPCS,C1713,PLATE TT FUSN UNITE RT STD REG,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,PLATE TUBLR ORTHOLOC3DI ST 6HL,3689.0,2951.2,1.0,3320.1,26
HCPCS,C1713,PLATE TUBLR SM 100D 10HL,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,PLATE TUBLR SM 100D 2HL,803.0,642.4,1.0,722.7,26
HCPCS,C1713,PLATE TUBLR SM 100D 3HL,864.0,691.2,1.0,777.6,26
HCPCS,C1713,PLATE TUBLR SM 100D 4HL,864.0,691.2,1.0,777.6,26
HCPCS,C1713,PLATE TUBLR SM 100D 5HL,884.0,707.2,1.0,795.6,26
HCPCS,C1713,PLATE TUBLR SM 100D 6HL,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,PLATE TUBLR SM 100D 7HL,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,PLATE TUBLR SM 100D 8HL,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,PLATE TUBLR ZIMM 5HL,792.0,633.6,1.0,712.8,26
HCPCS,C1713,PLATE TUBLR ZIMM 6HL,792.0,633.6,1.0,712.8,26
HCPCS,C1713,PLATE TUBLR ZIMM 8HL 97MM,864.0,691.2,1.0,777.6,26
HCPCS,C1713,PLATE ULNA DISTSTER7HL2.0X46MM,5060.0,4048.0,1.0,4554.0,26
HCPCS,C1713,PLATE ULNA DORSAL TRMI 3HL,4340.0,3472.0,1.0,3906.0,26
HCPCS,C1713,PLATE ULNA DORSAL TRMI 5HL,4340.0,3472.0,1.0,3906.0,26
HCPCS,C1713,PLATE ULNA LCP 6HL 2.7MM,5786.0,4628.8,1.0,5207.4,26
HCPCS,C1713,PLATE ULNA LCP TI 8HL 2.7X76MM,4768.0,3814.4,1.0,4291.2,26
HCPCS,C1713,PLATE ULNA OSTEO COMP,5160.0,4128.0,1.0,4644.0,26
HCPCS,C1713,PLATE ULNA PROX DIST LFT6HL108,8073.0,6458.4,1.0,7265.7,26
HCPCS,C1713,PLATE ULNA PROX DIST RT 6HL108,8073.0,6458.4,1.0,7265.7,26
HCPCS,C1713,PLATE ULNA PROX ZIMM LFT 2HL48,5856.0,4684.8,1.0,5270.4,26
HCPCS,C1713,PLATE ULNA PROX ZIMM LFT 6HL,4536.0,3628.8,1.0,4082.4,26
HCPCS,C1713,PLATE ULNA PROX ZIMM RT 4HL,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,PLATE ULNA SHRTENING TRILK2.5,9083.0,7266.4,1.0,8174.7,26
HCPCS,C1713,PLATE ULTONE CONT 6HL 18MM,1320.0,1056.0,1.0,1188.0,26
HCPCS,C1713,PLATE ULTONE LADDER 2X2HL 14MM,2058.0,1646.4,1.0,1852.2,26
HCPCS,C1713,PLATE ULTONE LADDER 3X2HL 15MM,2513.0,2010.4,1.0,2261.7,26
HCPCS,C1713,PLATE ULTONE ST 2HL 17MM,898.0,718.4,1.0,808.2,26
HCPCS,C1713,PLATE ULTONE ST 4HL 22MM,1188.0,950.4,1.0,1069.2,26
HCPCS,C1713,PLATE ULTONE ST 6HL 27MM,1866.0,1492.8,1.0,1679.4,26
HCPCS,C1713,PLATE ULTONE XSHP 2HL 14MM,734.0,587.2,1.0,660.6,26
HCPCS,C1713,PLATE ULTONE XSHP 4HL 14MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,PLATE ULTONE YSHP 5HL 19MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,PLATE ULTONE YSHP 6HL 18MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,PLATE UNIPLATE 1LVL DEPU 13MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE UNIPLATE 1LVL DEPU 14MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE UNIPLATE 1LVL DEPU 16MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE UNIPLATE 1LVL DEPU 18MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE UNIPLATE 1LVL DEPU*NLU*,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE UNIPLATE 2LVL DEPU 28MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE UNIPLATE 2LVL DEPU 30MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE UNIPLATE 2LVL DEPU 32MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE UNIPLATE 2LVL DEPU 34MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE UNIPLATE 2LVL DEPU 36MM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE UNIV CP 3.6X28MM,11635.0,9308.0,1.0,10471.5,26
HCPCS,C1713,PLATE V JUNCTION 10HL,4524.0,3619.2,1.0,4071.6,26
HCPCS,C1713,PLATE VA 2.7/3.5 LAT RT 2HL 82,4867.0,3893.6,1.0,4380.3,26
HCPCS,C1713,PLATE VA 2.7/3.5 MEDL RT 2HL85,4867.0,3893.6,1.0,4380.3,26
HCPCS,C1713,PLATE VA MTP FUSN LFT 0D MD,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE VA MTP FUSN LFT 0D SM,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE VA MTP FUSN LFT 10D SM,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE VA MTP FUSN LFT 5D MD,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE VA MTP FUSN LFT 5D SM,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE VA MTP FUSN RT 0D MD,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE VA MTP FUSN RT 0D SM,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE VA MTP FUSN RT 10D MD,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE VA MTP FUSN RT 10D SM,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE VA MTP FUSN RT 5D SM,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1713,PLATE VA OPEN WDG 2.4MM 6MM,5191.0,4152.8,1.0,4671.9,26
HCPCS,C1713,PLATE VA OPEN WDG 2.4MM 7MM,5191.0,4152.8,1.0,4671.9,26
HCPCS,C1713,PLATE VA-LK TROCH RING LGRT3.5,5989.0,4791.2,1.0,5390.1,26
HCPCS,C1713,PLATE VA-LK TROCH RING SMRT3.5,5989.0,4791.2,1.0,5390.1,26
HCPCS,C1713,PLATE VA-LK TROCH RINGSMLFT3.5,5989.0,4791.2,1.0,5390.1,26
HCPCS,C1713,PLATE VARIAX BD CURV 10HL127MM,3963.0,3170.4,1.0,3566.7,26
HCPCS,C1713,PLATE VARIAX BD CURV 12HL151MM,4714.0,3771.2,1.0,4242.6,26
HCPCS,C1713,PLATE VARIAX BD CURV 9HL 115MM,3963.0,3170.4,1.0,3566.7,26
HCPCS,C1713,PLATE VARIAX BD ST 7HL 91MM,3088.0,2470.4,1.0,2779.2,26
HCPCS,C1713,PLATE VARIAX BEND STD 120MM,7215.0,5772.0,1.0,6493.5,26
HCPCS,C1713,PLATE VARIAX NARW ST 5HL 66MM,3088.0,2470.4,1.0,2779.2,26
HCPCS,C1713,PLATE VARIAX NARW ST 7HL 102MM,3963.0,3170.4,1.0,3566.7,26
HCPCS,C1713,PLATE VARIAX NARW ST 9HL 114MM,3963.0,3170.4,1.0,3566.7,26
HCPCS,C1713,PLATE VARIAX PROFILE 10HL 2.4,3646.0,2916.8,1.0,3281.4,26
HCPCS,C1713,PLATE VARIAX PROFILE 6HL 2.4,3646.0,2916.8,1.0,3281.4,26
HCPCS,C1713,PLATE VARIAX PROFILE 8HL 2.4,3646.0,2916.8,1.0,3281.4,26
HCPCS,C1713,PLATE VARIAX ST 120MM,7215.0,5772.0,1.0,6493.5,26
HCPCS,C1713,PLATE VARIAX T10 BD ST 3HL,5115.0,4092.0,1.0,4603.5,26
HCPCS,C1713,PLATE VARIAX T10 BD ST 4HL,5115.0,4092.0,1.0,4603.5,26
HCPCS,C1713,PLATE VARIAX T10 BD ST 5HL,5115.0,4092.0,1.0,4603.5,26
HCPCS,C1713,PLATE VARIAX T10 BD ST 6HL,5115.0,4092.0,1.0,4603.5,26
HCPCS,C1713,PLATE VARIAX T10 BD ST 7HL,5115.0,4092.0,1.0,4603.5,26
HCPCS,C1713,PLATE VARIAX T8 SLIM ST 6HL,5011.0,4008.8,1.0,4509.9,26
HCPCS,C1713,PLATE VARIAX T8 SLIM ST 7HL,5011.0,4008.8,1.0,4509.9,26
HCPCS,C1713,PLATE VECTRA TI 1LVL SYNT*NLU*,4676.0,3740.8,1.0,4208.4,52
HCPCS,C1713,PLATE VECTRA TI 2LVL SYNT*NLU*,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE VECTRA-ONE TI 2LVL *NLU*,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD130D4HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD130D5HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD130D6HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD130D8HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD135D4HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD135D5HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD135D8HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD140D4HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD140D5HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD140D6HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD140D8HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD145D4HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD145D5HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD145D6HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD145D8HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD150D4HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD150D5HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD150D6HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSA-FX ZIMM STD150D8HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMMSTD130D10HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMMSTD130D12HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMMSTD135D10HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMMSTD135D12HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMMSTD140D10HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMMSTD140D12HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMMSTD145D10HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSA-FX ZIMMSTD145D12HL,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSAFX 130D 4HL 86,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 130D 5HL 102,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 130D 6HL 118,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 130D 8HL 150,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSAFX 135D 4HL 86,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 135D 5HL 102,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 135D 6HL 118,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 135D 8HL 150,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSAFX 140D 4HL 86,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 140D 5HL 102,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 140D 6HL 118,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 140D 8HL 150,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSAFX 145D 4HL 86,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 145D 5HL 102,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 145D 6HL 118,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 145D 8HL 150,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSAFX 150D 4HL 86,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 150D 5HL 102,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 150D 6HL 118,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX 150D 8HL 150,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATE VERSAFX SHRT 135D 4HL 86,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX SHRT 135D 5HL102,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX SHRT 135D 6HL118,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VERSAFX ZIMM STD 135D6HL,4312.0,3449.6,1.0,3880.8,26
HCPCS,C1713,PLATE VHS ZIMM 10HL*DISC*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,PLATE VHS ZIMM 4HL*DISC*,4872.0,3897.6,1.0,4384.8,26
HCPCS,C1713,PLATE VHS ZIMM 6HL*DISC*,4872.0,3897.6,1.0,4384.8,26
HCPCS,C1713,PLATE VHS ZIMM 8HL*DISC*,5760.0,4608.0,1.0,5184.0,26
HCPCS,C1713,PLATE VL GRIDLOCK 4HL,5970.0,4776.0,1.0,5373.0,26
HCPCS,C1713,PLATE VLC GRIDLOCK 3HL,5970.0,4776.0,1.0,5373.0,26
HCPCS,C1713,PLATE VLC GRIDLOCK 4HL,5970.0,4776.0,1.0,5373.0,26
HCPCS,C1713,PLATE VLC GRIDLOCK 4X5HL,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1713,PLATE VLP CALC RT LG 3.5MM,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1713,PLATE VOLAR DR 2XL STD RT5HL74,5785.0,4628.0,1.0,5206.5,26
HCPCS,C1713,PLATE VOLAR DR 2XL STDRT8HL100,5785.0,4628.0,1.0,5206.5,26
HCPCS,C1713,PLATE VOLAR DR 2XLNARWRT8HL100,5785.0,4628.0,1.0,5206.5,26
HCPCS,C1713,PLATE VOLAR DR 2XLSTDLFT8HL100,5785.0,4628.0,1.0,5206.5,26
HCPCS,C1713,PLATE VOLAR DR 2XLSTDRT11HL145,6611.0,5288.8,1.0,5949.9,26
HCPCS,C1713,PLATE VOLAR DR STRY LFT LNGSTD,5562.0,4449.6,1.0,5005.8,26
HCPCS,C1713,PLATE VOLAR DR STRY LFTLNGNARW,5562.0,4449.6,1.0,5005.8,26
HCPCS,C1713,PLATE VOLAR DR STRY LFTSHRTSTD,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1713,PLATE VOLAR DR STRY LNG STD,4758.0,3806.4,1.0,4282.2,26
HCPCS,C1713,PLATE VOLAR DR STRY LNG WIDE,4758.0,3806.4,1.0,4282.2,26
HCPCS,C1713,PLATE VOLAR DR STRY RT LNG STD,5562.0,4449.6,1.0,5005.8,26
HCPCS,C1713,PLATE VOLAR DR STRY RT LNGNARW,5562.0,4449.6,1.0,5005.8,26
HCPCS,C1713,PLATE VOLAR DR STRY RT SHRTSTD,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1713,PLATE VOLAR DR STRY RTSHRTNARW,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1713,PLATE VOLAR DR STRY SHRT NARW,4758.0,3806.4,1.0,4282.2,26
HCPCS,C1713,PLATE VOLAR DR STRY SHRT STD,4758.0,3806.4,1.0,4282.2,26
HCPCS,C1713,PLATE VOLAR DR STRY SHRT WIDE,4758.0,3806.4,1.0,4282.2,26
HCPCS,C1713,PLATE VOLAR DR STRY XLNG NARW,5191.0,4152.8,1.0,4671.9,26
HCPCS,C1713,PLATE VOLAR DR STRY XLNG STD,5191.0,4152.8,1.0,4671.9,26
HCPCS,C1713,PLATE VOLAR DR STRY XLNG WIDE,5191.0,4152.8,1.0,4671.9,26
HCPCS,C1713,PLATE VOLAR DR STRYLFTSHRTNARW,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1713,PLATE VOLAR DR2XLNARWLFT8HL100,5785.0,4628.0,1.0,5206.5,26
HCPCS,C1713,PLATE VOLAR DR2XLSTDLFT11HL145,6611.0,5288.8,1.0,5949.9,26
HCPCS,C1713,PLATE VOLAR HOOK NEUT TRMI 4HL,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,PLATE VOLAR HOOK TRMI 6HL,4980.0,3984.0,1.0,4482.0,26
HCPCS,C1713,PLATE VOLAR LFT NARW*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,PLATE VOLAR RAD TI LFT 3HL 2.4,4940.0,3952.0,1.0,4446.0,26
HCPCS,C1713,PLATE VOLAR RAD TI LFT 5HL 2.4,5233.0,4186.4,1.0,4709.7,26
HCPCS,C1713,PLATE VOLAR RAD TI RT 3HL 2.4,4940.0,3952.0,1.0,4446.0,26
HCPCS,C1713,PLATE VOLAR RAD TI RT 5HL 2.4,5233.0,4186.4,1.0,4709.7,26
HCPCS,C1713,PLATE VOLAR RIM DR RT LNG 43MM,4662.0,3729.6,1.0,4195.8,26
HCPCS,C1713,PLATE VOLAR TRMI 7HL*NLU*,4980.0,3984.0,1.0,4482.0,26
HCPCS,C1713,PLATE VOLAR TRMI LFT 3HL7PEG,4860.0,3888.0,1.0,4374.0,26
HCPCS,C1713,PLATE VOLAR TRMI LFT 5HL5PEG,5333.0,4266.4,1.0,4799.7,26
HCPCS,C1713,PLATE VOLAR TRMI LFT 5HL7PEG,5333.0,4266.4,1.0,4799.7,26
HCPCS,C1713,PLATE VOLAR TRMI RT 3HL4PEG,4860.0,3888.0,1.0,4374.0,26
HCPCS,C1713,PLATE VOLAR TRMI RT 3HL7PEG,4860.0,3888.0,1.0,4374.0,26
HCPCS,C1713,PLATE VOLAR TRMI RT 5HL5PEG,5333.0,4266.4,1.0,4799.7,26
HCPCS,C1713,PLATE VOLAR TRMI RT 5HL7PEG,5333.0,4266.4,1.0,4799.7,26
HCPCS,C1713,PLATE VOLAR TRMI RT 7HL*NLU*,4568.0,3654.4,1.0,4111.2,26
HCPCS,C1713,PLATE VOLAR ZIMM RT NARW*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,PLATE WIRE FORM TRMI 3HL,3440.0,2752.0,1.0,3096.0,26
HCPCS,C1713,PLATE WRIST ACU-LOC2 NARW SHRT,7088.0,5670.4,1.0,6379.2,26
HCPCS,C1713,PLATE WRIST CARPAL SM,2272.0,1817.6,1.0,2044.8,26
HCPCS,C1713,PLATE WRIST DVR CROSSLOCK180MM,9807.0,7845.6,1.0,8826.3,26
HCPCS,C1713,PLATE WRIST LCPSTERST2.4X170MM,10524.0,8419.2,1.0,9471.6,26
HCPCS,C1713,PLATE WRIST SHRT BEND,6464.0,5171.2,1.0,5817.6,26
HCPCS,C1713,PLATE WRIST SHRT BEND STER,7108.0,5686.4,1.0,6397.2,26
HCPCS,C1713,PLATE WRIST SPANNING STD 172MM,4889.0,3911.2,1.0,4400.1,26
HCPCS,C1713,PLATE WRIST SPANNING TI 9HL,8885.0,7108.0,1.0,7996.5,26
HCPCS,C1713,PLATE WRIST ST,6464.0,5171.2,1.0,5817.6,26
HCPCS,C1713,PLATE WRIST ST 2.4X170MM,10070.0,8056.0,1.0,9063.0,26
HCPCS,C1713,PLATE WRIST STD BEND,6464.0,5171.2,1.0,5817.6,26
HCPCS,C1713,PLATE WRIST VOLAR HOOK TI 4HL,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,PLATE X ART PROX ULNA RT6HL131,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE X ART PROX ULNA RT8HL157,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE X ART PROX ULNALFT6HL131,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE X ART PROX ULNALFT8HL157,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE X ART PROX ULNART10HL184,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE X ART PROX ULNART12HL211,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE X ART PROXULNALFT10HL184,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE X ART PROXULNALFT12HL211,4564.0,3651.2,1.0,4107.6,26
HCPCS,C1713,PLATE X LK 2.4/2.7MM 24X18 SM,4508.0,3606.4,1.0,4057.2,26
HCPCS,C1713,PLATE X LK 2.4/2.7MM 30X20MD,4566.0,3652.8,1.0,4109.4,26
HCPCS,C1713,PLATE X LK RIB 10HL 1.5MM,5019.0,4015.2,1.0,4517.1,26
HCPCS,C1713,PLATE X LK RIB 14HL 1.5MM,6372.0,5097.6,1.0,5734.8,26
HCPCS,C1713,PLATE X LK RIB 20HL 1.5MM,4733.0,3786.4,1.0,4259.7,26
HCPCS,C1713,PLATE X LK RIB 32HL 1.5MM,6538.0,5230.4,1.0,5884.2,26
HCPCS,C1713,PLATE X LK RIB 32HL 2.0MM,6875.0,5500.0,1.0,6187.5,26
HCPCS,C1713,PLATE X LK RIB PEEK 16HL 1.5MM,6292.0,5033.6,1.0,5662.8,26
HCPCS,C1713,PLATE X LK RIB PEEK 20HL 2.0MM,8768.0,7014.4,1.0,7891.2,26
HCPCS,C1713,PLATE X LK RIB SEMI 10HL 1.5MM,12233.0,9786.4,1.0,11009.7,26
HCPCS,C1713,PLATE X LK RIB SEMI 16HL 1.5MM,5892.0,4713.6,1.0,5302.8,26
HCPCS,C1713,PLATE X LK RIB SEMI 20HL 1.5MM,7742.0,6193.6,1.0,6967.8,26
HCPCS,C1713,PLATE X LK RIB SEMI 32HL 1.5MM,7813.0,6250.4,1.0,7031.7,26
HCPCS,C1713,PLATE X LK RIB SOLID 10HL2.0MM,6160.0,4928.0,1.0,5544.0,26
HCPCS,C1713,PLATE X LK RIB SOLID 14HL1.5MM,6697.0,5357.6,1.0,6027.3,26
HCPCS,C1713,PLATE X LK RIB SOLID 16HL2.0MM,7693.0,6154.4,1.0,6923.7,26
HCPCS,C1713,PLATE X LK RIB SOLID 32HL2.0MM,8168.0,6534.4,1.0,7351.2,26
HCPCS,C1713,PLATE X LK VA SS 2.4/2.7MM MD,5174.0,4139.2,1.0,4656.6,26
HCPCS,C1713,PLATE X LK VA SS 2.4/2.7MM XS,5174.0,4139.2,1.0,4656.6,26
HCPCS,C1713,PLATE X MD SYNT TI 4HL 0.7MM,1930.0,1544.0,1.0,1737.0,26
HCPCS,C1713,PLATE X MICRO TI 4HL 0.4MM,1930.0,1544.0,1.0,1737.0,26
HCPCS,C1713,PLATE X MINI TI SYNT 4HL 0.5MM,2561.0,2048.8,1.0,2304.9,26
HCPCS,C1713,PLATE X MTXNEURO TI 4HL,1210.0,968.0,1.0,1089.0,26
HCPCS,C1713,PLATE X MTXSTRNM 8HL LG,4140.0,3312.0,1.0,3726.0,26
HCPCS,C1713,PLATE X MTXSTRNM 8HL SM,3769.0,3015.2,1.0,3392.1,26
HCPCS,C1713,PLATE X STERNALK 8HL,2696.0,2156.8,1.0,2426.4,26
HCPCS,C1713,PLATE X STERNALOCK 8HL,3520.0,2816.0,1.0,3168.0,26
HCPCS,C1713,PLATE X TI 2.0MM SYNT 4HL*NLU*,1240.0,992.0,1.0,1116.0,26
HCPCS,C1713,PLATE X TI ARTX SM 2.4MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,PLATE XLIF DECADE 2HL 12MM,10904.0,8723.2,1.0,9813.6,26
HCPCS,C1713,PLATE Y 6HL 1.6MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE Y CALC 87MM,5446.0,4356.8,1.0,4901.4,26
HCPCS,C1713,PLATE Y CROSSCHECK ORTHOLOC3DI,10441.0,8352.8,1.0,9396.9,26
HCPCS,C1713,PLATE Y DBL KLS REG,1096.0,876.8,1.0,986.4,26
HCPCS,C1713,PLATE Y DBL MTXNEURO TI6HL18MM,1210.0,968.0,1.0,1089.0,26
HCPCS,C1713,PLATE Y DBL MTXNEURO TI6HL21MM,1422.0,1137.6,1.0,1279.8,26
HCPCS,C1713,PLATE Y HAND TI 12HL 2.4 3X8HL,4075.0,3260.0,1.0,3667.5,26
HCPCS,C1713,PLATE Y HI STRENGTH 12.9X43.7,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,PLATE Y INTRMD RESORBX5HL1.0MM,2408.0,1926.4,1.0,2167.2,26
HCPCS,C1713,PLATE Y LCP SS 3/7HL 2.4X60MM,4104.0,3283.2,1.0,3693.6,26
HCPCS,C1713,PLATE Y LCP W GD 3X8HL 1.5MM,3004.0,2403.2,1.0,2703.6,26
HCPCS,C1713,PLATE Y LK RIB LNG 40HL 1.15MM,8756.0,7004.8,1.0,7880.4,26
HCPCS,C1713,PLATE Y LK RIB RIGID 39HL2.0MM,8240.0,6592.0,1.0,7416.0,26
HCPCS,C1713,PLATE Y LK VARIAX NARW 10HL 92,5660.0,4528.0,1.0,5094.0,26
HCPCS,C1713,PLATE Y LOPRO 5HL 1.5MM LNG,1342.0,1073.6,1.0,1207.8,26
HCPCS,C1713,PLATE Y LOPRO NEURO TI 5HL,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1713,PLATE Y LORENZ REG*NLU*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,PLATE Y MD TI SYNT 3HL 0.7MM,1930.0,1544.0,1.0,1737.0,26
HCPCS,C1713,PLATE Y MICRO 5H*DISC 6194341*,1003.0,802.4,1.0,902.7,26
HCPCS,C1713,PLATE Y MICRO TI 3HL 0.4MM,1930.0,1544.0,1.0,1737.0,26
HCPCS,C1713,PLATE Y MINI TI SYNT 3HL 0.5MM,2561.0,2048.8,1.0,2304.9,26
HCPCS,C1713,PLATE Y MTXNEURO TI 5HL,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1713,PLATE Y THINFLAP 20MM,2184.0,1747.2,1.0,1965.6,26
HCPCS,C1713,PLATE Y TI 2.0 3X8HL 55MM,3881.0,3104.8,1.0,3492.9,26
HCPCS,C1713,PLATE Y TI 3 HD 8 HL 1.5MM,3004.0,2403.2,1.0,2703.6,26
HCPCS,C1713,PLATE Y TI 3HL 1.3X37MM,2722.0,2177.6,1.0,2449.8,26
HCPCS,C1713,PLATE Y TI 6HL 2.0MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE Y TI 8HL 2.0MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,PLATE Y VARIAX T10 BD 2HL,5525.0,4420.0,1.0,4972.5,26
HCPCS,C1713,PLATE Y VARIAX T10 BD 3HL,5525.0,4420.0,1.0,4972.5,26
HCPCS,C1713,PLATE Y VARIAX T10 BD 4HL,5525.0,4420.0,1.0,4972.5,26
HCPCS,C1713,PLATE Y VARIAX T10 BD 5HL,5525.0,4420.0,1.0,4972.5,26
HCPCS,C1713,PLATE Y VARIAX T10 BD 6HL,5525.0,4420.0,1.0,4972.5,26
HCPCS,C1713,PLATE Y VARIAX T10 BD 7HL,5525.0,4420.0,1.0,4972.5,26
HCPCS,C1713,PLATE Y VARIAX T8 SLIM 2HL,4705.0,3764.0,1.0,4234.5,26
HCPCS,C1713,PLATE Y VARIAX T8 SLIM 3HL,4705.0,3764.0,1.0,4234.5,26
HCPCS,C1713,PLATE Y VARIAX T8 SLIM 4HL,4705.0,3764.0,1.0,4234.5,26
HCPCS,C1713,PLATE Y VARIAX T8 SLIM 5HL,4705.0,3764.0,1.0,4234.5,26
HCPCS,C1713,PLATE Y VARIAX T8 SLIM 6HL,4705.0,3764.0,1.0,4234.5,26
HCPCS,C1713,PLATE Y VOLT SS 10HL 2.0X80,4533.0,3626.4,1.0,4079.7,26
HCPCS,C1713,PLATE Y VOLT SS 10HL 2.4X95,5205.0,4164.0,1.0,4684.5,26
HCPCS,C1713,PLATE Y VOLT SS 10HL 2.7X104,5436.0,4348.8,1.0,4892.4,26
HCPCS,C1713,PLATE Y-SHP TI 1.0MM 7HL,1995.0,1596.0,1.0,1795.5,26
HCPCS,C1713,PLATE Z ALPHA DYNAFORCE 18MM,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1713,PLATE Z BETA DYNAFORCE 18MM,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1713,PLATE Z KLS LFT LNG,1023.0,818.4,1.0,920.7,26
HCPCS,C1713,PLATE Z KLS RT LNG,1023.0,818.4,1.0,920.7,26
HCPCS,C1713,PLATE ZEVO LVL1 21MM,4676.0,3740.8,1.0,4208.4,26
HCPCS,C1713,PLATE ZIMM SPIDER 16MM*DISC*,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,PLATE ZIMM SPIDER 20MM*DISC*,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,PLATE ZIMM SPIDER OFFSET*DISC*,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,PLATE2COLSTERSSLFTNARW6/3HL2.4,4108.0,3286.4,1.0,3697.2,26
HCPCS,C1713,PLATE2COLSTERSSLFTNARW6/4HL2.4,4329.0,3463.2,1.0,3896.1,26
HCPCS,C1713,PLATE2COLSTERSSLFTNARW6/5HL2.4,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1713,PLATECONDCURVLCPSTERLFT20HL4.5,9797.0,7837.6,1.0,8817.3,26
HCPCS,C1713,PLATEHUMRPROXLATSTERLFT12HL202,9804.0,7843.2,1.0,8823.6,26
HCPCS,C1713,PLATEL OBLIQ RAD TI 3/5HL -20D,4654.0,3723.2,1.0,4188.6,26
HCPCS,C1713,PLATEMTXMANDDCPTICRST2X2HL1.25,3920.0,3136.0,1.0,3528.0,26
HCPCS,C1713,PLATEMTXMANDDCPTICRST3X3HL1.25,3072.0,2457.6,1.0,2764.8,26
HCPCS,C1713,PLATETIBMEDLPROXSTERLFT14HL3.5,7435.0,5948.0,1.0,6691.5,26
HCPCS,C1713,PLATEVERSA-FXSTD150D10HL*DISC*,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLATEVERSA-FXSTD150D12HL*DISC*,4848.0,3878.4,1.0,4363.2,26
HCPCS,C1713,PLUG CBL AXSOS 3 LK PLATE5.0MM,1420.0,1136.0,1.0,1278.0,26
HCPCS,C1713,PLUG CBL PANGEA 5MM PLATE,2936.0,2348.8,1.0,2642.4,26
HCPCS,C1713,PLUG SPNL POLARIS TI 5.5MM,703.0,562.4,1.0,632.7,26
HCPCS,C1713,POST LK RIBFIX ADV LO BRDG23MM,13640.0,10912.0,1.0,12276.0,26
HCPCS,C1713,POST LK RIBFIX ADVSHRTBRDG23MM,12474.0,9979.2,1.0,11226.6,26
HCPCS,C1713,PUTTY NORIAN SRS INJ ROT*DISC*,4704.0,3763.2,1.0,4233.6,26
HCPCS,C1713,RETROSCREW BIOCOMP 7X20M*NLU*,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1713,RETROSCREW BIOCOMP 8X20M*NLU*,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1713,ROD BOTT LVL TI 5.5X200MM,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD BULLETED FLEX ST 5.5X250MM,2216.0,1772.8,1.0,1994.4,26
HCPCS,C1713,ROD BULLETED HEX ST 5.5X175MM,2216.0,1772.8,1.0,1994.4,26
HCPCS,C1713,ROD BULLETED HEX ST 5.5X300MM,2216.0,1772.8,1.0,1994.4,26
HCPCS,C1713,ROD COBALT PCT VERTEX 3.5X90MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD COBALT VERTEX 3.5X300MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD COCR CREO ESR ST 5.5X300MM,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1713,ROD COCR CREO ESR ST 5.5X600MM,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,ROD COCR ELLIPSE ST 3.5X120MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,ROD COCR OPENTLRELINE5.5X500MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,ROD COCR ST RELINE 5.5X500MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,ROD COCR TL RELINE-O 5.5X400MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,ROD COCR TL RELINE-O 6.0X400MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,ROD COCR TL RELINE-O 6.0X500MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,ROD COCR UNID EXP LV 5.5MM +4,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1713,ROD COCR UNID EXP LV 6.0MM 4+,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1713,ROD CONT BULLET DENALI 5.5X120,2216.0,1772.8,1.0,1994.4,26
HCPCS,C1713,ROD CONT BULLET DENALI 5.5X130,2216.0,1772.8,1.0,1994.4,26
HCPCS,C1713,ROD CONT BULLET DENALI 5.5X30,2216.0,1772.8,1.0,1994.4,26
HCPCS,C1713,ROD CONT DENALI 5.5X100MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X125MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X150MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X200MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X240MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X35MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X50MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X55MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X60MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X70MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X80MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DENALI 5.5X90MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD CONT DUAL HEX 5.5X500MM,4697.0,3757.6,1.0,4227.3,26
HCPCS,C1713,ROD CONT YUKON OCT 3.5X120MM,2952.0,2361.6,1.0,2656.8,26
HCPCS,C1713,ROD CONT YUKON OCT 3.5X25MM,2952.0,2361.6,1.0,2656.8,26
HCPCS,C1713,ROD CONT YUKON OCT 3.5X55MM,2952.0,2361.6,1.0,2656.8,26
HCPCS,C1713,ROD CONT YUKON OCT 3.5X65MM,2952.0,2361.6,1.0,2656.8,26
HCPCS,C1713,ROD CONT YUKON OCT 3.5X75MM,2952.0,2361.6,1.0,2656.8,26
HCPCS,C1713,ROD CONT YUKON OCT 3.5X80MM,2952.0,2361.6,1.0,2656.8,26
HCPCS,C1713,ROD CONT YUKON OCT 3.5X85MM,2952.0,2361.6,1.0,2656.8,26
HCPCS,C1713,ROD CONT YUKON OCT 4.0X120MM,2744.0,2195.2,1.0,2469.6,26
HCPCS,C1713,ROD CONT YUKON OCT 4.0X240MM,2744.0,2195.2,1.0,2469.6,26
HCPCS,C1713,ROD CONT YUKON OCT 4.0X45MM,2952.0,2361.6,1.0,2656.8,26
HCPCS,C1713,ROD CURV CREO TI 5.5X30MM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1713,ROD CURV LNK MISPATHLOC6.0X120,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1713,ROD CURV QUARTEX COCR 4.0X120M,2456.0,1964.8,1.0,2210.4,26
HCPCS,C1713,ROD DUAL DIA COCR UNID 3.5X6MM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1713,ROD EVEREST TI 5.5X500MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD FUSN VERSALINK 50MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD FUSN VERSALINK 70MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD FUSN VERSALINK 90MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD LNGTD II PERC ST 5.5X130MM,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,ROD LNGTD II PERC ST 5.5X160MM,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,ROD LNGTD II PERC ST 5.5X170MM,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,ROD LNGTD II PERC ST 5.5X180MM,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,ROD LNGTD II PERC ST 5.5X340MM,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,ROD LNGTD II PERC ST 5.5X360MM,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,ROD LORD INVICTUS TI 3.5X100MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD INVICTUS TI 3.5X40MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD INVICTUS TI 3.5X45MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD INVICTUS TI 3.5X50MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD INVICTUS TI 3.5X80MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD INVICTUS TI 4.0X100MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD INVICTUS TI 4.0X90MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X100MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X110MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X120MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X130MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X30MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X45MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X55MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X60MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X70MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X80MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD PSTR TI 5.5X90MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD LORD RELINE TI 5.5X65MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD LORD RELN MAS TI 5.5X35MM,2216.0,1772.8,1.0,1994.4,26
HCPCS,C1713,ROD LORD RELN MAS TI 5.5X45MM,2216.0,1772.8,1.0,1994.4,26
HCPCS,C1713,ROD LP ADJX-CONRELINE5.5 35-42,4249.0,3399.2,1.0,3824.1,26
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X40MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X50MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X55MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X60MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X75MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X85MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X30,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X35,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X40,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X45,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X50,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X70,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORD INVICTUSTI5.5X100,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X35,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X40,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X45,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X50,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X55,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X60,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X65,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X70,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X75,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X80,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X90,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MIS RELINE-O LP5.5X40MM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X150MM,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X160MM,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X170MM,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X180MM,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X190MM,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X210MM,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,ROD MIS ST CREO TI 5.5X160MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS ST CREO TI 5.5X210MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS ST CREO TI 5.5X240MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS ST CREO TI 5.5X260MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS ST CREO TI 5.5X270MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS ST CREO TI 5.5X280MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS ST CREO TI 5.5X290MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,ROD MIS ST INVICTUS TI 5.5X300,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MISLORDINVICTUSVI2 5.5X100,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MISLORDINVICTUSVI2 5.5X110,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD MISLORDINVICTUSVI2 5.5X120,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD OCC QTEX COCR 100D4X240,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD OFFSET MAGEC 2 5.0X70MM,40250.0,32200.0,1.0,36225.0,26
HCPCS,C1713,ROD OFFSET MAGEC 2 5.0X90MM,40250.0,32200.0,1.0,36225.0,26
HCPCS,C1713,ROD OFFSET MAGEC 2 5.5X70MM,40250.0,32200.0,1.0,36225.0,26
HCPCS,C1713,ROD OFFSET MAGEC 2 5.5X90MM,40250.0,32200.0,1.0,36225.0,26
HCPCS,C1713,ROD OFFSET MAGEC ACTUATOR 70MM,40250.0,32200.0,1.0,36225.0,26
HCPCS,C1713,ROD OFFSET OPEN CREO NXT5.5X15,7340.0,5872.0,1.0,6606.0,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X100,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X110,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X120,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X130,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X140,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X150,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X160,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X170,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X180,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X90,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X110,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X120,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X130,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X140,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X150,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X160,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X170,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X180,13825.0,11060.0,1.0,12442.5,26
HCPCS,C1713,ROD PHOE ST HEX 450MM,2152.0,1721.6,1.0,1936.8,26
HCPCS,C1713,ROD PRE-LORD DEPU 3.5X75MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X100,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X110,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X120,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X130,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X140,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X150,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X160,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X180,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X35,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X45,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X50,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X55,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X60,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X65,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X70,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X75,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X80,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X90,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT ANT OFFSET 15D 40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT ANT OFFSET 15D 50,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT ANT OFFSET 30D 40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT ANT OFFSET 30D 50,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT LNK MIS 6.0X90MM,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1713,ROD PREBENT LNK MIS STER6.0X40,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1713,ROD PREBENT LNK MIS STER6.0X80,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1713,ROD PREBENT OFFSET 15D 40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT OFFSET 15D 50MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT OFFSET 30D 40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT OFFSET 30D 50MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT VERSALINK 15D 40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT VERSALINK 15D 50MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT VERSALINK 30D 40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT VERSALINK 30D 50MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD PREBENT YUKON OCT 4.0X80,4563.0,3650.4,1.0,4106.7,26
HCPCS,C1713,ROD PREL FIREBIRD 75MM,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD PREL FIREBIRD 80MM,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD PRELORD SYMPY 35-40MM,4553.0,3642.4,1.0,4097.7,26
HCPCS,C1713,ROD PRELORD SYMPY 4.0X25MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD PRELORD SYMPY 4.0X30MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD PRELORD SYMPY 4.0X35MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD PRELORD SYMPY 4.0X40MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD PRELORD SYMPY 4.0X70MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD PRELORD SYMPY 4.0X90MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD PT SPECFIC UNIDTI5.5-6.0MM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1713,ROD REAMING BALL W EXT2.5X1150,1083.0,866.4,1.0,974.7,26
HCPCS,C1713,ROD RESPONSE COCR 5.5X400MM,4410.0,3528.0,1.0,3969.0,26
HCPCS,C1713,ROD RESPONSE COCR 5.5X500MM,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,ROD RESPONSE COCR 6.0X500MM,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1713,ROD RESPONSE TI 5.5X500MM,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1713,ROD REVERE CONT 5.5X600MM,5298.0,4238.4,1.0,4768.2,26
HCPCS,C1713,ROD RUSH 1/8X10 SZM*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 1/8X4 SZA*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 1/8X4.5 SZB*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 1/8X6 SZE*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 1/8X6.5 SZF*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 1/8X7 SZG*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 1/8X7.5 SZH*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 1/8X8 SZI*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 1/8X8.5 SZJ*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 1/8X9 SZK*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 1/8X9.5 SZL*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH 3/16X10.25 SZD*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,ROD RUSH 3/16X11 SZE*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,ROD RUSH 3/16X11.75 SZF*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,ROD RUSH 3/16X12.5 SZG*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,ROD RUSH 3/16X13.25 SZH*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,ROD RUSH 3/16X13.75 SZI*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,ROD RUSH 3/16X8 SZA*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,ROD RUSH 3/16X8.75 SZB*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,ROD RUSH 3/16X9.5 SZC*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,ROD RUSH 3/32X4 SZA*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/32X4.5 SZB*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/32X5 SZC*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/32X5.5 SZD*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/32X6 SZE*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/32X6.5 SZF*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/32X7 SZG*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/32X7.5 SZH*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/32X8 SZI*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/32X8.5 SZJ*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/32X9.5 SZL*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH 3/3X9 SZK*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,ROD RUSH ZIMM 1/8X5*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH ZIMM 1/8X5.5*DISC*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1713,ROD RUSH.25X11 SZA*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,ROD RUSH.25X11.75 SZB*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,ROD RUSH.25X12.5 SZC*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,ROD RUSH.25X13.25 SZD*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,ROD RUSH.25X14 SZE*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,ROD RUSH.25X14.75 SZF*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,ROD RUSH.25X15.5 SZG*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,ROD RUSH.25X16.25 SZH*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,ROD RUSH.25X17 SZI*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,ROD S COCR INVICTUS 5.5X500MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD S COCR INVICTUS 6.0X500MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD SGL HEX COCR 5.5X500MM,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1713,ROD SLIM PEMD 3.2X160MM,8541.0,6832.8,1.0,7686.9,26
HCPCS,C1713,ROD SLIM PEMD 3.2X240MM,8541.0,6832.8,1.0,7686.9,26
HCPCS,C1713,ROD SLIM PEMD 3.2X260MM,7763.0,6210.4,1.0,6986.7,26
HCPCS,C1713,ROD SLIM PEMD 3.2X280MM,7763.0,6210.4,1.0,6986.7,26
HCPCS,C1713,ROD SPNL CARBOCLEAR ST 5 6X270,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1713,ROD SPNL CARBOCLEARCURV6.0X280,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1713,ROD SPNL CASPIAN ST 3.5X240MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD SPNL CASPIAN TI 3.5X120MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD SPNL CASPIAN TI3.5-5.5X300,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X100,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X110,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X120,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X30,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X40,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X45,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X60,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X65,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X70,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X80,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X90,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD SPNL CURV TI ALLOY5.5*NLU*,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD SPNL ST DUAL HEX 5.5X200MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD SPNL ST DUAL HEX 5.5X500MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD SPNL ST DUALHEXSTOP5.5X500,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD SPNL ST HEX COCR 450MM,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,ROD SPNL ST MARINERCOCR5.5X500,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,ROD SPNL TI OASYS 3.5X120MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD ST ANT OFFSET 0D 40MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD ST ANT OFFSET 0D 50MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD ST ANT OFFSETVERSALINK0D90,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD ST CREO TI 5.5X45MM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1713,ROD ST CREO TI 5.5X80MM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1713,ROD ST DENALI 5.5X200MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD ST DUAL HEX DENALI 5.5X500,1947.0,1557.6,1.0,1752.3,26
HCPCS,C1713,ROD ST INVICTUS COCR 5.5X500MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD ST INVICTUS TI 3.5X120MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD ST INVICTUS TI 3.5X240MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD ST INVICTUS TI 4.0X120MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD ST INVICTUS TI 4.0X240MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,ROD ST INVICTUS TI 5.5X200MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD ST INVICTUS TI 5.5X500MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD ST INVICTUS TI 6.0X200MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD ST OFFSET VERSALINK 0D40MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD ST OFFSET VERSALINK 0D50MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD ST OFFSET VERSALINK 0D90MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD ST QUARTEX COCR 4.0X240M,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,ROD ST RELINE TI 5.0X500MM,1947.0,1557.6,1.0,1752.3,26
HCPCS,C1713,ROD ST SPNL COCR 5.5X450MM,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,ROD ST TI ORTF 5.5X120MM,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD ST TI ORTF 5.5X140MM,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,ROD ST VERSALINK 40MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD ST VERSALINK 50MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD ST VERSALINK 90MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD STD MAGEC 2 5.0X70MM,40250.0,32200.0,1.0,36225.0,26
HCPCS,C1713,ROD STD MAGEC 2 5.0X90MM,40250.0,32200.0,1.0,36225.0,26
HCPCS,C1713,ROD STD MAGEC 2 5.5X70MM,40250.0,32200.0,1.0,36225.0,26
HCPCS,C1713,ROD STD MAGEC 2 5.5X90MM,40250.0,32200.0,1.0,36225.0,26
HCPCS,C1713,ROD STD MAGEC ACTUATOR5.5X70MM,40250.0,32200.0,1.0,36225.0,26
HCPCS,C1713,ROD SYS PROMIS RPSP 50MM,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1713,ROD SYS PROMIS RPSP 60MM,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1713,ROD SYS PROMIS RPSP 75MM,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1713,ROD TI ES2 ST 5.5X133MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,ROD TI S INVICTUS 5.5X400MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD TI S INVICTUS 5.5X500MM,250.0,200.0,1.0,225.0,26
HCPCS,C1713,ROD TI S INVICTUS 6.0X500MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,ROD TI SYMPY ST 4.0X60MM,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,ROD TL RELINE-O 5.5X400MM,1947.0,1557.6,1.0,1752.3,26
HCPCS,C1713,ROD TPR QUARTEX COCR 5.5X350M,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,ROD TURRET EXT PRSP 55MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD TURRET EXT PRSP 70MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,ROD VOYAGER CCM CAP 5.5X35MM,3840.0,3072.0,1.0,3456.0,26
HCPCS,C1713,ROD VOYAGER CCM CAP 5.5X40MM,3840.0,3072.0,1.0,3456.0,26
HCPCS,C1713,ROD VOYAGER PERC 5.5X60MM,3840.0,3072.0,1.0,3456.0,26
HCPCS,C1713,ROD VOYAGER PREBENT CAP 30MM,3840.0,3072.0,1.0,3456.0,26
HCPCS,C1713,ROD VUEPNT II 3.5X5.5X120MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,ROD VUEPOINT II 3.5X120MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,ROD Z OFFSET TI 6.0 12X100-200,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,ROOT REPAIR KT MENISCSUTURELOC,9902.0,7921.6,1.0,8911.8,26
HCPCS,C1713,SCAF BONE ACCUFILL BSM PF 3CC,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1713,SCAF BONE AERIDYAN STER SM 3CC,5861.0,4688.8,1.0,5274.9,26
HCPCS,C1713,SCAF BONE ARM STBL 22/13X140MM,13700.0,10960.0,1.0,12330.0,26
HCPCS,C1713,SCAF BONE CRANIOSCULPT-C 10CC,10636.0,8508.8,1.0,9572.4,26
HCPCS,C1713,SCAF BONE CRANIOSCULPT-FLOW5CC,5416.0,4332.8,1.0,4874.4,26
HCPCS,C1713,SCAF BONE HYDROSET XT 10CC,10013.0,8010.4,1.0,9011.7,26
HCPCS,C1713,SCAF BONE HYDROSET XT 15CC,14367.0,11493.6,1.0,12930.3,26
HCPCS,C1713,SCAF BONE HYDROSET XT 3CC,5524.0,4419.2,1.0,4971.6,26
HCPCS,C1713,SCAF BONE HYDROSET XT 5CC,6717.0,5373.6,1.0,6045.3,26
HCPCS,C1713,SCAF BONE MINI IGNITE 2.0 4CC,8144.0,6515.2,1.0,7329.6,26
HCPCS,C1713,SCAF BONE NORIAN*DISC 6336084*,10954.0,8763.2,1.0,9858.6,26
HCPCS,C1713,SCAF BONE PIN SONIC 2.1X*NLU*,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1713,SCAF BONE PUTTY ATTRAX 10CC,8640.0,6912.0,1.0,7776.0,26
HCPCS,C1713,SCAF BONE PUTTY FIBERGRAFT11CC,9642.0,7713.6,1.0,8677.8,26
HCPCS,C1713,SCAF BONE PUTTY HEMASORB 4GM,878.0,702.4,1.0,790.2,26
HCPCS,C1713,SCAF BONE PUTTY MONTAGE 5CC,8771.0,7016.8,1.0,7893.9,26
HCPCS,C1713,SCAF BONE PUTTY MONTAGE FS 5CC,8771.0,7016.8,1.0,7893.9,26
HCPCS,C1713,SCAF BONE PUTTY MONTAGE MP 2CC,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCAF BONE PUTTY MONTAGEFABL8CC,10497.0,8397.6,1.0,9447.3,26
HCPCS,C1713,SCAF BONE PUTTYFIBERGRAFTGPS11,10713.0,8570.4,1.0,9641.7,26
HCPCS,C1713,SCAF BONECRANIOSCULPT-FLOW10CC,10636.0,8508.8,1.0,9572.4,26
HCPCS,C1713,SCAF BONEPUTTYFIBERGRAFTGPS6CC,8264.0,6611.2,1.0,7437.6,26
HCPCS,C1713,SCAF CAGE PCL >5CM-10CM,32775.0,26220.0,1.0,29497.5,26
HCPCS,C1713,SCAFBONENORIANDR*DISC 6335590*,4530.0,3624.0,1.0,4077.0,26
HCPCS,C1713,SCAFBONENORIANDR*DISC 6336083*,5573.0,4458.4,1.0,5015.7,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 4.35X*NLU*,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 4.35X30MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 5.0X25MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 5.0X30MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 5.0X35MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 5.0X40MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 5.0X45MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 5.0X50MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X20MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X25MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X30MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X35MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X40MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X45MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X50MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X55MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X30MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X35MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X40MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X45MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X50MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X55MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X35MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X40MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X45MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X50MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X55MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X60MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X70MM,5934.0,4747.2,1.0,5340.6,26
HCPCS,C1713,SCREW 5.5 EXP VERSE STER5.0X45,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW 5.5 EXP VERSE STER6.0X45,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW 5.5 EXP VERSE STER7.0X45,13615.0,10892.0,1.0,12253.5,26
HCPCS,C1713,SCREW 5.5 EXP VERSE STER7.0X50,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW 5.5 EXP VERSE STER7.0X55,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW ACUTRAK 4/5 25MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 4/5 30MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 4/5 35MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 4/5 40MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 4/5 45MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 4/5 50MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 100MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 40MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 45MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 50MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 55MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 60MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 65MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 70MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 75MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 80MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 85MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7 90MM,3928.0,3142.4,1.0,3535.2,26
HCPCS,C1713,SCREW ACUTRAK 6/7.5 40MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW ACUTRAK STD 12.5MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW ACUTRAK STD 15MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW ACUTRAK STD 17.5MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW ACUTRAK STD 20MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW ACUTRAK STD 22.5MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW ACUTRAK STD 25MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW ACUTRAK STD 27.5MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW ACUTRAK STD 30MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW ACUTRAK2 STER 5.5X45MM,3752.0,3001.6,1.0,3376.8,26
HCPCS,C1713,SCREW ACUTRAK2 STER 5.5X50MM,3752.0,3001.6,1.0,3376.8,26
HCPCS,C1713,SCREW ACUTRAK2 STER 5.5X55MM,3752.0,3001.6,1.0,3376.8,26
HCPCS,C1713,SCREW ALIGNMENT ADIRA GRNM4.5,4602.0,3681.6,1.0,4141.8,26
HCPCS,C1713,SCREW ANCHOR JB DUALTOP 1.4X8,1479.0,1183.2,1.0,1331.1,26
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X46,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X48,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X50,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X52,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X54,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X56,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X58,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X60,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1713,SCREW ANCHORAGE LK 3X14MM,1580.0,1264.0,1.0,1422.0,26
HCPCS,C1713,SCREW ANCHORAGE LK 3X16MM,1580.0,1264.0,1.0,1422.0,26
HCPCS,C1713,SCREW ANCHORAGE LK 3X18MM,1580.0,1264.0,1.0,1422.0,26
HCPCS,C1713,SCREW ANCHORAGE LK 3X20MM,1580.0,1264.0,1.0,1422.0,26
HCPCS,C1713,SCREW ANCHORAGE LK 3X24MM,1550.0,1240.0,1.0,1395.0,26
HCPCS,C1713,SCREW ANCHORAGE STD 3X16MM,1049.0,839.2,1.0,944.1,26
HCPCS,C1713,SCREW ANCHORAGE STD 3X28MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW ANT K2M 5.5X20MM*NLU*,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW ANT LUMB 5.0X17.5MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW ANT LUMB 6.0X17.5MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW ANTIROTATION 5X100MM,3828.0,3062.4,1.0,3445.2,26
HCPCS,C1713,SCREW ANTIROTATION FEMSTER75MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ANTIROTATION FEMSTER80MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ANTIROTATION FEMSTER85MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ANTIROTATION FEMSTER90MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ANTIROTATION FEMSTER95MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER100MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER105MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER110MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER115MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER120MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER125MM,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1713,SCREW ASSY PA ASCENT 4X10*NLU*,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW ATLANTIS SLFDR FIX4X17MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR*NLU*,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR4X13MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR4X14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR4X15MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR4X16MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR4X17MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW ATLANTIS SLFTP FIX4X16MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW ATLANTIS SLFTP VAR4*NLU*,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW ATLANTIS SLFTP VAR4X15MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW ATLANTISSLFDRVAR4.5X15MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW BEV FULL THRD 3.5X26,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 3.5X28,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 3.5X30,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 3.5X36,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 3.5X46,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 3.5X52,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 3.5X54,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 3.5X60,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 4.0X48,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 4.0X50,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 4.0X52,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BEV FULL THRD 4.0X54,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW BIOCOMP DELTA TPR 10X35,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW BIOCOMP DELTA TPR 11X35,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW BIOCOMP DELTA TPR 9X35,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW BIOCOMP RD DELTA 10X28MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW BIOCOMP RD DELTA 11X28MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW BIOCOMP RD DELTA 8X28MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW BIOCOMP RD DELTA 9X28MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW BITE SNAPOFFSHRT 2X10MM,2023.0,1618.4,1.0,1820.7,26
HCPCS,C1713,SCREW BONE 20MM THRD 3.0X100MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,SCREW BONE 25MM THRD 3.0X60MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,SCREW BONE 25MM THRD 3.0X80MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,SCREW BONE 30MM THRD 3.0X100MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,SCREW BONE 30MM THRD 3.0X80MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,SCREW BONE 40MM THRD 3.0X100MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,SCREW BONE ACSD 25MM*NLU*,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW BONE CORT 60X30MM*DISC*,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW BONE CORT 70X25MM*DISC*,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW BONE FIX 2.7X10MM,3144.0,2515.2,1.0,2829.6,26
HCPCS,C1713,SCREW BONE LK BLU 14MM,430.0,344.0,1.0,387.0,26
HCPCS,C1713,SCREW BONE LK GLD 16MM,430.0,344.0,1.0,387.0,26
HCPCS,C1713,SCREW BONE LK GRN 18MM,430.0,344.0,1.0,387.0,26
HCPCS,C1713,SCREW BONE LK MAGENTA 20MM,430.0,344.0,1.0,387.0,26
HCPCS,C1713,SCREW BONE LK MINT GRN 10MM,430.0,344.0,1.0,387.0,26
HCPCS,C1713,SCREW BONE LK PUR 12MM,430.0,344.0,1.0,387.0,26
HCPCS,C1713,SCREW BONE REMOV ANK INBONE,1692.0,1353.6,1.0,1522.8,26
HCPCS,C1713,SCREW BONE SPEL 5.5X20MM,2072.0,1657.6,1.0,1864.8,26
HCPCS,C1713,SCREW BONE SPEL 5.5X25MM,2072.0,1657.6,1.0,1864.8,26
HCPCS,C1713,SCREW BONE SPEL 5.5X30MM,2072.0,1657.6,1.0,1864.8,26
HCPCS,C1713,SCREW BONE STRY 2.3X16MM*OBS*,958.0,766.4,1.0,862.2,26
HCPCS,C1713,SCREW BONE STRY T5 1.7X10MM,922.0,737.6,1.0,829.8,26
HCPCS,C1713,SCREW BONE STRY T6 2.3X11MM,927.0,741.6,1.0,834.3,26
HCPCS,C1713,SCREW BONE STRY THRD 2.7X16MM,1130.0,904.0,1.0,1017.0,26
HCPCS,C1713,SCREW BONE STRY THRD 2.7X18MM,1130.0,904.0,1.0,1017.0,26
HCPCS,C1713,SCREW BONE STRY THRD 2.7X20MM,1130.0,904.0,1.0,1017.0,26
HCPCS,C1713,SCREW BONE STRY THRD 2.7X22MM,1130.0,904.0,1.0,1017.0,26
HCPCS,C1713,SCREW BONE STRY THRD 2.7X24MM,1130.0,904.0,1.0,1017.0,26
HCPCS,C1713,SCREW BONE STRY THRD 2.7X26MM,1130.0,904.0,1.0,1017.0,26
HCPCS,C1713,SCREW BONE T10 FULLTHRD3.5X8MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X10MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X12MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X14MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X16MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X18MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X20MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X22MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X24MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X26MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X28MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X30MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X32MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X34MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X36MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X38MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X40MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X42MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X44MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X46MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X48MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X50MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X55MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X60MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X65MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X70MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X10MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X12MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X14MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X16MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X18MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X20MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X22MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X24MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X26MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X28MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X30MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X32MM,808.0,646.4,1.0,727.2,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X34MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X36MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X38MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X40MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X42MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X44MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X46MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X48MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X50MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X55MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X60MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X65MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X70MM,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW BONE TAN 4.5X20MM,2272.0,1817.6,1.0,2044.8,26
HCPCS,C1713,SCREW BONE TAN 4.5X30MM,2272.0,1817.6,1.0,2044.8,26
HCPCS,C1713,SCREW BONE TITA 5.5X25MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW BONE TITA 5.5X30MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW BONE TITA 6.5X25MM*NLU*,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW BONE TITA 6.5X30MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW BONE TITANEX LAG 3.0X18,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1713,SCREW BONE TITANEX LAG 3.0X22,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1713,SCREW BONE TITANIX LAG 4.0X48,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1713,SCREW BONE TRIL 2.0X10MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 2.0X12MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 2.4X20MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 2.4X26MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 3.0X24MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 3.0X26MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 3.0X40MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 3X16MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 3X18MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 3X20MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 3X22MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 3X28MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE TRIL 3X30MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW BONE VARIAX 1.2X14MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW BONE VARIAX 1.2X16MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW CANN 3X38M*DISC 6306319*,2090.0,1672.0,1.0,1881.0,26
HCPCS,C1713,SCREW CANN 4.0X34MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN 4.0X46MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN ARSENAL 4.0X34MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN AS3 SS 6.5X20X100,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 SS 6.5X20X65,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 SS 6.5X20X75,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 SS 6.5X20X80,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 SS 6.5X20X90,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 SS 6.5X40X65,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 STERTI6.5X20X75,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 STERTI6.5X40X60,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 TI 6.5X20X80,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 TI 6.5X20X90,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 TI 6.5X20X95,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3 TI 6.5X40X80,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN AS3STERTI6.5X20X120,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X36MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X38MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X40MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X42MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X44MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X50MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X40*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X45*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X50*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X55*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X60*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X65*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X70*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X75*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X80*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X85*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X90*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS 8X24X95*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X55,2227.0,1781.6,1.0,2004.3,26
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X60,2227.0,1781.6,1.0,2004.3,26
HCPCS,C1713,SCREW CANN CNCLS8X24X100*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS8X24X105*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLS8X24X110*DISC*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN CNCLST15FULL4.0X44,2227.0,1781.6,1.0,2004.3,26
HCPCS,C1713,SCREW CANN COMP 3.0X22MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW CANN COMP 3.0X24MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW CANN COMP 3.0X26MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW CANN COMP 3.0X28MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW CANN COMP JFX 5.0X55MM,8844.0,7075.2,1.0,7959.6,26
HCPCS,C1713,SCREW CANN COMP SLFDR 2.3X18MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN COMP SLFDR 2.3X20MM,2760.0,2208.0,1.0,2484.0,26
HCPCS,C1713,SCREW CANN COMP SLFDR 2.3X21MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN COMP SLFDR 2.3X22MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN COMP SLFDR 2.3X24MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN COMP SLFDR 2.3X26MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN COMP SLFDR 2.3X28MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN COMP TRMI 2.3X*NLU*,2680.0,2144.0,1.0,2592.0,52
HCPCS,C1713,SCREW CANN COMP TRMI 2.3X26MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW CANN COMP*DISC NO REPL*,2402.0,1921.6,1.0,2161.8,130
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X40,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X45,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X50,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X55,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X60,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X65,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X70,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X75,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X80,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X85,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X90,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X95,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC PART 7.3X50MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC PART 7.3X55MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC PART 7.3X60MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC PART 7.3X65MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC PART 7.3X70MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC PART 7.3X75MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC PART 7.3X80MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC PART 7.3X85MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC PART 7.3X90MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X05MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X50MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X55MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X60MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X65MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X70MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X75MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X80MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X85MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X90MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X95MM,1746.0,1396.8,1.0,1571.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT7.3X100MM,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT7.3X105MM,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT7.3X110MM,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT7.3X115MM,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT7.3X120MM,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT7.3X125MM,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT7.3X130MM,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT7.3X135MM,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT7.3X140MM,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1713,SCREW CANN CONIC SYNT7.3X145MM,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1713,SCREW CANN CONIC THRD 3.7X6X10,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD 3.7X8X12,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD 3.7X8X14,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD 3.7X8X16,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD 3.7X8X18,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X20,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X22,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X24,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X26,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X28,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X30,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X32,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X34,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X36,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X38,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X40,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X42,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X44,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X46,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X48,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X50,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X52,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X54,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X56,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X58,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X60,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X65,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X70,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X75,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X80,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X85,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X90,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X95,904.0,723.2,1.0,813.6,26
HCPCS,C1713,SCREW CANN CONIC TI5.0X75MM,1928.0,1542.4,1.0,1735.2,26
HCPCS,C1713,SCREW CANN CONIC TI5.0X80MM,1928.0,1542.4,1.0,1735.2,26
HCPCS,C1713,SCREW CANN CONIC TI5.0X85MM,1928.0,1542.4,1.0,1735.2,26
HCPCS,C1713,SCREW CANN CONIC TI5.0X90MM,1928.0,1542.4,1.0,1735.2,26
HCPCS,C1713,SCREW CANN CONIC ZIMM 5.5X70MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN CONIC ZIMM 5.5X80MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN CORRIDOR 3.5X42MM,3720.0,2976.0,1.0,3348.0,26
HCPCS,C1713,SCREW CANN CORT 3.5X10MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X12MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X14MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X16MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X18MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X20MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X22MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X24MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X26MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X28MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X30MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X32MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X34MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X36MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X38MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X40MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X42MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X44MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X46MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X48MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X50MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X55MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X60MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X65MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CORT 3.5X70MM*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW CANN CREO ANG 10.5X85MM,5243.0,4194.4,1.0,4718.7,26
HCPCS,C1713,SCREW CANN CREO ANG 9.5X85MM,5243.0,4194.4,1.0,4718.7,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X30,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X34,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X36,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X40,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X42,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X44,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X50,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X52,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X56,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X58,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X60,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X10,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X12,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X14,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X16,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X18,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X20,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X22,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X24,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X26,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X28,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X30,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X36,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X38,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X42,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X44,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X46,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X48,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X50,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X52,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X54,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X56,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X58,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.0X60,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.5X85,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.5X90,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.5X95,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 5.5X46,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 5.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 5.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 5.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 5.5X85,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 5.5X95,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X35,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X45,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X55,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X65,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X85,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X90,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 6.5X95,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X35,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X45,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X55,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X65,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X85,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X90,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI 7.5X95,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI4.5X100,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI4.5X105,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI4.5X110,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI5.5X110,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI6.5X100,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI6.5X105,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI6.5X110,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI6.5X115,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI6.5X120,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI6.5X125,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI6.5X130,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI6.5X135,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI6.5X140,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI7.5X100,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI7.5X105,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI7.5X110,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI7.5X115,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI7.5X120,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI7.5X125,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI7.5X130,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI7.5X135,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULL TI7.5X140,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ FULLSTER5.5X50,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG STER4.5X80,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG STER4.5X90,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG STER5.5X48,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG STER5.5X55,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X26,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X30,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X32,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X34,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X36,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X38,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X40,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X42,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X44,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X46,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X48,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X52,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X20,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X22,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X24,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X26,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X32,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X34,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X36,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X38,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X40,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X42,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X44,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X46,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X48,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X50,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X52,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X54,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X56,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X58,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.0X60,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X110,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X36,2793.0,2234.4,1.0,2513.7,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X44,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X55,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X65,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X85,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X90,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X95,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X110,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X32,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X36,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X42,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X44,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X46,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X48,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X65,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X85,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X95,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X100,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X105,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X110,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X115,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X120,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X125,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X130,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X135,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X140,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X145,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X55,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X65,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X85,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 6.5X95,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X100,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X105,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X110,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X115,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X120,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X125,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X130,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X135,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X140,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X45,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X55,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X65,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X85,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X90,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ LNG TI 7.5X95,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 2.0X10,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 2.0X12,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 2.0X14,2135.0,1708.0,1.0,1921.5,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 2.0X16,2135.0,1708.0,1.0,1921.5,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 2.5X16,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X26,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X36,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X38,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X40,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X42,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X44,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X50,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X52,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X56,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X60,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X10,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X12,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X14,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X16,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X18,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X20,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X22,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X24,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X26,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X28,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X30,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X32,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X34,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X36,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X38,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X40,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X42,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X44,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X46,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X48,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X50,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X52,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X54,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X56,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X58,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.0X60,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X46,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X48,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X55,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 5.5X48,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 5.5X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 5.5X55,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X35,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X45,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X55,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X65,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 6.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X35,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X45,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X55,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X65,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X85,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X90,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 7.5X95,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI7.5X100,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI7.5X105,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI7.5X110,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI7.5X115,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI7.5X120,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI7.5X125,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI7.5X130,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI7.5X135,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+ SHRT TI7.5X140,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW CANN CSS+FULLSTER6.5X145,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+FULLSTER6.5X150,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+FULLSTER6.5X155,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+FULLSTER6.5X160,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+FULLSTER7.5X150,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+FULLSTER7.5X170,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+FULLSTER7.5X175,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN CSS+SHRT STER4.5X65,2956.0,2364.8,1.0,2660.4,26
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X22,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X36,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X14,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X16,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X36,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X42,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X44,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X46,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X32MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X34MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X36MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X38MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X100,2714.0,2171.2,1.0,2442.6,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X105,2714.0,2171.2,1.0,2442.6,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X110,2714.0,2171.2,1.0,2442.6,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X130,3530.0,2824.0,1.0,3177.0,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X145,3530.0,2824.0,1.0,3177.0,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X155,3530.0,2824.0,1.0,3177.0,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X180,3530.0,2824.0,1.0,3177.0,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X85,2714.0,2171.2,1.0,2442.6,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X90,2714.0,2171.2,1.0,2442.6,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X135,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X140,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X150,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X155,3662.0,2929.6,1.0,3295.8,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X180,3662.0,2929.6,1.0,3295.8,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X70,2817.0,2253.6,1.0,2535.3,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X75,2817.0,2253.6,1.0,2535.3,26
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X80,2817.0,2253.6,1.0,2535.3,26
HCPCS,C1713,SCREW CANN FULL AS3 TI 4.0X40,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X14,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X20,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X22,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X24,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X26,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X28,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X30,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X35,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X14,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X16,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X22,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X24,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X28,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X30,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X32,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X34,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X36,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X38,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X40,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X44,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X50,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 4.5X36,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 4.5X38,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 4.5X44,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 4.5X50,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 5.5X50,9450.0,7560.0,1.0,8505.0,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 7X100,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 7X70,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 7X75,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1713,SCREW CANN FULL FUZEFIX 7X80,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1713,SCREW CANN FULL ORPE 4.5X50MM,2536.0,2028.8,1.0,2282.4,26
HCPCS,C1713,SCREW CANN FULL ORPE 4.5X60MM,2541.0,2032.8,1.0,2286.9,26
HCPCS,C1713,SCREW CANN FULL ORPE 4.5X70MM,2541.0,2032.8,1.0,2286.9,26
HCPCS,C1713,SCREW CANN FULL ORPE 4.5X80MM,2541.0,2032.8,1.0,2286.9,26
HCPCS,C1713,SCREW CANN FULL ORPE 5.0X75MM,2867.0,2293.6,1.0,2580.3,26
HCPCS,C1713,SCREW CANN FULL STER 7.3X140MM,1618.0,1294.4,1.0,1456.2,26
HCPCS,C1713,SCREW CANN FULL STER 7.3X155MM,1618.0,1294.4,1.0,1456.2,26
HCPCS,C1713,SCREW CANN FULL SYNT 6.5X85MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL SYNT 6.5X90MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL SYNT 6.5X95MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X10MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X12MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X14MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X16MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X18MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X20MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X22MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X24MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X26MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X28MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X30MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X32MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X34MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X36MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X38MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X42MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X46MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 3.5X48MM,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X20MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X22MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X24MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X26MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X28MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X30MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X32MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X34MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X36MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X38MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X40MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X42,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X42MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X44MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X46MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X48MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X50MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X52MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X54MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X56MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X60MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X64MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X68MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 4.5X72MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN FULL THRD 6.5X140MM,1373.0,1098.4,1.0,1235.7,26
HCPCS,C1713,SCREW CANN FULL THRD 6.5X150MM,1373.0,1098.4,1.0,1235.7,26
HCPCS,C1713,SCREW CANN FULL THRD 6.5X160MM,1373.0,1098.4,1.0,1235.7,26
HCPCS,C1713,SCREW CANN FULL THRD 6.5X170MM,1373.0,1098.4,1.0,1235.7,26
HCPCS,C1713,SCREW CANN FULL THRD 6.5X180MM,1373.0,1098.4,1.0,1235.7,26
HCPCS,C1713,SCREW CANN FULL THRD 6.5X20MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD 6.5X25MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X100MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X105MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X110MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X115MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X120MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X125MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X130MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X135MM,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X140MM,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X145MM,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X150MM,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X155MM,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X160MM,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X165MM,1618.0,1294.4,1.0,1456.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X170MM,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X175MM,1618.0,1294.4,1.0,1456.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X180MM,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X20MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X25MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X30MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X35MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X40MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X45MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X50MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X55MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X60MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X65MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X70MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X75MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X80MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X85MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X90MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD 7.3X95MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X30,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X35,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X40,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X45,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X50,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X55,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X60,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X65,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X70,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X75,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X80,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X100,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X105,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X110,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X115,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X120,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X125,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X130,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN FULL THRDSYNT3.5X40,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULL THRDSYNT3.5X44,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN FULLAS3STERTI4.0X46,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN FULLAS3STERTI4.0X48,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN FULLSTERASNIS6.5X75,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN FULLTHRDAAPI4.5X68,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW CANN FULLTHRDAAPI4.5X72,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW CANN FULLTHRDAAPI6.5X65,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN FULLTHRDAAPI6.5X70,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN FULLTHRDSN4.0X40MM,2055.0,1644.0,1.0,1849.5,26
HCPCS,C1713,SCREW CANN FULLTHRDSYNT3.5X50,985.0,788.0,1.0,886.5,26
HCPCS,C1713,SCREW CANN GD GROWTH 3.2X24MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1713,SCREW CANN GD GROWTH 3.2X32MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1713,SCREW CANN HD 4.0X40MM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1713,SCREW CANN HD ARIX SLVR 4X54MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN HD ARIX SLVR 4X62MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN HD ARIX SLVR 4X66MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN HD ARIX SLVR 4X70MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN HD FULL FMED 6.5X65,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN HD FULL FMED 6.5X70,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN HD FULL FMED 6.5X75,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN HD FULL FMED 6.5X80,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN HD FULLTHRDLG5.5X38,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW CANN HD FULLTHRDLG5.5X50,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW CANN HD FULLTHRDLG5.5X65,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW CANN HD FULLTHRDLG7.0X65,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1713,SCREW CANN HD FUZEFIX 4.0X42MM,4980.0,3984.0,1.0,4482.0,26
HCPCS,C1713,SCREW CANN HD FUZEFIX 4.0X46MM,4980.0,3984.0,1.0,4482.0,26
HCPCS,C1713,SCREW CANN HD FUZEFIX 4.0X52MM,4980.0,3984.0,1.0,4482.0,26
HCPCS,C1713,SCREW CANN HD FUZEFIX 4.0X55MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW CANN HD FUZEFIX LG4.0X40,4980.0,3984.0,1.0,4482.0,26
HCPCS,C1713,SCREW CANN HD FUZEFIX LG5.5X40,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW CANN HD FUZEFIX LG5.5X45,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW CANN HD FUZEFIX LG5.5X50,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW CANN HD FUZEFIX LG7.0X70,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1713,SCREW CANN HD LNG FMED 4.5X36,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,SCREW CANN HD LNG FMED 4.5X40,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,SCREW CANN HD LNG FMED 4.5X54,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,SCREW CANN HD LNG FMED 4.5X58,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,SCREW CANN HD MEDL 3.0X16MM,3120.0,2496.0,1.0,2808.0,26
HCPCS,C1713,SCREW CANN HD MEDL 3.0X18MM,3120.0,2496.0,1.0,2808.0,26
HCPCS,C1713,SCREW CANN HD MEDL 3.5X16MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN HD SHRT FMED 6.5X46,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN HD SHRT FMED 6.5X48,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN HDLSS MEDL 3.0X16MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1713,SCREW CANN HDLSS TIGER 2.4X44,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW CANN HDLSSSHRTTHRD2.5X14,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN INTERFER 10X20MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CANN INTERFER 7X20MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CANN INTERFER 7X30*OBS*,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW CANN INTERFER 8*NLU*,922.0,737.6,1.0,829.8,26
HCPCS,C1713,SCREW CANN INTERFER 8X25MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CANN INTERFER FULL 9X25,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CANN INTERFER FULL7X20MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CANN INTERFER FULL7X35MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CANN INTERFER FULL8X20MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CANN INTERFER FULL8X25MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CANN INTERFER FULL9X20MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CANN INTERFER SHEATH7X20,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW CANN INTERFER SHEATH7X25,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW CANN JONES TI 4.5X48MM,9896.0,7916.8,1.0,8906.4,26
HCPCS,C1713,SCREW CANN JONES TI 5.5X48MM,9896.0,7916.8,1.0,8906.4,26
HCPCS,C1713,SCREW CANN LAG OMNI 3.5X60MM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1713,SCREW CANN LAG OMNI 4.0X40MM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1713,SCREW CANN LAG OMNI 4.0X45MM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1713,SCREW CANN LCP LNG TI 4.0X54MM,1107.0,885.6,1.0,996.3,26
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X40MM,1107.0,885.6,1.0,996.3,26
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X42MM,1107.0,885.6,1.0,996.3,26
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X50MM,1107.0,885.6,1.0,996.3,26
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X52MM,1107.0,885.6,1.0,996.3,26
HCPCS,C1713,SCREW CANN LK 8X70MM*DISC*,2816.0,2252.8,1.0,2534.4,26
HCPCS,C1713,SCREW CANN LK 8X90MM*DISC*,2816.0,2252.8,1.0,2534.4,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X10MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X12MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X14MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X16MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X18MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X20MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X22MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X24MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X26MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X28MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X30MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X32MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X34MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X36MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X38MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X40MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X42MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X44MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X46MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X48MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X50MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X52MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X54MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X56MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X58MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X60MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X65MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X70MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X75MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X80MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X85MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X90MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK FULL 3.7X95MM,1043.0,834.4,1.0,938.7,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X100,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X105,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X110,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X115,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X120,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X125MM,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X130,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X135,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X140,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X145,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X25,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X30MM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X35,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X40,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X45,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X50,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X55,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X60,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X65,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X70,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X75,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X80,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X85,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X90,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK HEX THRD 5X95,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1713,SCREW CANN LK TI 5X85MM,1567.0,1253.6,1.0,1410.3,26
HCPCS,C1713,SCREW CANN LK ZIMM 5.5X35MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN LK ZIMM 5.5X40MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN LK ZIMM 5.5X70MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN LK ZIMM 5.5X75MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN LK ZIMM 5.5X80MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN LK ZIMM 5.5X85MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN LNG ACUM TI 4.0X36,1777.0,1421.6,1.0,1599.3,26
HCPCS,C1713,SCREW CANN LNG ACUM TI 4.0X54,1777.0,1421.6,1.0,1599.3,26
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X30,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X35,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X40,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X42,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X45,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X48,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X50,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X55,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X60,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X14,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X15,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X16,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X17,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X18,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X19,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X20,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X21,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X22,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X23,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X24,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X25,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X26,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X27,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X28,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X29,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X30,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X32,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X34,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X36,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X38,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X40,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN LNG THRD 3.5X54MM,2149.0,1719.2,1.0,1934.1,26
HCPCS,C1713,SCREW CANN LNG TRMI SS 3.5X32,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN LNG TRMI SS 3.5X35,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X22MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X24MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X26MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X28MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X30MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X32MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X34MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X36MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3X20MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3X24MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CANN LOPRO ARTX 3X26MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CANN LOPRO ARTX TI2.4X18,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CANN LOPRO FULL 4.5X80MM,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X50,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X55,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X65,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X16MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X20MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X24MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X28MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X32MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X38,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X40,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X45,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X50,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X55,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X60,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X75,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X80,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW CANN LOPRO PT 2.0X16MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW CANN LOPRO PT 2.0X18MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW CANN LOPRO TI 4.5X8*NLU*,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X120MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X40MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X45MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X50MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X65MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X75MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X80MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X85MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN LTTCS TAN 7.0X60MM,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1713,SCREW CANN MANTIS 6.5X40*NLU*,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW CANN MANTIS 6.5X45MM,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW CANN MNSTR FULL 5.5X50MM,2860.0,2288.0,1.0,2574.0,26
HCPCS,C1713,SCREW CANN MNSTR FULL 7.0X70MM,3744.0,2995.2,1.0,3369.6,26
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X50MM,3617.0,2893.6,1.0,3255.3,26
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X55MM,3617.0,2893.6,1.0,3255.3,26
HCPCS,C1713,SCREW CANN MNSTRSHRTBLNT4.5X40,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW CANN MNSTRSHRTBLNT4.5X44,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW CANN MNSTRSHRTBLNT4.5X46,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW CANN MNSTRSHRTBLNT4.5X54,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW CANN MNSTRSHRTBLNT5.5X42,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW CANN MNSTRSHRTBLNY5.5X40,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW CANN MODLR CREO 5.5X40MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X30MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X35MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X40MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X45MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X50MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 7.5X35MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 7.5X40MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 7.5X45MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 8.5X90MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 9.5X80MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN MODLR CREO 9.5X90MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CANN NUVA 7.5X40MM*NLU*,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW CANN NUVA 7.5X45MM*NLU*,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW CANN O/I PLATE 4.5X24MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN OMNI 3.5X35MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW CANN ORTHOLOC 4.0X35,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW CANN ORTHOLOC 4.0X40,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW CANN OSTE 2.4X10MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW CANN OSTE 2.4X12MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW CANN OSTE 2.4X14MM,1318.0,1054.4,1.0,1186.2,26
HCPCS,C1713,SCREW CANN OSTE 2.4X16MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CANN OSTE 2.4X18MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CANN OSTE 2.4X20MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CANN OSTE 2.4X22MM,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,SCREW CANN OSTE 2.4X24MM,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,SCREW CANN OSTE 2.4X26MM,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,SCREW CANN OSTE 2.4X28MM,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,SCREW CANN OSTE 2.4X30MM,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,SCREW CANN OSTE 2X10MM,1165.0,932.0,1.0,1048.5,26
HCPCS,C1713,SCREW CANN OSTE 2X12MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1713,SCREW CANN OSTE 2X14MM,1318.0,1054.4,1.0,1186.2,26
HCPCS,C1713,SCREW CANN OSTE 2X16MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1713,SCREW CANN OSTE 2X18MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,SCREW CANN OSTE 2X20MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,SCREW CANN OSTE 2X22MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,SCREW CANN OSTE 3.0X12MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,SCREW CANN OSTE 3.0X18MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,SCREW CANN OSTE 3.0X26MM,1165.0,932.0,1.0,1048.5,26
HCPCS,C1713,SCREW CANN OSTE 3X14MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,SCREW CANN OSTE 3X16MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,SCREW CANN OSTE 3X20MM,1165.0,932.0,1.0,1048.5,26
HCPCS,C1713,SCREW CANN OSTE 3X22MM,1165.0,932.0,1.0,1048.5,26
HCPCS,C1713,SCREW CANN OSTE 3X24MM,1165.0,932.0,1.0,1048.5,26
HCPCS,C1713,SCREW CANN OSTE 3X28MM,1165.0,932.0,1.0,1048.5,26
HCPCS,C1713,SCREW CANN OSTE 3X30MM,1386.0,1108.8,1.0,1247.4,26
HCPCS,C1713,SCREW CANN OSTE 3X32MM,1386.0,1108.8,1.0,1247.4,26
HCPCS,C1713,SCREW CANN OSTE 3X34MM,1386.0,1108.8,1.0,1247.4,26
HCPCS,C1713,SCREW CANN OSTE 3X36MM,1386.0,1108.8,1.0,1247.4,26
HCPCS,C1713,SCREW CANN OSTE 3X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW CANN OSTE 4X12MM*NLU*,1037.0,829.6,1.0,933.3,26
HCPCS,C1713,SCREW CANN OSTE 4X14MM,1037.0,829.6,1.0,933.3,26
HCPCS,C1713,SCREW CANN OSTE 4X18MM,1037.0,829.6,1.0,933.3,26
HCPCS,C1713,SCREW CANN OSTE 4X20MM,1037.0,829.6,1.0,933.3,26
HCPCS,C1713,SCREW CANN OSTE 4X22MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,SCREW CANN OSTE 4X24MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,SCREW CANN OSTE 4X26MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,SCREW CANN OSTE 4X28MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,SCREW CANN OSTE 4X30MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1713,SCREW CANN OSTE 4X32MM,1182.0,945.6,1.0,1063.8,26
HCPCS,C1713,SCREW CANN OSTE 4X34MM,1182.0,945.6,1.0,1063.8,26
HCPCS,C1713,SCREW CANN OSTE 4X36MM,1148.0,918.4,1.0,1033.2,26
HCPCS,C1713,SCREW CANN OSTE 4X40MM,1267.0,1013.6,1.0,1140.3,26
HCPCS,C1713,SCREW CANN OSTE 4X44MM,1267.0,1013.6,1.0,1140.3,26
HCPCS,C1713,SCREW CANN OSTE 4X48MM,1267.0,1013.6,1.0,1140.3,26
HCPCS,C1713,SCREW CANN OSTE 4X52MM,1267.0,1013.6,1.0,1140.3,26
HCPCS,C1713,SCREW CANN PA 5.5X40MM,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW CANN PA 9.0X60MM,9198.0,7358.4,1.0,8278.2,26
HCPCS,C1713,SCREW CANN PA 9.0X70MM,9272.0,7417.6,1.0,8344.8,26
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X30,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X35,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X40,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X45,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X50,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X55,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 6.5X25,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 6.5X30,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 6.5X35,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 6.5X50,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 6.5X55,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X25,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X30,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X35,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X40,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X45,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X50,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X55,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN PA VPR2 TI 9X4*NLU*,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW CANN PART ARTX 3.75X30MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW CANN PART ARTX 3.75X32MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW CANN PART ARTX 3.75X34MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW CANN PART ARTX 3.75X38MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW CANN PART ARTX 3.75X40MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X100,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X110,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X115,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X120,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X125,2716.0,2172.8,1.0,2444.4,26
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X180,3530.0,2824.0,1.0,3177.0,26
HCPCS,C1713,SCREW CANN PART AS3 SS 8X150,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN PART AS3 SS 8X25,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN PART AS3 SS8X40X170,3662.0,2929.6,1.0,3295.8,26
HCPCS,C1713,SCREW CANN PART AS3 TI 4.0X44,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PART AS3 TI 4.0X46,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PART AS3 TI 4.0X48,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PART AS3 TI 4.0X50,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PART AS3 TI 4.0X55,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PART ASNIS 8X85,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CANN PART QFX TI 2.4X14,1356.0,1084.8,1.0,1220.4,26
HCPCS,C1713,SCREW CANN PART QFX TI 2.4X18,1356.0,1084.8,1.0,1220.4,26
HCPCS,C1713,SCREW CANN PART SYNT 3.5X26MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART SYNT 3.5X30MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART SYNT 3.5X34MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART SYNT 3.5X44MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART SYNT 3.5X46MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART SYNT 3.5X50MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART SYNT 4.5X30MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART TAS3 TI 4.0X38,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X10MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X12MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X14MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X16MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X18MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X20MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X22MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X24MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X28MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X32MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X36MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X38MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X40MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X42MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 3.5X48MM,951.0,760.8,1.0,855.9,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X20MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X22MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X24MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X26MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X28MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X32MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X34MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X36MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X38MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X40MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X42MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X44MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X46MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X48MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X50MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X52MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X54MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X56MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X60MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X64MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X68MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 4.5X72MM,1059.0,847.2,1.0,953.1,26
HCPCS,C1713,SCREW CANN PART THRD 5.0X46MM,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X26,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X30,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X32,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X34,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X36,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X40,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X42,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X60,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X65,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X70,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3STERTI4.0X28,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3STERTI4.0X42,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3STERTI4.0X55,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PARTAS3STERTI4.0X60,1225.0,980.0,1.0,1102.5,26
HCPCS,C1713,SCREW CANN PROX TORNIERGLD5X40,2000.0,1600.0,1.0,1800.0,26
HCPCS,C1713,SCREW CANN SCFE 20THRD 7.3X105,2036.0,1628.8,1.0,1832.4,26
HCPCS,C1713,SCREW CANN SHEATH 7X30MM*NLU*,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW CANN SHEATH 8X20MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW CANN SHEATH 8X25MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW CANN SHEATH 9X20MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW CANN SHEATH 9X25MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW CANN SHEATH 9X30MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW CANN SHRT THRD 4.0X38MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHRT THRD 4.0X42MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHRT THRD 4.0X44MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHRT THRD 4X30MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHRT THRD 4X35MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHRT THRD 4X40MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHRT THRD 4X45MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHRT THRD 4X46MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHRT THRD 4X55MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X10MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X11MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X12MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X13MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X14MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X15MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X16MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X17MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X18MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X19MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X20MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X21MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X22MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X23MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X24MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X25MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X26MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X27MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X28MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X29MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X30MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X32MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X34MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X36MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X38MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X40MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X8MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X9MM,1070.0,856.0,1.0,963.0,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X10MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X12MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X14MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X16MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X18MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X20MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X22MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X24MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X26MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X28MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X30MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X32MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X34MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X36MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X38MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X40MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X42MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X44MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X46MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X48MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X50MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X52MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X54MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X56MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X58MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X60MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X64MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X68MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X72MM,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SHRT THRDARTX4.0X48,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHRTTHRDAAPI4.5X56,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW CANN SHRTTHRDAAPI4.5X72,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW CANN SHT THRDARTX 4X50MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SHT THRDARTX 4X60MM,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X16MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X18MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X20MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X21MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X22MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X23MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X24MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X25MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X26MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X28MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X32MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW CANN SLFTP 2.5X30MM,2870.0,2296.0,1.0,2583.0,26
HCPCS,C1713,SCREW CANN SLFTP JFX 4.0X46MM,8844.0,7075.2,1.0,7959.6,26
HCPCS,C1713,SCREW CANN SLFTP JFX 4.0X50MM,8844.0,7075.2,1.0,7959.6,26
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD5.5X35,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD6.5X35,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD6.5X40,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD6.5X45,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD6.5X50,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD8.5X45,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD8.5X50,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW CANN SS THRD 15MM 4X46MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN STER 3X38MM,2090.0,1672.0,1.0,1881.0,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X100MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X105MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X110MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X115MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X120MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X125MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X130MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X135MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X140MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X145MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X150MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X160MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X170MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X30MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X35MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X40MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X45MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X50MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X55MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X60MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X65MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X70MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X75MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X80MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X85MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X90MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X16X95MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X100MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X105MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X110MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X115MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X120MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X125MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X130MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X135MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X140MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X145MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X150MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X160MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X170MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X175MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X45MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X50MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X55MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X60MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X65MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X70MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X75MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X80MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X85MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X90MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 6.5X32X95MM,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X100MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X105MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X110MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X115MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X120MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X125MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X130MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X135MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X140MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X145MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X150MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X30MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X35MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X40MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X45MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X50MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X55MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X60MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X65MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X70MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X75MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X80MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X85MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X90MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X16X95MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X100MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X105MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X110MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X115MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X120MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X125MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X130MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X135MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X140MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X145MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X150MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X45MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X50MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X55MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X60MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X65MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X70MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X75MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X80MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X85MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X90MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7.3X32X95MM,1328.0,1062.4,1.0,1195.2,26
HCPCS,C1713,SCREW CANN SYNT 7X16X100MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X105MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X110MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X115MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X120MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X125MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X130MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X30MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X35MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X40MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X45MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X50MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X55MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X60MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X65MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X70MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X75MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X80MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X85MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X90MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X16X95MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X100MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X105MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X110MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X115MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X120MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X125MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X130MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X45MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X50MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X55MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X60MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X65MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X70MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X75MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X80MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X85MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X90MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT 7X32X95MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X30,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X40,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X42,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X44,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X46,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X48,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X50,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW CANN THRD 7.2X125MM,5806.0,4644.8,1.0,5225.4,26
HCPCS,C1713,SCREW CANN THRD 7.3X32X155MM,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1713,SCREW CANN THRD 7.3X32X165MM,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1713,SCREW CANN THRD ARTX 7.0X50MM,3472.0,2777.6,1.0,3124.8,26
HCPCS,C1713,SCREW CANN THRD ARTX 7.0X55MM,3472.0,2777.6,1.0,3124.8,26
HCPCS,C1713,SCREW CANN THRD ARTX 7.0X60MM,3472.0,2777.6,1.0,3124.8,26
HCPCS,C1713,SCREW CANN THRD ARTX 7.0X65MM,3472.0,2777.6,1.0,3124.8,26
HCPCS,C1713,SCREW CANN THRD18 ARTX6.7X55MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN THRD18 ARTX6.7X60MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN THRD18 ARTX6.7X70MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN THRD18 ARTX6.7X80MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN THRD28 ARTX6.7X70MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CANN TI THRD 32MM 7.3X95,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN TI THRD 32MM7.3X100,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN TI THRD 32MM7.3X115,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1713,SCREW CANN TIGER TRIL 5.5X55MM,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1713,SCREW CANN TIGER TRIL 5.5X65MM,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1713,SCREW CANN TIGER TRIL 7.*NLU*,3920.0,3136.0,1.0,3528.0,26
HCPCS,C1713,SCREW CANN TIGER TRIL 7.0*NLU*,3920.0,3136.0,1.0,3528.0,26
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X30,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X35,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X40,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X45,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X50,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X55,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X60,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X30,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X35,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X40,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X45,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X50,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X55,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X60,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X30,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X35,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X40,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X45,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X50,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X55,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X60,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW CANN TRIL 2.0X14MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 2.0X18MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 2.0X8MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 2.4X12MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 2.4X14MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 2.4X16MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 2.4X18MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 2.4X22MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 2.4X24MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 3.0X32MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 3.0X34MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 3.0X36MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 3.0X38MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 3X10MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 3X14MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X24MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X28MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X32MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X36MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X40MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X42MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X44MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X46MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X48MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X50MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X52MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN TRIL 4.0X54MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CANN XTAB VPR2 6X35*NLU*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN XTAB VPR2 6X40*NLU*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN XTAB VPR2 TI 6X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN XTAB VPR2 TI 6X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN XTAB VPR2 TI 6X45MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN XTAB VPR2 TI 6X50MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CANN ZIMM 1/2 4.0X42MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW CANN ZIMM 1/2 4.0X60MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.0X34MM,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.0X38MM,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.5X30MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.5X40MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.5X42MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.5X44MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.5X46MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.5X48MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.5X80MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 4.0X36MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 4.0X40MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 4.0X42MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 4.0X44MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 4.0X46MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 4.5X50MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 4.5X62MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CANN ZIMM 1/3 4.5X72MM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 6.5X55MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 6.5X70MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 6.5X75MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 6.5X80MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 6.5X85MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 6.5X90MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X30MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X35MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X40MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X45MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X50MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X55MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X60MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X65MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X70MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X75MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X80MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X85MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X90MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 16MM 7.0X95MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 3.5X28MM,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW CANN ZIMM 3.5X30MM,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 6.5X90MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 6.5X95MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X45MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X50MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X55MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X60MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X65MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X70MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X75MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X80MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X85MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X90MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 32MM 7.0X95MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 4.0X40MM,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW CANN ZIMM 5.0X50MM,2652.0,2121.6,1.0,2386.8,26
HCPCS,C1713,SCREW CANN ZIMM 5X60MM,2652.0,2121.6,1.0,2386.8,26
HCPCS,C1713,SCREW CANN ZIMM 5X65MM,2652.0,2121.6,1.0,2386.8,26
HCPCS,C1713,SCREW CANN ZIMM 6.5X105M,2652.0,2121.6,1.0,2386.8,26
HCPCS,C1713,SCREW CANN ZIMM 6.5X16X100MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 6.5X16X105MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 6.5X16X110MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 6.5X16X115MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 6.5X16X120MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM 6.5X75MM,2652.0,2121.6,1.0,2386.8,26
HCPCS,C1713,SCREW CANN ZIMM 6.5X80MM,2652.0,2121.6,1.0,2386.8,26
HCPCS,C1713,SCREW CANN ZIMM 6.5X85MM,2652.0,2121.6,1.0,2386.8,26
HCPCS,C1713,SCREW CANN ZIMM 6.5X95MM,2652.0,2121.6,1.0,2386.8,26
HCPCS,C1713,SCREW CANN ZIMM 7X120MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X125MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X130MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X135MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X140MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X145MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X150MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X155MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X160MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X165MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X100MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X105MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X110MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X115MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X120MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X125MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X130MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X135MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X140MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X145MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X16X150MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X170MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X175MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X180MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X100MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X105MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X110MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X115MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X120MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X125MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X130MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X135MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X140MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X145MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X150MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X155MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X160MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X165MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X170MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X175MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7X32X180MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX100MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX105MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX110MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX115MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX120MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX125MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX130MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX135MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX140MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX145MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM 7XFULLX150MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 3.5X42MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM FULL 3.5X50MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM FULL 3.5X55MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM FULL 3.5X60MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM FULL 3.5X65MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM FULL 3.5X75MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM FULL 3.5X80MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM FULL 3.5X85MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM FULL 3.5X95MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW CANN ZIMM FULL 6.5X85MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM FULL 6.5X90MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM FULL 6.5X95MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X20MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X25MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X30MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X35MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X40MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X45MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X50MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X55MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X60MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X65MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X70MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X75MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X80MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X85MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X90MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANN ZIMM FULL 7.0X95MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X40*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X45*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X50*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X55*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X60*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X65*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X70*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X75*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X80*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X85*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X90*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNCNCLS6.5X40X95*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW CANNMICROASNISSTER3X20X5,1624.0,1299.2,1.0,1461.6,26
HCPCS,C1713,SCREW CANNMICROASNISSTER3X22X5,1624.0,1299.2,1.0,1461.6,26
HCPCS,C1713,SCREW CANNPARTAS3STERTI8.0X120,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW CAP LK,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW CENTREDRIVE KLS 1X*NLU*,469.0,375.2,1.0,422.1,52
HCPCS,C1713,SCREW CENTREDRIVE KLS 1X4MM,469.0,375.2,1.0,422.1,26
HCPCS,C1713,SCREW CERV CORT SYNT BLU4*NLU*,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV DEPU 12MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV DEPU 13MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV DEPU 14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV DEPU 15MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV DEPU 16MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV DIVERGENCE 3.5X13MM,2208.0,1766.4,1.0,1987.2,26
HCPCS,C1713,SCREW CERV FIXED ZIMM 4.2X14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV LK SYNT 1.8MM*NLU*,200.0,160.0,1.0,180.0,26
HCPCS,C1713,SCREW CERV RDCTN PSTR 4.0X22MM,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1713,SCREW CERV SLFTP DEPU 12MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV SLFTP DEPU 14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV SYNT 4.35X16MM*NLU*,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV VA SLFDROZARK4.0X12,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV VA SLFDROZARK4.0X14,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV VA SLFDROZARK4.0X16,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV VA SLFTPOZARK4.0X18,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV VA SLFTPOZARK4.5X16,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CERV VA XTEND 4.2X16MM,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW CERV VA XTEND 4.2X18MM,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW CERV2LVL VA GESY *NLU*,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW CFX FEN X-TAB VPR 5X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CFX FEN X-TAB VPR 5X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CLAV DUALTRAK 3X100MM,5877.0,4701.6,1.0,5289.3,26
HCPCS,C1713,SCREW CLAV DUALTRAK 3X110MM,5877.0,4701.6,1.0,5289.3,26
HCPCS,C1713,SCREW CLAV DUALTRAK 3X120MM,5877.0,4701.6,1.0,5289.3,26
HCPCS,C1713,SCREW CLAV DUALTRAK 3X80MM,5877.0,4701.6,1.0,5289.3,26
HCPCS,C1713,SCREW CLAV DUALTRAK 3X90MM,5877.0,4701.6,1.0,5289.3,26
HCPCS,C1713,SCREW CMAS BALLAST 9.5X80MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW CMAS BALLAST 9.5X90MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW CMF STRY 1.5X4MM*NLU*,595.0,476.0,1.0,535.5,26
HCPCS,C1713,SCREW CNCLS 32MM*NLU*,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1713,SCREW CNCLS 36MM THRD 7.0X75,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,SCREW CNCLS ACUM 4X12MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X14MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X16MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X18MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X20MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X22.5MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X22MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X24MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X26MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X28MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X30MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X35MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X40MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X45MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW CNCLS ACUM 4X50MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CNCLS ACUM 4X55MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CNCLS ACUM 4X60MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CNCLS ARTX 3X10MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW CNCLS ARTX 3X22MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW CNCLS ARTX 3X26MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW CNCLS ARTX 3X28MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW CNCLS ARTX 6.5X45MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CNCLS ARTX 6.5X50MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CNCLS ARTX 6.5X55MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CNCLS ARTX 6.5X60MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CNCLS ARTX 6.5X65MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X22MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X28MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X30MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X34MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X70MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL 3DI 4.0X45MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW CNCLS FULL 4X10MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X12MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X14MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X16MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X18MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X20MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X22MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X24MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X26MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X28MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X30MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X32MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X34MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X36MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X38MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL 4X40MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS FULL AXSOS6.0X80MM,548.0,438.4,1.0,493.2,26
HCPCS,C1713,SCREW CNCLS FULL SPS SS 4.0X18,239.0,191.2,1.0,215.1,26
HCPCS,C1713,SCREW CNCLS FULL SPS SS 4.0X20,239.0,191.2,1.0,215.1,26
HCPCS,C1713,SCREW CNCLS FULL SPS SS 4.0X28,239.0,191.2,1.0,215.1,26
HCPCS,C1713,SCREW CNCLS FULL SPS SS 4.0X30,239.0,191.2,1.0,215.1,26
HCPCS,C1713,SCREW CNCLS FULL SPS SS 4.0X32,239.0,191.2,1.0,215.1,26
HCPCS,C1713,SCREW CNCLS FULL SPS SS 4.0X40,239.0,191.2,1.0,215.1,26
HCPCS,C1713,SCREW CNCLS FULL THRD 3X18MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X10MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X12MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X14MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X16MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X18MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X22MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X24MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X26MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X32MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X38MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X46MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X48MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X50MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X60MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X90MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X95MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X10MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X12MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X14MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X16MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X18MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X20MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X22MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X24MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X26MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X28MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X30MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X32MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X35MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X36MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X40MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X45MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X50MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X55MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 4X60MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X25MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X30MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X35MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X40MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X45MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X50MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X55MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X60MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS FULL THRD SS6.5X60,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CNCLS FULL THRD SS6.5X75,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CNCLS FULL THRD SS6.5X80,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CNCLS FULL THRD TI6.5X25,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS FULL THRD TI6.5X30,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS FULL THRD TI6.5X35,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS FULL THRD TI6.5X60,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS FULL THRD TI6.5X75,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS FULL THRD TI6.5X80,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS HD GRIP 4.5X16,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CNCLS HD GRIP 4.5X20,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CNCLS HD GRIP 4.5X24,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CNCLS HD GRIP 4.5X28,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CNCLS HD GRIP 4.75X16,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CNCLS HD GRIP 4.75X20,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CNCLS HD GRIP 4.75X24,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CNCLS HD GRIP 475X28,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X30,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X35,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X40,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X45,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X50,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X85,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X95,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X105,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X110,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X115,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X120,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X125,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X130,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X135,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X140,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,SCREW CNCLS LK 2.4X10MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LK 2.4X12MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LK 2.4X14MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LK 2.4X16MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LK 2.4X18MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LK 2.4X20MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LK 2.7X12MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LK 2.7X14MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LK 2.7X16MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LK 2.7X18MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LK 2.7X20MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SCREW CNCLS LOPRO ARTX6.5X25MM,881.0,704.8,1.0,792.9,26
HCPCS,C1713,SCREW CNCLS LOPRO ARTX6.5X30MM,881.0,704.8,1.0,792.9,26
HCPCS,C1713,SCREW CNCLS LOPRO ARTX6.5X35MM,801.0,640.8,1.0,720.9,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X14,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X16,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X18,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X20,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X22,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X24,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X26,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X28,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X30,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X35,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X40,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X45,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X50,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X55,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X60,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS PART SPS SS 4.0X60,239.0,191.2,1.0,215.1,26
HCPCS,C1713,SCREW CNCLS PART STRY 4.0X50MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X10MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X12MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X14MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X16MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X18MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X20MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X22MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X24MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X26MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X28MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X30MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X32MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X34MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X36MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X40MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X42MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X55MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X60MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X65MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X70MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X75MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X80MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X85MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X90MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X95MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X10MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X12MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X14MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X16MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X18MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X20MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X22MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X24MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X26MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X28MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X30MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X35MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X40MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X45MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X50MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRD 4X60MM,311.0,248.8,1.0,279.9,26
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X40,353.0,282.4,1.0,317.7,26
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X45,353.0,282.4,1.0,317.7,26
HCPCS,C1713,SCREW CNCLS PART TI 3.0X12MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CNCLS PART TI 3.0X18MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CNCLS PART TI 3.0X28MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CNCLS PART TI 3.0X30MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CNCLS PART TI 3.0X32MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CNCLS PART TI 3.0X34MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CNCLS PART TI 3.0X36MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CNCLS PART TI 3.0X4*NLU*,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW CNCLS PART TI 3.0X40MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CNCLS PART TI 3X38MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X10MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X12MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X22MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X24MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X28MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X50MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS PART4X10MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X12MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X14MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X16MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X18MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X20MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X22MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X24MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X26MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X28MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X30MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X32MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X34MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X36MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X38MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PART4X40MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS PARTHEXALOBE4.0X26,837.0,669.6,1.0,753.3,26
HCPCS,C1713,SCREW CNCLS PARTHEXALOBE4.0X50,837.0,669.6,1.0,753.3,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X26,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X28,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X32,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X34,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X36,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X38,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X40,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X42,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X44,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X46,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X48,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X50,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X54,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X55,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X56,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X60,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X65,1543.0,1234.4,1.0,1388.7,26
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X16MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X18MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X20MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X22MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X24MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X38MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CNCLS SOLID 5X20MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X22MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X24MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X26MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X28MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X30MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X32MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X34MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X36MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X38MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X40MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X42MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X44MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X46MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X48MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X50MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X52MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X54MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X56MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X58MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X60MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X65MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X70MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X75MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SOLID 5X80MM*DISC*,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW CNCLS SS PART 6.5X40MM,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X100MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X105MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X110MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X115MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X120MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X150MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X30MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X35MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X40MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X45MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X50MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X55MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X60MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X65MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X70MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X75MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X80MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X85MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X95MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X100MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X105MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X110MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X115MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X120MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X125MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X130MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X135MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X140MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X145MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X150MM,711.0,568.8,1.0,639.9,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X45MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X50MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X55MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X60MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X65MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X70MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X75MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X80MM,563.0,450.4,1.0,506.7,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X85MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X90MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X95MM,606.0,484.8,1.0,545.4,26
HCPCS,C1713,SCREW CNCLS TI FULL 6.5X40MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X20,353.0,282.4,1.0,317.7,26
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X22,353.0,282.4,1.0,317.7,26
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X24,353.0,282.4,1.0,317.7,26
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X70,614.0,491.2,1.0,552.6,26
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X80,614.0,491.2,1.0,552.6,26
HCPCS,C1713,SCREW CNCLS TI THRDFULL 6.5X30,614.0,491.2,1.0,552.6,26
HCPCS,C1713,SCREW CNCLS TI THRDFULL 6.5X40,614.0,491.2,1.0,552.6,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X100MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X105MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X110MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X45MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X50MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X55MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X65MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X70MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X85MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X90MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM 6.5X95MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 40MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 45MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 50MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 55MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 6.5X100MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 6.5X105MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 6.5X110MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 60MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 65MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 70MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 75MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 80MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 85MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 90MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCLS ZIMM LAG 95MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CNCMAS BALLAST 10.5X90MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW CNCMAS BALLAST 7.5X60MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW CNCMAS BALLAST 9.5X90MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW COMP 19MM 0.75IN,864.0,691.2,1.0,777.6,26
HCPCS,C1713,SCREW COMP 25MM 1IN,864.0,691.2,1.0,777.6,26
HCPCS,C1713,SCREW COMP 32MM 1.25IN,864.0,691.2,1.0,777.6,26
HCPCS,C1713,SCREW COMP 38MM 1.50IN,864.0,691.2,1.0,777.6,26
HCPCS,C1713,SCREW COMP 44MM 1.75IN,864.0,691.2,1.0,777.6,26
HCPCS,C1713,SCREW COMP 51MM 2IN,864.0,691.2,1.0,777.6,26
HCPCS,C1713,SCREW COMP ARTX 2.5X12MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X14MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X16MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X18MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X20MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X22MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X24MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X26MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X28MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X30MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X32MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X34MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X36MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X38MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X42MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X44MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP ARTX 2.5X50MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0*NLU*,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X14MM,2485.0,1988.0,1.0,2236.5,26
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X20MM,2485.0,1988.0,1.0,2236.5,26
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X30MM,2485.0,1988.0,1.0,2236.5,26
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.5X30MM,2485.0,1988.0,1.0,2236.5,26
HCPCS,C1713,SCREW COMP DHHS LCP,771.0,616.8,1.0,693.9,26
HCPCS,C1713,SCREW COMP DHS DCS 36MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW COMP FRAG-LOC,1148.0,918.4,1.0,1033.2,26
HCPCS,C1713,SCREW COMP FRAG-LOC LNG,1148.0,918.4,1.0,1033.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X30MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X32MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X34MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X36MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X38MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X40MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X42MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X44MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X46MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X48MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X50MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X55MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X60MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X70MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X75MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X80MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FT LG ARTX 5.0X65MM,3658.0,2926.4,1.0,3292.2,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X100MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X105MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X35MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X40MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X45MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X50MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X55MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X60MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X65MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X70MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X75MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X80MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X85MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X90MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP FULL XL 7.0X95MM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X10MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X12MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X14MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X16MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X18MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X20MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X22MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X24MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X32MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X34MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X36MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X38MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X40MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X42MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X44MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 2.7X46MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 3.5X16MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 3.5X18MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK SS 3.5X20MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X10MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X12MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X14MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X16MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X18MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X20MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X22MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X24MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X26MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X28MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X30MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X32MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X34MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X36MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X38MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X40MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X42MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP KREULK TI 3.5X60MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW COMP MULT THRD TI 3.5X16,1964.0,1571.2,1.0,1767.6,26
HCPCS,C1713,SCREW COMP MULT THRD TI 3.5X30,1964.0,1571.2,1.0,1767.6,26
HCPCS,C1713,SCREW COMP MULT THRD TI 3.5X40,1964.0,1571.2,1.0,1767.6,26
HCPCS,C1713,SCREW COMP POLYLOCK 2.7X14MM,4229.0,3383.2,1.0,3806.1,26
HCPCS,C1713,SCREW COMP POLYLOCK 2.7X26MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW COMP POLYLOCK 2.7X28MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X12MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X14MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X16MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X18MM,4229.0,3383.2,1.0,3806.1,26
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X20MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X22MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X24MM,4229.0,3383.2,1.0,3806.1,26
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X26MM,4229.0,3383.2,1.0,3806.1,26
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X30MM,4229.0,3383.2,1.0,3806.1,26
HCPCS,C1713,SCREW COMP POLYLOCK 4.0X55MM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1713,SCREW COMP SLFDR T25 6.5X60MM,7403.0,5922.4,1.0,6662.7,26
HCPCS,C1713,SCREW COMP SLFDR T25 6.5X95MM,7403.0,5922.4,1.0,6662.7,26
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X26,8258.0,6606.4,1.0,7432.2,26
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X36,8258.0,6606.4,1.0,7432.2,26
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X40,8258.0,6606.4,1.0,7432.2,26
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X42,8258.0,6606.4,1.0,7432.2,26
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X50,8258.0,6606.4,1.0,7432.2,26
HCPCS,C1713,SCREW COMP SYNT *DISC 6130632*,435.0,348.0,1.0,391.5,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X10,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X11,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X12,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X13,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X14,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X15,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X16,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X18,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X20,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X22,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X24,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X26,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X28,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X30,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X32,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X34,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X36,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X38,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X40,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X42,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X44,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X46,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X48,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X50,2598.0,2078.4,1.0,2338.2,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X10,2857.0,2285.6,1.0,2571.3,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X12,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X14,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X16,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X18,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X20,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X22,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X24,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X42,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X44,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X46,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X48,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X50,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X52,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X54,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X56,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X58,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X60,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X10,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X12,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X14,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X22,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X30,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X32,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X34,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X36,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X38,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X40,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X42,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X44,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1713,SCREW COMP ZIMM SHRT*DISC*,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW COMPOSITCP FULL 10X30MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW COMPOSITCP60 9X25MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW COND STRY 5X100MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW COND STRY 5X55MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW COND STRY 5X60MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW COND STRY 5X65MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW COND STRY 5X70MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW COND STRY 5X75MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW COND STRY 5X85MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW COND STRY 5X90MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW CONIC FULL THRD 3.5X65MM,1181.0,944.8,1.0,1062.9,26
HCPCS,C1713,SCREW CONIC FULL THRD 3.5X70MM,1181.0,944.8,1.0,1062.9,26
HCPCS,C1713,SCREW CONIC FULL THRD 3.5X75MM,1181.0,944.8,1.0,1062.9,26
HCPCS,C1713,SCREW CONN LK ATTACH,1251.0,1000.8,1.0,1125.9,26
HCPCS,C1713,SCREW COROENT NUVA 5.5X2*NLU*,2928.0,2342.4,1.0,2635.2,26
HCPCS,C1713,SCREW CORT 3.5HD 2.4X12MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 3.5HD 2.4X14MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 3.5HD 2.4X16MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 3.5HD 2.4X18MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 3.5HD 2.4X20MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 3.5HD 2.4X22MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 3.5HD 2.4X24MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 3.5HD 2.4X26MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 3.5HD 2.4X28MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 3.5HD 2.4X30MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 4.5HD 2.4X12MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 4.5HD 2.4X14MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 4.5HD 2.4X18MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 4.5HD 2.4X20MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 4.5HD 2.4X22MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 4.5HD 2.4X24MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 4.5HD 2.4X26MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 4.5HD 2.4X28MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 4.5HD 2.4X30MM,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT 70/20 3.5/3.2*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW CORT 80/30 4.5/3.5*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW CORT ACUM 2.7X10MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X12MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X14MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X16MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X18MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X20MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X22MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X24MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X26MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X28MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X30MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X32MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X34MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X36MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X38MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X40MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X45MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X50MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X55MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X60MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X65MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT ACUM 2.7X8MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X10MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X12MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X14MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X16MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X18MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X20MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X22MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X24MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X26MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X27.5MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X28MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X30MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X32MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X34MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X36MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X38MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X40MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X45MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X50MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X55MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X60MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X65MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X6MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT ACUM 3.5X8MM,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT AOSL 3.5X35.0MM,2288.0,1830.4,1.0,2059.2,26
HCPCS,C1713,SCREW CORT ARTX 2.7X10MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CORT ARTX 2.7X12MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CORT ARTX 2.7X13MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CORT ARTX 2.7X14MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CORT ARTX 2.7X15MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CORT ARTX 2.7X16MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CORT ARTX 2.7X18MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CORT ARTX 2.7X22MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CORT ARTX 2.7X44MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CORT ARTX 4.5X34MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT ARTX 4.5X36MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT ARTX 4.5X40MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT ARTX 4.5X46MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT ARTX 4.5X48MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT ARTX 4.5X54MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT ARTX 4.5X58MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT ARTX 4.7X42MM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X12MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X14MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X16MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X18MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X20MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X22MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X24MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X26MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X28MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X30MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X32MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X34MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X36MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X38MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X40MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X42MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X44MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X46MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X48MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X50MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X55MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X60MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X65MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X70MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X75MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X80MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X85MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X90MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X95MM,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X16MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X18MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X20MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X22MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X26MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X28MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X30MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X32MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X34MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X36MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X38MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X40MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X42MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X44MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X46MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X50MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X55MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X60MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X65MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X70MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X75MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X80MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X85MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X90MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X95MM,390.0,312.0,1.0,351.0,26
HCPCS,C1713,SCREW CORT BONE 4.5X26MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X28MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X30MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X32MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X34MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X36MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X38MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X40MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X42MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X44MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X46MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X48MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X50MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X52MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X56MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE 4.5X60MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT BONE ARTX 3.5X22MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW CORT BONE ARTX 3.5X24MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW CORT BONE ARTX 3.5X26MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW CORT BONE ARTX 3.5X28MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW CORT BONE ARTX 3.5X40MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW CORT BONE ARTX 3.5X45MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW CORT CAPTURED 5.0X38MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT CAPTURED 5.0X42MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT CAPTURED TROCH 5X30,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW CORT CAPTURED TROCH 5X40,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT CAPTURED TROCH 5X44,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT COARSE SLFTP 2.0X4,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X10MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X12MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X14MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X16MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X18MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X20MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW CORT DYNANAIL 5X20MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW CORT DYNANAIL 5X22.5MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW CORT DYNANAIL 5X25MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW CORT DYNANAIL 5X27.5MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW CORT DYNANAIL 5X30MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW CORT DYNANAIL 5X35MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW CORT DYNANAIL 5X40MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW CORT DYNANAIL 5X45MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW CORT DYNANAIL 5X50M,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW CORT FEN VPR 7.0X45MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CORT FEN VPR 7.0X50MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CORT FIREBIRD 5.5X40MM,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW CORT FIREBIRD 5.5X45MM,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW CORT FIREBIRD 5.5X50MM,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW CORT FIREBIRD 5.5X55MM,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW CORT FIREBIRD 6.5X50MM,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW CORT FIX VPR TI 6X35MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,SCREW CORT FIX VPR TI 8X45MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,SCREW CORT FIX VPR TI 8X50MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,SCREW CORT FIX VPR TI 9X40MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,SCREW CORT FIX VPR TI 9X45MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,SCREW CORT FLEXTHRD T15 3.5X46,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW CORT FLEXTHRD T15 3.5X48,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW CORT FLEXTHRD T15 3.5X50,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW CORT FLEXTHRD T15 3.5X52,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW CORT FLEXTHRD T15 3.5X56,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X100,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X20,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X25,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X45,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X50,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X55,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X60,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X65,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X70,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X75,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X80,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X85,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X90,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X95,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER5.0X22.5,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER5.0X27.5,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER5.0X32.5,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER5.0X42.5,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEX FA STER5.0X52.5,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW CORT HEXADRIVE10 2.5X20,1545.0,1236.0,1.0,1390.5,26
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X13,1377.0,1101.6,1.0,1239.3,26
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X14,954.0,763.2,1.0,858.6,26
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X15,1377.0,1101.6,1.0,1239.3,26
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X16,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X18,954.0,763.2,1.0,858.6,26
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X20,1377.0,1101.6,1.0,1239.3,26
HCPCS,C1713,SCREW CORT HYBRID TI 3.0X22MM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X105MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X20MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X22MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X24MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X26MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X28MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X30MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X32MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X34MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X36MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X38MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X40MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X42MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X44MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X46MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X48MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X50MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X54MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X60MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X70MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X75MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X80MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LEAD DBL 5X95MM,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW CORT LK ALPS 2.7X30*NLU*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X10MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X12MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X14MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X16MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X18MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X20MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X22MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X24MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X28MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X32MM,1569.0,1255.2,1.0,1412.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX 3X26MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI 2.4X8,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X10,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X12,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X14,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X16,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X20,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X22,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X24,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X26,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X28,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X30,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X32,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO HYBRID 3.0X22,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO HYBRID 3.0X28,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X12MM,382.0,305.6,1.0,343.8,26
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X14MM,382.0,305.6,1.0,343.8,26
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X16MM,382.0,305.6,1.0,343.8,26
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X18MM,382.0,305.6,1.0,343.8,26
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X20MM,382.0,305.6,1.0,343.8,26
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X22MM,382.0,305.6,1.0,343.8,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X14,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X16,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X18,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X20,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X22,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X24,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X26,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X28,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X30,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X34,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X36,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X38,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X44,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X10MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X12MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X14MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X16MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X18MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X20MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X22MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X24MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X26MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X28MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X30MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X32MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X34MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X36MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X38MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X40MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X42MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X44MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X45MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X46MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X48MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X50MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X52MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X54MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X55MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X56MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X58MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X60MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X62MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X65MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X70MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X75MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X80MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X85MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X90MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X95MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT LOPRO T15STER3.5X18,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 1.4X11MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 1.6X10MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 1.6X11MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 1.6X13MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 1.6X7MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 1.6X8MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 1.6X9MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X10MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X11MM,1568.0,1254.4,1.0,1411.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X12MM,1568.0,1254.4,1.0,1411.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X13MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X14MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X16MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X18MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X20MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X22MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X26MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X12MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X14MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X16MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X18MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X20MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X22MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X24MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X26MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X28MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X30MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X10MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X12MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X14MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X15MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X16MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X20MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X22MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X24MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X26MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X28MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X30MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X32MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X12MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X14MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X16MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X18MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X20MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X20MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X22MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X24MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X28MM,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X30MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X32MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X35MM,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X40MM,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X55MM,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X60MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW CORT LOPROT15TI 3.5X10MM,365.0,292.0,1.0,328.5,26
HCPCS,C1713,SCREW CORT LOPROT15TI 3.5X12MM,428.0,342.4,1.0,385.2,26
HCPCS,C1713,SCREW CORT LOPROT15TI 3.5X14MM,365.0,292.0,1.0,328.5,26
HCPCS,C1713,SCREW CORT LOPROT15TI 3.5X16MM,365.0,292.0,1.0,328.5,26
HCPCS,C1713,SCREW CORT LOPROT15TI 3.5X18MM,365.0,292.0,1.0,328.5,26
HCPCS,C1713,SCREW CORT LOPROT15TI 3.5X58MM,365.0,292.0,1.0,328.5,26
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X11MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X12MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X14MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X16MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X18MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X20MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X24MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X26MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X32MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X34MM,1029.0,823.2,1.0,926.1,26
HCPCS,C1713,SCREW CORT MSP 2.4X10MM,1203.0,962.4,1.0,1082.7,26
HCPCS,C1713,SCREW CORT MSP 2.4X12MM,1203.0,962.4,1.0,1082.7,26
HCPCS,C1713,SCREW CORT MSP 2.4X14MM,1203.0,962.4,1.0,1082.7,26
HCPCS,C1713,SCREW CORT MSP 2.4X16MM,1203.0,962.4,1.0,1082.7,26
HCPCS,C1713,SCREW CORT MTP TI 3.0X10MM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,SCREW CORT MTP TI 3.0X16MM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,SCREW CORT MTP TI 3.0X18MM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,SCREW CORT MTP TI 3.0X20MM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,SCREW CORT MTP TI 3.0X24MM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X10MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X12MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X14MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X16MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X18MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X20MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X22MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X24MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X26MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X28MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X30MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X32MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X34MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X36MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X38MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X40MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X42MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X44MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X46MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X48MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X50MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X55MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X60MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X10MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X12MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X14MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X16MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X18MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X20MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X22MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X24MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X26MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X28MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X8MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X14MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X16MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X52MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW CORT PART QFX TI 2.4X16,1356.0,1084.8,1.0,1220.4,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X100MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X105MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X110MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X115MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X120MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X125MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X130MM,853.0,682.4,1.0,767.7,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X135MM,853.0,682.4,1.0,767.7,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X140MM,853.0,682.4,1.0,767.7,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X145MM,853.0,682.4,1.0,767.7,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X150MM,853.0,682.4,1.0,767.7,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X40MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X45MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X50MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X55MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X60MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X65MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X70MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X75MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X80MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X85MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X90MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PELVIC 3.5X95MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT PLUSDRIVE SLFTP 2X8,513.0,410.4,1.0,461.7,26
HCPCS,C1713,SCREW CORT SHANK CANN 5.5X60,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW CORT SLFDR THRD3X15X40MM,689.0,551.2,1.0,620.1,26
HCPCS,C1713,SCREW CORT SLFDR THRD3X18X50MM,689.0,551.2,1.0,620.1,26
HCPCS,C1713,SCREW CORT SLFDRSEMICNSTND4X12,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW CORT SLFTP 2X10MM,428.0,342.4,1.0,385.2,26
HCPCS,C1713,SCREW CORT SLFTP 2X12MM,428.0,342.4,1.0,385.2,26
HCPCS,C1713,SCREW CORT SLFTP 2X14MM,275.0,220.0,1.0,247.5,26
HCPCS,C1713,SCREW CORT SLFTP 2X16MM,428.0,342.4,1.0,385.2,26
HCPCS,C1713,SCREW CORT SLFTP 2X18MM,428.0,342.4,1.0,385.2,26
HCPCS,C1713,SCREW CORT SLFTP 2X20MM,428.0,342.4,1.0,385.2,26
HCPCS,C1713,SCREW CORT SLFTP 2X34MM,428.0,342.4,1.0,385.2,26
HCPCS,C1713,SCREW CORT SLFTP 2X6MM,428.0,342.4,1.0,385.2,26
HCPCS,C1713,SCREW CORT SLFTP 2X8MM,428.0,342.4,1.0,385.2,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X36MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X42MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X44MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X45MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X46MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X48MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X60MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X65MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X70MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X75MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 3.5X80MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X100MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X105MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X110MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X14MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X16MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X18MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X20MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X22MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X24MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X32MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X34MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X36MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X38MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X40MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X42MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X44MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X46MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X48MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X50MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X52MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X54MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X56MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X58MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X60MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X62MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X64MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X66MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X68MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X70MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X72MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X76MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X80MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X85MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X90MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP 4.5X95MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP FINE 4.5X32MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP FINE 4.5X36MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP FINE 4.5X38MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP FINE 4.5X40MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP FINE 4.5X44MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP FINE 4.5X46MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X10MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X12MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X14MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X16MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X18MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X20MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X22MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X24MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X26MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X28MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X30MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X32MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X34MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X36MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X38MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X40MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X42MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X44MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X45MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X46MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X48MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X50MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X55MM,462.0,369.6,1.0,415.8,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X6MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X8MM,399.0,319.2,1.0,359.1,26
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X10,433.0,346.4,1.0,389.7,26
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X12,433.0,346.4,1.0,389.7,26
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X14,433.0,346.4,1.0,389.7,26
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X16,433.0,346.4,1.0,389.7,26
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X18,433.0,346.4,1.0,389.7,26
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X20,433.0,346.4,1.0,389.7,26
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X22,433.0,346.4,1.0,389.7,26
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X24,433.0,346.4,1.0,389.7,26
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X26,433.0,346.4,1.0,389.7,26
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X28,433.0,346.4,1.0,389.7,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI 4.0X40,349.0,279.2,1.0,314.1,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI 4.0X60,349.0,279.2,1.0,314.1,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI 4.0X65,349.0,279.2,1.0,314.1,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI 4.0X75,499.0,399.2,1.0,449.1,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI 4.0X80,499.0,399.2,1.0,449.1,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI 4.0X85,499.0,399.2,1.0,449.1,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI1.5X6MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI1.5X7MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI1.5X8MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI1.5X9MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.0X6MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.0X7MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.0X8MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.0X9MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.4X6MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.4X7MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.4X8MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.4X9MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X10MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X11MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X12MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X13MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X14MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X16MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X18MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X20MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X22MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X24MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X10MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X11MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X12MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X13MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X14MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X16MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X18MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X20MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X22MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X24MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X26MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X28MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X30MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X32MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X10MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X11MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X12MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X13MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X14MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X16MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X18MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X20MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X22MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X24MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X26MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X28MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X30MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X32MM,688.0,550.4,1.0,619.2,26
HCPCS,C1713,SCREW CORT SLFTP LNG 3.5X16MM,420.0,336.0,1.0,378.0,26
HCPCS,C1713,SCREW CORT SLFTP LNG 3.5X24MM,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT SLFTP LNG 3.5X40MM,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT SLFTP LNG 3.5X50MM,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT SLFTP LNG 4.5X32MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP LNG 4.5X36MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP LNG 4.5X38MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP LNG 4.5X40MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP LNG 4.5X44MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP LNG 4.5X46MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X38,303.0,242.4,1.0,272.7,26
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X42,303.0,242.4,1.0,272.7,26
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X55,303.0,242.4,1.0,272.7,26
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X60,303.0,242.4,1.0,272.7,26
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X65,303.0,242.4,1.0,272.7,26
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X70,303.0,242.4,1.0,272.7,26
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X85,303.0,242.4,1.0,272.7,26
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X90,303.0,242.4,1.0,272.7,26
HCPCS,C1713,SCREW CORT SLFTP P-L 2.7X24,255.0,204.0,1.0,229.5,26
HCPCS,C1713,SCREW CORT SLFTP P-L 2.7X30,255.0,204.0,1.0,229.5,26
HCPCS,C1713,SCREW CORT SLFTP P-L 2.7X32,255.0,204.0,1.0,229.5,26
HCPCS,C1713,SCREW CORT SLFTP P-L 3.5X26,318.0,254.4,1.0,286.2,26
HCPCS,C1713,SCREW CORT SLFTP P-L 3.5X28,318.0,254.4,1.0,286.2,26
HCPCS,C1713,SCREW CORT SLFTP P-L 3.5X30,318.0,254.4,1.0,286.2,26
HCPCS,C1713,SCREW CORT SLFTP P-L 3.5X32,318.0,254.4,1.0,286.2,26
HCPCS,C1713,SCREW CORT SLFTP P-L 3.5X34,318.0,254.4,1.0,286.2,26
HCPCS,C1713,SCREW CORT SLFTP P-L 3.5X36,318.0,254.4,1.0,286.2,26
HCPCS,C1713,SCREW CORT SLFTP P-L 3.5X38,318.0,254.4,1.0,286.2,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X10,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X12,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X14,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X16,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X18,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X20,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X22,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X24,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X26,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X28,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X30,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X32,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X34,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X36,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X38,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X40,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X42,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X44,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X46,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X48,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X50,995.0,796.0,1.0,895.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X55,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X60,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X65,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X70,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X8,819.0,655.2,1.0,737.1,26
HCPCS,C1713,SCREW CORT SLFTP PANGEA 3.5X10,339.0,271.2,1.0,305.1,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X24MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X26MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X28MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X30MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X32MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X34MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X36MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X38MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X40MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X42MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X44MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X46MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X48MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X50MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X52MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X54MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X56MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X58MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X60MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X65MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X70MM,315.0,252.0,1.0,283.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X75MM,535.0,428.0,1.0,481.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X80MM,535.0,428.0,1.0,481.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X85MM,535.0,428.0,1.0,481.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X90MM,535.0,428.0,1.0,481.5,26
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X95MM,535.0,428.0,1.0,481.5,26
HCPCS,C1713,SCREW CORT SLFTP SMHDT8 2.5X10,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW CORT SLFTP SMHDT8 2.5X12,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW CORT SLFTP SMHDT8 2.5X14,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW CORT SLFTP SMHDT8 2.5X16,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW CORT SLFTP SMHDT8 2.5X20,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS 3.5X10,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X12,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X14,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X16,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X18,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X20,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X22,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X24,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X26,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X28,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X30,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X32,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X34,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X36,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X38,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X40,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X45,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X50,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X55,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X60,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X65,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X70,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X75,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X80,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X85,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X95,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X32MM,257.0,205.6,1.0,231.3,26
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X34MM,257.0,205.6,1.0,231.3,26
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X50MM,257.0,205.6,1.0,231.3,26
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X55MM,257.0,205.6,1.0,231.3,26
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X60MM,257.0,205.6,1.0,231.3,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X10MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X12MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X14MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X16MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X18MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X20MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X22MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X24MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X26MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X28MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X30MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X32MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X34MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X38MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X40MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X50MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X55MM,269.0,215.2,1.0,242.1,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 4.5X26MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 4.5X28MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP SYNT 4.5X30MM,307.0,245.6,1.0,276.3,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X10MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X12MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X14MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X16MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X18MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X20MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X22MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X26MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X28MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X30MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X34MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X36MM,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CORT SLFTP T15AAPI3.5X12,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW CORT SLFTP T15AAPI3.5X14,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW CORT SLFTP T15AAPI3.5X20,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW CORT SLFTP T15AAPI3.5X28,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X10,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X12,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X14,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X16,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X18,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X6,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X7,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X8,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X9,445.0,356.0,1.0,400.5,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.5X9MM,519.0,415.2,1.0,467.1,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X10MM,519.0,415.2,1.0,467.1,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X11MM,519.0,415.2,1.0,467.1,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X12MM,519.0,415.2,1.0,467.1,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X15MM,519.0,415.2,1.0,467.1,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X16MM,519.0,415.2,1.0,467.1,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X7MM,519.0,415.2,1.0,467.1,26
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X8MM,519.0,415.2,1.0,467.1,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X10MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X11MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X12MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X13MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X14MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X16MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X18MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X20MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X22MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X24MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X26MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X28MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X30MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X32MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X34MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X36MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X38MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X40MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X6MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X7MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X8MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 2X9MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI 2.0X6MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI 2.0X8MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI 2.0X9MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI 2X18,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI2.0X10MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI2.0X11MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI2.0X12MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI2.0X14MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI2.0X16MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI2.0X20MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T6 TI2.0X24MM,515.0,412.0,1.0,463.5,26
HCPCS,C1713,SCREW CORT SLFTP T8 2.4X42MM,359.0,287.2,1.0,323.1,26
HCPCS,C1713,SCREW CORT SLFTP T8 2.4X44MM,359.0,287.2,1.0,323.1,26
HCPCS,C1713,SCREW CORT SLFTP T8 2.4X60MM,359.0,287.2,1.0,323.1,26
HCPCS,C1713,SCREW CORT SLFTP T8 2.7X40MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP T8 2.7X42MM,378.0,302.4,1.0,340.2,26
HCPCS,C1713,SCREW CORT SLFTP T8 2.7X70MM,485.0,388.0,1.0,436.5,26
HCPCS,C1713,SCREW CORT SLFTP T8 2.7X80MM,485.0,388.0,1.0,436.5,26
HCPCS,C1713,SCREW CORT SLFTP T8 AAPI2.7X14,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW CORT SLFTP T8 AAPI2.7X16,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 3.5X12MM,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 3.5X14MM,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 3.5X18MM,420.0,336.0,1.0,378.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 3.5X26MM,420.0,336.0,1.0,378.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 3.5X28MM,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 3.5X30MM,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 3.5X32MM,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 4.5X34MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 4.5X42MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 4.5X48MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 4.5X52MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTP ZIMM 4.5X70MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT SLFTPSMHDT15 3.5X12,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW CORT SLFTPSMHDT15 3.5X14,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW CORT SLFTPSPS SS3.5X100,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTPSPS SS3.5X105,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTPSPS SS3.5X110,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT SLFTPSPS SS3.5X120,274.0,219.2,1.0,246.6,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X100MM,344.0,275.2,1.0,309.6,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X105MM,344.0,275.2,1.0,309.6,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X10MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X110MM,344.0,275.2,1.0,309.6,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X115MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X120MM,328.0,262.4,1.0,295.2,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X125MM,332.0,265.6,1.0,298.8,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X12MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X130MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X135MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X140MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X145MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X14MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X150MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X16MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X18MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X20MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X22MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X24MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X26MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X28MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X30MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X32MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X34MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X36MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X38MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X40MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X42MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X44MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X45MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X46MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X48MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X50MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X55MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X60MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X65MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X70MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X75MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X80MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X85MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X90MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STAR T15 3.5X95MM,273.0,218.4,1.0,245.7,26
HCPCS,C1713,SCREW CORT STD NEWC 3.5X24MM,3913.0,3130.4,1.0,3521.7,26
HCPCS,C1713,SCREW CORT STD NEWC 3.5X26MM,3913.0,3130.4,1.0,3521.7,26
HCPCS,C1713,SCREW CORT STD NEWC 3.5X28MM,3913.0,3130.4,1.0,3521.7,26
HCPCS,C1713,SCREW CORT STD NEWC 3.5X30MM,3913.0,3130.4,1.0,3521.7,26
HCPCS,C1713,SCREW CORT SYNT 1.5X10MM,437.0,349.6,1.0,393.3,26
HCPCS,C1713,SCREW CORT SYNT 1.5X11MM,437.0,349.6,1.0,393.3,26
HCPCS,C1713,SCREW CORT SYNT 1.5X12MM,437.0,349.6,1.0,393.3,26
HCPCS,C1713,SCREW CORT SYNT 1.5X14MM,437.0,349.6,1.0,393.3,26
HCPCS,C1713,SCREW CORT SYNT 1.5X16MM,437.0,349.6,1.0,393.3,26
HCPCS,C1713,SCREW CORT SYNT 1.5X6MM,437.0,349.6,1.0,393.3,26
HCPCS,C1713,SCREW CORT SYNT 1.5X7MM,437.0,349.6,1.0,393.3,26
HCPCS,C1713,SCREW CORT SYNT 1.5X8MM,437.0,349.6,1.0,393.3,26
HCPCS,C1713,SCREW CORT SYNT 1.5X9MM,437.0,349.6,1.0,393.3,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X10,913.0,730.4,1.0,821.7,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X12,913.0,730.4,1.0,821.7,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X14,913.0,730.4,1.0,821.7,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X16,913.0,730.4,1.0,821.7,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X18,949.0,759.2,1.0,854.1,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X20,949.0,759.2,1.0,854.1,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X22,949.0,759.2,1.0,854.1,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X24,913.0,730.4,1.0,821.7,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X26,913.0,730.4,1.0,821.7,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X28,913.0,730.4,1.0,821.7,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X30,913.0,730.4,1.0,821.7,26
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X32,913.0,730.4,1.0,821.7,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X10MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X11MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X12MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X13MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X14MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X15MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X16MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X17MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X18MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X19MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X20MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X22MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X24MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X26MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X28MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X30MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X32MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X34MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X36MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X38MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X40MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X42MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X44MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X46MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X48MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X50MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X6MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X7MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X8MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X9MM,957.0,765.6,1.0,861.3,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X10MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X11MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X12MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X13MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X14MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X16MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X18MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X20MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X22MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X24MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X26MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X28MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X30MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X32MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X34MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X36MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X38MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X40MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X6MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X7MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X8MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X9MM,483.0,386.4,1.0,434.7,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X10MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X12MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X14MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X16MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X18MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X20MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X22MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X24MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X26MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X28MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X30MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X32MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X34MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X36MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X38MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X40MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X42MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X44MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X46MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X48MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X50MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X55MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X60MM,370.0,296.0,1.0,333.0,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X10,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X12,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X14,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X16,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X18,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X20,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X22,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X24,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X26,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X28,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X30,407.0,325.6,1.0,366.3,26
HCPCS,C1713,SCREW CORT T8 STARDR TI2.4X6MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8 STARDR TI2.4X8MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X10MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X11MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X12MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X13MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X14MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X15MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X16MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X17MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X18MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X19MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X20MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X22MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X24MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X26MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X28MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X30MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X32MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X34MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X36MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X38MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X40MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X42MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X44MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X46MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X48MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X50MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X52MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X54MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X56MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X58MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X60MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X65MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X6MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X70MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X75MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X7MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X80MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X85MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X8MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X90MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X9MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X10MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X12MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X14MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X16MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X18MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X20MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X22MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X24MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X26MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X28MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X30MM,531.0,424.8,1.0,477.9,26
HCPCS,C1713,SCREW CORT TI SLFTP 2X13M*NLU*,403.0,322.4,1.0,362.7,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X10MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X12MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X14MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X16MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X18MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X20MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X22MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X24MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X26MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X28MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X30MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X32MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X34MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X36MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X38MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X40MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X45MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X50MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X55MM,294.0,235.2,1.0,264.6,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X22MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X32MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X34MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X36MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X38MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X40MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X42MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X44MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X46MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X48MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X50MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X52MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X54MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X56MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X60MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X64MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X66MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X70MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT TIP 3X80/35MM*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X20,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X22,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X24,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X26,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X28,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X30,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X32,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X34,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X36,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X40,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X10MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X11MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X12MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X13MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X14MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X15MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X16MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X8MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X9MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.5X12MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.5X14MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.5X16MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.5X24MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 2.5X26MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X10MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X16MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X18MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X20MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X28MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X38MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X14MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X16MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X18MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X20MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X22MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X24MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X26MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X28MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X34MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X36MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X38MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X12MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X20MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X22MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X24MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X26MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X28MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X32MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X36MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X38MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X40MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW CORT TRMI 2.3X10MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X11MM,747.0,597.6,1.0,672.3,26
HCPCS,C1713,SCREW CORT TRMI 2.3X12MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X14MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X16MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X18MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X20MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X22MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X24MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X26MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X28MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X30MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.3X9MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.7X12MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 2.7X14MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 3.2X10MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 3.2X11MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 3.2X12MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 3.2X13MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 3.2X14MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 3.2X15MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 3.2X16MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 3.2X18MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 3.2X20MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT TRMI 3.2X8MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW CORT VA LOQTEQ T8 2.5X10,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW CORT VA LOQTEQ T8 2.5X12,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW CORT VA LOQTEQ T8 2.5X14,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW CORT VA LOQTEQ T8 2.5X16,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW CORT VA STRY,2533.0,2026.4,1.0,2279.7,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X10MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X11MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X12MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X13MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X14MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X15MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X16MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X17MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X18MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X19MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X20MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X22MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X24MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X26MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X28MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X30MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X32MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X34MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X36MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X38MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X40MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X42MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X44MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X46MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X48MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X50MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X52MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X54MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X56MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X58MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X60MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X65MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X6MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X70MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X75MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X7MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X80MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X85MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X8MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X90MM,1302.0,1041.6,1.0,1171.8,26
HCPCS,C1713,SCREW CORT VOLT SS 2.4X9MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X10MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X11MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X12MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X14MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X7MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X8MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X9MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CORT XTAB VPR2 TI 7X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CORT XTAB VPRPRIMET17X55,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CORT XTAB VPRPRIMETI7X35,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CORT XTAB VPRPRIMETI7X40,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CORT XTAB VPRPRIMETI7X45,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CORT XTAB VPRPRIMETI7X50,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X10MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X12MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X14 MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X18MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X20MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X22MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X24MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X26MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X28MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X30MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X32MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X34MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X36MM,336.0,268.8,1.0,302.4,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X38MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X40MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X42MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X44MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X46MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X48MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X50MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X52MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X54MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X56MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X58MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X60MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X65MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X6MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X7 MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X70MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X8MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 2.7X9MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X14MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X16MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X18MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X20MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X22MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X24MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X26MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X28MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X30MM,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X30MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X32MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X34MM,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X34MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X36MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X38MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X40MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X42MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X44MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X46MM,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X46MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X48MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X50MM,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X50MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X52MM,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X52MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X54MM,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X54MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X56MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X58MM*DISC*,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X60MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X64MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4.5X70MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X10MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X12MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X14MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X16MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X18MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X20MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X22MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X24MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X26MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X28MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW CORT ZIMM 4X30MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X32MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X34MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X36MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X38MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X40MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X42MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X44MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X46MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X48MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X50MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X55MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X60MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X65MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM 4X70MM*DISC*,532.0,425.6,1.0,478.8,26
HCPCS,C1713,SCREW CORT ZIMM2.7X16MM,320.0,256.0,1.0,288.0,26
HCPCS,C1713,SCREW CORTEX SLFTP HANDTI1.3X1,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTEX SLFTP HANDTI1.3X6,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTEX SLFTP HANDTI1.3X7,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTEX SLFTP HANDTI1.3X8,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTEX SLFTP HANDTI1.3X9,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X11,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X12,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X13,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X14,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X16,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X18,752.0,601.6,1.0,676.8,26
HCPCS,C1713,SCREW CORTSLFDRSEMICNSTND4X14,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW CP LAG T10 4.1X38MM,3304.0,2643.2,1.0,2973.6,26
HCPCS,C1713,SCREW CP LAG T10 4.1X40MM,3304.0,2643.2,1.0,2973.6,26
HCPCS,C1713,SCREW CP PA LK T8 3.6X22M*NLU*,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW CRANFAC SYNT 1.3X4M*NLU*,538.0,430.4,1.0,484.2,26
HCPCS,C1713,SCREW CRANI SLFDR 1.6X6MM*NLU*,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CREO AMP 5.5 RDCTN TULIP,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1713,SCREW CREO PA THRD 6.5X45MM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW CREO PA THRD 7.5X45MM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW CREO PA THRD 8.5X40MM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW CREO PA THRD STER 5.0X30,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CREO PA THRD STER 5.5X30,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CREO PA THRD STER 5.5X35,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CREO PA THRD STER 6.5X30,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CREO PA THRD STER 6.5X35,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW CREO PA TULIP,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1713,SCREW CREO THRD TULIP,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1713,SCREW CREO TULIP HD 5.5X10MM,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1713,SCREW CROSSDRIV EMER 3.2X12MM,725.0,580.0,1.0,652.5,26
HCPCS,C1713,SCREW CROSSDRIV SIL 2.7X12MM,679.0,543.2,1.0,611.1,26
HCPCS,C1713,SCREW CROSSDRIV SIL 2.7X8MM,679.0,543.2,1.0,611.1,26
HCPCS,C1713,SCREW CROSSDRIVE 2.3X11MM,599.0,479.2,1.0,539.1,26
HCPCS,C1713,SCREW CROSSDRIVE 2.3X13MM,599.0,479.2,1.0,539.1,26
HCPCS,C1713,SCREW CROSSDRIVE 2.3X15MM,599.0,479.2,1.0,539.1,26
HCPCS,C1713,SCREW CROSSDRIVE 2.3X7MM,599.0,479.2,1.0,539.1,26
HCPCS,C1713,SCREW CROSSDRIVE 2.3X9MM,599.0,479.2,1.0,539.1,26
HCPCS,C1713,SCREW CROSSDRIVE DF 1.5X3.5MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CROSSDRIVE DF 1.5X4MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CROSSDRIVE DF 1.5X5MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW CROSSDRIVE DF 1.8X4*NLU*,417.0,333.6,1.0,375.3,26
HCPCS,C1713,SCREW CROSSDRIVE EMER 2.5X13MM,614.0,491.2,1.0,552.6,26
HCPCS,C1713,SCREW CROSSDRIVE EMER 2.5X9MM,614.0,491.2,1.0,552.6,26
HCPCS,C1713,SCREW CROSSDRIVE LK 2.3X12MM,1641.0,1312.8,1.0,1476.9,26
HCPCS,C1713,SCREW CROSSDRIVE LK 2X6MM,1377.0,1101.6,1.0,1239.3,26
HCPCS,C1713,SCREW CRSPIN SLFDR CMF 1.2X4MM,707.0,565.6,1.0,636.3,26
HCPCS,C1713,SCREW CRSPIN SLFTP CMF 1.2X4MM,672.0,537.6,1.0,604.8,26
HCPCS,C1713,SCREW CRSPIN SLFTP CMF 1.7X4MM,572.0,457.6,1.0,514.8,26
HCPCS,C1713,SCREW CRSPIN SLFTP CMF 1.7X5MM,572.0,457.6,1.0,514.8,26
HCPCS,C1713,SCREW CRSPIN SLFTP EMER1.*NLU*,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW CRUCIFORM TI 2.1X14MM,542.0,433.6,1.0,487.8,26
HCPCS,C1713,SCREW CRUCIFORM TI 2.1X18MM,542.0,433.6,1.0,487.8,26
HCPCS,C1713,SCREW CRUCIFORM TI 2.1X22MM,542.0,433.6,1.0,487.8,26
HCPCS,C1713,SCREW CRUCIFORM TI 2.7X10MM,542.0,433.6,1.0,487.8,26
HCPCS,C1713,SCREW CRUCIFORM TI 2.7X12MM,542.0,433.6,1.0,487.8,26
HCPCS,C1713,SCREW CRUCIFORM TI 2.7X14MM,542.0,433.6,1.0,487.8,26
HCPCS,C1713,SCREW CRUCIFORM TI 2.7X16MM,542.0,433.6,1.0,487.8,26
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X36MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW DENTAL TAD BTN TOP 1.4X6,1479.0,1183.2,1.0,1331.1,26
HCPCS,C1713,SCREW DIST RAD STRY 2.7X10MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DIST RAD STRY 2.7X12MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DIST RAD STRY 2.7X14MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DIST RAD STRY 2.7X16MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DIST RAD STRY 2.7X18MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DIST RAD STRY 2.7X20MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DIST RAD STRY 2.7X22MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DIST RAD STRY 2.7X24MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DIST RAD STRY 2.7X26MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DIST TORNIER PUR4.3X22MM,1541.0,1232.8,1.0,1386.9,26
HCPCS,C1713,SCREW DIST TORNIER PUR4.3X24MM,1541.0,1232.8,1.0,1386.9,26
HCPCS,C1713,SCREW DISTR QK START 12MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1713,SCREW DISTRAC CASPAR 12MM,227.0,181.6,1.0,204.3,26
HCPCS,C1713,SCREW DISTRAC CASPAR 14MM,227.0,181.6,1.0,204.3,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X10MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X12MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X14MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X16MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X18MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X20MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X22MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X24MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X26MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X28MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X30MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X32MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X34MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X36MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADBONESTRY 2.3X38MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X10MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X12MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X14MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X16MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X18MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X20MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X22MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X24MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X26MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X28MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X30MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X32MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X34MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X36MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.3X38MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.7X10MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.7X12MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.7X16MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.7X18MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.7X20MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.7X22MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.7X24MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.7X26MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1713,SCREW DRILL VA ZAVA 4.0X14MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW ELBOW LK 2.7X10MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW ELBOW LK 2.7X14MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW ELBOW LK 2.7X16MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW ELBOW LK 2.7X18MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW ELBOW LK 2.7X20MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW ELBOW LK 2.7X22MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X10MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X12MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X14MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X16MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X18MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X20MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X22MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X24MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X26MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X28MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X30MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X32MM,866.0,692.8,1.0,779.4,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X34MM,866.0,692.8,1.0,779.4,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X36MM,866.0,692.8,1.0,779.4,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X38MM,866.0,692.8,1.0,779.4,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X40MM,866.0,692.8,1.0,779.4,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X42MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X44MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X46MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X48MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X50MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X55MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X60MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X65MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X70MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X10MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X12MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X14MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X16MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X18MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X20MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X22MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X24MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X26MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X28MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X30MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X32MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X34MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X36MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X38MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X40MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X42MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X46MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X48MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X50MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X55MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X60MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X65MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X70MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X8MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW EMER CRANFAC SYNT 3MM,573.0,458.4,1.0,515.7,26
HCPCS,C1713,SCREW EMER CRANFAC SYNT 4MM,573.0,458.4,1.0,515.7,26
HCPCS,C1713,SCREW EMER CRANFAC SYNT 5MM,573.0,458.4,1.0,515.7,26
HCPCS,C1713,SCREW EMER MTXNEURO TI 1.8X3MM,536.0,428.8,1.0,482.4,26
HCPCS,C1713,SCREW EMER MTXNEURO TI 1.8X4MM,536.0,428.8,1.0,482.4,26
HCPCS,C1713,SCREW ENDOFIX ZIMM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW ENDPLT XRL MD STER,1938.0,1550.4,1.0,1744.2,26
HCPCS,C1713,SCREW EXT LINK VDR ACU-LOC2,1420.0,1136.0,1.0,1278.0,26
HCPCS,C1713,SCREW EXT TAB SI PA 5X25MM,3656.0,2924.8,1.0,3290.4,26
HCPCS,C1713,SCREW EXT TAB SI PA 6X30MM,3656.0,2924.8,1.0,3290.4,26
HCPCS,C1713,SCREW EXTL FIX SCHANZ S 40X175,1388.0,1110.4,1.0,1249.2,26
HCPCS,C1713,SCREW EXTL FIXSCHANZHASS30X175,1993.0,1594.4,1.0,1793.7,26
HCPCS,C1713,SCREW FA MERIDIAN 5.5X20MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW FA MERIDIAN 5.5X25MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW FA MERIDIAN 5.5X30MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW FA MERIDIAN 6.0X25MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW FA MERIDIAN 6.0X30MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW FA SLFDR ADMRL 4.0X12MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFDR ADMRL 4.0X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFDR ADMRL 4.0X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFDR ADMRL 4.3X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFDR ADMRL 4.3X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFDR ADMRL 4.3X18MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFDR ASC 3.5X12MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFDR ASC 3.5X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFDR ASC 3.5X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFDR ASC 3.5X18MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFTP ADMRL 4.0X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFTP ADMRL 4.3X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFTP ADMRL 4.3X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFTP ASC 3.5X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFTP ASC 3.5X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA SLFTP ASC 4.0X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW FA VUEPOINT II 3.5X12MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW FA VUEPOINT II 3.5X14MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW FA VUEPOINT II 3.5X16MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW FA VUEPOINT II 3.5X22MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW FA VUEPOINT II 4.0X12MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW FA VUEPOINT II 4.0X14MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW FA VUEPOINT II 4.0X16MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW FA VUEPOINT II 4.0X20MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW FA VUEPOINT II 4.0X22MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW FAS INVICTUS 4X20MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW FASTPITCH LK HIGH 2.7MM,4662.0,3729.6,1.0,4195.8,26
HCPCS,C1713,SCREW FASTPITCHLKHIGH12/14 2.7,4662.0,3729.6,1.0,4195.8,26
HCPCS,C1713,SCREW FEM ANTEGRD COMP T2 5.5,2582.0,2065.6,1.0,2323.8,26
HCPCS,C1713,SCREW FEM COMP ADV T2 8.0MM,1482.0,1185.6,1.0,1333.8,26
HCPCS,C1713,SCREW FEM COMP T2 8.0MM,1482.0,1185.6,1.0,1333.8,26
HCPCS,C1713,SCREW FEM PA 5.5X65MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW FEM PA 5.5X70MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW FEM PA 5.5X75MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW FEM PA 5.5X80MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW FEM PA 5.5X90MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW FEM PA 5.5X95MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW FEN EVEREST 6.5X45MM,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW FEN JANUS 4.5X30MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 4.5X35MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 4.5X40MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 5.5X35MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 5.5X40MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 5.5X45MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 6.5X40MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 6.5X45MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 6.5X50MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 6.5X55MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 7.5X45MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 7.5X50MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN JANUS 7.5X55MM,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW FEN TFNA TI STER 100MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FEN TFNA TI STER 105MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FEN TFNA TI STER 110MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FEN TFNA TI STER 115MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FEN TFNA TI STER 120MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FEN TFNA TI STER 125MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FEN TFNA TI STER 75MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FEN TFNA TI STER 80MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FEN TFNA TI STER 85MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FEN TFNA TI STER 90MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FEN TFNA TI STER 95MM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW FIX LEAD DBS 10MM*NLU*,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW FIX SLFDR ZAVATION4.0X14,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW FRAC JONES SOLID4.5X40MM,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1713,SCREW FRAG HEXALOBE 2.5MMX14MM,2104.0,1683.2,1.0,1893.6,26
HCPCS,C1713,SCREW FRAG HEXALOBE 2.5MMX18MM,2104.0,1683.2,1.0,1893.6,26
HCPCS,C1713,SCREW FRS 3.0X16MM*DISC*,2368.0,1894.4,1.0,2131.2,26
HCPCS,C1713,SCREW FRS 3.0X18MM*DISC*,2368.0,1894.4,1.0,2131.2,26
HCPCS,C1713,SCREW FRS 3.0X20MM*DISC*,2368.0,1894.4,1.0,2131.2,26
HCPCS,C1713,SCREW FRS 3.0X22MM*DISC*,2368.0,1894.4,1.0,2131.2,26
HCPCS,C1713,SCREW FRS 3.0X28MM*DISC*,2368.0,1894.4,1.0,2131.2,26
HCPCS,C1713,SCREW FRS 3.0X30MM*DISC*,2368.0,1894.4,1.0,2131.2,26
HCPCS,C1713,SCREW FRS 3.0X32MM*DISC*,2368.0,1894.4,1.0,2131.2,26
HCPCS,C1713,SCREW FRS 3.0X34MM*DISC*,2368.0,1894.4,1.0,2131.2,26
HCPCS,C1713,SCREW FUSN ACUTRAK 24MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW FUSN ACUTRAK 27MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW FUSN ACUTRAK 32MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW GESY 3.75X12MM*NLU*,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW GLENO LATERJET STER 36MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW GRIDLOCK TRIL 2.4X18MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X10M*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X12MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X14MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X16MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X18MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X20MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X22MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X24MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW HA MDTR 7.5X45MM*NLU*,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW HA MDTR 7.5X55MM*NLU*,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW HA VA GM 5.5X45MM*NLU*,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1713,SCREW HAMMERTOE BEND 12MM,9380.0,7504.0,1.0,8442.0,26
HCPCS,C1713,SCREW HAMMERTOE BEND 14MM,9380.0,7504.0,1.0,8442.0,26
HCPCS,C1713,SCREW HAMMERTOE ST 12MM,9380.0,7504.0,1.0,8442.0,26
HCPCS,C1713,SCREW HAMMERTOE ST 14MM,9380.0,7504.0,1.0,8442.0,26
HCPCS,C1713,SCREW HAMMERTOE ST 16MM,9380.0,7504.0,1.0,8442.0,26
HCPCS,C1713,SCREW HD DARTFIRE 3.0X16MM,1470.0,1176.0,1.0,1323.0,26
HCPCS,C1713,SCREW HD DARTFIRE 4.0X34MM,1865.0,1492.0,1.0,1678.5,26
HCPCS,C1713,SCREW HD DARTFIRE 4.0X38MM,1865.0,1492.0,1.0,1678.5,26
HCPCS,C1713,SCREW HD DARTFIRE EDGE3.5X42MM,2015.0,1612.0,1.0,1813.5,26
HCPCS,C1713,SCREW HD DARTFIRE EDGE3.5X44MM,2015.0,1612.0,1.0,1813.5,26
HCPCS,C1713,SCREW HD DARTFIRE EDGE4.0X28MM,2168.0,1734.4,1.0,1951.2,26
HCPCS,C1713,SCREW HD DARTFIRE EDGE4.0X30MM,2168.0,1734.4,1.0,1951.2,26
HCPCS,C1713,SCREW HD DARTFIRE EDGE4.0X44MM,2168.0,1734.4,1.0,1951.2,26
HCPCS,C1713,SCREW HD LNG DARTFIRE 4.0X48MM,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW HD MINI TI 3.0X30MM,1732.0,1385.6,1.0,1558.8,26
HCPCS,C1713,SCREW HD MINI TI 4.0X34MM,1600.0,1280.0,1.0,1440.0,26
HCPCS,C1713,SCREW HD MINI TI 4.0X36MM,1600.0,1280.0,1.0,1440.0,26
HCPCS,C1713,SCREW HD MINI TI 4.0X38MM,1600.0,1280.0,1.0,1440.0,26
HCPCS,C1713,SCREW HD MINI TI 4.0X50MM,1600.0,1280.0,1.0,1440.0,26
HCPCS,C1713,SCREW HD SPNL PA MARINER,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW HDLSS CANN FULL TI2.0X24,9114.0,7291.2,1.0,8202.6,26
HCPCS,C1713,SCREW HDLSS CANN LNG 5.5X70,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1713,SCREW HDLSS CANN MEDL 2.3X35MM,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1713,SCREW HDLSS CANN OSTE 2.4X38MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW HDLSS CANN T10 TI 3.0X24,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1713,SCREW HDLSS CANN T10 TI 3.0X26,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.0X28,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X14,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X24,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X26,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X28,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X30,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X32,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X34,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X36,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X38,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X40,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X42,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X20,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X22,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X24,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X26,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X28,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X38,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X44,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGER 4.0X42,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS CANN TIGERTI3.0X22,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW HDLSS CANN TIGERTI4.5X40,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS CANN TIGERTI4.5X50,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS CANN*DISC NO REPL*,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1713,SCREW HDLSS CANNFULLSTER3.5X50,9114.0,7291.2,1.0,8202.6,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X24MM,3300.0,2640.0,1.0,2970.0,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X30MM,3296.0,2636.8,1.0,2966.4,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X32MM,3300.0,2640.0,1.0,2970.0,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X34MM,3300.0,2640.0,1.0,2970.0,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X36MM,3300.0,2640.0,1.0,2970.0,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X38MM,3300.0,2640.0,1.0,2970.0,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X42MM,3296.0,2636.8,1.0,2966.4,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X46MM,3300.0,2640.0,1.0,2970.0,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X48MM,3300.0,2640.0,1.0,2970.0,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X65MM,3296.0,2636.8,1.0,2966.4,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X70MM,3296.0,2636.8,1.0,2966.4,26
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X80MM,3300.0,2640.0,1.0,2970.0,26
HCPCS,C1713,SCREW HDLSS COMP CANN 6.5X75,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X20,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X22,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X24,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X26,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X28,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X20,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X22,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X24,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X26,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X28,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X32,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X34,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X36,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X38,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X20,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X22,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X24,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X26,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X28,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X32,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X34,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X36,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X38,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X12,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X20,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X24,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X34,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X36,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X38,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X44,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X46,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X48,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X36,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X46,2854.0,2283.2,1.0,2568.6,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X48,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X52,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X54,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X56,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X42,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X75,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X75,3961.0,3168.8,1.0,3564.9,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X85,3961.0,3168.8,1.0,3564.9,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X60,3961.0,3168.8,1.0,3564.9,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X80,3961.0,3168.8,1.0,3564.9,26
HCPCS,C1713,SCREW HDLSS COMP LNG TI6.5X130,3961.0,3168.8,1.0,3564.9,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X12,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X14,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X18,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X20,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X22,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X24,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X26,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X28,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X30,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X32,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X34,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X36,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X38,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X40,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X42,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X46,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X48,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP MRME 3.0X18MM,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW HDLSS COMP MRME 3.0X24MM,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW HDLSS COMP MRME 3.5X22MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X10,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X12,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X14,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X16,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X18,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X20,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X22,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X24,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X26,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X28,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X10,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X12,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X14,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X16,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X18,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X20,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X22,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X24,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X26,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X28,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X32,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X34,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X36,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X38,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X10,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X12,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X14,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X16,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X18,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X20,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X22,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X24,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X26,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X28,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X32,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X34,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X36,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X38,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X14,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X16,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X18,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X20,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X22,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X24,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X26,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X28,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X32,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X34,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X36,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X38,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X42,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X44,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X24,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X30,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X32,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X34,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X40,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X44,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X46,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X58,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X42,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X48,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X50,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X60,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X70,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X80,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X60,3961.0,3168.8,1.0,3564.9,26
HCPCS,C1713,SCREW HDLSS COMP SHRTTI6.5X400,3961.0,3168.8,1.0,3564.9,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X20,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X24,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X26,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X30,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X32,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X34,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X36,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X38,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X40,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X42,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X44,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X46,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X48,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X50,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X58,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X60,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,SCREW HDLSS COMP STRY 4.0X40,2746.0,2196.8,1.0,2471.4,26
HCPCS,C1713,SCREW HDLSS COMP STRY 4.0X55,2746.0,2196.8,1.0,2471.4,26
HCPCS,C1713,SCREW HDLSS COMP STRY 4.0X65,2746.0,2196.8,1.0,2471.4,26
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X42,2870.0,2296.0,1.0,2583.0,26
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X50,2870.0,2296.0,1.0,2583.0,26
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X55,2870.0,2296.0,1.0,2583.0,26
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X60,2870.0,2296.0,1.0,2583.0,26
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X65,2870.0,2296.0,1.0,2583.0,26
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X75,2870.0,2296.0,1.0,2583.0,26
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X85,2870.0,2296.0,1.0,2583.0,26
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X90,2870.0,2296.0,1.0,2583.0,26
HCPCS,C1713,SCREW HDLSS COMP STRY 7.0X85,4061.0,3248.8,1.0,3654.9,26
HCPCS,C1713,SCREW HDLSS COMP STRY 7.0X90,4061.0,3248.8,1.0,3654.9,26
HCPCS,C1713,SCREW HDLSS COMP TI 2.4X24X8,1900.0,1520.0,1.0,1710.0,26
HCPCS,C1713,SCREW HDLSS COMP TI 2.4X30X12,1900.0,1520.0,1.0,1710.0,26
HCPCS,C1713,SCREW HDLSS COMP TI 2.4X34X14,1900.0,1520.0,1.0,1710.0,26
HCPCS,C1713,SCREW HDLSS COMP TI 2.4X36X14,1900.0,1520.0,1.0,1710.0,26
HCPCS,C1713,SCREW HDLSS COMP TI 2.5X18MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW HDLSS COMP TI 2.5X20MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW HDLSS COMP TI 2.5X22MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X10X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X12X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X13.0X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X14X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X16X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X16X5,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X17X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X18X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X18X6,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X20X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X20X7,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X21X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X22X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X22X8,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X23.0X4,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X24X5,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X24X8,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X25X5,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X26X10,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X26X5,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X27X6,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X28X10,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X28X6,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X29X6,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X3.00X7,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X3.02X7,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X3.04X8,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X3.06X9,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X3.08X9,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X40X10,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X40X16,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI 6.5X16X100,2061.0,1648.8,1.0,1854.9,26
HCPCS,C1713,SCREW HDLSS COMP TI 6.5X16X95,2061.0,1648.8,1.0,1854.9,26
HCPCS,C1713,SCREW HDLSS COMP TI3.0X3.00X12,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI3.0X3.02X12,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI3.0X3.04X14,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI3.0X3.06X14,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS COMP TI3.0X3.08X16,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X100MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X105MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X110MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X115MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X120MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X50MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X55MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X60MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X65MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X70MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X75MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X80MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X85MM,4165.0,3332.0,1.0,3748.5,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X90MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X95MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,SCREW HDLSS DARTFIRE 3.0X22MM,1962.0,1569.6,1.0,1765.8,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.0X16,2015.0,1612.0,1.0,1813.5,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X18,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X20,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X26,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X28,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X30,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X32,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X34,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X30,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X32,2368.0,1894.4,1.0,2131.2,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X34,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X38,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X40,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X42,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X44,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X50,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X26,5376.0,4300.8,1.0,4838.4,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X28,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X38,5376.0,4300.8,1.0,4838.4,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X40,5376.0,4300.8,1.0,4838.4,26
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X48,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X12,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X22,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X26,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X28,3112.0,2489.6,1.0,2800.8,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X34,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X40,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.5X24,2024.0,1619.2,1.0,1821.6,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL4.0X36,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL4.0X38,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL4.0X44,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL4.0X46,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW HDLSS DARTFIREFULL4.0X48,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X16MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X20MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X26MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X28MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X34MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X38MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW HDLSS HEXALOBE 3.5X16MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW HDLSS HEXALOBE 3.5X18MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW HDLSS HEXALOBE 3.5X20MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW HDLSS HEXALOBE 3.5X45MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW HDLSS HEXALOBE 3.5X50MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW HDLSS HEXALOBE 3.5X55MM,2496.0,1996.8,1.0,2246.4,26
HCPCS,C1713,SCREW HDLSS LNG DARTFIRE4.0X42,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW HDLSS LNG DARTFIRE4.0X46,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW HDLSS LNG DARTFIRE4.0X50,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X20MM,1721.0,1376.8,1.0,1548.9,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X30MM,1721.0,1376.8,1.0,1548.9,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X20MM,1718.0,1374.4,1.0,1546.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X22MM,1718.0,1374.4,1.0,1546.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X24MM,1718.0,1374.4,1.0,1546.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X26MM,1718.0,1374.4,1.0,1546.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X38MM,1858.0,1486.4,1.0,1672.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X40MM,1858.0,1486.4,1.0,1672.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X42MM,1858.0,1486.4,1.0,1672.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X44MM,1858.0,1486.4,1.0,1672.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X46MM,1858.0,1486.4,1.0,1672.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X48MM,1858.0,1486.4,1.0,1672.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X50MM,1858.0,1486.4,1.0,1672.2,26
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X60MM,1858.0,1486.4,1.0,1672.2,26
HCPCS,C1713,SCREW HDLSS MD MNSTR 7.0X55,5051.0,4040.8,1.0,4545.9,26
HCPCS,C1713,SCREW HDLSS MINI LNG 2.0X42MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI LNG 2.0X44MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI LNG 4.0X50MM,2366.0,1892.8,1.0,2129.4,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X14MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X18MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X32MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X42MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X44MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X46MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.5X18MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.5X22MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.5X28MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.0X40MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X26MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X28MM,2172.0,1737.6,1.0,1954.8,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X30MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X32MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X34MM,1934.0,1547.2,1.0,1740.6,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X38MM,2172.0,1737.6,1.0,1954.8,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X42MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X48MM,1934.0,1547.2,1.0,1740.6,26
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X18,2847.0,2277.6,1.0,2562.3,26
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X20,3025.0,2420.0,1.0,2722.5,26
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X22,2847.0,2277.6,1.0,2562.3,26
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X24,2847.0,2277.6,1.0,2562.3,26
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X34,2847.0,2277.6,1.0,2562.3,26
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X38,2847.0,2277.6,1.0,2562.3,26
HCPCS,C1713,SCREW HDLSS MINI STRY TI4.0X36,2847.0,2277.6,1.0,2562.3,26
HCPCS,C1713,SCREW HDLSS MINI STRY TI4.0X38,2847.0,2277.6,1.0,2562.3,26
HCPCS,C1713,SCREW HDLSS MINI STRY TI4.0X44,2847.0,2277.6,1.0,2562.3,26
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X60MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X65MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X70MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X75MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X80MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X85MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X90MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X95MM,3480.0,2784.0,1.0,3132.0,26
HCPCS,C1713,SCREW HDLSS SHRT MNSTR 7.0X50,5242.0,4193.6,1.0,4717.8,26
HCPCS,C1713,SCREW HDLSS SHRT SYNT 3X28MM,1718.0,1374.4,1.0,1546.2,26
HCPCS,C1713,SCREW HDLSS SHRT SYNT 3X30MM,1718.0,1374.4,1.0,1546.2,26
HCPCS,C1713,SCREW HDLSS SHRT SYNT 3X32MM,1718.0,1374.4,1.0,1546.2,26
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X65MM,1858.0,1486.4,1.0,1672.2,26
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X70MM,1858.0,1486.4,1.0,1672.2,26
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X14MM,1718.0,1374.4,1.0,1546.2,26
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X16MM,1718.0,1374.4,1.0,1546.2,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X30MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X35MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X50MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X55MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X60MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X65MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X70MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X75MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X80MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X110MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X55MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X85MM,1863.0,1490.4,1.0,1676.7,26
HCPCS,C1713,SCREW HEX CLAW WRIT 3.5X*NLU*,2624.0,2099.2,1.0,2361.6,26
HCPCS,C1713,SCREW HEX CNSTND 5.0X30MM*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X100MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X20MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X25MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X30MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X40MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X60MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X70MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X75MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X85MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW HIP LAG AFFIXUS10.5X80,5088.0,4070.4,1.0,4579.2,26
HCPCS,C1713,SCREW HMMF LK SLFDR 2.0X6MM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1713,SCREW HUMR CORT AFFIXUS 5X38MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW HV WRIT 3.0X20MM,3528.0,2822.4,1.0,3175.2,26
HCPCS,C1713,SCREW ILSC 3.5X28MM,3704.0,2963.2,1.0,3333.6,26
HCPCS,C1713,SCREW ILSC 3.5X30MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,SCREW ILSC 3.5X32MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,SCREW IMF MAND SYNT 2X12*NLU*,809.0,647.2,1.0,728.1,26
HCPCS,C1713,SCREW IMF MAND SYNT 2X12MM,1047.0,837.6,1.0,942.3,26
HCPCS,C1713,SCREW IMF MAND SYNT 2X8*NLU*,809.0,647.2,1.0,728.1,26
HCPCS,C1713,SCREW IMF MAND SYNT 2X8MM,1047.0,837.6,1.0,942.3,26
HCPCS,C1713,SCREW INDEPEND VA GM 5.5X45MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW INFINITY MA 3.5X10MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 3.5X12MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 3.5X16MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 3.5X18MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 3.5X22MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 3.5X24MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 3.5X26MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 3.5X28MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 3.5X30MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 3.5X32MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 3.5X34MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X12MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X16MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X18MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X22MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X24MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X28MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X30MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X32MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.0X34MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X12MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X16MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X18MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X22MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X24MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X26MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X28MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X30MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X32MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 4.5X34MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 5.5X15MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 5.5X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 5.5X25MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 5.5X30MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 5.5X35MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA 5.5X40MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X18MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X22MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X24MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X26MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X28MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X30MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X32MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X34MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X36MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X38MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 3.5X40MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X18MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X22MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X24MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X26MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X28MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X30MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X32MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X34MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X36MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X38MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PT 4.0X40MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PTSTER3.5X32,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PTSTER3.5X34,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW INFINITY MA PTSTER3.5X36,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PTSTER3.5X38,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PTSTER3.5X40,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PTSTER4.0X32,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PTSTER4.0X34,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA PTSTER4.0X36,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA STER4.5X14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA STER4.5X18MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA STER4.5X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA STER5.5X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA STER5.5X25MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA STER5.5X30MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA STER5.5X35MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INFINITY MA STER5.5X40MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 10X20MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 6X20MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 6X23MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 7X20MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 7X23MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 7X28MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 7X30MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 8X20MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 8X23MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 8X28MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 8X30MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 9X20MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 9X23MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER BIOCOMP 9X28MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER BIOCOMP10X23MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER BIOCOMP10X28MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER BIOCOMP11X28MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER BIOCOMP12X28MM,2068.0,1654.4,1.0,1861.2,26
HCPCS,C1713,SCREW INTERFER PEEK NV 7X20MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW INTERFER RATTLER4.*DISC*,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW INTERFER RD 7X20MM*NLU*,1556.0,1244.8,1.0,1400.4,26
HCPCS,C1713,SCREW INTERFER TI RD 10X25MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW INTERFER TI RD 9X20MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW INTERFER TI RD 9X25MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1713,SCREW INTERLK FULL THRD 4.0X20,3032.0,2425.6,1.0,2728.8,26
HCPCS,C1713,SCREW INTERLK FULL THRD 4.0X25,3032.0,2425.6,1.0,2728.8,26
HCPCS,C1713,SCREW INTERLK FULL THRD 4.0X30,3032.0,2425.6,1.0,2728.8,26
HCPCS,C1713,SCREW INTERLK FULLTHRD4.0X22.5,3032.0,2425.6,1.0,2728.8,26
HCPCS,C1713,SCREW INTERLK FULLTHRD4.5X37.5,2150.0,1720.0,1.0,1935.0,26
HCPCS,C1713,SCREW INTERLK FULLTHRD4.5X42.5,2150.0,1720.0,1.0,1935.0,26
HCPCS,C1713,SCREW INTERLK FULLTHRD4.5X62.5,2150.0,1720.0,1.0,1935.0,26
HCPCS,C1713,SCREW INTERLK STER 5X20MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW INTERLK STER 5X36MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW INTRL CAPTURE GLD 5X60,1992.0,1593.6,1.0,1792.8,26
HCPCS,C1713,SCREW INTRLK 3.7X20MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X22.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X25MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X27.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X30MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X32.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X35MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X37.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X40MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X42.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X45MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X47.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X50MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X52.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X55MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X57.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X60MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X62.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X65MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X67.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X70MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X72.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X75MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X77.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X80MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X82.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X85MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X87.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 3.7X90MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X20MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X22.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X25MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X27.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X30MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X32.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X35MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X37.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X40MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X42.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X45MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X47.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X50MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X52.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X55MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X57.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X60MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X62.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X65MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X67.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X70MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X72.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X75MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X77.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X80MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X82.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X85MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X87.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.2X90MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X20MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X22.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X25MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X27.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X30MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X32.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X35MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X37.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X40MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X42.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X45MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X47.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X50MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X52.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X55MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X57.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X60MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X62.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X65MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X67.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X70MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X72.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X75MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X77.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X80MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X82.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X85MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X87.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 4.5X90MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X20MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X22.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X25MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X27.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X30MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X32.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X35MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X37.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X40MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X42.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X45MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X47.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X50MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X52.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X55MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X57.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X60MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X62.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X65MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X67.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X70MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X72.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X75MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X77.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X80MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X82.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X85MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X87.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X90MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X92.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X95MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW INTRLK 5.5X97.5MM*DISC*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW JONES FRAC 4.5X50MM,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1713,SCREW JONES FRAC 5.5X50M*NLU*,7160.0,5728.0,1.0,6444.0,26
HCPCS,C1713,SCREW JONES LOPRO PT 4.5X40MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW JONES LOPRO PT 4.5X45MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW JONES LOPRO PT 4.5X50MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW JONES LOPRO PT 4.5X55MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X40MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X45MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X50MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X55MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X60MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW JONES LOPRO PT 6.0X45MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW JONES LOPRO PT 6.0X50MM,5247.0,4197.6,1.0,4722.3,26
HCPCS,C1713,SCREW KT HUMR ZIMM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW LAB GALILEO RT10.5X110MM,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X100MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X105MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X110MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X115MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X120MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X125MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X130MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X135MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X140MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X145MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X65MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X70MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X75MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X80MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X85MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X90MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP 12.7X95MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG 1STEP STER 12.7X75MM,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1713,SCREW LAG 1STEP STER 12.7X90MM,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1713,SCREW LAG 1STEP STER 12.7X95MM,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1713,SCREW LAG 1STEP STER12.7X105MM,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1713,SCREW LAG 1STEP STER12.7X110MM,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1713,SCREW LAG 1STEP STER12.7X115MM,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1713,SCREW LAG 1STEP STER12.7X120MM,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1713,SCREW LAG 1STEP STER12.7X125MM,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1713,SCREW LAG 3.2X14MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LAG 3.2X16MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LAG 3.2X18MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LAG 3.2X20MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LAG 3.2X22MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LAG 3.2X24MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LAG CANN ARTX 14MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LAG CANN ARTX 16MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LAG CANN ARTX 18MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LAG CANN ARTX 30MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LAG DHSDCS SYNT12.7X80MM,2332.0,1865.6,1.0,2098.8,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X100MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X105MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X110MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X115MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X120MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X125MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X130MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X75MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X80MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X85MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X90MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA3 10.5X95MM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1713,SCREW LAG GAMMA4 10.5X100MM,4022.0,3217.6,1.0,3619.8,26
HCPCS,C1713,SCREW LAG GAMMA4 10.5X85MM,4022.0,3217.6,1.0,3619.8,26
HCPCS,C1713,SCREW LAG ORTHOLOC 3.5X26MM,2476.0,1980.8,1.0,2228.4,26
HCPCS,C1713,SCREW LAG OSTE 2.4X14MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW LAG RC GAMMA4 10.5X100MM,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW LAG TELESCOPING 10.5X115,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,SCREW LAG TELESCOPING 10.5X90,5370.0,4296.0,1.0,4833.0,26
HCPCS,C1713,SCREW LAG TI KLS 2.3X20MM,504.0,403.2,1.0,453.6,26
HCPCS,C1713,SCREW LAG ZIMM 50MM*DISC*,3072.0,2457.6,1.0,2764.8,26
HCPCS,C1713,SCREW LAG ZIMM 60MM*DISC*,3072.0,2457.6,1.0,2764.8,26
HCPCS,C1713,SCREW LAG ZIMM 70MM*DISC*,3072.0,2457.6,1.0,2764.8,26
HCPCS,C1713,SCREW LAG ZIMM 80MM*DISC*,3072.0,2457.6,1.0,2764.8,26
HCPCS,C1713,SCREW LAG ZIMM 90MM*DISC*,3072.0,2457.6,1.0,2764.8,26
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X50MM,2563.0,2050.4,1.0,2306.7,26
HCPCS,C1713,SCREW LAPIPLASTY HDLSS 4.0MM,4179.0,3343.2,1.0,3761.1,26
HCPCS,C1713,SCREW LAPIPLASTY TRAVERSE3.5MM,4179.0,3343.2,1.0,3761.1,26
HCPCS,C1713,SCREW LATARJET STER 38MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW LATARJET STER 40MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW LCK HEXALOBE 2.7X44MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LCK MATRIXMAND 2.9X10MM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LEGCYMATI5.5X4.5X45*NLU*,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW LISFRANC 4.5X40MM,5660.0,4528.0,1.0,5094.0,26
HCPCS,C1713,SCREW LISFRANC 4.5X46MM,5660.0,4528.0,1.0,5094.0,26
HCPCS,C1713,SCREW LK 2 DUALX T/PLIF,5970.0,4776.0,1.0,5373.0,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X30,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X32,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X38,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X40,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X42,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X44,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X46,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X48,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X50,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X56,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X60,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X62,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X64,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X66,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X68,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X70,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X72,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X76,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X78,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X80,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X85,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE TI 4X30MM,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE TI 4X34MM,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE TI 4X38MM,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ANG STABLE TI 4X48MM,1485.0,1188.0,1.0,1336.5,26
HCPCS,C1713,SCREW LK ARMADA TI OPEN TULIP,570.0,456.0,1.0,513.0,26
HCPCS,C1713,SCREW LK ARSENAL 2.7X12MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,SCREW LK ARSENAL 2.7X14MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,SCREW LK ARSENAL 2.7X16MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,SCREW LK ARSENAL 2.7X18MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,SCREW LK ARSENAL 2.7X22MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,SCREW LK ARSENAL 3.5X14MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,SCREW LK ARSENAL 3.5X16MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,SCREW LK ARSENAL 3.5X18MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,SCREW LK ARSENAL 3.5X20MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,SCREW LK ARSENAL 4.0X16MM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1713,SCREW LK AVID TI 2.7X14MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK AVID TI 2.7X16MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK AVID TI 3.5X14MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK AVID TI 3.5X16MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK AVID TI 3.5X20MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X16MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X20MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X22MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X24MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X26MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X28MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X30MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X32MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X34MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X36MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X38MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X40MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X42MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X44MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X46MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X48MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X50MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X55MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X60MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X65MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X70MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X75MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X80MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X85MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X90MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 4.0X95MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X16MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X18MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X20MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X24MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X26MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X28MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X30MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X32MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X34MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X36MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X38MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X40MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X42MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X44MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X46MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X50MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X55MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X60MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X65MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X70MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X75MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X80MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X85MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X90MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK AXSOS TI 5.0X95MM,1925.0,1540.0,1.0,1732.5,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.0X10MM,1976.0,1580.8,1.0,1778.4,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.0X8MM,1976.0,1580.8,1.0,1778.4,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X10MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X11MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X12MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X14MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X15MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X16MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X18MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X20MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X22MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X24MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X26MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X28MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X30MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X32MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X36MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X8MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK BUNION 2.4X8MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK CANN PRECICE 4.0X30MM,2192.0,1753.6,1.0,1972.8,26
HCPCS,C1713,SCREW LK CANN PRECICE 5.0X35MM,2192.0,1753.6,1.0,1972.8,26
HCPCS,C1713,SCREW LK CANN PRECICE 5.0X50MM,2192.0,1753.6,1.0,1972.8,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X25,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X30,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X35,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X40,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X45,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X50,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X55,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X60,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X65,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X70,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X75,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X80,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X85,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X90,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X95,1910.0,1528.0,1.0,1719.0,26
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X105,1946.0,1556.8,1.0,1751.4,26
HCPCS,C1713,SCREW LK CAPRI EXPAND LG,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW LK COMPACT THRD3.50X24MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK CONIC HD 4X34*DISC*,1056.0,844.8,1.0,950.4,26
HCPCS,C1713,SCREW LK CONIC HD NEWC3.5X14MM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1713,SCREW LK CONIC HD NEWC3.5X30MM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1713,SCREW LK CONIC HD NEWC3.5X32MM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1713,SCREW LK CONN VERTEX,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW LK CORT 3.2X12MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LK CORT 3.2X14MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LK CORT 3.2X16MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LK CORT 3.2X18MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LK CORT 4.5X14MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK CORT 4.5X32MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK CORT 4.5X36MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK CORT 4.5X38MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK CORT 4.5X40MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK CORT 4.5X45MM*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK CORT ACUM 2.3X10MM,1012.0,809.6,1.0,910.8,26
HCPCS,C1713,SCREW LK CORT ACUM 2.3X12MM,1012.0,809.6,1.0,910.8,26
HCPCS,C1713,SCREW LK CORT ACUM 2.3X14MM,1012.0,809.6,1.0,910.8,26
HCPCS,C1713,SCREW LK CORT ACUM 2.3X16MM,1012.0,809.6,1.0,910.8,26
HCPCS,C1713,SCREW LK CORT ACUM 2.3X18MM,1012.0,809.6,1.0,910.8,26
HCPCS,C1713,SCREW LK CORT ACUM 2.3X20MM,1012.0,809.6,1.0,910.8,26
HCPCS,C1713,SCREW LK CORT ACUM 2.3X22MM,1012.0,809.6,1.0,910.8,26
HCPCS,C1713,SCREW LK CORT ACUM 2.3X24MM,1012.0,809.6,1.0,910.8,26
HCPCS,C1713,SCREW LK CORT ACUM 2.3X26MM,1012.0,809.6,1.0,910.8,26
HCPCS,C1713,SCREW LK CORT ACUM 2.3X8MM,1012.0,809.6,1.0,910.8,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X10MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X12MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X14MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X16MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X18MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X20MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X22MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X24MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X26MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X28MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X30MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X32MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X34MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X36MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X38MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X40MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X45MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X50MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X55MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X60MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X65MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 2.7X8MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X10MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X12MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X14MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X16MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X18MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X20MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X22MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X24MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X26MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X28MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X30MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X32MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X34MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X36MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X38MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X40MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X45MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X50MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X55MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X60MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X65MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X6MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ACUM 3.5X8MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X10MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X12MM,1077.0,861.6,1.0,969.3,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X14MM,1077.0,861.6,1.0,969.3,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X16MM,1077.0,861.6,1.0,969.3,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X18MM,1077.0,861.6,1.0,969.3,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X20MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X22MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X26MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X28MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X30MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X32MM,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK CORT ARTX 3.5X34MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X22MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X28MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X30MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X32MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X34MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X36MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X16,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X22,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X24,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X26,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X28,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X30,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X32,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X34,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X36,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X38,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X40,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X42,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X44,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X46,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X48,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X50,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X55,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X60,2163.0,1730.4,1.0,1946.7,26
HCPCS,C1713,SCREW LK CORT GEMINUS 3.5X9MM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,SCREW LK CORT GLD 2.8X10MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT GLD 2.8X12MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT HUMR TI 3.5X28MM,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW LK CORT HUMR TI 3.5X50MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X16MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X18MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X20MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X22MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X24MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X28MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X30MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X32MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X36MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X38MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X42MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X44MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X48MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X50MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X60MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X65MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X12MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X16MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X18MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X20MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X22MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X24MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X26MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X28MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X30MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X32MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X34MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X36MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X38MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X40MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X42MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X44MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X46MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X50MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW LK CORT ORTHOLOC 3.5X24,1752.0,1401.6,1.0,1576.8,26
HCPCS,C1713,SCREW LK CORT ORTHOLOC 3.5X26,1752.0,1401.6,1.0,1576.8,26
HCPCS,C1713,SCREW LK CORT ORTHOLOC 3.5X28,1752.0,1401.6,1.0,1576.8,26
HCPCS,C1713,SCREW LK CORT ORTHOLOC 3.5X30,1752.0,1401.6,1.0,1576.8,26
HCPCS,C1713,SCREW LK CORT ORTHOLOC 3.5X32,1752.0,1401.6,1.0,1576.8,26
HCPCS,C1713,SCREW LK CORT SLFTP P-L3.5X26,1528.0,1222.4,1.0,1375.2,26
HCPCS,C1713,SCREW LK CORT SLFTP P-L3.5X28,1528.0,1222.4,1.0,1375.2,26
HCPCS,C1713,SCREW LK CORT SLFTP P-L3.5X30,1528.0,1222.4,1.0,1375.2,26
HCPCS,C1713,SCREW LK CORT SLFTP P-L3.5X32,1528.0,1222.4,1.0,1375.2,26
HCPCS,C1713,SCREW LK CORT SLFTP P-L3.5X34,1528.0,1222.4,1.0,1375.2,26
HCPCS,C1713,SCREW LK CORT SLFTP P-L3.5X36,1528.0,1222.4,1.0,1375.2,26
HCPCS,C1713,SCREW LK CORT SLFTP P-L3.5X38,1528.0,1222.4,1.0,1375.2,26
HCPCS,C1713,SCREW LK CORT SLFTPT4TI15X11MM,853.0,682.4,1.0,767.7,26
HCPCS,C1713,SCREW LK CORT SLFTPT4TI15X12MM,853.0,682.4,1.0,767.7,26
HCPCS,C1713,SCREW LK CORT SLFTPT4TI15X13MM,853.0,682.4,1.0,767.7,26
HCPCS,C1713,SCREW LK CORT T15 3.5X22MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT T15 3.5X24MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT T15 3.5X44MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT T15 3.5X46MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT T15 3.5X48MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT T15 3.5X50MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT T15 3.5X52MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT T15 3.5X54MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT T15 3.5X56MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT T15 3.5X58MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK CORT TRMI 2.7X10MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LK CORT TRMI 2.7X14MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LK CORT TRMI 3.2X10MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LK CORT TRMI 3.2X12MM,893.0,714.4,1.0,803.7,26
HCPCS,C1713,SCREW LK CORT TRMI 3.2X14MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X14MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X16MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X18MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X20MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X22MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X24MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X26MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X28MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X30MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X32MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X34MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X36MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X38MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X40MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X48MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X50MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X54MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X60MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X65MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X70MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X30MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X35MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X40MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X45MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X50MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X55MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X60MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X65MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW LK CP PA T8 3.6X24MM,2764.0,2211.2,1.0,2487.6,26
HCPCS,C1713,SCREW LK CP PA T8 3.6X28MM,2764.0,2211.2,1.0,2487.6,26
HCPCS,C1713,SCREW LK DIST RAD 2.4X22*DISC*,1088.0,870.4,1.0,979.2,26
HCPCS,C1713,SCREW LK DUALCORE STERTI5X28MM,1692.0,1353.6,1.0,1522.8,26
HCPCS,C1713,SCREW LK DUALCORE STERTI5X77MM,1731.0,1384.8,1.0,1557.9,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X30MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X35MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X40MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X45MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X50MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X55MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X60MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X65MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X70MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X75MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X80MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X85MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALCORE TI 5X90MM,1378.0,1102.4,1.0,1240.2,26
HCPCS,C1713,SCREW LK DUALX T/PLIF SHRT,5970.0,4776.0,1.0,5373.0,26
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X13MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X14MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X15MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X16MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X18MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X20MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X10MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X12MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X14MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X16MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X18MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X20MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X22MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X24MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X26MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X28MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X30MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X32MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X34MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X36MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X38MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X40MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X42MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X44MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X46MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X48MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X50MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X55MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X60MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X65MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X70MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X10MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X12MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X14MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X16MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X18MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X20MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X22MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X24MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X26MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X28MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X30MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X32MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X34MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X36MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X38MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X40MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X42MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X44MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X46MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X48MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X50MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X55MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X60MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X65MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X70MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X8MM,1703.0,1362.4,1.0,1532.7,26
HCPCS,C1713,SCREW LK FA 3.5X24MM,1334.0,1067.2,1.0,1200.6,26
HCPCS,C1713,SCREW LK FA 3.5X26MM,1334.0,1067.2,1.0,1200.6,26
HCPCS,C1713,SCREW LK FA 3.5X30MM,1334.0,1067.2,1.0,1200.6,26
HCPCS,C1713,SCREW LK FA 3.5X35MM,1334.0,1067.2,1.0,1200.6,26
HCPCS,C1713,SCREW LK FA 3.5X37.5MM,1334.0,1067.2,1.0,1200.6,26
HCPCS,C1713,SCREW LK FINE TIP TI 4X20*NLU*,2072.0,1657.6,1.0,1864.8,26
HCPCS,C1713,SCREW LK FIX MINI MAXLK 2.4X14,864.0,691.2,1.0,777.6,26
HCPCS,C1713,SCREW LK FULL GLD 5.0X55MM,2928.0,2342.4,1.0,2635.2,26
HCPCS,C1713,SCREW LK FULL PUR 4.0X25MM,2928.0,2342.4,1.0,2635.2,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X22MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X24MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X26MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X28MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X30MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X32MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X34MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X38MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X40MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X45MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X50MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X55MM,1432.0,1145.6,1.0,1288.8,26
HCPCS,C1713,SCREW LK GRIDLOCK 3X10MM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK GRIDLOCK 3X12MM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK GRIDLOCK2.4X10MM*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK GRIDLOCK2.4X12MM*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK GRIDLOCK2.4X14MM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK GRIDLOCK2.4X16MM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK GRIDLOCK2.4X18MM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK GRIDLOCK2.4X20M*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK GRIDLOCK3.0X14MM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK GRIDLOCK3.0X16MM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK GRIDLOCK3.0X18MM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1713,SCREW LK HAND FRAC 1.5X10MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW LK HAND FRAC 1.5X11MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW LK HAND FRAC 1.5X12MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW LK HAND FRAC 1.5X13MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW LK HAND FRAC 1.5X14MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW LK HAND FRAC 1.5X15MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW LK HAND FRAC 1.5X16MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW LK HAND FRAC 1.5X8MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW LK HD 3.0X14MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK HD 3.0X16MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK HD 3.0X18MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK HD 3.0X20MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK HD 3.0X22MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK HD 3.0X24MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK HD 3.0X28MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK HD 3.0X30MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK HD SLFDR TI 5.0X26MM,1578.0,1262.4,1.0,1420.2,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X10MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X12MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X14MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X16MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X18MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X20MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X22MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X24MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X26MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X32MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X34MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X36MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X38MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X40MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 2.7X42MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X10MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X12MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X14MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X16MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X18MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X20MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X22MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X24MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X26MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X28MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X30MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X32MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X34MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X36MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X38MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X40MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X45MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X50MM,1921.0,1536.8,1.0,1728.9,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X55MM,1921.0,1536.8,1.0,1728.9,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X60MM,1921.0,1536.8,1.0,1728.9,26
HCPCS,C1713,SCREW LK HEXALOBE 3.5X8MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X10MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X12MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X14MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X16MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X20MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X22MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X24MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X26MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X28MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X34MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X45MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE 3X50MM,1921.0,1536.8,1.0,1728.9,26
HCPCS,C1713,SCREW LK HEXALOBE 3X55MM,1921.0,1536.8,1.0,1728.9,26
HCPCS,C1713,SCREW LK HEXALOBE 3X60MM,1921.0,1536.8,1.0,1728.9,26
HCPCS,C1713,SCREW LK HEXALOBE 3X8MM,1590.0,1272.0,1.0,1431.0,26
HCPCS,C1713,SCREW LK HEXALOBE COCR 2.7X8MM,1751.0,1400.8,1.0,1575.9,26
HCPCS,C1713,SCREW LK HEXALOBE COCR2.7X10MM,1751.0,1400.8,1.0,1575.9,26
HCPCS,C1713,SCREW LK HEXALOBE COCR2.7X12MM,1751.0,1400.8,1.0,1575.9,26
HCPCS,C1713,SCREW LK HEXALOBE COCR2.7X14MM,1751.0,1400.8,1.0,1575.9,26
HCPCS,C1713,SCREW LK HIGH PITCH 3.0MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1713,SCREW LK HT CAPRI CORPECT CAGE,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X22,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X30,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X36,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X40,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X42,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X44,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X50,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X52,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X54,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK HUMR CNCLS TI 4X44MM,1047.0,837.6,1.0,942.3,26
HCPCS,C1713,SCREW LK HUMR CNCLS TI 4X48MM,1047.0,837.6,1.0,942.3,26
HCPCS,C1713,SCREW LK ILSC*NLU*,1104.0,883.2,1.0,993.6,26
HCPCS,C1713,SCREW LK IM NAIL STER 5X28MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STER 5X30MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STER TI4X28MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK IM NAIL STER TI4X34MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK IM NAIL STER TI4X36MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK IM NAIL STER TI4X38MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK IM NAIL STER TI4X40MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK IM NAIL STER TI4X42MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK IM NAIL STER TI4X50MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK IM NAIL STER TI4X55MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK IM NAIL STER TI4X58MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI4X30,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI4X34,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI4X36,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI4X38,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X26,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X28,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X30,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X32,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X34,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X36,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X38,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X40,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X42,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X44,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X46,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X48,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X50,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X52,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X54,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X56,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X58,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X60,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X62,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X64,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X66,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X68,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X70,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X72,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X74,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X76,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X78,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X80,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X82,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X84,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X86,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X88,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X90,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X95,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTI5X100MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTI5X105MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTI5X110MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTI5X115MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL STERTI5X120MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X26MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X28MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X30MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X32MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X34MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X36MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X38MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X40MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X42MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X44MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X46MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X48MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X50MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X52MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X54MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X56MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X58MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X60MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X62MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X64MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X66MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X68MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X70MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X72MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X74MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X76MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X78MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X80MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X82MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X84MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X86MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X88MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL TI 5X90MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345215*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345216*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345218*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345219*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345220*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345238*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345239*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345240*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345241*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345242*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345243*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345244*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345245*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345246*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345247*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345248*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345249*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345250*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345252*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345254*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345257*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6354682*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6354683*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6354685*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK IM NAIL*DISC 6354686*,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW LK KLS 2.3X9MM*NLU*,823.0,658.4,1.0,740.7,26
HCPCS,C1713,SCREW LK KLS 2.7X11MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW LK KLS 2.7X13MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW LK KLS 2.7X15MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW LK KLS 2.7X19MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW LK KLS 2.7X7MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW LK KLS 2.7X9MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW LK LG HD ORTHOLOC 2.7X10,1838.0,1470.4,1.0,1654.2,26
HCPCS,C1713,SCREW LK LG HD ORTHOLOC 2.7X12,1838.0,1470.4,1.0,1654.2,26
HCPCS,C1713,SCREW LK LG HD ORTHOLOC 2.7X14,1838.0,1470.4,1.0,1654.2,26
HCPCS,C1713,SCREW LK LG HD ORTHOLOC 2.7X18,1838.0,1470.4,1.0,1654.2,26
HCPCS,C1713,SCREW LK LG HD SM THRD OSS,1918.0,1534.4,1.0,1726.2,26
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X16MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X18MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X20MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X34MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK LOPRO *DISC 6248853*,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW LK LOPRO *DISC 6248854*,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW LK LOPRO *DISC 6249226*,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW LK LOPRO *DISC 6260350*,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW LK LOPRO *DISC 6269509*,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW LK LOPRO *DISC 6271993*,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW LK LOPRO *DISC 6278573*,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW LK LOPRO 2.4X22MM*NLU*,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK LOPRO A*DISC 6267760*,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW LK LOPRO FULL 2.4X30MM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,SCREW LK LOPRO HEXALOBE 2.7X10,1513.0,1210.4,1.0,1361.7,26
HCPCS,C1713,SCREW LK LOPRO HEXALOBE 2.7X15,1513.0,1210.4,1.0,1361.7,26
HCPCS,C1713,SCREW LK LOPRO IM 5X34MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB 5X32M,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB4X26MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB4X46MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB4X50MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X28MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X30MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X34MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X38MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X40MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X46MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X54MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X58MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X30MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X32MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X34MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X36MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X38MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X40MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X42MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X44MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X46MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X48MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X54MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X56MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X58MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X60MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X62MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X64MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X66MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X68MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X70MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X72MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X74MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X76MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X78MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X82MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X84MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X86MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X88MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X90MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X95MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X26MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X28MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X30MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X32MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X36MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X38MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X40MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X42MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X44MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X46MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X48MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X50MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X52MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X54MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X56MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X58MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X60MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X62MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X66MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X68MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X70MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X72MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X74MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X76MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X78MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IM TI 5X80MM,1806.0,1444.8,1.0,1625.4,26
HCPCS,C1713,SCREW LK LOPRO IMSTERTI5X100MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IMSTERTI5X105MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IMSTERTI5X110MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IMSTERTI5X115MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO IMSTERTI5X120MM,2119.0,1695.2,1.0,1907.1,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X10,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X12,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X14,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X16,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X18,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X20,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X22,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X32,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X34,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X36,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X38,8613.0,6890.4,1.0,7751.7,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X40,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X44,1075.0,860.0,1.0,967.5,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X20MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X22MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X24MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X26MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X28MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X30MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X32MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X34MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X36MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X38MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X40MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X42MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X44MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X46MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK LOPRO TI 4.5X50MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK METFX 2.0X14MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK METFX 2.5X14MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW LK MSP 2.4X10MM,1470.0,1176.0,1.0,1323.0,26
HCPCS,C1713,SCREW LK MSP 2.4X12MM,1470.0,1176.0,1.0,1323.0,26
HCPCS,C1713,SCREW LK MSP 2.4X14MM,1470.0,1176.0,1.0,1323.0,26
HCPCS,C1713,SCREW LK MTXMAND TI 2.9X1*NLU*,1053.0,842.4,1.0,947.7,26
HCPCS,C1713,SCREW LK MULT THRD TI 3.5X16MM,2049.0,1639.2,1.0,1844.1,26
HCPCS,C1713,SCREW LK MULT THRD TI 3.5X18MM,2049.0,1639.2,1.0,1844.1,26
HCPCS,C1713,SCREW LK MULT THRD TI 3.5X20MM,2049.0,1639.2,1.0,1844.1,26
HCPCS,C1713,SCREW LK MULT THRD TI 3.5X40MM,2049.0,1639.2,1.0,1844.1,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X12MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X14MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X16MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X18MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X20MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X22MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X26MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X30MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X36MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X38MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X48MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X50MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X54MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X56MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK MULTDIR 3.5X60MM,2108.0,1686.4,1.0,1897.2,26
HCPCS,C1713,SCREW LK ORTHOLOC 2.4X10MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK ORTHOLOC 2.4X12MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK ORTHOLOC 2.4X14MM,1809.0,1447.2,1.0,1628.1,26
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X12MM,1838.0,1470.4,1.0,1654.2,26
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X14MM,1838.0,1470.4,1.0,1654.2,26
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X28MM,1838.0,1470.4,1.0,1654.2,26
HCPCS,C1713,SCREW LK OST SALVATION 4.0X36,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1713,SCREW LK OST SALVATION 5.5X34,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,SCREW LK OST SALVATION 5.5X55,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,SCREW LK PA CANN COCR 3X40MM,2872.0,2297.6,1.0,2584.8,26
HCPCS,C1713,SCREW LK PA MINI UNITE 2.4X10,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA MINI UNITE 2.4X12,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA MINI UNITE 2.4X14,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA MINI UNITE 2.7X10,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK PA MINI UNITE 2.7X12,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X10MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X14MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X16MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X18MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X20MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X22MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X24MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X30MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X16MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X18MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X20MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X22MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X24MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LK PA UNITE 2.0X10MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 2.0X14MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 2.0X16MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 2.4X12MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 2.7X14MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 2.7X16MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 2.7X20MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 2.7X24MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 3.5X12MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 3.5X14MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK PA UNITE 3.5X16MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK PA UNITE 3.5X18MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 3.5X20MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 3.5X22MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 3.5X24MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 3.5X26MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 4.0X14MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 4.0X18MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 4.0X22MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 4.0X24MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 4.0X26MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 4.0X30MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 4.0X36MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 4.0X40MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 4.0X46MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PA UNITE 4.5X40MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK PART THRD 4.5X30MM,2632.0,2105.6,1.0,2368.8,26
HCPCS,C1713,SCREW LK PART THRD 4.5X32.5MM,2632.0,2105.6,1.0,2368.8,26
HCPCS,C1713,SCREW LK PART THRD 4.5X37.5MM,2712.0,2169.6,1.0,2440.8,26
HCPCS,C1713,SCREW LK PART THRD 4.5X40.0MM,2712.0,2169.6,1.0,2440.8,26
HCPCS,C1713,SCREW LK PART THRD 5.0X42.5MM,2632.0,2105.6,1.0,2368.8,26
HCPCS,C1713,SCREW LK PART THRD 5.0X45MM,2632.0,2105.6,1.0,2368.8,26
HCPCS,C1713,SCREW LK PART THRD 5.0X50MM,2632.0,2105.6,1.0,2368.8,26
HCPCS,C1713,SCREW LK PART THRD 5.0X55.0MM,2712.0,2169.6,1.0,2440.8,26
HCPCS,C1713,SCREW LK PERIPROS 5X18MM,2213.0,1770.4,1.0,1991.7,26
HCPCS,C1713,SCREW LK PERIPROS 5X20MM,2213.0,1770.4,1.0,1991.7,26
HCPCS,C1713,SCREW LK PLUSDRIVE SLFTP 2X6,867.0,693.6,1.0,780.3,26
HCPCS,C1713,SCREW LK PLUSDRIVE SLFTP 2X8,867.0,693.6,1.0,780.3,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X10MM,1772.0,1417.6,1.0,1594.8,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X11MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X12MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X13MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X14MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X15MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X16MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X17MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X18MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X19MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X20MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X22MM,1842.0,1473.6,1.0,1657.8,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X24MM,1842.0,1473.6,1.0,1657.8,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X26MM,1842.0,1473.6,1.0,1657.8,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X32MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X34MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X40MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X44MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X10MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X12MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X14MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X16MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X18MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X20MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X22MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X24MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X26MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X28MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X32MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X34MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X36MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X38MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X40MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X42MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X44MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X46MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X50MM,1713.0,1370.4,1.0,1541.7,26
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X20MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X22MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X24MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X26MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X28MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X30MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X32MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X34MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW LK REINF CORE STER4.5X35,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK REINF CORE STER4.5X40,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK REINF CORE STER4.5X45,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK REINF CORE STER4.5X50,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK REINF CORE STER4.5X55,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK REINF CORE STER4.5X60,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK REINF CORE STER4.5X65,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK REINF CORE STER4.5X70,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK RELINE OPENTULIP5.5MM,665.0,532.0,1.0,598.5,26
HCPCS,C1713,SCREW LK RELINE OPENTULIP6.0MM,665.0,532.0,1.0,598.5,26
HCPCS,C1713,SCREW LK REST 6.5X20MM,3535.0,2828.0,1.0,3181.5,26
HCPCS,C1713,SCREW LK REST 6.5X25MM,3535.0,2828.0,1.0,3181.5,26
HCPCS,C1713,SCREW LK RIB LVL1 MAX STER 2.3,1351.0,1080.8,1.0,1215.9,26
HCPCS,C1713,SCREW LK RIB LVL1MAXSTER2.3PK4,1351.0,1080.8,1.0,1215.9,26
HCPCS,C1713,SCREW LK RIBLVL1MAXSTER2.3PK10,1351.0,1080.8,1.0,1215.9,26
HCPCS,C1713,SCREW LK SB TPR POLYLOCK 2.0X8,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK SB TPR POLYLOCK2.0X10,4229.0,3383.2,1.0,3806.1,26
HCPCS,C1713,SCREW LK SB TPR POLYLOCK2.4X10,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK SB TPR POLYLOCK2.7X12,4229.0,3383.2,1.0,3806.1,26
HCPCS,C1713,SCREW LK SB TPR POLYLOCK2.7X14,4229.0,3383.2,1.0,3806.1,26
HCPCS,C1713,SCREW LK SILVERBACK 4.5X24MM,1906.0,1524.8,1.0,1715.4,26
HCPCS,C1713,SCREW LK SILVERBACK 4.5X26MM,1906.0,1524.8,1.0,1715.4,26
HCPCS,C1713,SCREW LK SILVERBACK 4.5X28MM,2044.0,1635.2,1.0,1839.6,26
HCPCS,C1713,SCREW LK SILVERBACK 4.5X30MM,1906.0,1524.8,1.0,1715.4,26
HCPCS,C1713,SCREW LK SILVERBACK 4.5X34MM,1906.0,1524.8,1.0,1715.4,26
HCPCS,C1713,SCREW LK SILVERBACK 4.5X36MM,1906.0,1524.8,1.0,1715.4,26
HCPCS,C1713,SCREW LK SILVERBACK 4.5X40MM,1906.0,1524.8,1.0,1715.4,26
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X18MM,1442.0,1153.6,1.0,1297.8,26
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X26MM,1442.0,1153.6,1.0,1297.8,26
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X40MM,1442.0,1153.6,1.0,1297.8,26
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X55MM,1464.0,1171.2,1.0,1317.6,26
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X65MM,1464.0,1171.2,1.0,1317.6,26
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X75MM,1464.0,1171.2,1.0,1317.6,26
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X85MM,1464.0,1171.2,1.0,1317.6,26
HCPCS,C1713,SCREW LK SLFDR MTXMAND TI*NLU*,809.0,647.2,1.0,728.1,26
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X10,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X11,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X12,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X13,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X14,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X15,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X16,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X18,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X19,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X20,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1713,SCREW LK SLFTP MTXMAND TI2.0X6,1120.0,896.0,1.0,1008.0,26
HCPCS,C1713,SCREW LK SLFTP MTXMAND TI2.0X8,1120.0,896.0,1.0,1008.0,26
HCPCS,C1713,SCREW LK SLFTP MTXMAND TI2.4X8,1426.0,1140.8,1.0,1283.4,26
HCPCS,C1713,SCREW LK SLFTP MTXMAND TI2.9X8,1163.0,930.4,1.0,1046.7,26
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.0X10,1120.0,896.0,1.0,1008.0,26
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.0X12,1120.0,896.0,1.0,1008.0,26
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.0X14,1120.0,896.0,1.0,1008.0,26
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.0X16,1120.0,896.0,1.0,1008.0,26
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.0X18,1120.0,896.0,1.0,1008.0,26
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.4X10,1382.0,1105.6,1.0,1243.8,26
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.4X12,1382.0,1105.6,1.0,1243.8,26
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.4X14,3901.0,3120.8,1.0,3510.9,26
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.4X16,1015.0,812.0,1.0,913.5,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X16MM,2025.0,1620.0,1.0,1822.5,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X18MM,2025.0,1620.0,1.0,1822.5,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X20MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X22MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X24MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X26MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X28MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X30MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X32MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X34MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X36MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X38MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X40MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X42MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X44MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X48MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X50MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X60MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X65MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X70MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X75MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X80MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X85MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X90MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X10,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X12,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X14,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X16,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X18,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X20,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X22,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X24,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X26,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X28,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X30,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X32,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X34,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X36,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X38,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X40,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X42,2376.0,1900.8,1.0,2138.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X44,2376.0,1900.8,1.0,2138.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X46,2376.0,1900.8,1.0,2138.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X48,2376.0,1900.8,1.0,2138.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X50,2376.0,1900.8,1.0,2138.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X55,2376.0,1900.8,1.0,2138.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X60,2424.0,1939.2,1.0,2181.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X65,2424.0,1939.2,1.0,2181.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X70,2408.0,1926.4,1.0,2167.2,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X75,2728.0,2182.4,1.0,2455.2,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X8,2344.0,1875.2,1.0,2109.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X80,1760.0,1408.0,1.0,1584.0,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X10,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X12,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X14,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X16,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X18,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X20,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X22,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X24,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X26,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X28,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X30,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X32,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X34,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X36,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X38,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X40,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X42,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X44,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X46,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X48,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X50,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X55,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X60,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X65,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X70,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X75,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X80,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X85,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X90,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X95,2584.0,2067.2,1.0,2325.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X20MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X22MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X26MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X28MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X32MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X36MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X38MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X42MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X46MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X70MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X80MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X90MM,2736.0,2188.8,1.0,2462.4,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X32MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X36MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X38MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X40MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X42MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X44MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X65MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X70MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X75MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X80MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X85MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X90MM,2984.0,2387.2,1.0,2685.6,26
HCPCS,C1713,SCREW LK SLFTP PERIPROS 5X10MM,3424.0,2739.2,1.0,3081.6,26
HCPCS,C1713,SCREW LK SLFTP PERIPROS 5X14MM,3424.0,2739.2,1.0,3081.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X10,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X12,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X14,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X16,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X18,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X20,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X22,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X24,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X26,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X28,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X30,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X6,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X8,964.0,771.2,1.0,867.6,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X12,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X14,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X16,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X18,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X20,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X22,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X24,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X26,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X28,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X30,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X32,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X34,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X36,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X40,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X46,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X50,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X65,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X75,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X80,1042.0,833.6,1.0,937.8,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X10MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X12MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X14MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X16MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X18MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X20MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X22MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X24MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X26MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X28MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X30MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X32MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X34MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X38MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X40MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X42MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X46MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T15 3.5X48MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW LK SLFTP T25 5.0X30,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LK SLFTP T25 PERIPROS5X8,1492.0,1193.6,1.0,1342.8,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X30,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X32,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X34,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X36,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X38,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X40,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X42,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X44,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X46,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X48,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X50,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X55,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1713,SCREW LK SLFTP T25PERIPROS5X10,1492.0,1193.6,1.0,1342.8,26
HCPCS,C1713,SCREW LK SLFTP T25PERIPROS5X12,1492.0,1193.6,1.0,1342.8,26
HCPCS,C1713,SCREW LK SLFTP T25PERIPROS5X14,1492.0,1193.6,1.0,1342.8,26
HCPCS,C1713,SCREW LK SLFTP TI 5.0X24MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK SLFTP TI 5.0X28MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X26,1317.0,1053.6,1.0,1185.3,26
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X34,1317.0,1053.6,1.0,1185.3,26
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X36,1317.0,1053.6,1.0,1185.3,26
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X40,1317.0,1053.6,1.0,1185.3,26
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X42,1317.0,1053.6,1.0,1185.3,26
HCPCS,C1713,SCREW LK SM HEX 3.5X18MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X20MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X22MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X24MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X26MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X28MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X30MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X32MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X34MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X36MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X38MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X40MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X45MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SM HEX 3.5X50MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK SMARTLK GRY 2.3X14MM,1930.0,1544.0,1.0,1737.0,26
HCPCS,C1713,SCREW LK SMARTLK GRY 2.3X6MM,1930.0,1544.0,1.0,1737.0,26
HCPCS,C1713,SCREW LK SMARTLK GRY 2.3X8MM,1930.0,1544.0,1.0,1737.0,26
HCPCS,C1713,SCREW LK SMARTLK GRY2.3X12MM,1930.0,1544.0,1.0,1737.0,26
HCPCS,C1713,SCREW LK SOLID OMNI AF 2.8X10,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK SOLID OMNI AF 2.8X12,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK SOLID OMNI AF 2.8X14,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK SOLID OMNI AF 3.5X14,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK SOLID OMNI AF 3.5X16,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK SOLID OMNI AF 3.5X18,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK SQ 2.7X12MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK SS ARTX 2.7X42MM*NLU*,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK STRY 2.3X22MM*OBS*,958.0,766.4,1.0,862.2,26
HCPCS,C1713,SCREW LK STRY 2.7X18MM*OBS*,958.0,766.4,1.0,862.2,26
HCPCS,C1713,SCREW LK STRY 2.7X26MM*OBS*,958.0,766.4,1.0,862.2,26
HCPCS,C1713,SCREW LK SYNFIX-LR TI 4X*NLU*,2072.0,1657.6,1.0,1864.8,26
HCPCS,C1713,SCREW LK SYNFIX-LR TI 4X30MM,2072.0,1657.6,1.0,1864.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X10MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X12MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X14MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X16MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X18MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X20MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X22MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X24MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X26MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X28MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X30MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X32MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X34MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X36MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X38MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X40MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X42MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X44MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X46MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X48MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X50MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X55MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X60MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2.7X8MM,862.0,689.6,1.0,775.8,26
HCPCS,C1713,SCREW LK SYNT 2X10MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X11MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X12MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X13MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X14MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X16MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X18MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X20MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X22MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X24MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X26MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X28MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X30MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X6MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X7MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X8MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYNT 2X9MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK SYST 3.5X18MM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X10MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X12MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X14MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X16MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X18MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X20MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X22MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X24MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X26MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X28MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X30MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X32MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X34MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X35MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X36MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X38MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X40MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X42MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X44MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X45MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X46MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X48MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X50MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X52MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X54MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X55MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X56MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X58MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X60MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X65MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X70MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X75MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X80MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X85MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X90MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 STARDR 3.5X95MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X22MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X24MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X32MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X34MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X36MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X38MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X40MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X42MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X44MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X46MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X48MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X50MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X52MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X56MM,1780.0,1424.0,1.0,1602.0,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X100,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X27.5,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X30MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X32.5,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X35MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X37.5,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X40MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X42.5,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X45MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X47.5,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X50MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X52.5,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X55MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X57.5,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X60MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X65MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X70MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X75MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X80MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X85MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X90MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X95MM,1457.0,1165.6,1.0,1311.3,26
HCPCS,C1713,SCREW LK T2 PART STER 5.0X45MM,1531.0,1224.8,1.0,1377.9,26
HCPCS,C1713,SCREW LK T2 PART STER 5.0X50MM,1531.0,1224.8,1.0,1377.9,26
HCPCS,C1713,SCREW LK T2 PART STER 5.0X60MM,1531.0,1224.8,1.0,1377.9,26
HCPCS,C1713,SCREW LK T25 STARDR 5X14MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X16MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X18MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X20MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X22MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X24MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X26MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X28MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X30MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X32MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X34MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X36MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X38MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X40MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X42MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X44MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X46MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X48MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X50MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X55MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X60MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X65MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X70MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X75MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X80MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X85MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T25 STARDR 5X90MM,975.0,780.0,1.0,877.5,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X10MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X11MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X12MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X13MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X14MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X15MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X16MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X17MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X18MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X19MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X20MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X22MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X24MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X26MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X28MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X30MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X32MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X34MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X36MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X38MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X40MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X42MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X44MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X46MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X48MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X50MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X6MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X7MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X8MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X9MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X10MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X11MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X12MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X13MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X14MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X16MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X18MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X20MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X22MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X24MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X26MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X28MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X30MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X6MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X7MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X8MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR 2.4X9MM,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X12MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X14MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X18MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X20MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X22MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X24MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X26MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X28MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X10MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X11MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X12MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X13MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X14MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X15MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X16MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X17MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X18MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X19MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X20MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X22MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X24MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X26MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X28MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X30MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X32MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X34MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X36MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X38MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X40MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X42MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X44MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X46MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X48MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X50MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X52MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X54MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X56MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X58MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X60MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X6MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X7MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X8MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X9MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X10MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X11MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X12MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X13MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X14MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X15MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X16MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X17MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X18MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X19MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X20MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X22MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X24MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X26MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X28MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X30MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X32MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X34MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X36MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X38MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X40MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X42MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X44MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X46MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X48MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X50MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X52MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X54MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X56MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X58MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X60MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X65MM,2471.0,1976.8,1.0,2223.9,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X6MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X70MM,2471.0,1976.8,1.0,2223.9,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X75MM,2471.0,1976.8,1.0,2223.9,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X7MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X80MM,2471.0,1976.8,1.0,2223.9,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X85MM,2471.0,1976.8,1.0,2223.9,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X8MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X90MM,2471.0,1976.8,1.0,2223.9,26
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X9MM,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1713,SCREW LK TAP-LOC 2.7X36MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 2.7X38MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 2.7X40MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 2.7X45MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 2.7X50MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 2.7X55MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 2.7X60MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 3.5X36MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 3.5X38MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 3.5X40MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 3.5X45MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 3.5X50MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 3.5X55MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TAP-LOC 3.5X60MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X18MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X20MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X22MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X24MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X26MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X28MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X30MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X32MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X34MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X36MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X38MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X40MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X42MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X44MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X46MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X48MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X50MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X52MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X54MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X56MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X58MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X60MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X62MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X64MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X66MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X68MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X70MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X72MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X74MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X76MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X78MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 4X80MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X26MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X28MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X30MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X32MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X34MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X36MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X38MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X40MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X42MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X44MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X46MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X48MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X50MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X52MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X54MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X56MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X58MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X60MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X62MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X64MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X66MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X68MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X70MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X72MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X74MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X76MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X78MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 5X80MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6.0X40MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6.0X42MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6.0X85MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6X36MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6X48MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6X58MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6X60MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6X64MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6X68MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6X72MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6X76MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6X80MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL 6X90MM,1214.0,971.2,1.0,1092.6,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X22MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X24MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X26MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X28MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X30MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X32MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X34MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X36MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X38MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X40MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X42MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X44MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X46MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X48MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X50MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X54MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X56MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X60MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X66MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 4X70MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X100MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X28MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X30MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X32MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X34MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X36MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X38MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X42MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X44MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X46MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X48MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X50MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X52MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X54MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X56MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X58MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X60MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X62MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X64MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X66MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X68MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X70MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X72MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X74MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X76MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X78MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X80MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X85MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X90MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 5X95MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 6X38MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 6X42MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL STER 6X76MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI NAIL SYNT 5X40MM,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X26MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X36MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X38MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X40MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X44MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X46MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X48MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X50MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X55MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X60MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X65MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X70MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X75MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X80MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5.0X85MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5X30MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5X32MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TI SLFTP 5X34MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X30,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X32,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X35,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X40,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X45,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X50,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X55,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X60,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X65,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X70,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X75,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X80,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X85,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X25MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X30MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X32.5,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X35MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X42.5,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X25MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X30MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X32.5,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X35MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X37.5,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X40MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X42.5,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X45MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X47.5,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X50MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X52.5,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X55MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X57.5,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X60MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X65MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X70MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X75MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X90MM,2449.0,1959.2,1.0,2204.1,26
HCPCS,C1713,SCREW LK TIB T2ADVSTER5.0X37.5,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2ADVSTER5.0X42.5,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2ADVSTER5.0X47.5,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2ADVSTER5.0X52.5,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TIB T2ADVSTER5.0X57.5,3087.0,2469.6,1.0,2778.3,26
HCPCS,C1713,SCREW LK TPR POLYLOCK 3.5X10MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW LK TPR POLYLOCK 3.5X14MM,4229.0,3383.2,1.0,3806.1,26
HCPCS,C1713,SCREW LK TPR POLYLOCK 3.5X18MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK TPR POLYLOCK 3.5X20MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK TRANSPHYSEAL 3.5X56MM,5496.0,4396.8,1.0,4946.4,26
HCPCS,C1713,SCREW LK TRANSPHYSEAL 3.5X58MM,5496.0,4396.8,1.0,4946.4,26
HCPCS,C1713,SCREW LK TRANSPHYSEAL 3.5X64MM,5496.0,4396.8,1.0,4946.4,26
HCPCS,C1713,SCREW LK TRANSPHYSEAL 3.5X68MM,5496.0,4396.8,1.0,4946.4,26
HCPCS,C1713,SCREW LK TRMI 2.4X10MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW LK TRMI 2.4X12MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW LK TRMI 2.4X14MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW LK TRMI 2.4X16MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW LK TRMI 2.4X18MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW LK TRMI 2.4X8MM,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SCREW LK TUFFNEK 2.7X20MM,1772.0,1417.6,1.0,1594.8,26
HCPCS,C1713,SCREW LK TUFFNEK 2.7X28MM,1772.0,1417.6,1.0,1594.8,26
HCPCS,C1713,SCREW LK TUFFNEK 2.7X30MM,1772.0,1417.6,1.0,1594.8,26
HCPCS,C1713,SCREW LK TUFFNEK 3.5X20MM,1842.0,1473.6,1.0,1657.8,26
HCPCS,C1713,SCREW LK TUFFNEK 3.5X22MM,1842.0,1473.6,1.0,1657.8,26
HCPCS,C1713,SCREW LK TUFFNEK 3.5X24MM,1842.0,1473.6,1.0,1657.8,26
HCPCS,C1713,SCREW LK TUFFNEK 3.5X28MM,1842.0,1473.6,1.0,1657.8,26
HCPCS,C1713,SCREW LK VA 1.4X10MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA 1.4X11MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA 1.4X9MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X10MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X11MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X12MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X16MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X18MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X20MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X24MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X9MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X10MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X12MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X13MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X14MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X15MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X16MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X18MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X20MM,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X22MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X26MM,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X6MM,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X7MM,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X8MM,1823.0,1458.4,1.0,1640.7,26
HCPCS,C1713,SCREW LK VA KREULK TI 2.4X36,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULK TI 2.4X38,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X12MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X14MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X16MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X18MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X20MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X22MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X38MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X40MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULKHBRDTI3.0X14,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULKHBRDTI3.0X28,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X10,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X12,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X14,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X16,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X18,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X20,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X22,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X26,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X28,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X30,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X32,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA LOPRO 3.0X42MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW LK VA LOPRO 3.0X44MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW LK VA LOPRO 3.0X48MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW LK VA LOPRO ARTX TI2.4X8,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X10,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X12,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X14,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X16,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X18,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X20,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X22,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X24,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X26,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X28,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA PILON 2.7X34MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK VA PILON 2.7X38MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK VA PILON 2.7X42MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK VA PILON 2.7X50MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW LK VA PILON 3.5X24MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA PILON 3.5X26MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA PILON 3.5X28MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA PILON 3.5X40MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA PILON 3.5X60MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,SCREW LK VA SLFTP T4 TI 1.3X8,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SCREW LK VA SLFTP T4 TI 1.5X16,1010.0,808.0,1.0,909.0,26
HCPCS,C1713,SCREW LK VA SLFTP T4 TI 1.5X7,1010.0,808.0,1.0,909.0,26
HCPCS,C1713,SCREW LK VA SLFTP T4 TI 1.5X8,1010.0,808.0,1.0,909.0,26
HCPCS,C1713,SCREW LK VA SLFTP T4 TI 1.5X9,1010.0,808.0,1.0,909.0,26
HCPCS,C1713,SCREW LK VA SLFTP T6 TI 2X10,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW LK VA SLFTP T6 TI 2X12,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW LK VA SLFTP T6 TI 2X13,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW LK VA SLFTP T6 TI 2X16,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW LK VA SLFTP T6 TI 2X18,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW LK VA SLFTP T6 TI 2X9,1007.0,805.6,1.0,906.3,26
HCPCS,C1713,SCREW LK VA SMTH ARTX 2.4X16MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X10,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X12,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X14,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X16,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X18,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X20,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X22,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X24,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X26,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X28,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X30,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X32,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X34,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X36,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X38,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X40,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X42,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X44,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X46,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X48,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X50,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X52,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X54,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X56,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X58,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X60,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X65,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X70,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X75,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X80,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X85,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X90,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STAR T15 3.5X95,1189.0,951.2,1.0,1070.1,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X10MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X12MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X14MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X16MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X18MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X20MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X22MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X24MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X26MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X28MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X30MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X8MM,1160.0,928.0,1.0,1044.0,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X16MM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X20MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X22MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X24MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X26MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X28MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X30MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X32MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X34MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X36MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X38MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X40MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X42MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X44MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X46MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X48MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X50MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X55MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X60MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X65MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X70MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X75MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X80MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X85MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T25 STAR 5X90MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X10MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X12MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X14MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X16MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X18MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X20MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X22MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X24MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X28MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X30MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X32MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X36MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X8MM,1050.0,840.0,1.0,945.0,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X10MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X11MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X12MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X14MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X16MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X18MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X20MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X22MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X24MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X26MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X28MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X30MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X32MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X34MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X36MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X38MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X40MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X42MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X44MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X46MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X48MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X50MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X52MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X54MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X56MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X58MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X60MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,SCREW LK VA TI 2.7X12MM,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LK VA TI 2.7X14MM,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LK VA TI 2.7X16MM,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LK VA TI 2.7X18MM,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LK VA TI 2.7X20MM,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LK VA TI 2.7X60MM,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X12,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X14,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X16,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X18,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X20,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X22,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X24,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X26,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X28,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X30,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW LK VA TYME 2.5X24MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW LK VAOPTILINKT25STER5X95,1810.0,1448.0,1.0,1629.0,26
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X6MM,829.0,663.2,1.0,746.1,26
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X7MM,829.0,663.2,1.0,746.1,26
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X8MM,829.0,663.2,1.0,746.1,26
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X9MM,829.0,663.2,1.0,746.1,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL 3.5X8,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X10,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X12,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X14,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X16,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X18,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X20,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X22,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X24,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X26,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X28,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X30,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X32,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X36,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X38,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X40,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X42,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X44,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X46,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X48,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X50,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X55,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X60,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X65,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X70,1727.0,1381.6,1.0,1554.3,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X10,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X12,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X14,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X16,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X18,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X20,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X22,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X24,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X26,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X28,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X30,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X32,1452.0,1161.6,1.0,1306.8,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X34,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X36,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X38,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X40,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X42,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X44,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X46,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X48,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X50,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X55,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X60,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X65,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X70,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X10,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X12,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X14,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X16,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X18,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X20,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X22,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X24,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X26,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X28,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X30,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X32,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X34,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X36,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X38,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X40,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X42,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X44,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X46,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X48,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X50,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X55,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X60,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X65,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X70,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X10,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X11,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X12,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X13,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X14,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X18,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X20,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X26,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X28,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X30,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X38,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X40,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X6,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X7,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X8,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X28,1749.0,1399.2,1.0,1574.1,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X10MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X11MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X12MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X14MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X15MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X16MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X18MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X20MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X22MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X24MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X26MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X28MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X36MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X6MM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 2.4X8MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X10,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X11,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X12,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X13,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X14,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X15,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X16,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X18,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X20,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X22,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X24,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X26,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X28,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X30,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X32,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X36,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X38,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X40,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X42,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X44,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X48,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X55,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X6,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X70,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X8,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X9,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,SCREW LK VILX 3.5X14MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK VILX 3.5X16MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X10MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X11MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X12MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X7MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X8MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X9MM,813.0,650.4,1.0,731.7,26
HCPCS,C1713,SCREW LK ZERO PROFILET8 2.7X10,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK ZERO PROFILET8 2.7X12,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK ZERO PROFILET8 2.7X14,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK ZERO PROFILET8 2.7X16,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK ZERO PROFILET8 2.7X18,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW LK ZIMM 3.2X40MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK ZIMM 3.5X30MM,1224.0,979.2,1.0,1101.6,26
HCPCS,C1713,SCREW LK ZIMM 4.5X14MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK ZIMM 4.5X40MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK ZIMM 4.5X42MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK ZIMM 4.5X44MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK ZIMM 4.5X46MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK ZIMM 4.5X60MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK ZIMM 4.5X65MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK ZIMM 4.5X70MM,1564.0,1251.2,1.0,1407.6,26
HCPCS,C1713,SCREW LK ZIMM 5.5X50MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW LK ZIMM 5.5X55MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW LK ZIMM 5.5X60MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW LK ZIMM 5.5X65MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW LKT25 4X14*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X16*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X18*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X22*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X26*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X30*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X34*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X38*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X42*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X46*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X50*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X54*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X58*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKT25 4X62*DISC NO REPL*,1078.0,862.4,1.0,970.2,26
HCPCS,C1713,SCREW LKVAOPTILINKT25STER5X100,1810.0,1448.0,1.0,1629.0,26
HCPCS,C1713,SCREW LO PRO TM SS 4.0X16MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW LO PRO TM SS 4.0X18MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW LO PRO TM SS ARTX 4X12MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW LO PRO TM SS ARTX 4X14MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X10MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X12MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X14MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X16MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X18MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X20MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X22MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X24MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X26MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X28MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X30MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X32MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X34MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X36MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X38MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X40MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X42MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X44MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X46MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X48MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X50MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X54MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X55MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X56MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X60MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X18MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X28MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X32MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X34MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X36MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X38MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X40MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X42MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X50MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X56MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X58MM,627.0,501.6,1.0,564.3,26
HCPCS,C1713,SCREW LOPRO HEXALOBE 4.3X18MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LOPRO HEXALOBE 4.3X32MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LOPRO HEXALOBE 4.3X36MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LOPRO HEXALOBE 4.3X38MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LOPRO HEXALOBE 4.3X44MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LOPRO HEXALOBE 4.3X46MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LOPRO HEXALOBE 4.3X50MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LOPRO HEXALOBE 4.3X52MM,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,SCREW LOPRO NL 2.7X13MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LOPRO NL 2.7X14MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LOPRO NL 2.7X15MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LOPRO NL 2.7X16MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X14MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X16MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW LOPRO TI 4.5X18MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X20MM*NLU*,713.0,570.4,1.0,641.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X22MM*NLU*,713.0,570.4,1.0,641.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X26MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X28MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X30MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X32MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X34MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X36MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X38MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X40MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X42MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X44MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X46MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X48MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X50MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 4.5X55MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 5.5X50MM,743.0,594.4,1.0,668.7,26
HCPCS,C1713,SCREW LOPRO TI 5.5X55MM,918.0,734.4,1.0,826.2,26
HCPCS,C1713,SCREW LOPRO TI 5.5X60MM*NLU*,713.0,570.4,1.0,641.7,26
HCPCS,C1713,SCREW LOPRO TI 6.7X100MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW LOPRO TI 6.7X120MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW LOPRO TI 6.7X45MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW LOPRO TI 6.7X55MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW LOPRO TI 6.7X60MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW LOPRO TI 6.7X65MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW LOPRO TI 6.7X75MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW LOPRO TI 6.7X90MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW LOPRO TM SS ARTX 4X36MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW LOPRO TM SS ARTX 4X44MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW LOPRO TM SS ARTX 4X55MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW LOPRO TRIGEN 4.5X47.5MM,1992.0,1593.6,1.0,1792.8,26
HCPCS,C1713,SCREW LORENZ 1.8X3.5MM*NLU*,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW LORENZ THINFLAP1.5X3.5MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW LORENZ THINFLAP1.5X4.0MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW LORENZ THINFLAP1.8X*NLU*,884.0,707.2,1.0,795.6,52
HCPCS,C1713,SCREW LP ORPE 6.0X45MM,5070.0,4056.0,1.0,4563.0,26
HCPCS,C1713,SCREW LP ORPE 6.5X50MM,5070.0,4056.0,1.0,4563.0,26
HCPCS,C1713,SCREW LP ORPE 7.0X40MM,5070.0,4056.0,1.0,4563.0,26
HCPCS,C1713,SCREW LP ORPE 7.0X45MM,5070.0,4056.0,1.0,4563.0,26
HCPCS,C1713,SCREW LP ORPE 7.0X50MM,5070.0,4056.0,1.0,4563.0,26
HCPCS,C1713,SCREW LVL1 CMF MAXDRIVE 2X10MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LVL1 CMF MAXDRIVE 2X6EA1,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LVL1 CMF MAXDRIVE 2X6PK5,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW LVL1 CMF MAXDRIVE 2X8MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW MA DEPU 5X35MM*NLU*,4109.0,3287.2,1.0,3698.1,26
HCPCS,C1713,SCREW MA DEPU 6X35*NLU*,4109.0,3287.2,1.0,3698.1,26
HCPCS,C1713,SCREW MA DEPU 6X40,4109.0,3287.2,1.0,3698.1,26
HCPCS,C1713,SCREW MA DEPU 7X35MM,4109.0,3287.2,1.0,3698.1,26
HCPCS,C1713,SCREW MA DEPU 7X40MM,4109.0,3287.2,1.0,3698.1,26
HCPCS,C1713,SCREW MA DEPU 7X45MM,4109.0,3287.2,1.0,3698.1,26
HCPCS,C1713,SCREW MA DR SOLERA 5.5X30MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA DR SOLERA 5.5X40MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA DR SOLERA 6.5X40MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA DR SOLERA 6.5X45MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA DR SOLERA 6.5X50MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA DR SOLERA 7.5X40MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA DR SOLERA 7.5X45MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA DR SOLERA 7.5X50MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA DR SOLERA 8.5X40MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA DR SOLERA 8.5X45MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA DR SOLERA 8.5X50MM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1713,SCREW MA FEN SOLERA 5.5X30MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW MA FEN SOLERA 5.5X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW MA FEN SOLERA 5.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW MA FEN SOLERA 6.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW MA FEN SOLERA 6.5X45MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW MA FEN SOLERA 7.5X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW MA INFINITY 3.5X14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA INFINITY 4.0X26MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 3.5X36MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 3.5X38MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 3.5X40MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 3.5X42MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 3.5X8MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.0X10MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.0X36MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.0X38MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.0X40MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.0X42MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.0X8MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.5X10MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.5X36MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.5X38MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.5X40MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.5X42MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD 4.5X8MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD STER 3.5X10MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD STER 3.5X36MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD STER 3.5X40MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD STER 4.0X36MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD STER 4.0X38MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD STER 4.0X40MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA NON-STD STER 4.5X36MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA RDCTN SOLERA 6.5X30MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA RDCTN SOLERA 6.5X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA RDCTN SOLERA 7.5X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA RDCTN SOLERA 7.5X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA ATS4.75 4.5X40,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW MA SOLERA ATS4.75 5.5X45,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW MA SOLERA ATS5.5 50X4.75,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW MA SOLERA COCR 4.5X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 4.5X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 5.5X25MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 5.5X30MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 5.5X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 5.5X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 5.5X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 6.5X30MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 6.5X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 6.5X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 7.5X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 7.5X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA SOLERA COCR 7.5X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW MA STD XSINFINITY3.0X8MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X10MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X12MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X16MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X18MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X22MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X24MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X26MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X28MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X30MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X32MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X34MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW MA VOYAGER 4.5X40MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW MA VOYAGER 5.5X40MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW MA VOYAGER 5.5X45MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW MA VOYAGER 6.5X40MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW MA VOYAGER 6.5X45MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW MA VOYAGER 6.5X55MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW MA VOYAGER 7.5X35MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW MA VOYAGER 7.5X40MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW MA VOYAGER 7.5X45MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW MA VUEPNT II 4.5X28MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW MA VUEPOINT II 4.5X20MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW MA VUEPOINT II 4.5X22MM,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SCREW MALLEO 4.5*DISC NO REPL*,282.0,225.6,1.0,253.8,26
HCPCS,C1713,SCREW MAXDR MMF 12MM THRD2X8MM,993.0,794.4,1.0,893.7,26
HCPCS,C1713,SCREW MAXDR MMF 12MMTHRD2X16MM,909.0,727.2,1.0,818.1,26
HCPCS,C1713,SCREW MAXDR MMF 16MMTHRD2X12MM,993.0,794.4,1.0,893.7,26
HCPCS,C1713,SCREW MAXDR MMF 8MM THRD2X12MM,909.0,727.2,1.0,818.1,26
HCPCS,C1713,SCREW MAXDRIV HEX ZURICH1.2X7,1789.0,1431.2,1.0,1610.1,26
HCPCS,C1713,SCREW MAXDRIVE BLU 2.3X5MM,599.0,479.2,1.0,539.1,26
HCPCS,C1713,SCREW MAXDRIVE DF ZURICH *NLU*,1794.0,1435.2,1.0,1614.6,26
HCPCS,C1713,SCREW MAXDRIVE DF ZURICH 1.2X5,1794.0,1435.2,1.0,1614.6,26
HCPCS,C1713,SCREW MAXDRIVE DF ZURICH 1.2X7,1729.0,1383.2,1.0,1556.1,26
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X11MM,971.0,776.8,1.0,873.9,26
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X13MM,971.0,776.8,1.0,873.9,26
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X15MM,971.0,776.8,1.0,873.9,26
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X17MM,971.0,776.8,1.0,873.9,26
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X19MM,971.0,776.8,1.0,873.9,26
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X5MM,971.0,776.8,1.0,873.9,26
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X7MM,971.0,776.8,1.0,873.9,26
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X9MM,971.0,776.8,1.0,873.9,26
HCPCS,C1713,SCREW MAXDRIVE GRN 2.3X11MM,1068.0,854.4,1.0,961.2,26
HCPCS,C1713,SCREW MAXDRIVE GRN 2.3X7MM,1068.0,854.4,1.0,961.2,26
HCPCS,C1713,SCREW MAXDRIVE HEX ZURICH1.2X5,1729.0,1383.2,1.0,1556.1,26
HCPCS,C1713,SCREW MDSP 5.5X30MM*NLU*,2096.0,1676.8,1.0,1886.4,26
HCPCS,C1713,SCREW MDSP 5.5X35MM*NLU*,2096.0,1676.8,1.0,1886.4,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X10MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X12MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X14MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X16MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X18MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X20MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X22MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X24MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X26MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X28MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X30MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X32MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X34MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X36MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X38MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X40MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X42MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X44MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X46MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X48MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X50MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X52MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X54MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X56MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X58MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X60MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X62MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X64MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X66MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X68MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X70MM,634.0,507.2,1.0,570.6,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X75MM,1192.0,953.6,1.0,1072.8,26
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X80MM,1192.0,953.6,1.0,1072.8,26
HCPCS,C1713,SCREW MICA SLIMLINE 3.0X30MM,3983.0,3186.4,1.0,3584.7,26
HCPCS,C1713,SCREW MICA SLIMLINE 3.0X44MM,4004.0,3203.2,1.0,3603.6,26
HCPCS,C1713,SCREW MICA SLIMLINE 4.0X44MM,3983.0,3186.4,1.0,3584.7,26
HCPCS,C1713,SCREW MICA SLIMLINE 4.0X48MM,3983.0,3186.4,1.0,3584.7,26
HCPCS,C1713,SCREW MICA SLIMLINE 4.0X58MM,3983.0,3186.4,1.0,3584.7,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 10MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 11MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 12MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 13MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 14MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 16MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 18MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 20MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 8MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 9MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 10MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 11MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 12MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 13MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 14MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 16MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 18MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 20MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 8MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 9MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MICRO BIODR 2.0X12*DISC*,3008.0,2406.4,1.0,2707.2,26
HCPCS,C1713,SCREW MICRO BIODR 2.3X12*DISC*,3008.0,2406.4,1.0,2707.2,26
HCPCS,C1713,SCREW MICRO BIODR 2.3X16*DISC*,3008.0,2406.4,1.0,2707.2,26
HCPCS,C1713,SCREW MICRO BIODR 2.3X18*DISC*,3008.0,2406.4,1.0,2707.2,26
HCPCS,C1713,SCREW MICRO BIODR 2.3X20*DISC*,3008.0,2406.4,1.0,2707.2,26
HCPCS,C1713,SCREW MICRO EMER KLS 1.8X4MM,580.0,464.0,1.0,522.0,26
HCPCS,C1713,SCREW MICRO EMER KLS 1.8X5MM,580.0,464.0,1.0,522.0,26
HCPCS,C1713,SCREW MICRO EMER KLS 1.8X7MM,580.0,464.0,1.0,522.0,26
HCPCS,C1713,SCREW MICRO EMER KLS 2.3X5MM,624.0,499.2,1.0,561.6,26
HCPCS,C1713,SCREW MICRO EMER KLS 2.3X7MM,624.0,499.2,1.0,561.6,26
HCPCS,C1713,SCREW MICRO EMER KLS 2.3X9MM,624.0,499.2,1.0,561.6,26
HCPCS,C1713,SCREW MICRO LORENZ 2.0X5M*NLU*,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW MICRO MAX DF KLS 1.5X4MM,431.0,344.8,1.0,387.9,26
HCPCS,C1713,SCREW MICRO MAX DF KLS 1.5X5MM,431.0,344.8,1.0,387.9,26
HCPCS,C1713,SCREW MICRO MAX DF KLS 1.5X7MM,431.0,344.8,1.0,387.9,26
HCPCS,C1713,SCREW MICRO MAX DF KLS 2X5MM,490.0,392.0,1.0,441.0,26
HCPCS,C1713,SCREW MICRO MAX DF KLS 2X7MM,490.0,392.0,1.0,441.0,26
HCPCS,C1713,SCREW MICRO MAX KLS 1.5X11MM,492.0,393.6,1.0,442.8,26
HCPCS,C1713,SCREW MICRO MAX KLS 1.5X13MM,492.0,393.6,1.0,442.8,26
HCPCS,C1713,SCREW MICRO MAX KLS 1.5X3.5MM,492.0,393.6,1.0,442.8,26
HCPCS,C1713,SCREW MICRO MAX KLS 1.5X9MM,492.0,393.6,1.0,442.8,26
HCPCS,C1713,SCREW MILAGRO BR DEPU 6X30MM,4056.0,3244.8,1.0,3650.4,26
HCPCS,C1713,SCREW MINI ACUTRAK 10MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW MINI ACUTRAK 12MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW MINI ACUTRAK 14MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW MINI ACUTRAK 16MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW MINI ACUTRAK 18MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW MINI ACUTRAK 20MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW MINI ACUTRAK 22MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW MINI ACUTRAK 24MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW MINI ACUTRAK 26MM,3368.0,2694.4,1.0,3031.2,26
HCPCS,C1713,SCREW MINI ACUTRAK2 16MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 18MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 20MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 22MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 24MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 26MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 28MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 30MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 16MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 18MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 20MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 22MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 24MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 26MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 28MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 30MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW MINI FULL THRD 3.0X12MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW MINI FULL THRD 4.0X*NLU*,2110.0,1688.0,1.0,1899.0,26
HCPCS,C1713,SCREW MINI HDLSS SHRT 2.0*NLU*,2490.0,1992.0,1.0,2241.0,26
HCPCS,C1713,SCREW MINI HDLSS SHRT 4.0*NLU*,2424.0,1939.2,1.0,2181.6,26
HCPCS,C1713,SCREW MINI LNG THRD 4.0X44MM,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW MINI LNG THRD 4.0X46MM,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW MINI LNG THRD 4.0X50MM,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW MINI LNG THRD 4.0X55MM,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW MINI MAX DF KLS 2X11MM,487.0,389.6,1.0,438.3,26
HCPCS,C1713,SCREW MINI MAX DF KLS 2X13MM,487.0,389.6,1.0,438.3,26
HCPCS,C1713,SCREW MINI MAX DF KLS 2X15MM,487.0,389.6,1.0,438.3,26
HCPCS,C1713,SCREW MINI MAX DF KLS 2X17MM,487.0,389.6,1.0,438.3,26
HCPCS,C1713,SCREW MINI MAX DF KLS 2X19MM,487.0,389.6,1.0,438.3,26
HCPCS,C1713,SCREW MINI MAX DF KLS 2X9MM,487.0,389.6,1.0,438.3,26
HCPCS,C1713,SCREW MINI SHRT THRD 2.0X*NLU*,1907.0,1525.6,1.0,1717.2,78
HCPCS,C1713,SCREW MINI SHRT THRD 2.0X12MM,2114.0,1691.2,1.0,1902.6,26
HCPCS,C1713,SCREW MINI SHRT THRD 2.5X42MM,1934.0,1547.2,1.0,1740.6,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.0X14MM,2158.0,1726.4,1.0,1942.2,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.0X20MM,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.0X22MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.0X24MM,1976.0,1580.8,1.0,1778.4,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.0X28MM,1976.0,1580.8,1.0,1778.4,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.0X38MM,1934.0,1547.2,1.0,1740.6,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X22MM,1934.0,1547.2,1.0,1740.6,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X24MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X26MM,1934.0,1547.2,1.0,1740.6,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X28MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X30MM,1641.0,1312.8,1.0,1476.9,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X32MM,1934.0,1547.2,1.0,1740.6,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X34MM,1934.0,1547.2,1.0,1740.6,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X38MM,1934.0,1547.2,1.0,1740.6,26
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X40MM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SCREW MINI SHRT THRD 4.0X*NLU*,2110.0,1688.0,1.0,1899.0,26
HCPCS,C1713,SCREW MINI SHRT THRD 4.0X32MM,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW MINI SHRT THRD 4.0X42MM,2110.0,1688.0,1.0,1899.0,26
HCPCS,C1713,SCREW MINI SHRT THRD 4.0X48MM,2054.0,1643.2,1.0,1848.6,26
HCPCS,C1713,SCREW MIS6.5X40*DUP 6296639*,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW MMF SLFTP GRY 2.0X8MM,1145.0,916.0,1.0,1030.5,26
HCPCS,C1713,SCREW MNSTR HDLSS SHRT 4.5X55,3198.0,2558.4,1.0,2878.2,26
HCPCS,C1713,SCREW MTX TI SLFDR 1.85X8MM,857.0,685.6,1.0,771.3,26
HCPCS,C1713,SCREW MTX TI SLFTP 1.85X6MM,814.0,651.2,1.0,732.6,26
HCPCS,C1713,SCREW MTX TI SLFTP 1.85X8MM,811.0,648.8,1.0,729.9,26
HCPCS,C1713,SCREW MTX TI SLFTP 2.1X6MM,857.0,685.6,1.0,771.3,26
HCPCS,C1713,SCREW MTX TI SLFTP 2.1X8MM,859.0,687.2,1.0,773.1,26
HCPCS,C1713,SCREW MTXMAND SYNT 2.4X14*NLU*,636.0,508.8,1.0,572.4,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X28MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X30MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X32MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X34MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X36MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X38MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X40MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X42MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X44MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X46MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X52MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X24,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X30,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X32,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X34,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X36,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X38,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X40,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X42,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X44,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X46,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X50,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X52,2121.0,1696.8,1.0,1908.9,26
HCPCS,C1713,SCREW NAIL COMP 8X100MM,11278.0,9022.4,1.0,10150.2,26
HCPCS,C1713,SCREW NCB 4.0X26MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X32MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X34MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X36MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X38MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X40MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X42MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X44MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X46MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X48MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X50MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X55MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 4.0X60MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NCB 5.0X32MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X34MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X36MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X38MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X40MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X42MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X44MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X46MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X48MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X50MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X55MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X60MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X65MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X70MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X75MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X80MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB 5.0X85MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW NCB STER 5.0X90MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW NEUR LVL1 1.5X3.5MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW NEURO LVL1 1.5X3.5MM PK5,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW NEURO LVL1 1.5X4MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW NEURO LVL1 1.5X4MM PK5,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW NEURO LVL1 1.5X5MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW NEURO LVL1 1.8X4MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW NEURO LVL1 1.8X5MM,491.0,392.8,1.0,441.9,26
HCPCS,C1713,SCREW NEURO SYNT 3MM,573.0,458.4,1.0,515.7,26
HCPCS,C1713,SCREW NEURO SYNT 3MM*NLU*,227.0,181.6,1.0,204.3,26
HCPCS,C1713,SCREW NEURO SYNT 4MM,573.0,458.4,1.0,515.7,26
HCPCS,C1713,SCREW NEURO SYNT 4MM*NLU*,227.0,181.6,1.0,204.3,26
HCPCS,C1713,SCREW NEURO SYNT 5MM,573.0,458.4,1.0,515.7,26
HCPCS,C1713,SCREW NEURO SYNT 5MM*NLU*,227.0,181.6,1.0,204.3,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X20,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X22,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X24,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X26,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X28,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X30,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X36,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X38,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X40,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X42,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X44,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X46,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X48,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW NEWPORT INTN 7.5*NLU*,4563.0,3650.4,1.0,4106.7,26
HCPCS,C1713,SCREW NL ALPHALOK 3.5X22MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL ALPHALOK 3.5X28MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL ANK CORT 2.7X42MM,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW NL ARSENAL 2.2X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 2.7X14MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 2.7X18MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 2.7X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 2.7X22MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 2.7X28MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 3.5X18MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 3.5X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 3.5X22MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 3.5X24MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 4.0X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARSENAL 4.0X16MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW NL ARTX 2.7X36MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW NL AVID TI 3.5X16MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL AVID TI 3.5X18MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL BABY GORILLA 2.0X12MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL BABY GORILLA 2.0X16MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X13MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X14MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X16MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X18MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X20MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X26MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X8MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL BUNION 2.4X10MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL BUNION 2.4X12MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL BUNION 2.4X6MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW NL BUNION 2.4X8MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X10,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X12,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X14,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X16,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X18,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X20,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X22,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X24,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X26,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X28,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X30,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X32,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X34,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X36,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X38,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X40,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X42,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X44,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X46,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X48,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X50,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X55,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X60,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X65,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X70,1904.0,1523.2,1.0,1713.6,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X10MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X12MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X14MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X16MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X18MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X20MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X22MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X24MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X26MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X28MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X30MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X32MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X34MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X36MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X38MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X40MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X42MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X44MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X46MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X48MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X50MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X55MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X65MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X70MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X20,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X22,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X24,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X26,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X28,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X30,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X32,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X38,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X40,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X42,623.0,498.4,1.0,560.7,26
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X30,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X34,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X42,400.0,320.0,1.0,360.0,26
HCPCS,C1713,SCREW NL CORT HEXALOBE2.7X40MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL CORT HEXALOBE2.7X42MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL CORT HEXALOBE2.7X46MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL CORT HEXALOBE2.7X48MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL CORT HUMR TI 3.5X30MM,1047.0,837.6,1.0,942.3,26
HCPCS,C1713,SCREW NL CORT HUMR TI 3.5X32MM,495.0,396.0,1.0,445.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X10MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X12MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X14MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X16MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X18MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X20MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X22MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X24MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X26MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X28MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X30MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X32MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X34MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X35MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X36MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X38MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X40MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X44MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X45MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X46MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X48MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X50MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X52MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X55MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X56MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X60MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X65MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X70MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X75MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X80MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT LOPRO SS35X58MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL CORT SLVR 3.5X12MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL CORT SLVR 3.5X14MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL CORT SLVR 3.5X22MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X18MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X20MM,1964.0,1571.2,1.0,1767.6,26
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X22MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X24MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X28MM,1964.0,1571.2,1.0,1767.6,26
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X30MM,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X18MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X24MM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X28MM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X30MM,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X34MM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X36MM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X38MM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X9MM,986.0,788.8,1.0,887.4,26
HCPCS,C1713,SCREW NL DVR ZIMM 2.7X12MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,SCREW NL HAND FRAC 1.3X12MM,792.0,633.6,1.0,712.8,26
HCPCS,C1713,SCREW NL HAND FRAC 1.5X10MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL HAND FRAC 1.5X12MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL HAND FRAC 1.5X13MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X12MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X14MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X16MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X18MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X22MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X24MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X26MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X28MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X30MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X32MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X34MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X36MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X38MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X40MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X50MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW NL HEXALOBE 2.7X60MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X10MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X12MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X14MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X16MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X18MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X20MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X22MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X24MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X26MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X28MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X30MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X32MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X34MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X36MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X38MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X40MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X44MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X45MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X50MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X55MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X60MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X65MM,1054.0,843.2,1.0,948.6,26
HCPCS,C1713,SCREW NL HEXALOBE 3.5X8MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X10MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X12MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X14MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X16MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X18MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X20MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X22MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X24MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X26MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X28MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X30MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X32MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X34MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X36MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X38MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X40MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X45MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X50MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X55MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X60MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X65MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE 3X8MM,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL HEXALOBE COCR 2.7X8MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL HEXALOBE COCR2.7X10MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL HEXALOBE COCR2.7X12MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL HEXALOBE COCR2.7X14MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL HEXALOBE COCR3.5X10MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL HEXALOBE COCR3.5X12MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL HEXALOBE COCR3.5X14MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL HEXALOBE COCR3.5X16MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X20,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X22,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X26,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X44,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW NL LOPRO HEXALOBE 2.7X12,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL LOPRO HEXALOBE 3.5X30,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL LOPRO HEXALOBE 3.5X40,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW NL LP ARTX 4X34MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SCREW NL MAXLK 3.5X24MM,1334.0,1067.2,1.0,1200.6,26
HCPCS,C1713,SCREW NL MAXLK 3.5X30MM,1334.0,1067.2,1.0,1200.6,26
HCPCS,C1713,SCREW NL MAXLOCK 3.5X18*NLU*,1407.0,1125.6,1.0,1266.3,26
HCPCS,C1713,SCREW NL METFX 2.0X12MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL METFX 2.0X14MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL MINBUNION STER2.7X22,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MINI MAXLK 2.7*NLU*,1377.0,1101.6,1.0,1239.3,26
HCPCS,C1713,SCREW NL MINI UNITE 2.4X10,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL MINI UNITE 2.4X12,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL MINI UNITE 2.4X14,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL MINI UNITE 2.7X12,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL MINI UNITE 2.7X26,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.0X10MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.0X12MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.0X14MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.0X16MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.0X18MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.0X20MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.0X22MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.0X30MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.5X12MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.5X14MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.5X16MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.5X18MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.5X20MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.5X24MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL MOTOBAND 3.5X28MM,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SCREW NL ORTHOLOC 2.4X12MM,778.0,622.4,1.0,700.2,26
HCPCS,C1713,SCREW NL ORTHOLOC 2.4X14MM,778.0,622.4,1.0,700.2,26
HCPCS,C1713,SCREW NL ORTHOLOC 2.4X8MM,778.0,622.4,1.0,700.2,26
HCPCS,C1713,SCREW NL ORTHOLOC2.7X14MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW NL ORTHOLOC2.7X16MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW NL ORTHOLOC2.7X18MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW NL ORTHOLOC2.7X20MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW NL ORTHOLOC2.7X22MM,937.0,749.6,1.0,843.3,26
HCPCS,C1713,SCREW NL PA MINI UNITE 2.4X14,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL PILON 2.7X38MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW NL PILON 2.7X40MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW NL PILON 3.5X24MM,2010.0,1608.0,1.0,1809.0,26
HCPCS,C1713,SCREW NL PILON 3.5X28MM,2010.0,1608.0,1.0,1809.0,26
HCPCS,C1713,SCREW NL PILON 3.5X30MM,2010.0,1608.0,1.0,1809.0,26
HCPCS,C1713,SCREW NL PILON 3.5X40MM,2010.0,1608.0,1.0,1809.0,26
HCPCS,C1713,SCREW NL R3CON BABY 3.5X20MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON BABY 3.5X22MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON BABY 3.5X24MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON BABY 3.5X26MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON BABY 3.5X28MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON BABY 3.5X30MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON BABY 3.5X32MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON BABY 3.5X34MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON BABY 3.5X36MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X12MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X13MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X14MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X15MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X16MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X17MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X18MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X20MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X22MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X24MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X26MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X30MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X32MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X34MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X36MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X38MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X40MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X44MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X46MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X48MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X50MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X52MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X54MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X12MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X14MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X16MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X18MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X20MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X22MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X24MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X26MM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X28MM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X30MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X32MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X34MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X36MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X38MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X40MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X42MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X44MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X48MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X50MM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1713,SCREW NL R3CON GORILLA4.2X20MM,1381.0,1104.8,1.0,1242.9,26
HCPCS,C1713,SCREW NL R3CON GORILLA4.2X24MM,1381.0,1104.8,1.0,1242.9,26
HCPCS,C1713,SCREW NL R3CON GORILLA4.2X30MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW NL R3CON GORILLA4.2X32MM,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREW NL SB POLYLOCK 2.0X10MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL SB POLYLOCK 2.4X10MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL SB POLYLOCK 2.7X12MM,4229.0,3383.2,1.0,3806.1,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 2.8X12,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 2.8X14,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 2.8X16,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 2.8X18,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 2.8X20,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 2.8X22,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 2.8X24,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 2.8X34,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 3.5X12,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 3.5X14,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 3.5X16,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 3.5X18,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL SOLID OMNI AF 3.5X20,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL STRY 3.0X18,1049.0,839.2,1.0,944.1,26
HCPCS,C1713,SCREW NL TUFFNEK 2.7X24MM,1441.0,1152.8,1.0,1296.9,26
HCPCS,C1713,SCREW NL TUFFNEK 3.5X24MM,1505.0,1204.0,1.0,1354.5,26
HCPCS,C1713,SCREW NL TUFFNEK 3.5X26MM,1505.0,1204.0,1.0,1354.5,26
HCPCS,C1713,SCREW NL TUFFNEK 3.5X32MM,1505.0,1204.0,1.0,1354.5,26
HCPCS,C1713,SCREW NL TYME 2.5X26MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL TYME 2.5X28MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 2.7X26MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 3.5X12MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 3.5X14MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 3.5X16MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 3.5X20MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 3.5X22MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 3.5X24MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 3.5X26MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 3.5X30MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 3.5X32MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 4.0X16MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 4.0X22MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 4.0X24MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 4.0X26MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 4.0X30MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 4.0X36MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 4.5X26MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 4.5X28MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL UNITE 4.5X30MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X10,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X12,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X14,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X18,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X20,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X22,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X24,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X26,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X28,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X30,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X32,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X34,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X36,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X38,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X40,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X42,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X44,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X46,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X48,875.0,700.0,1.0,787.5,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X50,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X55,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X60,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X65,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X70,884.0,707.2,1.0,795.6,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X10,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X11,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X12,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X14,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X15,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X16,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X18,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X20,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X22,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X24,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X26,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X28,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X30,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X32,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X34,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X36,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X38,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X40,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X6,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X7,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X8,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X26,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X28,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X30,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X32,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X34,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X36,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X38,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X40,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X45,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X50,839.0,671.2,1.0,755.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X10MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X11MM,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X12MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X13MM,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X14MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X15MM,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X16MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X18MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X20MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X22MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X24MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X26MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X28MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X30MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X32MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X34MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X36MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X38MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X40MM,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X42MM,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X50MM,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X55MM,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X8MM,1149.0,919.2,1.0,1034.1,26
HCPCS,C1713,SCREW NL VARIAX T8 2.4X9MM,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T8 2.7X65MM,882.0,705.6,1.0,793.8,26
HCPCS,C1713,SCREW NL VARIAX T8 FULL2.7X6MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8 FULL2.7X8MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8 FULL2.7X9MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X10MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X11MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X12MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X13MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X14MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X15MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X16MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X18MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X20MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X22MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X24MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X26MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X28MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X30MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X32MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X34MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X36MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X38MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X40MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X42MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X44MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X45MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X46MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X48MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X50MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X55MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X60MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X65MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X70MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X75MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X80MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW NL VILX 3.5X14MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL VILX 3.5X16MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL VILX 3.5X18MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NL VILX 3.5X20MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW NOBELACTIVE 3.0X10MM,3672.0,2937.6,1.0,3304.8,26
HCPCS,C1713,SCREW NOBELACTIVE RP 3.5X15MM,3672.0,2937.6,1.0,3304.8,26
HCPCS,C1713,SCREW NOBELACTIVE RP 4.3X10MM,3672.0,2937.6,1.0,3304.8,26
HCPCS,C1713,SCREW NOBELACTIVE RP 4.3X13MM,3672.0,2937.6,1.0,3304.8,26
HCPCS,C1713,SCREW NOBELACTIVE RP 5X11.5MM,3672.0,2937.6,1.0,3304.8,26
HCPCS,C1713,SCREW NOBELACTIVE RP4.3X11.5MM,3672.0,2937.6,1.0,3304.8,26
HCPCS,C1713,SCREW OC BLNT 4.5X10MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC BLNT 4.5X12MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC BLNT 4.5X14MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC BLNT 4.5X6MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC BLNT 4.5X8MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC BLNT 5.0X10MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC BLNT 5.0X12MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC BLNT 5.0X14MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC BLNT 5.0X6MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC BLNT 5.0X8MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC TPR 4.5X10MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC TPR 4.5X12MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC TPR 4.5X14MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC TPR 4.5X6MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC TPR 4.5X8MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC TPR 5.0X10MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC TPR 5.0X12MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC TPR 5.0X14MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC TPR 5.0X6MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OC TPR 5.0X8MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OCC CORTVUEPOINTII4.5X14,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW OCC CORTVUEPOINTII5.0X12,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW OCC SHLDRPAQUARTEX4.0X38,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW OCC SHLDRPAQUARTEX4.0X40,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW OCC YUKON OCT 5.25X12MM,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW OCC YUKON OCT 5.25X6MM,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW OCC YUKON OCT 5.25X8MM,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW OCCIPITO QUARTEX 4.2X6MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1713,SCREW OCCIPITO QUARTEX 4.2X8MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1713,SCREW OCCIPITO QUARTEX 4.6X8MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X10MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X12MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X16MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X18MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT F/A DEPU 4X12MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT F/A DEPU 4X14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT F/A DEPU 4X16MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT F/A DEPU 4X18MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT M/L DEPU 4.35X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT M/L DEPU 4.35X25MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT M/L DEPU 4.35X30MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW OCT MTNR DEPU 4.5X10MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW OCT MTNR DEPU INNER,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW ODONTOID LAG MDTR *NLU*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW ODONTOID MDTR 4X30*NLU*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW ODONTOID MDTR 4X40*NLU*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW ONEDRIV DFEMERTI1.8X7MM,604.0,483.2,1.0,543.6,26
HCPCS,C1713,SCREW ONEDRIVE DF TI 1.5X4MM,528.0,422.4,1.0,475.2,26
HCPCS,C1713,SCREW ONEDRIVE DF TI 1.5X5MM,528.0,422.4,1.0,475.2,26
HCPCS,C1713,SCREW ONEDRIVE DF TI 1.5X7MM,528.0,422.4,1.0,475.2,26
HCPCS,C1713,SCREW ONEDRIVE DFEMERTI1.5X5MM,604.0,483.2,1.0,543.6,26
HCPCS,C1713,SCREW ONEDRIVE LVLONE1.5X9MM,528.0,422.4,1.0,475.2,26
HCPCS,C1713,SCREW ORTHOFIX 150X40MM*NLU*,956.0,764.8,1.0,860.4,26
HCPCS,C1713,SCREW OST SALVATION 5.5X30,1207.0,965.6,1.0,1086.3,26
HCPCS,C1713,SCREW OST SALVATION 5.5X55,1207.0,965.6,1.0,1086.3,26
HCPCS,C1713,SCREW PA 5.5MM EXPD DEPU6X25MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA 5.5MM EXPDDEPU 8*NLU*,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA 5.5MM EXPDDEPU6*NLU*,4396.0,3516.8,1.0,3956.4,52
HCPCS,C1713,SCREW PA 5.5MM EXPDEPU9X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA 5.5MM EXPDEPU9X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA 5.5MM EXPDEPU9X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA 5.5MMEXPDDEPU7.5*NLU*,4396.0,3516.8,1.0,3956.4,52
HCPCS,C1713,SCREW PA 6.35MM DEPU 10X8*NLU*,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA 6.35MM DEPU 6X35*NLU*,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA ARMADA 15T 7.5X45MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1713,SCREW PA CREO COCR TI 6.5X35MM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW PA CREO COCR TI 6.5X40MM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW PA CREO COCR TI 8.5X110,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW PA CREO COCR TI 8.5X90MM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW PA CREO COCR TI 8.5X95MM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1713,SCREW PA EVAREST EXT TAB5.5X35,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVAREST EXT TAB5.5X40,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVAREST EXT TAB5.5X45,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVAREST EXT TAB5.5X50,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVEREST 4.0X30MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 4.0X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 4.0X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 4.5X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 4.5X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 4.5X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 4.5X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 5.0X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 5.5X30MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 5.5X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 5.5X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 5.5X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 5.5X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 6.5X30MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 6.5X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 6.5X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 6.5X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 6.5X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 6.5X55MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 7.5X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 7.5X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 7.5X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 7.5X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 7.5X55MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 8.5X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 8.5X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 9.5X100MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST 9.5X90MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EVEREST EXT TAB6.5X35,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVEREST EXT TAB6.5X40,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVEREST EXT TAB6.5X50,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVEREST EXT TAB6.5X55,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVEREST EXT TAB7.5X35,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVEREST EXT TAB7.5X40,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVEREST EXT TAB7.5X45,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVEREST EXT TAB8.5X45,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EVEREST EXT TAB8.5X50,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA EXPD 5.5X5X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X6X30MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X6X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X6X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X6X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X7X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X7X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X7X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X7X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X7X55MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X8X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X8X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD 5.5X9X80MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXPD DEPU 4.35X2*NLU*,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA EXT NORTHSTAR3.5X12MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA EXT NORTHSTAR3.5X14MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA EXT NORTHSTAR3.5X20MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA EXT NORTHSTAR4.0X12MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA EXT NORTHSTAR4.0X14MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA EXT NORTHSTAR4.0X16MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA EXT NORTHSTAR4.0X18MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA EXT NORTHSTAR4.0X20MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA FAS NORTHSTAR 5.5X24,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA FAS NORTHSTAR 5.5X26,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA FAS NORTHSTAR 5.5X28,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA FAS NORTHSTAR 5.5X30,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA FAS NORTHSTAR 5.5X32,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA FAS NORTHSTAR 5.5X34,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA FEN EVEREST 4.5X30MM,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA FEN EVEREST 4.5X35MM,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA FEN EVEREST 4.5X40MM,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA GIMBAL MARINER 12MM,7857.0,6285.6,1.0,7071.3,26
HCPCS,C1713,SCREW PA GRV TORX 5.5X30 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 5.5X35 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 5.5X40 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 5.5X45 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 5.5X50 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 5.5X55 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 6.5X30 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 6.5X35 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 6.5X40 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 6.5X45 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 6.5X50 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 6.5X55 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 7.5X30 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 7.5X35 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 7.5X40 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 7.5X45 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 7.5X50 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA GRV TORX 7.5X55 MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1713,SCREW PA HD MARINER,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW PA INNER MTNR DEPU,703.0,562.4,1.0,632.7,26
HCPCS,C1713,SCREW PA INVICTUS 3.5X12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 3.5X14MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 3.5X18MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 4.0X12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 4.0X14MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 4.0X16MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 4.0X20MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 4.5X20MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 4.5X26MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 4.5X28MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 4.5X30MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 4.5X32MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 5.5X24MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 5.5X28MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA INVICTUS 5.5X30MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA LNG LNK MIS 5.5X40MM,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,SCREW PA LNG LNK MIS 5.5X45MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MIS 6.5X35MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MIS 6.5X40MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MIS 6.5X45MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MIS 6.5X50MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MIS 7.5X35MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MIS 7.5X40MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MIS 7.5X45MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MIS 7.5X50MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MISSTER5.5X45,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MISSTER6.5X60,1300.0,1040.0,1.0,1170.0,26
HCPCS,C1713,SCREW PA LNG LNK MISSTER7.5X50,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MISSTER7.5X55,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA LNG LNK MISSTER7.5X60,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X12MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X14MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X16MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X18MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X20MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X22MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X24MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X28MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X30MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X32MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X34MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X10MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X12MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X14MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X16MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X18MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X20MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X22MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X24MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X26MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X28MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X30MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X34MM,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.5X24MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.5X26MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.5X28MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.5X30MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.5X32MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA NORTHSTAR 4.5X34MM,4935.0,3948.0,1.0,4441.5,26
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X20,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X26,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X28,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X30,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X32,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X34,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X36,4116.0,3292.8,1.0,3704.4,26
HCPCS,C1713,SCREW PA OASYS STRY 3.5X12MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW PA OASYS STRY 3.5X14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW PA OASYS STRY 3.5X16MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW PA OASYS STRY 4.0X14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW PA OASYS STRY 4.0X16MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW PA OASYS STRY 4.0X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW PA OASYS STRY 4.5X20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW PA PART THRD 4.0X32MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA PART THRD 4.0X36MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW PA PEDICLE 4.5X20MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 4.5X25MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 5.0X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 5.0X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 5.5X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 5.5X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 5.5X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 6.0X25MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 6.0X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 6.0X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 6.0X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 6.5X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 6.5X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 6.5X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 6.5X45MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 7.0X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 7.0X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 7.0X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 7.0X45MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 8.0X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE 8.0X45MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE BLU 5.0X25MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE BLU 5.0X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE DBL 5.5X25MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE DBL 5.5X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE GRN 6.0X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE GRN 6.0X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE PUR 7.0X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE PUR 7.0X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA PEDICLE PUR 7.0X70MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA QTEX 4.5X16MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW PA QTEX 4.5X18MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW PA QUARTEX 3.5X10MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW PA QUARTEX 3.5X34MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW PA QUARTEX 5.0X20MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW PA QUARTEX 5.0X22MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW PA QUARTEX 5.0X32MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW PA QUARTEX 5.0X40MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW PA QUARTEX 5.5X20MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 5.5X25,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 5.5X30,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 5.5X35,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 6.0X25,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 6.0X30,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 6.0X35,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 6.0X40,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 6.0X45,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 6.5X30,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 6.5X35,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 6.5X40,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 7.0X30,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 7.0X35,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RDCTN RESPONSE 7.0X45,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW PA RELINE 2C 8.5X70MM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1713,SCREW PA RELINE 2C 8.5X85MM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1713,SCREW PA RELINE 2C 9.5X100MM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1713,SCREW PA RELINE 2C 9.5X80MM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1713,SCREW PA RELINE 2S 4.5X20MM,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1713,SCREW PA RELINE 2S 5.0X20MM,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1713,SCREW PA RELINE 2S 5.0X22.5MM,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1713,SCREW PA RELINE 2S 5.0X25MM,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1713,SCREW PA RELINE 2S 5.5X20MM,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1713,SCREW PA RELINE 2S 6.0X25MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE 2S 6.5X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE 2S 6.5X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE 2S 6.5X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE 2S 7.5X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE 2S 7.5X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE-O 2S 5.0X20MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE-O 2S 5.0X25MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE-O 2S 5.0X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE-O 2S 5.0X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE-O 2S 5.5X25MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE-O 2S 5.5X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE-O 2S 5.5X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE-O 2S 6.0X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW PA RELINE-O 2S 8.5X60MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PA RELINE-O 2S 8.5X70MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PA RELINE-O 7.5X35*NLU*,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW PA SHAFT SYMPY3.5X3.5X30,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X24,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X26,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X28,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X30,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X32,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X36,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SHLDR QTEX3.5X38MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SCREW PA SYMPY 3.5X4.0X18MM,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X12MM,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X14MM,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X16MM,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X20MM,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X26MM,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X28MM,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SYMPY 4.0X4.0X20MM,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SYMPY 4.0X4.0X24MM,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SYMPY 4.0X4.0X28MM,4614.0,3691.2,1.0,4152.6,26
HCPCS,C1713,SCREW PA SYMPY 4.5X24MM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,SCREW PA SYMPY 4.5X30MM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,SCREW PA SYMPY 5.0X24MM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1713,SCREW PA SYMPYSTER4.0X4.0X30MM,5837.0,4669.6,1.0,5253.3,26
HCPCS,C1713,SCREW PA VITALITY 4.0X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA VITALITY 4.5X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA VITALITY 5.0X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA VITALITY 5.5X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA VITALITY 6.0X35MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA VITALITY 6.0X40MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA VITALITY 6.5X50MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PA YUKON OCT 3.5X10MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 3.5X12MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 3.5X14MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 3.5X16MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 3.5X18MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 3.5X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 3.5X22MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 3.5X24MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 3.5X28MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X12MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X14MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X16MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X18MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X22MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X24MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X26MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X30MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X34MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.0X36MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.5X22MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.5X24MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.5X26MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.5X28MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 4.5X30MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 5.0X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 5.0X22MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 5.0X24MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 5.0X26MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 5.0X28MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 5.0X30MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT 5.0X32MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT LNG3.5X24MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT LNG3.5X26MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA YUKON OCT LNG3.5X30MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1713,SCREW PA5.5MMEXPDDEPU7.5*NLU*,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PAEXPDDEPUDUAL7X*NLU*,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW PANGEA SYNT 6X35MM*NLU*,6737.0,5389.6,1.0,6063.3,26
HCPCS,C1713,SCREW PARADIGM STD*NLU*,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW PEDICLE 6.5X55MM*NLU*,2688.0,2150.4,1.0,2419.2,26
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR5.5X35,13650.0,10920.0,1.0,12285.0,26
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR6.5X35,13650.0,10920.0,1.0,12285.0,26
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR6.5X40,13650.0,10920.0,1.0,12285.0,26
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR6.5X45,13650.0,10920.0,1.0,12285.0,26
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR6.5X60,13650.0,10920.0,1.0,12285.0,26
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR7.5X45,13650.0,10920.0,1.0,12285.0,26
HCPCS,C1713,SCREW PEDICLE GESY 6.5X*NLU*,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 5.5X40,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 5.5X45,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 6.5X35,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 6.5X40,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 6.5X45,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 6.5X50,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 6.5X55,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 7.5X40,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 7.5X45,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 7.5X50,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE PA SNIPER 7.5X55,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1713,SCREW PEDICLE UNIAX 4.5X25M,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1713,SCREW PEDICLE UNIAX 4.5X30M,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1713,SCREW PEDICLE UNIAX 4X25MM,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1713,SCREW PEDICLE UNIAX 4X30MM,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1713,SCREW PEDICLE ZIMM 6.5X45MM,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW PEEK INTRAFIX 8-10X30,2972.0,2377.6,1.0,2674.8,26
HCPCS,C1713,SCREW PEEK INTRAFIX 8X23MM,3306.0,2644.8,1.0,2975.4,26
HCPCS,C1713,SCREW PEEK INTRAFIX 9X23MM,3306.0,2644.8,1.0,2975.4,26
HCPCS,C1713,SCREW PEG LK STRY 2X16MM*OBS*,958.0,766.4,1.0,862.2,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X10MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X11MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X13MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X14MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X16MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X18MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X20MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X22MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X24MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X26MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X28MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X34MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PEG NL ALPS 2.5X36MM,952.0,761.6,1.0,856.8,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X100M,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X105M,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X10MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X110M,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X12MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X14MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X16MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X20MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X22MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X24MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X50MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X56MM,480.0,384.0,1.0,432.0,26
HCPCS,C1713,SCREW PERI VA SYNT LK 5X10MM,1971.0,1576.8,1.0,1773.9,26
HCPCS,C1713,SCREW PERI VA SYNT LK 5X12MM,1971.0,1576.8,1.0,1773.9,26
HCPCS,C1713,SCREW PERI VA SYNT LK 5X14MM,1971.0,1576.8,1.0,1773.9,26
HCPCS,C1713,SCREW PERI VA SYNT LK 5X16MM,1971.0,1576.8,1.0,1773.9,26
HCPCS,C1713,SCREW PERI VA SYNT LK 5X18MM,1971.0,1576.8,1.0,1773.9,26
HCPCS,C1713,SCREW PILOT ZIMM 4X22MM*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW PILOT ZIMM 4X32MM*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW PILOT ZIMM 4X40MM*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW PILOT ZIMM 4X42MM*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW PILOT ZIMM 4X48MM*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREW PLLA BIOCOMP 3X16MM,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,SCREW PLLA BIOCOMP 3X18MM,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,SCREW PLLA BIOCOMP 3X20MM,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,SCREW PLLA BIOCOMP 3X22MM,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,SCREW PLLA BIOCOMP 3X26MM,3476.0,2780.8,1.0,3128.4,26
HCPCS,C1713,SCREW POST BI CORT 4.5X35MM,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW PROX ULNA PLATE 4-40,1267.0,1013.6,1.0,1140.3,26
HCPCS,C1713,SCREW PRVID VA GM 4.6X20MM,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW PSN FEMALE 2.5X25MM,1148.0,918.4,1.0,1033.2,26
HCPCS,C1713,SCREW QK INSRT TI 2.0X11MM,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW QK INSRT TI 2.0X12MM,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW QK INSRT TI 2.0X13MM,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW QK INSRT TI 2.0X14MM,2686.0,2148.8,1.0,2417.4,26
HCPCS,C1713,SCREW QK INSRT TI STER2.0X11MM,3018.0,2414.4,1.0,2716.2,26
HCPCS,C1713,SCREW QK INSRT TI STER2.0X12MM,3018.0,2414.4,1.0,2716.2,26
HCPCS,C1713,SCREW QK INSRT TI STER2.0X13MM,3018.0,2414.4,1.0,2716.2,26
HCPCS,C1713,SCREW QK INSRT TI STER2.0X14MM,3018.0,2414.4,1.0,2716.2,26
HCPCS,C1713,SCREW QUICKFIX ARTX 2X10MM,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,SCREW QUICKFIX ARTX 2X11MM,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,SCREW QUICKFIX ARTX 2X12MM,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,SCREW QUICKFIX ARTX 2X13MM,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,SCREW QUICKFIX ARTX 2X14MM,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,SCREW QUICKFIX ARTX 3X13MM,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1713,SCREW QUICKFIX LOPRO 3.0X22MM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1713,SCREW RDCTN PA SLFTP LNK4.5X30,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,SCREW RDCTN PA SLFTP LNK4.5X35,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,SCREW RDCTN PA SLFTP LNK5.5X50,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,SCREW RDCTN PA SLFTP LNK8.5X80,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1713,SCREW RDCTN RELINE 2S 5.5X25MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW RDCTN RELINE 2S 5.5X30MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW RDCTN RELINE 2S 5.5X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW RDCTN RELINE 2S 5.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW RDCTN RELINE 2S 6.5X30MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW RDCTN RELINE 2S 6.5X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW RDCTN RELINE 2S 6.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW RDCTN RELINE 2S 7.5X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW RDCTN RELINE 2S 7.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW RDCTN RELN MAS7.5X45MM,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1713,SCREW RDCTN UNIAX 6X40MM,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW RDCTN UNIAX 6X45MM,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW RDCTN UNIAX 7X40MM,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW RDCTN UNIAX PEDICLE 6X25,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW RDCTN UNIAX PEDICLE 6X30,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW RDCTN UNIAX PEDICLE 7X45,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW RDCTN UNIAXPEDICLE4.5X25,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW RDCTN UNIAXPEDICLE6.5X40,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1713,SCREW RDCTNBODYFIREBIRDNXG22MM,3544.0,2835.2,1.0,3189.6,26
HCPCS,C1713,SCREW RDCTNCPMM6.0X40*NLU*,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,SCREW RDCTNUNIPINVICVTUS5.5X30,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW RECON 5X80MM,1221.0,976.8,1.0,1098.9,26
HCPCS,C1713,SCREW RECON 5X85MM,1221.0,976.8,1.0,1098.9,26
HCPCS,C1713,SCREW RECON 5X90MM,1221.0,976.8,1.0,1098.9,26
HCPCS,C1713,SCREW RECON LAG T2 6.5X85MM,1903.0,1522.4,1.0,1712.7,26
HCPCS,C1713,SCREW RECON LAG T2 6.5X90MM,1903.0,1522.4,1.0,1712.7,26
HCPCS,C1713,SCREW RECON LAG T2 6.5X95MM,1903.0,1522.4,1.0,1712.7,26
HCPCS,C1713,SCREW RECON PART THRD 4.5X57.5,2150.0,1720.0,1.0,1935.0,26
HCPCS,C1713,SCREW RECON PART THRD 4.5X60.0,2150.0,1720.0,1.0,1935.0,26
HCPCS,C1713,SCREW RECON T25 *DISC 6336061*,1264.0,1011.2,1.0,1137.6,26
HCPCS,C1713,SCREW RECON T25 *DISC 6336085*,1264.0,1011.2,1.0,1137.6,26
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X50,1574.0,1259.2,1.0,1416.6,26
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X55,1574.0,1259.2,1.0,1416.6,26
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X60,1574.0,1259.2,1.0,1416.6,26
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X65,1574.0,1259.2,1.0,1416.6,26
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X70,1574.0,1259.2,1.0,1416.6,26
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X75,1574.0,1259.2,1.0,1416.6,26
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X80,1574.0,1259.2,1.0,1416.6,26
HCPCS,C1713,SCREW RECON T25S*DISC 6336061*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECON T25S*DISC 6336062*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECON T25S*DISC 6336085*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECON T25S*DISC 6337646*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECON T25S*DISC 6341147*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECON T25S*DISC 6341669*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECON T25S*DISC 6341670*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECON T25S*DISC 6342091*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECON TI 5.0X60MM,1221.0,976.8,1.0,1098.9,26
HCPCS,C1713,SCREW RECON TI 5.0X70MM,1221.0,976.8,1.0,1098.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X100,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X105,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X110,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X115,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X120,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X125,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X130,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X60MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X65MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X70MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X75MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X80MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X85MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X90MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECON XL40 STER 6.5X95MM,1791.0,1432.8,1.0,1611.9,26
HCPCS,C1713,SCREW RECONT25ST*DISC 6340969*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECONT25ST*DISC 6348147*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECONT25ST*DISC 6349404*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RECONT25ST*DISC 6352464*,1621.0,1296.8,1.0,1458.9,26
HCPCS,C1713,SCREW RESCUE DEPU 12MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW RESCUE DEPU 14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW RESCUE V3 SEGMENTAL*NLU*,3000.0,2400.0,1.0,2700.0,52
HCPCS,C1713,SCREW RESCUE VA ZAVA 4.5X14MM,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW RETROFUSION 20MM,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,SCREW RIB LK MAT*DISC 6239995*,1635.0,1308.0,1.0,1471.5,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB 2.7X8MM,1661.0,1328.8,1.0,1494.9,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB 2.7X9MM,1661.0,1328.8,1.0,1494.9,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB 2.9X6MM,1563.0,1250.4,1.0,1406.7,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB 2.9X8MM,1563.0,1250.4,1.0,1406.7,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X10MM,1661.0,1328.8,1.0,1494.9,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X11MM,1661.0,1328.8,1.0,1494.9,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X12MM,1661.0,1328.8,1.0,1494.9,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X13MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X14MM,1661.0,1328.8,1.0,1494.9,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X15MM,2060.0,1648.0,1.0,1854.0,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.9X10MM,1635.0,1308.0,1.0,1471.5,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.9X12MM,1841.0,1472.8,1.0,1656.9,26
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.9X14MM,1635.0,1308.0,1.0,1471.5,26
HCPCS,C1713,SCREW RIB LVL1 69MM,2074.0,1659.2,1.0,1866.6,26
HCPCS,C1713,SCREW RIB NL MATRIXRIB2.7X10MM,1661.0,1328.8,1.0,1494.9,26
HCPCS,C1713,SCREW RIB SLFRETAIN L1 2.*NLU*,1358.0,1086.4,1.0,1222.2,26
HCPCS,C1713,SCREW RSS LK 4.5-5.0MM,713.0,570.4,1.0,641.7,26
HCPCS,C1713,SCREW RSS PA 2S 5.5X25MM,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1713,SCREW RSS PA 2S 5.5X30MM,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1713,SCREW RSS PA 2S 6.0X25MM,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1713,SCREW RSS PA 2S 6.5X35MM,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1713,SCREW RSS PA 2S 6.5X40MM,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1713,SCREW SCHAN3MM*DISC 6346906*,499.0,399.2,1.0,449.1,26
HCPCS,C1713,SCREW SCHAN4MM*DISC 6346906*,499.0,399.2,1.0,449.1,26
HCPCS,C1713,SCREW SCHANZ 4.0 SPADE 100MM,670.0,536.0,1.0,603.0,26
HCPCS,C1713,SCREW SCHANZ 4.0 SPADE 120MM,670.0,536.0,1.0,603.0,26
HCPCS,C1713,SCREW SCHANZ 4.0 SPADE 150MM,670.0,536.0,1.0,603.0,26
HCPCS,C1713,SCREW SCHANZ 4.0 SPADE 60MM,670.0,536.0,1.0,603.0,26
HCPCS,C1713,SCREW SCHANZ 4.0 SPADE 80MM,670.0,536.0,1.0,603.0,26
HCPCS,C1713,SCREW SCHANZ 4.0/3.0 80MM,670.0,536.0,1.0,603.0,26
HCPCS,C1713,SCREW SCHANZ 4.5 SHRT BLNT 175,568.0,454.4,1.0,511.2,26
HCPCS,C1713,SCREW SCHANZ 5.0 BLNT TIP150MM,545.0,436.0,1.0,490.5,26
HCPCS,C1713,SCREW SCHANZ 5.0 BLNT TIP170MM,630.0,504.0,1.0,567.0,26
HCPCS,C1713,SCREW SCHANZ 5.0 BLNT TIP200MM,630.0,504.0,1.0,567.0,26
HCPCS,C1713,SCREW SCHANZ 5.0 HA CTD 170MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW SCHANZ 5.0 HA CTD 200MM,1478.0,1182.4,1.0,1330.2,26
HCPCS,C1713,SCREW SCHANZ 6.0 SPADE 190MM,568.0,454.4,1.0,511.2,26
HCPCS,C1713,SCREW SCHANZ BOLT 2 PC,1978.0,1582.4,1.0,1780.2,26
HCPCS,C1713,SCREW SCHANZ BOLT CANN POST,2061.0,1648.8,1.0,1854.9,26
HCPCS,C1713,SCREW SCHANZ BOLT CANN RING,1865.0,1492.0,1.0,1678.5,26
HCPCS,C1713,SCREW SCHANZ SLFDR 4.0 20X60MM,1164.0,931.2,1.0,1047.6,26
HCPCS,C1713,SCREW SCHANZ SLFDR 4.0 40X125,1164.0,931.2,1.0,1047.6,26
HCPCS,C1713,SCREW SCHANZ SLFDR 4.0 40X150,1164.0,931.2,1.0,1047.6,26
HCPCS,C1713,SCREW SCHANZ SLFDR 4.0X125MM,1299.0,1039.2,1.0,1169.1,26
HCPCS,C1713,SCREW SCHANZ SLFDR 4.0X150MM,1299.0,1039.2,1.0,1169.1,26
HCPCS,C1713,SCREW SCHANZ SLFDR 4/3.0 20X80,1164.0,931.2,1.0,1047.6,26
HCPCS,C1713,SCREW SCHANZ SLFDR 5.0 40X125,967.0,773.6,1.0,870.3,26
HCPCS,C1713,SCREW SCHANZ SLFDR 5.0 60X150,967.0,773.6,1.0,870.3,26
HCPCS,C1713,SCREW SCHANZ SLFDR 5.0 60X175,967.0,773.6,1.0,870.3,26
HCPCS,C1713,SCREW SCHANZ SLFDR 5.0 80X200,967.0,773.6,1.0,870.3,26
HCPCS,C1713,SCREW SCHANZ SLFDR 6.0 60X150,1033.0,826.4,1.0,929.7,26
HCPCS,C1713,SCREW SCHANZ SLFDR 6.0 60X175,1033.0,826.4,1.0,929.7,26
HCPCS,C1713,SCREW SCHANZ SLFDR CTD 5X200MM,2093.0,1674.4,1.0,1883.7,26
HCPCS,C1713,SCREW SET 5.5 EXPVERSEUNITIZED,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW SET BREAKOFF SS*NLU*,703.0,562.4,1.0,632.7,26
HCPCS,C1713,SCREW SET GT STER T2 ALPHA 8MM,2450.0,1960.0,1.0,2205.0,26
HCPCS,C1713,SCREW SET INVICTUS,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW SET LAT SOLERA 4.75,703.0,562.4,1.0,632.7,26
HCPCS,C1713,SCREW SET LAT SOLERA 5.5/6.0,703.0,562.4,1.0,632.7,26
HCPCS,C1713,SCREW SET NORTHSTAR OCT,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW SET PF T2 ALPHA 8MM,2501.0,2000.8,1.0,2250.9,26
HCPCS,C1713,SCREW SET POINTLOCK MARINER,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW SET RDCTN SOLERA 5.5/6.0,703.0,562.4,1.0,632.7,26
HCPCS,C1713,SCREW SET SPNL LK ELEMENT,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1713,SCREW SET TIB T2 ALPHA 5.5MM,2582.0,2065.6,1.0,2323.8,26
HCPCS,C1713,SCREW SET TORX PRSP,2080.0,1664.0,1.0,1872.0,26
HCPCS,C1713,SCREW SET TURRET EXT PRSP,2080.0,1664.0,1.0,1872.0,26
HCPCS,C1713,SCREW SET VOYAGER 5.5/6.0,855.0,684.0,1.0,769.5,26
HCPCS,C1713,SCREW SHAFT CREO 10.5X40MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 4.0X25MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 4.0X30MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 4.5X30MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 4.5X35MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 4.5X40MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 4.5X45MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 5.0X40MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 5.0X45MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 5.5X35MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 5.5X40MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 5.5X45MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 6.5X40MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 6.5X45MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 6.5X50MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 6.5X60MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 6.5X65MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 7.0-8.5X40MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW SHAFT CREO 7.0-8.5X45MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW SHAFT CREO 7.0-8.5X50MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SCREW SHAFT CREO 7.5X35MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 7.5X40MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 7.5X45MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 7.5X50MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 8.5X55MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO 9.5X40MM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW SHAFT CREO HA 4.0X40MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1713,SCREW SHAFT CREO HA 4.0X45MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1713,SCREW SHAFT CREO HA 7.5X30MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1713,SCREW SHAFT SYNT 4.5X12X36MM,151.0,120.8,1.0,135.9,26
HCPCS,C1713,SCREW SHAFT SYNT 4.5X12X40MM,164.0,131.2,1.0,147.6,26
HCPCS,C1713,SCREW SHAFT SYNT 4.5X12X46MM,239.0,191.2,1.0,215.1,26
HCPCS,C1713,SCREW SHAFT THRD TI 4.5X*DISC*,164.0,131.2,1.0,147.6,26
HCPCS,C1713,SCREW SHANK MAS PLIF 6.5X30MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1713,SCREW SHANK RELINE MOD2C7.5X60,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SHANK RELINE MOD2C7.5X65,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SHLDR CAGE ECLIPSE 30MM,15488.0,12390.4,1.0,13939.2,26
HCPCS,C1713,SCREW SHLDR CAGE ECLIPSE 35MM,15488.0,12390.4,1.0,13939.2,26
HCPCS,C1713,SCREW SHLDR CAGE ECLIPSE 40MM,15488.0,12390.4,1.0,13939.2,26
HCPCS,C1713,SCREW SHLDR CAGE ECLIPSE 45MM,15488.0,12390.4,1.0,13939.2,26
HCPCS,C1713,SCREW SHLDR LK INHANCE 40MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW SHLDR LK INHANCE 50MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW SHLDR RVRS ALTIVATE 14MM,1386.0,1108.8,1.0,1247.4,26
HCPCS,C1713,SCREW SHLDR RVRS ALTIVATE 18MM,1386.0,1108.8,1.0,1247.4,26
HCPCS,C1713,SCREW SHLDR RVRS ALTIVATE 22MM,1386.0,1108.8,1.0,1247.4,26
HCPCS,C1713,SCREW SHLDR RVRS ALTIVATE 26MM,1386.0,1108.8,1.0,1247.4,26
HCPCS,C1713,SCREW SHLDR RVRS ALTIVATE 30MM,1386.0,1108.8,1.0,1247.4,26
HCPCS,C1713,SCREW SHRT THRD 4.5X28MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SHRT THRD 4.5X38MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SHRT THRD 4.5X40MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SHRT THRD 4.5X45MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SILVERBACK 4.5X32MM,1696.0,1356.8,1.0,1526.4,26
HCPCS,C1713,"SCREW SILVERBACK, 4.5 X 26MM",1696.0,1356.8,1.0,1526.4,26
HCPCS,C1713,SCREW SLF START 5.5X24MM,2096.0,1676.8,1.0,1886.4,26
HCPCS,C1713,SCREW SLFDR 4.0X15X13MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW SLFDR 4.0X15X15MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW SLFDR FIX UNION 4.0X14,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW SLFDR FIX UNION 4.0X16,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW SLFDR INVIZIA 4.2X12MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW SLFDR INVIZIA 4.2X14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW SLFDR MTX MIDFACETI1.3X6,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW SLFDR MTXNEURO TI 4MM,621.0,496.8,1.0,558.9,26
HCPCS,C1713,SCREW SLFDR MTXNEURO TI1.5X3MM,536.0,428.8,1.0,482.4,26
HCPCS,C1713,SCREW SLFDR MTXNEURO TI1.5X4MM,536.0,428.8,1.0,482.4,26
HCPCS,C1713,SCREW SLFDR MTXNEURO TI1.5X5MM,536.0,428.8,1.0,482.4,26
HCPCS,C1713,SCREW SLFDR SCHANZ 4.0X150MM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,SCREW SLFDR SCHANZ 5.0X175MM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,SCREW SLFDR SCHANZ 5.0X200MM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1713,SCREW SLFDR SKYLINE DEPU14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW SLFDR SLFTP RESCUE4.5X16,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW SLFDR VA 5.5X25MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW SLFDR VA 5.5X30MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW SLFDR VA 5.5X35MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW SLFDR VA 5.5X40MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW SLFDR VA 5.5X45MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW SLFDR VA 5.5X50MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW SLFDR VA 5.5X55MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW SLFDR VA 5.5X60MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW SLFDR VA ACP 3.5X13MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SLFDR VA ACP 3.5X15MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SLFDR VA ACP 3.5X17MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SLFDR VA ACP 3.5X19MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SLFDR VA CERV 4X14M*NLU*,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW SLFDRSLFTPFIXUNION4.0X14,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW SLFTP AXS 1.7X6MM,1114.0,891.2,1.0,1002.6,26
HCPCS,C1713,SCREW SLFTP AXS 1.7X8MM,1114.0,891.2,1.0,1002.6,26
HCPCS,C1713,SCREW SLFTP AXS MP 2.0X10MM,1308.0,1046.4,1.0,1177.2,26
HCPCS,C1713,SCREW SLFTP AXS MP 2.0X6MM,1308.0,1046.4,1.0,1177.2,26
HCPCS,C1713,SCREW SLFTP AXS MP 2.0X8MM,1308.0,1046.4,1.0,1177.2,26
HCPCS,C1713,SCREW SLFTP COARSE MTXTI2.1X10,885.0,708.0,1.0,796.5,26
HCPCS,C1713,SCREW SLFTP COARSE MTXTI2.1X14,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP COARSE MTXTI2.1X16,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP COARSE MTXTI2.1X18,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI 1.0X6,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI 1.0X7,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI 1.0X8,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI 1.0X9,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI1.0X10,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI1.0X11,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI1.0X12,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI1.0X13,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI1.0X14,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP EMERMTXMANDTI2.7X6,728.0,582.4,1.0,655.2,26
HCPCS,C1713,SCREW SLFTP EMERMTXMANDTI2.7X8,936.0,748.8,1.0,842.4,26
HCPCS,C1713,SCREW SLFTP FA 6.5X36MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW SLFTP FA 6.5X42MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW SLFTP FA ZAVA 4.0X16MM,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,SCREW SLFTP FIREBIRD TI 6.5X35,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SLFTP FIREBIRD TI 6.5X40,2688.0,2150.4,1.0,2419.2,26
HCPCS,C1713,SCREW SLFTP FIREBIRD TI 6.5X45,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SLFTP FIX RESCUE 4.5X14,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW SLFTP FIX RESCUE 4.5X16,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW SLFTP GLD 2.3X10MM,1179.0,943.2,1.0,1061.1,26
HCPCS,C1713,SCREW SLFTP GLD 2.3X8MM,1179.0,943.2,1.0,1061.1,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X10,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X12,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X14,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X16,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X18,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X20,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X26,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X34,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X48,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X50,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X60,702.0,561.6,1.0,631.8,26
HCPCS,C1713,SCREW SLFTP MTX TI 1.85X10MM,811.0,648.8,1.0,729.9,26
HCPCS,C1713,SCREW SLFTP MTX TI 1.85X14MM,814.0,651.2,1.0,732.6,26
HCPCS,C1713,SCREW SLFTP MTX TI 1.85X16MM,814.0,651.2,1.0,732.6,26
HCPCS,C1713,SCREW SLFTP MTX TI 1.85X18MM,555.0,444.0,1.0,499.5,26
HCPCS,C1713,SCREW SLFTP MTX TI 1.85X8MM,859.0,687.2,1.0,773.1,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X10,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X12,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X14,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X16,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X18,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X5MM,867.0,693.6,1.0,780.3,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X6MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X8MM,868.0,694.4,1.0,781.2,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X10MM,672.0,537.6,1.0,604.8,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X12MM,672.0,537.6,1.0,604.8,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X14MM,672.0,537.6,1.0,604.8,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X16MM,694.0,555.2,1.0,624.6,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X18MM,673.0,538.4,1.0,605.7,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X5MM,672.0,537.6,1.0,604.8,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X6MM,672.0,537.6,1.0,604.8,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X8MM,672.0,537.6,1.0,604.8,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI2.4X6PK5,707.0,565.6,1.0,636.3,26
HCPCS,C1713,SCREW SLFTP MTXMAND TI2.4X8PK5,707.0,565.6,1.0,636.3,26
HCPCS,C1713,SCREW SLFTP MTXMANDTI2.4X10PK5,707.0,565.6,1.0,636.3,26
HCPCS,C1713,SCREW SLFTP MTXMID BLU TI 10MM,638.0,510.4,1.0,574.2,26
HCPCS,C1713,SCREW SLFTP MTXMID BLU TI 4MM,857.0,685.6,1.0,771.3,26
HCPCS,C1713,SCREW SLFTP MTXMID BLU TI 5MM,857.0,685.6,1.0,771.3,26
HCPCS,C1713,SCREW SLFTP MTXMID BLU TI 6MM,857.0,685.6,1.0,771.3,26
HCPCS,C1713,SCREW SLFTP MTXMID BLU TI 8MM,857.0,685.6,1.0,771.3,26
HCPCS,C1713,SCREW SLFTP MTXMID GLD TI 10MM,621.0,496.8,1.0,558.9,26
HCPCS,C1713,SCREW SLFTP MTXMID GLD TI 12MM,552.0,441.6,1.0,496.8,26
HCPCS,C1713,SCREW SLFTP MTXMID SLVR TI 4MM,857.0,685.6,1.0,771.3,26
HCPCS,C1713,SCREW SLFTP MTXMID SLVR TI 5MM,857.0,685.6,1.0,771.3,26
HCPCS,C1713,SCREW SLFTP MTXMID SLVR TI 6MM,857.0,685.6,1.0,771.3,26
HCPCS,C1713,SCREW SLFTP MTXMID SLVR TI 8MM,857.0,685.6,1.0,771.3,26
HCPCS,C1713,SCREW SLFTP RELIEVE 2.6X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SCREW SLFTP RESCUE 4.5X12,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW SLFTP RESCUE 4.5X14,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW SLFTP RESCUE 4.5X16,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW SLFTP SKYLINE DEPU 14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW SLFTP SKYLINE DEPU 16MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW SLFTP THRDFIREBIRD5.5X35,2688.0,2150.4,1.0,2419.2,26
HCPCS,C1713,SCREW SLFTP THRDFIREBIRD5.5X40,2688.0,2150.4,1.0,2419.2,26
HCPCS,C1713,SCREW SLFTP VA 6.5X30MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW SLFTP VA 6.5X33MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW SLFTP VA ACP 3.5X13MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SLFTP VA ACP 3.5X15MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SLFTP VA ACP 4.0X17MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SLFTP VA ACP 4.0X19MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1713,SCREW SLFTP ZEVO 3.5X15MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW SLFTP ZEVO 3.5X17MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW SLFTPEMERMTXMANDTI2.7X10,941.0,752.8,1.0,846.9,26
HCPCS,C1713,SCREW SLFTPEMERMTXMANDTI2.7X12,728.0,582.4,1.0,655.2,26
HCPCS,C1713,SCREW SLFTPEMERMTXMANDTI2.7X14,728.0,582.4,1.0,655.2,26
HCPCS,C1713,SCREW SLFTPEMERMTXMANDTI2.7X16,728.0,582.4,1.0,655.2,26
HCPCS,C1713,SCREW SLFTPEMERMTXMANDTI2.7X18,728.0,582.4,1.0,655.2,26
HCPCS,C1713,SCREW SLOTTED COND HD MTXMAND,1364.0,1091.2,1.0,1227.6,26
HCPCS,C1713,SCREW SLPTP MTX TI 1.85X12MM,814.0,651.2,1.0,732.6,26
HCPCS,C1713,SCREW SMTH KNEE STM 10X120MM,5437.0,4349.6,1.0,4893.3,26
HCPCS,C1713,SCREW SMTH KNEE STM 20X120MM,5437.0,4349.6,1.0,4893.3,26
HCPCS,C1713,SCREW SNAP-OFF DARTFIRE 2.0X12,2248.0,1798.4,1.0,2023.2,26
HCPCS,C1713,SCREW SNAP-OFF DARTFIRE 2.7X15,2248.0,1798.4,1.0,2023.2,26
HCPCS,C1713,SCREW SNAP-OFF DARTFIRE 2.7X17,2840.0,2272.0,1.0,2556.0,26
HCPCS,C1713,SCREW SOFTSILK STER 1.5 9X20,1192.0,953.6,1.0,1072.8,26
HCPCS,C1713,SCREW SOFTSILK STER 2.0 7X20MM,2456.0,1964.8,1.0,2210.4,26
HCPCS,C1713,SCREW SOLERA MA FEN 7.5X4*NLU*,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SOLERA MACANN7.5X40*NLU*,5334.0,4267.2,1.0,4800.6,26
HCPCS,C1713,SCREW SOLID CNCLS LAG 6.5X60MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID CNCLS LAG 6.5X65MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID CNCLS LAG 6.5X70MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID CNCLS LAG 6.5X75MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID CNCLS LAG 6.5X80MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID CNCLS LAG 6.5X85MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID CNCLS LAG 6.5X90MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID CNCLS LAG 6.5X95MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID CNCLS LAG6.5X100MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID CNCLS LAG6.5X105MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID CNCLS LAG6.5X110MM,608.0,486.4,1.0,547.2,26
HCPCS,C1713,SCREW SOLID JONES TI 4.5X44MM,9896.0,7916.8,1.0,8906.4,26
HCPCS,C1713,SCREW SOLID JONES TI 4.5X56MM,10147.0,8117.6,1.0,9132.3,26
HCPCS,C1713,SCREW SOLID SLFTP JFX 5.0X46MM,8844.0,7075.2,1.0,7959.6,26
HCPCS,C1713,SCREW SOLID SLFTP JFX 6.0X42MM,8844.0,7075.2,1.0,7959.6,26
HCPCS,C1713,SCREW SOLID SLFTP JFX 6.0X46MM,8844.0,7075.2,1.0,7959.6,26
HCPCS,C1713,SCREW SOLID SLFTP JFX 6.0X60MM,8844.0,7075.2,1.0,7959.6,26
HCPCS,C1713,SCREW SOLID SS ARTX 2.3X1*NLU*,618.0,494.4,1.0,556.2,26
HCPCS,C1713,SCREW SPEL 5.5X25MM,2072.0,1657.6,1.0,1864.8,26
HCPCS,C1713,SCREW SPEL 5.5X30MM,2072.0,1657.6,1.0,1864.8,26
HCPCS,C1713,SCREW SPNL ALIF CTR 5.0X25MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW SPNL ALIF CTR 5.0X30MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW SPNL ALIF CTR 6.0X25MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW SPNL ALIF LAT 5.0X25MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW SPNL ALIF LAT 5.0X30MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW SPNL ALIF LAT 6.0X25MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW SPNL ALIF LAT 6.0X30MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW SPNL AMP-LTX CTR,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1713,SCREW SPNL AMP-LTX LAT5.0X25X2,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1713,SCREW SPNL AMP-LTX LAT5.0X45MM,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1713,SCREW SPNL AMP-LTX LAT5.5X45X2,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL CANN MARINER 4.5X30,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 4.5X35,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 4.5X40,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 4.5X45,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 5.5X30,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 5.5X35,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 5.5X40,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 5.5X45,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 5.5X50,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 6.5X30,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 6.5X35,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 6.5X40,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 6.5X45,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 6.5X50,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 7.5X35,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 7.5X40,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 7.5X45,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 7.5X50,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 7.5X55,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 8.5X35,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 8.5X40,3733.0,2986.4,1.0,3359.7,26
HCPCS,C1713,SCREW SPNL CANN MARINER 8.5X45,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL FA SLFDR SPS 3.5X14,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW SPNL FA SLFDR SPS 3.5X16,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW SPNL FEN CANN 5.50X40,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL FEN CANN 5.50X45,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL FEN CANN 5.50X50,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL FEN CANN 5.50X55,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL FEN CANN 6.50X40,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL FEN CANN 6.50X50,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL FEN CANN 6.50X55,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL FEN CANN 6.50X60,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL FEN CANN 7.5X50,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL HD DEFORMITY,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL LK SHRT OBELISC,921.0,736.8,1.0,828.9,26
HCPCS,C1713,SCREW SPNL LK SPWA,713.0,570.4,1.0,641.7,26
HCPCS,C1713,SCREW SPNL MULTPNT 2.4X8.0MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW SPNL PA HD EXT MARINER,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL PA HD MARINER,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI4.5X45,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI5.5X40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI5.5X45,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI5.5X50,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI6.5X35,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI6.5X40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI6.5X45,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI6.5X50,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI6.5X55,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI7.5X35,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI7.5X40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI7.5X45,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI7.5X50,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI7.5X55,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI8.5X35,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI8.5X40,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA INVICTUSTI8.5X45,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1713,SCREW SPNL PA MOD RDCTN TULIP,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1713,SCREW SPNL PA PEDICLE 5.0X25MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 4.5X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 4.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.0X25MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.0X30MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.0X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.5X30MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.5X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.5X45MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.5X50MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X25MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X30MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X45MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X50MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 7.5X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 7.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 7.5X45MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 7.5X50MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 7.5X55MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 7.5X70MM,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X35MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X45MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X50MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X80MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X90MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SCREW SPNL PA RDCTN INVICTUS,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1713,SCREW SPNL RELINE MOD TULIP,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1713,SCREW SPNL RETAINER 3.5X14MM,1821.0,1456.8,1.0,1638.9,26
HCPCS,C1713,SCREW SPNL SET MARINER SEAS,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS5.5X45,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS6.5X40,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS6.5X45,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS6.5X50,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS7.5X35,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS7.5X40,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS7.5X45,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS7.5X50,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS8.5X35,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS8.5X40,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS8.5X45,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SHANKINVICTUS8.5X55,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1713,SCREW SPNL SLFDR HLS 2.4X6MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW SPNL SLFDR HLS 2.4X8MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW SPNL SLFDR INSIGNIA 4X16,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW SPNL SLFDR INSIGNIA 4X18,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,SCREW SPNL SLFTP HLS 2.4X6MM,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1713,SCREW SPNL SLIF CTR 6.0X30MM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1713,SCREW SPNL SOLID MARINER4.5X35,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER4.5X40,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER4.5X45,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER5.5X30,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER5.5X35,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER5.5X40,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER5.5X45,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER5.5X50,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER6.5X30,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER6.5X35,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER6.5X40,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER6.5X45,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER6.5X50,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER6.5X55,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER7.5X35,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER7.5X40,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER7.5X45,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER7.5X50,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER7.5X55,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER8.5X35,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER8.5X40,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER8.5X45,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER8.5X50,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SOLID MARINER8.5X55,2608.0,2086.4,1.0,2347.2,26
HCPCS,C1713,SCREW SPNL SPNL PSTR HD MARINE,3563.0,2850.4,1.0,3206.7,26
HCPCS,C1713,SCREW SPNL SYMPY TALL SET,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW SPNL T27 VPR TI 10X100MM,4712.0,3769.6,1.0,4240.8,26
HCPCS,C1713,SCREW SPNL UNIP INVICTUS5.0X25,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL UNIP INVICTUS5.0X30,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL UNIP INVICTUS5.5X25,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL UNIP INVICTUS5.5X30,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL UNIP INVICTUS5.5X35,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL UNIP INVICTUS6.0X30,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL UNIP INVICTUS6.0X35,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL UNIP INVICTUS6.5X30,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL UNIP INVICTUS6.5X35,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL UNIP INVICTUS6.5X40,5550.0,4440.0,1.0,4995.0,26
HCPCS,C1713,SCREW SPNL VA SLFDR SPS 3.5X16,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1713,SCREW STALIF TT 6.5X25MM *NLU*,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1713,SCREW STD ACUTRAK2 16MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 18MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 20MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 22MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 24MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 26MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 28MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 30MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 32MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 34MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 STER 16MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 STER 18MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 STER 20MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 STER 22MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 STER 24MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 STER 26MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 STER 28MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 STER 30MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 STER 32MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD ACUTRAK2 STER 34MM,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1713,SCREW STD OSTE 12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SCREW STD OSTE 16MM,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SCREW STD OSTE 26MM,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SCREW STEM FRAC PERFORM 20MM,1833.0,1466.4,1.0,1649.7,26
HCPCS,C1713,SCREW STEM FRAC PERFORM 22MM,1833.0,1466.4,1.0,1649.7,26
HCPCS,C1713,SCREW STEM FRAC PERFORM 24MM,1833.0,1466.4,1.0,1649.7,26
HCPCS,C1713,SCREW STEM FRAC PERFORM 26MM,1833.0,1466.4,1.0,1649.7,26
HCPCS,C1713,SCREW STEM FRAC PERFORM 28MM,1294.0,1035.2,1.0,1164.6,26
HCPCS,C1713,SCREW STEM FRAC PERFORM 30MM,1833.0,1466.4,1.0,1649.7,26
HCPCS,C1713,SCREW STEM FRAC PERFORM 32MM,1833.0,1466.4,1.0,1649.7,26
HCPCS,C1713,SCREW STEM FRAC PERFORM 34MM,1833.0,1466.4,1.0,1649.7,26
HCPCS,C1713,SCREW STEM FRAC PERFORM 36MM,1833.0,1466.4,1.0,1649.7,26
HCPCS,C1713,SCREW STERN MAXDR LCK 2.3X11MM,463.0,370.4,1.0,416.7,26
HCPCS,C1713,SCREW STERN MAXDR LCK 2.3X13MM,463.0,370.4,1.0,416.7,26
HCPCS,C1713,SCREW STERN MAXDR LK 2.3X15MM,463.0,370.4,1.0,416.7,26
HCPCS,C1713,SCREW STERN MAXDR LK 2.3X9MM,463.0,370.4,1.0,416.7,26
HCPCS,C1713,SCREW STRY BONE 1.7X14MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW STRY BONE 1.7X15MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW STRY BONE 1.7X16MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW STRY BONE 1.7X18MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW STRY BONE 1.7X20MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW STRY BONE 1.7X22MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW STRY BONE 1.7X24MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW STRY BONE 1.7X6MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW STRY BONE 1.7X8MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW STRY BONE 1.7X9MM,719.0,575.2,1.0,647.1,26
HCPCS,C1713,SCREW SURFIX ILSC 3.5X12MM,2336.0,1868.8,1.0,2102.4,26
HCPCS,C1713,SCREW SURFIX LNG 3.5X12MM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1713,SCREW SWVLK BIO 6.25X19.1MM,3608.0,2886.4,1.0,3247.2,26
HCPCS,C1713,SCREW SWVLK BIO 7.0X19.5MM,861.0,688.8,1.0,774.9,26
HCPCS,C1713,SCREW SWVLK BIO 7X19.1MM,3828.0,3062.4,1.0,3445.2,26
HCPCS,C1713,SCREW SWVLK BIO 8.0X19.5MM,3828.0,3062.4,1.0,3445.2,26
HCPCS,C1713,SCREW SWVLK BIO 8X19.1MM,3828.0,3062.4,1.0,3445.2,26
HCPCS,C1713,SCREW SWVLK BIO 9.0X19.5MM,3828.0,3062.4,1.0,3445.2,26
HCPCS,C1713,SCREW TAB DEPU 6X30MM*NLU*,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW TEMP FIX UNION 2.5MM,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW TENODESIS BIOCOMP 3X8MM,3564.0,2851.2,1.0,3207.6,26
HCPCS,C1713,SCREW TENODESIS BIOCOMP 4X10MM,3036.0,2428.8,1.0,2732.4,26
HCPCS,C1713,SCREW TENODESIS BIOCOMP 5.5X15,3036.0,2428.8,1.0,2732.4,26
HCPCS,C1713,SCREW TENODESIS BIOCOMP 7X23MM,3036.0,2428.8,1.0,2732.4,26
HCPCS,C1713,SCREW TENODESIS BIOCOMP 8X12MM,3036.0,2428.8,1.0,2732.4,26
HCPCS,C1713,SCREW TENODESIS BIOCOMP 8X23MM,3036.0,2428.8,1.0,2732.4,26
HCPCS,C1713,SCREW TENODESIS BIOCOMP4.75X15,3036.0,2428.8,1.0,2732.4,26
HCPCS,C1713,SCREW TENODESIS BIOCOMP6.25X15,3036.0,2428.8,1.0,2732.4,26
HCPCS,C1713,SCREW TENODESIS PEEK 2.5X6MM,3740.0,2992.0,1.0,3366.0,26
HCPCS,C1713,SCREW TENODESIS PEEK 4X15MM,2772.0,2217.6,1.0,2494.8,26
HCPCS,C1713,SCREW TENODESIS PEEK 5.5X10MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW TENODESIS PEEK 5.5X12MM,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,SCREW TENODESIS PEEK 8X12MM,2772.0,2217.6,1.0,2494.8,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291718*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291719*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291875*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291983*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291984*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291985*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291986*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291987*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291988*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291989*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW TFNA TI ST*DISC 6295525*,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1713,SCREW THORACIC 2 CLIP2 3X10MM,3344.0,2675.2,1.0,3009.6,26
HCPCS,C1713,SCREW THORACIC 2 CLIP2 3X13MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW THORACIC 2 CLIP4 3X10MM,3456.0,2764.8,1.0,3110.4,26
HCPCS,C1713,SCREW THORACIC 2 CLIP4 3X13MM,3456.0,2764.8,1.0,3110.4,26
HCPCS,C1713,SCREW THORACIC 2 CLIP4 3X15MM,3456.0,2764.8,1.0,3110.4,26
HCPCS,C1713,SCREW THORACIC 4 CLIP4 3X10MM,5184.0,4147.2,1.0,4665.6,26
HCPCS,C1713,SCREW THORACIC 4 CLIP4 3X13MM,5184.0,4147.2,1.0,4665.6,26
HCPCS,C1713,SCREW THORACIC 4 CLIP4 3X15MM,5184.0,4147.2,1.0,4665.6,26
HCPCS,C1713,SCREW THORACIC CLIP2 3X15MM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1713,SCREW THORACIC CLIP4 3X10MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW THORACIC CLIP4 3X13MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW THORACIC CLIP4 3X15MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW THORACIC HA 4 3X8MM,1836.0,1468.8,1.0,1652.4,26
HCPCS,C1713,SCREW THRD INTEGRA 5X25MM*NLU*,2412.0,1929.6,1.0,2170.8,26
HCPCS,C1713,SCREW TI CNCLS PA 3.5X10MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW TI CNCLS PA 3.5X8MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW TI FIX HEX 100MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 30MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 35MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 45MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 50MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 55MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 60MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 65MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 70MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 75MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 80MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 85MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 90MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI FIX HEX 95MM*DISC*,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X26MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X28MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X30MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X32MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X34MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X36MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X38MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X40MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X42MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X44MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X46MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X48MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X50MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X52MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X54MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X56MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X58MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X60MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X64MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X68MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X72MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X76MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X80MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X85MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X90MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X95MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK IM NAIL5.0X100MM,1246.0,996.8,1.0,1121.4,26
HCPCS,C1713,SCREW TI LK SYNT,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SCREW TI MTXWAVE MMF 1.85X6PK1,1129.0,903.2,1.0,1016.1,26
HCPCS,C1713,SCREW TI MTXWAVE MMF 1.85X6PK5,3824.0,3059.2,1.0,3441.6,26
HCPCS,C1713,SCREW TI MTXWAVE MMF 1.85X8PK1,1129.0,903.2,1.0,1016.1,26
HCPCS,C1713,SCREW TI MTXWAVE MMF 1.85X8PK5,3824.0,3059.2,1.0,3441.6,26
HCPCS,C1713,SCREW TI MTXWAVE*USE 6260455*,1866.0,1492.8,1.0,1679.4,26
HCPCS,C1713,SCREW TI TFN NAIL 11X100MM,4202.0,3361.6,1.0,3781.8,26
HCPCS,C1713,SCREW TI TFN NAIL 11X105MM,4202.0,3361.6,1.0,3781.8,26
HCPCS,C1713,SCREW TI TFN NAIL 11X110MM,4202.0,3361.6,1.0,3781.8,26
HCPCS,C1713,SCREW TI TFN NAIL 11X115MM,4202.0,3361.6,1.0,3781.8,26
HCPCS,C1713,SCREW TI TFN NAIL 11X120MM,4202.0,3361.6,1.0,3781.8,26
HCPCS,C1713,SCREW TI TFN NAIL 11X80MM,4202.0,3361.6,1.0,3781.8,26
HCPCS,C1713,SCREW TI TFN NAIL 11X85MM,4202.0,3361.6,1.0,3781.8,26
HCPCS,C1713,SCREW TI TFN NAIL 11X90MM,4202.0,3361.6,1.0,3781.8,26
HCPCS,C1713,SCREW TI TFN NAIL 11X95MM,4202.0,3361.6,1.0,3781.8,26
HCPCS,C1713,SCREW TIB PEEK INTRAFIX 9X30MM,3306.0,2644.8,1.0,2975.4,26
HCPCS,C1713,SCREW TIGER PA 3500 4X16MM,9100.0,7280.0,1.0,8190.0,26
HCPCS,C1713,SCREW TIGER PA 3500 4X18MM,9100.0,7280.0,1.0,8190.0,26
HCPCS,C1713,SCREW TITANEX ULT 7.0X60MM,8073.0,6458.4,1.0,7265.7,26
HCPCS,C1713,SCREW TITANEX ULT 7.0X65MM,8073.0,6458.4,1.0,7265.7,26
HCPCS,C1713,SCREW TOP HAT LATARJET STER,2219.0,1775.2,1.0,1997.1,26
HCPCS,C1713,SCREW TRID 13X45MM,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1713,SCREW TRID 6X35MM,9888.0,7910.4,1.0,8899.2,26
HCPCS,C1713,SCREW TRID 6X40MM,9888.0,7910.4,1.0,8899.2,26
HCPCS,C1713,SCREW TRILK HEXADRIVE7 2.5X12,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1713,SCREW TRILK HEXADRIVE7 2.5X14,1545.0,1236.0,1.0,1390.5,26
HCPCS,C1713,SCREW TRILK HEXADRIVE8 2.5X16,1545.0,1236.0,1.0,1390.5,26
HCPCS,C1713,SCREW TRILK HEXADRIVE9 2.5X18,1545.0,1236.0,1.0,1390.5,26
HCPCS,C1713,SCREW TRNVRS 4.5X16MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X18MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X20MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X22MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X24MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X26MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X28MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X30MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X32MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X34MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X36MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X38MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X40MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X42MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X44MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRNVRS 4.5X46MM*DISC*,1972.0,1577.6,1.0,1774.8,26
HCPCS,C1713,SCREW TRUSS VA GM 5.5X42MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW TRUSS VA GM 6.5X36MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1713,SCREW TWIST OFF 11MM*DISC*,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW TWIST OFF 12MM*DISC*,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW TWIST OFF 13MM*DISC*,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW TWIST OFF 14MM*DISC*,2176.0,1740.8,1.0,1958.4,26
HCPCS,C1713,SCREW TWISTCUT SNAP-OFF 2X11MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW TWISTCUT SNAP-OFF 2X12MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW TWISTCUT SNAP-OFF 2X13MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW TWISTCUT SNAP-OFF0D 2X13,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW TWISTOFF 2.0X14,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW TWISTOFF 2.0X15*NLU*,3040.0,2432.0,1.0,2736.0,26
HCPCS,C1713,SCREW UNIAX PEDICLE 6.5X30,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX PEDICLE 6.5X35,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX PEDICLE 6.5X40,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX PEDICLE 6.5X45,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX PEDICLE5.5X25MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX PEDICLE5.5X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX PEDICLE5.5X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX PEDICLE5.5X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX PEDICLE5.5X45MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 5X25MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 5X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 5X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 5X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 6X25MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 6X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 6X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 6X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 6X45MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 7X30MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 7X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 7X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 7X45MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 7X50MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 8X35MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIAX RESPONSE 9X40MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW UNIP DEPU 5X25MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 5X30MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 5X35MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 6.0X25MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 6X30MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 6X35MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 6X40MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 6X45MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 7X30MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 7X35MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 7X40MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP DEPU 7X45MM,4734.0,3787.2,1.0,4260.6,26
HCPCS,C1713,SCREW UNIP RELINE 2S 5.0X25MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 5.0X30MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 5.0X35MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 5.0X40MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 5.5X25MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 5.5X30MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 5.5X35MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 5.5X40MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 6.0X25MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 6.0X30MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 6.0X35MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 6.0X40MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 6.0X45MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 6.5X30MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 6.5X35MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 6.5X40MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP RELINE 2S 6.5X45MM,4626.0,3700.8,1.0,4163.4,26
HCPCS,C1713,SCREW UNIP VITALITY 5.0X45MM,4396.0,3516.8,1.0,3956.4,26
HCPCS,C1713,SCREW V3 VAR 14MM*NLU*,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1713,SCREW VA 4WEB 3.5X12MM,2208.0,1766.4,1.0,1987.2,26
HCPCS,C1713,SCREW VA 4WEB 3.5X14MM,2208.0,1766.4,1.0,1987.2,26
HCPCS,C1713,SCREW VA ACCUFIT 5.0X30MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW VA ACCUFIT 5.0X35MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW VA ACCUFIT 5.5X25MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW VA ACCUFIT 5.5X30MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW VA ACCUFIT 5.5X30MM*NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW VA ACCUFIT 5.5X35MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SCREW VA ANG 3.5X16MM,2208.0,1766.4,1.0,1987.2,26
HCPCS,C1713,SCREW VA ANG 3.8X12MM,2208.0,1766.4,1.0,1987.2,26
HCPCS,C1713,SCREW VA ANG 3.8X14MM,2208.0,1766.4,1.0,1987.2,26
HCPCS,C1713,SCREW VA ANG 3.8X16MM,2208.0,1766.4,1.0,1987.2,26
HCPCS,C1713,SCREW VA HEX TI 4.5X20MM*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREW VA HEXALOBE 2.7X32MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 2.7X36MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 2.7X40MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 2.7X50MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 2.7X55MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X16MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X20MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X24MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X30MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X32MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X34MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X36MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X42MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X44MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X50MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X55MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA HEXALOBE 3.5X60MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,SCREW VA LK 4X12MM*NLU*,1393.0,1114.4,1.0,1253.7,26
HCPCS,C1713,SCREW VA LK 4X14MM*NLU*,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,SCREW VA LK 4X16MM*NLU*,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,SCREW VA MERIDIAN 5.5X20MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW VA MERIDIAN 5.5X25MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW VA MERIDIAN 5.5X30MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW VA MERIDIAN 6.0X20MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW VA MERIDIAN 6.0X25MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW VA MERIDIAN 6.0X30MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW VA RESCUE 4.4X14MM*NLU*,1393.0,1114.4,1.0,1253.7,26
HCPCS,C1713,SCREW VA RESCUE 4.4X16MM*NLU*,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1713,SCREW VA SKYLINE TI 4.5X14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SKYLINE TI 4.5X16MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SKYLINE TI 4X12MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SKYLINE TI 4X14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SKYLINE TI 4X16MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SLFDR 5X14MM,2096.0,1676.8,1.0,1886.4,26
HCPCS,C1713,SCREW VA SLFDR 5X23MM,2096.0,1676.8,1.0,1886.4,26
HCPCS,C1713,SCREW VA SLFDR 5X27MM,2096.0,1676.8,1.0,1886.4,26
HCPCS,C1713,SCREW VA SLFDR ACS 4.0X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFDR ACS 4.0X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFDR ADMRL 4.0X12MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFDR ADMRL 4.0X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFDR ADMRL 4.0X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFDR ADMRL 4.0X18MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFDR ASC 3.5X12MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFDR ASC 3.5X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFDR ASC 3.5X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFDR ASC 3.5X18MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFDR CERES 4.0X16MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SLFDR COALTN 3.6X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW VA SLFDR COALTN 3.6X14MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW VA SLFDR COALTN 3.6X16MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW VA SLFDR COALTN 4.2X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW VA SLFDR COALTN 4.2X14MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW VA SLFDR HLX R 4.0X13MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW VA SLFDR STRUXXURE4*NLU*,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SLFDR STRUXXURE4X12MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SLFDR STRUXXURE4X14MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SLFDR STRUXXURE4X16MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SLFDR STRUXXURE4X18MM,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SLFDR UNION 4.0X12MM,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW VA SLFDR UNION 4.0X14MM,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW VA SLFDR UNION 4.0X16MM,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW VA SLFDR UNION 4.0X18MM,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW VA SLFDR VIP 4.6X18MM,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREW VA SLFDRSLFTPUNION4.0X12,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW VA SLFDRSLFTPUNION4.0X14,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW VA SLFDRSLFTPUNION4.0X16,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW VA SLFDRSLFTPUNION4.0X18,2019.0,1615.2,1.0,1817.1,26
HCPCS,C1713,SCREW VA SLFDRSLVRSTER3.5X18MM,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1713,SCREW VA SLFTP ADMRL 4.0X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFTP ADMRL 4.3X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFTP ADMRL 4.3X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFTP ADMRL 4.3X18MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFTP ASC 3.5X14MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFTP ASC 4.0X16MM,1139.0,911.2,1.0,1025.1,26
HCPCS,C1713,SCREW VA SLFTP COALTN 3.2X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW VA SLFTP COALTN 3.2X16MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW VA SLFTP COALTN 4.2X16MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1713,SCREW VA SLFTP HLX R 4.5X11MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,SCREW VA SLFTP STRUXXURE4*NLU*,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X20MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X25MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X30MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X35MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X40MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X45MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X50MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X55MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X60MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X65MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X70MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X75MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X80MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X85MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA SYNT CANN LK 5X90MM,1849.0,1479.2,1.0,1664.1,26
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X12,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X13,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X14,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X15,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X16,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X18,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X26,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X30,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X8,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X12,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X14,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X16,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X18,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X20,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X22,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X24,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X26,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X28,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X32,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X34,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X36,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GRN 4.0X20,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GRN 4.0X22,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GRN 4.0X26,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GRN 4.0X30,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI GRN 4.0X34,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 2.5X22,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 2.5X24,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 2.5X26,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 2.5X28,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 2.5X30,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X12,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X14,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X16,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X18,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X20,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X28,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X32,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X36,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X40,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SCREW VAL TI 1.6X10MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 1.6X12MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 1.6X14MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 1.6X15MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 1.6X6MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 1.6X7MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 1.6X8MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 1.6X9MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 2.0X11MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 2.0X13MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 2.0X15MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 2.0X16MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 2.0X18MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 2.0X20MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 2.0X22MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 2.0X26MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 2.0X7MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 2.0X8MM,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1713,SCREW VAL TI 3.0X10.0MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW VAL TI 3.0X12.0MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW VAL TI 3.0X14.0MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW VAL TI 3.0X16.0MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW VAL TI 3.0X18.0MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW VAL TI 3.0X20.0MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW VAL TI 3.0X22MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW VAL TI 3.0X24.0MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW VAL TI 3.0X26.0MM,1636.0,1308.8,1.0,1472.4,26
HCPCS,C1713,SCREW VALPHA 5.5X25*NLU*,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1713,SCREW VASLFDR STRUXXURE4.35X12,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VASLFDR STRUXXURE4.35X14,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VASLFDR STRUXXURE4.35X16,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VASLFDR STRUXXURE4.35X18,1173.0,938.4,1.0,1055.7,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X100,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X105,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X110,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X115,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X120,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X125,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X130,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X135,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X140,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X145,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X150,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X55,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X60,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X65,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X70,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X75,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X80,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X85,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X90,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG LG 25.4X95,3584.0,2867.2,1.0,3225.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD 25.4X55,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD 25.4X60,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD 25.4X65,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD 25.4X70,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD 25.4X75,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD 25.4X80,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD 25.4X85,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD 25.4X90,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD 25.4X95,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X100,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X105,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X110,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X115,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X120,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X125,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X130,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X135,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X140,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X145,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X150,3264.0,2611.2,1.0,2937.6,26
HCPCS,C1713,SCREW VERSALINK RING TORX,2080.0,1664.0,1.0,1872.0,26
HCPCS,C1713,SCREW VERTEX MAS MDTR 3.5X12MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW VERTEX MAS MDTR 3.5X16MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW VERTEX MAS MDTR 3.5X22MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.0X14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.0X16MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.0X26MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW VERTEX MDTR 10MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW VERTEX MDTR 14MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW VERTEX MDTR 18MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW VERTEX MDTR 20MM,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1713,SCREW VERTEX OCCIPITAL 4.5X8MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW VERTEX OCCIPITAL4.5X12MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW VERTEX OCCIPITAL4.5X14MM,910.0,728.0,1.0,819.0,26
HCPCS,C1713,SCREW VHS ZIMM 100MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 105MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 110MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 120MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 50MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 55MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 60MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 65MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 70MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 75MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 80MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 85MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 90MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VHS ZIMM 95MM*DISC*,3328.0,2662.4,1.0,2995.2,26
HCPCS,C1713,SCREW VPC 3.4X18MM,3712.0,2969.6,1.0,3340.8,26
HCPCS,C1713,SCREW VPR ILIAC27 TI 9X100MM,4712.0,3769.6,1.0,4240.8,26
HCPCS,C1713,SCREW WASHERLOC CNCLS 6X44MM,1148.0,918.4,1.0,1033.2,26
HCPCS,C1713,SCREW WASHERLOC CNCLS 6X46MM,1148.0,918.4,1.0,1033.2,26
HCPCS,C1713,SCREW WASHERLOC CORT 4.5*NLU*,1148.0,918.4,1.0,1033.2,26
HCPCS,C1713,SCREW WRIST LK KINEMATX4.75X20,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW WRIST LK KINEMATX4.75X30,9765.0,7812.0,1.0,8788.5,26
HCPCS,C1713,SCREW WRIST LK KINEMATX4.75X40,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1713,SCREW XTAB VPR PRIME TI 7X45MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREW XTAB VPR PRIME TI 7X50MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1713,SCREWCANNCNCLS4X26*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLS6.5X40X100*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREWCANNCNCLS6.5X40X105*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREWCANNCNCLS6.5X40X110*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREWCANNCNCLS6.5X40X115*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREWCANNCNCLS6.5X40X120*DISC*,2752.0,2201.6,1.0,2476.8,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X10*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X12*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X14*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X16*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X18*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X20*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X22*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X24*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X26*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X28*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X30*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X32*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X34*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X36*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X38*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X40*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X42*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X44*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X46*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X48*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X50*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X55*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X60*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X65*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSLAGSM4X70*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCANNCNCLSSM4X10*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X12*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X14*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X16*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X18*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X20*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X22*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X24*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X28*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X30*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X32*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X34*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X36*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X38*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X40*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X42*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X44*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X46*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X48*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X50*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X55*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X60*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X65*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCANNCNCLSSM4X70*DISC*,1768.0,1414.4,1.0,1591.2,26
HCPCS,C1713,SCREWCNCLS100/406.0/5.0*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCNCLS120/606.0/5.0*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCNCLS140/506.0/5.0*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCORT100/404.5/3.5*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCORT110/306.0/5.0*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCORT110/406.0/5.0*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWCORT150/506.0/5.0*DISC*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,SCREWLKSLFTPT25STERPERIPRO5X10,1842.0,1473.6,1.0,1657.8,26
HCPCS,C1713,SCREWLKSLFTPT25STERPERIPRO5X12,1842.0,1473.6,1.0,1657.8,26
HCPCS,C1713,SCREWLKSLFTPT25STERPERIPROS5X8,1842.0,1473.6,1.0,1657.8,26
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X40,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X42.5,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X47.5,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X50,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X52.5,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X57.5,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SCREWSCHANZSLFDRSTER5.0 60X150,2093.0,1674.4,1.0,1883.7,26
HCPCS,C1713,SCREWSPNLSETPEDICLEINVICTUS2VL,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SET PIN FIX GRAFT HARVEST THRD,523.0,418.4,1.0,470.7,26
HCPCS,C1713,SET SCREW AEGI 9.7X5.6MM,1148.0,918.4,1.0,1033.2,26
HCPCS,C1713,SET SCREW EXPD UNITIZED DEPU,703.0,562.4,1.0,632.7,26
HCPCS,C1713,SET SCREW FIREBIRD NXG 5.5X6MM,684.0,547.2,1.0,615.6,26
HCPCS,C1713,SET SCREW GAMMA STRY,1571.0,1256.8,1.0,1413.9,26
HCPCS,C1713,SET SCREW HORIZON TI 5.5/6.0,703.0,562.4,1.0,632.7,26
HCPCS,C1713,SET SCREW INFINITY STD,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SET SCREW INNER DEPU SGL,703.0,562.4,1.0,632.7,26
HCPCS,C1713,SET SCREW INNER VPR2 SGL,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SET SCREW OCT SYMPY,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SET SCREW RELINE-O LP MIS,810.0,648.0,1.0,729.0,26
HCPCS,C1713,SET SCREW RESPONSE LG,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1713,SET SCREW RESPONSE LG4.5/5.0MM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1713,SET SCREW SEXTANT MA,703.0,562.4,1.0,632.7,26
HCPCS,C1713,SET SCREW SIJ BEDROCK GRANITE,900.0,720.0,1.0,810.0,26
HCPCS,C1713,SET SCREW SPNL UP THORACIC M6,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SET SCREW T30*NLU*,703.0,562.4,1.0,632.7,26
HCPCS,C1713,SET SCREW TULIP LAMINAR HOOK,570.0,456.0,1.0,513.0,26
HCPCS,C1713,SET SCREW ULRI,921.0,736.8,1.0,828.9,26
HCPCS,C1713,SET SCREW VERTEX MDTR,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SET SCREW YUKON OCT STRY,1479.0,1183.2,1.0,1331.1,26
HCPCS,C1713,SET TULIP SCREW W LAMINAR HOOK,713.0,570.4,1.0,641.7,26
HCPCS,C1713,SHEATH PP INTRAFIX LG 23MM,3443.0,2754.4,1.0,3098.7,26
HCPCS,C1713,SHEATH PP INTRAFIX SM 23MM,3443.0,2754.4,1.0,3098.7,26
HCPCS,C1713,SHEATH TIB INTRAFIX 9X30MM,3070.0,2456.0,1.0,2763.0,26
HCPCS,C1713,SHLDR AUG GLENO RVRSSUPRPSTRRT,11060.0,8848.0,1.0,9954.0,26
HCPCS,C1713,SHLDR CAP SCREW LK ARF,3759.0,3007.2,1.0,3383.1,26
HCPCS,C1713,SHLDR COMP SCREW 18MM*NLU*,484.0,387.2,1.0,435.6,26
HCPCS,C1713,SHLDR GLENO PLATE REV 36MM,9326.0,7460.8,1.0,8393.4,26
HCPCS,C1713,SHLDR GLENO PLATE REV 40MM,9326.0,7460.8,1.0,8393.4,26
HCPCS,C1713,SHLDR GLENO SCREW EXAT,1352.0,1081.6,1.0,1216.8,26
HCPCS,C1713,SHLDR KT TORQ SCREW DEFINE,2668.0,2134.4,1.0,2401.2,26
HCPCS,C1713,SHLDR LK SCREW 4.5X26MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SHLDR LK SCREW 4.5X29MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SHLDR LK SCREW 4.5X34MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SHLDR PIN ECLIPSE UNIV II,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SHLDR PIN KT UNIV RVRS STER,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1713,SHLDR PIN STEINMANN 2.8MM,350.0,280.0,1.0,315.0,26
HCPCS,C1713,SHLDR POST PERF PRESSFIT LNG15,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW ARF 0MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SHLDR SCREW ARF 20MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SHLDR SCREW ARF 30MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SHLDR SCREW ARF 40MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SHLDR SCREW ARF 50MM,5180.0,4144.0,1.0,4662.0,26
HCPCS,C1713,SHLDR SCREW CENT 6.5X35MM*NLU*,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SHLDR SCREW CMPRHNSV 6.5X20MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW CMPRHNSV 6.5X35MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW CMPRHNSV 6.5X40MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW CTRREUNION6.5X28MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SHLDR SCREW CTRREUNION6.5X32MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SHLDR SCREW DEPU 4.5X24MM,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SHLDR SCREW EXAT 4.5X18MM,1313.0,1050.4,1.0,1181.7,26
HCPCS,C1713,SHLDR SCREW EXAT 4.5X22MM,1313.0,1050.4,1.0,1181.7,26
HCPCS,C1713,SHLDR SCREW EXAT 4.5X26MM,1313.0,1050.4,1.0,1181.7,26
HCPCS,C1713,SHLDR SCREW EXAT 4.5X30MM,1313.0,1050.4,1.0,1181.7,26
HCPCS,C1713,SHLDR SCREW EXAT 4.5X34MM,1313.0,1050.4,1.0,1181.7,26
HCPCS,C1713,SHLDR SCREW EXAT 4.5X38MM,1313.0,1050.4,1.0,1181.7,26
HCPCS,C1713,SHLDR SCREW EXAT 4.5X42MM,1313.0,1050.4,1.0,1181.7,26
HCPCS,C1713,SHLDR SCREW EXAT 4.5X46MM,1313.0,1050.4,1.0,1181.7,26
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X15MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X20MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X25MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X30MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X35MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X40MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW GLENOSHPERE UNIV,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW LK HUMELKII 4.5X25,713.0,570.4,1.0,641.7,26
HCPCS,C1713,SHLDR SCREW LK TPR SZ12.5,4006.0,3204.8,1.0,3605.4,26
HCPCS,C1713,SHLDR SCREW METAGLENE LK4.5X24,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SHLDR SCREW METAGLENE LK4.5X30,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SHLDR SCREW METAGLENE LK4.5X36,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SHLDR SCREW METAGLENE LK4.5X42,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SHLDR SCREW METAGLENE LK4.5X48,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SHLDR SCREW METAGLENE NL4.5X18,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SHLDR SCREW METAGLENE NL4.5X30,765.0,612.0,1.0,688.5,26
HCPCS,C1713,SHLDR SCREW MOD CENT FIX 25MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X25,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X30,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X34,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X35,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X40,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X45,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X50,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF CENT 9.5X25,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF CENT 9.5X30,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF CENT 9.5X35,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF CENT 9.5X40,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF CENT 9.5X50,3665.0,2932.0,1.0,3298.5,26
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X14,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X18,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X22,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X26,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X30,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X34,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X38,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X42,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X46,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X50,1159.0,927.2,1.0,1043.1,26
HCPCS,C1713,SHLDR SCREW PERIPH 4.5X16,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SHLDR SCREW PERIPH 4.5X20MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SHLDR SCREW PERIPH 4.5X24MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SHLDR SCREW PERIPH 4.5X28MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SHLDR SCREW PERIPH 4.5X32MM,500.0,400.0,1.0,450.0,26
HCPCS,C1713,SHLDR SCREW PERIPH LK 5.5X16MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH LK 5.5X24MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH LK 5.5X28MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH LK 5.5X32MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH LK 5.5X40MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X16MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X24MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X28MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X32MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X36MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X40MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X48MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,SHLDR SCREW RVRS 4.5X24MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW RVRS 4.5X27MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW RVRS 4.5X30MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW RVRS 4.5X33MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW RVRS 4.5X36MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW STD HUMELKII4.5X30,713.0,570.4,1.0,641.7,26
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X15MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X20MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X25MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X30MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X35MM,738.0,590.4,1.0,664.2,26
HCPCS,C1713,SHLDRSCREWFIXNLHE4.75X15*DISC*,575.0,460.0,1.0,517.5,26
HCPCS,C1713,SLV INLAY RFN-ADV POLYMER STER,2476.0,1980.8,1.0,2228.4,26
HCPCS,C1713,SMARTNAIL CONMED 1.5X20MM,1473.0,1178.4,1.0,1325.7,26
HCPCS,C1713,SMARTNAIL CONMED 1.5X25MM,1473.0,1178.4,1.0,1325.7,26
HCPCS,C1713,SPACER SPNL PSX TI 20D 8X10X30,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1713,SPEEDPLATE LAPIPLASTY 28X17X14,15558.0,12446.4,1.0,14002.2,26
HCPCS,C1713,SPEEDPLATE LAPIPLASTY 40X13X11,13276.0,10620.8,1.0,11948.4,26
HCPCS,C1713,SPEEDPLATE LAPIPLASTY 45X14X11,13276.0,10620.8,1.0,11948.4,26
HCPCS,C1713,SPEEDSCREW OPUS ARTC,5868.0,4694.4,1.0,5281.2,26
HCPCS,C1713,SPIKED WASHER ARTX 14MM,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SPIKED WASHER ARTX 18MM,935.0,748.0,1.0,841.5,26
HCPCS,C1713,SPNL BAND JAZZ STER,4545.0,3636.0,1.0,4090.5,26
HCPCS,C1713,SPNL BAND PASR JAZZ,4545.0,3636.0,1.0,4090.5,26
HCPCS,C1713,SPNL CONN KT EVO JAZZ 5.0MM,9090.0,7272.0,1.0,8181.0,26
HCPCS,C1713,SPNL CONN KT EVO JAZZ 5.5MM,9090.0,7272.0,1.0,8181.0,26
HCPCS,C1713,SPNL CONN KT EVO JAZZ 6.0MM,9090.0,7272.0,1.0,8181.0,26
HCPCS,C1713,SPNL CONN KT EVO JAZZ 6.35MM,9090.0,7272.0,1.0,8181.0,26
HCPCS,C1713,SPNL CONN KT JAZZ PF 5.5MM,9188.0,7350.4,1.0,8269.2,26
HCPCS,C1713,SPNL CONN KT JAZZ PF 6.0MM,9188.0,7350.4,1.0,8269.2,26
HCPCS,C1713,SPNL CONN KT W SCREW JAZZ3.5MM,9090.0,7272.0,1.0,8181.0,26
HCPCS,C1713,SPNL CONN KT W SCREW JAZZ4.0MM,9090.0,7272.0,1.0,8181.0,26
HCPCS,C1713,SPNL CONN KT W SCREW JAZZ4.5MM,9090.0,7272.0,1.0,8181.0,26
HCPCS,C1713,SPNL CONN KT W SCREWJAZZ4.75MM,9090.0,7272.0,1.0,8181.0,26
HCPCS,C1713,SPNL CONN TRNVRS FIXED 27X6.0,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1713,SPNL EXTNDR APIFIX LENKE 1LFT,6188.0,4950.4,1.0,5569.2,26
HCPCS,C1713,SPNL EXTNDR APIFIX LENKE 5,6188.0,4950.4,1.0,5569.2,26
HCPCS,C1713,SPNL IMPLT SYS PEEK JAZZ LK,9188.0,7350.4,1.0,8269.2,26
HCPCS,C1713,SPNL MID-C APIFIX 115,63802.0,51041.6,1.0,57421.8,26
HCPCS,C1713,SPNL MID-C APIFIX 95X30MM,63802.0,51041.6,1.0,57421.8,26
HCPCS,C1713,SPNL ROD CNSTND MARINER 5.5X90,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1713,SPNL ROD CONT HIGH PITI5.5X450,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SPNL ROD CONT LOW PI 5.5X450,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD CONT LOW PI 6.0X450,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD CONT LOW PI TI5.5X450,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SPNL ROD CONT MED PI TI5.5X450,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 3.5X30,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 3.5X40,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 3.5X50,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 3.5X60,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 3.5X70,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 3.5X80,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 3.5X90,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 4.0X30,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 4.0X40,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 4.0X50,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 4.0X60,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 4.0X70,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 4.0X80,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 4.0X90,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR3.5X100,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR3.5X120,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR4.0X100,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD CONT NORTHSTAR4.0X120,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD DUAL HEX ST 3.5X500MM,1947.0,1557.6,1.0,1752.3,26
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X30,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X35,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X40,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X45,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X55,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X60,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X65,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X70,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X80,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X90,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PRECONTMARINER6.0X100,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X250,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X40,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X45,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X60,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X65,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X70,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X80,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD ST MARINER 6.0X250,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SPNL ROD ST MARINER 6.0X450,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SPNL ROD ST MARINER MIS5.5X250,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1713,SPNL ROD ST MARINER TI 5.5X250,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,SPNL ROD ST MARINER TI 5.5X450,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SPNL ROD ST MARINER TI 6.0X450,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SPNL ROD ST MARINERCOCR5.5X250,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,SPNL ROD ST NORTHSTAR 3.5X120,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD ST NORTHSTAR 3.5X200,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD ST NORTHSTAR 4.0X200,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD ST NORTHSTAR 4.0X300,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD ST NORTHSTAR 4X200,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD ST NORTHSTARTI3.5X200,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD ST NORTHSTARTI3.5X300,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1713,SPNL ROD STD MARINER 5.5X250,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1713,SPNL ROD STD MARINER 5.5X450,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1713,SPNL ROD TRNSTN TI 3.5-5.5 500,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X35MM,15575.0,12460.0,1.0,14017.5,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X40MM,15575.0,12460.0,1.0,14017.5,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X45MM,15575.0,12460.0,1.0,14017.5,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X50MM,15575.0,12460.0,1.0,14017.5,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X55MM,15575.0,12460.0,1.0,14017.5,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X60MM,15575.0,12460.0,1.0,14017.5,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X75MM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X79MM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X80MM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X85MM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE 7.0X90MM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X35,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X40,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X45,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X50,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X60,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X70,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X75,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X80,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X90,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 11.5X80,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 13.5X75MM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ 13.5X80MM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQ TNT8.7X90,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X135,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X145,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X150,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X155,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X160,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X170,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SCRL LAGIFUSE TORQ10.0X70,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1713,SPNL SPRING END PCC OBELISC,503.0,402.4,1.0,452.7,26
HCPCS,C1713,STABL BONE PHOTODYNAMIC 17X220,14317.0,11453.6,1.0,12885.3,26
HCPCS,C1713,STABL BONE PHOTODYNAMIC 17X260,14934.0,11947.2,1.0,13440.6,26
HCPCS,C1713,STABL BONE PHOTODYNAMIC 22X100,12945.0,10356.0,1.0,11650.5,26
HCPCS,C1713,STABL BONE PHOTODYNAMIC 22X120,12870.0,10296.0,1.0,11583.0,26
HCPCS,C1713,STABL BONEPHOTODYNAMIC13/10X70,15505.0,12404.0,1.0,13954.5,26
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 15X20,7513.0,6010.4,1.0,6761.7,26
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 18X20,7513.0,6010.4,1.0,6761.7,26
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 20X15,6703.0,5362.4,1.0,6032.7,26
HCPCS,C1713,STAPLE BARBED 16X9MM*DISC*,608.0,486.4,1.0,547.2,26
HCPCS,C1713,STAPLE BARBED 22X19MM*DISC*,608.0,486.4,1.0,547.2,26
HCPCS,C1713,STAPLE BARBED 8.7X16MM*DISC*,608.0,486.4,1.0,547.2,26
HCPCS,C1713,STAPLE BARBED 8.7X19MM*DISC*,608.0,486.4,1.0,547.2,26
HCPCS,C1713,STAPLE BARBED 8.7X22MM*DISC*,608.0,486.4,1.0,547.2,26
HCPCS,C1713,STAPLE BARBED 8.7X25.4MM*DISC*,608.0,486.4,1.0,547.2,26
HCPCS,C1713,STAPLE BONE HIMAX 18X18X14,6570.0,5256.0,1.0,5913.0,26
HCPCS,C1713,STAPLE DYNACLIP 10X10X10MM,5918.0,4734.4,1.0,5326.2,26
HCPCS,C1713,STAPLE DYNACLIP 12X12X12MM,5918.0,4734.4,1.0,5326.2,26
HCPCS,C1713,STAPLE DYNACLIP 14X14X14MM,7065.0,5652.0,1.0,6358.5,26
HCPCS,C1713,STAPLE DYNACLIP 18X18X18MM,7065.0,5652.0,1.0,6358.5,26
HCPCS,C1713,STAPLE DYNACLIP 18X20X20MM,7065.0,5652.0,1.0,6358.5,26
HCPCS,C1713,STAPLE DYNACLIP 20X181X8MM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1713,STAPLE DYNACLIP 20X22X22MM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1713,STAPLE DYNACLIP 26X20X20MM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1713,STAPLE DYNACLIP 4LEG 26X12MM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1713,STAPLE DYNACLIP 4LEG 26X16MM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1713,STAPLE DYNACLIP 8X8X8MM,5918.0,4734.4,1.0,5326.2,26
HCPCS,C1713,STAPLE DYNAFORCE HIMAX18X14X14,6570.0,5256.0,1.0,5913.0,26
HCPCS,C1713,STAPLE DYNAFORCE HIMAX18X18X14,6570.0,5256.0,1.0,5913.0,26
HCPCS,C1713,STAPLE DYNAFORCE HIMAX18X18X18,6570.0,5256.0,1.0,5913.0,26
HCPCS,C1713,STAPLE DYNAFORCE HIMAX20X14X14,6570.0,5256.0,1.0,5913.0,26
HCPCS,C1713,STAPLE DYNAFORCEHIMAX+15X15X15,8064.0,6451.2,1.0,7257.6,26
HCPCS,C1713,STAPLE DYNAFORCEHIMAX+18X18X18,8064.0,6451.2,1.0,7257.6,26
HCPCS,C1713,STAPLE DYNAFORCEHIMAX+20X20X20,8064.0,6451.2,1.0,7257.6,26
HCPCS,C1713,STAPLE DYNAFORCEHIMAX+25X22X22,8064.0,6451.2,1.0,7257.6,26
HCPCS,C1713,STAPLE DYNAFORCEHIMAXC18X14X14,6570.0,5256.0,1.0,5913.0,26
HCPCS,C1713,STAPLE DYNANITE NIT INST 11X10,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,STAPLE DYNANITE NIT INST 13X10,9380.0,7504.0,1.0,8442.0,26
HCPCS,C1713,STAPLE DYNANITE NIT INST 15X12,9380.0,7504.0,1.0,8442.0,26
HCPCS,C1713,STAPLE DYNANITE NIT INST 15X15,8836.0,7068.8,1.0,7952.4,26
HCPCS,C1713,STAPLE DYNANITE NIT INST 18X18,8836.0,7068.8,1.0,7952.4,26
HCPCS,C1713,STAPLE DYNANITE NIT INST 9X7,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,STAPLE DYNANITE NIT INST9X10MM,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,STAPLE ELITE 2LEG 15X15X15MM,7174.0,5739.2,1.0,6456.6,26
HCPCS,C1713,STAPLE ELITE 2LEG 18X18X18MM,7174.0,5739.2,1.0,6456.6,26
HCPCS,C1713,STAPLE ELITE 2LEG 20X20X20MM,7849.0,6279.2,1.0,7064.1,26
HCPCS,C1713,STAPLE ELITE 4LEG 25X20X20MM,7997.0,6397.6,1.0,7197.3,26
HCPCS,C1713,STAPLE ELITE DLEG 18X15X15MM,7085.0,5668.0,1.0,6376.5,26
HCPCS,C1713,STAPLE ELITE DLEG 25X20X20MM,7898.0,6318.4,1.0,7108.2,26
HCPCS,C1713,STAPLE ELITE4LEG30X20X20X20X20,7997.0,6397.6,1.0,7197.3,26
HCPCS,C1713,STAPLE EPIPHYSEAL 16X22*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,STAPLE EPIPHYSEAL 22X22*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,STAPLE EPIPHYSEAL 9.5X19*DISC*,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1713,STAPLE FIX SN LG,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,STAPLE FIX SN SM,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,STAPLE FIX SN XS,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1713,STAPLE IMPLT KT NITINEX 18X18,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1713,STAPLE KT MOTOCL*DISC NO REPL*,6750.0,5400.0,1.0,6075.0,52
HCPCS,C1713,STAPLE KT NIT JAWS ST 20X20MM,9608.0,7686.4,1.0,8647.2,26
HCPCS,C1713,STAPLE KT REFLEX MAX 15X15MM,12425.0,9940.0,1.0,11182.5,26
HCPCS,C1713,STAPLE KT REFLEX ULT 18X18MM,14350.0,11480.0,1.0,12915.0,26
HCPCS,C1713,STAPLE KT REFLEX ULT 20X20MM,14350.0,11480.0,1.0,12915.0,26
HCPCS,C1713,STAPLE MOTOCLIP 12X12X12,5082.0,4065.6,1.0,4573.8,26
HCPCS,C1713,STAPLE MOTOCLIP HIMAX 15X15X15,6570.0,5256.0,1.0,5913.0,26
HCPCS,C1713,STAPLE MOTOCLIP HIMAX 15X18X18,6570.0,5256.0,1.0,5913.0,26
HCPCS,C1713,STAPLE MOTOCLIP HIMAX 18X18X18,6570.0,5256.0,1.0,5913.0,26
HCPCS,C1713,STAPLE MOTOCLIP MAX 9X9X9,6570.0,5256.0,1.0,5913.0,26
HCPCS,C1713,STAPLE MPJ ACTIVE STBL 15X15MM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1713,STAPLE MPJ ACTIVE STBL 18X14MM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1713,STAPLE NIT FUSEFORCE 12X12MM,5010.0,4008.0,1.0,4509.0,26
HCPCS,C1713,STAPLE PLAPLE QKFIX 10MM*NLU*,935.0,748.0,1.0,841.5,26
HCPCS,C1713,STAPLE REFLEX MAX NIT 15X15MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1713,STAPLE REFLEX MAX NIT 15X18MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1713,STAPLE REFLEX MAX NIT 18X18MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1713,STAPLE REFLEX MAX NIT 18X20MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1713,STAPLE REFLEX MAX NIT 20X20MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1713,STAPLE REFLEX ULT 25X20MM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1713,STAPLE REFLEX ULT NIT 18X18MM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1713,STAPLE REFLEX ULT NIT 20X14MM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1713,STAPLE REFLEX ULT NIT 20X16MM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1713,STAPLE REFLEX ULT NIT 20X20MM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1713,STAPLE REFLEX ULT NIT 23X16MM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1713,STAPLE REFLEX ULT STER 25X20MM,13983.0,11186.4,1.0,12584.7,26
HCPCS,C1713,STAPLE SNIPER TRIL 15X15X15MM,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1713,STAPLE SNIPER TRIL 18X15X15MM,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1713,STAPLE SNIPER TRIL 18X18X18MM,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1713,STAPLE SPEED 11X10X10MM,5364.0,4291.2,1.0,4827.6,26
HCPCS,C1713,STAPLE SPEED 13X10X10MM,5364.0,4291.2,1.0,4827.6,26
HCPCS,C1713,STAPLE SPEED 15X12X12MM,5570.0,4456.0,1.0,5013.0,26
HCPCS,C1713,STAPLE SPEED 20X20X20MM,6963.0,5570.4,1.0,6266.7,26
HCPCS,C1713,STAPLE SPEED 25X20X20MM,6963.0,5570.4,1.0,6266.7,26
HCPCS,C1713,STAPLE SPEED 9X10X10MM,5364.0,4291.2,1.0,4827.6,26
HCPCS,C1713,STAPLE SPEED 9X7X7MM,5364.0,4291.2,1.0,4827.6,26
HCPCS,C1713,STAPLE SPEEDARC 11X12X10MM,4617.0,3693.6,1.0,4155.3,26
HCPCS,C1713,STAPLE SPEEDARC 9X12X10MM,4617.0,3693.6,1.0,4155.3,26
HCPCS,C1713,STAPLE SPEEDSHIFT 15X20X8MM,6259.0,5007.2,1.0,5633.1,26
HCPCS,C1713,STAPLE SPEEDTITAN 15X15X15MM,5621.0,4496.8,1.0,5058.9,26
HCPCS,C1713,STAPLE SPEEDTITAN 18X15X15MM,5621.0,4496.8,1.0,5058.9,26
HCPCS,C1713,STAPLE SPEEDTITAN 25X20X20MM,6953.0,5562.4,1.0,6257.7,26
HCPCS,C1713,STAPLE STYLE A KT STER 9X8X8MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 15X15,9606.0,7684.8,1.0,8645.4,26
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 18X15,9606.0,7684.8,1.0,8645.4,26
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 18X18,9606.0,7684.8,1.0,8645.4,26
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 20X15,9606.0,7684.8,1.0,8645.4,26
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 20X20,9606.0,7684.8,1.0,8645.4,26
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 25X20,9606.0,7684.8,1.0,8645.4,26
HCPCS,C1713,STAPLE SYS OSSIOFBR STER 15X15,9783.0,7826.4,1.0,8804.7,26
HCPCS,C1713,STAPLE SYS OSSIOFBR STER 20X20,9698.0,7758.4,1.0,8728.2,26
HCPCS,C1713,STAPLE SYS OSSIOFBR STER 25X22,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1713,STAPLE TBL SN SM,2644.0,2115.2,1.0,2379.6,26
HCPCS,C1713,STAPLE TRIL 10X10*USE 6294372*,5828.0,4662.4,1.0,5245.2,26
HCPCS,C1713,STAPLE YBRIDGE4LEGELITE30X15X7,10049.0,8039.2,1.0,9044.1,26
HCPCS,C1713,STAPLE YBRIDGE4LEGELITE30X20X7,10049.0,8039.2,1.0,9044.1,26
HCPCS,C1713,STAPLE Z FIX MINI 8/8MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1713,SUT BTN ARTX 3.5MM,888.0,710.4,1.0,799.2,26
HCPCS,C1713,SUT BTN KNTLS SYNDMSIS 4.7MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1713,SUT FBRWIRE 0 TPR BLU 38,242.0,193.6,1.0,217.8,26
HCPCS,C1713,SUT FBRWIRE 2 BLU WHT/BLK 38,385.0,308.0,1.0,346.5,26
HCPCS,C1713,SUT FBRWIRE 2 RVRS BLU 38,242.0,193.6,1.0,217.8,26
HCPCS,C1713,SUT FBRWIRE 2-0 BLU 38,231.0,184.8,1.0,207.9,26
HCPCS,C1713,SUT FBRWIRE 2-0 MENISC NDLE,713.0,570.4,1.0,641.7,26
HCPCS,C1713,SUT FBRWIRE 2-0 TPR 17.9 BLU18,242.0,193.6,1.0,217.8,26
HCPCS,C1713,SUT FBRWIRE 2-0 TPR 26.5 BLU18,242.0,193.6,1.0,217.8,26
HCPCS,C1713,SUT FBRWIRE 3-0 TPR BLU 18,242.0,193.6,1.0,217.8,26
HCPCS,C1713,SUT FBRWIRE 4-0 TPR 12.3 BLU18,242.0,193.6,1.0,217.8,26
HCPCS,C1713,SUT FBRWIRE 5 CUT BLU 38,440.0,352.0,1.0,396.0,26
HCPCS,C1713,SUT FBRWIRE TPR 26.5 BLU 38,242.0,193.6,1.0,217.8,26
HCPCS,C1713,SUT FBRWIRE TPR 36.6 BLU 38,242.0,193.6,1.0,217.8,26
HCPCS,C1713,SUT MINITAPE KNTLS COBRAID BLU,750.0,600.0,1.0,675.0,26
HCPCS,C1713,SUTTAPEACTIVBRAID1.5 1/2CBLU36,1165.0,932.0,1.0,1048.5,26
HCPCS,C1713,SYR KT BONE CMNT TRAUMACEM V+,917.0,733.6,1.0,825.3,26
HCPCS,C1713,SYS ANCHOR BONE REGENETEN,4883.0,3906.4,1.0,4394.7,26
HCPCS,C1713,SYS ANCHOR INTRLBRC BIOCOMP+,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,SYS ANCHOR INTRLBRC BIOCOMPSTD,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,SYS ANCHOR MINI INTRLBRC,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,SYS ARTHROSCOPIC KNTLS DOG BTN,7781.0,6224.8,1.0,7002.9,26
HCPCS,C1713,SYS ARTHROSCOPIC KNTLSACREPAIR,9281.0,7424.8,1.0,8352.9,26
HCPCS,C1713,SYS CPR MINI SCORPION DX,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,SYS CPR VPR,5420.0,4336.0,1.0,4878.0,26
HCPCS,C1713,SYS DUAL TIGHTROPE SYNDMSIS2HL,9048.0,7238.4,1.0,8143.2,26
HCPCS,C1713,SYS HTO IBALANCE LG 15D XL 14D,9405.0,7524.0,1.0,8464.5,26
HCPCS,C1713,SYS HTO IBALANCE SM 10D MD 9D,9405.0,7524.0,1.0,8464.5,26
HCPCS,C1713,SYS IMPLT CP DX KL SL BC4.75MM,4925.0,3940.0,1.0,4432.5,26
HCPCS,C1713,SYS IMPLT FBRTAK KNTLS 1.8,8168.0,6534.4,1.0,7351.2,26
HCPCS,C1713,SYS IMPLT FOREFT INTRLBRC PEEK,6905.0,5524.0,1.0,6214.5,26
HCPCS,C1713,SYS IMPLT MPFL FAST THRD,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,SYS IMPLT MPFL FASTTHRD FBRTAK,10377.0,8301.6,1.0,9339.3,26
HCPCS,C1713,SYS IMPLT MPFL TIGHTROPE 3.9MM,9875.0,7900.0,1.0,8887.5,26
HCPCS,C1713,SYS IMPLT PROX TENODESIS,5198.0,4158.4,1.0,4678.2,26
HCPCS,C1713,SYS IMPLT QUADLINK ALLINSIDE 8,10993.0,8794.4,1.0,9893.7,26
HCPCS,C1713,SYS IMPLT QUADLINK ALLINSIDE 9,10993.0,8794.4,1.0,9893.7,26
HCPCS,C1713,SYS IMPLT QUADLINK ALLINSIDE10,10993.0,8794.4,1.0,9893.7,26
HCPCS,C1713,SYS IMPLT QUADLINK ALLSUTURE 9,11261.0,9008.8,1.0,10134.9,26
HCPCS,C1713,SYS IMPLT QUADLINK ALLSUTURE10,11261.0,9008.8,1.0,10134.9,26
HCPCS,C1713,SYS IMPLT QUADLINK ALLSUTURE11,11261.0,9008.8,1.0,10134.9,26
HCPCS,C1713,SYS KNTLS TENSIONTIGHT BTNARTX,5775.0,4620.0,1.0,5197.5,26
HCPCS,C1713,SYS LAPIPLASTY S4A 3.9MM,13650.0,10920.0,1.0,12285.0,26
HCPCS,C1713,SYS NAIL GAMMA3 120D 11X180MM,5696.0,4556.8,1.0,5126.4,26
HCPCS,C1713,SYS NAIL GAMMA3 125D 11X180MM,5696.0,4556.8,1.0,5126.4,26
HCPCS,C1713,SYS NAIL GAMMA3 130D 11X180MM,5696.0,4556.8,1.0,5126.4,26
HCPCS,C1713,SYS NAIL TROCH TI 130D 10X1,7225.0,5780.0,1.0,6502.5,26
HCPCS,C1713,SYS SHLDR KNTLS AC OPEN REPAIR,8638.0,6910.4,1.0,7774.2,26
HCPCS,C1713,SYS SPEEDBRIDG FBRTK KNTLS 5.5,10520.0,8416.0,1.0,9468.0,26
HCPCS,C1713,SYS SPEEDBRIDG FBRTK KNTLS4.75,10684.0,8547.2,1.0,9615.6,26
HCPCS,C1713,SYS SPEEDBRIDG FBRTK SWVLK4.75,9991.0,7992.8,1.0,8991.9,26
HCPCS,C1713,SYS TIB APERFIX CANN 9X30MM,3120.0,2496.0,1.0,2808.0,26
HCPCS,C1713,SYS TIGHTROPE KNTLS MINI TI2.7,9380.0,7504.0,1.0,8442.0,26
HCPCS,C1713,SYS TIGHTROPE MINI CMC1.1MM,5907.0,4725.6,1.0,5316.3,26
HCPCS,C1713,SYS TIGHTROPE SYNDMSIS 2HL 1.5,15381.0,12304.8,1.0,13842.9,26
HCPCS,C1713,SYS VERT BODY TETHER 300MM,15413.0,12330.4,1.0,13871.7,26
HCPCS,C1713,TACK PLATE THRD ACUM 0.62X3,485.0,388.0,1.0,436.5,26
HCPCS,C1713,TAP CORT SCREW 3.5MM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C1713,TAP SCREW CLAV ACUM 3.0MM,2688.0,2150.4,1.0,2419.2,26
HCPCS,C1713,TAP SCREW CLAV TRMI 3.2MM,978.0,782.4,1.0,880.2,26
HCPCS,C1713,TAP SCREW LK STD 2.7MM,1891.0,1512.8,1.0,1701.9,26
HCPCS,C1713,TIB TUNNEL KT QUADLINK 10MM,10993.0,8794.4,1.0,9893.7,26
HCPCS,C1713,TIB TUNNEL KT QUADLINK 8MM,10993.0,8794.4,1.0,9893.7,26
HCPCS,C1713,TIB TUNNEL KT QUADLINK 9MM,10993.0,8794.4,1.0,9893.7,26
HCPCS,C1713,TIGHTROPE ABS OPEN ARTX,1814.0,1451.2,1.0,1632.6,26
HCPCS,C1713,TIGHTROPE ACL ABS W FBRTAG,2948.0,2358.4,1.0,2653.2,26
HCPCS,C1713,TIGHTROPE ACL ARTX RT,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,TIGHTROPE ACL INTRL BRC,4967.0,3973.6,1.0,4470.3,26
HCPCS,C1713,TIGHTROPE ACL RT TI,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,TIGHTROPE ACL RT TI W FBRTAG,4043.0,3234.4,1.0,3638.7,26
HCPCS,C1713,TIGHTROPE BTN EXTNDR,2104.0,1683.2,1.0,1893.6,26
HCPCS,C1713,TIGHTROPE II ABS,2508.0,2006.4,1.0,2257.2,26
HCPCS,C1713,TIGHTROPE II ABS OPEN ARTX,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1713,TIGHTROPE II ABS W FBRTAG,3564.0,2851.2,1.0,3207.6,26
HCPCS,C1713,TIGHTROPE II ACL ADDL FLIP SUT,3581.0,2864.8,1.0,3222.9,26
HCPCS,C1713,TIGHTROPE II ACLFBRTAGFBRSNARE,6163.0,4930.4,1.0,5546.7,26
HCPCS,C1713,TIGHTROPE II BTB ADDL FLIP SUT,4197.0,3357.6,1.0,3777.3,26
HCPCS,C1713,TIGHTROPE II FBRTAG IMPLT KNEE,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,TIGHTROPE II FBRTAG INTRL BRC,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1713,TIGHTROPE II FBRTAG STNDL1.7MM,4583.0,3666.4,1.0,4124.7,26
HCPCS,C1713,TIGHTROPE II RT W FBRTAPE,4351.0,3480.8,1.0,3915.9,26
HCPCS,C1713,TIGHTROPE NO BTN ABS W UHMWPE,1720.0,1376.0,1.0,1548.0,26
HCPCS,C1713,TIGHTROPE SHLDR AC TWIN TAIL,4428.0,3542.4,1.0,3985.2,26
HCPCS,C1713,TIGHTROPE SOFT BTN FBRTAG,4522.0,3617.6,1.0,4069.8,26
HCPCS,C1713,TIGHTROPE SOFT BTN FBRTAG IB,5184.0,4147.2,1.0,4665.6,26
HCPCS,C1713,TIGHTROPE SYND*DUP USE 6181020,3734.0,2987.2,1.0,3360.6,26
HCPCS,C1713,TIGHTROPE SYNDMSIS KNTLS,5816.0,4652.8,1.0,5234.4,26
HCPCS,C1713,TIGHTROPE SYNDMSIS KNTLS TI,5816.0,4652.8,1.0,5234.4,26
HCPCS,C1713,TIGHTROPE XP KNTLS SS,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,TIGHTROPE XP KNTLS TI,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1713,TOE BUNIONETTE PROSTEP MIS SM,7031.0,5624.8,1.0,6327.9,26
HCPCS,C1713,TULIP PA RDCTN MODL RCREO 30MM,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1713,WASHER 10MM,167.0,133.6,1.0,150.3,26
HCPCS,C1713,WASHER 13MM,231.0,184.8,1.0,207.9,26
HCPCS,C1713,WASHER 4.0MM SCREWS T15,754.0,603.2,1.0,678.6,26
HCPCS,C1713,WASHER 6.5/8.0 SCREW AS3,318.0,254.4,1.0,286.2,26
HCPCS,C1713,WASHER 6.5/8MM SCREW ASE,334.0,267.2,1.0,300.6,26
HCPCS,C1713,WASHER 6.5MM,248.0,198.4,1.0,223.2,26
HCPCS,C1713,WASHER ANCHOR SOFT TISS 14MM,2288.0,1830.4,1.0,2059.2,26
HCPCS,C1713,WASHER ARTX 7MM,353.0,282.4,1.0,317.7,26
HCPCS,C1713,WASHER ARTX TI 13MM,792.0,633.6,1.0,712.8,26
HCPCS,C1713,WASHER ARTX TI 3.75MM,523.0,418.4,1.0,470.7,26
HCPCS,C1713,WASHER ARTX TI 7MM,385.0,308.0,1.0,346.5,26
HCPCS,C1713,WASHER BONE SCREW 1.2MM,338.0,270.4,1.0,304.2,26
HCPCS,C1713,WASHER CANN SCREW CSS+ 4.5MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,WASHER CANN SCREW+ 4.0MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,WASHER CANN SCREW+ 5.5MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,WASHER CANN SCREW+ 6.5MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,WASHER CANN SCREW+ 7.5MM,1411.0,1128.8,1.0,1269.9,26
HCPCS,C1713,WASHER CANN SCREW+ STER 4.0MM,333.0,266.4,1.0,299.7,26
HCPCS,C1713,WASHER CANN SCREW+ STER 6.5MM,333.0,266.4,1.0,299.7,26
HCPCS,C1713,WASHER CANN SCREW+ STER 7.5MM,333.0,266.4,1.0,299.7,26
HCPCS,C1713,WASHER CLAV ARTX 15MM,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1713,WASHER CORT LOPRO 3.5MM,720.0,576.0,1.0,648.0,26
HCPCS,C1713,WASHER CUP SM FRAG 3.5X4MM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,WASHER DOME MNSTR SCREW 5.5MM,1575.0,1260.0,1.0,1417.5,26
HCPCS,C1713,WASHER FEM NAIL CORT 11.0MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,WASHER FEM NAIL STER 17.5/11.8,621.0,496.8,1.0,558.9,26
HCPCS,C1713,WASHER FLAT ARTX 7.0MM,935.0,748.0,1.0,841.5,26
HCPCS,C1713,WASHER FLAT TIMAX 3.5/4.0MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,WASHER FLAT TIMAX 8.0MM*DISC*,557.0,445.6,1.0,501.3,26
HCPCS,C1713,WASHER IFUSE TORQ TNT 16.0MM,300.0,240.0,1.0,270.0,26
HCPCS,C1713,WASHER LK FEM NAIL STER LFT 5D,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,WASHER LK FEM NAIL STER LFT10D,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,WASHER LK FEM NAIL STER RT 10D,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,WASHER LK FEM NAIL STER RT 5D,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1713,WASHER M/DN ZIMM*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1713,WASHER MATTA 9MM,286.0,228.8,1.0,257.4,26
HCPCS,C1713,WASHER RIBFIX ADV 9.5MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1713,WASHER SPACING 2.0MM,175.0,140.0,1.0,157.5,26
HCPCS,C1713,WASHER SPACING 4.0MM,175.0,140.0,1.0,157.5,26
HCPCS,C1713,WASHER STRY 1.7MM,338.0,270.4,1.0,304.2,26
HCPCS,C1713,WASHER STRY 2.3MM,338.0,270.4,1.0,304.2,26
HCPCS,C1713,WASHER STRY 3.5MM,902.0,721.6,1.0,811.8,26
HCPCS,C1713,WASHER SYNT 7MM,206.0,164.8,1.0,185.4,26
HCPCS,C1713,WASHER THRD,767.0,613.6,1.0,690.3,26
HCPCS,C1713,WASHER TI 13.0MM,231.0,184.8,1.0,207.9,26
HCPCS,C1713,WASHER TI 7.0MM,206.0,164.8,1.0,185.4,26
HCPCS,C1713,WASHER TI AS3 STRY 4.0MM,239.0,191.2,1.0,215.1,26
HCPCS,C1713,WASHER TIMAX FLAT 6.5MM*DISC*,400.0,320.0,1.0,360.0,26
HCPCS,C1713,WASHER VARIAX 2.4/2.7/3.5MM,297.0,237.6,1.0,267.3,26
HCPCS,C1713,WASHER WIRE FORM TRMI,893.0,714.4,1.0,803.7,26
HCPCS,C1713,WASHER ZIMM 2.5MM,400.0,320.0,1.0,360.0,26
HCPCS,C1713,WASHER ZIMM 4.5MM,548.0,438.4,1.0,493.2,26
HCPCS,C1713,WASHER ZIMM 7MM,548.0,438.4,1.0,493.2,26
HCPCS,C1713,WDG BICORT EVANS 22X22X8MM,13764.0,11011.2,1.0,12387.6,26
HCPCS,C1713,WDG COTTON TIPEEK 16X14X4.5M,6195.0,4956.0,1.0,5575.5,26
HCPCS,C1713,WDG COTTON TIPEEK 16X14X5.5M,6195.0,4956.0,1.0,5575.5,26
HCPCS,C1713,WDG COTTON TIPEEK 16X14X6.5M,6195.0,4956.0,1.0,5575.5,26
HCPCS,C1713,WDG COTTON TIPEEK 20X14X4.5M,6195.0,4956.0,1.0,5575.5,26
HCPCS,C1713,WDG COTTON TIPEEK 20X14X5.5M,6195.0,4956.0,1.0,5575.5,26
HCPCS,C1713,WDG COTTON TIPEEK 20X14X6.5M,6195.0,4956.0,1.0,5575.5,26
HCPCS,C1713,WDG EVANS BIOSYNC 18X18X12MM,10865.0,8692.0,1.0,9778.5,26
HCPCS,C1713,WDG EVANS BIOSYNC 20X20X12MM,10865.0,8692.0,1.0,9778.5,26
HCPCS,C1713,WDG EVANS TIPEEK 18X18X10MM,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,WDG EVANS TIPEEK 18X18X12MM,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,WDG EVANS TIPEEK 18X18X8MM,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,WDG EVANS TIPEEK 20X20X10MM,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,WDG EVANS TIPEEK 20X20X12MM,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,WDG EVANS TIPEEK 20X20X8MM,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,WDG EVANS TIPEEK 22X22X10MM,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,WDG EVANS TIPEEK 22X22X12MM,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,WDG EVANS TIPEEK 22X22X8MM,6643.0,5314.4,1.0,5978.7,26
HCPCS,C1713,WDG TRUSS OSTEOTOMY LG 23X10,16944.0,13555.2,1.0,15249.6,26
HCPCS,C1713,WDG TRUSS OSTEOTOMY LG 23X12,16944.0,13555.2,1.0,15249.6,26
HCPCS,C1713,WDG TRUSS OSTEOTOMY LG 23X6,16944.0,13555.2,1.0,15249.6,26
HCPCS,C1713,WDG TRUSS OSTEOTOMY LG 23X8,16944.0,13555.2,1.0,15249.6,26
HCPCS,C1713,WDG TRUSS OSTEOTOMY MD 20X10,16944.0,13555.2,1.0,15249.6,26
HCPCS,C1713,WDG TRUSS OSTEOTOMY MD 20X12,16944.0,13555.2,1.0,15249.6,26
HCPCS,C1713,WDG TRUSS OSTEOTOMY MD 20X8,16944.0,13555.2,1.0,15249.6,26
HCPCS,C1713,WDG TRUSS OSTEOTOMY SM 16X8,16944.0,13555.2,1.0,15249.6,26
HCPCS,C1713,WDG TRUSS UOTS2 LG 30X12MM,16944.0,13555.2,1.0,15249.6,26
HCPCS,C1713,WIRE CERCLAGE 0.5X175MM,96.0,76.8,1.0,86.4,26
HCPCS,C1713,WIRE CERCLAGE 0.6X175MM,96.0,76.8,1.0,86.4,26
HCPCS,C1713,WIRE CERCLAGE PRECUT1.25X300MM,98.0,78.4,1.0,88.2,26
HCPCS,C1713,WIRE COMP 1.6X10X150MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,WIRE COMP 1.6X15X150MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,WIRE COMP 1.6X20X150MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,WIRE COMP 1.6X25X150MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,WIRE COMP 1.6X30X150MM,386.0,308.8,1.0,347.4,26
HCPCS,C1713,WIRE COMP 2.8X15MM,507.0,405.6,1.0,456.3,26
HCPCS,C1713,WIRE COMP 2.8X20MM,507.0,405.6,1.0,456.3,26
HCPCS,C1713,WIRE COMP 3.0/3.5/4.0 1.6X20MM,680.0,544.0,1.0,612.0,26
HCPCS,C1713,WIRE DIMND 1.5X450MM,461.0,368.8,1.0,414.9,26
HCPCS,C1713,WIRE EXTL FIX 15MM THRD1.6X125,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,WIRE EXTL FIX 15MM THRD2.0X125,1496.0,1196.8,1.0,1346.4,26
HCPCS,C1713,WIRE EXTL FIX BYNT 1.8X360MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,WIRE EXTL FIX BYNT 1.8X400MM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,WIRE EXTL FIX BYNT 2.0X360MM,1105.0,884.0,1.0,994.5,26
HCPCS,C1713,WIRE EXTL FIX BYNTOLIVE1.8X370,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1713,WIRE EXTL FIX BYNTOLIVE1.8X400,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,WIRE EXTL FIX ILIZAROV 1.8X370,686.0,548.8,1.0,617.4,26
HCPCS,C1713,WIRE EXTL FIX OLIVE 1.8X360MM,1381.0,1104.8,1.0,1242.9,26
HCPCS,C1713,WIRE EXTL FIX OLIVE 2.0X360MM,1381.0,1104.8,1.0,1242.9,26
HCPCS,C1713,WIRE EXTL FIX RDCTNHALFPNT1.8,1892.0,1513.6,1.0,1702.8,26
HCPCS,C1713,WIRE EXTL FIX RDCTNPRGN1.8X400,1505.0,1204.0,1.0,1354.5,26
HCPCS,C1713,WIRE EXTL FIX RDCTNSYNT1.8X400,1892.0,1513.6,1.0,1702.8,26
HCPCS,C1713,WIRE EXTL FIX SMTH PRGN1.8X400,1250.0,1000.0,1.0,1125.0,26
HCPCS,C1713,WIRE EXTL FIX SMTH SYNT1.8X400,686.0,548.8,1.0,617.4,26
HCPCS,C1713,WIRE EXTL FIX SMTHHALFPNT1.8MM,686.0,548.8,1.0,617.4,26
HCPCS,C1713,WIRE EXTL FIXCITIEFFESMTH2X400,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1713,WIRE LIGATURE SS 12G*NLU*,46.0,36.8,1.0,41.4,26
HCPCS,C1713,WIRE LIGATURE SS 14G*NLU*,46.0,36.8,1.0,41.4,26
HCPCS,C1713,WIRE LIGATURE SS 16G*NLU*,46.0,36.8,1.0,41.4,26
HCPCS,C1713,WIRE LIGATURE SS 18G*NLU*,46.0,36.8,1.0,41.4,26
HCPCS,C1713,WIRE LIGATURE SS 20G*NLU*,46.0,36.8,1.0,41.4,26
HCPCS,C1713,WIRE MDTR 21G*NLU*,44.0,35.2,1.0,39.6,26
HCPCS,C1713,WIRE OLIVE ARSENAL 0.062X3.0,300.0,240.0,1.0,270.0,26
HCPCS,C1713,WIRE OLIVE ARSENAL 0.062X3.25,300.0,240.0,1.0,270.0,26
HCPCS,C1713,WIRE OLIVE DIMND 1.5X450MM,989.0,791.2,1.0,890.1,26
HCPCS,C1713,WIRE OLIVE GRIDLOCK 0.062X4.5,450.0,360.0,1.0,405.0,26
HCPCS,C1713,WIRE OLIVE ORSD*NLU*,523.0,418.4,1.0,470.7,26
HCPCS,C1713,WIRE OLIVE SB NONTHRD POLYLOCK,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1713,WIRE OLIVE SMTH 7MM 1.6X80MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,WIRE OLIVE SMTH OMNI 1.6MM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,WIRE OLIVE SMTH OMNI SHRT1.6MM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1713,WIRE OLIVE SMTH PRGN 1.4MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,WIRE OLIVE SMTH PRGNSS1.3X70MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,WIRE OLIVE SMTH STD PRGN1.6X80,967.0,773.6,1.0,870.3,26
HCPCS,C1713,WIRE OLIVE THRD 7MM 1.6X80MM,884.0,707.2,1.0,795.6,26
HCPCS,C1713,WIRE OLIVE THRD PRGN 1.3MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,WIRE OLIVE THRD PRGN 1.4MM,939.0,751.2,1.0,845.1,26
HCPCS,C1713,WIRE OLIVE TMPR FIX DYNABUNION,354.0,283.2,1.0,318.6,26
HCPCS,C1713,WIRE PLATE RDCTN LG 1.25MM,103.0,82.4,1.0,92.7,26
HCPCS,C1713,WIRE PLATE RDCTN SM 1.25MM,160.0,128.0,1.0,144.0,26
HCPCS,C1713,WIRE STERNAL DBL BESZ1 SZ8 14,788.0,630.4,1.0,709.2,26
HCPCS,C1713,WIRE STERNAL DBL CCSSZ1 14IN,788.0,630.4,1.0,709.2,26
HCPCS,C1713,WIRE STERNAL DBLWIRE 14IN,788.0,630.4,1.0,709.2,26
HCPCS,C1713,WIRE TACK PLATE 3.0/3.5/4.0,1504.0,1203.2,1.0,1353.6,26
HCPCS,C1713,WRIST FIX SFC OUTER 28MM*NLU*,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1714,CATH CROSSER S6 NO WIRE 1*NLU*,10778.0,8622.4,1.0,9700.2,52
HCPCS,C1714,CATH HAWKONE LG VESS,11445.0,9156.0,1.0,10300.5,26
HCPCS,C1714,CATH HAWKONE LG VESS W TIP,11445.0,9156.0,1.0,10300.5,26
HCPCS,C1714,CATH SILVERHAWK DS,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1714,CATH TURBOHAWK LX-M,10745.0,8596.0,1.0,9670.5,26
HCPCS,C1714,CATH TURBOHAWK SS-CL,10745.0,8596.0,1.0,9670.5,26
HCPCS,C1714,CATH TURBOHAWK*DISC 6276686*,10745.0,8596.0,1.0,9670.5,26
HCPCS,C1714,EXT CATH HAWKONE MD VESS,11445.0,9156.0,1.0,10300.5,26
HCPCS,C1715,NDLE PLST BLNT RPSB 2X320MM,75.0,60.0,1.0,67.5,26
HCPCS,C1715,NDLE PLST SHARP *DISC 6339371*,73.0,58.4,1.0,65.7,26
HCPCS,C1715,NDLE PLST SHARP RPSB 3X230MM,73.0,58.4,1.0,65.7,26
HCPCS,C1716,"Brachytx, non-str, Gold-198",,,271.19,911.75,11
HCPCS,C1717,BRACHYTX SOURCE HDR,934.0,747.2,247.04,840.6,34
HCPCS,C1719,"Brachytx, NS, Non-HDRIr-192",,,348.79,592.73,11
HCPCS,C1721,ICD DR COBALT ICD DR MRI DF4,27972.0,22377.6,1.0,25174.8,26
HCPCS,C1721,ICD DR COBALT MRI IS1 DF1,27972.0,22377.6,1.0,25174.8,26
HCPCS,C1721,ICD DR COBALT XT MRI DF1,30489.0,24391.2,1.0,27440.1,26
HCPCS,C1721,ICD DR COBALT XT MRI DF4,30489.0,24391.2,1.0,27440.1,26
HCPCS,C1721,ICD DR CROME MRI SURESCAN DF4,27862.0,22289.6,1.0,25075.8,26
HCPCS,C1721,ICD DR DYNAGEN EL DF4,59598.0,47678.4,1.0,53638.2,26
HCPCS,C1721,ICD DR DYNAGEN EL DR,58804.0,47043.2,1.0,52923.6,26
HCPCS,C1721,ICD DR DYNAGEN MINI DF4,56585.0,45268.0,1.0,50926.5,26
HCPCS,C1721,ICD DR ELLIPSE DF4 IS1,27675.0,22140.0,1.0,24907.5,26
HCPCS,C1721,ICD DR EVERA MRI XT D4,27972.0,22377.6,1.0,25174.8,26
HCPCS,C1721,ICD DR EVERA MRI XT DF1,27972.0,22377.6,1.0,25174.8,26
HCPCS,C1721,ICD DR FORTIFY ASSURA DF1 IS1,27675.0,22140.0,1.0,24907.5,26
HCPCS,C1721,ICD DR GALLANT DF1 IS1,30475.0,24380.0,1.0,27427.5,26
HCPCS,C1721,ICD DR GALLANT DF4 IS1,30475.0,24380.0,1.0,27427.5,26
HCPCS,C1721,ICD DR RESONATE EL DF4,65808.0,52646.4,1.0,59227.2,26
HCPCS,C1721,ICD DR-T RIVACOR 7 DF4,36434.0,29147.2,1.0,32790.6,26
HCPCS,C1721,ICD DYNAGEN DR MINI*NLU*,28750.0,23000.0,1.0,25875.0,26
HCPCS,C1721,ICD ENERGEN DF1-*DISC 6265138*,27600.0,22080.0,1.0,24840.0,26
HCPCS,C1721,ICD IPERIA7 PRO *DISC NO REPL*,32890.0,26312.0,1.0,29601.0,26
HCPCS,C1721,ICD VR CROME MRI SURESCAN DF1,24868.0,19894.4,1.0,22381.2,26
HCPCS,C1722,ICD DX ACTICOR SGL DF4,37550.0,30040.0,1.0,33795.0,26
HCPCS,C1722,ICD DYNAGEN MINI VR DF4,52219.0,41775.2,1.0,46997.1,26
HCPCS,C1722,ICD DYNAGEN VR DF-1*NLU*,26450.0,21160.0,1.0,23805.0,26
HCPCS,C1722,ICD ELLP VR DF4*NLU*,29165.0,23332.0,1.0,26248.5,26
HCPCS,C1722,ICD ENERGEN HE D*DISC 6265139*,26450.0,21160.0,1.0,23805.0,26
HCPCS,C1722,ICD EVERA M*DISC 6267244*,27877.0,22301.6,1.0,25089.3,26
HCPCS,C1722,ICD GENERATOR *OBS 6294454*,49220.0,39376.0,1.0,44298.0,26
HCPCS,C1722,ICD S EMBLEM MRI S-ICD,81972.0,65577.6,1.0,73774.8,26
HCPCS,C1722,ICD VISIA AF*DISC 6278520*,24150.0,19320.0,1.0,21735.0,26
HCPCS,C1722,ICD VISIA AF*DISC USE 6274032*,24150.0,19320.0,1.0,21735.0,26
HCPCS,C1722,ICD VR AURORA EV MRI,47725.0,38180.0,1.0,42952.5,26
HCPCS,C1722,ICD VR COBALT ICD VR MRI DF1,24868.0,19894.4,1.0,22381.2,26
HCPCS,C1722,ICD VR COBALT ICD VR MRI DF4,24868.0,19894.4,1.0,22381.2,26
HCPCS,C1722,ICD VR COBALT XT MRI DF1,27106.0,21684.8,1.0,24395.4,26
HCPCS,C1722,ICD VR COBALT XT MRI DF4,27106.0,21684.8,1.0,24395.4,26
HCPCS,C1722,ICD VR CROME MRI SURESCAN DF4,24868.0,19894.4,1.0,22381.2,26
HCPCS,C1722,ICD VR DYNAGELVR*DISC 6295813*,54101.0,43280.8,1.0,48690.9,26
HCPCS,C1722,ICD VR DYNAGEN EL DF4,55235.0,44188.0,1.0,49711.5,26
HCPCS,C1722,ICD VR GALLANT DF4,27773.0,22218.4,1.0,24995.7,26
HCPCS,C1722,ICD VR ILIVIA PROMRI VR-T DF1,34134.0,27307.2,1.0,30720.6,26
HCPCS,C1722,ICD VR VISIA AF MRI DF1,24868.0,19894.4,1.0,22381.2,26
HCPCS,C1722,ICD VR VISIA AF MRI DF4,24868.0,19894.4,1.0,22381.2,26
HCPCS,C1722,ICD VR-T RIVACOR MRI DF4,36434.0,29147.2,1.0,32790.6,26
HCPCS,C1724,CATH 360 XCHG CLASC 2.0MM*NLU*,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1724,CATH 360 XCHG CLASC1.5MM145CM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1724,CATH 360 XCHG MICRO1.25MM145CM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1724,CATH 360 XCHG SOLID 1.5MM*NLU*,7650.0,6120.0,1.0,6885.0,26
HCPCS,C1724,CATH 360 XCHG SOLID 1.5MM145CM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1724,CATH 360 XCHG SOLID 2.0MM145CM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1724,CATH 360 XCHG SOLID1.25MM145CM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1724,CATH 360 XCHG SOLID1.25MM200CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C1724,CATH 360 XCHG SOLID1.75MM*NLU*,7650.0,6120.0,1.0,6885.0,26
HCPCS,C1724,CATH ATHER ROTALINK1.25MM*DISC,5970.0,4776.0,1.0,5373.0,26
HCPCS,C1724,CATH BUR ROTAPRO 1.25MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1724,CATH BUR ROTAPRO 1.50MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1724,CATH BUR ROTAPRO 1.75MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1724,CATH BUR ROTAPRO 2.00MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1724,CATH BUR ROTAPRO EXCHANGE1.25,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1724,CATH BUR ROTAPRO EXCHANGE1.50,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1724,CATH BUR ROTAPRO EXCHANGE1.75,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1724,CATH DIMNDBAC2.25*USE 6269203*,11883.0,9506.4,1.0,10694.7,26
HCPCS,C1724,CATH JETSTREAM SC 1.6MM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1724,CATH JETSTREAM XC 2.1/3.0MM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1724,CATH JETSTREAM XC 2.4/3.4MM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1724,CATH LASER OTW TURBO-ELITE 2.3,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1724,CATH LASER OTW X-80 0.9MM,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1724,CATH STEALTH SOLID CORO 1.25MM,13283.0,10626.4,1.0,11954.7,26
HCPCS,C1724,CATH SYS 360 CLASC 1.5MM *NLU*,11883.0,9506.4,1.0,10694.7,26
HCPCS,C1724,CATH SYS 360 MICRO 1.25MM145CM,11883.0,9506.4,1.0,10694.7,26
HCPCS,C1724,CATH SYS 360 SOLID 1.25MM145CM,11883.0,9506.4,1.0,10694.7,26
HCPCS,C1724,CATH SYS 360 SOLID 1.5MM 145CM,11883.0,9506.4,1.0,10694.7,26
HCPCS,C1724,CATH SYS 360 SOLID 2.0MM 145CM,11883.0,9506.4,1.0,10694.7,26
HCPCS,C1724,CATH SYS ATHER ROTAREX6FR135CM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1724,CATH SYS ATHER ROTAREX8FR110CM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1724,CATH SYS XCHG CLASC1.50MM145CM,12933.0,10346.4,1.0,11639.7,26
HCPCS,C1724,CATH SYS XCHG CLASC2.00MM145CM,12933.0,10346.4,1.0,11639.7,26
HCPCS,C1724,CATH SYS XCHG MICRO1.25MM145CM,12933.0,10346.4,1.0,11639.7,26
HCPCS,C1724,CATH SYS XCHG SOLID1.25MM145CM,12933.0,10346.4,1.0,11639.7,26
HCPCS,C1724,CATH SYS XCHG SOLID1.50MM145CM,12933.0,10346.4,1.0,11639.7,26
HCPCS,C1724,CATH SYS XCHG SOLID2.00MM145CM,12933.0,10346.4,1.0,11639.7,26
HCPCS,C1725,BLN ADMRL 035 08X080X130*NLU*,1148.0,918.4,1.0,1033.2,26
HCPCS,C1725,BLN ADMRL 035 09X020X130*NLU*,1148.0,918.4,1.0,1033.2,26
HCPCS,C1725,BLN ADMRL 035 09X040X130*NLU*,1148.0,918.4,1.0,1033.2,26
HCPCS,C1725,BLN ADMRL 035 10X020X130*NLU*,1148.0,918.4,1.0,1033.2,26
HCPCS,C1725,BLN ADMRL 035 10X040X130*NLU*,1148.0,918.4,1.0,1033.2,26
HCPCS,C1725,BLN ADMRL 035 12X020X130*NLU*,1148.0,918.4,1.0,1033.2,26
HCPCS,C1725,BLN ADMRL 035 12X040X130*NLU*,1148.0,918.4,1.0,1033.2,26
HCPCS,C1725,BLN ADMRL 4X300MM 130CM,1012.0,809.6,1.0,910.8,26
HCPCS,C1725,BLN ADMRL 4X350MM 130CM,1012.0,809.6,1.0,910.8,26
HCPCS,C1725,BLN ADMRL EXTREME 9.0X8*NLU*,1148.0,918.4,1.0,1033.2,26
HCPCS,C1725,BLN ADMRL OTW 4X200MM130CM,8753.0,7002.4,1.0,7877.7,26
HCPCS,C1725,BLN ADMRL OTW 4X250MM130CM,9630.0,7704.0,1.0,8667.0,26
HCPCS,C1725,BLN ADMRL OTW 6X200MM130CM,8753.0,7002.4,1.0,7877.7,26
HCPCS,C1725,BLN ADMRL OTW 6X300MM 130CM,1012.0,809.6,1.0,910.8,26
HCPCS,C1725,BLN AMPHIRI3.5X40*VAT 6177317*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN AMPHIRIN3X210*VAT 6177315*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN AMPHIRION*VAT 6177311*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN ANGIOSCULPT *DISC 6291831*,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN ANGIOSCULPT *DISC 6291834*,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN ANGIOSCULPT EVO 2.0X10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN ANGIOSCULPT EVO 2.5X10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN ANGIOSCULPT EVO 2.5X15MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN ANGIOSCULPT EVO 3.0X10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN ANGIOSCULPT PTA 4.0X20MM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1725,BLN ANGIOSCULPT PTA 4X40MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1725,BLN ANGIOSCULPT PTA 5.0X20MM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1725,BLN ANGIOSCULPT PTA 6.0X40MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1725,BLN ANGIOSCULPT PTA 6FR 5X40MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1725,BLN ANGIOSCULPT PTA 6FR 8X40MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1725,BLN ANGIOSCULPT PTA 6X20MM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1725,BLN ARMADA 14 1.5X120,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1725,BLN ARMADA 14 1.5X40*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 1.5X80,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 2.0X120*NLU*,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1725,BLN ARMADA 14 2.0X20*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 2.0X200*NLU*,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1725,BLN ARMADA 14 2.0X40*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 2.0X60*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 2.0X80*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 2.5X120*NLU*,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1725,BLN ARMADA 14 2.5X20*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 2.5X200*NLU*,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1725,BLN ARMADA 14 2.5X40*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 2.5X60*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 2.5X80*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 3.0X120,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1725,BLN ARMADA 14 3.0X20*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 3.0X200*NLU*,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1725,BLN ARMADA 14 3.0X40*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 3.0X60*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 3.0X80,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 4.0X120,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1725,BLN ARMADA 14 4.0X20*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 4.0X200*NLU*,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1725,BLN ARMADA 14 4.0X40*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 4.0X60*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 14 4.0X80*NLU*,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1725,BLN ARMADA 35 10X20MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 10X40MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 12X20MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 12X40MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 14X20MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 14X40MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 3X20MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 3X40MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 4X100MM135C*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 4X120MM135C*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 4X40MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 4X60MM135CM*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 4X80MM135CM*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 8X20MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 8X40MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 9X20MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 9X40MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35 9X60MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 4X150MM135CM,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 4X200MM135CM,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 4X250MM135CM,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 5X100MM13*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 5X120MM13*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 5X150MM13*NLU*,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 5X200MM135CM,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 5X20MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 5X250MM135CM,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 5X40MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 5X60MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 5X80MM135*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 6X100MM13*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 6X150MM13*NLU*,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 6X200MM135CM,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 6X20MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 6X250MM135CM,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 6X40MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 6X60MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 6X80MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 7X100MM13*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 7X120MM13*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 7X150MM13*NLU*,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 7X200MM13*NLU*,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1725,BLN ARMADA 35LL 7X20MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 7X40MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 7X60MM135CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL 7X80MM135*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ARMADA 35LL6X120MM135*NLU*,1233.0,986.4,1.0,1109.7,26
HCPCS,C1725,BLN ATLAS 12MMX2CM 75CM,2440.0,1952.0,1.0,2196.0,26
HCPCS,C1725,BLN ATLAS 12MMX4CM 120CM,2440.0,1952.0,1.0,2196.0,26
HCPCS,C1725,BLN ATLAS 12MMX6CM 75CM,2440.0,1952.0,1.0,2196.0,26
HCPCS,C1725,BLN ATLAS 14MMX2CM 120CM,2440.0,1952.0,1.0,2196.0,26
HCPCS,C1725,BLN ATLAS 14MMX2CM 75CM,2440.0,1952.0,1.0,2196.0,26
HCPCS,C1725,BLN ATLAS 14MMX4CM 120CM,2440.0,1952.0,1.0,2196.0,26
HCPCS,C1725,BLN ATLAS 14MMX4CM 75CM,2440.0,1952.0,1.0,2196.0,26
HCPCS,C1725,BLN ATLAS 16MMX2CM 120CM*NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN ATLAS 16MMX2CM 75CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS 16MMX4CM 120CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS 16MMX4CM 75CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS 18MMX2CM 120CM*NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN ATLAS 18MMX2CM 75CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS 18MMX4CM 120CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS 18MMX4CM 75CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS 18MMX6CM 75CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS 20MMX4CM 120CM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1725,BLN ATLAS 20MMX4CM 75CM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1725,BLN ATLAS 22MMX2CM 75CM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1725,BLN ATLAS 22MMX4CM 75CM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1725,BLN ATLAS 24MMX2CM 75CM*NLU*,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1725,BLN ATLAS 24MMX4CM 75CM,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1725,BLN ATLAS 26MMX4CM 75CM,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1725,BLN ATLAS GLD 14MMX2CM 80CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS GLD 14MMX4CM80CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS GLD 16MMX2CM 120CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS GLD 16MMX2CM 80CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS GLD 16MMX4CM 120CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS GLD 18MMX2CM 120CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS GLD 18MMX4CM 120CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1725,BLN ATLAS GLD 22MMX4CM80CM,4590.0,3672.0,1.0,4131.0,26
HCPCS,C1725,BLN ATTAIN LEAD VENOGRAM LFT,594.0,475.2,1.0,534.6,26
HCPCS,C1725,BLN AVIATOR PLUS 142CM 4X15MM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN AVIATOR PLUS 142CM 4X20MM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN AVIATOR PLUS 142CM 4X30MM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN AVIATOR PLUS 142CM 5X15MM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN AVIATOR PLUS 142CM 5X20MM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN AVIATOR PLUS 142CM 6X15MM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN AVIATOR PLUS 142CM 6X20MM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN AVIATOR PLUS 142CM 7X20MM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN AVIATOR PLUS 142CM4.5X30MM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN BAV/PTV ZMEDII 16MMX4CM,4695.0,3756.0,1.0,4225.5,26
HCPCS,C1725,BLN BAV/PTV ZMEDII 22MMX4CM,4695.0,3756.0,1.0,4225.5,26
HCPCS,C1725,BLN BAV/PTV ZMEDII 28MMX2CM,4695.0,3756.0,1.0,4225.5,26
HCPCS,C1725,BLN CATH BIB 8FR 10MMX3CM*NLU*,5910.0,4728.0,1.0,5319.0,26
HCPCS,C1725,BLN CATH BIB 8FR 12MMX4CM*NLU*,5910.0,4728.0,1.0,5319.0,26
HCPCS,C1725,BLN CHARGER OTW 10X20MM 1*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 10X40MM 1*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 10X60MM 7*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 12X20MM 1*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 12X40MM 1*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 12X60MM 7*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 3X100MM 1*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 3X150MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 3X200MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 3X40MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 3X80MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 4X100MM 1*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 4X120MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 4X150MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 4X200MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 4X40MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 4X60MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 4X80MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 5X100MM 1*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 5X120MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 5X150MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 5X200MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 5X20MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 5X20MM 75CM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN CHARGER OTW 5X40MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 5X60MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 6X100MM 1*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 6X150MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 6X200MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 6X20MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 6X20MM 75CM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN CHARGER OTW 6X40MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 6X60MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 6X80MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 7X100MM 1*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 7X150MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 7X200MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 7X20MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 7X20MM 75CM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN CHARGER OTW 7X40MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 7X60MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 7X80MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 8X100MM 1*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 8X120MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 8X150MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN CHARGER OTW 8X20MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 8X20MM 75CM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1725,BLN CHARGER OTW 8X40MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 8X80MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 9X20MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 9X40MM 13*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 9X60MM 75*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHARGER OTW 9X80MM 75*NLU*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1725,BLN CHOC P2.5X10*DISC 6325108*,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1725,BLN CHOC P2.5X20*DISC 6325110*,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1725,BLN CHOC P3.5X10*DISC 6325114*,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1725,BLN CHOC P3.5X15*DISC 6325115*,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1725,BLN CHOC PTA OTW 2.5X120MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN CHOC PTA OTW 2.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN CHOC PTA OTW 3.5X120MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN CHOC PTA OTW 3.5X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN CHOC PTA OTW 3X120MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN CHOC PTA OTW 3X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN CHOC PTC2X10*DISC 6325105*,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1725,BLN CHOC PTC3X10*DISC 6325111*,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1725,BLN CIV FLEX BRACHY,288.0,230.4,1.0,259.2,26
HCPCS,C1725,BLN CONQUEST 10CMX2MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 10CMX4MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 12CMX4MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 2CMX8MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 2CMX9MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 40 6MMX2CM 50CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 40 7MMX2CM 50CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 5CMX4MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 6CMX4MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 6CMX8MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 7CMX2MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 7CMX4MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 8CMX4MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN CONQUEST 8CMX6MM 75CM*NLU*,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1725,BLN CONQUEST 9CMX4MM 75CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN COYOTE ES OTW 142CM 1.5X20,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE ES OTW 142CM 2.0X20,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE ES OTW 143CM 2.0X30,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE ES OTW 143CM 3.0X20,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE ES OTW 144CM 3.0X30,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE ES OTW 145CM 2.5X40,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE ES OTW 145CM 3.5X40,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE ES OTW144CM 4.0X30,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE ES OTW145CM 3.0X40,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 1.5X40,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X100,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X120,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X150,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X220,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X60,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X80,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.5X100,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.5X120,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.5X150,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.5X220,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.5X60,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 2.5X80,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.0X100,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.0X120,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.0X150,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.0X220,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.0X60,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.0X80,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.5X100,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.5X120,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.5X150,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.5X220,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.5X60,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 3.5X80,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 4.0X100,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 4.0X120,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 4.0X150,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 4.0X220,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 4.0X60,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN COYOTE OTW 150CM 4.0X80,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN CROSSTELLA 4FR 150CM 3X40,1802.0,1441.6,1.0,1621.8,26
HCPCS,C1725,BLN CROSSTELLA 4FR 150CM 4X40,1802.0,1441.6,1.0,1621.8,26
HCPCS,C1725,BLN CROSSTELLA 4FR 150CM 5X40,1802.0,1441.6,1.0,1621.8,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM2.0X100,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM2.0X150,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM2.0X200,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM2.0X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM3.0X100,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM3.0X150,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM3.0X200,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM3.0X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM4.0X100,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM4.0X150,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM4.0X200,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM4.0X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM5.0X100,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM5.0X150,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM5.0X200,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM5.0X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM6.0X100,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM6.0X150,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM6.0X200,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CROSSTELLA RX 200CM6.0X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN CUT OTW 5X20MM 90CM,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1725,BLN CUT OTW 5X2MM 135CM,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1725,BLN CUT OTW 6X20MM 135CM,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1725,BLN CUT OTW 7X20MM 135CM,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1725,BLN CUT OTW 7X20MM 90CM,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1725,BLN CUT OTW 8X20MM 135CM,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1725,BLN CUT OTW 8X20MM 90CM,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1725,BLN DIL TRUE 11FR 18MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1725,BLN DIL TRUE 11FR 20MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1725,BLN DIL TRUE 12FR 21MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1725,BLN DIL TRUE 12FR 22MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1725,BLN DIL TRUE 12FR 23MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1725,BLN DIL TRUE 12FR 24MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1725,BLN DIL TRUE 13FR 25MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1725,BLN DIL TRUE 13FR 26MM,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1725,BLN DIL TRUE 14FR 28MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1725,BLN DORADO 4X40MM 120CM*NLU*,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1725,BLN DORADO 5X200MM 135CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN DORADO 5X40MM 135CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN DORADO 6X150MM 135CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN DORADO 6X200MM 135CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN DORADO 6X40MM 135CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN DORADO 7X20MM 135CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,BLN DORADO 8X40MM 120CM*NLU*,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1725,BLN EMERGE MR 1.20X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 1.50X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 1.50X15MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 1.50X20MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 1.50X8MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.00X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.00X15MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.00X20MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.00X30MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.00X8MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.25X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.25X15MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.25X20MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.25X30MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.25X8MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.50X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.50X15MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.50X20MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.50X30MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.50X8MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.75X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.75X15MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.75X20MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.75X30MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 2.75X8MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 3.00X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 3.00X15MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 3.00X20MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 3.00X30MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR 3.00X8MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR PUSH 1.50X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR PUSH 1.50X15MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR PUSH 1.50X20MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE MR PUSH 1.50X8MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE OTW 1*DISC NO REPL*,1063.0,850.4,1.0,956.7,52
HCPCS,C1725,BLN EMERGE OTW 1.20X12MM*CIP*,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE OTW 1.20X20MM*CIP*,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE OTW 1.50X12MM*CIP*,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE OTW 1.50X12MM*DISC*,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE OTW 1.50X20MM*CIP*,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE OTW 1.50X8MM*DISC*,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE OTW 2*DISC NO REPL*,1063.0,850.4,1.0,956.7,156
HCPCS,C1725,BLN EMERGE OTW 2.50X12MM*DISC*,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE OTW 2.50X8MM*DISC*,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMERGE OTW P*DISC NO REPL*,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN EMPIRA NC RX 3.00X15*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX 3.50X10*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX 3.50X15*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX 4.00X10*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX PTCA 10X1.5*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX PTCA 12X1.5*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX PTCA 15X1.5*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX PTCA 15X2*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX PTCA 15X3*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX PTCA 15X3.5*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX PTCA 6X1.5*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EMPIRA RX PTCA15X2.5*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1725,BLN EVERCROSS 10X20MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 10X40MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 10X60MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 12X20MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 12X40MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 12X60MMX135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 3X100MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 3X150MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 3X200MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 3X20MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 3X40MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 3X60MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 3X80MM135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 4X100MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 4X120MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 4X150MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 4X200MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 4X20MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 4X40MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 4X60MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 4X80MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 5X100MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 5X120MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 5X150MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 5X200MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 5X20MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 5X40MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 5X60MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 5X60MM 80CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 5X80MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 6X100MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 6X120MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 6X150MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 6X200MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 6X20MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 6X30MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 6X40MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 6X60MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 6X80MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 7X100MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 7X150MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 7X200MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 7X20MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 7X40MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 7X60MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 8X20MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 8X40MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 8X60MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 8X80MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 9X20MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 9X40MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 9X60MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN EVERCROSS 9X80MM 135CM,713.0,570.4,1.0,641.7,26
HCPCS,C1725,BLN FLEXTOME*DISC 6291834*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1725,BLN FLOWGATE2 8FRX85CM,6629.0,5303.2,1.0,5966.1,26
HCPCS,C1725,BLN FLOWGATE2 8FRX95CM,6629.0,5303.2,1.0,5966.1,26
HCPCS,C1725,BLN FOX SV PTA 2.5X30MM15*NLU*,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN FOX SV PTA 2.5X80MM15*NLU*,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN FOX SV PTA 2X30MM150C*NLU*,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN FOX SV PTA 3*DISC NO REPL*,1870.0,1496.0,1.0,1683.0,78
HCPCS,C1725,BLN FOX SV PTA 3X30MM150C*NLU*,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN FOX SV PTA 4*DISC NO REPL*,1870.0,1496.0,1.0,1683.0,52
HCPCS,C1725,BLN FOX SV PTA 4X30MM150C*NLU*,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN FOX SV PTA 5*DISC NO REPL*,1870.0,1496.0,1.0,1683.0,52
HCPCS,C1725,BLN FOX SV PTA 5X30MM150C*NLU*,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN FOX SV PTA 5X80MM150C*NLU*,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN FOX SV PTA 6*DISC NO REPL*,1870.0,1496.0,1.0,1683.0,156
HCPCS,C1725,BLN FOX SV PTA 6X80MM150C*NLU*,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN GATEWAY PTA 2.00X9.0MM,6930.0,5544.0,1.0,6237.0,26
HCPCS,C1725,BLN GATEWAY PTA 3.00X9.0MM,6930.0,5544.0,1.0,6237.0,26
HCPCS,C1725,BLN GATEWAY PTA 4.00X9.0MM,6930.0,5544.0,1.0,6237.0,26
HCPCS,C1725,BLN GATEWAY PTA 4.0X2*NLU*,4556.0,3644.8,1.0,4100.4,26
HCPCS,C1725,BLN MAVERICK RX *DISC 6194263*,935.0,748.0,1.0,841.5,26
HCPCS,C1725,BLN MAVERICK RX *DISC 6243950*,935.0,748.0,1.0,841.5,26
HCPCS,C1725,BLN MAVERICK RX 3.50X20M*DISC*,935.0,748.0,1.0,841.5,26
HCPCS,C1725,BLN MAVERICK RX 3.50X30MM142CM,935.0,748.0,1.0,841.5,26
HCPCS,C1725,BLN MAVERICK RX 4.00X20MM142CM,935.0,748.0,1.0,841.5,26
HCPCS,C1725,BLN MAXI LD PTA 14MMX4CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 14MMX6CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 15MMX2CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 15MMX4CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 15MMX6CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 16MMX4CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 16MMX6CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 18MMX4CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 18MMX6CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 20MMX4CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 22MMX4CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN MAXI LD PTA 25MMX4CM *NLU*,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 3X20,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 3X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 3X60,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 3X80,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 4X20,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 4X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 4X60,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 4X80,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 5X20,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 5X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 5X60,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 5X80,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 6X20,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 6X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 6X60,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 6X80,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 7X60,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 7X80,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 8X20,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 8X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 8X60,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 8X80,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM3X100,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM3X120,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM3X150,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM3X200,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM4X100,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM4X120,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM4X150,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM4X200,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM5X100,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM5X120,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM5X150,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM5X200,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM6X100,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM6X120,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM6X150,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM6X200,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X100,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X120,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X150,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X20,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X200,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X40,2544.0,2035.2,1.0,2289.6,26
HCPCS,C1725,BLN MINI GHOST 4MMX4CM*NLU*,3307.0,2645.6,1.0,2976.3,26
HCPCS,C1725,BLN MINI TREK OT*DISC 6200513*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OT*DISC 6200517*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 1.2X06M*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 1.2X08M*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 1.2X12M*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 1.2X15M*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 1.2X20M*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 1.5X6MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 1.5X8MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 2X15MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 2X20MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 2X6MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW 2X8MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW1.5X12MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK OTW1.5X20MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 1.20X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 1.20X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 1.20X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 1.20X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 1.20X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 1.50X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 1.50X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 1.50X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 1.50X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 1.50X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 2X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 2X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 2X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 2X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 2X30MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 2X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MINI TREK RX 2X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN MUSTANG 10.0X20MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 10.0X40MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 10.0X40MM 40CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 10.0X40MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 10.0X60MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 10.0X80MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 10.0X80MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 12.0X40MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 12.0X40MM 40CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 12.0X40MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 12.0X60MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 12.0X60MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 3.0X20MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 3.0X20MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 4.0X20MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 4.0X20MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 4.0X40MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 4.0X40MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 5.0X100MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 5.0X150MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 5.0X20MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 5.0X20MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 5.0X40MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 5.0X40MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 5.0X4MM 40CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 5.0X60MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 6.0X100MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 6.0X150MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 6.0X20MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 6.0X20MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 6.0X40MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 6.0X40MM 40CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 6.0X40MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 6.0X60MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 6.0X60MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 7.0X100MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 7.0X150MM 135XM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 7.0X200MM 75CM,2640.0,2112.0,1.0,2376.0,26
HCPCS,C1725,BLN MUSTANG 7.0X20MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 7.0X20MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 7.0X40MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 7.0X40MM 40CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 7.0X40MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 7.0X60MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 8.0X100MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 8.0X150MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 8.0X20MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 8.0X20MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 8.0X40MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 8.0X40MM 40CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 8.0X40MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 8.0X60MM 135XM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 8.0X80MM 40CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 8.0X80MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 9.0X20MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 9.0X40MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 9.0X40MM 75CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN MUSTANG 9.0X80MM 135CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 1.5X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X 210MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X120MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X150MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X80MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X120MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X150MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X210MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X60MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X80MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X120MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X150MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X210MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X80MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X120MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X150MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X210MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X80MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X120MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X150MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X210MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X80MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X100MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X120MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X150MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X200MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X60MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X80MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X100MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X120MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X150MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X200MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X60MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X80MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 90CM 1.5X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 90CM 1.5X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 90CM 2X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 90CM 2X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 90CM 2X60MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 90CM 5.0X20MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NANOCROSS 90CM 5.0X40MM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN NC EMERGE MR 6.00X12MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN NC EMERGE MR 6.00X15MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN NC EMERGE MR 6.00X20MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN NC EMERGE MR 6.00X8MM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,BLN NC EUPHORA RX 2.0X06MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.0X08MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.0X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.0X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.0X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.5X06MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.5X08MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.5X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.5X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.5X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.5X27MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.75X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.75X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 2.75X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.0X06MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.0X08MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.0X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.0X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.0X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.0X27MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.25X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.25X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.25X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.5X06MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.5X08MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.5X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.5X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.5X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 3.5X27MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 4.0X06MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 4.0X08MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 4.0X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 4.0X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 4.0X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 4.0X27MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 4.5X08MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 4.5X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 4.5X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 4.5X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 5.0X08MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 5.0X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC EUPHORA RX 5.0X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN NC QUANTUM APEX 2.25X*NLU*,935.0,748.0,1.0,841.5,26
HCPCS,C1725,BLN NC TREK NEO RX 1.5X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 1.5X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 1.5X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 1.5X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 1.5X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.0X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.0X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.0X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.0X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.0X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.25X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.25X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.25X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.25X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.25X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.5X012MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.5X015MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.5X020MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.5X06MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.5X08MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.5X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.75X06MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.75X08MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.75X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.75X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 2.75X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.0X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.0X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.0X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.0X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.0X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.0X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.25X06MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.25X08MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.25X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.25X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.25X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.5X06MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.5X08MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.5X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.5X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.5X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.5X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.75X08MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.75X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.75X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 3.75X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 4.0X08MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 4.0X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 4.0X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 4.0X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 4.5X08MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 4.5X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 4.5X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 4.5X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 5.0X08MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 5.0X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK NEO RX 5.0X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 1*DISC 6331337*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 1*DISC 6331338*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 1*DISC 6331339*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 1*DISC 6331340*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 1*DISC 6331341*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331342*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331343*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331344*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331345*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331346*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331347*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331348*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331349*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331350*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331351*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331352*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331353*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331354*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331355*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331356*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331357*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331358*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331359*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331360*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331361*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331362*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331363*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331364*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331365*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331366*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331367*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331368*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331369*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331370*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331371*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331372*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331373*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331374*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331376*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331377*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331378*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331379*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331380*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331381*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331382*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331384*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331385*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331386*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331387*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331388*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331389*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331390*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331391*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 5*DISC 6331392*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 5*DISC 6331393*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 5*DISC 6331394*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX 5*DISC 6331395*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREK RX3.*DISC 6331383*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN NC TREKRX 3.*DISC 6331375*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN OPTA PRO 5X4 80CM,884.0,707.2,1.0,795.6,26
HCPCS,C1725,BLN OPTA PRO 6X4 80CM,884.0,707.2,1.0,795.6,26
HCPCS,C1725,BLN OPTA PRO 7X4 80CM,884.0,707.2,1.0,795.6,26
HCPCS,C1725,BLN OPTA PRO 8X3X80CM,884.0,707.2,1.0,795.6,26
HCPCS,C1725,BLN OPTA PRO 8X4 80CM,884.0,707.2,1.0,795.6,26
HCPCS,C1725,BLN OPTA PRO 9X4 80CM,884.0,707.2,1.0,795.6,26
HCPCS,C1725,BLN OSTIAL FLASH DUAL 6.0X12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,BLN POWERCROSS 1*DISC 6289721*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,BLN POWERFLEX P3 10X2 110*NLU*,869.0,695.2,1.0,782.1,26
HCPCS,C1725,BLN POWERFLEX P3 10X4 110*NLU*,869.0,695.2,1.0,782.1,26
HCPCS,C1725,BLN POWERFLEX P3 12X2 110*NLU*,869.0,695.2,1.0,782.1,26
HCPCS,C1725,BLN POWERFLEX P3 12X4 110*NLU*,869.0,695.2,1.0,782.1,26
HCPCS,C1725,BLN POWERFLEX P3 9X2 110C*NLU*,869.0,695.2,1.0,782.1,26
HCPCS,C1725,BLN POWERFLEX P3 9X4 110C*NLU*,869.0,695.2,1.0,782.1,26
HCPCS,C1725,BLN POWERSAIL RX 2.25X28MM,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN POWERSAIL RX 2.75X23MM,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN POWERSAIL RX 2.75X28MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1725,BLN POWERSAIL RX 3.00X28MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1725,BLN POWERSAIL RX 3.25X23MM,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN POWERSAIL RX 3.25X28MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1725,BLN POWERSAIL RX 3.25X8MM,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN POWERSAIL RX 4.00X23MM,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN POWERSAIL RX 4.00X28MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1725,BLN POWERSAIL RX 4.50X18MM,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN POWERSAIL RX 4.50X23MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1725,BLN POWERSAIL RX 5.00X18MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1725,BLN POWERSAIL RX 5.00X23MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1725,BLN PTCA SAPPHIREIIPRO1.5*NLU*,900.0,720.0,1.0,810.0,78
HCPCS,C1725,BLN PTCA SAPPHIREIIPRO2.0*NLU*,900.0,720.0,1.0,810.0,78
HCPCS,C1725,BLN PTCA SAPPHIREIIPRO2.5*NLU*,900.0,720.0,1.0,810.0,52
HCPCS,C1725,BLN PTCASAPPHIREIIPRO1.75*NLU*,900.0,720.0,1.0,810.0,78
HCPCS,C1725,BLN PTCASAPPHIREIIPRO2.25*NLU*,900.0,720.0,1.0,810.0,78
HCPCS,C1725,BLN PTV TYSHAKII 12MMX2CM,3935.0,3148.0,1.0,3541.5,26
HCPCS,C1725,BLN PTV TYSHAKII 13MMX2CM,4869.0,3895.2,1.0,4382.1,26
HCPCS,C1725,BLN PTV TYSHAKII 14MMX2CM,4869.0,3895.2,1.0,4382.1,26
HCPCS,C1725,BLN PTV TYSHAKII 14MMX4CM,3935.0,3148.0,1.0,3541.5,26
HCPCS,C1725,BLN PTV TYSHAKII 16MMX4CM,3935.0,3148.0,1.0,3541.5,26
HCPCS,C1725,BLN PTV TYSHAKII 22MMX4CM,3935.0,3148.0,1.0,3541.5,26
HCPCS,C1725,BLN PTV VIDA 16MMX4CM 100CM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1725,BLN RAPID EXCHAN*DISC 6280329*,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.0X100MM *NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.0X120MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.0X150MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.0X20MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.0X210MM *NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.0X40MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.0X80MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.5X100MM *NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.5X120MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.5X150MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.5X20MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.5X210MM *NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.5X40MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.5X60MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 2.5X80MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.0X100MM *NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.0X120MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.0X150MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.0X20MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.0X210MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.0X40MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.0X60MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.0X80 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.5X100MM *NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.5X120MM *NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.5X150MM *NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.5X20MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.5X210MM *NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.5X40MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.5X60MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 3.5X80MM 1*NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 4.0X100MM *NLU*,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 4.0X120MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 4.0X150MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 4.0X20MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 4.0X20MM 90CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 4.0X210MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 4.0X40MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 4.0X60MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN RAPIDCROSS 4.0X80MM 170CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1725,BLN SABER 8X60MM 150CM*NLU*,2083.0,1666.4,1.0,1874.7,26
HCPCS,C1725,BLN SAVVY LNG 2.0X22*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,BLN SC EUPHORA 1.5X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 1.5X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 1.5X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 1.5X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 1.5X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.0X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.25X10MM,891.0,712.8,1.0,801.9,26
HCPCS,C1725,BLN SC EUPHORA 2.25X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.25X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.25X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.25X25MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.25X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.5X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.5X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.5X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.5X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.5X25MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.5X30MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.5X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.75X10MM,891.0,712.8,1.0,801.9,26
HCPCS,C1725,BLN SC EUPHORA 2.75X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.75X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.75X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2.75X25MM,891.0,712.8,1.0,801.9,26
HCPCS,C1725,BLN SC EUPHORA 2.75X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2X25MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2X30MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 2X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.25X10MM,891.0,712.8,1.0,801.9,26
HCPCS,C1725,BLN SC EUPHORA 3.25X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.25X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.25X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.25X25MM,891.0,712.8,1.0,801.9,26
HCPCS,C1725,BLN SC EUPHORA 3.25X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.5X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.5X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.5X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.5X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.5X25MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.5X30MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3.5X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3X25MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3X30MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SC EUPHORA 3X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X30MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X25MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX1.25X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX1.25X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX1.50X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX1.50X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX1.50X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX1.50X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX2.00X25MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX2.50X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX2.50X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX2.50X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX2.50X30MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX2.75X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX2.75X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX2.75X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX3.25X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX3.25X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX3.50X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX3.50X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX3.50X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER LEGENDRX3.50X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW 1.25X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW 1.25X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW 1.25X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW 1.25X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW 1.25X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW 2.5X12MM*NLU*,978.0,782.4,1.0,880.2,26
HCPCS,C1725,BLN SPRINTER OTW*DISC 6297803*,765.0,612.0,1.0,688.5,52
HCPCS,C1725,BLN SPRINTER OTW*DISC 6297804*,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW*DISC 6297805*,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW*DISC 6297806*,765.0,612.0,1.0,688.5,52
HCPCS,C1725,BLN SPRINTER OTW*DISC 6297807*,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW*DISC 6297808*,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW*DISC 6297810*,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW*DISC 6350337*,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER OTW*DISC 6350349*,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER RX *DISC NO REPL*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SPRINTER RX 1.25X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER RX 1.25X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER RX 1.25X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER RX 1.50X6MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER RX 2.25X10MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER RX 2.25X12MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER RX 2.25X15MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER RX 2.25X20MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTER RX 2.25X25MM,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTEROTW *DISC 6297806*,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN SPRINTEROTW *DISC 6297811*,765.0,612.0,1.0,688.5,26
HCPCS,C1725,BLN STERLING MR 3.0X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING MR 3.0X40MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING MR 4.0X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING MR 4.5X30MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING MR 5.0X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING MR 6.0X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 10X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 10X20MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 10X30MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 10X40MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 10X60MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 3X40MM 90CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 4X100MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 4X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 4X20MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 4X40MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 4X60MM 1*NLU*,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1725,BLN STERLING OTW 5X100MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 5X120MM 150CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 5X150MM 150CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 5X200MM 150CM,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1725,BLN STERLING OTW 5X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 5X20MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 5X220MM 150CM,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1725,BLN STERLING OTW 5X40MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 5X6MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 5X8MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 6X100MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 6X120MM 150CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 6X150MM 150CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 6X200MM *NLU*,2832.0,2265.6,1.0,2548.8,26
HCPCS,C1725,BLN STERLING OTW 6X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 6X20MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 6X220MM 150CM,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1725,BLN STERLING OTW 6X40MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 6X60MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 6X8MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 7X100MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 7X150MM 150CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 7X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 7X20MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 7X220MM 150CM,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1725,BLN STERLING OTW 7X220MM 90CM,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1725,BLN STERLING OTW 7X40MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 7X40MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 7X60MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 7X60MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 7X80MM 135MM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 8X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 8X2MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 8X4MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 8X60MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 9X20MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 9X20MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 9X30MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 9X40MM 135CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING OTW 9X60MM 80CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING SL OTW4X80MM150CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN STERLING SLOTW4X150MM150CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1725,BLN SUBMARINE 0.018 2X20*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE 2.0X120 130CM,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE 2.5X120 130CM,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE 3.0X120 130CM,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE 4.0X120 130CM,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE 5.0X120 130CM,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 2.5X40X*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 2X40X130*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 3.5X40X*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 3.5X60X*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 3X20X130*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 3X40X130*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 3X80X130*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 4X20X130*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 4X40X130*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 5X20X130*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SUBMARINE018 5X40X130*NLU*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1725,BLN SYMMETRY 2X2MM 135CM*NLU*,2712.0,2169.6,1.0,2440.8,26
HCPCS,C1725,BLN SYMMETRY 3.5X2MM 135*NLU*,2712.0,2169.6,1.0,2440.8,26
HCPCS,C1725,BLN SYMMETRY 3X2MM*DISC*,2712.0,2169.6,1.0,2440.8,26
HCPCS,C1725,BLN TREK OTW 2.25X12MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.25X15MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.25X20MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.25X25MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.25X30MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.25X6MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.25X8MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.5*DISC 6200530*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.5*DISC 6200532*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.5*DISC 6200533*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.50X12MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.50X25MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.50X30MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.50X6MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.75X12MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.75X15MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.75X20MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.75X25MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.75X30MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.75X6MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 2.75X8MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.25X12MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.25X15MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.25X20MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.25X25MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.25X30MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.25X6MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.25X8MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.50X12MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.50X15MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.50X20MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.50X25MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.50X30MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.50X6MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.50X8MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.75X12MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.75X15MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.75X20MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.75X25MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.75X30MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.75X6MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3.75X8MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3X1*DISC 6200546*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3X12MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3X2*DISC 6200547*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3X25MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3X30MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3X6MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 3X8MM*CIP*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 4.5X12MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 4.5X15MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 4X12MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 4X15MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 4X20MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 4X25MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 4X30MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 4X6MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 4X8MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 5X12MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK OTW 5X15MM*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.25X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.25X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.25X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.25X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.25X30MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.25X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.25X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.50X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.50X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.50X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.50X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.50X30MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.50X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.50X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.75X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.75X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.75X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.75X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.75X30MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.75X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 2.75X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.25X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.25X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.25X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.25X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.25X30MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.25X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.25X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.50X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.50X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.50X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.50X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.50X30MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.50X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.50X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.75X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.75X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.75X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.75X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.75X30MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.75X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3.75X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3X30MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 3X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 4.5X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 4.5X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 4X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 4X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 4X20MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 4X25MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 4X30MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 4X6MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 4X8MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 5.0X12MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TREK RX 5.0X15MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1725,BLN TRUE FLOW 11FR 3.5CMX18MM,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1725,BLN TRUE FLOW 11FR 3.5CMX20MM,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1725,BLN TRUE FLOW 12FR 3.5CMX22MM,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1725,BLN TRUE FLOW 16FR 3.5CMX*NLU*,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1725,BLN TRUE FLOW 24FR 3.5CMX24MM,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1725,BLN TYSHAK Z-MED*DISC 6330983*,5226.0,4180.8,1.0,4703.4,26
HCPCS,C1725,BLN ULTVERSE 1.5X120MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 1.5X20MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 1.5X40MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 1.5X80MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2.5X100MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2.5X120MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2.5X150MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2.5X200MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2.5X20MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2.5X250MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2.5X300MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2.5X40MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2.5X60MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2.5X80MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2X100MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2X120MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2X150MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2X200MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2X20MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2X250MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2X300MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2X40MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2X60MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 2X80MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3.5X100MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3.5X120MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3.5X150MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3.5X200MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3.5X20MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3.5X250MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3.5X300MMX20*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3.5X40MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3.5X60MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3.5X80MMX200*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3X100MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3X120MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3X150MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3X200MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3X20MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3X250MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3X300MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3X40MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3X60MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 3X80MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 4X100MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 4X120MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 4X150MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 4X200MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 4X20MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 4X250MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 4X300MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 4X40MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 4X60MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 4X80MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 5X100MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 5X120MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 5X150MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 5X200MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 5X20MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 5X250MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 5X300MMX200C*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 5X40MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 5X60MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN ULTVERSE 5X80MMX200CM*NLU*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1725,BLN VIATRAC 4X20MM 135CM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN VIATRAC 4X20MM 80CM*NLU*,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN VIATRAC 5X20MM 135CM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN VIATRAC 6X20MM 135CM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN VIATRAC 7X20MM 135CM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN VIATRAC PLUS 6X15MM 135CM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1725,BLN WOLVERINE 2.75X6MM*NLU*,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 2.00X10MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 2.00X6MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 2.25X6MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 2.50X10MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 2.50X6MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 2.75X10MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 2.75X15MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.00X10MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.00X15MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.00X6MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.25X10MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.25X15MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.25X6MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.50X10MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.50X15MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.50X6MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.75X10MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.75X15MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 3.75X6MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 4.00X10MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN WOLVERINE MR 4.00X6MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1725,BLN XTREME ADMRL 5X300MM 130CM,1012.0,809.6,1.0,910.8,26
HCPCS,C1725,BLN XTREMEADMRLLOPRO6X250MM130,1012.0,809.6,1.0,910.8,26
HCPCS,C1725,BLNCATHFORTREX6FR10X40MMX135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,BLNCATHFORTREX6FR12X40MMX135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN 2XL 16X40MM 120CM,2720.0,2176.0,1.0,2448.0,26
HCPCS,C1725,CATH BLN 2XL 7FR 12X20MM *NLU*,2296.0,1836.8,1.0,2066.4,26
HCPCS,C1725,CATH BLN 2XL 7FR 12X40MM 120CM,2720.0,2176.0,1.0,2448.0,26
HCPCS,C1725,CATH BLN 2XL 7FR 14X40MM 120CM,2720.0,2176.0,1.0,2448.0,26
HCPCS,C1725,CATH BLN 2XL 7FR 14X40MM 75CM,2720.0,2176.0,1.0,2448.0,26
HCPCS,C1725,CATH BLN 5FR7X60*VAT 6177250*,801.0,640.8,1.0,720.9,26
HCPCS,C1725,CATH BLN ADV MICRO 2.5CMX*NLU*,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1725,CATH BLN BIB 10FR 18MMX4CM,6675.0,5340.0,1.0,6007.5,26
HCPCS,C1725,CATH BLN BIB 8FR 10MMX4CM,6675.0,5340.0,1.0,6007.5,26
HCPCS,C1725,CATH BLN BIB 9FR 16MMX4CM,6675.0,5340.0,1.0,6007.5,26
HCPCS,C1725,CATH BLN DIL PTV OTW10FR100CM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1725,CATH BLN DIL PTV*DISC NO REPL*,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1725,CATH BLN FORTREX6FR4X100MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR4X20MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR4X20MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR4X40MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR4X40MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR4X80MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR4X80MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR5X100MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR5X20MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR5X20MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR5X40MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR5X40MM40CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR5X40MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR5X80MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR5X80MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR6X100MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR6X20MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR6X20MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR6X40MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR6X40MM40CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR6X80MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR6X80MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR7X100MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR7X20MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR7X20MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR7X40MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR7X40MM40CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR7X80MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR7X80MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR8X100MM40CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR8X100MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR8X40MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR8X40MM40CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR8X80MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR8X80MM40CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX6FR8X80MM80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX7FR9X40MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX7FR9X80MM 80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX7FR9X80MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN FORTREX7FR9X80MM40CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN IN BLN 8FR 10MMX*NLU*,5910.0,4728.0,1.0,5319.0,26
HCPCS,C1725,CATH BLN IVL L6 7FR 12X30MM,12075.0,9660.0,1.0,10867.5,26
HCPCS,C1725,CATH BLN IVL L6 7FR 9X30MM,12075.0,9660.0,1.0,10867.5,26
HCPCS,C1725,CATH BLN IVL L6 8FR 10X30MM,12075.0,9660.0,1.0,10867.5,26
HCPCS,C1725,CATH BLN OCCL BIV,500.0,400.0,1.0,450.0,26
HCPCS,C1725,CATH BLN POWERFLEX 80CM 12X4,884.0,707.2,1.0,795.6,26
HCPCS,C1725,CATH BLN PRFSN RINGER 2.5X20MM,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1725,CATH BLN PRFSN RINGER 3.0X20MM,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1725,CATH BLN PTA OTW JADE 2.0X100,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,CATH BLN PTA OTW JADE 2.5X100,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,CATH BLN PTA OTW JADE 3.0X100,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,CATH BLN PTA OTW JADE 5.0X40,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1725,CATH BLN PTAOTW6FR12X80MMX40CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLN RELIANT 12FR 100CM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1725,CATH BLN SERRANATOR 0.5X40,5738.0,4590.4,1.0,5164.2,26
HCPCS,C1725,CATH BLN SERRANATOR 2.5X120,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1725,CATH BLN SERRANATOR 2.5X80,6638.0,5310.4,1.0,5974.2,26
HCPCS,C1725,CATH BLN SERRANATOR 3.0X120,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1725,CATH BLN SERRANATOR 3.0X40,5738.0,4590.4,1.0,5164.2,26
HCPCS,C1725,CATH BLN SERRANATOR 3.0X80,6638.0,5310.4,1.0,5974.2,26
HCPCS,C1725,CATH BLN SERRANATOR 3.5X120,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1725,CATH BLN SERRANATOR 3.5X40,5738.0,4590.4,1.0,5164.2,26
HCPCS,C1725,CATH BLN SERRANATOR 3.5X80,6638.0,5310.4,1.0,5974.2,26
HCPCS,C1725,CATH BLN SERRANATOR 4.0X120,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1725,CATH BLN SERRANATOR 4.0X40,5738.0,4590.4,1.0,5164.2,26
HCPCS,C1725,CATH BLN SERRANATOR 5.0X120,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1725,CATH BLN SERRANATOR 5.0X40,5738.0,4590.4,1.0,5164.2,26
HCPCS,C1725,CATH BLN SERRANATOR 6.0X120,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1725,CATH BLN SERRANATOR 6.0X40,5738.0,4590.4,1.0,5164.2,26
HCPCS,C1725,CATH BLN TAKERU OTW 1.5X12MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 1.5X15MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 1.5X20MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 1.5X6MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.0X12MM,1199.0,959.2,1.0,1079.1,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.0X15MM,1199.0,959.2,1.0,1079.1,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.0X20MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.0X8MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.25X12MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.25X15MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.25X20MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.5X12MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.5X15MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.5X20MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 2.5X8MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 3.0X12MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 3.0X15MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 3.0X20MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 3.0X8MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 3.5X12MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 3.5X15MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 3.5X20MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 3.5X8MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 4.0X12MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 4.0X15MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 4.0X20MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU OTW 4.0X8MM,1131.0,904.8,1.0,1017.9,26
HCPCS,C1725,CATH BLN TAKERU RX NC2.00*NLU*,978.0,782.4,1.0,880.2,78
HCPCS,C1725,CATH BLN TAKERU RX NC2.50*NLU*,978.0,782.4,1.0,880.2,78
HCPCS,C1725,CATH BLNFORTREX6FR4X100MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLNFORTREX6FR5X100MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLNFORTREX6FR6X100MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLNFORTREX6FR7X100MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLNFORTREX6FR8X100MM135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH BLNFORTREX7FR12X80MMX80CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH CROSSBOSS CTO 6FR 135CM,4683.0,3746.4,1.0,4214.7,26
HCPCS,C1725,CATH GLIDE C2 4FR 100CM,537.0,429.6,1.0,483.3,26
HCPCS,C1725,CATH GLIDE C2 4FR 65CM,537.0,429.6,1.0,483.3,26
HCPCS,C1725,CATH IVL BLN 7FR L6 8X30MM,12075.0,9660.0,1.0,10867.5,26
HCPCS,C1725,CATH IVL JAVELIN 0.014 5FR 150,16450.0,13160.0,1.0,14805.0,26
HCPCS,C1725,CATH IVL M5+ SHWV 3.5X60MM,12075.0,9660.0,1.0,10867.5,26
HCPCS,C1725,CATH IVL M5+ SHWV 4.0X60MM,12075.0,9660.0,1.0,10867.5,26
HCPCS,C1725,CATH IVL M5+ SHWV 4.5X60MM,12075.0,9660.0,1.0,10867.5,26
HCPCS,C1725,CATH IVL S4 SHWV 3.0X40MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1725,CATH IVL S4 SHWV 3.5X40MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1725,CATH IVL S4 SHWV 4.0X40MM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1725,CATH MONGOOSE PIGT 3.3FR 80CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,CATH MONGOOSE PIGT 4FR 80CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1725,CATH PACIFIC 4X120MM*DISC*,1360.0,1088.0,1.0,1224.0,52
HCPCS,C1725,CATH PACIFIC 4X2*DISC NO REPL*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 4X4*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 4X40MM 180*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 4X6*DISC NO REPL*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 4X80MM 180*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 5X1*DISC NO REPL*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 5X120MM180*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 5X20MM 130C*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 5X4*DISC NO REPL*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 5X40MM 180*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 5X60MM 130C*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 5X60MM 180*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 5X8*DISC NO REPL*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 5X80MM 180*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 6X1*DISC NO REPL*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 6X120MM180*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 6X2*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 6X20MM 180*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 6X40MM 180*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 6X8*DISC NO REPL*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 6X80MM 180C*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 7X120MM*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 7X20MM 180*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC 7X40MM*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLU*DISC*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 2.5X80MM 130,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 2X120MM130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 2X150MM130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 2X150MM180CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 2X20MM 130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 2X40MM 130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 2X40MM 180CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 2X60MM 130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 2X80MM 130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 2X80MM 180CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3.5X150MM130,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3.5X20MM 130,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3.5X40MM 180,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3.5X60MM 130,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3X120MM130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3X120MM180CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3X150MM130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3X150MM180CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3X20MM 130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3X40MM 130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3X60MM 130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 3X80MM 130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 4X100MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 4X100MM90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 4X150MM 90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 4X150MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 4X200MM 90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 4X200MM150CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 4X250MM 90CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 4X250MM150CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 4X300MM 90CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 4X300MM150CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 5X100MM 90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 5X100MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 5X120MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 5X150M 90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 5X150MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 5X200MM 90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 5X200MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 5X20MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 5X250MM 90CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 5X250MM150CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 5X300MM 90CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 5X300MM150CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 5X40MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 5X60MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 5X80MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X100MM 90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X100MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X120MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X150MM 90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X150MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X200MM 90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X200MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X200MM200CM,3956.0,3164.8,1.0,3560.4,26
HCPCS,C1725,CATH PACIFIC PLUS 6X20MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X250MM 90CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 6X250MM150CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 6X300MM 90CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 6X300MM150CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1725,CATH PACIFIC PLUS 6X40MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X60MM 130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X60MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 6X80MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 7X100MM 90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 7X100MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 7X120MM150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 7X20MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 7X40MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 7X60MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS 7X80MM 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS2.5X20MM*NLU*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS2.5X40MM130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS2.5X40MM180CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS2.5X80MM180CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFIC PLUS3.5X40MM130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICPLUS*DISC 6260750*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICPLUS2.5X120MM*NLU*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICPLUS2.5X120MM130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICPLUS2.5X150MM130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICPLUS2.5X150MM180CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICPLUS3.5X120MM130CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICX4X1*DISC 6338347*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICX4X2*DISC 6338349*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICX5X1*DISC 6338355*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICX5X2*DISC 6338357*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICX6X1*DISC 6338363*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PACIFICX6X2*DISC 6338365*,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PTCA ANGIOSCULPT 3.5X10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1725,CATH PTCA CHOC XD HC 2.0X10MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 2.0X15MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 2.0X20MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 2.5X10MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 2.5X15MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 2.5X20MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 3.0X10MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 3.0X15MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 3.0X20MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 3.5X10MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 3.5X15MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA CHOC XD HC 3.5X20MM,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1725,CATH PTCA OPN NC HP 1.5 X15MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1725,CATH PTCA OPN NC HP 1.5X10MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1725,CATH PTCA OPN NC HP 2.0X15MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1725,CATH PTCA OPN NC HP 2.5X10MM,5670.0,4536.0,1.0,5103.0,26
HCPCS,C1725,CATH PTCA OPN NC HP 2.5X15MM,5670.0,4536.0,1.0,5103.0,26
HCPCS,C1725,CATH PTCA OPN NC HP 3.0X15MM,5670.0,4536.0,1.0,5103.0,26
HCPCS,C1725,CATH PTCA OPN NC HP 3.5X10MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1725,CATH PTCA OPN NC HP 3.5X15MM,5670.0,4536.0,1.0,5103.0,26
HCPCS,C1725,CATH PTCA OPN NC HP 4.0X10MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1725,CATH PTCA OPN NC HP 4.0X15MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1725,CATH PTCA OTW SAPPHIREII PRO15,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PTCA SAPPHIREII PRO1.0X10,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PTCA SAPPHIREII PRO1.0X15,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PTCA SAPPHIREII PRO1.0X5,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PTCA SAPPHIREII PRO1.0X8,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1725,CATH PTCA SAPPHIREII PRO1.25X5,900.0,720.0,1.0,810.0,26
HCPCS,C1725,CATH PTCA SAPPHIREII PRO1.25X8,900.0,720.0,1.0,810.0,26
HCPCS,C1725,CATH PTCA SAPPHIREII PRO1.5X12,900.0,720.0,1.0,810.0,26
HCPCS,C1725,CATH PTCA SAPPHIREII PRO2.0X12,900.0,720.0,1.0,810.0,26
HCPCS,C1725,CATH PTCA SAPPHIREII PRO2.0X15,900.0,720.0,1.0,810.0,26
HCPCS,C1725,CATH PTCA SCOREFLEX 1.75X10MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 1.75X15MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 1.75X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.0X10MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.0X15MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.0X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.25X10MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.25X15MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.25X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.5X10MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.5X15MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.5X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.75X10MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.75X15MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 2.75X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 3.0X10MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 3.0X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 3.5X10MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 3.5X15MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 3.5X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 4.0X10MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 4.0X15MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCA SCOREFLEX 4.0X20MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1725,CATH PTCASAPPHIREII PRO1.25X10,900.0,720.0,1.0,810.0,26
HCPCS,C1725,CATH PTCASAPPHIREII PRO1.25X15,900.0,720.0,1.0,810.0,26
HCPCS,C1725,CATH REENTRY STINGRAY LPCTO3.2,6882.0,5505.6,1.0,6193.8,26
HCPCS,C1725,CATH TCS ENROUTE 4.5X25,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1725,CATH TCS ENROUTE 4.5X35,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1725,CATH TCS ENROUTE 4X25,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1725,CATH TCS ENROUTE 4X35,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1725,CATH TCS ENROUTE 5.5X25,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1725,CATH TCS ENROUTE 5.5X35,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1725,CATH TCS ENROUTE 5X25,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1725,CATH TCS ENROUTE 5X35,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1725,CATH TCS ENROUTE 6X25,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1725,CATH TCS ENROUTE 6X35,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1725,CATH TORNUS ASIN 2.1FR 135CM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1725,CATH TRI LOBE BLN GORE 26-48MM,4739.0,3791.2,1.0,4265.1,26
HCPCS,C1725,CATH TRI LOBE BLN GORE100*CIP*,4739.0,3791.2,1.0,4265.1,26
HCPCS,C1725,STNT PALMAZ XL 10X39MM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1726,B*DISC USE 6292378 OR 6292377*,1947.0,1557.6,1.0,1752.3,26
HCPCS,C1726,BLN ANORECTAL EXPULSION AIR,385.0,308.0,1.0,346.5,26
HCPCS,C1726,BLN BAV/PTV NUCLEUS-X 18X4X110,5810.0,4648.0,1.0,5229.0,26
HCPCS,C1726,BLN BILI CRE 7.5FR 180CM 6-8MM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN BILI CRE 7.5FR 180CM8-10MM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN BILI CRE 7.5FR 5.5CM8-10MM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN BILI CRE 7.5FR3.7CM10-12MM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN BILI CRE 7.5FR3.7CM12-15MM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN BILI CRE 7.5FR5.5CM10-12MM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN BILI CRE 7.5FR5.5CM12-15MM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN BILI CRE 7.5FR5.5CM15-18MM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN BILI CRE 7.5FR5.5CM18-20MM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN BILI RX DIL 0.035 5F6X4 80,3680.0,2944.0,1.0,3312.0,26
HCPCS,C1726,BLN BILI RX DIL 0.035 5F8X4 80,3680.0,2944.0,1.0,3312.0,26
HCPCS,C1726,BLN BILI RX DIL 5.8FR 4MM,1947.0,1557.6,1.0,1752.3,26
HCPCS,C1726,BLN BILI RX DIL 5.8FR 4MMX4CM,1947.0,1557.6,1.0,1752.3,26
HCPCS,C1726,BLN CATH DIL AERIS 10X30M*NLU*,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1726,BLN CERV RIPENING NO STYLET,619.0,495.2,1.0,557.1,26
HCPCS,C1726,BLN CERV RIPENING W STYLET,685.0,548.0,1.0,616.5,26
HCPCS,C1726,BLN CERV RIPENING*USE 6216577*,554.0,443.2,1.0,498.6,26
HCPCS,C1726,BLN CRE 18-20 24*DISC 6270645*,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN CRE DILATE 1*DISC 6270642*,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN CRE DILATE18*DISC 6270644*,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN CRE ESOPH PYLORIC 10-11-12,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN CRE ESOPH PYLORIC180CM12MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN CRE ESOPH PYLORIC180CM15MM,1827.0,1461.6,1.0,1644.3,26
HCPCS,C1726,BLN CRE ESOPH PYLORIC180CM18MM,1827.0,1461.6,1.0,1644.3,26
HCPCS,C1726,BLN DIL AIRW INSP*USE 6319875*,4585.0,3668.0,1.0,4126.5,26
HCPCS,C1726,BLN DIL AIRW INSP*USE 6319876*,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 10X40,4908.0,3926.4,1.0,4417.2,26
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 12X40,4908.0,3926.4,1.0,4417.2,26
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 14X40,4908.0,3926.4,1.0,4417.2,26
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 16X40,4908.0,3926.4,1.0,4417.2,26
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 5X24,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 7X24,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR8.5X24,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1726,BLN DIL CRE 7.5FR 180CM10-12MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL CRE 7.5FR 180CM6-8MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL CRE 7.5FR 180CM8-10MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM 6-8MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM 8-10MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM10-12MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM12-15MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM15-18MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM18-20MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL CRE 7.5FR180CM12-15MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL ESOPH 12-13.5-15,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1726,BLN DIL ESOPH 15-16.5-18,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1726,BLN DIL ESOPH 18-19-20,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1726,BLN DIL ESOPH CRE 6-8MM,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DIL ESOPH CRE FIX 10-12MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1726,BLN DIL ESOPH CRE FIX 12-15MM,1161.0,928.8,1.0,1044.9,26
HCPCS,C1726,BLN DIL ESOPH CRE FIX 15-18MM,1161.0,928.8,1.0,1044.9,26
HCPCS,C1726,BLN DIL ESOPH CRE FIX 18-20MM,1161.0,928.8,1.0,1044.9,26
HCPCS,C1726,BLN DIL ESOPH CRE FIX 6-8MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1726,BLN DIL ESOPH CRE FIX 8-10MM,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1726,BLN DIL KT UROMAX ULT HP 18FR4,3995.0,3196.0,1.0,3595.5,26
HCPCS,C1726,BLN DIL KT UROMAX ULT HP18FR10,3995.0,3196.0,1.0,3595.5,26
HCPCS,C1726,BLN DIL RIGIFLEX 35X105,3240.0,2592.0,1.0,2916.0,26
HCPCS,C1726,BLN DIL RIGIFLEX II 30X90,3240.0,2592.0,1.0,2916.0,26
HCPCS,C1726,BLN DIL TB EUSTACHIAN SYS 16MM,9788.0,7830.4,1.0,8809.2,26
HCPCS,C1726,BLN DIL TB EUSTACHIAN SYS 6MM,7770.0,6216.0,1.0,6993.0,26
HCPCS,C1726,BLN DIL UROMAX ULT HP 18F*NLU*,3621.0,2896.8,1.0,3258.9,52
HCPCS,C1726,BLN DIL UROMAX ULT HP 24FR 4CM,3614.0,2891.2,1.0,3252.6,26
HCPCS,C1726,BLN DILATOR C*DNR 6230199*,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1726,BLN DILATOR C*DNR USE 6230176*,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1726,BLN DILATOR C*DNR USE 6230179*,1372.0,1097.6,1.0,1234.8,26
HCPCS,C1726,BLN DILATOR CRE *DISC 6243850*,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN DILATOR CRE *DISC 6270643*,1548.0,1238.4,1.0,1393.2,26
HCPCS,C1726,BLN ERCP MAXFORCE 4-4/5X180MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1726,BLN ERCP MAXFORCE 6-4/5X180CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1726,BLN ESOPH MAXFORCE TTS45F15MM,810.0,648.0,1.0,729.0,26
HCPCS,C1726,BLN ESOPH MAXFORCE TTS54FR18MM,810.0,648.0,1.0,729.0,26
HCPCS,C1726,BLN HERC 3STAGE 18-20MM,2096.0,1676.8,1.0,1886.4,26
HCPCS,C1726,BLN KT IVAS AVAMAX 13G 15MM,6602.0,5281.6,1.0,5941.8,26
HCPCS,C1726,BLN OSTIAL FLASH DUAL 4.5X8MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1726,BLN OSTIAL FLASH DUAL 5.0X12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1726,BLN PULM CRE 10-12MM 3.0CM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN PULM CRE 12-15MM 3.0CM,2384.0,1907.2,1.0,2145.6,26
HCPCS,C1726,BLN PULM CRE 12-15MM 5.5CM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1726,BLN PULM CRE 15-18MM 5.5CM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1726,BLN PULM CRE 18-20MM 5.5CM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1726,BLN PULM CRE 8-10MM 3.0CM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1726,BLN PULM DIL ELATION 6-7-8MM,2280.0,1824.0,1.0,2052.0,26
HCPCS,C1726,BLN PULM DIL ELATION 8-9-10,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1726,BLN SEEKER EM FRNTL 70D 6X17,4675.0,3740.0,1.0,4207.5,26
HCPCS,C1726,BLN SINUS NUVENT KT,1163.0,930.4,1.0,1046.7,26
HCPCS,C1726,BLN SYS RELIEVA SPINPLUS 5X16,8951.0,7160.8,1.0,8055.9,26
HCPCS,C1726,BLN SYS RELIEVA SPINPLUS 6X16,8951.0,7160.8,1.0,8055.9,26
HCPCS,C1726,BLN URTHRL INFLOPTILUME18FR5CM,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1726,BLN URTHRL INFLOPTILUME24FR5CM,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1726,BLN URTHRL INFLOPTILUME30FR5CM,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1726,BLN URTHRL INFLOPTILUME36FR3CM,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1726,BLN URTHRL INFLOPTILUME36FR5CM,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1726,BLN XFORCE NE30 W DEV10MMX15CM,1944.0,1555.2,1.0,1749.6,26
HCPCS,C1726,BLN XFORCE U30 6MMX4CM,1958.0,1566.4,1.0,1762.2,26
HCPCS,C1726,BLN XPRESS ULT PEDS 6X20*NLU*,7623.0,6098.4,1.0,6860.7,26
HCPCS,C1726,CATH BARRX 360 EXPRESS RFA 8CM,2725.0,2180.0,1.0,2452.5,26
HCPCS,C1726,CATH BLN *DISC NO REPL*,2661.0,2128.8,1.0,2394.9,26
HCPCS,C1726,CATH BLN GLIDER 6FR 1.5X*DISC*,2520.0,2016.0,1.0,2268.0,52
HCPCS,C1726,CATH BLN GLIDER 6FR 1.5X4*NLU*,2624.0,2099.2,1.0,2361.6,26
HCPCS,C1726,CATH BLN GLIDER 6FR 1.5X8*NLU*,2624.0,2099.2,1.0,2361.6,26
HCPCS,C1726,CATH BLN GLIDER 6FR 2.0X*DISC*,2520.0,2016.0,1.0,2268.0,104
HCPCS,C1726,CATH BLN GLIDER 6FR 2.5X*DISC*,2520.0,2016.0,1.0,2268.0,78
HCPCS,C1726,CATH BLN GLIDER 6FR 3.0X*DISC*,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1726,CATH BLN GLIDER 6FR 3.5X*DISC*,2520.0,2016.0,1.0,2268.0,78
HCPCS,C1726,CATH BLN GLIDER 6FR 3.5X1*NLU*,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1726,CATH BLN RELIEVA ULTIRRA *NLU*,4686.0,3748.8,1.0,4217.4,26
HCPCS,C1726,CATH BLN RELIEVA ULTIRRA 6X16,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1726,CATH BLNGLIDER6F*DISC NO REPL*,2520.0,2016.0,1.0,2268.0,104
HCPCS,C1726,CATH ENDO NASAL ENDOFLIP 16CM,3587.0,2869.6,1.0,3228.3,26
HCPCS,C1726,CATH ENDO NASAL ENDOFLIP 8CM,3587.0,2869.6,1.0,3228.3,26
HCPCS,C1726,CATH PTCA SCOREFLEX 3.0X15MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1726,DIL BLN SYS RELIEVA SCOUT*NLU*,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1726,DIL SET AMPLZ 20CM SHEATH,1751.0,1400.8,1.0,1575.9,26
HCPCS,C1726,INFL DEV BLN SINUS ACCL,684.0,547.2,1.0,615.6,26
HCPCS,C1726,KT BLN RELIE*DISC 6271091*,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1726,KT BLN3GD RELIEVA SPINPLUS5X16,10081.0,8064.8,1.0,9072.9,26
HCPCS,C1726,KT BLN3GD RELIEVA SPINPLUS6X16,10081.0,8064.8,1.0,9072.9,26
HCPCS,C1726,NPHRSTMY BLN CATHPTFEULTXX10MM,2073.0,1658.4,1.0,1865.7,26
HCPCS,C1726,PATCH PERICARDIAL SJM 4X5CM,2768.0,2214.4,1.0,2491.2,26
HCPCS,C1726,SET BLN ULTR10MM*DISC 6323199*,2104.0,1683.2,1.0,1893.6,26
HCPCS,C1726,SYS BLN DIL RELIEVA TRACT16X40,4962.0,3969.6,1.0,4465.8,26
HCPCS,C1727,BLN BTT SPACEMAK*DISC 6269407*,3801.0,3040.8,1.0,3420.9,26
HCPCS,C1727,BLN DISECT SPACEMAKEROVAL10-12,3877.0,3101.6,1.0,3489.3,26
HCPCS,C1727,BLN ENDO DISSECTION OVAL,2574.0,2059.2,1.0,2316.6,26
HCPCS,C1728,KT MAMMOSITE APPL 5-6CM*DISC*,8930.0,7144.0,1.0,8037.0,26
HCPCS,C1728,MAMMOSITE CAVITY*DISC NO REPL*,1318.0,1054.4,1.0,1186.2,26
HCPCS,C1729,ACC KT CRANI CODMAN,3361.0,2688.8,1.0,3024.9,26
HCPCS,C1729,BG DRN CSF EXTL REPL DUET,425.0,340.0,1.0,382.5,26
HCPCS,C1729,CATH ASPIR SET PTX 14FR 30CM,831.0,664.8,1.0,747.9,26
HCPCS,C1729,CATH BTL DRN KT PLEURX 1000ML,773.0,618.4,1.0,695.7,26
HCPCS,C1729,CATH BTL DRN KT PLEURX 500ML,676.0,540.8,1.0,608.4,26
HCPCS,C1729,CATH BTL START KT PLEURX1000ML,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1729,CATH CENTESIS FIX ST 8FR 10CM,185.0,148.0,1.0,166.5,26
HCPCS,C1729,CATH CENTESIS FIX ST 8FR 7CM,185.0,148.0,1.0,166.5,26
HCPCS,C1729,CATH CENTESIS SLIP ST 8FR 10CM,185.0,148.0,1.0,166.5,26
HCPCS,C1729,CATH CENTESIS SLIP ST 8FR 7CM,185.0,148.0,1.0,166.5,26
HCPCS,C1729,CATH CENTESIS VALV FIXST6FR7CM,200.0,160.0,1.0,180.0,26
HCPCS,C1729,CATH CENTESIS VALV PIGT4FR10CM,185.0,148.0,1.0,166.5,26
HCPCS,C1729,CATH CENTESIS VALV PIGT5FR12CM,450.0,360.0,1.0,405.0,26
HCPCS,C1729,CATH CENTESISSLIPVALVST8FR10CM,200.0,160.0,1.0,180.0,26
HCPCS,C1729,CATH DRN AMPLZ PIG 10.2FR 50CM,760.0,608.0,1.0,684.0,26
HCPCS,C1729,CATH DRN AMPLZ PIG 12FR 50CM,760.0,608.0,1.0,684.0,26
HCPCS,C1729,CATH DRN APD LOOP REG 14FR25CM,765.0,612.0,1.0,688.5,26
HCPCS,C1729,CATH DRN APD REG 8FR 20CM,765.0,612.0,1.0,688.5,26
HCPCS,C1729,CATH DRN APDL 20FR 25CM,1020.0,816.0,1.0,918.0,26
HCPCS,C1729,CATH DRN ARRAY STD 10FR 25CM,629.0,503.2,1.0,566.1,26
HCPCS,C1729,CATH DRN ARRAY STD 12FR 25CM,599.0,479.2,1.0,539.1,26
HCPCS,C1729,CATH DRN ARRAY STD 8FR 25CM,599.0,479.2,1.0,539.1,26
HCPCS,C1729,CATH DRN BILI 10FR 61CM*NLU*,999.0,799.2,1.0,899.1,26
HCPCS,C1729,CATH DRN BILI 14FR 40CM,665.0,532.0,1.0,598.5,26
HCPCS,C1729,CATH DRN BILI 14FR 61CM*NLU*,999.0,799.2,1.0,899.1,26
HCPCS,C1729,CATH DRN BILI 16FR 40CM,713.0,570.4,1.0,641.7,26
HCPCS,C1729,CATH DRN BILI 16FR 61CM*NLU*,999.0,799.2,1.0,899.1,26
HCPCS,C1729,CATH DRN BILI COPE LL 18FR40CM,1011.0,808.8,1.0,909.9,26
HCPCS,C1729,CATH DRN BILI MACLOC 12FR 35CM,897.0,717.6,1.0,807.3,26
HCPCS,C1729,CATH DRN BILI MACLOC 12FR 40CM,891.0,712.8,1.0,801.9,26
HCPCS,C1729,CATH DRN BILI MACLOC 14FR 40CM,891.0,712.8,1.0,801.9,26
HCPCS,C1729,CATH DRN BILI MACLOC 8.5FR35CM,897.0,717.6,1.0,807.3,26
HCPCS,C1729,CATH DRN BILI MACLOC 8.5FR40CM,888.0,710.4,1.0,799.2,26
HCPCS,C1729,CATH DRN BILI MACLOC EXT 8.5FR,891.0,712.8,1.0,801.9,26
HCPCS,C1729,CATH DRN BILI MACLOC EXT10.2FR,891.0,712.8,1.0,801.9,26
HCPCS,C1729,CATH DRN BILI MACLOC10.2FR35CM,897.0,717.6,1.0,807.3,26
HCPCS,C1729,CATH DRN BILI MACLOC10.2FR40CM,891.0,712.8,1.0,801.9,26
HCPCS,C1729,CATH DRN BILI NASAL 7FR 9HL,1105.0,884.0,1.0,994.5,26
HCPCS,C1729,CATH DRN BILI NASAL PIGT 10FR,1105.0,884.0,1.0,994.5,26
HCPCS,C1729,CATH DRN BILI RING 10.2FR50,898.0,718.4,1.0,808.2,26
HCPCS,C1729,CATH DRN BILI RING 12FR50CM,898.0,718.4,1.0,808.2,26
HCPCS,C1729,CATH DRN BILI RO REG 10FR 35CM,765.0,612.0,1.0,688.5,26
HCPCS,C1729,CATH DRN BILI RO REG 12FR 35CM,765.0,612.0,1.0,688.5,26
HCPCS,C1729,CATH DRN BILI RO REG 14FR 35CM,765.0,612.0,1.0,688.5,26
HCPCS,C1729,CATH DRN BILI RO SOFT 12FR35CM,765.0,612.0,1.0,688.5,26
HCPCS,C1729,CATH DRN DAWSON MUELLER 12FR25,733.0,586.4,1.0,659.7,26
HCPCS,C1729,CATH DRN DAWSON MUELLER 14FR25,733.0,586.4,1.0,659.7,26
HCPCS,C1729,CATH DRN DAWSON MUELLER 7FR 25,729.0,583.2,1.0,656.1,26
HCPCS,C1729,CATH DRN DAWSON MUELLER8.5FR25,729.0,583.2,1.0,656.1,26
HCPCS,C1729,CATH DRN DAWSONMUELLER10.2FR25,729.0,583.2,1.0,656.1,26
HCPCS,C1729,CATH DRN EXPEL L*DISC 6207381*,864.0,691.2,1.0,777.6,26
HCPCS,C1729,CATH DRN EXPEL LK PIGT10FR25CM,864.0,691.2,1.0,777.6,26
HCPCS,C1729,CATH DRN EXPEL LK PIGT10FR45CM,864.0,691.2,1.0,777.6,26
HCPCS,C1729,CATH DRN EXPEL LK PIGT12FR25CM,864.0,691.2,1.0,777.6,26
HCPCS,C1729,CATH DRN EXPEL LK PIGT12FR45CM,864.0,691.2,1.0,777.6,26
HCPCS,C1729,CATH DRN EXPEL LK PIGT14FR45CM,864.0,691.2,1.0,777.6,26
HCPCS,C1729,CATH DRN FLEXIMA FIRM10FR*NLU*,722.0,577.6,1.0,649.8,26
HCPCS,C1729,CATH DRN GORDON 16FR 40CM,754.0,603.2,1.0,678.6,26
HCPCS,C1729,CATH DRN GORDON 18FR 40CM*NLU*,760.0,608.0,1.0,684.0,26
HCPCS,C1729,CATH DRN GORDON 20FR 40CM,772.0,617.6,1.0,694.8,26
HCPCS,C1729,CATH DRN GORDON 22FR 40CM*NLU*,744.0,595.2,1.0,669.6,26
HCPCS,C1729,CATH DRN KT LIDO PERITX 15.5FR,3966.0,3172.8,1.0,3569.4,26
HCPCS,C1729,CATH DRN KT LIDO PLEURX 15.5FR,3966.0,3172.8,1.0,3569.4,26
HCPCS,C1729,CATH DRN KT PERITX DL,485.0,388.0,1.0,436.5,26
HCPCS,C1729,CATH DRN LK BILI PIGT 10FR40CM,738.0,590.4,1.0,664.2,26
HCPCS,C1729,CATH DRN LK SKAT*DISC 6329669*,693.0,554.4,1.0,623.7,26
HCPCS,C1729,CATH DRN LK SKATER 10FR 45CM,774.0,619.2,1.0,696.6,26
HCPCS,C1729,CATH DRN LK SKATER 12FR 60CM,774.0,619.2,1.0,696.6,26
HCPCS,C1729,CATH DRN LK SKATER 16FR 25CM,738.0,590.4,1.0,664.2,26
HCPCS,C1729,CATH DRN LK SKATER 16FR 30CM,738.0,590.4,1.0,664.2,26
HCPCS,C1729,CATH DRN MALECOT 15G 16FR 30CM,487.0,389.6,1.0,438.3,26
HCPCS,C1729,CATH DRN MALECOT 4WING 12FR,123.0,98.4,1.0,110.7,26
HCPCS,C1729,CATH DRN MALECOT 4WING 16FR,123.0,98.4,1.0,110.7,26
HCPCS,C1729,CATH DRN MALECOT 4WING 20FR,117.0,93.6,1.0,105.3,26
HCPCS,C1729,CATH DRN MALECOT 4WING 24FR,123.0,98.4,1.0,110.7,26
HCPCS,C1729,CATH DRN MALECOT 4WING 28FR,440.0,352.0,1.0,396.0,26
HCPCS,C1729,CATH DRN MALECOT 4WING 30FR,123.0,98.4,1.0,110.7,26
HCPCS,C1729,CATH DRN MALECOT SIL 12FR*NLU*,326.0,260.8,1.0,293.4,26
HCPCS,C1729,CATH DRN MULTPRP LK 12FR 25CM,808.0,646.4,1.0,727.2,26
HCPCS,C1729,CATH DRN MULTPRP LK 12FR 45CM,851.0,680.8,1.0,765.9,26
HCPCS,C1729,CATH DRN MULTPRP LK 12FR 60CM,1334.0,1067.2,1.0,1200.6,26
HCPCS,C1729,CATH DRN MULTPRP LK 14FR 25CM,808.0,646.4,1.0,727.2,26
HCPCS,C1729,CATH DRN MULTPRP LK 14FR 45CM,851.0,680.8,1.0,765.9,26
HCPCS,C1729,CATH DRN MULTPRP LK 16FR 40CM,1938.0,1550.4,1.0,1744.2,26
HCPCS,C1729,CATH DRN MULTPRP LK 8.5FR 25CM,808.0,646.4,1.0,727.2,26
HCPCS,C1729,CATH DRN MULTPRP LK10.2FR 25CM,808.0,646.4,1.0,727.2,26
HCPCS,C1729,CATH DRN MULTPRP LK10.2FR 45CM,851.0,680.8,1.0,765.9,26
HCPCS,C1729,CATH DRN MULTPRP* VAT 6282132*,678.0,542.4,1.0,610.2,26
HCPCS,C1729,CATH DRN PERITON*DISC 6323102*,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1729,CATH DRN PIGT LK 14FR 21CM,570.0,456.0,1.0,513.0,26
HCPCS,C1729,CATH DRN PIGT LK BILI10FR40CM,859.0,687.2,1.0,773.1,26
HCPCS,C1729,CATH DRN PIGT LK BILI12FRX40CM,859.0,687.2,1.0,773.1,26
HCPCS,C1729,CATH DRN PIGT LK GEN 14FR45CM,724.0,579.2,1.0,651.6,26
HCPCS,C1729,CATH DRN RING 14FR 32/50CM,821.0,656.8,1.0,738.9,26
HCPCS,C1729,CATH DRN SKATER 12FR 25CM*NLU*,713.0,570.4,1.0,641.7,26
HCPCS,C1729,CATH DRN ULT 18FR 25CM,1020.0,816.0,1.0,918.0,26
HCPCS,C1729,CATH EDM VENT 2MM 35CM,1371.0,1096.8,1.0,1233.9,26
HCPCS,C1729,CATH EVD CEREBROF*USE 6339599*,4571.0,3656.8,1.0,4113.9,26
HCPCS,C1729,CATH EVD CEREBROFLO 10FR 35CM,4853.0,3882.4,1.0,4367.7,26
HCPCS,C1729,CATH PERITON CSF ARES ABI 120,3654.0,2923.2,1.0,3288.6,26
HCPCS,C1729,CATH SET PTX 9FR 29CM 18G,1912.0,1529.6,1.0,1720.8,26
HCPCS,C1729,CATH SET WAYNE PTXTROC10.2FR29,2062.0,1649.6,1.0,1855.8,26
HCPCS,C1729,CATH THORACIC ARGYLE ST 20FR,164.0,131.2,1.0,147.6,26
HCPCS,C1729,CATH THORACIC ARGYLE ST 24FR,165.0,132.0,1.0,148.5,26
HCPCS,C1729,CATH THORACIC ARGYLE ST 32FR,155.0,124.0,1.0,139.5,26
HCPCS,C1729,CATH THORACIC FIRM PVC ST 20FR,76.0,60.8,1.0,68.4,26
HCPCS,C1729,CATH THORACIC FIRM PVC ST 24FR,74.0,59.2,1.0,66.6,26
HCPCS,C1729,CATH THORACIC FIRM PVC ST 28FR,71.0,56.8,1.0,63.9,26
HCPCS,C1729,CATH THORACIC FIRM PVC ST 32FR,73.0,58.4,1.0,65.7,26
HCPCS,C1729,CATH THORACIC FIRM PVC ST 36FR,73.0,58.4,1.0,65.7,26
HCPCS,C1729,CATH THORACIC SOFT RA TELE20FR,94.0,75.2,1.0,84.6,26
HCPCS,C1729,CATH THORACIC SOFT RA TELE24FR,94.0,75.2,1.0,84.6,26
HCPCS,C1729,CATH THORACIC SOFT RA TELE28FR,94.0,75.2,1.0,84.6,26
HCPCS,C1729,CATH THORACIC SOFT RA TELE32FR,94.0,75.2,1.0,84.6,26
HCPCS,C1729,CATH THORACIC SOFT RA TELE36FR,94.0,75.2,1.0,84.6,26
HCPCS,C1729,CATH THORACIC SOFT ST TELE12FR,69.0,55.2,1.0,62.1,26
HCPCS,C1729,CATH THORACIC SOFT ST TELE16FR,69.0,55.2,1.0,62.1,26
HCPCS,C1729,CATH THORACIC SOFT ST TELE32FR,69.0,55.2,1.0,62.1,26
HCPCS,C1729,CATH THORACIC TROC TELE 12FR,215.0,172.0,1.0,193.5,26
HCPCS,C1729,CATH VENT CSF ARES ABI,3731.0,2984.8,1.0,3357.9,26
HCPCS,C1729,CATH VENT SET STD 1.3MMX35CM,2216.0,1772.8,1.0,1994.4,26
HCPCS,C1729,CATH VNTRCL DEFLECTOR LG 180MM,2021.0,1616.8,1.0,1818.9,26
HCPCS,C1729,CATH VNTRCL XABO 250MM,2273.0,1818.4,1.0,2045.7,26
HCPCS,C1729,DRN CHEST SET FUHRMAN 5FR 15CM,1183.0,946.4,1.0,1064.7,26
HCPCS,C1729,DRN CHEST SET FUHRMAN 6FR 15CM,1183.0,946.4,1.0,1064.7,26
HCPCS,C1729,DRN CHEST SETFUHRMAN10.2FR15CM,1238.0,990.4,1.0,1114.2,26
HCPCS,C1729,DRN CHEST SGL 1TB ATS ADLT,430.0,344.0,1.0,387.0,26
HCPCS,C1729,DRN CHEST UNIT INFANT,531.0,424.8,1.0,477.9,26
HCPCS,C1729,DRN TROC CATH CHEST TB 10*CIP*,357.0,285.6,1.0,321.3,26
HCPCS,C1729,DRN TROC CATH CHEST TB 10FR,387.0,309.6,1.0,348.3,26
HCPCS,C1729,DRN TROC CATH CHEST TB 12*CIP*,357.0,285.6,1.0,321.3,26
HCPCS,C1729,DRN TROC CATH CHEST TB 12FR,383.0,306.4,1.0,344.7,26
HCPCS,C1729,DRN TROC CATH CHEST TB 16*CIP*,357.0,285.6,1.0,321.3,26
HCPCS,C1729,DRN TROC CATH CHEST TB 16FR,386.0,308.8,1.0,347.4,26
HCPCS,C1729,DRN TROC CATH CHEST TB 20*CIP*,358.0,286.4,1.0,322.2,26
HCPCS,C1729,DRN TROC CATH CHEST TB 20FR,387.0,309.6,1.0,348.3,26
HCPCS,C1729,DRN TROC CATH CHEST TB 24*CIP*,365.0,292.0,1.0,328.5,26
HCPCS,C1729,DRN TROC CATH CHEST TB 24FR,395.0,316.0,1.0,355.5,26
HCPCS,C1729,DRN TROC CATH CHEST TB 28*CIP*,372.0,297.6,1.0,334.8,26
HCPCS,C1729,DRN TROC CATH CHEST TB 28FR,398.0,318.4,1.0,358.2,26
HCPCS,C1729,DRN TROC CATH CHEST TB 32*CIP*,380.0,304.0,1.0,342.0,26
HCPCS,C1729,DRN TROC CATH CHEST TB 32FR,404.0,323.2,1.0,363.6,26
HCPCS,C1729,DRN TROC CATH CHEST TB 8F*CIP*,357.0,285.6,1.0,321.3,26
HCPCS,C1729,DRN TROC CATH CHEST TB 8FR,386.0,308.8,1.0,347.4,26
HCPCS,C1729,KT CATH *DISC 6147653 6234385*,5088.0,4070.4,1.0,4579.2,26
HCPCS,C1729,KT CATH BECKER EDM VENT,2504.0,2003.2,1.0,2253.6,26
HCPCS,C1729,KT CATH DRN PERIT*USE 6291190*,4905.0,3924.0,1.0,4414.5,26
HCPCS,C1729,KT DRN COMPL PERITON ASPIRA,4905.0,3924.0,1.0,4414.5,26
HCPCS,C1729,KT DRN COMPL PLEURAL ASPIRA,4905.0,3924.0,1.0,4414.5,26
HCPCS,C1729,KT DRN PLEURAL *USE 6291196*,4905.0,3924.0,1.0,4414.5,26
HCPCS,C1729,KT STARTER PLEURX W 4 DRN KT,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1729,KT THORACENTESIS PLEURA-SEAL,954.0,763.2,1.0,858.6,26
HCPCS,C1729,NDLE CATH YUEH ST 4FR 10CM,195.0,156.0,1.0,175.5,26
HCPCS,C1729,NDLE CATH YUEH ST 5FR 10CM,195.0,156.0,1.0,175.5,26
HCPCS,C1729,NDLE CATH YUEH ST 5FR 15CM,195.0,156.0,1.0,175.5,26
HCPCS,C1729,NDLE CATH YUEH ST 5FR 7CM,195.0,156.0,1.0,175.5,26
HCPCS,C1729,NDLE CATH YUEH ST 8FR 7CM,195.0,156.0,1.0,175.5,26
HCPCS,C1729,NDLE CATH YUEH ST UT 6FR 10CM,195.0,156.0,1.0,175.5,26
HCPCS,C1729,PERICARDCENT KT PIGT 8.3FR40CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1729,RSVR BUR HL PROX CATH LG 20MM,2151.0,1720.8,1.0,1935.9,26
HCPCS,C1729,RSVR BUR HL PROX CATH SM 14MM,3356.0,2684.8,1.0,3020.4,26
HCPCS,C1729,RSVR CFS BUR HL STD NATU 1.5CM,3424.0,2739.2,1.0,3081.6,26
HCPCS,C1729,SET ABSCESS DRN THAL QK 16FR,1143.0,914.4,1.0,1028.7,26
HCPCS,C1729,SET ABSCESS DRN THAL QK 18FR,1143.0,914.4,1.0,1028.7,26
HCPCS,C1729,SET ABSCESS DRN THAL QK 20FR,1143.0,914.4,1.0,1028.7,26
HCPCS,C1729,SET ABSCESS DRN THAL QK 24FR,1143.0,914.4,1.0,1028.7,26
HCPCS,C1729,SET CATH DRN NL MULTPRP 10.2FR,684.0,547.2,1.0,615.6,26
HCPCS,C1729,SET CATH DRN NL MULTPRP 12FR,684.0,547.2,1.0,615.6,26
HCPCS,C1729,SET CATH DRN NL MULTPRP 14FR,622.0,497.6,1.0,559.8,26
HCPCS,C1729,SET PERICARDCENT PIGT6PORT8.3F,1081.0,864.8,1.0,972.9,26
HCPCS,C1729,SET PTX*DISC 6323284*,2001.0,1600.8,1.0,1800.9,26
HCPCS,C1729,SHNT CSF REFLOW MINI 150MM,14700.0,11760.0,1.0,13230.0,26
HCPCS,C1729,SHNT LUMBOPERITON STRATA NSC,12773.0,10218.4,1.0,11495.7,26
HCPCS,C1729,SHNT VALV ONLY CERTAS+ RT,17183.0,13746.4,1.0,15464.7,26
HCPCS,C1729,SHNT VALV ONLY CERTAS+ SPH RT,13778.0,11022.4,1.0,12400.2,26
HCPCS,C1729,SYS DRN STARTER TOTE PERITX 2L,2500.0,2000.0,1.0,2250.0,26
HCPCS,C1729,TB CHEST SET THAL QK 10FR 20CM,1384.0,1107.2,1.0,1245.6,26
HCPCS,C1729,TB CHEST SET THAL QK 12FR 22CM,1384.0,1107.2,1.0,1245.6,26
HCPCS,C1729,TB CHEST SET THAL QK 18FR 41CM,1384.0,1107.2,1.0,1245.6,26
HCPCS,C1729,TB CHEST SET THAL QK 24FR 41CM,1412.0,1129.6,1.0,1270.8,26
HCPCS,C1729,TB CHEST SET THAL QK 8FR 18CM,1384.0,1107.2,1.0,1245.6,26
HCPCS,C1729,TRAY CHEST THAL QK 14FR 41CM,1732.0,1385.6,1.0,1558.8,26
HCPCS,C1729,TRAY CHEST THAL QK 16FR 41CM,1732.0,1385.6,1.0,1558.8,26
HCPCS,C1729,TRAY SFTY PARACENTESIS 5FR 10,579.0,463.2,1.0,521.1,26
HCPCS,C1729,VALV CFS BURHL PROGAV2.0,9882.0,7905.6,1.0,8893.8,26
HCPCS,C1729,VALV CFS PED BURHL PROGAV2.0,9261.0,7408.8,1.0,8334.9,26
HCPCS,C1729,VALV CSF SGL M.BLUE 0CMH2O,11583.0,9266.4,1.0,10424.7,26
HCPCS,C1729,VALV CSF SGL M.BLUE 5CMH2O,12652.0,10121.6,1.0,11386.8,26
HCPCS,C1729,VALV EMER REPL KT PERITX,382.0,305.6,1.0,343.8,26
HCPCS,C1730,CATH CS BIDIR D-F 2-8-2 7FR2MM,4774.0,3819.2,1.0,4296.6,26
HCPCS,C1730,CATH DPOLR FIXED CURV 5FR,711.0,568.8,1.0,639.9,26
HCPCS,C1730,CATH DYNAMIC XT CURV 6FR *NLU*,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1730,CATH EP BPOLR INQUIRY 7FR LG,4410.0,3528.0,1.0,3969.0,26
HCPCS,C1730,CATH EP DAMA*DISC USE 6291690*,3605.0,2884.0,1.0,3244.5,26
HCPCS,C1730,CATH EP DAMATO 40MM*NLU*,3680.0,2944.0,1.0,3312.0,26
HCPCS,C1730,CATH EP DAMATO DPOLR 40MM*NLU*,3040.0,2432.0,1.0,2736.0,26
HCPCS,C1730,CATH EP DAMATO DPOLR 50MM,3411.0,2728.8,1.0,3069.9,26
HCPCS,C1730,CATH EP DAMATO DPOLR 60MM,3411.0,2728.8,1.0,3069.9,26
HCPCS,C1730,CATH EP DAMATO DPOLR 70MM,3411.0,2728.8,1.0,3069.9,26
HCPCS,C1730,CATH EP DAMATO OCTPOLR 70*NLU*,2032.0,1625.6,1.0,1828.8,26
HCPCS,C1730,CATH EP DPOLR INQUIRY 5FR MD,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1730,CATH EP DPOLR INQUIRY 5FR XL,3120.0,2496.0,1.0,2808.0,26
HCPCS,C1730,CATH EP DPOLR STEER INQUI*NLU*,2648.0,2118.4,1.0,2383.2,26
HCPCS,C1730,CATH EP DYNAMIC XT 4E 2MM 6FR,3994.0,3195.2,1.0,3594.6,26
HCPCS,C1730,CATH EP DYNAMICXT 8E 5MM 6FR,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1730,CATH EP HEX 5-5-5 CRD-2 5FR,1377.0,1101.6,1.0,1239.3,26
HCPCS,C1730,CATH EP LIVEWIREMD5-5-5MM115CM,3848.0,3078.4,1.0,3463.2,26
HCPCS,C1730,CATH EP LIVEWIREQPOLRMD2-*NLU*,2440.0,1952.0,1.0,2196.0,26
HCPCS,C1730,CATH EP MAP ACHIEVE ADV 15MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1730,CATH EP MAP ACHIEVE ADV 20MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1730,CATH EP MARINR MCXL2-5-2 110CM,4270.0,3416.0,1.0,3843.0,26
HCPCS,C1730,CATH EP QPOLR CRD 2-5-2MM*NLU*,747.0,597.6,1.0,672.3,26
HCPCS,C1730,CATH EP QPOLR F CURV 5MM 6FR,1199.0,959.2,1.0,1079.1,26
HCPCS,C1730,CATH EP QPOLR INQUIRY 6FR MD,2864.0,2291.2,1.0,2577.6,26
HCPCS,C1730,CATH EP QPOLR JSN 2-5-2 6FR,867.0,693.6,1.0,780.3,26
HCPCS,C1730,CATH EP WEBSTER CURV CS-D 6FR,4193.0,3354.4,1.0,3773.7,26
HCPCS,C1730,CATH EP WEBSTER CURV CS-F 6FR,4193.0,3354.4,1.0,3773.7,26
HCPCS,C1730,CATH LASSO 4.5MM 7FR 115CM,6138.0,4910.4,1.0,5524.2,26
HCPCS,C1730,CATH LASSO 4MM 7FR 115CM*NLU*,4968.0,3974.4,1.0,4471.2,26
HCPCS,C1730,CATH LASSO 6.0MM 7FR 115C*NLU*,6017.0,4813.6,1.0,5415.3,26
HCPCS,C1730,CATH LASSO 8.0MM 7FR 115C*NLU*,4968.0,3974.4,1.0,4471.2,26
HCPCS,C1730,CATH MAP SENS ENABLED DF BIDIR,11088.0,8870.4,1.0,9979.2,26
HCPCS,C1730,CATH MAPPING ACHIEVE 15MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1730,CATH MAPPING ACHIEVE 20MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1730,CATH OCTPOLR EP XT 6FR,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1730,CATH ORBITER XL CURV 7FR*NLU*,4869.0,3895.2,1.0,4382.1,26
HCPCS,C1730,CATH STEER D*DISC 6283268*,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1730,CATH VIKING COURNAND 6FR 2MM,2080.0,1664.0,1.0,1872.0,26
HCPCS,C1730,CATH VIKING ELMHURST 6FR 65CM,2413.0,1930.4,1.0,2171.7,26
HCPCS,C1730,CATH VIKING JOSEPHSON 5FR 5MM,1635.0,1308.0,1.0,1471.5,26
HCPCS,C1730,CATH VIKING JOSEPHSON 5FR2-5-2,1635.0,1308.0,1.0,1471.5,26
HCPCS,C1730,CATH VIKING JOSEPHSON 5FR5-5-5,2413.0,1930.4,1.0,2171.7,26
HCPCS,C1731,CATH BLAZER DX20 2-2-2 7FR MD,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1731,CATH BLAZER DX20 2-5-2 7FR MD,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1731,CATH BLAZERDX20 2-5-2-50-5 7FR,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1731,CATH EP LIVEWIRELG2-10-2MM95CM,4545.0,3636.0,1.0,4090.5,26
HCPCS,C1731,CATH EP LIVEWIREMD2-2-2MM115CM,4545.0,3636.0,1.0,4090.5,26
HCPCS,C1731,CATH LASSO 2-6-2MM 7FR 115CM,9608.0,7686.4,1.0,8647.2,26
HCPCS,C1731,CATH MAPPING OPTRELLD-F2.4X2.4,9825.0,7860.0,1.0,8842.5,26
HCPCS,C1731,CATH ORBITER 7FR*NLU*,4941.0,3952.8,1.0,4446.9,26
HCPCS,C1731,CATH ORBITER ST*DISC*,4811.0,3848.8,1.0,4329.9,26
HCPCS,C1731,CATH RADIA MD *DISC 6301794*,4941.0,3952.8,1.0,4446.9,26
HCPCS,C1732,CATH ABL QDOT MICRO DF 8FR 115,16450.0,13160.0,1.0,14805.0,26
HCPCS,C1732,CATH ABL SMARTTOUCH FJ 1-6-2,14133.0,11306.4,1.0,12719.7,26
HCPCS,C1732,CATH ABL SMARTTOUCH SF F 1-6-2,13468.0,10774.4,1.0,12121.2,26
HCPCS,C1732,CATH ABL SMARTTOUCH SFD-F1-6-2,14235.0,11388.0,1.0,12811.5,26
HCPCS,C1732,CATH ABL SMARTTOUCH SFF-J1-6-2,14235.0,11388.0,1.0,12811.5,26
HCPCS,C1732,CATH EP DECANAV 2-8-8 7FR115CM,5805.0,4644.0,1.0,5224.5,26
HCPCS,C1732,CATH EP NAVISTAR F 1-7-4 7F115,8764.0,7011.2,1.0,7887.6,26
HCPCS,C1732,CATH NAVISTAR D/F 1-7-4 7FR8MM,11134.0,8907.2,1.0,10020.6,26
HCPCS,C1732,CATH NAVISTAR F/J 1-7-4 7FR4MM,9548.0,7638.4,1.0,8593.2,26
HCPCS,C1732,CATH NAVISTAR F/J 1-7-4 7FR8MM,11134.0,8907.2,1.0,10020.6,26
HCPCS,C1732,CATH PENTA RAY DCURV 7FR4X44MM,10215.0,8172.0,1.0,9193.5,26
HCPCS,C1732,CATH PENTARAY DCURV 7FR2X6X2MM,10215.0,8172.0,1.0,9193.5,26
HCPCS,C1732,CATH PENTARAY FCURV 7FR4X4X4MM,10215.0,8172.0,1.0,9193.5,26
HCPCS,C1733,BLAZER 2 LRG CURV 8MM,7722.0,6177.6,1.0,6949.8,26
HCPCS,C1733,BLAZER STD CURV 8MM,7722.0,6177.6,1.0,6949.8,26
HCPCS,C1733,CATH ABL FARAWAVE 2.0 31MM,21125.0,16900.0,1.0,19012.5,26
HCPCS,C1733,CATH ABL FREEZOR MAX5 LG 8MM,6413.0,5130.4,1.0,5771.7,26
HCPCS,C1733,CATH ABL FREEZOR XT1 SM 6MM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1733,CATH ABL FREEZOR XT5 LG 6MM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1733,CATH ABL SAFIRE MD CURL 7*NLU*,4130.0,3304.0,1.0,3717.0,26
HCPCS,C1733,CATH ABL SAFIRETX LGCURV7*NLU*,5160.0,4128.0,1.0,4644.0,26
HCPCS,C1733,CATH ABL SAFIRETX MDCURV7FR8MM,5856.0,4684.8,1.0,5270.4,26
HCPCS,C1733,CATH ABL STINGER S D 7FR*DISC*,3968.0,3174.4,1.0,3571.2,26
HCPCS,C1733,CATH BIDIR VARIPULSE 8.5FR,17325.0,13860.0,1.0,15592.5,26
HCPCS,C1733,CATH BIDIRECT IRG ABL CUR*NLU*,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1733,CATH BLAZER II 8FR 5MM*NLU*,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1733,CATH BLAZER II STD CURV 7FR4MM,5288.0,4230.4,1.0,4759.2,26
HCPCS,C1733,CATH BLAZER II STD CURV 7FR5MM,5288.0,4230.4,1.0,4759.2,26
HCPCS,C1733,CATH CRYOABL ADV PRO 23MM,15225.0,12180.0,1.0,13702.5,26
HCPCS,C1733,CATH CRYOABL ADV PRO 28MM,15225.0,12180.0,1.0,13702.5,26
HCPCS,C1733,CATH EP FREEZOR *DISC 6328978*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1733,CATH EP FREEZOR X*USE 6332359*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1733,CATH EP MARINR RFMCXL2-5-2 110,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1733,CATH FREEZOR MAX5*USE 6332361*,6413.0,5130.4,1.0,5771.7,26
HCPCS,C1733,CATH NAVISTAR D/F 1-7-4 7FR4MM,9548.0,7638.4,1.0,8593.2,26
HCPCS,C1733,CATH NAVISTAR F/F 1-7-4 7FR4MM,9548.0,7638.4,1.0,8593.2,26
HCPCS,C1733,CRYOCATH ARCTIC *DISC 6301786*,15225.0,12180.0,1.0,13702.5,26
HCPCS,C1733,CRYOCATH ARCTIC *DISC 6301787*,15225.0,12180.0,1.0,13702.5,26
HCPCS,C1734,SCAF BONE AUG INJ 1.5CC,8890.0,7112.0,1.0,8001.0,26
HCPCS,C1734,SCAF BONE AUG INJ 3.0CC,12569.0,10055.2,1.0,11312.1,26
HCPCS,C1734,SCAF BONE KT AUG 1.5CC,8528.0,6822.4,1.0,7675.2,26
HCPCS,C1734,SCAF BONE KT AUG 3CC,12238.0,9790.4,1.0,11014.2,26
HCPCS,C1735,CATH RDN SYMPLICITY SPYRAL 4FR,70500.0,56400.0,18647.25,63450.0,26
HCPCS,C1737,SPNL SCRL CLSD HD IFUSE 9.5X90,14900.0,11920.0,3941.05,13410.0,26
HCPCS,C1737,SPNL SCRL IFUSE GRANITE 9.5X40,14900.0,11920.0,3941.05,13410.0,26
HCPCS,C1737,SPNL SCRL IFUSE GRANITE 9.5X50,14900.0,11920.0,3941.05,13410.0,26
HCPCS,C1737,SPNL SCRL IFUSE GRANITE 9.5X70,14900.0,11920.0,3941.05,13410.0,26
HCPCS,C1737,SPNL SCRL IFUSE GRANITE 9.5X80,14900.0,11920.0,3941.05,13410.0,26
HCPCS,C1737,SPNL SCRL IFUSE GRANITE 9.5X90,14900.0,11920.0,3941.05,13410.0,26
HCPCS,C1737,SPNL SCRL IFUSE GRANITE10.5X50,14900.0,11920.0,3941.05,13410.0,26
HCPCS,C1737,SPNL SCRL IFUSE GRANITE10.5X60,13125.0,10500.0,3471.56,11812.5,26
HCPCS,C1737,SPNL SCRL IFUSE GRANITE10.5X80,14900.0,11920.0,3941.05,13410.0,26
HCPCS,C1737,SPNL SCRL IFUSE GRANITE9.5X100,14900.0,11920.0,3941.05,13410.0,26
HCPCS,C1739,MARKER TISS MAGSEED 18GX12CM,4032.0,3225.6,1066.46,3628.8,26
HCPCS,C1739,MARKER TISS MAGSEED 18GX7CM,4032.0,3225.6,1066.46,3628.8,26
HCPCS,C1739,MARKER TISS MAGSEED PRO 17GX12,4452.0,3561.6,1177.55,4006.8,26
HCPCS,C1739,MARKER TISS MAGSEED PRO 17GX7,4452.0,3561.6,1177.55,4006.8,26
HCPCS,C1743,STNT OTW ESPRIT BTK 2.5X28MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1743,STNT OTW ESPRIT BTK 3.0X38MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1743,STNT OTW ESPRIT BTK 3.5X28MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1743,STNT OTW ESPRIT BTK 3.5X38MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1743,STNT OTW ESPRIT BTK 3.75X28MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1743,STNT OTW ESPRIT BTK 3.75X38MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1743,STNT RX ESPRIT BTK 2.5X38MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1743,STNT RX ESPRIT BTK 3.0X28MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1743,STNT RX ESPRIT BTK 3.0X38MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1743,STNT RX ESPRIT BTK 3.5X38MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1743,STNT RX ESPRIT BTK 3.75X28MM,12000.0,9600.0,3174.0,10800.0,26
HCPCS,C1747,LITHO SYS ASPIR SURE CVAC CALX,12233.0,9786.4,3235.63,11009.7,26
HCPCS,C1747,URETEROSCP DIG FLEX STD DISP,4956.0,3964.8,1310.86,4460.4,26
HCPCS,C1747,URETRSCP FLEX ASCEND STD 8.6FR,4800.0,3840.0,1269.6,4320.0,26
HCPCS,C1747,URETRSCP LITHOVUE STD DISP,6750.0,5400.0,1785.38,6075.0,26
HCPCS,C1748,DUODENOSCP EXALT MODELD DISP,10955.0,8764.0,1.0,9859.5,26
HCPCS,C1749,"Endo, colon, retro imaging",,,1.0,1.0,3
HCPCS,C1750,CATH DIALYSLNGTERMST14.5FR23CM,2080.0,1664.0,1.0,1872.0,26
HCPCS,C1750,CATH DIALYSLNGTERMST14.5FR24CM,2080.0,1664.0,1.0,1872.0,26
HCPCS,C1750,CATH GLIDEPATH EXCH 14.5FR19CM,2448.0,1958.4,1.0,2203.2,26
HCPCS,C1750,CATH GLIDEPATH STD 13FR 19CM,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1750,CATH GLIDEPATH STD 14.5FR 23CM,599.0,479.2,1.0,539.1,26
HCPCS,C1750,CATH GLIDEPATH STD 14.5FR 35CM,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1750,CATH GLIDEPATH STD 7.5FR 19CM,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1750,CATH HEMO FL*DISC 6318978*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO FL*DISC 6318979*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO FL*DISC 6318980*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO FL*DISC 6318981*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO FL*DISC 6318982*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO FL*DISC 6318983*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO FL*DISC 6318984*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO FL*DISC 6318985*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO FL*DISC 6318986*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO FL*DISC 6318987*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO-CATH DL 12FR 18CM,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1750,CATH HEMO-CATH DL CURV12.5FR28,2021.0,1616.8,1.0,1818.9,26
HCPCS,C1750,CATH HEMO-CATH DL CURV12.5FR32,2021.0,1616.8,1.0,1818.9,26
HCPCS,C1750,CATH HEMO-FLOW X*DISC 6318994*,1530.0,1224.0,1.0,1377.0,52
HCPCS,C1750,CATH HEMO-FLOW X*DISC 6320083*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO-FLOW X*DISC 6329780*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO-FLOW XF ST 24CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO-FLOW XF ST 28CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO-FLOW XF ST 32CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO-FLOW XF ST 36CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO-FLOW XF ST 40CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMO-FLOW XF ST 55CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,CATH HEMODIA*DISC 6318992*,1879.0,1503.2,1.0,1691.1,26
HCPCS,C1750,CATH HEMODIAL HICKDL13.5FR40CM,2027.0,1621.6,1.0,1824.3,26
HCPCS,C1750,CATH HEMODIAL KT GLIDE14.5FR19,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1750,CATH HEMODIAL KT GLIDE14.5FR27,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1750,CATH HEMODIALYS *DISC*,1778.0,1422.4,1.0,1600.2,26
HCPCS,C1750,CATH HEMODIALYS*DISC 6318991*,944.0,755.2,1.0,849.6,26
HCPCS,C1750,CATH HEMOSTAR PRE-C 16FR 24CM,2184.0,1747.2,1.0,1965.6,26
HCPCS,C1750,CATH HEMOSTAR PRE-C 16FR*NLU*,2678.0,2142.4,1.0,2410.2,26
HCPCS,C1750,CATH HEMOSTAR ST 14.5FR 1*NLU*,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1750,CATH III SPLIT S*DISC 6324493*,684.0,547.2,1.0,615.6,26
HCPCS,C1750,CATH KT BASIC CURV EVENMORE 24,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1750,CATH KT BASIC DURAFLOW2 28CM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1750,CATH KT BASIC DURAFLOW2 32CM,500.0,400.0,1.0,450.0,26
HCPCS,C1750,CATH KT BASIC DURAFLOW2 36CM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1750,CATH KT BASIC DURAFLOW2 40CM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1750,CATH KT BASIC DURAMAX 24CM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1750,CATH KT BASIC DURAMAX 55CM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1750,CATH KT VASCPAKDURAMAX15.5FR28,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1750,CATH PERITON PRESTERNAL SWAN15,3686.0,2948.8,1.0,3317.4,26
HCPCS,C1750,CATH PERITON PRESTRNL SWAN15FR,3519.0,2815.2,1.0,3167.1,26
HCPCS,C1750,CATH PERITON SWAN 59CM,902.0,721.6,1.0,811.8,26
HCPCS,C1750,CATH PERITON SWAN LFT 42CM,1461.0,1168.8,1.0,1314.9,26
HCPCS,C1750,CATH PERITON SWAN LFT 62.5CM,1498.0,1198.4,1.0,1348.2,26
HCPCS,C1750,CATH PERITON SWAN PEDS 38.9CM,929.0,743.2,1.0,836.1,26
HCPCS,C1750,CATH PERITON TENCK LFT 15FR,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1750,CATH PERITON XABO 1200MM,2362.0,1889.6,1.0,2125.8,26
HCPCS,C1750,CATHPERITONPRESTERNALSWAN112.3,3519.0,2815.2,1.0,3167.1,26
HCPCS,C1750,CVC DL SPLIT III CURV 14FR28CM,2280.0,1824.0,1.0,2052.0,26
HCPCS,C1750,CVC DL SPLIT III CURV 14FR32CM,2280.0,1824.0,1.0,2052.0,26
HCPCS,C1750,CVC DL SPLIT III ST 10FR 24CM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1750,CVC DL SPLIT III ST 14FR 24CM,2280.0,1824.0,1.0,2052.0,26
HCPCS,C1750,CVC DL SPLIT III ST 14FR 28CM,2280.0,1824.0,1.0,2052.0,26
HCPCS,C1750,CVC DL SPLIT III ST 14FR 32CM,2280.0,1824.0,1.0,2052.0,26
HCPCS,C1750,CVC DL SPLIT III ST 14FR 36CM,2280.0,1824.0,1.0,2052.0,26
HCPCS,C1750,CVC DL SYMETREX SH 15.5FR 19CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1750,CVC DL SYMETREX SH 15.5FR 23CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1750,CVC DL SYMETREX SH 15.5FR 28CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1750,CVC DL SYMETREX SH 15.5FR 42CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1750,GRAFT ART CMPNT HERO,5445.0,4356.0,1.0,4900.5,26
HCPCS,C1750,GRAFT VEN OUTFLOW CMPNT HERO,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1750,GRAFT VEN OUTFLOW*USE 6331791*,10845.0,8676.0,1.0,9760.5,26
HCPCS,C1750,HDCVC DL PALINDROME CURV 36CM,2946.0,2356.8,1.0,2651.4,26
HCPCS,C1750,HDCVC DL PALINDROME TAL 19CM,2946.0,2356.8,1.0,2651.4,26
HCPCS,C1750,HDCVC DL PALINDROME TAL 23CM,2946.0,2356.8,1.0,2651.4,26
HCPCS,C1750,HDCVC FULL DL TITAN HD 32CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,HDCVC FULL DL TITAN HD 55CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,HDCVC KT AIRGUARD ST 10FR19CM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1750,HDCVC KT AIRGUARD ST 7.5FR15CM,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1750,HDCVC KT AIRGUARD ST7.5FR10CM,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1750,HDCVC KT DL TITAN HD CURV24CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,HDCVC KT DL TITAN HD CURV28CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,HDCVC KT DL TITAN HD CURV36CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,HDCVC KT DL TITAN HD ST 24CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,HDCVC KT DL TITAN HD ST 28CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,HDCVC KT DL TITAN HD ST 32CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,HDCVC KT DL TITAN HD ST 36CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,HDCVC KT DL TITANHDST24C*DISC*,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1750,KT CATH TENCKHOFF CURL 62CM,876.0,700.8,1.0,788.4,26
HCPCS,C1750,TRAY CATH DL SHRTTERM 14FR15CM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1751,CATH CVC DL *DISC*,1046.0,836.8,1.0,941.4,26
HCPCS,C1751,CATH CVC DL PU ST 5F*DISC*,1046.0,836.8,1.0,941.4,52
HCPCS,C1751,CATH INFUS CRAGG 4FR 135/10CM,794.0,635.2,1.0,714.6,26
HCPCS,C1751,CATH INFUS CRAGG 4FR 135/20CM,794.0,635.2,1.0,714.6,26
HCPCS,C1751,CATH INFUS CRAGG 5FR 100/20CM,706.0,564.8,1.0,635.4,26
HCPCS,C1751,CATH INFUS CRAGG 5FR 100/40CM,1083.0,866.4,1.0,974.7,26
HCPCS,C1751,CATH INFUS CRAGG 5FR 100/50CM,1083.0,866.4,1.0,974.7,26
HCPCS,C1751,CATH INFUS CRAGG 5FR 135/10CM,750.0,600.0,1.0,675.0,26
HCPCS,C1751,CATH INFUS CRAGG 5FR 135/20CM,750.0,600.0,1.0,675.0,26
HCPCS,C1751,CATH INFUS CRAGG 5FR 135/40CM,1083.0,866.4,1.0,974.7,26
HCPCS,C1751,CATH INFUS CRAGG 5FR 135/50CM,1083.0,866.4,1.0,974.7,26
HCPCS,C1751,CATH INFUS CRAGG 5FR 40/10CM,706.0,564.8,1.0,635.4,26
HCPCS,C1751,CATH INFUS MICR2.9FR150/*DISC*,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1751,CATH IV ACCUCATH ACE 20GX2.25,514.0,411.2,1.0,462.6,26
HCPCS,C1751,CATH IV PE22GX4*DISC 63245394*,873.0,698.4,1.0,785.7,26
HCPCS,C1751,CATH IV PERPH EPIV 22GX4MM,1041.0,832.8,1.0,936.9,26
HCPCS,C1751,CATH IV POLY MID*VAT 6294020*,819.0,655.2,1.0,737.1,26
HCPCS,C1751,CATH JUG DL CRESCENT 26FR,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1751,CATH JUG DL CRESCENT 28FR,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1751,CATH JUG DL CRESCENT 30FR,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1751,CATH JUG DL CRESCENT 32FR,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1751,CATH KT ART 0.021 20G 8CM,488.0,390.4,1.0,439.2,26
HCPCS,C1751,CATH PIC UTAH 3FR 50CM*NLU*,1095.0,876.0,1.0,985.5,26
HCPCS,C1751,CATH POWERGLIDE BASIC 20G*NLU*,499.0,399.2,1.0,449.1,26
HCPCS,C1751,CATH POWERGLIDE FULL 18GX*NLU*,819.0,655.2,1.0,737.1,26
HCPCS,C1751,CATH POWERGLIDE MIDLINE 2*NLU*,713.0,570.4,1.0,641.7,26
HCPCS,C1751,CATH POWERHICK M*DISC 6330019*,2840.0,2272.0,1.0,2556.0,26
HCPCS,C1751,CATH POWERHICK PEEL SL 8F*NLU*,3763.0,3010.4,1.0,3386.7,26
HCPCS,C1751,CATH POWERHIMICR*DISC 6330019*,2896.0,2316.8,1.0,2606.4,26
HCPCS,C1751,CATH POWERPICC SAPHIEN SL*NLU*,1624.0,1299.2,1.0,1461.6,26
HCPCS,C1751,CATH PWRPICSOTL6*DISC 6277344*,1343.0,1074.4,1.0,1208.7,26
HCPCS,C1751,CATH SET ART 0.021 20G 8CM,464.0,371.2,1.0,417.6,26
HCPCS,C1751,CATH SOS OMN1 0.038 5FR 80CM,577.0,461.6,1.0,519.3,26
HCPCS,C1751,CATH SWAN GANZ MON DL 5FR*NLU*,500.0,400.0,1.0,450.0,26
HCPCS,C1751,CATH TRAY CVC 5F*DISC*,900.0,720.0,1.0,810.0,26
HCPCS,C1751,CATH UMBLCL DL PU CARD 3.5FR,351.0,280.8,1.0,315.9,26
HCPCS,C1751,CATH UMBLCL DL PU CARD 5FR,351.0,280.8,1.0,315.9,26
HCPCS,C1751,CATH UMBLCL SL PU CARD 3.5FR,139.0,111.2,1.0,125.1,26
HCPCS,C1751,CATH UMBLCL SL PU CARD 5FR,139.0,111.2,1.0,125.1,26
HCPCS,C1751,CVC DL MAX SPECTRUM 4FR 12CM,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1751,CVC DL MAX SPECTRUM 4FR 15CM,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1751,CVC DL MAX SPECTRUM 4FR 5CM,1662.0,1329.6,1.0,1495.8,26
HCPCS,C1751,CVC DL MAX SPECTRUM 4FR 8CM,1607.0,1285.6,1.0,1446.3,26
HCPCS,C1751,CVC DL STD SPECTRUM 4FR 8CM,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1751,CVC KT 4L PRSS INJGOWN8.5FRX20,1438.0,1150.4,1.0,1294.2,26
HCPCS,C1751,CVC KT DL ADV8.5X11.5BLU+8FR16,1277.0,1021.6,1.0,1149.3,26
HCPCS,C1751,CVC KT DL ARROWG+ARD 4FR 8CM,1122.0,897.6,1.0,1009.8,26
HCPCS,C1751,CVC KT DL CHG 3.5X4.5BLU+8FR16,1234.0,987.2,1.0,1110.6,26
HCPCS,C1751,CVC KT DL GROSHONG PEEL 9.5FR,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1751,CVC KT DL HICK PE9FR65CM*DISC*,1131.0,904.8,1.0,1017.9,26
HCPCS,C1751,CVC KT DL HICK PEEL 7FR 65CM,1105.0,884.0,1.0,994.5,26
HCPCS,C1751,CVC KT DL MAC 9FRX11.5CM,1089.0,871.2,1.0,980.1,26
HCPCS,C1751,CVC KT DL POWERHICKINTRMD9.5FR,3032.0,2425.6,1.0,2728.8,26
HCPCS,C1751,CVC KT DL POWERLINE 6FR 50CM,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1751,CVC KT DL POWERLINE MICINTR6FR,2008.0,1606.4,1.0,1807.2,26
HCPCS,C1751,CVC KT DL TEGA 10X12 BLU+8FR16,1080.0,864.0,1.0,972.0,26
HCPCS,C1751,CVC KT ML PRSS2I*DISC 6347174*,1136.0,908.8,1.0,1022.4,26
HCPCS,C1751,CVC KT ML PRSS4INJBLU+8.5FRX20,1486.0,1188.8,1.0,1337.4,26
HCPCS,C1751,CVC KT SL ARROWG+ARD 16GX16CM,690.0,552.0,1.0,621.0,26
HCPCS,C1751,CVC KT SL ARROWG+ARD 16GX20CM,690.0,552.0,1.0,621.0,26
HCPCS,C1751,CVC KT SL BROVIAC CUTDOWN2.7FR,693.0,554.4,1.0,623.7,26
HCPCS,C1751,CVC KT SL BROVIAC PEEL 4.2FR,1046.0,836.8,1.0,941.4,26
HCPCS,C1751,CVC KT SL GROSHONG 8FR,1598.0,1278.4,1.0,1438.2,26
HCPCS,C1751,CVC KT SL HICK PEEL 9.6FR 90CM,884.0,707.2,1.0,795.6,26
HCPCS,C1751,CVC KT SL POWERHICK INTRMD 8FR,2840.0,2272.0,1.0,2556.0,26
HCPCS,C1751,CVC KT SL POWERLINE MICINTR5FR,1964.0,1571.2,1.0,1767.6,26
HCPCS,C1751,CVC KT TL ARROWG+ARD 5.5FRX8CM,1171.0,936.8,1.0,1053.9,26
HCPCS,C1751,CVC KT TL ARROWG+ARD5.5FRX13CM,1171.0,936.8,1.0,1053.9,26
HCPCS,C1751,CVC KT TL BLU FL*DISC 6325506*,494.0,395.2,1.0,444.6,26
HCPCS,C1751,CVC KT TL HICK PEEL 10FR 97CM,1462.0,1169.6,1.0,1315.8,26
HCPCS,C1751,CVC KT TL HICK PEEL 12.5FR90CM,1471.0,1176.8,1.0,1323.9,26
HCPCS,C1751,CVC KT TL PE CUFF 12FR 90CM,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1751,CVC KT TL PRSS INJ 7FRX16CM,612.0,489.6,1.0,550.8,26
HCPCS,C1751,CVC KT TL PRSS INJ 7FRX20CM,767.0,613.6,1.0,690.3,26
HCPCS,C1751,CVC KT TL PRSS INJGOWN7FRX16CM,1278.0,1022.4,1.0,1150.2,26
HCPCS,C1751,CVC KT TL PRSS INJGOWN7FRX20CM,1278.0,1022.4,1.0,1150.2,26
HCPCS,C1751,CVC KT TL TRIFUSION 12FR 19CM,3088.0,2470.4,1.0,2779.2,26
HCPCS,C1751,CVC KT TL TRIFUSION 12FR 23CM,3088.0,2470.4,1.0,2779.2,26
HCPCS,C1751,CVC KT TL TRIFUSION 12FR 27CM,3088.0,2470.4,1.0,2779.2,26
HCPCS,C1751,CVC KTDLPRSSINJB*DISC 6347175*,952.0,761.6,1.0,856.8,26
HCPCS,C1751,CVC KTTLPRSSINJB*DISC 6343671*,865.0,692.0,1.0,778.5,26
HCPCS,C1751,CVC KTTLPRSSINJBLU+7FRX16*CIP*,954.0,763.2,1.0,858.6,26
HCPCS,C1751,CVC TL HICK TRIFUSION 12FR23CM,3088.0,2470.4,1.0,2779.2,26
HCPCS,C1751,CVC TL KT MAHURK HP ST 12FR 20,774.0,619.2,1.0,696.6,26
HCPCS,C1751,CVCKTMLPRSS INJB*DISC 6347174*,1010.0,808.0,1.0,909.0,26
HCPCS,C1751,KT CATH MAX BARR ART 1.75 20GA,483.0,386.4,1.0,434.7,26
HCPCS,C1751,KT CVC DL ARROWG *VAT 6328839*,918.0,734.4,1.0,826.2,26
HCPCS,C1751,KT CVC DL ARROWG*DISC 6305551*,613.5,490.79999999999995,1.0,623.7,52
HCPCS,C1751,KT CVC DL BLU FL *VAT 6328841*,258.0,206.4,1.0,232.2,26
HCPCS,C1751,KT CVC DL BLU FL*DISC 6305551*,404.0,323.2,1.0,431.1,52
HCPCS,C1751,KT CVC DL BLU FL*DISC 6325510*,329.0,263.2,1.0,296.1,26
HCPCS,C1751,KT CVC DL BLU FLE*VAT 6328839*,258.0,206.4,1.0,232.2,26
HCPCS,C1751,KT CVC DL BLU FLE*VAT 6328840*,258.0,206.4,1.0,232.2,26
HCPCS,C1751,KT CVC DL HICK P*DISC 6186793*,2863.5,2290.8,1.0,4136.4,52
HCPCS,C1751,KT CVC DL MEDCOMP*VAT 6328838*,350.0,280.0,1.0,315.0,26
HCPCS,C1751,KT CVC QL ARROWG*DISC 6325507*,842.0,673.6,1.0,757.8,26
HCPCS,C1751,KT CVC SL BROVIA*DISC 6186793*,1865.0,1492.0,1.0,1678.5,26
HCPCS,C1751,KT CVC SL W LIDO *VAT 6328924*,133.0,106.4,1.0,119.7,26
HCPCS,C1751,KT CVC TL ARROWG *VAT 6325509*,492.0,393.6,1.0,442.8,26
HCPCS,C1751,KT CVC TL ARROWG*DISC 6325508*,696.0,556.8,1.0,626.4,26
HCPCS,C1751,KT CVC TL BASIC*DISC 6318989*,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1751,KT CVC TL BLU FL*DISC 6325506*,329.0,263.2,1.0,296.1,26
HCPCS,C1751,KT CVC TL BLU FL5*VAT 6328922*,425.0,340.0,1.0,382.5,26
HCPCS,C1751,KT POWERGLIDE *USE 6275275*,646.0,516.8,1.0,581.4,26
HCPCS,C1751,KT POWERGLIDE GUA*USE 6275276*,646.0,516.8,1.0,581.4,26
HCPCS,C1751,KT POWERGLIDE GUA*USE 6275277*,689.0,551.2,1.0,620.1,26
HCPCS,C1751,KT POWERGLIDE GUA*USE 6275278*,646.0,516.8,1.0,581.4,26
HCPCS,C1751,KT POWERGLIDE PR*DISC 6299089*,859.0,687.2,1.0,773.1,26
HCPCS,C1751,KT POWERGLIDE PR*VAT 6325678*,532.0,425.6,1.0,478.8,26
HCPCS,C1751,KT POWERGLIDE PR*VAT 6325679*,532.0,425.6,1.0,478.8,26
HCPCS,C1751,KT POWERGLIDE PR*VAT 6325680*,532.0,425.6,1.0,478.8,26
HCPCS,C1751,KT POWERGLIDE PR*VAT 6325681*,551.0,440.8,1.0,495.9,26
HCPCS,C1751,PICC DL POWERPIC MAX TRAY 5FR,1001.0,800.8,1.0,900.9,26
HCPCS,C1751,PICC DL POWERPIC*VAT 6325312*,1770.0,1416.0,1.0,1771.2,52
HCPCS,C1751,PICC DL POWERPICC SOLOBASIC5FR,911.0,728.8,1.0,819.9,26
HCPCS,C1751,PICC DL PROVENA *DISC 6325313*,1480.0,1184.0,1.0,1332.0,26
HCPCS,C1751,PICC DL PROVENA *VAT 6325312*,2178.0,1742.4,1.0,2086.2,52
HCPCS,C1751,PICC DL PROVENA *VAT 6325314*,1650.0,1320.0,1.0,1485.0,26
HCPCS,C1751,PICC DL PROVENA SOLO 3CG 4FR,2283.0,1826.4,1.0,2054.7,26
HCPCS,C1751,PICC DL PROVENA SOLO MAX 4FR,1682.0,1345.6,1.0,1513.8,26
HCPCS,C1751,PICC DL PROVENA SOLO SM 3CG 4F,2283.0,1826.4,1.0,2054.7,26
HCPCS,C1751,PICC DL PROVENA SOLO SM 4FR,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1751,PICC DL PROVENA SOLO3CGMAX+4FR,2218.0,1774.4,1.0,1996.2,26
HCPCS,C1751,PICC DL TRAY ARGYLE 1.9FR 30CM,2061.0,1648.8,1.0,1854.9,26
HCPCS,C1751,PICC DL TRAY POLY 1.9FR,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1751,PICC DL XCELA IR-145 NIT 5FR,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1751,PICC SL ARGYLE 1.9FR 30CM,1243.0,994.4,1.0,1118.7,26
HCPCS,C1751,PICC SL KT PEEL-AWAY PU 1.4FR,1071.0,856.8,1.0,963.9,26
HCPCS,C1751,PICC SL KT PEEL-AWAY PU 1.9FR,1020.0,816.0,1.0,918.0,26
HCPCS,C1751,PICC SL KT UWING PU 1.2FR 25CM,1176.0,940.8,1.0,1058.4,26
HCPCS,C1751,PICC SL POWERPIC*VAT 6325311*,1536.0,1228.8,1.0,1382.4,26
HCPCS,C1751,PICC SL POWERPIC*VAT 6325313*,1065.0,852.0,1.0,958.5,26
HCPCS,C1751,PICC SL POWERPICC SOLOBASIC4FR,899.0,719.2,1.0,809.1,26
HCPCS,C1751,PICC SL POWERPICCSOLO3CGMAX4FR,1926.0,1540.8,1.0,1733.4,26
HCPCS,C1751,PICC SL PROVENA *VAT 6325310*,1608.0,1286.4,1.0,1447.2,26
HCPCS,C1751,PICC SL PROVENA BIOPATCH 3FR55,2241.0,1792.8,1.0,2016.9,26
HCPCS,C1751,PICC SL PROVENA GUARDIVA 3FR55,2306.0,1844.8,1.0,2075.4,26
HCPCS,C1751,PICC SL PROVENA NDLE GDS 3FR55,2323.0,1858.4,1.0,2090.7,26
HCPCS,C1751,PICC SL PROVENA SHERLKTCS3FR55,2062.0,1649.6,1.0,1855.8,26
HCPCS,C1751,PICC SL PROVENA SOLO 3CG SM3FR,2225.0,1780.0,1.0,2002.5,26
HCPCS,C1751,PICC SL PROVENA SOLO 3FR SM,1814.0,1451.2,1.0,1632.6,26
HCPCS,C1751,PICC SL PROVENA SOLO3CGMAX+3FR,2160.0,1728.0,1.0,1944.0,26
HCPCS,C1751,PICC SL PROVENASOLO3CGMAX3FR55,2225.0,1780.0,1.0,2002.5,26
HCPCS,C1751,PICC SL TRAY ARGYLE 1.9FR 30CM,881.0,704.8,1.0,792.9,26
HCPCS,C1751,PICC SPLIT NDLE STYLET 24G20CM,1510.0,1208.0,1.0,1359.0,26
HCPCS,C1751,PICC STYL2FR30CM*DISC 6120724*,415.0,332.0,1.0,373.5,26
HCPCS,C1751,PICC TL POWERPICC SOLOHFMAX5FR,2188.0,1750.4,1.0,1969.2,26
HCPCS,C1751,PICC TL PROVENA *VAT 6325319*,2226.0,1780.8,1.0,2003.4,26
HCPCS,C1751,PICC TL PROVENA SOLO IR135 5FR,1647.0,1317.6,1.0,1482.3,26
HCPCS,C1751,PICC TLPROVENASOLO3CGD1MAX+5FR,2368.0,1894.4,1.0,2131.2,26
HCPCS,C1751,PICC TLPROVENASOLO3CGD2MAX+5FR,2433.0,1946.4,1.0,2189.7,26
HCPCS,C1751,PICC TLPROVENASOLO3CGD3MAX+5FR,2515.0,2012.0,1.0,2263.5,26
HCPCS,C1751,PORT INFUS HICK *DISC NO REPL*,1624.0,1299.2,1.0,1461.6,26
HCPCS,C1751,PORT PLST W ATT CHRONOFLEX 8FR,1624.0,1299.2,1.0,1461.6,26
HCPCS,C1751,PORT POWERPORT DL INTRMD 9.5FR,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1751,POWERGLIDE PRO KT FULL 18G 8CM,954.0,763.2,1.0,858.6,26
HCPCS,C1751,POWERGLIDE PRO KT FULL 18G10CM,954.0,763.2,1.0,858.6,26
HCPCS,C1751,POWERGLIDE PRO KT FULL 20G 8CM,954.0,763.2,1.0,858.6,26
HCPCS,C1751,POWERGLIDE PRO KT FULL 20G10CM,954.0,763.2,1.0,858.6,26
HCPCS,C1751,POWERGLIDE PRO KTRTBASIC18G8CM,656.0,524.8,1.0,590.4,26
HCPCS,C1751,POWERGLIDE PROKTRTBASIC18G10CM,656.0,524.8,1.0,590.4,26
HCPCS,C1751,POWERGLIDE PROKTRTBASIC20G10CM,656.0,524.8,1.0,590.4,26
HCPCS,C1751,SYS CATH PULSPRA*DISC 6269859*,2091.0,1672.8,1.0,1881.9,26
HCPCS,C1751,SYS CATH PULSPRA*DISC 6282813*,2091.0,1672.8,1.0,1881.9,26
HCPCS,C1751,SYS CATH PULSPRA*DISC 6282814*,2091.0,1672.8,1.0,1881.9,26
HCPCS,C1751,SYS CATH PULSPRA*DISC 6282815*,2091.0,1672.8,1.0,1881.9,26
HCPCS,C1751,SYS CATH PULSPRA*DISC 6282816*,2091.0,1672.8,1.0,1881.9,26
HCPCS,C1751,TRAY CATH POWERM*VAT 6316494*,1131.0,904.8,1.0,1017.9,52
HCPCS,C1751,TRAY CATH POWERM*VAT 6325320*,1360.0,1088.0,1.0,1224.0,52
HCPCS,C1751,TRAY CVC DL PU S *VAT 6328840*,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1751,TRAY CVC DL PU ST*VAT 6328838*,1388.0,1110.4,1.0,1249.2,26
HCPCS,C1751,TRAY CVC DL PU ST*VAT 6328839*,1015.0,812.0,1.0,913.5,26
HCPCS,C1751,TRAY CVC TL PU S *VAT 6328922*,1419.0,1135.2,1.0,1277.1,26
HCPCS,C1751,TRAY MAX BARR MIDLINE SL 3FR,1246.0,996.8,1.0,1121.4,26
HCPCS,C1751,TRAY POWERGLIDES*VAT 6294020*,1207.0,965.6,1.0,1086.3,26
HCPCS,C1751,TRAY POWERGLIDES*VAT 6294022*,1207.0,965.6,1.0,1086.3,26
HCPCS,C1751,TRAY POWERGLIDES*VAT 6299089*,1207.0,965.6,1.0,1086.3,26
HCPCS,C1751,TRAY POWERGLIDES*VAT 6325320*,1207.0,965.6,1.0,1086.3,26
HCPCS,C1751,TRAY PRSS MON ST*DISC 6337739*,779.0,623.2,1.0,701.1,26
HCPCS,C1752,CATH DL SD SLT12*DISC 6120605*,519.0,415.2,1.0,467.1,26
HCPCS,C1752,CATH HEMO-CATH DL ST 8FR 12CM,944.0,755.2,1.0,849.6,26
HCPCS,C1752,CATH HEMO-CATH DL ST 8FR 18CM,1879.0,1503.2,1.0,1691.1,26
HCPCS,C1752,CATH HEMO-CATH DL ST 8FR 24CM,1879.0,1503.2,1.0,1691.1,26
HCPCS,C1752,CATH HEMO-CATH DL ST11.5FR20CM,693.0,554.4,1.0,623.7,26
HCPCS,C1752,CATH IC ELITE DL CURV 12FR16CM,895.0,716.0,1.0,805.5,26
HCPCS,C1752,CATH IC ELITE TLST12.5FR16CM,997.0,797.6,1.0,897.3,26
HCPCS,C1752,CATH KT BASIC SCHON XL ACUTE12,783.0,626.4,1.0,704.7,26
HCPCS,C1752,CATH PASS ELITE TLST12.5FR16CM,1188.0,950.4,1.0,1069.2,26
HCPCS,C1752,CATH PASS ELITE TLST12.5FR24CM,1188.0,950.4,1.0,1069.2,26
HCPCS,C1752,CATH PASSELITETLCURV12.5FR20CM,1183.0,946.4,1.0,1064.7,26
HCPCS,C1752,CVC DL PASS MAHURK CURV 12FR20,974.0,779.2,1.0,876.6,26
HCPCS,C1752,CVC KT DL BASIC SLX 14FRX15CM,765.0,612.0,1.0,688.5,26
HCPCS,C1752,CVC KT DL BASIC SLX 14FRX20CM,765.0,612.0,1.0,688.5,26
HCPCS,C1752,CVC KT DL SHRTTERM 14FR24CM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1752,CVC KT TL TRIO-CTMAX13.5FR15CM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1752,CVC KTTLDIALYSALPFSSFTY12FRX20,1210.0,968.0,1.0,1089.0,26
HCPCS,C1752,CVC TL DIALYS SFTY12FRX20CM,954.0,763.2,1.0,858.6,26
HCPCS,C1752,CVC TL IC 12FR20*DISC NO REPL*,997.0,797.6,1.0,897.3,26
HCPCS,C1752,CVC TL IC MAHURK HP CURV12FR13,997.0,797.6,1.0,897.3,26
HCPCS,C1752,CVC TL IC MAHURK HP CURV12FR16,997.0,797.6,1.0,897.3,26
HCPCS,C1752,CVC TL ICMAHURKH*DISC 6348931*,997.0,797.6,1.0,897.3,26
HCPCS,C1752,CVC TL KT MAHURK HP CURV12FR13,774.0,619.2,1.0,696.6,26
HCPCS,C1752,CVC TL KT MAHURK HP CURV12FR16,774.0,619.2,1.0,696.6,26
HCPCS,C1752,CVC TL KT MAHURK HP CURV12FR20,774.0,619.2,1.0,696.6,26
HCPCS,C1752,CVC TL MAHURK ELITE ST12.5FR20,997.0,797.6,1.0,897.3,26
HCPCS,C1752,CVC TL MAHURK ELITE ST12.5FR24,997.0,797.6,1.0,897.3,26
HCPCS,C1752,CVC TL TRIO-CT 13.5FR 20CM,2101.0,1680.8,1.0,1890.9,26
HCPCS,C1752,CVCTLPASSMAHURKH*DISC 6315872*,1183.0,946.4,1.0,1064.7,26
HCPCS,C1752,HDCVC DL DUOGLIDE13FR 30CM,1361.0,1088.8,1.0,1224.9,26
HCPCS,C1752,TRAY CATH DL CU1*DISC 6274925*,895.0,716.0,1.0,805.5,26
HCPCS,C1752,TRAY CATH DL CU1*DISC 6274927*,895.0,716.0,1.0,805.5,26
HCPCS,C1752,TRAY CATH DL ST1*DISC 6274924*,895.0,716.0,1.0,805.5,26
HCPCS,C1752,TRAY CATH TRIALYSIS CURV 20CM,1970.0,1576.0,1.0,1773.0,26
HCPCS,C1752,TRAY CATH TRIALYSIS ST13FR30CM,1870.0,1496.0,1.0,1683.0,26
HCPCS,C1753,CATH EAGLE EYE PLAT 5FR 150CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1753,CATH IVUS KODAMA 3.6FR 14*NLU*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1753,CATH IVUS PIONEER PLUS 6FR,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1753,CATH IVUS RX VISIONS PV 0.014P,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1753,CATH IVUS VISIONS PV 0.018,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1753,CATH IVUS VISIONS PV 0.035,5760.0,4608.0,1.0,5184.0,26
HCPCS,C1753,CATH IVUS VISIONS PV NESC0.035,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1753,CATH OPTICROSS 6HD 6FR 135MM,5063.0,4050.4,1.0,4556.7,26
HCPCS,C1753,CATH OPTICROSS HD BGLESS3FR135,4710.0,3768.0,1.0,4239.0,26
HCPCS,C1753,CATH OPTICROSS IVUS 5FR 135CM,4590.0,3672.0,1.0,4131.0,26
HCPCS,C1753,CATH VERISIGHT PRO ICE10FR90CM,11900.0,9520.0,1.0,10710.0,26
HCPCS,C1753,KT CATH DRAGON*DISC NO REPL*,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1754,"Catheter, intradiscal",,,1.0,1.0,3
HCPCS,C1755,CATH INTH ASCENDA 66CM,5778.0,4622.4,1.0,5200.2,26
HCPCS,C1755,CATH INTH ASCENDA 86CM,5778.0,4622.4,1.0,5200.2,26
HCPCS,C1755,CATH PAIN PUMP INTH MDTR*OBS*,3829.0,3063.2,1.0,3446.1,26
HCPCS,C1755,KT CATH INTH DIST REV,2256.0,1804.8,1.0,2030.4,26
HCPCS,C1756,"Cath, pacing, transesoph",,,1.0,1.0,3
HCPCS,C1757,ASPIR KT HIPPO 6FR 132CM,16625.0,13300.0,1.0,14962.5,26
HCPCS,C1757,CATH ANGIOJET AVX OTW 6FR 50CM,6863.0,5490.4,1.0,6176.7,26
HCPCS,C1757,CATH ANGIOJET OTW 8F 105CM,16538.0,13230.4,1.0,14884.2,26
HCPCS,C1757,CATH ASPIR ALPHAVAC 22FR 180D,22500.0,18000.0,1.0,20250.0,26
HCPCS,C1757,CATH ASPIR MILLIPEDE 70X136CM,9783.0,7826.4,1.0,8804.7,26
HCPCS,C1757,CATH ASPIR RAPTOR 0.071X132CM,10328.0,8262.4,1.0,9295.2,26
HCPCS,C1757,CATH ASPIR RAPTOR 0.071X140CM,10328.0,8262.4,1.0,9295.2,26
HCPCS,C1757,CATH ASPIR RAPTOR 0.074X120CM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1757,CATH ASPIR RAPTOR 0.074X132CM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1757,CATH ASPIR SOCRATES 38 4FR 127,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1757,CATH ASPIR SOCRATES 38 4FR 156,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1757,CATH EMBOL ART F*DISC 6117284*,455.0,364.0,1.0,409.5,26
HCPCS,C1757,CATH EMBOL ART F*DISC 6117286*,455.0,364.0,1.0,409.5,26
HCPCS,C1757,CATH EMBOL ART F*DISC 6117287*,455.0,364.0,1.0,409.5,26
HCPCS,C1757,CATH EMBOL ART F*DISC 6117503*,821.0,656.8,1.0,738.9,26
HCPCS,C1757,CATH EMBOL ART F*DISC 6117504*,455.0,364.0,1.0,409.5,26
HCPCS,C1757,CATH EMBOL ART F*DISC 6242332*,455.0,364.0,1.0,409.5,26
HCPCS,C1757,CATH EMBOL ART FO 3FR80CM*CIP*,455.0,364.0,1.0,409.5,26
HCPCS,C1757,CATH EMBOL ART FOGARTY TB2FR60,853.0,682.4,1.0,767.7,26
HCPCS,C1757,CATH EMBOL ART FOGARTY TB3FR80,475.0,380.0,1.0,427.5,26
HCPCS,C1757,CATH EMBOL ART FOGARTY TB4FR80,475.0,380.0,1.0,427.5,26
HCPCS,C1757,CATH EMBOL ART FOGARTY TB5FR80,455.0,364.0,1.0,409.5,26
HCPCS,C1757,CATH EMBOL ART FOGARTY TB6FR80,475.0,380.0,1.0,427.5,26
HCPCS,C1757,CATH EMBOL AXS VECTA 46 125CM,7931.0,6344.8,1.0,7137.9,26
HCPCS,C1757,CATH EMBOL AXS VECTA 46 146CM,7604.0,6083.2,1.0,6843.6,26
HCPCS,C1757,CATH EMBOL AXS VECTA 46 160CM,7604.0,6083.2,1.0,6843.6,26
HCPCS,C1757,CATH EMBOL AXS VECTA 74 132CM,10637.0,8509.6,1.0,9573.3,26
HCPCS,C1757,CATH EMBOL OTW FOGARTY 4FR 40,923.0,738.4,1.0,830.7,26
HCPCS,C1757,CATH EMBOL OTW FOGARTY 4FR 80,923.0,738.4,1.0,830.7,26
HCPCS,C1757,CATH EMBOL OTW FOGARTY 5.5FR40,923.0,738.4,1.0,830.7,26
HCPCS,C1757,CATH EMBOL OTW FOGARTY 5.5FR80,923.0,738.4,1.0,830.7,26
HCPCS,C1757,CATH EMBOL OTW FOGARTY 6FR 40,923.0,738.4,1.0,830.7,26
HCPCS,C1757,CATH EMBOL OTW FOGARTY 6FR 80,923.0,738.4,1.0,830.7,26
HCPCS,C1757,CATH EXPORT SYS 6FR,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1757,CATH FREECLIMB 54 TENZING5 125,16709.0,13367.2,1.0,15038.1,26
HCPCS,C1757,CATH IND3.4FR150*DISC 6293144*,5234.0,4187.2,1.0,4710.6,26
HCPCS,C1757,CATH INDIG5FR132*DISC 6293144*,5234.0,4187.2,1.0,4710.6,26
HCPCS,C1757,CATH INDIG8FR115*DISC 6336372*,12320.0,9856.0,1.0,13072.5,52
HCPCS,C1757,CATH INDIGO CAT6 6FR 135,8505.0,6804.0,1.0,7654.5,26
HCPCS,C1757,CATH INDIGO CAT6X+ ST 6FR 132,19300.0,15440.0,1.0,17370.0,26
HCPCS,C1757,CATH INDIGO CAT6X+ ST 6FR 150,19300.0,15440.0,1.0,17370.0,26
HCPCS,C1757,CATH INDIGO CAT8*DISC 6336372*,10115.0,8092.0,1.0,9103.5,26
HCPCS,C1757,CATH INDIGO HTORQ H1 6FR 100,24425.0,19540.0,1.0,21982.5,26
HCPCS,C1757,CATH INDIGO HTORQ H1 6FR 80,24425.0,19540.0,1.0,21982.5,26
HCPCS,C1757,CATH INDIGO HTORQ+ 12FR 115,17025.0,13620.0,1.0,15322.5,26
HCPCS,C1757,CATH INDIGO HTORQ+ BOLT12FR100,24300.0,19440.0,1.0,21870.0,26
HCPCS,C1757,CATH INDIGO TORQ+ BOLT 7FR 130,20050.0,16040.0,1.0,18045.0,26
HCPCS,C1757,CATH INDIGO XTORQ H1 6FR 100,24425.0,19540.0,1.0,21982.5,26
HCPCS,C1757,CATH INDIGO XTORQ+ 12FR 100,17025.0,13620.0,1.0,15322.5,26
HCPCS,C1757,CATH INDIGO XTORQ+ 7FR 130,14025.0,11220.0,1.0,12622.5,26
HCPCS,C1757,CATH INDIGO6FR80*DISC 6351801*,24425.0,19540.0,1.0,21982.5,26
HCPCS,C1757,CATH INDIGO8FR50*DISC 6319627*,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1757,CATH INDIGO8FR85*DISC 6336372*,10115.0,8092.0,1.0,9103.5,26
HCPCS,C1757,CATH INDIGOHTORQ*DISC 6344711*,24425.0,19540.0,1.0,21982.5,26
HCPCS,C1757,CATH INFUS UNIFUSE 5FR135X10CM,2656.0,2124.8,1.0,2390.4,26
HCPCS,C1757,CATH INFUS UNIFUSE 5FR135X20CM,2656.0,2124.8,1.0,2390.4,26
HCPCS,C1757,CATH INFUS UNIFUSE 5FR135X30CM,2656.0,2124.8,1.0,2390.4,26
HCPCS,C1757,CATH INFUS UNIFUSE 5FR135X40CM,2656.0,2124.8,1.0,2390.4,26
HCPCS,C1757,CATH INFUS UNIFUSE 5FR135X50CM,2656.0,2124.8,1.0,2390.4,26
HCPCS,C1757,CATH KT INDIGO CAT RX 5.3FR140,8730.0,6984.0,1.0,7857.0,26
HCPCS,C1757,CATH KT INDIGO CAT7D TB 7FR 50,9415.0,7532.0,1.0,8473.5,26
HCPCS,C1757,CATH PRONTO V3,3120.0,2496.0,1.0,2808.0,26
HCPCS,C1757,CATH PROWLER 2.3FR-1.9FR 150CM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1757,CATH PROWLERSELCT LP ST5X*NLU*,4698.0,3758.4,1.0,4228.2,26
HCPCS,C1757,CATH PROWLERSELCT ST 5X1*NLU*,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1757,CATH REPERFUSION KTRED72D 132C,17080.0,13664.0,1.0,15372.0,26
HCPCS,C1757,CATH SOLENT DISTA 4FR 145CM,15820.0,12656.0,1.0,14238.0,26
HCPCS,C1757,CATH SOLENT OMNI 6FR 120CM,15418.0,12334.4,1.0,13876.2,26
HCPCS,C1757,CATH SOLENT PROXI 6FR 90CM,15418.0,12334.4,1.0,13876.2,26
HCPCS,C1757,CATH SPIROFLEX 4FR,8953.0,7162.4,1.0,8057.7,26
HCPCS,C1757,CATH THROMB ESPERANCE 3FR145CM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1757,CATH THROMB ESPERANCE 3FR160CM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1757,CATH THROMB ESPERANCE 6FR131CM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1757,CATH THROMB FOGARTY 6FR 50,3659.0,2927.2,1.0,3293.1,26
HCPCS,C1757,CATH THROMB LIBERANT 6FR 135,19000.0,15200.0,1.0,17100.0,26
HCPCS,C1757,CATH THROMB LIBERANT 8FRLNG115,22000.0,17600.0,1.0,19800.0,26
HCPCS,C1757,CATH THROMB LIBERANT 8FRSHRT50,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1757,CATH THROMB LIBERANT12FRLNG115,24250.0,19400.0,1.0,21825.0,26
HCPCS,C1757,CATH THROMB SMARTCLAW 32MM,14963.0,11970.4,1.0,13466.7,26
HCPCS,C1757,CATH THROMB ZOOM45 144CM,9398.0,7518.4,1.0,8458.2,26
HCPCS,C1757,CATH THROMB ZOOM55 137CM,11183.0,8946.4,1.0,10064.7,26
HCPCS,C1757,CATH THROMB ZOOM7X 137CM,9398.0,7518.4,1.0,8458.2,26
HCPCS,C1757,CATH TRELLIS-6 10X120CM*NLU*,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1757,CATH TRELLIS-6 30X120CM*DISC*,9698.0,7758.4,1.0,8728.2,26
HCPCS,C1757,CATH TRER5FR65CM*DISC 6289553*,4606.0,3684.8,1.0,4145.4,26
HCPCS,C1757,DEV REVASC EMBOTRAP III 6.5X45,19200.0,15360.0,1.0,17280.0,26
HCPCS,C1757,DEV SOLITAIRE PLAT 4X20MM,16313.0,13050.4,1.0,14681.7,26
HCPCS,C1757,DEV SOLITAIRE PLAT 4X40MM,16313.0,13050.4,1.0,14681.7,26
HCPCS,C1757,DEV SOLITAIRE PLAT 6X20MM,16313.0,13050.4,1.0,14681.7,26
HCPCS,C1757,DEV SOLITAIRE3 4X20MM*NLU*,16313.0,13050.4,1.0,14681.7,26
HCPCS,C1757,DEV SOLITAIRE3 4X40MM*NLU*,16313.0,13050.4,1.0,14681.7,26
HCPCS,C1757,DEV SOLITAIRE3 6X20MM*NLU*,16313.0,13050.4,1.0,14681.7,26
HCPCS,C1757,DEV SOLITAIRE3 6X40MM*NLU*,16313.0,13050.4,1.0,14681.7,26
HCPCS,C1757,DEV THROMB EXCIPIO LV 12FR 150,13650.0,10920.0,1.0,12285.0,26
HCPCS,C1757,DEV THROMB EXCIPIO LV 16FR 125,15750.0,12600.0,1.0,14175.0,26
HCPCS,C1757,DEV THROMB EXCIPIO SV 7FR 165,11550.0,9240.0,1.0,10395.0,26
HCPCS,C1757,DEV THROMB RETRVPRESETLITE3X20,14988.0,11990.4,1.0,13489.2,26
HCPCS,C1757,KT EKOSONIC INFUS 106CM 12CM,16090.0,12872.0,1.0,14481.0,26
HCPCS,C1757,KT EKOSONIC INFUS 106CM 18CM,15038.0,12030.4,1.0,13534.2,26
HCPCS,C1757,KT EKOSONIC INFUS 106CM 24CM,16090.0,12872.0,1.0,14481.0,26
HCPCS,C1757,KT EKOSONIC INFUS 106CM 3*NLU*,9433.0,7546.4,1.0,8489.7,26
HCPCS,C1757,KT EKOSONIC INFUS 106CM 6CM,16090.0,12872.0,1.0,14481.0,26
HCPCS,C1757,KT EKOSONIC INFUS 135CM 12CM,15038.0,12030.4,1.0,13534.2,26
HCPCS,C1757,KT EKOSONIC INFUS 135CM 30CM,15038.0,12030.4,1.0,13534.2,26
HCPCS,C1757,KT EKOSONIC INFUS 135CM 40CM,15038.0,12030.4,1.0,13534.2,26
HCPCS,C1757,KT EKOSONIC INFUS 135CM 50CM,15038.0,12030.4,1.0,13534.2,26
HCPCS,C1757,PK DVT THROMBECTOMY INARI,21825.0,17460.0,1.0,19642.5,26
HCPCS,C1757,PK THROMB ARTIX INAR,18750.0,15000.0,1.0,16875.0,26
HCPCS,C1757,PK VTE THROMBECTOMY INARI,26772.0,21417.6,1.0,24094.8,26
HCPCS,C1757,RETRV EMBOL ERIC 3 3X20MM,16875.0,13500.0,1.0,15187.5,26
HCPCS,C1757,RETRV EMBOL ERIC 4 4X30MM,16875.0,13500.0,1.0,15187.5,26
HCPCS,C1757,RETRV EMBOL ERIC 6 6X44MM,16875.0,13500.0,1.0,15187.5,26
HCPCS,C1757,RETRV TREVO NXT PROVUE 4X41MM,21244.0,16995.2,1.0,19119.6,26
HCPCS,C1757,ROTATOR DRIVE TR*DISC 6289553*,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1757,SEP FLEX REPERFUSION.041*NLU*,10395.0,8316.0,1.0,9355.5,26
HCPCS,C1757,SEP FLEX REPERFUSION.054,10395.0,8316.0,1.0,9355.5,26
HCPCS,C1757,SEP INDIGO 12 0.072 150CM,8753.0,7002.4,1.0,7877.7,26
HCPCS,C1757,SEP INDIGO 4 0.035 200CM,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1757,SEP INDIGO 7 0.072 190CM,7560.0,6048.0,1.0,6804.0,26
HCPCS,C1757,SEP INDIGO D 090*DISC 6319736*,7560.0,6048.0,1.0,6804.0,26
HCPCS,C1757,SYS FLOWT*USE 6331168 6331171*,27600.0,22080.0,1.0,24840.0,26
HCPCS,C1757,SYS THROMB POUNCE 7FR 135CM,16625.0,13300.0,1.0,14962.5,26
HCPCS,C1757,SYS THROMB POUNCE LP 7FR 150CM,16625.0,13300.0,1.0,14962.5,26
HCPCS,C1758,CATH ACCESS DL FLEX 6-10FR50CM,485.0,388.0,1.0,436.5,26
HCPCS,C1758,CATH FOLEY DOVER SIL 2W 22FR30,81.0,64.8,1.0,72.9,26
HCPCS,C1758,CATH FOLEY DOVERSILCOUNCIL20FR,295.0,236.0,1.0,265.5,26
HCPCS,C1758,CATH URETRL ACCESS DL 6/10FR50,331.0,264.8,1.0,297.9,26
HCPCS,C1758,CATH URETRL CONE 5FR 70CM,138.0,110.4,1.0,124.2,26
HCPCS,C1758,CATH URETRL DL 0.038 10FR 50CM,450.0,360.0,1.0,405.0,26
HCPCS,C1758,CATH URETRL FLEXIMAOPEN7FR70CM,221.0,176.8,1.0,198.9,26
HCPCS,C1758,CATH URETRL OPEN CONE4.8FR70CM,115.0,92.0,1.0,103.5,26
HCPCS,C1758,CATH URETRL OPEN END 3FR 70CM,94.0,75.2,1.0,84.6,26
HCPCS,C1758,CATH URETRL OPEN END 4FR 70CM,91.0,72.8,1.0,81.9,26
HCPCS,C1758,CATH URETRL OPEN END 5FR *NLU*,97.0,77.6,1.0,87.3,26
HCPCS,C1758,CATH URETRL OPEN END 5FR 70CM,91.0,72.8,1.0,81.9,26
HCPCS,C1758,CATH URETRL OPEN END BS5FR70CM,221.0,176.8,1.0,198.9,26
HCPCS,C1758,CATH URETRL OPEN END FLEX 5FR,124.0,99.2,1.0,111.6,26
HCPCS,C1758,CATH URETRL OPEN END FLEX 6FR,123.0,98.4,1.0,110.7,26
HCPCS,C1758,CATH URETRL OPEN*DISC 6331001*,710.0,568.0,1.0,639.0,26
HCPCS,C1758,SHEATH URETRL RETRACE10/12FR35,1408.0,1126.4,1.0,1267.2,26
HCPCS,C1758,SHEATH URETRL RETRACE10/12FR45,1408.0,1126.4,1.0,1267.2,26
HCPCS,C1758,SHEATH URETRL RETRACE12/14FR35,1408.0,1126.4,1.0,1267.2,26
HCPCS,C1758,SHEATH URETRL RETRACE12/14FR45,1408.0,1126.4,1.0,1267.2,26
HCPCS,C1758,SHEATH URETRL UROPASS10-1*NLU*,992.0,793.6,1.0,892.8,26
HCPCS,C1758,SHEATH URETRL UROPASS10/12FR38,1043.0,834.4,1.0,938.7,26
HCPCS,C1758,SHEATH URETRL UROPASS12/14FR24,1043.0,834.4,1.0,938.7,26
HCPCS,C1758,SHEATH URETRL UROPASS12/14FR38,1043.0,834.4,1.0,938.7,26
HCPCS,C1758,SHEATH URETRL UROPASS12/14FR54,1043.0,834.4,1.0,938.7,26
HCPCS,C1758,SHEATH URETRL UROPASS13/15FR46,1043.0,834.4,1.0,938.7,26
HCPCS,C1759,CATH ACUNAV ULTRSND 10FR 90CM,11029.0,8823.2,1.0,9926.1,26
HCPCS,C1759,CATH ACUNAV ULTRSND GE 8FR90CM,11029.0,8823.2,1.0,9926.1,26
HCPCS,C1759,CATH ACUNAV ULTRSND GE10FR90CM,11029.0,8823.2,1.0,9926.1,26
HCPCS,C1759,CATH ACUNAV ULTRSND L 8FR 90CM,11029.0,8823.2,1.0,9926.1,26
HCPCS,C1759,CATH ICE CRYSTAL 2D 90D 9FR,11844.0,9475.2,1.0,10659.6,26
HCPCS,C1759,CATH NAV ULTSND NUVISION ICE,13913.0,11130.4,1.0,12521.7,26
HCPCS,C1759,CATH SOUNDSTAR CRYSTAL GE 2D,11844.0,9475.2,1.0,10659.6,26
HCPCS,C1759,CATH ULTRSND NUVISION 4D ICE,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1759,CATH ULTRSND SOUNDSTAR GE 8FR,10637.0,8509.6,1.0,9573.3,26
HCPCS,C1760,ANGIOSEAL EVOLUT*DISC 6117496*,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1760,ANGIOSEAL EVOLUT*DISC 6117497*,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1760,DEPTH LOCATOR VASC MANTA 8FR,500.0,400.0,1.0,450.0,26
HCPCS,C1760,DEV CLSR EXOSEAL 7FR*NLU*,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1760,DEV MANUAL ASS*DUP 6322225*,1437.0,1149.6,1.0,1293.3,26
HCPCS,C1760,DEV VASC CLSR ANGIOSEAL VIP6FR,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1760,DEV VASC CLSR ANGIOSEAL VIP8FR,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1760,DEV VASC CLSR CA*DISC NO REPL*,1394.0,1115.2,1.0,1254.6,26
HCPCS,C1760,DEV VASC CLSR EXOSEAL 5FR,1377.0,1101.6,1.0,1239.3,26
HCPCS,C1760,DEV VASC CLSR EXOSEAL 6FR,1377.0,1101.6,1.0,1239.3,26
HCPCS,C1760,DEV VASC CLSR MANTA 14FR,5370.0,4296.0,1.0,4833.0,26
HCPCS,C1760,DEV VASC CLSR MANTA 18FR,5370.0,4296.0,1.0,4833.0,26
HCPCS,C1760,DEV VASC CLSR MYNX CTRL 5FR,2015.0,1612.0,1.0,1813.5,26
HCPCS,C1760,DEV VASC CLSR MYNX CTRL 6-7FR,2015.0,1612.0,1.0,1813.5,26
HCPCS,C1760,DEV VASC CLSR MYNXGRIP 5FR,1887.0,1509.6,1.0,1698.3,26
HCPCS,C1760,DEV VASC CLSR MYNXGRIP 6-7FR,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1760,DEV VASC CLSR PERCLOSEPROGLIDE,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1760,DEV VASC CLSR STARCLOSE 5-6FR,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1760,DEV VASC CLSR VASCADE 5FR,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1760,DEV VASC CLSR VASCADEMVP6-12FR,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1761,BLN CATH IVL C*DISC 6337971*,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,BLN CATH IVL C2 *DISC 6337969*,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,BLN CATH IVL C2 2.5X12MM*DISC*,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,BLN CATH IVL C2*DISC 6337970*,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH BLN IVL C2+ CORO 2.5X12MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH BLN IVL C2+ CORO 3.0X12MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH BLN IVL C2+ CORO 3.5X12MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH BLN IVL C2+ CORO 4.0X12MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH BLN IVL E8 PERIPH2.5X80MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH BLN IVL E8 PERIPH3.0X80MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH BLN IVL E8 PERIPH3.5X80MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH BLN IVL E8 PERIPH4.0X80MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH BLN IVL E8 PERIPH5.0X80MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH BLN IVL E8 PERIPH6.0X80MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH IVL C2 AERO 2.5X12MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH IVL C2 AERO 3.0X12MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH IVL C2 AERO 3.5X12MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH IVL C2 AERO 4.0X12MM,16450.0,13160.0,4351.03,14805.0,26
HCPCS,C1761,CATH IVL SEISMIQ LITHO 3.5X60,16433.0,13146.4,4346.53,14789.7,26
HCPCS,C1761,CATH IVL SEISMIQ LITHO 4.0X60,16433.0,13146.4,4346.53,14789.7,26
HCPCS,C1761,CATH IVL SEISMIQ LITHO 4.5X60,16433.0,13146.4,4346.53,14789.7,26
HCPCS,C1761,CATH IVL SEISMIQ LITHO 5.0X60,16433.0,13146.4,4346.53,14789.7,26
HCPCS,C1761,CATH IVL SEISMIQ LITHO 5.5X60,16433.0,13146.4,4346.53,14789.7,26
HCPCS,C1761,CATH IVL SEISMIQ LITHO 6.0X60,16433.0,13146.4,4346.53,14789.7,26
HCPCS,C1761,CATH IVL SEISMIQ LITHO 6.5X60,16433.0,13146.4,4346.53,14789.7,26
HCPCS,C1761,CATH IVL SEISMIQ LITHO 7.0X60,16433.0,13146.4,4346.53,14789.7,26
HCPCS,C1761,CATH IVL SEISMIQ LITHO 8.0X60,16433.0,13146.4,4346.53,14789.7,26
HCPCS,C1762,ALLO AMNION THICK 3X6CM,14245.0,11396.0,1.0,12820.5,26
HCPCS,C1762,ALLO AMNION THICK 3X8CM,16940.0,13552.0,1.0,15246.0,26
HCPCS,C1762,ALLO AMNION THIN 4X6CM,11646.0,9316.8,1.0,10481.4,26
HCPCS,C1762,ALLO BONE FLEXIGRAFT STD 10MM,4519.0,3615.2,1.0,4067.1,26
HCPCS,C1762,ALLO CARTLG CORE OCA 10MM,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1762,ALLO CARTLG CORE OCA 16MM,13000.0,10400.0,1.0,11700.0,26
HCPCS,C1762,ALLO CARTLG FEM OCA LAT RT,27600.0,22080.0,1.0,24840.0,26
HCPCS,C1762,ALLO CARTLG FEM OCA MEDL LFT,26841.0,21472.8,1.0,24156.9,26
HCPCS,C1762,ALLO COSTAL CARTLG SHT LG4.1X1,4965.0,3972.0,1.0,4468.5,26
HCPCS,C1762,ALLO COSTAL CARTLG SHT SM3.1X1,3970.0,3176.0,1.0,3573.0,26
HCPCS,C1762,ALLO CTIMAX CTILAGE,15750.0,12600.0,1.0,14175.0,26
HCPCS,C1762,ALLO DENOVO NT ZIMM,16345.0,13076.0,1.0,14710.5,26
HCPCS,C1762,ALLO FASCIA LATA FZD 10CMX25MM,1897.0,1517.6,1.0,1707.3,26
HCPCS,C1762,ALLO FASCIA LATA FZD18CMX100MM,5001.0,4000.8,1.0,4500.9,26
HCPCS,C1762,ALLO KNEE BIOCARTLG 1CC,4851.0,3880.8,1.0,4365.9,26
HCPCS,C1762,ALLO NERVE ADVANCE 3-4X50MM,17460.0,13968.0,1.0,15714.0,26
HCPCS,C1762,ALLO NERVE AVANCE 1-2X15MM,9475.0,7580.0,1.0,8527.5,26
HCPCS,C1762,ALLO NERVE AVANCE 1-2X30MM,15645.0,12516.0,1.0,14080.5,26
HCPCS,C1762,ALLO NERVE AVANCE 1-2X50MM,16848.0,13478.4,1.0,15163.2,26
HCPCS,C1762,ALLO NERVE AVANCE 2-3X15MM,9475.0,7580.0,1.0,8527.5,26
HCPCS,C1762,ALLO NERVE AVANCE 2-3X30MM,15645.0,12516.0,1.0,14080.5,26
HCPCS,C1762,ALLO NERVE AVANCE 2-3X50MM,16848.0,13478.4,1.0,15163.2,26
HCPCS,C1762,ALLO NERVE AVANCE 3-4X30MM,15645.0,12516.0,1.0,14080.5,26
HCPCS,C1762,ALLO NERVE AVANCE 3-4X70MM,23443.0,18754.4,1.0,21098.7,26
HCPCS,C1762,ALLO NERVE AVANCE 4-5X30MM,13048.0,10438.4,1.0,11743.2,26
HCPCS,C1762,ALLO NERVE AVANCE 4-5X50MM,17460.0,13968.0,1.0,15714.0,26
HCPCS,C1762,ALLO NERVE AVANCE 4-5X70MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1762,ALLO SAPHENOUS VEIN 26CM,15525.0,12420.0,1.0,13972.5,26
HCPCS,C1762,ALLO SEMI-TENDINOSUS >4 >230MM,7149.0,5719.2,1.0,6434.1,26
HCPCS,C1762,ALLO SEMITENDINOSUS SGL *NLU*,5442.0,4353.6,1.0,4897.8,26
HCPCS,C1762,ALLO TENDON *USE 6301707*,7596.0,6076.8,1.0,6836.4,26
HCPCS,C1762,ALLO TENDON ACHILLES WCAL/SPEC,7596.0,6076.8,1.0,6836.4,26
HCPCS,C1762,ALLO TENDON ANT TIB 20CMX6MM,6827.0,5461.6,1.0,6144.3,26
HCPCS,C1762,ALLO TENDON ANT TIB <11X220MM,5025.0,4020.0,1.0,4522.5,26
HCPCS,C1762,ALLO TENDON ANT TIB W SPEC,6827.0,5461.6,1.0,6144.3,26
HCPCS,C1762,ALLO TENDON GRACILIS 20-38CM,5063.0,4050.4,1.0,4556.7,26
HCPCS,C1762,ALLO TENDON GRACILIS 230MM,4961.0,3968.8,1.0,4464.9,26
HCPCS,C1762,ALLO TENDON GRAFTLINK 77-95MM,9030.0,7224.0,1.0,8127.0,26
HCPCS,C1762,ALLO TENDON PERONEUSLNG22-38CM,5531.0,4424.8,1.0,4977.9,26
HCPCS,C1762,ALLO TENDON PILOTGRAFT 25-45MM,12460.0,9968.0,1.0,11214.0,26
HCPCS,C1762,ALLO TENDON PSTR *USE 6301704*,6827.0,5461.6,1.0,6144.3,26
HCPCS,C1762,ALLO TENDON QUAD W BONE BLOCK,7470.0,5976.0,1.0,6723.0,26
HCPCS,C1762,ALLO TENDON SEMITENDIN 20-26CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C1762,ALLO TENDON SEMITENDIN 26-38CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C1762,ALLO TENDON SPEEDGRAFT 9.5X196,10463.0,8370.4,1.0,9416.7,26
HCPCS,C1762,ALLO TENDON SPEEDGRAFTQUADLINK,9975.0,7980.0,1.0,8977.5,26
HCPCS,C1762,ALLO TENDON TIBLIS 6.5X270MM,7149.0,5719.2,1.0,6434.1,26
HCPCS,C1762,ALLO TENDON VERSAGRAFT 150-250,5985.0,4788.0,1.0,5386.5,26
HCPCS,C1762,ALLO TENDONVERSAGRAFT180X4-5MM,5805.0,4644.0,1.0,5224.5,26
HCPCS,C1762,ALLO TUTOPLAST PERICARD 5X5CM,5454.0,4363.2,1.0,4908.6,26
HCPCS,C1762,ALLO TUTOPLAST PERICARD1.5X1.5,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1762,ALLO VASC FEM ART >30CM,16630.0,13304.0,1.0,14967.0,26
HCPCS,C1762,ALLOTENDONPERONEUSLNGUSF*DISC*,8406.0,6724.8,1.0,7565.4,26
HCPCS,C1762,SCAF BONE AGILI-C 10 10MM,16045.0,12836.0,1.0,14440.5,26
HCPCS,C1762,SCAF BONE AGILI-C 12.5 10MM,16045.0,12836.0,1.0,14440.5,26
HCPCS,C1762,SCAF BONE AGILI-C 7.5 10MM PK1,13750.0,11000.0,1.0,12375.0,26
HCPCS,C1762,SCAF BONE AGILI-C 7.5 10MM PK2,14083.0,11266.4,1.0,12674.7,26
HCPCS,C1762,SCAF BONE AGILI-C 7.5 10MM PK3,14620.0,11696.0,1.0,13158.0,26
HCPCS,C1762,SCAF BONE AGILI-C 7.5 10MM PK5,15695.0,12556.0,1.0,14125.5,26
HCPCS,C1763,DEL SYS BIOBRACE RC 23X25MM,16916.0,13532.8,1.0,15224.4,26
HCPCS,C1763,GRAFT FISTULA BIODESIGN 0.2CM,5339.0,4271.2,1.0,4805.1,26
HCPCS,C1763,GRAFT GENTRIX HIATAL 6X7.5CM,5484.0,4387.2,1.0,4935.6,26
HCPCS,C1763,GRAFT MD BIOINDUCTIVE W DELV,10134.0,8107.2,1.0,9120.6,26
HCPCS,C1763,GRAFT MTX GENTRIX 10X15CM*NLU*,12915.0,10332.0,1.0,11623.5,26
HCPCS,C1763,GRAFT MTX GENTRIX 5X5CM,4382.0,3505.6,1.0,3943.8,26
HCPCS,C1763,GRAFT MTX GENTRIX PLUS 10X15CM,13147.0,10517.6,1.0,11832.3,26
HCPCS,C1763,GRAFT MTX GENTRIX PLUS 7X10CM,7889.0,6311.2,1.0,7100.1,26
HCPCS,C1763,GRAFT MTX GENTRIX THICK20*NLU*,24600.0,19680.0,1.0,22140.0,26
HCPCS,C1763,GRAFT MTX GENTRIX THICK20X30CM,34559.0,27647.2,1.0,31103.1,26
HCPCS,C1763,GRAFT MTX GENTRIX THICK30*NLU*,59409.0,47527.2,1.0,61106.4,52
HCPCS,C1763,GRAFT MTX GENTRIX THIN 10X15CM,9203.0,7362.4,1.0,8282.7,26
HCPCS,C1763,GRAFT MTX GENTRIX THIN 7X10CM,5522.0,4417.6,1.0,4969.8,26
HCPCS,C1763,GRAFT MTX GENTRIX THIN 7X15CM,8283.0,6626.4,1.0,7454.7,26
HCPCS,C1763,GRAFT MTX MATRISTEM RS 5*NLU*,2952.0,2361.6,1.0,2656.8,26
HCPCS,C1763,GRAFT NERVE AXOGUARD 10X40MM,10630.0,8504.0,1.0,9567.0,26
HCPCS,C1763,GRAFT NERVE AXOGUARD3.5X40MM,10731.0,8584.8,1.0,9657.9,26
HCPCS,C1763,GRAFT NERVE AXOGUARD5X20MM,9914.0,7931.2,1.0,8922.6,26
HCPCS,C1763,GRAFT NERVE AXOGUARD5X40MM,10731.0,8584.8,1.0,9657.9,26
HCPCS,C1763,GRAFT NERVE AXOGUARD7X40MM,10630.0,8504.0,1.0,9567.0,26
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD2X15MM,9873.0,7898.4,1.0,8885.7,26
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD3X15MM,9873.0,7898.4,1.0,8885.7,26
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD4X15MM,9873.0,7898.4,1.0,8885.7,26
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD6X15MM,9873.0,7898.4,1.0,8885.7,26
HCPCS,C1763,GRAFT NERVE PROTECT WRAP 4X8CM,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1763,GRAFT NERVE TAPE 1.5X14MM,8096.0,6476.8,1.0,7286.4,26
HCPCS,C1763,GRAFT NERVE TAPE 2.0X14MM,8096.0,6476.8,1.0,7286.4,26
HCPCS,C1763,GRAFT NERVE TAPE 3.0X14MM,8096.0,6476.8,1.0,7286.4,26
HCPCS,C1763,GRAFT NERVE TAPE 4.0X16MM,8096.0,6476.8,1.0,7286.4,26
HCPCS,C1763,GRAFT NERVE TAPE 5.0X16MM,8096.0,6476.8,1.0,7286.4,26
HCPCS,C1763,GRAFT NERVE TAPE 6.0X22MM,8096.0,6476.8,1.0,7286.4,26
HCPCS,C1763,GRAFT NERVE TAPE 7.0X22MM,8096.0,6476.8,1.0,7286.4,26
HCPCS,C1763,GRAFT NERVEPROTECTAXOGRDHA+2X2,9342.0,7473.6,1.0,8407.8,26
HCPCS,C1763,GRAFT NERVEPROTECTAXOGRDHA+2X4,11480.0,9184.0,1.0,10332.0,26
HCPCS,C1763,GRAFT NERVEPROTECTAXOGRDHA+3X6,13076.0,10460.8,1.0,11768.4,26
HCPCS,C1763,GRAFT NERVEPROTECTAXOGRDHA+4X8,13098.0,10478.4,1.0,11788.2,26
HCPCS,C1763,GRAFT OTO BIODESIGN 0.6-0.9CM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1763,GRAFT OTO BIODESIGN 2.5X2.5CM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1763,GRAFT PRESUT SPEEDFLEX 20X25X2,8910.0,7128.0,1.0,8019.0,26
HCPCS,C1763,GRAFT SUTURABLE DURAMATRIX 1X3,3453.0,2762.4,1.0,3107.7,26
HCPCS,C1763,GRAFT TISS BIODESIGN 1LYR2X3CM,893.0,714.4,1.0,803.7,26
HCPCS,C1763,GRAFT TISS BIODESIGN 4LYR2X3CM,4123.0,3298.4,1.0,3710.7,26
HCPCS,C1763,GRAFT TISS BIODESIGN4LYR7X10CM,6066.0,4852.8,1.0,5459.4,26
HCPCS,C1763,LAMINA EPIDISC OTO 8MM*DISC*,765.0,612.0,1.0,688.5,26
HCPCS,C1763,LAMINA EPIFILM O*DISC NO REPL*,1803.0,1442.4,1.0,1622.7,26
HCPCS,C1763,MESH BIOLG RE*DISC 6305394*,9653.0,7722.4,1.0,8687.7,26
HCPCS,C1763,MESH BIOLG RE*DISC 6305395*,9653.0,7722.4,1.0,8687.7,26
HCPCS,C1763,MESH BIOLG REGENETEN W DEL LG,10134.0,8107.2,1.0,9120.6,26
HCPCS,C1763,MTX DURAL LYOPLANT ONLAY 2X2,2212.0,1769.6,1.0,1990.8,26
HCPCS,C1763,MTX DURAL LYOPLANT ONLAY 3X3,3871.0,3096.8,1.0,3483.9,26
HCPCS,C1763,MTX DURAL LYOPLANT ONLAY 4X5,5968.0,4774.4,1.0,5371.2,26
HCPCS,C1763,MTX DURALLYOPLANTSUTURABLE6X14,3543.0,2834.4,1.0,3188.7,26
HCPCS,C1763,MTX DUREPAIR DURA REGEN 1X1,2410.0,1928.0,1.0,2169.0,26
HCPCS,C1763,MTX MATRISTEM PELVIC ACE*DISC*,7970.0,6376.0,1.0,7173.0,26
HCPCS,C1763,MTX ROTATOR CUFFBIOCHARGE2X1.2,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1763,PLUG ENTERO FISTULA 7MMX18CM,11900.0,9520.0,1.0,10710.0,26
HCPCS,C1763,SHT SIL MDTR 0.51MM 5X5CM,1826.0,1460.8,1.0,1643.4,26
HCPCS,C1763,SHT SIL MDTR 1.02MM 5X5CM,1819.0,1455.2,1.0,1637.1,26
HCPCS,C1763,TOE IMPLT CARTLG SYN 8MM,12327.0,9861.6,1.0,11094.3,26
HCPCS,C1764,ICM ASSERT-IQ 3+ 46.5X9.4X3.1,16100.0,12880.0,1.0,14490.0,26
HCPCS,C1764,ICM ASSERT-IQ EL+ 49X9.4X4.4,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1764,ICM LUX-DX II+ M312,22950.0,18360.0,1.0,20655.0,26
HCPCS,C1764,ICM REMOTE PROGM LINQ II,17483.0,13986.4,1.0,15734.7,26
HCPCS,C1764,ICM REMOTE PROGM*DISC NO REPL*,16958.0,13566.4,1.0,15262.2,26
HCPCS,C1764,ICM REVEAL LINQ *DISC NO REPL*,16958.0,13566.4,1.0,15262.2,26
HCPCS,C1764,LOOP REC ICM REVEAL XT*NLU*,13034.0,10427.2,1.0,11730.6,26
HCPCS,C1764,SYS ICM LINQ II*DISC 6315682*,17483.0,13986.4,1.0,15734.7,26
HCPCS,C1765,BARR SURG INTERCEED 3X4,3980.0,3184.0,1.0,3582.0,26
HCPCS,C1765,BARR SURG SEPRAFILM 5X6,3196.0,2556.8,1.0,2876.4,26
HCPCS,C1765,BARR SURG SEPRAFILM PRCD PK3X5,5639.0,4511.2,1.0,5075.1,26
HCPCS,C1766,INTR EP AGILIS NXT LG8.5FR71CM,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1766,INTR EP AGILIS NXT MD 13FR71CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1766,INTR EP AGILIS NXT MD8.5FR61CM,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1766,INTR EP AGILIS NXT MD8.5FR71CM,5790.0,4632.0,1.0,5211.0,26
HCPCS,C1766,INTR EP AGILIS NXT SM8.5FR71CM,5790.0,4632.0,1.0,5211.0,26
HCPCS,C1766,INTR TRNSPTL AGILIS MD 8.5FR,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1766,INTR TRNSPTL AGILIS SM 8.5FR,5472.0,4377.6,1.0,4924.8,26
HCPCS,C1766,SHEATH CH STEER*DISC MULT*,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1766,SHEATH DIREX STEER CUR*NLU*,5670.0,4536.0,1.0,5103.0,26
HCPCS,C1766,SHEATH FLEXCATH ADVANCE 12FR,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1766,SHEATH FLEXCATH CONTOUR 12FR13,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1766,SHEATH STEER FARADRIVE13FR74CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1766,SHEATH TOURGUIDE 6.5FR 17MM 45,3592.0,2873.6,1.0,3232.8,26
HCPCS,C1766,SHEATH TOURGUIDE 6.5FR 17MM 55,3592.0,2873.6,1.0,3232.8,26
HCPCS,C1766,SHEATH TOURGUIDE 6.5FR 9MM 45,3592.0,2873.6,1.0,3232.8,26
HCPCS,C1766,SHEATH TOURGUIDE 7.0FR 17MM 55,3592.0,2873.6,1.0,3232.8,26
HCPCS,C1766,SHEATH TOURGUIDE 8.5FR 17MM 90,4452.0,3561.6,1.0,4006.8,26
HCPCS,C1767,GENERATOR VNS SEN*USE 6289026*,82795.0,66236.0,1.0,74515.5,26
HCPCS,C1767,IPG ALPHA PRIME 16,35650.0,28520.0,1.0,32085.0,26
HCPCS,C1767,IPG ALPHA PRIME 32,36800.0,29440.0,1.0,33120.0,26
HCPCS,C1767,IPG INFINITY 7 DBS 7.5 BAT 10N,41400.0,33120.0,1.0,37260.0,26
HCPCS,C1767,IPG PROCLAIM PLUS 7,53537.0,42829.6,1.0,48183.3,26
HCPCS,C1767,IPG PROCLAIM XR5CTRLSYS3883ANS,50087.0,40069.6,1.0,45078.3,26
HCPCS,C1767,KT REPLC NEURO STIM VANTA,42654.0,34123.2,1.0,38388.6,26
HCPCS,C1767,NEUROSTIMULATOR *DISC 6325306*,26059.0,20847.2,1.0,23453.1,26
HCPCS,C1767,NEUROSTIMULATOR INTERSTIM*NLU*,24750.0,19800.0,1.0,22275.0,26
HCPCS,C1767,PUMP PAIN VANTA ADAPTIVSTIM,36904.0,29523.2,1.0,33213.6,26
HCPCS,C1767,STIM DBS ACTIVA PC MDTR,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1767,STIM DBS ACTIVA SC FOR 37085,22438.0,17950.4,1.0,20194.2,26
HCPCS,C1767,STIM DBS ACTIVA SC MDTR,22438.0,17950.4,1.0,20194.2,26
HCPCS,C1767,STIM DBS PERCEPT PC BRAINSENSE,49121.0,39296.8,1.0,44208.9,26
HCPCS,C1767,STIM GENRTR DUO VNS SENTIVA,87448.0,69958.4,1.0,78703.2,26
HCPCS,C1767,STIM GENRTR VNS ASPIRESR 14CC,75463.0,60370.4,1.0,67916.7,26
HCPCS,C1767,STIM GENRTR VNS SENTIVA,87448.0,69958.4,1.0,78703.2,26
HCPCS,C1767,STIM NERVE ENT IPG INSPIRE3028,41918.0,33534.4,1.0,37726.2,26
HCPCS,C1767,STIM NERVE IPG ENT INSPIRE3150,49680.0,39744.0,1.0,44712.0,26
HCPCS,C1767,STIM NEURO KT VANTA,56684.0,45347.2,1.0,51015.6,26
HCPCS,C1767,STIM RESTRO ADV SURSCAN,28750.0,23000.0,1.0,25875.0,26
HCPCS,C1767,STIM SNM INTERSTIM X,25185.0,20148.0,1.0,22666.5,26
HCPCS,C1767,STIM VNS DEMIPULSE 10CC,66224.0,52979.2,1.0,59601.6,26
HCPCS,C1767,STIM VNS DEMIPULSE 8CC,62307.0,49845.6,1.0,56076.3,26
HCPCS,C1767,SYS STIM SPNL SENZA OMNIA,60936.0,48748.8,1.0,54842.4,26
HCPCS,C1768,ALLO AORTOILIAC ART FD13 DD23,65907.0,52725.6,1.0,59316.3,26
HCPCS,C1768,ALLO FEM VEIN WO VALV 21-29CM,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1768,ALLO FEM VEIN WO VALV =>30CM,16000.0,12800.0,1.0,14400.0,26
HCPCS,C1768,ALLO SAPHENOUS VEIN 64CM,21166.0,16932.8,1.0,19049.4,26
HCPCS,C1768,ALLO SAPHENOUS VEIN 80CM,22660.0,18128.0,1.0,20394.0,26
HCPCS,C1768,ALLO SAPHENOUS VEIN >80CM,24566.0,19652.8,1.0,22109.4,26
HCPCS,C1768,ALLO VASC FEM ART 21-30CM,14924.0,11939.2,1.0,13431.6,26
HCPCS,C1768,ENDOL ENDUR II 16X10X146MM,10752.0,8601.6,1.0,9676.8,26
HCPCS,C1768,EXXCELSWTHINSTEX10X50X50*DISC*,3516.0,2812.8,1.0,3164.4,26
HCPCS,C1768,FABRIC HEMA KNIT DBL VELOUR1X3,1058.0,846.4,1.0,952.2,26
HCPCS,C1768,FABRIC HEMA KNIT DBL VELOUR2X6,2484.0,1987.2,1.0,2235.6,26
HCPCS,C1768,GRAFT ANTEFLO PR*DISC 6347663*,11219.0,8975.2,1.0,10097.1,26
HCPCS,C1768,GRAFT ANTEFLO PRECURV 50CMX28,11219.0,8975.2,1.0,10097.1,26
HCPCS,C1768,GRAFT ANTEFLO PRECURV 50CMX30,11219.0,8975.2,1.0,10097.1,26
HCPCS,C1768,GRAFT AXBIF 10MM*USE 6117083*,4653.0,3722.4,1.0,4187.7,26
HCPCS,C1768,GRAFT AXBIF LFT 10MMX100CM,4702.0,3761.6,1.0,4231.8,26
HCPCS,C1768,GRAFT AXBIF LFT 8MMX100CM*NLU*,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1768,GRAFT AXBIF RT 10MMX100CM,4702.0,3761.6,1.0,4231.8,26
HCPCS,C1768,GRAFT BIF HEMA 12X7MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1768,GRAFT BIF HEMA 14X7MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1768,GRAFT BIF HEMA 18X9MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1768,GRAFT BIF HEMA 20X10MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1768,GRAFT BIF HEMA 22X11MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1768,GRAFT BIF HEMA 24X12MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1768,GRAFT COLLAGEN ARTE 5MMX40CM,10287.0,8229.6,1.0,9258.3,26
HCPCS,C1768,GRAFT COLLAGEN ARTE 5MMX45CM,15152.0,12121.6,1.0,13636.8,26
HCPCS,C1768,GRAFT COLLAGEN ARTE 6MMX40CM,9027.0,7221.6,1.0,8124.3,26
HCPCS,C1768,GRAFT COLLAGEN ARTE 6MMX45CM,11127.0,8901.6,1.0,10014.3,26
HCPCS,C1768,GRAFT COLLAGEN ARTE 6MMX50CM,14627.0,11701.6,1.0,13164.3,26
HCPCS,C1768,GRAFT COLLAGEN ARTE 7MMX30CM,11066.0,8852.8,1.0,9959.4,26
HCPCS,C1768,GRAFT COLLAGEN ARTE 7MMX40CM,11201.0,8960.8,1.0,10080.9,26
HCPCS,C1768,GRAFT CUST GELWEAVE VALS 16X15,14988.0,11990.4,1.0,13489.2,26
HCPCS,C1768,GRAFT CUST GELWEAVE VALS 18X15,14988.0,11990.4,1.0,13489.2,26
HCPCS,C1768,GRAFT CUST GELWEAVE VALS 20X15,14988.0,11990.4,1.0,13489.2,26
HCPCS,C1768,GRAFT CUST GELWEAVE VALS 22X15,14988.0,11990.4,1.0,13489.2,26
HCPCS,C1768,GRAFT CV PERIGUARD 10X16CM,5688.0,4550.4,1.0,5119.2,26
HCPCS,C1768,GRAFT CV PERIGUARD 4X4CM,3113.0,2490.4,1.0,2801.7,26
HCPCS,C1768,GRAFT CV VASCU-GUARD 0.8X8CM,2024.0,1619.2,1.0,1821.6,26
HCPCS,C1768,GRAFT CV VASCU-GUARD 1X6CM,1604.0,1283.2,1.0,1443.6,26
HCPCS,C1768,GRAFT CV VASCU-GUARD 2X9CM,2861.0,2288.8,1.0,2574.9,26
HCPCS,C1768,GRAFT DISTAFLO BYPASS 7MMX80CM,17424.0,13939.2,1.0,15681.6,26
HCPCS,C1768,GRAFT DISTAFLO BYPASSSTD6MMX80,16133.0,12906.4,1.0,14519.7,26
HCPCS,C1768,GRAFT FLIXENE 6MMX50CM*NLU*,5729.0,4583.2,1.0,5156.1,26
HCPCS,C1768,GRAFT FLIXENE GRAD 6MM40CM,5105.0,4084.0,1.0,4594.5,26
HCPCS,C1768,GRAFT GELWEAVE 1*DISC 6347632*,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 10MMX15CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 10MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 12MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 14MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 16MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 20MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 22MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 24MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 26MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 28MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 30MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 32MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 34MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 6MMX15CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 8*DISC 6347630*,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 8MMX15CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE 8MMX30CM,5556.0,4444.8,1.0,5000.4,26
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO 24/8,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO 26/8,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO 28/8,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO 30/8,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO 32/8,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE ANTEFLO 50CMX22,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE ANTEFLO 50CMX24,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE ANTEFLO 50CMX26,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE ANTEFLO 50CMX28,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE ANTEFLO 50CMX30,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE ANTEFLO 50CMX32,8991.0,7192.8,1.0,8091.9,26
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347653*,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347654*,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347655*,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347656*,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347657*,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347658*,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 10X8X26,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 10X8X28,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 10X8X30,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 10X8X32,14413.0,11530.4,1.0,12971.7,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X20,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X22,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X24,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X26,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X28,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X30,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X32,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X34,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE PLEXUS410X10X32,12285.0,9828.0,1.0,11056.5,26
HCPCS,C1768,GRAFT GELWEAVE SIENA 4 10X8X2,14413.0,11530.4,1.0,12971.7,26
HCPCS,C1768,GRAFT GELWEAVE SIENA 4 10X8X30,14413.0,11530.4,1.0,12971.7,26
HCPCS,C1768,GRAFT GELWEAVE SIENA 4 8X8X26,14413.0,11530.4,1.0,12971.7,26
HCPCS,C1768,GRAFT GELWEAVE ST 30MMX40CM,5265.0,4212.0,1.0,4738.5,26
HCPCS,C1768,GRAFT GELWEAVE ST 32MMX40CM,5265.0,4212.0,1.0,4738.5,26
HCPCS,C1768,GRAFT GELWEAVE ST 34MMX40CM,5265.0,4212.0,1.0,4738.5,26
HCPCS,C1768,GRAFT GELWEAVE ST 36MMX40CM,5265.0,4212.0,1.0,4738.5,26
HCPCS,C1768,GRAFT GELWEAVE ST 50CMX26MM,5265.0,4212.0,1.0,4738.5,26
HCPCS,C1768,GRAFT GELWEAVE ST 50CMX28MM,5265.0,4212.0,1.0,4738.5,26
HCPCS,C1768,GRAFT GELWEAVE V*DISC 6347643*,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1768,GRAFT GELWEAVE V*DISC 6347645*,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1768,GRAFT GELWEAVE V*DISC 6347647*,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1768,GRAFT GELWEAVE V*DISC 6347648*,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 24X15,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 26X15,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 28X15,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 30X15,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 32X15,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 34X15,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1768,GRAFT GORERINGED14MMX30CMX30CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1768,GRAFT HEMA 10MMX60CM,3717.0,2973.6,1.0,3345.3,26
HCPCS,C1768,GRAFT HEMA 8X100X60CM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1768,GRAFT HEMA BRANCH 12/10/8/8 26,8483.0,6786.4,1.0,7634.7,26
HCPCS,C1768,GRAFT HEMA BRANCH 12/10/8/8 28,8443.0,6754.4,1.0,7598.7,26
HCPCS,C1768,GRAFT HEMA GLD 6MM 30CM,3888.0,3110.4,1.0,3499.2,26
HCPCS,C1768,GRAFT HEMA MD 10MM 30CM,3888.0,3110.4,1.0,3499.2,26
HCPCS,C1768,GRAFT HEMA MD 12MM 15CM,2878.0,2302.4,1.0,2590.2,26
HCPCS,C1768,GRAFT HEMA MD 14MM 15CM,3058.0,2446.4,1.0,2752.2,26
HCPCS,C1768,GRAFT HEMA MD 16MM 15CM*NLU*,2925.0,2340.0,1.0,2632.5,26
HCPCS,C1768,GRAFT HEMA MD 18MM 15CM*NLU*,2925.0,2340.0,1.0,2632.5,26
HCPCS,C1768,GRAFT HEMA MD 20MM 15CM*NLU*,2925.0,2340.0,1.0,2632.5,26
HCPCS,C1768,GRAFT HEMA MD 22MM 15CM*NLU*,2925.0,2340.0,1.0,2632.5,26
HCPCS,C1768,GRAFT HEMA MD 24MM 15CM*NLU*,2989.0,2391.2,1.0,2690.1,26
HCPCS,C1768,GRAFT HEMA MD 7MM 60CM,3717.0,2973.6,1.0,3345.3,26
HCPCS,C1768,GRAFT HEMA MDV 12MM 30CM,3888.0,3110.4,1.0,3499.2,26
HCPCS,C1768,GRAFT HEMA MDV BIF 12X6MM 40CM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1768,GRAFT HEMA MDV BIF 16X9MM 40CM,5237.0,4189.6,1.0,4713.3,26
HCPCS,C1768,GRAFT HEMA PLAT 12MM 15CM*NLU*,3098.0,2478.4,1.0,2788.2,26
HCPCS,C1768,GRAFT HEMA PLAT 12X6MM 40*NLU*,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1768,GRAFT HEMA PLAT 14MM 15CM*NLU*,3098.0,2478.4,1.0,2788.2,26
HCPCS,C1768,GRAFT HEMA PLAT 14X7MM 40*NLU*,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1768,GRAFT HEMA PLAT 16X8MM 40*NLU*,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1768,GRAFT HEMA PLAT 18X9MM 40*NLU*,4818.0,3854.4,1.0,4336.2,26
HCPCS,C1768,GRAFT HEMA PLAT WDV 10MM 30CM,3680.0,2944.0,1.0,3312.0,26
HCPCS,C1768,GRAFT HEMA PLAT WDV 16X15*NLU*,3098.0,2478.4,1.0,2788.2,26
HCPCS,C1768,GRAFT HEMA PLAT WDV 18X15*NLU*,3098.0,2478.4,1.0,2788.2,26
HCPCS,C1768,GRAFT HEMA PLAT WDV 20X15*NLU*,3098.0,2478.4,1.0,2788.2,26
HCPCS,C1768,GRAFT HEMA PLAT WDV 26MM 60CM,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1768,GRAFT HEMA ST 14MMX30CM,3523.0,2818.4,1.0,3170.7,26
HCPCS,C1768,GRAFT HEMA ST 16MMX30CM,3523.0,2818.4,1.0,3170.7,26
HCPCS,C1768,GRAFT HEMA ST 18MMX30CM,3523.0,2818.4,1.0,3170.7,26
HCPCS,C1768,GRAFT HEMA ST 20MMX30CM,3523.0,2818.4,1.0,3170.7,26
HCPCS,C1768,GRAFT HEMA ST 24MMX30CM,3523.0,2818.4,1.0,3170.7,26
HCPCS,C1768,GRAFT HEMA ST 26MMX30CM,4092.0,3273.6,1.0,3682.8,26
HCPCS,C1768,GRAFT HEMA ST 28MMX30CM,4092.0,3273.6,1.0,3682.8,26
HCPCS,C1768,GRAFT HEMA ST 30MMX30CM,4092.0,3273.6,1.0,3682.8,26
HCPCS,C1768,GRAFT HEMA ST 32MMX30CM,4092.0,3273.6,1.0,3682.8,26
HCPCS,C1768,GRAFT HEMA ST 34MMX30CM,4092.0,3273.6,1.0,3682.8,26
HCPCS,C1768,GRAFT HEMA ST 38MMX30CM,4092.0,3273.6,1.0,3682.8,26
HCPCS,C1768,GRAFT HEMA ST 6MMX60CM,3717.0,2973.6,1.0,3345.3,26
HCPCS,C1768,GRAFT HEMA ST 8MMX60CM,3717.0,2973.6,1.0,3345.3,26
HCPCS,C1768,GRAFT HEMAGARD BIF KNIT 16X8MM,5036.0,4028.8,1.0,4532.4,26
HCPCS,C1768,GRAFT INTERGARD20X10X50*NLU*,4195.0,3356.0,1.0,3775.5,26
HCPCS,C1768,GRAFT PROPATN 8MMX80CM*NLU*,10485.0,8388.0,1.0,9436.5,26
HCPCS,C1768,GRAFT PROPATN RING 6MMX60X70CM,9422.0,7537.6,1.0,8479.8,26
HCPCS,C1768,GRAFT PROPATN RING 6MMX60X80CM,10297.0,8237.6,1.0,9267.3,26
HCPCS,C1768,GRAFT PROPATN RING 8MMX70X40CM,13794.0,11035.2,1.0,12414.6,26
HCPCS,C1768,GRAFT PROPATN RING 8MMX70X80CM,10609.0,8487.2,1.0,9548.1,26
HCPCS,C1768,GRAFT PROPATN RING 8MMX90X40CM,16307.0,13045.6,1.0,14676.3,26
HCPCS,C1768,GRAFT PROPATN STD 5MMX60CM,7547.0,6037.6,1.0,6792.3,26
HCPCS,C1768,GRAFT PROPATN STD 6MMX40CM,5045.0,4036.0,1.0,4540.5,26
HCPCS,C1768,GRAFT PROPATN THIN 6MMX40CM,5882.0,4705.6,1.0,5293.8,26
HCPCS,C1768,GRAFT PROPATN THIN 6MMX80CM,8799.0,7039.2,1.0,7919.1,26
HCPCS,C1768,GRAFT PROPATN TPR 4-7X45CM,5990.0,4792.0,1.0,5391.0,26
HCPCS,C1768,GRAFT VASC ACUSEAL 4-7MMX45CM,6993.0,5594.4,1.0,6293.7,26
HCPCS,C1768,GRAFT VASC ACUSEAL 6MMX40CM,6102.0,4881.6,1.0,5491.8,26
HCPCS,C1768,GRAFT VASC BIOLINE 10MMX40CM,5317.0,4253.6,1.0,4785.3,26
HCPCS,C1768,GRAFT VASC BIOLINE 6MMX60CM,6499.0,5199.2,1.0,5849.1,26
HCPCS,C1768,GRAFT VASC BIOLINE 6MMX80CM,8862.0,7089.6,1.0,7975.8,26
HCPCS,C1768,GRAFT VASC BIOLINE 8MMX40CM,5777.0,4621.6,1.0,5199.3,26
HCPCS,C1768,GRAFT VASC BIOLINE 8MMX60CM,6499.0,5199.2,1.0,5849.1,26
HCPCS,C1768,GRAFT VASC BIOLN 10MMX80CM,9256.0,7404.8,1.0,8330.4,26
HCPCS,C1768,GRAFT VASC CARDIOROOT 24MM,9335.0,7468.0,1.0,8401.5,26
HCPCS,C1768,GRAFT VASC CARDIOROOT 26MM,9335.0,7468.0,1.0,8401.5,26
HCPCS,C1768,GRAFT VASC CARDIOROOT 28MM,9335.0,7468.0,1.0,8401.5,26
HCPCS,C1768,GRAFT VASC CARDIOROOT 30MM,9335.0,7468.0,1.0,8401.5,26
HCPCS,C1768,GRAFT VASC CARDIOROOT 32MM,9335.0,7468.0,1.0,8401.5,26
HCPCS,C1768,GRAFT VASC CARDIOROOT 34MM,9335.0,7468.0,1.0,8401.5,26
HCPCS,C1768,GRAFT VASC VENAFLO 6MMX40CM,4256.0,3404.8,1.0,3830.4,26
HCPCS,C1768,GRAFTEXXCELRINTW6MMX70CM*DISC*,1955.0,1564.0,1.0,1759.5,26
HCPCS,C1768,HEMA MDV BIF 16X8*USE 6128284*,3528.0,2822.4,1.0,3175.2,26
HCPCS,C1768,PATCH CV GORETEX 0.4MM 2X9CM,2015.0,1612.0,1.0,1813.5,26
HCPCS,C1768,PATCH CV GORETEX 1MM 10X15CM,5047.0,4037.6,1.0,4542.3,26
HCPCS,C1768,PATCH CV GORETEX 1MM 5X10CM,2288.0,1830.4,1.0,2059.2,26
HCPCS,C1768,PATCH CV GORETEX 2MM 5X10CM,3616.0,2892.8,1.0,3254.4,26
HCPCS,C1768,PATCH PERICARDIAL 1MM 7*NLU*,2744.0,2195.2,1.0,2469.6,26
HCPCS,C1768,PATCH PERIGUARD*DISC 6343135*,3113.0,2490.4,1.0,2801.7,26
HCPCS,C1768,PATCH PLATFINESSE UT KNI*NLU*,1098.0,878.4,1.0,988.2,26
HCPCS,C1768,PATCH PLATFINESSE UT KNIT0.3X3,933.0,746.4,1.0,839.7,26
HCPCS,C1768,PATCH VASC XENOSURE 0.8X8CM,2112.0,1689.6,1.0,1900.8,26
HCPCS,C1768,PATCH VASC XENOSURE 1X14CM,3592.0,2873.6,1.0,3232.8,26
HCPCS,C1768,PATCH VASCUGU1X6*DISC 6332180*,1604.0,1283.2,1.0,1443.6,26
HCPCS,C1768,PATCH VASCUGUARD 1X6CM*NLU*,1156.0,924.8,1.0,1040.4,26
HCPCS,C1768,PATCH VASCUGUARD*DISC 6332181*,1931.0,1544.8,1.0,1737.9,26
HCPCS,C1769,CANN FEM VEN BIOMEDICUS 25FR,3158.0,2526.4,1.0,2842.2,26
HCPCS,C1769,CATH EXT GDZILLAIILNG6FR40X150,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1769,CATH GD COMMAND SV MP,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1769,CATH INFUS CRAGG 5FR 100/10CM,706.0,564.8,1.0,635.4,26
HCPCS,C1769,DEL SYS MREYE FLIPPER COIL 100,1336.0,1068.8,1.0,1202.4,26
HCPCS,C1769,DIL SET URTHRL 8-24FR 37CM,1663.0,1330.4,1.0,1496.7,26
HCPCS,C1769,EXT GDWIRE HT DOC 0.14 0.18,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GD DRILL 3.2MM FOR 4MM,2072.0,1657.6,1.0,1864.8,26
HCPCS,C1769,GDWI0.027 260CM*DISC NO REPL*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1769,GDWIRE *DISC *,170.0,136.0,1.0,153.0,26
HCPCS,C1769,GDWIRE 260CM,627.0,501.6,1.0,564.3,26
HCPCS,C1769,GDWIRE 3.2X290MM,714.0,571.2,1.0,642.6,26
HCPCS,C1769,GDWIRE 3.2X400MM,730.0,584.0,1.0,657.0,26
HCPCS,C1769,GDWIRE 3.2X475MM,877.0,701.6,1.0,789.3,26
HCPCS,C1769,GDWIRE 3MM J 0.035X150CM,89.0,71.2,1.0,80.1,26
HCPCS,C1769,GDWIRE 5.0 FOR 2.5MM,2072.0,1657.6,1.0,1864.8,26
HCPCS,C1769,GDWIRE ACUM 0.054X7,210.0,168.0,1.0,189.0,26
HCPCS,C1769,GDWIRE ACUTRAK 0.028X4,240.0,192.0,1.0,216.0,26
HCPCS,C1769,GDWIRE ACUTRAK2 0.062,210.0,168.0,1.0,189.0,26
HCPCS,C1769,GDWIRE ADDWIRE 145CM,492.0,393.6,1.0,442.8,26
HCPCS,C1769,GDWIRE ADVANTAGE 0.018 300CM,2484.0,1987.2,1.0,2235.6,26
HCPCS,C1769,GDWIRE ADVANTAGE 0.035 180CM,1815.0,1452.0,1.0,1633.5,26
HCPCS,C1769,GDWIRE ADVANTAGE 0.035 260CM,1981.0,1584.8,1.0,1782.9,26
HCPCS,C1769,GDWIRE ADVANTAGE ANG 0.014 180,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1769,GDWIRE ADVANTAGE ANG 0.014 300,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1769,GDWIRE ADX FIX J 0.025 150CM,139.0,111.2,1.0,125.1,26
HCPCS,C1769,GDWIRE ADX FIX J 0.025 260CM,132.0,105.6,1.0,118.8,26
HCPCS,C1769,GDWIRE ADX FIX J 0.035 150CM,105.0,84.0,1.0,94.5,26
HCPCS,C1769,GDWIRE ADX FIX J3MM0.035 260CM,139.0,111.2,1.0,125.1,26
HCPCS,C1769,GDWIRE ADX FIX ST 0.035 150CM,87.0,69.6,1.0,78.3,26
HCPCS,C1769,GDWIRE ADX FIX ST 0.035 260CM,125.0,100.0,1.0,112.5,26
HCPCS,C1769,GDWIRE AMPLZ FIX STIFFDBL0.038,275.0,220.0,1.0,247.5,26
HCPCS,C1769,GDWIRE AMPLZ FIXUSTIFFDBL0.035,275.0,220.0,1.0,247.5,26
HCPCS,C1769,GDWIRE AMPLZ FIXX STIFF 0.035,275.0,220.0,1.0,247.5,26
HCPCS,C1769,GDWIRE AMPLZ FIXXSTIFFDBL0.035,275.0,220.0,1.0,247.5,26
HCPCS,C1769,GDWIRE AMPLZ FIXXSTIFFDBL0.038,275.0,220.0,1.0,247.5,26
HCPCS,C1769,GDWIRE AMPLZ ST INQ0.035 7X180,468.0,374.4,1.0,421.2,26
HCPCS,C1769,GDWIRE AMPLZ STIFF *VAT MULTI*,215.0,172.0,1.0,193.5,26
HCPCS,C1769,GDWIRE AMPLZ STIFF ST0.035 260,324.0,259.2,1.0,291.6,26
HCPCS,C1769,GDWIRE AMPLZ SUP STIFF ST 6X75,580.0,464.0,1.0,522.0,26
HCPCS,C1769,GDWIRE AMPLZ SUP STIFF ST 7X75,580.0,464.0,1.0,522.0,26
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF J 3X180,580.0,464.0,1.0,522.0,26
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF J 3X260,580.0,464.0,1.0,522.0,26
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF J14*NLU*,310.0,248.0,1.0,279.0,26
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF ST 1X260,580.0,464.0,1.0,522.0,26
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF ST 7X180,580.0,464.0,1.0,522.0,26
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF ST 7X260,580.0,464.0,1.0,522.0,26
HCPCS,C1769,GDWIRE AMPLZ USTIFF ST.035 80,260.0,208.0,1.0,234.0,26
HCPCS,C1769,GDWIRE AMPLZ XSTIFF 0.035 145,248.0,198.4,1.0,223.2,26
HCPCS,C1769,GDWIRE AMPLZ XSTIFF 0.035 180,324.0,259.2,1.0,291.6,26
HCPCS,C1769,GDWIRE AMPLZ XSTIFF 0.035 260,257.0,205.6,1.0,231.3,26
HCPCS,C1769,GDWIRE AMPLZ XSTIFF ST.025 260,184.0,147.2,1.0,165.6,26
HCPCS,C1769,GDWIRE AMPLZ XSTIFF ST.03*NLU*,257.0,205.6,1.0,231.3,26
HCPCS,C1769,GDWIRE AMPLZ*DISC 6227881*,164.0,131.2,1.0,147.6,26
HCPCS,C1769,GDWIRE AMPLZCURVXSTIFF.032 180,225.0,180.0,1.0,202.5,26
HCPCS,C1769,GDWIRE AMPLZCURVXSTIFF.032 260,225.0,180.0,1.0,202.5,26
HCPCS,C1769,GDWIRE AMPLZCURVXSTIFF.035 145,267.0,213.6,1.0,240.3,26
HCPCS,C1769,GDWIRE AMPLZCURVXSTIFF.035 260,225.0,180.0,1.0,202.5,26
HCPCS,C1769,GDWIRE AMPLZJTIPFIX0.035 *NLU*,632.0,505.6,1.0,568.8,26
HCPCS,C1769,GDWIRE ARISTOTLE 0.035 200CM,6840.0,5472.0,1.0,6156.0,26
HCPCS,C1769,GDWIRE ARISTOTLE 14 SOFT 200CM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1769,GDWIRE ARISTOTLE 14 STD 200CM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1769,GDWIRE ARISTOTLE 18 SOFT 200CM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1769,GDWIRE ARISTOTLE 18 STD 200CM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1769,GDWIRE ARISTOTLE 18 SUPP 200CM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1769,GDWIRE ARISTOTLE 24 SOFT 200CM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1769,GDWIRE ARISTOTLE 24 STD 200CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1769,GDWIRE ARISTOTLE 24 SUPP 200CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1769,GDWIRE ARTX 0.086MM,165.0,132.0,1.0,148.5,26
HCPCS,C1769,GDWIRE ARTX 0.090X4IN,782.0,625.6,1.0,703.8,26
HCPCS,C1769,GDWIRE ARTX 1.1MM,77.0,61.6,1.0,69.3,26
HCPCS,C1769,GDWIRE ARTX 12,495.0,396.0,1.0,445.5,26
HCPCS,C1769,GDWIRE ARTX 6,440.0,352.0,1.0,396.0,26
HCPCS,C1769,GDWIRE ARTX 7,440.0,352.0,1.0,396.0,26
HCPCS,C1769,GDWIRE ASAHI CONF*USE 6295479*,1105.0,884.0,1.0,994.5,26
HCPCS,C1769,GDWIRE ASAHI FIEL*USE 6295482*,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE ASAHI GAIA NEXT 1 190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE ASAHI GAIA NEXT 2 190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE ASAHI GRAN*USE 6295487*,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE ASAHI MIRA*USE 6295489*,1105.0,884.0,1.0,994.5,26
HCPCS,C1769,GDWIRE ASAHI PROW*USE 6295494*,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE ASAHI SION ST BLK 190CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1769,GDWIRE ASAHI ST11*USE 6295488*,1105.0,884.0,1.0,994.5,26
HCPCS,C1769,GDWIRE ASIN ASTATO 30 300CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1769,GDWIRE ASIN FIELDER XT 190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE ASIN FIELDER XT 300CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE ASIN FIELDER XT-A190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE ASIN GAIA FIRST 190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE ASIN GAIA SECOND 190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE ASIN GAIA THIRD 190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE ASIN SION 300CM*NLU*,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE ASIN SION*DISC 6317413*,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE ASIN SION*DISC 6319377*,1063.0,850.4,1.0,956.7,26
HCPCS,C1769,GDWIRE ASIN TREASURE 12 300CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1769,GDWIRE ASNIS JFX 2X200MM,790.0,632.0,1.0,711.0,26
HCPCS,C1769,GDWIRE ASSY ACUTRAK2 MICRO,2888.0,2310.4,1.0,2599.2,26
HCPCS,C1769,GDWIRE ASSY ACUTRAK2 MINI,2688.0,2150.4,1.0,2419.2,26
HCPCS,C1769,GDWIRE ATTAIN 5FR 88CM*NLU*,900.0,720.0,1.0,810.0,26
HCPCS,C1769,GDWIRE AVIGO EV3 0.014 205CM,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1769,GDWIRE BALANCE HW J 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE BALANCE HW J 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE BALANCE HW ST 190C*NLU*,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE BALL NOSE 3.0X900MM,3619.0,2895.2,1.0,3257.1,26
HCPCS,C1769,GDWIRE BALL NOSE STRL 3X900MM,1874.0,1499.2,1.0,1686.6,26
HCPCS,C1769,GDWIRE BALL TIP 2.7/3.75X800MM,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1769,GDWIRE BALL TIP 3.2 98*DISC*,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1769,GDWIRE BALL TIP ILLS 1.2MM,543.0,434.4,1.0,488.7,26
HCPCS,C1769,GDWIRE BALL TIP ILLS 2.0MM,654.0,523.2,1.0,588.6,26
HCPCS,C1769,GDWIRE BALL TIP ST 3X1250MM,1120.0,896.0,1.0,1008.0,26
HCPCS,C1769,GDWIRE BALL TIP STER 3.0X600MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1769,GDWIRE BALL TIP STRY 2.5X800MM,1104.0,883.2,1.0,993.6,26
HCPCS,C1769,GDWIRE BALL TIP STRY 3X1000MM,1192.0,953.6,1.0,1072.8,26
HCPCS,C1769,GDWIRE BALL TIP STRY 3X800MM,1136.0,908.8,1.0,1022.4,26
HCPCS,C1769,GDWIRE BEAD TIP 3.0X160*DISC*,2048.0,1638.4,1.0,1843.2,26
HCPCS,C1769,GDWIRE BEAD TIP 3.1X500MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE BEAD ZIMM 2.6MMX80CM,1216.0,972.8,1.0,1094.4,26
HCPCS,C1769,GDWIRE BEAMING LG 3.2MM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1769,GDWIRE BEAMING SM 2.0MM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1769,GDWIRE BEN *DISC SEE CONV DOC*,168.0,134.4,1.0,151.2,26
HCPCS,C1769,GDWIRE BENTS*DISC 6160579*,145.0,116.0,1.0,130.5,26
HCPCS,C1769,GDWIRE BENTSON FLOP 0.035 80CM,207.0,165.6,1.0,186.3,26
HCPCS,C1769,GDWIRE BENTSON FLOP0.035 260CM,215.0,172.0,1.0,193.5,26
HCPCS,C1769,GDWIRE BENTSON PTFE0.018 180CM,133.0,106.4,1.0,119.7,26
HCPCS,C1769,GDWIRE BENTSON ST 0.035 150CM,114.0,91.2,1.0,102.6,26
HCPCS,C1769,GDWIRE BENTSON ST 0.035 180CM,350.0,280.0,1.0,315.0,26
HCPCS,C1769,GDWIRE BENTSON ST 0.038 1*NLU*,93.0,74.4,1.0,83.7,26
HCPCS,C1769,GDWIRE BENTSON STD 0.035 180CM,182.0,145.6,1.0,163.8,26
HCPCS,C1769,GDWIRE BENTSONEXCST.035 23X260,122.0,97.6,1.0,109.8,26
HCPCS,C1769,GDWIRE BEV FT 1.4X3.5MM,512.0,409.6,1.0,460.8,26
HCPCS,C1769,GDWIRE BILI RDRN ANG 0.035 3CM,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE BIOCOMP TROC 0.045X8MM,77.0,61.6,1.0,69.3,26
HCPCS,C1769,GDWIRE BIWIRE NIT STD 0.035IN,605.0,484.0,1.0,544.5,26
HCPCS,C1769,GDWIRE BLNT ORPE 1.45X500MM,1148.0,918.4,1.0,1033.2,26
HCPCS,C1769,GDWIRE BLNT SPINEWAVE 1.6MMX19,440.0,352.0,1.0,396.0,26
HCPCS,C1769,GDWIRE BLNT VR 2 DEPU,944.0,755.2,1.0,849.6,26
HCPCS,C1769,GDWIRE BLNT/TROC SS FLOR2.3MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE BREAK AWAY DEPU 2.5MM,1626.0,1300.8,1.0,1463.4,26
HCPCS,C1769,GDWIRE BULLET TI*DISC NO REPL*,1313.0,1050.4,1.0,1181.7,26
HCPCS,C1769,GDWIRE BULLET ZIMM 3MMX100CM,1331.0,1064.8,1.0,1197.9,26
HCPCS,C1769,GDWIRE CALIB 3.2X300MM,853.0,682.4,1.0,767.7,26
HCPCS,C1769,GDWIRE CAPITAL FRAG 1.6X150MM,512.0,409.6,1.0,460.8,26
HCPCS,C1769,GDWIRE CGR XT HY*DISC 6117431*,618.0,494.4,1.0,556.2,26
HCPCS,C1769,GDWIRE CHIKAI 008 ST 200CM,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1769,GDWIRE CHIKAI BLK 18 200CM,3843.0,3074.4,1.0,3458.7,26
HCPCS,C1769,GDWIRE CHIKAI BLK 90D 200CM,4710.0,3768.0,1.0,4239.0,26
HCPCS,C1769,GDWIRE CHIKAI NEXUS 0.014X215,3592.0,2873.6,1.0,3232.8,26
HCPCS,C1769,GDWIRE CHIKAI ST 200CM,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1769,GDWIRE CHIKAI X010 RD 0.01 200,4710.0,3768.0,1.0,4239.0,26
HCPCS,C1769,GDWIRE CHOICE PT 182CM*NLU*,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE CHOICEPTFLOP0.014 300CM,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE COCR ORPE*DISC 6341612*,2122.0,1697.6,1.0,1909.8,26
HCPCS,C1769,GDWIRE COCR ORPE*DISC 6341613*,2122.0,1697.6,1.0,1909.8,26
HCPCS,C1769,GDWIRE COCR ORPE*DISC 6341614*,2122.0,1697.6,1.0,1909.8,26
HCPCS,C1769,GDWIRE COCR ORPE*DISC 6341616*,2272.0,1817.6,1.0,2044.8,26
HCPCS,C1769,GDWIRE COIL PUSHER 0.016 177CM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1769,GDWIRE COIL SS TORAY 230CM,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1769,GDWIRE COMET PRSS FFR 185*NLU*,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1769,GDWIRE CONFIANZA PRO 12 180CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE CONFIANZA PRO 12 300CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE CONFIANZA PRO 180CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE CONFIANZA PRO 300CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE CONFIANZA PRO8-20 190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE CONFIDA 0.035 260CM,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1769,GDWIRE COONS ST PTFE 0.035 80,290.0,232.0,1.0,261.0,26
HCPCS,C1769,GDWIRE COPEMANDRILSS.018 100CM,349.0,279.2,1.0,314.1,26
HCPCS,C1769,GDWIRE CPS COURIER MD,636.0,508.8,1.0,572.4,26
HCPCS,C1769,GDWIRE CROSSIT 100XT.014 *NLU*,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE CROSSIT 100XT.014 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE CROSSLEAD 0.035 300CM,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1769,GDWIRE CTO MIRACLEBROS 3 180CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE CTO MIRACLEBROS 3 300CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE CTO MIRACLEBROS 6 180CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE CTO MIRACLEBROS12 180CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE CTO MIRACLEBROS12 300CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE CURV 0.032IN 145CM,155.0,124.0,1.0,139.5,26
HCPCS,C1769,GDWIRE CV ZIP ANG STD 3CM 150,80.0,64.0,1.0,72.0,26
HCPCS,C1769,GDWIRE CV ZIP ANG STIFF 3CM150,684.0,547.2,1.0,615.6,26
HCPCS,C1769,GDWIRE DBL END ARTX 1.1MM,220.0,176.0,1.0,198.0,26
HCPCS,C1769,GDWIRE DBL END TROC 0.045MM,330.0,264.0,1.0,297.0,26
HCPCS,C1769,GDWIRE DBL END TROC 0.86MM,330.0,264.0,1.0,297.0,26
HCPCS,C1769,GDWIRE DBL FLEX 0.035 145*NLU*,182.0,145.6,1.0,163.8,26
HCPCS,C1769,GDWIRE DBL TIP NIT 1.1X150MM,490.0,392.0,1.0,441.0,26
HCPCS,C1769,GDWIRE DBL TIP NIT 2ZONE 1.1MM,1300.0,1040.0,1.0,1170.0,26
HCPCS,C1769,GDWIRE DBL TIP NIT 2ZONE 1.6MM,301.0,240.8,1.0,270.9,26
HCPCS,C1769,GDWIRE DBL TROC UNITE0.9X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE DEFLECT HEP .025 5*NLU*,618.0,494.4,1.0,556.2,26
HCPCS,C1769,GDWIRE DEFLECT HEP0.025 5MM145,1063.0,850.4,1.0,956.7,26
HCPCS,C1769,GDWIRE DEFLECT SS 0.025 1*NLU*,618.0,494.4,1.0,556.2,26
HCPCS,C1769,GDWIRE DEFLECT SS0.035 10MM145,740.0,592.0,1.0,666.0,26
HCPCS,C1769,GDWIRE DEFLECT*DISC 6319619*,618.0,494.4,1.0,556.2,26
HCPCS,C1769,GDWIRE DEFLECT*DISC 6319621*,618.0,494.4,1.0,556.2,26
HCPCS,C1769,GDWIRE DREAMWIRE ANG STD 450CM,568.0,454.4,1.0,511.2,26
HCPCS,C1769,GDWIRE DREAMWIRE ST STD 260CM,1271.0,1016.8,1.0,1143.9,26
HCPCS,C1769,GDWIRE DREAMWIRE ST STD 450CM,1271.0,1016.8,1.0,1143.9,26
HCPCS,C1769,GDWIRE DREAMWIRE ST STIFF450CM,1271.0,1016.8,1.0,1143.9,26
HCPCS,C1769,GDWIRE DRILL TIP 1.6X150MM,267.0,213.6,1.0,240.3,26
HCPCS,C1769,GDWIRE DRILL TIP 1.6X200MM,315.0,252.0,1.0,283.5,26
HCPCS,C1769,GDWIRE DRILL TIP 2.5 200MM,515.0,412.0,1.0,463.5,26
HCPCS,C1769,GDWIRE DRILL TIP 2.5 300MM,563.0,450.4,1.0,506.7,26
HCPCS,C1769,GDWIRE DRILL TIP 2.5X300MM,547.0,437.6,1.0,492.3,26
HCPCS,C1769,GDWIRE DRILL TIP 3.2X400MM,828.0,662.4,1.0,745.2,26
HCPCS,C1769,GDWIRE DRILL TIP MINI FRAG 1.6,743.0,594.4,1.0,668.7,26
HCPCS,C1769,GDWIRE DRILL TIP STER3.2X400MM,1095.0,876.0,1.0,985.5,26
HCPCS,C1769,GDWIRE DUAL TROC 1.35MM,451.0,360.8,1.0,405.9,26
HCPCS,C1769,GDWIRE DYNANAIL 2.4X229MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE EMERALD J3 0.025 1*NLU*,94.0,75.2,1.0,84.6,26
HCPCS,C1769,GDWIRE EMERALD J3 0.035 7X175,116.0,92.8,1.0,104.4,26
HCPCS,C1769,GDWIRE EMERALD J3 0.035 7X260,147.0,117.6,1.0,132.3,26
HCPCS,C1769,GDWIRE EMERALD J6 0.035 7X150,116.0,92.8,1.0,104.4,26
HCPCS,C1769,GDWIRE EMERALD ST 0.035 2*NLU*,90.0,72.0,1.0,81.0,26
HCPCS,C1769,GDWIRE EMERALD ST 0.035 7X260,162.0,129.6,1.0,145.8,26
HCPCS,C1769,GDWIRE ENROUTE 0.014 95CM,1522.0,1217.6,1.0,1369.8,26
HCPCS,C1769,GDWIRE ENTEER STD 0.014 300CM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1769,GDWIRE ENTEER STIFF .014 *NLU*,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1769,GDWIRE ENTRY 3.2X320MM,1121.0,896.8,1.0,1008.9,26
HCPCS,C1769,GDWIRE ENTRY BALL 1.6X400MM,1398.0,1118.4,1.0,1258.2,26
HCPCS,C1769,GDWIRE ENTRY TROC 1.6X230MM,383.0,306.4,1.0,344.7,26
HCPCS,C1769,GDWIRE ENTRY TROC 1.6X400MM,383.0,306.4,1.0,344.7,26
HCPCS,C1769,GDWIRE ENTRY ZIM*DISC NO REPL*,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1769,GDWIRE EXC .035*DISC 6320098*,120.0,96.0,1.0,108.0,26
HCPCS,C1769,GDWIRE F-18 FLEX 0.018 400CM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1769,GDWIRE FATHOM 0.016 20X180CM,2920.0,2336.0,1.0,2628.0,26
HCPCS,C1769,GDWIRE FATHOM 0.016 25X180CM,2920.0,2336.0,1.0,2628.0,26
HCPCS,C1769,GDWIRE FATHOM ST 0.014 200CM,2920.0,2336.0,1.0,2628.0,26
HCPCS,C1769,GDWIRE FBRSNARE NIT 1.1MM,270.0,216.0,1.0,243.0,26
HCPCS,C1769,GDWIRE FIELDER 180CM,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE FIELDER 300CM,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE FIELDER FC 180CM,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE FIELDER FC 300CM,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE FIX CORE FLEX 0.03*NLU*,135.0,108.0,1.0,121.5,26
HCPCS,C1769,GDWIRE FIX CORE ST 0.018 145CM,171.0,136.8,1.0,153.9,26
HCPCS,C1769,GDWIRE FIX CORE ST 0.021 *NLU*,184.0,147.2,1.0,165.6,26
HCPCS,C1769,GDWIRE FIX CORE ST 0.021 50CM,113.0,90.4,1.0,101.7,26
HCPCS,C1769,GDWIRE FIX CORE ST 0.025 145CM,160.0,128.0,1.0,144.0,26
HCPCS,C1769,GDWIRE FIX HD ST 0.035 145CM,203.0,162.4,1.0,182.7,26
HCPCS,C1769,GDWIRE FIX HD*VAT 6289946*,155.0,124.0,1.0,139.5,26
HCPCS,C1769,GDWIRE FIX HDDBLFLEX0.032 60CM,351.0,280.8,1.0,315.9,26
HCPCS,C1769,GDWIRE FIX J 0.021 180CM,159.0,127.2,1.0,143.1,26
HCPCS,C1769,GDWIRE FIX J 0.035 260CM,236.0,188.8,1.0,212.4,26
HCPCS,C1769,GDWIRE FIX J HD HEP 0.02*DISC*,109.0,87.2,1.0,98.1,26
HCPCS,C1769,GDWIRE FIX J HEP*DISC 6294667*,125.0,100.0,1.0,112.5,26
HCPCS,C1769,GDWIRE FIX J PFTE 0.032 1*NLU*,127.0,101.6,1.0,114.3,26
HCPCS,C1769,GDWIRE FIX J PTFE 0.021 2*NLU*,217.0,173.6,1.0,195.3,26
HCPCS,C1769,GDWIRE FIX J PTFE 0.025 260CM,159.0,127.2,1.0,143.1,26
HCPCS,C1769,GDWIRE FIX J PTFE 0.035 50CM,122.0,97.6,1.0,109.8,26
HCPCS,C1769,GDWIRE FIX JSS3M*DISC 6220080*,354.0,283.2,1.0,318.6,26
HCPCS,C1769,GDWIRE FIX ST HEP*VAT MULT*,170.0,136.0,1.0,153.0,26
HCPCS,C1769,GDWIRE FIX ST SS 0.015 50CM,240.0,192.0,1.0,216.0,26
HCPCS,C1769,GDWIRE FIX ST SS 0.018 40CM,308.0,246.4,1.0,277.2,26
HCPCS,C1769,GDWIRE FIX ST SS 0.018 50CM,308.0,246.4,1.0,277.2,26
HCPCS,C1769,GDWIRE FIXED ST .021 260*DISC*,551.0,440.8,1.0,495.9,26
HCPCS,C1769,GDWIRE FIXEDCORE ST0.035 260CM,117.0,93.6,1.0,105.3,26
HCPCS,C1769,GDWIRE FIXEDCORE TJ0.025 180CM,127.0,101.6,1.0,114.3,26
HCPCS,C1769,GDWIRE FIXO 0.9X70MM,386.0,308.8,1.0,347.4,26
HCPCS,C1769,GDWIRE FIXSTHEP.025 145*DISC*,108.0,86.4,1.0,97.2,26
HCPCS,C1769,GDWIRE FLOPPY 0.035 50CM,105.0,84.0,1.0,94.5,26
HCPCS,C1769,GDWIRE FLOPPY 2.5 0.025 145CM,155.0,124.0,1.0,139.5,26
HCPCS,C1769,GDWIRE FLOPPY ST 0.014 182CM,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE FLTR DEL BAREWIRE 315CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1769,GDWIRE FLUTES 2.8X450MM,677.0,541.6,1.0,609.3,26
HCPCS,C1769,GDWIRE FMED 2.0MMX9IN,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE FRAC FINGER 1.1MMX22IN,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE GAIA FIRST ASIN 300CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE GBEAM STER LG D2.8MM,697.0,557.6,1.0,627.3,26
HCPCS,C1769,GDWIRE GBEAM STER SM D1.9MM,697.0,557.6,1.0,627.3,26
HCPCS,C1769,GDWIRE GLADIUS MONGO ES ST 190,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE GLADIUS MONGO ST 190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE GLADIUS MONGOPRSHP190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE GLD 45D 0.018 180CM,1126.0,900.8,1.0,1013.4,26
HCPCS,C1769,GDWIRE GLD 45D 0.018 300CM,1721.0,1376.8,1.0,1548.9,26
HCPCS,C1769,GDWIRE GLD 70D 0.018 180CM,1126.0,900.8,1.0,1013.4,26
HCPCS,C1769,GDWIRE GLD 70D 0.018 300CM,1721.0,1376.8,1.0,1548.9,26
HCPCS,C1769,GDWIRE GLIDEWIRE ANG 0.014 300,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1769,GDWIRE GLIDEWIRE ST .018 150CM,565.0,452.0,1.0,508.5,26
HCPCS,C1769,GDWIRE GLIDEWIRE ST 0.035 3CM,514.0,411.2,1.0,462.6,26
HCPCS,C1769,GDWIRE GLIDEWIRE STIFFANG0.035,514.0,411.2,1.0,462.6,26
HCPCS,C1769,GDWIRE GRANDSLAM 180CM,1148.0,918.4,1.0,1033.2,26
HCPCS,C1769,GDWIRE GRANDSLAM 300CM,1148.0,918.4,1.0,1033.2,26
HCPCS,C1769,GDWIRE GT 0.018 90/60D 180CM,1675.0,1340.0,1.0,1507.5,26
HCPCS,C1769,GDWIRE GT ANG 0*DISC 6297232*,1581.0,1264.8,1.0,1422.9,26
HCPCS,C1769,GDWIRE GT DB*DISC 6297232*,1581.0,1264.8,1.0,1422.9,26
HCPCS,C1769,GDWIRE GT STD 0.018 45D 180CM,1675.0,1340.0,1.0,1507.5,26
HCPCS,C1769,GDWIRE GT STD ST 0.018 180CM,1675.0,1340.0,1.0,1507.5,26
HCPCS,C1769,GDWIRE HALO ST TIP 0.038,177.0,141.6,1.0,159.3,26
HCPCS,C1769,GDWIRE HDLNR 0.012 90/150D 200,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1769,GDWIRE HDLSS FMED 1.6MMX9IN,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE HITORQUE IRON *NLU*,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE HIWINITST*DISC 6336201*,516.0,412.8,1.0,464.4,26
HCPCS,C1769,GDWIRE HORNET ST 0.014 190CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1769,GDWIRE HT ALLSTAR ST.014 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT BMW EL*DISC NO REPL*,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT BMW HC J 0.014 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT BMW HC J 0.014 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT BMW UNIV II J 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT BMW UNIV II ST 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT BMW UNIV II ST 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT COMMAND ES.014 300CM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1769,GDWIRE HT COMMAND18 ST10X300CM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1769,GDWIRE HT COMMAND18 ST25X*NLU*,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1769,GDWIRE HT FLEX-T CTD 145CM,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE HT FLOPPY II ST 19*NLU*,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT FLOPPY II ST 30*NLU*,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT IRONMAN J0.014 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT PILOT 150 J 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT PILOT 150 ST 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT PILOT 200 J 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT PILOT 200 ST 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT PILOT 200 ST 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT PILOT 50 J 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT PILOT 50 J 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT PILOT 50 ST 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT PILOT 50 ST 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT POWERTURN ULT J190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT TRAV*DISC 6319685*,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT WHISPER MS J 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT WHISPER MS J 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT WHISPER MS ST 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT WHISPER MS ST 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT WIGGLE ST .014 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT XTR SPORT0.014 190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HT XTR SPORT0.014 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE HUMR ZIMM 2.4MMX70CM,1261.0,1008.8,1.0,1134.9,26
HCPCS,C1769,GDWIRE HYBRID ST 0.007 200CM,4795.0,3836.0,1.0,4315.5,26
HCPCS,C1769,GDWIRE HYBRID ST 0.008 200CM,4795.0,3836.0,1.0,4315.5,26
HCPCS,C1769,GDWIRE HYBRID ST 0.010 300CM,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1769,GDWIRE HYBRID ST 0.012 200CM,3312.0,2649.6,1.0,2980.8,26
HCPCS,C1769,GDWIRE HYBRID ST 0.012 30*NLU*,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1769,GDWIRE HYBRIDDBLANG0.007 200CM,4795.0,3836.0,1.0,4315.5,26
HCPCS,C1769,GDWIRE HYBRIDDBLANG0.008 200CM,4795.0,3836.0,1.0,4315.5,26
HCPCS,C1769,GDWIRE HYBRIDDBLANG0.012 200CM,3488.0,2790.4,1.0,3139.2,26
HCPCS,C1769,GDWIRE HYDRA JAGWIRE .035*NLU*,1271.0,1016.8,1.0,1143.9,26
HCPCS,C1769,GDWIRE HYDROPHILIC NIT45D*NLU*,1356.0,1084.8,1.0,1220.4,26
HCPCS,C1769,GDWIRE HYPROCURE 9.75IN,150.0,120.0,1.0,135.0,26
HCPCS,C1769,GDWIRE IABP8FR0*DISC NO REPL*,230.0,184.0,1.0,207.0,26
HCPCS,C1769,GDWIRE INQ J STDEXC0.035 3X260,122.0,97.6,1.0,109.8,26
HCPCS,C1769,GDWIRE INQWIRE J 0.021 180CM,109.0,87.2,1.0,98.1,26
HCPCS,C1769,GDWIRE IO FIX 2.0 1.6MM,160.0,128.0,1.0,144.0,26
HCPCS,C1769,GDWIRE J 0.035 1*DISC 6335529*,75.0,60.0,1.0,67.5,26
HCPCS,C1769,GDWIRE J PRELUDE 0.035 50CM,72.0,57.6,1.0,64.8,26
HCPCS,C1769,GDWIRE JAG ANG 260CM,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE JAG ANG 450CM,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE JAG ANG STIFF 450CM,950.0,760.0,1.0,855.0,26
HCPCS,C1769,GDWIRE JAG EXT STIFF ST 260CM,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE JAG HYDRA ST 450CM,1271.0,1016.8,1.0,1143.9,26
HCPCS,C1769,GDWIRE JAG HYDRA STIFF ST 260,1271.0,1016.8,1.0,1143.9,26
HCPCS,C1769,GDWIRE JAG REVO ANG 260CM,1692.0,1353.6,1.0,1522.8,26
HCPCS,C1769,GDWIRE JAG REVO ANG 450CM,1692.0,1353.6,1.0,1522.8,26
HCPCS,C1769,GDWIRE JAG REVO ST 260CM,1692.0,1353.6,1.0,1522.8,26
HCPCS,C1769,GDWIRE JAG REVO ST 450CM,1692.0,1353.6,1.0,1522.8,26
HCPCS,C1769,GDWIRE JAG REVO ST 500CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C1769,GDWIRE JAG ST 0.025 260CM,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE JAG ST 0.025 450CM,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE JAG ST 0.035 260CM,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE JAG ST 0.035 450CM,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE JAG ST 0.038 260CM,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE JAG ST EXT ST 260CM,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE JAG STIFF ANG 0.035 260,875.0,700.0,1.0,787.5,26
HCPCS,C1769,GDWIRE JAG STIFF ST 0.035 260,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE K STORZ 0.4MM,395.5,316.4,1.0,388.8,52
HCPCS,C1769,GDWIRE K STORZ 0.6MM,327.0,261.6,1.0,294.3,26
HCPCS,C1769,GDWIRE KT CURVAFIX STER,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1769,GDWIRE LA150CM*DISC 6340900*,300.0,240.0,1.0,270.0,26
HCPCS,C1769,GDWIRE LARYN RETROGRD PROVOX,1200.0,960.0,1.0,1080.0,26
HCPCS,C1769,GDWIRE LASERLINE SS 0.86MM,165.0,132.0,1.0,148.5,26
HCPCS,C1769,GDWIRE LASERLINE THRD SS0.86MM,220.0,176.0,1.0,198.0,26
HCPCS,C1769,GDWIRE LAURE ANG*DISC 6340902*,340.0,272.0,1.0,306.0,26
HCPCS,C1769,GDWIRE LUGE ST 0.014 300CM,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE LUNDERQUIST XSTIFFST260,1229.0,983.2,1.0,1106.1,26
HCPCS,C1769,GDWIRE LUNDERQUIST-RING ST 125,371.0,296.8,1.0,333.9,26
HCPCS,C1769,GDWIRE LUNDERQUISTXSTIFF ST180,559.0,447.2,1.0,503.1,26
HCPCS,C1769,GDWIRE LUNDERQUISTXSTIFFDBL260,1370.0,1096.0,1.0,1233.0,26
HCPCS,C1769,GDWIRE LUNDERQUISTXSTIFFDBL300,4691.0,3752.8,1.0,4221.9,26
HCPCS,C1769,GDWIRE LUNDERQUISTXSTIFFEXT300,1387.0,1109.6,1.0,1248.3,26
HCPCS,C1769,GDWIRE MAGICTORQ*DISC NO REPL*,538.0,430.4,1.0,484.2,26
HCPCS,C1769,GDWIRE MAILMAN ST 0.014 182CM,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE MAILMAN ST 0.014 300CM,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE MAILMAN ST*DUP 6186352*,774.0,619.2,1.0,696.6,26
HCPCS,C1769,GDWIRE MAK MINI PLAT NIT 40CM,165.0,132.0,1.0,148.5,26
HCPCS,C1769,GDWIRE MARKED SPRING DISP210CM,500.0,400.0,1.0,450.0,26
HCPCS,C1769,GDWIRE MEDL 1.4X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE MEIER CURV 0.035 260CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1769,GDWIRE MEIER J 0.035 185CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1769,GDWIRE MEISTER 45D 180CM,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1769,GDWIRE MEISTER DBL ANG 180CM,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1769,GDWIRE MEISTER RD CURV 180CM,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1769,GDWIRE MINAMO J 0.36MMX190CM,900.0,720.0,1.0,810.0,26
HCPCS,C1769,GDWIRE MINAMO ST 0.36MMX190CM,900.0,720.0,1.0,810.0,26
HCPCS,C1769,GDWIRE MINAMO ST 0.36MMX300CM,900.0,720.0,1.0,810.0,26
HCPCS,C1769,GDWIRE MONGO ES ST 0.014 300CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE MOTION HYBRID ST 0.035,494.0,395.2,1.0,444.6,26
HCPCS,C1769,GDWIRE MS 0.059X5,210.0,168.0,1.0,189.0,26
HCPCS,C1769,GDWIRE MS 0.094X8,240.0,192.0,1.0,216.0,26
HCPCS,C1769,GDWIRE NAMIC ST *DISC 6319173*,75.0,60.0,1.0,67.5,26
HCPCS,C1769,GDWIRE NAMIC ST 0.035 260CM,125.0,100.0,1.0,112.5,26
HCPCS,C1769,GDWIRE NANO FX PLEURISTIK*NLU*,1318.0,1054.4,1.0,1186.2,26
HCPCS,C1769,GDWIRE NAVIPRO ST 0.025X260CM,898.0,718.4,1.0,808.2,26
HCPCS,C1769,GDWIRE NAVWIRE 3SINUS B*DISC*,10238.0,8190.4,1.0,9214.2,26
HCPCS,C1769,GDWIRE NE*VAT 6186641 6289944*,108.0,86.4,1.0,97.2,26
HCPCS,C1769,GDWIRE NEWTON ST 0.035 14*NLU*,140.0,112.0,1.0,126.0,26
HCPCS,C1769,GDWIRE NIT 1.1MMX14IN*NLU*,330.0,264.0,1.0,297.0,26
HCPCS,C1769,GDWIRE NIT 1.5MMX9IN*NLU*,330.0,264.0,1.0,297.0,26
HCPCS,C1769,GDWIRE NIT BABY0*DISC 6346082*,150.0,120.0,1.0,135.0,26
HCPCS,C1769,GDWIRE NIT DBL TROC 1.6MM,512.0,409.6,1.0,460.8,26
HCPCS,C1769,GDWIRE NIT EVEREST 1.4X485MM,792.0,633.6,1.0,712.8,26
HCPCS,C1769,GDWIRE NIT MANDREL 0.018X40CM,384.0,307.2,1.0,345.6,26
HCPCS,C1769,GDWIRE NIT PLAT 0.018X80CM,435.0,348.0,1.0,391.5,26
HCPCS,C1769,GDWIRE NIT STER STRY 2.0MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1769,GDWIRE NIT TROC INVICTUS 18IN,900.0,720.0,1.0,810.0,26
HCPCS,C1769,GDWIRE NIT TROC INVICTUS 20IN,900.0,720.0,1.0,810.0,26
HCPCS,C1769,GDWIRE NITREX INTRMD0.018 80CM,570.0,456.0,1.0,513.0,26
HCPCS,C1769,GDWIRE NITREX STD 0.018 180CM,750.0,600.0,1.0,675.0,26
HCPCS,C1769,GDWIRE NITREX STD 0.018 300CM,978.0,782.4,1.0,880.2,26
HCPCS,C1769,GDWIRE NITREX STD 0.018 80CM,570.0,456.0,1.0,513.0,26
HCPCS,C1769,GDWIRE NITREXINTRMD 0.014 80CM,750.0,600.0,1.0,675.0,26
HCPCS,C1769,GDWIRE NITREXINTRMD0.014 180CM,893.0,714.4,1.0,803.7,26
HCPCS,C1769,GDWIRE NITREXINTRMD0.014 300CM,978.0,782.4,1.0,880.2,26
HCPCS,C1769,GDWIRE NITREXINTRMD0.018 180CM,750.0,600.0,1.0,675.0,26
HCPCS,C1769,GDWIRE NITREXINTRMD0.035 300CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE NOVAGOLD HIPERF.018X260,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1769,GDWIRE NOVAGOLD HIPERF.018X480,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1769,GDWIRE NS HYPERCOAT 180CM,1169.0,935.2,1.0,1052.1,26
HCPCS,C1769,GDWIRE NS XTR FLOPPY 180CM,897.0,717.6,1.0,807.3,26
HCPCS,C1769,GDWIRE NTHRD 1.25X150MM,174.0,139.2,1.0,156.6,26
HCPCS,C1769,GDWIRE NTHRD ACUM 1.3X150MM,190.0,152.0,1.0,171.0,26
HCPCS,C1769,GDWIRE NTHRD MDTR 24IN,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1769,GDWIRE NTHRD TRIANG TROC 1.1,174.0,139.2,1.0,156.6,26
HCPCS,C1769,GDWIRE NTHRD TROC 1.6X220MM,226.0,180.8,1.0,203.4,26
HCPCS,C1769,GDWIRE OLIVE 6.5 2.0X150 30,1958.0,1566.4,1.0,1762.2,26
HCPCS,C1769,GDWIRE OLIVE 6.5 2.0X150 45,1958.0,1566.4,1.0,1762.2,26
HCPCS,C1769,GDWIRE OMNIWIRE FFR STTIP185CM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1769,GDWIRE ORION 4.5MM SCREW *NLU*,300.0,240.0,1.0,270.0,26
HCPCS,C1769,GDWIRE PEMD 1.6MM,638.0,510.4,1.0,574.2,26
HCPCS,C1769,GDWIRE PEMD 2.0MM,638.0,510.4,1.0,574.2,26
HCPCS,C1769,GDWIRE PERFORM+ 2.5X220MM,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE PIPELINE DEPU LS *NLU*,440.0,352.0,1.0,396.0,26
HCPCS,C1769,GDWIRE PLAT + 0.014 180CM,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE PLAT + 0.018 300CM,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE PLAT +ST 0.018 180CM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1769,GDWIRE PLAT +ST 0.018 260CM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1769,GDWIRE PLAT+ GLIDEX0.018 180CM,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1769,GDWIRE PLAT+ SIL 0.014 300CM,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE POWERWIRE PRO RF ANG 20,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1769,GDWIRE POWERWIRE PRO RF ANG 30,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1769,GDWIRE POWERWIRE PRO RF ANG 40,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1769,GDWIRE POWERWIRE PRO RF ST 75,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1769,GDWIRE PRESTIGE ST 185CM*DISC*,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1769,GDWIRE PROSTOP 0.078,242.0,193.6,1.0,217.8,26
HCPCS,C1769,GDWIRE PROTRACK PIGT.025 230CM,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1769,GDWIRE PRSS COMET II 185MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1769,GDWIRE PRSSWIRE X WRLSS 175CM,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1769,GDWIRE PTCA EXT ASIN 165CM,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE PTCA PROWATER GW 180CM,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE PTCA PROWATERFLEX 180CM,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE PTFE CTD TPR 15CM,315.0,252.0,1.0,283.5,26
HCPCS,C1769,GDWIRE PTFE SS ST 0.035 180CM,257.0,205.6,1.0,231.3,26
HCPCS,C1769,GDWIRE R350 0.013 350CM,1654.0,1323.2,1.0,1488.6,26
HCPCS,C1769,GDWIRE RDRN FLOPPY 0.035 145CM,338.0,270.4,1.0,304.2,26
HCPCS,C1769,GDWIRE RDRN NMBL 0.035 145CM,338.0,270.4,1.0,304.2,26
HCPCS,C1769,GDWIRE RDRN PC ST STD0.035 3CM,375.0,300.0,1.0,337.5,26
HCPCS,C1769,GDWIRE RDRN XTR SUPP 0.018 260,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1769,GDWIRE RDRN XTR SUPP 0.018 480,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1769,GDWIRE ROSEN 0.035 180CM*DISC,125.0,100.0,1.0,112.5,26
HCPCS,C1769,GDWIRE ROSEN 0.035 260CM*DISC*,168.0,134.4,1.0,151.2,26
HCPCS,C1769,GDWIRE ROSEN J INQ.035 1.5X180,117.0,93.6,1.0,105.3,26
HCPCS,C1769,GDWIRE ROSEN PTFE 0.035 180CM,136.0,108.8,1.0,122.4,26
HCPCS,C1769,GDWIRE ROSEN PTFE 0.035 260CM,282.0,225.6,1.0,253.8,26
HCPCS,C1769,GDWIRE ROSEN PTFE 0.035 80CM,137.0,109.6,1.0,123.3,26
HCPCS,C1769,GDWIRE ROTA*DISC 6321480*,1149.0,919.2,1.0,1034.1,26
HCPCS,C1769,GDWIRE ROTAWIR*DISC 6321481*,1149.0,919.2,1.0,1034.1,26
HCPCS,C1769,GDWIRE ROTAWIRE FLOPPY 0.014,1702.0,1361.6,1.0,1531.8,26
HCPCS,C1769,GDWIRE ROTAWIRE XTRA SUPP,1702.0,1361.6,1.0,1531.8,26
HCPCS,C1769,GDWIRE SAFARI2 CURV LG 275CM,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1769,GDWIRE SAFARI2 CURV XS 275CM,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1769,GDWIRE SELECT ACC SOFT 215CM,5235.0,4188.0,1.0,4711.5,26
HCPCS,C1769,GDWIRE SELECT ACC ST SOFT215CM,5235.0,4188.0,1.0,4711.5,26
HCPCS,C1769,GDWIRE SELECT ACC STD PRSHP215,5235.0,4188.0,1.0,4711.5,26
HCPCS,C1769,GDWIRE SELECTACCSYNCHROSOFT300,5581.0,4464.8,1.0,5022.9,26
HCPCS,C1769,GDWIRE SENS ANG 0.035 150CM,817.0,653.6,1.0,735.3,26
HCPCS,C1769,GDWIRE SENS FLEX ST 0.035 150,851.0,680.8,1.0,765.9,26
HCPCS,C1769,GDWIRE SENS ST 0.035 150CM,817.0,653.6,1.0,735.3,26
HCPCS,C1769,GDWIRE SENS ST 0.038 150CM,817.0,653.6,1.0,735.3,26
HCPCS,C1769,GDWIRE SEXTANT BLNT,730.0,584.0,1.0,657.0,26
HCPCS,C1769,GDWIRE SGL TROC 0.062 9.25MM,240.0,192.0,1.0,216.0,26
HCPCS,C1769,GDWIRE SGL TROC ACUM 2.0MMX9,320.0,256.0,1.0,288.0,26
HCPCS,C1769,GDWIRE SGL TROC VILX 1.2X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE SGL TROC VILX 1.6X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE SHEPHERD 4G 0.014 ST300,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE SHLDR ALTIVATE 2.4MM,300.0,240.0,1.0,270.0,26
HCPCS,C1769,GDWIRE SHLDR ALTIVATE2.4X228MM,2080.0,1664.0,1.0,1872.0,26
HCPCS,C1769,GDWIRE SINUS NVGTN NAV*DISC*,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1769,GDWIRE SION ST ASIN 190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE SION ST BLU ASIN 190CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1769,GDWIRE SIONBLK PRSHP 190CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1769,GDWIRE SIONBLK PRSHP 300CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1769,GDWIRE SLIM PEMD 1.6MM,656.0,524.8,1.0,590.4,26
HCPCS,C1769,GDWIRE SMTH ORPE 1.60MM,344.0,275.2,1.0,309.6,26
HCPCS,C1769,GDWIRE SMTH ORPE 1.6X200MM,570.0,456.0,1.0,513.0,26
HCPCS,C1769,GDWIRE SMTH ORPE*DISC 6341617*,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1769,GDWIRE SMTH PEDIFRAG1.6X150MM,320.0,256.0,1.0,288.0,26
HCPCS,C1769,GDWIRE SMTH SS ORPE 1.10X120MM,570.0,456.0,1.0,513.0,26
HCPCS,C1769,GDWIRE SMTH SS ORPE 1.25X150MM,570.0,456.0,1.0,513.0,26
HCPCS,C1769,GDWIRE SMTH SS ORPE 2.00X800MM,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1769,GDWIRE SMTH SS ORPE 2.0X230MM,2013.0,1610.4,1.0,1811.7,26
HCPCS,C1769,GDWIRE SMTH TIP STRY 2.2X800MM,1080.0,864.0,1.0,972.0,26
HCPCS,C1769,GDWIRE SMTH TIP STRY 3X800MM,1120.0,896.0,1.0,1008.0,26
HCPCS,C1769,GDWIRE SMTH ZIMM 3.0MMX100CM,1051.0,840.8,1.0,945.9,26
HCPCS,C1769,GDWIRE SMTH ZIMM*DISC NO REPL*,1051.0,840.8,1.0,945.9,26
HCPCS,C1769,GDWIRE SPADE BLU 2.0X230,239.0,191.2,1.0,215.1,26
HCPCS,C1769,GDWIRE SPARTACORE 0.014 300CM,720.0,576.0,1.0,648.0,26
HCPCS,C1769,GDWIRE SPLASHWIRE ANG0.35 260,354.0,283.2,1.0,318.6,26
HCPCS,C1769,GDWIRE SPLASHWIRE STIFF ANG260,354.0,283.2,1.0,318.6,26
HCPCS,C1769,GDWIRE SPRING ST 0.018 25CM,90.0,72.0,1.0,81.0,26
HCPCS,C1769,GDWIRE SPRING ST 0.021 35CM,122.0,97.6,1.0,109.8,26
HCPCS,C1769,GDWIRE SPRING ST 0.025 33CM,90.0,72.0,1.0,81.0,26
HCPCS,C1769,GDWIRE SPRING ST J 0.018 *NLU*,99.0,79.2,1.0,89.1,26
HCPCS,C1769,GDWIRE SPRING ST J 0.035 45CM,123.0,98.4,1.0,110.7,26
HCPCS,C1769,GDWIRE SPRING ST J 0.035 68CM,109.0,87.2,1.0,98.1,26
HCPCS,C1769,GDWIRE SS ACUM 0.62X6,210.0,168.0,1.0,189.0,26
HCPCS,C1769,GDWIRE SS EVEREST 1.4X20.5,792.0,633.6,1.0,712.8,26
HCPCS,C1769,GDWIRE ST 0.0*VAT 6160179*,504.0,403.2,1.0,453.6,26
HCPCS,C1769,GDWIRE ST ACUM 0.028X6,210.0,168.0,1.0,189.0,26
HCPCS,C1769,GDWIRE ST ACUM 0.035X6,210.0,168.0,1.0,189.0,26
HCPCS,C1769,GDWIRE ST ACUM 0.045X6,210.0,168.0,1.0,189.0,26
HCPCS,C1769,GDWIRE ST PT2 ADDWIRE 185CM,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE ST PT2 ADDWIRE 300CM,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE ST PT2 TIP .014X18*NLU*,747.0,597.6,1.0,672.3,26
HCPCS,C1769,GDWIRE ST SHP 0.035 150CM*NLU*,348.0,278.4,1.0,313.2,26
HCPCS,C1769,GDWIRE STAB XS ST SS.014 *NLU*,525.0,420.0,1.0,472.5,26
HCPCS,C1769,GDWIRE STARTER JTIP 80CM*NLU*,103.0,82.4,1.0,92.7,26
HCPCS,C1769,GDWIRE STARTER ST 0.035 2*NLU*,160.0,128.0,1.0,144.0,26
HCPCS,C1769,GDWIRE STARTEROSENJ0.035 180CM,292.0,233.6,1.0,262.8,26
HCPCS,C1769,GDWIRE STARTEROSENJ0.035 260CM,292.0,233.6,1.0,262.8,26
HCPCS,C1769,GDWIRE STD 3.2MM*USE 6176646*,684.0,547.2,1.0,615.6,26
HCPCS,C1769,GDWIRE STD ANG 0.018 150CM,589.0,471.2,1.0,530.1,26
HCPCS,C1769,GDWIRE STD ANG 0.025 150CM,475.0,380.0,1.0,427.5,26
HCPCS,C1769,GDWIRE STD ANG 0.025 180CM,589.0,471.2,1.0,530.1,26
HCPCS,C1769,GDWIRE STD ANG 0.025 260CM,632.0,505.6,1.0,568.8,26
HCPCS,C1769,GDWIRE STD ANG 0.035 150CM,340.0,272.0,1.0,306.0,26
HCPCS,C1769,GDWIRE STD ANG 0.035 180CM,455.0,364.0,1.0,409.5,26
HCPCS,C1769,GDWIRE STD ANG 0.035 260CM,485.0,388.0,1.0,436.5,26
HCPCS,C1769,GDWIRE STD ANG 0.035 450CM,859.0,687.2,1.0,773.1,26
HCPCS,C1769,GDWIRE STD ANG 0.038 150CM,340.0,272.0,1.0,306.0,26
HCPCS,C1769,GDWIRE STD DRILL TIP 3.2MM,461.0,368.8,1.0,414.9,26
HCPCS,C1769,GDWIRE STD J 1.5 0.035 180CM,89.0,71.2,1.0,80.1,26
HCPCS,C1769,GDWIRE STD JTIP 0.035 260CM,485.0,388.0,1.0,436.5,26
HCPCS,C1769,GDWIRE STD ST 0.018 150CM,589.0,471.2,1.0,530.1,26
HCPCS,C1769,GDWIRE STD ST 0.025 150CM,475.0,380.0,1.0,427.5,26
HCPCS,C1769,GDWIRE STD ST 0.025 260CM,632.0,505.6,1.0,568.8,26
HCPCS,C1769,GDWIRE STD ST 0.035 150CM,340.0,272.0,1.0,306.0,26
HCPCS,C1769,GDWIRE STD ST 0.035 260CM,485.0,388.0,1.0,436.5,26
HCPCS,C1769,GDWIRE STD ST 0.038 150CM,340.0,272.0,1.0,306.0,26
HCPCS,C1769,GDWIRE STEDI XSUPP 0.035 275CM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1769,GDWIRE STIFF ANG 0.0.35 350CM,797.0,637.6,1.0,717.3,26
HCPCS,C1769,GDWIRE STIFF ANG 0.035 150CM,494.0,395.2,1.0,444.6,26
HCPCS,C1769,GDWIRE STIFF ANG 0.035 180CM,513.0,410.4,1.0,461.7,26
HCPCS,C1769,GDWIRE STIFF ANG 0.035 260CM,546.0,436.8,1.0,491.4,26
HCPCS,C1769,GDWIRE STIFF ANG 0.035 450CM,965.0,772.0,1.0,868.5,26
HCPCS,C1769,GDWIRE STIFF ANG 0.038 150CM,494.0,395.2,1.0,444.6,26
HCPCS,C1769,GDWIRE STINGRAY HPC 185CM,2562.0,2049.6,1.0,2305.8,26
HCPCS,C1769,GDWIRE STINGRAY HPC 300CM,2562.0,2049.6,1.0,2305.8,26
HCPCS,C1769,GDWIRE STORQ SOFT 0.035 180CM,489.0,391.2,1.0,440.1,26
HCPCS,C1769,GDWIRE STORQ SOFT 0.035 300CM,693.0,554.4,1.0,623.7,26
HCPCS,C1769,GDWIRE STORQWIRE .035 180*NLU*,489.0,391.2,1.0,440.1,26
HCPCS,C1769,GDWIRE SUOH 03 ST 0.014 190CM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE SUP STIFF*DISC 6130102*,375.0,300.0,1.0,337.5,26
HCPCS,C1769,GDWIRE SUPRA CORE 0.035 190CM,618.0,494.4,1.0,556.2,26
HCPCS,C1769,GDWIRE SUPRA CORE 0.035 300CM,618.0,494.4,1.0,556.2,26
HCPCS,C1769,GDWIRE SV-5 0.018 300CM,709.0,567.2,1.0,638.1,26
HCPCS,C1769,GDWIRE SV-8 0.018 180CM,713.0,570.4,1.0,641.7,26
HCPCS,C1769,GDWIRE SYNCHRO PRSHP 215CM,5235.0,4188.0,1.0,4711.5,26
HCPCS,C1769,GDWIRE SYNCHRO STD ST 215CM,5235.0,4188.0,1.0,4711.5,26
HCPCS,C1769,GDWIRE SYNCHRO10 ACC 200CM,5235.0,4188.0,1.0,4711.5,26
HCPCS,C1769,GDWIRE SYNCHRO10 EXCH 300CM,5581.0,4464.8,1.0,5022.9,26
HCPCS,C1769,GDWIRE SYNCHRO2 ACC SOFT 200CM,5235.0,4188.0,1.0,4711.5,26
HCPCS,C1769,GDWIRE SYNCHRO2 ACC STD 200CM,5235.0,4188.0,1.0,4711.5,26
HCPCS,C1769,GDWIRE SYNCHRO2 ACC SUPP *NLU*,4719.0,3775.2,1.0,4247.1,26
HCPCS,C1769,GDWIRE SYNCHRO2 EXCH SOFT 300,5581.0,4464.8,1.0,5022.9,26
HCPCS,C1769,GDWIRE SYNCHRO2 EXCH SUPP*NLU*,5034.0,4027.2,1.0,4530.6,26
HCPCS,C1769,GDWIRE SYNCHRO2ACCSOFTPRSHP200,5235.0,4188.0,1.0,4711.5,26
HCPCS,C1769,GDWIRE SYNCHRO2ACCSUPPPRSHP215,5235.0,4188.0,1.0,4711.5,26
HCPCS,C1769,GDWIRE SYNT 2.8X350MM,295.0,236.0,1.0,265.5,26
HCPCS,C1769,GDWIRE TE2.0X240*DISC NO REPL*,281.0,224.8,1.0,252.9,26
HCPCS,C1769,GDWIRE TEMP FIX 1.6X150MM,143.0,114.4,1.0,128.7,26
HCPCS,C1769,GDWIRE THRD *DUP 6263349*,446.0,356.8,1.0,401.4,26
HCPCS,C1769,GDWIRE THRD 3.0X230MM,156.0,124.8,1.0,140.4,26
HCPCS,C1769,GDWIRE THRD ACUM TI 0.062X6,618.0,494.4,1.0,556.2,26
HCPCS,C1769,GDWIRE THRD AMEN 1.4MMX18IN,250.0,200.0,1.0,225.0,26
HCPCS,C1769,GDWIRE THRD ARTX 1.2X100MM,40.0,32.0,1.0,36.0,26
HCPCS,C1769,GDWIRE THRD AS3 STRY 1.4X150MM,604.0,483.2,1.0,543.6,26
HCPCS,C1769,GDWIRE THRD AS3 STRY 3.2X300MM,358.0,286.4,1.0,322.2,26
HCPCS,C1769,GDWIRE THRD ASNIS 3.2X450MM,459.0,367.2,1.0,413.1,26
HCPCS,C1769,GDWIRE THRD DBL END SPADE 1.25,174.0,139.2,1.0,156.6,26
HCPCS,C1769,GDWIRE THRD DEPU *USE 6288366*,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1769,GDWIRE THRD MDTR 24,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE THRD ORPE 1.6X200MM,570.0,456.0,1.0,513.0,26
HCPCS,C1769,GDWIRE THRD RECTANG TROC 1.1,186.0,148.8,1.0,167.4,26
HCPCS,C1769,GDWIRE THRD SPADE 2.0X230MM,245.0,196.0,1.0,220.5,26
HCPCS,C1769,GDWIRE THRD SPADE 2.5X230MM,407.0,325.6,1.0,366.3,26
HCPCS,C1769,GDWIRE THRD SS ORPE 1.25X150MM,570.0,456.0,1.0,513.0,26
HCPCS,C1769,GDWIRE THRD SS ORPE 1.60X200MM,570.0,456.0,1.0,513.0,26
HCPCS,C1769,GDWIRE THRD SS ORPE 1.60X230MM,2122.0,1697.6,1.0,1909.8,26
HCPCS,C1769,GDWIRE THRD SS ORPE 2.00X150MM,2122.0,1697.6,1.0,1909.8,26
HCPCS,C1769,GDWIRE THRD SS ORPE 2.00X230MM,2122.0,1697.6,1.0,1909.8,26
HCPCS,C1769,GDWIRE THRD SS ORPE 2.50X200MM,2272.0,1817.6,1.0,2044.8,26
HCPCS,C1769,GDWIRE THRD SS ORPE 3.20X200MM,2272.0,1817.6,1.0,2044.8,26
HCPCS,C1769,GDWIRE THRD TIP 3.2MM,921.0,736.8,1.0,828.9,26
HCPCS,C1769,GDWIRE THRD TIP STER 2.8X450MM,2012.0,1609.6,1.0,1810.8,26
HCPCS,C1769,GDWIRE THRD TIP SYNT 1.4X150MM,834.0,667.2,1.0,750.6,26
HCPCS,C1769,GDWIRE THRD TIP SYNT 1.6X220MM,861.0,688.8,1.0,774.9,26
HCPCS,C1769,GDWIRE THRD TIP SYNT 2.8X220MM,1140.0,912.0,1.0,1026.0,26
HCPCS,C1769,GDWIRE THRD TIP SYNT 2.8X300MM,1431.0,1144.8,1.0,1287.9,26
HCPCS,C1769,GDWIRE THRD TRIANG TROC2.8X300,285.0,228.0,1.0,256.5,26
HCPCS,C1769,GDWIRE THRD TROC 1.25X150MM,186.0,148.8,1.0,167.4,26
HCPCS,C1769,GDWIRE THRD TROC 1.6X220MM,233.0,186.4,1.0,209.7,26
HCPCS,C1769,GDWIRE THRD TROC 2.0X230MM,251.0,200.8,1.0,225.9,26
HCPCS,C1769,GDWIRE THRD TROC 2.8X450MM,490.0,392.0,1.0,441.0,26
HCPCS,C1769,GDWIRE THRD TROC TIP 1.35MM,220.0,176.0,1.0,198.0,26
HCPCS,C1769,GDWIRE THRD TROC TIP 1.6MM,242.0,193.6,1.0,217.8,26
HCPCS,C1769,GDWIRE THRD TROC TIP 1.6X150,208.0,166.4,1.0,187.2,26
HCPCS,C1769,GDWIRE THRUWAY 0.018 190CM,1403.0,1122.4,1.0,1262.7,26
HCPCS,C1769,GDWIRE THRUWAY JTIP .018*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1769,GDWIRE THRUWAY JTIP0.018 300CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1769,GDWIRE THRUWAY ST 0.018 300CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1769,GDWIRE TIP DEFLECT0.035 5MM145,1063.0,850.4,1.0,956.7,26
HCPCS,C1769,GDWIRE TMPR PACING 0.035 280CM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1769,GDWIRE TORQ-FLEX MOD0.018 40CM,337.0,269.6,1.0,303.3,26
HCPCS,C1769,GDWIRE TPR LNG ANG 0.035 260,546.0,436.8,1.0,491.4,26
HCPCS,C1769,GDWIRE TRACER BLU 0.025 260CM,1573.0,1258.4,1.0,1415.7,26
HCPCS,C1769,GDWIRE TRANSC 0.014 190CM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1769,GDWIRE TRANSC 0.018 165CM,2200.0,1760.0,1.0,1980.0,26
HCPCS,C1769,GDWIRE TRANSEND 0.010 200*NLU*,3420.0,2736.0,1.0,3078.0,26
HCPCS,C1769,GDWIRE TRANSEND FLOP 300CM,4516.0,3612.8,1.0,4064.4,26
HCPCS,C1769,GDWIRE TRANSEND FLOP.014 *NLU*,3420.0,2736.0,1.0,3078.0,26
HCPCS,C1769,GDWIRE TRANSEND PLAT.014 205CM,4515.0,3612.0,1.0,4063.5,26
HCPCS,C1769,GDWIRE TRANSEND STD0.014 182CM,4515.0,3612.0,1.0,4063.5,26
HCPCS,C1769,GDWIRE TRAXCESS 14 SOFT,2924.0,2339.2,1.0,2631.6,26
HCPCS,C1769,GDWIRE TRAXCESS 7 MINI SOFT,3719.0,2975.2,1.0,3347.1,26
HCPCS,C1769,GDWIRE TRAXCESS DOCKING 115CM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1769,GDWIRE TRAXCESS14SH0.014 *NLU*,3230.0,2584.0,1.0,2907.0,26
HCPCS,C1769,GDWIRE TRIWAY 3.2X350MM,1794.0,1435.2,1.0,1614.6,26
HCPCS,C1769,GDWIRE TRNSPTL SAFE0.014X135CM,1875.0,1500.0,1.0,1687.5,26
HCPCS,C1769,GDWIRE TROC ARTX 1.6MM,220.0,176.0,1.0,198.0,26
HCPCS,C1769,GDWIRE TROC LASER LINE 0.045,165.0,132.0,1.0,148.5,26
HCPCS,C1769,GDWIRE TROC LASER THRD 0.86MM,242.0,193.6,1.0,217.8,26
HCPCS,C1769,GDWIRE TROC NTHRD 2.8X300MM,254.0,203.2,1.0,228.6,26
HCPCS,C1769,GDWIRE TROC SGL 1.8X200MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE TROC SGL 100X1.0MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE TROC SGL 100X1.4MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE TROC SGL VILX 100X1.0MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE TROC SGL VILX 2.2X250MM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1769,GDWIRE TROC SMTH STER 0.062X9,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1769,GDWIRE TROC SPADE STER1.6MMX12,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE TROC SPADE TIP 1.6MMX12,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE TROC THRD 0.062X9.25,330.0,264.0,1.0,297.0,26
HCPCS,C1769,GDWIRE TROC THRD ARTX 2.4MMX12,330.0,264.0,1.0,297.0,26
HCPCS,C1769,GDWIRE TROC TIP 0.092X9.25,28.0,22.4,1.0,25.2,26
HCPCS,C1769,GDWIRE TROC TIP 0.8X100MM,497.0,397.6,1.0,447.3,26
HCPCS,C1769,GDWIRE TROC TIP 1.1X150MM,524.0,419.2,1.0,471.6,26
HCPCS,C1769,GDWIRE TROC TIP 1.35X150MM,220.0,176.0,1.0,198.0,26
HCPCS,C1769,GDWIRE TROC TIP 1.4X150MM,607.0,485.6,1.0,546.3,26
HCPCS,C1769,GDWIRE TROC TIP 1.6X200MM,660.0,528.0,1.0,594.0,26
HCPCS,C1769,GDWIRE TROC TIP 2.8X220MM,828.0,662.4,1.0,745.2,26
HCPCS,C1769,GDWIRE TROC TIP 2.8X300MM,828.0,662.4,1.0,745.2,26
HCPCS,C1769,GDWIRE TROC TIP 3.0X370MM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1769,GDWIRE TROC TIP 3.1X400MM,1190.0,952.0,1.0,1071.0,26
HCPCS,C1769,GDWIRE TROC TIP ARTX 0.045,242.0,193.6,1.0,217.8,26
HCPCS,C1769,GDWIRE TROC TIP ARTX 1.3MM,165.0,132.0,1.0,148.5,26
HCPCS,C1769,GDWIRE TROC TIP ARTX 1.6MM,165.0,132.0,1.0,148.5,26
HCPCS,C1769,GDWIRE TROC TIP ARTX 2.0X150MM,935.0,748.0,1.0,841.5,26
HCPCS,C1769,GDWIRE TROC TIP LASER LN0.86MM,286.0,228.8,1.0,257.4,26
HCPCS,C1769,GDWIRE TROC TIP LASERARTX1.1MM,220.0,176.0,1.0,198.0,26
HCPCS,C1769,GDWIRE TROC TIP MRME 1.1X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE TROC TIP STER 1.1X150MM,791.0,632.8,1.0,711.9,26
HCPCS,C1769,GDWIRE TROC TIP STER 2.8X450MM,1714.0,1371.2,1.0,1542.6,26
HCPCS,C1769,GDWIRE TROC TIP THRD2.35X235MM,330.0,264.0,1.0,297.0,26
HCPCS,C1769,GDWIRE TROC TIPTHRD ARTX 1.1MM,286.0,228.8,1.0,257.4,26
HCPCS,C1769,GDWIRE TROC ZIMM 1.8X200MM,461.0,368.8,1.0,414.9,26
HCPCS,C1769,GDWIRE TROCAR TIP ARTX 2MM,46.0,36.8,1.0,41.4,26
HCPCS,C1769,GDWIRE TROCAR ZIMM SHRT*DISC*,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE TROCTIP ARTX 1.35X150MM,220.0,176.0,1.0,198.0,26
HCPCS,C1769,GDWIRE TROCTIP ARTX 2.4MMX12IN,242.0,193.6,1.0,217.8,26
HCPCS,C1769,GDWIRE TROCTIP THRD ARTX 2.4MM,330.0,264.0,1.0,297.0,26
HCPCS,C1769,GDWIRE TRUEPATH CTO EXT*DISC*,756.0,604.8,1.0,680.4,26
HCPCS,C1769,GDWIRE TURNTRACFLEX0.014 *NLU*,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE ULTRATRACK ST0.035 15CM,492.0,393.6,1.0,442.8,26
HCPCS,C1769,GDWIRE UNIGLIDE *DISC 6355257*,376.0,300.8,1.0,338.4,26
HCPCS,C1769,GDWIRE UNITE NTHRD 1.4X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE UNITE NTHRD 2.0X200MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE UNTHRD FIXOS 1.4X150MM,1297.0,1037.6,1.0,1167.3,26
HCPCS,C1769,GDWIRE UROSTREAM STD ANG 0.038,305.0,244.0,1.0,274.5,26
HCPCS,C1769,GDWIRE UROSTREAM STD ST 0.025,305.0,244.0,1.0,274.5,26
HCPCS,C1769,GDWIRE UROSTREAM STD ST 0.035,305.0,244.0,1.0,274.5,26
HCPCS,C1769,GDWIRE UROSTREAM STD ST 0.038,305.0,244.0,1.0,274.5,26
HCPCS,C1769,GDWIRE UROSTREAM STIFF ST0.038,481.0,384.8,1.0,432.9,26
HCPCS,C1769,GDWIRE V-14 30GM*DISC 6329559*,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1769,GDWIRE V-14 ST 30GM 300CM,3024.0,2419.2,1.0,2721.6,26
HCPCS,C1769,GDWIRE V-18 30GM*DISC 6329561*,1828.0,1462.4,1.0,1645.2,26
HCPCS,C1769,GDWIRE V-18 CTRLWIRE ST8X300CM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1769,GDWIRE V-18 ST 30GM 300CM,2792.0,2233.6,1.0,2512.8,26
HCPCS,C1769,GDWIRE VERRA*DISC 6280223*,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1769,GDWIRE VERRATA *DISC 6316416*,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1769,GDWIRE VERSACORE 0.035 MO*NLU*,500.0,400.0,1.0,450.0,26
HCPCS,C1769,GDWIRE VERSATURN UNCTD ST190CM,665.0,532.0,1.0,598.5,26
HCPCS,C1769,GDWIRE VICTORY14 ST BRIV12G300,2528.0,2022.4,1.0,2275.2,26
HCPCS,C1769,GDWIRE VICTORY14*DISC 6335594*,1615.0,1292.0,1.0,1453.5,26
HCPCS,C1769,GDWIRE VILX 1.1X150MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE VILX 1.4X300MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE VILX 2.2X300MM,1020.0,816.0,1.0,918.0,26
HCPCS,C1769,GDWIRE VISIGLIDE ANG.035 450CM,1454.0,1163.2,1.0,1308.6,26
HCPCS,C1769,GDWIRE VISIGLIDE ANG0.025 2700,1454.0,1163.2,1.0,1308.6,26
HCPCS,C1769,GDWIRE VISIGLIDE ANG0.035 2700,1454.0,1163.2,1.0,1308.6,26
HCPCS,C1769,GDWIRE VISIGLIDE ST 0.025 2700,1454.0,1163.2,1.0,1308.6,26
HCPCS,C1769,GDWIRE VISIGLIDE ST 0.025 4500,1454.0,1163.2,1.0,1308.6,26
HCPCS,C1769,GDWIRE VISIGLIDE ST 0.035 2700,1454.0,1163.2,1.0,1308.6,26
HCPCS,C1769,GDWIRE VISIGLIDE2 ANG0.035 450,1454.0,1163.2,1.0,1308.6,26
HCPCS,C1769,GDWIRE VPRWIRE *DISC 6297759*,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1769,GDWIRE VPRWIRE 0.014 335CM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1769,GDWIRE VPRWIRE A*DISC 6297758*,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1769,GDWIRE VPRWIRE ADV 0.014 475CM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1769,GDWIRE VPRWIREADVFLEX0.012X325,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1769,GDWIRE VPRWIREADVFLEX0.014 325,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1769,GDWIRE VPRWIREFLEX 0.014 335CM,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1769,GDWIRE W BALL TIP ZIMM*DISC*,1292.0,1033.6,1.0,1162.8,26
HCPCS,C1769,GDWIRE W STOP 3.2MM TIP 1.2MM,820.0,656.0,1.0,738.0,26
HCPCS,C1769,GDWIRE WHOLEY EXT ST.035 *NLU*,506.0,404.8,1.0,455.4,26
HCPCS,C1769,GDWIRE WHOLEY EXT ST.035 175CM,551.0,440.8,1.0,495.9,26
HCPCS,C1769,GDWIRE WHOLEY EXT ST.035 300CM,656.0,524.8,1.0,590.4,26
HCPCS,C1769,GDWIRE WHOLEY MOD J0.035 145CM,551.0,440.8,1.0,495.9,26
HCPCS,C1769,GDWIRE WHOLEY MOD J0.035 260CM,551.0,440.8,1.0,495.9,26
HCPCS,C1769,GDWIRE WHOLEY MOD J0.035 300CM,656.0,524.8,1.0,590.4,26
HCPCS,C1769,GDWIRE WHOLEY STD EXTST.035175,551.0,440.8,1.0,495.9,26
HCPCS,C1769,GDWIRE WHOLEY STD EXTST.035300,551.0,440.8,1.0,495.9,26
HCPCS,C1769,GDWIRE WO THRD AS3 3.2X300MM,358.0,286.4,1.0,322.2,26
HCPCS,C1769,GDWIRE XTR FIRM 150CM,108.0,86.4,1.0,97.2,26
HCPCS,C1769,GDWIRE Z 1.5X80MM,1658.0,1326.4,1.0,1492.2,26
HCPCS,C1769,GDWIRE ZILIENT 12GM0.014 *NLU*,1105.0,884.0,1.0,994.5,26
HCPCS,C1769,GDWIRE ZILIENT 12GM0.018 *NLU*,1105.0,884.0,1.0,994.5,26
HCPCS,C1769,GDWIRE ZILIENT 30GM0.014 *NLU*,1105.0,884.0,1.0,994.5,26
HCPCS,C1769,GDWIRE ZILIENT 30GM0.018 *NLU*,1105.0,884.0,1.0,994.5,26
HCPCS,C1769,GDWIRE ZILIENT 4*DISC 6331690*,810.0,648.0,1.0,729.0,26
HCPCS,C1769,GDWIRE ZILIENT 4GM 0.018 *NLU*,900.0,720.0,1.0,810.0,26
HCPCS,C1769,GDWIRE ZILIENT 6GM 0.014 *NLU*,900.0,720.0,1.0,810.0,26
HCPCS,C1769,GDWIRE ZILIENT 6GM 0.018 *NLU*,900.0,720.0,1.0,810.0,26
HCPCS,C1769,GDWIRE ZIMM 1.6X150MM*DISC*,448.0,358.4,1.0,403.2,26
HCPCS,C1769,GDWIRE ZIMM 3.2X200MM*DISC*,448.0,358.4,1.0,403.2,26
HCPCS,C1769,GDWIRE ZIMM LNG 3.2MM,705.0,564.0,1.0,634.5,26
HCPCS,C1769,GDWIRE ZIPWIRE 0*DISC 6203124*,655.0,524.0,1.0,589.5,26
HCPCS,C1769,GDWIRE ZOOM 14 SUPP 200CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1769,GDWIRE ZOOM 14 X-SUPP 200CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1769,GDWIREAMPLHEPX*DISC MULT REPL*,262.0,209.6,1.0,235.8,26
HCPCS,C1769,GDWIREBENT.035180CM*DISC MULT*,223.0,178.4,1.0,200.7,26
HCPCS,C1769,GDWIREDFLXH3 145*DISC 6294352*,233.0,186.4,1.0,209.7,26
HCPCS,C1769,GDWIREHIWIRENITS*DISC 6336197*,516.0,412.8,1.0,464.4,26
HCPCS,C1769,GDWIREHIWIRENITS*DISC 6336199*,344.0,275.2,1.0,309.6,26
HCPCS,C1769,GDWIREHIWIRENITS*DISC 6336200*,344.0,275.2,1.0,309.6,26
HCPCS,C1769,GDWIREHIWIRNITST*DISC 6336198*,344.0,275.2,1.0,309.6,26
HCPCS,C1769,GDWIREHIWIRSTDST*DISC 6337366*,436.0,348.8,1.0,392.4,26
HCPCS,C1769,GDWIRELAUREATEST*DISC 6339687*,340.0,272.0,1.0,306.0,26
HCPCS,C1769,GDWIRELUNDERQUISTXSTIFFCURV260,1255.0,1004.0,1.0,1129.5,26
HCPCS,C1769,GDWIRELUNDERQUISTXSTIFFCURV300,1270.0,1016.0,1.0,1143.0,26
HCPCS,C1769,GDWIRERUNTHROUGHBLU0.014 180CM,897.0,717.6,1.0,807.3,26
HCPCS,C1769,GDWIRERUNTHROUGHWHT0.014 180CM,897.0,717.6,1.0,807.3,26
HCPCS,C1769,GDWIRERUNTHROUGHWHT0.014 300CM,897.0,717.6,1.0,807.3,26
HCPCS,C1769,GDWIRESYNCHRO2EXCHSUPPPRS*NLU*,5034.0,4027.2,1.0,4530.6,26
HCPCS,C1769,GWIRE TEMP FIX METRX 1.5X305MM,440.0,352.0,1.0,396.0,26
HCPCS,C1769,INST KT INNATE 4.5MM,3675.0,2940.0,1.0,3307.5,26
HCPCS,C1769,INTR KT IMPELLA 14FR LNG,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1769,INTR KT IMPELLA 14FR SHRT,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1769,INTR SET G2 DIL 7.5/8.5/9.0,3261.0,2608.8,1.0,2934.9,26
HCPCS,C1769,INTR TRAY G2 EVAC SHILEY 8.5,3931.0,3144.8,1.0,3537.9,26
HCPCS,C1769,INTR TRAY G2 SHILEY 7.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1769,INTR TRAY G2 SHILEY 8.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1769,INTR TRAY RX G2 DIL7.5/8.5/9.0,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1769,INTR TRAY RX G2 EVAC SHILEY7.5,4161.0,3328.8,1.0,3744.9,26
HCPCS,C1769,INTR TRAY RX G2 EVAC SHILEY8.5,4161.0,3328.8,1.0,3744.9,26
HCPCS,C1769,INTR TRAY RX G2 SHILEY 7.5,3873.0,3098.4,1.0,3485.7,26
HCPCS,C1769,INTR TRAY RX G2 SHILEY 8.5,3873.0,3098.4,1.0,3485.7,26
HCPCS,C1769,KT CRIC CATH MELKER 4.0MM,1705.0,1364.0,1.0,1534.5,26
HCPCS,C1769,KT CRIC CATH MELKER 5.0MM,2521.0,2016.8,1.0,2268.9,26
HCPCS,C1769,KT CRIC CATH MELKER 6.0MM,1788.0,1430.4,1.0,1609.2,26
HCPCS,C1769,KT CRIC CATH MELKER CUFF 5.0,2425.0,1940.0,1.0,2182.5,26
HCPCS,C1769,KT CRIC CATH MELKER UNCUFF 4X6,2085.0,1668.0,1.0,1876.5,26
HCPCS,C1769,KT CRIC CATH MELKER UNIV,4059.0,3247.2,1.0,3653.1,26
HCPCS,C1769,KT CRIC CATH UNIV CHLORAPREP,4090.0,3272.0,1.0,3681.0,26
HCPCS,C1769,KT CRIC MELKER CUFF 5.0,3567.0,2853.6,1.0,3210.3,26
HCPCS,C1769,KT DRIV GDWIRE FIBULOCK STER,4620.0,3696.0,1.0,4158.0,26
HCPCS,C1769,KT FEM PERC ART 19FR 31.8CM,2930.0,2344.0,1.0,2637.0,26
HCPCS,C1769,KT TENODESIS DISP 2.5X6MM,2596.0,2076.8,1.0,2336.4,26
HCPCS,C1769,KT VASC ACC BICAVAL 100CM,1350.0,1080.0,1.0,1215.0,26
HCPCS,C1769,NAIL ELAS STER PUR TI 1.5X300,2053.0,1642.4,1.0,1847.7,26
HCPCS,C1769,PIN ENTRY ORPE 3.2MM,2374.0,1899.2,1.0,2136.6,26
HCPCS,C1769,PK SURG ARTHRO HIP SN*NLU*,2184.0,1747.2,1.0,1965.6,26
HCPCS,C1769,PK SURG TAVI CUST FA,1444.0,1155.2,1.0,1299.6,26
HCPCS,C1769,SET RETROGRD INT*DISC 6332372*,1374.0,1099.2,1.0,1236.6,26
HCPCS,C1769,SET RETROGRD INTUB 11FR 110CM,1584.0,1267.2,1.0,1425.6,26
HCPCS,C1769,SPHOTOME FUSN OMNI TRACER480CM,3288.0,2630.4,1.0,2959.2,26
HCPCS,C1769,STIFF GLIDEWIRE .035 145CM,408.0,326.4,1.0,367.2,26
HCPCS,C1769,TB CHEST SET THAL QK 20FR 41CM,1384.0,1107.2,1.0,1245.6,26
HCPCS,C1769,TRAY ART CATH 20G 6IN,310.0,248.0,1.0,279.0,26
HCPCS,C1769,TRAY INTR BLU RH*DISC 6320648*,3312.0,2649.6,1.0,2980.8,26
HCPCS,C1769,TRAY INTR BLU RH*DISC 6321602*,3656.0,2924.8,1.0,3290.4,26
HCPCS,C1769,TRAY INTR BLU RHI*USE 6320648*,2920.0,2336.0,1.0,2628.0,26
HCPCS,C1769,TRAY INTR BLU*DISC 6321021*,3656.0,2924.8,1.0,3290.4,26
HCPCS,C1769,TRNSPTL D0 0.035*DISC 6345488*,4590.0,3672.0,1.0,4131.0,26
HCPCS,C1770,"Imaging coil, MR, insertable",,,1.0,1.0,3
HCPCS,C1771,SLING GYN ADV*DNR 6279401*,5293.0,4234.4,1.0,4763.7,26
HCPCS,C1771,SLING GYN ADVANTAGE BLU SYS,6383.0,5106.4,1.0,5744.7,26
HCPCS,C1771,SLING GYN ADVANTAGE FIT,6638.0,5310.4,1.0,5974.2,26
HCPCS,C1771,SLING GYN ADVANTAGE FIT ULT,6638.0,5310.4,1.0,5974.2,26
HCPCS,C1771,SLING GYN ALTIS SGL INCISION,6768.0,5414.4,1.0,6091.2,26
HCPCS,C1771,SLING GYN DESARA BLU 45CM*NLU*,4974.0,3979.2,1.0,4476.6,26
HCPCS,C1771,SLING GYN DESARA SL*NLU*,5171.0,4136.8,1.0,4653.9,26
HCPCS,C1771,SLING GYN GYNECARE TVT EXACT,7065.0,5652.0,1.0,6358.5,26
HCPCS,C1771,SLING GYN GYNECARE TVT MECHCUT,9004.0,7203.2,1.0,8103.6,26
HCPCS,C1771,SLING GYN GYNECARE TVT SECURE,3602.0,2881.6,1.0,3241.8,26
HCPCS,C1771,SLING GYN GYNECARE TVT*VAT*,5798.0,4638.4,1.0,5218.2,26
HCPCS,C1771,SLING GYN LYNX SUPRAPUBIC,6323.0,5058.4,1.0,5690.7,26
HCPCS,C1771,SLING GYN LYNX ULT SUPRAPUBIC,6323.0,5058.4,1.0,5690.7,26
HCPCS,C1771,SLING GYN OBTRYX CURV,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1771,SLING GYN OBTRYX HALO,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1771,SLING GYN SOLYX SGL INCISION,7786.0,6228.8,1.0,7007.4,26
HCPCS,C1771,SLING GYN SOLYX SYS BLU,7786.0,6228.8,1.0,7007.4,26
HCPCS,C1771,SLING GYNECARE TVTABBREVO,10384.0,8307.2,1.0,9345.6,26
HCPCS,C1771,SLING SUBURTHRL ADVANCEXP1YEAR,24763.0,19810.4,1.0,22286.7,26
HCPCS,C1771,SLING SUI MALE ADVANCE XP3YEAR,23472.0,18777.6,1.0,21124.8,26
HCPCS,C1772,PAIN PUMP SYNCR*DISC 6340161*,24513.0,19610.4,1.0,22061.7,26
HCPCS,C1772,PAIN PUMP SYNCR*DISC 6340162*,24513.0,19610.4,1.0,22061.7,26
HCPCS,C1772,PUMP PAIN SYNCHROMED III 20ML,27209.0,21767.2,1.0,24488.1,26
HCPCS,C1772,PUMP PAIN SYNCHROMED III 40ML,27209.0,21767.2,1.0,24488.1,26
HCPCS,C1773,CATH AVEIR RETRV,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1773,CATH SNARE 6F-100CM 12-20MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1773,KT SNARE 4FR10MM*DISC 6243932*,350.0,280.0,1.0,315.0,26
HCPCS,C1773,KT SNARE ATRIEVE 6FR 12-20MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1773,LEAD LK DEV LLD E,4527.0,3621.6,1.0,4074.3,26
HCPCS,C1773,LEAD LK DEV LLD EZ,4527.0,3621.6,1.0,4074.3,26
HCPCS,C1773,LEAD LK DEV LLD SZ1,4527.0,3621.6,1.0,4074.3,26
HCPCS,C1773,LEAD LK DEV LLD SZ2,4527.0,3621.6,1.0,4074.3,26
HCPCS,C1773,RETRV FLTR IVC GUNTHER TULIP,2756.0,2204.8,1.0,2480.4,26
HCPCS,C1773,RETRV VASC 3LOOP 7FR 76CM,4560.0,3648.0,1.0,4104.0,26
HCPCS,C1773,RETRV VASC 4LOOP CLOVER6FR90CM,4693.0,3754.4,1.0,4223.7,26
HCPCS,C1773,RETRV VASC ONO BSKT 30MM7FR100,23755.0,19004.0,1.0,21379.5,26
HCPCS,C1773,SHEATH DIL TIGHTRAIL C 11FR,9203.0,7362.4,1.0,8282.7,26
HCPCS,C1773,SNARE AMPLZ GOOSENECK 15MM,2152.0,1721.6,1.0,1936.8,26
HCPCS,C1773,SNARE AMPLZ GOOSENECK 20CM,2152.0,1721.6,1.0,1936.8,26
HCPCS,C1773,SNARE AMPLZ GOOSENECK 35MM,2152.0,1721.6,1.0,1936.8,26
HCPCS,C1773,SNARE AMPLZ MICRO 2MM 200CM,3941.0,3152.8,1.0,3546.9,26
HCPCS,C1773,SNARE AMPLZ MICRO 4MM 175CM,3941.0,3152.8,1.0,3546.9,26
HCPCS,C1773,SNARE AMPLZ MICRO 4MM 200CM,3941.0,3152.8,1.0,3546.9,26
HCPCS,C1773,SNARE AMPLZ MICRO 7MM 200CM,3941.0,3152.8,1.0,3546.9,26
HCPCS,C1773,SNARE AMPLZGOOSENECK25MMX120CM,2152.0,1721.6,1.0,1936.8,26
HCPCS,C1773,SNARE ENSNARE 7FR 18-30MM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1773,SNARE EXPRO ELIT*DISC 6281101*,3784.0,3027.2,1.0,3405.6,26
HCPCS,C1773,SNARE EXPRO ELITE 25MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1773,SNARE GOOSENECK 10MM,2152.0,1721.6,1.0,1936.8,26
HCPCS,C1773,SNARE GOOSENECK 30MM,2152.0,1721.6,1.0,1936.8,26
HCPCS,C1776,ALLO BONE FEM DIST LFT 214MM,37232.0,29785.6,1.0,33508.8,26
HCPCS,C1776,ALLOCARTLGMENISCPLATEAUMEDLLFT,4752.0,3801.6,1.0,4276.8,26
HCPCS,C1776,ANK ATS SPHERE NO FLAT 36MM,79900.0,63920.0,1.0,71910.0,26
HCPCS,C1776,ANK BEARING RANGE LFT 6MM SZ3,21200.0,16960.0,1.0,19080.0,26
HCPCS,C1776,ANK BEARING RANGE LFT 6MMSZ0/1,21200.0,16960.0,1.0,19080.0,26
HCPCS,C1776,ANK BEARING RANGE LFT10MMSZ0/1,21200.0,16960.0,1.0,19080.0,26
HCPCS,C1776,ANK BEARING RANGE RT 10MM SZ2,21200.0,16960.0,1.0,19080.0,26
HCPCS,C1776,ANK BEARING RANGE RT 10MMSZ0/1,21200.0,16960.0,1.0,19080.0,26
HCPCS,C1776,ANK BEARING RANGE RT 6MM SZ3,21200.0,16960.0,1.0,19080.0,26
HCPCS,C1776,ANK BEARING RANGE RT 7MM SZ0/1,21200.0,16960.0,1.0,19080.0,26
HCPCS,C1776,ANK BEARING RANGE RT 7MM SZ2,21200.0,16960.0,1.0,19080.0,26
HCPCS,C1776,ANK BEARING RANGE RT 8MM SZ0/1,21200.0,16960.0,1.0,19080.0,26
HCPCS,C1776,ANK BEARING RANGE RT 8MM SZ4,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,ANK CAGE DOME OSSERA AFX 38D,71980.0,57584.0,1.0,64782.0,26
HCPCS,C1776,ANK CAGE LWR COMPLEXITY CUST,47980.0,38384.0,1.0,43182.0,26
HCPCS,C1776,ANK CAGE SM CUST,87980.0,70384.0,1.0,79182.0,26
HCPCS,C1776,ANK FUSN CUP 10HL 18MM,4360.0,3488.0,1.0,3924.0,26
HCPCS,C1776,ANK IMPLT STEM INTRMD CUST SZ0,91980.0,73584.0,1.0,82782.0,26
HCPCS,C1776,ANK IMPLT STEM MID W SCREW 14,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,ANK IMPLT STEM MID W SCREW 16,4250.0,3400.0,1.0,3825.0,26
HCPCS,C1776,ANK IMPLT STEM PROX W SCREW 14,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,ANK IMPLT STEM PROX W SCREW 16,4250.0,3400.0,1.0,3825.0,26
HCPCS,C1776,ANK INBONE PE EVERLAST SZ5 9MM,10708.0,8566.4,1.0,9637.2,26
HCPCS,C1776,ANK INSRT EVERLAST 10MM SZ2+,10708.0,8566.4,1.0,9637.2,26
HCPCS,C1776,ANK INSRT EVERLAST 10MM SZ3,10708.0,8566.4,1.0,9637.2,26
HCPCS,C1776,ANK INSRT EVERLAST 10MM SZ3+,10708.0,8566.4,1.0,9637.2,26
HCPCS,C1776,ANK INSRT EVERLAST 11MM SZ4,10708.0,8566.4,1.0,9637.2,26
HCPCS,C1776,ANK INSRT EVERLAST 12MM SZ2+,14472.0,11577.6,1.0,13024.8,26
HCPCS,C1776,ANK INSRT EVERLAST 12MM SZ3,14472.0,11577.6,1.0,13024.8,26
HCPCS,C1776,ANK INSRT EVERLAST 12MMSZ4+,10708.0,8566.4,1.0,9637.2,26
HCPCS,C1776,ANK INSRT EVERLAST 14MM SZ2+,14472.0,11577.6,1.0,13024.8,26
HCPCS,C1776,ANK INSRT EVERLAST 14MM SZ3,14472.0,11577.6,1.0,13024.8,26
HCPCS,C1776,ANK INSRT EVERLAST 14MM SZ3+,14472.0,11577.6,1.0,13024.8,26
HCPCS,C1776,ANK INSRT EVERLAST 14MMSZ4+,47405.0,37924.0,1.0,42664.5,26
HCPCS,C1776,ANK INSRT EVERLAST 16MM SZ3,15924.0,12739.2,1.0,14331.6,26
HCPCS,C1776,ANK INSRT EVERLAST 8MM SZ3,10708.0,8566.4,1.0,9637.2,26
HCPCS,C1776,ANK INSRT FB VANTAGE LFTSZ2 8,7478.0,5982.4,1.0,6730.2,26
HCPCS,C1776,ANK INSRT FB VANTAGE LFTSZ3 10,7478.0,5982.4,1.0,6730.2,26
HCPCS,C1776,ANK INSRT FB VANTAGE LFTSZ3 8,7478.0,5982.4,1.0,6730.2,26
HCPCS,C1776,ANK INSRT FB VANTAGE RT SZ2 6,7480.0,5984.0,1.0,6732.0,26
HCPCS,C1776,ANK INSRT FB VANTAGE RT SZ2 8,7478.0,5982.4,1.0,6730.2,26
HCPCS,C1776,ANK INSRT FB VANTAGE RT SZ3 6,7478.0,5982.4,1.0,6730.2,26
HCPCS,C1776,ANK INSRT PE EVERLAST SZ3+ 7MM,10708.0,8566.4,1.0,9637.2,26
HCPCS,C1776,ANK INSRT PE INFINITY SZ2 +6MM,10708.0,8566.4,1.0,9637.2,26
HCPCS,C1776,ANK INSRT PE INFINITY SZ2+10MM,12584.0,10067.2,1.0,11325.6,26
HCPCS,C1776,ANK INSRT PE INFINITY SZ3+ 7MM,9312.0,7449.6,1.0,8380.8,26
HCPCS,C1776,ANK INSRT PE INFINITY SZ4 6MM,9312.0,7449.6,1.0,8380.8,26
HCPCS,C1776,ANK INSRT PE INFINITY SZ4 8MM,9312.0,7449.6,1.0,8380.8,26
HCPCS,C1776,ANK INSRT PE INFINITY SZ4 9MM,9312.0,7449.6,1.0,8380.8,26
HCPCS,C1776,ANK INSRT PE INFINITY SZ4+ 9MM,10708.0,8566.4,1.0,9637.2,26
HCPCS,C1776,ANK INSRT PE INFINITYSZ1/1+6MM,9312.0,7449.6,1.0,8380.8,26
HCPCS,C1776,ANK INSRT PE INFINITYSZ1/1+8MM,9312.0,7449.6,1.0,8380.8,26
HCPCS,C1776,ANK INSRT POLY TRIAL 10MM SZ3,2514.0,2011.2,1.0,2262.6,26
HCPCS,C1776,ANK INSRT POLY TRIAL 12MM SZ3,2514.0,2011.2,1.0,2262.6,26
HCPCS,C1776,ANK INSRT POLY TRIAL 14MM SZ3,2442.0,1953.6,1.0,2197.8,26
HCPCS,C1776,ANK INSRT POLY TRIAL 8MM SZ3,2514.0,2011.2,1.0,2262.6,26
HCPCS,C1776,ANK INSRT POLY TRIAL SZ 2+ 8MM,2442.0,1953.6,1.0,2197.8,26
HCPCS,C1776,ANK INSRT POLY TRIAL SZ 2+10MM,2514.0,2011.2,1.0,2262.6,26
HCPCS,C1776,ANK INSRT TALUS TOTAL CUST,91980.0,73584.0,1.0,82782.0,26
HCPCS,C1776,ANK PLATE FB VANTAGE LFT SZ2,27350.0,21880.0,1.0,24615.0,26
HCPCS,C1776,ANK PLATE FB VANTAGE LFT SZ3,27350.0,21880.0,1.0,24615.0,26
HCPCS,C1776,ANK PLATE FB VANTAGE RT SZ1,27350.0,21880.0,1.0,24615.0,26
HCPCS,C1776,ANK PLATE FB VANTAGE RT SZ2,27352.0,21881.6,1.0,24616.8,26
HCPCS,C1776,ANK PLATE FB VANTAGE RT SZ3,27350.0,21880.0,1.0,24615.0,26
HCPCS,C1776,ANK STEM BASE INBONE II 16MM,4385.0,3508.0,1.0,3946.5,26
HCPCS,C1776,ANK STEM BASE INBONE II 18MM,4385.0,3508.0,1.0,3946.5,26
HCPCS,C1776,ANK STEM MID INBONE II 14MM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1776,ANK STEM MID INBONE II 16MM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1776,ANK STEM TLR INBONE LNG 10MM,6608.0,5286.4,1.0,5947.2,26
HCPCS,C1776,ANK STEM TOP INBONE II 12MM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1776,ANK STEM TOP INBONE II 14MM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1776,ANK STEM TOP INBONE II 16MM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1776,ANK TIB INBONE LFT LNG SZ3,9084.0,7267.2,1.0,8175.6,26
HCPCS,C1776,ANK TIB INSRT AGIL DEPU *NLU*,7500.0,6000.0,1.0,6750.0,26
HCPCS,C1776,ANK TIB INVISION LNG SZ4 +4MM,28120.0,22496.0,1.0,25308.0,26
HCPCS,C1776,ANK TIB INVISION SHRT SZ2 +4MM,28120.0,22496.0,1.0,25308.0,26
HCPCS,C1776,ANK TIB INVISION SHRT SZ3 +4MM,28120.0,22496.0,1.0,25308.0,26
HCPCS,C1776,ANK TIB TRAY ADAPTIS LNG SZ5,30596.0,24476.8,1.0,27536.4,26
HCPCS,C1776,ANK TIB TRAY INFINITY LNG SZ3,26604.0,21283.2,1.0,23943.6,26
HCPCS,C1776,ANK TIB TRAY INFINITY LNG SZ4,26604.0,21283.2,1.0,23943.6,26
HCPCS,C1776,ANK TIB TRAY INFINITY LNG SZ5,26604.0,21283.2,1.0,23943.6,26
HCPCS,C1776,ANK TIB TRAY INFINITY STD SZ1,26604.0,21283.2,1.0,23943.6,26
HCPCS,C1776,ANK TIB TRAY INFINITY STD SZ2,26604.0,21283.2,1.0,23943.6,26
HCPCS,C1776,ANK TIB TRAY INFINITY STD SZ3,26604.0,21283.2,1.0,23943.6,26
HCPCS,C1776,ANK TIB TRAY INFINITY STD SZ4,26604.0,21283.2,1.0,23943.6,26
HCPCS,C1776,ANK TIB TRAY INFINITY STD SZ5,26604.0,21283.2,1.0,23943.6,26
HCPCS,C1776,ANK TIB TRAY INFINITY SZ3,30596.0,24476.8,1.0,27536.4,26
HCPCS,C1776,ANK TIB TRAY INFINITY SZ4,30596.0,24476.8,1.0,27536.4,26
HCPCS,C1776,ANK TIB X-STEM TIDAL LNG SZ3,56000.0,44800.0,1.0,50400.0,26
HCPCS,C1776,ANK TIB X-STEM TIDAL LNG SZ5,48000.0,38400.0,1.0,43200.0,26
HCPCS,C1776,ANK TIB X-STEM TIDALLNGTALLSZ1,54000.0,43200.0,1.0,48600.0,26
HCPCS,C1776,ANK TIB X-STEM TIDALLNGTALLSZ2,54000.0,43200.0,1.0,48600.0,26
HCPCS,C1776,ANK TIB X-STEM TIDALLNGTALLSZ4,54000.0,43200.0,1.0,48600.0,26
HCPCS,C1776,ANK TIB X-STEM TIDALLNGTALLSZ5,54000.0,43200.0,1.0,48600.0,26
HCPCS,C1776,ANK TLR BONE MILL STERSZ2/3,2166.0,1732.8,1.0,1949.4,26
HCPCS,C1776,ANK TLR CLIP LK VANTAGE SZ1,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,ANK TLR CLIP LK VANTAGE SZ2,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,ANK TLR CLIP LK VANTAGE SZ3,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,ANK TLR CTD VANTAGE LFT SZ2,23075.0,18460.0,1.0,20767.5,26
HCPCS,C1776,ANK TLR CTD VANTAGE LFT SZ3,23075.0,18460.0,1.0,20767.5,26
HCPCS,C1776,ANK TLR CTD VANTAGE RT SZ2,23075.0,18460.0,1.0,20767.5,26
HCPCS,C1776,ANK TLR CTD VANTAGE RT SZ3,23075.0,18460.0,1.0,20767.5,26
HCPCS,C1776,ANK TLR DOME INFINITY FLAT SZ2,32468.0,25974.4,1.0,29221.2,26
HCPCS,C1776,ANK TLR DOME INFINITY FLAT SZ3,32468.0,25974.4,1.0,29221.2,26
HCPCS,C1776,ANK TLR DOME INFINITY FLAT SZ4,32468.0,25974.4,1.0,29221.2,26
HCPCS,C1776,ANK TLR DOME INFINITY FLAT SZ5,32468.0,25974.4,1.0,29221.2,26
HCPCS,C1776,ANK TLR DOME INVISION STD SZ1,25760.0,20608.0,1.0,23184.0,26
HCPCS,C1776,ANK TLR DOME MAPPING CUSTRTSZ3,66000.0,52800.0,1.0,59400.0,26
HCPCS,C1776,ANK TLR DOME MAPPING LFT SZ2,66000.0,52800.0,1.0,59400.0,26
HCPCS,C1776,ANK TLR DOME MAPPING LFT SZ3,66000.0,52800.0,1.0,59400.0,26
HCPCS,C1776,ANK TLR DOME MAPPING LFT SZ5,66000.0,52800.0,1.0,59400.0,26
HCPCS,C1776,ANK TLR DOME MAPPING RT SZ3,66000.0,52800.0,1.0,59400.0,26
HCPCS,C1776,ANK TLR DOME STD INVISION SZ3,37032.0,29625.6,1.0,33328.8,26
HCPCS,C1776,ANK TLR DOME SULCUS INBONE SZ1,23112.0,18489.6,1.0,20800.8,26
HCPCS,C1776,ANK TLR DOME SULCUS INBONE SZ2,23112.0,18489.6,1.0,20800.8,26
HCPCS,C1776,ANK TLR DOME SULCUS INBONE SZ3,23112.0,18489.6,1.0,20800.8,26
HCPCS,C1776,ANK TLR DOME SULCUS INBONE SZ4,23112.0,18489.6,1.0,20800.8,26
HCPCS,C1776,ANK TLR FLAT CUT VANTAGE RTSZ2,23076.0,18460.8,1.0,20768.4,26
HCPCS,C1776,ANK TLR FLAT CUT VANTAGELFTSZ3,23075.0,18460.0,1.0,20767.5,26
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL LFT SZ0,42000.0,33600.0,1.0,37800.0,26
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL LFT SZ1,42000.0,33600.0,1.0,37800.0,26
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL LFT SZ3,42000.0,33600.0,1.0,37800.0,26
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL RT SZ0,42000.0,33600.0,1.0,37800.0,26
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL RT SZ1,42000.0,33600.0,1.0,37800.0,26
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL RT SZ2,42000.0,33600.0,1.0,37800.0,26
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL RT SZ3,42000.0,33600.0,1.0,37800.0,26
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL RT SZ4,36000.0,28800.0,1.0,32400.0,26
HCPCS,C1776,ANK TLR PLATE INVISION LFT SZ1,14316.0,11452.8,1.0,12884.4,26
HCPCS,C1776,ANK TLR PLATE INVISION LFT SZ4,14316.0,11452.8,1.0,12884.4,26
HCPCS,C1776,ANK TLR PLATE INVISION RT SZ1,14316.0,11452.8,1.0,12884.4,26
HCPCS,C1776,ANK TLR RAIL DRILL STER,2166.0,1732.8,1.0,1949.4,26
HCPCS,C1776,ANK TRAY INBONE II LFT LNG SZ3,9084.0,7267.2,1.0,8175.6,26
HCPCS,C1776,ANK TRAY INBONE II LFT LNG SZ4,9084.0,7267.2,1.0,8175.6,26
HCPCS,C1776,ANK TRAY PROPHECY RT LNG SZ3,9084.0,7267.2,1.0,8175.6,26
HCPCS,C1776,ANK TRAY PROPHECY RT LNG SZ4,9084.0,7267.2,1.0,8175.6,26
HCPCS,C1776,BLADE IMPLT FEM *DISC 6169927*,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1776,BLADE IMPLT FEM *DISC 6171681*,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1776,BLADE IMPLT FEM *DISC 6174728*,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1776,BLADE IMPLT FEM *DISC 6177379*,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1776,BLADE IMPLT FEM *DISC 6177448*,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1776,BLADE IMPLT FEM *DISC 6182942*,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1776,BLADE IMPLT FEM *DISC 6208628*,2664.0,2131.2,1.0,2397.6,26
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 60,2941.0,2352.8,1.0,2646.9,26
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 65,2941.0,2352.8,1.0,2646.9,26
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 70,2941.0,2352.8,1.0,2646.9,26
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 75,2941.0,2352.8,1.0,2646.9,26
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 80,2941.0,2352.8,1.0,2646.9,26
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 85,2941.0,2352.8,1.0,2646.9,26
HCPCS,C1776,CENTRALIZER C-STEM VOID SZ10,300.0,240.0,1.0,270.0,26
HCPCS,C1776,CENTRALIZER C-STEM VOID SZ12,300.0,240.0,1.0,270.0,26
HCPCS,C1776,CENTRALIZER C-STEM VOID SZ14,300.0,240.0,1.0,270.0,26
HCPCS,C1776,CENTRALIZER C-STEM VOID SZ16,300.0,240.0,1.0,270.0,26
HCPCS,C1776,CENTRALIZER C-STEM VOID SZ18,300.0,240.0,1.0,270.0,26
HCPCS,C1776,CONN FEM SPACER STER 34MM,4424.0,3539.2,1.0,3981.6,26
HCPCS,C1776,DISTRAC BC END U-JOINT CMF30MM,21580.0,17264.0,1.0,19422.0,26
HCPCS,C1776,ELBOW DIST HUMR SCREW SRS RT60,18900.0,15120.0,1.0,17010.0,26
HCPCS,C1776,ELBOW HUMR STEM LFT STD SM,19653.0,15722.4,1.0,17687.7,26
HCPCS,C1776,ELBOW HUMR STEM RT STD LG,19653.0,15722.4,1.0,17687.7,26
HCPCS,C1776,ELBOW HUMR STEM RT STD MD,19653.0,15722.4,1.0,17687.7,26
HCPCS,C1776,ELBOW HUMR ZIMM SM 4IN,17600.0,14080.0,1.0,15840.0,26
HCPCS,C1776,ELBOW HUMR ZIMM SZ4 100MM,19800.0,15840.0,1.0,17820.0,26
HCPCS,C1776,ELBOW HUMR ZIMM SZ5 100MM,19800.0,15840.0,1.0,17820.0,26
HCPCS,C1776,ELBOW RAD HD ALIGN 20MM,11392.0,9113.6,1.0,10252.8,26
HCPCS,C1776,ELBOW RAD HD ALIGN 22MM,11392.0,9113.6,1.0,10252.8,26
HCPCS,C1776,ELBOW RAD HD ALIGN 24MM,11392.0,9113.6,1.0,10252.8,26
HCPCS,C1776,ELBOW RAD HD ALIGN 26MM,11392.0,9113.6,1.0,10252.8,26
HCPCS,C1776,ELBOW RAD HD ANATOM LFT *NLU*,12080.0,9664.0,1.0,10872.0,26
HCPCS,C1776,ELBOW RAD HD ANATOM LFT 20MM,13488.0,10790.4,1.0,12139.2,26
HCPCS,C1776,ELBOW RAD HD ANATOM LFT 22MM,13488.0,10790.4,1.0,12139.2,26
HCPCS,C1776,ELBOW RAD HD ANATOM LFT 24MM,13488.0,10790.4,1.0,12139.2,26
HCPCS,C1776,ELBOW RAD HD ANATOM LFT 26MM,13488.0,10790.4,1.0,12139.2,26
HCPCS,C1776,ELBOW RAD HD ARH SOL2 LFT 22MM,13604.0,10883.2,1.0,12243.6,26
HCPCS,C1776,ELBOW RAD HD ARH SOL2 RT 20MM,13604.0,10883.2,1.0,12243.6,26
HCPCS,C1776,ELBOW RAD HD ARH SOLS2 LFT26MM,13604.0,10883.2,1.0,12243.6,26
HCPCS,C1776,ELBOW RAD HD COCR 13X24M*DISC*,6780.0,5424.0,1.0,6102.0,26
HCPCS,C1776,ELBOW RAD HD EVOLVE 18MM +2,8153.0,6522.4,1.0,7337.7,26
HCPCS,C1776,ELBOW RAD HD EVOLVE 20MM,8153.0,6522.4,1.0,7337.7,26
HCPCS,C1776,ELBOW RAD HD EVOLVE 22MM,8153.0,6522.4,1.0,7337.7,26
HCPCS,C1776,ELBOW RAD HD EVOLVE 22MM +2,8153.0,6522.4,1.0,7337.7,26
HCPCS,C1776,ELBOW RAD HD EVOLVE 24MM,8153.0,6522.4,1.0,7337.7,26
HCPCS,C1776,ELBOW RAD HD EVOLVE 24MM +4,8153.0,6522.4,1.0,7337.7,26
HCPCS,C1776,ELBOW RAD HD EVOLVE 4 2*NLU*,9732.0,7785.6,1.0,8758.8,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 10X20MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 10X22MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 10X24MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 12X20MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 12X22MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 12X24MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 14X2*NLU*,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 14X20MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 14X24MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 16X20MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD EXPLOR 18X22MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD HD STER 19X5.5X9 +0,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 19X5.5X9 +6,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 19X6.5X9 +6,12510.0,10008.0,1.0,11259.0,26
HCPCS,C1776,ELBOW RAD HD STER 19X7.5X9 +0,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 19X7.5X9 +3,11850.0,9480.0,1.0,10665.0,26
HCPCS,C1776,ELBOW RAD HD STER 19X7.5X9 +6,12510.0,10008.0,1.0,11259.0,26
HCPCS,C1776,ELBOW RAD HD STER 22X5.5X10 +0,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 22X5.5X10 +3,11850.0,9480.0,1.0,10665.0,26
HCPCS,C1776,ELBOW RAD HD STER 22X5.5X10 +6,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 22X6.5MM +0,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 22X6.5MM +3,11850.0,9480.0,1.0,10665.0,26
HCPCS,C1776,ELBOW RAD HD STER 22X6.5X10 +6,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 22X7.5X10 +0,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 22X7.5X10 +3,12510.0,10008.0,1.0,11259.0,26
HCPCS,C1776,ELBOW RAD HD STER 22X7.5X10 +6,12510.0,10008.0,1.0,11259.0,26
HCPCS,C1776,ELBOW RAD HD STER 22X8.5X10 +0,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 22X8.5X10 +3,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 22X8.5X10 +6,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 25X6.5X11 +0,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 25X6.5X11 +3,11850.0,9480.0,1.0,10665.0,26
HCPCS,C1776,ELBOW RAD HD STER 25X6.5X11 +6,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 25X7.5X11 +0,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 25X7.5X11 +6,12510.0,10008.0,1.0,11259.0,26
HCPCS,C1776,ELBOW RAD HD STER 25X8.5X11 +0,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD HD STER 25X8.5X11 +3,13167.0,10533.6,1.0,11850.3,26
HCPCS,C1776,ELBOW RAD STEM ALIGN 10X0MM,11292.0,9033.6,1.0,10162.8,26
HCPCS,C1776,ELBOW RAD STEM ALIGN 10X2MM,11292.0,9033.6,1.0,10162.8,26
HCPCS,C1776,ELBOW RAD STEM ALIGN 7X0MM,11292.0,9033.6,1.0,10162.8,26
HCPCS,C1776,ELBOW RAD STEM ALIGN 8X0MM,11292.0,9033.6,1.0,10162.8,26
HCPCS,C1776,ELBOW RAD STEM ALIGN 9X-2MM,9881.0,7904.8,1.0,8892.9,26
HCPCS,C1776,ELBOW RAD STEM ALIGN10X30X17-2,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,ELBOW RAD STEM ANATOM 10X4MM,8296.0,6636.8,1.0,7466.4,26
HCPCS,C1776,ELBOW RAD STEM ANATOM 6X0MM,8296.0,6636.8,1.0,7466.4,26
HCPCS,C1776,ELBOW RAD STEM ANATOM 8X*NLU*,7356.0,5884.8,1.0,6620.4,26
HCPCS,C1776,ELBOW RAD STEM ANATOM 8X0MM,8296.0,6636.8,1.0,7466.4,26
HCPCS,C1776,ELBOW RAD STEM ANATOM 9X*NLU*,7356.0,5884.8,1.0,6620.4,52
HCPCS,C1776,ELBOW RAD STEM ANATOM 9X4MM,8296.0,6636.8,1.0,7466.4,26
HCPCS,C1776,ELBOW RAD STEM ARH STD11.0X0.0,7604.0,6083.2,1.0,6843.6,26
HCPCS,C1776,ELBOW RAD STEM CURV 7X42*DISC*,6780.0,5424.0,1.0,6102.0,26
HCPCS,C1776,ELBOW RAD STEM CURV 9X46*DISC*,6780.0,5424.0,1.0,6102.0,26
HCPCS,C1776,ELBOW RAD STEM EVOLVE 6.5MM,9607.0,7685.6,1.0,8646.3,26
HCPCS,C1776,ELBOW RAD STEM EVOLVE 7.5MM,9607.0,7685.6,1.0,8646.3,26
HCPCS,C1776,ELBOW RAD STEM EVOLVE 8.5MM,9607.0,7685.6,1.0,8646.3,26
HCPCS,C1776,ELBOW RAD STEM EVOLVE 8.5MM +4,9607.0,7685.6,1.0,8646.3,26
HCPCS,C1776,ELBOW RAD STEM EXPLOR 5X22MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD STEM EXPLOR 6X24MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD STEM EXPLOR 7X26MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD STEM EXPLOR 8X28MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD STEM EXPLOR 9X30MM,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,ELBOW RAD STEM MORSE TPR LNG 9,8444.0,6755.2,1.0,7599.6,26
HCPCS,C1776,ELBOW STEM RAD LNG 6.5X1*NLU*,14624.0,11699.2,1.0,13161.6,26
HCPCS,C1776,ELBOW ULNA ZIMM RT SZ4 75MM,17900.0,14320.0,1.0,16110.0,26
HCPCS,C1776,ELBOW ULNA ZIMM RT SZ5 75MM,17900.0,14320.0,1.0,16110.0,26
HCPCS,C1776,FINGER MCP ASCENSION DIST 30,11740.0,9392.0,1.0,10566.0,26
HCPCS,C1776,FINGER MCP ASCENSION PROX 30,18340.0,14672.0,1.0,16506.0,26
HCPCS,C1776,FINGER PIP DIST ASCENSION 40,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,FINGER SIL MSP SZ10,4535.0,3628.0,1.0,4081.5,26
HCPCS,C1776,FINGER SIL MSP SZ20,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,FINGER SIL MSP SZ30,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,HAMMERTOE2STEPGRIDLK2.6X2.4X14,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,HIP ADPTR ENDOII TPR +3MM,942.0,753.6,1.0,847.8,26
HCPCS,C1776,HIP ADPTR ENDOII TPR +6MM,942.0,753.6,1.0,847.8,26
HCPCS,C1776,HIP ADPTR ENDOII TPR -3MM,942.0,753.6,1.0,847.8,26
HCPCS,C1776,HIP ADPTR ENDOII TPR STD,942.0,753.6,1.0,847.8,26
HCPCS,C1776,HIP ADPTR MODLRNECK 13D S*NLU*,7295.0,5836.0,1.0,6565.5,26
HCPCS,C1776,HIP ADPTR TYPE1 M2A 42-5*OBS*,1200.0,960.0,1.0,1080.0,52
HCPCS,C1776,HIP ADPTR TYPE1 M2A 52-6*OBS*,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,HIP AUG COL BTRS LFTPSTR RTANT,9612.0,7689.6,1.0,8650.8,26
HCPCS,C1776,HIP AUG PNCLE GRIPTN20X50*NLU*,9379.0,7503.2,1.0,8441.1,26
HCPCS,C1776,HIP AUG PNCLE GRIPTN30X50/52MM,10515.0,8412.0,1.0,9463.5,26
HCPCS,C1776,HIP AUG ST BTRS TRABECMTL SZ54,9612.0,7689.6,1.0,8650.8,26
HCPCS,C1776,HIP AUG ST BTRS TRABECMTL SZ58,9612.0,7689.6,1.0,8650.8,26
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM50X10MM,8496.0,6796.8,1.0,7646.4,26
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM50X30MM,8496.0,6796.8,1.0,7646.4,26
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM54*NLU*,8496.0,6796.8,1.0,7646.4,26
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM54X10MM,8496.0,6796.8,1.0,7646.4,26
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM58X10MM,8496.0,6796.8,1.0,7646.4,26
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM62X10MM,8496.0,6796.8,1.0,7646.4,26
HCPCS,C1776,HIP BEARING HD EMPHASYS38X28MM,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,HIP BEARING HD EMPHASYS40X28MM,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,HIP BEARING HD EMPHASYS42X28MM,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,HIP BEARING HD EMPHASYS44X28MM,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,HIP BEARING HD EMPHASYS46X28MM,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,HIP BEARING VIV-E 22.2X32 SZA,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP BEARING VIV-E 22.2X36,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP BLOCK VERS 10MM SZ13,2241.0,1792.8,1.0,2016.9,26
HCPCS,C1776,HIP BODY BROACH STD SZB 60MM,21906.0,17524.8,1.0,19715.4,26
HCPCS,C1776,HIP BODY BROACH STD SZE 60MM,21906.0,17524.8,1.0,19715.4,26
HCPCS,C1776,HIP BODY CONE HIGH SZA 50MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE HIGH SZA 60MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE HIGH SZA 70MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE HIGH SZA 80MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE HIGH SZB 60MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE HIGH SZB 80MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE HIGH SZC 80MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE HIGH SZE 80MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZA 50MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZA 60MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZA 70MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZA 80MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZB 60MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZB 70MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZB 80M*NLU*,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZC 60MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZC 70MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZD 70MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY CONE STD SZE 70MM,23184.0,18547.2,1.0,20865.6,26
HCPCS,C1776,HIP BODY MALLORY A ST*VAT NLU*,23040.0,18432.0,1.0,20736.0,26
HCPCS,C1776,HIP BODY PROX RECLAIM 24X105MM,19238.0,15390.4,1.0,17314.2,26
HCPCS,C1776,HIP BODY PROX RECLAIM 28X*NLU*,17332.0,13865.6,1.0,15598.8,26
HCPCS,C1776,HIP BODY RESTO CONE 27MM +0,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CAGE FLG LNGRT 62/64 54,10890.0,8712.0,1.0,9801.0,26
HCPCS,C1776,HIP CAGE FLG LNGRT 72/74 64,10890.0,8712.0,1.0,9801.0,26
HCPCS,C1776,HIP CAGE FLG LNGRT56/58/60/48,10890.0,8712.0,1.0,9801.0,26
HCPCS,C1776,HIP CAGE FLG LNGRT66/68/70/58,10890.0,8712.0,1.0,9801.0,26
HCPCS,C1776,HIP CAGE FLG LNGRT76/78/80/68,10890.0,8712.0,1.0,9801.0,26
HCPCS,C1776,HIP CAGE FLG SHRTRT 72/74 64,10890.0,8712.0,1.0,9801.0,26
HCPCS,C1776,HIP CAGE PROTUSIO LFT 45X48MM,9810.0,7848.0,1.0,8829.0,26
HCPCS,C1776,HIP CEMENTRALIZER DEPU 10.5MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP CEMENTRALIZER DEPU 10MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP CEMENTRALIZER DEPU 11MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP CEMENTRALIZER DEPU 12MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP CEMENTRALIZER DEPU 13MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP CEMENTRALIZER DEPU 8.5MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP CEMENTRALIZER DEPU 9.25MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP CENTRALIZER DIST VERS 10MM,450.0,360.0,1.0,405.0,26
HCPCS,C1776,HIP CENTRALIZER DIST VERS 11MM,450.0,360.0,1.0,405.0,26
HCPCS,C1776,HIP CENTRALIZER DIST VERS 12MM,450.0,360.0,1.0,405.0,26
HCPCS,C1776,HIP CENTRALIZER DIST VERS 13MM,450.0,360.0,1.0,405.0,26
HCPCS,C1776,HIP CENTRALIZER DIST VERS 14MM,450.0,360.0,1.0,405.0,26
HCPCS,C1776,HIP CENTRALIZER DIST VERS 18MM,450.0,360.0,1.0,405.0,26
HCPCS,C1776,HIP CENTRALIZER DIST VERS 9MM,450.0,360.0,1.0,405.0,26
HCPCS,C1776,HIP CENTRALIZER ECHO ZIMM 11MM,786.0,628.8,1.0,707.4,26
HCPCS,C1776,HIP CENTRALIZER ECHO ZIMM 13MM,786.0,628.8,1.0,707.4,26
HCPCS,C1776,HIP CENTRALIZER ECHO ZIMM 15MM,450.0,360.0,1.0,405.0,26
HCPCS,C1776,HIP CENTRALIZER ECHO ZIMM 9MM,786.0,628.8,1.0,707.4,26
HCPCS,C1776,HIP CONE BODY RESTO 19MM +0,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 19MM +10,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 19MM +20,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 21MM +0,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 21MM +10,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 21MM +20,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 23MM +0,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 23MM +10,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 23MM +20,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 23MM +30,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 25MM +0,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 25MM +10,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP CONE BODY RESTO 27MM +30,15884.0,12707.2,1.0,14295.6,26
HCPCS,C1776,HIP FEM CONN GMRS LFT 90MM,19121.0,15296.8,1.0,17208.9,26
HCPCS,C1776,HIP FEM CONN GMRS RT 90MM,19298.0,15438.4,1.0,17368.2,26
HCPCS,C1776,HIP FEM EXT GMRS STRY 100MM,13292.0,10633.6,1.0,11962.8,26
HCPCS,C1776,HIP FEM EXT GMRS STRY 120MM,13292.0,10633.6,1.0,11962.8,26
HCPCS,C1776,HIP FEM EXT GMRS STRY 30MM,13292.0,10633.6,1.0,11962.8,26
HCPCS,C1776,HIP FEM EXT GMRS STRY 40MM,13292.0,10633.6,1.0,11962.8,26
HCPCS,C1776,HIP FEM EXT GMRS STRY 50MM,13292.0,10633.6,1.0,11962.8,26
HCPCS,C1776,HIP FEM EXT GMRS STRY 60MM,13292.0,10633.6,1.0,11962.8,26
HCPCS,C1776,HIP FEM EXT GMRS STRY 70MM,13292.0,10633.6,1.0,11962.8,26
HCPCS,C1776,HIP FEM EXT GMRS STRY 80MM,13292.0,10633.6,1.0,11962.8,26
HCPCS,C1776,HIP FEM HD CER 12/14 22.225 +4,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 22.225 +7,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 28 +1.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 28 +5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 28 +8.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 32 +1,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 32 +9,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 36 +1.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 36 +12,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 36 +5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 36 +8.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 36 -2,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 40 +1.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 40 +5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 40 +8.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER 12/14 40 -2,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP FEM HD CER GM 36MM +0,9840.0,7872.0,1.0,8856.0,26
HCPCS,C1776,HIP FEM HD CER GM 36MM +3.5,9840.0,7872.0,1.0,8856.0,26
HCPCS,C1776,HIP FEM HD CER ITOTAL SHRT36MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP FEM HD CER REST CUST 32MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP FEM HD CER TYPE 1 40MM+0MM,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP FEM HD CER TYPE 1 40MM+3MM,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP FEM HD CER TYPE 1 40MM-3MM,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP FEM HD COCR 6D 28MM +3.5,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP FEM HD COCR TYPE1 40M+3MM,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP FEM HD COCR TYPE1 40M-3MM,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP FEM HD COCR TYPE1 40M-6MM,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP FEM HD COCR TYPE140MM+12MM,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP FEM HD COCR UNIV 22.2MM -2,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP FEM HD COCR UNIV 28MM+10.5,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP FEM HD COCR UNIV 32MM +0,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP FEM HD COCR UNIV 32MM +3,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP FEM HD COCR UNIV 32MM +6,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP FEM HD COCR UNIV 32MM -3,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP FEM HD COCR UNIV 40MM +0,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP FEM HD COCR UNIV 40MM +3.5,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP FEM HD COCR UNIV 40MM +7,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP FEM PROX CMPNT LFT V40,21991.0,17592.8,1.0,19791.9,26
HCPCS,C1776,HIP FEM PROX TROCH NEUT,21991.0,17592.8,1.0,19791.9,26
HCPCS,C1776,HIP HD AML MTL 14/16 28MM +11,4714.0,3771.2,1.0,4242.6,26
HCPCS,C1776,HIP HD AML MTL 14/16 28MM +15,4714.0,3771.2,1.0,4242.6,26
HCPCS,C1776,HIP HD AML MTL 14/16 28MM +3,4714.0,3771.2,1.0,4242.6,26
HCPCS,C1776,HIP HD AML MTL 14/16 36MM +0,6355.0,5084.0,1.0,5719.5,26
HCPCS,C1776,HIP HD AML MTL 14/16 36MM +5,6355.0,5084.0,1.0,5719.5,26
HCPCS,C1776,HIP HD AML MTL 14/16 36MM*NLU*,5724.0,4579.2,1.0,5151.6,26
HCPCS,C1776,HIP HD ASPHR MTL12/14 40*DISC*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP HD BIOLOX CE*DISC 6315098*,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,HIP HD BIOLOX CER 28MM-3*DISC*,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY 28MM +5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY 28MM -0,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY 32*NLU*,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY 36MM +0,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY 36MM +5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY 36MM -0,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY 36MM -5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY 40MM -0,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY36MM+2.5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY36MM+7.5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER STRY36MM-2.5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 28MM +0,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 28MM +3,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 28MM -3,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 32MM +0,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 36MM +0,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 36MM +6,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 36MM +7,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 40MM +0,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 40MM +7,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM28MM-3.5,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM32MM+3.5,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM32MM-3.5,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM36MM+3.5,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM36MM-3.5,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM40MM+3.5,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX CER ZIMM40MM-3.5,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX DELTA CER 32MM+0,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX TYPE1 DELTA 36MM,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX TYPE1DELTA36MM+3,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIOLOX TYPE1DELTA36MM-3,3250.0,2600.0,1.0,2925.0,26
HCPCS,C1776,HIP HD BIPOLR COCR 28X46MM,6660.0,5328.0,1.0,5994.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 22MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 22MM+10,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 26MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 26MM+10,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 26MM+2.5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 26MM+5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 26MM+7.5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM+10,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM+2.5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM+5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM+7.5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM-3,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 32MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 32MM+7.5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 32MM-5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM+10,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM+2.5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM+5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM+7.5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM-2.5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 40MM+10,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 40MM+2.5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 40MM+5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD C-TPR LFIT MTL 40MM-5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 42,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 43,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 44,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 45,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 46,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 47,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 48,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 49,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 50,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 51,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 52,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 53,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 54,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 56,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 58,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MT*NLU*,3055.0,2444.0,1.0,2749.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X41,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X42,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X43,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X44,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X45,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X46,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X47,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X48,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X49,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X50,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X51,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X52,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X53,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X54,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X55,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X56,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X57,2975.0,2380.0,1.0,2677.5,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ43,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ44,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ45,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ46,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ47,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ48,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ49,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ50,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ51,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ52,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ53,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ54,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ55,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ56,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD EZE CER 12/14 28MM +1.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE CER 12/14 32MM +1,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE CER 12/14 32MM +5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE CER 12/14 32MM +9,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE CER 12/14 36MM +1.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE CER 12/14 36MM +5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE CER 12/14 36MM +8.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE CER TS12/1436MM+1.5,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP HD EZE MTL 12/14 22MM +4MM,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 22MM +7,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 28MM +1.5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 28MM +12,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 28MM +5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 28MM +8.5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 28MM+15.5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 32M*DISC*,2850.0,2280.0,1.0,2565.0,26
HCPCS,C1776,HIP HD EZE MTL 12/14 32MM +1,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 32MM +13,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 32MM +5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 32MM +9,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM +1.5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM +12,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM +5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM +8.5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM -2,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM+15.5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 44MM +5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE MTL 12/14 44MM +8.5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZE TS CER 12/14 28MM+5,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP HD EZE TS CER 12/14 32MM+1,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP HD EZE TS CER 12/14 32MM+5,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP HD EZE TS CER 12/14 32MM+9,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP HD EZE TS CER 12/14 36MM+5,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP HD EZE TS CER 12/14 4*NLU*,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE TS CER 12/14 40MM+5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE TS CER12/14 36MM+12,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP HD EZE TS CER12/14 40MM+12,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE TSCER12/14 28MM+1.5,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP HD EZE TSCER12/14 28MM+8.5,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP HD EZE TSCER12/14 36MM+8.5,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP HD EZE TSCER12/14 40MM+1.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZE TSCER12/14 40MM+8.5,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD EZEM MTL 12/14 36MM -2,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZEM MTL12/14 36MM +1.5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZEM MTL12/14 36MM +5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD EZEM MTL12/14 36MM+8.5,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD FEM BIOLOXDELTA 28MM +0,16828.0,13462.4,1.0,15145.2,26
HCPCS,C1776,HIP HD FEM COCR 12/14 32MM-3.5,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD FEM PROFORM 28MM -3.5,4760.0,3808.0,1.0,4284.0,26
HCPCS,C1776,HIP HD FEMBIOLOX DELTA32MM-3.5,9840.0,7872.0,1.0,8856.0,26
HCPCS,C1776,HIP HD FREEDOM MTL12/14 28MM+0,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD FREEDOMCOCR T1 32MM+6,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP HD FREEDOMCOCR T1 36MM+9,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP HD FREEDOMMTL 12/14 36 +7,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD FREEDOMMTL 12/14 36+3.5,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD FREEDOMMTL12/14 36+10.5,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD FREEDOMMTL12/1436MM-3.5,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 BIOLOX OPT CER 28MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD G7 BIOLOX OPT CER 32MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD G7 BIOLOX OPT CER 36MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD G7 BIOLOX OPT CER 40MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 22.2MM -6,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM +0,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM +12,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM +3,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM +6,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM -3,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM -6,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM*NLU*,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 32MM +0,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 32MM +3,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM +0,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM +12,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM +3,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM +6,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM +9,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM -3,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM -6,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD M2A MTL 40MM +0*DISC*,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD M2A MTL 40MM +3*DISC*,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD M2A MTL 40MM +6*DISC*,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD MOD FREEDOM 36MM +3,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP HD MOD FREEDOM 36MM +6,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP HD MOD FREEDOM 36MM -3,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP HD MOD FREEDOM 36MM -6,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP HD MOD FREEDOM STD 36MM,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP HD MODLR 1 COCR STD 32MM,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIP HD OMET COCR MTL 32M*NLU*,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 22MM +4,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 28M*NLU*,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 28MM +4,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 28MM +8,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 32MM +0,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 32MM +4,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 32MM -3,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 36*NLU*,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 36MM +0,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 36MM +4,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL 12/14 36MM -3,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL MOD 40MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD OXIN MTL MOD 44MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD PCA COCR 36MM +10,3603.0,2882.4,1.0,3242.7,26
HCPCS,C1776,HIP HD PROTASUL MTL 3*VAT NLU*,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HD SMF MTL 12/14 36MM +4,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD SMF MTL 12/14 36MM +8,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD SROM CER 11/13 28M*NLU*,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD SROM CER 11/13 36MM +0,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD SROM CER 11/13 36MM +9,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP HD SROM MTL 11/13 2*NLU*,3751.0,3000.8,1.0,3375.9,26
HCPCS,C1776,HIP HD SYNRG MTL 12/14 28MM +4,2274.0,1819.2,1.0,2046.6,26
HCPCS,C1776,HIP HD TRID V40 LFIT MTL22MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD TRID V40 LFIT MTL28MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD TRID V40 LFIT MTL28MM+8,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD TRID V40 LFIT MTL32MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD TRID V40 LFIT MTL36MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD TRID V40 LFIT MTL36MM+5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD TRID V40 LFIT MTL36MM-5,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD TRID V40 LFIT MTL4*NLU*,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD TRID V40 LFIT MTL40MM+0,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD TRID V40 LFIT MTL40MM-4,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD TRID V40 LFITMTL36MM+10,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 26X41MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 26X42MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 26X43MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X44MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X45MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X46MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X47MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X48MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X49MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X50MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X51MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X52MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X53MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X54MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X55MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X56MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 41MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 43MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 44MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 45MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 46MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 47MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 48MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 50MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 52MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 55MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD UNITRAX UNIPOLR MT*NLU*,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 22.2MM+0,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 28MM +0,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 28MM +4,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 32MM +0,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 32MM +4,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 32MM -4,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 36MM +0,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 36MM +5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 36MM -5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 36MM+2.5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 36MM+7.5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 EXETER CER 36MM-2.5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP HD V40 VITALLIUM MTL26MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD V40 VITALLIUM MTL28MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD V40 VITALLIUM MTL28MM+4,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD V40 VITALLIUM MTL28MM-4,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD V40 VITALLIUM MTL32MM+0,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD V40 VITALLIUM MTL32MM+4,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD V40 VITALLIUMMTL28MM+12,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD V40 VITALLIUMMTL32*NLU*,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP HD VERS BIOLOX CER 28MM +7,6408.0,5126.4,1.0,5767.2,26
HCPCS,C1776,HIP HD VERS BIOLOX CER 36MM +0,7308.0,5846.4,1.0,6577.2,26
HCPCS,C1776,HIP HD VERS BIOLOX CER 36MM +7,7308.0,5846.4,1.0,6577.2,26
HCPCS,C1776,HIP HD VERS BIOLOX CER28MM+3.5,6408.0,5126.4,1.0,5767.2,26
HCPCS,C1776,HIP HD VERS BIOLOX CER36MM+3.5,7308.0,5846.4,1.0,6577.2,26
HCPCS,C1776,HIP HD VERS BIOLOX CER36MM-3.5,7308.0,5846.4,1.0,6577.2,26
HCPCS,C1776,HIP HD VERS BIOLOX CER40MM+3.5,7308.0,5846.4,1.0,6577.2,26
HCPCS,C1776,HIP HD VERS MTL *DISC NO REPL*,2100.0,1680.0,1.0,1890.0,390
HCPCS,C1776,HIP HD VERS MTL1*DISC NO REPL*,2100.0,1680.0,1.0,1890.0,52
HCPCS,C1776,HIP HD ZIMM MTL 6D 36*VAT NLU*,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HDFREEDOMMTL12/14 28MM+3.5,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HDFREEDOMMTL12/14 28MM-3.5,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP HDVERSMTL12/*DISC NO REPL*,2100.0,1680.0,1.0,1890.0,52
HCPCS,C1776,HIP HL COV RFLCT SN,591.0,472.8,1.0,531.9,26
HCPCS,C1776,HIP HL ELIMINATOR DEPU,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP INSRT ADM/MDM X3 42MM SZE,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP INSRT ADM/MDM X3 48MM SZG,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP INSRT ADM/MDM X3 52MM SZH,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP INSRT MDM X3 22.2 36MM SZC,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP INSRT MDM X3 22.2 38MM SZD,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP INSRT MDM X3 28.0 38MM SZD,6422.0,5137.6,1.0,5779.8,26
HCPCS,C1776,HIP INSRT OR3O XPLE 28/40MM,6806.0,5444.8,1.0,6125.4,26
HCPCS,C1776,HIP INSRT SYS12 CRSFR 10D 32P3,4457.0,3565.6,1.0,4011.3,26
HCPCS,C1776,HIP INSRT SYS12 CRSFR 10D 32P4,4457.0,3565.6,1.0,4011.3,26
HCPCS,C1776,HIP LNR ACET ONVOY 36X50-52,9980.0,7984.0,1.0,8982.0,26
HCPCS,C1776,HIP LNR ACET ONVOYHOOD36X50-52,9980.0,7984.0,1.0,8982.0,26
HCPCS,C1776,HIP LNR ACET ONVOYHOOD36X58-60,9980.0,7984.0,1.0,8982.0,26
HCPCS,C1776,HIP LNR ACROMXL PE HIGH36MMSZH,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX BIMENTUM 22X41,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR ALTRX BIMENTUM 22X43,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR ALTRX BIMENTUM 22X45,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR ALTRX BIMENTUM 28X47,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR ALTRX BIMENTUM 28X49,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 32X48MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 32X50MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X52MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X54MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X56MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X58MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X60MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X64MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 40X56MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 40X58MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 40X60MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 40X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 40X64MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 40X66MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 44X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 44X64MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 44X66MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D28X60MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D28X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 0D28X66MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X52MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X54MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X56MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X64MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X66MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D32X48MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D32X50MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X52MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X54MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X56MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X58MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D40X56MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D40X58MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D40X60MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D40X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D40X64MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D40X66MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE +4 10D44X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X44MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X46MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X48MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X50MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X58MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X64MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X66MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X48MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X50MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X52MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X54MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X58MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X52MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X54MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X56MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X58MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X60MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X64MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X66MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X56MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X58MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X60MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X64MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X66MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE LIP 28X51MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR ALTRX PE LIP 28X53MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR ALTRX PE LIP 28X55MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR ALTRX PE LIP 32X52MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ALTRX PE LIP 32X54MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR APR PE 0D 53X32MM,4450.0,3560.0,1.0,4005.0,26
HCPCS,C1776,HIP LNR ARCOMXL PE 0D*VAT NLU*,3320.0,2656.0,1.0,2988.0,52
HCPCS,C1776,HIP LNR ARCOMXL PE HIGH36MMSZG,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ARCOMXL PE NEUT32MMSZC,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ARCOMXL PE NEUT36MMSZE,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ARCOMXL PE NEUT36MMSZF,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ARCOMXL PE NEUT36MMSZG,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ARCOMXL PE NEUT36MMSZH,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR BIMENTUM PE 22X41MM,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1776,HIP LNR BIMENTUM PE 22X43MM,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1776,HIP LNR BIMENTUM PE 22X45MM,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1776,HIP LNR BIMENTUM PE 28X49MM,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1776,HIP LNR BIMENTUM PE 28X51MM,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1776,HIP LNR BIMENTUM PE 28X53MM,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1776,HIP LNR BIOCLAD PE 10 28*NLU*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR CNSTND FREEDOM SZ23 +5,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR CNSTND FREEDOM SZ24 +5,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR CNSTND FREEDOM SZ26 +5,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR CNSTND FREEDOM SZ27 +5,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR CNSTND FREEDOM SZ28 +5,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR CONFORMIS 60MM SZE,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,HIP LNR CONTMPEOFFSET36X50SZHH,4648.0,3718.4,1.0,4183.2,26
HCPCS,C1776,HIP LNR CRSFR ECCN PE 10D32X54,5236.0,4188.8,1.0,4712.4,26
HCPCS,C1776,HIP LNR DUAL EMPHASYS 48X38MM,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,HIP LNR DUAL EMPHASYS 50X40MM,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,HIP LNR DUAL EMPHASYS 52X42MM,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,HIP LNR DUAL EMPHASYS 54X44MM,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,HIP LNR DUAL EMPHASYS 56X46MM,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,HIP LNR DUAL MOBILITY 48X41MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR DUAL MOBILITY 50X43MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR DUAL MOBILITY 52X45MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR DUAL MOBILITY 60X51MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR DUAL MOBILITY 62X53MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR DUAL MOBILITY 64X53MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR DUAL MOBILITY 66X55MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR DUAL MOBILITYPE58X49MM,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR DURALOC PE 10D 32*NLU*,6310.0,5048.0,1.0,5679.0,26
HCPCS,C1776,HIP LNR DURALOC PE 4 0D *NLU*,7993.0,6394.4,1.0,7193.7,26
HCPCS,C1776,HIP LNR DURALOC PE CNSTN*NLU*,11693.0,9354.4,1.0,10523.7,26
HCPCS,C1776,HIP LNR E1 PE HIGH 32*VAT NLU*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIP LNR E1 PE HIGH 36X24*DISC*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIP LNR E1 PE HIGH 36X25*DISC*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIP LNR E1 PE MROM 32X24M*NLU*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL44,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL46,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL48,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL50,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL52,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL54,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL56,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL58,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL60,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL62,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL64,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE ELEV 54X40,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 44X32,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 46X32,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 48X36,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 50X36,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 52X36,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 54X36,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 54X40,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 56X36,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 56X40,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 60X36,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 60X40,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 62X40,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 64X36,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 64X40,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE+4NEUT50X36,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR EMPHASYS PE+4NEUT56X40,4020.0,3216.0,1.0,3618.0,26
HCPCS,C1776,HIP LNR FREEDOM G7 10D H 36MM,8640.0,6912.0,1.0,7776.0,26
HCPCS,C1776,HIP LNR FREEDOM PE 36MM SZD 5,8640.0,6912.0,1.0,7776.0,26
HCPCS,C1776,HIP LNR FREEDOM PE SZ56,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP LNR FREEDOM PE SZ58,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP LNR FREEDOM PE SZE 36MM,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR FREEDOM PE SZH 36MM,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR G7 ART *DISC 6313789*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR G7 ARTI*DISC 6313787*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR G7 ARTI*DISC 6313797*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR G7 ARTIC*DISC 6313793*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR G7 ARTIC*DISC 6313798*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR G7 ARTICU E1 PE28X38MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR G7 ARTICU E1 PE28X44MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR G7 ARTICU E1 PE28X54MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR G7 ARTICU E1 PE28X60MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR G7 PE DUAL SZC 38MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP LNR G7 PE DUAL SZD 40MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP LNR G7 PE DUAL SZE 42MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP LNR G7 PE DUAL SZF 44MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP LNR G7 PE DUAL SZG 46MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP LNR G7 PE DUAL SZH 50MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP LNR G7 PE DUAL SZI 54MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP LNR G7 PE DUAL SZI 60MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP LNR G7 PE NEUT +5 36 SZF,7040.0,5632.0,1.0,6336.0,26
HCPCS,C1776,HIP LNR G7 PE NEUT +5 40 SZF,7040.0,5632.0,1.0,6336.0,26
HCPCS,C1776,HIP LNR G7 PE NEUT 5 E 3*NLU*,7040.0,5632.0,1.0,6336.0,26
HCPCS,C1776,HIP LNR G7SZF40MM*USE 6311805*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIP LNR HGPII PE NEUT SZF*NLU*,5860.0,4688.0,1.0,5274.0,26
HCPCS,C1776,HIP LNR HW LNGVTY G7 32MM SZB,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR HW LNGVTY G7 36MM SZE,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ITOTAL STD 36MM SZE,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,HIP LNR LNGVTY PE 0D 32X54,6340.0,5072.0,1.0,5706.0,26
HCPCS,C1776,HIP LNR LNGVTY PE 0D GG 32MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR LNGVTY PE 0D HH 32MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR LNGVTY PE 0D II 36MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR LNGVTY PE 0D JJ 36MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR LNGVTY PE 0D LL 40MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR LNGVTY PE 0D MM 36MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR LNGVTY PE 0D MM 40MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR LNGVTY PE ELEV HH 32MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR LONGEVITY 28X40MM SZD,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP LNR LONGEVITY 28X44MM SZF,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP LNR LONGEVITY 28X46MM SZG,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP LNR LONGEVITY 28X48MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP LNR LONGEVITY 40MM SZG,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR MDM XL PE 38MM D,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR MDM XL PE 42MM E,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR MDM XL PE 46MM F,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR MDM XL PE 48MM G,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR MDM XL PE 52MM H,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR MDM XL PE 54MM I,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR NEUT LNGVTY G7 32MMSZB,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR NEUT REST CUST,5980.0,4784.0,1.0,5382.0,26
HCPCS,C1776,HIP LNR OMNIFIT2 PE 10D 3*NLU*,4587.0,3669.6,1.0,4128.3,26
HCPCS,C1776,HIP LNR ONVOY CMNTLSS 56MM,11380.0,9104.0,1.0,10242.0,26
HCPCS,C1776,HIP LNR ONVOY CMNTLSS 58MM,11380.0,9104.0,1.0,10242.0,26
HCPCS,C1776,HIP LNR OR3O DUAL MOBIL40/52MM,10211.0,8168.8,1.0,9189.9,26
HCPCS,C1776,HIP LNR PE E1 G7 10D SZD 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE E1 G7 10D SZH 40MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE E1 G7 HIGH SZC 32M,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE E1 G7 HIGH SZD 36M,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE E1 G7 HIGH SZE 36M,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE E1 G7 HIGH SZF 36M,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE E1 G7 HIGH SZG 36M,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE E1 G7 HIGH SZH 36M,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZB 32MM,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZC 32MM,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZD 36MM,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZE 36MM,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZF 36MM,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZG 36MM,12500.0,10000.0,1.0,11250.0,26
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZB 32MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZC 32MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZD 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZE 32MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZE 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZF 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZG 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZH 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZI 40MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZJ 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZC 32MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZD 36MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZE 36MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZE 40MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZF 36MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZF 40MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZG 36MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZG 40MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZH 40MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZI 36MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 0D SZI 40MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 10D 36MMSZE,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 10D 36MMSZF,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 10D 36MMSZG,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PE TRID X3 10D 36MMSZH,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR PNCLE ESC PE+4 0D28X50,18461.0,14768.8,1.0,16614.9,26
HCPCS,C1776,HIP LNR PNCLE ESC PE+4 0D32X54,18461.0,14768.8,1.0,16614.9,26
HCPCS,C1776,HIP LNR PNCLE ESC PE+4 0D36X58,18461.0,14768.8,1.0,16614.9,26
HCPCS,C1776,HIP LNR PNCLE ESC PE+4 0D47X54,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR PNCLE ESC PE+4 0D56X49,6524.0,5219.2,1.0,5871.6,26
HCPCS,C1776,HIP LNR PNCLE ESC PE+410D36X56,17904.0,14323.2,1.0,16113.6,26
HCPCS,C1776,HIP LNR PNCLE PE +4 0D 28X58,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR PNCLE PE +4 10D 28X50,15112.0,12089.6,1.0,13600.8,26
HCPCS,C1776,HIP LNR PNCLE PE 0D 28X4*NLU*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR PNCLE PE 0D 32X5*NLU*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR PNCLE PE 0D 36X5*NLU*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR PNCLE PE 0D 36X6*NLU*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ47,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ49,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ53,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ55,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ59,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ63,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 0D 36X50MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 TRL LNR TRY,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 32X48,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 32X50,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 4 *NLU*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X56MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X58MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X60 +4,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X60MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X62 +4,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X64MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X66MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 44X62MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR R3 XLPE PE0D40X66/70+4,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TANDEM BIPOLRCOCR22X41,1914.0,1531.2,1.0,1722.6,26
HCPCS,C1776,HIP LNR TANDEM BIPOLRCOCR22X42,1914.0,1531.2,1.0,1722.6,26
HCPCS,C1776,HIP LNR TANDEM BIPOLRPE28X45MM,1914.0,1531.2,1.0,1722.6,26
HCPCS,C1776,HIP LNR TI REST CUST,55980.0,44784.0,1.0,50382.0,26
HCPCS,C1776,HIP LNR TRIAL NEUT 40IDX56OD,3813.0,3050.4,1.0,3431.7,26
HCPCS,C1776,HIP LNR TRID CER 0D 32MM SZE,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID CNSTND PE 0D22SZE,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP LNR TRID CNSTND PE10DSZE22,11110.0,8888.0,1.0,9999.0,26
HCPCS,C1776,HIP LNR TRID PE CNSTND 0D22SZD,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP LNR TRID PE CNSTND 0D28SZF,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP LNR TRID PE CNSTND 0D28SZG,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP LNR TRID PE CNSTND 0D36X44,11456.0,9164.8,1.0,10310.4,26
HCPCS,C1776,HIP LNR TRID X3 ECCN 0D36MMSZF,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 ECCN 0D36MMSZG,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 ECCN 0D36MMSZH,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 HA 0D 36MM SZE,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 HA 0D 36MM SZF,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 HA 0D 36MM SZG,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 0D 32MM SZB,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 0D 32MM SZC,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 0D 32MM SZD,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 0D 36MM SZD,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 0D 36MM SZE,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 0D 36MM SZF,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 0D 36MM SZG,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 0D 36MM SZH,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 0D 40M SZG,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 0D 40MM SZF,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 10D 32MMSZD,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 10D 32MMSZF,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 10D 36MMSZE,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 10D 36MMSZF,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE 10D 36MMSZG,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE ELEVA36MM E,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRID X3 PE ELEVA36MM F,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 50X36MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 56X36MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 58X36MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 58X40MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 60X36MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 60X40MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 62X36MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 62X40MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 64X36MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 64X40MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 66X40MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D 68X40MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 0D*VAT NLU*,3320.0,2656.0,1.0,2988.0,52
HCPCS,C1776,HIP LNR TRILOGY PE 20*VAT NLU*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR TRILOGY PE 20D 66X32MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR ULTAMET MTL 28X4*DISC*,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,HIP LNR ULTAMET MTL 36X5*DISC*,5200.0,4160.0,1.0,4680.0,78
HCPCS,C1776,HIP LNR VERS BIP*DISC NO REPL*,1800.0,1440.0,1.0,1620.0,156
HCPCS,C1776,HIP LNR VIT E PE 0D GG 32MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIT E PE 0D HH 32MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIT E PE 0D II 32MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIT E PE 0D JJ36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIT E PE 0D KK 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIT E PE 0D LL 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIT E PE 0D LL 40MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIT E PE 0D MM 40MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E 28X38MM SZC,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X40MM SZD,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X42MM SZE,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X44MM SZF,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X46MM SZG,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X48MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X50MM SZH,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X52MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X54MM SZI,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X56MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X58MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E 28X60MM SZJ,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,HIP LNR VIV-E PE HW SZF 36,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE HW SZG 40,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE HW SZH 36,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE HW SZI 36,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZA 28MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZB 28MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZC 32MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZD 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZE 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZF 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZG 36MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZG 40 +5,7040.0,5632.0,1.0,6336.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZG 40MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZH 40MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZH 44MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE SZI 40MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE10D SZG 40,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE10D SZH 40,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR VIV-E PE10D SZI 44,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP LNR X3 STRY PE 22.2X38 D,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP LNR X3 STRY PE 28X42 E,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR X3 STRY PE 28X46 F,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR X3 STRY PE 28X48 G,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR X3 STRY PE 28X52 H,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR X3 STRY PE 28X60 I,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,HIP LNR XLPE PE 0D 36X52MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR XLPE PE 0D 36X54MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR XLPE PE 0D 36X56MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR XLPE PE 0D 36X58MM,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR XLPE PE 0D 36X62M*NLU*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR XLPE PE 20ANT+4 36X58G,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNR XLPEPE20D5 36X54F*NLU*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1776,HIP LNREMPHASYSCMNTLSSMULTHL56,14323.0,11458.4,1.0,12890.7,26
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV DD,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV J2,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV K1,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV P2,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV R1,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV R2,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV S1,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV S2,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV X1,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV X2,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ST C,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ST D,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ST J,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ST P,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ST SZR,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP NECK KINECTIV ST X,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP PLUG APICAL HL ZIMM,955.0,764.0,1.0,859.5,26
HCPCS,C1776,HIP PLUG DOME HL ZIMM,312.0,249.6,1.0,280.8,26
HCPCS,C1776,HIP PLUG HEX DOME HL TRID II,634.0,507.2,1.0,570.6,26
HCPCS,C1776,HIP PLUG SCREW HL G7,955.0,764.0,1.0,859.5,26
HCPCS,C1776,HIP REPL SYS ITOTAL PTSPECIFIC,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP RING REPL LK RINGLOC *NLU*,594.0,475.2,1.0,534.6,26
HCPCS,C1776,HIP RING REPL LK RINGLOC SZ24,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,HIP RING REPL LK RINGLOC SZ25,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,HIP RING REPL RINGLOC SZ2*NLU*,729.0,583.2,1.0,656.1,26
HCPCS,C1776,HIP SCREW ACET ONVOY 6.5X20MM,1290.0,1032.0,1.0,1161.0,26
HCPCS,C1776,HIP SCREW ACET ONVOY 6.5X25MM,1290.0,1032.0,1.0,1161.0,26
HCPCS,C1776,HIP SCREW CNCLS ITOTAL 6.5X15,600.0,480.0,1.0,540.0,26
HCPCS,C1776,HIP SCREW CNCLS ITOTAL 6.5X25,600.0,480.0,1.0,540.0,26
HCPCS,C1776,HIP SCREW DOME LOPROG7 6.5X15M,210.0,168.0,1.0,189.0,26
HCPCS,C1776,HIP SCREW DOME LOPROG7 6.5X30M,210.0,168.0,1.0,189.0,26
HCPCS,C1776,HIP SCREW G7 LOPRODOME6.5X50MM,210.0,168.0,1.0,189.0,26
HCPCS,C1776,HIP SCREW LK ARCOS ZIMM,3555.0,2844.0,1.0,3199.5,26
HCPCS,C1776,HIP SCREW PERIPH 5.0X65MM,1166.0,932.8,1.0,1049.4,26
HCPCS,C1776,HIP SHELL ANATOM RESTO RT SZ64,14300.0,11440.0,1.0,12870.0,26
HCPCS,C1776,HIP SHELL BIMENTUM PRESSFIT 59,4780.0,3824.0,1.0,4302.0,26
HCPCS,C1776,HIP SHELL CONTM 1HL GG 48MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM 1HL HH 50MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM 1HL II52MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM 1HL JJ 54MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM 1HL KK 56MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM 1HL LL 58MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM 1HL MM 60MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM CLUSTER GG48MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM CLUSTER HH50MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM CLUSTER II52MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM CLUSTER JJ54MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM CLUSTER KK56MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM CLUSTER LL58MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM CLUSTER MM60MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL CONTM MULT HH 50MM,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP SHELL CONTM MULT II 52MM,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP SHELL CONTM MULT LL 5*NLU*,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP SHELL CONTM MULT MM 60MM,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP SHELL G7 PPS 3HL B 46MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,HIP SHELL G7 PPS 3HL C 48MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,HIP SHELL G7 PPS 3HL D 50MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,HIP SHELL G7 PPS 3HL E 52MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,HIP SHELL G7 PPS 3HL F 54MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,HIP SHELL G7 PPS 3HL F 56MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,HIP SHELL G7 PPS 3HL G 58MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,HIP SHELL G7 PPS 3HL G 60MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,HIP SHELL G7 PPS 3HL H 62MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,HIP SHELL G7 PPS 3HL H 64MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,HIP SHELL M2A ZIMM 48X42MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL M2A ZIMM 50X44MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL M2A ZIMM 52X46MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL M2A ZIMM 54X48MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL M2A ZIMM 56X50MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL M2A ZIMM 58X52MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL M2A ZIMM 60X54MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL M2A ZIMM 62X56MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL ONVOY CLUSTER HL 50,11380.0,9104.0,1.0,10242.0,26
HCPCS,C1776,HIP SHELL ONVOY CLUSTER HL 52,11380.0,9104.0,1.0,10242.0,26
HCPCS,C1776,HIP SHELL OSSEOTI 3HL C 48MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,HIP SHELL OSSEOTI 3HL D 50MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,HIP SHELL OSSEOTI 3HL E 52MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,HIP SHELL OSSEOTI 4HL F 54MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,HIP SHELL OSSEOTI 4HL F 56MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,HIP SHELL OSSEOTI 4HL G 58MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,HIP SHELL OSSEOTI 4HL G 60MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,HIP SHELL OSSEOTI 4HL H 62MM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT A 42MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT C 48MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT D 50MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT E 52MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT F 54MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT F 56MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT G 58MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT G 60MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT H 62MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT H 64MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT I 66MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT I 68MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT J 74MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL OSSEOTI MULT J 76MM,10816.0,8652.8,1.0,9734.4,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 44,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 46,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 48,13346.0,10676.8,1.0,12011.4,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 52,13346.0,10676.8,1.0,12011.4,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 54,13346.0,10676.8,1.0,12011.4,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 56,13346.0,10676.8,1.0,12011.4,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 58,13346.0,10676.8,1.0,12011.4,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 60,13346.0,10676.8,1.0,12011.4,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 62,13346.0,10676.8,1.0,12011.4,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 64,13346.0,10676.8,1.0,12011.4,26
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 66,13346.0,10676.8,1.0,12011.4,26
HCPCS,C1776,HIP SHELL PNCLE MULT 62M*NLU*,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE REV GRIPTN60MM,15714.0,12571.2,1.0,14142.6,26
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 48,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 50,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 52,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 54,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 56,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 58,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 60,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 62,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 64,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 66,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE SECT POR 48MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE SECT POR 50MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE SECT POR 52MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE SECT POR 54MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE SECT POR 56MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE SECT POR 58MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE SECT POR 60MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE SECT POR 62MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE SECT POR 64MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE SECT POR 66MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 48MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 50MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 52MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 54MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 56MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 58MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 60MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 62MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 64MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 66MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP SHELL PNCLE100 POR 48MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE100 POR 50MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE100 POR 52MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE100 POR 54MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE100 POR 56MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE100 POR 58MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE100 POR 6*NLU*,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE100 POR 60MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PNCLE100 POR 62MM,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL POLARCUP CMNT 47MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL POLARCUP CMNT 55MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL POLARCUP CMNT 57MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL POLARCUP CMNT 59MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL POLARCUP CMNT 63MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,HIP SHELL PPS LTD 54M*VAT NLU*,3755.0,3004.0,1.0,3379.5,26
HCPCS,C1776,HIP SHELL PROSTALAC 32X42MM,3934.0,3147.2,1.0,3540.6,26
HCPCS,C1776,HIP SHELL R3 0HL 54MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 0HL 64MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 3HL 48MM*NLU*,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 3HL 50MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 3HL 52MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 3HL 54MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 3HL 56MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 3HL 58MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 3HL 60MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 3HL 62MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 3HL 64MM*NLU*,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 3HL 66MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL R3 MULT HL 62MM,4316.0,3452.8,1.0,3884.4,26
HCPCS,C1776,HIP SHELL REGENEREX 56X46*NLU*,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL REGENEREX 60X50*NLU*,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL REGENEREX M*VAT NLU*,11885.0,9508.0,1.0,10696.5,52
HCPCS,C1776,HIP SHELL REGENEREX S*VAT NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X43,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X44,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X45,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X46,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X47,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X48,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X49,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X50,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X51,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X52,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X54,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X56,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,HIP SHELL TRABEC CLUS*VAT NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRABEC MULT*VAT NLU*,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP SHELL TRABEC REV 48MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL TRABEC REV 52MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL TRABEC REV 56MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL TRABEC REV 58MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL TRABEC REV 60MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL TRABEC REV 64MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL TRABEC REV 66MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL TRABEC REV 70MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL TRABEC REV 78MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1776,HIP SHELL TRID 0*DISC NO REPL*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 46MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 48MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 50MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 52MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 54MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 56MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 58MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 60MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 62MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID MULT HL 52MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID MULT HL 54MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID MULT HL 56MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER46MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER48MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER50MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER52MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER54MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER56MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER58MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER60MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER42A,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER46C,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER48D,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER50D,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER52E,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER54E,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER56F,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER58F,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER60G,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER62G,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER64H,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER66H,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL52E,13400.0,10720.0,1.0,12060.0,26
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL54E,13400.0,10720.0,1.0,12060.0,26
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL56F,13400.0,10720.0,1.0,12060.0,26
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL58F,13400.0,10720.0,1.0,12060.0,26
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL60G,13400.0,10720.0,1.0,12060.0,26
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL62G,13400.0,10720.0,1.0,12060.0,26
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL64H,13400.0,10720.0,1.0,12060.0,26
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL68I,13400.0,10720.0,1.0,12060.0,26
HCPCS,C1776,HIP SHELL TRIT CLUSTER 50MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRIT CLUSTER 52MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRIT CLUSTER 54MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRIT CLUSTER 56MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRIT CLUSTER 58MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRIT CLUSTER 60*NLU*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,HIP SHELL TRIT MULT HL 54MM,11526.0,9220.8,1.0,10373.4,26
HCPCS,C1776,HIP SHELL TRIT MULT HL 68*NLU*,11526.0,9220.8,1.0,10373.4,26
HCPCS,C1776,HIP SHELL VERS B*DISC NO REPL*,1800.0,1440.0,1.0,1620.0,390
HCPCS,C1776,HIP SHELLPNCLGRIPTNMULT50*NLU*,12135.0,9708.0,1.0,10921.5,26
HCPCS,C1776,HIP SHELLVERSBIP*DISC NO REPL*,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,HIP SLV ADPTR C-TPR +0MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP SLV ADPTR C-TPR +2.5MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP SLV ADPTR C-TPR +5MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP SLV ADPTR C-TPR -2.5MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP SLV ADPTR V40 STRYUNIV+0MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP SLV ADPTR V40 STRYUNIV+4MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP SLV ADPTRV40STRYUNIV-2.5MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP SLV C TPR UNITRAX +5MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP SLV C TPR UNITRAX+0MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP SLV PROX SROM 16D-SML*NLU*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP SLV PROX SROM 18D-SM*NLU*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP SLV PROX SROM SZD 16X*NLU*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP SLV TI MODLR 12/14 +0,1404.0,1123.2,1.0,1263.6,26
HCPCS,C1776,HIP SLV TI MODLR 12/14 +4,1404.0,1123.2,1.0,1263.6,26
HCPCS,C1776,HIP SLV TI MODLR 12/14 +8,1404.0,1123.2,1.0,1263.6,26
HCPCS,C1776,HIP SLV TI MODLR 12/14 -4*NLU*,1404.0,1123.2,1.0,1263.6,26
HCPCS,C1776,HIP SLV TYPE I OPT CER +3MM,900.0,720.0,1.0,810.0,26
HCPCS,C1776,HIP SLV TYPE I OPT CER +6MM,900.0,720.0,1.0,810.0,26
HCPCS,C1776,HIP SLV TYPE I OPT CER -3MM,900.0,720.0,1.0,810.0,26
HCPCS,C1776,HIP SLV TYPE I OPT CER -6MM,900.0,720.0,1.0,810.0,26
HCPCS,C1776,HIP SLV TYPE I OPT CER 0MM,900.0,720.0,1.0,810.0,26
HCPCS,C1776,HIP SLV V-40 TPR UNITRAX+0MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP SLV V-40 TPR UNITRAX-4MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,HIP STEM ACLD C 127D SZ2,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD C 127D SZ3,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD C 127D SZ4,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD C 127D SZ5*NLU*,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD C 127D SZ6*NLU*,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD C 127D SZ7,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD C 132D SZ2,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD C 132D SZ3,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD C 132D SZ4,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD C 132D SZ5,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD C 132D SZ6,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM ACLD HFX 127D SZ*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM ACLD TMZF 127D S*NLU*,9200.0,7360.0,1.0,8280.0,78
HCPCS,C1776,HIP STEM ACLD TMZF 127D SZ2.5,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLD TMZF 132D S*NLU*,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ1,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ10,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ11,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ2,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ3,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ4,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ5,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ6,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ7,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ8,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 127D SZ9,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 132D SZ1,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 132D SZ10,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 132D SZ2,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 132D SZ3,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 132D SZ4,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 132D SZ5,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 132D SZ6,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 132D SZ7,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 132D SZ8,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACLDII 132D SZ9,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ0,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ1,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ10,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ11,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ12,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ2,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ7,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS HIGH SZ9,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ0,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ1,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ10,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ11,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ2,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ7,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ACTIS STD SZ9,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ALLOCLASSIC *VAT NLU*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AML HIGH LG SZ15,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AML LG SZ12,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AML LG SZ13.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AML LG SZ15,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AML LG SZ16.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AML LG SZ18,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AML SM SZ10.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AML SM SZ12,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AML SM SZ13.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AML SM SZ15,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ARCOS BULLETBOW1*NLU*,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS ETO STS17X250MM,14058.0,11246.4,1.0,12652.2,26
HCPCS,C1776,HIP STEM ARCOS STS 12X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 13X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 13X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 14X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 15X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 15X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 16X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 16X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 17X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 17X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 18X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 18X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 19X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 19X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 20X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 20X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 21X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 21X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 21X250MM,14058.0,11246.4,1.0,12652.2,26
HCPCS,C1776,HIP STEM ARCOS STS 22X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 22X250MM,14058.0,11246.4,1.0,12652.2,26
HCPCS,C1776,HIP STEM ARCOS STS 23X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 23X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 23X250MM,14058.0,11246.4,1.0,12652.2,26
HCPCS,C1776,HIP STEM ARCOS STS 24X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 24X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 24X250MM,14058.0,11246.4,1.0,12652.2,26
HCPCS,C1776,HIP STEM ARCOS STS 25X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 26X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 26X250MM,14058.0,11246.4,1.0,12652.2,26
HCPCS,C1776,HIP STEM ARCOS STS 27X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 27X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 27X250MM,14058.0,11246.4,1.0,12652.2,26
HCPCS,C1776,HIP STEM ARCOS STS 28X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 28X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 29X150MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 29X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM ARCOS STS 29X250MM,14058.0,11246.4,1.0,12652.2,26
HCPCS,C1776,HIP STEM ARCOS STS 30X190MM,11952.0,9561.6,1.0,10756.8,26
HCPCS,C1776,HIP STEM AVENIR COMPL CV SZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ0,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ1,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ6.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ7.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM AVENIR COMPL SO SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM BIMETRIC LAT*VAT NLU*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CMNT HO SZ1,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT HO SZ2,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT HO SZ3,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT HO SZ4,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT HO SZ5,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT HO SZ6,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT HO SZ7,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT HO SZ8,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT STD OFFSET *NLU*,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ1,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ2,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ4,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ5,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ6,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ7,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ8,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM COLAR ACTERA STD SZ7,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,HIP STEM COLAR LAT PLR STEMSZ9,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR LAT PLRSTEM SZ1,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR LAT PLRSTEM SZ2,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR LAT PLRSTEM SZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR LAT PLRSTEM SZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR LAT PLRSTEM SZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR LAT PLRSTEM SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR LAT PLRSTEM SZ7,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR LAT PLRSTEM SZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR LAT PLRSTEMSZ11,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR STD PLRSTEM SZ0,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR STD PLRSTEM SZ2,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR STD PLRSTEM SZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR STD PLRSTEM SZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR STD PLRSTEM SZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR STD PLRSTEM SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR STD PLRSTEM SZ7,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR STD PLRSTEM SZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLAR STD PLRSTEM SZ9,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTIS STDSZ2,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTIS STDSZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTIS STDSZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTIS STDSZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTIS STDSZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTIS STDSZ9,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ1,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ2,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ7,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ9,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COLARLSSACTISHIGHSZ10,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HA HO COLAR SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HA HO COLAR SZ7,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HA HOCOLARSZ7.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HA HOCOLARSZ8.0,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HA HOCOLARSZ8.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HA HOCOLARSZ9.0,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HA STD COLARSZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HA STD COLARSZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HASTDCOLARSZ6.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HASTDCOLARSZ7.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HASTDCOLARSZ8.0,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HASTDCOLARSZ8.5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COMPL HASTDCOLARSZ9.0,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW14X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW15X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW16X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW17X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW18X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW20X235,13389.0,10711.2,1.0,12050.1,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW23X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW24X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW25X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW26X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW27X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO BOW28X195,12720.0,10176.0,1.0,11448.0,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 15X115,13363.0,10690.4,1.0,12026.7,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 16X115,12727.0,10181.6,1.0,11454.3,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 17X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 18X115,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 18X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 19X115,13363.0,10690.4,1.0,12026.7,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 19X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 20X115,30715.0,24572.0,1.0,27643.5,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 21X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 22X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 23X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 24X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 25X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 26X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 27X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CONIC RESTO ST 28X195,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ10,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ11,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ12,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ13,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ14,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ15,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL COLAR SHRT SZ9,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL COLAR SHRTSZ10,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL KS STD SZ11,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL KS STD SZ13,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL KS STD SZ14,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL KS STD SZ15,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL KS STD SZ9,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL REV STD SZ10,33005.0,26404.0,1.0,29704.5,26
HCPCS,C1776,HIP STEM CORAIL REV STD SZ11,29700.0,23760.0,1.0,26730.0,26
HCPCS,C1776,HIP STEM CORAIL REV STD SZ12,33005.0,26404.0,1.0,29704.5,26
HCPCS,C1776,HIP STEM CORAIL REV STD SZ14,33005.0,26404.0,1.0,29704.5,26
HCPCS,C1776,HIP STEM CORAIL REV STD SZ16,33005.0,26404.0,1.0,29704.5,26
HCPCS,C1776,HIP STEM CORAIL REV STD SZ18,33005.0,26404.0,1.0,29704.5,26
HCPCS,C1776,HIP STEM CORAIL REV STD SZ20,33005.0,26404.0,1.0,29704.5,26
HCPCS,C1776,HIP STEM CORAIL ST HIGH *NLU*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ10,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ11,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ12,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ13,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ14,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ15,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COXAVARA HIGH SZ10,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COXAVARA HIGH SZ11,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COXAVARA HIGH SZ12,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COXAVARA HIGH SZ13,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM COXAVARA HIGH SZ14,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ECHO FFP STD 8X120MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO FFP STD 9X125MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO FPP HIGH12X140MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO FPP STD 10X130MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO FPP STD 11X135MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO FPP STD 13X145MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO FPP STD 14X150MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO FPP STD 15X155MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO FPP STD 16X160MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO FX LAT 15X150MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP STEM ECHO FX LAT 17X150MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP STEM ECHO FX STD 11MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP STEM ECHO FX STD 13MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP STEM ECHO FX STD 7MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP STEM ECHO FX STD 9MM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,HIP STEM ECHO LAT 9X1*VAT NLU*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ECHO PRESSFIT ST*NLU*,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIP STEM ECHO RPP STD 10X130MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO RPP STD 11X135MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO RPP STD 7X1*NLU*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ECHO RPP STD 9X125MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM ECHO STD 135D SZ11,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM ECHO STD 135D SZ12,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM EXETER V40 37.5MM SZ1,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM FBR MTL STD EXT1*NLU*,7732.0,6185.6,1.0,6958.8,52
HCPCS,C1776,HIP STEM FBR MTL STD EXT14X135,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM FBR MTL STD EXT15X140,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM FEM PROX PROS V40,21991.0,17592.8,1.0,19791.9,26
HCPCS,C1776,HIP STEM FEM PT SPECIFIC SZ1,42380.0,33904.0,1.0,38142.0,26
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ0,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ1,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ3,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ4,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ5,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ6,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,HIP STEM FEM Z1 UNCTD SZ5,14890.0,11912.0,1.0,13401.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 33.5X93,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 33.5X96,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 36X101,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 36X103,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 36X99,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 38.5X107,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 41X109,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 41X111,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 41X113,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 43.5X115,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA HO 8.5X105,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA STD 30.5X96,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA STD 32.5X101,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA STD 32.5X103,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA STD 32.5X99,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA STD 35X105,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA STD 35X107,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA STD 38X109,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA STD 38X111,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA STD 38X113,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INSIGNIA STD 40.5X115,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM INTERSPACE TPR LNG LG,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,HIP STEM INTERSPACE TPR LNG SM,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,HIP STEM INTERSPACE TPR SHRTLG,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,HIP STEM INTERSPACE WDG LNG MD,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,HIP STEM INTERSPACE WDG SHRTMD,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,HIP STEM KINECTIV 132D15X129MM,8200.0,6560.0,1.0,7380.0,26
HCPCS,C1776,HIP STEM KINECTIV 132D17.5X134,8200.0,6560.0,1.0,7380.0,26
HCPCS,C1776,HIP STEM KINECTIV SZ11,8200.0,6560.0,1.0,7380.0,26
HCPCS,C1776,HIP STEM KINECTIV SZ12,8200.0,6560.0,1.0,7380.0,26
HCPCS,C1776,HIP STEM KINECTIV SZ13.5,8200.0,6560.0,1.0,7380.0,26
HCPCS,C1776,HIP STEM LAT PLRSTEM CMNT SZ1,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM LAT PLRSTEM CMNT SZ2,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM LAT PLRSTEM CMNT SZ5,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM LAT PLRSTEM CMNT SZ8,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM LAT PROVIDENT 11.25MM,31520.0,25216.0,1.0,28368.0,26
HCPCS,C1776,HIP STEM LAT PROVIDENT 7.5MM,31520.0,25216.0,1.0,28368.0,26
HCPCS,C1776,HIP STEM LAT PROVIDENT II SZ3,31520.0,25216.0,1.0,28368.0,26
HCPCS,C1776,HIP STEM M/L EXT SZ11,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L EXT SZ12.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L EXT SZ6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L EXT SZ7.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L EXT SZ9,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECK EXT10,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECK EXT11,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECK STD10,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECK STD11,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECKEXT7.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECKEXTSZ5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECKEXTSZ6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECKEXTSZ9,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECKSTD7.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECKSTDSZ5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECKSTDSZ6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTN NECKSTDSZ9,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTNNECKEXT12.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTNNECKEXT13.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTNNECKEXT17.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTNNECKSTD12.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L RDCTNNECKSTD13.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ10,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ11,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ12.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ13.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ15,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ16.25,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ17.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ7.5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/L STD SZ9,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM M/LRDCTNNECKSTD16.25,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM MALLORY STD1*VAT NLU*,10242.0,8193.6,1.0,9217.8,26
HCPCS,C1776,HIP STEM MERIDIAN SZ2 12M*NLU*,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,HIP STEM MOD FEM HD 28MM +5,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,HIP STEM MRS BOW 13X127MM*NLU*,12275.0,9820.0,1.0,11047.5,26
HCPCS,C1776,HIP STEM MRS CMNT ST 10X102MM,12275.0,9820.0,1.0,11047.5,26
HCPCS,C1776,HIP STEM MRS NO BODY 9X127MM,12152.0,9721.6,1.0,10936.8,26
HCPCS,C1776,HIP STEM MRS WO BODY LNG11X203,17231.0,13784.8,1.0,15507.9,26
HCPCS,C1776,HIP STEM MRS WO BODY ST8X102MM,12275.0,9820.0,1.0,11047.5,26
HCPCS,C1776,HIP STEM MRS WO BODYCURV10X102,10780.0,8624.0,1.0,9702.0,26
HCPCS,C1776,HIP STEM MRS WO BODYCURV11X127,12275.0,9820.0,1.0,11047.5,26
HCPCS,C1776,HIP STEM MRS WO BODYST11X127MM,12275.0,9820.0,1.0,11047.5,26
HCPCS,C1776,HIP STEM MRS WO BODYST13X127MM,12275.0,9820.0,1.0,11047.5,26
HCPCS,C1776,HIP STEM MRS WO BODYST15X127MM,12275.0,9820.0,1.0,11047.5,26
HCPCS,C1776,HIP STEM MRS WO BODYST17X127MM,12275.0,9820.0,1.0,11047.5,26
HCPCS,C1776,HIP STEM NECK COCR 11X45X*NLU*,21996.0,17596.8,1.0,19796.4,26
HCPCS,C1776,HIP STEM OMNIFIT EON 127D SZ4,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM OMNIFIT EON 127D SZ7,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM OMNIFIT EON 127D*NLU*,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM OMNIFIT EON 132D SZ4,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM OMNIFIT EON 132D SZ5,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM OMNIFIT EON 132D SZ6,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM OMNIFIT EON 132D SZ7,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM OMNIFIT EON 132D*NLU*,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,HIP STEM OMNIFIT HFX 127D SZ5,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM OMNIFIT HFX 127D SZ6,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM OMNIFIT HFX 127D SZ7,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM OMNIFIT HFX 127D SZ8,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ10,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ5,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ6,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ7,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ8,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ9,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM OMNIFIT LFT SZ9 *NLU*,20167.0,16133.6,1.0,18150.3,26
HCPCS,C1776,HIP STEM PLASMA RESTO 14X155MM,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM PLASMA RESTO 15X155MM,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM PLASMA RESTO 16X155MM,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM PLASMA RESTO 17X155MM,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM PLASMA RESTO 18X155MM,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM PLASMA RESTO 19X155MM,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM PLASMA RESTO 20X155MM,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM PLASMA RESTO 21X155MM,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM PLASMA RESTO 24X155MM,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM PLASMA RESTO 27X155MM,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM POLARSTEM COLAR *NLU*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM POLARSTEM COLAR SZ1,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM POLARSTEMSTDCMNTEDSZ4,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM PROSTALAC HIGH 120MM,16237.0,12989.6,1.0,14613.3,26
HCPCS,C1776,HIP STEM PROSTALAC LFT 15*NLU*,13955.0,11164.0,1.0,12559.5,26
HCPCS,C1776,HIP STEM PROSTALAC RT 200MM,16237.0,12989.6,1.0,14613.3,26
HCPCS,C1776,HIP STEM PROSTALAC RTSZ3 150MM,16237.0,12989.6,1.0,14613.3,26
HCPCS,C1776,HIP STEM PROSTALAC STD 120MM,16237.0,12989.6,1.0,14613.3,26
HCPCS,C1776,HIP STEM RECLAIM DISANG27*NLU*,15340.0,12272.0,1.0,13806.0,26
HCPCS,C1776,HIP STEM RECLAIM DIST ST1*NLU*,15180.0,12144.0,1.0,13662.0,26
HCPCS,C1776,HIP STEM RECLAIM DIST ST21X140,15642.0,12513.6,1.0,14077.8,26
HCPCS,C1776,HIP STEM RESTO CONIC ST 17X115,13363.0,10690.4,1.0,12026.7,26
HCPCS,C1776,HIP STEM RESTO CONIC ST 2*NLU*,12052.0,9641.6,1.0,10846.8,26
HCPCS,C1776,HIP STEM RESTO HA -5 10 1*NLU*,20123.0,16098.4,1.0,18110.7,26
HCPCS,C1776,HIP STEM RESTO HA SZ8 12X*NLU*,21153.0,16922.4,1.0,19037.7,26
HCPCS,C1776,HIP STEM RESTO PLASMA 22X*NLU*,11381.0,9104.8,1.0,10242.9,26
HCPCS,C1776,HIP STEM REV CORAIL HO SZ10,33005.0,26404.0,1.0,29704.5,26
HCPCS,C1776,HIP STEM REV HO CMNTLSS 15MM,34589.0,27671.2,1.0,31130.1,26
HCPCS,C1776,HIP STEM REV RECLAIM STD HO 18,34589.0,27671.2,1.0,31130.1,26
HCPCS,C1776,HIP STEM REVRECLAIMSTDOFFSET17,34589.0,27671.2,1.0,31130.1,26
HCPCS,C1776,HIP STEM REVRECLAIMSTDOFFSET18,96124.0,76899.2,1.0,86511.6,26
HCPCS,C1776,HIP STEM SECFIT ADV 127D SZ10,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 127D SZ11,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 127D SZ12,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 127D SZ6,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 127D SZ7,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 127D SZ8,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 127D SZ9,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 132D SZ10,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 132D SZ11,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 132D SZ5,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 132D SZ6,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 132D SZ7,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 132D SZ8,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT ADV 132D SZ9,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT HA SZ10 *NLU*,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,HIP STEM SECFIT MAX 127D *NLU*,9200.0,7360.0,1.0,8280.0,52
HCPCS,C1776,HIP STEM SECFIT MAX 127D SZ10,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT MAX 127D SZ12,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT MAX 127D SZ6,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT MAX 127D SZ7,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT MAX 127D SZ8,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT MAX 132D *NLU*,9200.0,7360.0,1.0,8280.0,52
HCPCS,C1776,HIP STEM SECFIT MAX 132D SZ10,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT MAX 132D SZ4,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT MAX 132D SZ8,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SECFIT MAX 132D SZ9,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,HIP STEM SOL SYS ST LG 1*DISC*,31755.0,25404.0,1.0,28579.5,26
HCPCS,C1776,HIP STEM SROM 30 11X16X150,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM SROM 30 4L 14X*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM SROM 36 13X18X1*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM SROM 36 19X24X17*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP STEM STD PLRSTEM CMNT SZ0,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM STD PLRSTEM CMNT SZ1,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM STD PLRSTEM CMNT SZ2,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM STD PLRSTEM CMNT SZ3,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM STD PLRSTEM CMNT SZ5,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM STD PLRSTEM CMNT SZ6,4212.0,3369.6,1.0,3790.8,26
HCPCS,C1776,HIP STEM STD PROVIDENT 11.25MM,31520.0,25216.0,1.0,28368.0,26
HCPCS,C1776,HIP STEM STD PROVIDENT 13.75MM,31520.0,25216.0,1.0,28368.0,26
HCPCS,C1776,HIP STEM STD PROVIDENT 15MM,31520.0,25216.0,1.0,28368.0,26
HCPCS,C1776,HIP STEM SUMMIT BASIC CMNT SZ5,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP STEM SUMMIT BASIC CMNT SZ6,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP STEM SUMMIT BASIC CMNT SZ7,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ3,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ4,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ5,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ6,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ7,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ8,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ2,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ3,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ4,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ5,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ6,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ7,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ8,5432.0,4345.6,1.0,4888.8,26
HCPCS,C1776,HIP STEM SUMMIT DUOFIX HIGHSZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT DUOFIX STD SZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ10,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ2,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ7,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ9,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR HIGH*NLU*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR STD *NLU*,7732.0,6185.6,1.0,6958.8,52
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ2,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ7,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ9,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TAPERLOC FULL HIGHSZ6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC FULL HIGHSZ7,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC FULL HIGHSZ8,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC FULL STD SZ4,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC FULL STD SZ5,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC FULL STD SZ6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC FULL STD SZ7,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC FULL STD SZ8,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC HIGH14X148MM,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV HIGH SZ1,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV HIGH SZ9,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ11,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ12,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ13,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ15,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ16,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ17,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ18,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ10,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ11,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ12,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ13,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ14,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ15,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ16,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ17,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ18,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ20,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ24,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ9,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,HIP STEM TAPERLOCXR D*VAT NLU*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TM PRIM EXT 11X117MM,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,HIP STEM TM PRIM STD 13X138MM,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ7,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ2,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ3,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ4,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ5,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ6,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ7,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ8,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM VERS 6BEAD STD S*NLU*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM VERS CM*DISC NO REPL*,4200.0,3360.0,1.0,3780.0,52
HCPCS,C1776,HIP STEM VERS EXT 12X*VAT NLU*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIP STEM VERS ST*DISC NO REPL*,7732.0,6185.6,1.0,6958.8,182
HCPCS,C1776,HIP STEM VERS ZIMM 13X300MM,17388.0,13910.4,1.0,15649.2,26
HCPCS,C1776,HIP STEM VERS ZIMM 15X210MM,17388.0,13910.4,1.0,15649.2,26
HCPCS,C1776,HIP STEM WAGNER CONE 125D 13MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 125D 15MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 125D 19MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 125D 20MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 125D 21MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 125D 24MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 135D 13MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 135D 14MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 135D 16MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 135D 21MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 135D 23MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER CONE 135D 24MM,11196.0,8956.8,1.0,10076.4,26
HCPCS,C1776,HIP STEM WAGNER SL 15X225MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 16X190MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 17X265MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 17X305MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 18X190MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 18X225MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 18X305MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 19X225MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 19X265MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 20X305MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 21X305MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 22X305MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 24X265MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 25X265MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEM WAGNER SL 25X305MM,21600.0,17280.0,1.0,19440.0,26
HCPCS,C1776,HIP STEMFEMZ1WOCOLARCMNTLSSSZ5,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,HIP STEMFEMZ1WOCOLARCMNTLSSSZ8,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,HIP TROCH 5HL 4CBL 23X261MM,20448.0,16358.4,1.0,18403.2,26
HCPCS,C1776,HIP TROCH BOLT ARCOS 34MM,2655.0,2124.0,1.0,2389.5,26
HCPCS,C1776,HIP TROCH BOLT ARCOS 38MM,2655.0,2124.0,1.0,2389.5,26
HCPCS,C1776,HIP TROCH BOLT ARCOS 44MM,2655.0,2124.0,1.0,2389.5,26
HCPCS,C1776,HIP TROCH BOLT ARCOS 48MM,2655.0,2124.0,1.0,2389.5,26
HCPCS,C1776,HIP TROCH BOLT ARCOS 50MM,2655.0,2124.0,1.0,2389.5,26
HCPCS,C1776,HIP TROCH BOLT ARCOS 52MM,2655.0,2124.0,1.0,2389.5,26
HCPCS,C1776,HIP TROCH BOLT ARCOS 54MM,2655.0,2124.0,1.0,2389.5,26
HCPCS,C1776,HIP TROCH CLAW ARCOS SM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,HIP TROCH LNG 4CBL 23X121MM,12896.0,10316.8,1.0,11606.4,26
HCPCS,C1776,HIP TROCH SHRT 2CBL 23X53MM,8096.0,6476.8,1.0,7286.4,26
HCPCS,C1776,HIPBEADFC+LMSTDSZ16*DISC*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIPBEADFC+LMSTDSZ17*DISC*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIPBEADFC+STDSZ15*DISC*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIPBEADFC+STDSZ17*DISC*,7732.0,6185.6,1.0,6958.8,26
HCPCS,C1776,HIPBIMETRICLAT9X34X150*DISC*,21996.0,17596.8,1.0,19796.4,26
HCPCS,C1776,HIPECHOPRESSFITSTD10*DISC*,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIPECHOPRESSFITSTD11*DISC*,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIPECHOPRESSFITSTD12*DISC*,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIPECHOPRESSFITSTD13*DISC*,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIPECHOPRESSFITSTD14*DISC*,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIPECHOPRESSFITSTD15*DISC*,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIPECHOPRESSFITSTD9*DISC*,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,HIPFREEDOMCOCR12/1432+3*DISC*,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIPFREEDOMMTL12/14STD36*DISC*,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIPHDFREEDOMMTL12/1436+3*DISC*,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIPHDFREEDOMMTL12/1436+9*DISC*,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIPHDFREEDOMMTL12/1436-3*DISC*,5148.0,4118.4,1.0,4633.2,26
HCPCS,C1776,HIPLNRE1PEHIGH+336X23*DISC*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIPLNRE1PEHIGH+340X24*DISC*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIPLNRE1PEHIGH+340X25*DISC*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIPLNRE1PEMROM+336X23*DISC*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIPLNRE1PEMROM+340X24*DISC*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIPLNRE1PEMROM+340X25*DISC*,4820.0,3856.0,1.0,4338.0,26
HCPCS,C1776,HIPLNRVERSBIPOLR*DISC NO REPL*,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,INTR CLASC *DISC NO REPL*,162.0,129.6,1.0,145.8,26
HCPCS,C1776,KNEE ADPTR OFFSET 360 ZIMM 5MM,3462.0,2769.6,1.0,3115.8,26
HCPCS,C1776,KNEE ADPTR OFFSET 360ZIMM2.5MM,3462.0,2769.6,1.0,3115.8,26
HCPCS,C1776,KNEE ADPTR SLV DEPU FEM +0MM,3780.0,3024.0,1.0,3402.0,26
HCPCS,C1776,KNEE ADPTR TIB OFFSETVNGD NEUT,3397.0,2717.6,1.0,3057.3,26
HCPCS,C1776,KNEE ADPTR TS OFFSET TRLON 6MM,4347.0,3477.6,1.0,3912.3,26
HCPCS,C1776,KNEE ADPTR TS OFFSET TRLON 8MM,4347.0,3477.6,1.0,3912.3,26
HCPCS,C1776,KNEE ARTICU INSRT SN 11MMSZ1-2,15547.0,12437.6,1.0,13992.3,26
HCPCS,C1776,KNEE ARTICU INSRT SN 18MMSZ1-2,15547.0,12437.6,1.0,13992.3,26
HCPCS,C1776,KNEE ARTICU INSRT SN 30MMSZ1-2,15547.0,12437.6,1.0,13992.3,26
HCPCS,C1776,KNEE ARTICU INSRT SN 9MM SZ1-2,15547.0,12437.6,1.0,13992.3,26
HCPCS,C1776,KNEE AUG DIST FEM SZC 5MM,7499.0,5999.2,1.0,6749.1,26
HCPCS,C1776,KNEE AUG DIST FEM SZE 5MM,7499.0,5999.2,1.0,6749.1,26
HCPCS,C1776,KNEE AUG DIST FEM SZF 5MM,7499.0,5999.2,1.0,6749.1,26
HCPCS,C1776,KNEE AUG HALFBLK LFT 5MM SZ3,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1776,KNEE AUG HALFBLK RT 5MM SZ5,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE AUG HALFBLOCK LFT SZ2 5MM,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1776,KNEE AUG HALFBLOCK LFT SZ4 5MM,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1776,KNEE AUG HALFBLOCK LFTSZ4 10MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE AUG HALFBLOCK RT 5MM SZ3,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1776,KNEE AUG HALFBLOCK RT 5MM SZ4,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1776,KNEE AUG HALFBLOCK RT SZ4 10MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE AUG HALFBLOCK STRY,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1776,KNEE AUG PSTR FEM SZC 10MM,6674.0,5339.2,1.0,6006.6,26
HCPCS,C1776,KNEE AUG TRLON RM/LLRTSZ3 10MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE AUG TRLONLM/RLLFTSZ3 10MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE AUGHALFBLOCK LFT #5 5MM,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1776,KNEE AXLE GMRS STRY,4516.0,3612.8,1.0,4064.4,26
HCPCS,C1776,KNEE AXLE OSS ZIMM,2510.0,2008.0,1.0,2259.0,26
HCPCS,C1776,KNEE AXLE STRY,4508.0,3606.4,1.0,4057.2,26
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL RT G,8116.0,6492.8,1.0,7304.4,26
HCPCS,C1776,KNEE BASEPLATE TRLON TI SZ2,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,KNEE BASEPLATE TRLON TI SZ3,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,KNEE BASEPLATE TRLON TI SZ4,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,KNEE BASEPLATE TRLON TI SZ5,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,KNEE BASEPLATE TRLON TI SZ6,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,KNEE BASEPLATE TRLON TI SZ7,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,KNEE BASEPLATE TRLON TI SZ8,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,KNEE BEARIN PSTR RT 10MM SZ6-9,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE BUMPER INSRT STRY 3D,3381.0,2704.8,1.0,3042.9,26
HCPCS,C1776,KNEE BUMPER INSRT STRY NEUT,3381.0,2704.8,1.0,3042.9,26
HCPCS,C1776,KNEE BUSHING FEM GMRS STRY,2037.0,1629.6,1.0,1833.3,26
HCPCS,C1776,KNEE CMNT SHIELD HNG SVC KTXTB,8347.0,6677.6,1.0,7512.3,26
HCPCS,C1776,KNEE CONE ASYM TRIT LM/RL SZB,16498.0,13198.4,1.0,14848.2,26
HCPCS,C1776,KNEE CONE ASYM TRIT LM/RL SZC,16498.0,13198.4,1.0,14848.2,26
HCPCS,C1776,KNEE CONE ASYM TRIT LM/RL SZD,16498.0,13198.4,1.0,14848.2,26
HCPCS,C1776,KNEE CONE ASYM TRIT LM/RL SZE,16498.0,13198.4,1.0,14848.2,26
HCPCS,C1776,KNEE CONE ASYM TRIT RM/LL SZB,16498.0,13198.4,1.0,14848.2,26
HCPCS,C1776,KNEE CONE ASYM TRIT RM/LL SZD,16498.0,13198.4,1.0,14848.2,26
HCPCS,C1776,KNEE CONE ASYM TRIT RM/LL SZE,16498.0,13198.4,1.0,14848.2,26
HCPCS,C1776,KNEE CONE FEM CENT TRIT LFTSZ5,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM CENT TRIT LFTSZ6,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM CENT TRIT RT SZ5,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM CENT TRIT RT SZ6,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM CENT TRIT RT SZ7,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM CENT TRITRTSZ1-2,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM CENT TRITRTSZ3-4,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM CENTTRITLFTSZ1-2,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM CENTTRITLFTSZ3-4,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM CENTTRITLFTSZ7-8,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM TRIT LFT SZ3,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM TRIT LFT SZ4,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM TRIT LFT SZ5,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM TRIT LFT SZ6,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM TRIT LFT SZ7-8,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM TRIT RT SZ1-2,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM TRIT RT SZ3,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM TRIT RT SZ5,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE FEM TRIT RT SZ6,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE CONE SYM TRLON TRIT SZA,15426.0,12340.8,1.0,13883.4,26
HCPCS,C1776,KNEE CONE SYM TRLON TRIT SZB,15426.0,12340.8,1.0,13883.4,26
HCPCS,C1776,KNEE CONE SYM TRLON TRIT SZC,15426.0,12340.8,1.0,13883.4,26
HCPCS,C1776,KNEE CONE SYM TRLON TRIT SZD,15426.0,12340.8,1.0,13883.4,26
HCPCS,C1776,KNEE CUST FEM ILOK TI RT67.5MM,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,KNEE CUST FEM TI ZIMMLFT6*NLU*,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,KNEE CUST FEM VNGD TI LFT 60MM,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,KNEE CUST FEM VNGD TI LFT 65MM,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,KNEE CUST FEM VNGD TI RT 60MM,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,KNEE CUST FEM VNGD TILFT67.5MM,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,KNEE DCM PRI LIPBEAR10X63/67MM,3570.0,2856.0,1.0,3213.0,26
HCPCS,C1776,KNEE DIAPHYSEAL SEG ELLPOSS4CM,22447.0,17957.6,1.0,20202.3,26
HCPCS,C1776,KNEE DIAPHYSEAL SEG ELLPOSSLG3,22447.0,17957.6,1.0,20202.3,26
HCPCS,C1776,KNEE DIST AUG LCS DEPU *NLU*,4114.0,3291.2,1.0,3702.6,26
HCPCS,C1776,KNEE DIST AUG LCS RT LG 5MM,4819.0,3855.2,1.0,4337.1,26
HCPCS,C1776,KNEE DIST FEM WDG LGN 10MM SZ5,9219.0,7375.2,1.0,8297.1,26
HCPCS,C1776,KNEE DIST FEM WDG LGN 10MM SZ6,9219.0,7375.2,1.0,8297.1,26
HCPCS,C1776,KNEE DIST FEM WDG LGN 10MM SZ8,9219.0,7375.2,1.0,8297.1,26
HCPCS,C1776,KNEE DIST FEM WDG LGN 15MM SZ3,9219.0,7375.2,1.0,8297.1,26
HCPCS,C1776,KNEE DIST FEM WDG LGN 15MM SZ4,9219.0,7375.2,1.0,8297.1,26
HCPCS,C1776,KNEE DIST FEM WDG LGN 15MM SZ5,9219.0,7375.2,1.0,8297.1,26
HCPCS,C1776,KNEE DIST FEM WDG LGN 15MM SZ7,9219.0,7375.2,1.0,8297.1,26
HCPCS,C1776,KNEE DIST FEM WDG LGN 15MM SZ8,9219.0,7375.2,1.0,8297.1,26
HCPCS,C1776,KNEE DIST FEM WDG LGN 5MM SZ8,9219.0,7375.2,1.0,8297.1,26
HCPCS,C1776,KNEE DIST FEM WDG LGN 5MMSZ3-5,9219.0,7375.2,1.0,8297.1,26
HCPCS,C1776,KNEE FEM ADPTR DEPU +2/2,1733.0,1386.4,1.0,1559.7,26
HCPCS,C1776,KNEE FEM ADPTR DEPU 5D,8120.0,6496.0,1.0,7308.0,26
HCPCS,C1776,KNEE FEM ADPTR DEPU NEUT,1733.0,1386.4,1.0,1559.7,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 10SZ4,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 10SZ8,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 12SZ8,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 12SZ9,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 4 SZ3,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 4 SZ5,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 4 SZ6,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 4 SZ7,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 4 SZ8,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 4 SZ9,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 8 SZ3,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 8 SZ4,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 8 SZ5,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 8 SZ6,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 8 SZ7,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 8 SZ8,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 8 SZ9,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 10MM SZ1,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 10MM SZ2,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 10MM SZ4,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 10MM SZ5,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ1,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ2,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ3,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ4,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ6,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ7,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ8,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 5MM SZ1,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 5MM SZ4,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 5MM SZ5,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST LFT 5MM SZ7,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST LFT SZ3 5MM,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST LFT SZ6 10MM,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST LL/RM 10X65,4924.0,3939.2,1.0,4431.6,26
HCPCS,C1776,KNEE FEM AUG DIST LL/RM 5*NLU*,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM AUG DIST LL/RM 5X65,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM AUG DIST LL/RM10*NLU*,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM AUG DIST LL/RM10X60MM,4924.0,3939.2,1.0,4431.6,26
HCPCS,C1776,KNEE FEM AUG DIST RL/LM 5*NLU*,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM AUG DIST RL/LM10X60MM,4924.0,3939.2,1.0,4431.6,26
HCPCS,C1776,KNEE FEM AUG DIST RT 10MM SZ1,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST RT 10MM SZ2,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST RT 10MM SZ5,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST RT 10MM SZ8,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST RT 10MMSZ3,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST RT 15MM SZ1,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST RT 15MM SZ2,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST RT 15MM SZ7,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST RT 15MM SZ8,4580.0,3664.0,1.0,4122.0,26
HCPCS,C1776,KNEE FEM AUG DIST RT 5MM SZ1,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST RT 5MM SZ3,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST RT 5MM SZ4,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST RT 5MM SZ5,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST RT 5MM SZ6,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST RT 5MM SZ8,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST RT SZ6 10MM,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG DIST RT SZ7 5MM,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM AUG DIST ZIMM 5MM SZC,4558.0,3646.4,1.0,4102.2,26
HCPCS,C1776,KNEE FEM AUG DIST ZIMM 5MM SZD,4558.0,3646.4,1.0,4102.2,26
HCPCS,C1776,KNEE FEM AUG DISTLL/RM5X6*NLU*,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM AUG DISTRL/LM5X6*NLU*,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM AUG PSTR 10MM SZ1,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 10MM SZ2,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 10MM SZ3,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 10MM SZ4,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 10MM SZ5,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 10MM SZ6,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 10MM SZ7,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 10MM SZ8,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 5MM SZ1,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 5MM SZ2,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 5MM SZ3,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 5MM SZ4,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 5MM SZ5,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 5MM SZ6,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 5MM SZ7,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR 5MM SZ8,4367.0,3493.6,1.0,3930.3,26
HCPCS,C1776,KNEE FEM AUG PSTR LL/RM10X65MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM AUG SROM DEPU 5MM,3762.0,3009.6,1.0,3385.8,26
HCPCS,C1776,KNEE FEM AUGDIST RL/LM 5X65,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM AUGDISTSTRY,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEM BEAD PERIAPT LFT SZ5,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM BEAD PERIAPT LFT SZ6,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM BEAD PERIAPT LFT SZ8,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM BEAD PERIAPT RT SZ4,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM BEAD PERIAPT RT SZ5,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM BEAD PERIAPT RT SZ7,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM BUSHING AXLE TRLONSTD,11346.0,9076.8,1.0,10211.4,26
HCPCS,C1776,KNEE FEM BUSHING OSS PE,2312.0,1849.6,1.0,2080.8,26
HCPCS,C1776,KNEE FEM BUSHING STRY,1974.0,1579.2,1.0,1776.6,26
HCPCS,C1776,KNEE FEM CMNT PSN STD LFT SZ4,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CMNT PSN STD LFT SZ9,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CMNT PSN STD RT SZ6,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CMNT PSN STD RT SZ8,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CMNT VEGA PS RT SZF5N,5680.0,4544.0,1.0,5112.0,26
HCPCS,C1776,KNEE FEM CMPNT MHR LFT MD,23747.0,18997.6,1.0,21372.3,26
HCPCS,C1776,KNEE FEM CMPNT MRH RT LG,23747.0,18997.6,1.0,21372.3,26
HCPCS,C1776,KNEE FEM CMPNT MRH RT SM,23747.0,18997.6,1.0,21372.3,26
HCPCS,C1776,KNEE FEM CMPNT PTLARMDLFT69-62,83449.0,66759.2,1.0,75104.1,26
HCPCS,C1776,KNEE FEM COMP DIST LFT SEG SZB,31415.0,25132.0,1.0,28273.5,26
HCPCS,C1776,KNEE FEM COMP DIST SET L*OBS*,41610.0,33288.0,1.0,37449.0,26
HCPCS,C1776,KNEE FEM COMP LM/RL MAKO SZ2,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE FEM COMP MRH LFT SM,23747.0,18997.6,1.0,21372.3,26
HCPCS,C1776,KNEE FEM COMP PSN MEDL LFT SZ2,6672.0,5337.6,1.0,6004.8,26
HCPCS,C1776,KNEE FEM COMP RM/LL MAKO SZ2,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE FEM CONE RT SM 35MM,17561.0,14048.8,1.0,15804.9,26
HCPCS,C1776,KNEE FEM CONE TRIT RT SZ4*NLU*,17569.0,14055.2,1.0,15812.1,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ3,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ4,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ5,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ6,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ7,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ8,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ9,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFTSZ10,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFTSZ4N,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFTSZ5N,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFTSZ6N,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ10,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ3,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ4,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ4N,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ5,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ5N,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ6,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ6N,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ7,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ8,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ9,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ3,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ4,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ5,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ6,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ7,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ8,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ9,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ2,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ3,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ4,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ5,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ6,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ7,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ8,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ9,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE*NLU*,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM CR CMNT NARW LFT SZ3,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT NARW LFT SZ3N,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT NARW LFT SZ5,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT NARW LFT SZ6,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT NARW RT SZ4,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT NARW RT SZ5,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT NARW RT SZ6,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSN STD RTSZ5,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSN STD RTSZ7,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSN STDLFTSZ5,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSN STDLFTSZ7,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSN STDRTSZ10,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSN STDRTSZ12,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSN STDTIVRT4,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSN STDTIVRT6,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSN TIV RTSZ3,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSN TIVLFTSZ3,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDLFTSZ10,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDLFTSZ11,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDLFTSZ12,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDRTSZ111,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDTIVLFT4,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDTIVLFT7,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDTIVRT11,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,KNEE FEM CR CMNT SIGMA LFT 4N,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM CR CMNT SIGMA RT 4N,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM CR NONPOR DEPU LFT 3,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM CR NONPOR DEPU LFT 4,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM CR NONPOR DEPU LFT 5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM CR NONPOR DEPU RT 3,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM CR NONPOR DEPU RT 4,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM CR NONPOR DEPU RT 5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM CR NONPOR DEPU RT2.5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM CR NONPORDEPU *NLU*,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM CR PSN NARW TIV RTSZ7,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,KNEE FEM CR PSN NARW TIV RTSZ8,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,KNEE FEM CR PSN NARW TIVLFTSZ6,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,KNEE FEM CR PSN NARW TIVLFTSZ9,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,KNEE FEM CR-FLEX ZIMM*VAT NLU*,9400.0,7520.0,1.0,8460.0,26
HCPCS,C1776,KNEE FEM CRFLEX LFT S*VAT NLU*,9400.0,7520.0,1.0,8460.0,52
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ4,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ5,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ6,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ7,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ8,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ9,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNELFTSZ4,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNELFTSZ5,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNELFTSZ6,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNELFTSZ7,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNELFTSZ8,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRSCMNT ATTUNELFTSZ10,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRSCMNT ATTUNELFTSZ9,26904.0,21523.2,1.0,24213.6,26
HCPCS,C1776,KNEE FEM CRUC SUB SIGMA *DISC*,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE FEM DIAPHYSEALCONE RTLG30,14448.0,11558.4,1.0,13003.2,26
HCPCS,C1776,KNEE FEM DIAPHYSEALCONE RTMD30,14448.0,11558.4,1.0,13003.2,26
HCPCS,C1776,KNEE FEM DIST AUG LFT 4MM SZ2,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG LFT 4MM SZ3,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG LFT 4MM SZ4,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG LFT 4MM SZ5,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG LFT 4MMSZ2.5,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG LL/RM 5X65MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG LL/RM 5X70MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG LL/RM 5X75MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG LL/RM 5X80MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG LL/RM65X10MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG LL/RM65X15MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG PSN REV 5SZ9,4730.0,3784.0,1.0,4257.0,26
HCPCS,C1776,KNEE FEM DIST AUG RL/LM 5X65MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG RL/LM 5X70MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG RL/LM 5X75MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG RL/LM 5X80MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG RL/LM65X10MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG RL/LM65X15MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUG RT 12MM SZ2,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG RT 4MM SZ2,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG RT 4MM SZ3,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG RT 4MM SZ4,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG RT 4MM SZ5,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG RT 4MMSZ2.5,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG RT 8MM SZ2,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG RT 8MM SZ3,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUG RT SZ4*NLU*,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM DIST AUGLL/RM5X62.5MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUGLL/RM5X67.5MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUGLL/RM5X72.5MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUGRL/LM5X62.5MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUGRL/LM5X67.5MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST AUGRL/LM5X72.5MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DIST BLOCK MRH LG10MM,3868.0,3094.4,1.0,3481.2,26
HCPCS,C1776,KNEE FEM DIST BLOCK MRH SM10MM,3868.0,3094.4,1.0,3481.2,26
HCPCS,C1776,KNEE FEM DIST LPS DEPU LFT 2XS,46500.0,37200.0,1.0,41850.0,26
HCPCS,C1776,KNEE FEM DIST LPS DEPU LFT XS,46500.0,37200.0,1.0,41850.0,26
HCPCS,C1776,KNEE FEM DIST LPS DEPU RT 2XS,46500.0,37200.0,1.0,41850.0,26
HCPCS,C1776,KNEE FEM DIST LPS DEPU RT XS,46500.0,37200.0,1.0,41850.0,26
HCPCS,C1776,KNEE FEM DIST RESURF OSS RT3CM,27166.0,21732.8,1.0,24449.4,26
HCPCS,C1776,KNEE FEM DIST RESURF OSS RT5CM,27749.0,22199.2,1.0,24974.1,26
HCPCS,C1776,KNEE FEM DIST RESURF OSSLFT3CM,27166.0,21732.8,1.0,24449.4,26
HCPCS,C1776,KNEE FEM DIST RESURF OSSLFT5CM,27749.0,22199.2,1.0,24974.1,26
HCPCS,C1776,KNEE FEM DIST SEG OSS LFT8.5CM,29441.0,23552.8,1.0,26496.9,26
HCPCS,C1776,KNEE FEM DIST STRY STD RT65MM,31402.0,25121.6,1.0,28261.8,26
HCPCS,C1776,KNEE FEM DISTAUGLL/RM62.5X10MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DISTAUGLL/RM67.5X10MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DISTAUGLL/RM72.5X10MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DISTAUGLL/RM72.5X15MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DISTAUGRL/LM62.5X10MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DISTAUGRL/LM67.5X10MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM DISTAUGRL/LM72.5X10MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM EMP CS/CR RT SZ7*NLU*,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,KNEE FEM GMRS STRY RT 65MM,27838.0,22270.4,1.0,25054.2,26
HCPCS,C1776,KNEE FEM GMRS STRY SM LFT65MM,31690.0,25352.0,1.0,28521.0,26
HCPCS,C1776,KNEE FEM GMRS STRY STD LFT65MM,31402.0,25121.6,1.0,28261.8,26
HCPCS,C1776,KNEE FEM HNG AXLE LGN SZ4,3010.0,2408.0,1.0,2709.0,26
HCPCS,C1776,KNEE FEM HNG BOLT SLV LGN 15MM,6244.0,4995.2,1.0,5619.6,26
HCPCS,C1776,KNEE FEM HNG BUMPER TRLON +3D,4350.0,3480.0,1.0,3915.0,26
HCPCS,C1776,KNEE FEM HNG BUMPER TRLON NEUT,4350.0,3480.0,1.0,3915.0,26
HCPCS,C1776,KNEE FEM HNG DIST TRLON 5 SZ1,6370.0,5096.0,1.0,5733.0,26
HCPCS,C1776,KNEE FEM HNG DIST TRLON 5 SZ4,7350.0,5880.0,1.0,6615.0,26
HCPCS,C1776,KNEE FEM HNG DIST TRLON 5 SZ6,7350.0,5880.0,1.0,6615.0,26
HCPCS,C1776,KNEE FEM HNG LINK LGN SZ2-5,6699.0,5359.2,1.0,6029.1,26
HCPCS,C1776,KNEE FEM HNG NEX SZB,3525.0,2820.0,1.0,3172.5,26
HCPCS,C1776,KNEE FEM HNG NEXGEN SZD 14MM,4982.0,3985.6,1.0,4483.8,26
HCPCS,C1776,KNEE FEM HNG TRLON LFT SZ3,38145.0,30516.0,1.0,34330.5,26
HCPCS,C1776,KNEE FEM HNG TRLON LFT SZ4,38145.0,30516.0,1.0,34330.5,26
HCPCS,C1776,KNEE FEM HNG TRLON RT SZ1,33059.0,26447.2,1.0,29753.1,26
HCPCS,C1776,KNEE FEM HNG TRLON RT SZ2,30516.0,24412.8,1.0,27464.4,26
HCPCS,C1776,KNEE FEM HNG TRLON RT SZ6,38145.0,30516.0,1.0,34330.5,26
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 60.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 62.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 65.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 67.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 70.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 72.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 75.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 80.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 57.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 60.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 62.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 65.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 67.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 70.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 72.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 75.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 80.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM INTLK ZIMM LFT 65MM,22532.0,18025.6,1.0,20278.8,26
HCPCS,C1776,KNEE FEM INTLK ZIMM RT 60MM,22532.0,18025.6,1.0,20278.8,26
HCPCS,C1776,KNEE FEM INTLK ZIMM RT 65MM,22532.0,18025.6,1.0,20278.8,26
HCPCS,C1776,KNEE FEM INTLK ZIMM RT 70MM,22532.0,18025.6,1.0,20278.8,26
HCPCS,C1776,KNEE FEM LATCMNTLESSMDLFT19X25,12623.0,10098.4,1.0,11360.7,26
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM LFT SZC,23340.0,18672.0,1.0,21006.0,26
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM LFT SZD,23340.0,18672.0,1.0,21006.0,26
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM LFT SZE,23340.0,18672.0,1.0,21006.0,26
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM LFT SZF,23340.0,18672.0,1.0,21006.0,26
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM LFT SZG,23340.0,18672.0,1.0,21006.0,26
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM RT SZC,23340.0,18672.0,1.0,21006.0,26
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM RT SZD,23340.0,18672.0,1.0,21006.0,26
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM RT SZE,23340.0,18672.0,1.0,21006.0,26
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM RT SZF,23340.0,18672.0,1.0,21006.0,26
HCPCS,C1776,KNEE FEM LCS COMPL VVC LFT LG,22402.0,17921.6,1.0,20161.8,26
HCPCS,C1776,KNEE FEM LCS COMPL VVC RT LG+,22402.0,17921.6,1.0,20161.8,26
HCPCS,C1776,KNEE FEM LCS COMPL VVC RT STD+,22402.0,17921.6,1.0,20161.8,26
HCPCS,C1776,KNEE FEM LGN CNSTND RT SZ4,48671.0,38936.8,1.0,43803.9,26
HCPCS,C1776,KNEE FEM LGN CNSTND RT SZ6,27670.0,22136.0,1.0,24903.0,26
HCPCS,C1776,KNEE FEM LGN CR OXIN NARWLFT6N,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN LFT SZ4,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN LFT SZ6,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN NARW RT3N,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN NARW RT4N,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN NARW RT5N,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN NARW RT6N,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN NARWLFT3N,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN NARWLFT5N,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN NARWLFT6N,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN RT SZ4,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN RT SZ5,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN RT SZ6,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LGN PS OXIN RT SZ7,6716.0,5372.8,1.0,6044.4,26
HCPCS,C1776,KNEE FEM LPS FLEX OPT RT SZD,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM LPS OPT ZIMM LFT SZD,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM LPS OPT ZIMM LFT SZE,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM LPS OPT ZIMM LFT SZF,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM LPS OPT ZIMM LFT SZG,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM LPS OPT ZIMM LFT SZH,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM LPS OPT ZIMM RT SZE,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM LPS OPT ZIMM RT SZF,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM LPS OPT ZIMM RT SZG,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM LPS OPT ZIMM RT SZH,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM LPS POR ZIMM*VAT NLU*,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,KNEE FEM LPS-FLEX OPT LFT SZD,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM LPS-FLEX OPT LFT SZE,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM LPS-FLEX OPT LFT SZF,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM LPS-FLEX OPT LFT SZG,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM LPS-FLEX OPT RT SZE,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM LPS-FLEX OPT RT SZF,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM LPS-FLEX OPT RT SZG,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM MAX PS LFT 80*DISC*,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,KNEE FEM MKGNLPSFLEXLFT F*NLU*,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM MODLR DIST PEG,300.0,240.0,1.0,270.0,26
HCPCS,C1776,KNEE FEM NEX CR PRECOAT LFTSZH,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM NEX CR PRECOAT RT SZH,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1776,KNEE FEM NEX PRECOAT RT SZE-,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM NEX PRECOATLFT E*NLU*,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM NEXPRECOAT RT SZE,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM NEXPRECOAT RT SZF,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1776,KNEE FEM NKII NONPOR *VAT NLU*,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM NXGN LP*DISC NO REPL*,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM OXFORD LG,6800.0,5440.0,1.0,6120.0,26
HCPCS,C1776,KNEE FEM OXFORD MD,6800.0,5440.0,1.0,6120.0,26
HCPCS,C1776,KNEE FEM OXFORD SM,6800.0,5440.0,1.0,6120.0,26
HCPCS,C1776,KNEE FEM OXFORD XL,7800.0,6240.0,1.0,7020.0,26
HCPCS,C1776,KNEE FEM PART OXFORD TWINPEGLG,7800.0,6240.0,1.0,7020.0,26
HCPCS,C1776,KNEE FEM PART OXFORD TWINPEGMD,7800.0,6240.0,1.0,7020.0,26
HCPCS,C1776,KNEE FEM PART OXFORD TWINPEGSM,7800.0,6240.0,1.0,7020.0,26
HCPCS,C1776,KNEE FEM PEG DIST ZIMM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1776,KNEE FEM PFC RPF DEPU LFT*NLU*,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMA LFT 2,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMA LFT 3,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 1.5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 2,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 2.5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 3,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 4,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 6,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 1.5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 2.5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 4,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 4.5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 6,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ3,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ4,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ5,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ6,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ7,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ8,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ9,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ2,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ3,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ4,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ6,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ7,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ8,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ9,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNERTSZ10,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL ATTUNERTTSZ2,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL NARW LFTSZ4N,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL NARW LFTSZ5N,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL NARW LFTSZ6N,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL NARW RT SZ3N,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM POS STBL NARW RT SZ4N,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL NARW RT SZ5N,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBL NARW RT SZ6N,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM POS STBLATTUNELFTSZ10,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM PS CMNT ATTUNE LFTSZ5,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1776,KNEE FEM PS CMNT DEPU RT 4N,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM PS CMNT LUG LFT*NLU*,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT55.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT57.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT60.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT62.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT65.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT67.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT70.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT72.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT75.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT80.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT57.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT60.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT62.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT65.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT67.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT70.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT72.5MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT75.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT80.0MM,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CCR STD LFT SZ10,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ4,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ5,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ6,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ7,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ8,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ9,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ5,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ6,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ7,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ8,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ9,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT RTSTDSZ10,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT RTSTDSZ11,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNT RTSTDSZ4,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNTLFTSTDSZ10,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNTLFTSTDSZ11,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNTLFTSTDSZ12,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR CMNTRT STDSZ12,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CR LFT STD SZ36,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE FEM PSN CR LFT STD SZ8,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE FEM PSN CR LFT STD SZ9,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ5,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ6,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ7,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ8,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ9,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFTNARWSZ5,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFTNARWSZ6,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFTNARWSZ7,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFTNARWSZ8,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFTNARWSZ9,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFTSTDSZ10,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFTSTDSZ11,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS LFTSTDSZ12,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RT NARWSZ5,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RT NARWSZ7,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RT NARWSZ8,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RT NARWSZ9,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ4,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ5,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ6,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ7,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ8,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RT STDSZ12,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RTNARWSZ10,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPS RTNARWSZ11,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR PPSLFTNARWSZ10,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ10,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ11,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ12,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ5,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ9,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ4,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ5,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ6,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ7,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ8,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ9,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ5,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ6,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ7,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ8,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ9,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNT RTNARWSZ10,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN CRCMNTLFTNARWSZ10,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE FEM PSN PPS LFT STD SZ6,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN PPS RT STD SZ6,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1776,KNEE FEM PSN REV CR RT PLUSSZ9,26230.0,20984.0,1.0,23607.0,26
HCPCS,C1776,KNEE FEM PSTR AUG 4MM SZ2,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM PSTR AUG 4MM SZ2.5,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM PSTR AUG 4MM SZ3,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM PSTR AUG 4MM SZ4,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM PSTR AUG 4MM SZ5,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM PSTR AUG 8MM SZ2,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM PSTR AUG 8MM SZ4,4727.0,3781.6,1.0,4254.3,26
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV 5SZ9,4730.0,3784.0,1.0,4257.0,26
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV10SZ9,4730.0,3784.0,1.0,4257.0,26
HCPCS,C1776,KNEE FEM PSTR AUG UNIV 5X65MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM PSTR AUG UNIV 5X70MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM PSTR AUG UNIV 5X80MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM PSTR AUG UNIV5X67.5MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM PSTR AUG UNIV5X72.5MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM PSTR CMNTLSS LFT SZ10,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM PSTR CMNTLSS LFT SZ9,7928.0,6342.4,1.0,7135.2,26
HCPCS,C1776,KNEE FEM PSTR UNIV AUG 10X65MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM PSTR UNIV AUG 10X70MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM PSTR UNIV AUG 10X80MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM PSTR UNIVAUG10X62.5MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM PSTR UNIVAUG10X72.5MM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1776,KNEE FEM RESURF OSS LFT 7CM,28313.0,22650.4,1.0,25481.7,26
HCPCS,C1776,KNEE FEM RESURF OSS RT 3*DISC*,26132.0,20905.6,1.0,23518.8,26
HCPCS,C1776,KNEE FEM RESURF OSS RT 7CM,28313.0,22650.4,1.0,25481.7,26
HCPCS,C1776,KNEE FEM ROTATING HNG NEX SZC,4982.0,3985.6,1.0,4483.8,26
HCPCS,C1776,KNEE FEM ROTATING HNG NEX SZF,4982.0,3985.6,1.0,4483.8,26
HCPCS,C1776,KNEE FEM SEG ELLP OSS LFT 7CM,30005.0,24004.0,1.0,27004.5,26
HCPCS,C1776,KNEE FEM SEG ELLP OSS RT 7CM,30005.0,24004.0,1.0,27004.5,26
HCPCS,C1776,KNEE FEM SEG HNG SVC KT SZB,8347.0,6677.6,1.0,7512.3,26
HCPCS,C1776,KNEE FEM SLV CTD ATTUNE 30MM,13710.0,10968.0,1.0,12339.0,26
HCPCS,C1776,KNEE FEM SLV CTD ATTUNE 35MM,13710.0,10968.0,1.0,12339.0,26
HCPCS,C1776,KNEE FEM SLV CTD ATTUNE 40MM,13710.0,10968.0,1.0,12339.0,26
HCPCS,C1776,KNEE FEM SLV CTD ATTUNE 45MM,13710.0,10968.0,1.0,12339.0,26
HCPCS,C1776,KNEE FEM SLV CTD ATTUNE 50MM,13710.0,10968.0,1.0,12339.0,26
HCPCS,C1776,KNEE FEM SLV CTD ATTUNE 55MM,13710.0,10968.0,1.0,12339.0,26
HCPCS,C1776,KNEE FEM SLV LPS ATTUNE +0MM,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1776,KNEE FEM SLV UNIV CMNT 20MM,11605.0,9284.0,1.0,10444.5,26
HCPCS,C1776,KNEE FEM SLV UNIV FULLPOR 31MM,13678.0,10942.4,1.0,12310.2,26
HCPCS,C1776,KNEE FEM SLV UNIV FULLPOR 34MM,13678.0,10942.4,1.0,12310.2,26
HCPCS,C1776,KNEE FEM SLV UNIV FULLPOR 46MM,13678.0,10942.4,1.0,12310.2,26
HCPCS,C1776,KNEE FEM SROM MD LFT 71X66MM,24499.0,19599.2,1.0,22049.1,26
HCPCS,C1776,KNEE FEM SROM SM LFT 66X62MM,24499.0,19599.2,1.0,22049.1,26
HCPCS,C1776,KNEE FEM SROM SM RT 66X62MM,24499.0,19599.2,1.0,22049.1,26
HCPCS,C1776,KNEE FEM SROM XS LFT 66X58MM,26691.0,21352.8,1.0,24021.9,26
HCPCS,C1776,KNEE FEM SROM XS RT 66X58MM,24499.0,19599.2,1.0,22049.1,26
HCPCS,C1776,KNEE FEM STEM EXTNDR STRY 80MM,3996.0,3196.8,1.0,3596.4,26
HCPCS,C1776,KNEE FEM TC3 DEPU LFT 2.5*NLU*,22271.0,17816.8,1.0,20043.9,26
HCPCS,C1776,KNEE FEM TC3 DEPU LFT 3,22271.0,17816.8,1.0,20043.9,26
HCPCS,C1776,KNEE FEM TC3 DEPU RT 2,22271.0,17816.8,1.0,20043.9,26
HCPCS,C1776,KNEE FEM TC3 DEPU RT 3,22271.0,17816.8,1.0,20043.9,26
HCPCS,C1776,KNEE FEM TC3 DEPU RT 5,22271.0,17816.8,1.0,20043.9,26
HCPCS,C1776,KNEE FEM TI VNGD RT 65MM,25680.0,20544.0,1.0,23112.0,26
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ3 10,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ5 10,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ5 15,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ5 5,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ7 10,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ7 15,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ7 5,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ9 15,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM DISTAUG PSNSZ11 10,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM DISTAUG PSNSZ11 15,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM PSTRAUG PSN SZ11 5,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TM PSTRAUG PSNSZ11 15,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE FEM TRLON CR LFT SZ2,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR LFT SZ3,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR LFT SZ4,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR LFT SZ5,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR LFT SZ6,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR LFT SZ7,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR RT SZ2,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR RT SZ3,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR RT SZ4,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR RT SZ5,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR RT SZ6,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR RT SZ7,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR RT SZ8,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY LFT SZ2,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY LFT SZ3,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY LFT SZ6,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY LFTSZ4,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY LFTSZ5,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY LFTSZ7,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ2,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ3,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ4,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ5,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ6,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ7,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ8,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PKR LM/RL SZ2,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PKR RM/LL SZ3,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS RT SZ8,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY LFT SZ1,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY LFT SZ2,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY LFT SZ3,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY LFT SZ6,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY LFTSZ4,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY LFTSZ5,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY LFTSZ7,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY LFTSZ8,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ2,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ3,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ4,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ5,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ6,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ7,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1776,KNEE FEM TRLON TS STRY LFT SZ1,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY LFT SZ3,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY LFT SZ4,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY LFT SZ5,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY LFT SZ6,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY LFT SZ7,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY LFT SZ8,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY RT #7,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY RT SZ1,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY RT SZ2,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY RT SZ3,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY RT SZ5,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY RT SZ6,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY RT SZ8,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM TRLON TS STRY RTSZ4,24174.0,19339.2,1.0,21756.6,26
HCPCS,C1776,KNEE FEM UNI CMNT LM/RL SZ5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM UNI CMNT RM/LL SZ5,4296.0,3436.8,1.0,3866.4,26
HCPCS,C1776,KNEE FEM UNI HIGH FLEX LFT SZD,7084.0,5667.2,1.0,6375.6,26
HCPCS,C1776,KNEE FEM VNGD ZIMM LF*VAT NLU*,12400.0,9920.0,1.0,11160.0,26
HCPCS,C1776,KNEE FEM VNGD ZIMM LFT 62.5MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM LFT 67.5MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM LFT 75MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM LFT 80MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM LFT65MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM LFT70MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM RT 60MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM RT 65MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM RT 67.5MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM RT 70MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM RT 72.5MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM RT 75MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM VNGD ZIMM RT 80MM,22962.0,18369.6,1.0,20665.8,26
HCPCS,C1776,KNEE FEM WEDGE LGN 3-4 5MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE FEM YOKE REINF OSS,4841.0,3872.8,1.0,4356.9,26
HCPCS,C1776,KNEE FEMAUGDISTLFTSTRY SZ8,4156.0,3324.8,1.0,3740.4,26
HCPCS,C1776,KNEE FEMMEDLCMNTLESSMDLFT19X25,12623.0,10098.4,1.0,11360.7,26
HCPCS,C1776,KNEE HNG BUMPER DEPU *NLU*,822.0,657.6,1.0,739.8,26
HCPCS,C1776,KNEE HNG STOP HYPREXT LGN,5110.0,4088.0,1.0,4599.0,26
HCPCS,C1776,KNEE INSRT AOX ATTUNE LPS 12XS,18026.0,14420.8,1.0,16223.4,26
HCPCS,C1776,KNEE INSRT AOX ATTUNE LPS 14XS,18026.0,14420.8,1.0,16223.4,26
HCPCS,C1776,KNEE INSRT AOX ATTUNE LPS 22XS,18026.0,14420.8,1.0,16223.4,26
HCPCS,C1776,KNEE INSRT AOX ATTUNELPS12 2XS,18026.0,14420.8,1.0,16223.4,26
HCPCS,C1776,KNEE INSRT AOX ATTUNELPS16 2XS,18026.0,14420.8,1.0,16223.4,26
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 14 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 10SZ3,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 10SZ5,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 10SZ7,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 10SZ8,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 12SZ3,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 12SZ6,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 12SZ7,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 12SZ8,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 14SZ4,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 14SZ5,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 14SZ6,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 14SZ7,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 14SZ8,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ3,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ4,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ5,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ6,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ7,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ8,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ3,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ4,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ6,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ7,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ8,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ3,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ4,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ5,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ6,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ7,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ8,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 22SZ4,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 22SZ5,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 22SZ6,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 22SZ7,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 22SZ8,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 23SZ3,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ3,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ4,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ5,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ6,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ7,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ8,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ3,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ4,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ5,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ6,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ7,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ8,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 6 SZ3,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 6 SZ5,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 6 SZ8,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 8 SZ3,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 8 SZ6,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 8 SZ7,9931.0,7944.8,1.0,8937.9,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 10SZ3,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 10SZ4,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 10SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 10SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 10SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 10SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 12SZ3,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 12SZ4,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 12SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 12SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 12SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 12SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 14SZ3,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 14SZ4,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 14SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 14SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 14SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 14SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 14SZ9,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 16SZ3,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 16SZ4,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 16SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 16SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 16SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 16SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ3,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ4,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 20SZ4,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 20SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 20SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 20SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 20SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 20SZ9,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 22SZ3,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 22SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 22SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 22SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 22SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ3,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ4,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ3,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ4,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 5 SZ4,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 6 SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 6 SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 6 SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 6 SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 6 SZ9,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 8 SZ3,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 8 SZ5,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 8 SZ6,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 8 SZ7,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 8 SZ8,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 8 SZ9,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE16SZ10,11656.0,9324.8,1.0,10490.4,26
HCPCS,C1776,KNEE INSRT EMP CS RT SZ6 10MM,14540.0,11632.0,1.0,13086.0,26
HCPCS,C1776,KNEE INSRT LCS DEPU STD *NLU*,9297.0,7437.6,1.0,8367.3,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 14 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 14 SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 14SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16 SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 18 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 18 SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 18 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 18SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 20 SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 20 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 20SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS FB ATTUNE*NLU*,4375.0,3500.0,1.0,3937.5,52
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 10 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 12 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 5 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 5 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 6 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 8 SZ9,2850.0,2280.0,1.0,2565.0,26
HCPCS,C1776,KNEE INSRT TIB ONLAY LM/RL 8MM,2530.0,2024.0,1.0,2277.0,26
HCPCS,C1776,KNEE INSRT XLPE PSHF SZ3-4 9MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT XLPE PSHFSZ1-2 13MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT XLPE PSHFSZ3-4 11MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT XLPE PSHFSZ5-6 13MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT XPLE CRHF 13MMSZ1-2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT XPLE CRHF 15MMSZ1-2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT XPLE CRHF 15MMSZ7-8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT XPLE CRHF 18MMSZ1-2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT XPLE CRHF 18MMSZ3-4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT XPLE CRHF 18MMSZ5-6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INSRT XPLE CRHF 18MMSZ7-8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE INTERSPACE HIGH RELEASELG,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,KNEE INTERSPACE HIGH RELEASEMD,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,KNEE LPS-FLEX FIX3-4EF 23*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE LPS-FLEX FIXED 7-10EF10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED 7-10EF12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 14MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 17MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 20MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 23MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4EF 10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4EF 12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4EF 14MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4EF 17MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4EF 20MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6 EF 10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6 EF 12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6EF 14MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6EF 17MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6EF 20MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6GH 10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6GH 12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6GH 14MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6GH 17MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6GH 20MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED7-10GH 10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED7-10GH 12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED7-10GH 14MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LPS-FLEX FIXED7-10GH 17MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1776,KNEE LWDG DIST PSTR 10X10MMSZ3,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 10X10MMSZ4,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 10X10MMSZ5,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 10X10MMSZ7,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 10X10MMSZ8,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 10X5MM SZ3,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 10X5MM SZ6,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 10X5MM SZ7,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X10MMSZ3,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X10MMSZ4,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X10MMSZ6,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X10MMSZ7,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X10MMSZ8,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ3,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ4,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ5,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ6,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ7,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ8,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 5X10MM SZ3,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 5X10MM SZ4,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 5X10MM SZ5,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 5X10MM SZ8,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 5X5MM SZ3,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 5X5MM SZ4,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE LWDG DIST PSTR 5X5MM SZ8,13489.0,10791.2,1.0,12140.1,26
HCPCS,C1776,KNEE NEX LPSFLEXFIX EF5-6 10MM,3625.0,2900.0,1.0,3262.5,26
HCPCS,C1776,KNEE OFFSET CPLE 6MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM LFT SZ1,12400.0,9920.0,1.0,11160.0,26
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM LFT SZ4,12400.0,9920.0,1.0,11160.0,26
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM RT SZ3,12400.0,9920.0,1.0,11160.0,26
HCPCS,C1776,KNEE PIN HNG DEPU MD,2554.0,2043.2,1.0,2298.6,26
HCPCS,C1776,KNEE PIN HNG DEPU XSM/SM,2554.0,2043.2,1.0,2298.6,26
HCPCS,C1776,KNEE PIN LK OSS PE ZIMM,1241.0,992.8,1.0,1116.9,26
HCPCS,C1776,KNEE PLUG TPR ZIMM,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,KNEE POST AUG LCS DEPU LG 5MM,4819.0,3855.2,1.0,4337.1,26
HCPCS,C1776,KNEE POST AUG LCS DEPU LG+10MM,4819.0,3855.2,1.0,4337.1,26
HCPCS,C1776,KNEE POST AUG LCS DEPU STD+5MM,4819.0,3855.2,1.0,4337.1,26
HCPCS,C1776,KNEE POST AUGLCS DEPU STD+10MM,4819.0,3855.2,1.0,4337.1,26
HCPCS,C1776,KNEE PSN ASF CPS VE RT14 3-5EF,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE PSN ASF CPS VE RT14 6-9GH,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE PSN ASF CRPLYLFT10MM3-9CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF CRVERT10 9CD*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE PSN ASF LFT 13MM 3-5CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF MC VE RT10MM12 GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VE RT10MM12 J,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VE RT11MM12J/C,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VE RT13MM12 GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VE RT13MM12J/C,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VE RT16MM12J/C,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VE RT18MM12J/C,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM12 CR,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM12 GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM4-5EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM6-7CN,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM6-7EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM8-9CN,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT11MM4-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT11MM6-7CN,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT11MM6-7EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM12 GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM4-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM4-5EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM6-7CN,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM6-7EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT13MM 12GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT13MM4-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT14MM4-5EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT16MM6-7CN,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT18MM6-7CN,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VELFT20MM8-9CN,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT10MM4-5 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT10MM4-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT10MM6-7 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT10MM6-7 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT10MM8-11 E,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT10MM8-11 G,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT11MM4-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT11MM6-7 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT11MM6-7 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT11MM8-11 E,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT11MM8-11 G,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT11MM8/9 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT12MM4-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT12MM6-7 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT12MM6-7 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT12MM8-11 E,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT12MM8-11 G,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT13MM4-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT13MM6-7 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT13MM8-11 E,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT14MM6-7 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT14MM8-11 E,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT14MM8-11 G,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT16MM6-7 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT16MM8-11 E,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT16MM8-11 G,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT18MM6-7 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MC VERT20MM6-7 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT10MM8-11GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT11MM14J/CR,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT11MM16J/CR,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT11MM8-11EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT11MM8-11GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT12MM8-11EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT12MM8-11GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT13MM12J/CR,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT13MM8-11EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT13MM8-11GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT14MM8-11EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT14MM8-11GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF MCVELFT20MM12J/CR,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS LFT 10MM 3-5CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 10MM 6-9CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 10MM 6-9EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 10MM 6-9GH,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 11MM 3-5CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 11MM 6-9EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 12MM 10-11,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 12MM 3-5CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 12MM 3-5EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 12MM 6-9CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 12MM 6-9EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 12MM 6-9GH,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT 14MM 3-5EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT10MM10-11EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT10MM10-12GH,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT11MM10-11EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT11MM10-12GH,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS LFT12MM10-12GH,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PS VE RT10MM-12GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT10MM-5 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT10MM-9 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT10MM-9 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT10MM-9 GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT11MM-12GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT11MM-5 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT11MM-9 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT11MM-9 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT12MM-12GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT12MM-9 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT12MM-9 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT12MM-9 GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT12MM3-5EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PS VE RT14MM-9 EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSPLY RT10MM3-5CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSPLY RT10MM6-9CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSPLY RT10MM6-9EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSPLY RT11MM3-5CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSPLY RT11MM6-9EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSPLY RT12MM6-9CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSPLY RT12MM6-9EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSPLY RT13MM6-9EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSPLY RT14MM10-11,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSPLY RT14MM6-9EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSRT10 3-5EF*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT10MM3-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT10MM6-9CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT10MM6-9EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT11MM3-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT11MM6-9CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT11MM6-9EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT12MM3-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT12MM6-9CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT12MM6-9EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT13MM6-9EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT14MM3-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE LFT14MM6-9CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVE RT 10MM-11EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVELFT10MM6-9 GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF PSVELFT11MM6-9 GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF UC VE RT10MM-7 CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF UC VE RT14MM-12GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASF UC VELFT12MM3-7CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASFMCVELFT10MM 4-5CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASFMCVELFT10MM 8-11EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASFPSPLYRT10MM10-12GH,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFPSPLYRT11MM10-11EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFPSPLYRT11MM10-12GH,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFPSVELFT10MM10-11EF,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASFPSVELFT10MM10-12GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASFPSVELFT11MM10-12GH,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PSN ASFUCPLY RT10MM4-11EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCPLY RT11MM 3-7CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCPLY RT11MM4-11EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCPLY RT13MM4-11EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCPLYLFT10MM 3-7CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCPLYLFT10MM4-11EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCPLYLFT10MM7-12GH,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCPLYLFT11MM 3-7CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCPLYLFT11MM4-11EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCPLYLFT12MM 3-7CD,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCPLYLFT12MM4-11EF,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE PSN ASFUCVERT10 11EF*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE PSN FEM CR NARW LFT SZ10,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR NARW LFT SZ3,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR NARW LFT SZ8,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR NARW LFT SZ9,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ10,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ11,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ3,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ5,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ6,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ8,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR STD LFT SZ3,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM CR STD LFT SZ4,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NARW RTSZ6,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ1,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ5,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ7,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ8,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ9,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFT SZ5,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFT SZ6,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFT SZ7,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFT SZ8,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFT SZ9,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFTSZ10,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFTSZ11,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ4,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ5,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ6,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ7,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ8,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ9,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ4,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ5,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ6,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ7,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ8,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ9,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RTSZ10,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RTSZ11,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RTSZ12,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STDLFTSZ10,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STDLFTSZ11,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN FEM PSCMNT STDLFTSZ12,5716.0,4572.8,1.0,5144.4,26
HCPCS,C1776,KNEE PSN STR HYB ST 14MM +30D,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PSNASFMCVERT10 8/9CD,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE PTLA 3PEG STD 28X8MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA 3PEG STD 31X8MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA 3PEG STD 34X8.5MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA 3PEG STD 37X10MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA 3PEG STD 40X10MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA 3PEG THIN 25X*NLU*,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA 3PEG THIN 28X6.2MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA 3PEG THIN 31X6.2MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA 3PEG THIN 34X7.8MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA 3PEG THIN 37X8.6MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA 3PEG VEGA AS P*NLU*,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA ANATOM CMNT ATTUNE29,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA ANATOM CMNT ATTUNE32,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA ANATOM CMNT ATTUNE35,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA ANATOM CMNT ATTUNE38,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA ANATOM CMNT ATTUNE41,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA ARCOM ZIMM *VAT NLU*,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA ASYM *DISC 6310958*,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA ASYM *DISC 6310959*,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA ASYM *DISC 6310960*,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA ASYM *DISC 6310961*,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA ASYM BEADED 32X10MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,KNEE PTLA ASYM BEADED 35X10MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,KNEE PTLA ASYM BEADED 38X10MM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,KNEE PTLA ASYM PE 29X9MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA ASYM PE 32X10MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA ASYM PE 35X10MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA ASYM PE 38X11MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA ASYM PE 40X11MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA ASYM X3 29X9MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA ASYM X3 32X10MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA ASYM X3 35X10MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA ASYM X3 40X10MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA CMNT ITOTAL 10X41MM,1500.0,1200.0,1.0,1350.0,26
HCPCS,C1776,KNEE PTLA CMNT ITOTAL 11X44MM,1500.0,1200.0,1.0,1350.0,26
HCPCS,C1776,KNEE PTLA CMNT ITOTAL 9X35MM,1500.0,1200.0,1.0,1350.0,26
HCPCS,C1776,KNEE PTLA COMP SN 38MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA COMP SN 7.5X*NLU*,1680.0,1344.0,1.0,1512.0,26
HCPCS,C1776,KNEE PTLA COMP THCK 7.5*NLU*,1680.0,1344.0,1.0,1512.0,26
HCPCS,C1776,KNEE PTLA DOME 3PEG DEPU 32MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA DOME 3PEG DEPU 35MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA DOME 3PEG DEPU 38MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA DOME 3PEG DEPU 41MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA DOME CMNT ATTUNE 29,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA DOME CMNT ATTUNE 32,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA DOME CMNT ATTUNE 35,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA DOME CMNT ATTUNE 38,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA DOME CMNT ATTUNE 41,2340.0,1872.0,1.0,2106.0,26
HCPCS,C1776,KNEE PTLA DOME I/B II*DISC*,6364.0,5091.2,1.0,5727.6,26
HCPCS,C1776,KNEE PTLA DOME MEDL ATTUNE 32,2850.0,2280.0,1.0,2565.0,26
HCPCS,C1776,KNEE PTLA DOME MEDL ATTUNE 35,2850.0,2280.0,1.0,2565.0,26
HCPCS,C1776,KNEE PTLA DOME MEDL ATTUNE 38,2850.0,2280.0,1.0,2565.0,26
HCPCS,C1776,KNEE PTLA DOME MEDL ATTUNE 41,2850.0,2280.0,1.0,2565.0,26
HCPCS,C1776,KNEE PTLA DUR STRY 29X8MM,3058.0,2446.4,1.0,2752.2,26
HCPCS,C1776,KNEE PTLA DUR STRY LG,3058.0,2446.4,1.0,2752.2,26
HCPCS,C1776,KNEE PTLA DUR STRY MD,3058.0,2446.4,1.0,2752.2,26
HCPCS,C1776,KNEE PTLA DUR STRY SM,3058.0,2446.4,1.0,2752.2,26
HCPCS,C1776,KNEE PTLA DUR STRY XL,3058.0,2446.4,1.0,2752.2,26
HCPCS,C1776,KNEE PTLA DUR STRY XS,3058.0,2446.4,1.0,2752.2,26
HCPCS,C1776,KNEE PTLA FEM LM/RL MAKO SZ3,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE PTLA FEM LM/RL MAKO SZ4,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE PTLA FEM LM/RL MAKO SZ5,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE PTLA FEM LM/RL MAKO SZ6,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE PTLA FEM LM/RL MAKO SZ7,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE PTLA FEM MAKO LFT SZ2,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,KNEE PTLA FEM MAKO LFT SZ3,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,KNEE PTLA FEM MAKO RT SZ3,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,KNEE PTLA FEM MAKO RT SZ5,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,KNEE PTLA FEM MAKO RT SZ6,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,KNEE PTLA FEM RM/LL MAKO SZ3,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE PTLA FEM RM/LL MAKO SZ4,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE PTLA FEM RM/LL MAKO SZ5,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE PTLA FEM RM/LL MAKO SZ6,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE PTLA FEM RM/LL MAKO SZ7,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,KNEE PTLA GSII W PEG 29MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA GSII W PEG 32MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA GSII W PEG 35MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA IPOLY XE ITOTAL10X41,1500.0,1200.0,1.0,1350.0,26
HCPCS,C1776,KNEE PTLA IPOLY XE ITOTAL11X44,1500.0,1200.0,1.0,1350.0,26
HCPCS,C1776,KNEE PTLA JII RESURF 32MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA LCS 3PEG LG*NLU*,3806.0,3044.8,1.0,3425.4,26
HCPCS,C1776,KNEE PTLA NEX POLY STD 35X9MM,231.0,184.8,1.0,207.9,26
HCPCS,C1776,KNEE PTLA NEX ZIMM 29MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA NEX ZIMM 32MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA NEX ZIMM 35MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA NEX ZIMM 38MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA NEX ZIMM 41MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA OVAL GII SN 35MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA PE SY*DISC 6315471*,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA PSN ALL PE 29MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA PSN ALL PE 32MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA PSN ALL PE 35MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA PSN ALL PE 38MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA PSN ALL PE 41MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 29MM,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 32MM,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 35MM,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 38MM,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 41MM,2700.0,2160.0,1.0,2430.0,26
HCPCS,C1776,KNEE PTLA PSN OSSEOTI 3PEG29MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,KNEE PTLA PSN OSSEOTI 3PEG32MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,KNEE PTLA PSN OSSEOTI 3PEG35MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,KNEE PTLA PSN OSSEOTI 3PEG38MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,KNEE PTLA PSN OSSEOTI 3PEG41MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,KNEE PTLA STD ZIMM 35X10MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,KNEE PTLA STD ZIMM 38X10MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,KNEE PTLA SYM PE 27X8MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA SYM PE 29X8MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA SYM PE 31X9MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA SYM PE 33X9MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA SYM PE 36X10MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA SYM PE 39X11MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,KNEE PTLA SYM TRIT 31X9MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM TRIT 33X9MM,3862.0,3089.6,1.0,3475.8,26
HCPCS,C1776,KNEE PTLA SYM TRIT 36X10MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM TRIT 39X11MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM X3 27X8MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM X3 29X8MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM X3 31X9MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM X3 33X9MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM X3 36X10MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM X3 39X11MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM X3*DISC 6310966*,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM X3*DISC 6310967*,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM X3*DISC 6310968*,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA SYM X3*DISC 6310969*,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE PTLA W SUT HL ZI*VAT NLU*,4107.0,3285.6,1.0,3696.3,52
HCPCS,C1776,KNEE PTLA W WIRE ZIMM 28MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA W WIRE ZIMM 31MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA W WIRE ZIMM 34MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE PTLA W WIRE ZIMM 37MM,1890.0,1512.0,1.0,1701.0,26
HCPCS,C1776,KNEE REV CNCT CONE ATTUNE MD,20198.0,16158.4,1.0,18178.2,26
HCPCS,C1776,KNEE REV CNCT CONE ATTUNE SM,20196.0,16156.8,1.0,18176.4,26
HCPCS,C1776,KNEE REV CNCT CONE ATTUNE XL,20198.0,16158.4,1.0,18178.2,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ10 4MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ3 12MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ3 8MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ4 12MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ4 4MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ5 12MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ5 4MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ5 8MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ6 12MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ6 16MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ6 4MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ6 8MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ7 12MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ7 16MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ7 4MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ7 8MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ8 12MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ8 16MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ8 4MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ8 8MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ9 4MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV DIST FEM AUG SZ9 8MM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1776,KNEE REV OFFSET STEM ADP 4MM,4772.0,3817.6,1.0,4294.8,26
HCPCS,C1776,KNEE REV OFFSET STEM ADP 6MM,4772.0,3817.6,1.0,4294.8,26
HCPCS,C1776,KNEE REV PRESSFIT STEM 10X60MM,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1776,KNEE REV PRESSFIT STEM 12X60MM,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1776,KNEE REV PRESSFIT STEM 16X60MM,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1776,KNEE REV PRESSFIT STEM 18X60MM,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1776,KNEE REV PRESSFIT STEM 20X60MM,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1776,KNEE REV PRESSFIT STEM 22X60MM,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1776,KNEE REV PRESSFIT STEM14X60MM,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1776,KNEE REV PRESSFIT STEM18X110MM,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1776,KNEE REV PRESSFIT STEM20X110MM,6576.0,5260.8,1.0,5918.4,26
HCPCS,C1776,KNEE REV TIB BILOBE CONE SM,18211.0,14568.8,1.0,16389.9,26
HCPCS,C1776,KNEE SEG LPS DEPU 25MM,8482.0,6785.6,1.0,7633.8,26
HCPCS,C1776,KNEE SEG M/F TPR 220MM,13611.0,10888.8,1.0,12249.9,26
HCPCS,C1776,KNEE SEG M/F TPR 30MM,13611.0,10888.8,1.0,12249.9,26
HCPCS,C1776,KNEE SEG M/M TPR 90MM,13141.0,10512.8,1.0,11826.9,26
HCPCS,C1776,KNEE SPACER TIB INSRT 80MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE STEM BOW CMNT OSS 17X90MM,6072.0,4857.6,1.0,5464.8,26
HCPCS,C1776,KNEE STEM BOW CMNT OSS 9X90MM,6072.0,4857.6,1.0,5464.8,26
HCPCS,C1776,KNEE STEM BOW CMNT OSS11X225MM,7031.0,5624.8,1.0,6327.9,26
HCPCS,C1776,KNEE STEM BOW CMNT OSS11X90MM,6072.0,4857.6,1.0,5464.8,26
HCPCS,C1776,KNEE STEM BOW CMNT OSS12X150MM,6599.0,5279.2,1.0,5939.1,26
HCPCS,C1776,KNEE STEM BOW CMNT OSS12X90MM,6072.0,4857.6,1.0,5464.8,26
HCPCS,C1776,KNEE STEM BOW CMNT OSS14X150MM,6599.0,5279.2,1.0,5939.1,26
HCPCS,C1776,KNEE STEM BOW CMNT OSS15.5X150,7783.0,6226.4,1.0,7004.7,26
HCPCS,C1776,KNEE STEM BOW CMNT OSS16X150MM,6599.0,5279.2,1.0,5939.1,26
HCPCS,C1776,KNEE STEM BOW CMNT OSS18X150MM,6599.0,5279.2,1.0,5939.1,26
HCPCS,C1776,KNEE STEM CMNT LGN ST 10X120MM,9499.0,7599.2,1.0,8549.1,26
HCPCS,C1776,KNEE STEM CMNT LGN ST 14X120MM,9499.0,7599.2,1.0,8549.1,26
HCPCS,C1776,KNEE STEM CMNT LGN ST 16X120MM,9499.0,7599.2,1.0,8549.1,26
HCPCS,C1776,KNEE STEM CMNT LGN ST 18X120MM,9499.0,7599.2,1.0,8549.1,26
HCPCS,C1776,KNEE STEM CMNT LGN ST 18X160MM,9954.0,7963.2,1.0,8958.6,26
HCPCS,C1776,KNEE STEM CMNT OSS ST 13X150,6599.0,5279.2,1.0,5939.1,26
HCPCS,C1776,KNEE STEM CMNTLSS CONIC 200X16,12773.0,10218.4,1.0,11495.7,26
HCPCS,C1776,KNEE STEM CMNTLSS CYL 240X14,14180.0,11344.0,1.0,12762.0,26
HCPCS,C1776,KNEE STEM COLAR SEG 9-16 25MM,9174.0,7339.2,1.0,8256.6,26
HCPCS,C1776,KNEE STEM COLAR SEG 9-16 35MM,9174.0,7339.2,1.0,8256.6,26
HCPCS,C1776,KNEE STEM EXT FLUTE TI 12X80,4887.0,3909.6,1.0,4398.3,26
HCPCS,C1776,KNEE STEM EXT PRESS COCR 16X80,3996.0,3196.8,1.0,3596.4,26
HCPCS,C1776,KNEE STEM EXT REV TPRSMTH14X75,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,KNEE STEM EXT TRLON STRY 25MM,4011.0,3208.8,1.0,3609.9,26
HCPCS,C1776,KNEE STEM EXT TRLON STRY 50MM,4011.0,3208.8,1.0,3609.9,26
HCPCS,C1776,KNEE STEM EXT*DISC 6203576*,4887.0,3909.6,1.0,4398.3,26
HCPCS,C1776,KNEE STEM EXT*DISC 6271726*,4887.0,3909.6,1.0,4398.3,26
HCPCS,C1776,KNEE STEM FEM REMEDY LG,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,KNEE STEM FEM REMEDY MD,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,KNEE STEM FLUT EXT ST 11X190MM,15115.0,12092.0,1.0,13603.5,26
HCPCS,C1776,KNEE STEM FLUT EXT ST 15X190MM,15115.0,12092.0,1.0,13603.5,26
HCPCS,C1776,KNEE STEM FLUTE DEPU 150X14MM,5914.0,4731.2,1.0,5322.6,26
HCPCS,C1776,KNEE STEM FLUTE DEPU 75X12MM,5914.0,4731.2,1.0,5322.6,26
HCPCS,C1776,KNEE STEM FLUTE DEPU 75X14MM,5914.0,4731.2,1.0,5322.6,26
HCPCS,C1776,KNEE STEM FLUTE DEPU 75X16MM,5914.0,4731.2,1.0,5322.6,26
HCPCS,C1776,KNEE STEM FLUTE DEPU 75X18MM,5914.0,4731.2,1.0,5322.6,26
HCPCS,C1776,KNEE STEM FLUTE DEPU 75X20MM,5914.0,4731.2,1.0,5322.6,26
HCPCS,C1776,KNEE STEM FLUTE SEG 15X130MM,13226.0,10580.8,1.0,11903.4,26
HCPCS,C1776,KNEE STEM FLUTED DEPU 115*NLU*,5914.0,4731.2,1.0,5322.6,26
HCPCS,C1776,KNEE STEM FLUTED DEPU 75*NLU*,5914.0,4731.2,1.0,5322.6,52
HCPCS,C1776,KNEE STEM GENESIS II LNG 10X70,11277.0,9021.6,1.0,10149.3,26
HCPCS,C1776,KNEE STEM GRIT BLAST 16X1*NLU*,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM LGN PRESSFIT12X120MM,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1776,KNEE STEM LGN PRESSFIT13X160MM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1776,KNEE STEM LGN PRESSFIT18X120MM,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1776,KNEE STEM LGN PRESSFIT20X120MM,5120.0,4096.0,1.0,4608.0,26
HCPCS,C1776,KNEE STEM LPS ST CMNT 10X100MM,20323.0,16258.4,1.0,18290.7,26
HCPCS,C1776,KNEE STEM LPS ST CMNT 14X125MM,20323.0,16258.4,1.0,18290.7,26
HCPCS,C1776,KNEE STEM LPS ST CMNT14*NLU*,16255.0,13004.0,1.0,14629.5,26
HCPCS,C1776,KNEE STEM OSS BOW CMNT11X*NLU*,6599.0,5279.2,1.0,5939.1,26
HCPCS,C1776,KNEE STEM PLS ST CMNT 13X125MM,20323.0,16258.4,1.0,18290.7,26
HCPCS,C1776,KNEE STEM PRESSFIT LGN10X160MM,9366.0,7492.8,1.0,8429.4,26
HCPCS,C1776,KNEE STEM PRESSFIT LGN12X160MM,9366.0,7492.8,1.0,8429.4,26
HCPCS,C1776,KNEE STEM PRESSFIT LGNST10X220,10535.0,8428.0,1.0,9481.5,26
HCPCS,C1776,KNEE STEM PRESSFIT LGNST11X220,10535.0,8428.0,1.0,9481.5,26
HCPCS,C1776,KNEE STEM PRESSFIT LGNST12X220,10535.0,8428.0,1.0,9481.5,26
HCPCS,C1776,KNEE STEM PRESSFIT LGNST13X220,10535.0,8428.0,1.0,9481.5,26
HCPCS,C1776,KNEE STEM PRESSFIT LGNST14X220,10535.0,8428.0,1.0,9481.5,26
HCPCS,C1776,KNEE STEM PRESSFIT LGNST15X220,10535.0,8428.0,1.0,9481.5,26
HCPCS,C1776,KNEE STEM PRESSFIT LGNST18X220,10535.0,8428.0,1.0,9481.5,26
HCPCS,C1776,KNEE STEM PRESSFIT LGNST20X220,10535.0,8428.0,1.0,9481.5,26
HCPCS,C1776,KNEE STEM REV CMNT ATTUNE14X30,4163.0,3330.4,1.0,3746.7,26
HCPCS,C1776,KNEE STEM REV CMNT ATTUNE14X50,4163.0,3330.4,1.0,3746.7,26
HCPCS,C1776,KNEE STEM REV CMNT ATTUNE14X80,4163.0,3330.4,1.0,3746.7,26
HCPCS,C1776,KNEE STEM REV CMNT ATTUNE16X80,4163.0,3330.4,1.0,3746.7,26
HCPCS,C1776,KNEE STEM REV CMNTATTUNE14X130,4163.0,3330.4,1.0,3746.7,26
HCPCS,C1776,KNEE STEM REV CMNTATTUNE16X130,4163.0,3330.4,1.0,3746.7,26
HCPCS,C1776,KNEE STEM SPLINED BOW 18X160MM,6020.0,4816.0,1.0,5418.0,26
HCPCS,C1776,KNEE STEM SPLINED BOW*VAT NLU*,6020.0,4816.0,1.0,5418.0,26
HCPCS,C1776,KNEE STEM SPLINED V2 12X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 12X80MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 13X80MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 14X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 14X80MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 15X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 15X80MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 16X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 16X80MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 17X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 17X160MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 17X80MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 18X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 18X80MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 19X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 19X80MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 20X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 21X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 21X80MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 22X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 22X8*NLU*,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM SPLINED V2 24X120MM,5676.0,4540.8,1.0,5108.4,26
HCPCS,C1776,KNEE STEM TIB BA*DISC NO REPL*,4095.0,3276.0,1.0,3685.5,78
HCPCS,C1776,KNEE STEM TIB EXT REMEDY 100MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE STEM TIB EXT REMEDY 175MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE STEM TIB REMEDY LG,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,KNEE STEM TIB REMEDY MD,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,KNEE STEM TIB REMEDY SM,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1776,KNEE STEM TRAPER FEMALE12/09MM,17481.0,13984.8,1.0,15732.9,26
HCPCS,C1776,KNEE STEM TRAPER MALE 16/13MM,17481.0,13984.8,1.0,15732.9,26
HCPCS,C1776,KNEE SUTPLATE II POLE STER MD,13178.0,10542.4,1.0,11860.2,26
HCPCS,C1776,KNEE TIB AUG 360 LL/RM 67*NLU*,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 RL/LM 75X15MM,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 63X*NLU*,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 67X10MM,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 67X5MM,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 71X10MM,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 71X5MM,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 75X5MM,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 79X10MM,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 79X5MM,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 83X10MM,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 83X5MM,4494.0,3595.2,1.0,4044.6,26
HCPCS,C1776,KNEE TIB AUG BLOCK AM2 10*NLU*,4558.0,3646.4,1.0,4102.2,26
HCPCS,C1776,KNEE TIB AUG BLOCK RL/LM5MMSZ3,6674.0,5339.2,1.0,6006.6,26
HCPCS,C1776,KNEE TIB AUG BLOCK ZIMM 6X79MM,4150.0,3320.0,1.0,3735.0,26
HCPCS,C1776,KNEE TIB AUG BLOCK ZIMM10X75MM,4150.0,3320.0,1.0,3735.0,26
HCPCS,C1776,KNEE TIB AUG BLOCK ZIMM6X75MM,4150.0,3320.0,1.0,3735.0,26
HCPCS,C1776,KNEE TIB AUG FULL LL/RM10MMSZ7,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE TIB AUG FULL LM/RL10MMSZ6,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE TIB AUG FULL LM/RL10MMSZ8,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE TIB AUG FULL RM/LL10MMSZ6,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE TIB AUG FULL RM/LL10MMSZ8,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ3 10MM,14035.0,11228.0,1.0,12631.5,26
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ4 10MM,14035.0,11228.0,1.0,12631.5,26
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ5 10MM,14035.0,11228.0,1.0,12631.5,26
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ6 10MM,14035.0,11228.0,1.0,12631.5,26
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ7 10MM,14035.0,11228.0,1.0,12631.5,26
HCPCS,C1776,KNEE TIB AUG HALF LM/RL 5MMSZ1,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1776,KNEE TIB AUG HALF LM/RL10MMSZ1,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE TIB AUG HALF LM/RL10MMSZ2,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE TIB AUG HALF LM/RL10MMSZ5,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE TIB AUG HALF RM/LL 5MMSZ1,4983.0,3986.4,1.0,4484.7,26
HCPCS,C1776,KNEE TIB AUG HALF RM/LL10MMSZ1,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1776,KNEE TIB AUG HNG FULL SZ3 10MM,15341.0,12272.8,1.0,13806.9,26
HCPCS,C1776,KNEE TIB AUG HNG FULL SZ4 10MM,15341.0,12272.8,1.0,13806.9,26
HCPCS,C1776,KNEE TIB AUG HNG FULL SZ5 10MM,15341.0,12272.8,1.0,13806.9,26
HCPCS,C1776,KNEE TIB AUG HNG FULL SZ6 10MM,15341.0,12272.8,1.0,13806.9,26
HCPCS,C1776,KNEE TIB AUG LM/RL TRLON 10SZ4,7158.0,5726.4,1.0,6442.2,26
HCPCS,C1776,KNEE TIB AUG LM/RL TRLON 10SZ6,7158.0,5726.4,1.0,6442.2,26
HCPCS,C1776,KNEE TIB AUG LM/RL TRLON 5 SZ1,6204.0,4963.2,1.0,5583.6,26
HCPCS,C1776,KNEE TIB AUG LM/RL TRLON 5 SZ4,7158.0,5726.4,1.0,6442.2,26
HCPCS,C1776,KNEE TIB AUG LM/RL TRLON 5 SZ5,7158.0,5726.4,1.0,6442.2,26
HCPCS,C1776,KNEE TIB AUG ML/LR OSS20X71/75,4098.0,3278.4,1.0,3688.2,26
HCPCS,C1776,KNEE TIB AUG MR/LL OSS20X71/75,4098.0,3278.4,1.0,3688.2,26
HCPCS,C1776,KNEE TIB AUG OSS UNIV 10X63/67,4098.0,3278.4,1.0,3688.2,26
HCPCS,C1776,KNEE TIB AUG OSS UNIV 10X71/75,4098.0,3278.4,1.0,3688.2,26
HCPCS,C1776,KNEE TIB AUG OSS UNIV 10X79/83,4098.0,3278.4,1.0,3688.2,26
HCPCS,C1776,KNEE TIB AUG RM/LL TRLON 10SZ4,7158.0,5726.4,1.0,6442.2,26
HCPCS,C1776,KNEE TIB AUG RM/LL TRLON 5 SZ1,6204.0,4963.2,1.0,5583.6,26
HCPCS,C1776,KNEE TIB AUG RM/LL TRLON 5 SZ4,7158.0,5726.4,1.0,6442.2,26
HCPCS,C1776,KNEE TIB AUG RM/LL TRLON 5 SZ5,7158.0,5726.4,1.0,6442.2,26
HCPCS,C1776,KNEE TIB AUG RM/LL TRLON 5 SZ6,7158.0,5726.4,1.0,6442.2,26
HCPCS,C1776,KNEE TIB AUG ZIMM 6X67MM,4150.0,3320.0,1.0,3735.0,26
HCPCS,C1776,KNEE TIB AUG ZIMM 6X71MM,4150.0,3320.0,1.0,3735.0,26
HCPCS,C1776,KNEE TIB AUGBLOCKZIMM10X67MM,4150.0,3320.0,1.0,3735.0,26
HCPCS,C1776,KNEE TIB AUGBLOCKZIMM10X71MM,4150.0,3320.0,1.0,3735.0,26
HCPCS,C1776,KNEE TIB BASE ADPTR ZIMM 2.5MM,7520.0,6016.0,1.0,6768.0,26
HCPCS,C1776,KNEE TIB BASE ADPTR ZIMM 5MM,4250.0,3400.0,1.0,3825.0,26
HCPCS,C1776,KNEE TIB BASE CCCR ZIMM 59MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCCR ZIMM 63MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCCR ZIMM 67MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCCR ZIMM 71MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCCR ZIMM 75MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCCR ZIMM 79MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCCR ZIMM 83MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCCR ZIMM 87MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 63MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 67MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 71MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 75MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 79MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 83MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 87MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 91MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE CMNT REV *NLU*,18790.0,15032.0,1.0,16911.0,26
HCPCS,C1776,KNEE TIB BASE CMNT REV 3 15MM,29570.0,23656.0,1.0,26613.0,26
HCPCS,C1776,KNEE TIB BASE CMNT REV 3 25MM,29570.0,23656.0,1.0,26613.0,26
HCPCS,C1776,KNEE TIB BASE CMNT REV MBT 2,18581.0,14864.8,1.0,16722.9,26
HCPCS,C1776,KNEE TIB BASE CMNT REV MBT 2.5,18581.0,14864.8,1.0,16722.9,26
HCPCS,C1776,KNEE TIB BASE CMNT REV MBT 3,18581.0,14864.8,1.0,16722.9,26
HCPCS,C1776,KNEE TIB BASE CMNT REV MBT 4,18581.0,14864.8,1.0,16722.9,26
HCPCS,C1776,KNEE TIB BASE CMNT REV MBT4+15,29570.0,23656.0,1.0,26613.0,26
HCPCS,C1776,KNEE TIB BASE CMNTLGNREVLFTSZ2,19467.0,15573.6,1.0,17520.3,26
HCPCS,C1776,KNEE TIB BASE CMNTLGNREVLFTSZ3,19467.0,15573.6,1.0,17520.3,26
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ10,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ2,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ3,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ4,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ5,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ6,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ7,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ8,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ9,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE FB CMNTATT*NLU*,4970.0,3976.0,1.0,4473.0,52
HCPCS,C1776,KNEE TIB BASE FB CMNTATTU*NLU*,4970.0,3976.0,1.0,4473.0,52
HCPCS,C1776,KNEE TIB BASE FB CMNTATTUNESZ9,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ2,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ3,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ4,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ5,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ6,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ7,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ8,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ9,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE FB PORATTUNESZ10,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE GENESISII RT SZ4,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE ILOK ZIMM 59MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE ILOK ZIMM 63MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE ILOK ZIMM 67MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE ILOK ZIMM 71MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE ILOK ZIMM 75MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE JOURNEY LFT SZ3,4856.0,3884.8,1.0,4370.4,26
HCPCS,C1776,KNEE TIB BASE KEEL LFT 0D SZD,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE KEEL LFT 0D SZE,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE KEEL LFT 0D SZF,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE KEEL LFT 0D SZG,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE KEEL PSN LFT SZC,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB BASE KEEL PSN LFT SZE,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB BASE KEEL PSN LFT SZF,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB BASE KEEL PSN RT SZC,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB BASE KEEL PSN RT SZD,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB BASE KEEL PSN RT SZF,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB BASE KEEL PSN RT SZH,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB BASE KEEL RT 0D SZC,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE KEEL RT 0D SZD,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE KEEL RT 0D SZG,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE KEEL RT 0D SZH,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE KEEL STRY LG 2,14546.0,11636.8,1.0,13091.4,26
HCPCS,C1776,KNEE TIB BASE KEEL STRY MD 2,14546.0,11636.8,1.0,13091.4,26
HCPCS,C1776,KNEE TIB BASE KEEL STRY SM 1,14546.0,11636.8,1.0,13091.4,26
HCPCS,C1776,KNEE TIB BASE KEEL STRY SM 2,14546.0,11636.8,1.0,13091.4,26
HCPCS,C1776,KNEE TIB BASE LGN NARW LFT SZ3,7352.0,5881.6,1.0,6616.8,26
HCPCS,C1776,KNEE TIB BASE LGN NARW LFT SZ5,7352.0,5881.6,1.0,6616.8,26
HCPCS,C1776,KNEE TIB BASE LGN NARW LFT SZ6,7352.0,5881.6,1.0,6616.8,26
HCPCS,C1776,KNEE TIB BASE LGN NARW RT SZ3,7352.0,5881.6,1.0,6616.8,26
HCPCS,C1776,KNEE TIB BASE LGN NARW RT SZ6,7352.0,5881.6,1.0,6616.8,26
HCPCS,C1776,KNEE TIB BASE LM/RL MAKO SZ1,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE LM/RL MAKO SZ3,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE LM/RL MAKO SZ4,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE LM/RL MAKO SZ5,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE LM/RL MAKO SZ6,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE LM/RL MAKO SZ7,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE MEDL PSN LFT SZD,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASE MEDL PSN RT SZD,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASE NEX PRECOAT SZ6,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE NEX PRECOAT SZ7,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE NEX PRECOAT SZ8,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE NEX PRECOATSZ2,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE NEX PRECOATSZ3,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE NEX PRECOATSZ4,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE NEX PRECOATSZ5,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB BASE OFFSET CMNT 67MM,8153.0,6522.4,1.0,7337.7,26
HCPCS,C1776,KNEE TIB BASE OFFSET CMNT 71MM,8153.0,6522.4,1.0,7337.7,26
HCPCS,C1776,KNEE TIB BASE OFFSET CMNT 75MM,8153.0,6522.4,1.0,7337.7,26
HCPCS,C1776,KNEE TIB BASE OFFSET CMNT 79MM,8153.0,6522.4,1.0,7337.7,26
HCPCS,C1776,KNEE TIB BASE OSS LNG 67*NLU*,12690.0,10152.0,1.0,11421.0,26
HCPCS,C1776,KNEE TIB BASE OSS MOD 67MM,12934.0,10347.2,1.0,11640.6,26
HCPCS,C1776,KNEE TIB BASE OSS MOD 79MM,12934.0,10347.2,1.0,11640.6,26
HCPCS,C1776,KNEE TIB BASE OSS MOD 83MM,12934.0,10347.2,1.0,11640.6,26
HCPCS,C1776,KNEE TIB BASE OSS RS *VAT NLU*,12220.0,9776.0,1.0,10998.0,26
HCPCS,C1776,KNEE TIB BASE OSS SHRT 67MM,12220.0,9776.0,1.0,10998.0,26
HCPCS,C1776,KNEE TIB BASE OSS SHRT 71MM,12220.0,9776.0,1.0,10998.0,26
HCPCS,C1776,KNEE TIB BASE PR*DISC 6150612*,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASE PR*DISC 6150616*,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASE PR*DISC 6163083*,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASE PR*DISC 6163765*,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASE PR*DISC 6163830*,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASE PR*DISC 6164860*,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASE PR*DISC 6167181*,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASE PR*DISC 6171900*,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASE PRI POR*VAT NLU*,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB BASE REV CMNTLGNRTSZ5,11060.0,8848.0,1.0,9954.0,26
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ3,13314.0,10651.2,1.0,11982.6,26
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ4,13314.0,10651.2,1.0,11982.6,26
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ5,13314.0,10651.2,1.0,11982.6,26
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ6,13314.0,10651.2,1.0,11982.6,26
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ7,13314.0,10651.2,1.0,11982.6,26
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ8,13314.0,10651.2,1.0,11982.6,26
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ10,19528.0,15622.4,1.0,17575.2,26
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ2,19528.0,15622.4,1.0,17575.2,26
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ3,19528.0,15622.4,1.0,17575.2,26
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ4,19528.0,15622.4,1.0,17575.2,26
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ5,19528.0,15622.4,1.0,17575.2,26
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ6,19528.0,15622.4,1.0,17575.2,26
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ7,19528.0,15622.4,1.0,17575.2,26
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ8,19528.0,15622.4,1.0,17575.2,26
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ9,19528.0,15622.4,1.0,17575.2,26
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ2,20706.0,16564.8,1.0,18635.4,26
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ3,20706.0,16564.8,1.0,18635.4,26
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ4,20706.0,16564.8,1.0,18635.4,26
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ5,20706.0,16564.8,1.0,18635.4,26
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ6,20706.0,16564.8,1.0,18635.4,26
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ7,20706.0,16564.8,1.0,18635.4,26
HCPCS,C1776,KNEE TIB BASE RM/LL MAKO SZ2,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE RM/LL MAKO SZ3,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE RM/LL MAKO SZ4,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE RM/LL MAKO SZ5,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE RM/LL MAKO SZ6,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE RM/LL MAKO SZ7,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE RM/LL MAKO SZ8,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,KNEE TIB BASE RP CMNT S+ SZ2,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE RP CMNT S+ SZ5,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE RP CMNTATTU*NLU*,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1776,KNEE TIB BASE RP POR ATTUNESZ3,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE RP POR ATTUNESZ9,5452.0,4361.6,1.0,4906.8,26
HCPCS,C1776,KNEE TIB BASE UNI LM ZIMM SZA,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,KNEE TIB BASE UNI LM ZIMM SZC,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,KNEE TIB BASE UNI LM ZIMM SZE,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,KNEE TIB BASE UNI RM ZIMM SZA,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,KNEE TIB BASE UNI RM ZIMM SZB,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,KNEE TIB BASE UNI RM ZIMM SZC,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,KNEE TIB BASE UNI RM ZIMM SZD,5200.0,4160.0,1.0,4680.0,26
HCPCS,C1776,KNEE TIB BASE UNI SN RT SZ4,4092.0,3273.6,1.0,3682.8,26
HCPCS,C1776,KNEE TIB BASE ZIMM NEX SZ5,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB BASE ZIMM NEX SZ6,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB BASE*DISC 6124402*,5727.0,4581.6,1.0,5154.3,26
HCPCS,C1776,KNEE TIB BASE*DISC 6124403*,5727.0,4581.6,1.0,5154.3,26
HCPCS,C1776,KNEE TIB BASE*DISC 6124404*,5727.0,4581.6,1.0,5154.3,26
HCPCS,C1776,KNEE TIB BASE*DISC 6124405*,5727.0,4581.6,1.0,5154.3,26
HCPCS,C1776,KNEE TIB BASE*DISC 6124406*,5727.0,4581.6,1.0,5154.3,26
HCPCS,C1776,KNEE TIB BASE*DISC 6124407*,5727.0,4581.6,1.0,5154.3,26
HCPCS,C1776,KNEE TIB BASE*DISC 6124408*,5727.0,4581.6,1.0,5154.3,26
HCPCS,C1776,KNEE TIB BASE*DISC 6124409*,5727.0,4581.6,1.0,5154.3,26
HCPCS,C1776,KNEE TIB BASE*DISC 6167822*,14546.0,11636.8,1.0,13091.4,26
HCPCS,C1776,KNEE TIB BASE*DISC 6172763*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASE*DISC 6173415*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASE*DISC 6173616*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASE*DISC 6176109*,14546.0,11636.8,1.0,13091.4,26
HCPCS,C1776,KNEE TIB BASE*DISC 6177137*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASE*DISC 6177378*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASE*DISC 6179891*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASE*DISC 6180436*,14546.0,11636.8,1.0,13091.4,26
HCPCS,C1776,KNEE TIB BASE*DISC 6182288*,14546.0,11636.8,1.0,13091.4,26
HCPCS,C1776,KNEE TIB BASE*DISC 6194534*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASE*DISC 6209385*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASEPLATE OSS 63MM,13724.0,10979.2,1.0,12351.6,26
HCPCS,C1776,KNEE TIB BASEPLATE OSS71X160X9,12690.0,10152.0,1.0,11421.0,26
HCPCS,C1776,KNEE TIB BASEPLATE OSS75X160X9,12690.0,10152.0,1.0,11421.0,26
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ2,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ3,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ6,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ1,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ2,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ3,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ4,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ5,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ6,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ7,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ8,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB BLK HALF LL SZCD5MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LL SZGH5MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LLSZCD10MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LLSZCD15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LLSZEF10MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LLSZEF15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LLSZGH10MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LLSZGH15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LM SZAB5MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LM SZGH5MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LMSZCD10MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LMSZCD15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LMSZEF15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LMSZGH10MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF LMSZGH15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RL SZCD5MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RL SZEF5MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RLSZCD10MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RLSZCD15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RLSZEF10MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RLSZGH10MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RLSZGH15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RM SZCD5MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RM SZEF5MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RMSZCD15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RMSZEF10MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RMSZEF15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RMSZGH10MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLK HALF RMSZGH15MM,6510.0,5208.0,1.0,5859.0,26
HCPCS,C1776,KNEE TIB BLOCK FULL SM2 10MM,5254.0,4203.2,1.0,4728.6,26
HCPCS,C1776,KNEE TIB BUSHING NEUT BUMPER,7109.0,5687.2,1.0,6398.1,26
HCPCS,C1776,KNEE TIB BUSHING OSS PE,1664.0,1331.2,1.0,1497.6,26
HCPCS,C1776,KNEE TIB CLIP VARIABLE D*NLU*,2439.0,1951.2,1.0,2195.1,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZA,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZB,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZC,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZD,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZE,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZF,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZA,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZB,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZC,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZD,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZE,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZF,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1776,KNEE TIB CMPNT NEUT MD 65X45MM,51874.0,41499.2,1.0,46686.6,26
HCPCS,C1776,KNEE TIB COMP HNG NEXGEN SZ4,15848.0,12678.4,1.0,14263.2,26
HCPCS,C1776,KNEE TIB CONE FULL LG*VAT NLU*,14981.0,11984.8,1.0,13482.9,26
HCPCS,C1776,KNEE TIB CONN HNG NEUT MD,18486.0,14788.8,1.0,16637.4,26
HCPCS,C1776,KNEE TIB CRUC WING 360 LG,3161.0,2528.8,1.0,2844.9,26
HCPCS,C1776,KNEE TIB CRUC WING 360 SM,3161.0,2528.8,1.0,2844.9,26
HCPCS,C1776,KNEE TIB CS P*DISC 6248713*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB CS P*DISC 6249319*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB CS P*DISC 6258951*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB CS P*DISC 6270029*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB CS P*DISC 6275969*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB CS PE TRLON SZ3 13MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB CS PE TRLON SZ4 16MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB CS PE TRLON SZ5 13MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB CS PE TRLON SZ5 16MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB CS PE TRLON SZ7 16MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB DIST*DISC 6178200*,5424.0,4339.2,1.0,4881.6,26
HCPCS,C1776,KNEE TIB GENESIS II CMNT RTSZ2,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB GENESIS II CMNT RTSZ4,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB GENESIS II CMNT RTSZ6,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB GENESIS II CMNTLFTSZ3,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB GENESIS II CMNTLFTSZ6,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB GENESIS IICMNT LFTSZ2,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB GENESIS IICMNT RT SZ3,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB GENESIS IICMNT RT SZ5,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB GENESISII CMNT RT SZ7,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB GII CR PE LFT SZ4 9MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB HNG BEARINGTRLONSZ1-2,22746.0,18196.8,1.0,20471.4,26
HCPCS,C1776,KNEE TIB HNG BEARINGTRLONSZ5-6,22746.0,18196.8,1.0,20471.4,26
HCPCS,C1776,KNEE TIB HNG ROTATE STRY,13017.0,10413.6,1.0,11715.3,26
HCPCS,C1776,KNEE TIB HNG TRLONBEARINGSZ3-4,22746.0,18196.8,1.0,20471.4,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315304*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315330*,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315382*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315401*,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315402*,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315426*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315428*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315429*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315432*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315433*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315434*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315435*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315436*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315438*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315439*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315440*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315441*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315442*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315445*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315447*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315450*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315451*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315453*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315454*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315456*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315458*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315459*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315460*,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315508*,5029.0,4023.2,1.0,4526.1,26
HCPCS,C1776,KNEE TIB INSRT *DISC 6315561*,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT 14X71/75MM*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT 14X87/91MM*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT 7-10GH 10MM,848.0,678.4,1.0,763.2,26
HCPCS,C1776,KNEE TIB INSRT A/P STRY LG 9MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/P STRY MD 9MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/P STRY SM 9MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/P STRY XL 9MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/P STRY XS 9MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 11MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 13MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 16MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 19MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 22MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 25MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 11MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 13MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 16MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 19MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 22MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 25MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 11MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 13MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 16MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 19MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 22MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 25MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 11MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 13MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 16MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 19MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 22MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 25MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XS 11MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XS 13MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XS 16MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT AMK SZ2 14*NLU*,6640.0,5312.0,1.0,5976.0,26
HCPCS,C1776,KNEE TIB INSRT AOX RT 5 SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT AOX RT 7 SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 14X87MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 16X63MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 16X67MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 16X71MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 16X75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 16X83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 18X63MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 18X67MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 18X71MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 18X75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 79X18MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VITE 87X12MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VNGD 12X83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT AS VNGD 18X75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 5SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 5SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 5SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 5SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 5SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 5SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 6SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 6SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 6SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 6SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 6SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 6SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 6SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 7SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 7SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 7SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 7SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 7SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 7SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 7SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 8SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 8SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 8SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 8SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 8SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 8SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT10SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT10SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT10SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT10SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT10SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT12SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT12SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT12SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT12SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT12SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT14SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT14SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT14SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT5SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT6SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT8SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 10SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 10SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 10SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 10SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 10SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 12SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 12SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 12SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 12SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 14SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 14SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 5 SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 5 SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 5 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 5 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 5 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 5 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 5 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 6 SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 6 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 6 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 6 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 6 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 6 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 7 SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 7 SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 7 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 7 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 7 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 7 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 7 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 8 SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 8 SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 8 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 8 SZ6,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 8 SZ7,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 8 SZ8,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 8 SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNELFT 10SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ATTUNELFT10SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CH 1-2 10M*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT CH 3-4 10MM,4050.0,3240.0,1.0,3645.0,26
HCPCS,C1776,KNEE TIB INSRT CH1-2 ZIM*DISC*,2890.0,2312.0,1.0,2601.0,26
HCPCS,C1776,KNEE TIB INSRT CLR ZI*VAT NLU*,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,KNEE TIB INSRT CNSTND SZ3-4 11,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 12SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 14SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 14SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 16SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 16SZ9,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 6 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 7 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 8 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE14SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE16SZ10,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT CR TRLON SZ4 11,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRL ZI*VAT NLU*,8400.0,6720.0,1.0,7560.0,104
HCPCS,C1776,KNEE TIB INSRT CRLIP10X63*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ2 9MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ3 9MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ4 9MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ5 9MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ7 9MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ8 9MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ2 11MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ2 13MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ2 16MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ2 19MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ3 11MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ3 13MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ3 16MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ3 19MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ4 13MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ4 16MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ4 19MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ5 11MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ5 13MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ5 16MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ5 19MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ6 11MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ6 13MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ6 16MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ6 19MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ7 11MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ7 13MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ7 16MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ7 19MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ8 11MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ8 13MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ8 16MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ8 19MM,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 13MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 13MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT CS STDRTSZ510MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 10MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 11MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 12MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 13MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 14MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 16MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 19MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 10MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 11MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 12MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 13MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 14MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 16MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 19MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 10MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 11MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 12MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 13MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 14MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 19MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 10MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 11MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 12MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 13MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 14MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 16MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 19MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 10MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 11MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 12MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 13MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 14MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 16MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 19MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 10MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 11MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 12MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 13MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 14MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 16MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 19MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 10MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 11MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 12MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 13MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 14MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 16MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 19MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 10MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 11MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 12MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 13MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 14MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 16MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 19MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT DUR LG 16M*OBS*,5097.0,4077.6,1.0,4587.3,26
HCPCS,C1776,KNEE TIB INSRT DUR STRY MD 9MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DUR STRY SM 9MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DUR STRY XL 9MM,3900.0,3120.0,1.0,3510.0,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY LG 11MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY LG 13MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY LG 16MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY LG 19MM,3828.0,3062.4,1.0,3445.2,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY LG 9MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY MD 11MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY MD 13MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY MD 16MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY MD 19MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY SM 11MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY SM 13MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY SM 16MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY SM 19MM,3783.0,3026.4,1.0,3404.7,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY XL 11MM,3900.0,3120.0,1.0,3510.0,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY XL 13MM,3900.0,3120.0,1.0,3510.0,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY XL 16MM,3900.0,3120.0,1.0,3510.0,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY XL 19MM,4001.0,3200.8,1.0,3600.9,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY XS 11MM,3900.0,3120.0,1.0,3510.0,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY XS 13MM,3900.0,3120.0,1.0,3510.0,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY XS 16MM,3900.0,3120.0,1.0,3510.0,26
HCPCS,C1776,KNEE TIB INSRT DURSTRY XS 9MM,3900.0,3120.0,1.0,3510.0,26
HCPCS,C1776,KNEE TIB INSRT GRMS SM 13MM,5029.0,4023.2,1.0,4526.1,26
HCPCS,C1776,KNEE TIB INSRT GVF CURV 4*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT GVF STBL *NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT GVF STBL 4 20MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT HNG DEPU 12MM,15970.0,12776.0,1.0,14373.0,26
HCPCS,C1776,KNEE TIB INSRT HNG DEPU 18MM,15970.0,12776.0,1.0,14373.0,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZB14MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZB17MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZB23MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZB26MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZC23MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZC26MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZD23MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZE23MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZE26MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZF20MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZF23MM,7012.0,5609.6,1.0,6310.8,26
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ2,11739.0,9391.2,1.0,10565.1,26
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ3,11739.0,9391.2,1.0,10565.1,26
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ4,11739.0,9391.2,1.0,10565.1,26
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ5,10174.0,8139.2,1.0,9156.6,26
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ6,11739.0,9391.2,1.0,10565.1,26
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ7,11739.0,9391.2,1.0,10565.1,26
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 13SZ4,11739.0,9391.2,1.0,10565.1,26
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 16SZ4,11739.0,9391.2,1.0,10565.1,26
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 19SZ2,16435.0,13148.0,1.0,14791.5,26
HCPCS,C1776,KNEE TIB INSRT HNG15MMSZ2-3LFT,14252.0,11401.6,1.0,12826.8,26
HCPCS,C1776,KNEE TIB INSRT LCS LG 12.5MM,10133.0,8106.4,1.0,9119.7,26
HCPCS,C1776,KNEE TIB INSRT LCS LG 17.5MM,10133.0,8106.4,1.0,9119.7,26
HCPCS,C1776,KNEE TIB INSRT LCS LG 20*NLU*,9297.0,7437.6,1.0,8367.3,26
HCPCS,C1776,KNEE TIB INSRT LCS LG+25MM,10133.0,8106.4,1.0,9119.7,26
HCPCS,C1776,KNEE TIB INSRT LCS SDT+ 175MM,10133.0,8106.4,1.0,9119.7,26
HCPCS,C1776,KNEE TIB INSRT LCS STD+ 15MM,10133.0,8106.4,1.0,9119.7,26
HCPCS,C1776,KNEE TIB INSRT LM/RL X3SZ2 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT LPS HNG MD 16MM,15970.0,12776.0,1.0,14373.0,26
HCPCS,C1776,KNEE TIB INSRT LPS HNG MD*NLU*,11185.5,8948.4,1.0,11493.9,52
HCPCS,C1776,KNEE TIB INSRT LPS HNG SM 12MM,15970.0,12776.0,1.0,14373.0,26
HCPCS,C1776,KNEE TIB INSRT LPS HNG SM 18MM,15970.0,12776.0,1.0,14373.0,26
HCPCS,C1776,KNEE TIB INSRT LPS HNG SM*NLU*,12771.0,10216.8,1.0,11493.9,78
HCPCS,C1776,KNEE TIB INSRT LPS HNG XS 12MM,15970.0,12776.0,1.0,14373.0,26
HCPCS,C1776,KNEE TIB INSRT LPS HNG XS 18MM,15970.0,12776.0,1.0,14373.0,26
HCPCS,C1776,KNEE TIB INSRT LPS HNG XS 21MM,15970.0,12776.0,1.0,14373.0,26
HCPCS,C1776,KNEE TIB INSRT MRH 24MM,5029.0,4023.2,1.0,4526.1,26
HCPCS,C1776,KNEE TIB INSRT MRH M2/L2 10MM,5074.0,4059.2,1.0,4566.6,26
HCPCS,C1776,KNEE TIB INSRT MRH M2/L2 13MM,5074.0,4059.2,1.0,4566.6,26
HCPCS,C1776,KNEE TIB INSRT MRH M2/L2 16MM,5074.0,4059.2,1.0,4566.6,26
HCPCS,C1776,KNEE TIB INSRT MRH M2/L2 20MM,5074.0,4059.2,1.0,4566.6,26
HCPCS,C1776,KNEE TIB INSRT MRH S1/S2 10MM,5029.0,4023.2,1.0,4526.1,26
HCPCS,C1776,KNEE TIB INSRT MRH S1/S2 13MM,5029.0,4023.2,1.0,4526.1,26
HCPCS,C1776,KNEE TIB INSRT MRH S1/S2 20MM,5029.0,4023.2,1.0,4526.1,26
HCPCS,C1776,KNEE TIB INSRT MRH S1/S2 24MM,5029.0,4023.2,1.0,4526.1,26
HCPCS,C1776,KNEE TIB INSRT NEX SZ*VAT NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT NKII R*VAT NLU*,3625.0,2900.0,1.0,3262.5,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO8MMSZ1,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO8MMSZ2,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO8MMSZ3,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO8MMSZ4,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO8MMSZ5,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO8MMSZ6,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO8MMSZ7,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO8MMSZ8,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO9MMSZ1,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO9MMSZ3,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO9MMSZ4,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO9MMSZ6,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRT OSS PE 12MM,4136.0,3308.8,1.0,3722.4,26
HCPCS,C1776,KNEE TIB INSRT OSS PE 14MM,4136.0,3308.8,1.0,3722.4,26
HCPCS,C1776,KNEE TIB INSRT OSS PE 16MM,4136.0,3308.8,1.0,3722.4,26
HCPCS,C1776,KNEE TIB INSRT OSS PE 18MM,4136.0,3308.8,1.0,3722.4,26
HCPCS,C1776,KNEE TIB INSRT OSS PE 22MM,4136.0,3308.8,1.0,3722.4,26
HCPCS,C1776,KNEE TIB INSRT PFC SZ4 1*NLU*,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT PFCCURVSZ4*NLU*,5430.0,4344.0,1.0,4887.0,26
HCPCS,C1776,KNEE TIB INSRT PS 10X63/67MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS 10X71/75MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS 10X79/83MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS 10X98/91MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS 12X63/67MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS 12X71/75MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS 12X79/83MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS 14X71/75MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS 14X79/83MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS 16X79/8*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS 20X71/75MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ2,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ3,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ4,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ5,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ6,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ7,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 13MM SZ3,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 13MM SZ4,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 13MM SZ5,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 13MM SZ6,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 16MM SZ4,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 16MM SZ5,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ2,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ3,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ4,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ5,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ6,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ7,3500.0,2800.0,1.0,3150.0,26
HCPCS,C1776,KNEE TIB INSRT PS VITE 10X87/9,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS VITE10X63/67,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS VITE10X71/75,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS VITE10X79/83,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS VITE11X71/75,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS VITE12X63/67,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS VITE12X71/75,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS VITE14X71/75,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS VITE16X79/83,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS VNGD16X71/75,7379.0,5903.2,1.0,6641.1,26
HCPCS,C1776,KNEE TIB INSRT PS X3 -E11MMSZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 -E13MMSZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 -E13MMSZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 -E16MMSZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 -E19MMSZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 16MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 16MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 16MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 16MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 16MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 16MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 16MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 22MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 22MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 22MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 22MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 22MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 25MM SZ3,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 25MM SZ6,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ6,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ7,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ8,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,KNEE TIB INSRT PS+ 10X63/67MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 10X71/75MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 10X79/83MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 10X87/91MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 12X63/67MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 12X71/75MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 12X79/83MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 14X71/75MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 14X79/83MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 16X63/67MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 16X71/75MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+ 18X79/83MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT PS+VITE10X63/67,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS+VITE10X71/75,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS+VITE10X79/83,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS+VITE12X63/67,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS+VITE12X71/75,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS+VITE12X79/83,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS+VITE14X71/75,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PS+VITE18X71/75,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT PSC 10X63/67MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 10X71/75MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 12X63/67MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 12X71/75MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 12X79/83MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 14X63/67MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 14X71/75MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 14X79/83MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 16X63/67MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 16X71/75MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 18X63/67MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 18X71/75MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 18X79/83MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 20X63/67MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 20X71/75MM,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT PSC 20X79/*NLU*,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT REV X3 11 SZ2,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 11 SZ3,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 11 SZ5,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 13 SZ4,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 13 SZ5,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 16 SZ3,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 16 SZ4,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 16 SZ6,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 19 SZ4,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 19 SZ5,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 9 SZ2,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 9 SZ3,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT REV X3 9 SZ5,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1776,KNEE TIB INSRT RM/LL X3SZ2 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT RM/LL X3SZ3 9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRT SMPOST 12X63/67,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT SMPOST 14X63/67,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT SMPOST 22X63/67,7516.0,6012.8,1.0,6764.4,26
HCPCS,C1776,KNEE TIB INSRT STBL 10MM SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT STBL CR 10X71MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STBL CR 12X67MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STBL CR 14X75MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STBL CR 16X63MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STBL SZ2.5 25MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT STBL SZ5 *NLU*,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT STBLZIMM10X83MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STBLZIMM16X83MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STD 10X63/*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STD 10X71/75MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STD 12X79/*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STD 14X79/83MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STD 18X79*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT STRY SM 10MM,5029.0,4023.2,1.0,4526.1,26
HCPCS,C1776,KNEE TIB INSRT STRY SM 16MM,5029.0,4023.2,1.0,4526.1,26
HCPCS,C1776,KNEE TIB INSRT TC3 10MM SZ4,11738.0,9390.4,1.0,10564.2,26
HCPCS,C1776,KNEE TIB INSRT TC3 15MM SZ2.5,10487.0,8389.6,1.0,9438.3,26
HCPCS,C1776,KNEE TIB INSRT TC3 15MM SZ3,10487.0,8389.6,1.0,9438.3,26
HCPCS,C1776,KNEE TIB INSRT TC3 3 17.5*NLU*,7946.0,6356.8,1.0,7151.4,26
HCPCS,C1776,KNEE TIB INSRT TC3 3 20MM*NLU*,7946.0,6356.8,1.0,7151.4,26
HCPCS,C1776,KNEE TIB INSRT TC3 SZ2 *NLU*,10487.0,8389.6,1.0,9438.3,26
HCPCS,C1776,KNEE TIB INSRT TC3 SZ4 22*NLU*,10487.0,8389.6,1.0,9438.3,26
HCPCS,C1776,KNEE TIB INSRT TC3 SZ5 1*NLU*,10487.0,8389.6,1.0,9438.3,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 11MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 13MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 16MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 19MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 22MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 25MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 28MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 31MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 9MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 11MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 13MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 16MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 19MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 22MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 25MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 28MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 31MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 9MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 11MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 13MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 16MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 19MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 22MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 25MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 28MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 31MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 9MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 11MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 13MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 16MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 19MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 22MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 25MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 28MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 31MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 9MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 11MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 13MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 16MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 19MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 22MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 25MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 28MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 31MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 9MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 11MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 13MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 16MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 19MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 22MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 25MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 28MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 31MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 9MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 11MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 13MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 16MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 19MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 22MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 25MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 28MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 31MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 9MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 11MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 13MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 16MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 19MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 22MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 25MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 28MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 31MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 9MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT TS+X3NSSZ1 16MM,8840.0,7072.0,1.0,7956.0,26
HCPCS,C1776,KNEE TIB INSRT XLK CURV 2 10MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT XLK CURV 3 10MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT XLK CURV 4 10MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT XLK CURV*NLU*,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT XLK STBL 10 SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT XLK STBL 10 SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT XLK STBL 3*NLU*,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT XLK STBL 4*NLU*,4375.0,3500.0,1.0,3937.5,52
HCPCS,C1776,KNEE TIB INSRT XLK STBL12.5SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT XLK STBL12.5SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT XLTUNIRM/LL8SZ2,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT XLTUNIRM/LL8SZ4,3210.0,2568.0,1.0,2889.0,26
HCPCS,C1776,KNEE TIB INSRT XLTUNIRM/LL9SZ4,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT LG 4MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT MD 4MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT SM 4MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT SM 5MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM RT LG 3MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM RT LG 4MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM RT MD 3MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM RT MD 4MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM RT MD 6MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM RT SM 4MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRT ZIMM12X79/83MM,3570.0,2856.0,1.0,3213.0,26
HCPCS,C1776,KNEE TIB INSRTCRVNGD10X63*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTCRVNGD10X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTCRVNGD10X79/83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTCRVNGD11X71*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTCRVNGD12X63/67MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTCRVNGD12X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTCRVNGD12X79*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTGII CNSTND3-4 13,15547.0,12437.6,1.0,13992.3,26
HCPCS,C1776,KNEE TIB INSRTGII CNSTND5-6 11,15547.0,12437.6,1.0,13992.3,26
HCPCS,C1776,KNEE TIB INSRTGII CNSTND5-6 9,15547.0,12437.6,1.0,13992.3,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ1,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ2,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ3,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ4,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ5,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ6,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ7,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ8,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ1,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ2,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ3,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ4,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ5,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ6,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ7,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ8,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO9MMSZ5,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO9MMSZ7,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO9MMSZ8,4280.0,3424.0,1.0,3852.0,26
HCPCS,C1776,KNEE TIB INSRTP*DISC 6315398*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD10X63/67MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD10X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD10X79/83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD10X87/91MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD11X63/67MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD11X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD11X87/91MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD12X63/67MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD12X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD12X79/83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD12X87/91MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD13X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD14X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD14X79/83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTPSVNGD16X79/83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIB INSRTSIGMACURV2.5 8MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIB INSRTXLTUNIRM/LL10SZ3,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB LAT BEARING OSS RS 22,4348.0,3478.4,1.0,3913.2,26
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDLFTSZB3,8500.0,6800.0,1.0,7650.0,26
HCPCS,C1776,KNEE TIB LCCK BLU 10MM SZG,8136.0,6508.8,1.0,7322.4,26
HCPCS,C1776,KNEE TIB LCCK GRN 10MM SZE/F,8136.0,6508.8,1.0,7322.4,26
HCPCS,C1776,KNEE TIB LCCK GRN 12MM SZE/F,8136.0,6508.8,1.0,7322.4,26
HCPCS,C1776,KNEE TIB LCCK GRN 14MM SZE/F,8136.0,6508.8,1.0,7322.4,26
HCPCS,C1776,KNEE TIB LCCK GRN 17MM SZE/F,8136.0,6508.8,1.0,7322.4,26
HCPCS,C1776,KNEE TIB LCCK PUR C/D1 7*NLU*,8136.0,6508.8,1.0,7322.4,26
HCPCS,C1776,KNEE TIB LCCK YEL 12MM SZC/D,8136.0,6508.8,1.0,7322.4,26
HCPCS,C1776,KNEE TIB LCCK YEL 12MM SZE/F,8136.0,6508.8,1.0,7322.4,26
HCPCS,C1776,KNEE TIB LCCK YEL 14MM SZE/F,8136.0,6508.8,1.0,7322.4,26
HCPCS,C1776,KNEE TIB LGN CONE SHRT ID*NLU*,17860.0,14288.0,1.0,16074.0,26
HCPCS,C1776,KNEE TIB LK BAR ZIMM,671.0,536.8,1.0,603.9,26
HCPCS,C1776,KNEE TIB LM/RL ATTUNE 10 SZ5/6,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB LM/RL ATTUNE 15 SZ5/6,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB LM/RL ATTUNE 15 SZ7/8,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB LNR CNSTND PCK SZF5-6,14800.0,11840.0,1.0,13320.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT 11 SZF,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT 12 SZH,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT 8 SZD,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT 9 SZF,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT12 SZD,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 10 SZF,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 12 SZC,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 12 SZF,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 8 SZD,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 8 SZF,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 9 SZD,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 9 SZH,4480.0,3584.0,1.0,4032.0,26
HCPCS,C1776,KNEE TIB MONOBLOCK CR*VAT NLU*,6740.0,5392.0,1.0,6066.0,26
HCPCS,C1776,KNEE TIB MR/LL OSS 20X63/67,4098.0,3278.4,1.0,3688.2,26
HCPCS,C1776,KNEE TIB MR/LR OSS 20X63/67,4098.0,3278.4,1.0,3688.2,26
HCPCS,C1776,KNEE TIB NEX PS STEM 10MM SZ5,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,KNEE TIB PROX GMRS STD 65X41MM,31629.0,25303.2,1.0,28466.1,26
HCPCS,C1776,KNEE TIB PROX REPL LPS XS*NLU*,33459.0,26767.2,1.0,30113.1,26
HCPCS,C1776,KNEE TIB PROX*DISC 6178199*,4241.0,3392.8,1.0,3816.9,26
HCPCS,C1776,KNEE TIB PROX*DISC 6299765*,31629.0,25303.2,1.0,28466.1,26
HCPCS,C1776,KNEE TIB PS P*DISC 6282957*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB PS P*DISC 6285719*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB PS PE TRLON 11MM SZ3,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB PS PE TRLON 11MM SZ4,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,KNEE TIB PSN 2-PEG LFT SZE,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB PSN 2-PEG LFT SZF,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB PSN 2-PEG LFT SZG,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZC,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZD,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZE,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZF,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZG,4600.0,3680.0,1.0,4140.0,26
HCPCS,C1776,KNEE TIB PSN RT SZ1-2 20MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,KNEE TIB PSN RT SZGH +0MM,1254.0,1003.2,1.0,1128.6,26
HCPCS,C1776,KNEE TIB REV AUG ATTUNE 5SZ3/4,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB REV AUG ATTUNE10SZ3/4,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB REV AUG ATTUNE15SZ3/4,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB REV AUG ATTUNE5SZ9/10,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB REV AUG LM/RL10SZ9/10,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB REV AUG RM/LL10SZ9/10,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB REV MBT AUG SZ5 *NLU*,7289.0,5831.2,1.0,6560.1,26
HCPCS,C1776,KNEE TIB RHMODLRFULLBLOCK10SZ4,5734.0,4587.2,1.0,5160.6,26
HCPCS,C1776,KNEE TIB RM/LL ATTUNE 10 SZ3/4,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB RM/LL ATTUNE 10 SZ5/6,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB RM/LL ATTUNE 10 SZ7/8,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB RM/LL ATTUNE 15 SZ3/4,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB RM/LL ATTUNE 15 SZ7/8,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB ROTA*DISC 6179832*,13017.0,10413.6,1.0,11715.3,26
HCPCS,C1776,KNEE TIB SEG HNG POST 14MM SZB,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SEG HNG POST 17MM SZB,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SEG HNG POST 20MM SZB,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SEG HNG POST SZC 17MM,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SEG HNG POST SZC 20MM,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SEG HNG POST SZC 26MM,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SEG HNG POST SZD 23MM,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SEG HNG POST SZE 23MM,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SEG HNG POST SZE 26MM,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SEG HNG POST SZF 20MM,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SEG HNG POST SZF 23MM,7633.0,6106.4,1.0,6869.7,26
HCPCS,C1776,KNEE TIB SLV *DISC 6167821*,2828.0,2262.4,1.0,2545.2,26
HCPCS,C1776,KNEE TIB SLV CTD ATTUNE 29MM,14776.0,11820.8,1.0,13298.4,26
HCPCS,C1776,KNEE TIB SLV CTD ATTUNE 37MM,14776.0,11820.8,1.0,13298.4,26
HCPCS,C1776,KNEE TIB SLV CTD ATTUNE 45MM,14776.0,11820.8,1.0,13298.4,26
HCPCS,C1776,KNEE TIB SLV CTD ATTUNE 53MM,14776.0,11820.8,1.0,13298.4,26
HCPCS,C1776,KNEE TIB SLV CTD ATTUNE 61MM,14776.0,11820.8,1.0,13298.4,26
HCPCS,C1776,KNEE TIB SLV CTD ATTUNE 69MM,14776.0,11820.8,1.0,13298.4,26
HCPCS,C1776,KNEE TIB SLV PARTCTD ATTUNE 37,14776.0,11820.8,1.0,13298.4,26
HCPCS,C1776,KNEE TIB SLV STRY,2828.0,2262.4,1.0,2545.2,26
HCPCS,C1776,KNEE TIB STEM C*DISC 6172766*,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM C*DISC 6173417*,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM C*DISC 6251083*,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM C*DISC 6263728*,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM CMNT 12X100MM,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM CMNT 12X150MM,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM CMNT 12X50MM,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM CMNT 15X100MM,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM CMNT 15X150MM,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM CMNT 15X50MM,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM CMNT 9X100MM,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM CMNT 9X150MM,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM CMNT 9X50MM,4420.0,3536.0,1.0,3978.0,26
HCPCS,C1776,KNEE TIB STEM CMNT PFC 13X30MM,4916.0,3932.8,1.0,4424.4,26
HCPCS,C1776,KNEE TIB STEM CMNT PFC 13X60MM,4692.0,3753.6,1.0,4222.8,26
HCPCS,C1776,KNEE TIB STEM CMNT PFC 15X30MM,4692.0,3753.6,1.0,4222.8,26
HCPCS,C1776,KNEE TIB STEM EXT ST 10X100MM,4094.0,3275.2,1.0,3684.6,26
HCPCS,C1776,KNEE TIB STEM EXT ST 12X100MM,4094.0,3275.2,1.0,3684.6,26
HCPCS,C1776,KNEE TIB STEM EXT ST 13X100MM,4094.0,3275.2,1.0,3684.6,26
HCPCS,C1776,KNEE TIB STEM EXT ST 14X100MM,4094.0,3275.2,1.0,3684.6,26
HCPCS,C1776,KNEE TIB STEM EXT ST 15X100MM,4094.0,3275.2,1.0,3684.6,26
HCPCS,C1776,KNEE TIB STEM EXT ST 15X30MM,4094.0,3275.2,1.0,3684.6,26
HCPCS,C1776,KNEE TIB STEM EXT ST 16X100MM,4094.0,3275.2,1.0,3684.6,26
HCPCS,C1776,KNEE TIB STEM EXT ST 17X100MM,4094.0,3275.2,1.0,3684.6,26
HCPCS,C1776,KNEE TIB STEM EXT ST 18X100MM,4094.0,3275.2,1.0,3684.6,26
HCPCS,C1776,KNEE TIB STEM FINNED ZIMM 40MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE TIB STEM I-BEAM ZIMM 40MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,KNEE TIB STEM NEX SZ7 12MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,KNEE TIB STEM NEXGEN SZ3 14MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,KNEE TIB STEM NEXGEN SZ5 10MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,KNEE TIB STEM NEXGEN SZ8 10MM,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,KNEE TIB STEM OFFSET EXT14X100,5332.0,4265.6,1.0,4798.8,26
HCPCS,C1776,KNEE TIB STEM OFFSET EXT18X155,5332.0,4265.6,1.0,4798.8,26
HCPCS,C1776,KNEE TIB STEM PLATE ZIMM *NLU*,8806.0,7044.8,1.0,7925.4,26
HCPCS,C1776,KNEE TIB STEM PLATE ZIMM 71MM,8806.0,7044.8,1.0,7925.4,26
HCPCS,C1776,KNEE TIB STEM PLATE ZIMM 75MM,8806.0,7044.8,1.0,7925.4,26
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZC,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZD,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZE,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZF,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZG,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZH,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZJ,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZC,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZD,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZE,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZF,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZG,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZH,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB STEM REV ZIMM 20X80MM,4919.0,3935.2,1.0,4427.1,26
HCPCS,C1776,KNEE TIB STEM REV ZIMM12X80MM,4919.0,3935.2,1.0,4427.1,26
HCPCS,C1776,KNEE TIB STEM REV ZIMM14X120MM,4919.0,3935.2,1.0,4427.1,26
HCPCS,C1776,KNEE TIB STEM REV ZIMM14X80MM,4919.0,3935.2,1.0,4427.1,26
HCPCS,C1776,KNEE TIB STEM SMTH BIOM18X40MM,4833.0,3866.4,1.0,4349.7,26
HCPCS,C1776,KNEE TIB STEM SMTH ZIMM10X40MM,4833.0,3866.4,1.0,4349.7,26
HCPCS,C1776,KNEE TIB STEM SMTH ZIMM14X40MM,4833.0,3866.4,1.0,4349.7,26
HCPCS,C1776,KNEE TIB STEM SMTH ZIMM16X40MM,4833.0,3866.4,1.0,4349.7,26
HCPCS,C1776,KNEE TIB STEM SMTH ZIMM18*NLU*,4833.0,3866.4,1.0,4349.7,26
HCPCS,C1776,KNEE TIB STEM SMTH ZIMM20*NLU*,4833.0,3866.4,1.0,4349.7,26
HCPCS,C1776,KNEE TIB STEM*DISC 6219914*,4629.0,3703.2,1.0,4166.1,26
HCPCS,C1776,KNEE TIB STEM*DISC 6261386*,4629.0,3703.2,1.0,4166.1,26
HCPCS,C1776,KNEE TIB STEM*DISC 6277464*,4629.0,3703.2,1.0,4166.1,26
HCPCS,C1776,KNEE TIB STEM*DISC 6278547*,4629.0,3703.2,1.0,4166.1,26
HCPCS,C1776,KNEE TIB STEM*DISC 6288567*,4787.0,3829.6,1.0,4308.3,26
HCPCS,C1776,KNEE TIB STEM*DISC 6313181*,4787.0,3829.6,1.0,4308.3,26
HCPCS,C1776,KNEE TIB TRABEC CONELFTLG51X34,14448.0,11558.4,1.0,13003.2,26
HCPCS,C1776,KNEE TIB TRAY 360 ZIMM 63MM,8961.0,7168.8,1.0,8064.9,26
HCPCS,C1776,KNEE TIB TRAY 360 ZIMM 67MM,8961.0,7168.8,1.0,8064.9,26
HCPCS,C1776,KNEE TIB TRAY 360 ZIMM 71MM,8961.0,7168.8,1.0,8064.9,26
HCPCS,C1776,KNEE TIB TRAY 360 ZIMM 75MM,8961.0,7168.8,1.0,8064.9,26
HCPCS,C1776,KNEE TIB TRAY 360 ZIMM 79MM,8961.0,7168.8,1.0,8064.9,26
HCPCS,C1776,KNEE TIB TRAY 360 ZIMM 83MM,8961.0,7168.8,1.0,8064.9,26
HCPCS,C1776,KNEE TIB TRAY KEEL MBT CMNT 4,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIB TRAY PART LM/RL SZ5,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,KNEE TIB UNIV ATTUNE 5 SZ5/6,5590.0,4472.0,1.0,5031.0,26
HCPCS,C1776,KNEE TIB VNGD 11X79/83MM*DISC*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIB WDG FIN LGN LFT 15SZ2,12152.0,9721.6,1.0,10936.8,26
HCPCS,C1776,KNEE TIB WDG FULL S4-1 10MM,5254.0,4203.2,1.0,4728.6,26
HCPCS,C1776,KNEE TIB WDG HEMI LFT LG2 10,3935.0,3148.0,1.0,3541.5,26
HCPCS,C1776,KNEE TIB WDG HEMI LFT SM2 10,3935.0,3148.0,1.0,3541.5,26
HCPCS,C1776,KNEE TIB WDG LGN LL/RM5MMSZ1-2,11809.0,9447.2,1.0,10628.1,26
HCPCS,C1776,KNEE TIB WDG LGN LL/RM5MMSZ3-4,11809.0,9447.2,1.0,10628.1,26
HCPCS,C1776,KNEE TIB WDG LGN LM/RL5MMSZ1-2,11809.0,9447.2,1.0,10628.1,26
HCPCS,C1776,KNEE TIB WEDGE STEP PFC 3*NLU*,6090.0,4872.0,1.0,5481.0,26
HCPCS,C1776,KNEE TIBINSRT GVF CURV*NLU*,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIBINSRT GVF CURV2.5 15MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIBINSRT GVF CURV2.5 17.5,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIBINSRT GVF CURV3 17.5MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIBINSRT GVF CURV4 17.5MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIBINSRT GVF CURV5 17.5MM,2675.0,2140.0,1.0,2407.5,26
HCPCS,C1776,KNEE TIBINSRT XLK CURV5 17.5MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIBINSRT XLK STBL2.5 12.5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIBINSRT XLK STBL2.5 17.5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIBINSRT XLK STBL3 12.5MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIBINSRT XLK STBL4 12.5MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,KNEE TIBINSRTPS+VNDG10X63/67MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNDG10X87/91MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNDG12X63/67MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNDG14X63/67MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNDG14X87/91MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNDG16X63/67MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNGD10X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNGD10X79/83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNGD12X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNGD12X79/83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNGD14X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNGD14X79/83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNGD16X71/75MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBINSRTPS+VNGD16X79/83MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KNEE TIBTRAY GVF CMNT COCR 2MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIBTRAY GVF CMNT COCR 3MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIBTRAY GVF CMNT COCR 4MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIBTRAY GVF CMNT COCR 5MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIBTRAY GVF CMNT COCR 6MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TIBTRAY GVF CMNTCOCR2.5MM,4095.0,3276.0,1.0,3685.5,26
HCPCS,C1776,KNEE TRAY SLV MBT POR *NLU*,10736.0,8588.8,1.0,9662.4,26
HCPCS,C1776,KNEE TRAY SLV MBT POR 37MM,11923.0,9538.4,1.0,10730.7,26
HCPCS,C1776,KNEE TRAY SLV MBT POR 45MM,11923.0,9538.4,1.0,10730.7,26
HCPCS,C1776,KNEE TRAY SLV MBT POR 53MM,11923.0,9538.4,1.0,10730.7,26
HCPCS,C1776,KNEE UNI ASF SZ2 8MM,6560.0,5248.0,1.0,5904.0,26
HCPCS,C1776,KNEE WDG FEM PSTR LNG10MMSZ3-4,8491.0,6792.8,1.0,7641.9,26
HCPCS,C1776,KNEE WDG FEM PSTR LNG10MMSZ7-8,8491.0,6792.8,1.0,7641.9,26
HCPCS,C1776,KNEE WDG TIB FULL HNG10MMSZ1-2,10801.0,8640.8,1.0,9720.9,26
HCPCS,C1776,KNEE WDG TIB FULL HNG10MMSZ3-4,10801.0,8640.8,1.0,9720.9,26
HCPCS,C1776,KNEE WDG TIB FULL HNG10MMSZ5-6,10801.0,8640.8,1.0,9720.9,26
HCPCS,C1776,KNEE WDG TIB FULLSTEP10MMSZ7-8,12761.0,10208.8,1.0,11484.9,26
HCPCS,C1776,KNEE WDG TIB FULLSTEP15MMSZ5-6,12761.0,10208.8,1.0,11484.9,26
HCPCS,C1776,KNEE WDG TIB FULLSTEP15MMSZ7-8,12761.0,10208.8,1.0,11484.9,26
HCPCS,C1776,KNEE WDG TIB LL/RM 10MM SZ1-2,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LL/RM 10MM SZ3-4,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LL/RM 10MM SZ7-8,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LL/RM 15MM SZ1-2,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LL/RM 15MM SZ3-4,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LL/RM 15MM SZ5-6,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LL/RM 15MM SZ7-8,11802.0,9441.6,1.0,10621.8,26
HCPCS,C1776,KNEE WDG TIB LM/RL 10MM S8-10,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LM/RL 10MM SZ1-2,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LM/RL 10MM SZ3-4,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LM/RL 10MM SZ5-6,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LM/RL 15MM SZ1-2,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LM/RL 15MM SZ3-4,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDG TIB LM/RL 15MM SZ5-6,11718.0,9374.4,1.0,10546.2,26
HCPCS,C1776,KNEE WDGTIBHEMILM/RLLFT15SZ7-8,8589.0,6871.2,1.0,7730.1,26
HCPCS,C1776,KNEEEXTNEXST16X200*DISC*,5998.0,4798.4,1.0,5398.2,26
HCPCS,C1776,KNEEEXTNEXST20X200*DISC*,5998.0,4798.4,1.0,5398.2,26
HCPCS,C1776,KNEEEXTNEXST22X200*DISC*,5998.0,4798.4,1.0,5398.2,26
HCPCS,C1776,KNEEEXTNEXST24X200*DISC*,5998.0,4798.4,1.0,5398.2,26
HCPCS,C1776,KNEEPSNASFUCVELFT107-12GH*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,KT FA EQUINOXE 0MM,5564.0,4451.2,1.0,5007.6,26
HCPCS,C1776,KT REPL ANK AXIOM STER,13000.0,10400.0,1.0,11700.0,26
HCPCS,C1776,KT TOTAL ELBOW ZIMM SZ4,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,MOLD CMNT KNEE SPACER FEM 60MM,8340.0,6672.0,1.0,7506.0,26
HCPCS,C1776,MOLD CMNT KNEE SPACER FEM 65MM,8340.0,6672.0,1.0,7506.0,26
HCPCS,C1776,MOLD CMNT KNEE SPACER FEM 70MM,8340.0,6672.0,1.0,7506.0,26
HCPCS,C1776,MOLD CMNT KNEE SPACER FEM 75MM,8340.0,6672.0,1.0,7506.0,26
HCPCS,C1776,MOLD CMNT KNEE SPACER TIB 65MM,4008.0,3206.4,1.0,3607.2,26
HCPCS,C1776,MOLD CMNT KNEE SPACER TIB 70MM,4008.0,3206.4,1.0,3607.2,26
HCPCS,C1776,MOLD CMNT KNEE SPACER TIB 75MM,4008.0,3206.4,1.0,3607.2,26
HCPCS,C1776,MOLD CMNT KNEE SPACER TIB 80MM,4008.0,3206.4,1.0,3607.2,26
HCPCS,C1776,MOLD NT HIP SPACER HD 48*DISC*,4016.0,3212.8,1.0,3614.4,26
HCPCS,C1776,MOLD NT HIP SPACER HD 52*DISC*,4016.0,3212.8,1.0,3614.4,26
HCPCS,C1776,MOLD NT HIP SPACER HD 56*DISC*,4016.0,3212.8,1.0,3614.4,26
HCPCS,C1776,MOLD NT HIP SPACER HD 60*DISC*,4016.0,3212.8,1.0,3614.4,26
HCPCS,C1776,MOLDNTHIPSPACER11X135*DISC*,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1776,MOLDNTHIPSPACER11X200*DISC*,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1776,MOLDNTHIPSPACER13X135*DISC*,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1776,MOLDNTHIPSPACER15X200*DISC*,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1776,MOLDNTHIPSPACER9X125*DISC*,5024.0,4019.2,1.0,4521.6,26
HCPCS,C1776,MOLDNTHIPSPACERNECK+6*DISC*,1512.0,1209.6,1.0,1360.8,26
HCPCS,C1776,MOLDNTHIPSPACERNECKSTD*DISC*,1512.0,1209.6,1.0,1360.8,26
HCPCS,C1776,MOLDNTHIPSPACERWHD43*DISC*,8352.0,6681.6,1.0,7516.8,26
HCPCS,C1776,MOLDNTHIPSPACERWHD51*DISC*,8352.0,6681.6,1.0,7516.8,26
HCPCS,C1776,MOLDNTHIPSPACERWHD57*DISC*,8352.0,6681.6,1.0,7516.8,26
HCPCS,C1776,PTLA IMPLT CUST FEM RT*NLU*,23980.0,19184.0,1.0,21582.0,26
HCPCS,C1776,SCREW SHLDR RVRSALTIVATE6.5X30,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,SCREW WRIST LK KINEMATX4.75X35,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,SHLDR ADPTR HUMR FRAC SZ10-15,9060.0,7248.0,1.0,8154.0,26
HCPCS,C1776,SHLDR ADPTR HUMR HD OSSEOFIT,1614.0,1291.2,1.0,1452.6,26
HCPCS,C1776,SHLDR ADPTR HUMRVRSFRACTRUNION,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1776,SHLDR ADPTR MINI BASE SRS 25MM,4810.0,3848.0,1.0,4329.0,26
HCPCS,C1776,SHLDR ADPTR MINI BASE VRS 25MM,1692.0,1353.6,1.0,1522.8,26
HCPCS,C1776,SHLDR ADPTR VERSADIAL 25MM,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,SHLDR ADPTR ZIMM STD,1200.0,960.0,1.0,1080.0,26
HCPCS,C1776,SHLDR ANCHOR ONLAY LFT SZ5,35600.0,28480.0,1.0,32040.0,26
HCPCS,C1776,SHLDR ANCHOR ONLAY RT SZ2,37180.0,29744.0,1.0,33462.0,26
HCPCS,C1776,SHLDR AUG GLENO RVRS PSTR RT8D,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR AUG GLENO RVRS PSTRLFT8D,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR AUG GLENO RVRS SUPR 10D,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR AUG GLENORVRSSUPRPSTRLFT,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR BALL TAPER ASSY DEPU,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,SHLDR BASE CMPRHNSV W ADPTR LG,9148.0,7318.4,1.0,8233.2,26
HCPCS,C1776,SHLDR BASE PERF FULL 15D 25MM,9034.0,7227.2,1.0,8130.6,26
HCPCS,C1776,SHLDR BASE PERF FULL 15D 29MM,9034.0,7227.2,1.0,8130.6,26
HCPCS,C1776,SHLDR BASE PERF HALF 35D 25MM,9034.0,7227.2,1.0,8130.6,26
HCPCS,C1776,SHLDR BASE PERF RVRS STD 29MM,5499.0,4399.2,1.0,4949.1,26
HCPCS,C1776,SHLDR BASE PERF RVRSLAT+3 25MM,8582.0,6865.6,1.0,7723.8,26
HCPCS,C1776,SHLDR BASEPLATE REUNION 2*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR BASEPLATE RSPEED SM 24MM,7860.0,6288.0,1.0,7074.0,26
HCPCS,C1776,SHLDR BASEPLATE RVRS TPR KT 65,10976.0,8780.8,1.0,9878.4,26
HCPCS,C1776,SHLDR BASEPLATE UNITI LG 29MM,7000.0,5600.0,1.0,6300.0,26
HCPCS,C1776,SHLDR BASEPLATE UNITI SM 24MM,7000.0,5600.0,1.0,6300.0,26
HCPCS,C1776,SHLDR BASEPLATERSPEEDPLTFMLG29,7860.0,6288.0,1.0,7074.0,26
HCPCS,C1776,SHLDR BASEPLATERSPEEDPLTFMSM24,7860.0,6288.0,1.0,7074.0,26
HCPCS,C1776,SHLDR CAGE HUMR STEMLESS SZ2,18664.0,14931.2,1.0,16797.6,26
HCPCS,C1776,SHLDR CLENOID CMPRHNSV VRS,56072.0,44857.6,1.0,50464.8,26
HCPCS,C1776,SHLDR CMNT HUMR STEM LNG 8MM,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR CPLE HD CTR TI 0MM,3125.0,2500.0,1.0,2812.5,26
HCPCS,C1776,SHLDR CPLE HD HO TI 3.5MM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,SHLDR CPLE HD LO TI 1.5MM,3125.0,2500.0,1.0,2812.5,26
HCPCS,C1776,SHLDR DELTA EXT METAGLENE+15MM,10272.0,8217.6,1.0,9244.8,26
HCPCS,C1776,SHLDR ECLIPSE HUMR HD 51/19,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR ECLIPSE HUMR HD 55/23,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR ECLIPSE SPEEDSCAP TSA,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR GLENDOID EXAT SM*NLU*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR GLENO 2 PEG MONO SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 2 PEG MONO SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 2 PEG MONO SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 2 PEG MONO SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 2 PEG MONO SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 3 PEG MOD SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 3 PEG MOD SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 3 PEG MOD SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 3 PEG MOD SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 3 PEG MOD SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 3 PEG MONO SZ1,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 3 PEG MONO SZ2,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 3 PEG MONO SZ3,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 3 PEG MONO SZ4,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 3 PEG MONO SZ5,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO 4PEG MOD LFT SZ4,5580.0,4464.0,1.0,5022.0,26
HCPCS,C1776,SHLDR GLENO 4PEG MOD LFT SZ5,5580.0,4464.0,1.0,5022.0,26
HCPCS,C1776,SHLDR GLENO 4PEG MOD RT SZ2,5580.0,4464.0,1.0,5022.0,26
HCPCS,C1776,SHLDR GLENO 4PEG MOD RT SZ3,5580.0,4464.0,1.0,5022.0,26
HCPCS,C1776,SHLDR GLENO 4PEG MOD SZ2,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,SHLDR GLENO 4PEG MOD SZ3,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,SHLDR GLENO 4PEG MOD SZ4,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,SHLDR GLENO 4PEG MOD SZ5,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,SHLDR GLENO AUG UNIVERSRT15DLG,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO AUG UNIVERSRT15DMD,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO AUG UNIVERSRT15DSM,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO AUG UNIVERSRT15DXL,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO AUG UNIVERSRT25DLG,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO AUG UNIVERSRT25DMD,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO AUG UNIVERSRT25DSM,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO AUG UNIVERSRT25DXL,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO AUGUNIVERSLFT15DLG,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO AUGUNIVERSLFT15DSM,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO AUGUNIVERSLFT15DXL,12300.0,9840.0,1.0,11070.0,26
HCPCS,C1776,SHLDR GLENO BASE +2LAT 24MM,9240.0,7392.0,1.0,8316.0,26
HCPCS,C1776,SHLDR GLENO BASE +4LAT 24MM,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,SHLDR GLENO BASE +4LAT 28MM,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,SHLDR GLENO BASE 20D28MM,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR GLENO BASE AUG 10D 24MM,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR GLENO BASE AUG 20D 24MM,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR GLENO BASE LAT+2 10D24MM,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR GLENO BASE LAT+2 10D28MM,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR GLENO BASE LAT+2 20D24MM,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR GLENO BASE LAT+2 25D24MM,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR GLENO BASE POST 24MM,7800.0,6240.0,1.0,7020.0,26
HCPCS,C1776,SHLDR GLENO BASE STD 20MM,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,SHLDR GLENO BASE STD 25MM,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,SHLDR GLENO BASE STD 28MM,8800.0,7040.0,1.0,7920.0,26
HCPCS,C1776,SHLDR GLENO BASE STD 30MM,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,SHLDR GLENO BASE STD 35MM,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,SHLDR GLENO BASE STD 40MM,5800.0,4640.0,1.0,5220.0,26
HCPCS,C1776,SHLDR GLENO BASE VERSADIAL28MM,4810.0,3848.0,1.0,4329.0,26
HCPCS,C1776,SHLDR GLENO BASEPLATE LFT,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR GLENO BASEPLATE POST,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR GLENO BASEPLATE SCREW 24,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR GLENO BETA EXAT MD*NLU*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR GLENO CAGE ALPHA LG,8988.0,7190.4,1.0,8089.2,26
HCPCS,C1776,SHLDR GLENO CAGE ALPHA MD,8988.0,7190.4,1.0,8089.2,26
HCPCS,C1776,SHLDR GLENO CAGE ALPHA SM,8988.0,7190.4,1.0,8089.2,26
HCPCS,C1776,SHLDR GLENO CAGE AUG LFT LG,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1776,SHLDR GLENO CAGE AUG LFT MD,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1776,SHLDR GLENO CAGE AUG LFT SM,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1776,SHLDR GLENO CAGE AUG LFT XL,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1776,SHLDR GLENO CAGE AUG RT LG,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1776,SHLDR GLENO CAGE AUG RT MD,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1776,SHLDR GLENO CAGE AUG RT SM,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1776,SHLDR GLENO CAGE AUG RT XL,10700.0,8560.0,1.0,9630.0,26
HCPCS,C1776,SHLDR GLENO CAGE BETA LG,8988.0,7190.4,1.0,8089.2,26
HCPCS,C1776,SHLDR GLENO CAGE BETA MD,8988.0,7190.4,1.0,8089.2,26
HCPCS,C1776,SHLDR GLENO CAGE BETA XL,8988.0,7190.4,1.0,8089.2,26
HCPCS,C1776,SHLDR GLENO CANN ECCN COCR 39,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO CANN ECCN COCR36+2,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO CANN LAT COCR 39MM,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO CANN LAT COCR 42MM,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO CANN STD COCR 36MM,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO CANN STD COCR 39MM,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO CANN STD COCR 42MM,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO CANN STD TI 36MM,12334.0,9867.2,1.0,11100.6,26
HCPCS,C1776,SHLDR GLENO CANN STD TI 39MM,12334.0,9867.2,1.0,11100.6,26
HCPCS,C1776,SHLDR GLENO CNCT REUNION40X2MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO CORTILOC LFT 15DLG,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR GLENO CORTILOC LFT 15DMD,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR GLENO CORTILOC LFT 15DSM,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR GLENO CORTILOC LFT 25DLG,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR GLENO CORTILOC LFT 25DSM,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR GLENO CORTILOC LFT 35DLG,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR GLENO CORTILOC RT 15D LG,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR GLENO CORTILOC RT 15D MD,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR GLENO CORTILOC RT 25D SM,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR GLENO CORTILOC RT 35D SM,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR GLENO ECCN TPR 24 36+2.5,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO ECCN TPR 24 39+2.5,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO ECCN TPR 24 42+2.5,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO ECCN TPR 28 39+2.5,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO ECCN TPR 28 42+2.5,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO EQUINOXE +4 3*NLU*,6800.0,5440.0,1.0,6120.0,26
HCPCS,C1776,SHLDR GLENO EQUINOXE +4 42MM,10852.0,8681.6,1.0,9766.8,26
HCPCS,C1776,SHLDR GLENO EQUINOXE 38MM,7638.0,6110.4,1.0,6874.2,26
HCPCS,C1776,SHLDR GLENO EQUINOXE 42MM,7638.0,6110.4,1.0,6874.2,26
HCPCS,C1776,SHLDR GLENO EXAT MD*NLU*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR GLENO HEMICAP 19X20MM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1776,SHLDR GLENO INHANCE 40MM +4,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR GLENO INHANCE CMNTXS21.5,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1776,SHLDR GLENO INHANCE ECCN 36+4,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR GLENO INHANCE ECCN 36+8,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR GLENO INHANCE ECCN 40+4,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR GLENO KEEL ARTICU 52MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO KEEL BIOMOD M*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO LASER CAGE LG RT8D,14240.0,11392.0,1.0,12816.0,26
HCPCS,C1776,SHLDR GLENO LASER CAGE MD RT8D,14240.0,11392.0,1.0,12816.0,26
HCPCS,C1776,SHLDR GLENO LASER CAGE MDLFT8D,14240.0,11392.0,1.0,12816.0,26
HCPCS,C1776,SHLDR GLENO LASER CAGE SM RT8D,14240.0,11392.0,1.0,12816.0,26
HCPCS,C1776,SHLDR GLENO LASERCAGE BETA0DMD,10450.0,8360.0,1.0,9405.0,26
HCPCS,C1776,SHLDR GLENO LASERCAGEALPHA0DMD,10450.0,8360.0,1.0,9405.0,26
HCPCS,C1776,SHLDR GLENO LASERCAGEALPHA0DSM,10450.0,8360.0,1.0,9405.0,26
HCPCS,C1776,SHLDR GLENO LAT STD 38MM +6,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO LAT TI 24 33+4,15200.0,12160.0,1.0,13680.0,26
HCPCS,C1776,SHLDR GLENO LAT TI 24 36+4,15200.0,12160.0,1.0,13680.0,26
HCPCS,C1776,SHLDR GLENO LAT TI 24 42+4,15200.0,12160.0,1.0,13680.0,26
HCPCS,C1776,SHLDR GLENO LAT TPR 24 33+4,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO LAT TPR 24 36+4,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO LAT TPR 24 39+4,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO LAT TPR 24 42+4,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO LAT TPR 28 39+4,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO LAT TPR 28 42+4,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO LATECCNXTEND38MM+0,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO LATECCNXTEND38MM+6,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO LATECCNXTEND38MM+8,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO LATECCNXTEND42MM+0,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO LATECCNXTEND42MM+6,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO LATECCNXTEND42MM+8,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO LK CAP EXPAND 42MM,10852.0,8681.6,1.0,9766.8,26
HCPCS,C1776,SHLDR GLENO LK CAPEQUINOXE38MM,7638.0,6110.4,1.0,6874.2,26
HCPCS,C1776,SHLDR GLENO LK CAPEQUINOXE42MM,7638.0,6110.4,1.0,6874.2,26
HCPCS,C1776,SHLDR GLENO LXTENDSTD38MM+8,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO LXTENDSTD42MM+6,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO LXTENDSTD42MM+8,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO MODEL CMPRHNSVVRS,3485.0,2788.0,1.0,3136.5,26
HCPCS,C1776,SHLDR GLENO PEG AEQUALIS 35,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR GLENO PEG BIGLIANI 46MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR GLENO PEG CORTILOC L40,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR GLENO PEG CORTILOC L50,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR GLENO PEG CORTILOC L60,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR GLENO PEG CORTILOC M40,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR GLENO PEG CORTILOC S30,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR GLENO PEG CORTILOC S40,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR GLENO PEG CORTILOCXL40,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR GLENO PEG CORTILOCXL60,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR GLENO PEG DEPU 40MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR GLENO PEG DEPU 44MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR GLENO PEG DEPU 48MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR GLENO PEG DEPU 52MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR GLENO PEG DEPU 56MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR GLENO PEG EXT +10MM,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR GLENO PEG POLY E+ SZ38,9380.0,7504.0,1.0,8442.0,26
HCPCS,C1776,SHLDR GLENO PEG POLY E+ SZ42,9380.0,7504.0,1.0,8442.0,26
HCPCS,C1776,SHLDR GLENO PEG STRY SZ44*NLU*,6800.0,5440.0,1.0,6120.0,26
HCPCS,C1776,SHLDR GLENO PLATE 10D,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR GLENO PLATE EXAT,8148.0,6518.4,1.0,7333.2,26
HCPCS,C1776,SHLDR GLENO PLATE EXAT 8D,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR GLENO PLATE RT 8D,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR GLENO POST AUG R*NLU*,6600.0,5280.0,1.0,5940.0,26
HCPCS,C1776,SHLDR GLENO POST AUG RT L*NLU*,6600.0,5280.0,1.0,5940.0,26
HCPCS,C1776,SHLDR GLENO POST AUG RT*NLU*,6600.0,5280.0,1.0,5940.0,26
HCPCS,C1776,SHLDR GLENO POST MODLR PPS,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,SHLDR GLENO POST MODLR TM,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,SHLDR GLENO POST ZIMM*DISC*,1830.0,1464.0,1.0,1647.0,26
HCPCS,C1776,SHLDR GLENO REUNION CNCT 36X6,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO REUNION CNCT32X2MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO REUNION CNCT36X2MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO REV SCREW 10D 36MM,7800.0,6240.0,1.0,7020.0,26
HCPCS,C1776,SHLDR GLENO RVRS CTR 25X25MM,19034.0,15227.2,1.0,17130.6,26
HCPCS,C1776,SHLDR GLENO RVRS CTR 25X35MM,19034.0,15227.2,1.0,17130.6,26
HCPCS,C1776,SHLDR GLENO RVRS ECCN 39MM +3,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO RVRS LAT 36MM +3,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO RVRS PRIM 25X25 +3,19034.0,15227.2,1.0,17130.6,26
HCPCS,C1776,SHLDR GLENO RVRS PRIM 25X35 +3,19034.0,15227.2,1.0,17130.6,26
HCPCS,C1776,SHLDR GLENO RVRS PRIM 29X25 +3,19034.0,15227.2,1.0,17130.6,26
HCPCS,C1776,SHLDR GLENO RVRS PRIM 29X35 +3,19034.0,15227.2,1.0,17130.6,26
HCPCS,C1776,SHLDR GLENO RVRS PRIM 29X35MM,19034.0,15227.2,1.0,17130.6,26
HCPCS,C1776,SHLDR GLENO RVRS STD 36MM,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO RVRS STD 39MM,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO RVRS STD 42MM,10334.0,8267.2,1.0,9300.6,26
HCPCS,C1776,SHLDR GLENO RVRS XTEND STD42MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO RVRSEXPAND36MM+4MM,11262.0,9009.6,1.0,10135.8,26
HCPCS,C1776,SHLDR GLENO RVRSEXPAND40MM+4MM,11262.0,9009.6,1.0,10135.8,26
HCPCS,C1776,SHLDR GLENO TPR 24MM 33,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO TPR 24MM 39,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO TPR 24MM 42,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO TPR 28MM 36,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO TPR 28MM 39,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO TPR 28MM 42,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO TPR 324MM 36,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR GLENO TRABECULAR MTL36MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO VAULTLOCK LG,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1776,SHLDR GLENO VAULTLOCK MD,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1776,SHLDR GLENO VAULTLOCK SM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1776,SHLDR GLENO VAULTLOCK XL,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1776,SHLDR GLENO VERSADIAL +3 36MM,4100.0,3280.0,1.0,3690.0,26
HCPCS,C1776,SHLDR GLENO VERSADIAL +6 36MM,4100.0,3280.0,1.0,3690.0,26
HCPCS,C1776,SHLDR GLENO VERSADIAL STD 36MM,4100.0,3280.0,1.0,3690.0,26
HCPCS,C1776,SHLDR GLENO VERSADIAL STD 41MM,4100.0,3280.0,1.0,3690.0,26
HCPCS,C1776,SHLDR GLENO XTEND ECCN 38MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO XTEND ECCN 42MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENO XTEND STD 38MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR GLENOBASE +2 STD 10D24MM,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR GLENOBASELAT+2OBLIQ20D24,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR GLENOBASELAT+2OBLIQ20D28,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR GLENOPOSTAUG RT MD *NLU*,6600.0,5280.0,1.0,5940.0,26
HCPCS,C1776,SHLDR GLENOSPERE TILT 25X39MM,9868.0,7894.4,1.0,8881.2,26
HCPCS,C1776,SHLDR GLENOSPERE TILT 29X39MM,9868.0,7894.4,1.0,8881.2,26
HCPCS,C1776,SHLDR GLENOSPERE TILT25X36MM,5303.0,4242.4,1.0,4772.7,26
HCPCS,C1776,SHLDR GLENOSPHERE INHANCE 32+8,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR GLENOSPHERE INHANCE 36+8,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR GLENOSPHERE INHANCE 40+8,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR HD EXAT ANG SHRT 50MM,9630.0,7704.0,1.0,8667.0,26
HCPCS,C1776,SHLDR HD VERSA-DIAL 38X18X39MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HD VERSA-DIAL 40MM +3,4100.0,3280.0,1.0,3690.0,26
HCPCS,C1776,SHLDR HD VERSA-DIAL 40MM +6,4100.0,3280.0,1.0,3690.0,26
HCPCS,C1776,SHLDR HD VERSA-DIAL 42X18X46MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HD VERSA-DIAL 46X18X53MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HD VERSA-DIAL 46X21X50MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HD VERSA-DIAL 46X24X47MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HD VERSA-DIAL 50X24X52MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HD VERSA-DIAL 54X21X64MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HD VERSA-DIAL 54X24X58MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HD VERSA-DIALTISTD 40MM,4100.0,3280.0,1.0,3690.0,26
HCPCS,C1776,SHLDR HUM STEM LNG 10X200*NLU*,22529.0,18023.2,1.0,20276.1,26
HCPCS,C1776,SHLDR HUM TRAY NEUT STD+0MM,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR HUMR ADPT*DISC 6341551*,9558.0,7646.4,1.0,8602.2,26
HCPCS,C1776,SHLDR HUMR ADPT*DISC 6341630*,9558.0,7646.4,1.0,8602.2,26
HCPCS,C1776,SHLDR HUMR ADPT*DISC 6341641*,9558.0,7646.4,1.0,8602.2,26
HCPCS,C1776,SHLDR HUMR ADPT*DISC 6341642*,9558.0,7646.4,1.0,8602.2,26
HCPCS,C1776,SHLDR HUMR ADPTR TRAY +0MM,9558.0,7646.4,1.0,8602.2,26
HCPCS,C1776,SHLDR HUMR ADPTR TRAY +10MM,9558.0,7646.4,1.0,8602.2,26
HCPCS,C1776,SHLDR HUMR ADPTR TRAY +15MM,9558.0,7646.4,1.0,8602.2,26
HCPCS,C1776,SHLDR HUMR ADPTR TRAY +5MM,9558.0,7646.4,1.0,8602.2,26
HCPCS,C1776,SHLDR HUMR BASE RVRS +3 40MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,SHLDR HUMR BASE RVRS 36MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,SHLDR HUMR BASE RVRS STD +10,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR HUMR BASE RVRS STD +5,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR HUMR BASE RVRSTI40MM+6+5,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR HUMR BASE STD STD,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR HUMR BASERVRS 40MM +10+3,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR HUMR BASERVRS 40MM +10+6,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR HUMR BEARING STD 44-36MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,SHLDR HUMR BEARING+3STD44-36MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,SHLDR HUMR CUP DEPU +3 42MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR CUP DEPU +6 42MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR CUP DEPU +9 42MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR CUP HIGH +3 38MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR CUP HIGH +6 38MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR CUP HIGH +6 42MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR CUP HIGH +9 38MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR CUP HIGH +9 42MM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR CUP REUNION 32X4MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HUMR CUP REUNION 36X4MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HUMR CUP REUNION 40X4MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HUMR CUP RVRS CA 33MM,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,SHLDR HUMR CUP RVRS CA 36MM,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,SHLDR HUMR CUP RVRS CA 39MM,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,SHLDR HUMR CUP RVRS CA 42MM,8600.0,6880.0,1.0,7740.0,26
HCPCS,C1776,SHLDR HUMR CUP STD +3 38,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR CUP STD +6 38,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR CUP STD +9 38,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1776,SHLDR HUMR DIST STEM 11X1*NLU*,20376.0,16300.8,1.0,18338.4,26
HCPCS,C1776,SHLDR HUMR DISTSTEMCOLAR2*NLU*,6545.0,5236.0,1.0,5890.5,26
HCPCS,C1776,SHLDR HUMR EPIP HA CTR SZ1,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR EPIP HA CTR SZ2,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR EPIP HA ECCN LFTSZ1,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR EPIP HA ECCN LFTSZ2,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR EPIP HA ECCN RT SZ1,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR EPIP HA ECCN RT SZ2,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR HD 45X19MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HUMR HD 48X20MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HUMR HD 54X22MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HUMR HD ALTIVATE 40X16MM,7812.0,6249.6,1.0,7030.8,26
HCPCS,C1776,SHLDR HUMR HD COCR 39X14,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1776,SHLDR HUMR HD COCR 48X16,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1776,SHLDR HUMR HD COCR 50X16,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1776,SHLDR HUMR HD COCR 54X24,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1776,SHLDR HUMR HD COPELAND HA*NLU*,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDR HUMR HD CTA 48X26MM,15380.0,12304.0,1.0,13842.0,26
HCPCS,C1776,SHLDR HUMR HD CTA 52X21MM,15380.0,12304.0,1.0,13842.0,26
HCPCS,C1776,SHLDR HUMR HD CTA 52X26MM,15380.0,12304.0,1.0,13842.0,26
HCPCS,C1776,SHLDR HUMR HD CTA DEPU 56*NLU*,5600.0,4480.0,1.0,5040.0,26
HCPCS,C1776,SHLDR HUMR HD DEPU 44X18*DISC*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD DEPU 44X21M*NLU*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD DJO NEUT 46X16MM,7812.0,6249.6,1.0,7030.8,26
HCPCS,C1776,SHLDR HUMR HD ECC 48X18MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD ECC 52X18MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD ECC 52X21MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD ECC 56X18MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD ECC 56X21MM*NLU*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD ECCN 44X18MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD ECCN 48X18M*NLU*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD ECCN 48X21*DISC*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD ECCN 52X18*DISC*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD ECCN TI3.5X43X16,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 16X39MM,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 18X39MM,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 37X16,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 41/18,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 41X16,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 43/16,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 43/18,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 45/17,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 45/19,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 47/18,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 47/20,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 49/18,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 49/20,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 53X20,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 53X22,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD EXAT 41MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT 41X20MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT 44MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT 47X26MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT 50X23MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT 50X27MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT 53MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT 53X28MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT SHR 44MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT SHR 47MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT SHRT 50MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT SHRT 53MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMR HD EXAT TALL 3*NLU*,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1776,SHLDR HUMR HD OFF 15X46MM,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD OFF 18X46MM,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD OFF 24X52MM,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD PCBN 1.5X16X43,25100.0,20080.0,1.0,22590.0,26
HCPCS,C1776,SHLDR HUMR HD PCBN 1.5X16X50,25100.0,20080.0,1.0,22590.0,26
HCPCS,C1776,SHLDR HUMR HD PCBN 1.5X17X46,25100.0,20080.0,1.0,22590.0,26
HCPCS,C1776,SHLDR HUMR HD PCBN 1.5X18X48,25100.0,20080.0,1.0,22590.0,26
HCPCS,C1776,SHLDR HUMR HD PCBN 1.5X19X50,25100.0,20080.0,1.0,22590.0,26
HCPCS,C1776,SHLDR HUMR HD PCBN 4X16X50,25100.0,20080.0,1.0,22590.0,26
HCPCS,C1776,SHLDR HUMR HD PCBN 4X17X46,25100.0,20080.0,1.0,22590.0,26
HCPCS,C1776,SHLDR HUMR HD PCBN 4X18X48,25100.0,20080.0,1.0,22590.0,26
HCPCS,C1776,SHLDR HUMR HD PCBN 4X19X50,25100.0,20080.0,1.0,22590.0,26
HCPCS,C1776,SHLDR HUMR HD PCBN 4X19X52,25100.0,20080.0,1.0,22590.0,26
HCPCS,C1776,SHLDR HUMR HD REVERS CA 44X17,9400.0,7520.0,1.0,8460.0,26
HCPCS,C1776,SHLDR HUMR HD REVERS CA 50X19,9400.0,7520.0,1.0,8460.0,26
HCPCS,C1776,SHLDR HUMR HD REVERS CA 56X22,9400.0,7520.0,1.0,8460.0,26
HCPCS,C1776,SHLDR HUMR HD STB HIGH 48X16,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR HUMR HD STB LOW 48X18,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR HUMR HD STB LOW 48X20,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR HUMR HD STD 18X40MM*NLU*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD STD 21X46MM,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STD 21X52MM,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STD 24X46MM,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STD 24X52MM,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STD 27X46MM,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STD 27X52MM,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STD 48X18MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD STD 52X18MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI15X40,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI15X46,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI18X40,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI18X52,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI24X40,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI27X40,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI30X46,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI33X46,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI33X52,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI36X52,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI6X130,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR HUMR HD STEMLESS 41X16MM,10690.0,8552.0,1.0,9621.0,26
HCPCS,C1776,SHLDR HUMR HD STEMLESS 47X15MM,10690.0,8552.0,1.0,9621.0,26
HCPCS,C1776,SHLDR HUMR HD STEMLESS 47X18MM,10690.0,8552.0,1.0,9621.0,26
HCPCS,C1776,SHLDR HUMR HD TI 46X17,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR HUMR HD UNITE 48X15MM,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1776,SHLDR HUMR HD UNIVERS CA 52X22,9400.0,7520.0,1.0,8460.0,26
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 40X17,7000.0,5600.0,1.0,6300.0,26
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 48X21,7000.0,5600.0,1.0,6300.0,26
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 50X21,7000.0,5600.0,1.0,6300.0,26
HCPCS,C1776,SHLDR HUMR INSRT CNSTND33+3/36,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT CNSTND39+3/42,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT CNSTND39+6/42,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT COMBO 33+3/36,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT COMBO 33+6/36,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT COMBO 36+3/33,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT COMBO 36+3/39,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT COMBO 36+6/33,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT COMBO 36+6/39,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT COMBO 39+3/42,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT COMBO 39+6/42,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR HUMR INSRT E+ STD SZ36,5284.0,4227.2,1.0,4755.6,26
HCPCS,C1776,SHLDR HUMR INSRT PROLNG +3 36,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,SHLDR HUMR INSRT PROLNGSTD40MM,3750.0,3000.0,1.0,3375.0,26
HCPCS,C1776,SHLDR HUMR INSRT RSP 36MM,5284.0,4227.2,1.0,4755.6,26
HCPCS,C1776,SHLDR HUMR INSRT RSP 4 4*NLU*,4945.0,3956.0,1.0,4450.5,26
HCPCS,C1776,SHLDR HUMR INSRT VITE +3 36MM,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1776,SHLDR HUMR INSRT VITE STD 36MM,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1776,SHLDR HUMR INSRT X3 STD 4*NLU*,5000.0,4000.0,1.0,4500.0,52
HCPCS,C1776,SHLDR HUMR INSRT X3 STD 40X4MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HUMR KT STEM NECK SZ1,26612.0,21289.6,1.0,23950.8,26
HCPCS,C1776,SHLDR HUMR LNR 145D 36MM +0,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR 145D 36MM +2.5,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR 145D 38MM+0,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR 145D 40MM +0,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR 145D 42MM +0,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR 145D 42MM +2.5,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR CNSTND 145D42+0,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR CNSTND 40MM +0,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR CNSTND 40MM+2.5,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR CNSTND36MM +0MM,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR EXAT 36MM +0,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR EXAT 36MM+2.5MM,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR EXAT 38MM +0,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR EXAT 38MM +2.5,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR EXAT 40MM +0,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR EXAT 40MM +2.5,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR EXAT 42MM +0,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNR EXAT 42MM +2.5,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR LNRCNSTND145D42+2.5,4358.0,3486.4,1.0,3922.2,26
HCPCS,C1776,SHLDR HUMR MID SEG 75MM,46715.0,37372.0,1.0,42043.5,26
HCPCS,C1776,SHLDR HUMR MID SEGMENT 25MM,40658.0,32526.4,1.0,36592.2,26
HCPCS,C1776,SHLDR HUMR PROX BODY LG 0*NLU*,21276.0,17020.8,1.0,19148.4,26
HCPCS,C1776,SHLDR HUMR PROX BODY MD 0MM,23861.0,19088.8,1.0,21474.9,26
HCPCS,C1776,SHLDR HUMR PROX BODY MD 12.5MM,28396.0,22716.8,1.0,25556.4,26
HCPCS,C1776,SHLDR HUMR PROX BODY SM 0MM,23861.0,19088.8,1.0,21474.9,26
HCPCS,C1776,SHLDR HUMR PROX BODY SM 12.5MM,28396.0,22716.8,1.0,25556.4,26
HCPCS,C1776,SHLDR HUMR PROX BODY XS +0MM,23861.0,19088.8,1.0,21474.9,26
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 28MM+0,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 36MM+8,10600.0,8480.0,1.0,9540.0,26
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 40MM+8,10600.0,8480.0,1.0,9540.0,26
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 44MM+0,7400.0,5920.0,1.0,6660.0,26
HCPCS,C1776,SHLDR HUMR RVRS STD 44MM,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1776,SHLDR HUMR SPACER DEPU +9MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR HUMR SPACER ZIMM 12MM,2685.0,2148.0,1.0,2416.5,26
HCPCS,C1776,SHLDR HUMR SPACER ZIMM 9MM,2685.0,2148.0,1.0,2416.5,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI40X15,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI44X15,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI44X18,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI48X15,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI48X18,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI48X21,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI52X15,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI52X18,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI52X21,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI56X18,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI56X21,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STEM 12MM SZ12,34279.0,27423.2,1.0,30851.1,26
HCPCS,C1776,SHLDR HUMR STEM 14MM SZ14,34276.0,27420.8,1.0,30848.4,26
HCPCS,C1776,SHLDR HUMR STEM EXAT LFT1*NLU*,9200.0,7360.0,1.0,8280.0,26
HCPCS,C1776,SHLDR HUMR STEM EXAT RT 1*NLU*,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR HUMR STEM PRESS 15X99MM,13000.0,10400.0,1.0,11700.0,26
HCPCS,C1776,SHLDR HUMR STEM PROS 30MM,17800.0,14240.0,1.0,16020.0,26
HCPCS,C1776,SHLDR HUMR STEM PROS 32MM,17800.0,14240.0,1.0,16020.0,26
HCPCS,C1776,SHLDR HUMR STEM REUNION 10X123,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,SHLDR HUMR STEM REUNION 11X123,13000.0,10400.0,1.0,11700.0,26
HCPCS,C1776,SHLDR HUMR STEM REUNION 13X128,11800.0,9440.0,1.0,10620.0,26
HCPCS,C1776,SHLDR HUMR STEM REUNION 7X113,13000.0,10400.0,1.0,11700.0,26
HCPCS,C1776,SHLDR HUMR STEM STD COMPL*NLU*,8400.0,6720.0,1.0,7560.0,26
HCPCS,C1776,SHLDR HUMR STEM STRY 14MM*NLU*,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STEM STRY 15MM*NLU*,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STEM STRY 17MM*NLU*,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR HUMR STEM UNIV II 6*NLU*,14700.0,11760.0,1.0,13230.0,26
HCPCS,C1776,SHLDR HUMR SUT CUPRVRSNEUT36MM,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMR SUT CUPRVRSNEUT39MM,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMR SUT CUPRVRSNEUT42MM,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMR SUTCUP RVRS CTDRT33,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMR SUTCUPRVRSCTDRT33+2,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMR SUTCUPRVRSCTDRT36+2,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMR SUTCUPRVRSCTDRT39+2,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMR SUTCUPRVRSCTDRT42+2,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMR TRAY *DISC NO REPL*,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR HUMR TRAY IDENTITYNEUT+0,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR HUMR TRAY IDENTITYNEUT-6,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR HUMRHD EXAT 47X22MM,7104.0,5683.2,1.0,6393.6,26
HCPCS,C1776,SHLDR HUMRSUTCUPRVRSCTDLFT33+2,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMRSUTCUPRVRSCTDLFT36+2,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMRSUTCUPRVRSCTDLFT39+2,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR HUMRSUTCUPRVRSCTDLFT42+2,7140.0,5712.0,1.0,6426.0,26
HCPCS,C1776,SHLDR IMPLT KTONKOCUST*NLU*,119400.0,95520.0,1.0,107460.0,26
HCPCS,C1776,SHLDR INSRT E+ POLYSMSEMISTD32,5284.0,4227.2,1.0,4755.6,26
HCPCS,C1776,SHLDR INSRT FLEX RETENT39MM+6B,7048.0,5638.4,1.0,6343.2,26
HCPCS,C1776,SHLDR INSRT HUMR CNSTND L/33+3,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR CNSTND L/33+6,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/33+3,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/33+6MM,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/36 +3,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/36 +3 CONS,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/36 +6,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/36 +6 CONST,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/39 +3,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/39 +3 CONST,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/39 +6,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/39 +6 CONST,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/42 +3,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/42 +3 CONST,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/42 +6,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR L/42 6 *NLU*,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1776,SHLDR INSRT HUMR REVERS 39 +6,1680.0,1344.0,1.0,1512.0,26
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 33+0,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 33+3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 39+0,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 39+3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 39+6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 39+3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 42+0,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 42+3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 42+6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT REUNION STD 3*NLU*,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR INSRT REUNION STD 36X4MM,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR INSRT RVRS 1/2 33MM +3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 1/2 36MM +0,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 1/2 36MM +3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 1/2 36MM +6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 1/2 39MM +0,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 1/2 39MM +3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 1/2 39MM +6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 3/4 36MM +0,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 3/4 36MM +3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 3/4 36MM +6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 3/4 39MM +0,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 3/4 39MM +3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 3/4 39MM +6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 3/4 42MM +0,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS 3/4 42MM +3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR INSRT RVRS FLEX 39MM +6B,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,SHLDR INSRT RVRS FLEX 39MM +9B,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,SHLDR INSRT RVRS RETENT36MM+6B,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,SHLDR INSRT RVRS STD 36MM +6B,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,SHLDR INSRT RVRS STD 36MM +9B,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,SHLDR INSRT RVRS STD 42MM +6B,4500.0,3600.0,1.0,4050.0,26
HCPCS,C1776,SHLDR INSRT RVRSVE45 36MMSZ3/4,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR INSRT RVRSVE45 42MMSZ3/4,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR INSRT RVRSVE55 36MMSZ3/4,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR INSRT RVRSVE55 39MMSZ3/4,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR INSRT RVRSVE65 36MMSZ3/4,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR KICKSTAND AUG CMNTLSS4MM,7342.0,5873.6,1.0,6607.8,26
HCPCS,C1776,SHLDR KICKSTAND AUG CMNTLSS6MM,7342.0,5873.6,1.0,6607.8,26
HCPCS,C1776,SHLDR LNR RVRS INHANCE 36MM +0,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,SHLDR LNR RVRS INHANCE 40MM +0,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,SHLDR LNR RVRS INHANCE 40MM +4,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,SHLDR LNR RVRS RETENT 32MM +0,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,SHLDR LNR RVRS RETENT 32MM +4,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,SHLDR LNR RVRS RETENT 40MM +0,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,SHLDR LNR RVRS RETENT 40MM +4,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1776,SHLDR LNR RVRS ZIMM +3 36MM,4250.0,3400.0,1.0,3825.0,26
HCPCS,C1776,SHLDR LNR RVRS ZIMM 0X36MM,4250.0,3400.0,1.0,3825.0,26
HCPCS,C1776,SHLDR LNR RVRS ZIMM 6X36MM,4250.0,3400.0,1.0,3825.0,26
HCPCS,C1776,SHLDR LNR STD 135/145D 36MM+9,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR LNR STD 136/145D 36MM +3,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR LNR VIV-E 65D 36MM +3,6248.0,4998.4,1.0,5623.2,26
HCPCS,C1776,SHLDR LNR VIV-E 65D 40MM +3,6248.0,4998.4,1.0,5623.2,26
HCPCS,C1776,SHLDR LNR VIV-E STD 36MM,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1776,SHLDR LNR VIV-E STD 40MM,4788.0,3830.4,1.0,4309.2,26
HCPCS,C1776,SHLDR METAGLENE DEPU,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR NUCLEUS ANATOM SZ1,25584.0,20467.2,1.0,23025.6,26
HCPCS,C1776,SHLDR NUCLEUS ANATOM SZ2,25584.0,20467.2,1.0,23025.6,26
HCPCS,C1776,SHLDR PEG LK ALTIVATE RVRS18MM,5760.0,4608.0,1.0,5184.0,26
HCPCS,C1776,SHLDR PIN NIT GLENOTARGETER2.8,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1776,SHLDR PLATE EXAT 1.5MM,4344.0,3475.2,1.0,3909.6,26
HCPCS,C1776,SHLDR PLATE EXAT 4.5MM,4344.0,3475.2,1.0,3909.6,26
HCPCS,C1776,SHLDR PLATE GLENO RVRS EXT SM,12640.0,10112.0,1.0,11376.0,26
HCPCS,C1776,SHLDR PLATE GLENO RVRS STD SM,9008.0,7206.4,1.0,8107.2,26
HCPCS,C1776,SHLDR POST MOD CENT FIX 25MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR POST MOD CENT FIX 30MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR POST MOD CENT FIX 35MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR POST PERF PRESSFIT SHRT7,2816.0,2252.8,1.0,2534.4,26
HCPCS,C1776,SHLDR PRESS HUMR STEM 13X128MM,13000.0,10400.0,1.0,11700.0,26
HCPCS,C1776,SHLDR PROX BODY AFR 11X40MM,23028.0,18422.4,1.0,20725.2,26
HCPCS,C1776,SHLDR PROX BODY AFR 13X40MM,23028.0,18422.4,1.0,20725.2,26
HCPCS,C1776,SHLDR PROX BODY AFR 15X40MM,23028.0,18422.4,1.0,20725.2,26
HCPCS,C1776,SHLDR PROX BODY AFR 9X40MM,23028.0,18422.4,1.0,20725.2,26
HCPCS,C1776,SHLDR PROX BODY HRS MAX SM,45706.0,36564.8,1.0,41135.4,26
HCPCS,C1776,SHLDR PROX BODY PTC STD 135D 9,23028.0,18422.4,1.0,20725.2,26
HCPCS,C1776,SHLDR PROX BODY PTC STD 135D11,23028.0,18422.4,1.0,20725.2,26
HCPCS,C1776,SHLDR PROX BODY PTC STD 135D13,23028.0,18422.4,1.0,20725.2,26
HCPCS,C1776,SHLDR PROX BODY PTC STD 135D15,23028.0,18422.4,1.0,20725.2,26
HCPCS,C1776,SHLDR PROX BODY PTC STD 135D17,23028.0,18422.4,1.0,20725.2,26
HCPCS,C1776,SHLDR PROX BODY UNITE 128DSZ10,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1776,SHLDR PROX BODY UNITE 128DSZ12,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1776,SHLDR PROX BODY UNITE 128DSZ14,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1776,SHLDR PROX BODY UNITE 128DSZ16,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1776,SHLDR PROX BODY UNITE 142DSZ10,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1776,SHLDR PROX BODY UNITE 142DSZ12,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1776,SHLDR PROX BODY UNITE 142DSZ14,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1776,SHLDR PROX BODY UNITE 142DSZ16,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1776,SHLDR PROX BODY UNITE128DSZ6-8,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1776,SHLDR PROX BODY UNITE142DSZ6-8,3925.0,3140.0,1.0,3532.5,26
HCPCS,C1776,SHLDR PROXBODY CMPRHNSVSR 52M,18428.0,14742.4,1.0,16585.2,26
HCPCS,C1776,SHLDR PROXBODY CMPRHNSVSRSLG42,18428.0,14742.4,1.0,16585.2,26
HCPCS,C1776,SHLDR REPAIRFXBRIDGETUBEROSITY,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR REUNION HD OFFSET44X16,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR REUNION HD OFFSET48X15,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR REV PERFORM VE1/2 36MM+0,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE1/2 36MM+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE1/2 36MM+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE1/2 39MM+0,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE1/2 39MM+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE1/2 39MM+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE3/4 36MM+0,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE3/4 36MM+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE3/4 39MM+0,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE3/4 39MM+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE3/4 39MM+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE3/4 42MM+0,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE3/4 42MM+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM VE3/4 42MM+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM3/4 10D36MM+0,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR REV PERFORM3/4 10D36MM+6,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR REV PERFORM3/4 10D39MM+0,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR REV PERFORM3/4 10D39MM+3,7600.0,6080.0,1.0,6840.0,26
HCPCS,C1776,SHLDR REV PERFORM3/4 10D39MM+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM3/4 10D42MM+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV PERFORM3/4 10D42MM+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDR REV SPACER 36MM +9MM,4801.0,3840.8,1.0,4320.9,26
HCPCS,C1776,SHLDR REV TM BASE POST 15MM,6280.0,5024.0,1.0,5652.0,26
HCPCS,C1776,SHLDR RVRS FRAC EPIP RT,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR RVRS HUMR ZIMM +5 44MM,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR RVRS HUMR ZIMM STD 44MM,5500.0,4400.0,1.0,4950.0,26
HCPCS,C1776,SHLDR SCREW CENT HUMELK 4.5X14,750.0,600.0,1.0,675.0,26
HCPCS,C1776,SHLDR SCREW CMPRHNSV 6.5X25MM,492.0,393.6,1.0,442.8,26
HCPCS,C1776,SHLDR SCREW CMPRHNSV 6.5X30MM,492.0,393.6,1.0,442.8,26
HCPCS,C1776,SHLDR SCREW CTRREUNION6.5X36MM,300.0,240.0,1.0,270.0,26
HCPCS,C1776,SHLDR SCREW LK HUMELKII 4.5X15,750.0,600.0,1.0,675.0,26
HCPCS,C1776,SHLDR SCREW LK TAPER SZ87*NLU*,2552.0,2041.6,1.0,2296.8,26
HCPCS,C1776,SHLDR SCREW LK TPR SZ0,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1776,SHLDR SCREW LK TPR SZ162.5,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1776,SHLDR SCREW LK TPR SZ25,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1776,SHLDR SCREW LK TPR SZ37.5,2862.0,2289.6,1.0,2575.8,26
HCPCS,C1776,SHLDR SCREW MOD CENT FIX 20MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR SCREW MOD CENT FIX 30MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR SCREW MOD CENT FIX 35MM,4750.0,3800.0,1.0,4275.0,26
HCPCS,C1776,SHLDR SCREW PERIPH LK 5.5X20MM,720.0,576.0,1.0,648.0,26
HCPCS,C1776,SHLDR SCREW PERIPH LK 5.5X36MM,720.0,576.0,1.0,648.0,26
HCPCS,C1776,SHLDR SCREW PERIPH LK 5.5X44MM,720.0,576.0,1.0,648.0,26
HCPCS,C1776,SHLDR SCREW PERIPH NL 4.5X44MM,720.0,576.0,1.0,648.0,26
HCPCS,C1776,SHLDR SEG CMPRHNSV AUG SRS LG,14272.0,11417.6,1.0,12844.8,26
HCPCS,C1776,SHLDR SEG CMPRHNSV AUG SRS SM,14272.0,11417.6,1.0,12844.8,26
HCPCS,C1776,SHLDR SEG INTRCLY ANTIROTSRS30,27452.0,21961.6,1.0,24706.8,26
HCPCS,C1776,SHLDR SEG INTRCLY SCREW SRS 30,27452.0,21961.6,1.0,24706.8,26
HCPCS,C1776,SHLDR SIMPLICITI NUCLEUS SZ1,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR SIMPLICITI NUCLEUS SZ2,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR SIMPLICITI NUCLEUS SZ3,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR SPACER ARF 11X20MM,13816.0,11052.8,1.0,12434.4,26
HCPCS,C1776,SHLDR SPACER ARF 11X30MM,13816.0,11052.8,1.0,12434.4,26
HCPCS,C1776,SHLDR SPACER ARF 13X20MM,13816.0,11052.8,1.0,12434.4,26
HCPCS,C1776,SHLDR SPACER ARF 13X30MM,13816.0,11052.8,1.0,12434.4,26
HCPCS,C1776,SHLDR SPACER ARF 15X20MM,13816.0,11052.8,1.0,12434.4,26
HCPCS,C1776,SHLDR SPACER ARF 15X30MM,13816.0,11052.8,1.0,12434.4,26
HCPCS,C1776,SHLDR SPACER ARF 9X30MM,13816.0,11052.8,1.0,12434.4,26
HCPCS,C1776,SHLDR SPACER HRS MAX 20MM SZ20,19044.0,15235.2,1.0,17139.6,26
HCPCS,C1776,SHLDR SPACER HUMR FRAC 9 SZ1/2,5762.0,4609.6,1.0,5185.8,26
HCPCS,C1776,SHLDR SPACER HUMR FRAC 9 SZ3/4,5762.0,4609.6,1.0,5185.8,26
HCPCS,C1776,SHLDR SPACER INTERSPACE 41MM,15084.0,12067.2,1.0,13575.6,26
HCPCS,C1776,SHLDR SPACER INTERSPACE 46MM,15084.0,12067.2,1.0,13575.6,26
HCPCS,C1776,SHLDR SPACER UNIV 36 +12MM,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACER UNIV 36 +6MM,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACER UNIV 36 +9MM,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACER UNIV 39 +6MM,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACER UNIV 39 +9MM,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACER UNIV 42 +15MM,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACER UNIV 42 +6MM,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACER UNIV 42 9MM*NLU*,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACERHUMRPERFORMSZ3/4+9,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR SPACERUNIVERSREVERS33 12,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACERUNIVERSREVERS33 15,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACERUNIVERSREVERS33 6,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR SPACERUNIVERSREVERS33 9,2940.0,2352.0,1.0,2646.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 10MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 11MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 14MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 15MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 10MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 11MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 12MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 13MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 14MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 15MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 16MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 18MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 6MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 7MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 9MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV STD 10MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV STD 11MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV STD 12MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM CMPRHNSV STD 9MM,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM DIST 11X80MM,22854.0,18283.2,1.0,20568.6,26
HCPCS,C1776,SHLDR STEM DIST 13X80MM,22854.0,18283.2,1.0,20568.6,26
HCPCS,C1776,SHLDR STEM DIST 7X80MM,22854.0,18283.2,1.0,20568.6,26
HCPCS,C1776,SHLDR STEM DIST 9X120MM,22854.0,18283.2,1.0,20568.6,26
HCPCS,C1776,SHLDR STEM DIST 9X80MM,22854.0,18283.2,1.0,20568.6,26
HCPCS,C1776,SHLDR STEM DIST COLAR 18.5MM,7342.0,5873.6,1.0,6607.8,26
HCPCS,C1776,SHLDR STEM DIST COLAR 19.5MM,7342.0,5873.6,1.0,6607.8,26
HCPCS,C1776,SHLDR STEM DIST COLAR 20.5MM,7342.0,5873.6,1.0,6607.8,26
HCPCS,C1776,SHLDR STEM DIST COLAR 21.5MM,7342.0,5873.6,1.0,6607.8,26
HCPCS,C1776,SHLDR STEM DIST COLAR 22.5MM,7342.0,5873.6,1.0,6607.8,26
HCPCS,C1776,SHLDR STEM DIST COLAR 23.5MM,7342.0,5873.6,1.0,6607.8,26
HCPCS,C1776,SHLDR STEM DIST COLAR 26.5MM,7342.0,5873.6,1.0,6607.8,26
HCPCS,C1776,SHLDR STEM DIST COLAR 28.5MM,7342.0,5873.6,1.0,6607.8,26
HCPCS,C1776,SHLDR STEM DIST PTC 11X130MM,36180.0,28944.0,1.0,32562.0,26
HCPCS,C1776,SHLDR STEM DIST PTC 11X170MM,41540.0,33232.0,1.0,37386.0,26
HCPCS,C1776,SHLDR STEM DIST PTC 11X90MM,20724.0,16579.2,1.0,18651.6,26
HCPCS,C1776,SHLDR STEM DIST PTC 13X130MM,36180.0,28944.0,1.0,32562.0,26
HCPCS,C1776,SHLDR STEM DIST PTC 13X90MM,20724.0,16579.2,1.0,18651.6,26
HCPCS,C1776,SHLDR STEM DIST PTC 15X130MM,36180.0,28944.0,1.0,32562.0,26
HCPCS,C1776,SHLDR STEM DIST PTC 15X90MM,20724.0,16579.2,1.0,18651.6,26
HCPCS,C1776,SHLDR STEM DIST PTC 9X130MM,36180.0,28944.0,1.0,32562.0,26
HCPCS,C1776,SHLDR STEM DIST PTC 9X170MM,41540.0,33232.0,1.0,37386.0,26
HCPCS,C1776,SHLDR STEM DIST PTC PART 9X90,20724.0,16579.2,1.0,18651.6,26
HCPCS,C1776,SHLDR STEM DIST PTC PART11X90,20724.0,16579.2,1.0,18651.6,26
HCPCS,C1776,SHLDR STEM DIST PTC PART12X90,20724.0,16579.2,1.0,18651.6,26
HCPCS,C1776,SHLDR STEM DIST PTC PART13X90,20724.0,16579.2,1.0,18651.6,26
HCPCS,C1776,SHLDR STEM DIST PTC PART14X90,20724.0,16579.2,1.0,18651.6,26
HCPCS,C1776,SHLDR STEM DIST PTC PART15X90,20724.0,16579.2,1.0,18651.6,26
HCPCS,C1776,SHLDR STEM DIST PTC PART16X90,20724.0,16579.2,1.0,18651.6,26
HCPCS,C1776,SHLDR STEM EPIP HA 10MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR STEM EPIP HA 12MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR STEM EPIP HA 14MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR STEM EPIP HA 16MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,SHLDR STEM EPIP LG 10D SZ2,25890.0,20712.0,1.0,23301.0,26
HCPCS,C1776,SHLDR STEM EPIP LG 12D SZ1,25890.0,20712.0,1.0,23301.0,26
HCPCS,C1776,SHLDR STEM EPIP LG 12D SZ2,25890.0,20712.0,1.0,23301.0,26
HCPCS,C1776,SHLDR STEM EPIP LG 14D SZ1,25890.0,20712.0,1.0,23301.0,26
HCPCS,C1776,SHLDR STEM EPIP LG 14D SZ2,25890.0,20712.0,1.0,23301.0,26
HCPCS,C1776,SHLDR STEM EPIP STD 10D SZ1,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,SHLDR STEM EPIP STD 10D SZ2,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,SHLDR STEM EPIP STD 12D SZ1,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,SHLDR STEM EPIP STD 12D SZ2,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,SHLDR STEM EPIP STD 14D SZ1,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,SHLDR STEM EPIP STD 8D SZ1,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1776,SHLDR STEM EQUINOXE 6MM,14688.0,11750.4,1.0,13219.2,26
HCPCS,C1776,SHLDR STEM EQUINOXE 8MM,14688.0,11750.4,1.0,13219.2,26
HCPCS,C1776,SHLDR STEM FRAC LFT12.5MM,14688.0,11750.4,1.0,13219.2,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ10,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ11,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ12,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ13,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ14,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ15,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ17,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ7S,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ8S,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ9,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ9S,22464.0,17971.2,1.0,20217.6,26
HCPCS,C1776,SHLDR STEM FRAC PPS 14X122MM,8440.0,6752.0,1.0,7596.0,26
HCPCS,C1776,SHLDR STEM FRAC RT 8.5MM,14688.0,11750.4,1.0,13219.2,26
HCPCS,C1776,SHLDR STEM GLOBAL AP DEPU*NLU*,10000.0,8000.0,1.0,9000.0,26
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ10,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ11,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ12,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ13,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ14,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ15,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ16,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ6,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ8,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ9,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY STD SZ13,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM IDENTITY STD SZ16,10400.0,8320.0,1.0,9360.0,26
HCPCS,C1776,SHLDR STEM LNG INHANCE LG 40MM,23108.0,18486.4,1.0,20797.2,26
HCPCS,C1776,SHLDR STEM LNG INHANCE MD 36MM,23108.0,18486.4,1.0,20797.2,26
HCPCS,C1776,SHLDR STEM LNG INHANCE SM 32MM,23108.0,18486.4,1.0,20797.2,26
HCPCS,C1776,SHLDR STEM LNG INHANCE XL 44MM,23108.0,18486.4,1.0,20797.2,26
HCPCS,C1776,SHLDR STEM MOD SCREW 10X100MM,14748.0,11798.4,1.0,13273.2,26
HCPCS,C1776,SHLDR STEM MOD SCREW 10X200MM,14748.0,11798.4,1.0,13273.2,26
HCPCS,C1776,SHLDR STEM MOD SCREW 11X100MM,14748.0,11798.4,1.0,13273.2,26
HCPCS,C1776,SHLDR STEM MOD SCREW 9X100MM,14748.0,11798.4,1.0,13273.2,26
HCPCS,C1776,SHLDR STEM MOD STD 11X130MM,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR STEM MOD STD 12X130MM,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR STEM MOD STD 14X130MM,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR STEM MOD STD 15X130MM,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR STEM MOD STD 16X130MM,8000.0,6400.0,1.0,7200.0,26
HCPCS,C1776,SHLDR STEM PERFORM LNG SZ1+,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM LNG SZ2+,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM LNG SZ3+,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ1,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ1+,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ2,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ2+,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ3,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ3+,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ4,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ4+,14400.0,11520.0,1.0,12960.0,26
HCPCS,C1776,SHLDR STEM PERFORM XLNG SZ3,19960.0,15968.0,1.0,17964.0,26
HCPCS,C1776,SHLDR STEM POROCOAT STD 10X132,17868.0,14294.4,1.0,16081.2,26
HCPCS,C1776,SHLDR STEM POROCOAT STD 12X137,17868.0,14294.4,1.0,16081.2,26
HCPCS,C1776,SHLDR STEM POROCOAT STD 14X147,17868.0,14294.4,1.0,16081.2,26
HCPCS,C1776,SHLDR STEM PRIM PRESSFIT 10MM,11426.0,9140.8,1.0,10283.4,26
HCPCS,C1776,SHLDR STEM PRIM PRESSFIT 11MM,11426.0,9140.8,1.0,10283.4,26
HCPCS,C1776,SHLDR STEM PRIM PRESSFIT 12MM,11426.0,9140.8,1.0,10283.4,26
HCPCS,C1776,SHLDR STEM PRIM PRESSFIT 13MM,11426.0,9140.8,1.0,10283.4,26
HCPCS,C1776,SHLDR STEM PRIM PRESSFIT 14MM,11426.0,9140.8,1.0,10283.4,26
HCPCS,C1776,SHLDR STEM PRIM PRESSFIT 15MM,11426.0,9140.8,1.0,10283.4,26
HCPCS,C1776,SHLDR STEM PRIM PRESSFIT 17MM,11426.0,9140.8,1.0,10283.4,26
HCPCS,C1776,SHLDR STEM PRIM PRESSFIT 7MM,11426.0,9140.8,1.0,10283.4,26
HCPCS,C1776,SHLDR STEM PRIM PRESSFIT 8MM,11426.0,9140.8,1.0,10283.4,26
HCPCS,C1776,SHLDR STEM PRIM PRESSFIT 9MM,11426.0,9140.8,1.0,10283.4,26
HCPCS,C1776,SHLDR STEM PTC LNG 109MM SZ5B,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,SHLDR STEM PTC LNG 93MM SZ2B,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,SHLDR STEM PTC STD 66MM SZ1B,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,SHLDR STEM PTC STD 70MM SZ2B,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,SHLDR STEM PTC STD 74MM SZ3A,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,SHLDR STEM PTC STD 74MM SZ3B,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,SHLDR STEM PTC STD 78MM SZ4B,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,SHLDR STEM PTC STD 82MM SZ5B,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,SHLDR STEM PTC STD 86MM SZ6B,12000.0,9600.0,1.0,10800.0,26
HCPCS,C1776,SHLDR STEM REVERS APEX SZ10,11940.0,9552.0,1.0,10746.0,26
HCPCS,C1776,SHLDR STEM REVERS APEX SZ11,11940.0,9552.0,1.0,10746.0,26
HCPCS,C1776,SHLDR STEM REVERS APEX SZ12,11940.0,9552.0,1.0,10746.0,26
HCPCS,C1776,SHLDR STEM REVERS APEX SZ13,11940.0,9552.0,1.0,10746.0,26
HCPCS,C1776,SHLDR STEM REVERS APEX SZ14,11940.0,9552.0,1.0,10746.0,26
HCPCS,C1776,SHLDR STEM REVERS APEX SZ15,11940.0,9552.0,1.0,10746.0,26
HCPCS,C1776,SHLDR STEM REVERS APEX SZ6,11940.0,9552.0,1.0,10746.0,26
HCPCS,C1776,SHLDR STEM REVERS APEX SZ7,11940.0,9552.0,1.0,10746.0,26
HCPCS,C1776,SHLDR STEM REVERS APEX SZ8,11940.0,9552.0,1.0,10746.0,26
HCPCS,C1776,SHLDR STEM REVERS APEX SZ9,11940.0,9552.0,1.0,10746.0,26
HCPCS,C1776,SHLDR STEM REVERS SM 8X108MM,26580.0,21264.0,1.0,23922.0,26
HCPCS,C1776,SHLDR STEM RVRS ALTIVATE 10X48,33156.0,26524.8,1.0,29840.4,26
HCPCS,C1776,SHLDR STEM STD INHANCE SM 28MM,8056.0,6444.8,1.0,7250.4,26
HCPCS,C1776,SHLDR STEM TRABEC 42D 14X130MM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1776,SHLDR STEM TRABEC REV 10X130MM,17300.0,13840.0,1.0,15570.0,26
HCPCS,C1776,SHLDR STEM TRABEC REV 12X130MM,17300.0,13840.0,1.0,15570.0,26
HCPCS,C1776,SHLDR STEM TRABEC REV 14X130MM,17300.0,13840.0,1.0,15570.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS MONOSZ4,16356.0,13084.8,1.0,14720.4,26
HCPCS,C1776,SHLDR STEM UNIV REVERS MONOSZ5,14700.0,11760.0,1.0,13230.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS REVSZ12,11900.0,9520.0,1.0,10710.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ10,9940.0,7952.0,1.0,8946.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ11,9940.0,7952.0,1.0,8946.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ12,9940.0,7952.0,1.0,8946.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ13,9940.0,7952.0,1.0,8946.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ5,9940.0,7952.0,1.0,8946.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ6,9940.0,7952.0,1.0,8946.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ7,9940.0,7952.0,1.0,8946.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ8,9940.0,7952.0,1.0,8946.0,26
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ9,9940.0,7952.0,1.0,8946.0,26
HCPCS,C1776,SHLDR STEM UNIVERS APEX 5MM,16700.0,13360.0,1.0,15030.0,26
HCPCS,C1776,SHLDR STEM UNIVERS APEX 6MM,16700.0,13360.0,1.0,15030.0,26
HCPCS,C1776,SHLDR STEM UNIVERS II 9X146MM,14700.0,11760.0,1.0,13230.0,26
HCPCS,C1776,SHLDR STEM UNIVERS OPTIFIT 7MM,16700.0,13360.0,1.0,15030.0,26
HCPCS,C1776,SHLDR STEM UNIVERS OPTIFIT 8MM,16700.0,13360.0,1.0,15030.0,26
HCPCS,C1776,SHLDR TRAY RVRS 0MM +0,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR TRAY RVRS 1.5MM +0,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR TRAY RVRS 1.5MM +6,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR TRAY RVRS 3.5MM +0,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR TRAY RVRS 3.5MM +6,5000.0,4000.0,1.0,4500.0,26
HCPCS,C1776,SHLDR TRAY RVRS 8MM +3.5 SZ3/4,9672.0,7737.6,1.0,8704.8,26
HCPCS,C1776,SHLDR TRAY RVRS 8MM SZ3/4,21672.0,17337.6,1.0,19504.8,26
HCPCS,C1776,SHLDR TRUNION ECLIPSE 37MM,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR TRUNION ECLIPSE 39MM,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR TRUNION ECLIPSE 41MM,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR TRUNION ECLIPSE 43MM,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR TRUNION ECLIPSE 45MM,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR TRUNION ECLIPSE 47MM,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR TRUNION ECLIPSE 49MM,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR TRUNION ECLIPSE 51MM,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR TRUNION ECLIPSE 53MM,18000.0,14400.0,1.0,16200.0,26
HCPCS,C1776,SHLDR ZIMM TPR INSRT,3310.0,2648.0,1.0,2979.0,26
HCPCS,C1776,SHLDRAUGMODLRSCREWSRSSM*DISC*,14800.0,11840.0,1.0,13320.0,26
HCPCS,C1776,SHLDRGLENO BASEAUG OBLIQ 10D24,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDRGLENO BASEAUG OBLIQ20D24,12800.0,10240.0,1.0,11520.0,26
HCPCS,C1776,SHLDRGLENOBASEHYBRIDLRLG*DISC*,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,SHLDRGLENOBASEHYBRIDLRMD*DISC*,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,SHLDRGLENOBASEHYBRIDLRSM*DISC*,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI15X40,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI17X46,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI18X40,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI18X52,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI19X46,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI21X40,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI21X46,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI21X52,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI23X46,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI23X52,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI24X40,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI27X40,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI27X46,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI30X46,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI33X52,4625.0,3700.0,1.0,4162.5,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 33+0,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 33+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 33+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 36+0,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 36+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 39+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 39+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 36+0,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 36+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 36+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 39+0,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 39+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 39+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 42+0,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 42+3,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 42+6,9600.0,7680.0,1.0,8640.0,26
HCPCS,C1776,SPACER FEM STER 34X60MM,43200.0,34560.0,1.0,38880.0,26
HCPCS,C1776,SPACER FEM STER 34X70MM,43200.0,34560.0,1.0,38880.0,26
HCPCS,C1776,SYS IMPLT CUFFMEND ARTX,12321.0,9856.8,1.0,11088.9,26
HCPCS,C1776,TIB TRAY INVISION LNG +4MM SZ5,28120.0,22496.0,1.0,25308.0,26
HCPCS,C1776,TOE ARTICU HEMICAP 15MM *NLU*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1776,TOE MOD PROX 2.5X4.6MM -02,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1776,TOE TPR POST HEMI CAP 9.5X18MM,1800.0,1440.0,1.0,1620.0,26
HCPCS,C1776,WIRE PILOT SHLDR REUNION CALIB,438.0,350.4,1.0,394.2,26
HCPCS,C1776,WRIST CAP CARPAL KINEMATX STER,11552.0,9241.6,1.0,10396.8,26
HCPCS,C1776,WRIST CAPITATE 12MM 35X17MM,22000.0,17600.0,1.0,19800.0,26
HCPCS,C1776,WRIST CAPITATE 15MM 22X23MM,22000.0,17600.0,1.0,19800.0,26
HCPCS,C1776,WRIST CARPAL ARTICU CMPNT SM,14272.0,11417.6,1.0,12844.8,26
HCPCS,C1776,WRIST CARPAL PYROCBN LUNATESZ1,33820.0,27056.0,1.0,30438.0,26
HCPCS,C1776,WRIST PLATE BASE STER STD 15,8680.0,6944.0,1.0,7812.0,26
HCPCS,C1776,WRIST RAD BODY LFT +2,2100.0,1680.0,1.0,1890.0,26
HCPCS,C1776,WRIST RAD BODY RT STD,8680.0,6944.0,1.0,7812.0,26
HCPCS,C1776,WRIST RAD POLY LFT SM +3.0MM,10192.0,8153.6,1.0,9172.8,26
HCPCS,C1776,WRIST STEM RAD STER SZ1,23452.0,18761.6,1.0,21106.8,26
HCPCS,C1776,WRIST STEM RAD STER SZ2,23452.0,18761.6,1.0,21106.8,26
HCPCS,C1776,WRIST TPR POST 7.5X16MM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1777,LEAD 4FRONT SGL ACTIVE 59CM,18090.0,14472.0,1.0,16281.0,26
HCPCS,C1777,LEAD 4FRONT SGL ACTIVE 64CM,18090.0,14472.0,1.0,16281.0,26
HCPCS,C1777,LEAD OMNIASECURE SGL 4.7FR64CM,13238.0,10590.4,1.0,11914.2,26
HCPCS,C1777,LEAD OMNIASECURE SGL 4.7FR69CM,13238.0,10590.4,1.0,11914.2,26
HCPCS,C1777,LEAD OMNIASECURE SGL 4.7FR74CM,13238.0,10590.4,1.0,11914.2,26
HCPCS,C1777,LEAD OMNIASECURE SGL 4.7FR79CM,13238.0,10590.4,1.0,11914.2,26
HCPCS,C1777,LEAD OMNIASECURE SGL 4.7FR84CM,13238.0,10590.4,1.0,11914.2,26
HCPCS,C1777,LEAD PAMIRA S 65,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1777,LEAD PAMIRA S 75,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1777,LEAD PAMIRA S DX 65/15,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1777,LEAD PAMIRA S DX 65/17,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1777,LEAD PLEXA PROMR*DISC 6341679*,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1777,LEAD PLEXA PROMRI DF1 S 65,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1777,LEAD PLEXA PROMRI S 65/17*CIP*,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1777,LEAD PLEXA S 60*DISC NO REPL*,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1777,LEAD RELIANCE G4 SGL59CM*DISC*,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1777,LEAD RELIANCE G4 SGL64CM*DISC*,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1778,KT ACC STIM LEAD TEST MDTR,665.0,532.0,1.0,598.5,26
HCPCS,C1778,KT LEAD 8CH DBS 1.5MM 40CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1778,KT LEAD INTE*DISC 6315875*,12068.0,9654.4,1.0,10861.2,26
HCPCS,C1778,KT LEAD INTE*DISC 6315959*,12068.0,9654.4,1.0,10861.2,26
HCPCS,C1778,KT LEAD INTE*DISC 6316246*,12068.0,9654.4,1.0,10861.2,26
HCPCS,C1778,KT LEAD INTERSTIM SURECAN 28CM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1778,KT LEAD INTERSTIM SURECAN 33CM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1778,KT LEAD NEUR IMPLT AXON,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1778,KT STIM SPNL LEAD BLU 50CM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1778,KT STIM SPNL LEAD BLU 70CM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1778,KT STIM SPNL LEAD SURG 50CM,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1778,KT STIM SPNL LEAD SURG 70CM,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1778,KT TINED LEAD PERC *VAT MULT*,11466.0,9172.8,1.0,10319.4,26
HCPCS,C1778,LEAD KT INFINION PRO 16 70CM,13750.0,11000.0,1.0,12375.0,26
HCPCS,C1778,LEAD KT STIM DBS PERCEPT 40CM,9065.0,7252.0,1.0,8158.5,26
HCPCS,C1778,LEAD NEURO TINED AXON,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1778,LEAD OCTRODE 60CM,10129.0,8103.2,1.0,9116.1,26
HCPCS,C1778,LEAD SPECIFY SURSCAN5-6-5 65CM,15250.0,12200.0,1.0,13725.0,26
HCPCS,C1778,LEAD SPECIFY SURSCAN5-6.5 90CM,15250.0,12200.0,1.0,13725.0,26
HCPCS,C1778,LEAD STIM BASIC EVAL COHORT 1,570.0,456.0,1.0,513.0,26
HCPCS,C1778,LEAD STIM DBS ACTIVA 40CM,9447.0,7557.6,1.0,8502.3,26
HCPCS,C1778,LEAD STIM ENT INSPIRE 4063,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1778,LEAD STIM ENT INSPIRE 4340,11813.0,9450.4,1.0,10631.7,26
HCPCS,C1778,LEAD STIM MRI SURSCAN 2.16MM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1778,LEAD STIM MRI SURSCAN 28CM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1778,LEAD STIM MRI SURSCAN 33CM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1778,LEAD STIM MRI SURSCAN 4.32MM,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1778,LEAD STIM RESPIN*DISC 6352089*,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1778,LEAD STIM RESTORE SURSCAN 60CM,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1778,LEAD STIM RESTORE SURSCAN 75CM,8550.0,6840.0,1.0,7695.0,26
HCPCS,C1778,LEAD STIM SENSIGHT 0.5MM,13384.0,10707.2,1.0,12045.6,26
HCPCS,C1778,LEAD STIM SENSIGHT DIR MARKER,13052.0,10441.6,1.0,11746.8,26
HCPCS,C1778,LEAD STIM SENSIGHT MARKER0.5MM,13052.0,10441.6,1.0,11746.8,26
HCPCS,C1778,LEAD STIM SPECIFY SURSCAN 65CM,15250.0,12200.0,1.0,13725.0,26
HCPCS,C1778,LEAD STIM SPECIFY SURSCAN 90CM,15250.0,12200.0,1.0,13725.0,26
HCPCS,C1778,LEAD TRICENTRUS 3 COL 60CM,17500.0,14000.0,1.0,15750.0,26
HCPCS,C1778,LEAD VNS THERAPY CYB 304 2MM,22551.0,18040.8,1.0,20295.9,26
HCPCS,C1778,LEAD VNS THERAPY CYB 304 3MM,22551.0,18040.8,1.0,20295.9,26
HCPCS,C1778,STIM KT VERCISE DBS 45CM,13230.0,10584.0,1.0,11907.0,26
HCPCS,C1778,STIM KT VERCISE DBS 8 45CM,13230.0,10584.0,1.0,11907.0,26
HCPCS,C1778,STIM KT VERCISE DBS PT CTRLLER,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1779,LEAD CAPSURE SENSE BIPOLR 52,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1780,"Lens, intraocular (new tech)",,,1.0,1.0,3
HCPCS,C1781,ALLO ALLOD CYMETRA 2CC*DISC*,2325.0,1860.0,1.0,2092.5,26
HCPCS,C1781,ANCHOR SUT FLEXBAND 0.7X16CM,16953.0,13562.4,1.0,15257.7,26
HCPCS,C1781,ANCHOR SUT FLEXBAND+ 0.5X16CM,10688.0,8550.4,1.0,9619.2,26
HCPCS,C1781,ANCHOR SUT FLEXPATCH 4X6CM,9198.0,7358.4,1.0,8278.2,26
HCPCS,C1781,ANCHOR SUT FLEXPATCH 6X9CM,13899.0,11119.2,1.0,12509.1,26
HCPCS,C1781,GRAFT FT ANK BIOBRCREINFD5X250,9013.0,7210.4,1.0,8111.7,26
HCPCS,C1781,GRAFT MTX GENTRIX THICK16X20CM,20034.0,16027.2,1.0,18030.6,26
HCPCS,C1781,GRAFT OVITEX LPR PERMANENT 9CM,5409.0,4327.2,1.0,4868.1,26
HCPCS,C1781,GRAFT TENDON TAPESTRY 40X30MM,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1781,GRAFT TENDON TAPESTRY SLV50X40,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1781,GRAFT TENDON TAPESTRY SLV70X50,10980.0,8784.0,1.0,9882.0,26
HCPCS,C1781,GRAFT XENMATRIX AB 10X15CM,13438.0,10750.4,1.0,12094.2,26
HCPCS,C1781,GRAFT XENMATRIX AB 10X20CM,17577.0,14061.6,1.0,15819.3,26
HCPCS,C1781,GRAFT XENMATRIX AB 15X20CM,27600.0,22080.0,1.0,24840.0,26
HCPCS,C1781,GRAFT XENMATRIX AB 19X28CM,44275.0,35420.0,1.0,39847.5,26
HCPCS,C1781,GRAFT XENMATRIX AB 20X25CM,40825.0,32660.0,1.0,36742.5,26
HCPCS,C1781,GRAFT XENMATRIX AB 25X40CM,80500.0,64400.0,1.0,72450.0,26
HCPCS,C1781,GRAFT XENMATRIX RECTANG 6X10CM,8663.0,6930.4,1.0,7796.7,26
HCPCS,C1781,GRAFT XENMATRIX RECTANG10X15CM,17133.0,13706.4,1.0,15419.7,26
HCPCS,C1781,GRAFT XENMATRIX RECTANG15X20CM,24125.0,19300.0,1.0,21712.5,26
HCPCS,C1781,GRAFT XENMATRIX RECTANG20X25CM,36800.0,29440.0,1.0,33120.0,26
HCPCS,C1781,GRAFT XENMATRIX*DISC NO REPL*,16625.0,13300.0,1.0,14962.5,26
HCPCS,C1781,MESH *DISC 6131230 OR 6204160*,2090.0,1672.0,1.0,1881.0,26
HCPCS,C1781,MESH 3D MAX LFT LG,1424.0,1139.2,1.0,1281.6,26
HCPCS,C1781,MESH 3D MAX LFT MD,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1781,MESH 3D MAX LFT XL,1803.0,1442.4,1.0,1622.7,26
HCPCS,C1781,MESH 3D MAX RT LG,1424.0,1139.2,1.0,1281.6,26
HCPCS,C1781,MESH 3D MAX RT MD,1309.0,1047.2,1.0,1178.1,26
HCPCS,C1781,MESH 3D MAX RT XL,1803.0,1442.4,1.0,1622.7,26
HCPCS,C1781,MESH 3DMAX LT LFT LG 4.1X6.2,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1781,MESH 3DMAX LT LFT MD 3.1X5.3,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1781,MESH 3DMAX LT LFT XL 4.8X6.7,2047.0,1637.6,1.0,1842.3,26
HCPCS,C1781,MESH 3DMAX LT RT LG 4.1X6.2,1856.0,1484.8,1.0,1670.4,26
HCPCS,C1781,MESH 3DMAX LT RT MD 3.1X5.3,1750.0,1400.0,1.0,1575.0,26
HCPCS,C1781,MESH 3DMAX LT RT XL 4.8X6.7,2107.0,1685.6,1.0,1896.3,26
HCPCS,C1781,MESH 3DMAX MID LFT LG 4X6,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1781,MESH 3DMAX MID LFT MD 3X5,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1781,MESH 3DMAX MID LFT XL 5X7,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1781,MESH 3DMAX MID RT LG 4X6,1785.0,1428.0,1.0,1606.5,26
HCPCS,C1781,MESH 3DMAX MID RT MD 3X5,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1781,MESH 3DMAX MID RT XL 5X7,1998.0,1598.4,1.0,1798.2,26
HCPCS,C1781,MESH ALLOMAX 13X15CM*NLU*,14937.0,11949.6,1.0,13443.3,26
HCPCS,C1781,MESH ALLOMAX 7X10CM*CIP*,10373.0,8298.4,1.0,9335.7,26
HCPCS,C1781,MESH ALLOMAXTHN*DISC NO REPL*,6354.0,5083.2,1.0,5718.6,26
HCPCS,C1781,MESH BIO-A GORE 20X20CM,9695.0,7756.0,1.0,8725.5,26
HCPCS,C1781,MESH BIO-A GORE 20X30CM,14578.0,11662.4,1.0,13120.2,26
HCPCS,C1781,MESH BIO-A GORE 7X10CM,3801.0,3040.8,1.0,3420.9,26
HCPCS,C1781,MESH COMPOSITE SYMBOTEX25X20CM,5093.0,4074.4,1.0,4583.7,26
HCPCS,C1781,MESH COMPOSIX E/X 10X13,6348.0,5078.4,1.0,5713.2,26
HCPCS,C1781,MESH COMPOSIX E/X 10X14,6679.0,5343.2,1.0,6011.1,26
HCPCS,C1781,MESH COMPOSIX E/X 4X6,2828.0,2262.4,1.0,2545.2,26
HCPCS,C1781,MESH COMPOSIX E/X 6X8,5228.0,4182.4,1.0,4705.2,26
HCPCS,C1781,MESH COMPOSIX E/X 7X9,5365.0,4292.0,1.0,4828.5,26
HCPCS,C1781,MESH COMPOSIX E/X 8X10,5020.0,4016.0,1.0,4518.0,26
HCPCS,C1781,MESH COMPOSIX LP 10.2X13.2,7137.0,5709.6,1.0,6423.3,26
HCPCS,C1781,MESH COMPOSIX LP 10.2X14.2,7510.0,6008.0,1.0,6759.0,26
HCPCS,C1781,MESH COMPOSIX LP 4.2X6.2,2872.0,2297.6,1.0,2584.8,26
HCPCS,C1781,MESH COMPOSIX LP 6.2X10.2,5789.0,4631.2,1.0,5210.1,26
HCPCS,C1781,MESH COMPOSIX LP 6.2X8.2,4552.0,3641.6,1.0,4096.8,26
HCPCS,C1781,MESH COMPOSIX LP 7.2X9.2,5745.0,4596.0,1.0,5170.5,26
HCPCS,C1781,MESH COMPOSIX LP 8.2X10.2,5644.0,4515.2,1.0,5079.6,26
HCPCS,C1781,MESH CQUROBLNG10X14*DISC MULT*,7220.0,5776.0,1.0,6498.0,26
HCPCS,C1781,MESH CQUROBLNG4X6*DISC MULT*,2660.0,2128.0,1.0,2394.0,26
HCPCS,C1781,MESH CRURASOFT LG 11X8*DISC*,2124.0,1699.2,1.0,1911.6,26
HCPCS,C1781,MESH DUALMESH 15X19CMX2MM,8901.0,7120.8,1.0,8010.9,26
HCPCS,C1781,MESH DULEX O*DISC 6128299*,7912.0,6329.6,1.0,7120.8,26
HCPCS,C1781,MESH DULEX O*DISC 6128301*,3169.0,2535.2,1.0,3351.6,52
HCPCS,C1781,MESH DULEX O*DISC 6128302*,4747.0,3797.6,1.0,4272.3,26
HCPCS,C1781,MESH DULEX P*DISC 6128300*,9662.0,7729.6,1.0,8695.8,26
HCPCS,C1781,MESH DULEX R*DISC 6128301*,1606.0,1284.8,1.0,1445.4,26
HCPCS,C1781,MESH DULEX R*DISC 6128303*,6537.0,5229.6,1.0,6557.4,52
HCPCS,C1781,MESH GALAFLEX 2D P4HB 5X20,7110.0,5688.0,1.0,6399.0,26
HCPCS,C1781,MESH GYNEMESH PS*DISC NO REPL*,5655.0,4524.0,1.0,5089.5,26
HCPCS,C1781,MESH KLS 85X50X0.3,5083.0,4066.4,1.0,4574.7,26
HCPCS,C1781,MESH MACROPOROUS 45X30CM,2047.0,1637.6,1.0,1842.3,26
HCPCS,C1781,MESH MONOFIL BARD 10X14,1459.0,1167.2,1.0,1313.1,26
HCPCS,C1781,MESH MONOFIL BARD 1X4,260.0,208.0,1.0,234.0,26
HCPCS,C1781,MESH MONOFIL BARD 3X6,365.0,292.0,1.0,328.5,26
HCPCS,C1781,MESH MONOFIL BARD 6X6,891.0,712.8,1.0,801.9,26
HCPCS,C1781,MESH OVITEX1SRESORB4LYR1*NLU*,12960.0,10368.0,1.0,11664.0,26
HCPCS,C1781,MESH OVITEX2SRESORB8LYR20*NLU*,24000.0,19200.0,1.0,21600.0,26
HCPCS,C1781,MESH PARIETEX 15X10CM,3512.0,2809.6,1.0,3160.8,26
HCPCS,C1781,MESH PARIETEX 20X15CM,5082.0,4065.6,1.0,4573.8,26
HCPCS,C1781,MESH PARIETEX 25X20CM*VAT NLU*,4729.0,3783.2,1.0,4256.1,26
HCPCS,C1781,MESH PARIETEX 30X20CM*VAT NLU*,6466.0,5172.8,1.0,5819.4,26
HCPCS,C1781,MESH PARIETEX LFT 6X4,1388.0,1110.4,1.0,1249.2,26
HCPCS,C1781,MESH PARIETEX PROGRIP 15X9CM,2313.0,1850.4,1.0,2081.7,26
HCPCS,C1781,MESH PARIETEX PROGRIP 6X6,2284.0,1827.2,1.0,2055.6,26
HCPCS,C1781,MESH PARIETEX PROGRIP RT14X9CM,2423.0,1938.4,1.0,2180.7,26
HCPCS,C1781,MESH PARIETEX PROGRIP SGL15X10,3215.0,2572.0,1.0,2893.5,26
HCPCS,C1781,MESH PARIETEX PROGRIPLFT14X9CM,2423.0,1938.4,1.0,2180.7,26
HCPCS,C1781,MESH PARIETEX RD 12CM,3621.0,2896.8,1.0,3258.9,26
HCPCS,C1781,MESH PARIETEX RD 15CM,4597.0,3677.6,1.0,4137.3,26
HCPCS,C1781,MESH PARIETEX RD 9CM,2640.0,2112.0,1.0,2376.0,26
HCPCS,C1781,MESH PARIETEX RT 6X4,1388.0,1110.4,1.0,1249.2,26
HCPCS,C1781,MESH PARIETEX SKIRT 15X10CM,4026.0,3220.8,1.0,3623.4,26
HCPCS,C1781,MESH PATCH PHASIX ST RD 4.3CM,8888.0,7110.4,1.0,7999.2,26
HCPCS,C1781,MESH PATCH PHASIX ST RD 6.4CM,10125.0,8100.0,1.0,9112.5,26
HCPCS,C1781,MESH PATCH PHASIX ST RD 8CM,10980.0,8784.0,1.0,9882.0,26
HCPCS,C1781,MESH PERMACOL 15X20C*VAT NLU*,13360.0,10688.0,1.0,12024.0,26
HCPCS,C1781,MESH PERMACOL 20X30C*VAT NLU*,27040.0,21632.0,1.0,24336.0,26
HCPCS,C1781,MESH PHASIX RECT 15.2X20.3CM,15803.0,12642.4,1.0,14222.7,26
HCPCS,C1781,MESH PHASIX RECT 20.3X25.4CM,18113.0,14490.4,1.0,16301.7,26
HCPCS,C1781,MESH PHASIX RECT 25.4X30.5CM,25599.0,20479.2,1.0,23039.1,26
HCPCS,C1781,MESH PHASIX SQ 30X30CM,32144.0,25715.2,1.0,28929.6,26
HCPCS,C1781,MESH PHASIX SQ 40X40CM,56366.0,45092.8,1.0,50729.4,26
HCPCS,C1781,MESH PHASIX SQ 45X45CM,70035.0,56028.0,1.0,63031.5,26
HCPCS,C1781,MESH PHASIX ST RECT 30X35CM,44394.0,35515.2,1.0,39954.6,26
HCPCS,C1781,MESH PHASIXST ECHO2 10X15CM,11944.0,9555.2,1.0,10749.6,26
HCPCS,C1781,MESH PHASIXST ECHO2 15X20CM,15593.0,12474.4,1.0,14033.7,26
HCPCS,C1781,MESH PHASIXST ECHO2 18X23CM,22365.0,17892.0,1.0,20128.5,26
HCPCS,C1781,MESH PHASIXST ECHO2 RD 11CM,8894.0,7115.2,1.0,8004.6,26
HCPCS,C1781,MESH PHASIXST ECHO2 RD 15CM,15398.0,12318.4,1.0,13858.2,26
HCPCS,C1781,MESH PHASIXST OPS ELLP 15X20CM,15881.0,12704.8,1.0,14292.9,26
HCPCS,C1781,MESH PHASIXST OPS ELLP 20X25CM,23691.0,18952.8,1.0,21321.9,26
HCPCS,C1781,MESH PHASIXST OPS ELLP 25X30CM,35187.0,28149.6,1.0,31668.3,26
HCPCS,C1781,MESH PHASIXST OPS ELLP 8X12CM,9923.0,7938.4,1.0,8930.7,26
HCPCS,C1781,MESH PHASIXST OPS OVAL 30X35CM,48831.0,39064.8,1.0,43947.9,26
HCPCS,C1781,MESH PHASIXST OPS RD 11CM,8820.0,7056.0,1.0,7938.0,26
HCPCS,C1781,MESH PHASIXST RECT 10X15CM,10963.0,8770.4,1.0,9866.7,26
HCPCS,C1781,MESH PHASIXST RECT 15X20CM,14434.0,11547.2,1.0,12990.6,26
HCPCS,C1781,MESH PHASIXST RECT 20X25CM,23422.0,18737.6,1.0,21079.8,26
HCPCS,C1781,MESH PHASIXST RECT 25X30CM,31997.0,25597.6,1.0,28797.3,26
HCPCS,C1781,MESH PHASIXST RECT 7X10CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1781,MESH PLUG MESH ULTPRO 3X5CMBX2,1662.0,1329.6,1.0,1495.8,26
HCPCS,C1781,MESH PLUG MESH ULTPRO 3X5CMBX6,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1781,MESH PLUG MESH ULTPRO 4X5CMBX2,1679.0,1343.2,1.0,1511.1,26
HCPCS,C1781,MESH PLUG MESH ULTPRO 4X5CMBX6,1460.0,1168.0,1.0,1314.0,26
HCPCS,C1781,MESH PLUG MESH ULTPRO 5X5CMBX2,1695.0,1356.0,1.0,1525.5,26
HCPCS,C1781,MESH PLUG PERFIX 2.5X3.4CM CA2,1135.0,908.0,1.0,1021.5,26
HCPCS,C1781,MESH PLUG PERFIX 3.3X3.9CM,1142.0,913.6,1.0,1027.8,26
HCPCS,C1781,MESH PLUG PERFIX 3.3X3.9CM CA2,1158.0,926.4,1.0,1042.2,26
HCPCS,C1781,MESH PLUG PERFIX 4.1X4.8CM,1158.0,926.4,1.0,1042.2,26
HCPCS,C1781,MESH PLUG PERFIX 4.1X4.8CM CA2,1182.0,945.6,1.0,1063.8,26
HCPCS,C1781,MESH PLUG PERFIX 4.1X5.0CM CA2,1364.0,1091.2,1.0,1227.6,26
HCPCS,C1781,MESH PLUG PERFIX LT 3.3X3.9CM,1430.0,1144.0,1.0,1287.0,26
HCPCS,C1781,MESH PLUG PERFIX LT 4.1X4.8CM,1448.0,1158.4,1.0,1303.2,26
HCPCS,C1781,MESH PROCEED OVAL 20X25CM,6192.0,4953.6,1.0,5572.8,26
HCPCS,C1781,MESH PROCEED VENTRAL 4.3X4.3CM,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1781,MESH PROCEED VENTRAL 6.4X6.4CM,3588.0,2870.4,1.0,3229.2,26
HCPCS,C1781,MESH PROGRIP ANATOM RT 15X10CM,3837.0,3069.6,1.0,3453.3,26
HCPCS,C1781,MESH PROGRIP SLF FIXATING16X12,3601.0,2880.8,1.0,3240.9,26
HCPCS,C1781,MESH PROLENE HERNIA FLAT 2X4,2042.0,1633.6,1.0,1837.8,26
HCPCS,C1781,MESH PROLENE HERNIA FLAT 3X6,605.0,484.0,1.0,544.5,26
HCPCS,C1781,MESH PROLENE HERNIA SYS,2206.0,1764.8,1.0,1985.4,26
HCPCS,C1781,MESH PROLENE SOFT 10X10IN,6496.0,5196.8,1.0,5846.4,26
HCPCS,C1781,MESH PROLENE SYS LG 4IN,2206.0,1764.8,1.0,1985.4,26
HCPCS,C1781,MESH PROLP1.3X1.5*DISC MULT*,1110.0,888.0,1.0,999.0,26
HCPCS,C1781,MESH PRSHP SOFT LG PORE2.4X5.4,664.0,531.2,1.0,597.6,26
HCPCS,C1781,MESH REINF BIOBRACE 23X30MM,13475.0,10780.0,1.0,12127.5,26
HCPCS,C1781,MESH REINF BIOBRACE 5X250MM,9013.0,7210.4,1.0,8111.7,26
HCPCS,C1781,MESH RESTORELLE Y 24X4CM,4649.0,3719.2,1.0,4184.1,26
HCPCS,C1781,MESH SCREEN KLS 85X54MM,3471.0,2776.8,1.0,3123.9,26
HCPCS,C1781,MESH SEPRAMESH 3X6,2087.0,1669.6,1.0,1878.3,26
HCPCS,C1781,MESH SEPRAMESH 4X8,3070.0,2456.0,1.0,2763.0,26
HCPCS,C1781,MESH SEPRAMESH 6X8,5013.0,4010.4,1.0,4511.7,26
HCPCS,C1781,MESH SEPRAMESH 8X12,5526.0,4420.8,1.0,4973.4,26
HCPCS,C1781,MESH SEPRAMESH IP 12X14,7317.0,5853.6,1.0,6585.3,26
HCPCS,C1781,MESH SHT TI 202X127MM*NLU*,8792.0,7033.6,1.0,7912.8,26
HCPCS,C1781,MESH SOFT FLAT LG PORE 12X12,4242.0,3393.6,1.0,3817.8,26
HCPCS,C1781,MESH SOFT FLAT LG PORE 2X4,421.0,336.8,1.0,378.9,26
HCPCS,C1781,MESH SOFT FLAT LG PORE 3X6,439.0,351.2,1.0,395.1,26
HCPCS,C1781,MESH SOFT FLAT LG PORE 4X6,499.0,399.2,1.0,449.1,26
HCPCS,C1781,MESH SYN C-QUR EDGE *DISC*,5087.0,4069.6,1.0,4578.3,26
HCPCS,C1781,MESH SYNECOR CIRC 12CM,4375.0,3500.0,1.0,3937.5,26
HCPCS,C1781,MESH SYNECOR INTRAPERITON10X15,4632.0,3705.6,1.0,4168.8,26
HCPCS,C1781,MESH SYNECOR INTRAPERITON15X20,6953.0,5562.4,1.0,6257.7,26
HCPCS,C1781,MESH SYNECOR INTRAPERITON20X30,16258.0,13006.4,1.0,14632.2,26
HCPCS,C1781,MESH SYNECOR PREPERITON 10X15,4632.0,3705.6,1.0,4168.8,26
HCPCS,C1781,MESH SYNECOR PREPERITON 15X20,6953.0,5562.4,1.0,6257.7,26
HCPCS,C1781,MESH SYNECOR PREPERITON 20X30,16258.0,13006.4,1.0,14632.2,26
HCPCS,C1781,MESH SYNECOR RECT 20X25CM,11515.0,9212.0,1.0,10363.5,26
HCPCS,C1781,MESH ULTPRO ADV 15X30CM,1167.0,933.6,1.0,1050.3,26
HCPCS,C1781,MESH ULTPRO ADV 30X30CM,2052.0,1641.6,1.0,1846.8,26
HCPCS,C1781,MESH UPSYLON Y,5297.0,4237.6,1.0,4767.3,26
HCPCS,C1781,MESH VENTRALEX CIR LG,4101.0,3280.8,1.0,3690.9,26
HCPCS,C1781,MESH VENTRALEX CIR MD,3717.0,2973.6,1.0,3345.3,26
HCPCS,C1781,MESH VENTRALEX CIR SM,3111.0,2488.8,1.0,2799.9,26
HCPCS,C1781,MESH VENTRALEX ST CIR LG 3.2,4427.0,3541.6,1.0,3984.3,26
HCPCS,C1781,MESH VENTRALEX ST CIR MD 2.5,3715.0,2972.0,1.0,3343.5,26
HCPCS,C1781,MESH VENTRALEX ST CIR SM 1.7,3068.0,2454.4,1.0,2761.2,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 10X13,10062.0,8049.6,1.0,9055.8,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 12X14,10490.0,8392.0,1.0,9441.0,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 15CM,5624.0,4499.2,1.0,5061.6,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 4.5,4222.0,3377.6,1.0,3799.8,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 4X6,3959.0,3167.2,1.0,3563.1,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 6,5366.0,4292.8,1.0,4829.4,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 6X10,6255.0,5004.0,1.0,5629.5,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 6X8,4882.0,3905.6,1.0,4393.8,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 7X9,6431.0,5144.8,1.0,5787.9,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 8,6648.0,5318.4,1.0,5983.2,26
HCPCS,C1781,MESH VENTRALIGHT ECHO 8X10,7812.0,6249.6,1.0,7030.8,26
HCPCS,C1781,MESH VENTRALIGHT ST CIR 4.5,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1781,MESH VENTRALIGHT ST CIR 6,3966.0,3172.8,1.0,3569.4,26
HCPCS,C1781,MESH VENTRALIGHT ST CIR 8,4519.0,3615.2,1.0,4067.1,26
HCPCS,C1781,MESH VENTRALIGHT ST ECHO2 11CM,4435.0,3548.0,1.0,3991.5,26
HCPCS,C1781,MESH VENTRALIGHT ST ECHO2 20CM,6953.0,5562.4,1.0,6257.7,26
HCPCS,C1781,MESH VENTRALIGHT ST ECHO2 4X6,4182.0,3345.6,1.0,3763.8,26
HCPCS,C1781,MESH VENTRALIGHT ST ECHO2 6X10,6489.0,5191.2,1.0,5840.1,26
HCPCS,C1781,MESH VENTRALIGHT ST ECHO2 8X10,8227.0,6581.6,1.0,7404.3,26
HCPCS,C1781,MESH VENTRALIGHT ST ELLIP 4X6,2840.0,2272.0,1.0,2556.0,26
HCPCS,C1781,MESH VENTRALIGHT ST ELLIP 6X8,5121.0,4096.8,1.0,4608.9,26
HCPCS,C1781,MESH VENTRALIGHT ST ELLIP 7X9,5995.0,4796.0,1.0,5395.5,26
HCPCS,C1781,MESH VENTRALIGHT ST ELLIP 8X10,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1781,MESH VENTRALIGHT ST ELLIP10X13,7231.0,5784.8,1.0,6507.9,26
HCPCS,C1781,MESH VENTRALIGHT ST OVAL 6X10,5871.0,4696.8,1.0,5283.9,26
HCPCS,C1781,MESH VENTRALIGHT ST RECT 12X14,7763.0,6210.4,1.0,6986.7,26
HCPCS,C1781,MESH VENTRALIGHTST ECHO2 15X20,5099.0,4079.2,1.0,4589.1,26
HCPCS,C1781,MESH VENTRALIGHTST ECHO2 18X23,6674.0,5339.2,1.0,6006.6,26
HCPCS,C1781,MESH VENTRIO CI*DISC NO REPLC*,3139.0,2511.2,1.0,2825.1,26
HCPCS,C1781,MESH VENTRIO OVA*DISC 6205974*,5887.0,4709.6,1.0,5298.3,26
HCPCS,C1781,MESH VENTRIO OVAL LG 13.8X17.8,4563.0,3650.4,1.0,4106.7,26
HCPCS,C1781,MESH VENTRIO ST CIR 3,3642.0,2913.6,1.0,3277.8,26
HCPCS,C1781,MESH VENTRIO ST CIR 4.5,4554.0,3643.2,1.0,4098.6,26
HCPCS,C1781,MESH VENTRIO ST OVAL 10.8X13.7,10244.0,8195.2,1.0,9219.6,26
HCPCS,C1781,MESH VENTRIO ST OVAL 3.1X4.7,4059.0,3247.2,1.0,3653.1,26
HCPCS,C1781,MESH VENTRIO ST OVAL 4.3X5.5,5138.0,4110.4,1.0,4624.2,26
HCPCS,C1781,MESH VENTRIO ST OVAL 5.4X7,4992.0,3993.6,1.0,4492.8,26
HCPCS,C1781,MESH VENTRIO ST OVAL 7.7X9.7,6830.0,5464.0,1.0,6147.0,26
HCPCS,C1781,MESH VENTRIO ST OVAL 8.7X10.7,8049.0,6439.2,1.0,7244.1,26
HCPCS,C1781,MESH VENTRIO*DISC 6205977*,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1781,MESH VENTRIOST MIDLINE6.1X10.1,8035.0,6428.0,1.0,7231.5,26
HCPCS,C1781,MESH VICRYL WOVEN 12X12,4785.0,3828.0,1.0,4306.5,26
HCPCS,C1781,MESH XENMTX RECTANG 19X28CM,38180.0,30544.0,1.0,34362.0,26
HCPCS,C1781,MTX DURAL DURAGEN PLUS 2X2,3865.0,3092.0,1.0,3478.5,26
HCPCS,C1781,MTX DURAL DURAGEN SUTURABLE2X2,4147.0,3317.6,1.0,3732.3,26
HCPCS,C1781,MTX DURAL DURAGEN SUTURABLE3X3,4824.0,3859.2,1.0,4341.6,26
HCPCS,C1781,MTX DURAL DURAGEN SUTURABLE4X5,8103.0,6482.4,1.0,7292.7,26
HCPCS,C1781,PLUG PATCH PHASIX XL 3.6X5.1CM,3832.0,3065.6,1.0,3448.8,26
HCPCS,C1781,SCAF GALAFLEX 2D LITE 20X25,17500.0,14000.0,1.0,15750.0,26
HCPCS,C1781,SCAF GALAFLEX 2D LITE 20X30,24150.0,19320.0,1.0,21735.0,26
HCPCS,C1781,SCAF GALAFLEX 3DP4HB2.1X6.1PK1,6930.0,5544.0,1.0,6237.0,26
HCPCS,C1781,SCAF GALAFLEX 3DP4HB2.1X6.1PK2,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1781,SCAF GALAFLEX 3DP4HB3X8.3PK1,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1781,SCAF GALAFLEX 3DR P4HB6.4X18.5,9225.0,7380.0,1.0,8302.5,26
HCPCS,C1781,SCAF INTEGRITY IMPLT 25X30MM,9900.0,7920.0,1.0,8910.0,26
HCPCS,C1782,HANDPC MORCELLATOR PLAS SORD,5152.0,4121.6,1.0,4636.8,26
HCPCS,C1782,SYS CONTAINED TISS EXTR O*NLU*,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1783,GLAUCOMA VALV AHMED FLEX PLATE,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1783,SHNT OPHT CLPATH GLAUCOMA 250,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1783,SHNT OPHT CLPATH GLAUCOMA 350,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1783,STNT GLAUCOMA XEN GEL,8932.0,7145.6,1.0,8038.8,26
HCPCS,C1783,STNT TRABEC BYPA*DISC 6316113*,8888.0,7110.4,1.0,7999.2,26
HCPCS,C1783,STNT TRABEC BYPASS ISTENT LFT,8438.0,6750.4,1.0,7594.2,26
HCPCS,C1783,STNT TRABEC BYPASS ISTENT RT,8438.0,6750.4,1.0,7594.2,26
HCPCS,C1783,STNT TRABEC MICRO BYPASS INJ W,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1784,"Ocular dev, intraop, det ret",,,1.0,1.0,3
HCPCS,C1785,PPM ACCENT DR RF*USE 6248279*,11610.0,9288.0,1.0,10449.0,26
HCPCS,C1785,PPM ACCENT DR*USE 6248280*,11260.0,9008.0,1.0,10134.0,26
HCPCS,C1785,PPM ADAPTA DR 5/6*USE 6290164*,10322.0,8257.6,1.0,9289.8,26
HCPCS,C1785,PPM ADAPTA DR IS1*USE 6290164*,10322.0,8257.6,1.0,9289.8,26
HCPCS,C1785,PPM ADAPTA DR LONGEVITY *NLU*,10448.0,8358.4,1.0,9403.2,26
HCPCS,C1785,PPM ADAPTA DR MVP*USE 6290164*,10322.0,8257.6,1.0,9289.8,52
HCPCS,C1785,PPM DR ACCOLADE MRI RA RV IS1,23400.0,18720.0,1.0,21060.0,26
HCPCS,C1785,PPM DR ASSURITY MRI RF IS1,13125.0,10500.0,1.0,11812.5,26
HCPCS,C1785,PPM DR AZURE XT MRI SURESCAN,13750.0,11000.0,1.0,12375.0,26
HCPCS,C1785,PPM DR ESSENTIO RA RV IS1,19715.0,15772.0,1.0,17743.5,26
HCPCS,C1785,PPM DR-EL ACCOLADE MRI RARVIS1,25362.0,20289.6,1.0,22825.8,26
HCPCS,C1785,PPM DR-T AMVIA EDGE PROMRI,16219.0,12975.2,1.0,14597.1,26
HCPCS,C1785,PPM REVO MRI SURESCAN*DISC*,14595.0,11676.0,1.0,13135.5,26
HCPCS,C1785,PPM S-DR AZURE MRI SURESCAN,13107.0,10485.6,1.0,11796.3,26
HCPCS,C1785,PPM SR ACCOLADE RA/RV IS1,21668.0,17334.4,1.0,19501.2,26
HCPCS,C1785,PPM VERSA *DISC 6290163*,9366.0,7492.8,1.0,8429.4,26
HCPCS,C1786,PPM ACCENT SR RF*USE 6248277*,10364.0,8291.2,1.0,9327.6,26
HCPCS,C1786,PPM ADAPTA SR IS1*USE 6290166*,8813.0,7050.4,1.0,7931.7,26
HCPCS,C1786,PPM ADAPTA SR LOP*USE 6290166*,8813.0,7050.4,1.0,7931.7,26
HCPCS,C1786,PPM ADVISA MRI SURESCAN SR,36587.0,29269.6,1.0,32928.3,26
HCPCS,C1786,PPM AVEIR LEADLESS RA 32.3X6.5,29095.0,23276.0,1.0,26185.5,26
HCPCS,C1786,PPM AVEIR LEADLESS RV 38X6.5,23575.0,18860.0,1.0,21217.5,26
HCPCS,C1786,PPM INGENIO SR*OBS*,14035.0,11228.0,1.0,12631.5,26
HCPCS,C1786,PPM INSIGNIA ULTRA SR,13650.0,10920.0,1.0,12285.0,26
HCPCS,C1786,PPM S-SR AZURE MRI SURESCAN,10280.0,8224.0,1.0,9252.0,26
HCPCS,C1786,PPM SENSIA SR*DISC 6290165*,8451.0,6760.8,1.0,7605.9,26
HCPCS,C1786,PPM SR ASSURITY MRI RF IS1,11200.0,8960.0,1.0,10080.0,26
HCPCS,C1786,PPM SR AZURE XT MRI SURESCAN,10922.0,8737.6,1.0,9829.8,26
HCPCS,C1786,PPM SYS MICRA AV TRANSCATH,28175.0,22540.0,1.0,25357.5,26
HCPCS,C1786,PPM SYS MICRA AV2 TRANSCATH,28106.0,22484.8,1.0,25295.4,26
HCPCS,C1786,PPM SYS MICRA TRANSCATH,24375.0,19500.0,1.0,21937.5,26
HCPCS,C1786,PPM SYS MICRA VR2 TRANSCATH,23525.0,18820.0,1.0,21172.5,26
HCPCS,C1786,PPM VR ACCOLADE RA/RV IS1,23248.0,18598.4,1.0,20923.2,26
HCPCS,C1786,PPM VR AVEIR LEADLESS RV,22500.0,18000.0,1.0,20250.0,26
HCPCS,C1786,PPMAVEIRLEADLSSR*DISC 6349403*,29095.0,23276.0,1.0,26185.5,26
HCPCS,C1787,CNTRLR PT INFINITY DBS SYSI-SE,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1787,PROGM PT *DISC*,5970.0,4776.0,1.0,5373.0,26
HCPCS,C1787,PROGM STIM DBS ACTIVA,6395.0,5116.0,1.0,5755.5,26
HCPCS,C1787,PROGM STIM DBS PERCEPT PC,6395.0,5116.0,1.0,5755.5,26
HCPCS,C1787,PROGM STIM DBS PERCEPT RC,6395.0,5116.0,1.0,5755.5,26
HCPCS,C1787,PROGM STIM DBS VANTA,10658.0,8526.4,1.0,9592.2,26
HCPCS,C1787,PROGM STIM DBS*DISC 6345813*,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1787,PROGM STIM S*DISC USE 6315828*,8514.0,6811.2,1.0,7662.6,26
HCPCS,C1787,PROGM STIM SCRL INTERSTIM,8514.0,6811.2,1.0,7662.6,26
HCPCS,C1787,PROGM STIM SCRL INTERSTIM X,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1787,PROGM STIM SPNL *DISC 6330489*,8550.0,6840.0,1.0,7695.0,26
HCPCS,C1787,PROGM STIM SPNL INTELLIS NT,8550.0,6840.0,1.0,7695.0,26
HCPCS,C1787,PROGM STIM SPNL RESTOR*NLU*,5970.0,4776.0,1.0,5373.0,26
HCPCS,C1787,PROGM STIM VANTA MYSTIM,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1787,PROGRAMM*OBS USE 6295886*,5355.0,4284.0,1.0,4819.5,26
HCPCS,C1787,REMOTE CTRL KT ALPHA FREELINK,5838.0,4670.4,1.0,5254.2,26
HCPCS,C1787,REMOTE CTRL KT STIM PT VERCISE,4410.0,3528.0,1.0,3969.0,26
HCPCS,C1787,REMOTE CTRL PT AXON,5280.0,4224.0,1.0,4752.0,26
HCPCS,C1787,REMOTE PT SPNL STIM SENZAOMNIA,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1787,REMOTE STIM IPG INSPIRE 2580,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1787,REMOTE STIM SLEE*DISC 6330606*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C1788,PORT CLEARVUE 6FR,3120.0,2496.0,1.0,2808.0,26
HCPCS,C1788,PORT CLEARVUE 8FR,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1788,PORT CLEARVUE SIL SLIM 8FR,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1788,PORT CLEARVUE SLIM 8FR,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1788,PORT CLEARVUE SLIM INTRMD 6FR,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1788,PORT INFUS PERITON SL TI14.3FR,1547.0,1237.6,1.0,1392.3,26
HCPCS,C1788,PORT MRI DL 10FR,2208.0,1766.4,1.0,1987.2,26
HCPCS,C1788,PORT MRI FULL SIZE SL 6FR,1624.0,1299.2,1.0,1461.6,26
HCPCS,C1788,PORT POWERPORT 8FR,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1788,PORT POWERPORT CLVUE SLIM 6FR,3048.0,2438.4,1.0,2743.2,26
HCPCS,C1788,PORT POWERPORT DL MICINTR9.5FR,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1788,PORT POWERPORT LOPRO 8FR,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1788,PORT POWERPORT MRI SIL 6FR,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1788,PORT POWERPORT MRI SIL 8FR,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1788,PORT POWERPORT SLIM 6FR,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1788,PORT POWERPORT TI INTRMD SL6FR,2320.0,1856.0,1.0,2088.0,26
HCPCS,C1788,PORT SIL CATH VORTEX MP SGL5FR,4581.0,3664.8,1.0,4122.9,26
HCPCS,C1788,PORT SLIMPORT INTRMD DL 7FR,2632.0,2105.6,1.0,2368.8,26
HCPCS,C1788,PORT SLIMPORT MICROINTR DL 7FR,2480.0,1984.0,1.0,2232.0,26
HCPCS,C1788,PORT TI LOPRO SL 6FR,1624.0,1299.2,1.0,1461.6,26
HCPCS,C1788,PORT TI SLIM ARM 6FR,1624.0,1299.2,1.0,1461.6,26
HCPCS,C1788,PORT VORTEX 9.6FR,2432.0,1945.6,1.0,2188.8,26
HCPCS,C1788,PORT XPORT INTRMD SL 6FR,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1788,PORT XPORT TI LOPRO SL 6FR,1624.0,1299.2,1.0,1461.6,26
HCPCS,C1789,BREAST BECKER SILTEX *DISC*,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1789,BREAST COHESIVE I HIPRO 275CC,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1789,BREAST COHESIVE MODER 75*NLU*,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1789,BREAST COHESIVEHIPRO 200C*NLU*,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1789,BREAST COHESIVEHIPRO 300CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 325CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 350CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 375CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 400CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 425CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 450CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 475CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 500CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 550CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 600CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 650CC,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEHIPRO 800CC,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1789,BREAST COHESIVEI MODER 32*NLU*,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1789,BREAST COHESIVEI MODER+350,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEI MODER+450,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEI MODER+500,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST COHESIVEI MODER+600,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1789,BREAST ENHANCE MEMORY GEL 1240,9293.0,7434.4,1.0,8363.7,26
HCPCS,C1789,BREAST ENHANCE MEMORY GEL930CC,9293.0,7434.4,1.0,8363.7,26
HCPCS,C1789,BREAST EXPAND F*6305094*,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1789,BREAST HIPRO BOOST GEL 370CC,6188.0,4950.4,1.0,5569.2,26
HCPCS,C1789,BREAST HIPRO MODER SMTHRD260CC,6188.0,4950.4,1.0,5569.2,26
HCPCS,C1789,BREAST HIPRO SALINE 320CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST HIPRO SALINE 350CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST HIPRO SALINE 400CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST HIPRO SALINE 425CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST HIPRO SALINE 465CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST HIPRO SALINE 550C*NLU*,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST HIPRO SALINE 600C*NLU*,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST HIPRO SALINE 700CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST HIPRO SALINE 750CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST HIPRO SALINE 800CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST HIPRO SIL RD 425CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST HIPRO SIL RD 450CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST HIPRO SIL RD 475CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST HIPRO SIL RD 500CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST HIPRO SIL RD 700CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST HIPRO SIL RD 750CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST HIPRO SIL RD 800CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL260CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL335CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL355CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL380CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL450CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL465CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL490CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL595CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL650CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL700CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST LOPRO SALINE 175CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST LOPRO SALINE 225CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST LOPRO SALINE 250CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST LOPRO SALINE 275CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST LOPRO SALINE 350CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST LOPRO SALN 400CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MEMORY MENT 755CC*NLU*,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1789,BREAST MEMORYGEL MODER 190CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST MODER PLUS BOOST 450CC,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1789,BREAST MODER PLUS BOOST 630CC,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1789,BREAST MODER PLUS BOOST 730CC,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1789,BREAST MODER PLUS XTR 270CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST MODER PLUS XTR 350CC,4590.0,3672.0,1.0,4131.0,26
HCPCS,C1789,BREAST MODER PLUS XTR 440CC,5963.0,4770.4,1.0,5366.7,26
HCPCS,C1789,BREAST MODER SALINE 210CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MODER SALINE 240CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MODER SALINE 270CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MODER SALINE 300CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MODER SALINE 330CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MODER SALINE 360CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MODER SALINE 390CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MODER SALINE 420CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MODER SALINE 510CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MODER SALINE 600CC,2400.0,1920.0,1.0,2160.0,26
HCPCS,C1789,BREAST MODER+SALINE 275+55,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1789,BREAST MODER+SALINE 325+65,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1789,BREAST MODER+SALINE 700CC,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1789,BREAST MODER+SALINE550+110,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1789,BREAST MODER+SALINE800+160,4970.0,3976.0,1.0,4473.0,26
HCPCS,C1789,BREAST NATRELLE MID 469CC*NLU*,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL MID 213CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL MID 265CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL MID 304CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL MID 339CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL MID 371CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL MID 397CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL MID 421CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL MID 457CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL MID 492CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL MID 533CC,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE SIL RD HI*NLU*,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST NATRELLE*6111999*,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1789,BREAST RD SIL XTRHIGH800C*NLU*,5005.0,4004.0,1.0,4504.5,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 180CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 200CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 295CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 325CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 335CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 345CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 365CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 385CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 415CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 450CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 485CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 520CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 560CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 605CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 650CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 695CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 745CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 770CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER275CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER295CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER310CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER330CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER345CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER360CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER375CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER385CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER405CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER445CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER485CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER520CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER560CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER600CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER640CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SFTOUCH SMTH MODER755CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SIL 410 *6111999*,4928.0,3942.4,1.0,4435.2,624
HCPCS,C1789,BREAST SIL 410M*6111999*,4928.0,3942.4,1.0,4435.2,182
HCPCS,C1789,BREAST SIL HIPROJ MD 300CC,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1789,BREAST SIL HIPROJ MD 345CC,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1789,BREAST SIL HIPROJ MD 545CC,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1789,BREAST SIL MOD+PROJ MD 375CC,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1789,BREAST SIL MOD+PROJ MD 525CC,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1789,BREAST SIL MOD+PROJ TALL 395CC,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1789,BREAST SIL MODER STYLE10 *NLU*,5005.0,4004.0,1.0,4504.5,52
HCPCS,C1789,BREAST SIL SIEN MODER 230CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SIL SIEN MODER 285CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SIL SIEN MODER 440CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SIL SIEN MODER 600CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SIL SIEN OPUS 160CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SIL SIEN OPUS 220CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SIL SIEN OPUS 235CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SIL SIEN OPUS 250CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SIL SIEN OPUS 280CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SIL SIEN OPUS 340CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SIL SIEN OPUS 370CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SILTEX HIGHGEL700CC,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1789,BREAST SILTEX HIGHGEL800CC,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1789,BREAST SILTEX MODER+ GEL700CC,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1789,BREAST SMITH RD HI PROJ 505CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMITH RD HI PROJ 535CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMITH RD HI PROJ 565CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMITH RD MODER+PRO525CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH COHESIVE 200ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 220ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 240ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 265ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 295ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 325ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 335ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 345ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 365ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 385ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 415ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 450ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 485ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 520ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 560ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 605ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 650ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 695ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 745ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVE 770ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL310ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL375ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL420ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL445ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL470ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL495ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL525ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL545ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL560ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL580ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL650ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL700ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL750ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH COHESIVEXFULL800ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 200CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 240CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 265CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 295CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 325CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 335CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 365CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 385CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 415CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 450CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 485CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 520CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 560CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 605CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 650CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 695CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 745CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRF 770CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRL 110CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRL 125CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRL 140CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRL 170CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRL 200CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRL 230CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRL 260CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 195CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 210CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 240CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 255CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 275CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 295CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 310CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 330CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 345CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 360CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 375CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 405CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 445CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 485CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 520CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 560CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 600CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 640CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 685CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRM 755CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 400CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 420CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 445CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 470CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 495CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 525CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 545CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 560CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 580CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 615CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 650CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 700CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 750CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH INSPIRA SRX 800CC,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1789,BREAST SMTH L-P COHESIVE 125ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH L-P COHESIVE 205ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH L-P COHESIVE 250ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH L-P COHESIVE 265ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH L-P COHESIVE 320ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH L-P COHESIVE 400ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH L-P COHESIVE 540ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH LOW COHESIVE 110ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH LOW COHESIVE 125ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH LOW COHESIVE 140ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH LOW COHESIVE 170ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH LOW COHESIVE 200ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH LOW COHESIVE 230CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH LOW COHESIVE 290CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 140ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 175ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 195ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 210ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 240ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 255ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 275ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 295ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 310ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 330ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 345ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 360ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 375ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 405ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 445ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 485ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 520ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 560ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 600ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 640ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 685ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH MOD COHESIVE 755ML,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH RD HI PROJ 415CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD HI PROJ 440CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD HI PROJ 470CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD HI PROJ 700CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+240CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+300CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+330CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+350CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+385CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+415CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+440CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+470CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+505CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+535CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+565CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+590CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+620CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+650CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+700CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD HP GEL 280CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD MODER HSC 320CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER HSC 395CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER HSC 470CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER HSC+505CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+195CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+215CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+235CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+255CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+285CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+305CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+325CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+355CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+385CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+415CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+435CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+455CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+485CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+525CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+540CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+575CC,5460.0,4368.0,1.0,4914.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+590CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+625CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+HSC+650CC,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH RD MODER+PROJ285CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD MODER+PROJ325CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD MODER+PROJ355CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD MODER+PROJ435CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD MODER+PROJ455CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD MODER+PROJ505CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD MODER+PROJ540CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD MODER+PROJ695CC,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1789,BREAST SMTH RD XTRHIPROHSC+340,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1789,BREAST SMTH SOFT LOPRO 410CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH SOFT LOPRO 510CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH SOFT LOPRO 560CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH SOFT LOPRO 610CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS340CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS360CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS540CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS590CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS640CC,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST SPECTRUM SMTH RD45*NLU*,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1789,BREAST TXT COHESIVE FULL4*NLU*,4928.0,3942.4,1.0,4435.2,26
HCPCS,C1789,BREAST TXT HIGH OVAL 300CC,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1789,BREAST TXT HIGH OVAL 370CC,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1789,BREAST TXT MODER CLASC 310CC,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1789,BREAST TXT MODER CLASC 350CC,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1789,BREAST TXT MODER OVAL 250CC,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1789,BREAST TXT MODER OVAL 290CC,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1789,BREAST TXT MODER OVAL 330CC,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1789,BREAST TXT MODER OVAL 450CC,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1789,BREAST TXT MODER OVAL 500CC,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1789,BREAST TXT MODER OVAL 550CC,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1813,PROS PENILE AMS700 CX PS 15CM,32350.0,25880.0,1.0,29115.0,26
HCPCS,C1813,PROS PENILE AMS700 CX PS 21CM,32353.0,25882.4,1.0,29117.7,26
HCPCS,C1813,PROS PENILE AMS700 CXR PS 16CM,33672.0,26937.6,1.0,30304.8,26
HCPCS,C1813,PROS PENILE AMS700 LGX IP 18CM,33270.0,26616.0,1.0,29943.0,26
HCPCS,C1813,PROS PENILE AMS700 LGX PS 15CM,33270.0,26616.0,1.0,29943.0,26
HCPCS,C1813,PROS PENILE AMS700 LGX PS 18CM,33270.0,26616.0,1.0,29943.0,26
HCPCS,C1813,PROS PENILE AMS700 LGX PS 21CM,33270.0,26616.0,1.0,29943.0,26
HCPCS,C1813,PROS PENILE AMS700 LGX PS18X10,33270.0,26616.0,1.0,29943.0,26
HCPCS,C1813,PROS PENILE MS PUMP IZ,18038.0,14430.4,1.0,16234.2,26
HCPCS,C1813,PROS PENILE PUMP CXTENACIOPS15,40503.0,32402.4,1.0,36452.7,26
HCPCS,C1813,PROS PENILE PUMP CXTENACIOPS18,40503.0,32402.4,1.0,36452.7,26
HCPCS,C1813,PROS PENILE PUMP TENACIO IZ,27336.0,21868.8,1.0,24602.4,26
HCPCS,C1813,RSVR PENILE AMS 700 100ML,12618.0,10094.4,1.0,11356.2,26
HCPCS,C1813,RSVR PENILE AMS 700 65ML,12618.0,10094.4,1.0,11356.2,26
HCPCS,C1813,RSVR PENILE CONCEAL AMS 100ML,13265.0,10612.0,1.0,11938.5,26
HCPCS,C1814,OIL SILIKON 1000 STER 8.5ML,4479.0,3583.2,1.0,4031.1,26
HCPCS,C1815,BLN URN AMS 800 61-70CM,13458.0,10766.4,1.0,12112.2,26
HCPCS,C1815,CUFF URN AMS 800 3.5CM IZ,20350.0,16280.0,1.0,18315.0,26
HCPCS,C1815,CUFF URN AMS 800 4.0CM IZ,20963.0,16770.4,1.0,18866.7,26
HCPCS,C1815,CUFF URN AMS 800 4.5CM IZ,20963.0,16770.4,1.0,18866.7,26
HCPCS,C1815,CUFF URN AMS 800 5.5CM IZ,20350.0,16280.0,1.0,18315.0,26
HCPCS,C1815,CUFF URN CTRL SYS AMS800 5.5CM,14535.0,11628.0,1.0,13081.5,26
HCPCS,C1816,"Receiver/transmitter, neuro",,,1.0,1.0,3
HCPCS,C1817,OCCL AMPLZ AMULETLFT 32X10X25,41400.0,33120.0,1.0,37260.0,26
HCPCS,C1817,OCCL AMPLZ AMULETLFT 35X10X28,41400.0,33120.0,1.0,37260.0,26
HCPCS,C1817,OCCL AMPLZ AMULETLFT 38X10X31,41400.0,33120.0,1.0,37260.0,26
HCPCS,C1817,OCCL AMPLZ AMULETLFT 41X10X34,41400.0,33120.0,1.0,37260.0,26
HCPCS,C1817,OCCL AMPLZ AMULETLFT22X7.5X16,41400.0,33120.0,1.0,37260.0,26
HCPCS,C1817,OCCL AMPLZ AMULETLFT24X7.5X18,41400.0,33120.0,1.0,37260.0,26
HCPCS,C1817,OCCL AMPLZ AMULETLFT26X7.5X20,41400.0,33120.0,1.0,37260.0,26
HCPCS,C1817,OCCL AMPLZ AMULETLFT28X7.5X22,41400.0,33120.0,1.0,37260.0,26
HCPCS,C1817,OCCL AMPLZ PFO *DISC 6323339*,24139.0,19311.2,1.0,21725.1,26
HCPCS,C1817,OCCL AMPLZ PFO *DISC 6324106*,24139.0,19311.2,1.0,21725.1,26
HCPCS,C1817,OCCL AMPLZ PFO 18MM*CIP*,24139.0,19311.2,1.0,21725.1,26
HCPCS,C1817,OCCL AMPLZ TALISMAN PFO 18MM,24139.0,19311.2,1.0,21725.1,26
HCPCS,C1817,OCCL AMPLZ TALISMAN PFO 25MM,24139.0,19311.2,1.0,21725.1,26
HCPCS,C1817,OCCL AMPLZ TALISMAN PFO 30MM,24139.0,19311.2,1.0,21725.1,26
HCPCS,C1817,OCCL AMPLZ TALISMAN PFO 35MM,24139.0,19311.2,1.0,21725.1,26
HCPCS,C1817,OCCL DUCT PDA AMPLZ 12X10MM,13250.0,10600.0,1.0,11925.0,26
HCPCS,C1817,OCCL IDE AMULET LFT 22X7.5X16,13800.0,11040.0,1.0,12420.0,26
HCPCS,C1817,OCCL IDE AMULET LFT 24X7.5X18,13800.0,11040.0,1.0,12420.0,26
HCPCS,C1817,OCCL IDE AMULET LFT 26X7.5X20,13800.0,11040.0,1.0,12420.0,26
HCPCS,C1817,OCCL IDE AMULET LFT 28X7.5X22,13800.0,11040.0,1.0,12420.0,26
HCPCS,C1817,OCCL IDE AMULET LFT 32X10X25,13800.0,11040.0,1.0,12420.0,26
HCPCS,C1817,OCCL IDE AMULET LFT 35X10X28,13800.0,11040.0,1.0,12420.0,26
HCPCS,C1817,OCCL IDE AMULET LFT 38X10X31,13800.0,11040.0,1.0,12420.0,26
HCPCS,C1817,OCCL IDE AMULET LFT 41X10X34,13800.0,11040.0,1.0,12420.0,26
HCPCS,C1817,OCCL MULT-FEN 18MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL MULT-FEN 25MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL MULT-FEN 30MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL MULT-FEN 35MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 10MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 11MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 12MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 13MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 14MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 15MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 16MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 17MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 18MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 20MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 22MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 24MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 26MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 28MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 30MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 32MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 36MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 38MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 4MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 5MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 6MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 7MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 8MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD 9MM,20000.0,16000.0,1.0,18000.0,26
HCPCS,C1817,OCCL SEPTAL ASD CARDIOFORM27MM,20885.0,16708.0,1.0,18796.5,26
HCPCS,C1817,OCCL SEPTAL ASD CARDIOFORM32MM,20885.0,16708.0,1.0,18796.5,26
HCPCS,C1817,OCCL SEPTAL ASD CARDIOFORM37MM,20885.0,16708.0,1.0,18796.5,26
HCPCS,C1817,OCCL SEPTAL ASD CARDIOFORM44MM,20885.0,16708.0,1.0,18796.5,26
HCPCS,C1817,OCCL SEPTAL WLGO 20MM,23263.0,18610.4,1.0,20936.7,26
HCPCS,C1817,OCCL SEPTAL WLGO 25MM,23263.0,18610.4,1.0,20936.7,26
HCPCS,C1817,OCCL SEPTAL WLGO 30MM,23263.0,18610.4,1.0,20936.7,26
HCPCS,C1817,OCCL VSD 10MM,24250.0,19400.0,1.0,21825.0,26
HCPCS,C1817,OCCL VSD 4MM,24250.0,19400.0,1.0,21825.0,26
HCPCS,C1817,OCCL VSD 6MM,24250.0,19400.0,1.0,21825.0,26
HCPCS,C1817,OCCL VSD 8MM,24250.0,19400.0,1.0,21825.0,26
HCPCS,C1817,PLUG EMBOL IMPEDE 6-10MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1817,PLUG EMBOL IMPEDE-FX 12MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1817,PLUG II VASC 10X7MM,5292.0,4233.6,1.0,4762.8,26
HCPCS,C1817,PLUG II VASC 12X9MM,5292.0,4233.6,1.0,4762.8,26
HCPCS,C1817,PLUG II VASC 14X10MM,5292.0,4233.6,1.0,4762.8,26
HCPCS,C1817,PLUG II VASC 16X12MM,5292.0,4233.6,1.0,4762.8,26
HCPCS,C1817,PLUG II VASC 18X14MM,5292.0,4233.6,1.0,4762.8,26
HCPCS,C1817,PLUG II VASC 22X18MM,5292.0,4233.6,1.0,4762.8,26
HCPCS,C1817,PLUG II VASC 8X7MM,5292.0,4233.6,1.0,4762.8,26
HCPCS,C1817,PLUG VASC AMPLZ 16X8MM,4632.0,3705.6,1.0,4168.8,26
HCPCS,C1817,SHEATH AMPLZER *DISC 6339049*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1817,SHEATH ANT CURV WATCHMAN ACC,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1817,SHEATH ANT WATCH*DISC 6328203*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1817,SHEATH DBL CURV WATCHMAN ACC,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1817,SHEATH DBL CURV WATCHMAN FXD,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1817,SHEATH DBL WATCH*DISC 6328203*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1817,SHEATH SGL CURV WATCHMAN ACC,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1817,SHEATH SGL CURV WATCHMAN FXD,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1817,SHEATH SGL WATCH*DISC 6328202*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1818,Integrated keratoprosthesis,,,1.0,1.0,3
HCPCS,C1819,NDLE BX MARQUEE COAX 12G 10CM,821.0,656.8,1.0,738.9,26
HCPCS,C1819,NDLE BX MARQUEE COAX 12G 13CM,856.0,684.8,1.0,770.4,26
HCPCS,C1819,NDLE BX MARQUEE COAX 14G 10CM,637.0,509.6,1.0,573.3,26
HCPCS,C1819,WIRE GHIATAS LOCAL 20GX14CM,504.0,403.2,1.0,453.6,26
HCPCS,C1819,WIRE GHIATAS LOCAL 20GX5CM,189.0,151.2,1.0,170.1,26
HCPCS,C1819,WIRE GHIATAS LOCAL 20GX7CM,189.0,151.2,1.0,170.1,26
HCPCS,C1819,WIRE GHIATAS LOCAL 20GX9CM,189.0,151.2,1.0,170.1,26
HCPCS,C1820,IPG ALPHA 16,40020.0,32016.0,1.0,36018.0,26
HCPCS,C1820,IPG ALPHA 32,42320.0,33856.0,1.0,38088.0,26
HCPCS,C1820,KT REPLC NEURO STIM INTELLIS,42654.0,34123.2,1.0,38388.6,26
HCPCS,C1820,PK IMPLT FULL IN*DISC NO REPL*,35351.0,28280.8,1.0,31815.9,26
HCPCS,C1820,PK IMPLT INS AXO*DISC NO REPL*,27271.0,21816.8,1.0,24543.9,26
HCPCS,C1820,STIM DBS ACTIVA RC RECHG,57500.0,46000.0,1.0,51750.0,26
HCPCS,C1820,STIM DBS IPG LIBERTA RC,57500.0,46000.0,1.0,51750.0,26
HCPCS,C1820,STIM DBS PERCEPT RC BRAINSENSE,69267.0,55413.6,1.0,62340.3,26
HCPCS,C1820,STIM INTELLIS ADPTV RECHG,35650.0,28520.0,1.0,32085.0,26
HCPCS,C1820,STIM KT VERCISE GENUS IPG,56350.0,45080.0,1.0,50715.0,26
HCPCS,C1820,STIM KT VERCISE GENUS P16,43470.0,34776.0,1.0,39123.0,26
HCPCS,C1820,STIM KT VERCISE GEVIA IPG,50600.0,40480.0,1.0,45540.0,26
HCPCS,C1820,STIM NEURO ETERNA SCS 16-CH,55837.0,44669.6,1.0,50253.3,26
HCPCS,C1820,STIM NEURO KT MRI INTELLUS,56684.0,45347.2,1.0,51015.6,26
HCPCS,C1820,STIM NEURO SCRL *DISC NO REPL*,23462.0,18769.6,1.0,21115.8,26
HCPCS,C1820,STIM RESTRO ULTA SURSCA*OBS*,30935.0,24748.0,1.0,27841.5,26
HCPCS,C1820,STIM SNM INTERSTIM MICRO RECHG,25185.0,20148.0,1.0,22666.5,26
HCPCS,C1820,STIM TIB UUI ALTAVIVA,37950.0,30360.0,1.0,34155.0,26
HCPCS,C1821,BODY TOP LOADING ORTF NXG,3544.0,2835.2,1.0,3189.6,26
HCPCS,C1821,ROD CONT BULLET DENALI 5.5X50,2216.0,1772.8,1.0,1994.4,26
HCPCS,C1821,ROD CONT YUKON OCT 4.0X55MM,2952.0,2361.6,1.0,2656.8,26
HCPCS,C1821,ROD ST TI ORTF 5.5X90MM,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1821,ROD ST TI ORTF 70MM,1369.0,1095.2,1.0,1232.1,26
HCPCS,C1821,SCREW ANT LUMB 5.0X20MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1821,SCREW ANT LUMB 5.0X25MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1821,SCREW ANT LUMB 5.0X30MM,1488.0,1190.4,1.0,1339.2,26
HCPCS,C1821,SCREW PA EVEREST EXT TAB6.5X45,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1821,SCREW PA EVEREST EXT TAB7.5X50,5940.0,4752.0,1.0,5346.0,26
HCPCS,C1821,SCREW SPNL LK LNG OBELISC,921.0,736.8,1.0,828.9,26
HCPCS,C1821,SCREW VA SLFDR T25 5X27MM,2096.0,1676.8,1.0,1886.4,26
HCPCS,C1821,SPACER ACIS PROTI 10D LORD MD6,11340.0,9072.0,1.0,10206.0,26
HCPCS,C1821,SPACER ACIS PROTI 10D LORD MD7,4721.0,3776.8,1.0,4248.9,26
HCPCS,C1821,SPACER ACIS PROTI 12D LORD MD7,4721.0,3776.8,1.0,4248.9,26
HCPCS,C1821,SPACER ACIS PROTI 15D LORD LG8,11340.0,9072.0,1.0,10206.0,26
HCPCS,C1821,SPACER ALTERA 15D10X31 10-14MM,17360.0,13888.0,1.0,15624.0,26
HCPCS,C1821,SPACER ALTERA 15D10X31 9-13MM,17360.0,13888.0,1.0,15624.0,26
HCPCS,C1821,SPACER ALTERA 15D10X36 9-13MM,17360.0,13888.0,1.0,15624.0,26
HCPCS,C1821,SPACER ALTERA 8D 10X26 8-12MM,17360.0,13888.0,1.0,15624.0,26
HCPCS,C1821,SPACER ALTERA 8D 10X31 8-12MM,17360.0,13888.0,1.0,15624.0,26
HCPCS,C1821,SPACER ALTERA 8D 10X31 9-13MM,17360.0,13888.0,1.0,15624.0,26
HCPCS,C1821,SPACER CALIBER 12X26MM *NLU*,14350.0,11480.0,1.0,12915.0,26
HCPCS,C1821,SPACER CALIBER 22X45MM *NLU*,13500.0,10800.0,1.0,12150.0,26
HCPCS,C1821,SPACER COALTN 0D 12X14X*NLU*,9139.0,7311.2,1.0,8225.1,26
HCPCS,C1821,SPACER COALTN 0D 14X16*NLU*,9139.0,7311.2,1.0,8225.1,26
HCPCS,C1821,SPACER COALTN 7D 15X18X10MM*NL,9139.0,7311.2,1.0,8225.1,26
HCPCS,C1821,SPACER COALTN MIS 7D 12X14X9MM,10010.0,8008.0,1.0,9009.0,26
HCPCS,C1821,SPACER COALTN MIS TI0D14*NLU*,13860.0,11088.0,1.0,12474.0,26
HCPCS,C1821,SPACER COALTN MIS TI12D12X14X6,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1821,SPACER COALTN MIS TI12D12X14X7,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1821,SPACER COALTN MIS TI12D12X14X8,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1821,SPACER COALTN MIS TI12D12X14X9,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1821,SPACER COALTN MIS TI12D14X16X7,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1821,SPACER COALTN MIS TI12D14X16X8,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1821,SPACER COALTN MIS TI7D12*NLU*,13860.0,11088.0,1.0,12474.0,26
HCPCS,C1821,SPACER COALTN MIS TI7D14*NLU*,13860.0,11088.0,1.0,12474.0,26
HCPCS,C1821,SPACER COALTN MISTI12D12X14X10,11988.0,9590.4,1.0,10789.2,26
HCPCS,C1821,SPACER ELSA 0D 20X17-14X45MM,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 0D 20X17-14X50MM,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 15-30D 20X11-20X50,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 15-30D 20X11-20X55,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 15-30D 20X11-20X60,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 5-20D 20X8-17X45MM,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 5-20D 20X8-17X50MM,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 5-20D 20X8-17X55MM,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 5-20D 20X8-17X60MM,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 6D 20X8-15X45MM,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 6D 20X8-15X50MM,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 6D 20X8-15X55MM,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELSA 6D 20X8-15X60MM,21500.0,17200.0,1.0,19350.0,26
HCPCS,C1821,SPACER ELVTE STD 23X8MM*NLU*,15750.0,12600.0,1.0,14175.0,26
HCPCS,C1821,SPACER ELVTE X-LOR 28X11MM,15750.0,12600.0,1.0,14175.0,26
HCPCS,C1821,SPACER LAT RISE-L 6D 55X22X8MM,15800.0,12640.0,1.0,14220.0,26
HCPCS,C1821,SPACER M TRANSCONT 20X40*NLU*,15677.0,12541.6,1.0,14109.3,26
HCPCS,C1821,SPACER MAGNIFY-S 15D 26*NLU*,25790.0,20632.0,1.0,23211.0,26
HCPCS,C1821,SPACER OPAL REVOLVE 9X10X*NLU*,9363.0,7490.4,1.0,8426.7,26
HCPCS,C1821,SPACER OPAL REVOLVE11X10X*NLU*,9363.0,7490.4,1.0,8426.7,26
HCPCS,C1821,SPACER OPAL REVOLVE12X10X*NLU*,9363.0,7490.4,1.0,8426.7,26
HCPCS,C1821,SPACER RADL CANOPY 7MM,3710.0,2968.0,1.0,3339.0,26
HCPCS,C1821,SPACER RISE 10-17MM 12X26MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 10-17MM 12X30MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 10-17MM 15D10X26MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 10-17MM 15D10X30MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 10-17MM 15D12X26MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 10-17MM 15D12X30MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 11-17MM 15D 8X22MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 11-17MM 15D10X22MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 7-13MM 10X22MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 7-13MM 8X22MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 7-14MM 10X26MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 7-14MM 12X26MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 8-14MM 10D 10X22MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 8-14MM 10D 8X22MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 8-15MM 10D 10X26MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 8-15MM 10D 10X30MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 8-15MM 10D 12X26MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE 8-15MM 10D 12X30MM,14770.0,11816.0,1.0,13293.0,26
HCPCS,C1821,SPACER RISE-L 8-15MM 6D18X45MM,15800.0,12640.0,1.0,14220.0,26
HCPCS,C1821,SPACER RISE-L 8-15MM 6D18X55MM,15800.0,12640.0,1.0,14220.0,26
HCPCS,C1821,SPACER RISE-L 8-15MM 6D22X50MM,16400.0,13120.0,1.0,15300.0,52
HCPCS,C1821,SPACER RISE-L10-17MM10D18X40MM,15800.0,12640.0,1.0,14220.0,26
HCPCS,C1821,SPACER RISE-L10-17MM10D22X60MM,15800.0,12640.0,1.0,14220.0,26
HCPCS,C1821,SPACER RISE-L10-17MM16D18X45MM,15800.0,12640.0,1.0,14220.0,26
HCPCS,C1821,SPACER SABLE 15D 10X26 10-17MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 15D 10X26 7-15MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 15D 10X30 10-17MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 15D 12X26 7-14MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 15D 7-13 10X22MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 22D 10X26 9-17MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 22D 12X26 9-17MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 8D 10X26 6-12MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 8D 12X26 8-12MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 8D 12X26 9-16MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 8D 12X30 6-12MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SABLE 8D 12X30 9-16MM,14663.0,11730.4,1.0,13196.7,26
HCPCS,C1821,SPACER SPNL 6D 12X14X7MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 14X16X10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 14X16X11MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 14X16X12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 14X16X6MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 14X16X7MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 14X16X8MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 14X16X9MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 16X18X10MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 16X18X11MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 16X18X12MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 16X18X7MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 16X18X8MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL 6D 16X18X9MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1821,SPACER SPNL ACIS LORD STD*NLU*,4944.0,3955.2,1.0,4449.6,26
HCPCS,C1821,SPACER SPNL CAPSTONE PEE*NLU*,9363.0,7490.4,1.0,8426.7,26
HCPCS,C1821,SPACER SPNL CAPSTONE PEEK*NLU*,9915.0,7932.0,1.0,9420.3,52
HCPCS,C1821,SPACER SPNL MDTR 28X10MM,15750.0,12600.0,1.0,14175.0,26
HCPCS,C1821,SPACER SPNL MONUMENT 8D*NLU*,27025.0,21620.0,1.0,24322.5,26
HCPCS,C1821,SPACER SPNL OPAL 9X10X28M*NLU*,9363.0,7490.4,1.0,8426.7,26
HCPCS,C1821,SPACER SPNL XPAND 0D 47-*NLU*,13353.0,10682.4,1.0,12017.7,26
HCPCS,C1821,SPACER ST CONV ZYSTON 10X25X10,9363.0,7490.4,1.0,8426.7,26
HCPCS,C1821,SPACER TRANSCONT M 20X8*NLU*,15677.0,12541.6,1.0,14109.3,26
HCPCS,C1821,SPNL DCOMP TOPS - 21 LNG,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS - 21 MD,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS - 21 SHRT,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS - 30 LNG,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS - 30 MD,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS - 30 SHRT,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS - 38 LNG,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS - 38 MD,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS - 38 SHRT,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS 2 - 21 LNG,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS 2 - 21 MD,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS 2 - 21 SHRT,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS 2 - 30 LNG,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS 2 - 30 MD,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS 2 - 30 SHRT,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS 2 - 38 LNG,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS 2 - 38 MD,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,SPNL DCOMP TOPS 2 - 38 SHRT,45908.0,36726.4,1.0,41317.2,26
HCPCS,C1821,T SPACER PVC GRY 8CMX1*NLU*,489.0,391.2,1.0,440.1,26
HCPCS,C1822,SYS STIM SPNL IPG HFXIQCHARGER,58636.0,46908.8,1.0,52772.4,26
HCPCS,C1822,SYS STIM SPNL SENZA IPG,49942.0,39953.6,1.0,44947.8,26
HCPCS,C1823,"Gen, neuro, trans sen/stim",,,1.0,1.0,3
HCPCS,C1824,"Generator, ccm, implant",,,1.0,1.0,3
HCPCS,C1826,STIM NEURO GENRTR INCEPTIV SCS,46000.0,36800.0,12167.0,41400.0,26
HCPCS,C1830,TRAY BX BONE LESION 13G 10CM,3735.0,2988.0,1.0,3361.5,26
HCPCS,C1832,PREP KT RECELL GO STER,18750.0,15000.0,4959.38,16875.0,26
HCPCS,C1832,SYS RECELL AUTOLGS CELLHARVEST,18750.0,15000.0,4959.38,16875.0,26
HCPCS,C1833,BRC KNEE RDRN OPBK LG,219.0,175.2,57.93,197.1,28
HCPCS,C1833,BRC KNEE RDRN OPBK MD,219.0,175.2,57.93,197.1,28
HCPCS,C1833,BRC KNEE RDRN WR*DISC 6344808*,204.0,163.2,53.96,183.6,28
HCPCS,C1839,Iris prosthesis,,,1.0,1.0,3
HCPCS,C1840,Telescopic intraocular lens,,,1.0,1.0,3
HCPCS,C1874,ENDOL ICAST 10X3*DISC 6340270*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 5X16*DISC 6340271*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 5X22*DISC 6340272*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 5X22*DISC 6340286*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 5X38MM 120CM*NLU*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 5X59*DISC 6340273*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 6X16*DISC 6340274*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 6X22*DISC 6340275*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 6X22*DISC 6340287*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 6X38*DISC 6340276*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 6X59*DISC 6340277*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 7X22*DISC 6340279*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 7X22*DISC 6340288*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 7X38*DISC 6340280*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 7X59*DISC 6340281*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 8X38*DISC 6340282*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 8X59*DISC 6340283*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 8X59*DISC 6340292*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 9X38*DISC 6340284*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST 9X59*DISC 6340285*,4400.0,3520.0,1.0,3960.0,26
HCPCS,C1874,ENDOL ICAST COV 10X38MM120CM,5421.0,4336.8,1.0,4878.9,26
HCPCS,C1874,ENDOL ICAST COV 5X16MM 120CM,5074.0,4059.2,1.0,4566.6,26
HCPCS,C1874,ENDOL ICAST COV 5X22MM 120CM,5295.0,4236.0,1.0,4765.5,26
HCPCS,C1874,ENDOL ICAST COV 5X22MM 80CM,5295.0,4236.0,1.0,4765.5,26
HCPCS,C1874,ENDOL ICAST COV 5X59MM 120CM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1874,ENDOL ICAST COV 6X16MM 120CM,5074.0,4059.2,1.0,4566.6,26
HCPCS,C1874,ENDOL ICAST COV 6X22MM 120CM,5295.0,4236.0,1.0,4765.5,26
HCPCS,C1874,ENDOL ICAST COV 6X22MM 80CM,5295.0,4236.0,1.0,4765.5,26
HCPCS,C1874,ENDOL ICAST COV 6X38MM 120CM,5421.0,4336.8,1.0,4878.9,26
HCPCS,C1874,ENDOL ICAST COV 6X59MM 120CM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1874,ENDOL ICAST COV 7X16MM 120CM,5074.0,4059.2,1.0,4566.6,26
HCPCS,C1874,ENDOL ICAST COV 7X16MM 80CM,5074.0,4059.2,1.0,4566.6,26
HCPCS,C1874,ENDOL ICAST COV 7X22MM 120CM,5295.0,4236.0,1.0,4765.5,26
HCPCS,C1874,ENDOL ICAST COV 7X22MM 80CM,5295.0,4236.0,1.0,4765.5,26
HCPCS,C1874,ENDOL ICAST COV 7X38MM 120CM,5421.0,4336.8,1.0,4878.9,26
HCPCS,C1874,ENDOL ICAST COV 7X38MM 80CM,5421.0,4336.8,1.0,4878.9,26
HCPCS,C1874,ENDOL ICAST COV 7X59MM 120CM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1874,ENDOL ICAST COV 7X59MM 80CM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1874,ENDOL ICAST COV 8X38MM 120CM,5421.0,4336.8,1.0,4878.9,26
HCPCS,C1874,ENDOL ICAST COV 8X38MM 80CM,5421.0,4336.8,1.0,4878.9,26
HCPCS,C1874,ENDOL ICAST COV 8X59MM 120CM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1874,ENDOL ICAST COV 8X59MM 80CM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1874,ENDOL ICAST COV 9X38MM 120CM,5421.0,4336.8,1.0,4878.9,26
HCPCS,C1874,ENDOL ICAST COV 9X59MM 120CM,5842.0,4673.6,1.0,5257.8,26
HCPCS,C1874,ENDOL THORACIC CLSD 30X30X110,27292.0,21833.6,1.0,24562.8,26
HCPCS,C1874,ENDOL THORACIC CLSD 30X30X185,31492.0,25193.6,1.0,28342.8,26
HCPCS,C1874,ENDOL THORACIC CLSD 32X32X185,31490.0,25192.0,1.0,28341.0,26
HCPCS,C1874,ENDOL THORACIC CLSD 36X36X100,29812.0,23849.6,1.0,26830.8,26
HCPCS,C1874,ENDOL THORACIC CLSD 36X36X150,29812.0,23849.6,1.0,26830.8,26
HCPCS,C1874,ENDOL THORACIC TPR 36X32X160,29812.0,23849.6,1.0,26830.8,26
HCPCS,C1874,ENDOL THORACIC TPR 38X34X160,27292.0,21833.6,1.0,24562.8,26
HCPCS,C1874,ENDOL ZENITH ALP*DISC NO REPL*,34900.0,27920.0,1.0,31419.0,260
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 28X109,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 28X155,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 30X109,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 30X113,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 30X201,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 32X109,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 32X201,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 34X20,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 36X113,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 38X117,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 40X117,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 40X217,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA TPR 30X108,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA TPR 34X209,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA TPR 35X85,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA TPR 40X167,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX24X105,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX28X109,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX28X155,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX30X109,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX30X155,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX30X201,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX32X109,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX32X155,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA2PROXP34X161,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH ALPHA2PROXP38X117,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH APLHA PROX 28X201,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITH CONVERT RENU 30MM,15104.0,12083.2,1.0,13593.6,26
HCPCS,C1874,ENDOL ZENITH CONVERT RENU 32MM,15104.0,12083.2,1.0,13593.6,26
HCPCS,C1874,ENDOL ZENITH DIST BIF12X28X76,8106.0,6484.8,1.0,7295.4,26
HCPCS,C1874,ENDOL ZENITH DIST BIF12X28X91,8106.0,6484.8,1.0,7295.4,26
HCPCS,C1874,ENDOL ZENITH DIST BIF12X45X76,8106.0,6484.8,1.0,7295.4,26
HCPCS,C1874,ENDOL ZENITH FEN 2 PROX 26X94,24040.0,19232.0,1.0,21636.0,26
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 28X94,24040.0,19232.0,1.0,21636.0,26
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 30X124,24040.0,19232.0,1.0,21636.0,26
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 30X20,24040.0,19232.0,1.0,21636.0,26
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 32X94,24040.0,19232.0,1.0,21636.0,26
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 45X124,24040.0,19232.0,1.0,21636.0,26
HCPCS,C1874,ENDOL ZENITH FLEX BIF 30X125MM,19609.0,15687.2,1.0,17648.1,26
HCPCS,C1874,ENDOL ZENITH FLEX BIF32X96MM,19609.0,15687.2,1.0,17648.1,26
HCPCS,C1874,ENDOL ZENITH FLEX EXT 26X39,4505.0,3604.0,1.0,4054.5,26
HCPCS,C1874,ENDOL ZENITH FLEX EXT 26X58,4505.0,3604.0,1.0,4054.5,26
HCPCS,C1874,ENDOL ZENITH FLEX EXT 28X58,4505.0,3604.0,1.0,4054.5,26
HCPCS,C1874,ENDOL ZENITH FLEX EXT 30X39,4505.0,3604.0,1.0,4054.5,26
HCPCS,C1874,ENDOL ZENITH FLEX EXT 32X39,4505.0,3604.0,1.0,4054.5,26
HCPCS,C1874,ENDOL ZENITH FLEX EXT 32X58,4505.0,3604.0,1.0,4054.5,26
HCPCS,C1874,ENDOL ZENITH FLEX EXT 36X50,4505.0,3604.0,1.0,4054.5,26
HCPCS,C1874,ENDOL ZENITH ILIAC BIF10X45X41,24000.0,19200.0,1.0,21600.0,26
HCPCS,C1874,ENDOL ZENITH ILIAC BIF10X45X58,24000.0,19200.0,1.0,21600.0,26
HCPCS,C1874,ENDOL ZENITH ILIAC BIF10X61X41,24000.0,19200.0,1.0,21600.0,26
HCPCS,C1874,ENDOL ZENITH ILIAC BIF10X61X58,24000.0,19200.0,1.0,21600.0,26
HCPCS,C1874,ENDOL ZENITH ILIAC BIF12X45X41,24000.0,19200.0,1.0,21600.0,26
HCPCS,C1874,ENDOL ZENITH ILIAC BIF12X45X58,24000.0,19200.0,1.0,21600.0,26
HCPCS,C1874,ENDOL ZENITH ILIAC BIF12X61X41,24000.0,19200.0,1.0,21600.0,26
HCPCS,C1874,ENDOL ZENITH ILIAC BIF12X61X58,24000.0,19200.0,1.0,21600.0,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 11X107MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 11X122MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 11X56MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 11X74MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 11X90MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 13X107MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 13X122MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 13X39MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 13X56MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 13X74MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 13X90MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 16X39MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 16X56MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 16X74MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 16X90MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 20X39MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 20X56MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 20X74MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 20X90MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 24X39MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 24X56MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 24X74MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 24X90MM,7989.0,6391.2,1.0,7190.1,26
HCPCS,C1874,ENDOL ZENITH TX2 PROFORM 28X82,36627.0,29301.6,1.0,32964.3,26
HCPCS,C1874,ENDOL ZENITH TX2 PROFORM 30X38,36627.0,29301.6,1.0,32964.3,26
HCPCS,C1874,ENDOL ZENITH TX2 PROFORM 30X82,36627.0,29301.6,1.0,32964.3,26
HCPCS,C1874,ENDOL ZENITH TX2 PROFORM 32X40,36627.0,29301.6,1.0,32964.3,26
HCPCS,C1874,ENDOL ZENITH TX2 PROFORM 34X79,36627.0,29301.6,1.0,32964.3,26
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT30X108,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT32X178,37400.0,29920.0,1.0,33660.0,26
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT32X201,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT34X209,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT36X209,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT38X167,34890.0,27912.0,1.0,31401.0,26
HCPCS,C1874,ENDOLZENITHTX2PROFORM34/26X156,36627.0,29301.6,1.0,32964.3,26
HCPCS,C1874,ENDOLZENITHTX2PROFORM34/26X194,36627.0,29301.6,1.0,32964.3,26
HCPCS,C1874,ENDOLZENITHTX2PROFORM36/28X199,36627.0,29301.6,1.0,32964.3,26
HCPCS,C1874,ENDOLZENITHTX2PROFORM38/34X154,36627.0,29301.6,1.0,32964.3,26
HCPCS,C1874,GRAFT AAA CUST P234137R,27646.0,22116.8,1.0,24881.4,26
HCPCS,C1874,GRAFT FLAIR FLARED 7X50MM*NLU*,9450.0,7560.0,1.0,8505.0,26
HCPCS,C1874,GRAFT FLUENCY PLUS 7X60MM*NLU*,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,GRAFT FLUENCY PLUS12X40MM*NLU*,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1874,GRAFT FLUENCY PLUS12X60MM*NLU*,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1874,GRAFT FLUENCY PLUS12X80MM*NLU*,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,GRAFT FLUENCY PLUS13.5X60*NLU*,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,GRAFT FLUENCY PLUS13.5X80*NLU*,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,GRAFT FLUENCY PLUS7X100MM*NLU*,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1874,GRAFT FLUENCY PLUS8X100MM*NLU*,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,GRAFT FLUENCYPLUS12X120MM*NLU*,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1874,STENT JOSTNT 5.0X26,4047.0,3237.6,1.0,3642.3,26
HCPCS,C1874,STNT AXIOS W ELECCAUT 15X10MM,15400.0,12320.0,1.0,13860.0,26
HCPCS,C1874,STNT AXIOS W ELECCAUT 15X15MM,17483.0,13986.4,1.0,15734.7,26
HCPCS,C1874,STNT AXIOS W ELECCAUT 20X10MM,17483.0,13986.4,1.0,15734.7,26
HCPCS,C1874,STNT AXIOX W ELECCAUT 10X10MM,15400.0,12320.0,1.0,13860.0,26
HCPCS,C1874,STNT BILI WALLFLEX PLUS10X40MM,9158.0,7326.4,1.0,8242.2,26
HCPCS,C1874,STNT BILI WALLFLEX PLUS10X60MM,9158.0,7326.4,1.0,8242.2,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X12,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X16,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X20,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X24,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X28,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X32,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X8,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X12,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X16,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X20,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X24,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X28,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X32,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X8,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X12,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X16,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X20,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X24,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X28,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X32,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X8,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X12,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X16,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X20,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X24,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X28,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X32,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X8,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321303*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321304*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321305*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321306*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321307*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321308*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321309*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321310*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321311*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321312*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321313*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321316*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321317*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321318*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321319*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321320*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321321*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321324*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321325*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321326*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321327*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321328*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321329*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321332*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321333*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321334*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321335*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321336*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321337*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321340*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321341*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321342*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321343*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321344*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321345*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321348*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321349*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321350*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321351*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321352*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321353*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321356*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321357*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321358*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321359*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNER*DISC 6321361*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNERG*DISC 6321302*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO SYNERG*DISC 6321360*,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.25X12MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.25X16MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.25X20MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.25X24MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.25X28MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.25X32MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.25X38MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.25X8MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.50X12MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.50X16MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.50X20MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.50X24MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.50X28MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.50X32MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.50X38MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.50X8MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.75X12MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.75X16MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.75X20MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.75X24MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.75X28MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.75X32MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.75X38MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.75X48MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 2.75X8MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.00X12MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.00X16MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.00X20MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.00X24MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.00X28MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.00X32MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.00X38MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.00X48MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.00X8MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.50X12MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.50X16MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.50X20MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.50X24MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.50X28MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.50X32MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.50X38MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.50X48MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 3.50X8MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.00X12MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.00X16MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.00X20MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.00X24MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.00X28MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.00X32MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.00X38MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.00X8MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.0X048MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.50X12MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.50X16MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.50X20MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.50X24MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.50X28MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 4.50X32MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 5.00X12MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 5.00X16MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 5.00X20MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 5.00X24MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 5.00X28MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT CORO XD SYNRG 5.00X32MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1874,STNT COVA VASC FLARED 8X60MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 10X100MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 10X30MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 10X40MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 10X60MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 10X80MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 8X100MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 8X30MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 8X40MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 8X60MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 8X80MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 9X100MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 9X30MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 9X40MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 9X60MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT COVA VASC ST 9X80MM,8925.0,7140.0,1.0,8032.5,26
HCPCS,C1874,STNT CP COV 8ZIG 20X39MM,17381.0,13904.8,1.0,15642.9,26
HCPCS,C1874,STNT DES ORSIRO 2.25X13MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.25X15MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.25X18MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.25X22MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.25X26MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.25X30MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.25X9MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.5X13MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.5X15MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.5X18MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.5X22MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.5X26MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.5X30MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.5X35MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.5X40MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 2.5X9MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 3.0X13MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 3.0X15MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 3.0X18MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 3.0X22MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 3.0X26MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 3.0X30MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 3.0X35MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 3.0X40MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO 3.0X9MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.25X9,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X13,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X15,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X18,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X22,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X26,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X30,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X35,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X40,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X9,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 2.75X9,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X13,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X15,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X18,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X22,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X26,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X30,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X35,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X40,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X9,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X13,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X15,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X18,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X22,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X26,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X30,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X35,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X40,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X9,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X13,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X15,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X18,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X22,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X26,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X30,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X35,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X40,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X9,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X13,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X15,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X18,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X22,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X26,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X30,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X13,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X15,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X18,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X22,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X26,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X30,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X35,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X40,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT DESORSIROMI*DISC NO REPL*,4865.0,3892.0,1.0,4378.5,52
HCPCS,C1874,STNT ELUVIA 6X100MM 130CM,16555.0,13244.0,1.0,14899.5,26
HCPCS,C1874,STNT ELUVIA 6X120MM 130CM,16555.0,13244.0,1.0,14899.5,26
HCPCS,C1874,STNT ELUVIA 6X150MM 130CM,12650.0,10120.0,1.0,11385.0,26
HCPCS,C1874,STNT ELUVIA 6X80MM 130CM,16555.0,13244.0,1.0,14899.5,26
HCPCS,C1874,STNT ELUVIA 7X100MM 130CM,16555.0,13244.0,1.0,14899.5,26
HCPCS,C1874,STNT ELUVIA 7X120MM 130CM,16555.0,13244.0,1.0,14899.5,26
HCPCS,C1874,STNT ELUVIA 7X150MM 130CM,12650.0,10120.0,1.0,11385.0,26
HCPCS,C1874,STNT ELUVIA 7X80MM 130CM,16555.0,13244.0,1.0,14899.5,26
HCPCS,C1874,STNT ENDOMAXX ESOPH 19X12*NLU,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1874,STNT ENDOMAXX ESOPH 23X100MM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1874,STNT ENDOMAXX ESOPH 23X120MM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1874,STNT ENDOMAXX ESOPH 23X150MM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1874,STNT ENDOMAXX ESOPH 23X70MM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1874,STNT ESOPH AGILE FULLCOV 14X62,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE FULLCOV 18X59,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE FULLCOV 18X97,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE FULLCOV14X102,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE FULLCOV14X119,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE FULLCOV14X148,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE FULLCOV18X119,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE FULLCOV18X149,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE PARTCOV14X102,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE PARTCOV14X119,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE PARTCOV14X148,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE PARTCOV14X62,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE PARTCOV18X119,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE PARTCOV18X149,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE PARTCOV18X59,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH AGILE PARTCOV18X97,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT ESOPH ALIMAXX-ES COV*NLU,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1874,STNT ESOPH ALIMAXX-ESCOV1*NLU,9450.0,7560.0,1.0,8505.0,26
HCPCS,C1874,STNT ESOPH TTS 18MMX10CM,9293.0,7434.4,1.0,8363.7,26
HCPCS,C1874,STNT ESOPH TTS 18MMX6CM*NLU,9675.0,7740.0,1.0,8707.5,26
HCPCS,C1874,STNT ESOPH TTS 20MMX10CM,9293.0,7434.4,1.0,8363.7,26
HCPCS,C1874,STNT ESOPHAGILEOTWPARTCOV23X62,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNT FLUENCY PLUS10X40MM117C,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,STNT FLUENCY PLUS13.5X40MM117,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,STNT FORTEGRA 10FR 10X100MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 10FR 10X150MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 10FR 10X50MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 10FR 10X75MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 12X100MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 12X150MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 12X50MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 12X75MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 14X100MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 14X150MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 14X50MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 14X75MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 16X100MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 16X150MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 16X50MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 11FR 16X75MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 12FR 18X100MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 12FR 18X150MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 12FR 18X50MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 12FR 18X75MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 12FR 20X100MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 12FR 20X150MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 12FR 20X50MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 12FR 20X75MM,6642.0,5313.6,1.0,5977.8,26
HCPCS,C1874,STNT FORTEGRA 14FR 24X100MM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1874,STNT FORTEGRA 14FR 24X150MM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1874,STNT FORTEGRA 14FR 24X50MM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1874,STNT FORTEGRA 14FR 24X75MM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1874,STNT FORTEGRA 14FR 28X100MM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1874,STNT FORTEGRA 14FR 28X150MM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1874,STNT FORTEGRA 14FR 28X50MM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1874,STNT FORTEGRA 14FR 28X75MM,9968.0,7974.4,1.0,8971.2,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X12MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X15MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X18MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X22MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X26MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X30MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X8MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X8MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X8MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X8MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X8MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X8MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X8MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X12MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X15MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X18MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X22MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X26MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X30MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X12MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X15MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X18MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X22MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X26MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X30MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT GRAFT CONFORMABLE21X21X10,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE26X21X10,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE26X26X10,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE28X28X10,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE28X28X15,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE31X26X10,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE31X31X10,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE31X31X15,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE31X31X20,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE34X28X15,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE34X34X10,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE34X34X15,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE34X34X20,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE37X37X10,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE37X37X15,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE37X37X20,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE40X40X10,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE40X40X20,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE45X37X15,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE45X45X10,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE45X45X15,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFT CONFORMABLE45X45X20,41285.0,33028.0,1.0,37156.5,26
HCPCS,C1874,STNT GRAFTMASTER 2.80X16MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT GRAFTMASTER 2.80X19MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT GRAFTMASTER 3.50X16MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT GRAFTMASTER 3.50X19MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT GRAFTMASTER 3.50X26MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT GRAFTMASTER 4.00X19MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT GRAFTMASTER 4.0X16MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT GRAFTMASTER 4.50X19MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT GRAFTMASTER 4.5X16MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT GRAFTMASTER 4.80X16MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT GRAFTMASTER 4.80X19MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1874,STNT LIFESTREAM 135CM 10X38MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 10X58MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 12X38MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 5X26MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 5X37MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 6X16MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 6X26MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 6X37MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 6X58MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 7X16MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 7X26MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 7X37MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 7X58MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 8X16MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 8X26MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 8X37MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 8X58MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 9X38MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 135CM 9X58MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 80CM 5X26MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT LIFESTREAM 80CM 6X26MM,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1874,STNT PALMAZ GENESIS10X59 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 2.5X15MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 2.5X20MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.0X15MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.0X20MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.0X26MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.5X15MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.5X20MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.5X26MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 4.0X15MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 4.0X20MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 5FR 4.0X26MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 6FR 4.5X15MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 6FR 4.5X20MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 6FR 4.5X26MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 6FR 5.0X15MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 6FR 5.0X20MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PK PAPYRUS 6FR 5.0X26MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT PROMUS PREMIER 2.25X12MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.25X16MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.25X20MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.25X24MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.25X28MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.25X32MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.25X8MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.5X12MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.5X16MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.5X20MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.5X24MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.5X28MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.5X32MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.5X38MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.5X8MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.75X12MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.75X16MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.75X20MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.75X24MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.75X28MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.75X32MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.75X38MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 2.75X8MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.0X12MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.0X16MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.0X20MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.0X24MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.0X28MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.0X32MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.0X38MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.0X8MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.5X12MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.5X16MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.5X20MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.5X24MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.5X28MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.5X32MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.5X38MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 3.5X8MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 4.0X12MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 4.0X16MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 4.0X20MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 4.0X24MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 4.0X28MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 4.0X32MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 4.0X38MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS PREMIER 4.0X8MM,5175.0,4140.0,1.0,4657.5,26
HCPCS,C1874,STNT PROMUS RX 2.5X8MM*DISC*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1874,STNT RDCPRO VBX 5X39MM 135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 5X59MM 135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 5X79MM 135CM,12044.0,9635.2,1.0,10839.6,26
HCPCS,C1874,STNT RDCPRO VBX 6X19MM 135CM,9394.0,7515.2,1.0,8454.6,26
HCPCS,C1874,STNT RDCPRO VBX 6X19MM 80CM,9394.0,7515.2,1.0,8454.6,26
HCPCS,C1874,STNT RDCPRO VBX 6X29MM 135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 6X29MM 80MM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 6X39MM 135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 6X59MM 135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 6X79MM 135CM,12044.0,9635.2,1.0,10839.6,26
HCPCS,C1874,STNT RDCPRO VBX 7X19MM 135CM,9394.0,7515.2,1.0,8454.6,26
HCPCS,C1874,STNT RDCPRO VBX 7X29MM 135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 7X29MM 80CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 7X39MM 135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 7X59MM135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 7X79MM 135CM,12044.0,9635.2,1.0,10839.6,26
HCPCS,C1874,STNT RDCPRO VBX 8X11X39MM135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 8X11X59MM 80CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 8X11X59MM135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 8X16X29MM135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 8X16X39MM135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 8X16X59MM135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 8X16X79MM 135C,12044.0,9635.2,1.0,10839.6,26
HCPCS,C1874,STNT RDCPRO VBX 8X79MM 80CM,12044.0,9635.2,1.0,10839.6,26
HCPCS,C1874,STNT RDCPRO VBX 9X29MM 135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 9X39MM 135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 9X59MM 135CM,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1874,STNT RDCPRO VBX 9X79MM 135CM,12044.0,9635.2,1.0,10839.6,26
HCPCS,C1874,STNT RESOLUTE 2.25X08MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.25X12MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.25X14MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.25X18MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.25X22MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.25X26MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.25X30MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.50X08MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.50X12MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.50X14MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.50X18MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.50X22MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.50X26MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.50X30MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.75X08MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.75X12MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.75X14MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.75X18MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.75X22MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.75X26MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 2.75X30MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.00X09MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.00X12MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.00X15MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.00X18MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.00X22MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.00X26MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.00X30MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.00X34MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.00X38MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.50X09MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.50X12MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.50X15MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.50X18MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.50X22MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.50X26MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.50X30MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.5X34MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 3.5X38MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 4.00X12MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 4.00X15MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 4.00X18MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 4.00X22MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 4.00X26MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 4.00X30MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 4.0X34MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 4.0X38MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE 4.0X9MM,4865.0,3892.0,1.0,4378.5,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X12MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X15MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X18MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X22MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X26MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X30MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X8MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X08MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X08MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X08MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X12MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X15MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X18MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X22MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X26MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X30MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X12MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X15MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X18MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X22MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X26MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X30MM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X08MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X08MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X08MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X12MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X15MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X18MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X22MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X26MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X30MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X34MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X38MM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1874,STNT TAXUS LIBERTEATOM2.*DISC*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1874,STNT TRACHBRONC AERO 12X20MM,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,STNT TRACHBRONC AERO 16X4*NLU*,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,STNT TRACHBRONC AEROMINI6X15MM,10575.0,8460.0,1.0,9517.5,26
HCPCS,C1874,STNT ULTRAFLEX 15MMCOV 10X30MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 15MMCOV 12X30MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 15MMCOV 14X30MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 10X40MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 12X40MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 14X40MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 16X40MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 18X40MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 20X40MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 8X40MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 45MMCOV 14X60MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 45MMCOV 16X60MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 45MMCOV 18X60MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 45MMCOV 20X60MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 65MMCOV 14X80MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 65MMCOV 16X80MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 65MMCOV 18X80MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT ULTRAFLEX 65MMCOV 20X80MM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1874,STNT VIABAHN 0.018 5MM 5X120CM,6336.0,5068.8,1.0,5702.4,26
HCPCS,C1874,STNT VIABAHN 0.018 5MM10X120CM,7058.0,5646.4,1.0,6352.2,26
HCPCS,C1874,STNT VIABAHN 0.018 5MM15X120CM,8048.0,6438.4,1.0,7243.2,26
HCPCS,C1874,STNT VIABAHN 0.018 5MM25X120CM,13182.0,10545.6,1.0,11863.8,26
HCPCS,C1874,STNT VIABAHN 0.018 6MM 5X120CM,6336.0,5068.8,1.0,5702.4,26
HCPCS,C1874,STNT VIABAHN 0.018 6MM10X120CM,7058.0,5646.4,1.0,6352.2,26
HCPCS,C1874,STNT VIABAHN 0.018 6MM15X120CM,8048.0,6438.4,1.0,7243.2,26
HCPCS,C1874,STNT VIABAHN 0.018 6MM25X120CM,13182.0,10545.6,1.0,11863.8,26
HCPCS,C1874,STNT VIABAHN 0.018 7MM 5X120CM,6336.0,5068.8,1.0,5702.4,26
HCPCS,C1874,STNT VIABAHN 0.018 7MM10X120CM,7058.0,5646.4,1.0,6352.2,26
HCPCS,C1874,STNT VIABAHN 0.018 7MM15X120CM,8048.0,6438.4,1.0,7243.2,26
HCPCS,C1874,STNT VIABAHN 0.018 7MM25X120CM,13182.0,10545.6,1.0,11863.8,26
HCPCS,C1874,STNT VIABAHN 0.018 8MM 5X120CM,6336.0,5068.8,1.0,5702.4,26
HCPCS,C1874,STNT VIABAHN 0.018 8MM10X120CM,7058.0,5646.4,1.0,6352.2,26
HCPCS,C1874,STNT VIABAHN 0.018 8MM15X120CM,8048.0,6438.4,1.0,7243.2,26
HCPCS,C1874,STNT VIABAHN 0.018 8MM25X120CM,13182.0,10545.6,1.0,11863.8,26
HCPCS,C1874,STNT VIABAHN 0.035 10X10 120CM,6822.0,5457.6,1.0,6139.8,26
HCPCS,C1874,STNT VIABAHN 0.035 10X15 120CM,7912.0,6329.6,1.0,7120.8,26
HCPCS,C1874,STNT VIABAHN 0.035 10X5 120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 11X10 120CM,6822.0,5457.6,1.0,6139.8,26
HCPCS,C1874,STNT VIABAHN 0.035 11X5 120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 13X10 120CM,6822.0,5457.6,1.0,6139.8,26
HCPCS,C1874,STNT VIABAHN 0.035 13X5 120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 5X10 120CM,6822.0,5457.6,1.0,6139.8,26
HCPCS,C1874,STNT VIABAHN 0.035 5X15 120CM,7912.0,6329.6,1.0,7120.8,26
HCPCS,C1874,STNT VIABAHN 0.035 5X5 120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 6X10 120CM,6822.0,5457.6,1.0,6139.8,26
HCPCS,C1874,STNT VIABAHN 0.035 6X15 120CM,7912.0,6329.6,1.0,7120.8,26
HCPCS,C1874,STNT VIABAHN 0.035 6X2.5 120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 6X5 120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 7X10 120CM,6822.0,5457.6,1.0,6139.8,26
HCPCS,C1874,STNT VIABAHN 0.035 7X15 120CM,7912.0,6329.6,1.0,7120.8,26
HCPCS,C1874,STNT VIABAHN 0.035 7X2.5120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 7X5 120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 8X10 120CM,6822.0,5457.6,1.0,6139.8,26
HCPCS,C1874,STNT VIABAHN 0.035 8X10 75CM,6822.0,5457.6,1.0,6139.8,26
HCPCS,C1874,STNT VIABAHN 0.035 8X15 120CM,7912.0,6329.6,1.0,7120.8,26
HCPCS,C1874,STNT VIABAHN 0.035 8X2.5120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 8X5 120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 8X5 75CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN 0.035 9X10 120CM,6822.0,5457.6,1.0,6139.8,26
HCPCS,C1874,STNT VIABAHN 0.035 9X15 120CM,7912.0,6329.6,1.0,7120.8,26
HCPCS,C1874,STNT VIABAHN 0.035 9X5 120CM,6008.0,4806.4,1.0,5407.2,26
HCPCS,C1874,STNT VIABAHN VBX 10X29MM 135CM,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1874,STNT VIABAHN VBX 10X29MM 80CM,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1874,STNT VIABAHN VBX 10X39MM 135CM,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1874,STNT VIABAHN VBX 10X39MM 80CM,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1874,STNT VIABAHN VBX 10X59MM 135CM,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1874,STNT VIABAHN VBX 10X79MM 135CM,6882.0,5505.6,1.0,6193.8,26
HCPCS,C1874,STNT VIABAHN VBX 11X29MM 135CM,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1874,STNT VIABAHN VBX 11X39MM 135CM,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1874,STNT VIABAHN VBX 11X59MM 135CM,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1874,STNT VIABAHN VBX 11X59MM 80CM,6200.0,4960.0,1.0,5580.0,26
HCPCS,C1874,STNT VIABAHN VBX 11X79MM 135CM,6882.0,5505.6,1.0,6193.8,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340335*,5014.0,4011.2,1.0,4512.6,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340336*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340338*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340340*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340342*,6594.0,5275.2,1.0,5934.6,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340344*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340345*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340346*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340347*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340348*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340349*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340350*,6594.0,5275.2,1.0,5934.6,26
HCPCS,C1874,STNT VIABAHN*DISC 6316174*,5506.0,4404.8,1.0,4955.4,26
HCPCS,C1874,STNT VIABAHN*DISC 6316176*,6250.0,5000.0,1.0,5625.0,26
HCPCS,C1874,STNT VIABAHN*DISC 6316178*,5506.0,4404.8,1.0,4955.4,26
HCPCS,C1874,STNT VIABAHN*DISC 6316179*,6250.0,5000.0,1.0,5625.0,26
HCPCS,C1874,STNT VIABAHN*DISC 6316180*,7188.0,5750.4,1.0,6469.2,26
HCPCS,C1874,STNT VIABAHN*DISC 6316181*,5506.0,4404.8,1.0,4955.4,26
HCPCS,C1874,STNT VIABAHN*DISC 6316182*,6250.0,5000.0,1.0,5625.0,26
HCPCS,C1874,STNT VIABAHN*DISC 6316183*,5506.0,4404.8,1.0,4955.4,26
HCPCS,C1874,STNT VIABAHN*DISC 6316184*,6250.0,5000.0,1.0,5625.0,26
HCPCS,C1874,STNT VIABAHN0.018 7MM2.5X120CM,6336.0,5068.8,1.0,5702.4,26
HCPCS,C1874,STNT VIABAHVBX5X*DISC 6340317*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX5X*DISC 6340319*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX5X*DISC 6340321*,6594.0,5275.2,1.0,5934.6,26
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340325*,5014.0,4011.2,1.0,4512.6,26
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340326*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340328*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340330*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340332*,6594.0,5275.2,1.0,5934.6,26
HCPCS,C1874,STNT VIABAHVBX7X*DISC 6340337*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX7X*DISC 6340339*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX7X*DISC 6340341*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX7X*DISC 6340343*,6594.0,5275.2,1.0,5934.6,26
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340360*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340362*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340364*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340365*,6594.0,5275.2,1.0,5934.6,26
HCPCS,C1874,STNT VIABAHVBX8X79MM135CM*CIP*,6882.0,5505.6,1.0,6193.8,26
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340352*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340353*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340354*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340356*,5956.0,4764.8,1.0,5360.4,26
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340358*,6594.0,5275.2,1.0,5934.6,26
HCPCS,C1874,STNT VIABIL COV 10X40MM 200CM,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1874,STNT VIABIL COV 10X60MM 200CM,11025.0,8820.0,1.0,9922.5,26
HCPCS,C1874,STNT VIABIL HL 10X60MM 200CM,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,STNT VIABIL WO HL 10X40MM 40CM,10938.0,8750.4,1.0,9844.2,26
HCPCS,C1874,STNT VIABIL WO HL 10X60MM 40CM,10938.0,8750.4,1.0,9844.2,26
HCPCS,C1874,STNT VIABIL WO HL 10X80MM 40CM,10938.0,8750.4,1.0,9844.2,26
HCPCS,C1874,STNT VIABIL WO HL10X40MM 200CM,10350.0,8280.0,1.0,9315.0,26
HCPCS,C1874,STNT VIATORR TIP*DISC 6350772*,12783.0,10226.4,1.0,11504.7,26
HCPCS,C1874,STNT VIATORR TIPS 6-10MM 4X2CM,12783.0,10226.4,1.0,11504.7,26
HCPCS,C1874,STNT VIATORR TIPS 6-10MM 5X2CM,12598.0,10078.4,1.0,11338.2,26
HCPCS,C1874,STNT VIATORR TIPS 6-10MM 6X2CM,12528.0,10022.4,1.0,11275.2,26
HCPCS,C1874,STNT VIATORR TIPS 6-10MM 7X2CM,12758.0,10206.4,1.0,11482.2,26
HCPCS,C1874,STNT VIATORR TIPS 6-10MM 8X2CM,12503.0,10002.4,1.0,11252.7,26
HCPCS,C1874,STNT VIATORR TIPS 8-10MM 5X2CM,17080.0,13664.0,1.0,15372.0,26
HCPCS,C1874,STNT VIATORRTIPS*DISC 6350774*,12528.0,10022.4,1.0,11275.2,26
HCPCS,C1874,STNT VIATORRTIPS*DISC 6350775*,12758.0,10206.4,1.0,11482.2,26
HCPCS,C1874,STNT VIATORRTIPS*DISC 6350776*,12503.0,10002.4,1.0,11252.7,26
HCPCS,C1874,STNT WLLFLX ESOPH 18MM10.3X7CM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1874,STNT WLLFLX ESOPH 18MM12.3X9CM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1874,STNT WLLFLX ESOPH 23MM10.3X7CM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1874,STNT WLLFLX ESOPH 23MM12.3X9CM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1874,STNT WLLFLX ESOPH18MM15.3X12CM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1874,STNT WLLFLX ESOPH23MM15.3X12CM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1874,STNT WLLFLX ESOPHCOV18MM10.3CM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C1874,STNT WLLFLX ESOPHCOV18MM12.3CM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C1874,STNT WLLFLX ESOPHCOV18MM15.3CM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C1874,STNT WLLFLX ESOPHCOV23MM10.3CM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C1874,STNT WLLFLX ESOPHCOV23MM12.3CM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C1874,STNT WLLFLX ESOPHCOV23MM15.3CM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C1874,STNT WLLFLX FULL 8.5FR10X40MM,12250.0,9800.0,1.0,11025.0,26
HCPCS,C1874,STNT WLLFLX RX FULL8.5FR8X60MM,8528.0,6822.4,1.0,7675.2,26
HCPCS,C1874,STNT WLLFLX RX FULL8.5FR8X80MM,8528.0,6822.4,1.0,7675.2,26
HCPCS,C1874,STNT WLLFLX RXFULL8.5FR10X40MM,8528.0,6822.4,1.0,7675.2,26
HCPCS,C1874,STNT WLLFLX RXFULL8.5FR10X60MM,8528.0,6822.4,1.0,7675.2,26
HCPCS,C1874,STNT WLLFLX RXFULL8.5FR10X80MM,8528.0,6822.4,1.0,7675.2,26
HCPCS,C1874,STNT WLLFLX RXPART8.5FR10X40MM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C1874,STNT WLLFLX RXPART8.5FR10X60MM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C1874,STNT WLLSTNT PART 8FR 10X60MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1874,STNT WLLSTNT RX PART 8FR8X80MM,7178.0,5742.4,1.0,6460.2,26
HCPCS,C1874,STNT XIENCE ALPINE RX 2.25X8MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X12MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X15MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X18MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X23MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X28MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X33MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X38MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X8MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 2.75X8MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X12MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X15MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X18MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X23MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X28MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X33MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X38MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X8MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.25X8MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X12MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X15MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X18MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X23MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X28MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X33MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X38MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X8MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X12MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X15MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X18MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X23MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X28MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X33MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X38MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X8MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.25X12MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.25X15MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.25X18MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.25X23MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.25X28MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X12MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X15MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X18MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X23MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X28MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X33MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X38MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X12MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X15MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X18MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X23MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X28MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X33MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X38MM,4770.0,3816.0,1.0,4293.0,26
HCPCS,C1874,STNT XIENCE NANO2.25X12*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE NANO2.25X15*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE NANO2.25X18*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE NANO2.25X23*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE NANO2.25X28*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE NANO2.25X8*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 2.5X18*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 2.5X28*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 2.75X*DISC,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 2.75X12*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 2.75X18*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 2.75X23*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 2.75X28*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 2.75X8*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 3*DISC 6261596,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 3.5X12*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW 4.0X8*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE OTW*DISC 6261594*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE PRIME 2.5X28*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE PRIME 3.0X28*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE PRIME 3.5X28*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE PRIME 4.0X28*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE PRIME2.75X28*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X08MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X12MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X15MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X18MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X23MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X28MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X33MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X38MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X08MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X12MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X15MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X18MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X23MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X28MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X33MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X38MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X08MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X12MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X15MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X18MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X23MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X28MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X33MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X38MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X08MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X12MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X15MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X18MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X23MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X28MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X33MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X38MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X08MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X12MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X15MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X18MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X23MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X28MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X33MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X38MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X08MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X12MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X15MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X18MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X23MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X28MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X33MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X38MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X08MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X12MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X15MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X18MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X23MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X28MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X33MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X38MM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 2.25X8,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 2.50X8,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X12,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X15,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X18,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X23,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X28,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X33,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X38,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X8,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.25X8,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X12,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X15,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X18,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X23,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X28,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X33,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X38,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X8,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X12,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X15,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X18,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X23,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X28,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X33,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X38,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X8,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X12,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X15,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X18,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X23,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X28,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X33,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X38,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X12,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X15,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X18,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X23,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X28,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X33,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X38,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X12,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X15,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X18,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X23,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X28,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X33,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X38,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X8,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X12,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X15,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X18,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X23,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X28,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X33,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X38,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1874,STNT XIENCE XPED RX 2.25*NLU*,4770.0,3816.0,1.0,4293.0,156
HCPCS,C1874,STNT XIENCE XPED RX 2.5X*NLU*,4770.0,3816.0,1.0,4293.0,208
HCPCS,C1874,STNT XIENCE XPED RX 2.75*NLU*,4770.0,3816.0,1.0,4293.0,208
HCPCS,C1874,STNT XIENCE XPED RX 3.0X*NLU*,4770.0,3816.0,1.0,4293.0,208
HCPCS,C1874,STNT XIENCE XPED RX 3.25*NLU*,4770.0,3816.0,1.0,4293.0,208
HCPCS,C1874,STNT XIENCE XPED RX 3.5X*NLU*,4770.0,3816.0,1.0,4293.0,208
HCPCS,C1874,STNT XIENCE XPED RX 4.0X*NLU*,4770.0,3816.0,1.0,4293.0,208
HCPCS,C1874,STNT XIENCE XPOTW3.5X8MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCE XPOTW4.0X8MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW2.5X15*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW2.5X18MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW2.5X23MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW2.5X28MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW2.5X33MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW2.5X38MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW2.75X8MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW3.0X28MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW3.0X33MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW3.0X38MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW3.25X8MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW3.5X12MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW3.5X28MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW3.5X33MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW4.0X28MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCEXPOTW4.0X33MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW2.75X12MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW2.75X15MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW2.75X18MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW2.75X23MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW2.75X28MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW2.75X33MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW2.75X38MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW3.25X12MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW3.25X15MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW3.25X18MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW3.25X23MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW3.25X28MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW3.25X33MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW3.25X38MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XIENCXPOTW3.5X38MM*DISC*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OT2.5X8*DISC 6261590*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OT3.5X8*DISC 6261600*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OTW3X12*DISC 6261595*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OTW3X18*DISC 6261597*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OTW3X28*DISC 6261599*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OTW4X12*DISC 6261605*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OTW4X15*DISC 6261606*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OTW4X18*DISC 6261607*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OTW4X23*DISC 6261608*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OTW4X28*DISC 6261609*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNC OTWX3X8*DISC 6261594*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOT3.5X15*DISC 6261601*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOT3.5X18*DISC 6261602*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOT3.5X23*DISC 6261603*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOT3.5X28*DISC 6261604*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOTWX3X12*DISC 6261595*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOTWX3X15*DISC 6261596*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOTWX3X18*DISC 6261597*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOTWX3X23*DISC 6261598*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOTWX4X12*DISC 6261605*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOTWX4X15*DISC 6261606*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOTWX4X18*DISC 6261607*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNT XNCOTWX4X23*DISC 6261608*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTESOPHAGILEOTWFULLCOV23X101,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNTESOPHAGILEOTWFULLCOV23X120,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNTESOPHAGILEOTWFULLCOV23X150,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNTESOPHAGILEOTWFULLCOV23X62,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNTESOPHAGILEOTWPARTCOV23X101,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNTESOPHAGILEOTWPARTCOV23X120,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNTESOPHAGILEOTWPARTCOV23X150,10150.0,8120.0,1.0,9135.0,26
HCPCS,C1874,STNTVIATOR10X8X2*DISC 6291182*,15446.0,12356.8,1.0,13901.4,26
HCPCS,C1874,STNTXNCOT2.25X12*DISC 6261585*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOT2.25X15*DISC 6261586*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOT2.25X18*DISC 6261587*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOT2.25X23*DISC 6261588*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOT2.25X28*DISC 6261589*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOTW2.25X8*DISC 6261584*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOTW2.5X12*DISC 6261591*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOTW2.5X15*DISC 6261592*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOTW2.5X23*DISC 6261593*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOTX2.5X12*DISC 6261591*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOTX3.5X15*DISC 6261601*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOTX3.5X18*DISC 6261602*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOTX3.5X23*DISC 6261603*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,STNTXNCOTXX2.5X8*DISC 6261590*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1874,SYS BVS GT1 3X12*DISC 6251008*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1874,SYS BVS GT1 3X23*DISC 6251011*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1874,SYS BVSGT13.5X23*DISC 6251027*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1874,SYS BVSGT13.5X28*DISC 6251028*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1874,SYS COVSL ST 22X22X180*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS COVSL ST 28X28X90MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS COVSL ST 31X31X223*DISC*,41528.0,33222.4,1.0,37375.2,26
HCPCS,C1874,SYS COVSL ST 40X40X95MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS COVSL ST 43X43X218*DISC*,41528.0,33222.4,1.0,37375.2,26
HCPCS,C1874,SYS COVSL ST 46X46X95MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS COVSLTAPER25X20X186*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS FREE ST 20X20X96MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 22X22X185MM*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS FREE ST 22X22X96MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 25X25X185MM*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS FREE ST 25X25X96MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 28X28X174MM*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS FREE ST 28X28X97MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 31X31X174MM*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS FREE ST 31X31X229MM*DISC*,41528.0,33222.4,1.0,37375.2,26
HCPCS,C1874,SYS FREE ST 31X31X97MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 34X34X174MM*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS FREE ST 34X34X229MM*DISC*,41528.0,33222.4,1.0,37375.2,26
HCPCS,C1874,SYS FREE ST 34X34X97MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 37X37X174MM*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS FREE ST 37X37X229MM*DISC*,41528.0,33222.4,1.0,37375.2,26
HCPCS,C1874,SYS FREE ST 37X37X59MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 37X37X97MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 40X40X103MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 40X40X183MM*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS FREE ST 40X40X223MM*DISC*,41528.0,33222.4,1.0,37375.2,26
HCPCS,C1874,SYS FREE ST 40X40X62MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 43X43X103MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 43X43X183MM*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS FREE ST 43X43X223MM*DISC*,41528.0,33222.4,1.0,37375.2,26
HCPCS,C1874,SYS FREE ST 43X43X62MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 46X46X103MM*DISC*,35732.0,28585.6,1.0,32158.8,26
HCPCS,C1874,SYS FREE ST 46X46X183MM*DISC*,38630.0,30904.0,1.0,34767.0,26
HCPCS,C1874,SYS FREE ST 46X46X223MM*DISC*,41528.0,33222.4,1.0,37375.2,26
HCPCS,C1875,STNT CP COV 8ZIG 12X28MM,13776.0,11020.8,1.0,12398.4,26
HCPCS,C1875,STNT CP COV 8ZIG 12X39MM,14291.0,11432.8,1.0,12861.9,26
HCPCS,C1876,DEL SYS NUDEL 14FR4.5 24MMX5CM,24532.0,19625.6,1.0,22078.8,26
HCPCS,C1876,ENDOL ZENITH TX2 PROFORM36X120,31190.0,24952.0,1.0,28071.0,26
HCPCS,C1876,ENDOL ZENITH TX2 PROFORM36X180,31190.0,24952.0,1.0,28071.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 10X100MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 10X120MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 10X150MM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 10X40MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 10X60MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 10X80MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 12X100MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 12X120MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 12X150MM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 12X80MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 14X100MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 14X120MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 14X150MM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 14X60MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 14X80MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 16X100MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 16X120MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 16X150MM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 16X60MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 16X80MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 18X100MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 18X120MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 18X150MM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 18X60MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 18X80MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 20X100MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 20X120MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 20X150MM,6750.0,5400.0,1.0,6075.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 20X60MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT ABRE SLF EXPAND 20X80MM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT BILI EPIC 6FR 6X100MM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C1876,STNT BILI EPIC 6FR 8X100MM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C1876,STNT BILI PERCUFLEX 7FR 50MM,450.0,360.0,1.0,405.0,26
HCPCS,C1876,STNT BILI PERCUFLEX OTW 2X70MM,496.0,396.8,1.0,446.4,26
HCPCS,C1876,STNT BILI QK PLACE 10FR 1900MM,688.0,550.4,1.0,619.2,26
HCPCS,C1876,STNT BILI SMART 10X80 120CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART 12X30 120CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1876,STNT BILI SMART 12X40 120CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1876,STNT BILI SMART 12X60 120CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1876,STNT BILI SMART 14X60 120CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1876,STNT BILI SMART 6X150 120CM,5063.0,4050.4,1.0,4556.7,26
HCPCS,C1876,STNT BILI SMART 8X150 120CM,5063.0,4050.4,1.0,4556.7,26
HCPCS,C1876,STNT BILI SMART 9X80 120CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART FLEX 5X100X120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART FLEX 5X120X120,5063.0,4050.4,1.0,4556.7,26
HCPCS,C1876,STNT BILI SMART FLEX 5X80X120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART FLEX 6X100X120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART FLEX 6X120X120,5063.0,4050.4,1.0,4556.7,26
HCPCS,C1876,STNT BILI SMART FLEX 6X150X120,5063.0,4050.4,1.0,4556.7,26
HCPCS,C1876,STNT BILI SMART FLEX 6X40X120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART FLEX 6X60X120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART FLEX 6X80X120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART FLEX 7X100X120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART FLEX 7X120X120,5063.0,4050.4,1.0,4556.7,26
HCPCS,C1876,STNT BILI SMART FLEX 7X150X120,5063.0,4050.4,1.0,4556.7,26
HCPCS,C1876,STNT BILI SMART FLEX 7X40X120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART FLEX 7X60X120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI SMART FLEX 7X80X120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT BILI WALLSTNT 7.5FR 194CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1876,STNT BILI ZILVER 12X60MM *NLU*,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1876,STNT BILI ZILVER 14X60MM *NLU,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1876,STNT BILI ZILVER 6FR 8MMX4CM,7641.0,6112.8,1.0,6876.9,26
HCPCS,C1876,STNT BILI ZILVER 6FR 8MMX6CM,7641.0,6112.8,1.0,6876.9,26
HCPCS,C1876,STNT BILI ZILVER 6FR 8MMX8CM,7641.0,6112.8,1.0,6876.9,26
HCPCS,C1876,STNT CAROTID ACCULINK 10X40MM,9225.0,7380.0,1.0,8302.5,26
HCPCS,C1876,STNT CAROTID ACCULINK 6-8X40MM,9675.0,7740.0,1.0,8707.5,26
HCPCS,C1876,STNT CAROTID ACCULINK7-10X40MM,9675.0,7740.0,1.0,8707.5,26
HCPCS,C1876,STNT CAROTID PREC PRO RX6X30MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1876,STNT CAROTID PREC PRO RX6X40MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1876,STNT CAROTID PREC PRO RX7X30MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1876,STNT CAROTID PREC PRO RX7X40MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1876,STNT CAROTID PREC PRO RX8X30MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1876,STNT CAROTID PREC PRO RX8X40MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1876,STNT CAROTID PREC PRO RX9X30MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1876,STNT CAROTID PREC PRO RX9X40MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1876,STNT CAROTID PREC PRORX10X30MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1876,STNT CAROTID PREC PRORX10X40MM,8100.0,6480.0,1.0,7290.0,26
HCPCS,C1876,STNT CAROTID PREC RX 9X30MM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1876,STNT CAROTID PROTEGE RX 6-8X30,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1876,STNT CAROTID PROTEGE RX 6-8X40,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1876,STNT CAROTID PROTEGE RX 6X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1876,STNT CAROTID PROTEGE RX 7X30MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1876,STNT CAROTID PROTEGE RX 9X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1876,STNT CAROTID PROTEGE RX10X30MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1876,STNT CAROTID PROTEGE RX10X40MM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1876,STNT CAROTID PROTEGE RX7-10X30,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1876,STNT CAROTID PROTEGE RX7-10X40,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1876,STNT CAROTID XACT 10X30MM,9225.0,7380.0,1.0,8302.5,26
HCPCS,C1876,STNT CAROTID XACT 10X40MM,9675.0,7740.0,1.0,8707.5,26
HCPCS,C1876,STNT CAROTID XACT 6-8X40MM,9675.0,7740.0,1.0,8707.5,26
HCPCS,C1876,STNT CAROTID XACT 7-9X40MM,9675.0,7740.0,1.0,8707.5,26
HCPCS,C1876,STNT CAROTID XACT 9X30MM,9225.0,7380.0,1.0,8302.5,26
HCPCS,C1876,STNT COMPL SE 8X60MM*DISC*,4298.0,3438.4,1.0,3868.2,26
HCPCS,C1876,STNT CORO REBEL MR 4.00X8*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR2.75X32*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR3.00X32*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR3.50X32*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.00X12*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.00X16*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.00X20*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.00X24*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.00X28*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.00X32*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.50X12*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.50X16*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.50X20*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.50X24*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.50X28*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CORO REBEL MR4.50X32*NLU*,4690.0,3752.0,1.0,4221.0,26
HCPCS,C1876,STNT CP COV 10ZIG 26X39MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT CP COV 8ZIG 18X34MM,16866.0,13492.8,1.0,15179.4,26
HCPCS,C1876,STNT CP COV 8ZIG 22X34MM,16866.0,13492.8,1.0,15179.4,26
HCPCS,C1876,STNT EPIC 10X100MM 120CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EPIC 10X40MM 120CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EPIC 10X60MM 120CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EPIC 10X80MM 120CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EPIC 12X40MM 120CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EPIC 12X60MM 120CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EPIC 9X30MM 120CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EPIC 9X40MM 120CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EPIC 9X60MM 120CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EVERFLEX 5FR 6X40MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 5FR 6X60MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 5FR 7X40MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 5FR 7X60MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 5FR 8X40MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 5FR 8X60MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 6X100MM 150CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 6X120MM 150CM,4650.0,3720.0,1.0,4185.0,26
HCPCS,C1876,STNT EVERFLEX 6X150MM 150CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1876,STNT EVERFLEX 6X40MM 150CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 6X60MM 150CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 7X100MM 150CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 7X100MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 7X120MM 150CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1876,STNT EVERFLEX 7X150MM 150CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1876,STNT EVERFLEX 7X20MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 7X40MM 150CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 7X60MM 150CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 7X80MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 8X100MM 150CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 8X100MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 8X120MM 150CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1876,STNT EVERFLEX 8X150MM 150CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1876,STNT EVERFLEX 8X20MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 8X60MM 150CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EVERFLEX 8X80MM 80CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT EXPRESS LD 10X25MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 10X4MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 10X57MM 75CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 10X6MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 5X17MM 75CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 6X17MM 75CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 6X20MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 6X27MM 75CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 6X30MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 6X37MM 75CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 6X4OMM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 6X60MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 7X20MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 7X27MM 75CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 7X30MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 7X37MM 75CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 7X40MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 7X60MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 8X20MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 8X37MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 8X3OMM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 8X40MM 75CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 8X60MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 9X30MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 9X37MM 75CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 9X40MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS LD 9X60MM 135CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT EXPRESS OTW 10X37MM*NLU*,5351.0,4280.8,1.0,4815.9,26
HCPCS,C1876,STNT EXPRESS SD 4X15MM 150CM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1876,STNT EXPRESS SD 4X19MM 150CM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1876,STNT EXPRESS SD 6X14MM 150CM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1876,STNT EXPRESS SD 6X18MM 150CM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1876,STNT EXPRESS2 MR FG 2.50*DISC*,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1876,STNT FLOW DIVERTER 5.00X40MM,40252.0,32201.6,1.0,36226.8,26
HCPCS,C1876,STNT FORMULA 418 135CM 5X16MM,5954.0,4763.2,1.0,5358.6,26
HCPCS,C1876,STNT FORMULA 418 135CM 5X20MM,5954.0,4763.2,1.0,5358.6,26
HCPCS,C1876,STNT FORMULA 418 135CM 6X16MM,5954.0,4763.2,1.0,5358.6,26
HCPCS,C1876,STNT FORMULA 418 135CM 6X20MM,5954.0,4763.2,1.0,5358.6,26
HCPCS,C1876,STNT FORMULA 418 135CM 7X16MM,5954.0,4763.2,1.0,5358.6,26
HCPCS,C1876,STNT FORMULA 418 135CM 7X20MM,5954.0,4763.2,1.0,5358.6,26
HCPCS,C1876,STNT HERCULINK ELITE *VAT NLU*,4725.0,3780.0,1.0,4252.5,78
HCPCS,C1876,STNT HERCULINK ELITE 4.0X15,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT HERCULINK ELITE 4.0X18,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT HERCULINK ELITE 5.0X15,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT HERCULINK ELITE 5.0X18,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT HERCULINK ELITE 5.5X15,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT HERCULINK ELITE 5.5X18,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT HERCULINK ELITE 6.0X15,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT HERCULINK ELITE 6.0X18,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT HERCULINK ELITE 7.0X15,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT HERCULINK ELITE 7.0X18,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT INTE2.25X12*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.25X14*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.25X18*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.25X22*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.25X26*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.25X8*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.50X08*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.50X12*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.50X14*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.50X18*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.50X22*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE2.50X26*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.00X12*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.00X15*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.00X18*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.00X22*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.00X26*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.00X30*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.00X9*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.50X12*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.50X15*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.50X18*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.50X22*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.50X26*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.50X30*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE3.50X9*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE4.00X12*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE4.00X15*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE4.00X18*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE4.00X22*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE4.00X26*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE4.00X30*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTE4.00X9*DISC NO REPL*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1876,STNT INTEGRITY RX 2.75X0*NLU*,3577.0,2861.6,1.0,3219.3,26
HCPCS,C1876,STNT INTEGRITY RX 2.75X1*NLU*,3577.0,2861.6,1.0,3219.3,78
HCPCS,C1876,STNT INTEGRITY RX 2.75X2*NLU*,3577.0,2861.6,1.0,3219.3,52
HCPCS,C1876,STNT LIFESTENT 5X170MMX13*NLU*,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1876,STNT LIFESTENT 5X60X130C*NLU*,7650.0,6120.0,1.0,6885.0,26
HCPCS,C1876,STNT LIFESTENT 6X150*VAT NLU*,11183.0,8946.4,1.0,10064.7,26
HCPCS,C1876,STNT LIFESTENT 6X200X130C*NLU*,12233.0,9786.4,1.0,11009.7,26
HCPCS,C1876,STNT LIFESTENT 6X60X130C*NLU*,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1876,STNT LIFESTENT 7X150MM 13*NLU*,11183.0,8946.4,1.0,10064.7,26
HCPCS,C1876,STNT LIFESTENT 7X200MM 13*NLU*,12233.0,9786.4,1.0,11009.7,26
HCPCS,C1876,STNT LIFESTENT 7X60MM 13*NLU*,8438.0,6750.4,1.0,7594.2,26
HCPCS,C1876,STNT LVIS EVO 2.5X12MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS EVO 2.5X17MM,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS EVO 2.5X22MM,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS EVO 2.5X27MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS EVO 3.0X18MM,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS EVO 3.0X24MM,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS EVO 3.0X28MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS EVO 3.0X32MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS EVO 3.5X17MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS EVO 3.5X22MM,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS EVO 3.5X28MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS EVO 3.5X34MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS EVO 4.0X13MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS EVO 4.0X18MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS EVO 4.0X21MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS EVO 4.0X27MM,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS EVO 4.0X31MM,19875.0,15900.0,1.0,17887.5,26
HCPCS,C1876,STNT LVIS JR 2.5X13,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS JR 2.5X17,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS JR 2.5X23,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS JR 2.5X34,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS JR 3.5X18,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS JR 3.5X23,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS JR 3.5X28,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS JR 3.5X33,17888.0,14310.4,1.0,16099.2,26
HCPCS,C1876,STNT LVIS LOPRO 3.5X17MM,16088.0,12870.4,1.0,14479.2,26
HCPCS,C1876,STNT LVIS LOPRO 3.5X22MM,16088.0,12870.4,1.0,14479.2,26
HCPCS,C1876,STNT LVIS LOPRO 4.0X17MM,16088.0,12870.4,1.0,14479.2,26
HCPCS,C1876,STNT LVIS LOPRO 4.0X22MM,16088.0,12870.4,1.0,14479.2,26
HCPCS,C1876,STNT LVIS LOPRO 4.0X28MM,16088.0,12870.4,1.0,14479.2,26
HCPCS,C1876,STNT LVIS LOPRO 4.0X31MM *NLU*,14625.0,11700.0,1.0,13162.5,26
HCPCS,C1876,STNT LVIS LOPRO 4.5X23MM,16088.0,12870.4,1.0,14479.2,26
HCPCS,C1876,STNT LVIS LOPRO 4.5X32MM,16088.0,12870.4,1.0,14479.2,26
HCPCS,C1876,STNT LVIS LOPRO 5.5X30MM,16088.0,12870.4,1.0,14479.2,26
HCPCS,C1876,STNT LVIS LOPRO 5.5X33MM,16088.0,12870.4,1.0,14479.2,26
HCPCS,C1876,STNT MICRODRIV R*DISC NO REPL*,3577.0,2861.6,1.0,3219.3,26
HCPCS,C1876,STNT MINI-VISION*DISC NO REPL*,4000.0,3200.0,1.0,3600.0,442
HCPCS,C1876,STNT MISAGO 6FR 6X100MMX200CM,5724.0,4579.2,1.0,5151.6,26
HCPCS,C1876,STNT MISAGO 6FR 6X150MMX200CM,5724.0,4579.2,1.0,5151.6,26
HCPCS,C1876,STNT MISAGO 6FR 6X80MMX200CM,5724.0,4579.2,1.0,5151.6,26
HCPCS,C1876,STNT MISAGO 6FR 7X100MMX200CM,5724.0,4579.2,1.0,5151.6,26
HCPCS,C1876,STNT MISAGO 6FR 7X150MMX200CM,5724.0,4579.2,1.0,5151.6,26
HCPCS,C1876,STNT MISAGO 6FR 7X60MMX200CM,5724.0,4579.2,1.0,5151.6,26
HCPCS,C1876,STNT MISAGO 6FR 8X100MMX200CM,5724.0,4579.2,1.0,5151.6,26
HCPCS,C1876,STNT MISAGO 6FR 8X60MMX200CM,5724.0,4579.2,1.0,5151.6,26
HCPCS,C1876,STNT MISAGO 6FR 8X80MMX200CM,5724.0,4579.2,1.0,5151.6,26
HCPCS,C1876,STNT MULTLINK RX 4.50X13*NLU*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1876,STNT MULTLINK RX 4.50X18*NLU*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1876,STNT MULTLINK RX 4.50X28*NLU*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1876,STNT MULTLINK RX 4.50X38*NLU*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1876,STNT MULTLINK RX 5.00X13M*CIP*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1876,STNT MULTLINK RX 5.00X18*NLU*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1876,STNT MULTLINK RX 5.00X28M*CIP*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1876,STNT MULTLINK RX 5.00X38*NLU*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1876,STNT NEUROFORM ATLAS 4.0X21MM,23675.0,18940.0,1.0,21307.5,26
HCPCS,C1876,STNT OMNILINK ELITE *VAT NLU*,5850.0,4680.0,1.0,5265.0,52
HCPCS,C1876,STNT OMNILINK ELITE 6.0X12X135,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT OMNILINK ELITE 7.0X12X135,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1876,STNT PALMAZ BL 5X15 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 5X15 80CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 5X18 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 5X18 80CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 6X15 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 6X15 80CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 6X18 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 6X18 80CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 7X15 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 7X15 80CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 7X18 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BL 7X18 80CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BLU 6X24 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ BLU 7X24 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ GENESIS 10X60 80CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ GENESIS 5X15 80CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ GENESIS 6X15 80CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ GENESIS 7X39 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ GENESIS 8X18 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ GENESIS 8X29 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ GENESIS 8X59 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ GENESIS 9X59 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ GENESIS 9X80 80CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNT PALMAZ GENESIS LG 29MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1876,STNT PALMAZ GENESIS LG 39MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1876,STNT PALMAZ GENESIS XD 19MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1876,STNT PALMAZ GENESIS XD 25MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1876,STNT PALMAZ GENESIS XD 29MM,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1876,STNT PALMAZ XL 40MM,5288.0,4230.4,1.0,4759.2,26
HCPCS,C1876,STNT PARAM*DISC NO REPL*,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PARAMOUNT*DISC NO REPL*,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PARAMOUNTMI*DISC NO REPL*,4025.0,3220.0,1.0,3622.5,78
HCPCS,C1876,STNT PROTEGE EVERFLEX 5X40MM80,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX 5X80MM80,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX 6X30MM80,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX 7X30MM80,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX 8X60MM80,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX 8X80MM80,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX5X30MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX5X40MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX5X60MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX5X80MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX6X150MM80,4650.0,3720.0,1.0,4185.0,26
HCPCS,C1876,STNT PROTEGE EVERFLEX6X40MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX6X60MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX6X80MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX7X150MM80,4650.0,3720.0,1.0,4185.0,26
HCPCS,C1876,STNT PROTEGE EVERFLEX7X40MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX7X60MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX7X80MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX8X30MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX8X40MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX8X60MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE EVERFLEX8X80MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 10X20MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 10X20MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 10X30MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 10X40MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 10X40MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 10X60MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 10X60MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 10X80MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 10X80MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 12X30MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 12X40MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 12X40MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 12X60MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 12X60MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 12X80MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 14X30MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 14X40MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 14X40MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 14X60MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 14X60MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 14X80MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 9X20MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 9X20MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 9X30MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 9X30MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 9X40MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 9X40MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 9X60MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGE GPS 9X80MM 120CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGEEVERFLEX5X100MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGEEVERFLEX5X120MM120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT PROTEGEEVERFLEX6X100MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGEEVERFLEX6X120MM120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT PROTEGEEVERFLEX6X150MM120,4650.0,3720.0,1.0,4185.0,26
HCPCS,C1876,STNT PROTEGEEVERFLEX6X200MM120,7763.0,6210.4,1.0,6986.7,26
HCPCS,C1876,STNT PROTEGEEVERFLEX7X100MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGEEVERFLEX7X120MM120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT PROTEGEEVERFLEX7X150MM120,4650.0,3720.0,1.0,4185.0,26
HCPCS,C1876,STNT PROTEGEEVERFLEX7X200MM120,7763.0,6210.4,1.0,6986.7,26
HCPCS,C1876,STNT PROTEGEEVERFLEX8X100MM120,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT PROTEGEEVERFLEX8X120MM120,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT PROTEGEEVERFLEX8X150MM120,4650.0,3720.0,1.0,4185.0,26
HCPCS,C1876,STNT PROTEGEEVERFLEX8X200MM120,7763.0,6210.4,1.0,6986.7,26
HCPCS,C1876,STNT PROTEGEEVERFLEX8X40MM80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT ROADSAVER 10X30MMX143CM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1876,STNT ROADSAVER 6X30MMX143CM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1876,STNT ROADSAVER 7X25MMX143CM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1876,STNT ROADSAVER 7X30MMX143CM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1876,STNT ROADSAVER 8X30MMX143CM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1876,STNT ROADSAVER 8X40MMX143CM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1876,STNT ROADSAVER 9X30MMX143CM,10800.0,8640.0,1.0,9720.0,26
HCPCS,C1876,STNT SMART 10X40 120CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT SMART 10X60 120CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT SMART 6X80 120CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT SMART 8X100 120CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT SMART 8X30 120CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT SMART 9X60 120CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1876,STNT SUPERA 6FR 4.5MMX120MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 4.5MMX40MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 4.5MMX60MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 5.0X120MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 5.5MMX100MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 5.5MMX120MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 5.5MMX40MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 5.5MMX60MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 5.5MMX80MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 6.5MMX100MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 6.5MMX120MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 6.5MMX40MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 6.5MMX60MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 6.5MMX80MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SUPERA 6FR 6.5X150X120MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1876,STNT SUPERA 6FR5.5X150X120MM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1876,STNT SUPERA SLF 6FR 5.0X100MM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1876,STNT SURPASS STREAMLN 4.0X50MM,40252.0,32201.6,1.0,36226.8,26
HCPCS,C1876,STNT TCS ENROUTE 10-8X30,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 10-8X40,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 10X30,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 10X40,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 7X30,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 7X40,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 8-6X30,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 8-6X40,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 8X30,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 8X40,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 9-7X30,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 9-7X40,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 9X30,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT TCS ENROUTE 9X40,9972.0,7977.6,1.0,8974.8,26
HCPCS,C1876,STNT VASC ZILVER 7X40MM 1*NLU*,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1876,STNT VASC ZILVER 7X80MM 1*NLU*,5075.0,4060.0,1.0,4567.5,26
HCPCS,C1876,STNT VENOVO 10FR 14X140MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 14X160MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 16X100MM120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 10FR 16X120MM120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 10FR 16X140MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 16X160MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 16X40MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 10FR 16X60MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 10FR 16X80MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 10FR 18X100MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 18X120MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 18X140MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 18X160MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 18X40MM 120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 18X60MM 120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 18X80MM 120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 20X100MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 20X120MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 20X140MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 20X160MM120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 20X40MM 120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 20X60MM 120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 10FR 20X80MM 120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 8FR 10X100MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 8FR 10X120MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 8FR 10X140MM 120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 8FR 10X160MM 120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 8FR 10X40MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 8FR 10X60MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 8FR 10X80MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 8FR 12X100MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 8FR 12X120MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 8FR 12X140MM 120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 8FR 12X160MM 120CM,13300.0,10640.0,1.0,11970.0,26
HCPCS,C1876,STNT VENOVO 8FR 12X40MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 8FR 12X60MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 8FR 12X80MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 9FR 14X100MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 9FR 14X120MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 9FR 14X40MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 9FR 14X60MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VENOVO 9FR 14X80MM 120CM,12600.0,10080.0,1.0,11340.0,26
HCPCS,C1876,STNT VISI-PRO 10X37MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 10X57MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 5X12MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 5X17MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 6FR 5X57MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 6X12MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 6X17MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 6X17MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 6X27MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 7X12MM 80CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 7X17MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 7X27MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 7X37MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 7X57MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 8X17MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 8X27MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 8X37MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 8X57MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 9X17MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 9X27MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 9X37MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISI-PRO 9X57MM 135CM,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1876,STNT VISION RX 2*DISC NO REPL*,4000.0,3200.0,1.0,3600.0,156
HCPCS,C1876,STNT VISION RX 3*DISC NO REPL*,4000.0,3200.0,1.0,3600.0,312
HCPCS,C1876,STNT VISION RX 4*DISC NO REPL*,4000.0,3200.0,1.0,3600.0,156
HCPCS,C1876,STNT WLLFLX 9FR 10X60MM*NLU*,9006.0,7204.8,1.0,8105.4,26
HCPCS,C1876,STNT WLLFLX 9FR 10X80MM*NLU*,9006.0,7204.8,1.0,8105.4,26
HCPCS,C1876,STNT WLLFLX 9FR 8X40MM*NLU,9006.0,7204.8,1.0,8105.4,26
HCPCS,C1876,STNT WLLFLX 9FR 8X60MM,9100.0,7280.0,1.0,8190.0,26
HCPCS,C1876,STNT WLLFLX COLON 25X60MM,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1876,STNT WLLFLX COLON 25X90MM230CM,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1876,STNT WLLFLX COLON22X120MM230CM,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1876,STNT WLLFLX COLON25X120MM230CM,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1876,STNT WLLFLX DUODEN 22X120MM,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1876,STNT WLLFLX DUODEN 22X60MM,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1876,STNT WLLFLX DUODEN 22X90MM,8775.0,7020.0,1.0,7897.5,26
HCPCS,C1876,STNT WLLFLX RX 8FR 10X100MM,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1876,STNT WLLFLX RX 8FR 10X40MM,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1876,STNT WLLFLX RX 8FR 10X60MM,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1876,STNT WLLFLX RX 8FR 10X80MM,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1876,STNT WLLFLX RX 8FR 8X80MM,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1876,STNT WLLSTNT UNISTEP *VAT NLU*,6352.5,5082.0,1.0,5801.4,52
HCPCS,C1876,STNT WLLSTNT UNISTEP 22X35MM75,11410.0,9128.0,1.0,10269.0,26
HCPCS,C1876,STNT WLLSTNT UNISTEP 22X45MM75,11410.0,9128.0,1.0,10269.0,26
HCPCS,C1876,STNT WLLSTNT UNISTEP 22X70MM75,11410.0,9128.0,1.0,10269.0,26
HCPCS,C1876,STNT WLLSTNT UNISTEP 24X35MM75,11410.0,9128.0,1.0,10269.0,26
HCPCS,C1876,STNT WLLSTNT UNISTEP 24X45MM75,11410.0,9128.0,1.0,10269.0,26
HCPCS,C1876,STNT WLLSTNT UNISTEP22X90MM230,7695.0,6156.0,1.0,6925.5,26
HCPCS,C1876,STNT WLLSTNT VEN 14X40MM75,8145.0,6516.0,1.0,7330.5,26
HCPCS,C1876,STNT WLLSTNT VEN 14X60MM75,8145.0,6516.0,1.0,7330.5,26
HCPCS,C1876,STNT WLLSTNT VEN 16X40MM75,8873.0,7098.4,1.0,7985.7,26
HCPCS,C1876,STNT WLLSTNT VEN 16X60MM75,8873.0,7098.4,1.0,7985.7,26
HCPCS,C1876,STNT WLLSTNT VEN 16X90MM75,8873.0,7098.4,1.0,7985.7,26
HCPCS,C1876,STNT WLLSTNT VEN 18X40MM75,8873.0,7098.4,1.0,7985.7,26
HCPCS,C1876,STNT WLLSTNT VEN 18X60MM75,8873.0,7098.4,1.0,7985.7,26
HCPCS,C1876,STNT WLLSTNT VEN 20X40MM75,8873.0,7098.4,1.0,7985.7,26
HCPCS,C1876,STNT WLLSTNT VEN 20X55MM75,8873.0,7098.4,1.0,7985.7,26
HCPCS,C1876,STNT WLLSTNT VEN 20X80MM75,8873.0,7098.4,1.0,7985.7,26
HCPCS,C1876,STNT WLLSTNT*DISC 6319133*,6446.0,5156.8,1.0,5801.4,26
HCPCS,C1876,STNT WLLSTNT*DISC 6319136*,5508.0,4406.4,1.0,4957.2,26
HCPCS,C1876,STNT WLLSTNT*DISC 6319140*,5900.0,4720.0,1.0,5310.0,26
HCPCS,C1876,STNT WLLSTNT*DISC 6319141*,7165.0,5732.0,1.0,6448.5,26
HCPCS,C1876,STNT ZILVER VENA 120CM 12X140,8546.0,6836.8,1.0,7691.4,26
HCPCS,C1876,STNT ZILVER VENA 120CM 12X60,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1876,STNT ZILVER VENA 120CM 14X140,8546.0,6836.8,1.0,7691.4,26
HCPCS,C1876,STNT ZILVER VENA 120CM 14X60,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1876,STNT ZILVER VENA 120CM 16X140,8546.0,6836.8,1.0,7691.4,26
HCPCS,C1876,STNT ZILVER VENA 120CM 16X60,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1876,STNTG5X18 135CM*DISC NO REPL*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNTG6X15 135CM*DISC NO REPL*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNTG6X24 135CM*DISC NO REPL*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,STNTG7X15X135CM*DISC NO REPL*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1876,SYS TACK ENDO 4F 1.5-4.5 150MM,9783.0,7826.4,1.0,8804.7,26
HCPCS,C1876,SYS TACK ENDO 6F 3.5-6.0 135MM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1876,SYS TACK ENDO 6F 4.0-8.0 135MM,8978.0,7182.4,1.0,8080.2,26
HCPCS,C1877,ENDOL ENDUR II 16X13X146MM,10752.0,8601.6,1.0,9676.8,26
HCPCS,C1877,STNT BILI DUODENAL BEND10FR120,492.0,393.6,1.0,442.8,26
HCPCS,C1877,STNT BILI PALMAZ BL 5X15 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1877,STNT BILI PALMAZ BL 6X15 135CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1877,STNT BILI SMART 12X40 80CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1877,STNT BILI SMART 14X80 80CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1877,STNT BILI SMART 7X150 120CM,5063.0,4050.4,1.0,4556.7,26
HCPCS,C1877,STNT INTRASTNT *USE 6300552*,6615.0,5292.0,1.0,5953.5,26
HCPCS,C1877,STNT INTRASTNT MA*USE 6300555*,6615.0,5292.0,1.0,5953.5,26
HCPCS,C1877,STNT INTRASTNT MAX 4.5 1*DISC*,6615.0,5292.0,1.0,5953.5,26
HCPCS,C1877,STNT INTRASTNT MAX 4.5 36X12MM,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1877,STNT PALMAZ GENESIS XD 59MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1877,STNT PALMAZ XL 50MM,5288.0,4230.4,1.0,4759.2,26
HCPCS,C1877,STNT SMART 10X30 120CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1877,STNT SMART 6X100 120CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1877,STNT SMART 6X60 120MM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1878,DEV THYROPLASTY FEMALE SZ9,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1878,DEV THYROPLASTY MALE SZ13,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1878,LARYNGEAL GEL PROLARYN 1CC,5145.0,4116.0,1.0,4630.5,26
HCPCS,C1878,LARYNGEAL GEL PROLARYN+ 1CC,5145.0,4116.0,1.0,4630.5,26
HCPCS,C1880,FLTR DENALI VENA CAVA FEM,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1880,FLTR DENALI VENA CAVA JUGULAR,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1880,FLTR GREENFIELD JUG OTW*DISC*,5993.0,4794.4,1.0,5393.7,26
HCPCS,C1880,FLTR GREENFIELD VENA CAV*DISC*,5993.0,4794.4,1.0,5393.7,26
HCPCS,C1880,FLTR IVC CELECT PLAT FEM,2103.0,1682.4,1.0,1892.7,26
HCPCS,C1880,FLTR IVC CELECT PLAT JGLR,5568.0,4454.4,1.0,5011.2,26
HCPCS,C1880,FLTR IVC OPT ELITE,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1880,FLTR IVC OPTEASE FEM *VAT NLU*,4710.0,3768.0,1.0,4239.0,26
HCPCS,C1880,FLTR IVC TRAPEAS*DISC NO REPL*,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1880,FLTR IVC VENATECH,5792.0,4633.6,1.0,5212.8,26
HCPCS,C1880,FLTR VENA CAVA 5FR 100CM,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1880,FLTR VENA CAVA FEM B*VAT NLU*,5828.0,4662.4,1.0,5245.2,26
HCPCS,C1881,Dialysis access system,,,1.0,1.0,3
HCPCS,C1882,BIV CONTAK RENEWAL*DISC*,19125.0,15300.0,1.0,17212.5,26
HCPCS,C1882,BIV CONTAK RENEWAL3*DISC*,36489.5,29191.6,1.0,34569.0,52
HCPCS,C1882,BIV CONTAK*DISC*,35604.0,28483.2,1.0,32043.6,26
HCPCS,C1882,BIV ENERGEN DF1-*DISC 6265142*,41400.0,33120.0,1.0,37260.0,26
HCPCS,C1882,BIV UNIFY QUAD*USE 6241784*,45770.0,36616.0,1.0,41193.0,26
HCPCS,C1882,CRT-D AMPLIA MRI IS1 DF4,36587.0,29269.6,1.0,32928.3,26
HCPCS,C1882,CRT-D AMPLIA MRI QUAD IS4 DF1,37999.0,30399.2,1.0,34199.1,26
HCPCS,C1882,CRT-D AMPLIA MRI QUAD IS4 DF4,37999.0,30399.2,1.0,34199.1,26
HCPCS,C1882,CRT-D CLARIA MRI IS1 DF1,37071.0,29656.8,1.0,33363.9,26
HCPCS,C1882,CRT-D CLARIA MRI IS1 DF4,37071.0,29656.8,1.0,33363.9,26
HCPCS,C1882,CRT-D CLARIA MRI QUAD IS4 DF1,39652.0,31721.6,1.0,35686.8,26
HCPCS,C1882,CRT-D CLARIA MRI QUAD IS4 DF4.,39652.0,31721.6,1.0,35686.8,26
HCPCS,C1882,CRT-D COBALT HF MRI DF1,37070.0,29656.0,1.0,33363.0,26
HCPCS,C1882,CRT-D COBALT HF MRI DF4,37070.0,29656.0,1.0,33363.0,26
HCPCS,C1882,CRT-D COBALT HF QUAD MRI DF1,39652.0,31721.6,1.0,35686.8,26
HCPCS,C1882,CRT-D COBALT HF QUAD MRI DF4,39652.0,31721.6,1.0,35686.8,26
HCPCS,C1882,CRT-D COBALT XT HF MRI DF1,40408.0,32326.4,1.0,36367.2,26
HCPCS,C1882,CRT-D COBALT XT HF MRI DF4,40408.0,32326.4,1.0,36367.2,26
HCPCS,C1882,CRT-D COBALT XT HF QUAD DF1,43221.0,34576.8,1.0,38898.9,26
HCPCS,C1882,CRT-D COBALT XT HF QUAD DF4,43221.0,34576.8,1.0,38898.9,26
HCPCS,C1882,CRT-D CROME HF MRI SURESCANDF4,36587.0,29269.6,1.0,32928.3,26
HCPCS,C1882,CRT-D CROME HF QUAD MRI DF1,37999.0,30399.2,1.0,34199.1,26
HCPCS,C1882,CRT-D CROME HF QUAD MRI DF4,37999.0,30399.2,1.0,34199.1,26
HCPCS,C1882,CRT-D DYNAGEN DF1,69127.0,55301.6,1.0,62214.3,26
HCPCS,C1882,CRT-D DYNAGEN DF4,74745.0,59796.0,1.0,67270.5,26
HCPCS,C1882,CRT-D DYNAGEN IS1 DF1,73952.0,59161.6,1.0,66556.8,26
HCPCS,C1882,CRT-D DYNAGEN X4 IS4 DF1,73952.0,59161.6,1.0,66556.8,26
HCPCS,C1882,CRT-D DYNAGEN X4 IS4 DF4,74745.0,59796.0,1.0,67270.5,26
HCPCS,C1882,CRT-D GALLANT HF DF-1 79X51X12,42895.0,34316.0,1.0,38605.5,26
HCPCS,C1882,CRT-D GALLANT HF DF-4 75X51X12,42895.0,34316.0,1.0,38605.5,26
HCPCS,C1882,CRT-D GALLANT HF DF4 75X51X12,42895.0,34316.0,1.0,38605.5,26
HCPCS,C1882,CRT-D MOMENTUM IS1 DF1,80162.0,64129.6,1.0,72145.8,26
HCPCS,C1882,CRT-D MOMENTUM IS1 DF1 LV1,76579.0,61263.2,1.0,68921.1,26
HCPCS,C1882,CRT-D MOMENTUM IS1 DF4,80955.0,64764.0,1.0,72859.5,26
HCPCS,C1882,CRT-D QUADRA ASSURA MRI *NLU*,43367.0,34693.6,1.0,39030.3,26
HCPCS,C1882,CRT-D RESONATE X4 IS4 DF4,82197.0,65757.6,1.0,73977.3,26
HCPCS,C1882,CRT-D RIVACOR HF-T QP DF4IS4,43574.0,34859.2,1.0,39216.6,26
HCPCS,C1882,CRT-D UNIFY ASSURA DF4,37964.0,30371.2,1.0,34167.6,26
HCPCS,C1882,CRT-DX ACTICOR HF-T QP DF4 IS4,43797.0,35037.6,1.0,39417.3,26
HCPCS,C1882,ICD INTICA D*DISC 6320733*,43797.0,35037.6,1.0,39417.3,26
HCPCS,C1883,ADPTR LEAD IS-1 BI 15CM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1883,CAP LEAD END PIN IS-1,500.0,400.0,1.0,450.0,26
HCPCS,C1883,CBL EXT PERC 2.16MM MRI LEAD,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1883,CBL EXT PERC 4.32MM MRI LEAD,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1883,EXT KT LEAD DBS DUAL 2X8 55CM,7988.0,6390.4,1.0,7189.2,26
HCPCS,C1883,EXTNDR LEAD BULLDOG 70CM,2568.0,2054.4,1.0,2311.2,26
HCPCS,C1883,KT EXT SENSIGHT NO MARKER 60CM,4950.0,3960.0,1.0,4455.0,26
HCPCS,C1883,KT EXT SENSIGHT W MARKER 60CM,5004.0,4003.2,1.0,4503.6,26
HCPCS,C1883,KT LEAD ADPTR 38CM*DISC*,1063.0,850.4,1.0,956.7,26
HCPCS,C1883,LEAD EXT 50CM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1883,LEAD EXT 60CM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1883,SLV CONN EP IS4/DF4,723.0,578.4,1.0,650.7,26
HCPCS,C1883,STIM EXT RESTORE MDTR 40CM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1883,STIM EXT RESTORE MDTR 60CM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1884,DEV PROTECT PROX CRBL0.083 6CM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1884,EMBOL SYS LIQ TRUFILL 1GM,15925.0,12740.0,1.0,14332.5,26
HCPCS,C1884,FLTR SPIDERFX 0.014 5MM 190CM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1884,FLTR SPIDERFX 0.014 6MM 190CM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1884,FLTR SPIDERFX 0.014 7MM 190CM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1884,FLTR SPIDERFX 3MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1884,FLTR SPIDERFX 4.0MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1884,FLTR SPIDERFX 5MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1884,FLTR SPIDERFX 6.0MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1884,FLTR SPIDERFX 7MM,5700.0,4560.0,1.0,5130.0,26
HCPCS,C1884,FLTRWIRE EZ LG 3.5-5.5MMX190CM,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1884,FLTRWIRE EZ LG 3.5-5.5MMX300CM,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1884,FLTRWIRE EZ SM 2.5-3.5MM 190CM,6400.0,5120.0,1.0,5760.0,26
HCPCS,C1884,GDWIRE ANGIOGUARD RX 4MMX*NLU*,5378.0,4302.4,1.0,4840.2,26
HCPCS,C1884,GDWIRE ANGIOGUARD RX 5MMX180CM,5378.0,4302.4,1.0,4840.2,26
HCPCS,C1884,GDWIRE ANGIOGUARD RX 6MMX180CM,5378.0,4302.4,1.0,4840.2,26
HCPCS,C1884,GDWIRE ANGIOGUARD RX 6MMX300CM,5378.0,4302.4,1.0,4840.2,26
HCPCS,C1884,GDWIRE ANGIOGUARD RX 7MMX180CM,5378.0,4302.4,1.0,4840.2,26
HCPCS,C1884,GDWIRE ANGIOGUARD RX 8MMX180CM,5378.0,4302.4,1.0,4840.2,26
HCPCS,C1884,GDWIRE EPS NANOPARASOL LG7.2MM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1884,GDWIRE EPS NANOPARASOL SM5.2MM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C1884,SYS CRBL PROTECT SENTINEL,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1884,SYS EMBOSHIELD NAV6 5.0MM190CM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1884,SYS EMBOSHIELD NAV6 7.2MM190CM,6525.0,5220.0,1.0,5872.5,26
HCPCS,C1884,SYS TCS NEURO ENROUTE +,13997.0,11197.6,1.0,12597.3,26
HCPCS,C1885,CATH LASER AURYON 4FR 0.9MM,10497.0,8397.6,1.0,9447.3,26
HCPCS,C1885,CATH LASER AURYON 5FR 1.5MM,10497.0,8397.6,1.0,9447.3,26
HCPCS,C1885,CATH LASER AURYON 6FR 2MM,10497.0,8397.6,1.0,9447.3,26
HCPCS,C1885,CATH LASER AURYON 7FR 2.35MM,10497.0,8397.6,1.0,9447.3,26
HCPCS,C1885,CATH LASER AURYON CTD 4FR0.9MM,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1885,CATH LASER AURYON CTD 5FR1.5MM,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1885,CATH LASER AURYON CTD 6FR 2MM,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1885,CATH LASER AURYON CTD7FR2.35MM,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1885,CATH LASER OTW 0.9MM,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1885,CATH LASER OTW TURBO-ELITE 1.7,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1885,CATH LASER RX 1.4MM,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1885,CATH LASER RX 1.7MM,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1885,CATH LASER RX 2.0MM*NLU*,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1885,CATH LASER RX X-80 0.9MM,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1885,CATH LASER X-80*DISC 6321963*,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1885,CATH TURBO ELITE OTW 2.0MM,9800.0,7840.0,1.0,8820.0,26
HCPCS,C1885,DEL SYS TORQVUE 7FR 45/80,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1886,CATH BARRX 60 RFA FOCAL ABL,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1886,CATH BARRX 90 RFA FOCAL ABL,1743.0,1394.4,1.0,1568.7,26
HCPCS,C1886,CATH BARRX ULTLNG RFA FOCALABL,2210.0,1768.0,1.0,1989.0,26
HCPCS,C1886,CATH ENDO BARRX CH RFA,1861.0,1488.8,1.0,1674.9,26
HCPCS,C1886,PROBE ERBE W FLTR 2200C,2030.0,1624.0,1.0,1827.0,26
HCPCS,C1886,PROBE ERBE W FLTR SIDEFIRE,2030.0,1624.0,1.0,1827.0,26
HCPCS,C1886,PROBE ERBE W FLTR ST FIRE,2091.0,1672.8,1.0,1881.9,26
HCPCS,C1886,PROBE ERBE W FLTR ST FIRE FLEX,2091.0,1672.8,1.0,1881.9,26
HCPCS,C1886,PROBE KT RF OSTEOCOOL DUAL10MM,14578.0,11662.4,1.0,13120.2,26
HCPCS,C1886,PROBE KT RF OSTEOCOOL DUAL15MM,14578.0,11662.4,1.0,13120.2,26
HCPCS,C1886,PROBE KT RF OSTEOCOOL DUAL20MM,14578.0,11662.4,1.0,13120.2,26
HCPCS,C1886,PROBE KT RF OSTEOCOOL SGL 15MM,11404.0,9123.2,1.0,10263.6,26
HCPCS,C1886,PROBE KT RF OSTEOCOOL SGL 20MM,11404.0,9123.2,1.0,10263.6,26
HCPCS,C1886,PROBE KT RF OSTEOCOOL SGL 7MM,11404.0,9123.2,1.0,10263.6,26
HCPCS,C1886,PROBE NEUWAVE PR XT 15G 15CM,9828.0,7862.4,1.0,8845.2,26
HCPCS,C1886,PROBE NEUWAVE PR XT 15G 20CM,9828.0,7862.4,1.0,8845.2,26
HCPCS,C1886,PROBE SPNL ABL KT DUAL,16875.0,13500.0,1.0,15187.5,26
HCPCS,C1886,PROBE SPNL ABL KT SGL,13900.0,11120.0,1.0,12510.0,26
HCPCS,C1886,STYLUS ELECSURG RHINAER DISP,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1886,STYLUS ELECSURG RHINAER+,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1886,SYS AIRW NASAL W STYLUS VIVAER,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1887,BLN ECLIPSE 2L DL 6X12,7326.0,5860.8,1.0,6593.4,26
HCPCS,C1887,BLN ECLIPSE 2L DL 6X15,7326.0,5860.8,1.0,6593.4,26
HCPCS,C1887,BLN ECLIPSE 2L DL 6X7,8528.0,6822.4,1.0,7675.2,26
HCPCS,C1887,BLN ECLIPSE 2L DL 6X9,7326.0,5860.8,1.0,6593.4,26
HCPCS,C1887,CATH ACC DEL ZIPLINE 19X44X158,11228.0,8982.4,1.0,10105.2,26
HCPCS,C1887,CATH ADROIT JR4 *DISC NO REPL*,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH ADROIT RCB 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH ADROIT RCB 7FR 90CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH ANGI TRAILBLZR.014X135CM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1887,CATH ANGI TRAILBLZR.014X150CM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1887,CATH ANGI TRAILBLZR.018X135CM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1887,CATH ANGI TRAILBLZR.018X150CM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1887,CATH ANGI TRAILBLZR.035X135CM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1887,CATH ANGI TRAILBLZR.035X150CM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1887,CATH ANGI TRAILBLZR0.014X90CM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1887,CATH ANGI TRAILBLZR0.018X90CM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1887,CATH ANGI TRAILBLZR0.035X65CM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1887,CATH ANGI TRAILBLZR0.035X90CM,1414.0,1131.2,1.0,1272.6,26
HCPCS,C1887,CATH APOLLO ST 1.5FR 1.5X165CM,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1887,CATH APOLLO ST 3.0FR 3.0X165CM,8325.0,6660.0,1.0,7492.5,26
HCPCS,C1887,CATH ASPIR SOFIAPLUS 6FR 125CM,8982.0,7185.6,1.0,8083.8,26
HCPCS,C1887,CATH ASPIR SOFIAPLUS 6FR 131CM,8982.0,7185.6,1.0,8083.8,26
HCPCS,C1887,CATH ASPIR TENZI*DISC 6351836*,15750.0,12600.0,1.0,14175.0,26
HCPCS,C1887,CATH AXS CATALYST 5-058X115,9136.0,7308.8,1.0,8222.4,26
HCPCS,C1887,CATH AXS CATALYST 5-058X132,9645.0,7716.0,1.0,8680.5,26
HCPCS,C1887,CATH BASE CAMP SYS 2.0 8FR 90,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1887,CATH BEACON ANG MPB.038 5FR 80,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON ANGVERT.038 5*NLU*,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH BEACON C1 0.038 5FR *NLU*,250.0,200.0,1.0,225.0,52
HCPCS,C1887,CATH BEACON CHG-B 0.038 5FR 80,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON H1 0.038 5FR 100,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON JB1 0.038 5FR 100,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON JB1 0.038 5FR 65,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON KMP 0.038 5FR 40,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON KMP 0.038 5FR 65,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON LEVI0.038 5FR*NLU*,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH BEACON MIK 0.038 5FR 80,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON MPA 0.038 5FR 65,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON RBT 0.035 5FR 90,610.0,488.0,1.0,549.0,26
HCPCS,C1887,CATH BEACON RCD 0.038 5FR*NLU*,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH BEACON RIM 0.038 5FR 65,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON SIM1 0.038 5F*NLU*,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH BEACON SIM1 0.038 5FR 65,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON SIM2 0.038 5F*NLU*,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH BEACON SIM2 0.038 5FR 100,244.0,195.2,1.0,219.6,26
HCPCS,C1887,CATH BEACON SIM2 5FR 125CM,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON TEGT0.038 5FR*NLU*,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH BEACON VANC5 0.035 5FR 65,334.0,267.2,1.0,300.6,26
HCPCS,C1887,CATH BEACON VANC5 0.035 5FR125,632.0,505.6,1.0,568.8,26
HCPCS,C1887,CATH BEACON VERT 0.038 5FR 125,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON VS 0.038 5FR 80,273.0,218.4,1.0,245.7,26
HCPCS,C1887,CATH BEACON VS2 0.038 5FR*NLU*,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH BEACON VTK 0.038 5FR*NLU*,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH BEBACK 0.018 2.9FR 120CM,11246.0,8996.8,1.0,10121.4,26
HCPCS,C1887,CATH BEBACK 0.018 4FR 120CM,11246.0,8996.8,1.0,10121.4,26
HCPCS,C1887,CATH BERN 0.035 4FR 110CM,547.0,437.6,1.0,492.3,26
HCPCS,C1887,CATH BERN 0.035 5FR 130CM,978.0,782.4,1.0,880.2,26
HCPCS,C1887,CATH BERN 0.038 4FR 100CM,547.0,437.6,1.0,492.3,26
HCPCS,C1887,CATH BERN 0.038 5FR 65CM,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH BERN BRD 0.035 5FR 100CM,272.0,217.6,1.0,244.8,26
HCPCS,C1887,CATH BLN CELLO 9FR 10MM,4728.0,3782.4,1.0,4255.2,26
HCPCS,C1887,CATH BLN GD WAHOO 7FR 105CM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1887,CATH BLN GD WALRUS ST 8FR 90CM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1887,CATH BLN GD WALRUS ST 8FR 95CM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1887,CATH BMX81 ACC SYS ST 7FR 95CM,5910.0,4728.0,1.0,5319.0,26
HCPCS,C1887,CATH BMX81 ACC SYS ST 7FR105CM,5910.0,4728.0,1.0,5319.0,26
HCPCS,C1887,CATH BMX96 SIM ST 6FR 90X125CM,5730.0,4584.0,1.0,5157.0,26
HCPCS,C1887,CATH CHAPERON SIM ST 6FR 95CM,2448.0,1958.4,1.0,2203.2,26
HCPCS,C1887,CATH COBRA2 0.038 5FR 65CM,547.0,437.6,1.0,492.3,26
HCPCS,C1887,CATH COBRA2 2SH 0.038 4FR*NLU*,130.0,104.0,1.0,117.0,26
HCPCS,C1887,CATH COBRA2 HT 0.038 5FR 65CM,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH COMMAND MP*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1887,CATH COMMAND MULTPRP RT*NLU*,1020.0,816.0,1.0,918.0,26
HCPCS,C1887,CATH CONVEY JR4 5FR 100CM,500.0,400.0,1.0,450.0,26
HCPCS,C1887,CATH CORO SINUS BLN VENOGRAPHY,700.0,560.0,1.0,630.0,26
HCPCS,C1887,CATH CTRL RUBICON SHAL 5FR 135,2083.0,1666.4,1.0,1874.7,26
HCPCS,C1887,CATH CTRL RUBICON SHAL 5FR 65,2083.0,1666.4,1.0,1874.7,26
HCPCS,C1887,CATH CTRL RUBICON ST TIP4FR150,2083.0,1666.4,1.0,1874.7,26
HCPCS,C1887,CATH CTRL RUBICON ST TIP5FR135,2083.0,1666.4,1.0,1874.7,26
HCPCS,C1887,CATH CTRL RUBICON STEEP 4FR150,2083.0,1666.4,1.0,1874.7,26
HCPCS,C1887,CATH CTRL RUBICON STEEP 5FR 90,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1887,CATH CTRL RUBICON STEEP 5FR135,2083.0,1666.4,1.0,1874.7,26
HCPCS,C1887,CATH CXI SUPP ANG 2.3 FR150CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH CXI SUPP ANG 2.3FR 90CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH CXI SUPP ANG 2.6FR 135CM,1726.0,1380.8,1.0,1553.4,26
HCPCS,C1887,CATH CXI SUPP ANG 2.6FR 150CM,1726.0,1380.8,1.0,1553.4,26
HCPCS,C1887,CATH CXI SUPP ANG2 2.3FR 150CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH CXI SUPP DAV 4FR 135CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH CXI SUPP DAV 4FR 150CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH CXI SUPP DAV 4FR 90CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH CXI SUPP ST 2.3FR 150CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH CXI SUPP ST 2.3FR 90CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH CXI SUPP ST 2.6FR 135CM,1726.0,1380.8,1.0,1553.4,26
HCPCS,C1887,CATH CXI SUPP ST 2.6FR 150CM,1726.0,1380.8,1.0,1553.4,26
HCPCS,C1887,CATH CXI SUPP ST 4FR 135CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH CXI SUPP ST 4FR 150CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH CXI SUPP ST 4FR 90CM,1553.0,1242.4,1.0,1397.7,26
HCPCS,C1887,CATH DAC SOFIA 6FR 115CM,8982.0,7185.6,1.0,8083.8,26
HCPCS,C1887,CATH DAC SOFIA ST 115CM,5742.0,4593.6,1.0,5167.8,26
HCPCS,C1887,CATH DAC SOFIA ST 125CM,5742.0,4593.6,1.0,5167.8,26
HCPCS,C1887,CATH DEFLECTBL PRSHP 9FR 43CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1887,CATH DEL C315 S10 7FR 40CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1887,CATH DEL C315 S5 7FR 30CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1887,CATH DEL CARRIER 7071 152CM,11228.0,8982.4,1.0,10105.2,26
HCPCS,C1887,CATH DEL CARRIER 7074 152CM,11228.0,8982.4,1.0,10105.2,26
HCPCS,C1887,CATH DEL CARRIER 7074 162CM,11228.0,8982.4,1.0,10105.2,26
HCPCS,C1887,CATH DEL CARRIER 8081 152CM,11228.0,8982.4,1.0,10105.2,26
HCPCS,C1887,CATH DEL CARRIER X069 162CM,11228.0,8982.4,1.0,10105.2,26
HCPCS,C1887,CATH DEL CARRIER XL 142CM,11228.0,8982.4,1.0,10105.2,26
HCPCS,C1887,CATH DEL J 7FR 30CM,3200.0,2560.0,1.0,2880.0,26
HCPCS,C1887,CATH DEL NO SIDEHL RTSIDE 43CM,1233.0,986.4,1.0,1109.7,26
HCPCS,C1887,CATH ENTEER REENTRYBTK 2.75X20,10328.0,8262.4,1.0,9295.2,26
HCPCS,C1887,CATH EXCEL MICRO SL10 45D150CM,5679.0,4543.2,1.0,5111.1,26
HCPCS,C1887,CATH EXCELSIOR SL-10 PRE-*NLU*,5346.0,4276.8,1.0,4811.4,26
HCPCS,C1887,CATH EXCELSIOR SL10 90D*NLU*,4845.0,3876.0,1.0,4360.5,26
HCPCS,C1887,CATH EXCELSIORXT27PRSH18*NLU*,5616.0,4492.8,1.0,5054.4,26
HCPCS,C1887,CATH EXT TELESCP GD 6FR,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1887,CATH EXT TELESCP GD 7FR,3000.0,2400.0,1.0,2700.0,26
HCPCS,C1887,CATH FREECLIMB 54 TENZING5 148,16709.0,13367.2,1.0,15038.1,26
HCPCS,C1887,CATH FREECLIMB 70 W TENZING 7,16709.0,13367.2,1.0,15038.1,26
HCPCS,C1887,CATH GD CEREGLIDE 71 6FR 115CM,9065.0,7252.0,1.0,8158.5,26
HCPCS,C1887,CATH GD CEREGLIDE 71 6FR 125CM,9065.0,7252.0,1.0,8158.5,26
HCPCS,C1887,CATH GD CEREGLIDE 71 6FR 132CM,9065.0,7252.0,1.0,8158.5,26
HCPCS,C1887,CATH GD CEREGLIDE 92 8FR 114CM,16800.0,13440.0,1.0,15120.0,26
HCPCS,C1887,CATH GD COMMAND SV EH,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1887,CATH GD COMMAND SV MULTPRP RT,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1887,CATH GD CPS DIRECT PL 135D51CM,3722.0,2977.6,1.0,3349.8,26
HCPCS,C1887,CATH GD ENVOY 6FR 100CM,3920.0,3136.0,1.0,3528.0,26
HCPCS,C1887,CATH GD ENVOY DA 6FR M95C*NLU*,4482.0,3585.6,1.0,4033.8,26
HCPCS,C1887,CATH GD ENVOY DAXB MPD 6FR105,4860.0,3888.0,1.0,4374.0,26
HCPCS,C1887,CATH GD ENVOY DAXB MPD 6FR90CM,4860.0,3888.0,1.0,4374.0,26
HCPCS,C1887,CATH GD ENVOY MPD 6FR 100CM,3920.0,3136.0,1.0,3528.0,26
HCPCS,C1887,CATH GD ENVOY MPD 6FR 90CM,3920.0,3136.0,1.0,3528.0,26
HCPCS,C1887,CATH GD ENVOY SIM2 6FR 90*NLU*,2981.0,2384.8,1.0,2682.9,26
HCPCS,C1887,CATH GD ENVOY SIM2 6FR100CM,3920.0,3136.0,1.0,3528.0,26
HCPCS,C1887,CATH GD ENVOY SIM2 7FR 90CM,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1887,CATH GD FUBUKI XF ST 6FR 80CM,4543.0,3634.4,1.0,4088.7,26
HCPCS,C1887,CATH GD FUBUKI XF ST 6FR 90CM,4543.0,3634.4,1.0,4088.7,26
HCPCS,C1887,CATH GD GLOBAL LG 7FR 45CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1887,CATH GD GLOBAL LG 7FR 48CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1887,CATH GD GLOBAL SM 7FR 45CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1887,CATH GD GLOBAL SM 7FR 48CM,2600.0,2080.0,1.0,2340.0,26
HCPCS,C1887,CATH GD JL4 5FR*NLU*,500.0,400.0,1.0,450.0,26
HCPCS,C1887,CATH GD LAUNCH 3DRC 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL.75 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL.75 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL.75 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL.75 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL.75 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL.75 SH 6FR100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL.75 SH 8FR100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1 SH 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1 SH 7FR 90,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1.5 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1.5 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1.5 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL1.5 SH 8FR100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL2 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL2 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL2 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL2 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL2 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL2 SH 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL2.5 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL2.5 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL3 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL3 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL3 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL4 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AL7.5 SH 7FR 90,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AR1 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AR1 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AR1 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AR1 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AR2 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AR2 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH AR2 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3 6FR 110CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3 SH 6FR 100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.5 5FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.5 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.5 6FR110CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.5 7FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.5 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.5 8FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.5 SH 7FR90,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.5 SH 8FR90,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.5 SH8FR100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.5SH 6FR100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.75 5FR 100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.75 6FR 100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.75 6FR 110,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.75 7FR 100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU3.75SH6FR100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4 6FR 110CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4 SH 6FR 100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4 SH 6FR 110,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4 SH 7FR 90,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4 SH 8FR 100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4.5 5FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4.5 6FR 110,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4.5 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU4.5 7FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU5 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH EBU5 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH HSI 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH HSI 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH IMA 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH IMA 5FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH IMA 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH IMA 6FR 55CM,450.0,360.0,1.0,405.0,26
HCPCS,C1887,CATH GD LAUNCH IMA 6FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH IMA 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH IMA 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH IMA 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH IMA SH 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JCR40 6FR,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL3 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL3 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL3 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL3.5 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL3.5 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL3.5 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL3.5 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL3.5 SH 6FR100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL3SH 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4 SH 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4 SH 7FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4 SH 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4 SH 8FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4.5 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4.5 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4.5 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL4.5 SH 6FR100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL5 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL5 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL5 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL5 SH 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL6 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL6 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JL6 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR3 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR3.5 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR3.5 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR3.5 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR3.5 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 6FR 110CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 6FR 55CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 6FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 8FR 55CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 RT 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 SH 6FR 110,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 SH 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 SH 7FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 SH 8FR 90CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4 SH 8FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR4.5 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR5 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR5 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH JR60 6FR,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH LCB 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH LCB 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH LCB 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MAC3030 5FR 100,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MB1 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MB1 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MB1 SH 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MB2 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MB2 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MB2 SH 6FR100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MP1 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MP1 6FR 110CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MP1 7FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MP1 8FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH MP2 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH NOTO 6FR,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH RBU4 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH RCB 5FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH RCB 6FR 100CM,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD LAUNCH RCBII 6FR,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD MACH1 VL3.0 6FR 100CM,500.0,400.0,1.0,450.0,26
HCPCS,C1887,CATH GD MACH1 VL3.5 6FR 100CM,500.0,400.0,1.0,450.0,26
HCPCS,C1887,CATH GD OTW VENTURE 6FR140CM,5145.0,4116.0,1.0,4630.5,26
HCPCS,C1887,CATH GD RAD ACCESS 6FR 95CM,5850.0,4680.0,1.0,5265.0,26
HCPCS,C1887,CATH GD SHERPA NX AL.75 6FR,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD SHERPA NX AL.75SH 6FR,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD SHERPA NX EBU4.0 6FR,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD SHERPA NX EBU4.5 6FR,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD SHERPA NX JR5.0 6FR,410.0,328.0,1.0,369.0,26
HCPCS,C1887,CATH GD ZOOM 88 RDL 6FR-8FR103,11183.0,8946.4,1.0,10064.7,26
HCPCS,C1887,CATH GD ZOOM 88 SUPP 8FR 110CM,11183.0,8946.4,1.0,10064.7,26
HCPCS,C1887,CATH GLIDE ANG 4FR 100CM,537.0,429.6,1.0,483.3,26
HCPCS,C1887,CATH GLIDE ANG 4FR 65CM,537.0,429.6,1.0,483.3,26
HCPCS,C1887,CATH GLIDE ANG 5FR 100CM,537.0,429.6,1.0,483.3,26
HCPCS,C1887,CATH GLIDE SIM1 5FR 100CM,537.0,429.6,1.0,483.3,26
HCPCS,C1887,CATH GLIDE SIM2 4FR 100CM,537.0,429.6,1.0,483.3,26
HCPCS,C1887,CATH GLIDE SIM2 5FR 100CM,537.0,429.6,1.0,483.3,26
HCPCS,C1887,CATH GLIDE SIM3 5FR 100CM,537.0,429.6,1.0,483.3,26
HCPCS,C1887,CATH GLIDE ST 120CM 4FR,537.0,429.6,1.0,483.3,26
HCPCS,C1887,CATH GLIDE XP MG1 5FR 125CM,2260.0,1808.0,1.0,2034.0,26
HCPCS,C1887,CATH GPC PIGT 6.7FR 100CM,260.0,208.0,1.0,234.0,26
HCPCS,C1887,CATH GUIDELINER COAST 5.5FR,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1887,CATH GUIDELINER COAST 6FR,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1887,CATH GUIDELINER COAST 7FR,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1887,CATH GUIDELINER COAST 8FR,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1887,CATH GUIDELINER NAV 6FR*DISC*,1012.0,809.6,1.0,910.8,26
HCPCS,C1887,CATH GUIDELINER V3 COAST 5.5FR,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1887,CATH GUIDELINER V3 COAST 6FR,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1887,CATH GUIDELINER V3 COAST 7FR,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1887,CATH GUIDELINER V3 COAST 8FR,3080.0,2464.0,1.0,2772.0,26
HCPCS,C1887,CATH HEARTRAIL IL3.5 6FR 100,851.0,680.8,1.0,765.9,26
HCPCS,C1887,CATH HEARTRAIL IL4.0 6FR 100,851.0,680.8,1.0,765.9,26
HCPCS,C1887,CATH HIPOINT 88 W TENZING 8,15488.0,12390.4,1.0,13939.2,26
HCPCS,C1887,CATH HYPHL SOS OMNI2 5FR80CM,597.0,477.6,1.0,537.3,26
HCPCS,C1887,CATH IKARI IR1.5 5FR 100C*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1887,CATH IKARI LFT 3.5 5FR 10*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1887,CATH IKARI LFT 4.0 5FR 10*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1887,CATH IKARI RT 1.5 6FR 100*NLU*,855.0,684.0,1.0,769.5,26
HCPCS,C1887,CATH IMPRESS KA2 5FR 40CM,390.0,312.0,1.0,351.0,26
HCPCS,C1887,CATH INNEUROCO*DISC*,7605.0,6084.0,1.0,6844.5,26
HCPCS,C1887,CATH KT BRDWAY8 132/156/100/11,13500.0,10800.0,1.0,12150.0,26
HCPCS,C1887,CATH KT BRDWAY8 132/156/105/11,16250.0,13000.0,1.0,14625.0,26
HCPCS,C1887,CATH KUMPE 0.035 4FR 40CM,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH KUMPE 0.038 5FR 100CM,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH KUMPE 0.038 5FR 40CM,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH KUMPE 0.038 5FR 40CM*NLU*,420.0,336.0,1.0,378.0,26
HCPCS,C1887,CATH KUMPE 0.038 5FR 65CM,547.0,437.6,1.0,492.3,26
HCPCS,C1887,CATH LANGSTON DL 145D 110CM,1115.0,892.0,1.0,1003.5,26
HCPCS,C1887,CATH LUMAX PULM 8FR 80CM*DISC*,2848.0,2278.4,1.0,2563.2,26
HCPCS,C1887,CATH MAESTRO 2.8- 2.4FR 1*NLU*,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1887,CATH MAESTRO 2.8- 2.4FR 110CM,2454.0,1963.2,1.0,2208.6,26
HCPCS,C1887,CATH MARINER KUMPE 0.038 4FR65,547.0,437.6,1.0,492.3,26
HCPCS,C1887,CATH MICRO ECHELON 10 45D150CM,3528.0,2822.4,1.0,3175.2,26
HCPCS,C1887,CATH MICRO ECHELON 10 ST 150CM,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1887,CATH MICRO ECHELON 14 ST *NLU*,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1887,CATH MICRO FINECROSS M3 130CM,4078.0,3262.4,1.0,3670.2,26
HCPCS,C1887,CATH MICRO FINECROSS M3 150CM,4078.0,3262.4,1.0,3670.2,26
HCPCS,C1887,CATH MICRO HEAD*DISC 6274966*,3652.0,2921.6,1.0,3286.8,26
HCPCS,C1887,CATH MICRO HEADWAY DUO 156CM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1887,CATH MICRO HEADWAY DUO 167CM,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1887,CATH MICRO HEADWAY17 ADV 45D,4563.0,3650.4,1.0,4106.7,26
HCPCS,C1887,CATH MICRO HEADWAY17 ADV ST,4887.0,3909.6,1.0,4398.3,26
HCPCS,C1887,CATH MICRO HEADWAY21 ST 156CM,5760.0,4608.0,1.0,5184.0,26
HCPCS,C1887,CATH MICRO HEADWAY27 ST 150CM,5040.0,4032.0,1.0,4536.0,26
HCPCS,C1887,CATH MICRO PGPRO 2.8FR 140CM,3672.0,2937.6,1.0,3304.8,26
HCPCS,C1887,CATH MICRO PLATO 17 45D 160CM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1887,CATH MICRO PLATO 17 ST 160CM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1887,CATH MICRO PROWLER EX 5X160CM,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1887,CATH MICRO PROWLER ST 2.3FR170,4838.0,3870.4,1.0,4354.2,26
HCPCS,C1887,CATH MICRO RX IMD 5FR 15CM,3360.0,2688.0,1.0,3024.0,26
HCPCS,C1887,CATH MICRO RX SHAPEIT 5FR150CM,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1887,CATH MICRO VIA 17 ST 2.4FR 154,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1887,CATH MICRO VIA 21 2.8FR 154CM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1887,CATH MICRO VIA 27 3.2FR 154CM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1887,CATH MICRO VIA 33 3.8FR 133CM,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1887,CATH MICROGUIDE *DISC 6339489*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1887,CATH MICROGUIDE *DISC 6339490*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1887,CATH MPA SOFTVU 0.038 4FR 100,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH NAVICROSS 0.018 30D 135CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS 0.018 30D 150CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS 0.018 30D 65CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS 0.018 30D 90CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS 0.035 30D 150CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS 0.035 30D 65CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS 0.035 30D 90CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS 0.035 30D135CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS ANG 0.035 200CM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1887,CATH NAVICROSS ST 0.018 150CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS ST 0.018 65CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS ST 0.018 90CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS ST 0.035 135CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS ST 0.035 150CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVICROSS ST 0.035 65CM,1942.0,1553.6,1.0,1747.8,26
HCPCS,C1887,CATH NAVIEN ST 5FR 105CM*NLU*,5376.0,4300.8,1.0,4838.4,26
HCPCS,C1887,CATH NAVIEN ST 5FR 115CM,5376.0,4300.8,1.0,4838.4,26
HCPCS,C1887,CATH NAVIEN ST 6FR 105CM,3752.0,3001.6,1.0,3376.8,26
HCPCS,C1887,CATH NAVIEN ST 6FR 115CM,3752.0,3001.6,1.0,3376.8,26
HCPCS,C1887,CATH NEURON 0.053 6FR 105/6CM,4585.0,3668.0,1.0,4126.5,26
HCPCS,C1887,CATH NEURON BER .035 5FR *NLU*,1063.0,850.4,1.0,956.7,26
HCPCS,C1887,CATH NEURON BER 0.035 5FR130CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1887,CATH NEURON BER 0.035 6FR125CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1887,CATH NEURON H1 .035 6FR 1*NLU*,1063.0,850.4,1.0,956.7,26
HCPCS,C1887,CATH NEURON H1 0.035 5FR 120CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1887,CATH NEURON MP 0.070 6FR 105CM,4585.0,3668.0,1.0,4126.5,26
HCPCS,C1887,CATH NEURON MP 0.070 6FR 95CM,4585.0,3668.0,1.0,4126.5,26
HCPCS,C1887,CATH NEURON MP0.053 6FR105/6CM,4585.0,3668.0,1.0,4126.5,26
HCPCS,C1887,CATH NEURON SIM 0.035 5FR120CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1887,CATH NEURON SIM 0.035 6FR125CM,1063.0,850.4,1.0,956.7,26
HCPCS,C1887,CATH NEURON SIM-V 0.035 6FR125,1063.0,850.4,1.0,956.7,26
HCPCS,C1887,CATH NEURON ST 0.070 6FR 105CM,4585.0,3668.0,1.0,4126.5,26
HCPCS,C1887,CATH NEURON ST 0.070 6FR 95CM,4585.0,3668.0,1.0,4126.5,26
HCPCS,C1887,CATH NEURON ST.053 6FR115*NLU*,4613.0,3690.4,1.0,4151.7,26
HCPCS,C1887,CATH OMNIFLUSH 0.038 5FR 90CM,251.0,200.8,1.0,225.9,26
HCPCS,C1887,CATH OPTITORQ JACKY3.5 5FR 100,400.0,320.0,1.0,360.0,26
HCPCS,C1887,CATH OPTITORQ JACKY3.5 6FR 100,400.0,320.0,1.0,360.0,26
HCPCS,C1887,CATH OPTITORQ TIG4.0 5FR 100,400.0,320.0,1.0,360.0,26
HCPCS,C1887,CATH OPTITORQ TIG4.0 6FR 100,400.0,320.0,1.0,360.0,26
HCPCS,C1887,CATH OPTITORQ TIG4.5 5FR 100,400.0,320.0,1.0,360.0,26
HCPCS,C1887,CATH PERFORMA JL3.5 5FR 125CM,94.0,75.2,1.0,84.6,26
HCPCS,C1887,CATH PHENOM 021 160CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,CATH PIGT S4FR90*DISC 6338548*,160.0,128.0,1.0,144.0,26
HCPCS,C1887,CATH PROGREAT 70D 2.4FR 130CM,3300.0,2640.0,1.0,2970.0,26
HCPCS,C1887,CATH PROGREAT GLIDE 2.8FR150CM,4144.0,3315.2,1.0,3729.6,26
HCPCS,C1887,CATH PROGREAT J 2.4FR 130CM,3300.0,2640.0,1.0,2970.0,26
HCPCS,C1887,CATH PROGREAT ST 2.0FR 130CM,4611.0,3688.8,1.0,4149.9,26
HCPCS,C1887,CATH PROGREAT ST 2.4FR 130CM,2800.0,2240.0,1.0,2520.0,26
HCPCS,C1887,CATH PROGREAT ST 2.4FR 150CM,2796.0,2236.8,1.0,2516.4,26
HCPCS,C1887,CATH PROGREAT ST 2.8FR 150CM,2796.0,2236.8,1.0,2516.4,26
HCPCS,C1887,CATH PROWLERSELCT+ 45 5X150CM,5045.0,4036.0,1.0,4540.5,26
HCPCS,C1887,CATH QUICKCROSS .035 65CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1887,CATH QUICKCROSS 0.014 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1887,CATH QUICKCROSS 0.035 135CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1887,CATH QUICKCROSS 0.035 150CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1887,CATH QUICKCROSS 0.035 90CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1887,CATH QUICKCROSS ANG 0.035 65CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1887,CATH QUICKCROSS ANG 0.035 90CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1887,CATH QUICKCROSS ANG0.014 150CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1887,CATH QUICKCROSS ANG0.018 135CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1887,CATH QUICKCROSS ANG0.035 135CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1887,CATH QUICKCROSS ANG0.035 150CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1887,CATH RAD ACC ARMADILLO 7FR95CM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1887,CATH RAD ACC ARMADILLO7FR105CM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1887,CATH RAPID EXC FFR 150CM,5250.0,4200.0,1.0,4725.0,26
HCPCS,C1887,CATH REPERFUSION 5MAX 6FR132CM,10755.0,8604.0,1.0,9679.5,26
HCPCS,C1887,CATH REPERFUSION KTRED68 132CM,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1887,CATH REPERFUSION KTRED72 132CM,9923.0,7938.4,1.0,8930.7,26
HCPCS,C1887,CATH REPERFUSION*DISC 6340726*,14683.0,11746.4,1.0,13214.7,26
HCPCS,C1887,CATH REPERFUSION0.035 4FR157CM,7020.0,5616.0,1.0,6318.0,26
HCPCS,C1887,CATH REPERFUSION0.041 4FR143CM,7020.0,5616.0,1.0,6318.0,26
HCPCS,C1887,CATH RIM HT 0.038 5FR 65CM,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH RIM HT 0.038*USE 6269847*,130.0,104.0,1.0,117.0,26
HCPCS,C1887,CATH RUBICON 0.035X135CM*NLU*,1318.0,1054.4,1.0,1186.2,26
HCPCS,C1887,CATH SIZING 20CM ST 5FR 70CM,1154.0,923.2,1.0,1038.6,26
HCPCS,C1887,CATH SIZING PIGT *USE 6269914*,983.0,786.4,1.0,884.7,26
HCPCS,C1887,CATH SOFT VU PIGTAIL 6FRX100CM,272.0,217.6,1.0,244.8,26
HCPCS,C1887,CATH SOFTVU C2 0.038 5FR 90,272.0,217.6,1.0,244.8,26
HCPCS,C1887,CATH SOFTVU KUMPE 0.038 5FR 65,250.0,200.0,1.0,225.0,26
HCPCS,C1887,CATH SOFTVU PIGT 5FR 90CM,251.0,200.8,1.0,225.9,26
HCPCS,C1887,CATH SUPERCROSS COIL 45D 150CM,3549.0,2839.2,1.0,3194.1,26
HCPCS,C1887,CATH SUPERCROSS COIL 90D 150CM,3549.0,2839.2,1.0,3194.1,26
HCPCS,C1887,CATH SUPP SOFIA 88 ST 115CM,10483.0,8386.4,1.0,9434.7,26
HCPCS,C1887,CATH SUPP SOFIA EX 5FR 105CM,7038.0,5630.4,1.0,6334.2,26
HCPCS,C1887,CATH SUPP SOFIA EX 5FR 115CM,7038.0,5630.4,1.0,6334.2,26
HCPCS,C1887,CATH SYS TENZING 7 HIPOINT 70,13663.0,10930.4,1.0,12296.7,26
HCPCS,C1887,CATH TEMPO VERT 5FR 100CM,150.0,120.0,1.0,135.0,26
HCPCS,C1887,CATH THROMB ZOOM35 160CM,8483.0,6786.4,1.0,7634.7,26
HCPCS,C1887,CATH THROMB ZOOM71 137CM,9398.0,7518.4,1.0,8458.2,26
HCPCS,C1887,CATH TORNUS ASIN 2.6FR 135CM,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1887,CATH TRAILBLAZER 0.014 150CM,1083.0,866.4,1.0,974.7,26
HCPCS,C1887,CATH TRAILBLAZER 0.018 150CM,1083.0,866.4,1.0,974.7,26
HCPCS,C1887,CATH TRAILBLAZER 0.018 90CM,1083.0,866.4,1.0,974.7,26
HCPCS,C1887,CATH TRAILBLAZER 0.035 135CM,1083.0,866.4,1.0,974.7,26
HCPCS,C1887,CATH TRAILBLAZER 0.035 150CM,1083.0,866.4,1.0,974.7,26
HCPCS,C1887,CATH TRAILBLAZER 0.035 65CM,1083.0,866.4,1.0,974.7,26
HCPCS,C1887,CATH VELOCITY ST 160CM,4703.0,3762.4,1.0,4232.7,26
HCPCS,C1887,CATH VERT 0.035 5FR 130CM,1256.0,1004.8,1.0,1130.4,26
HCPCS,C1887,CATH VIPERCATH XC ST 5FR 200CM,1700.0,1360.0,1.0,1530.0,26
HCPCS,C1887,CATH VISTA AL.75 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA AL1 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA AL1 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA AL2 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA AL2 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA AL2 SH 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA AL3 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA AR1 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA AR1 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA AR2 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA HOCKEY 6FR 55CM,618.0,494.4,1.0,556.2,26
HCPCS,C1887,CATH VISTA HOCKEY 8FR 55C*NLU*,618.0,494.4,1.0,556.2,26
HCPCS,C1887,CATH VISTA HS 8FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA IG RDC II 7FR 55CM,855.0,684.0,1.0,769.5,26
HCPCS,C1887,CATH VISTA IM 7FR 90CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA IM SH 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JL3.5 5FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JL3.5 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JL35 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JL4 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JL4 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JL4 8FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JL4SH 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JL5 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JL5 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JL6 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JR4 5FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JR4 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA JR4 8FR 100CM*NLU*,359.0,287.2,1.0,323.1,26
HCPCS,C1887,CATH VISTA JR4 SH 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA LCB 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA LCB 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA MPA1 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA MPA1 7FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA XB3 LBT 5FR 10CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA XB3.5 5FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH VISTA XB3.5 6FR 125CM,570.0,456.0,1.0,513.0,26
HCPCS,C1887,CATH VISTA XB4 6FR 100CM,480.0,384.0,1.0,432.0,26
HCPCS,C1887,CATH XT-17 STD ST 150CM*NLU*,4914.0,3931.2,1.0,4422.6,26
HCPCS,C1887,CNTRLR GDWIRE DIST ACC SPINR-5,2120.0,1696.0,1.0,1908.0,26
HCPCS,C1887,DEL SYS ATTAIN SELECTII L*NLU*,900.0,720.0,1.0,810.0,26
HCPCS,C1887,GD CATH AL1 5FR 100CM*NLU*,359.0,287.2,1.0,323.1,26
HCPCS,C1887,GD CATH CONVEY CLS3.5 7FR*NLU*,500.0,400.0,1.0,450.0,26
HCPCS,C1887,GD CATH CONVEY CLS4 7FR*NLU*,500.0,400.0,1.0,450.0,26
HCPCS,C1887,GD CATH LAUNCH 3*DISC 6238340*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH ALR1-2 7FR*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH CHAMP.5 5F*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH CHAMP2.5 6*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH CHAMP2.5 7*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH CHAMP3 6FR*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH CHAMP3 7FR*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH CHAMP3.5 6*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH CHAMP3.5 7*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH CHAMP4 6FR*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH CHAMP4 7FR*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH HSIII 6FR *NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH I*DISC NO REPL*,450.0,360.0,1.0,405.0,26
HCPCS,C1887,GD CATH LAUNCH IMA 6FR 11*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH JR4.5 7FR *NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH LAUNCH MB2 7FR 10*NLU*,410.0,328.0,1.0,369.0,26
HCPCS,C1887,GD CATH RELIEVA FLEX F-70*NLU*,2960.0,2368.0,1.0,2664.0,26
HCPCS,C1887,GD CATH RELIEVA FLEX M-110,2960.0,2368.0,1.0,2664.0,26
HCPCS,C1887,GD CATH RELIEVA FLEX S-0,3019.0,2415.2,1.0,2717.1,26
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 40X39,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 40X42,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 55X39,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 55X42,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 65X39,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 65X42,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1887,GD RUNWAY CLS3.5 6FR*NLU*,500.0,400.0,1.0,450.0,26
HCPCS,C1887,GDWIRE FUBUKI LNG ST 5FR 90CM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1887,GDWIRE FUBUKI LNG ST 6FR 90CM,2360.0,1888.0,1.0,2124.0,26
HCPCS,C1887,GUIDE VIKING GL4 7F*DISC*,420.0,336.0,1.0,378.0,26
HCPCS,C1887,GUIDE VIKING JR4 7FR*DISC*,420.0,336.0,1.0,378.0,26
HCPCS,C1887,GUIDE VIKING LIMA 6FR*DISC*,420.0,336.0,1.0,378.0,26
HCPCS,C1887,INTER GD XB3 7FR*NLU*,359.0,287.2,1.0,323.1,26
HCPCS,C1887,INTER GD XB35 SH 7FR*NLU*,359.0,287.2,1.0,323.1,26
HCPCS,C1887,KT CATH REPERFUSION JET 7,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1887,KT CATH REPERFUSION JET D,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1887,KT CATH REPERFUSION W TB *NLU*,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1887,KT CATH REPERFUSION W TB 0.060,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1887,KT CATH REPERFUSION W TB 0.068,9625.0,7700.0,1.0,8662.5,26
HCPCS,C1887,MICROCATH CORS*DISC 6290781*,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1887,MICROCATH CORSAIR PRO XS 135CM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1887,MICROCATH CORSAIR PRO XS 150CM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1887,MICROCATH COSAIR*DISC 6290782*,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1887,MICROCATH DL NHANCERRX5FR135CM,4590.0,3672.0,1.0,4131.0,26
HCPCS,C1887,MICROCATH LANTERN 45D TIP115CM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1887,MICROCATH LANTERN 45D TIP135CM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1887,MICROCATH LANTERN 45D TIP150CM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1887,MICROCATH LANTERN 45D TIP160CM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1887,MICROCATH LANTERN 90D TIP150CM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1887,MICROCATH LANTERN ST TIP 135CM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1887,MICROCATH LANTERN ST TIP 150CM,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1887,MICROCATH SUBLIME ST.035 200CM,3040.0,2432.0,1.0,2736.0,26
HCPCS,C1887,MICROCATH SUBLIMEANG.035 200CM,3040.0,2432.0,1.0,2736.0,26
HCPCS,C1887,MICROCATH TELEPORT 2.1FR 135CM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1887,MICROCATH TELEPORT 2FR 135CM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1887,MICROCATH TELEPORT 2FR 150CM,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1887,MICROCATH TELEPORT CTRL 2.1FR,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1887,MICROCATH TRUSELECT BERN 130CM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1887,MICROCATH TRUSELECT BERN 175CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,MICROCATH TRUSELECT ST 155CM,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1887,MICROCATH WEDGE XL DEL ST 160,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1887,NDLE BX LIVER ACC 19G 60CM,3076.0,2460.8,1.0,2768.4,26
HCPCS,C1887,SET ACCESS RING TRANSJGLR 16FR,3570.0,2856.0,1.0,3213.0,26
HCPCS,C1887,SET ACCESS ROSCH TRANSJGLR10FR,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1887,SHEALTH BASE 8FR*DISC 6347910*,5100.0,4080.0,1.0,4590.0,26
HCPCS,C1887,SHEATH 100/4 ST LNG 6FR 100CM,3920.0,3136.0,1.0,3528.0,26
HCPCS,C1887,SHEATH BALLAST MEGA 0.091 90CM,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1887,SHEATH DESTINO ST 10FR 22MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH GD REACH 12FR 22MMX71CM,4650.0,3720.0,1.0,4185.0,26
HCPCS,C1887,SHEATH GD REACH 8.5FR22MMX67CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH PASSPORT 6.5FR 55X73CM7,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH PASSPORT 6.5FR 55X73CM9,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH PASSPORT 6.5FR 65X83CM9,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH PASSPORT 6.5FR55X73CM17,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH PASSPORT 6.5FR90X108CM9,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH PASSPORT 7FR 55X73CMX9,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH PASSPORT 7FR 65X83CMX9,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH PASSPORT 7FR90X108CMX9,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH TOURGD 8.5FR 17MM 55,3592.0,2873.6,1.0,3232.8,26
HCPCS,C1887,SHEATH TWIST 6.5*DISC 6340002*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH TWIST 6.5FR 45X73CM17MM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH TWIST 6.5FR 55X73C*NLU*,3600.0,2880.0,1.0,3240.0,26
HCPCS,C1887,SHEATH TWIST 7FR*DISC 6340004*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH TWIST 7FR*DISC 6340005*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH TWIST 7FR*DISC 6340006*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH TWIST 8.5FR 45X63C*NLU*,3850.0,3080.0,1.0,3465.0,26
HCPCS,C1887,SHEATH TWIST 8.5FR 90X108CMX17,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATH TWIST DESTINO 8.5F*NLU*,3800.0,3040.0,1.0,3420.0,26
HCPCS,C1887,SHEATH VASC ACC ELEMENT 33CM,5760.0,4608.0,1.0,5184.0,26
HCPCS,C1887,SHEATHTWIST6.5FR*DISC 6340000*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATHTWIST6.5FR*DISC 6340001*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,SHEATHTWIST6.5FR*DISC 6340003*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1887,TRAY PRSS MON BASEPLATE 2.5FR5,779.0,623.2,1.0,701.1,26
HCPCS,C1888,CATH RFA CLSRF7F*DISC 6340062*,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1888,CATH RFA CLSRFAST 6FR 8X100CM,5168.0,4134.4,1.0,4651.2,26
HCPCS,C1888,CATH RFA CLSRFAST 6FR 8X60CM,5168.0,4134.4,1.0,4651.2,26
HCPCS,C1888,CATH RFA CLSRFAST 7FR 3X60CM,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1888,CATH RFACLSRFAST*DISC 6338428*,4830.0,3864.0,1.0,4347.0,26
HCPCS,C1888,SYS CLSR VARICOSE VENASEAL,6728.0,5382.4,1.0,6055.2,26
HCPCS,C1889,BLN RETRV PRO XL TL BELOW 9-12,891.0,712.8,1.0,801.9,26
HCPCS,C1889,CAGE 3D PRNT LORD 15D 16X14X7,9675.0,7740.0,1.0,8707.5,26
HCPCS,C1889,CAGE CERV DIVERGENCE 5X15X12MM,9139.0,7311.2,1.0,8225.1,26
HCPCS,C1889,CATH ABL RF HABIB BIPOLR8FR180,7178.0,5742.4,1.0,6460.2,26
HCPCS,C1889,CATH PROBE GLD 10FR 300CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1889,CATH PROBE GLD 7FR 300CM,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1889,CATH PROBE GLD 7FR 350CM,1326.0,1060.8,1.0,1193.4,26
HCPCS,C1889,CATH VASC ACC EL*DISC NO REPL*,22375.0,17900.0,1.0,20137.5,26
HCPCS,C1889,CERV DISC ORTF LG 7X17X14MM,13095.0,10476.0,1.0,11785.5,26
HCPCS,C1889,CERV DISK MOBI-C H5 13X15MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H5 13X17MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H5 15X15MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H5 15X17MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H5 15X19MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H5 17X17MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H6 13X15MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H6 13X17MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H6 15X15MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H6 15X17MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H6 15X19MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H6 17X17MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H6 17X19MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H7 15X17MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CERV DISK MOBI-C H7 15X19MM,14875.0,11900.0,1.0,13387.5,26
HCPCS,C1889,CLAMP UNIV STER SS 5.50MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1889,CLAMP UNIV STER SS 6.00MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1889,CLAMP UNIV STER SS 6.3.5MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1889,CLAMP UNIV STER TI 6.35MM,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1889,CLAMP UNIV TI STER 4.50MM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1889,CLAMP UNIV TI STER 4.75*DISC*,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1889,CLAMP UNIV TI STER 5.50MM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1889,CLAMP UNIV TI STER 6.00MM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1889,EXPAND MAM ALLE*6305097*,5085.0,4068.0,1.0,4576.5,26
HCPCS,C1889,EXPAND MAM ALLE*6305103*,5085.0,4068.0,1.0,4576.5,26
HCPCS,C1889,EXPAND MAM ALLE*6305104*,5580.0,4464.0,1.0,5467.5,52
HCPCS,C1889,EXPAND MAM CPX4 8200 MD 350CC,8730.0,6984.0,1.0,7857.0,26
HCPCS,C1889,EXPAND MAM CPX4 8200 MD 450CC,8730.0,6984.0,1.0,7857.0,26
HCPCS,C1889,EXPAND MAM CPX4 9100 LOW *NLU*,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1889,EXPAND MAM CPX4 9200 MD 275CC,8730.0,6984.0,1.0,7857.0,26
HCPCS,C1889,EXPAND MAM CPX4 9200 MD 350CC,8730.0,6984.0,1.0,7857.0,26
HCPCS,C1889,EXPAND MAM CPX4 9200 MD 450CC,8730.0,6984.0,1.0,7857.0,26
HCPCS,C1889,EXPAND MAM CPX4 9200 MD 550CC,8730.0,6984.0,1.0,7857.0,26
HCPCS,C1889,EXPAND MAM CPX4 9200 MD 650CC,8730.0,6984.0,1.0,7857.0,26
HCPCS,C1889,EXPAND MAM CPX4 9200 MD 800CC,8730.0,6984.0,1.0,7857.0,26
HCPCS,C1889,EXPAND MAM CPX4 9300 TALL*NLU*,6975.0,5580.0,1.0,6277.5,26
HCPCS,C1889,EXPAND MAM CPX4 SMTH MD 450CC,7538.0,6030.4,1.0,6784.2,26
HCPCS,C1889,EXPAND MAM CRST SMTH MENT*NLU*,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1889,EXPAND MAM HIPRO ARTOURA *NLU*,9360.0,7488.0,1.0,8424.0,26
HCPCS,C1889,EXPAND MAM MENT HP 375CC,10148.0,8118.4,1.0,9133.2,26
HCPCS,C1889,EXPAND MAM MENT HP 600CC,10148.0,8118.4,1.0,9133.2,26
HCPCS,C1889,EXPAND MAM MENT HP 750CC,10148.0,8118.4,1.0,9133.2,26
HCPCS,C1889,EXPAND MAM MENT ULT HP 475CC,10148.0,8118.4,1.0,9133.2,26
HCPCS,C1889,EXPAND MAM MENT ULT HP 500CC,10148.0,8118.4,1.0,9133.2,26
HCPCS,C1889,EXPAND MAM MENT ULT HP 535CC,10148.0,8118.4,1.0,9133.2,26
HCPCS,C1889,EXPAND MAM MENT ULT HP 65*NLU*,9360.0,7488.0,1.0,8424.0,26
HCPCS,C1889,EXPAND MAM MODE*6303153*,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM PMT TEARDROP *NLU*,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1889,EXPAND MAM PMT TEARDROP 600CC,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1889,EXPAND MAM PMT TEARDROP 850CC,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1889,EXPAND MAM SEIN DB 125CC*DISC*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1889,EXPAND MAM SIEN DBL570CC*DISC*,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1889,EXPAND MAM SMTH FULL 480-575CC,5828.0,4662.4,1.0,5245.2,26
HCPCS,C1889,EXPAND MAM SMTH MID 310-370CC,5828.0,4662.4,1.0,5245.2,26
HCPCS,C1889,EXPAND MAM ULT HIPRO 650CC,9360.0,7488.0,1.0,8424.0,26
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 300CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 400CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 500CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 600CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 750CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 850CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ MODER250CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ MODER300CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ MODER400CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ MODER500CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ MODER600CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ MODER700CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ SHRT 200CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ SHRT 250CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ SHRT 300CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ SHRT 375CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM VAR PROJ SHRT 450CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ FULL 350CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ FULL 450CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ FULL 550CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ FULL 650CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ FULL 800CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ MODER300CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ MODER400CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ MODER500CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ MODER600CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ MODER700CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 250CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 350CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 400CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 500CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 650CC,6075.0,4860.0,1.0,5467.5,26
HCPCS,C1889,EXPAND MAMALLOX2SMTHMID340-420,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,EXPAND MAMALLOX2SMTHMID460-530,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,EXPAND MAMALLOX2SMTHMID500-600,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,EXPAND MAMALLOX2SMTHMID580-690,7605.0,6084.0,1.0,6844.5,26
HCPCS,C1889,EXPAND MAMALLOX2TXTFULL360-430,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,EXPAND MAMALLOX2TXTFULL480-575,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,EXPAND TISS 11X17CM 1500C*NLU*,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1889,EXPAND TISS 2STAGE6X18CM 600CC,6318.0,5054.4,1.0,5686.2,26
HCPCS,C1889,EXPAND TISS 4X19CM 200-300CC,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1889,EXPAND TISS 6X16CM 450CC,6372.0,5097.6,1.0,5734.8,26
HCPCS,C1889,EXPAND TISS CRST 3X8CM 75*NLU*,5520.0,4416.0,1.0,4968.0,26
HCPCS,C1889,EXPAND TISS EXT DERMACLOSE,5994.0,4795.2,1.0,5394.6,26
HCPCS,C1889,EXPAND TISS MINI RECT 3X4*NLU*,3892.0,3113.6,1.0,3502.8,26
HCPCS,C1889,EXPAND TISS SIEN LOW60CC-120CC,4800.0,3840.0,1.0,4320.0,26
HCPCS,C1889,EXPANDMAMALLOX2SMTHFULL230-280,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,EXPANDMAMALLOX2SMTHFULL270-300,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,EXPANDMAMALLOX2SMTHFULL360-430,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,EXPANDMAMALLOX2SMTHFULL480-575,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,EXPANDMAMALLOX2SMTHFULL600-720,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,EXPANDMAMALLOX2SMTHFULL750-900,8213.0,6570.4,1.0,7391.7,26
HCPCS,C1889,GRAFT NASAL LATERA 20MM,8987.0,7189.6,1.0,8088.3,26
HCPCS,C1889,GRAFT NASAL LATERA 24MM,8987.0,7189.6,1.0,8088.3,26
HCPCS,C1889,IMPLT NASAL LAT*DISC NO REPLC*,5970.0,4776.0,1.0,5373.0,26
HCPCS,C1889,KT GRAFT NASAL*DISC 6319659*,10778.0,8622.4,1.0,9700.2,26
HCPCS,C1889,MESH ENV NEURO ABSORB TYRX LG,5370.0,4296.0,1.0,4833.0,26
HCPCS,C1889,MESH ENV NEURO ABSORB TYRX MD,5370.0,4296.0,1.0,4833.0,26
HCPCS,C1889,PROBE RF BASIVERT INTRACEPT,15470.0,12376.0,1.0,13923.0,26
HCPCS,C1889,PROBE RF INTRACEPT,15470.0,12376.0,1.0,13923.0,26
HCPCS,C1889,ROD HUNTER TENDON PASSIVE 6X25,7852.0,6281.6,1.0,7066.8,26
HCPCS,C1889,ROD HUNTER TENDON PASSIVE4X250,7848.0,6278.4,1.0,7063.2,26
HCPCS,C1889,SHLDR SPACER HUMR HD REMEDY LG,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1889,SHLDR SPACER HUMR HD REMEDY MD,9450.0,7560.0,1.0,8505.0,26
HCPCS,C1889,SHLDR SPACER HUMR STEMREMEDYLG,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1889,SHLDR SPACER HUMR STEMREMEDYMD,11250.0,9000.0,1.0,10125.0,26
HCPCS,C1889,SHLDR SPACER HUMR STEMREMEDYSM,9450.0,7560.0,1.0,8505.0,26
HCPCS,C1889,SHLDR SPACER INSPACE MD,18750.0,15000.0,1.0,16875.0,26
HCPCS,C1889,SPNL CORE SECURE-C STER11X12X8,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1889,SPNL CORE SECURE-C STER11X12X9,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1889,SPNL DISC C VIVO LG DEEP 5MM,14000.0,11200.0,1.0,12600.0,26
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 4MMSZ2,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 5MMSZ1,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 5MMSZ2,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 5MMSZ3,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 6MMSZ1,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 6MMSZ2,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 6MMSZ3,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERV SIMPLIFY SM 6MM,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERVSIMPLIFY5D5MMSZ2,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERVSIMPLIFY5D5MMSZ3,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERVSIMPLIFY5D6MMSZ2,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SPNL DISC CERVSIMPLIFY5D6MMSZ3,14500.0,11600.0,1.0,13050.0,26
HCPCS,C1889,SYS LINX REFLUX 1.5T CLASP 13,17277.0,13821.6,1.0,15549.3,26
HCPCS,C1889,SYS LINX REFLUX 1.5T CLASP 14,17277.0,13821.6,1.0,15549.3,26
HCPCS,C1889,SYS LINX REFLUX 1.5T CLASP 15,17277.0,13821.6,1.0,15549.3,26
HCPCS,C1889,SYS LINX REFLUX 1.5T CLASP 16,17277.0,13821.6,1.0,15549.3,26
HCPCS,C1889,SYS LINX REFLUX 1.5T CLASP 17,17277.0,13821.6,1.0,15549.3,26
HCPCS,C1889,TADV KT LIMFLOW,57500.0,46000.0,1.0,51750.0,26
HCPCS,C1889,URTHRL UROLIFT 2 ATC CARTRDG,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1889,URTHRL UROLIFT 2 CARTRDG HNDL,4725.0,3780.0,1.0,4252.5,26
HCPCS,C1891,"Infusion pump,non-prog, perm",,,1.0,1.0,3
HCPCS,C1892,CATH ATTAIN SELECT II SV 90,1288.0,1030.4,1.0,1159.2,26
HCPCS,C1892,COOK 9F PEELAWAY 15.5 CM,581.0,464.8,1.0,522.9,26
HCPCS,C1892,INTR MICRO-S*DISC 6317733*,300.0,240.0,1.0,270.0,26
HCPCS,C1892,INTR MICRO-STICK NIT 5FR*NLU*,150.0,120.0,1.0,135.0,26
HCPCS,C1892,INTR MICRO-STICK STEEL 5F*NLU*,150.0,120.0,1.0,135.0,26
HCPCS,C1892,INTR SAFESHEATH II 6FRX13CM,372.0,297.6,1.0,334.8,26
HCPCS,C1892,INTR SAFESHEATH II 7FRX13CM,372.0,297.6,1.0,334.8,26
HCPCS,C1892,INTR SAFESHEATH II 7FRX23CM,496.0,396.8,1.0,446.4,26
HCPCS,C1892,INTR SAFESHEATH II 8FRX13CM,496.0,396.8,1.0,446.4,26
HCPCS,C1892,INTR SAFESHEATH II 8FRX23CM,496.0,396.8,1.0,446.4,26
HCPCS,C1892,INTR SAFESHEATH II 9.5FRX13CM,372.0,297.6,1.0,334.8,26
HCPCS,C1892,INTR SAFESHEATH II 9FRX13CM,372.0,297.6,1.0,334.8,26
HCPCS,C1892,INTR SAFESHEATH ULT LT8.5FRX13,332.0,265.6,1.0,298.8,26
HCPCS,C1892,INTR SAFESHEATHII 6FR 13C*NLU*,500.0,400.0,1.0,450.0,26
HCPCS,C1892,INTR SFTY ANTIMIC SHEATH9FRX10,588.0,470.4,1.0,529.2,26
HCPCS,C1892,INTR TRANSITIONLESS 10FR,581.0,464.8,1.0,522.9,26
HCPCS,C1892,INTR TRANSITIONLESS 11FR,581.0,464.8,1.0,522.9,26
HCPCS,C1892,INTR TRANSITIONLESS 12FR,581.0,464.8,1.0,522.9,26
HCPCS,C1892,INTR TRANSITIONLESS 13FR,581.0,464.8,1.0,522.9,26
HCPCS,C1892,INTR TRANSITIONLESS 9FR,581.0,464.8,1.0,522.9,26
HCPCS,C1892,KT INTR ARROWG ARD 9FR L10CM,1103.0,882.4,1.0,992.7,26
HCPCS,C1892,KT INTR ARROWG PERC 9FRX10CM,889.0,711.2,1.0,800.1,26
HCPCS,C1892,KT PERC SHEATH ARROGAR 8FRMAX,788.0,630.4,1.0,709.2,26
HCPCS,C1892,KT PSI ARROWG ANTIMIC 9FRX10CM,1297.0,1037.6,1.0,1167.3,26
HCPCS,C1892,KT SHEATH INTR ARROWG PERC 6FR,680.0,544.0,1.0,612.0,26
HCPCS,C1892,SHEATH AXS INFINITY LS LN*NLU*,3691.0,2952.8,1.0,3321.9,52
HCPCS,C1892,SHEATH INFINITYAXS LS LNG 90CM,3943.0,3154.4,1.0,3548.7,26
HCPCS,C1892,SHEATH INFINITYAXS LS LNG*NLU*,3558.0,2846.4,1.0,3202.2,26
HCPCS,C1892,SHEATH PEELAWAY 0.038 11FR15.5,859.0,687.2,1.0,773.1,26
HCPCS,C1892,SHEATH PEELAWAY 0.038 7FR 15.5,859.0,687.2,1.0,773.1,26
HCPCS,C1892,SHEATH PEELAWAY 0.038 7FR 30,1386.0,1108.8,1.0,1247.4,26
HCPCS,C1892,SHEATH PEELAWAY 0.038 9FR 15.5,864.0,691.2,1.0,777.6,26
HCPCS,C1892,SHEATH PEELAWAY 6FR .018*DISC*,618.0,494.4,1.0,556.2,26
HCPCS,C1892,SHEATH PEELAWAY ABBT 7FR 14CM,320.0,256.0,1.0,288.0,26
HCPCS,C1892,SHEATH PEELAWAY CODMAN 14FR,917.0,733.6,1.0,825.3,26
HCPCS,C1892,SHEATH PEELAWAY SET 10FR 15.5,859.0,687.2,1.0,773.1,26
HCPCS,C1892,SHEATH PEELAWAY SET 8FR 15.5,694.0,555.2,1.0,624.6,26
HCPCS,C1892,SHEATH PRELUDESNAP 10.5FR 13CM,364.0,291.2,1.0,327.6,26
HCPCS,C1892,SHEATH PRELUDESNAP 7FR 25CM,468.0,374.4,1.0,421.2,26
HCPCS,C1892,SHEATH PRELUDESNAP 9FR 25CM,468.0,374.4,1.0,421.2,26
HCPCS,C1892,SHEATH SAFE *DISC 6301643*,325.0,260.0,1.0,292.5,26
HCPCS,C1892,SHEATH SAFE ULT *DISC 6283926*,365.0,292.0,1.0,328.5,26
HCPCS,C1892,SHEATH SAFE ULT *DISC 6310492*,365.0,292.0,1.0,328.5,26
HCPCS,C1892,SHEATH SAFE ULT 8FR*NLU*,325.0,260.0,1.0,292.5,26
HCPCS,C1892,SHEATH VIZIGOBIDIR LGCURV8.5FR,5085.0,4068.0,1.0,4576.5,26
HCPCS,C1892,SHEATH VIZIGOBIDIR MDCURV8.5FR,5085.0,4068.0,1.0,4576.5,26
HCPCS,C1893,BOSTON SCI 9FR 10CM SHEATH,277.0,221.6,1.0,249.3,26
HCPCS,C1893,DEL SYS CS LEAD SELCTRA,4550.0,3640.0,1.0,4095.0,26
HCPCS,C1893,INTR FASTCATH RAMP 8.5FR 60CM,1114.0,891.2,1.0,1002.6,26
HCPCS,C1893,INTR FASTCATH RAMP-1 8.5FR60CM,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1893,INTR TRNSPTL SL0 10FR 63CM,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1893,INTR TRNSPTL SL1 8.5FR 63CM,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1893,INTR TRNSPTL SL2 8.5FR 63CM,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1893,INTR TRNSPTL SL2 8FR 63CM,1343.0,1074.4,1.0,1208.7,26
HCPCS,C1893,INTR TRNSPTL SL3 8.5FR 63CM,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1893,INTR TRNSPTL SL3 8FR 63CM,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1893,INTR TRNSPTL SR0 8FR 81CM,1437.0,1149.6,1.0,1293.3,26
HCPCS,C1894,CATH AVEIR DEL DR 111,7875.0,6300.0,1.0,7087.5,26
HCPCS,C1894,CATH AVEIR DEL DR 201,9000.0,7200.0,1.0,8100.0,26
HCPCS,C1894,CATH AVEIR INTR 30CM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1894,CATH AVEIR INTR 50CM,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1894,CATH BLN GD PARAGON 8FR 85CM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1894,CATH BLN GD PARAGON 8FR 95CM,7628.0,6102.4,1.0,6865.2,26
HCPCS,C1894,CATH MICRO VIA 17 45D 2.4FR154,6278.0,5022.4,1.0,5650.2,26
HCPCS,C1894,CATH VISTA IG RDC II 8FR 55CM,855.0,684.0,1.0,769.5,26
HCPCS,C1894,CVC KT DL ARROWG+ARDBLU8FR11.5,1277.0,1021.6,1.0,1149.3,26
HCPCS,C1894,CVC KT DL ARROWG+ARDBLU9FR10CM,1600.0,1280.0,1.0,1440.0,26
HCPCS,C1894,DEL SYS TREVISIO 10FR 45/80,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1894,DEL SYS TREVISIO 12FR 45/80,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1894,DEL SYS TREVISIO 6FR 45/60,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1894,DEL SYS TREVISIO 7FR 45/80,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1894,DEL SYS TREVISIO 8FR 45/80,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1894,DEL SYS TREVISIO 9FR 45/80,5418.0,4334.4,1.0,4876.2,26
HCPCS,C1894,DIL INTR AMPLZ RENAL 18FR 30CM,399.0,319.2,1.0,359.1,26
HCPCS,C1894,INTR AMP18FR30CM*DISC 6323198*,372.0,297.6,1.0,334.8,26
HCPCS,C1894,INTR CATH DVILL 14FR 85CM*NLU*,2032.0,1625.6,1.0,1828.8,26
HCPCS,C1894,INTR CHECKFLO XL 20FR 25CM,3232.0,2585.6,1.0,2908.8,26
HCPCS,C1894,INTR CHECKFLO XL 22FR 25CM,3139.0,2511.2,1.0,2825.1,26
HCPCS,C1894,INTR CLASC*DISC NO REPL*,54.0,43.2,1.0,48.6,26
HCPCS,C1894,INTR FASTCATH CA*DISC 6234770*,180.0,144.0,1.0,162.0,26
HCPCS,C1894,INTR FASTCATH CATHLK 7FR 12CM,180.0,144.0,1.0,162.0,26
HCPCS,C1894,INTR FASTCATH L18*DISC 634772*,100.0,80.0,1.0,90.0,26
HCPCS,C1894,INTR FASTCATH LG*DISC 6160138*,240.0,192.0,1.0,216.0,26
HCPCS,C1894,INTR FASTCATH LG*DISC 6160511*,240.0,192.0,1.0,216.0,26
HCPCS,C1894,INTR FASTCATH LG*DISC NO REPL*,627.0,501.6,1.0,564.3,26
HCPCS,C1894,INTR FASTCATH SAFL 8.5FR 63CM,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1894,INTR FASTCATH SR0 8.5FR 63CM,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1894,INTR FASTCATH SR0 8FR 63C*NLU*,1165.0,932.0,1.0,1048.5,26
HCPCS,C1894,INTR FASTCATH SR2 8.5FR 63CM,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1894,INTR FASTCATH SR3 8.5FR 63CM,1258.0,1006.4,1.0,1132.2,26
HCPCS,C1894,INTR FASTCATH STR 8.5FR 6*NLU*,1165.0,932.0,1.0,1048.5,26
HCPCS,C1894,INTR FLEXOR CHECK-FLO 12F*NLU*,692.0,553.6,1.0,622.8,26
HCPCS,C1894,INTR FLEXOR CHECKFLO 8FR 45CM,693.0,554.4,1.0,623.7,26
HCPCS,C1894,INTR FLEXOR CHECKFLO ST 5FR 70,787.0,629.6,1.0,708.3,26
HCPCS,C1894,INTR FLEXOR CHECKFLO ST 5FR 90,1140.0,912.0,1.0,1026.0,26
HCPCS,C1894,INTR FLEXOR LG CHECKFLO 10FR30,689.0,551.2,1.0,620.1,26
HCPCS,C1894,INTR FLEXOR LG CHECKFLO 10FR80,850.0,680.0,1.0,765.0,26
HCPCS,C1894,INTR FLEXOR LG CHECKFLO 12FR40,689.0,551.2,1.0,620.1,26
HCPCS,C1894,INTR FLEXOR LG CHECKFLO 12FR80,850.0,680.0,1.0,765.0,26
HCPCS,C1894,INTR FLEXOR PERFORMER 14FR63CM,1003.0,802.4,1.0,902.7,26
HCPCS,C1894,INTR FLEXOR PERFORMER 14FR75CM,1003.0,802.4,1.0,902.7,26
HCPCS,C1894,INTR FLEXOR RAABE 5FR 55CM,618.0,494.4,1.0,556.2,26
HCPCS,C1894,INTR FLEXOR RAABE 5FR 90CM,674.0,539.2,1.0,606.6,26
HCPCS,C1894,INTR FLEXOR RAABE 6FR 55CM,618.0,494.4,1.0,556.2,26
HCPCS,C1894,INTR FLEXOR RAABE 6FR 70CM,618.0,494.4,1.0,556.2,26
HCPCS,C1894,INTR FLEXOR RAABE 6FR 90CM,674.0,539.2,1.0,606.6,26
HCPCS,C1894,INTR FLEXOR RAABE 7FR 55CM,618.0,494.4,1.0,556.2,26
HCPCS,C1894,INTR FLEXOR RAABE 7FR 70CM,618.0,494.4,1.0,556.2,26
HCPCS,C1894,INTR FLEXOR RAABE 7FR 90CM,674.0,539.2,1.0,606.6,26
HCPCS,C1894,INTR FLEXOR RAABE 8FR 55CM,636.0,508.8,1.0,572.4,26
HCPCS,C1894,INTR FLEXOR RAABE 8FR 70CM,618.0,494.4,1.0,556.2,26
HCPCS,C1894,INTR FLEXOR RAABE 9FR 70CM,618.0,494.4,1.0,556.2,26
HCPCS,C1894,INTR FLEXOR SM CHECKFLO 6FR 30,540.0,432.0,1.0,486.0,26
HCPCS,C1894,INTR FLEXOR SM CHECKFLO 7FR 30,603.0,482.4,1.0,542.7,26
HCPCS,C1894,INTR FLEXOR SM CHECKFLO 7FR 45,641.0,512.8,1.0,576.9,26
HCPCS,C1894,INTR FLEXOR SM CHECKFLO 8FR 30,603.0,482.4,1.0,542.7,26
HCPCS,C1894,INTR FLEXOR SM CHECKFLO 9FR 30,603.0,482.4,1.0,542.7,26
HCPCS,C1894,INTR FLEXOR SM CHECKFLO8F*NLU*,603.0,482.4,1.0,542.7,26
HCPCS,C1894,INTR KT MICRO BRTRC NIT4FR15CM,589.0,471.2,1.0,530.1,26
HCPCS,C1894,INTR MICRA SHEATH,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1894,INTR MICRO-STICK NIT STIFF 5FR,300.0,240.0,1.0,270.0,26
HCPCS,C1894,INTR MINI ACC MAK-NV 6FR 20CM,390.0,312.0,1.0,351.0,26
HCPCS,C1894,INTR PERCU S*DISC USE 6294072*,277.0,221.6,1.0,249.3,26
HCPCS,C1894,INTR PERFORMER 0.038 10FR 13CM,400.0,320.0,1.0,360.0,26
HCPCS,C1894,INTR PERFORMER 0.038 10FR 30CM,400.0,320.0,1.0,360.0,26
HCPCS,C1894,INTR PERFORMER 0.038 11FR 70CM,833.0,666.4,1.0,749.7,26
HCPCS,C1894,INTR PERFORMER 0.038 12FR 13CM,637.0,509.6,1.0,573.3,26
HCPCS,C1894,INTR PERFORMER 0.038 12FR 30CM,679.0,543.2,1.0,611.1,26
HCPCS,C1894,INTR PERFORMER 0.038 14FR 13CM,482.0,385.6,1.0,433.8,26
HCPCS,C1894,INTR PERFORMER 0.038 14FR 30CM,1008.0,806.4,1.0,907.2,26
HCPCS,C1894,INTR PERFORMER 0.038 14FR 45CM,1320.0,1056.0,1.0,1188.0,26
HCPCS,C1894,INTR PERFORMER 0.038 14FR 80CM,2057.0,1645.6,1.0,1851.3,26
HCPCS,C1894,INTR PERFORMER 0.038 16FR 13CM,482.0,385.6,1.0,433.8,26
HCPCS,C1894,INTR PERFORMER 0.038 16FR 30CM,1003.0,802.4,1.0,902.7,26
HCPCS,C1894,INTR PERFORMER 0.038 16FR 35CM,1003.0,802.4,1.0,902.7,26
HCPCS,C1894,INTR PERFORMER 0.038 18FR 30CM,1003.0,802.4,1.0,902.7,26
HCPCS,C1894,INTR PERFORMER 0.038 18FR 85CM,1003.0,802.4,1.0,902.7,26
HCPCS,C1894,INTR PERFORMER 8FR 0.038*NLU*,130.0,104.0,1.0,117.0,26
HCPCS,C1894,INTR PERFORMER HI VOL 8F*DISC*,190.0,152.0,1.0,171.0,26
HCPCS,C1894,INTR SAFESHEATH II 9FRX23CM,496.0,396.8,1.0,446.4,26
HCPCS,C1894,INTR SET TRIFORCE ST 4FR 100,2892.0,2313.6,1.0,2602.8,26
HCPCS,C1894,INTR SHEATH *DISC 6305365*,57.0,45.6,1.0,51.3,26
HCPCS,C1894,INTR SHEATH *DISC 6305366*,57.0,45.6,1.0,51.3,26
HCPCS,C1894,INTR SHEATH 12F*DISC 6276860*,190.0,152.0,1.0,171.0,26
HCPCS,C1894,INTR SHEATH ADELANTE 8FR 13CM,656.0,524.8,1.0,590.4,26
HCPCS,C1894,INTR SHEATH ADELANTE10FR 23CM,711.0,568.8,1.0,639.9,26
HCPCS,C1894,INTR SHEATH ADELANTE11FR 23CM,711.0,568.8,1.0,639.9,26
HCPCS,C1894,INTR SHEATH ADELANTE12FR 13CM,656.0,524.8,1.0,590.4,26
HCPCS,C1894,INTR SHEATH SIGM*DISC 6193461*,57.0,45.6,1.0,51.3,26
HCPCS,C1894,INTR SHEATH SIGM*DISC NO REPL*,57.0,45.6,1.0,51.3,26
HCPCS,C1894,INTR SHEATH SIGMA 5FR 10CM,57.0,45.6,1.0,51.3,26
HCPCS,C1894,INTR SHEATH SIGMA 9FR 10C*NLU*,57.0,45.6,1.0,51.3,26
HCPCS,C1894,INTR SHEATH SIGMA7FR10CM*DISC*,57.0,45.6,1.0,51.3,26
HCPCS,C1894,INTR SHEATH SUP 0.035 5FR*NLU*,110.0,88.0,1.0,99.0,26
HCPCS,C1894,INTR SHEATH SUP 0.035 6FR*NLU*,110.0,88.0,1.0,99.0,26
HCPCS,C1894,INTR SHEATH TEAR AWAY 5FR 14CM,329.0,263.2,1.0,296.1,26
HCPCS,C1894,INTR SHEATHS*DISC 6305364*,57.0,45.6,1.0,51.3,26
HCPCS,C1894,INTR SYS ACCUSTICK XSTIFF J,855.0,684.0,1.0,769.5,26
HCPCS,C1894,INTR TRANSITIONLESS 16FR,581.0,464.8,1.0,522.9,26
HCPCS,C1894,INTR ULTIMU7FR12*DISC NO REPL*,80.0,64.0,1.0,72.0,26
HCPCS,C1894,INTR VALV AIRGUARD 6.5FR *NLU*,837.0,669.6,1.0,753.3,26
HCPCS,C1894,INTR VALV AIRGUARD 8FR 15CM,837.0,669.6,1.0,753.3,26
HCPCS,C1894,INTRSFTYPERCUSHE*DISC 6330080*,468.0,374.4,1.0,421.2,26
HCPCS,C1894,KT GLIDE SLENDER.*USE 6294141*,1063.0,850.4,1.0,956.7,26
HCPCS,C1894,KT GLIDESHEATH SL*USE 6294140*,810.0,648.0,1.0,729.0,26
HCPCS,C1894,KT GLIDESHEATH SL*USE 6294143*,810.0,648.0,1.0,729.0,26
HCPCS,C1894,KT GLIDESHEATHSLE*USE 6294144*,500.0,400.0,1.0,450.0,26
HCPCS,C1894,KT GLIDESHEATHSLE*USE 6294145*,500.0,400.0,1.0,450.0,26
HCPCS,C1894,KT INTR ARROWG ARG XC9FR L10CM,1256.0,1004.8,1.0,1130.4,26
HCPCS,C1894,KT INTR FASTCATHLKHUB7.5F*NLU*,90.0,72.0,1.0,81.0,26
HCPCS,C1894,KT INTR ULTI7FR5*DISC NO REPL*,95.0,76.0,1.0,85.5,26
HCPCS,C1894,KT INTRLEADINTER*DISC 6315875*,2240.0,1792.0,1.0,2016.0,26
HCPCS,C1894,KT MICINTR NIT 5FR 21GX7CM,290.0,232.0,1.0,261.0,26
HCPCS,C1894,KT MICINTR SILK 21G 7CM,1692.0,1353.6,1.0,1522.8,26
HCPCS,C1894,KT MICINTR SS B BEV 3.5FRX5CM,330.0,264.0,1.0,297.0,26
HCPCS,C1894,KT MICINTR SS B BEV 4.5FRX5CM,330.0,264.0,1.0,297.0,26
HCPCS,C1894,KT MICINTR SS B BEV 5FRX5CM,347.0,277.6,1.0,312.3,26
HCPCS,C1894,KT MICPUNC NIT 5FR 21GX7CM,325.0,260.0,1.0,292.5,26
HCPCS,C1894,KT PERC INTR*USE 6299603*,618.0,494.4,1.0,556.2,26
HCPCS,C1894,KT PERC SHEATH ARROWGAR+ 8.5FR,1008.0,806.4,1.0,907.2,26
HCPCS,C1894,KT PERC SHEATHSI*DISC 6347173*,468.0,374.4,1.0,421.2,26
HCPCS,C1894,MICINTR KT STIFF NIT 5FR 21G 7,362.0,289.6,1.0,325.8,26
HCPCS,C1894,NDLE TROC INTR ECHOTIP MM21G15,103.0,82.4,1.0,92.7,26
HCPCS,C1894,PICC DL POWERPIC*VAT 6325313*,1373.0,1098.4,1.0,1235.7,26
HCPCS,C1894,PICC SL POWERPICC SV MAX *NLU*,1333.0,1066.4,1.0,1199.7,26
HCPCS,C1894,RETRV TIP EZ BENT 150CM,675.0,540.0,1.0,607.5,26
HCPCS,C1894,SET INTR APPEL-BERCI 12FR15CM,1029.0,823.2,1.0,926.1,26
HCPCS,C1894,SET INTR CHECK-FLO 10FR 38.5CM,774.0,619.2,1.0,696.6,26
HCPCS,C1894,SET INTR CHECK-FLO 10FR 40CM,689.0,551.2,1.0,620.1,26
HCPCS,C1894,SET INTR DENNY 5.5FR65C*DISC*,699.0,559.2,1.0,629.1,26
HCPCS,C1894,SET INTR DESILETS-HOFFMAN 8FR,640.0,512.0,1.0,576.0,26
HCPCS,C1894,SET INTR GDWIRE PERFORMER 12FR,482.0,385.6,1.0,433.8,26
HCPCS,C1894,SET INTR MICRO PEDAL 2.9-4FR,453.0,362.4,1.0,407.7,26
HCPCS,C1894,SET MICPUNC ECHOGENIC SS 4FR 7,279.0,223.2,1.0,251.1,26
HCPCS,C1894,SET MICPUNC ECHOGENICSTIFF4FR7,497.0,397.6,1.0,447.3,26
HCPCS,C1894,SET MICPUNC INTR 5FR 1.7M*NLU*,300.0,240.0,1.0,270.0,26
HCPCS,C1894,SET MICPUNC INTR PEDS SS4FR4CM,279.0,223.2,1.0,251.1,26
HCPCS,C1894,SET MICPUNC STIFF NIT5FR15X7CM,447.0,357.6,1.0,402.3,26
HCPCS,C1894,SET SFTY GDWIRE,336.0,268.8,1.0,302.4,26
HCPCS,C1894,SET SFTY GDWIRE *DISC 6148830*,489.0,391.2,1.0,440.1,26
HCPCS,C1894,SET SHEATH INTR VNUS 7FR 11CM,198.0,158.4,1.0,178.2,26
HCPCS,C1894,SHEATH 12FR 4.0MM 100CM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1894,SHEATH 12FR 4.0X4.8X80CM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1894,SHEATH 14FR 4.7X5.5X100CM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1894,SHEATH 14FR 4.7X5.5X80CM,5208.0,4166.4,1.0,4687.2,26
HCPCS,C1894,SHEATH 6.5FR 11C*DISC NO REPL*,100.0,80.0,1.0,90.0,26
HCPCS,C1894,SHEATH 80/4 ST LNG 6FR 80CM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1894,SHEATH 90/4 ST LNG 6FR 90CM,3880.0,3104.0,1.0,3492.0,26
HCPCS,C1894,SHEATH ACUITY PRO 54CM CS*NLU*,3960.0,3168.0,1.0,3564.0,52
HCPCS,C1894,SHEATH ACUITY PRO CS-A6 45CM,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1894,SHEATH ACUITY PRO CS-EH 45CM,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1894,SHEATH ACUITY PRO CS-IC 9 60CM,2083.0,1666.4,1.0,1874.7,26
HCPCS,C1894,SHEATH ACUITY PRO CS-IC13 60CM,2083.0,1666.4,1.0,1874.7,26
HCPCS,C1894,SHEATH ACUITY PRO CS-MP 45CM,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1894,SHEATH AMPLATZ RAD 30FR 2*NLU*,279.0,223.2,1.0,251.1,26
HCPCS,C1894,SHEATH AMPLZ OPQ*DISC 6323197*,246.0,196.8,1.0,221.4,26
HCPCS,C1894,SHEATH AMPLZ RAD 30FR 24*DISC*,274.0,219.2,1.0,246.6,26
HCPCS,C1894,SHEATH AMPLZER STEER 14FR,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1894,SHEATH ANSEL CHECKFLO ST4*NLU*,1140.0,912.0,1.0,1026.0,26
HCPCS,C1894,SHEATH ANSEL CHECKFLO ST4FR45,693.0,554.4,1.0,623.7,26
HCPCS,C1894,SHEATH ANSEL HI FLEX 7FR 70CM,787.0,629.6,1.0,708.3,26
HCPCS,C1894,SHEATH ANSEL HI FLEX MULT*NLU*,665.0,532.0,1.0,598.5,26
HCPCS,C1894,SHEATH ANSEL HI FLEX MULT6FR55,692.0,553.6,1.0,622.8,26
HCPCS,C1894,SHEATH ANSEL HI FLEX ST 5FR55,692.0,553.6,1.0,622.8,26
HCPCS,C1894,SHEATH ANSEL HI FLEX ST10FR 45,692.0,553.6,1.0,622.8,26
HCPCS,C1894,SHEATH ANSEL HI FLEX ST12FR 45,692.0,553.6,1.0,622.8,26
HCPCS,C1894,SHEATH ANSEL HI FLEX ST6FR55CM,692.0,553.6,1.0,622.8,26
HCPCS,C1894,SHEATH ANSEL HI FLEX ST6FR70CM,787.0,629.6,1.0,708.3,26
HCPCS,C1894,SHEATH ANSEL HI FLEX ST8FR55CM,692.0,553.6,1.0,622.8,26
HCPCS,C1894,SHEATH ANSEL HIFLEX MULTPRP7FR,692.0,553.6,1.0,622.8,26
HCPCS,C1894,SHEATH ANSEL MULTPRP 5FR 45CM,693.0,554.4,1.0,623.7,26
HCPCS,C1894,SHEATH ANSEL MULTPRP 6FR 45CM,693.0,554.4,1.0,623.7,26
HCPCS,C1894,SHEATH ANSEL MULTPRP 6FR 90CM,1140.0,912.0,1.0,1026.0,26
HCPCS,C1894,SHEATH ANSEL MULTPRP 7FR 45CM,693.0,554.4,1.0,623.7,26
HCPCS,C1894,SHEATH ANSEL MULTPRP SIDE6FR55,693.0,554.4,1.0,623.7,26
HCPCS,C1894,SHEATH ANSEL RENAL DBL6FR 45CM,693.0,554.4,1.0,623.7,26
HCPCS,C1894,SHEATH ANSEL RENAL DBL7FR 45CM,693.0,554.4,1.0,623.7,26
HCPCS,C1894,SHEATH ARRO 6FR 45CM*NLU*,873.0,698.4,1.0,785.7,26
HCPCS,C1894,SHEATH ARRO 7FR 45CM*NLU*,819.0,655.2,1.0,737.1,26
HCPCS,C1894,SHEATH ARROWFLEX 6FR 11CM,317.0,253.6,1.0,285.3,26
HCPCS,C1894,SHEATH ARROWFLEX 7FR 11CM,274.0,219.2,1.0,246.6,26
HCPCS,C1894,SHEATH ARROWFLEX 8FR 45CM,884.0,707.2,1.0,795.6,26
HCPCS,C1894,SHEATH AVANTI 4FR 5.5CM*NLU*,90.0,72.0,1.0,81.0,26
HCPCS,C1894,SHEATH AVANTI 5FR 5.5CM,84.0,67.2,1.0,75.6,26
HCPCS,C1894,SHEATH AVANTI GDWIRE 7FR 11CM,84.0,67.2,1.0,75.6,26
HCPCS,C1894,SHEATH AVANTI+ SHRT 11FR 7.5CM,80.0,64.0,1.0,72.0,26
HCPCS,C1894,SHEATH AVANTI+ SHRT 4FR 7.5CM,220.0,176.0,1.0,198.0,26
HCPCS,C1894,SHEATH AVANTI+ SHRT 5FR 7.5CM,239.0,191.2,1.0,215.1,26
HCPCS,C1894,SHEATH AVANTI+ SHRT 6FR 7.5CM,220.0,176.0,1.0,198.0,26
HCPCS,C1894,SHEATH AVANTI+ STD 4FR 11CM,80.0,64.0,1.0,72.0,26
HCPCS,C1894,SHEATH AVANTI+ STD 5FR 11CM,96.0,76.8,1.0,86.4,26
HCPCS,C1894,SHEATH AVANTI+ STD 6.5FR 11CM,96.0,76.8,1.0,86.4,26
HCPCS,C1894,SHEATH AVANTI+ STD 8.5FR 11CM,96.0,76.8,1.0,86.4,26
HCPCS,C1894,SHEATH BALKIN 7FR NS*NLU*,1275.0,1020.0,1.0,1147.5,26
HCPCS,C1894,SHEATH BALKIN CHECK 6FR 40CM,684.0,547.2,1.0,615.6,26
HCPCS,C1894,SHEATH BALKIN CHECK 7FR 40CM,684.0,547.2,1.0,615.6,26
HCPCS,C1894,SHEATH BALKIN CHECK 8FR 40CM,684.0,547.2,1.0,615.6,26
HCPCS,C1894,SHEATH BRITE TIP 10FR 11CM,195.0,156.0,1.0,175.5,26
HCPCS,C1894,SHEATH BRITE TIP 10FR 23CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 4FR 11CM,195.0,156.0,1.0,175.5,26
HCPCS,C1894,SHEATH BRITE TIP 5FR 11CM,195.0,156.0,1.0,175.5,26
HCPCS,C1894,SHEATH BRITE TIP 5FR 23CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 5FR 35CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 5FR 45CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 5FR 55CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 6FR 11CM,195.0,156.0,1.0,175.5,26
HCPCS,C1894,SHEATH BRITE TIP 6FR 23CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 6FR 35CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 6FR 45CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 6FR 5.5CM,195.0,156.0,1.0,175.5,26
HCPCS,C1894,SHEATH BRITE TIP 6FR 55CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 6FR 90CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 7FR 11CM,195.0,156.0,1.0,175.5,26
HCPCS,C1894,SHEATH BRITE TIP 7FR 23CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 7FR 35CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 7FR 45CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 7FR 5.5CM,195.0,156.0,1.0,175.5,26
HCPCS,C1894,SHEATH BRITE TIP 7FR 90CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 8FR 11CM,195.0,156.0,1.0,175.5,26
HCPCS,C1894,SHEATH BRITE TIP 8FR 23CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 8FR 35CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 8FR 45CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 8FR 55CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 9FR 11CM,195.0,156.0,1.0,175.5,26
HCPCS,C1894,SHEATH BRITE TIP 9FR 23CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP 9FR 35CM,250.0,200.0,1.0,225.0,26
HCPCS,C1894,SHEATH BRITE TIP RADIANZ6FR110,2040.0,1632.0,1.0,1836.0,26
HCPCS,C1894,SHEATH BRITE TIP RADIANZ6FR135,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1894,SHEATH CHARIOT ST 6FR 65*DISC*,1454.0,1163.2,1.0,1308.6,26
HCPCS,C1894,SHEATH CORO GDWIRE PNCLE 4FR10,110.0,88.0,1.0,99.0,26
HCPCS,C1894,SHEATH CORO GDWIRE PNCLE 6FR10,110.0,88.0,1.0,99.0,26
HCPCS,C1894,SHEATH CORO GDWIRE PNCLE 6FR25,230.0,184.0,1.0,207.0,26
HCPCS,C1894,SHEATH CORO GDWIRE PNCLE 9FR10,110.0,88.0,1.0,99.0,26
HCPCS,C1894,SHEATH CORO GDWIRE PNCLE10FR10,110.0,88.0,1.0,99.0,26
HCPCS,C1894,SHEATH CORO GDWIRE PNCLE11FR10,110.0,88.0,1.0,99.0,26
HCPCS,C1894,SHEATH CORO PNCLE 5FR 10CM,110.0,88.0,1.0,99.0,26
HCPCS,C1894,SHEATH CORO PNCLE 7FR 10CM,110.0,88.0,1.0,99.0,26
HCPCS,C1894,SHEATH CORO PNCLE 7FR 25CM,230.0,184.0,1.0,207.0,26
HCPCS,C1894,SHEATH CORO PNCLE 8FR 10CM,110.0,88.0,1.0,99.0,26
HCPCS,C1894,SHEATH CORO PNCLE 8FR 25CM,230.0,184.0,1.0,207.0,26
HCPCS,C1894,SHEATH CROSSCUT RDC 5FR 45CM,901.0,720.8,1.0,810.9,26
HCPCS,C1894,SHEATH CROSSCUT ST 6FR 65CM,999.0,799.2,1.0,899.1,26
HCPCS,C1894,SHEATH CROSSCUT ST 6FR 90CM,1097.0,877.6,1.0,987.3,26
HCPCS,C1894,SHEATH CROSSCUT ST 7FR 65CM,999.0,799.2,1.0,899.1,26
HCPCS,C1894,SHEATH CROSSCUT ST 8FR 45CM,901.0,720.8,1.0,810.9,26
HCPCS,C1894,SHEATH CROSSCUT ST 8FR 65CM,999.0,799.2,1.0,899.1,26
HCPCS,C1894,SHEATH CROSSCUT ST 8FR 90CM,1097.0,877.6,1.0,987.3,26
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343818*,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343819*,5544.0,4435.2,1.0,4989.6,26
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343823*,4060.0,3248.0,1.0,3654.0,26
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343825*,5031.0,4024.8,1.0,4527.9,26
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343826*,4728.0,3782.4,1.0,4255.2,26
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343828*,4728.0,3782.4,1.0,4255.2,26
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343830*,4728.0,3782.4,1.0,4255.2,26
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343833*,5110.0,4088.0,1.0,4599.0,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 10FR 33CM,3857.0,3085.6,1.0,3471.3,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 12FR 33CM,3857.0,3085.6,1.0,3471.3,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 12FR 45CM,5124.0,4099.2,1.0,4611.6,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 14FR 33CM,3857.0,3085.6,1.0,3471.3,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 14FR3*CIP*,3857.0,3085.6,1.0,3471.3,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 16FR 33CM,3857.0,3085.6,1.0,3471.3,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 16FR 65CM,5958.0,4766.4,1.0,5362.2,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 16FR3*CIP*,3857.0,3085.6,1.0,3471.3,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 18FR 33CM,5110.0,4088.0,1.0,4599.0,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 18FR6*CIP*,5958.0,4766.4,1.0,5362.2,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 20FR 33CM,5110.0,4088.0,1.0,4599.0,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 22FR 33CM,5110.0,4088.0,1.0,4599.0,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 24FR 33CM,5110.0,4088.0,1.0,4599.0,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 24FR3*CIP*,5110.0,4088.0,1.0,4599.0,26
HCPCS,C1894,SHEATH DRYSEAL FLEX 26FR 65CM,5958.0,4766.4,1.0,5362.2,26
HCPCS,C1894,SHEATH DRYSEAL*DISC 6275076*,2125.0,1700.0,1.0,1912.5,26
HCPCS,C1894,SHEATH EMBOS16FR*DISC NO REPL*,470.0,376.0,1.0,423.0,26
HCPCS,C1894,SHEATH FLEXOR RAABE 9FR 55CM,618.0,494.4,1.0,556.2,26
HCPCS,C1894,SHEATH FLEXOR URETRL9.5FR*NLU*,1047.0,837.6,1.0,942.3,26
HCPCS,C1894,SHEATH GD CU8.5F*DISC 6265119*,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1894,SHEATH GD CURV 8.5FR 22MMX67CM,5400.0,4320.0,1.0,4860.0,26
HCPCS,C1894,SHEATH GD PERFORMER 4FR 45CM,736.0,588.8,1.0,662.4,26
HCPCS,C1894,SHEATH GD PERFORMER 4FR 75CM,736.0,588.8,1.0,662.4,26
HCPCS,C1894,SHEATH GD SHUTTLE 6FR 90CM,1135.0,908.0,1.0,1021.5,26
HCPCS,C1894,SHEATH GD SHUTTLE 7FR 90CM,1135.0,908.0,1.0,1021.5,26
HCPCS,C1894,SHEATH GLIDE 0.021 5FR 25CM,430.0,344.0,1.0,387.0,26
HCPCS,C1894,SHEATH GLIDE 0.021 6FR 25CM,430.0,344.0,1.0,387.0,26
HCPCS,C1894,SHEATH GLIDE 4FR 0.021 45,815.0,652.0,1.0,733.5,26
HCPCS,C1894,SHEATH GLIDE 5FR 0.021 45,815.0,652.0,1.0,733.5,26
HCPCS,C1894,SHEATH GLIDE 5FR 0.025 45,815.0,652.0,1.0,733.5,26
HCPCS,C1894,SHEATH GLIDE 6FR 0.021 45,815.0,652.0,1.0,733.5,26
HCPCS,C1894,SHEATH GLIDE 6FR 0.025 45,815.0,652.0,1.0,733.5,26
HCPCS,C1894,SHEATH GLIDEá6FR 0.035 45,430.0,344.0,1.0,387.0,26
HCPCS,C1894,SHEATH HOCKEY STICK 6FR 45CM,901.0,720.8,1.0,810.9,26
HCPCS,C1894,SHEATH HOCKEY STICK 7FR 45CM,901.0,720.8,1.0,810.9,26
HCPCS,C1894,SHEATH INTR INTRACLUDE 19FR,4025.0,3220.0,1.0,3622.5,26
HCPCS,C1894,SHEATH INTR SENTRANT 12FR 28CM,1148.0,918.4,1.0,1033.2,26
HCPCS,C1894,SHEATH INTR SENTRANT 12FR*NLU*,2520.0,2016.0,1.0,2268.0,26
HCPCS,C1894,SHEATH INTR SENTRANT 14FR 28CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1894,SHEATH INTR SENTRANT 14FR 64CM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1894,SHEATH INTR SENTRANT 16FR 28CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1894,SHEATH INTR SENTRANT 18FR 28CM,1530.0,1224.0,1.0,1377.0,26
HCPCS,C1894,SHEATH INTR SENTRANT 18FR 64CM,2880.0,2304.0,1.0,2592.0,26
HCPCS,C1894,SHEATH INTR SENTRANT 20FR 28CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1894,SHEATH INTR SENTRANT 22FR 28CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1894,SHEATH INTR SENTRANT 24FR 28CM,1913.0,1530.4,1.0,1721.7,26
HCPCS,C1894,SHEATH INTR WALLABY LNG 6FR 90,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1894,SHEATH INTR WALLABY LNG 6FR100,3960.0,3168.0,1.0,3564.0,26
HCPCS,C1894,SHEATH LIEBERMAN 6.5 FR 37,483.0,386.4,1.0,434.7,26
HCPCS,C1894,SHEATH LIMA CROSSCUT 6FR 45CM,901.0,720.8,1.0,810.9,26
HCPCS,C1894,SHEATH MAX 5FR 5*DISC*,115.0,92.0,1.0,103.5,26
HCPCS,C1894,SHEATH MICRO CLSRFAST 6FR 11CM,305.0,244.0,1.0,274.5,26
HCPCS,C1894,SHEATH MICRO CLSRFAST 6FR 7CM,305.0,244.0,1.0,274.5,26
HCPCS,C1894,SHEATH MICRO CLSRFAST 7FR 11CM,275.0,220.0,1.0,247.5,26
HCPCS,C1894,SHEATH MICRO CLSRFAST 7FR 7CM,275.0,220.0,1.0,247.5,26
HCPCS,C1894,SHEATH MICRO STIFF PLAT 4FR4CM,462.0,369.6,1.0,415.8,26
HCPCS,C1894,SHEATH MICRO STIFF PLAT 5FR4CM,462.0,369.6,1.0,415.8,26
HCPCS,C1894,SHEATH MULLINS 12FR 63CM,915.0,732.0,1.0,823.5,26
HCPCS,C1894,SHEATH MULLINS 9FR 75CM*NLU*,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH NPHRST AMPLZ OPQ 30FR30,289.0,231.2,1.0,260.1,26
HCPCS,C1894,SHEATH PEELAPART BAAS 10FR 15,3528.0,2822.4,1.0,3175.2,26
HCPCS,C1894,SHEATH PEELAPART BAAS 5FR 10.5,3096.0,2476.8,1.0,2786.4,26
HCPCS,C1894,SHEATH PEELAPART BAAS 6.5FR 15,1717.0,1373.6,1.0,1545.3,26
HCPCS,C1894,SHEATH PEELAPART BAAS 7FR 13,3096.0,2476.8,1.0,2786.4,26
HCPCS,C1894,SHEATH PEELAWAY 0.038 18FR15.5,424.0,339.2,1.0,381.6,26
HCPCS,C1894,SHEATH PEELAWAY 0.038 20FR 13,424.0,339.2,1.0,381.6,26
HCPCS,C1894,SHEATH PEELAWAY 0.038 22FR 13,424.0,339.2,1.0,381.6,26
HCPCS,C1894,SHEATH PEELAWAY 0.038 24FR 13,424.0,339.2,1.0,381.6,26
HCPCS,C1894,SHEATH PEELAWAY 0.038 5FR 15.5,424.0,339.2,1.0,381.6,26
HCPCS,C1894,SHEATH PEELAWAY 0.038 8FR 15.5,424.0,339.2,1.0,381.6,26
HCPCS,C1894,SHEATH PEELAWAY FTPR 1.9FR,420.0,336.0,1.0,378.0,26
HCPCS,C1894,SHEATH PEELAWAY MDTR SGL *NLU*,325.0,260.0,1.0,292.5,52
HCPCS,C1894,SHEATH PEELAWAY MDTR SGL*NLU*,325.0,260.0,1.0,292.5,26
HCPCS,C1894,SHEATH PEELAWAY TELE 5FR 7CM,350.0,280.0,1.0,315.0,26
HCPCS,C1894,SHEATH PERFORMER MTS 10FR 75CM,915.0,732.0,1.0,823.5,26
HCPCS,C1894,SHEATH PERFORMER MTS 7FR 48CM,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH PERFORMER MTS 7FR 63CM,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH PERFORMER MTS 7FR 75CM,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH PERFORMER MTS 7FR 85CM,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH PERFORMER MTS 8FR 63CM,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH PERFORMER MTS 8FR 75CM,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH PERFORMER MTS 8FR 85CM,1428.0,1142.4,1.0,1285.2,26
HCPCS,C1894,SHEATH PERFORMERHAUSDORF1*NLU*,1008.0,806.4,1.0,907.2,26
HCPCS,C1894,SHEATH PERFORMERMTS0.032 6FR48,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH PERFORMERMTS0.035 6FR75,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH PERFORMERMTS0.038 6FR48,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH PERFORMERMTS0.038 6FR75,741.0,592.8,1.0,666.9,26
HCPCS,C1894,SHEATH PERIPH CROSSCUT ST7FR45,901.0,720.8,1.0,810.9,26
HCPCS,C1894,SHEATH PERIPH PNCLE 11FR 10CM,115.0,92.0,1.0,103.5,26
HCPCS,C1894,SHEATH PERIPH PNCLE 5FR 1*NLU*,109.0,87.2,1.0,98.1,26
HCPCS,C1894,SHEATH PERIPH WGDWIRE 10FR10CM,115.0,92.0,1.0,103.5,26
HCPCS,C1894,SHEATH PERIPH WOGDWIRE10FR10CM,115.0,92.0,1.0,103.5,26
HCPCS,C1894,SHEATH PNCLE RO HIFLO 6FR 4CM,285.0,228.0,1.0,256.5,26
HCPCS,C1894,SHEATH PNCLE RO NO GD 4FR 10CM,290.0,232.0,1.0,261.0,26
HCPCS,C1894,SHEATH PNCLE RO NO GD 5FR 10CM,290.0,232.0,1.0,261.0,26
HCPCS,C1894,SHEATH PNCLE RO NO GD 6FR 10CM,290.0,232.0,1.0,261.0,26
HCPCS,C1894,SHEATH PNCLE RO NO GD 6FR 25CM,370.0,296.0,1.0,333.0,26
HCPCS,C1894,SHEATH PNCLE RO NO GD 6FR 7CM,265.0,212.0,1.0,238.5,26
HCPCS,C1894,SHEATH PNCLE RO NO GD 7FR 10CM,290.0,232.0,1.0,261.0,26
HCPCS,C1894,SHEATH PNCLE RO NO GD 8FR 10CM,290.0,232.0,1.0,261.0,26
HCPCS,C1894,SHEATH PNCLE RO NO GD 9FR 10CM,290.0,232.0,1.0,261.0,26
HCPCS,C1894,SHEATH PNCLE RO W GD 9FR 10CM,335.0,268.0,1.0,301.5,26
HCPCS,C1894,SHEATH PNCLE TIF 8F 10CM,125.0,100.0,1.0,112.5,26
HCPCS,C1894,SHEATH PNCLE TIF TIP 0.038 5FR,125.0,100.0,1.0,112.5,26
HCPCS,C1894,SHEATH PNCLE TIF TIP 0.038 6FR,125.0,100.0,1.0,112.5,26
HCPCS,C1894,SHEATH PNCLE TIF TIP 0.038 7FR,125.0,100.0,1.0,112.5,26
HCPCS,C1894,SHEATH PRELUDE SHRT 0.035 8FR,150.0,120.0,1.0,135.0,26
HCPCS,C1894,SHEATH PRELUDESNAP 6FR 13CM,364.0,291.2,1.0,327.6,26
HCPCS,C1894,SHEATH PRELUDESNAP 7FR 13CM,325.0,260.0,1.0,292.5,26
HCPCS,C1894,SHEATH PRELUDESNAP 8FR 13CM,325.0,260.0,1.0,292.5,26
HCPCS,C1894,SHEATH PRELUDESNAP 9FR 13CM,325.0,260.0,1.0,292.5,26
HCPCS,C1894,SHEATH R2P SLENDER ST 6FR 75CM,2560.0,2048.0,1.0,2304.0,26
HCPCS,C1894,SHEATH R2P SLENDER ST 6FR105CM,2560.0,2048.0,1.0,2304.0,26
HCPCS,C1894,SHEATH RAABE 8FR 90CM,2960.0,2368.0,1.0,2664.0,26
HCPCS,C1894,SHEATH RB BAL*VAT 6145963*,1208.0,966.4,1.0,1087.2,26
HCPCS,C1894,SHEATH RB RCFW 12FR 45CM,1318.0,1054.4,1.0,1186.2,26
HCPCS,C1894,SHEATH RB RCFW 16FR 45CM,1003.0,802.4,1.0,902.7,26
HCPCS,C1894,SHEATH RB RCFW 16FR 70CM,1003.0,802.4,1.0,902.7,26
HCPCS,C1894,SHEATH RDC CROSSCUT 6FR 45CM,901.0,720.8,1.0,810.9,26
HCPCS,C1894,SHEATH RDC CROSSCUT 7FR 45CM,901.0,720.8,1.0,810.9,26
HCPCS,C1894,SHEATH RENAL CROSSCUT ST 6FR45,901.0,720.8,1.0,810.9,26
HCPCS,C1894,SHEATH RENAL CROSSCUT ST 7FR45,901.0,720.8,1.0,810.9,26
HCPCS,C1894,SHEATH ROADSTER REG ST 6FR 65,765.0,612.0,1.0,688.5,26
HCPCS,C1894,SHEATH ROADSTER XTRBODYST6FR90,1003.0,802.4,1.0,902.7,26
HCPCS,C1894,SHEATH SHUTTLE 6FR 80CM,1135.0,908.0,1.0,1021.5,26
HCPCS,C1894,SHEATH SHUTTLE SELECT 6FR 90CM,1232.0,985.6,1.0,1108.8,26
HCPCS,C1894,SHEATH SLENDER A 5FR 0.021 45,873.0,698.4,1.0,785.7,26
HCPCS,C1894,SHEATH SLENDER A 6FR 0.021 45,873.0,698.4,1.0,785.7,26
HCPCS,C1894,SHEATH SLENDER A 6FR 0.025 45,873.0,698.4,1.0,785.7,26
HCPCS,C1894,SHEATH SLENDER A 7FR 0.021 45,873.0,698.4,1.0,785.7,26
HCPCS,C1894,SHEATH SLENDER NIT 5FR0.021 43,689.0,551.2,1.0,620.1,26
HCPCS,C1894,SHEATH SLENDER NIT 7FR0.021 43,689.0,551.2,1.0,620.1,26
HCPCS,C1894,SHEATH SLENDER SS 5FR 0.021 45,575.0,460.0,1.0,517.5,26
HCPCS,C1894,SHEATH SLENDER SS 6FR 0.021 45,575.0,460.0,1.0,517.5,26
HCPCS,C1894,SHEATH SLENDER SS 6FR 0.021 80,575.0,460.0,1.0,517.5,26
HCPCS,C1894,SHEATH SLENDER SS 7FR 0.021 45,575.0,460.0,1.0,517.5,26
HCPCS,C1894,SHEATH SUP ARROW FLEX 7FR*NLU*,1054.0,843.2,1.0,948.6,26
HCPCS,C1894,SHEATH SUP PEDS 0.018 3.3*NLU*,500.0,400.0,1.0,450.0,26
HCPCS,C1894,SHEATH SUP WOWIR*DISC 6261825*,260.0,208.0,1.0,234.0,26
HCPCS,C1894,SHEATH SUP WOWIR*DISC 6345837*,260.0,208.0,1.0,234.0,26
HCPCS,C1894,SHEATH SUP WOWIR*DISC NO REPL*,260.0,208.0,1.0,234.0,52
HCPCS,C1894,SHEATH TEAR-AWAY SIDEPORT 9FR,1360.0,1088.0,1.0,1224.0,26
HCPCS,C1894,SHEATH TIB SL SHUTTLE 5FR90CM,1135.0,908.0,1.0,1021.5,26
HCPCS,C1894,SHEATH TRACSTAR 088 95CM,5378.0,4302.4,1.0,4840.2,26
HCPCS,C1894,SHEATH TUNNELER 52CM,635.0,508.0,1.0,571.5,26
HCPCS,C1894,SHEATH ULTIMUM 1*DISC NO REPL*,80.0,64.0,1.0,72.0,26
HCPCS,C1894,SHEATH ULTIMUM 4*DISC 6261828*,80.0,64.0,1.0,72.0,26
HCPCS,C1894,SHEATH ULTIMUM 6*DISC 6187444*,190.0,152.0,1.0,171.0,26
HCPCS,C1894,SHEATH ULTIMUM 6*DISC NO REPL*,80.0,64.0,1.0,72.0,26
HCPCS,C1894,SHEATH ULTIMUM 7*DISC NO REPL*,190.0,152.0,1.0,171.0,26
HCPCS,C1894,SHEATH ULTIMUM 8*DISC NO REPL*,80.0,64.0,1.0,72.0,26
HCPCS,C1894,SHEATH ULTIMUM A*DISC 6265944*,190.0,152.0,1.0,171.0,26
HCPCS,C1894,SHEATH ULTIMUM A*DISC NO REPL*,80.0,64.0,1.0,72.0,52
HCPCS,C1894,SHEATH URETRL FLEXOR 12FR 35CM,965.0,772.0,1.0,868.5,26
HCPCS,C1894,SHEATH URETRL FLEXOR 12FR 55CM,1003.0,802.4,1.0,902.7,26
HCPCS,C1894,SHEATH URETRLMAGELLAN12/14FR45,665.0,532.0,1.0,598.5,26
HCPCS,C1894,SHEATHSUPWOWIRE0*DISC 6261825*,260.0,208.0,1.0,234.0,26
HCPCS,C1894,SHEATHSUPWOWIRE0.0387FR11*CIP*,260.0,208.0,1.0,234.0,26
HCPCS,C1894,SHEATHSUPWOWIRE0.0388FR25*CIP*,353.0,282.4,1.0,317.7,26
HCPCS,C1894,STNT CORO XD SYNRG 2.50X48MM,6000.0,4800.0,1.0,5400.0,26
HCPCS,C1894,SYS SHEATHSOLOPATH19FR25*DISC*,4518.0,3614.4,1.0,4066.2,26
HCPCS,C1894,SYS SHEATHSOLOPATH19FR35*DISC*,4518.0,3614.4,1.0,4066.2,26
HCPCS,C1894,SYS SHEATHSOLOPATH22FR25*DISC*,4518.0,3614.4,1.0,4066.2,26
HCPCS,C1894,SYS SHEATHSOLOPATH22FR35*DISC*,4518.0,3614.4,1.0,4066.2,26
HCPCS,C1895,LEAD 4FRONT DUAL ACTIVE 59CM,18090.0,14472.0,1.0,16281.0,26
HCPCS,C1895,LEAD 4FRONT DUAL ACTIVE 64CM,18090.0,14472.0,1.0,16281.0,26
HCPCS,C1895,LEAD DURATA DUAL DF1 IS1 *NLU*,10815.0,8652.0,1.0,9733.5,26
HCPCS,C1895,LEAD DURATA DUAL DF1 IS1 17X65,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1895,LEAD DURATA DUAL DF4 17X58CM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1895,LEAD DURATA SGL DF4 58CM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1895,LEAD DURATA SGL DF4 65CM,10500.0,8400.0,1.0,9450.0,26
HCPCS,C1895,LEAD PAMIRA SD 65/18,11375.0,9100.0,1.0,10237.5,26
HCPCS,C1895,LEAD RELIANCE G4 DUAL 59*DISC*,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1895,LEAD RELIANCE G4 DUAL 64*DISC*,10850.0,8680.0,1.0,9765.0,26
HCPCS,C1895,LEAD SPRINT QUATTRO 58CM 7.5FR,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1895,LEAD SPRINT QUATTRO SECU*NLU*,11001.0,8800.8,1.0,9900.9,26
HCPCS,C1895,LEAD SPRINT QUATTRO SECURE55CM,11001.0,8800.8,1.0,9900.9,26
HCPCS,C1895,LEAD SPRINT QUATTRO SECURE58CM,11001.0,8800.8,1.0,9900.9,26
HCPCS,C1895,LEAD SPRINT QUATTRO SECURE62CM,11001.0,8800.8,1.0,9900.9,26
HCPCS,C1895,LEAD SPRINT QUATTRO SGL 55CM,11001.0,8800.8,1.0,9900.9,26
HCPCS,C1895,LEAD SPRINT QUATTRO SGL 58CM,11001.0,8800.8,1.0,9900.9,26
HCPCS,C1895,LEAD SPRINT QUATTRO SGL 62CM,11001.0,8800.8,1.0,9900.9,26
HCPCS,C1895,LEAD SPRINT QUATTRO SGL 65CM,11001.0,8800.8,1.0,9900.9,26
HCPCS,C1895,LEAD SPRINT QUATTROSECR72*NLU*,11001.0,8800.8,1.0,9900.9,26
HCPCS,C1896,DEL SYS ELTD S-ICD,5625.0,4500.0,1.0,5062.5,26
HCPCS,C1896,ELTD EMBLEM S-ICD,16200.0,12960.0,1.0,14580.0,26
HCPCS,C1896,LEAD SUBSTERNAL EPSILA EV 52CM,13475.0,10780.0,1.0,12127.5,26
HCPCS,C1896,LEAD SUBSTERNAL EPSILA EV 63CM,13475.0,10780.0,1.0,12127.5,26
HCPCS,C1897,CBL MULT LEAD TRIAL,3400.0,2720.0,1.0,3060.0,26
HCPCS,C1897,KT LEAD INTE*DISC 6313635*,720.0,576.0,1.0,648.0,26
HCPCS,C1897,KT STIM BASIC EVAL COHORT 1,900.0,720.0,1.0,810.0,26
HCPCS,C1897,LEAD INTERST*DISC 6313634*,400.0,320.0,1.0,360.0,26
HCPCS,C1897,LEAD STIM TRIAL 1X8X60,4900.0,3920.0,1.0,4410.0,26
HCPCS,C1897,PK ADV TRIAL INS*DISC NO REPL*,13384.0,10707.2,1.0,12045.6,26
HCPCS,C1897,PK BASIC TRIAL INS *DISC MULT*,3640.0,2912.0,1.0,3276.0,26
HCPCS,C1897,PK BASIC TRIAL INS AUNIL*DISC*,3840.0,3072.0,1.0,3456.0,26
HCPCS,C1898,LEAD CAPSURE EPI BIPOLR IS1 35,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD CAPSURE EPI BIPOLR IS1 60,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD CAPSURE SENSE 5.4FR *NLU*,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD CAPSURE SENSE BIPOLR 58,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD CAPSURE SP NOVUS52CM*NLU*,3280.0,2624.0,1.0,2952.0,26
HCPCS,C1898,LEAD CAPSURE SP NOVUS58CM*NLU*,3280.0,2624.0,1.0,2952.0,26
HCPCS,C1898,LEAD CAPSURE Z NOVUS 52CM*NLU*,3280.0,2624.0,1.0,2952.0,26
HCPCS,C1898,LEAD CAPSUREFIX MRI 45CM*DISC*,3836.0,3068.8,1.0,3452.4,26
HCPCS,C1898,LEAD CAPSUREFIX MRI 52CM*DISC*,3836.0,3068.8,1.0,3452.4,26
HCPCS,C1898,LEAD CAPSUREFIX MRI 58CM*DISC*,3836.0,3068.8,1.0,3452.4,26
HCPCS,C1898,LEAD CAPSUREFIX NOVUS 45CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD CAPSUREFIX NOVUS 52CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD CAPSUREFIX NOVUS 58CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD CAPSUREFIX NOVUS MRI 45CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD CAPSUREFIX NOVUS MRI 52CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD CAPSUREFIX NOVUS MRI 58CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD CAPSUREFIX NOVUS MRI 65CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD FINELINEII STEROXEZ55D 52,4617.0,3693.6,1.0,4155.3,26
HCPCS,C1898,LEAD INGEVITY *DISC 6314300*,4000.0,3200.0,1.0,3600.0,26
HCPCS,C1898,LEAD INGEVITY PASSIVE IS1 52CM,4617.0,3693.6,1.0,4155.3,26
HCPCS,C1898,LEAD INGEVITY PASSIVE IS1 59CM,4617.0,3693.6,1.0,4155.3,26
HCPCS,C1898,LEAD INGEVITY PASSIVE J IS1 45,3745.0,2996.0,1.0,3370.5,26
HCPCS,C1898,LEAD INGEVITY PLUS ACTIVE 45CM,4617.0,3693.6,1.0,4155.3,26
HCPCS,C1898,LEAD INGEVITY PLUS ACTIVE 52CM,4617.0,3693.6,1.0,4155.3,26
HCPCS,C1898,LEAD INGEVITY PLUS ACTIVE 59CM,4617.0,3693.6,1.0,4155.3,26
HCPCS,C1898,LEAD ISOFLEX OPTIM ST 52CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD ISOFLEX OPTIM ST58CM*NLU*,3296.0,2636.8,1.0,2966.4,26
HCPCS,C1898,LEAD MRI TENDRIL*DISC 6343237*,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD MRI TENDRIL*DISC 6343238*,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD MRI ULTIPACE 6FR 46CM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1898,LEAD MRI ULTIPACE 6FR 52CM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1898,LEAD MRI ULTIPACE 6FR 58CM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1898,LEAD MRI ULTIPACE 6FR 65CM,3560.0,2848.0,1.0,3204.0,26
HCPCS,C1898,LEAD MYOPORE SUT LESS 35CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD SELECTSECURE IS-1 BI 59CM,3280.0,2624.0,1.0,2952.0,26
HCPCS,C1898,LEAD SELECTSECURE IS-1 BI 69CM,3280.0,2624.0,1.0,2952.0,26
HCPCS,C1898,LEAD SELECTSECURE IS-1 BI 74CM,3280.0,2624.0,1.0,2952.0,26
HCPCS,C1898,LEAD SOLIA S PRO MRI 53,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1898,LEAD SOLIA S PRO MRI 60,4200.0,3360.0,1.0,3780.0,26
HCPCS,C1898,LEAD SUTURELESS SCREW 35CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD SUTURELESS SCREW 53CM,166.0,132.8,1.0,149.4,26
HCPCS,C1898,LEAD TENDRIL STS IS1 46CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD TENDRIL STS IS1 52CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD TENDRIL STS IS1 58CM,3160.0,2528.0,1.0,2844.0,26
HCPCS,C1898,LEAD TMPR PACING TEM6FR*DISC*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1898,LEAD TMPR PACINGTEMPO*DISC*,3320.0,2656.0,1.0,2988.0,26
HCPCS,C1899,"Lead, pmkr/AICD combination",,,1.0,1.0,3
HCPCS,C1900,LEAD ACUITY X4 SPIRAL 86CM,17087.0,13669.6,1.0,15378.3,26
HCPCS,C1900,LEAD ACUITY X4 SPIRAL LN*NLU*,10755.0,8604.0,1.0,9679.5,26
HCPCS,C1900,LEAD ACUITY X4 SPIRAL SHRT95CM,17087.0,13669.6,1.0,15378.3,26
HCPCS,C1900,LEAD ACUITY X4 ST 86CM,17087.0,13669.6,1.0,15378.3,26
HCPCS,C1900,LEAD ACUITY X4 ST 95CM,17087.0,13669.6,1.0,15378.3,26
HCPCS,C1900,LEAD ATTAIN ABILITY 88CM,6863.0,5490.4,1.0,6176.7,26
HCPCS,C1900,LEAD ATTAIN ABILITY ST 88CM,6863.0,5490.4,1.0,6176.7,26
HCPCS,C1900,LEAD ATTAIN CV 88CM*DISC*,6863.0,5490.4,1.0,6176.7,26
HCPCS,C1900,LEAD ATTAIN PERFORMA DUAL 88,8834.0,7067.2,1.0,7950.6,26
HCPCS,C1900,LEAD ATTAIN PERFORMA OFFSET 88,8834.0,7067.2,1.0,7950.6,26
HCPCS,C1900,LEAD ATTAIN PERFORMA ST 88CM,8834.0,7067.2,1.0,7950.6,26
HCPCS,C1900,LEAD ATTAIN STABILITY QUAD,10499.0,8399.2,1.0,9449.1,26
HCPCS,C1900,LEAD ATTAIN STAR*USE 6203531*,7736.0,6188.8,1.0,6962.4,26
HCPCS,C1900,LEAD ATTAIN STARFIX CS 7*NLU*,7736.0,6188.8,1.0,6962.4,26
HCPCS,C1900,LEAD EASYTRAK2 IS1 BIPOLR 90CM,10962.0,8769.6,1.0,9865.8,26
HCPCS,C1900,LEAD EASYTRAK2 IS1BIPOL80*NLU*,7182.0,5745.6,1.0,6463.8,26
HCPCS,C1900,LEAD QUARTET QL 86CM,9100.0,7280.0,1.0,8190.0,26
HCPCS,C1900,LEAD QUARTET QPOLR 16MM4.7FR86,9100.0,7280.0,1.0,8190.0,26
HCPCS,C1982,"Cath, pressure,valve-occlu",,,1.0,1.0,3
HCPCS,C2596,"Probe, robotic, water-jet",,,1.0,1.0,3
HCPCS,C2613,MESH PLUG SEAL LUNG BIOSENTRY,2941.0,2352.8,1.0,2646.9,26
HCPCS,C2614,"Probe, perc lumb disc",,,1.0,1.0,3
HCPCS,C2615,HEMO SEAL PROGEL PLEURAL 4ML,5672.0,4537.6,1.0,5104.8,26
HCPCS,C2616,Y90 BRACYTX NONSTRANDED PER SOURCE,46759.0,37407.2,12367.76,42083.1,34
HCPCS,C2617,KT STNT ADVANIX NOBARB 5FR 3CM,1445.0,1156.0,1.0,1300.5,26
HCPCS,C2617,SET STNT SOFFLEX SM 4.7F*NLU*,982.0,785.6,1.0,883.8,26
HCPCS,C2617,STNT ADVANIX BARB ST 10FR 10CM,779.0,623.2,1.0,701.1,26
HCPCS,C2617,STNT ADVANIX BARB ST 10FR 12CM,779.0,623.2,1.0,701.1,26
HCPCS,C2617,STNT ADVANIX BARB ST 10FR 15CM,779.0,623.2,1.0,701.1,26
HCPCS,C2617,STNT ADVANIX BARB ST 10FR 18CM,779.0,623.2,1.0,701.1,26
HCPCS,C2617,STNT ADVANIX BARB ST 5FR 7CM,690.0,552.0,1.0,621.0,26
HCPCS,C2617,STNT ADVANIX BARB ST 7FR 6CM,810.0,648.0,1.0,729.0,26
HCPCS,C2617,STNT ADVANIX DBLP*DUP 6203450*,494.0,395.2,1.0,444.6,26
HCPCS,C2617,STNT ADVANIX DBLPIGT 10FR 3CM,494.0,395.2,1.0,444.6,26
HCPCS,C2617,STNT ADVANIX DBLPIGT 10FR 5CM,494.0,395.2,1.0,444.6,26
HCPCS,C2617,STNT ADVANIX DBLPIGT 7FR 15CM,494.0,395.2,1.0,444.6,26
HCPCS,C2617,STNT ADVANIX DUODEN SGL10FR7CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT ADVANIX NOBARB ST 5FR 4CM,690.0,552.0,1.0,621.0,26
HCPCS,C2617,STNT ADVANIX PANCR ST 10FR 7CM,779.0,623.2,1.0,701.1,26
HCPCS,C2617,STNT ADVANIX PANCR ST 7FR 5CM,779.0,623.2,1.0,701.1,26
HCPCS,C2617,STNT ADVANIX PANCR ST 7FR 7CM,779.0,623.2,1.0,701.1,26
HCPCS,C2617,STNT ADVANIX PIGT NOBARB4FR5CM,690.0,552.0,1.0,621.0,26
HCPCS,C2617,STNT ADVANIX PIGT NOBARB4FR7CM,690.0,552.0,1.0,621.0,26
HCPCS,C2617,STNT ADVANIX PIGT NOBARB4FR9CM,665.0,532.0,1.0,598.5,26
HCPCS,C2617,STNT ADVANIX PIGT NOBARB5FR3CM,665.0,532.0,1.0,598.5,26
HCPCS,C2617,STNT ADVANIX PIGT NOBARB5FR5CM,665.0,532.0,1.0,598.5,26
HCPCS,C2617,STNT ADVANIX PIGT NOBARB5FR7CM,665.0,532.0,1.0,598.5,26
HCPCS,C2617,STNT ADVANIX PIGTNOBARB5FR12CM,690.0,552.0,1.0,621.0,26
HCPCS,C2617,STNT ADVANIX ST PANCR 10FR 9CM,779.0,623.2,1.0,701.1,26
HCPCS,C2617,STNT AXIOS W ELECCAUT 6X8MM,17483.0,13986.4,1.0,15734.7,26
HCPCS,C2617,STNT AXIOS W ELECCAUT 8X8MM,17483.0,13986.4,1.0,15734.7,26
HCPCS,C2617,STNT BILI ADVANIX CB 10FR 12CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI ADVANIX CB 10FR 15CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI ADVANIX CB 10FR 5CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI ADVANIX CB 10FR 7CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI ADVANIX CB 10FR 9CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI ADVANIX CB 7FR 15CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI ADVANIX CB 7FR 5CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI ADVANIX CB 7FR 7CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI ADVANIX CB 7FR 9CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI ADVANIX DB 7FR 5CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI ADVANIX DB 7FR 7CM,510.0,408.0,1.0,459.0,26
HCPCS,C2617,STNT BILI COTTON-LEUNG 10FR 5,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT BILI COTTON-LEUNG 10FR 7,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT BILI COTTON-LEUNG 7FR 7,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT BILI DUODENAL BEND 10FR70,492.0,393.6,1.0,442.8,26
HCPCS,C2617,STNT BILI ZIMMON 10FR 10CM,589.0,471.2,1.0,530.1,26
HCPCS,C2617,STNT BILI ZIMMON 10FR 12CM,589.0,471.2,1.0,530.1,26
HCPCS,C2617,STNT BILI ZIMMON 10FR 15CM,618.0,494.4,1.0,556.2,26
HCPCS,C2617,STNT BILI ZIMMON 10FR 7CM,589.0,471.2,1.0,530.1,26
HCPCS,C2617,STNT BILI ZIMMON 7FR 10CM,589.0,471.2,1.0,530.1,26
HCPCS,C2617,STNT BILI ZIMMON 7FR 12CM,570.0,456.0,1.0,513.0,26
HCPCS,C2617,STNT BILI ZIMMON 7FR 5CM,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT BILI ZIMMON 7FR 7CM,589.0,471.2,1.0,530.1,26
HCPCS,C2617,STNT CONT INJ 6FR 24CM*NLU*,2118.0,1694.4,1.0,1906.2,26
HCPCS,C2617,STNT CONT INJ 6FR 26CM*NLU*,2118.0,1694.4,1.0,1906.2,26
HCPCS,C2617,STNT DBL PIGT 6FR 28CM,827.0,661.6,1.0,744.3,26
HCPCS,C2617,STNT FILIFORM DBLPIGT BLK6FR28,1003.0,802.4,1.0,902.7,26
HCPCS,C2617,STNT INLAY OPTIMA 6FR 24CM,855.0,684.0,1.0,769.5,26
HCPCS,C2617,STNT INLAY OPTIMA 6FR 30CM,881.0,704.8,1.0,792.9,26
HCPCS,C2617,STNT INLAY WO WIRE 6FR 22CM,697.0,557.6,1.0,627.3,26
HCPCS,C2617,STNT INLAY WO WIRE 6FR 24CM,759.0,607.2,1.0,683.1,26
HCPCS,C2617,STNT INLAY WO WIRE 6FR 26CM,759.0,607.2,1.0,683.1,26
HCPCS,C2617,STNT INLAY WO WIRE 6FR 28CM,697.0,557.6,1.0,627.3,26
HCPCS,C2617,STNT INLAY WO WIRE 7FR 22-32CM,665.0,532.0,1.0,598.5,26
HCPCS,C2617,STNT PANCR GEENEN 5FR 3CM*NLU*,494.0,395.2,1.0,444.6,26
HCPCS,C2617,STNT PANCR GEENEN 5FR 5C*NLU*,523.0,418.4,1.0,470.7,26
HCPCS,C2617,STNT PANCR NO FLAPZIMMON5FR5CM,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT PANCR SGL PIGT 4FR 5CM,713.0,570.4,1.0,641.7,26
HCPCS,C2617,STNT PANCR SGL PIGT 5FR 5CM,713.0,570.4,1.0,641.7,26
HCPCS,C2617,STNT PANCR ZIMMON COOK 5FR 3CM,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT PANCR ZIMMON COOK 5FR 7CM,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT PANCR ZIMMON COOK 5FR12CM,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT PANCR ZIMMON COOK 7FR12CM,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT PANCR ZIMMON COOK 7FR15CM,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT PANCR ZIMMON COOK 7FR18CM,570.0,456.0,1.0,513.0,26
HCPCS,C2617,STNT PANCR ZIMMON COOK 7FR5CM,702.0,561.6,1.0,631.8,26
HCPCS,C2617,STNT PANCRSGLPIGTPROXFLG4FR9CM,716.0,572.8,1.0,644.4,26
HCPCS,C2617,STNT POLARIS ULT 5FR 26CM*NLU*,2107.0,1685.6,1.0,1896.3,26
HCPCS,C2617,STNT POLARIS ULT 6FR 28CM,2467.0,1973.6,1.0,2220.3,26
HCPCS,C2617,STNT PSTNR UNIVERSA 5FR 26CM,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT PSTNR UNIVERSA 5FR 28CM,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT PSTNR UNIVERSA 6FR 18CM,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT PSTNR UNIVERSA 8FR 18CM,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT SET SOFFLEX PEDS 3FR 10CM,860.0,688.0,1.0,774.0,26
HCPCS,C2617,STNT SET SOFFLEX PEDS 3FR 12CM,860.0,688.0,1.0,774.0,26
HCPCS,C2617,STNT SET SOFFLEX PEDS 3FR 14CM,860.0,688.0,1.0,774.0,26
HCPCS,C2617,STNT SET SOFFLEX PEDS 3FR 16CM,935.0,748.0,1.0,841.5,26
HCPCS,C2617,STNT SET SOFFLEX PEDS 3FR 8CM,860.0,688.0,1.0,774.0,26
HCPCS,C2617,STNT SET SOFFLEX SM 4.7FR 12CM,893.0,714.4,1.0,803.7,26
HCPCS,C2617,STNT SET SOFFLEX SM 4.7FR 14CM,893.0,714.4,1.0,803.7,26
HCPCS,C2617,STNT SET SOFFLEX SM 4.7FR16CM,893.0,714.4,1.0,803.7,26
HCPCS,C2617,STNT SET SOFFLEX SM 6FR 10CM,860.0,688.0,1.0,774.0,26
HCPCS,C2617,STNT SET UNIVERSA SOFT 5FR18CM,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT SET URETRL SOFT 5FR 20CM,810.0,648.0,1.0,729.0,26
HCPCS,C2617,STNT SILHOUETTE*DISC NO REPL*,2720.0,2176.0,1.0,2448.0,78
HCPCS,C2617,STNT UNIVERSA SOFT MULT L*NLU*,565.0,452.0,1.0,508.5,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER5FR20,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER5FR22,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER5FR24,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER5FR26,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER5FR28,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER5FR30,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER6FR20,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER6FR22,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER6FR24,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER6FR26,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER6FR28,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER6FR30,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER7FR24,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER7FR26,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER7FR28,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER8FR26,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER8FR28,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT UNIVERSA SOFT TETHER8FR30,518.0,414.4,1.0,466.2,26
HCPCS,C2617,STNT URETRL CASCADE 6FR 22CM,952.0,761.6,1.0,856.8,26
HCPCS,C2617,STNT URETRL CASCADE 6FR 24CM,952.0,761.6,1.0,856.8,26
HCPCS,C2617,STNT URETRL CASCADE 6FR 26CM,952.0,761.6,1.0,856.8,26
HCPCS,C2617,STNT URETRL CASCADE 6FR 28CM,952.0,761.6,1.0,856.8,26
HCPCS,C2617,STNT URETRL CFLEX DBL3.7FR10CM,895.0,716.0,1.0,805.5,26
HCPCS,C2617,STNT URETRL CFLEX DBL3.7FR12CM,895.0,716.0,1.0,805.5,26
HCPCS,C2617,STNT URETRL CFLEX DBL3.7FR14CM,895.0,716.0,1.0,805.5,26
HCPCS,C2617,STNT URETRL CFLEX DBL3.7FR16CM,895.0,716.0,1.0,805.5,26
HCPCS,C2617,STNT URETRL CFLEX DBL3.7FR18CM,895.0,716.0,1.0,805.5,26
HCPCS,C2617,STNT URETRL CFLEX DBL3.7FR20CM,895.0,716.0,1.0,805.5,26
HCPCS,C2617,STNT URETRL DBL J 6FR 12*NLU*,1091.0,872.8,1.0,981.9,26
HCPCS,C2617,STNT URETRL DBL PIGT 10FR 28CM,935.0,748.0,1.0,841.5,26
HCPCS,C2617,STNT URETRL DBL PIGT 7FR 26CM,827.0,661.6,1.0,744.3,26
HCPCS,C2617,STNT URETRL KOYLE 6FR 50CM,403.0,322.4,1.0,362.7,26
HCPCS,C2617,STNT URETRL PERCUFLEX 8FR 22CM,935.0,748.0,1.0,841.5,26
HCPCS,C2617,STNT URETRL PERCUFLEX 8FR 24CM,935.0,748.0,1.0,841.5,26
HCPCS,C2617,STNT URETRL PERCUFLEX 8FR 26CM,935.0,748.0,1.0,841.5,26
HCPCS,C2617,STNT URETRL PERCUFLEX 8FR 28CM,935.0,748.0,1.0,841.5,26
HCPCS,C2617,STNT URETRL PERCUFLEX+ 4.8FR26,2178.0,1742.4,1.0,1960.2,26
HCPCS,C2617,STNT URETRL PERCUFLEX+ 6FR26CM,2178.0,1742.4,1.0,1960.2,26
HCPCS,C2617,STNT URETRL PERCUFLEX+ 6FR28CM,2178.0,1742.4,1.0,1960.2,26
HCPCS,C2617,STNT URETRL SIL 12FR 26CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C2617,STNT URETRL SIL 8FR 24CM,2240.0,1792.0,1.0,2016.0,26
HCPCS,C2617,STNT URETRL SILHOUETTE 8FR 28C,2720.0,2176.0,1.0,2448.0,26
HCPCS,C2617,STNT URETRL SOFCURL 4.5FR 16CM,2254.0,1803.2,1.0,2028.6,26
HCPCS,C2617,STNT URETRL SOFCURL 6FR 28CM,946.0,756.8,1.0,851.4,26
HCPCS,C2617,STNT URETRL SOFT 6FR 21-*NLU*,713.0,570.4,1.0,641.7,26
HCPCS,C2617,STNT URETRL TRIA FIRM 6FR 22CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA FIRM 6FR 24CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA FIRM 6FR 26CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA FIRM 6FR 28CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA FIRM 7FR 24CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA FIRM 7FR 28CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA FIRM 8FR 24CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA FIRM 8FR 26CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA FIRM 8FR 28CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA FIRM 8FR 30CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA SOFT 6FR 26CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA SOFT 6FR 28CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA SOFT 7FR 24CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA SOFT 7FR 26CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URETRL TRIA SOFT 7FR 28CM,3534.0,2827.2,1.0,3180.6,26
HCPCS,C2617,STNT URN DIVRSN 7FR 90CM,2435.0,1948.0,1.0,2191.5,26
HCPCS,C2617,STNT URN DIVRSN 8.5FR 90CM,2225.0,1780.0,1.0,2002.5,26
HCPCS,C2617,STNT URN DIVRSN GDWIRE 7FR90CM,729.0,583.2,1.0,656.1,26
HCPCS,C2617,STNT URTHRL KOYLE 8FR 50CM,404.0,323.2,1.0,363.6,26
HCPCS,C2617,STNT URTHRL ZAONTZ 10FR 12CM,284.0,227.2,1.0,255.6,26
HCPCS,C2617,STNT URTHRL ZAONTZ 6FR 12CM,273.0,218.4,1.0,245.7,26
HCPCS,C2617,STNT URTHRL ZAONTZ 8FR 12CM,282.0,225.6,1.0,253.8,26
HCPCS,C2618,ABLATION SUPPLIES PROBES,8277.0,6621.6,1.0,7449.3,26
HCPCS,C2618,ANTENNA EMPRINT 20CM,11879.0,9503.2,1.0,10691.1,26
HCPCS,C2618,ANTENNA EMPRINT SHRT 15CM,11879.0,9503.2,1.0,10691.1,26
HCPCS,C2618,DEV CRYOTHERAPY CLARIFIX,6525.0,5220.0,1.0,5872.5,26
HCPCS,C2618,NDLE ICEEDGE 2.4 BLU ANG *NLU*,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2618,NDLE ICEFORCE 2.1CX GRY ANG90D,8528.0,6822.4,1.0,7675.2,26
HCPCS,C2618,NDLE ICEPEARL 2.1CX WHT ANG90D,8528.0,6822.4,1.0,7675.2,26
HCPCS,C2618,NDLE ICEROD 1.5 CX RED ANG 90D,8528.0,6822.4,1.0,7675.2,26
HCPCS,C2618,NDLE ICESPHERE 1.5 CX ANG 90D,8528.0,6822.4,1.0,7675.2,26
HCPCS,C2618,NDLE ICESPHERE 1.5 YEL AN*NLU*,6863.0,5490.4,1.0,6176.7,26
HCPCS,C2619,"Pmkr, dual, non rate-resp",,,1.0,1.0,3
HCPCS,C2620,"Pmkr, single, non rate-resp",,,1.0,1.0,3
HCPCS,C2621,BIV CONTAK RENEWAL TR*DISC*,43010.0,34408.0,1.0,38709.0,26
HCPCS,C2621,CRT-D VIVA S DF1*DISC 6278500*,36329.0,29063.2,1.0,32696.1,26
HCPCS,C2621,CRT-P CON*DISC 6284921*,14883.0,11906.4,1.0,13394.7,26
HCPCS,C2621,CRT-P EDORA HF-T PROMRI,21375.0,17100.0,1.0,19237.5,26
HCPCS,C2621,CRT-P PERCEPTA MRI,15553.0,12442.4,1.0,13997.7,26
HCPCS,C2621,CRT-P PERCEPTA MRI QUAD,15553.0,12442.4,1.0,13997.7,26
HCPCS,C2621,CRT-P QUADRA ALLURE MRI IS1,18540.0,14832.0,1.0,16686.0,26
HCPCS,C2621,CRT-P QUADRA ALLURE RF IS1,13838.0,11070.4,1.0,12454.2,26
HCPCS,C2621,CRT-P SOLARA MRI,13768.0,11014.4,1.0,12391.2,26
HCPCS,C2621,CRT-P SYNC*DISC 6284921*,13750.0,11000.0,1.0,12375.0,26
HCPCS,C2621,CRT-P VALITUDE X4 IS1 IS4,26363.0,21090.4,1.0,23726.7,26
HCPCS,C2621,CRT-P VIVA*DISC 6284921*,14750.0,11800.0,1.0,13275.0,26
HCPCS,C2621,ICD INTUA IS-1 *NLU*,14615.0,11692.0,1.0,13153.5,26
HCPCS,C2622,PROS PENILE GENESIS 11MM 16-25,28136.0,22508.8,1.0,25322.4,26
HCPCS,C2623,BLN INPACT 018 DCB 4X120 130CM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C2623,BLN INPACT 018 DCB 4X150 130CM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C2623,BLN INPACT 018 DCB 4X150 200CM,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN INPACT 018 DCB 4X40 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT 018 DCB 4X40 200CM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C2623,BLN INPACT 018 DCB 4X60 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT 018 DCB 4X80 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT 018 DCB 4X80 200CM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C2623,BLN INPACT 018 DCB 5X100 200CM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C2623,BLN INPACT 018 DCB 5X120 130CM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C2623,BLN INPACT 018 DCB 5X120 200CM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C2623,BLN INPACT 018 DCB 5X150 130CM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C2623,BLN INPACT 018 DCB 5X150 200CM,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN INPACT 018 DCB 5X40 200CM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C2623,BLN INPACT 018 DCB 5X60 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT 018 DCB 5X80 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT 018 DCB 5X80 200CM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C2623,BLN INPACT 018 DCB 6X100 200CM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C2623,BLN INPACT 018 DCB 6X120 130CM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C2623,BLN INPACT 018 DCB 6X120 200CM,7875.0,6300.0,1.0,7087.5,26
HCPCS,C2623,BLN INPACT 018 DCB 6X150 130CM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C2623,BLN INPACT 018 DCB 6X150 200CM,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN INPACT 018 DCB 6X40 200CM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C2623,BLN INPACT 018 DCB 6X60 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT 018 DCB 6X80 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT 018 DCB 6X80 200CM,7200.0,5760.0,1.0,6480.0,26
HCPCS,C2623,BLN INPACT 018 DCB 7X60 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT 018 DCB 7X80 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT 018 DCB 7X80 200CM,6390.0,5112.0,1.0,5751.0,26
HCPCS,C2623,BLN INPACT 018XL DCB 4X200 130,8753.0,7002.4,1.0,7877.7,26
HCPCS,C2623,BLN INPACT 018XL DCB 4X250 130,9630.0,7704.0,1.0,8667.0,26
HCPCS,C2623,BLN INPACT 018XL DCB 5X200 130,8753.0,7002.4,1.0,7877.7,26
HCPCS,C2623,BLN INPACT 018XL DCB 5X200 200,8753.0,7002.4,1.0,7877.7,26
HCPCS,C2623,BLN INPACT 018XL DCB 5X250 130,9630.0,7704.0,1.0,8667.0,26
HCPCS,C2623,BLN INPACT 018XL DCB 5X250 200,9630.0,7704.0,1.0,8667.0,26
HCPCS,C2623,BLN INPACT 018XL DCB 6X200 130,8753.0,7002.4,1.0,7877.7,26
HCPCS,C2623,BLN INPACT 018XL DCB 6X200 200,8753.0,7002.4,1.0,7877.7,26
HCPCS,C2623,BLN INPACT 018XL DCB 6X250 130,9630.0,7704.0,1.0,8667.0,26
HCPCS,C2623,BLN INPACT 018XL DCB 6X250 200,9630.0,7704.0,1.0,8667.0,26
HCPCS,C2623,BLN INPACT ADMRL 4X150MM 130CM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C2623,BLN INPACT ADMRL 5X150MM 130CM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C2623,BLN INPACT ADMRL 5X200MM 130CM,8753.0,7002.4,1.0,7877.7,26
HCPCS,C2623,BLN INPACT ADMRL 5X250MM 130CM,9630.0,7704.0,1.0,8667.0,26
HCPCS,C2623,BLN INPACT ADMRL DCB 6X250 130,9630.0,7704.0,1.0,8667.0,26
HCPCS,C2623,BLN INPACT ADMRL DCB4X40X130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB4X60X130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB4X80X130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB5X40X130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB5X60X130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB5X80X130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB6X40 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB6X60 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB6X80 130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB7X40X130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB7X60X130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL DCB7X80X130CM,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACT ADMRL*DISC NO REPL*,891.0,712.8,1.0,801.9,26
HCPCS,C2623,BLN INPACT ADMRLDCB4X120X130CM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C2623,BLN INPACT ADMRLDCB5X120X130CM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C2623,BLN INPACT ADMRLDCB5X250 130CM,1012.0,809.6,1.0,910.8,26
HCPCS,C2623,BLN INPACT ADMRLDCB6X120 130CM,6300.0,5040.0,1.0,5670.0,26
HCPCS,C2623,BLN INPACT ADMRLDCB6X150 130CM,6975.0,5580.0,1.0,6277.5,26
HCPCS,C2623,BLN INPACTAV DCB 5FR 4X40X80,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACTAV DCB 6FR 5X120X80,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACTAV DCB 6FR 5X40X80,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACTAV DCB 6FR 5X60X80,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X40X80,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X60X80,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X80X80,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACTAV DCB 7FR 10X40X80,8325.0,6660.0,1.0,7492.5,26
HCPCS,C2623,BLN INPACTAV DCB 7FR 7X40X80,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACTAV DCB 7FR 7X60X80,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACTAV DCB 7FR 7X80X80,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,BLN INPACTAV DCB 7FR 8X40X80,8325.0,6660.0,1.0,7492.5,26
HCPCS,C2623,BLN INPACTAV DCB 7FR 8X80X80,8325.0,6660.0,1.0,7492.5,26
HCPCS,C2623,BLN INPACTAV DCB 7FR 9X80X80,8325.0,6660.0,1.0,7492.5,26
HCPCS,C2623,BLN INPACTAV DCB 9FR 12X40X80,8325.0,6660.0,1.0,7492.5,26
HCPCS,C2623,BLN LUTONIX 018 DCB 4X100X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 4X150X130,9900.0,7920.0,1.0,8910.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 4X220X130,9800.0,7840.0,1.0,8820.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 4X300X130,11550.0,9240.0,1.0,10395.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 4X40X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 4X60X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 5X100X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 5X150X130,9900.0,7920.0,1.0,8910.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 5X220X130,9800.0,7840.0,1.0,8820.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 5X300X130,11550.0,9240.0,1.0,10395.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 5X40X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 5X60X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 5X80X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 6X100X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 6X150X130,9900.0,7920.0,1.0,8910.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 6X220X130,9800.0,7840.0,1.0,8820.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 6X300X130,11550.0,9240.0,1.0,10395.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 6X40X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 6X60X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 6X80X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 7X100X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 7X150X130,9900.0,7920.0,1.0,8910.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 7X220X130,9800.0,7840.0,1.0,8820.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 7X40X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 7X60X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 018 DCB 7X80X130,8550.0,6840.0,1.0,7695.0,26
HCPCS,C2623,BLN LUTONIX 035 5FR 4X100X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 4X120X130,8100.0,6480.0,1.0,7290.0,26
HCPCS,C2623,BLN LUTONIX 035 5FR 4X150X130,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 4X40X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 4X60X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 4X80X*NLU*,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 5X100X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 5X120X130,8100.0,6480.0,1.0,7290.0,26
HCPCS,C2623,BLN LUTONIX 035 5FR 5X150X130,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 5X40X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 5X60X*NLU*,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 5X60X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 6X100X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 6X120X130,8100.0,6480.0,1.0,7290.0,26
HCPCS,C2623,BLN LUTONIX 035 5FR 6X150X130,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 6X40X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 6X60X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 6X80X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 7X40X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 5FR 7X60X130,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB 4X120*NLU*,8100.0,6480.0,1.0,7290.0,26
HCPCS,C2623,BLN LUTONIX 035 DCB 4X150*NLU*,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB 5X120*NLU*,8100.0,6480.0,1.0,7290.0,26
HCPCS,C2623,BLN LUTONIX 035 DCB 5X150*NLU*,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,BLN LUTONIX 035 DCB 6FR8X40X75,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB 6FR8X60X75,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB 6X100*NLU*,6300.0,5040.0,1.0,5670.0,26
HCPCS,C2623,BLN LUTONIX 035 DCB 6X120*NLU*,8100.0,6480.0,1.0,7290.0,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 4X40X75,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 5X40X75,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 5X60X75,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 6X40X75,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 6X60X75,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 6X80X75,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 7X40X75,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 7X60X75,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 8X*NLU*,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 9X40X75,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV 9X60X75,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV10X40X75,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV10X60X75,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV12X40X75,8775.0,7020.0,1.0,7897.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV5X100X75,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN LUTONIX 035 DCB AV6X100X75,7425.0,5940.0,1.0,6682.5,26
HCPCS,C2623,BLN STELLAREX DCB 4X100MM135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 4X120MM135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 4X40MM 135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 4X60MM 135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 4X80MM 135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 5X100MM135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 5X120MM135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 5X40MM 135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 5X60MM 135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 5X80MM 135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 6X100MM135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 6X120MM135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 6X40MM 135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 6X60MM 135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLN STELLAREX DCB 6X80MM 135CM,5603.0,4482.4,1.0,5042.7,26
HCPCS,C2623,BLNINPACTADMRLDC*DISC 6314114*,5625.0,4500.0,1.0,5062.5,26
HCPCS,C2623,CATH DCB RANGER 4.0X120MM150CM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C2623,CATH DCB RANGER 4.0X150MM150CM,8325.0,6660.0,1.0,7492.5,26
HCPCS,C2623,CATH DCB RANGER 4.0X200MM150CM,9900.0,7920.0,1.0,8910.0,26
HCPCS,C2623,CATH DCB RANGER 4.0X40MM 135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 4.0X60MM 135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 4.0X80MM 135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 5.0X120MM150CM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C2623,CATH DCB RANGER 5.0X150MM150CM,8325.0,6660.0,1.0,7492.5,26
HCPCS,C2623,CATH DCB RANGER 5.0X200MM150CM,9900.0,7920.0,1.0,8910.0,26
HCPCS,C2623,CATH DCB RANGER 5.0X60MM 135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 5.0X80MM 135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 5X100X135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 6.0X120MM150CM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C2623,CATH DCB RANGER 6.0X150MM150CM,8325.0,6660.0,1.0,7492.5,26
HCPCS,C2623,CATH DCB RANGER 6.0X200MM150CM,9900.0,7920.0,1.0,8910.0,26
HCPCS,C2623,CATH DCB RANGER 6.0X60MM 135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 6.0X80MM 135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 6X100X135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 7.0X120MM150CM,8078.0,6462.4,1.0,7270.2,26
HCPCS,C2623,CATH DCB RANGER 7.0X150MM150CM,8325.0,6660.0,1.0,7492.5,26
HCPCS,C2623,CATH DCB RANGER 7.0X200MM150CM,9900.0,7920.0,1.0,8910.0,26
HCPCS,C2623,CATH DCB RANGER 7.0X60MM 135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 7.0X80MM 135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2623,CATH DCB RANGER 7X100X135CM,7650.0,6120.0,1.0,6885.0,26
HCPCS,C2624,KT PA CARDIOMEM SENSOR DEL SYS,51750.0,41400.0,1.0,46575.0,26
HCPCS,C2625,CATH NASOBILI 7.5FR,1118.0,894.4,1.0,1006.2,26
HCPCS,C2625,CATH NASOBILI 8.5FR,1118.0,894.4,1.0,1006.2,26
HCPCS,C2625,SET STNT FANELLI ENDO*DISC*,4398.0,3518.4,1.0,3958.2,26
HCPCS,C2625,SET STNT RETROINJ DBL 6FR 24CM,952.0,761.6,1.0,856.8,26
HCPCS,C2625,SET STNT RETROINJ DBL 6FR 26CM,952.0,761.6,1.0,856.8,26
HCPCS,C2625,STNT ADVANIX DBLPIGT 10FR 10CM,494.0,395.2,1.0,444.6,26
HCPCS,C2625,STNT ADVANIX DBLPIGT 10FR 12CM,494.0,395.2,1.0,444.6,26
HCPCS,C2625,STNT ADVANIX DBLPIGT 10FR 15CM,494.0,395.2,1.0,444.6,26
HCPCS,C2625,STNT ADVANIX DBLPIGT 10FR 7CM,494.0,395.2,1.0,444.6,26
HCPCS,C2625,STNT ADVANIX DBLPIGT 7FR 10CM,494.0,395.2,1.0,444.6,26
HCPCS,C2625,STNT ADVANIX DBLPIGT 7FR 12CM,494.0,395.2,1.0,444.6,26
HCPCS,C2625,STNT ADVANIX DBLPIGT 7FR 3CM,494.0,395.2,1.0,444.6,26
HCPCS,C2625,STNT ADVANIX DBLPIGT 7FR 5CM,494.0,395.2,1.0,444.6,26
HCPCS,C2625,STNT ADVANIX DBLPIGT 7FR 7CM,494.0,395.2,1.0,444.6,26
HCPCS,C2625,STNT ADVANIX DUODEN RX10F*NLU,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR12CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR15CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR18CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR5CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR7CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR9CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR*NLU,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR12CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR15CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR5CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR7CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR9CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX8.5FR5CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX8.5FR7CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODEN RX8.5FR9CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODENRX5.5FR18CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODENRX8.5FR12CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX DUODENRX8.5FR15CM,1097.0,877.6,1.0,987.3,26
HCPCS,C2625,STNT ADVANIX PIGT BARB 7FR 7CM,779.0,623.2,1.0,701.1,26
HCPCS,C2625,STNT ADVANIX PIGT BARB 7FR 9CM,779.0,623.2,1.0,701.1,26
HCPCS,C2625,STNT ADVANIX PIGT*USE 6271225*,1445.0,1156.0,1.0,1300.5,26
HCPCS,C2625,STNT BILI COTTON-LUENG 10FR 7,1394.0,1115.2,1.0,1254.6,26
HCPCS,C2625,STNT BILI HUIBREGTSE 10FR 10CM,1394.0,1115.2,1.0,1254.6,26
HCPCS,C2625,STNT BILI OASIS LEUNG 10FR12CM,1394.0,1115.2,1.0,1254.6,26
HCPCS,C2625,STNT BILIADVANIXPRELOADCB7FR15,1110.0,888.0,1.0,999.0,26
HCPCS,C2625,STNT COPE NEPHUROST 10.2FR24CM,1045.0,836.0,1.0,940.5,26
HCPCS,C2625,STNT COPE NEPHUROST 10.2FR26CM,1045.0,836.0,1.0,940.5,26
HCPCS,C2625,STNT COPE NEPHUROST 10.2FR28CM,1045.0,836.0,1.0,940.5,26
HCPCS,C2625,STNT COPE NEPHUROST 8.5FR 28CM,989.0,791.2,1.0,890.1,26
HCPCS,C2625,STNT DUODEN RX 10FR15CM,801.0,640.8,1.0,720.9,26
HCPCS,C2625,STNT DUODEN RX 7FR10CM,801.0,640.8,1.0,720.9,26
HCPCS,C2625,STNT DUODEN RX 7FR7CM,801.0,640.8,1.0,720.9,26
HCPCS,C2625,STNT DUODEN RX 8.5FR10CM,801.0,640.8,1.0,720.9,26
HCPCS,C2625,STNT DUODEN RX 8.5FR12CM,801.0,640.8,1.0,720.9,26
HCPCS,C2625,STNT DUODEN RX 8.5FR5CM,801.0,640.8,1.0,720.9,26
HCPCS,C2625,STNT DUODEN RX 8.5FR7CM,801.0,640.8,1.0,720.9,26
HCPCS,C2625,STNT INLAY HYDRO-GLIDE 8FR28CM,810.0,648.0,1.0,729.0,26
HCPCS,C2625,STNT INLAY OPTIMA 4.7FR 22-32,855.0,684.0,1.0,769.5,26
HCPCS,C2625,STNT INLAY OPTIMA 4.7FR 22CM,855.0,684.0,1.0,769.5,26
HCPCS,C2625,STNT INLAY OPTIMA 6FR 22-32CM,881.0,704.8,1.0,792.9,26
HCPCS,C2625,STNT INLAY OPTIMA 6FR 22CM,900.0,720.0,1.0,810.0,26
HCPCS,C2625,STNT INLAY OPTIMA 8FR 20CM,900.0,720.0,1.0,810.0,26
HCPCS,C2625,STNT INLAY OPTIMA 8FR 28CM,900.0,720.0,1.0,810.0,26
HCPCS,C2625,STNT PANCR FREEMAN ST 5FR3CM,703.0,562.4,1.0,632.7,26
HCPCS,C2625,STNT RX PLST BILIARY 10*NLU*,891.0,712.8,1.0,801.9,26
HCPCS,C2625,STNT SILHOUETTE *DISC NO REPL*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C2625,STNT SILHOUETTE XT6FR24C*DISC*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C2625,STNT SILHOUETTE XT6FR26C*DISC*,1573.0,1258.4,1.0,1415.7,26
HCPCS,C2625,STNT SILHOUETTES*DISC NO REPL*,2720.0,2176.0,1.0,2448.0,26
HCPCS,C2625,STNT SINUS CONT PROPEL 8MM,4929.0,3943.2,1.0,4436.1,26
HCPCS,C2625,STNT SINUS MINI PROPEL 16MM,4929.0,3943.2,1.0,4436.1,26
HCPCS,C2625,STNT SINUS PROPEL 23MM,4929.0,3943.2,1.0,4436.1,26
HCPCS,C2625,STNT SINUS SALMAN FES STER,485.0,388.0,1.0,436.5,26
HCPCS,C2625,STNT URETRL DBL J 10.2FR 30CM,2080.0,1664.0,1.0,1872.0,26
HCPCS,C2625,STNT URETRL DBL J 6FR 16CM,1380.0,1104.0,1.0,1242.0,26
HCPCS,C2625,STNT URETRL DBL J 6FR 20CM,1380.0,1104.0,1.0,1242.0,26
HCPCS,C2625,STNT URETRL DBL J 6FR 22CM,1380.0,1104.0,1.0,1242.0,26
HCPCS,C2625,STNT URETRL DBL J 8.5FR 12CM,1288.0,1030.4,1.0,1159.2,26
HCPCS,C2625,STNT URETRL DBL J 8.5FR 16CM,1380.0,1104.0,1.0,1242.0,26
HCPCS,C2625,STNT URETRL RESONANCE 6FR24CM,5342.0,4273.6,1.0,4807.8,26
HCPCS,C2625,STNT URETRL RESONANCE 6FR26CM,5342.0,4273.6,1.0,4807.8,26
HCPCS,C2625,STNT URETRL RESONANCE 6FR28CM,5342.0,4273.6,1.0,4807.8,26
HCPCS,C2626,"Infusion pump, non-prog,temp",,,1.0,1.0,3
HCPCS,C2627,CATH SUPRAPUBIC MINISPC14FR3.5,1692.0,1353.6,1.0,1522.8,26
HCPCS,C2628,BLN ASCENT OCCL4X10MM150*DISC*,7490.0,5992.0,1.0,6741.0,26
HCPCS,C2628,CATH BLN BERN OCCL 6FR 80CM,2040.0,1632.0,1.0,1836.0,26
HCPCS,C2628,CATH BLN CODA 10FR 46MM,3873.0,3098.4,1.0,3485.7,26
HCPCS,C2628,CATH BLN CODA 9FR 32MM,3873.0,3098.4,1.0,3485.7,26
HCPCS,C2628,CATH BLN EQUALIZER7FR20MM*NLU*,2108.0,1686.4,1.0,1897.2,26
HCPCS,C2628,CATH BLN OCCL FOGARTY 8-22FR,3146.0,2516.8,1.0,2831.4,26
HCPCS,C2628,CATH BLN SCEPTER C 4X10MM150CM,5631.0,4504.8,1.0,5067.9,26
HCPCS,C2628,CATH BLN SCEPTER C 4X15MM150CM,5631.0,4504.8,1.0,5067.9,26
HCPCS,C2628,CATH BLN SCEPTER C4X20MM150CM,5631.0,4504.8,1.0,5067.9,26
HCPCS,C2628,CATH BLN SCEPTER MINI 2.2X9MM,9293.0,7434.4,1.0,8363.7,26
HCPCS,C2628,CATH BLN SCEPTER XC4X11MM150CM,6774.0,5419.2,1.0,6096.6,26
HCPCS,C2628,CATH ENTEER REENTRY ATK3.75X20,10328.0,8262.4,1.0,9295.2,26
HCPCS,C2628,STNT URETRL ITIN*DISC 6352287*,11025.0,8820.0,1.0,9922.5,26
HCPCS,C2628,STNT URETRL ITIND 1SNARE TMPR,11025.0,8820.0,1.0,9922.5,26
HCPCS,C2629,KT LASER SHEATH SLS 12FR*NLU*,10483.0,8386.4,1.0,9434.7,26
HCPCS,C2629,KT SHEATH LASER GLIDELIGHT 12F,12110.0,9688.0,1.0,10899.0,26
HCPCS,C2629,KT SHEATH LASER GLIDELIGHT 14F,12110.0,9688.0,1.0,10899.0,26
HCPCS,C2629,KT SHEATH LASER GLIDELIGHT 16F,12110.0,9688.0,1.0,10899.0,26
HCPCS,C2630,CATH ABL BIDIR TACTICATHD-F8FR,11578.0,9262.4,1.0,10420.2,26
HCPCS,C2630,CATH ABL BIDIR TACTIFLEXD-F8FR,14252.0,11401.6,1.0,12826.8,26
HCPCS,C2630,CATH ABL BIDIR TACTIFLEXD-X8FR,14270.0,11416.0,1.0,12843.0,26
HCPCS,C2630,CATH ABL THERMOCOOLNAVD-F2-5-2,13524.0,10819.2,1.0,12171.6,26
HCPCS,C2630,CATH ABL THERMOCOOLNAVF-J2-5-2,13524.0,10819.2,1.0,12171.6,26
HCPCS,C2630,CATH OCTARAY DCURV 8FR 2X2X2MM,9825.0,7860.0,1.0,8842.5,26
HCPCS,C2630,CBL CONN COOLPATH ABL SJM,1335.0,1068.0,1.0,1201.5,26
HCPCS,C2631,DEV SUT CAPIO CAPTURE OPEN,4056.0,3244.8,1.0,3650.4,26
HCPCS,C2634,"Brachytx, non-str, HA, I-125",,,150.97,170.98,11
HCPCS,C2635,"Brachytx, non-str, HA, P-103",,,59.19,72.85,11
HCPCS,C2636,"Brachy linear, non-str,P-103",,,50.26,55.56,11
HCPCS,C2638,"Brachytx, stranded, I-125",,,35.19,41.82,11
HCPCS,C2639,I-125 SEEDS DOSE (THER),161.0,128.8,33.35,144.9,34
HCPCS,C2640,"Brachytx, stranded, P-103",,,66.21,76.27,11
HCPCS,C2641,PALLADM SEEDS DOSE THER,1026.0,820.8,73.93,923.4,34
HCPCS,C2641,SEED PRELOAD MICK CART *DISC*,500.0,400.0,73.93,450.0,34
HCPCS,C2642,"Brachytx, stranded, C-131",,,97.61,113.25,11
HCPCS,C2643,"Brachytx, non-stranded,C-131",,,80.42,101.39,11
HCPCS,C2644,Brachytx cesium-131 chloride,,,52.03,52.03,3
HCPCS,C2645,"Brachytx planar, p-103",,,4.46,4.92,11
HCPCS,C2698,"Brachytx, stranded, NOS",,,35.19,41.82,11
HCPCS,C2699,"Brachytx, non-stranded, NOS",,,33.35,36.87,11
HCPCS,C5271,Outpatient Services,,,581.52,642.74,8
HCPCS,C5271,Outpatient Services - CPT/HCPCS,,,278.37,789.93,3
HCPCS,C5272,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,C5273,Outpatient Services,,,1737.77,1920.69,8
HCPCS,C5273,Outpatient Services - CPT/HCPCS,,,808.29,2293.66,3
HCPCS,C5274,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,C5275,Outpatient Services,,,581.52,642.74,8
HCPCS,C5275,Outpatient Services - CPT/HCPCS,,,278.37,789.93,3
HCPCS,C5276,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,C5277,Outpatient Services,,,581.52,642.74,8
HCPCS,C5277,Outpatient Services - CPT/HCPCS,,,278.37,789.93,3
HCPCS,C5278,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,243.87,692.02,3
HCPCS,C7501,Perc bx breast lesions stero,,,718.61,2039.17,3
HCPCS,C7502,Perc bx breast lesions mr,,,718.61,2039.17,3
HCPCS,C7503,Open exc cerv node(s) w/ id,,,192.41,546.0,3
HCPCS,C7504,Perq cvt&ls inj vert bodies,,,104.52,296.6,3
HCPCS,C7505,Perq ls&cvt inj vert bodies,,,104.52,296.6,3
HCPCS,C7506,Fusion of finger joints,,,104.52,296.6,3
HCPCS,C7507,Perq thor&lumb vert aug,,,104.52,296.6,3
HCPCS,C7508,Perq lumb&thor vert aug,,,104.52,296.6,3
HCPCS,C7509,Dx bronch w/ navigation,,,87.79,249.13,3
HCPCS,C7510,Bronch/lavag w/ navigation,,,87.79,249.13,3
HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,87.79,249.13,3
HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,180.99,513.58,3
HCPCS,C7513,Cath/angio dialcir w/aplasty,,,1412.81,4009.09,3
HCPCS,C7514,Cath/angio dial cir w/stents,,,4876.09,13836.77,3
HCPCS,C7515,Cath/angio dial cir w/embol,,,4876.09,13836.77,3
HCPCS,C7516,Cor angio w/ ivus or oct,,,1412.81,4009.09,3
HCPCS,C7517,Cor angio w/ilic/fem angio,,,1412.81,4009.09,3
HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,1412.81,4009.09,3
HCPCS,C7519,Cor/gft angio w/ flow resrv,,,1412.81,4009.09,3
HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,1412.81,4009.09,3
HCPCS,C7521,R hrt angio w/ ivus or oct,,,1412.81,4009.09,3
HCPCS,C7522,R hrt angio w/flow resrv,,,1412.81,4009.09,3
HCPCS,C7523,L hrt angio w/ ivus or oct,,,1412.81,4009.09,3
HCPCS,C7524,L hrt angio w/flow resrv,,,1412.81,4009.09,3
HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,1412.81,4009.09,3
HCPCS,C7526,L hrt gft ang w/flow resrv,,,1412.81,4009.09,3
HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,1412.81,4009.09,3
HCPCS,C7528,R&l hrt angio w/flow resrv,,,1412.81,4009.09,3
HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,1412.81,4009.09,3
HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,4876.09,13836.77,3
HCPCS,C7531,Angio fem/pop w/ us,,,2533.38,7188.92,3
HCPCS,C7532,Angio w/ us non-coronary,,,2533.38,7188.92,3
HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,2533.38,7188.92,3
HCPCS,C7534,Fem/pop revasc w/arthr & us,,,4876.09,13836.77,3
HCPCS,C7535,Fem/pop revasc w/stent & us,,,4876.09,13836.77,3
HCPCS,C7537,Insrt atril pm w/l vent lead,,,1412.81,4009.09,3
HCPCS,C7538,Insrt vent pm w/l vent lead,,,1412.81,4009.09,3
HCPCS,C7539,Insrt a & v pm w/l vent lead,,,1412.81,4009.09,3
HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,1412.81,4009.09,3
HCPCS,C7541,Ercp w/ pancreatoscopy,,,843.4,2393.29,3
HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,843.4,2393.29,3
HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,843.4,2393.29,3
HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,1533.44,4351.41,3
HCPCS,C7545,Exch bil cath w/ rmv calculi,,,2557.45,7257.21,3
HCPCS,C7546,Rep nph/urt cath w/dil stric,,,1545.18,4384.72,3
HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,1545.18,4384.72,3
HCPCS,C7548,Exch neph cath w/ dil stric,,,1545.18,4384.72,3
HCPCS,C7549,Chge urtr stent w/ dil stric,,,1545.18,4384.72,3
HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,302.78,859.19,3
HCPCS,C7551,Exc neuroma w/ implnt nv end,,,855.78,2428.44,3
HCPCS,C7552,R hrt art/grft ang hrt flow,,,1412.81,4009.09,3
HCPCS,C7553,R&i hrt art/vent ang drg ad,,,1412.81,4009.09,3
HCPCS,C7554,Cystureth blu li cyst fl img,,,302.78,859.19,3
HCPCS,C7555,Rmvl thyrd w/autotran parath,,,2557.45,7257.21,3
HCPCS,C7556,Bronch lavage w/ebus,,,180.99,513.58,3
HCPCS,C7557,Cor angio/vent w/ffr,,,1412.81,4009.09,3
HCPCS,C7558,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
HCPCS,C7560,Ercp remove forgn body&endo,,,1533.44,4351.41,3
HCPCS,C7900,"Hopd mntl hlt, 15-29 min",,,12.72,36.11,11
HCPCS,C7901,"Hopd mntl hlt, 30-60 min",,,39.51,112.1,11
HCPCS,C7903,"Hopd mntl hlt, grp",,,12.72,36.11,13
HCPCS,C8000,EXTL SUPP AV FIST VASQ SZ2,23700.0,18960.0,6268.65,21330.0,26
HCPCS,C8000,EXTL SUPP AV FIST VASQ SZ3,23700.0,18960.0,6268.65,21330.0,26
HCPCS,C8000,EXTL SUPP AV FIST VASQ SZ4,23700.0,18960.0,6268.65,21330.0,26
HCPCS,C8000,EXTL SUPP AV FIST VASQ SZ5,23700.0,18960.0,6268.65,21330.0,26
HCPCS,C8000,EXTL SUPP AV FIST VASQ SZ6,23700.0,18960.0,6268.65,21330.0,26
HCPCS,C8001,3d anat seg imaging preop,,,148.64,164.28,8
HCPCS,C8002,"Prep skin cell susp, automtd",,,6887.98,7613.03,8
HCPCS,C8003,Imp extar knee shck absrb,,,17470.55,19309.55,8
HCPCS,C8004,Sim ang w/prs cath rad emb,,,10773.54,11907.6,8
HCPCS,C8005,Pef bronch ablt 3d nav ebus,,,16625.48,18375.53,8
HCPCS,C8006,Inst pleu-perit shnt w pump,,,5927.76,6551.74,8
HCPCS,C8900,"MRA w/cont, abd",,,170.46,483.7,13
HCPCS,C8901,"MRA w/o cont, abd",,,108.61,308.19,13
HCPCS,C8902,"MRA w/o fol w/cont, abd",,,170.46,483.7,13
HCPCS,C8903,"MRI w/cont, breast,  uni",,,81.44,231.09,13
HCPCS,C8904,Outpatient Services - CPT/HCPCS,,,40.28,114.29,3
HCPCS,C8905,"MRI w/o fol w/cont, brst, un",,,170.46,483.7,13
HCPCS,C8906,"MRI w/cont, breast,  bi",,,170.46,483.7,13
HCPCS,C8907,Outpatient Services - CPT/HCPCS,,,40.28,114.29,3
HCPCS,C8908,"MRI w/o fol w/cont, breast,",,,170.46,483.7,13
HCPCS,C8909,"MRA w/cont, chest",,,170.46,483.7,13
HCPCS,C8910,"MRA w/o cont, chest",,,108.61,308.19,13
HCPCS,C8911,"MRA w/o fol w/cont, chest",,,170.46,483.7,13
HCPCS,C8912,"MRA w/cont, lwr ext",,,170.46,483.7,13
HCPCS,C8913,"MRA w/o cont, lwr ext",,,108.61,308.19,13
HCPCS,C8914,"MRA w/o fol w/cont, lwr ext",,,170.46,483.7,13
HCPCS,C8918,"MRA w/cont, pelvis",,,170.46,483.7,13
HCPCS,C8919,"MRA w/o cont, pelvis",,,108.61,308.19,13
HCPCS,C8920,"MRA w/o fol w/cont, pelvis",,,170.46,483.7,13
HCPCS,C8921,ECHO  W CONTRAST COMPL CONGENITAL CARDIAC,3002.0,2401.6,354.89,2701.8,36
HCPCS,C8922,ECHO W CONTRAST COMPL CONGENITAL CARDIAC LMTD,2050.0,1640.0,354.89,1845.0,36
HCPCS,C8923,"2D TTE w or w/o fol w/con,co",,,354.89,1007.05,13
HCPCS,C8924,ECHO WWO FOL WCONTRAST 2D LMTD,1622.0,1297.6,170.46,1459.8,36
HCPCS,C8925,TEE 2D W CONTRAST INTERP REPORT,3888.0,3110.4,354.89,3499.2,36
HCPCS,C8926,TEE W CONTRAST CONGENITAL CARDIAC INTERP REPORT,3461.0,2768.8,354.89,3114.9,36
HCPCS,C8927,TEE W CONTRAST 2D MONITORING,2979.0,2383.2,354.89,2681.1,36
HCPCS,C8928,ECHO W CONTRAST 2D STRESS INTERP REPORT,2978.0,2382.4,354.89,2680.2,36
HCPCS,C8929,ECHO WWO FOL WCONT 2D COMPLETE,3822.0,3057.6,354.89,3439.8,36
HCPCS,C8930,STRESS ECHO W CONTRAST 2D W INT RPT,2745.0,2196.0,354.89,2470.5,36
HCPCS,C8931,"MRA, w/dye, spinal canal",,,170.46,483.7,13
HCPCS,C8932,"MRA, w/o dye, spinal canal",,,108.61,308.19,13
HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,170.46,483.7,13
HCPCS,C8934,"MRA, w/dye, upper extremity",,,170.46,483.7,13
HCPCS,C8935,"MRA, w/o dye, upper extr",,,108.61,308.19,13
HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,170.46,483.7,13
HCPCS,C8937,Cad breast mri,,,1.0,1.0,3
HCPCS,C8957,"Prolonged IV inf, req pump",,,150.11,425.97,13
HCPCS,C9014,Pharmacy,,,91.8,91.8,4
HCPCS,C9015,Pharmacy,,,9.59,9.59,4
HCPCS,C9016,Pharmacy,,,2788.0,2788.0,4
HCPCS,C9024,Pharmacy,,,185.07,185.07,4
HCPCS,C9025,Pharmacy,,,54.1,54.1,4
HCPCS,C9028,Pharmacy,,,2119.33,2119.33,4
HCPCS,C9029,Pharmacy,,,103.62,103.62,4
HCPCS,C9030,Pharmacy,,,77.76,77.76,4
HCPCS,C9031,Pharmacy,,,242.25,242.25,4
HCPCS,C9032,Pharmacy,,,2890.0,2890.0,4
HCPCS,C9033,Pharmacy,,,520.2,520.2,4
HCPCS,C9034,Pharmacy,,,1.06,1.06,4
HCPCS,C9035,Pharmacy,,,2.99,2.99,4
HCPCS,C9036,Pharmacy,,,96.9,96.9,4
HCPCS,C9037,Pharmacy,,,9.69,9.69,4
HCPCS,C9038,Pharmacy,,,193.29,193.29,4
HCPCS,C9039,Pharmacy,,,3.21,3.21,4
HCPCS,C9040,Pharmacy,,,2.61,2.61,4
HCPCS,C9041,Pharmacy,,,280.5,280.5,4
HCPCS,C9042,Pharmacy,,,25.24,25.24,4
HCPCS,C9043,Pharmacy,,,4.08,4.08,4
HCPCS,C9044,Pharmacy,,,26.52,26.52,4
HCPCS,C9045,Pharmacy,,,21.25,21.25,4
HCPCS,C9046,Cocaine HCl Nasal Soln 40 MG/ML (4%),283.02,226.42,1.56,320.41,78
HCPCS,C9047,Caplacizumab-yhdp for Inj Kit 11 MG,25699.99,20560.0,745.65,23129.99,26
HCPCS,C9048,Pharmacy,,,137.4,137.4,4
HCPCS,C9049,Pharmacy,,,260.4,260.4,4
HCPCS,C9050,Pharmacy,,,738.89,738.89,4
HCPCS,C9051,Pharmacy,,,3.52,3.52,4
HCPCS,C9052,Pharmacy,,,217.74,217.74,4
HCPCS,C9053,Pharmacy,,,24.05,24.05,4
HCPCS,C9054,Pharmacy,,,0.7,0.7,4
HCPCS,C9055,Pharmacy,,,75.99,75.99,4
HCPCS,C9056,Pharmacy,,,105.24,105.24,4
HCPCS,C9057,Pharmacy,,,30.6,30.6,4
HCPCS,C9058,Pharmacy,,,333.67,333.67,4
HCPCS,C9059,Pharmacy,,,3.2,3.2,4
HCPCS,C9060,Pharmacy,,,3723.0,3723.0,4
HCPCS,C9061,Pharmacy,,,303.96,303.96,4
HCPCS,C9062,Pharmacy,,,42.92,42.92,4
HCPCS,C9063,Pharmacy,,,15.25,15.25,4
HCPCS,C9064,Pharmacy,,,272.54,272.54,4
HCPCS,C9065,Pharmacy,,,326.26,326.26,4
HCPCS,C9066,Pharmacy,,,28.51,28.51,4
HCPCS,C9067,Gallium ga-68 dotatoc,,,1.0,3092.23,15
HCPCS,C9068,Pharmacy,,,892.5,892.5,4
HCPCS,C9069,Pharmacy,,,42.21,42.21,4
HCPCS,C9070,Pharmacy,,,12.24,12.24,4
HCPCS,C9071,Pharmacy,,,57.53,57.53,4
HCPCS,C9072,Pharmacy,,,463.59,463.59,4
HCPCS,C9073,Outpatient Services - CPT/HCPCS,,,208814.35,592548.01,3
HCPCS,C9073,Pharmacy,,,380460.0,380460.0,4
HCPCS,C9074,Pharmacy,,,296.83,296.83,4
HCPCS,C9075,Pharmacy,,,163.2,163.2,4
HCPCS,C9076,Outpatient Services - CPT/HCPCS,,,208814.35,592548.01,3
HCPCS,C9076,Pharmacy,,,418506.0,418506.0,4
HCPCS,C9077,Pharmacy,,,10.1,10.1,4
HCPCS,C9078,Pharmacy,,,4.82,4.82,4
HCPCS,C9079,Pharmacy,,,159.38,159.38,4
HCPCS,C9080,Pharmacy,,,484.5,484.5,4
HCPCS,C9081,Outpatient Services - CPT/HCPCS,,,208814.35,592548.01,3
HCPCS,C9081,Pharmacy,,,427890.0,427890.0,4
HCPCS,C9082,Pharmacy,,,2115.35,2115.35,4
HCPCS,C9083,Pharmacy,,,87.03,87.03,4
HCPCS,C9084,Pharmacy,,,242.45,242.45,4
HCPCS,C9085,Pharmacy,,,69.97,69.97,4
HCPCS,C9086,Pharmacy,,,15.64,15.64,4
HCPCS,C9087,Pharmacy,,,7.45,7.45,4
HCPCS,C9088,Outpatient Services,,,0.77,0.85,8
HCPCS,C9088,Outpatient Services - CPT/HCPCS,,,0.73,0.73,3
HCPCS,C9088,Pharmacy,,,0.77,0.77,4
HCPCS,C9089,Outpatient Services,,,0.84,0.92,8
HCPCS,C9089,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,C9089,Pharmacy,,,0.85,0.85,4
HCPCS,C9090,Pharmacy,,,30.6,30.6,4
HCPCS,C9091,Pharmacy,,,69.21,69.21,4
HCPCS,C9092,Pharmacy,,,46.75,46.75,4
HCPCS,C9093,Pharmacy,,,81.6,81.6,4
HCPCS,C9094,Pharmacy,,,16.69,16.69,4
HCPCS,C9095,Pharmacy,,,191.35,191.35,4
HCPCS,C9096,Pharmacy,,,0.77,0.77,4
HCPCS,C9097,Pharmacy,,,37.23,37.23,4
HCPCS,C9098,Outpatient Services - CPT/HCPCS,,,208814.35,592548.01,3
HCPCS,C9098,Pharmacy,,,474300.0,474300.0,4
HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,1.25,1.25,3
HCPCS,C9113,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,C9121,Pharmacy,,,20.2,20.2,4
HCPCS,C9122,Pharmacy,,,10.37,10.37,4
HCPCS,C9132,Pharmacy,,,2.67,2.67,4
HCPCS,C9137,Pharmacy,,,2.02,2.02,4
HCPCS,C9138,Pharmacy,,,1.73,1.73,4
HCPCS,C9139,Pharmacy,,,4.34,4.34,4
HCPCS,C9140,Pharmacy,,,1.68,1.68,4
HCPCS,C9141,Pharmacy,,,2.24,2.24,4
HCPCS,C9142,Pharmacy,,,73.3,73.3,4
HCPCS,C9143,Cocaine HCl Nasal Soln 40 MG/ML (4%),215.4,172.32,1.41,193.86,26
HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.49,0.54,15
HCPCS,C9145,Outpatient Services,,,1.81,2.01,8
HCPCS,C9145,Outpatient Services - CPT/HCPCS,,,1.88,1.88,3
HCPCS,C9145,Pharmacy,,,1.95,1.95,4
HCPCS,C9146,Pharmacy,,,63.44,63.44,4
HCPCS,C9147,Pharmacy,,,132.6,132.6,4
HCPCS,C9148,Pharmacy,,,30.09,30.09,4
HCPCS,C9149,Pharmacy,,,35.32,35.32,4
HCPCS,C9150,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,C9151,Pharmacy,,,148.92,148.92,4
HCPCS,C9152,Pharmacy,,,5.78,5.78,4
HCPCS,C9153,Pharmacy,,,9.18,9.18,4
HCPCS,C9154,Pharmacy,,,12.71,12.71,4
HCPCS,C9155,Pharmacy,,,51.77,51.77,4
HCPCS,C9157,Pharmacy,,,145.15,145.15,4
HCPCS,C9158,Pharmacy,,,25.13,25.13,4
HCPCS,C9159,Outpatient Services - CPT/HCPCS,,,3.25,3.25,3
HCPCS,C9159,Pharmacy,,,3.21,3.21,4
HCPCS,C9160,Outpatient Services - CPT/HCPCS,,,5.34,5.34,3
HCPCS,C9160,Pharmacy,,,4.28,4.28,4
HCPCS,C9161,Outpatient Services - CPT/HCPCS,,,337.97,337.97,3
HCPCS,C9161,Pharmacy,,,334.69,334.69,4
HCPCS,C9162,Outpatient Services - CPT/HCPCS,,,108.15,108.15,3
HCPCS,C9162,Pharmacy,,,107.1,107.1,4
HCPCS,C9163,Outpatient Services - CPT/HCPCS,,,66.69,66.69,3
HCPCS,C9163,Pharmacy,,,66.05,66.05,4
HCPCS,C9164,Outpatient Services - CPT/HCPCS,,,705.55,705.55,3
HCPCS,C9164,Pharmacy,,,698.7,698.7,4
HCPCS,C9165,Outpatient Services - CPT/HCPCS,,,176.87,176.87,3
HCPCS,C9165,Pharmacy,,,175.15,175.15,4
HCPCS,C9166,Pharmacy,,,17.26,17.26,4
HCPCS,C9167,Pharmacy,,,3.35,3.35,4
HCPCS,C9168,Pharmacy,,,32.61,32.61,4
HCPCS,C9169,Pharmacy,,,91.29,91.29,4
HCPCS,C9170,Pharmacy,,,1530.0,1530.0,4
HCPCS,C9171,Pharmacy,,,36.09,36.09,4
HCPCS,C9172,Pharmacy,,,3570000.0,3570000.0,4
HCPCS,C9173,Pharmacy,,,0.53,0.53,4
HCPCS,C9174,Pharmacy,,,49.89,49.89,4
HCPCS,C9175,Pharmacy,,,31.11,31.11,4
HCPCS,C9248,Clevidipine IV Emulsion 50 MG/100ML,510.8,408.64,1.0,459.72,34
HCPCS,C9250,Artiss fibrin sealant,,,60.59,246.04,15
HCPCS,C9254,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),108.29,86.64,1.0,100.31,208
HCPCS,C9257,Bevacizumab injection,,,1.74,2.03,15
HCPCS,C9285,"Patch, lidocaine/tetracaine",,,1.0,1.0,3
HCPCS,C9290,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,C9293,Glucarpidase For IV Inj 1000 UNIT,52504.5,42003.6,440.98,47254.05,26
HCPCS,C9296,Pharmacy,,,16.32,16.32,4
HCPCS,C9300,Pharmacy,,,10.2,10.2,4
HCPCS,C9301,Pharmacy,,,535500.0,535500.0,4
HCPCS,C9302,Pharmacy,,,24.17,24.17,4
HCPCS,C9303,Pharmacy,,,16.32,16.32,4
HCPCS,C9304,Pharmacy,,,52.02,52.02,4
HCPCS,C9305,Outpatient Services,,,30.53,33.74,8
HCPCS,C9305,Pharmacy,,,31.82,31.82,4
HCPCS,C9306,Outpatient Services,,,136.79,151.19,8
HCPCS,C9306,Pharmacy,,,142.6,142.6,4
HCPCS,C9349,Pharmacy,,,104.96,104.96,4
HCPCS,C9352,GRAFT NERVENEURAGEN2MMX2CM(2U),4366.0,3492.8,1.0,3929.4,26
HCPCS,C9352,GRAFT NERVENEURAGEN3MMX2CM(2U),4366.0,3492.8,1.0,3929.4,26
HCPCS,C9352,GRAFT NERVENEURAGEN4MMX2CM(2U),4366.0,3492.8,1.0,3929.4,26
HCPCS,C9352,GRAFT NERVENEURAGEN4MMX3CM(3U),3987.0,3189.6,1.0,3588.3,26
HCPCS,C9352,GRAFT NERVENEURAGEN5MMX2CM(2U),4366.0,3492.8,1.0,3929.4,26
HCPCS,C9352,GRAFT NERVENEURAGEN6MMX2CM(2U),4366.0,3492.8,1.0,3929.4,26
HCPCS,C9352,GRAFT NERVENEURAGEN7MMX2CM(2U),4366.0,3492.8,1.0,3929.4,26
HCPCS,C9353,"Neurawrap nerve protector,cm",,,1.0,1.0,3
HCPCS,C9354,MESH VERITAS 10X16CM=160*NLU*,126.0,100.8,1.0,113.4,26
HCPCS,C9355,"Neuromatrix nerve cuff, cm",,,1.0,1.0,3
HCPCS,C9356,GRAFT TENOGLIDE 5X5=25SQCM,621.0,496.8,1.0,558.9,26
HCPCS,C9356,GRAFT TENOGLIDE10X12.5=125SQCM,189.0,151.2,1.0,170.1,26
HCPCS,C9358,"SurgiMend, fetal",,,1.0,1.0,3
HCPCS,C9359,"Implnt,bon void filler-putty",,,1.0,1.0,3
HCPCS,C9360,MESH SURGIMEND MP 10X15CM=300U,42.0,33.6,1.0,37.8,26
HCPCS,C9360,MESH SURGIMEND MP 16X20CM=640U,25.0,20.0,1.0,22.5,26
HCPCS,C9361,NeuroMend nerve wrap,,,1.0,1.0,3
HCPCS,C9362,"Implnt,bon void filler-strip",,,1.0,1.0,3
HCPCS,C9363,Integra Meshed Bil Wound Mat,,,1.0,1.0,3
HCPCS,C9364,"Porcine implant, Permacol",,,1.0,1.0,3
HCPCS,C9399,Angiotensin II Acetate IV Soln 2.5 MG/ML (Base Equivalent),5399.83,4319.87,1428.26,4859.85,26
HCPCS,C9399,Dinutuximab IV Soln 17.5 MG/5ML (3.5 MG/ML),44802.85,35842.28,11850.35,40322.57,26
HCPCS,C9407,Pharmacy,,,308.01,308.01,4
HCPCS,C9408,Pharmacy,,,308.04,308.04,4
HCPCS,C9442,Pharmacy,,,31.48,31.48,4
HCPCS,C9444,Pharmacy,,,24.65,24.65,4
HCPCS,C9445,Pharmacy,,,26.53,26.53,4
HCPCS,C9447,Pharmacy,,,474.3,474.3,4
HCPCS,C9448,Pharmacy,,,509.8,509.8,4
HCPCS,C9450,Pharmacy,,,472.42,472.42,4
HCPCS,C9451,Pharmacy,,,1.62,1.62,4
HCPCS,C9453,Pharmacy,,,24.83,24.83,4
HCPCS,C9454,Pharmacy,,,274.62,274.62,4
HCPCS,C9455,Pharmacy,,,87.52,87.52,4
HCPCS,C9456,Pharmacy,,,0.65,0.65,4
HCPCS,C9457,Pharmacy,,,29.58,29.58,4
HCPCS,C9459,Pharmacy,,,3324.27,3324.27,4
HCPCS,C9460,Cangrelor Tetrasodium For IV Soln 50 MG,2594.04,2075.24,18.24,2334.64,68
HCPCS,C9462,"Injection, delafloxacin",,,0.48,0.51,7
HCPCS,C9463,Pharmacy,,,2.52,2.52,4
HCPCS,C9464,Pharmacy,,,0.9,0.9,4
HCPCS,C9465,Pharmacy,,,994.5,994.5,4
HCPCS,C9466,Pharmacy,,,161.57,161.57,4
HCPCS,C9467,Pharmacy,,,47.91,47.91,4
HCPCS,C9468,Pharmacy,,,4.08,4.08,4
HCPCS,C9469,Pharmacy,,,18.17,18.17,4
HCPCS,C9470,Pharmacy,,,2.52,2.52,4
HCPCS,C9471,Pharmacy,,,17.0,17.0,4
HCPCS,C9472,Pharmacy,,,44.88,44.88,4
HCPCS,C9473,Pharmacy,,,26.27,26.27,4
HCPCS,C9474,Pharmacy,,,38.43,38.43,4
HCPCS,C9475,Pharmacy,,,5.2,5.2,4
HCPCS,C9476,Pharmacy,,,47.18,47.18,4
HCPCS,C9477,Pharmacy,,,6.04,6.04,4
HCPCS,C9478,Pharmacy,,,510.0,510.0,4
HCPCS,C9479,Pharmacy,,,28.88,28.88,4
HCPCS,C9480,Pharmacy,,,275.4,275.4,4
HCPCS,C9481,Pharmacy,,,8.52,8.52,4
HCPCS,C9482,Sotalol hydrochloride IV,,,20.67,26.3,15
HCPCS,C9483,Pharmacy,,,73.27,73.27,4
HCPCS,C9484,Pharmacy,,,163.2,163.2,4
HCPCS,C9485,Pharmacy,,,49.11,49.11,4
HCPCS,C9486,Pharmacy,,,5.18,5.18,4
HCPCS,C9487,Pharmacy,,,12.55,12.55,4
HCPCS,C9488,Conivaptan HCL,,,47.24,47.24,3
HCPCS,C9489,Pharmacy,,,1062.5,1062.5,4
HCPCS,C9490,Pharmacy,,,38.76,38.76,4
HCPCS,C9491,Pharmacy,,,77.85,77.85,4
HCPCS,C9492,Pharmacy,,,71.5,71.5,4
HCPCS,C9493,Pharmacy,,,18.83,18.83,4
HCPCS,C9494,Pharmacy,,,55.25,55.25,4
HCPCS,C9497,Pharmacy,,,153.0,153.0,4
HCPCS,C9507,CONVALESCENT PLASMA,1151.0,920.8,304.44,1035.9,34
HCPCS,C9600,COR DES SGL MAJ ARTERY BRNCH,29684.0,23747.2,4876.09,26715.6,36
HCPCS,C9601,COR DES EA ADL BRNCH MAJ ART,20568.0,16454.4,1.0,18511.2,26
HCPCS,C9602,COR ATHER DES PTCA ART BRNCH,36918.0,29534.4,7772.16,33226.2,36
HCPCS,C9603,COR ATH DES PTCA EA+ART BRNCH,21059.0,16847.2,1.0,18953.1,26
HCPCS,C9604,COR BYP GRFT REVASC ANY COMBO DES ATHERECTOMY AND ANGIO SGL VES,33395.0,26716.0,4876.09,30055.5,36
HCPCS,C9605,"COR BYP GRFT REVASC ANY COMBO DES, ATHERERECTOMY AND ANGIOPLASTY EA+VES",20379.0,16303.2,1.0,18341.1,26
HCPCS,C9606,COR REVASC DES ACUTE TOTAL SGL,34692.0,27753.6,2533.38,31222.8,28
HCPCS,C9607,COR REVASC DES CHRON TOTAL SGL,39027.0,31221.6,7772.16,35124.3,36
HCPCS,C9608,COR REVASC DES CHRON TOT EA+VS,20417.0,16333.6,1.0,18375.3,26
HCPCS,C9610,CATH DCB AGENT MR 2.00X12MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.00X15MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.00X20MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.00X30MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.25X12MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.25X15MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.25X20MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.25X30MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.50X12MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.50X15MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.50X20MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.50X30MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.75X12MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.75X15MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.75X20MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 2.75X30MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 3.00X12MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 3.00X15MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 3.00X20MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 3.00X30MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 3.50X12MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 3.50X15MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 3.50X20MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 3.50X30MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 4.00X12MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 4.00X15MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 4.00X20MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9610,CATH DCB AGENT MR 4.00X30MM,22400.0,17920.0,5924.8,20160.0,26
HCPCS,C9725,Place endorectal app,,,405.09,1149.53,13
HCPCS,C9726,Rxt breast appl place/remov,,,1.0,1.0,3
HCPCS,C9727,Insert palate implants,,,675.95,1918.13,11
HCPCS,C9728,"Place device/marker, non pro",,,614.15,1742.77,11
HCPCS,C9733,Non-ophthalmic FVA,,,170.46,483.7,13
HCPCS,C9734,"U/S trtmt, not leiomyomata",,,5833.46,16553.5,13
HCPCS,C9738,Blue light cysto imag agent,,,1.0,1.0,3
HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,2293.45,6508.07,13
HCPCS,C9740,Cysto impl 4 or more,,,4083.21,11586.83,13
HCPCS,C9741,Outpatient Services - CPT/HCPCS,,,4732.97,13430.65,3
HCPCS,C9745,Outpatient Services - CPT/HCPCS,,,180.99,513.58,3
HCPCS,C9746,Outpatient Services - CPT/HCPCS,,,902.79,2561.83,3
HCPCS,C9747,Outpatient Services - CPT/HCPCS,,,1545.18,4384.72,3
HCPCS,C9748,Outpatient Services - CPT/HCPCS,,,902.79,2561.83,3
HCPCS,C9749,Outpatient Services - CPT/HCPCS,,,243.87,692.02,3
HCPCS,C9750,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
HCPCS,C9751,Outpatient Services,,,3562.98,3938.03,8
HCPCS,C9751,Outpatient Services - CPT/HCPCS,,,1742.9,4945.79,5
HCPCS,C9752,Outpatient Services - CPT/HCPCS,,,104.52,296.6,3
HCPCS,C9753,Outpatient Services - CPT/HCPCS,,,3170.92,8998.06,3
HCPCS,C9754,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
HCPCS,C9755,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
HCPCS,C9756,Fluorescence lymph map w/ICG,,,1.0,1.0,3
HCPCS,C9757,Spine device implant surgery,,,5833.46,16553.5,13
HCPCS,C9758,Blind interatrial shunt ide,,,8132.68,23077.94,13
HCPCS,C9759,Transcath intraop microinf,,,1.0,1.0,3
HCPCS,C9760,Non-blind interatrial shunt,,,12779.8,36264.97,13
HCPCS,C9761,"Cysto, litho, vacuum kidney",,,4083.21,11586.83,11
HCPCS,C9762,Cardiac mri seg dys strain,,,244.52,693.86,13
HCPCS,C9763,Cardiac mri seg dys stress,,,244.52,693.86,13
HCPCS,C9764,REVASC INTRAVASC LITHOTRIPSY,18299.0,14639.2,4840.09,16469.1,36
HCPCS,C9765,REVASC INTRA LITHOTRIP-STENT,33420.0,26736.0,7772.16,30078.0,36
HCPCS,C9766,REVASC INTRA LITHOTRIP-ATHER,33226.0,26580.8,7772.16,29903.4,36
HCPCS,C9767,REVASC LITHOTRIP-STENT-ATHER,45839.0,36671.2,7772.16,41255.1,36
HCPCS,C9768,Endo us-guide hep porto grad,,,1.0,1.0,3
HCPCS,C9769,Outpatient Services - CPT/HCPCS,,,4083.21,11586.83,3
HCPCS,C9770,Outpatient Services - CPT/HCPCS,,,1032.9,2931.04,3
HCPCS,C9771,Outpatient Services - CPT/HCPCS,,,752.28,2134.74,3
HCPCS,C9772,REVASC LITHOTRIP TIBIAL PERONEAL ARTERY,25223.0,20178.4,4876.09,22700.7,36
HCPCS,C9773,REVASC LITHOTRIP W STENT TIBIAL PERONEAL ARTERY,37212.0,29769.6,7772.16,33490.8,36
HCPCS,C9774,REVASC LITHOTRIP W ATHERECTOMY TIBIAL PERONEAL ARTERY,33755.0,27004.0,7772.16,30379.5,36
HCPCS,C9775,REVASC LITHOTRIP W STENT & ATHERECTOMY TIBIAL PERONEAL ARTERY,40901.0,32720.8,7772.16,36810.9,36
HCPCS,C9776,Fluo bile duct imaging w/icg,,,1.0,1.0,3
HCPCS,C9777,Esophag muc integ w/eso egd,,,1697.48,4816.89,11
HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,2204.61,6255.96,11
HCPCS,C9779,Esd endoscopy or colonoscopy,,,1697.48,4816.89,11
HCPCS,C9780,Insert cv cath inf & sup app,,,3834.1,10879.95,11
HCPCS,C9781,Arthro/shoul surg; w/spacer,,,5833.46,16553.5,11
HCPCS,C9782,Blind myocar trpl bon marrow,,,8132.68,23077.94,11
HCPCS,C9783,Blind cor sinus reducer impl,,,4876.09,13836.77,11
HCPCS,C9784,Outpatient Services,,,9890.66,10931.78,8
HCPCS,C9784,Outpatient Services - CPT/HCPCS,,,4562.52,12946.98,5
HCPCS,C9785,Endo outlet restrict w/tube,,,4562.52,12946.98,13
HCPCS,C9786,Outpatient Services - CPT/HCPCS,,,132.39,375.67,5
HCPCS,C9787,Outpatient Services - CPT/HCPCS,,,237.56,674.12,5
HCPCS,C9789,Instill pharm renal pelvis,,,1045.83,2967.74,13
HCPCS,C9790,Outpatient Services - CPT/HCPCS,,,5809.13,16484.43,5
HCPCS,C9791,Mri hyperpolarized xenon129,,,581.12,1649.04,13
HCPCS,C9792,Blind/nonblind trans atrial,,,4531.17,12858.0,13
HCPCS,C9793,Pre 3d mdl w/ccta and/or mri,,,463.42,1315.04,13
HCPCS,C9794,Outpatient Services - CPT/HCPCS,,,906.42,2572.13,5
HCPCS,C9795,Outpatient Services - CPT/HCPCS,,,1742.9,4945.79,5
HCPCS,C9796,Rpr intst excl anrect fist,,,2605.27,2879.51,8
HCPCS,C9797,Vasc emb/occ w/prs cath,,,17058.88,18854.56,8
HCPCS,C9803,Covid Codes - CPT/HCPCS,,,22.98,22.98,1
HCPCS,C9808,PROBE CRYOABL 2ND GEN 10CM,10575.0,8460.0,2797.09,9517.5,26
HCPCS,C9808,PROBE CRYOABL 3RD GEN 10CM,10575.0,8460.0,2797.09,9517.5,26
HCPCS,C9808,PROBE CRYOABL CRYOSPHERE *NLU*,10200.0,8160.0,2697.9,9180.0,26
HCPCS,C9808,PROBE CRYOABL CRYOSPHERE 11,11250.0,9000.0,2975.63,10125.0,26
HCPCS,C9808,PROBE CRYOABL CRYOSPHERE MAX11,11200.0,8960.0,2962.4,10080.0,26
HCPCS,C9808,PROBE CRYOABL CRYOSPHERE+ 11,11250.0,9000.0,2975.63,10125.0,26
HCPCS,C9809,CRYO TIP IOVERA 307 3X7MM*NLU*,3200.0,2560.0,846.4,2880.0,26
HCPCS,C9809,TIP CRYO IOVERA SMART 1X190MM,4197.0,3357.6,1110.11,3777.3,26
HCPCS,C9809,TIP CRYO IOVERA SMART 3X8.5MM,4197.0,3357.6,1110.11,3777.3,26
HCPCS,C9809,TIP CRYO SMART IOVERA155 *NLU*,3850.0,3080.0,1018.33,3465.0,26
HCPCS,C9809,TIP CRYO SMART IOVERA190 *NLU*,3850.0,3080.0,1018.33,3465.0,26
HCPCS,C9809,TIP CRYO SMART IOVERA307 *NLU*,3850.0,3080.0,1018.33,3465.0,26
HCPCS,C9809,TIP CRYO SMART IOVERA309 *NLU*,3850.0,3080.0,1018.33,3465.0,26
HCPCS,C9898,Inpnt stay radiolabeled item,,,1.0,1.0,3
HCPCS,C9901,Endo defect closure gi tract,,,9890.66,10931.78,8
HCPCS,E0100,Cane adjust/fixed with tip,,,26.65,33.51,7
HCPCS,E0105,Cane adjust/fixed quad/3 pro,,,60.81,81.05,7
HCPCS,E0110,Crutch forearm pair,,,100.58,136.31,7
HCPCS,E0111,Crutch forearm each,,,62.07,86.63,7
HCPCS,E0112,Crutch underarm pair wood,,,47.97,63.45,7
HCPCS,E0113,Crutch underarm each wood,,,27.41,37.14,7
HCPCS,E0114,Crutch underarm pair no wood,,,60.41,82.91,7
HCPCS,E0116,Crutch underarm each no wood,,,32.99,48.75,7
HCPCS,E0117,Underarm springassist crutch,,,26.91,262.1,7
HCPCS,E0118,Crutch substitute,,,197.7,197.7,3
HCPCS,E0130,Walker rigid adjust/fixed ht,,,55.34,69.58,7
HCPCS,E0135,Walker folding adjust/fixed,,,55.34,72.98,7
HCPCS,E0140,Walker w trunk support,,,35.5,392.2,7
HCPCS,E0141,Rigid wheeled walker adj/fix,,,57.98,87.21,7
HCPCS,E0143,Walker folding wheeled w/o s,,,57.98,88.94,7
HCPCS,E0144,Enclosed walker w rear seat,,,33.46,348.9,7
HCPCS,E0147,Walker variable wheel resist,,,506.54,636.92,7
HCPCS,E0148,Heavyduty walker no wheels,,,103.57,130.23,7
HCPCS,E0149,Heavy duty wheeled walker,,,15.07,206.4,7
HCPCS,E0153,Forearm crutch platform atta,,,81.73,104.53,7
HCPCS,E0154,Walker platform attachment,,,62.14,78.13,7
HCPCS,E0155,"Walker wheel attachment,pair",,,24.56,30.88,7
HCPCS,E0156,Walker seat attachment,,,19.18,24.12,7
HCPCS,E0157,Walker crutch attachment,,,70.3,88.4,7
HCPCS,E0158,Walker leg extenders set of4,,,25.35,31.88,7
HCPCS,E0159,Brake for wheeled walker,,,17.72,22.28,7
HCPCS,E0160,Sitz type bath or equipment,,,35.97,45.23,7
HCPCS,E0161,Sitz bath/equipment w/faucet,,,30.46,38.3,7
HCPCS,E0162,Sitz bath chair,,,160.54,255.98,7
HCPCS,E0163,Commode chair with fixed arm,,,66.28,93.13,7
HCPCS,E0165,Commode chair with detacharm,,,15.4,194.2,7
HCPCS,E0167,Commode chair pail or pan,,,12.88,16.2,7
HCPCS,E0168,Heavyduty/wide commode chair,,,136.45,171.57,7
HCPCS,E0170,Commode chair electric,,,201.82,2145.1,7
HCPCS,E0171,Commode chair non-electric,,,38.12,393.6,7
HCPCS,E0172,Seat lift mechanism toilet,,,834.4,834.4,3
HCPCS,E0175,Commode chair foot rest,,,72.97,116.36,7
HCPCS,E0181,Press pad alternating w/ pum,,,18.96,277.5,7
HCPCS,E0182,"Replace pump, alt press pad",,,26.5,312.3,7
HCPCS,E0183,Press underlay alter w/pump,,,18.96,277.5,7
HCPCS,E0184,Dry pressure mattress,,,199.96,251.43,7
HCPCS,E0185,Gel pressure mattress pad,,,214.39,311.26,7
HCPCS,E0186,Air pressure mattress,,,22.29,234.8,7
HCPCS,E0187,Water pressure mattress,,,25.74,268.6,7
HCPCS,E0188,Synthetic sheepskin pad,,,31.39,39.47,7
HCPCS,E0189,Lambswool sheepskin pad,,,61.29,77.07,7
HCPCS,E0190,Positioning cushion,,,37.23,37.23,3
HCPCS,E0191,Protector heel or elbow,,,11.97,17.55,7
HCPCS,E0193,Powered air flotation bed,,,816.92,9570.2,7
HCPCS,E0194,Air fluidized bed,,,3764.88,5717.31,7
HCPCS,E0196,Gel pressure mattress,,,38.65,375.8,7
HCPCS,E0197,Air pressure pad for mattres,,,23.3,324.9,7
HCPCS,E0198,Water pressure pad for mattr,,,30.97,301.6,7
HCPCS,E0199,Dry pressure pad for mattres,,,36.26,46.21,7
HCPCS,E0200,Heat lamp without stand,,,87.34,118.38,7
HCPCS,E0202,Phototherapy light w/ photom,,,77.49,745.8,7
HCPCS,E0203,Therapeutic lightbox tabletp,,,229.72,229.72,3
HCPCS,E0205,Heat lamp with stand,,,224.49,340.93,7
HCPCS,E0210,Electric heat pad standard,,,38.79,48.77,7
HCPCS,E0215,Electric heat pad moist,,,78.05,124.46,7
HCPCS,E0217,Water circ heat pad w pump,,,643.53,872.21,7
HCPCS,E0218,Fluid circ cold pad w pump,,,200.71,200.71,3
HCPCS,E0221,Infrared heating pad system,,,2113.46,2113.46,3
HCPCS,E0225,Hydrocollator unit,,,503.78,682.79,7
HCPCS,E0235,Paraffin bath unit portable,,,20.49,234.8,7
HCPCS,E0236,Pump for water circulating p,,,61.82,511.9,7
HCPCS,E0239,Hydrocollator unit portable,,,495.62,671.74,7
HCPCS,E0240,Bath/shower chair,,,145.6,145.6,3
HCPCS,E0243,Toilet rail,,,27.47,27.47,3
HCPCS,E0244,Toilet seat raised,,,52.44,52.44,3
HCPCS,E0245,Tub stool or bench,,,145.6,145.6,3
HCPCS,E0246,Transfer tub rail attachment,,,76.26,76.26,3
HCPCS,E0247,Trans bench w/wo comm open,,,34.39,34.39,3
HCPCS,E0248,HDtrans bench w/wo comm open,,,54.69,54.69,3
HCPCS,E0249,Pad water circulating heat u,,,109.74,174.98,7
HCPCS,E0250,Hosp bed fixed ht w/ mattres,,,74.35,965.0,7
HCPCS,E0251,Hosp bed fixd ht w/o mattres,,,71.87,802.6,7
HCPCS,E0255,Hospital bed var ht w/ mattr,,,74.72,1083.6,7
HCPCS,E0256,Hospital bed var ht w/o matt,,,72.47,829.6,7
HCPCS,E0260,Hosp bed semi-electr w/ matt,,,74.72,1218.8,7
HCPCS,E0261,Hosp bed semi-electr w/o mat,,,74.72,1077.2,7
HCPCS,E0265,Hosp bed total electr w/ mat,,,179.17,1878.1,7
HCPCS,E0266,Hosp bed total elec w/o matt,,,155.9,1796.6,7
HCPCS,E0271,Mattress innerspring,,,154.56,199.89,7
HCPCS,E0272,Mattress foam rubber,,,169.45,213.07,7
HCPCS,E0274,Over-bed table,,,52.8,52.8,3
HCPCS,E0275,Bed pan standard,,,15.79,19.85,7
HCPCS,E0276,Bed pan fracture,,,14.39,18.09,7
HCPCS,E0277,Powered pres-redu air mattrs,,,250.86,5366.3,7
HCPCS,E0280,Bed cradle,,,36.28,48.38,7
HCPCS,E0290,Hosp bed fx ht w/o rails w/m,,,69.85,740.0,7
HCPCS,E0291,Hosp bed fx ht w/o rail w/o,,,53.31,604.4,7
HCPCS,E0292,Hosp bed var ht no sr w/matt,,,74.35,833.9,7
HCPCS,E0293,Hosp bed var ht no sr no mat,,,68.37,713.2,7
HCPCS,E0294,Hosp bed semi-elect w/ mattr,,,74.72,1064.9,7
HCPCS,E0295,Hosp bed semi-elect w/o matt,,,74.72,1029.3,7
HCPCS,E0296,Hosp bed total elect w/ matt,,,139.79,1495.6,7
HCPCS,E0297,Hosp bed total elect w/o mat,,,123.36,1368.7,7
HCPCS,E0300,Enclosed ped crib hosp grade,,,311.5,3173.3,7
HCPCS,E0301,"HD hosp bed, 350-600 lbs",,,199.24,2624.5,7
HCPCS,E0302,Ex hd hosp bed > 600 lbs,,,560.16,7227.2,7
HCPCS,E0303,Hosp bed hvy dty xtra wide,,,201.83,2833.9,7
HCPCS,E0304,Hosp bed xtra hvy dty x wide,,,578.68,7634.5,7
HCPCS,E0305,Rails bed side half length,,,13.4,173.3,7
HCPCS,E0310,Rails bed side full length,,,135.26,177.06,7
HCPCS,E0316,Bed safety enclosure,,,242.61,2478.4,7
HCPCS,E0325,Urinal male jug-type,,,11.43,14.37,7
HCPCS,E0326,Urinal female jug-type,,,11.51,14.47,7
HCPCS,E0328,"Ped hospital bed, manual",,,6104.22,6104.22,3
HCPCS,E0329,Ped hospital bed semi/elect,,,1534.42,1534.42,3
HCPCS,E0352,Disposable pack w/bowel syst,,,43.6,43.6,3
HCPCS,E0370,Air elevator for heel,,,21.16,21.16,3
HCPCS,E0371,Nonpower mattress overlay,,,249.1,3845.9,7
HCPCS,E0372,Powered air mattress overlay,,,250.86,4403.4,7
HCPCS,E0373,Nonpowered pressure mattress,,,250.86,4844.2,7
HCPCS,E0424,Stationary compressed gas 02,,,97.53,160.51,7
HCPCS,E0425,Gas system stationary compre,,,2982.13,2982.13,3
HCPCS,E0430,Oxygen system gas portable,,,6.29,6.29,3
HCPCS,E0431,Portable gaseous 02,,,22.06,28.64,7
HCPCS,E0433,Portable liquid oxygen sys,,,48.23,60.64,7
HCPCS,E0434,Portable liquid 02,,,48.23,60.64,7
HCPCS,E0435,Oxygen system liquid portabl,,,515.38,515.38,3
HCPCS,E0439,Stationary liquid 02,,,97.53,160.51,7
HCPCS,E0440,Oxygen system liquid station,,,2982.13,2982.13,3
HCPCS,E0441,"Stationary O2 contents, gas",,,63.8,84.45,15
HCPCS,E0442,"Stationary O2 contents, liq",,,63.8,84.45,15
HCPCS,E0443,"Portable 02 contents, gas",,,58.83,77.87,15
HCPCS,E0444,"Portable 02 contents, liquid",,,58.83,77.87,15
HCPCS,E0445,Oximeter non-invasive,,,1.0,1.0,3
HCPCS,E0447,"Port o2 cont, liq over 4 lpm",,,88.26,116.81,15
HCPCS,E0455,Oxygen tent excl croup/ped t,,,125.16,125.16,3
HCPCS,E0457,Chest shell,,,565.54,565.54,3
HCPCS,E0459,Chest wrap,,,468.83,468.83,3
HCPCS,E0462,Rocking bed w/ or w/o side r,,,407.16,3475.2,7
HCPCS,E0465,Home vent invasive interface,,,1237.28,1676.94,7
HCPCS,E0466,Home vent non-invasive inter,,,1237.28,1676.94,7
HCPCS,E0467,Home vent multi-function,,,1454.65,1938.42,7
HCPCS,E0468,Home vent dual fnct incl all,,,1431.87,1800.43,4
HCPCS,E0469,Lung expans high oscil neb,,,1535.7,1930.99,4
HCPCS,E0470,RAD w/o backup non-inv intfc,,,132.11,1346.7,7
HCPCS,E0471,RAD w/backup non inv intrfc,,,328.66,3350.5,7
HCPCS,E0472,RAD w backup invasive intrfc,,,528.47,664.5,7
HCPCS,E0480,Percussor elect/pneum home m,,,61.41,508.4,7
HCPCS,E0482,Cough stimulating device,,,589.24,5852.9,7
HCPCS,E0483,Hi freq chest wall oscil sys,,,1485.41,14469.7,7
HCPCS,E0484,Non-elec oscillatory pep dvc,,,47.88,64.89,7
HCPCS,E0485,Oral device/appliance prefab,,,323.53,323.53,3
HCPCS,E0486,Oral device/appliance cusfab,,,1351.42,1351.42,3
HCPCS,E0487,Electronic spirometer,,,1.0,1.0,3
HCPCS,E0490,Control unit nm hw remote,,,106.32,1218.5,7
HCPCS,E0491,Oral dv nm mouthpc hw remote,,,95.84,129.89,15
HCPCS,E0500,Ippb all types,,,123.06,192.83,7
HCPCS,E0530,Electronic posa treatment,,,36.39,354.5,7
HCPCS,E0550,Humidif extens supple w ippb,,,70.05,682.4,7
HCPCS,E0555,Humidifier for use w/ regula,,,61.86,61.86,3
HCPCS,E0560,Humidifier supplemental w/ i,,,191.61,259.69,7
HCPCS,E0561,Humidifier nonheated w PAP,,,82.3,106.59,7
HCPCS,E0562,Humidifier heated used w PAP,,,161.19,208.77,7
HCPCS,E0565,Compressor air power source,,,50.22,662.4,7
HCPCS,E0570,Nebulizer with compression,,,7.16,146.9,7
HCPCS,E0572,Aerosol compressor adjust pr,,,30.83,445.2,7
HCPCS,E0574,Ultrasonic generator w svneb,,,55.45,547.9,7
HCPCS,E0575,Nebulizer ultrasonic,,,143.61,1269.2,7
HCPCS,E0580,Nebulizer for use w/ regulat,,,149.76,202.98,7
HCPCS,E0585,Nebulizer w/ compressor & he,,,31.21,422.1,7
HCPCS,E0600,Suction pump portab hom modl,,,62.73,623.1,7
HCPCS,E0601,Cont airway pressure device,,,49.37,503.3,7
HCPCS,E0602,Manual breast pump,,,38.26,51.86,7
HCPCS,E0603,Electric breast pump,,,1.0,1.0,3
HCPCS,E0604,Hosp grade elec breast pump,,,58.72,58.72,3
HCPCS,E0605,Vaporizer room type,,,31.37,39.44,7
HCPCS,E0606,Drainage board postural,,,32.06,312.4,7
HCPCS,E0607,Blood glucose monitor home,,,86.61,117.39,7
HCPCS,E0610,Pacemaker monitr audible/vis,,,308.3,417.86,7
HCPCS,E0615,Pacemaker monitr digital/vis,,,546.41,841.15,7
HCPCS,E0616,Cardiac event recorder,,,1.0,1.0,3
HCPCS,E0617,Automatic ext defibrillator,,,424.8,4138.0,7
HCPCS,E0618,Apnea monitor,,,371.92,3815.9,7
HCPCS,E0619,Apnea monitor w recorder,,,303.12,303.12,3
HCPCS,E0620,Cap bld skin piercing laser,,,122.15,1190.0,7
HCPCS,E0621,Patient lift sling or seat,,,98.3,123.6,7
HCPCS,E0625,Patient lift bathroom or toi,,,508.75,508.75,3
HCPCS,E0627,"Seat lift mech, electric any",,,333.69,419.58,7
HCPCS,E0629,"Seat lift mech, non-electric",,,327.08,411.27,7
HCPCS,E0630,Patient lift hydraulic,,,72.75,977.6,7
HCPCS,E0635,Patient lift electric,,,141.24,1415.6,7
HCPCS,E0636,PT support & positioning sys,,,1248.08,13540.3,7
HCPCS,E0637,Combination sit to stand sys,,,2233.81,2233.81,3
HCPCS,E0638,Standing frame sys,,,1459.16,1459.16,3
HCPCS,E0639,Moveable patient lift system,,,155.86,1290.6,7
HCPCS,E0640,Fixed patient lift system,,,155.86,1290.6,7
HCPCS,E0641,Multi-position stnd fram sys,,,923.93,923.93,3
HCPCS,E0642,Dynamic standing frame,,,888.05,888.05,3
HCPCS,E0650,Pneuma compresor non-segment,,,933.55,1265.27,7
HCPCS,E0651,Pneum compressor segmental,,,1074.95,1613.48,7
HCPCS,E0652,Pneum compres w/cal pressure,,,5841.1,8479.69,7
HCPCS,E0655,Pneumatic appliance half arm,,,134.92,189.62,7
HCPCS,E0656,Segmental pneumatic trunk,,,80.74,786.5,7
HCPCS,E0657,Segmental pneumatic chest,,,75.85,738.8,7
HCPCS,E0660,Pneumatic appliance full leg,,,185.25,280.65,7
HCPCS,E0665,Pneumatic appliance full arm,,,167.52,240.69,7
HCPCS,E0666,Pneumatic appliance half leg,,,158.36,232.14,7
HCPCS,E0667,Seg pneumatic appl full leg,,,356.72,483.48,7
HCPCS,E0668,Seg pneumatic appl full arm,,,486.86,659.86,7
HCPCS,E0669,Seg pneumatic appli half leg,,,237.62,322.06,7
HCPCS,E0670,Seg pneum int legs/trunk,,,1385.01,1877.16,7
HCPCS,E0671,Pressure pneum appl full leg,,,538.39,729.71,7
HCPCS,E0672,Pressure pneum appl full arm,,,418.31,566.96,7
HCPCS,E0673,Pressure pneum appl half leg,,,347.6,471.11,7
HCPCS,E0675,Pneumatic compression device,,,537.28,5233.7,7
HCPCS,E0677,Non pneum seq comp trunk,,,80.74,786.5,7
HCPCS,E0678,Non pneum seq comp full leg,,,38.45,374.6,7
HCPCS,E0679,Non pneum seq comp half leg,,,25.61,249.5,7
HCPCS,E0680,Non pneum comp control cal,,,674.38,6133.1,7
HCPCS,E0681,Non pneu comp control w/o ca,,,128.32,1128.7,7
HCPCS,E0682,Non pneum compress full arm,,,52.48,511.2,7
HCPCS,E0683,Non pneu peristalic comp pmp,,,79.93,100.5,4
HCPCS,E0691,Uvl pnl 2 sq ft or less,,,1164.77,1578.67,7
HCPCS,E0692,Uvl sys panel 4 ft,,,1462.64,1982.38,7
HCPCS,E0693,Uvl sys panel 6 ft,,,1803.01,2443.71,7
HCPCS,E0694,Uvl md cabinet sys 6 ft,,,5738.84,7778.1,7
HCPCS,E0700,Safety equipment,,,10.94,10.94,3
HCPCS,E0705,Transfer device,,,55.65,69.97,7
HCPCS,E0710,Restraints any type,,,15.0,15.0,3
HCPCS,E0720,Tens two lead,,,69.51,246.79,7
HCPCS,E0730,Tens four lead,,,68.91,272.51,7
HCPCS,E0731,Conductive garment for tens/,,,90.08,247.89,7
HCPCS,E0732,Ces system,,,51.36,432.2,7
HCPCS,E0733,Trans elec nerv for trigemin,,,51.36,432.2,7
HCPCS,E0734,Ext up limb tremor stim wris,,,439.54,4281.6,7
HCPCS,E0735,Non-invasive vagus nerv stim,,,51.36,432.2,7
HCPCS,E0736,Transcut tibial nerv stimula,,,51.36,64.58,4
HCPCS,E0738,Upper extremity rehab,,,1999.65,2514.36,4
HCPCS,E0739,Rehab sys active assist rt,,,1566.33,1969.5,4
HCPCS,E0740,Non-implant pelv flr e-stim,,,73.06,711.7,7
HCPCS,E0743,Ext low ext nerve stimu rls,,,237.45,298.57,4
HCPCS,E0744,Neuromuscular stim for scoli,,,127.95,1119.6,7
HCPCS,E0745,Neuromuscular stim for shock,,,106.32,1218.5,7
HCPCS,E0746,Electromyograph biofeedback,,,1.0,1.0,3
HCPCS,E0747,Elec osteogen stim not spine,,,4926.36,6879.88,7
HCPCS,E0748,Elec osteogen stim spinal,,,5043.24,6835.33,7
HCPCS,E0749,Elec osteogen stim implanted,,,1.0,499.58,7
HCPCS,E0760,Osteogen ultrasound stimltor,,,4190.83,5680.02,7
HCPCS,E0761,Nontherm electromgntc device,,,4299.5,4299.5,3
HCPCS,E0762,Trans elec jt stim dev sys,,,153.63,1272.1,7
HCPCS,E0764,Functional neuromuscularstim,,,1546.22,15062.1,7
HCPCS,E0765,Nerve stimulator for tx n&v,,,109.05,147.79,7
HCPCS,E0766,Elec stim cancer treatment,,,16063.46,149026.2,7
HCPCS,E0770,Functional electric stim NOS,,,2312.42,2312.42,3
HCPCS,E0776,Iv pole,,,157.74,224.94,7
HCPCS,E0779,Amb infusion pump mechanical,,,23.06,226.1,7
HCPCS,E0780,Mech amb infusion pump <8hrs,,,13.44,18.22,7
HCPCS,E0781,External ambulatory infus pu,,,301.2,3261.0,7
HCPCS,E0782,Non-programble infusion pump,,,1.0,6411.41,7
HCPCS,E0783,Programmable infusion pump,,,1.0,12225.55,7
HCPCS,E0784,Ext amb infusn pump insulin,,,543.08,5471.4,7
HCPCS,E0785,Replacement impl pump cathet,,,1.0,830.12,7
HCPCS,E0786,Implantable pump replacement,,,1.0,14029.73,7
HCPCS,E0791,Parenteral infusion pump sta,,,357.82,3561.6,7
HCPCS,E0830,Ambulatory traction device,,,1.0,1.0,3
HCPCS,E0840,Tract frame attach headboard,,,87.01,109.41,7
HCPCS,E0849,Cervical pneum trac equip,,,72.01,701.5,7
HCPCS,E0850,Traction stand free standing,,,136.16,184.55,7
HCPCS,E0855,Cervical traction equipment,,,69.06,684.1,7
HCPCS,E0856,Cervic collar w air bladders,,,21.5,209.5,7
HCPCS,E0860,Tract equip cervical tract,,,44.22,67.7,7
HCPCS,E0870,Tract frame attach footboard,,,137.05,173.7,7
HCPCS,E0880,Trac stand free stand extrem,,,140.94,220.55,7
HCPCS,E0890,Traction frame attach pelvic,,,148.12,186.25,7
HCPCS,E0900,Trac stand free stand pelvic,,,166.1,225.12,7
HCPCS,E0910,Trapeze bar attached to bed,,,13.76,171.6,7
HCPCS,E0911,HD trapeze bar attach to bed,,,51.33,563.4,7
HCPCS,E0912,HD trapeze bar free standing,,,101.45,1197.5,7
HCPCS,E0920,Fracture frame attached to b,,,64.49,566.2,7
HCPCS,E0930,Fracture frame free standing,,,60.28,556.2,7
HCPCS,E0935,Cont pas motion exercise dev,,,29.49,39.96,7
HCPCS,E0936,"CPM device, other than knee",,,24.11,24.11,3
HCPCS,E0940,Trapeze bar free standing,,,26.14,339.4,7
HCPCS,E0941,Gravity assisted traction de,,,60.64,590.7,7
HCPCS,E0942,Cervical head harness/halter,,,25.73,32.52,7
HCPCS,E0944,Pelvic belt/harness/boot,,,59.46,80.59,7
HCPCS,E0945,Belt/harness extremity,,,57.45,77.86,7
HCPCS,E0946,Fracture frame dual w cross,,,82.67,684.5,7
HCPCS,E0947,Fracture frame attachmnts pe,,,668.19,1065.45,7
HCPCS,E0948,Fracture frame attachmnts ce,,,646.28,1030.51,7
HCPCS,E0950,Tray,,,93.89,157.41,11
HCPCS,E0951,Loop heel,,,16.28,20.47,7
HCPCS,E0952,"Toe loop/holder, each",,,17.89,25.39,7
HCPCS,E0953,W/c lateral thigh/knee sup,,,95.77,120.42,7
HCPCS,E0954,"Foot box, any type each foot",,,61.93,81.96,7
HCPCS,E0955,Cushioned headrest,,,17.44,210.7,7
HCPCS,E0956,W/c lateral trunk/hip suppor,,,95.77,120.42,7
HCPCS,E0957,W/c medial thigh support,,,142.99,179.8,7
HCPCS,E0958,Whlchr att- conv 1 arm drive,,,52.97,538.7,7
HCPCS,E0959,Amputee adapter,,,51.99,65.86,7
HCPCS,E0960,W/c shoulder harness/straps,,,88.62,111.43,7
HCPCS,E0961,Wheelchair brake extension,,,24.66,31.64,7
HCPCS,E0966,Wheelchair head rest extensi,,,89.04,111.96,7
HCPCS,E0967,Man wc rim/projection rep ea,,,85.13,110.69,7
HCPCS,E0968,Wheelchair commode seat,,,25.04,241.6,7
HCPCS,E0969,Wheelchair narrowing device,,,203.02,255.37,7
HCPCS,E0970,Wheelchair no. 2 footplates,,,42.86,42.86,3
HCPCS,E0971,Wheelchair anti-tipping devi,,,36.7,46.38,7
HCPCS,E0973,W/Ch access det adj armrest,,,63.62,96.49,7
HCPCS,E0974,W/Ch access anti-rollback,,,90.45,113.73,7
HCPCS,E0978,"W/C acc,saf belt pelv strap",,,28.87,37.49,7
HCPCS,E0980,Wheelchair safety vest,,,41.43,58.07,7
HCPCS,E0981,"Seat upholstery, replacement",,,44.77,63.64,7
HCPCS,E0982,"Back upholstery, replacement",,,48.93,70.45,7
HCPCS,E0983,Add pwr joystick,,,343.16,3401.7,7
HCPCS,E0984,Add pwr tiller,,,266.93,2488.7,7
HCPCS,E0985,W/c seat lift mechanism,,,26.49,274.8,7
HCPCS,E0986,Man w/c powr assist syst,,,679.65,6620.6,7
HCPCS,E0988,Lever-activated wheel drive,,,418.25,4074.3,7
HCPCS,E0990,Wheelchair elevating leg res,,,86.7,109.02,7
HCPCS,E0992,Wheelchair solid seat insert,,,99.85,125.55,7
HCPCS,E0994,Wheelchair arm rest,,,19.43,26.33,7
HCPCS,E0995,"Wc calf rest, pad replacemnt",,,31.98,40.89,7
HCPCS,E1002,Pwr seat tilt,,,451.26,4562.4,7
HCPCS,E1003,Pwr seat recline,,,528.18,5133.3,7
HCPCS,E1004,Pwr seat recline mech,,,580.54,5666.9,7
HCPCS,E1005,Pwr seat recline pwr,,,634.67,6166.4,7
HCPCS,E1006,Pwr seat combo w/o shear,,,777.4,7572.8,7
HCPCS,E1007,Pwr seat combo w/shear,,,971.96,9833.6,7
HCPCS,E1008,Pwr seat combo pwr shear,,,996.97,9955.1,7
HCPCS,E1010,Add pwr leg elevation,,,135.48,1327.0,7
HCPCS,E1012,Ctr mount pwr elev leg rest,,,135.48,1327.0,7
HCPCS,E1014,Reclining back add ped w/c,,,51.04,497.1,7
HCPCS,E1015,Shock absorber for man w/c,,,146.28,186.96,7
HCPCS,E1016,Shock absorber for power w/c,,,135.41,170.26,7
HCPCS,E1020,Residual limb support system,,,21.82,256.6,7
HCPCS,E1028,W/c manual swingaway,,,16.03,206.5,7
HCPCS,E1029,W/c vent tray fixed,,,44.49,433.3,7
HCPCS,E1030,W/c vent tray gimbaled,,,140.33,1367.0,7
HCPCS,E1031,Rollabout chair with casters,,,52.86,563.7,7
HCPCS,E1035,Patient transfer system <300,,,724.87,7916.2,7
HCPCS,E1036,Patient transfer system >300,,,1039.54,11296.1,7
HCPCS,E1037,"Transport chair, ped size",,,134.4,1418.7,7
HCPCS,E1038,Transport chair pt wt<=300lb,,,17.83,215.7,7
HCPCS,E1039,Transport chair pt wt >300lb,,,41.87,441.9,7
HCPCS,E1050,Whelchr fxd full length arms,,,142.31,1185.4,7
HCPCS,E1060,Wheelchair detachable arms,,,176.13,1477.8,7
HCPCS,E1070,Wheelchair detachable foot r,,,153.05,1433.6,7
HCPCS,E1083,Hemi-wheelchair fixed arms,,,110.01,911.0,7
HCPCS,E1084,Hemi-wheelchair detachable a,,,134.24,1134.9,7
HCPCS,E1085,Hemi-wheelchair fixed arms,,,792.12,792.12,3
HCPCS,E1086,Hemi-wheelchair detachable a,,,817.68,817.68,3
HCPCS,E1087,Wheelchair lightwt fixed arm,,,176.79,1722.2,7
HCPCS,E1088,Wheelchair lightweight det a,,,210.66,1744.2,7
HCPCS,E1089,Wheelchair lightwt fixed arm,,,1026.26,1026.26,3
HCPCS,E1090,Wheelchair lightweight det a,,,1324.8,1324.8,3
HCPCS,E1092,Wheelchair wide w/ leg rests,,,172.62,1749.1,7
HCPCS,E1093,Wheelchair wide w/ foot rest,,,154.42,1314.9,7
HCPCS,E1100,Whchr s-recl fxd arm leg res,,,145.03,1200.9,7
HCPCS,E1110,Wheelchair semi-recl detach,,,142.02,1383.5,7
HCPCS,E1130,Whlchr stand fxd arm ft rest,,,92.95,92.95,3
HCPCS,E1140,Wheelchair standard detach a,,,75.01,75.01,3
HCPCS,E1150,Wheelchair standard w/ leg r,,,113.97,1042.6,7
HCPCS,E1160,Wheelchair fixed arms,,,87.34,765.7,7
HCPCS,E1161,Manual adult wc w tiltinspac,,,330.58,3220.2,7
HCPCS,E1170,Whlchr ampu fxd arm leg rest,,,124.81,1033.4,7
HCPCS,E1171,Wheelchair amputee w/o leg r,,,111.98,1000.1,7
HCPCS,E1172,Wheelchair amputee detach ar,,,116.37,1333.6,7
HCPCS,E1180,Wheelchair amputee w/ foot r,,,124.91,1379.2,7
HCPCS,E1190,Wheelchair amputee w/ leg re,,,163.57,1593.4,7
HCPCS,E1195,Wheelchair amputee heavy dut,,,175.51,1453.3,7
HCPCS,E1200,Wheelchair amputee fixed arm,,,121.57,1006.6,7
HCPCS,E1220,Whlchr special size/constrc,,,777.26,777.26,3
HCPCS,E1221,Wheelchair spec size w foot,,,66.39,549.7,7
HCPCS,E1222,Wheelchair spec size w/ leg,,,94.69,899.0,7
HCPCS,E1223,Wheelchair spec size w foot,,,103.41,890.3,7
HCPCS,E1224,Wheelchair spec size w/ leg,,,113.39,938.9,7
HCPCS,E1225,Manual semi-reclining back,,,46.94,546.9,7
HCPCS,E1226,Manual fully reclining back,,,469.01,589.73,7
HCPCS,E1227,Wheelchair spec sz spec ht a,,,305.75,414.4,7
HCPCS,E1228,Wheelchair spec sz spec ht b,,,39.16,324.2,7
HCPCS,E1230,Power operated vehicle,,,2931.81,3973.62,7
HCPCS,E1232,Folding ped wc tilt-in-space,,,298.8,2910.7,7
HCPCS,E1233,Rig ped wc tltnspc w/o seat,,,309.57,3015.6,7
HCPCS,E1234,Fld ped wc tltnspc w/o seat,,,269.52,2625.4,7
HCPCS,E1235,Rigid ped wc adjustable,,,259.53,2528.1,7
HCPCS,E1236,Folding ped wc adjustable,,,228.97,2230.4,7
HCPCS,E1237,Rgd ped wc adjstabl w/o seat,,,230.95,2249.8,7
HCPCS,E1238,Fld ped wc adjstabl w/o seat,,,228.97,2230.4,7
HCPCS,E1240,Whchr litwt det arm leg rest,,,132.71,1336.5,7
HCPCS,E1250,Wheelchair lightwt fixed arm,,,662.55,662.55,3
HCPCS,E1260,Wheelchair lightwt foot rest,,,103.38,103.38,3
HCPCS,E1270,Wheelchair lightweight leg r,,,110.3,1036.8,7
HCPCS,E1280,Whchr h-duty det arm leg res,,,183.39,1518.5,7
HCPCS,E1285,Wheelchair heavy duty fixed,,,98.07,98.07,3
HCPCS,E1290,Wheelchair hvy duty detach a,,,126.67,126.67,3
HCPCS,E1295,Wheelchair heavy duty fixed,,,169.71,1405.1,7
HCPCS,E1296,Wheelchair special seat heig,,,618.36,863.75,7
HCPCS,E1297,Wheelchair special seat dept,,,133.61,183.78,7
HCPCS,E1298,Wheelchair spec seat depth/w,,,503.14,632.65,7
HCPCS,E1310,Whirlpool non-portable,,,2366.0,3772.64,7
HCPCS,E1352,O2 flow reg pos inspir press,,,26.59,26.59,3
HCPCS,E1353,Oxygen supplies regulator,,,36.71,49.76,15
HCPCS,E1354,"Wheeled cart, port cyl/conc",,,23.51,23.51,3
HCPCS,E1355,Oxygen supplies stand/rack,,,27.66,37.5,15
HCPCS,E1356,"Batt pack/cart, port conc",,,23.36,23.36,3
HCPCS,E1357,"Battery charger, port conc",,,100.77,100.77,3
HCPCS,E1372,Oxy suppl heater for nebuliz,,,136.13,173.36,7
HCPCS,E1390,Oxygen concentrator,,,94.68,122.63,7
HCPCS,E1391,"Oxygen concentrator, dual",,,97.53,160.51,7
HCPCS,E1392,Portable oxygen concentrator,,,48.23,60.64,7
HCPCS,E1405,O2/water vapor enrich w/heat,,,128.74,2007.1,7
HCPCS,E1406,O2/water vapor enrich w/o he,,,104.69,1745.0,7
HCPCS,E1510,Kidney dialysate delivry sys,,,724.92,724.92,3
HCPCS,E1520,Heparin infusion pump,,,74.65,74.65,3
HCPCS,E1530,Replacement air bubble detec,,,107.78,107.78,3
HCPCS,E1540,Replacement pressure alarm,,,66.68,66.68,3
HCPCS,E1560,Replace blood leak detector,,,122.56,122.56,3
HCPCS,E1570,Adjustable chair for esrd pt,,,117.63,117.63,3
HCPCS,E1575,Transducer protect/fld bar,,,31.47,31.47,3
HCPCS,E1590,Hemodialysis machine,,,1208.18,1208.18,3
HCPCS,E1594,Cycler dialysis machine,,,498.22,498.22,3
HCPCS,E1600,Deli/install chrg hemo equip,,,540.72,540.72,3
HCPCS,E1610,Reverse osmosis h2o puri sys,,,719.58,719.58,3
HCPCS,E1615,Deionizer H2O puri system,,,292.68,292.68,3
HCPCS,E1634,Peritoneal dialysis clamp,,,3.78,3.78,3
HCPCS,E1636,Sorbent cartridges per 10,,,1690.88,1690.88,3
HCPCS,E1637,"Hemostats for dialysis, each",,,4.67,4.67,3
HCPCS,E1639,"Scale, each",,,155.81,155.81,3
HCPCS,E1700,Jaw motion rehab system,,,48.19,469.4,7
HCPCS,E1701,Repl cushions for jaw motion,,,13.74,18.62,15
HCPCS,E1702,Repl measr scales jaw motion,,,29.24,39.63,15
HCPCS,E1800,Adjust elbow ext & flex dev,,,171.16,1667.3,7
HCPCS,E1801,Sps/pass elbow device,,,176.83,1755.9,7
HCPCS,E1802,Adjst forearm pro/sup device,,,456.62,4448.1,7
HCPCS,E1803,Adjust elbow extension dev,,,171.16,215.22,4
HCPCS,E1804,Adjust elbow flexion dev,,,171.16,215.22,4
HCPCS,E1805,Adjust wrist ext & flex dev,,,176.54,1719.7,7
HCPCS,E1806,SPS wrist device,,,145.1,1441.8,7
HCPCS,E1807,Adjust wrist extension dev,,,176.54,221.98,4
HCPCS,E1808,Adjust wrist flexion device,,,176.54,221.98,4
HCPCS,E1810,Adjust knee ext & flex dev,,,174.08,1695.8,7
HCPCS,E1811,Sps/pass knee device,,,183.81,1825.3,7
HCPCS,E1812,Knee ext/flex w act res ctrl,,,120.15,1170.4,7
HCPCS,E1813,Adjust knee extension device,,,174.08,218.89,4
HCPCS,E1814,Adjust knee flexion device,,,174.08,218.89,4
HCPCS,E1815,Adjust ankle ext & flex dev,,,176.54,1719.7,7
HCPCS,E1816,Sps/pass ankle device,,,186.65,1854.4,7
HCPCS,E1818,Sps/pass forearm device,,,190.58,1893.0,7
HCPCS,E1820,Soft interface material,,,105.96,135.48,7
HCPCS,E1821,Replacement interface SPSD,,,136.41,184.89,7
HCPCS,E1822,Adjust ankle extension dev,,,176.54,221.98,4
HCPCS,E1823,Adjust ankle flexion device,,,176.54,221.98,4
HCPCS,E1825,Adjust finger ext & flex dev,,,176.54,1719.7,7
HCPCS,E1826,Adjust finger extension dev,,,176.54,221.98,4
HCPCS,E1827,Adjust finger flexion device,,,176.54,221.98,4
HCPCS,E1828,Adjust toe extension device,,,176.54,221.98,4
HCPCS,E1829,Adjust toe flexion device,,,176.54,221.98,4
HCPCS,E1830,Adjust toe ext & flex device,,,176.54,1719.7,7
HCPCS,E1831,Static str toe dev ext/flex,,,92.3,899.2,7
HCPCS,E1840,Adj shoulder ext/flex device,,,534.73,5098.4,7
HCPCS,E1841,Sps/pass shoulder device,,,632.91,6165.3,7
HCPCS,E1905,Vr cbt therapy,,,661.54,6444.2,7
HCPCS,E2000,Gastric suction pump hme mdl,,,71.0,705.5,7
HCPCS,E2001,Suct pum ext mgmt sys,,,62.73,623.1,7
HCPCS,E2100,Bld glucose monitor w voice,,,806.62,1129.95,7
HCPCS,E2101,Bld glucose monitor w lance,,,244.41,331.25,7
HCPCS,E2102,Adju cgm receiver/monitor,,,194.6,294.9,7
HCPCS,E2103,Non-adju cgm receiver/mon,,,253.29,371.39,7
HCPCS,E2104,Glucose monitor w cartridge,,,53.45,67.21,4
HCPCS,E2120,Pulse gen sys tx endolymp fl,,,396.13,3858.8,7
HCPCS,E2201,"Man w/ch acc seat w>=20""<24""",,,372.14,467.93,7
HCPCS,E2202,Seat width 24-27 in,,,556.49,699.73,7
HCPCS,E2203,Frame depth less than 22 in,,,501.59,630.7,7
HCPCS,E2204,Frame depth 22 to 25 in,,,895.53,1126.04,7
HCPCS,E2205,"Manual wc accessory, handrim",,,41.36,52.01,7
HCPCS,E2206,Man wc whl lock comp repl ea,,,45.54,57.26,7
HCPCS,E2207,Crutch and cane holder,,,54.23,68.19,7
HCPCS,E2208,Cylinder tank carrier,,,94.43,118.74,7
HCPCS,E2209,Arm trough each,,,98.64,124.03,7
HCPCS,E2210,Wheelchair bearings,,,6.55,8.24,7
HCPCS,E2211,Pneumatic propulsion tire,,,38.71,48.67,7
HCPCS,E2212,Pneumatic prop tire tube,,,7.53,9.47,7
HCPCS,E2213,Pneumatic prop tire insert,,,35.0,44.01,7
HCPCS,E2214,Pneumatic caster tire each,,,39.57,49.76,7
HCPCS,E2215,Pneumatic caster tire tube,,,12.38,15.72,7
HCPCS,E2216,Foam filled propulsion tire,,,55.74,71.89,7
HCPCS,E2217,Foam filled caster tire each,,,49.32,63.61,7
HCPCS,E2218,Foam propulsion tire each,,,55.74,71.89,7
HCPCS,E2219,Foam caster tire any size ea,,,49.32,63.61,7
HCPCS,E2220,"Solid propuls tire, repl, ea",,,32.81,43.43,7
HCPCS,E2221,"Solid caster tire repl, each",,,31.71,39.87,7
HCPCS,E2222,"Solid caster integ whl, repl",,,26.62,33.47,7
HCPCS,E2224,Propulsion whl excl tire rep,,,114.05,143.41,7
HCPCS,E2225,Caster wheel excludes tire,,,22.51,28.83,7
HCPCS,E2226,Caster fork replacement only,,,46.66,58.67,7
HCPCS,E2227,Gear reduction drive wheel,,,261.39,2546.2,7
HCPCS,E2228,"Mwc acc, wheelchair brake",,,116.34,1235.9,7
HCPCS,E2231,Solid seat support base,,,165.68,208.33,7
HCPCS,E2291,Planar back for ped size wc,,,166.16,166.16,3
HCPCS,E2292,Planar seat for ped size wc,,,90.49,90.49,3
HCPCS,E2293,Contour back for ped size wc,,,298.86,298.86,3
HCPCS,E2294,Contour seat for ped size wc,,,312.64,312.64,3
HCPCS,E2295,Ped dynamic seating frame,,,354.45,354.45,3
HCPCS,E2298,Pwr seat elev sys for crt,,,206.22,259.3,4
HCPCS,E2300,Outpatient Services - CPT/HCPCS,,,1848.79,1848.79,3
HCPCS,E2301,Pwr standing,,,4828.68,4828.68,3
HCPCS,E2310,Electro connect btw control,,,132.13,1326.2,7
HCPCS,E2311,Electro connect btw 2 sys,,,266.64,2680.8,7
HCPCS,E2312,Mini-prop remote joystick,,,281.75,2744.6,7
HCPCS,E2313,"PWC harness, expand control",,,44.77,436.1,7
HCPCS,E2321,Hand interface joystick,,,179.54,1801.5,7
HCPCS,E2322,Mult mech switches,,,169.62,1648.4,7
HCPCS,E2323,Special joystick handle,,,76.77,103.96,7
HCPCS,E2324,Chin cup interface,,,48.95,66.35,7
HCPCS,E2325,Sip and puff interface,,,162.12,1575.1,7
HCPCS,E2326,Breath tube kit,,,41.82,407.4,7
HCPCS,E2327,Head control interface mech,,,314.58,3064.4,7
HCPCS,E2328,Head/extremity control inter,,,596.73,5804.7,7
HCPCS,E2329,Head control nonproportional,,,212.68,2071.8,7
HCPCS,E2330,Head control proximity switc,,,412.09,4014.2,7
HCPCS,E2331,Attendant control,,,1034.8,1034.8,3
HCPCS,E2340,W/c wdth 20-23 in seat frame,,,464.5,629.56,7
HCPCS,E2341,W/c wdth 24-27 in seat frame,,,696.82,944.43,7
HCPCS,E2342,W/c dpth 20-21 in seat frame,,,580.7,787.04,7
HCPCS,E2343,W/c dpth 22-25 in seat frame,,,929.12,1259.27,7
HCPCS,E2351,Electronic SGD interface,,,780.81,1058.25,7
HCPCS,E2358,Gr 34 nonsealed leadacid,,,91.99,91.99,3
HCPCS,E2359,Gr34 sealed leadacid battery,,,208.26,261.87,7
HCPCS,E2360,22nf nonsealed leadacid,,,123.79,182.88,7
HCPCS,E2361,22nf sealed leadacid battery,,,137.27,172.6,7
HCPCS,E2362,Gr24 nonsealed leadacid,,,119.23,158.9,7
HCPCS,E2363,Gr24 sealed leadacid battery,,,174.64,219.59,7
HCPCS,E2364,U1nonsealed leadacid battery,,,123.79,181.79,7
HCPCS,E2365,U1 sealed leadacid battery,,,90.64,113.97,7
HCPCS,E2366,"Battery charger, single mode",,,191.85,241.38,7
HCPCS,E2367,"Battery charger, dual mode",,,460.44,610.12,7
HCPCS,E2368,Pwr wc drivewheel motor repl,,,47.6,561.0,7
HCPCS,E2369,Pwr wc drivewheel gear repl,,,45.24,508.3,7
HCPCS,E2370,Pwr wc dr wh motor/gear comb,,,62.0,805.6,7
HCPCS,E2371,Gr27 sealed leadacid battery,,,166.81,209.75,7
HCPCS,E2372,Gr27 non-sealed leadacid,,,91.99,91.99,3
HCPCS,E2373,Hand/chin ctrl spec joystick,,,96.26,944.4,7
HCPCS,E2374,Hand/chin ctrl std joystick,,,60.89,608.1,7
HCPCS,E2375,Non-expandable controller,,,80.59,928.5,7
HCPCS,E2376,"Expandable controller, repl",,,151.26,1519.8,7
HCPCS,E2377,"Expandable controller, initl",,,56.04,556.2,7
HCPCS,E2378,Pw actuator replacement,,,68.87,693.7,7
HCPCS,E2381,Pneum drive wheel tire,,,70.91,89.16,7
HCPCS,E2382,"Tube, pneum wheel drive tire",,,21.83,27.9,7
HCPCS,E2383,"Insert, pneum wheel drive",,,148.41,186.61,7
HCPCS,E2384,Pneumatic caster tire,,,74.76,94.0,7
HCPCS,E2385,"Tube, pneumatic caster tire",,,52.21,66.97,7
HCPCS,E2386,Foam filled drive wheel tire,,,124.64,156.72,7
HCPCS,E2387,Foam filled caster tire,,,58.26,73.26,7
HCPCS,E2388,Foam drive wheel tire,,,54.86,72.87,7
HCPCS,E2389,Foam caster tire,,,30.23,40.73,7
HCPCS,E2390,Solid drive wheel tire,,,47.03,63.07,7
HCPCS,E2391,Solid caster tire,,,20.49,25.76,7
HCPCS,E2392,"Solid caster tire, integrate",,,50.39,63.36,7
HCPCS,E2394,Drive wheel excludes tire,,,69.21,87.02,7
HCPCS,E2395,Caster wheel excludes tire,,,53.51,67.28,7
HCPCS,E2396,Caster fork,,,60.5,76.07,7
HCPCS,E2397,"Pwc acc, lith-based battery",,,535.78,695.61,7
HCPCS,E2398,Wc dynamic pos back hardware,,,148.69,201.54,7
HCPCS,E2402,Neg press wound therapy pump,,,41.28,1015.24,7
HCPCS,E2500,SGD digitized pre-rec <=8min,,,506.88,687.01,7
HCPCS,E2502,SGD prerec msg >8min <=20min,,,1550.01,2100.8,7
HCPCS,E2504,SGD prerec msg>20min <=40min,,,2044.69,2771.27,7
HCPCS,E2506,SGD prerec msg > 40 min,,,2998.11,4063.46,7
HCPCS,E2508,SGD spelling phys contact,,,4636.09,6283.49,7
HCPCS,E2510,SGD w multi methods msg/accs,,,8773.17,11890.68,7
HCPCS,E2512,"SGD accessory, mounting sys",,,627.35,627.35,3
HCPCS,E2513,"Sgd accessory, emg sensor",,,4402.94,5536.26,4
HCPCS,E2601,Gen w/c cushion wdth < 22 in,,,46.65,58.66,7
HCPCS,E2602,Gen w/c cushion wdth >=22 in,,,100.49,126.36,7
HCPCS,E2603,Skin protect wc cus wd <22in,,,127.47,160.28,7
HCPCS,E2604,Skin protect wc cus wd>=22in,,,177.16,222.76,7
HCPCS,E2605,Position wc cush wdth <22 in,,,254.54,320.06,7
HCPCS,E2606,Position wc cush wdth>=22 in,,,390.48,490.99,7
HCPCS,E2607,Skin pro/pos wc cus wd <22in,,,236.55,297.44,7
HCPCS,E2608,Skin pro/pos wc cus wd>=22in,,,301.95,379.67,7
HCPCS,E2610,Powered w/c cushion,,,65.41,65.41,3
HCPCS,E2611,Gen use back cush wdth <22in,,,179.31,268.57,7
HCPCS,E2612,Gen use back cush wdth>=22in,,,371.53,467.16,7
HCPCS,E2613,Position back cush wd <22in,,,376.14,472.96,7
HCPCS,E2614,Position back cush wd>=22in,,,528.11,664.05,7
HCPCS,E2615,Pos back post/lat wdth <22in,,,424.27,533.48,7
HCPCS,E2616,Pos back post/lat wdth>=22in,,,570.53,717.38,7
HCPCS,E2619,Replace cover w/c seat cush,,,56.18,75.03,7
HCPCS,E2620,WC planar back cush wd <22in,,,454.39,571.35,7
HCPCS,E2621,WC planar back cush wd>=22in,,,532.67,669.78,7
HCPCS,E2622,Adj skin pro w/c cus wd<22in,,,359.72,475.96,7
HCPCS,E2623,Adj skin pro wc cus wd>=22in,,,456.35,601.89,7
HCPCS,E2624,Adj skin pro/pos cus<22in,,,364.07,483.66,7
HCPCS,E2625,Adj skin pro/pos wc cus>=22,,,455.86,598.57,7
HCPCS,E2626,Seo mobile arm sup att to wc,,,737.66,927.53,7
HCPCS,E2627,Arm supp att to wc rancho ty,,,1092.0,1440.05,7
HCPCS,E2628,Mobile arm supports reclinin,,,886.72,1114.96,7
HCPCS,E2629,Friction dampening arm supp,,,1122.13,1410.97,7
HCPCS,E2630,Monosuspension arm/hand supp,,,767.17,964.64,7
HCPCS,E2631,Elevat proximal arm support,,,291.2,389.12,7
HCPCS,E2632,Offset/lat rocker arm w/ela,,,197.07,248.29,7
HCPCS,E2633,Mobile arm support supinator,,,157.06,205.27,7
HCPCS,E3000,Speech volume modulation sys,,,240.04,2338.2,7
HCPCS,E8000,Posterior gait trainer,,,869.63,869.63,3
HCPCS,E8001,Upright gait trainer,,,2044.03,2044.03,3
HCPCS,E8002,Anterior gait trainer,,,1163.15,1163.15,3
HCPCS,G0008,Admin influenza virus vac,,,21.05,59.74,11
HCPCS,G0009,Admin pneumococcal vaccine,,,21.05,59.74,11
HCPCS,G0010,Admin hepatitis b vaccine,,,21.05,59.74,11
HCPCS,G0011,"Hiv prep counsel, md 15-30m",,,22.3,38.97,15
HCPCS,G0012,Injection of hiv prep drug,,,14.31,74.73,15
HCPCS,G0013,"Hiv prep counsel, clin staff",,,8.65,31.28,15
HCPCS,G0017,Crisis psychotherapy 60m,,,185.74,324.59,15
HCPCS,G0018,Crisis psychotherapy add 30m,,,93.2,162.88,15
HCPCS,G0019,Comm hlth intg svs sdoh 60mn,,,39.51,112.1,17
HCPCS,G0022,Comm hlth intg svs add 30 m,,,1.0,50.11,15
HCPCS,G0023,Pin service 60m per month,,,39.51,112.1,17
HCPCS,G0024,Pin srv add 30 min pr m,,,1.0,50.11,15
HCPCS,G0027,Semen analysis,,,6.18,17.86,15
HCPCS,G0068,Adm IV infusion drug in home,,,21.05,59.74,3
HCPCS,G0069,Adm sq infusion drug in home,,,21.05,59.74,3
HCPCS,G0070,Adm of chemo drug in home,,,21.05,59.74,3
HCPCS,G0071,Outpatient Services,,,13.02,14.39,8
HCPCS,G0071,Outpatient Services - CPT/HCPCS,,,30.25,30.25,3
HCPCS,G0071,Therapy,,,17.31,17.31,4
HCPCS,G0076,Care manag h vst new pt 20 m,,,44.72,86.09,15
HCPCS,G0077,Care manag h vst new pt 30 m,,,66.58,127.97,15
HCPCS,G0078,Care manag h vst new pt 45 m,,,108.65,209.99,15
HCPCS,G0079,Care manag h vst new pt 60 m,,,142.62,275.73,15
HCPCS,G0080,Care manag h vst new pt 75 m,,,185.77,361.82,15
HCPCS,G0081,Care man h v ext pt 20 mi,,,43.8,84.35,15
HCPCS,G0082,Care man h v ext pt 30 m,,,70.69,136.12,15
HCPCS,G0083,Care man h v ext pt 45 m,,,110.04,214.07,15
HCPCS,G0084,Care man h v ext pt 60 m,,,154.81,302.48,15
HCPCS,G0085,Care man h v ext pt 75 m,,,185.77,361.82,15
HCPCS,G0086,Care man home care plan 30 m,,,66.32,129.14,15
HCPCS,G0087,Care man home care plan 60 m,,,92.91,180.91,15
HCPCS,G0088,Adm IV drug 1st home visit,,,21.05,59.74,3
HCPCS,G0089,Adm subq drug 1st home visit,,,21.05,59.74,3
HCPCS,G0090,Adm IV chemo 1st home visit,,,21.05,59.74,3
HCPCS,G0101,CA screen;pelvic/breast exam,,,27.3,112.1,15
HCPCS,G0102,Prostate ca screening; dre,,,1.0,23.56,15
HCPCS,G0103,PSA screening,,,18.34,53.05,15
HCPCS,G0104,CA screen;flexi sigmoidscope,,,56.26,1149.53,17
HCPCS,G0105,Colorectal scrn; hi risk ind,,,181.42,1149.53,17
HCPCS,G0106,Outpatient Services - CPT/HCPCS,,,81.44,231.09,5
HCPCS,G0106,Therapy,,,218.7,218.7,4
HCPCS,G0108,DIABETES CNSLT IND 30 MIN,111.0,88.8,37.19,99.9,34
HCPCS,G0108,DIABETES SELF MGMT INDIVIDUAL,111.0,88.8,37.19,99.9,34
HCPCS,G0109,DIABETES CSLT GRP 30 MIN,46.0,36.8,14.25,41.4,34
HCPCS,G0109,DIABETES SELF MGMT GRP SESSION,46.0,36.8,14.25,41.4,34
HCPCS,G0117,Glaucoma scrn hgh risk direc,,,13.2,63.58,17
HCPCS,G0118,Glaucoma scrn hgh risk direc,,,17.78,50.45,17
HCPCS,G0120,Outpatient Services - CPT/HCPCS,,,170.46,483.7,5
HCPCS,G0120,Therapy,,,218.7,218.7,4
HCPCS,G0121,Colon ca scrn not hi rsk ind,,,181.75,1149.53,17
HCPCS,G0122,Outpatient Services - CPT/HCPCS,,,561.92,561.92,3
HCPCS,G0122,Therapy,,,321.56,321.56,4
HCPCS,G0123,Screen cerv/vag thin layer,,,19.25,55.66,15
HCPCS,G0124,Screen c/v thin layer by MD,,,22.86,41.88,15
HCPCS,G0127,SURG G0127 TRIMMING OF DYSTROPHIC NAILS ANY NUMBER,98.0,78.4,7.32,88.2,36
HCPCS,G0128,CORF skilled nursing service,,,8.72,16.87,15
HCPCS,G0129,Php/iop ot service,,,35.03,35.03,3
HCPCS,G0130,Single energy x-ray study,,,36.62,138.29,15
HCPCS,G0136,Adm of pa/n assess 5-15 m,,,8.99,36.11,17
HCPCS,G0138,Iv cipaglucosidase alfa-atga,,,617.98,683.03,8
HCPCS,G0140,Nav srv peer sup 60 min pr m,,,39.51,112.1,15
HCPCS,G0141,"Scr c/v cyto,autosys and md",,,22.86,41.88,15
HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,25.7,74.31,15
HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,41.77,120.79,15
HCPCS,G0145,CYTOPAP TLP AUTO MAN REV G0145,113.0,90.4,25.17,101.7,34
HCPCS,G0146,Nav srv peer sup add 30 pr m,,,1.0,50.11,15
HCPCS,G0147,"Scr c/v cyto, automated sys",,,17.28,49.97,15
HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,30.34,87.75,15
HCPCS,G0151,"HHCP-serv of pt,ea 15 min",,,36.67,36.67,3
HCPCS,G0152,"HHCP-serv of ot,ea 15 min",,,37.45,37.45,3
HCPCS,G0153,"HHCP-svs of s/l path,ea 15mn",,,37.94,37.94,3
HCPCS,G0157,HHC PT assistant ea 15,,,35.95,35.95,3
HCPCS,G0158,HHC OT assistant ea 15,,,36.72,36.72,3
HCPCS,G0159,HHC PT maint ea 15 min,,,35.95,35.95,3
HCPCS,G0166,ECP PER TREATMENT,794.0,635.2,56.62,714.6,36
HCPCS,G0168,Wound closure by adhesive,,,14.65,251.79,15
HCPCS,G0175,"OPPS Service,sched team conf",,,196.31,557.07,13
HCPCS,G0177,Opps/php/iop; train & educ,,,1.0,1.0,3
HCPCS,G0179,Md recertification hha pt,,,38.46,73.29,15
HCPCS,G0180,Md certification hha patient,,,48.71,93.65,15
HCPCS,G0181,Home health care supervision,,,94.64,182.65,15
HCPCS,G0182,Hospice care supervision,,,93.6,182.07,15
HCPCS,G0183,Software meas of cardiac vol,,,83.65,92.45,8
HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,257.64,1096.63,16
HCPCS,G0219,PET img wholbod melano nonco,,,182.81,518.75,3
HCPCS,G0235,PET not otherwise specified,,,182.81,518.75,11
HCPCS,G0237,RESP MUSCLE STRENGTH 15 MINS,165.0,132.0,11.32,148.5,36
HCPCS,G0237,RESP MUSCLE STRENGTH 15MIN M59,155.0,124.0,11.32,139.5,36
HCPCS,G0238,PR BR RETRAIN W EXER 15 MIN,165.0,132.0,10.32,148.5,36
HCPCS,G0238,PR BR RETRNG W EXER PULM M59,166.0,132.8,10.32,149.4,36
HCPCS,G0238,THER PROC IMPROVE RESP FUNCT 15 MIN,165.0,132.0,10.32,148.5,36
HCPCS,G0239,THER PROC IMPROVE RESP FUNCT 2 OR MORE INDV,222.0,177.6,12.98,199.8,36
HCPCS,G0245,Initial foot exam pt lops,,,39.28,166.26,15
HCPCS,G0246,Followup eval of foot pt lop,,,19.64,166.26,15
HCPCS,G0247,Routine footcare pt w lops,,,21.3,251.79,15
HCPCS,G0248,DEMONSTRATE HOME INR MONITOR PRIOR TO INITIAL USE,338.0,270.4,58.59,304.2,36
HCPCS,G0249,PROVIDE INR TEST MATERIAL EQUIPMENT,324.0,259.2,58.59,291.6,36
HCPCS,G0250,MD INR test revie inter mgmt,,,7.8,15.12,15
HCPCS,G0252,PET imaging initial dx,,,182.81,518.75,3
HCPCS,G0255,Current percep threshold tst,,,102.24,102.24,3
HCPCS,G0257,UNSCHED OP ESRD HEMODIALYSIS,2050.0,1640.0,309.73,1845.0,36
HCPCS,G0259,Inject for sacroiliac joint,,,1.0,1.0,3
HCPCS,G0260,SURG G0260 INJ ARTHROGRAM SACROILIAC WANES,2237.0,1789.6,306.51,2013.3,36
HCPCS,G0268,Removal of impacted wax md,,,1.0,51.3,15
HCPCS,G0269,SURG G0269 OCC DEVICE VEIN ART,1338.0,1070.4,1.0,1204.2,26
HCPCS,G0270,MNT subs tx for change dx,,,26.96,47.12,15
HCPCS,G0271,Group MNT 2 or more 30 mins,,,15.31,26.76,15
HCPCS,G0276,Pild/placebo control clin tr,,,364.5,8998.06,15
HCPCS,G0277,"Hbot, full body chamber, 30m",,,34.22,182.08,17
HCPCS,G0278,ILIAC ANGIO CARDIAC CATH,2749.0,2199.2,1.0,2474.1,34
HCPCS,G0279,"Tomosynthesis, mammo",,,39.99,82.6,15
HCPCS,G0281,Elec stim unattend for press,,,10.57,251.79,15
HCPCS,G0282,Elect stim wound care not pd,,,88.73,251.79,3
HCPCS,G0283,Elec stim other than wound,,,11.49,20.36,15
HCPCS,G0288,"Recon, CTA for surg plan",,,1.0,46.08,15
HCPCS,G0289,"Arthro, loose body + chondro",,,1.0,84.55,18
HCPCS,G0293,"Non-cov surg proc,clin trial",,,17.78,50.45,11
HCPCS,G0294,"Non-cov proc, clinical trial",,,17.78,50.45,11
HCPCS,G0295,Electromagnetic therapy onc,,,88.73,251.79,3
HCPCS,G0296,Visit to determ ldct elig,,,24.97,112.1,17
HCPCS,G0297,Outpatient Services - CPT/HCPCS,,,40.28,114.29,3
HCPCS,G0299,Hhs/hospice of rn ea 15 min,,,10.02,10.02,3
HCPCS,G0300,Hhs/hospice of lpn ea 15 min,,,7.69,7.69,3
HCPCS,G0302,Pre-op service LVRS complete,,,237.56,674.12,13
HCPCS,G0303,Pre-op service LVRS 10-15dos,,,139.12,394.78,13
HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,237.56,674.12,13
HCPCS,G0305,Post op service LVRS min 6,,,237.56,674.12,13
HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.38,21.35,15
HCPCS,G0307,CBC without platelet,,,6.15,17.77,15
HCPCS,G0308,Outpatient Services - CPT/HCPCS,,,88.73,251.79,3
HCPCS,G0309,Outpatient Services - CPT/HCPCS,,,88.73,251.79,3
HCPCS,G0316,Prolong inpt eval add15 m,,,1.0,31.43,15
HCPCS,G0317,Prolong nursin fac eval 15m,,,28.13,52.35,15
HCPCS,G0318,Prolong home eval add 15m,,,27.82,51.77,15
HCPCS,G0323,Care manage beh svs 20mins,,,12.72,43.27,15
HCPCS,G0328,Fecal blood scrn immunoassay,,,17.15,49.59,19
HCPCS,G0329,Electromagntic tx for ulcers,,,9.64,251.79,15
HCPCS,G0330,Facility svs dental rehab,,,1427.04,4049.48,13
HCPCS,G0337,Hospice evaluation preelecti,,,61.78,119.83,15
HCPCS,G0339,STEREOTACTIC RAD TRTMT,23243.0,18594.4,3451.58,20918.7,26
HCPCS,G0340,STEROTATC RAD TRTMT SESS,10938.0,8750.4,2893.1,9844.2,26
HCPCS,G0341,Percutaneous islet celltrans,,,304.25,7257.21,15
HCPCS,G0342,Laparoscopy islet cell trans,,,644.01,7257.21,15
HCPCS,G0343,Laparotomy islet cell transp,,,1048.99,7257.21,15
HCPCS,G0372,MD service required for PMD,,,7.8,15.12,15
HCPCS,G0378,OBSERVATION CARVE OUT,112.0,89.6,1.0,100.8,26
HCPCS,G0379,DIRECT ADMIT OBSERVATION,139.0,111.2,36.77,807.88,36
HCPCS,G0380,Lev 1 hosp type B ED visit,,,33.25,94.34,13
HCPCS,G0381,Lev 2 hosp type B ED visit,,,53.99,153.19,13
HCPCS,G0382,Lev 3 hosp type B ED visit,,,88.66,251.58,13
HCPCS,G0383,Lev 4 hosp type B ED visit,,,130.56,370.49,13
HCPCS,G0384,Lev 5 hosp type B ED visit,,,168.95,479.41,13
HCPCS,G0390,TRAUMA ACTIVATION ALERT/ EVAL W CCARE,2614.0,2091.2,606.84,2352.6,36
HCPCS,G0390,TRAUMA ACTIVATION FULL W CCARE,8938.0,7150.4,606.84,8044.2,36
HCPCS,G0390,TRAUMA ACTIVATION PARTIAL W CCARE,7532.0,6025.6,606.84,6778.8,36
HCPCS,G0396,Alcohol/subs interv 15-30mn,,,12.72,36.11,17
HCPCS,G0397,Alcohol/subs interv >30 min,,,63.58,200.54,17
HCPCS,G0398,Home sleep test/type 2 Porta,,,69.23,196.46,11
HCPCS,G0399,SLEEP STUDY UNATTENDED HOME TYPE 3,899.0,719.2,69.23,809.1,34
HCPCS,G0400,Home sleep test/type 4 Porta,,,139.12,394.78,11
HCPCS,G0402,Initial preventive exam,,,58.59,166.26,17
HCPCS,G0403,EKG for initial prevent exam,,,12.83,25.01,15
HCPCS,G0404,EKG tracing for initial prev,,,6.32,37.46,17
HCPCS,G0405,EKG interpret & report preve,,,7.19,13.96,15
HCPCS,G0406,Inpt/tele follow up 15,,,35.97,71.55,15
HCPCS,G0407,Inpt/tele follow up 25,,,63.91,124.48,15
HCPCS,G0408,Inpt/tele follow up 35,,,92.65,181.49,15
HCPCS,G0409,CORF related serv 15 mins ea,,,12.72,36.11,15
HCPCS,G0410,Grp psych php/iop 45-50,,,12.72,36.11,3
HCPCS,G0411,Interactive grp psyc php/iop,,,12.72,36.11,3
HCPCS,G0412,Open tx iliac spine uni/bil,,,638.36,7497.96,17
HCPCS,G0413,Pelvic ring fracture uni/bil,,,1069.19,8998.06,17
HCPCS,G0414,Pelvic ring fx treat int fix,,,712.37,13793.8,17
HCPCS,G0415,Open tx post pelvic fxcture,,,712.37,13793.8,17
HCPCS,G0416,"Prostate biopsy, any mthd",,,159.32,452.09,15
HCPCS,G0420,Ed svc CKD ind per session,,,97.09,188.47,15
HCPCS,G0421,Ed svc CKD grp per session,,,23.4,47.12,15
HCPCS,G0422,Intens cardiac rehab w/exerc,,,58.57,166.2,17
HCPCS,G0423,Intens cardiac rehab no exer,,,58.57,166.2,17
HCPCS,G0425,Inpt/ED teleconsult30,,,81.28,159.97,15
HCPCS,G0426,Inpt/ED teleconsult50,,,115.36,226.28,15
HCPCS,G0427,Inpt/ED teleconsult70,,,164.61,319.94,15
HCPCS,G0428,Collagen Meniscus Implant,,,712.37,2021.46,3
HCPCS,G0429,Dermal filler injection(s),,,67.91,2293.66,17
HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,18.59,53.76,15
HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,17.38,50.25,19
HCPCS,G0435,Oral HIV-1/HIV-2 screen,,,11.38,32.91,15
HCPCS,G0438,"PPPS, initial visit",,,149.38,289.1,15
HCPCS,G0439,"PPPS, subseq visit",,,117.68,227.44,15
HCPCS,G0442,Annual alcohol screen 15 min,,,8.99,36.11,15
HCPCS,G0443,Brief alcohol misuse counsel,,,22.3,112.1,15
HCPCS,G0444,Depression screen annual,,,8.99,36.11,15
HCPCS,G0445,High inten beh couns STD 30m,,,22.3,112.1,15
HCPCS,G0446,Intens behave ther cardio dx,,,12.72,36.11,15
HCPCS,G0447,BEHAVIOR COUNSEL OBESITY 15M,74.0,59.2,22.3,112.1,34
HCPCS,G0448,Place perm pacing cardiovert,,,4732.97,13430.65,3
HCPCS,G0451,Devlopment test interpt&rep,,,11.65,112.1,17
HCPCS,G0452,Molecular pathology interpr,,,44.48,85.51,15
HCPCS,G0453,Cont intraop neuro monitor,,,1.0,31.62,15
HCPCS,G0454,MD document visit by NPP,,,7.8,15.12,15
HCPCS,G0455,Fecal microbiota prep instil,,,69.57,1149.53,17
HCPCS,G0458,LDR prostate brachy comp rat,,,211.12,211.12,3
HCPCS,G0459,"Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy",,,39.0,73.29,15
HCPCS,G0460,Autolog prp not diab ulcer,,,808.29,2293.66,11
HCPCS,G0463,TX RM G0463 HOSPITAL OUTPT CLINIC VISIT,258.0,206.4,58.59,232.2,36
HCPCS,G0465,Autolog prp diab wound ulcer,,,808.29,2293.66,11
HCPCS,G0466,Fqhc visit new patient,,,243.6,243.6,3
HCPCS,G0467,"Fqhc visit, estab pt",,,181.57,181.57,3
HCPCS,G0468,"Fqhc visit, ippe or awv",,,243.6,243.6,3
HCPCS,G0469,"Fqhc visit, mh new pt",,,243.6,243.6,3
HCPCS,G0470,"Fqhc visit, mh estab pt",,,181.57,181.57,3
HCPCS,G0471,ven blood coll SNF/HHA,,,10.54,30.47,15
HCPCS,G0472,Hep c screen high risk/other,,,44.03,127.33,19
HCPCS,G0473,Group behave couns 2-10,,,11.32,36.11,15
HCPCS,G0475,Hiv combination assay,,,22.88,66.15,19
HCPCS,G0476,Hpv combo assay ca screen,,,33.34,96.4,15
HCPCS,G0480,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,108.71,314.36,15
HCPCS,G0481,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,148.76,430.18,15
HCPCS,G0482,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,188.8,545.98,15
HCPCS,G0483,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,234.57,678.34,15
HCPCS,G0490,"Home visit RN, LPN by RHC/FQ",,,92.66,92.66,3
HCPCS,G0491,ACUTE DIALYSIS IN ESRD UNIT,2025.0,1620.0,410.24,1822.5,27
HCPCS,G0491,AKI CAPD OUTPT DAILY RATE,2045.0,1636.0,175.82,1840.5,27
HCPCS,G0491,AKI CAPD RETRAIN DAILY NOT COMPLETE,1545.0,1236.0,175.82,1390.5,27
HCPCS,G0491,AKI CAPD TRAIN DAILY NOT COMPLETE,2045.0,1636.0,175.82,1840.5,27
HCPCS,G0491,AKI CCPD OUTPT DAILY RATE,2045.0,1636.0,293.0,1840.5,27
HCPCS,G0491,AKI CCPD RETRAIN DAILY NOT COMPLETE,1545.0,1236.0,293.0,1390.5,27
HCPCS,G0491,AKI CCPD TRAIN DAILY NOT COMPLETE,2015.0,1612.0,293.0,1813.5,27
HCPCS,G0491,AKI HOME HEMODIALYSIS DAILY,2045.0,1636.0,410.24,1840.5,27
HCPCS,G0491,AKI HOME HEMODIALYSIS DAILY IN NURSING HOME,2015.0,1612.0,410.24,1813.5,27
HCPCS,G0491,AKI HOME HEMODIALYSIS RETRAINING DAILY,2045.0,1636.0,410.24,1840.5,27
HCPCS,G0491,AKI HOME HEMODIALYSIS TRAINING DAILY,2045.0,1636.0,410.24,1840.5,27
HCPCS,G0491,AKI UNSCHED OP ESRD PERITONEAL DIALYSIS,1674.0,1339.2,196.31,1506.6,26
HCPCS,G0492,Md/oth eval acut kid no esrd,,,196.31,557.07,3
HCPCS,G0493,Rn care ea 15 min hh/hospice,,,8.71,8.71,3
HCPCS,G0494,Lpn care ea 15min hh/hospice,,,6.69,6.69,3
HCPCS,G0495,Rn care train/edu in hh,,,8.71,8.71,3
HCPCS,G0496,Lpn care train/edu in hh,,,6.69,6.69,3
HCPCS,G0498,CHEMO IV INFUSION EXTEND W/PUMP,1082.0,865.6,150.11,973.8,34
HCPCS,G0498,PF G0498 CHEMO EXTEND IV INFUS W/PUMP,1082.0,865.6,150.11,973.8,34
HCPCS,G0499,Hepb screen high risk indiv,,,26.86,77.66,15
HCPCS,G0500,MOD SED GI ENDO SERVICE >5YRS INT 15 MIN,306.0,244.8,1.0,275.4,34
HCPCS,G0501,Resource-inten svc during ov,,,1.0,1.0,3
HCPCS,G0506,Comp asses care plan ccm svc,,,1.0,62.8,15
HCPCS,G0508,Crit care telehea consult 60,,,182.64,356.0,15
HCPCS,G0509,Crit care telehea consult 50,,,167.62,328.08,15
HCPCS,G0511,Outpatient Services,,,50.6,55.93,8
HCPCS,G0511,Outpatient Services - CPT/HCPCS,,,73.29,73.29,3
HCPCS,G0511,Therapy,,,41.94,41.94,4
HCPCS,G0512,Outpatient Services,,,129.78,143.45,8
HCPCS,G0512,Outpatient Services - CPT/HCPCS,,,12.72,36.11,3
HCPCS,G0512,Therapy,,,69.9,69.9,4
HCPCS,G0513,"Prolong prev svcs, first 30m",,,1.0,62.38,15
HCPCS,G0514,"Prolong prev svcs, addl 30m",,,1.0,62.38,15
HCPCS,G0516,"insert drug implant,>=4",,,95.54,501.13,17
HCPCS,G0517,Remove drug implant,,,108.85,501.13,17
HCPCS,G0518,Remove w insert drug implant,,,176.6,501.13,17
HCPCS,G0532,Take home supp nasal spray,,,99.96,99.96,4
HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,28.3,31.28,8
HCPCS,G0538,Ascvd rsk mng clin stf pr mo,,,87.88,97.13,8
HCPCS,G0539,Initial care training 30 m,,,48.9,54.05,8
HCPCS,G0540,Train for caregiver add 15,,,24.09,26.62,8
HCPCS,G0541,CAREGIVER TRAIN PATIENT NOT PRESENT INITIAL 30 MIN,156.0,124.8,41.26,140.4,34
HCPCS,G0542,CAREGIVER TRAIN PATIENT NOT PRESENT EA ADDL 15 MIN,77.0,61.6,20.37,69.3,34
HCPCS,G0543,GROUP CAREGIVER TRAIN PATIENT NOT PRESENT MULT CAREGIVERS,66.0,52.8,17.46,59.4,34
HCPCS,G0544,Post d/c phone follow up,,,87.88,97.13,8
HCPCS,G0545,Inherent visit to inpt,,,39.73,43.91,8
HCPCS,G0546,Phone/internet ehr assess,,,15.72,17.37,8
HCPCS,G0547,Phone/internet svs 11-20 m,,,31.74,35.08,8
HCPCS,G0548,Phone/inter svs 21-30 m,,,47.88,52.92,8
HCPCS,G0549,Phone/inter for treat>31m,,,64.21,70.97,8
HCPCS,G0550,Phone/inter for dx/treat >5m,,,29.97,33.12,8
HCPCS,G0551,Phn/intr svs fr dx treat 30m,,,31.51,34.82,8
HCPCS,G0552,Supply of digital device,,,122.43,135.31,8
HCPCS,G0553,Monthly tx for dmht 20mins,,,122.43,135.31,8
HCPCS,G0554,Add 20 m of monthly tx,,,37.04,40.94,8
HCPCS,G0555,Replacment pt electronic sys,,,966.52,1068.26,8
HCPCS,G0556,Adv prim care mgmt lvl 1,,,28.3,31.28,8
HCPCS,G0557,Adv prim care mgmt lvl 2,,,28.3,31.28,8
HCPCS,G0558,Adv prim care mgmt lvl 3,,,87.88,97.13,8
HCPCS,G0559,Unrelat prac follow up visit,,,7.73,8.54,8
HCPCS,G0560,Safety plan interven,,,38.76,42.84,8
HCPCS,G0562,Complex simulation w/pet-ct,,,1852.98,2048.03,8
HCPCS,G0563,Sbrt w/positron emission del,,,3562.98,3938.03,8
HCPCS,G0566,3d bn img algor drvd fr mri,,,148.64,164.28,8
HCPCS,G0659,Drug test def simple all cl,,,59.03,170.71,15
HCPCS,G1028,Take home supply 8mg per 0.1,,,127.5,127.5,4
HCPCS,G2000,Blinded conv. tx mdd clin tr,,,237.56,674.12,11
HCPCS,G2001,Post D/C H Vst new pt 20 m,,,44.72,88.5,15
HCPCS,G2002,Post-D/C H Vst new pt 30 m,,,66.58,131.56,15
HCPCS,G2003,Post-d/c h vst new pt 45 m,,,108.65,215.88,15
HCPCS,G2004,Post-d/c h vst new pt 60 m,,,142.62,283.45,15
HCPCS,G2005,Post-d/c h vst new pt 75 m,,,185.77,371.96,15
HCPCS,G2006,Post-d/c h vst ext pt 20 m,,,43.8,86.71,15
HCPCS,G2007,Post-d/c h vst ext pt 30 m,,,70.69,139.93,15
HCPCS,G2008,Post-d/c h vst ext pt 45 m,,,110.04,220.06,15
HCPCS,G2009,Post-d/c h vst ext pt 60 m,,,154.81,310.96,15
HCPCS,G2010,Remot image submit by pt,,,8.99,15.71,15
HCPCS,G2011,Alcohol/sub misuse assess,,,13.2,37.46,15
HCPCS,G2012,Outpatient Services - CPT/HCPCS,,,22.1,22.1,3
HCPCS,G2012,Therapy,,,12.65,12.65,4
HCPCS,G2013,Post-d/c h vst ext pt 75 m,,,185.77,371.96,15
HCPCS,G2014,Post-d/c care plan overs 30m,,,66.32,132.76,15
HCPCS,G2015,Post-d/c care plan overs 60m,,,92.91,185.98,15
HCPCS,G2023,Covid Codes - CPT/HCPCS,,,23.46,23.46,1
HCPCS,G2024,Covid Codes - CPT/HCPCS,,,25.46,25.46,1
HCPCS,G2025,Dis site tele svcs RHC/FQHC,,,87.83,169.27,15
HCPCS,G2067,Med assist tx meth wk,,,207.49,207.49,3
HCPCS,G2068,Med assist tx bupre oral,,,258.47,258.47,3
HCPCS,G2069,Med assist tx inject,,,1757.29,1757.29,3
HCPCS,G2070,Outpatient Services - CPT/HCPCS,,,5326.84,5326.84,3
HCPCS,G2071,Outpatient Services - CPT/HCPCS,,,427.32,427.32,3
HCPCS,G2072,Outpatient Services - CPT/HCPCS,,,5545.95,5545.95,3
HCPCS,G2073,Med tx naltrexone,,,1342.67,1342.67,3
HCPCS,G2074,Med assist tx no drug,,,161.71,161.71,3
HCPCS,G2076,Intake act w/med exam,,,12.72,36.11,3
HCPCS,G2077,Periodic assessment,,,12.72,36.11,3
HCPCS,G2078,Take-home meth,,,35.28,35.28,3
HCPCS,G2079,Take-hom buprenorphine,,,86.26,86.26,3
HCPCS,G2080,Add 30 mins counsel,,,30.94,30.94,3
HCPCS,G2082,Visit esketamine 56m or less,,,34.95,1517.17,17
HCPCS,G2083,"Visit esketamine, > 56m",,,34.95,2440.26,17
HCPCS,G2086,Off base opioid tx 70min,,,70.67,399.12,17
HCPCS,G2087,"Off base opioid tx, 60 m",,,70.67,385.14,17
HCPCS,G2088,"Off base opioid tx, add30",,,1.0,57.24,15
HCPCS,G2170,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
HCPCS,G2171,Outpatient Services - CPT/HCPCS,,,1412.81,4009.09,3
HCPCS,G2211,Complex e/m visit add on,,,14.37,28.5,15
HCPCS,G2212,Prolong outpt/office vis,,,28.74,54.1,15
HCPCS,G2213,Initiat med assist tx in er,,,1.0,59.92,15
HCPCS,G2214,Init/sub psych care m 1st 30,,,37.95,112.1,15
HCPCS,G2215,Home supply nasal naloxone,,,45.89,92.16,7
HCPCS,G2250,"Remot img sub by pt, non E/M",,,8.99,16.15,15
HCPCS,G2251,"Brief chkin, 5-10, non-E/M",,,12.65,22.72,15
HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,23.71,44.25,15
HCPCS,G3002,Chronic pain mgmt 30 mins,,,73.57,132.16,15
HCPCS,G3003,Chronic pain mgmt addl 15m,,,25.63,46.05,15
HCPCS,G6001,Outpatient Services,,,162.6,179.72,8
HCPCS,G6001,Outpatient Services - CPT/HCPCS,,,314.12,314.12,3
HCPCS,G6001,Therapy,,,179.75,179.75,4
HCPCS,G6002,Outpatient Services,,,69.19,76.47,8
HCPCS,G6002,Outpatient Services - CPT/HCPCS,,,148.57,148.57,3
HCPCS,G6002,Therapy,,,75.23,75.23,4
HCPCS,G6003,Outpatient Services,,,139.32,153.99,8
HCPCS,G6003,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6003,Therapy,,,153.79,153.79,4
HCPCS,G6004,Outpatient Services,,,112.89,124.78,8
HCPCS,G6004,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6004,Therapy,,,126.16,126.16,4
HCPCS,G6005,Outpatient Services,,,112.89,124.78,8
HCPCS,G6005,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6005,Therapy,,,126.49,126.49,4
HCPCS,G6006,Outpatient Services,,,112.28,124.1,8
HCPCS,G6006,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6006,Therapy,,,125.49,125.49,4
HCPCS,G6007,Outpatient Services,,,200.47,221.57,8
HCPCS,G6007,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6007,Therapy,,,229.68,229.68,4
HCPCS,G6008,Outpatient Services,,,155.42,171.78,8
HCPCS,G6008,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6008,Therapy,,,174.09,174.09,4
HCPCS,G6009,Outpatient Services,,,156.65,173.14,8
HCPCS,G6009,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6009,Therapy,,,173.76,173.76,4
HCPCS,G6010,Outpatient Services,,,154.19,170.42,8
HCPCS,G6010,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6010,Therapy,,,172.43,172.43,4
HCPCS,G6011,Outpatient Services,,,204.89,226.46,8
HCPCS,G6011,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6011,Therapy,,,229.02,229.02,4
HCPCS,G6012,Outpatient Services,,,205.2,226.8,8
HCPCS,G6012,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6012,Therapy,,,229.35,229.35,4
HCPCS,G6013,Outpatient Services,,,206.12,227.82,8
HCPCS,G6013,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6013,Therapy,,,230.35,230.35,4
HCPCS,G6014,Outpatient Services,,,204.89,226.46,8
HCPCS,G6014,Outpatient Services - CPT/HCPCS,,,53.15,150.82,3
HCPCS,G6014,Therapy,,,228.69,228.69,4
HCPCS,G6015,Outpatient Services,,,319.56,353.19,8
HCPCS,G6015,Outpatient Services - CPT/HCPCS,,,119.12,338.02,3
HCPCS,G6015,Therapy,,,355.51,355.51,4
HCPCS,G6016,Outpatient Services,,,319.09,352.67,8
HCPCS,G6016,Outpatient Services - CPT/HCPCS,,,618.35,618.35,3
HCPCS,G6016,Therapy,,,353.85,353.85,4
HCPCS,G6017,Outpatient Services - CPT/HCPCS,,,62.22,62.22,3
HCPCS,G9012,Other Specified Case Mgmt,,,20.6,20.6,3
HCPCS,G9017,Pharmacy,,,1.72,1.72,4
HCPCS,G9019,Pharmacy,,,13.14,13.14,4
HCPCS,G9020,Pharmacy,,,2.76,2.76,4
HCPCS,G9034,Pharmacy,,,6.02,6.02,4
HCPCS,G9035,Pharmacy,,,15.5,15.5,4
HCPCS,G9036,Pharmacy,,,2.23,2.23,4
HCPCS,G9037,Outpatient Services,,,37.34,41.28,8
HCPCS,G9038,Outpatient Services,,,46.49,51.38,8
HCPCS,G9050,Oncology work-up evaluation,,,7.44,7.44,3
HCPCS,G9051,Oncology tx decision-mgmt,,,9.56,9.56,3
HCPCS,G9052,Onc surveillance for disease,,,10.41,10.41,3
HCPCS,G9053,Onc expectant management pt,,,23.0,23.0,3
HCPCS,G9054,Onc supervision palliative,,,23.0,23.0,3
HCPCS,G9055,Onc visit unspecified NOS,,,23.0,23.0,3
HCPCS,G9056,Onc prac mgmt adheres guide,,,23.0,23.0,3
HCPCS,G9057,Onc pract mgmt differs trial,,,23.0,23.0,3
HCPCS,G9058,Onc prac mgmt disagree w/gui,,,23.0,23.0,3
HCPCS,G9059,Onc prac mgmt pt opt alterna,,,23.0,23.0,3
HCPCS,G9060,Onc prac mgmt dif pt comorb,,,23.0,23.0,3
HCPCS,G9061,Onc prac cond noadd by guide,,,23.0,23.0,3
HCPCS,G9062,Onc prac guide differs nos,,,23.0,23.0,3
HCPCS,G9063,Onc dx nsclc stgI no progres,,,23.0,23.0,3
HCPCS,G9064,Onc dx nsclc stg2 no progres,,,23.0,23.0,3
HCPCS,G9065,Onc dx nsclc stg3A no progre,,,23.0,23.0,3
HCPCS,G9066,Onc dx nsclc stg3B-4 metasta,,,23.0,23.0,3
HCPCS,G9067,Onc dx nsclc dx unknown nos,,,23.0,23.0,3
HCPCS,G9068,Onc dx sclc/nsclc limited,,,23.0,23.0,3
HCPCS,G9069,Onc dx sclc/nsclc ext at dx,,,23.0,23.0,3
HCPCS,G9070,Onc dx sclc/nsclc ext unknwn,,,23.0,23.0,3
HCPCS,G9071,"Onc dx brst stg1-2B HR,nopro",,,23.0,23.0,3
HCPCS,G9072,Onc dx brst stg1-2 noprogres,,,23.0,23.0,3
HCPCS,G9073,"Onc dx brst stg3-HR, no pro",,,23.0,23.0,3
HCPCS,G9074,Onc dx brst stg3-noprogress,,,23.0,23.0,3
HCPCS,G9075,Onc dx brst metastic/ recur,,,23.0,23.0,3
HCPCS,G9077,Onc dx prostate T1no progres,,,23.0,23.0,3
HCPCS,G9078,Onc dx prostate T2no progres,,,23.0,23.0,3
HCPCS,G9079,Onc dx prostate T3b-T4noprog,,,23.0,23.0,3
HCPCS,G9080,Onc dx prostate w/rise PSA,,,23.0,23.0,3
HCPCS,G9083,Onc dx prostate unknwn nos,,,23.0,23.0,3
HCPCS,G9084,"Onc dx colon t1-3,n1-2,no pr",,,23.0,23.0,3
HCPCS,G9085,"Onc dx colon T4, N0 w/o prog",,,23.0,23.0,3
HCPCS,G9086,Onc dx colon T1-4 no dx prog,,,23.0,23.0,3
HCPCS,G9087,Onc dx colon metas evid dx,,,23.0,23.0,3
HCPCS,G9088,Onc dx colon metas noevid dx,,,23.0,23.0,3
HCPCS,G9089,Onc dx colon extent unknown,,,23.0,23.0,3
HCPCS,G9090,Onc dx rectal T1-2 no progr,,,23.0,23.0,3
HCPCS,G9091,Onc dx rectal T3 N0 no prog,,,23.0,23.0,3
HCPCS,G9092,"Onc dx rectal T1-3,N1-2noprg",,,23.0,23.0,3
HCPCS,G9093,"Onc dx rectal T4,N,M0 no prg",,,23.0,23.0,3
HCPCS,G9094,Onc dx rectal M1 w/mets prog,,,23.0,23.0,3
HCPCS,G9095,Onc dx rectal extent unknwn,,,23.0,23.0,3
HCPCS,G9096,Onc dx esophag T1-T3 noprog,,,23.0,23.0,3
HCPCS,G9097,Onc dx esophageal T4 no prog,,,23.0,23.0,3
HCPCS,G9098,Onc dx esophageal mets recur,,,23.0,23.0,3
HCPCS,G9099,Onc dx esophageal unknown,,,23.0,23.0,3
HCPCS,G9100,Onc dx gastric no recurrence,,,23.0,23.0,3
HCPCS,G9101,Onc dx gastric p R1-R2noprog,,,23.0,23.0,3
HCPCS,G9102,Onc dx gastric unresectable,,,23.0,23.0,3
HCPCS,G9103,Onc dx gastric recurrent,,,23.0,23.0,3
HCPCS,G9104,Onc dx gastric unknown NOS,,,23.0,23.0,3
HCPCS,G9105,Onc dx pancreatc p R0 res no,,,23.0,23.0,3
HCPCS,G9106,Onc dx pancreatc p R1/R2 no,,,23.0,23.0,3
HCPCS,G9107,Onc dx pancreatic unresectab,,,23.0,23.0,3
HCPCS,G9108,Onc dx pancreatic unknwn NOS,,,23.0,23.0,3
HCPCS,G9109,Onc dx head/neck T1-T2no prg,,,23.0,23.0,3
HCPCS,G9110,Onc dx head/neck T3-4 noprog,,,23.0,23.0,3
HCPCS,G9111,Onc dx head/neck M1 mets rec,,,23.0,23.0,3
HCPCS,G9112,Onc dx head/neck ext unknown,,,23.0,23.0,3
HCPCS,G9113,Onc dx ovarian stg1A-B no pr,,,23.0,23.0,3
HCPCS,G9114,Onc dx ovarian stg1A-B or 2,,,23.0,23.0,3
HCPCS,G9115,Onc dx ovarian stg3/4 noprog,,,23.0,23.0,3
HCPCS,G9116,Onc dx ovarian recurrence,,,23.0,23.0,3
HCPCS,G9117,Onc dx ovarian unknown NOS,,,23.0,23.0,3
HCPCS,G9123,Onc dx CML chronic phase,,,23.0,23.0,3
HCPCS,G9124,Onc dx CML acceler phase,,,23.0,23.0,3
HCPCS,G9125,Onc dx CML blast phase,,,23.0,23.0,3
HCPCS,G9126,Onc dx CML remission,,,23.0,23.0,3
HCPCS,G9128,Onc dx multi myeloma stage I,,,23.0,23.0,3
HCPCS,G9129,Onc dx mult myeloma stg2 hig,,,23.0,23.0,3
HCPCS,G9130,Onc dx multi myeloma unknown,,,23.0,23.0,3
HCPCS,G9131,Onc dx brst unknown NOS,,,23.0,23.0,3
HCPCS,G9132,Onc dx prostate mets no cast,,,23.0,23.0,3
HCPCS,G9133,Onc dx prostate clinical met,,,23.0,23.0,3
HCPCS,G9134,Onc NHLstg 1-2 no relap no,,,23.0,23.0,3
HCPCS,G9135,Onc dx NHL stg 3-4 not relap,,,23.0,23.0,3
HCPCS,G9136,Onc dx NHL trans to lg Bcell,,,23.0,23.0,3
HCPCS,G9137,Onc dx NHL relapse/refractor,,,23.0,23.0,3
HCPCS,G9138,Onc dx NHL stg unknown,,,23.0,23.0,3
HCPCS,G9139,Onc dx CML dx status unknown,,,23.0,23.0,3
HCPCS,G9140,Frontier extended stay demo,,,41.84,41.84,3
HCPCS,G9143,Warfarin respon genetic test,,,1.0,331.64,15
HCPCS,G9147,Outpt IV insulin tx any mea,,,21.05,59.74,3
HCPCS,G9148,Medical Home Level I,,,10.14,10.14,3
HCPCS,G9149,Medical Home Level II,,,10.14,10.14,3
HCPCS,G9150,Medical Home Level III,,,10.14,10.14,3
HCPCS,G9157,Transesoph doppl cardiac mon,,,82.2,308.19,15
HCPCS,G9187,Bpci home visit,,,43.37,83.18,15
HCPCS,G9481,Remote e/m new pt 10mins,,,15.34,31.41,15
HCPCS,G9482,Remote E/M new pt 20mins,,,29.4,58.75,15
HCPCS,G9483,Remote E/M new pt 30mins,,,45.51,91.91,15
HCPCS,G9484,Remote E/M new pt 45mins,,,77.49,155.31,15
HCPCS,G9485,Remote E/M new pt 60mins,,,101.4,203.6,15
HCPCS,G9486,Remote E/M est. pt 10mins,,,15.34,31.41,15
HCPCS,G9487,Remote E/M est. pt 15mins,,,30.98,62.24,15
HCPCS,G9488,Remote E/M est. pt 25mins,,,47.85,95.4,15
HCPCS,G9489,Remote E/M est. pt 40mins,,,67.3,135.54,15
HCPCS,G9490,CMMI mod home visit,,,43.37,83.18,15
HCPCS,G9679,Acute care pneumonia,,,74.84,74.84,3
HCPCS,G9680,Acute care congestive heart failure (CHF),,,74.84,74.84,3
HCPCS,G9681,Acute care chronic obstructive pulmonary disease (COPD) /asthma,,,74.84,74.84,3
HCPCS,G9682,Acute care skin infection,,,74.84,74.84,3
HCPCS,G9683,Acute fluid/electro disorder,,,74.84,74.84,3
HCPCS,G9684,Acute care urinary tract infection (UTI),,,74.84,74.84,3
HCPCS,G9685,Acute nursing facility care,,,164.73,321.68,15
HCPCS,G9868,CMMI asyntelehealth <10min,,,24.58,46.54,15
HCPCS,G9869,CMMI asyntelehealth 10-20min,,,32.88,62.24,15
HCPCS,G9870,CMMI asyntelehealth >20min,,,41.18,77.95,15
HCPCS,G9873,1 EM core session,,,25.0,25.0,3
HCPCS,G9874,4 EM core sessions,,,50.0,50.0,3
HCPCS,G9875,9 EM core sessions,,,90.0,90.0,3
HCPCS,G9876,2 EM core MS mo 7-9 no WL,,,15.0,15.0,3
HCPCS,G9877,2 EM core MS mo 10-12 no WL,,,15.0,15.0,3
HCPCS,G9878,2 EM core MS mo 7-9  WL,,,60.0,60.0,3
HCPCS,G9879,2 EM core MS mo 10-12 WL,,,60.0,60.0,3
HCPCS,G9880,EM 5 percent WL,,,160.0,160.0,3
HCPCS,G9881,EM 9 percent WL,,,25.0,25.0,3
HCPCS,G9882,2 EM ongoing MS mo 13-15 WL,,,50.0,50.0,3
HCPCS,G9883,2 EM ongoing MS mo 16-18 WL,,,50.0,50.0,3
HCPCS,G9884,2 EM ongoing MS mo 19-21 WL,,,50.0,50.0,3
HCPCS,G9885,2 EM ongoing MS mo 22-24 WL,,,50.0,50.0,3
HCPCS,G9978,Remote E/M new pt 10mins,,,27.63,49.22,15
HCPCS,G9979,Remote E/M new pt 20mins,,,46.94,82.02,15
HCPCS,G9980,Remote E/M new pt 30 mins,,,75.23,131.46,15
HCPCS,G9981,Remote E/M new pt 45mins,,,126.49,221.05,15
HCPCS,G9982,Remote E/M new pt 60mins,,,168.77,294.92,15
HCPCS,G9983,Remote E/M est. pt 10mins,,,27.63,49.22,15
HCPCS,G9984,Remote E/M est. pt  15mins,,,54.26,94.82,15
HCPCS,G9985,Remote E/M est. pt 25mins,,,82.22,143.68,15
HCPCS,G9986,Remote E/M est. pt 40mins,,,119.84,209.41,15
HCPCS,G9987,BPCI Advanced In home visit,,,43.37,83.18,15
HCPCS,H0001,Alcohol and/or drug assess,,,12.72,36.11,3
HCPCS,H0002,Alcohol and/or drug screenin,,,12.72,36.11,3
HCPCS,H0004,Alcohol and/or drug services,,,12.72,36.11,3
HCPCS,H0005,Alcohol and/or drug services,,,12.72,36.11,3
HCPCS,H0006,Alcohol and/or drug services,,,12.72,36.11,3
HCPCS,H0008,Alcohol and/or drug services,,,113.3,113.3,3
HCPCS,H0009,Alcohol and/or drug services,,,126.7,126.7,3
HCPCS,H0011,Alcohol and/or drug services,,,298.6,298.6,3
HCPCS,H0014,Alcohol and/or drug services,,,122.01,122.01,3
HCPCS,H0015,Alcohol and/or drug services,,,226.86,226.86,3
HCPCS,H0018,Alcohol and/or drug services,,,523.1,523.1,3
HCPCS,H0019,Alcohol and/or drug services,,,173.97,173.97,3
HCPCS,H0020,Alcohol and/or drug services,,,13.79,13.79,3
HCPCS,H0022,Alcohol and/or drug interven,,,12.72,36.11,3
HCPCS,H0025,Alcohol and/or drug preventi,,,11.92,11.92,3
HCPCS,H0031,MH health assess by non-md,,,12.72,36.11,3
HCPCS,H0032,MH svc plan dev by non-md,,,12.72,36.11,3
HCPCS,H0033,Oral med adm direct observe,,,36.19,36.19,3
HCPCS,H0034,Med trng & support per 15min,,,70.13,70.13,3
HCPCS,H0035,MH partial hosp tx under 24h,,,348.68,348.68,3
HCPCS,H0038,Self-help/peer svc per 15min,,,16.24,16.24,3
HCPCS,H0039,Asser com tx face-face/15min,,,30.96,30.96,3
HCPCS,H0043,"Supported housing, per diem",,,197.26,197.26,3
HCPCS,H0046,"Mental health service, nos",,,12.72,36.11,3
HCPCS,H0047,Alcohol/drug abuse svc nos,,,12.72,36.11,3
HCPCS,H0048,Spec coll non-blood:a/d test,,,42.14,42.14,3
HCPCS,H0049,Alcohol/drug screening,,,17.97,17.97,3
HCPCS,H0050,Alcohol/drug service 15 min,,,12.72,36.11,3
HCPCS,H1000,Prenatal care atrisk assessm,,,5.6,5.6,3
HCPCS,H1001,Antepartum management,,,66.84,66.84,3
HCPCS,H1002,Carecoordination prenatal,,,26.73,26.73,3
HCPCS,H1003,Prenatal at risk education,,,40.09,40.09,3
HCPCS,H1004,Follow up home visit/prental,,,54.37,54.37,3
HCPCS,H1005,Prenatalcare enhanced srv pk,,,73.39,73.39,3
HCPCS,H1010,Nonmed family planning ed,,,193.3,193.3,3
HCPCS,H1011,Family assessment,,,12.72,36.11,3
HCPCS,H2000,Comp multidisipln evaluation,,,12.72,36.11,3
HCPCS,H2010,Comprehensive med svc 15 min,,,17.01,17.01,3
HCPCS,H2011,"Crisis interven svc, 15 min",,,40.21,40.21,3
HCPCS,H2012,"Behav hlth day treat, per hr",,,22.07,22.07,3
HCPCS,H2014,"Skills train and dev, 15 min",,,13.18,13.18,3
HCPCS,H2015,"Comp comm supp svc, 15 min",,,14.06,14.06,3
HCPCS,H2016,"Comp comm supp svc, per diem",,,104.0,104.0,3
HCPCS,H2017,"Psysoc rehab svc, per 15 min",,,12.72,36.11,3
HCPCS,H2019,"Ther behav svc, per 15 min",,,12.72,36.11,3
HCPCS,H2020,"Ther behav svc, per diem",,,162.97,162.97,3
HCPCS,H2027,"Psychoed svc, per 15 min",,,12.72,36.11,3
HCPCS,H2028,"Sex offend tx svc, 15 min",,,12.72,36.11,3
HCPCS,H2029,"Sex offend tx svc, per diem",,,94.54,94.54,3
HCPCS,H2030,"MH clubhouse svc, per 15 min",,,54.95,54.95,3
HCPCS,H2032,"Activity therapy, per 15 min",,,53.35,53.35,3
HCPCS,H2035,"A/D tx program, per hour",,,12.72,36.11,3
HCPCS,H2040,"Coord specialty care, month",,,12.72,36.11,3
HCPCS,H2041,Coord special care encounter,,,12.72,36.11,3
HCPCS,J0120,Tetracyclin injection,,,1.0,1.0,3
HCPCS,J0121,"Inj., omadacycline, 1 mg",,,3.6,4.4,15
HCPCS,J0122,"Inj., eravacycline, 1 mg",,,1.13,1.13,3
HCPCS,J0129,Abatacept For IV Soln 250 MG,5023.75,4019.0,41.9,4521.38,34
HCPCS,J0130,Abciximab injection,,,1.0,1.0,3
HCPCS,J0131,Acetaminophen IV Soln 10 MG/ML,402.15,321.72,1.0,370.62,130
HCPCS,J0132,Acetylcysteine Inj 200 MG/ML,427.55,342.04,1.0,741.69,182
HCPCS,J0133,Acyclovir Sodium IV Soln 50 MG/ML,391.24,313.0,1.0,399.42,156
HCPCS,J0134,Acetaminophen IV Soln 10 MG/ML,396.4,317.12,0.05,356.76,52
HCPCS,J0135,Outpatient Services - CPT/HCPCS,,,1834.49,1834.49,3
HCPCS,J0135,Pharmacy,,,1765.27,1765.27,4
HCPCS,J0136,Acetaminophen IV Soln 10 MG/ML,394.475,315.58,0.05,355.95,52
HCPCS,J0137,Acetaminophen IV Soln 10 MG/ML,400.1,320.08,0.07,367.83,104
HCPCS,J0138,Inj acetaminoph 10mg/ibu 3mg,,,0.04,0.05,12
HCPCS,J0139,Adalimumab Auto-injector Kit 40 MG/0.8ML,11961.71,9569.37,87.14,10765.54,34
HCPCS,J0139,Adalimumab Auto-injector Kit 80 MG/0.8ML,17806.64,14245.32,87.14,16025.98,34
HCPCS,J0139,Adalimumab Prefilled Syringe Kit 20 MG/0.2ML,11961.71,9569.37,87.14,10765.54,34
HCPCS,J0152,Pharmacy,,,119.7,119.7,4
HCPCS,J0153,Adenosine IV Soln 12 MG/4ML,198.29,158.64,1.0,183.31,104
HCPCS,J0153,Adenosine IV Soln 3 MG/ML (Diagnostic),408.14,326.52,1.0,391.11,78
HCPCS,J0153,Adenosine IV Soln 6 MG/2ML,390.78,312.63,1.0,354.11,130
HCPCS,J0165,Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),523.025,418.41999999999996,132.53,490.5,52
HCPCS,J0165,"Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 1 MG/ML",501.05,400.84,132.53,450.95,26
HCPCS,J0166,Epinephrine PF Inj 1 MG/ML,119.16,95.33,31.52,107.24,52
HCPCS,J0167,Epinephrine IV Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),393.86,315.09,104.18,354.47,52
HCPCS,J0168,Epinephrine IV Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),389.88,311.91,103.12,350.89,26
HCPCS,J0169,Epinephrine Inj 1 MG/ML (1:1000),80.27000000000001,64.22,21.2,72.36,78
HCPCS,J0169,"Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 1 MG/ML",402.0,321.6,106.33,361.8,26
HCPCS,J0171,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J0172,Outpatient Services,,,5.68,6.28,8
HCPCS,J0172,Outpatient Services - CPT/HCPCS,,,5.98,5.98,3
HCPCS,J0172,Pharmacy,,,6.54,6.54,4
HCPCS,J0173,Outpatient Services - CPT/HCPCS,,,1.71,1.71,3
HCPCS,J0174,"Lecanemab-irmb, for iv inj",,,1.26,1.45,17
HCPCS,J0175,"Injection, donanemab-azbt, 2 mg",,,3.93,4.52,14
HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,295.81,340.76,12
HCPCS,J0178,Aflibercept injection,,,732.98,868.24,15
HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,319.25,378.76,15
HCPCS,J0180,Agalsidase beta For IV Soln 35 MG,27546.15,22036.92,217.6,24791.54,34
HCPCS,J0180,Agalsidase beta For IV Soln 5 MG,4063.07,3250.46,217.6,3656.76,34
HCPCS,J0184,"Inj, amisulpride, 1 mg",,,9.13,10.09,15
HCPCS,J0185,Aprepitant IV Emulsion 130 MG/18ML,1326.65,1061.32,1.56,1193.99,34
HCPCS,J0190,Outpatient Services - CPT/HCPCS,,,5.96,5.96,3
HCPCS,J0200,Outpatient Services - CPT/HCPCS,,,980.39,980.39,3
HCPCS,J0202,Alemtuzumab IV Inj 12 MG/1.2ML (10 MG/ML),41773.38,33418.71,2292.77,37596.04,34
HCPCS,J0205,Outpatient Services - CPT/HCPCS,,,44.97,44.97,3
HCPCS,J0206,Allopurinol Sodium For Inj 500 MG,8277.0,6621.6,4.48,10228.73,102
HCPCS,J0207,Amifostine,,,1092.83,1092.84,7
HCPCS,J0208,"Inj, pedmark, 100 mg",,,90.36,99.87,15
HCPCS,J0209,Sodium Thiosulfate IV Soln 250 MG/ML (25%),235.62,188.5,62.32,212.06,26
HCPCS,J0210,Methyldopate hcl injection,,,42.4,42.4,3
HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,1.52,2.34,12
HCPCS,J0215,Outpatient Services - CPT/HCPCS,,,41.64,41.64,3
HCPCS,J0216,"Inj, alfentanil hcl, 500mcg",,,2.57,2.57,3
HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,424.0,509.12,17
HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,373.98,430.8,17
HCPCS,J0219,Avalglucosidase Alfa-ngpt For IV Soln 100 MG,6152.15,4921.72,75.63,5536.94,34
HCPCS,J0220,Alglucosidase alfa injection,,,122.56,122.56,3
HCPCS,J0221,Alglucosidase Alfa For IV Soln 50 MG,3092.24,2473.8,196.26,2783.02,34
HCPCS,J0222,Patisiran Sodium IV Soln 10 MG/5ML (2 MG/ML) (Base Equiv),33400.0,26720.0,94.97,30060.0,34
HCPCS,J0223,Inj givosiran 0.5 mg,,,111.49,128.44,17
HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,312.6,360.1,17
HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,4753.46,5475.68,17
HCPCS,J0248,Remdesivir IV Soln 100 MG/20ML (5 MG/ML),1100.0,880.0,5.63,990.0,34
HCPCS,J0248,Remdesivir for IV Soln 100 MG,1100.0,880.0,5.63,990.0,68
HCPCS,J0256,Alpha1-Proteinase Inhibitor (Human) For IV Soln 1000 MG,1614.75,1291.8,4.81,1700.55,68
HCPCS,J0256,Alpha1-Proteinase Inhibitor (Human) Inj 1000 MG/20ML,1970.0,1576.0,4.81,1773.0,34
HCPCS,J0257,Alpha1-Proteinase Inhibitor (Human) IV Soln 5 GM/250ML,12182.79,9746.24,5.36,10964.51,34
HCPCS,J0257,Alpha1-Proteinase Inhibitor (Human) Inj 1000 MG/50ML,2334.0,1867.2,5.36,2100.6,34
HCPCS,J0270,Alprostadil Inj 500 MCG/ML,504.64,403.72,6.69,454.18,26
HCPCS,J0275,Alprostadil urethral suppos,,,69.51,69.51,3
HCPCS,J0278,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),398.415,318.735,1.0,369.72,182
HCPCS,J0278,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),392.58,314.07,1.0,353.32,26
HCPCS,J0280,Aminophylline Inj 25 MG/ML,397.90999999999997,318.33500000000004,1.0,359.86,104
HCPCS,J0281,Aminocaproic Acid Inj 250 MG/ML,393.38,314.71,104.04,354.83,156
HCPCS,J0282,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),390.43,312.35,1.0,352.09,156
HCPCS,J0282,Amiodarone HCl Inj 450 MG/9ML (50 MG/ML),400.63,320.51,1.0,365.24,78
HCPCS,J0282,Amiodarone HCl Inj 900 MG/18ML (50 MG/ML),391.86,313.49,1.0,352.67,26
HCPCS,J0283,Amiodarone HCl in Dextrose 4.14% IV Soln 360 MG/200ML,407.0,325.6,3.92,366.3,26
HCPCS,J0283,Amiodarone HCl in Dextrose 4.21% IV Soln 150 MG/100ML,403.0,322.4,3.92,362.7,26
HCPCS,J0283,Amiodarone HCl in Dextrose IV Soln 360 MG/200ML,407.0,325.6,3.92,366.3,26
HCPCS,J0285,Amphotericin B For IV Soln 50 MG,424.49,339.6,1.0,382.04,26
HCPCS,J0287,Amphotericin b lipid complex,,,9.78,11.28,15
HCPCS,J0288,Outpatient Services - CPT/HCPCS,,,14.98,14.98,3
HCPCS,J0289,Amphotericin B Liposome IV For Susp 50 MG,466.25,373.0,20.41,419.63,34
HCPCS,J0290,Ampicillin Sodium For IV Soln 2 GM,407.47,325.98,1.0,366.72,52
HCPCS,J0290,Ampicillin Sodium For Inj 1 GM,390.75,312.605,1.0,353.51,234
HCPCS,J0290,Ampicillin Sodium For Inj 2 GM,392.26,313.81,1.0,356.73,286
HCPCS,J0290,"Ampicillin Sodium For Inj 2 GM,Ampicillin Sodium For IV Soln 2 GM",392.26,313.81,1.0,356.73,182
HCPCS,J0290,Ampicillin Sodium For Inj 250 MG,390.22,312.18,1.0,351.97,182
HCPCS,J0290,Ampicillin Sodium For Inj 500 MG,390.07,312.06,1.0,352.15,286
HCPCS,J0291,"Inj., plazomicin, 5 mg",,,3.33,3.84,15
HCPCS,J0295,Ampicillin & Sulbactam Sodium For IV Soln 1-0.5 GM,392.38,313.91,1.0,353.14,26
HCPCS,J0295,Ampicillin & Sulbactam Sodium For IV Soln 1.5 (1-0.5) GM,391.96000000000004,313.57500000000005,1.0,353.14,52
HCPCS,J0295,Ampicillin & Sulbactam Sodium For IV Soln 15 (10-5) GM,418.07,334.46,1.0,402.21,78
HCPCS,J0295,Ampicillin & Sulbactam Sodium For IV Soln 2-1 GM,394.09,315.28,1.0,354.68,52
HCPCS,J0295,Ampicillin & Sulbactam Sodium For IV Soln 3 (2-1) GM,394.09,315.28,1.0,354.68,52
HCPCS,J0295,Ampicillin & Sulbactam Sodium For Inj 1-0.5 GM,392.685,314.15,1.0,354.51,52
HCPCS,J0295,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,391.55,313.24,1.0,354.51,286
HCPCS,J0295,Ampicillin & Sulbactam Sodium For Inj 2-1 GM,395.445,316.36,1.0,357.26,52
HCPCS,J0295,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,393.94,315.16,1.0,357.26,312
HCPCS,J0300,Amobarbital Sodium For Inj 500 MG,2548.41,2038.73,171.17,2293.57,26
HCPCS,J0330,Succinylcholine Chloride Inj 20 MG/ML,398.78,319.03,1.0,366.26,390
HCPCS,J0330,Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML),398.25,318.6,1.0,358.43,26
HCPCS,J0348,Anidulafungin For IV Soln 100 MG,387.34,309.88,1.0,348.61,26
HCPCS,J0348,Anidulafungin For IV Soln 50 MG,317.83,254.27,1.0,286.05,26
HCPCS,J0349,Rezafungin Acetate For IV Soln 200 MG (Base Equivalent),6922.78,5538.23,10.04,6230.5,34
HCPCS,J0350,Outpatient Services - CPT/HCPCS,,,2325.18,2325.18,3
HCPCS,J0360,Hydralazine HCl Inj 20 MG/ML,392.495,314.0,1.0,385.21,234
HCPCS,J0364,Apomorphine hydrochloride,,,39.88,45.07,7
HCPCS,J0365,Outpatient Services - CPT/HCPCS,,,2.83,2.83,3
HCPCS,J0380,Outpatient Services - CPT/HCPCS,,,11.76,11.76,3
HCPCS,J0390,Chloroquine injection,,,1.0,1.0,3
HCPCS,J0391,Artesunate For IV Soln 110 MG,17499.82,13999.86,47.31,15749.84,34
HCPCS,J0395,Outpatient Services - CPT/HCPCS,,,123.84,123.84,3
HCPCS,J0400,Aripiprazole injection,,,1.0,1.0,3
HCPCS,J0401,"Inj, abilify maintena, 1 mg",,,6.82,7.96,15
HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,5.73,6.6,15
HCPCS,J0456,Azithromycin IV For Soln 500 MG,391.56,313.25,1.0,356.3,312
HCPCS,J0457,Aztreonam For Inj 1 GM,414.27,331.42,2.52,374.51,156
HCPCS,J0457,Aztreonam For Inj 2 GM,441.665,353.33500000000004,2.52,399.7,130
HCPCS,J0458,Aztreonam/avibactam 10 mg,,,1.6,1.77,12
HCPCS,J0461,Atropine Sulfate IV Soln 0.4 MG/ML,393.15,314.52,1.0,353.84,26
HCPCS,J0461,Atropine Sulfate IV Soln 1 MG/ML,197.9,158.32,1.0,178.11,52
HCPCS,J0461,Atropine Sulfate Inj 8 MG/20ML (0.4 MG/ML),390.41,312.33,1.0,351.37,52
HCPCS,J0461,Atropine Sulfate Inj PF 0.4 MG/ML,392.75,314.2,1.0,353.48,26
HCPCS,J0461,Atropine Sulfate Inj PF 1 MG/ML,197.0,157.6,1.0,179.55,78
HCPCS,J0461,Atropine Sulfate Soln Prefill Syr 0.5 MG/5ML (0.1 MG/ML),80.12,64.1,1.0,72.11,52
HCPCS,J0461,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),39.705,31.765,1.0,35.83,156
HCPCS,J0470,Dimecaprol injection,,,59.81,59.81,3
HCPCS,J0475,Baclofen Intrathecal Soln Prefilled Syringe 10000 MCG/20ML,774.75,619.8,172.16,697.28,34
HCPCS,J0475,Baclofen Intrathecal Soln Prefilled Syringe 20000 MCG/20ML,1381.65,1105.32,172.16,1243.49,34
HCPCS,J0475,Baclofen Intrathecal Soln Prefilled Syringe 40000 MCG/20ML,2466.93,1973.55,172.16,2220.24,34
HCPCS,J0476,Baclofen Intrathecal Soln Prefilled Syringe 50 MCG/ML,462.44,369.96,1.0,416.2,26
HCPCS,J0480,Basiliximab For IV Soln 20 MG,10386.45,8309.16,3479.46,9347.81,34
HCPCS,J0485,Belatacept For IV Infusion 250 MG,3249.15,2599.32,3.69,2924.24,34
HCPCS,J0490,Belimumab For IV Soln 120 MG,2164.32,1731.46,51.97,1947.89,34
HCPCS,J0491,Anifrolumab-fnia IV Soln 300 MG/2ML,16251.75,13001.4,16.6,14626.58,34
HCPCS,J0500,Dicyclomine HCl Inj 10 MG/ML,402.91,322.33,1.0,365.36,156
HCPCS,J0515,Benztropine Mesylate Inj 1 MG/ML,215.83,172.67,1.0,194.36,104
HCPCS,J0517,Benralizumab Subcutaneous Soln Auto-injector 30 MG/ML,18332.61,14666.09,156.36,16499.35,34
HCPCS,J0517,Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML,17647.52,14118.02,156.36,15882.77,34
HCPCS,J0520,Bethanechol chloride inject,,,4.49,4.49,3
HCPCS,J0558,Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML,505.49,404.4,15.74,454.94,102
HCPCS,J0561,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML,470.55,376.44,20.16,423.5,68
HCPCS,J0561,Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,473.99,379.2,20.16,426.59,68
HCPCS,J0561,"Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML",472.27,377.82,20.16,426.59,136
HCPCS,J0565,Bezlotoxumab IV Soln 1000 MG/40ML (25 MG/ML),13449.86,10759.89,37.83,12104.87,68
HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,108.73,126.38,17
HCPCS,J0570,Buprenorphine implant 74.2mg,,,1311.75,1311.75,3
HCPCS,J0571,Buprenorphine oral 1mg,,,1.84,1.84,4
HCPCS,J0572,Bupren/nal up to 3mg bupreno,,,4.9,4.9,4
HCPCS,J0573,Bupren/nal 3.1 to 6mg bupren,,,7.48,7.48,4
HCPCS,J0574,Bupren/nal 6.1 to 10mg bupre,,,8.76,8.76,4
HCPCS,J0575,Bupren/nal over 10mg bupreno,,,15.32,15.32,4
HCPCS,J0576,Outpatient Services - CPT/HCPCS,,,12.84,12.84,3
HCPCS,J0576,Pharmacy,,,13.61,13.61,4
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,399.6,460.32,12
HCPCS,J0578,"Inj brixadi, more than 7 day",,,1598.42,1841.28,12
HCPCS,J0583,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),537.51,430.01,1.0,1402.54,390
HCPCS,J0584,"Injection, burosumab-twza 1m",,,433.52,529.81,17
HCPCS,J0585,OnabotulinumtoxinA For Inj 100 Unit,1200.0,960.0,6.17,1080.0,34
HCPCS,J0586,AbobotulinumtoxinA For IM Inj 300 Unit,981.0,784.8,8.22,882.9,34
HCPCS,J0586,AbobotulinumtoxinA For IM Inj 500 Unit,1634.38,1307.51,8.22,1470.94,34
HCPCS,J0587,"Inj, rimabotulinumtoxinB",,,12.62,14.55,15
HCPCS,J0588,IncobotulinumtoxinA For IM Inj 100 Unit,1837.0,1469.6,5.19,1653.3,34
HCPCS,J0588,IncobotulinumtoxinA For IM Inj 200 Unit,3524.0,2819.2,5.19,3171.6,34
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,2.99,3.45,12
HCPCS,J0592,Buprenorphine hydrochloride,,,1.0,1.0,3
HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,82.92,95.51,17
HCPCS,J0594,Busulfan injection,,,0.84,1.04,15
HCPCS,J0595,Butorphanol tartrate 1 mg,,,1.0,1.0,3
HCPCS,J0596,"Injection, ruconest",,,33.7,40.23,17
HCPCS,J0597,C1 Esterase Inhibitor (Human) For IV Inj Kit 500 Unit,10450.5,8360.4,64.41,9405.45,34
HCPCS,J0598,"C-1 esterase, cinryze",,,60.73,71.82,17
HCPCS,J0599,"Inj., haegarda 10 units",,,11.15,14.43,17
HCPCS,J0600,Edetate Calcium Disodium Inj 1 GM/5ML (200 MG/ML),579.0,463.2,193.97,7012.94,34
HCPCS,J0601,Sevelamer Carbonate Tab 800 MG,2.06,1.65,0.13,5.63,234
HCPCS,J0602,Sevelamer Carbonate Packet 0.8 GM,7.17,5.74,0.39,9.8,260
HCPCS,J0602,Sevelamer Carbonate Packet 2.4 GM,8.18,6.550000000000001,0.39,15.13,182
HCPCS,J0603,Sevelamer HCl Tab 400 MG,3.98,3.19,0.17,3.58,26
HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,0.87,0.88,7
HCPCS,J0605,Sucroferric Oxyhydroxide Chew Tab 500 MG,11.26,9.01,0.18,10.13,26
HCPCS,J0606,Etelcalcetide HCl IV Solution 2.5 MG/0.5ML (Base Equiv),464.94,371.96,2.61,418.45,52
HCPCS,J0607,Lanthanum Carbonate Chew Tab 500 MG (Elemental),5.18,4.15,0.06,7.17,156
HCPCS,J0608,Lanthanum carbonate pwdr 5mg,,,0.06,0.06,4
HCPCS,J0609,Ferric Citrate Tab 1 GM (210 MG Ferric Iron),7.859999999999999,6.295,0.11,7.36,52
HCPCS,J0612,Calcium Gluconate Inj 10%,401.6,321.28,0.05,372.87,156
HCPCS,J0613,Calcium Gluconate-NaCl IV Soln 2 GM/100ML-0.675% (20 MG/ML),405.7,324.56,0.09,365.13,26
HCPCS,J0613,Calcium Gluconate-Sodium Chloride IV Soln 1 GM/100ML-0.8%,397.4,317.92,0.09,357.66,26
HCPCS,J0614,"Inj, treosulfan, 50 mg",,,30.71,35.38,12
HCPCS,J0615,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.65,1.32,0.03,1.85,208
HCPCS,J0616,Metoprolol Tartrate IV Soln 5 MG/5ML,233.82,187.06,61.82,210.58,182
HCPCS,J0618,Calcium Chloride Inj 10%,396.795,317.68,104.7,358.39,260
HCPCS,J0620,Calcium glycer & lact/10 ML,,,1.0,1.0,3
HCPCS,J0630,Calcitonin (Salmon) Inj 200 Unit/ML,1927.355,1541.8899999999999,460.73,1800.22,68
HCPCS,J0636,Calcitriol Inj 1 MCG/ML,395.03,316.03,1.0,355.53,52
HCPCS,J0637,Caspofungin Acetate For IV Soln 50 MG,1255.34,1004.28,1.0,1129.81,26
HCPCS,J0637,Caspofungin Acetate For IV Soln 70 MG,1298.56,1038.85,1.0,1168.7,26
HCPCS,J0638,Canakinumab Subcutaneous Inj 150 MG/ML,60505.44,48404.36,122.06,54454.9,34
HCPCS,J0640,Leucovorin Calcium For Inj 100 MG,397.64,318.12,1.0,363.6,104
HCPCS,J0640,Leucovorin Calcium For Inj 200 MG,404.07,323.26,1.0,364.91,104
HCPCS,J0640,Leucovorin Calcium For Inj 50 MG,398.36,318.69,1.0,359.09,78
HCPCS,J0640,Leucovorin Calcium For Inj 500 MG,442.14,353.72,1.0,397.93,26
HCPCS,J0641,Inj levoleucovorin nos 0.5mg,,,0.06,0.06,3
HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,1.06,1.06,3
HCPCS,J0650,Levothyroxine Sodium For IV Inj 100 MCG,477.34,381.88,124.66,437.32,130
HCPCS,J0650,Levothyroxine Sodium For IV Inj 500 MCG,873.96,699.17,231.16,786.56,26
HCPCS,J0651,Levothyroxine Sodium IV Soln 100 MCG/5ML (20 MCG/ML),235.63,188.51,6.49,212.07,34
HCPCS,J0651,Levothyroxine Sodium IV Soln 500 MCG/5ML (100 MCG/ML),80.02,64.02,6.49,72.02,34
HCPCS,J0652,"Inj, levothyroxine, hikma",,,4.88,5.63,12
HCPCS,J0665,Bupivacaine HCl Inj 0.25%,393.32500000000005,314.65999999999997,0.02,358.47,234
HCPCS,J0665,Bupivacaine HCl Inj 0.5%,393.55,314.84,0.02,357.03,156
HCPCS,J0665,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,390.76,312.61,0.02,355.88,520
HCPCS,J0665,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.3,312.24,0.02,356.34,442
HCPCS,J0665,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,390.795,312.64,0.02,353.04,156
HCPCS,J0666,Bupivacaine Liposome Inj 1.3% (13.3 MG/ML),150.0,120.0,1.4,135.0,68
HCPCS,J0668,"Instill, bupivac and meloxic",,,0.77,0.85,12
HCPCS,J0670,Mepivacaine HCl Preservative Free (PF) Inj 1%,394.64,315.72,1.0,355.18,52
HCPCS,J0670,Mepivacaine HCl Preservative Free (PF) Inj 1.5%,396.62,317.3,1.0,356.96,52
HCPCS,J0670,Mepivacaine HCl Preservative Free (PF) Inj 2%,395.26,316.21,1.0,355.73,52
HCPCS,J0675,"Inj, carboprost, 0.1 mg",,,48.5,53.86,12
HCPCS,J0681,Inj ceftobipole medocarl 3mg,,,1.03,1.14,12
HCPCS,J0687,Inj cefazolin (wg crit care),,,0.9,1.03,12
HCPCS,J0688,"Inj cefazolin sodium, hikma",,,0.88,1.01,15
HCPCS,J0689,"Inj cefazolin sodium, baxter",,,1.21,1.21,3
HCPCS,J0690,Cefazolin Sodium (Bulk) For Inj 100 GM,389.43,311.55,1.0,350.49,26
HCPCS,J0690,Cefazolin Sodium (Bulk) For Inj 300 GM,389.4,311.52,1.0,350.46,26
HCPCS,J0690,Cefazolin Sodium For IV Soln 1 GM,390.97,312.78,1.0,351.87,26
HCPCS,J0690,Cefazolin Sodium For Inj 1 GM,390.03,312.03,1.0,351.31,182
HCPCS,J0690,Cefazolin Sodium For Inj 10 GM,391.53999999999996,313.235,1.0,354.26,52
HCPCS,J0690,Cefazolin Sodium IV Soln Pref Syringe 2 GM/20ML,394.84,315.88,1.0,355.36,26
HCPCS,J0690,Cefazolin Sodium for IV Soln 1 GM and Dextrose 4% (50 ML),392.95,314.36,1.0,353.66,26
HCPCS,J0690,Cefazolin Sodium for IV Soln 2 GM and Dextrose 3% (50 ML),389.07,311.26,1.0,350.16,26
HCPCS,J0691,Inj lefamulin 1 mg,,,0.72,0.72,3
HCPCS,J0692,Cefepime HCl For IV Soln 2 GM,396.33,317.07,1.0,358.35,234
HCPCS,J0692,Cefepime HCl For Inj 1 GM,393.27,314.62,1.0,354.98,156
HCPCS,J0692,Cefepime HCl and Dextrose 5% For IV Soln 2 GM/50ML,397.68,318.15,1.0,357.91,26
HCPCS,J0693,Pharmacy,,,0.97,0.97,4
HCPCS,J0694,Cefoxitin Sodium For IV Soln 1 GM,392.2,313.76,1.0,355.5,78
HCPCS,J0694,Cefoxitin Sodium For IV Soln 2 GM,395.18,316.15,1.0,360.45,130
HCPCS,J0694,Cefoxitin Sodium IV For Soln 2 GM and Dextrose 2.2% (50 ML),406.25,325.0,1.0,365.63,26
HCPCS,J0695,Ceftolozane-Tazobactam For Inj 1.5 GM (1-0.5 GM),476.0,380.8,7.48,428.4,34
HCPCS,J0696,Ceftriaxone Sodium For IV Soln 1 GM,391.98,313.59,1.0,352.78,26
HCPCS,J0696,Ceftriaxone Sodium For Inj 1 GM,391.53,313.23,1.0,354.01,208
HCPCS,J0696,Ceftriaxone Sodium For Inj 2 GM,391.26,313.01,1.0,352.7,130
HCPCS,J0696,Ceftriaxone Sodium For Inj 500 MG,389.885,311.90999999999997,1.0,350.93,78
HCPCS,J0696,Ceftriaxone Sodium for IV Soln 1 GM and Dextrose 3.74% 50 ML,396.09,316.88,1.0,356.48,26
HCPCS,J0696,Ceftriaxone Sodium for IV Soln 2 GM and Dextrose 2.22% 50 ML,403.02,322.42,1.0,365.31,52
HCPCS,J0696,INJECTION CEFTRIAXONE SODIUM PER 250 MG CHILD'S VOICE,29.0,23.2,1.0,26.1,26
HCPCS,J0697,Sterile cefuroxime injection,,,1.0,1.0,3
HCPCS,J0698,Cefotaxime sodium injection,,,1.0,1.0,3
HCPCS,J0699,Cefiderocol Sulfate Tosylate For IV Soln 1 GM,905.45,724.36,2.17,814.91,34
HCPCS,J0701,Inj. cefepime hcl (baxter),,,5.69,5.69,3
HCPCS,J0702,Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML,395.275,316.225,1.0,356.35,52
HCPCS,J0703,Cefepime HCl For IV Soln 1 GM and Dextrose 5% (50 ML),399.35,319.48,5.09,359.42,26
HCPCS,J0706,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),397.15999999999997,317.735,1.0,374.04,234
HCPCS,J0710,Outpatient Services - CPT/HCPCS,,,2.35,2.35,3
HCPCS,J0712,Ceftaroline Fosamil for IV Soln 400 MG,520.29,416.24,3.86,468.26,34
HCPCS,J0712,Ceftaroline Fosamil for IV Soln 600 MG,464.475,371.58000000000004,3.86,700.11,68
HCPCS,J0713,Ceftazidime For IV Soln 1 GM,397.05,317.64,1.0,357.35,26
HCPCS,J0713,Ceftazidime For IV Soln 2 GM,398.35,318.68,1.0,359.42,104
HCPCS,J0713,Ceftazidime For Inj 1 GM,392.87,314.3,1.0,353.84,104
HCPCS,J0713,Ceftazidime For Inj 6 GM,523.73,418.99,1.0,471.36,26
HCPCS,J0714,Ceftazidime-Avibactam Sodium For IV Soln 2.5 GM (2-0.5 GM),695.52,556.42,95.44,625.97,68
HCPCS,J0715,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J0716,Centruroides immune f(ab),,,4628.34,5351.02,15
HCPCS,J0717,Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML,19374.0,15499.2,3.72,17436.6,34
HCPCS,J0718,Pharmacy,,,5.66,5.66,4
HCPCS,J0720,Chloramphenicol Sodium Succinate For IV Inj 1 GM,403.24,322.6,1.0,362.92,26
HCPCS,J0725,Chorionic Gonadotropin For IM Inj 10000 Unit,903.62,722.9,1.0,850.59,78
HCPCS,J0735,Clonidine HCl Inj (For Epidural Infusion) 100 MCG/ML,407.79,326.24,1.0,385.52,78
HCPCS,J0736,Clindamycin Phosphate Inj 300 MG/2ML,390.55,312.44,2.18,351.5,52
HCPCS,J0736,Clindamycin Phosphate Inj 600 MG/4ML,391.745,313.4,2.18,353.05,78
HCPCS,J0736,Clindamycin Phosphate Inj 900 MG/6ML,391.91499999999996,313.53499999999997,2.18,353.07,52
HCPCS,J0736,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,392.5,314.0,2.18,354.15,130
HCPCS,J0736,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,395.2,316.16,2.18,359.73,130
HCPCS,J0736,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,401.6,321.28,2.18,380.48,104
HCPCS,J0737,"Inj, clindamycin (baxter)",,,2.19,2.19,3
HCPCS,J0738,"Hiv prep, inj, lenacapavir",,,15.33,17.66,12
HCPCS,J0739,"Hiv prep, inj, cabotegravir",,,6.58,7.68,15
HCPCS,J0740,Cidofovir IV Inj 75 MG/ML,2218.995,1775.1999999999998,518.98,2392.7,68
HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,22.29,25.88,15
HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,2.46,2.85,15
HCPCS,J0743,Imipenem-Cilastatin Intravenous For Soln 500 MG,409.225,327.385,1.0,377.59,130
HCPCS,J0744,Ciprofloxacin 400 MG/200ML in D5W,391.6,313.28,1.0,356.04,130
HCPCS,J0745,Inj codeine phosphate /30 MG,,,1.0,1.0,3
HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,1.65,59.51,15
HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,67.76,78.06,15
HCPCS,J0752,"Hiv prep, oral lenacapavir",,,426.58,491.39,12
HCPCS,J0759,"Inj, clevidipine, 1 mg",,,2.71,3.6,12
HCPCS,J0770,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),401.0,320.8,1.0,373.67,156
HCPCS,J0770,"Colistimethate Sod For Inj 150 MG (Colistin Base Activity),Colistimethate Sod For Inj 150 MG (Colistin Base Activity)",400.775,320.62,1.0,373.67,104
HCPCS,J0775,Collagenase Clostridium Histolyticum For Inj 0.9 MG,20504.02,16403.22,67.75,18453.62,34
HCPCS,J0780,Prochlorperazine Edisylate Inj 10 MG/2ML,396.41499999999996,317.135,1.0,361.28,234
HCPCS,J0791,Crizanlizumab-tmca IV Soln 100 MG/10ML,8524.21,6819.37,123.01,7671.79,34
HCPCS,J0795,Outpatient Services - CPT/HCPCS,,,9.31,9.31,3
HCPCS,J0800,Pharmacy,,,4180.14,4180.14,4
HCPCS,J0801,Inj. acthar gel to 40 units,,,4090.09,4090.09,3
HCPCS,J0802,"Inj. (ani), up to 40 units",,,3477.54,3477.54,3
HCPCS,J0834,Cosyntropin For Inj 0.25 MG,447.095,357.68,1.0,439.81,78
HCPCS,J0840,Crotalidae Polyvalent Immune Fab (Ovine) For IV Infusion,9614.0,7691.2,1737.28,8652.6,34
HCPCS,J0841,Crotalidae Immune F(ab')2 (Equine) For IV Infusion,4115.64,3292.52,992.89,3704.08,68
HCPCS,J0850,Cytomegalovirus imm IV /vial,,,1667.59,1979.27,15
HCPCS,J0870,Imetelstat Sodium For IV Soln 188 MG,34567.35,27653.88,54.18,31110.62,34
HCPCS,J0870,Imetelstat Sodium For IV Soln 47 MG,8754.34,7003.48,54.18,7878.91,34
HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.04,0.05,12
HCPCS,J0873,Daptomycin For IV Soln 350 MG,432.4,345.92,0.03,389.16,34
HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.1,0.1,3
HCPCS,J0875,Dalbavancin HCl For IV Soln 500 MG (Base Equivalent),3400.8,2720.64,14.83,3060.72,34
HCPCS,J0877,Daptomycin For IV Soln 350 MG,412.8,330.24,0.06,371.52,26
HCPCS,J0878,Daptomycin For IV Soln 350 MG,410.0,328.0,1.0,407.43,156
HCPCS,J0879,Difelikefalin Acetate 65 MCG/1.3ML (50 MCG/ML),675.0,540.0,0.06,607.5,68
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML,1493.6,1194.88,2.78,1344.24,34
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 150 MCG/0.3ML,2165.18,1732.15,2.78,1948.66,34
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 200 MCG/0.4ML,2613.79,2091.04,2.78,2352.41,34
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML,458.0,366.4,2.78,412.2,34
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 300 MCG/0.6ML,3683.53,2946.83,2.78,3315.18,34
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML,642.8,514.24,2.78,578.52,68
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 500 MCG/ML,6309.48,5047.59,2.78,5678.53,34
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML,889.1,711.28,2.78,800.19,68
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML,1493.6,1194.88,2.78,1344.24,68
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 150 MCG/0.3ML,2165.18,1732.15,2.78,1948.66,68
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 200 MCG/0.4ML,2613.79,2091.04,2.78,2352.41,34
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML,458.0,366.4,2.78,412.2,68
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 300 MCG/0.6ML,3683.53,2946.83,2.78,3315.18,34
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML,642.8,514.24,2.78,578.52,68
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 500 MCG/ML,6309.48,5047.59,2.78,5678.53,34
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML,889.1,711.28,2.78,800.19,68
HCPCS,J0883,Argatroban nonesrd use 1mg,,,0.76,1.21,15
HCPCS,J0884,Argatroban IV Soln 50 MG/50ML (1 MG/ML),457.5,366.0,1.21,429.93,52
HCPCS,J0884,Argatroban Inj 250 MG/2.5ML (Concentrate For IV Infusion),1021.835,817.4749999999999,1.21,3977.94,156
HCPCS,J0885,Epoetin Alfa Inj 10000 Unit/ML,563.87,451.1,7.09,507.48,34
HCPCS,J0885,Epoetin Alfa Inj 20000 Unit/ML,857.67,686.14,7.09,771.9,34
HCPCS,J0885,Epoetin Alfa Inj 40000 Unit/ML,857.66,686.13,7.09,771.89,34
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 100 MCG/0.3ML,1025.0,820.0,1.71,922.5,26
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 150 MCG/0.3ML,1462.5,1170.0,1.71,1316.25,26
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 200 MCG/0.3ML,1900.0,1520.0,1.71,1710.0,26
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 30 MCG/0.3ML,412.5,330.0,1.71,371.25,26
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 50 MCG/0.3ML,587.5,470.0,1.71,528.75,26
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 75 MCG/0.3ML,804.5,643.6,1.71,724.05,26
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 100 MCG/0.3ML,1025.0,820.0,1.39,922.5,34
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 150 MCG/0.3ML,1462.5,1170.0,1.39,1316.25,34
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 200 MCG/0.3ML,1900.0,1520.0,1.39,1710.0,34
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 30 MCG/0.3ML,412.5,330.0,1.39,371.25,34
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 50 MCG/0.3ML,587.5,470.0,1.39,528.75,34
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 75 MCG/0.3ML,804.5,643.6,1.39,724.05,34
HCPCS,J0889,Outpatient Services - CPT/HCPCS,,,3.99,3.99,3
HCPCS,J0889,Pharmacy,,,3.99,3.99,4
HCPCS,J0890,Peginesatide injection,,,9.7,9.7,3
HCPCS,J0891,Argatroban nonesrd (accord),,,0.37,4.04,15
HCPCS,J0892,Argatroban dialysis (accord),,,0.37,0.37,3
HCPCS,J0893,"Inj, decitabine (sun pharma)",,,2.12,2.12,3
HCPCS,J0894,Decitabine For Inj 50 MG,1196.42,957.14,1.0,5614.65,156
HCPCS,J0895,Deferoxamine Mesylate For Inj 2 GM,415.18,332.15,1.0,376.69,52
HCPCS,J0895,Deferoxamine Mesylate For Inj 500 MG,397.955,318.37,1.0,378.56,130
HCPCS,J0896,Luspatercept-aamt For Subcutaneous Inj 25 MG,14466.82,11573.46,39.21,13020.14,34
HCPCS,J0897,Denosumab Inj 120 MG/1.7ML,6814.98,5451.99,24.22,6133.48,34
HCPCS,J0897,Denosumab Inj Soln Prefilled Syringe 60 MG/ML,5945.16,4756.13,24.22,5350.64,34
HCPCS,J0898,Argatroban nonesrd (auromed),,,1.54,4.13,15
HCPCS,J0899,"Argatroban dialysis, auromed",,,4.13,4.13,3
HCPCS,J0901,Vadadustat oral 1mg for esrd,,,0.15,0.15,4
HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,6.09,8.5,12
HCPCS,J0945,Brompheniramine maleate inj,,,0.88,0.88,3
HCPCS,J1000,Estradiol Cypionate IM in Oil 5 MG/ML,420.85,336.68,1.0,378.77,26
HCPCS,J1010,Methylprednisolone Acetate Inj Susp 40 MG/ML,395.18,316.15,0.11,357.41,204
HCPCS,J1010,Methylprednisolone Acetate Inj Susp 80 MG/ML,399.07,319.26,0.11,362.03,238
HCPCS,J1020,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J1030,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J1040,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J1050,Medroxyprogesterone Acetate IM Susp 150 MG/ML,425.74,340.6,1.0,389.6,156
HCPCS,J1071,Testosterone Cypionate IM Inj in Oil 200 MG/ML,199.25,159.4,1.0,180.35,104
HCPCS,J1072,"Inj, testosterone, azmiro",,,1.26,1.45,12
HCPCS,J1094,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J1095,"Injection, dexamethasone 9%",,,1.0,1.0,3
HCPCS,J1096,Dexametha opth insert 0.1 mg,,,1.0,112.65,15
HCPCS,J1097,Phenylep Ketorolac opth soln,,,1.0,120.36,15
HCPCS,J1100,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,156.37,125.1,1.0,140.94,182
HCPCS,J1100,Dexamethasone Sodium Phosphate Inj 10 MG/ML,155.94,124.76,1.0,140.35,26
HCPCS,J1100,"Dexamethasone Sodium Phosphate Inj 10 MG/ML,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML",2.27,1.82,0.6,2.04,26
HCPCS,J1100,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,392.865,314.29999999999995,1.0,355.86,182
HCPCS,J1100,Dexamethasone Sodium Phosphate Inj 20 MG/5ML,389.14,311.32,1.0,350.26,104
HCPCS,J1100,Dexamethasone Sodium Phosphate Inj 4 MG/ML,389.84,311.875,1.0,352.49,208
HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,0.6,0.89,15
HCPCS,J1110,Dihydroergotamine Mesylate Inj 1 MG/ML,458.32,366.65999999999997,1.0,421.02,156
HCPCS,J1120,Acetazolamide Sodium For Inj 500 MG,413.38,330.71,1.0,383.28,130
HCPCS,J1130,Inj diclofenac sodium 0.5mg,,,1.0,1.0,3
HCPCS,J1160,Digoxin Inj 0.1 MG/ML,482.88,386.305,1.0,441.54,52
HCPCS,J1160,Digoxin Inj 0.25 MG/ML,443.82000000000005,355.06,1.0,468.36,182
HCPCS,J1162,Digoxin Immune Fab For Inj 40 MG,15084.33,12067.47,4593.57,13575.9,34
HCPCS,J1163,Diltiazem HCl IV For Soln 100 MG,399.09,319.28,105.56,359.18,26
HCPCS,J1163,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),63.07,50.46,16.65,57.39,156
HCPCS,J1163,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),156.32,125.06,41.28,141.31,182
HCPCS,J1163,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),156.58,125.27,41.31,141.35,208
HCPCS,J1165,Phenytoin Sodium Inj 50 MG/ML,273.595,125.96,1.0,350.78,208
HCPCS,J1170,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J1171,Hydromorphone HCl Inj 0.2 MG/ML,390.85,312.68,103.38,351.77,52
HCPCS,J1171,Hydromorphone HCl Inj 1 MG/ML,78.3,62.64,20.66,141.84,338
HCPCS,J1171,Hydromorphone HCl Inj 2 MG/ML,195.42000000000002,156.34,51.53,176.8,208
HCPCS,J1171,Hydromorphone HCl Preservative Free (PF) Inj 1 MG/ML,393.0,314.4,103.95,353.7,52
HCPCS,J1171,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,395.95,316.765,103.61,435.47,234
HCPCS,J1171,Hydromorphone HCl Preservative Free (PF) Inj 2 MG/ML,196.07,156.86,51.86,176.46,52
HCPCS,J1171,Hydromorphone HCl-NaCl Soln Pref Syr 10 MG/50ML-0.9%,390.9,312.72,103.39,351.81,26
HCPCS,J1171,"Hydromorphone HCl-NaCl Soln Pref Syr 50 MG/50ML-0.9%,Hydromorphone 1 mg/mL PCA",395.7,316.56,104.66,356.13,26
HCPCS,J1171,"Hydromorphone HCl-Sodium Chloride 0.9% Inj 0.2 MG/ML,Hydromorphone HCl-NaCl Soln Pref Syr 10 MG/50ML-0.9%,Hydromorphone HCl-Sodium Chloride 0.9% Inj 6 MG/30ML,Hydromorphone HCl-NaCl Soln Pref Syr 6 MG",390.9,312.72,103.39,351.81,26
HCPCS,J1180,Dyphylline injection,,,7.78,7.78,3
HCPCS,J1190,Dexrazoxane HCl For Inj 250 MG (Base Equivalent),461.07,368.86,59.91,474.54,102
HCPCS,J1190,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),1112.15,889.72,59.91,1017.63,102
HCPCS,J1200,Diphenhydramine HCl Inj 50 MG/ML,389.8,311.84,1.0,352.4,156
HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,15.18,18.07,15
HCPCS,J1202,Miglustat oral 65 mg,,,34.63,34.63,4
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,86.65,99.82,14
HCPCS,J1205,Chlorothiazide Sodium For Inj 500 MG,467.71,374.17,1.0,602.89,208
HCPCS,J1212,Dimethyl Sulfoxide - Solution,28.99,23.2,9.71,819.49,34
HCPCS,J1212,Dimethyl Sulfoxide Soln 50%,476.85,381.48,159.74,819.49,34
HCPCS,J1230,Methadone HCl Inj 10 MG/ML,705.21,564.1700000000001,1.0,742.07,52
HCPCS,J1240,Dimenhydrinate Inj 50 MG/ML,392.21,313.77,1.0,352.99,26
HCPCS,J1245,Dipyridamole IV Soln 5 MG/ML,406.12,324.9,1.0,365.51,52
HCPCS,J1250,Dobutamine HCl Inj 12.5 MG/ML,393.31,314.65,1.0,354.15,130
HCPCS,J1250,Dobutamine in Dextrose 5% Inj 2 MG/ML,397.75,318.2,1.0,358.88,78
HCPCS,J1260,Dolasetron mesylate,,,1.0,1.0,3
HCPCS,J1265,Dopamine HCl Inj 40 MG/ML,391.21500000000003,312.98,1.0,352.39,104
HCPCS,J1265,Dopamine in Dextrose 5% Inj 1.6 MG/ML,397.5,318.0,1.0,366.3,104
HCPCS,J1267,Outpatient Services - CPT/HCPCS,,,0.88,0.88,3
HCPCS,J1270,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),392.135,313.71500000000003,1.0,360.34,234
HCPCS,J1271,Doxycycline Hyclate For Inj 100 MG,404.175,323.34000000000003,105.95,366.96,234
HCPCS,J1290,Ecallantide injection,,,532.25,634.68,17
HCPCS,J1299,Eculizumab IV Soln 300 MG/30ML (10 MG/ML) (For Infusion),22980.15,18384.12,42.58,20682.14,34
HCPCS,J1300,Drug/Drug Admin Codes,,,228.86,228.86,2
HCPCS,J1300,Outpatient Services - CPT/HCPCS,,,225.26,225.26,3
HCPCS,J1300,Pharmacy,,,245.31,245.31,4
HCPCS,J1301,Edaravone Inj 30 MG/100ML (0.3 MG/ML),7861.9,6289.5199999999995,19.94,11766.06,136
HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,17.74,20.64,17
HCPCS,J1303,Ravulizumab-cwvz IV Soln 300 MG/3ML (100 MG/ML),22564.0,18051.2,213.85,20307.6,34
HCPCS,J1304,Inj tofersen intrathec 1 mg,,,146.57,174.44,15
HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,179.14,212.04,17
HCPCS,J1306,Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML,11525.34,9220.28,11.7,10372.81,34
HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,523.94,579.09,12
HCPCS,J1308,Famotidine Inj 200 MG/20ML,389.52,311.62,102.99,350.71,78
HCPCS,J1308,Famotidine Preservative Free Inj 20 MG/2ML,389.69,311.755,103.05,350.85,182
HCPCS,J1320,Amitriptyline injection,,,1.0,1.0,3
HCPCS,J1322,"Elosulfase alfa, injection",,,280.92,337.8,17
HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,174.87,201.43,12
HCPCS,J1324,Enfuvirtide injection,,,0.68,0.68,7
HCPCS,J1325,Epoprostenol Sodium For Inj 0.5 MG,407.43,325.95,1.0,366.69,26
HCPCS,J1326,"Inj, zolbetuximab-clzb, 2 mg",,,32.02,36.89,12
HCPCS,J1327,Eptifibatide IV Soln 20 MG/10ML (2 MG/ML),407.485,325.99,1.7,366.81,52
HCPCS,J1327,Eptifibatide IV Soln 75 MG/100ML (0.75 MG/ML),445.5,356.4,1.7,402.75,52
HCPCS,J1330,Outpatient Services - CPT/HCPCS,,,4.83,4.83,3
HCPCS,J1335,Ertapenem Sodium For Inj 1 GM (Base Equivalent),461.75,369.405,1.0,441.48,234
HCPCS,J1364,Erythromycin Lactobionate For Inj 500 MG,425.32,340.26,83.64,408.76,78
HCPCS,J1380,Estradiol Valerate IM In Oil 40 MG/ML,405.025,324.025,1.0,372.76,52
HCPCS,J1410,"Estrogens, Conjugated For Inj 25 MG",730.4,584.32,244.68,657.36,34
HCPCS,J1411,"Inj, hemgenix, per tx dose",,,3501003.33,3869530.0,15
HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,11926.03,13181.4,15
HCPCS,J1413,Inj delandistrogene mox rokl,,,3150639.46,3482285.72,15
HCPCS,J1414,"Inj, beqvez, per tx dose",,,3570000.0,3570000.0,4
HCPCS,J1426,"Injection, casimersen, 10 mg",,,157.76,174.36,17
HCPCS,J1427,Inj. viltolarsen,,,56.4,58.78,5
HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,158.98,175.71,17
HCPCS,J1429,Inj golodirsen 10 mg,,,160.0,166.19,5
HCPCS,J1430,Ethanolamine oleate 100 mg,,,469.26,556.97,15
HCPCS,J1434,"Inj, focinvez, 1mg",,,2.7,3.11,12
HCPCS,J1435,Injection estrone per 1 MG,,,0.15,0.15,3
HCPCS,J1436,Etidronate disodium inj,,,78.55,78.55,3
HCPCS,J1437,Ferric Derisomaltose (One Dose) IV Sol 1000 MG/10ML (Fe Eq),7065.83,5652.67,20.06,6359.25,34
HCPCS,J1438,Etanercept injection,,,790.78,1134.93,15
HCPCS,J1439,Ferric Carboxymaltose IV Soln 750 MG/15ML (Fe Equivalent),2087.57,1670.06,1.05,1878.81,34
HCPCS,J1440,Fecal microbiota jslm 1 ml,,,60.65,69.87,15
HCPCS,J1441,Pharmacy,,,501.2,501.2,4
HCPCS,J1442,Filgrastim Inj 300 MCG/ML,1129.65,903.72,0.95,1016.69,68
HCPCS,J1442,Filgrastim Inj 480 MCG/1.6ML (300 MCG/ML),1581.36,1265.09,0.95,1423.22,68
HCPCS,J1442,Filgrastim Soln Prefilled Syringe 480 MCG/0.8ML (600 MCG/ML),1887.12,1509.7,0.95,1698.41,34
HCPCS,J1443,Outpatient Services - CPT/HCPCS,,,0.04,0.04,3
HCPCS,J1443,Pharmacy,,,0.03,0.03,4
HCPCS,J1444,Outpatient Services - CPT/HCPCS,,,0.03,0.03,3
HCPCS,J1444,Pharmacy,,,0.03,0.03,4
HCPCS,J1445,Outpatient Services - CPT/HCPCS,,,0.16,0.16,3
HCPCS,J1445,Pharmacy,,,0.16,0.16,4
HCPCS,J1446,Pharmacy,,,4.22,4.22,4
HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.27,0.42,15
HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.19,5.97,15
HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,19.83,31.34,17
HCPCS,J1450,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,395.5,316.4,1.0,365.4,104
HCPCS,J1450,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,395.6,316.48,1.0,367.02,156
HCPCS,J1451,Fomepizole Inj 1 GM/ML (For IV Infusion),3357.75,2686.2,5.96,4552.88,102
HCPCS,J1452,Outpatient Services - CPT/HCPCS,,,820.0,820.0,3
HCPCS,J1453,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),406.995,325.6,1.0,1113.89,156
HCPCS,J1454,"Inj fosnetupitant, palonoset",,,528.38,629.8,15
HCPCS,J1455,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1200.0,960.0,15.27,1647.0,238
HCPCS,J1456,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),449.45,359.56,0.17,404.51,34
HCPCS,J1457,Outpatient Services - CPT/HCPCS,,,2.04,2.04,3
HCPCS,J1458,Galsulfase Soln For IV Infusion 1 MG/ML,7983.0,6386.4,463.04,7184.7,26
HCPCS,J1459,Immune Globulin (Human) IV Soln 10 GM/100ML,3121.5,2497.2,47.59,2809.35,34
HCPCS,J1459,Immune Globulin (Human) IV Soln 20 GM/200ML,6093.0,4874.4,47.59,5483.7,34
HCPCS,J1459,Immune Globulin (Human) IV Soln 40 GM/400ML,12036.0,9628.8,47.59,10832.4,34
HCPCS,J1459,Immune Globulin (Human) IV Soln 5 GM/50ML,1635.75,1308.6,47.59,1472.18,34
HCPCS,J1459,"Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 GM/100ML,Immune Globulin (Human) IV Soln 20 GM/200ML,Immune Globulin (Human) IV Soln 40 GM/400ML",3121.5,2497.2,47.59,5483.7,102
HCPCS,J1460,Immune Globulin (Human) IM Inj,1109.42,887.54,46.58,1555.52,68
HCPCS,J1551,Inj cutaquig 100 mg,,,14.04,14.78,5
HCPCS,J1552,"Inj, alyglo, 500 mg",,,123.72,142.52,12
HCPCS,J1554,Inj. asceniv,,,471.9,543.6,17
HCPCS,J1555,"Inj cuvitru, 100 mg",,,15.73,18.43,17
HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,72.96,76.58,5
HCPCS,J1557,Gammaplex injection,,,57.01,69.69,17
HCPCS,J1558,"Inj. xembify, 100 mg",,,13.97,16.24,17
HCPCS,J1559,Immune Globulin (Human) Subcutaneous Inj 1 GM/5ML,475.26,380.21,12.73,427.73,34
HCPCS,J1559,Immune Globulin (Human) Subcutaneous Inj 2 GM/10ML,800.51,640.41,12.73,720.46,34
HCPCS,J1560,Gamma globulin > 10 CC inj,,,161.95,507.94,17
HCPCS,J1561,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",2116.83,1693.47,46.52,7215.57,272
HCPCS,J1561,Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML,4083.65,3266.92,46.52,3675.29,68
HCPCS,J1561,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,823.97,659.1800000000001,46.52,749.1,68
HCPCS,J1561,Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML,8017.3,6413.84,46.52,7215.57,68
HCPCS,J1561,Immune Globulin (Human) IV or Subcutaneous Soln 40 GM/400ML,15884.6,12707.68,46.52,14296.14,68
HCPCS,J1561,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,2116.83,1693.47,46.52,1905.15,68
HCPCS,J1562,Outpatient Services - CPT/HCPCS,,,183.95,183.95,3
HCPCS,J1566,Immune Globulin (Human) IV For Soln 10 GM,4287.28,3429.83,74.86,3858.55,34
HCPCS,J1566,Immune Globulin (Human) IV For Soln 5 GM,2105.63,1684.51,74.86,1895.07,34
HCPCS,J1568,"Immune Globulin (Human) IV Soln 1 GM/20ML,Immune Globulin (Human) IV Soln 2.5 GM/50ML,Immune Globulin (Human) IV Soln 5 GM/100ML,Immune Globulin (Human) IV Soln 10 GM/200ML,Immune Globulin (Human) IV ",2341.0,1872.8,44.79,2106.9,34
HCPCS,J1568,Immune Globulin (Human) IV Soln 10 GM/200ML,2341.0,1872.8,44.79,2106.9,34
HCPCS,J1568,Immune Globulin (Human) IV Soln 5 GM/100ML,1393.55,1114.84,44.79,1254.2,34
HCPCS,J1569,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",2521.6,2017.28,43.05,4403.88,102
HCPCS,J1569,Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML,2521.6,2017.28,43.05,2269.44,34
HCPCS,J1569,Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML,4893.2,3914.56,43.05,4403.88,34
HCPCS,J1569,Immune Globulin (Human) IV or Subcutaneous Soln 30 GM/300ML,7264.8,5811.84,43.05,6538.32,68
HCPCS,J1569,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,1335.8,1068.64,43.05,1202.22,34
HCPCS,J1570,Ganciclovir Sodium For Inj 500 MG,485.62,388.5,1.0,437.06,26
HCPCS,J1570,Ganciclovir Sodium IV Soln 500 MG/10ML (50 MG/ML) (Base Eq),387.87,310.29999999999995,1.0,356.08,52
HCPCS,J1571,Hepagam b im injection,,,62.16,72.93,15
HCPCS,J1572,Drug/Drug Admin Codes,,,52.94,52.94,2
HCPCS,J1572,Outpatient Services,,,52.97,58.55,8
HCPCS,J1572,Outpatient Services - CPT/HCPCS,,,56.12,56.12,3
HCPCS,J1572,Pharmacy,,,54.0,54.0,4
HCPCS,J1573,Hepatitis B Immune Globulin (Human) Inj Soln 312 Unit/ML,1906.1100000000001,1524.8899999999999,62.16,2924.01,136
HCPCS,J1574,"Inj, ganciclovir (exela)",,,51.0,51.0,7
HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,16.89,19.86,17
HCPCS,J1576,"Inj, panzyga, 500 mg",,,65.7,79.88,17
HCPCS,J1580,Gentamicin Sulfate Inj 10 MG/ML,390.66,312.53,1.0,351.59,52
HCPCS,J1580,Gentamicin Sulfate Inj 40 MG/ML,392.28,313.83,1.0,370.15,312
HCPCS,J1580,INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG CHILD'S VOICE,41.0,32.8,1.0,36.9,26
HCPCS,J1595,Glatiramer Acetate Soln Prefilled Syringe 20 MG/ML,750.46,600.37,153.01,782.01,68
HCPCS,J1596,Glycopyrrolate Inj 0.2 MG/ML,195.71,156.57,0.43,180.5,306
HCPCS,J1596,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),389.84,311.88,0.43,353.12,204
HCPCS,J1597,Glycopyrrolate Inj PF Soln Pref Syr 1 MG/5ML (0.2 MG/ML),40.06,32.05,10.6,36.05,52
HCPCS,J1598,Inj glycopyrrolate fres kabi,,,1.27,1.47,12
HCPCS,J1599,"Ivig non-lyophilized, NOS",,,1.0,156.45,5
HCPCS,J1600,Gold sodium thiomaleate inj,,,23.06,23.06,3
HCPCS,J1602,Golimumab IV Soln 50 MG/4ML,6968.84,5575.08,10.49,6271.96,34
HCPCS,J1610,Glucagon hydrochloride/1 MG,,,173.32,199.66,15
HCPCS,J1611,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),516.7650000000001,413.41999999999996,110.76,495.45,204
HCPCS,J1611,Glucagon HCl For Inj 1 MG,848.15,678.52,110.76,763.34,34
HCPCS,J1612,Inj glucagon (gvoke) 0.01 mg,,,2.57,3.62,12
HCPCS,J1620,Outpatient Services - CPT/HCPCS,,,198.32,198.32,3
HCPCS,J1626,Granisetron HCl Inj 1 MG/ML,391.7,313.36,1.0,358.52,104
HCPCS,J1626,Granisetron HCl Inj 4 MG/4ML (1 MG/ML),395.4,316.32,1.0,363.98,78
HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,4.07,5.78,15
HCPCS,J1628,Guselkumab IV Soln 200 MG/20ML (10 MG/ML),41556.18,33244.95,72.17,37400.56,34
HCPCS,J1630,Haloperidol Lactate Inj 5 MG/ML,389.73,311.79,1.0,352.18,208
HCPCS,J1631,Haloperidol decanoate inj,,,1.0,1.0,3
HCPCS,J1632,"Inj., brexanolone, 1 mg",,,72.22,72.22,3
HCPCS,J1640,"Hemin, 1 mg",,,31.4,37.41,15
HCPCS,J1642,"Heparin Sodium (Porcine) Lock Flush IV Soln 10 Unit*,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML",1.0,0.8,0.16,2.7,78
HCPCS,J1642,Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML,389.15,311.32,1.0,350.24,26
HCPCS,J1642,Heparin Sodium (Porcine) Lock Flush PF IV Soln 1 Unit/ML,3.0,2.4,0.79,2.7,52
HCPCS,J1642,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,0.8,0.64,0.16,1.0,104
HCPCS,J1642,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML,15.1,16.095,1.0,22.62,78
HCPCS,J1643,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.595,312.48,5.18,352.71,104
HCPCS,J1644,Heparin Sod (Porcine) in NaCl IV Soln 25000 Unit/250ML-0.45%,400.35,320.28,1.0,368.28,78
HCPCS,J1644,Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,392.5,314.0,1.0,353.7,104
HCPCS,J1644,"Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%",392.0,313.6,1.0,352.8,52
HCPCS,J1644,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%,394.0,315.2,1.0,357.3,130
HCPCS,J1644,Heparin Sodium (Porcine) 100 Unit/ML in D5W,395.375,316.29999999999995,1.0,357.08,312
HCPCS,J1644,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.44,312.36,1.0,353.56,520
HCPCS,J1644,Heparin Sodium (Porcine) Inj 20000 Unit/ML,396.525,317.225,1.0,361.34,156
HCPCS,J1644,Heparin Sodium (Porcine) Inj 5000 Unit/ML,390.31,312.25,1.0,351.33,104
HCPCS,J1644,Heparin Sodium (Porcine) PF Inj 5000 Unit/0.5ML,391.26,313.015,1.0,352.77,208
HCPCS,J1645,Dalteparin sodium,,,1.0,1.0,3
HCPCS,J1650,Enoxaparin Sodium Inj 300 MG/3ML,431.42,345.14,1.0,390.67,78
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,397.52,318.02,1.0,362.72,208
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,405.92,324.74,1.0,394.63,312
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,357.405,285.92999999999995,1.0,361.68,286
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,392.56,314.055,1.0,365.79,416
HCPCS,J1650,"Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML",391.54,313.24,1.0,356.31,182
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,394.58,315.67,1.0,374.59,468
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,397.46000000000004,317.97,1.0,363.64,364
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,396.04,316.84,1.0,362.65,234
HCPCS,J1652,Fondaparinux Sodium Inj 10 MG/0.8ML,418.51,334.81,1.0,380.05,156
HCPCS,J1652,Fondaparinux Sodium Inj 5 MG/0.4ML,418.735,334.99,1.0,377.07,104
HCPCS,J1652,Fondaparinux Sodium Subcutaneous Inj 2.5 MG/0.5ML,398.5,318.8,1.0,359.47,78
HCPCS,J1652,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,420.38,336.305,1.0,436.71,130
HCPCS,J1655,Outpatient Services - CPT/HCPCS,,,4.94,4.94,3
HCPCS,J1670,Tetanus Immune Globulin (Human) IM Soln Pref Syr 250 Unit/ML,817.82,654.26,273.97,736.04,68
HCPCS,J1700,Hydrocortisone acetate inj,,,1.0,1.0,3
HCPCS,J1710,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J1720,Hydrocortisone Sodium Succinate PF For Inj 100 MG,406.12,324.9,1.0,367.98,104
HCPCS,J1720,Hydrocortisone Sodium Succinate PF For Inj 250 MG,494.545,395.64,1.0,445.21,52
HCPCS,J1720,Hydrocortisone Sodium Succinate PF For Inj 500 MG,418.43,334.75,1.0,376.59,26
HCPCS,J1725,Pharmacy,,,3.12,3.12,4
HCPCS,J1726,"Makena, 10 mg",,,13.82,20.62,7
HCPCS,J1729,Inj hydroxyprogst capoat nos,,,8.85,8.85,3
HCPCS,J1730,Diazoxide injection,,,63.23,63.23,3
HCPCS,J1738,Inj. meloxicam 1 mg,,,1.0,1.0,3
HCPCS,J1740,Ibandronate Sodium IV Soln 3 MG/3ML (Base Equivalent),401.93,321.55,1.0,843.53,78
HCPCS,J1741,Ibuprofen Lysine IV Soln 10 MG/ML (Base Equivalent),1027.35,821.88,1.0,1733.63,104
HCPCS,J1742,Ibutilide Fumarate Inj 1 MG/10ML,960.64,768.52,163.69,864.58,34
HCPCS,J1743,Idursulfase injection,,,530.53,611.15,17
HCPCS,J1744,Icatibant Acetate Subcutaneous Soln Pref Syr 30 MG/3ML,8540.32,6832.26,93.19,8619.59,272
HCPCS,J1745,Infliximab For IV Inj 100 MG,2951.665,2361.335,29.54,3719.89,68
HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,74.46,86.73,17
HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,60.22,71.93,15
HCPCS,J1750,Iron Dextran Inj 50 MG/ML,414.99,332.0,17.2,373.49,68
HCPCS,J1750,Iron Dextran Inj 50 MG/ML (Elemental Iron),414.99,332.0,17.2,373.49,102
HCPCS,J1756,Iron Sucrose Inj 20 MG/ML (Fe Equiv),104.97,83.98,1.0,183.02,182
HCPCS,J1786,Imiglucerase For Inj 400 Unit,5701.0,4560.8,41.03,5130.9,34
HCPCS,J1790,Droperidol Inj 2.5 MG/ML,394.265,315.41499999999996,1.0,355.66,78
HCPCS,J1800,Propranolol HCl Inj 1 MG/ML,392.20500000000004,313.77,1.0,354.14,78
HCPCS,J1805,Esmolol HCl Inj 100 MG/10ML,397.345,317.88,0.25,362.12,130
HCPCS,J1805,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,502.9,402.32,0.25,549.81,208
HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.47,0.47,3
HCPCS,J1807,"Inj, ethacrynate sod, 1 mg",,,19.92,77.52,12
HCPCS,J1808,Folic Acid Inj 5 MG/ML,389.165,311.33500000000004,102.92,350.3,52
HCPCS,J1809,"Inj, fosdenopterin, 0.1mg",,,16.12,18.57,12
HCPCS,J1810,Outpatient Services - CPT/HCPCS,,,13.74,13.74,3
HCPCS,J1811,Fiasp for insulin pump use,,,6.67,9.04,15
HCPCS,J1812,Inj. insulin (fiasp),,,1.0,1.0,3
HCPCS,J1813,Lyumjev for insulin pump use,,,15.68,15.68,3
HCPCS,J1814,Inj. insulin (lyumjev),,,1.0,1.0,3
HCPCS,J1815,Insulin Aspart Inj Soln 100 Unit/ML,51.98,41.59,1.0,46.78,26
HCPCS,J1815,"Insulin Glargine Inj 100 Unit/ML,Insulin Glargine Soln Cartridge 100 Unit/ML,Insulin Glargine Soln Pen-Injector 100 Unit/ML",66.19,52.96,1.0,59.57,26
HCPCS,J1815,Insulin Regular (Human) Inj 100 Unit/ML,23.18,18.55,1.0,20.86,26
HCPCS,J1817,Insulin for insulin pump use,,,1.0,1.0,3
HCPCS,J1823,Inebilizumab-cdon IV Soln 100 MG/10ML (10 MG/ML),163900.01,131120.01,470.77,147510.01,102
HCPCS,J1826,Interferon Beta-1A inj,,,1819.71,2313.3,15
HCPCS,J1830,Interferon beta-1b / .25 MG,,,540.11,724.77,7
HCPCS,J1833,Isavuconazonium Sulfate For IV Soln 372 MG,1390.81,1112.65,0.94,1251.73,34
HCPCS,J1834,"Inj, isoniazid, 1 mg",,,0.3,0.33,12
HCPCS,J1835,Itraconazole injection,,,46.51,46.51,3
HCPCS,J1836,Metronidazole IV Soln 500 MG/100ML,390.75,312.6,0.02,352.35,234
HCPCS,J1840,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J1850,Outpatient Services - CPT/HCPCS,,,1.15,1.15,3
HCPCS,J1885,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",389.935,311.955,0.29,354.8,272
HCPCS,J1885,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),390.45,312.36,0.29,1401.43,442
HCPCS,J1885,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",391.61,313.29,0.29,1401.43,204
HCPCS,J1885,Ketorolac Tromethamine Inj 15 MG/ML,389.72,311.78,0.29,352.26,442
HCPCS,J1885,Ketorolac Tromethamine Inj 30 MG/ML,390.47,312.38,0.29,354.8,408
HCPCS,J1890,Outpatient Services - CPT/HCPCS,,,8.8,8.8,3
HCPCS,J1920,Labetalol HCl IV Soln 5 MG/ML,390.56,312.45000000000005,0.18,355.48,338
HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,2.72,2.72,3
HCPCS,J1930,Lanreotide Acetate Extended Release Inj 120 MG/0.5ML,28034.64,22427.72,32.34,25231.18,34
HCPCS,J1931,Laronidase injection,,,37.44,43.63,17
HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,28.35,49.97,15
HCPCS,J1938,Furosemide Inj 10 MG/ML,195.095,156.11,20.63,351.77,1118
HCPCS,J1939,Bumetanide Inj 0.25 MG/ML,389.35,311.48,0.35,356.0,204
HCPCS,J1940,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J1941,"Inj, furoscix, 20 mg",,,229.0,250.05,7
HCPCS,J1942,Pharmacy,,,2.91,2.91,4
HCPCS,J1943,"Inj., Aristada Initio, 1 mg",,,3.05,3.55,15
HCPCS,J1944,Aripiprazole Lauroxil IM ER Susp Prefilled Syr 662 MG/2.4ML,7253.92,5803.14,3.11,6528.53,34
HCPCS,J1945,Outpatient Services - CPT/HCPCS,,,610.48,610.48,3
HCPCS,J1950,Leuprolide Acetate (3 Month) For Inj Kit 11.25 MG,3662.57,2930.06,1226.96,3296.31,34
HCPCS,J1950,Leuprolide Acetate (3 Month) For Inj Pediatric Kit 11.25 MG,35001.36,28001.09,1524.34,31501.22,34
HCPCS,J1950,Leuprolide Acetate For Inj Kit 3.75 MG,1370.84,1096.68,459.23,1893.56,34
HCPCS,J1950,Leuprolide Acetate For Inj Pediatric Kit 11.25 MG,1511.12,1208.9,506.23,1893.56,34
HCPCS,J1950,Leuprolide Acetate For Inj Pediatric Kit 15 MG,1641.52,1313.22,549.91,1893.56,34
HCPCS,J1951,Inj fensolvi 0.25 mg,,,133.64,154.29,15
HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,74.35,86.36,15
HCPCS,J1953,Levetiracetam Inj 500 MG/5ML (100 MG/ML),390.89,313.08000000000004,1.0,354.14,312
HCPCS,J1953,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,400.85,320.68,1.0,367.2,208
HCPCS,J1953,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,406.0,324.8,1.0,371.7,286
HCPCS,J1954,Inj leu acet lutr dpt 7.5 mg,,,362.05,773.34,15
HCPCS,J1955,Levocarnitine Inj 200 MG/ML,446.695,357.36,25.83,449.2,78
HCPCS,J1956,Levofloxacin IV Soln 25 MG/ML,13.88,11.11,1.0,12.49,26
HCPCS,J1956,Levofloxacin in D5W IV Soln 250 MG/50ML,390.55,312.44,1.0,352.04,104
HCPCS,J1956,Levofloxacin in D5W IV Soln 5 MG/ML,196.15,156.92,1.0,176.54,26
HCPCS,J1956,Levofloxacin in D5W IV Soln 500 MG/100ML,392.3,313.84,1.0,353.43,130
HCPCS,J1956,Levofloxacin in D5W IV Soln 750 MG/150ML,394.25,315.4,1.0,361.17,130
HCPCS,J1960,Levorphanol tartrate inj,,,1.0,1.0,3
HCPCS,J1961,Inj lenacapavir (hiv tx) 1mg,,,21.05,24.24,15
HCPCS,J1980,Hyoscyamine sulfate inj,,,1.0,1.0,3
HCPCS,J1990,Chlordiazepoxide injection,,,23.16,23.16,3
HCPCS,J2001,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J2002,Lidocaine IV Infusion in D5W Inj 4 MG/ML,394.0,315.2,0.01,355.73,102
HCPCS,J2003,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),391.43,313.15,103.53,352.29,26
HCPCS,J2003,"Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",391.43,313.15,103.53,352.29,26
HCPCS,J2003,Lidocaine HCl (Cardiac) IV Soln Pref Syr 50 MG/5ML (1%),391.86,313.49,103.65,352.67,26
HCPCS,J2003,Lidocaine HCl Local Inj 1%,389.06,311.255,10.22,351.05,520
HCPCS,J2003,Lidocaine HCl Local Inj 2%,390.975,312.78,103.1,356.36,234
HCPCS,J2003,Lidocaine HCl Local Preservative Free (PF) Inj 0.5%,15.705,12.565,4.14,14.18,104
HCPCS,J2003,Lidocaine HCl Local Preservative Free (PF) Inj 1%,78.0,62.4,3.44,351.72,520
HCPCS,J2003,Lidocaine HCl Local Preservative Free (PF) Inj 2%,156.05,124.84,20.2,353.84,494
HCPCS,J2003,Lidocaine HCl Local Preservative Free (PF) Inj 4%,5.87,4.7,1.55,5.28,78
HCPCS,J2003,Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%),391.79,313.44,103.63,352.61,52
HCPCS,J2004,Lidocaine Inj 0.5% w/ Epinephrine-1:200000,389.06,311.255,102.9,350.17,104
HCPCS,J2004,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.15999999999997,311.33000000000004,10.32,350.57,364
HCPCS,J2004,Lidocaine Inj 1% w/ Epinephrine-1:200000 (PF),39.58,31.67,10.47,35.62,52
HCPCS,J2004,Lidocaine Inj 1.5% w/ Epinephrine-1:200000 (PF),78.15,62.52,3.48,70.54,104
HCPCS,J2004,Lidocaine Inj 2% w/ Epinephrine-1:100000,389.195,311.36,102.93,350.33,156
HCPCS,J2004,Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF),29.485,23.59,5.23,35.29,52
HCPCS,J2004,Lidocaine Inj 2% w/ Epinephrine-1:50000,389.19,311.36,102.94,350.27,26
HCPCS,J2010,Lincomycin injection,,,1.0,1.0,3
HCPCS,J2020,Linezolid IV Soln 600 MG/300ML (2 MG/ML),413.45,330.76,1.0,409.71,260
HCPCS,J2021,"Inj, linezolid (hospira)",,,13.74,13.74,3
HCPCS,J2060,Lorazepam Inj 2 MG/ML,390.015,312.015,1.0,352.94,442
HCPCS,J2060,lorazepam 2 mg/mL pca vial,404.45,323.56,1.0,364.01,26
HCPCS,J2062,Loxapine for inhalation 1 mg,,,15.11,16.7,15
HCPCS,J2150,Mannitol IV Soln 25%,393.95,315.16,1.0,364.05,130
HCPCS,J2170,Mecasermin injection,,,1.0,1.0,3
HCPCS,J2175,Meperidine HCl Inj 100 MG/ML,390.525,312.425,1.0,352.03,78
HCPCS,J2175,Meperidine HCl Inj 25 MG/ML,392.57500000000005,314.065,1.0,354.94,156
HCPCS,J2175,Meperidine HCl Inj 50 MG/ML,392.695,314.15999999999997,1.0,354.92,104
HCPCS,J2180,Meperidine/promethazine inj,,,1.0,1.0,3
HCPCS,J2182,Mepolizumab For Inj 100 MG,9263.9,7411.12,29.71,8337.51,34
HCPCS,J2182,Mepolizumab Subcutaneous Solution Pref Syringe 40 MG/0.4ML,4805.49,3844.4,29.71,4324.94,34
HCPCS,J2183,Inj meropenem (wg crit care),,,1.54,1.77,12
HCPCS,J2184,Meropenem & Sodium Chloride 0.9% For IV Soln 1 GM/50ML,408.61,326.89,2.1,367.75,26
HCPCS,J2185,Meropenem IV For Soln 1 GM,394.45,315.56,1.0,356.5,260
HCPCS,J2185,Meropenem IV For Soln 500 MG,391.9,313.525,1.0,352.91,78
HCPCS,J2186,Meropenem-Vaborbactam For IV Soln 2 GM (1-1 GM),697.6,558.08,2.07,627.84,68
HCPCS,J2210,Methylergonovine Maleate Inj 0.2 MG/ML,405.855,324.69,1.0,366.74,104
HCPCS,J2212,Methylnaltrexone Bromide Inj 12 MG/0.6ML (20 MG/ML),179.23,143.39,1.15,161.31,26
HCPCS,J2212,Methylnaltrexone Bromide Inj 8 MG/0.4ML (20 MG/ML),491.0,392.8,1.15,441.9,26
HCPCS,J2247,Micafungin Sodium For IV Soln 50 MG,401.52,321.22,0.4,361.37,52
HCPCS,J2248,Micafungin Sodium For IV Soln 100 MG,449.895,359.91999999999996,1.0,467.91,156
HCPCS,J2248,Micafungin Sodium For IV Soln 50 MG,414.07,331.26,1.0,428.16,78
HCPCS,J2249,"Inj, remimazolam, 1 mg",,,1.0,1.0,3
HCPCS,J2250,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln,410.2,328.16,1.0,369.18,26
HCPCS,J2250,Midazolam 2 mg/mL syringe,395.46,316.37,1.0,355.91,26
HCPCS,J2250,Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,392.995,314.4,1.0,369.5,104
HCPCS,J2250,"Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,Midazolam 55 MG/55ML-NaCl 0.9% IV Soln Prefilled Syringe,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln",410.2,328.16,1.0,369.18,26
HCPCS,J2250,Midazolam HCl Inj 10 MG/10ML (Base Equivalent),389.18,311.35,1.0,350.27,156
HCPCS,J2250,Midazolam HCl Inj 10 MG/2ML (Base Equivalent),220.35000000000002,176.285,1.0,351.14,52
HCPCS,J2250,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",389.6,311.68,1.0,351.01,208
HCPCS,J2250,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),389.58,311.67,1.0,350.81,156
HCPCS,J2250,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),390.0,312.0,1.0,398.61,468
HCPCS,J2250,Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),389.82,311.86,1.0,351.06,78
HCPCS,J2251,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln,416.3,333.04,0.29,374.67,52
HCPCS,J2251,"Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,Midazolam 55 MG/55ML-NaCl 0.9% IV Soln Prefilled Syringe,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln",416.3,333.04,0.29,374.67,52
HCPCS,J2260,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),392.57,314.06,1.0,415.98,208
HCPCS,J2260,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,401.7,321.36,1.0,365.58,78
HCPCS,J2260,"Milrinone in Dextrose IV Soln 20 MG/100 ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",402.45,321.96,1.0,365.58,52
HCPCS,J2265,Minocycline HCl IV For Soln 100 MG,962.75,770.2,2.47,866.48,68
HCPCS,J2267,Mirikizumab-mrkz IV Soln 300 MG/15ML (20 MG/ML),33555.02,26844.02,40.9,30199.52,34
HCPCS,J2270,Morphine Sulfate IV Soln 1 MG/ML,398.36,318.69,1.0,358.52,26
HCPCS,J2270,"Morphine Sulfate IV Soln 1 MG/ML,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),Morphine Sulfate-NaCl Sol Pref Syr 30 MG/30ML-0.9% (1 MG/ML)",396.75,317.4,1.0,358.29,52
HCPCS,J2270,Morphine Sulfate IV Soln 10 MG/ML,389.93,311.945,1.0,350.96,52
HCPCS,J2270,Morphine Sulfate IV Soln 4 MG/ML,391.01,312.81,1.0,351.91,104
HCPCS,J2270,Morphine Sulfate IV Soln 50 MG/ML,399.91999999999996,319.94000000000005,1.0,363.06,52
HCPCS,J2270,Morphine Sulfate IV Soln PF 10 MG/ML,390.44,312.36,1.0,351.4,52
HCPCS,J2270,Morphine Sulfate IV Soln PF 8 MG/ML,390.35,312.28,1.0,351.32,26
HCPCS,J2270,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),396.75,317.4,1.0,358.29,52
HCPCS,J2270,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,400.55,320.44,1.0,362.25,52
HCPCS,J2271,Pharmacy,,,0.95,0.95,4
HCPCS,J2272,Morphine Sulfate Inj 2 MG/ML,390.52,312.42,7.07,351.47,52
HCPCS,J2272,Morphine Sulfate Inj 4 MG/ML,390.94,312.76,7.07,351.85,52
HCPCS,J2272,Morphine Sulfate Inj PF 10 MG/ML,391.61,313.29,7.07,352.45,52
HCPCS,J2274,Morphine Sulf For Microinfusion PF Inj 200 MG/20ML (10MG/ML),548.4200000000001,438.74,1.0,507.55,52
HCPCS,J2274,Morphine Sulf For Microinfusion PF Inj 500 MG/20ML (25MG/ML),1239.725,991.785,1.0,1159.32,52
HCPCS,J2274,Morphine Sulfate Inj PF 1 MG/ML,400.28,320.23,1.0,365.24,104
HCPCS,J2275,Pharmacy,,,11.1,11.1,4
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,23.96,27.6,12
HCPCS,J2278,Ziconotide Acetate Intrathecal Inj 100 MCG/ML,3626.24,2901.0,9.04,3263.62,34
HCPCS,J2278,Ziconotide Acetate Intrathecal Inj 500 MCG/20ML (25 MCG/ML),16645.78,13316.63,9.04,14981.2,34
HCPCS,J2278,Ziconotide Acetate Intrathecal Inj 500 MCG/5ML,16645.75,13316.6,9.04,14981.18,34
HCPCS,J2280,"Inj, moxifloxacin 100 mg",,,1.0,1.0,3
HCPCS,J2281,Moxifloxacin HCl IV Solution 400 MG/250ML (Base Equiv),420.0,336.0,5.32,378.0,26
HCPCS,J2290,Nafcillin Sodium For Inj 1 GM,394.07,315.26,103.89,359.51,104
HCPCS,J2290,Nafcillin Sodium For Inj 2 GM,401.75,321.405,103.45,374.41,208
HCPCS,J2300,Nalbuphine HCl Inj 10 MG/ML,396.58500000000004,317.27,1.0,360.9,130
HCPCS,J2300,Nalbuphine HCl Inj 20 MG/ML,395.56,316.45,1.0,358.16,104
HCPCS,J2305,Nitroglycerin IV Soln 5 MG/ML,399.88,319.91,1.29,359.89,52
HCPCS,J2310,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J2311,Outpatient Services - CPT/HCPCS,,,4.31,4.31,3
HCPCS,J2312,Naloxone HCl Inj 0.4 MG/ML,196.635,157.31,51.79,181.47,312
HCPCS,J2312,Naloxone HCl Soln Cartridge 0.4 MG/ML,10.06,8.05,2.66,9.05,26
HCPCS,J2312,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,80.315,64.255,21.22,72.37,78
HCPCS,J2315,Naltrexone For IM Extended Release Susp 380 MG,4436.91,3549.53,3.96,3993.22,34
HCPCS,J2320,Nandrolone decanoate 50 MG,,,1.0,1.0,3
HCPCS,J2323,Natalizumab for IV Inj Conc 300 MG/15ML,27645.46,22116.37,22.8,24880.91,34
HCPCS,J2325,Nesiritide injection,,,71.98,71.98,3
HCPCS,J2326,Nusinersen Intrathecal Soln 12 MG/5ML (2.4 MG/ML),79837.5,63870.0,1169.8,71853.75,34
HCPCS,J2327,Risankizumab-rzaa IV Soln 600 MG/10ML (60 MG/ML),34302.3,27441.84,14.19,30872.07,34
HCPCS,J2329,Ublituximab-xiiy Soln For IV Infusion 150 MG/6ML,34401.46,27521.17,67.08,30961.31,34
HCPCS,J2350,Ocrelizumab Soln For IV Infusion 300 MG/10ML,59003.7,47202.96,56.44,53103.33,34
HCPCS,J2351,Ocrelizumab-Hyaluronidase-ocsq Inj 920-23000 MG-UNIT/23ML,61732.29,49385.84,44.87,55559.06,34
HCPCS,J2353,Octreotide Acetate For IM Inj Kit 10 MG,10351.24,8281.0,193.4,9316.12,34
HCPCS,J2353,Octreotide Acetate For IM Inj Kit 20 MG,12315.37,9852.3,193.4,11083.83,34
HCPCS,J2353,Octreotide Acetate For IM Inj Kit 30 MG,17798.545,14238.84,193.4,18151.15,68
HCPCS,J2354,Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML),391.18,312.95,1.0,352.66,78
HCPCS,J2355,Oprelvekin injection,,,467.22,467.22,3
HCPCS,J2356,Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 MG/1.91ML,15355.71,12284.57,17.11,13820.14,34
HCPCS,J2357,Omalizumab For Inj 150 MG,4973.7,3978.96,39.04,4476.33,34
HCPCS,J2358,Olanzapine long-acting inj,,,2.77,3.19,15
HCPCS,J2359,Olanzapine For IM Inj 10 MG,409.25,327.4,0.89,382.98,130
HCPCS,J2360,Orphenadrine Citrate Inj 30 MG/ML,402.44,321.96,1.0,362.49,78
HCPCS,J2370,Pharmacy,,,3.26,3.26,4
HCPCS,J2371,Phenylephrine HCl IV Soln 10 MG/ML,390.43,312.35,0.01,353.21,442
HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.18,0.18,3
HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.13,0.15,12
HCPCS,J2401,Chloroprocaine HCl Inj 1%,395.54,316.44,0.04,355.99,26
HCPCS,J2401,Chloroprocaine HCl Preservative Free (PF) Inj 2%,407.09000000000003,325.67499999999995,0.04,366.84,78
HCPCS,J2401,Chloroprocaine HCl Preservative Free (PF) Inj 3%,406.4,325.12,0.04,367.92,104
HCPCS,J2402,Chloroprocaine (clorotekal),,,0.31,0.31,3
HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.55,0.71,15
HCPCS,J2404,Nicardipine HCl IV Soln 2.5 MG/ML,403.66,322.93,0.41,375.8,156
HCPCS,J2404,Nicardipine HCl IV Soln 40 MG/200ML in Sodium Chloride 0.83%,447.4,357.92,0.41,402.66,52
HCPCS,J2405,Ondansetron HCl Inj 2 MG/ML,389.41,311.53,1.0,350.47,52
HCPCS,J2405,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.47,311.58,1.0,351.04,312
HCPCS,J2405,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),389.375,311.505,1.0,350.94,234
HCPCS,J2406,"Injection, oritavancin 10 mg",,,40.35,46.48,15
HCPCS,J2407,Oritavancin Diphosphate For IV Soln 400 MG (Base Equivalent),3403.46,2722.77,27.25,3063.11,34
HCPCS,J2410,Oxymorphone hcl injection,,,2.91,2.91,3
HCPCS,J2425,Palifermin injection,,,26.51,38.91,15
HCPCS,J2426,Paliperidone Palmitate ER Susp Pref Syr 117 MG/0.75ML,5477.19,4381.76,14.34,4929.47,34
HCPCS,J2426,Paliperidone Palmitate ER Susp Pref Syr 156 MG/ML,4658.32,3726.66,14.34,4192.49,34
HCPCS,J2426,Paliperidone Palmitate ER Susp Pref Syr 234 MG/1.5ML,6912.48,5529.99,14.34,6221.23,34
HCPCS,J2427,"Inj, invega hafyera/trinza",,,12.2,14.22,15
HCPCS,J2428,"Inj, erzofri, 1 mg",,,15.93,18.35,12
HCPCS,J2430,Pamidronate Disodium IV Soln 3 MG/ML,398.505,318.805,1.0,359.37,52
HCPCS,J2430,Pamidronate Disodium IV Soln 6 MG/ML,412.24,329.8,1.0,371.02,26
HCPCS,J2430,Pamidronate Disodium IV Soln 9 MG/ML,418.7,334.96,1.0,376.83,26
HCPCS,J2440,Papaverine HCl Inj 30 MG/ML,404.905,323.93,1.0,374.54,208
HCPCS,J2460,Oxytetracycline injection,,,0.53,0.53,3
HCPCS,J2468,"Inj, palonosetron (posfrea)",,,55.32,63.73,12
HCPCS,J2469,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),397.1,317.68,1.0,362.42,208
HCPCS,J2470,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.77,313.41999999999996,103.16,354.3,520
HCPCS,J2471,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.525,313.225,103.56,352.38,104
HCPCS,J2501,Paricalcitol IV Soln 2 MCG/ML,397.42,317.94,1.0,357.68,26
HCPCS,J2501,Paricalcitol IV Soln 5 MCG/ML,397.22,317.78,1.0,363.18,78
HCPCS,J2502,"Inj, pasireotide long acting",,,455.82,627.01,15
HCPCS,J2503,Outpatient Services - CPT/HCPCS,,,755.86,755.86,3
HCPCS,J2504,Outpatient Services - CPT/HCPCS,,,354.08,354.08,3
HCPCS,J2505,Pharmacy,,,2431.21,2431.21,4
HCPCS,J2506,Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML,16590.8,13272.64,31.73,14931.72,34
HCPCS,J2506,Pegfilgrastim Soln Prefilled Syringe Kit 6 MG/0.6ML,17181.56,13745.25,31.73,15463.4,34
HCPCS,J2507,Pegloticase Inj 8 MG/ML (For IV Infusion),61418.88,49135.11,3307.05,55276.99,34
HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,216.75,249.68,17
HCPCS,J2510,Penicillin G Procaine Intramuscular Susp 600000 Unit/ML,228.56,182.85,39.4,205.7,34
HCPCS,J2513,Outpatient Services - CPT/HCPCS,,,13.99,13.99,3
HCPCS,J2515,Pentobarbital Sodium Inj 50 MG/ML,285.825,228.66500000000002,1.0,280.94,104
HCPCS,J2540,Penicillin G Potassium For Inj 20000000 Unit,420.87,336.7,1.0,380.05,52
HCPCS,J2540,Penicillin G Potassium For Inj 5000000 Unit,394.86,315.89,1.0,380.61,156
HCPCS,J2540,Penicillin G Potassium Inj 60000 Unit/ML in Dextrose,360.36,288.28999999999996,1.0,360.36,52
HCPCS,J2543,Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM),392.32,313.86,1.0,359.36,156
HCPCS,J2543,Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM),394.17,315.34,1.0,362.45,104
HCPCS,J2543,Piperacillin Sodium-Tazobactam Sodium For Inj 3-0.375 GM,389.35,311.48,1.0,350.42,26
HCPCS,J2543,Piperacillin Sodium-Tazobactam Sodium For Inj 4-0.5 GM,393.84,315.08,1.0,354.46,26
HCPCS,J2545,Pentamidine Isethionate For Nebulization Soln 300 MG,143.82,115.06,40.35,184.36,78
HCPCS,J2547,"Injection, peramivir",,,1.59,1.76,15
HCPCS,J2550,Promethazine hcl injection,,,1.0,1.0,3
HCPCS,J2560,Phenobarbital Sodium Inj 130 MG/ML,425.06,340.055,1.0,392.34,104
HCPCS,J2560,Phenobarbital Sodium Inj 65 MG/ML,405.69,324.56,1.0,366.42,156
HCPCS,J2561,Phenobarbital Sodium For IV Soln 100 MG,549.04,439.24,1.0,494.14,34
HCPCS,J2562,Plerixafor injection,,,24.06,429.05,15
HCPCS,J2590,Oxytocin Inj 10 Unit/ML,389.82,311.86,1.0,350.91,130
HCPCS,J2590,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML,268.0,214.4,1.0,245.7,156
HCPCS,J2597,Desmopressin Acetate Inj 4 MCG/ML,402.93,322.35,3.35,365.02,102
HCPCS,J2598,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),61.79,49.44,2.56,56.06,52
HCPCS,J2599,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),61.29,49.04,0.56,55.16,52
HCPCS,J2601,"Inj, vasopressin (baxter)",,,1.91,2.19,12
HCPCS,J2650,Prednisolone acetate inj,,,0.19,0.19,3
HCPCS,J2670,Totazoline hcl injection,,,3.3,3.3,3
HCPCS,J2675,Inj progesterone per 50 MG,,,1.0,1.0,3
HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,1.0,8.03,15
HCPCS,J2680,Fluphenazine Decanoate Inj 25 MG/ML,400.37,320.3,1.0,372.82,104
HCPCS,J2690,Procainamide HCl Inj 100 MG/ML,394.51,315.615,132.15,355.08,102
HCPCS,J2700,Oxacillin Sodium For Inj 1 GM (Base Equivalent),394.17,315.34,1.0,359.57,104
HCPCS,J2704,",,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",389.095,311.28,1.0,350.19,52
HCPCS,J2704,"Propofol IV Emul 10 MG/ML,Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 1000 MG/100ML (10 MG/ML)",389.1,311.28,1.0,350.19,52
HCPCS,J2704,Propofol IV Emul 1000 MG/100ML (10 MG/ML),399.4,319.52,1.0,372.78,260
HCPCS,J2704,Propofol IV Emul 200 MG/20ML (10 MG/ML),389.0,311.2,1.0,350.1,234
HCPCS,J2704,"Propofol IV Emul 200 MG/20ML (10 MG/ML),,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",391.0,312.80499999999995,1.0,351.97,208
HCPCS,J2704,Propofol IV Emul 500 MG/50ML (10 MG/ML),394.4,315.52,1.0,361.58,208
HCPCS,J2710,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),389.21,311.37,1.0,351.07,260
HCPCS,J2710,Neostigmine Methylsulfate Soln Pref Syr 5 MG/5ML (1 MG/ML),40.1,32.08,1.0,38.05,78
HCPCS,J2720,Protamine Sulfate Inj 10 MG/ML,237.04,189.64,1.0,214.81,130
HCPCS,J2724,Protein c concentrate,,,14.29,16.46,15
HCPCS,J2725,Inj protirelin per 250 mcg,,,42.12,42.12,3
HCPCS,J2730,Pralidoxime Chloride For IV Soln 1 GM,470.05,376.04,1.0,423.05,52
HCPCS,J2760,Phentolamine Mesylate For Inj 5 MG,1383.13,1106.51,410.42,1244.82,68
HCPCS,J2765,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),390.225,312.18,1.0,352.46,260
HCPCS,J2770,Quinupristin/dalfopristin,,,4.05,493.97,11
HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,32.18,37.07,15
HCPCS,J2778,Ranibizumab injection,,,82.06,197.37,15
HCPCS,J2779,"Inj, Susvimo 0.1 mg",,,74.99,86.39,15
HCPCS,J2780,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,132.22,153.52,15
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,99.87,115.04,12
HCPCS,J2783,Rasburicase For IV Soln 1.5 MG,3441.88,2753.51,358.43,3097.69,102
HCPCS,J2785,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),434.05,347.24,1.0,815.9,130
HCPCS,J2786,Reslizumab IV Infusion Soln 100 MG/10ML (10 MG/ML),3349.0,2679.2,10.3,3014.1,34
HCPCS,J2787,Riboflavin 5'Phos opth<=3ml,,,1.0,1.0,3
HCPCS,J2788,Rho d immune globulin 50 mcg,,,1.0,1.0,3
HCPCS,J2790,PF J2790 RHO(D) IMMGLOBUL INJ 300 MCG/1500 IU,269.0,215.2,1.0,242.1,26
HCPCS,J2790,Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG),456.36,365.09,1.0,410.72,26
HCPCS,J2791,PF J2791 RHOPHYLAC INJECTION 100 IU,31.01,24.81,1.0,27.91,26
HCPCS,J2791,Rho D Immune Globulin Sol Pref Syr 1500 Unt/2ML (300MCG/2ML),462.74,370.2,1.0,416.47,26
HCPCS,J2792,"Rho(D) immune globulin h, sd",,,24.18,33.46,15
HCPCS,J2793,Rilonacept injection,,,26.2,27.64,7
HCPCS,J2794,Risperidone Microspheres For IM Extended Rel Susp 37.5 MG,2333.62,1866.9,10.43,2100.26,34
HCPCS,J2794,Risperidone Microspheres For IM Extended Rel Susp 50 MG,2611.24,2089.0,10.43,2350.12,34
HCPCS,J2795,Ropivacaine HCl Inj 10 MG/ML,392.59,314.08,1.0,355.68,104
HCPCS,J2795,Ropivacaine HCl Inj 2 MG/ML,396.96000000000004,317.575,1.0,381.78,546
HCPCS,J2795,Ropivacaine HCl Inj 5 MG/ML,53.305,42.644999999999996,1.0,70.94,442
HCPCS,J2796,Outpatient Services - CPT/HCPCS,,,95.75,95.75,3
HCPCS,J2796,Pharmacy,,,110.58,110.58,4
HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,0.9,0.9,3
HCPCS,J2798,"Inj., Perseris, 0.5 mg",,,11.53,13.28,15
HCPCS,J2799,"Inj, uzedy, 1 mg",,,23.79,27.4,15
HCPCS,J2800,Methocarbamol Inj 1000 MG/10ML,396.63,317.305,1.0,388.14,312
HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,12.38,13.68,12
HCPCS,J2802,Romiplostim For Inj 250 MCG,9279.02,7423.22,10.46,8351.12,34
HCPCS,J2804,Rifampin For Inj 600 MG,457.73,366.19,121.04,585.74,78
HCPCS,J2805,Sincalide For Inj 5 MCG,463.68,370.95,1.0,455.87,130
HCPCS,J2806,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J2810,Inj theophylline per 40 MG,,,0.4,0.4,3
HCPCS,J2820,Sargramostim Lyophilized For Inj 250 MCG,1071.25,857.0,47.85,964.13,34
HCPCS,J2840,Inj sebelipase alfa 1 mg,,,510.5,566.91,17
HCPCS,J2850,Secretin Acetate (Human) For Inj 16 MCG,1987.53,1590.03,38.49,1788.78,34
HCPCS,J2860,"Injection, siltuximab",,,148.96,181.47,15
HCPCS,J2865,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,395.49,316.395,104.39,356.69,52
HCPCS,J2910,Outpatient Services - CPT/HCPCS,,,26.95,26.95,3
HCPCS,J2916,Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq),408.02,326.41999999999996,1.0,377.82,104
HCPCS,J2919,Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv),411.27,329.02,0.2,386.78,136
HCPCS,J2919,Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv),390.935,312.75,0.2,352.27,136
HCPCS,J2919,Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv),392.41499999999996,313.935,0.2,355.17,136
HCPCS,J2919,Methylprednisolone Sod Succ For Inj 500 MG (Base Equiv),404.28,323.43,0.2,369.86,102
HCPCS,J2919,Methylprednisolone Sod Succ For Inj PF 1000 MG (Base Equiv),424.45,339.56,0.2,382.01,34
HCPCS,J2919,Methylprednisolone Sod Succ For Inj PF 125 MG (Base Equiv),396.18,316.95,0.2,356.56,136
HCPCS,J2919,Methylprednisolone Sod Succ For Inj PF 40 MG (Base Equiv),393.48,314.79,0.2,354.13,136
HCPCS,J2919,Methylprednisolone Sod Succ For Inj PF 500 MG (Base Equiv),419.68,335.75,0.2,377.71,34
HCPCS,J2919,"Methylprednisolone Sodium Succinate For Inj 1000 MG,Methylprednisolone Sod Succ For Inj PF 1000 MG (Base Equiv)",396.73,317.39,0.2,357.06,34
HCPCS,J2920,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J2930,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J2940,Outpatient Services - CPT/HCPCS,,,42.3,42.3,3
HCPCS,J2941,Somatropin injection,,,46.47,169.57,15
HCPCS,J2950,Promazine hcl injection,,,1.0,1.0,3
HCPCS,J2993,Reteplase injection,,,2759.35,3081.45,15
HCPCS,J2995,Outpatient Services - CPT/HCPCS,,,87.45,87.45,3
HCPCS,J2997,Alteplase For Inj 100 MG,28970.75,23176.6,89.16,26073.68,68
HCPCS,J2997,Alteplase For Inj 2 MG,750.78,600.63,89.16,675.7,34
HCPCS,J2997,Alteplase For Inj 50 MG,3012.65,2410.12,89.16,13104.34,136
HCPCS,J2998,Inj plasminogen tvmh 1mg,,,31.13,40.71,15
HCPCS,J3000,Streptomycin Sulfate For Inj 1 GM,395.78,316.63,1.0,356.2,26
HCPCS,J3010,"Fentanyl 50 mcg/mL NS PCA,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML",402.09,321.68,1.0,386.33,78
HCPCS,J3010,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML,410.98,328.785,1.0,386.33,52
HCPCS,J3010,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,390.43,312.35,1.0,351.67,156
HCPCS,J3010,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,",395.8,316.64,1.0,365.4,156
HCPCS,J3010,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",390.71,312.57,1.0,352.59,234
HCPCS,J3010,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,39.78,31.83,1.0,36.45,130
HCPCS,J3010,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,78.14,62.52,1.0,70.52,234
HCPCS,J3010,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,7.89,6.32,1.0,7.41,104
HCPCS,J3010,Fentanyl Citrate Preservative Free (PF) Inj 500 MCG/10ML,78.24,62.6,1.0,70.42,52
HCPCS,J3030,Sumatriptan Succinate Inj 6 MG/0.5ML,400.41,320.33,1.0,364.22,104
HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,1.97,1.97,3
HCPCS,J3032,Eptinezumab-jjmr IV Soln 100 MG/ML,5647.38,4517.91,17.43,5082.64,34
HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,68.99,79.47,12
HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,39.05,45.18,17
HCPCS,J3070,Pentazocine injection,,,1.0,1.0,3
HCPCS,J3090,Inj tedizolid phosphate,,,1.74,2.15,15
HCPCS,J3095,Telavancin HCl For IV Soln 750 MG (Base Equivalent),1499.25,1199.4,6.76,1349.33,34
HCPCS,J3101,Tenecteplase For IV Soln Kit 50 MG,24870.905,19896.725,153.1,24363.41,102
HCPCS,J3105,Terbutaline Sulfate Inj 1 MG/ML,390.32000000000005,312.26,1.0,351.42,156
HCPCS,J3110,Teriparatide injection,,,67.26,72.07,7
HCPCS,J3111,Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML,7963.78,6371.03,10.35,7167.4,34
HCPCS,J3121,Inj testostero enanthate 1mg,,,1.0,1.0,3
HCPCS,J3145,Testosterone undecanoate 1mg,,,1.74,2.26,15
HCPCS,J3230,Chlorpromazine HCl Inj 25 MG/ML,395.3,316.24,1.0,364.64,104
HCPCS,J3230,Chlorpromazine HCl Inj 50 MG/2ML,395.975,316.78499999999997,1.0,356.38,52
HCPCS,J3240,Thyrotropin Alfa For Inj 0.9 MG,5674.75,4539.8,1901.04,5107.28,34
HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,328.0,393.08,17
HCPCS,J3243,Tigecycline For IV Soln 50 MG,410.5,328.4,1.0,577.19,234
HCPCS,J3244,Inj. tigecycline (accord),,,2.65,2.65,3
HCPCS,J3245,Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 MG/ML,38956.17,31164.94,121.08,35060.55,34
HCPCS,J3246,Tirofiban HCl in NaCl 0.9% IV Soln 12.5 MG/250ML (Base Eq),515.25,412.20000000000005,4.41,564.3,104
HCPCS,J3246,Tirofiban HCl in NaCl 0.9% IV Soln 5 MG/100ML (Base Equiv),558.05,446.44,4.41,502.38,52
HCPCS,J3247,Inj secukinumab intrav 1mg,,,16.95,19.52,12
HCPCS,J3250,Trimethobenzamide hcl inj,,,1.0,1.0,3
HCPCS,J3260,Tobramycin Sulfate For Inj 1.2 GM,83.645,66.92,1.0,104.21,182
HCPCS,J3260,Tobramycin Sulfate Inj 1.2 GM/30ML (40 MG/ML) (Base Equiv),389.755,311.805,1.0,350.78,78
HCPCS,J3260,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv),390.155,312.125,1.0,351.45,52
HCPCS,J3262,Tocilizumab IV Inj 200 MG/10ML,3726.72,2981.38,5.42,3354.05,34
HCPCS,J3262,Tocilizumab IV Inj 400 MG/20ML,7303.44,5842.76,5.42,6573.1,34
HCPCS,J3262,Tocilizumab IV Inj 80 MG/4ML,1580.7,1264.56,5.42,1422.63,34
HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,37.44,46.57,14
HCPCS,J3265,Injection torsemide 10 mg/ml,,,1.09,1.09,3
HCPCS,J3280,Outpatient Services - CPT/HCPCS,,,11.87,11.87,3
HCPCS,J3285,Treprostinil Inj Soln 20 MG/20ML (1 MG/ML),2877.62,2302.1,51.97,3744.84,68
HCPCS,J3285,Treprostinil Inj Soln 200 MG/20ML (10 MG/ML),47899.5,38319.6,51.97,43109.55,34
HCPCS,J3290,"Inj, tranexamic acid 5 mg",,,0.04,0.04,4
HCPCS,J3299,Inj xipere 1 mg,,,45.57,52.5,15
HCPCS,J3300,Triamcinolone Acetonide Ophth Inj 40 MG/ML,3437.17,2749.74,1.0,3093.45,34
HCPCS,J3301,Triamcinolone Acetonide Inj Susp 10 MG/ML,391.19,312.96,1.0,352.07,26
HCPCS,J3301,Triamcinolone Acetonide Inj Susp 40 MG/ML,395.68,316.54499999999996,1.0,357.85,234
HCPCS,J3302,Triamcinolone diacetate inj,,,1.0,1.0,3
HCPCS,J3303,Triamcinolone hexacetonl inj,,,1.0,1.0,3
HCPCS,J3304,Triamcinolone Acetonide Intra-articular Inj ER Susp 32 MG,2145.06,1716.05,17.13,1930.55,68
HCPCS,J3305,Outpatient Services - CPT/HCPCS,,,159.57,159.57,3
HCPCS,J3310,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J3315,Triptorelin pamoate,,,401.75,519.63,15
HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,3225.08,4177.39,15
HCPCS,J3320,Outpatient Services - CPT/HCPCS,,,20.13,20.13,3
HCPCS,J3350,Urea injection,,,71.09,71.09,3
HCPCS,J3355,Outpatient Services - CPT/HCPCS,,,127.66,127.66,3
HCPCS,J3357,Ustekinumab Soln Prefilled Syringe 45 MG/0.5ML,33827.44,27061.96,82.59,30444.7,34
HCPCS,J3357,Ustekinumab Soln Prefilled Syringe 90 MG/ML,61793.7,49434.96,82.59,55614.33,34
HCPCS,J3358,Ustekinumab IV Soln 130 MG/26ML (5 MG/ML) (For IV Infusion),6480.42,5184.34,12.34,5832.38,34
HCPCS,J3360,Diazepam Inj 5 MG/ML,204.305,163.45,1.0,352.99,416
HCPCS,J3364,Outpatient Services - CPT/HCPCS,,,10.07,10.07,3
HCPCS,J3365,Outpatient Services - CPT/HCPCS,,,489.77,489.77,3
HCPCS,J3370,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J3371,Outpatient Services - CPT/HCPCS,,,6.25,6.25,3
HCPCS,J3372,Outpatient Services - CPT/HCPCS,,,6.49,6.49,3
HCPCS,J3373,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),392.16999999999996,313.74,103.31,361.31,494
HCPCS,J3373,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),418.675,334.94,109.77,391.85,104
HCPCS,J3373,Vancomycin HCl For IV Soln 5 GM (Base Equivalent),405.44,324.355,106.27,412.13,104
HCPCS,J3373,Vancomycin HCl For IV Soln 500 MG (Base Equivalent),390.89,312.72,103.28,352.13,130
HCPCS,J3373,"Vancomycin HCl in Dextrose Inj 1 GM/200ML,Vancomycin HCl-Dextrose IV Soln 1 GM/200ML-5%",395.54,316.44,104.62,355.99,26
HCPCS,J3373,Vancomycin HCl-Dextrose IV Soln 1 GM/200ML-5%,398.2,318.56,105.32,358.38,26
HCPCS,J3374,Vancomycin HCl For IV Soln 1.25 GM (Base Equivalent),407.79,326.24,107.86,367.01,52
HCPCS,J3374,Vancomycin HCl For IV Soln 1.5 GM (Base Equivalent),411.55,329.24,108.85,370.4,52
HCPCS,J3374,Vancomycin HCl For IV Soln 750 MG (Base Equivalent),398.05,318.44,105.28,358.25,52
HCPCS,J3380,Vedolizumab For IV Solution 300 MG,30334.35,24267.48,20.25,27300.92,34
HCPCS,J3385,Velaglucerase alfa,,,362.29,417.33,17
HCPCS,J3391,"Inj, atidarsagene autotemcel",,,4279750.0,4730250.0,12
HCPCS,J3392,"Inj, exagamglogene autotem",,,2215400.0,2448600.0,12
HCPCS,J3393,"Inj, betibeglogene autotemce",,,2798453.0,3093027.0,12
HCPCS,J3394,"Inj, lovotibeglogene autotem",,,3086023.43,3410868.0,12
HCPCS,J3396,Verteporfin injection,,,10.96,12.62,15
HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,263.7,293.92,17
HCPCS,J3398,Inj luxturna 1 billion vec g,,,2852.45,3152.71,15
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 2x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 3x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 4x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 5x8.3 ML Susp Kit,2630876.26,2104701.01,881343.55,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 6x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 7x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 8x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 2x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 3x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 4x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 5x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 6x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 7x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 2x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 4x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 5x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 6x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 7x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 8x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 9x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
HCPCS,J3400,Outpatient Services - CPT/HCPCS,,,12.48,12.48,3
HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,974.16,2570.5,15
HCPCS,J3402,Inj. remestemcel-l-rknd/ td,,,195358.0,225040.0,12
HCPCS,J3403,"Revakinagene, per implant",,,244625.0,270375.0,12
HCPCS,J3410,Hydroxyzine HCl IM Soln 50 MG/ML,148.285,118.63,1.0,179.15,52
HCPCS,J3411,Thiamine HCl Inj 100 MG/ML,390.995,312.8,1.0,353.84,364
HCPCS,J3415,Pyridoxine HCl Inj 100 MG/ML,10058.295,8046.639999999999,1.0,17749.94,78
HCPCS,J3420,Cyanocobalamin Inj 1000 MCG/ML,390.83000000000004,312.66499999999996,1.0,352.76,416
HCPCS,J3424,Hydroxocobalamin (Antidote) For IV Soln 5 GM,3295.94,2636.76,4.93,2966.35,34
HCPCS,J3425,Hydroxocobalamin Acetate Inj 1000 MCG/ML (Base Equivalent),411.98,329.59,0.01,370.78,34
HCPCS,J3430,Phytonadione Inj 1 MG/0.5ML (2 MG/ML),392.79,314.24,1.0,370.05,130
HCPCS,J3430,Phytonadione Inj 10 MG/ML,426.54,341.24,1.0,386.68,130
HCPCS,J3465,Voriconazole For Inj 200 MG,407.22,325.78,1.0,370.72,104
HCPCS,J3470,Hyaluronidase Bovine Inj 150 Unit/ML,404.69,323.76,1.0,364.22,26
HCPCS,J3470,Hyaluronidase Human Inj 150 Unit/ML,426.24,341.0,1.0,383.62,26
HCPCS,J3471,"Ovine, up to 999 USP units",,,1.0,1.0,3
HCPCS,J3472,"Ovine, 1000 USP units",,,1.0,1.0,3
HCPCS,J3473,Hyaluronidase Human Inj 150 Unit/ML,426.24,341.0,1.0,383.62,52
HCPCS,J3475,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),394.55,315.64,1.0,357.21,130
HCPCS,J3475,"Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),",390.57500000000005,312.46000000000004,1.0,351.99,104
HCPCS,J3475,Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),394.0,315.2,1.0,361.58,104
HCPCS,J3475,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),392.3,313.84,1.0,354.87,182
HCPCS,J3475,Magnesium Sulfate IV Soln 40 GM/1000ML (40 MG/ML),395.0,316.0,1.0,355.5,26
HCPCS,J3475,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",398.35,318.68,1.0,358.52,26
HCPCS,J3475,Magnesium Sulfate Inj 50%,39.075,31.265,1.0,350.29,312
HCPCS,J3475,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,391.79999999999995,313.44,1.0,375.12,130
HCPCS,J3480,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.9% Inj,395.0,316.0,1.0,356.4,78
HCPCS,J3480,Potassium Chloride Inj 2 mEq/ML,392.29999999999995,313.845,1.0,366.75,442
HCPCS,J3480,Potassium Chloride Inj 20 mEq/100ML,392.0,313.6,1.0,379.35,78
HCPCS,J3485,Zidovudine IV Soln 10 MG/ML,417.46,333.97,1.0,375.71,52
HCPCS,J3486,Ziprasidone Mesylate For Inj 20 MG (Base Equivalent),421.39,337.12,1.0,391.88,104
HCPCS,J3487,Pharmacy,,,241.79,241.79,4
HCPCS,J3488,Pharmacy,,,245.87,245.87,4
HCPCS,J3489,Zoledronic Acid IV Soln 5 MG/100ML,457.625,366.1,1.0,582.3,104
HCPCS,J3489,Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML,396.06,316.85,1.0,388.22,130
HCPCS,J3490,Acetaminophen Tab 325 MG,1.01,0.81,0.27,1.0,26
HCPCS,J3490,Brivaracetam IV Soln 50 MG/5ML,416.37,333.1,1.0,374.73,52
HCPCS,J3490,Calcium Chloride Inj 10%,26.36,21.09,1.0,23.72,26
HCPCS,J3490,Cupric Chloride Inj 0.4 MG/ML (Elemental),406.81,325.45,1.0,366.13,52
HCPCS,J3490,Defibrotide Sodium IV Soln 200 MG/2.5ML (80 MG/ML),3497.44,2797.96,1.0,3147.7,52
HCPCS,J3490,Dextrose Inj 10%,161.05,128.84,1.0,150.3,182
HCPCS,J3490,Dextrose Inj 50%,397.2,317.76,1.0,362.88,208
HCPCS,J3490,Diphenhydramine HCl Cap 50 MG,1.025,0.825,0.27,1.0,52
HCPCS,J3490,Diphenhydramine HCl Liquid 12.5 MG/5ML,0.62,0.5,0.02,1.06,52
HCPCS,J3490,Doxycycline Hyclate For Inj 100 MG,406.3,325.04,1.0,366.96,208
HCPCS,J3490,Enalaprilat IV Soln 1.25 MG/ML,396.21000000000004,316.97,1.0,357.08,104
HCPCS,J3490,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),396.43,317.15,1.0,356.91,182
HCPCS,J3490,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),391.41,313.13,1.0,352.37,130
HCPCS,J3490,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",391.195,312.96,1.0,352.61,130
HCPCS,J3490,Lidocaine-Prilocaine Cream 2.5-2.5%,8.68,6.95,0.74,32.11,156
HCPCS,J3490,Multiple Vitamin IV Soln,396.14,316.91499999999996,1.0,422.28,130
HCPCS,J3490,Posaconazole IV Soln 300 MG/16.7ML (18 MG/ML),1549.23,1239.39,1.0,1394.31,26
HCPCS,J3490,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",400.355,320.28499999999997,1.0,361.58,78
HCPCS,J3490,Sodium Bicarbonate IV Soln 8.4%,398.5,318.8,1.0,368.28,364
HCPCS,J3490,Sodium Chloride IV Soln 0.45%,156.8,125.44,1.0,141.12,26
HCPCS,J3490,Sodium Chloride IV Soln 3%,392.0,313.6,1.0,354.6,78
HCPCS,J3490,Sodium Chloride IV Soln 4 mEq/ML (23.4%),401.0,320.8,1.0,361.35,156
HCPCS,J3490,Sodium Chloride Inj 0.45%,156.8,125.44,1.0,141.12,26
HCPCS,J3490,Sodium Chloride Soln Nebu 7%,1.28,1.03,0.33,1.29,78
HCPCS,J3490,Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),408.94,327.16,1.0,369.64,104
HCPCS,J3490,Sugammadex Sodium IV 200 MG/2ML (Base Equivalent),525.19,420.16,1.0,472.67,52
HCPCS,J3490,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML,408.95,327.16,1.0,368.06,52
HCPCS,J3490,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),398.32,318.65999999999997,1.0,383.8,338
HCPCS,J3490,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,397.2,317.76,1.0,365.4,130
HCPCS,J3490,Valproate Sodium Inj 100 MG/ML,391.25,313.0,1.0,356.13,156
HCPCS,J3490,Zinc Chloride Inj 1 MG/ML,401.855,321.49,1.0,361.95,104
HCPCS,J3520,Edetate disodium per 150 mg,,,6.38,6.38,3
HCPCS,J3530,Nasal vaccine inhalation,,,1.0,1.0,3
HCPCS,J3590,Anakinra Subcutaneous Soln Prefilled Syringe 100 MG/0.67ML,664.73,531.79,1.0,598.26,52
HCPCS,J3590,Dupilumab Subcutaneous Soln Prefilled Syringe 300 MG/2ML,5356.8,4285.44,1.0,4821.12,26
HCPCS,J3590,Idarucizumab IV Soln 2.5 GM/50ML,6610.13,5288.11,1.0,5949.12,26
HCPCS,J3940,Desmopressin Acetate Nasal Soln 1.5 MG/ML,441.03,352.83,116.65,396.93,26
HCPCS,J7030,Sodium Chloride IV Soln 0.9%,156.8,125.44,1.0,153.36,130
HCPCS,J7030,"Sodium Chloride IV Soln 0.9%,Sodium Chloride Inj 0.9%",156.8,125.44,1.0,141.12,52
HCPCS,J7030,sodium chloride IV Soln 0.9%,156.8,125.44,1.0,141.12,52
HCPCS,J7040,Sodium Chloride IV Soln 0.9%,154.76,123.81,1.0,141.12,104
HCPCS,J7040,"Sodium Chloride IV Soln 0.9%,Sodium Chloride Inj 0.9%",156.8,125.44,1.0,141.12,26
HCPCS,J7040,sodium chloride IV Soln 0.9%,156.8,125.44,1.0,141.12,26
HCPCS,J7042,Dextrose 5% w/ Sodium Chloride 0.9%,156.8,125.44,1.0,141.12,52
HCPCS,J7050,Sodium Chloride IV Soln 0.9%,155.27,124.22,1.0,150.3,286
HCPCS,J7050,sodium chloride IV Soln 0.9%,153.4,122.72,1.0,138.06,26
HCPCS,J7060,Dextrose 5% w/ Sodium Chloride 0.2%,156.375,125.1,1.0,141.12,78
HCPCS,J7060,Dextrose 5% w/ Sodium Chloride 0.225%,167.0,133.6,1.0,150.3,26
HCPCS,J7060,Dextrose Inj 5%,153.74,122.995,1.0,149.23,286
HCPCS,J7070,Dextrose Inj 5%,155.10000000000002,124.08,1.0,141.12,104
HCPCS,J7100,Dextran 40 infusion,,,1.0,1.0,3
HCPCS,J7110,Dextran 75 infusion,,,1.0,1.0,3
HCPCS,J7120,Dextrose 5% in Lactated Ringers,156.8,125.44,1.0,141.12,78
HCPCS,J7120,Lactated Ringer's Solution,161.9,129.51999999999998,1.0,150.3,78
HCPCS,J7121,Dextrose 5% in Lactated Ringers,156.8,125.44,1.0,141.12,26
HCPCS,J7131,Sodium Chloride Soln Nebu 3%,4.365,3.495,1.0,3.99,52
HCPCS,J7165,"Inj, human-lans, per i.u",,,1.47,3.21,12
HCPCS,J7168,Prothrombin Complex Conc Human For Inj Kit 500 Unit,3562.5,2850.0,2.03,3206.25,34
HCPCS,J7168,"Prothrombin Complex Conc Human For Inj Kit 500 Unit,Prothrombin Complex Conc Human For Inj Kit 1000 Unit",3562.5,2850.0,2.03,3206.25,34
HCPCS,J7169,"Inj andexxa, 10 mg",,,124.81,137.94,15
HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,51.22,61.4,15
HCPCS,J7171,"Inj, adzynma, 10 iu",,,33.81,38.94,14
HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,48.54,55.91,12
HCPCS,J7173,"Inj. concizumab-mtci, 0.5 mg",,,82.08,94.55,12
HCPCS,J7174,Injection fitusiran 0.04 mg,,,126.59,139.91,12
HCPCS,J7175,"Inj, factor x, (human), 1iu",,,9.11,10.7,15
HCPCS,J7177,"Inj., fibryga, 1 mg",,,1.1,1.35,15
HCPCS,J7178,Inj human fibrinogen con nos,,,1.38,1.66,15
HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,1.76,2.03,15
HCPCS,J7180,Factor XIII Concentrate (Human) For Inj Kit 1000-1600 Unit,12626.47,10101.18,9.67,11363.82,34
HCPCS,J7181,Factor xiii recomb a-subunit,,,17.1,19.87,15
HCPCS,J7182,Factor viii recomb novoeight,,,1.31,1.68,15
HCPCS,J7183,Wilate injection,,,1.22,1.4,15
HCPCS,J7185,Xyntha inj,,,1.31,1.83,15
HCPCS,J7186,Antihemophilic Factor/VWF (Human) For Inj 500 Unit,0.45,0.36,0.15,1.36,34
HCPCS,J7187,Antihemophilic Factor/VWF (Human) For Inj 1000-2400 Unit,1.0,0.8,0.34,1.64,34
HCPCS,J7187,Antihemophilic Factor/VWF (Human) For Inj 250-600 Unit,1.7,1.3599999999999999,0.34,2.16,68
HCPCS,J7187,Antihemophilic Factor/VWF (Human) For Inj 500-1200 Unit,1.7,1.3599999999999999,0.34,2.16,68
HCPCS,J7188,Factor viii recomb obizur,,,3.07,3.53,15
HCPCS,J7189,Coagulation Factor VIIa (Recomb) For Inj 1 MG (1000 MCG),2470.0,1976.0,2.41,2223.0,34
HCPCS,J7189,Coagulation Factor VIIa (Recomb) For Inj 2 MG (2000 MCG),4795.2,3836.16,2.41,4315.68,34
HCPCS,J7189,Coagulation Factor VIIa (Recomb) For Inj 5 MG (5000 MCG),12350.0,9880.0,2.41,11115.0,34
HCPCS,J7190,Factor viii,,,1.03,1.19,15
HCPCS,J7191,Factor VIII (porcine),,,1.8,1.8,3
HCPCS,J7192,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 1000 Unit,1380.2,1104.16,1.5,1242.18,68
HCPCS,J7192,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 250 Unit,319.45,255.56,1.5,287.51,34
HCPCS,J7192,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 500 Unit,690.2,552.16,1.5,621.18,34
HCPCS,J7193,Coagulation Factor IX For Inj 1000 Unit,1.135,0.91,0.37,1.53,68
HCPCS,J7193,Coagulation Factor IX For Inj 1500 Unit,1.11,0.89,0.37,1.53,34
HCPCS,J7193,Coagulation Factor IX For Inj 500 Unit,1.11,0.89,0.37,1.53,34
HCPCS,J7194,Factor IX Complex For Inj 1000 Unit,1.34,1.08,0.45,1.86,34
HCPCS,J7194,Factor IX Complex For Inj 1500 Unit,1.34,1.08,0.45,1.86,34
HCPCS,J7194,Factor IX Complex For Inj 500 Unit,1.34,1.08,0.45,1.86,34
HCPCS,J7195,Coagulation Factor IX (Recombinant) For Inj Kit 1000 Unit,1.35,1.08,0.45,2.02,34
HCPCS,J7195,Coagulation Factor IX (Recombinant) For Inj Kit 2000 Unit,1.35,1.08,0.45,2.02,34
HCPCS,J7196,Antithrombin recombinant,,,143.31,143.31,7
HCPCS,J7197,Antithrombin III (Human) For Inj 500 Unit,3.4,2.72,1.14,4.49,34
HCPCS,J7198,Antiinhibitor Coagulant Complex For IV Soln 1000 Unit,2.21,1.77,0.74,2.64,34
HCPCS,J7198,Antiinhibitor Coagulant Complex For IV Soln 500 Unit,2.21,1.77,0.74,2.64,34
HCPCS,J7200,Factor ix recombinan rixubis,,,1.6,1.6,3
HCPCS,J7201,Factor ix alprolix recomb,,,3.41,3.93,15
HCPCS,J7202,Factor ix idelvion inj,,,4.93,5.82,15
HCPCS,J7203,Factor ix recomb gly rebinyn,,,4.24,4.88,15
HCPCS,J7204,Inj recombin esperoct per iu,,,2.06,2.44,15
HCPCS,J7205,Factor viii fc fusion recomb,,,2.18,2.66,15
HCPCS,J7207,Antihemophilic Factor Recomb Pegylated For Inj 1500 Unit,1.93,1.55,0.65,2.3,68
HCPCS,J7207,Antihemophilic Factor Recomb Pegylated For Inj 500 Unit,863.2,690.56,1.99,776.88,34
HCPCS,J7208,Inj. jivi 1 iu,,,2.35,2.9,15
HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.06,1.3,15
HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.45,1.72,15
HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.43,1.72,15
HCPCS,J7212,Coagulation Factor VIIa (Recom)-jncw For Inj 1 MG (1000 MCG),2117.51,1694.01,2.02,1905.76,52
HCPCS,J7212,Coagulation Factor VIIa (Recom)-jncw For Inj 2 MG (2000 MCG),4149.75,3319.8,2.02,3734.78,26
HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.76,2.09,15
HCPCS,J7214,Altuviiio per factor viii iu,,,4.43,5.1,15
HCPCS,J7294,Seg acet and eth estr yearly,,,2351.39,2468.96,7
HCPCS,J7295,Eth estr and eton monthly,,,157.59,157.59,7
HCPCS,J7296,Levonorgestrel Releasing IUD 17.5 MCG/DAY (19.5 MG Total),845.02,676.02,283.08,1238.93,26
HCPCS,J7297,Levonorgestrel IUD 20.1 MCG/DAY (Initial) (52 MG Total),870.1,696.08,291.48,950.37,26
HCPCS,J7298,Levonorgestrel IUD 20 MCG/DAY (Initial) (52 MG Total),801.44,641.16,268.48,1238.93,26
HCPCS,J7298,"PF J7298 LEVONORGESTREL-RELEASING INTRAUT CONTRACEPTIVE SYS, 52 MG, 5Y",1555.0,1244.0,520.93,1399.5,26
HCPCS,J7300,CNTRCPT IUD PARAGARD,5342.0,4273.6,1106.7,4807.8,26
HCPCS,J7300,Copper IUD,858.0,686.4,287.43,1161.78,26
HCPCS,J7301,Levonorgestrel Releasing IUD 14 MCG/DAY (13.5 MG Total),739.7,591.76,247.8,1031.61,26
HCPCS,J7303,Pharmacy,,,157.59,157.59,4
HCPCS,J7304,Contraceptive hormone patch,,,43.26,43.27,7
HCPCS,J7306,Levonorgestrel implant sys,,,507.5,507.5,3
HCPCS,J7307,Etonogestrel Subdermal Implant 68 MG,1055.64,844.52,353.64,1238.93,26
HCPCS,J7308,Aminolevulinic acid hcl top,,,372.49,429.08,15
HCPCS,J7309,Outpatient Services - CPT/HCPCS,,,80.53,80.53,3
HCPCS,J7310,Outpatient Services - CPT/HCPCS,,,16960.0,16960.0,3
HCPCS,J7311,"Inj., Retisert, 0.01 mg",,,323.3,372.42,15
HCPCS,J7312,Dexamethasone intra implant,,,194.38,223.91,15
HCPCS,J7313,"Inj., Iluvien, 0.01 mg",,,473.23,545.13,15
HCPCS,J7314,"Inj., Yutiq, 0.01 mg",,,503.39,579.88,15
HCPCS,J7315,Mitomycin For Ophth Soln Kit 0.2 MG,1755.0,1404.0,1.0,1579.5,26
HCPCS,J7316,"Inj, ocriplasmin, 0.125 mg",,,1.0,1.0,3
HCPCS,J7318,"Inj, durolane 1 mg",,,6.27,7.41,15
HCPCS,J7320,"Genvisc 850, inj, 1mg",,,5.48,6.32,15
HCPCS,J7321,Hyalgan supartz visco-3 dose,,,1.0,1.0,3
HCPCS,J7322,"Hyaluronan, hymo or hymo one",,,16.74,19.28,15
HCPCS,J7323,Euflexxa inj per dose,,,106.83,123.14,15
HCPCS,J7324,Orthovisc inj per dose,,,108.81,136.26,15
HCPCS,J7325,Hylan G-F 20 Intra-articular Soln Prefilled Syr 48 MG/6ML,1580.35,1264.28,7.55,1422.32,34
HCPCS,J7325,"Hylan Intra-articular Inj 8 MG/ML,Hylan Intra-articular Solution Prefilled Syringe,Hylan Intra-articular Solution Prefilled Syringe",686.66,549.33,7.55,617.99,34
HCPCS,J7326,Cross-Linked Hyaluronate Gel Prefilled Syringe 30 MG/3ML,4175.0,3340.0,502.8,3757.5,34
HCPCS,J7327,Monovisc inj per dose,,,604.76,728.29,15
HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.54,0.54,3
HCPCS,J7329,"Inj, trivisc 1 mg",,,4.46,8.56,15
HCPCS,J7330,ALLO CARTICEL IMPLT GENZ*NLU*,79963.0,63970.4,26787.61,71966.7,26
HCPCS,J7331,"Synojoynt, inj., 1 mg",,,11.83,11.83,3
HCPCS,J7332,"Inj., Triluron, 1 mg",,,9.76,11.24,15
HCPCS,J7335,Pharmacy,,,29.0,29.0,4
HCPCS,J7336,Capsaicin 8% patch,,,3.25,3.75,15
HCPCS,J7340,Carbidopa levodopa ent 100ml,,,226.8,266.59,15
HCPCS,J7342,Ciprofloxacin Intratympanic Susp 6% (60 MG/ML),249.12,199.3,30.02,224.21,26
HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.66,1.96,15
HCPCS,J7351,Inj bimatoprost itc imp1mcg,,,203.15,234.02,15
HCPCS,J7352,"Afamelanotide implant, 1 mg",,,2796.25,3213.59,15
HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,55.39,61.22,15
HCPCS,J7354,"Cantharidin top, applicator",,,622.02,716.53,12
HCPCS,J7355,Inj travoprost intra impl,,,185.93,214.18,12
HCPCS,J7402,Mometasone sinus sinuva,,,10.78,12.41,15
HCPCS,J7500,Azathioprine Tab 50 MG,1.34,1.08,0.33,1.46,182
HCPCS,J7501,Azathioprine parenteral,,,237.83,266.77,15
HCPCS,J7502,Cyclosporine Cap 100 MG,11.15,8.92,1.0,16.14,130
HCPCS,J7502,Cyclosporine Modified Cap 100 MG,4.31,3.45,0.91,6.92,78
HCPCS,J7502,Cyclosporine Modified Oral Soln 100 MG/ML,213.9,171.12,1.0,306.63,78
HCPCS,J7503,Tacrolimus Tab ER 24HR 0.75 MG,5.08,4.07,1.0,4.57,26
HCPCS,J7503,Tacrolimus Tab ER 24HR 1 MG,6.44,5.16,1.0,5.8,26
HCPCS,J7504,Lymphocyte Immune Globulin Anti-Thymocyte G Inj 50 MG/ML(Eq),6680.23,5344.19,2237.88,6012.21,68
HCPCS,J7505,Outpatient Services - CPT/HCPCS,,,1237.0,1237.0,3
HCPCS,J7507,Tacrolimus Cap 0.5 MG,1.895,1.52,0.44,2.09,156
HCPCS,J7507,Tacrolimus Cap 1 MG,1.97,1.58,0.31,1.98,104
HCPCS,J7507,Tacrolimus Cap 5 MG,11.625,9.305,1.0,17.51,182
HCPCS,J7508,Tacrol astagraf ex rel oral,,,1.0,1.0,3
HCPCS,J7509,Methylprednisolone Tab 8 MG,2.5,2.0,0.6,2.52,78
HCPCS,J7510,Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv),1.73,1.39,0.45,22.59,78
HCPCS,J7511,Anti-Thymocyte Globulin For IV Soln 25 MG (Lymphocyte IG),2713.96,2171.17,909.18,2442.56,34
HCPCS,J7512,Prednisone ir or dr oral 1mg,,,1.0,1.0,3
HCPCS,J7513,Outpatient Services - CPT/HCPCS,,,563.19,563.19,3
HCPCS,J7515,Cyclosporine Cap 25 MG,3.2750000000000004,2.625,0.71,3.48,78
HCPCS,J7515,Cyclosporine Modified Cap 25 MG,2.02,1.62,0.4,3.13,156
HCPCS,J7516,Cyclosporine IV Soln 50 MG/ML,451.22,360.98,1.0,406.1,52
HCPCS,J7517,Mycophenolate Mofetil Cap 250 MG,1.365,1.0950000000000002,0.31,1.33,260
HCPCS,J7517,Mycophenolate Mofetil Tab 500 MG,1.7349999999999999,1.3900000000000001,0.34,1.8,156
HCPCS,J7518,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),4.3,3.44,0.98,3.93,104
HCPCS,J7518,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),6.68,5.35,0.35,6.75,130
HCPCS,J7519,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),429.21500000000003,343.375,0.74,407.81,104
HCPCS,J7520,Sirolimus Oral Soln 1 MG/ML,36.86,29.49,1.0,37.16,104
HCPCS,J7520,Sirolimus Tab 0.5 MG,4.73,3.79,0.9,5.46,52
HCPCS,J7520,Sirolimus Tab 1 MG,12.4,9.925,1.0,23.16,156
HCPCS,J7525,Tacrolimus Inj 5 MG/ML,521.32,417.06,174.64,469.19,34
HCPCS,J7527,Oral everolimus,,,1.0,1.0,3
HCPCS,J7599,Immunosuppressive drug noc,,,1.0,1.0,3
HCPCS,J7601,Ensifentrine inh 3 mg,,,57.04,57.04,4
HCPCS,J7604,Acetylcysteine comp unit,,,3.4,3.4,3
HCPCS,J7605,Arformoterol non-comp unit,,,0.78,2.32,7
HCPCS,J7606,"Formoterol fumarate, inh",,,2.98,4.1,7
HCPCS,J7607,Levalbuterol comp con,,,1.22,1.22,3
HCPCS,J7608,Acetylcysteine Inhal Soln 20%,8.085,6.475,0.64,11.38,156
HCPCS,J7609,Albuterol comp unit,,,0.19,0.33,7
HCPCS,J7610,Albuterol comp con,,,0.14,0.14,3
HCPCS,J7611,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),19.92,15.940000000000001,0.15,34.65,52
HCPCS,J7612,Levalbuterol non-comp con,,,0.3,0.31,7
HCPCS,J7613,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.1549999999999998,0.925,0.04,1.98,338
HCPCS,J7614,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),2.12,1.7,0.05,4.36,182
HCPCS,J7614,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),2.5,2.0,0.05,4.57,260
HCPCS,J7614,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),91.69,73.35499999999999,0.05,161.41,104
HCPCS,J7615,Levalbuterol comp unit,,,0.14,0.14,3
HCPCS,J7620,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.28,1.03,0.17,1.44,312
HCPCS,J7624,Betamethasone comp unit,,,0.94,0.94,3
HCPCS,J7626,Budesonide Inhalation Susp 0.5 MG/2ML,5.285,4.234999999999999,1.01,9.47,364
HCPCS,J7627,Budesonide comp unit,,,9.42,9.42,3
HCPCS,J7628,Bitolterol mesylate comp con,,,0.22,0.22,3
HCPCS,J7629,Bitolterol mesylate comp unt,,,0.22,0.22,3
HCPCS,J7631,Cromolyn sodium noncomp unit,,,0.48,1.03,7
HCPCS,J7632,Cromolyn sodium comp unit,,,2.89,2.89,3
HCPCS,J7633,Budesonide non-comp con,,,8.0,8.0,3
HCPCS,J7634,Budesonide comp con,,,5.17,5.17,3
HCPCS,J7635,Atropine comp con,,,12.81,12.81,3
HCPCS,J7636,Atropine comp unit,,,12.81,12.81,3
HCPCS,J7637,Dexamethasone comp con,,,0.15,0.15,3
HCPCS,J7638,Dexamethasone comp unit,,,0.23,0.23,3
HCPCS,J7639,Dornase Alfa Inhal Soln 2.5 MG/2.5ML,108.53,86.83,36.36,97.68,52
HCPCS,J7640,Formoterol comp unit,,,5.1,5.1,3
HCPCS,J7642,Glycopyrrolate comp con,,,15.3,15.3,3
HCPCS,J7643,Glycopyrrolate comp unit,,,15.3,15.3,3
HCPCS,J7644,Ipratropium Bromide Inhal Soln 0.02%,1.145,0.92,0.32,1.08,260
HCPCS,J7645,Ipratropium bromide comp,,,0.23,0.23,3
HCPCS,J7647,Isoetharine comp con,,,0.14,0.14,3
HCPCS,J7648,Isoetharine non-comp con,,,0.14,0.14,3
HCPCS,J7649,Isoetharine non-comp unit,,,0.14,0.14,3
HCPCS,J7650,Isoetharine comp unit,,,0.14,0.14,3
HCPCS,J7657,Isoproterenol comp con,,,8.8,8.8,3
HCPCS,J7658,Isoproterenol non-comp con,,,943.5,943.5,3
HCPCS,J7659,Isoproterenol non-comp unit,,,943.5,943.5,3
HCPCS,J7660,Isoproterenol comp unit,,,8.8,8.8,3
HCPCS,J7665,Mannitol for inhaler,,,1.0,1.0,3
HCPCS,J7667,Metaproterenol comp con,,,0.69,0.69,3
HCPCS,J7668,Metaproterenol non-comp con,,,0.69,0.69,3
HCPCS,J7669,Metaproterenol non-comp unit,,,0.45,0.45,3
HCPCS,J7670,Metaproterenol comp unit,,,0.24,0.24,3
HCPCS,J7674,Methacholine Chloride Inhal For Soln 100 MG,63.63,50.91,1.0,57.27,52
HCPCS,J7676,Pentamidine comp unit dose,,,124.53,124.53,3
HCPCS,J7677,Revefenacin Inhalation Solution 175 MCG/3ML,18.51,14.81,0.19,16.66,52
HCPCS,J7680,Terbutaline sulf comp con,,,25.98,25.98,3
HCPCS,J7681,Terbutaline sulf comp unit,,,25.98,25.98,3
HCPCS,J7682,Tobramycin Nebu Soln 300 MG/5ML,56.27,45.019999999999996,5.61,86.2,104
HCPCS,J7683,Triamcinolone comp con,,,0.22,0.22,3
HCPCS,J7684,Triamcinolone comp unit,,,0.22,0.22,3
HCPCS,J7685,Tobramycin comp unit,,,69.87,69.87,3
HCPCS,J7686,"Treprostinil, non-comp unit",,,730.32,871.19,7
HCPCS,J7699,Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent),2.195,1.7599999999999998,0.47,2.35,52
HCPCS,J7799,Non-inhalation drug for DME,,,1.0,1.0,3
HCPCS,J7999,Baclofen Powder,1279.75,1023.8,1.0,1151.78,26
HCPCS,J7999,Epinephrine Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),395.115,316.095,1.0,356.36,52
HCPCS,J7999,Epinephrine-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML),432.625,346.1,1.0,403.43,78
HCPCS,J7999,Hydromorphone HCl-NaCl Soln Pref Syr 10 MG/50ML-0.9%,399.55,319.64,1.0,361.44,52
HCPCS,J7999,"Hydromorphone HCl-NaCl Soln Pref Syr 50 MG/50ML-0.9%,Hydromorphone 1 mg/mL PCA",407.35,325.88,1.0,366.62,26
HCPCS,J7999,"Hydromorphone HCl-Sodium Chloride 0.9% Inj 0.2 MG/ML,Hydromorphone HCl-NaCl Soln Pref Syr 10 MG/50ML-0.9%,Hydromorphone HCl-Sodium Chloride 0.9% Inj 6 MG/30ML,Hydromorphone HCl-NaCl Soln Pref Syr 6 MG",399.55,319.64,1.0,361.44,52
HCPCS,J7999,Mitomycin For IV Soln 5 MG,943.88,755.11,1.0,849.49,26
HCPCS,J7999,"Phenylephrine 100 mcg/mL,Phenylephrine-NaCl PF Pref Syr 1 MG/10ML-0.9% (100 *,Phenylephrine-NaCl PF Pref Syr 0.5 MG/5ML-0.9% (100 MCG/ML),Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML)",394.125,315.3,1.0,355.5,52
HCPCS,J7999,Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML),394.34,315.48,1.0,354.91,26
HCPCS,J7999,Phenylephrine-NaCl Pref Syr 1 MG/10ML-0.9% (100 MCG/ML),394.41999999999996,315.53999999999996,1.0,355.5,52
HCPCS,J7999,Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML),412.34000000000003,329.88,1.0,376.91,104
HCPCS,J7999,Succinylcholine Cl Inj Sol Pref Syr 200 MG/10ML (20 MG/ML),404.0,323.2,1.0,363.6,26
HCPCS,J8499,Bicalutamide Tab 50 MG,1.2650000000000001,1.0150000000000001,0.33,1.14,52
HCPCS,J8499,Exemestane Tab 25 MG,8.26,6.61,1.08,12.08,130
HCPCS,J8499,Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe),1.02,0.82,0.27,0.93,104
HCPCS,J8499,Pilocarpine HCl Tab 5 MG,2.85,2.285,0.69,2.77,104
HCPCS,J8501,Aprepitant Capsule 125 MG,206.25,165.005,1.0,215.42,104
HCPCS,J8510,Busulfan Tab 2 MG,11.0,8.8,1.0,306.37,34
HCPCS,J8515,Cabergoline Tab 0.5 MG,9.24,7.4,1.31,19.41,78
HCPCS,J8520,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J8521,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J8522,Capecitabine Tab 150 MG,6.1899999999999995,4.955,0.03,7.39,136
HCPCS,J8522,Capecitabine Tab 500 MG,12.35,9.88,0.03,38.96,102
HCPCS,J8530,Cyclophosphamide Cap 25 MG,2.56,2.05,0.68,2.3,26
HCPCS,J8530,Cyclophosphamide Cap 50 MG,3.71,2.97,0.98,3.34,26
HCPCS,J8540,Dexamethasone Conc 1 MG/ML,47.29,37.84,1.0,42.56,26
HCPCS,J8540,Dexamethasone Elixir 0.5 MG/5ML,66.95,53.56,1.0,60.26,26
HCPCS,J8540,Dexamethasone Soln 0.5 MG/5ML,40.0,32.0,1.0,36.0,26
HCPCS,J8540,Dexamethasone Tab 0.5 MG,1.0550000000000002,0.845,0.28,1.0,52
HCPCS,J8540,Dexamethasone Tab 1 MG,1.23,0.985,0.32,1.13,52
HCPCS,J8540,Dexamethasone Tab 2 MG,1.545,1.24,0.37,1.44,130
HCPCS,J8540,Dexamethasone Tab 4 MG,1.77,1.42,0.29,1.64,78
HCPCS,J8540,Dexamethasone Tab 6 MG,2.47,1.98,0.62,2.28,104
HCPCS,J8560,Etoposide oral 50 MG,,,76.53,76.53,3
HCPCS,J8562,Outpatient Services - CPT/HCPCS,,,81.77,81.77,3
HCPCS,J8565,Gefitinib oral,,,242.98,251.58,7
HCPCS,J8597,Antiemetic drug oral NOS,,,1.0,1.0,3
HCPCS,J8600,Melphalan oral 2 MG,,,10.38,10.38,7
HCPCS,J8610,Methotrexate Sodium Tab 2.5 MG (Base Equiv),3.04,2.44,0.45,2.88,104
HCPCS,J8611,Oral methotrexate (jylamvo),,,17.54,20.21,12
HCPCS,J8612,Methotrexate Oral Soln 2.5 MG/ML,40.05,32.04,13.42,36.05,34
HCPCS,J8650,Outpatient Services - CPT/HCPCS,,,39.99,39.99,3
HCPCS,J8655,"Oral netupitant, palonosetro",,,401.75,462.79,15
HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.73,2.03,15
HCPCS,J8700,Temozolomide Cap 100 MG,18.66,14.93,1.0,41.47,156
HCPCS,J8700,Temozolomide Cap 20 MG,6.39,5.12,1.0,14.45,104
HCPCS,J8700,Temozolomide Cap 5 MG,4.76,3.81,0.56,8.18,156
HCPCS,J8705,Topotecan oral,,,113.78,113.78,3
HCPCS,J8999,Abiraterone Acetate Tab 250 MG,5.15,4.12,0.65,5.0,104
HCPCS,J8999,Imatinib Mesylate Tab 100 MG (Base Equivalent),73.56,58.85,19.46,66.2,26
HCPCS,J8999,Letrozole Tab 2.5 MG,1.33,1.25,0.29,20.6,130
HCPCS,J8999,Lomustine Cap 10 MG,59.2,47.36,15.66,53.28,26
HCPCS,J8999,Lomustine Cap 100 MG,536.52,429.22,141.91,482.87,26
HCPCS,J8999,Lomustine Cap 40 MG,233.8,187.04,61.84,210.42,26
HCPCS,J8999,Raloxifene HCl Tab 60 MG,2.9450000000000003,2.3600000000000003,0.4,3.78,182
HCPCS,J9000,Doxorubicin HCl For Inj 50 MG,838.25,670.6,1.0,754.43,26
HCPCS,J9000,Doxorubicin HCl Inj 2 MG/ML,284.6,227.685,1.0,323.13,260
HCPCS,J9002,Pharmacy,,,594.29,594.29,4
HCPCS,J9010,Pharmacy,,,682.46,682.46,4
HCPCS,J9011,"Datopotamab deruxtecan, 1 mg",,,48.98,56.42,12
HCPCS,J9015,Aldesleukin injection,,,3628.26,6181.2,15
HCPCS,J9017,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),610.1199999999999,488.1,7.75,777.17,238
HCPCS,J9017,Arsenic Trioxide IV Soln 12 MG/6ML (2 MG/ML),1900.75,1520.6,7.75,1710.68,68
HCPCS,J9019,Outpatient Services - CPT/HCPCS,,,427.27,427.27,3
HCPCS,J9020,Outpatient Services - CPT/HCPCS,,,67.79,67.79,3
HCPCS,J9021,Asparaginase Erwinia Chrys (Recomb)-rywn IM Soln 10 MG/0.5ML,18013.43,14410.75,49.71,16212.09,34
HCPCS,J9022,Atezolizumab IV Soln 1200 MG/20ML,32430.4,25944.32,82.62,29187.36,34
HCPCS,J9023,"Injection, avelumab, 10 mg",,,90.89,114.04,17
HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,30.0,34.57,12
HCPCS,J9025,Azacitidine For Inj 100 MG,677.6,542.085,0.37,2068.51,286
HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,1486.4,1712.24,12
HCPCS,J9027,Clofarabine IV Soln 1 MG/ML,3117.165,2493.735,3.98,6997.5,272
HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,89.93,103.59,12
HCPCS,J9029,"Instill adstiladrin, tx dose",,,60175.17,69317.97,15
HCPCS,J9030,Bcg live intravesical 1mg,,,1.0,1.0,3
HCPCS,J9031,Pharmacy,,,155.37,155.37,4
HCPCS,J9032,"Injection, belinostat, 10mg",,,48.39,57.42,15
HCPCS,J9033,"Inj, bendamustine hcl, 1mg",,,1.79,11.42,15
HCPCS,J9034,Bendamustine HCl IV Soln 100 MG/4ML (25 MG/ML),8030.08,6424.07,12.81,7227.07,34
HCPCS,J9035,Bevacizumab IV Soln 100 MG/4ML (For Infusion),3039.29,2431.44,69.54,2735.36,34
HCPCS,J9035,Bevacizumab IV Soln 400 MG/16ML (For Infusion),10635.76,8508.61,69.54,9572.18,34
HCPCS,J9036,"Inj., belrapzo/bendamustine",,,11.67,23.87,15
HCPCS,J9037,Outpatient Services - CPT/HCPCS,,,46.78,46.78,3
HCPCS,J9037,Pharmacy,,,45.02,45.02,4
HCPCS,J9038,Inj axatilimab-csfr 0.1 mg,,,52.87,60.9,12
HCPCS,J9039,Blinatumomab For IV Infusion 35 MCG,12375.17,9900.14,145.31,11137.65,34
HCPCS,J9040,Bleomycin Sulfate For Inj 15 Unit,338.815,271.055,1.0,319.6,104
HCPCS,J9040,"Bleomycin Sulfate For Inj 15 Unit,Bleomycin Sulfate For Inj 30 unit",338.815,271.055,1.0,319.6,104
HCPCS,J9041,Bortezomib For Inj 3.5 MG,408.38,326.71,2.29,5274.45,78
HCPCS,J9041,"Bortezomib For Inj 3.5 MG,Bortezomib For IV Inj 3.5 MG",3134.44,2507.555,2.29,5274.45,52
HCPCS,J9042,Brentuximab Vedotin For IV Soln 50 MG,21565.0,17252.0,222.11,19408.5,34
HCPCS,J9043,Cabazitaxel injection,,,209.34,248.72,15
HCPCS,J9044,Pharmacy,,,9.16,9.16,4
HCPCS,J9045,Carboplatin IV Soln 150 MG/15ML,300.3,240.24,1.0,289.07,78
HCPCS,J9045,Carboplatin IV Soln 450 MG/45ML,331.505,265.21000000000004,1.0,317.99,104
HCPCS,J9045,Carboplatin IV Soln 50 MG/5ML,278.66499999999996,222.935,1.0,262.8,52
HCPCS,J9045,Carboplatin IV Soln 600 MG/60ML,335.26,268.21,1.0,301.73,26
HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,4.66,48.55,15
HCPCS,J9047,Carfilzomib For Inj 10 MG,1754.48,1403.59,46.9,1579.03,34
HCPCS,J9047,Carfilzomib For Inj 30 MG,4763.01,3810.41,46.9,4286.71,34
HCPCS,J9047,Carfilzomib For Inj 60 MG,9276.01,7420.81,46.9,8348.41,34
HCPCS,J9048,Bortezomib For IV Inj 3.5 MG,4582.45,3665.96,15.68,4124.21,34
HCPCS,J9049,"Inj, bortezomib, hospira",,,3.09,3.09,3
HCPCS,J9050,Carmustine For Inj 100 MG,3500.8,2800.64,226.53,3150.72,34
HCPCS,J9051,"Inj, bortezomib (maia)",,,3.49,3.5,7
HCPCS,J9052,"Inj, carmustine (accord)",,,246.72,1916.76,15
HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,24.84,28.62,12
HCPCS,J9055,Cetuximab IV Soln 100 MG/50ML (2 MG/ML),2131.6,1705.28,72.28,1918.44,34
HCPCS,J9055,Cetuximab IV Soln 200 MG/100ML (2 MG/ML),4013.2,3210.56,72.28,3611.88,34
HCPCS,J9056,Bendamustine HCl IV Soln 100 MG/4ML (25 MG/ML),11649.61,9319.69,28.36,10484.65,34
HCPCS,J9057,"Inj., copanlisib, 1 mg",,,85.71,89.31,7
HCPCS,J9058,Outpatient Services - CPT/HCPCS,,,33.06,33.06,3
HCPCS,J9058,Pharmacy,,,33.23,33.23,4
HCPCS,J9059,Outpatient Services - CPT/HCPCS,,,23.13,23.13,3
HCPCS,J9059,Pharmacy,,,23.87,23.87,4
HCPCS,J9060,Cisplatin Inj 100 MG/100ML (1 MG/ML),339.775,271.82,1.0,662.85,104
HCPCS,J9060,Cisplatin Inj 50 MG/50ML (1 MG/ML),287.98,230.39,1.0,278.4,78
HCPCS,J9061,"Inj, amivantamab-vmjw",,,19.99,24.66,15
HCPCS,J9063,Mirvetuximab Soravtansine-gynx IV Soln 100 MG/20ML,22020.0,17616.0,65.75,19818.0,34
HCPCS,J9065,Cladribine IV Soln 10 MG/10ML (1 MG/ML),891.29,713.0350000000001,10.14,807.75,68
HCPCS,J9070,Outpatient Services - CPT/HCPCS,,,17.94,17.94,3
HCPCS,J9070,Pharmacy,,,22.05,22.05,4
HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.6,3.87,15
HCPCS,J9072,Inj cyclophos frindovyx 5 mg,,,3.76,9.96,15
HCPCS,J9073,Cyclophosphamide IV Soln 1 GM/5ML (200 MG/ML),1435.35,1148.28,0.74,1291.82,34
HCPCS,J9073,Cyclophosphamide IV Soln 500 MG/2.5ML (200 MG/ML),850.15,680.12,0.74,765.14,34
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,3.74,4.3,12
HCPCS,J9075,Cyclophosphamide For Inj 1 GM,1774.4450000000002,1419.56,0.46,1735.43,102
HCPCS,J9075,Cyclophosphamide For Inj 2 GM,1027.0,821.6,0.46,1352.7,170
HCPCS,J9075,Cyclophosphamide For Inj 500 MG,935.3,748.24,0.46,981.5,136
HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,4.76,5.49,12
HCPCS,J9098,Outpatient Services - CPT/HCPCS,,,659.79,659.79,3
HCPCS,J9100,Cytarabine Inj PF 100 MG/ML,295.675,236.54500000000002,1.0,269.04,52
HCPCS,J9100,Cytarabine Inj PF 20 MG/ML,265.09,212.08,1.0,238.58,52
HCPCS,J9118,Calaspargase Pegol-mknl IV Soln 3750 Unit/5ML (750 Unit/ML),43704.2,34963.36,72.88,39333.78,34
HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,26.92,33.82,17
HCPCS,J9120,Dactinomycin For Inj 0.5 MG,2447.23,1957.79,311.92,4701.31,204
HCPCS,J9130,Dacarbazine For Inj 200 MG,274.235,219.39,1.0,251.24,78
HCPCS,J9144,Daratumumab-Hyaluronidase-fihj Inj 1800-30000 MG-Unit/15ML,26628.1,21302.48,49.31,23965.29,34
HCPCS,J9145,Daratumumab IV Soln 100 MG/5ML,2307.86,1846.29,62.13,2442.98,68
HCPCS,J9145,Daratumumab IV Soln 400 MG/20ML,10103.76,8083.01,62.13,9093.38,34
HCPCS,J9150,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),478.87,383.1,20.61,616.46,204
HCPCS,J9151,Outpatient Services - CPT/HCPCS,,,234.6,234.6,3
HCPCS,J9153,Daunorubicin-Cytarabine Liposome For IV Inj 44-100 MG,32273.83,25819.065000000002,227.94,29118.29,68
HCPCS,J9155,Degarelix Acetate For Inj 120 MG/VIAL (240 MG Dose),2727.41,2181.93,4.13,2454.67,34
HCPCS,J9165,Outpatient Services - CPT/HCPCS,,,12.14,12.14,3
HCPCS,J9171,Docetaxel For Inj Conc 80 MG/4ML (20 MG/ML),1622.0,1297.6,1.0,1459.8,26
HCPCS,J9171,Docetaxel Soln for IV Infusion 160 MG/16ML,3603.84,2883.075,1.0,4526.64,52
HCPCS,J9171,Docetaxel Soln for IV Infusion 20 MG/2ML,493.67,394.94,1.0,762.74,78
HCPCS,J9171,Docetaxel Soln for IV Infusion 80 MG/8ML,493.485,394.78999999999996,1.0,2375.82,156
HCPCS,J9172,"Docetaxel (docivyx), 1 mg",,,48.24,55.56,12
HCPCS,J9173,"Inj., durvalumab, 10 mg",,,79.74,98.03,17
HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,45.65,55.09,12
HCPCS,J9175,Elliotts b solution per ml,,,1.0,1.0,3
HCPCS,J9176,Elotuzumab For IV Soln 300 MG,6466.0,5172.8,7.22,5819.4,34
HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,34.91,40.21,15
HCPCS,J9178,Epirubicin HCl IV Soln 50 MG/25ML (2 MG/ML),359.73,287.79,1.0,323.76,26
HCPCS,J9179,Eribulin Mesylate Inj 1 MG/2ML (0.5 MG/ML),2140.0,1712.0,84.88,3532.5,68
HCPCS,J9181,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",281.905,225.53,1.0,261.37,104
HCPCS,J9181,Etoposide Inj 500 MG/25ML (20 MG/ML),334.7,267.76,1.0,301.23,26
HCPCS,J9185,Fludarabine Phosphate Inj 25 MG/ML,466.355,373.09000000000003,64.79,500.46,68
HCPCS,J9190,Fluorouracil IV Soln 1 GM/20ML (50 MG/ML),262.11,209.69,1.0,235.9,52
HCPCS,J9190,Fluorouracil IV Soln 2.5 GM/50ML (50 MG/ML),280.98,224.79,1.0,252.88,26
HCPCS,J9190,Fluorouracil IV Soln 5 GM/100ML (50 MG/ML),311.95,249.56,1.0,280.76,26
HCPCS,J9190,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),267.82,214.26,1.0,245.79,208
HCPCS,J9196,Inj gemcitabine hcl (accord),,,3.69,3.69,3
HCPCS,J9198,"Inj. infugem, 100 mg",,,38.76,40.28,7
HCPCS,J9200,Floxuridine injection,,,3551.0,4517.46,15
HCPCS,J9201,Gemcitabine HCl For Inj 1 GM,303.66,242.93,1.0,273.29,26
HCPCS,J9201,Gemcitabine HCl For Inj 200 MG,289.24,231.4,1.0,260.32,26
HCPCS,J9201,Gemcitabine HCl Inj 1 GM/26.3ML (38 MG/ML) (Base Equiv),315.54,252.44,1.0,294.26,104
HCPCS,J9201,Gemcitabine HCl Inj 200 MG/5.26ML (38 MG/ML) (Base Equiv),277.62,222.1,1.0,249.86,26
HCPCS,J9202,Goserelin acetate implant,,,611.35,802.88,15
HCPCS,J9203,Gemtuzumab Ozogamicin For IV Soln 4.5 MG,28950.0,23160.0,221.84,26055.0,34
HCPCS,J9204,"Inj, mogamulizumab-kpkc, 1 mg",,,227.34,271.94,15
HCPCS,J9205,Inj irinotecan liposome 1 mg,,,62.49,72.22,15
HCPCS,J9206,Irinotecan HCl Inj 100 MG/5ML (20 MG/ML),289.99,231.995,1.0,325.4,104
HCPCS,J9206,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),279.47,223.58,1.0,257.48,182
HCPCS,J9207,Ixabepilone injection,,,127.57,152.34,15
HCPCS,J9208,Ifosfamide For Inj 1 GM,353.13,282.51,1.0,334.05,104
HCPCS,J9208,Ifosfamide For Inj 3 GM,528.25,422.6,1.0,533.26,78
HCPCS,J9208,Ifosfamide IV Inj 1 GM/20ML (50 MG/ML),355.21,284.17,1.0,319.69,26
HCPCS,J9209,Mesna Inj 100 MG/ML,230.66000000000003,184.53,1.0,249.0,52
HCPCS,J9210,Emapalumab-lzsg IV Soln 10 MG/2ML,23529.3,18823.44,365.61,21176.37,34
HCPCS,J9210,Emapalumab-lzsg IV Soln 100 MG/20ML,50805.15,40644.12,365.61,45724.64,34
HCPCS,J9210,Emapalumab-lzsg IV Soln 50 MG/10ML,50805.15,40644.12,365.61,45724.64,34
HCPCS,J9211,Idarubicin HCl IV Inj 10 MG/10ML (1 MG/ML),521.18,416.95,1.0,957.25,104
HCPCS,J9211,Idarubicin HCl IV Inj 20 MG/20ML (1 MG/ML),792.36,633.89,1.0,2894.81,104
HCPCS,J9211,Idarubicin HCl IV Inj 5 MG/5ML (1 MG/ML),376.74,301.4,1.0,918.79,104
HCPCS,J9212,Outpatient Services - CPT/HCPCS,,,54.71,54.71,3
HCPCS,J9213,Interferon alfa-2a inj,,,20.89,20.89,3
HCPCS,J9214,Interferon alfa-2b inj,,,32.57,32.57,3
HCPCS,J9215,Interferon alfa-n3 inj,,,30.72,30.72,7
HCPCS,J9216,Interferon gamma 1-b inj,,,8304.94,8628.84,7
HCPCS,J9217,Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG,590.51,472.41,166.69,531.46,34
HCPCS,J9217,Leuprolide Acetate (3 Month) For Subcutaneous Inj Kit 22.5MG,576.0,460.8,166.69,518.4,34
HCPCS,J9217,Leuprolide Acetate (4 Month) For Inj Kit 30 MG,712.34,569.88,166.69,641.11,34
HCPCS,J9217,Leuprolide Acetate (6 Month) For Inj Kit 45 MG,1077.44,861.96,166.69,969.7,34
HCPCS,J9217,Leuprolide Acetate (6 Month) For Subcutaneous Inj Kit 45 MG,2935.13,2348.11,166.69,2641.62,34
HCPCS,J9217,Leuprolide Acetate For Inj Kit 7.5 MG,346.84,277.48,116.19,312.16,34
HCPCS,J9218,Leuprolide Acetate Inj Kit 1 MG/0.2ML (5 MG/ML),1022.55,818.04,7.88,920.3,52
HCPCS,J9219,Leuprolide acetate implant,,,5398.2,5398.2,3
HCPCS,J9220,Indigotindisulfonate Sodium IV Soln 8 MG/ML,760.5,608.4,9.46,684.45,68
HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,196.77,226.66,15
HCPCS,J9225,Vantas implant,,,5166.29,5166.29,3
HCPCS,J9226,Histrelin Acetate (CPP) Implant Kit 50 MG,73301.06,58640.85,24555.86,65970.95,34
HCPCS,J9227,Isatuximab-irfc IV Soln 100 MG/5ML,2525.0,2020.0,74.64,2272.5,34
HCPCS,J9227,Isatuximab-irfc IV Soln 500 MG/25ML,11625.0,9300.0,74.64,10462.5,34
HCPCS,J9228,Ipilimumab Soln for IV Infusion 50 MG/10ML (5 MG/ML),24621.38,19697.11,168.56,22159.24,34
HCPCS,J9229,Inotuzumab Ozogamicin For IV Soln 0.9 MG,64353.33,51482.67,2529.55,57918.0,34
HCPCS,J9230,Mechlorethamine hcl inj,,,315.9,315.9,3
HCPCS,J9245,Melphalan HCl For Inj 50 MG (Base Equiv),914.9,731.92,91.11,823.41,34
HCPCS,J9246,"Inj., evomela, 1 mg",,,16.08,20.24,15
HCPCS,J9247,Outpatient Services - CPT/HCPCS,,,503.5,503.5,3
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,755.25,870.0,12
HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,61.54,68.02,8
HCPCS,J9250,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J9258,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,J9258,Pharmacy,,,16.32,16.32,4
HCPCS,J9259,Outpatient Services - CPT/HCPCS,,,16.23,16.23,3
HCPCS,J9259,Pharmacy,,,16.72,16.72,4
HCPCS,J9260,Methotrexate Sodium For Inj 1 GM,391.82,313.46,1.0,352.64,26
HCPCS,J9260,Methotrexate Sodium Inj 50 MG/2ML (25 MG/ML),265.59,212.48,1.0,239.03,26
HCPCS,J9260,"Methotrexate Sodium Inj PF 100 MG/4ML (25 MG/ML),Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),Methotrexate Sodium Inj PF 250 MG/10ML (25 MG/ML),Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),Me",311.595,249.27999999999997,1.0,328.45,78
HCPCS,J9260,Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),362.7,290.16,1.0,328.45,78
HCPCS,J9260,Methotrexate Sodium Inj PF 250 MG/10ML (25 MG/ML),274.26,219.41,1.0,252.5,52
HCPCS,J9260,Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),258.25,206.6,1.0,255.49,104
HCPCS,J9261,Nelarabine IV Soln 5 MG/ML,2039.9,1631.92,75.87,2392.68,102
HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,3.88,3.96,7
HCPCS,J9263,Oxaliplatin For IV Inj 50 MG,361.2,288.96,1.0,325.08,26
HCPCS,J9263,Oxaliplatin IV Soln 100 MG/20ML,397.35,317.88,1.0,517.95,104
HCPCS,J9263,Oxaliplatin IV Soln 50 MG/10ML,321.96,257.57,1.0,372.36,156
HCPCS,J9264,Paclitaxel Protein-Bound Particles For IV Susp 100 MG,4233.35,3386.68,10.02,3810.02,34
HCPCS,J9266,Pegaspargase Inj 750 Unit/ML,56054.14,44843.32,18778.14,50448.73,34
HCPCS,J9267,Paclitaxel IV Conc 30 MG/5ML (6 MG/ML),273.07,218.46,1.0,249.89,78
HCPCS,J9267,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),407.5,326.0,1.0,395.73,130
HCPCS,J9268,Pentostatin For Inj 10 MG,6440.94,5152.76,2157.71,5796.85,34
HCPCS,J9269,Tagraxofusp-erzs IV Soln 1000 MCG/ML,73540.0,58832.0,324.48,66186.0,34
HCPCS,J9270,Outpatient Services - CPT/HCPCS,,,74.05,74.05,3
HCPCS,J9271,Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML),16767.9,13414.32,56.41,15091.11,34
HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,230.82,283.24,17
HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,168.26,206.57,15
HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,203.83,237.57,15
HCPCS,J9275,"Inj cosibelimab-ipdl, 2 mg",,,22.06,22.06,4
HCPCS,J9276,"Inj zanidatamab-hrii, 2 mg",,,23.79,27.41,12
HCPCS,J9280,Mitomycin For IV Soln 20 MG,702.13,561.71,19.33,631.92,34
HCPCS,J9280,Mitomycin For IV Soln 40 MG,2548.7,2038.96,19.33,4206.47,136
HCPCS,J9280,Mitomycin For IV Soln 5 MG,670.6,536.48,19.33,849.49,102
HCPCS,J9281,Mitomycin For Pyelocalyceal Soln 40 MG,32694.0,26155.2,294.37,29424.6,34
HCPCS,J9285,"Inj, olaratumab, 10 mg",,,50.1,50.1,3
HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,2629.49,3029.0,15
HCPCS,J9289,Inj nivolumab 2 mg hyaluron,,,25.99,29.94,12
HCPCS,J9292,"Inj, pemetrexed dipotassium",,,78.22,90.11,12
HCPCS,J9293,Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML),709.31,567.45,22.68,759.15,102
HCPCS,J9293,Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML),932.94,746.36,22.68,1361.17,102
HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,3.37,4.98,15
HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.44,6.28,15
HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.25,10.65,15
HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,2.29,2.29,3
HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,183.62,228.2,17
HCPCS,J9299,Nivolumab IV Soln 240 MG/24ML,22941.17,18352.94,30.43,20647.05,34
HCPCS,J9299,Nivolumab IV Soln 40 MG/4ML,3687.21,2949.77,30.43,3318.49,34
HCPCS,J9300,Pharmacy,,,3001.33,3001.33,4
HCPCS,J9301,Obinutuzumab Soln for IV Infusion 1000 MG/40ML (25 MG/ML),30240.8,24192.64,70.29,27216.72,34
HCPCS,J9302,Ofatumumab injection,,,59.12,65.35,15
HCPCS,J9303,Panitumumab injection,,,149.72,189.36,15
HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,44.0,66.23,15
HCPCS,J9305,Pemetrexed Disodium For IV Soln 100 MG (Base Equiv),1648.165,1318.535,3.22,2708.43,68
HCPCS,J9305,Pemetrexed Disodium For IV Soln 500 MG (Base Equiv),632.5,506.005,3.22,769.89,68
HCPCS,J9306,Pertuzumab Soln for IV Infusion 420 MG/14ML (30 MG/ML),16305.34,13044.28,15.42,14674.81,34
HCPCS,J9307,Pralatrexate injection,,,298.18,429.66,15
HCPCS,J9308,"Injection, ramucirumab",,,69.0,81.37,15
HCPCS,J9309,"Inj, polatuzumab vedotin 1mg",,,121.23,149.56,15
HCPCS,J9310,Pharmacy,,,1006.64,1006.64,4
HCPCS,J9311,"Inj rituximab, hyaluronidase",,,34.86,40.16,15
HCPCS,J9312,Rituximab IV Soln 100 MG/10ML,3173.27,2538.62,71.46,2855.94,34
HCPCS,J9312,Rituximab IV Soln 500 MG/50ML,16691.6,13353.28,71.46,15022.44,34
HCPCS,J9313,"Inj., Lumoxiti, 0.01 mg",,,22.22,24.56,15
HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,14.77,19.96,15
HCPCS,J9315,Pharmacy,,,368.61,368.61,4
HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,58.99,67.95,15
HCPCS,J9317,Sacituzumab govitecan-hziy,,,33.26,39.7,15
HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,27.09,33.91,15
HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,29.24,33.67,15
HCPCS,J9320,Streptozocin injection,,,370.18,370.18,3
HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,52.27,61.11,15
HCPCS,J9322,Inj pemetrexed (bluepoint),,,10.07,11.13,8
HCPCS,J9323,Inj pemetrexed ditromethamin,,,0.12,7.08,15
HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,72.02,82.96,12
HCPCS,J9325,Talimogene Laherparepvec Intralesional Inj 1000000 Unit/ML,308.48,246.79,66.3,277.63,34
HCPCS,J9325,Talimogene Laherparepvec Intralesional Inj 100000000 Unit/ML,15996.6,12797.28,66.3,14396.94,34
HCPCS,J9328,Temozolomide injection,,,9.87,11.37,15
HCPCS,J9329,"Inj, tislelizumab-jsgr",,,54.57,66.09,14
HCPCS,J9330,Temsirolimus Soln For IV Infusion 25 MG/ML,4638.47,3710.78,25.38,4174.62,34
HCPCS,J9331,Inj sirolimus prot part 1 mg,,,80.34,107.66,15
HCPCS,J9332,Inj efgartigimod 2mg,,,30.54,35.18,17
HCPCS,J9333,Inj rozanolixizum-noli 1 mg,,,22.01,25.35,17
HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,32.19,37.09,17
HCPCS,J9340,Outpatient Services - CPT/HCPCS,,,260.25,260.25,3
HCPCS,J9340,Pharmacy,,,268.17,268.17,4
HCPCS,J9341,Inj thiotepa (tepylute) 1 mg,,,37.88,37.88,4
HCPCS,J9342,Thiotepa For Inj 15 MG,646.83,517.47,10.01,582.15,34
HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,29.03,34.97,17
HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,133.85,154.19,15
HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,579.54,750.72,15
HCPCS,J9349,"Inj., tafasitamab-cxix",,,13.29,15.66,15
HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,621.9,716.38,15
HCPCS,J9351,Topotecan HCl For Inj 4 MG (Base Equiv),447.035,357.63,1.0,468.09,52
HCPCS,J9351,Topotecan HCl Inj 4 MG/4ML (Base Equiv) (For Infusion),683.69,546.96,1.0,615.32,26
HCPCS,J9352,Injection trabectedin 0.1mg,,,338.41,427.96,15
HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,45.93,57.44,15
HCPCS,J9354,Ado-Trastuzumab Emtansine For IV Soln 100 MG,10250.87,8200.7,38.34,9225.78,34
HCPCS,J9355,Trastuzumab For IV Soln 150 MG,5390.8,4312.64,71.27,4851.72,34
HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,58.36,76.42,17
HCPCS,J9357,Valrubicin injection,,,1257.18,1448.19,15
HCPCS,J9358,Fam-Trastuzumab Deruxtecan-nxki For IV Soln 100 MG,8285.9,6628.72,26.38,7457.31,34
HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,195.94,237.37,15
HCPCS,J9360,Vinblastine Sulfate Inj 1 MG/ML,357.38,285.91,1.0,321.64,26
HCPCS,J9361,"Inj, efbemalenograstim alfa-",,,117.3,117.3,4
HCPCS,J9370,Vincristine Sulfate IV Soln 1 MG/ML,267.775,214.22500000000002,1.0,269.08,104
HCPCS,J9371,Outpatient Services - CPT/HCPCS,,,3420.78,3420.78,3
HCPCS,J9371,Pharmacy,,,3508.13,3508.13,4
HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,87.14,96.32,14
HCPCS,J9380,Teclistamab-cqyv Subcutaneous Soln 153 MG/1.7ML (90 MG/ML),24056.33,19245.07,30.9,21650.7,34
HCPCS,J9380,Teclistamab-cqyv Subcutaneous Soln 30 MG/3ML (10 MG/ML),4842.45,3873.96,30.9,4358.21,34
HCPCS,J9381,Teplizumab-mzwv IV Soln 2 MG/2ML (1 MG/ML),41700.0,33360.0,35.78,37530.0,34
HCPCS,J9382,Inj zenocutuzumab-zbco 1 mg,,,31.26,36.02,12
HCPCS,J9390,Vinorelbine Tartrate Inj 10 MG/ML (Base Equiv),352.515,282.015,1.0,380.61,52
HCPCS,J9390,Vinorelbine Tartrate Inj 50 MG/5ML (10 MG/ML) (Base Equiv),439.88,351.91,1.0,395.89,26
HCPCS,J9393,"Inj, fulvestrant (teva)",,,21.2,89.0,15
HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,25.43,53.0,15
HCPCS,J9395,Fulvestrant Inj Soln Pref Syr 250 MG/5ML,446.12,356.9,6.39,2988.91,136
HCPCS,J9400,Ziv-Aflibercept IV Soln 100 MG/4ML (For Infusion),5850.0,4680.0,7.49,5265.0,34
HCPCS,J9400,Ziv-Aflibercept IV Soln 200 MG/8ML (For Infusion),11450.0,9160.0,7.49,10305.0,34
HCPCS,J9600,Porfimer sodium injection,,,22490.02,25439.84,15
HCPCS,J9999,Chemotherapy drug,,,1.0,1.0,3
HCPCS,K0001,Standard wheelchair,,,28.11,491.4,7
HCPCS,K0002,Stnd hemi (low seat) whlchr,,,45.57,738.8,7
HCPCS,K0003,Lightweight wheelchair,,,43.72,820.1,7
HCPCS,K0004,High strength ltwt whlchr,,,51.74,1046.1,7
HCPCS,K0005,Ultralightweight wheelchair,,,2396.43,3193.63,7
HCPCS,K0006,Heavy duty wheelchair,,,70.48,1131.0,7
HCPCS,K0007,Extra heavy duty wheelchair,,,99.39,1784.1,7
HCPCS,K0009,Other manual wheelchair/base,,,103.87,1011.8,7
HCPCS,K0010,Stnd wt frame power whlchr,,,595.19,4928.1,7
HCPCS,K0011,Stnd wt pwr whlchr w control,,,715.71,6972.2,7
HCPCS,K0012,Ltwt portbl power whlchr,,,445.22,4422.2,7
HCPCS,K0015,Detach non-adjus hght armrst,,,17.41,196.3,7
HCPCS,K0017,Detach adjust armrest base,,,55.04,72.24,7
HCPCS,K0018,Detach adjust armrst upper,,,30.92,40.83,7
HCPCS,K0019,"Arm pad repl, each",,,15.49,19.48,7
HCPCS,K0020,Fixed adjust armrest pair,,,51.91,69.17,7
HCPCS,K0037,Hi mount flip-up footrest ea,,,49.92,62.77,7
HCPCS,K0038,Leg strap each,,,26.8,36.1,7
HCPCS,K0039,Leg strap h style each,,,58.53,77.52,7
HCPCS,K0040,Adjustable angle footplate,,,62.68,78.81,7
HCPCS,K0041,Large size footplate each,,,56.72,74.09,7
HCPCS,K0042,Standard size ftplate rep ea,,,37.3,46.9,7
HCPCS,K0043,Ftrst lowr exten tube rep ea,,,21.67,29.07,7
HCPCS,K0044,Ftrst upr hanger brac rep ea,,,18.59,24.78,7
HCPCS,K0045,Ftrst compl assembly repl ea,,,57.95,72.87,7
HCPCS,K0046,Elev lgrst lwr exten repl ea,,,21.75,29.07,7
HCPCS,K0047,Elev legrst upr hangr rep ea,,,81.03,104.48,7
HCPCS,K0050,Ratchet assembly replacement,,,35.93,48.38,7
HCPCS,K0051,Cam rel asm ft/legrst rep ea,,,57.5,76.68,7
HCPCS,K0052,Swingaway detach ftrest repl,,,86.75,109.08,7
HCPCS,K0053,Elevate footrest articulate,,,98.61,123.99,7
HCPCS,K0056,Seat ht <17 or >=21 ltwt wc,,,114.14,143.52,7
HCPCS,K0065,Spoke protectors,,,57.03,72.34,7
HCPCS,K0069,Rr whl compl sol tire rep ea,,,110.75,139.26,7
HCPCS,K0070,Rear whl compl pneum tire,,,18.99,225.1,7
HCPCS,K0071,Fr cstr comp pne tire rep ea,,,132.21,166.24,7
HCPCS,K0072,Fr cstr semi-pne tire rep ea,,,79.42,99.86,7
HCPCS,K0073,Caster pin lock each,,,42.61,53.58,7
HCPCS,K0077,Fr cstr asmb sol tire rep ea,,,64.29,80.84,7
HCPCS,K0098,"Drive belt for pwc, repl",,,29.57,37.18,7
HCPCS,K0105,Iv hanger,,,118.95,149.57,7
HCPCS,K0195,Elevating whlchair leg rests,,,13.45,192.8,7
HCPCS,K0455,Pump uninterrupted infusion,,,362.92,3433.2,7
HCPCS,K0462,Temporary replacement eqpmnt,,,122.98,122.98,3
HCPCS,K0552,Sup/ext non-ins inf pump syr,,,3.21,4.25,15
HCPCS,K0601,Repl batt silver oxide 1.5 v,,,1.42,1.92,7
HCPCS,K0602,Repl batt silver oxide 3 v,,,8.1,10.86,7
HCPCS,K0603,Repl batt alkaline 1.5 v,,,0.72,0.98,7
HCPCS,K0604,Repl batt lithium 3.6 v,,,7.78,10.47,7
HCPCS,K0605,Repl batt lithium 4.5 v,,,18.65,25.03,7
HCPCS,K0606,AED garment w elec analysis,,,3518.53,34274.7,7
HCPCS,K0607,Repl batt for AED,,,27.15,264.5,7
HCPCS,K0608,Repl garment for AED,,,157.11,212.94,7
HCPCS,K0609,Repl electrode for AED,,,1044.86,1416.15,15
HCPCS,K0669,Seat/back cus no dmepdac ver,,,71.48,71.48,3
HCPCS,K0672,LNR REPL AFO STD GRY PEDS,133.0,106.4,44.56,129.89,36
HCPCS,K0730,Ctrl dose inh drug deliv sys,,,240.87,2346.3,7
HCPCS,K0733,12-24hr sealed lead acid,,,33.75,43.14,7
HCPCS,K0738,Portable gas oxygen system,,,48.23,60.64,7
HCPCS,K0739,Repair/svc DME non-oxygen eq,,,18.46,22.98,11
HCPCS,K0740,Repair/svc oxygen equipment,,,10.31,10.31,3
HCPCS,K0744,Absorp drg <= 16 suc pump,,,1.79,1.79,3
HCPCS,K0800,POV group 1 std up to 300lbs,,,991.68,1246.94,7
HCPCS,K0801,POV group 1 hd 301-450 lbs,,,1853.47,2330.55,7
HCPCS,K0802,POV group 1 vhd 451-600 lbs,,,2442.05,3070.63,7
HCPCS,K0806,POV group 2 std up to 300lbs,,,1658.9,2141.18,7
HCPCS,K0807,POV group 2 hd 301-450 lbs,,,2542.63,3318.29,7
HCPCS,K0808,POV group 2 vhd 451-600 lbs,,,3932.29,5129.53,7
HCPCS,K0812,Power operated vehicle NOC,,,2261.79,2261.79,3
HCPCS,K0813,PWC gp 1 std port seat/back,,,325.2,3799.7,7
HCPCS,K0814,PWC gp 1 std port cap chair,,,343.59,4451.6,7
HCPCS,K0815,PWC gp 1 std seat/back,,,389.48,5007.6,7
HCPCS,K0816,PWC gp 1 std cap chair,,,344.44,4737.7,7
HCPCS,K0820,PWC gp 2 std port seat/back,,,344.64,3990.0,7
HCPCS,K0821,PWC gp 2 std port cap chair,,,344.44,4688.2,7
HCPCS,K0822,PWC gp 2 std seat/back,,,377.09,5429.2,7
HCPCS,K0823,PWC gp 2 std cap chair,,,344.44,5319.6,7
HCPCS,K0824,PWC gp 2 hd seat/back,,,548.78,7003.0,7
HCPCS,K0825,PWC gp 2 hd cap chair,,,496.58,6441.6,7
HCPCS,K0826,PWC gp 2 vhd seat/back,,,928.97,10159.2,7
HCPCS,K0827,PWC gp vhd cap chair,,,813.8,8747.2,7
HCPCS,K0828,PWC gp 2 xtra hd seat/back,,,1122.21,11832.5,7
HCPCS,K0829,PWC gp 2 xtra hd cap chair,,,1090.29,11162.6,7
HCPCS,K0830,PWC gp2 std seat elevate s/b,,,3914.1,3914.1,3
HCPCS,K0831,PWC gp2 std seat elevate cap,,,3914.1,3914.1,3
HCPCS,K0835,PWC gp2 std sing pow opt s/b,,,437.54,5688.3,7
HCPCS,K0836,PWC gp2 std sing pow opt cap,,,453.81,5899.4,7
HCPCS,K0837,PWC gp 2 hd sing pow opt s/b,,,561.19,6978.0,7
HCPCS,K0838,PWC gp 2 hd sing pow opt cap,,,497.4,6220.0,7
HCPCS,K0839,PWC gp2 vhd sing pow opt s/b,,,745.45,9125.6,7
HCPCS,K0840,PWC gp2 xhd sing pow opt s/b,,,1144.51,13898.5,7
HCPCS,K0841,PWC gp2 std mult pow opt s/b,,,493.06,6187.2,7
HCPCS,K0842,PWC gp2 std mult pow opt cap,,,492.35,6183.7,7
HCPCS,K0843,PWC gp2 hd mult pow opt s/b,,,584.48,7404.9,7
HCPCS,K0848,PWC gp 3 std seat/back,,,954.57,9298.7,7
HCPCS,K0849,PWC gp 3 std cap chair,,,917.75,8940.0,7
HCPCS,K0850,PWC gp 3 hd seat/back,,,1107.24,10785.8,7
HCPCS,K0851,PWC gp 3 hd cap chair,,,1064.63,10370.8,7
HCPCS,K0852,PWC gp 3 vhd seat/back,,,1279.35,12462.5,7
HCPCS,K0853,PWC gp 3 vhd cap chair,,,1314.23,12802.2,7
HCPCS,K0854,PWC gp 3 xhd seat/back,,,1741.07,16960.1,7
HCPCS,K0855,PWC gp 3 xhd cap chair,,,1644.69,16021.3,7
HCPCS,K0856,PWC gp3 std sing pow opt s/b,,,1024.6,9980.9,7
HCPCS,K0857,PWC gp3 std sing pow opt cap,,,1045.15,10181.0,7
HCPCS,K0858,PWC gp3 hd sing pow opt s/b,,,1271.24,12383.4,7
HCPCS,K0859,PWC gp3 hd sing pow opt cap,,,1212.38,11810.0,7
HCPCS,K0860,PWC gp3 vhd sing pow opt s/b,,,1816.14,17691.4,7
HCPCS,K0861,PWC gp3 std mult pow opt s/b,,,1026.25,9996.9,7
HCPCS,K0862,PWC gp3 hd mult pow opt s/b,,,1271.24,12383.4,7
HCPCS,K0863,PWC gp3 vhd mult pow opt s/b,,,1816.14,17691.4,7
HCPCS,K0864,PWC gp3 xhd mult pow opt s/b,,,2161.2,21052.8,7
HCPCS,K0868,PWC gp 4 std seat/back,,,4785.17,4785.17,3
HCPCS,K0869,PWC gp 4 std cap chair,,,4785.17,4785.17,3
HCPCS,K0877,PWC gp4 std sing pow opt s/b,,,4202.83,4202.83,3
HCPCS,K0879,PWC gp4 hd sing pow opt s/b,,,5675.77,5675.77,3
HCPCS,K0880,PWC gp4 vhd sing pow opt s/b,,,8881.95,8881.95,3
HCPCS,K0884,PWC gp4 std mult pow opt s/b,,,6809.07,6809.07,3
HCPCS,K0885,PWC gp4 std mult pow opt cap,,,6340.95,6340.95,3
HCPCS,K0886,PWC gp4 hd mult pow s/b,,,5856.37,5856.37,3
HCPCS,K0890,PWC gp5 ped sing pow opt s/b,,,9850.52,9850.52,3
HCPCS,K0891,PWC gp5 ped mult pow opt s/b,,,12789.42,12789.42,3
HCPCS,K1007,Bil hkaf pc s/d micro sensor,,,88555.87,117210.68,12
HCPCS,K1034,COVID test self-admn/collect,,,12.0,12.0,4
HCPCS,L0112,Cranial cervical orthosis,,,1564.47,2143.65,15
HCPCS,L0113,Cranial cervical torticollis,,,318.77,436.8,15
HCPCS,L0120,COLAR CERV ASPEN PEDS PD2,97.0,77.6,28.41,87.3,36
HCPCS,L0120,COLAR CERV ASPEN PEDS PD5,66.0,52.8,22.11,59.4,36
HCPCS,L0120,COLAR CERV CONT *DISC 6350635*,14.0,11.2,4.69,37.6,36
HCPCS,L0120,COLAR CERV CONT *DISC 6350636*,14.0,11.2,4.69,37.6,36
HCPCS,L0120,COLAR CERV CONT FM XS 13IN,13.0,10.4,4.36,37.6,36
HCPCS,L0120,COLAR CERV FM COMFO-EZE PED SM,21.0,16.8,7.04,37.6,36
HCPCS,L0120,COLAR CERV FM OSSU LG,17.0,13.6,5.7,37.6,36
HCPCS,L0120,COLAR CERV FM OSSU LNG,17.0,13.6,5.7,37.6,36
HCPCS,L0120,COLAR CERV FM OSSU MD,17.0,13.6,5.7,37.6,36
HCPCS,L0120,COLAR CERV FM OSSU SM,19.0,15.2,6.37,37.6,36
HCPCS,L0120,COLAR CERV FM XSM*DISC 6335833,105.0,84.0,28.41,94.5,36
HCPCS,L0120,COLAR CERV MD DENSITY 2XL,14.0,11.2,4.69,37.6,36
HCPCS,L0120,COLAR CERV MD DENSITY LG,14.0,11.2,4.69,37.6,36
HCPCS,L0120,COLAR CERV MD DENSITY MD,14.0,11.2,4.69,37.6,36
HCPCS,L0120,COLAR CERV MD DENSITY XL,14.0,11.2,4.69,37.6,36
HCPCS,L0120,COLAR CERV REG LG 3.25X19,19.0,15.2,6.37,37.6,36
HCPCS,L0120,COLAR CERV REG MD 3.25X17,19.0,15.2,6.37,37.6,36
HCPCS,L0120,COLAR CERV REG XL 3.25X21,19.0,15.2,6.37,37.6,36
HCPCS,L0120,COLAR CERV S*DISC 6316257*,13.5,10.8,4.02,37.6,72
HCPCS,L0120,COLAR CERV S*DISC 6316258*,15.0,12.0,5.03,37.6,36
HCPCS,L0120,COLAR CERV S*DISC 6316259*,15.0,12.0,5.03,37.6,36
HCPCS,L0120,COLAR CERV S*DISC 6316260*,19.5,15.6,5.03,37.6,72
HCPCS,L0120,COLAR CERV SERP FM FIRM LG,13.0,10.4,4.36,37.6,36
HCPCS,L0120,COLAR CERV SERP FM FIRM MD,13.0,10.4,4.36,37.6,36
HCPCS,L0120,COLAR CERV SERP FM FIRM SM,13.0,10.4,4.36,37.6,36
HCPCS,L0120,COLAR CERV SERP FM FIRM XL,13.0,10.4,4.36,37.6,36
HCPCS,L0130,Flex thermoplastic collar mo,,,170.62,231.11,15
HCPCS,L0140,COLAR CERV STIFNECK ADLT,47.0,37.6,15.75,102.39,36
HCPCS,L0140,COLAR EXTRIC EMS EAGAN II SHRT,30.0,24.0,10.05,102.39,36
HCPCS,L0140,COLAR EXTRICEMSEAGANIIREG*CIP*,29.0,23.2,9.72,102.39,36
HCPCS,L0140,COLAREXTRICEMSEA*DISC 6342092*,29.0,23.2,9.72,102.39,36
HCPCS,L0150,Cerv semi-rig adj molded chn,,,115.65,153.08,15
HCPCS,L0160,Cerv sr wire occ/man pre ots,,,167.63,221.87,15
HCPCS,L0170,Cervical collar molded to pt,,,690.22,913.56,15
HCPCS,L0172,COLAR CERV ASCEND PEDS 1-3 PD3,121.0,96.8,40.54,186.82,36
HCPCS,L0172,COLAR CERV ASCEND PEDS 3-6 PD5,121.0,96.8,40.54,186.82,36
HCPCS,L0172,COLAR CERV ASCEND PEDS 9-24PD2,121.0,96.8,40.54,186.82,36
HCPCS,L0172,COLAR CERV ASPEN ADLT REG,66.0,52.8,22.11,186.82,36
HCPCS,L0172,COLAR CERV ASPEN SHRT ADLT,142.0,113.6,47.57,186.82,36
HCPCS,L0172,COLAR CERV ASPEN XTRA PAD PD1,90.0,72.0,30.15,186.82,36
HCPCS,L0172,COLAR CERV ASPEN XTRA PAD PD2,90.0,72.0,30.15,186.82,36
HCPCS,L0172,COLAR CERV ASPEN XTRA PAD PD3,90.0,72.0,30.15,186.82,36
HCPCS,L0172,COLAR CERV ASPEN XTRA PAD PD4,187.0,149.6,62.65,186.82,36
HCPCS,L0172,COLAR CERV ASPEN XTRA PAD PD5,90.0,72.0,30.15,186.82,36
HCPCS,L0172,COLAR CERV MI J *DISC 6354026*,277.0,221.6,92.8,249.3,36
HCPCS,L0172,COLAR CERV MI J W PAD XS,456.0,364.8,141.15,410.4,36
HCPCS,L0172,COLAR CERV OPEN TRACH 4.25 LG,43.0,34.4,14.41,186.82,36
HCPCS,L0172,COLAR CERV OPEN TRACH 4.25 SM,43.0,34.4,14.41,186.82,36
HCPCS,L0172,COLAR CERV PEDS REG 13-16IN,78.0,62.4,26.13,186.82,36
HCPCS,L0172,COLAR CERV PHILADEL LG 3.25,43.0,34.4,14.41,186.82,36
HCPCS,L0172,COLAR CERV PHILADEL MD 3.25IN,43.0,34.4,14.41,186.82,36
HCPCS,L0172,COLAR CERV PHILADEL SM 3.25,43.0,34.4,14.41,186.82,36
HCPCS,L0172,COLAR CERV PNCLE XTR PADS 174,115.0,92.0,38.53,186.82,36
HCPCS,L0172,COLAR PHILADEL TRACH 2.25IN LG,24.0,19.2,8.04,186.82,36
HCPCS,L0172,COLAR PHILADEL TRACH 2.25IN MD,24.0,19.2,8.04,186.82,36
HCPCS,L0172,COLAR PHILADEL TRACH 2.25IN SM,20.0,16.0,6.7,186.82,36
HCPCS,L0172,COLAR PHILADEL TRACH 3.25IN SM,24.0,19.2,8.04,186.82,36
HCPCS,L0172,COLAR PHILADEL TRACH 4.25IN SM,24.0,19.2,8.04,186.82,36
HCPCS,L0172,COLAR PHILADEL TRACH ADJ UNIV,20.0,16.0,6.7,186.82,36
HCPCS,L0174,COLAR CERV MI LG*CIP*,265.0,212.0,88.78,455.15,36
HCPCS,L0174,COLAR CERV MI MD*CIP*,265.0,212.0,88.78,455.15,36
HCPCS,L0174,COLAR CERV MI PEDS*CIP*,265.0,212.0,88.78,455.15,36
HCPCS,L0174,COLAR CERV MI SM*CIP*,265.0,212.0,88.78,455.15,36
HCPCS,L0174,COLAR CERV MI STOUT*CIP*,265.0,212.0,88.78,455.15,36
HCPCS,L0174,COLAR CERV VISTA TX W REPL PAD,234.0,187.2,78.39,455.15,36
HCPCS,L0180,Cer post col occ/man sup adj,,,396.56,524.88,15
HCPCS,L0190,Cerv collar supp adj cerv ba,,,550.49,728.61,15
HCPCS,L0200,BRC CERV VISTA CTO4 4POST,1124.0,899.2,376.54,1011.6,36
HCPCS,L0220,Thor rib belt custom fabrica,,,131.08,173.5,15
HCPCS,L0450,BRC SPINE ASPEN CTO ADLT SHRT,1123.0,898.4,131.59,1010.7,36
HCPCS,L0452,tlso flex custom fab thoraci,,,120.78,120.78,3
HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,387.67,531.18,15
HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,244.28,323.33,15
HCPCS,L0456,BRC TLSO HORIZON 456 UNIV,791.0,632.8,264.99,1523.31,36
HCPCS,L0456,BRC TLSO SUMMIT 456 LG,829.0,663.2,277.72,1523.31,36
HCPCS,L0456,BRC TLSO SUMMIT 456 MD,950.0,760.0,318.25,1523.31,36
HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,700.54,927.22,15
HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,996.91,1365.95,15
HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1122.08,1537.5,15
HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1395.66,1912.37,15
HCPCS,L0464,BRC BACK TLSO TR*DISC 6341605*,706.0,564.8,236.51,2276.64,36
HCPCS,L0466,Tlso r fram soft ant pre cst,,,417.79,552.98,15
HCPCS,L0467,Tlso r fram soft pre ots,,,273.97,362.62,15
HCPCS,L0468,Tlso rig fram pelvic pre cst,,,490.59,649.33,15
HCPCS,L0469,Tlso rig fram pelvic pre ots,,,349.09,462.04,15
HCPCS,L0470,TLSO rigid frame pre subclav,,,682.35,903.14,15
HCPCS,L0472,BRC DORSO RIGID HYPR EXT SM,407.0,325.6,136.35,572.78,36
HCPCS,L0480,TLSO rigid plastic custom fa,,,1688.38,2506.54,15
HCPCS,L0482,TLSO rigid lined custom fab,,,1885.93,2802.76,15
HCPCS,L0484,TLSO rigid plastic cust fab,,,2036.71,3024.96,15
HCPCS,L0486,TLSO rigidlined cust fab two,,,2287.31,3064.94,15
HCPCS,L0488,TLSO rigid lined pre one pie,,,1122.08,1537.5,15
HCPCS,L0490,TLSO rigid plastic pre one,,,316.19,433.22,15
HCPCS,L0491,TLSO 2 piece rigid shell,,,858.46,1176.3,15
HCPCS,L0492,TLSO 3 piece rigid shell,,,559.0,741.3,15
HCPCS,L0621,BELT SI EVERGREEN 621 ASME LG,190.0,152.0,63.65,171.0,36
HCPCS,L0621,BELT SI EVERGREEN 621 ASME MD,190.0,152.0,63.65,171.0,36
HCPCS,L0621,BELT SI EVERGREEN 621 ASME SM,190.0,152.0,63.65,171.0,36
HCPCS,L0621,BINDER ABD 3PNL *DISC 6329846*,28.0,22.4,9.38,91.83,72
HCPCS,L0621,SUPP BACK ELAS W SIDE PULL SM,89.0,71.2,29.82,91.83,36
HCPCS,L0622,SIO flex pelvisacral custom,,,276.49,365.95,15
HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,124.36,164.61,15
HCPCS,L0624,SIO panel custom,,,36.84,36.84,3
HCPCS,L0625,SUPP BACK SAFE-T-LIFT LG,71.0,56.8,23.79,63.9,36
HCPCS,L0625,SUPP BACK SAFE-T-LIFT MD,71.0,56.8,23.79,63.9,36
HCPCS,L0625,SUPP BACK SAFE-T-LIFT SM,71.0,56.8,23.79,63.9,36
HCPCS,L0625,SUPP BACK SAFE-T-LIFT XL,71.0,56.8,23.79,63.9,36
HCPCS,L0625,SUPP LUMB DELX W VELC WHT MD,60.0,48.0,20.1,54.0,36
HCPCS,L0625,SUPP LUMB DELX W VELC WHT SM,60.0,48.0,20.1,54.0,36
HCPCS,L0625,SUPP LUMB DELX W VELC WHT XL,60.0,48.0,20.1,54.0,36
HCPCS,L0625,SUPP LUMB W ABD BELT 10IN XL,63.0,50.4,21.11,56.7,36
HCPCS,L0625,SUPP LUMB W ABD BELT 10IN3XL,63.0,50.4,21.11,56.7,36
HCPCS,L0625,SUPP LUMBAR SAC*DISC 6115137*,92.0,73.6,30.82,82.8,36
HCPCS,L0625,SUPP LUMBAR SAC*DISC 6115139*,92.0,73.6,30.82,82.8,36
HCPCS,L0625,SUPP MATERNITY WO INSRT MD,50.0,40.0,16.75,51.36,36
HCPCS,L0625,SUPP MATERNITY WO INSRT SM,50.0,40.0,16.75,51.36,36
HCPCS,L0626,SUPP LUMB BASIC ELAS 2XL,95.0,76.0,31.83,119.6,36
HCPCS,L0626,SUPP LUMB BASIC ELAS LG,95.0,76.0,31.83,119.6,36
HCPCS,L0627,BRC LUMB HORIZON 627 UNIV,242.0,193.6,81.07,630.83,36
HCPCS,L0628,Lso flex no ri stays pre ots,,,59.1,78.22,15
HCPCS,L0629,LSO flex w/rigid stays cust,,,139.7,139.7,3
HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,181.05,248.51,15
HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1147.48,1575.46,15
HCPCS,L0632,LSO sag rigid frame cust,,,1054.48,1054.48,3
HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,320.53,440.06,15
HCPCS,L0634,LSO flexion control custom,,,58.82,58.82,3
HCPCS,L0635,LSO sagit rigid panel prefab,,,1024.45,1355.94,15
HCPCS,L0636,LSO sagittal rigid panel cus,,,1515.5,2359.59,15
HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1200.16,1588.51,15
HCPCS,L0638,LSO sag-coronal panel custom,,,1474.29,2020.09,15
HCPCS,L0639,Lso s/c shell/panel prefab,,,1200.16,1588.51,15
HCPCS,L0640,LSO s/c shell/panel custom,,,1169.64,1602.64,15
HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,54.91,72.68,15
HCPCS,L0642,BRC BACK EXOS FORM II 627SM/MD,370.0,296.0,123.95,383.31,36
HCPCS,L0642,BRC SPINE EPIC LP LO 627/642,205.0,164.0,68.68,383.31,36
HCPCS,L0642,BRC SPINE EPIC LP LSO 631/648,233.0,186.4,78.06,383.31,36
HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,114.1,151.01,15
HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,723.24,957.26,15
HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,202.03,267.4,15
HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,836.84,1138.4,15
HCPCS,L0651,LSO sag-co shell pnl pre ots,,,836.84,1138.4,15
HCPCS,L0700,Ctlso a-p-l control molded,,,2188.92,2897.21,15
HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2446.15,3380.85,15
HCPCS,L0720,Ctlso a-p-l control custom,,,2116.62,2339.42,8
HCPCS,L0810,HALO CERV LERMAN NIV ADLT,5117.0,4093.6,1714.2,4605.3,36
HCPCS,L0820,Halo cervical into body jack,,,2350.27,3302.5,15
HCPCS,L0830,Halo cerv into milwaukee typ,,,3356.1,4442.07,15
HCPCS,L0859,MRI compatible system,,,1273.27,2300.95,15
HCPCS,L0861,Halo repl liner/interface,,,240.93,330.12,15
HCPCS,L0970,Tlso corset front,,,119.45,215.87,15
HCPCS,L0972,Lso corset front,,,108.73,156.81,15
HCPCS,L0974,Tlso full corset,,,191.62,253.62,15
HCPCS,L0976,Lso full corset,,,167.12,287.39,15
HCPCS,L0978,Axillary crutch extension,,,206.02,272.68,15
HCPCS,L0980,Peroneal straps pair pre ots,,,18.69,24.73,15
HCPCS,L0982,Stocking sup grips 4 pre ots,,,17.43,23.07,15
HCPCS,L0984,Protect body sock ea pre ots,,,71.32,94.39,15
HCPCS,L1000,Ctlso milwauke initial model,,,2266.62,3351.35,15
HCPCS,L1001,CTLSO infant immobilizer,,,1602.67,1602.67,3
HCPCS,L1005,Tension based scoliosis orth,,,3577.65,4902.12,15
HCPCS,L1006,Scoliosis orth sag/ cor,,,1219.25,1613.77,12
HCPCS,L1010,Ctlso axilla sling,,,71.83,95.07,15
HCPCS,L1020,COLAR CERV PAPOOSE INFANT,525.0,420.0,92.51,472.5,34
HCPCS,L1025,Kyphosis pad floating,,,133.47,176.65,15
HCPCS,L1030,Lumbar bolster pad,,,68.09,90.12,15
HCPCS,L1040,Lumbar or lumbar rib pad,,,83.5,110.51,15
HCPCS,L1050,Sternal pad,,,89.11,117.94,15
HCPCS,L1060,Thoracic pad,,,102.35,135.47,15
HCPCS,L1070,Trapezius sling,,,96.31,127.48,15
HCPCS,L1080,Outrigger,,,58.48,100.72,15
HCPCS,L1085,Outrigger bil w/ vert extens,,,164.74,218.05,15
HCPCS,L1090,Lumbar sling,,,105.96,140.25,15
HCPCS,L1100,Ring flange plastic/leather,,,170.2,225.28,15
HCPCS,L1110,Ring flange plas/leather mol,,,273.34,361.79,15
HCPCS,L1120,Covers for upright each,,,42.51,60.83,15
HCPCS,L1200,Furnsh initial orthosis only,,,2000.31,2661.64,15
HCPCS,L1210,Lateral thoracic extension,,,273.48,494.21,15
HCPCS,L1220,Anterior thoracic extension,,,247.22,327.21,15
HCPCS,L1230,Milwaukee type superstructur,,,745.69,1070.36,15
HCPCS,L1240,Lumbar derotation pad,,,83.11,110.0,15
HCPCS,L1250,Anterior asis pad,,,77.32,102.34,15
HCPCS,L1260,Anterior thoracic derotation,,,80.97,107.17,15
HCPCS,L1270,Abdominal pad,,,82.93,109.76,15
HCPCS,L1280,Rib gusset (elastic) each,,,92.33,122.21,15
HCPCS,L1290,Lateral trochanteric pad,,,84.12,111.34,15
HCPCS,L1300,Body jacket mold to patient,,,1926.48,2940.67,15
HCPCS,L1310,Post-operative body jacket,,,2006.59,3113.96,15
HCPCS,L1600,Ho flex frejka w/cov pre cst,,,141.05,186.69,15
HCPCS,L1610,Ho frejka cov only pre cst,,,46.99,62.19,15
HCPCS,L1620,Ho flex pavlik harns pre cst,,,143.39,189.79,15
HCPCS,L1630,Abduct control hip semi-flex,,,181.36,240.04,15
HCPCS,L1640,Pelv band/spread bar thigh c,,,529.16,801.98,15
HCPCS,L1650,HO abduction hip adjustable,,,275.66,369.59,15
HCPCS,L1652,Ho bi thighcuffs w sprdr bar,,,398.46,545.98,15
HCPCS,L1653,Ho abduction static ots,,,412.5,545.98,12
HCPCS,L1660,HO abduction static plastic,,,183.16,242.43,15
HCPCS,L1680,Pelvic & hip control thigh c,,,1273.47,1725.98,15
HCPCS,L1681,Ho bilateral hip abduction,,,2094.79,2912.84,15
HCPCS,L1685,Post-op hip abduct custom fa,,,1243.23,1684.99,15
HCPCS,L1686,BRC HIP POSTOP TSCOPE LFT,812.0,649.6,272.02,1456.42,36
HCPCS,L1690,Combination bilateral HO,,,2161.53,2961.72,15
HCPCS,L1700,Leg perthes orth toronto typ,,,1634.41,2163.27,15
HCPCS,L1710,Legg perthes orth newington,,,1913.25,2532.34,15
HCPCS,L1720,Legg perthes orthosis trilat,,,1410.29,1866.64,15
HCPCS,L1730,Legg perthes orth scottish r,,,1213.33,1605.94,15
HCPCS,L1755,Legg perthes patten bottom t,,,1694.49,2242.79,15
HCPCS,L1810,BRC KNEE ECON AIRM OPBK SM,90.0,72.0,30.15,143.04,36
HCPCS,L1810,BRC KNEE ECON AIRM OPBK XL,90.0,72.0,30.15,143.04,36
HCPCS,L1810,BRC KNEE HIPERF OPBK PTO LFTLG,218.0,174.4,73.03,196.2,36
HCPCS,L1810,BRC KNEE HIPERF OPBK PTO RT MD,218.0,174.4,73.03,196.2,36
HCPCS,L1810,BRC KNEE LAT STBL HNG LFT MD,111.0,88.8,37.19,143.04,36
HCPCS,L1810,BRC KNEE LAT STBL HNG LFT SM,111.0,88.8,37.19,143.04,36
HCPCS,L1810,BRC KNEE LAT STBL HNG RT MD,111.0,88.8,37.19,143.04,36
HCPCS,L1810,BRC KNEE LAT STBL HNG RT SM,111.0,88.8,37.19,143.04,36
HCPCS,L1810,BRC KNEE NEOP HNG STBL BL*NLU*,66.0,52.8,22.11,143.04,72
HCPCS,L1810,BRC KNEE SAFE-T-SPORT WRA*NLU*,80.0,64.0,26.8,143.04,108
HCPCS,L1810,BRC KNEE SAFETSPORT WRAP *NLU*,80.0,64.0,26.8,143.04,36
HCPCS,L1812,BRC KNEE AIRM HIPREF LFT MD,246.0,196.8,71.54,221.4,36
HCPCS,L1812,BRC KNEE AIRM HIPREF RT SM,246.0,196.8,71.54,221.4,36
HCPCS,L1812,BRC KNEE AIRM LAT STBL LFT 2XL,86.0,68.8,28.81,96.02,36
HCPCS,L1812,BRC KNEE AIRM LAT STBL LFT SM,79.0,63.2,26.47,96.02,36
HCPCS,L1812,BRC KNEE AIRM LAT STBL RT 2XL,86.0,68.8,28.81,96.02,36
HCPCS,L1812,BRC KNEE AXIOM-D ELITE LFT MD,950.0,760.0,71.54,855.0,36
HCPCS,L1812,BRC KNEE AXIOM-D ELITE RT MD,950.0,760.0,71.54,855.0,36
HCPCS,L1812,BRC KNEE DYNMC M.4S PCLLFTMD,1197.0,957.6,71.54,1077.3,36
HCPCS,L1812,BRC KNEE DYNMC M.4S PCLLFTSM,1197.0,957.6,71.54,1077.3,36
HCPCS,L1812,BRC KNEE ECON HNG AIRM 2XL,90.0,72.0,30.15,96.02,36
HCPCS,L1812,BRC KNEE HIPERF OPBK PTO RT LG,218.0,174.4,71.54,196.2,36
HCPCS,L1812,BRC KNEE HIPERF OPBK PTO RT2XL,218.0,174.4,71.54,196.2,36
HCPCS,L1812,BRC KNEE HIPERF OPBK PTOLFT2XL,218.0,174.4,71.54,196.2,36
HCPCS,L1812,BRC KNEE HNG ECON AIRM 2XL,95.0,76.0,31.83,96.02,36
HCPCS,L1812,BRC KNEE HNG ECON AIRM 3XL,95.0,76.0,31.83,96.02,36
HCPCS,L1812,BRC KNEE HNG ECON AIRM LG,95.0,76.0,31.83,96.02,36
HCPCS,L1812,BRC KNEE HNG ECON AIRM MD,95.0,76.0,31.83,96.02,36
HCPCS,L1812,BRC KNEE HNG ECON AIRM XL,95.0,76.0,31.83,96.02,36
HCPCS,L1812,BRC KNEE HNG ECON WRAP OPBK XS,86.0,68.8,28.81,96.02,36
HCPCS,L1812,BRC KNEE NEOP HNG STBL BLK LG,79.0,63.2,26.47,96.02,36
HCPCS,L1812,BRC KNEE NEOP HNG STBL BLK MD,79.0,63.2,26.47,96.02,36
HCPCS,L1812,BRC KNEE NEOP LAT STBL LFT XS,71.0,56.8,23.79,96.02,36
HCPCS,L1812,BRC KNEE NEOP LAT STBL RT MD,71.0,56.8,23.79,96.02,36
HCPCS,L1812,BRC KNEE PTO AIRM LFT LG,184.0,147.2,61.64,165.6,36
HCPCS,L1812,BRC KNEE PTO AIRM LFT XL,184.0,147.2,61.64,165.6,36
HCPCS,L1812,BRC KNEE PTO AIRM RT XL,184.0,147.2,61.64,165.6,36
HCPCS,L1812,BRC KNEE RDRN WR*DISC 6344805*,204.0,163.2,68.34,183.6,36
HCPCS,L1812,BRC KNEE RDRN WR*DISC 6344806*,204.0,163.2,68.34,183.6,36
HCPCS,L1812,BRC KNEE SLV FREEPORT LFT LG,162.0,129.6,54.27,145.8,36
HCPCS,L1812,BRC KNEE SLV FREEPORT LFT MD,162.0,129.6,54.27,145.8,36
HCPCS,L1812,BRC KNEE SLV FREEPORT LFT SM,162.0,129.6,54.27,145.8,36
HCPCS,L1812,BRC KNEE SLV FREEPORT LFT XL,162.0,129.6,54.27,145.8,36
HCPCS,L1812,BRC KNEE SLV FREEPORT RT LG,162.0,129.6,54.27,145.8,36
HCPCS,L1812,BRC KNEE SLV FREEPORT RT MD,162.0,129.6,54.27,145.8,36
HCPCS,L1812,BRC KNEE SLV FREEPORT RT SM,162.0,129.6,54.27,145.8,36
HCPCS,L1812,BRC KNEE SLV FREEPORT RT XL,162.0,129.6,54.27,145.8,36
HCPCS,L1812,PROTECT RIGID ROOKE,2284.0,1827.2,71.54,2055.6,36
HCPCS,L1812,SUPP KNEE NEOP BREG 2XL,26.0,20.8,8.71,96.02,36
HCPCS,L1812,SUPP KNEE NEOP BREG LG,26.0,20.8,8.71,96.02,36
HCPCS,L1812,SUPP KNEE NEOP BREG SM,26.0,20.8,8.71,96.02,36
HCPCS,L1812,SUPP KNEE NEOP BREG XL,26.0,20.8,8.71,96.02,36
HCPCS,L1812,SUPP KNEE NEOP BREG XS,26.0,20.8,8.71,96.02,36
HCPCS,L1812,SUPP KNEE NEOP OPEN PTLA XL,26.0,20.8,8.71,96.02,36
HCPCS,L1820,BRC KNEE FREERUNNER LFT 2XL,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER LFT 2XS,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER LFT LG,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER LFT MD,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER LFT SM,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER LFT XL,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER LFT XS,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER RT 2XL,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER RT 2XS,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER RT LG,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER RT MD,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER RT SM,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER RT XL,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE FREERUNNER RT XS,219.0,175.2,73.37,200.87,36
HCPCS,L1820,BRC KNEE HNG CONFORMAULTIMA4XL,149.0,119.2,49.92,200.87,36
HCPCS,L1820,BRC KNEE HNG CONFORMAULTIMA5XL,149.0,119.2,49.92,200.87,36
HCPCS,L1820,BRC KNEE HNG ECON LG,75.0,60.0,25.13,200.87,36
HCPCS,L1820,BRC KNEE HNG FRONT CLOSE LG,114.0,91.2,38.19,200.87,36
HCPCS,L1820,BRC KNEE HNG FRONT CLOSE MD,114.0,91.2,38.19,200.87,36
HCPCS,L1820,BRC KNEE HNG FRONT CLOSE SM,114.0,91.2,38.19,200.87,36
HCPCS,L1820,BRC KNEE HNG NEOP OSSU 2XL,63.0,50.4,21.11,200.87,36
HCPCS,L1820,BRC KNEE HNG NEOP OSSU LG,67.0,53.6,22.45,200.87,36
HCPCS,L1820,BRC KNEE HNG NEOP OSSU MD,57.0,45.6,19.1,200.87,36
HCPCS,L1820,BRC KNEE HNG NEOP OSSU SM,57.0,45.6,19.1,200.87,36
HCPCS,L1820,BRC KNEE HNG NEOP OSSU XL,67.0,53.6,22.45,200.87,36
HCPCS,L1820,BRC KNEE HNG PREM J LT 2XL,192.0,153.6,64.32,200.87,36
HCPCS,L1820,BRC KNEE HNG PREM J LT LG,192.0,153.6,64.32,200.87,36
HCPCS,L1820,BRC KNEE HNG PREM J LT MD,192.0,153.6,64.32,200.87,36
HCPCS,L1820,BRC KNEE HNG PREM J LT SM,192.0,153.6,64.32,200.87,36
HCPCS,L1820,BRC KNEE HNG PREM J LT XL,192.0,153.6,64.32,200.87,36
HCPCS,L1820,BRC KNEE HNG PREM J RT 2XL,192.0,153.6,64.32,200.87,36
HCPCS,L1820,BRC KNEE HNG PREM J RT LG,192.0,153.6,64.32,200.87,36
HCPCS,L1820,BRC KNEE HNG PREM J RT MD,192.0,153.6,64.32,200.87,36
HCPCS,L1820,BRC KNEE HNG PREM J RT SM,192.0,153.6,64.32,200.87,36
HCPCS,L1820,BRC KNEE HNG PREM J RT XL,192.0,153.6,64.32,200.87,36
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA 2XL,195.0,156.0,65.33,200.87,36
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA 3XL,195.0,156.0,65.33,200.87,36
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA 4XL,200.0,160.0,67.0,200.87,36
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA 5XL,200.0,160.0,67.0,200.87,36
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA LG,195.0,156.0,65.33,200.87,36
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA MD,195.0,156.0,65.33,200.87,36
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA SM,195.0,156.0,65.33,200.87,36
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA XL,195.0,156.0,65.33,200.87,36
HCPCS,L1820,BRC KNEE HNG TRI*DISC 6146659*,114.0,91.2,38.19,200.87,36
HCPCS,L1820,BRC KNEE HNG TRI*DISC 6215999*,114.0,91.2,38.19,200.87,36
HCPCS,L1820,BRC KNEE HNG TRI*DISC 6216000*,114.0,91.2,38.19,200.87,36
HCPCS,L1820,BRC KNEE HNG WRAP ARD 2XL,207.0,165.6,69.35,200.87,36
HCPCS,L1820,BRC KNEE HNG WRAP ARD 3XL,207.0,165.6,69.35,200.87,36
HCPCS,L1820,BRC KNEE HNG WRAP ARD 4XL,207.0,165.6,69.35,200.87,36
HCPCS,L1820,BRC KNEE HNG WRAP ARD LG,207.0,165.6,69.35,200.87,36
HCPCS,L1820,BRC KNEE HNG WRAP ARD MD,207.0,165.6,69.35,200.87,36
HCPCS,L1820,BRC KNEE HNG WRAP ARD SM,223.0,178.4,74.71,200.87,36
HCPCS,L1820,BRC KNEE HNG WRAP ARD XL,207.0,165.6,69.35,200.87,36
HCPCS,L1820,BRC KNEE HNG WRAPAROUND 2XL,51.0,40.8,17.09,200.87,36
HCPCS,L1820,BRC KNEE HNG WRAPAROUND 4XL,51.0,40.8,17.09,200.87,36
HCPCS,L1820,BRC KNEE PTLA LG*DISC 6301082*,168.0,134.4,56.28,200.87,36
HCPCS,L1820,BRC KNEE PTLA MD*DISC 6301081*,168.0,134.4,56.28,200.87,36
HCPCS,L1820,BRC KNEE PTLA SM*DISC 6301080*,168.0,134.4,56.28,200.87,36
HCPCS,L1820,BRC KNEE PTLA XL*DISC 6301083*,168.0,134.4,56.28,200.87,36
HCPCS,L1820,BRC KNEE PTLA XS*DISC 6301079*,168.0,134.4,56.28,200.87,36
HCPCS,L1820,BRC KNEE PTLA2XL*DISC 6270634*,168.0,134.4,56.28,200.87,36
HCPCS,L1820,BRC KNEE PTLA3XL*DISC 6328373*,168.0,134.4,56.28,200.87,36
HCPCS,L1820,BRC KNEE PTLA4XL*DISC 6332399*,168.0,134.4,56.28,200.87,36
HCPCS,L1820,BRC KNEE PTLA5XL*DISC 6332400*,168.0,134.4,56.28,200.87,36
HCPCS,L1821,Ko elas w/ condyle pads otf,,,151.76,200.87,12
HCPCS,L1830,IMMOB KNEE 2W STRAP 19IN 2XL,70.0,56.0,23.45,85.33,36
HCPCS,L1830,IMMOB KNEE COMFO*DISC 6302169*,73.0,58.4,24.46,85.33,36
HCPCS,L1830,IMMOB KNEE COMFOR 18IN XL*NLU*,68.0,54.4,22.78,85.33,36
HCPCS,L1830,IMMOB KNEE DELX TRI PNL 12IN,66.0,52.8,22.11,85.33,36
HCPCS,L1830,IMMOB KNEE DELX TRI PNL 16IN,66.0,52.8,22.11,85.33,36
HCPCS,L1830,IMMOB KNEE DELX TRI PNL 18IN,66.0,52.8,22.11,85.33,36
HCPCS,L1830,IMMOB KNEE DELX TRI PNL 20IN,66.0,52.8,22.11,85.33,36
HCPCS,L1830,IMMOB KNEE DELX TRI PNL 24IN,66.0,52.8,22.11,85.33,36
HCPCS,L1830,IMMOB KNEE P*DISC 6306771*,47.0,37.6,15.75,85.33,36
HCPCS,L1830,IMMOB KNEE PREM *DISC 6288576*,47.0,37.6,15.75,85.33,36
HCPCS,L1830,IMMOB KNEE REBOUND 14IN,47.0,37.6,15.75,85.33,36
HCPCS,L1830,IMMOB KNEE REBOUND 18IN,47.0,37.6,15.75,85.33,36
HCPCS,L1830,IMMOB KNEE REBOUND 20IN,47.0,37.6,15.75,85.33,36
HCPCS,L1830,IMMOB KNEE SGL PNL 12IN,44.0,35.2,14.74,85.33,36
HCPCS,L1830,IMMOB KNEE SGL PNL 16IN,44.0,35.2,14.74,85.33,36
HCPCS,L1830,IMMOB KNEE SGL PNL 18IN,44.0,35.2,14.74,85.33,36
HCPCS,L1830,IMMOB KNEE SGL PNL 18IN XL,44.0,35.2,14.74,85.33,36
HCPCS,L1830,IMMOB KNEE SGL PNL 20IN,44.0,35.2,14.74,85.33,36
HCPCS,L1830,IMMOB KNEE SGL PNL 20IN XL,44.0,35.2,14.74,85.33,36
HCPCS,L1830,IMMOB KNEE SGL PNL 24IN,44.0,35.2,14.74,85.33,36
HCPCS,L1830,IMMOB KNEE SGL PNL 27IN,44.0,35.2,14.74,85.33,36
HCPCS,L1830,IMMOB KNEE SGL PNL 9IN,44.0,35.2,14.74,85.33,36
HCPCS,L1830,IMMOB KNEE TRI PNL 12IN,53.0,42.4,17.76,85.33,36
HCPCS,L1830,IMMOB KNEE TRI PNL 16IN,53.0,42.4,17.76,85.33,36
HCPCS,L1830,IMMOB KNEE TRI PNL 20IN,53.0,42.4,17.76,85.33,36
HCPCS,L1830,IMMOB KNEE TRI PNL 24IN,53.0,42.4,17.76,85.33,36
HCPCS,L1830,IMMOB KNEE TRI PNL BREG 18IN,53.0,42.4,17.76,85.33,36
HCPCS,L1830,IMMOB KNEE TRI PNL XL 16IN,53.0,42.4,17.76,85.33,36
HCPCS,L1830,IMMOB KNEE TRI PNL XL 20IN,53.0,42.4,17.76,85.33,36
HCPCS,L1830,IMMOB KNEE3PNLFO*DISC 6343582*,47.0,37.6,15.75,85.33,36
HCPCS,L1831,Knee orth pos locking joint,,,328.99,450.78,15
HCPCS,L1832,BRC KNEE BTRS ADJ LG,72.0,57.6,24.12,861.23,36
HCPCS,L1832,BRC KNEE GENU-RA*DISC 6175796*,314.0,251.2,105.19,861.23,36
HCPCS,L1832,BRC KNEE POST-OP LITE SHRT,195.0,156.0,65.33,861.23,36
HCPCS,L1832,BRC KNEE POST-OP T-SCOPE LG,212.0,169.6,71.02,861.23,36
HCPCS,L1832,BRC KNEE POST-OP T-SCOPE XL,229.0,183.2,76.72,861.23,36
HCPCS,L1832,BRC KNEE POSTOP BREG LNG,190.0,152.0,63.65,861.23,36
HCPCS,L1832,BRC KNEE POSTOP REHAB BREG15IN,187.0,149.6,62.65,861.23,36
HCPCS,L1832,BRC KNEE PTLA ST*DISC 6312417*,55.0,44.0,18.43,861.23,36
HCPCS,L1832,BRC KNEE RDRN OPBK XS,219.0,175.2,73.37,861.23,36
HCPCS,L1832,BRC KNEE RDRN WR*DISC 6344804*,204.0,163.2,68.34,861.23,36
HCPCS,L1832,BRC KNEE RDRN WR*DISC 6344807*,204.0,163.2,68.34,861.23,36
HCPCS,L1833,BRC KNEE CROSSRUN PULLONSHRTLG,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUN PULLONSHRTSM,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUN PULLONSHRTXL,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER PULLON LG,204.0,163.2,68.34,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER PULLON MD,204.0,163.2,68.34,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER PULLON SM,204.0,163.2,68.34,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT 2XL,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT 3XL,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT LG,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT MD,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT SM,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT XL,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT XS,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNNER WRAP 3XL,204.0,163.2,68.34,634.77,36
HCPCS,L1833,BRC KNEE CROSSRUNPULLONSHRT2XL,151.0,120.8,50.59,634.77,36
HCPCS,L1833,BRC KNEE FREESPORT WRAPUNIVLG,173.0,138.4,57.96,634.77,36
HCPCS,L1833,BRC KNEE FREESPORT WRAPUNIVMD,173.0,138.4,57.96,634.77,36
HCPCS,L1833,BRC KNEE FREESPORT WRAPUNIVSM,173.0,138.4,57.96,634.77,36
HCPCS,L1833,BRC KNEE GLADIAT*DISC 6342662*,168.0,134.4,56.28,634.77,36
HCPCS,L1833,BRC KNEE GLADIATOR HNG 2XL,168.0,134.4,56.28,634.77,36
HCPCS,L1833,BRC KNEE GLADIATOR HNG MD,168.0,134.4,56.28,634.77,36
HCPCS,L1833,BRC KNEE GLADIATOR HNG XL,366.0,292.8,122.61,634.77,36
HCPCS,L1833,BRC KNEE SHRTRUNNER LG,144.0,115.2,48.24,634.77,36
HCPCS,L1833,BRC KNEE SHRTRUNNER XL,144.0,115.2,48.24,634.77,36
HCPCS,L1833,PTLA BTRS KT CROSSRUNNER,45.0,36.0,15.08,634.77,36
HCPCS,L1834,Ko w/0 joint rigid molded to,,,811.33,1161.59,15
HCPCS,L1836,Ko rigid w/o joints pre ots,,,91.15,123.59,15
HCPCS,L1840,Ko derot ant cruciate custom,,,984.09,1302.52,15
HCPCS,L1843,BRC KNEE FREESTYLE OA LATLFTXL,762.0,609.6,255.27,1374.29,36
HCPCS,L1843,BRC KNEE FREESTYLE OAMEDLLFTMD,762.0,609.6,255.27,1374.29,36
HCPCS,L1843,BRC KNEE Z-12 LFT LG,1070.0,856.0,358.45,1374.29,36
HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1702.22,2542.71,15
HCPCS,L1845,BRC KNEE AXIOM-D ELITE LFT LG,950.0,760.0,318.25,1195.84,36
HCPCS,L1845,BRC KNEE AXIOM-D ELITE LFT SM,950.0,760.0,318.25,1195.84,36
HCPCS,L1845,BRC KNEE FUSN LAT OAPREFABRTLG,722.0,577.6,241.87,1195.84,36
HCPCS,L1845,BRC KNEE FUSN LAT OAPREFABRTMD,722.0,577.6,241.87,1195.84,36
HCPCS,L1845,BRC KNEE FUSN LAT OAPREFABRTSM,722.0,577.6,241.87,1195.84,36
HCPCS,L1845,BRC KNEE FUSN LATOAPREFABLFTLG,722.0,577.6,241.87,1195.84,36
HCPCS,L1845,BRC KNEE FUSN LATOAPREFABLFTMD,722.0,577.6,241.87,1195.84,36
HCPCS,L1845,BRC KNEE FUSN LATOAPREFABLFTSM,722.0,577.6,241.87,1195.84,36
HCPCS,L1845,BRC KNEE FUSN WOM RT LG,643.0,514.4,215.41,1195.84,36
HCPCS,L1845,BRC KNEE FUSNLATOAPREFABLFTMD+,722.0,577.6,241.87,1195.84,36
HCPCS,L1845,BRC KNEE PTO AIRM LFT MD,184.0,147.2,61.64,1195.84,36
HCPCS,L1845,BRC KNEE PTO AIRM LFT SM,184.0,147.2,61.64,1195.84,36
HCPCS,L1845,BRC KNEE PTO AIRM RT LG,184.0,147.2,61.64,1195.84,36
HCPCS,L1845,BRC KNEE PTO AIRM RT MD,184.0,147.2,61.64,1195.84,36
HCPCS,L1845,BRC KNEE REBEL RELIEVER LFTSTD,1680.0,1344.0,562.8,1512.0,36
HCPCS,L1846,BRC KNEE FUSN WOM CUST,966.0,772.8,323.61,1589.93,36
HCPCS,L1847,Ko dbl upright w/air pre cst,,,642.92,880.92,15
HCPCS,L1848,Ko dbl upright w/air pre ots,,,642.92,880.92,15
HCPCS,L1850,Ko swedish type pre ots,,,209.94,277.87,15
HCPCS,L1851,Ko single upright prefab ots,,,612.94,831.19,15
HCPCS,L1852,BRC KNEE FULFT MD*USE 6253566*,60.0,48.0,20.1,782.71,36
HCPCS,L1852,BRC KNEE FUSN OA + LAT RT2XL,722.0,577.6,241.87,782.71,36
HCPCS,L1852,BRC KNEE FUSN OA + LFT SM,700.0,560.0,234.5,782.71,36
HCPCS,L1852,BRC KNEE FUSN OA + LFT XL,700.0,560.0,234.5,782.71,36
HCPCS,L1852,BRC KNEE FUSN OTS LFT LG,643.0,514.4,215.41,782.71,36
HCPCS,L1852,BRC KNEE FUSN OTS LFT XSM,643.0,514.4,215.41,782.71,36
HCPCS,L1852,BRC KNEE FUSN OTS RT XL,643.0,514.4,215.41,782.71,36
HCPCS,L1852,BRC KNEE FUSN WOM LFT MD,643.0,514.4,215.41,782.71,36
HCPCS,L1852,BRC KNEE FUSN WOM LFT MD+,643.0,514.4,215.41,782.71,36
HCPCS,L1852,BRC KNEE FUSN WOM OA LFT MD,700.0,560.0,234.5,782.71,36
HCPCS,L1852,BRC KNEE FUSN WOM OA LFT MD+,700.0,560.0,234.5,782.71,36
HCPCS,L1852,BRC KNEE FUSN WOM OA RT MD,700.0,560.0,234.5,782.71,36
HCPCS,L1852,BRC KNEE FUSN WOM OA RT MD+,700.0,560.0,234.5,782.71,36
HCPCS,L1852,BRC KNEE FUSN WOM RT MD,643.0,514.4,215.41,782.71,36
HCPCS,L1852,BRC KNEE FUSN WOM RT MD+,643.0,514.4,215.41,782.71,36
HCPCS,L1852,BRC KNEE FUSN WOM RT SM,643.0,514.4,215.41,782.71,36
HCPCS,L1852,BRC KNEE FUSN WOM RT XL,643.0,514.4,215.41,782.71,36
HCPCS,L1852,BRC KNEE FUSN XT LFT LG,672.0,537.6,225.12,782.71,36
HCPCS,L1852,BRC KNEE FUSN XT LFT MD,672.0,537.6,225.12,782.71,36
HCPCS,L1852,BRC KNEE FUSN XT LFT MD+,672.0,537.6,225.12,782.71,36
HCPCS,L1852,BRC KNEE FUSN XT LFT SM,672.0,537.6,225.12,782.71,36
HCPCS,L1852,BRC KNEE FUSN XT LFT XL,672.0,537.6,225.12,782.71,36
HCPCS,L1860,Ko supracondylar socket mold,,,1148.45,1520.06,15
HCPCS,L1900,Afo sprng wir drsflx calf bd,,,314.86,416.74,15
HCPCS,L1902,BRC ANK ASO LACE-UP BLK LG,60.0,48.0,20.1,113.08,36
HCPCS,L1902,BRC ANK ASO LACE-UP BLK XL,60.0,48.0,20.1,113.08,36
HCPCS,L1902,BRC ANK ASO LACE-UP WHT M*NLU*,69.0,55.2,23.12,113.08,36
HCPCS,L1902,BRC ANK LACE UP FIG8 STRAP XL,32.0,25.6,10.72,113.08,36
HCPCS,L1902,BRC ANK LACE UP TIB STRAP LG,32.0,25.6,10.72,113.08,36
HCPCS,L1902,BRC ANK LACE UP TIB STRAP MD,32.0,25.6,10.72,113.08,36
HCPCS,L1902,BRC ANK LACE UP TIB STRAP SM,32.0,25.6,10.72,113.08,36
HCPCS,L1902,BRC ANK LACE UP W STAYS LG,46.0,36.8,15.41,113.08,36
HCPCS,L1902,BRC ANK LACE UP W STAYS MD,46.0,36.8,15.41,113.08,36
HCPCS,L1902,BRC ANK LACE UP W STAYS SM,46.0,36.8,15.41,113.08,36
HCPCS,L1902,BRC ANK LACE UP WEBLY ZAP LG,64.0,51.2,21.44,113.08,36
HCPCS,L1902,BRC ANK LACE UP WEBLY ZAP SM,64.0,51.2,21.44,113.08,36
HCPCS,L1902,BRC ANK LACE UP WEBLY ZAP XL,68.0,54.4,22.78,113.08,36
HCPCS,L1902,BRC ANK LACE UP WEBLY ZAP XS,64.0,51.2,21.44,113.08,36
HCPCS,L1902,BRC ANK STABILIZING XS 10*NLU*,34.0,27.2,11.39,113.08,36
HCPCS,L1902,BRC ANK STABLIZING PRO BLK MD,69.0,55.2,23.12,113.08,36
HCPCS,L1902,BRC ANK TRILK LG,117.0,93.6,39.2,113.08,36
HCPCS,L1902,BRC ANK TRILK MD,117.0,93.6,39.2,113.08,36
HCPCS,L1902,BRC ANK TRILK SM,117.0,93.6,39.2,113.08,36
HCPCS,L1902,BRC ANK TRILK XL,117.0,93.6,39.2,113.08,36
HCPCS,L1902,BRC ANK WRAPTOR SPEED LG,45.0,36.0,15.08,113.08,36
HCPCS,L1902,BRC ANK WRAPTOR SPEED XL,45.0,36.0,15.08,113.08,36
HCPCS,L1902,BRC ANK WRAPTOR SPEED XS,45.0,36.0,15.08,113.08,36
HCPCS,L1902,BRC ANK WRAPTOR STD LG,45.0,36.0,15.08,113.08,36
HCPCS,L1902,BRC ANK WRAPTOR STD MD,45.0,36.0,15.08,113.08,36
HCPCS,L1902,BRC ANK WRAPTOR STD XL,45.0,36.0,15.08,113.08,36
HCPCS,L1904,Afo molded ankle gauntlet,,,503.27,666.12,15
HCPCS,L1906,BOOT WLK XCELTRAX SHRT MD,61.0,48.8,20.44,227.15,36
HCPCS,L1906,BOOT WLK XCELTRAX SHRT SM,61.0,48.8,20.44,227.15,36
HCPCS,L1906,BRC ANK ASO LACE-UP BLK 2XS,60.0,48.0,20.1,227.15,36
HCPCS,L1906,BRC ANK ASO LACE-UP BLK XS,60.0,48.0,20.1,227.15,36
HCPCS,L1906,BRC ANK STIRRUP FORMFITAIRADLT,36.0,28.8,12.06,227.15,36
HCPCS,L1906,BRC ANK ULT HIGH 5 MD,125.0,100.0,41.88,227.15,36
HCPCS,L1906,BRC ANK ULT HIGH 5 SM,125.0,100.0,41.88,227.15,36
HCPCS,L1907,Afo supramalleolar custom,,,629.0,861.8,15
HCPCS,L1910,Afo sing bar clasp attach sh,,,289.36,382.99,15
HCPCS,L1920,Afo sing upright w/ adjust s,,,459.19,622.88,15
HCPCS,L1930,Afo plastic,,,276.34,365.75,15
HCPCS,L1932,Afo rig ant tib tcf/= custom,,,997.44,1366.68,15
HCPCS,L1933,BRC AFO SPRYSTEP MAX LFT MD,1256.0,1004.8,332.21,1141.26,36
HCPCS,L1933,BRC AFO SPRYSTEP MAX RT MD,1256.0,1004.8,332.21,1141.26,36
HCPCS,L1940,Afo molded to patient plasti,,,529.29,700.56,15
HCPCS,L1945,Afo molded plas rig ant tib,,,1019.38,1349.23,15
HCPCS,L1950,Afo spiral molded to pt plas,,,859.65,1141.58,15
HCPCS,L1951,Afo spiral prefab custom,,,938.72,1286.31,15
HCPCS,L1952,BRC AFO SPRYSTEP LFT XS,1256.0,1004.8,332.21,1130.4,36
HCPCS,L1960,Afo pos solid ank plastic mo,,,593.24,785.2,15
HCPCS,L1970,ORTHOTICS JOINT CLEVISPHERE LG,276.0,220.8,92.46,1058.96,36
HCPCS,L1970,ORTHOTICS JOINT FLEXURE NAT LG,89.0,71.2,29.82,1058.96,36
HCPCS,L1970,ORTHOTICS JOINT FLEXURE NAT MD,71.0,56.8,23.79,1058.96,36
HCPCS,L1970,ORTHOTICS JOINT FLEXURENATPEDS,75.0,60.0,25.13,1058.96,36
HCPCS,L1971,BRC ANK ULT CTS LG/XL,177.0,141.6,59.3,717.87,36
HCPCS,L1971,BRC ANK ULT CTS SM/MD,177.0,141.6,59.3,717.87,36
HCPCS,L1980,Afo sing solid stirrup calf,,,423.51,560.55,15
HCPCS,L1990,L1990 AFO DBL UPRIGHT FREE MOT,1100.0,880.0,368.5,990.0,36
HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1124.74,1488.69,15
HCPCS,L2005,KAFO sng/dbl mechanical act,,,4580.4,6288.68,15
HCPCS,L2006,Kaf sng/dbl swg/stn mcpr cus,,,35961.43,49645.17,15
HCPCS,L2010,Kafo sng solid stirrup w/o j,,,975.34,1532.52,15
HCPCS,L2020,Kafo dbl solid stirrup band/,,,1231.82,1654.06,15
HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1084.22,1435.05,15
HCPCS,L2034,KAFO pla sin up w/wo k/a cus,,,2270.76,3187.67,15
HCPCS,L2035,KAFO plastic pediatric size,,,193.66,265.35,15
HCPCS,L2036,Kafo plas doub free knee mol,,,2072.33,2885.02,15
HCPCS,L2037,Kafo plas sing free knee mol,,,1782.62,2359.44,15
HCPCS,L2038,Kafo w/o joint multi-axis an,,,1494.32,2025.32,15
HCPCS,L2040,Hkafo torsion bil rot straps,,,226.14,326.8,15
HCPCS,L2050,Hkafo torsion cable hip pelv,,,544.71,746.61,15
HCPCS,L2060,Hkafo torsion ball bearing j,,,633.43,838.4,15
HCPCS,L2070,Hkafo torsion unilat rot str,,,143.93,190.51,15
HCPCS,L2080,Hkafo unilat torsion cable,,,384.96,509.52,15
HCPCS,L2090,Hkafo unilat torsion ball br,,,521.71,690.53,15
HCPCS,L2106,Afo tib fx cast plaster mold,,,727.69,963.16,15
HCPCS,L2108,Afo tib fx cast molded to pt,,,1285.06,1723.54,15
HCPCS,L2112,Afo tibial fracture soft,,,499.34,660.91,15
HCPCS,L2114,Afo tib fx semi-rigid,,,626.31,828.97,15
HCPCS,L2116,Afo tibial fracture rigid,,,761.91,1008.45,15
HCPCS,L2126,Kafo fem fx cast thermoplas,,,1427.29,1904.9,15
HCPCS,L2128,Kafo fem fx cast molded to p,,,1792.2,2429.05,15
HCPCS,L2132,Kafo femoral fx cast soft,,,1087.84,1477.57,15
HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1035.13,1370.08,15
HCPCS,L2136,Kafo femoral fx cast rigid,,,1409.67,1882.94,15
HCPCS,L2180,Plas shoe insert w ank joint,,,148.19,216.03,15
HCPCS,L2182,Drop lock knee,,,104.45,138.25,15
HCPCS,L2184,Limited motion knee joint,,,129.48,192.22,15
HCPCS,L2186,Adj motion knee jnt lerman t,,,172.19,255.37,15
HCPCS,L2188,Quadrilateral brim,,,313.02,424.25,15
HCPCS,L2190,Waist belt,,,95.34,128.13,15
HCPCS,L2192,Pelvic band & belt thigh fla,,,372.67,505.09,15
HCPCS,L2200,L2200 AFO ADD LOWER EXT ANK,128.0,102.4,42.88,115.2,36
HCPCS,L2210,L2210 AFO ADD LOWER EXT DORSI,136.0,108.8,45.56,126.96,36
HCPCS,L2220,Dorsi & plantar flex ass/res,,,90.44,150.31,15
HCPCS,L2230,Split flat caliper stirr & p,,,89.59,118.57,15
HCPCS,L2232,"Rocker bottom, contact AFO",,,108.59,147.17,15
HCPCS,L2240,Round caliper and plate atta,,,89.52,118.48,15
HCPCS,L2250,Foot plate molded stirrup at,,,373.37,595.87,15
HCPCS,L2260,Reinforced solid stirrup,,,209.51,324.71,15
HCPCS,L2265,Long tongue stirrup,,,126.05,166.83,15
HCPCS,L2270,Varus/valgus strap padded/li,,,63.11,83.53,15
HCPCS,L2275,L2270 AFO VARUS/VALGUS T STRAP,282.0,225.6,94.47,253.8,36
HCPCS,L2280,Molded inner boot,,,484.62,641.44,15
HCPCS,L2300,Abduction bar jointed adjust,,,281.41,381.41,15
HCPCS,L2310,Abduction bar-straight,,,128.58,189.15,15
HCPCS,L2320,Non-molded lacer,,,215.63,371.94,15
HCPCS,L2330,Lacer molded to patient mode,,,410.4,613.08,15
HCPCS,L2335,Anterior swing band,,,255.13,337.69,15
HCPCS,L2340,Pre-tibial shell molded to p,,,467.12,633.11,15
HCPCS,L2350,Prosthetic type socket molde,,,931.3,1474.3,15
HCPCS,L2360,Extended steel shank,,,57.64,81.44,15
HCPCS,L2370,Patten bottom,,,274.74,363.64,15
HCPCS,L2375,Torsion ank & half solid sti,,,120.93,160.05,15
HCPCS,L2380,Torsion straight knee joint,,,144.26,232.53,15
HCPCS,L2385,Straight knee joint heavy du,,,164.25,252.99,15
HCPCS,L2387,Add LE poly knee custom KAFO,,,177.12,234.43,15
HCPCS,L2390,Offset knee joint each,,,114.41,206.75,15
HCPCS,L2395,Offset knee joint heavy duty,,,163.53,263.34,15
HCPCS,L2397,Suspension sleeve lower ext,,,136.43,182.41,15
HCPCS,L2405,Knee joint drop lock ea jnt,,,97.45,133.52,15
HCPCS,L2415,Knee joint cam lock each joi,,,135.79,186.12,15
HCPCS,L2425,Knee disc/dial lock/adj flex,,,160.24,219.58,15
HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,160.24,219.58,15
HCPCS,L2492,Knee lift loop drop lock rin,,,131.11,180.88,15
HCPCS,L2500,Thi/glut/ischia wgt bearing,,,337.64,446.89,15
HCPCS,L2510,Th/wght bear quad-lat brim m,,,777.41,1028.97,15
HCPCS,L2520,Th/wght bear quad-lat brim c,,,527.68,698.42,15
HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1274.05,1941.54,15
HCPCS,L2526,Th/wght bear nar m-l brim cu,,,715.89,1256.81,15
HCPCS,L2530,Thigh/wght bear lacer non-mo,,,268.07,443.77,15
HCPCS,L2540,Thigh/wght bear lacer molded,,,507.25,679.76,15
HCPCS,L2550,Thigh/wght bear high roll cu,,,380.33,542.47,15
HCPCS,L2570,Hip clevis type 2 posit jnt,,,497.83,674.72,15
HCPCS,L2580,Pelvic control pelvic sling,,,485.08,859.92,15
HCPCS,L2600,Hip clevis/thrust bearing fr,,,238.41,315.92,15
HCPCS,L2610,Hip clevis/thrust bearing lo,,,263.44,360.13,15
HCPCS,L2620,Pelvic control hip heavy dut,,,279.45,378.75,15
HCPCS,L2622,Hip joint adjustable flexion,,,328.21,434.41,15
HCPCS,L2624,Hip adj flex ext abduct cont,,,354.41,469.09,15
HCPCS,L2627,Plastic mold recipro hip & c,,,2388.99,3237.91,15
HCPCS,L2628,Metal frame recipro hip & ca,,,1751.08,3164.41,15
HCPCS,L2630,Pelvic control band & belt u,,,258.81,467.7,15
HCPCS,L2640,Pelvic control band & belt b,,,351.23,476.04,15
HCPCS,L2650,Pelv & thor control gluteal,,,128.44,170.0,15
HCPCS,L2660,Thoracic control thoracic ba,,,200.28,352.02,15
HCPCS,L2670,Thorac cont paraspinal uprig,,,178.29,322.18,15
HCPCS,L2680,Thorac cont lat support upri,,,163.55,295.56,15
HCPCS,L2750,Plating chrome/nickel pr bar,,,87.35,118.4,15
HCPCS,L2755,Carbon graphite lamination,,,146.05,200.06,15
HCPCS,L2760,Extension per extension per,,,63.51,114.76,15
HCPCS,L2768,Ortho sidebar disconnect,,,145.63,199.56,15
HCPCS,L2780,Non-corrosive finish,,,70.74,95.88,15
HCPCS,L2785,Drop lock retainer each,,,33.13,44.89,15
HCPCS,L2795,Knee control full kneecap,,,90.94,120.37,15
HCPCS,L2800,Knee cap medial or lateral p,,,112.57,165.73,15
HCPCS,L2810,Knee control condylar pad,,,83.59,110.64,15
HCPCS,L2820,Soft interface below knee se,,,90.76,164.02,15
HCPCS,L2830,Soft interface above knee se,,,98.19,177.44,15
HCPCS,L2840,Tibial length sock fx or equ,,,46.76,61.89,15
HCPCS,L2850,Femoral lgth sock fx or equa,,,67.61,112.64,15
HCPCS,L2861,Torsion mechanism knee/ankle,,,302.26,302.26,3
HCPCS,L3000,L3000 FO UCB *USE 6277548*,336.0,268.8,112.56,481.08,36
HCPCS,L3001,Foot insert remov molded spe,,,147.85,202.58,15
HCPCS,L3002,Foot insert plastazote or eq,,,180.53,247.33,15
HCPCS,L3003,Foot insert silicone gel eac,,,194.74,266.86,15
HCPCS,L3010,Foot longitudinal arch suppo,,,194.74,266.86,15
HCPCS,L3020,L3020 MOLD FT INSRT,340.0,272.0,113.9,306.0,36
HCPCS,L3020,L3020 MOLD FT INSRT DRESS XLNG,340.0,272.0,113.9,306.0,36
HCPCS,L3020,L3020 ORTHOTIC FULL,390.0,312.0,130.65,351.0,36
HCPCS,L3020,L3020 ORTHOTIC LEATHER DR,390.0,312.0,130.65,351.0,36
HCPCS,L3030,Foot arch support remov prem,,,85.29,116.84,15
HCPCS,L3031,INSOLE CARBOPLAST CONT RIGIDLG,203.0,162.4,68.01,187.62,36
HCPCS,L3031,INSOLE CARBOPLAST CONT RIGIDSM,193.0,154.4,64.66,187.62,36
HCPCS,L3031,INSOLE CARBOPLAST CONT SEMI MD,193.0,154.4,64.66,187.62,36
HCPCS,L3040,Ft arch suprt premold longit,,,52.61,72.1,15
HCPCS,L3050,Foot arch supp premold metat,,,52.61,72.1,15
HCPCS,L3060,HEEL LIFT ADJ BR*DISC 6355011*,16.0,12.8,5.36,112.99,36
HCPCS,L3060,HEEL LIFT ADJ BR*DISC 6355012*,16.0,12.8,5.36,112.99,36
HCPCS,L3060,HEEL LIFT ADJ BR*DISC 6355013*,16.0,12.8,5.36,112.99,36
HCPCS,L3060,HEEL LIFT ADJ BREG LG,16.0,12.8,5.36,112.99,36
HCPCS,L3060,HEEL LIFT ADJ BREG MD,16.0,12.8,5.36,112.99,36
HCPCS,L3060,HEEL LIFT ADJ BREG SM,16.0,12.8,5.36,112.99,36
HCPCS,L3070,Arch suprt att to sho longit,,,35.54,48.7,15
HCPCS,L3080,Arch supp att to shoe metata,,,35.54,48.7,15
HCPCS,L3090,Arch supp att to shoe long/m,,,45.5,62.28,15
HCPCS,L3100,SPLT BUNION RT SM,12.0,9.6,4.02,66.2,36
HCPCS,L3140,Abduction rotation bar shoe,,,99.51,136.35,15
HCPCS,L3150,Abduct rotation bar w/o shoe,,,91.0,124.65,15
HCPCS,L3160,Shoe styled positioning dev,,,16.2,16.2,3
HCPCS,L3170,HEEL CUP SIL BREG SM,27.0,21.6,9.05,77.92,36
HCPCS,L3170,HEEL CUP TULI CLASC LG,25.0,20.0,8.38,77.92,36
HCPCS,L3201,Oxford w supinat/pronat inf,,,26.42,26.42,3
HCPCS,L3202,Oxford w/ supinat/pronator c,,,28.43,28.43,3
HCPCS,L3204,Hightop w/ supp/pronator inf,,,56.36,56.36,3
HCPCS,L3206,Hightop w/ supp/pronator chi,,,57.72,57.72,3
HCPCS,L3208,Surgical boot each infant,,,50.0,50.0,3
HCPCS,L3209,Surgical boot each child,,,50.0,50.0,3
HCPCS,L3211,Surgical boot each junior,,,50.0,50.0,3
HCPCS,L3215,Orthopedic ftwear ladies oxf,,,25.25,25.25,3
HCPCS,L3216,Orthoped ladies shoes dpth i,,,32.61,32.61,3
HCPCS,L3217,Ladies shoes hightop depth i,,,50.69,50.69,3
HCPCS,L3219,Orthopedic mens shoes oxford,,,97.27,97.27,3
HCPCS,L3221,Orthopedic mens shoes dpth i,,,96.19,96.19,3
HCPCS,L3222,Mens shoes hightop depth inl,,,109.32,109.32,3
HCPCS,L3224,Woman's shoe oxford brace,,,65.44,86.61,15
HCPCS,L3225,Man's shoe oxford brace,,,82.5,115.59,15
HCPCS,L3230,Custom shoes depth inlay,,,188.12,188.12,3
HCPCS,L3250,Custom mold shoe remov prost,,,123.75,123.75,3
HCPCS,L3252,Shoe molded plastazote cust,,,268.0,268.0,3
HCPCS,L3253,Shoe molded plastazote cust,,,185.6,185.6,3
HCPCS,L3254,Orth foot non-stndard size/w,,,15.69,15.69,3
HCPCS,L3255,Orth foot non-standard size/,,,15.69,15.69,3
HCPCS,L3257,Orth foot add charge split s,,,63.65,63.65,3
HCPCS,L3260,SHOE HEELWEDGE BLK XL,122.0,97.6,9.95,109.8,28
HCPCS,L3265,Plastazote sandal each,,,14.4,14.4,3
HCPCS,L3300,Sho lift taper to metatarsal,,,58.3,79.87,15
HCPCS,L3310,Shoe lift elev heel/sole neo,,,91.0,124.65,15
HCPCS,L3320,Shoe lift elev heel/sole cor,,,24.04,24.04,3
HCPCS,L3330,Lifts elevation metal extens,,,632.6,866.78,15
HCPCS,L3332,HEEL LIFT ADJ SAMMONS LG,14.0,11.2,4.69,112.99,36
HCPCS,L3332,HEEL LIFT ADJ SAMMONS MD,14.0,11.2,4.69,112.99,36
HCPCS,L3332,HEEL LIFT ADJ SAMMONS SM,14.0,11.2,4.69,112.99,36
HCPCS,L3334,Shoe lifts elevation heel /i,,,42.63,58.47,15
HCPCS,L3340,Shoe wedge sach,,,95.27,130.49,15
HCPCS,L3350,Shoe heel wedge,,,25.56,35.01,15
HCPCS,L3360,Shoe sole wedge outside sole,,,39.8,54.52,15
HCPCS,L3370,Shoe sole wedge between sole,,,55.44,75.98,15
HCPCS,L3380,Shoe clubfoot wedge,,,55.44,75.98,15
HCPCS,L3390,Shoe outflare wedge,,,55.44,75.98,15
HCPCS,L3400,Shoe metatarsal bar wedge ro,,,45.5,62.28,15
HCPCS,L3410,Shoe metatarsal bar between,,,103.77,142.25,15
HCPCS,L3420,Full sole/heel wedge btween,,,61.13,83.74,15
HCPCS,L3430,Sho heel count plast reinfor,,,179.12,245.46,15
HCPCS,L3440,Heel leather reinforced,,,85.29,116.84,15
HCPCS,L3450,BRC ANK VALV KOOLAIR UNIV,52.0,41.6,17.42,161.63,36
HCPCS,L3455,Shoe heel new leather standa,,,45.5,62.28,15
HCPCS,L3460,Shoe heel new rubber standar,,,38.4,52.63,15
HCPCS,L3465,Shoe heel thomas with wedge,,,65.44,89.61,15
HCPCS,L3470,Shoe heel thomas extend to b,,,69.64,95.5,15
HCPCS,L3480,Shoe heel pad & depress for,,,69.64,95.5,15
HCPCS,L3485,Shoe heel pad removable for,,,6.15,6.15,3
HCPCS,L3500,Ortho shoe add leather insol,,,32.68,44.76,15
HCPCS,L3510,Orthopedic shoe add rub insl,,,32.68,44.76,15
HCPCS,L3520,O shoe add felt w leath insl,,,35.54,48.7,15
HCPCS,L3530,Ortho shoe add half sole,,,35.54,48.7,15
HCPCS,L3540,Ortho shoe add full sole,,,56.86,77.92,15
HCPCS,L3550,O shoe add standard toe tap,,,9.99,13.67,15
HCPCS,L3560,O shoe add horseshoe toe tap,,,25.56,35.01,15
HCPCS,L3570,O shoe add instep extension,,,95.27,130.49,15
HCPCS,L3580,O shoe add instep velcro clo,,,72.49,99.32,15
HCPCS,L3590,O shoe convert to sof counte,,,59.72,81.81,15
HCPCS,L3595,Ortho shoe add march bar,,,46.88,64.24,15
HCPCS,L3600,Trans shoe calip plate exist,,,85.29,116.84,15
HCPCS,L3610,Trans shoe caliper plate new,,,112.31,153.89,15
HCPCS,L3620,Trans shoe solid stirrup exi,,,85.29,116.84,15
HCPCS,L3630,Trans shoe solid stirrup new,,,112.31,153.89,15
HCPCS,L3640,Shoe dennis browne splint bo,,,48.36,66.2,15
HCPCS,L3650,BRC CLAV COMFOR W VELC XS*CIP*,22.0,17.6,7.37,82.21,36
HCPCS,L3650,BRC SHLDR POSTUR*DISC 6345017*,43.0,34.4,14.41,82.21,36
HCPCS,L3650,BRC SHLDR POSTURE CTRL WHT LG,43.0,34.4,14.41,82.21,36
HCPCS,L3650,IMMOB SHLDR SLINGSHOT NEUT LG,138.0,110.4,46.23,124.2,36
HCPCS,L3660,BRC HUMR FRAC AQUAFORM LFT LG,80.0,64.0,26.8,185.97,36
HCPCS,L3660,BRC HUMR FRAC AQUAFORM LFT MD,80.0,64.0,26.8,185.97,36
HCPCS,L3660,BRC HUMR FRAC AQUAFORM LFT SM,80.0,64.0,26.8,185.97,36
HCPCS,L3660,BRC HUMR FRAC AQUAFORM RT LG,80.0,64.0,26.8,185.97,36
HCPCS,L3660,BRC HUMR FRAC AQUAFORM RT MD,77.0,61.6,25.8,185.97,36
HCPCS,L3660,BRC HUMR FRAC AQUAFORM RT SM,80.0,64.0,26.8,185.97,36
HCPCS,L3660,SUPP CLAV INFANT 15-20IN,32.0,25.6,10.72,185.97,36
HCPCS,L3670,BRC SHLDR SLINGS *USE 6242920*,143.0,114.4,47.91,156.75,36
HCPCS,L3670,BRC SHLDR SLINGSHOT 2 LG,123.0,98.4,41.21,156.75,36
HCPCS,L3670,BRC SHLDR SLINGSHOT 2 MD,123.0,98.4,41.21,156.75,36
HCPCS,L3670,BRC SHLDR SLINGSHOT 3 LG,139.0,111.2,46.57,156.75,36
HCPCS,L3670,BRC SHLDR SLINGSHOT 3 MD,139.0,111.2,46.57,156.75,36
HCPCS,L3670,BRC SHLDR SLINGSHOT 3 SM,139.0,111.2,46.57,156.75,36
HCPCS,L3670,BRC SHLDR SLINGSHOT 3 XL,139.0,111.2,46.57,156.75,36
HCPCS,L3670,BRC SHLDR SLINGSHOT II XL,123.0,98.4,41.21,156.75,36
HCPCS,L3670,IMMOB SHLDR BICR*DISC 6282704*,24.0,19.2,8.04,156.75,36
HCPCS,L3670,IMMOB SHLDR BICR*DISC 6282765*,22.0,17.6,7.37,156.75,36
HCPCS,L3670,IMMOB SHLDR CLIN SM 13.5,25.0,20.0,8.38,156.75,36
HCPCS,L3670,IMMOB SHLDR DELX BREG LG,21.0,16.8,7.04,156.75,36
HCPCS,L3670,IMMOB SHLDR DELX BREG MD,21.0,16.8,7.04,156.75,36
HCPCS,L3670,IMMOB SHLDR DELX BREG SM,21.0,16.8,7.04,156.75,36
HCPCS,L3670,IMMOB SHLDR DELX BREG UNIV,20.0,16.0,6.7,156.75,36
HCPCS,L3670,IMMOB SHLDR DELX BREG XL,21.0,16.8,7.04,156.75,36
HCPCS,L3670,IMMOB SHLDR DELX BREG XS,21.0,16.8,7.04,156.75,36
HCPCS,L3670,IMMOB SHLDR ST 2XL,28.0,22.4,9.38,156.75,36
HCPCS,L3670,IMMOB SHLDR ST 2XS,28.0,22.4,9.38,156.75,36
HCPCS,L3670,IMMOB SHLDR ST DELX LG,38.0,30.4,12.73,156.75,36
HCPCS,L3670,IMMOB SHLDR ST DELX MD,38.0,30.4,12.73,156.75,36
HCPCS,L3670,IMMOB SHLDR ST LG,28.0,22.4,9.38,156.75,36
HCPCS,L3670,IMMOB SHLDR ST MD,28.0,22.4,9.38,156.75,36
HCPCS,L3670,IMMOB SHLDR ST SM,28.0,22.4,9.38,156.75,36
HCPCS,L3670,IMMOB SHLDR ST XL,28.0,22.4,9.38,156.75,36
HCPCS,L3670,IMMOB SHLDR ST XS,28.0,22.4,9.38,156.75,36
HCPCS,L3670,IMMOB SHLDRCOMFORST24-50*CIP*,28.0,22.4,9.38,156.75,36
HCPCS,L3670,SLING SHLDR SUPP GIVMOHR LG,151.0,120.8,50.59,156.75,36
HCPCS,L3670,SLING SHLDR SUPP GIVMOHR MD,181.0,144.8,60.64,162.9,36
HCPCS,L3670,SLING SHLDR SUPP GIVMOHR SM,151.0,120.8,50.59,156.75,36
HCPCS,L3670,SLING SHLDR SUPP GIVMOHR XL,151.0,120.8,50.59,156.75,36
HCPCS,L3671,SO cap design w/o jnts CF,,,916.63,1255.97,15
HCPCS,L3674,SO airplane w/wo joint CF,,,1202.47,1647.68,15
HCPCS,L3675,BRC SHLDR STBL SM 34-38IN,342.0,273.6,114.57,307.8,36
HCPCS,L3677,So hard plas stabili pre cst,,,151.12,151.12,3
HCPCS,L3678,So hard plas stabili pre ots,,,120.01,120.01,3
HCPCS,L3702,L3702 ELBOW ORTHOSIS,424.0,339.2,142.04,402.49,36
HCPCS,L3710,Eo elas w/metal jnts pre ots,,,129.47,171.36,15
HCPCS,L3720,Forearm/arm cuffs free motio,,,685.02,906.67,15
HCPCS,L3730,Forearm/arm cuffs ext/flex a,,,921.97,1249.58,15
HCPCS,L3740,Cuffs adj lock w/ active con,,,1093.07,1481.48,15
HCPCS,L3760,BRC ELBOW HEX LG,203.0,162.4,68.01,697.08,36
HCPCS,L3760,BRC ELBOW HEX MD,203.0,162.4,68.01,697.08,36
HCPCS,L3761,BRC ELBOW PUSH MED UNIV SZ1,257.0,205.6,86.1,697.08,36
HCPCS,L3761,BRC ELBOW PUSH MED UNIV SZ2,257.0,205.6,86.1,697.08,34
HCPCS,L3761,BRC ELBOW PUSH MED UNIV SZ3,257.0,205.6,86.1,697.08,34
HCPCS,L3761,BRC ELBOW PUSH MED UNIV SZ4,257.0,205.6,86.1,697.08,34
HCPCS,L3761,BRC ELBOW PUSH MED UNIV SZ5,257.0,205.6,86.1,697.08,34
HCPCS,L3762,BRC ELBOW CUBITAL TUNNEL LG/XL,92.0,73.6,30.82,149.84,36
HCPCS,L3762,L3762 ELBOW ARTHROSIS WO JOINT,116.0,92.8,38.86,149.84,36
HCPCS,L3762,SPLT ELBOW PIL-O-SPLINT STD,135.0,108.0,45.23,149.84,36
HCPCS,L3763,L3763 EWHO STATIC W/O JOINT,975.0,780.0,326.63,936.31,36
HCPCS,L3764,EWHO w/joint(s) CF,,,796.7,1070.32,15
HCPCS,L3765,L3765 RIGID EWHFO,1355.0,1084.0,453.93,1787.34,36
HCPCS,L3766,EWHFO w/joint(s) CF,,,1381.3,1892.65,15
HCPCS,L3806,L3806 WHFO W/JOINTS,784.0,627.2,262.64,705.6,36
HCPCS,L3807,BRC ARM SAMO FASTFORM LFT,246.0,196.8,82.41,348.5,36
HCPCS,L3807,BRC ARM SAMO FASTFORM LFT XS,247.0,197.6,82.75,348.5,36
HCPCS,L3807,BRC ARM SAMO FASTFORM RT MD/LG,247.0,197.6,82.75,348.5,36
HCPCS,L3807,BRC ARM SAMO FASTFORM RT SM/MD,246.0,196.8,82.41,348.5,36
HCPCS,L3807,BRC ARM SAMO FASTFORM RT XS,247.0,197.6,82.75,348.5,36
HCPCS,L3807,BRC HAND REST RACI LFT CHILD,166.0,132.8,55.61,348.5,36
HCPCS,L3807,BRC THB HBSO FASTFORM MD/LG,105.0,84.0,35.18,348.5,36
HCPCS,L3807,BRC THB HBSO FASTFORM SM/MD,105.0,84.0,35.18,348.5,36
HCPCS,L3807,BRC W THB SPI UNIV,30.0,24.0,10.05,348.5,36
HCPCS,L3807,BRC WRIST BREG T*DISC 6305951*,31.0,24.8,10.39,348.5,36
HCPCS,L3807,BRC WRIST BREG T*DISC 6305952*,31.0,24.8,10.39,348.5,36
HCPCS,L3807,BRC WRIST BREG T*DISC 6305953*,31.0,24.8,10.39,348.5,36
HCPCS,L3807,BRC WRIST BREG T*DISC 6305954*,31.0,24.8,10.39,348.5,36
HCPCS,L3807,BRC WRIST BREG T*DISC 6305955*,31.0,24.8,10.39,348.5,36
HCPCS,L3807,BRC WRIST BREG T*DISC 6305956*,31.0,24.8,10.39,348.5,36
HCPCS,L3807,BRC WRIST BREG T*DISC 6305957*,31.0,24.8,10.39,348.5,36
HCPCS,L3807,BRC WRIST BREG T*DISC 6305958*,31.0,24.8,10.39,348.5,36
HCPCS,L3807,BRC WRIST BREG T*DISC 6305959*,31.0,24.8,10.39,348.5,36
HCPCS,L3807,BRC WRIST BREG T*DISC 6305960*,31.0,24.8,10.39,348.5,36
HCPCS,L3807,BRC WRIST PRO THB SPI LFT LG,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO THB SPI LFT MD,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO THB SPI LFT SM,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO THB SPI LFT XL,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO THB SPI LFT XS,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO THB SPI RT LG,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO THB SPI RT MD,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO THB SPI RT SM,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO THB SPI RT XL,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO THB SPI RT XS,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO W *DISC 6305954*,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO W *DISC 6305956*,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST PRO W *DISC 6305960*,25.0,20.0,8.38,348.5,36
HCPCS,L3807,BRC WRIST THB SPI PEDS LFT,30.0,24.0,10.05,348.5,36
HCPCS,L3807,BRC WRIST THB SPI PEDS RT,30.0,24.0,10.05,348.5,36
HCPCS,L3807,BRC WRIST THB SPI UNIV LFT,32.0,25.6,10.72,348.5,36
HCPCS,L3807,BRC WRIST THB TITAN LFT XL,73.0,58.4,24.46,348.5,36
HCPCS,L3807,BRC WRIST THB TITAN LFT XS,73.0,58.4,24.46,348.5,36
HCPCS,L3807,BRC WRIST THB TITAN RT XL,73.0,58.4,24.46,348.5,36
HCPCS,L3807,BRC WRIST THB TITAN RT XS,73.0,58.4,24.46,348.5,36
HCPCS,L3807,L3807 PREFAB WHFO,200.0,160.0,67.0,348.5,36
HCPCS,L3807,ORTHS HAND THB STD COV ADLT,174.0,139.2,58.29,348.5,36
HCPCS,L3807,SPLT THB JOE COOL INFANT *NLU*,48.0,38.4,16.08,348.5,36
HCPCS,L3807,SPLT THB JOE COOL PRM RT*NLU*,48.0,38.4,16.08,348.5,36
HCPCS,L3807,SPLT THB JOE COOL S*SCMVA NLU*,48.0,38.4,16.08,348.5,36
HCPCS,L3807,SPLT THB SPI FORM FIT 6 L*NLU*,42.0,33.6,14.07,348.5,36
HCPCS,L3807,SPLT THB SPI FORMFIT 8 RT LG,52.0,41.6,17.42,348.5,36
HCPCS,L3807,SPLT THB SPI FORMFIT 8 RT SM,52.0,41.6,17.42,348.5,36
HCPCS,L3807,SPLT THB SPI FORMFIT 8 RT XS,46.0,36.8,15.41,348.5,36
HCPCS,L3808,L3808 WHFO,480.0,384.0,160.8,505.85,36
HCPCS,L3809,BRC HAND REST COMFY LFT ADLTSM,191.0,152.8,63.99,348.5,36
HCPCS,L3809,BRC HAND REST COMFY RT ADLT LG,191.0,152.8,63.99,348.5,36
HCPCS,L3809,BRC HAND REST COMFY RT ADLT SM,191.0,152.8,63.99,348.5,36
HCPCS,L3809,BRC HAND SOFTPRO PALMER RT LG,213.0,170.4,71.36,348.5,36
HCPCS,L3809,BRC KNUCKLE TKO L*DUP 6299679*,109.0,87.2,36.52,348.5,36
HCPCS,L3809,BRC KNUCKLE TKO R*DUP 6298194*,109.0,87.2,36.52,348.5,36
HCPCS,L3809,BRC SAMO FASTFORM LFT MD/LG,223.0,178.4,74.71,348.5,36
HCPCS,L3809,BRC THB U2 UNIV *DISC 6305941*,41.0,32.8,13.74,348.5,36
HCPCS,L3809,L3809 ORTHOWHFO WO JOINTPREFAB,110.0,88.0,36.85,348.5,36
HCPCS,L3809,SPLT FUNC PSTN STRAP LFT LG1/8,92.0,73.6,30.82,348.5,36
HCPCS,L3809,SPLT FUNC PSTN STRAP LFT MD1/8,92.0,73.6,30.82,348.5,36
HCPCS,L3809,SPLT FUNC PSTN STRAP RT S*NLU*,92.0,73.6,30.82,348.5,36
HCPCS,L3809,SPLT HAND SOFT PRO LG LFT,213.0,170.4,71.36,348.5,36
HCPCS,L3809,SPLT HAND SOFT PRO SM RT,213.0,170.4,71.36,348.5,36
HCPCS,L3809,SPLT RESTING HAND RCAI LFT MED,183.0,146.4,61.31,348.5,36
HCPCS,L3809,SPLT RESTING HAND RCAI RT LG,183.0,146.4,61.31,348.5,36
HCPCS,L3809,SPLT RESTING HAND RCAI RT MED,183.0,146.4,61.31,348.5,36
HCPCS,L3809,SPLT THB SPI FORMFIT 8 LFT SM,46.0,36.8,15.41,348.5,36
HCPCS,L3809,SPLT ULNA DEVTN LMB LFT SZB,42.0,33.6,14.07,348.5,36
HCPCS,L3809,SPLT ULNA DEVTN LMB LFT SZD,42.0,33.6,14.07,348.5,36
HCPCS,L3809,SPLT ULNA DEVTN LMB RT SZC,42.0,33.6,14.07,348.5,36
HCPCS,L3809,SPLT ULNA DEVTN LMB RT SZD,42.0,33.6,14.07,348.5,36
HCPCS,L3809,SPLT ULNA DEVTN WIRE FM LFTMD,42.0,33.6,14.07,348.5,36
HCPCS,L3809,SPLT ULNA DEVTN WIRE FM RT SM,42.0,33.6,14.07,348.5,36
HCPCS,L3809,SPLT WRIST BLK LFT PEDS 4IN,27.0,21.6,9.05,348.5,36
HCPCS,L3809,SPLT WRIST BLK RT PEDS 4IN,27.0,21.6,9.05,348.5,36
HCPCS,L3809,SPLT WRIST BLK RT XS,27.0,21.6,9.05,348.5,36
HCPCS,L3891,Torsion mechanism wrist/elbo,,,273.76,273.76,3
HCPCS,L3900,Hinge extension/flex wrist/f,,,1355.16,1793.66,15
HCPCS,L3901,Hinge ext/flex wrist finger,,,2156.39,2854.15,15
HCPCS,L3904,L3904 WHFO ELECTIC,5876.0,4700.8,1968.46,5412.5,36
HCPCS,L3905,L3905 WHO W/JOINTS,1271.0,1016.8,425.79,1382.35,36
HCPCS,L3906,L3906 WHO W/O JOINTS,623.0,498.4,208.71,566.87,36
HCPCS,L3908,BRC WRIST APOLLO UNIV RT,27.0,21.6,9.05,83.05,36
HCPCS,L3908,BRC WRIST BREG C*DISC 6305950*,19.0,15.2,6.37,83.05,36
HCPCS,L3908,BRC WRIST BREG C*DISC 6305961*,19.0,15.2,6.37,83.05,36
HCPCS,L3908,BRC WRIST BREG C*DISC 6305962*,19.0,15.2,6.37,83.05,36
HCPCS,L3908,BRC WRIST BREG C*DISC 6305963*,19.0,15.2,6.37,83.05,36
HCPCS,L3908,BRC WRIST BREG C*DISC 6305964*,19.0,15.2,6.37,83.05,36
HCPCS,L3908,BRC WRIST BREG C*DISC 6305966*,19.0,15.2,6.37,83.05,36
HCPCS,L3908,BRC WRIST BREG C*DISC 6305967*,19.0,15.2,6.37,83.05,36
HCPCS,L3908,BRC WRIST BREG C*DISC 6305968*,19.0,15.2,6.37,83.05,36
HCPCS,L3908,BRC WRIST CINCHLOCK LFT *DISC*,27.0,21.6,9.05,83.05,36
HCPCS,L3908,BRC WRIST CKUP LFT MD,40.0,32.0,13.4,83.05,36
HCPCS,L3908,BRC WRIST CLASC LFT LG,13.0,10.4,4.36,83.05,36
HCPCS,L3908,BRC WRIST CLASC LFT MD,13.0,10.4,4.36,83.05,36
HCPCS,L3908,BRC WRIST CLASC LFT SM,13.0,10.4,4.36,83.05,36
HCPCS,L3908,BRC WRIST CLASC LFT XL,13.0,10.4,4.36,83.05,36
HCPCS,L3908,BRC WRIST CLASC LFT XS,13.0,10.4,4.36,83.05,36
HCPCS,L3908,BRC WRIST CLASC RT LG,13.0,10.4,4.36,83.05,36
HCPCS,L3908,BRC WRIST CLASC RT MD,13.0,10.4,4.36,83.05,36
HCPCS,L3908,BRC WRIST CLASC RT SM,13.0,10.4,4.36,83.05,36
HCPCS,L3908,BRC WRIST CLASC RT XL,13.0,10.4,4.36,83.05,36
HCPCS,L3908,BRC WRIST CLASC RT XS,13.0,10.4,4.36,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 6IN LFT LG,40.0,32.0,13.4,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 6IN RT LG,40.0,32.0,13.4,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 8IN LFT LG,39.0,31.2,13.07,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 8IN LFT MD,24.0,19.2,8.04,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 8IN LFT SM,39.0,31.2,13.07,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 8IN LFT XL,39.0,31.2,13.07,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 8IN LFT XSM,24.0,19.2,8.04,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 8IN RT LG,22.0,17.6,7.37,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 8IN RT MD,22.0,17.6,7.37,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 8IN RT SM,22.0,17.6,7.37,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 8IN RT XL,22.0,17.6,7.37,83.05,36
HCPCS,L3908,BRC WRIST FORMFIT 8IN RT XSM,20.0,16.0,6.7,83.05,36
HCPCS,L3908,BRC WRIST GELFLEX LFT LG,78.0,62.4,26.13,83.05,36
HCPCS,L3908,BRC WRIST GELFLEX LFT MD,78.0,62.4,26.13,83.05,36
HCPCS,L3908,BRC WRIST GELFLEX LFT XL,78.0,62.4,26.13,83.05,36
HCPCS,L3908,BRC WRIST GELFLEX RT LG,78.0,62.4,26.13,83.05,36
HCPCS,L3908,BRC WRIST GELFLEX RT XL,78.0,62.4,26.13,83.05,36
HCPCS,L3908,BRC WRIST PHOMFIT LNG LFT LG,50.0,40.0,16.75,83.05,36
HCPCS,L3908,BRC WRIST PHOMFIT LNG LFT MD,50.0,40.0,16.75,83.05,36
HCPCS,L3908,BRC WRIST PHOMFIT LNG LFT SM,50.0,40.0,16.75,83.05,36
HCPCS,L3908,BRC WRIST PHOMFIT LNG LFT XL,50.0,40.0,16.75,83.05,36
HCPCS,L3908,BRC WRIST PHOMFIT LNG LFT XS,50.0,40.0,16.75,83.05,36
HCPCS,L3908,BRC WRIST PHOMFIT LNG RT LG,50.0,40.0,16.75,83.05,36
HCPCS,L3908,BRC WRIST PHOMFIT LNG RT MD,50.0,40.0,16.75,83.05,36
HCPCS,L3908,BRC WRIST PHOMFIT LNG RT SM,50.0,40.0,16.75,83.05,36
HCPCS,L3908,BRC WRIST PHOMFIT LNG RT XL,50.0,40.0,16.75,83.05,36
HCPCS,L3908,BRC WRIST PHOMFIT LNG RT XS,50.0,40.0,16.75,83.05,36
HCPCS,L3908,BRC WRIST PRO 10 LFT XS*CIP*,17.0,13.6,5.7,83.05,36
HCPCS,L3908,BRC WRIST PRO 10*DISC 6305962*,17.0,13.6,5.7,83.05,36
HCPCS,L3908,BRC WRIST SOFT FIT RT SM,37.0,29.6,12.4,83.05,36
HCPCS,L3908,BRC WRIST TITAN LFT REG,46.0,36.8,15.41,83.05,36
HCPCS,L3908,BRC WRIST TITAN RT REG,37.0,29.6,12.4,83.05,36
HCPCS,L3908,BRC WRIST U2 UNI*DISC 6305939*,31.0,24.8,10.39,83.05,36
HCPCS,L3908,BRC WRIST U2 UNI*DISC 6305940*,31.0,24.8,10.39,83.05,36
HCPCS,L3908,BRC WRIST UNIV LFT,27.0,21.6,9.05,83.05,36
HCPCS,L3908,BRC WRIST UNIV PEDS LFT,19.0,15.2,6.37,83.05,36
HCPCS,L3908,BRC WRIST UNIV PEDS RT,19.0,15.2,6.37,83.05,36
HCPCS,L3908,IMMOB WRIST VASC MBRACE W HOOK,24.0,19.2,8.04,83.05,36
HCPCS,L3908,L3908 WHO COCK-UP NONMOLD,74.0,59.2,24.79,83.05,36
HCPCS,L3908,SPLT TAILOR 1% BLK 1/8X18X24,340.0,272.0,62.75,306.0,36
HCPCS,L3908,SPLT THB SPI EXOS SHRT LFT LG,106.0,84.8,35.51,95.4,36
HCPCS,L3908,SPLT THB SPI EXOS SHRT LFT MD,106.0,84.8,35.51,95.4,36
HCPCS,L3908,SPLT THB SPI EXOS SHRT LFT SM,106.0,84.8,35.51,95.4,36
HCPCS,L3908,SPLT THB SPI EXOS SHRT LFT XS,106.0,84.8,35.51,95.4,36
HCPCS,L3908,SPLT THB SPI EXOS SHRT RT LG,106.0,84.8,35.51,95.4,36
HCPCS,L3908,SPLT THB SPI EXOS SHRT RT MD,106.0,84.8,35.51,95.4,36
HCPCS,L3908,SPLT THB SPI EXOS SHRT RT SM,106.0,84.8,35.51,95.4,36
HCPCS,L3908,SPLT THB SPI EXOS SHRT RT XS,106.0,84.8,35.51,95.4,36
HCPCS,L3908,SPLT WRIST MICRO*DISC 6330407*,42.0,33.6,14.07,83.05,36
HCPCS,L3908,SPLT WRIST MICRO*DISC 6330408*,42.0,33.6,14.07,83.05,36
HCPCS,L3908,SPLT WRIST PROLITE 6IN LFT SM,26.0,20.8,8.71,83.05,36
HCPCS,L3908,SPLT WRIST PROLITE 6IN RT SM,26.0,20.8,8.71,83.05,36
HCPCS,L3908,SPLT WRIST PROLITE 8IN LFT MD,29.0,23.2,9.72,83.05,36
HCPCS,L3908,SPLT WRIST PROLITE 8IN LFT SM,29.0,23.2,9.72,83.05,36
HCPCS,L3908,SPLT WRIST PROLITE 8IN RT LG,29.0,23.2,9.72,83.05,36
HCPCS,L3908,SPLT WRIST PROLITE 8IN RT MD,29.0,23.2,9.72,83.05,36
HCPCS,L3908,SPLT WRIST PROLITE 8IN RT SM,29.0,23.2,9.72,83.05,36
HCPCS,L3908,SPLT WRIST SOFT SUEDE LFT*NLU*,30.0,24.0,10.05,83.05,108
HCPCS,L3908,SPLT WRIST W ABDUCT THB R*NLU*,44.0,35.2,14.74,83.05,36
HCPCS,L3908,SPLT WRIST W ABDUCT THB RT LG,58.0,46.4,19.43,83.05,36
HCPCS,L3908,SUPP WRIST CONT RT MD 9IN*NLU*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299283*,20.0,16.0,6.7,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299284*,20.0,16.0,6.7,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299285*,20.0,16.0,6.7,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299286*,20.0,16.0,6.7,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299287*,20.0,16.0,6.7,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299288*,20.0,16.0,6.7,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299289*,20.0,16.0,6.7,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299290*,20.0,16.0,6.7,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305949*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305950*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305961*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305962*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305963*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305964*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305965*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305966*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305967*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305968*,16.0,12.8,5.36,83.05,36
HCPCS,L3908,VERISOFT BIF 22X11MM 40*DISC*,2873.0,2298.4,62.75,2585.7,34
HCPCS,L3912,L3912 HFO FLEXION GLOVE PREFAB,144.0,115.2,48.24,131.46,36
HCPCS,L3913,L3913 HFO,834.0,667.2,275.5,750.6,36
HCPCS,L3915,L3915 WHO NONTORSION JOINTS,595.0,476.0,199.33,740.97,36
HCPCS,L3916,L3916 ORTHO WHO W/NONTORSION,805.0,644.0,269.68,740.97,36
HCPCS,L3917,BRC BOXER ORTHOSIS LFT LN*NLU*,158.0,126.4,52.93,147.2,36
HCPCS,L3917,BRC FINGER FRAC BOXER LFT LNGL,243.0,194.4,81.41,218.7,36
HCPCS,L3917,BRC FINGER FRAC BOXER LFT LNGM,251.0,200.8,84.09,225.9,36
HCPCS,L3917,BRC FINGER FRAC BOXER RT LNGLG,201.0,160.8,67.34,180.9,36
HCPCS,L3917,BRC FINGER FRAC BOXER RT LNGMD,201.0,160.8,67.34,180.9,36
HCPCS,L3917,BRC FINGER FRAC BOXER RT LNGXL,201.0,160.8,67.34,180.9,36
HCPCS,L3917,L3917 HO FX ORTH PREFAB,158.0,126.4,52.93,147.2,36
HCPCS,L3918,L3918 ORTHO HO FRAC METACARPAL,161.0,128.8,53.94,147.2,36
HCPCS,L3919,L3919 HO CUST,355.0,284.0,118.93,377.52,36
HCPCS,L3921,L3921 HAND FINGERORTHOTICS HFO,469.0,375.2,157.12,447.68,36
HCPCS,L3923,L3923 HFO NO JOINT PREFAB,138.0,110.4,46.23,124.2,36
HCPCS,L3923,SPLT THB CMC ABDCTN COOL RTLG+,97.0,77.6,32.5,120.58,36
HCPCS,L3923,SPLT THB CMC ABDCTN COOL RTMD+,97.0,77.6,32.5,120.58,36
HCPCS,L3923,SPLT THB CMC ABDCTN COOL RTSM+,90.0,72.0,30.15,120.58,36
HCPCS,L3923,SPLT THB CMC ABDCTN COOLLFTLG+,97.0,77.6,32.5,120.58,36
HCPCS,L3923,SPLT THB CMC ABDCTN COOLLFTMD+,97.0,77.6,32.5,120.58,36
HCPCS,L3923,SPLT THB CMC ABDCTN COOLLFTSM+,90.0,72.0,30.15,120.58,36
HCPCS,L3923,SPLT THB CMC RESTRC COOL RT LG,79.0,63.2,26.47,120.58,36
HCPCS,L3923,SPLT THB CMC RESTRC COOL RTSM+,99.0,79.2,33.17,120.58,36
HCPCS,L3923,SPLT THB CMC RESTRC COOLLFTLG+,67.0,53.6,22.45,120.58,36
HCPCS,L3923,SPLT THB CMC RESTRC COOLLFTSM+,79.0,63.2,26.47,120.58,36
HCPCS,L3923,SPLT THB COOL RESTRCT BLKLFTXL,79.0,63.2,26.47,120.58,36
HCPCS,L3923,SPLT THB COOL RESTRCT BLKRTXL,79.0,63.2,26.47,120.58,36
HCPCS,L3923,SPLT THB SPI EXT BLK LFT LG,116.0,92.8,38.86,120.58,36
HCPCS,L3923,SPLT THB SPI EXT BLK LFT XS,116.0,92.8,38.86,120.58,36
HCPCS,L3923,SPLT THB SPI EXT BLK RT LG,116.0,92.8,38.86,120.58,36
HCPCS,L3923,SPLT THB W/STAYS,32.0,25.6,10.72,120.58,36
HCPCS,L3924,BRC TMB BREG LG 7.5-9IN,21.0,16.8,7.04,120.58,36
HCPCS,L3924,BRC TMB BREG SM 5-6.25IN,21.0,16.8,7.04,120.58,36
HCPCS,L3924,L3924 ORTHO HFO W/O JOINTS,105.0,84.0,35.18,120.58,36
HCPCS,L3925,L3925 FO W/JOINT PREFAB,104.0,83.2,34.84,93.6,36
HCPCS,L3925,SPLT FINGER EXT SHRT BLK LG,38.0,30.4,12.73,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT BLK LGPK5,32.0,25.6,10.72,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT BLK MD,32.0,25.6,10.72,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT BLK MDPK5,32.0,25.6,10.72,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT BLK SM,38.0,30.4,12.73,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT BLK SMPK5,33.0,26.4,11.06,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT BLK XLPK5,33.0,26.4,11.06,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT BLK XS,38.0,30.4,12.73,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT WHT LG,38.0,30.4,12.73,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT WHT LGPK5,33.0,26.4,11.06,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT WHT MD,38.0,30.4,12.73,68.43,36
HCPCS,L3925,SPLT FINGER EXT SHRT WHT MDPK5,33.0,26.4,11.06,68.43,36
HCPCS,L3927,L3927 FO PIP/DIP W/O JOINT,68.0,54.4,22.78,61.2,36
HCPCS,L3927,SPLT FINGER OVAL 8 SZ12,13.0,10.4,4.36,48.76,36
HCPCS,L3927,SPLT FINGER OVAL 8 SZ13,13.0,10.4,4.36,48.76,36
HCPCS,L3927,SPLT FINGER OVAL 8 SZ3,13.0,10.4,4.36,48.76,36
HCPCS,L3929,L3929 HFO NONTORSION JNT PF,119.0,95.2,39.87,108.36,36
HCPCS,L3930,L3930 ORTHO HFO W/NONTORSION,343.0,274.4,81.87,308.7,36
HCPCS,L3931,L3931 WHFO NONTORSION JOINT PF,209.0,167.2,70.02,267.69,36
HCPCS,L3931,SPLT WRIST DORSAL BLOCK WHT MD,48.0,38.4,16.08,267.69,36
HCPCS,L3931,SPLT WRIST DORSAL BLOCK WHT SM,43.0,34.4,14.41,267.69,36
HCPCS,L3933,L3933 FO W/O JOINT,289.0,231.2,96.82,297.4,36
HCPCS,L3935,FO nontorsion joint CF,,,224.72,308.03,15
HCPCS,L3960,BRC SHLDR ARC 2.0,367.0,293.6,122.95,1018.75,36
HCPCS,L3961,SEWHO cap design w/o jnts CF,,,1709.18,2341.92,15
HCPCS,L3962,Sewho erbs palsey design abd,,,733.82,994.58,15
HCPCS,L3967,SEWHO airplane w/o jnts CF,,,2017.94,2765.02,15
HCPCS,L3971,SEWHO cap design w/jnt(s) CF,,,1915.5,2624.6,15
HCPCS,L3973,SEWHO airplane w/jnt(s) CF,,,2017.94,2765.02,15
HCPCS,L3975,SEWHFO cap design w/o jnt CF,,,1709.18,2341.92,15
HCPCS,L3976,SEWHFO airplane w/o jnts CF,,,1709.18,2341.92,15
HCPCS,L3977,SEWHFO cap desgn w/jnt(s) CF,,,1915.5,2624.6,15
HCPCS,L3978,SEWHFO airplane w/jnt(s) CF,,,2017.94,2765.02,15
HCPCS,L3980,BRC HUMR FRAC SHRT LG,376.0,300.8,125.96,428.53,36
HCPCS,L3980,BRC HUMR FRAC SHRT MD,376.0,300.8,125.96,428.53,36
HCPCS,L3980,BRC HUMR FRAC SHRT SM,376.0,300.8,125.96,428.53,36
HCPCS,L3981,Ue fx orth shoul cap forearm,,,1023.97,1405.91,15
HCPCS,L3982,BRC ARM EXOS PEDS BLK LFT 2XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM EXOS PEDS BLK LFT 3XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM EXOS PEDS BLK LFT XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM EXOS PEDS BLK RT 2XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM EXOS PEDS BLK RT 3XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM EXOS PEDS BLK RT XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM EXOS PEDS POLKA LFT2XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM EXOS PEDS POLKA RT 2XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM EXOS PEDS POLKA RT 3XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM EXOS PEDS SPIDER RT2XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM EXOS PEDS SPIDERLFT2XS,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM FRAC BLK LFT MD,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRAC BLK LFT SM,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRAC BLK LFT XSM,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRAC BLK RT LG,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRAC BLK RT MD,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRAC BLK RT SM,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRAC BLK RT XSM,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRAC EXOS LFT BLK XL,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM FRAC PEDS SPIDERL*NLU*,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRAC POLKA DOT LF*NLU*,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRAC POLKA DOT RT*NLU*,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRAC SPIDER LFT XS,246.0,196.8,82.41,529.87,36
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRT RTSM,258.0,206.4,86.43,529.87,36
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRTLFTMD,258.0,206.4,86.43,529.87,36
HCPCS,L3982,L3982 MC SHORT ARM FX  BRC,217.0,173.6,72.7,529.87,36
HCPCS,L3984,BRC RAD GUTTER FRAC BLK RT XL,258.0,206.4,86.43,548.23,36
HCPCS,L3984,BRC THB SPI II LNG LFT LG,245.0,196.0,82.08,548.23,36
HCPCS,L3984,BRC THB SPI II LNG RT LG,245.0,196.0,82.08,548.23,36
HCPCS,L3984,BRC WRIST BOXER FRAC LFT LG,258.0,206.4,86.43,548.23,36
HCPCS,L3984,BRC WRIST BOXER FRAC LFT MD,258.0,206.4,86.43,548.23,36
HCPCS,L3984,BRC WRIST BOXER FRAC LFT SM,258.0,206.4,86.43,548.23,36
HCPCS,L3984,BRC WRIST BOXER FRAC LFT XS,258.0,206.4,86.43,548.23,36
HCPCS,L3984,BRC WRIST BOXER FRAC RT LG,258.0,206.4,86.43,548.23,36
HCPCS,L3984,BRC WRIST BOXER FRAC RT MD,258.0,206.4,86.43,548.23,36
HCPCS,L3984,BRC WRIST BOXER FRAC RT SM,258.0,206.4,86.43,548.23,36
HCPCS,L3984,BRC WRIST BOXER FRAC RT XS,258.0,206.4,86.43,548.23,36
HCPCS,L3984,BRC WRIST LNG THB SPI LFT LG,187.0,149.6,62.65,548.23,36
HCPCS,L3984,BRC WRIST LNG THB SPI LFT MD,187.0,149.6,62.65,548.23,36
HCPCS,L3984,BRC WRIST LNG THB SPI RT LG,187.0,149.6,62.65,548.23,36
HCPCS,L3984,BRC WRIST LNG THB SPI RT MD,187.0,149.6,62.65,548.23,36
HCPCS,L3984,BRC WRIST THB SPI FRAC BLKRTMD,261.0,208.8,87.44,548.23,36
HCPCS,L3984,BRC WRIST THB SPI FRAC BLKRTSM,261.0,208.8,87.44,548.23,36
HCPCS,L3984,BRC WRIST THB SPI FRAC BLKRTXS,261.0,208.8,87.44,548.23,36
HCPCS,L3984,BRC WRIST THB SPI FRACBLKLFTMD,261.0,208.8,87.44,548.23,36
HCPCS,L3984,BRC WRIST THB SPI FRACBLKLFTSM,261.0,208.8,87.44,548.23,36
HCPCS,L3984,BRC WRIST THB SPI FRACBLKLFTXS,261.0,208.8,87.44,548.23,36
HCPCS,L3984,L3984 MC WRIST BRC/THUMB SPICA,191.0,152.8,63.99,548.23,36
HCPCS,L3995,L3995 SOCK FRAC OR EQUAL EA,74.0,59.2,24.79,66.6,36
HCPCS,L3995,UNDERSLEEVE WRIST EXOS LG/XL,51.0,40.8,17.09,45.9,36
HCPCS,L3995,UNDERSLEEVE WRIST EXOS MD,51.0,40.8,17.09,45.9,36
HCPCS,L3995,UNDERSLEEVE WRIST EXOS XS/SM,51.0,40.8,17.09,45.9,36
HCPCS,L3999,L3999 UPPER LIMB ORTHOTIC NOS,59.0,47.2,15.61,53.1,26
HCPCS,L3999,SPLT ELBOW PCT POLYFORM*NLU*,95.0,76.0,25.13,85.5,28
HCPCS,L4000,Repl girdle milwaukee orth,,,1477.07,2048.42,15
HCPCS,L4002,"Replace strap, any orthosis",,,37.4,37.4,3
HCPCS,L4010,Replace trilateral socket br,,,778.6,1030.54,15
HCPCS,L4020,Replace quadlat socket brim,,,921.84,1220.13,15
HCPCS,L4030,Replace socket brim cust fit,,,540.36,715.21,15
HCPCS,L4040,Replace molded thigh lacer,,,456.05,603.61,15
HCPCS,L4045,Replace non-molded thigh lac,,,342.85,559.33,15
HCPCS,L4050,Replace molded calf lacer,,,441.85,584.82,15
HCPCS,L4055,Replace non-molded calf lace,,,279.4,378.69,15
HCPCS,L4060,Replace high roll cuff,,,363.19,600.26,15
HCPCS,L4070,Replace prox & dist upright,,,294.14,398.66,15
HCPCS,L4080,Repl met band kafo-afo prox,,,108.25,143.28,15
HCPCS,L4090,Repl met band kafo-afo calf/,,,94.48,127.93,15
HCPCS,L4100,Repl leath cuff kafo prox th,,,111.63,147.76,15
HCPCS,L4110,Repl leath cuff kafo-afo cal,,,88.63,121.72,15
HCPCS,L4130,Replace pretibial shell,,,535.76,807.7,15
HCPCS,L4205,Ortho dvc repair per 15 min,,,27.46,30.59,11
HCPCS,L4210,PAD REPL COLAR VISTA CTO CTO4,132.0,105.6,18.32,118.8,28
HCPCS,L4350,BRC ANK STIRRUP KOOLAIR REG,50.0,40.0,16.75,126.62,36
HCPCS,L4350,BRC ANK STIRRUP KOOLAIR UNIV,39.0,31.2,13.07,126.62,36
HCPCS,L4350,BRC ANK STIRRUP PLUS UNIV,36.0,28.8,12.06,126.62,36
HCPCS,L4350,BRC ANK VALV KOOLAIR REG,40.0,32.0,13.4,126.62,36
HCPCS,L4360,BOOT WLK AIRSELECT STD XL,127.0,101.6,42.55,423.27,36
HCPCS,L4360,BOOT WLK ANK XCELTRAX XSM,72.0,57.6,24.12,423.27,36
HCPCS,L4360,BOOT WLK GENESIS 4STRAP GRY LG,128.0,102.4,42.88,423.27,36
HCPCS,L4360,BOOT WLK GENESIS 4STRAP GRY MD,128.0,102.4,42.88,423.27,36
HCPCS,L4360,BOOT WLK GENESIS 4STRAP GRY SM,128.0,102.4,42.88,423.27,36
HCPCS,L4360,BOOT WLK GENESIS 4STRAP GRY XL,128.0,102.4,42.88,423.27,36
HCPCS,L4360,BOOT WLK GENESIS 4STRAP GRY XS,128.0,102.4,42.88,423.27,36
HCPCS,L4360,BOOT WLK GENESIS SHRT LG,128.0,102.4,42.88,423.27,36
HCPCS,L4360,BOOT WLK GENESIS SHRT MD,128.0,102.4,42.88,423.27,36
HCPCS,L4360,BOOT WLK INTEGRI*DISC 6306001*,70.0,56.0,23.45,423.27,36
HCPCS,L4360,BOOT WLK MINITRAX PEDS LG,118.0,94.4,39.53,423.27,36
HCPCS,L4360,BOOT WLK MINITRAX PEDS MD,118.0,94.4,39.53,423.27,36
HCPCS,L4360,BOOT WLK MINITRAX PEDS SM,118.0,94.4,39.53,423.27,36
HCPCS,L4360,BOOT WLK PROGAIT STD MD*CIP*,200.0,160.0,67.0,423.27,36
HCPCS,L4360,BOOT WLK PROGAIT STD SM*CIP*,200.0,160.0,67.0,423.27,36
HCPCS,L4360,BOOT WLK PROGAIT*DISC 6333298*,200.0,160.0,67.0,423.27,36
HCPCS,L4360,BOOT WLK PROGAIT*DISC 6333301*,200.0,160.0,67.0,423.27,36
HCPCS,L4360,BOOT WLK SOFTGAIT AIR SHRT LG,69.0,55.2,23.12,423.27,36
HCPCS,L4360,BOOT WLK SOFTGAIT AIR SHRT MD,69.0,55.2,23.12,423.27,36
HCPCS,L4360,BOOT WLK SOFTGAIT AIR SHRT SM,69.0,55.2,23.12,423.27,36
HCPCS,L4360,BOOT WLK SOFTGAIT AIR TALL LG,69.0,55.2,23.12,423.27,36
HCPCS,L4360,BOOT WLK SOFTGAIT AIR TALL MD,69.0,55.2,23.12,423.27,36
HCPCS,L4360,BOOT WLK SOFTGAIT AIR TALL SM,69.0,55.2,23.12,423.27,36
HCPCS,L4360,BOOT WLK SOFTGAIT AIR TALL XL,69.0,55.2,23.12,423.27,36
HCPCS,L4360,BOOT WLK SOFTGAIT AIR TALL XS,69.0,55.2,23.12,423.27,36
HCPCS,L4360,BOOT WLK VECTRA *DISC 6348844*,100.0,80.0,33.5,423.27,36
HCPCS,L4360,BOOT WLK VECTRA *DISC 6348845*,100.0,80.0,33.5,423.27,36
HCPCS,L4360,BOOT WLK VECTRA *DISC 6348847*,100.0,80.0,33.5,423.27,36
HCPCS,L4360,BOOT WLK VECTRA *DISC 6348848*,100.0,80.0,33.5,423.27,36
HCPCS,L4360,BOOT WLK XCELTRAX TALL XSM,78.0,62.4,26.13,423.27,36
HCPCS,L4360,BOOT WLKVECTRABA*DISC 6348840*,100.0,80.0,33.5,423.27,36
HCPCS,L4360,BOOT WLKVECTRABA*DISC 6348841*,100.0,80.0,33.5,423.27,36
HCPCS,L4360,BOOT WLKVECTRABA*DISC 6348842*,100.0,80.0,33.5,423.27,36
HCPCS,L4360,BOOT WLKVECTRABA*DISC 6348843*,100.0,80.0,33.5,423.27,36
HCPCS,L4360,BOOT WLKVECTRABA*DISC 6348846*,100.0,80.0,33.5,423.27,36
HCPCS,L4360,L4360 BOOT WLK ORTHOTIC,239.0,191.2,80.07,423.27,36
HCPCS,L4361,BOOT AFO PEDS CAM SM,133.0,106.4,44.56,423.27,36
HCPCS,L4361,BOOT CAST TCC-EZ TRANSMET LG,260.0,208.0,87.1,423.27,36
HCPCS,L4361,BOOT WLK AIR FORMFIT STD XL,70.0,56.0,23.45,423.27,36
HCPCS,L4361,BOOT WLK AIRSELECT STD XS,127.0,101.6,42.55,423.27,36
HCPCS,L4361,BOOT WLK ANK HI TOP MD,231.0,184.8,77.39,423.27,36
HCPCS,L4361,BOOT WLK FT DEFENDER LG,450.0,360.0,150.75,423.27,36
HCPCS,L4361,BOOT WLK GENESIS SHRT XS,128.0,102.4,42.88,423.27,36
HCPCS,L4361,BOOT WLK SOFTGAIT AIR SHRT XS,67.0,53.6,22.45,423.27,36
HCPCS,L4361,BOOT WLK VECTRA PRO AIR SHRTLG,120.0,96.0,40.2,423.27,36
HCPCS,L4361,BOOT WLK VECTRA PRO AIR SHRTMD,120.0,96.0,40.2,423.27,36
HCPCS,L4361,BOOT WLK VECTRA PRO AIR SHRTSM,120.0,96.0,40.2,423.27,36
HCPCS,L4361,BOOT WLK VECTRA PRO AIR SHRTXL,120.0,96.0,40.2,423.27,36
HCPCS,L4361,BOOT WLK VECTRA PRO AIR SHRTXS,120.0,96.0,40.2,423.27,36
HCPCS,L4361,BOOT WLK VECTRA PRO AIR TALLLG,120.0,96.0,40.2,423.27,36
HCPCS,L4361,BOOT WLK VECTRA PRO AIR TALLMD,120.0,96.0,40.2,423.27,36
HCPCS,L4361,BOOT WLK VECTRA PRO AIR TALLSM,120.0,96.0,40.2,423.27,36
HCPCS,L4361,BOOT WLK VECTRA PRO AIR TALLXL,120.0,96.0,40.2,423.27,36
HCPCS,L4361,BOOT WLK VECTRA PRO AIR TALLXS,120.0,96.0,40.2,423.27,36
HCPCS,L4361,BOOT WLK WEE WLK PEDS LG*CIP*,99.0,79.2,33.17,423.27,36
HCPCS,L4361,BOOT WLK WEE WLKPEDSSM/MD*CIP*,99.0,79.2,33.17,423.27,36
HCPCS,L4370,Pneum full leg splnt pre ots,,,221.62,293.33,15
HCPCS,L4386,BOOT AFO PEDS CAM LG,133.0,106.4,44.56,242.83,36
HCPCS,L4386,BOOT AFO PEDS CAM MD,213.0,170.4,71.36,242.83,36
HCPCS,L4386,BOOT WLK INTEGRI*DISC 6305985*,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK MAXTRAX MD,84.0,67.2,28.14,242.83,36
HCPCS,L4386,BOOT WLK SOFTGAIT FRAC TALLLG,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK SOFTGAIT FRAC TALLMD,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK SOFTGAIT FRAC TALLSM,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK SOFTGAIT FRAC TALLXL,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK SOFTGAIT FRAC TALLXS,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK SOFTGAIT SHRT LG,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK SOFTGAIT SHRT MD,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK SOFTGAIT SHRT SM,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK SOFTGAIT SHRT XL,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK SOFTGAIT SHRT XS,56.0,44.8,18.76,242.83,36
HCPCS,L4386,BOOT WLK VECTRA SHRT LG,107.0,85.6,35.85,242.83,36
HCPCS,L4386,BOOT WLK VECTRA SHRT MD,107.0,85.6,35.85,242.83,36
HCPCS,L4386,BOOT WLK VECTRA TALL LG,97.0,77.6,32.5,242.83,36
HCPCS,L4386,BOOT WLK VECTRA TALL SM,97.0,77.6,32.5,242.83,36
HCPCS,L4386,BOOT WLKABOUT PROSTEP MD*NLU*,60.0,48.0,20.1,242.83,36
HCPCS,L4386,BOOTMINI ALUMSMMD*USE 6296126*,104.0,83.2,34.84,242.83,36
HCPCS,L4387,BOOT CAST TCC-EZ LG,234.0,187.2,78.39,242.83,36
HCPCS,L4387,BOOT CAST TCC-EZ REG,197.0,157.6,66.0,242.83,36
HCPCS,L4387,BOOT CAST TCC-EZ XL,246.0,196.8,82.41,242.83,36
HCPCS,L4387,BOOT PROGAIT PLUS EZ SET BLK L,227.0,181.6,76.05,242.83,36
HCPCS,L4387,BOOT PROGAIT PLUS EZ SET BLK M,272.0,217.6,91.12,244.8,36
HCPCS,L4387,BOOT PROGAIT PLUS EZ SET BLK S,272.0,217.6,91.12,244.8,36
HCPCS,L4387,BOOT PROGAIT PLUS EZ SETBLK XL,272.0,217.6,91.12,244.8,36
HCPCS,L4387,BOOT PROGAIT PLUS EZ SETBLK XS,272.0,217.6,91.12,244.8,36
HCPCS,L4387,BOOT VECTRA WEE WLKER PEDS LG,124.0,99.2,41.54,242.83,36
HCPCS,L4387,BOOT VECTRA WEE WLKER PEDS MD,124.0,99.2,41.54,242.83,36
HCPCS,L4387,BOOT VECTRA WEE WLKER PEDS SM,124.0,99.2,41.54,242.83,36
HCPCS,L4387,BOOT WLK INT*DISC 6305994*,71.0,56.8,23.79,242.83,36
HCPCS,L4387,BOOT WLK INTEGRI*DISC 6305991*,71.0,56.8,23.79,242.83,36
HCPCS,L4387,BOOT WLK INTEGRI*DISC 6305992*,71.0,56.8,23.79,242.83,36
HCPCS,L4387,BOOT WLK INTEGRI*DISC 6305993*,71.0,56.8,23.79,242.83,36
HCPCS,L4392,Replace AFO soft interface,,,26.3,35.42,15
HCPCS,L4394,Replace foot drop spint,,,19.19,25.81,15
HCPCS,L4396,BOOT AFO PRAFO KODEL STD ADLT,323.0,258.4,108.21,290.7,36
HCPCS,L4396,BOOT AFO PRAFO KODEL STD PEDS,323.0,258.4,108.21,290.7,36
HCPCS,L4396,BOOT ORTHOSIS MPO*USE 6270538*,158.0,126.4,52.93,252.4,36
HCPCS,L4396,BOOT ORTHS PRAFO L,166.0,132.8,55.61,252.4,36
HCPCS,L4396,BOOT ORTHS PRAFO MD,158.0,126.4,52.93,252.4,36
HCPCS,L4396,BOOT ORTHS PRAFO XL,158.0,126.4,52.93,252.4,36
HCPCS,L4396,BOOTAFOPRAFOKODE*DISC 6350227*,360.0,288.0,120.6,324.0,36
HCPCS,L4396,BRC FT ANK PODUS ATTACHSM7-8IN,214.0,171.2,71.69,252.4,36
HCPCS,L4396,BRC FT ANK PODUSATTACHLG9-10IN,214.0,171.2,71.69,252.4,34
HCPCS,L4396,BRC FT ANK PODUSTODDLER4.5-6IN,161.0,128.8,53.94,252.4,36
HCPCS,L4397,Static or dynami afo pre ots,,,187.58,252.4,15
HCPCS,L4398,Foot drop splint pre ots,,,86.34,116.25,15
HCPCS,L4631,"Afo, walk boot type, cus fab",,,1592.69,2108.06,15
HCPCS,L5000,Sho insert w arch toe filler,,,576.11,762.53,15
HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1522.89,2015.66,15
HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,2671.96,3536.55,15
HCPCS,L5050,Ank symes mold sckt sach ft,,,2838.73,3757.29,15
HCPCS,L5060,Symes met fr leath socket ar,,,3782.94,5092.7,15
HCPCS,L5100,Molded socket shin sach foot,,,2650.07,3507.58,15
HCPCS,L5105,Plast socket jts/thgh lacer,,,4312.21,5751.4,15
HCPCS,L5150,Mold sckt ext knee shin sach,,,4435.07,5870.16,15
HCPCS,L5160,Mold socket bent knee shin s,,,4884.17,6464.58,15
HCPCS,L5200,Kne sing axis fric shin sach,,,3766.72,4985.55,15
HCPCS,L5210,No knee/ankle joints w/ ft b,,,2982.32,3947.33,15
HCPCS,L5220,No knee joint with artic ali,,,3436.39,4548.33,15
HCPCS,L5230,Fem focal defic constant fri,,,5340.62,7654.93,15
HCPCS,L5250,Hip canad sing axi cons fric,,,6262.03,9835.95,15
HCPCS,L5270,Tilt table locking hip sing,,,6778.73,8972.18,15
HCPCS,L5280,Hemipelvect canad sing axis,,,6782.03,10191.65,15
HCPCS,L5301,BK mold socket SACH ft endo,,,2639.58,3493.69,15
HCPCS,L5312,"Knee disart, SACH ft, endo",,,4158.5,5504.11,15
HCPCS,L5321,AK open end SACH,,,3747.6,4960.24,15
HCPCS,L5331,Hip disart canadian SACH ft,,,5860.29,8454.9,15
HCPCS,L5341,Hemipelvectomy canadian SACH,,,6229.42,9154.93,15
HCPCS,L5400,Postop dress & 1 cast chg bk,,,1399.33,1852.13,15
HCPCS,L5410,Postop dsg bk ea add cast ch,,,476.41,630.56,15
HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,1949.22,2579.95,15
HCPCS,L5430,Postop dsg ak ea add cast ch,,,573.78,759.44,15
HCPCS,L5450,Postop app non-wgt bear dsg,,,529.67,739.44,15
HCPCS,L5460,Postop app non-wgt bear dsg,,,654.33,866.06,15
HCPCS,L5500,Init bk ptb plaster direct,,,1651.58,2553.36,15
HCPCS,L5505,Init ak ischal plstr direct,,,2245.57,2972.19,15
HCPCS,L5510,Prep BK ptb plaster molded,,,1922.12,2544.07,15
HCPCS,L5520,Perp BK ptb thermopls direct,,,1639.71,2170.28,15
HCPCS,L5530,Prep BK ptb thermopls molded,,,2157.9,2856.15,15
HCPCS,L5535,Prep BK ptb open end socket,,,1933.61,2559.29,15
HCPCS,L5540,Prep BK ptb laminated socket,,,2294.61,3065.62,15
HCPCS,L5560,Prep AK ischial plast molded,,,2614.59,3583.99,15
HCPCS,L5570,Prep AK ischial direct form,,,2537.55,3878.5,15
HCPCS,L5580,Prep AK ischial thermo mold,,,3149.48,4356.53,15
HCPCS,L5585,Prep AK ischial open end,,,3300.09,4367.93,15
HCPCS,L5590,Prep AK ischial laminated,,,3283.64,4633.38,15
HCPCS,L5595,Hip disartic sach thermopls,,,4591.13,6076.72,15
HCPCS,L5600,Hip disart sach laminat mold,,,5069.99,6710.53,15
HCPCS,L5610,Above knee hydracadence,,,2816.79,4046.38,15
HCPCS,L5611,Ak 4 bar link w/fric swing,,,1794.06,3242.08,15
HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,2728.87,4636.7,15
HCPCS,L5614,4-bar link above knee w/swng,,,1889.92,2589.59,15
HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,6301.29,9785.97,15
HCPCS,L5616,Ak univ multiplex sys frict,,,1645.42,2691.44,15
HCPCS,L5617,AK/BK self-aligning unit ea,,,626.64,855.99,15
HCPCS,L5618,Test socket symes,,,320.67,424.44,15
HCPCS,L5620,Test socket below knee,,,317.0,419.57,15
HCPCS,L5622,Test socket knee disarticula,,,413.36,547.12,15
HCPCS,L5624,Test socket above knee,,,415.83,550.39,15
HCPCS,L5626,Test socket hip disarticulat,,,543.65,719.56,15
HCPCS,L5628,Test socket hemipelvectomy,,,550.52,728.65,15
HCPCS,L5629,Below knee acrylic socket,,,353.87,479.61,15
HCPCS,L5630,Syme typ expandabl wall sckt,,,558.86,739.69,15
HCPCS,L5631,Ak/knee disartic acrylic soc,,,489.25,663.1,15
HCPCS,L5632,Symes type ptb brim design s,,,301.55,411.94,15
HCPCS,L5634,Symes type poster opening so,,,377.11,612.1,15
HCPCS,L5636,Symes type medial opening so,,,288.25,512.72,15
HCPCS,L5637,Below knee total contact,,,329.4,435.99,15
HCPCS,L5638,Below knee leather socket,,,722.53,979.28,15
HCPCS,L5639,Below knee wood socket,,,1248.43,2256.09,15
HCPCS,L5640,Knee disarticulat leather so,,,820.6,1286.7,15
HCPCS,L5642,Above knee leather socket,,,760.67,1246.72,15
HCPCS,L5643,Hip flex inner socket ext fr,,,2243.6,3131.93,15
HCPCS,L5644,Above knee wood socket,,,657.69,1188.52,15
HCPCS,L5645,Bk flex inner socket ext fra,,,1091.06,1605.55,15
HCPCS,L5646,Below knee cushion socket,,,691.43,1071.04,15
HCPCS,L5647,Below knee suction socket,,,885.75,1465.79,15
HCPCS,L5648,Above knee cushion socket,,,816.98,1324.81,15
HCPCS,L5649,Isch containmt/narrow m-l so,,,2417.28,3199.45,15
HCPCS,L5650,Tot contact ak/knee disart s,,,543.6,982.34,15
HCPCS,L5651,Ak flex inner socket ext fra,,,1592.67,2416.53,15
HCPCS,L5652,Suction susp ak/knee disart,,,485.47,877.3,15
HCPCS,L5653,Knee disart expand wall sock,,,757.47,1171.13,15
HCPCS,L5654,Socket insert symes,,,380.18,503.2,15
HCPCS,L5655,Socket insert below knee,,,302.43,400.29,15
HCPCS,L5656,Socket insert knee articulat,,,436.47,577.7,15
HCPCS,L5658,Socket insert above knee,,,475.2,628.96,15
HCPCS,L5661,Multi-durometer symes,,,693.89,918.42,15
HCPCS,L5665,Multi-durometer below knee,,,583.82,772.74,15
HCPCS,L5666,Below knee cuff suspension,,,79.81,105.63,15
HCPCS,L5668,Bk molded distal cushion,,,115.15,152.41,15
HCPCS,L5670,Bk molded supracondylar susp,,,302.15,546.03,15
HCPCS,L5671,BK/AK locking mechanism,,,553.88,1000.93,15
HCPCS,L5672,Bk removable medial brim sus,,,399.84,600.03,15
HCPCS,L5673,Socket insert w lock mech,,,863.93,1143.48,15
HCPCS,L5676,Bk knee joints single axis p,,,403.5,676.37,15
HCPCS,L5677,Bk knee joints polycentric p,,,562.19,744.1,15
HCPCS,L5678,Bk joint covers pair,,,44.21,77.97,15
HCPCS,L5679,Socket insert w/o lock mech,,,719.9,952.85,15
HCPCS,L5680,Bk thigh lacer non-molded,,,338.92,560.8,15
HCPCS,L5681,Intl custm cong/latyp insert,,,1473.22,2022.65,15
HCPCS,L5682,Bk thigh lacer glut/ischia m,,,696.37,943.83,15
HCPCS,L5683,Initial custom socket insert,,,1473.22,2022.65,15
HCPCS,L5684,Bk fork strap,,,53.6,74.07,15
HCPCS,L5685,SLV THIGH DERMA PROFLEX SLVR1,248.0,198.4,83.08,223.2,36
HCPCS,L5685,SLV THIGH DERMA PROFLEX SLVR2,248.0,198.4,83.08,223.2,36
HCPCS,L5686,Bk back check,,,64.46,91.09,15
HCPCS,L5688,Bk waist belt webbing,,,68.47,92.19,15
HCPCS,L5690,Bk waist belt padded and lin,,,111.58,147.68,15
HCPCS,L5692,Ak pelvic control belt light,,,147.96,207.52,15
HCPCS,L5694,Ak pelvic control belt pad/l,,,202.01,305.22,15
HCPCS,L5695,Ak sleeve susp neoprene/equa,,,181.59,299.22,15
HCPCS,L5696,Ak/knee disartic pelvic join,,,210.97,279.23,15
HCPCS,L5697,Ak/knee disartic pelvic band,,,99.74,132.01,15
HCPCS,L5698,Ak/knee disartic silesian ba,,,118.94,157.43,15
HCPCS,L5699,Shoulder harness,,,212.6,281.39,15
HCPCS,L5700,Replace socket below knee,,,3235.54,4282.49,15
HCPCS,L5701,Replace socket above knee,,,4261.84,5715.9,15
HCPCS,L5702,Replace socket hip,,,5371.4,7878.13,15
HCPCS,L5703,Symes ankle w/o (SACH) foot,,,2579.83,3414.61,15
HCPCS,L5704,Custom shape cover BK,,,675.19,893.67,15
HCPCS,L5705,Custom shape cover AK,,,1146.44,1517.41,15
HCPCS,L5706,Custom shape cvr knee disart,,,1131.21,1497.25,15
HCPCS,L5707,Custom shape cvr hip disart,,,1560.71,2065.72,15
HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,400.48,640.49,15
HCPCS,L5711,Knee-shin exo mnl lock ultra,,,595.38,788.04,15
HCPCS,L5712,Knee-shin exo frict swg & st,,,479.81,650.3,15
HCPCS,L5714,Knee-shin exo variable frict,,,488.2,765.98,15
HCPCS,L5716,Knee-shin exo mech stance ph,,,965.35,1466.59,15
HCPCS,L5718,Knee-shin exo frct swg & sta,,,1032.26,1833.1,15
HCPCS,L5722,Knee-shin pneum swg frct exo,,,1145.25,1515.83,15
HCPCS,L5724,Knee-shin exo fluid swing ph,,,1798.86,2380.94,15
HCPCS,L5726,Knee-shin ext jnts fld swg e,,,1983.51,2625.33,15
HCPCS,L5728,Knee-shin fluid swg & stance,,,2699.46,4322.75,15
HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1310.5,1734.55,15
HCPCS,L5781,Lower limb pros vacuum pump,,,4481.23,6140.2,15
HCPCS,L5782,HD low limb pros vacuum pump,,,4724.23,6473.15,15
HCPCS,L5783,Add low ext mec limb vol lam,,,2933.89,3883.23,12
HCPCS,L5785,Exoskeletal bk ultralt mater,,,578.53,784.1,15
HCPCS,L5790,Exoskeletal ak ultra-light m,,,819.85,1085.14,15
HCPCS,L5795,Exoskel hip ultra-light mate,,,1195.56,1620.4,15
HCPCS,L5810,Endoskel knee-shin mnl lock,,,616.35,815.79,15
HCPCS,L5811,Endo knee-shin mnl lck ultra,,,879.04,1425.7,15
HCPCS,L5812,Endo knee-shin frct swg & st,,,661.52,1049.45,15
HCPCS,L5814,Endo knee-shin hydral swg ph,,,4159.45,5699.3,15
HCPCS,L5816,Endo knee-shin polyc mch sta,,,946.98,1711.31,15
HCPCS,L5818,Endo knee-shin frct swg & st,,,1069.33,1932.41,15
HCPCS,L5822,Endo knee-shin pneum swg frc,,,1961.66,2842.47,15
HCPCS,L5824,Endo knee-shin fluid swing p,,,1854.33,3085.9,15
HCPCS,L5826,Miniature knee joint,,,3497.58,4792.43,15
HCPCS,L5827,Endo knee shin single axis,,,6945.7,7676.82,8
HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3300.26,4792.5,15
HCPCS,L5830,Endo knee-shin pneum/swg pha,,,2163.63,2863.73,15
HCPCS,L5840,Multi-axial knee/shin system,,,4367.59,5889.69,15
HCPCS,L5841,Addition endoskletl knee-shi,,,3016.75,3992.91,12
HCPCS,L5845,Knee-shin sys stance flexion,,,2007.41,2750.54,15
HCPCS,L5848,Knee-shin sys hydraul stance,,,1204.34,1650.14,15
HCPCS,L5850,Endo ak/hip knee extens assi,,,142.44,257.4,15
HCPCS,L5855,Mech hip extension assist,,,343.89,617.9,15
HCPCS,L5856,Elec knee-shin swing/stance,,,26885.91,36813.3,15
HCPCS,L5857,Elec knee-shin swing only,,,9540.13,13046.0,15
HCPCS,L5858,Stance phase only,,,20814.95,28520.71,15
HCPCS,L5859,Knee-shin pro flex/ext cont,,,16250.03,22265.86,15
HCPCS,L5910,Endo below knee alignable sy,,,403.28,728.79,15
HCPCS,L5920,Endo ak/hip alignable system,,,590.82,1060.33,15
HCPCS,L5925,Above knee manual lock,,,374.15,676.13,15
HCPCS,L5926,Endoskel posit rotat unit,,,687.77,910.32,15
HCPCS,L5930,High activity knee frame,,,3769.74,5149.19,15
HCPCS,L5940,Endo bk ultra-light material,,,558.54,1009.37,15
HCPCS,L5950,Endo ak ultra-light material,,,866.31,1219.98,15
HCPCS,L5960,Endo hip ultra-light materia,,,1099.23,1454.91,15
HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5345.93,7738.25,15
HCPCS,L5962,Below knee flex cover system,,,654.5,1130.08,15
HCPCS,L5964,Above knee flex cover system,,,1206.6,1597.04,15
HCPCS,L5966,Hip flexible cover system,,,1534.4,2030.9,15
HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4069.86,5576.59,15
HCPCS,L5969,Ak/ft power asst incl motors,,,12338.23,12338.23,3
HCPCS,L5970,Foot external keel sach foot,,,243.28,342.67,15
HCPCS,L5971,"SACH foot, replacement",,,243.28,342.67,15
HCPCS,L5972,Flexible keel foot,,,443.16,664.41,15
HCPCS,L5973,Ank-foot sys dors-plant flex,,,19773.03,26764.85,15
HCPCS,L5974,Foot single axis ankle/foot,,,259.48,356.6,15
HCPCS,L5975,Combo ankle/foot prosthesis,,,519.22,711.42,15
HCPCS,L5976,Energy storing foot,,,658.18,912.55,15
HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,332.75,440.42,15
HCPCS,L5979,Multi-axial ankle/ft prosth,,,2792.4,4168.43,15
HCPCS,L5980,Flex foot system,,,4254.47,7460.82,15
HCPCS,L5981,Flex-walk sys low ext prosth,,,3683.56,4875.48,15
HCPCS,L5982,Exoskeletal axial rotation u,,,717.91,1163.31,15
HCPCS,L5984,Endoskeletal axial rotation,,,687.77,910.32,15
HCPCS,L5985,Lwr ext dynamic prosth pylon,,,316.27,431.94,15
HCPCS,L5986,Multi-axial rotation unit,,,868.68,1275.14,15
HCPCS,L5987,Shank ft w vert load pylon,,,8056.83,11039.47,15
HCPCS,L5988,Vertical shock reducing pylo,,,2237.36,3065.57,15
HCPCS,L5990,User adjustable heel height,,,2031.8,2784.05,15
HCPCS,L5991,Low pros ext osseo connector,,,10691.72,14490.97,15
HCPCS,L5999,SOCK STUMP 18IN 6X5,46.0,36.8,12.17,41.4,28
HCPCS,L5999,SOCK STUMP 18IN 8X6,59.0,47.2,15.61,53.1,28
HCPCS,L6000,Durable Medical Equipment (DME),,,1594.75,2005.24,4
HCPCS,L6000,Outpatient Services,,,1515.01,1674.49,8
HCPCS,L6000,Outpatient Services - CPT/HCPCS,,,1972.68,1972.68,3
HCPCS,L6010,Durable Medical Equipment (DME),,,1889.43,2375.77,4
HCPCS,L6010,Outpatient Services,,,1794.96,1983.9,8
HCPCS,L6010,Outpatient Services - CPT/HCPCS,,,2195.27,2195.27,3
HCPCS,L6020,Durable Medical Equipment (DME),,,1682.06,2115.02,4
HCPCS,L6020,Outpatient Services,,,1597.96,1766.16,8
HCPCS,L6020,Outpatient Services - CPT/HCPCS,,,2046.73,2046.73,3
HCPCS,L6026,Part hand myo exclu term dev,,,4871.74,7188.38,15
HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,2330.96,3085.21,15
HCPCS,L6055,Wrst mold sock w/exp interfa,,,3227.12,4271.35,15
HCPCS,L6100,Elb mold sock flex hinge pad,,,2307.17,3053.72,15
HCPCS,L6110,Elbow mold sock suspension t,,,2381.1,3151.57,15
HCPCS,L6120,Elbow mold doub splt soc ste,,,2989.53,3956.87,15
HCPCS,L6130,Elbow stump activated lock h,,,3225.37,4269.04,15
HCPCS,L6200,Elbow mold outsid lock hinge,,,3476.85,4601.88,15
HCPCS,L6205,Elbow molded w/ expand inter,,,4258.33,5636.23,15
HCPCS,L6250,Elbow inter loc elbow forarm,,,3095.62,4097.3,15
HCPCS,L6300,Shlder disart int lock elbow,,,4539.15,6007.92,15
HCPCS,L6310,Shoulder passive restor comp,,,3460.15,4579.78,15
HCPCS,L6320,Shoulder passive restor cap,,,2077.37,2749.56,15
HCPCS,L6350,Thoracic intern lock elbow,,,5215.48,6903.1,15
HCPCS,L6360,Thoracic passive restor comp,,,3631.83,4807.02,15
HCPCS,L6370,Thoracic passive restor cap,,,2315.9,3065.28,15
HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1327.76,1757.39,15
HCPCS,L6382,Postop dsg cast chg elb dis/,,,1804.61,2388.54,15
HCPCS,L6384,Postop dsg cast chg shlder/t,,,2388.76,3312.24,15
HCPCS,L6386,Postop ea cast chg & realign,,,457.9,606.07,15
HCPCS,L6388,Postop applicat rigid dsg on,,,576.46,762.99,15
HCPCS,L6400,Below elbow prosth tiss shap,,,3047.58,4669.2,15
HCPCS,L6450,Elb disart prosth tiss shap,,,3983.04,6203.92,15
HCPCS,L6500,Above elbow prosth tiss shap,,,3911.26,6100.8,15
HCPCS,L6550,Shldr disar prosth tiss shap,,,5065.89,7630.95,15
HCPCS,L6570,Scap thorac prosth tiss shap,,,5655.41,7939.88,15
HCPCS,L6580,Wrist/elbow bowden cable mol,,,2144.9,2838.95,15
HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,1899.07,2769.47,15
HCPCS,L6584,Elbow fair lead cable molded,,,2333.84,3089.02,15
HCPCS,L6586,Elbow fair lead cable dir fo,,,2428.27,3214.0,15
HCPCS,L6588,Shdr fair lead cable molded,,,3222.88,4265.74,15
HCPCS,L6590,Shdr fair lead cable direct,,,3232.38,4278.32,15
HCPCS,L6600,Polycentric hinge pair,,,213.88,283.09,15
HCPCS,L6605,Single pivot hinge pair,,,211.19,279.52,15
HCPCS,L6610,Flexible metal hinge pair,,,193.27,255.81,15
HCPCS,L6611,"Additional switch, ext power",,,461.11,631.83,15
HCPCS,L6615,Disconnect locking wrist uni,,,222.61,294.65,15
HCPCS,L6616,Disconnect insert locking wr,,,72.23,97.89,15
HCPCS,L6620,Flexion/extension wrist unit,,,387.89,513.41,15
HCPCS,L6621,Flex/ext wrist w/wo friction,,,2561.72,3510.09,15
HCPCS,L6623,Spring-ass rot wrst w/ latch,,,731.41,968.08,15
HCPCS,L6624,Flex/ext/rotation wrist unit,,,4217.9,5779.46,15
HCPCS,L6625,Rotation wrst w/ cable lock,,,592.22,802.66,15
HCPCS,L6628,Quick disconn hook adapter o,,,637.47,963.96,15
HCPCS,L6629,Lamination collar w/ couplin,,,209.0,276.63,15
HCPCS,L6630,Stainless steel any wrist,,,245.75,325.26,15
HCPCS,L6632,Latex suspension sleeve each,,,72.34,130.73,15
HCPCS,L6635,Lift assist for elbow,,,231.26,312.63,15
HCPCS,L6637,Nudge control elbow lock,,,418.68,554.16,15
HCPCS,L6638,Elec lock on manual pw elbow,,,2800.76,3837.62,15
HCPCS,L6640,Shoulder abduction joint pai,,,334.45,442.67,15
HCPCS,L6641,Excursion amplifier pulley t,,,184.05,243.61,15
HCPCS,L6642,Excursion amplifier lever ty,,,247.94,328.17,15
HCPCS,L6645,Shoulder flexion-abduction j,,,363.99,481.77,15
HCPCS,L6646,Multipo locking shoulder jnt,,,3532.39,4840.12,15
HCPCS,L6647,Shoulder lock actuator,,,581.55,796.89,15
HCPCS,L6648,Ext pwrd shlder lock/unlock,,,3643.16,4991.89,15
HCPCS,L6650,Shoulder universal joint,,,385.95,510.83,15
HCPCS,L6655,Standard control cable extra,,,85.65,113.37,15
HCPCS,L6660,Heavy duty control cable,,,107.17,141.85,15
HCPCS,L6665,Teflon or equal cable lining,,,51.28,69.5,15
HCPCS,L6670,Hook to hand cable adapter,,,53.4,72.38,15
HCPCS,L6672,Harness chest/shlder saddle,,,230.58,305.2,15
HCPCS,L6675,Harness figure of 8 sing con,,,133.72,181.24,15
HCPCS,L6676,Harness figure of 8 dual con,,,139.91,213.68,15
HCPCS,L6677,UE triple control harness,,,332.22,455.24,15
HCPCS,L6680,Test sock wrist disart/bel e,,,280.16,370.82,15
HCPCS,L6682,Test sock elbw disart/above,,,305.43,404.25,15
HCPCS,L6684,Test socket shldr disart/tho,,,434.17,574.66,15
HCPCS,L6686,Suction socket,,,673.15,890.97,15
HCPCS,L6687,Frame typ socket bel elbow/w,,,642.29,1160.69,15
HCPCS,L6688,Frame typ sock above elb/dis,,,604.03,799.48,15
HCPCS,L6689,Frame typ socket shoulder di,,,847.19,1355.85,15
HCPCS,L6690,Frame typ sock interscap-tho,,,784.04,1037.74,15
HCPCS,L6691,Removable insert each,,,393.59,520.95,15
HCPCS,L6692,Silicon gel insert w/wo lock,,,716.29,1055.96,15
HCPCS,L6693,Lockingelbow forearm cntrbal,,,3179.62,4356.71,15
HCPCS,L6694,Elbow socket ins use w/lock,,,863.93,1143.48,15
HCPCS,L6695,Elbow socket ins use w/o lck,,,719.9,952.85,15
HCPCS,L6696,Cus elbo skt in for con/atyp,,,1473.22,2022.65,15
HCPCS,L6697,Cus elbo skt in not con/atyp,,,1473.22,2022.65,15
HCPCS,L6698,Add up-ex prosthes lock mech,,,553.88,1000.93,15
HCPCS,L6700,Ue add ext power myoel,,,27484.98,30378.14,8
HCPCS,L6703,"Term dev, passive hand mitt",,,391.73,558.17,15
HCPCS,L6704,"Term dev, sport/rec/work att",,,756.15,1086.52,15
HCPCS,L6706,Term dev mech hook vol open,,,469.24,698.41,15
HCPCS,L6707,Term dev mech hook vol close,,,1629.58,2156.88,15
HCPCS,L6708,Term dev mech hand vol open,,,1097.29,1503.02,15
HCPCS,L6709,Term dev mech hand vol close,,,1557.33,2330.68,15
HCPCS,L6711,"Ped term dev, hook, vol open",,,752.97,1031.78,15
HCPCS,L6712,"Ped term dev, hook, vol clos",,,1386.4,1899.63,15
HCPCS,L6713,"Ped term dev, hand, vol open",,,1749.73,2397.53,15
HCPCS,L6714,"Ped term dev, hand, vol clos",,,1482.01,2030.66,15
HCPCS,L6715,"Term device, multi art digit",,,3535.94,4854.63,15
HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2634.17,3609.32,15
HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2270.8,3111.54,15
HCPCS,L6805,Term dev modifier wrist unit,,,406.05,537.44,15
HCPCS,L6810,Term dev precision pinch dev,,,228.35,332.27,15
HCPCS,L6880,Elec hand ind art digits,,,26758.95,36738.63,15
HCPCS,L6881,Term dev auto grasp feature,,,4578.75,6273.75,15
HCPCS,L6882,Microprocessor control uplmb,,,3473.2,4759.02,15
HCPCS,L6883,Replc sockt below e/w disa,,,1954.19,2586.52,15
HCPCS,L6884,Replc sockt above elbow disa,,,2545.58,3369.28,15
HCPCS,L6885,Replc sockt shldr dis/interc,,,3631.83,4807.02,15
HCPCS,L6890,Prefab glove for term device,,,207.22,274.28,15
HCPCS,L6895,Custom glove for term device,,,650.74,861.31,15
HCPCS,L6900,Hand restorat thumb/1 finger,,,1722.27,2279.57,15
HCPCS,L6905,Hand restoration multiple fi,,,1674.1,2215.8,15
HCPCS,L6910,Hand restoration no fingers,,,1630.91,2158.64,15
HCPCS,L6915,Hand restoration replacmnt g,,,713.81,944.79,15
HCPCS,L6920,Wrist disarticul switch ctrl,,,9250.01,12243.12,15
HCPCS,L6925,Wrist disart myoelectronic c,,,9976.49,13204.67,15
HCPCS,L6930,Below elbow switch control,,,9036.13,12863.83,15
HCPCS,L6935,Below elbow myoelectronic ct,,,9975.95,13810.9,15
HCPCS,L6940,Elbow disarticulation switch,,,11668.6,17654.9,15
HCPCS,L6945,Elbow disart myoelectronic c,,,13017.84,20539.43,15
HCPCS,L6950,Above elbow switch control,,,11646.96,20067.29,15
HCPCS,L6955,Above elbow myoelectronic ct,,,13506.82,24033.3,15
HCPCS,L6960,Shldr disartic switch contro,,,14208.65,24239.39,15
HCPCS,L6965,Shldr disartic myoelectronic,,,16832.35,26262.04,15
HCPCS,L6970,Interscapular-thor switch ct,,,18017.17,26586.26,15
HCPCS,L6975,Interscap-thor myoelectronic,,,19859.16,28484.54,15
HCPCS,L7007,Adult electric hand,,,3923.6,5193.2,15
HCPCS,L7008,Pediatric electric hand,,,6343.47,8739.26,15
HCPCS,L7009,Adult electric hook,,,4108.43,5437.83,15
HCPCS,L7040,Prehensile actuator,,,3214.51,4254.65,15
HCPCS,L7045,Pediatric electric hook,,,1799.79,2439.34,15
HCPCS,L7170,Electronic elbow hosmer swit,,,6736.88,9284.84,15
HCPCS,L7180,Electronic elbow sequential,,,40711.21,53884.51,15
HCPCS,L7181,Electronic elbo simultaneous,,,44875.22,61488.27,15
HCPCS,L7185,Electron elbow adolescent sw,,,7082.65,9632.85,15
HCPCS,L7186,Electron elbow child switch,,,11906.93,17458.63,15
HCPCS,L7190,Elbow adolescent myoelectron,,,9207.95,12187.45,15
HCPCS,L7191,Elbow child myoelectronic ct,,,12524.2,17887.65,15
HCPCS,L7259,Electronic wrist rotator any,,,4396.95,5819.71,15
HCPCS,L7360,Six volt bat otto bock/eq ea,,,259.28,343.18,15
HCPCS,L7362,Battery chrgr six volt otto,,,323.67,504.17,15
HCPCS,L7364,Twelve volt battery utah/equ,,,454.36,601.38,15
HCPCS,L7366,Battery chrgr 12 volt utah/e,,,612.04,810.08,15
HCPCS,L7367,Replacemnt lithium ionbatter,,,436.05,597.44,15
HCPCS,L7368,Lithium ion battery charger,,,565.24,774.5,15
HCPCS,L7400,"Add UE prost be/wd, ultlite",,,343.25,470.36,15
HCPCS,L7401,Add UE prost a/e ultlite mat,,,384.24,526.57,15
HCPCS,L7402,Add UE prost s/d ultlite mat,,,415.0,568.61,15
HCPCS,L7403,Add UE prost b/e acrylic,,,412.46,565.13,15
HCPCS,L7404,Add UE prost a/e acrylic,,,622.53,852.97,15
HCPCS,L7405,Add UE prost s/d acrylic,,,814.11,1115.5,15
HCPCS,L7406,Add upp ext mec limb vol lam,,,2933.89,3242.72,8
HCPCS,L7520,Repair prosthesis per 15 min,,,37.33,55.6,11
HCPCS,L7600,Prosthetic donning sleeve,,,51.27,51.27,3
HCPCS,L7700,Pros soc insert gasket/seal,,,136.33,180.44,15
HCPCS,L7900,Male vacuum erection system,,,503.88,503.88,3
HCPCS,L7902,"Tension ring, vac erect dev",,,16.22,16.22,3
HCPCS,L8000,Mastectomy bra,,,42.9,56.78,15
HCPCS,L8001,Breast prosthesis bra & form,,,140.51,192.48,15
HCPCS,L8002,Brst prsth bra & bilat form,,,184.77,253.19,15
HCPCS,L8010,Outpatient Services - CPT/HCPCS,,,48.11,48.11,3
HCPCS,L8015,Ext breastprosthesis garment,,,67.13,92.02,15
HCPCS,L8020,Mastectomy form,,,228.74,302.76,15
HCPCS,L8030,Breast prosthes w/o adhesive,,,391.46,537.26,15
HCPCS,L8031,Breast prosthesis w adhesive,,,391.46,537.26,15
HCPCS,L8032,Reusable nipple prosthesis,,,43.86,60.09,15
HCPCS,L8035,Custom breast prosthesis,,,4103.14,5622.16,15
HCPCS,L8040,Nasal prosthesis,,,2678.06,3544.62,15
HCPCS,L8041,Midfacial prosthesis,,,3228.09,4272.63,15
HCPCS,L8042,Orbital prosthesis,,,3627.07,4800.72,15
HCPCS,L8043,Upper facial prosthesis,,,4062.32,5376.81,15
HCPCS,L8044,Hemi-facial prosthesis,,,4497.55,5952.86,15
HCPCS,L8045,Auricular prosthesis,,,2816.12,3727.36,15
HCPCS,L8046,Partial facial prosthesis,,,2901.64,3840.55,15
HCPCS,L8047,Nasal septal prosthesis,,,1487.08,1968.27,15
HCPCS,L8049,Repair maxillofacial prosth,,,15.69,15.69,3
HCPCS,L8300,BELT HERNIA SOFT FORM BGE LG,69.0,55.2,23.12,145.25,36
HCPCS,L8300,BELT HERNIA SOFT FORM BGE MD,69.0,55.2,23.12,145.25,36
HCPCS,L8300,BELT HERNIA SOFT FORM BGE SM,69.0,55.2,23.12,145.25,36
HCPCS,L8310,Truss double w/ standard pad,,,166.4,234.28,15
HCPCS,L8320,Truss addition to std pad wa,,,60.94,80.66,15
HCPCS,L8330,Truss add to std pad scrotal,,,54.97,74.5,15
HCPCS,L8400,Sheath below knee,,,17.53,23.75,15
HCPCS,L8410,Sheath above knee,,,23.07,33.04,15
HCPCS,L8415,Sheath upper limb,,,23.87,35.72,15
HCPCS,L8417,Pros sheath/sock w gel cushn,,,84.24,115.38,15
HCPCS,L8420,Prosthetic sock multi ply BK,,,22.17,29.35,15
HCPCS,L8430,L8430 SOCK STUMP MULT PLY,72.0,57.6,24.12,64.8,36
HCPCS,L8435,Pros sock multi ply upper lm,,,23.98,31.74,15
HCPCS,L8440,SHRINKER BK 4W 30-40 BLK 12SZ1,154.0,123.2,47.68,138.6,36
HCPCS,L8440,SHRINKER BK 4W 30-40 BLK 12SZ5,91.0,72.8,30.49,81.9,36
HCPCS,L8440,SHRINKER BK 4W 30-40 BLK 12SZ6,154.0,123.2,47.68,138.6,36
HCPCS,L8440,SHRINKER BK 4W 30-40 BLK 15SZ4,181.0,144.8,47.68,162.9,36
HCPCS,L8460,SHRINKER AK 4W 30-40 BLK 12SZ4,189.0,151.2,63.32,170.1,36
HCPCS,L8460,SHRINKER AK 4W 30-40 BLK 12SZ6,95.0,76.0,31.83,100.58,36
HCPCS,L8465,Shrinker upper limb,,,55.61,73.61,15
HCPCS,L8470,Pros sock single ply BK,,,7.43,13.43,15
HCPCS,L8480,L8480 SOCK STUMP SGL PLY,37.0,29.6,10.25,33.3,36
HCPCS,L8485,Pros sock single ply upper l,,,13.79,20.13,15
HCPCS,L8500,Artificial larynx,,,737.02,996.0,15
HCPCS,L8501,VALV SPEAKING PASSY-MUIR AQUA,310.0,248.0,103.85,279.0,36
HCPCS,L8501,VALV SPEAKING PASSY-MUIR CL,324.0,259.2,108.54,291.6,36
HCPCS,L8501,VALV SPEAKING PASSY-MUIR PUR,258.0,206.4,86.43,232.2,36
HCPCS,L8507,PROS VOICE LOW PRES 20FR 14MM,765.0,612.0,46.89,688.5,36
HCPCS,L8509,PROS VOI17FR10MM*DISC 6299560*,2056.0,1644.8,122.31,1850.4,36
HCPCS,L8509,PROS VOICE ADVANTAGE 16FR 10MM,3360.0,2688.0,122.31,3024.0,36
HCPCS,L8509,PROS VOICE ADVANTAGE 16FR 12MM,2584.0,2067.2,122.31,2325.6,36
HCPCS,L8509,PROS VOICE ADVANTAGE 16FR 14MM,3200.0,2560.0,122.31,2880.0,36
HCPCS,L8509,PROS VOICE ADVANTAGE 16FR 4MM,2964.0,2371.2,122.31,2667.6,36
HCPCS,L8509,PROS VOICE ADVANTAGE 16FR 6MM,2584.0,2067.2,122.31,2325.6,36
HCPCS,L8509,PROS VOICE ADVANTAGE 16FR 8MM,3520.0,2816.0,122.31,3168.0,36
HCPCS,L8509,PROS VOICE ADVANTAGE 20FR 14MM,2964.0,2371.2,122.31,2667.6,36
HCPCS,L8509,PROS VOICE ADVANTAGE 20FR 4MM,2964.0,2371.2,122.31,2667.6,36
HCPCS,L8509,PROS VOICE CLASC 16FR 10MM,2200.0,1760.0,122.31,1980.0,36
HCPCS,L8509,PROS VOICE CLASC 16FR 12MM,2040.0,1632.0,122.31,1836.0,36
HCPCS,L8509,PROS VOICE CLASC 16FR 4MM,2003.0,1602.4,122.31,1802.7,36
HCPCS,L8509,PROS VOICE CLASC 16FR 6MM,2040.0,1632.0,122.31,1836.0,36
HCPCS,L8509,PROS VOICE CLASC 16FR 8MM,2320.0,1856.0,122.31,2088.0,36
HCPCS,L8509,PROS VOICE CLASC 20FR 10MM,2040.0,1632.0,122.31,1836.0,36
HCPCS,L8509,PROS VOICE CLASC 20FR 4MM,2040.0,1632.0,122.31,1836.0,36
HCPCS,L8509,PROS VOICE CLASC 20FR 6MM,2200.0,1760.0,122.31,1980.0,36
HCPCS,L8509,PROS VOICE CLASC 20FR 8MM,2080.0,1664.0,122.31,1872.0,36
HCPCS,L8509,PROS VOICE CLASC STER 16FR10MM,2019.0,1615.2,122.31,1817.1,36
HCPCS,L8509,PROS VOICE CLASC STER 16FR12MM,2019.0,1615.2,122.31,1817.1,36
HCPCS,L8509,PROS VOICE CLASC STER 16FR14MM,2019.0,1615.2,122.31,1817.1,36
HCPCS,L8509,PROS VOICE CLASC STER 20FR 8MM,2080.0,1664.0,122.31,1872.0,36
HCPCS,L8509,PROS VOICE CLASC STER 20FR10MM,2019.0,1615.2,122.31,1817.1,36
HCPCS,L8509,PROS VOICE CLASC STER 20FR12MM,2019.0,1615.2,122.31,1817.1,36
HCPCS,L8509,PROS VOICE CLASC STER 20FR14MM,2080.0,1664.0,122.31,1872.0,36
HCPCS,L8509,PROS VOICE DUAL VALV 20FR 10MM,3680.0,2944.0,122.31,3312.0,36
HCPCS,L8509,PROS VOICE DUAL VALV 20FR 12MM,3680.0,2944.0,122.31,3312.0,36
HCPCS,L8509,PROS VOICE DUAL VALV 20FR 8MM,3680.0,2944.0,122.31,3312.0,36
HCPCS,L8509,PROS VOICE HARD ADVANTAGE20FR6,3680.0,2944.0,122.31,3312.0,36
HCPCS,L8509,PROS VOICE HARD ADVANTAGE20FR8,3680.0,2944.0,122.31,3312.0,36
HCPCS,L8509,PROS VOICE HARDADVANTAGE20FR10,2584.0,2067.2,122.31,2325.6,36
HCPCS,L8509,PROS VOICE HARDADVANTAGE20FR12,3680.0,2944.0,122.31,3312.0,36
HCPCS,L8509,PROS VOICE IR 16FR 10MM,2320.0,1856.0,122.31,2088.0,36
HCPCS,L8509,PROS VOICE IR 16FR 12MM,2320.0,1856.0,122.31,2088.0,36
HCPCS,L8509,PROS VOICE IR 16FR 6MM,2320.0,1856.0,122.31,2088.0,36
HCPCS,L8509,PROS VOICE IR 16FR 8MM,2320.0,1856.0,122.31,2088.0,36
HCPCS,L8509,PROS VOICE IR 20FR 10MM,2320.0,1856.0,122.31,2088.0,36
HCPCS,L8509,PROS VOICE IR 20FR 12MM,2320.0,1856.0,122.31,2088.0,36
HCPCS,L8509,PROS VOICE IR 20FR 6MM,2320.0,1856.0,122.31,2088.0,36
HCPCS,L8509,PROS VOICE IR 20FR 8MM,2320.0,1856.0,122.31,2088.0,36
HCPCS,L8509,PROS VOICE LEF 16FR 10MM,2304.0,1843.2,122.31,2073.6,36
HCPCS,L8509,PROS VOICE LEF 16FR 12MM,2304.0,1843.2,122.31,2073.6,36
HCPCS,L8509,PROS VOICE LEF 16FR 6MM,2304.0,1843.2,122.31,2073.6,36
HCPCS,L8509,PROS VOICE LEF 16FR 8MM,2304.0,1843.2,122.31,2073.6,36
HCPCS,L8509,PROS VOICE LEF 20FR 10MM,2400.0,1920.0,122.31,2160.0,36
HCPCS,L8509,PROS VOICE LEF 20FR 12MM,2400.0,1920.0,122.31,2160.0,36
HCPCS,L8509,PROS VOICE LEF 20FR 6MM,2304.0,1843.2,122.31,2073.6,36
HCPCS,L8509,PROS VOICE LEF 20FR 8MM,2400.0,1920.0,122.31,2160.0,36
HCPCS,L8509,PROS VOICE PROVOX 2 10MM,2920.0,2336.0,122.31,2628.0,36
HCPCS,L8509,PROS VOICE PROVOX 2 4.5MM,2920.0,2336.0,122.31,2628.0,36
HCPCS,L8509,PROS VOICE PROVOX 2 8MM,2920.0,2336.0,122.31,2628.0,36
HCPCS,L8509,PROS VOICE PROVOX NID 17FR 6MM,1089.0,871.2,122.31,980.1,36
HCPCS,L8509,PROS VOICE PROVOX NID 17FR 8MM,1089.0,871.2,122.31,980.1,36
HCPCS,L8509,PROS VOICE PROVOX NID 17FR10MM,1089.0,871.2,122.31,980.1,36
HCPCS,L8509,PROS VOICE PROVOX NID 17FR12MM,1089.0,871.2,122.31,980.1,36
HCPCS,L8509,PROS VOICE PROVOX NID 20FR10MM,1089.0,871.2,122.31,980.1,36
HCPCS,L8509,PROS VOICE PROVOX NID 20FR12MM,1089.0,871.2,122.31,980.1,36
HCPCS,L8509,PROS VOICE PROVOX NID 20FR6MM,1089.0,871.2,122.31,980.1,36
HCPCS,L8509,PROS VOICE PROVOX NID 20FR8MM,1089.0,871.2,122.31,980.1,36
HCPCS,L8509,PROS VOICE PROVOX VEGA 17FR4MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOX VEGA 17FR8MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOX VEGA 20FR4MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOX VEGA 20FR6MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOX VEGA 20FR8MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOX VEGA12.5MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOX VEGA17FR10MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOX VEGA17FR15MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOX VEGA20FR10MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOXVEGA22.5FR4MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOXVEGA22.5FR6MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE PROVOXVEGA22.5FR8MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE SOFT ADVANTAGE20FR6,2584.0,2067.2,122.31,2325.6,36
HCPCS,L8509,PROS VOICE SOFT ADVANTAGE20FR8,2584.0,2067.2,122.31,2325.6,36
HCPCS,L8509,PROS VOICE SOFTADVANTAGE20FR10,2584.0,2067.2,122.31,2325.6,36
HCPCS,L8509,PROS VOICE SOFTADVANTAGE20FR12,2584.0,2067.2,122.31,2325.6,36
HCPCS,L8509,PROS VOICE VEGAINSRT22.5FR10MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICE VEGAS*DISC 6297410*,2325.0,1860.0,122.31,2092.5,36
HCPCS,L8509,PROS VOICE VEGAS*DISC 6297411*,2128.0,1702.4,122.31,1915.2,36
HCPCS,L8509,PROS VOICE VEGAS*DISC 6299558*,2325.0,1860.0,122.31,2092.5,36
HCPCS,L8509,PROS VOICE VEGAS*DISC 6299559*,2056.0,1644.8,122.31,1850.4,36
HCPCS,L8509,PROS VOICE VEGAS*DISC 6299562*,2128.0,1702.4,122.31,1915.2,36
HCPCS,L8509,PROS VOICE VEGAS*DISC 6299563*,2395.0,1916.0,122.31,2155.5,36
HCPCS,L8509,PROS VOICEPROVOXVEGA17FR12.5MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROS VOICEPROVOXVEGA20FR12.5MM,2280.0,1824.0,122.31,2052.0,36
HCPCS,L8509,PROS VOICEVEGASMARTINSRT20FR10,2376.0,1900.8,122.31,2138.4,36
HCPCS,L8509,PROSVOICEPROVOXTRSEAL22.5FR4MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVOXTRSEAL22.5FR6MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVOXTRSEAL22.5FR8MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVOXVEG22.5FR12.5MM,2467.0,1973.6,122.31,2220.3,36
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL17FR10MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL17FR4MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL17FR6MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL17FR8MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL20FR10MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL20FR4MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL20FR6MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL20FR8MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVXTRSEAL17FR12.5MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVXTRSEAL20FR12.5MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVXTRSEAL22.5FR10MM,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PROSVOICEPROVXTRSEAL22.5FR12.5,2866.0,2292.8,122.31,2579.4,36
HCPCS,L8509,PUNC PROVOX VEGA 22.5FR 8*NLU*,3072.0,2457.6,122.31,2764.8,36
HCPCS,L8510,Voice amplifier,,,283.02,387.77,15
HCPCS,L8511,Indwelling trach insert,,,81.44,111.61,15
HCPCS,L8512,Gel cap for trach voice pros,,,2.44,3.34,15
HCPCS,L8513,Trach pros cleaning device,,,5.82,8.0,15
HCPCS,L8514,Repl trach puncture dilator,,,105.62,144.71,15
HCPCS,L8515,Gel cap app device for trach,,,70.71,96.9,15
HCPCS,L8600,BREAST GEL SIEN HI 355CC*DISC*,5970.0,4776.0,1.0,5373.0,34
HCPCS,L8600,BREAST GEL SIEN HI 435CC*DISC*,5970.0,4776.0,1.0,5373.0,34
HCPCS,L8600,BREAST GEL SIEN HI 465CC*DISC*,5970.0,4776.0,1.0,5373.0,34
HCPCS,L8600,BREAST GEL SIEN HI 495CC*DISC*,5970.0,4776.0,1.0,5373.0,34
HCPCS,L8600,BREAST GEL SIEN HI 655CC*DISC*,5970.0,4776.0,1.0,5373.0,34
HCPCS,L8600,BREAST HIPRO XTRMEMORYGEL535CC,5963.0,4770.4,1.0,5366.7,34
HCPCS,L8600,BREAST SIL 55OCC*DISC 6313654*,5970.0,4776.0,1.0,5373.0,34
HCPCS,L8600,BREAST SIL SIEN MODER 250CC,4900.0,3920.0,1.0,4410.0,34
HCPCS,L8600,BREAST SIL SIEN MODER 380CC,4900.0,3920.0,1.0,4410.0,34
HCPCS,L8600,BREAST SIL370CC*DISC 6313650*,5970.0,4776.0,1.0,5373.0,34
HCPCS,L8600,BREAST TEXT290CC*DISC 6313647*,5970.0,4776.0,1.0,5373.0,34
HCPCS,L8600,BREAST TEXTURE HI SIL 565*NLU*,5075.0,4060.0,1.0,4567.5,34
HCPCS,L8603,Collagen imp urinary 2.5 ml,,,1.0,660.86,15
HCPCS,L8604,MICRSPHR UROL GEL DEFLUX Q-MED,12723.0,10178.4,1.0,11450.7,26
HCPCS,L8605,Inj bulking agent anal canal,,,1.0,1101.32,15
HCPCS,L8606,KT URTHRL BULKAM*DISC 6325594*,6000.0,4800.0,1.0,5400.0,34
HCPCS,L8606,KT URTHRL BULKAMIDWNDLE2GX12MM,5175.0,4140.0,1.0,4657.5,34
HCPCS,L8606,SOL URTHRL PFS COAPITITE 1ML,3714.0,2971.2,1.0,3342.6,34
HCPCS,L8606,SYR PRE FILLED COAPTIT1ML*CIP*,3494.0,2795.2,1.0,3144.6,34
HCPCS,L8606,TISS MACROPLASTIQUE 2.5ML,3815.0,3052.0,1.0,3433.5,34
HCPCS,L8607,Inj vocal cord bulking agent,,,1.0,65.98,15
HCPCS,L8608,Arg ii ext com/sup/acc misc,,,1.0,1.0,3
HCPCS,L8609,Artificial cornea,,,1.0,10018.52,15
HCPCS,L8610,EYELID IMPLT GLD SLIM 1.2GM,3098.0,2478.4,1.0,2788.2,34
HCPCS,L8610,EYELID IMPLT GLD SLIM 1.4GM,2760.0,2208.0,1.0,2484.0,34
HCPCS,L8610,EYELID IMPLT GLD SLIM 1.6GM,2760.0,2208.0,1.0,2484.0,34
HCPCS,L8612,SHNT GLAUCOMA BAERVELDT 250MM,4200.0,3360.0,1.0,3780.0,34
HCPCS,L8612,SHNT GLAUCOMA BAERVELDT 350MM,4200.0,3360.0,1.0,3780.0,34
HCPCS,L8613,EAR FRISBEE PART TI 0.5MM,3032.0,2425.6,1.0,2728.8,34
HCPCS,L8613,EAR INCUDSTAP APPLEBAUM 2.5MM,2830.0,2264.0,1.0,2547.0,34
HCPCS,L8613,EAR INCUDSTAP APPLEBAUM 2MM,2830.0,2264.0,1.0,2547.0,34
HCPCS,L8613,EAR TORP CTR 0.84X4MM,3238.0,2590.4,1.0,2914.2,34
HCPCS,L8613,HNDL BK LIPPY NOTCH 0.4X4.00MM,2126.0,1700.8,1.0,1913.4,34
HCPCS,L8613,HNDL BK LIPPY NOTCH 0.4X4.50MM,2126.0,1700.8,1.0,1913.4,34
HCPCS,L8613,OSSICULAR PROS MOD PORP 4X5MM,1791.0,1432.8,1.0,1611.9,34
HCPCS,L8613,PROS GOLDENBERG PORP 5.5MM,2956.0,2364.8,1.0,2660.4,34
HCPCS,L8613,PROS GOLDENBERG TORP 8.0MM,3167.0,2533.6,1.0,2850.3,34
HCPCS,L8613,PROS INCUS FLEX HA 0.8MM MD,4268.0,3414.4,1.0,3841.2,34
HCPCS,L8613,PROS INCUS FLEX HA 1MM LG,4143.0,3314.4,1.0,3728.7,34
HCPCS,L8613,STAPES INCUS GOLDENBERG 0.8X13,2860.0,2288.0,1.0,2574.0,34
HCPCS,L8613,STAPES PIST ECLIPSE 0.5X4.25MM,2722.0,2177.6,1.0,2449.8,34
HCPCS,L8613,STAPES PIST FLAT NIT 0.6X4.50,3115.0,2492.0,1.0,2803.5,34
HCPCS,L8614,COCHLEAR HIRES ULT 3D MIDSCALA,37625.0,30100.0,1.0,33862.5,34
HCPCS,L8614,COCHLEAR HIRES ULTMIDSCALAELTD,37625.0,30100.0,1.0,33862.5,34
HCPCS,L8614,COCHLEAR MI1250 FLEX26,56350.0,45080.0,1.0,50715.0,34
HCPCS,L8614,COCHLEAR NUCLEUS CI512,63595.0,50876.0,1.0,57235.5,34
HCPCS,L8614,COCHLEAR NUCLEUS CI522,63595.0,50876.0,1.0,57235.5,34
HCPCS,L8614,COCHLEAR NUCLEUS CONTOUR ADV,46995.0,37596.0,1.0,42295.5,34
HCPCS,L8614,COCHLEAR NUCLEUS SLIM MODIOLAR,46952.0,37561.6,1.0,42256.8,34
HCPCS,L8614,COCHLEAR PROCESS NUCLEUS7 BRN,31855.0,25484.0,1.0,29300.35,34
HCPCS,L8614,COCHLEAR PROCESS NUCLEUS7*NLU*,31855.0,25484.0,1.0,29300.35,34
HCPCS,L8614,COCHLEAR PROCESS*DISC 6336651*,31855.0,25484.0,1.0,29300.35,34
HCPCS,L8614,COCHLEAR PROCESS*DISC 6336652*,31855.0,25484.0,1.0,29300.35,34
HCPCS,L8614,COCHLEAR PROCESS*DISC 6336653*,31855.0,25484.0,1.0,29300.35,34
HCPCS,L8614,COCHLEAR PROFILE+SLIM MODIOLAR,44850.0,35880.0,1.0,40365.0,34
HCPCS,L8614,COCHLEAR ULT 3D HIFOCUS SLIMJ,37625.0,30100.0,1.0,33862.5,34
HCPCS,L8614,PROCESSOR DU*DISC 6317671*,33345.0,26676.0,1.0,30010.5,34
HCPCS,L8614,PROCESSOR DUAL NAIDA CI*NLU*,27414.0,21931.2,1.0,29300.35,34
HCPCS,L8614,PROCESSOR DUAL NAIDACI NE*NLU*,27414.0,21931.2,1.0,29300.35,34
HCPCS,L8614,PROCESSOR DUAL NEPTUNE*NLU*,23650.0,18920.0,1.0,29300.35,34
HCPCS,L8614,PROCESSOR KT DUAL K2,34500.0,27600.0,1.0,31050.0,34
HCPCS,L8614,PROCESSOR KT DUAL K3,28428.0,22742.4,1.0,29300.35,34
HCPCS,L8614,PROCESSOR KT DUAL N7,31855.0,25484.0,1.0,29300.35,34
HCPCS,L8614,PROCESSOR KT DUAL N8,27600.0,22080.0,1.0,29300.35,34
HCPCS,L8614,PROCESSOR NAIDA CI M90,23325.0,18660.0,1.0,29300.35,34
HCPCS,L8615,Coch implant headset replace,,,505.12,693.54,15
HCPCS,L8616,Coch implant microphone repl,,,117.64,161.49,15
HCPCS,L8617,Coch implant trans coil repl,,,102.75,141.07,15
HCPCS,L8618,Coch implant tran cable repl,,,29.37,40.31,15
HCPCS,L8619,Coch imp ext proc/contr rplc,,,9413.83,12578.44,15
HCPCS,L8621,Repl zinc air battery,,,0.69,0.97,15
HCPCS,L8622,Repl alkaline battery,,,0.36,0.49,15
HCPCS,L8623,"Lith ion batt CID,non-earlvl",,,72.45,99.49,15
HCPCS,L8624,"Lith ion batt cid, ear level",,,180.61,247.92,15
HCPCS,L8625,Charger coch impl/aoi battry,,,211.54,290.41,15
HCPCS,L8627,COCHLEAR PROCES1 NUCLEU*DISC*,20000.0,16000.0,6700.0,18000.0,102
HCPCS,L8627,COCHLEAR PROCES1 NUCLEUS*DISC*,20000.0,16000.0,6700.0,18000.0,34
HCPCS,L8627,COCHLEAR PROCES2 NUCLE*DISC*,9000.0,7200.0,3015.0,10655.56,34
HCPCS,L8627,COCHLEAR PROCES2 NUCLEU*DISC*,9000.0,7200.0,3015.0,10655.56,34
HCPCS,L8627,COCHLEAR PROCES2 NUCLEUS*DISC*,9000.0,7200.0,3015.0,10655.56,68
HCPCS,L8628,CID ext controller repl,,,1423.56,1922.88,15
HCPCS,L8629,CID transmit coil and cable,,,200.54,275.31,15
HCPCS,L8630,Metacarpophalangeal implant,,,1.0,668.4,15
HCPCS,L8631,MCP joint repl 2 pc or more,,,1.0,3331.44,15
HCPCS,L8641,Metatarsal joint implant,,,1.0,704.38,15
HCPCS,L8642,Hallux implant,,,1.0,461.05,15
HCPCS,L8658,Interphalangeal joint spacer,,,1.0,614.14,15
HCPCS,L8659,Interphalangeal joint repl,,,1.0,2967.21,15
HCPCS,L8670,GRAFT VASC STRETCH TW4X70*NLU*,5964.0,4771.2,1.0,5367.6,34
HCPCS,L8678,Ext sply implt neurostim,,,1.0,15.0,15
HCPCS,L8679,Imp neurosti pls gn any type,,,1.0,12969.58,15
HCPCS,L8680,Implt neurostim elctr each,,,445.7,445.7,3
HCPCS,L8681,Pt prgrm for implt neurostim,,,1230.08,1628.11,15
HCPCS,L8682,Implt neurostim radiofq rec,,,1.0,9266.57,15
HCPCS,L8683,Radiofq trsmtr for implt neu,,,6035.38,8156.72,15
HCPCS,L8684,Radiof trsmtr implt scrl neu,,,911.16,1206.0,15
HCPCS,L8685,Implt nrostm pls gen sng rec,,,11839.72,11839.72,3
HCPCS,L8686,Implt nrostm pls gen sng non,,,7554.69,7554.69,3
HCPCS,L8687,Implt nrostm pls gen dua rec,,,15408.19,15408.19,3
HCPCS,L8688,Implt nrostm pls gen dua non,,,9831.68,9831.68,3
HCPCS,L8689,External recharg sys intern,,,1931.89,2652.38,15
HCPCS,L8690,ABUTMENT DERMALOCK BAHA 10MM,8606.0,6884.8,1.0,7745.4,34
HCPCS,L8690,ABUTMENT DERMALOCK BAHA 12MM,8606.0,6884.8,1.0,7745.4,34
HCPCS,L8690,ABUTMENT DERMALOCK BAHA 14MM,8606.0,6884.8,1.0,7745.4,34
HCPCS,L8690,ABUTMENT DERMALOCK BAHA 6MM,8606.0,6884.8,1.0,7745.4,34
HCPCS,L8690,ABUTMENT DERMALOCK BAHA 8MM,8606.0,6884.8,1.0,7745.4,34
HCPCS,L8690,ABUTMENT IMPLT BIA400 4MM 10MM,10442.0,8353.6,1.0,9397.8,34
HCPCS,L8690,ABUTMENT IMPLT BIA400 4MM 12MM,10442.0,8353.6,1.0,9397.8,34
HCPCS,L8690,ABUTMENT IMPLT BIA400 4MM 14MM,10442.0,8353.6,1.0,9397.8,34
HCPCS,L8690,ABUTMENT IMPLT BIA400 4MM 6MM,10442.0,8353.6,1.0,9397.8,34
HCPCS,L8690,ABUTMENT IMPLT BIA400 4MM 8MM,10442.0,8353.6,1.0,9397.8,34
HCPCS,L8690,CAP HEALING BAHA W PLUG 30MM,153.0,122.4,1.0,7314.95,34
HCPCS,L8690,CAP HEALING EAR 6.5MM*NLU*,188.0,150.4,1.0,7314.95,34
HCPCS,L8690,COCHLEAR BAHA BI300 3MM,6503.0,5202.4,1.0,7314.95,34
HCPCS,L8690,COCHLEAR BAHA BI300 4MM,6503.0,5202.4,1.0,7314.95,34
HCPCS,L8690,COCHLEAR BAHA BIA300 3MM,9461.0,7568.8,1.0,8514.9,34
HCPCS,L8690,COCHLEAR BAHA BIA300 4MM,9461.0,7568.8,1.0,8514.9,34
HCPCS,L8690,COCHLEAR IMPLT O*DISC 6337215*,14788.0,11830.4,1.0,13309.2,34
HCPCS,L8690,COCHLEAR MAGNET BAHA BIM400,9257.0,7405.6,1.0,8331.3,34
HCPCS,L8690,COCHLEAR OSIA OSI300,16150.0,12920.0,1.0,14535.0,34
HCPCS,L8690,COCHLEAR PROCESS BAHA 6MAX BLK,13209.0,10567.2,1.0,11888.1,34
HCPCS,L8690,COCHLEAR PROCESS BAHA 6MAX BRN,13209.0,10567.2,1.0,11888.1,34
HCPCS,L8690,COCHLEAR PROCESS BAHA 6MAXMINT,13209.0,10567.2,1.0,11888.1,34
HCPCS,L8690,COCHLEAR PROCESS BAHA 6MAXSLVR,13209.0,10567.2,1.0,11888.1,34
HCPCS,L8690,COCHLEAR PROCESSBAHA6MAXBLONDE,13209.0,10567.2,1.0,11888.1,34
HCPCS,L8690,COCHLEAR PROCESSBAHA6MAXCOPPER,13209.0,10567.2,1.0,11888.1,34
HCPCS,L8690,CONN DISC BAHA SOUNDARC*NLU*,188.0,150.4,1.0,7314.95,34
HCPCS,L8690,COV SCREW BAHA CONIC,1373.0,1098.4,1.0,7314.95,34
HCPCS,L8690,DOOR BAT BAHA 5 GRY PK3*NLU*,250.0,200.0,1.0,7314.95,34
HCPCS,L8690,DOOR BAT BAHA 5 TAMPER PR*NLU*,250.0,200.0,1.0,7314.95,34
HCPCS,L8690,DOOR BAT POWER BAHA 5*NLU*,250.0,200.0,1.0,7314.95,34
HCPCS,L8690,DRSG ALLEVYN 5X5CM*NLU*,38.0,30.4,1.0,7314.95,34
HCPCS,L8690,DRSG ALLEVYN SGL 5X5CM,77.0,61.6,1.0,7314.95,34
HCPCS,L8690,EAR ABUTMENT BA210 5.5MM*NLU*,5349.0,4279.2,1.0,7314.95,34
HCPCS,L8690,EAR ABUTMENT BA210 8.5MM*NLU*,6143.0,4914.4,1.0,7314.95,34
HCPCS,L8690,EAR ABUTMENT BA300 12MM,7765.0,6212.0,1.0,7314.95,34
HCPCS,L8690,EAR ABUTMENT BA300 9MM,7765.0,6212.0,1.0,7314.95,34
HCPCS,L8690,EAR ABUTMENT BA3000 6MM*NLU*,6514.0,5211.2,1.0,7314.95,34
HCPCS,L8690,HDGEAR SOFTBAND BIL BAHA *NLU*,534.0,427.2,1.0,7314.95,204
HCPCS,L8690,HDGEAR SOFTBAND BIL BAHAB*NLU*,534.0,427.2,1.0,7314.95,34
HCPCS,L8690,HDGEAR SOFTBAND BIL BAHAJ*NLU*,534.0,427.2,1.0,7314.95,34
HCPCS,L8690,HDGEAR SOFTBAND UNIL BAHA*NLU*,375.0,300.0,1.0,7314.95,204
HCPCS,L8690,HDGEAR SOFTBAND UNILBAHAB*NLU*,375.0,300.0,1.0,7314.95,34
HCPCS,L8690,HDGEAR SOFTBAND UNILBAHAJ*NLU*,375.0,300.0,1.0,7314.95,34
HCPCS,L8690,HDGEAR SOUNDARC BAHA LG*NLU*,413.0,330.4,1.0,7314.95,34
HCPCS,L8690,HDGEAR SOUNDARC BAHA MD*NLU*,413.0,330.4,1.0,7314.95,34
HCPCS,L8690,HDGEAR SOUNDARC BAHA SM*NLU*,413.0,330.4,1.0,7314.95,34
HCPCS,L8690,HDGEAR SOUNDARC BAHA XL*NLU*,413.0,330.4,1.0,7314.95,34
HCPCS,L8690,HDGEAR SOUNDARC BAHA XS*NLU*,413.0,330.4,1.0,7314.95,34
HCPCS,L8690,HEADBAND COCHLEAR BLK LG 58CM,120.0,96.0,1.0,7314.95,34
HCPCS,L8690,HEADBAND COCHLEAR BLK MD 54CM,120.0,96.0,1.0,7314.95,34
HCPCS,L8690,HEADBAND COCHLEAR BLU SM *NLU*,120.0,96.0,1.0,7314.95,34
HCPCS,L8690,HEADBAND COCHLEAR PNK XS *NLU*,120.0,96.0,1.0,7314.95,34
HCPCS,L8690,HEADBAND COCHLEAR PUR MD 54CM,120.0,96.0,1.0,7314.95,34
HCPCS,L8690,HEADBAND COCHLEAR VAN XXS*NLU*,120.0,96.0,1.0,7314.95,34
HCPCS,L8690,KT BAHA ATTRACT MAGNET,1402.0,1121.6,1.0,7314.95,34
HCPCS,L8690,KT SNDPRCSR DUAL OSIA 2I,18515.0,14812.0,1.0,16663.5,34
HCPCS,L8690,KT SNDPRCSR OSIA 2I,15525.0,12420.0,1.0,13972.5,34
HCPCS,L8690,KT SNDPRCSR OSIA*DISC 6337214*,14053.0,11242.4,1.0,12647.7,34
HCPCS,L8690,MAGNET SNDPRCSR OSIA2STRE*NLU*,187.0,149.6,1.0,7314.95,34
HCPCS,L8690,MAGNET SNDPRCSR OSIA2STRENGTH2,187.0,149.6,1.0,7314.95,34
HCPCS,L8690,MAGNET SNDPRCSR OSIA2STRENGTH3,187.0,149.6,1.0,7314.95,34
HCPCS,L8690,MAGNET SNDPRCSR OSIA2STRENGTH4,187.0,149.6,1.0,7314.95,34
HCPCS,L8690,MAGNET SNDPRCSROSIA2ISTRENGTH1,187.0,149.6,1.0,7314.95,34
HCPCS,L8690,MAGNET SNDPRCSROSIA2ISTRENGTH2,187.0,149.6,1.0,7314.95,34
HCPCS,L8690,MAGNET SNDPRCSROSIA2ISTRENGTH3,187.0,149.6,1.0,7314.95,34
HCPCS,L8690,MAGNET SNDPRCSROSIA2ISTRENGTH4,187.0,149.6,1.0,7314.95,34
HCPCS,L8690,PAD SOFTWEAR BAHA*NLU*,11.0,8.8,1.0,7314.95,34
HCPCS,L8690,PROCESSOR AUDIO RT BB SAMBA 2,13750.0,11000.0,1.0,12375.0,34
HCPCS,L8690,PROCESSOR BAHA 5 BLK*NLU*,10645.0,8516.0,1.0,9580.5,34
HCPCS,L8690,PROCESSOR BAHA 5 BLONDE,10369.0,8295.2,1.0,9332.1,34
HCPCS,L8690,PROCESSOR BAHA 5 BRN,10369.0,8295.2,1.0,9332.1,34
HCPCS,L8690,PROCESSOR BAHA 5 COPPER*NLU*,10645.0,8516.0,1.0,9580.5,34
HCPCS,L8690,PROCESSOR BAHA 5 POWER SLVR,10369.0,8295.2,1.0,9332.1,34
HCPCS,L8690,PROCESSOR BAHA 5 SLVR*NLU*,10645.0,8516.0,1.0,9580.5,34
HCPCS,L8690,PROCESSOR BAHA 5 SUPPOWER*NLU*,11288.0,9030.4,1.0,10159.2,34
HCPCS,L8690,SFTY LN HAIR CLIP SHRT DB*NLU*,75.0,60.0,1.0,7314.95,68
HCPCS,L8690,SFTY LN HAIR CLIP SHRT DBL BLK,80.0,64.0,1.0,7314.95,34
HCPCS,L8690,SFTY LN NUCLEUS COCHLEAR 21CM,100.0,80.0,1.0,7314.95,34
HCPCS,L8690,SFTY LN NUCLEUS COCHLEAR 26CM,48.0,38.4,1.0,7314.95,34
HCPCS,L8691,SNDPRCSR PONTO 5 SUPPOWERBGE,9681.0,7744.8,1928.76,8712.9,34
HCPCS,L8692,Non-osseointegrated snd proc,,,2487.65,2487.65,3
HCPCS,L8693,"Aud osseo dev, abutment",,,1698.24,2331.61,15
HCPCS,L8694,Aoi transducer/actuator repl,,,1057.68,1452.18,15
HCPCS,L8695,External recharg sys extern,,,18.68,25.63,15
HCPCS,L8696,Ext antenna phren nerve stim,,,242.73,333.3,15
HCPCS,L8699,PROS TESTICULAR COLOPLAST LG,10115.0,8092.0,1.0,9103.5,26
HCPCS,L8699,SYS PROSTATE UR*DISC 6327857*,4725.0,3780.0,1.0,4252.5,26
HCPCS,L8699,URTHRL UROLIFT 2 CARTRDG,4725.0,3780.0,1.0,4252.5,26
HCPCS,L8699,URTHRL UROLIFT ATC SYS,5400.0,4320.0,1.0,4860.0,26
HCPCS,L8701,Ewh s/d uprt micro sensor,,,32570.22,43109.25,12
HCPCS,L8702,Ewhf s/d uprt micro sensor,,,64080.03,84814.97,12
HCPCS,L9900,O&P supply/accessory/service,,,1.0,1.0,3
HCPCS,M0076,Prolotherapy,,,280.5,280.5,3
HCPCS,M0201,Pne flu hepb cov home admin,,,17.12,48.59,12
HCPCS,M0220,Covid Codes - CPT/HCPCS,,,150.5,150.5,1
HCPCS,M0220,Outpatient Services - CPT/HCPCS,,,69.94,198.46,3
HCPCS,M0221,Covid Codes - CPT/HCPCS,,,250.5,250.5,1
HCPCS,M0221,Outpatient Services - CPT/HCPCS,,,116.41,330.33,3
HCPCS,M0222,Covid Codes - CPT/HCPCS,,,350.5,350.5,1
HCPCS,M0222,Outpatient Services - CPT/HCPCS,,,162.88,462.21,3
HCPCS,M0223,Covid Codes - CPT/HCPCS,,,550.5,550.5,1
HCPCS,M0223,Outpatient Services - CPT/HCPCS,,,255.82,725.95,3
HCPCS,M0224,PEMIVIBART INFUSION,988.0,790.4,261.33,889.2,34
HCPCS,M0235,"Intrav inf, mon anti, fir do",,,427.98,473.03,8
HCPCS,M0236,"Intrav inf, mon anti, sec do",,,427.98,473.03,8
HCPCS,M0237,"Intrav inf, toci, first dose",,,427.98,473.03,8
HCPCS,M0238,"Intrav inf, toci, second dos",,,427.98,473.03,8
HCPCS,M0239,Covid Codes - CPT/HCPCS,,,310.3,310.3,1
HCPCS,M0239,Outpatient Services - CPT/HCPCS,,,21.05,59.74,3
HCPCS,M0240,Covid Codes - CPT/HCPCS,,,449.02,449.02,1
HCPCS,M0240,Outpatient Services - CPT/HCPCS,,,209.35,594.08,3
HCPCS,M0241,Covid Codes - CPT/HCPCS,,,748.72,748.72,1
HCPCS,M0241,Outpatient Services - CPT/HCPCS,,,348.77,989.69,3
HCPCS,M0243,Covid Codes - CPT/HCPCS,,,449.02,449.02,1
HCPCS,M0243,Outpatient Services - CPT/HCPCS,,,209.35,594.08,3
HCPCS,M0244,Covid Codes - CPT/HCPCS,,,748.72,748.72,1
HCPCS,M0244,Outpatient Services - CPT/HCPCS,,,348.77,989.69,3
HCPCS,M0245,Covid Codes - CPT/HCPCS,,,449.02,449.02,1
HCPCS,M0245,Outpatient Services - CPT/HCPCS,,,209.35,594.08,3
HCPCS,M0246,Covid Codes - CPT/HCPCS,,,748.72,748.72,1
HCPCS,M0246,Outpatient Services - CPT/HCPCS,,,348.77,989.69,3
HCPCS,M0247,Covid Codes - CPT/HCPCS,,,450.0,450.0,1
HCPCS,M0247,Outpatient Services - CPT/HCPCS,,,209.35,594.08,3
HCPCS,M0248,Covid Codes - CPT/HCPCS,,,750.0,750.0,1
HCPCS,M0248,Outpatient Services - CPT/HCPCS,,,348.77,989.69,3
HCPCS,M0249,CDMR ADMIN TOCILIZU COVID-19 1ST,950.0,760.0,209.35,855.0,34
HCPCS,M0250,CDMR ADMIN TOCILIZU COVID-19 2ND,1016.0,812.8,209.35,914.4,34
HCPCS,P2028,Cephalin floculation test,,,4.7,13.6,15
HCPCS,P2029,Congo red blood test,,,4.7,13.6,15
HCPCS,P2031,Hair analysis,,,4.7,13.6,15
HCPCS,P2033,Blood thymol turbidity,,,4.7,13.6,15
HCPCS,P2038,Blood mucoprotein,,,4.7,13.6,15
HCPCS,P3000,Screen pap by tech w md supv,,,17.28,49.97,15
HCPCS,P3001,Screening pap smear by phys,,,22.86,41.88,15
HCPCS,P7001,Culture bacterial urine,,,15.5,15.5,3
HCPCS,P9010,WB MANUAL CHARGE,371.0,296.8,98.13,333.9,34
HCPCS,P9010,WHOLE BLOOD FOR TRANSFUSION PER UNIT,709.0,567.2,187.53,638.1,34
HCPCS,P9011,BLOOD PRODUCT SPLIT UNIT P9011,361.0,288.8,95.48,324.9,34
HCPCS,P9011,BLOOD SPLIT PRODUCT P9011,247.0,197.6,65.33,222.3,34
HCPCS,P9012,CRYOPRECIP AHF CON CONTRACT ENC HLTH P9012,60.0,48.0,15.87,66.75,34
HCPCS,P9012,CRYOPRECIP PROC CONTRACT AVERA P9012,62.0,49.6,16.4,66.75,34
HCPCS,P9012,CRYOPRECIP PROC CONTRACT P9012,82.68,66.15,21.87,74.41,34
HCPCS,P9012,CRYOPRECIP PROC OH CONTRACT P9012,56.0,44.8,14.81,66.75,34
HCPCS,P9012,CRYOPRECIPITATE EACH UNIT P9012,486.0,388.8,59.93,437.4,34
HCPCS,P9016,AS-5 LR RBC CONTRACT ENC HLTH P9016,240.0,192.0,63.48,216.0,34
HCPCS,P9016,RBC LR PROC CONTRACT AVERA P9016,176.0,140.8,46.55,191.1,34
HCPCS,P9016,RBC LR PROC OH CONTRACT,190.0,152.0,50.26,191.1,34
HCPCS,P9016,RBC LR PROC UNIT CONTRACT P9016,274.56,219.65,72.62,247.1,34
HCPCS,P9016,RBC LR PROC UNIT P9016,646.0,516.8,170.87,581.4,34
HCPCS,P9016,RBC-LR CONTRACT HAWARDEN P9016,264.0,211.2,69.83,237.6,34
HCPCS,P9017,FRESH FROZ PROC CONTRACT AVERA P9017,59.0,47.2,15.61,88.5,34
HCPCS,P9017,FRESH FROZ PROC CONTRACT P9017,66.04,52.84,17.47,88.5,34
HCPCS,P9017,FRESH FROZ PROC OH CONTRACT P9017,60.0,48.0,15.87,88.5,34
HCPCS,P9017,FRESH FROZEN PLASMA CONTRACT ENC HLTH P9017,69.0,55.2,18.25,88.5,34
HCPCS,P9017,FRESH FRZ PLASM PROC UNITP9017,406.0,324.8,80.05,365.4,34
HCPCS,P9019,PLATELET PROC CONTRACT AVERA P9019,75.0,60.0,19.84,79.76,34
HCPCS,P9019,PLATELET PROC CONTRACT P9019,81.9,65.52,21.66,79.76,34
HCPCS,P9019,PLATELET PROC UNIT P9019,742.0,593.6,65.11,667.8,34
HCPCS,P9020,Plaelet rich plasma unit,,,529.45,585.19,11
HCPCS,P9021,RED BLD CELLS PROC UNIT P9021,602.0,481.6,136.65,541.8,34
HCPCS,P9022,WASHED RBC P9022,821.0,656.8,217.15,738.9,34
HCPCS,P9023,"Frozen plasma, pooled, sd",,,59.19,65.43,11
HCPCS,P9025,Plasma cryo redu path each,,,128.39,309.99,11
HCPCS,P9026,Cryo fib comp path redu each,,,79.4,329.46,11
HCPCS,P9027,Rbc o2 co2 reduced,,,462.75,511.46,8
HCPCS,P9031,PLATELET CON CONTRACT ENC HLTH P9031,77.0,61.6,20.37,132.06,34
HCPCS,P9031,PLATELET PROC OH CONTRACT P9031,68.0,54.4,17.99,132.06,34
HCPCS,P9031,PLT LR PROC UNIT P9031,346.0,276.8,91.52,311.4,34
HCPCS,P9032,"Platelets, irradiated",,,128.99,142.57,11
HCPCS,P9033,PLT LR IRR PROC UNIT P9033,496.0,396.8,131.19,446.4,34
HCPCS,P9034,PLATELET PHERESIS P9034,1737.0,1389.6,322.19,1563.3,34
HCPCS,P9035,PLATELET PHERESIS LEUKOREDUCED EA UNIT P9035,1810.0,1448.0,462.75,1629.0,34
HCPCS,P9036,PLATELET PHERESI IRRAD,2330.0,1864.0,558.27,2097.0,34
HCPCS,P9037,PLATE PHER LEUK RED IRADP9037,2405.0,1924.0,636.12,2164.5,34
HCPCS,P9038,RED BLDCELS IRR PROC UNITP9038,730.0,584.0,141.76,657.0,34
HCPCS,P9039,RBC deglycerolized,,,311.44,686.43,11
HCPCS,P9040,RBC LR IRR PROC UNIT P9040,938.0,750.4,243.01,844.2,34
HCPCS,P9041,"Albumin, Human Inj 5%",425.375,340.29999999999995,10.08,404.55,144
HCPCS,P9043,"Plasma protein fract,5%,50ml",,,7.67,8.47,11
HCPCS,P9044,Cryoprecipitatereducedplasma,,,69.22,154.67,11
HCPCS,P9045,"Albumin, Human Inj 5%",431.5,345.2,47.49,405.9,180
HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,20.17,28.21,17
HCPCS,P9047,"Albumin, Human Inj 25%",419.275,335.41999999999996,50.42,754.65,540
HCPCS,P9048,"Plasmaprotein fract,5%,250ml",,,70.03,102.15,11
HCPCS,P9051,"Blood, l/r, cmv-neg",,,163.59,180.81,11
HCPCS,P9052,PLATELET L R PHERESIS EA UNIT,2881.0,2304.8,721.43,2592.9,34
HCPCS,P9053,"Plt, pher, l/r cmv-neg, irr",,,436.27,518.73,11
HCPCS,P9054,"Blood, l/r, froz/degly/wash",,,215.44,254.56,11
HCPCS,P9055,"Plt, aph/pher, l/r, cmv-neg",,,215.89,251.07,11
HCPCS,P9056,WHOLE BLOOD LEUKOCYTES REDUCED IRRADIATED EA UNIT,1000.0,800.0,79.96,900.0,34
HCPCS,P9057,"RBC, frz/deg/wsh, l/r, irrad",,,461.1,509.64,11
HCPCS,P9058,"RBC, l/r, cmv-neg, irrad",,,211.72,242.12,11
HCPCS,P9059,PLASMA FROZEN WIN 24 HOURS P9059,376.0,300.8,67.54,338.4,34
HCPCS,P9060,Fr frz plasma donor retested,,,46.48,58.15,11
HCPCS,P9070,Pathogen reduced plasma pool,,,31.27,58.92,11
HCPCS,P9071,Pathogen reduced plasma sing,,,231.82,307.16,11
HCPCS,P9073,Platelets pheresis path redu,,,551.85,616.64,11
HCPCS,P9099,Blood component/product noc,,,31.27,51.38,11
HCPCS,P9100,PATHOGEN(S) TEST FOR PLATELETS P9100,178.0,142.4,27.11,160.2,34
HCPCS,P9612,Catheterize for urine spec,,,8.64,24.97,15
HCPCS,P9615,Urine specimen collect mult,,,1.0,24.97,15
HCPCS,Q0035,Cardiokymography,,,17.64,50.45,17
HCPCS,Q0081,Infusion ther other than che,,,21.05,59.74,3
HCPCS,Q0084,Chemotherapy by infusion,,,21.05,59.74,3
HCPCS,Q0085,Chemo by both infusion and o,,,21.05,59.74,3
HCPCS,Q0091,Obtaining screen pap smear,,,13.2,37.46,15
HCPCS,Q0092,Set up port xray equipment,,,1.0,26.96,15
HCPCS,Q0111,Wet mounts/ w preparations,,,17.28,49.97,15
HCPCS,Q0112,Potassium hydroxide preps,,,5.54,16.02,15
HCPCS,Q0113,Pinworm examinations,,,4.06,11.73,15
HCPCS,Q0114,Fern test,,,9.25,26.76,15
HCPCS,Q0115,Post-coital mucous exam,,,23.75,68.68,15
HCPCS,Q0138,Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe),1705.025,1364.025,0.31,2144.74,68
HCPCS,Q0139,Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe),2383.04,1906.44,0.31,2144.74,36
HCPCS,Q0144,Azithromycin For Susp 200 MG/5ML,27.09,21.675,8.89,26.42,104
HCPCS,Q0161,Chlorpromazine hcl 5mg oral,,,1.0,1.0,3
HCPCS,Q0162,Ondansetron HCl Oral Soln 4 MG/5ML,12.24,9.8,1.0,23.21,208
HCPCS,Q0163,Diphenhydramine HCl Cap 25 MG,1.02,0.82,0.27,1.0,26
HCPCS,Q0164,Prochlorperazine maleate 5mg,,,1.0,1.0,3
HCPCS,Q0165,Pharmacy,,,0.03,0.03,4
HCPCS,Q0166,Granisetron HCl Tab 1 MG,2.2750000000000004,1.825,0.55,2.22,78
HCPCS,Q0167,Dronabinol 2.5mg oral,,,1.0,1.0,3
HCPCS,Q0168,Pharmacy,,,7.47,7.47,4
HCPCS,Q0169,Promethazine HCI 12.5mg oral,,,1.0,1.0,3
HCPCS,Q0170,Pharmacy,,,0.09,0.09,4
HCPCS,Q0171,Pharmacy,,,0.01,0.01,4
HCPCS,Q0172,Pharmacy,,,0.03,0.03,4
HCPCS,Q0173,Trimethobenzamide HCI 250mg,,,0.91,0.91,3
HCPCS,Q0174,Outpatient Services - CPT/HCPCS,,,0.51,0.51,3
HCPCS,Q0175,Perphenazine 4mg oral,,,1.0,1.0,3
HCPCS,Q0176,Pharmacy,,,0.49,0.49,4
HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,1.0,1.0,3
HCPCS,Q0178,Pharmacy,,,0.06,0.06,4
HCPCS,Q0180,Dolasetron mesylate oral,,,1.0,1.0,3
HCPCS,Q0181,Unspecified oral anti-emetic,,,1.0,1.0,3
HCPCS,Q0220,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0221,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0221,Pharmacy,,,0.01,0.01,4
HCPCS,Q0222,Covid Codes - CPT/HCPCS,,,2394.0,2394.0,1
HCPCS,Q0222,Outpatient Services - CPT/HCPCS,,,2394.0,2394.0,3
HCPCS,Q0222,Pharmacy,,,2142.0,2142.0,4
HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,6477.0,7600.95,12
HCPCS,Q0237,"Inj, tocilizumab-anoh, hospi",,,4.4,4.4,4
HCPCS,Q0239,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0239,Pharmacy,,,0.01,0.01,4
HCPCS,Q0240,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0243,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0244,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0244,Pharmacy,,,0.01,0.01,4
HCPCS,Q0245,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0247,Covid Codes - CPT/HCPCS,,,2394.0,2394.0,1
HCPCS,Q0247,Outpatient Services - CPT/HCPCS,,,2394.0,2394.0,3
HCPCS,Q0247,Pharmacy,,,2142.0,2142.0,4
HCPCS,Q0249,Tocilizumab for COVID-19,,,6.57,7.95,16
HCPCS,Q0477,Pwr module pt cable lvad rpl,,,868.94,1193.0,15
HCPCS,Q0478,"Power adapter, combo vad",,,205.81,282.56,15
HCPCS,Q0479,"Power module combo vad, rep",,,13443.87,18421.22,15
HCPCS,Q0480,"Driver pneumatic vad, rep",,,94999.95,125739.91,15
HCPCS,Q0481,"Microprcsr cu elec vad, rep",,,16274.23,22343.62,15
HCPCS,Q0482,"Microprcsr cu combo vad, rep",,,5097.39,6998.44,15
HCPCS,Q0483,"Monitor elec vad, rep",,,20998.92,28830.42,15
HCPCS,Q0484,Monitor elec or comb vad rep,,,4077.92,5598.7,15
HCPCS,Q0485,"Monitor cable elec vad, rep",,,393.74,540.59,15
HCPCS,Q0486,Mon cable elec/pneum vad rep,,,327.69,449.87,15
HCPCS,Q0487,"Leads any type vad, rep only",,,382.29,524.85,15
HCPCS,Q0489,"Pwr pck base combo vad, rep",,,18204.94,24994.42,15
HCPCS,Q0490,"Emr pwr source elec vad, rep",,,787.46,1081.11,15
HCPCS,Q0491,Emr pwr source combo vad rep,,,1237.97,1699.7,15
HCPCS,Q0492,"Emr pwr cbl elec vad, rep",,,99.75,136.92,15
HCPCS,Q0493,"Emr pwr cbl combo vad, rep",,,283.98,389.92,15
HCPCS,Q0494,"Emr hd pmp elec/combo, rep",,,240.29,329.94,15
HCPCS,Q0495,"Charger elec/combo vad, rep",,,4678.21,6422.94,15
HCPCS,Q0496,"Battery elec/combo vad, rep",,,1679.1,2305.28,15
HCPCS,Q0497,"Bat clps elec/comb vad, rep",,,524.3,719.89,15
HCPCS,Q0498,"Holster elec/combo vad, rep",,,575.27,789.82,15
HCPCS,Q0499,Belt/vest elec/combo vad rep,,,186.92,256.61,15
HCPCS,Q0500,"Filters elec/combo vad, rep",,,34.18,46.93,15
HCPCS,Q0501,"Shwr cov elec/combo vad, rep",,,571.96,785.3,15
HCPCS,Q0502,"Mobility cart pneum vad, rep",,,728.22,999.73,15
HCPCS,Q0503,Battery pneum vad replacemnt,,,1456.36,1999.54,15
HCPCS,Q0504,"Pwr adpt pneum vad, rep veh",,,768.52,1055.11,15
HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,956.57,1313.34,15
HCPCS,Q0508,Mis sup/acc imp vad,,,52.1,52.1,3
HCPCS,Q0511,"Sup fee antiem,antica,immuno",,,13.2,13.2,3
HCPCS,Q0512,Px sup fee anti-can sub pres,,,8.8,8.8,3
HCPCS,Q0513,Disp fee inhal drugs/30 days,,,33.0,33.0,3
HCPCS,Q0515,Sermorelin acetate injection,,,1.93,1.93,3
HCPCS,Q2004,Bladder calculi irrig sol,,,68.28,193.74,3
HCPCS,Q2009,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),391.84,313.48,5.19,352.68,130
HCPCS,Q2009,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),421.78,337.43,5.19,382.43,156
HCPCS,Q2017,Outpatient Services - CPT/HCPCS,,,2545.87,2545.87,3
HCPCS,Q2026,Radiesse injection,,,167.36,350.09,11
HCPCS,Q2027,Pharmacy,,,4.9,4.9,4
HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,0.47,1.35,11
HCPCS,Q2034,Agriflu vaccine,,,29.96,29.96,3
HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,19.36,23.49,7
HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,8.58,8.58,3
HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,17.69,17.69,3
HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,12.04,19.75,7
HCPCS,Q2039,"Influenza virus vaccine, nos",,,12.04,12.04,3
HCPCS,Q2040,Outpatient Services - CPT/HCPCS,,,208814.35,592548.01,3
HCPCS,Q2040,Pharmacy,,,6.04,6.04,4
HCPCS,Q2041,Axicabtagene ciloleucel car+,,,208814.35,592548.01,15
HCPCS,Q2042,Tisagenlecleucel car-pos t,,,225210.14,647549.43,15
HCPCS,Q2043,Sipuleucel-T auto CD54+,,,52508.71,60486.69,17
HCPCS,Q2049,Imported Lipodox inj,,,424.1,555.3,13
HCPCS,Q2050,Doxorubicin HCl Liposomal Susp (For IV Infusion) 2 MG/ML,3379.84,2703.88,94.03,6154.16,108
HCPCS,Q2051,Pharmacy,,,164.51,164.51,4
HCPCS,Q2052,"Home ivig, services/supplies",,,43.01,43.01,3
HCPCS,Q2053,Brexucabtagene CAR pos T,,,208859.96,592677.44,15
HCPCS,Q2054,Lisocabtagene mara car pos t,,,220021.6,624350.59,15
HCPCS,Q2055,Idecabtagene vicleucel car,,,224666.5,637531.32,15
HCPCS,Q2056,Ciltacabtagene car-pos t,,,230973.1,655427.41,15
HCPCS,Q2057,Afamitresgene autoleucel,,,732089.0,843320.0,12
HCPCS,Q2058,Obecbtge autol up to 400 mil,,,264337.5,535500.0,12
HCPCS,Q3001,Brachytherapy Radioelements,,,28.0,28.0,3
HCPCS,Q3014,TELEHEALTH FACILITY FEE,55.0,44.0,14.55,49.5,26
HCPCS,Q3025,Pharmacy,,,336.12,336.12,4
HCPCS,Q3027,Inj beta interferon im 1 mcg,,,53.88,73.42,15
HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,38.28,42.46,7
HCPCS,Q3031,Collagen skin test,,,1.0,1.0,3
HCPCS,Q4001,Cast sup body cast plaster,,,56.72,76.88,15
HCPCS,Q4002,Cast sup body cast fiberglas,,,214.33,290.48,15
HCPCS,Q4003,Cast sup shoulder cast plstr,,,40.73,55.2,15
HCPCS,Q4004,Cast sup shoulder cast fbrgl,,,141.01,191.11,15
HCPCS,Q4005,Cast sup long arm adult plst,,,15.02,20.36,15
HCPCS,Q4006,Cast sup long arm adult fbrg,,,33.84,45.86,15
HCPCS,Q4007,Cast sup long arm ped plster,,,7.51,10.17,15
HCPCS,Q4008,Cast sup long arm ped fbrgls,,,16.91,22.92,15
HCPCS,Q4009,Cast sup sht arm adult plstr,,,10.03,13.59,15
HCPCS,Q4010,Cast sup sht arm adult fbrgl,,,22.55,30.57,15
HCPCS,Q4011,Cast sup sht arm ped plaster,,,5.0,6.78,15
HCPCS,Q4012,Cast sup sht arm ped fbrglas,,,11.31,15.33,15
HCPCS,Q4013,Cast sup gauntlet plaster,,,18.26,24.75,15
HCPCS,Q4014,Cast sup gauntlet fiberglass,,,30.78,41.72,15
HCPCS,Q4015,Cast sup gauntlet ped plster,,,9.14,12.39,15
HCPCS,Q4016,Cast sup gauntlet ped fbrgls,,,15.38,20.85,15
HCPCS,Q4017,Cast sup lng arm splint plst,,,10.55,14.3,15
HCPCS,Q4018,Cast sup lng arm splint fbrg,,,16.81,22.78,15
HCPCS,Q4019,Cast sup lng arm splnt ped p,,,5.28,7.15,15
HCPCS,Q4020,Cast sup lng arm splnt ped f,,,8.45,11.44,15
HCPCS,Q4021,Cast sup sht arm splint plst,,,7.81,10.59,15
HCPCS,Q4022,Cast sup sht arm splint fbrg,,,14.1,19.11,15
HCPCS,Q4023,Cast sup sht arm splnt ped p,,,3.92,5.32,15
HCPCS,Q4024,Cast sup sht arm splnt ped f,,,7.06,9.57,15
HCPCS,Q4025,Cast sup hip spica plaster,,,43.77,59.32,15
HCPCS,Q4026,Cast sup hip spica fiberglas,,,136.72,185.3,15
HCPCS,Q4027,Cast sup hip spica ped plstr,,,21.91,29.69,15
HCPCS,Q4028,Cast sup hip spica ped fbrgl,,,68.4,92.71,15
HCPCS,Q4029,Cast sup long leg plaster,,,33.49,45.39,15
HCPCS,Q4030,Cast sup long leg fiberglass,,,88.15,119.48,15
HCPCS,Q4031,Cast sup lng leg ped plaster,,,16.73,22.67,15
HCPCS,Q4032,Cast sup lng leg ped fbrgls,,,44.08,59.74,15
HCPCS,Q4033,Cast sup lng leg cylinder pl,,,31.25,42.35,15
HCPCS,Q4034,Cast sup lng leg cylinder fb,,,77.67,105.27,15
HCPCS,Q4035,Cast sup lngleg cylndr ped p,,,15.62,21.16,15
HCPCS,Q4036,Cast sup lngleg cylndr ped f,,,38.86,52.67,15
HCPCS,Q4037,Cast sup shrt leg plaster,,,19.03,25.79,15
HCPCS,Q4038,Cast sup shrt leg fiberglass,,,47.73,64.69,15
HCPCS,Q4039,Cast sup shrt leg ped plster,,,9.55,12.94,15
HCPCS,Q4040,Cast sup shrt leg ped fbrgls,,,23.86,32.34,15
HCPCS,Q4041,Cast sup lng leg splnt plstr,,,23.17,31.41,15
HCPCS,Q4042,Cast sup lng leg splnt fbrgl,,,39.56,53.62,15
HCPCS,Q4043,Cast sup lng leg splnt ped p,,,11.59,15.7,15
HCPCS,Q4044,Cast sup lng leg splnt ped f,,,19.81,26.85,15
HCPCS,Q4045,Cast sup sht leg splnt plstr,,,13.45,18.23,15
HCPCS,Q4046,Cast sup sht leg splnt fbrgl,,,21.63,29.32,15
HCPCS,Q4047,Cast sup sht leg splnt ped p,,,6.7,9.08,15
HCPCS,Q4048,Cast sup sht leg splnt ped f,,,10.83,14.67,15
HCPCS,Q4049,"Finger splint, static",,,2.44,3.31,15
HCPCS,Q4050,Cast supplies unlisted,,,21.53,21.53,3
HCPCS,Q4051,Splint supplies misc,,,14.86,14.86,3
HCPCS,Q4074,Iloprost non-comp unit dose,,,146.67,146.67,3
HCPCS,Q4081,Epoetin Alfa Inj 10000 Unit/ML,450.0,360.0,1.0,540.0,104
HCPCS,Q4081,Epoetin Alfa Inj 2000 Unit/ML,60.0,48.0,1.0,54.0,52
HCPCS,Q4081,Epoetin Alfa Inj 3000 Unit/ML,69.0,55.2,1.0,81.0,52
HCPCS,Q4100,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,Q4101,ALLO SKIN DISC APLIGRAF44SQCM,509.0,407.2,1.0,458.1,26
HCPCS,Q4102,DRSG PERFD OASIS XL20X30=600SQ,35.0,28.0,1.0,31.5,26
HCPCS,Q4102,DRSG WND OASIS FEN 3X7CM=21SQ,87.0,69.6,1.0,78.3,26
HCPCS,Q4102,DRSG WND OASIS FEN3X3.5CM=11SQ,521.0,416.8,1.0,468.9,26
HCPCS,Q4103,DRSG BURN OASIS 3X3.5CM=11SQCM,136.0,108.8,1.0,122.4,26
HCPCS,Q4103,DRSG BURN OASIS 5X7CM=35SQ,92.0,73.6,1.0,82.8,26
HCPCS,Q4103,DRSG BURN OASIS 7X20=140SQCM,62.0,49.6,1.0,55.8,26
HCPCS,Q4104,DRSG MTX BILYR 2X2=26SQCM,424.0,339.2,1.0,381.6,26
HCPCS,Q4104,DRSG MTX BILYR 4X5=130SQCM,148.0,118.4,1.0,133.2,26
HCPCS,Q4104,DRSG MTX BILYR 8X10IN=517*NLU*,66.0,52.8,1.0,59.4,26
HCPCS,Q4104,DRSG MTX BILYR MESH 2X2=26SQCM,518.0,414.4,1.0,466.2,26
HCPCS,Q4104,DRSG MTX BILYR MESH4X5=130SQCM,181.0,144.8,1.0,162.9,26
HCPCS,Q4104,DRSG MTX BILYRMESH4X10=258SQCM,91.0,72.8,1.0,81.9,26
HCPCS,Q4104,DRSG MTX BILYRMESH8X10=516SQCM,70.0,56.0,1.0,63.0,26
HCPCS,Q4105,GRAFT DERM OMNIGRAFT 4X4=16SQ,414.0,331.2,1.0,372.6,26
HCPCS,Q4105,GRAFT DERMOMNIGRAFT2.5X2.5=7SQ,1026.0,820.8,1.0,923.4,26
HCPCS,Q4106,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,Q4107,ALLO GRAFTJACKET1 5X10CM*NLU*,317.0,253.6,1.0,285.3,26
HCPCS,Q4108,DRSG WND MTX 2X2IN=26S*NLU*,478.0,382.4,1.0,430.2,26
HCPCS,Q4108,DRSG WND MTX 4X5IN=130S*NLU*,160.0,128.0,1.0,144.0,26
HCPCS,Q4108,DRSG WND MTXTHN4X5IN =13*NLU*,170.0,136.0,1.0,153.0,26
HCPCS,Q4110,GRAFT PRIMTX 10X25CM=250*NLU*,91.0,72.8,1.0,81.9,26
HCPCS,Q4110,GRAFT PRIMTX 20X25CM=500*NLU*,62.0,49.6,1.0,55.8,26
HCPCS,Q4110,GRAFT PRIMTX 4X4CM=16SQ,360.0,288.0,1.0,324.0,26
HCPCS,Q4110,GRAFT PRIMTX 5X5CM=25SQ,220.0,176.0,1.0,198.0,26
HCPCS,Q4110,GRAFT PRIMTX 8X12CM=96SQ,166.67,133.34,1.0,150.0,26
HCPCS,Q4110,GRAFT PRIMTX 8X8CM=64SQ,171.88,137.51,1.0,154.69,26
HCPCS,Q4110,GRAFT PRIMTX AG 8X8CM=48SQ,237.19,189.76,1.0,213.47,26
HCPCS,Q4110,GRAFT PRIMTX AG FEN 4X4CM=16SQ,372.6,298.08,1.0,335.34,26
HCPCS,Q4110,GRAFT PRIMTX FEN 4X4CM=16SQ,324.0,259.2,1.0,291.6,26
HCPCS,Q4110,GRAFT PRIMTX FEN 6X6CM=36SQ,187.5,150.0,1.0,168.75,26
HCPCS,Q4111,ALLO GAMMAGRAFT 1.5X1.5=3SQ,320.0,256.0,1.0,288.0,26
HCPCS,Q4111,ALLO GAMMAGRAFT 2.5X3=8Q,175.0,140.0,1.0,157.5,26
HCPCS,Q4111,ALLO GAMMAGRAFT 4X4.5=18SQ,111.11,88.89,1.0,100.0,26
HCPCS,Q4111,ALLO GAMMAGRAFT 7X8+5X12=116SQ,27.59,22.08,1.0,24.83,26
HCPCS,Q4112,Cymetra injectable,,,1.0,1.0,3
HCPCS,Q4113,Graftjacket xpress,,,1.0,1.0,3
HCPCS,Q4114,Integra flowable wound matri,,,1.0,1.0,3
HCPCS,Q4115,Alloskin,,,1.0,1.0,3
HCPCS,Q4116,ALLO ALLOD 1.02M*DISC 6324331*,221.0,176.8,1.0,198.9,26
HCPCS,Q4116,ALLO ALLOD 16X20=320SQCM*DISC*,87.0,69.6,1.0,78.3,26
HCPCS,Q4116,ALLO ALLOD 1X2CM*DISC 6324329*,600.0,480.0,1.0,540.0,26
HCPCS,Q4116,ALLO ALLOD 4X7CM*DISC 6324332*,221.0,176.8,1.0,198.9,26
HCPCS,Q4116,ALLO ALLOD 6X12CM=72SQ*DISC*,138.0,110.4,1.0,124.2,26
HCPCS,Q4116,ALLO ALLOD 8X16=128SQCM*DISC*,145.0,116.0,1.0,130.5,26
HCPCS,Q4116,ALLO ALLOD 8X16CM=128SQ*DISC*,145.0,116.0,1.0,130.5,26
HCPCS,Q4116,ALLO ALLOD MD 16X20=320SQCM,92.0,73.6,1.0,82.8,26
HCPCS,Q4116,ALLO ALLOD MD 1X2=2SQCM,616.0,492.8,1.0,554.4,26
HCPCS,Q4116,ALLO ALLOD MD 4X7=28SQCM,225.43,180.35,1.0,202.89,26
HCPCS,Q4116,ALLO ALLOD MD 5X10=50SQCM,140.5,112.4,1.0,126.45,26
HCPCS,Q4116,ALLO ALLOD MD 9.6X19.3=132SQCM,153.0,122.4,1.0,137.7,26
HCPCS,Q4116,ALLO ALLOD MD11.8X23.7=200SQCM,91.73,73.39,1.0,82.56,26
HCPCS,Q4116,ALLO ALLOD RTU 6X12CM=72*NLU*,137.6,110.08,1.0,123.84,26
HCPCS,Q4116,ALLO ALLOD RTU 6X16CM=96*NLU*,145.0,116.0,1.0,130.5,26
HCPCS,Q4116,ALLO ALLOD T*DISC 6322740*,440.0,352.0,1.0,396.0,26
HCPCS,Q4116,ALLO ALLOD THICK 12X16=192SQCM,89.0,71.2,1.0,80.1,26
HCPCS,Q4116,ALLO ALLOD THICK 12X20=240SQCM,89.0,71.2,1.0,80.1,26
HCPCS,Q4116,ALLO ALLOD THICK 16X20=320SQCM,92.0,73.6,1.0,82.8,26
HCPCS,Q4116,ALLO ALLOD THIN 4X7=28SQCM,225.43,180.35,1.0,202.89,26
HCPCS,Q4116,ALLO ALLOD THIN 6X16=96SQCM,148.0,118.4,1.0,133.2,26
HCPCS,Q4116,ALLO ALLOD THIN 8X16=128SQCM,148.0,118.4,1.0,133.2,26
HCPCS,Q4116,ALLO ALLOD THK9.6X19.3=132SQCM,153.0,122.4,1.0,137.7,26
HCPCS,Q4116,ALLO ALLOD XTHK 1X4=4SQCM,516.0,412.8,1.0,464.4,26
HCPCS,Q4116,ALLO ALLOD XTHK 4X7=28SQCM,225.43,180.35,1.0,202.89,26
HCPCS,Q4116,ALLO ALLOD XTHN 2X4=8SQCM,448.0,358.4,1.0,403.2,26
HCPCS,Q4116,ALLO ALLOD9.6X19.3=132SQ*DISC*,150.0,120.0,1.0,135.0,26
HCPCS,Q4116,ALLO ALLODRESTO22.2X26.1=400SQ,103.0,82.4,1.0,92.7,26
HCPCS,Q4116,ALLO PERFD XTHICK16X20CM=320CM,92.0,73.6,1.0,82.8,26
HCPCS,Q4116,ALLO PERFRESTO22.2X26.1=400SQ,106.0,84.8,1.0,95.4,26
HCPCS,Q4116,ALLO PREF RESTORE15X18CM=270SQ,157.0,125.6,1.0,141.3,26
HCPCS,Q4116,ALLO SELECT RESTORE MDTHK327SQ,106.0,84.8,1.0,95.4,26
HCPCS,Q4116,ALLO SELECT RESTORE XTHK 327SQ,106.0,84.8,1.0,95.4,26
HCPCS,Q4116,ALLOALLOD THICK 3X7=21SQCM,291.0,232.8,1.0,261.9,26
HCPCS,Q4116,ALLOALLOD THICK 4X7=28SQCM,225.43,180.35,1.0,202.89,26
HCPCS,Q4117,MTX HYALOMTX 5X5CM=25SQ*DISC*,85.0,68.0,1.0,76.5,26
HCPCS,Q4118,MESH GENTRIXINCISION4X6C*NLU*,118.0,94.4,1.0,106.2,26
HCPCS,Q4118,MESHGENTRIXINCISION4X10CM*NLU*,118.0,94.4,1.0,106.2,26
HCPCS,Q4118,MESHGENTRIXINCISION4X15CM*NLU*,118.0,94.4,1.0,106.2,26
HCPCS,Q4118,MESHGENTRIXINCISION6X15CM*NLU*,74.0,59.2,1.0,66.6,26
HCPCS,Q4118,PTCL WND MICROMATRIX 200MG,22.64,18.12,1.0,20.38,26
HCPCS,Q4118,PTCL WND MICROMATRIX 30MG,27.42,21.94,1.0,24.68,26
HCPCS,Q4118,PTCL WND MICROMATRIX 500MG,13.03,10.43,1.0,11.73,26
HCPCS,Q4118,WND PTCL MICR*DISC 6315183*,17.0,13.6,1.0,15.3,26
HCPCS,Q4118,WND PTCL MICROMATRIX 1000MG,11.93,9.55,1.0,10.74,26
HCPCS,Q4118,WND PTCL MICROMATRIX 100MG,22.64,18.12,1.0,20.38,26
HCPCS,Q4118,WND PTCL MICROMATRIX 20MG,37.06,29.65,1.0,33.35,26
HCPCS,Q4121,ALLO DERM THERASKIN 2X3=3*NLU*,163.0,130.4,1.0,146.7,26
HCPCS,Q4122,ALLO DERMACELL0.6 8X20CM=160SQ,145.0,116.0,1.0,130.5,26
HCPCS,Q4122,ALLODERMACELL0.75 8X16CM=128SQ,145.0,116.0,1.0,130.5,26
HCPCS,Q4122,ALLODERMACELL0.75 8X20CM=160SQ,148.0,118.4,1.0,133.2,26
HCPCS,Q4122,ALLODERMACELL0.8 16X20CM=320SQ,89.0,71.2,1.0,80.1,26
HCPCS,Q4122,ALLODERMACELL0.8 20X20CM=400SQ,89.0,71.2,1.0,80.1,26
HCPCS,Q4122,ALLODERMACELL1.3 16X20CM=320SQ,89.0,71.2,1.0,80.1,26
HCPCS,Q4122,ALLODERMACELL1.3 20X20CM=400SQ,89.0,71.2,1.0,80.1,26
HCPCS,Q4122,ALLODERMACELLMICP16X20CM=320SQ,89.0,71.2,1.0,80.1,26
HCPCS,Q4122,ALLODERMACELLMICP8X16CM=128SQ,145.0,116.0,1.0,130.5,26
HCPCS,Q4123,Alloskin,,,1.0,1.0,3
HCPCS,Q4124,DRSG TRILYR OASIS 3X3.5=10.5SQ,112.25,89.8,1.0,101.03,26
HCPCS,Q4124,DRSG TRILYR OASIS 5X7CM=35SQ,303.0,242.4,1.0,272.7,26
HCPCS,Q4124,DRSG TRILYR OASIS7X20=140SQCM,58.0,46.4,1.0,52.2,26
HCPCS,Q4125,ALLO AFLEX 0.5MM 3X4CM=12SQ,589.0,471.2,1.0,530.1,26
HCPCS,Q4125,ALLO AFLEX 1.5MM 2.0X2.5CM=5SQ,1097.25,877.8,1.0,987.53,26
HCPCS,Q4125,ALLO AFLEX 1.5MM 4X7CM=28SQ,380.0,304.0,1.0,342.0,26
HCPCS,Q4125,ALLO AFLEX 1.5MM 5X9CM=45SQ,306.0,244.8,1.0,275.4,26
HCPCS,Q4125,ALLO AFLEX 2 0.0X10X14MM=3SQ,1496.0,1196.8,1.0,1346.4,26
HCPCS,Q4125,ALLO AFLEX 2MM 2.5X3.0CM=8SQ,1063.13,850.51,1.0,956.82,26
HCPCS,Q4125,ALLO AFLEX 3.0MM 4X7CM=28SQ,729.0,583.2,1.0,656.1,26
HCPCS,Q4125,ALLO AFLEX 3.0MM 5X6CM=30SQ,648.0,518.4,1.0,583.2,26
HCPCS,Q4125,ALLO AFLEX 4.0MM 4X7CM=28SQ,800.25,640.2,1.0,720.23,26
HCPCS,Q4125,ALLO AFLEX 4MM 2.0X3.0CM=6SQ,1288.0,1030.4,1.0,1159.2,26
HCPCS,Q4126,Memoderm/derma/tranz/integup,,,1.0,1.0,3
HCPCS,Q4127,Talymed,,,1.0,1.0,3
HCPCS,Q4128,ALLO ALLOPATCH DERMAL2X2CM=4SQ,1208.0,966.4,1.0,1087.2,26
HCPCS,Q4128,ALLO ALLOPATCH HD 2X5CM=10SQ,271.0,216.8,1.0,243.9,26
HCPCS,Q4128,ALLO ALLOPATCH HD 4X4CM=16SQ,466.0,372.8,1.0,419.4,26
HCPCS,Q4128,ALLO ALLOPATCH HD 4X8CM=32SQ,262.0,209.6,1.0,235.8,26
HCPCS,Q4128,ALLO ALLOPATCH HD 5X5CM=25SQ,287.0,229.6,1.0,258.3,26
HCPCS,Q4128,ALLO ALLOPATCH HDTHK4X8CM=32SQ,265.0,212.0,1.0,238.5,26
HCPCS,Q4128,ALLO ALLOPATCH HDULT4X8CM=32SQ,315.0,252.0,1.0,283.5,26
HCPCS,Q4128,ALLO ALLOPATCH MESH 4X4CM=16SQ,558.0,446.4,1.0,502.2,26
HCPCS,Q4128,ALLO ALLOPATCH PLIABLE 2X2=4SQ,1298.0,1038.4,1.0,1168.2,26
HCPCS,Q4128,ALLO ALLOPATCH PLIABLE4X8=32SQ,243.0,194.4,1.0,218.7,26
HCPCS,Q4128,ALLO DERM FLEXHD 16X20CM=320SQ,81.0,64.8,1.0,72.9,26
HCPCS,Q4130,MESH STRATTICE PERF10X16=*NLU*,127.0,101.6,1.0,114.3,26
HCPCS,Q4130,MESH STRATTICECONT9X18.5CM=167,56.0,44.8,1.0,50.4,26
HCPCS,Q4130,MESHSTRATTICECONT12X22CM=264SQ,39.0,31.2,1.0,35.1,26
HCPCS,Q4132,ALLO GRAFIX CORE 1.5X2CM=3SQ,2112.0,1689.6,1.0,1900.8,26
HCPCS,Q4132,ALLO GRAFIX CORE 16MM=2SQ,1782.0,1425.6,1.0,1603.8,26
HCPCS,Q4132,ALLO GRAFIX CORE 3X4CM=12SQ,506.0,404.8,1.0,455.4,26
HCPCS,Q4132,ALLO GRAFIX CORE 5X5CM=25SQ,540.0,432.0,1.0,486.0,26
HCPCS,Q4132,ALLO GRAFIX CORE*DISC NO REPL*,1327.0,1061.6,1.0,1194.3,26
HCPCS,Q4132,ALLO GRAFIX XC 7.5X15CM=112SQ,243.0,194.4,1.0,218.7,26
HCPCS,Q4133,ALLO GRAFIX PRIME 16MM=2SQ,1542.0,1233.6,1.0,1387.8,26
HCPCS,Q4133,ALLO GRAFIX PRIME 2X3CM=6SQ,1234.0,987.2,1.0,1110.6,26
HCPCS,Q4133,ALLO GRAFIX PRIME 3X4CM=12SQ,501.0,400.8,1.0,450.9,26
HCPCS,Q4133,ALLO GRAFIX PRIME 5X5CM=25SQ,524.0,419.2,1.0,471.6,26
HCPCS,Q4133,ALLO GRAFIX PRIME1.5X2CM=3SQ,1987.0,1589.6,1.0,1788.3,26
HCPCS,Q4133,ALLO GRAFIX XCPL 5X5CM=25SQ,365.0,292.0,1.0,328.5,26
HCPCS,Q4133,ALLO GRAFIX XCPL 7X7CM=49SQ,193.88,155.11,1.0,174.49,26
HCPCS,Q4133,ALLO GRAFIXPL PRIME 16MM=2CM,1542.0,1233.6,1.0,1387.8,26
HCPCS,Q4133,ALLO GRAFIXPL PRIME 2X3CM=6SQ,1234.0,987.2,1.0,1110.6,26
HCPCS,Q4133,ALLO GRAFIXPL PRIME 3X3CM=9SQ,606.0,484.8,1.0,545.4,26
HCPCS,Q4133,ALLO GRAFIXPL PRIME 3X4CM=12SQ,501.0,400.8,1.0,450.9,26
HCPCS,Q4133,ALLO GRAFIXPL PRIME 5X5CM=25SQ,524.0,419.2,1.0,471.6,26
HCPCS,Q4133,ALLO GRAFIXPL PRIME1.5X2CM=3SQ,1987.0,1589.6,1.0,1788.3,26
HCPCS,Q4133,ALLO PLACNTAMEM4X4=16*VAT NLU*,1375.0,1100.0,1.0,1237.5,26
HCPCS,Q4133,ALLO STRAVIX 2X2CM=4SQ,1820.0,1456.0,1.0,1638.0,26
HCPCS,Q4133,ALLO STRAVIX 2X4CM=8SQ,1036.0,828.8,1.0,932.4,26
HCPCS,Q4133,ALLO STRAVIX 3X6CM=18SQ,808.0,646.4,1.0,727.2,26
HCPCS,Q4133,ALLO STRAVIX MESHED 3X6CM=18SQ,808.0,646.4,1.0,727.2,26
HCPCS,Q4133,ALLO STRAVIX PL 2X2CM=4SQ,1820.0,1456.0,1.0,1638.0,26
HCPCS,Q4133,ALLO STRAVIX PL 3X6CM=18SQ,808.0,646.4,1.0,727.2,26
HCPCS,Q4134,Hmatrix,,,1.0,1.0,3
HCPCS,Q4135,Mediskin,,,1.0,1.0,3
HCPCS,Q4136,Ezderm,,,1.0,1.0,3
HCPCS,Q4137,ALLO AMNIOEXCEL 2X3CM=6SQCM,1248.0,998.4,1.0,1123.2,26
HCPCS,Q4137,ALLO AMNIOEXCEL 4X4CM=16SQCM,332.0,265.6,1.0,298.8,26
HCPCS,Q4137,ALLO AMNIOEXCEL 4X8CM=32SQCM,207.0,165.6,1.0,186.3,26
HCPCS,Q4137,ALLO AMNIOEXCEL DISK15MM=2SQCM,1248.0,998.4,1.0,1123.2,26
HCPCS,Q4137,ALLO AMNIOEXCEL DISK18MM=3SQCM,1664.0,1331.2,1.0,1497.6,26
HCPCS,Q4138,"Biodfence dryflex, 1cm",,,1.0,1.0,3
HCPCS,Q4139,ALLO AMNIOMATRIX 1.0ML,7500.0,6000.0,1.0,6750.0,26
HCPCS,Q4139,ALLO AMNIOMATRIX 2.0ML,4500.0,3600.0,1.0,4050.0,26
HCPCS,Q4139,ALLO AMNIOMATRIX 3.0ML,3500.0,2800.0,1.0,3150.0,26
HCPCS,Q4140,Biodfence 1cm,,,1.0,1.0,3
HCPCS,Q4141,"Alloskin ac, 1 cm",,,1.0,1.0,3
HCPCS,Q4142,GRAFT XCM BIOLOGIC 20X30=600SQ,71.58,57.27,1.0,64.42,26
HCPCS,Q4142,GRAFT XCM BIOLOGIC 8X12=216SQ,53.0,42.4,1.0,47.7,26
HCPCS,Q4142,GRAFT XCM BIOLOGIC 8X16=128SQ,119.3,95.44,1.0,107.37,26
HCPCS,Q4142,GRAFT XCM BIOLOGIC10X16=160SQ,123.24,98.6,1.0,110.92,26
HCPCS,Q4142,GRAFT XCM BIOLOGIC10X20=200SQ,77.0,61.6,1.0,69.3,26
HCPCS,Q4143,"Repriza, 1cm",,,1.0,1.0,3
HCPCS,Q4145,"Epifix, inj, 1mg",,,1.0,1.0,3
HCPCS,Q4146,"Tensix, 1cm",,,1.0,1.0,3
HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,1.0,1.0,3
HCPCS,Q4148,ALLO NEOX CORD 1K 3X4CM=12SQCM,703.0,562.4,1.0,632.7,26
HCPCS,Q4148,ALLO NEOX CORD 1K 8X3CM=24SQ,703.0,562.4,1.0,632.7,26
HCPCS,Q4149,"Excellagen, 0.1 cc",,,1.0,1.0,3
HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,1.0,1.0,3
HCPCS,Q4151,ALLO AMINOBAND MEMB 3X8CM=24SQ,507.0,405.6,1.0,456.3,26
HCPCS,Q4151,ALLO AMNIOBAND DISK 10MM=1SQ,1321.0,1056.8,1.0,1188.9,26
HCPCS,Q4151,ALLO AMNIOBAND MEMB 3X4CM=12SQ,607.0,485.6,1.0,546.3,26
HCPCS,Q4151,ALLO AMNIOBAND MEMB 4X4CM,743.0,594.4,1.0,668.7,26
HCPCS,Q4152,Dermapure 1 square cm,,,1.0,1.0,3
HCPCS,Q4153,"Dermavest, plurivest sq cm",,,1.0,1.0,3
HCPCS,Q4154,Biovance 1 square cm,,,1.0,1.0,3
HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,1.0,1.0,3
HCPCS,Q4156,Neox 100 or clarix 100,,,1.0,1.0,3
HCPCS,Q4157,Revitalon 1 square cm,,,1.0,1.0,3
HCPCS,Q4158,GRAFT WND MARIGEN 3X3.5=11SQCM,584.8,467.84,1.0,526.32,26
HCPCS,Q4158,GRAFT WND MARIGEN 3X7=21SQ,305.38,244.31,1.0,274.84,26
HCPCS,Q4158,GRAFT WND MARIGEN 5X7=35SQ,225.89,180.72,1.0,203.3,26
HCPCS,Q4158,GRAFT WND MARIGEN 7X8=56SQCM,249.38,199.51,1.0,224.44,26
HCPCS,Q4158,GRAFT WND MARIGEN FEN 3X7=21SQ,327.64,262.12,1.0,294.88,26
HCPCS,Q4158,GRAFT WND MARIGEN MICRO 19SQCM,290.13,232.11,1.0,261.12,26
HCPCS,Q4158,GRAFT WND MARIGEN MICRO 38SQCM,251.45,201.16,1.0,226.31,26
HCPCS,Q4158,GRAFT WND MARIGEN MICRO 4SQCM,1168.2,934.56,1.0,1051.38,26
HCPCS,Q4158,GRAFT WND MARIGEN MICRO 8SQCM,689.7,551.76,1.0,620.73,26
HCPCS,Q4158,GRAFT WND MARIGENCIR16MM=2SQCM,2200.0,1760.0,1.0,1980.0,26
HCPCS,Q4158,GRAFT WND MARIGENFEN3X3.5=11SQ,627.2,501.76,1.0,564.48,26
HCPCS,Q4158,GRAFT WND SURGICLOSE 2:1 126SQ,164.46,131.57,1.0,148.01,26
HCPCS,Q4158,GRAFT WND SURGICLOSE 2:1 252SQ,89.58,71.67,1.0,80.62,26
HCPCS,Q4158,GRAFT WND SURGICLOSE 2:1 43SQ,189.98,151.99,1.0,170.98,26
HCPCS,Q4158,GRAFT WND SURGICLOSE 2:1 86SQ,177.65,142.12,1.0,159.89,26
HCPCS,Q4158,GRAFT WND SURGICLOSE STD 70SQ,257.4,205.92,1.0,231.66,26
HCPCS,Q4158,GRAFTWNDMARIGEN1.75X1.75=4SQCM,1168.2,934.56,1.0,1051.38,26
HCPCS,Q4159,ALLOAMNIOTAFFINI*DISC 6336352*,2250.0,1800.0,1.0,2025.0,26
HCPCS,Q4159,ALLOAMNIOTAFFINITY2.5X2.5=7,829.0,663.2,1.0,746.1,26
HCPCS,Q4160,Nushield 1 square cm,,,1.0,1.0,3
HCPCS,Q4161,Bio-connekt per square cm,,,1.0,1.0,3
HCPCS,Q4162,"Wndex flw, bioskn flw, 0.5cc",,,1.0,1.0,3
HCPCS,Q4163,"Woundex, bioskin, per sq cm",,,1.0,1.0,3
HCPCS,Q4164,"Helicoll, per square cm",,,1.0,1.0,3
HCPCS,Q4165,"Keramatrix, kerasorb sq cm",,,1.0,1.0,3
HCPCS,Q4166,MTX FEN ACELL 7X*DISC 6292497*,28.0,22.4,1.0,25.2,26
HCPCS,Q4166,WND CYTAL 3X*DISC 6315187*,45.0,36.0,1.0,40.5,26
HCPCS,Q4166,WND CYTAL 3X7CM*DISC 6315185*,46.0,36.8,1.0,41.4,26
HCPCS,Q4166,WND MTX BURN CYTAL 5X5CM=25SQ,240.41,192.33,1.0,216.37,26
HCPCS,Q4166,WND MTX BURN CYTAL 7X10CM=70SQ,78.9,63.12,1.0,71.01,26
HCPCS,Q4166,WND MTX BURNCYTAL10X15CM=150SQ,66.27,53.02,1.0,59.64,26
HCPCS,Q4166,WND MTX CYTAL 1LYR 3X7CM=21SQ,49.9,39.92,1.0,44.91,26
HCPCS,Q4166,WND MTX CYTAL 1LYR 7X10CM=70SQ,34.4,27.52,1.0,30.96,26
HCPCS,Q4166,WND MTX CYTAL 1LYR3X3.5CM=11SQ,67.37,53.9,1.0,60.63,26
HCPCS,Q4166,WND MTX CYTAL 3LYR 16X25CM=400,48.98,39.19,1.0,44.08,26
HCPCS,Q4166,WND MTX CYTAL 3LYR 16X35CM=560,44.04,35.24,1.0,39.64,26
HCPCS,Q4166,WND MTX CYTAL 3LYR 7X10CM=70SQ,143.61,114.89,1.0,129.25,26
HCPCS,Q4166,WND MTX CYTAL 6LYR 5X5CM=25SQ,238.62,190.9,1.0,214.76,26
HCPCS,Q4166,WND MTX CYTAL 6LYR 7X10CM=70SQ,191.24,153.0,1.0,172.12,26
HCPCS,Q4166,WND MTX CYTAL TLYR 5X5CM=25SQ,287.0,229.6,1.0,258.3,26
HCPCS,Q4166,WND MTX CYTAL1LYR10X15CM=150SQ,36.16,28.93,1.0,32.54,26
HCPCS,Q4166,WND MTX CYTAL6LYR10X15CM=150SQ,153.14,122.52,1.0,137.83,26
HCPCS,Q4167,"Truskin, per sq centimeter",,,1.0,1.0,3
HCPCS,Q4168,"Amnioband, 1 mg",,,1.0,1.0,3
HCPCS,Q4169,"Artacent wound, per sq cm",,,1.0,1.0,3
HCPCS,Q4170,"Cygnus, per sq cm",,,1.0,1.0,3
HCPCS,Q4171,"Interfyl, 1 mg",,,1.0,1.0,3
HCPCS,Q4172,Pharmacy,,,77.92,77.92,4
HCPCS,Q4173,Palingen or palingen xplus,,,1.0,1.0,3
HCPCS,Q4174,Palingen or promatrx,,,1.0,1.0,3
HCPCS,Q4175,Miroderm,,,1.0,1.0,3
HCPCS,Q4176,"Neopatch or therion, 1 sq cm",,,1.0,1.0,3
HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,1.0,1.0,3
HCPCS,Q4178,"Floweramniopatch, per sq cm",,,1.0,1.0,3
HCPCS,Q4179,"Flowerderm, per sq cm",,,1.0,1.0,3
HCPCS,Q4180,"Revita, per sq cm",,,1.0,1.0,3
HCPCS,Q4181,"Amnio wound, per square cm",,,1.0,1.0,3
HCPCS,Q4182,"Transcyte, per sq centimeter",,,1.0,1.0,3
HCPCS,Q4183,"Surgigraft, 1 sq cm",,,1.0,1.0,3
HCPCS,Q4184,Cellesta or duo per sq cm,,,1.0,1.0,3
HCPCS,Q4185,Cellesta flowab amnion 0.5cc,,,1.0,1.0,3
HCPCS,Q4186,ALLO EPIFIX 2X2CM=4SQCM,1256.25,1005.0,1.0,1130.63,26
HCPCS,Q4186,ALLO EPIFIX 2X4CM=8SQCM,869.38,695.51,1.0,782.44,26
HCPCS,Q4186,ALLO EPIFIX 3X4CM=12SQCM,1032.5,826.0,1.0,929.25,26
HCPCS,Q4186,ALLO EPIFIX 4X4.5CM 10.2SQCM,649.09,519.28,1.0,584.18,26
HCPCS,Q4186,ALLO EPIFIX DISK 14MM=2SQCM,1480.0,1184.0,1.0,1332.0,26
HCPCS,Q4186,ALLO EPIFIX DISK 18MM=3SQCM,1864.0,1491.2,1.0,1677.6,26
HCPCS,Q4186,ALLO EPIFIX FEN 9*DISC 6321381,197.0,157.6,1.0,177.3,26
HCPCS,Q4186,ALLO EPIFIX XL 9X*DISC 6321616,197.0,157.6,1.0,177.3,26
HCPCS,Q4187,ALLO UMBLCL EPICORD 6SQCM,1126.67,901.34,1.0,1014.0,26
HCPCS,Q4188,Amnioarmor 1 sq cm,,,1.0,1.0,3
HCPCS,Q4189,"Artacent ac, 1 mg",,,1.0,1.0,3
HCPCS,Q4190,Artacent ac 1 sq cm,,,1.0,1.0,3
HCPCS,Q4191,Restorigin 1 sq cm,,,1.0,1.0,3
HCPCS,Q4192,"Restorigin, 1 cc",,,1.0,1.0,3
HCPCS,Q4193,Coll-e-derm 1 sq cm,,,1.0,1.0,3
HCPCS,Q4194,Novachor 1 sq cm,,,1.0,1.0,3
HCPCS,Q4195,Puraply 1 sq cm,,,1.0,1.0,3
HCPCS,Q4196,DRSG WND PURAPLY AM 2X2CM=4SQ,1342.0,1073.6,1.0,1207.8,26
HCPCS,Q4196,DRSG WND PURAPLY AM 2X4CM=8SQ,900.0,720.0,1.0,810.0,26
HCPCS,Q4196,DRSG WND PURAPLY AM 4X4CM=16SQ,487.5,390.0,1.0,438.75,26
HCPCS,Q4196,DRSG WND PURAPLY AM 5X5CM=25SQ,520.0,416.0,1.0,468.0,26
HCPCS,Q4196,DRSG WND PURAPLY AM 6X9CM=54SQ,285.0,228.0,1.0,256.5,26
HCPCS,Q4196,DRSG WND PURAPLY AM DISC 1.6CM,1800.0,1440.0,1.0,1620.0,26
HCPCS,Q4196,DRSG WNDPURAPLYAMFEN3X4CM=12SQ,550.0,440.0,1.0,495.0,26
HCPCS,Q4196,DRSG WNDPURAPLYAMFEN4X4CM=16SQ,487.5,390.0,1.0,438.75,26
HCPCS,Q4196,DRSGWNDPURAPLYAM4.91X4.91=25SQ,340.0,272.0,1.0,306.0,26
HCPCS,Q4197,Puraply xt 1 sq cm,,,1.0,1.0,3
HCPCS,Q4198,Genesis amnio membrane 1sqcm,,,1.0,1.0,3
HCPCS,Q4199,"Cygnus matrix, per sq cm",,,1.0,1.0,3
HCPCS,Q4200,Skin te 1 sq cm,,,1.0,1.0,3
HCPCS,Q4201,Matrion 1 sq cm,,,1.0,1.0,3
HCPCS,Q4202,"Keroxx (2.5g/cc), 1cc",,,1.0,1.0,3
HCPCS,Q4203,"Derma-gide, 1 sq cm",,,1.0,1.0,3
HCPCS,Q4204,Xwrap 1 sq cm,,,1.0,1.0,3
HCPCS,Q4205,ALLO MEMB LYOPHILIZE4X4=16SQCM,891.0,712.8,1.0,801.9,26
HCPCS,Q4206,Fluid Flow or Fluid GF 1 cc,,,1.0,1.0,3
HCPCS,Q4208,Novafix per sq cm,,,1.0,1.0,3
HCPCS,Q4209,Surgraft per sq cm,,,1.0,1.0,3
HCPCS,Q4210,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,Q4211,Amnion bio or axobio sq cm,,,1.0,1.0,3
HCPCS,Q4212,"Allogen, per cc",,,1.0,1.0,3
HCPCS,Q4213,"Ascent, 0.5 mg",,,1.0,1.0,3
HCPCS,Q4214,Cellesta cord per sq cm,,,1.0,1.0,3
HCPCS,Q4215,"Axolotl Ambient, Cryo 0.1 mg",,,1.0,1.0,3
HCPCS,Q4216,Artacent cord per sq cm,,,1.0,1.0,3
HCPCS,Q4217,Woundfix biowound plus xplus,,,1.0,1.0,3
HCPCS,Q4218,Surgicord per sq cm,,,1.0,1.0,3
HCPCS,Q4219,Surgigraft dual per sq cm,,,1.0,1.0,3
HCPCS,Q4220,"Bellacell hd, surederm sq cm",,,1.0,1.0,3
HCPCS,Q4221,Amniowrap2 per sq cm,,,1.0,1.0,3
HCPCS,Q4222,"Progenamatrix, per sq cm",,,1.0,1.0,3
HCPCS,Q4224,Hhf10-p per sq cm,,,1.0,1.0,3
HCPCS,Q4225,"Amnio or derma tl, per sq cm",,,1.0,1.0,3
HCPCS,Q4226,MyOwn harv prep proc sq cm,,,1.0,1.0,3
HCPCS,Q4227,Amniocore per sq cm,,,1.0,1.0,3
HCPCS,Q4229,Cogenex amnio memb per sq cm,,,1.0,1.0,3
HCPCS,Q4230,Cogenex flow amnion 0.5 cc,,,1.0,1.0,3
HCPCS,Q4231,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,Q4232,"Corplex, per sq cm",,,1.0,1.0,3
HCPCS,Q4233,Surfactor /nudyn per 0.5 cc,,,1.0,1.0,3
HCPCS,Q4234,"Xcellerate, per sq cm",,,1.0,1.0,3
HCPCS,Q4235,Amniorepair or altiply sq cm,,,1.0,1.0,3
HCPCS,Q4236,Carepatch per sq cm,,,1.0,1.0,3
HCPCS,Q4237,"Cryo-cord, per sq cm",,,1.0,1.0,3
HCPCS,Q4238,"Derm-maxx, per sq cm",,,1.0,1.0,3
HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,1.0,1.0,3
HCPCS,Q4240,Corecyte topical only 0.5 cc,,,1.0,1.0,3
HCPCS,Q4241,"Polycyte, topical only 0.5cc",,,1.0,1.0,3
HCPCS,Q4242,"Amniocyte plus, per 0.5 cc",,,1.0,1.0,3
HCPCS,Q4244,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,Q4245,"Amniotext, per cc",,,1.0,1.0,3
HCPCS,Q4246,"Coretext or protext, per cc",,,1.0,1.0,3
HCPCS,Q4247,"Amniotext patch, per sq cm",,,1.0,1.0,3
HCPCS,Q4248,Dermacyte amn mem allo sq cm,,,1.0,1.0,3
HCPCS,Q4249,"Amniply, per sq cm",,,1.0,1.0,3
HCPCS,Q4250,Amnioamp-mp per sq cm,,,1.0,1.0,3
HCPCS,Q4251,"Vim, per square centimeter",,,1.0,1.0,3
HCPCS,Q4252,"Vendaje, per square centimet",,,1.0,1.0,3
HCPCS,Q4253,Zenith amniotic membrane psc,,,1.0,1.0,3
HCPCS,Q4254,Novafix dl per sq cm,,,1.0,1.0,3
HCPCS,Q4255,"Reguard, topical use per sq",,,1.0,1.0,3
HCPCS,Q4256,"Mlg complet, per sq cm",,,1.0,1.0,3
HCPCS,Q4257,"Relese, per sq cm",,,1.0,1.0,3
HCPCS,Q4258,"Enverse, per sq cm",,,1.0,1.0,3
HCPCS,Q4259,Celera per sq cm,,,1.0,1.0,3
HCPCS,Q4260,"Signature apatch, per sq cm",,,1.0,1.0,3
HCPCS,Q4261,"Tag, per square centimeter",,,1.0,1.0,3
HCPCS,Q4262,"Dual layer impax, per sq cm",,,1.0,1.0,3
HCPCS,Q4263,"Surgraft tl, per sq cm",,,1.0,1.0,3
HCPCS,Q4264,"Cocoon membrane, per sq cm",,,1.0,1.0,3
HCPCS,Q4265,Neostim tl per sq cm,,,1.0,1.0,3
HCPCS,Q4266,Neostim per sq cm,,,1.0,1.0,3
HCPCS,Q4267,Neostim dl per sq cm,,,1.0,1.0,3
HCPCS,Q4268,Surgraft ft per sq cm,,,1.0,1.0,3
HCPCS,Q4269,Surgraft xt per sq cm,,,1.0,1.0,3
HCPCS,Q4270,Complete sl per sq cm,,,1.0,1.0,3
HCPCS,Q4271,Complete ft per sq cm,,,1.0,1.0,3
HCPCS,Q4272,"Esano a, per sq cm",,,1.0,1.0,3
HCPCS,Q4273,"Esano aaa, per sq cm",,,1.0,1.0,3
HCPCS,Q4274,"Esano ac, per sq cm",,,1.0,1.0,3
HCPCS,Q4275,"Esano aca, per sq cm",,,1.0,1.0,3
HCPCS,Q4276,"Orion, per sq cm",,,1.0,1.0,3
HCPCS,Q4277,Outpatient Services - CPT/HCPCS,,,1.0,1.0,3
HCPCS,Q4278,ALLO EPIEFFECT 1X2CM=2SQCM,3964.0,3171.2,1.0,3567.6,26
HCPCS,Q4278,ALLO EPIEFFECT 2X2CM=4SQCM,1666.0,1332.8,1.0,1499.4,26
HCPCS,Q4279,"Vendaje ac, per sq cm",,,1.0,1.0,3
HCPCS,Q4280,Xcell amnio matrix per sq cm,,,1.0,1.0,3
HCPCS,Q4281,Barrera slor dl per sq cm,,,1.0,1.0,3
HCPCS,Q4282,Cygnus dual per sq cm,,,1.0,1.0,3
HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,1.0,1.0,3
HCPCS,Q4284,"Dermabind sl, per sq cm",,,1.0,1.0,3
HCPCS,Q4285,Nudyn dl or dl mesh pr sq cm,,,1.0,1.0,3
HCPCS,Q4286,"Nudyn sl or slw, per sq cm",,,1.0,1.0,3
HCPCS,Q4287,"Dermabind dl, per sq cm",,,1.0,1.0,3
HCPCS,Q4288,"Dermabind ch, per sq cm",,,1.0,1.0,3
HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,1.0,1.0,3
HCPCS,Q4290,Membrane wrap hydr per sq cm,,,1.0,1.0,3
HCPCS,Q4291,"Lamellas xt, per sq cm",,,1.0,1.0,3
HCPCS,Q4292,"Lamellas, per sq cm",,,1.0,1.0,3
HCPCS,Q4293,"Acesso dl, per sq cm",,,1.0,1.0,3
HCPCS,Q4294,"Amnio quad-core, per sq cm",,,1.0,1.0,3
HCPCS,Q4295,"Amnio tri-core, per sq cm",,,1.0,1.0,3
HCPCS,Q4296,"Rebound matrix, per sq cm",,,1.0,1.0,3
HCPCS,Q4297,"Emerge matrix, per sq cm",,,1.0,1.0,3
HCPCS,Q4298,"Amniocore pro, per sq cm",,,1.0,1.0,3
HCPCS,Q4299,"Amniocore pro+, per sq cm",,,1.0,1.0,3
HCPCS,Q4300,"Acesso tl, per sq cm",,,1.0,1.0,3
HCPCS,Q4301,"Activate matrix, per sq cm",,,1.0,1.0,3
HCPCS,Q4302,"Complete aca, per sq cm",,,1.0,1.0,3
HCPCS,Q4303,"Complete aa, per sq cm",,,1.0,1.0,3
HCPCS,Q4304,"Grafix plus, per sq cm",,,1.0,1.0,3
HCPCS,Q4345,ALLO MATRIX HD 5X8CM=40SQCM,708.35,566.68,187.36,637.52,26
HCPCS,Q5098,"Inj ustekinumab-srlf, 1 mg",,,26.43,26.43,4
HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,12.01,13.53,12
HCPCS,Q5100,"Inj ustekinumab-kfce, 1 mg",,,23.73,27.84,12
HCPCS,Q5101,Filgrastim-sndz Soln Prefilled Syringe 300 MCG/0.5ML,692.85,554.28,0.17,623.57,34
HCPCS,Q5101,Filgrastim-sndz Soln Prefilled Syringe 480 MCG/0.8ML,869.04,695.24,0.17,782.14,34
HCPCS,Q5102,Pharmacy,,,82.64,82.64,4
HCPCS,Q5103,Infliximab-dyyb For IV Inj 100 MG,3249.67,2599.74,13.88,2924.7,34
HCPCS,Q5104,Infliximab-abda For IV Inj 100 MG,1513.88,1211.11,25.65,1362.49,68
HCPCS,Q5105,Inj retacrit esrd on dialysi,,,0.73,0.84,15
HCPCS,Q5106,Inj retacrit non-esrd use,,,7.25,8.36,15
HCPCS,Q5107,Bevacizumab-awwb IV Soln 100 MG/4ML (For Infusion),2492.28,1993.83,25.91,2243.05,34
HCPCS,Q5107,Bevacizumab-awwb IV Soln 400 MG/16ML (For Infusion),9219.13,7375.31,25.91,8297.22,34
HCPCS,Q5108,Pegfilgrastim-jmdb Soln Prefilled Syringe 6 MG/0.6ML,4559.48,3647.59,94.17,4103.53,34
HCPCS,Q5110,Nivestym,,,0.27,0.32,15
HCPCS,Q5111,Pegfilgrastim-cbqv Soln Prefill Syr/Infusion Dev 6 MG/0.6ML,11600.39,9280.32,101.02,10440.35,34
HCPCS,Q5111,Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML,12092.07,9673.66,101.02,10882.86,34
HCPCS,Q5112,Trastuzumab-dttb For IV Soln 150 MG,2692.3900000000003,2153.915,15.47,2423.23,68
HCPCS,Q5112,Trastuzumab-dttb For IV Soln 420 MG,7178.11,5742.49,15.47,6460.3,34
HCPCS,Q5113,Inj herzuma 10 mg,,,20.18,73.9,17
HCPCS,Q5114,Trastuzumab-dkst For IV Soln 150 MG,1270.6,1016.48,38.28,1143.54,34
HCPCS,Q5114,Trastuzumab-dkst For IV Soln 420 MG,3106.21,2484.97,38.28,2795.59,34
HCPCS,Q5115,Rituximab-abbs IV Soln 100 MG/10ML (10 MG/ML),2172.73,1738.19,27.49,1955.46,34
HCPCS,Q5115,Rituximab-abbs IV Soln 500 MG/50ML (10 MG/ML),9863.63,7890.91,27.49,8877.27,34
HCPCS,Q5116,"Inj., Trazimera, 10 mg",,,19.62,29.39,17
HCPCS,Q5117,Trastuzumab-anns For IV Soln 150 MG,4844.8,3875.84,24.34,4360.32,34
HCPCS,Q5117,Trastuzumab-anns For IV Soln 420 MG,12740.59,10192.48,24.34,11466.53,34
HCPCS,Q5118,"Inj., Zirabev, 10 mg",,,23.48,27.05,15
HCPCS,Q5119,Rituximab-pvvr IV Soln 100 MG/10ML (10 MG/ML),2206.54,1765.24,22.3,1985.89,34
HCPCS,Q5119,Rituximab-pvvr IV Soln 500 MG/50ML (10 MG/ML),10032.68,8026.15,22.3,9029.41,34
HCPCS,Q5120,Pegfilgrastim-bmez Soln Prefilled Syringe 6 MG/0.6ML,7249.82,5799.86,27.35,6524.84,34
HCPCS,Q5121,Infliximab-axxq For IV Inj 100 MG,1688.36,1350.69,19.38,1519.52,34
HCPCS,Q5122,Pegfilgrastim-apgf Soln Prefilled Syringe 6 MG/0.6ML,7056.02,5644.82,88.98,6350.42,34
HCPCS,Q5123,Rituximab-arrx IV Soln 500 MG/50ML (10 MG/ML),12223.6,9778.88,24.16,11001.24,34
HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,58.71,199.55,15
HCPCS,Q5125,Filgrastim-ayow Soln Prefilled Syringe 300 MCG/0.5ML,685.5,548.4,0.35,616.95,68
HCPCS,Q5125,Filgrastim-ayow Soln Prefilled Syringe 480 MCG/0.8ML,1006.8,805.44,0.35,906.12,68
HCPCS,Q5126,Inj alymsys 10 mg,,,35.93,63.92,15
HCPCS,Q5127,Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML,2339.71,1871.77,175.66,2105.74,34
HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,81.85,273.26,15
HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,37.97,69.77,15
HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,131.07,208.8,17
HCPCS,Q5131,Pharmacy,,,229.25,229.25,4
HCPCS,Q5132,Pharmacy,,,132.35,132.35,4
HCPCS,Q5133,"Inj, tofidence, 1 mg",,,5.26,5.93,14
HCPCS,Q5134,"Inj, tyruko, 1 mg",,,24.15,24.15,4
HCPCS,Q5135,Tocilizumab-aazg IV Inj 200 MG/10ML,2614.14,2091.32,4.19,2352.73,34
HCPCS,Q5135,Tocilizumab-aazg IV Inj 80 MG/4ML,1135.67,908.54,4.19,1022.1,34
HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,26.16,28.91,12
HCPCS,Q5137,"Inj, wezlana, sub cu, 1 mg",,,63.11,63.11,4
HCPCS,Q5138,Ustekinumab-auub IV Soln 130 MG/26ML (5 MG/ML) (For IV Inf),4924.04,3939.24,11.06,4431.64,34
HCPCS,Q5140,"Inj adalimumab-fkjp, 1 mg",,,12.52,13.84,12
HCPCS,Q5141,"Inj adalimumab-aaty, 1 mg",,,13.07,14.44,12
HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,9.95,13.23,12
HCPCS,Q5143,"Inj adalimumab-adbm, 1 mg",,,9.91,25.15,12
HCPCS,Q5144,"Inj, idacio, 1 mg",,,7.31,11.47,12
HCPCS,Q5145,"Inj, abrilada, 1 mg",,,13.23,20.44,12
HCPCS,Q5146,"Inj, hercessi, 10 mg",,,38.02,42.03,12
HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,816.39,946.2,12
HCPCS,Q5148,"Inj, nyposi 1 mcg",,,0.52,1.02,12
HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,29.79,32.92,12
HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg",,,38.3,42.33,12
HCPCS,Q5156,"Inj, tocilizumab-anoh, 1 mg",,,4.4,4.4,4
HCPCS,Q5157,"Inj, denosumab-bmwo, 1 mg",,,26.72,30.29,12
HCPCS,Q5158,"Inj, denosumab-bnht, 1 mg",,,27.29,30.92,12
HCPCS,Q9001,Chaplain assessment,,,86.56,86.56,3
HCPCS,Q9002,Chaplain counsel individu,,,76.61,76.61,3
HCPCS,Q9003,Chaplain counsel group,,,30.33,30.33,3
HCPCS,Q9950,Inj sulf hexa lipid microsph,,,1.0,1.0,3
HCPCS,Q9951,"LOCM >= 400 mg/ml iodine,1ml",,,1.0,1.0,3
HCPCS,Q9953,"Inj Fe-based MR contrast,1ml",,,1.0,1.0,3
HCPCS,Q9954,"Oral MR contrast, 100 ml",,,1.0,1.0,3
HCPCS,Q9955,"Inj perflexane lip micros,ml",,,1.0,1.0,3
HCPCS,Q9956,Perflutren Protein-Type A Microspheres IV Susp,463.25,370.6,1.0,421.65,52
HCPCS,Q9957,Perflutren Lipid Microsphere IV Susp 6.52 MG/ML,653.5450000000001,522.8399999999999,1.0,630.62,52
HCPCS,Q9958,"HOCM <=149 mg/ml iodine, 1ml",,,1.0,1.0,3
HCPCS,Q9959,"HOCM 150-199mg/ml iodine,1ml",,,1.0,1.0,3
HCPCS,Q9960,"HOCM 200-249mg/ml iodine,1ml",,,1.0,1.0,3
HCPCS,Q9961,"HOCM 250-299mg/ml iodine,1ml",,,1.0,1.0,3
HCPCS,Q9962,"HOCM 300-349mg/ml iodine,1ml",,,1.0,1.0,3
HCPCS,Q9963,"HOCM 350-399mg/ml iodine,1ml",,,1.0,1.0,3
HCPCS,Q9964,"HOCM>= 400mg/ml iodine, 1ml",,,1.0,1.0,3
HCPCS,Q9965,Iohexol IV Soln 140 MG/ML,20.0,16.0,1.0,18.0,26
HCPCS,Q9965,Iohexol Inj 180 MG/ML,22.5,18.0,1.0,20.25,52
HCPCS,Q9966,Iohexol Inj 240 MG/ML,22.5,18.0,1.0,20.25,52
HCPCS,Q9966,Iopamidol Inj 41%,22.5,18.0,1.0,20.25,26
HCPCS,Q9967,Iodixanol Inj 320 MG/ML (Iodine Equivalent),103.5,82.8,1.0,93.15,78
HCPCS,Q9967,Iohexol IV Soln 350 MG/ML,112.5,90.0,1.0,101.25,78
HCPCS,Q9967,Iohexol Inj 300 MG/ML,22.5,18.0,1.0,20.25,78
HCPCS,Q9967,Iopamidol IV Soln 61%,337.5,270.0,1.0,1012.5,104
HCPCS,Q9967,Iopamidol IV Soln 76%,450.0,360.0,1.0,1012.5,78
HCPCS,Q9968,Isosulfan Blue Subcutaneous Soln 1%,3017.8,2414.24,3.48,2716.02,72
HCPCS,Q9968,Methylene Blue IV Soln 1%,500.5,400.4,3.48,450.45,36
HCPCS,Q9968,Methylene Blue IV Soln 50 MG/10ML (5 MG/ML),592.4,473.92,3.48,533.16,72
HCPCS,Q9969,Outpatient Services,,,9.5,10.5,8
HCPCS,Q9969,Outpatient Services - CPT/HCPCS,,,4.65,13.19,3
HCPCS,Q9970,Pharmacy,,,1.15,1.15,4
HCPCS,Q9975,Pharmacy,,,2.08,2.08,4
HCPCS,Q9976,Pharmacy,,,0.03,0.03,4
HCPCS,Q9978,Pharmacy,,,559.98,559.98,4
HCPCS,Q9979,Pharmacy,,,1907.64,1907.64,4
HCPCS,Q9980,Pharmacy,,,9.39,9.39,4
HCPCS,Q9981,Pharmacy,,,3.19,3.19,4
HCPCS,Q9982,NM ISOTOPE FLUTEMETAMOL F18 DIAGNOSTIC PER STUDY DOSE UP TO 5 MILLICURIES,4900.0,3920.0,1.0,4410.0,34
HCPCS,Q9983,florbetaben f18 diagnostic,,,1.0,2856.0,15
HCPCS,Q9984,Pharmacy,,,927.15,927.15,4
HCPCS,Q9986,Pharmacy,,,31.19,31.19,4
HCPCS,Q9989,Pharmacy,,,14.09,14.09,4
HCPCS,Q9991,Buprenorph xr 100 mg or less,,,1886.98,2206.66,15
HCPCS,Q9992,Buprenorphine xr over 100 mg,,,1886.98,2206.66,15
HCPCS,Q9993,Pharmacy,,,20.66,20.66,4
HCPCS,Q9994,Pharmacy,,,57.12,57.12,4
HCPCS,Q9995,Pharmacy,,,53.46,53.46,4
HCPCS,Q9996,Ustekinumab- ttwe sub cu inj,,,47.03,47.03,4
HCPCS,Q9997,Ustekinumab-ttwe iv inj 1 mg,,,8.82,9.75,12
HCPCS,Q9998,"Inj ustekinumab-aekn, 1 mg",,,38.33,45.67,12
HCPCS,Q9999,Inj ustekinumab-aauz 1 mg,,,31.43,37.25,12
HCPCS,R0070,Transport portable x-ray,,,58.25,58.25,3
HCPCS,R0075,Transport port x-ray multipl,,,141.3,141.3,3
HCPCS,R0076,Transport portable EKG,,,39.0,39.0,3
HCPCS,S0012,"Butorphanol tartrate, nasal",,,81.87,81.87,7
HCPCS,S0013,Outpatient Services - CPT/HCPCS,,,14.07,14.07,3
HCPCS,S0013,Pharmacy,,,15.2,15.2,4
HCPCS,S0014,"Tacrine hydrochloride, 10 mg",,,2.51,2.51,3
HCPCS,S0017,Outpatient Services - CPT/HCPCS,,,8.3,8.3,3
HCPCS,S0017,Pharmacy,,,8.73,8.73,4
HCPCS,S0020,Pharmacy,,,3.06,3.06,4
HCPCS,S0021,"Injection, cefoperazone sod",,,14.4,14.4,3
HCPCS,S0023,"Injection, cimetidine hydroc",,,3.38,3.38,3
HCPCS,S0028,Outpatient Services - CPT/HCPCS,,,0.91,0.91,3
HCPCS,S0028,Pharmacy,,,0.91,0.91,4
HCPCS,S0030,Pharmacy,,,2.15,2.15,4
HCPCS,S0032,Outpatient Services - CPT/HCPCS,,,17.38,17.38,3
HCPCS,S0032,Pharmacy,,,18.43,18.43,4
HCPCS,S0034,"Injection, ofloxacin, 400 mg",,,2.26,2.26,3
HCPCS,S0039,Outpatient Services - CPT/HCPCS,,,12.79,12.79,3
HCPCS,S0039,Pharmacy,,,12.79,12.79,4
HCPCS,S0040,"Injection, ticarcillin disod",,,13.6,13.6,3
HCPCS,S0073,Pharmacy,,,14.79,14.79,4
HCPCS,S0074,Outpatient Services - CPT/HCPCS,,,12.35,12.35,3
HCPCS,S0074,Pharmacy,,,12.35,12.35,4
HCPCS,S0077,Pharmacy,,,0.79,0.79,4
HCPCS,S0078,"Injection, fosphenytoin sodi",,,27.03,114.75,7
HCPCS,S0080,Pentamidine Isethionate For Inj Soln 300 MG,456.595,365.28,99.65,430.9,104
HCPCS,S0080,Pentamidine Isethionate For Soln 300 MG,434.41,347.53,99.65,390.97,26
HCPCS,S0081,"Injection, piperacillin sodi",,,2.95,2.95,3
HCPCS,S0088,Imatinib Mesylate Tab 100 MG (Base Equivalent),31.03,24.83,6.59,85.91,78
HCPCS,S0088,Imatinib Mesylate Tab 400 MG (Base Equivalent),202.315,161.855,24.94,266.67,104
HCPCS,S0090,"Sildenafil citrate, 25 mg",,,56.49,56.49,7
HCPCS,S0091,Granisetron 1mg,,,50.17,50.18,7
HCPCS,S0092,Hydromorphone 250 mg,,,68.56,85.9,7
HCPCS,S0093,Morphine 500 mg,,,8.74,11.1,7
HCPCS,S0104,"Zidovudine, oral, 100 mg",,,1.72,1.72,4
HCPCS,S0106,Bupropion HCL SR 60 tablets,,,98.6,98.79,7
HCPCS,S0108,Mercaptopurine 50 mg,,,6.1,6.1,7
HCPCS,S0109,Methadone oral 5mg,,,0.3,0.37,7
HCPCS,S0117,Tretinoin topical 5 g,,,3.82,4.21,7
HCPCS,S0119,Ondansetron Orally Disintegrating Tab 4 MG,1.23,0.99,0.4,21.06,208
HCPCS,S0122,Inj menotropins 75 iu,,,238.08,257.51,7
HCPCS,S0126,Inj follitropin alfa 75 iu,,,246.34,246.34,7
HCPCS,S0128,Inj follitropin beta 75 iu,,,206.0,221.85,7
HCPCS,S0132,Inj ganirelix acetat 250 mcg,,,187.68,195.53,7
HCPCS,S0136,"Clozapine, 25 mg",,,1.12,1.12,7
HCPCS,S0137,"Didanosine, 25 mg",,,0.92,0.92,3
HCPCS,S0138,"Finasteride, 5 mg",,,2.66,2.66,7
HCPCS,S0139,"Minoxidil, 10 mg",,,1.1,1.39,7
HCPCS,S0140,"Saquinavir, 200 mg",,,4.09,4.09,3
HCPCS,S0142,Colistimethate inh sol mg,,,0.33,0.33,3
HCPCS,S0144,Pharmacy,,,0.12,0.12,4
HCPCS,S0145,Peg interferon alfa-2A/180,,,1135.69,1135.69,7
HCPCS,S0148,Peg interferon alfa-2b/10,,,153.44,153.44,3
HCPCS,S0155,Epoprostenol dilutant,,,14.79,14.79,7
HCPCS,S0156,"Exemestane, 25 mg",,,17.2,17.2,7
HCPCS,S0157,"Becaplermin gel 1%, 0.5 gm",,,32.21,46.23,7
HCPCS,S0160,Dextroamphetamine,,,2.47,3.44,7
HCPCS,S0164,Outpatient Services - CPT/HCPCS,,,5.18,5.18,3
HCPCS,S0164,Pharmacy,,,5.18,5.18,4
HCPCS,S0166,Pharmacy,,,8.96,8.96,4
HCPCS,S0169,Calcitrol,,,0.86,0.86,4
HCPCS,S0170,Anastrozole Tab 1 MG,1.395,1.12,0.37,11.31,156
HCPCS,S0171,Pharmacy,,,1.02,1.02,4
HCPCS,S0172,Chlorambucil 2 mg,,,566.16,589.12,7
HCPCS,S0174,Dolasetron 50 mg,,,30.15,30.15,7
HCPCS,S0175,Flutamide 125 mg,,,30.55,45.43,7
HCPCS,S0176,Hydroxyurea 500 mg,,,0.92,0.98,7
HCPCS,S0178,Lomustine 10 mg,,,114.74,123.92,7
HCPCS,S0179,Megestrol 20 mg,,,0.59,0.74,7
HCPCS,S0182,"Procarbazine, oral",,,131.85,151.49,7
HCPCS,S0183,Prochlorperazine 5 mg,,,0.5,0.51,7
HCPCS,S0187,Tamoxifen 10 mg,,,1.61,1.61,7
HCPCS,S0189,Outpatient Services - CPT/HCPCS,,,110.35,110.35,3
HCPCS,S0189,Pharmacy,,,110.35,110.35,4
HCPCS,S0190,"Mifepristone, oral, 200 mg",,,36.55,68.34,7
HCPCS,S0191,"Misoprostol, oral, 200 mcg",,,1.15,1.62,7
HCPCS,S0194,Vitamin suppl 100 caps,,,56.62,56.62,4
HCPCS,S0197,Prenatal vitamins 30 day,,,0.75,0.75,4
HCPCS,S0199,Med abortion inc all ex drug,,,142.19,403.5,3
HCPCS,S0209,WC van mileage per mi,,,1.55,1.55,3
HCPCS,S0215,Nonemerg transp mileage,,,1.33,1.33,3
HCPCS,S0257,End of life counseling,,,29.22,29.22,3
HCPCS,S0265,Genetic counsel 15 mins,,,44.64,44.64,3
HCPCS,S0273,MD home visit outside cap,,,64.08,64.08,3
HCPCS,S0274,Nurse practr visit outs cap,,,64.08,64.08,3
HCPCS,S0280,"Medical home, initial plan",,,10.14,10.14,3
HCPCS,S0281,"Medical home, maintenance",,,10.14,10.14,3
HCPCS,S0285,cnslt before screen colonoscop,,,79.6,79.6,3
HCPCS,S0302,Completed EPSDT,,,21.23,21.23,3
HCPCS,S0311,Comp mgmt care coord adv ill,,,67.72,67.72,3
HCPCS,S0390,Rout foot care per visit,,,54.1,54.1,3
HCPCS,S0395,Impression casting ft,,,15.0,15.0,3
HCPCS,S0500,Dispos cont lens,,,8.27,8.27,3
HCPCS,S0504,Singl prscrp lens,,,29.58,29.58,3
HCPCS,S0516,Safety frames,,,32.35,32.35,3
HCPCS,S0518,Sunglass frames,,,33.59,33.59,3
HCPCS,S0580,Polycarb lens,,,5.3,5.3,3
HCPCS,S0595,New lenses in pts old frame,,,5.9,5.9,3
HCPCS,S0601,Screening proctoscopy,,,401.78,1140.14,3
HCPCS,S0610,Annual gynecological examina,,,48.53,48.53,3
HCPCS,S0612,Annual gynecological examina,,,65.2,65.2,3
HCPCS,S0613,Ann breast exam,,,52.22,52.22,3
HCPCS,S0618,Audiometry for hearing aid,,,24.12,24.12,3
HCPCS,S0620,Routine ophthalmological exa,,,47.61,47.61,3
HCPCS,S0621,Routine ophthalmological exa,,,49.34,49.34,3
HCPCS,S0630,ED S0630 REMOVAL OF SUTURES,183.0,146.4,48.4,164.7,26
HCPCS,S0800,CUSTOM LASIK BILATERAL,5464.0,4371.2,129.12,4917.6,26
HCPCS,S0800,CUSTOM LASIK UNILATERAL,2732.0,2185.6,129.12,2458.8,26
HCPCS,S0800,LASIK BILATERAL,5464.0,4371.2,129.12,4917.6,26
HCPCS,S0800,LASIK UNILATERAL,2732.0,2185.6,129.12,2458.8,26
HCPCS,S0810,CUSTOM PRK BILATERAL,5464.0,4371.2,129.12,4917.6,26
HCPCS,S0810,CUSTOM PRK UNILATERAL,2732.0,2185.6,129.12,2458.8,26
HCPCS,S0810,PRK BILATERAL,5464.0,4371.2,129.12,4917.6,26
HCPCS,S0810,PRK UNILATERAL,2732.0,2185.6,129.12,2458.8,26
HCPCS,S0812,Phototherap keratect,,,129.12,366.4,3
HCPCS,S1016,Non-pvc intravenous administ,,,11.44,11.44,3
HCPCS,S1035,Art pancreas inv disp sensor,,,8.7,8.7,3
HCPCS,S1036,Art pancreas ext transmitter,,,448.17,448.17,3
HCPCS,S1037,Art pancreas ext receiver,,,418.0,418.0,3
HCPCS,S1040,Cranial remolding orthosis,,,2780.0,2780.0,3
HCPCS,S1090,Pharmacy,,,841.5,841.5,4
HCPCS,S1091,Stent non-coronary propel,,,688.85,1759.5,7
HCPCS,S2066,Breast GAP flap reconst,,,2890.37,8201.93,3
HCPCS,S2067,"Breast ""stacked"" DIEP/GAP",,,2890.37,8201.93,3
HCPCS,S2068,Breast DIEP or SIEA flap,,,2890.37,8201.93,3
HCPCS,S2070,Cysto laser tx ureteral calc,,,546.72,546.72,3
HCPCS,S2079,Lap esophagomyotomy,,,1355.72,1355.72,3
HCPCS,S2083,Adjustment gastric band,,,139.12,139.12,3
HCPCS,S2095,Transcath emboliz microspher,,,1207.68,1207.68,3
HCPCS,S2112,Knee arthroscp harv,,,104.52,296.6,3
HCPCS,S2118,Total hip resurfacing,,,712.37,2021.46,3
HCPCS,S2202,Echosclerotherapy,,,176.74,501.53,3
HCPCS,S2205,Minimally invasive direct co,,,4531.17,12858.0,3
HCPCS,S2206,Minimally invasive direct co,,,4531.17,12858.0,3
HCPCS,S2207,Minimally invasive direct co,,,4531.17,12858.0,3
HCPCS,S2208,Minimally invasive direct co,,,4531.17,12858.0,3
HCPCS,S2209,Minimally invasive direct co,,,4531.17,12858.0,3
HCPCS,S2225,Myringotomy laser-assist,,,108.27,307.23,3
HCPCS,S2230,Implant semi-imp hear,,,243.87,692.02,3
HCPCS,S2235,Implant auditory brain imp,,,243.87,692.02,3
HCPCS,S2260,Induced abortion 17-24 weeks,,,142.19,403.5,3
HCPCS,S2265,Induced abortion 25-28 wks,,,142.19,403.5,3
HCPCS,S2266,Induced abortion 29-31 wks,,,142.19,403.5,3
HCPCS,S2267,Induced abortion 32 or more,,,142.19,403.5,3
HCPCS,S2300,"Arthroscopy, shoulder, surgi",,,104.52,296.6,3
HCPCS,S2325,Hip core decompression,,,1670.51,1670.51,3
HCPCS,S2340,Chemodenervation of abductor,,,243.87,692.02,3
HCPCS,S2341,Chemodenerv adduct vocal,,,243.87,692.02,3
HCPCS,S2342,Nasal endoscop po debrid,,,180.99,513.58,3
HCPCS,S2348,Decompress disc RF lumbar,,,104.52,296.6,3
HCPCS,S2350,"Diskectomy, anterior, with d",,,104.52,296.6,3
HCPCS,S2351,"Diskectomy, anterior, with d",,,104.52,296.6,3
HCPCS,S2400,Fetal surg congen hernia,,,88.32,250.63,3
HCPCS,S2401,Fetal surg urin trac obstr,,,142.19,403.5,3
HCPCS,S2402,Fetal surg cong cyst malf,,,142.19,403.5,3
HCPCS,S2403,Fetal surg pulmon sequest,,,142.19,403.5,3
HCPCS,S2404,Fetal surg myelomeningo,,,142.19,403.5,3
HCPCS,S2405,Fetal surg sacrococ teratoma,,,88.32,250.63,3
HCPCS,S2409,Fetal surg noc,,,88.32,250.63,3
HCPCS,S2411,Fetoscop laser ther TTTS,,,88.32,250.63,3
HCPCS,S2900,Robotic surgical system,,,0.01,0.01,3
HCPCS,S3000,Bilat dil retinal exam,,,31.03,31.03,3
HCPCS,S3620,Newborn metabolic screening,,,235.0,235.0,3
HCPCS,S3655,Antisperm antibodies test,,,6.66,6.66,3
HCPCS,S3722,Dose optimization AUC - 5FU,,,3371.08,3371.08,3
HCPCS,S3854,Gene profile panel breast,,,4186.59,4186.59,3
HCPCS,S4011,IVF package,,,88.32,250.63,3
HCPCS,S4013,Compl GIFT case rate,,,88.32,250.63,3
HCPCS,S4014,Compl ZIFT case rate,,,88.32,250.63,3
HCPCS,S4015,Complete IVF nos case rate,,,88.32,250.63,3
HCPCS,S4016,Frozen IVF case rate,,,88.32,250.63,3
HCPCS,S4017,IVF canc a stim case rate,,,88.32,250.63,3
HCPCS,S4018,F EMB trns canc case rate,,,88.32,250.63,3
HCPCS,S4020,Ivf canc b4 aspir case rate,,,88.32,250.63,3
HCPCS,S4021,Ivf canc aftr aspr case rate,,,88.32,250.63,3
HCPCS,S4022,Asst oocyte fert case rate,,,88.32,250.63,3
HCPCS,S4023,Incompl donor egg case rate,,,88.32,250.63,3
HCPCS,S4024,Air polymer foam per study,,,94.86,94.86,4
HCPCS,S4025,Donor serv IVF case rate,,,88.32,250.63,3
HCPCS,S4026,Procure donor sperm,,,992.16,992.16,3
HCPCS,S4028,Microsurg epi sperm asp,,,88.32,250.63,3
HCPCS,S4030,Sperm procure init visit,,,88.32,250.63,3
HCPCS,S4031,Sperm procure subs visit,,,88.32,250.63,3
HCPCS,S4035,Stimulated IUI case rate,,,88.32,250.63,3
HCPCS,S4037,Cryo embryo transf case rate,,,88.32,250.63,3
HCPCS,S4042,Ovulation mgmt per cycle,,,144.84,144.84,3
HCPCS,S4981,Insert levonorgestrel ius,,,116.54,116.54,3
HCPCS,S4989,Contracept IUD,,,406.85,406.85,3
HCPCS,S4991,Nicotine patch nonlegend,,,1.56,1.56,4
HCPCS,S4993,Contraceptive pills for bc,,,1.19,28.27,7
HCPCS,S4995,Smoking cessation gum,,,0.34,0.34,4
HCPCS,S5000,"Prescription drug, generic",,,29.12,29.12,3
HCPCS,S5010,Dextrose 10% w/ Sodium Chloride 0.45%,153.4,122.72,3.12,138.06,26
HCPCS,S5010,Dextrose 5% w/ Sodium Chloride 0.45%,160.2,128.16,3.12,147.24,78
HCPCS,S5011,Pharmacy,,,3.16,3.16,4
HCPCS,S5012,5% dextrose with potassium,,,4.71,7.43,7
HCPCS,S5013,5%dextrose/0.45%saline1000ml,,,980.39,980.39,3
HCPCS,S5190,Wellness assessment by nonph,,,30.78,30.78,3
HCPCS,S5497,HIT cath care noc,,,6.8,6.8,3
HCPCS,S5498,HIT simple cath care,,,6.8,6.8,3
HCPCS,S5501,HIT complex cath care,,,6.8,6.8,3
HCPCS,S5502,HIT interim cath care,,,6.8,6.8,3
HCPCS,S5517,HIT declotting kit,,,6.8,6.8,3
HCPCS,S5518,HIT cath repair kit,,,6.8,6.8,3
HCPCS,S5520,HIT picc insert kit,,,36.9,36.9,3
HCPCS,S5521,HIT midline cath insert kit,,,36.05,36.05,3
HCPCS,S5522,HIT picc insert no supp,,,43.86,43.86,3
HCPCS,S5523,HIP midline cath insert kit,,,43.86,43.86,3
HCPCS,S5550,Insulin rapid 5 u,,,0.43,0.43,7
HCPCS,S5551,Insulin most rapid 5 u,,,0.36,0.42,7
HCPCS,S5552,Insulin intermed 5 u,,,0.23,0.25,7
HCPCS,S5553,Insulin long acting 5 u,,,0.32,0.45,7
HCPCS,S5561,Insulin reuse pen 3 ml,,,22.95,22.95,4
HCPCS,S5566,Insulin cartridge 300 u,,,27.41,27.41,4
HCPCS,S5570,Insulin dispos pen 1.5 ml,,,58.28,58.28,4
HCPCS,S5571,Insulin dispos pen 3 ml,,,18.77,18.77,4
HCPCS,S8030,Tantalum ring application,,,142.19,403.5,3
HCPCS,S8035,Magnetic source imaging,,,40.28,114.29,3
HCPCS,S8037,mrcp,,,108.61,308.19,3
HCPCS,S8080,Scintimammography,,,182.81,518.75,3
HCPCS,S8085,Fluorine-18 fluorodeoxygluco,,,295.26,295.26,3
HCPCS,S8092,Electron beam computed tomog,,,217.93,217.93,3
HCPCS,S8096,Portable peak flow meter,,,22.0,22.0,3
HCPCS,S8100,Spacer without mask,,,18.4,18.4,3
HCPCS,S8101,Spacer with mask,,,32.23,32.23,3
HCPCS,S8110,Peak expiratory flow rate (p,,,7.26,7.26,3
HCPCS,S8120,O2 contents gas cubic ft,,,1.15,1.15,3
HCPCS,S8121,O2 contents liquid lb,,,1.2,1.2,3
HCPCS,S8130,Interferential stim 2 chan,,,299.71,299.71,3
HCPCS,S8131,Interferential stim 4 chan,,,336.55,336.55,3
HCPCS,S8185,Flutter device,,,61.76,61.76,3
HCPCS,S8186,Swivel adaptor,,,3.2,3.2,3
HCPCS,S8189,Trach supply noc,,,1.77,1.77,3
HCPCS,S8210,Mucus trap,,,1.7,1.7,3
HCPCS,S8265,Haberman feeder,,,19.32,19.32,3
HCPCS,S8421,Ready gradient sleev/glov,,,108.16,108.16,3
HCPCS,S8422,Custom grad sleeve med,,,180.94,180.94,3
HCPCS,S8423,Custom grad sleeve heavy,,,156.21,156.21,3
HCPCS,S8424,Ready gradient sleeve,,,64.35,64.35,3
HCPCS,S8426,Custom grad glove heavy,,,254.13,254.13,3
HCPCS,S8427,Ready gradient glove,,,62.44,62.44,3
HCPCS,S8428,Ready gradient gauntlet,,,59.89,59.89,3
HCPCS,S8429,Gradient pressure wrap,,,48.86,48.86,3
HCPCS,S8430,Padding for comprssn bdg,,,1.68,1.68,3
HCPCS,S8431,Compression bandage,,,2.65,2.65,3
HCPCS,S8450,Splint digit,,,2.36,2.36,3
HCPCS,S8451,Splint wrist or ankle,,,12.76,12.76,3
HCPCS,S8452,Splint elbow,,,11.2,11.2,3
HCPCS,S8490,100 insulin syringes,,,26.38,33.58,7
HCPCS,S8948,Low-level laser trmt 15 min,,,6.93,6.93,3
HCPCS,S8990,Pt or manip for maint,,,21.02,21.02,3
HCPCS,S8999,Resuscitation bag,,,36.74,36.74,3
HCPCS,S9001,Home uterine monitor with or,,,74.51,74.51,3
HCPCS,S9034,ESWL for gallstones,,,311.84,884.91,3
HCPCS,S9061,Medical supplies and equipme,,,95.68,95.68,3
HCPCS,S9088,Services provided in urgent,,,11.0,11.0,3
HCPCS,S9090,Vertebral axial decompressio,,,51.23,51.23,3
HCPCS,S9110,Telemonitoring/home per mnth,,,39.63,39.63,3
HCPCS,S9122,Home health aide or certifie,,,10.49,10.49,3
HCPCS,S9123,Nursing care in home RN,,,61.73,61.73,3
HCPCS,S9128,"Speech therapy, in the home,",,,69.23,196.46,3
HCPCS,S9129,"Occupational therapy, in the",,,79.0,79.0,3
HCPCS,S9131,PT in the home per diem,,,94.55,94.55,3
HCPCS,S9140,"Diabetic Management Program,",,,23.04,23.04,3
HCPCS,S9141,"Diabetic Management Program,",,,23.04,23.04,3
HCPCS,S9152,"Speech therapy, re-eval",,,69.23,196.46,3
HCPCS,S9208,Home mgmt preterm labor,,,25.06,25.06,3
HCPCS,S9209,Home mgmt PPROM,,,125.32,125.32,3
HCPCS,S9325,HIT pain mgmt per diem,,,101.91,101.91,3
HCPCS,S9326,HIT cont pain per diem,,,101.91,101.91,3
HCPCS,S9327,HIT int pain per diem,,,101.91,101.91,3
HCPCS,S9328,HIT pain imp pump diem,,,101.91,101.91,3
HCPCS,S9329,HIT chemo per diem,,,110.52,110.52,3
HCPCS,S9330,HIT cont chem diem,,,110.52,110.52,3
HCPCS,S9331,HIT intermit chemo diem,,,110.52,110.52,3
HCPCS,S9335,HT hemodialysis diem,,,196.31,557.07,3
HCPCS,S9336,HIT cont anticoag diem,,,101.91,101.91,3
HCPCS,S9338,HIT immunotherapy diem,,,101.91,101.91,3
HCPCS,S9339,HIT periton dialysis diem,,,196.31,557.07,3
HCPCS,S9340,HIT enteral per diem,,,44.09,44.09,3
HCPCS,S9341,HIT enteral grav diem,,,8.68,8.68,3
HCPCS,S9342,HIT enteral pump diem,,,16.56,16.56,3
HCPCS,S9343,HIT enteral bolus nurs,,,11.38,11.38,3
HCPCS,S9345,HIT anti-hemophil diem,,,101.91,101.91,3
HCPCS,S9346,HIT alpha-1-proteinas diem,,,101.91,101.91,3
HCPCS,S9347,HIT longterm infusion diem,,,101.91,101.91,3
HCPCS,S9348,HIT sympathomim diem,,,101.91,101.91,3
HCPCS,S9349,HIT tocolysis diem,,,101.91,101.91,3
HCPCS,S9351,HIT cont antiemetic diem,,,101.91,101.91,3
HCPCS,S9353,HIT cont insulin diem,,,101.91,101.91,3
HCPCS,S9355,HIT chelation diem,,,101.91,101.91,3
HCPCS,S9357,HIT enzyme replace diem,,,101.91,101.91,3
HCPCS,S9359,HIT anti-tnf per diem,,,101.91,101.91,3
HCPCS,S9361,HIT diuretic infus diem,,,101.91,101.91,3
HCPCS,S9363,HIT anti-spasmotic diem,,,101.91,101.91,3
HCPCS,S9364,HIT tpn total diem,,,141.53,141.53,3
HCPCS,S9365,HIT tpn 1 liter diem,,,141.53,141.53,3
HCPCS,S9366,HIT tpn 2 liter diem,,,154.03,154.03,3
HCPCS,S9367,HIT tpn 3 liter diem,,,154.03,154.03,3
HCPCS,S9368,HIT tpn over 3l diem,,,154.03,154.03,3
HCPCS,S9370,HT inj antiemetic diem,,,101.91,101.91,3
HCPCS,S9372,HT inj anticoag diem,,,101.91,101.91,3
HCPCS,S9373,HIT hydra total diem,,,99.53,99.53,3
HCPCS,S9374,HIT hydra 1 liter diem,,,101.91,101.91,3
HCPCS,S9375,HIT hydra 2 liter diem,,,101.91,101.91,3
HCPCS,S9376,HIT hydra 3 liter diem,,,101.91,101.91,3
HCPCS,S9377,HIT hydra over 3l diem,,,101.91,101.91,3
HCPCS,S9379,HIT noc per diem,,,101.91,101.91,3
HCPCS,S9401,Anticoag clinic per session,,,29.92,29.92,3
HCPCS,S9433,Medical food oral 100% nutr,,,2.47,2.47,3
HCPCS,S9435,Medical foods for inborn err,,,525.0,525.0,3
HCPCS,S9442,Birthing class,,,31.6,31.6,3
HCPCS,S9443,Lactation class,,,15.48,15.48,3
HCPCS,S9445,PT education noc individ,,,31.48,31.48,3
HCPCS,S9446,PT education noc group,,,36.85,36.85,3
HCPCS,S9447,Infant safety class,,,22.64,22.64,3
HCPCS,S9449,Weight mgmt class,,,9.08,9.08,3
HCPCS,S9452,Nutrition class,,,23.09,23.09,3
HCPCS,S9453,Smoking cessation class,,,22.64,22.64,3
HCPCS,S9454,Stress mgmt class,,,22.64,22.64,3
HCPCS,S9455,"Diabetic Management Program,",,,9.13,9.13,3
HCPCS,S9460,"Diabetic Management Program,",,,30.38,30.38,3
HCPCS,S9465,"Diabetic Management Program,",,,0.01,0.01,3
HCPCS,S9470,"Nutritional counseling, diet",,,80.63,80.63,3
HCPCS,S9472,Cardiac rehabilitation progr,,,58.57,166.2,3
HCPCS,S9476,Vestibular rehab per diem,,,69.23,196.46,3
HCPCS,S9480,Intensive outpatient psychia,,,149.65,149.65,3
HCPCS,S9482,Family stabilization 15 min,,,70.67,200.54,3
HCPCS,S9484,Crisis intervention per hour,,,167.39,167.39,3
HCPCS,S9485,Crisis intervention mental h,,,252.45,252.45,3
HCPCS,S9490,HIT corticosteroid/diem,,,101.91,101.91,3
HCPCS,S9494,HIT antibiotic total diem,,,101.91,101.91,3
HCPCS,S9497,HIT antibiotic q3h diem,,,130.58,130.58,3
HCPCS,S9500,HIT antibiotic q24h diem,,,135.21,135.21,3
HCPCS,S9501,HIT antibiotic q12h diem,,,146.68,146.68,3
HCPCS,S9502,HIT antibiotic q8h diem,,,152.42,152.42,3
HCPCS,S9503,HIT antibiotic q6h diem,,,124.85,124.85,3
HCPCS,S9504,HIT antibiotic q4h diem,,,130.58,130.58,3
HCPCS,S9537,HT hem horm inj diem,,,95.68,95.68,3
HCPCS,S9538,HIT blood products diem,,,176.6,501.13,3
HCPCS,S9542,HT inj noc per diem,,,101.91,101.91,3
HCPCS,S9558,HT inj growth horm diem,,,95.68,95.68,3
HCPCS,S9559,HIT inj interferon diem,,,95.68,95.68,3
HCPCS,S9560,HT inj hormone diem,,,95.68,95.68,3
HCPCS,S9562,Ht inj palivizumab/ab diem,,,95.68,95.68,3
HCPCS,S9590,HT irrigation diem,,,95.68,95.68,3
HCPCS,S9810,HT pharm per hour,,,62.66,62.66,3
HCPCS,S9982,Med record copy per page,,,0.61,0.61,3
HCPCS,S9986,Not medically necessary svc,,,568.02,568.02,3
HCPCS,T1002,RN services up to 15 minutes,,,8.26,8.26,3
HCPCS,T1006,Family/Couple Counseling,,,70.67,200.54,3
HCPCS,T1007,Treatment Plan Development,,,12.72,36.11,3
HCPCS,T1013,Sign Lang/Oral Interpreter,,,12.5,12.5,3
HCPCS,T1015,Clinic service,,,41.84,41.84,3
HCPCS,T1016,Case management,,,12.88,12.88,3
HCPCS,T1017,Targeted case management,,,30.44,30.44,3
HCPCS,T1019,Personal care ser per 15 min,,,3.98,3.98,3
HCPCS,T1030,RN home care per diem,,,91.62,91.62,3
HCPCS,T1033,Sv doula brth wrk per diem,,,100.0,100.0,3
HCPCS,T2001,N-et; patient attend/escort,,,9.0,9.0,3
HCPCS,T2003,N-et; encounter/trip,,,11.5,11.5,3
HCPCS,T2005,N-et; stretcher van,,,60.0,60.0,3
HCPCS,T2015,Habil prevoc waiver per hr,,,69.42,69.42,3
HCPCS,T2022,"Case management, per month",,,102.0,102.0,3
HCPCS,T2023,Targeted case mgmt per month,,,245.58,245.58,3
HCPCS,T2047,Hab prevo waiver per 15,,,17.36,17.36,3
HCPCS,T2049,"N-ET; stretcher van, mileage",,,2.4,2.4,3
HCPCS,T4521,Adult size brief/diaper sm,,,0.86,0.86,3
HCPCS,T4522,Adult size brief/diaper med,,,0.91,0.91,3
HCPCS,T4523,Adult size brief/diaper lg,,,1.12,1.12,3
HCPCS,T4524,Adult size brief/diaper xl,,,1.28,1.28,3
HCPCS,T4525,Adult size pull-on sm,,,1.0,1.0,3
HCPCS,T4526,Adult size pull-on med,,,0.96,0.96,3
HCPCS,T4527,Adult size pull-on lg,,,1.0,1.0,3
HCPCS,T4528,Adult size pull-on xl,,,1.27,1.27,3
HCPCS,T4529,Ped size brief/diaper sm/med,,,0.48,0.48,3
HCPCS,T4530,Ped size brief/diaper lg,,,0.77,0.77,3
HCPCS,T4531,Ped size pull-on sm/med,,,1.17,1.17,3
HCPCS,T4532,Ped size pull-on lg,,,0.71,0.71,3
HCPCS,T4533,Youth size brief/diaper,,,1.01,1.01,3
HCPCS,T4534,Youth size pull-on,,,1.01,1.01,3
HCPCS,T4535,Disposable liner/shield/pad,,,0.61,0.61,3
HCPCS,T4538,Diaper serv reusable diaper,,,0.13,0.13,3
HCPCS,T4540,Reusable underpad chair size,,,1.14,1.14,3
HCPCS,T4541,Large disposable underpad,,,0.72,0.72,3
HCPCS,T4542,Small disposable underpad,,,0.34,0.34,3
HCPCS,T4543,Adult disp brief/diap abv xl,,,2.34,2.34,3
HCPCS,T4544,Adlt disp und/pull on abv xl,,,1.54,1.54,3
HCPCS,T4545,Incon disposable penile wrap,,,0.34,0.34,3
HCPCS,T5001,Position seat spec orth need,,,1591.04,1591.04,3
HCPCS,U0001,2019-ncov diagnostic p,,,34.12,98.68,16
HCPCS,U0002,Covid-19 lab test non-cdc,,,48.74,140.96,20
HCPCS,U0003,Covid Codes - CPT/HCPCS,,,75.0,75.0,1
HCPCS,U0004,Covid Codes - CPT/HCPCS,,,75.0,75.0,1
HCPCS,U0005,Covid Codes - CPT/HCPCS,,,25.0,25.0,1
HCPCS,V2020,Vision svcs frames purchases,,,83.77,130.0,15
HCPCS,V2025,Eyeglasses delux frames,,,31.26,31.26,3
HCPCS,V2100,Lens spher single plano 4.00,,,51.77,78.83,15
HCPCS,V2101,Single visn sphere 4.12-7.00,,,49.74,83.06,15
HCPCS,V2102,Singl visn sphere 7.12-20.00,,,86.0,116.83,15
HCPCS,V2103,Spherocylindr 4.00d/12-2.00d,,,43.58,63.52,15
HCPCS,V2104,Spherocylindr 4.00d/2.12-4d,,,44.93,72.44,15
HCPCS,V2105,Spherocylinder 4.00d/4.25-6d,,,46.77,61.9,15
HCPCS,V2106,Spherocylinder 4.00d/>6.00d,,,51.89,68.68,15
HCPCS,V2107,Spherocylinder 4.25d/12-2d,,,52.71,70.45,15
HCPCS,V2108,Spherocylinder 4.25d/2.12-4d,,,52.85,85.73,15
HCPCS,V2109,Spherocylinder 4.25d/4.25-6d,,,56.53,74.83,15
HCPCS,V2110,Spherocylinder 4.25d/over 6d,,,55.78,73.83,15
HCPCS,V2111,Spherocylindr 7.25d/.25-2.25,,,58.15,76.97,15
HCPCS,V2112,Spherocylindr 7.25d/2.25-4d,,,63.49,84.03,15
HCPCS,V2113,Spherocylindr 7.25d/4.25-6d,,,72.52,95.99,15
HCPCS,V2114,Spherocylinder over 12.00d,,,95.16,125.95,15
HCPCS,V2115,Lens lenticular bifocal,,,98.29,133.08,15
HCPCS,V2118,Lens aniseikonic single,,,83.62,110.68,15
HCPCS,V2121,"Lenticular lens, single",,,89.21,118.07,15
HCPCS,V2199,Lens single vision not oth c,,,40.16,40.16,3
HCPCS,V2200,Lens spher bifoc plano 4.00d,,,58.3,82.91,15
HCPCS,V2201,Lens sphere bifocal 4.12-7.0,,,62.46,97.25,15
HCPCS,V2202,Lens sphere bifocal 7.12-20.,,,77.43,128.61,15
HCPCS,V2203,Lens sphcyl bifocal 4.00d/.1,,,60.04,82.76,15
HCPCS,V2204,Lens sphcy bifocal 4.00d/2.1,,,61.78,86.01,15
HCPCS,V2205,Lens sphcy bifocal 4.00d/4.2,,,68.49,100.23,15
HCPCS,V2206,Lens sphcy bifocal 4.00d/ove,,,71.62,94.8,15
HCPCS,V2207,Lens sphcy bifocal 4.25-7d/.,,,67.95,96.59,15
HCPCS,V2208,Lens sphcy bifocal 4.25-7/2.,,,66.78,103.92,15
HCPCS,V2209,Lens sphcy bifocal 4.25-7/4.,,,78.39,105.28,15
HCPCS,V2210,Lens sphcy bifocal 4.25-7/ov,,,84.47,112.26,15
HCPCS,V2211,Lens sphcy bifo 7.25-12/.25-,,,82.23,148.61,15
HCPCS,V2212,Lens sphcyl bifo 7.25-12/2.2,,,86.08,153.45,15
HCPCS,V2213,Lens sphcyl bifo 7.25-12/4.2,,,90.51,155.01,15
HCPCS,V2214,Lens sphcyl bifocal over 12.,,,94.59,147.34,15
HCPCS,V2215,Lens lenticular bifocal,,,99.15,131.23,15
HCPCS,V2218,Lens aniseikonic bifocal,,,115.34,152.66,15
HCPCS,V2219,Lens bifocal seg width over,,,55.52,89.59,15
HCPCS,V2220,Lens bifocal add over 3.25d,,,42.58,56.36,15
HCPCS,V2221,"Lenticular lens, bifocal",,,98.35,137.5,15
HCPCS,V2299,Lens bifocal speciality,,,22.0,22.0,3
HCPCS,V2300,Lens sphere trifocal 4.00d,,,79.7,109.08,15
HCPCS,V2301,Lens sphere trifocal 4.12-7.,,,87.72,116.11,15
HCPCS,V2302,Lens sphere trifocal 7.12-20,,,91.31,123.75,15
HCPCS,V2303,Lens sphcy trifocal 4.0/.12-,,,76.71,103.85,15
HCPCS,V2304,Lens sphcy trifocal 4.0/2.25,,,77.61,111.36,15
HCPCS,V2305,Lens sphcy trifocal 4.0/4.25,,,86.7,124.42,15
HCPCS,V2306,Lens sphcyl trifocal 4.00/>6,,,89.27,139.97,15
HCPCS,V2307,Lens sphcy trifocal 4.25-7/.,,,85.0,118.57,15
HCPCS,V2308,Lens sphc trifocal 4.25-7/2.,,,92.71,123.46,15
HCPCS,V2309,Lens sphc trifocal 4.25-7/4.,,,97.02,130.78,15
HCPCS,V2310,Lens sphc trifocal 4.25-7/>6,,,97.64,129.24,15
HCPCS,V2311,Lens sphc trifo 7.25-12/.25-,,,101.59,134.47,15
HCPCS,V2312,Lens sphc trifo 7.25-12/2.25,,,102.17,135.23,15
HCPCS,V2313,Lens sphc trifo 7.25-12/4.25,,,114.11,151.04,15
HCPCS,V2314,Lens sphcyl trifocal over 12,,,119.68,162.2,15
HCPCS,V2315,Lens lenticular trifocal,,,132.86,180.07,15
HCPCS,V2318,Lens aniseikonic trifocal,,,163.33,221.38,15
HCPCS,V2319,Lens trifocal seg width > 28,,,56.63,74.95,15
HCPCS,V2320,Lens trifocal add over 3.25d,,,59.74,79.07,15
HCPCS,V2321,"Lenticular lens, trifocal",,,130.96,177.49,15
HCPCS,V2399,Lens trifocal speciality,,,22.0,22.0,3
HCPCS,V2410,Lens variab asphericity sing,,,114.49,180.42,15
HCPCS,V2430,Lens variable asphericity bi,,,121.19,185.55,15
HCPCS,V2499,Variable asphericity lens,,,1.77,1.77,3
HCPCS,V2500,Contact lens pmma spherical,,,98.03,129.75,15
HCPCS,V2501,Cntct lens pmma-toric/prism,,,145.39,228.33,15
HCPCS,V2502,Contact lens pmma bifocal,,,194.78,257.8,15
HCPCS,V2503,Cntct lens pmma color vision,,,160.17,212.0,15
HCPCS,V2510,Cntct gas permeable sphericl,,,136.61,186.94,15
HCPCS,V2511,Cntct toric prism ballast,,,181.77,240.59,15
HCPCS,V2512,Cntct lens gas permbl bifocl,,,214.8,284.3,15
HCPCS,V2513,Contact lens extended wear,,,180.33,238.68,15
HCPCS,V2520,Contact lens hydrophilic,,,118.91,157.39,15
HCPCS,V2521,Cntct lens hydrophilic toric,,,230.26,304.77,15
HCPCS,V2522,Cntct lens hydrophil bifocl,,,197.28,266.67,15
HCPCS,V2523,Cntct lens hydrophil extend,,,171.7,227.26,15
HCPCS,V2524,Cntct lens hydrophil photoch,,,137.62,182.15,15
HCPCS,V2530,Contact lens gas impermeable,,,276.76,366.32,15
HCPCS,V2531,Contact lens gas permeable,,,606.4,828.3,15
HCPCS,V2599,Contact lens/es other type,,,27.83,27.83,3
HCPCS,V2623,Plastic eye prosth custom,,,1082.97,1433.4,15
HCPCS,V2624,Polishing artifical eye,,,52.0,116.84,15
HCPCS,V2625,Enlargemnt of eye prosthesis,,,427.63,736.52,15
HCPCS,V2626,Reduction of eye prosthesis,,,227.49,301.1,15
HCPCS,V2627,Scleral cover shell,,,1430.62,2526.87,15
HCPCS,V2628,Fabrication & fitting,,,351.25,612.23,15
HCPCS,V2630,IOL PMMA ANT 5.5*DISC NO REPL*,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 12.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 12.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 13.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 14.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 15.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 16.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 17.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 17.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 18.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 18.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 19.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 19.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 20.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 21.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 22.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 23.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 24.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 25.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 25.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 26.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 26.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 27.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 27.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 28.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 29.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 30.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 5.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 6.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 7.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 7.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 8.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 9.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 10.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 11.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 12.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 13.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 16.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 17.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 18.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 19.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 19.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 20.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 21.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 22.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 22.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 23.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 24.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 25.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 26.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 27.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 28.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 29.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 30.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 5.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 6.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 7.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 10.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 10.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 11.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 13.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 14.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 15.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 15.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 16.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 16.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 17.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 17.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 18.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 18.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 19.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 19.5,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 20.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 22.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 23.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 24.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 26.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 27.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 28.0,765.0,612.0,1.0,688.5,34
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 9.0,765.0,612.0,1.0,688.5,34
HCPCS,V2631,Iris support intraoclr lens,,,1.0,179.64,15
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 5.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 7.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 7.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 8.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 8.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 9.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 9.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL ACRYSOF ASPHERIC UV 10.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 13*NLU*,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 16.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 16.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 18.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 19.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 20.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 20.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 21.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 21.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 22.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 22.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 23.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 23.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 11.5,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 12.5,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 15.0,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 15.5*NLU*,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 16.0,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 16.5,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 27.0,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 31.0*NLU*,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 33.0,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 34.0,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D 40.0,1148.0,918.4,1.0,1033.2,34
HCPCS,V2632,IOL ACRYSOF SGL 0D NAT 2*NLU*,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL ACRYSOF SGL 0D NAT 35.0,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL ACRYSOF SGL 0D NAT 37.0,1139.0,911.2,1.0,1025.1,34
HCPCS,V2632,IOL AKREOS AO 20.5*NLU*,1105.0,884.0,1.0,994.5,34
HCPCS,V2632,IOL AKREOS AO 21.5,1105.0,884.0,1.0,994.5,34
HCPCS,V2632,IOL AKREOS AO 22.0,1105.0,884.0,1.0,994.5,34
HCPCS,V2632,IOL AKREOS AO 22.5*NLU*,1105.0,884.0,1.0,994.5,34
HCPCS,V2632,IOL AKREOS MICS 0.0*NLU*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CLAREON BLU LT FLTR 20.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON BLU LT FLTR 21.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 10.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 11.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 11.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 12.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 13.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 23.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 24.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 25.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 25.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 26.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 27.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 27.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 28.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 28.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 29.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 29.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 30.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 6.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 6.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 7.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 8.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 9.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 9.5,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 14.5,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 16.5,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 17.5,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 19.0,1267.0,1013.6,1.0,1140.3,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 23.0,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 24.5,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 25.0,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 26.0,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 30.0,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 8.5,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CLAREON PRELOAD SYS 9.0,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 10.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 10.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 11.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 11.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 12.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 12.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 13.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 14.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 14.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 15.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 15.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 16.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 17.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 18.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 18.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 19.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 19.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 20.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 21.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 21.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 22.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 23.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 24.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 24.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 25.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 25.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 26.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 26.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 27.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 27.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 28.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 28.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 29.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 29.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 30.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 30.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 31.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 31.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 32.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 32.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 33.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 33.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 34.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 4.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 5.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 5.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 6.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 6.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 7.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 7.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 8.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 8.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 9.0,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL CT LUCIA 3PC MONO 9.5,893.0,714.4,1.0,803.7,34
HCPCS,V2632,IOL ENVISTA MX60UES 22.5,1012.0,809.6,1.0,910.8,34
HCPCS,V2632,IOL ENVISTA MX60UES 23.0,1012.0,809.6,1.0,910.8,34
HCPCS,V2632,IOL ENVISTA MX60UES 3.0,1012.0,809.6,1.0,910.8,34
HCPCS,V2632,IOL ENVISTA MX60UES 5.0,1012.0,809.6,1.0,910.8,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 10.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 10.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 11.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 11.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 12.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 12.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 13.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 13.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 14.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 14.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 15.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 15.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 16.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 16.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 17.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 17.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 18.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 18.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 19.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 19.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 20.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 20.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 21.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 21.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 22.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 22.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 23.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 23.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 24.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 24.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 25.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 25.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 26.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 26.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 27.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 27.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 28.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 29.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 6.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 7.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS 9.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 10.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 10.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 11.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 11.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 12.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 12.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 13.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 13.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 14.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 14.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 15.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 15.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 16.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 16.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 17.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 17.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 18.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 18.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 19.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 19.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 20.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 20.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 21.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 21.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 22.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 22.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 23.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 23.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 24.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 24.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 25.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 25.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 26.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 26.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 27.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 27.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 28.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 28.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 29.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 29.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 30.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 30.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 31.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 31.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 32.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 32.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 33.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 33.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 34.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 5.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 5.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 6.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 6.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 7.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 7.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 8.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 8.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 9.0,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 9.5,1275.0,1020.0,1.0,1147.5,34
HCPCS,V2632,IOL PRELOAD RAYONE EMV +17.5,1658.0,1326.4,1.0,1492.2,34
HCPCS,V2632,IOL PRELOAD RAYONE EMV +26.5,1658.0,1326.4,1.0,1492.2,34
HCPCS,V2632,IOL PRELOAD RAYONE EMV +28.5,1658.0,1326.4,1.0,1492.2,34
HCPCS,V2632,IOL SENSAR 13.0MM 17.5,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.0MM 21.0,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.0MM 6.0,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.0MM 6.5*NLU*,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL SENSAR 13.0MM 7.0,713.0,570.4,1.0,641.7,34
HCPCS,V2632,IOL SENSAR 13.0MM 7.5,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.0MM 8.0,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.0MM 8.5,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.0MM 9.0,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.0MM 9.5,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.5MM 2.0,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.5MM 2.5,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.5MM 3.0,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.5MM 4.0,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 13.5MM 4.5,978.0,782.4,1.0,880.2,34
HCPCS,V2632,IOL SENSAR 6.0MM 21.0,720.0,576.0,1.0,648.0,34
HCPCS,V2632,IOL SENSAR 6.0MM 22.0,720.0,576.0,1.0,648.0,34
HCPCS,V2632,IOL SENSAR 6.0MM 22.5,720.0,576.0,1.0,648.0,34
HCPCS,V2632,IOL SENSAR 6.0MM 24.5,720.0,576.0,1.0,648.0,34
HCPCS,V2632,IOL SENSAR MENISC -1.0,1615.0,1292.0,1.0,1453.5,34
HCPCS,V2632,IOL SENSAR MENISC -2.0,1615.0,1292.0,1.0,1453.5,34
HCPCS,V2632,IOL SENSAR MENISC -3.0,713.0,570.4,1.0,641.7,34
HCPCS,V2632,IOL SENSAR MENISC -4.0,713.0,570.4,1.0,641.7,34
HCPCS,V2632,IOL SENSAR MENISC -5.0,713.0,570.4,1.0,641.7,34
HCPCS,V2632,IOL SENSAR MENISC 0.0,1615.0,1292.0,1.0,1453.5,34
HCPCS,V2632,IOL SENSAR MENISC 0.5,1615.0,1292.0,1.0,1453.5,34
HCPCS,V2632,IOL SENSAR MENISC 1.0,1615.0,1292.0,1.0,1453.5,34
HCPCS,V2632,IOL SYMFONY OPTIBLUE 17.0,5970.0,4776.0,1.0,5373.0,34
HCPCS,V2632,IOL SYMFONY OPTIBLUE 18.0,1990.0,1592.0,1.0,1791.0,34
HCPCS,V2632,IOL SYMFONY OPTIBLUE 19.0,1990.0,1592.0,1.0,1791.0,34
HCPCS,V2632,IOL SYMFONY OPTIBLUE 19.5,1990.0,1592.0,1.0,1791.0,34
HCPCS,V2632,IOL SYMFONY OPTIBLUE 20.0,1990.0,1592.0,1.0,1791.0,34
HCPCS,V2632,IOL SYMFONY OPTIBLUE 21.5,1990.0,1592.0,1.0,1791.0,34
HCPCS,V2632,IOL SYMFONY OPTIBLUE 24.0,1990.0,1592.0,1.0,1791.0,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 10.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 10.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 11.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 12.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 12.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 13.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 13.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 14.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 14.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 15.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 15.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 16.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 16.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 17.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 17.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 18.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 18.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 19.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 19.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 20.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 20.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 21.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 21.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 22.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 22.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 23.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 23.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 24.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 24.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 25.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 25.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 26.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 26.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 27.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 27.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 28.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 28.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 29.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 29.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 30.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 30.5,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 31.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 32.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 33.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 34.0,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC *DISC 6124194*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 10D 10.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 11.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 12.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 13.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 14.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 15.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 16.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 17.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 18.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 19.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 20.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 21.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 22.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 23.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 24.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 25.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 26.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 27.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 28.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 29.*DISC*,1318.0,1054.4,1.0,1186.2,68
HCPCS,V2632,IOL TECNIS 3PC 10D 30.*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 10D 5.0*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 10D 5.5*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 10D 6.0*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 10D 6.5*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 10D 7.0*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 10D 7.5*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 10D 8.0*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 10D 8.5*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 10D 9.0*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 10D 9.5*DISC*,1318.0,1054.4,1.0,1186.2,34
HCPCS,V2632,IOL TECNIS 3PC 5D 10.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 10.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 11.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 11.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 12.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 12.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 13.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 13.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 14.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 14.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 15.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 15.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 16.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 16.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 17.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 18.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 18.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 19.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 19.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 20.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 20.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 21.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 21.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 22.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 22.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 23.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 23.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 24.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 24.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 25.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 25.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 26.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 26.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 27.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 27.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 28.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 28.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 29.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 29.5*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS 3PC 5D 30.0*DISC*,1233.0,986.4,1.0,1109.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 10.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 10.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 11.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 11.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 12.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 12.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 13.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 13.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 14.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 14.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 15.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 15.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 16.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 16.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 17.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 17.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 18.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 18.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 19.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 19.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 20.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 20.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 21.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 21.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 22.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 22.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 23.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 23.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 24.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 24.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 25.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 25.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 26.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 26.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 27.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 27.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 28.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 28.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 29.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 29.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 30.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 30.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 31.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 31.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 32.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 32.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 33.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 33.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 34.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 5.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 5.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 6.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 6.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 7.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 7.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 8.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 8.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 9.0,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 9.5,1403.0,1122.4,1.0,1262.7,34
HCPCS,V2632,IOL TECNIS SYNR23.5*SCMVA NLU*,1990.0,1592.0,1.0,1791.0,34
HCPCS,V2700,Balance lens,,,49.93,77.95,15
HCPCS,V2702,Deluxe lens feature,,,15.89,15.89,3
HCPCS,V2710,Glass/plastic slab off prism,,,81.85,116.67,15
HCPCS,V2715,Prism lens/es,,,13.25,17.54,15
HCPCS,V2718,Fresnell prism press-on lens,,,32.56,43.09,15
HCPCS,V2730,Special base curve,,,24.04,31.82,15
HCPCS,V2744,Tint photochromatic lens/es,,,18.71,24.76,15
HCPCS,V2745,"Tint, any color/solid/grad",,,11.43,15.86,15
HCPCS,V2750,Anti-reflective coating,,,21.76,28.81,15
HCPCS,V2755,UV lens/es,,,18.66,26.49,15
HCPCS,V2756,Eye glass case,,,2.15,2.15,3
HCPCS,V2760,Scratch resistant coating,,,18.39,32.23,15
HCPCS,V2762,"Polarization, any lens",,,66.76,91.46,15
HCPCS,V2770,Occluder lens/es,,,21.74,30.14,15
HCPCS,V2780,Oversize lens/es,,,13.96,18.91,15
HCPCS,V2781,Progressive lens per lens,,,80.94,80.94,3
HCPCS,V2782,"Lens, 1.54-1.65 p/1.60-1.79g",,,72.1,98.77,15
HCPCS,V2783,"Lens, >= 1.66 p/>=1.80 g",,,81.31,111.41,15
HCPCS,V2784,Lens polycarb or equal,,,52.87,72.48,15
HCPCS,V2786,Occupational multifocal lens,,,21.22,21.22,3
HCPCS,V2787,IOL ACRYSOFIQ TORIC 1.50*NLU*,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL ACRYSOFIQ TORIC 1.50D 12.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL ACRYSOFIQ TORIC 2.25*NLU*,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL ACRYSOFIQ TORIC 2.25D 21.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL ACRYSOFIQ TORIC 2.2D5 16.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL ACRYSOFIQ TORIC 3.00*NLU*,990.0,792.0,261.86,891.0,52
HCPCS,V2787,IOL ACRYSOFIQ TORIC 3.00D 20.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL ACRYSOFIQ TORIC 3.00D 27.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL ACRYSOFIQ TORIC 3.75D 20.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL ACRYSOFIQ TORIC 4.50D 29.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL ACRYSOFIQ TORIC 4.50D*NLU*,990.0,792.0,261.86,891.0,52
HCPCS,V2787,IOL CLAREON 4 TORIC CL 20.5,790.0,632.0,208.96,711.0,26
HCPCS,V2787,IOL CLAREON 4 TORIC CL 22.5,1010.0,808.0,267.15,909.0,26
HCPCS,V2787,IOL CLAREON 6 TORIC CL 30.0,1100.0,880.0,290.95,990.0,26
HCPCS,V2787,IOL CLAREON 9 TORIC CL 30.0,1010.0,808.0,267.15,909.0,26
HCPCS,V2787,IOL CLAREON VIVITY TORIC 15.0,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON VIVITY TORIC 16.5,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON VIVITY TORIC 17.0,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON VIVITY TORIC 18.0,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON VIVITY TORIC 20.5,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON VIVITY TORICUV10.5,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON VIVITY TORICUV11.0,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON VIVITY TORICUV19.0,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON VIVITY TORICUV21.0,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON3 VIVITY TORIC 21.0,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON4 PANOPTIXTORIC 10.,2100.0,1680.0,496.88,1890.0,26
HCPCS,V2787,IOL CLAREON4 VIVITY TORIC 17.5,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREON5 VIVITY TORIC 18.0,2030.0,1624.0,496.88,1827.0,26
HCPCS,V2787,IOL CLAREONTORICUVACCA0T4 20.5,820.0,656.0,216.89,738.0,26
HCPCS,V2787,IOL EADIU375 18.0*USE 6318054*,1198.0,958.4,316.87,1078.2,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 11.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 12.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 12.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 14.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 14.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 15.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 15.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 16.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 16.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 17.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 17.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 18.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 18.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 19.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 19.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 20.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 20.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 21.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 21.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 22.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 22.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 23.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 23.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 24.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 28.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 30.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 30.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 6.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 8.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU150 9.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 10.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 12.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 12.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 13.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 13.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 14.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 15.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 16.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 16.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 17.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 17.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 18.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 18.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 19.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 19.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 20.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 21.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 21.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 22.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 22.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 23.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 23.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 24.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 25.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 5.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 6.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 7.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU225 9.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 13.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 15.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 15.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 16.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 16.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 17.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 17.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 18.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 19.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 19.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 20.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 20.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 21.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 21.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 22.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 22.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 23.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU300 23.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 10.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 12.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 14.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 15.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 16.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 17.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 17.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 21.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 21.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 22.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 23.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU375 5.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU450 12.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU450 13.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU450 17.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU450 18.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU450 18.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU450 19.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU450 21.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU450 22.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU450 9.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU525 18.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU525 19.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU525 8.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU525 8.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU600 10.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU600 11.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU600 18.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU600 21.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU600 25.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU600 25.5,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL EYHANCE TORIC DIU600 9.0,1190.0,952.0,314.76,1071.0,26
HCPCS,V2787,IOL ODYSSEY TORIC*USE 6344165*,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 10.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 10.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 11.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 11.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 12.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 12.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 13.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 13.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 14.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 14.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 15.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 15.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 16.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 16.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 17.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 17.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 18.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 18.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 19.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 19.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 20.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 20.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 21.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 21.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 22.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 22.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 23.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 23.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 24.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 24.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 25.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 25.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 26.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 26.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 27.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 27.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 28.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 28.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 29.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 29.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 30.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 30.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 31.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 31.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 32.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 32.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 33.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 33.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 34.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 5.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 5.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 6.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 6.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 7.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 7.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 8.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 8.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 9.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 9.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 10.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 10.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 11.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 11.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 12.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 12.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 13.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 13.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 14.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 14.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 15.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 15.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 16.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 16.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 17.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 17.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 18.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 18.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 19.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 19.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 20.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 20.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 21.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 21.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 22.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 22.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 23.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 23.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 24.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 24.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 25.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 25.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 26.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 26.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 27.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 27.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 28.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 28.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 29.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 29.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 30.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 30.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 31.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 31.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 32.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 32.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 33.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 33.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 34.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 5.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 5.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 6.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 6.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 7.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 7.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 8.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 8.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 9.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 9.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 10.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 10.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 11.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 11.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 12.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 12.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 13.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 13.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 14.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 14.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 15.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 15.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 16.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 16.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 17.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 17.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 18.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 18.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 19.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 19.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 20.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 20.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 21.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 21.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 22.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 22.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 23.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 23.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 24.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 24.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 25.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 25.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 26.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 26.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 27.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 27.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 28.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 28.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 29.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 29.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 30.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 30.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 31.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 31.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 32.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 32.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 33.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 33.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 34.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 5.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 5.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 6.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 6.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 7.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 7.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 8.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 8.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 9.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 9.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 10.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 10.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 11.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 11.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 12.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 12.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 13.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 13.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 14.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 14.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 15.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 15.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 16.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 16.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 17.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 17.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 18.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 18.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 19.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 19.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 20.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 20.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 21.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 21.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 22.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 22.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 23.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 23.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 24.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 24.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 25.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 25.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 26.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 26.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 27.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 27.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 28.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 28.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 29.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 29.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 30.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 30.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 31.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 31.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 32.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 32.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 33.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 33.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 34.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 5.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 5.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 6.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 6.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 7.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 7.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 8.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 8.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 9.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 9.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 14.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 15.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 16.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 17.5,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 18.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 18.5,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 19.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 19.5,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 20.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 20.5,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 21.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 21.5,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 22.5,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 23.5,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 27.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 28.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 29.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 30.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 4.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 5.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 6.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 7.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 8.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL RXSIGHT LAL+ 9.0,2000.0,1600.0,496.88,1800.0,26
HCPCS,V2787,IOL SYMFONY TORIC II 1.50 15.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL SYMFONY TORIC II 2.25 19.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL SYMFONY TORIC II 2.25 20.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL SYMFONY TORIC II 2.25 22.5,1750.0,1400.0,462.88,1575.0,26
HCPCS,V2787,IOL SYNRG 1.50 13.5*SCMVA NLU*,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL SYNRG 1.50 17.0*SCMVA NLU*,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL SYNRG 1.50 18.0*SCMVA NLU*,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL SYNRG 1.50 19.5*SCMVA NLU*,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL SYNRG 1.50 21.5*SCMVA NLU*,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL SYNRG 3.00 19.0*SCMVA NLU*,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 05.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 05.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 06.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 06.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 07.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 08.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 08.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 09.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 09.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 10.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 10.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 11.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 11.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 12.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 12.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 13.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 13.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 14.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 14.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 15.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 15.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 16.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 16.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 18.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 18.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 19.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 19.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 20.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 20.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 21.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 21.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 23.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 23.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 24.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 24.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 25.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 25.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 26.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 26.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 27.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 27.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 28.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 28.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 29.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 29.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 30.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 30.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 31.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 31.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 32.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 32.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 33.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 33.5,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS ODYSSEY 34.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT150 10.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT150 17.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT150 32.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT150 5.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT150 6.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT225 10.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT225 14.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT225 15.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT225 17.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT225 20.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT225 23.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT225 6.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT300 11.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT300 19.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT300 21.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT300 5.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT300 7.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT400 10.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT400 16.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT400 20.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT400 22.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT450 10.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT450 19.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT450 22.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT525 11.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT525 19.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TECNIS TORIC ZCT525 21.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU150 24.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU225 10.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU225 11.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU225 20.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU225 9.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU300 19.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU375 10.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU375 20.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU375 27.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU450 13.5,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC II ZCU525 14.0,990.0,792.0,261.86,891.0,26
HCPCS,V2787,IOL TORIC ZCT450 18.0D,1980.0,1584.0,496.88,1782.0,26
HCPCS,V2787,IOL TRIFCL PANOPT3 TORICUV14.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2787,IOL TRIFCL PANOPT6 TORICUV25.0,1990.0,1592.0,496.88,1791.0,26
HCPCS,V2788,IOL ACRYSOFT VIVITY TORIC12.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL ACRYSOFT VIVITY TORIC21.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL ACRYSOFT VIVITY TORIC21.5,525.0,420.0,138.86,871.34,26
HCPCS,V2788,IOL CLAERON PANOPTIX 18.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAERON PANOPTIX 22.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON AUTONOME 1.5 17.5,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON AUTONOME 1.5 20.0,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON AUTONOME 1.5 21.0,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON AUTONOME 2.25 20.0,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON AUTONOME 21.0,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 10.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 11.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 13.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 15.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 16.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 17.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 18.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 19.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 20.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 20.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 21.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 21.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 22.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 23.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 24.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 24.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 25.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 25.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 28.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON PANOPTIX 7.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON VIVITY 11.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON VIVITY 14.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON VIVITY 16.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON VIVITY EDOF 17.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON VIVITY EDOF 18.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON VIVITY EDOF 18.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON VIVITY EDOF 20.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON VIVITY EXT 13.5,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON VIVITY EXT 16.0,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON VIVITY EXT 17.0,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON VIVITY EXT 17.5,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON VIVITY EXT 18.5,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON VIVITY EXT 20.0,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON VIVITY EXT1.5 18.5,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC18.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC19.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC19.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC20.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC22.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON3 VIVITY TORIC 18.5,2060.0,1648.0,544.87,1854.0,26
HCPCS,V2788,IOL CLAREON4 PANOPTIX TORIC9.0,2100.0,1680.0,555.45,1890.0,26
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC16.0,2100.0,1680.0,555.45,1890.0,26
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC21.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC22.0,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC22.5,2030.0,1624.0,536.94,1827.0,26
HCPCS,V2788,IOL CLAREON5 PANOPTIXTORIC18.0,2100.0,1680.0,555.45,1890.0,26
HCPCS,V2788,IOL CRYSTALENS AO 11.5MM*NLU*,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULT 1PC ZKB00 18.0D*NLU*,1790.0,1432.0,473.46,1611.0,26
HCPCS,V2788,IOL MULT 1PC ZKB00 5.0D*NLU*,1790.0,1432.0,473.46,1611.0,26
HCPCS,V2788,IOL MULT 1PC ZMB00 25.5D*NLU*,1790.0,1432.0,473.46,1611.0,26
HCPCS,V2788,IOL MULT 1PC ZMB00 8.5D*NLU*,1790.0,1432.0,473.46,1611.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 15.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 15.25,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 15.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 15.75,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 16.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 16.25,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 16.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 16.75,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 17.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 17.25,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 17.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 17.75,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 18.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 18.25,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 18.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 18.75,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 19.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 19.25,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 19.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 19.75,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 20.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 20.25,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 20.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 20.75,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 21.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 21.25,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 21.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 21.75,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 22.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 22.25,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 22.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 22.75,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 23.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 23.25,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 23.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 23.75,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 24.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 24.25,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 24.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 24.75,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 25.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 25.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 26.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 26.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 27.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 27.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 28.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 28.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 29.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 29.50,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 30.0,1900.0,1520.0,502.55,1710.0,26
HCPCS,V2788,IOL RESTOR IQ MULT 3.0 24.5,1790.0,1432.0,473.46,1611.0,26
HCPCS,V2788,IOL RESTOR IQ MULT 3.0 25.0,1790.0,1432.0,473.46,1611.0,26
HCPCS,V2788,IOL RESTOR IQ MULT 3.0D *NLU*,1790.0,1432.0,473.46,1611.0,52
HCPCS,V2788,IOL RXSIGHT LAL+ 10.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LAL+ 11.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LAL+ 12.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LAL+ 13.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LAL+ 16.5,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LAL+ 17.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LAL+ 22.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LAL+ 23.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LAL+ 24.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LAL+ 25.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LAL+ 26.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 10.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 11.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 12.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 13.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 14.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 15.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 16.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 16.5,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 17.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 17.5,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 18.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 18.5,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 19.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 19.5,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 20.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 20.5,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 21.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 21.5,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 22.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 22.5,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 23.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 23.5,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 24.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 25.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 26.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 27.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 28.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 29.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 30.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 4.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 5.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 6.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 7.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 8.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 9.0,2000.0,1600.0,529.0,1800.0,26
HCPCS,V2788,IOL SYMFONY EXT REACH 14.5,1790.0,1432.0,473.46,1611.0,26
HCPCS,V2788,IOL SYMFONY EXT REACH 20.5,1790.0,1432.0,473.46,1611.0,26
HCPCS,V2788,IOL SYMFONY OPTIBLUE 12.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY OPTIBLUE 13.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY OPTIBLUE 16.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY OPTIBLUE 16.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY OPTIBLUE 18.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY OPTIBLUE 23.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY OPTIBLUE 23.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY OPTIBLUE 24.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY TORIC II 1.50 16.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY TORIC II 1.50 17.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY TORIC II 1.50 21.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY TORIC II 1.50 23.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY TORIC II 2.25 10.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY TORIC II 2.25 18.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY TORIC II 2.25 19.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY TORIC II 2.25 25.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY TORIC II 2.25 25.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL SYMFONY TORIC II 3.00 14.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TECNIS MULTFOCAL 16.5,1790.0,1432.0,473.46,1611.0,26
HCPCS,V2788,IOL TECNIS MULTFOCAL 1PC 13.5,1790.0,1432.0,473.46,1611.0,26
HCPCS,V2788,IOL TECNIS ODYSSEY 17.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TECNIS ODYSSEY 17.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TECNIS ODYSSEY 22.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TECNIS ODYSSEY 22.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TECNIS SYNR14.0*SCMVA NLU*,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TECNIS SYNR16.0*SCMVA NLU*,1750.0,1400.0,462.88,1575.0,26
HCPCS,V2788,IOL TECNIS SYNR22.5*SCMVA NLU*,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TECNIS SYNR23.0*SCMVA NLU*,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV 27.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 12.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 13.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 14.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 15.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 15.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 16.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 17.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 18.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 18.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 19.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 19.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 20.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 21.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 21.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 22.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 22.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 24.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 24.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 25.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUS22.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV21.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV23.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV16.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV17.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV23.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT6 TORICUV13.5,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL TRIFCL PANOPT6 TORICUV17.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL VIVITY NON TORIC 16.5,1750.0,1400.0,462.88,1575.0,26
HCPCS,V2788,IOL VIVITY TORIC DAT415 20.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2788,IOL VIVITY TORIC DAT415 21.0,1990.0,1592.0,526.36,1791.0,26
HCPCS,V2790,ALLO AMNIOGUARD 1.0X0.75CM,3080.0,2464.0,1.0,2772.0,26
HCPCS,V2790,ALLO AMNION STERISHIELD 1X1CM,6066.0,4852.8,1.0,5459.4,26
HCPCS,V2790,ALLO AMNION STERISHIELD 4X4CM,9900.0,7920.0,1.0,8910.0,26
HCPCS,V2790,ALLO NUCEL LG*NLU*,10150.0,8120.0,1.0,9135.0,26
HCPCS,V2790,ALLO NUCEL MD*NLU*,7493.0,5994.4,1.0,6743.7,26
HCPCS,V2790,ALLO NUCEL SM*NLU*,5070.0,4056.0,1.0,4563.0,26
HCPCS,V2790,ALLO NUCEL W FBR OS MD*NLU*,10350.0,8280.0,1.0,9315.0,26
HCPCS,V2790,ALLO NUCEL W FBR OS SM*NLU*,5265.0,4212.0,1.0,4738.5,26
HCPCS,V5008,Hearing screening,,,7.72,7.72,3
HCPCS,V5010,Assessment for hearing aid,,,30.35,30.35,3
HCPCS,V5011,Hearing aid fitting/checking,,,11.97,11.97,3
HCPCS,V5020,Conformity evaluation,,,65.11,65.11,3
HCPCS,V5030,Body-worn hearing aid air,,,931.87,931.87,3
HCPCS,V5040,Body-worn hearing aid bone,,,887.33,887.33,3
HCPCS,V5050,Hearing aid monaural in ear,,,900.0,900.0,3
HCPCS,V5060,Behind ear hearing aid,,,900.0,900.0,3
HCPCS,V5090,Hearing aid dispensing fee,,,182.15,182.15,3
HCPCS,V5100,Body-worn bilat hearing aid,,,1533.68,1533.68,3
HCPCS,V5110,Hearing aid dispensing fee,,,273.23,273.23,3
HCPCS,V5130,In ear binaural hearing aid,,,1800.0,1800.0,3
HCPCS,V5140,Behind ear binaur hearing ai,,,1800.0,1800.0,3
HCPCS,V5150,Glasses binaural hearing aid,,,1497.98,1497.98,3
HCPCS,V5160,Dispensing fee binaural,,,273.23,273.23,3
HCPCS,V5171,Hearing aid monaural ite,,,1658.0,1658.0,3
HCPCS,V5172,Hearing aid monaural itc,,,818.0,818.0,3
HCPCS,V5181,Hearing aid monaural bte,,,1800.0,1800.0,3
HCPCS,V5200,Disp fee contralateral monau,,,182.15,182.15,3
HCPCS,V5211,Hearing aid binaural ite/ite,,,2984.4,2984.4,3
HCPCS,V5212,Hearing aid binaural ite/itc,,,1636.0,1636.0,3
HCPCS,V5213,Hearing aid binaural ite/bte,,,1472.4,1472.4,3
HCPCS,V5214,Hearing aid binaural itc/itc,,,1472.4,1472.4,3
HCPCS,V5215,Hearing aid binaural itc/bte,,,1636.0,1636.0,3
HCPCS,V5221,Hearing aid binaural bte/bte,,,3600.0,3600.0,3
HCPCS,V5240,Disp fee contralateral binau,,,273.23,273.23,3
HCPCS,V5241,"Dispensing fee, monaural",,,182.15,182.15,3
HCPCS,V5244,"Hearing aid, prog, mon, cic",,,630.94,630.94,3
HCPCS,V5245,"Hearing aid, prog, mon, itc",,,1010.0,1010.0,3
HCPCS,V5246,"Hearing aid, prog, mon, ite",,,437.25,437.25,3
HCPCS,V5247,"Hearing aid, prog, mon, bte",,,466.83,466.83,3
HCPCS,V5250,"Hearing aid, prog, bin, cic",,,1261.88,1261.88,3
HCPCS,V5251,"Hearing aid, prog, bin, itc",,,2020.0,2020.0,3
HCPCS,V5252,"Hearing aid, prog, bin, ite",,,874.5,874.5,3
HCPCS,V5253,"Hearing aid, prog, bin, bte",,,2252.31,2252.31,3
HCPCS,V5254,"Hearing id, digit, mon, cic",,,1456.99,1456.99,3
HCPCS,V5255,"Hearing aid, digit, mon, itc",,,998.23,998.23,3
HCPCS,V5256,"Hearing aid, digit, mon, ite",,,900.0,900.0,3
HCPCS,V5257,"Hearing aid, digit, mon, bte",,,900.0,900.0,3
HCPCS,V5258,"Hearing aid, digit, bin, cic",,,2913.98,2913.98,3
HCPCS,V5259,"Hearing aid, digit, bin, itc",,,1996.46,1996.46,3
HCPCS,V5260,"Hearing aid, digit, bin, ite",,,1800.0,1800.0,3
HCPCS,V5261,"Hearing aid, digit, bin, bte",,,1800.0,1800.0,3
HCPCS,V5264,Ear mold/insert,,,48.0,48.0,3
HCPCS,V5266,Battery for hearing device,,,1.12,1.12,3
HCPCS,V5270,"ALD, TV amplifier, any type",,,148.58,148.58,3
HCPCS,V5275,Ear impression,,,12.38,12.38,3
HCPCS,V5362,Speech screening,,,12.39,12.39,3
HCPCS,V5363,Language screening,,,12.39,12.39,3
HCPCS,V5364,Dysphagia screening,,,12.39,12.39,3
HCPCS,W8690,HISTORY&BRIEF EX WO LAB SDT19,444.0,355.2,117.44,399.6,26
HCPCS,W8695,HISTORY & EXAM W LAB SDT19,607.0,485.6,160.55,546.3,26
HCPCS,W8700,CV COMP EXAM WO IMAGING SDT19,844.0,675.2,223.24,759.6,26
HCPCS,W8710,CV COMP EXAM W IMAGING SDT19,1168.0,934.4,308.94,1051.2,26
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,212224.83,511001.0,17
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,72155.36,199908.0,17
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV &gt;96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,161081.29,388791.0,17
MS-DRG,004,"TRACHEOSTOMY WITH MV &gt;96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,105611.53,256332.0,17
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,78974.93,193191.0,17
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,36295.76,87969.0,17
MS-DRG,007,LUNG TRANSPLANT,,,98832.2,237081.0,17
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,41747.26,98707.0,17
MS-DRG,010,PANCREAS TRANSPLANT,,,49931.92,144638.0,17
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,41400.44,97887.0,17
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,31485.39,74445.0,17
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,20331.92,50154.85,17
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,91818.93,237680.0,17
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,46020.16,109497.0,17
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,42278.44,109497.0,17
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,289350.36,751553.45,17
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,55084.08,143809.0,17
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,60607.14,146236.0,17
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,40977.66,100271.0,17
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,21191.29,64045.0,17
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,43772.16,103496.0,17
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,29168.14,68967.0,17
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,34313.66,81132.0,17
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,23467.1,55486.0,17
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,18933.89,44768.0,17
MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,46611.45,110288.0,17
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,25754.42,60894.0,17
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,17073.96,40371.0,17
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,32152.17,77978.62,17
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,16385.69,38742.0,17
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,12241.5,28944.0,17
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,29836.46,70545.0,17
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,17453.01,41604.26,17
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,14064.61,33812.49,17
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,25479.73,60244.0,17
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,12361.97,29231.0,17
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,8733.41,20648.0,17
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,28941.02,68430.0,17
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,17330.24,40966.0,17
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,13485.3,31885.0,17
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,15039.31,36509.0,17
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,7069.13,17042.0,17
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,11502.59,27195.0,17
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,8370.48,19792.0,17
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,18889.35,45427.0,17
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,10241.15,24207.0,17
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,14162.06,33486.0,17
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,9387.92,22197.0,17
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,6847.39,16189.0,17
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,20741.65,49042.0,17
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,13664.08,32307.0,17
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,10778.26,25484.0,17
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,15262.36,36086.0,17
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,7803.44,18448.0,17
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,5281.33,12486.0,17
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,11170.35,26393.0,17
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,6764.52,15991.0,17
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,6139.93,14515.0,17
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,13341.05,31544.0,17
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,8085.81,19119.0,17
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,5755.52,13609.0,17
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,11858.62,28039.0,17
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,7998.34,18910.0,17
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,12753.29,33372.17,17
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,7035.37,16633.0,17
MS-DRG,077,Inpatient MS-DRG,,,11863.99,28051.0,3
MS-DRG,078,Inpatient MS-DRG,,,7656.12,18103.0,3
MS-DRG,079,Inpatient MS-DRG,,,5076.46,12095.0,3
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,15029.51,36061.0,17
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,6942.53,16414.0,17
MS-DRG,082,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITH MCC,,,17802.13,42091.0,17
MS-DRG,083,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITH CC,,,10667.77,25223.0,17
MS-DRG,084,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITHOUT CC/MCC,,,7335.39,17345.0,17
MS-DRG,085,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITH MCC,,,17386.25,41108.0,17
MS-DRG,086,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITH CC,,,10063.91,23794.0,17
MS-DRG,087,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITHOUT CC/MCC,,,6782.93,16037.0,17
MS-DRG,088,CONCUSSION WITH MCC,,,10823.53,25592.0,17
MS-DRG,089,CONCUSSION WITH CC,,,8226.22,19449.0,17
MS-DRG,090,CONCUSSION WITHOUT CC/MCC,,,6577.3,15552.0,17
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,13986.34,33069.0,17
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,8124.17,19206.0,17
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,6056.3,14319.0,17
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,27888.56,66191.0,17
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,18392.18,44888.4,17
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,18392.18,44888.4,17
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,27506.17,65028.0,17
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,16643.5,39940.44,17
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,10690.02,25276.0,17
MS-DRG,100,SEIZURES WITH MCC,,,15232.44,36015.0,17
MS-DRG,101,SEIZURES WITHOUT MCC,,,7071.44,16721.0,17
MS-DRG,102,HEADACHES WITH MCC,,,8896.08,21034.0,17
MS-DRG,103,HEADACHES WITHOUT MCC,,,6523.58,15423.0,17
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,17164.5,40937.0,17
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,9070.25,23547.61,17
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,11746.6,27774.0,17
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,12802.4,31468.17,17
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,7766.61,19567.0,17
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,8924.47,21102.0,17
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,5204.6,13676.06,17
MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,6162.95,14571.0,17
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,10004.06,23654.0,17
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,6335.6,14979.0,17
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,17737.65,43740.0,17
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,7505.73,17746.0,17
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,10730.69,25987.65,17
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,6241.99,15423.42,17
MS-DRG,139,SALIVARY GLAND PROCEDURES,,,10534.26,24908.0,17
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,32449.12,76722.0,17
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,16483.91,38976.0,17
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,12064.26,28525.0,17
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,25333.94,65205.83,17
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,13478.39,31868.0,17
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,9090.2,21493.0,17
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,17341.97,41617.0,17
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,9550.58,22582.0,17
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,5856.03,14525.0,17
MS-DRG,149,DYSEQUILIBRIUM,,,5735.57,13560.0,17
MS-DRG,150,EPISTAXIS WITH MCC,,,10604.85,25074.0,17
MS-DRG,151,EPISTAXIS WITHOUT MCC,,,5816.13,13751.0,17
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,8706.55,20586.0,17
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,5460.87,12911.0,17
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,12477.83,29503.0,17
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,7163.51,16936.0,17
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,5159.33,12198.0,17
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,12563.77,29879.19,17
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,7216.46,17063.0,17
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,5061.11,12330.73,17
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,35128.27,83615.0,17
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,19311.41,45661.0,17
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,14301.7,33815.0,17
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,29530.74,69848.0,17
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,14019.34,33147.0,17
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,10387.71,24561.0,17
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,23543.83,55667.0,17
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,10812.02,25562.0,17
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,6249.66,14776.0,17
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,12403.4,29325.0,17
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,7612.38,17998.0,17
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,5905.91,13963.0,17
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,13410.1,31707.0,17
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,8518.56,20142.0,17
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,6426.14,15193.0,17
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,12178.59,28795.0,17
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,8194.76,19376.0,17
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,5966.52,14108.0,17
MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,12123.34,28663.0,17
MS-DRG,187,PLEURAL EFFUSION WITH CC,,,7702.92,18214.0,17
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,5632.75,13319.0,17
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,9495.34,22448.0,17
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,8619.08,20372.0,17
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,6591.87,15585.0,17
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,4965.97,11741.0,17
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,10111.48,23904.0,17
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,6291.86,14876.0,17
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,4778.74,11296.0,17
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,14457.47,34179.0,17
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,7595.5,17960.0,17
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,5163.93,12706.0,17
MS-DRG,199,PNEUMOTHORAX WITH MCC,,,13544.38,32024.0,17
MS-DRG,200,PNEUMOTHORAX WITH CC,,,8497.08,20091.0,17
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,5193.85,12445.6,17
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,7417.49,17537.0,17
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,5342.71,12637.0,17
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,6222.04,14712.0,17
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,14484.32,34247.0,17
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,6950.2,16432.0,17
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT &gt;96 HOURS,,,49626.66,117321.0,17
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT &lt;=96 HOURS,,,20595.1,48687.0,17
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES,,,86559.92,196992.4,14
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,83214.65,197626.0,17
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES,,,44344.14,99322.89,14
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,76315.72,192200.0,17
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,74047.52,175081.0,17
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,49547.63,117153.0,17
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,45647.44,114436.52,17
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,59174.09,140366.0,17
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,40638.51,96087.0,17
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,35236.72,87719.64,17
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,38233.79,90402.0,17
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,23833.11,56351.0,17
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,64828.04,153725.0,17
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,46868.99,110818.0,17
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,58925.09,141797.0,17
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,40819.59,96514.0,17
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,45146.4,106745.0,17
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,31549.84,74598.0,17
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,38437.44,91374.0,17
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,22343.78,52830.0,17
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,11584.7,27391.0,17
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,25431.72,61534.0,17
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,17284.97,40868.0,17
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,13847.46,32739.0,17
MS-DRG,245,AICD GENERATOR PROCEDURES,,,35734.57,88651.0,17
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,17745.35,41953.0,17
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,11989.06,28347.0,17
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,26319.92,62231.0,17
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,19588.4,46314.0,17
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,13422.38,31736.0,17
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,20074.87,47466.0,17
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,12994.99,30725.0,17
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,6081.62,19008.65,17
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,21525.83,54685.11,17
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,13486.06,35192.63,17
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,25883.05,61792.0,17
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,14558.75,34424.0,17
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,11645.31,28366.78,17
MS-DRG,263,VEIN LIGATION AND STRIPPING,,,20578.22,53210.99,17
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,26543.54,63405.0,17
MS-DRG,265,AICD LEAD PROCEDURES,,,27368.82,64713.0,17
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,45964.34,108679.0,17
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,36096.86,85348.0,17
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,51157.43,120957.0,17
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,31922.75,75479.0,17
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,39383.97,93118.0,17
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,26428.88,62485.0,17
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,19197.85,45392.0,17
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,30001.43,71800.2,17
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,23945.9,57288.75,17
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,54221.25,128202.0,17
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,46598.66,112373.0,17
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,35696.33,84390.0,17
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,38387.25,96874.14,17
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,24585.83,62765.79,17
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,12595.23,29777.0,17
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,7072.97,16722.0,17
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,5563.69,13154.0,17
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,15003.78,35473.0,17
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,5684.93,13442.0,17
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,4306.85,10423.26,17
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,16982.65,40151.0,17
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,8360.5,19768.0,17
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,20957.26,49552.0,17
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,12097.25,29706.89,17
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,7511.87,17760.0,17
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,10012.5,23670.0,17
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,6608.75,15623.0,17
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,4212.48,9954.0,17
MS-DRG,294,Inpatient MS-DRG,,,9421.68,22277.0,3
MS-DRG,295,Inpatient MS-DRG,,,6060.14,14328.0,3
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,12570.68,29722.0,17
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,5404.86,12779.0,17
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,3388.4,8013.0,17
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,12412.61,29345.0,17
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,8213.95,19422.0,17
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,5473.15,12942.0,17
MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,8925.23,21103.0,17
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,5159.33,12198.0,17
MS-DRG,304,HYPERTENSION WITH MCC,,,9014.24,21312.0,17
MS-DRG,305,HYPERTENSION WITHOUT MCC,,,5760.12,13618.0,17
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,11489.55,27425.22,17
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,7107.5,16806.0,17
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,9253.64,21876.0,17
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,5672.65,13412.0,17
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,4293.04,10150.0,17
MS-DRG,311,ANGINA PECTORIS,,,5359.59,12668.0,17
MS-DRG,312,SYNCOPE AND COLLAPSE,,,6685.48,15806.0,17
MS-DRG,313,CHEST PAIN,,,5473.15,12942.0,17
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,16523.04,39067.0,17
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,7383.73,17457.0,17
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,5237.59,12385.0,17
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,47465.18,116371.85,17
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE,,,19634.83,42155.97,14
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,33703.65,79690.0,17
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,17759.93,41993.0,17
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,21842.73,51644.0,17
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,13881.22,32821.0,17
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,32680.84,77270.0,17
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,24515.24,57962.0,17
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,21960.13,55873.8,17
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,38931.68,92138.0,17
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,18630.81,44048.0,17
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,12226.16,28908.0,17
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,35232.11,83302.0,17
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,18136.67,42880.0,17
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,12668.12,29951.0,17
MS-DRG,332,RECTAL RESECTION WITH MCC,,,26613.8,63014.66,17
MS-DRG,333,RECTAL RESECTION WITH CC,,,16305.89,40763.65,17
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,12724.9,30089.0,17
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,27806.18,65732.0,17
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,16208.45,38319.0,17
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,11778.06,27848.0,17
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,20674.13,48881.0,17
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,11426.63,27007.0,17
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,9554.42,22591.0,17
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,18158.92,42936.0,17
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,9658.77,22838.0,17
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,6759.15,15980.0,17
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,18567.13,43878.0,17
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,11545.56,27293.0,17
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,8459.48,20324.39,17
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,22503.37,53208.0,17
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,13052.54,30860.0,17
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,10228.88,24186.0,17
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,32728.41,77384.0,17
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,17278.83,40854.0,17
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,10396.92,24583.0,17
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC,,,27280.73,59845.39,14
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,19575.41,42018.48,14
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,12813.14,30295.0,17
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,7808.04,18460.0,17
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,5354.99,12662.0,17
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,13414.71,31710.0,17
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,7897.82,18673.0,17
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,5565.23,13159.0,17
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,16201.54,38303.0,17
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,9427.82,22290.0,17
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,6774.49,16086.52,17
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,13950.28,32984.0,17
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,7564.81,17885.0,17
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,4884.63,11550.0,17
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,14765.15,34909.0,17
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,8356.66,19757.0,17
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,5749.38,13933.64,17
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,9700.21,24029.7,17
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,6672.44,15775.0,17
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,12466.32,29475.0,17
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,7614.69,18005.0,17
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,5143.21,12160.0,17
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,11279.31,26665.0,17
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,6151.44,14542.0,17
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,4197.9,9927.0,17
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,9859.04,23302.0,17
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,5987.24,14155.0,17
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,12705.72,30041.0,17
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,7222.59,17076.0,17
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,4883.1,11545.0,17
MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,19010.62,44950.0,17
MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,11611.55,27451.0,17
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,8625.22,20387.0,17
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,30148.75,70971.0,17
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,41652.11,98482.0,17
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,21547.32,50947.0,17
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,16386.46,38746.0,17
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,26863.94,63517.0,17
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,16084.91,38033.0,17
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,11900.82,28139.0,17
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,20819.92,57490.63,17
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,16355.0,38669.0,17
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,12755.6,30159.0,17
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,26883.12,63562.0,17
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,15177.19,35968.85,17
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,10513.54,24857.0,17
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,18234.88,43112.0,17
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,12725.67,30085.0,17
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,10109.94,23903.0,17
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,27043.78,64029.0,17
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,12564.54,30239.45,17
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,11273.94,26656.0,17
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,31206.86,73787.0,17
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,17518.23,41421.0,17
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,11860.16,28042.0,17
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,80425.32,191812.96,17
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,54468.33,128850.0,17
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,42241.4,99850.0,17
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,63992.82,156803.08,17
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,41972.08,100370.61,17
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,15032.17,35540.0,17
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,8207.81,19407.0,17
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,5343.48,12635.0,17
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,13999.39,33100.0,17
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,8652.07,20458.0,17
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,6024.07,14850.83,17
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,12766.34,30181.0,17
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,6600.31,15605.0,17
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,4719.66,11159.0,17
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,14504.27,34294.0,17
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,7413.65,17528.0,17
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,5391.05,12748.0,17
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,12925.17,30557.0,17
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,8320.6,19674.0,17
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,6116.92,14464.0,17
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,51441.33,121630.0,17
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,31330.39,74079.0,17
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,39513.65,93428.0,17
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,23677.34,56221.88,17
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,64628.68,153640.0,17
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,44035.35,104118.0,17
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,32802.3,78333.0,17
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,42960.74,111326.0,17
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,21423.7,51952.0,17
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,41439.57,99194.1,17
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,22624.61,54208.24,17
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,13319.56,31739.67,17
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,39088.56,92421.0,17
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,26279.26,62137.0,17
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,20127.81,47826.19,17
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,24231.1,59297.0,17
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,14467.44,34205.0,17
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,37267.76,88116.0,17
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,22228.68,52558.0,17
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,18163.53,42947.0,17
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,33707.24,81357.0,17
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,16551.43,39606.28,17
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,8923.7,21100.0,17
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,26385.91,62387.0,17
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,17942.54,42799.92,17
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,13624.95,32352.3,17
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,22566.29,53353.0,17
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,15920.71,37641.0,17
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,12172.45,28779.0,17
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,19551.57,48242.15,17
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,24734.68,58401.0,17
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,16272.13,38475.0,17
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,12124.11,28666.0,17
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,14720.35,35654.0,17
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,9503.78,22466.0,17
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,27246.82,64422.0,17
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,18422.87,44138.28,17
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,14467.44,34921.13,17
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,27011.26,63867.0,17
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,14983.63,35792.0,17
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,10304.84,24356.0,17
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,19372.02,52504.39,17
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,8429.56,35065.58,17
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,24311.9,57483.0,17
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,13695.54,32376.0,17
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,10719.95,25347.0,17
MS-DRG,503,FOOT PROCEDURES WITH MCC,,,20306.59,48576.3,17
MS-DRG,504,FOOT PROCEDURES WITH CC,,,13470.72,32531.56,17
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,13470.72,31837.0,17
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,11501.83,27195.0,17
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,14871.04,35161.0,17
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,9526.03,26356.62,17
MS-DRG,509,Inpatient MS-DRG,,,13477.62,31868.0,3
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,21929.43,52568.78,17
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,15049.82,36189.88,17
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,12335.88,29167.0,17
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,11551.7,27399.12,17
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,7823.39,18497.0,17
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,23726.45,56099.0,17
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,15435.01,36494.0,17
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,11452.72,27079.0,17
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,27498.5,65043.97,17
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,15128.85,35772.0,17
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,10996.18,26000.0,17
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,22363.73,52876.0,17
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,16176.22,38243.0,17
MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,11699.79,27663.0,17
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,6245.05,14767.0,17
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,10204.32,24126.0,17
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,6222.04,14711.0,17
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,7050.72,16672.0,17
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,5152.42,12536.1,17
MS-DRG,539,OSTEOMYELITIS WITH MCC,,,15520.18,36688.0,17
MS-DRG,540,OSTEOMYELITIS WITH CC,,,9931.93,23476.0,17
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,6712.34,15872.0,17
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,14309.38,33835.0,17
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,8139.52,19246.0,17
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,5798.49,13709.0,17
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,19387.37,45840.0,17
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,8883.03,21002.0,17
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,5725.59,14553.22,17
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,15457.26,36547.0,17
MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,9245.97,21862.0,17
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,6614.89,15639.0,17
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,13092.44,30956.0,17
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,7395.24,17484.0,17
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,10023.24,23692.0,17
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,6403.89,15140.0,17
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,10331.69,24429.0,17
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,6265.0,14812.0,17
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,11890.85,28113.0,17
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,6627.94,15670.0,17
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,14241.86,33675.0,17
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,8738.01,20657.0,17
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,6273.44,14832.0,17
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,11230.97,26549.0,17
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,6857.36,16214.0,17
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,12040.47,28467.0,17
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,7823.39,18498.0,17
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,5739.4,13571.0,17
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,23098.8,54608.0,17
MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,12850.74,30373.0,17
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,8765.64,20724.0,17
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,47248.8,114020.57,17
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,26584.64,62857.0,17
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,14931.74,36222.0,17
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,38283.2,97876.0,17
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,20430.13,48306.0,17
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,12969.67,30666.0,17
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,25007.07,59129.0,17
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,13603.46,32164.0,17
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,11042.21,26109.0,17
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,13436.19,33530.55,17
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,12602.9,30011.46,17
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,15708.93,37256.74,17
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,15230.91,36012.0,17
MS-DRG,592,SKIN ULCERS WITH MCC,,,15777.22,37303.0,17
MS-DRG,593,SKIN ULCERS WITH CC,,,9381.01,22181.0,17
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,6511.31,15396.0,17
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,16228.4,38370.0,17
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,8294.51,19612.0,17
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,13477.62,31868.0,17
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,8139.52,19689.15,17
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,6559.65,15509.0,17
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,7344.6,18128.01,17
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,4599.96,10876.0,17
MS-DRG,602,CELLULITIS WITH MCC,,,11274.71,26653.0,17
MS-DRG,603,CELLULITIS WITHOUT MCC,,,6759.15,15979.0,17
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,11399.78,26952.0,17
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,7087.55,16757.0,17
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,12354.3,29212.0,17
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,6631.77,15774.99,17
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,17485.23,41343.0,17
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,10994.64,25996.0,17
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,27647.83,70115.0,17
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,14825.77,35041.0,17
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,9552.89,24684.09,17
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,20919.67,50252.31,17
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,12253.01,28971.0,17
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,11215.62,26519.0,17
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,28187.96,67884.0,17
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,14686.12,34700.0,17
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,7640.77,21788.07,17
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,21997.72,52561.82,17
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,11580.09,27380.0,17
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,9720.16,23117.73,17
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,29448.74,71579.0,17
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,17265.02,40801.0,17
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,10751.41,25421.0,17
MS-DRG,637,DIABETES WITH MCC,,,11174.19,26419.0,17
MS-DRG,638,DIABETES WITH CC,,,7037.68,16639.0,17
MS-DRG,639,DIABETES WITHOUT CC/MCC,,,4807.9,11367.0,17
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,10190.51,24091.0,17
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,5996.45,14175.0,17
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,9522.96,24750.23,17
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,12716.46,30065.0,17
MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,7930.05,18747.0,17
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,5977.27,14126.0,17
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,35349.51,83581.0,17
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,26642.19,64495.74,17
MS-DRG,652,KIDNEY TRANSPLANT,,,23565.32,56206.22,17
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,40503.87,101129.0,17
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,21652.44,51196.0,17
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,15938.36,37684.0,17
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,24996.33,59103.0,17
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,14026.24,33164.0,17
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,11539.42,27284.0,17
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,19828.57,46882.0,17
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,10281.05,24309.0,17
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,7877.1,18624.0,17
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,23935.16,56593.0,17
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,11718.97,27709.0,17
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,8285.31,19589.0,17
MS-DRG,665,PROSTATECTOMY WITH MCC,,,24893.09,62289.0,17
MS-DRG,666,PROSTATECTOMY WITH CC,,,12638.97,30444.82,17
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,7885.54,19252.3,17
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,22375.24,52905.0,17
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,11873.97,28073.0,17
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,7332.32,17337.0,17
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,13225.18,31270.0,17
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,8396.56,19854.0,17
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,32149.87,76004.0,17
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,17711.59,41877.0,17
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,12009.78,28566.93,17
MS-DRG,682,RENAL FAILURE WITH MCC,,,11524.85,27246.0,17
MS-DRG,683,RENAL FAILURE WITH CC,,,6820.53,16126.0,17
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,4661.35,11019.0,17
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,14468.21,34208.0,17
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,8076.6,19097.0,17
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,5556.79,13754.38,17
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,8980.48,21230.0,17
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,6158.35,14560.0,17
MS-DRG,693,URINARY STONES WITH MCC,,,11281.61,26675.0,17
MS-DRG,694,URINARY STONES WITHOUT MCC,,,5995.68,14175.0,17
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,8652.84,20459.0,17
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,5307.41,12550.0,17
MS-DRG,697,URETHRAL STRICTURE,,,7464.29,18758.03,17
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,12897.55,30493.0,17
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,7824.93,18502.0,17
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,5325.83,12593.0,17
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,14889.46,35204.0,17
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,11374.46,26894.0,17
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,17241.23,40765.0,17
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,11519.47,27237.0,17
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,14636.25,36266.46,17
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,6799.05,19404.0,17
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,11094.39,26232.0,17
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,7209.55,18402.99,17
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,17327.17,40968.0,17
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,10889.52,25748.0,17
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,14236.48,33661.0,17
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,9451.6,23375.31,17
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,13265.08,31496.02,17
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,8616.01,20371.0,17
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,5039.63,13218.0,17
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,9691.77,22905.0,17
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,5711.01,13504.0,17
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,11273.94,26656.0,17
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,6269.61,14823.0,17
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,8446.44,19971.0,17
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,4656.74,11695.49,17
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,16134.02,38147.0,17
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,9313.49,23417.08,17
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,28303.06,71432.0,17
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,15332.96,36253.0,17
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,11638.41,27518.0,17
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,28365.49,72218.0,17
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,13951.05,32986.0,17
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,10538.87,24918.0,17
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,14015.5,33138.0,17
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,9196.86,21746.0,17
MS-DRG,744,"D&amp;C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,14992.27,35662.54,17
MS-DRG,745,"D&amp;C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,7863.29,19797.05,17
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,12848.44,30379.0,17
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,7328.48,17328.0,17
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,10452.16,24713.0,17
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,19860.79,46960.0,17
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,9894.33,25684.82,17
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,13881.99,32823.0,17
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,8517.8,20138.0,17
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,7326.95,17325.0,17
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,10858.83,25675.0,17
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,7821.09,18491.0,17
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,4909.95,11610.0,17
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,7561.74,17880.0,17
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,4863.91,11500.0,17
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&amp;C,,,7758.17,18650.13,17
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,10560.35,29409.28,17
MS-DRG,770,"ABORTION WITH D&amp;C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,8255.38,19520.0,17
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,5473.92,12944.0,17
MS-DRG,779,ABORTION WITHOUT D&amp;C,,,7171.95,16958.0,17
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,13872.0,42728.56,17
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,8309.86,18449.98,17
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,6713.11,16669.55,17
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,12398.03,28707.9,17
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,8147.19,19436.79,17
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,6944.07,16686.96,17
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,13832.12,32701.0,17
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,45615.99,107845.0,17
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,31153.15,73651.0,17
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,18797.32,44440.0,17
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,32001.01,75657.0,17
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,11326.88,26780.0,17
MS-DRG,795,NORMAL NEWBORN,,,1533.07,3625.0,17
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITH MCC,,,8140.29,20310.47,17
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITH CC,,,7429.0,17410.96,17
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITHOUT CC/MCC,,,7429.0,16657.37,17
MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,35482.58,86257.0,17
MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,22356.05,52859.0,17
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,12596.76,33222.5,17
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,27504.64,69339.28,17
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,13657.17,32352.3,17
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,8482.5,23599.82,17
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITH MCC,,,7656.89,18782.4,17
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITH CC,,,5551.42,13122.62,17
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITHOUT CC/MCC,,,4889.24,11733.78,17
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,17574.24,41548.0,17
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,9503.01,22468.0,17
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,7302.39,18215.03,17
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,10794.38,25523.0,17
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,7081.41,16742.0,17
MS-DRG,813,COAGULATION DISORDERS,,,11877.04,28082.0,17
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,16038.87,37924.0,17
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,7796.54,18433.0,17
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,5059.58,11962.0,17
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,16770.88,45989.0,17
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,7590.9,23366.0,17
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,5181.58,14965.7,17
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,44671.44,105622.0,17
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,17127.67,40498.0,17
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,8774.84,20954.42,17
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,35903.09,84891.0,17
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,16875.23,39899.0,17
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,9443.16,23484.96,17
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,36602.68,86632.0,17
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,18105.98,42811.0,17
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,12298.28,29652.94,17
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,23660.46,55943.0,17
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,11221.0,26531.0,17
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,8830.86,20928.31,17
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,5734.03,13559.0,17
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,3988.43,9430.0,17
MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,42407.9,100271.0,17
MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,16387.99,38747.0,17
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,9532.17,23052.0,17
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,37554.29,90836.0,17
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,15561.61,36794.0,17
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,10514.31,25129.64,17
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,24472.27,57852.0,17
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,12030.5,28445.0,17
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,8070.46,19083.0,17
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,14525.76,34717.5,17
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,9170.0,21682.0,17
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,6420.0,15180.0,17
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,19593.77,46328.0,17
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,9749.31,23052.0,17
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,6283.42,14856.0,17
MS-DRG,849,RADIOTHERAPY,,,20493.82,48456.0,17
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,66555.22,167113.0,17
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,38376.51,90729.0,17
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,15332.19,36248.0,17
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,12472.46,29490.0,17
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,34615.2,81845.0,17
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,16718.7,39527.0,17
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,9885.89,24242.03,17
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,14107.58,33356.0,17
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,7672.23,18139.0,17
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,6889.59,16291.0,17
MS-DRG,865,VIRAL ILLNESS WITH MCC,,,11128.92,26774.0,17
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,6788.3,16051.0,17
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,16452.45,38900.0,17
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,8056.65,19050.0,17
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,5520.72,13054.0,17
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV &gt;96 HOURS,,,53377.22,126198.0,17
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV &gt;96 HOURS WITH MCC,,,15056.73,35594.0,17
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV &gt;96 HOURS WITHOUT MCC,,,7910.86,18703.0,17
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,1515.0,71287.0,17
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,1515.0,17390.0,17
MS-DRG,881,DEPRESSIVE NEUROSES,,,7013.89,16583.0,17
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,7380.66,18688.42,17
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,14244.16,34221.49,17
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,12814.68,30299.0,17
MS-DRG,885,PSYCHOSES,,,10815.09,25572.0,17
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,13783.78,36118.52,17
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,1515.0,21577.0,17
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,1515.0,11322.0,17
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,10766.75,26266.0,17
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,13664.08,32305.0,17
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,1515.0,16004.0,17
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,32982.83,80374.0,17
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,14558.75,34424.0,17
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,9353.39,22116.0,17
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,29044.79,70044.0,17
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,12572.66,29900.0,17
MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,16190.25,39593.0,17
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,30295.03,72268.0,17
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,15476.44,36592.0,17
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,9730.9,23008.0,17
MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,12416.45,29358.0,17
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,7030.77,16624.0,17
MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,13334.14,31527.0,17
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,5094.87,12047.0,17
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,12580.65,29746.0,17
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,6786.0,16048.0,17
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,13990.95,33082.0,17
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,7794.23,18429.0,17
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,5275.95,12476.0,17
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,12961.23,30647.0,17
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,7824.93,18502.0,17
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV &gt;96 HOURS WITH SKIN GRAFT,,,154310.94,430355.0,17
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,51244.13,124833.67,17
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,24401.67,57696.0,17
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV &gt;96 HOURS WITHOUT SKIN GRAFT,,,30708.01,78494.0,17
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,16463.96,38927.0,17
MS-DRG,935,NON-EXTENSIVE BURNS,,,16852.21,39845.0,17
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,24352.57,63150.41,17
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,16200.0,40671.41,17
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,14994.58,35453.0,17
MS-DRG,945,REHABILITATION WITH CC/MCC,,,11712.07,27692.0,17
MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,8566.14,20254.0,17
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,9868.25,23333.0,17
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,6096.2,14413.0,17
MS-DRG,949,AFTERCARE WITH CC/MCC,,,8278.4,20705.54,17
MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,4497.15,10924.49,17
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,4349.82,10286.0,17
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,52048.73,123872.0,17
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,29327.74,69342.0,17
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,57268.97,135408.0,17
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,31532.19,74556.0,17
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,20285.11,51239.12,17
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,20844.47,49284.0,17
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,11511.03,27213.0,17
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,7001.61,16555.0,17
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,47461.48,114729.0,17
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,20358.0,48134.0,17
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,22911.58,54173.0,17
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,10905.63,25786.0,17
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,7695.25,18195.0,17
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,11062.93,26158.0,17
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,36479.74,86240.0,17
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,18787.34,44415.0,17
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,12799.33,30263.0,17
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,26878.52,63542.0,17
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,13166.87,31130.0,17
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,8865.38,20962.0,17
NDC,05555-4002-49,Hyaluronidase Human Inj 150 Unit/ML,426.24,341.0,1.0,383.62,26
NDC,10006070028,Magnesium Oxide Tab 400 MG (240 MG Elemental Mg),1.06,0.85,0.28,0.95,26
NDC,10006070038,Calcium Carbonate-Cholecalciferol Tab 500 MG-5 MCG(200 Unit),1.04,0.84,0.28,0.94,26
NDC,10006073038,Magnesium Oxide Tab 400 MG (240 MG Elemental Mg),1.02,0.82,0.27,0.92,26
NDC,10013091097,Melatonin Liquid 1 MG/ML,5.74,4.6,1.52,5.17,26
NDC,10019007587,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,512.8,410.24,0.25,461.52,26
NDC,10019012001,Esmolol HCl Inj 100 MG/10ML,399.95,319.96,0.25,359.96,26
NDC,10019012039,Esmolol HCl Inj 100 MG/10ML,399.95,319.96,0.25,359.96,26
NDC,10019055303,Scopolamine TD Patch 72HR 1 MG/3DAYS,12.82,10.26,3.39,11.54,26
NDC,10019055304,Scopolamine TD Patch 72HR 1 MG/3DAYS,41.48,33.19,10.97,37.33,26
NDC,10019055390,Scopolamine TD Patch 72HR 1 MG/3DAYS,12.82,10.26,3.39,11.54,26
NDC,10019066810,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,513.0,410.4,0.25,461.7,26
NDC,10019092501,Ifosfamide For Inj 1 GM,371.17,296.94,1.0,334.05,26
NDC,10019092582,Ifosfamide For Inj 1 GM,371.17,296.94,1.0,334.05,26
NDC,10019092602,Ifosfamide For Inj 3 GM,528.25,422.6,1.0,475.43,26
NDC,10019092616,Ifosfamide For Inj 3 GM,504.42,403.54,1.0,453.98,26
NDC,10019095501,Cyclophosphamide For Inj 500 MG,935.3,748.24,0.46,841.77,34
NDC,10019095550,Cyclophosphamide For Inj 500 MG,935.3,748.24,0.46,841.77,34
NDC,10019095601,Cyclophosphamide For Inj 1 GM,1620.64,1296.52,0.46,1458.58,34
NDC,10019095616,Cyclophosphamide For Inj 1 GM,1620.64,1296.52,0.46,1458.58,34
NDC,10019095701,Cyclophosphamide For Inj 2 GM,1288.56,1030.85,0.46,1159.7,34
NDC,10019095711,Cyclophosphamide For Inj 2 GM,251.62,201.3,0.46,226.46,34
NDC,10119000105,Soft Contact Lens Products - Solution,2.42,1.94,0.64,2.18,26
NDC,10119000252,Ophthalmic Irrigation Solution,3.83,3.07,1.01,3.45,26
NDC,10122051001,Poractant Alfa Intratracheal Susp 120 MG/1.5ML,1393.31,1114.65,368.53,1253.98,26
NDC,10122051003,Poractant Alfa Intratracheal Susp 240 MG/3ML,2614.77,2091.82,691.61,2353.29,26
NDC,10122061101,Clevidipine IV Emulsion 50 MG/100ML,510.8,408.64,1.0,459.72,34
NDC,10122062001,Cangrelor Tetrasodium For IV Soln 50 MG,2594.04,2075.24,18.24,2334.64,34
NDC,10122062010,Cangrelor Tetrasodium For IV Soln 50 MG,2594.04,2075.24,18.24,2334.64,34
NDC,10135013708,Sorbitol Oral Solution 70%,1.09,0.88,0.29,0.98,26
NDC,10135019101,Niacin Tab 500 MG,1.02,0.82,0.27,0.92,26
NDC,10147015001,Itraconazole Oral Soln 10 MG/ML,44.52,35.62,11.78,40.07,26
NDC,10147095203,Paliperidone Tab ER 24HR 3 MG,15.48,12.39,4.09,13.93,26
NDC,10147170003,Itraconazole Cap 100 MG,5.63,4.51,1.49,5.07,26
NDC,10147170007,Itraconazole Cap 100 MG,5.91,4.73,1.56,5.32,26
NDC,10370026801,Tretinoin Cap 10 MG,25.98,20.79,6.87,23.38,26
NDC,10370034611,Memantine HCl Cap ER 24HR 7 MG,4.57,3.66,1.21,4.11,26
NDC,10370082909,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.32,1.06,0.35,1.19,26
NDC,10370082911,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.48,1.19,0.39,1.33,26
NDC,10631020602,Metformin HCl Oral Soln 500 MG/5ML,26.85,21.48,7.1,24.17,26
NDC,10702000601,Cyclobenzaprine HCl Tab 5 MG,1.03,0.83,0.27,0.93,26
NDC,10702000801,Oxycodone HCl Tab 15 MG,1.16,0.93,0.31,1.04,26
NDC,10702001606,Indomethacin Cap ER 75 MG,2.17,1.74,0.57,1.95,26
NDC,10702001801,Oxycodone HCl Tab 5 MG,1.09,0.88,0.29,0.98,26
NDC,10702006501,Dextroamphetamine Sulfate Tab 5 MG,2.29,1.84,0.61,2.06,26
NDC,10702010001,Methylphenidate HCl Tab 5 MG,1.14,0.92,0.3,1.03,26
NDC,10702010101,Methylphenidate HCl Tab 10 MG,1.19,0.96,0.31,1.07,26
NDC,10702016350,Methylphenidate HCl Soln 5 MG/5ML,25.39,20.32,6.72,22.85,26
NDC,10702016901,Desmopressin Acetate Tab 0.1 MG,1.48,1.19,0.39,1.33,26
NDC,10702080806,Cyclosporine (Ophth) Emulsion 0.05%,5.11,4.09,1.35,4.6,26
NDC,11509000367,Benzocaine-Resorcinol Perivaginal Cream 5-2%,3.77,3.02,1.0,3.39,26
NDC,11509020565,Menthol Lozenge 5.4 MG,1.09,0.88,0.29,0.98,26
NDC,115125008,Carvedilol Phosphate Cap ER 24HR 40 MG,5.81,4.65,1.54,5.23,26
NDC,115147446,Metronidazole Gel 0.75%,107.22,85.78,28.36,96.5,26
NDC,115168774,Budesonide Inhalation Susp 0.25 MG/2ML,2.55,2.04,0.67,2.3,26
NDC,115168776,Budesonide Inhalation Susp 0.25 MG/2ML,2.55,2.04,0.67,2.3,26
NDC,115168974,Budesonide Inhalation Susp 0.5 MG/2ML,5.64,4.52,1.01,5.08,26
NDC,115168976,Budesonide Inhalation Susp 0.5 MG/2ML,5.64,4.52,1.01,5.08,26
NDC,115169449,Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000),1004.35,803.48,265.65,903.92,26
NDC,115169606,Hydrocortisone Tab 5 MG,1.16,0.93,0.31,1.04,26
NDC,115170001,Hydrocortisone Tab 20 MG,1.66,1.33,0.44,1.49,26
NDC,115261101,Terbutaline Sulfate Tab 2.5 MG,4.87,3.9,1.29,4.38,26
NDC,11534016501,Folic Acid Tab 1 MG,1.06,0.85,0.28,0.95,26
NDC,11534016503,Folic Acid Tab 1 MG,1.01,0.81,0.27,0.91,26
NDC,11534016644,Sodium Polystyrene Sulfonate Powder,87.2,69.76,23.06,78.48,26
NDC,115351101,Pyridostigmine Bromide Tab 60 MG,1.94,1.56,0.51,1.75,26
NDC,115441101,Dantrolene Sodium Cap 25 MG,1.73,1.39,0.46,1.56,26
NDC,115521116,Colestipol HCl Tab 1 GM,1.76,1.41,0.47,1.58,26
NDC,115551110,Fenofibrate Tab 54 MG,1.57,1.26,0.42,1.41,26
NDC,115703301,Fludrocortisone Acetate Tab 0.1 MG,1.37,1.1,0.36,1.23,26
NDC,115703302,Fludrocortisone Acetate Tab 0.1 MG,1.42,1.14,0.38,1.28,26
NDC,115993176,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),2.12,1.7,0.05,1.91,26
NDC,115993178,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),2.12,1.7,0.05,1.91,26
NDC,115993276,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),2.11,1.69,0.05,1.9,26
NDC,116200116,Chlorhexidine Gluconate Soln 0.12%,26.89,21.52,7.11,24.2,26
NDC,116400511,Lactulose Solution 10 GM/15ML,2.23,1.79,0.59,2.01,26
NDC,116400515,Lactulose Solution 10 GM/15ML,2.22,1.78,0.59,2.0,26
NDC,116400530,Lactulose Solution 10 GM/15ML,2.23,1.79,0.59,2.01,26
NDC,116400532,Lactulose Solution 10 GM/15ML,25.41,20.33,6.72,22.87,26
NDC,11701002223,Urea-Lactic Acid Cream 10-4%,7.67,6.14,2.03,6.9,26
NDC,11701003816,Miconazole Nitrate Powder 2%,7.8,6.24,2.06,7.02,26
NDC,11917010657,Magnesium Citrate Soln,2.78,2.23,0.74,2.5,52
NDC,11940010306,Emollient - Ointment,7.81,6.25,2.07,7.03,26
NDC,11940120306,Emollient - Ointment,7.81,6.25,2.07,7.03,26
NDC,11980018005,Prednisolone Acetate Ophth Susp 1%,145.07,116.06,38.37,130.56,26
NDC,11980018010,Prednisolone Acetate Ophth Susp 1%,191.52,153.22,50.66,172.37,52
NDC,11980021105,Fluorometholone Ophth Susp 0.1%,149.5,119.6,39.54,134.55,26
NDC,11994001101,Perflutren Lipid Microsphere IV Susp 6.52 MG/ML,700.69,560.56,1.0,630.62,26
NDC,11994001104,Perflutren Lipid Microsphere IV Susp 6.52 MG/ML,606.4,485.12,1.0,545.76,26
NDC,121043130,Magnesium Hydroxide Susp 400 MG/5ML,1.18,0.95,0.31,1.06,26
NDC,121048905,Diphenhydramine HCl Elixir 12.5 MG/5ML,1.26,1.01,0.33,1.13,26
NDC,121058104,Haloperidol Lactate Oral Conc 2 MG/ML,25.15,20.12,6.65,22.64,26
NDC,121059516,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,25.35,20.28,6.71,22.82,26
NDC,121063800,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,2.41,1.93,0.64,2.17,26
NDC,121063805,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,2.41,1.93,0.64,2.17,26
NDC,121064616,Amantadine HCl Soln 50 MG/5ML,25.07,20.06,6.63,22.56,26
NDC,121065816,Trihexyphenidyl HCl Oral Soln 0.4 MG/ML,44.87,35.9,11.87,40.38,26
NDC,121067016,Ethosuximide Soln 250 MG/5ML,25.25,20.2,6.68,22.73,26
NDC,121067716,Pot & Sod Citrates w/ Cit Ac Soln 550-500-334 MG/5ML,25.27,20.22,6.68,22.74,26
NDC,121067816,Nortriptyline HCl Soln 10 MG/5ML,29.32,23.46,7.76,26.39,26
NDC,121072104,Fluoxetine HCl Solution 20 MG/5ML,25.08,20.07,6.63,22.57,26
NDC,121075908,Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv),25.1,20.08,1.0,22.59,26
NDC,121079916,Levetiracetam Oral Soln 100 MG/ML,25.37,20.3,6.71,22.83,26
NDC,121082601,Oxycodone HCl Conc 100 MG/5ML (20 MG/ML),55.78,44.63,14.75,50.2,26
NDC,121085320,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,7.22,5.78,1.91,6.5,26
NDC,121085416,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,25.74,20.6,6.81,23.17,26
NDC,121086720,Vancomycin HCl Cap 125 MG (Base Equivalent),2.63,2.11,0.7,2.37,26
NDC,121086800,Nystatin Susp 100000 Unit/ML,2.54,2.04,0.67,2.29,26
NDC,121086805,Nystatin Susp 100000 Unit/ML,2.54,2.04,0.67,2.29,26
NDC,121087308,Lactulose Solution 10 GM/15ML,25.18,20.15,6.66,22.66,26
NDC,121087332,Lactulose Solution 10 GM/15ML,25.18,20.15,6.66,22.66,26
NDC,121087416,Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML),1.46,1.17,0.39,1.31,26
NDC,121089300,Chlorhexidine Gluconate Soln 0.12%,2.1,1.68,0.56,1.89,26
NDC,121090505,Diazepam Oral Soln 1 MG/ML,4.5,3.6,1.19,4.05,26
NDC,121091405,Ibuprofen Susp 100 MG/5ML,1.48,1.19,0.39,1.33,26
NDC,121093516,Docusate Sodium Liquid 150 MG/15ML,0.05,0.04,0.01,0.05,26
NDC,121094510,Megestrol Acetate Susp 40 MG/ML,3.05,2.44,0.81,2.75,26
NDC,121097001,Lidocaine Patch 4%,1.73,1.39,0.46,1.56,26
NDC,121097030,Lidocaine Patch 4%,1.73,1.39,0.46,1.56,26
NDC,121097410,Sucralfate Susp 1 GM/10ML,7.57,6.06,2.0,6.81,26
NDC,121101205,Lacosamide Oral Solution 10 MG/ML,17.94,14.36,4.75,16.15,26
NDC,121102205,Ibuprofen Susp 100 MG/5ML,1.69,1.36,0.45,1.52,26
NDC,121115430,Lactulose Solution 10 GM/15ML,1.39,1.12,0.37,1.25,26
NDC,121115440,Lactulose Solution 10 GM/15ML,1.39,1.12,0.37,1.25,26
NDC,121119030,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,2.38,1.91,0.63,2.14,26
NDC,121135000,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),3.04,2.44,0.8,2.74,26
NDC,121135010,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),3.29,2.64,0.87,2.96,26
NDC,121157610,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),1.37,1.1,0.36,1.23,26
NDC,121174405,Guaifenesin Liquid 100 MG/5ML,1.22,0.98,0.32,1.1,26
NDC,121176130,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,1.36,1.09,0.36,1.22,26
NDC,121177505,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.29,1.04,0.34,1.16,26
NDC,121182810,Ibuprofen Susp 100 MG/5ML,1.72,1.38,0.45,1.55,26
NDC,121187010,Docusate Sodium Liquid 150 MG/15ML,1.44,1.16,0.38,1.3,26
NDC,121202410,Lacosamide Oral Solution 10 MG/ML,36.82,29.46,9.74,33.14,26
NDC,121204410,Ibuprofen Susp 100 MG/5ML,10.87,8.7,2.88,9.78,26
NDC,121231615,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,4.3,3.44,1.14,3.87,26
NDC,121404874,Lacosamide Oral Solution 10 MG/ML,86.28,69.03,22.82,77.65,26
NDC,121404895,Lacosamide Oral Solution 10 MG/ML,86.28,69.03,22.82,77.65,26
NDC,121457715,Lactulose Solution 10 GM/15ML,2.34,1.88,0.62,2.11,26
NDC,121457740,Lactulose Solution 10 GM/15ML,2.34,1.88,0.62,2.11,26
NDC,121467505,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),2.27,1.82,0.6,2.04,26
NDC,121476605,Calcium Carbonate (Antacid) Susp 1250 MG/5ML,3.14,2.52,0.83,2.83,26
NDC,121476605,"Calcium Carbonate Susp 1250 MG/5ML (500 MG/5ML Elemental Ca),Calcium Carbonate (Antacid) Susp 1250 MG/5ML",3.14,2.52,0.83,2.83,26
NDC,121477205,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,4.05,3.24,1.07,3.65,26
NDC,121477610,Megestrol Acetate Susp 40 MG/ML,3.08,2.47,0.81,2.77,26
NDC,121478505,Nystatin Susp 100000 Unit/ML,1.5,1.2,0.4,1.35,26
NDC,121482705,Oxycodone HCl Soln 5 MG/5ML,4.72,3.78,1.25,4.25,26
NDC,121482740,Oxycodone HCl Soln 5 MG/5ML,4.72,3.78,1.25,4.25,26
NDC,121495015,Lidocaine HCl Viscous Soln 2%,6.19,4.96,1.64,5.57,52
NDC,12547017021,Diphenhydramine HCl Cap 25 MG,1.19,0.96,0.31,1.07,26
NDC,12547017167,Diphenhydramine-Zinc Acetate Cream 2-0.1%,4.91,3.93,1.3,4.42,26
NDC,12547049380,Tetrahydrozoline HCl Ophth Soln 0.05%,5.73,4.59,1.52,5.16,26
NDC,12870000101,Silver Nitrate-Potassium Nitrate Applicator 75-25%,1.48,1.19,0.39,1.33,26
NDC,12870000102,Silver Nitrate-Potassium Nitrate Applicator 75-25%,1.22,0.98,0.32,1.1,52
NDC,13010260,Sulfasalazine Tab Delayed Release 500 MG,2.84,2.28,0.75,2.56,26
NDC,13107000105,Mirtazapine Tab 7.5 MG,2.94,2.36,0.78,2.65,26
NDC,13107000130,Mirtazapine Tab 7.5 MG,2.15,1.72,0.57,1.94,26
NDC,13107000305,Mirtazapine Tab 30 MG,1.3,1.04,0.34,1.17,26
NDC,13107003105,Mirtazapine Tab 15 MG,1.23,0.99,0.33,1.11,26
NDC,13107003134,Mirtazapine Tab 15 MG,1.05,0.84,0.28,0.95,26
NDC,13107007001,Amphetamine-Dextroamphetamine Tab 10 MG,1.35,1.08,0.36,1.22,26
NDC,13107008401,Lorazepam Tab 1 MG,1.05,0.84,0.28,0.95,26
NDC,13107015530,Paroxetine HCl Tab 20 MG,1.07,0.86,0.28,0.96,26
NDC,13107031901,Clorazepate Dipotassium Tab 3.75 MG,1.76,1.41,0.47,1.58,26
NDC,13111420,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),426.44,341.16,1.0,383.8,26
NDC,13111420,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",426.44,341.16,112.79,383.8,26
NDC,131181067,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),111.45,89.16,1.0,100.31,26
NDC,131247760,Lacosamide Tab 50 MG,10.48,8.39,2.77,9.43,26
NDC,132008112,Glycerin Suppos 1 GM,1.12,0.9,0.3,1.01,26
NDC,132019012,Glycerin Liquid Suppos 2.8 GM (2.7 ML),1.88,1.51,0.5,1.69,26
NDC,132019024,Glycerin Liquid Suppos 2.8 GM (2.7 ML),1.77,1.42,0.47,1.59,26
NDC,13257691,Idarubicin HCl IV Inj 5 MG/5ML (1 MG/ML),376.74,301.4,1.0,339.07,26
NDC,13258691,Idarubicin HCl IV Inj 10 MG/10ML (1 MG/ML),521.18,416.95,1.0,469.06,26
NDC,13259691,Idarubicin HCl IV Inj 20 MG/20ML (1 MG/ML),792.36,633.89,1.0,713.12,26
NDC,135009070,Methylcellulose Powder Laxative,1.06,0.85,0.28,0.95,26
NDC,135019901,Methylcellulose Tab 500 MG,1.13,0.91,0.3,1.02,26
NDC,135019902,Methylcellulose Tab 500 MG,1.16,0.93,0.31,1.04,26
NDC,135020001,Docosanol Cream 10%,14.0,11.2,3.7,12.6,26
NDC,13517010716,Phenobarbital Elixir 20 MG/5ML,25.86,20.69,6.84,23.27,26
NDC,13517011201,Phenobarbital Tab 64.8 MG,1.63,1.31,0.43,1.47,26
NDC,13533031801,Rabies Immune Globulin (Human) Inj 300 Unit/ML,1763.19,1410.56,265.86,1586.87,34
NDC,13533031803,Rabies Immune Globulin (Human) Inj 900 Unt/3ML (300 Unt/ML),5122.24,4097.8,265.86,4610.02,34
NDC,13533031805,Rabies Immune Globulin (Human) Inj 1500 Unt/5ML (300 Unt/ML),8086.57,6469.26,265.86,7277.91,34
NDC,13533031810,Rabies Immune Globulin (Human) Inj 300 Unit/ML,1763.19,1410.56,265.86,1586.87,34
NDC,13533031830,Rabies Immune Globulin (Human) Inj 900 Unt/3ML (300 Unt/ML),5122.24,4097.8,265.86,4610.02,34
NDC,13533031850,Rabies Immune Globulin (Human) Inj 1500 Unt/5ML (300 Unt/ML),8086.57,6469.26,265.86,7277.91,34
NDC,13533033504,Immune Globulin (Human) IM Inj,490.48,392.39,46.58,441.43,34
NDC,13533033512,Immune Globulin (Human) IM Inj,1728.36,1382.69,46.58,1555.52,34
NDC,13533060250,Antithrombin III (Human) For Inj 500 Unit,3.4,2.72,1.14,4.49,34
NDC,13533063402,Tetanus Immune Globulin (Human) IM Soln Pref Syr 250 Unit/ML,817.82,654.26,273.97,736.04,34
NDC,13533063420,Tetanus Immune Globulin (Human) IM Soln Pref Syr 250 Unit/ML,817.82,654.26,273.97,736.04,34
NDC,13533063603,Hepatitis B Immun Glob (Human) IM Soln Pref Syr 110 Ut/0.5ML,413.48,330.79,109.37,372.13,26
NDC,13533063630,Hepatitis B Immun Glob (Human) IM Soln Pref Syr 110 Ut/0.5ML,413.48,330.79,109.37,372.13,26
NDC,13533070002,Alpha1-Proteinase Inhibitor (Human) For IV Soln 100*,1340.0,1072.0,354.43,1206.0,26
NDC,13533070002,Alpha1-Proteinase Inhibitor (Human) For IV Soln 1000 MG,1340.0,1072.0,4.81,1206.0,34
NDC,13533070501,Alpha1-Proteinase Inhibitor (Human) Inj 1000 MG/20ML,1970.0,1576.0,4.81,1773.0,34
NDC,13533080015,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",815.61,652.49,46.52,734.05,34
NDC,13533080015,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,815.61,652.49,46.52,734.05,34
NDC,13533080016,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",832.33,665.87,46.52,749.1,34
NDC,13533080016,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,832.33,665.87,46.52,749.1,34
NDC,13533080020,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",2116.83,1693.47,46.52,1905.15,34
NDC,13533080020,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,2116.83,1693.47,46.52,1905.15,34
NDC,13533080021,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",2116.83,1693.47,46.52,1905.15,34
NDC,13533080021,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,2116.83,1693.47,46.52,1905.15,34
NDC,13533080024,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",8017.3,6413.84,46.52,7215.57,34
NDC,13533080024,Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML,8017.3,6413.84,46.52,7215.57,34
NDC,13533080025,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",8017.3,6413.84,46.52,7215.57,34
NDC,13533080025,Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML,8017.3,6413.84,46.52,7215.57,34
NDC,13533080040,Immune Globulin (Human) IV or Subcutaneous Soln 40 GM/400ML,15884.6,12707.68,46.52,14296.14,34
NDC,13533080041,Immune Globulin (Human) IV or Subcutaneous Soln 40 GM/400ML,15884.6,12707.68,46.52,14296.14,34
NDC,13533080071,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",4083.65,3266.92,46.52,3675.29,34
NDC,13533080071,Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML,4083.65,3266.92,46.52,3675.29,34
NDC,13533080072,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",4083.65,3266.92,46.52,3675.29,34
NDC,13533080072,Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML,4083.65,3266.92,46.52,3675.29,34
NDC,13668000701,Zolpidem Tartrate Tab 5 MG,1.03,0.83,0.27,0.93,26
NDC,13668000901,Citalopram Hydrobromide Tab 10 MG (Base Equiv),1.05,0.84,0.28,0.95,26
NDC,13668001412,Levetiracetam Tab 250 MG,1.12,0.9,0.3,1.01,26
NDC,13668001930,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.47,1.18,0.39,1.32,26
NDC,13668004501,Lamotrigine Tab 25 MG,1.06,0.85,0.28,0.95,26
NDC,13668004860,Lamotrigine Tab 150 MG,1.08,0.87,0.29,0.97,26
NDC,13668008130,Montelukast Sodium Tab 10 MG (Base Equiv),1.08,0.87,0.29,0.97,26
NDC,13668008190,Montelukast Sodium Tab 10 MG (Base Equiv),1.05,0.84,0.28,0.95,26
NDC,13668009190,Pramipexole Dihydrochloride Tab 0.125 MG,1.05,0.84,0.28,0.95,26
NDC,13668009290,Pramipexole Dihydrochloride Tab 0.25 MG,1.1,0.88,0.29,0.99,26
NDC,13668009390,Pramipexole Dihydrochloride Tab 0.5 MG,1.07,0.86,0.28,0.96,26
NDC,13668009490,Pramipexole Dihydrochloride Tab 1 MG,1.1,0.88,0.29,0.99,26
NDC,13668010290,Donepezil Hydrochloride Tab 5 MG,1.14,0.92,0.3,1.03,26
NDC,13668010401,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.2,0.96,0.32,1.08,26
NDC,13668013201,Felodipine Tab ER 24HR 2.5 MG,1.57,1.26,0.42,1.41,26
NDC,13668013601,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.15,0.92,0.3,1.04,26
NDC,13668026801,Carbamazepine Tab 200 MG,1.31,1.05,0.35,1.18,26
NDC,13668045301,Anagrelide HCl Cap 0.5 MG,1.53,1.23,0.4,1.38,26
NDC,13668058630,Erythromycin Tab Delayed Release 250 MG,5.62,4.5,1.49,5.06,26
NDC,13668059180,Aprepitant Capsule 40 MG,82.69,66.16,21.87,74.42,26
NDC,13668059181,Aprepitant Capsule 40 MG,44.97,35.98,11.89,40.47,26
NDC,13668059182,Aprepitant Capsule 40 MG,82.69,66.16,21.87,74.42,26
NDC,13668059380,Aprepitant Capsule 125 MG,173.14,138.52,1.0,155.83,26
NDC,13668059386,Aprepitant Capsule 125 MG,173.14,138.52,1.0,155.83,26
NDC,13668060730,Erythromycin Tab 500 MG,6.42,5.14,1.7,5.78,26
NDC,13668066110,Penciclovir Cream 1%,443.53,354.83,117.31,399.18,26
NDC,13925050704,Fluocinolone Acetonide Oil 0.01% (Scalp Oil),256.0,204.8,67.71,230.4,26
NDC,13925051501,Pentamidine Isethionate For Inj Soln 300 MG,478.78,383.03,99.65,430.9,26
NDC,13925051510,Pentamidine Isethionate For Inj Soln 300 MG,478.78,383.03,99.65,430.9,26
NDC,13925052201,Pentamidine Isethionate For Nebulization Soln 300 MG,143.82,115.06,48.18,129.44,26
NDC,143117101,Captopril Tab 12.5 MG,1.01,0.81,0.27,0.91,26
NDC,143124001,Digoxin Tab 125 MCG (0.125 MG),2.11,1.69,0.56,1.9,26
NDC,143124010,Digoxin Tab 125 MCG (0.125 MG),1.09,0.88,0.29,0.98,26
NDC,143124101,Digoxin Tab 250 MCG (0.25 MG),1.47,1.18,0.39,1.32,26
NDC,143176901,Isosorbide Dinitrate Tab 5 MG,1.02,0.82,0.27,0.92,26
NDC,143211205,Doxycycline Hyclate Tab 100 MG,1.89,1.52,0.5,1.7,26
NDC,143211250,Doxycycline Hyclate Tab 100 MG,4.15,3.32,1.1,3.74,26
NDC,143908401,Doxorubicin HCl Inj 2 MG/ML,267.19,213.76,1.0,240.47,26
NDC,143908501,Doxorubicin HCl Inj 2 MG/ML,281.22,224.98,1.0,253.1,26
NDC,143908601,Doxorubicin HCl Inj 2 MG/ML,288.68,230.95,1.0,259.81,26
NDC,143908901,Doxorubicin HCl Inj 2 MG/ML,284.41,227.53,1.0,255.97,26
NDC,143909301,Doxorubicin HCl For Inj 50 MG,838.25,670.6,1.0,754.43,26
NDC,143914402,Liraglutide Soln Pen-injector 18 MG/3ML (6 MG/ML),532.69,426.16,140.9,479.42,26
NDC,143916201,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),390.59,312.48,103.31,351.53,26
NDC,143916210,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),390.59,312.48,103.31,351.53,26
NDC,143916301,Vancomycin HCl For IV Soln 5 GM (Base Equivalent),401.79,321.44,106.27,361.61,26
NDC,143920901,Chloroprocaine HCl Preservative Free (PF) Inj 2%,406.58,325.27,0.04,365.92,26
NDC,143920910,Chloroprocaine HCl Preservative Free (PF) Inj 2%,406.58,325.27,0.04,365.92,26
NDC,143921001,Chloroprocaine HCl Preservative Free (PF) Inj 3%,404.0,323.2,0.04,363.6,26
NDC,143921010,Chloroprocaine HCl Preservative Free (PF) Inj 3%,404.0,323.2,0.04,363.6,26
NDC,143921701,Idarubicin HCl IV Inj 5 MG/5ML (1 MG/ML),341.0,272.8,1.0,306.9,26
NDC,143921801,Idarubicin HCl IV Inj 10 MG/10ML (1 MG/ML),430.15,344.12,1.0,387.14,26
NDC,143921901,Idarubicin HCl IV Inj 20 MG/20ML (1 MG/ML),606.72,485.38,1.0,546.05,26
NDC,143924701,Dexrazoxane HCl For Inj 250 MG (Base Equivalent),527.27,421.82,59.91,474.54,34
NDC,143924801,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),1130.7,904.56,59.91,1017.63,34
NDC,143925001,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),391.09,312.88,103.44,351.98,26
NDC,143926301,Ropivacaine HCl Inj 2 MG/ML,395.88,316.71,1.0,356.29,26
NDC,143926310,Ropivacaine HCl Inj 2 MG/ML,395.88,316.71,1.0,356.29,26
NDC,143927301,Dihydroergotamine Mesylate Inj 1 MG/ML,454.94,363.96,1.0,409.45,26
NDC,143927310,Dihydroergotamine Mesylate Inj 1 MG/ML,467.8,374.24,1.0,421.02,26
NDC,143928001,Mitomycin For IV Soln 40 MG,600.42,480.34,19.33,540.38,34
NDC,143928401,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.52,313.22,103.56,352.37,26
NDC,143928410,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.52,313.22,103.56,352.37,26
NDC,143929701,Dantrolene Sodium For IV Soln 20 MG,441.69,353.36,116.83,397.52,26
NDC,143929801,Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq),396.24,317.0,1.0,356.62,26
NDC,143930001,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.53,313.23,103.56,352.38,26
NDC,143930010,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.53,313.23,103.56,352.38,26
NDC,143930601,Idarubicin HCl IV Inj 5 MG/5ML (1 MG/ML),341.0,272.8,1.0,306.9,26
NDC,143930701,Idarubicin HCl IV Inj 10 MG/10ML (1 MG/ML),430.15,344.12,1.0,387.14,26
NDC,143930801,Idarubicin HCl IV Inj 20 MG/20ML (1 MG/ML),606.72,485.38,1.0,546.05,26
NDC,143932801,Bupivacaine HCl Inj 0.25%,398.3,318.64,0.02,358.47,26
NDC,143932810,Bupivacaine HCl Inj 0.25%,398.3,318.64,0.02,358.47,26
NDC,143933001,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,390.76,312.61,0.02,351.68,26
NDC,143933010,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,390.76,312.61,0.02,351.68,26
NDC,143933301,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,391.49,313.2,0.02,352.34,26
NDC,143933310,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,391.49,313.2,0.02,352.34,26
NDC,143933401,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,392.66,314.13,0.02,353.39,26
NDC,143933410,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,392.66,314.13,0.02,353.39,26
NDC,143935701,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),391.21,312.97,103.48,352.09,26
NDC,143935710,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),391.21,312.97,103.48,352.09,26
NDC,143936201,Micafungin Sodium For IV Soln 100 MG,467.13,373.71,1.0,420.42,26
NDC,143936701,Methotrexate Sodium For Inj 1 GM,391.82,313.46,1.0,352.64,26
NDC,143937501,Terbutaline Sulfate Inj 1 MG/ML,390.17,312.14,1.0,351.15,52
NDC,143937510,Terbutaline Sulfate Inj 1 MG/ML,390.17,312.14,1.0,351.15,52
NDC,143938401,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),410.3,328.24,1.0,369.27,26
NDC,143938601,Acetaminophen IV Soln 10 MG/ML,400.1,320.08,0.07,360.09,26
NDC,143938610,Acetaminophen IV Soln 10 MG/ML,399.9,319.92,0.07,359.91,26
NDC,143939101,Remifentanil HCl For IV Soln 1 MG,431.67,345.34,114.18,388.5,26
NDC,143939110,Remifentanil HCl For IV Soln 1 MG,431.67,345.34,114.18,388.5,26
NDC,143939301,Remifentanil HCl For IV Soln 5 MG,625.39,500.32,165.42,562.85,26
NDC,143939310,Remifentanil HCl For IV Soln 5 MG,625.39,500.32,165.42,562.85,26
NDC,143950301,Acetazolamide Sodium For Inj 500 MG,411.76,329.41,1.0,370.58,26
NDC,143950701,Etomidate IV Soln 2 MG/ML,393.3,314.64,104.03,353.97,26
NDC,143950710,Etomidate IV Soln 2 MG/ML,393.3,314.64,104.03,353.97,26
NDC,143950801,Ketamine HCl Inj 50 MG/ML,394.62,315.7,104.38,355.16,26
NDC,143950810,Ketamine HCl Inj 50 MG/ML,394.62,315.7,104.38,355.16,26
NDC,143950901,Ketamine HCl Inj 100 MG/ML,396.41,317.13,104.85,356.77,26
NDC,143951001,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",264.84,211.88,1.0,238.36,26
NDC,143951501,Droperidol Inj 2.5 MG/ML,393.35,314.68,1.0,354.02,26
NDC,143951901,"Methotrexate Sodium Inj PF 100 MG/4ML (25 MG/ML),Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),Methotrexate Sodium Inj PF 250 MG/10ML (25 MG/ML),Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),Me",258.25,206.6,1.0,232.43,26
NDC,143951901,Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),258.25,206.6,1.0,232.43,26
NDC,143951910,"Methotrexate Sodium Inj PF 100 MG/4ML (25 MG/ML),Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),Methotrexate Sodium Inj PF 250 MG/10ML (25 MG/ML),Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),Me",258.25,206.6,1.0,232.43,26
NDC,143951910,Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),258.25,206.6,1.0,232.43,26
NDC,143952501,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,415.7,332.56,109.95,374.13,26
NDC,143952510,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,415.7,332.56,109.95,374.13,26
NDC,143953001,Ifosfamide IV Inj 3 GM/60ML (50 MG/ML),557.86,446.29,147.55,502.07,26
NDC,143953101,Ifosfamide IV Inj 1 GM/20ML (50 MG/ML),355.21,284.17,1.0,319.69,26
NDC,143953301,Allopurinol Sodium For Inj 500 MG,11365.26,9092.21,4.48,10228.73,34
NDC,143955101,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),478.87,383.1,20.61,430.98,34
NDC,143955110,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),478.87,383.1,20.61,430.98,34
NDC,143955301,Leucovorin Calcium For Inj 200 MG,402.54,322.04,1.0,362.29,26
NDC,143955401,Leucovorin Calcium For Inj 100 MG,404.0,323.2,1.0,363.6,26
NDC,143955501,Leucovorin Calcium For Inj 50 MG,398.36,318.69,1.0,358.52,26
NDC,143955901,Argatroban IV Soln 50 MG/50ML (1 MG/ML),477.7,382.16,1.21,429.93,26
NDC,143956401,Phentolamine Mesylate For Inj 5 MG,1383.13,1106.51,410.42,1244.82,34
NDC,143956410,Phentolamine Mesylate For Inj 5 MG,1383.13,1106.51,410.42,1244.82,34
NDC,143957001,Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq),396.24,317.0,1.0,356.62,26
NDC,143957010,Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq),396.24,317.0,1.0,356.62,26
NDC,143957425,Levetiracetam Inj 500 MG/5ML (100 MG/ML),390.2,312.16,1.0,351.18,26
NDC,143957501,Lidocaine HCl Local Inj 2%,390.85,312.68,103.38,351.77,26
NDC,143957510,Lidocaine HCl Local Inj 2%,390.85,312.68,103.38,351.77,26
NDC,143957701,Lidocaine HCl Local Inj 1%,389.03,311.23,102.9,350.13,26
NDC,143958301,Irinotecan HCl Inj 100 MG/5ML (20 MG/ML),289.97,231.98,1.0,260.97,26
NDC,143959401,Lidocaine HCl Local Preservative Free (PF) Inj 2%,155.96,124.77,41.25,140.36,26
NDC,143959425,Lidocaine HCl Local Preservative Free (PF) Inj 2%,155.96,124.77,41.25,140.36,26
NDC,143959501,Lidocaine HCl Local Preservative Free (PF) Inj 1%,389.2,311.36,102.94,350.28,26
NDC,143959525,Lidocaine HCl Local Preservative Free (PF) Inj 1%,389.2,311.36,102.94,350.28,26
NDC,143962201,Labetalol HCl IV Soln 5 MG/ML,390.3,312.24,0.18,351.27,26
NDC,143963701,Valproate Sodium Inj 100 MG/ML,391.2,312.96,1.0,352.08,26
NDC,143963710,Valproate Sodium Inj 100 MG/ML,391.2,312.96,1.0,352.08,26
NDC,143963801,Sumatriptan Succinate Inj 6 MG/0.5ML,404.69,323.76,1.0,364.22,26
NDC,143963805,Sumatriptan Succinate Inj 6 MG/0.5ML,404.69,323.76,1.0,364.22,26
NDC,143966001,Metoprolol Tartrate IV Soln 5 MG/5ML,233.71,186.97,61.82,210.34,26
NDC,143966010,Metoprolol Tartrate IV Soln 5 MG/5ML,233.71,186.97,61.82,210.34,26
NDC,143967325,Levetiracetam Inj 500 MG/5ML (100 MG/ML),390.1,312.08,1.0,351.09,26
NDC,143967401,Argatroban Inj 250 MG/2.5ML (Concentrate For IV Infusion),3747.62,2998.1,1.21,3372.86,26
NDC,143968001,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),392.35,313.88,0.43,353.12,34
NDC,143968025,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),392.35,313.88,0.43,353.12,34
NDC,143968201,Glycopyrrolate Inj 0.2 MG/ML,195.71,156.57,0.43,176.14,34
NDC,143968225,Glycopyrrolate Inj 0.2 MG/ML,197.33,157.87,0.43,177.6,34
NDC,143968901,Nicardipine HCl IV Soln 2.5 MG/ML,403.66,322.93,0.41,363.29,26
NDC,143968910,Nicardipine HCl IV Soln 2.5 MG/ML,403.66,322.93,0.41,363.29,26
NDC,143970101,Irinotecan HCl Inj 100 MG/5ML (20 MG/ML),290.01,232.01,1.0,261.01,26
NDC,143970201,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),279.47,223.58,1.0,251.52,26
NDC,143971001,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),392.52,314.02,1.0,353.27,26
NDC,143971010,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),392.52,314.02,1.0,353.27,26
NDC,143971910,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,398.7,318.96,1.0,358.83,26
NDC,143971910,"Milrinone in Dextrose IV Soln 20 MG/100 ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",398.7,318.96,1.0,358.83,26
NDC,143972001,Levofloxacin in D5W IV Soln 750 MG/150ML,390.95,312.76,1.0,351.86,26
NDC,143972024,Levofloxacin in D5W IV Soln 750 MG/150ML,401.3,321.04,1.0,361.17,26
NDC,143972101,Levofloxacin in D5W IV Soln 500 MG/100ML,392.3,313.84,1.0,353.07,26
NDC,143972124,Levofloxacin in D5W IV Soln 5 MG/ML,196.15,156.92,1.0,176.54,26
NDC,143972124,Levofloxacin in D5W IV Soln 500 MG/100ML,392.3,313.84,1.0,353.07,26
NDC,143972201,Levofloxacin in D5W IV Soln 250 MG/50ML,390.4,312.32,1.0,351.36,26
NDC,143972224,Levofloxacin in D5W IV Soln 250 MG/50ML,390.4,312.32,1.0,351.36,26
NDC,143972401,Clonidine HCl Inj (For Epidural Infusion) 100 MCG/ML,428.35,342.68,1.0,385.52,26
NDC,143972501,Progesterone IM in Oil 50 MG/ML,391.52,313.22,103.56,352.37,26
NDC,143972901,Benztropine Mesylate Inj 1 MG/ML,215.96,172.77,1.0,194.36,26
NDC,143972905,Benztropine Mesylate Inj 1 MG/ML,215.96,172.77,1.0,194.36,26
NDC,143974401,Granisetron HCl Inj 1 MG/ML,391.43,313.15,1.0,352.29,26
NDC,143974410,Granisetron HCl Inj 1 MG/ML,391.43,313.15,1.0,352.29,26
NDC,143974601,Terbutaline Sulfate Inj 1 MG/ML,390.17,312.14,1.0,351.15,52
NDC,143974610,Terbutaline Sulfate Inj 1 MG/ML,390.17,312.14,1.0,351.15,52
NDC,143975301,Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv),390.2,312.16,0.2,351.18,34
NDC,143975325,Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv),390.2,312.16,0.2,351.18,34
NDC,143975401,Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv),390.46,312.37,0.2,351.41,34
NDC,143975425,Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv),390.46,312.37,0.2,351.41,34
NDC,143978301,Flumazenil IV Soln 1 MG/10ML (0.1 MG/ML),390.24,312.2,103.22,351.22,26
NDC,143978310,Flumazenil IV Soln 1 MG/10ML (0.1 MG/ML),390.24,312.2,103.22,351.22,26
NDC,143978401,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),390.0,312.0,1.0,351.0,26
NDC,143978410,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),390.0,312.0,1.0,351.0,26
NDC,143978501,Valproate Sodium Inj 100 MG/ML,391.25,313.0,1.0,352.13,26
NDC,143978510,Valproate Sodium Inj 100 MG/ML,391.2,312.96,1.0,352.08,26
NDC,143978601,Enalaprilat IV Soln 1.25 MG/ML,396.75,317.4,1.0,357.08,26
NDC,143978610,Enalaprilat IV Soln 1.25 MG/ML,396.75,317.4,1.0,357.08,26
NDC,143980250,Doxycycline Hyclate Cap 50 MG,1.23,0.99,0.33,1.11,26
NDC,143985001,Methylprednisolone Sod Succ For Inj 500 MG (Base Equiv),404.28,323.43,0.2,363.85,34
NDC,143985101,Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv),396.73,317.39,0.2,357.06,34
NDC,143985101,"Methylprednisolone Sodium Succinate For Inj 1000 MG,Methylprednisolone Sod Succ For Inj PF 1000 MG (Base Equiv)",396.73,317.39,0.2,357.06,34
NDC,143985201,Levocarnitine Inj 200 MG/ML,499.11,399.29,25.83,449.2,26
NDC,143985210,Levocarnitine Inj 200 MG/ML,499.11,399.29,25.83,449.2,26
NDC,143987201,Propranolol HCl Inj 1 MG/ML,393.49,314.8,1.0,354.14,26
NDC,143987501,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),390.02,312.02,1.0,351.02,26
NDC,143987525,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),390.02,312.02,1.0,351.02,26
NDC,143987701,Cefoxitin Sodium For IV Soln 2 GM,400.5,320.4,1.0,360.45,26
NDC,143987725,Cefoxitin Sodium For IV Soln 2 GM,400.5,320.4,1.0,360.45,26
NDC,143988701,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,27.2,21.76,7.19,24.48,26
NDC,143988775,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,29.43,23.55,7.78,26.49,26
NDC,143989001,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),389.12,311.3,1.0,350.21,26
NDC,143992490,Cefazolin Sodium For Inj 1 GM,389.66,311.73,1.0,350.69,26
NDC,143992701,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.13,0.91,0.3,1.02,26
NDC,143992801,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.2,0.96,0.32,1.08,26
NDC,143998303,Cefazolin Sodium For Inj 10 GM,389.46,311.57,1.0,350.51,26
NDC,143998391,Cefazolin Sodium For Inj 10 GM,393.62,314.9,1.0,354.26,26
NDC,14428000003,Bacitracin Oint 500 Unit/GM,29.73,23.79,7.86,26.76,26
NDC,14537096775,Anticoagulant Citrate Dextrose Solution A,260.0,208.0,68.77,234.0,26
NDC,14789001101,Isoproterenol HCl Inj 0.2 MG/ML,487.15,389.72,128.85,438.44,26
NDC,14789001107,Isoproterenol HCl Inj 0.2 MG/ML,487.15,389.72,128.85,438.44,26
NDC,14789001507,Isoproterenol HCl Inj 0.2 MG/ML,528.21,422.57,139.71,475.39,26
NDC,14789010205,Tirofiban HCl in NaCl 0.9% IV Soln 12.5 MG/250ML (Base Eq),510.25,408.2,4.41,459.23,26
NDC,14789010210,Tirofiban HCl in NaCl 0.9% IV Soln 12.5 MG/250ML (Base Eq),511.0,408.8,4.41,459.9,26
NDC,14789010816,Potassium Chloride Inj 20 mEq/100ML,421.5,337.2,1.0,379.35,26
NDC,14789012105,Papaverine HCl Inj 30 MG/ML,404.58,323.67,1.0,364.12,26
NDC,14789012107,Papaverine HCl Inj 30 MG/ML,404.58,323.67,1.0,364.12,26
NDC,14789012207,Fluorescein Sodium IV Soln 10%,817.63,654.11,216.26,735.87,26
NDC,14789013705,Potassium Chloride Inj 2 mEq/ML,407.5,326.0,1.0,366.75,26
NDC,14789013707,Potassium Chloride Inj 2 mEq/ML,407.5,326.0,1.0,366.75,26
NDC,14789022008,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,396.4,317.12,1.0,356.76,26
NDC,14789022010,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,396.4,317.12,1.0,356.76,26
NDC,14789025007,Ephedrine Sulfate IV Soln 5 MG/ML,80.02,64.02,21.17,72.02,26
NDC,14789025010,Ephedrine Sulfate IV Soln 5 MG/ML,80.02,64.02,21.17,72.02,26
NDC,14789033008,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,399.5,319.6,1.0,359.55,26
NDC,14789090110,Procainamide HCl Inj 100 MG/ML,394.53,315.63,132.17,355.08,34
NDC,15054050001,AbobotulinumtoxinA For IM Inj 500 Unit,1634.38,1307.51,8.22,1470.94,34
NDC,15054053006,AbobotulinumtoxinA For IM Inj 300 Unit,981.0,784.8,8.22,882.9,34
NDC,15054112004,Lanreotide Acetate Extended Release Inj 120 MG/0.5ML,28034.64,22427.72,32.34,25231.18,34
NDC,16252053901,Isradipine Cap 2.5 MG,1.91,1.53,0.51,1.72,26
NDC,16477034001,Urea Cream 40%,76.68,61.35,20.28,69.01,26
NDC,16500007909,Pediatric Multiple Vitamins w/ Iron Chew Tab 18 MG,1.1,0.88,0.29,0.99,26
NDC,16500053539,Multiple Vitamins w/ Minerals Tab,1.11,0.89,0.29,1.0,26
NDC,16500059920,Pediatric Multiple Vitamins w/ Iron Chew Tab 18 MG,1.12,0.9,0.3,1.01,26
NDC,16563009802,Glutamine Powder,26.7,21.36,7.06,24.03,26
NDC,16571012050,Ciprofloxacin HCl Ophth Soln 0.3%,33.73,26.99,8.92,30.36,26
NDC,16571040110,Cetirizine HCl Tab 5 MG,1.13,0.91,0.3,1.02,26
NDC,16571065710,Cevimeline HCl Cap 30 MG,3.0,2.4,0.79,2.7,26
NDC,16571066701,Phenobarbital Tab 64.8 MG,1.19,0.96,0.31,1.07,26
NDC,16571067301,Phenobarbital Tab 32.4 MG,1.15,0.92,0.3,1.04,26
NDC,16571067516,Phenobarbital Elixir 20 MG/5ML,25.82,20.66,6.83,23.24,26
NDC,16571067616,Hydrocortisone Acetate Suppos 25 MG,2.55,2.04,0.67,2.3,26
NDC,16571067621,Hydrocortisone Acetate Suppos 25 MG,2.55,2.04,0.67,2.3,26
NDC,16571072360,Mafenide Acetate Cream 85 MG/GM,92.19,73.76,24.38,82.97,26
NDC,16571073521,Methylergonovine Maleate Tab 0.2 MG,16.4,13.12,4.34,14.76,26
NDC,16571074024,Nitrofurantoin Susp 25 MG/5ML,82.69,66.16,21.87,74.42,26
NDC,16571075809,Nateglinide Tab 60 MG,1.31,1.05,0.35,1.18,26
NDC,16571076209,Levocarnitine Tab 330 MG,1.82,1.46,0.48,1.64,26
NDC,16571076924,Escitalopram Oxalate Soln 5 MG/5ML (Base Equiv),26.32,21.06,6.96,23.69,26
NDC,16571083101,Probenecid Tab 500 MG,2.13,1.71,0.56,1.92,26
NDC,16571086209,Bupropion HCl Tab ER 24HR 150 MG,1.16,0.93,0.31,1.04,26
NDC,16571087301,Melatonin Tab 5 MG,1.16,0.93,0.31,1.04,26
NDC,16571087390,Melatonin Tab 5 MG,1.16,0.93,0.31,1.04,26
NDC,16714020010,Ondansetron Orally Disintegrating Tab 4 MG,1.22,0.98,0.41,21.06,26
NDC,16714020030,Ondansetron Orally Disintegrating Tab 4 MG,1.22,0.98,0.41,21.06,26
NDC,16714040102,Cefuroxime Axetil Tab 500 MG,3.33,2.67,0.88,3.0,26
NDC,16729000101,Glimepiride Tab 1 MG,1.07,0.86,0.28,0.96,26
NDC,16729000301,Glimepiride Tab 4 MG,1.05,0.84,0.28,0.95,26
NDC,16729000415,Simvastatin Tab 10 MG,1.02,0.82,0.27,0.92,26
NDC,16729000417,Simvastatin Tab 10 MG,1.01,0.81,0.27,0.91,26
NDC,16729000517,Simvastatin Tab 20 MG,1.02,0.82,0.27,0.92,26
NDC,16729000615,Simvastatin Tab 40 MG,1.04,0.84,0.28,0.94,26
NDC,16729000617,Simvastatin Tab 40 MG,1.03,0.83,0.27,0.93,26
NDC,16729002015,Pioglitazone HCl Tab 15 MG (Base Equiv),1.15,0.92,0.3,1.04,26
NDC,16729002310,Bicalutamide Tab 50 MG,1.27,1.02,0.34,1.14,26
NDC,16729003510,Anastrozole Tab 1 MG,1.14,0.92,0.38,11.31,26
NDC,16729003515,Anastrozole Tab 1 MG,1.09,0.88,0.37,11.31,26
NDC,16729004201,Tacrolimus Cap 1 MG,1.17,0.94,0.31,1.05,26
NDC,16729004301,Tacrolimus Cap 5 MG,9.32,7.46,1.0,8.39,26
NDC,16729007212,Capecitabine Tab 150 MG,2.97,2.38,0.03,2.67,34
NDC,16729007329,Capecitabine Tab 500 MG,6.07,4.86,0.03,5.46,34
NDC,16729008910,Finasteride Tab 1 MG,1.25,1.0,0.33,1.13,26
NDC,16729009015,Finasteride Tab 5 MG,1.09,0.88,0.29,0.98,26
NDC,16729009401,Mycophenolate Mofetil Cap 250 MG,1.16,0.93,0.31,1.04,26
NDC,16729010811,Mitomycin For IV Soln 20 MG,702.13,561.71,19.33,631.92,34
NDC,16729011431,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",282.03,225.63,1.0,253.83,26
NDC,16729011505,Mitomycin For IV Soln 5 MG,943.88,755.11,1.0,849.49,60
NDC,16729011638,Mitomycin For IV Soln 40 MG,2548.7,2038.96,19.33,2293.83,34
NDC,16729013401,Allopurinol Tab 100 MG,1.03,0.83,0.27,0.93,26
NDC,16729013501,Allopurinol Tab 300 MG,1.08,0.87,0.29,0.97,26
NDC,16729013616,Clonazepam Tab 0.5 MG,1.03,0.83,0.27,0.93,26
NDC,16729013700,Clonazepam Tab 1 MG,1.04,0.84,0.28,0.94,26
NDC,16729013716,Clonazepam Tab 1 MG,1.04,0.84,0.28,0.94,26
NDC,16729014501,Quetiapine Fumarate Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,16729014701,Quetiapine Fumarate Tab 100 MG,1.06,0.85,0.28,0.95,26
NDC,16729015131,Topotecan HCl For Inj 4 MG (Base Equiv),520.1,416.08,1.0,468.09,26
NDC,16729015615,Simvastatin Tab 5 MG,1.02,0.82,0.27,0.92,26
NDC,16729017117,Amitriptyline HCl Tab 10 MG,1.11,0.89,0.29,1.0,26
NDC,16729018301,Hydrochlorothiazide Tab 25 MG,1.02,0.82,0.27,0.92,26
NDC,16729018317,Hydrochlorothiazide Tab 25 MG,1.01,0.81,0.27,0.91,26
NDC,16729020001,Buspirone HCl Tab 5 MG,1.05,0.84,0.28,0.95,26
NDC,16729020016,Buspirone HCl Tab 5 MG,1.03,0.83,0.27,0.93,26
NDC,16729020201,Buspirone HCl Tab 10 MG,1.04,0.84,0.28,0.94,26
NDC,16729020216,Buspirone HCl Tab 10 MG,1.04,0.84,0.28,0.94,26
NDC,16729021301,Doxazosin Mesylate Tab 4 MG,1.44,1.16,0.38,1.3,26
NDC,16729021615,Sertraline HCl Tab 50 MG,1.08,0.87,0.29,0.97,26
NDC,16729021616,Sertraline HCl Tab 50 MG,1.42,1.14,0.38,1.28,26
NDC,16729021816,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.07,0.86,0.28,0.96,26
NDC,16729022405,Decitabine For Inj 50 MG,1167.07,933.66,1.0,1050.36,26
NDC,16729023930,Dexmedetomidine HCl IV Soln 200 MCG/2ML,392.74,314.2,103.88,353.47,26
NDC,16729023993,Dexmedetomidine HCl IV Soln 200 MCG/2ML,392.74,314.2,103.88,353.47,26
NDC,16729024605,Mitomycin For IV Soln 5 MG,670.6,536.48,19.33,603.54,34
NDC,16729025266,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),396.46,317.17,1.0,356.81,26
NDC,16729027503,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),537.51,430.01,1.0,483.76,26
NDC,16729027567,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),537.51,430.01,1.0,483.76,26
NDC,16729027603,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),269.43,215.55,1.0,242.49,26
NDC,16729027668,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),269.43,215.55,1.0,242.49,26
NDC,16729027703,Methotrexate Sodium Inj PF 250 MG/10ML (25 MG/ML),280.56,224.45,1.0,252.5,26
NDC,16729027730,Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),257.0,205.6,1.0,231.3,26
NDC,16729027735,Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),306.7,245.36,1.0,276.03,26
NDC,16729027910,Aripiprazole Tab 5 MG,2.38,1.91,0.63,2.14,26
NDC,16729028811,Cisplatin Inj 50 MG/50ML (1 MG/ML),287.98,230.39,1.0,259.18,26
NDC,16729028838,Cisplatin Inj 100 MG/100ML (1 MG/ML),305.65,244.52,1.0,275.09,26
NDC,16729029805,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),389.14,311.32,1.0,350.23,26
NDC,16729030610,Azacitidine For Inj 100 MG,513.06,410.45,0.37,461.75,26
NDC,16729031801,Oxybutynin Chloride Tab ER 24HR 10 MG,2.15,1.72,0.57,1.94,26
NDC,16729042210,Tacrolimus Oint 0.1%,64.15,51.32,16.97,57.74,26
NDC,16729043405,Daptomycin For IV Soln 350 MG,414.9,331.92,1.0,373.41,26
NDC,16729043630,Fulvestrant Inj Soln Pref Syr 250 MG/5ML,424.91,339.93,6.39,382.42,34
NDC,16729043631,Fulvestrant Inj Soln Pref Syr 250 MG/5ML,424.91,339.93,6.39,382.42,34
NDC,16729044010,Cinacalcet HCl Tab 30 MG (Base Equiv),1.25,1.0,0.33,1.13,26
NDC,16729044110,Cinacalcet HCl Tab 60 MG (Base Equiv),1.46,1.17,0.39,1.31,26
NDC,16729044115,Cinacalcet HCl Tab 60 MG (Base Equiv),1.84,1.48,0.49,1.66,26
NDC,16729044210,Cinacalcet HCl Tab 90 MG (Base Equiv),1.69,1.36,0.45,1.52,26
NDC,16729044315,Bupropion HCl Tab ER 24HR 150 MG,1.17,0.94,0.31,1.05,26
NDC,16729047108,Glycopyrrolate Inj 0.2 MG/ML,195.29,156.24,0.43,175.76,34
NDC,16729047163,Glycopyrrolate Inj 0.2 MG/ML,195.29,156.24,0.43,175.76,34
NDC,16729047801,Methylphenidate HCl Tab 5 MG,1.09,0.88,0.29,0.98,26
NDC,16729047901,Methylphenidate HCl Tab 10 MG,1.13,0.91,0.3,1.02,26
NDC,16729049303,Succinylcholine Chloride Inj 20 MG/ML,392.99,314.4,1.0,353.69,26
NDC,16729049345,Succinylcholine Chloride Inj 20 MG/ML,392.99,314.4,1.0,353.69,26
NDC,16729050008,Furosemide Inj 10 MG/ML,389.68,311.75,103.07,350.71,26
NDC,16729050030,Furosemide Inj 10 MG/ML,389.74,311.8,103.09,350.77,26
NDC,16729053308,Cyanocobalamin Inj 1000 MCG/ML,390.13,312.11,1.0,351.12,26
NDC,16729053363,Cyanocobalamin Inj 1000 MCG/ML,390.13,312.11,1.0,351.12,26
NDC,16729071031,Dehydrated Alcohol Intra-arterial Soln,2388.99,1911.2,631.89,2150.09,26
NDC,16729071045,Dehydrated Alcohol Intra-arterial Soln,2388.99,1911.2,631.89,2150.09,26
NDC,168000215,Triamcinolone Acetonide Cream 0.5%,33.66,26.93,8.9,30.29,26
NDC,168000480,Triamcinolone Acetonide Cream 0.1%,26.36,21.09,6.97,23.72,52
NDC,168000680,Triamcinolone Acetonide Oint 0.1%,30.12,24.1,7.97,27.11,26
NDC,168000715,Nystatin Oint 100000 Unit/GM,38.1,30.48,10.08,34.29,26
NDC,168001516,Hydrocortisone Cream 1%,11.9,9.52,3.15,10.71,26
NDC,168002031,Hydrocortisone Oint 1%,1.96,1.57,0.52,1.76,26
NDC,168003346,Betamethasone Valerate Oint 0.1% (Base Equivalent),50.02,40.02,13.23,45.02,26
NDC,168009930,Ketoconazole Cream 2%,32.14,25.72,8.5,28.93,26
NDC,168016230,Clobetasol Propionate Oint 0.05%,27.82,22.26,7.36,25.04,26
NDC,168018131,Hydrocortisone Oint 1%,1.91,1.53,0.51,1.72,26
NDC,168020230,Clindamycin Phosphate Gel 1% (Twice-Daily),74.29,59.44,19.65,66.86,26
NDC,168032346,Metronidazole Cream 0.75%,121.12,96.9,32.04,109.01,26
NDC,168034720,Terconazole Vaginal Cream 0.8%,52.68,42.15,13.93,47.41,26
NDC,168035222,Mupirocin Oint 2%,55.18,44.15,14.6,49.66,26
NDC,168035705,Lidocaine-Prilocaine Cream 2.5-2.5%,7.96,6.37,1.0,7.16,26
NDC,168035730,Lidocaine-Prilocaine Cream 2.5-2.5%,31.72,25.38,1.0,28.55,26
NDC,168035755,Lidocaine-Prilocaine Cream 2.5-2.5%,7.96,6.37,1.0,7.16,26
NDC,168041630,Tacrolimus Oint 0.1%,211.33,169.07,55.9,190.2,26
NDC,168041730,Tacrolimus Oint 0.03%,204.97,163.98,54.21,184.47,26
NDC,16837087220,Famotidine Tab 10 MG,1.31,1.05,0.35,1.18,26
NDC,169183711,"Insulin Isophane & Regular (Human) Inj 100 Unit/ML *,Insulin Isophane & Regular Susp Pen-Inj 100 Unit/ML",22.4,17.92,5.92,20.16,26
NDC,169185459,Injection Device for Insulin,66.88,53.51,17.69,60.19,26
NDC,169330312,",Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML",32.65,26.12,8.64,29.39,26
NDC,169330312,Insulin Aspart Soln Cartridge 100 Unit/ML,32.65,26.12,8.64,29.39,26
NDC,169330312,"Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML,Insulin Aspart Inj Soln 100 Unit/ML",32.65,26.12,8.64,29.39,26
NDC,169368512,"Insulin Aspart Prot & Aspart (Human) Inj 100 Unit/M*,Insulin Aspart Prot & Aspart Sus Pen-inj 100 Unit/M",76.4,61.12,20.21,68.76,26
NDC,169368712,"Insulin Detemir Inj 100 Unit/ML,Insulin Detemir Soln Pen-injector 100 Unit/ML",96.89,77.52,25.63,87.2,26
NDC,169406012,Liraglutide Soln Pen-injector 18 MG/3ML (6 MG/ML),676.23,540.99,178.86,608.61,26
NDC,169406013,Liraglutide Soln Pen-injector 18 MG/3ML (6 MG/ML),676.23,540.99,178.86,608.61,26
NDC,169633910,",Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML",24.71,19.77,6.54,22.24,26
NDC,169633910,Insulin Aspart Soln Pen-injector 100 Unit/ML,24.71,19.77,6.54,22.24,26
NDC,169633910,"Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML,Insulin Aspart Inj Soln 100 Unit/ML",24.71,19.77,6.54,22.24,26
NDC,169720101,Coagulation Factor VIIa (Recomb) For Inj 1 MG (1000 MCG),2470.0,1976.0,2.41,2223.0,34
NDC,169720201,Coagulation Factor VIIa (Recomb) For Inj 2 MG (2000 MCG),4795.2,3836.16,2.41,4315.68,34
NDC,169720501,Coagulation Factor VIIa (Recomb) For Inj 5 MG (5000 MCG),12350.0,9880.0,2.41,11115.0,34
NDC,169750111,Insulin Aspart Inj Soln 100 Unit/ML,51.98,41.59,1.0,46.78,52
NDC,169750111,"Insulin Aspart Inj Soln 100 Unit/ML,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML",51.98,41.59,13.75,46.78,26
NDC,169750111,"Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML,Insulin Aspart Inj Soln 100 Unit/ML",51.98,41.59,13.75,46.78,26
NDC,17238090011,Fluorescein Sodium Ophth Strips 1 MG,1.17,0.94,0.31,1.05,26
NDC,17238090030,Fluorescein Sodium Ophth Strips 1 MG,1.08,0.87,0.29,0.97,26
NDC,17238090099,Fluorescein Sodium Ophth Strips 1 MG,1.17,0.94,0.31,1.05,26
NDC,172392560,Diazepam Tab 2 MG,1.01,0.81,0.27,0.91,26
NDC,172392660,Diazepam Tab 5 MG,1.01,0.81,0.27,0.91,26
NDC,172392760,Diazepam Tab 10 MG,1.02,0.82,0.27,0.92,26
NDC,172409660,Baclofen Tab 10 MG,1.16,0.93,0.31,1.04,26
NDC,172409680,Baclofen Tab 10 MG,1.18,0.95,0.31,1.06,26
NDC,172524160,Anagrelide HCl Cap 0.5 MG,1.61,1.29,0.43,1.45,26
NDC,172541211,Fluconazole Tab 150 MG,3.59,2.88,0.95,3.23,26
NDC,172572860,Famotidine Tab 20 MG,1.04,0.84,0.28,0.94,26
NDC,172572870,Famotidine Tab 20 MG,1.09,0.88,0.29,0.98,26
NDC,172572880,Famotidine Tab 20 MG,1.03,0.83,0.27,0.93,26
NDC,172640649,Cromolyn Sodium Soln Nebu 20 MG/2ML,3.43,2.75,0.91,3.09,26
NDC,172731320,Cyclosporine Modified Oral Soln 100 MG/ML,114.4,91.52,1.0,102.96,26
NDC,173064255,Lamotrigine Tab 100 MG,13.27,10.62,3.51,11.94,26
NDC,173064360,Lamotrigine Tab 150 MG,5.44,4.36,1.44,4.9,26
NDC,173068101,Zanamivir Aerosol Powder Breath Activated 5 MG/ACT,1051.54,841.24,278.13,946.39,26
NDC,173068220,Albuterol Sulfate Inhal Aero 108 MCG/ACT,85.75,68.6,22.68,77.18,26
NDC,173068220,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),85.75,68.6,22.68,77.18,26
NDC,173068224,Albuterol Sulfate Inhal Aero 108 MCG/ACT,69.59,55.68,18.41,62.63,26
NDC,173068224,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),69.59,55.68,18.41,62.63,26
NDC,173075400,Lamotrigine Tab ER 24HR 25 MG,5.44,4.36,1.44,4.9,26
NDC,173075600,Lamotrigine Tab ER 24HR 100 MG,19.89,15.92,5.26,17.9,26
NDC,173085914,Fluticasone Furoate-Vilanterol Aero Powd BA 100-25 MCG/ACT,1529.02,1223.22,404.43,1376.12,26
NDC,173086906,Umeclidinium-Vilanterol Aero Powd BA 62.5-25 MCG/ACT,762.51,610.01,201.68,686.26,26
NDC,173087306,Umeclidinium Br Aero Powd Breath Act 62.5 MCG/ACT (Base Eq),398.2,318.56,105.32,358.38,26
NDC,173087414,Fluticasone Furoate Aerosol Powder Breath Activ 100 MCG/ACT,758.39,606.72,200.59,682.55,26
NDC,173087610,Fluticasone Furoate Aerosol Powder Breath Activ 200 MCG/ACT,1657.83,1326.27,438.5,1492.05,26
NDC,173087614,Fluticasone Furoate Aerosol Powder Breath Activ 200 MCG/ACT,773.65,618.92,204.63,696.29,26
NDC,173088101,Mepolizumab For Inj 100 MG,9263.9,7411.12,29.71,8337.51,34
NDC,173088210,Fluticasone Furoate-Vilanterol Aero Powd BA 200-25 MCG/ACT,3298.14,2638.52,872.36,2968.33,26
NDC,173088214,Fluticasone Furoate-Vilanterol Aero Powd BA 200-25 MCG/ACT,1465.07,1172.06,387.51,1318.56,26
NDC,173090442,Mepolizumab Subcutaneous Solution Pref Syringe 40 MG/0.4ML,4805.49,3844.4,29.71,4324.94,34
NDC,173093310,Valacyclovir HCl Tab 500 MG,12.64,10.12,3.34,11.38,26
NDC,17433987600,Docusate Sodium Enema 283 MG/5ML,7.1,5.68,1.88,6.39,26
NDC,17433987603,Docusate Sodium Enema 283 MG/5ML,7.1,5.68,1.88,6.39,26
NDC,17478003005,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",390.71,312.57,1.0,351.64,26
NDC,17478003005,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,78.14,62.52,1.0,70.33,26
NDC,17478004001,Lorazepam Inj 2 MG/ML,392.15,313.72,1.0,352.94,26
NDC,17478004532,Tetracaine HCl Inj 1%,395.09,316.08,104.5,355.58,26
NDC,17478006412,Hypromellose Gonioscopic Soln 2.5%,7.44,5.96,1.97,6.7,26
NDC,17478008130,Ropivacaine HCl Inj 5 MG/ML,52.6,42.08,1.0,47.34,26
NDC,17478010002,Cyclopentolate HCl Ophth Soln 1%,12.06,9.65,3.19,10.85,26
NDC,17478010212,Tropicamide Ophth Soln 1%,29.67,23.74,7.85,26.7,26
NDC,17478020605,Phenylephrine HCl Ophth Soln 10%,59.3,47.44,15.68,53.37,26
NDC,17478020910,Ketorolac Tromethamine Ophth Soln 0.5%,54.74,43.8,14.48,49.27,26
NDC,17478020911,Ketorolac Tromethamine Ophth Soln 0.5%,84.48,67.59,22.34,76.03,26
NDC,17478023835,Bacitracin-Polymyxin B Ophth Oint,27.18,21.75,7.19,24.46,26
NDC,17478026312,Proparacaine HCl Ophth Soln 0.5%,57.85,46.28,15.3,52.07,26
NDC,17478029010,Tobramycin Ophth Soln 0.3%,30.57,24.46,8.09,27.51,26
NDC,17478040401,Fluorescein Sodium Ophth Strips 1 MG,1.09,0.88,0.29,0.98,26
NDC,17478041940,Chlorothiazide Sodium For Inj 500 MG,482.5,386.0,1.0,434.25,26
NDC,17478050410,Methylene Blue IV Soln 1%,500.5,400.4,3.48,450.45,36
NDC,17478054005,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,395.89,316.72,104.71,356.3,26
NDC,17478054050,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,483.85,387.08,127.98,435.47,26
NDC,17478054605,Granisetron HCl Inj 4 MG/4ML (1 MG/ML),395.4,316.32,1.0,355.86,26
NDC,17478060510,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,203.75,163.0,53.89,183.38,26
NDC,17478062312,Sodium Chloride Hypertonic Ophth Soln 5%,11.88,9.51,3.14,10.69,26
NDC,17478070311,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML,34.65,27.72,9.16,31.19,26
NDC,17478070311,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%,34.65,27.72,9.16,31.19,26
NDC,17478070510,Betaxolol HCl Ophth Soln 0.5%,72.47,57.98,19.17,65.22,26
NDC,17478071130,"Lidocaine HCl Gel 2%,Lidocaine HCl Urethral/Mucosal Gel 2%,Lidocaine HCl Urethral/Mucosal Gel Prefilled Syringe 2%",93.97,75.18,24.86,84.57,26
NDC,17478071310,Ofloxacin Ophth Soln 0.3%,34.15,27.32,9.03,30.74,26
NDC,17478071311,Ofloxacin Ophth Soln 0.3%,54.72,43.78,14.47,49.25,26
NDC,17478071410,Ciprofloxacin HCl Ophth Soln 0.3%,31.93,25.55,8.45,28.74,26
NDC,17478079201,Lidocaine HCl Ophth Gel 3.5%,24.36,19.49,6.44,21.92,26
NDC,17478079225,Lidocaine HCl Ophth Gel 3.5%,48.36,38.69,12.79,43.52,26
NDC,17478089210,Diclofenac Sodium Ophth Soln 0.1%,30.15,24.12,7.97,27.14,26
NDC,17478089225,Diclofenac Sodium Ophth Soln 0.1%,28.49,22.8,7.54,25.64,26
NDC,17478093401,Hydralazine HCl Inj 20 MG/ML,428.01,342.41,1.0,385.21,26
NDC,17478093710,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),156.64,125.32,41.43,140.98,26
NDC,178060001,Potassium Citrate Tab ER 5 MEQ (540 MG),1.32,1.06,0.35,1.19,26
NDC,179815601,Sennosides Tab 8.6 MG,1.02,0.82,0.27,0.92,26
NDC,185003451,Tizanidine HCl Tab 2 MG (Base Equivalent),1.04,0.84,0.28,0.94,26
NDC,185005501,Metolazone Tab 5 MG,2.24,1.8,0.59,2.02,26
NDC,185007201,Lovastatin Tab 20 MG,1.14,0.92,0.3,1.03,26
NDC,185012801,Bumetanide Tab 0.5 MG,1.47,1.18,0.39,1.32,26
NDC,185084201,Amphetamine-Dextroamphetamine Tab 10 MG,1.81,1.45,0.48,1.63,26
NDC,185209801,Amphetamine-Dextroamphetamine Tab 5 MG,1.35,1.08,0.36,1.22,26
NDC,185505001,Metolazone Tab 2.5 MG,1.6,1.28,0.42,1.44,26
NDC,186077660,Ticagrelor Tab 60 MG,6.79,5.44,1.8,6.11,26
NDC,186077739,Ticagrelor Tab 90 MG,7.94,6.36,2.1,7.15,52
NDC,186077760,Ticagrelor Tab 90 MG,7.75,6.2,2.05,6.98,52
NDC,186198804,Budesonide Inhalation Susp 0.25 MG/2ML,5.64,4.52,1.49,5.08,26
NDC,186198904,Budesonide Inhalation Susp 0.5 MG/2ML,10.52,8.42,1.01,9.47,26
NDC,186199004,Budesonide Inhalation Susp 1 MG/2ML,11.95,9.56,3.16,10.76,26
NDC,186401001,Esomeprazole Magnesium For Delayed Release Susp Packet 10 MG,8.82,7.06,2.33,7.94,26
NDC,186402001,Esomeprazole Magnesium For Delayed Release Susp Packet 20 MG,9.87,7.9,2.61,8.88,26
NDC,186502031,Esomeprazole Magnesium Cap Delayed Release 20 MG (Base Eq),4.17,3.34,1.1,3.75,26
NDC,18657011704,Hyaluronidase Human Inj 150 Unit/ML,426.24,341.0,1.0,383.62,26
NDC,186604001,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),392.82,314.26,1.0,353.54,26
NDC,187065820,Diazepam Rectal Gel Delivery System 10 MG,157.14,125.72,41.56,141.43,26
NDC,187099395,Acyclovir Oint 5%,676.57,541.26,178.95,608.91,26
NDC,187099445,Acyclovir Cream 5%,652.22,521.78,172.51,587.0,26
NDC,187301220,Pyridostigmine Bromide Oral Soln 60 MG/5ML,85.54,68.44,22.63,76.99,26
NDC,187430305,Amobarbital Sodium For Inj 500 MG,2548.41,2038.73,171.17,2293.57,26
NDC,187510001,Pimecrolimus Cream 1%,142.6,114.08,37.72,128.34,26
NDC,187526701,Magnesium Carbonate Liquid 54 MG/5ML (Elemental Mg),26.17,20.94,6.92,23.55,26
NDC,19903001020,Simethicone Susp 40 MG/0.6ML,1.28,1.03,0.34,1.15,26
NDC,20555001900,Ferrous Gluconate Tab 324 MG (37.5 MG Elemental Iron),1.02,0.82,0.27,0.92,26
NDC,20555003300,Cholecalciferol Tab 25 MCG (1000 Unit),1.04,0.84,0.28,0.94,26
NDC,20555003600,Melatonin Tab 3 MG,1.1,0.88,0.29,0.99,26
NDC,20555003601,Melatonin Tab 3 MG,1.11,0.89,0.29,1.0,26
NDC,20555003901,Melatonin Tab 5 MG,1.14,0.92,0.3,1.03,26
NDC,21922001605,Clobetasol Propionate Cream 0.05%,34.27,27.42,9.06,30.84,26
NDC,21922002107,Permethrin Cream 5%,47.02,37.62,12.44,42.32,26
NDC,21922002705,Clindamycin Phosphate Gel 1% (Twice-Daily),48.22,38.58,12.75,43.4,26
NDC,21922002904,Mupirocin Calcium Cream 2%,48.18,38.55,12.74,43.36,26
NDC,21922002905,Mupirocin Calcium Cream 2%,211.51,169.21,55.94,190.36,26
NDC,21922003601,Clindamycin Phosphate Lotion 1%,54.76,43.81,14.48,49.28,26
NDC,223172101,Sodium Bicarbonate Tab 650 MG,1.05,0.84,0.28,0.95,26
NDC,223176001,Sodium Chloride Tab 1 GM,1.05,0.84,0.28,0.95,26
NDC,223176002,Sodium Chloride Tab 1 GM,1.07,0.86,0.28,0.96,26
NDC,225038280,Saline Nasal Soln 0.65%,3.4,2.72,0.9,3.06,26
NDC,225049533,Pramoxine-Benzyl Alcohol Gel 1-10%,4.12,3.3,1.09,3.71,26
NDC,225052547,Saline Nasal Gel,3.89,3.12,1.03,3.5,52
NDC,225052573,Saline Nasal Gel,3.89,3.12,1.03,3.5,26
NDC,225080047,Phenylephrine HCl Nasal Soln 0.25%,4.56,3.65,1.21,4.1,26
NDC,225080547,Phenylephrine HCl Nasal Soln 0.5%,4.56,3.65,1.21,4.1,26
NDC,228142203,Lamotrigine Tab ER 24HR 100 MG,6.79,5.44,1.8,6.11,26
NDC,228202710,Alprazolam Tab 0.25 MG,1.04,0.84,0.28,0.94,26
NDC,228202910,Alprazolam Tab 0.5 MG,1.05,0.84,0.28,0.95,26
NDC,228207610,Temazepam Cap 15 MG,1.08,0.87,0.29,0.97,26
NDC,228212710,Clonidine HCl Tab 0.1 MG,1.03,0.83,0.27,0.93,26
NDC,228212750,Clonidine HCl Tab 0.1 MG,1.03,0.83,0.27,0.93,26
NDC,228212810,Clonidine HCl Tab 0.2 MG,1.03,0.83,0.27,0.93,26
NDC,228212850,Clonidine HCl Tab 0.2 MG,1.04,0.84,0.28,0.94,26
NDC,228249710,Nifedipine Cap 10 MG,1.79,1.44,0.47,1.61,52
NDC,228277911,Propranolol HCl Cap ER 24HR 80 MG,2.78,2.23,0.74,2.5,26
NDC,228365803,Ropinirole Hydrochloride Tab ER 24HR 2 MG (Base Equivalent),1.59,1.28,0.42,1.43,26
NDC,23024004,White Petrolatum-Mineral Oil Ophth Ointment,8.97,7.18,2.37,8.07,26
NDC,23031204,White Petrolatum-Mineral Oil Ophth Ointment,9.44,7.56,2.5,8.5,26
NDC,23050601,Polyvinyl Alcohol-Povidone (PF) Ophth Soln 1.4-0.6%,1.23,0.99,0.33,1.11,26
NDC,23079815,Carboxymethylcellulose Sodium Ophth Soln 0.5%,8.02,6.42,2.12,7.22,26
NDC,23114501,OnabotulinumtoxinA For Inj 100 Unit,1200.0,960.0,6.17,1080.0,34
NDC,23155000101,Hydralazine HCl Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,23155000201,Hydralazine HCl Tab 25 MG,1.04,0.84,0.28,0.94,26
NDC,23155000210,Hydralazine HCl Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,23155000301,Hydralazine HCl Tab 50 MG,1.05,0.84,0.28,0.95,26
NDC,23155000310,Hydralazine HCl Tab 50 MG,1.11,0.89,0.29,1.0,26
NDC,23155000801,Hydrochlorothiazide Tab 25 MG,1.02,0.82,0.27,0.92,26
NDC,23155000810,Hydrochlorothiazide Tab 25 MG,1.01,0.81,0.27,0.91,26
NDC,23155002301,Buspirone HCl Tab 5 MG,1.05,0.84,0.28,0.95,26
NDC,23155002305,Buspirone HCl Tab 5 MG,1.02,0.82,0.27,0.92,26
NDC,23155002401,Buspirone HCl Tab 10 MG,1.07,0.86,0.28,0.96,26
NDC,23155002405,Buspirone HCl Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,23155002601,Verapamil HCl Tab 80 MG,1.04,0.84,0.28,0.94,26
NDC,23155004403,Leflunomide Tab 20 MG,1.53,1.23,0.4,1.38,26
NDC,23155004801,Felodipine Tab ER 24HR 2.5 MG,1.18,0.95,0.31,1.06,26
NDC,23155005701,Glyburide Tab 2.5 MG,1.07,0.86,0.28,0.96,26
NDC,23155007001,Methimazole Tab 5 MG,1.08,0.87,0.29,0.97,26
NDC,23155010301,Metformin HCl Tab 850 MG,1.03,0.83,0.27,0.93,26
NDC,23155010401,Metformin HCl Tab 1000 MG,1.03,0.83,0.27,0.93,26
NDC,23155011801,Calcitriol Cap 0.25 MCG,1.36,1.09,0.36,1.22,26
NDC,23155014801,Acarbose Tab 50 MG,1.18,0.95,0.31,1.06,26
NDC,23155016631,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),402.09,321.68,1.0,361.88,52
NDC,23155016641,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),402.09,321.68,1.0,361.88,52
NDC,23155017801,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.14,0.92,0.3,1.03,26
NDC,23155017805,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.17,0.94,0.31,1.05,26
NDC,23155019401,Nifedipine Cap 10 MG,1.36,1.09,0.36,1.22,52
NDC,23155021631,Cidofovir IV Inj 75 MG/ML,2658.56,2126.85,518.98,2392.7,34
NDC,23155022901,Acyclovir Cap 200 MG,1.09,0.88,0.29,0.98,26
NDC,23155024031,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),391.04,312.84,1.0,351.94,26
NDC,23155024041,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),391.04,312.84,1.0,351.94,26
NDC,23155025832,Adenosine IV Soln 3 MG/ML (Diagnostic),270.12,216.1,1.0,243.11,26
NDC,23155028701,Acetazolamide Tab 125 MG,2.63,2.11,0.7,2.37,26
NDC,23155029032,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),397.02,317.62,1.0,357.32,26
NDC,23155029042,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),399.61,319.69,1.0,359.65,26
NDC,23155029431,Prochlorperazine Edisylate Inj 10 MG/2ML,397.8,318.24,1.0,358.02,26
NDC,23155031331,Acetazolamide Sodium For Inj 500 MG,418.25,334.6,1.0,376.43,26
NDC,23155048601,Verapamil HCl Tab 120 MG,1.05,0.84,0.28,0.95,26
NDC,23155048901,Desmopressin Acetate Tab 0.1 MG,1.46,1.17,0.39,1.31,26
NDC,23155049001,Desmopressin Acetate Tab 0.2 MG,1.39,1.12,0.37,1.25,26
NDC,23155049731,Prochlorperazine Edisylate Inj 10 MG/2ML,400.23,320.19,1.0,360.21,26
NDC,23155050001,Hydroxyzine HCl Tab 10 MG,1.06,0.85,0.28,0.95,26
NDC,23155050101,Hydroxyzine HCl Tab 25 MG,1.05,0.84,0.28,0.95,26
NDC,23155050201,Hydroxyzine HCl Tab 50 MG,1.08,0.87,0.29,0.97,26
NDC,23155051200,Nimodipine Cap 30 MG,2.2,1.76,0.58,1.98,26
NDC,23155051211,Nimodipine Cap 30 MG,2.2,1.76,0.58,1.98,26
NDC,23155051905,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.12,0.9,0.3,1.01,26
NDC,23155052331,Prochlorperazine Edisylate Inj 10 MG/2ML,401.42,321.14,1.0,361.28,26
NDC,23155054931,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),389.28,311.43,1.0,350.35,26
NDC,23155060031,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",389.35,311.48,1.0,350.42,26
NDC,23155060041,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",389.35,311.48,1.0,350.42,26
NDC,23155060131,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),389.58,311.67,1.0,350.62,26
NDC,23155060141,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),389.58,311.67,1.0,350.62,26
NDC,23155060601,Glycopyrrolate Tab 1 MG,1.19,0.96,0.31,1.07,26
NDC,23155062031,Phenylephrine HCl IV Soln 10 MG/ML,389.79,311.84,0.01,350.81,26
NDC,23155062041,Phenylephrine HCl IV Soln 10 MG/ML,389.79,311.84,0.01,350.81,26
NDC,23155065101,Metronidazole Tab 250 MG,1.16,0.93,0.31,1.04,26
NDC,23155065201,Metronidazole Tab 500 MG,1.12,0.9,0.3,1.01,26
NDC,23155065205,Metronidazole Tab 500 MG,1.12,0.9,0.3,1.01,26
NDC,23155066201,Calcitriol Cap 0.25 MCG,1.25,1.0,0.33,1.13,26
NDC,23155066301,Calcitriol Cap 0.5 MCG,1.39,1.12,0.37,1.25,26
NDC,23155068531,Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML),391.18,312.95,1.0,352.06,26
NDC,23155070501,Enalapril Maleate Tab 5 MG,1.07,0.86,0.28,0.96,26
NDC,23155076401,Hydrochlorothiazide Tab 12.5 MG,1.06,0.85,0.28,0.95,26
NDC,23155076701,Tetracycline HCl Cap 500 MG,3.29,2.64,0.87,2.96,26
NDC,23155078631,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),393.17,314.54,1.0,353.85,26
NDC,23155078641,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),393.17,314.54,1.0,353.85,26
NDC,23155083131,Acetazolamide Sodium For Inj 500 MG,425.87,340.7,1.0,383.28,26
NDC,23155083201,Hydralazine HCl Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,23155083301,Hydralazine HCl Tab 25 MG,1.04,0.84,0.28,0.94,26
NDC,23155083310,Hydralazine HCl Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,23155083401,Hydralazine HCl Tab 50 MG,1.04,0.84,0.28,0.94,26
NDC,23155083711,Cyclosporine Modified Cap 25 MG,2.02,1.62,0.53,1.82,26
NDC,23155083730,Cyclosporine Modified Cap 25 MG,2.02,1.62,0.53,1.82,26
NDC,23155085825,Vancomycin HCl Cap 125 MG (Base Equivalent),2.92,2.34,0.77,2.63,26
NDC,23155085878,Vancomycin HCl Cap 125 MG (Base Equivalent),2.25,1.8,0.6,2.03,26
NDC,23155087301,Torsemide Tab 20 MG,1.09,0.88,0.29,0.98,26
NDC,2322730,Atomoxetine HCl Cap 10 MG (Base Equiv),13.34,10.68,3.53,12.01,26
NDC,2323560,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),7.06,5.65,1.87,6.35,26
NDC,2323930,Atomoxetine HCl Cap 60 MG (Base Equiv),14.4,11.52,3.81,12.96,26
NDC,23320503,Bimatoprost Ophth Soln 0.01%,209.03,167.23,55.29,188.13,26
NDC,23324015,Carboxymethylcellulose-Glycerin Ophth Soln 0.5-0.9%,9.27,7.42,2.45,8.34,26
NDC,23350730,Ketorolac Tromethamine (PF) Ophth Soln 0.45%,174.28,139.43,46.1,156.85,26
NDC,23361525,Gatifloxacin Ophth Soln 0.5%,180.95,144.76,47.86,162.86,26
NDC,234057532,Chlorhexidine Gluconate Soln 4%,9.51,7.61,2.52,8.56,26
NDC,23429003,Alcaftadine Ophth Soln 0.25%,142.21,113.77,37.61,127.99,26
NDC,23430710,Carboxymethylcell-Glycerin-Polysorb 80 Ophth Soln 0.5-1-0.5%,9.42,7.54,2.49,8.48,26
NDC,23455430,Carboxymethylcellulose Sodium (PF) Ophth Gel 1%,1.27,1.02,0.34,1.14,26
NDC,23545910,Carboxymethylcellulose-Glycerin Ophth Gel 1-0.9%,11.19,8.96,2.96,10.07,26
NDC,23585318,Mesalamine Cap DR 400 MG,3.72,2.98,0.98,3.35,26
NDC,23585801,Levonorgestrel IUD 20.1 MCG/DAY (Initial) (52 MG Total),870.1,696.08,291.48,950.37,26
NDC,2359046007,Lactobacillus Reuteri Liquid,19.25,15.4,5.09,17.33,26
NDC,2359046015,Lactobacillus Reuteri-Vitamin D Liquid,25.1,20.08,6.64,22.59,26
NDC,23608201,Iron Dextran Inj 50 MG/ML,414.99,332.0,17.2,373.49,34
NDC,23608201,Iron Dextran Inj 50 MG/ML (Elemental Iron),414.99,332.0,17.2,373.49,68
NDC,23608210,Iron Dextran Inj 50 MG/ML,414.99,332.0,17.2,373.49,34
NDC,23608210,Iron Dextran Inj 50 MG/ML (Elemental Iron),414.99,332.0,17.2,373.49,34
NDC,23614230,Silodosin Cap 8 MG,8.77,7.02,2.32,7.89,26
NDC,23614290,Silodosin Cap 8 MG,8.78,7.03,2.32,7.9,26
NDC,23614730,Silodosin Cap 4 MG,8.78,7.03,2.32,7.9,26
NDC,23797087131,Benzocaine Dental Gel 20%,7.57,6.06,2.0,6.81,26
NDC,23900000361,Camphor-Eucalyptus-Menthol - Oint,5.3,4.24,1.4,4.77,26
NDC,23900001051,Camphor-Eucalyptus-Menthol - Oint,4.0,3.2,1.06,3.6,52
NDC,23916330,Cyclosporine (Ophth) Emulsion 0.05%,7.65,6.12,2.02,6.89,26
NDC,23916360,Cyclosporine (Ophth) Emulsion 0.05%,495.0,396.0,130.93,445.5,26
NDC,23920515,Carboxymethylcellulose Sodium Ophth Gel 1%,8.38,6.71,2.22,7.54,26
NDC,23921105,Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2,189.75,151.8,50.19,170.78,26
NDC,23921105,Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2-0.5%,189.75,151.8,50.19,170.78,26
NDC,23927705,Ketorolac Tromethamine Ophth Soln 0.4%,265.4,212.32,70.2,238.86,26
NDC,23932105,Brimonidine Tartrate Ophth Soln 0.1%,205.15,164.12,54.26,184.64,26
NDC,23932110,Brimonidine Tartrate Ophth Soln 0.1%,185.03,148.03,48.94,166.53,26
NDC,24065401,Isatuximab-irfc IV Soln 100 MG/5ML,2525.0,2020.0,74.64,2272.5,34
NDC,24065601,Isatuximab-irfc IV Soln 500 MG/25ML,11625.0,9300.0,74.64,10462.5,34
NDC,24159601,Primaquine Phosphate Tab 26.3 MG (15 MG Base),2.13,1.71,0.56,1.92,26
NDC,24201001020,Pentobarbital Sodium Inj 50 MG/ML,304.78,243.83,1.0,274.3,26
NDC,24201001050,Pentobarbital Sodium Inj 50 MG/ML,246.22,196.98,1.0,221.6,26
NDC,24201010001,Acetaminophen IV Soln 10 MG/ML,408.7,326.96,0.07,367.83,26
NDC,24201010024,Acetaminophen IV Soln 10 MG/ML,408.7,326.96,0.07,367.83,26
NDC,24201020101,Sodium Tetradecyl Sulfate Inj 3%,421.04,336.84,111.37,378.94,26
NDC,24201020105,Sodium Tetradecyl Sulfate Inj 3%,421.04,336.84,111.37,378.94,26
NDC,24201040002,Calcitonin (Salmon) Inj 200 Unit/ML,1854.47,1483.58,460.73,1669.02,34
NDC,24208029005,Tobramycin Ophth Soln 0.3%,27.88,22.31,7.37,25.09,26
NDC,24208029505,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,69.6,55.68,18.41,62.64,26
NDC,24208029525,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,64.51,51.61,17.06,58.06,26
NDC,24208029905,Loteprednol Etabonate Ophth Susp 0.5%,201.65,161.32,53.34,181.49,52
NDC,24208031510,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML,30.38,24.31,8.04,27.34,26
NDC,24208031510,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%,30.38,24.31,8.04,27.34,26
NDC,24208031705,Sulfacetamide Sodium-Prednisolone Ophth Soln 10-0.23(0.25)%,35.63,28.51,9.42,32.07,26
NDC,24208035305,Loteprednol Etabonate Ophth Susp 0.2%,192.65,154.12,50.96,173.39,26
NDC,24208038555,Sodium Chloride Hypertonic Ophth Oint 5%,15.8,12.64,4.18,14.22,26
NDC,24208041005,Ofloxacin Otic Soln 0.3%,145.35,116.28,38.45,130.82,26
NDC,24208041010,Ofloxacin Otic Soln 0.3%,265.7,212.56,70.28,239.13,26
NDC,24208041105,Brimonidine Tartrate Ophth Soln 0.2%,38.78,31.03,10.26,34.9,26
NDC,24208045705,Diclofenac Sodium Ophth Soln 0.1%,29.93,23.95,7.92,26.94,26
NDC,24208046325,Latanoprost Ophth Soln 0.005%,28.93,23.15,7.65,26.04,26
NDC,24208048510,Dorzolamide HCl Ophth Soln 2%,56.8,45.44,15.02,51.12,26
NDC,24208048610,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,59.05,47.24,15.62,53.15,26
NDC,24208050505,Levobunolol HCl Ophth Soln 0.5%,38.59,30.88,10.21,34.73,26
NDC,24208053535,Ganciclovir Ophth Gel 0.15%,285.87,228.7,75.61,257.28,26
NDC,24208053920,Acetylcholine Chloride Intraocular For Soln 20 MG (1:100),72.41,57.93,19.15,65.17,26
NDC,24208055555,Bacitracin-Polymyxin B Ophth Oint,46.09,36.88,12.19,41.48,26
NDC,24208058060,Gentamicin Sulfate Ophth Soln 0.3%,32.73,26.19,8.66,29.46,26
NDC,24208058559,Tropicamide Ophth Soln 1%,3.06,2.45,0.81,2.75,26
NDC,24208058564,Tropicamide Ophth Soln 1%,4.74,3.8,1.25,4.27,26
NDC,24208063562,Neomycin-Polymyxin-HC Otic Susp 3.5 MG/ML-10000 Unit/ML-1%,64.2,51.36,16.98,57.78,26
NDC,24208067004,Sulfacetamide Sodium Ophth Soln 10%,69.85,55.88,18.48,62.87,26
NDC,24208071510,Prednisolone Sodium Phosphate Ophth Soln 1%,66.63,53.31,17.62,59.97,26
NDC,24208072002,Dexamethasone Sodium Phosphate Ophth Soln 0.1%,65.15,52.12,17.23,58.64,26
NDC,24208073006,Proparacaine HCl Ophth Soln 0.5%,57.85,46.28,15.3,52.07,26
NDC,24208073501,Cyclopentolate HCl Ophth Soln 1%,12.32,9.86,3.26,11.09,26
NDC,24208073506,Cyclopentolate HCl Ophth Soln 1%,51.93,41.55,13.74,46.74,26
NDC,24208078055,Neomycin-Bacitrac Zn-Polymyx 5(3.5)MG-400Unt-10000Unt Op Oin,35.34,28.28,9.35,31.81,26
NDC,24208078555,Bacitracin-Polymyxin-Neomycin-HC Ophth Oint 1%,42.02,33.62,11.11,37.82,26
NDC,24208079062,Neomycin-Polymy-Gramicid Op Sol 1.75-10000-0.025MG-UNT-MG/ML,40.69,32.56,10.76,36.62,26
NDC,24208079535,Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1%,27.92,22.34,7.38,25.13,26
NDC,24208081905,Timolol Maleate Ophth Gel Forming Soln 0.5%,148.13,118.51,39.18,133.32,26
NDC,24208083060,Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1%,34.1,27.28,9.02,30.69,26
NDC,24208091019,Erythromycin Ophth Oint 5 MG/GM,3.4,2.72,0.9,3.06,26
NDC,24208091055,Erythromycin Ophth Oint 5 MG/GM,40.19,32.16,10.63,36.17,26
NDC,24279210,Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq),419.8,335.84,1.0,377.82,26
NDC,24338013013,Erythromycin Ethylsuccinate For Susp 400 MG/5ML,55.93,44.75,14.79,50.34,26
NDC,24338023005,Nimodipine Oral Soln 6 MG/ML,40.24,32.2,10.64,36.22,26
NDC,24338023012,Nimodipine Oral Soln 6 MG/ML,40.24,32.2,10.64,36.22,26
NDC,24338026010,Nimodipine Oral Soln 6 MG/ML,79.47,63.58,21.02,71.52,26
NDC,24338026012,Nimodipine Oral Soln 6 MG/ML,79.47,63.58,21.02,71.52,26
NDC,24338053025,Sotalol HCl Oral Solution 5 MG/ML,352.0,281.6,93.1,316.8,26
NDC,24385000346,Gentian Violet Soln 1%,6.31,5.05,1.67,5.68,26
NDC,24385041396,Calamine-Zinc Oxide Lotion,2.24,1.8,0.59,2.02,26
NDC,24414260,Dronedarone HCl Tab 400 MG (Base Equivalent),10.11,8.09,2.67,9.1,26
NDC,2445385,Olanzapine Orally Disintegrating Tab 5 MG,13.36,10.69,3.53,12.02,26
NDC,2446230,Tadalafil Tab 5 MG,8.32,6.66,2.2,7.49,26
NDC,24470093901,Urea Cream 40%,67.27,53.82,17.79,60.54,26
NDC,24478032102,Methylphenidate HCl For ER Susp 25 MG/5ML (5 MG/ML),289.36,231.49,76.54,260.42,26
NDC,24478032204,Methylphenidate HCl For ER Susp 25 MG/5ML (5 MG/ML),330.64,264.52,87.45,297.58,26
NDC,24478032305,Methylphenidate HCl For ER Susp 25 MG/5ML (5 MG/ML),339.4,271.52,89.77,305.46,26
NDC,245001201,Sotalol HCl Tab 80 MG,2.04,1.64,0.54,1.84,26
NDC,245003642,Cholestyramine Light Powder Packets 4 GM,1.68,1.35,0.44,1.51,26
NDC,245007011,Potassium Citrate Tab ER 5 MEQ (540 MG),1.2,0.96,0.32,1.08,26
NDC,245007111,Potassium Citrate Tab ER 10 MEQ (1080 MG),2.13,1.71,0.56,1.92,26
NDC,245014401,Amiodarone HCl Tab 100 MG,2.07,1.66,0.55,1.86,26
NDC,245014489,Amiodarone HCl Tab 100 MG,2.07,1.66,0.55,1.86,26
NDC,245014701,Amiodarone HCl Tab 200 MG,1.33,1.07,0.35,1.2,26
NDC,245014760,Amiodarone HCl Tab 200 MG,1.18,0.95,0.31,1.06,26
NDC,245021111,Midodrine HCl Tab 2.5 MG,1.33,1.07,0.35,1.2,26
NDC,245021201,Midodrine HCl Tab 5 MG,1.35,1.08,0.36,1.22,26
NDC,245021289,Midodrine HCl Tab 5 MG,1.35,1.08,0.36,1.22,26
NDC,245036030,Potassium Chloride Powder Packet 20 mEq,4.68,3.75,1.24,4.21,26
NDC,245036089,Potassium Chloride Powder Packet 20 mEq,4.68,3.75,1.24,4.21,26
NDC,245086070,Metronidazole Vaginal Gel 0.75%,121.46,97.17,32.13,109.31,26
NDC,24510005010,Tapentadol HCl Tab 50 MG,6.94,5.56,1.84,6.25,26
NDC,24515010,Rasburicase For IV Soln 1.5 MG,3441.88,2753.51,358.43,3097.69,34
NDC,24515011,Rasburicase For IV Soln 1.5 MG,3441.88,2753.51,358.43,3097.69,34
NDC,24515411,Rasburicase For IV Soln 1.5 MG,3441.88,2753.51,358.43,3097.69,34
NDC,245531501,Potassium Chloride Tab ER 8 mEq (600 MG),1.42,1.14,0.38,1.28,26
NDC,245531511,Potassium Chloride Tab ER 8 mEq (600 MG),1.24,1.0,0.33,1.12,26
NDC,245531515,Potassium Chloride Tab ER 8 mEq (600 MG),1.12,0.9,0.3,1.01,26
NDC,245531589,Potassium Chloride Tab ER 8 mEq (600 MG),1.42,1.14,0.38,1.28,26
NDC,245531701,Potassium Chloride Microencapsulated Crys ER Tab 10 mEq,1.34,1.08,0.35,1.21,26
NDC,245531711,Potassium Chloride Microencapsulated Crys ER Tab 10 mEq,1.19,0.96,0.31,1.07,26
NDC,245531789,Potassium Chloride Microencapsulated Crys ER Tab 10 mEq,1.34,1.08,0.35,1.21,26
NDC,245531901,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.41,1.13,0.37,1.27,26
NDC,245531911,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.11,0.89,0.29,1.0,26
NDC,245531915,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.14,0.92,0.3,1.03,26
NDC,245531989,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.41,1.13,0.37,1.27,26
NDC,245532630,Potassium Bicarbonate Effer Tab 25 mEq,1.55,1.24,0.41,1.4,26
NDC,245532689,Potassium Bicarbonate Effer Tab 25 mEq,1.55,1.24,0.41,1.4,26
NDC,24584001,Ziv-Aflibercept IV Soln 100 MG/4ML (For Infusion),5850.0,4680.0,7.49,5265.0,34
NDC,24584101,Ziv-Aflibercept IV Soln 200 MG/8ML (For Infusion),11450.0,9160.0,7.49,10305.0,34
NDC,24586001,Clofarabine IV Soln 1 MG/ML,7775.0,6220.0,3.98,6997.5,34
NDC,24591401,Dupilumab Subcutaneous Soln Prefilled Syringe 300 MG/2ML,5356.8,4285.44,1.0,4821.12,26
NDC,2473230,Baricitinib Tab 1 MG,74.61,59.69,19.73,67.15,26
NDC,24979000406,Donepezil Hydrochloride Tab 23 MG,3.12,2.5,0.83,2.81,26
NDC,24979001101,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.85,1.48,0.49,1.67,26
NDC,24979002607,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.2,0.96,0.32,1.08,26
NDC,24979002707,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.27,1.02,0.34,1.14,26
NDC,24979053301,Guanfacine HCl Tab ER 24HR 1 MG (Base Equiv),1.62,1.3,0.43,1.46,26
NDC,24979070306,Dexlansoprazole Cap Delayed Release 30 MG,7.49,6.0,1.98,6.74,26
NDC,24979070406,Dexlansoprazole Cap Delayed Release 60 MG,9.74,7.8,2.58,8.77,26
NDC,25010021027,Ethacrynate Sodium For Inj 50 MG,15210.33,12168.27,4023.13,13689.3,26
NDC,25010021515,Ethacrynic Acid Tab 25 MG,21.97,17.58,5.81,19.77,26
NDC,25010071115,Carbidopa Tab 25 MG,5.31,4.25,1.4,4.78,26
NDC,25021010110,Cefazolin Sodium For Inj 1 GM,390.09,312.08,103.18,351.08,26
NDC,25021010910,Cefoxitin Sodium For IV Soln 1 GM,392.2,313.76,1.0,352.98,26
NDC,25021011020,Cefoxitin Sodium For IV Soln 2 GM,395.18,316.15,1.0,355.66,26
NDC,25021011487,Ciprofloxacin 400 MG/200ML in D5W,395.6,316.48,1.0,356.04,26
NDC,25021011504,Clindamycin Phosphate Inj 600 MG/4ML,392.28,313.83,2.18,353.05,26
NDC,25021012120,Cefepime HCl For Inj 1 GM,393.09,314.48,1.0,353.78,26
NDC,25021012166,Cefepime HCl For Inj 1 GM,393.33,314.67,1.0,354.0,26
NDC,25021012250,Cefepime HCl For IV Soln 2 GM,396.33,317.07,1.0,356.7,26
NDC,25021012267,Cefepime HCl For IV Soln 2 GM,398.0,318.4,1.0,358.2,26
NDC,25021012720,Ceftazidime For Inj 1 GM,393.15,314.52,1.0,353.84,52
NDC,25021012850,Ceftazidime For IV Soln 2 GM,396.98,317.59,1.0,357.28,26
NDC,25021013182,Metronidazole IV Soln 500 MG/100ML,390.9,312.72,0.02,351.81,26
NDC,25021013283,Levofloxacin in D5W IV Soln 750 MG/150ML,394.7,315.76,1.0,355.23,26
NDC,25021013720,Ampicillin Sodium For Inj 2 GM,392.26,313.81,1.0,353.03,26
NDC,25021013720,"Ampicillin Sodium For Inj 2 GM,Ampicillin Sodium For IV Soln 2 GM",392.26,313.81,1.0,353.03,26
NDC,25021014010,Nafcillin Sodium For Inj 2 GM,391.11,312.89,103.45,352.0,26
NDC,25021014330,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,394.61,315.69,1.0,355.15,26
NDC,25021014499,Ampicillin & Sulbactam Sodium For IV Soln 15 (10-5) GM,411.37,329.1,1.0,370.23,26
NDC,25021014610,Oxacillin Sodium For Inj 1 GM (Base Equivalent),399.52,319.62,1.0,359.57,26
NDC,25021015899,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),435.39,348.32,115.16,391.85,26
NDC,25021017304,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),397.22,317.78,1.0,357.5,26
NDC,25021017915,Daptomycin For IV Soln 350 MG,452.7,362.16,1.0,407.43,26
NDC,25021017966,Daptomycin For IV Soln 350 MG,389.08,311.27,1.0,350.17,26
NDC,25021018467,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,393.0,314.4,1.0,353.7,26
NDC,25021018482,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,397.4,317.92,1.0,357.66,26
NDC,25021018487,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,402.2,321.76,1.0,361.98,26
NDC,25021018510,Ganciclovir Sodium IV Soln 500 MG/10ML (50 MG/ML) (Base Eq),380.1,304.08,1.0,342.09,26
NDC,25021018511,Ganciclovir Sodium IV Soln 500 MG/10ML (50 MG/ML) (Base Eq),395.64,316.52,1.0,356.08,26
NDC,25021018984,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1200.0,960.0,15.27,1080.0,34
NDC,25021019010,Micafungin Sodium For IV Soln 50 MG,413.15,330.52,1.0,371.84,26
NDC,25021019287,Ciprofloxacin 400 MG/200ML in D5W,391.6,313.28,1.0,352.44,26
NDC,25021020110,Mesna Inj 100 MG/ML,184.65,147.72,1.0,166.19,26
NDC,25021020401,Vinorelbine Tartrate Inj 10 MG/ML (Base Equiv),282.13,225.71,1.0,253.92,26
NDC,25021020405,Vinorelbine Tartrate Inj 50 MG/5ML (10 MG/ML) (Base Equiv),439.88,351.91,1.0,395.89,26
NDC,25021020725,Doxorubicin HCl Inj 2 MG/ML,292.18,233.75,1.0,262.96,26
NDC,25021023002,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),270.23,216.19,1.0,243.21,26
NDC,25021023550,Gemcitabine HCl For Inj 1 GM,303.66,242.93,1.0,273.29,26
NDC,25021024202,Fludarabine Phosphate Inj 25 MG/ML,519.47,415.58,64.79,500.46,34
NDC,25021025550,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),412.4,329.92,1.0,371.16,26
NDC,25021030168,Adenosine IV Soln 12 MG/4ML,203.68,162.95,1.0,183.31,26
NDC,25021030520,Chlorothiazide Sodium For Inj 500 MG,418.36,334.69,1.0,376.52,26
NDC,25021030566,Chlorothiazide Sodium For Inj 500 MG,418.36,334.69,1.0,376.52,26
NDC,25021030982,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,450.7,360.56,0.25,405.63,26
NDC,25021031102,Furosemide Inj 10 MG/ML,389.72,311.78,103.08,350.75,26
NDC,25021031104,Furosemide Inj 10 MG/ML,194.97,155.98,51.57,175.47,26
NDC,25021031110,Furosemide Inj 10 MG/ML,78.08,62.47,20.65,70.27,26
NDC,25021031905,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),156.32,125.06,41.35,140.69,26
NDC,25021031910,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),156.58,125.27,41.42,140.92,26
NDC,25021032110,Bumetanide Inj 0.25 MG/ML,389.35,311.48,0.35,350.42,34
NDC,25021040010,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.81,312.655,1.0,353.06,52
NDC,25021040401,Heparin Sodium (Porcine) Inj 20000 Unit/ML,397.69,318.16,1.0,357.92,26
NDC,25021041450,Argatroban IV Soln 50 MG/50ML (1 MG/ML),437.3,349.84,1.21,393.57,26
NDC,25021041882,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,396.8,317.44,1.0,357.12,26
NDC,25021050002,Thiamine HCl Inj 100 MG/ML,391.07,312.86,1.0,351.96,26
NDC,25021060103,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),407.72,326.18,1.0,366.95,26
NDC,25021060820,Propofol IV Emul 200 MG/20ML (10 MG/ML),389.0,311.2,1.0,350.1,26
NDC,25021060820,"Propofol IV Emul 200 MG/20ML (10 MG/ML),,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",391.04,312.84,1.0,351.94,26
NDC,25021060850,Propofol IV Emul 500 MG/50ML (10 MG/ML),401.75,321.4,1.0,361.58,26
NDC,25021060851,Propofol IV Emul 1000 MG/100ML (10 MG/ML),414.2,331.36,1.0,372.78,26
NDC,25021065102,Orphenadrine Citrate Inj 30 MG/ML,398.9,319.12,1.0,359.01,26
NDC,25021066110,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.16,311.33,1.0,350.24,26
NDC,25021066210,Rocuronium Bromide IV Soln 100 MG/10ML (10 MG/ML),400.6,320.48,105.96,360.54,26
NDC,25021067166,Ropivacaine HCl Inj 2 MG/ML,411.6,329.28,1.0,370.44,26
NDC,25021067182,Ropivacaine HCl Inj 2 MG/ML,411.6,329.28,1.0,370.44,26
NDC,25021067210,Atracurium Besylate IV Soln 100 MG/10ML,403.86,323.09,106.82,363.47,26
NDC,25021067376,"Lidocaine HCl Gel 2%,Lidocaine HCl Urethral/Mucosal Gel 2%,Lidocaine HCl Urethral/Mucosal Gel Prefilled Syringe 2%",28.4,22.72,7.51,25.56,26
NDC,25021067510,Methocarbamol Inj 1000 MG/10ML,402.1,321.68,1.0,361.89,26
NDC,25021067620,Pentobarbital Sodium Inj 50 MG/ML,266.87,213.5,1.0,240.18,26
NDC,25021070001,Ketorolac Tromethamine Inj 15 MG/ML,389.58,311.67,0.29,350.62,34
NDC,25021070102,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),390.45,312.36,0.29,351.41,34
NDC,25021070102,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",390.45,312.36,0.29,351.41,34
NDC,25021079120,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),109.09,87.28,1.0,98.18,26
NDC,25021080601,Haloperidol Lactate Inj 5 MG/ML,390.94,312.76,1.0,351.85,26
NDC,25021081230,Acetylcysteine Inj 200 MG/ML,427.55,342.04,1.0,384.8,26
NDC,25021081310,Leucovorin Calcium For Inj 50 MG,393.98,315.19,1.0,354.58,26
NDC,25021081430,Leucovorin Calcium For Inj 100 MG,399.29,319.44,1.0,359.36,26
NDC,25021081530,Leucovorin Calcium For Inj 200 MG,405.46,324.37,1.0,364.91,26
NDC,25021083082,Zoledronic Acid IV Soln 5 MG/100ML,423.8,339.04,1.0,381.42,26
NDC,25152031,Celecoxib Cap 100 MG,7.29,5.84,1.93,6.56,26
NDC,25152034,Celecoxib Cap 100 MG,7.29,5.84,1.93,6.56,26
NDC,25208000201,Tirofiban HCl in NaCl 0.9% IV Soln 5 MG/100ML (Base Equiv),557.9,446.32,4.41,502.11,26
NDC,25208000202,Tirofiban HCl in NaCl 0.9% IV Soln 12.5 MG/250ML (Base Eq),627.0,501.6,4.41,564.3,26
NDC,25208000203,Tirofiban HCl in NaCl 0.9% IV Soln 5 MG/100ML (Base Equiv),558.2,446.56,4.41,502.38,26
NDC,254200801,Colchicine Tab 0.6 MG,4.98,3.99,1.32,4.48,26
NDC,254200811,Colchicine Tab 0.6 MG,4.6,3.68,1.22,4.14,26
NDC,254204502,Posaconazole Tab Delayed Release 100 MG,28.63,22.91,7.57,25.77,26
NDC,254302802,Lubiprostone Cap 8 MCG,5.6,4.48,1.48,5.04,26
NDC,25682000101,Eculizumab IV Soln 300 MG/30ML (10 MG/ML) (For Infusion),22980.15,18384.12,42.58,20682.14,34
NDC,25682002501,Ravulizumab-cwvz IV Soln 300 MG/3ML (100 MG/ML),22564.0,18051.2,213.85,20307.6,34
NDC,25715067015,Misc. Devices,2.85,2.28,0.75,2.57,26
NDC,25866059361,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),15.1,12.08,3.99,13.59,26
NDC,259050116,Glycopyrrolate Oral Soln 1 MG/5ML,25.99,20.8,6.87,23.39,26
NDC,259161001,IncobotulinumtoxinA For IM Inj 100 Unit,1837.0,1469.6,5.19,1653.3,34
NDC,259162001,IncobotulinumtoxinA For IM Inj 200 Unit,3524.0,2819.2,5.19,3171.6,34
NDC,264150990,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,389.6,311.68,1.0,350.64,26
NDC,264151031,Dextrose Inj 5%,154.08,123.27,1.0,138.67,52
NDC,264180031,Sodium Chloride IV Soln 0.9%,152.04,121.64,1.0,136.84,26
NDC,264180032,Sodium Chloride IV Soln 0.9%,153.4,122.72,1.0,138.06,26
NDC,264193310,Amino Acid Infusion 10%,243.5,194.8,64.41,219.15,26
NDC,264194020,Potassium Chloride Inj 2 mEq/ML,402.5,322.0,1.0,362.25,26
NDC,264194420,Potassium Chloride Inj 2 mEq/ML,402.75,322.2,1.0,362.48,26
NDC,264230400,Acetic Acid Irrigation Soln 0.25%,27.0,21.6,7.14,24.3,26
NDC,264310311,Cefazolin Sodium for IV Soln 1 GM and Dextrose 4% (50 ML),392.95,314.36,1.0,353.66,26
NDC,264312511,Cefoxitin Sodium IV For Soln 2 GM and Dextrose 2.2% (50 ML),406.25,325.0,1.0,365.63,26
NDC,264315311,Ceftriaxone Sodium for IV Soln 1 GM and Dextrose 3.74% 50 ML,396.09,316.88,1.0,356.48,26
NDC,264315511,Ceftriaxone Sodium for IV Soln 2 GM and Dextrose 2.22% 50 ML,400.14,320.12,1.0,360.13,26
NDC,264318511,Meropenem & Sodium Chloride 0.9% For IV Soln 1 GM/50ML,408.61,326.89,2.1,367.75,26
NDC,264319311,Cefepime HCl For IV Soln 1 GM and Dextrose 5% (50 ML),399.35,319.48,5.09,359.42,26
NDC,264405080,Acetaminophen IV Soln 10 MG/ML,393.45,314.76,0.05,354.11,26
NDC,264410090,Acetaminophen IV Soln 10 MG/ML,395.5,316.4,0.05,355.95,26
NDC,264440054,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,416.8,333.44,1.0,375.12,26
NDC,264446010,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,569.5,455.6,150.63,512.55,26
NDC,264446030,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,415.25,332.2,109.83,373.73,26
NDC,264450000,Amino Acid Infusion 15%,303.0,242.4,80.14,272.7,26
NDC,264553532,Metronidazole IV Soln 500 MG/100ML,391.0,312.8,0.02,351.9,26
NDC,264738750,Dextrose Inj 70%,211.2,168.96,55.86,190.08,52
NDC,264751000,Dextrose Inj 5%,156.8,125.44,1.0,141.12,52
NDC,264751010,Dextrose Inj 5%,153.4,122.72,1.0,138.06,52
NDC,264751020,Dextrose Inj 5%,155.95,124.76,1.0,140.36,52
NDC,264752000,Dextrose Inj 10%,156.8,125.44,1.0,141.12,52
NDC,264752010,Dextrose Inj 10%,156.8,125.44,1.0,141.12,26
NDC,264752020,Dextrose Inj 10%,155.95,124.76,1.0,140.36,52
NDC,264757810,Mannitol IV Soln 20%,404.5,323.6,106.99,364.05,26
NDC,264761000,Dextrose 5% w/ Sodium Chloride 0.9%,156.8,125.44,1.0,141.12,26
NDC,264761010,Dextrose 5% w/ Sodium Chloride 0.9%,156.8,125.44,1.0,141.12,26
NDC,264761200,Dextrose 5% w/ Sodium Chloride 0.45%,156.8,125.44,3.12,141.12,26
NDC,264761210,Dextrose 5% w/ Sodium Chloride 0.45%,156.8,125.44,3.12,141.12,26
NDC,264761600,Dextrose 5% w/ Sodium Chloride 0.2%,156.8,125.44,1.0,141.12,52
NDC,264761610,Dextrose 5% w/ Sodium Chloride 0.2%,156.8,125.44,1.0,141.12,52
NDC,264761620,Dextrose 5% w/ Sodium Chloride 0.2%,155.95,124.76,1.0,140.36,52
NDC,264762200,Dextrose 10% w/ Sodium Chloride 0.45%,153.4,122.72,3.12,138.06,52
NDC,264762320,Dextrose 10% w/ Sodium Chloride 0.2%,169.55,135.64,44.85,152.6,26
NDC,264763500,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.45% Inj,391.0,312.8,103.42,351.9,26
NDC,264765200,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.9% Inj,160.2,128.16,1.0,144.18,26
NDC,264770700,Electrolyte-S (PH 7.4) Solution,160.2,128.16,42.37,144.18,26
NDC,264775000,Lactated Ringer's Solution,156.8,125.44,1.0,141.12,52
NDC,264775007,Lactated Ringer's Solution,156.8,125.44,1.0,141.12,26
NDC,264775100,Dextrose 5% in Lactated Ringers,156.8,125.44,1.0,141.12,26
NDC,264775110,Dextrose 5% in Lactated Ringers,156.8,125.44,1.0,141.12,26
NDC,264780000,Sodium Chloride IV Soln 0.9%,156.8,125.44,1.0,141.12,26
NDC,264780000,"Sodium Chloride IV Soln 0.9%,Sodium Chloride Inj 0.9%",156.8,125.44,1.0,141.12,26
NDC,264780000,sodium chloride IV Soln 0.9%,156.8,125.44,1.0,141.12,26
NDC,264780009,Sodium Chloride IV Soln 0.9%,156.8,125.44,1.0,141.12,26
NDC,264780009,"Sodium Chloride IV Soln 0.9%,Sodium Chloride Inj 0.9%",156.8,125.44,1.0,141.12,26
NDC,264780009,sodium chloride IV Soln 0.9%,156.8,125.44,1.0,141.12,26
NDC,264780010,Sodium Chloride IV Soln 0.9%,156.8,125.44,1.0,141.12,26
NDC,264780010,"Sodium Chloride IV Soln 0.9%,Sodium Chloride Inj 0.9%",156.8,125.44,1.0,141.12,26
NDC,264780010,sodium chloride IV Soln 0.9%,156.8,125.44,1.0,141.12,26
NDC,264780020,Sodium Chloride IV Soln 0.9%,155.95,124.76,1.0,140.36,26
NDC,264780200,Sodium Chloride IV Soln 0.45%,156.8,125.44,1.0,141.12,26
NDC,264780200,Sodium Chloride Inj 0.45%,156.8,125.44,1.0,141.12,52
NDC,264780510,Sodium Chloride IV Soln 3%,392.0,313.6,1.0,352.8,26
NDC,264780510,Sodium Chloride Inj 3%,392.0,313.6,103.68,352.8,26
NDC,264901055,Amino Acid Infusion 10%,201.0,160.8,53.16,180.9,26
NDC,264934155,Amino Acid Infusion 10%,382.9,306.32,101.28,344.61,26
NDC,264958720,Heparin Sodium (Porcine) 100 Unit/ML in D5W,396.0,316.8,1.0,356.4,26
NDC,264959410,Lidocaine IV Infusion in D5W Inj 4 MG/ML,392.5,314.0,0.01,353.25,34
NDC,264959420,Lidocaine IV Infusion in D5W Inj 4 MG/ML,395.25,316.2,0.01,355.73,34
NDC,264987200,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%,395.0,316.0,1.0,355.5,26
NDC,264987210,Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,392.0,313.6,1.0,352.8,26
NDC,270055615,Sincalide For Inj 5 MCG,506.52,405.22,1.0,455.87,26
NDC,270131525,Iopamidol IV Soln 61%,67.5,54.0,1.0,60.75,26
NDC,270131535,Iopamidol IV Soln 61%,225.0,180.0,1.0,202.5,26
NDC,270131545,Iopamidol IV Soln 61%,450.0,360.0,1.0,405.0,26
NDC,270131595,Iopamidol IV Soln 61%,1125.0,900.0,1.0,1012.5,26
NDC,270131635,Iopamidol IV Soln 76%,225.0,180.0,1.0,202.5,26
NDC,270131645,Iopamidol IV Soln 76%,450.0,360.0,1.0,405.0,26
NDC,270131695,Iopamidol IV Soln 76%,1125.0,900.0,1.0,1012.5,26
NDC,270141111,Iopamidol Inj 41%,22.5,18.0,1.0,20.25,26
NDC,270516415,Gadobenate Dimeglumine IV Soln 529 MG/ML,90.0,72.0,1.0,81.0,26
NDC,27241001531,Montelukast Sodium Oral Granules Packet 4 MG (Base Equiv),4.57,3.66,1.21,4.11,26
NDC,27241003031,Omeprazole-Sodium Bicarbonate Powd Pack for Susp 40-1680 MG,19.09,15.28,5.05,17.18,26
NDC,27241003062,Omeprazole-Sodium Bicarbonate Powd Pack for Susp 40-1680 MG,19.09,15.28,5.05,17.18,26
NDC,27241006303,Voriconazole Tab 200 MG,17.97,14.38,4.75,16.17,26
NDC,27241011203,Tadalafil Tab 5 MG,1.31,1.05,0.35,1.18,26
NDC,27241014401,Silodosin Cap 4 MG,1.6,1.28,0.42,1.44,26
NDC,27241014501,Silodosin Cap 8 MG,1.61,1.29,0.43,1.45,26
NDC,27241014503,Silodosin Cap 8 MG,1.77,1.42,0.47,1.59,26
NDC,27241015504,Oxybutynin Chloride Tab ER 24HR 5 MG,1.38,1.11,0.37,1.24,26
NDC,27241015604,Oxybutynin Chloride Tab ER 24HR 10 MG,1.4,1.12,0.37,1.26,26
NDC,27241015608,Oxybutynin Chloride Tab ER 24HR 10 MG,1.13,0.91,0.3,1.02,26
NDC,27437005601,Levalbuterol Tartrate Inhal Aerosol 45 MCG/ACT (Base Equiv),91.87,73.5,24.3,82.68,26
NDC,2751001,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro Inj Soln 100 Unit/ML",57.09,45.68,15.1,51.38,26
NDC,2751001,Insulin Lispro Inj Soln 100 Unit/ML,57.09,45.68,15.1,51.38,26
NDC,2753301,Insulin Lispro Inj Soln 100 Unit/ML,27.36,21.89,7.24,24.62,26
NDC,2757501,Mirikizumab-mrkz IV Soln 300 MG/15ML (20 MG/ML),33555.02,26844.02,40.9,30199.52,34
NDC,2759701,Olanzapine For IM Inj 10 MG,425.53,340.43,0.89,382.98,26
NDC,2764001,Pemetrexed Disodium For IV Soln 100 MG (Base Equiv),3009.37,2407.5,3.22,2708.43,34
NDC,27808005801,Methylphenidate HCl Soln 5 MG/5ML,25.39,20.32,6.72,22.85,26
NDC,27808008201,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),35.92,28.74,9.5,32.33,26
NDC,27808009301,Dexmethylphenidate HCl Tab 10 MG,1.37,1.1,0.36,1.23,26
NDC,27808015501,Rosuvastatin Calcium Tab 5 MG,1.11,0.89,0.29,1.0,26
NDC,27808015601,Rosuvastatin Calcium Tab 10 MG,1.1,0.88,0.29,0.99,26
NDC,281020512,Lubricant Gels - Gel,2.13,1.71,0.56,1.92,26
NDC,281032608,Nitroglycerin Oint 2%,2.88,2.31,0.76,2.59,26
NDC,281032630,Nitroglycerin Oint 2%,31.84,25.48,8.42,28.66,52
NDC,2821501,Insulin Regular (Human) Inj 100 Unit/ML,23.18,18.55,1.0,20.86,78
NDC,2821517,Insulin Regular (Human) Inj 100 Unit/ML,13.58,10.87,3.59,12.22,26
NDC,2822201,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",28.9,23.12,7.64,26.01,26
NDC,2822201,"Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro (Human) Soln Pen-injector 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial)",28.9,23.12,7.64,26.01,26
NDC,2822201,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),28.9,23.12,7.64,26.01,26
NDC,2822259,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",28.9,23.12,7.64,26.01,26
NDC,2822259,"Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro (Human) Soln Pen-injector 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial)",28.9,23.12,7.64,26.01,26
NDC,2822259,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),28.9,23.12,7.64,26.01,26
NDC,283061043,Benzocaine Dental Soln 20%,9.98,7.99,2.64,8.98,26
NDC,283087131,Benzocaine Dental Gel 20%,7.9,6.32,2.09,7.11,26
NDC,2831501,"Insulin Isophane (Human) Inj 100 Unit/ML,Insulin Isophane (Human) Susp Pen-injector 100 Unit",23.18,18.55,6.13,20.86,26
NDC,2840001,Teriparatide Soln Pen-inj 560 MCG/2.24ML,3859.94,3087.96,1020.95,3473.95,26
NDC,2850101,Insulin Regular (Human) Inj 500 Unit/ML,1666.56,1333.25,440.81,1499.9,26
NDC,28595012049,Nitroglycerin TL Soln 0.4 MG/SPRAY (400 MCG/SPRAY),223.74,179.0,59.18,201.37,26
NDC,2879901,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",28.9,23.12,7.64,26.01,26
NDC,2879901,"Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro (Human) Soln Pen-injector 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial)",28.9,23.12,7.64,26.01,26
NDC,2879901,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),28.9,23.12,7.64,26.01,26
NDC,2879959,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",28.9,23.12,7.64,26.01,26
NDC,2879959,"Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro (Human) Soln Pen-injector 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial)",28.9,23.12,7.64,26.01,26
NDC,2879959,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),28.9,23.12,7.64,26.01,26
NDC,29033000101,Theophylline Tab ER 24HR 400 MG,1.75,1.4,0.46,1.58,26
NDC,29033001912,Carbamazepine Cap ER 12HR 100 MG,2.31,1.85,0.61,2.08,26
NDC,29033002602,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.23,0.99,0.03,1.11,52
NDC,29300011201,Lamotrigine Tab 100 MG,1.07,0.86,0.28,0.96,26
NDC,29300013601,Clonidine HCl Tab 0.2 MG,1.04,0.84,0.28,0.94,26
NDC,29300017216,Memantine HCl Tab 10 MG,1.23,0.99,0.33,1.11,26
NDC,29300022019,Montelukast Sodium Tab 10 MG (Base Equiv),1.05,0.84,0.28,0.95,26
NDC,29300022601,Metronidazole Tab 250 MG,1.21,0.97,0.32,1.09,26
NDC,29300022701,Metronidazole Tab 500 MG,1.16,0.93,0.31,1.04,26
NDC,29300022705,Metronidazole Tab 500 MG,1.16,0.93,0.31,1.04,26
NDC,29300028713,Tadalafil Tab 5 MG,1.11,0.89,0.29,1.0,26
NDC,29300032819,Solifenacin Succinate Tab 5 MG,1.31,1.05,0.35,1.18,26
NDC,29300035916,Amiodarone HCl Tab 200 MG,1.18,0.95,0.31,1.06,26
NDC,299382060,Metronidazole Gel 1%,144.28,115.43,38.16,129.85,26
NDC,3029305,Triamcinolone Acetonide Inj Susp 40 MG/ML,397.48,317.99,1.0,357.73,26
NDC,3029320,Triamcinolone Acetonide Inj Susp 40 MG/ML,397.61,318.09,1.0,357.85,26
NDC,3037113,Belatacept For IV Infusion 250 MG,3249.15,2599.32,3.69,2924.24,34
NDC,3049420,Triamcinolone Acetonide Inj Susp 10 MG/ML,391.19,312.96,1.0,352.07,26
NDC,30698091115,Calcitriol Oral Soln 1 MCG/ML,28.98,23.19,7.67,26.08,26
NDC,30768016836,Melatonin Liquid 1 MG/ML,6.25,5.0,1.65,5.63,26
NDC,3089321,Apixaban Tab 2.5 MG,2.4,1.92,0.63,2.16,26
NDC,3089331,Apixaban Tab 2.5 MG,2.39,1.92,0.63,2.15,26
NDC,3089421,Apixaban Tab 5 MG,4.37,3.5,1.16,3.93,26
NDC,3089431,Apixaban Tab 5 MG,2.39,1.92,0.63,2.15,26
NDC,310009530,Roflumilast Tab 500 MCG,10.2,8.16,2.7,9.18,26
NDC,310009590,Roflumilast Tab 500 MCG,4.51,3.61,1.19,4.06,26
NDC,310027210,Quetiapine Fumarate Tab 200 MG,12.76,10.21,3.38,11.48,26
NDC,310028060,Quetiapine Fumarate Tab ER 24HR 50 MG,8.64,6.92,2.29,7.78,26
NDC,310028160,Quetiapine Fumarate Tab ER 24HR 150 MG,14.72,11.78,3.89,13.25,26
NDC,310028260,Quetiapine Fumarate Tab ER 24HR 200 MG,16.1,12.88,4.26,14.49,26
NDC,310072010,Fulvestrant Inj Soln Pref Syr 250 MG/5ML,3321.01,2656.81,6.39,2988.91,34
NDC,310110501,Sodium Zirconium Cyclosilicate For Susp Packet 5 GM,4.73,3.79,1.25,4.26,26
NDC,310110539,Sodium Zirconium Cyclosilicate For Susp Packet 5 GM,4.73,3.79,1.25,4.26,26
NDC,310111001,Sodium Zirconium Cyclosilicate For Susp Packet 10 GM,13.95,11.16,3.69,12.56,26
NDC,310111030,Sodium Zirconium Cyclosilicate For Susp Packet 10 GM,13.95,11.16,3.69,12.56,26
NDC,310111039,Sodium Zirconium Cyclosilicate For Susp Packet 10 GM,4.55,3.64,1.2,4.1,26
NDC,310173030,Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML,17647.52,14118.02,156.36,15882.77,34
NDC,310183030,Benralizumab Subcutaneous Soln Auto-injector 30 MG/ML,18332.61,14666.09,156.36,16499.35,34
NDC,310304000,Anifrolumab-fnia IV Soln 300 MG/2ML,16251.75,13001.4,16.6,14626.58,34
NDC,310620530,Dapagliflozin Propanediol Tab 5 MG (Base Equivalent),15.88,12.71,4.2,14.29,26
NDC,310621039,Dapagliflozin Propanediol Tab 10 MG (Base Equivalent),13.22,10.58,3.5,11.9,26
NDC,310651201,Exenatide Soln Pen-injector 5 MCG/0.02ML,494.24,395.4,130.73,444.82,26
NDC,31382055705,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),389.9,311.92,103.13,350.91,26
NDC,316022530,Miconazole Nitrate Powder 2%,5.34,4.28,1.41,4.81,26
NDC,316022975,Camphor & Menthol Lotion 0.5-0.5%,8.77,7.02,2.32,7.89,26
NDC,3161112,Entecavir Tab 0.5 MG,25.68,20.55,6.79,23.11,26
NDC,3161412,Entecavir Oral Soln 0.05 MG/ML,69.38,55.51,18.35,62.44,26
NDC,31722000530,Mesalamine Suppos 1000 MG,8.74,7.0,2.31,7.87,26
NDC,31722000532,Mesalamine Suppos 1000 MG,8.74,7.0,2.31,7.87,26
NDC,31722002730,Solifenacin Succinate Tab 5 MG,1.31,1.05,0.35,1.18,26
NDC,31722004930,Eplerenone Tab 25 MG,1.46,1.17,0.39,1.31,26
NDC,31722010530,Cinacalcet HCl Tab 90 MG (Base Equiv),3.02,2.42,0.8,2.72,26
NDC,31722011633,Lidocaine HCl Local Inj 1%,389.06,311.25,102.91,350.15,26
NDC,31722011650,Lidocaine HCl Local Inj 1%,389.06,311.25,102.91,350.15,26
NDC,31722013747,Glycerin Liquid,1.04,0.84,0.28,0.94,26
NDC,31722016531,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),404.61,323.69,1.0,364.15,26
NDC,31722020320,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),102.72,82.18,1.0,92.45,26
NDC,31722020331,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),102.72,82.18,1.0,92.45,26
NDC,31722020410,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),390.8,312.64,103.37,351.72,26
NDC,31722020431,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),390.8,312.64,103.37,351.72,26
NDC,31722027630,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,391.1,312.88,0.02,351.99,26
NDC,31722030801,Olanzapine For IM Inj 10 MG,401.08,320.87,0.89,360.97,26
NDC,31722050960,Zidovudine Tab 300 MG,1.36,1.09,0.36,1.22,26
NDC,31722051901,Hydralazine HCl Tab 10 MG,1.16,0.93,0.31,1.04,26
NDC,31722052001,Hydralazine HCl Tab 25 MG,1.2,0.96,0.32,1.08,26
NDC,31722052010,Hydralazine HCl Tab 25 MG,1.08,0.87,0.29,0.97,26
NDC,31722052101,Hydralazine HCl Tab 50 MG,1.18,0.95,0.31,1.06,26
NDC,31722052901,Torsemide Tab 5 MG,1.07,0.86,0.28,0.96,26
NDC,31722053101,Torsemide Tab 20 MG,1.12,0.9,0.3,1.01,26
NDC,31722053201,Torsemide Tab 100 MG,1.21,0.97,0.32,1.09,26
NDC,31722053301,Methocarbamol Tab 500 MG,1.11,0.89,0.29,1.0,26
NDC,31722053305,Methocarbamol Tab 500 MG,1.06,0.85,0.28,0.95,26
NDC,31722053401,Methocarbamol Tab 750 MG,1.17,0.94,0.31,1.05,26
NDC,31722053612,Levetiracetam Tab 250 MG,1.08,0.87,0.29,0.97,26
NDC,31722053705,Levetiracetam Tab 500 MG,1.13,0.91,0.3,1.02,26
NDC,31722053712,Levetiracetam Tab 500 MG,1.11,0.89,0.29,1.0,26
NDC,31722056424,Citalopram Hydrobromide Oral Soln 10 MG/5ML,26.09,20.88,6.9,23.48,26
NDC,31722056560,Indomethacin Cap ER 75 MG,1.25,1.0,0.33,1.13,26
NDC,31722056924,Escitalopram Oxalate Soln 5 MG/5ML (Base Equiv),26.51,21.21,7.01,23.86,26
NDC,31722062726,Lacosamide Oral Solution 10 MG/ML,128.8,103.04,34.07,115.92,26
NDC,31722062921,Atovaquone Susp 750 MG/5ML,33.85,27.08,8.95,30.47,26
NDC,31722066860,Ranolazine Tab ER 12HR 500 MG,1.27,1.02,0.34,1.14,26
NDC,31722070430,Valacyclovir HCl Tab 500 MG,1.76,1.41,0.47,1.58,26
NDC,31722072630,Montelukast Sodium Tab 10 MG (Base Equiv),1.22,0.98,0.32,1.1,26
NDC,31722073090,Irbesartan Tab 150 MG,1.2,0.96,0.32,1.08,26
NDC,31722074920,Linezolid Tab 600 MG,7.14,5.72,1.89,6.43,26
NDC,31722083260,Valganciclovir HCl Tab 450 MG (Base Equivalent),19.36,15.49,5.12,17.42,26
NDC,31722083330,Entecavir Tab 0.5 MG,1.25,1.0,0.33,1.13,26
NDC,31722086803,Tolvaptan Tab 15 MG,56.8,45.44,15.02,51.12,26
NDC,31722086831,Tolvaptan Tab 15 MG,56.8,45.44,15.02,51.12,26
NDC,31722087801,Mycophenolate Mofetil Cap 250 MG,1.18,0.95,0.31,1.06,26
NDC,31722090401,Fluoxetine HCl Cap 20 MG,1.03,0.83,0.27,0.93,26
NDC,31722093502,Albendazole Tab 200 MG,28.87,23.1,7.64,25.98,26
NDC,31722093747,Simple - Syrup,1.02,0.82,0.27,0.92,26
NDC,31722098110,Succinylcholine Chloride Inj 20 MG/ML,391.92,313.54,1.0,352.73,26
NDC,31722098131,Succinylcholine Chloride Inj 20 MG/ML,391.92,313.54,1.0,352.73,26
NDC,31722099510,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),389.19,311.36,1.0,350.27,26
NDC,3218713,Abatacept For IV Soln 250 MG,5023.75,4019.0,41.9,4521.38,34
NDC,3229111,Elotuzumab For IV Soln 300 MG,6466.0,5172.8,7.22,5819.4,34
NDC,3232711,Ipilimumab Soln for IV Infusion 50 MG/10ML (5 MG/ML),24621.38,19697.11,168.56,22159.24,34
NDC,3256016,Aztreonam For Inj 1 GM,416.12,332.9,2.52,374.51,26
NDC,3257016,Aztreonam For Inj 2 GM,444.11,355.29,2.52,399.7,26
NDC,327001230,Citric Acid-Gluconolactone-Magnesium Carbonate Soln,29.77,23.82,7.87,26.79,26
NDC,33342002208,Levofloxacin Tab 500 MG,1.37,1.1,0.36,1.23,26
NDC,33342002407,Famciclovir Tab 125 MG,1.34,1.08,0.35,1.21,26
NDC,33342009302,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),2.32,1.86,0.61,2.09,26
NDC,33342009341,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),2.32,1.86,0.61,2.09,26
NDC,33342009402,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),1.72,1.38,0.45,1.55,26
NDC,33342009441,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),1.72,1.38,0.45,1.55,26
NDC,33342009607,Tenofovir Disoproxil Fumarate Tab 300 MG,3.75,3.0,0.99,3.38,26
NDC,33342011007,Montelukast Sodium Chew Tab 4 MG (Base Equiv),1.16,0.93,0.31,1.04,26
NDC,33342011107,Montelukast Sodium Chew Tab 5 MG (Base Equiv),1.22,0.98,0.32,1.1,26
NDC,33342011610,Candesartan Cilexetil Tab 16 MG,1.97,1.58,0.52,1.77,26
NDC,33342017910,Olmesartan Medoxomil Tab 20 MG,1.21,0.97,0.32,1.09,26
NDC,33342025666,Oseltamivir Phosphate Cap 30 MG (Base Equiv),2.79,2.24,0.74,2.51,26
NDC,33342027407,Febuxostat Tab 40 MG,1.24,1.0,0.33,1.12,26
NDC,33342033380,Triamcinolone Acetonide Oint 0.1%,29.16,23.33,7.71,26.24,26
NDC,3373413,Nivolumab IV Soln 240 MG/24ML,22941.17,18352.94,30.43,20647.05,34
NDC,3377211,Nivolumab IV Soln 40 MG/4ML,3687.21,2949.77,30.43,3318.49,34
NDC,338000801,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),407.58,326.07,1.0,366.82,26
NDC,338001703,Dextrose Inj 5%,151.7,121.36,1.0,136.53,26
NDC,338001704,Dextrose Inj 5%,153.4,122.72,1.0,138.06,52
NDC,338001748,Dextrose Inj 5%,153.06,122.45,1.0,137.75,52
NDC,338002302,Dextrose Inj 10%,166.15,132.92,1.0,149.54,52
NDC,338004903,Sodium Chloride IV Soln 0.9%,151.7,121.36,1.0,136.53,26
NDC,338004904,Sodium Chloride IV Soln 0.9%,153.4,122.72,1.0,138.06,26
NDC,338004911,Sodium Chloride IV Soln 0.9%,156.46,125.17,1.0,140.81,26
NDC,338004918,Sodium Chloride IV Soln 0.9%,156.12,124.9,1.0,140.51,26
NDC,338004931,Sodium Chloride IV Soln 0.9%,153.06,122.45,1.0,137.75,26
NDC,338005403,Sodium Chloride IV Soln 3%,394.0,315.2,1.0,354.6,26
NDC,338005403,Sodium Chloride Inj 3%,394.0,315.2,104.21,354.6,26
NDC,338006910,Ketorolac Tromethamine Inj 15 MG/ML,389.81,311.85,0.29,350.83,34
NDC,338007225,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",389.79,311.84,0.29,350.81,34
NDC,338007225,Ketorolac Tromethamine Inj 30 MG/ML,389.79,311.84,0.29,350.81,34
NDC,338007704,Dextrose 5% w/ Sodium Chloride 0.2%,153.4,122.72,40.57,138.06,26
NDC,338008504,Dextrose 5% w/ Sodium Chloride 0.45%,163.6,130.88,3.12,147.24,26
NDC,338010820,"Norepinephrine 32 mcg/mL premix,Norepinephrine-Dextrose IV Solution 8 MG/250ML-5%",416.0,332.8,110.03,374.4,26
NDC,338010820,Norepinephrine-Dextrose IV Solution 8 MG/250ML-5%,416.0,332.8,110.03,374.4,26
NDC,338012504,Dextrose 5% in Lactated Ringers,156.8,125.44,1.0,141.12,52
NDC,338012612,Insulin Regular (Human) in NaCl 0.9% IV Soln 100 Unit/100ML,404.8,323.84,107.07,364.32,26
NDC,338022104,Electrolyte-A Solution,190.8,152.64,50.47,171.72,26
NDC,338032201,Thrombin (Recombinant) For Soln 5000 Unit,62.62,50.1,16.56,56.36,26
NDC,338032401,Thrombin (Recombinant) For Soln 5000 Unit,62.62,50.1,16.56,56.36,26
NDC,338032601,Thrombin (Recombinant) For Soln 20000 Unit,187.08,149.67,49.48,168.37,26
NDC,338033001,Thrombin (Recombinant) For Soln 20000 Unit,187.08,149.67,49.48,168.37,26
NDC,338035702,Mannitol IV Soln 20%,434.0,347.2,114.79,390.6,26
NDC,338035703,Mannitol IV Soln 20%,402.5,322.0,106.46,362.25,26
NDC,338040903,Lidocaine IV Infusion in D5W Inj 4 MG/ML,394.0,315.2,0.01,354.6,34
NDC,338042418,Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,393.0,314.4,1.0,353.7,26
NDC,338043304,"Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%",392.0,313.6,1.0,352.8,26
NDC,338043304,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%,392.0,313.6,1.0,352.8,26
NDC,338051909,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,402.0,321.6,106.33,361.8,26
NDC,338051958,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,401.9,321.52,106.3,361.71,26
NDC,338065604,Acetic Acid Irrigation Soln 0.25%,28.0,22.4,7.41,25.2,26
NDC,338067104,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.45% Inj,391.0,312.8,103.42,351.9,26
NDC,338070548,Potassium Chloride Inj 20 mEq/100ML,392.0,313.6,1.0,352.8,26
NDC,338080304,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.9% Inj,396.0,316.8,1.0,356.4,26
NDC,338100702,Dopamine Inj 1.6 MG/ML in D5W,399.25,319.4,105.6,359.33,26
NDC,338100702,Dopamine in Dextrose 5% Inj 1.6 MG/ML,399.25,319.4,1.0,359.33,26
NDC,338100703,Dopamine in Dextrose 5% Inj 1.6 MG/ML,407.0,325.6,1.0,366.3,26
NDC,338102541,Penicillin G Potassium Inj 60000 Unit/ML in Dextrose,360.36,288.28999999999996,1.0,360.36,52
NDC,338104702,Nitroglycerin IV Soln 100 MCG/ML in D5W,405.0,324.0,107.12,364.5,26
NDC,338105548,Metronidazole IV Soln 500 MG/100ML,390.2,312.16,0.02,351.18,26
NDC,338107502,Dobutamine in Dextrose 5% Inj 2 MG/ML,396.75,317.4,1.0,357.08,26
NDC,338130501,Mesna Inj 100 MG/ML,276.67,221.34,1.0,249.0,26
NDC,338170840,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),394.85,315.88,1.0,355.37,26
NDC,338170940,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,391.7,313.36,1.0,352.53,26
NDC,338341050,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,391.65,313.32,2.18,352.49,26
NDC,338355248,Vancomycin HCl-Dextrose IV Soln 1 GM/200ML-5%,398.2,318.56,105.32,358.38,26
NDC,338361250,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,392.75,314.2,2.18,353.48,26
NDC,338381450,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,401.6,321.28,2.18,361.44,26
NDC,338399301,Ifosfamide For Inj 3 GM,592.51,474.01,1.0,533.26,26
NDC,338411424,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,422.75,338.2,2.18,380.48,26
NDC,338601048,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,406.2,324.96,1.0,365.58,26
NDC,338601048,"Milrinone in Dextrose IV Soln 20 MG/100 ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",406.2,324.96,1.0,365.58,26
NDC,338604537,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,407.8,326.24,1.0,367.02,26
NDC,338604648,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,406.0,324.8,1.0,365.4,26
NDC,338954124,Metronidazole IV Soln 500 MG/100ML,391.1,312.88,0.02,351.99,26
NDC,338955712,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,405.4,324.32,107.23,364.86,26
NDC,35046000120,Riboflavin Tab 50 MG,1.04,0.84,0.28,0.94,26
NDC,35046000322,Magnesium Gluconate Tab 500 MG,1.03,0.83,0.27,0.93,26
NDC,35573042851,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.23,0.99,0.33,1.11,26
NDC,35573042880,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.23,0.99,0.33,1.11,26
NDC,35573043330,Ketoconazole Tab 200 MG,1.88,1.51,0.5,1.69,26
NDC,35573044425,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),2.11,1.69,0.05,1.9,26
NDC,35573044525,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),2.11,1.69,0.05,1.9,26
NDC,36000000924,Ciprofloxacin 400 MG/200ML in D5W,390.6,312.48,1.0,351.54,26
NDC,36000001225,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.37,311.5,1.0,350.43,26
NDC,36000003310,Metoprolol Tartrate IV Soln 5 MG/5ML,233.82,187.06,61.85,210.44,26
NDC,36000004624,Levofloxacin in D5W IV Soln 250 MG/50ML,390.55,312.44,1.0,351.5,26
NDC,36000014801,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),391.41,313.13,1.0,352.27,26
NDC,36000014810,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),391.41,313.13,1.0,352.27,26
NDC,36000028225,Furosemide Inj 10 MG/ML,390.0,312.0,103.16,351.0,26
NDC,36000028325,Furosemide Inj 10 MG/ML,195.43,156.35,51.69,175.89,26
NDC,36000028425,Furosemide Inj 10 MG/ML,78.4,62.72,20.74,70.56,26
NDC,36000030801,Naloxone HCl Inj 0.4 MG/ML,195.82,156.66,51.79,176.24,26
NDC,36000030810,Naloxone HCl Inj 0.4 MG/ML,195.82,156.66,51.79,176.24,26
NDC,36000032001,Labetalol HCl IV Soln 5 MG/ML,392.16,313.73,0.18,352.94,26
NDC,36000032010,Labetalol HCl IV Soln 5 MG/ML,392.16,313.73,0.18,352.94,26
NDC,36000032201,Labetalol HCl IV Soln 5 MG/ML,390.92,312.74,0.18,351.83,26
NDC,36000032202,Labetalol HCl IV Soln 5 MG/ML,390.92,312.74,0.18,351.83,26
NDC,362055705,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000,390.0,312.0,103.16,351.0,26
NDC,37000002404,Psyllium Powder Packet 51.7%,1.41,1.13,0.37,1.27,26
NDC,37000002410,Psyllium Powder Packet 51.7%,1.03,0.83,0.27,0.93,26
NDC,37000006194,Pyrithione Zinc Shampoo 1%,5.48,4.39,1.45,4.93,26
NDC,37000025445,Psyllium Powder Packet 51.7%,1.46,1.17,0.39,1.31,26
NDC,37043001,Felbamate Tab 400 MG,11.2,8.96,2.96,10.08,26
NDC,37044267,Felbamate Susp 600 MG/5ML,29.15,23.32,7.71,26.24,26
NDC,37205001130,Glycerin Topical Liquid,6.49,5.2,1.72,5.84,26
NDC,378001805,Metoprolol Tartrate Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,378003210,Metoprolol Tartrate Tab 50 MG,1.02,0.82,0.27,0.92,26
NDC,378004710,Metoprolol Tartrate Tab 100 MG,1.02,0.82,0.27,0.92,26
NDC,378005201,Pindolol Tab 5 MG,1.99,1.6,0.53,1.79,26
NDC,378007801,Carbidopa & Levodopa Tab 10-100 MG,1.14,0.92,0.3,1.03,26
NDC,378008801,Carbidopa & Levodopa Tab ER 25-100 MG,1.17,0.94,0.31,1.05,26
NDC,378013701,Allopurinol Tab 100 MG,1.13,0.91,0.3,1.02,26
NDC,378014491,Tamoxifen Citrate Tab 10 MG (Base Equivalent),1.24,1.0,0.33,1.12,26
NDC,378018101,Allopurinol Tab 300 MG,1.53,1.23,0.4,1.38,26
NDC,378018401,Propranolol HCl Tab 40 MG,1.47,1.18,0.39,1.32,26
NDC,378020810,Furosemide Tab 20 MG,1.01,0.81,0.27,0.91,26
NDC,378021601,Furosemide Tab 40 MG,1.04,0.84,0.28,0.94,26
NDC,378021610,Furosemide Tab 40 MG,1.01,0.81,0.27,0.91,26
NDC,378031701,Cimetidine Tab 300 MG,1.34,1.08,0.35,1.21,26
NDC,378035101,Haloperidol Tab 0.5 MG,1.05,0.84,0.28,0.95,26
NDC,378046401,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.87,1.5,0.49,1.68,26
NDC,378047201,Divalproex Sodium Tab ER 24 HR 250 MG,2.34,1.88,0.62,2.11,26
NDC,378047305,Divalproex Sodium Tab ER 24 HR 500 MG,1.28,1.03,0.34,1.15,26
NDC,378064210,Prednisone Tab 20 MG,1.12,0.9,0.3,1.01,26
NDC,378087116,Clonidine TD Patch Weekly 0.1 MG/24HR,10.69,8.56,2.83,9.62,26
NDC,378087199,Clonidine TD Patch Weekly 0.1 MG/24HR,10.69,8.56,2.83,9.62,26
NDC,378087216,Clonidine TD Patch Weekly 0.2 MG/24HR,21.72,17.38,5.74,19.55,26
NDC,378087299,Clonidine TD Patch Weekly 0.2 MG/24HR,21.72,17.38,5.74,19.55,26
NDC,378087316,Clonidine TD Patch Weekly 0.3 MG/24HR,23.97,19.18,6.34,21.57,26
NDC,378100501,Azathioprine Tab 50 MG,1.28,1.03,0.34,1.15,26
NDC,378104901,Doxepin HCl Cap 10 MG,1.32,1.06,0.35,1.19,26
NDC,378113401,Ketorolac Tromethamine Tab 10 MG,2.7,2.16,0.71,2.43,26
NDC,378114001,Buspirone HCl Tab 5 MG,1.04,0.84,0.28,0.94,26
NDC,378162693,Voriconazole Tab 50 MG,8.14,6.52,2.15,7.33,26
NDC,378164093,Voriconazole Tab 200 MG,36.1,28.88,9.55,32.49,26
NDC,378180377,Levothyroxine Sodium Tab 50 MCG,1.25,1.0,0.33,1.13,26
NDC,378180577,Levothyroxine Sodium Tab 75 MCG,1.35,1.08,0.36,1.22,26
NDC,378180777,Levothyroxine Sodium Tab 88 MCG,1.34,1.08,0.35,1.21,26
NDC,378180910,Levothyroxine Sodium Tab 100 MCG,1.4,1.12,0.37,1.26,26
NDC,378181177,Levothyroxine Sodium Tab 112 MCG,1.42,1.14,0.38,1.28,26
NDC,378181377,Levothyroxine Sodium Tab 125 MCG,1.37,1.1,0.36,1.23,26
NDC,378181577,Levothyroxine Sodium Tab 150 MCG,1.44,1.16,0.38,1.3,26
NDC,378182377,Levothyroxine Sodium Tab 137 MCG,1.42,1.14,0.38,1.28,26
NDC,378208693,Dexlansoprazole Cap Delayed Release 60 MG,7.69,6.16,2.03,6.92,26
NDC,378210001,Loperamide HCl Cap 2 MG,1.34,1.08,0.35,1.21,26
NDC,378210005,Loperamide HCl Cap 2 MG,1.24,1.0,0.33,1.12,26
NDC,378214601,Spironolactone Tab 25 MG,1.19,0.96,0.31,1.07,26
NDC,378240101,Trifluoperazine HCl Tab 1 MG (Base Equivalent),1.34,1.08,0.35,1.21,26
NDC,378289520,Ferric Citrate Tab 1 GM (210 MG Ferric Iron),7.54,6.04,0.11,6.79,52
NDC,378292293,Telmisartan Tab 80 MG,1.5,1.2,0.4,1.35,26
NDC,378300501,Thiothixene Cap 5 MG,2.18,1.75,0.58,1.96,26
NDC,378312501,Doxepin HCl Cap 25 MG,1.42,1.14,0.38,1.28,26
NDC,378351510,Mirtazapine Tab 15 MG,1.19,0.96,0.31,1.07,26
NDC,378351593,Mirtazapine Tab 15 MG,1.28,1.03,0.34,1.15,26
NDC,378363201,Carvedilol Tab 6.25 MG,1.14,0.92,0.3,1.03,26
NDC,378363501,Cetirizine HCl Tab 5 MG,1.06,0.85,0.28,0.95,26
NDC,378395077,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.11,0.89,0.29,1.0,26
NDC,378395105,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.13,0.91,0.3,1.02,26
NDC,378395177,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.13,0.91,0.3,1.02,26
NDC,378427593,Valacyclovir HCl Tab 500 MG,1.33,1.07,0.35,1.2,26
NDC,378459577,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.33,1.07,0.35,1.2,26
NDC,378459677,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.33,1.07,0.35,1.2,26
NDC,378459777,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.65,1.32,0.44,1.49,26
NDC,378470593,Saxagliptin HCl Tab 2.5 MG (Base Equiv),10.48,8.39,2.77,9.43,26
NDC,378479106,Fluorouracil Cream 5%,177.88,142.31,47.05,160.09,26
NDC,378500193,Exemestane Tab 25 MG,4.08,3.27,1.08,3.67,26
NDC,378510093,Itraconazole Cap 100 MG,12.57,10.06,3.32,11.31,26
NDC,378561578,Levetiracetam Tab 500 MG,1.46,1.17,0.39,1.31,26
NDC,378563059,Sumatriptan Succinate Tab 25 MG,1.97,1.58,0.52,1.77,26
NDC,378563159,Sumatriptan Succinate Tab 50 MG,1.97,1.58,0.52,1.77,26
NDC,378580793,Valsartan Tab 40 MG,1.25,1.0,0.33,1.13,26
NDC,378581477,Valsartan Tab 160 MG,1.41,1.13,0.37,1.27,26
NDC,378617201,Metolazone Tab 2.5 MG,1.93,1.55,0.51,1.74,26
NDC,378623101,Citalopram Hydrobromide Tab 10 MG (Base Equiv),1.03,0.83,0.27,0.93,26
NDC,378623201,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.02,0.82,0.27,0.92,26
NDC,378623205,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.03,0.83,0.27,0.93,26
NDC,378633380,Acamprosate Calcium Tab Delayed Release 333 MG,1.76,1.41,0.47,1.58,26
NDC,378638001,Verapamil HCl Cap ER 24HR 180 MG,2.43,1.95,0.64,2.19,26
NDC,37864070905,Diphenhydramine-Acetaminophen Tab 25-500 MG (sleep),1.06,0.85,0.28,0.95,26
NDC,37864085010,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.02,0.82,0.27,0.92,26
NDC,37864085099,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.08,0.87,0.29,0.97,26
NDC,378644001,Verapamil HCl Cap ER 24HR 240 MG,2.6,2.08,0.69,2.34,26
NDC,378698132,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,5.91,4.73,1.56,5.32,26
NDC,378698188,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,5.91,4.73,1.56,5.32,26
NDC,378699331,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),3.62,2.9,0.05,3.26,26
NDC,378699393,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),177.4,141.92,0.05,159.66,26
NDC,378699889,Sodium Chloride Soln Nebu 10%,1.72,1.38,0.45,1.55,26
NDC,378700293,Paroxetine HCl Tab 20 MG,1.07,0.86,0.28,0.96,26
NDC,378702393,Acitretin Cap 25 MG,8.71,6.97,2.3,7.84,26
NDC,378710177,Fenofibrate Tab 160 MG,2.78,2.23,0.74,2.5,26
NDC,378773293,Ondansetron Orally Disintegrating Tab 4 MG,1.57,1.26,0.53,21.06,26
NDC,378797052,Ipratropium Bromide Inhal Soln 0.02%,1.16,0.93,0.32,1.04,26
NDC,378797064,Ipratropium Bromide Inhal Soln 0.02%,1.16,0.93,0.32,1.04,26
NDC,378797091,Ipratropium Bromide Inhal Soln 0.02%,1.16,0.93,0.32,1.04,26
NDC,378803077,Lansoprazole Cap Delayed Release 30 MG,1.31,1.05,0.35,1.18,26
NDC,378803093,Lansoprazole Cap Delayed Release 30 MG,2.02,1.62,0.53,1.82,26
NDC,378827031,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.19,0.96,0.04,1.07,26
NDC,378827055,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.19,0.96,0.04,1.07,26
NDC,378827064,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.19,0.96,0.04,1.07,52
NDC,378827093,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.19,0.96,0.04,1.07,52
NDC,378870049,Acyclovir Oint 5%,550.6,440.48,145.63,495.54,26
NDC,378876058,Cyclosporine (Ophth) Emulsion 0.05%,3.22,2.58,0.85,2.9,26
NDC,378876091,Cyclosporine (Ophth) Emulsion 0.05%,5.88,4.71,1.56,5.29,26
NDC,378876098,Cyclosporine (Ophth) Emulsion 0.05%,5.88,4.71,1.56,5.29,26
NDC,378877035,Estradiol Vaginal Cream 0.1 MG/GM,233.93,187.15,61.87,210.54,26
NDC,378910216,Nitroglycerin TD Patch 24HR 0.1 MG/HR,1.49,1.2,0.39,1.34,26
NDC,378910293,Nitroglycerin TD Patch 24HR 0.1 MG/HR,1.49,1.2,0.39,1.34,26
NDC,378910416,Nitroglycerin TD Patch 24HR 0.2 MG/HR,1.57,1.26,0.42,1.41,26
NDC,378910493,Nitroglycerin TD Patch 24HR 0.2 MG/HR,1.73,1.39,0.46,1.56,26
NDC,378911216,Nitroglycerin TD Patch 24HR 0.4 MG/HR,1.65,1.32,0.44,1.49,26
NDC,378911293,Nitroglycerin TD Patch 24HR 0.4 MG/HR,1.67,1.34,0.44,1.5,26
NDC,378911693,Nitroglycerin TD Patch 24HR 0.6 MG/HR,2.04,1.64,0.54,1.84,26
NDC,378911916,Fentanyl TD Patch 72HR 12 MCG/HR,8.93,7.15,2.36,8.04,26
NDC,378911998,Fentanyl TD Patch 72HR 12 MCG/HR,8.93,7.15,2.36,8.04,26
NDC,378912116,Fentanyl TD Patch 72HR 25 MCG/HR,7.67,6.14,2.03,6.9,26
NDC,378912198,Fentanyl TD Patch 72HR 25 MCG/HR,7.67,6.14,2.03,6.9,26
NDC,378912216,Fentanyl TD Patch 72HR 50 MCG/HR,12.84,10.28,3.4,11.56,26
NDC,378912298,Fentanyl TD Patch 72HR 50 MCG/HR,12.84,10.28,3.4,11.56,26
NDC,378912398,Fentanyl TD Patch 72HR 75 MCG/HR,19.72,15.78,5.22,17.75,26
NDC,378967131,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.24,1.0,0.17,1.12,26
NDC,378967160,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.24,1.0,0.17,1.12,26
NDC,378967164,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.24,1.0,0.17,1.12,26
NDC,378967193,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.24,1.0,0.17,1.12,26
NDC,378969262,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),3.59,2.88,0.05,3.23,26
NDC,378972055,Penciclovir Cream 1%,779.18,623.35,206.09,701.26,26
NDC,38485086335,Oral Electrolyte Tab,1.05,0.84,0.28,0.95,26
NDC,38485098018,Urea Lotion 10%,7.64,6.12,2.02,6.88,26
NDC,38779038805,Baclofen Powder,3952.0,3161.6,1045.3,3556.8,26
NDC,38779061305,Glycerin Liquid,1.02,0.82,0.27,0.92,26
NDC,38779177908,Simple - Syrup,1.02,0.82,0.27,0.92,26
NDC,39328000810,Potassium Phosphate Monobasic Tab 500 MG,1.47,1.18,0.39,1.32,26
NDC,39328006250,Sodium Hypochlorite Soln 0.5%,12.35,9.88,3.27,11.12,26
NDC,39328006325,Sodium Hypochlorite Soln 0.25%,8.57,6.86,2.27,7.71,26
NDC,39328006412,Sodium Hypochlorite Soln 0.125%,8.57,6.86,2.27,7.71,26
NDC,39328006712,Sodium Hypochlorite Soln 0.125%,25.6,20.48,6.77,23.04,26
NDC,39328009016,Pregabalin Soln 20 MG/ML,102.57,82.06,27.13,92.31,26
NDC,39328010710,Pot Phos Monobasic w/Sod Phos Di & Monobas Tab 155-852-130MG,1.32,1.06,0.35,1.19,26
NDC,394085932,Hydrocortisone Lotion 1%,6.24,5.0,1.65,5.62,26
NDC,395001994,Acetone Soln,5.08,4.07,1.34,4.57,26
NDC,395041396,Calamine-Zinc Oxide Lotion,2.42,1.94,0.64,2.18,26
NDC,395063594,Cod Liver Oil,1.17,0.94,0.31,1.05,26
NDC,395100392,Gentian Violet Soln 1%,30.96,24.77,8.19,27.86,26
NDC,395103116,Glycerin Liquid,1.02,0.82,0.27,0.92,26
NDC,395103128,Glycerin Liquid,1.01,0.81,0.27,0.91,26
NDC,395224391,Peppermint Spirit,4.0,3.2,1.06,3.6,26
NDC,395232516,Povidone-Iodine Soln 10%,3.84,3.08,1.02,3.46,52
NDC,395266116,Simple - Syrup,1.02,0.82,0.27,0.92,26
NDC,395266216,Cherry Syrup,1.02,0.82,0.27,0.92,26
NDC,39822019001,Acetazolamide Sodium For Inj 500 MG,413.38,330.71,1.0,372.04,26
NDC,39822026001,Cyclophosphamide For Inj 2 GM,593.0,474.4,0.46,533.7,34
NDC,39822031007,Neomycin Sulfate Tab 500 MG,1.71,1.37,0.45,1.54,26
NDC,39822041201,Tobramycin Sulfate For Inj 1.2 GM,115.79,92.64,1.0,104.21,26
NDC,39822061501,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),415.19,332.16,1.0,373.67,52
NDC,39822061501,"Colistimethate Sod For Inj 150 MG (Colistin Base Activity),Colistimethate Sod For Inj 150 MG (Colistin Base Activity)",415.19,332.16,1.0,373.67,26
NDC,39822070602,Streptomycin Sulfate For Inj 1 GM,395.78,316.63,1.0,356.2,26
NDC,39822100001,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),409.09,327.28,1.0,368.18,26
NDC,39822100001,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",409.09,327.28,108.2,368.18,26
NDC,39822103002,Ibuprofen Lysine IV Soln 10 MG/ML (Base Equivalent),771.67,617.34,1.0,694.5,26
NDC,39822105505,Amphotericin B For IV Soln 50 MG,424.49,339.6,1.0,382.04,26
NDC,39822110001,Folic Acid Inj 5 MG/ML,389.22,311.38,102.95,350.3,26
NDC,39822120102,Neomycin-Polymyxin B GU Irrigation Soln,31.97,25.58,8.46,28.77,26
NDC,39822200001,Clonidine HCl Inj (For Epidural Infusion) 100 MCG/ML,404.99,324.0,1.0,364.49,26
NDC,39822210001,Dactinomycin For Inj 0.5 MG,2447.23,1957.79,311.92,2202.51,34
NDC,39822210002,Dactinomycin For Inj 0.5 MG,2447.23,1957.79,311.92,2202.51,34
NDC,39822303001,Pentamidine Isethionate For Nebulization Soln 300 MG,120.45,96.36,40.35,108.41,26
NDC,39822400001,Levetiracetam Inj 500 MG/5ML (100 MG/ML),393.49,314.8,1.0,354.14,26
NDC,39822420001,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),391.79,313.44,103.63,352.61,26
NDC,39822420002,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),391.79,313.44,103.63,352.61,26
NDC,4003822,Valganciclovir HCl Tab 450 MG (Base Equivalent),57.98,46.39,15.34,52.18,26
NDC,4003909,Valganciclovir HCl For Soln 50 MG/ML (Base Equiv),191.97,153.58,50.78,172.77,26
NDC,40093010084,Acetylcysteine Cap 600 MG,1.13,0.91,0.3,1.02,26
NDC,40093010153,Zinc Gluconate Tab 50 MG (Elemental Zn),1.04,0.84,0.28,0.94,26
NDC,4026129,Mycophenolate Mofetil For Oral Susp 200 MG/ML,31.25,25.0,8.27,28.13,26
NDC,4029809,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),453.12,362.5,0.74,407.81,26
NDC,4029830,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),453.12,362.5,0.74,407.81,26
NDC,404650015,Lidocaine Inj 2% w/ Epinephrine-1:50000,389.19,311.36,102.94,350.27,26
NDC,40565012249,Cadexomer Iodine Gel 0.9%,39.8,31.84,10.53,35.82,26
NDC,406012301,Hydrocodone-Acetaminophen Tab 5-325 MG,1.31,1.05,0.35,1.18,26
NDC,406012323,Hydrocodone-Acetaminophen Tab 5-325 MG,1.31,1.05,0.35,1.18,26
NDC,406012362,Hydrocodone-Acetaminophen Tab 5-325 MG,1.27,1.02,0.34,1.14,26
NDC,406012405,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.34,1.08,0.35,1.21,26
NDC,406012423,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.34,1.08,0.35,1.21,26
NDC,406012462,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.34,1.08,0.35,1.21,26
NDC,406012501,Hydrocodone-Acetaminophen Tab 10-325 MG,1.41,1.13,0.37,1.27,26
NDC,406012523,Hydrocodone-Acetaminophen Tab 10-325 MG,1.49,1.2,0.39,1.34,26
NDC,406012562,Hydrocodone-Acetaminophen Tab 10-325 MG,1.49,1.2,0.39,1.34,26
NDC,406048401,Acetaminophen w/ Codeine Tab 300-30 MG,1.14,0.92,0.3,1.03,26
NDC,406048423,Acetaminophen w/ Codeine Tab 300-30 MG,1.09,0.88,0.29,0.98,26
NDC,406048462,Acetaminophen w/ Codeine Tab 300-30 MG,1.11,0.89,0.29,1.0,26
NDC,406051201,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.23,0.99,0.33,1.11,26
NDC,406051223,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.32,1.06,0.35,1.19,26
NDC,406051262,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.32,1.06,0.35,1.19,26
NDC,406052301,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.01,1.61,0.53,1.81,26
NDC,406052323,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.15,1.72,0.57,1.94,26
NDC,406052362,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.15,1.72,0.57,1.94,26
NDC,406055201,Oxycodone HCl Tab 5 MG,1.09,0.88,0.29,0.98,26
NDC,406055223,Oxycodone HCl Tab 5 MG,1.4,1.12,0.37,1.26,26
NDC,406055262,Oxycodone HCl Tab 5 MG,1.4,1.12,0.37,1.26,26
NDC,406114201,Methylphenidate HCl Tab 5 MG,1.32,1.06,0.35,1.19,26
NDC,406114401,Methylphenidate HCl Tab 10 MG,1.4,1.12,0.37,1.26,26
NDC,406117003,Naltrexone HCl Tab 50 MG,2.21,1.77,0.58,1.99,26
NDC,406324301,Hydromorphone HCl Tab 2 MG,1.14,0.92,0.3,1.03,26
NDC,406511101,Lisdexamfetamine Dimesylate Cap 10 MG,9.59,7.68,2.54,8.63,26
NDC,406511823,Morphine Sulfate Tab 15 MG,1.7,1.36,0.45,1.53,26
NDC,406511862,Morphine Sulfate Tab 15 MG,1.7,1.36,0.45,1.53,26
NDC,406511923,Morphine Sulfate Tab 30 MG,2.19,1.76,0.58,1.97,26
NDC,406511962,Morphine Sulfate Tab 30 MG,2.19,1.76,0.58,1.97,26
NDC,406575501,Methadone HCl Tab 5 MG,1.2,0.96,0.32,1.08,26
NDC,406575523,Methadone HCl Tab 5 MG,1.23,0.99,0.33,1.11,26
NDC,406575562,Methadone HCl Tab 5 MG,1.23,0.99,0.33,1.11,26
NDC,406577123,Methadone HCl Tab 10 MG,1.38,1.11,0.37,1.24,26
NDC,406577162,Methadone HCl Tab 10 MG,1.26,1.01,0.33,1.13,26
NDC,406800330,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),40.33,32.27,10.67,36.3,26
NDC,406831501,Morphine Sulfate Tab ER 15 MG,1.62,1.3,0.43,1.46,26
NDC,406831523,Morphine Sulfate Tab ER 15 MG,1.3,1.04,0.34,1.17,26
NDC,406831562,Morphine Sulfate Tab ER 15 MG,1.53,1.23,0.4,1.38,26
NDC,406833001,Morphine Sulfate Tab ER 30 MG,2.17,1.74,0.57,1.95,26
NDC,406833023,Morphine Sulfate Tab ER 30 MG,2.08,1.67,0.55,1.87,26
NDC,406833062,Morphine Sulfate Tab ER 30 MG,2.08,1.67,0.55,1.87,26
NDC,406839023,Morphine Sulfate Tab ER 100 MG,4.6,3.68,1.22,4.14,26
NDC,406839062,Morphine Sulfate Tab ER 100 MG,4.02,3.22,1.06,3.62,26
NDC,406851501,Oxycodone HCl Tab 15 MG,1.23,0.99,0.33,1.11,26
NDC,406855730,Oxycodone HCl Conc 100 MG/5ML (20 MG/ML),127.18,101.75,33.64,114.46,26
NDC,406895801,Dextroamphetamine Sulfate Tab 5 MG,3.51,2.81,0.93,3.16,26
NDC,406905076,Fentanyl TD Patch 72HR 50 MCG/HR,4.25,3.4,1.12,3.83,26
NDC,406910076,Fentanyl TD Patch 72HR 100 MCG/HR,26.63,21.31,7.04,23.97,26
NDC,406917576,Fentanyl TD Patch 72HR 75 MCG/HR,19.56,15.65,5.17,17.6,26
NDC,406991501,Temazepam Cap 7.5 MG,6.76,5.41,1.79,6.08,26
NDC,406996001,Temazepam Cap 7.5 MG,4.88,3.91,1.29,4.39,26
NDC,407140152,Iohexol IV Soln 140 MG/ML,20.0,16.0,1.0,18.0,26
NDC,407141110,Iohexol Inj 180 MG/ML,22.5,18.0,1.0,20.25,26
NDC,407141120,Iohexol Inj 180 MG/ML,22.5,18.0,1.0,20.25,26
NDC,407141233,Iohexol Inj 240 MG/ML,22.5,18.0,1.0,20.25,26
NDC,407141234,Iohexol Inj 240 MG/ML,22.5,18.0,1.0,20.25,26
NDC,407141308,Iohexol Inj 300 MG/ML,22.5,18.0,1.0,20.25,26
NDC,407141361,Iohexol Inj 300 MG/ML,22.5,18.0,1.0,20.25,26
NDC,407141363,Iohexol Inj 300 MG/ML,22.5,18.0,1.0,20.25,26
NDC,407141489,Iohexol IV Soln 350 MG/ML,112.5,90.0,1.0,101.25,26
NDC,407141491,Iohexol IV Soln 350 MG/ML,112.5,90.0,1.0,101.25,26
NDC,407141493,Iohexol IV Soln 350 MG/ML,112.5,90.0,1.0,101.25,26
NDC,407222316,Iodixanol Inj 320 MG/ML (Iodine Equivalent),103.5,82.8,1.0,93.15,26
NDC,407222317,Iodixanol Inj 320 MG/ML (Iodine Equivalent),103.5,82.8,1.0,93.15,26
NDC,407222319,Iodixanol Inj 320 MG/ML (Iodine Equivalent),103.5,82.8,1.0,93.15,26
NDC,407270703,Perflutren Protein-Type A Microspheres IV Susp,468.5,374.8,1.0,421.65,26
NDC,407270718,Perflutren Protein-Type A Microspheres IV Susp,458.0,366.4,1.0,412.2,26
NDC,4080085,Oseltamivir Phosphate Cap 75 MG (Base Equiv),13.3,10.64,3.52,11.97,26
NDC,4080285,Oseltamivir Phosphate Cap 30 MG (Base Equiv),13.92,11.14,3.68,12.53,26
NDC,4082205,Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv),36.74,29.4,9.72,33.07,26
NDC,409000101,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",390.01,312.01,1.0,351.01,26
NDC,409000125,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",389.5,311.6,1.0,350.55,26
NDC,409000701,Lidocaine Inj 1% w/ Epinephrine-1:100000,39.02,31.22,10.32,35.12,26
NDC,409000710,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.12,311.3,102.92,350.21,26
NDC,409012001,Daptomycin For IV Soln 350 MG,412.8,330.24,0.06,371.52,26
NDC,409012501,Labetalol HCl IV Soln 5 MG/ML,390.82,312.66,0.18,351.74,26
NDC,409015201,Metronidazole IV Soln 500 MG/100ML,390.5,312.4,0.02,351.45,26
NDC,409018101,Gemcitabine HCl Inj 1 GM/26.3ML (38 MG/ML) (Base Equiv),315.54,252.44,1.0,283.99,26
NDC,409018125,Gemcitabine HCl Inj 1 GM/26.3ML (38 MG/ML) (Base Equiv),315.54,252.44,1.0,283.99,26
NDC,409018301,Gemcitabine HCl Inj 200 MG/5.26ML (38 MG/ML) (Base Equiv),277.62,222.1,1.0,249.86,26
NDC,409020102,Docetaxel Soln for IV Infusion 20 MG/2ML,847.49,678.0,1.0,762.74,26
NDC,409020110,Docetaxel Soln for IV Infusion 80 MG/8ML,2639.8,2111.84,1.0,2375.82,26
NDC,409020120,Docetaxel Soln for IV Infusion 160 MG/16ML,5029.6,4023.68,1.0,4526.64,26
NDC,409021210,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),392.8,314.24,1.0,353.52,26
NDC,409030201,Topotecan HCl Inj 4 MG/4ML (Base Equiv) (For Infusion),683.69,546.96,1.0,615.32,26
NDC,409080101,Pentostatin For Inj 10 MG,6440.94,5152.76,2157.71,5796.85,34
NDC,409082911,Aztreonam For Inj 1 GM,411.29,329.04,2.52,370.16,26
NDC,409110301,Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML),505.74,404.6,133.77,455.17,26
NDC,409110311,Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML),505.74,404.6,133.77,455.17,26
NDC,409110502,Atracurium Besylate IV Soln 100 MG/10ML,400.35,320.28,105.89,360.32,26
NDC,409110522,Atracurium Besylate IV Soln 100 MG/10ML,400.35,320.28,105.89,360.32,26
NDC,409111301,Indomethacin Sodium IV For Soln 1 MG,749.3,599.44,198.19,674.37,26
NDC,409113403,Morphine Sulfate IV Soln 50 MG/ML,396.44,317.16,1.0,356.8,26
NDC,409113405,Morphine Sulfate IV Soln 50 MG/ML,403.4,322.72,1.0,363.06,26
NDC,409114001,Argatroban Inj 250 MG/2.5ML (Concentrate For IV Infusion),869.81,695.85,1.21,782.83,26
NDC,409114102,Sodium Chloride IV Soln 4 mEq/ML (23.4%),401.2,320.96,1.0,361.08,26
NDC,409114102,Sodium Chloride Inj 4 mEq/ML (23.4%),392.66,314.13,103.86,353.39,26
NDC,409114112,Sodium Chloride IV Soln 4 mEq/ML (23.4%),401.2,320.96,1.0,361.08,26
NDC,409114112,Sodium Chloride Inj 4 mEq/ML (23.4%),392.66,314.13,103.86,353.39,26
NDC,409114405,Verapamil HCl IV Soln 2.5 MG/ML,410.18,328.15,108.49,369.16,26
NDC,409114465,Verapamil HCl IV Soln 2.5 MG/ML,410.18,328.15,108.49,369.16,26
NDC,409115901,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,389.98,311.99,0.02,350.98,26
NDC,409115902,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,390.5,312.4,0.02,351.45,26
NDC,409115909,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,390.26,312.21,0.02,351.23,26
NDC,409115918,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,389.98,311.99,0.02,350.98,26
NDC,409115919,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,390.23,312.19,0.02,351.21,26
NDC,409116001,Bupivacaine HCl Inj 0.25%,391.0,312.8,0.02,351.9,26
NDC,409116018,Bupivacaine HCl Inj 0.25%,391.0,312.8,0.02,351.9,26
NDC,409116201,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.3,312.24,0.02,351.27,26
NDC,409116202,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.17,312.14,0.02,351.15,26
NDC,409116209,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.14,312.12,0.02,351.13,26
NDC,409116210,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.14,312.12,0.02,351.13,26
NDC,409116218,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.08,312.07,0.02,351.07,26
NDC,409116219,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.17,312.14,0.02,351.15,26
NDC,409116301,Bupivacaine HCl Inj 0.5%,390.75,312.6,0.02,351.68,26
NDC,409116318,Bupivacaine HCl Inj 0.5%,390.75,312.6,0.02,351.68,26
NDC,409116501,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,390.47,312.38,0.02,351.42,26
NDC,409116518,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,390.47,312.38,0.02,351.42,26
NDC,409117102,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),156.18,124.95,41.31,140.56,26
NDC,409117603,Meperidine HCl Inj 25 MG/ML,394.18,315.35,1.0,354.76,26
NDC,409117630,Meperidine HCl Inj 25 MG/ML,394.18,315.35,1.0,354.76,26
NDC,409117803,Meperidine HCl Inj 50 MG/ML,394.36,315.49,1.0,354.92,26
NDC,409117830,Meperidine HCl Inj 50 MG/ML,394.36,315.49,1.0,354.92,26
NDC,409118069,Meperidine HCl Inj 100 MG/ML,389.91,311.93,1.0,350.92,26
NDC,409120703,Gentamicin Sulfate Inj 40 MG/ML,389.78,311.83,1.0,350.8,52
NDC,409120713,Gentamicin Sulfate Inj 40 MG/ML,389.78,311.83,1.0,350.8,26
NDC,409120715,Gentamicin Sulfate Inj 40 MG/ML,389.78,311.83,1.0,350.8,26
NDC,409120725,Gentamicin Sulfate Inj 40 MG/ML,389.78,311.83,1.0,350.8,26
NDC,409120901,Lidocaine Inj 1.5% w/ Epinephrine-1:200000 (PF),78.38,62.71,20.73,70.54,26
NDC,409120910,Lidocaine Inj 1.5% w/ Epinephrine-1:200000 (PF),78.38,62.71,20.73,70.54,26
NDC,409121501,Naloxone HCl Inj 0.4 MG/ML,201.63,161.31,53.33,181.47,26
NDC,409121521,Naloxone HCl Inj 0.4 MG/ML,201.63,161.31,53.33,181.47,26
NDC,409127303,Diazepam Inj 5 MG/ML,206.49,165.2,1.0,185.84,26
NDC,409127332,Diazepam Inj 5 MG/ML,206.49,165.2,1.0,185.84,26
NDC,409128303,Hydromorphone HCl Inj 1 MG/ML,78.12,62.5,20.66,70.31,26
NDC,409128317,Hydromorphone HCl Inj 1 MG/ML,78.14,62.52,20.67,70.33,26
NDC,409128331,Hydromorphone HCl Inj 1 MG/ML,78.14,62.52,20.67,70.33,26
NDC,409131203,Hydromorphone HCl Inj 2 MG/ML,195.35,156.28,51.67,175.82,26
NDC,409131216,Hydromorphone HCl Inj 2 MG/ML,196.44,157.16,51.96,176.8,26
NDC,409131230,Hydromorphone HCl Inj 2 MG/ML,195.35,156.28,51.67,175.82,26
NDC,409131236,Hydromorphone HCl Inj 2 MG/ML,196.44,157.16,51.96,176.8,26
NDC,409131611,Heparin Sodium (Porcine) PF Inj 5000 Unit/0.5ML,391.19,312.96,1.0,352.07,26
NDC,409131632,Heparin Sodium (Porcine) PF Inj 5000 Unit/0.5ML,391.19,312.96,1.0,352.07,26
NDC,409131901,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),415.1,332.08,109.79,373.59,26
NDC,409132305,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",391.79,313.44,1.0,352.61,26
NDC,409132305,Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%),391.79,313.44,103.63,352.61,26
NDC,409132315,Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%),391.79,313.44,103.63,352.61,26
NDC,409136201,Meperidine HCl Inj 25 MG/ML,394.38,315.51,1.0,354.94,26
NDC,409136211,Meperidine HCl Inj 25 MG/ML,394.38,315.51,1.0,354.94,26
NDC,409143401,Dexmedetomidine HCl in NaCl 0.9% IV Soln 1000 MCG/250ML,524.75,419.8,138.8,472.28,26
NDC,409146301,Nalbuphine HCl Inj 10 MG/ML,392.17,313.74,1.0,352.95,26
NDC,409146349,Nalbuphine HCl Inj 10 MG/ML,392.17,313.74,1.0,352.95,26
NDC,409146369,Nalbuphine HCl Inj 10 MG/ML,392.17,313.74,1.0,352.95,26
NDC,409146371,Nalbuphine HCl Inj 10 MG/ML,392.17,313.74,1.0,352.95,26
NDC,409146701,Nalbuphine HCl Inj 20 MG/ML,393.16,314.53,1.0,353.84,26
NDC,409146761,Nalbuphine HCl Inj 20 MG/ML,393.16,314.53,1.0,353.84,26
NDC,409154101,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),393.8,315.04,104.16,354.42,26
NDC,409154110,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),393.8,315.04,104.16,354.42,26
NDC,409155910,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,391.35,313.08,0.02,352.22,26
NDC,409155918,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,391.35,313.08,0.02,352.22,26
NDC,409155919,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,391.73,313.39,0.02,352.56,26
NDC,409155930,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,391.73,313.39,0.02,352.56,26
NDC,409156019,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,392.66,314.13,0.02,353.39,26
NDC,409156029,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,392.66,314.13,0.02,353.39,26
NDC,409158210,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,391.12,312.9,0.02,352.01,26
NDC,409158750,Bupivacaine HCl Inj 0.25%,392.35,313.88,0.02,353.12,26
NDC,409161050,Bupivacaine HCl Inj 0.5%,393.55,314.84,0.02,354.2,26
NDC,409163015,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),39.4,31.52,1.0,35.46,26
NDC,409163110,Calcium Chloride Inj 10%,395.83,316.67,104.7,356.25,52
NDC,409163201,Vecuronium Bromide For Inj 10 MG,393.06,314.45,103.96,353.75,52
NDC,409163221,Vecuronium Bromide For Inj 10 MG,393.06,314.45,103.96,353.75,52
NDC,409163249,Vecuronium Bromide For Inj 10 MG,393.13,314.51,103.98,353.82,26
NDC,409163802,Dexmedetomidine HCl IV Soln 200 MCG/2ML,426.84,341.48,112.9,384.16,26
NDC,409163832,Dexmedetomidine HCl IV Soln 200 MCG/2ML,426.84,341.48,112.9,384.16,26
NDC,409166050,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,416.15,332.92,110.07,374.54,26
NDC,409166055,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,416.15,332.92,110.07,374.54,26
NDC,409174610,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),392.31,313.85,103.77,353.08,26
NDC,409174630,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),394.04,315.24,104.22,354.64,26
NDC,409174670,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),392.31,313.85,103.77,353.08,26
NDC,409174671,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),394.04,315.24,104.22,354.64,26
NDC,409174929,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),391.64,313.32,103.59,352.48,26
NDC,409174971,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),393.2,314.56,104.0,353.88,26
NDC,409175250,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000,393.45,314.76,104.07,354.11,26
NDC,409175550,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000,392.0,313.6,103.68,352.8,26
NDC,409176105,Bupivacaine 0.75% in Dextrose Inj 8.25%,786.37,629.1,207.99,707.73,26
NDC,409176110,Bupivacaine 0.75% in Dextrose Inj 8.25%,786.37,629.1,207.99,707.73,26
NDC,409176119,Bupivacaine 0.75% in Dextrose Inj 8.25%,785.66,628.53,207.81,707.09,26
NDC,409177510,Dextrose Inj 25%,397.36,317.89,105.1,357.62,26
NDC,409177540,Dextrose Inj 25%,397.36,317.89,105.1,357.62,26
NDC,409177805,Metoprolol Tartrate IV Soln 5 MG/5ML,233.73,186.99,61.82,210.36,26
NDC,409177815,Metoprolol Tartrate IV Soln 5 MG/5ML,233.98,187.19,61.89,210.58,26
NDC,409178203,Naloxone HCl Soln Cartridge 0.4 MG/ML,10.06,8.05,2.66,9.05,26
NDC,409188602,Levetiracetam Inj 500 MG/5ML (100 MG/ML),390.5,312.4,1.0,351.45,26
NDC,409188622,Levetiracetam Inj 500 MG/5ML (100 MG/ML),390.5,312.4,1.0,351.45,26
NDC,409189201,Morphine Sulfate IV Soln PF 8 MG/ML,390.35,312.28,1.0,351.32,26
NDC,409189301,Morphine Sulfate IV Soln PF 10 MG/ML,390.44,312.36,1.0,351.4,26
NDC,409189303,Morphine Sulfate IV Soln PF 10 MG/ML,390.44,312.36,1.0,351.4,26
NDC,409190201,Procainamide HCl Inj 100 MG/ML,394.49,315.6,132.15,355.04,34
NDC,409190211,Procainamide HCl Inj 100 MG/ML,394.49,315.6,132.15,355.04,34
NDC,409205001,Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),394.0,315.2,1.0,354.6,26
NDC,409205105,Ketamine HCl Inj 100 MG/ML,395.44,316.36,104.59,355.9,26
NDC,409205115,Ketamine HCl Inj 100 MG/ML,395.44,316.36,104.59,355.9,26
NDC,409206605,Lidocaine HCl Local Preservative Free (PF) Inj 2%,156.21,124.97,41.32,140.59,26
NDC,409216817,Magnesium Sulfate Inj 50%,19.67,15.74,1.0,17.7,26
NDC,409216877,Magnesium Sulfate Inj 50%,19.67,15.74,1.0,17.7,26
NDC,409222201,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%,393.0,314.4,1.0,353.7,26
NDC,409226720,Labetalol HCl IV Soln 5 MG/ML,389.37,311.5,0.18,350.43,26
NDC,409230802,Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),389.57,311.66,1.0,350.61,26
NDC,409230822,Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),389.57,311.66,1.0,350.61,26
NDC,409230850,Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),390.07,312.06,1.0,351.06,26
NDC,409233601,Deferoxamine Mesylate For Inj 500 MG,397.18,317.75,1.0,357.46,26
NDC,409233725,Deferoxamine Mesylate For Inj 2 GM,418.54,334.84,1.0,376.69,26
NDC,409233924,Labetalol HCl IV Soln 5 MG/ML,394.98,315.99,0.18,355.48,26
NDC,409233934,Labetalol HCl IV Soln 5 MG/ML,394.98,315.99,0.18,355.48,26
NDC,409234401,Dobutamine HCl Inj 12.5 MG/ML,393.12,314.5,1.0,353.81,26
NDC,409234402,Dobutamine HCl Inj 12.5 MG/ML,393.5,314.8,1.0,354.15,26
NDC,409234462,Dobutamine HCl Inj 12.5 MG/ML,393.5,314.8,1.0,354.15,26
NDC,409234468,Dobutamine HCl Inj 12.5 MG/ML,393.5,314.8,1.0,354.15,26
NDC,409234488,Dobutamine HCl Inj 12.5 MG/ML,393.5,314.8,1.0,354.15,26
NDC,409234731,Dobutamine in Dextrose 5% Inj 2 MG/ML,398.75,319.0,1.0,358.88,26
NDC,409234732,Dobutamine in Dextrose 5% Inj 2 MG/ML,398.75,319.0,1.0,358.88,26
NDC,409258501,Cefazolin Sodium For IV Soln 1 GM,390.97,312.78,1.0,351.87,26
NDC,409258704,Midazolam HCl Inj 10 MG/10ML (Base Equivalent),389.19,311.36,1.0,350.27,26
NDC,409258705,Midazolam HCl Inj 10 MG/10ML (Base Equivalent),389.19,311.36,1.0,350.27,26
NDC,409259603,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),389.79,311.84,1.0,350.81,26
NDC,409259605,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.67,311.74,1.0,350.7,26
NDC,409259613,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),389.79,311.84,1.0,350.81,26
NDC,409259615,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.67,311.74,1.0,350.7,26
NDC,409263405,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,396.01,316.81,104.74,356.41,26
NDC,409263425,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,396.01,316.81,104.74,356.41,26
NDC,409263450,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,482.5,386.0,127.62,434.25,26
NDC,409268901,Ampicillin & Sulbactam Sodium For IV Soln 1-0.5 GM,392.38,313.91,1.0,353.14,26
NDC,409268901,Ampicillin & Sulbactam Sodium For IV Soln 1.5 (1-0.5) GM,392.38,313.91,1.0,353.14,26
NDC,409268921,Ampicillin & Sulbactam Sodium For IV Soln 1.5 (1-0.5) GM,391.54,313.24,1.0,352.39,26
NDC,409272002,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.595,312.48,1.0,352.71,52
NDC,409272031,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.595,312.48,1.0,352.71,52
NDC,409277623,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,401.7,321.36,1.0,361.53,26
NDC,409298703,Ampicillin & Sulbactam Sodium For IV Soln 2-1 GM,394.09,315.28,1.0,354.68,26
NDC,409298703,Ampicillin & Sulbactam Sodium For IV Soln 3 (2-1) GM,394.09,315.28,1.0,354.68,26
NDC,409298723,Ampicillin & Sulbactam Sodium For IV Soln 2-1 GM,394.09,315.28,1.0,354.68,26
NDC,409298723,Ampicillin & Sulbactam Sodium For IV Soln 3 (2-1) GM,394.09,315.28,1.0,354.68,26
NDC,409317701,Lidocaine Inj 0.5% w/ Epinephrine-1:200000,389.04,311.24,102.9,350.14,26
NDC,409317716,Lidocaine Inj 0.5% w/ Epinephrine-1:200000,389.04,311.24,102.9,350.14,26
NDC,409317801,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.11,311.29,102.92,350.2,26
NDC,409317802,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.2,311.36,102.94,350.28,26
NDC,409317803,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.08,311.27,102.91,350.17,26
NDC,409317816,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.11,311.29,102.92,350.2,26
NDC,409317817,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.2,311.36,102.94,350.28,26
NDC,409317818,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.08,311.27,102.91,350.17,26
NDC,409318201,Lidocaine Inj 2% w/ Epinephrine-1:100000,389.14,311.32,102.93,350.23,26
NDC,409318202,Lidocaine Inj 2% w/ Epinephrine-1:100000,389.25,311.4,102.96,350.33,26
NDC,409318211,Lidocaine Inj 2% w/ Epinephrine-1:100000,389.14,311.32,102.93,350.23,26
NDC,409318221,Lidocaine Inj 2% w/ Epinephrine-1:100000,389.25,311.4,102.96,350.33,26
NDC,409318301,Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF),19.76,15.81,5.23,17.78,26
NDC,409318905,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),390.62,312.5,103.32,351.56,26
NDC,409321311,Diazepam Inj 5 MG/ML,392.21,313.77,1.0,352.99,26
NDC,409321312,Diazepam Inj 5 MG/ML,392.21,313.77,1.0,352.99,26
NDC,409329415,Potassium Acetate Inj 2 mEq/ML,397.7,318.16,105.19,357.93,26
NDC,409329425,Potassium Acetate Inj 2 mEq/ML,397.7,318.16,105.19,357.93,26
NDC,409329451,Potassium Acetate Inj 2 mEq/ML,397.7,318.16,105.19,357.93,26
NDC,409329461,Potassium Acetate Inj 2 mEq/ML,397.7,318.16,105.19,357.93,26
NDC,409329905,Sodium Acetate Inj 2 mEq/ML,390.35,312.28,103.25,351.32,26
NDC,409329906,Sodium Acetate Inj 2 mEq/ML,394.2,315.36,104.27,354.78,26
NDC,409329916,Sodium Acetate Inj 2 mEq/ML,394.2,315.36,104.27,354.78,26
NDC,409329925,Sodium Acetate Inj 2 mEq/ML,441.2,352.96,116.7,397.08,26
NDC,409329926,Sodium Acetate Inj 2 mEq/ML,392.85,314.28,103.91,353.57,26
NDC,409329945,Sodium Acetate Inj 2 mEq/ML,394.3,315.44,104.29,354.87,26
NDC,409330001,Ciprofloxacin 400 MG/200ML in D5W,391.8,313.44,1.0,352.62,26
NDC,409330803,Acetylcysteine Inhal Soln 20%,12.64,10.12,4.23,11.38,26
NDC,409330811,Acetylcysteine Inhal Soln 20%,12.64,10.12,4.23,11.38,26
NDC,409333001,Levofloxacin in D5W IV Soln 500 MG/100ML,392.7,314.16,1.0,353.43,26
NDC,409333024,Levofloxacin in D5W IV Soln 500 MG/100ML,392.7,314.16,1.0,353.43,26
NDC,409337301,Fenoldopam Mesylate IV Inj 10 MG/ML (Base Equiv),1217.71,974.17,322.08,1095.94,26
NDC,409337504,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),394.3,315.44,104.29,354.87,26
NDC,409337514,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),394.3,315.44,104.29,354.87,26
NDC,409338513,Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM),393.82,315.06,1.0,354.44,26
NDC,409341401,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),390.01,312.01,1.0,351.01,26
NDC,409341411,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),390.15,312.12,1.0,351.14,26
NDC,409341418,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),390.01,312.01,1.0,351.01,26
NDC,409341421,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),390.15,312.12,1.0,351.14,26
NDC,409361301,Bupivacaine 0.75% in Dextrose Inj 8.25%,781.98,625.59,206.83,703.78,26
NDC,409361311,Bupivacaine 0.75% in Dextrose Inj 8.25%,781.98,625.59,206.83,703.78,26
NDC,409379301,Ketorolac Tromethamine Inj 15 MG/ML,391.4,313.12,0.29,352.26,34
NDC,409379319,Ketorolac Tromethamine Inj 15 MG/ML,391.4,313.12,0.29,352.26,34
NDC,409379519,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",394.22,315.38,0.29,354.8,34
NDC,409379519,Ketorolac Tromethamine Inj 30 MG/ML,394.22,315.38,0.29,354.8,34
NDC,409379601,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),391.61,313.29,0.29,352.45,34
NDC,409379601,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",391.61,313.29,0.29,352.45,34
NDC,409381201,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000,396.9,317.52,104.98,357.21,26
NDC,409381511,Morphine Sulfate Inj PF 1 MG/ML,394.74,315.8,1.0,355.27,26
NDC,409381512,Morphine Sulfate Inj PF 1 MG/ML,394.74,315.8,1.0,355.27,26
NDC,409403101,Mannitol IV Soln 25%,390.0,312.0,1.0,351.0,26
NDC,409403116,Mannitol IV Soln 25%,390.0,312.0,1.0,351.0,26
NDC,409409001,Zinc Chloride Inj 1 MG/ML,401.54,321.24,1.0,361.39,26
NDC,409409011,Zinc Chloride Inj 1 MG/ML,401.54,321.24,1.0,361.39,26
NDC,409409111,Manganese Chloride Inj 0.1 MG/ML,419.16,335.33,110.87,377.24,26
NDC,409412101,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),392.2,313.76,1.0,352.98,26
NDC,409420801,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),393.26,314.61,104.02,353.93,26
NDC,409421501,Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML,425.63,340.51,1.0,383.07,26
NDC,409426401,Hydromorphone HCl Inj 1 MG/ML,156.48,125.19,41.39,140.83,26
NDC,409426411,Hydromorphone HCl Inj 1 MG/ML,156.48,125.19,41.39,140.83,26
NDC,409427601,Lidocaine HCl Local Inj 1%,389.42,311.53999999999996,102.9,350.82,52
NDC,409427602,Lidocaine HCl Local Inj 1%,389.05,311.24,102.9,350.15,26
NDC,409427616,Lidocaine HCl Local Inj 1%,389.04,311.24,102.9,350.14,26
NDC,409427617,Lidocaine HCl Local Inj 1%,389.05,311.24,102.9,350.15,26
NDC,409427702,Lidocaine HCl Local Inj 2%,390.0,312.0,103.16,351.0,26
NDC,409427717,Lidocaine HCl Local Inj 2%,391.1,312.88,103.45,351.99,26
NDC,409427801,Lidocaine HCl Local Preservative Free (PF) Inj 0.5%,15.66,12.53,4.14,14.09,26
NDC,409427816,Lidocaine HCl Local Preservative Free (PF) Inj 0.5%,15.66,12.53,4.14,14.09,26
NDC,409427902,Lidocaine HCl Local Preservative Free (PF) Inj 1%,201.915,161.535,3.45,351.72,52
NDC,409427916,Lidocaine HCl Local Preservative Free (PF) Inj 1%,13.03,10.43,3.45,11.73,26
NDC,409428202,Lidocaine HCl Local Preservative Free (PF) Inj 2%,78.19,62.56,20.68,70.37,26
NDC,409428212,Lidocaine HCl Local Preservative Free (PF) Inj 2%,78.19,62.56,20.68,70.37,26
NDC,409428301,Lidocaine HCl Local Preservative Free (PF) Inj 4%,5.87,4.7,1.55,5.28,26
NDC,409428311,Lidocaine HCl Local Preservative Free (PF) Inj 4%,5.87,4.7,1.55,5.28,26
NDC,409428325,Lidocaine HCl Local Preservative Free (PF) Inj 4%,5.87,4.7,1.55,5.28,26
NDC,409433201,Vancomycin HCl For IV Soln 500 MG (Base Equivalent),391.26,313.01,103.49,352.13,26
NDC,409433211,Vancomycin HCl For IV Soln 500 MG (Base Equivalent),391.26,313.01,103.49,352.13,26
NDC,409434616,Aminocaproic Acid Inj 250 MG/ML,394.26,315.41,104.28,354.83,26
NDC,409434673,Aminocaproic Acid Inj 250 MG/ML,394.26,315.41,104.28,354.83,26
NDC,409435003,Diltiazem HCl IV For Soln 100 MG,399.09,319.28,105.56,359.18,26
NDC,409444401,Levofloxacin in D5W IV Soln 750 MG/150ML,391.55,313.24,1.0,352.4,26
NDC,409452002,Heparin Sodium (Porcine) 100 Unit/ML in D5W,395.5,316.4,1.0,355.95,26
NDC,409452030,Heparin Sodium (Porcine) 100 Unit/ML in D5W,395.5,316.4,1.0,355.95,26
NDC,409468816,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,395.6,316.48,1.0,356.04,26
NDC,409468822,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,393.6,314.88,1.0,354.24,26
NDC,409469924,Propofol IV Emul 1000 MG/100ML (10 MG/ML),397.4,317.92,1.0,357.66,26
NDC,409469930,"Propofol IV Emul 200 MG/20ML (10 MG/ML),,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",390.68,312.55,1.0,351.61,26
NDC,409469950,"Propofol IV Emul 200 MG/20ML (10 MG/ML),,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",390.68,312.55,1.0,351.61,26
NDC,409469954,Propofol IV Emul 1000 MG/100ML (10 MG/ML),397.4,317.92,1.0,357.66,26
NDC,409471365,Lidocaine HCl Local Preservative Free (PF) Inj 1%,77.96,62.37,20.62,70.16,26
NDC,409475503,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),390.04,312.04,1.0,351.04,26
NDC,409475518,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),390.04,312.04,1.0,351.04,26
NDC,409475901,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),389.61,311.69,1.0,350.65,26
NDC,409477702,Ciprofloxacin 400 MG/200ML in D5W,391.0,312.8,1.0,351.9,26
NDC,409490024,Sodium Bicarbonate IV Soln 8.4%,400.55,320.44,1.0,360.5,26
NDC,409490234,Dextrose Inj 50%,397.2,317.76,1.0,357.48,26
NDC,409490264,Dextrose Inj 50%,397.2,317.76,1.0,357.48,26
NDC,409490311,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),391.43,313.15,103.53,352.29,26
NDC,409490311,"Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",391.43,313.15,103.53,352.29,26
NDC,409490311,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",391.43,313.15,1.0,352.29,26
NDC,409490334,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",391.43,313.15,1.0,352.29,26
NDC,409490434,Lidocaine HCl (Cardiac) IV Soln Pref Syr 50 MG/5ML (1%),391.86,313.49,103.65,352.67,26
NDC,409491011,Atropine Sulfate Soln Prefill Syr 0.5 MG/5ML (0.1 MG/ML),80.12,64.1,1.0,72.11,26
NDC,409491034,Atropine Sulfate Soln Prefill Syr 0.5 MG/5ML (0.1 MG/ML),80.12,64.1,1.0,72.11,26
NDC,409491111,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),39.81,31.85,1.0,35.83,26
NDC,409491134,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),39.81,31.85,1.0,35.83,26
NDC,409492811,Calcium Chloride Inj 10%,397.1,317.68,105.03,357.39,26
NDC,409492834,Calcium Chloride Inj 10%,398.21,318.57,105.33,358.39,26
NDC,409493301,Epinephrine IV Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),393.86,315.09,104.18,354.47,26
NDC,409493311,Epinephrine IV Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),393.86,315.09,104.18,354.47,26
NDC,409508211,Ceftazidime For Inj 1 GM,392.87,314.3,1.0,353.58,26
NDC,409508216,Ceftazidime For Inj 1 GM,392.87,314.3,1.0,353.58,26
NDC,409508413,Ceftazidime For IV Soln 2 GM,399.36,319.49,1.0,359.42,26
NDC,409508611,Ceftazidime For IV Soln 6 GM,404.71,323.77,107.05,364.24,26
NDC,409509216,Ceftazidime For IV Soln 1 GM,397.05,317.64,1.0,357.35,26
NDC,409509311,Ceftazidime For IV Soln 2 GM,399.36,319.49,1.0,359.42,26
NDC,409553424,Sodium Bicarbonate IV Soln 4.2%,397.94,318.36,105.26,358.15,26
NDC,409555502,Sodium Bicarbonate IV Soln 4.2%,396.08,316.87,104.76,356.47,26
NDC,409555512,Sodium Bicarbonate IV Soln 4.2%,396.08,316.87,104.76,356.47,26
NDC,409577901,Parenteral Electrolyte Conc,391.0,312.8,103.42,351.9,26
NDC,409582001,Dopamine HCl Inj 40 MG/ML,391.54,313.24,1.0,352.39,26
NDC,409582011,Dopamine HCl Inj 40 MG/ML,391.54,313.24,1.0,352.39,26
NDC,409592101,Aminophylline Inj 25 MG/ML,399.84,319.88,1.0,359.86,26
NDC,409592116,Aminophylline Inj 25 MG/ML,399.84,319.88,1.0,359.86,26
NDC,409592201,Aminophylline Inj 25 MG/ML,395.98,316.79,1.0,356.38,26
NDC,409592216,Aminophylline Inj 25 MG/ML,395.98,316.79,1.0,356.38,26
NDC,409610202,Furosemide Inj 10 MG/ML,389.63,311.71,103.06,350.67,26
NDC,409610204,Furosemide Inj 10 MG/ML,195.06,156.05,51.59,175.55,26
NDC,409610210,Furosemide Inj 10 MG/ML,77.99,62.4,20.63,70.19,26
NDC,409610218,Furosemide Inj 10 MG/ML,195.06,156.05,51.59,175.55,26
NDC,409610219,Furosemide Inj 10 MG/ML,389.63,311.71,103.06,350.67,26
NDC,409610220,Furosemide Inj 10 MG/ML,77.99,62.4,20.63,70.19,26
NDC,409610225,Furosemide Inj 10 MG/ML,389.63,311.71,103.06,350.67,26
NDC,409610226,Furosemide Inj 10 MG/ML,195.06,156.05,51.59,175.55,26
NDC,409610227,Furosemide Inj 10 MG/ML,77.99,62.4,20.63,70.19,26
NDC,409610235,Furosemide Inj 10 MG/ML,389.63,311.71,103.06,350.67,26
NDC,409610236,Furosemide Inj 10 MG/ML,195.06,156.05,51.59,175.55,26
NDC,409610237,Furosemide Inj 10 MG/ML,77.99,62.4,20.63,70.19,26
NDC,409647644,Erythromycin Lactobionate For Inj 500 MG,396.46,317.17,83.64,356.81,26
NDC,409648201,Erythromycin Lactobionate For Inj 500 MG,454.18,363.35,83.64,408.76,26
NDC,409648211,Erythromycin Lactobionate For Inj 500 MG,454.18,363.35,83.64,408.76,26
NDC,409650901,Vancomycin HCl For IV Soln 5 GM (Base Equivalent),405.45,324.36,107.24,364.91,26
NDC,409653311,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),391.89,313.52,103.65,352.7,26
NDC,409653501,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),394.53,315.63,104.35,355.08,26
NDC,409656201,Testosterone Cypionate IM Inj in Oil 200 MG/ML,199.25,159.4,1.0,179.33,26
NDC,409662514,Sodium Bicarbonate IV Soln 8.4%,397.75,318.2,1.0,357.98,26
NDC,409662522,Sodium Bicarbonate IV Soln 8.4%,397.75,318.2,1.0,357.98,26
NDC,409662530,Sodium Bicarbonate IV Soln 8.4%,397.0,317.6,1.0,357.3,26
NDC,409662902,Succinylcholine Chloride Inj 20 MG/ML,406.7,325.36,1.0,366.03,26
NDC,409662912,Succinylcholine Chloride Inj 20 MG/ML,406.7,325.36,1.0,366.03,26
NDC,409663714,Sodium Bicarbonate IV Soln 8.4%,397.3,317.84,1.0,357.57,26
NDC,409663724,Sodium Bicarbonate IV Soln 8.4%,397.3,317.84,1.0,357.57,26
NDC,409663724,Sodium Bicarbonate Inj 8.4%,397.3,317.84,105.09,357.57,26
NDC,409664802,Dextrose Inj 50%,392.8,314.24,1.0,353.52,26
NDC,409664816,Dextrose Inj 50%,392.8,314.24,1.0,353.52,26
NDC,409665106,Potassium Chloride Inj 2 mEq/ML,391.84,313.48,1.0,352.66,26
NDC,409665119,Potassium Chloride Inj 2 mEq/ML,391.84,313.48,1.0,352.66,26
NDC,409665305,Potassium Chloride Inj 2 mEq/ML,392.76,314.21,1.0,353.48,52
NDC,409665318,Potassium Chloride Inj 2 mEq/ML,392.76,314.21,1.0,353.48,26
NDC,409666001,Sodium Chloride Inj 2.5 mEq/ML (14.6%),390.08,312.07,103.18,351.07,26
NDC,409666075,Sodium Chloride Inj 2.5 mEq/ML (14.6%),390.08,312.07,103.18,351.07,26
NDC,409672903,Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),393.5,314.8,1.0,354.15,26
NDC,409672909,Magnesium Sulfate IV Soln 40 GM/1000ML (40 MG/ML),395.0,316.0,1.0,355.5,26
NDC,409672923,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),390.8,312.64,1.0,351.72,26
NDC,409672923,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),Magnesium Sulfate IV Soln 40 GM",390.8,312.64,103.37,351.72,26
NDC,409672924,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",398.35,318.68,1.0,358.52,52
NDC,409677802,Lorazepam Inj 2 MG/ML,390.55,312.44,1.0,351.5,26
NDC,409677811,Lorazepam Inj 2 MG/ML,390.55,312.44,1.0,351.5,26
NDC,409710167,Sodium Chloride IV Soln 0.9%,153.4,122.72,1.0,138.06,26
NDC,409710168,Sodium Chloride IV Soln 0.9%,153.74,123.0,1.0,138.37,26
NDC,409710169,Sodium Chloride IV Soln 0.9%,153.74,123.0,1.0,138.37,26
NDC,409729501,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",401.75,321.4,1.0,361.58,52
NDC,409729501,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),401.75,321.4,106.26,361.58,26
NDC,409729511,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),401.75,321.4,106.26,361.58,26
NDC,409729945,Sodium Acetate Inj 2 mEq/ML,391.62,313.3,103.58,352.46,26
NDC,409729983,Sodium Acetate Inj 2 mEq/ML,389.7,311.76,103.08,350.73,26
NDC,409733201,Ceftriaxone Sodium For Inj 1 GM,390.2,312.16,1.0,351.18,26
NDC,409733211,Ceftriaxone Sodium For Inj 1 GM,390.2,312.16,1.0,351.18,26
NDC,409733304,Ceftriaxone Sodium For IV Soln 1 GM,391.98,313.59,1.0,352.78,26
NDC,409733503,Ceftriaxone Sodium For Inj 2 GM,391.27,313.02,1.0,352.14,26
NDC,409733513,Ceftriaxone Sodium For Inj 2 GM,391.25,313.0,1.0,352.13,26
NDC,409733801,Ceftriaxone Sodium For Inj 500 MG,389.92,311.94,1.0,350.93,26
NDC,409739172,"Sodium Phosphate Inj 3 MMole/ML,Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),Sodium Phosphates Inj 150 mM/50ML (Phos) 200 mEq/50ML (N",403.0,322.4,106.59,362.7,26
NDC,409739172,Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),403.0,322.4,1.0,362.7,26
NDC,409741803,Dextran 40 Inj 10% in D5W,409.5,327.6,108.31,368.55,26
NDC,409741813,Dextran 40 Inj 10% in D5W,409.5,327.6,108.31,368.55,26
NDC,409751716,Dextrose Inj 50%,403.2,322.56,1.0,362.88,26
NDC,409751766,Dextrose Inj 50%,403.2,322.56,1.0,362.88,26
NDC,409762003,Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,392.5,314.0,1.0,353.25,26
NDC,409762013,Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,392.5,314.0,1.0,353.25,26
NDC,409762049,"Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%",392.0,313.6,1.0,352.8,26
NDC,409762049,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%,392.0,313.6,1.0,352.8,26
NDC,409765052,Heparin Sod (Porcine) in NaCl IV Soln 25000 Unit/250ML-0.45%,391.5,313.2,1.0,352.35,26
NDC,409765062,Heparin Sod (Porcine) in NaCl IV Soln 25000 Unit/250ML-0.45%,391.5,313.2,1.0,352.35,26
NDC,409779352,Heparin Sodium (Porcine) 100 Unit/ML in D5W,395.25,316.2,1.0,355.73,26
NDC,409779362,Heparin Sodium (Porcine) 100 Unit/ML in D5W,394.5,315.6,1.0,355.05,26
NDC,409780911,Dopamine in Dextrose 5% Inj 1.6 MG/ML,395.5,316.4,1.0,355.95,26
NDC,409780922,Dopamine in Dextrose 5% Inj 1.6 MG/ML,395.75,316.6,1.0,356.18,26
NDC,409780924,Dopamine Inj 1.6 MG/ML in D5W,403.0,322.4,106.59,362.7,26
NDC,409781124,Metronidazole IV Soln 500 MG/100ML,390.5,312.4,0.02,351.45,52
NDC,409781137,Metronidazole IV Soln 500 MG/100ML,390.3,312.24,0.02,351.27,52
NDC,409796905,Cardioplegic Soln,235.0,188.0,62.16,211.5,26
NDC,409818301,Potassium Acetate Inj 2 mEq/ML,391.82,313.46,103.64,352.64,26
NDC,409818311,Potassium Acetate Inj 2 mEq/ML,391.82,313.46,103.64,352.64,26
NDC,409818315,Potassium Acetate Inj 2 mEq/ML,391.82,313.46,103.64,352.64,26
NDC,409830015,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),1558.38,1246.71,1.0,1402.54,26
NDC,40985021368,Chromium Picolinate Tab 200 MCG,1.03,0.83,0.27,0.93,26
NDC,40985022301,Glucosamine-Chondroitin Cap 500-400 MG,1.18,0.95,0.31,1.06,26
NDC,40985022368,Multiple Vitamins w/ Minerals Tab,1.04,0.84,0.28,0.94,26
NDC,40985022668,B-Complex w/ C Tab,1.05,0.84,0.28,0.95,26
NDC,40985022872,Omega-3 Fatty Acids Cap 1000 MG,1.04,0.84,0.28,0.94,26
NDC,40985027087,Melatonin Tab 5 MG,1.05,0.84,0.28,0.95,26
NDC,40985027492,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.05,0.84,0.28,0.95,26
NDC,40985027493,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.04,0.84,0.28,0.94,26
NDC,40985027495,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.03,0.83,0.27,0.93,26
NDC,4098601505,Bismuth Subsalicylate Chew Tab 262 MG,1.15,0.92,0.3,1.04,26
NDC,409904217,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),391.01,312.81,103.42,351.91,26
NDC,409904516,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),390.86,312.69,103.38,351.77,26
NDC,409904517,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),390.86,312.69,103.38,351.77,26
NDC,409904601,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000,392.9,314.32,103.92,353.61,26
NDC,409909335,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",389.33,311.47,1.0,350.4,26
NDC,409909335,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,77.87,62.3,1.0,70.08,26
NDC,409909345,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",389.33,311.47,1.0,350.4,26
NDC,409909345,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,77.87,62.3,1.0,70.08,26
NDC,409909412,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,389.55,311.64,1.0,350.6,26
NDC,409909417,Fentanyl Citrate Preservative Free (PF) Inj 500 MCG/10ML,78.24,62.6,1.0,70.42,26
NDC,409909418,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",389.96,311.97,1.0,350.96,26
NDC,409909418,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,77.99,62.4,1.0,70.19,26
NDC,409909422,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,389.55,311.64,1.0,350.6,26
NDC,409909425,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",389.96,311.97,1.0,350.96,26
NDC,409909425,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,77.99,62.4,1.0,70.19,26
NDC,409909428,Fentanyl Citrate Preservative Free (PF) Inj 500 MCG/10ML,78.24,62.6,1.0,70.42,26
NDC,409909431,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,39.23,31.39,1.0,35.31,26
NDC,409909441,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,7.85,6.28,1.0,7.07,26
NDC,409909461,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,7.85,6.28,1.0,7.07,26
NDC,409910420,Dopamine HCl Inj 40 MG/ML,390.89,312.72,1.0,351.8,26
NDC,409910421,Dopamine HCl Inj 40 MG/ML,390.89,312.72,1.0,351.8,26
NDC,409915701,Phytonadione Inj 1 MG/0.5ML (2 MG/ML),392.39,313.92,1.0,353.15,26
NDC,409915701,Phytonadione Inj 2 MG/ML,392.39,313.92,103.79,353.15,26
NDC,409915731,Phytonadione Inj 1 MG/0.5ML (2 MG/ML),392.79,314.24,1.0,353.51,26
NDC,409915750,Phytonadione Inj 1 MG/0.5ML (2 MG/ML),392.79,314.24,1.0,353.51,26
NDC,409915801,Phytonadione Inj 10 MG/ML,426.54,341.24,1.0,383.89,52
NDC,409915825,Phytonadione Inj 10 MG/ML,429.64,343.72,1.0,386.68,26
NDC,409915831,Phytonadione Inj 10 MG/ML,426.54,341.24,1.0,383.89,26
NDC,409955805,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),391.16,312.93,103.46,352.04,26
NDC,409955811,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),391.16,312.93,103.46,352.04,26
NDC,409955849,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),391.16,312.93,103.46,352.04,26
NDC,409955869,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),391.16,312.93,103.46,352.04,26
NDC,41100080657,Loratadine Chew Tab 5 MG,1.89,1.52,0.5,1.7,26
NDC,41100080955,Loratadine Chew Tab 5 MG,1.75,1.4,0.46,1.58,26
NDC,41100081125,Oxymetazoline HCl Nasal Soln 0.05%,8.68,6.95,2.3,7.81,26
NDC,41100082067,Loratadine Chew Tab 5 MG,1.95,1.56,0.52,1.76,26
NDC,4110020,Capecitabine Tab 150 MG,7.2,5.76,0.03,6.48,34
NDC,4110150,Capecitabine Tab 500 MG,43.29,34.64,0.03,38.96,34
NDC,41167000210,Hydrocortisone Cream 1%,29.98,23.99,7.93,26.98,26
NDC,41167000250,Hydrocortisone Oint 1%,29.98,23.99,7.93,26.98,26
NDC,41167000607,Doxylamine Succinate (Sleep) Tab 25 MG,1.33,1.07,0.35,1.2,26
NDC,41167000609,Doxylamine Succinate (Sleep) Tab 25 MG,1.24,1.0,0.33,1.12,26
NDC,41167000623,Doxylamine Succinate (Sleep) Tab 25 MG,1.21,0.97,0.32,1.09,26
NDC,41167000881,Menthol-Methyl Salicylate Cream,6.02,4.82,1.59,5.42,26
NDC,41167000883,Menthol-Methyl Salicylate Cream,3.73,2.99,0.99,3.36,26
NDC,41167000885,Menthol-Methyl Salicylate Cream,3.8,3.04,1.01,3.42,26
NDC,41167000891,Menthol-Methyl Salicylate Cream,5.76,4.61,1.52,5.18,26
NDC,41167005723,Trolamine Salicylate Cream 10%,6.02,4.82,1.59,5.42,26
NDC,41167005743,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),14.7,11.76,3.89,13.23,26
NDC,41167061803,Salicylic Acid Shampoo 3%,7.83,6.27,2.07,7.05,26
NDC,41167073003,Trolamine Salicylate Cream 10%,5.17,4.14,1.37,4.65,26
NDC,41167424404,Fexofenadine HCl Susp 30 MG/5ML (6 MG/ML),25.28,20.23,6.69,22.75,26
NDC,41679036513,Medium Chain Triglycerides Oral Oil,71.35,57.08,18.87,64.22,26
NDC,42023010401,Tuberculin PPD Inj 5 Unit/0.1ML,396.59,317.28,104.9,356.93,26
NDC,42023010501,Methohexital Sodium For Inj 500 MG,441.11,352.89,116.67,397.0,26
NDC,42023010701,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),401.0,320.8,1.0,360.9,52
NDC,42023010701,"Colistimethate Sod For Inj 150 MG (Colistin Base Activity),Colistimethate Sod For Inj 150 MG (Colistin Base Activity)",401.0,320.8,1.0,360.9,26
NDC,42023010706,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),400.55,320.44,1.0,360.5,52
NDC,42023010706,"Colistimethate Sod For Inj 150 MG (Colistin Base Activity),Colistimethate Sod For Inj 150 MG (Colistin Base Activity)",400.55,320.44,1.0,360.5,26
NDC,42023011201,Estradiol Valerate IM In Oil 40 MG/ML,414.18,331.35,1.0,372.76,26
NDC,42023011510,Ketamine HCl Inj 100 MG/ML,396.6,317.28,104.9,356.94,26
NDC,42023011625,Oxytocin Inj 10 Unit/ML,389.74,311.8,1.0,350.77,26
NDC,42023012401,Dantrolene Sodium Cap 25 MG,1.81,1.45,0.48,1.63,26
NDC,42023012901,Fluphenazine Decanoate Inj 25 MG/ML,414.24,331.4,1.0,372.82,26
NDC,42023014625,Dexmedetomidine HCl IV Soln 200 MCG/2ML,398.35,318.68,105.36,358.52,26
NDC,42023015701,Ethacrynate Sodium For Inj 50 MG,11280.07,9024.06,2983.58,10152.06,26
NDC,42023015901,Epinephrine Inj 1 MG/ML (1:1000),80.4,64.32,21.27,72.36,26
NDC,42023015901,"Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 1 MG/ML",402.0,321.6,106.33,361.8,26
NDC,42023015925,Epinephrine Inj 1 MG/ML (1:1000),80.4,64.32,21.27,72.36,26
NDC,42023016801,Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),501.05,400.84,132.53,450.95,26
NDC,42023016801,"Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 1 MG/ML",501.05,400.84,132.53,450.95,26
NDC,42023018201,Argatroban Inj 250 MG/2.5ML (Concentrate For IV Infusion),1018.14,814.52,1.21,916.33,26
NDC,42023020101,Levothyroxine Sodium For IV Inj 100 MCG,477.91,382.33,126.41,430.12,26
NDC,42023022901,Micafungin Sodium For IV Soln 50 MG,401.52,321.22,0.4,361.37,26
NDC,42023022910,Micafungin Sodium For IV Soln 50 MG,401.52,321.22,0.4,361.37,26
NDC,42023024301,Ephedrine Sulfate IV Soln 5 MG/ML,80.59,64.48,21.32,72.53,26
NDC,42023050001,Epinephrine-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML),448.25,358.6,1.0,403.43,26
NDC,42192033001,Thyroid Tab 60 MG (1 Grain),1.1,0.88,0.29,0.99,26
NDC,42192061405,Phenytoin Sodium Inj 50 MG/ML,157.45,125.96,1.0,141.71,26
NDC,42192061430,Phenytoin Sodium Inj 50 MG/ML,157.45,125.96,1.0,141.71,26
NDC,42367054032,Dantrolene Sodium For IV Susp 250 MG,2306.34,1845.08,610.03,2075.71,26
NDC,42385095330,Emtricitabine-Tenofovir Disoproxil Fumarate Tab 200-300 MG,1.77,1.42,0.47,1.59,26
NDC,42494041501,Phenobarbital Sodium Inj 65 MG/ML,405.53,324.43,1.0,364.98,26
NDC,42494041525,Phenobarbital Sodium Inj 65 MG/ML,405.53,324.43,1.0,364.98,26
NDC,42494041601,Phenobarbital Sodium Inj 130 MG/ML,414.19,331.36,1.0,372.77,26
NDC,42494041625,Phenobarbital Sodium Inj 130 MG/ML,414.19,331.36,1.0,372.77,26
NDC,42494045020,Vancomycin HCl Cap 125 MG (Base Equivalent),2.86,2.29,0.76,2.57,26
NDC,42543014050,Hydrocortisone Tab 5 MG,1.16,0.93,0.31,1.04,26
NDC,42543040601,Potassium Citrate Tab ER 5 MEQ (540 MG),1.73,1.39,0.46,1.56,26
NDC,42543040701,Potassium Citrate Tab ER 10 MEQ (1080 MG),1.83,1.47,0.48,1.65,26
NDC,42571013027,Travoprost Ophth Soln 0.004% (Benzalkonium Free) (BAK Free),100.85,80.68,26.67,90.77,26
NDC,42571013725,Ketorolac Tromethamine Ophth Soln 0.5%,33.71,26.97,8.92,30.34,26
NDC,42571016142,Amoxicillin & K Clavulanate Tab 500-125 MG,1.47,1.18,0.39,1.32,26
NDC,42571016201,Amoxicillin & K Clavulanate Tab 875-125 MG,1.56,1.25,0.41,1.4,26
NDC,42571016242,Amoxicillin & K Clavulanate Tab 875-125 MG,1.56,1.25,0.41,1.4,26
NDC,42571024469,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),391.61,313.29,1.0,352.45,26
NDC,42571034230,Clomipramine HCl Cap 25 MG,2.42,1.94,0.64,2.18,26
NDC,42658000801,Dactinomycin For Inj 0.5 MG,1449.84,1159.88,311.92,1304.86,34
NDC,42658001001,Cladribine IV Soln 10 MG/10ML (1 MG/ML),897.5,718.0,10.14,807.75,34
NDC,42658002101,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),423.92,339.14,20.61,381.53,34
NDC,42658002191,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),684.95,547.96,20.61,616.46,34
NDC,42658002192,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),359.35,287.48,20.61,323.42,34
NDC,42658012204,Irbesartan Tab 150 MG,1.16,0.93,0.31,1.04,26
NDC,42702010305,Phenylephrine HCl Ophth Soln 10%,62.46,49.97,16.52,56.21,26
NDC,42794001902,Liothyronine Sodium Tab 25 MCG,1.66,1.33,0.44,1.49,26
NDC,42799080601,Ivermectin Tab 3 MG,4.87,3.9,1.29,4.38,26
NDC,42806009430,Potassium Chloride Powder Packet 20 mEq,6.11,4.89,1.62,5.5,26
NDC,42806009499,Potassium Chloride Powder Packet 20 mEq,6.11,4.89,1.62,5.5,26
NDC,42806013424,Leucovorin Calcium Tab 15 MG,5.91,4.73,1.56,5.32,26
NDC,42806014301,Demeclocycline HCl Tab 150 MG,4.79,3.84,1.27,4.31,26
NDC,42806015134,Azithromycin For Susp 200 MG/5ML,26.54,21.24,8.89,25.19,26
NDC,42806035801,Leucovorin Calcium Tab 5 MG,1.71,1.37,0.45,1.54,26
NDC,42806035830,Leucovorin Calcium Tab 5 MG,1.84,1.48,0.49,1.66,26
NDC,42806035925,Leucovorin Calcium Tab 25 MG,5.77,4.62,1.53,5.19,26
NDC,42806040021,Methylprednisolone Tab Therapy Pack 4 MG (21),527.96,422.37,139.65,475.16,26
NDC,42806050301,Ursodiol Cap 300 MG,1.38,1.11,0.37,1.24,26
NDC,42806051230,Quinidine Sulfate Tab 300 MG,12.8,10.24,3.39,11.52,26
NDC,42806071401,Benzonatate Cap 100 MG,1.1,0.88,0.29,0.99,26
NDC,42806075760,Sulfadiazine Tab 500 MG,15.89,12.72,4.2,14.3,26
NDC,42858000101,Oxycodone HCl Tab 5 MG,1.06,0.85,0.28,0.95,26
NDC,42858000110,Oxycodone HCl Tab 5 MG,1.42,1.14,0.38,1.28,26
NDC,42858000301,Oxycodone HCl Tab 15 MG,1.2,0.96,0.32,1.08,26
NDC,42858010201,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.07,0.86,0.28,0.96,26
NDC,42858010250,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.14,0.92,0.3,1.03,26
NDC,42858030101,Hydromorphone HCl Tab 2 MG,1.06,0.85,0.28,0.95,26
NDC,42858030125,Hydromorphone HCl Tab 2 MG,1.13,0.91,0.3,1.02,26
NDC,42858030201,Hydromorphone HCl Tab 4 MG,1.32,1.06,0.35,1.19,26
NDC,42858030225,Hydromorphone HCl Tab 4 MG,1.21,0.97,0.32,1.09,26
NDC,42858030416,Hydromorphone HCl Liqd 1 MG/ML,25.17,20.14,6.66,22.65,26
NDC,42858070101,Theophylline Tab ER 24HR 400 MG,1.84,1.48,0.49,1.66,26
NDC,42858080101,Morphine Sulfate Tab ER 15 MG,1.21,0.97,0.32,1.09,26
NDC,42858080201,Morphine Sulfate Tab ER 30 MG,1.36,1.09,0.36,1.22,26
NDC,42858080401,Morphine Sulfate Tab ER 100 MG,1.71,1.37,0.45,1.54,26
NDC,430375414,Estradiol Vaginal Cream 0.1 MG/GM,150.67,120.54,39.85,135.6,26
NDC,43066000710,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),390.78,312.63,103.36,351.7,26
NDC,43066001401,Oxaliplatin IV Soln 50 MG/10ML,296.9,237.52,1.0,267.21,26
NDC,43066001501,Ropivacaine HCl Inj 2 MG/ML,392.48,313.99,1.0,353.23,26
NDC,43066001510,Ropivacaine HCl Inj 2 MG/ML,392.48,313.99,1.0,353.23,26
NDC,43066001610,Nicardipine HCl IV Soln 40 MG/200ML in Sodium Chloride 0.83%,447.4,357.92,0.41,402.66,26
NDC,43066001901,Ropivacaine HCl Inj 5 MG/ML,78.29,62.64,1.0,70.46,26
NDC,43066001910,Ropivacaine HCl Inj 5 MG/ML,78.29,62.64,1.0,70.46,26
NDC,43066002301,Ropivacaine HCl Inj 5 MG/ML,52.48,41.99,1.0,47.23,26
NDC,43066002310,Ropivacaine HCl Inj 5 MG/ML,52.48,41.99,1.0,47.23,26
NDC,43066002410,Nicardipine HCl IV Soln 40 MG/200ML in Sodium Chloride 0.83%,447.4,357.92,0.41,402.66,26
NDC,43066008910,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1095.0,876.0,15.27,985.5,34
NDC,43066015010,Amiodarone HCl in Dextrose 4.21% IV Soln 150 MG/100ML,403.0,322.4,3.92,362.7,26
NDC,43066036020,Amiodarone HCl in Dextrose 4.14% IV Soln 360 MG/200ML,407.0,325.6,3.92,366.3,26
NDC,43066036020,Amiodarone HCl in Dextrose IV Soln 360 MG/200ML,407.0,325.6,3.92,366.3,26
NDC,43066055712,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,463.3,370.64,122.54,416.97,26
NDC,43066099324,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,399.7,319.76,2.18,359.73,26
NDC,43292056368,Naproxen Sodium Tab 220 MG,1.04,0.84,0.28,0.94,26
NDC,43386003860,Voriconazole For Susp 40 MG/ML,44.35,35.48,11.73,39.92,26
NDC,43386006019,PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 240 GM,27.37,21.9,7.24,24.63,26
NDC,43386016101,Misoprostol Tab 200 MCG,1.65,1.32,0.44,1.49,26
NDC,43386016106,Misoprostol Tab 200 MCG,1.71,1.37,0.45,1.54,26
NDC,43386031208,Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP,6.24,5.0,1.65,5.62,26
NDC,43386077001,Flucytosine Cap 500 MG,91.18,72.95,24.12,82.06,26
NDC,43386098001,Carbidopa Tab 25 MG,4.49,3.6,1.19,4.04,26
NDC,43528000301,Hepatitis B Vaccine Recomb Adjuvanted Pref Syr 20 MCG/0.5ML,484.35,387.48,158.87,435.92,34
NDC,43528000305,Hepatitis B Vaccine Recomb Adjuvanted Pref Syr 20 MCG/0.5ML,484.35,387.48,158.87,435.92,34
NDC,43547000503,Roflumilast Tab 500 MCG,2.3,1.84,0.61,2.07,26
NDC,43547000509,Roflumilast Tab 500 MCG,2.3,1.84,0.61,2.07,26
NDC,43547026810,Ropinirole Hydrochloride Tab 0.25 MG,1.09,0.88,0.29,0.98,26
NDC,43547027010,Ropinirole Hydrochloride Tab 1 MG,1.07,0.86,0.28,0.96,26
NDC,43547027509,Donepezil Hydrochloride Tab 5 MG,1.07,0.86,0.28,0.96,26
NDC,43547027511,Donepezil Hydrochloride Tab 5 MG,1.06,0.85,0.28,0.95,26
NDC,43547028010,Escitalopram Oxalate Tab 5 MG (Base Equiv),1.03,0.83,0.27,0.93,26
NDC,43547028110,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.11,0.89,0.29,1.0,26
NDC,43547028210,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.08,0.87,0.29,0.97,26
NDC,43547029503,Febuxostat Tab 40 MG,1.6,1.28,0.42,1.44,26
NDC,43547033610,Benazepril HCl Tab 10 MG,1.05,0.84,0.28,0.95,26
NDC,43547034506,Levetiracetam Tab ER 24HR 500 MG,1.18,0.95,0.31,1.06,26
NDC,43547034606,Levetiracetam Tab ER 24HR 750 MG,1.32,1.06,0.35,1.19,26
NDC,43547036009,Losartan Potassium Tab 25 MG,1.12,0.9,0.3,1.01,26
NDC,43547036211,Losartan Potassium Tab 100 MG,1.22,0.98,0.32,1.1,26
NDC,43547036703,Valsartan Tab 40 MG,1.17,0.94,0.31,1.05,26
NDC,43547036909,Valsartan Tab 160 MG,1.2,0.96,0.32,1.08,26
NDC,43547040110,Furosemide Tab 20 MG,1.03,0.83,0.27,0.93,26
NDC,43547040210,Furosemide Tab 40 MG,1.03,0.83,0.27,0.93,26
NDC,43547040510,Methocarbamol Tab 500 MG,1.07,0.86,0.28,0.96,26
NDC,43547040610,Clonazepam Tab 0.5 MG,1.01,0.81,0.27,0.91,26
NDC,43547040710,Clonazepam Tab 1 MG,1.02,0.82,0.27,0.92,26
NDC,43547040810,Clonazepam Tab 2 MG,1.04,0.84,0.28,0.94,26
NDC,43547043506,Clonidine HCl Tab ER 12HR 0.1 MG,1.45,1.16,0.38,1.31,26
NDC,43547052503,Nebivolol HCl Tab 5 MG (Base Equivalent),1.21,0.97,0.32,1.09,26
NDC,43547052509,Nebivolol HCl Tab 5 MG (Base Equivalent),1.21,0.97,0.32,1.09,26
NDC,43547053001,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),390.94,312.76,103.4,351.85,26
NDC,43547053010,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),390.94,312.76,103.4,351.85,26
NDC,43547054301,Glycopyrrolate Inj 0.2 MG/ML,195.71,156.57,0.43,176.14,34
NDC,43547054325,Glycopyrrolate Inj 0.2 MG/ML,195.71,156.57,0.43,176.14,34
NDC,43553325105,Miconazole Nitrate Ointment 2%,6.64,5.32,1.76,5.98,26
NDC,43598005011,Thiamine HCl Inj 100 MG/ML,390.67,312.54,1.0,351.6,26
NDC,43598005025,Thiamine HCl Inj 100 MG/ML,391.505,313.21000000000004,1.0,353.11,52
NDC,43598008511,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),61.29,49.04,2.56,55.16,26
NDC,43598010610,Diazepam Inj 5 MG/ML,201.09,160.88,1.0,180.98,26
NDC,43598010611,Diazepam Inj 5 MG/ML,201.09,160.88,1.0,180.98,26
NDC,43598012725,Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv),394.63,315.71,0.2,355.17,34
NDC,43598012745,Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv),394.63,315.71,0.2,355.17,34
NDC,43598012811,Methylprednisolone Sod Succ For Inj 500 MG (Base Equiv),402.86,322.29,0.2,362.57,34
NDC,43598012901,Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv),391.41,313.13,0.2,352.27,34
NDC,43598012925,Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv),391.41,313.13,0.2,352.27,34
NDC,43598013074,Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv),401.52,321.22,0.2,361.37,34
NDC,43598014211,Nelarabine IV Soln 5 MG/ML,1003.2,802.56,75.87,902.88,34
NDC,43598016405,Olanzapine Tab 5 MG,1.07,0.86,0.28,0.96,26
NDC,43598016911,Enalaprilat IV Soln 1.25 MG/ML,395.67,316.54,1.0,356.1,26
NDC,43598016958,Enalaprilat IV Soln 1.25 MG/ML,395.67,316.54,1.0,356.1,26
NDC,43598021040,Silver Sulfadiazine Cream 1%,41.0,32.8,10.84,36.9,26
NDC,43598021055,Silver Sulfadiazine Cream 1%,28.0,22.4,7.41,25.2,26
NDC,43598028335,Doxorubicin HCl Liposomal Susp (For IV Infusion) 2 MG/ML,2363.2,1890.56,94.03,2126.88,36
NDC,43598030390,Finasteride Tab 5 MG,1.36,1.09,0.36,1.22,26
NDC,43598030562,Azacitidine For Inj 100 MG,1562.08,1249.67,0.37,1405.87,26
NDC,43598030920,Clofarabine IV Soln 1 MG/ML,2037.94,1630.36,3.98,1834.15,34
NDC,43598032675,Ciprofloxacin-Dexamethasone Otic Susp 0.3-0.1%,119.59,95.68,31.63,107.63,52
NDC,43598036930,Cinacalcet HCl Tab 90 MG (Base Equiv),5.08,4.07,1.34,4.57,26
NDC,43598040511,Phytonadione Inj 10 MG/ML,420.58,336.47,1.0,378.52,26
NDC,43598040516,Phytonadione Inj 10 MG/ML,420.58,336.47,1.0,378.52,26
NDC,43598044671,Nicotine TD Patch 24HR 7 MG/24HR,2.6,2.08,0.69,2.34,26
NDC,43598044771,Nicotine TD Patch 24HR 14 MG/24HR,2.32,1.86,0.61,2.09,26
NDC,43598044774,Nicotine TD Patch 24HR 14 MG/24HR,2.6,2.08,0.69,2.34,26
NDC,43598047611,Daptomycin For IV Soln 350 MG,401.6,321.28,1.0,361.44,26
NDC,43598047801,Sevelamer Carbonate Packet 0.8 GM,6.66,5.33,0.39,5.99,52
NDC,43598047890,Sevelamer Carbonate Packet 0.8 GM,6.7,5.36,0.39,6.03,52
NDC,43598047901,Sevelamer Carbonate Packet 2.4 GM,6.53,5.23,0.39,5.88,52
NDC,43598047990,Sevelamer Carbonate Packet 2.4 GM,6.53,5.23,0.39,5.88,52
NDC,43598048624,Nicotine Polacrilex Lozenge 2 MG,1.43,1.15,0.38,1.29,26
NDC,43598050530,Raloxifene HCl Tab 60 MG,3.15,2.52,0.83,2.84,26
NDC,43598050930,Esomeprazole Magnesium Cap Delayed Release 20 MG (Base Eq),1.28,1.03,0.34,1.15,26
NDC,43598050990,Esomeprazole Magnesium Cap Delayed Release 20 MG (Base Eq),1.2,0.96,0.32,1.08,26
NDC,43598052911,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),389.19,311.36,1.0,350.27,26
NDC,43598056178,Lansoprazole Tab Delayed Release Orally Disintegrating 30 MG,6.78,5.43,1.79,6.1,26
NDC,43598056179,Lansoprazole Tab Delayed Release Orally Disintegrating 30 MG,6.78,5.43,1.79,6.1,26
NDC,43598058811,Difluprednate Ophth Emulsion 0.05%,150.15,120.12,39.71,135.14,26
NDC,43598063610,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,408.0,326.4,1.0,367.2,26
NDC,43598063652,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,408.0,326.4,1.0,367.2,26
NDC,43598063710,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,398.9,319.12,1.0,359.01,26
NDC,43598063752,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,398.9,319.12,1.0,359.01,26
NDC,43598064911,Treprostinil Inj Soln 20 MG/20ML (1 MG/ML),4160.93,3328.75,51.97,3744.84,34
NDC,43598065530,Bupropion HCl Tab ER 24HR 150 MG,1.4,1.12,0.37,1.26,26
NDC,43598069811,Carboprost Tromethamine IM Soln 250 MCG/ML,984.87,787.9,260.5,886.38,26
NDC,43598069858,Carboprost Tromethamine IM Soln 250 MCG/ML,984.87,787.9,260.5,886.38,26
NDC,43598072101,Hydroxychloroquine Sulfate Tab 200 MG,1.21,0.97,0.32,1.09,26
NDC,43598072105,Hydroxychloroquine Sulfate Tab 200 MG,1.46,1.17,0.39,1.31,26
NDC,43598074811,Timolol Maleate Ophth Gel Forming Soln 0.5%,159.28,127.43,42.13,143.35,26
NDC,43598075260,Bupropion HCl Tab ER 12HR 150 MG,1.25,1.0,0.33,1.13,26
NDC,43598075910,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,406.0,324.8,1.0,365.4,26
NDC,43598075952,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,410.0,328.0,1.0,369.0,26
NDC,43598083911,Methocarbamol Inj 1000 MG/10ML,394.67,315.74,1.0,355.2,26
NDC,43598083936,Methocarbamol Inj 1000 MG/10ML,394.67,315.74,1.0,355.2,26
NDC,43598089511,Nitroglycerin TD Patch 24HR 0.2 MG/HR,2.3,1.84,0.61,2.07,26
NDC,43598089530,Nitroglycerin TD Patch 24HR 0.2 MG/HR,2.3,1.84,0.61,2.07,26
NDC,43598090111,Ertapenem Sodium For Inj 1 GM (Base Equivalent),421.51,337.21,1.0,379.36,26
NDC,43598090158,Ertapenem Sodium For Inj 1 GM (Base Equivalent),421.51,337.21,1.0,379.36,26
NDC,43598094811,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),404.01,323.21,1.0,363.61,26
NDC,436067216,Sodium Hypochlorite Soln 0.125%,12.35,9.88,3.27,11.12,26
NDC,436093616,Sodium Hypochlorite Soln 0.25%,9.99,8.0,2.64,8.99,26
NDC,436094616,Sodium Hypochlorite Soln 0.5%,9.99,8.0,2.64,8.99,26
NDC,43825000641,Thrombin (Recombinant) For Soln 5000 Unit,75.71,60.57,20.03,68.14,26
NDC,43825010201,Acetaminophen IV Soln 10 MG/ML,411.8,329.44,1.0,370.62,26
NDC,43900028300,"Glutamine Powder,Glutamine Powd Pack 15 GM",1.84,1.48,0.49,1.66,26
NDC,43900028330,"Glutamine Powder,Glutamine Powd Pack 15 GM",103.04,82.44,27.25,92.74,26
NDC,43975021710,Indapamide Tab 1.25 MG,1.12,0.9,0.3,1.01,26
NDC,44087002203,Interferon Beta-1a Soln Pref Syr 22 MCG/0.5ML,1962.08,1569.67,518.97,1765.87,26
NDC,44087002209,Interferon Beta-1a Soln Pref Syr 22 MCG/0.5ML,1962.08,1569.67,518.97,1765.87,26
NDC,44087004403,Interferon Beta-1a Soln Pref Syr 44 MCG/0.5ML,2530.63,2024.51,669.35,2277.57,26
NDC,44087004409,Interferon Beta-1a Soln Pref Syr 44 MCG/0.5ML,2530.63,2024.51,669.35,2277.57,26
NDC,44206025105,"Albumin, Human Inj 25%",419.3,335.44,50.42,377.37,36
NDC,44206025110,"Albumin, Human Inj 25%",337.20000000000005,269.76,50.42,404.64,72
NDC,44206025190,"Albumin, Human Inj 25%",419.25,335.4,50.42,377.33,36
NDC,44206025191,"Albumin, Human Inj 25%",224.75,179.8,50.42,202.28,36
NDC,44206030001,Rho D Immune Globulin Sol Pref Syr 1500 Unt/2ML (300MCG/2ML),462.74,370.2,1.0,416.47,26
NDC,44206031025,"Albumin, Human Inj 5%",419.25,335.4,10.08,377.33,72
NDC,44206031050,"Albumin, Human Inj 5%",449.5,359.6,10.08,404.55,36
NDC,44206043605,Immune Globulin (Human) IV Soln 5 GM/50ML,1635.75,1308.6,47.59,1472.18,34
NDC,44206043605,"Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 GM/100ML,Immune Globulin (Human) IV Soln 20 GM/200ML,Immune Globulin (Human) IV Soln 40 GM/400ML",1635.75,1308.6,47.59,1472.18,34
NDC,44206043710,Immune Globulin (Human) IV Soln 10 GM/100ML,3121.5,2497.2,47.59,2809.35,34
NDC,44206043710,"Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 GM/100ML,Immune Globulin (Human) IV Soln 20 GM/200ML,Immune Globulin (Human) IV Soln 40 GM/400ML",3121.5,2497.2,47.59,2809.35,34
NDC,44206043820,Immune Globulin (Human) IV Soln 20 GM/200ML,6093.0,4874.4,47.59,5483.7,34
NDC,44206043820,"Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 GM/100ML,Immune Globulin (Human) IV Soln 20 GM/200ML,Immune Globulin (Human) IV Soln 40 GM/400ML",6093.0,4874.4,47.59,5483.7,34
NDC,44206043940,Immune Globulin (Human) IV Soln 40 GM/400ML,12036.0,9628.8,47.59,10832.4,34
NDC,44206045101,Immune Globulin (Human) Subcutaneous Inj 1 GM/5ML,475.26,380.21,12.73,427.73,34
NDC,44206045202,Immune Globulin (Human) Subcutaneous Inj 2 GM/10ML,800.51,640.41,12.73,720.46,34
NDC,44523061701,Urea Cream 40%,78.33,62.67,20.72,70.5,26
NDC,44567010110,Ampicillin Sodium For Inj 500 MG,390.07,312.06,1.0,351.06,26
NDC,44567021010,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,391.55,313.24,1.0,352.4,26
NDC,44567021110,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,394.02,315.22,1.0,354.62,26
NDC,44567022110,Nafcillin Sodium For Inj 1 GM,392.79,314.24,103.89,353.51,26
NDC,44567022210,Nafcillin Sodium For Inj 2 GM,397.12,317.7,105.04,357.41,26
NDC,44567023525,Ceftazidime For Inj 1 GM,391.71,313.37,1.0,352.54,26
NDC,44567023610,Ceftazidime For IV Soln 2 GM,398.35,318.68,1.0,358.52,26
NDC,44567023706,Ceftazidime For Inj 6 GM,523.73,418.99,1.0,471.36,26
NDC,44567024010,Cefepime HCl For Inj 1 GM,393.27,314.62,1.0,353.94,26
NDC,44567024110,Cefepime HCl For IV Soln 2 GM,398.17,318.54,1.0,358.35,26
NDC,44567024525,Cefoxitin Sodium For IV Soln 1 GM,391.7,313.36,1.0,352.53,26
NDC,44567024625,Cefoxitin Sodium For IV Soln 2 GM,394.36,315.49,1.0,354.92,26
NDC,44567024685,Cefoxitin Sodium For IV Soln 2 GM,394.36,315.49,1.0,354.92,26
NDC,44567031110,Penicillin G Potassium For Inj 5000000 Unit,393.03,314.43,1.0,353.73,26
NDC,44567041024,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,391.9,313.52,1.0,352.71,26
NDC,44567042024,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),396.9,317.52,1.0,357.21,26
NDC,44567042100,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),393.7,314.96,1.0,354.33,26
NDC,44567042124,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),393.7,314.96,1.0,354.33,26
NDC,44567043524,Levofloxacin in D5W IV Soln 250 MG/50ML,391.15,312.92,1.0,352.04,26
NDC,44567043624,Levofloxacin in D5W IV Soln 500 MG/100ML,391.0,312.8,1.0,351.9,26
NDC,44567043724,Levofloxacin in D5W IV Soln 750 MG/150ML,394.25,315.4,1.0,354.83,26
NDC,44567045101,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,465.3,372.24,0.25,418.77,26
NDC,44567050201,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,399.3,319.44,1.0,359.37,26
NDC,44567050210,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,399.3,319.44,1.0,359.37,26
NDC,44567061101,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln,416.3,333.04,0.29,374.67,26
NDC,44567061101,"Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,Midazolam 55 MG/55ML-NaCl 0.9% IV Soln Prefilled Syringe,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln",416.3,333.04,0.29,374.67,26
NDC,44567061110,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln,416.3,333.04,0.29,374.67,26
NDC,44567061110,"Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,Midazolam 55 MG/55ML-NaCl 0.9% IV Soln Prefilled Syringe,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln",416.3,333.04,0.29,374.67,26
NDC,44567062101,Calcium Gluconate-NaCl IV Soln 2 GM/100ML-0.675% (20 MG/ML),405.7,324.56,0.09,365.13,26
NDC,44567062201,Calcium Gluconate-Sodium Chloride IV Soln 1 GM/100ML-0.8%,397.4,317.92,0.09,357.66,26
NDC,44567070125,Ceftriaxone Sodium For Inj 1 GM,391.19,312.96,1.0,352.07,26
NDC,44567070725,Cefazolin Sodium For Inj 1 GM,390.03,312.03,1.0,351.03,26
NDC,44567080210,Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM),399.29,319.44,1.0,359.36,26
NDC,44567080310,Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM),402.72,322.18,1.0,362.45,26
NDC,44677010202,Lanolin Cream,3.36,2.69,0.89,3.02,26
NDC,45008002,Lactase Tab 3000 Unit,10.57,8.46,2.8,9.51,26
NDC,456040001,Ceftaroline Fosamil for IV Soln 400 MG,520.29,416.24,3.86,468.26,34
NDC,456045801,Thyroid Tab 30 MG (1/2 Grain),1.11,0.89,0.29,1.0,26
NDC,456045901,Thyroid Tab 60 MG (1 Grain),1.54,1.24,0.41,1.39,26
NDC,456060001,Ceftaroline Fosamil for IV Soln 600 MG,777.9,622.32,3.86,700.11,34
NDC,456060010,Ceftaroline Fosamil for IV Soln 600 MG,151.05,120.84,3.86,135.95,34
NDC,456112030,Vilazodone HCl Tab 20 MG,8.09,6.48,2.14,7.28,26
NDC,456114030,Vilazodone HCl Tab 40 MG,7.98,6.39,2.11,7.18,26
NDC,456120130,Linaclotide Cap 145 MCG,13.07,10.46,3.46,11.76,26
NDC,456120330,Linaclotide Cap 72 MCG,14.77,11.82,3.91,13.29,26
NDC,456152560,Milnacipran HCl Tab 25 MG,3.1,2.48,0.82,2.79,26
NDC,456201001,Escitalopram Oxalate Tab 10 MG (Base Equiv),9.96,7.97,2.63,8.96,26
NDC,456202001,Escitalopram Oxalate Tab 20 MG (Base Equiv),10.35,8.28,2.74,9.32,26
NDC,456222030,Levomilnacipran HCl Cap ER 24HR 20 MG (Base Equivalent),10.19,8.16,2.7,9.17,26
NDC,456224030,Levomilnacipran HCl Cap ER 24HR 40 MG (Base Equivalent),13.23,10.59,3.5,11.91,26
NDC,456270001,Ceftazidime-Avibactam Sodium For IV Soln 2.5 GM (2-0.5 GM),695.52,556.42,95.44,625.97,34
NDC,456270010,Ceftazidime-Avibactam Sodium For IV Soln 2.5 GM (2-0.5 GM),695.52,556.42,95.44,625.97,34
NDC,456320560,Memantine HCl Tab 5 MG,6.81,5.45,1.8,6.13,26
NDC,456320563,Memantine HCl Tab 5 MG,6.81,5.45,1.8,6.13,26
NDC,456430001,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),66.28,53.03,17.53,59.65,26
NDC,45749001781,Probiotic Product - Cap,1.75,1.4,0.46,1.58,26
NDC,45802003846,Erythromycin Soln 2%,61.96,49.57,16.39,55.76,26
NDC,45802004475,Acyclovir Cream 5%,130.83,104.67,34.6,117.75,26
NDC,45802004611,Gentamicin Sulfate Oint 0.1%,98.86,79.09,26.15,88.97,26
NDC,45802004835,Nystatin Oint 100000 Unit/GM,27.7,22.16,7.33,24.93,26
NDC,45802004935,Triamcinolone Acetonide Oint 0.5%,26.61,21.29,7.04,23.95,26
NDC,45802005536,Triamcinolone Acetonide Oint 0.1%,33.24,26.6,8.79,29.92,26
NDC,45802005635,Gentamicin Sulfate Cream 0.1%,61.96,49.57,16.39,55.76,26
NDC,45802005911,Nystatin Cream 100000 Unit/GM,31.6,25.28,8.36,28.44,26
NDC,45802006001,Bacitracin Oint 500 Unit/GM,2.48,1.99,0.66,2.23,26
NDC,45802006003,Bacitracin Oint 500 Unit/GM,2.43,1.95,0.64,2.19,26
NDC,45802006436,Triamcinolone Acetonide Cream 0.1%,33.48,26.79,8.86,30.13,26
NDC,45802006535,Triamcinolone Acetonide Cream 0.5%,32.67,26.14,8.64,29.4,26
NDC,45802009735,Estradiol Vaginal Cream 0.1 MG/GM,119.99,96.0,31.74,107.99,26
NDC,45802009846,Mesalamine Enema 4 GM,34.18,27.35,9.04,30.76,26
NDC,45802009851,Mesalamine Enema 4 GM,34.18,27.35,9.04,30.76,26
NDC,45802011222,Mupirocin Oint 2%,30.68,24.55,8.11,27.61,26
NDC,45802013970,Metronidazole Vaginal Gel 0.75%,104.1,83.28,27.53,93.69,26
NDC,45802014464,Hydrocortisone Acetate w/ Pramoxine Perianal Cream 1-1%,106.42,85.14,28.15,95.78,26
NDC,45802018816,Phenylephrine-Mineral Oil-Petrolatum Oint 0.25-14-74.9%,3.22,2.58,0.85,2.9,26
NDC,45802021001,Nitroglycerin TL Soln 0.4 MG/SPRAY (400 MCG/SPRAY),172.99,138.4,45.76,155.69,26
NDC,45802027603,Hydrocortisone Oint 1%,2.4,1.92,0.63,2.16,26
NDC,45802034403,Nicotine Polacrilex Lozenge 2 MG,1.37,1.1,0.36,1.23,26
NDC,45802034405,Nicotine Polacrilex Lozenge 2 MG,1.37,1.1,0.36,1.23,26
NDC,45802035758,Saline Nasal Spray 0.65%,3.16,2.53,0.84,2.84,26
NDC,45802035803,Diphenhydramine-Zinc Acetate Cream 2-0.1%,3.09,2.48,0.82,2.78,26
NDC,45802036800,Imiquimod Cream 5%,4.5,3.6,1.19,4.05,26
NDC,45802036862,Imiquimod Cream 5%,4.5,3.6,1.19,4.05,26
NDC,45802039000,Tacrolimus Oint 0.03%,161.11,128.89,42.61,145.0,26
NDC,45802041059,Oxymetazoline HCl Nasal Soln 0.05%,3.01,2.41,0.8,2.71,52
NDC,45802043321,Dextromethorphan Polistirex Extended Release Susp 30 MG/5ML,1.32,1.06,0.35,1.19,26
NDC,45802043411,Clotrimazole Cream 1%,4.09,3.28,1.08,3.68,26
NDC,45802043803,Hydrocortisone Cream 1%,3.1,2.48,0.82,2.79,26
NDC,45802043805,Hydrocortisone Cream 1%,59.5,47.6,15.74,53.55,26
NDC,45802046564,Ketoconazole Shampoo 2%,33.64,26.92,8.9,30.28,26
NDC,45802049071,Naproxen Sodium Tab 220 MG,1.04,0.84,0.28,0.94,26
NDC,45802052555,Lactic Acid (Ammonium Lactate) Lotion 12%,4.86,3.89,1.29,4.37,52
NDC,45802056201,Clindamycin Phosphate Soln 1%,33.7,26.96,8.91,30.33,26
NDC,45802058084,Scopolamine TD Patch 72HR 1 MG/3DAYS,19.35,15.48,3.41,23.22,52
NDC,45802062626,Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML),1.1,0.88,0.29,0.99,26
NDC,45802065075,Loratadine Tab 10 MG,1.05,0.84,0.28,0.95,26
NDC,45802065087,Loratadine Tab 10 MG,1.04,0.84,0.28,0.94,26
NDC,45802070000,Tacrolimus Oint 0.1%,133.66,106.93,35.35,120.29,26
NDC,45802073030,Acetaminophen Suppos 650 MG,1.22,0.98,0.32,1.1,26
NDC,45802073032,Acetaminophen Suppos 650 MG,1.33,1.07,0.35,1.2,26
NDC,45802073200,Acetaminophen Suppos 120 MG,1.09,0.88,0.29,0.98,26
NDC,45802073230,Acetaminophen Suppos 120 MG,1.16,0.93,0.31,1.04,26
NDC,45802075900,Promethazine HCl Suppos 25 MG,10.12,8.1,2.68,9.11,26
NDC,45802086802,Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP,6.71,5.37,1.77,6.04,26
NDC,45802090094,Clindamycin Phosphate Gel 1% (Twice-Daily),53.65,42.92,14.19,48.29,26
NDC,45802091987,Cetirizine HCl Tab 10 MG,1.06,0.85,0.28,0.95,26
NDC,45802095226,Ibuprofen Susp 100 MG/5ML,1.1,0.88,0.29,0.99,26
NDC,45802095301,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),12.4,9.92,3.28,11.16,26
NDC,45802096694,Erythromycin Gel 2%,34.3,27.44,9.07,30.87,26
NDC,45802097426,Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML),1.1,0.88,0.29,0.99,26
NDC,4580273000,Acetaminophen Suppos 650 MG,1.22,0.98,0.32,1.1,26
NDC,45963041806,Ranolazine Tab ER 12HR 500 MG,1.43,1.15,0.38,1.29,26
NDC,45963043963,Lactulose Solution 10 GM/15ML,25.24,20.2,6.68,22.72,26
NDC,45963053830,Ondansetron HCl Tab 4 MG,1.42,1.14,0.38,1.28,26
NDC,45963061451,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),286.09,228.88,1.0,257.48,26
NDC,45963067611,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.17,0.94,0.31,1.05,26
NDC,45963067711,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.29,1.04,0.34,1.16,26
NDC,45963070911,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.17,0.94,0.31,1.05,26
NDC,46017007703,Incontinent Cleanser - Lotion,10.26,8.21,2.71,9.23,26
NDC,46074905,"Estrogens, Conjugated For Inj 25 MG",730.4,584.32,244.68,657.36,34
NDC,46087221,"Estrogens, Conjugated Vaginal Cream 0.625 MG/GM",165.1,132.08,43.67,148.59,26
NDC,46287000660,Sodium Polystyrene Sulfonate Susp 15 GM/60ML,3.16,2.53,0.84,2.84,26
NDC,46287000901,Isoniazid Syrup 50 MG/5ML,26.53,21.23,7.02,23.88,26
NDC,46287002004,Spironolactone Susp 25 MG/5ML,277.76,222.21,73.47,249.98,26
NDC,46581083001,Lidocaine Patch 4%,3.16,2.53,0.84,2.84,26
NDC,46876000040,Menthol-Zinc Oxide Oint 0.44-20.6%,5.86,4.69,1.55,5.27,26
NDC,469042001,Isavuconazonium Sulfate For IV Soln 372 MG,1390.81,1112.65,0.94,1251.73,34
NDC,469052001,Isavuconazonium Sulfate Cap 186 MG,100.32,80.26,26.53,90.29,26
NDC,469052002,Isavuconazonium Sulfate Cap 186 MG,100.37,80.3,26.55,90.33,26
NDC,469065773,Tacrolimus Cap 5 MG,19.46,15.57,1.0,17.51,26
NDC,469260130,Mirabegron Tab ER 24 HR 25 MG,15.22,12.18,4.03,13.7,26
NDC,469301601,Tacrolimus Inj 5 MG/ML,521.32,417.06,174.64,469.19,34
NDC,469305130,Amphotericin B Liposome IV For Susp 50 MG,466.25,373.0,20.41,419.63,34
NDC,469325010,Micafungin Sodium For IV Soln 50 MG,475.73,380.59,1.0,428.16,26
NDC,469650189,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),906.56,725.25,1.0,815.9,26
NDC,472008216,Acyclovir Susp 200 MG/5ML,27.06,21.65,7.16,24.35,26
NDC,472011720,Tretinoin Cream 0.025%,55.84,44.68,14.77,50.26,26
NDC,472016615,Nystatin Oint 100000 Unit/GM,35.5,28.4,9.39,31.95,26
NDC,472024260,Permethrin Cream 5%,82.9,66.32,21.93,74.61,26
NDC,472082516,Albuterol Sulfate Syrup 2 MG/5ML,25.22,20.18,6.67,22.7,26
NDC,472173803,Miconazole Nitrate Vaginal Suppos 200 MG,92.44,73.96,24.45,83.2,26
NDC,47335003886,Bosentan Tab 62.5 MG,17.7,14.16,4.68,15.93,26
NDC,47335004940,Doxorubicin HCl Liposomal Susp (For IV Infusion) 2 MG/ML,3379.84,2703.88,94.03,3041.86,36
NDC,47335005040,Doxorubicin HCl Liposomal Susp (For IV Infusion) 2 MG/ML,6837.96,5470.37,94.03,6154.16,36
NDC,47335006186,Dofetilide Cap 125 MCG (0.125 MG),1.78,1.43,0.47,1.6,26
NDC,47335017148,Tobramycin Nebu Soln 300 MG/5ML,16.76,13.41,5.61,21.79,26
NDC,47335017149,Tobramycin Nebu Soln 300 MG/5ML,16.76,13.41,5.61,21.79,26
NDC,47335017640,Oxaliplatin For IV Inj 50 MG,361.2,288.96,1.0,325.08,26
NDC,47335017795,Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 MG/ML,38956.17,31164.94,121.08,35060.55,34
NDC,47335032186,Memantine HCl Tab 5 MG,1.19,0.96,0.31,1.07,26
NDC,47335032286,Memantine HCl Tab 10 MG,1.19,0.96,0.31,1.07,26
NDC,47335032683,Naltrexone HCl Tab 50 MG,1.82,1.46,0.48,1.64,26
NDC,47335033040,Chlorothiazide Sodium For Inj 500 MG,669.88,535.91,1.0,602.89,26
NDC,47335047281,Imatinib Mesylate Tab 100 MG (Base Equivalent),43.57,34.86,14.6,85.91,26
NDC,47335047583,Imatinib Mesylate Tab 400 MG (Base Equivalent),296.3,237.04,85.86,266.67,26
NDC,47335048583,Bicalutamide Tab 50 MG,1.26,1.01,0.33,1.13,26
NDC,47335061540,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),394.44,315.56,104.33,355.0,26
NDC,47335061544,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),394.44,315.56,104.33,355.0,26
NDC,47335070786,Topiramate Tab 25 MG,1.14,0.92,0.3,1.03,26
NDC,47335072183,Febuxostat Tab 40 MG,3.35,2.68,0.89,3.02,26
NDC,47335076583,Paliperidone Tab ER 24HR 3 MG,5.62,4.5,1.49,5.06,26
NDC,47335078891,Desmopressin Acetate Nasal Spray Soln 0.01%,112.43,89.95,29.74,101.19,26
NDC,47335089060,Temozolomide Cap 5 MG,2.55,2.04,0.67,2.3,26
NDC,47335089074,Temozolomide Cap 5 MG,2.55,2.04,0.67,2.3,26
NDC,47335089160,Temozolomide Cap 20 MG,3.78,3.03,1.0,3.4,26
NDC,47335089172,Temozolomide Cap 20 MG,3.78,3.03,1.0,3.4,26
NDC,47335089260,Temozolomide Cap 100 MG,14.82,11.86,1.0,13.34,26
NDC,47335089272,Temozolomide Cap 100 MG,14.82,11.86,1.0,13.34,26
NDC,47335093140,Vecuronium Bromide For Inj 10 MG,396.96,317.57,105.0,357.26,52
NDC,47335093144,Vecuronium Bromide For Inj 10 MG,396.23,316.99,104.8,356.61,52
NDC,47335093240,Vecuronium Bromide For Inj 20 MG,399.11,319.29,105.56,359.2,26
NDC,47335099201,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),394.25,315.4,1.0,354.83,26
NDC,47335099202,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),392.3,313.84,1.0,353.07,26
NDC,47335099301,Metronidazole IV Soln 500 MG/100ML,391.5,313.2,0.02,352.35,26
NDC,47426020101,Aprepitant IV Emulsion 130 MG/18ML,1326.65,1061.32,1.56,1193.99,34
NDC,47469004040,Omega-3 Fatty Acids Cap 1000 MG,1.04,0.84,0.28,0.94,26
NDC,47781001101,Hyoscyamine Sulfate SL Tab 0.125 MG,1.16,0.93,0.31,1.04,26
NDC,47781010444,Estradiol Vaginal Cream 0.1 MG/GM,148.76,119.01,39.35,133.88,26
NDC,47781010830,Exemestane Tab 25 MG,8.26,6.61,2.18,7.43,26
NDC,47781017401,Amphetamine-Dextroamphetamine Tab 5 MG,1.29,1.04,0.34,1.16,26
NDC,47781017601,Amphetamine-Dextroamphetamine Tab 10 MG,1.35,1.08,0.36,1.22,26
NDC,47781019601,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.08,0.87,0.29,0.97,26
NDC,47781026305,Oxycodone HCl Tab 5 MG,1.11,0.89,0.29,1.0,26
NDC,47781033201,Carbidopa Tab 25 MG,8.31,6.65,2.2,7.48,26
NDC,47781033431,Dapsone Tab 100 MG,3.26,2.61,0.86,2.93,26
NDC,47781042311,Fentanyl TD Patch 72HR 12 MCG/HR,16.43,13.15,4.35,14.79,26
NDC,47781042347,Fentanyl TD Patch 72HR 12 MCG/HR,16.43,13.15,4.35,14.79,26
NDC,47781042411,Fentanyl TD Patch 72HR 25 MCG/HR,5.27,4.22,1.39,4.74,26
NDC,47781042447,Fentanyl TD Patch 72HR 25 MCG/HR,5.27,4.22,1.39,4.74,26
NDC,47781042611,Fentanyl TD Patch 72HR 50 MCG/HR,9.8,7.84,2.59,8.82,26
NDC,47781042647,Fentanyl TD Patch 72HR 50 MCG/HR,6.44,5.16,1.7,5.8,26
NDC,47781042811,Fentanyl TD Patch 72HR 100 MCG/HR,26.55,21.24,7.02,23.9,26
NDC,47781046671,Voriconazole For Inj 200 MG,403.95,323.16,1.0,363.56,26
NDC,47781046813,Oseltamivir Phosphate Cap 30 MG (Base Equiv),9.76,7.81,2.58,8.78,26
NDC,47781047013,Oseltamivir Phosphate Cap 75 MG (Base Equiv),10.55,8.44,2.79,9.5,26
NDC,47781058568,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),396.8,317.44,0.29,357.12,34
NDC,47781058568,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",396.8,317.44,0.29,357.12,34
NDC,47781058629,Labetalol HCl IV Soln 5 MG/ML,389.34,311.48,0.18,350.41,26
NDC,47781064726,Ergocalciferol Soln 200 MCG/ML (8000 Unit/ML),54.22,43.38,14.34,48.8,26
NDC,480347906,Lubiprostone Cap 8 MCG,2.64,2.12,0.7,2.38,26
NDC,480706256,Perampanel Tab 2 MG,17.55,14.04,4.64,15.8,26
NDC,480924201,Propylthiouracil Tab 50 MG,1.52,1.22,0.4,1.37,26
NDC,480926208,Octreotide Acetate For IM Inj Kit 30 MG,15429.15,12343.32,193.4,13886.24,34
NDC,48433023015,Iodine Solution Strong 5% (Lugol's),63.38,50.71,16.76,57.04,52
NDC,48582000456,Mouthwashes - Liquid,7.62,6.1,2.02,6.86,26
NDC,486111101,Potassium Phosphate Monobasic Tab 500 MG,1.36,1.09,0.36,1.22,26
NDC,486112501,Pot Phos Monobasic w/Sod Phos Di & Monobas Tab 155-852-130MG,1.21,0.97,0.32,1.09,26
NDC,487020101,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.29,1.04,0.17,1.16,26
NDC,487278401,"Epinephrine HCl Soln Nebu 2.25% (1.125% Base Equivalent),Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent)",1.78,1.43,0.47,1.6,26
NDC,487278401,Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent),1.78,1.43,0.47,1.6,26
NDC,487590199,"Epinephrine HCl Soln Nebu 2.25% (1.125% Base Equivalent),Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent)",2.61,2.09,0.69,2.35,26
NDC,487590199,Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent),2.61,2.09,0.69,2.35,26
NDC,48783011208,Ferric Subsulfate Paste,55.38,44.31,14.65,49.84,26
NDC,48783011308,Ferric Subsulfate Paste,64.13,51.31,16.96,57.72,26
NDC,487950101,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.13,0.91,0.04,1.02,52
NDC,487950125,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.12,0.9,0.04,1.01,52
NDC,487950160,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),2.2,1.76,0.04,1.98,52
NDC,487960101,Budesonide Inhalation Susp 0.25 MG/2ML,8.4,6.72,2.22,7.56,26
NDC,487970101,Budesonide Inhalation Susp 0.5 MG/2ML,9.64,7.72,1.01,8.68,26
NDC,487970130,Budesonide Inhalation Susp 0.5 MG/2ML,5.68,4.55,1.01,5.11,26
NDC,487980101,Ipratropium Bromide Inhal Soln 0.02%,1.13,0.91,0.32,1.02,26
NDC,487980130,Ipratropium Bromide Inhal Soln 0.02%,1.13,0.91,0.32,1.02,26
NDC,487980160,Ipratropium Bromide Inhal Soln 0.02%,1.12,0.9,0.32,1.01,26
NDC,487990130,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),1.34,1.08,0.15,1.21,26
NDC,49001381,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,391.47,313.18,1.0,352.32,26
NDC,49001383,Ampicillin & Sulbactam Sodium For Inj 1-0.5 GM,391.47,313.18,1.0,352.32,26
NDC,49001383,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,391.47,313.18,1.0,352.32,26
NDC,49001481,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,393.94,315.16,1.0,354.55,26
NDC,49001483,Ampicillin & Sulbactam Sodium For Inj 2-1 GM,393.94,315.16,1.0,354.55,26
NDC,49001483,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,393.94,315.16,1.0,354.55,26
NDC,49002428,Ampicillin & Sulbactam Sodium For IV Soln 15 (10-5) GM,418.07,334.46,1.0,376.26,26
NDC,49011428,Anidulafungin For IV Soln 50 MG,317.83,254.27,1.0,286.05,26
NDC,49011628,Anidulafungin For IV Soln 100 MG,387.34,309.88,1.0,348.61,26
NDC,49052022,Penicillin G Potassium For Inj 5000000 Unit,394.86,315.89,1.0,355.37,26
NDC,49052023,Penicillin G Potassium For Inj 5000000 Unit,394.86,315.89,1.0,355.37,26
NDC,49052083,Penicillin G Potassium For Inj 5000000 Unit,394.99,316.0,1.0,355.49,26
NDC,49052084,Penicillin G Potassium For Inj 5000000 Unit,394.2,315.36,1.0,354.78,26
NDC,49053022,Penicillin G Potassium For Inj 20000000 Unit,422.28,337.83,1.0,380.05,26
NDC,49053028,Penicillin G Potassium For Inj 20000000 Unit,419.46,335.57,1.0,377.51,26
NDC,49100038164,Lactobacillus Rhamnosus (GG) Cap,1.82,1.46,0.48,1.64,26
NDC,49100040007,Lactobacillus Rhamnosus (GG) Cap,1.82,1.46,0.48,1.64,26
NDC,49100040008,Lactobacillus Rhamnosus (GG) Packet,1.41,1.13,0.37,1.27,26
NDC,49100040012,Lactobacillus-Inulin Cap,1.56,1.25,0.41,1.4,26
NDC,49230030010,Sodium Chloride IV Soln 0.9%,156.8,125.44,1.0,141.12,26
NDC,49230064551,Sucroferric Oxyhydroxide Chew Tab 500 MG,11.26,9.01,0.18,10.13,52
NDC,49281021510,Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU,417.49,334.0,1.0,375.74,26
NDC,49281021515,Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU,412.44,329.96,1.0,371.2,26
NDC,49281021588,Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU,410.61,328.49,1.0,369.55,26
NDC,49281024858,"Rabies Virus Vaccine, HDC For Inj Susp",632.04,505.64,152.68,568.84,34
NDC,49281025051,"Rabies Virus Vaccine, HDC For Inj Susp",657.54,526.04,152.68,591.79,34
NDC,49281028610,"Diph, Acellular Pert & Tet Tox Inj 15 LF-23 MCG-5 LF/0.5ML",407.39,325.92,1.0,366.65,26
NDC,49281028658,"Diph, Acellular Pert & Tet Tox Inj 15 LF-23 MCG-5 LF/0.5ML",407.39,325.92,1.0,366.65,26
NDC,49281040010,Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML,422.15,337.72,1.0,379.94,26
NDC,49281040020,Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML,420.17,336.14,1.0,378.15,26
NDC,49281040089,Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML,420.17,336.14,1.0,378.15,26
NDC,49281051105,Diph-Ac Per-Tet Tox Ad-PolioV-Haemoph B Poly Vac For IM Susp,453.28,362.63,1.0,407.95,26
NDC,49281054458,Diph-Ac Per-Tet Tox Ad-PolioV-Haemoph B Poly Vac For IM Susp,453.28,362.63,1.0,407.95,26
NDC,49281054503,Haemophilus B Polysaccharide Conjugate Vaccine For Inj,405.54,324.44,1.0,364.99,26
NDC,49281056101,Diph-Ac Per-Tet Tox Ad-PolioV-Haemoph B Poly Vac For IM Susp,453.28,362.63,1.0,407.95,26
NDC,49281056488,"Diph-Tetanus-Acell Pert-Polio, IPV Vacc Susp Pref Syr 0.5 ML",431.82,345.46,1.0,388.64,26
NDC,49281057488,Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML,1532.08,1225.67,504.9,1378.87,26
NDC,49281057500,Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML,783.88,627.11,262.6,705.49,26
NDC,49281057515,Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML,783.88,627.11,262.6,705.49,26
NDC,49281059010,"Meningococcal (A, C, Y, and W-135) Tetanus Conjugate Vaccine",495.26,396.21,165.91,445.73,26
NDC,49281072410,Influenza Virus Vacc Recombinant HA PF Soln Pref Syr 0.5 ML,71.97,57.58,24.11,103.07,34
NDC,49281072488,Influenza Virus Vacc Recombinant HA PF Soln Pref Syr 0.5 ML,71.97,57.58,24.11,103.07,34
NDC,49281075221,Tuberculin PPD Inj 5 Unit/0.1ML,394.58,315.67,104.37,355.12,26
NDC,49281075222,Tuberculin PPD Inj 5 Unit/0.1ML,393.37,314.7,104.05,354.03,26
NDC,49281086010,"Poliovirus Vaccine, IPV Injection",408.15,326.52,1.0,367.34,26
NDC,49281086078,"Poliovirus Vaccine, IPV Injection",412.28,329.83,1.0,371.05,26
NDC,49316044,Voriconazole For Susp 40 MG/ML,47.91,38.33,12.67,43.12,26
NDC,49317030,Voriconazole Tab 50 MG,9.34,7.48,2.47,8.41,26
NDC,49318030,Voriconazole Tab 200 MG,78.9,63.12,20.87,71.01,26
NDC,49319028,Voriconazole For Inj 200 MG,408.94,327.16,1.0,368.05,26
NDC,49348035625,Saline Nasal Spray 0.65%,2.28,1.83,0.6,2.05,26
NDC,49392020,Ziprasidone Mesylate For Inj 20 MG (Base Equivalent),435.42,348.34,1.0,391.88,26
NDC,49392083,Ziprasidone Mesylate For Inj 20 MG (Base Equivalent),421.39,337.12,1.0,379.25,26
NDC,49401010101,Belimumab For IV Soln 120 MG,2164.32,1731.46,51.97,1947.89,34
NDC,49411005030,Aminocaproic Acid Tab 500 MG,19.31,15.45,5.11,17.38,26
NDC,49411005208,Aminocaproic Acid Oral Soln 0.25 GM/ML,2643.38,2114.71,699.17,2379.04,26
NDC,49452115501,Bismuth Subgallate Powder,66.75,53.4,17.66,60.08,26
NDC,49452158001,"Calcium Phosphate, Tribasic Powder",25.05,20.04,6.63,22.55,26
NDC,49452258804,Dimethyl Sulfoxide - Solution,28.99,23.2,9.71,819.49,34
NDC,49483008001,Sennosides Tab 8.6 MG,1.02,0.82,0.27,0.92,26
NDC,49483008010,Sennosides Tab 8.6 MG,1.01,0.81,0.27,0.91,26
NDC,49483060650,Gabapentin Cap 300 MG,1.05,0.84,0.28,0.95,26
NDC,49483068201,Cetirizine HCl Tab 5 MG,1.05,0.84,0.28,0.95,26
NDC,49483068703,Paricalcitol Cap 1 MCG,1.94,1.56,0.51,1.75,26
NDC,49491041,Sertraline HCl Tab 100 MG,3.7,2.96,0.98,3.33,26
NDC,49496030,Sertraline HCl Tab 25 MG,7.92,6.34,2.09,7.13,26
NDC,49502010102,Epinephrine Solution Auto-injector 0.15 MG/0.3ML (1:2000),653.37,522.7,172.82,588.03,26
NDC,49502010202,Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000),1042.2,833.76,275.66,937.98,26
NDC,49502050002,Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000),670.92,536.74,177.46,603.83,26
NDC,49502050102,Epinephrine Solution Auto-injector 0.15 MG/0.3ML (1:2000),952.84,762.28,252.03,857.56,52
NDC,49502080632,Revefenacin Inhalation Solution 175 MCG/3ML,18.51,14.81,0.19,16.66,26
NDC,49502080693,Revefenacin Inhalation Solution 175 MCG/3ML,18.51,14.81,0.19,16.66,26
NDC,4950260595,Formoterol Fumarate Soln Nebu 20 MCG/2ML,5.19,4.16,1.37,4.67,26
NDC,49580032901,Magnesium Citrate Soln,2.78,2.23,0.74,2.5,26
NDC,49580033406,Mineral Oil,1.05,0.84,0.28,0.95,26
NDC,49591005105,Hepatitis B Immune Globulin (Human) Inj Soln 312 Unit/ML,3248.9,2599.12,62.16,2924.01,34
NDC,49591005151,Hepatitis B Immune Globulin (Human) Inj Soln 312 Unit/ML,3248.9,2599.12,62.16,2924.01,34
NDC,49591005211,Hepatitis B Immune Globulin (Human) Inj Soln 312 Unit/ML,563.32,450.66,62.16,506.99,34
NDC,49591005251,Hepatitis B Immune Globulin (Human) Inj Soln 312 Unit/ML,563.32,450.66,62.16,506.99,34
NDC,496088205,Lidocaine Cream 4%,4.74,3.8,1.25,4.27,26
NDC,496088206,Lidocaine Cream 4%,4.75,3.8,1.26,4.28,26
NDC,49702020318,Lamivudine Tab 150 MG,7.16,5.73,1.89,6.44,26
NDC,49702020548,Lamivudine Oral Soln 10 MG/ML,123.4,98.72,32.64,111.06,26
NDC,49702021301,Zidovudine IV Soln 10 MG/ML,417.46,333.97,1.0,375.71,26
NDC,49702021326,Zidovudine IV Soln 10 MG/ML,417.46,333.97,1.0,375.71,26
NDC,49702022118,Abacavir Sulfate Tab 300 MG (Base Equiv),9.71,7.77,2.57,8.74,26
NDC,49702022813,Dolutegravir Sodium Tab 50 MG (Base Equiv),70.25,56.2,18.58,63.23,26
NDC,49702025537,Dolutegravir Sodium Tab for Oral Susp 5 MG (Base Equiv),8.34,6.68,2.21,7.51,26
NDC,49771000201,Mitomycin For Ophth Soln Kit 0.2 MG,1755.0,1404.0,1.0,1579.5,26
NDC,49781014960,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.02,0.82,0.27,0.92,26
NDC,49884000604,Sodium Phenylbutyrate Oral Powder 3 GM/Teaspoonful,4047.98,3238.39,1070.69,3643.18,26
NDC,49884003201,Tranylcypromine Sulfate Tab 10 MG,2.39,1.92,0.63,2.15,26
NDC,49884005501,Imipramine HCl Tab 25 MG,1.13,0.91,0.3,1.02,26
NDC,49884006501,Glycopyrrolate Tab 1 MG,1.81,1.45,0.48,1.63,26
NDC,49884011701,Amiloride HCl Tab 5 MG,1.84,1.48,0.49,1.66,26
NDC,49884014711,Dexlansoprazole Cap Delayed Release 30 MG,7.61,6.09,2.01,6.85,26
NDC,49884014811,Dexlansoprazole Cap Delayed Release 60 MG,7.49,6.0,1.98,6.74,26
NDC,49884015676,Varenicline Tartrate Tab 1 MG (Base Equiv),5.84,4.68,1.54,5.26,26
NDC,49884016111,Calcitonin (Salmon) Nasal Soln 200 Unit/ACT,64.24,51.4,16.99,57.82,26
NDC,49884025601,Minoxidil Tab 2.5 MG,1.12,0.9,0.3,1.01,26
NDC,49884030602,Clonazepam Orally Disintegrating Tab 0.125 MG,1.47,1.18,0.39,1.32,26
NDC,49884030652,Clonazepam Orally Disintegrating Tab 0.125 MG,1.47,1.18,0.39,1.32,26
NDC,49884030802,Clonazepam Orally Disintegrating Tab 0.5 MG,1.6,1.28,0.42,1.44,26
NDC,49884030852,Clonazepam Orally Disintegrating Tab 0.5 MG,1.49,1.2,0.39,1.34,26
NDC,49884032052,Olanzapine Orally Disintegrating Tab 5 MG,1.8,1.44,0.48,1.62,26
NDC,49884032055,Olanzapine Orally Disintegrating Tab 5 MG,1.8,1.44,0.48,1.62,26
NDC,49884033501,Fluoxetine HCl Tab 10 MG,2.07,1.66,0.55,1.86,26
NDC,49884041201,Ursodiol Tab 250 MG,1.7,1.36,0.45,1.53,26
NDC,49884042411,Aliskiren Fumarate Tab 150 MG (Base Equivalent),5.29,4.24,1.4,4.76,26
NDC,49884046663,Cholestyramine Light Powder Packets 4 GM,2.91,2.33,0.77,2.62,26
NDC,49884046665,Cholestyramine Light Powder Packets 4 GM,2.91,2.33,0.77,2.62,26
NDC,49884056311,Lamotrigine Tab ER 24HR 100 MG,10.71,8.57,2.83,9.64,26
NDC,49884066009,Candesartan Cilexetil Tab 16 MG,2.81,2.25,0.74,2.53,26
NDC,49884072401,Hydroxyurea Cap 500 MG,1.33,1.07,0.35,1.2,26
NDC,49884084901,Midodrine HCl Tab 5 MG,2.16,1.73,0.57,1.94,26
NDC,49938010130,Dapsone Tab 100 MG,3.62,2.9,0.96,3.26,26
NDC,49999083101,Fentanyl TD Patch 72HR 25 MCG/HR,7.66,6.13,2.03,6.89,26
NDC,50000093550,Lactobacillus Reuteri Liquid,20.62,16.5,5.45,18.56,26
NDC,50000093560,Lactobacillus Reuteri Liquid,29.2,23.36,7.72,26.28,26
NDC,50016095711,Cross-Linked Hyaluronate Gel Prefilled Syringe 30 MG/3ML,4175.0,3340.0,502.8,3757.5,34
NDC,5010005,Meningococcal Group B Vac (Recomb) IM Susp Prefilled Syr,507.56,406.05,170.03,456.8,26
NDC,5010010,Meningococcal Group B Vac (Recomb) IM Susp Prefilled Syr,507.56,406.05,170.03,456.8,26
NDC,50111032701,Hydralazine HCl Tab 25 MG,1.21,0.97,0.32,1.09,26
NDC,50111032803,Hydralazine HCl Tab 50 MG,1.1,0.88,0.29,0.99,26
NDC,50111033301,Metronidazole Tab 250 MG,1.28,1.03,0.34,1.15,26
NDC,50111033306,Metronidazole Tab 250 MG,1.03,0.83,0.27,0.93,26
NDC,50111033401,Metronidazole Tab 500 MG,1.48,1.19,0.39,1.33,26
NDC,50111033402,Metronidazole Tab 500 MG,1.45,1.16,0.38,1.31,26
NDC,50111039801,Hydralazine HCl Tab 10 MG,1.16,0.93,0.31,1.04,26
NDC,50111039803,Hydralazine HCl Tab 10 MG,1.12,0.9,0.3,1.01,26
NDC,50111045001,Trazodone HCl Tab 150 MG,1.14,0.92,0.3,1.03,26
NDC,50111056001,Trazodone HCl Tab 50 MG,1.05,0.84,0.28,0.95,26
NDC,50111056002,Trazodone HCl Tab 50 MG,1.05,0.84,0.28,0.95,26
NDC,50111056003,Trazodone HCl Tab 50 MG,1.04,0.84,0.28,0.94,26
NDC,50111056101,Trazodone HCl Tab 100 MG,1.09,0.88,0.29,0.98,26
NDC,50111056102,Trazodone HCl Tab 100 MG,1.04,0.84,0.28,0.94,26
NDC,50111064801,Fluoxetine HCl Cap 20 MG,1.03,0.83,0.27,0.93,26
NDC,50111064803,Fluoxetine HCl Cap 20 MG,1.05,0.84,0.28,0.95,26
NDC,50111064844,Fluoxetine HCl Cap 20 MG,1.05,0.84,0.28,0.95,26
NDC,50111091501,Torsemide Tab 5 MG,108.0,86.4,28.57,97.2,26
NDC,50111091801,Torsemide Tab 100 MG,1.23,0.99,0.33,1.11,26
NDC,50222026006,Calcipotriene Cream 0.005%,260.56,208.45,68.92,234.5,26
NDC,50228010901,Carisoprodol Tab 350 MG,1.11,0.89,0.29,1.0,26
NDC,50228017401,Bupropion HCl Tab ER 12HR 100 MG,1.05,0.84,0.28,0.95,26
NDC,50228017501,Bupropion HCl Tab ER 12HR 150 MG,1.06,0.85,0.28,0.95,26
NDC,50228033410,Ethacrynic Acid Tab 25 MG,2.14,1.72,0.57,1.93,26
NDC,50228037990,Ezetimibe Tab 10 MG,1.08,0.87,0.29,0.97,26
NDC,50228045701,Carbidopa & Levodopa Tab 10-100 MG,1.08,0.87,0.29,0.97,26
NDC,50228048101,Diltiazem HCl Tab 30 MG,1.06,0.85,0.28,0.95,26
NDC,50228048205,Diltiazem HCl Tab 60 MG,1.07,0.86,0.28,0.96,26
NDC,50242003706,Tenecteplase For IV Soln Kit 50 MG,22671.35,18137.08,153.1,20404.22,34
NDC,50242004062,Omalizumab For Inj 150 MG,4973.7,3978.96,39.04,4476.33,34
NDC,50242004164,Alteplase For Inj 2 MG,750.78,600.63,89.16,675.7,34
NDC,50242004406,Alteplase For Inj 50 MG,14560.38,11648.31,89.16,13104.34,34
NDC,50242004413,Alteplase For Inj 50 MG,14560.38,11648.31,89.16,13104.34,34
NDC,50242005121,Rituximab IV Soln 100 MG/10ML,3173.27,2538.62,71.46,2855.94,34
NDC,50242005306,Rituximab IV Soln 500 MG/50ML,16691.6,13353.28,71.46,15022.44,34
NDC,50242006001,Bevacizumab IV Soln 100 MG/4ML (For Infusion),3039.29,2431.44,69.54,2735.36,34
NDC,50242006101,Bevacizumab IV Soln 400 MG/16ML (For Infusion),10635.76,8508.61,69.54,9572.18,34
NDC,50242007001,Obinutuzumab Soln for IV Infusion 1000 MG/40ML (25 MG/ML),30240.8,24192.64,70.29,27216.72,34
NDC,50242008525,Alteplase For Inj 100 MG,28970.75,23176.6,89.16,26073.68,34
NDC,50242008527,Alteplase For Inj 100 MG,28970.75,23176.6,89.16,26073.68,34
NDC,50242008801,Ado-Trastuzumab Emtansine For IV Soln 100 MG,10250.87,8200.7,38.34,9225.78,34
NDC,50242010039,Dornase Alfa Inhal Soln 2.5 MG/2.5ML,108.53,86.83,36.36,97.68,26
NDC,50242010040,Dornase Alfa Inhal Soln 2.5 MG/2.5ML,108.53,86.83,36.36,97.68,26
NDC,50242012047,Tenecteplase For IV Soln Kit 50 MG,22671.35,18137.08,153.1,20404.22,34
NDC,50242013201,Trastuzumab For IV Soln 150 MG,5390.8,4312.64,71.27,4851.72,34
NDC,50242013501,Tocilizumab IV Inj 80 MG/4ML,1580.7,1264.56,5.42,1422.63,34
NDC,50242013601,Tocilizumab IV Inj 200 MG/10ML,3726.72,2981.38,5.42,3354.05,34
NDC,50242013701,Tocilizumab IV Inj 400 MG/20ML,7303.44,5842.76,5.42,6573.1,34
NDC,50242014501,Pertuzumab Soln for IV Infusion 420 MG/14ML (30 MG/ML),16305.34,13044.28,15.42,14674.81,34
NDC,50242015001,Ocrelizumab Soln For IV Infusion 300 MG/10ML,59003.7,47202.96,56.44,53103.33,34
NDC,50242017601,Tenecteplase For IV Soln Kit 50 MG,27070.46,21656.37,153.1,24363.41,34
NDC,50242055401,Ocrelizumab-Hyaluronidase-ocsq Inj 920-23000 MG-UNIT/23ML,61732.29,49385.84,44.87,55559.06,34
NDC,50242091701,Atezolizumab IV Soln 1200 MG/20ML,32430.4,25944.32,82.62,29187.36,34
NDC,50268003711,Amitriptyline HCl Tab 10 MG,1.36,1.09,0.36,1.22,26
NDC,50268003715,Amitriptyline HCl Tab 10 MG,1.36,1.09,0.36,1.22,26
NDC,50268005011,Acebutolol HCl Cap 200 MG,1.47,1.18,0.39,1.32,26
NDC,50268005015,Acebutolol HCl Cap 200 MG,1.47,1.18,0.39,1.32,26
NDC,50268006111,Acyclovir Tab 400 MG,1.19,0.96,0.31,1.07,26
NDC,50268006115,Acyclovir Tab 400 MG,1.19,0.96,0.31,1.07,26
NDC,50268006815,Carboxymethylcellulose Sodium Ophth Soln 0.5%,8.43,6.75,2.23,7.59,26
NDC,50268007415,Azithromycin Tab 250 MG,1.72,1.38,0.45,1.55,26
NDC,50268007511,Anastrozole Tab 1 MG,1.65,1.32,0.55,11.31,26
NDC,50268007515,Anastrozole Tab 1 MG,1.65,1.32,0.55,11.31,26
NDC,50268008711,Aripiprazole Tab 2 MG,1.86,1.49,0.49,1.67,26
NDC,50268008712,Aripiprazole Tab 2 MG,1.86,1.49,0.49,1.67,26
NDC,50268009211,Aripiprazole Tab 30 MG,2.66,2.13,0.7,2.39,26
NDC,50268009212,Aripiprazole Tab 30 MG,2.66,2.13,0.7,2.39,26
NDC,50268009711,Amiodarone HCl Tab 100 MG,3.34,2.68,0.88,3.01,26
NDC,50268009715,Amiodarone HCl Tab 100 MG,3.34,2.68,0.88,3.01,26
NDC,50268010211,Balsalazide Disodium Cap 750 MG,2.32,1.86,0.61,2.09,26
NDC,50268010213,Balsalazide Disodium Cap 750 MG,2.32,1.86,0.61,2.09,26
NDC,50268010511,Baclofen Tab 5 MG,2.09,1.68,0.55,1.88,26
NDC,50268010515,Baclofen Tab 5 MG,2.09,1.68,0.55,1.88,26
NDC,50268010611,Baclofen Tab 10 MG,1.32,1.06,0.35,1.19,26
NDC,50268010615,Baclofen Tab 10 MG,1.32,1.06,0.35,1.19,26
NDC,50268011011,Benazepril HCl Tab 10 MG,1.45,1.16,0.38,1.31,26
NDC,50268011015,Benazepril HCl Tab 10 MG,1.45,1.16,0.38,1.31,26
NDC,50268012711,Bisoprolol Fumarate Tab 5 MG,1.97,1.58,0.52,1.77,26
NDC,50268012715,Bisoprolol Fumarate Tab 5 MG,1.97,1.58,0.52,1.77,26
NDC,50268013011,Bumetanide Tab 0.5 MG,1.84,1.48,0.49,1.66,26
NDC,50268013015,Bumetanide Tab 0.5 MG,1.84,1.48,0.49,1.66,26
NDC,50268014211,Bupropion HCl Tab 75 MG,1.86,1.49,0.49,1.67,26
NDC,50268014215,Bupropion HCl Tab 75 MG,1.86,1.49,0.49,1.67,26
NDC,50268015211,Cephalexin Cap 500 MG,1.27,1.02,0.34,1.14,26
NDC,50268015215,Cephalexin Cap 500 MG,1.27,1.02,0.34,1.14,26
NDC,50268016211,Chlorpromazine HCl Tab 10 MG,2.56,2.05,0.68,2.3,26
NDC,50268016215,Chlorpromazine HCl Tab 10 MG,2.56,2.05,0.68,2.3,26
NDC,50268016311,Chlorpromazine HCl Tab 25 MG,3.82,3.06,1.01,3.44,26
NDC,50268016315,Chlorpromazine HCl Tab 25 MG,3.82,3.06,1.01,3.44,26
NDC,50268016811,Celecoxib Cap 100 MG,1.6,1.28,0.42,1.44,26
NDC,50268016815,Celecoxib Cap 100 MG,1.6,1.28,0.42,1.44,26
NDC,50268017011,Carbamazepine Cap ER 12HR 100 MG,3.21,2.57,0.85,2.89,26
NDC,50268017013,Carbamazepine Cap ER 12HR 100 MG,3.21,2.57,0.85,2.89,26
NDC,50268017311,Clonazepam Tab 0.5 MG,1.45,1.16,0.38,1.31,26
NDC,50268017315,Clonazepam Tab 0.5 MG,1.45,1.16,0.38,1.31,26
NDC,50268017411,Clonazepam Tab 1 MG,1.41,1.13,0.37,1.27,26
NDC,50268017415,Clonazepam Tab 1 MG,1.41,1.13,0.37,1.27,26
NDC,50268017511,Clonazepam Tab 2 MG,1.44,1.16,0.38,1.3,26
NDC,50268017515,Clonazepam Tab 2 MG,1.44,1.16,0.38,1.3,26
NDC,50268017611,Cilostazol Tab 50 MG,1.69,1.36,0.45,1.52,26
NDC,50268017615,Cilostazol Tab 50 MG,1.69,1.36,0.45,1.52,26
NDC,50268018711,Colchicine Tab 0.6 MG,4.21,3.37,1.11,3.79,26
NDC,50268018715,Colchicine Tab 0.6 MG,4.21,3.37,1.11,3.79,26
NDC,50268018911,Cyproheptadine HCl Tab 4 MG,1.56,1.25,0.41,1.4,26
NDC,50268018915,Cyproheptadine HCl Tab 4 MG,1.56,1.25,0.41,1.4,26
NDC,50268019011,Cyclobenzaprine HCl Tab 5 MG,1.38,1.11,0.37,1.24,26
NDC,50268019015,Cyclobenzaprine HCl Tab 5 MG,1.38,1.11,0.37,1.24,26
NDC,50268019111,Cyclobenzaprine HCl Tab 10 MG,1.13,0.91,0.3,1.02,26
NDC,50268019115,Cyclobenzaprine HCl Tab 10 MG,1.13,0.91,0.3,1.02,26
NDC,50268019211,Clonidine HCl Tab 0.1 MG,1.31,1.05,0.35,1.18,26
NDC,50268019215,Clonidine HCl Tab 0.1 MG,1.31,1.05,0.35,1.18,26
NDC,50268019560,Capsaicin Cream 0.025%,3.52,2.82,0.93,3.17,26
NDC,50268021711,Dantrolene Sodium Cap 25 MG,2.34,1.88,0.62,2.11,26
NDC,50268021715,Dantrolene Sodium Cap 25 MG,2.34,1.88,0.62,2.11,26
NDC,50268025911,Divalproex Sodium Tab ER 24 HR 250 MG,1.29,1.04,0.34,1.16,26
NDC,50268025915,Divalproex Sodium Tab ER 24 HR 250 MG,1.29,1.04,0.34,1.16,26
NDC,50268026011,Divalproex Sodium Tab ER 24 HR 500 MG,1.88,1.51,0.5,1.69,26
NDC,50268026013,Divalproex Sodium Tab ER 24 HR 500 MG,1.88,1.51,0.5,1.69,26
NDC,50268027711,Doxycycline Hyclate Cap 50 MG,2.18,1.75,0.58,1.96,26
NDC,50268027715,Doxycycline Hyclate Cap 50 MG,2.18,1.75,0.58,1.96,26
NDC,50268027911,Doxycycline Hyclate Tab 100 MG,2.57,2.06,0.68,2.31,26
NDC,50268027915,Doxycycline Hyclate Tab 100 MG,2.57,2.06,0.68,2.31,26
NDC,50268029711,Ergocalciferol Cap 1.25 MG (50000 Unit),1.91,1.53,0.51,1.72,26
NDC,50268029715,Ergocalciferol Cap 1.25 MG (50000 Unit),1.91,1.53,0.51,1.72,26
NDC,50268029811,Ezetimibe Tab 10 MG,5.4,4.32,1.43,4.86,26
NDC,50268029812,Ezetimibe Tab 10 MG,5.4,4.32,1.43,4.86,26
NDC,50268030311,Famotidine Tab 20 MG,1.11,0.89,0.29,1.0,26
NDC,50268030315,Famotidine Tab 20 MG,1.11,0.89,0.29,1.0,26
NDC,50268031211,Fenofibrate Tab 54 MG,1.86,1.49,0.49,1.67,26
NDC,50268031215,Fenofibrate Tab 54 MG,1.86,1.49,0.49,1.67,26
NDC,50268031311,Fenofibrate Tab 160 MG,2.31,1.85,0.61,2.08,26
NDC,50268031315,Fenofibrate Tab 160 MG,2.31,1.85,0.61,2.08,26
NDC,50268031411,Finasteride Tab 5 MG,2.08,1.67,0.55,1.87,26
NDC,50268031415,Finasteride Tab 5 MG,2.08,1.67,0.55,1.87,26
NDC,50268032011,Flecainide Acetate Tab 50 MG,1.82,1.46,0.48,1.64,26
NDC,50268032015,Flecainide Acetate Tab 50 MG,1.82,1.46,0.48,1.64,26
NDC,50268032111,Flecainide Acetate Tab 100 MG,1.63,1.31,0.43,1.47,26
NDC,50268032115,Flecainide Acetate Tab 100 MG,1.63,1.31,0.43,1.47,26
NDC,50268033011,Fludrocortisone Acetate Tab 0.1 MG,1.44,1.16,0.38,1.3,26
NDC,50268033015,Fludrocortisone Acetate Tab 0.1 MG,1.44,1.16,0.38,1.3,26
NDC,50268033911,Fluconazole Tab 200 MG,2.28,1.83,0.6,2.05,26
NDC,50268034611,Folic Acid Tab 400 MCG,1.18,0.95,0.31,1.06,26
NDC,50268034615,Folic Acid Tab 400 MCG,1.18,0.95,0.31,1.06,26
NDC,50268035011,Gemfibrozil Tab 600 MG,1.29,1.04,0.34,1.16,26
NDC,50268035015,Gemfibrozil Tab 600 MG,1.29,1.04,0.34,1.16,26
NDC,50268035811,Glimepiride Tab 1 MG,1.37,1.1,0.36,1.23,26
NDC,50268035815,Glimepiride Tab 1 MG,1.37,1.1,0.36,1.23,26
NDC,50268036011,Glimepiride Tab 4 MG,1.59,1.28,0.42,1.43,26
NDC,50268036015,Glimepiride Tab 4 MG,1.59,1.28,0.42,1.43,26
NDC,50268040511,Hydrocortisone Tab 5 MG,2.45,1.96,0.65,2.21,26
NDC,50268040515,Hydrocortisone Tab 5 MG,2.45,1.96,0.65,2.21,26
NDC,50268040611,Hydrocortisone Tab 10 MG,2.65,2.12,0.7,2.39,26
NDC,50268040615,Hydrocortisone Tab 10 MG,2.65,2.12,0.7,2.39,26
NDC,50268040711,Hydrocortisone Tab 20 MG,2.74,2.2,0.72,2.47,26
NDC,50268040715,Hydrocortisone Tab 20 MG,2.74,2.2,0.72,2.47,26
NDC,50268043011,Indomethacin Cap 25 MG,1.22,0.98,0.32,1.1,26
NDC,50268043015,Indomethacin Cap 25 MG,1.22,0.98,0.32,1.1,26
NDC,50268043111,Indomethacin Cap 50 MG,1.24,1.0,0.33,1.12,26
NDC,50268043115,Indomethacin Cap 50 MG,1.24,1.0,0.33,1.12,26
NDC,50268044111,Irbesartan Tab 150 MG,1.49,1.2,0.39,1.34,26
NDC,50268044115,Irbesartan Tab 150 MG,1.49,1.2,0.39,1.34,26
NDC,50268044711,Isosorbide Dinitrate Tab 5 MG,1.56,1.25,0.41,1.4,26
NDC,50268044715,Isosorbide Dinitrate Tab 5 MG,1.56,1.25,0.41,1.4,26
NDC,50268044911,Isosorbide Dinitrate Tab 20 MG,1.89,1.52,0.5,1.7,26
NDC,50268044915,Isosorbide Dinitrate Tab 20 MG,1.89,1.52,0.5,1.7,26
NDC,50268045011,Itraconazole Cap 100 MG,3.46,2.77,0.92,3.11,26
NDC,50268045012,Itraconazole Cap 100 MG,3.46,2.77,0.92,3.11,26
NDC,50268047611,Letrozole Tab 2.5 MG,1.56,1.25,0.41,1.4,26
NDC,50268047615,Letrozole Tab 2.5 MG,1.56,1.25,0.41,1.4,26
NDC,50268052011,Methocarbamol Tab 500 MG,1.23,0.99,0.33,1.11,26
NDC,50268052015,Methocarbamol Tab 500 MG,1.23,0.99,0.33,1.11,26
NDC,50268052311,Meclizine HCl Tab 25 MG,1.58,1.27,0.42,1.42,26
NDC,50268052411,Melatonin Tab 3 MG,1.19,0.96,0.31,1.07,26
NDC,50268052415,Melatonin Tab 3 MG,1.19,0.96,0.31,1.07,26
NDC,50268052511,Meloxicam Tab 7.5 MG,1.11,0.89,0.29,1.0,26
NDC,50268052515,Meloxicam Tab 7.5 MG,1.11,0.89,0.29,1.0,26
NDC,50268053011,Metaxalone Tab 800 MG,3.07,2.46,0.81,2.76,26
NDC,50268053015,Metaxalone Tab 800 MG,3.07,2.46,0.81,2.76,26
NDC,50268053511,Metronidazole Tab 500 MG,1.44,1.16,0.38,1.3,26
NDC,50268053515,Metronidazole Tab 500 MG,1.44,1.16,0.38,1.3,26
NDC,50268054011,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.17,0.94,0.31,1.05,26
NDC,50268054015,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.17,0.94,0.31,1.05,26
NDC,50268054211,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.47,1.18,0.39,1.32,26
NDC,50268054215,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.47,1.18,0.39,1.32,26
NDC,50268055011,Metformin HCl Tab ER 24HR 500 MG,1.44,1.16,0.38,1.3,26
NDC,50268055015,Metformin HCl Tab ER 24HR 500 MG,1.44,1.16,0.38,1.3,26
NDC,50268055111,Metformin HCl Tab ER 24HR 750 MG,1.38,1.11,0.37,1.24,26
NDC,50268055115,Metformin HCl Tab ER 24HR 750 MG,1.38,1.11,0.37,1.24,26
NDC,50268055711,Mycophenolate Mofetil Cap 250 MG,1.39,1.12,0.37,1.25,26
NDC,50268055715,Mycophenolate Mofetil Cap 250 MG,1.39,1.12,0.37,1.25,26
NDC,50268056111,Midodrine HCl Tab 2.5 MG,1.41,1.13,0.37,1.27,26
NDC,50268056115,Midodrine HCl Tab 2.5 MG,1.41,1.13,0.37,1.27,26
NDC,50268057311,Montelukast Sodium Chew Tab 4 MG (Base Equiv),1.7,1.36,0.45,1.53,26
NDC,50268057315,Montelukast Sodium Chew Tab 4 MG (Base Equiv),1.7,1.36,0.45,1.53,26
NDC,50268057411,Montelukast Sodium Chew Tab 5 MG (Base Equiv),1.75,1.4,0.46,1.58,26
NDC,50268057415,Montelukast Sodium Chew Tab 5 MG (Base Equiv),1.75,1.4,0.46,1.58,26
NDC,50268057711,Mesalamine Cap ER 24HR 0.375 GM,4.04,3.24,1.07,3.64,26
NDC,50268057715,Mesalamine Cap ER 24HR 0.375 GM,4.04,3.24,1.07,3.64,26
NDC,50268058511,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.2,0.96,0.32,1.08,26
NDC,50268058515,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.2,0.96,0.32,1.08,26
NDC,50268059411,Naproxen Tab 250 MG,1.18,0.95,0.31,1.06,26
NDC,50268059415,Naproxen Tab 250 MG,1.18,0.95,0.31,1.06,26
NDC,50268059711,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.78,1.43,0.47,1.6,26
NDC,50268059715,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.78,1.43,0.47,1.6,26
NDC,50268059815,Nifedipine Tab ER 24HR Osmotic Release 60 MG,2.44,1.96,0.65,2.2,26
NDC,50268060311,Nortriptyline HCl Cap 10 MG,1.28,1.03,0.34,1.15,26
NDC,50268060315,Nortriptyline HCl Cap 10 MG,1.42,1.14,0.38,1.28,26
NDC,50268060411,Nortriptyline HCl Cap 25 MG,1.44,1.16,0.38,1.3,26
NDC,50268060415,Nortriptyline HCl Cap 25 MG,1.44,1.16,0.38,1.3,26
NDC,50268060511,Nortriptyline HCl Cap 50 MG,1.46,1.17,0.39,1.31,26
NDC,50268060515,Nortriptyline HCl Cap 50 MG,1.46,1.17,0.39,1.31,26
NDC,50268061511,Olanzapine Orally Disintegrating Tab 5 MG,2.74,2.2,0.72,2.47,26
NDC,50268061513,Olanzapine Orally Disintegrating Tab 5 MG,2.74,2.2,0.72,2.47,26
NDC,50268062111,Ondansetron HCl Tab 4 MG,1.36,1.09,0.36,1.22,26
NDC,50268062311,Nitrofurantoin Macrocrystalline Cap 50 MG,2.27,1.82,0.6,2.04,26
NDC,50268062315,Nitrofurantoin Macrocrystalline Cap 50 MG,2.27,1.82,0.6,2.04,26
NDC,50268062511,Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG,2.7,2.16,0.71,2.43,26
NDC,50268062515,Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG,2.7,2.16,0.71,2.43,26
NDC,50268062811,Oxybutynin Chloride Tab ER 24HR 10 MG,3.07,2.46,0.81,2.76,26
NDC,50268062815,Oxybutynin Chloride Tab ER 24HR 10 MG,3.07,2.46,0.81,2.76,26
NDC,50268064711,Ondansetron HCl Oral Soln 4 MG/5ML,11.05,8.84,1.0,9.95,26
NDC,50268064714,Ondansetron HCl Oral Soln 4 MG/5ML,11.05,8.84,1.0,9.95,26
NDC,50268065211,Pilocarpine HCl Tab 5 MG,3.08,2.47,0.81,2.77,26
NDC,50268065212,Pilocarpine HCl Tab 5 MG,3.08,2.47,0.81,2.77,26
NDC,50268065611,Omeprazole Cap Delayed Release 20 MG,1.15,0.92,0.3,1.04,26
NDC,50268065615,Omeprazole Cap Delayed Release 20 MG,1.15,0.92,0.3,1.04,26
NDC,50268065711,Omeprazole Cap Delayed Release 40 MG,1.33,1.07,0.35,1.2,26
NDC,50268065715,Omeprazole Cap Delayed Release 40 MG,1.33,1.07,0.35,1.2,26
NDC,50268066211,Propranolol HCl Tab 10 MG,1.22,0.98,0.32,1.1,26
NDC,50268066311,Propranolol HCl Tab 20 MG,1.38,1.11,0.37,1.24,26
NDC,50268066315,Propranolol HCl Tab 20 MG,1.38,1.11,0.37,1.24,26
NDC,50268066611,Pravastatin Sodium Tab 20 MG,1.48,1.19,0.39,1.33,26
NDC,50268066615,Pravastatin Sodium Tab 20 MG,1.48,1.19,0.39,1.33,26
NDC,50268068411,Prochlorperazine Maleate Tab 5 MG (Base Equivalent),2.25,1.8,0.6,2.03,26
NDC,50268068415,Prochlorperazine Maleate Tab 5 MG (Base Equivalent),2.25,1.8,0.6,2.03,26
NDC,50268068511,Prochlorperazine Maleate Tab 10 MG (Base Equivalent),1.77,1.42,0.47,1.59,26
NDC,50268068515,Prochlorperazine Maleate Tab 10 MG (Base Equivalent),1.77,1.42,0.47,1.59,26
NDC,50268068611,Primidone Tab 50 MG,1.33,1.07,0.35,1.2,26
NDC,50268068615,Primidone Tab 50 MG,1.33,1.07,0.35,1.2,26
NDC,50268068711,Primidone Tab 250 MG,1.43,1.15,0.38,1.29,26
NDC,50268069411,Raloxifene HCl Tab 60 MG,3.76,3.01,0.99,3.38,26
NDC,50268069415,Raloxifene HCl Tab 60 MG,3.76,3.01,0.99,3.38,26
NDC,50268070911,Rosuvastatin Calcium Tab 10 MG,1.53,1.23,0.4,1.38,26
NDC,50268070915,Rosuvastatin Calcium Tab 10 MG,1.53,1.23,0.4,1.38,26
NDC,50268071715,Sildenafil Citrate Tab 20 MG,1.97,1.58,0.52,1.77,26
NDC,50268071811,Sirolimus Tab 1 MG,10.81,8.65,1.0,9.73,26
NDC,50268071813,Sirolimus Tab 1 MG,10.81,8.65,1.0,9.73,26
NDC,50268072011,Sevelamer Carbonate Tab 800 MG,2.06,1.65,0.13,1.85,52
NDC,50268072015,Sevelamer Carbonate Tab 800 MG,2.06,1.65,0.13,1.85,52
NDC,50268072411,Sotalol HCl Tab 80 MG,1.23,0.99,0.33,1.11,26
NDC,50268072415,Sotalol HCl Tab 80 MG,1.23,0.99,0.33,1.11,26
NDC,50268072511,Sotalol HCl Tab 120 MG,1.29,1.04,0.34,1.16,26
NDC,50268072811,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.28,1.03,0.34,1.15,26
NDC,50268072815,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.28,1.03,0.34,1.15,26
NDC,50268073811,Tadalafil Tab 5 MG,1.74,1.4,0.46,1.57,26
NDC,50268073813,Tadalafil Tab 5 MG,1.74,1.4,0.46,1.57,26
NDC,50268074011,Tamsulosin HCl Cap 0.4 MG,1.26,1.01,0.33,1.13,26
NDC,50268074015,Tamsulosin HCl Cap 0.4 MG,1.26,1.01,0.33,1.13,26
NDC,50268074111,Ropinirole Hydrochloride Tab 0.25 MG,1.33,1.07,0.35,1.2,26
NDC,50268074115,Ropinirole Hydrochloride Tab 0.25 MG,1.33,1.07,0.35,1.2,26
NDC,50268074311,Ropinirole Hydrochloride Tab 1 MG,1.44,1.16,0.38,1.3,26
NDC,50268074315,Ropinirole Hydrochloride Tab 1 MG,1.44,1.16,0.38,1.3,26
NDC,50268074511,Sucralfate Susp 1 GM/10ML,6.28,5.03,1.66,5.65,26
NDC,50268074514,Sucralfate Susp 1 GM/10ML,6.28,5.03,1.66,5.65,26
NDC,50268074611,Valsartan Tab 40 MG,1.94,1.56,0.51,1.75,26
NDC,50268074615,Valsartan Tab 40 MG,1.94,1.56,0.51,1.75,26
NDC,50268075411,Torsemide Tab 5 MG,1.24,1.0,0.33,1.12,26
NDC,50268075415,Torsemide Tab 5 MG,1.24,1.0,0.33,1.12,26
NDC,50268075711,Torsemide Tab 100 MG,1.31,1.05,0.35,1.18,26
NDC,50268075715,Torsemide Tab 100 MG,1.31,1.05,0.35,1.18,26
NDC,50268075811,Tenofovir Disoproxil Fumarate Tab 300 MG,2.9,2.32,0.77,2.61,26
NDC,50268075812,Tenofovir Disoproxil Fumarate Tab 300 MG,2.9,2.32,0.77,2.61,26
NDC,50268075911,Tizanidine HCl Tab 2 MG (Base Equivalent),1.53,1.23,0.4,1.38,26
NDC,50268075915,Tizanidine HCl Tab 2 MG (Base Equivalent),1.61,1.29,0.43,1.45,26
NDC,50268076211,Temozolomide Cap 100 MG,46.08,36.87,1.0,41.47,26
NDC,50268076212,Temozolomide Cap 100 MG,46.08,36.87,1.0,41.47,26
NDC,50268076811,Sertraline HCl Tab 25 MG,1.34,1.08,0.35,1.21,26
NDC,50268076815,Sertraline HCl Tab 25 MG,1.34,1.08,0.35,1.21,26
NDC,50268076911,Sertraline HCl Tab 50 MG,1.36,1.09,0.36,1.22,26
NDC,50268077211,Tranexamic Acid Tab 650 MG,4.98,3.99,1.32,4.48,26
NDC,50268077611,Trazodone HCl Tab 150 MG,1.34,1.08,0.35,1.21,26
NDC,50268077615,Trazodone HCl Tab 150 MG,1.34,1.08,0.35,1.21,26
NDC,50268077911,Temazepam Cap 15 MG,1.72,1.38,0.45,1.55,26
NDC,50268077915,Temazepam Cap 15 MG,1.72,1.38,0.45,1.55,26
NDC,50268079711,Ursodiol Cap 300 MG,2.83,2.27,0.75,2.55,26
NDC,50268079715,Ursodiol Cap 300 MG,2.83,2.27,0.75,2.55,26
NDC,50268079911,Venlafaxine HCl Tab 37.5 MG (Base Equivalent),1.56,1.25,0.41,1.4,26
NDC,50268081611,Zonisamide Cap 100 MG,1.38,1.11,0.37,1.24,26
NDC,50268081615,Zonisamide Cap 100 MG,1.38,1.11,0.37,1.24,26
NDC,50268081711,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.33,1.07,0.35,1.2,26
NDC,50268081715,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.33,1.07,0.35,1.2,26
NDC,50268085111,Thiamine Mononitrate Tab 100 MG,1.15,0.92,0.3,1.04,26
NDC,50268085115,Thiamine Mononitrate Tab 100 MG,1.15,0.92,0.3,1.04,26
NDC,50268087511,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.52,1.22,0.4,1.37,26
NDC,50268087515,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.52,1.22,0.4,1.37,26
NDC,50383023310,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,52.46,41.97,13.88,47.21,26
NDC,50383024116,Levetiracetam Oral Soln 100 MG/ML,25.19,20.16,6.66,22.67,26
NDC,50383031147,Gabapentin Oral Soln 250 MG/5ML,25.09,20.08,6.64,22.58,26
NDC,50383034910,Docusate Sodium Liquid 150 MG/15ML,1.6,1.28,0.42,1.44,26
NDC,50383062750,Ferrous Sulfate Soln 75 MG/ML (15 MG/ML Elemental Fe),3.4,2.72,0.9,3.06,26
NDC,50383070016,Fluticasone Propionate Nasal Susp 50 MCG/ACT,55.06,44.05,14.56,49.55,26
NDC,50383070530,Lorazepam Conc 2 MG/ML,26.11,20.89,6.91,23.5,26
NDC,50383080716,Amantadine HCl Soln 50 MG/5ML,25.11,20.09,6.64,22.6,26
NDC,50383082416,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,25.23,20.19,6.67,22.71,26
NDC,50383091750,Cholecalciferol Oral Liquid 10 MCG/ML (400 Unit/ML),1.05,0.84,0.28,0.95,26
NDC,50419032005,Gadoxetate Disodium IV Soln 0.25 MMOL/ML (181.43 MG/ML),60.0,48.0,1.0,54.0,26
NDC,50419032501,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),90.0,72.0,1.0,81.0,26
NDC,50419032502,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),90.0,72.0,1.0,81.0,26
NDC,50419032507,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),90.0,72.0,1.0,81.0,26
NDC,50419032511,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),90.0,72.0,1.0,81.0,26
NDC,50419032512,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),90.0,72.0,1.0,81.0,26
NDC,50419032537,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),90.0,72.0,1.0,81.0,26
NDC,50419040503,Drospirenone-Ethinyl Estradiol Tab 3-0.02 MG,763.5,610.8,201.95,687.15,26
NDC,50419042201,Levonorgestrel Releasing IUD 14 MCG/DAY (13.5 MG Total),739.7,591.76,247.8,1031.61,26
NDC,50419042301,Levonorgestrel IUD 20 MCG/DAY (Initial) (52 MG Total),801.44,641.16,268.48,1238.93,26
NDC,50419042401,Levonorgestrel Releasing IUD 17.5 MCG/DAY (19.5 MG Total),845.02,676.02,283.08,1238.93,26
NDC,50419077701,Ciprofloxacin For Oral Susp 250 MG/5ML (5%) (5 GM/100ML),29.53,23.63,7.81,26.58,26
NDC,50458009801,Pentosan Polysulfate Sodium Caps 100 MG,8.76,7.01,2.32,7.88,26
NDC,50458014030,Canagliflozin Tab 100 MG,14.3,11.44,3.78,12.87,26
NDC,50458029001,Itraconazole Cap 100 MG,21.86,17.49,5.78,19.67,26
NDC,50458029515,Itraconazole Oral Soln 10 MG/ML,58.58,46.87,15.49,52.72,26
NDC,50458030001,Risperidone Tab 1 MG,10.2,8.16,2.7,9.18,26
NDC,50458030206,Risperidone Tab 0.5 MG,8.94,7.16,2.36,8.05,26
NDC,50458030711,Risperidone Microspheres For IM Extended Rel Susp 37.5 MG,2333.62,1866.9,10.43,2100.26,34
NDC,50458030811,Risperidone Microspheres For IM Extended Rel Susp 50 MG,2611.24,2089.0,10.43,2350.12,34
NDC,50458055001,Paliperidone Tab ER 24HR 3 MG,32.74,26.2,8.66,29.47,26
NDC,50458055201,Paliperidone Tab ER 24HR 9 MG,20.02,16.02,5.3,18.02,26
NDC,50458056201,Paliperidone Palmitate ER Susp Pref Syr 117 MG/0.75ML,5477.19,4381.76,14.34,4929.47,34
NDC,50458056301,Paliperidone Palmitate ER Susp Pref Syr 156 MG/ML,4658.32,3726.66,14.34,4192.49,34
NDC,50458056401,Paliperidone Palmitate ER Susp Pref Syr 234 MG/1.5ML,6912.48,5529.99,14.34,6221.23,34
NDC,50458057501,Rivaroxaban For Susp 1 MG/ML,431.88,345.51,114.23,388.69,26
NDC,50458057701,Rivaroxaban Tab 2.5 MG,3.7,2.96,0.98,3.33,26
NDC,50458057710,Rivaroxaban Tab 2.5 MG,3.7,2.96,0.98,3.33,26
NDC,50458057801,Rivaroxaban Tab 15 MG,10.81,8.65,2.86,9.73,26
NDC,50458057810,Rivaroxaban Tab 15 MG,10.81,8.65,2.86,9.73,26
NDC,50458057830,Rivaroxaban Tab 15 MG,10.81,8.65,2.86,9.73,26
NDC,50458057890,Rivaroxaban Tab 15 MG,10.81,8.65,2.86,9.73,26
NDC,50458057901,Rivaroxaban Tab 20 MG,1.01,0.81,0.27,0.91,26
NDC,50458057910,Rivaroxaban Tab 20 MG,1.01,0.81,0.27,0.91,26
NDC,50458057930,Rivaroxaban Tab 20 MG,8.42,6.74,2.23,7.58,26
NDC,50458057990,Rivaroxaban Tab 20 MG,4.02,3.22,1.06,3.62,26
NDC,50458058001,Rivaroxaban Tab 10 MG,3.91,3.13,1.03,3.52,26
NDC,50458058010,Rivaroxaban Tab 10 MG,3.91,3.13,1.03,3.52,26
NDC,50458058030,Rivaroxaban Tab 10 MG,12.21,9.77,3.23,10.99,26
NDC,50458059601,Risperidone Soln 1 MG/ML,25.54,20.44,6.76,22.99,26
NDC,50474000148,Levetiracetam Oral Soln 100 MG/ML,27.78,22.23,7.35,25.0,26
NDC,50474059440,Levetiracetam Tab 250 MG,3.36,2.69,0.89,3.02,26
NDC,50474059540,Levetiracetam Tab 500 MG,7.8,6.24,2.06,7.02,26
NDC,50474059966,Levetiracetam Tab ER 24HR 750 MG,5.43,4.35,1.44,4.89,26
NDC,50474065165,Sodium Hyaluronate Intraocular Soln Pref Syr 15.3 MG/0.85ML,67.0,53.6,17.72,60.3,26
NDC,50474071079,Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML,19374.0,15499.2,3.72,17436.6,34
NDC,50474077066,Brivaracetam Tab 100 MG,21.1,16.88,5.58,18.99,26
NDC,50474080103,Rotigotine TD Patch 24HR 1 MG/24HR,525.09,420.08,138.89,472.58,26
NDC,50474080403,Rotigotine TD Patch 24HR 4 MG/24HR,23.06,18.45,6.1,20.75,26
NDC,50474087015,Brivaracetam Oral Soln 10 MG/ML,33.34,26.68,8.82,30.01,26
NDC,50474097063,Brivaracetam IV Soln 50 MG/5ML,416.37,333.1,1.0,374.73,26
NDC,50474097075,Brivaracetam IV Soln 50 MG/5ML,416.37,333.1,1.0,374.73,26
NDC,50484001030,Collagenase Oint 250 Unit/GM,203.89,163.12,53.93,183.5,26
NDC,50484001090,Collagenase Oint 250 Unit/GM,563.83,451.07,149.13,507.45,26
NDC,50486002915,Saline Nasal Aerosol Soln 0.9%,4.53,3.63,1.2,4.08,26
NDC,50486008552,Sodium Chloride External Soln 0.9%,5.2,4.16,1.38,4.68,26
NDC,50580018450,Ibuprofen Susp 100 MG/5ML,1.1,0.88,0.29,0.99,26
NDC,50580053501,Diphenhydramine HCl Liquid 12.5 MG/5ML,1.22,0.98,0.32,1.1,26
NDC,50632001001,"Rabies Vaccine, PCEC For Inj",651.56,521.25,152.68,586.4,34
NDC,50632001301,"Rabies Vaccine, PCEC For Inj",675.6,540.48,152.68,608.04,34
NDC,50633011012,Crotalidae Polyvalent Immune Fab (Ovine) For IV Infusion,9614.0,7691.2,1737.28,8652.6,34
NDC,50633012011,Digoxin Immune Fab For Inj 40 MG,15084.33,12067.47,4593.57,13575.9,34
NDC,50633021011,Glucarpidase For IV Inj 1000 UNIT,52504.5,42003.6,440.98,47254.05,26
NDC,50633031011,Hydroxocobalamin (Antidote) For IV Soln 5 GM,3295.94,2636.76,4.93,2966.35,34
NDC,50742011808,Cabergoline Tab 0.5 MG,3.92,3.14,1.31,15.58,26
NDC,50742023901,Mexiletine HCl Cap 150 MG,1.33,1.07,0.35,1.2,26
NDC,50742024001,Mexiletine HCl Cap 200 MG,1.44,1.16,0.38,1.3,26
NDC,50742024830,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.26,1.01,0.33,1.13,26
NDC,50742025701,Carbamazepine Tab ER 12HR 100 MG,1.21,0.97,0.32,1.09,26
NDC,50742025801,Carbamazepine Tab ER 12HR 200 MG,1.36,1.09,0.36,1.22,26
NDC,50742026001,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.15,0.92,0.3,1.04,26
NDC,50742026101,Nifedipine Tab ER 24HR Osmotic Release 60 MG,1.2,0.96,0.32,1.08,26
NDC,50742034101,Pemetrexed Disodium For IV Soln 500 MG (Base Equiv),855.43,684.35,3.22,769.89,34
NDC,50742048401,Bortezomib For Inj 3.5 MG,408.38,326.71,2.29,367.54,26
NDC,50742048401,"Bortezomib For Inj 3.5 MG,Bortezomib For IV Inj 3.5 MG",408.38,326.71,2.29,367.54,26
NDC,50742050501,Scopolamine TD Patch 72HR 1 MG/3DAYS,11.97,9.58,3.17,10.77,26
NDC,50742050504,Scopolamine TD Patch 72HR 1 MG/3DAYS,11.97,9.58,3.17,10.77,26
NDC,50742050510,Scopolamine TD Patch 72HR 1 MG/3DAYS,9.07,7.26,2.4,8.16,26
NDC,50742051501,Nitroglycerin TD Patch 24HR 0.3 MG/HR,10.88,8.71,2.88,9.79,26
NDC,50742051530,Nitroglycerin TD Patch 24HR 0.3 MG/HR,10.88,8.71,2.88,9.79,26
NDC,50742051902,Cyclophosphamide IV Soln 500 MG/2.5ML (200 MG/ML),850.15,680.12,0.74,765.14,34
NDC,50742052005,Cyclophosphamide IV Soln 1 GM/5ML (200 MG/ML),1435.35,1148.28,0.74,1291.82,34
NDC,50742055001,Fentanyl TD Patch 72HR 25 MCG/HR,5.86,4.69,1.55,5.27,26
NDC,50742055005,Fentanyl TD Patch 72HR 25 MCG/HR,5.86,4.69,1.55,5.27,26
NDC,50742055201,Fentanyl TD Patch 72HR 50 MCG/HR,10.06,8.05,2.66,9.05,26
NDC,50742055205,Fentanyl TD Patch 72HR 50 MCG/HR,10.06,8.05,2.66,9.05,26
NDC,50742055601,Fentanyl TD Patch 72HR 100 MCG/HR,15.18,12.15,4.02,13.66,26
NDC,50742061701,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.23,0.99,0.33,1.11,26
NDC,50742062001,Nifedipine Tab ER 24HR 30 MG,1.29,1.04,0.34,1.16,26
NDC,50930009802,Artificial Saliva - Solution,5.25,4.2,1.39,4.73,26
NDC,50930009808,Artificial Saliva - Solution,10.44,8.36,2.76,9.4,26
NDC,51079002320,Metolazone Tab 2.5 MG,1.44,1.16,0.38,1.3,26
NDC,51079002401,Metolazone Tab 5 MG,3.76,3.01,0.99,3.38,26
NDC,51079002420,Metolazone Tab 5 MG,3.95,3.16,1.04,3.56,26
NDC,51079002820,Tacrolimus Cap 5 MG,13.45,10.76,1.0,12.11,26
NDC,51079005120,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.24,1.0,0.33,1.12,26
NDC,51079005801,Chlorthalidone Tab 25 MG,2.7,2.16,0.71,2.43,26
NDC,51079005820,Chlorthalidone Tab 25 MG,2.7,2.16,0.71,2.43,26
NDC,51079007201,Furosemide Tab 20 MG,1.03,0.83,0.27,0.93,26
NDC,51079007220,Furosemide Tab 20 MG,1.04,0.84,0.28,0.94,26
NDC,51079007320,Furosemide Tab 40 MG,1.04,0.84,0.28,0.94,26
NDC,51079007401,Hydralazine HCl Tab 10 MG,1.16,0.93,0.31,1.04,26
NDC,51079007420,Hydralazine HCl Tab 10 MG,1.16,0.93,0.31,1.04,26
NDC,51079008320,Isoniazid Tab 300 MG,1.15,0.92,0.3,1.04,26
NDC,51079008601,Mirtazapine Tab 15 MG,1.16,0.93,0.31,1.04,26
NDC,51079008620,Mirtazapine Tab 15 MG,1.16,0.93,0.31,1.04,26
NDC,51079008701,Mirtazapine Tab 30 MG,1.21,0.97,0.32,1.09,26
NDC,51079008720,Mirtazapine Tab 30 MG,1.21,0.97,0.32,1.09,26
NDC,51079010301,Spironolactone Tab 25 MG,1.16,0.93,0.31,1.04,26
NDC,51079010320,Spironolactone Tab 25 MG,1.17,0.94,0.31,1.05,26
NDC,51079012108,Lansoprazole Cap Delayed Release 30 MG,3.01,2.41,0.8,2.71,26
NDC,51079014101,Chlordiazepoxide HCl Cap 25 MG,1.41,1.13,0.37,1.27,26
NDC,51079014120,Chlordiazepoxide HCl Cap 25 MG,1.41,1.13,0.37,1.27,26
NDC,51079014201,Lithium Carbonate Tab ER 450 MG,1.35,1.08,0.36,1.22,26
NDC,51079014220,Lithium Carbonate Tab ER 450 MG,1.35,1.08,0.36,1.22,26
NDC,51079016403,Voriconazole Tab 50 MG,7.34,5.88,1.94,6.61,26
NDC,51079016901,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.43,1.15,0.38,1.29,26
NDC,51079016920,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.43,1.15,0.38,1.29,26
NDC,51079018001,Lithium Carbonate Tab ER 300 MG,1.28,1.03,0.34,1.15,26
NDC,51079018020,Lithium Carbonate Tab ER 300 MG,1.33,1.07,0.35,1.2,26
NDC,51079020406,Abacavir Sulfate Tab 300 MG (Base Equiv),16.07,12.86,4.25,14.46,26
NDC,51079020620,Allopurinol Tab 300 MG,1.51,1.21,0.4,1.36,26
NDC,51079024601,Loratadine Tab 10 MG,1.25,1.0,0.33,1.13,26
NDC,51079025501,Metoprolol Tartrate Tab 25 MG,1.07,0.86,0.28,0.96,26
NDC,51079025520,Metoprolol Tartrate Tab 25 MG,1.07,0.86,0.28,0.96,26
NDC,51079028401,Diazepam Tab 2 MG,1.06,0.85,0.28,0.95,26
NDC,51079028420,Diazepam Tab 2 MG,1.06,0.85,0.28,0.95,26
NDC,51079028501,Diazepam Tab 5 MG,1.06,0.85,0.28,0.95,26
NDC,51079028520,Diazepam Tab 5 MG,1.06,0.85,0.28,0.95,26
NDC,51079028601,Diazepam Tab 10 MG,1.06,0.85,0.28,0.95,26
NDC,51079028620,Diazepam Tab 10 MG,1.06,0.85,0.28,0.95,26
NDC,51079030601,Polyethylene Glycol 3350 Oral Packet 17 GM,2.27,1.82,0.6,2.04,26
NDC,51079030630,Polyethylene Glycol 3350 Oral Packet 17 GM,2.27,1.82,0.6,2.04,26
NDC,51079037401,Chlordiazepoxide HCl Cap 5 MG,1.44,1.16,0.38,1.3,26
NDC,51079037420,Chlordiazepoxide HCl Cap 5 MG,1.5,1.2,0.4,1.35,26
NDC,51079037501,Chlordiazepoxide HCl Cap 10 MG,1.38,1.11,0.37,1.24,26
NDC,51079037520,Chlordiazepoxide HCl Cap 10 MG,1.38,1.11,0.37,1.24,26
NDC,51079037901,Mycophenolate Mofetil Tab 500 MG,2.0,1.6,0.53,1.8,26
NDC,51079037920,Mycophenolate Mofetil Tab 500 MG,2.0,1.6,0.53,1.8,26
NDC,51079043601,Doxepin HCl Cap 10 MG,1.47,1.18,0.39,1.32,26
NDC,51079043620,Doxepin HCl Cap 10 MG,1.47,1.18,0.39,1.32,26
NDC,51079043701,Doxepin HCl Cap 25 MG,1.62,1.3,0.43,1.46,26
NDC,51079043720,Doxepin HCl Cap 25 MG,1.44,1.16,0.38,1.3,26
NDC,51079045301,Midodrine HCl Tab 5 MG,2.06,1.65,0.54,1.85,26
NDC,51079045320,Midodrine HCl Tab 5 MG,2.06,1.65,0.54,1.85,26
NDC,51079045820,Pravastatin Sodium Tab 20 MG,1.57,1.26,0.42,1.41,26
NDC,51079059701,Cetirizine HCl Tab 10 MG,1.14,0.92,0.3,1.03,26
NDC,51079059720,Cetirizine HCl Tab 10 MG,1.14,0.92,0.3,1.03,26
NDC,51079062001,Azathioprine Tab 50 MG,1.44,1.16,0.38,1.3,26
NDC,51079062006,Azathioprine Tab 50 MG,1.44,1.16,0.38,1.3,26
NDC,51079063001,Prazosin HCl Cap 1 MG,1.26,1.01,0.33,1.13,26
NDC,51079063020,Prazosin HCl Cap 1 MG,2.34,1.88,0.62,2.11,26
NDC,51079063101,Prazosin HCl Cap 2 MG,2.87,2.3,0.76,2.58,26
NDC,51079063120,Prazosin HCl Cap 2 MG,2.87,2.3,0.76,2.58,26
NDC,51079067001,Methotrexate Sodium Tab 2.5 MG (Base Equiv),3.2,2.56,0.85,2.88,26
NDC,51079067005,Methotrexate Sodium Tab 2.5 MG (Base Equiv),3.2,2.56,0.85,2.88,26
NDC,51079068401,Atenolol Tab 50 MG,1.08,0.87,0.29,0.97,26
NDC,51079068420,Atenolol Tab 50 MG,1.08,0.87,0.29,0.97,26
NDC,51079069001,Loperamide HCl Cap 2 MG,1.65,1.32,0.44,1.49,26
NDC,51079069020,Loperamide HCl Cap 2 MG,1.65,1.32,0.44,1.49,26
NDC,51079072101,Mycophenolate Mofetil Cap 250 MG,1.35,1.08,0.36,1.22,26
NDC,51079072120,Mycophenolate Mofetil Cap 250 MG,1.35,1.08,0.36,1.22,26
NDC,51079073301,Haloperidol Tab 0.5 MG,1.24,1.0,0.33,1.12,26
NDC,51079073320,Haloperidol Tab 0.5 MG,1.24,1.0,0.33,1.12,26
NDC,51079073401,Haloperidol Tab 1 MG,1.38,1.11,0.37,1.24,26
NDC,51079073420,Haloperidol Tab 1 MG,1.38,1.11,0.37,1.24,26
NDC,51079073501,Haloperidol Tab 2 MG,1.52,1.22,0.4,1.37,26
NDC,51079073520,Haloperidol Tab 2 MG,1.52,1.22,0.4,1.37,26
NDC,51079073601,Haloperidol Tab 5 MG,1.78,1.43,0.47,1.6,26
NDC,51079073620,Haloperidol Tab 5 MG,1.85,1.48,0.49,1.67,26
NDC,51079075301,Sucralfate Tab 1 GM,1.29,1.04,0.34,1.16,26
NDC,51079075320,Sucralfate Tab 1 GM,1.29,1.04,0.34,1.16,26
NDC,51079076608,Divalproex Sodium Tab ER 24 HR 250 MG,2.72,2.18,0.72,2.45,26
NDC,51079077120,Carvedilol Tab 3.125 MG,1.1,0.88,0.29,0.99,26
NDC,51079079520,Naproxen Tab 500 MG,1.15,0.92,0.3,1.04,26
NDC,51079080101,Metoprolol Tartrate Tab 50 MG,1.08,0.87,0.29,0.97,26
NDC,51079080120,Metoprolol Tartrate Tab 50 MG,1.08,0.87,0.29,0.97,26
NDC,51079081120,Glipizide Tab 10 MG,1.49,1.2,0.39,1.34,26
NDC,51079081701,Tacrolimus Cap 0.5 MG,1.98,1.59,0.52,1.78,26
NDC,51079081720,Tacrolimus Cap 0.5 MG,1.98,1.59,0.52,1.78,26
NDC,51079082101,Levetiracetam Tab 500 MG,1.27,1.02,0.34,1.14,26
NDC,51079082120,Levetiracetam Tab 500 MG,1.27,1.02,0.34,1.14,26
NDC,51079092101,Clozapine Tab 25 MG,1.26,1.01,0.33,1.13,26
NDC,51079092120,Clozapine Tab 25 MG,1.26,1.01,0.33,1.13,26
NDC,51079092201,Clozapine Tab 100 MG,1.79,1.44,0.47,1.61,26
NDC,51079092220,Clozapine Tab 100 MG,1.92,1.54,0.51,1.73,26
NDC,51079093020,Carvedilol Tab 6.25 MG,1.1,0.88,0.29,0.99,26
NDC,51079093120,Carvedilol Tab 12.5 MG,1.1,0.88,0.29,0.99,26
NDC,51079093220,Carvedilol Tab 25 MG,1.1,0.88,0.29,0.99,26
NDC,51079097801,Carbidopa & Levodopa Tab ER 25-100 MG,1.24,1.0,0.33,1.12,26
NDC,51079097820,Carbidopa & Levodopa Tab ER 25-100 MG,1.24,1.0,0.33,1.12,26
NDC,51079098501,Buspirone HCl Tab 5 MG,1.11,0.89,0.29,1.0,26
NDC,51079098520,Buspirone HCl Tab 5 MG,1.11,0.89,0.29,1.0,26
NDC,51079098601,Buspirone HCl Tab 10 MG,1.15,0.92,0.3,1.04,26
NDC,51079098620,Buspirone HCl Tab 10 MG,1.15,0.92,0.3,1.04,26
NDC,51144005001,Brentuximab Vedotin For IV Soln 50 MG,21565.0,17252.0,222.11,19408.5,34
NDC,51167054834,Suzetrigine Tab 50 MG,15.37,12.3,4.07,13.83,26
NDC,51224001050,Benzonatate Cap 100 MG,1.27,1.02,0.34,1.14,26
NDC,51224001301,Levetiracetam Inj 500 MG/5ML (100 MG/ML),391.79,313.44,1.0,352.61,26
NDC,51224001325,Levetiracetam Inj 500 MG/5ML (100 MG/ML),391.79,313.44,1.0,352.61,26
NDC,51224016212,Aluminum Sulfate & Calcium Acetate Powd Pack,1.53,1.23,0.4,1.38,26
NDC,51224016299,Aluminum Sulfate & Calcium Acetate Powd Pack,1.53,1.23,0.4,1.38,26
NDC,51248015001,Solifenacin Succinate Tab 5 MG,10.0,8.0,2.65,9.0,26
NDC,51525011501,Hyoscyamine Sulfate Tab ER 12HR 0.375 MG,1.47,1.18,0.39,1.32,26
NDC,51525043001,Felbamate Tab 400 MG,4.47,3.58,1.18,4.02,26
NDC,51552005106,Acetic Acid Soln 3%,42.0,33.6,11.11,37.8,26
NDC,51552028505,Glutamine Powder (Bulk),123.5,98.8,32.67,111.15,26
NDC,51552039805,Valine Powder,47.0,37.6,12.43,42.3,26
NDC,51552045409,Epinephrine Bitartrate (Bulk) Powder,16.0,12.8,4.23,14.4,26
NDC,51552059406,"Calcium Phosphate, Tribasic Powder",56.0,44.8,14.81,50.4,26
NDC,51552066505,Citrulline (Bulk) Powder,63.0,50.4,16.66,56.7,26
NDC,51552067505,Hydrophilic Ointment,22.4,17.92,5.92,20.16,26
NDC,51552069805,Arginine Powder,40.0,32.0,10.58,36.0,26
NDC,51552109805,Betaine (Bulk) Powder,46.0,36.8,12.17,41.4,26
NDC,51552113905,Oral Vehicles For Susp,25.7,20.56,6.8,23.13,26
NDC,51552120105,Oral Vehicles For Susp,42.78,34.23,11.32,38.5,26
NDC,51552140402,Pyridoxal-5 Phosphate (Bulk) Powder,65.0,52.0,17.19,58.5,26
NDC,51660020090,Ezetimibe Tab 10 MG,1.2,0.96,0.32,1.08,26
NDC,51660052601,Loratadine Tab 10 MG,1.05,0.84,0.28,0.95,26
NDC,51672125906,Clobetasol Propionate Oint 0.05%,28.15,22.52,7.45,25.34,26
NDC,51672126705,Triamcinolone Acetonide Dental Paste 0.1%,43.01,34.41,11.38,38.71,26
NDC,51672127502,Clotrimazole Cream 1%,3.1,2.48,0.82,2.79,26
NDC,51672128408,Triamcinolone Acetonide Oint 0.1%,34.12,27.3,9.02,30.71,26
NDC,51672128902,Nystatin Cream 100000 Unit/GM,45.4,36.32,12.01,40.86,26
NDC,51672129802,Ketoconazole Cream 2%,63.52,50.82,16.8,57.17,26
NDC,51672130200,Terconazole Vaginal Cream 0.8%,33.58,26.87,8.88,30.22,26
NDC,51672130406,Terconazole Vaginal Cream 0.4%,31.71,25.37,8.39,28.54,26
NDC,51672131200,Mupirocin Oint 2%,30.7,24.56,8.12,27.63,26
NDC,51672135708,Fluocinolone Acetonide Oil 0.01% (Scalp Oil),64.74,51.8,17.12,58.27,26
NDC,51672136002,Acyclovir Oint 5%,320.74,256.6,84.84,288.67,26
NDC,51672139400,Tretinoin Cream 0.05%,53.18,42.55,14.07,47.86,26
NDC,51672139500,Tretinoin Cream 0.1%,87.04,69.64,23.02,78.34,26
NDC,51672140700,Tretinoin Cream 0.025%,53.26,42.61,14.09,47.93,26
NDC,51672200102,Miconazole Nitrate Cream 2%,2.02,1.62,0.53,1.82,26
NDC,51672200202,Clotrimazole Cream 1%,3.19,2.56,0.84,2.87,26
NDC,51672200306,Clotrimazole Vaginal Cream 1%,4.51,3.61,1.19,4.06,26
NDC,51672201002,Hydrocortisone Cream 0.5%,4.49,3.6,1.19,4.04,26
NDC,51672201302,Hydrocortisone Cream 1%,4.07,3.26,1.08,3.66,26
NDC,51672201602,Neomycin-Bacitracin-Polymyxin Oint,4.42,3.54,1.17,3.98,26
NDC,51672202001,Tolnaftate Cream 1%,2.08,1.67,0.55,1.87,26
NDC,51672203003,Oxymetazoline HCl Nasal Soln 0.05%,6.07,4.86,1.61,5.46,26
NDC,51672203506,Miconazole Nitrate Vaginal Cream 2%,6.58,5.27,1.74,5.92,26
NDC,51672204402,Bacitracin-Polymyxin B Oint,7.08,5.67,1.87,6.37,26
NDC,51672206200,Clotrimazole Vaginal Cream 2%,7.66,6.13,2.03,6.89,26
NDC,51672210208,Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML),1.07,0.86,0.28,0.96,26
NDC,51672211400,Acetaminophen Suppos 80 MG,1.29,1.04,0.34,1.16,26
NDC,51672211402,Acetaminophen Suppos 80 MG,1.81,1.45,0.48,1.63,26
NDC,51672211502,Acetaminophen Suppos 120 MG,1.74,1.4,0.46,1.57,26
NDC,51672211602,Acetaminophen Suppos 325 MG,1.65,1.32,0.44,1.49,26
NDC,51672211608,Acetaminophen Suppos 325 MG,1.65,1.32,0.44,1.49,26
NDC,51672213108,Loratadine Oral Soln 5 MG/5ML,1.14,0.92,0.3,1.03,26
NDC,51672300701,Hydrocortisone w/ Acetic Acid Otic Soln 1-2%,150.82,120.66,39.89,135.74,26
NDC,51672400101,Nortriptyline HCl Cap 10 MG,1.09,0.88,0.29,0.98,26
NDC,51672400105,Nortriptyline HCl Cap 10 MG,1.08,0.87,0.29,0.97,26
NDC,51672400201,Nortriptyline HCl Cap 25 MG,1.15,0.92,0.3,1.04,26
NDC,51672400301,Nortriptyline HCl Cap 50 MG,1.22,0.98,0.32,1.1,26
NDC,51672400305,Nortriptyline HCl Cap 50 MG,1.13,0.91,0.3,1.02,26
NDC,51672400501,Carbamazepine Tab 200 MG,1.61,1.29,0.43,1.45,26
NDC,51672401106,Clomipramine HCl Cap 25 MG,9.33,7.47,2.47,8.4,26
NDC,51672402201,Acetazolamide Tab 125 MG,1.15,0.92,0.3,1.04,26
NDC,51672402504,Amiodarone HCl Tab 200 MG,1.12,0.9,0.3,1.01,26
NDC,51672402606,Ketoconazole Tab 200 MG,2.63,2.11,0.7,2.37,26
NDC,51672402701,Warfarin Sodium Tab 1 MG,1.23,0.99,0.33,1.11,26
NDC,51672402801,Warfarin Sodium Tab 2 MG,1.25,1.0,0.33,1.13,26
NDC,51672403101,Warfarin Sodium Tab 4 MG,1.27,1.02,0.34,1.14,26
NDC,51672403201,Warfarin Sodium Tab 5 MG,1.22,0.98,0.32,1.1,26
NDC,51672403301,Warfarin Sodium Tab 6 MG,1.12,0.9,0.3,1.01,26
NDC,51672403401,Warfarin Sodium Tab 7.5 MG,1.37,1.1,0.36,1.23,26
NDC,51672403501,Warfarin Sodium Tab 10 MG,1.23,0.99,0.33,1.11,26
NDC,51672403801,Enalapril Maleate Tab 5 MG,1.21,0.97,0.32,1.09,26
NDC,51672404101,Carbamazepine Chew Tab 100 MG,1.33,1.07,0.35,1.2,26
NDC,51672404102,Carbamazepine Chew Tab 100 MG,1.04,0.84,0.28,0.94,26
NDC,51672404709,Carbamazepine Susp 100 MG/5ML,25.06,20.05,6.63,22.55,26
NDC,51672406901,Phenytoin Susp 125 MG/5ML,25.3,20.24,6.69,22.77,26
NDC,51672411101,Phenytoin Sodium Extended Cap 100 MG,1.22,0.98,0.32,1.1,26
NDC,51672411103,Phenytoin Sodium Extended Cap 100 MG,1.22,0.98,0.32,1.1,26
NDC,51672411806,Fluorouracil Cream 5%,73.56,58.85,19.46,66.2,26
NDC,51672412301,Carbamazepine Tab ER 12HR 100 MG,1.81,1.45,0.48,1.63,26
NDC,51672412401,Carbamazepine Tab ER 12HR 200 MG,2.56,2.05,0.68,2.3,26
NDC,51672413001,Lamotrigine Tab 25 MG,1.05,0.84,0.28,0.95,26
NDC,51672413101,Lamotrigine Tab 100 MG,1.06,0.85,0.28,0.95,26
NDC,51672413204,Lamotrigine Tab 150 MG,1.05,0.84,0.28,0.95,26
NDC,51672414506,Imiquimod Cream 5%,7.65,6.12,2.02,6.89,26
NDC,51672414601,Phenytoin Chew Tab 50 MG,1.35,1.08,0.36,1.22,26
NDC,51672416403,Metronidazole Gel 1%,212.32,169.86,56.16,191.09,26
NDC,51672416606,Clocortolone Pivalate Cream 0.1%,203.16,162.53,53.74,182.84,26
NDC,51672417201,Felbamate Susp 600 MG/5ML,30.46,24.37,8.06,27.41,26
NDC,51672421108,Ivermectin Lotion 0.5%,208.11,166.49,55.05,187.3,26
NDC,51672421503,Metronidazole Gel 1%,127.24,101.8,33.65,114.52,26
NDC,51672533002,Hydrocortisone Cream 1%,3.47,2.78,0.92,3.12,26
NDC,517002010,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),406.43,325.15,1.0,365.79,26
NDC,517003101,Cyanocobalamin Inj 1000 MCG/ML,391.95,313.56,1.0,352.76,26
NDC,517003125,Cyanocobalamin Inj 1000 MCG/ML,391.95,313.56,1.0,352.76,26
NDC,517037401,Methylene Blue IV Soln 50 MG/10ML (5 MG/ML),592.4,473.92,3.48,533.16,36
NDC,517037405,Methylene Blue IV Soln 50 MG/10ML (5 MG/ML),592.4,473.92,3.48,533.16,36
NDC,517037505,Indigotindisulfonate Sodium Inj 8 MG/ML,543.64,434.92,143.79,489.28,26
NDC,517040125,Atropine Sulfate Inj PF 0.4 MG/ML,392.75,314.2,1.0,353.48,26
NDC,517044001,Estradiol Valerate IM In Oil 40 MG/ML,395.87,316.7,1.0,356.28,26
NDC,517065001,Ferric Carboxymaltose IV Soln 750 MG/15ML (Fe Equivalent),2087.57,1670.06,1.05,1878.81,34
NDC,517071001,Fomepizole Inj 1 GM/ML (For IV Infusion),1982.25,1585.8,5.96,1784.03,34
NDC,517072001,Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML,394.61,315.69,1.0,355.15,26
NDC,517073501,Nicardipine HCl IV Soln 2.5 MG/ML,417.55,334.04,0.41,375.8,26
NDC,517073510,Nicardipine HCl IV Soln 2.5 MG/ML,417.55,334.04,0.41,375.8,26
NDC,517074001,Methylergonovine Maleate Inj 0.2 MG/ML,404.22,323.38,1.0,363.8,26
NDC,517074020,Methylergonovine Maleate Inj 0.2 MG/ML,404.22,323.38,1.0,363.8,26
NDC,517095501,Olanzapine For IM Inj 10 MG,419.86,335.89,0.89,377.87,26
NDC,517100101,Atropine Sulfate IV Soln 1 MG/ML,197.9,158.32,1.0,178.11,26
NDC,517100125,Atropine Sulfate IV Soln 1 MG/ML,197.9,158.32,1.0,178.11,26
NDC,517100401,Atropine Sulfate IV Soln 0.4 MG/ML,393.15,314.52,1.0,353.84,26
NDC,517101025,Atropine Sulfate Inj PF 1 MG/ML,194.63,155.71,1.0,175.17,26
NDC,517102001,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),61.29,49.04,0.56,55.16,26
NDC,517102025,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),61.29,49.04,0.56,55.16,26
NDC,517182001,Chlorothiazide Sodium For Inj 500 MG,472.93,378.35,1.0,425.64,26
NDC,517198001,Dicyclomine HCl Inj 10 MG/ML,405.95,324.76,1.0,365.36,26
NDC,517198005,Dicyclomine HCl Inj 10 MG/ML,405.95,324.76,1.0,365.36,26
NDC,517210201,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),399.19,319.36,105.59,359.27,26
NDC,517210225,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),399.19,319.36,105.59,359.27,26
NDC,517231001,Iron Sucrose Inj 20 MG/ML (Fe Equiv),56.49,45.2,1.0,50.84,26
NDC,517232501,Iron Sucrose Inj 20 MG/ML (Fe Equiv),203.35,162.68,1.0,183.02,26
NDC,517232510,Iron Sucrose Inj 20 MG/ML (Fe Equiv),203.35,162.68,1.0,183.02,26
NDC,517234001,Iron Sucrose Inj 20 MG/ML (Fe Equiv),104.91,83.93,1.0,94.42,26
NDC,517234010,Iron Sucrose Inj 20 MG/ML (Fe Equiv),104.91,83.93,1.0,94.42,26
NDC,517234025,Iron Sucrose Inj 20 MG/ML (Fe Equiv),104.97,83.98,1.0,94.47,26
NDC,517234099,Iron Sucrose Inj 20 MG/ML (Fe Equiv),104.98,83.99,1.0,94.48,26
NDC,517250201,Caffeine & Sodium Benzoate Inj 125-125 MG/ML (500 MG/2ML),416.82,333.46,110.25,375.14,26
NDC,517250210,Caffeine & Sodium Benzoate Inj 125-125 MG/ML (500 MG/2ML),416.82,333.46,110.25,375.14,26
NDC,517250501,Potassium Phosphates Inj 150 mM/50ML (Phos) 220 mEq/50ML (K),433.05,346.44,114.54,389.75,26
NDC,517250525,Potassium Phosphates Inj 150 mM/50ML (Phos) 220 mEq/50ML (K),433.05,346.44,114.54,389.75,26
NDC,517400201,Papaverine HCl Inj 30 MG/ML,404.41,323.53,1.0,363.97,26
NDC,517400225,Papaverine HCl Inj 30 MG/ML,404.41,323.53,1.0,363.97,26
NDC,517460125,Glycopyrrolate Inj 0.2 MG/ML,200.55,160.44,0.43,180.5,34
NDC,517481001,Nitroglycerin IV Soln 5 MG/ML,219.935,175.955,1.29,359.89,52
NDC,517481025,Nitroglycerin IV Soln 5 MG/ML,219.935,175.955,1.29,359.89,52
NDC,51754010201,Zinc Chloride Inj 1 MG/ML,402.17,321.74,1.0,361.95,26
NDC,51754010204,Zinc Chloride Inj 1 MG/ML,402.17,321.74,1.0,361.95,26
NDC,51754010801,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,397.2,317.76,1.0,357.48,26
NDC,51754010803,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,397.2,317.76,1.0,357.48,26
NDC,51754050001,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),395.14,316.12,1.0,355.63,26
NDC,51754100001,Magnesium Sulfate Inj 50%,39.09,31.28,1.0,35.18,26
NDC,51754100701,Cysteine HCl Inj 50 MG/ML,459.11,367.29,121.43,413.2,26
NDC,51754100703,Cysteine HCl Inj 50 MG/ML,459.11,367.29,121.43,413.2,26
NDC,51754200104,Potassium Acetate Inj 2 mEq/ML,391.8,313.44,103.63,352.62,26
NDC,51754200401,Potassium Acetate Inj 2 mEq/ML,409.4,327.52,108.29,368.46,26
NDC,51754425001,Ephedrine Sulfate Prefilled Syringe 25 MG/5ML (5 MG/ML),400.47,320.38,105.92,360.42,26
NDC,51754425003,Ephedrine Sulfate Prefilled Syringe 25 MG/5ML (5 MG/ML),400.47,320.38,105.92,360.42,26
NDC,51754500105,Sodium Bicarbonate IV Soln 8.4%,397.15,317.72,1.0,357.44,26
NDC,51754501101,Sodium Bicarbonate IV Soln 8.4%,396.42,317.14,1.0,356.78,26
NDC,51754501201,Sodium Bicarbonate IV Soln 4.2%,394.38,315.51,104.31,354.94,26
NDC,51754501204,Sodium Bicarbonate IV Soln 4.2%,394.38,315.51,104.31,354.94,26
NDC,51754601501,Glycopyrrolate Inj PF Soln Pref Syr 1 MG/5ML (0.2 MG/ML),40.06,32.05,10.6,36.05,26
NDC,51754601503,Glycopyrrolate Inj PF Soln Pref Syr 1 MG/5ML (0.2 MG/ML),40.06,32.05,10.6,36.05,26
NDC,517560125,Hydroxyzine HCl IM Soln 50 MG/ML,199.06,159.25,1.0,179.15,26
NDC,517560225,Hydroxyzine HCl IM Soln 50 MG/ML,97.51,78.01,1.0,87.76,26
NDC,517610101,Zinc Sulfate Inj 1 MG/ML,405.47,324.38,107.25,364.92,26
NDC,517620225,Trace Min (Cr-Cu-Mn-Zn) Inj 0.85-100-25-1500 MCG/ML,393.02,314.42,103.95,353.72,26
NDC,517650201,Selenious Acid Inj 6 MCG/ML (Selenium Equiv),403.35,322.68,106.69,363.02,26
NDC,517656001,Selenious Acid Inj 60 MCG/ML,579.5,463.6,153.28,521.55,26
NDC,517656005,Selenious Acid Inj 60 MCG/ML (Selenium Equiv),578.48,462.79,153.01,520.63,26
NDC,517671001,Calcium Chloride Inj 10%,396.49,317.2,104.87,356.84,26
NDC,517671010,Calcium Chloride Inj 10%,396.44,317.16,104.86,356.8,26
NDC,517731501,Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),408.94,327.16,1.0,368.05,26
NDC,517731525,Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),408.94,327.16,1.0,368.05,26
NDC,517760401,Acetylcysteine Inhal Soln 20%,5.53,4.43,1.46,9.48,52
NDC,517760425,Acetylcysteine Inhal Soln 20%,5.53,4.43,1.46,9.48,52
NDC,517912001,Aminocaproic Acid Inj 250 MG/ML,393.38,314.71,104.05,354.04,26
NDC,517912025,Aminocaproic Acid Inj 250 MG/ML,393.38,314.71,104.05,354.04,26
NDC,517919101,Aminocaproic Acid Inj 250 MG/ML,393.36,314.69,104.04,354.02,26
NDC,517919125,Aminocaproic Acid Inj 250 MG/ML,393.36,314.69,104.04,354.02,26
NDC,517920325,Trace Min (Cr-Cu-Mn-Zn) Inj 1-100-25-1000 MCG/ML,394.53,315.63,104.35,355.08,26
NDC,517930225,Trace Min (Cu-Mn-Se-Zn) Inj 60-3-6-1000 MCG/ML,403.37,322.7,106.69,363.03,26
NDC,517930501,",,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML",408.95,327.16,108.17,368.06,26
NDC,517930501,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML,408.95,327.16,1.0,368.06,52
NDC,517930525,",,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML",408.95,327.16,108.17,368.06,26
NDC,517930525,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML,408.95,327.16,1.0,368.06,26
NDC,517931025,Trace Min (Cr-Cu-Mn-Zn) Inj 1-100-30-500 MCG/ML,391.18,312.95,103.47,352.06,26
NDC,517970201,Droperidol Inj 2.5 MG/ML,395.18,316.15,1.0,355.66,26
NDC,517970201,"Droperidol Inj 2.5 MG/ML,Droperidol Powder",395.18,316.15,104.53,355.66,26
NDC,517970225,Droperidol Inj 2.5 MG/ML,395.18,316.15,1.0,355.66,26
NDC,51862009501,Disopyramide Phosphate Cap 100 MG,1.93,1.55,0.51,1.74,26
NDC,51862032001,Liothyronine Sodium Tab 5 MCG,1.31,1.05,0.35,1.18,26
NDC,51862036240,Fluorouracil Cream 5%,120.64,96.52,31.91,108.58,26
NDC,51862045301,Clonidine TD Patch Weekly 0.1 MG/24HR,13.32,10.66,3.52,11.99,26
NDC,51862045304,Clonidine TD Patch Weekly 0.1 MG/24HR,13.32,10.66,3.52,11.99,26
NDC,51862045801,Cyclosporine Modified Cap 25 MG,1.53,1.23,0.4,1.38,26
NDC,51862045847,Cyclosporine Modified Cap 25 MG,1.53,1.23,0.4,1.38,26
NDC,51862048601,Trimethoprim Tab 100 MG,1.29,1.04,0.34,1.16,26
NDC,51927123400,Sodium Benzoate Powder,25.33,20.27,6.7,22.8,26
NDC,51927125000,"Calcium Phosphate, Tribasic Powder",25.0,20.0,6.61,22.5,26
NDC,51927160100,Acetylcysteine Powder,25.0,20.0,6.61,22.5,26
NDC,51927165700,Phenol Liquid (Bulk),25.03,20.03,6.62,22.53,26
NDC,51927218200,Droperidol Powder,389.1,311.28,102.92,350.19,26
NDC,51927235800,Bupivacaine HCl Powder,389.1,311.28,102.92,350.19,26
NDC,51927518400,Pyridoxal-5 Phosphate (Bulk) Powder,121.0,96.8,32.0,108.9,26
NDC,51991000298,Methadone HCl Inj 10 MG/ML,585.9,468.72,1.0,527.31,26
NDC,51991000633,Desvenlafaxine Succinate Tab ER 24HR 25 MG (Base Equiv),1.62,1.3,0.43,1.46,26
NDC,51991001406,Melatonin Tab 3 MG,1.06,0.85,0.28,0.95,26
NDC,51991014417,Methylergonovine Maleate Inj 0.2 MG/ML,407.49,326.0,1.0,366.74,26
NDC,51991014499,Methylergonovine Maleate Inj 0.2 MG/ML,407.49,326.0,1.0,366.74,26
NDC,51991019811,Iron Polysacch Complex-Vit B12-FA Cap 150-0.025-1 MG,1.11,0.89,0.29,1.0,26
NDC,51991029301,Oxcarbazepine Tab 300 MG,1.19,0.96,0.31,1.07,26
NDC,51991031133,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),1.71,1.37,0.45,1.54,26
NDC,51991031190,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),1.47,1.18,0.39,1.32,26
NDC,51991036278,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),6.21,4.97,1.64,5.59,26
NDC,51991038490,Folic Acid-Pyridoxine-Cyanocobalamin Tab 2.5-25-2 MG,1.71,1.37,0.45,1.54,26
NDC,51991052601,Terbinafine HCl Tab 250 MG,1.11,0.89,0.29,1.0,26
NDC,51991065116,Levetiracetam Oral Soln 100 MG/ML,25.16,20.13,6.65,22.64,26
NDC,51991073520,Granisetron HCl Tab 1 MG,2.47,1.98,0.65,2.22,26
NDC,51991073599,Granisetron HCl Tab 1 MG,2.47,1.98,0.65,2.22,26
NDC,51991075933,Letrozole Tab 2.5 MG,1.09,0.88,0.29,0.98,26
NDC,51991079406,Rivastigmine Tartrate Cap 3 MG (Base Equivalent),2.95,2.36,0.78,2.66,26
NDC,51991079798,Azacitidine For Inj 100 MG,1269.76,1015.81,0.37,1142.78,26
NDC,51991081801,Propranolol HCl Cap ER 24HR 80 MG,2.28,1.83,0.6,2.05,26
NDC,51991089533,Entecavir Tab 0.5 MG,2.9,2.32,0.77,2.61,26
NDC,51991090001,Clobazam Tab 10 MG,1.46,1.17,0.39,1.31,26
NDC,51991090701,Tetracycline HCl Cap 500 MG,4.05,3.24,1.07,3.65,26
NDC,51991096158,Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP,3.86,3.09,1.02,3.47,26
NDC,5200001,Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML,659.39,527.52,220.9,593.45,34
NDC,52010630,Mirtazapine Orally Disintegrating Tab 15 MG,4.93,3.95,1.3,4.44,26
NDC,52015008001,Fidaxomicin Tab 200 MG,78.34,62.68,20.72,70.51,26
NDC,52031510,Chorionic Gonadotropin For IM Inj 10000 Unit,182.99,146.4,1.0,164.69,26
NDC,52244010010,Theophylline Cap ER 24HR 100 MG,2.41,1.93,0.64,2.17,26
NDC,52304071304,Polysaccharide Iron Complex Liquid 15 MG/ML (Fe Equiv),22.0,17.6,5.82,19.8,26
NDC,525096690,L-Methylfolate w/ Vit B6-Vit B12 Tab 1.13-25-2 MG,2.43,1.95,0.64,2.19,26
NDC,52533004615,Neostigmine Methylsulfate Soln Pref Syr 5 MG/5ML (1 MG/ML),39.5,31.6,1.0,35.55,26
NDC,52536018003,Erythromycin Tab Delayed Release 250 MG,5.34,4.28,1.41,4.81,26
NDC,52536048537,Verapamil HCl Cap ER 24HR 100 MG,4.93,3.95,1.3,4.44,26
NDC,52536060011,Baclofen Susp 25 MG/5ML,576.88,461.51,152.58,519.19,26
NDC,52565002759,Erythromycin Soln 2%,61.24,49.0,16.2,55.12,26
NDC,52565003330,Erythromycin Gel 2%,131.71,105.37,34.84,118.54,26
NDC,52565009030,Gentamicin Sulfate Oint 0.1%,77.23,61.79,20.43,69.51,26
NDC,52652200106,Methotrexate Oral Soln 2.5 MG/ML,40.05,32.04,13.42,36.05,34
NDC,52652400101,Enalapril Maleate Oral Soln 1 MG/ML,34.21,27.37,9.05,30.79,26
NDC,52652500101,Amlodipine Benzoate Oral Susp 1 MG/ML (Base Equivalent),34.23,27.39,9.05,30.81,26
NDC,52652800101,Zonisamide Oral Susp 100 MG/5ML (20 MG/ML),37.97,30.38,10.04,34.17,26
NDC,52652900101,Topiramate Oral Soln 25 MG/ML,642.74,514.2,170.0,578.47,26
NDC,527076237,Amphetamine-Dextroamphetamine Tab 10 MG,1.47,1.18,0.39,1.32,26
NDC,527123101,Primidone Tab 250 MG,1.63,1.31,0.43,1.47,26
NDC,527131801,Terbutaline Sulfate Tab 2.5 MG,1.27,1.02,0.34,1.14,26
NDC,527136701,Probenecid Tab 500 MG,2.39,1.92,0.63,2.15,26
NDC,527136801,Danazol Cap 100 MG,3.84,3.08,1.02,3.46,26
NDC,527169501,Butalbital-Acetaminophen-Caffeine Tab 50-325-40 MG,1.45,1.16,0.38,1.31,26
NDC,527179001,Fluphenazine HCl Tab 5 MG,7.44,5.96,1.97,6.7,26
NDC,527185943,Sumatriptan Nasal Spray 20 MG/ACT,107.29,85.84,28.38,96.56,26
NDC,527194866,Levofloxacin Oral Soln 25 MG/ML,41.85,33.48,11.07,37.67,26
NDC,527194870,Levofloxacin Oral Soln 25 MG/ML,34.11,27.29,9.02,30.7,26
NDC,527194947,Cyproheptadine HCl Syrup 2 MG/5ML,25.27,20.22,6.68,22.74,26
NDC,527197174,Cocaine HCl Nasal Soln 40 MG/ML (4%),215.4,172.32,1.41,193.86,26
NDC,527221537,Metolazone Tab 2.5 MG,2.4,1.92,0.63,2.16,26
NDC,527242646,Olmesartan Medoxomil Tab 20 MG,1.11,0.89,0.29,1.0,26
NDC,527301248,Mesalamine Tab Delayed Release 1.2 GM,2.51,2.01,0.66,2.26,26
NDC,527411737,Propranolol HCl Cap ER 24HR 80 MG,1.21,0.97,0.32,1.09,26
NDC,527466137,Lisdexamfetamine Dimesylate Cap 10 MG,2.72,2.18,0.72,2.45,26
NDC,527516082,Mycophenolate Mofetil For Oral Susp 200 MG/ML,28.51,22.81,7.54,25.66,26
NDC,527600480,Lidocaine HCl Soln 4%,62.15,49.72,16.44,55.94,26
NDC,52817018010,Clonidine HCl Tab 0.1 MG,1.06,0.85,0.28,0.95,26
NDC,52817021010,Cyproheptadine HCl Tab 4 MG,1.42,1.14,0.38,1.28,26
NDC,52817027010,Bisoprolol Fumarate Tab 5 MG,1.49,1.2,0.39,1.34,26
NDC,52817032410,Midodrine HCl Tab 5 MG,1.34,1.08,0.35,1.21,26
NDC,52817081615,Acetic Acid Otic Soln 2%,37.99,30.4,10.05,34.19,26
NDC,52937000120,Icosapent Ethyl Cap 1 GM,3.17,2.54,0.84,2.85,26
NDC,52959097905,Ofloxacin Otic Soln 0.3%,28.25,22.6,7.47,25.43,26
NDC,53329017210,Miconazole Nitrate Ointment 2%,4.83,3.87,1.28,4.35,52
NDC,53436008401,Patiromer Sorbitex Calcium For Susp Packet 8.4 GM (Base Eq),35.31,28.25,9.34,31.78,26
NDC,53436008404,Patiromer Sorbitex Calcium For Susp Packet 8.4 GM (Base Eq),123.0,98.4,32.53,110.7,26
NDC,53489011802,Doxycycline Hyclate Cap 50 MG,1.76,1.41,0.47,1.58,26
NDC,53489038601,Minoxidil Tab 2.5 MG,1.13,0.91,0.3,1.02,26
NDC,536009185,Aluminum Hydroxide Gel Susp 320 MG/5ML,1.14,0.92,0.3,1.03,26
NDC,536100601,Chlorpheniramine Maleate Tab 4 MG,1.01,0.81,0.27,0.91,26
NDC,536100715,Calcium Carbonate (Antacid) Chew Tab 500 MG,1.01,0.81,0.27,0.91,26
NDC,536100901,Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe),1.02,0.82,0.27,0.92,26
NDC,536104710,Sodium Bicarbonate Tab 650 MG,1.01,0.81,0.27,0.91,26
NDC,536104815,Calcium Carbonate (Antacid) Chew Tab 500 MG,1.01,0.81,0.27,0.91,26
NDC,536105022,Calcium Carbonate (Antacid) Chew Tab 750 MG,1.03,0.83,0.27,0.93,26
NDC,536105224,Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP,5.76,4.61,1.52,5.18,26
NDC,536105429,Aspirin Tab 325 MG,1.01,0.81,0.27,0.91,26
NDC,536109306,Naproxen Sodium Tab 220 MG,1.06,0.85,0.28,0.95,26
NDC,536109401,Naproxen Sodium Tab 220 MG,1.06,0.85,0.28,0.95,26
NDC,536109406,Naproxen Sodium Tab 220 MG,1.07,0.86,0.28,0.96,26
NDC,536110688,Nicotine TD Patch 24HR 7 MG/24HR,2.6,2.08,0.69,2.34,26
NDC,536110788,Nicotine TD Patch 24HR 14 MG/24HR,2.32,1.86,0.61,2.09,26
NDC,536110888,Nicotine TD Patch 24HR 21 MG/24HR,2.35,1.88,0.62,2.12,26
NDC,536110945,Urea Cream 20%,7.8,6.24,2.06,7.02,26
NDC,536111825,Capsaicin Cream 0.075%,6.42,5.14,1.7,5.78,26
NDC,536116137,Dextromethorphan-Guaifenesin Tab ER 12HR 30-600 MG,1.43,1.15,0.38,1.29,26
NDC,536118612,Phenylephrine-Cocoa Butter Suppos 0.25-88.44%,1.16,0.93,0.31,1.04,26
NDC,536120207,Lidocaine Patch 4%,1.9,1.52,0.5,1.71,26
NDC,536120215,Lidocaine Patch 4%,2.13,1.71,0.56,1.92,26
NDC,536121794,Tetrahydrozoline HCl Ophth Soln 0.05%,2.77,2.22,0.73,2.49,26
NDC,536121994,Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%,6.06,4.85,1.6,5.45,26
NDC,536122497,Ophthalmic Irrigation Solution,3.83,3.07,1.01,3.45,26
NDC,536122522,Calcium Carbonate (Antacid) Chew Tab 750 MG,1.03,0.83,0.27,0.93,26
NDC,536122858,Phenol Liquid 1.4%,3.12,2.5,0.83,2.81,26
NDC,536123613,Lansoprazole Cap Delayed Release 15 MG,1.33,1.07,0.35,1.2,26
NDC,536124710,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.03,0.83,0.27,0.93,26
NDC,536124801,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.02,0.82,0.27,0.92,26
NDC,536124810,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.02,0.82,0.27,0.92,26
NDC,536125240,Ketotifen Fumarate Ophth Soln 0.035%,7.25,5.8,1.92,6.53,26
NDC,536125391,Sodium Chloride Hypertonic Ophth Oint 5%,10.35,8.28,2.74,9.32,26
NDC,536125494,Sodium Chloride Hypertonic Ophth Soln 5%,4.78,3.83,1.26,4.3,26
NDC,536125628,Bacitracin Oint 500 Unit/GM,2.89,2.32,0.76,2.6,26
NDC,536126659,Sennosides Syrup 8.8 MG/5ML,0.09,0.08,0.02,0.08,26
NDC,536126812,Camphor & Menthol Lotion 0.5-0.5%,5.0,4.0,1.32,4.5,26
NDC,536127180,Povidone-Iodine Oint 10%,2.7,2.16,0.71,2.43,26
NDC,536128806,Phenylephrine-Mineral Oil-Petrolatum Oint 0.25-14-74.9%,2.88,2.31,0.76,2.59,26
NDC,536129383,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,1.06,0.85,0.28,0.95,26
NDC,536129497,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),11.3,9.04,2.99,10.17,26
NDC,536129801,Famotidine Tab 20 MG,1.08,0.87,0.29,0.97,26
NDC,536130375,Simethicone Susp 40 MG/0.6ML,1.06,0.85,0.28,0.95,26
NDC,536130485,Docusate Sodium Liquid 150 MG/15ML,1.09,0.88,0.29,0.98,26
NDC,536130723,Olopatadine HCl Ophth Soln 0.2% (Base Equivalent),12.08,9.67,3.2,10.87,26
NDC,536130840,Olopatadine HCl Ophth Soln 0.1% (Base Equivalent),10.9,8.72,2.88,9.81,26
NDC,536131543,Tolnaftate Cream 1%,2.28,1.83,0.6,2.05,26
NDC,536131628,Zinc Oxide Oint 20%,2.77,2.22,0.73,2.49,26
NDC,536132601,Aspirin-Acetaminophen-Caffeine Tab 250-250-65 MG,1.02,0.82,0.27,0.92,26
NDC,536133709,Nicotine Polacrilex Lozenge 2 MG,1.33,1.07,0.35,1.2,26
NDC,536134201,Sodium Chloride Tab 1 GM,1.06,0.85,0.28,0.95,26
NDC,536136206,Nicotine Polacrilex Gum 2 MG,1.25,1.0,0.33,1.13,26
NDC,536136225,Nicotine Polacrilex Gum 2 MG,1.26,1.01,0.33,1.13,26
NDC,536137575,Miconazole Nitrate Cream 2%,3.76,3.01,0.99,3.38,26
NDC,536140795,Hydrocortisone Cream 1%,26.62,21.3,7.04,23.96,26
NDC,536140894,Polyvinyl Alcohol Ophth Soln 1.4%,5.97,4.78,1.58,5.37,26
NDC,536142108,Simethicone Cap 180 MG,1.03,0.83,0.27,0.93,26
NDC,53623302,Coagulation Factor IX For Inj 1000 Unit,1.16,0.93,0.39,1.53,34
NDC,536252525,Capsaicin Cream 0.025%,4.78,3.83,1.26,4.3,26
NDC,536302906,Nicotine Polacrilex Gum 2 MG,1.3,1.04,0.34,1.17,26
NDC,536302925,Nicotine Polacrilex Gum 2 MG,1.3,1.04,0.34,1.17,26
NDC,536302934,Nicotine Polacrilex Gum 2 MG,1.3,1.04,0.34,1.17,26
NDC,536329210,Ascorbic Acid Tab 500 MG,1.02,0.82,0.27,0.92,26
NDC,536360735,Pseudoephedrine HCl Tab 30 MG,1.05,0.84,0.28,0.95,26
NDC,536408501,Prenatal Vit w/ Fe Fumarate-FA Tab 28-0.8 MG,1.04,0.84,0.28,0.94,26
NDC,536430611,Calcium Polycarbophil Tab 625 MG,1.06,0.85,0.28,0.95,26
NDC,536440601,Pyridoxine HCl Tab 25 MG,1.01,0.81,0.27,0.91,26
NDC,536589488,Nicotine TD Patch 24HR 7 MG/24HR,2.83,2.27,0.75,2.55,26
NDC,536589588,Nicotine TD Patch 24HR 14 MG/24HR,2.32,1.86,0.61,2.09,26
NDC,536589688,Nicotine TD Patch 24HR 21 MG/24HR,2.33,1.87,0.62,2.1,26
NDC,536718706,Omega-3 Fatty Acids Cap 1000 MG,1.08,0.87,0.29,0.97,26
NDC,53687100,Desmopressin Acetate Nasal Soln 1.5 MG/ML,441.03,352.83,116.65,396.93,26
NDC,53720102,Alpha1-Proteinase Inhibitor (Human) For IV Soln 1000 MG,1889.5,1511.6,4.81,1700.55,34
NDC,53746011001,Hydrocodone-Acetaminophen Tab 10-325 MG,1.14,0.92,0.3,1.03,26
NDC,53746020401,Oxycodone w/ Acetaminophen Tab 10-325 MG,1.61,1.29,0.43,1.45,26
NDC,53746027101,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.06,0.85,0.28,0.95,26
NDC,53746027205,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.06,0.85,0.28,0.95,26
NDC,53746044201,Meclizine HCl Tab 25 MG,1.07,0.86,0.28,0.96,26
NDC,53746051105,Spironolactone Tab 25 MG,1.06,0.85,0.28,0.95,26
NDC,53746051501,Spironolactone Tab 100 MG,1.27,1.02,0.34,1.14,26
NDC,53746052101,Promethazine HCl Tab 25 MG,1.04,0.84,0.28,0.94,26
NDC,53746054401,Primidone Tab 50 MG,1.15,0.92,0.3,1.04,26
NDC,53746064101,Flecainide Acetate Tab 50 MG,1.2,0.96,0.32,1.08,26
NDC,53746064201,Flecainide Acetate Tab 100 MG,1.22,0.98,0.32,1.1,26
NDC,53746066901,Acebutolol HCl Cap 200 MG,1.55,1.24,0.41,1.4,26
NDC,53746071101,Guanfacine HCl Tab 1 MG,1.48,1.19,0.39,1.33,26
NDC,53746073490,Felbamate Tab 400 MG,2.78,2.23,0.74,2.5,26
NDC,54000713,Calcitriol Cap 0.25 MCG,1.75,1.4,0.46,1.58,26
NDC,54000725,Calcitriol Cap 0.25 MCG,1.91,1.53,0.51,1.72,26
NDC,54001021,Flecainide Acetate Tab 50 MG,1.15,0.92,0.3,1.04,26
NDC,54001025,Flecainide Acetate Tab 50 MG,1.15,0.92,0.3,1.04,26
NDC,54001720,Prednisone Tab 10 MG,1.11,0.89,0.29,1.0,26
NDC,54001725,Prednisone Tab 10 MG,1.1,0.88,0.29,0.99,26
NDC,54001729,Prednisone Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,54001820,Prednisone Tab 20 MG,1.16,0.93,0.31,1.04,26
NDC,54001825,Prednisone Tab 20 MG,1.13,0.91,0.3,1.02,26
NDC,54001829,Prednisone Tab 20 MG,1.11,0.89,0.29,1.0,26
NDC,54001920,Prednisone Tab 50 MG,1.21,0.97,0.32,1.09,26
NDC,54001925,Prednisone Tab 50 MG,1.25,1.0,0.33,1.13,26
NDC,54002025,Lithium Carbonate Tab ER 450 MG,1.4,1.12,0.37,1.26,26
NDC,54002125,Lithium Carbonate Tab ER 300 MG,1.25,1.0,0.33,1.13,26
NDC,54005746,Digoxin Oral Soln 0.05 MG/ML,25.93,20.75,6.86,23.34,26
NDC,54007725,Torsemide Tab 20 MG,1.2,0.96,0.32,1.08,26
NDC,54007928,Balsalazide Disodium Cap 750 MG,1.45,1.16,0.38,1.31,26
NDC,54008813,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.63,1.31,0.03,1.47,52
NDC,54008826,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.77,1.42,0.03,1.59,52
NDC,54014125,Acarbose Tab 50 MG,1.45,1.16,0.38,1.31,26
NDC,54017613,Buprenorphine HCl SL Tab 2 MG (Base Equiv),1.55,1.24,0.41,1.4,26
NDC,54017713,Buprenorphine HCl SL Tab 8 MG (Base Equiv),2.25,1.8,0.6,2.03,26
NDC,54018813,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),2.56,2.05,0.68,2.3,26
NDC,54018913,Buprenorphine HCl-Naloxone HCl SL Tab 8-2 MG (Base Equiv),5.63,4.51,1.49,5.07,26
NDC,54023524,Morphine Sulfate Tab 15 MG,1.35,1.08,0.36,1.22,26
NDC,54023525,Morphine Sulfate Tab 15 MG,1.18,0.95,0.31,1.06,26
NDC,54023624,Morphine Sulfate Tab 30 MG,1.38,1.11,0.37,1.24,26
NDC,54023625,Morphine Sulfate Tab 30 MG,1.08,0.87,0.29,0.97,26
NDC,54023749,Morphine Sulfate Oral Soln 10 MG/5ML,25.26,20.21,6.68,22.73,26
NDC,54023763,Morphine Sulfate Oral Soln 10 MG/5ML,25.13,20.11,6.65,22.62,26
NDC,54024324,Codeine Sulfate Tab 15 MG,1.27,1.02,0.34,1.14,26
NDC,54027121,Capecitabine Tab 150 MG,5.18,4.15,0.03,4.66,34
NDC,54027223,Capecitabine Tab 500 MG,12.35,9.88,0.03,11.12,34
NDC,54027903,Naratriptan HCl Tab 2.5 MG (Base Equiv),6.06,4.85,1.6,5.45,26
NDC,54038663,Hydromorphone HCl Liqd 1 MG/ML,25.46,20.37,6.73,22.91,26
NDC,54040713,Ritonavir Tab 100 MG,2.98,2.39,0.79,2.68,26
NDC,54042523,Rufinamide Tab 200 MG,3.09,2.48,0.82,2.78,26
NDC,54051744,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),28.659999999999997,22.935000000000002,6.68,28.87,52
NDC,54051750,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),65.08,52.07,17.21,58.57,26
NDC,54052021,Bosentan Tab 62.5 MG,19.01,15.21,5.03,17.11,26
NDC,54066025,Lisdexamfetamine Dimesylate Cap 10 MG,6.04,4.84,1.6,5.44,26
NDC,54070925,Methadone HCl Tab 5 MG,1.15,0.92,0.3,1.04,26
NDC,54092006301,Anagrelide HCl Cap 0.5 MG,6.05,4.84,1.6,5.45,26
NDC,54092017112,Carbamazepine Cap ER 12HR 100 MG,2.16,1.73,0.57,1.94,26
NDC,54092019112,Mesalamine Cap ER 500 MG,5.73,4.59,1.52,5.16,26
NDC,54092025245,Lanthanum Carbonate Chew Tab 500 MG (Elemental),5.18,4.15,0.06,4.66,52
NDC,54092025290,Lanthanum Carbonate Chew Tab 500 MG (Elemental),5.18,4.15,0.06,4.66,52
NDC,54092047612,Mesalamine Tab Delayed Release 1.2 GM,9.04,7.24,2.39,8.14,26
NDC,54092051302,Guanfacine HCl Tab ER 24HR 1 MG (Base Equiv),10.09,8.08,2.67,9.08,26
NDC,54092054701,Prucalopride Succinate Tab 2 MG (Base Equivalent),17.41,13.93,4.6,15.67,26
NDC,54252725,Lithium Carbonate Cap 300 MG,1.03,0.83,0.27,0.93,26
NDC,54288010301,Epinephrine PF Inj 1 MG/ML,119.16,95.33,31.52,107.24,26
NDC,54288010310,Epinephrine PF Inj 1 MG/ML,119.16,95.33,31.52,107.24,26
NDC,54288010502,Dehydrated Alcohol Intra-arterial Soln,2815.65,2252.52,744.74,2534.09,26
NDC,54288010515,Dehydrated Alcohol Intra-arterial Soln,2815.65,2252.52,744.74,2534.09,26
NDC,54288012301,Epinephrine HCl Nasal Soln 0.1%,119.54,95.64,31.62,107.59,26
NDC,54288012701,Tetracaine HCl Inj 1%,442.41,353.93,117.02,398.17,26
NDC,54288012710,Tetracaine HCl Inj 1%,442.41,353.93,117.02,398.17,26
NDC,54288013601,Phenobarbital Sodium Inj 65 MG/ML,405.69,324.56,1.0,365.12,26
NDC,54288013625,Phenobarbital Sodium Inj 65 MG/ML,405.69,324.56,1.0,365.12,26
NDC,54288014201,Papaverine HCl Inj 30 MG/ML,405.23,324.19,1.0,364.71,26
NDC,54288014210,Papaverine HCl Inj 30 MG/ML,405.23,324.19,1.0,364.71,26
NDC,54288014401,Dehydrated Alcohol Intra-arterial Soln,2076.12,1660.9,549.13,1868.51,26
NDC,54288014410,Dehydrated Alcohol Intra-arterial Soln,2076.12,1660.9,549.13,1868.51,26
NDC,54295030815,Urea Cream 40%,76.68,61.35,20.28,69.01,26
NDC,54311763,Calcium Carbonate (Antacid) Susp 1250 MG/5ML,1.1,0.88,0.29,0.99,26
NDC,54311763,"Calcium Carbonate Susp 1250 MG/5ML (500 MG/5ML Elemental Ca),Calcium Carbonate (Antacid) Susp 1250 MG/5ML",11.0,8.8,2.91,9.9,26
NDC,54312041,Calcitriol Oral Soln 1 MCG/ML,26.97,21.58,7.13,24.27,26
NDC,54317644,Dexamethasone Conc 1 MG/ML,47.29,37.84,1.0,42.56,26
NDC,54317763,Dexamethasone Soln 0.5 MG/5ML,40.0,32.0,1.0,36.0,26
NDC,54318863,Diazepam Oral Soln 1 MG/ML,25.14,20.12,6.65,22.63,26
NDC,54327099,Fluticasone Propionate Nasal Susp 50 MCG/ACT,60.45,48.36,15.99,54.41,26
NDC,54329450,Furosemide Oral Soln 10 MG/ML,25.16,20.13,6.65,22.64,26
NDC,5434462,Multiple Vitamins w/ Minerals Liquid,1.03,0.83,0.27,0.93,26
NDC,54350049,Lidocaine HCl Viscous Soln 2%,26.4,21.12,6.98,23.76,26
NDC,54350547,Lidocaine HCl Soln 4%,62.15,49.72,16.44,55.94,52
NDC,54353244,Lorazepam Conc 2 MG/ML,25.26,20.21,6.68,22.73,26
NDC,54355563,Methadone HCl Soln 5 MG/5ML,54.5,43.6,14.42,49.05,26
NDC,54356699,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),117.39,93.92,31.05,105.65,26
NDC,54372250,Prednisone Oral Soln 5 MG/5ML,27.74,22.2,7.34,24.97,26
NDC,54372263,Prednisone Oral Soln 5 MG/5ML,25.94,20.76,6.86,23.35,26
NDC,54372763,Propranolol HCl Oral Soln 20 MG/5ML,25.27,20.22,6.68,22.74,26
NDC,54414623,Clotrimazole Troche 10 MG,1.27,1.02,0.34,1.14,26
NDC,54417925,Dexamethasone Tab 0.5 MG,1.05,0.84,0.28,1.0,26
NDC,54418125,Dexamethasone Tab 1 MG,1.21,0.97,0.32,1.09,26
NDC,54418325,Dexamethasone Tab 2 MG,1.41,1.13,0.37,1.27,26
NDC,54418425,Dexamethasone Tab 4 MG,1.09,0.88,0.29,1.0,26
NDC,54429725,Furosemide Tab 20 MG,1.03,0.83,0.27,0.93,26
NDC,54429731,Furosemide Tab 20 MG,1.03,0.83,0.27,0.93,26
NDC,54429925,Furosemide Tab 40 MG,1.04,0.84,0.28,0.94,26
NDC,54429931,Furosemide Tab 40 MG,1.01,0.81,0.27,0.91,26
NDC,54449810,Leucovorin Calcium Tab 15 MG,5.8,4.64,1.53,5.22,26
NDC,54449911,Leucovorin Calcium Tab 25 MG,6.35,5.08,1.68,5.72,26
NDC,54452725,Lithium Carbonate Tab 300 MG,1.15,0.92,0.3,1.04,26
NDC,54457025,Methadone HCl Tab 5 MG,1.19,0.96,0.31,1.07,26
NDC,54458010022,Glucosamine-Chondroitin Cap 500-400 MG,1.25,1.0,0.33,1.13,26
NDC,54458111,Mercaptopurine Tab 50 MG,2.42,1.94,0.64,2.18,26
NDC,5446089401,Neostigmine Methylsulfate Soln Pref Syr 5 MG/5ML (1 MG/ML),40.1,32.08,1.0,36.09,26
NDC,5446154410,"Phenylephrine 100 mcg/mL,Phenylephrine-NaCl PF Pref Syr 0.5 MG/5ML-0.9% (100 MCG/ML),Phenylephrine-NaCl PF Pref Syr 1 MG/10ML-0.9% (100 *,Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML),Phen",39.5,31.6,10.45,35.55,26
NDC,5446154410,"Phenylephrine 100 mcg/mL,Phenylephrine-NaCl PF Pref Syr 1 MG/10ML-0.9% (100 *,Phenylephrine-NaCl PF Pref Syr 0.5 MG/5ML-0.9% (100 MCG/ML),Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML)",395.0,316.0,1.0,355.5,26
NDC,5446154410,Phenylephrine-NaCl Pref Syr 1 MG/10ML-0.9% (100 MCG/ML),395.0,316.0,1.0,355.5,26
NDC,54472831,Prednisone Tab 5 MG,1.09,0.88,0.29,0.98,26
NDC,54474125,Prednisone Tab 1 MG,1.09,0.88,0.29,0.98,26
NDC,54482014407,Levocarnitine Tab 330 MG,1.78,1.43,0.47,1.6,26
NDC,54482014508,Levocarnitine Oral Soln 1 GM/10ML (10%),25.99,20.8,6.87,23.39,26
NDC,54482014701,Levocarnitine Inj 200 MG/ML,394.28,315.43,25.83,354.85,52
NDC,54482014801,Levocarnitine Oral Soln 1 GM/10ML (10%),26.15,20.92,6.92,23.54,26
NDC,54629007001,Ascorbic Acid Chew Tab 250 MG,1.04,0.84,0.28,0.94,26
NDC,54629058501,Cyanocobalamin Tab 500 MCG,1.05,0.84,0.28,0.95,26
NDC,54629064501,Ferrous Gluconate Tab 324 MG (37.5 MG Elemental Iron),1.05,0.84,0.28,0.95,26
NDC,54629065002,Folic Acid Tab 400 MCG,1.01,0.81,0.27,0.91,26
NDC,54629409760,Acetylcysteine Cap 600 MG,1.06,0.85,0.28,0.95,26
NDC,54629788216,Calcium Citrate-Vitamin D Liquid 1000-0.01 MG(400 Unit)/30ML,0.3,0.24,0.08,0.27,26
NDC,54643564601,"Multiple Vitamin IV Soln,Pediatric Multiple Vitamins IV Soln",401.99,321.6,106.33,361.79,26
NDC,54643564601,Pediatric Multiple Vitamins IV Soln,401.99,321.6,106.33,361.79,26
NDC,54643564700,"Multiple Vitamin IV Soln,Pediatric Multiple Vitamins IV Soln",415.25,332.2,109.83,373.73,26
NDC,54643564700,Pediatric Multiple Vitamins IV Soln,415.25,332.2,109.83,373.73,26
NDC,54643564901,Multiple Vitamin IV Soln,396.73,317.39,1.0,357.06,26
NDC,54643565701,Multiple Vitamin IV Soln,392.87,314.3,1.0,353.58,26
NDC,54643565901,Multiple Vitamin IV Soln,392.87,314.3,1.0,353.58,26
NDC,54643900701,Multiple Vitamin IV Soln,395.55,316.44,1.0,356.0,26
NDC,54643901502,Multiple Vitamin IV Soln,469.2,375.36,1.0,422.28,26
NDC,54643903100,Pediatric Multiple Vitamins IV Soln,540.35,432.28,142.92,486.32,26
NDC,54766071604,Pramoxine-HC Cream 1-1%,262.14,209.72,69.34,235.93,26
NDC,54814622,Clotrimazole Troche 10 MG,1.86,1.49,0.49,1.67,26
NDC,54817425,Dexamethasone Tab 1 MG,1.25,1.0,0.33,1.13,26
NDC,54817525,Dexamethasone Tab 4 MG,1.82,1.46,0.48,1.64,26
NDC,54817625,Dexamethasone Tab 2 MG,1.57,1.26,0.42,1.41,26
NDC,54817925,Dexamethasone Tab 0.5 MG,1.06,0.85,0.28,1.0,26
NDC,54818325,Dexamethasone Tab 6 MG,2.53,2.03,0.67,2.28,26
NDC,54829725,Furosemide Tab 20 MG,1.04,0.84,0.28,0.94,26
NDC,54829925,Furosemide Tab 40 MG,1.19,0.96,0.31,1.07,26
NDC,54838000180,Ferrous Sulfate Soln 220 MG/5ML (44 MG/5ML Elemental Fe),1.16,0.93,0.31,1.04,26
NDC,54838000530,Vitamin E Soln 6.75 MG/0.3ML (15 Unit/0.3ML),25.32,20.26,6.7,22.79,26
NDC,54838000650,Cholecalciferol Oral Liquid 10 MCG/ML (400 Unit/ML),1.06,0.85,0.28,0.95,26
NDC,54838050280,Hydroxyzine HCl Syrup 10 MG/5ML,25.66,20.53,6.79,23.09,26
NDC,54838055680,Theophylline Soln 80 MG/15ML,94.53,75.63,25.0,85.08,26
NDC,54838055840,Loratadine Oral Soln 5 MG/5ML,1.16,0.93,0.31,1.04,26
NDC,54852625,Lithium Carbonate Cap 150 MG,1.13,0.91,0.3,1.02,26
NDC,54852725,Lithium Carbonate Cap 300 MG,1.06,0.85,0.28,0.95,26
NDC,548540000,Medroxyprogesterone Acetate IM Susp 150 MG/ML,429.19,343.36,1.0,386.27,26
NDC,54855025,Methotrexate Sodium Tab 2.5 MG (Base Equiv),1.7,1.36,0.45,1.53,26
NDC,54855324,Methadone HCl Tab 5 MG,1.2,0.96,0.32,1.08,26
NDC,548560100,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,393.21,314.57,1.0,353.89,26
NDC,548560200,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,394.7,315.76,1.0,355.23,26
NDC,548560300,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,397.55,318.04,1.0,357.8,26
NDC,548560600,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,406.1,324.88,1.0,365.49,26
NDC,548590000,Cosyntropin For Inj 0.25 MG,488.68,390.95,1.0,439.81,26
NDC,54859051608,B-Complex w/ C & Folic Acid Liquid 0.9 MG/5ML,1.06,0.85,0.28,0.95,26
NDC,54872425,Prednisone Tab 5 MG,1.1,0.88,0.29,0.99,26
NDC,54873925,Prednisone Tab 1 MG,1.13,0.91,0.3,1.02,26
NDC,54874025,Prednisone Tab 2.5 MG,1.05,0.84,0.28,0.95,26
NDC,54879001413,Thiotepa For Inj 15 MG,646.83,517.47,10.01,582.15,34
NDC,548909010,Hyaluronidase Bovine Inj 150 Unit/ML,404.69,323.76,1.0,364.22,26
NDC,548970100,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),62.29,49.84,2.56,56.06,26
NDC,54982825,Prednisone Tab 5 MG,1.11,0.89,0.29,1.0,26
NDC,55100503232,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,",406.0,324.8,1.0,365.4,26
NDC,55111012190,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.12,0.9,0.3,1.01,26
NDC,55111012205,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.16,0.93,0.31,1.04,26
NDC,55111012601,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.54,1.24,0.41,1.39,26
NDC,55111012701,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.66,1.33,0.44,1.49,26
NDC,55111014512,Fluconazole Tab 150 MG,3.62,2.9,0.96,3.26,26
NDC,55111014571,Fluconazole Tab 150 MG,3.62,2.9,0.96,3.26,26
NDC,55111014630,Fluconazole Tab 200 MG,2.31,1.85,0.61,2.08,26
NDC,55111015001,Fluoxetine HCl Tab 10 MG,1.43,1.15,0.38,1.29,26
NDC,55111015330,Ondansetron HCl Tab 4 MG,1.39,1.12,0.37,1.25,26
NDC,55111015701,Omeprazole Cap Delayed Release 10 MG,1.12,0.9,0.3,1.01,26
NDC,55111016330,Olanzapine Tab 2.5 MG,1.13,0.91,0.3,1.02,26
NDC,55111018015,Tizanidine HCl Tab 4 MG (Base Equivalent),1.09,0.88,0.29,0.98,26
NDC,55111019605,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.06,0.85,0.28,0.95,26
NDC,55111019690,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.06,0.85,0.28,0.95,26
NDC,55111019805,Simvastatin Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,55111019905,Simvastatin Tab 20 MG,1.04,0.84,0.28,0.94,26
NDC,55111020005,Simvastatin Tab 40 MG,1.06,0.85,0.28,0.95,26
NDC,55111025301,Carvedilol Tab 6.25 MG,1.05,0.84,0.28,0.95,26
NDC,55111025305,Carvedilol Tab 6.25 MG,1.04,0.84,0.28,0.94,26
NDC,55111025401,Carvedilol Tab 12.5 MG,1.04,0.84,0.28,0.94,26
NDC,55111025405,Carvedilol Tab 12.5 MG,1.04,0.84,0.28,0.94,26
NDC,55111025505,Carvedilol Tab 25 MG,1.05,0.84,0.28,0.95,26
NDC,55111025660,Ziprasidone HCl Cap 20 MG,1.98,1.59,0.52,1.78,26
NDC,55111025960,Ziprasidone HCl Cap 80 MG,1.52,1.22,0.4,1.37,26
NDC,55111026279,Olanzapine Orally Disintegrating Tab 5 MG,3.22,2.58,0.85,2.9,26
NDC,55111026281,Olanzapine Orally Disintegrating Tab 5 MG,10.31,8.25,2.73,9.28,26
NDC,55111027950,Levofloxacin Tab 250 MG,1.13,0.91,0.3,1.02,26
NDC,55111028050,Levofloxacin Tab 500 MG,1.19,0.96,0.31,1.07,26
NDC,55111028130,Levofloxacin Tab 750 MG,1.23,0.99,0.33,1.11,26
NDC,55111029109,Sumatriptan Succinate Tab 25 MG,2.65,2.12,0.7,2.39,26
NDC,55111029209,Sumatriptan Succinate Tab 50 MG,4.15,3.32,1.1,3.74,26
NDC,55111030230,Donepezil Hydrochloride Tab 23 MG,8.43,6.75,2.23,7.59,26
NDC,55111032001,Glimepiride Tab 1 MG,1.03,0.83,0.27,0.93,26
NDC,55111032201,Glimepiride Tab 4 MG,1.04,0.84,0.28,0.94,26
NDC,55111033290,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.18,0.95,0.31,1.06,26
NDC,55111034201,Citalopram Hydrobromide Tab 10 MG (Base Equiv),1.25,1.0,0.33,1.13,26
NDC,55111035260,Rivastigmine Tartrate Cap 1.5 MG (Base Equivalent),2.95,2.36,0.78,2.66,26
NDC,55111035360,Rivastigmine Tartrate Cap 3 MG (Base Equivalent),2.7,2.16,0.71,2.43,26
NDC,55111046601,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.39,1.12,0.37,1.25,26
NDC,55111046605,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.7,1.36,0.45,1.53,26
NDC,55111046701,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.39,1.12,0.37,1.25,26
NDC,55111046801,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),2.05,1.64,0.54,1.85,26
NDC,55111046805,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.69,1.36,0.45,1.52,26
NDC,55111053405,Divalproex Sodium Tab ER 24 HR 500 MG,1.6,1.28,0.42,1.44,26
NDC,55111055610,Decitabine For Inj 50 MG,5143.95,4115.16,1.0,4629.56,26
NDC,55111065001,Metaxalone Tab 800 MG,1.69,1.36,0.45,1.52,26
NDC,55111065207,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),491.9,393.52,1.0,442.71,26
NDC,55111065237,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),491.9,393.52,1.0,442.71,26
NDC,55111065930,Ropinirole Hydrochloride Tab ER 24HR 2 MG (Base Equivalent),2.98,2.39,0.79,2.68,26
NDC,55111066230,Ropinirole Hydrochloride Tab ER 24HR 8 MG (Base Equivalent),6.94,5.56,1.84,6.25,26
NDC,55111067802,Fondaparinux Sodium Subcutaneous Inj 2.5 MG/0.5ML,398.5,318.8,1.0,358.65,26
NDC,55111067902,Fondaparinux Sodium Inj 5 MG/0.4ML,418.5,334.8,1.0,376.65,26
NDC,55111067910,Fondaparinux Sodium Inj 5 MG/0.4ML,418.5,334.8,1.0,376.65,26
NDC,55111068010,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,485.23,388.19,1.0,436.71,26
NDC,55111068011,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,418.5,334.8,1.0,376.65,26
NDC,55111068110,Fondaparinux Sodium Inj 10 MG/0.8ML,418.51,334.81,1.0,376.66,26
NDC,55111068111,Fondaparinux Sodium Inj 10 MG/0.8ML,418.51,334.81,1.0,376.66,26
NDC,55111068301,Ibuprofen Tab 600 MG,1.06,0.85,0.28,0.95,26
NDC,55111068305,Ibuprofen Tab 600 MG,1.03,0.83,0.27,0.93,26
NDC,55111068507,Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML,282.86,226.29,1.0,254.57,26
NDC,55111068852,Zoledronic Acid IV Soln 5 MG/100ML,647.0,517.6,1.0,582.3,26
NDC,55111069407,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),395.93,316.75,1.0,356.34,26
NDC,55111071730,Lamotrigine Tab ER 24HR 25 MG,1.9,1.52,0.5,1.71,26
NDC,55111071930,Lamotrigine Tab ER 24HR 100 MG,2.01,1.61,0.53,1.81,26
NDC,55111072901,Allopurinol Tab 100 MG,1.07,0.86,0.28,0.96,26
NDC,55111073001,Allopurinol Tab 300 MG,1.13,0.91,0.3,1.02,26
NDC,55111076303,Montelukast Sodium Oral Granules Packet 4 MG (Base Equiv),5.38,4.31,1.42,4.84,26
NDC,55150011210,Ampicillin Sodium For Inj 500 MG,389.83,311.87,1.0,350.85,26
NDC,55150011310,Ampicillin Sodium For Inj 1 GM,390.6,312.48,1.0,351.54,26
NDC,55150011420,Ampicillin Sodium For Inj 2 GM,391.48,313.19,1.0,352.33,26
NDC,55150011420,"Ampicillin Sodium For Inj 2 GM,Ampicillin Sodium For IV Soln 2 GM",391.48,313.19,1.0,352.33,26
NDC,55150011620,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,390.34,312.28,1.0,351.31,26
NDC,55150011720,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,391.26,313.01,1.0,352.13,26
NDC,55150012150,Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM),394.17,315.34,1.0,354.75,26
NDC,55150012215,Nafcillin Sodium For Inj 1 GM,394.07,315.26,104.23,354.66,26
NDC,55150012315,Nafcillin Sodium For Inj 2 GM,397.42,317.94,105.12,357.68,26
NDC,55150012316,Nafcillin Sodium For Inj 2 GM,396.53,317.23,104.88,356.88,26
NDC,55150012620,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),389.13,311.31,1.0,350.22,26
NDC,55150012715,Oxacillin Sodium For Inj 1 GM (Base Equivalent),394.17,315.34,1.0,354.75,26
NDC,55150015410,Acyclovir Sodium IV Soln 50 MG/ML,391.24,313.0,1.0,352.12,26
NDC,55150015520,Acyclovir Sodium IV Soln 50 MG/ML,196.74,157.4,1.0,177.07,26
NDC,55150016102,Lidocaine HCl Local Preservative Free (PF) Inj 1%,195.27,156.22,51.65,175.74,26
NDC,55150016205,Lidocaine HCl Local Preservative Free (PF) Inj 1%,389.28,311.43,102.96,350.35,26
NDC,55150016330,Lidocaine HCl Local Preservative Free (PF) Inj 1%,13.02,10.42,3.44,11.72,26
NDC,55150016402,Lidocaine HCl Local Preservative Free (PF) Inj 2%,76.36,61.09,20.2,68.72,26
NDC,55150016505,Lidocaine HCl Local Preservative Free (PF) Inj 2%,156.05,124.84,41.28,140.45,26
NDC,55150016710,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,390.29,312.24,0.02,351.26,26
NDC,55150016830,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,390.5,312.4,0.02,351.45,26
NDC,55150016910,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.26,312.21,0.02,351.23,26
NDC,55150017030,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.17,312.14,0.02,351.15,26
NDC,55150017110,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,390.19,312.16,0.02,351.17,26
NDC,55150017301,Sumatriptan Succinate Inj 6 MG/0.5ML,400.41,320.33,1.0,360.37,26
NDC,55150017410,Azithromycin IV For Soln 500 MG,391.39,313.12,1.0,352.25,26
NDC,55150017705,Levetiracetam Inj 500 MG/5ML (100 MG/ML),391.9,313.52,1.0,352.71,26
NDC,55150018301,Nicardipine HCl IV Soln 2.5 MG/ML,401.61,321.29,0.41,361.45,26
NDC,55150018310,Nicardipine HCl IV Soln 2.5 MG/ML,401.61,321.29,0.41,361.45,26
NDC,55150018505,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),396.57,317.26,1.0,356.91,26
NDC,55150018605,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),394.01,315.21,1.0,354.61,26
NDC,55150018703,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),394.3,315.44,1.0,354.87,26
NDC,55150018810,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),401.09,320.88,1.0,360.98,26
NDC,55150019183,Ibandronate Sodium IV Soln 3 MG/3ML (Base Equivalent),401.93,321.55,1.0,361.74,26
NDC,55150019410,Esmolol HCl Inj 100 MG/10ML,391.52,313.22,0.25,352.37,26
NDC,55150019520,Ropivacaine HCl Inj 2 MG/ML,395.44,316.36,1.0,355.9,26
NDC,55150019699,Ropivacaine HCl Inj 2 MG/ML,415.3,332.24,1.0,373.77,26
NDC,55150019720,Ropivacaine HCl Inj 5 MG/ML,78.57,62.86,1.0,70.71,26
NDC,55150019830,Ropivacaine HCl Inj 5 MG/ML,52.53,42.03,1.0,47.28,26
NDC,55150020200,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),393.08,314.47,103.97,353.77,26
NDC,55150020210,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),393.08,314.47,103.97,353.77,26
NDC,55150020830,Meropenem IV For Soln 1 GM,394.45,315.56,1.0,355.01,26
NDC,55150020902,Dexmedetomidine HCl IV Soln 200 MCG/2ML,393.72,314.98,104.14,354.35,26
NDC,55150021010,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),519.26,415.41,1.0,467.33,26
NDC,55150022505,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),390.8,312.64,103.37,351.72,26
NDC,55150023200,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,396.67,317.34,1.0,357.0,26
NDC,55150023210,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,396.67,317.34,1.0,357.0,26
NDC,55150023300,Fondaparinux Sodium Inj 10 MG/0.8ML,416.37,333.1,1.0,374.73,26
NDC,55150023310,Fondaparinux Sodium Inj 10 MG/0.8ML,416.37,333.1,1.0,374.73,26
NDC,55150023410,Polymyxin B Sulfate For Inj 500000 Unit,392.46,313.97,103.81,353.21,26
NDC,55150023501,Vecuronium Bromide For Inj 10 MG,392.35,313.88,103.78,353.12,52
NDC,55150023510,Vecuronium Bromide For Inj 10 MG,392.35,313.88,103.78,353.12,52
NDC,55150024251,Linezolid IV Soln 600 MG/300ML (2 MG/ML),417.8,334.24,1.0,376.02,26
NDC,55150024847,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,410.7,328.56,1.0,369.63,26
NDC,55150024950,Bupivacaine HCl Inj 0.25%,391.05,312.84,0.02,351.95,26
NDC,55150025050,Bupivacaine HCl Inj 0.5%,390.75,312.6,0.02,351.68,26
NDC,55150025110,Lidocaine HCl Local Inj 1%,390.05,312.04,103.17,351.05,26
NDC,55150025220,Lidocaine HCl Local Inj 1%,389.04,311.24,102.9,350.14,26
NDC,55150025350,Lidocaine HCl Local Inj 1%,389.11,311.29,102.92,350.2,26
NDC,55150025650,Lidocaine HCl Local Inj 2%,395.95,316.76,104.73,356.36,26
NDC,55150025930,Acetylcysteine Inj 200 MG/ML,331.34,265.08,1.0,298.21,26
NDC,55150026705,Fluphenazine Decanoate Inj 25 MG/ML,398.32,318.66,1.0,358.49,26
NDC,55150027301,Thiamine HCl Inj 100 MG/ML,390.89,312.72,1.0,351.8,26
NDC,55150028220,Ertapenem Sodium For Inj 1 GM (Base Equivalent),472.84,378.28,1.0,425.56,26
NDC,55150028601,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",392.68,314.15,103.86,353.41,26
NDC,55150028601,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),392.68,314.15,103.86,353.41,26
NDC,55150029701,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,404.3,323.44,106.94,363.87,26
NDC,55150030401,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,156.51,125.21,1.0,140.86,26
NDC,55150030425,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,156.51,125.21,1.0,140.86,26
NDC,55150030801,Olanzapine For IM Inj 10 MG,406.48,325.19,0.89,365.83,26
NDC,55150031801,Chlorpromazine HCl Inj 25 MG/ML,405.15,324.12,1.0,364.64,26
NDC,55150031825,Chlorpromazine HCl Inj 25 MG/ML,405.15,324.12,1.0,364.64,26
NDC,55150032201,Furosemide Inj 10 MG/ML,389.5,311.6,103.02,350.55,26
NDC,55150032225,Furosemide Inj 10 MG/ML,389.5,311.6,103.02,350.55,26
NDC,55150032301,Furosemide Inj 10 MG/ML,194.96,155.97,51.57,175.46,26
NDC,55150032325,Furosemide Inj 10 MG/ML,194.96,155.97,51.57,175.46,26
NDC,55150032401,Furosemide Inj 10 MG/ML,78.16,62.53,20.67,70.34,26
NDC,55150032425,Furosemide Inj 10 MG/ML,78.16,62.53,20.67,70.34,26
NDC,55150032701,Naloxone HCl Inj 0.4 MG/ML,195.85,156.68,51.8,176.27,26
NDC,55150032710,Naloxone HCl Inj 0.4 MG/ML,195.85,156.68,51.8,176.27,26
NDC,55150032901,Medroxyprogesterone Acetate IM Susp 150 MG/ML,411.26,329.01,1.0,370.13,26
NDC,55150034501,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,80.22,64.18,21.22,72.2,26
NDC,55150034510,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,80.22,64.18,21.22,72.2,26
NDC,55150035901,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),390.99,312.8,1.0,351.89,26
NDC,55150035950,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),390.99,312.8,1.0,351.89,26
NDC,55150042101,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,502.9,402.32,0.25,452.61,26
NDC,55150042501,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),157.01,125.61,41.53,141.31,26
NDC,55150042701,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),63.77,51.02,16.87,57.39,26
NDC,55150043001,Tirofiban HCl in NaCl 0.9% IV Soln 12.5 MG/250ML (Base Eq),519.5,415.6,4.41,467.55,26
NDC,55150043101,Dactinomycin For Inj 0.5 MG,1477.49,1182.0,311.92,1329.74,34
NDC,55150043201,Dexrazoxane HCl For Inj 250 MG (Base Equivalent),461.0,368.8,59.91,414.9,34
NDC,55150043401,Dexrazoxane HCl For Inj 250 MG (Base Equivalent),461.07,368.86,59.91,414.96,34
NDC,55150044301,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),434.05,347.24,1.0,390.65,26
NDC,55150047001,Tobramycin Sulfate For Inj 1.2 GM,72.25,57.8,1.0,65.03,26
NDC,55150047006,Tobramycin Sulfate For Inj 1.2 GM,72.25,57.8,1.0,65.03,26
NDC,55154-7257-07,Temazepam Cap 7.5 MG,7.22,5.78,1.91,6.5,26
NDC,55154113104,Lamotrigine Tab 25 MG,4.88,3.91,1.29,4.39,26
NDC,55154181604,Raloxifene HCl Tab 60 MG,4.2,3.36,1.11,3.78,26
NDC,55154721004,Levetiracetam Tab 250 MG,3.64,2.92,0.96,3.28,26
NDC,55154825504,Bupropion HCl Tab ER 12HR 100 MG,1.51,1.21,0.4,1.36,26
NDC,55292012252,Ibuprofen Lysine IV Soln 10 MG/ML (Base Equivalent),1926.25,1541.0,1.0,1733.63,26
NDC,55292020111,Succimer Cap 100 MG,11.3,9.04,2.99,10.17,26
NDC,55292081155,Dactinomycin For Inj 0.5 MG,4159.5,3327.6,311.92,3743.55,34
NDC,555003302,Chlordiazepoxide HCl Cap 10 MG,1.06,0.85,0.28,0.95,26
NDC,555007101,Isoniazid Tab 300 MG,1.38,1.11,0.37,1.24,26
NDC,555007102,Isoniazid Tab 300 MG,1.06,0.85,0.28,0.95,26
NDC,555015802,Chlordiazepoxide HCl Cap 5 MG,1.08,0.87,0.29,0.97,26
NDC,555015804,Chlordiazepoxide HCl Cap 5 MG,1.16,0.93,0.31,1.04,26
NDC,555015902,Chlordiazepoxide HCl Cap 25 MG,1.06,0.85,0.28,0.95,26
NDC,555015904,Chlordiazepoxide HCl Cap 25 MG,1.05,0.84,0.28,0.95,26
NDC,555021110,Norethindrone Acetate Tab 5 MG,2.73,2.19,0.72,2.46,26
NDC,555048401,Leucovorin Calcium Tab 5 MG,1.99,1.6,0.53,1.79,26
NDC,555048402,Leucovorin Calcium Tab 5 MG,1.71,1.37,0.45,1.54,26
NDC,555048527,Leucovorin Calcium Tab 25 MG,6.93,5.55,1.83,6.24,26
NDC,555060702,Megestrol Acetate Tab 40 MG,1.17,0.94,0.31,1.05,26
NDC,555063402,Danazol Cap 100 MG,4.62,3.7,1.22,4.16,26
NDC,555077902,Medroxyprogesterone Acetate Tab 10 MG,1.13,0.91,0.3,1.02,26
NDC,555080802,Tretinoin Cap 10 MG,20.1,16.08,5.32,18.09,26
NDC,555088202,Hydroxyurea Cap 500 MG,2.1,1.68,0.56,1.89,26
NDC,555095202,Dextroamphetamine Sulfate Tab 5 MG,1.45,1.16,0.38,1.31,26
NDC,555097102,Amphetamine-Dextroamphetamine Tab 5 MG,1.81,1.45,0.48,1.63,26
NDC,555097202,Amphetamine-Dextroamphetamine Tab 10 MG,1.15,0.92,0.3,1.04,26
NDC,55510503232,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,",390.7,312.56,1.0,351.63,26
NDC,55510503233,Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,390.14,312.12,1.0,351.13,26
NDC,55510503235,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),394.39,315.52,1.0,354.95,26
NDC,55513002101,Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML,642.8,514.24,2.78,578.52,68
NDC,55513002104,Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML,642.8,514.24,2.78,578.52,68
NDC,55513002301,Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML,889.1,711.28,2.78,800.19,68
NDC,55513002304,Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML,889.1,711.28,2.78,800.19,68
NDC,55513002501,Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML,1493.6,1194.88,2.78,1344.24,34
NDC,55513002504,Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML,1493.6,1194.88,2.78,1344.24,68
NDC,55513002701,Darbepoetin Alfa Soln Prefilled Syringe 150 MCG/0.3ML,2165.18,1732.15,2.78,1948.66,34
NDC,55513002704,Darbepoetin Alfa Soln Prefilled Syringe 150 MCG/0.3ML,2165.18,1732.15,2.78,1948.66,68
NDC,55513002801,Darbepoetin Alfa Soln Prefilled Syringe 200 MCG/0.4ML,2613.79,2091.04,2.78,2352.41,68
NDC,55513003201,Darbepoetin Alfa Soln Prefilled Syringe 500 MCG/ML,6309.48,5047.59,2.78,5678.53,68
NDC,55513005701,Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML,458.0,366.4,2.78,412.2,34
NDC,55513005704,Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML,458.0,366.4,2.78,412.2,68
NDC,55513007530,Cinacalcet HCl Tab 90 MG (Base Equiv),76.51,61.21,20.24,68.86,26
NDC,55513007801,Talimogene Laherparepvec Intralesional Inj 1000000 Unit/ML,308.48,246.79,66.3,277.63,34
NDC,55513007901,Talimogene Laherparepvec Intralesional Inj 100000000 Unit/ML,15996.6,12797.28,66.3,14396.94,34
NDC,55513011101,Darbepoetin Alfa Soln Prefilled Syringe 300 MCG/0.6ML,3683.53,2946.83,2.78,3315.18,68
NDC,55513011201,Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 MG/1.91ML,15355.71,12284.57,17.11,13820.14,34
NDC,55513012601,Epoetin Alfa Inj 2000 Unit/ML,60.0,48.0,1.0,54.0,26
NDC,55513012610,Epoetin Alfa Inj 2000 Unit/ML,60.0,48.0,1.0,54.0,26
NDC,55513013201,Trastuzumab-anns For IV Soln 420 MG,12740.59,10192.48,24.34,11466.53,34
NDC,55513014101,Trastuzumab-anns For IV Soln 150 MG,4844.8,3875.84,24.34,4360.32,34
NDC,55513014401,Epoetin Alfa Inj 10000 Unit/ML,300.0,240.0,1.0,270.0,26
NDC,55513014410,Epoetin Alfa Inj 10000 Unit/ML,300.0,240.0,1.0,270.0,52
NDC,55513016001,Blinatumomab For IV Infusion 35 MCG,12375.17,9900.14,145.31,11137.65,34
NDC,55513019001,Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML,16590.8,13272.64,31.73,14931.72,34
NDC,55513019201,Pegfilgrastim Soln Prefilled Syringe Kit 6 MG/0.6ML,17181.56,13745.25,31.73,15463.4,34
NDC,55513020601,Bevacizumab-awwb IV Soln 100 MG/4ML (For Infusion),2492.28,1993.83,25.91,2243.05,34
NDC,55513020701,Bevacizumab-awwb IV Soln 400 MG/16ML (For Infusion),9219.13,7375.31,25.91,8297.22,34
NDC,55513020991,Filgrastim Soln Prefilled Syringe 480 MCG/0.8ML (600 MCG/ML),1887.12,1509.7,0.95,1698.41,34
NDC,55513022101,Romiplostim For Inj 250 MCG,9279.02,7423.22,10.46,8351.12,34
NDC,55513026701,Epoetin Alfa Inj 3000 Unit/ML,48.0,38.4,1.0,43.2,26
NDC,55513026710,Epoetin Alfa Inj 3000 Unit/ML,90.0,72.0,1.0,81.0,26
NDC,55513028310,Epoetin Alfa Inj 10000 Unit/ML,600.0,480.0,1.0,540.0,26
NDC,55513032601,Rituximab-arrx IV Soln 500 MG/50ML (10 MG/ML),12223.6,9778.88,24.16,11001.24,34
NDC,55513053001,Filgrastim Inj 300 MCG/ML,1129.65,903.72,0.95,1016.69,34
NDC,55513053010,Filgrastim Inj 300 MCG/ML,1129.65,903.72,0.95,1016.69,34
NDC,55513054601,Filgrastim Inj 480 MCG/1.6ML (300 MCG/ML),1581.36,1265.09,0.95,1423.22,34
NDC,55513054610,Filgrastim Inj 480 MCG/1.6ML (300 MCG/ML),1581.36,1265.09,0.95,1423.22,34
NDC,55513067001,Infliximab-axxq For IV Inj 100 MG,1688.36,1350.69,19.38,1519.52,34
NDC,55513071001,Denosumab Inj Soln Prefilled Syringe 60 MG/ML,5945.16,4756.13,24.22,5350.64,34
NDC,55513073001,Denosumab Inj 120 MG/1.7ML,6814.98,5451.99,24.22,6133.48,34
NDC,55513074001,Etelcalcetide HCl IV Solution 2.5 MG/0.5ML (Base Equiv),464.94,371.96,2.61,418.45,26
NDC,55513074010,Etelcalcetide HCl IV Solution 2.5 MG/0.5ML (Base Equiv),464.94,371.96,2.61,418.45,26
NDC,55513080060,Ivabradine HCl Tab 5 MG (Base Equiv),7.62,6.1,2.02,6.86,26
NDC,55513088002,Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML,7963.78,6371.03,10.35,7167.4,34
NDC,5551400967,Bicarb 22 mEq/L-Dext Soln with K 4 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,5551400968,Bicarb 22 mEq/L-Dext Soln with K 4 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,5551401591,Nitroglycerin IV Soln 100 MCG/ML in D5W,389.09,311.28,102.91,350.18,26
NDC,5551500051,Bicarb 32 mEq/L-Dext Soln with K-Ca 4-2.5 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,5551500053,Bicarb 32 mEq/L-Dext Soln with K-Ca 4-2.5 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,5551500059,Bicarb 32 mEq/L-Dext Soln with K 2 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,5551500060,Bicarb 32 mEq/L-Dext Soln with K 2 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,5551500061,Bicarb 32 mEq/L-Dext Soln with K-Mg 4-1.2 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,5551500062,Bicarb 32 mEq/L-Dext Soln with K-Mg 4-1.2 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,5551600200,Prisma 600201-600200,270.0,216.0,71.42,243.0,26
NDC,5551600201,Prisma 600201-600200,270.0,216.0,71.42,243.0,26
NDC,55520503232,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,",392.4,313.92,1.0,353.16,26
NDC,55520503235,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),399.78,319.83,1.0,359.8,26
NDC,5553005751,Nystatin Susp 100000 Unit/ML,25.24,20.2,6.68,22.72,26
NDC,55530503232,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,",394.1,315.28,1.0,354.69,26
NDC,55530503233,Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,392.43,313.95,1.0,353.19,26
NDC,55530503235,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),405.17,324.14,1.0,364.65,26
NDC,5553401077,lorazepam 2 mg/mL pca vial,404.45,323.56,1.0,364.01,26
NDC,5553401597,Dextrose Inj 25%,389.88,311.91,103.12,350.89,26
NDC,5554010434,Lidocaine-Prilocaine Cream 2.5-2.5%,2.78,2.23,0.74,2.5,26
NDC,5554029302,Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv),1.69,1.36,0.45,1.52,26
NDC,5554034463,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.2,0.96,0.32,1.08,26
NDC,55540503233,Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,393.56,314.85,1.0,354.2,26
NDC,55540503235,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),410.56,328.45,1.0,369.5,26
NDC,5554401597,Dextrose Inj 25%,403.7,322.96,106.78,363.33,26
NDC,5554403785,"Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),",390.57500000000005,312.46000000000004,1.0,351.99,52
NDC,5554503232,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,",397.5,318.0,1.0,357.75,26
NDC,5555000734,Atropine Sulfate Inj PF 1 MG/ML,199.5,159.6,1.0,179.55,26
NDC,5555002361,Dextrose Inj 25%,389.15,311.32,102.93,350.24,26
NDC,5555002402,Diazepam Oral Soln 1 MG/ML,1.36,1.09,0.36,1.22,26
NDC,5555003037,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,40.5,32.4,1.0,36.45,26
NDC,5555004751,Mannitol IV Soln 25%,404.5,323.6,1.0,364.05,26
NDC,5555005339,Nalbuphine HCl Inj 10 MG/ML,401.0,320.8,1.0,360.9,26
NDC,5555005751,Nystatin Susp 100000 Unit/ML,1.14,0.92,0.3,1.03,26
NDC,5555008547,Pediatric Multiple Vitamins w/ Iron Drops 11 MG/ML,1.19,0.96,0.31,1.07,26
NDC,5555010225,Hydromorphone HCl Liqd 1 MG/ML,1.46,1.17,0.39,1.31,26
NDC,5555010655,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),1.39,1.12,0.37,1.25,26
NDC,5555010812,Oxycodone HCl Conc 100 MG/5ML (20 MG/ML),1.33,1.07,0.35,1.2,26
NDC,5555010813,Oxycodone HCl Soln 5 MG/5ML,1.2,0.96,0.32,1.08,26
NDC,5555011049,Hydrocodone-Acetaminophen Tab 5-325 MG,17.3,13.84,4.58,15.57,26
NDC,5555015168,Sennosides Syrup 8.8 MG/5ML,1.3,1.04,0.34,1.17,26
NDC,5555015706,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,1.69,1.36,0.45,1.52,26
NDC,5555016050,Glucose Chew Tab 4 GM (Rounded),1.18,0.95,0.31,1.06,26
NDC,5555016371,Cefepime HCl For IV Soln 2 GM,395.5,316.4,1.0,355.95,26
NDC,5555019725,Glycerin Liquid Suppos 2.8 GM (2.7 ML),1.77,1.42,0.47,1.59,26
NDC,5555022560,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,1.58,1.27,0.42,1.42,26
NDC,5555024984,Polyethylene Glycol 3350 Oral Packet 17 GM,1.67,1.34,0.44,1.5,26
NDC,5555029302,Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv),1.73,1.39,0.46,1.56,26
NDC,5555037848,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,4.75,3.8,1.26,4.28,26
NDC,5555040040,Pediatric Multiple Vitamin Drops,1.03,0.83,0.27,0.93,26
NDC,5555040050,"Fentanyl 50 mcg/mL NS PCA,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML",392.7,314.16,1.0,353.43,26
NDC,5555040050,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML,392.7,314.16,1.0,353.43,26
NDC,5555043530,FD&C Blue #2 (Indigotine) Powder,39.21,31.37,10.37,35.29,26
NDC,5555072702,Sodium Hypochlorite Soln 0.125%,2.0,1.6,0.53,1.8,26
NDC,5555081763,Glucose Gel 40%,38.03,30.43,10.06,34.23,26
NDC,5555089723,Artemether-Lumefantrine Tab 20-120 MG,725.04,580.04,191.77,652.54,26
NDC,5555089966,Cholecalciferol Oral Liquid 10 MCG/ML (400 Unit/ML),1.06,0.85,0.28,0.95,26
NDC,5555091467,Opium Tincture 1% (10 MG/ML) (Morphine Equiv),2.21,1.77,0.58,1.99,26
NDC,5555106010,Pancrelipase (Lip-Prot-Amyl) DR Cap 3000-9500-15000 Unit,1.89,1.52,0.5,1.7,26
NDC,5555112905,Pregabalin Soln 20 MG/ML,10.27,8.22,2.72,9.24,26
NDC,5555112910,Pancrelipase (Lip-Prot-Amyl) Tab 20880-78300-78300 Unit,3043.3,2434.64,804.95,2738.97,26
NDC,5555114479,Histamine Phosphate Inj 2.75 MG/ML (1 MG/ML Base equiv),407.29,325.84,107.73,366.56,26
NDC,5555117055,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,446.0,356.8,117.97,401.4,26
NDC,5555118762,Epinephrine Inj 1 MG/ML (1:1000),80.14,64.12,21.2,72.13,26
NDC,5555130176,Propofol IV Emul 200 MG/20ML (10 MG/ML),389.0,311.2,1.0,350.1,26
NDC,5555130176,"Propofol IV Emul 200 MG/20ML (10 MG/ML),,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",391.08,312.87,1.0,351.97,26
NDC,5555130177,"Propofol IV Emul 10 MG/ML,Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 1000 MG/100ML (10 MG/ML)",389.1,311.28,1.0,350.19,26
NDC,5555130177,Propofol IV Emul 500 MG/50ML (10 MG/ML),394.2,315.36,1.0,354.78,26
NDC,5555130178,",,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",389.1,311.28,1.0,350.19,26
NDC,5555130178,Propofol IV Emul 1000 MG/100ML (10 MG/ML),399.4,319.52,1.0,359.46,26
NDC,55551400894,Sodium Chloride IV Soln 0.9%,251.0,200.8,66.39,225.9,26
NDC,5555142425,Insulin Degludec Inj 100 Unit/ML,132.97,106.38,35.17,119.67,26
NDC,5555149978,Pediatric Multiple Vitamins w/ Iron Drops 11 MG/ML,1.19,0.96,0.31,1.07,26
NDC,5555189512,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),1557.14,1245.72,0.29,1401.43,34
NDC,5555189512,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",1557.14,1245.72,0.29,1401.43,34
NDC,55553010289,Insulin Regular (Human) Inj 100 Unit/ML,393.28,314.63,104.02,353.95,26
NDC,5555331090,Sodium Hyaluronate Intraocular Soln Pref Syr 13.8 MG/0.6ML,135.28,108.23,35.78,121.75,26
NDC,5555396108,Iodine Solution Strong 5% (Lugol's),3.79,3.035,0.67,4.55,52
NDC,5555396112,Iodine Solution Strong 5% (Lugol's),3.29,2.64,0.87,2.96,26
NDC,5555400183,Dextrose 5% w/ Sodium Chloride 0.2%,167.0,133.6,44.17,150.3,26
NDC,5555400215,Heparin Sodium (Porcine) Lock Flush PF IV Soln 1 Unit/ML,3.0,2.4,0.79,2.7,26
NDC,5555400216,"Heparin Sodium (Porcine) Lock Flush IV Soln 10 Unit*,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML",3.0,2.4,0.79,2.7,26
NDC,5555400315,Oxycodone HCl Half-Tab 7.5 MG,1.18,0.95,0.31,1.06,26
NDC,5555400401,Pediatric Multiple Vitamin Drops,1.18,0.95,0.31,1.06,26
NDC,5555400447,Lidocaine HCl Local Preservative Free (PF) Inj 2%,391.64,313.32,103.59,352.48,26
NDC,5555400509,Baclofen Oral Susp 5 MG/ML (Cmpd Kit),28.55,22.84,7.55,25.7,26
NDC,5555400540,Phytonadione Inj 10 MG/ML,29.34,23.48,7.76,26.41,26
NDC,5555400572,"Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML",30.8,24.64,10.32,106.75,34
NDC,5555400577,Morphine Sulfate Half-Tab 7.5 MG,1.12,0.9,0.3,1.01,26
NDC,5555400637,"Hydromorphone HCl-NaCl Soln Pref Syr 50 MG/50ML-0.9%,Hydromorphone 1 mg/mL PCA",395.7,316.56,104.66,356.13,26
NDC,5555400763,insulin HumaLOG diluted 10 units/mL,393.48,314.79,104.08,354.13,26
NDC,5555400764,Humalog diluted 25 units/mL,393.48,314.79,104.08,354.13,26
NDC,5555400765,Humulin R diluted 10 units/mL,392.57,314.06,103.83,353.31,26
NDC,5555400767,Humulin R diluted 25 units/mL,392.57,314.06,103.83,353.31,26
NDC,5555400767,Insulin R diluted 25 units/mL,392.57,314.06,103.83,353.31,26
NDC,5555400784,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,393.3,314.64,104.03,353.97,26
NDC,5555400910,Morphine Sulfate Oral Soln 10 MG/5ML,1.02,0.82,0.27,0.92,26
NDC,5555401000,Furosemide Half-Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,5555401011,Hydromorphone HCL Quarter-Tab 0.5 MG,1.09,0.88,0.29,0.98,26
NDC,5555401012,Hydromorphone HCl Half-Tab 1 MG,1.18,0.95,0.31,1.06,26
NDC,5555401014,Lorazepam Quarter-Tab 0.125 MG,1.1,0.88,0.29,0.99,26
NDC,5555401015,Lorazepam Half-Tab 0.25 MG,1.02,0.82,0.27,0.92,26
NDC,5555401017,Methadone HCl Half-Tab 2.5 MG,1.02,0.82,0.27,0.92,26
NDC,5555401018,Methylphenidate HCl Half-Tab 2.5 MG,1.05,0.84,0.28,0.95,26
NDC,5555401019,Metoprolol Tartrate Half-Tab 12.5 MG,1.02,0.82,0.27,0.92,26
NDC,5555401020,Metoprolol Succinate Half-Tab SR 24HR 12.5 MG,1.36,1.09,0.36,1.22,26
NDC,5555401021,Misoprostol Half-Tab 50 MCG,1.16,0.93,0.31,1.04,26
NDC,5555401023,Misoprostol Quarter-Tab 25 MCG,1.08,0.87,0.29,0.97,26
NDC,5555401025,Trazodone HCl Half-Tab 25 MG,1.01,0.81,0.27,0.91,26
NDC,5555401028,Zolpidem Tartrate Half-Tab 2.5 MG,2.56,2.05,0.68,2.3,26
NDC,5555401034,Albuterol Sulfate Inhal Aero 108 MCG/ACT,33.36,26.69,8.82,30.02,26
NDC,5555401040,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),17.6,14.08,4.66,15.84,26
NDC,5555401044,Lorazepam Tab 1 MG,21.99,17.6,5.82,19.79,26
NDC,5555401062,Midazolam 2 mg/mL syringe,395.46,316.37,1.0,355.91,26
NDC,5555401126,Scopolamine TD Patch 72HR 1 MG/3DAYS,11.73,9.39,3.1,10.56,26
NDC,5555401183,Spironolactone Half-Tab 12.5 MG,1.08,0.87,0.29,0.97,26
NDC,5555401248,Chlorhexidine Gluconate Soln 0.12%,1.6,1.28,0.42,1.44,26
NDC,5555401273,"Dexamethasone Sodium Phosphate Inj 10 MG/ML,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML",2.27,1.82,0.6,2.04,26
NDC,5555401281,Ciprofloxacin-Dexamethasone Otic Susp 0.3-0.1%,111.69,89.36,29.54,100.52,26
NDC,5555401334,Isosorbide Mononitrate Half-Tab SR 24HR 15 MG,1.04,0.84,0.28,0.94,26
NDC,5555401547,Chlorhexidine Gluconate Soln 0.12%,1.6,1.28,0.42,1.44,52
NDC,5555401582,ON-Q PUMP DEVICE,564.0,451.2,149.18,507.6,26
NDC,5555401596,Clobazam Half-Tab 5 MG,7.38,5.91,1.95,6.64,26
NDC,5555401671,Sodium Bicarbonate IV Soln 4.2%,26.95,21.56,7.13,24.26,26
NDC,5555401710,Dexmedetomidine HCl Inj 100 MCG/ML (For IV Infusion),123.11,98.49,32.56,110.8,26
NDC,5555401717,Midazolam HCl Inj 10 MG/2ML (Base Equivalent),50.54,40.44,1.0,45.49,26
NDC,5555401717,"Midazolam HCl Inj 10 MG/2ML (Base Equivalent),Midazolam HCl Inj 5 MG/ML (Base Equivalent),Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 MG/ML (Base Equivalent)",50.54,40.44,13.37,45.49,26
NDC,5555401718,Lorazepam Inj 2 MG/ML,51.63,41.31,13.66,46.47,26
NDC,5555401719,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,26.06,20.85,6.89,23.45,26
NDC,5555401720,Ketamine HCl Inj 100 MG/ML,56.53,45.23,14.95,50.88,26
NDC,5555401721,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,63.07,50.46,16.68,56.76,26
NDC,5555401722,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),28.33,22.67,7.49,25.5,26
NDC,5555401865,Hyaluronidase Human Inj 150 Unit/ML,426.24,341.0,1.0,383.62,26
NDC,5555401879,Humulin R 50 units/mL diluted,392.57,314.06,103.83,353.31,26
NDC,5555401879,Humulin R diluted 50 units/mL,392.57,314.06,103.83,353.31,26
NDC,5555401884,Humalog diluted 50 units/mL,393.48,314.79,104.08,354.13,26
NDC,5555401953,Eribulin Mesylate Inj 1 MG/2ML (0.5 MG/ML),355.0,284.0,84.88,319.5,34
NDC,5555402060,Hydromorphone HCl-NaCl Soln Pref Syr 10 MG/50ML-0.9%,390.9,312.72,103.39,351.81,26
NDC,5555402060,"Hydromorphone HCl-Sodium Chloride 0.9% Inj 0.2 MG/ML,Hydromorphone HCl-NaCl Soln Pref Syr 10 MG/50ML-0.9%,Hydromorphone HCl-Sodium Chloride 0.9% Inj 6 MG/30ML,Hydromorphone HCl-NaCl Soln Pref Syr 6 MG",390.9,312.72,103.39,351.81,26
NDC,5555402094,Pancrelipase (Lip-Prot-Amyl) DR Cap 12000-38000-60000 Unit,2885.3,2308.24,763.16,2596.77,26
NDC,5555402097,Pancrelipase (Lip-Prot-Amyl) DR Cap 16800-40000-70000 Unit,2738.0,2190.4,724.2,2464.2,26
NDC,5555402098,Pancrelipase (Lip-Prot-Amyl) DR Cap 20000-68000-109000 Unit,2898.4,2318.72,766.63,2608.56,26
NDC,5555402099,Pancrelipase (Lip-Prot-Amyl) DR Cap 24000-76000-120000 Unit,3114.9,2491.92,823.89,2803.41,26
NDC,5555402100,Pancrelipase (Lip-Prot-Amyl) DR Cap 3000-9500-15000 Unit,1812.3,1449.84,479.35,1631.07,26
NDC,5555402102,Pancrelipase (Lip-Prot-Amyl) DR Cap 6000-19000-30000 Unit,2692.7,2154.16,712.22,2423.43,26
NDC,5555402140,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),417.4,333.92,1.0,375.66,26
NDC,5555402188,Bumetanide Inj 0.25 MG/ML,395.55,316.44,0.35,356.0,34
NDC,5555402718,Alteplase For Inj 100 MG,28970.75,23176.6,7662.76,26073.68,26
NDC,5555402800,Pancrelipase (Lip-Prot-Amyl) DR Cap 5000-17000-24000 Unit,2676.9,2141.52,708.04,2409.21,26
NDC,5555402823,Pancrelipase (Lip-Prot-Amyl) DR Cap 10000-32000-42000 Unit,2836.4,2269.12,750.23,2552.76,26
NDC,5555402824,Pancrelipase (Lip-Prot-Amyl) DR Cap 15000-47000-63000 Unit,2929.7,2343.76,774.91,2636.73,26
NDC,5555402825,Pancrelipase (Lip-Prot-Amyl) DR Cap 20000-63000-84000 Unit,3151.6,2521.28,833.6,2836.44,26
NDC,5555402893,Famotidine For Susp 40 MG/5ML,1.12,0.9,0.3,1.01,26
NDC,5555403350,Epinephrine Solution Auto-injector 0.15 MG/0.3ML (1:2000),281.71,225.37,74.51,253.54,26
NDC,5555403351,Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000),243.35,194.68,64.37,219.02,26
NDC,5555403646,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,397.2,317.76,1.0,357.48,26
NDC,5555403756,Heparin Sodium (Porcine) 100 Unit/ML in D5W,389.5,311.6,1.0,350.55,26
NDC,5555403757,Heparin Sodium (Porcine) 100 Unit/ML in D5W,389.5,311.6,1.0,350.55,26
NDC,5555403761,Heparin Sodium (Porcine) 100 Unit/ML in D5W,389.5,311.6,1.0,350.55,26
NDC,5555403785,"Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),",390.57500000000005,312.46000000000004,1.0,351.99,52
NDC,5555403989,Heparin Sodium (Porcine) 100 Unit/ML in D5W,389.5,311.6,1.0,350.55,26
NDC,5555404014,Acetaminophen IV Soln 10 MG/ML,197.25,157.8,1.0,177.53,26
NDC,5555404112,Heparin Sodium (Porcine) 100 Unit/ML in D5W,389.5,311.6,1.0,350.55,26
NDC,5555410533,Misc. Devices,4.57,3.66,1.21,4.11,26
NDC,55554400043,Gentamicin in Saline Inj 2 MG/ML,390.97,312.78,103.41,351.87,26
NDC,5555460104,Oxymetazoline HCl Nasal Soln 0.05%,6.07,4.86,1.61,5.46,26
NDC,5555460105,Cholecalciferol Liquid,519.0,415.2,137.28,467.1,26
NDC,5555500047,"Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML",61.6,49.28,15.11,106.75,34
NDC,55555001090,Bismuth Subsalicylate Susp 262 MG/15ML,1.21,0.97,0.32,1.09,26
NDC,5555501013,Lorazepam Inj 2 MG/ML,26.8,21.44,7.09,24.12,26
NDC,5555501014,Diazepam Inj 5 MG/ML,411.11,328.89,108.74,370.0,26
NDC,55555010289,Insulin Regular (Human) Inj 100 Unit/ML,12.39,9.92,3.28,11.15,26
NDC,5555501083,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",1.3,1.04,0.34,1.17,26
NDC,55555010855,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),1.39,1.12,0.37,1.25,26
NDC,5555501097,"Lidocaine HCl Local Inj 4%,Lidocaine HCl Soln 4%,Lidocaine HCl Local Preservative Free (PF) Inj 4%",2.38,1.91,0.63,2.14,26
NDC,55555400301,Emollient - Ointment,11.64,9.32,3.08,10.48,26
NDC,55555400330,Epinephrine PF Inj 1 MG/ML,390.5,312.4,103.29,351.45,26
NDC,55555400341,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,406.43,325.15,1.0,365.79,26
NDC,55555400353,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,390.36,312.29,103.25,351.32,26
NDC,55555400390,Ceftazidime For Inj 1 GM,785.42,628.34,207.74,706.88,26
NDC,55555400399,Cefazolin Sodium For Inj 1 GM,389.48,311.59,103.02,350.53,26
NDC,55555400437,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",1.5,1.2,0.4,1.35,26
NDC,55555400440,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,395.75,316.6,104.68,356.18,26
NDC,55555400445,Ropivacaine HCl Inj 2 MG/ML,392.69,314.16,1.0,353.42,26
NDC,55555400502,Acetylcysteine Inhal Soln 20%,28.87,23.1,7.64,25.98,26
NDC,55555400513,Calcium Gluconate Inj 10%,25.8,20.64,6.82,23.22,26
NDC,55555400524,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),25.32,20.26,6.7,22.79,26
NDC,55555400539,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),25.5,20.4,6.74,22.95,26
NDC,55555400683,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.44,312.36,1.0,351.4,26
NDC,55555400719,Calcium Gluconate Inj 10%,397.0,317.6,105.01,357.3,26
NDC,55555400730,Ceftriaxone Sodium for IV Soln 2 GM and Dextrose 2.22% 50 ML,405.9,324.72,1.0,365.31,26
NDC,55555400737,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,395.56,316.45,2.18,356.0,26
NDC,55555400744,Dobutamine Inj 2 MG/ML in D5W,399.0,319.2,105.54,359.1,26
NDC,55555400745,Dopamine Inj 3.2 MG/ML in D5W,396.48,317.19,104.87,356.83,26
NDC,55555400756,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,392.1,313.68,103.71,352.89,26
NDC,55555400773,Linezolid IV Soln 600 MG/300ML (2 MG/ML),455.23,364.19,1.0,409.71,26
NDC,55555400780,Metronidazole IV Soln 500 MG/100ML,390.6,312.48,0.02,351.54,26
NDC,55555400782,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",389.76,311.81,103.09,350.78,26
NDC,55555400784,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,394.82,315.86,104.43,355.34,26
NDC,55555400796,"Piperacillin Sod-Tazobactam Sod in Dex IV Soln 4-0.5GM/100ML,Piperacillin Sod-Tazobactam Sod in Dex IV Soln 2-0.25GM/50ML",396.25,317.0,104.81,356.63,26
NDC,55555400811,"Vancomycin HCl in Dextrose Inj 1 GM/200ML,Vancomycin HCl-Dextrose IV Soln 1 GM/200ML-5%",395.54,316.44,104.62,355.99,26
NDC,55555400834,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,403.53,322.83,106.73,363.18,26
NDC,55555400863,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),391.51,313.21,103.55,352.36,26
NDC,55555400880,"Glutamine Powder,Glutamine Powd Pack 15 GM",2.04,1.64,0.54,1.84,26
NDC,55555400908,ON-Q PUMP DEVICE,519.0,415.2,137.28,467.1,26
NDC,55555400928,ON-Q PUMP DEVICE,564.0,451.2,149.18,507.6,26
NDC,55555400967,Bicarb 22 mEq/L-Dext Soln with K 4 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,55555400968,Bicarb 22 mEq/L-Dext Soln with K 4 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,55555400973,Ketorolac Tromethamine Ophth Soln 0.5%,96.11,76.89,25.42,86.5,26
NDC,55555401071,"Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML",450.08,360.07,119.05,405.07,26
NDC,55555401100,Levofloxacin IV Soln 25 MG/ML,13.88,11.11,1.0,12.49,26
NDC,55555401127,Pancrelipase (Lip-Prot-Amyl) DR Cap 12000-38000-60000 Unit,141.0,112.8,37.29,126.9,26
NDC,55555401128,Pancrelipase (Lip-Prot-Amyl) DR Cap 24000-76000-120000 Unit,1126.27,901.02,297.9,1013.64,26
NDC,55555401129,Pancrelipase (Lip-Prot-Amyl) DR Cap 6000-19000-30000 Unit,75.9,60.72,20.08,68.31,26
NDC,55555401192,Ciprofloxacin-Dexamethasone Otic Susp 0.3-0.1%,244.6,195.68,64.7,220.14,26
NDC,55555401255,Heparin Sod (Porcine) in NaCl IV Soln 25000 Unit/250ML-0.45%,409.2,327.36,1.0,368.28,26
NDC,55555401256,Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),401.75,321.4,1.0,361.58,26
NDC,55555401441,Isosulfan Blue Subcutaneous Soln 1%,360.0,288.0,95.22,324.0,26
NDC,55555401442,Polyethylene Glycol 3350 Oral Powder,1.13,0.91,0.3,1.02,26
NDC,55555401502,Lidocaine HCl Local Inj 2%,25.55,20.44,6.76,23.0,26
NDC,55555401508,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),1.16,0.93,0.31,1.04,26
NDC,55555401601,Ciprofloxacin 400 MG/200ML in D5W,390.0,312.0,103.16,351.0,26
NDC,55555402352,Cefepime HCl and Dextrose 5% For IV Soln 2 GM/50ML,397.68,318.15,1.0,357.91,26
NDC,55555402353,Cefazolin Sodium for IV Soln 2 GM and Dextrose 3% (50 ML),389.07,311.26,1.0,350.16,26
NDC,55555402752,ON-Q PUMP DEVICE,650.2,520.16,171.98,585.18,26
NDC,55555410543,"Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML",61.6,49.28,15.11,106.75,34
NDC,55555410551,ON-Q PUMP DEVICE,524.0,419.2,138.6,471.6,26
NDC,55555410552,ON-Q PUMP DEVICE,609.0,487.2,161.08,548.1,26
NDC,55555410553,ON-Q PUMP DEVICE,909.0,727.2,240.43,818.1,26
NDC,55555410554,"Magnesium Sulfate Inj 4%,Magnesium Sulfate-Sodium Chloride IV Soln 6 GM/150ML-0.9%",394.88,315.91,104.45,355.39,26
NDC,55555500053,Bicarb 32 mEq/L-Dext Soln with K-Ca 4-2.5 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,55555500059,Bicarb 32 mEq/L-Dext Soln with K 2 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,55555500060,Bicarb 32 mEq/L-Dext Soln with K 2 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,55555500061,Bicarb 32 mEq/L-Dext Soln with K-Mg 4-1.2 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,55555500062,Bicarb 32 mEq/L-Dext Soln with K-Mg 4-1.2 mEq/L (CRRT),270.0,216.0,71.42,243.0,26
NDC,55555501002,Tobramycin Nebu Soln 300 MG/5ML,116.48,93.19,30.81,104.83,26
NDC,55555501014,Diazepam Inj 5 MG/ML,25.27,20.22,6.68,22.74,26
NDC,55555501028,"Vancomycin HCl For IV Soln 1 GM (Base Equivalent),Vancomycin HCl For IV Soln 500 MG (Base Equivalent)",391.42,313.14,103.53,352.28,26
NDC,55555501034,Gentamicin Sulfate Inj 40 MG/ML,389.39,311.52,102.99,350.45,26
NDC,55555501045,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.05,312.04,103.17,351.05,26
NDC,55555501053,Cefazolin Sodium For Inj 1 GM,389.71,311.77,103.08,350.74,26
NDC,55555501084,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",25.14,20.12,6.65,22.63,26
NDC,55555501088,Alteplase For Inj 50 MG,429.9,343.92,89.16,386.91,34
NDC,55555501096,Alteplase For Inj 50 MG,3012.65,2410.12,89.16,2711.39,34
NDC,55555600200,Prisma 600201-600200,270.0,216.0,71.42,243.0,26
NDC,55555600201,Prisma 600201-600200,270.0,216.0,71.42,243.0,26
NDC,5555600015,Tramadol Hcl Half-Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,5555600016,Carbidopa & Levodopa Half-Tab 12.5-50 MG,1.17,0.94,0.31,1.05,26
NDC,5555600020,Quetiapine Fumarate Half-Tab 12.5 MG,1.18,0.95,0.31,1.06,26
NDC,5555600069,Allopurinol Half-Tab 50 MG,1.09,0.88,0.29,0.98,26
NDC,5555600167,Dexamethasone Sodium Phosphate Inj 10 MG/ML,389.13,311.31,102.92,350.22,26
NDC,5555600221,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),389.04,311.24,102.9,350.14,26
NDC,5555600495,Dexamethasone Sodium Phosphate Inj 10 MG/ML,389.25,311.4,102.96,350.33,26
NDC,5555600526,Oxycodone HCl Half-Tab 2.5 MG,1.27,1.02,0.34,1.14,26
NDC,5555600579,Antihemophilic Factor/VWF (Human) For Inj 500 Unit,0.45,0.36,0.15,1.36,34
NDC,5555600602,Cefazolin Sodium IV Soln Pref Syringe 2 GM/20ML,394.84,315.88,1.0,355.36,26
NDC,5555600704,Phenobarbital Tab 60 MG,31.42,25.14,8.31,28.28,26
NDC,5555600891,Arginine HCl Inj 10%,64.0,51.2,16.93,57.6,26
NDC,5555604952,Methadone HCl Soln 5 MG/5ML,1.3,1.04,0.34,1.17,26
NDC,5555642930,Potassium Chloride Inj 2 mEq/ML,401.0,320.8,1.0,360.9,26
NDC,5555662701,Promethazine w/ Codeine Syrup 6.25-10 MG/5ML,1.09,0.88,0.29,0.98,26
NDC,5555700062,Calcium Chloride Inj 10%,26.36,21.09,1.0,23.72,26
NDC,5555727900,Guaifenesin Liquid 100 MG/5ML,1.03,0.83,0.27,0.93,26
NDC,5555854705,Pediatric Multiple Vitamins w/ Iron Drops 11 MG/ML,1.09,0.88,0.29,0.98,26
NDC,55560503232,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,",399.2,319.36,1.0,359.28,26
NDC,55566150101,Chorionic Gonadotropin For IM Inj 10000 Unit,945.1,756.08,1.0,850.59,26
NDC,55566230000,Desmopressin Acetate Inj 4 MCG/ML,405.58,324.47,3.35,365.02,34
NDC,55566280001,Dinoprostone Vaginal Inserts 10 MG,408.82,327.06,108.13,367.94,26
NDC,55566840301,Degarelix Acetate For Inj 120 MG/VIAL (240 MG Dose),2727.41,2181.93,4.13,2454.67,34
NDC,55580503233,Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,410.56,328.45,1.0,369.5,26
NDC,555902542,Norethindrone Ace & Ethinyl Estradiol Tab 1 MG-20 MCG,1.18,0.95,0.31,1.06,26
NDC,555913167,Drospirenone-Ethinyl Estradiol Tab 3-0.03 MG,715.9,572.72,189.36,644.31,26
NDC,56184012041,Simethicone Susp 40 MG/0.6ML,1.2,0.96,0.32,1.08,26
NDC,56184012105,Phenylephrine HCl Nasal Soln 0.125%,4.36,3.49,1.15,3.92,26
NDC,562780525,Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG),456.36,365.09,1.0,410.72,26
NDC,57074000177,Aluminum Sulfate & Calcium Acetate Powd Pack,1.59,1.28,0.42,1.43,26
NDC,57237000511,Fluconazole Tab 150 MG,3.58,2.87,0.95,3.22,26
NDC,57237000630,Fluconazole Tab 200 MG,2.25,1.8,0.6,2.03,26
NDC,57237000730,Mirtazapine Tab 7.5 MG,2.97,2.38,0.79,2.67,26
NDC,57237001405,Tamsulosin HCl Cap 0.4 MG,1.17,0.94,0.31,1.05,26
NDC,57237001760,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),1.59,1.28,0.42,1.43,26
NDC,57237001890,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.28,1.03,0.34,1.15,26
NDC,57237001899,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.12,0.9,0.3,1.01,26
NDC,57237004230,Valacyclovir HCl Tab 500 MG,1.18,0.95,0.31,1.06,26
NDC,57237004290,Valacyclovir HCl Tab 500 MG,1.23,0.99,0.33,1.11,26
NDC,57237004805,Divalproex Sodium Tab Delayed Release 500 MG,1.1,0.88,0.29,0.99,26
NDC,57237007710,Ondansetron Orally Disintegrating Tab 4 MG,1.23,0.99,0.41,21.06,26
NDC,57237008563,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),2.36,1.89,0.62,2.12,26
NDC,57237008663,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),2.47,1.98,0.65,2.22,26
NDC,57237009960,Cefdinir Cap 300 MG,1.78,1.43,0.47,1.6,26
NDC,57237010099,Metoprolol Tartrate Tab 25 MG,1.01,0.81,0.27,0.91,26
NDC,57237010199,Metoprolol Tartrate Tab 50 MG,1.02,0.82,0.27,0.92,26
NDC,57237010299,Metoprolol Tartrate Tab 100 MG,1.02,0.82,0.27,0.92,26
NDC,57237010601,Divalproex Sodium Tab Delayed Release 125 MG,1.05,0.84,0.28,0.95,26
NDC,57237015035,Fluconazole For Susp 40 MG/ML,26.9,21.52,7.12,24.21,26
NDC,57237016250,Omeprazole Cap Delayed Release 40 MG,1.08,0.87,0.29,0.97,26
NDC,57237017201,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.1,0.88,0.29,0.99,26
NDC,57237017301,Venlafaxine HCl Tab 37.5 MG (Base Equivalent),1.1,0.88,0.29,0.99,26
NDC,57237017501,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.11,0.89,0.29,1.0,26
NDC,57237021990,Pioglitazone HCl Tab 15 MG (Base Equiv),1.1,0.88,0.29,0.99,26
NDC,57237027424,Lamivudine Oral Soln 10 MG/ML,84.76,67.81,22.42,76.28,26
NDC,57237030512,Diphenhydramine HCl Liquid 12.5 MG/5ML,1.18,0.95,0.31,1.06,26
NDC,57237031403,Magnesium Hydroxide Susp 400 MG/5ML,1.9,1.52,0.5,1.71,26
NDC,57237031431,Magnesium Hydroxide Susp 400 MG/5ML,1.9,1.52,0.5,1.71,26
NDC,57237031603,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,4.6,3.68,1.22,4.14,26
NDC,573017030,Ibuprofen Susp 100 MG/5ML,1.18,0.95,0.31,1.06,26
NDC,573017920,Ibuprofen Chew Tab 100 MG,1.17,0.94,0.31,1.05,26
NDC,573051330,Multiple Vitamins w/ Minerals Liquid,1.54,1.24,0.41,1.39,26
NDC,573288320,Phenylephrine-Cocoa Butter Suppos 0.25-88.44%,1.37,1.1,0.36,1.23,26
NDC,574006915,Glucose Gel 40%,4.64,3.72,1.23,4.18,26
NDC,574006930,Glucose Gel 40%,4.38,3.51,1.16,3.94,26
NDC,574007030,Glucose Gel 40%,4.64,3.72,1.23,4.18,26
NDC,574010601,Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent),3.73,2.99,0.99,3.36,26
NDC,574010603,Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent),1.78,1.43,0.47,1.6,26
NDC,574010714,Clotrimazole Troche 10 MG,1.41,1.13,0.37,1.27,26
NDC,574010770,Clotrimazole Troche 10 MG,1.47,1.18,0.39,1.32,26
NDC,574010777,Clotrimazole Troche 10 MG,1.7,1.36,0.45,1.53,26
NDC,574012901,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),27.05,21.64,7.15,24.35,26
NDC,574027401,Potassium Chloride Tab ER 8 mEq (600 MG),1.19,0.96,0.31,1.07,26
NDC,574029201,Amiloride HCl Tab 5 MG,1.21,0.97,0.32,1.09,26
NDC,574030216,Oral Vehicles - Syrup,15.19,12.16,4.02,13.67,26
NDC,574030316,Oral Vehicles,15.19,12.16,4.02,13.67,26
NDC,574030416,Oral Vehicles - Syrup,15.19,12.16,4.02,13.67,26
NDC,574031216,Oral Vehicles - Susp,1.66,1.33,0.44,1.49,26
NDC,574042001,Hydrocortisone Micronized (Bulk) Powder,63.2,50.56,16.72,56.88,26
NDC,574050801,Ferrous Gluconate Tab 324 MG (38 MG Elemental Iron),1.03,0.83,0.27,0.93,26
NDC,574052174,Charcoal Activated Liq,16.0,12.8,4.23,14.4,26
NDC,574060115,Podophyllum Resin Soln 25%,79.2,63.36,20.95,71.28,26
NDC,574080530,Acetylcysteine Inj 200 MG/ML,451.04,360.84,1.0,405.94,26
NDC,574085005,Dihydroergotamine Mesylate Inj 1 MG/ML,461.7,369.36,1.0,415.53,26
NDC,574085010,Dihydroergotamine Mesylate Inj 1 MG/ML,461.7,369.36,1.0,415.53,26
NDC,574200815,Nystatin Topical Powder 100000 Unit/GM,43.02,34.42,11.38,38.72,26
NDC,574200830,Nystatin Topical Powder 100000 Unit/GM,61.33,49.07,16.22,55.2,26
NDC,574220120,Tretinoin Cream 0.1%,109.32,87.46,28.92,98.39,26
NDC,574222520,Tretinoin Cream 0.025%,85.5,68.4,22.61,76.95,26
NDC,574402411,Erythromycin Ophth Oint 5 MG/GM,5.71,4.57,1.51,5.14,26
NDC,574402435,Erythromycin Ophth Oint 5 MG/GM,29.73,23.79,7.86,26.76,26
NDC,574402439,Erythromycin Ophth Oint 5 MG/GM,35.86,28.69,9.48,32.27,26
NDC,574402450,Erythromycin Ophth Oint 5 MG/GM,6.71,5.37,1.77,6.04,26
NDC,574403105,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,60.55,48.44,16.02,54.5,26
NDC,574416035,Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1%,36.55,29.24,9.67,32.9,26
NDC,574703412,Aspirin Suppos 300 MG,2.46,1.97,0.65,2.21,26
NDC,574705012,Bisacodyl Suppos 10 MG,1.2,0.96,0.32,1.08,26
NDC,574705050,Bisacodyl Suppos 10 MG,1.16,0.93,0.31,1.04,26
NDC,574709012,Hydrocortisone Acetate Suppos 25 MG,1.38,1.11,0.37,1.24,26
NDC,574711212,Morphine Sulfate Suppos 10 MG,4.41,3.53,1.17,3.97,26
NDC,574722612,Prochlorperazine Suppos 25 MG,1.89,1.52,0.5,1.7,26
NDC,575620030,Diazoxide Susp 50 MG/ML,230.8,184.64,61.05,207.72,26
NDC,57664004688,Lisdexamfetamine Dimesylate Cap 10 MG,4.33,3.47,1.15,3.9,26
NDC,57664004888,Lisdexamfetamine Dimesylate Cap 30 MG,3.86,3.09,1.02,3.47,26
NDC,57664005088,Lisdexamfetamine Dimesylate Cap 50 MG,3.86,3.09,1.02,3.47,26
NDC,57664037708,Tramadol HCl Tab 50 MG,1.02,0.82,0.27,0.92,26
NDC,57664037713,Tramadol HCl Tab 50 MG,1.02,0.82,0.27,0.92,26
NDC,57664037718,Tramadol HCl Tab 50 MG,1.01,0.81,0.27,0.91,26
NDC,57664039288,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.22,0.98,0.32,1.1,26
NDC,57664039588,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.24,1.0,0.33,1.12,26
NDC,57664050289,Tizanidine HCl Tab 2 MG (Base Equivalent),1.1,0.88,0.29,0.99,26
NDC,57664050389,Tizanidine HCl Tab 4 MG (Base Equivalent),1.04,0.84,0.28,0.94,26
NDC,57664051083,Mirtazapine Tab 7.5 MG,2.85,2.28,0.75,2.57,26
NDC,57664065588,Pindolol Tab 5 MG,1.82,1.46,0.48,1.64,26
NDC,57664066383,Carvedilol Phosphate Cap ER 24HR 10 MG,8.68,6.95,2.3,7.81,26
NDC,57664066583,Carvedilol Phosphate Cap ER 24HR 40 MG,5.72,4.58,1.51,5.15,26
NDC,57664068331,Linezolid IV Soln 600 MG/300ML (2 MG/ML),398.3,318.64,1.0,358.47,26
NDC,57771000131,Dietary Management Product - Powder,114.98,91.99,30.41,103.48,26
NDC,57771000704,Ubiquinol Liposomal Liquid 80 MG/10ML,43.5,34.8,11.51,39.15,26
NDC,57894003001,Infliximab For IV Inj 100 MG,4133.21,3306.57,29.54,3719.89,34
NDC,57894005427,Ustekinumab IV Soln 130 MG/26ML (5 MG/ML) (For IV Infusion),6480.42,5184.34,12.34,5832.38,34
NDC,57894006003,Ustekinumab Soln Prefilled Syringe 45 MG/0.5ML,33827.44,27061.96,82.59,30444.7,34
NDC,57894006103,Ustekinumab Soln Prefilled Syringe 90 MG/ML,61793.7,49434.96,82.59,55614.33,34
NDC,57894016001,Infliximab For IV Inj 100 MG,1770.12,1416.1,29.54,1593.11,34
NDC,57894035001,Golimumab IV Soln 50 MG/4ML,6968.84,5575.08,10.49,6271.96,34
NDC,57894044901,Teclistamab-cqyv Subcutaneous Soln 30 MG/3ML (10 MG/ML),4842.45,3873.96,30.9,4358.21,34
NDC,57894045001,Teclistamab-cqyv Subcutaneous Soln 153 MG/1.7ML (90 MG/ML),24056.33,19245.07,30.9,21650.7,34
NDC,57894050205,Daratumumab IV Soln 100 MG/5ML,1901.3,1521.04,62.13,1711.17,34
NDC,57894050301,Daratumumab-Hyaluronidase-fihj Inj 1800-30000 MG-Unit/15ML,26628.1,21302.48,49.31,23965.29,34
NDC,57894050505,Daratumumab IV Soln 100 MG/5ML,2714.42,2171.54,62.13,2442.98,34
NDC,57894050520,Daratumumab IV Soln 400 MG/20ML,10103.76,8083.01,62.13,9093.38,34
NDC,57894065001,Guselkumab IV Soln 200 MG/20ML (10 MG/ML),41556.18,33244.95,72.17,37400.56,34
NDC,57896010410,Acetaminophen Tab 325 MG,1.01,0.81,0.27,1.0,26
NDC,57896014001,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),9.5,7.6,2.51,8.55,26
NDC,57896018105,Glycerin-Hypromellose-PEG 400 Ophth Soln 0.2-0.2-1%,2.88,2.31,0.76,2.59,26
NDC,57896018405,Glycerin-Hypromellose-PEG 400 Ophth Soln 0.2-0.2-1%,2.88,2.31,0.76,2.59,26
NDC,57896019945,Tolnaftate Powder 1%,3.97,3.18,1.05,3.57,26
NDC,57896044101,Bisacodyl Tab Delayed Release 5 MG,1.01,0.81,0.27,0.91,26
NDC,57896055510,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.02,0.82,0.27,0.92,26
NDC,57896062101,Multiple Vitamins w/ Minerals Tab,1.03,0.83,0.27,0.93,26
NDC,57896062912,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,1.03,0.83,0.27,0.93,26
NDC,57896069316,Guaifenesin Liquid 100 MG/5ML,25.04,20.04,6.62,22.54,26
NDC,57896070916,Ferrous Sulfate Soln 220 MG/5ML (44 MG/5ML Elemental Fe),1.04,0.84,0.28,0.94,26
NDC,57896073604,Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML,1.1,0.88,0.29,0.99,26
NDC,57896079101,Simethicone Chew Tab 80 MG,1.02,0.82,0.27,0.92,26
NDC,57896084101,Ascorbic Acid Tab 500 MG,1.02,0.82,0.27,0.92,26
NDC,57963010101,Meclizine HCl Tab 25 MG,1.04,0.84,0.28,0.94,26
NDC,57970010001,Dalbavancin HCl For IV Soln 500 MG (Base Equivalent),3400.8,2720.64,14.83,3060.72,34
NDC,58151012677,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),19.3,15.44,5.1,17.37,26
NDC,58160081143,Diph-Tet Tox-Acell Pert-Hep B-Polio IPV Vac Susp Pref Syr,472.74,378.2,99.29,425.47,26
NDC,58160081543,Hep A-Hep B Vaccine Susp Pref Syr 720-20 ELU-MCG/ML,477.75,382.2,1.0,429.98,26
NDC,58160082101,Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML,440.98,352.79,66.86,396.88,34
NDC,58160082101,"Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML",492.97,394.38,133.71,443.67,34
NDC,58160082152,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML,436.77,349.42,66.86,393.09,34
NDC,58160095509,"Meningococcal (A, C, Y, and W-135) Oligo Conj Vac For Inj",496.07,396.86,151.6,446.46,26
NDC,58160095801,"Meningococcal (A, C, Y, and W-135) Oligo Conj Vac For Inj",496.07,396.86,151.6,446.46,26
NDC,58160097602,Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe,516.37,413.1,172.98,464.73,26
NDC,58160097620,Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe,516.37,413.1,172.98,464.73,26
NDC,58181304005,Lomustine Cap 10 MG,59.2,47.36,15.66,53.28,26
NDC,58181304105,Lomustine Cap 40 MG,233.8,187.04,61.84,210.42,26
NDC,58181304205,Lomustine Cap 100 MG,536.52,429.22,141.91,482.87,26
NDC,58204000401,Pediatric Multiple Vitamin w/ Minerals Chew Tab,1.61,1.29,0.43,1.45,26
NDC,58394063503,Coagulation Factor IX (Recombinant) For Inj Kit 1000 Unit,1.35,1.08,0.45,2.02,34
NDC,58394063603,Coagulation Factor IX (Recombinant) For Inj Kit 2000 Unit,1.35,1.08,0.45,2.02,34
NDC,58438000571,Melatonin Liquid 1 MG/ML,7.3,5.84,1.93,6.57,26
NDC,58468003002,Thyrotropin Alfa For Inj 0.9 MG,5674.75,4539.8,1901.04,5107.28,34
NDC,58468004001,Agalsidase beta For IV Soln 35 MG,27546.15,22036.92,217.6,24791.54,34
NDC,58468004101,Agalsidase beta For IV Soln 5 MG,4063.07,3250.46,217.6,3656.76,34
NDC,58468008001,Anti-Thymocyte Globulin For IV Soln 25 MG (Lymphocyte IG),2713.96,2171.17,909.18,2442.56,34
NDC,58468009001,"Hylan Intra-articular Inj 8 MG/ML,Hylan Intra-articular Solution Prefilled Syringe,Hylan Intra-articular Solution Prefilled Syringe",686.66,549.33,7.55,617.99,34
NDC,58468009003,Hylan G-F 20 Intra-articular Soln Prefilled Syr 48 MG/6ML,1580.35,1264.28,7.55,1422.32,34
NDC,58468012300,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),400.38,320.31,1.0,360.34,26
NDC,58468012301,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),400.38,320.31,1.0,360.34,26
NDC,58468012700,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),392.48,313.99,1.0,353.23,26
NDC,58468013001,Sevelamer Carbonate Tab 800 MG,6.26,5.01,0.13,5.63,26
NDC,58468013102,Sevelamer Carbonate Packet 2.4 GM,16.81,13.45,0.39,15.13,52
NDC,58468013201,Sevelamer Carbonate Packet 0.8 GM,7.64,6.12,0.39,6.88,52
NDC,58468013202,Sevelamer Carbonate Packet 0.8 GM,7.64,6.12,0.39,6.88,52
NDC,58468016001,Alglucosidase Alfa For IV Soln 50 MG,3092.24,2473.8,196.26,2783.02,34
NDC,58468020001,Alemtuzumab IV Inj 12 MG/1.2ML (10 MG/ML),41773.38,33418.71,2292.77,37596.04,34
NDC,58468022501,Caplacizumab-yhdp for Inj Kit 11 MG,25699.99,20560.0,745.65,23129.99,26
NDC,58468042601,Avalglucosidase Alfa-ngpt For IV Soln 100 MG,6152.15,4921.72,75.63,5536.94,34
NDC,58468466301,Imiglucerase For Inj 400 Unit,5701.0,4560.8,41.03,5130.9,34
NDC,58487002371,Cholecalciferol Tab 25 MCG (1000 Unit),1.04,0.84,0.28,0.94,26
NDC,58657031016,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,25.24,20.2,6.68,22.72,26
NDC,58657050016,Guaifenesin-Codeine Soln 100-10 MG/5ML,25.12,20.1,6.64,22.61,26
NDC,58657070001,Haloperidol Tab 0.5 MG,1.33,1.07,0.35,1.2,26
NDC,58914017014,Sucralfate Susp 1 GM/10ML,25.49,20.4,6.74,22.94,26
NDC,58914017110,Sucralfate Tab 1 GM,4.04,3.24,1.07,3.64,26
NDC,58914030180,Nitroglycerin Oint 0.4%,499.12,399.3,132.02,449.21,26
NDC,58914050156,Mesalamine Suppos 1000 MG,28.31,22.65,7.49,25.48,26
NDC,58980040912,Glycerin Suppos 1 GM,1.46,1.17,0.39,1.31,26
NDC,58980060530,Urea Cream 10%,7.46,5.97,1.97,6.71,26
NDC,58980060880,Urea Lotion 10%,7.84,6.28,2.07,7.06,26
NDC,58980096012,Wound Dressings - Emulsion,43.27,34.62,11.44,38.94,26
NDC,59011041020,Oxycodone HCl Tab ER 12HR Deter 10 MG,3.07,2.46,0.81,2.76,26
NDC,59011041510,Oxycodone HCl Tab ER 12HR Deter 15 MG,6.48,5.19,1.71,5.83,26
NDC,59011041520,Oxycodone HCl Tab ER 12HR Deter 15 MG,4.55,3.64,1.2,4.1,26
NDC,59011042020,Oxycodone HCl Tab ER 12HR Deter 20 MG,5.93,4.75,1.57,5.34,26
NDC,59011044020,Oxycodone HCl Tab ER 12HR Deter 40 MG,8.03,6.43,2.12,7.23,26
NDC,59011048010,Oxycodone HCl Tab ER 12HR Deter 80 MG,20.78,16.63,5.5,18.7,26
NDC,59011048020,Oxycodone HCl Tab ER 12HR Deter 80 MG,10.23,8.19,2.71,9.21,26
NDC,59011075004,Buprenorphine TD Patch Weekly 5 MCG/HR,72.11,57.69,19.07,64.9,26
NDC,59011075104,Buprenorphine TD Patch Weekly 10 MCG/HR,56.08,44.87,14.83,50.47,26
NDC,591034301,Verapamil HCl Tab 80 MG,1.05,0.84,0.28,0.95,26
NDC,591034501,Verapamil HCl Tab 120 MG,1.06,0.85,0.28,0.95,26
NDC,591044401,Guanfacine HCl Tab 1 MG,1.18,0.95,0.31,1.06,26
NDC,591046105,Glipizide Tab 10 MG,1.06,0.85,0.28,0.95,26
NDC,591046110,Glipizide Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,591079501,Dicyclomine HCl Tab 20 MG,1.07,0.86,0.28,0.96,26
NDC,591079601,Sulfasalazine Tab 500 MG,1.17,0.94,0.31,1.05,26
NDC,591084501,Glipizide Tab ER 24HR 10 MG,1.52,1.22,0.4,1.37,26
NDC,591207030,Lidocaine-Prilocaine Cream 2.5-2.5%,35.68,28.55,1.0,32.11,26
NDC,591231215,Alvimopan Cap 12 MG,130.25,104.2,34.45,117.23,26
NDC,591231245,Alvimopan Cap 12 MG,130.25,104.2,34.45,117.23,26
NDC,591247260,Tamoxifen Citrate Tab 10 MG (Base Equivalent),1.36,1.09,0.36,1.22,26
NDC,591251160,Bosentan Tab 62.5 MG,15.66,12.53,4.14,14.09,26
NDC,591257920,Valganciclovir HCl For Soln 50 MG/ML (Base Equiv),167.33,133.87,44.26,150.6,26
NDC,591288201,Verapamil HCl Cap ER 24HR 180 MG,2.17,1.74,0.57,1.95,26
NDC,591288401,Verapamil HCl Cap ER 24HR 240 MG,2.25,1.8,0.6,2.03,26
NDC,591288830,Hydroxocobalamin Acetate Inj 1000 MCG/ML (Base Equivalent),411.98,329.59,0.01,370.78,34
NDC,591292754,Levalbuterol Tartrate Inhal Aerosol 45 MCG/ACT (Base Equiv),98.77,79.02,26.12,88.89,26
NDC,591294430,Pimecrolimus Cream 1%,191.68,153.35,50.7,172.51,26
NDC,591298135,Docosanol Cream 10%,36.48,29.19,9.65,32.83,26
NDC,591312879,Progesterone IM in Oil 50 MG/ML,391.75,313.4,103.62,352.58,26
NDC,591333105,Bupropion HCl Tab ER 24HR 150 MG,1.55,1.24,0.41,1.4,26
NDC,591350854,Clonidine TD Patch Weekly 0.1 MG/24HR,25.38,20.31,6.71,22.84,26
NDC,591350904,Clonidine TD Patch Weekly 0.2 MG/24HR,42.04,33.64,11.12,37.84,26
NDC,591354060,Bupropion HCl Tab ER 12HR 100 MG,1.26,1.01,0.33,1.13,26
NDC,591354125,Bupropion HCl Tab ER 12HR 150 MG,1.42,1.14,0.38,1.28,26
NDC,59137023101,Aminolevulinic Acid HCl For Oral Solution 1.5 GM (30 MG/ML),10643.0,8514.4,2815.07,9578.7,26
NDC,591387044,Memantine HCl Tab 5 MG,1.39,1.12,0.37,1.25,26
NDC,591387045,Memantine HCl Tab 5 MG,1.39,1.12,0.37,1.25,26
NDC,591387560,Memantine HCl Tab 10 MG,1.34,1.08,0.35,1.21,26
NDC,591438579,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),449.45,359.56,0.17,404.51,34
NDC,59148000613,Aripiprazole Tab 2 MG,28.81,23.05,7.62,25.93,26
NDC,59148000713,Aripiprazole Tab 5 MG,28.81,23.05,7.62,25.93,26
NDC,59148001113,Aripiprazole Tab 30 MG,16.98,13.59,4.49,15.28,26
NDC,59148003713,Brexpiprazole Tab 1 MG,47.84,38.28,12.65,43.06,26
NDC,59148004670,Decitabine For Inj 50 MG,6238.5,4990.8,1.0,5614.65,26
NDC,591532101,Primidone Tab 250 MG,1.32,1.06,0.35,1.19,26
NDC,591533501,Trihexyphenidyl HCl Tab 2 MG,1.14,0.92,0.3,1.03,26
NDC,591534701,Probenecid Tab 500 MG,1.56,1.25,0.41,1.4,26
NDC,591544205,Prednisone Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,591554405,Allopurinol Tab 300 MG,1.05,0.84,0.28,0.95,26
NDC,591555401,Propranolol HCl Tab 10 MG,1.26,1.01,0.33,1.13,26
NDC,591571301,Amoxapine Tab 25 MG,1.21,0.97,0.32,1.09,26
NDC,59212000201,Triamterene Cap 50 MG,9.97,7.98,2.64,8.97,26
NDC,59212070106,Prednisolone Sod Phos Orally Disintegr Tab 15 MG (Base Eq),29.74,23.8,7.87,26.77,26
NDC,59212070112,Prednisolone Sod Phos Orally Disintegr Tab 15 MG (Base Eq),29.74,23.8,7.87,26.77,26
NDC,5928000308,Hypertonic Nasal Wash - Packet,21.0,16.8,5.55,18.9,26
NDC,59310057922,Albuterol Sulfate Inhal Aero 108 MCG/ACT,96.84,77.48,25.61,87.16,26
NDC,59310061031,Reslizumab IV Infusion Soln 100 MG/10ML (10 MG/ML),3349.0,2679.2,10.3,3014.1,34
NDC,59338077501,Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe),2383.04,1906.44,0.31,2144.74,70
NDC,59338077510,Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe),1027.01,821.61,0.31,924.31,34
NDC,59353006501,Difelikefalin Acetate 65 MCG/1.3ML (50 MCG/ML),675.0,540.0,0.06,607.5,34
NDC,59353006512,Difelikefalin Acetate 65 MCG/1.3ML (50 MCG/ML),675.0,540.0,0.06,607.5,34
NDC,59353040009,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 30 MCG/0.3ML,412.5,330.0,1.39,371.25,60
NDC,59353040109,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 50 MCG/0.3ML,587.5,470.0,1.39,528.75,60
NDC,59353040209,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 75 MCG/0.3ML,804.5,643.6,1.39,724.05,60
NDC,59353040309,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 100 MCG/0.3ML,1025.0,820.0,1.39,922.5,60
NDC,59353040409,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 150 MCG/0.3ML,1462.5,1170.0,1.39,1316.25,60
NDC,59353040509,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 200 MCG/0.3ML,1900.0,1520.0,1.39,1710.0,60
NDC,59365512801,Copper IUD,858.0,686.4,287.43,1161.78,26
NDC,59390018213,Hypromellose Gonioscopic Soln 2.5%,5.58,4.47,1.48,5.02,26
NDC,59390021805,Fluorescein w/ Benoxinate Ophth Soln 0.25-0.4%,45.43,36.35,12.02,40.89,26
NDC,59417010110,Lisdexamfetamine Dimesylate Cap 10 MG,10.88,8.71,2.88,9.79,26
NDC,59417010310,Lisdexamfetamine Dimesylate Cap 30 MG,9.44,7.56,2.5,8.5,26
NDC,59417010510,Lisdexamfetamine Dimesylate Cap 50 MG,9.44,7.56,2.5,8.5,26
NDC,59572010201,Azacitidine For Inj 100 MG,2298.34,1838.68,0.37,2068.51,26
NDC,59572071101,Luspatercept-aamt For Subcutaneous Inj 25 MG,14466.82,11573.46,39.21,13020.14,34
NDC,59630026601,Cefiderocol Sulfate Tosylate For IV Soln 1 GM,905.45,724.36,2.17,814.91,34
NDC,59651003212,Ibuprofen Susp 100 MG/5ML,1.17,0.94,0.31,1.05,26
NDC,59651015201,Progesterone Cap 100 MG,1.28,1.03,0.34,1.15,26
NDC,59651021430,Azelastine HCl Nasal Spray 0.1% (137 MCG/SPRAY),55.79,44.64,14.76,50.21,26
NDC,59651025601,Propafenone HCl Tab 150 MG,1.15,0.92,0.3,1.04,26
NDC,59651026830,Glipizide Tab ER 24HR 2.5 MG,1.09,0.88,0.29,0.98,26
NDC,59651027001,Glipizide Tab ER 24HR 10 MG,1.14,0.92,0.3,1.03,26
NDC,59651029501,Nifedipine Tab ER 24HR 30 MG,1.13,0.91,0.3,1.02,26
NDC,59651029960,Tamoxifen Citrate Tab 10 MG (Base Equivalent),1.18,0.95,0.31,1.06,26
NDC,59651030801,Fluoxetine HCl Tab 10 MG,1.19,0.96,0.31,1.07,26
NDC,59651030830,Fluoxetine HCl Tab 10 MG,1.21,0.97,0.32,1.09,26
NDC,59651033201,Flucytosine Cap 500 MG,19.55,15.64,5.17,17.6,26
NDC,59651037801,Zonisamide Cap 25 MG,1.07,0.86,0.28,0.96,26
NDC,59651038001,Zonisamide Cap 100 MG,1.11,0.89,0.29,1.0,26
NDC,59651042101,Ursodiol Cap 300 MG,1.74,1.4,0.46,1.57,26
NDC,59651048401,Prednisone Tab 1 MG,1.09,0.88,0.29,0.98,26
NDC,59651048801,Prednisone Tab 20 MG,1.15,0.92,0.3,1.04,26
NDC,59651050101,Hydroxyzine HCl Tab 50 MG,1.13,0.91,0.3,1.02,26
NDC,59651053901,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.11,0.89,0.29,1.0,26
NDC,59651054001,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.12,0.9,0.3,1.01,26
NDC,59651061608,Rufinamide Tab 200 MG,2.82,2.26,0.75,2.54,26
NDC,59651072201,Clonazepam Tab 0.5 MG,1.03,0.83,0.27,0.93,26
NDC,59651072301,Clonazepam Tab 1 MG,1.04,0.84,0.28,0.94,26
NDC,59651072401,Clonazepam Tab 2 MG,1.04,0.84,0.28,0.94,26
NDC,59651078030,Glipizide Tab ER 24HR 2.5 MG,1.11,0.89,0.29,1.0,26
NDC,59651078201,Glipizide Tab ER 24HR 10 MG,1.14,0.92,0.3,1.03,26
NDC,59651084001,Guanfacine HCl Tab 1 MG,1.37,1.1,0.36,1.23,26
NDC,59676031001,Epoetin Alfa Inj 10000 Unit/ML,563.87,451.1,7.09,507.48,34
NDC,59676032004,Epoetin Alfa Inj 20000 Unit/ML,857.67,686.14,7.09,771.9,34
NDC,59676034001,Epoetin Alfa Inj 40000 Unit/ML,857.66,686.13,7.09,771.89,34
NDC,59676056201,Darunavir Tab 600 MG,16.55,13.24,4.38,14.9,26
NDC,597002901,Meloxicam Tab 7.5 MG,7.5,6.0,1.98,6.75,26
NDC,597003134,Clonidine TD Patch Weekly 0.1 MG/24HR,51.73,41.39,13.68,46.56,26
NDC,597003234,Clonidine TD Patch Weekly 0.2 MG/24HR,86.42,69.14,22.86,77.78,26
NDC,597003334,Clonidine TD Patch Weekly 0.3 MG/24HR,119.5,95.6,31.61,107.55,26
NDC,597004137,Telmisartan Tab 80 MG,6.38,5.11,1.69,5.74,26
NDC,597014030,Linagliptin Tab 5 MG,11.02,8.82,2.91,9.92,26
NDC,597015230,Empagliflozin Tab 10 MG,13.62,10.9,3.6,12.26,26
NDC,597015237,Empagliflozin Tab 10 MG,13.62,10.9,3.6,12.26,26
NDC,597015330,Empagliflozin Tab 25 MG,13.62,10.9,3.6,12.26,26
NDC,597015337,Empagliflozin Tab 25 MG,12.77,10.22,3.38,11.49,26
NDC,597018390,Pramipexole Dihydrochloride Tab 0.125 MG,2.92,2.34,0.77,2.63,26
NDC,597019705,Idarucizumab IV Soln 2.5 GM/50ML,6610.13,5288.11,1.0,5949.12,26
NDC,597035556,Dabigatran Etexilate Mesylate Cap 75 MG (Etexilate Base Eq),5.87,4.7,1.55,5.28,26
NDC,597036055,Dabigatran Etexilate Mesylate Cap 150 MG (Etexilate Base Eq),6.99,5.6,1.85,6.29,26
NDC,597036082,Dabigatran Etexilate Mesylate Cap 150 MG (Etexilate Base Eq),5.87,4.7,1.55,5.28,26
NDC,59741030106,Hydrocortisone Acetate Suppos 25 MG,3.63,2.91,0.96,3.27,26
NDC,59746000103,Methylprednisolone Tab Therapy Pack 4 MG (21),548.73,438.99,145.14,493.86,26
NDC,59746000204,Methylprednisolone Tab 8 MG,2.5,2.0,0.66,2.25,26
NDC,59746011306,Prochlorperazine Maleate Tab 5 MG (Base Equivalent),1.18,0.95,0.31,1.06,26
NDC,59746011506,Prochlorperazine Maleate Tab 10 MG (Base Equivalent),1.27,1.02,0.34,1.14,26
NDC,59746012106,Meclizine HCl Tab 25 MG,1.3,1.04,0.34,1.17,26
NDC,59746017106,Prednisone Tab 1 MG,1.22,0.98,0.32,1.1,26
NDC,59746017110,Prednisone Tab 1 MG,1.08,0.87,0.29,0.97,26
NDC,59746017306,Prednisone Tab 10 MG,1.14,0.92,0.3,1.03,26
NDC,59746017509,Prednisone Tab 20 MG,1.2,0.96,0.32,1.08,26
NDC,59746024501,Lamotrigine Tab 25 MG,1.19,0.96,0.31,1.07,26
NDC,59746024601,Lamotrigine Tab 100 MG,1.22,0.98,0.32,1.1,26
NDC,59746024760,Lamotrigine Tab 150 MG,1.08,0.87,0.29,0.97,26
NDC,59746028001,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.11,0.89,0.29,1.0,26
NDC,59746032430,Valacyclovir HCl Tab 500 MG,1.26,1.01,0.33,1.13,26
NDC,59746044890,Irbesartan Tab 150 MG,1.33,1.07,0.35,1.2,26
NDC,59762001601,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),26.3,21.04,6.96,23.67,26
NDC,59762003301,Sildenafil Citrate Tab 20 MG,1.95,1.56,0.52,1.76,26
NDC,59762004901,Methylprednisolone Tab 8 MG,2.28,1.83,0.6,2.05,26
NDC,59762006701,Sertraline HCl Oral Concentrate for Solution 20 MG/ML,26.3,21.04,6.96,23.67,26
NDC,59762007301,Hydrocortisone Tab 5 MG,1.15,0.92,0.3,1.04,26
NDC,59762007401,Hydrocortisone Tab 10 MG,1.27,1.02,0.34,1.14,26
NDC,59762007501,Hydrocortisone Tab 20 MG,1.34,1.08,0.35,1.21,26
NDC,59762010405,Sulfasalazine Tab Delayed Release 500 MG,1.19,0.96,0.31,1.07,26
NDC,59762010406,Sulfasalazine Tab Delayed Release 500 MG,1.19,0.96,0.31,1.07,26
NDC,59762011701,Mesalamine Cap DR 400 MG,2.46,1.97,0.65,2.21,26
NDC,59762011803,Mesalamine Suppos 1000 MG,15.78,12.63,4.17,14.2,26
NDC,59762011901,Phenelzine Sulfate Tab 15 MG,1.48,1.19,0.39,1.33,26
NDC,59762015501,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.2,0.96,0.32,1.08,26
NDC,59762015502,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.2,0.96,0.32,1.08,26
NDC,59762033302,Latanoprost Ophth Soln 0.005%,29.59,23.68,7.83,26.63,26
NDC,59762040101,Sucralfate Tab 1 GM,1.15,0.92,0.3,1.04,26
NDC,59762045001,Colestipol HCl Tab 1 GM,1.82,1.46,0.48,1.64,26
NDC,59762100101,Sirolimus Tab 0.5 MG,6.07,4.86,1.0,5.46,26
NDC,59762100201,Sirolimus Tab 1 MG,6.07,4.86,1.0,5.46,26
NDC,59762100501,Cabergoline Tab 0.5 MG,21.57,17.26,7.23,19.41,26
NDC,59762106101,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,1.26,1.01,0.33,1.13,26
NDC,59762120601,Liothyronine Sodium Tab 5 MCG,1.65,1.32,0.44,1.49,26
NDC,59762151601,Celecoxib Cap 100 MG,1.69,1.36,0.45,1.52,26
NDC,59762157601,Pregabalin Soln 20 MG/ML,100.68,80.55,26.63,90.61,26
NDC,59762244007,Doxazosin Mesylate Tab 4 MG,1.45,1.16,0.38,1.31,26
NDC,59762285801,Exemestane Tab 25 MG,13.42,10.74,3.55,12.08,26
NDC,59762312001,Azithromycin For Susp 200 MG/5ML,29.36,23.49,9.84,26.42,26
NDC,59762372001,Alprazolam Tab 0.5 MG,1.04,0.84,0.28,0.94,26
NDC,59762374301,Clindamycin Phosphate Gel 1% (Twice-Daily),89.65,71.72,23.71,80.69,26
NDC,59762444002,Methylprednisolone Tab Therapy Pack 4 MG (21),547.09,437.68,144.71,492.38,26
NDC,59762500005,Sulfasalazine Tab 500 MG,1.16,0.93,0.31,1.04,26
NDC,59762500701,Misoprostol Tab 100 MCG,1.5,1.2,0.4,1.35,26
NDC,59762500801,Misoprostol Tab 200 MCG,1.9,1.52,0.5,1.71,26
NDC,59762500802,Misoprostol Tab 200 MCG,1.88,1.51,0.5,1.69,26
NDC,59762501701,Fluconazole Tab 150 MG,3.59,2.88,0.95,3.23,26
NDC,59762503001,Fluconazole For Susp 40 MG/ML,26.41,21.13,6.99,23.77,26
NDC,59767001601,Pancrelipase (Lip-Prot-Amyl) DR Cap 16000-57500-60500 Unit,2826.0,2260.8,747.48,2543.4,26
NDC,59922063101,Ferric Citrate Tab 1 GM (210 MG Ferric Iron),8.18,6.55,0.11,7.36,52
NDC,6000053743,Emollient - Cream,15.04,12.04,3.98,13.54,26
NDC,6000510,Suvorexant Tab 5 MG,15.39,12.32,4.07,13.85,26
NDC,6000530,Suvorexant Tab 5 MG,15.39,12.32,4.07,13.85,26
NDC,6003220,Ivermectin Tab 3 MG,5.35,4.28,1.42,4.82,26
NDC,6011231,Sitagliptin Phosphate Tab 50 MG (Base Equiv),12.33,9.87,3.26,11.1,26
NDC,6011254,Sitagliptin Phosphate Tab 50 MG (Base Equiv),12.89,10.32,3.41,11.6,26
NDC,60219107601,Azathioprine Tab 50 MG,1.34,1.08,0.35,1.21,26
NDC,60219126401,Oseltamivir Phosphate Cap 30 MG (Base Equiv),8.37,6.7,2.21,7.53,26
NDC,60219158503,Fluorometholone Ophth Susp 0.1%,96.82,77.46,25.61,87.14,26
NDC,60219161701,Potassium Chloride Powder Packet 20 mEq,2.41,1.93,0.64,2.17,26
NDC,60219161703,Potassium Chloride Powder Packet 20 mEq,2.41,1.93,0.64,2.17,26
NDC,60219174903,Atropine Sulfate Ophth Soln 1%,59.4,47.52,15.71,53.46,26
NDC,6022761,Raltegravir Potassium Tab 400 MG (Base Equiv),22.68,18.15,6.0,20.41,26
NDC,60258000216,Pot & Sod Citrates w/ Cit Ac Syrup 550-500-334 MG/5ML,25.08,20.07,6.63,22.57,26
NDC,60258000316,Potassium Citrate & Citric Acid Soln 1100-334 MG/5ML,25.15,20.12,6.65,22.64,26
NDC,60258000601,Potassium & Sodium Phosphates Powder Pack 280-160-250 MG,1.33,1.07,0.35,1.2,26
NDC,60258000615,Potassium & Sodium Phosphates Powder Pack 280-160-250 MG,1.33,1.07,0.35,1.2,26
NDC,60258016101,B-Complex w/ C & Folic Acid Tab 1 MG,1.18,0.95,0.31,1.06,26
NDC,60258017101,Magnesium Oxide Tab 400 MG (240 MG Elemental Mg),1.02,0.82,0.27,0.92,26
NDC,60267070550,Sodium Thiosulfate IV Soln 250 MG/ML (25%),235.62,188.5,62.32,212.06,26
NDC,6027701,Sitagliptin Phosphate Tab 100 MG (Base Equiv),16.95,13.56,4.48,15.26,26
NDC,6027728,Sitagliptin Phosphate Tab 100 MG (Base Equiv),16.95,13.56,4.48,15.26,26
NDC,6027754,Sitagliptin Phosphate Tab 100 MG (Base Equiv),16.95,13.56,4.48,15.26,26
NDC,603116158,Dicyclomine HCl Oral Soln 10 MG/5ML,26.01,20.81,6.88,23.41,26
NDC,603155410,Potassium Chloride Powder Packet 20 mEq,5.16,4.13,1.36,4.64,26
NDC,603155416,Potassium Chloride Powder Packet 20 mEq,5.16,4.13,1.36,4.64,26
NDC,603211521,Allopurinol Tab 100 MG,1.29,1.04,0.34,1.16,26
NDC,603211621,Allopurinol Tab 300 MG,1.29,1.04,0.34,1.16,26
NDC,603221232,Amitriptyline HCl Tab 10 MG,1.01,0.81,0.27,0.91,26
NDC,603240628,Baclofen Tab 10 MG,1.05,0.84,0.28,0.95,26
NDC,603240632,Baclofen Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,603254421,Butalbital-Acetaminophen-Caffeine Tab 50-325-40 MG,1.09,0.88,0.29,0.98,26
NDC,603459315,Methylprednisolone Tab Therapy Pack 4 MG (21),547.47,437.98,144.81,492.72,26
NDC,603497521,Oxybutynin Chloride Tab 5 MG,1.45,1.16,0.38,1.31,26
NDC,603497528,Oxybutynin Chloride Tab 5 MG,1.43,1.15,0.38,1.29,26
NDC,603506021,Perphenazine Tab 2 MG,1.32,1.06,0.35,1.19,26
NDC,603516621,Phenobarbital Tab 32.4 MG,1.51,1.21,0.4,1.36,26
NDC,603516721,Phenobarbital Tab 64.8 MG,1.63,1.31,0.43,1.47,26
NDC,603533521,Prednisone Tab 1 MG,1.09,0.88,0.29,0.98,26
NDC,603533621,Prednisone Tab 2.5 MG,1.1,0.88,0.29,0.99,26
NDC,603533721,Prednisone Tab 5 MG,1.15,0.92,0.3,1.04,26
NDC,603533732,Prednisone Tab 5 MG,1.02,0.82,0.27,0.92,26
NDC,603533821,Prednisone Tab 10 MG,1.1,0.88,0.29,0.99,26
NDC,603533828,Prednisone Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,603533832,Prednisone Tab 10 MG,1.15,0.92,0.3,1.04,26
NDC,603533932,Prednisone Tab 20 MG,1.19,0.96,0.31,1.07,26
NDC,603544821,Propafenone HCl Tab 150 MG,1.22,0.98,0.32,1.1,26
NDC,603548221,Propranolol HCl Tab 10 MG,1.15,0.92,0.3,1.04,26
NDC,603548421,Propranolol HCl Tab 40 MG,1.23,0.99,0.33,1.11,26
NDC,60432009216,Oxybutynin Chloride Solution 5 MG/5ML,25.1,20.08,6.64,22.59,26
NDC,60432013108,Phenytoin Susp 125 MG/5ML,25.24,20.2,6.68,22.72,26
NDC,60432015004,Hydroxyzine HCl Syrup 10 MG/5ML,25.5,20.4,6.74,22.95,26
NDC,60432046551,Lidocaine HCl Soln 4%,50.75,40.6,13.42,45.68,26
NDC,60432046608,Dexamethasone Elixir 0.5 MG/5ML,66.95,53.56,1.0,60.26,26
NDC,60432053716,Nystatin Susp 100000 Unit/ML,25.05,20.04,6.63,22.55,26
NDC,60432060616,Promethazine w/ Codeine Syrup 6.25-10 MG/5ML,25.07,20.06,6.63,22.56,26
NDC,60432060816,Promethazine HCl Oral Soln 6.25 MG/5ML,25.09,20.08,6.64,22.58,26
NDC,60432061304,Furosemide Oral Soln 10 MG/ML,25.1,20.08,6.64,22.59,26
NDC,60432062116,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),25.08,20.07,6.63,22.57,26
NDC,60432065104,Doxepin HCl Conc 10 MG/ML,25.06,20.05,6.63,22.55,26
NDC,60432074115,Acetic Acid Otic Soln 2%,52.12,41.7,13.79,46.91,26
NDC,60505005501,Selegiline HCl Cap 5 MG,1.19,0.96,0.31,1.07,26
NDC,60505008000,Sotalol HCl Tab 80 MG,1.07,0.86,0.28,0.96,26
NDC,60505008301,Paroxetine HCl Tab 20 MG,1.13,0.91,0.3,1.02,26
NDC,60505008302,Paroxetine HCl Tab 20 MG,1.09,0.88,0.29,0.98,26
NDC,60505009300,Doxazosin Mesylate Tab 1 MG,1.39,1.12,0.37,1.25,26
NDC,60505009501,Doxazosin Mesylate Tab 4 MG,1.67,1.34,0.44,1.5,26
NDC,60505009701,Paroxetine HCl Tab 10 MG,1.15,0.92,0.3,1.04,26
NDC,60505013400,Cyclosporine Cap 100 MG,6.06,4.85,1.0,5.45,26
NDC,60505014100,Glipizide Tab 5 MG,1.03,0.83,0.27,0.93,26
NDC,60505014101,Glipizide Tab 5 MG,1.03,0.83,0.27,0.93,26
NDC,60505014201,Glipizide Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,60505014500,Omeprazole Cap Delayed Release 10 MG,1.21,0.97,0.32,1.09,26
NDC,60505014600,Omeprazole Cap Delayed Release 40 MG,1.1,0.88,0.29,0.99,26
NDC,60505014601,Omeprazole Cap Delayed Release 40 MG,1.31,1.05,0.35,1.18,26
NDC,60505014602,Omeprazole Cap Delayed Release 40 MG,1.12,0.9,0.3,1.01,26
NDC,60505015900,Sotalol HCl Tab 120 MG,1.13,0.91,0.3,1.02,26
NDC,60505016809,Pravastatin Sodium Tab 10 MG,1.07,0.86,0.28,0.96,26
NDC,60505018300,Carbamazepine Tab 200 MG,2.2,1.76,0.58,1.98,26
NDC,60505036301,Ofloxacin Otic Soln 0.3%,85.83,68.67,22.7,77.25,26
NDC,60505036302,Ofloxacin Otic Soln 0.3%,92.49,74.0,24.46,83.24,26
NDC,60505040205,Paroxetine HCl Oral Susp 10 MG/5ML (Base Equiv),28.43,22.75,7.52,25.59,26
NDC,60505057804,Azelastine HCl Ophth Soln 0.05%,31.13,24.91,8.23,28.02,26
NDC,60505058204,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),48.41,38.73,12.8,43.57,26
NDC,60505079300,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,394.32,315.46,1.0,354.89,26
NDC,60505079304,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,394.32,315.46,1.0,354.89,26
NDC,60505079400,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,396.04,316.84,1.0,356.44,26
NDC,60505079404,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,396.04,316.84,1.0,356.44,26
NDC,60505079501,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,397.52,318.02,1.0,357.77,26
NDC,60505079504,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,397.52,318.02,1.0,357.77,26
NDC,60505079600,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,399.15,319.32,1.0,359.24,26
NDC,60505079604,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,399.15,319.32,1.0,359.24,26
NDC,60505079800,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,375.075,300.065,1.0,361.68,52
NDC,60505079804,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,375.08000000000004,300.07,1.0,361.68,52
NDC,60505081500,Desmopressin Acetate Nasal Spray Soln 0.01%,408.85,327.08,108.14,367.97,26
NDC,60505082306,Calcitonin (Salmon) Nasal Soln 200 Unit/ACT,119.54,95.64,31.62,107.59,26
NDC,60505082901,Fluticasone Propionate Nasal Susp 50 MCG/ACT,55.42,44.34,14.66,49.88,26
NDC,60505100301,Ketorolac Tromethamine Ophth Soln 0.5%,29.23,23.39,7.73,26.31,26
NDC,60505100302,Ketorolac Tromethamine Ophth Soln 0.5%,34.74,27.8,9.19,31.27,26
NDC,60505131603,Paroxetine HCl Tab ER 24HR 12.5 MG,1.55,1.24,0.41,1.4,26
NDC,60505250301,Leflunomide Tab 20 MG,5.92,4.74,1.57,5.33,26
NDC,60505252101,Cilostazol Tab 50 MG,1.15,0.92,0.3,1.04,26
NDC,60505252806,Ziprasidone HCl Cap 20 MG,3.52,2.82,0.93,3.17,26
NDC,60505257507,Balsalazide Disodium Cap 750 MG,1.44,1.16,0.38,1.3,26
NDC,60505257908,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.28,1.03,0.34,1.15,26
NDC,60505257909,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.55,1.24,0.41,1.4,26
NDC,60505265601,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.15,0.92,0.3,1.04,26
NDC,60505267303,Aripiprazole Tab 5 MG,6.2,4.96,1.64,5.58,26
NDC,60505280507,Carbamazepine Cap ER 12HR 100 MG,2.15,1.72,0.57,1.94,26
NDC,60505283103,Atomoxetine HCl Cap 18 MG (Base Equiv),4.44,3.56,1.17,4.0,26
NDC,60505283303,Atomoxetine HCl Cap 40 MG (Base Equiv),4.74,3.8,1.25,4.27,26
NDC,60505296607,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),7.5,6.0,1.0,6.75,26
NDC,60505307503,Aripiprazole Tab 2 MG,9.62,7.7,2.54,8.66,26
NDC,60505311000,Olanzapine Tab 2.5 MG,1.1,0.88,0.29,0.99,26
NDC,60505311100,Olanzapine Tab 5 MG,1.13,0.91,0.3,1.02,26
NDC,60505317007,Omega-3-acid Ethyl Esters Cap 1 GM,1.23,0.99,0.33,1.11,26
NDC,60505324503,Famciclovir Tab 125 MG,1.35,1.08,0.36,1.22,26
NDC,60505327500,Olanzapine Orally Disintegrating Tab 5 MG,1.68,1.35,0.44,1.51,26
NDC,60505351706,Levetiracetam Tab ER 24HR 750 MG,1.39,1.12,0.37,1.25,26
NDC,60505392701,Guanfacine HCl Tab ER 24HR 1 MG (Base Equiv),1.16,0.93,0.31,1.04,26
NDC,60505403301,Icosapent Ethyl Cap 1 GM,2.55,2.04,0.67,2.3,26
NDC,60505437303,Vilazodone HCl Tab 20 MG,2.28,1.83,0.6,2.05,26
NDC,60505437403,Vilazodone HCl Tab 40 MG,1.92,1.54,0.51,1.73,26
NDC,60505464303,Prasugrel HCl Tab 10 MG (Base Equiv),1.24,1.0,0.33,1.12,52
NDC,60505473901,Lisdexamfetamine Dimesylate Cap 10 MG,7.2,5.76,1.9,6.48,26
NDC,60505474101,Lisdexamfetamine Dimesylate Cap 30 MG,7.2,5.76,1.9,6.48,26
NDC,60505475401,Clorazepate Dipotassium Tab 3.75 MG,1.86,1.49,0.49,1.67,26
NDC,60505609700,Ibandronate Sodium IV Soln 3 MG/3ML (Base Equivalent),937.25,749.8,1.0,843.53,26
NDC,60505609800,Tigecycline For IV Soln 50 MG,412.65,330.12,1.0,371.39,26
NDC,60505609801,Tigecycline For IV Soln 50 MG,412.65,330.12,1.0,371.39,26
NDC,60505611600,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),621.38,497.11,1.0,559.24,26
NDC,60505612000,Micafungin Sodium For IV Soln 100 MG,519.9,415.92,1.0,467.91,26
NDC,60505612006,Micafungin Sodium For IV Soln 100 MG,519.9,415.92,1.0,467.91,26
NDC,60505612800,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),275.59,220.48,1.0,248.03,26
NDC,60505612801,Irinotecan HCl Inj 100 MG/5ML (20 MG/ML),269.08,215.27,1.0,242.17,26
NDC,60505613000,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.27,311.42,1.0,350.34,26
NDC,60505613005,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.27,311.42,1.0,350.34,26
NDC,60505613207,Oxaliplatin IV Soln 100 MG/20ML,278.84,223.08,1.0,250.96,26
NDC,60505614200,Cefazolin Sodium For Inj 1 GM,390.34,312.28,1.0,351.31,26
NDC,60505614500,Cefepime HCl For IV Soln 2 GM,393.42,314.74,1.0,354.08,26
NDC,60505614504,Cefepime HCl For IV Soln 2 GM,393.42,314.74,1.0,354.08,26
NDC,60505614600,Cefepime HCl For Inj 1 GM,391.31,313.05,1.0,352.18,26
NDC,60505614604,Cefepime HCl For Inj 1 GM,391.31,313.05,1.0,352.18,26
NDC,60505614700,Cefepime HCl For IV Soln 2 GM,393.33,314.67,1.0,354.0,26
NDC,60505614704,Cefepime HCl For IV Soln 2 GM,393.33,314.67,1.0,354.0,26
NDC,60505614900,Ceftriaxone Sodium For Inj 2 GM,391.89,313.52,1.0,352.7,26
NDC,60505615700,Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM),392.32,313.86,1.0,353.09,26
NDC,60505615704,Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM),392.32,313.86,1.0,353.09,26
NDC,60505616600,Clofarabine IV Soln 1 MG/ML,3496.67,2797.34,3.98,3147.0,34
NDC,60505616900,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),394.18,315.35,1.0,354.76,26
NDC,60505616901,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),394.18,315.35,1.0,354.76,26
NDC,60505619301,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),402.69,322.16,1.0,362.42,26
NDC,60505619600,Ertapenem Sodium For Inj 1 GM (Base Equivalent),465.77,372.62,1.0,419.19,26
NDC,60505619604,Ertapenem Sodium For Inj 1 GM (Base Equivalent),465.77,372.62,1.0,419.19,26
NDC,60505619702,Sirolimus Oral Soln 1 MG/ML,36.86,29.49,1.0,33.17,26
NDC,60505622601,Atropine Sulfate Ophth Soln 1%,57.89,46.32,15.31,52.1,26
NDC,60505623600,Deferoxamine Mesylate For Inj 500 MG,398.58,318.87,1.0,358.72,26
NDC,60505700800,Fentanyl TD Patch 72HR 75 MCG/HR,7.18,5.75,1.9,6.46,26
NDC,60505700802,Fentanyl TD Patch 72HR 75 MCG/HR,7.18,5.75,1.9,6.46,26
NDC,60505700900,Fentanyl TD Patch 72HR 100 MCG/HR,19.14,15.32,5.06,17.23,26
NDC,60505700902,Fentanyl TD Patch 72HR 100 MCG/HR,19.14,15.32,5.06,17.23,26
NDC,60505708100,Fentanyl TD Patch 72HR 25 MCG/HR,3.39,2.72,0.9,3.05,26
NDC,60505708102,Fentanyl TD Patch 72HR 25 MCG/HR,3.39,2.72,0.9,3.05,26
NDC,60505708200,Fentanyl TD Patch 72HR 50 MCG/HR,5.01,4.01,1.33,4.51,26
NDC,60505708202,Fentanyl TD Patch 72HR 50 MCG/HR,5.01,4.01,1.33,4.51,26
NDC,60505708300,Fentanyl TD Patch 72HR 75 MCG/HR,12.55,10.04,3.32,11.3,26
NDC,60505708302,Fentanyl TD Patch 72HR 75 MCG/HR,12.55,10.04,3.32,11.3,26
NDC,60505708400,Fentanyl TD Patch 72HR 100 MCG/HR,19.12,15.3,5.06,17.21,26
NDC,60569006004,Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML,1.21,0.97,0.32,1.09,26
NDC,60574411301,Palivizumab IM Soln 100 MG/ML,11664.58,9331.67,339.68,10498.12,34
NDC,60574411401,Palivizumab IM Soln 50 MG/0.5ML,6247.91,4998.33,339.68,5623.12,34
NDC,60687010001,Ursodiol Cap 300 MG,6.58,5.27,1.74,5.92,26
NDC,60687010511,Medroxyprogesterone Acetate Tab 10 MG,2.3,1.84,0.61,2.07,26
NDC,60687010521,Medroxyprogesterone Acetate Tab 10 MG,2.3,1.84,0.61,2.07,26
NDC,60687011121,Lansoprazole Cap Delayed Release 15 MG,3.49,2.8,0.92,3.14,26
NDC,60687011211,Anastrozole Tab 1 MG,1.69,1.36,0.57,11.31,26
NDC,60687011221,Anastrozole Tab 1 MG,1.69,1.36,0.57,11.31,26
NDC,60687011301,Clonidine HCl Tab 0.1 MG,1.27,1.02,0.34,1.14,26
NDC,60687011311,Clonidine HCl Tab 0.1 MG,1.27,1.02,0.34,1.14,26
NDC,60687012201,Prednisone Tab 5 MG,1.16,0.93,0.31,1.04,26
NDC,60687012211,Prednisone Tab 5 MG,1.16,0.93,0.31,1.04,26
NDC,60687012401,Clonidine HCl Tab 0.2 MG,1.28,1.03,0.34,1.15,26
NDC,60687012411,Clonidine HCl Tab 0.2 MG,1.28,1.03,0.34,1.15,26
NDC,60687012911,Docusate Sodium Cap 100 MG,1.17,0.94,0.31,1.05,26
NDC,60687014311,Metformin HCl Tab 850 MG,1.18,0.95,0.31,1.06,26
NDC,60687014501,Prednisone Tab 20 MG,1.17,0.94,0.31,1.05,26
NDC,60687014511,Prednisone Tab 20 MG,1.17,0.94,0.31,1.05,26
NDC,60687015201,Cephalexin Cap 250 MG,1.3,1.04,0.34,1.17,26
NDC,60687015211,Cephalexin Cap 250 MG,1.3,1.04,0.34,1.17,26
NDC,60687015625,Phenytoin Chew Tab 50 MG,1.92,1.54,0.51,1.73,26
NDC,60687015695,Phenytoin Chew Tab 50 MG,1.92,1.54,0.51,1.73,26
NDC,60687016101,Haloperidol Tab 5 MG,1.8,1.44,0.48,1.62,26
NDC,60687016111,Haloperidol Tab 5 MG,1.8,1.44,0.48,1.62,26
NDC,60687016301,Cephalexin Cap 500 MG,1.33,1.07,0.35,1.2,26
NDC,60687016311,Cephalexin Cap 500 MG,1.33,1.07,0.35,1.2,26
NDC,60687016901,Pravastatin Sodium Tab 10 MG,1.49,1.2,0.39,1.34,26
NDC,60687018411,Memantine HCl Tab 10 MG,1.33,1.07,0.35,1.2,26
NDC,60687018811,Entacapone Tab 200 MG,4.19,3.36,1.11,3.77,26
NDC,60687018821,Entacapone Tab 200 MG,4.19,3.36,1.11,3.77,26
NDC,60687019501,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.39,1.12,0.37,1.25,26
NDC,60687019511,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.39,1.12,0.37,1.25,26
NDC,60687020601,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.32,1.06,0.35,1.19,26
NDC,60687020611,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.32,1.06,0.35,1.19,26
NDC,60687021001,Simvastatin Tab 40 MG,1.16,0.93,0.31,1.04,26
NDC,60687021011,Simvastatin Tab 40 MG,1.16,0.93,0.31,1.04,26
NDC,60687021111,Divalproex Sodium Tab Delayed Release 125 MG,1.57,1.26,0.42,1.41,26
NDC,60687021121,Divalproex Sodium Tab Delayed Release 125 MG,1.57,1.26,0.42,1.41,26
NDC,60687021501,Propranolol HCl Cap ER 24HR 60 MG,2.74,2.2,0.72,2.47,26
NDC,60687021511,Propranolol HCl Cap ER 24HR 60 MG,2.74,2.2,0.72,2.47,26
NDC,60687022401,Gemfibrozil Tab 600 MG,1.21,0.97,0.32,1.09,26
NDC,60687022411,Gemfibrozil Tab 600 MG,1.21,0.97,0.32,1.09,26
NDC,60687022901,Loperamide HCl Cap 2 MG,1.56,1.25,0.41,1.4,26
NDC,60687022911,Loperamide HCl Cap 2 MG,1.56,1.25,0.41,1.4,26
NDC,60687023101,Sertraline HCl Tab 25 MG,1.28,1.03,0.34,1.15,26
NDC,60687023111,Sertraline HCl Tab 25 MG,1.28,1.03,0.34,1.15,26
NDC,60687023401,Rosuvastatin Calcium Tab 5 MG,1.94,1.56,0.51,1.75,26
NDC,60687023411,Rosuvastatin Calcium Tab 5 MG,1.94,1.56,0.51,1.75,26
NDC,60687024201,Sertraline HCl Tab 50 MG,1.32,1.06,0.35,1.19,26
NDC,60687024211,Sertraline HCl Tab 50 MG,1.32,1.06,0.35,1.19,26
NDC,60687024511,Rosuvastatin Calcium Tab 10 MG,1.48,1.19,0.39,1.33,26
NDC,60687024565,Rosuvastatin Calcium Tab 10 MG,1.48,1.19,0.39,1.33,26
NDC,60687025240,Ondansetron HCl Oral Soln 4 MG/5ML,12.24,9.8,1.0,11.02,26
NDC,60687025286,Ondansetron HCl Oral Soln 4 MG/5ML,12.24,9.8,1.0,11.02,26
NDC,60687025301,Sertraline HCl Tab 100 MG,1.37,1.1,0.36,1.23,26
NDC,60687025311,Sertraline HCl Tab 100 MG,1.37,1.1,0.36,1.23,26
NDC,60687026532,Nortriptyline HCl Cap 50 MG,2.29,1.84,0.61,2.06,26
NDC,60687026533,Nortriptyline HCl Cap 50 MG,2.29,1.84,0.61,2.06,26
NDC,60687027211,Cefuroxime Axetil Tab 250 MG,4.77,3.82,1.26,4.29,26
NDC,60687027294,Cefuroxime Axetil Tab 250 MG,4.77,3.82,1.26,4.29,26
NDC,60687028311,Cefuroxime Axetil Tab 500 MG,5.25,4.2,1.39,4.73,26
NDC,60687028394,Cefuroxime Axetil Tab 500 MG,5.25,4.2,1.39,4.73,26
NDC,60687028611,Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent),4.86,3.89,1.29,4.37,26
NDC,60687028621,Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent),4.86,3.89,1.29,4.37,26
NDC,60687029301,Nortriptyline HCl Cap 25 MG,1.38,1.11,0.37,1.24,26
NDC,60687029311,Nortriptyline HCl Cap 25 MG,1.38,1.11,0.37,1.24,26
NDC,60687029411,Voriconazole Tab 50 MG,7.46,5.97,1.97,6.71,26
NDC,60687030225,Nadolol Tab 20 MG,3.68,2.95,0.97,3.31,26
NDC,60687030295,Nadolol Tab 20 MG,3.68,2.95,0.97,3.31,26
NDC,60687030411,Captopril Tab 12.5 MG,1.96,1.57,0.52,1.76,26
NDC,60687030421,Captopril Tab 12.5 MG,1.96,1.57,0.52,1.76,26
NDC,60687032501,Lisinopril Tab 10 MG,1.11,0.89,0.29,1.0,26
NDC,60687032511,Lisinopril Tab 10 MG,1.11,0.89,0.29,1.0,26
NDC,60687032833,Sevelamer Carbonate Tab 800 MG,3.85,3.08,0.13,3.47,52
NDC,60687032865,Sevelamer Carbonate Tab 800 MG,3.85,3.08,0.13,3.47,52
NDC,60687033301,Lisinopril Tab 20 MG,1.11,0.89,0.29,1.0,26
NDC,60687033311,Lisinopril Tab 20 MG,1.11,0.89,0.29,1.0,26
NDC,60687034501,Calcitriol Cap 0.25 MCG,1.67,1.34,0.44,1.5,26
NDC,60687034511,Calcitriol Cap 0.25 MCG,1.67,1.34,0.44,1.5,26
NDC,60687036901,Dicyclomine HCl Cap 10 MG,1.33,1.07,0.35,1.2,26
NDC,60687036911,Dicyclomine HCl Cap 10 MG,1.33,1.07,0.35,1.2,26
NDC,60687037701,Alprazolam Tab 0.25 MG,1.24,1.0,0.33,1.12,26
NDC,60687037711,Alprazolam Tab 0.25 MG,1.24,1.0,0.33,1.12,26
NDC,60687038001,Dicyclomine HCl Tab 20 MG,1.37,1.1,0.36,1.23,26
NDC,60687038011,Dicyclomine HCl Tab 20 MG,1.37,1.1,0.36,1.23,26
NDC,60687038401,Bumetanide Tab 1 MG,1.93,1.55,0.51,1.74,26
NDC,60687038525,Colesevelam HCl Tab 625 MG,4.09,3.28,1.08,3.68,26
NDC,60687038595,Colesevelam HCl Tab 625 MG,4.09,3.28,1.08,3.68,26
NDC,60687038701,Midodrine HCl Tab 2.5 MG,1.7,1.36,0.45,1.53,26
NDC,60687038711,Midodrine HCl Tab 2.5 MG,1.7,1.36,0.45,1.53,26
NDC,60687038801,Alprazolam Tab 0.5 MG,1.29,1.04,0.34,1.16,26
NDC,60687038811,Alprazolam Tab 0.5 MG,1.29,1.04,0.34,1.16,26
NDC,60687039001,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.6,1.28,0.42,1.44,26
NDC,60687039011,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.6,1.28,0.42,1.44,26
NDC,60687039479,Ipratropium Bromide Inhal Soln 0.02%,1.16,0.93,0.32,1.04,26
NDC,60687039483,Ipratropium Bromide Inhal Soln 0.02%,1.16,0.93,0.32,1.04,26
NDC,60687039579,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.16,0.93,0.04,1.04,26
NDC,60687039583,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.16,0.93,0.04,1.04,26
NDC,60687039601,Hydrocodone-Acetaminophen Tab 5-325 MG,1.34,1.08,0.35,1.21,26
NDC,60687039611,Hydrocodone-Acetaminophen Tab 5-325 MG,1.34,1.08,0.35,1.21,26
NDC,60687039801,Midodrine HCl Tab 5 MG,1.65,1.32,0.44,1.49,26
NDC,60687039811,Midodrine HCl Tab 5 MG,1.67,1.34,0.44,1.5,26
NDC,60687040101,Lorazepam Tab 0.5 MG,1.14,0.92,0.3,1.03,26
NDC,60687040111,Lorazepam Tab 0.5 MG,1.11,0.89,0.29,1.0,26
NDC,60687040201,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.54,1.24,0.41,1.39,26
NDC,60687040211,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.63,1.31,0.43,1.47,26
NDC,60687040401,Clozapine Tab 25 MG,1.26,1.01,0.33,1.13,26
NDC,60687040411,Clozapine Tab 25 MG,1.26,1.01,0.33,1.13,26
NDC,60687040579,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.6,1.28,0.17,1.44,26
NDC,60687040583,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.6,1.28,0.17,1.44,26
NDC,60687040640,Oxycodone HCl Soln 5 MG/5ML,4.77,3.82,1.26,4.29,26
NDC,60687040667,Oxycodone HCl Soln 5 MG/5ML,4.77,3.82,1.26,4.29,26
NDC,60687040677,Oxycodone HCl Soln 5 MG/5ML,3.4,2.72,0.9,3.06,26
NDC,60687040701,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.47,1.18,0.39,1.32,26
NDC,60687040711,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.47,1.18,0.39,1.32,26
NDC,60687040825,Mesalamine Tab Delayed Release 800 MG,13.61,10.89,3.6,12.25,26
NDC,60687040895,Mesalamine Tab Delayed Release 800 MG,13.61,10.89,3.6,12.25,26
NDC,60687041311,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.47,1.18,0.39,1.32,26
NDC,60687041365,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.47,1.18,0.39,1.32,26
NDC,60687041501,Clozapine Tab 100 MG,1.97,1.58,0.52,1.77,26
NDC,60687041511,Clozapine Tab 100 MG,1.97,1.58,0.52,1.77,26
NDC,60687041744,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,4.81,3.85,1.27,4.33,26
NDC,60687041771,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,4.81,3.85,1.27,4.33,26
NDC,60687041801,Hydrocodone-Acetaminophen Tab 10-325 MG,1.56,1.25,0.41,1.4,26
NDC,60687041811,Hydrocodone-Acetaminophen Tab 10-325 MG,1.56,1.25,0.41,1.4,26
NDC,60687042025,Ritonavir Tab 100 MG,9.69,7.76,2.56,8.72,26
NDC,60687042095,Ritonavir Tab 100 MG,9.69,7.76,2.56,8.72,26
NDC,60687042311,Clobazam Tab 10 MG,2.58,2.07,0.68,2.32,26
NDC,60687042321,Clobazam Tab 10 MG,2.58,2.07,0.68,2.32,26
NDC,60687042801,Finasteride Tab 5 MG,1.69,1.36,0.45,1.52,26
NDC,60687042811,Finasteride Tab 5 MG,1.69,1.36,0.45,1.52,26
NDC,60687042945,Magnesium Hydroxide Susp 400 MG/5ML,2.8,2.24,0.74,2.52,26
NDC,60687043192,Polyethylene Glycol 3350 Oral Packet 17 GM,247.2,197.76,65.38,222.48,26
NDC,60687043201,Trazodone HCl Tab 150 MG,1.37,1.1,0.36,1.23,26
NDC,60687043211,Trazodone HCl Tab 150 MG,1.37,1.1,0.36,1.23,26
NDC,60687043301,Amitriptyline HCl Tab 25 MG,1.3,1.04,0.34,1.17,26
NDC,60687043311,Amitriptyline HCl Tab 25 MG,1.3,1.04,0.34,1.17,26
NDC,60687043701,Amiodarone HCl Tab 200 MG,1.27,1.02,0.34,1.14,26
NDC,60687043711,Amiodarone HCl Tab 200 MG,1.27,1.02,0.34,1.14,26
NDC,60687043801,Mycophenolate Mofetil Tab 500 MG,1.82,1.46,0.48,1.64,26
NDC,60687043811,Mycophenolate Mofetil Tab 500 MG,1.82,1.46,0.48,1.64,26
NDC,60687043901,Labetalol HCl Tab 100 MG,1.31,1.05,0.35,1.18,26
NDC,60687043911,Labetalol HCl Tab 100 MG,1.31,1.05,0.35,1.18,26
NDC,60687044401,Amitriptyline HCl Tab 50 MG,1.44,1.16,0.38,1.3,26
NDC,60687044411,Amitriptyline HCl Tab 50 MG,1.44,1.16,0.38,1.3,26
NDC,60687044601,Ibuprofen Tab 400 MG,1.11,0.89,0.29,1.0,26
NDC,60687044611,Ibuprofen Tab 400 MG,1.11,0.89,0.29,1.0,26
NDC,60687045001,Labetalol HCl Tab 200 MG,1.4,1.12,0.37,1.26,26
NDC,60687045011,Labetalol HCl Tab 200 MG,1.4,1.12,0.37,1.26,26
NDC,60687045111,Eplerenone Tab 25 MG,4.1,3.28,1.08,3.69,26
NDC,60687045121,Eplerenone Tab 25 MG,4.1,3.28,1.08,3.69,26
NDC,60687045401,Trazodone HCl Tab 100 MG,1.16,0.93,0.31,1.04,26
NDC,60687045411,Trazodone HCl Tab 100 MG,1.16,0.93,0.31,1.04,26
NDC,60687045701,Ibuprofen Tab 600 MG,1.17,0.94,0.31,1.05,26
NDC,60687045711,Ibuprofen Tab 600 MG,1.17,0.94,0.31,1.05,26
NDC,60687046101,Labetalol HCl Tab 300 MG,1.65,1.32,0.44,1.49,26
NDC,60687046111,Labetalol HCl Tab 300 MG,1.65,1.32,0.44,1.49,26
NDC,60687047301,Pregabalin Cap 25 MG,1.56,1.25,0.41,1.4,26
NDC,60687047311,Pregabalin Cap 25 MG,1.56,1.25,0.41,1.4,26
NDC,60687047901,Carbamazepine Chew Tab 100 MG,1.47,1.18,0.39,1.32,26
NDC,60687047911,Carbamazepine Chew Tab 100 MG,1.47,1.18,0.39,1.32,26
NDC,60687048011,Glipizide Tab ER 24HR 2.5 MG,1.98,1.59,0.52,1.78,26
NDC,60687048021,Glipizide Tab ER 24HR 2.5 MG,1.98,1.59,0.52,1.78,26
NDC,60687048111,Buprenorphine HCl SL Tab 2 MG (Base Equiv),2.82,2.26,0.75,2.54,26
NDC,60687048121,Buprenorphine HCl SL Tab 2 MG (Base Equiv),2.82,2.26,0.75,2.54,26
NDC,60687048401,Pregabalin Cap 50 MG,2.21,1.77,0.58,1.99,26
NDC,60687048411,Pregabalin Cap 50 MG,2.19,1.76,0.58,1.97,26
NDC,60687048701,Spironolactone Tab 100 MG,1.56,1.25,0.41,1.4,26
NDC,60687048711,Spironolactone Tab 100 MG,1.56,1.25,0.41,1.4,26
NDC,60687049211,Buprenorphine HCl SL Tab 8 MG (Base Equiv),3.44,2.76,0.91,3.1,26
NDC,60687049221,Buprenorphine HCl SL Tab 8 MG (Base Equiv),3.44,2.76,0.91,3.1,26
NDC,60687049301,Verapamil HCl Tab ER 120 MG,1.92,1.54,0.51,1.73,26
NDC,60687049311,Verapamil HCl Tab ER 120 MG,1.92,1.54,0.51,1.73,26
NDC,60687049401,Mycophenolate Mofetil Cap 250 MG,1.48,1.19,0.39,1.33,26
NDC,60687049411,Mycophenolate Mofetil Cap 250 MG,1.48,1.19,0.39,1.33,26
NDC,60687049501,Pregabalin Cap 75 MG,2.16,1.73,0.57,1.94,26
NDC,60687049511,Pregabalin Cap 75 MG,2.16,1.73,0.57,1.94,26
NDC,60687050201,Pyridostigmine Bromide Tab 60 MG,1.83,1.47,0.48,1.65,26
NDC,60687050211,Pyridostigmine Bromide Tab 60 MG,1.83,1.47,0.48,1.65,26
NDC,60687050601,Pregabalin Cap 100 MG,2.25,1.8,0.6,2.03,26
NDC,60687050611,Pregabalin Cap 100 MG,2.25,1.8,0.6,2.03,26
NDC,60687052311,Posaconazole Tab Delayed Release 100 MG,33.96,27.17,8.98,30.56,26
NDC,60687052321,Posaconazole Tab Delayed Release 100 MG,33.96,27.17,8.98,30.56,26
NDC,60687052479,Budesonide Inhalation Susp 0.5 MG/2ML,4.35,3.48,1.01,3.92,26
NDC,60687052483,Budesonide Inhalation Susp 0.5 MG/2ML,4.35,3.48,1.01,3.92,26
NDC,60687052601,Metronidazole Tab 250 MG,1.29,1.04,0.34,1.16,26
NDC,60687052611,Metronidazole Tab 250 MG,1.29,1.04,0.34,1.16,26
NDC,60687052711,Ursodiol Tab 250 MG,3.35,2.68,0.89,3.02,26
NDC,60687052721,Ursodiol Tab 250 MG,3.35,2.68,0.89,3.02,26
NDC,60687053811,Febuxostat Tab 40 MG,2.67,2.14,0.71,2.4,26
NDC,60687053821,Febuxostat Tab 40 MG,2.67,2.14,0.71,2.4,26
NDC,60687054911,Ranolazine Tab ER 12HR 500 MG,2.2,1.76,0.58,1.98,26
NDC,60687054921,Ranolazine Tab ER 12HR 500 MG,2.2,1.76,0.58,1.98,26
NDC,60687055001,Metronidazole Tab 500 MG,1.52,1.22,0.4,1.37,26
NDC,60687055011,Metronidazole Tab 500 MG,1.52,1.22,0.4,1.37,26
NDC,60687055632,Mesalamine Cap DR 400 MG,6.62,5.3,1.75,5.96,26
NDC,60687055633,Mesalamine Cap DR 400 MG,6.62,5.3,1.75,5.96,26
NDC,60687055801,Cyclobenzaprine HCl Tab 10 MG,1.16,0.93,0.31,1.04,26
NDC,60687055811,Cyclobenzaprine HCl Tab 10 MG,1.16,0.93,0.31,1.04,26
NDC,60687055901,Methocarbamol Tab 500 MG,1.22,0.98,0.32,1.1,26
NDC,60687055911,Methocarbamol Tab 500 MG,1.22,0.98,0.32,1.1,26
NDC,60687056301,Levothyroxine Sodium Tab 137 MCG,1.53,1.23,0.4,1.38,26
NDC,60687056311,Levothyroxine Sodium Tab 137 MCG,1.53,1.23,0.4,1.38,26
NDC,60687057233,Prazosin HCl Cap 5 MG,3.85,3.08,1.02,3.47,26
NDC,60687057511,Rifampin Cap 150 MG,3.92,3.14,1.04,3.53,26
NDC,60687057521,Rifampin Cap 150 MG,3.92,3.14,1.04,3.53,26
NDC,60687057640,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),5.51,4.41,1.46,4.96,26
NDC,60687057701,Ropinirole Hydrochloride Tab 0.25 MG,1.37,1.1,0.36,1.23,26
NDC,60687057711,Ropinirole Hydrochloride Tab 0.25 MG,1.37,1.1,0.36,1.23,26
NDC,60687057901,Hydromorphone HCl Tab 2 MG,1.16,0.93,0.31,1.04,26
NDC,60687057911,Hydromorphone HCl Tab 2 MG,1.16,0.93,0.31,1.04,26
NDC,60687058001,Gabapentin Cap 100 MG,1.11,0.89,0.29,1.0,26
NDC,60687058011,Gabapentin Cap 100 MG,1.11,0.89,0.29,1.0,26
NDC,60687058111,Pramipexole Dihydrochloride Tab 0.5 MG,1.62,1.3,0.43,1.46,26
NDC,60687058121,Pramipexole Dihydrochloride Tab 0.5 MG,1.62,1.3,0.43,1.46,26
NDC,60687058311,Carbamazepine Tab ER 12HR 200 MG,4.12,3.3,1.09,3.71,26
NDC,60687058321,Carbamazepine Tab ER 12HR 200 MG,4.12,3.3,1.09,3.71,26
NDC,60687058411,Mirtazapine Tab 7.5 MG,3.24,2.6,0.86,2.92,26
NDC,60687058421,Mirtazapine Tab 7.5 MG,3.24,2.6,0.86,2.92,26
NDC,60687058601,Rifampin Cap 300 MG,1.76,1.41,0.47,1.58,26
NDC,60687058611,Rifampin Cap 300 MG,1.76,1.41,0.47,1.58,26
NDC,60687058701,Propranolol HCl Tab 10 MG,1.21,0.97,0.32,1.09,26
NDC,60687058711,Propranolol HCl Tab 10 MG,1.21,0.97,0.32,1.09,26
NDC,60687058801,Ropinirole Hydrochloride Tab 1 MG,1.41,1.13,0.37,1.27,26
NDC,60687058811,Ropinirole Hydrochloride Tab 1 MG,1.41,1.13,0.37,1.27,26
NDC,60687059001,Hydromorphone HCl Tab 4 MG,1.21,0.97,0.32,1.09,26
NDC,60687059011,Hydromorphone HCl Tab 4 MG,1.21,0.97,0.32,1.09,26
NDC,60687059101,Gabapentin Cap 300 MG,1.1,0.88,0.29,0.99,26
NDC,60687059111,Gabapentin Cap 300 MG,1.1,0.88,0.29,0.99,26
NDC,60687059211,Pramipexole Dihydrochloride Tab 1 MG,1.91,1.53,0.51,1.72,26
NDC,60687059221,Pramipexole Dihydrochloride Tab 1 MG,1.98,1.59,0.52,1.78,26
NDC,60687059301,Hydrochlorothiazide Tab 25 MG,1.19,0.96,0.31,1.07,26
NDC,60687059311,Hydrochlorothiazide Tab 25 MG,1.19,0.96,0.31,1.07,26
NDC,60687059501,Famotidine Tab 20 MG,1.14,0.92,0.3,1.03,26
NDC,60687059511,Famotidine Tab 20 MG,1.14,0.92,0.3,1.03,26
NDC,60687059632,Budesonide Delayed Release Particles Cap 3 MG,9.5,7.6,2.51,8.55,26
NDC,60687059633,Budesonide Delayed Release Particles Cap 3 MG,9.5,7.6,2.51,8.55,26
NDC,60687059801,Propranolol HCl Tab 20 MG,1.44,1.16,0.38,1.3,26
NDC,60687059811,Propranolol HCl Tab 20 MG,1.44,1.16,0.38,1.3,26
NDC,60687060201,Gabapentin Cap 400 MG,1.16,0.93,0.31,1.04,26
NDC,60687060211,Gabapentin Cap 400 MG,1.16,0.93,0.31,1.04,26
NDC,60687060311,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.29,1.04,0.34,1.16,26
NDC,60687060365,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.29,1.04,0.34,1.16,26
NDC,60687060501,Atenolol Tab 25 MG,1.16,0.93,0.31,1.04,26
NDC,60687060511,Atenolol Tab 25 MG,1.16,0.93,0.31,1.04,26
NDC,60687060711,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),2.95,2.36,0.78,2.66,26
NDC,60687060721,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),2.95,2.36,0.78,2.66,26
NDC,60687060801,Omeprazole Cap Delayed Release 40 MG,1.25,1.0,0.33,1.13,26
NDC,60687060811,Omeprazole Cap Delayed Release 40 MG,1.25,1.0,0.33,1.13,26
NDC,60687060901,Propranolol HCl Tab 40 MG,1.51,1.21,0.4,1.36,26
NDC,60687060911,Propranolol HCl Tab 40 MG,1.51,1.21,0.4,1.36,26
NDC,60687061211,Valsartan Tab 40 MG,1.77,1.42,0.47,1.59,26
NDC,60687061221,Valsartan Tab 40 MG,1.77,1.42,0.47,1.59,26
NDC,60687062001,Metoclopramide HCl Tab 5 MG (Base Equivalent),1.53,1.23,0.4,1.38,26
NDC,60687062011,Metoclopramide HCl Tab 5 MG (Base Equivalent),1.53,1.23,0.4,1.38,26
NDC,60687062201,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.13,0.91,0.3,1.02,26
NDC,60687062211,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.13,0.91,0.3,1.02,26
NDC,60687062701,Lorazepam Tab 0.5 MG,1.12,0.9,0.3,1.01,26
NDC,60687062711,Lorazepam Tab 0.5 MG,1.12,0.9,0.3,1.01,26
NDC,60687063101,Metoclopramide HCl Tab 10 MG (Base Equivalent),1.54,1.24,0.41,1.39,26
NDC,60687063111,Metoclopramide HCl Tab 10 MG (Base Equivalent),1.54,1.24,0.41,1.39,26
NDC,60687063401,Valsartan Tab 160 MG,2.12,1.7,0.56,1.91,26
NDC,60687063411,Valsartan Tab 160 MG,2.12,1.7,0.56,1.91,26
NDC,60687063801,Lorazepam Tab 1 MG,1.11,0.89,0.29,1.0,26
NDC,60687063811,Lorazepam Tab 1 MG,1.11,0.89,0.29,1.0,26
NDC,60687064001,Metformin HCl Tab ER 24HR 500 MG,1.52,1.22,0.4,1.37,26
NDC,60687064111,Nebivolol HCl Tab 5 MG (Base Equivalent),3.36,2.69,0.89,3.02,26
NDC,60687065611,Lisinopril Tab 2.5 MG,1.45,1.16,0.38,1.31,26
NDC,60687065621,Lisinopril Tab 2.5 MG,1.45,1.16,0.38,1.31,26
NDC,60687065701,Levetiracetam Tab 500 MG,1.18,0.95,0.31,1.06,26
NDC,60687065711,Levetiracetam Tab 500 MG,1.18,0.95,0.31,1.06,26
NDC,60687066101,Carbidopa & Levodopa Tab 25-100 MG,1.19,0.96,0.31,1.07,26
NDC,60687066111,Carbidopa & Levodopa Tab 25-100 MG,1.19,0.96,0.31,1.07,26
NDC,60687066401,Hydroxyzine HCl Tab 10 MG,1.14,0.92,0.3,1.03,26
NDC,60687066411,Hydroxyzine HCl Tab 10 MG,1.14,0.92,0.3,1.03,26
NDC,60687066901,Methimazole Tab 5 MG,4.59,3.68,1.21,4.13,26
NDC,60687066911,Methimazole Tab 5 MG,4.59,3.68,1.21,4.13,26
NDC,60687067311,Nateglinide Tab 60 MG,2.7,2.16,0.71,2.43,26
NDC,60687067321,Nateglinide Tab 60 MG,2.7,2.16,0.71,2.43,26
NDC,60687067501,Hydroxyzine HCl Tab 25 MG,1.19,0.96,0.31,1.07,26
NDC,60687067511,Hydroxyzine HCl Tab 25 MG,1.19,0.96,0.31,1.07,26
NDC,60687067611,Lacosamide Tab 50 MG,2.82,2.26,0.75,2.54,26
NDC,60687067657,Lacosamide Tab 50 MG,2.82,2.26,0.75,2.54,26
NDC,60687067701,Allopurinol Tab 100 MG,1.22,0.98,0.32,1.1,26
NDC,60687067711,Allopurinol Tab 100 MG,1.22,0.98,0.32,1.1,26
NDC,60687067911,Bisoprolol Fumarate Tab 5 MG,2.2,1.76,0.58,1.98,26
NDC,60687067921,Bisoprolol Fumarate Tab 5 MG,2.2,1.76,0.58,1.98,26
NDC,60687068801,Allopurinol Tab 300 MG,1.4,1.12,0.37,1.26,26
NDC,60687068811,Allopurinol Tab 300 MG,1.4,1.12,0.37,1.26,26
NDC,60687069301,Lamotrigine Tab 150 MG,1.38,1.11,0.37,1.24,26
NDC,60687069311,Lamotrigine Tab 150 MG,1.38,1.11,0.37,1.24,26
NDC,60687069411,Methenamine Hippurate Tab 1 GM,2.98,2.39,0.79,2.68,26
NDC,60687069421,Methenamine Hippurate Tab 1 GM,2.98,2.39,0.79,2.68,26
NDC,60687069501,Sucralfate Tab 1 GM,1.3,1.04,0.34,1.17,26
NDC,60687069511,Sucralfate Tab 1 GM,1.3,1.04,0.34,1.17,26
NDC,60687069911,Cefdinir Cap 300 MG,4.13,3.31,1.09,3.72,26
NDC,60687070101,Glipizide Tab 10 MG,1.45,1.16,0.38,1.31,26
NDC,60687070111,Glipizide Tab 10 MG,1.45,1.16,0.38,1.31,26
NDC,60687070901,Propafenone HCl Tab 150 MG,1.72,1.38,0.45,1.55,26
NDC,60687070911,Propafenone HCl Tab 150 MG,1.72,1.38,0.45,1.55,26
NDC,60687071511,Colestipol HCl Tab 1 GM,4.87,3.9,1.29,4.38,26
NDC,60687071521,Colestipol HCl Tab 1 GM,4.87,3.9,1.29,4.38,26
NDC,60687071701,Diltiazem HCl Tab 30 MG,1.39,1.12,0.37,1.25,26
NDC,60687071711,Diltiazem HCl Tab 30 MG,1.39,1.12,0.37,1.25,26
NDC,60687072111,Desmopressin Acetate Tab 0.1 MG,2.72,2.18,0.72,2.45,26
NDC,60687072121,Desmopressin Acetate Tab 0.1 MG,2.72,2.18,0.72,2.45,26
NDC,60687072321,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),1.9,1.52,0.5,1.71,26
NDC,60687072501,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.21,0.97,0.32,1.09,26
NDC,60687072511,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.21,0.97,0.32,1.09,26
NDC,60687072801,Diltiazem HCl Tab 60 MG,1.47,1.18,0.39,1.32,26
NDC,60687072811,Diltiazem HCl Tab 60 MG,1.47,1.18,0.39,1.32,26
NDC,60687072901,Dexamethasone Tab 6 MG,2.47,1.98,0.65,2.22,26
NDC,60687072911,Dexamethasone Tab 6 MG,2.47,1.98,0.65,2.22,26
NDC,60687073211,Desmopressin Acetate Tab 0.2 MG,3.47,2.78,0.92,3.12,26
NDC,60687073221,Desmopressin Acetate Tab 0.2 MG,3.47,2.78,0.92,3.12,26
NDC,60687073501,Misoprostol Tab 100 MCG,2.95,2.36,0.78,2.66,26
NDC,60687073511,Misoprostol Tab 100 MCG,2.95,2.36,0.78,2.66,26
NDC,60687073609,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.16,0.93,0.31,1.04,26
NDC,60687073611,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.16,0.93,0.31,1.04,26
NDC,60687073808,Sucralfate Susp 1 GM/10ML,7.84,6.28,2.07,7.06,26
NDC,60687073842,Sucralfate Susp 1 GM/10ML,7.84,6.28,2.07,7.06,26
NDC,60687074265,Azithromycin Tab 250 MG,1.76,1.41,0.47,1.58,26
NDC,60687074317,Ibuprofen Susp 100 MG/5ML,5.54,4.44,1.47,4.99,26
NDC,60687074340,Ibuprofen Susp 100 MG/5ML,5.54,4.44,1.47,4.99,26
NDC,60687074601,Misoprostol Tab 200 MCG,2.65,2.12,0.7,2.39,26
NDC,60687074611,Misoprostol Tab 200 MCG,2.65,2.12,0.7,2.39,26
NDC,60687075011,Tranexamic Acid Tab 650 MG,4.7,3.76,1.24,4.23,26
NDC,60687075021,Tranexamic Acid Tab 650 MG,4.7,3.76,1.24,4.23,26
NDC,60687075232,Dabigatran Etexilate Mesylate Cap 150 MG (Etexilate Base Eq),10.63,8.51,2.81,9.57,26
NDC,60687075233,Dabigatran Etexilate Mesylate Cap 150 MG (Etexilate Base Eq),10.63,8.51,2.81,9.57,26
NDC,60687075609,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.44,1.16,0.38,1.3,26
NDC,60687076411,Icosapent Ethyl Cap 1 GM,4.34,3.48,1.15,3.91,26
NDC,60687076421,Icosapent Ethyl Cap 1 GM,4.34,3.48,1.15,3.91,26
NDC,60687076811,Glipizide Tab ER 24HR 2.5 MG,2.12,1.7,0.56,1.91,26
NDC,60687076821,Glipizide Tab ER 24HR 2.5 MG,2.12,1.7,0.56,1.91,26
NDC,60687077301,Dexamethasone Tab 2 MG,1.6,1.28,0.42,1.44,26
NDC,60687077311,Dexamethasone Tab 2 MG,1.6,1.28,0.42,1.44,26
NDC,60687077811,Mexiletine HCl Cap 150 MG,2.68,2.15,0.71,2.41,26
NDC,60687077821,Mexiletine HCl Cap 150 MG,2.68,2.15,0.71,2.41,26
NDC,60687078201,Bupropion HCl Tab ER 24HR 150 MG,2.41,1.93,0.64,2.17,26
NDC,60687078211,Bupropion HCl Tab ER 24HR 150 MG,2.41,1.93,0.64,2.17,26
NDC,60687078611,Roflumilast Tab 500 MCG,3.45,2.76,0.91,3.11,26
NDC,60687078621,Roflumilast Tab 500 MCG,3.45,2.76,0.91,3.11,26
NDC,60687078901,Pyrazinamide Tab 500 MG,6.38,5.11,1.69,5.74,26
NDC,60687078911,Pyrazinamide Tab 500 MG,6.38,5.11,1.69,5.74,26
NDC,60687079011,Abiraterone Acetate Tab 250 MG,5.56,4.45,1.47,5.0,26
NDC,60687079021,Abiraterone Acetate Tab 250 MG,5.56,4.45,1.47,5.0,26
NDC,60687079501,Tramadol HCl Tab 50 MG,1.13,0.91,0.3,1.02,26
NDC,60687079511,Tramadol HCl Tab 50 MG,1.13,0.91,0.3,1.02,26
NDC,60687080017,Nystatin Susp 100000 Unit/ML,2.27,1.82,0.6,2.04,26
NDC,60687080040,Nystatin Susp 100000 Unit/ML,2.27,1.82,0.6,2.04,26
NDC,60687080301,Amoxicillin & K Clavulanate Tab 875-125 MG,6.71,5.37,1.77,6.04,26
NDC,60687080311,Amoxicillin & K Clavulanate Tab 875-125 MG,6.71,5.37,1.77,6.04,26
NDC,60687080411,Baclofen Tab 5 MG,2.2,1.76,0.58,1.98,26
NDC,60687080465,Baclofen Tab 5 MG,2.2,1.76,0.58,1.98,26
NDC,60687080701,Chlordiazepoxide HCl Cap 25 MG,1.61,1.29,0.43,1.45,26
NDC,60687080711,Chlordiazepoxide HCl Cap 25 MG,1.61,1.29,0.43,1.45,26
NDC,60687081201,Buspirone HCl Tab 10 MG,1.13,0.91,0.3,1.02,26
NDC,60687081211,Buspirone HCl Tab 10 MG,1.13,0.91,0.3,1.02,26
NDC,60687081840,Methadone HCl Soln 5 MG/5ML,2.86,2.29,0.76,2.57,26
NDC,60687081886,Methadone HCl Soln 5 MG/5ML,2.86,2.29,0.76,2.57,26
NDC,60687082201,Hydralazine HCl Tab 25 MG,1.16,0.93,0.31,1.04,26
NDC,60687082211,Hydralazine HCl Tab 25 MG,1.16,0.93,0.31,1.04,26
NDC,60687083301,Hydralazine HCl Tab 50 MG,1.28,1.03,0.34,1.15,26
NDC,60687083311,Hydralazine HCl Tab 50 MG,1.28,1.03,0.34,1.15,26
NDC,60687083601,Carbidopa & Levodopa Tab 25-250 MG,1.28,1.03,0.34,1.15,26
NDC,60687083611,Carbidopa & Levodopa Tab 25-250 MG,1.28,1.03,0.34,1.15,26
NDC,60687083742,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),4.67,3.74,1.24,4.2,26
NDC,60687083801,Zolpidem Tartrate Tab 5 MG,1.12,0.9,0.3,1.01,26
NDC,60687083811,Zolpidem Tartrate Tab 5 MG,1.12,0.9,0.3,1.01,26
NDC,60687084724,Lacosamide Oral Solution 10 MG/ML,94.82,75.86,25.08,85.34,26
NDC,60687085311,Fenofibrate Tab 54 MG,2.41,1.93,0.64,2.17,26
NDC,60687085321,Fenofibrate Tab 54 MG,2.41,1.93,0.64,2.17,26
NDC,60687085811,Digoxin Tab 125 MCG (0.125 MG),1.99,1.6,0.53,1.79,26
NDC,60687086001,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.28,1.03,0.34,1.15,26
NDC,60687086011,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.28,1.03,0.34,1.15,26
NDC,60687087211,Clonazepam Tab 1 MG,1.55,1.24,0.41,1.4,26
NDC,60687087745,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,4.15,3.32,1.1,3.74,26
NDC,60687087776,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,4.15,3.32,1.1,3.74,26
NDC,60687088311,Prasugrel HCl Tab 10 MG (Base Equiv),2.7,2.16,0.71,2.43,26
NDC,60687088321,Prasugrel HCl Tab 10 MG (Base Equiv),2.7,2.16,0.71,2.43,26
NDC,60687089001,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,2.25,1.8,0.6,2.03,26
NDC,60687089011,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,2.25,1.8,0.6,2.03,26
NDC,60758077305,Ketorolac Tromethamine Ophth Soln 0.4%,77.15,61.72,20.41,69.44,26
NDC,60758080105,Timolol Maleate Ophth Soln 0.5%,29.68,23.75,7.85,26.71,26
NDC,60758080205,Timolol Maleate Ophth Soln 0.25%,27.56,22.05,7.29,24.8,26
NDC,60758088005,Fluorometholone Ophth Susp 0.1%,91.5,73.2,24.2,82.35,26
NDC,60758090810,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML,30.18,24.15,7.98,27.16,26
NDC,60793013101,Penicillin G Procaine Intramuscular Susp 600000 Unit/ML,228.56,182.85,39.4,205.7,34
NDC,60793013601,Metaxalone Tab 800 MG,8.95,7.16,2.37,8.06,26
NDC,60793021505,Thrombin For Soln 5000 Unit,88.8,71.04,23.49,79.92,26
NDC,60793021720,Thrombin For Soln 20000 Unit,231.08,184.87,61.12,207.97,26
NDC,60793021721,Thrombin For Soln Kit 20000 Unit,260.55,208.44,68.92,234.5,26
NDC,60793060002,Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML,505.49,404.4,15.74,454.94,34
NDC,60793060010,Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML,505.49,404.4,15.74,454.94,34
NDC,60793060110,Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML,505.49,404.4,15.74,454.94,34
NDC,60793070001,Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,473.99,379.2,20.16,426.59,34
NDC,60793070001,"Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML",473.99,379.2,20.16,426.59,34
NDC,60793070010,Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,473.99,379.2,20.16,426.59,34
NDC,60793070010,"Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML",473.99,379.2,20.16,426.59,34
NDC,60793070102,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML,470.55,376.44,20.16,423.5,34
NDC,60793070102,"Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML",470.55,376.44,20.16,423.5,34
NDC,60793070110,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML,470.55,376.44,20.16,423.5,34
NDC,60793070110,"Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML",470.55,376.44,20.16,423.5,34
NDC,60793085001,Levothyroxine Sodium Tab 25 MCG,1.22,0.98,0.32,1.1,26
NDC,60793085301,Levothyroxine Sodium Tab 88 MCG,1.85,1.48,0.49,1.67,26
NDC,60951071270,Oxycodone w/ Acetaminophen Tab 10-325 MG,1.4,1.12,0.37,1.26,26
NDC,60977014101,Pralidoxime Chloride For IV Soln 1 GM,470.05,376.04,1.0,423.05,26
NDC,60977014127,Pralidoxime Chloride For IV Soln 1 GM,470.05,376.04,1.0,423.05,26
NDC,61269022041,Clotrimazole Vaginal Cream 1%,5.5,4.4,1.45,4.95,26
NDC,61269022063,Clotrimazole Vaginal Cream 1%,5.5,4.4,1.45,4.95,26
NDC,61269073041,Miconazole Nitrate Vaginal Cream 2%,5.86,4.69,1.55,5.27,26
NDC,61269073607,Miconazole Nitrate Vaginal Suppos 100 MG,8.31,6.65,2.2,7.48,26
NDC,61269098937,Docosanol Cream 10%,13.39,10.72,3.54,12.05,26
NDC,61314001405,Diclofenac Sodium Ophth Soln 0.1%,34.83,27.87,9.21,31.35,26
NDC,61314001425,Diclofenac Sodium Ophth Soln 0.1%,27.98,22.39,7.4,25.18,26
NDC,61314001601,Proparacaine HCl Ophth Soln 0.5%,38.5,30.8,10.18,34.65,26
NDC,61314001910,Dorzolamide HCl Ophth Soln 2%,40.99,32.8,10.84,36.89,26
NDC,61314003002,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,71.75,57.4,18.98,64.58,26
NDC,61314004475,Trifluridine Ophth Soln 1%,145.45,116.36,38.47,130.91,26
NDC,61314012605,Ketorolac Tromethamine Ophth Soln 0.5%,50.76,40.61,13.43,45.68,26
NDC,61314014305,Brimonidine Tartrate Ophth Soln 0.2%,30.48,24.39,8.06,27.43,26
NDC,61314014310,Brimonidine Tartrate Ophth Soln 0.2%,34.01,27.21,9.0,30.61,26
NDC,61314020315,Pilocarpine HCl Ophth Soln 1%,26.22,20.98,6.94,23.6,26
NDC,61314020415,Pilocarpine HCl Ophth Soln 2%,88.38,70.71,23.38,79.54,26
NDC,61314020615,Pilocarpine HCl Ophth Soln 4%,27.75,22.2,7.34,24.98,26
NDC,61314022405,Timolol Maleate Ophth Gel Forming Soln 0.25%,172.31,137.85,45.58,155.08,26
NDC,61314022505,Timolol Maleate Ophth Gel Forming Soln 0.5%,133.93,107.15,35.42,120.54,26
NDC,61314022605,Timolol Maleate Ophth Soln 0.25%,26.22,20.98,6.94,23.6,26
NDC,61314022705,Timolol Maleate Ophth Soln 0.5%,28.38,22.71,7.51,25.54,26
NDC,61314023710,Cromolyn Sodium Ophth Soln 4%,29.15,23.32,7.71,26.24,26
NDC,61314024501,Betaxolol HCl Ophth Soln 0.5%,48.07,38.46,12.71,43.26,26
NDC,61314031801,Filgrastim-sndz Soln Prefilled Syringe 300 MCG/0.5ML,692.85,554.28,0.17,623.57,34
NDC,61314032601,Filgrastim-sndz Soln Prefilled Syringe 480 MCG/0.8ML,869.04,695.24,0.17,782.14,34
NDC,61314035401,Tropicamide Ophth Soln 0.5%,45.7,36.56,12.09,41.13,26
NDC,61314035501,Tropicamide Ophth Soln 1%,2.93,2.35,0.77,2.64,26
NDC,61314035502,Tropicamide Ophth Soln 1%,54.7,43.76,14.47,49.23,26
NDC,61314039601,Cyclopentolate HCl Ophth Soln 1%,12.18,9.75,3.22,10.96,26
NDC,61314039603,Cyclopentolate HCl Ophth Soln 1%,41.08,32.87,10.87,36.97,26
NDC,61314054701,Latanoprost Ophth Soln 0.005%,31.15,24.92,8.24,28.04,26
NDC,61314062810,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%,30.26,24.21,8.0,27.23,26
NDC,61314063136,Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1%,37.67,30.14,9.96,33.9,26
NDC,61314063305,Gentamicin Sulfate Ophth Soln 0.3%,29.07,23.26,7.69,26.16,26
NDC,61314063705,Prednisolone Acetate Ophth Susp 1%,52.69,42.16,13.94,47.42,52
NDC,61314063710,Prednisolone Acetate Ophth Susp 1%,68.43,54.75,18.1,61.59,52
NDC,61314064175,Neomycin-Polymyxin-HC Ophth Susp,120.48,96.39,31.87,108.43,26
NDC,61314064705,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,68.2,54.56,18.04,61.38,26
NDC,61314065605,Ciprofloxacin HCl Ophth Soln 0.3%,36.22,28.98,9.58,32.6,26
NDC,61314065605,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),36.22,28.98,9.58,32.6,26
NDC,61314067225,Gatifloxacin Ophth Soln 0.5%,61.96,49.57,16.39,55.76,26
NDC,61314086601,Pegfilgrastim-bmez Soln Prefilled Syringe 6 MG/0.6ML,7249.82,5799.86,27.35,6524.84,34
NDC,61442012101,Famotidine Tab 20 MG,1.06,0.85,0.28,0.95,26
NDC,61442012110,Famotidine Tab 20 MG,1.03,0.83,0.27,0.93,26
NDC,61570011001,Ramipril Cap 1.25 MG,2.28,1.83,0.6,2.05,26
NDC,61570012001,Ramipril Cap 10 MG,6.72,5.38,1.78,6.05,26
NDC,61570013140,Silver Sulfadiazine Cream 1%,80.2,64.16,21.21,72.18,26
NDC,61570013150,Silver Sulfadiazine Cream 1%,33.25,26.6,8.79,29.93,26
NDC,61570013155,Silver Sulfadiazine Cream 1%,35.35,28.28,9.35,31.82,26
NDC,61703015005,Carboplatin IV Soln 150 MG/15ML,280.87,224.7,1.0,252.78,26
NDC,61703026205,Carboplatin IV Soln 450 MG/45ML,309.69,247.76,1.0,278.72,26
NDC,61703030538,Cytarabine Inj PF 20 MG/ML,265.09,212.08,1.0,238.58,26
NDC,61703030558,Cytarabine Inj PF 20 MG/ML,265.09,212.08,1.0,238.58,26
NDC,61703030906,Vincristine Sulfate IV Soln 1 MG/ML,267.61,214.09,1.0,240.85,26
NDC,61703030916,Vincristine Sulfate IV Soln 1 MG/ML,267.94,214.36,1.0,241.15,26
NDC,61703030926,Vincristine Sulfate IV Soln 1 MG/ML,266.45,213.16,1.0,239.81,26
NDC,61703031922,Cytarabine Inj PF 100 MG/ML,292.42,233.94,1.0,263.18,26
NDC,61703032418,Pamidronate Disodium IV Soln 3 MG/ML,399.3,319.44,1.0,359.37,26
NDC,61703032518,Pamidronate Disodium IV Soln 6 MG/ML,412.24,329.8,1.0,371.02,26
NDC,61703032618,Pamidronate Disodium IV Soln 9 MG/ML,418.7,334.96,1.0,376.83,26
NDC,61703033218,Bleomycin Sulfate For Inj 15 Unit,355.11,284.09,1.0,319.6,26
NDC,61703033218,"Bleomycin Sulfate For Inj 15 Unit,Bleomycin Sulfate For Inj 30 unit",355.11,284.09,1.0,319.6,26
NDC,61703033918,Carboplatin IV Soln 50 MG/5ML,292.0,233.6,1.0,262.8,26
NDC,61703033922,Carboplatin IV Soln 150 MG/15ML,300.3,240.24,1.0,270.27,26
NDC,61703033950,Carboplatin IV Soln 450 MG/45ML,353.32,282.66,1.0,317.99,26
NDC,61703033956,Carboplatin IV Soln 600 MG/60ML,335.26,268.21,1.0,301.73,26
NDC,61703034209,Paclitaxel IV Conc 30 MG/5ML (6 MG/ML),277.65,222.12,1.0,249.89,26
NDC,61703034250,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),407.5,326.0,1.0,366.75,26
NDC,61703034318,Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML),843.5,674.8,22.68,759.15,34
NDC,61703034365,Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML),932.94,746.36,22.68,839.65,34
NDC,61703034916,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),285.32,228.26,1.0,256.79,26
NDC,61703035038,Methotrexate Sodium Inj 50 MG/2ML (25 MG/ML),265.59,212.48,1.0,239.03,26
NDC,61703036318,Oxaliplatin IV Soln 50 MG/10ML,413.73,330.99,1.0,372.36,26
NDC,61703036322,Oxaliplatin IV Soln 100 MG/20ML,397.35,317.88,1.0,357.62,26
NDC,61703040841,"Methotrexate Sodium Inj PF 100 MG/4ML (25 MG/ML),Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),Methotrexate Sodium Inj PF 250 MG/10ML (25 MG/ML),Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),Me",364.94,291.96,1.0,328.45,26
NDC,61703040841,Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),364.94,291.96,1.0,328.45,26
NDC,61748001830,Rifampin Cap 300 MG,1.7,1.36,0.45,1.53,26
NDC,61748001860,Rifampin Cap 300 MG,1.44,1.16,0.38,1.3,26
NDC,61874011511,Cariprazine HCl Cap 1.5 MG (Base Equivalent),38.4,30.72,10.16,34.56,26
NDC,61874011520,Cariprazine HCl Cap 1.5 MG (Base Equivalent),38.4,30.72,10.16,34.56,26
NDC,61874011530,Cariprazine HCl Cap 1.5 MG (Base Equivalent),38.44,30.76,10.17,34.6,26
NDC,61958040101,Tenofovir Disoproxil Fumarate Tab 300 MG,18.83,15.07,4.98,16.95,26
NDC,61958090101,Aztreonam Lysine For Inhal Soln 75 MG (Base Equivalent),53.7,42.96,14.2,48.33,26
NDC,61958250101,Bictegravir-Emtricitabine-Tenofovir AF Tab 50-200-25 MG,124.35,99.48,32.89,111.92,26
NDC,61958290101,Remdesivir for IV Soln 100 MG,1100.0,880.0,5.63,990.0,34
NDC,61958290102,Remdesivir for IV Soln 100 MG,1100.0,880.0,5.63,990.0,34
NDC,61958290201,Remdesivir IV Soln 100 MG/20ML (5 MG/ML),1100.0,880.0,5.63,990.0,34
NDC,62037059890,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.27,1.02,0.34,1.14,26
NDC,62135019122,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.65,1.32,0.03,1.49,52
NDC,62135030801,Ciprofloxacin HCl Tab 250 MG (Base Equiv),3.73,2.99,0.99,3.36,26
NDC,62135030901,Ciprofloxacin HCl Tab 500 MG (Base Equiv),4.2,3.36,1.11,3.78,26
NDC,62135030920,Ciprofloxacin HCl Tab 500 MG (Base Equiv),4.2,3.36,1.11,3.78,26
NDC,62135096001,Sulfasalazine Tab 500 MG,1.93,1.55,0.51,1.74,26
NDC,62175011437,Omeprazole Cap Delayed Release 10 MG,1.25,1.0,0.33,1.13,26
NDC,62175013637,Omeprazole Cap Delayed Release 40 MG,1.24,1.0,0.33,1.12,26
NDC,62175030232,Rabeprazole Sodium EC Tab 20 MG,2.99,2.4,0.79,2.69,26
NDC,62175047032,Paroxetine HCl Tab ER 24HR 12.5 MG,2.43,1.95,0.64,2.19,26
NDC,62175048537,Verapamil HCl Cap ER 24HR 100 MG,2.47,1.98,0.65,2.22,26
NDC,62205000020,Digestive Enzyme Cartridge - Device,129.62,103.7,34.28,131.19,26
NDC,62205000021,Digestive Enzyme Cartridge - Device,129.62,103.7,34.28,131.19,26
NDC,62327033303,Talc Intrapleural Powder 3 GM,192.0,153.6,50.78,172.8,26
NDC,62327033343,Talc Intrapleural Powder 3 GM,192.0,153.6,50.78,172.8,26
NDC,62332000131,Famotidine Tab 20 MG,1.19,0.96,0.31,1.07,26
NDC,62332000191,Famotidine Tab 20 MG,1.19,0.96,0.31,1.07,26
NDC,62332002531,Theophylline Tab ER 12HR 300 MG,2.2,1.76,0.58,1.98,26
NDC,62332002790,Losartan Potassium Tab 25 MG,1.39,1.12,0.37,1.25,26
NDC,62332003231,Ropinirole Hydrochloride Tab 1 MG,1.28,1.03,0.34,1.15,26
NDC,62332004290,Irbesartan Tab 150 MG,1.34,1.08,0.35,1.21,26
NDC,62332005431,Clonidine HCl Tab 0.1 MG,1.04,0.84,0.28,0.94,26
NDC,62332010730,Ropinirole Hydrochloride Tab ER 24HR 2 MG (Base Equivalent),1.59,1.28,0.42,1.43,26
NDC,62332011030,Ropinirole Hydrochloride Tab ER 24HR 8 MG (Base Equivalent),2.88,2.31,0.76,2.59,26
NDC,62332011231,Metoprolol Tartrate Tab 25 MG,1.02,0.82,0.27,0.92,26
NDC,62332011431,Metoprolol Tartrate Tab 100 MG,1.03,0.83,0.27,0.93,26
NDC,62332017160,Lacosamide Tab 50 MG,1.27,1.02,0.34,1.14,26
NDC,62332023330,Vilazodone HCl Tab 20 MG,2.11,1.69,0.56,1.9,26
NDC,62332034390,Candesartan Cilexetil Tab 16 MG,1.74,1.4,0.46,1.57,26
NDC,62332037931,Temazepam Cap 7.5 MG,3.63,2.91,0.96,3.27,26
NDC,62332038530,Modafinil Tab 100 MG,1.57,1.26,0.42,1.41,26
NDC,62332038590,Modafinil Tab 100 MG,1.41,1.13,0.37,1.27,26
NDC,62332039031,Nitrofurantoin Macrocrystalline Cap 50 MG,1.2,0.96,0.32,1.08,26
NDC,62332042631,Benzonatate Cap 100 MG,1.1,0.88,0.29,0.99,26
NDC,62332050817,Bromfenac Sodium Ophth Soln 0.09% (Base Equiv) (Once-Daily),182.12,145.7,48.17,163.91,26
NDC,62332051805,Tobramycin Ophth Soln 0.3%,33.37,26.7,8.83,30.03,26
NDC,62332054505,Timolol Maleate Ophth Gel Forming Soln 0.25%,203.63,162.91,53.86,183.27,26
NDC,62332054605,Timolol Maleate Ophth Gel Forming Soln 0.5%,186.17,148.94,49.24,167.55,26
NDC,62332058204,Lidocaine-Prilocaine Cream 2.5-2.5%,8.68,6.95,1.0,7.81,26
NDC,62332061831,Cyclophosphamide Cap 25 MG,2.56,2.05,0.68,2.3,26
NDC,62332061931,Cyclophosphamide Cap 50 MG,3.71,2.97,0.98,3.34,26
NDC,62332065501,Formoterol Fumarate Soln Nebu 20 MCG/2ML,12.22,9.78,3.23,11.0,26
NDC,62332065560,Formoterol Fumarate Soln Nebu 20 MCG/2ML,12.22,9.78,3.23,11.0,26
NDC,62332069002,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),392.71,314.17,1.0,353.44,26
NDC,62332069030,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),392.71,314.17,1.0,353.44,26
NDC,62372063030,Simethicone Susp 40 MG/0.6ML,1.28,1.03,0.34,1.15,26
NDC,62484002001,Mercaptopurine Susp 2000 MG/100ML (20 MG/ML),48.77,39.02,12.9,43.89,26
NDC,62484002002,Mercaptopurine Susp 2000 MG/100ML (20 MG/ML),48.77,39.02,12.9,43.89,26
NDC,62530000011,Urea Packet 15 GM,5.04,4.04,1.33,4.54,26
NDC,62559011111,Hydrocortisone Enema 100 MG/60ML,37.42,29.94,9.9,33.68,26
NDC,62559013807,Hydrocortisone Enema 100 MG/60ML,30.88,24.71,8.17,27.79,26
NDC,62559013811,Hydrocortisone Enema 100 MG/60ML,30.88,24.71,8.17,27.79,26
NDC,62559015304,Opium Tincture 1% (10 MG/ML) (Morphine Equiv),27.45,21.96,7.26,24.71,26
NDC,62559015717,Polyethylene Glycol 3350 Oral Packet 17 GM,2.5,2.0,0.66,2.25,26
NDC,62559015730,Polyethylene Glycol 3350 Oral Packet 17 GM,75.0,60.0,19.84,67.5,26
NDC,62559015901,Fluvoxamine Maleate Tab 50 MG,1.18,0.95,0.31,1.06,26
NDC,62559019016,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),39.66,31.73,10.49,35.69,26
NDC,62559021052,Nimodipine Cap 30 MG,4.67,3.74,1.24,4.2,26
NDC,62559021081,Nimodipine Cap 30 MG,2.88,2.31,0.76,2.59,26
NDC,62559023001,Propafenone HCl Tab 150 MG,1.25,1.0,0.33,1.13,26
NDC,62559026616,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),25.16,20.13,6.65,22.64,26
NDC,62559027630,Nebivolol HCl Tab 5 MG (Base Equivalent),1.39,1.12,0.37,1.25,26
NDC,62559039020,Vancomycin HCl Cap 125 MG (Base Equivalent),3.33,2.67,0.88,3.0,26
NDC,62559042401,Hyoscyamine Sulfate SL Tab 0.125 MG,1.15,0.92,0.3,1.04,26
NDC,62559043001,Hydrocortisone Perianal Cream 1%,39.74,31.8,10.51,35.77,26
NDC,62559051001,Indapamide Tab 1.25 MG,1.12,0.9,0.3,1.01,26
NDC,62559056001,Pindolol Tab 5 MG,1.65,1.32,0.44,1.49,26
NDC,62559063101,Erythromycin Ethylsuccinate For Susp 400 MG/5ML,45.95,36.76,12.15,41.36,26
NDC,62559073001,Felbamate Tab 400 MG,1.88,1.51,0.5,1.69,26
NDC,62559074101,Thyroid Tab 30 MG (1/2 Grain),1.58,1.27,0.42,1.42,26
NDC,62559074201,Thyroid Tab 60 MG (1 Grain),1.64,1.32,0.43,1.48,26
NDC,62559083003,Vancomycin HCl For Oral Soln 50 MG/ML (Base Equivalent),29.31,23.45,7.75,26.38,26
NDC,62584015901,Demeclocycline HCl Tab 150 MG,4.93,3.95,1.3,4.44,26
NDC,62584023501,Cephalexin Cap 250 MG,1.07,0.86,0.28,0.96,26
NDC,62584023601,Cephalexin Cap 500 MG,1.13,0.91,0.3,1.02,26
NDC,62584026501,Metoprolol Tartrate Tab 25 MG,1.08,0.87,0.29,0.97,26
NDC,62584026511,Metoprolol Tartrate Tab 25 MG,1.08,0.87,0.29,0.97,26
NDC,62584026601,Metoprolol Tartrate Tab 50 MG,1.05,0.84,0.28,0.95,26
NDC,62584069311,Doxycycline Hyclate Tab 100 MG,3.34,2.68,0.88,3.01,26
NDC,62584069321,Doxycycline Hyclate Tab 100 MG,3.34,2.68,0.88,3.01,26
NDC,62584089701,Folic Acid Tab 1 MG,1.06,0.85,0.28,0.95,26
NDC,62584098411,Warfarin Sodium Tab 2 MG,1.25,1.0,0.33,1.13,26
NDC,62756005940,Epoprostenol Sodium For Inj 0.5 MG,407.43,325.95,1.0,366.69,26
NDC,62756012940,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.38,313.11,103.52,352.24,26
NDC,62756012944,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.38,313.11,103.52,352.24,26
NDC,62756014201,Metformin HCl Tab ER 24HR 500 MG,1.08,0.87,0.29,0.97,26
NDC,62756014202,Metformin HCl Tab ER 24HR 500 MG,1.03,0.83,0.27,0.93,26
NDC,62756016088,Tamsulosin HCl Cap 0.4 MG,1.23,0.99,0.33,1.11,26
NDC,62756022483,Tiagabine HCl Tab 4 MG,6.36,5.09,1.68,5.72,26
NDC,62756023290,Loteprednol Etabonate Ophth Susp 0.5%,199.43,159.55,52.75,179.49,52
NDC,62756024064,Ondansetron Orally Disintegrating Tab 4 MG,2.0,1.6,0.67,21.06,26
NDC,62756030101,Phenobarbital Sodium For IV Soln 100 MG,549.04,439.24,1.0,494.14,34
NDC,62756042790,Ciprofloxacin-Dexamethasone Otic Susp 0.3-0.1%,233.22,186.58,61.69,209.9,26
NDC,62756043088,Lithium Carbonate Tab 300 MG,1.15,0.92,0.3,1.04,26
NDC,62756051240,Azithromycin IV For Soln 500 MG,391.52,313.22,1.0,352.37,26
NDC,62756051244,Azithromycin IV For Soln 500 MG,391.52,313.22,1.0,352.37,26
NDC,62756051788,Carbidopa & Levodopa Tab 10-100 MG,1.11,0.89,0.29,1.0,26
NDC,62756051813,Carbidopa & Levodopa Tab 25-100 MG,1.26,1.01,0.33,1.13,26
NDC,62756052169,Sumatriptan Succinate Tab 50 MG,2.61,2.09,0.69,2.35,26
NDC,62756058988,Liothyronine Sodium Tab 5 MCG,1.31,1.05,0.35,1.18,26
NDC,62756059088,Liothyronine Sodium Tab 25 MCG,1.61,1.29,0.43,1.45,26
NDC,62756070786,Topiramate Tab 25 MG,1.09,0.88,0.29,0.98,26
NDC,62756071186,Topiramate Tab 100 MG,1.11,0.89,0.29,1.0,26
NDC,62756079688,Divalproex Sodium Tab Delayed Release 125 MG,1.05,0.84,0.28,0.95,26
NDC,62756079813,Divalproex Sodium Tab Delayed Release 500 MG,1.11,0.89,0.29,1.0,26
NDC,62756079888,Divalproex Sodium Tab Delayed Release 500 MG,1.1,0.88,0.29,0.99,26
NDC,62847000101,Telavancin HCl For IV Soln 750 MG (Base Equivalent),1499.25,1199.4,6.76,1349.33,34
NDC,62856024730,Donepezil Hydrochloride Tab 23 MG,8.06,6.45,2.13,7.25,26
NDC,62856038901,Eribulin Mesylate Inj 1 MG/2ML (0.5 MG/ML),3925.0,3140.0,84.88,3532.5,34
NDC,62856058252,Rufinamide Tab 200 MG,8.02,6.42,2.12,7.22,26
NDC,62856058446,Rufinamide Susp 40 MG/ML,1658.92,1327.14,438.78,1493.03,26
NDC,62935022305,Leuprolide Acetate (3 Month) For Subcutaneous Inj Kit 22.5MG,576.0,460.8,166.69,518.4,34
NDC,62935045345,Leuprolide Acetate (6 Month) For Subcutaneous Inj Kit 45 MG,2935.13,2348.11,166.69,2641.62,34
NDC,62942010102,Sulfuric Acid-Sulfonated Phenolics Soln 30-50%,4.92,3.94,1.3,4.43,26
NDC,62942010112,Sulfuric Acid-Sulfonated Phenolics Soln 30-50%,4.92,3.94,1.3,4.43,26
NDC,62991101302,Baclofen Powder,1279.75,1023.8,1.0,1151.78,52
NDC,62991168501,Metronidazole (Bulk) Powder,406.0,324.8,107.39,365.4,26
NDC,62991275301,Citrulline (Bulk) Powder,61.0,48.8,16.13,54.9,26
NDC,62991285601,Levodopa Powder,50.0,40.0,13.23,45.0,26
NDC,63020004901,Bortezomib For Inj 3.5 MG,5860.5,4688.4,2.29,5274.45,26
NDC,63020004901,"Bortezomib For Inj 3.5 MG,Bortezomib For IV Inj 3.5 MG",5860.5,4688.4,2.29,5274.45,26
NDC,6302500,Bezlotoxumab IV Soln 1000 MG/40ML (25 MG/ML),13449.86,10759.89,37.83,12104.87,34
NDC,6302501,Bezlotoxumab IV Soln 1000 MG/40ML (25 MG/ML),13449.86,10759.89,37.83,12104.87,34
NDC,6302602,Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML),16767.9,13414.32,56.41,15091.11,34
NDC,6306100,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),1237.66,990.13,1.0,1113.89,26
NDC,63256010030,Talc Intrapleural Aerosol Powder 4 GM (0.4 GM/SECOND),151.0,120.8,39.94,135.9,26
NDC,63304024001,Calcitriol Cap 0.5 MCG,2.41,1.93,0.64,2.17,26
NDC,63304024159,Calcitriol Oral Soln 1 MCG/ML,27.56,22.05,7.29,24.8,26
NDC,63304069201,Clindamycin HCl Cap 150 MG,1.08,0.87,0.29,0.97,26
NDC,63304069205,Clindamycin HCl Cap 150 MG,1.12,0.9,0.3,1.01,26
NDC,63304071990,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.36,1.09,0.36,1.22,26
NDC,63304084505,Metoclopramide HCl Tab 5 MG (Base Equivalent),1.04,0.84,0.28,0.94,26
NDC,63304090090,Fenofibrate Tab 54 MG,1.6,1.28,0.42,1.44,26
NDC,63323001001,Gentamicin Sulfate Inj 40 MG/ML,391.99,313.6,1.0,352.79,26
NDC,63323001002,Gentamicin Sulfate Inj 40 MG/ML,391.99,313.6,1.0,352.79,26
NDC,63323001003,Gentamicin Sulfate Inj 40 MG/ML,409.06,327.25,1.0,368.15,26
NDC,63323001020,Gentamicin Sulfate Inj 40 MG/ML,409.06,327.25,1.0,368.15,26
NDC,63323001041,Gentamicin Sulfate Inj 40 MG/ML,392.28,313.83,1.0,353.05,26
NDC,63323001042,Gentamicin Sulfate Inj 40 MG/ML,411.28,329.03,1.0,370.15,26
NDC,63323001094,Gentamicin Sulfate Inj 40 MG/ML,392.28,313.83,1.0,353.05,26
NDC,63323001095,Gentamicin Sulfate Inj 40 MG/ML,411.28,329.03,1.0,370.15,26
NDC,63323001115,Chloramphenicol Sodium Succinate For IV Inj 1 GM,403.24,322.6,1.0,362.92,26
NDC,63323001203,Oxytocin Inj 10 Unit/ML,389.9,311.92,1.0,350.91,26
NDC,63323001207,Oxytocin Inj 10 Unit/ML,389.9,311.92,1.0,350.91,26
NDC,63323001211,Oxytocin Inj 10 Unit/ML,389.9,311.92,1.0,350.91,26
NDC,63323001217,Oxytocin Inj 10 Unit/ML,389.9,311.92,1.0,350.91,26
NDC,63323001301,Thiamine HCl Inj 100 MG/ML,391.18,312.95,1.0,352.06,26
NDC,63323001302,Thiamine HCl Inj 100 MG/ML,391.18,312.95,1.0,352.06,26
NDC,63323001309,Thiamine HCl Inj 100 MG/ML,391.18,312.95,1.0,352.06,26
NDC,63323001321,Thiamine HCl Inj 100 MG/ML,391.18,312.95,1.0,352.06,26
NDC,63323001326,Thiamine HCl Inj 100 MG/ML,391.82,313.46,1.0,352.64,26
NDC,63323002401,Mannitol IV Soln 25%,393.95,315.16,1.0,354.56,26
NDC,63323002425,Mannitol IV Soln 25%,393.95,315.16,1.0,354.56,26
NDC,63323003011,Chorionic Gonadotropin For IM Inj 10000 Unit,903.62,722.9,1.0,813.26,26
NDC,63323004400,Cyanocobalamin Inj 1000 MCG/ML,391.14,312.92,1.0,352.03,26
NDC,63323004401,Cyanocobalamin Inj 1000 MCG/ML,391.14,312.92,1.0,352.03,26
NDC,63323006401,Magnesium Sulfate Inj 50%,195.01,156.01,1.0,175.51,26
NDC,63323006403,Magnesium Sulfate Inj 50%,195.01,156.01,1.0,175.51,26
NDC,63323006404,Magnesium Sulfate Inj 50%,214.835,171.87,1.0,351.55,52
NDC,63323006411,Magnesium Sulfate Inj 50%,39.06,31.25,1.0,35.15,26
NDC,63323006421,Magnesium Sulfate Inj 50%,195.03,156.03,1.0,175.53,26
NDC,63323006423,Magnesium Sulfate Inj 50%,195.03,156.03,1.0,175.53,26
NDC,63323008861,Sodium Chloride IV Soln 4 mEq/ML (23.4%),396.8,317.44,1.0,357.12,26
NDC,63323008861,Sodium Chloride Inj 4 mEq/ML (23.4%),391.34,313.08,103.51,352.21,26
NDC,63323008863,Sodium Chloride IV Soln 4 mEq/ML (23.4%),401.0,320.8,1.0,360.9,26
NDC,63323008863,Sodium Chloride Inj 4 mEq/ML (23.4%),390.8,312.64,103.37,351.72,26
NDC,63323008950,Sodium Bicarbonate IV Soln 8.4%,407.65,326.12,1.0,366.89,26
NDC,63323009004,Sodium Chloride Inj 2.5 mEq/ML (14.6%),392.12,313.7,103.72,352.91,26
NDC,63323009020,Sodium Chloride Inj 2.5 mEq/ML (14.6%),392.2,313.76,103.74,352.98,26
NDC,63323009301,Sodium Chloride IV Soln 4 mEq/ML (23.4%),394.43,315.55,1.0,354.99,26
NDC,63323009301,Sodium Chloride Inj 4 mEq/ML (23.4%),394.43,315.55,104.33,354.99,26
NDC,63323009502,Sodium Chloride IV Soln 4 mEq/ML (23.4%),401.5,321.2,1.0,361.35,26
NDC,63323009502,Sodium Chloride Inj 4 mEq/ML (23.4%),397.125,317.7,103.88,361.35,52
NDC,63323010213,Gemcitabine HCl For Inj 200 MG,289.24,231.4,1.0,260.32,26
NDC,63323010351,Cisplatin Inj 50 MG/50ML (1 MG/ML),282.2,225.76,1.0,253.98,26
NDC,63323010365,Cisplatin Inj 100 MG/100ML (1 MG/ML),310.55,248.44,1.0,279.5,26
NDC,63323010401,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",290.41,232.33,1.0,261.37,26
NDC,63323010600,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),394.3,315.44,1.0,354.87,26
NDC,63323010601,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),394.3,315.44,1.0,354.87,26
NDC,63323010602,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),392.8,314.24,1.0,353.52,26
NDC,63323010605,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),392.8,314.24,1.0,353.52,26
NDC,63323010615,Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),393.5,314.8,1.0,354.15,26
NDC,63323010800,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,391.1,312.88,1.0,351.99,26
NDC,63323011301,Pentamidine Isethionate For Inj Soln 300 MG,434.41,347.53,99.65,390.97,26
NDC,63323011310,Pentamidine Isethionate For Inj Soln 300 MG,434.41,347.53,99.65,390.97,26
NDC,63323011310,Pentamidine Isethionate For Soln 300 MG,434.41,347.53,99.65,390.97,26
NDC,63323011700,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),256.23,204.99,1.0,230.61,26
NDC,63323011701,Fluorouracil IV Soln 1 GM/20ML (50 MG/ML),262.11,209.69,1.0,235.9,26
NDC,63323011710,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),256.23,204.99,1.0,230.61,26
NDC,63323011720,Fluorouracil IV Soln 1 GM/20ML (50 MG/ML),262.11,209.69,1.0,235.9,26
NDC,63323011751,Fluorouracil IV Soln 2.5 GM/50ML (50 MG/ML),280.98,224.79,1.0,252.88,26
NDC,63323011761,Fluorouracil IV Soln 5 GM/100ML (50 MG/ML),311.95,249.56,1.0,280.76,26
NDC,63323012020,Cytarabine Inj PF 100 MG/ML,298.93,239.15,1.0,269.04,26
NDC,63323012800,Dacarbazine For Inj 200 MG,269.31,215.45,1.0,242.38,26
NDC,63323012820,Dacarbazine For Inj 200 MG,269.31,215.45,1.0,242.38,26
NDC,63323013002,Doxycycline Hyclate For Inj 100 MG,407.73,326.19,1.0,366.96,52
NDC,63323013011,Doxycycline Hyclate For Inj 100 MG,407.73,326.19,1.0,366.96,52
NDC,63323013013,Doxycycline Hyclate For Inj 100 MG,406.3,325.04,1.0,365.67,52
NDC,63323013017,Doxycycline Hyclate For Inj 100 MG,406.31,325.05,1.0,365.68,52
NDC,63323013210,Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML),659.96,527.97,22.68,593.96,34
NDC,63323013212,Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML),762.58,610.07,22.68,686.32,34
NDC,63323013610,Bleomycin Sulfate For Inj 15 Unit,308.21,246.57,1.0,277.39,26
NDC,63323013610,"Bleomycin Sulfate For Inj 15 Unit,Bleomycin Sulfate For Inj 30 unit",308.21,246.57,1.0,277.39,26
NDC,63323014010,Cladribine IV Soln 10 MG/10ML (1 MG/ML),885.08,708.07,10.14,796.57,34
NDC,63323014210,Ifosfamide For Inj 1 GM,335.09,268.08,1.0,301.58,26
NDC,63323014212,Ifosfamide For Inj 1 GM,335.09,268.08,1.0,301.58,26
NDC,63323016100,Ketorolac Tromethamine Inj 15 MG/ML,389.61,311.69,0.29,350.65,34
NDC,63323016101,Ketorolac Tromethamine Inj 15 MG/ML,389.61,311.69,0.29,350.65,34
NDC,63323016112,Ketorolac Tromethamine Inj 15 MG/ML,389.68,311.75,0.29,350.71,34
NDC,63323016200,Ketorolac Tromethamine Inj 30 MG/ML,389.75,311.8,0.29,350.78,34
NDC,63323016201,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",389.75,311.8,0.29,350.78,34
NDC,63323016201,Ketorolac Tromethamine Inj 30 MG/ML,389.75,311.8,0.29,350.78,34
NDC,63323016202,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),389.91,311.93,0.29,350.92,34
NDC,63323016202,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",389.91,311.93,0.29,350.92,34
NDC,63323016203,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),389.9,311.92,0.29,350.91,34
NDC,63323016212,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",389.76,311.81,0.29,350.78,34
NDC,63323016214,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),389.91,311.93,0.29,350.92,34
NDC,63323016214,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",389.91,311.93,0.29,350.92,34
NDC,63323016225,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),389.91,311.93,0.29,350.92,34
NDC,63323016501,Dexamethasone Sodium Phosphate Inj 4 MG/ML,391.66,313.33,1.0,352.49,26
NDC,63323016502,Dexamethasone Sodium Phosphate Inj 4 MG/ML,391.66,313.33,1.0,352.49,26
NDC,63323016503,Dexamethasone Sodium Phosphate Inj 20 MG/5ML,389.14,311.32,1.0,350.23,26
NDC,63323017005,Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),396.72,317.38,104.93,357.05,26
NDC,63323017301,Gentamicin Sulfate Inj 10 MG/ML,390.66,312.53,1.0,351.59,26
NDC,63323017302,Gentamicin Sulfate Inj 10 MG/ML,390.66,312.53,1.0,351.59,26
NDC,63323018000,Pyridoxine HCl Inj 100 MG/ML,394.44,315.56,1.0,355.0,26
NDC,63323018001,Pyridoxine HCl Inj 100 MG/ML,10058.295,8046.639999999999,1.0,17749.94,52
NDC,63323018410,Folic Acid Inj 5 MG/ML,395.845,316.68,102.92,362.32,52
NDC,63323019202,Fludarabine Phosphate Inj 25 MG/ML,413.24,330.6,64.79,500.46,34
NDC,63323020102,Lidocaine HCl Local Inj 1%,38.63,30.91,10.22,34.77,26
NDC,63323020103,Lidocaine HCl Local Inj 1%,389.1,311.28,102.92,350.19,26
NDC,63323020110,Lidocaine HCl Local Inj 1%,389.1,311.28,102.92,350.19,26
NDC,63323020500,"Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML",468.5,374.8,15.11,421.65,34
NDC,63323020521,"Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML",436.15,348.92,15.11,392.54,34
NDC,63323020531,"Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML",468.5,374.8,15.11,421.65,34
NDC,63323020550,"Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML",436.15,348.92,15.11,392.54,34
NDC,63323020805,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",390.44,312.36,1.0,351.4,26
NDC,63323022110,"Vancomycin HCl For Inj 500 MG,Vancomycin HCl For IV Soln 500 MG (Base Equivalent)",395.54,316.44,104.62,355.99,26
NDC,63323022901,Protamine Sulfate Inj 10 MG/ML,237.04,189.64,1.0,213.34,26
NDC,63323022905,Protamine Sulfate Inj 10 MG/ML,238.68,190.95,1.0,214.81,26
NDC,63323022915,Protamine Sulfate Inj 10 MG/ML,238.68,190.95,1.0,214.81,26
NDC,63323022930,Protamine Sulfate Inj 10 MG/ML,49.85,39.88,1.0,44.87,26
NDC,63323022941,Protamine Sulfate Inj 10 MG/ML,238.68,190.95,1.0,214.81,26
NDC,63323025410,Mineral Oil Light (Bulk),28.83,23.07,7.63,25.95,52
NDC,63323026001,Mepivacaine HCl Preservative Free (PF) Inj 1%,394.64,315.72,1.0,355.18,26
NDC,63323026037,Mepivacaine HCl Preservative Free (PF) Inj 1%,394.64,315.72,1.0,355.18,26
NDC,63323026110,Progesterone IM in Oil 50 MG/ML,392.36,313.89,103.78,353.12,26
NDC,63323026203,Heparin Sodium (Porcine) Inj 5000 Unit/ML,390.25,312.2,1.0,351.23,26
NDC,63323026206,Heparin Sodium (Porcine) Inj 5000 Unit/ML,390.25,312.2,1.0,351.23,26
NDC,63323026530,Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv),421.02,336.82,0.2,378.92,34
NDC,63323026922,Propofol IV Emul 200 MG/20ML (10 MG/ML),389.0,311.2,1.0,350.1,26
NDC,63323026929,Propofol IV Emul 200 MG/20ML (10 MG/ML),389.0,311.2,1.0,350.1,26
NDC,63323026929,"Propofol IV Emul 200 MG/20ML (10 MG/ML),,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",391.08,312.87,1.0,351.97,26
NDC,63323026935,Propofol IV Emul 1000 MG/100ML (10 MG/ML),398.3,318.64,1.0,358.47,26
NDC,63323026937,Propofol IV Emul 200 MG/20ML (10 MG/ML),389.0,311.2,1.0,350.1,26
NDC,63323026937,"Propofol IV Emul 200 MG/20ML (10 MG/ML),,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",391.08,312.87,1.0,351.97,26
NDC,63323026950,"Propofol IV Emul 10 MG/ML,Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 1000 MG/100ML (10 MG/ML)",389.1,311.28,1.0,350.19,26
NDC,63323026950,Propofol IV Emul 500 MG/50ML (10 MG/ML),394.2,315.36,1.0,354.78,26
NDC,63323026957,Propofol IV Emul 500 MG/50ML (10 MG/ML),394.2,315.36,1.0,354.78,26
NDC,63323026965,",,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",389.09,311.28,1.0,350.18,26
NDC,63323026965,Propofol IV Emul 1000 MG/100ML (10 MG/ML),398.3,318.64,1.0,358.47,26
NDC,63323026967,Propofol IV Emul 1000 MG/100ML (10 MG/ML),399.7,319.76,1.0,359.73,26
NDC,63323027205,Fluphenazine Decanoate Inj 25 MG/ML,402.42,321.94,1.0,362.18,26
NDC,63323027301,Sumatriptan Succinate Inj 6 MG/0.5ML,396.64,317.32,1.0,356.98,26
NDC,63323027810,Vinblastine Sulfate Inj 1 MG/ML,357.38,285.91,1.0,321.64,26
NDC,63323028001,Furosemide Inj 10 MG/ML,390.86,312.69,103.38,351.77,26
NDC,63323028002,Furosemide Inj 10 MG/ML,390.86,312.69,103.38,351.77,26
NDC,63323028004,Furosemide Inj 10 MG/ML,200.32,160.26,52.98,180.29,26
NDC,63323028005,Furosemide Inj 10 MG/ML,78.39,62.72,20.73,70.55,26
NDC,63323028010,Furosemide Inj 10 MG/ML,78.39,62.72,20.73,70.55,26
NDC,63323028401,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),393.16,314.53,103.99,353.84,26
NDC,63323028420,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),401.15,320.92,106.1,361.04,26
NDC,63323028502,Ropivacaine HCl Inj 2 MG/ML,424.2,339.36,1.0,381.78,26
NDC,63323028503,Ropivacaine HCl Inj 2 MG/ML,392.03,313.63,1.0,352.83,26
NDC,63323028507,Ropivacaine HCl Inj 2 MG/ML,398.04,318.44,1.0,358.24,26
NDC,63323028510,Ropivacaine HCl Inj 2 MG/ML,392.69,314.16,1.0,353.42,26
NDC,63323028513,Ropivacaine HCl Inj 2 MG/ML,392.03,313.63,1.0,352.83,26
NDC,63323028520,Ropivacaine HCl Inj 2 MG/ML,394.2,315.36,1.0,354.78,26
NDC,63323028523,Ropivacaine HCl Inj 2 MG/ML,398.04,318.44,1.0,358.24,26
NDC,63323028551,Ropivacaine HCl Inj 2 MG/ML,411.5,329.2,1.0,370.35,26
NDC,63323028555,Ropivacaine HCl Inj 2 MG/ML,411.5,329.2,1.0,370.35,26
NDC,63323028561,Ropivacaine HCl Inj 2 MG/ML,424.2,339.36,1.0,381.78,26
NDC,63323028565,Ropivacaine HCl Inj 2 MG/ML,411.5,329.2,1.0,370.35,26
NDC,63323028568,Ropivacaine HCl Inj 2 MG/ML,417.9,334.32,1.0,376.11,26
NDC,63323028605,Ropivacaine HCl Inj 5 MG/ML,78.66,62.93,1.0,70.79,26
NDC,63323028611,Ropivacaine HCl Inj 5 MG/ML,52.65,42.12,1.0,47.39,26
NDC,63323028620,Ropivacaine HCl Inj 5 MG/ML,78.82,63.06,1.0,70.94,26
NDC,63323028623,Ropivacaine HCl Inj 5 MG/ML,78.66,62.93,1.0,70.79,26
NDC,63323028631,Ropivacaine HCl Inj 5 MG/ML,53.96,43.17,1.0,48.56,26
NDC,63323028635,Ropivacaine HCl Inj 5 MG/ML,52.65,42.12,1.0,47.39,26
NDC,63323028693,Ropivacaine HCl Inj 5 MG/ML,52.48,41.99,1.0,47.23,26
NDC,63323028695,Ropivacaine HCl Inj 5 MG/ML,52.48,41.99,1.0,47.23,26
NDC,63323028803,Ropivacaine HCl Inj 10 MG/ML,392.59,314.08,1.0,353.33,26
NDC,63323028810,Ropivacaine HCl Inj 10 MG/ML,395.2,316.16,1.0,355.68,26
NDC,63323028811,Ropivacaine HCl Inj 10 MG/ML,392.59,314.08,1.0,353.33,26
NDC,63323028827,Ropivacaine HCl Inj 10 MG/ML,200.2,160.16,1.0,180.18,26
NDC,63323029301,Mepivacaine HCl Preservative Free (PF) Inj 1.5%,396.62,317.3,1.0,356.96,26
NDC,63323029337,Mepivacaine HCl Preservative Free (PF) Inj 1.5%,396.62,317.3,1.0,356.96,26
NDC,63323029401,Mepivacaine HCl Preservative Free (PF) Inj 2%,395.26,316.21,1.0,355.73,26
NDC,63323029427,Mepivacaine HCl Preservative Free (PF) Inj 2%,395.26,316.21,1.0,355.73,26
NDC,63323030301,Tobramycin Sulfate For Inj 1.2 GM,90.19,72.16,1.0,81.17,26
NDC,63323030351,Tobramycin Sulfate For Inj 1.2 GM,77.1,61.68,1.0,69.39,26
NDC,63323030355,Tobramycin Sulfate For Inj 1.2 GM,96.67,77.34,1.0,87.0,26
NDC,63323030602,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv),390.5,312.4,1.0,351.45,26
NDC,63323030605,Tobramycin Sulfate Inj 1.2 GM/30ML (40 MG/ML) (Base Equiv),389.76,311.81,1.0,350.78,26
NDC,63323030630,Tobramycin Sulfate Inj 1.2 GM/30ML (40 MG/ML) (Base Equiv),389.76,311.81,1.0,350.78,26
NDC,63323031461,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),415.02,332.02,109.77,373.52,26
NDC,63323031510,Ganciclovir Sodium For Inj 500 MG,485.62,388.5,1.0,437.06,26
NDC,63323031801,Granisetron HCl Inj 1 MG/ML,391.7,313.36,1.0,352.53,26
NDC,63323031904,Granisetron HCl Inj 4 MG/4ML (1 MG/ML),404.42,323.54,1.0,363.98,26
NDC,63323032201,Imipenem-Cilastatin Intravenous For Soln 500 MG,398.91,319.13,1.0,359.02,26
NDC,63323032221,Imipenem-Cilastatin Intravenous For Soln 500 MG,398.91,319.13,1.0,359.02,26
NDC,63323032225,Imipenem-Cilastatin Intravenous For Soln 500 MG,398.91,319.13,1.0,359.02,26
NDC,63323032293,Imipenem-Cilastatin Intravenous For Soln 500 MG,398.91,319.13,1.0,359.02,26
NDC,63323032509,Acyclovir Sodium IV Soln 50 MG/ML,196.58,157.27,1.0,176.92,26
NDC,63323032520,Acyclovir Sodium IV Soln 50 MG/ML,196.58,157.27,1.0,176.92,26
NDC,63323032620,Cefepime HCl For Inj 1 GM,394.42,315.54,1.0,354.98,26
NDC,63323032820,Nafcillin Sodium For Inj 2 GM,416.01,332.81,110.03,374.41,26
NDC,63323032821,Nafcillin Sodium For Inj 2 GM,415.8,332.64,109.98,374.22,26
NDC,63323034125,Cefoxitin Sodium For IV Soln 1 GM,395.0,316.0,1.0,355.5,26
NDC,63323034610,Ceftriaxone Sodium For Inj 1 GM,392.61,314.09,1.0,353.35,26
NDC,63323035120,Rifampin For Inj 600 MG,650.82,520.66,172.14,585.74,26
NDC,63323036001,Calcium Gluconate Inj 10%,397.82,318.26,0.05,358.04,52
NDC,63323036003,Calcium Gluconate Inj 10%,401.6,321.28,0.05,361.44,26
NDC,63323036005,Calcium Gluconate Inj 10%,414.3,331.44,0.05,372.87,26
NDC,63323036019,Calcium Gluconate Inj 10%,397.82,318.26,0.05,358.04,26
NDC,63323036061,Calcium Gluconate Inj 10%,414.3,331.44,0.05,372.87,26
NDC,63323036601,Dimenhydrinate Inj 50 MG/ML,392.21,313.77,1.0,352.99,26
NDC,63323037805,Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML),390.12,312.1,1.0,351.11,26
NDC,63323039306,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),399.16,319.33,1.0,359.24,52
NDC,63323039306,"Colistimethate Sod For Inj 150 MG (Colistin Base Activity),Colistimethate Sod For Inj 150 MG (Colistin Base Activity)",399.16,319.33,1.0,359.24,26
NDC,63323039810,Azithromycin IV For Soln 500 MG,395.89,316.72,1.0,356.3,26
NDC,63323039812,Azithromycin IV For Soln 500 MG,391.78,313.43,1.0,352.6,26
NDC,63323040005,Levetiracetam Inj 500 MG/5ML (100 MG/ML),392.37,313.9,1.0,353.13,26
NDC,63323040101,Aztreonam For Inj 1 GM,414.29,331.44,2.52,372.86,26
NDC,63323040120,Aztreonam For Inj 1 GM,414.29,331.44,2.52,372.86,26
NDC,63323040124,Aztreonam For Inj 1 GM,408.92,327.14,2.52,368.03,26
NDC,63323040126,Aztreonam For Inj 1 GM,414.27,331.42,2.52,372.84,26
NDC,63323040201,Aztreonam For Inj 2 GM,439.22,351.38,2.52,395.3,26
NDC,63323040203,Aztreonam For Inj 2 GM,439.22,351.38,2.52,395.3,26
NDC,63323040220,Aztreonam For Inj 2 GM,439.22,351.38,2.52,395.3,26
NDC,63323040230,Aztreonam For Inj 2 GM,439.22,351.38,2.52,395.3,26
NDC,63323040301,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),391.84,313.48,5.19,352.66,26
NDC,63323040302,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),391.84,313.48,5.19,352.66,26
NDC,63323040310,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),398.29,318.64,5.19,358.46,26
NDC,63323040703,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),415.6,332.48,1.0,374.04,26
NDC,63323041110,Midazolam HCl Inj 10 MG/10ML (Base Equivalent),389.11,311.29,1.0,350.2,26
NDC,63323041113,Midazolam HCl Inj 10 MG/10ML (Base Equivalent),389.11,311.29,1.0,350.2,26
NDC,63323041210,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),390.0,312.0,1.0,351.0,26
NDC,63323041510,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),390.08,312.07,1.0,351.07,26
NDC,63323041710,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",392.67,314.14,103.86,353.4,26
NDC,63323041710,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),392.67,314.14,103.86,353.4,26
NDC,63323041801,Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML),436.88,349.51,115.55,393.19,26
NDC,63323041820,Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML),436.88,349.51,115.55,393.19,26
NDC,63323042102,Dexmedetomidine HCl IV Soln 200 MCG/2ML,391.83,313.47,103.64,352.65,26
NDC,63323042405,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),391.52,313.22,1.0,352.37,26
NDC,63323042602,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),395.03,316.03,104.49,355.53,26
NDC,63323042605,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),395.03,316.03,104.49,355.53,26
NDC,63323043400,Acetaminophen IV Soln 10 MG/ML,396.4,317.12,0.05,356.76,26
NDC,63323043441,Acetaminophen IV Soln 10 MG/ML,396.4,317.12,0.05,356.76,26
NDC,63323045100,Morphine Sulfate Inj PF 10 MG/ML,391.61,313.29,7.07,352.45,26
NDC,63323045101,Morphine Sulfate Inj PF 10 MG/ML,391.61,313.29,7.07,352.45,26
NDC,63323046101,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000,401.55,321.24,106.21,361.4,26
NDC,63323046157,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000,401.55,321.24,106.21,361.4,26
NDC,63323046201,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),397.43,317.95,105.12,357.69,26
NDC,63323046202,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),396.68,317.35,104.92,357.01,26
NDC,63323046231,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),395.3,316.24,104.56,355.77,26
NDC,63323046237,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),397.43,317.95,105.12,357.69,26
NDC,63323046301,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000,398.1,318.48,105.3,358.29,26
NDC,63323046357,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000,398.1,318.48,105.3,358.29,26
NDC,63323046401,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,390.1,312.08,0.02,351.09,26
NDC,63323046402,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,393.17,314.54,0.02,353.85,26
NDC,63323046417,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,392.63,314.11,0.02,353.37,26
NDC,63323046431,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,395.42,316.34,0.02,355.88,26
NDC,63323046437,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,393.17,314.54,0.02,353.85,26
NDC,63323046501,Bupivacaine HCl Inj 0.25%,395.95,316.76,0.02,356.36,26
NDC,63323046557,Bupivacaine HCl Inj 0.25%,395.95,316.76,0.02,356.36,26
NDC,63323046601,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,393.38,314.71,0.02,354.04,26
NDC,63323046617,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,392.63,314.11,0.02,353.37,26
NDC,63323046631,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,395.93,316.75,0.02,356.34,26
NDC,63323046637,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.02,312.02,0.02,351.02,26
NDC,63323046701,Bupivacaine HCl Inj 0.5%,396.7,317.36,0.02,357.03,26
NDC,63323046757,Bupivacaine HCl Inj 0.5%,396.7,317.36,0.02,357.03,26
NDC,63323046802,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),398.84,319.08,105.49,358.96,26
NDC,63323046837,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),398.84,319.08,105.49,358.96,26
NDC,63323047203,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,392.27,313.82,0.02,353.04,26
NDC,63323047217,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,392.27,313.82,0.02,353.04,26
NDC,63323047400,Haloperidol Lactate Inj 5 MG/ML,389.56,311.65,1.0,350.6,26
NDC,63323047401,Haloperidol Lactate Inj 5 MG/ML,389.56,311.65,1.0,350.6,26
NDC,63323047410,Haloperidol Lactate Inj 5 MG/ML,389.73,311.79,1.0,350.76,26
NDC,63323047537,Chloroprocaine HCl Inj 1%,395.54,316.44,0.04,355.99,26
NDC,63323047727,Chloroprocaine HCl Preservative Free (PF) Inj 2%,407.6,326.08,0.04,366.84,26
NDC,63323047801,Chloroprocaine HCl Preservative Free (PF) Inj 3%,408.8,327.04,0.04,367.92,26
NDC,63323047827,Chloroprocaine HCl Preservative Free (PF) Inj 3%,408.8,327.04,0.04,367.92,26
NDC,63323048101,Lidocaine Inj 0.5% w/ Epinephrine-1:200000,389.08,311.27,102.91,350.17,26
NDC,63323048157,Lidocaine Inj 0.5% w/ Epinephrine-1:200000,389.08,311.27,102.91,350.17,26
NDC,63323048201,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.52,311.62,103.03,350.57,26
NDC,63323048203,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.26,311.41,102.96,350.33,26
NDC,63323048205,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.22,311.38,102.95,350.3,26
NDC,63323048217,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.52,311.62,103.03,350.57,26
NDC,63323048227,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.26,311.41,102.96,350.33,26
NDC,63323048257,Lidocaine Inj 1% w/ Epinephrine-1:100000,389.22,311.38,102.95,350.3,26
NDC,63323048303,Lidocaine Inj 2% w/ Epinephrine-1:100000,389.14,311.32,102.93,350.23,26
NDC,63323048327,Lidocaine Inj 2% w/ Epinephrine-1:100000,389.14,311.32,102.93,350.23,26
NDC,63323048501,Lidocaine HCl Local Inj 1%,389.1,311.28,102.92,350.19,26
NDC,63323048503,Lidocaine HCl Local Inj 1%,389.07,311.26,102.91,350.16,26
NDC,63323048526,Lidocaine HCl Local Inj 1%,389.05,311.24,102.9,350.15,26
NDC,63323048527,Lidocaine HCl Local Inj 1%,389.1,311.28,102.92,350.19,26
NDC,63323048557,Lidocaine HCl Local Inj 1%,389.07,311.26,102.91,350.16,26
NDC,63323048602,Lidocaine HCl Local Inj 2%,389.8,311.84,103.1,350.82,26
NDC,63323048605,Lidocaine HCl Local Inj 2%,393.25,314.6,104.01,353.93,26
NDC,63323048627,Lidocaine HCl Local Inj 2%,389.8,311.84,103.1,350.82,26
NDC,63323048657,Lidocaine HCl Local Inj 2%,393.25,314.6,104.01,353.93,26
NDC,63323048701,Lidocaine Inj 1% w/ Epinephrine-1:200000 (PF),39.58,31.67,10.47,35.62,26
NDC,63323048717,Lidocaine Inj 1% w/ Epinephrine-1:200000 (PF),39.58,31.67,10.47,35.62,26
NDC,63323048831,Lidocaine Inj 1.5% w/ Epinephrine-1:200000 (PF),13.16,10.53,3.48,11.84,26
NDC,63323048889,Lidocaine Inj 1.5% w/ Epinephrine-1:200000 (PF),78.15,62.52,20.67,70.34,26
NDC,63323048917,Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF),39.21,31.37,10.37,35.29,26
NDC,63323049101,Lidocaine HCl Local Preservative Free (PF) Inj 0.5%,15.75,12.6,4.17,14.18,26
NDC,63323049157,Lidocaine HCl Local Preservative Free (PF) Inj 0.5%,15.75,12.6,4.17,14.18,26
NDC,63323049204,Lidocaine HCl Local Preservative Free (PF) Inj 1%,38.37,30.7,10.15,34.53,26
NDC,63323049207,Lidocaine HCl Local Preservative Free (PF) Inj 1%,13.2,10.56,3.49,11.88,26
NDC,63323049209,Lidocaine HCl Local Preservative Free (PF) Inj 1%,389.47,311.58,103.01,350.52,26
NDC,63323049227,Lidocaine HCl Local Preservative Free (PF) Inj 1%,57.56,46.05,10.15,69.08,52
NDC,63323049237,Lidocaine HCl Local Preservative Free (PF) Inj 1%,13.2,10.56,3.49,11.88,26
NDC,63323049257,Lidocaine HCl Local Preservative Free (PF) Inj 1%,389.25,311.4,102.96,350.33,26
NDC,63323049401,Valproate Sodium Inj 100 MG/ML,395.7,316.56,1.0,356.13,26
NDC,63323049405,Valproate Sodium Inj 100 MG/ML,395.7,316.56,1.0,356.13,26
NDC,63323049504,Lidocaine HCl Local Preservative Free (PF) Inj 2%,156.38,125.11,41.36,140.74,26
NDC,63323049507,Lidocaine HCl Local Preservative Free (PF) Inj 2%,156.38,125.11,41.36,140.74,26
NDC,63323049509,Lidocaine HCl Local Preservative Free (PF) Inj 2%,76.76,61.41,20.3,69.08,26
NDC,63323049527,Lidocaine HCl Local Preservative Free (PF) Inj 2%,76.76,61.41,20.3,69.08,26
NDC,63323049603,Lidocaine HCl Local Preservative Free (PF) Inj 2%,78.63,62.91,20.8,70.77,26
NDC,63323049697,Lidocaine HCl Local Preservative Free (PF) Inj 2%,235.89,188.71499999999997,20.8,353.84,52
NDC,63323050600,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,156.06,124.85,1.0,140.45,26
NDC,63323050601,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,273.105,218.485,1.0,351.14,52
NDC,63323050701,Meropenem IV For Soln 500 MG,391.68,313.35,1.0,352.51,26
NDC,63323050720,Meropenem IV For Soln 500 MG,391.68,313.35,1.0,352.51,26
NDC,63323050801,Meropenem IV For Soln 1 GM,394.38,315.51,1.0,354.94,26
NDC,63323050830,Meropenem IV For Soln 1 GM,394.38,315.51,1.0,354.94,52
NDC,63323051610,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,395.4,316.32,1.0,355.86,26
NDC,63323051901,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%,397.0,317.6,1.0,357.3,26
NDC,63323052301,Heparin Sodium (Porcine) 100 Unit/ML in D5W,396.75,317.4,1.0,357.08,26
NDC,63323052374,Heparin Sodium (Porcine) 100 Unit/ML in D5W,396.75,317.4,1.0,357.08,26
NDC,63323052603,Argatroban Inj 250 MG/2.5ML (Concentrate For IV Infusion),1025.53,820.43,1.21,922.98,26
NDC,63323053021,Sodium Chloride IV Soln 3%,391.0,312.8,1.0,351.9,26
NDC,63323053301,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,391.54,313.24,1.0,352.39,26
NDC,63323053301,"Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML",391.54,313.24,1.0,352.39,26
NDC,63323053313,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,391.54,313.24,1.0,352.39,26
NDC,63323053383,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,391.54,313.24,1.0,352.39,26
NDC,63323053383,"Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML",391.54,313.24,1.0,352.39,26
NDC,63323053393,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,391.54,313.24,1.0,352.39,26
NDC,63323053501,"Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML",294.32,235.46,1.0,264.89,26
NDC,63323053501,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,392.43,313.95,1.0,353.19,26
NDC,63323053508,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,392.43,313.95,1.0,353.19,26
NDC,63323053587,"Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML",294.32,235.46,1.0,264.89,26
NDC,63323053587,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,392.43,313.95,1.0,353.19,26
NDC,63323054005,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.005,312.01,1.0,351.75,52
NDC,63323054011,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.005,312.01,1.0,351.75,52
NDC,63323054015,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.005,312.01,1.0,351.75,52
NDC,63323054031,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.44,312.36,1.0,351.4,52
NDC,63323054303,Heparin Sodium (Porcine) PF Inj 5000 Unit/0.5ML,391.33,313.07,1.0,352.2,26
NDC,63323054313,Heparin Sodium (Porcine) PF Inj 5000 Unit/0.5ML,391.33,313.07,1.0,352.2,26
NDC,63323054505,Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML,389.15,311.32,1.0,350.24,26
NDC,63323055921,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,391.47,313.18,1.0,352.32,26
NDC,63323055993,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,391.47,313.18,1.0,352.32,26
NDC,63323056210,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),853.44,682.76,1.0,768.1,26
NDC,63323056421,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,392.36,313.89,1.0,353.12,26
NDC,63323056497,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,392.36,313.89,1.0,353.12,26
NDC,63323056621,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,400.08,320.07,1.0,360.07,26
NDC,63323056698,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,400.08,320.07,1.0,360.07,26
NDC,63323056883,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,391.76,313.41,1.0,352.58,26
NDC,63323057270,Clofarabine IV Soln 1 MG/ML,7514.39,6011.52,3.98,6762.95,34
NDC,63323057401,Icatibant Acetate Subcutaneous Soln Pref Syr 30 MG/3ML,9577.32,7661.86,93.19,8619.59,34
NDC,63323057486,Icatibant Acetate Subcutaneous Soln Pref Syr 30 MG/3ML,4367.82,3494.26,93.19,3931.04,34
NDC,63323057493,Icatibant Acetate Subcutaneous Soln Pref Syr 30 MG/3ML,9577.32,7661.86,93.19,8619.59,34
NDC,63323057901,Sincalide For Inj 5 MCG,453.16,362.53,1.0,407.84,26
NDC,63323057905,Sincalide For Inj 5 MCG,453.16,362.53,1.0,407.84,26
NDC,63323058282,Glucagon HCl For Inj 1 MG,848.15,678.52,110.76,763.34,34
NDC,63323058421,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,395.63,316.51,1.0,356.07,26
NDC,63323058499,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,395.63,316.51,1.0,356.07,26
NDC,63323058621,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,396.84,317.48,1.0,357.16,26
NDC,63323058696,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,396.84,317.48,1.0,357.16,26
NDC,63323058921,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,401.86,321.49,1.0,361.67,26
NDC,63323058994,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,401.86,321.49,1.0,361.67,26
NDC,63323059303,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),520.09,416.08,110.76,468.08,34
NDC,63323059403,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),513.44,410.76,110.76,462.1,34
NDC,63323059608,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),495.09,396.08,110.76,445.58,34
NDC,63323059611,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),550.5,440.4,110.76,495.45,34
NDC,63323059613,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),550.5,440.4,110.76,495.45,34
NDC,63323059616,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),495.09,396.08,110.76,445.58,34
NDC,63323059710,Deferoxamine Mesylate For Inj 500 MG,397.33,317.87,1.0,357.6,26
NDC,63323059930,Deferoxamine Mesylate For Inj 2 GM,411.82,329.46,1.0,370.64,26
NDC,63323060400,Propranolol HCl Inj 1 MG/ML,390.92,312.74,1.0,351.83,26
NDC,63323060401,Propranolol HCl Inj 1 MG/ML,390.92,312.74,1.0,351.83,26
NDC,63323060701,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,393.89,315.12,1.0,354.5,26
NDC,63323060788,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,393.89,315.12,1.0,354.5,26
NDC,63323060901,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,399.27,319.42,1.0,359.34,26
NDC,63323060990,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,399.27,319.42,1.0,359.34,26
NDC,63323061400,Hydralazine HCl Inj 20 MG/ML,392.14,313.72,1.0,352.93,26
NDC,63323061401,Hydralazine HCl Inj 20 MG/ML,392.14,313.72,1.0,352.93,26
NDC,63323061421,Hydralazine HCl Inj 20 MG/ML,392.14,313.72,1.0,352.93,26
NDC,63323061455,Hydralazine HCl Inj 20 MG/ML,392.14,313.72,1.0,352.93,26
NDC,63323061601,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),390.43,312.35,1.0,351.39,26
NDC,63323061603,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),390.43,312.35,1.0,351.39,26
NDC,63323061609,Amiodarone HCl Inj 450 MG/9ML (50 MG/ML),405.82,324.66,1.0,365.24,26
NDC,63323061710,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),462.2,369.76,1.0,415.98,26
NDC,63323062361,Sodium Chloride IV Soln 0.9%,167.0,133.6,1.0,150.3,26
NDC,63323062474,Dextrose Inj 5%,155.95,124.76,1.0,140.36,26
NDC,63323063703,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),641.06,512.85,7.75,576.95,34
NDC,63323063710,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),641.06,512.85,7.75,576.95,34
NDC,63323064201,Magnesium Sulfate Inj 50%,389.21,311.37,1.0,350.29,26
NDC,63323064202,Magnesium Sulfate Inj 50%,8.03,6.43,1.0,7.23,26
NDC,63323064220,Magnesium Sulfate Inj 50%,19.65,15.72,1.0,17.69,26
NDC,63323064810,Levothyroxine Sodium For IV Inj 500 MCG,873.96,699.17,231.16,786.56,26
NDC,63323064907,Levothyroxine Sodium For IV Inj 100 MCG,485.91,388.73,128.52,437.32,26
NDC,63323064916,Levothyroxine Sodium For IV Inj 100 MCG,471.29,377.04,124.66,424.16,26
NDC,63323064921,Levothyroxine Sodium For IV Inj 100 MCG,474.34,379.48,125.46,426.91,26
NDC,63323065102,Adenosine IV Soln 6 MG/2ML,393.46,314.77,1.0,354.11,26
NDC,63323065104,Adenosine IV Soln 12 MG/4ML,198.29,158.64,1.0,178.46,26
NDC,63323065130,Adenosine IV Soln 3 MG/ML (Diagnostic),408.14,326.52,1.0,367.33,26
NDC,63323065210,Esmolol HCl Inj 100 MG/10ML,402.35,321.88,0.25,362.12,26
NDC,63323065521,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,399.2,319.36,1.0,359.28,26
NDC,63323065599,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,399.2,319.36,1.0,359.28,26
NDC,63323065820,Chlorothiazide Sodium For Inj 500 MG,454.0,363.2,1.0,408.6,26
NDC,63323065827,Chlorothiazide Sodium For Inj 500 MG,467.71,374.17,1.0,420.94,26
NDC,63323065894,Chlorothiazide Sodium For Inj 500 MG,428.47,342.78,1.0,385.62,26
NDC,63323065903,Indomethacin Sodium IV For Soln 1 MG,1367.97,1094.38,361.83,1231.17,26
NDC,63323066400,Diphenhydramine HCl Inj 50 MG/ML,389.8,311.84,1.0,350.82,26
NDC,63323066401,Diphenhydramine HCl Inj 50 MG/ML,391.55,313.24,1.0,352.4,26
NDC,63323066500,Terbutaline Sulfate Inj 1 MG/ML,390.47,312.38,1.0,351.42,26
NDC,63323066501,Terbutaline Sulfate Inj 1 MG/ML,390.47,312.38,1.0,351.42,52
NDC,63323067105,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,422.15,337.72,111.66,379.94,26
NDC,63323067150,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,422.15,337.72,111.66,379.94,26
NDC,63323069030,Acetylcysteine Inhal Soln 20%,1.9,1.52,0.64,9.48,26
NDC,63323069404,Acetylcysteine Inhal Soln 20%,10.64,8.52,2.81,9.58,52
NDC,63323071050,Leucovorin Calcium For Inj 200 MG,404.14,323.32,1.0,363.73,26
NDC,63323071059,Leucovorin Calcium For Inj 200 MG,404.0,323.2,1.0,363.6,26
NDC,63323071100,Leucovorin Calcium For Inj 500 MG,442.14,353.72,1.0,397.93,26
NDC,63323072110,Bortezomib For IV Inj 3.5 MG,4582.45,3665.96,15.68,4124.21,34
NDC,63323072301,Remifentanil HCl For IV Soln 1 MG,443.27,354.62,117.24,398.94,26
NDC,63323072303,Remifentanil HCl For IV Soln 1 MG,443.27,354.62,117.24,398.94,26
NDC,63323072501,Remifentanil HCl For IV Soln 5 MG,963.79,771.04,254.92,867.41,26
NDC,63323072510,Remifentanil HCl For IV Soln 5 MG,963.79,771.04,254.92,867.41,26
NDC,63323072801,Micafungin Sodium For IV Soln 50 MG,414.07,331.26,1.0,372.66,26
NDC,63323072901,Micafungin Sodium For IV Soln 100 MG,432.66,346.13,1.0,389.39,26
NDC,63323073820,Famotidine Inj 200 MG/20ML,389.36,311.49,102.99,350.42,26
NDC,63323073911,Famotidine Preservative Free Inj 20 MG/2ML,389.83,311.87,103.11,350.85,26
NDC,63323073912,Famotidine Preservative Free Inj 20 MG/2ML,389.83,311.87,103.11,350.85,26
NDC,63323075100,Phenylephrine HCl IV Soln 10 MG/ML,390.4,312.32,0.01,351.36,26
NDC,63323075101,Phenylephrine HCl IV Soln 10 MG/ML,390.4,312.32,0.01,351.36,26
NDC,63323076210,Topotecan HCl For Inj 4 MG (Base Equiv),373.97,299.18,1.0,336.57,26
NDC,63323076305,Paclitaxel IV Conc 30 MG/5ML (6 MG/ML),266.07,212.86,1.0,239.46,26
NDC,63323076350,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),382.83,306.27,1.0,344.55,26
NDC,63323077139,Azacitidine For Inj 100 MG,740.88,592.71,0.37,666.79,26
NDC,63323077821,Methocarbamol Inj 1000 MG/10ML,395.9,316.72,1.0,356.31,26
NDC,63323078110,Vecuronium Bromide For Inj 10 MG,393.83,315.07,104.17,354.45,52
NDC,63323078121,Vecuronium Bromide For Inj 10 MG,393.83,315.07,104.17,354.45,26
NDC,63323080614,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,39.69,31.76,1.0,35.72,26
NDC,63323080620,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,39.69,31.76,1.0,35.72,26
NDC,63323080650,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,7.89,6.32,1.0,7.1,26
NDC,63323081504,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),410.8,328.64,1.0,369.72,26
NDC,63323082000,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,405.9,324.72,107.36,365.31,26
NDC,63323082001,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,405.9,324.72,107.36,365.31,26
NDC,63323082003,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,414.0,331.2,109.5,372.6,26
NDC,63323082004,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,409.25,327.4,108.25,368.33,26
NDC,63323082005,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,431.0,344.8,114.0,387.9,26
NDC,63323082050,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,414.0,331.2,109.5,372.6,26
NDC,63323082074,Fat Emulsion Fish Oil Based IV Emul 20%,409.25,327.4,108.25,368.33,26
NDC,63323082074,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,409.25,327.4,108.25,368.33,26
NDC,63323082301,Ertapenem Sodium For Inj 1 GM (Base Equivalent),457.73,366.19,1.0,411.96,26
NDC,63323082320,Ertapenem Sodium For Inj 1 GM (Base Equivalent),457.73,366.19,1.0,411.96,26
NDC,63323082424,Dextrose Inj 10%,155.95,124.76,1.0,140.36,52
NDC,63323082520,Decitabine For Inj 50 MG,737.62,590.1,1.0,663.86,26
NDC,63323085074,Moxifloxacin HCl IV Solution 400 MG/250ML (Base Equiv),420.0,336.0,5.32,378.0,26
NDC,63323085103,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,392.36,313.89,103.78,353.12,26
NDC,63323085203,Hydromorphone HCl Preservative Free (PF) Inj 1 MG/ML,393.0,314.4,103.95,353.7,26
NDC,63323085225,Hydromorphone HCl Preservative Free (PF) Inj 1 MG/ML,393.0,314.4,103.95,353.7,26
NDC,63323085303,Hydromorphone HCl Preservative Free (PF) Inj 2 MG/ML,196.07,156.86,51.86,176.46,26
NDC,63323085325,Hydromorphone HCl Preservative Free (PF) Inj 2 MG/ML,196.07,156.86,51.86,176.46,26
NDC,63323087715,Pentamidine Isethionate For Nebulization Soln 300 MG,204.84,163.88,52.22,184.36,26
NDC,63323088101,Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),410.71,328.57,1.0,369.64,26
NDC,63323088305,Doxorubicin HCl Inj 2 MG/ML,279.44,223.56,1.0,251.5,26
NDC,63323088330,Doxorubicin HCl Inj 2 MG/ML,359.03,287.23,1.0,323.13,26
NDC,63323088401,Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),404.79,323.84,107.07,364.31,26
NDC,63323088406,Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),404.79,323.84,107.07,364.31,26
NDC,63323088510,Levothyroxine Sodium IV Soln 100 MCG/5ML (20 MCG/ML),235.63,188.51,6.49,212.07,34
NDC,63323089510,Levothyroxine Sodium IV Soln 500 MCG/5ML (100 MCG/ML),80.02,64.02,6.49,72.02,34
NDC,63323091501,Heparin Sodium (Porcine) Inj 20000 Unit/ML,394.03,315.23,1.0,354.63,26
NDC,63323091503,Heparin Sodium (Porcine) Inj 20000 Unit/ML,395.36,316.29,1.0,355.82,26
NDC,63323091513,Heparin Sodium (Porcine) Inj 20000 Unit/ML,395.36,316.29,1.0,355.82,26
NDC,63323096010,Tigecycline For IV Soln 50 MG,398.82,319.06,1.0,358.94,26
NDC,63323096198,Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML,293.96,235.17,1.0,264.56,26
NDC,63323096330,Acetylcysteine Inj 200 MG/ML,776.85,621.48,1.0,699.17,26
NDC,63323096501,Potassium Chloride Inj 2 mEq/ML,391.32,313.06,1.0,352.19,26
NDC,63323096502,Potassium Chloride Inj 2 mEq/ML,390.26,312.21,1.0,351.23,26
NDC,63323096503,Potassium Chloride Inj 2 mEq/ML,390.85,312.68,1.0,351.77,26
NDC,63323096505,Potassium Chloride Inj 2 mEq/ML,391.32,313.06,1.0,352.19,26
NDC,63323096510,Potassium Chloride Inj 2 mEq/ML,390.85,312.68,1.0,351.77,26
NDC,63323096520,Potassium Chloride Inj 2 mEq/ML,390.26,312.21,1.0,351.23,26
NDC,63323096701,Potassium Chloride Inj 2 mEq/ML,391.79,313.44,1.0,352.61,26
NDC,63323096730,Potassium Chloride Inj 2 mEq/ML,391.79,313.44,1.0,352.61,26
NDC,63323097002,Benztropine Mesylate Inj 1 MG/ML,215.83,172.67,1.0,194.25,26
NDC,63323098323,Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM),392.02,313.62,1.0,352.82,26
NDC,63361024315,Diph-Tet Tox-Ac Pert Ad-Polio IPV-Hib-Hep B Rec Susp Pre Syr,504.34,403.48,149.28,453.91,26
NDC,63361024388,Diph-Tet Tox-Ac Pert Ad-Polio IPV-Hib-Hep B Rec Susp Pre Syr,504.34,403.48,149.28,453.91,26
NDC,63402030430,Lurasidone HCl Tab 40 MG,36.43,29.15,9.64,32.79,26
NDC,63402051300,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),5.08,4.07,0.05,4.57,26
NDC,63402091101,Arformoterol Tartrate Soln Nebu 15 MCG/2ML (Base Equiv),5.44,4.36,1.44,4.9,26
NDC,63402091130,Arformoterol Tartrate Soln Nebu 15 MCG/2ML (Base Equiv),5.44,4.36,1.44,4.9,26
NDC,63459010310,Rituximab-abbs IV Soln 100 MG/10ML (10 MG/ML),2172.73,1738.19,27.49,1955.46,34
NDC,63459010450,Rituximab-abbs IV Soln 500 MG/50ML (10 MG/ML),9863.63,7890.91,27.49,8877.27,34
NDC,63459034804,Bendamustine HCl IV Soln 100 MG/4ML (25 MG/ML),8030.08,6424.07,12.81,7227.07,34
NDC,63459060106,Arsenic Trioxide IV Soln 12 MG/6ML (2 MG/ML),1900.75,1520.6,7.75,1710.68,34
NDC,63459060111,Arsenic Trioxide IV Soln 12 MG/6ML (2 MG/ML),1900.75,1520.6,7.75,1710.68,34
NDC,6351659,Imipenem-Cilastatin Intravenous For Soln 500 MG,419.54,335.64,1.0,377.59,26
NDC,6360361,Raltegravir Potassium Packet For Susp 100 MG (Base Equiv),30.85,24.68,8.16,27.77,26
NDC,63736012002,Permethrin Creme Rinse 1%,10.56,8.45,2.79,9.5,26
NDC,63736012003,Permethrin Creme Rinse 1%,9.85,7.88,2.61,8.87,26
NDC,63736014308,White Petrolatum-Mineral Oil Ophth Ointment,7.04,5.64,1.86,6.34,26
NDC,63736024795,Permethrin Creme Rinse 1%,15.65,12.52,4.14,14.09,26
NDC,63736033942,Hydrocortisone Lotion 1%,7.84,6.28,2.07,7.06,26
NDC,63739005110,Amiodarone HCl Tab 200 MG,1.21,0.97,0.32,1.09,26
NDC,63739008610,Valproic Acid Cap 250 MG,1.23,0.99,0.33,1.11,26
NDC,63739014510,Midodrine HCl Tab 5 MG,1.39,1.12,0.37,1.25,26
NDC,63739023610,Gabapentin Cap 300 MG,1.13,0.91,0.3,1.02,26
NDC,63739029410,Phenobarbital Tab 32.4 MG,1.66,1.33,0.44,1.49,26
NDC,63739032710,Hydralazine HCl Tab 25 MG,1.11,0.89,0.29,1.0,26
NDC,63739032810,Hydralazine HCl Tab 50 MG,1.13,0.91,0.3,1.02,26
NDC,63739036710,Isosorbide Dinitrate Tab 20 MG,1.64,1.32,0.43,1.48,26
NDC,63739047910,Baclofen Tab 10 MG,1.57,1.26,0.42,1.41,26
NDC,63739048310,Hydroxyzine HCl Tab 10 MG,1.21,0.97,0.32,1.09,26
NDC,63739048610,Hydroxyzine HCl Tab 25 MG,1.24,1.0,0.33,1.12,26
NDC,63739050832,Ziprasidone HCl Cap 80 MG,1.76,1.41,0.47,1.58,26
NDC,63739054410,Spironolactone Tab 25 MG,1.12,0.9,0.3,1.01,26
NDC,63739056710,Tamsulosin HCl Cap 0.4 MG,1.32,1.06,0.35,1.19,26
NDC,63739057010,Simvastatin Tab 5 MG,1.18,0.95,0.31,1.06,26
NDC,63739057110,Simvastatin Tab 10 MG,1.11,0.89,0.29,1.0,26
NDC,63739057210,Simvastatin Tab 20 MG,1.08,0.87,0.29,0.97,26
NDC,63739057310,Simvastatin Tab 40 MG,1.11,0.89,0.29,1.0,26
NDC,63739058810,Prednisone Tab 20 MG,1.15,0.92,0.3,1.04,26
NDC,63739064510,Famotidine Tab 20 MG,1.06,0.85,0.28,0.95,26
NDC,63739069810,Losartan Potassium Tab 100 MG,1.46,1.17,0.39,1.31,26
NDC,63739090210,Gabapentin Cap 100 MG,1.08,0.87,0.29,0.97,26
NDC,63739090410,Gabapentin Cap 400 MG,1.13,0.91,0.3,1.02,26
NDC,63739097310,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.52,1.22,0.4,1.37,26
NDC,63739098611,Heparin Sodium (Porcine) Inj 20000 Unit/ML,401.49,321.2,1.0,361.34,26
NDC,63739098625,Heparin Sodium (Porcine) Inj 20000 Unit/ML,401.49,321.2,1.0,361.34,26
NDC,63739098832,Ziprasidone HCl Cap 20 MG,3.6,2.88,0.95,3.24,26
NDC,63739099110,Methocarbamol Tab 500 MG,1.21,0.97,0.32,1.09,26
NDC,63739099210,Methocarbamol Tab 750 MG,1.27,1.02,0.34,1.14,26
NDC,63739099764,Lidocaine HCl Soln 4%,59.55,47.64,15.75,53.6,26
NDC,6382210,Caspofungin Acetate For IV Soln 50 MG,1255.34,1004.28,1.0,1129.81,26
NDC,6382310,Caspofungin Acetate For IV Soln 70 MG,1298.56,1038.85,1.0,1168.7,26
NDC,63824000815,Guaifenesin Tab ER 12HR 600 MG,1.4,1.12,0.37,1.26,26
NDC,63824000834,Guaifenesin Tab ER 12HR 600 MG,1.37,1.1,0.36,1.23,26
NDC,63824000850,Guaifenesin Tab ER 12HR 600 MG,1.42,1.14,0.38,1.28,26
NDC,63824005632,Dextromethorphan-Guaifenesin Tab ER 12HR 30-600 MG,1.55,1.24,0.41,1.4,26
NDC,63824005634,Dextromethorphan-Guaifenesin Tab ER 12HR 30-600 MG,1.34,1.08,0.35,1.21,26
NDC,63824017565,Dextromethorphan Polistirex Extended Release Susp 30 MG/5ML,1.42,1.14,0.38,1.28,26
NDC,63824071316,Benzocaine-Menthol Lozenge 15-3.6 MG,1.17,0.94,0.31,1.05,26
NDC,63824071516,Benzocaine-Menthol Lozenge 15-3.6 MG,1.12,0.9,0.3,1.01,26
NDC,63824073216,Benzocaine-Menthol Lozenge 15-2.6 MG,1.12,0.9,0.3,1.01,26
NDC,63833038602,Prothrombin Complex Conc Human For Inj Kit 500 Unit,3562.5,2850.0,2.03,3206.25,34
NDC,63833038602,"Prothrombin Complex Conc Human For Inj Kit 500 Unit,Prothrombin Complex Conc Human For Inj Kit 1000 Unit",3562.5,2850.0,2.03,3206.25,34
NDC,63833051802,Factor XIII Concentrate (Human) For Inj Kit 1000-1600 Unit,12626.47,10101.18,9.67,11363.82,34
NDC,63833061502,Antihemophilic Factor/VWF (Human) For Inj 250-600 Unit,1.7,1.3599999999999999,0.34,2.16,68
NDC,63833061602,Antihemophilic Factor/VWF (Human) For Inj 500-1200 Unit,1.7,1.3599999999999999,0.34,2.16,68
NDC,63833061702,Antihemophilic Factor/VWF (Human) For Inj 1000-2400 Unit,1.0,0.8,0.34,1.64,34
NDC,63833082502,C1 Esterase Inhibitor (Human) For IV Inj Kit 500 Unit,10450.5,8360.4,64.41,9405.45,34
NDC,6384130,Montelukast Sodium Oral Granules Packet 4 MG (Base Equiv),4.14,3.32,1.1,3.73,26
NDC,6384371,Ertapenem Sodium For Inj 1 GM (Base Equivalent),490.53,392.43,1.0,441.48,26
NDC,6404741,"Rotavirus Vaccine, Live Oral Pentavalent Soln",73.44,58.76,24.6,104.67,26
NDC,6409301,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 5 MCG/0.5ML,32.41,25.93,10.86,33.25,34
NDC,6409302,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 5 MCG/0.5ML,32.41,25.93,10.86,33.25,34
NDC,6409502,Hepatitis A Vaccine Inj Susp 25 Unit/0.5ML,412.93,330.35,1.0,371.64,26
NDC,641036725,Dexamethasone Sodium Phosphate Inj 10 MG/ML,155.94,124.76,1.0,140.35,26
NDC,641037621,Diphenhydramine HCl Inj 50 MG/ML,389.54,311.64,1.0,350.59,26
NDC,641037625,Diphenhydramine HCl Inj 50 MG/ML,389.54,311.64,1.0,350.59,26
NDC,641047621,Phenobarbital Sodium Inj 65 MG/ML,407.13,325.71,1.0,366.42,26
NDC,641047625,Phenobarbital Sodium Inj 65 MG/ML,407.13,325.71,1.0,366.42,26
NDC,641047721,Phenobarbital Sodium Inj 130 MG/ML,435.93,348.75,1.0,392.34,26
NDC,641047725,Phenobarbital Sodium Inj 130 MG/ML,435.93,348.75,1.0,392.34,26
NDC,641049321,Phenytoin Sodium Inj 50 MG/ML,389.75,311.8,1.0,350.78,26
NDC,641049325,Phenytoin Sodium Inj 50 MG/ML,389.74,311.8,1.0,350.77,26
NDC,641139731,Chlorpromazine HCl Inj 25 MG/ML,395.3,316.24,1.0,355.77,26
NDC,641139735,Chlorpromazine HCl Inj 25 MG/ML,392.15,313.72,1.0,352.94,26
NDC,641139831,Chlorpromazine HCl Inj 50 MG/2ML,395.98,316.79,1.0,356.38,26
NDC,641139835,Chlorpromazine HCl Inj 50 MG/2ML,395.97,316.78,1.0,356.37,26
NDC,641141031,Digoxin Inj 0.25 MG/ML,391.85,313.48,1.0,352.67,26
NDC,641141035,Digoxin Inj 0.25 MG/ML,391.85,313.48,1.0,352.67,26
NDC,6412102,Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr,564.43,451.55,189.08,507.99,26
NDC,641255541,Phenytoin Sodium Inj 50 MG/ML,156.01,124.81,1.0,140.41,26
NDC,641255545,Phenytoin Sodium Inj 50 MG/ML,156.01,124.81,1.0,140.41,26
NDC,641256941,Dipyridamole IV Soln 5 MG/ML,406.12,324.9,1.0,365.51,26
NDC,641256944,Dipyridamole IV Soln 5 MG/ML,406.12,324.9,1.0,365.51,26
NDC,641600101,Lorazepam Inj 2 MG/ML,390.63,312.51,1.0,351.57,26
NDC,641600125,Lorazepam Inj 2 MG/ML,390.62,312.5,1.0,351.56,26
NDC,641600601,Atropine Sulfate Inj 8 MG/20ML (0.4 MG/ML),390.41,312.33,1.0,351.37,26
NDC,641600610,Atropine Sulfate Inj 8 MG/20ML (0.4 MG/ML),390.41,312.33,1.0,351.37,26
NDC,641600701,Bumetanide Inj 0.25 MG/ML,389.35,311.48,0.35,350.42,34
NDC,641600710,Bumetanide Inj 0.25 MG/ML,389.35,311.48,0.35,350.42,34
NDC,641600801,Bumetanide Inj 0.25 MG/ML,195.76,156.61,0.35,176.18,34
NDC,641600810,Bumetanide Inj 0.25 MG/ML,195.76,156.61,0.35,176.18,34
NDC,641601301,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),156.16,124.93,41.3,140.54,26
NDC,641601310,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),156.05,124.84,41.28,140.45,26
NDC,641601401,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),156.44,125.16,41.38,140.8,26
NDC,641601410,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),156.44,125.16,41.38,140.8,26
NDC,641601501,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),62.96,50.37,16.65,56.66,26
NDC,641601510,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),62.96,50.37,16.65,56.66,26
NDC,641601901,Morphine Sulfate Inj PF 1 MG/ML,405.82,324.66,1.0,365.24,26
NDC,641601910,Morphine Sulfate Inj PF 1 MG/ML,405.82,324.66,1.0,365.24,26
NDC,641602101,Famotidine Inj 200 MG/20ML,389.68,311.75,103.07,350.71,26
NDC,641602110,Famotidine Inj 200 MG/20ML,389.68,311.75,103.07,350.71,26
NDC,641602201,Famotidine Preservative Free Inj 20 MG/2ML,389.71,311.77,103.08,350.74,26
NDC,641602225,Famotidine Preservative Free Inj 20 MG/2ML,389.67,311.74,103.07,350.7,26
NDC,641602701,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,390.43,312.35,1.0,351.39,26
NDC,641602725,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,390.43,312.35,1.0,351.39,26
NDC,641602801,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",391.26,313.01,1.0,352.13,26
NDC,641602801,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,78.25,62.6,1.0,70.43,26
NDC,641602825,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",391.26,313.01,1.0,352.13,26
NDC,641602825,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,78.25,62.6,1.0,70.43,26
NDC,641602901,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,39.87,31.9,1.0,35.88,26
NDC,641603001,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,8.23,6.59,1.0,7.41,26
NDC,641603901,Morphine Sulf For Microinfusion PF Inj 200 MG/20ML (10MG/ML),532.9,426.32,1.0,479.61,26
NDC,641604001,Morphine Sulf For Microinfusion PF Inj 500 MG/20ML (25MG/ML),1288.13,1030.51,1.0,1159.32,26
NDC,641604401,Lorazepam Inj 2 MG/ML,389.52,311.62,1.0,350.57,26
NDC,641604425,Lorazepam Inj 2 MG/ML,389.51,311.61,1.0,350.56,26
NDC,641604601,Lorazepam Inj 2 MG/ML,389.47,311.58,1.0,350.52,26
NDC,641604610,Lorazepam Inj 2 MG/ML,389.47,311.58,1.0,350.52,26
NDC,641604801,Lorazepam Inj 2 MG/ML,389.51,311.61,1.0,350.56,26
NDC,641604825,Lorazepam Inj 2 MG/ML,389.51,311.61,1.0,350.56,26
NDC,641605001,Lorazepam Inj 2 MG/ML,389.48,311.59,1.0,350.53,26
NDC,641605010,Lorazepam Inj 2 MG/ML,389.48,311.59,1.0,350.53,26
NDC,641605201,Meperidine HCl Inj 25 MG/ML,390.97,312.78,1.0,351.87,26
NDC,641605225,Meperidine HCl Inj 25 MG/ML,389.87,311.9,1.0,350.88,26
NDC,641605301,Meperidine HCl Inj 50 MG/ML,391.03,312.83,1.0,351.93,26
NDC,641605325,Meperidine HCl Inj 50 MG/ML,391.03,312.83,1.0,351.93,26
NDC,641605401,Meperidine HCl Inj 100 MG/ML,391.14,312.92,1.0,352.03,26
NDC,641605425,Meperidine HCl Inj 100 MG/ML,391.14,312.92,1.0,352.03,26
NDC,641605601,Midazolam HCl Inj 10 MG/10ML (Base Equivalent),389.18,311.35,1.0,350.26,26
NDC,641605610,Midazolam HCl Inj 10 MG/10ML (Base Equivalent),389.18,311.35,1.0,350.26,26
NDC,641605701,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",389.6,311.68,1.0,350.64,26
NDC,641605725,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",389.6,311.68,1.0,350.64,26
NDC,641606001,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.65,311.72,1.0,350.69,26
NDC,641606010,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.19,311.36,1.0,350.27,26
NDC,641606325,Midazolam HCl Inj 10 MG/2ML (Base Equivalent),390.16,312.13,1.0,351.14,26
NDC,641607801,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.41,311.53,1.0,350.47,26
NDC,641607825,Ondansetron HCl Inj 2 MG/ML,389.41,311.53,1.0,350.47,26
NDC,641607901,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),389.73,311.79,1.0,350.76,26
NDC,641608001,Ondansetron HCl Inj 2 MG/ML,389.41,311.53,1.0,350.47,26
NDC,641610301,Methocarbamol Inj 1000 MG/10ML,431.27,345.02,1.0,388.14,26
NDC,641610325,Methocarbamol Inj 1000 MG/10ML,395.37,316.3,1.0,355.83,26
NDC,641611601,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,392.44,313.96,1.0,353.2,26
NDC,641611610,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,392.44,313.96,1.0,353.2,26
NDC,641611701,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,392.12,313.7,1.0,352.91,26
NDC,641611710,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,392.17,313.74,1.0,352.95,26
NDC,641612501,Morphine Sulfate IV Soln 4 MG/ML,391.01,312.81,1.0,351.91,26
NDC,641612525,Morphine Sulfate IV Soln 4 MG/ML,391.01,312.81,1.0,351.91,26
NDC,641612701,Morphine Sulfate IV Soln 10 MG/ML,389.95,311.96,1.0,350.96,26
NDC,641612725,Morphine Sulfate IV Soln 10 MG/ML,389.91,311.93,1.0,350.92,26
NDC,641613801,Phenytoin Sodium Inj 50 MG/ML,389.75,311.8,1.0,350.78,26
NDC,641613825,Phenytoin Sodium Inj 50 MG/ML,389.75,311.8,1.0,350.78,26
NDC,641614201,Phenylephrine HCl IV Soln 10 MG/ML,391.95,313.56,0.01,352.76,26
NDC,641614225,Phenylephrine HCl IV Soln 10 MG/ML,391.95,313.56,0.01,352.76,26
NDC,641614501,Dexamethasone Sodium Phosphate Inj 4 MG/ML,389.78,311.83,1.0,350.8,26
NDC,641614525,Dexamethasone Sodium Phosphate Inj 4 MG/ML,389.78,311.83,1.0,350.8,26
NDC,641614625,Dexamethasone Sodium Phosphate Inj 20 MG/5ML,389.18,311.35,1.0,350.26,26
NDC,641614901,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),389.09,311.28,1.0,350.18,26
NDC,641614910,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),389.09,311.28,1.0,350.18,26
NDC,641615101,Hydromorphone HCl Inj 2 MG/ML,194.83,155.87,51.53,175.35,26
NDC,641615125,Hydromorphone HCl Inj 2 MG/ML,194.83,155.87,51.53,175.35,26
NDC,641616401,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),399.18,319.35,1.0,359.26,26
NDC,641616410,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),399.18,319.35,1.0,359.26,26
NDC,641616901,Hydromorphone HCl Inj 1 MG/ML,78.3,62.64,20.71,70.47,26
NDC,641616910,Hydromorphone HCl Inj 1 MG/ML,78.3,62.64,20.71,70.47,26
NDC,641617701,Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML),391.84,313.48,1.0,352.66,26
NDC,641618210,Orphenadrine Citrate Inj 30 MG/ML,402.77,322.22,1.0,362.49,26
NDC,641618225,Orphenadrine Citrate Inj 30 MG/ML,402.44,321.96,1.0,362.2,26
NDC,641618401,Digoxin Inj 0.25 MG/ML,391.85,313.48,1.0,352.67,26
NDC,641619001,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.19,311.36,1.0,350.27,26
NDC,641619010,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.19,311.36,1.0,350.27,26
NDC,641619401,Propofol IV Emul 200 MG/20ML (10 MG/ML),389.0,311.2,1.0,350.1,26
NDC,641619410,Propofol IV Emul 200 MG/20ML (10 MG/ML),389.0,311.2,1.0,350.1,26
NDC,641620601,Hydromorphone HCl Inj 1 MG/ML,157.6,126.08,41.69,141.84,26
NDC,641620610,Hydromorphone HCl Inj 1 MG/ML,157.6,126.08,41.69,141.84,26
NDC,641621701,Methocarbamol Inj 1000 MG/10ML,404.19,323.36,1.0,363.77,26
NDC,641621725,Methocarbamol Inj 1000 MG/10ML,404.19,323.36,1.0,363.77,26
NDC,641622801,Thiamine HCl Inj 100 MG/ML,393.16,314.53,1.0,353.84,26
NDC,641622825,Thiamine HCl Inj 100 MG/ML,393.16,314.53,1.0,353.84,26
NDC,641623601,Ephedrine Sulfate Prefilled Syringe 25 MG/5ML (5 MG/ML),398.74,319.0,105.47,358.87,26
NDC,641624401,Diazepam Inj 5 MG/ML,204.79,163.84,1.0,184.31,26
NDC,641624410,Diazepam Inj 5 MG/ML,204.79,163.84,1.0,184.31,26
NDC,6417101,Measles-Mumps-Rubella-Varicella Virus Vaccines For Susp,570.71,456.57,74.35,513.64,26
NDC,641921701,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),156.16,124.93,41.3,140.54,26
NDC,641921801,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),156.44,125.16,41.38,140.8,26
NDC,641921901,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),63.0,50.4,16.66,56.7,26
NDC,641921910,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),63.0,50.4,16.66,56.7,26
NDC,64193042402,Antiinhibitor Coagulant Complex For IV Soln 1000 Unit,2.21,1.77,0.74,2.64,34
NDC,64193042602,Antiinhibitor Coagulant Complex For IV Soln 500 Unit,2.21,1.77,0.74,2.64,34
NDC,64253022233,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,1.0,0.8,0.26,1.0,26
NDC,64253022235,"Heparin Sodium (Porcine) Lock Flush IV Soln 10 Unit*,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML",0.6,0.48,0.16,1.0,26
NDC,64253022235,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,0.6,0.48,0.16,1.0,26
NDC,64253033333,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML,25.13,20.11,1.0,22.62,26
NDC,64253033335,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML,15.1,12.08,1.0,13.59,26
NDC,64253040030,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),39.71,31.77,1.0,35.74,26
NDC,64253040091,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),39.71,31.77,1.0,35.74,26
NDC,64253044422,Heparin Sodium (Porcine) Lock Flush PF IV Soln 1 Unit/ML,3.0,2.4,0.79,2.7,26
NDC,64253090030,Calcium Chloride Inj 10%,397.12,317.7,105.04,357.41,26
NDC,64281010000,Methacholine Chloride Inhal For Soln 100 MG,63.63,50.91,1.0,57.27,26
NDC,64281010006,Methacholine Chloride Inhal For Soln 100 MG,63.63,50.91,1.0,57.27,26
NDC,6432901,Pneumococcal 15-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML,570.17,456.14,191.01,513.15,34
NDC,6432903,Pneumococcal 15-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML,570.17,456.14,191.01,513.15,34
NDC,6434701,Pneumococcal 21-Valent Conjugate Vaccine Soln Pref Syr 0.5ML,613.23,490.59,205.43,551.91,34
NDC,6434799,Pneumococcal 21-Valent Conjugate Vaccine Soln Pref Syr 0.5ML,613.23,490.59,205.43,551.91,34
NDC,64370053201,Vinorelbine Tartrate Inj 10 MG/ML (Base Equiv),422.9,338.32,1.0,380.61,26
NDC,64380016901,Imipramine HCl Tab 10 MG,1.09,0.88,0.29,0.98,26
NDC,64380017001,Imipramine HCl Tab 25 MG,1.08,0.87,0.29,0.97,26
NDC,64380018302,Omeprazole-Sodium Bicarbonate Powd Pack for Susp 40-1680 MG,8.93,7.15,2.36,8.04,26
NDC,64380026101,Oxycodone HCl Tab 15 MG,1.3,1.04,0.34,1.17,26
NDC,64380072506,Mycophenolate Mofetil Tab 500 MG,1.3,1.04,0.34,1.17,26
NDC,64380073506,Hydralazine HCl Tab 50 MG,1.1,0.88,0.29,0.99,26
NDC,64380073706,Ergocalciferol Cap 1.25 MG (50000 Unit),1.17,0.94,0.31,1.05,26
NDC,64380074106,Buspirone HCl Tab 5 MG,1.05,0.84,0.28,0.95,26
NDC,64380074206,Buspirone HCl Tab 10 MG,1.08,0.87,0.29,0.97,26
NDC,64380078306,Prednisone Tab 5 MG,1.13,0.91,0.3,1.02,26
NDC,64380078308,Prednisone Tab 5 MG,1.08,0.87,0.29,0.97,26
NDC,64380078508,Prednisone Tab 20 MG,1.1,0.88,0.29,0.99,26
NDC,64380087806,Ethosuximide Cap 250 MG,1.39,1.12,0.37,1.25,26
NDC,64380088000,Sevelamer Carbonate Packet 0.8 GM,2.8,2.24,0.39,2.52,52
NDC,64380088080,Sevelamer Carbonate Packet 0.8 GM,2.8,2.24,0.39,2.52,52
NDC,64380088100,Sevelamer Carbonate Packet 2.4 GM,2.91,2.33,0.39,2.62,52
NDC,64380088180,Sevelamer Carbonate Packet 2.4 GM,2.91,2.33,0.39,2.62,52
NDC,64380088304,Cinacalcet HCl Tab 30 MG (Base Equiv),1.33,1.07,0.35,1.2,26
NDC,64380088404,Cinacalcet HCl Tab 60 MG (Base Equiv),1.71,1.37,0.45,1.54,26
NDC,64380088504,Cinacalcet HCl Tab 90 MG (Base Equiv),2.01,1.61,0.53,1.81,26
NDC,64380091806,Ursodiol Tab 250 MG,1.49,1.2,0.39,1.34,26
NDC,64380094906,Prednisone Tab 50 MG,1.25,1.0,0.33,1.13,26
NDC,64406000801,Natalizumab for IV Inj Conc 300 MG/15ML,27645.46,22116.37,22.8,24880.91,34
NDC,64406005801,Nusinersen Intrathecal Soln 12 MG/5ML (2.4 MG/ML),79837.5,63870.0,1169.8,71853.75,34
NDC,64679009601,Azacitidine For Inj 100 MG,614.32,491.46,0.37,552.89,26
NDC,64679009602,Azacitidine For Inj 100 MG,614.32,491.46,0.37,552.89,26
NDC,64679069801,Oxacillin Sodium For Inj 1 GM (Base Equivalent),393.71,314.97,1.0,354.34,26
NDC,64679069802,Oxacillin Sodium For Inj 1 GM (Base Equivalent),393.71,314.97,1.0,354.34,26
NDC,64679092402,Enalapril Maleate Tab 5 MG,1.17,0.94,0.31,1.05,26
NDC,64679098302,Ceftriaxone Sodium For Inj 1 GM,390.14,312.12,1.0,351.13,26
NDC,6468100,Measles-Mumps-Rubella Virus Vaccines For Inj Soln,448.84,359.08,1.0,403.96,26
NDC,6468101,Measles-Mumps-Rubella Virus Vaccines For Inj Soln,448.84,359.08,1.0,403.96,26
NDC,64764004613,Lansoprazole Cap Delayed Release 30 MG,13.95,11.16,3.69,12.56,26
NDC,64764017130,Dexlansoprazole Cap Delayed Release 30 MG,7.86,6.29,2.08,7.07,26
NDC,64764030020,Vedolizumab For IV Solution 300 MG,30334.35,24267.48,20.25,27300.92,34
NDC,64764054311,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,13.95,11.16,3.69,12.56,26
NDC,64764054330,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,13.95,11.16,3.69,12.56,26
NDC,64764072030,Vortioxetine HBr Tab 5 MG (Base Equiv),10.83,8.67,2.86,9.75,26
NDC,64764075030,Vortioxetine HBr Tab 20 MG (Base Equiv),10.83,8.67,2.86,9.75,26
NDC,64764080028,Maribavir Tab 200 MG,223.32,178.66,59.07,200.99,26
NDC,6482700,Varicella Virus Vac Live For Inj 1350 PFU/0.5ML,483.05,386.44,161.82,434.75,26
NDC,6483141,Hepatitis A Vaccine Inj Susp 25 Unit/0.5ML,412.93,330.35,1.0,371.64,26
NDC,6483703,Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML,293.23,234.59,98.23,263.91,34
NDC,6484100,Hepatitis A Vaccine Inj Susp 50 Unit/ML,447.12,357.7,1.0,402.41,26
NDC,64850050001,Amphetamine-Dextroamphetamine Tab 5 MG,1.19,0.96,0.31,1.07,26
NDC,64850050201,Amphetamine-Dextroamphetamine Tab 10 MG,1.19,0.96,0.31,1.07,26
NDC,64896066101,Carbidopa & Levodopa Cap ER 23.75-95 MG,4.85,3.88,1.28,4.37,26
NDC,64896066201,Carbidopa & Levodopa Cap ER 36.25-145 MG,4.85,3.88,1.28,4.37,26
NDC,64896066301,Carbidopa & Levodopa Cap ER 48.75-195 MG,4.85,3.88,1.28,4.37,26
NDC,6489700,Haemophilus B Polysaccharide Conj Vac IM Susp 7.5 MCG/0.5 ML,410.41,328.33,1.0,369.37,26
NDC,64950021610,Isoniazid Tab 100 MG,2.65,2.12,0.7,2.39,26
NDC,64950021703,Isoniazid Tab 300 MG,4.25,3.4,1.12,3.83,26
NDC,64950021710,Isoniazid Tab 300 MG,3.71,2.97,0.98,3.34,26
NDC,64950034316,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,26.15,20.92,6.92,23.54,26
NDC,64950035405,Oxycodone HCl Soln 5 MG/5ML,4.82,3.86,1.27,4.34,26
NDC,64950035455,Oxycodone HCl Soln 5 MG/5ML,6.16,4.93,1.63,5.54,26
NDC,64950036204,Cocaine HCl Nasal Soln 40 MG/ML (4%),191.59,153.28,1.56,172.43,26
NDC,64980010401,Pot Phos Monobasic w/Sod Phos Di & Monobas Tab 155-852-130MG,1.31,1.05,0.35,1.18,26
NDC,64980013301,Dipyridamole Tab 25 MG,1.37,1.1,0.36,1.23,26
NDC,64980017802,Chloroquine Phosphate Tab 500 MG,10.4,8.32,2.75,9.36,26
NDC,64980028203,Mesalamine Suppos 1000 MG,7.71,6.17,2.04,6.94,26
NDC,64980028296,Mesalamine Suppos 1000 MG,7.71,6.17,2.04,6.94,26
NDC,64980030130,Hydrocortisone Perianal Cream 2.5%,28.57,22.86,7.56,25.71,26
NDC,64980032005,Triamcinolone Acetonide Dental Paste 0.1%,49.92,39.94,13.2,44.93,26
NDC,64980032430,Hydrocortisone Perianal Cream 2.5%,69.37,55.5,18.35,62.43,26
NDC,64980034001,Alendronate Sodium Tab 10 MG,1.1,0.88,0.29,0.99,26
NDC,64980037303,Atomoxetine HCl Cap 10 MG (Base Equiv),2.13,1.71,0.56,1.92,26
NDC,64980037503,Atomoxetine HCl Cap 25 MG (Base Equiv),1.63,1.31,0.43,1.47,26
NDC,64980037603,Atomoxetine HCl Cap 40 MG (Base Equiv),1.99,1.6,0.53,1.79,26
NDC,64980037703,Atomoxetine HCl Cap 60 MG (Base Equiv),1.94,1.56,0.51,1.75,26
NDC,64980040310,Cefpodoxime Proxetil For Susp 100 MG/5ML,30.23,24.19,8.0,27.21,26
NDC,64980040350,Cefpodoxime Proxetil For Susp 100 MG/5ML,30.38,24.31,8.04,27.34,26
NDC,64980044301,Albuterol Sulfate Tab 4 MG,1.93,1.55,0.51,1.74,26
NDC,64980051305,Timolol Maleate Ophth Soln 0.25%,29.83,23.87,7.89,26.85,26
NDC,64980051405,Timolol Maleate Ophth Soln 0.5%,29.46,23.57,7.79,26.51,26
NDC,64980051501,Ofloxacin Ophth Soln 0.3%,49.72,39.78,13.15,44.75,26
NDC,64980051505,Ofloxacin Ophth Soln 0.3%,31.0,24.8,8.2,27.9,26
NDC,64980052660,Nitazoxanide Tab 500 MG,121.67,97.34,32.18,109.5,26
NDC,64980052810,Sodium Bicarbonate Tab 650 MG,1.01,0.81,0.27,0.91,26
NDC,6499200,Hepatitis B Vaccine (Recombinant) Susp 40 MCG/ML,486.59,389.28,133.71,437.93,34
NDC,6499541,Hepatitis B Vaccine (Recombinant) Susp 10 MCG/ML,419.75,335.8,66.86,377.78,34
NDC,65002315,Carbachol Intraocular Inj 0.01%,33.23,26.59,8.79,29.91,26
NDC,65009265,Fluorescein Sodium IV Soln 10%,421.15,336.92,111.39,379.04,26
NDC,65035902,Cyclopentolate w/ Phenylephrine Ophth Soln 0.2-1%,6.95,5.56,1.84,6.26,26
NDC,65035905,Cyclopentolate w/ Phenylephrine Ophth Soln 0.2-1%,51.45,41.16,13.61,46.31,26
NDC,65039602,Cyclopentolate HCl Ophth Soln 1%,26.46,21.17,7.0,23.81,26
NDC,65039605,Cyclopentolate HCl Ophth Soln 1%,69.57,55.66,18.4,62.61,26
NDC,65041130,Povidone-Iodine Ophth Soln 5%,33.64,26.92,8.9,30.28,26
NDC,65042915,Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%,8.07,6.46,2.13,7.26,26
NDC,65042930,Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%,17.2,13.76,4.55,15.48,26
NDC,65050935,White Petrolatum-Mineral Oil Ophth Ointment,10.41,8.33,2.75,9.37,26
NDC,65074114,Tetracaine HCl Ophth Soln 0.5%,5.65,4.52,1.49,5.09,26
NDC,65079515,Ophthalmic Irrigation Solution - Intraocular,394.12,315.3,104.24,354.71,26
NDC,65079550,Ophthalmic Irrigation Solution - Intraocular,393.5,314.8,104.08,354.15,26
NDC,65080050,Ophthalmic Irrigation Solution - Intraocular,448.0,358.4,118.5,403.2,26
NDC,65145012901,Thiamine HCl Inj 100 MG/ML,390.58,312.47,1.0,351.52,26
NDC,65145014601,Ketorolac Tromethamine Inj 15 MG/ML,389.81,311.85,0.29,350.83,34
NDC,65145014625,Ketorolac Tromethamine Inj 15 MG/ML,389.81,311.85,0.29,350.83,34
NDC,65145017501,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,402.7,322.16,1.0,362.43,26
NDC,65162002609,Lisdexamfetamine Dimesylate Cap 50 MG,3.78,3.03,1.0,3.4,26
NDC,65162004710,Oxycodone HCl Tab 5 MG,1.09,0.88,0.29,0.98,26
NDC,65162004910,Oxycodone HCl Tab 15 MG,1.18,0.95,0.31,1.06,26
NDC,65162005703,Raloxifene HCl Tab 60 MG,2.74,2.2,0.72,2.47,26
NDC,65162005827,Sevelamer Carbonate Tab 800 MG,1.33,1.07,0.13,1.2,52
NDC,65162018810,Naproxen Tab 250 MG,1.03,0.83,0.27,0.93,26
NDC,65162027210,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.06,0.85,0.28,0.95,26
NDC,65162027250,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.05,0.84,0.28,0.95,26
NDC,65162028103,Paliperidone Tab ER 24HR 3 MG,2.61,2.09,0.69,2.35,26
NDC,65162035109,Sildenafil Citrate Tab 20 MG,1.13,0.91,0.3,1.02,26
NDC,65162036111,Folic Acid Tab 1 MG,1.02,0.82,0.27,0.92,26
NDC,65162037210,Oxybutynin Chloride Tab ER 24HR 10 MG,1.17,0.94,0.31,1.05,26
NDC,65162044210,Meclizine HCl Tab 25 MG,1.13,0.91,0.3,1.02,26
NDC,65162046410,Ibuprofen Tab 400 MG,1.07,0.86,0.28,0.96,26
NDC,65162050606,Indomethacin Cap ER 75 MG,2.09,1.68,0.55,1.88,26
NDC,65162055310,Metaxalone Tab 800 MG,4.07,3.26,1.08,3.66,26
NDC,65162055410,Demeclocycline HCl Tab 150 MG,4.79,3.84,1.27,4.31,26
NDC,65162057310,Bethanechol Chloride Tab 25 MG,1.45,1.16,0.38,1.31,26
NDC,65162062750,Tramadol HCl Tab 50 MG,1.02,0.82,0.27,0.92,26
NDC,65162064978,Oxcarbazepine Susp 300 MG/5ML (60 MG/ML),27.93,22.35,7.39,25.14,26
NDC,65162067384,Risperidone Soln 1 MG/ML,25.08,20.07,6.63,22.57,26
NDC,65162068110,Phenazopyridine HCl Tab 100 MG,1.3,1.04,0.34,1.17,26
NDC,65162068210,Phenazopyridine HCl Tab 200 MG,1.36,1.09,0.36,1.22,26
NDC,65162069179,Ondansetron HCl Oral Soln 4 MG/5ML,25.79,20.64,1.0,23.21,26
NDC,65162073409,Felbamate Tab 400 MG,4.9,3.92,1.3,4.41,26
NDC,65162075510,Divalproex Sodium Tab ER 24 HR 250 MG,1.27,1.02,0.34,1.14,26
NDC,65162075750,Divalproex Sodium Tab ER 24 HR 500 MG,1.21,0.97,0.32,1.09,26
NDC,65162076310,Warfarin Sodium Tab 2.5 MG,1.25,1.0,0.33,1.13,26
NDC,65162077810,Budesonide Delayed Release Particles Cap 3 MG,4.27,3.42,1.13,3.84,26
NDC,65162080314,Temozolomide Cap 100 MG,6.74,5.4,1.0,6.07,26
NDC,65162080710,Progesterone Cap 100 MG,1.57,1.26,0.42,1.41,26
NDC,65162083614,Acyclovir Cream 5%,185.64,148.52,49.1,167.08,26
NDC,65162089374,Aripiprazole Oral Solution 1 MG/ML,753.7,602.96,199.35,678.33,26
NDC,65162089603,Aripiprazole Tab 2 MG,3.99,3.2,1.06,3.59,26
NDC,65162089703,Aripiprazole Tab 5 MG,3.23,2.59,0.85,2.91,26
NDC,65162089709,Aripiprazole Tab 5 MG,1.28,1.03,0.34,1.15,26
NDC,65162090203,Aripiprazole Tab 30 MG,4.24,3.4,1.12,3.82,26
NDC,65162091322,Voriconazole For Susp 40 MG/ML,54.74,43.8,14.48,49.27,26
NDC,65162091446,Tobramycin Nebu Soln 300 MG/5ML,16.76,13.41,5.61,21.79,26
NDC,65162094903,Lamotrigine Tab ER 24HR 25 MG,1.88,1.51,0.5,1.69,26
NDC,65162095803,Lamotrigine Tab ER 24HR 100 MG,2.7,2.16,0.71,2.43,26
NDC,65162099304,Estradiol TD Patch Twice Weekly 0.05 MG/24HR,8.24,6.6,2.18,7.42,26
NDC,65162099308,Estradiol TD Patch Twice Weekly 0.05 MG/24HR,8.24,6.6,2.18,7.42,26
NDC,65179504,Ophthalmic Irrigation Solution - Intraocular,399.0,319.2,105.54,359.1,26
NDC,65219001401,Ampicillin Sodium For Inj 250 MG,391.08,312.87,1.0,351.97,26
NDC,65219001410,Ampicillin Sodium For Inj 250 MG,391.08,312.87,1.0,351.97,26
NDC,65219001601,Ampicillin Sodium For Inj 500 MG,391.28,313.03,1.0,352.15,26
NDC,65219001610,Ampicillin Sodium For Inj 500 MG,391.28,313.03,1.0,352.15,26
NDC,65219002003,Ampicillin Sodium For Inj 2 GM,396.37,317.1,1.0,356.73,26
NDC,65219002003,"Ampicillin Sodium For Inj 2 GM,Ampicillin Sodium For IV Soln 2 GM",396.37,317.1,1.0,356.73,26
NDC,65219002023,Ampicillin Sodium For Inj 2 GM,396.37,317.1,1.0,356.73,26
NDC,65219002023,"Ampicillin Sodium For Inj 2 GM,Ampicillin Sodium For IV Soln 2 GM",396.37,317.1,1.0,356.73,26
NDC,65219005209,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),411.24,329.0,108.77,370.12,26
NDC,65219005229,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),411.24,329.0,108.77,370.12,26
NDC,65219005409,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),426.14,340.92,112.71,383.53,26
NDC,65219005429,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),426.14,340.92,112.71,383.53,26
NDC,65219005609,Potassium Phosphates Inj 150 mM/50ML (Phos) 220 mEq/50ML (K),489.7,391.76,129.53,440.73,26
NDC,65219037110,Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML,2339.71,1871.77,175.66,2105.74,34
NDC,65219038030,Allopurinol Sodium For Inj 500 MG,5995.14,4796.12,4.48,5395.63,34
NDC,65219043301,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),390.81,312.65,103.37,351.73,26
NDC,65219043315,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),390.81,312.65,103.37,351.73,26
NDC,65219044702,Etomidate IV Soln 2 MG/ML,392.52,314.02,103.82,353.27,26
NDC,65219044720,Etomidate IV Soln 2 MG/ML,392.52,314.02,103.82,353.27,26
NDC,65219053101,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,399.4,319.52,105.64,359.46,26
NDC,65219059004,Tocilizumab-aazg IV Inj 80 MG/4ML,1135.67,908.54,4.19,1022.1,34
NDC,65219059210,Tocilizumab-aazg IV Inj 200 MG/10ML,2614.14,2091.32,4.19,2352.73,34
NDC,65219062202,Acyclovir Sodium IV Soln 50 MG/ML,403.23,322.59,1.0,362.91,26
NDC,65250013309,Bupivacaine Liposome Inj 1.3% (13.3 MG/ML),150.0,120.0,1.4,135.0,34
NDC,65250026609,Bupivacaine Liposome Inj 1.3% (13.3 MG/ML),150.0,120.0,1.4,135.0,34
NDC,65302050410,Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML),398.7,318.96,1.0,358.83,26
NDC,65302050710,Epinephrine Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),394.28,315.43,1.0,354.85,26
NDC,65302051005,Rocuronium Bromide IV Soln Pref Syringe 50 MG/5ML (10 MG/ML),398.46,318.77,105.39,358.61,26
NDC,65302052815,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),38.5,30.8,0.15,34.65,26
NDC,65401105,Ketotifen Fumarate Ophth Soln 0.035%,36.89,29.52,9.76,33.2,26
NDC,65414727,Brinzolamide-Brimonidine Tartrate Ophth Susp 1-0.2%,206.35,165.08,54.58,185.72,26
NDC,6542302,Sugammadex Sodium IV 200 MG/2ML (Base Equivalent),525.19,420.16,1.0,472.67,26
NDC,6542312,Sugammadex Sodium IV 200 MG/2ML (Base Equivalent),525.19,420.16,1.0,472.67,26
NDC,65427401,Olopatadine HCl Ophth Soln 0.1% (Base Equivalent),13.92,11.14,3.68,12.53,26
NDC,65597020230,Edoxaban Tosylate Tab 30 MG (Base Equivalent),8.88,7.11,2.35,7.99,26
NDC,65597040601,Fam-Trastuzumab Deruxtecan-nxki For IV Soln 100 MG,8285.9,6628.72,26.38,7457.31,34
NDC,65597090230,Colesevelam HCl Packet For Susp 3.75 GM,21.73,17.39,5.75,19.56,26
NDC,65628005001,Diphenhyd-Lido-Al Hydrox-Mg Hydrox-Simeth Susp (Cmpd Kit),44.43,35.55,11.75,39.99,26
NDC,65628007003,Omeprazole Susp 2 MG/ML (Compound Kit),26.82,21.46,7.09,24.14,26
NDC,65628007005,Omeprazole Susp 2 MG/ML (Compound Kit),26.49,21.2,7.01,23.84,26
NDC,65628007010,Omeprazole Susp 2 MG/ML (Compound Kit),25.04,20.04,6.62,22.54,26
NDC,65628008003,Lansoprazole Susp 3 MG/ML (Compound Kit),28.77,23.02,7.61,25.89,26
NDC,65628008010,Lansoprazole Susp 3 MG/ML (Compound Kit),27.53,22.03,7.28,24.78,26
NDC,65628010104,Baclofen Oral Susp 5 MG/ML (Cmpd Kit),65.44,52.36,17.31,58.9,26
NDC,65628020205,Metronidazole Benzoate For Susp 50 MG/ML (Cmpd Kit),26.77,21.42,7.08,24.09,26
NDC,65628020810,Vancomycin HCl For Oral Soln 50 MG/ML (Base Equivalent),26.86,21.49,7.1,24.17,26
NDC,65628027210,Omeprazole-Sodium Bicarbonate for Oral Susp 2-84 MG/ML,30.42,24.34,8.05,27.38,26
NDC,65649010302,Mesalamine Cap ER 24HR 0.375 GM,3.96,3.17,1.05,3.56,26
NDC,65649030103,Rifaximin Tab 200 MG,15.99,12.8,4.23,14.39,26
NDC,65649030302,Rifaximin Tab 550 MG,51.51,41.21,13.62,46.36,26
NDC,65649030303,Rifaximin Tab 550 MG,51.51,41.21,13.62,46.36,26
NDC,65649031112,Chlorothiazide Susp 250 MG/5ML,41.35,33.08,10.94,37.22,26
NDC,65649050130,Hydrocortisone Perianal Cream 1%,71.11,56.89,18.81,64.0,26
NDC,65649055102,Methylnaltrexone Bromide Inj 12 MG/0.6ML (20 MG/ML),179.23,143.39,1.15,161.31,26
NDC,65649055204,Methylnaltrexone Bromide Inj 8 MG/0.4ML (20 MG/ML),491.0,392.8,1.15,441.9,26
NDC,65757030001,Naltrexone For IM Extended Release Susp 380 MG,4436.91,3549.53,3.96,3993.22,34
NDC,65757040203,Aripiprazole Lauroxil IM ER Susp Prefilled Syr 662 MG/2.4ML,7253.92,5803.14,3.11,6528.53,34
NDC,65806401,Hypromellose Ophth Gel 0.3%,8.3,6.64,2.2,7.47,26
NDC,65815001,Olopatadine HCl Ophth Soln 0.2% (Base Equivalent),17.68,14.15,4.68,15.91,26
NDC,65862001105,Sertraline HCl Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,65862001205,Sertraline HCl Tab 50 MG,1.08,0.87,0.29,0.97,26
NDC,65862001305,Sertraline HCl Tab 100 MG,1.08,0.87,0.29,0.97,26
NDC,65862001501,Amoxicillin (Trihydrate) Tab 875 MG,1.12,0.9,0.3,1.01,26
NDC,65862002106,Mirtazapine Orally Disintegrating Tab 15 MG,1.6,1.28,0.42,1.44,26
NDC,65862004824,Zidovudine Syrup 10 MG/ML,51.88,41.51,13.72,46.69,26
NDC,65862005724,Nevirapine Susp 50 MG/5ML,25.59,20.48,6.77,23.03,26
NDC,65862006299,Metoprolol Tartrate Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,65862007175,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,29.43,23.55,7.78,26.49,26
NDC,65862007424,Citalopram Hydrobromide Oral Soln 10 MG/5ML,25.53,20.43,6.75,22.98,26
NDC,65862007601,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.13,0.91,0.3,1.02,26
NDC,65862007701,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.08,0.87,0.29,0.97,26
NDC,65862007930,Terbinafine HCl Tab 250 MG,1.24,1.0,0.33,1.12,26
NDC,65862009520,Cefpodoxime Proxetil Tab 100 MG,2.94,2.36,0.78,2.65,26
NDC,65862010701,Zidovudine Cap 100 MG,2.14,1.72,0.57,1.93,26
NDC,65862011601,Benazepril HCl Tab 10 MG,1.06,0.85,0.28,0.95,26
NDC,65862014636,Sumatriptan Succinate Tab 25 MG,2.67,2.14,0.71,2.4,26
NDC,65862014736,Sumatriptan Succinate Tab 50 MG,1.53,1.23,0.4,1.38,26
NDC,65862016801,Atenolol Tab 25 MG,1.02,0.82,0.27,0.92,26
NDC,65862016899,Atenolol Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,65862016999,Atenolol Tab 50 MG,1.03,0.83,0.27,0.93,26
NDC,65862017501,Penicillin V Potassium Tab 250 MG,1.07,0.86,0.28,0.96,26
NDC,65862017601,Penicillin V Potassium Tab 500 MG,1.1,0.88,0.29,0.99,26
NDC,65862017760,Cefdinir Cap 300 MG,1.75,1.4,0.46,1.58,26
NDC,65862018501,Clindamycin HCl Cap 150 MG,1.18,0.95,0.31,1.06,26
NDC,65862018730,Ondansetron HCl Tab 4 MG,1.17,0.94,0.31,1.05,26
NDC,65862019301,Fluoxetine HCl Cap 20 MG,1.02,0.82,0.27,0.92,26
NDC,65862019399,Fluoxetine HCl Cap 20 MG,1.04,0.84,0.28,0.94,26
NDC,65862020190,Losartan Potassium Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,65862020290,Losartan Potassium Tab 50 MG,1.05,0.84,0.28,0.95,26
NDC,65862020299,Losartan Potassium Tab 50 MG,1.04,0.84,0.28,0.94,26
NDC,65862020390,Losartan Potassium Tab 100 MG,1.08,0.87,0.29,0.97,26
NDC,65862020399,Losartan Potassium Tab 100 MG,1.06,0.85,0.28,0.95,26
NDC,65862020768,Ribavirin Tab 200 MG,1.48,1.19,0.39,1.33,26
NDC,65862021901,Cefdinir For Susp 250 MG/5ML,26.17,20.94,6.92,23.55,26
NDC,65862022660,Clarithromycin Tab 500 MG,1.87,1.5,0.49,1.68,26
NDC,65862022701,Lamotrigine Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,65862022801,Lamotrigine Tab 100 MG,1.04,0.84,0.28,0.94,26
NDC,65862022960,Lamotrigine Tab 150 MG,1.05,0.84,0.28,0.95,26
NDC,65862025047,Levetiracetam Oral Soln 100 MG/ML,25.12,20.1,6.64,22.61,26
NDC,65862029390,Rosuvastatin Calcium Tab 5 MG,1.1,0.88,0.29,0.99,26
NDC,65862029490,Rosuvastatin Calcium Tab 10 MG,1.1,0.88,0.29,0.99,26
NDC,65862032804,Alendronate Sodium Tab 35 MG,1.81,1.45,0.48,1.63,26
NDC,65862036101,Lamotrigine Tab Chewable Dispersible 5 MG,1.22,0.98,0.32,1.1,26
NDC,65862036201,Lamotrigine Tab Chewable Dispersible 25 MG,1.29,1.04,0.34,1.16,26
NDC,65862037401,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.08,0.87,0.29,0.97,26
NDC,65862037501,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.1,0.88,0.29,0.99,26
NDC,65862039010,Ondansetron Orally Disintegrating Tab 4 MG,1.57,1.26,0.53,21.06,26
NDC,65862045460,Alprazolam Tab ER 24HR 0.5 MG,1.31,1.05,0.35,1.18,26
NDC,65862047401,Ramipril Cap 1.25 MG,1.08,0.87,0.29,0.97,26
NDC,65862047701,Ramipril Cap 10 MG,1.06,0.85,0.28,0.95,26
NDC,65862049647,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,26.81,21.45,7.09,24.13,26
NDC,65862052730,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.14,0.92,0.3,1.03,26
NDC,65862052830,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.19,0.96,0.31,1.07,26
NDC,65862052890,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.16,0.93,0.31,1.04,26
NDC,65862053301,Amoxicillin & K Clavulanate For Susp 200-28.5 MG/5ML,28.6,22.88,7.56,25.74,26
NDC,65862053475,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,29.95,23.96,7.92,26.96,26
NDC,65862053513,Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML,34.63,27.71,9.16,31.17,26
NDC,65862053750,Levofloxacin Tab 500 MG,1.8,1.44,0.48,1.62,26
NDC,65862053820,Levofloxacin Tab 750 MG,1.74,1.4,0.46,1.57,26
NDC,65862055990,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.1,0.88,0.29,0.99,26
NDC,65862056090,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.06,0.85,0.28,0.95,26
NDC,65862057290,Valsartan Tab 160 MG,1.39,1.12,0.37,1.25,26
NDC,65862059601,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),26.3,21.04,6.96,23.67,26
NDC,65862059801,Tamsulosin HCl Cap 0.4 MG,1.09,0.88,0.29,0.98,26
NDC,65862060003,Rizatriptan Benzoate Tab 10 MG (Base Equivalent),1.88,1.51,0.5,1.69,26
NDC,65862060012,Rizatriptan Benzoate Tab 10 MG (Base Equivalent),1.88,1.51,0.5,1.69,26
NDC,65862060330,Moxifloxacin HCl Tab 400 MG (Base Equiv),7.25,5.8,1.92,6.53,26
NDC,65862064860,Rivastigmine Tartrate Cap 1.5 MG (Base Equivalent),1.79,1.44,0.47,1.61,26
NDC,65862064960,Rivastigmine Tartrate Cap 3 MG (Base Equivalent),1.47,1.18,0.39,1.32,26
NDC,65862067601,Alprazolam Tab 0.25 MG,1.04,0.84,0.28,0.94,26
NDC,65862067701,Alprazolam Tab 0.5 MG,1.04,0.84,0.28,0.94,26
NDC,65862067801,Alprazolam Tab 1 MG,1.03,0.83,0.27,0.93,26
NDC,65862068730,Ritonavir Tab 100 MG,2.42,1.94,0.64,2.18,26
NDC,65862069201,Phenytoin Sodium Extended Cap 100 MG,1.31,1.05,0.35,1.18,26
NDC,65862069730,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.19,0.96,0.31,1.07,26
NDC,65862069790,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.11,0.89,0.29,1.0,26
NDC,65862069920,Cefuroxime Axetil Tab 250 MG,2.27,1.82,0.6,2.04,26
NDC,65862069960,Cefuroxime Axetil Tab 250 MG,1.61,1.29,0.43,1.45,26
NDC,65862070020,Cefuroxime Axetil Tab 500 MG,1.89,1.52,0.5,1.7,26
NDC,65862070060,Cefuroxime Axetil Tab 500 MG,1.25,1.0,0.33,1.13,26
NDC,65862075250,Cefixime For Susp 200 MG/5ML,54.61,43.69,14.44,49.15,26
NDC,65862078201,Methenamine Hippurate Tab 1 GM,1.71,1.37,0.45,1.54,26
NDC,65862088060,Tadalafil Tab 20 MG (PAH),1.75,1.4,0.46,1.58,26
NDC,65862089510,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,5.91,4.73,1.56,5.32,26
NDC,65862089578,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,5.91,4.73,1.56,5.32,26
NDC,65862089610,Lansoprazole Tab Delayed Release Orally Disintegrating 30 MG,5.14,4.12,1.36,4.63,26
NDC,65862089678,Lansoprazole Tab Delayed Release Orally Disintegrating 30 MG,5.14,4.12,1.36,4.63,26
NDC,65862092127,Sevelamer Carbonate Tab 800 MG,1.29,1.04,0.13,1.16,52
NDC,65862093008,Sevelamer Carbonate Packet 0.8 GM,10.89,8.72,0.39,9.8,52
NDC,65862093090,Sevelamer Carbonate Packet 0.8 GM,10.89,8.72,0.39,9.8,52
NDC,65862093921,Norethindrone Ace & Ethinyl Estradiol Tab 1 MG-20 MCG,1.27,1.02,0.34,1.14,26
NDC,65862093988,Norethindrone Ace & Ethinyl Estradiol Tab 1 MG-20 MCG,1.27,1.02,0.34,1.14,26
NDC,65862094601,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,43.56,34.85,11.52,39.2,26
NDC,65924007,Difluprednate Ophth Emulsion 0.05%,171.35,137.08,45.32,154.22,26
NDC,66215010103,Bosentan Tab 62.5 MG,153.1,122.48,40.49,137.79,26
NDC,66215010106,Bosentan Tab 62.5 MG,153.1,122.48,40.49,137.79,26
NDC,66220020730,Acetylcysteine Inj 200 MG/ML,824.1,659.28,1.0,741.69,26
NDC,66220063731,Granisetron TD Patch 3.1 MG/24HR (Contains 34.3 MG),615.28,492.23,162.74,553.75,26
NDC,66220071930,Lactulose Oral Crystal Packet 10 GM,6.39,5.12,1.69,5.75,26
NDC,66220072930,Lactulose Oral Crystal Packet 20 GM,6.39,5.12,1.69,5.75,26
NDC,66267081204,Prednisone Tab 10 MG,24.96,19.97,6.6,22.46,52
NDC,66288110001,Cefazolin Sodium (Bulk) For Inj 100 GM,389.43,311.55,1.0,350.49,26
NDC,66288130001,Cefazolin Sodium (Bulk) For Inj 300 GM,389.4,311.52,1.0,350.46,26
NDC,66302001401,Dinutuximab IV Soln 17.5 MG/5ML (3.5 MG/ML),44802.85,35842.28,11850.35,40322.57,26
NDC,66302011001,Treprostinil Inj Soln 200 MG/20ML (10 MG/ML),47899.5,38319.6,51.97,43109.55,34
NDC,66490065020,Diazepam Rectal Gel Delivery System 2.5 MG,134.43,107.55,35.56,120.99,26
NDC,66621079001,Crotalidae Immune F(ab')2 (Equine) For IV Infusion,4115.64,3292.52,992.89,3704.08,34
NDC,66621079002,Crotalidae Immune F(ab')2 (Equine) For IV Infusion,4115.64,3292.52,992.89,3704.08,34
NDC,66658023001,Palivizumab IM Soln 50 MG/0.5ML,6247.91,4998.33,339.68,5623.12,34
NDC,66658023101,Palivizumab IM Soln 100 MG/ML,11664.58,9331.67,339.68,10498.12,34
NDC,66658023401,Anakinra Subcutaneous Soln Prefilled Syringe 100 MG/0.67ML,664.73,531.79,1.0,598.26,26
NDC,66658023407,Anakinra Subcutaneous Soln Prefilled Syringe 100 MG/0.67ML,664.73,531.79,1.0,598.26,26
NDC,66658050101,Emapalumab-lzsg IV Soln 10 MG/2ML,23529.3,18823.44,365.61,21176.37,34
NDC,66658050501,Emapalumab-lzsg IV Soln 50 MG/10ML,50805.15,40644.12,365.61,45724.64,34
NDC,66658051001,Emapalumab-lzsg IV Soln 100 MG/20ML,50805.15,40644.12,365.61,45724.64,34
NDC,66685042100,Omeprazole Cap Delayed Release 10 MG,3.33,2.67,0.88,3.0,26
NDC,66685101202,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,45.3,36.24,11.98,40.77,26
NDC,66689000816,Nystatin Susp 100000 Unit/ML,25.05,20.04,6.63,22.55,26
NDC,66689005301,Magnesium Hydroxide Susp 400 MG/5ML,2.71,2.17,0.72,2.44,26
NDC,66689010601,Chlorhexidine Gluconate Soln 0.12%,2.34,1.88,0.62,2.11,26
NDC,66689020204,Charcoal Activated Liq,19.36,15.49,5.12,17.42,26
NDC,66689040150,Oxycodone HCl Soln 5 MG/5ML,1.25,1.0,0.33,1.13,26
NDC,66689077508,Phenytoin Susp 125 MG/5ML,25.38,20.31,6.71,22.84,26
NDC,66733094823,Cetuximab IV Soln 100 MG/50ML (2 MG/ML),2131.6,1705.28,72.28,1918.44,34
NDC,66733095823,Cetuximab IV Soln 200 MG/100ML (2 MG/ML),4013.2,3210.56,72.28,3611.88,34
NDC,66758005001,Docetaxel Soln for IV Infusion 20 MG/2ML,493.67,394.94,1.0,444.3,26
NDC,66758005002,Docetaxel Soln for IV Infusion 80 MG/8ML,1356.03,1084.83,1.0,1220.43,26
NDC,66758005003,Docetaxel Soln for IV Infusion 160 MG/16ML,2178.08,1742.47,1.0,1960.27,26
NDC,66794001710,Isoflurane Inhal Soln,395.5,316.4,104.61,355.95,26
NDC,66794015101,Baclofen Intrathecal Soln Prefilled Syringe 50 MCG/ML,462.44,369.96,1.0,416.2,26
NDC,66794015501,Baclofen Intrathecal Soln Prefilled Syringe 10000 MCG/20ML,774.75,619.8,172.16,697.28,34
NDC,66794015601,Baclofen Intrathecal Soln Prefilled Syringe 20000 MCG/20ML,1381.65,1105.32,172.16,1243.49,34
NDC,66794015701,Baclofen Intrathecal Soln Prefilled Syringe 40000 MCG/20ML,2466.93,1973.55,172.16,2220.24,34
NDC,66794016002,Morphine Sulf For Microinfusion PF Inj 200 MG/20ML (10MG/ML),563.94,451.16,1.0,507.55,26
NDC,66794016202,Morphine Sulf For Microinfusion PF Inj 500 MG/20ML (25MG/ML),1191.32,953.06,1.0,1072.19,26
NDC,66794020602,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,393.9,315.12,1.0,354.51,26
NDC,66794020641,Ampicillin & Sulbactam Sodium For Inj 1-0.5 GM,393.9,315.12,1.0,354.51,26
NDC,66794020641,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,393.9,315.12,1.0,354.51,26
NDC,66794020702,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,396.95,317.56,1.0,357.26,26
NDC,66794020741,Ampicillin & Sulbactam Sodium For Inj 2-1 GM,396.95,317.56,1.0,357.26,26
NDC,66794020741,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,396.95,317.56,1.0,357.26,26
NDC,66794020815,Ampicillin & Sulbactam Sodium For IV Soln 15 (10-5) GM,446.9,357.52,1.0,402.21,26
NDC,66794021943,Linezolid IV Soln 600 MG/300ML (2 MG/ML),396.5,317.2,1.0,356.85,26
NDC,66794021963,Linezolid IV Soln 600 MG/300ML (2 MG/ML),396.5,317.2,1.0,356.85,26
NDC,66794023002,Dexmedetomidine HCl IV Soln 200 MCG/2ML,392.24,313.8,103.75,353.02,26
NDC,66794023042,Dexmedetomidine HCl IV Soln 200 MCG/2ML,391.31,313.05,103.5,352.18,26
NDC,66794023702,Doxycycline Hyclate For Inj 100 MG,400.56,320.45,105.95,360.5,26
NDC,66794025502,Zinc Sulfate Inj 1 MG/ML,404.55,323.64,107.0,364.1,26
NDC,66794025542,Zinc Sulfate Inj 1 MG/ML,404.55,323.64,107.0,364.1,26
NDC,66794025961,Edaravone Inj 30 MG/100ML (0.3 MG/ML),2650.4,2120.32,19.94,2385.36,34
NDC,66794025964,Edaravone Inj 30 MG/100ML (0.3 MG/ML),2650.4,2120.32,19.94,2385.36,34
NDC,66887000301,Collagenase Clostridium Histolyticum For Inj 0.9 MG,20504.02,16403.22,67.75,18453.62,34
NDC,66993000210,Estradiol Vaginal Cream 0.1 MG/GM,102.73,82.19,27.17,92.46,26
NDC,66993001968,Albuterol Sulfate Inhal Aero 108 MCG/ACT,83.62,66.9,22.12,75.26,26
NDC,66993001968,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),83.62,66.9,22.12,75.26,26
NDC,66993002127,Levalbuterol HCl Soln Nebu 0.31 MG/3ML (Base Equiv),4.84,3.88,1.28,4.36,26
NDC,66993002135,Levalbuterol HCl Soln Nebu 0.31 MG/3ML (Base Equiv),4.84,3.88,1.28,4.36,26
NDC,66993002227,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),4.84,3.88,0.05,4.36,26
NDC,66993005702,Hydroxychloroquine Sulfate Tab 200 MG,1.94,1.56,0.51,1.75,26
NDC,66993005704,Hydroxychloroquine Sulfate Tab 200 MG,2.82,2.26,0.75,2.54,26
NDC,66993006027,Atovaquone-Proguanil HCl Tab 250-100 MG,5.58,4.47,1.48,5.02,26
NDC,66993008269,Sumatriptan Nasal Spray 20 MG/ACT,68.59,54.88,18.14,61.73,26
NDC,66993034330,Eplerenone Tab 25 MG,1.84,1.48,0.49,1.66,26
NDC,66993034385,Eplerenone Tab 25 MG,1.74,1.4,0.46,1.57,26
NDC,66993037083,Medroxyprogesterone Acetate IM Susp 150 MG/ML,425.74,340.6,1.0,383.17,26
NDC,66993040732,Carbamazepine Cap ER 12HR 100 MG,2.32,1.86,0.61,2.09,26
NDC,66993042247,Lanthanum Carbonate Chew Tab 500 MG (Elemental),7.97,6.38,0.06,7.17,52
NDC,66993042285,Lanthanum Carbonate Chew Tab 500 MG (Elemental),7.97,6.38,0.06,7.17,52
NDC,66993045630,Dapagliflozin Propanediol Tab 5 MG (Base Equivalent),12.7,10.16,3.36,11.43,26
NDC,66993045730,Dapagliflozin Propanediol Tab 10 MG (Base Equivalent),12.69,10.16,3.36,11.42,26
NDC,66993048983,Dactinomycin For Inj 0.5 MG,5223.68,4178.95,311.92,4701.31,34
NDC,66993049036,Ibuprofen Lysine IV Soln 10 MG/ML (Base Equivalent),1027.35,821.88,1.0,924.62,26
NDC,66993049084,Ibuprofen Lysine IV Soln 10 MG/ML (Base Equivalent),1027.35,821.88,1.0,924.62,26
NDC,66993066130,Raloxifene HCl Tab 60 MG,2.3,1.84,0.61,2.07,26
NDC,66993083102,Triamterene Cap 50 MG,8.62,6.9,2.28,7.76,26
NDC,66993087761,Calcipotriene Cream 0.005%,355.42,284.34,94.01,319.88,26
NDC,66993094748,Clocortolone Pivalate Cream 0.1%,274.57,219.66,72.62,247.11,26
NDC,66993096045,Metronidazole Cream 0.75%,166.75,133.4,44.11,150.08,26
NDC,67066000501,Secretin Acetate (Human) For Inj 16 MCG,1987.53,1590.03,38.49,1788.78,34
NDC,67108356509,Mesna Tab 400 MG,70.71,56.57,18.7,63.64,26
NDC,67157010150,Ascorbic Acid IV Soln 25000 MG/50ML (500 MG/ML),472.05,377.64,124.86,424.85,26
NDC,67157010151,Ascorbic Acid IV Soln 25000 MG/50ML (500 MG/ML),472.05,377.64,124.86,424.85,26
NDC,67386013051,Eptinezumab-jjmr IV Soln 100 MG/ML,5647.38,4517.91,17.43,5082.64,34
NDC,67386031321,Clobazam Suspension 2.5 MG/ML,30.41,24.33,8.04,27.37,26
NDC,67386031401,Clobazam Tab 10 MG,8.57,6.86,2.27,7.71,26
NDC,67457011850,Ascorbic Acid Inj 500 MG/ML,473.8,379.04,125.32,426.42,26
NDC,67457012410,Diphenhydramine HCl Inj 50 MG/ML,389.75,311.8,1.0,350.78,26
NDC,67457013450,Magnesium Chloride Inj 200 MG/ML,397.0,317.6,105.01,357.3,26
NDC,67457015300,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),391.21,312.97,1.0,352.09,26
NDC,67457015303,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),391.21,312.97,1.0,352.09,26
NDC,67457015309,Amiodarone HCl Inj 450 MG/9ML (50 MG/ML),395.44,316.36,1.0,355.9,26
NDC,67457015318,Amiodarone HCl Inj 900 MG/18ML (50 MG/ML),391.86,313.49,1.0,352.67,26
NDC,67457015399,Amiodarone HCl Inj 450 MG/9ML (50 MG/ML),395.44,316.36,1.0,355.9,26
NDC,67457016200,Sodium Tetradecyl Sulfate Inj 1%,462.04,369.64,122.21,415.84,26
NDC,67457016202,Sodium Tetradecyl Sulfate Inj 1%,462.04,369.64,122.21,415.84,26
NDC,67457016302,Sodium Tetradecyl Sulfate Inj 3%,425.28,340.23,112.49,382.75,26
NDC,67457017750,Dimethyl Sulfoxide Soln 50%,476.85,381.48,159.74,819.49,34
NDC,67457018210,Esmolol HCl Inj 100 MG/10ML,394.74,315.8,0.25,355.27,26
NDC,67457018750,Allopurinol Sodium For Inj 500 MG,8277.0,6621.6,4.48,7449.3,34
NDC,67457019600,Thiamine HCl Inj 100 MG/ML,397.26,317.81,105.08,357.53,26
NDC,67457019602,Thiamine HCl Inj 100 MG/ML,395.21,316.17,104.53,355.69,26
NDC,67457019700,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),395.55,316.44,1.0,356.0,26
NDC,67457019710,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),395.55,316.44,1.0,356.0,26
NDC,67457019710,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",395.55,316.44,104.62,356.0,26
NDC,67457019803,Remifentanil HCl For IV Soln 1 MG,440.0,352.0,116.38,396.0,26
NDC,67457019810,Remifentanil HCl For IV Soln 5 MG,672.77,538.22,177.95,605.49,26
NDC,67457019898,Remifentanil HCl For IV Soln 5 MG,672.77,538.22,177.95,605.49,26
NDC,67457021005,Cidofovir IV Inj 75 MG/ML,1779.43,1423.55,518.98,1601.49,34
NDC,67457021102,Fomepizole Inj 1 GM/ML (For IV Infusion),3357.75,2686.2,5.96,3021.98,34
NDC,67457021202,Argatroban Inj 250 MG/2.5ML (Concentrate For IV Infusion),763.06,610.45,1.21,686.75,26
NDC,67457021501,Melphalan HCl For Inj 50 MG (Base Equiv),914.9,731.92,91.11,823.41,34
NDC,67457021720,Methadone HCl Inj 10 MG/ML,824.52,659.62,1.0,742.07,26
NDC,67457021810,Clonidine HCl Inj (For Epidural Infusion) 100 MCG/ML,407.79,326.24,1.0,367.01,26
NDC,67457022000,Isosulfan Blue Subcutaneous Soln 1%,3017.8,2414.24,3.48,2716.02,36
NDC,67457022005,Isosulfan Blue Subcutaneous Soln 1%,3017.8,2414.24,3.48,2716.02,36
NDC,67457022800,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),393.41,314.73,104.06,354.07,26
NDC,67457022805,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),393.41,314.73,104.06,354.07,26
NDC,67457022810,Rocuronium Bromide IV Soln 100 MG/10ML (10 MG/ML),395.56,316.45,104.63,356.0,26
NDC,67457025100,Dexmedetomidine HCl IV Soln 200 MCG/2ML,396.1,316.88,104.77,356.49,26
NDC,67457025102,Dexmedetomidine HCl IV Soln 200 MCG/2ML,396.1,316.88,104.77,356.49,26
NDC,67457025600,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),583.95,467.16,1.0,525.56,26
NDC,67457025610,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),583.95,467.16,1.0,525.56,26
NDC,67457026500,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,402.4,321.92,1.0,362.16,26
NDC,67457026510,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,402.4,321.92,1.0,362.16,26
NDC,67457026600,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,413.0,330.4,1.0,371.7,26
NDC,67457026610,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,413.0,330.4,1.0,371.7,26
NDC,67457029100,Hydralazine HCl Inj 20 MG/ML,391.89,313.52,1.0,352.7,26
NDC,67457029101,Hydralazine HCl Inj 20 MG/ML,391.89,313.52,1.0,352.7,26
NDC,67457029200,Naloxone HCl Inj 0.4 MG/ML,196.57,157.26,51.99,176.91,26
NDC,67457029202,Naloxone HCl Inj 0.4 MG/ML,196.57,157.26,51.99,176.91,26
NDC,67457029750,Ethacrynate Sodium For Inj 50 MG,2963.76,2371.01,783.91,2667.38,26
NDC,67457031625,Decitabine For Inj 50 MG,1225.77,980.62,1.0,1103.19,26
NDC,67457031725,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),396.95,317.56,1.0,357.26,26
NDC,67457033900,Vancomycin HCl For IV Soln 500 MG (Base Equivalent),390.48,312.39,103.28,351.43,26
NDC,67457033950,Vancomycin HCl For IV Soln 500 MG (Base Equivalent),390.48,312.39,103.28,351.43,26
NDC,67457034000,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),401.46,321.17,106.19,361.31,26
NDC,67457034001,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),401.46,321.17,106.19,361.31,26
NDC,67457034105,Vancomycin HCl For IV Soln 5 GM (Base Equivalent),457.92,366.34,121.12,412.13,26
NDC,67457035101,Ampicillin Sodium For Inj 1 GM,390.39,312.32,1.0,351.35,26
NDC,67457035110,Ampicillin Sodium For Inj 1 GM,390.39,312.32,1.0,351.35,26
NDC,67457035202,Ampicillin Sodium For Inj 2 GM,391.31,313.05,1.0,352.18,26
NDC,67457035210,Ampicillin Sodium For Inj 2 GM,391.31,313.05,1.0,352.18,26
NDC,67457035959,Fluphenazine Decanoate Inj 25 MG/ML,397.77,318.22,1.0,357.99,26
NDC,67457038012,Paricalcitol IV Soln 5 MCG/ML,390.91,312.73,1.0,351.82,26
NDC,67457038025,Paricalcitol IV Soln 5 MCG/ML,390.91,312.73,1.0,351.82,26
NDC,67457038510,Heparin Sodium (Porcine) Inj 1000 Unit/ML,391.11,312.895,1.0,353.56,52
NDC,67457039054,Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML,396.06,316.85,1.0,356.45,26
NDC,67457039210,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),391.56,313.25,1.0,352.4,26
NDC,67457039299,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),391.56,313.25,1.0,352.4,26
NDC,67457042000,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,392.74,314.2,1.0,353.47,26
NDC,67457042010,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,392.74,314.2,1.0,353.47,26
NDC,67457042200,Dexamethasone Sodium Phosphate Inj 20 MG/5ML,389.11,311.29,1.0,350.2,26
NDC,67457042254,Dexamethasone Sodium Phosphate Inj 20 MG/5ML,389.11,311.29,1.0,350.2,26
NDC,67457042300,Dexamethasone Sodium Phosphate Inj 4 MG/ML,389.45,311.56,1.0,350.51,26
NDC,67457042312,Dexamethasone Sodium Phosphate Inj 4 MG/ML,389.45,311.56,1.0,350.51,26
NDC,67457042600,Haloperidol Lactate Inj 5 MG/ML,389.52,311.62,1.0,350.57,26
NDC,67457042612,Haloperidol Lactate Inj 5 MG/ML,389.52,311.62,1.0,350.57,26
NDC,67457042830,Tobramycin Sulfate Inj 1.2 GM/30ML (40 MG/ML) (Base Equiv),389.75,311.8,1.0,350.78,26
NDC,67457043010,Pamidronate Disodium IV Soln 3 MG/ML,397.71,318.17,1.0,357.94,26
NDC,67457043300,Famotidine Preservative Free Inj 20 MG/2ML,389.83,311.87,103.11,350.85,26
NDC,67457043300,"Famotidine Preservative Free Inj 20 MG/2ML,Famotidine Inj 200 MG/20ML",389.83,311.87,103.11,350.85,26
NDC,67457043700,Doxycycline Hyclate For Inj 100 MG,401.15,320.92,1.0,361.04,52
NDC,67457043710,Doxycycline Hyclate For Inj 100 MG,401.15,320.92,1.0,361.04,52
NDC,67457043800,Vecuronium Bromide For Inj 10 MG,393.59,314.88,104.1,354.23,52
NDC,67457043810,Vecuronium Bromide For Inj 10 MG,393.68,314.95,104.13,354.31,52
NDC,67457044000,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.48,311.59,1.0,350.53,26
NDC,67457044022,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.48,311.59,1.0,350.53,26
NDC,67457044120,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),389.12,311.3,1.0,350.21,26
NDC,67457044220,Oxaliplatin IV Soln 100 MG/20ML,397.35,317.88,1.0,357.62,26
NDC,67457046910,Oxaliplatin IV Soln 50 MG/10ML,323.61,258.89,1.0,291.25,26
NDC,67457047322,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML),389.81,311.85,103.1,350.83,26
NDC,67457047322,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv),389.81,311.85,1.0,350.83,26
NDC,67457048300,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,390.27,312.22,1.0,351.24,26
NDC,67457048310,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,390.27,312.22,1.0,351.24,26
NDC,67457052433,Ibandronate Sodium IV Soln 3 MG/3ML (Base Equivalent),377.96,302.37,1.0,340.16,26
NDC,67457052810,Leucovorin Calcium For Inj 100 MG,394.25,315.4,1.0,354.83,26
NDC,67457053102,Docetaxel Soln for IV Infusion 20 MG/2ML,309.99,248.0,1.0,278.99,26
NDC,67457053208,Docetaxel Soln for IV Infusion 80 MG/8ML,533.3,426.64,1.0,479.97,26
NDC,67457056700,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,391.9,313.52,1.0,352.71,26
NDC,67457058200,Fondaparinux Sodium Subcutaneous Inj 2.5 MG/0.5ML,399.41,319.53,1.0,359.47,26
NDC,67457058210,Fondaparinux Sodium Subcutaneous Inj 2.5 MG/0.5ML,398.38,318.71,1.0,358.54,26
NDC,67457058300,Fondaparinux Sodium Inj 5 MG/0.4ML,418.97,335.18,1.0,377.07,26
NDC,67457058304,Fondaparinux Sodium Inj 5 MG/0.4ML,418.97,335.18,1.0,377.07,26
NDC,67457058400,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,422.26,337.81,1.0,380.03,26
NDC,67457058500,Fondaparinux Sodium Inj 10 MG/0.8ML,422.28,337.83,1.0,380.05,26
NDC,67457058508,Fondaparinux Sodium Inj 10 MG/0.8ML,422.28,337.83,1.0,380.05,26
NDC,67457061730,Gemcitabine HCl Inj 1 GM/26.3ML (38 MG/ML) (Base Equiv),290.32,232.26,1.0,261.29,26
NDC,67457062910,Eptifibatide IV Soln 20 MG/10ML (2 MG/ML),407.57,326.06,1.7,366.81,26
NDC,67457063110,Eptifibatide IV Soln 75 MG/100ML (0.75 MG/ML),447.5,358.0,1.7,402.75,26
NDC,67457064000,Prochlorperazine Edisylate Inj 10 MG/2ML,392.97,314.38,1.0,353.67,26
NDC,67457064099,Prochlorperazine Edisylate Inj 10 MG/2ML,392.97,314.38,1.0,353.67,26
NDC,67457065810,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,610.9,488.72,0.25,549.81,26
NDC,67457067502,Calcitonin (Salmon) Inj 200 Unit/ML,2000.24,1600.2,460.73,1800.22,34
NDC,67457070500,Vancomycin HCl For IV Soln 750 MG (Base Equivalent),398.05,318.44,105.28,358.25,26
NDC,67457070575,Vancomycin HCl For IV Soln 750 MG (Base Equivalent),398.05,318.44,105.28,358.25,26
NDC,67457079000,Levetiracetam Inj 500 MG/5ML (100 MG/ML),390.89,312.72,1.0,351.8,26
NDC,67457079005,Levetiracetam Inj 500 MG/5ML (100 MG/ML),390.89,312.72,1.0,351.8,26
NDC,67457079410,Zoledronic Acid IV Soln 5 MG/100ML,450.65,360.52,1.0,405.59,26
NDC,67457082312,Vancomycin HCl For IV Soln 1.25 GM (Base Equivalent),407.79,326.24,107.86,367.01,26
NDC,67457082399,Vancomycin HCl For IV Soln 1.25 GM (Base Equivalent),407.79,326.24,107.86,367.01,26
NDC,67457082415,Vancomycin HCl For IV Soln 1.5 GM (Base Equivalent),411.55,329.24,108.85,370.4,26
NDC,67457082499,Vancomycin HCl For IV Soln 1.5 GM (Base Equivalent),411.55,329.24,108.85,370.4,26
NDC,67457083902,Nitroprusside Sodium IV Soln 25 MG/ML,411.06,328.85,108.73,369.95,26
NDC,67457085200,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),399.62,319.7,105.7,359.66,26
NDC,67457085204,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),399.62,319.7,105.7,359.66,26
NDC,67457085350,Acetazolamide Sodium For Inj 500 MG,399.15,319.32,1.0,359.24,26
NDC,67457085400,Adenosine IV Soln 12 MG/4ML,196.48,157.19,1.0,176.83,26
NDC,67457085404,Adenosine IV Soln 12 MG/4ML,196.48,157.19,1.0,176.83,26
NDC,67457085500,Adenosine IV Soln 6 MG/2ML,390.29,312.24,1.0,351.26,26
NDC,67457085502,Adenosine IV Soln 6 MG/2ML,390.29,312.24,1.0,351.26,26
NDC,67457085730,Adenosine IV Soln 3 MG/ML (Diagnostic),434.57,347.66,1.0,391.11,26
NDC,67457086000,Azithromycin IV For Soln 500 MG,391.6,313.28,1.0,352.44,26
NDC,67457086050,Azithromycin IV For Soln 500 MG,391.6,313.28,1.0,352.44,26
NDC,67457086301,Granisetron HCl Inj 1 MG/ML,398.35,318.68,1.0,358.52,26
NDC,67457086404,Granisetron HCl Inj 4 MG/4ML (1 MG/ML),390.53,312.43,1.0,351.48,26
NDC,67457090300,Etomidate IV Soln 2 MG/ML,394.52,315.62,104.35,355.07,26
NDC,67457090320,Etomidate IV Soln 2 MG/ML,394.52,315.62,104.35,355.07,26
NDC,67457092500,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,416.4,333.12,110.14,374.76,26
NDC,67457092510,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,416.4,333.12,110.14,374.76,26
NDC,67457094010,Acetaminophen IV Soln 10 MG/ML,395.5,316.4,1.0,355.95,26
NDC,67512409,Nicotine TD Patch 24HR 7 MG/24HR,3.03,2.43,0.8,2.73,26
NDC,67512609,Nicotine TD Patch 24HR 21 MG/24HR,3.03,2.43,0.8,2.73,26
NDC,67546021221,Nitazoxanide For Susp 100 MG/5ML,30.62,24.5,8.1,27.56,26
NDC,67618015004,Povidone-Iodine Soln 10%,1.71,1.37,0.45,1.54,26
NDC,67618030010,Sennosides Tab 8.6 MG,1.16,0.93,0.31,1.04,26
NDC,67618031060,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.34,1.08,0.35,1.21,26
NDC,67814003,Sennosides Chew Tab 15 MG,1.16,0.93,0.31,1.04,26
NDC,67815203,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),16.3,13.04,4.31,14.67,26
NDC,67850002400,Ampicillin Sodium For Inj 500 MG,390.58,312.47,1.0,351.52,26
NDC,67850002410,Ampicillin Sodium For Inj 500 MG,390.58,312.47,1.0,351.52,26
NDC,67850014100,Polidocanol (Laureth-9) Inj 1%,409.97,327.98,108.44,368.97,26
NDC,67850014105,Polidocanol (Laureth-9) Inj 1%,409.97,327.98,108.44,368.97,26
NDC,67850015000,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),390.8,312.64,103.37,351.72,26
NDC,67877012405,Silver Sulfadiazine Cream 1%,29.2,23.36,7.72,26.28,26
NDC,67877012425,Silver Sulfadiazine Cream 1%,30.93,24.75,8.18,27.84,26
NDC,67877012440,Silver Sulfadiazine Cream 1%,53.0,42.4,14.02,47.7,26
NDC,67877012450,Silver Sulfadiazine Cream 1%,31.3,25.04,8.28,28.17,26
NDC,67877015901,Metformin HCl Tab ER 24HR 500 MG,1.03,0.83,0.27,0.93,26
NDC,67877019805,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.03,0.83,0.27,0.93,26
NDC,67877019905,Amlodipine Besylate Tab 10 MG (Base Equivalent),1.02,0.82,0.27,0.92,26
NDC,67877021660,Cefuroxime Axetil Tab 500 MG,2.27,1.82,0.6,2.04,26
NDC,67877021901,Cephalexin Cap 500 MG,1.11,0.89,0.29,1.0,26
NDC,67877022001,Cephalexin Cap 250 MG,1.1,0.88,0.29,0.99,26
NDC,67877022201,Gabapentin Cap 100 MG,1.02,0.82,0.27,0.92,26
NDC,67877022205,Gabapentin Cap 100 MG,1.03,0.83,0.27,0.93,26
NDC,67877022210,Gabapentin Cap 100 MG,1.03,0.83,0.27,0.93,26
NDC,67877022301,Gabapentin Cap 300 MG,1.04,0.84,0.28,0.94,26
NDC,67877022305,Gabapentin Cap 300 MG,1.04,0.84,0.28,0.94,26
NDC,67877022310,Gabapentin Cap 300 MG,1.04,0.84,0.28,0.94,26
NDC,67877022405,Gabapentin Cap 400 MG,1.06,0.85,0.28,0.95,26
NDC,67877023022,Mycophenolate Mofetil For Oral Susp 200 MG/ML,31.73,25.39,8.39,28.56,26
NDC,67877024201,Quetiapine Fumarate Tab 25 MG,1.07,0.86,0.28,0.96,26
NDC,67877024210,Quetiapine Fumarate Tab 25 MG,1.07,0.86,0.28,0.96,26
NDC,67877024601,Quetiapine Fumarate Tab 200 MG,1.08,0.87,0.29,0.97,26
NDC,67877025001,Quetiapine Fumarate Tab 100 MG,1.1,0.88,0.29,0.99,26
NDC,67877025180,Triamcinolone Acetonide Cream 0.1%,30.92,24.74,8.18,27.83,26
NDC,67877026030,Rasagiline Mesylate Tab 1 MG (Base Equiv),11.65,9.32,3.08,10.49,26
NDC,67877026206,Rizatriptan Benzoate Tab 10 MG (Base Equivalent),1.77,1.42,0.47,1.59,26
NDC,67877026218,Rizatriptan Benzoate Tab 10 MG (Base Equivalent),1.77,1.42,0.47,1.59,26
NDC,67877029505,Ibuprofen Tab 600 MG,1.04,0.84,0.28,0.94,26
NDC,67877031815,Triamcinolone Acetonide Cream 0.5%,33.09,26.48,8.75,29.78,26
NDC,67877031901,Ibuprofen Tab 400 MG,1.05,0.84,0.28,0.95,26
NDC,67877031905,Ibuprofen Tab 400 MG,1.04,0.84,0.28,0.94,26
NDC,67877032001,Ibuprofen Tab 600 MG,1.06,0.85,0.28,0.95,26
NDC,67877032005,Ibuprofen Tab 600 MG,1.03,0.83,0.27,0.93,26
NDC,67877041305,Metformin HCl Tab ER 24HR 500 MG,1.03,0.83,0.27,0.93,26
NDC,67877041401,Metformin HCl Tab ER 24HR 750 MG,1.05,0.84,0.28,0.95,26
NDC,67877041920,Linezolid Tab 600 MG,2.56,2.05,0.68,2.3,26
NDC,67877042712,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),1.34,1.08,0.35,1.21,26
NDC,67877044330,Rabeprazole Sodium EC Tab 20 MG,1.28,1.03,0.34,1.15,26
NDC,67877044530,Olmesartan Medoxomil Tab 5 MG,1.2,0.96,0.32,1.08,26
NDC,67877044690,Olmesartan Medoxomil Tab 20 MG,1.23,0.99,0.33,1.11,26
NDC,67877045430,Itraconazole Cap 100 MG,6.75,5.4,1.79,6.08,26
NDC,67877045747,Pregabalin Soln 20 MG/ML,89.8,71.84,23.75,80.82,26
NDC,67877049090,Ezetimibe Tab 10 MG,1.22,0.98,0.32,1.1,26
NDC,67877049160,Ticagrelor Tab 90 MG,1.43,1.15,0.38,1.29,26
NDC,67877051190,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.04,0.84,0.28,0.94,26
NDC,67877053707,Temozolomide Cap 5 MG,4.76,3.81,1.0,4.28,26
NDC,67877053714,Temozolomide Cap 5 MG,2.13,1.71,0.56,1.92,26
NDC,67877053814,Temozolomide Cap 20 MG,6.39,5.12,1.0,5.75,26
NDC,67877053907,Temozolomide Cap 100 MG,22.5,18.0,1.0,20.25,26
NDC,67877054588,Cephalexin For Susp 250 MG/5ML,33.2,26.56,8.78,29.88,26
NDC,67877054888,Cefdinir For Susp 250 MG/5ML,25.68,20.55,6.79,23.11,26
NDC,67877063502,Tolvaptan Tab 15 MG,56.66,45.33,14.99,50.99,26
NDC,67877063533,Tolvaptan Tab 15 MG,50.74,40.6,13.42,45.67,26
NDC,67877063930,Lurasidone HCl Tab 40 MG,1.22,0.98,0.32,1.1,26
NDC,67877065861,Clobazam Suspension 2.5 MG/ML,25.43,20.35,6.73,22.89,26
NDC,67877071833,Everolimus Tab 0.25 MG,4.86,3.89,1.29,4.37,26
NDC,67877071931,Everolimus Tab 0.5 MG,5.65,4.52,1.49,5.09,26
NDC,67877071933,Everolimus Tab 0.5 MG,5.65,4.52,1.49,5.09,26
NDC,67877074601,Sirolimus Tab 0.5 MG,3.39,2.72,0.9,3.05,26
NDC,67877074957,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),60.82,48.66,16.09,54.74,26
NDC,67877075360,Dronabinol Cap 2.5 MG,2.6,2.08,0.69,2.34,26
NDC,67877075460,Dronabinol Cap 5 MG,3.88,3.11,1.03,3.49,26
NDC,67919002010,Alvimopan Cap 12 MG,166.09,132.88,43.93,149.48,26
NDC,67919003001,Ceftolozane-Tazobactam For Inj 1.5 GM (1-0.5 GM),476.0,380.8,7.48,428.4,34
NDC,67979000201,Histrelin Acetate (CPP) Implant Kit 50 MG,73301.06,58640.85,24555.86,65970.95,34
NDC,68001028332,Cisplatin Inj 100 MG/100ML (1 MG/ML),736.5,589.2,1.0,662.85,26
NDC,68001031356,Azacitidine For Inj 100 MG,1293.0,1034.4,0.37,1163.7,26
NDC,68001039179,Mitomycin For IV Soln 40 MG,4673.86,3739.09,19.33,4206.47,34
NDC,68001039180,Mitomycin For IV Soln 40 MG,4673.86,3739.09,19.33,4206.47,34
NDC,68001052428,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),273.1,218.48,1.0,245.79,26
NDC,68001052430,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),273.1,218.48,1.0,245.79,26
NDC,68016001318,Calcium Carbonate (Antacid) Chew Tab 750 MG,1.02,0.82,0.27,0.92,26
NDC,68059701,Rifampin For Inj 600 MG,457.6,366.08,121.04,411.84,26
NDC,68059901,Rifampin For Inj 600 MG,457.73,366.19,121.07,411.96,26
NDC,68071020306,Hydrocodone-Acetaminophen Tab 5-325 MG,40.94,32.76,10.83,36.85,26
NDC,68071032686,Ondansetron Orally Disintegrating Tab 4 MG,46.94,37.56,12.42,42.25,26
NDC,68071187601,Metronidazole Tab 500 MG,28.96,23.17,7.66,26.06,26
NDC,68071272604,Cephalexin Cap 500 MG,28.96,23.17,7.66,26.06,26
NDC,68071353804,Cephalexin Cap 500 MG,28.96,23.17,7.66,26.06,26
NDC,68071442904,Cephalexin Cap 500 MG,28.96,23.17,7.66,26.06,26
NDC,68071483406,Ondansetron Orally Disintegrating Tab 4 MG,46.94,37.56,12.42,42.25,26
NDC,68071493503,Cyclobenzaprine HCl Tab 10 MG,25.97,20.78,6.87,23.37,26
NDC,68071494802,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,20.98,16.79,5.55,18.88,26
NDC,68071505702,Amoxicillin & K Clavulanate Tab 875-125 MG,26.98,21.59,7.14,24.28,26
NDC,68071506502,Amoxicillin & K Clavulanate Tab 875-125 MG,26.98,21.59,7.14,24.28,26
NDC,68084002121,Abacavir Sulfate Tab 300 MG (Base Equiv),9.25,7.4,2.45,8.33,26
NDC,68084004401,Paroxetine HCl Tab 10 MG,1.59,1.28,0.42,1.43,26
NDC,68084004411,Paroxetine HCl Tab 10 MG,1.59,1.28,0.42,1.43,26
NDC,68084004501,Paroxetine HCl Tab 20 MG,1.19,0.96,0.31,1.07,26
NDC,68084007511,Tretinoin Cap 10 MG,20.09,16.08,5.31,18.08,26
NDC,68084007521,Tretinoin Cap 10 MG,22.9,18.32,6.06,20.61,26
NDC,68084009701,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.19,0.96,0.31,1.07,26
NDC,68084009711,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.19,0.96,0.31,1.07,26
NDC,68084010801,Acyclovir Tab 400 MG,1.28,1.03,0.34,1.15,26
NDC,68084010811,Acyclovir Tab 400 MG,1.28,1.03,0.34,1.15,26
NDC,68084012001,Mirtazapine Tab 30 MG,1.19,0.96,0.31,1.07,26
NDC,68084012011,Mirtazapine Tab 30 MG,1.19,0.96,0.31,1.07,26
NDC,68084012801,Omeprazole Cap Delayed Release 20 MG,1.14,0.92,0.3,1.03,26
NDC,68084012811,Omeprazole Cap Delayed Release 20 MG,1.14,0.92,0.3,1.03,26
NDC,68084015501,Promethazine HCl Tab 25 MG,1.2,0.96,0.32,1.08,26
NDC,68084015511,Promethazine HCl Tab 25 MG,1.22,0.98,0.32,1.1,26
NDC,68084018901,Zolpidem Tartrate Tab 5 MG,1.11,0.89,0.29,1.0,26
NDC,68084018911,Zolpidem Tartrate Tab 5 MG,1.11,0.89,0.29,1.0,26
NDC,68084020201,Primidone Tab 50 MG,1.46,1.17,0.39,1.31,26
NDC,68084020211,Primidone Tab 50 MG,1.46,1.17,0.39,1.31,26
NDC,68084020311,Primidone Tab 250 MG,1.47,1.18,0.39,1.32,26
NDC,68084020401,Minoxidil Tab 2.5 MG,1.39,1.12,0.37,1.25,26
NDC,68084020411,Minoxidil Tab 2.5 MG,1.39,1.12,0.37,1.25,26
NDC,68084021401,Benzonatate Cap 100 MG,1.38,1.11,0.37,1.24,26
NDC,68084021411,Benzonatate Cap 100 MG,1.38,1.11,0.37,1.24,26
NDC,68084022001,Ondansetron HCl Tab 4 MG,1.7,1.36,0.45,1.53,26
NDC,68084022011,Ondansetron HCl Tab 4 MG,1.7,1.36,0.45,1.53,26
NDC,68084022901,Azathioprine Tab 50 MG,1.62,1.3,0.43,1.46,26
NDC,68084022911,Azathioprine Tab 50 MG,1.62,1.3,0.43,1.46,26
NDC,68084024301,Clindamycin HCl Cap 150 MG,1.27,1.02,0.34,1.14,26
NDC,68084024801,Loratadine Tab 10 MG,1.21,0.97,0.32,1.09,26
NDC,68084024811,Loratadine Tab 10 MG,1.21,0.97,0.32,1.09,26
NDC,68084026901,Hydroxychloroquine Sulfate Tab 200 MG,3.49,2.8,0.92,3.14,26
NDC,68084027101,Risperidone Tab 0.5 MG,1.27,1.02,0.34,1.14,26
NDC,68084027201,Risperidone Tab 1 MG,1.21,0.97,0.32,1.09,26
NDC,68084027211,Risperidone Tab 1 MG,1.21,0.97,0.32,1.09,26
NDC,68084027301,Risperidone Tab 2 MG,1.55,1.24,0.41,1.4,26
NDC,68084028001,Ethambutol HCl Tab 400 MG,1.86,1.49,0.49,1.67,26
NDC,68084028011,Ethambutol HCl Tab 400 MG,1.26,1.01,0.33,1.13,26
NDC,68084028101,Carbidopa & Levodopa Tab ER 25-100 MG,1.21,0.97,0.32,1.09,26
NDC,68084028111,Carbidopa & Levodopa Tab ER 25-100 MG,1.25,1.0,0.33,1.13,26
NDC,68084028401,Hydroxyurea Cap 500 MG,1.43,1.15,0.38,1.29,26
NDC,68084028411,Hydroxyurea Cap 500 MG,1.44,1.16,0.38,1.3,26
NDC,68084029111,Naltrexone HCl Tab 50 MG,3.74,3.0,0.99,3.37,26
NDC,68084029121,Naltrexone HCl Tab 50 MG,3.74,3.0,0.99,3.37,26
NDC,68084029901,Tamsulosin HCl Cap 0.4 MG,1.24,1.0,0.33,1.12,26
NDC,68084029911,Tamsulosin HCl Cap 0.4 MG,1.24,1.0,0.33,1.12,26
NDC,68084031001,Divalproex Sodium Tab ER 24 HR 250 MG,1.73,1.39,0.46,1.56,26
NDC,68084031011,Divalproex Sodium Tab ER 24 HR 250 MG,1.73,1.39,0.46,1.56,26
NDC,68084031301,Divalproex Sodium Cap Delayed Release Sprinkle 125 MG,1.78,1.43,0.47,1.6,26
NDC,68084032811,Fenofibrate Tab 160 MG,2.58,2.07,0.68,2.32,26
NDC,68084034201,Topiramate Tab 25 MG,1.23,0.99,0.33,1.11,26
NDC,68084034211,Topiramate Tab 25 MG,1.23,0.99,0.33,1.11,26
NDC,68084034401,Topiramate Tab 100 MG,1.4,1.12,0.37,1.26,26
NDC,68084034411,Topiramate Tab 100 MG,1.4,1.12,0.37,1.26,26
NDC,68084034601,Losartan Potassium Tab 25 MG,1.35,1.08,0.36,1.22,26
NDC,68084034611,Losartan Potassium Tab 25 MG,1.35,1.08,0.36,1.22,26
NDC,68084034701,Losartan Potassium Tab 50 MG,1.27,1.02,0.34,1.14,26
NDC,68084034711,Losartan Potassium Tab 50 MG,1.27,1.02,0.34,1.14,26
NDC,68084034801,Losartan Potassium Tab 100 MG,1.41,1.13,0.37,1.27,26
NDC,68084034811,Losartan Potassium Tab 100 MG,1.41,1.13,0.37,1.27,26
NDC,68084035401,Oxycodone HCl Tab 5 MG,1.42,1.14,0.38,1.28,26
NDC,68084035411,Oxycodone HCl Tab 5 MG,1.42,1.14,0.38,1.28,26
NDC,68084036501,Bethanechol Chloride Tab 10 MG,7.06,5.65,1.87,6.35,26
NDC,68084038101,Benztropine Mesylate Tab 0.5 MG,1.26,1.01,0.33,1.13,26
NDC,68084038111,Benztropine Mesylate Tab 0.5 MG,1.08,0.87,0.29,0.97,26
NDC,68084041111,Indomethacin Cap ER 75 MG,3.18,2.55,0.84,2.86,26
NDC,68084041121,Indomethacin Cap ER 75 MG,3.18,2.55,0.84,2.86,26
NDC,68084044901,Tacrolimus Cap 0.5 MG,2.32,1.86,0.61,2.09,26
NDC,68084044911,Tacrolimus Cap 0.5 MG,2.32,1.86,0.61,2.09,26
NDC,68084045001,Tacrolimus Cap 1 MG,2.2,1.76,0.58,1.98,26
NDC,68084045011,Tacrolimus Cap 1 MG,2.2,1.76,0.58,1.98,26
NDC,68084045101,Tacrolimus Cap 5 MG,12.72,10.18,1.0,11.45,26
NDC,68084045111,Tacrolimus Cap 5 MG,12.72,10.18,1.0,11.45,26
NDC,68084047901,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),2.05,1.64,0.03,1.85,52
NDC,68084047911,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),2.05,1.64,0.03,1.85,52
NDC,68084051101,Simvastatin Tab 10 MG,1.18,0.95,0.31,1.06,26
NDC,68084051111,Simvastatin Tab 10 MG,1.18,0.95,0.31,1.06,26
NDC,68084051201,Simvastatin Tab 20 MG,1.14,0.92,0.3,1.03,26
NDC,68084051211,Simvastatin Tab 20 MG,1.14,0.92,0.3,1.03,26
NDC,68084053601,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.15,0.92,0.3,1.04,52
NDC,68084053611,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.15,0.92,0.3,1.04,52
NDC,68084053901,Torsemide Tab 20 MG,1.32,1.06,0.35,1.19,26
NDC,68084053911,Torsemide Tab 20 MG,1.32,1.06,0.35,1.19,26
NDC,68084054911,Temazepam Cap 7.5 MG,3.89,3.12,1.03,3.5,26
NDC,68084054921,Temazepam Cap 7.5 MG,3.89,3.12,1.03,3.5,26
NDC,68084057201,Guaifenesin Tab ER 12HR 600 MG,1.76,1.41,0.47,1.58,26
NDC,68084057211,Guaifenesin Tab ER 12HR 600 MG,1.76,1.41,0.47,1.58,26
NDC,68084059701,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.81,1.45,0.48,1.63,26
NDC,68084059711,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.81,1.45,0.48,1.63,26
NDC,68084061811,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.23,0.99,0.33,1.11,26
NDC,68084062111,Modafinil Tab 100 MG,7.24,5.8,1.91,6.52,26
NDC,68084064001,Lithium Carbonate Tab ER 300 MG,1.26,1.01,0.33,1.13,26
NDC,68084064011,Lithium Carbonate Tab ER 300 MG,1.26,1.01,0.33,1.13,26
NDC,68084064501,Tizanidine HCl Tab 4 MG (Base Equivalent),1.59,1.28,0.42,1.43,26
NDC,68084064511,Tizanidine HCl Tab 4 MG (Base Equivalent),1.59,1.28,0.42,1.43,26
NDC,68084065501,Lithium Carbonate Tab ER 450 MG,1.51,1.21,0.4,1.36,26
NDC,68084065511,Lithium Carbonate Tab ER 450 MG,1.51,1.21,0.4,1.36,26
NDC,68084069711,Bupropion HCl Tab ER 12HR 100 MG,1.52,1.22,0.4,1.37,26
NDC,68084069801,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.41,1.13,0.37,1.27,26
NDC,68084069811,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.41,1.13,0.37,1.27,26
NDC,68084070901,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.49,1.2,0.39,1.34,26
NDC,68084070911,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.49,1.2,0.39,1.34,26
NDC,68084071001,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.46,1.97,0.65,2.21,26
NDC,68084071011,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.46,1.97,0.65,2.21,26
NDC,68084071301,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.52,1.22,0.4,1.37,26
NDC,68084071311,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.52,1.22,0.4,1.37,26
NDC,68084072211,Moxifloxacin HCl Tab 400 MG (Base Equiv),7.6,6.08,2.01,6.84,26
NDC,68084072265,Moxifloxacin HCl Tab 400 MG (Base Equiv),7.6,6.08,2.01,6.84,26
NDC,68084072911,Galantamine Hydrobromide Tab 4 MG,3.37,2.7,0.89,3.03,26
NDC,68084072921,Galantamine Hydrobromide Tab 4 MG,3.37,2.7,0.89,3.03,26
NDC,68084073501,Fluconazole Tab 200 MG,3.39,2.72,0.9,3.05,26
NDC,68084075025,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.76,1.41,0.47,1.58,26
NDC,68084075095,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.76,1.41,0.47,1.58,26
NDC,68084075225,Clopidogrel Bisulfate Tab 300 MG (Base Equiv),10.96,8.77,2.9,9.86,52
NDC,68084075295,Clopidogrel Bisulfate Tab 300 MG (Base Equiv),10.96,8.77,2.9,9.86,52
NDC,68084075325,Cyclobenzaprine HCl Tab 5 MG,1.43,1.15,0.38,1.29,26
NDC,68084075395,Cyclobenzaprine HCl Tab 5 MG,1.43,1.15,0.38,1.29,26
NDC,68084077525,Tizanidine HCl Tab 2 MG (Base Equivalent),1.72,1.38,0.45,1.55,26
NDC,68084077595,Tizanidine HCl Tab 2 MG (Base Equivalent),1.72,1.38,0.45,1.55,26
NDC,68084077601,Divalproex Sodium Tab Delayed Release 250 MG,1.19,0.96,0.31,1.07,26
NDC,68084077611,Divalproex Sodium Tab Delayed Release 250 MG,1.19,0.96,0.31,1.07,26
NDC,68084080511,Methylphenidate HCl Tab 5 MG,2.29,1.84,0.61,2.06,26
NDC,68084080521,Methylphenidate HCl Tab 5 MG,2.29,1.84,0.61,2.06,26
NDC,68084081309,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.17,0.94,0.31,1.05,26
NDC,68084081311,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.15,0.92,0.3,1.04,26
NDC,68084082311,Methylphenidate HCl Tab 10 MG,2.1,1.68,0.56,1.89,26
NDC,68084082321,Methylphenidate HCl Tab 10 MG,2.1,1.68,0.56,1.89,26
NDC,68084083601,Doxazosin Mesylate Tab 1 MG,1.54,1.24,0.41,1.39,26
NDC,68084083611,Doxazosin Mesylate Tab 1 MG,1.54,1.24,0.41,1.39,26
NDC,68084083625,Doxazosin Mesylate Tab 1 MG,1.78,1.43,0.47,1.6,26
NDC,68084083695,Doxazosin Mesylate Tab 1 MG,1.78,1.43,0.47,1.6,26
NDC,68084084401,Venlafaxine HCl Tab 37.5 MG (Base Equivalent),1.63,1.31,0.43,1.47,26
NDC,68084084501,Oxcarbazepine Tab 150 MG,1.21,0.97,0.32,1.09,26
NDC,68084084511,Oxcarbazepine Tab 150 MG,1.21,0.97,0.32,1.09,26
NDC,68084085032,Potassium Citrate Tab ER 10 MEQ (1080 MG),3.14,2.52,0.83,2.83,26
NDC,68084085033,Potassium Citrate Tab ER 10 MEQ (1080 MG),3.14,2.52,0.83,2.83,26
NDC,68084085401,Carvedilol Tab 6.25 MG,1.12,0.9,0.3,1.01,26
NDC,68084085411,Carvedilol Tab 6.25 MG,1.12,0.9,0.3,1.01,26
NDC,68084085601,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.74,1.4,0.46,1.57,26
NDC,68084085611,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.74,1.4,0.46,1.57,26
NDC,68084086201,Doxazosin Mesylate Tab 4 MG,1.57,1.26,0.42,1.41,26
NDC,68084086211,Doxazosin Mesylate Tab 4 MG,1.57,1.26,0.42,1.41,26
NDC,68084087925,Cyclosporine Cap 25 MG,3.87,3.1,1.0,3.48,26
NDC,68084087995,Cyclosporine Cap 25 MG,3.87,3.1,1.0,3.48,26
NDC,68084089625,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.84,1.48,0.49,1.66,26
NDC,68084089695,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.84,1.48,0.49,1.66,26
NDC,68084090711,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),4.3,3.44,1.0,3.87,26
NDC,68084090721,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),4.3,3.44,1.0,3.87,26
NDC,68084091231,Nimodipine Cap 30 MG,2.65,2.12,0.7,2.39,26
NDC,68084091233,Nimodipine Cap 30 MG,2.65,2.12,0.7,2.39,26
NDC,68084091525,Sirolimus Tab 1 MG,13.99,11.2,1.0,12.59,26
NDC,68084091595,Sirolimus Tab 1 MG,13.99,11.2,1.0,12.59,26
NDC,68084092125,Cyclosporine Cap 100 MG,11.15,8.92,1.0,10.04,26
NDC,68084092195,Cyclosporine Cap 100 MG,11.15,8.92,1.0,10.04,26
NDC,68084092825,Pilocarpine HCl Tab 5 MG,2.62,2.1,0.69,2.36,26
NDC,68084092895,Pilocarpine HCl Tab 5 MG,2.62,2.1,0.69,2.36,26
NDC,68084094732,Quinine Sulfate Cap 324 MG,5.13,4.11,1.36,4.62,26
NDC,68084096495,Propylthiouracil Tab 50 MG,3.21,2.57,0.85,2.89,26
NDC,68084096518,Valganciclovir HCl Tab 450 MG (Base Equivalent),12.48,9.99,3.3,11.23,26
NDC,68084096519,Valganciclovir HCl Tab 450 MG (Base Equivalent),12.48,9.99,3.3,11.23,26
NDC,68084097501,Oxycodone HCl Tab 15 MG,1.86,1.49,0.49,1.67,26
NDC,68084097511,Oxycodone HCl Tab 15 MG,1.86,1.49,0.49,1.67,26
NDC,68084098832,Calcium Carbonate (Antacid) Chew Tab 500 MG,1.68,1.35,0.44,1.51,26
NDC,68084098833,Calcium Carbonate (Antacid) Chew Tab 500 MG,1.68,1.35,0.44,1.51,26
NDC,68084099611,Prazosin HCl Cap 1 MG,2.12,1.7,0.56,1.91,26
NDC,68084099701,Prazosin HCl Cap 2 MG,2.44,1.96,0.65,2.2,26
NDC,68084099711,Prazosin HCl Cap 2 MG,2.44,1.96,0.65,2.2,26
NDC,6808459411,Gabapentin Cap 100 MG,1.07,0.86,0.28,0.96,26
NDC,68094000559,Oxycodone HCl Tab 15 MG,1.53,1.23,0.4,1.38,26
NDC,68094000561,Oxycodone HCl Tab 15 MG,1.53,1.23,0.4,1.38,26
NDC,68094003159,Methadone HCl Soln 5 MG/5ML,2.81,2.25,0.74,2.53,26
NDC,68094004859,Guaifenesin Tab ER 12HR 600 MG,1.82,1.46,0.48,1.64,26
NDC,68094005459,Famotidine Tab 20 MG,1.12,0.9,0.3,1.01,26
NDC,68094005465,Famotidine Tab 20 MG,1.12,0.9,0.3,1.01,26
NDC,68094006359,Megestrol Acetate Susp 40 MG/ML,5.43,4.35,1.44,4.89,26
NDC,68094006559,Guanfacine HCl Tab 1 MG,3.59,2.88,0.95,3.23,26
NDC,68094006562,Guanfacine HCl Tab 1 MG,3.59,2.88,0.95,3.23,26
NDC,68094011059,Melatonin Tab 3 MG,1.21,0.97,0.32,1.09,26
NDC,68094011061,Melatonin Tab 3 MG,1.21,0.97,0.32,1.09,26
NDC,68094011459,Cholecalciferol Tab 10 MCG (400 Unit),1.18,0.95,0.31,1.06,26
NDC,68094011461,Cholecalciferol Tab 10 MCG (400 Unit),1.18,0.95,0.31,1.06,26
NDC,68094011659,Thiamine Mononitrate Tab 100 MG,1.17,0.94,0.31,1.05,26
NDC,68094011661,Thiamine Mononitrate Tab 100 MG,1.17,0.94,0.31,1.05,26
NDC,68094017459,Megestrol Acetate Susp 40 MG/ML,9.56,7.65,2.53,8.6,26
NDC,68094049459,Ibuprofen Susp 100 MG/5ML,1.53,1.23,0.4,1.38,26
NDC,68094049461,Ibuprofen Susp 100 MG/5ML,1.53,1.23,0.4,1.38,26
NDC,68094050359,Ibuprofen Susp 100 MG/5ML,2.21,1.77,0.58,1.99,26
NDC,68094050361,Ibuprofen Susp 100 MG/5ML,2.21,1.77,0.58,1.99,26
NDC,68094059959,Nystatin Susp 100000 Unit/ML,1.85,1.48,0.49,1.67,26
NDC,68094059961,Nystatin Susp 100000 Unit/ML,1.09,0.88,0.29,0.98,26
NDC,68094075059,Diazepam Oral Soln 1 MG/ML,3.81,3.05,1.01,3.43,26
NDC,68094075062,Diazepam Oral Soln 1 MG/ML,4.9,3.92,1.3,4.41,26
NDC,68094076359,Ondansetron HCl Oral Soln 4 MG/5ML,13.57,10.86,1.0,12.21,26
NDC,68094076362,Ondansetron HCl Oral Soln 4 MG/5ML,13.57,10.86,1.0,12.21,26
NDC,68094076459,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),4.26,3.41,1.13,3.83,26
NDC,68134020116,Naproxen Susp 125 MG/5ML,33.02,26.42,8.73,29.72,26
NDC,68135002001,Galsulfase Soln For IV Infusion 1 MG/ML,7983.0,6386.4,463.04,7184.7,26
NDC,68176000010,Pediatric Multiple Vitamin w/ Minerals Liquid,1.45,1.16,0.38,1.31,26
NDC,68176000015,Multiple Vitamins w/ Minerals Chew Tab,1.53,1.23,0.4,1.38,26
NDC,68180009901,Levetiracetam Oral Soln 100 MG/ML,25.33,20.27,6.7,22.8,26
NDC,68180011202,Levetiracetam Tab 250 MG,1.13,0.91,0.3,1.02,26
NDC,68180011216,Levetiracetam Tab 250 MG,1.14,0.92,0.3,1.03,26
NDC,68180011302,Levetiracetam Tab 500 MG,1.18,0.95,0.31,1.06,26
NDC,68180011309,Levetiracetam Tab 500 MG,1.44,1.16,0.38,1.3,26
NDC,68180011316,Levetiracetam Tab 500 MG,1.43,1.15,0.38,1.29,26
NDC,68180011807,Levetiracetam Tab ER 24HR 750 MG,1.64,1.32,0.43,1.48,26
NDC,68180012101,Cephalexin Cap 250 MG,1.16,0.93,0.31,1.04,26
NDC,68180012201,Cephalexin Cap 500 MG,1.22,0.98,0.32,1.1,26
NDC,68180012202,Cephalexin Cap 500 MG,1.1,0.88,0.29,0.99,26
NDC,68180015001,Famotidine For Susp 40 MG/5ML,27.21,21.77,7.2,24.49,26
NDC,68180015901,Ethacrynic Acid Tab 25 MG,3.22,2.58,0.85,2.9,26
NDC,68180016611,Vancomycin HCl Cap 125 MG (Base Equivalent),12.61,10.09,3.34,11.35,26
NDC,68180016613,Vancomycin HCl Cap 125 MG (Base Equivalent),12.61,10.09,3.34,11.35,26
NDC,68180018001,Cefadroxil Cap 500 MG,1.16,0.93,0.31,1.04,26
NDC,68180018008,Cefadroxil Cap 500 MG,1.13,0.91,0.3,1.02,26
NDC,68180021460,Cyclosporine (Ophth) Emulsion 0.05%,4.41,3.53,1.17,3.97,26
NDC,68180022907,Memantine HCl Tab 5 MG,1.09,0.88,0.29,0.98,26
NDC,68180023007,Memantine HCl Tab 10 MG,1.41,1.13,0.37,1.27,26
NDC,68180024001,Levofloxacin Tab 250 MG,1.21,0.97,0.32,1.09,26
NDC,68180024101,Levofloxacin Tab 500 MG,1.23,0.99,0.33,1.11,26
NDC,68180024201,Levofloxacin Tab 750 MG,1.42,1.14,0.38,1.28,26
NDC,68180029407,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),1.88,1.51,0.5,1.69,26
NDC,68180029503,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.07,0.86,0.28,0.96,26
NDC,68180029509,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.14,0.92,0.3,1.03,26
NDC,68180030220,Cefuroxime Axetil Tab 250 MG,1.3,1.04,0.34,1.17,26
NDC,68180030260,Cefuroxime Axetil Tab 250 MG,1.29,1.04,0.34,1.16,26
NDC,68180030360,Cefuroxime Axetil Tab 500 MG,1.56,1.25,0.41,1.4,26
NDC,68180031906,Bupropion HCl Tab ER 24HR 150 MG,1.17,0.94,0.31,1.05,26
NDC,68180031909,Bupropion HCl Tab ER 24HR 150 MG,1.17,0.94,0.31,1.05,26
NDC,68180033407,Ziprasidone HCl Cap 80 MG,2.4,1.92,0.63,2.16,26
NDC,68180034507,Darunavir Tab 600 MG,16.07,12.86,4.25,14.46,26
NDC,68180035106,Sertraline HCl Tab 25 MG,1.04,0.84,0.28,0.94,26
NDC,68180035109,Sertraline HCl Tab 25 MG,1.04,0.84,0.28,0.94,26
NDC,68180035202,Sertraline HCl Tab 50 MG,1.03,0.83,0.27,0.93,26
NDC,68180035206,Sertraline HCl Tab 50 MG,1.05,0.84,0.28,0.95,26
NDC,68180035209,Sertraline HCl Tab 50 MG,1.05,0.84,0.28,0.95,26
NDC,68180035302,Sertraline HCl Tab 100 MG,1.04,0.84,0.28,0.94,26
NDC,68180035306,Sertraline HCl Tab 100 MG,1.09,0.88,0.29,0.98,26
NDC,68180037709,Losartan Potassium Tab 50 MG,1.19,0.96,0.31,1.07,26
NDC,68180040201,Cefprozil For Susp 250 MG/5ML,27.75,22.2,7.34,24.98,26
NDC,68180040401,Cefprozil Tab 500 MG,2.04,1.64,0.54,1.84,26
NDC,68180042201,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),35.19,28.16,9.31,31.67,26
NDC,68180044701,Quetiapine Fumarate Tab 100 MG,1.64,1.32,0.43,1.48,26
NDC,68180044801,Quetiapine Fumarate Tab 200 MG,2.21,1.77,0.58,1.99,26
NDC,68180046801,Lovastatin Tab 20 MG,1.07,0.86,0.28,0.96,26
NDC,68180047801,Simvastatin Tab 10 MG,1.13,0.91,0.3,1.02,26
NDC,68180047803,Simvastatin Tab 10 MG,1.02,0.82,0.27,0.92,26
NDC,68180047901,Simvastatin Tab 20 MG,1.13,0.91,0.3,1.02,26
NDC,68180047903,Simvastatin Tab 20 MG,1.12,0.9,0.3,1.01,26
NDC,68180048509,Pravastatin Sodium Tab 10 MG,1.06,0.85,0.28,0.95,26
NDC,68180048602,Pravastatin Sodium Tab 20 MG,1.46,1.17,0.39,1.31,26
NDC,68180050103,Meloxicam Tab 7.5 MG,1.02,0.82,0.27,0.92,26
NDC,68180051201,Lisinopril Tab 2.5 MG,1.01,0.81,0.27,0.91,26
NDC,68180059206,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),2.08,1.67,0.55,1.87,26
NDC,68180061207,Quetiapine Fumarate Tab ER 24HR 50 MG,1.25,1.0,0.33,1.13,26
NDC,68180061307,Quetiapine Fumarate Tab ER 24HR 150 MG,1.22,0.98,0.32,1.1,26
NDC,68180061407,Quetiapine Fumarate Tab ER 24HR 200 MG,1.25,1.0,0.33,1.13,26
NDC,68180065701,Doxycycline Monohydrate For Susp 25 MG/5ML,30.46,24.37,8.06,27.41,26
NDC,68180065806,Rifampin Cap 150 MG,1.69,1.36,0.45,1.52,26
NDC,68180065906,Rifampin Cap 300 MG,1.45,1.16,0.38,1.31,26
NDC,68180067106,Lurasidone HCl Tab 40 MG,2.13,1.71,0.56,1.92,26
NDC,68180067511,Oseltamivir Phosphate Cap 30 MG (Base Equiv),9.76,7.81,2.58,8.78,26
NDC,68180067711,Oseltamivir Phosphate Cap 75 MG (Base Equiv),6.3,5.04,1.67,5.67,26
NDC,68180067801,Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv),27.2,21.76,7.19,24.48,26
NDC,68180071160,Cefdinir Cap 300 MG,4.53,3.63,1.2,4.08,26
NDC,68180072305,Cefdinir For Susp 250 MG/5ML,25.48,20.39,6.74,22.93,26
NDC,68180074006,Silodosin Cap 4 MG,1.78,1.43,0.47,1.6,26
NDC,68180074106,Silodosin Cap 8 MG,1.78,1.43,0.47,1.6,26
NDC,68180074109,Silodosin Cap 8 MG,1.78,1.43,0.47,1.6,26
NDC,68180085211,Levonorgestrel Tab 1.5 MG,20.38,16.31,5.39,18.34,26
NDC,68180095602,Clobetasol Propionate Cream 0.05%,35.71,28.57,9.45,32.14,26
NDC,68180096501,Levothyroxine Sodium Tab 25 MCG,1.2,0.96,0.32,1.08,26
NDC,68180096509,Levothyroxine Sodium Tab 25 MCG,1.15,0.92,0.3,1.04,26
NDC,68180096601,Levothyroxine Sodium Tab 50 MCG,1.1,0.88,0.29,0.99,26
NDC,68180096609,Levothyroxine Sodium Tab 50 MCG,1.05,0.84,0.28,0.95,26
NDC,68180096701,Levothyroxine Sodium Tab 75 MCG,1.23,0.99,0.33,1.11,26
NDC,68180096709,Levothyroxine Sodium Tab 75 MCG,1.21,0.97,0.32,1.09,26
NDC,68180096801,Levothyroxine Sodium Tab 88 MCG,1.29,1.04,0.34,1.16,26
NDC,68180096903,Levothyroxine Sodium Tab 100 MCG,1.25,1.0,0.33,1.13,26
NDC,68180096909,Levothyroxine Sodium Tab 100 MCG,1.08,0.87,0.29,0.97,26
NDC,68180097001,Levothyroxine Sodium Tab 112 MCG,1.29,1.04,0.34,1.16,26
NDC,68180097101,Levothyroxine Sodium Tab 125 MCG,1.28,1.03,0.34,1.15,26
NDC,68180097201,Levothyroxine Sodium Tab 137 MCG,1.36,1.09,0.36,1.22,26
NDC,68180097209,Levothyroxine Sodium Tab 137 MCG,1.34,1.08,0.35,1.21,26
NDC,68180097301,Levothyroxine Sodium Tab 150 MCG,1.31,1.05,0.35,1.18,26
NDC,68180098001,Lisinopril Tab 10 MG,1.02,0.82,0.27,0.92,26
NDC,68180098003,Lisinopril Tab 10 MG,1.01,0.81,0.27,0.91,26
NDC,68180098101,Lisinopril Tab 20 MG,1.03,0.83,0.27,0.93,26
NDC,68180098103,Lisinopril Tab 20 MG,1.02,0.82,0.27,0.92,26
NDC,68308015215,Nystatin Topical Powder 100000 Unit/GM,32.46,25.97,8.59,29.21,26
NDC,68308015230,Nystatin Topical Powder 100000 Unit/GM,38.02,30.42,10.06,34.22,26
NDC,68382000301,Azathioprine Tab 50 MG,1.25,1.0,0.33,1.13,26
NDC,68382000810,Lamotrigine Tab 100 MG,1.06,0.85,0.28,0.95,26
NDC,68382000914,Lamotrigine Tab 150 MG,1.06,0.85,0.28,0.95,26
NDC,68382001801,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.3,1.04,0.34,1.17,26
NDC,68382002101,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.34,1.08,0.35,1.21,26
NDC,68382003416,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.38,1.11,0.37,1.24,26
NDC,68382005001,Meloxicam Tab 7.5 MG,1.04,0.84,0.28,0.94,26
NDC,68382005005,Meloxicam Tab 7.5 MG,1.02,0.82,0.27,0.92,26
NDC,68382007105,Pravastatin Sodium Tab 20 MG,1.12,0.9,0.3,1.01,26
NDC,68382009201,Carvedilol Tab 3.125 MG,1.04,0.84,0.28,0.94,26
NDC,68382009205,Carvedilol Tab 3.125 MG,1.03,0.83,0.27,0.93,26
NDC,68382009301,Carvedilol Tab 6.25 MG,1.04,0.84,0.28,0.94,26
NDC,68382009401,Carvedilol Tab 12.5 MG,1.04,0.84,0.28,0.94,26
NDC,68382009405,Carvedilol Tab 12.5 MG,1.03,0.83,0.27,0.93,26
NDC,68382009501,Carvedilol Tab 25 MG,1.09,0.88,0.29,0.98,26
NDC,68382009505,Carvedilol Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,68382009805,Paroxetine HCl Tab 20 MG,1.11,0.89,0.29,1.0,26
NDC,68382010601,Divalproex Sodium Cap Delayed Release Sprinkle 125 MG,1.34,1.08,0.35,1.21,26
NDC,68382011214,Risperidone Tab 0.25 MG,1.02,0.82,0.27,0.92,26
NDC,68382011305,Risperidone Tab 0.5 MG,1.05,0.84,0.28,0.95,26
NDC,68382011314,Risperidone Tab 0.5 MG,1.06,0.85,0.28,0.95,26
NDC,68382011405,Risperidone Tab 1 MG,1.15,0.92,0.3,1.04,26
NDC,68382013201,Tamsulosin HCl Cap 0.4 MG,1.47,1.18,0.39,1.32,26
NDC,68382013510,Losartan Potassium Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,68382013516,Losartan Potassium Tab 25 MG,1.13,0.91,0.3,1.02,26
NDC,68382013610,Losartan Potassium Tab 50 MG,1.18,0.95,0.31,1.06,26
NDC,68382013805,Topiramate Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,68382013814,Topiramate Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,68382014005,Topiramate Tab 100 MG,1.07,0.86,0.28,0.96,26
NDC,68382014014,Topiramate Tab 100 MG,1.07,0.86,0.28,0.96,26
NDC,68382014406,Ramipril Cap 1.25 MG,1.29,1.04,0.34,1.16,26
NDC,68382018701,Dipyridamole Tab 25 MG,1.52,1.22,0.4,1.37,26
NDC,68382024701,Benzonatate Cap 100 MG,1.32,1.06,0.35,1.19,26
NDC,68382025501,Oxybutynin Chloride Tab ER 24HR 5 MG,1.5,1.2,0.4,1.35,26
NDC,68382031101,Nitroglycerin TD Patch 24HR 0.6 MG/HR,1.71,1.37,0.45,1.54,26
NDC,68382031130,Nitroglycerin TD Patch 24HR 0.6 MG/HR,1.71,1.37,0.45,1.54,26
NDC,68382031818,Minocycline HCl Cap 100 MG,1.37,1.1,0.36,1.23,26
NDC,68382035316,Bupropion HCl Tab ER 24HR 150 MG,1.32,1.06,0.35,1.19,26
NDC,68382037001,Nystatin Topical Powder 100000 Unit/GM,31.5,25.2,8.33,28.35,26
NDC,68382038306,Exemestane Tab 25 MG,4.1,3.28,1.08,3.69,26
NDC,68382039601,Sodium Benzoate & Sodium Phenylacetate IV Soln 10-10%,11455.35,9164.28,3029.94,10309.82,26
NDC,68382041201,Omeprazole Cap Delayed Release 20 MG,1.05,0.84,0.28,0.95,26
NDC,68382041205,Omeprazole Cap Delayed Release 20 MG,1.05,0.84,0.28,0.95,26
NDC,68382043528,Mesalamine Tab Delayed Release 800 MG,5.86,4.69,1.55,5.27,26
NDC,68382044405,Famotidine For Susp 40 MG/5ML,28.48,22.79,7.53,25.63,26
NDC,68382047001,Indomethacin Sodium IV For Soln 1 MG,1034.21,827.37,273.55,930.79,26
NDC,68382047330,Telmisartan Tab 80 MG,1.49,1.2,0.39,1.34,26
NDC,68382047378,Telmisartan Tab 80 MG,1.49,1.2,0.39,1.34,26
NDC,68382052960,Cholestyramine Light Powder Packets 4 GM,2.28,1.83,0.6,2.05,26
NDC,68382059516,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.26,1.01,0.33,1.13,26
NDC,68382066001,Spironolactone Tab 25 MG,1.07,0.86,0.28,0.96,26
NDC,68382066005,Spironolactone Tab 25 MG,1.04,0.84,0.28,0.94,26
NDC,68382066201,Spironolactone Tab 100 MG,1.27,1.02,0.34,1.14,26
NDC,68382071119,Mesalamine Tab Delayed Release 1.2 GM,8.57,6.86,2.27,7.71,26
NDC,68382077130,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,9.43,7.55,2.49,8.49,26
NDC,68382077177,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,9.43,7.55,2.49,8.49,26
NDC,68382077230,Lansoprazole Tab Delayed Release Orally Disintegrating 30 MG,9.43,7.55,2.49,8.49,26
NDC,68382077277,Lansoprazole Tab Delayed Release Orally Disintegrating 30 MG,9.43,7.55,2.49,8.49,26
NDC,68382079805,Labetalol HCl Tab 100 MG,1.2,0.96,0.32,1.08,26
NDC,68382079901,Labetalol HCl Tab 200 MG,1.18,0.95,0.31,1.06,26
NDC,68382079905,Labetalol HCl Tab 200 MG,1.24,1.0,0.33,1.12,26
NDC,68382080001,Labetalol HCl Tab 300 MG,1.36,1.09,0.36,1.22,26
NDC,68382080005,Labetalol HCl Tab 300 MG,1.19,0.96,0.31,1.07,26
NDC,68382084893,Esomeprazole Magnesium For Delayed Release Susp Packet 20 MG,6.55,5.24,1.73,5.9,26
NDC,68382084894,Esomeprazole Magnesium For Delayed Release Susp Packet 20 MG,6.55,5.24,1.73,5.9,26
NDC,68382086010,Benztropine Mesylate Inj 1 MG/ML,203.05,162.44,1.0,182.75,26
NDC,68382089706,Tadalafil Tab 5 MG,1.43,1.15,0.38,1.29,26
NDC,68382091001,Doxycycline Hyclate For Inj 100 MG,402.05,321.64,1.0,361.85,52
NDC,68382091010,Doxycycline Hyclate For Inj 100 MG,402.05,321.64,1.0,361.85,52
NDC,68382099701,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),488.95,391.16,7.75,440.06,34
NDC,68382099710,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),488.95,391.16,7.75,440.06,34
NDC,68455010845,Skin Protectants Misc - Cream,1.09,0.88,0.29,0.98,26
NDC,68462010230,Fluconazole Tab 100 MG,1.9,1.52,0.5,1.71,26
NDC,68462010430,Fluconazole Tab 200 MG,2.58,2.07,0.68,2.32,26
NDC,68462010810,Topiramate Tab 25 MG,1.04,0.84,0.28,0.94,26
NDC,68462010860,Topiramate Tab 25 MG,1.06,0.85,0.28,0.95,26
NDC,68462010910,Topiramate Tab 100 MG,1.08,0.87,0.29,0.97,26
NDC,68462010960,Topiramate Tab 100 MG,1.15,0.92,0.3,1.04,26
NDC,68462012801,Zonisamide Cap 25 MG,1.08,0.87,0.29,0.97,26
NDC,68462013801,Oxcarbazepine Tab 300 MG,1.51,1.21,0.4,1.36,26
NDC,68462015713,Ondansetron Orally Disintegrating Tab 4 MG,1.18,0.95,0.4,21.06,26
NDC,68462015740,Ondansetron Orally Disintegrating Tab 4 MG,1.18,0.95,0.4,21.06,26
NDC,68462016201,Carvedilol Tab 3.125 MG,1.06,0.85,0.28,0.95,26
NDC,68462016301,Carvedilol Tab 6.25 MG,1.06,0.85,0.28,0.95,26
NDC,68462016405,Carvedilol Tab 12.5 MG,1.03,0.83,0.27,0.93,26
NDC,68462016505,Carvedilol Tab 25 MG,1.04,0.84,0.28,0.94,26
NDC,68462018022,Mupirocin Oint 2%,34.42,27.54,9.1,30.98,26
NDC,68462019001,Naproxen Tab 500 MG,1.06,0.85,0.28,0.95,26
NDC,68462019005,Naproxen Tab 500 MG,1.03,0.83,0.27,0.93,26
NDC,68462019605,Pravastatin Sodium Tab 20 MG,1.15,0.92,0.3,1.04,26
NDC,68462020130,Telmisartan Tab 80 MG,1.44,1.16,0.38,1.3,26
NDC,68462022801,Lamotrigine Tab Chewable Dispersible 5 MG,1.25,1.0,0.33,1.13,26
NDC,68462022901,Lamotrigine Tab Chewable Dispersible 25 MG,1.41,1.13,0.37,1.27,26
NDC,68462025301,Ropinirole Hydrochloride Tab 0.25 MG,1.47,1.18,0.39,1.32,26
NDC,68462025501,Ropinirole Hydrochloride Tab 1 MG,1.47,1.18,0.39,1.32,26
NDC,68462026190,Rosuvastatin Calcium Tab 5 MG,1.18,0.95,0.31,1.06,26
NDC,68462026290,Rosuvastatin Calcium Tab 10 MG,1.1,0.88,0.29,0.99,26
NDC,68462026530,Atomoxetine HCl Cap 10 MG (Base Equiv),3.4,2.72,0.9,3.06,26
NDC,68462026630,Atomoxetine HCl Cap 18 MG (Base Equiv),3.4,2.72,0.9,3.06,26
NDC,68462026830,Atomoxetine HCl Cap 40 MG (Base Equiv),3.5,2.8,0.93,3.15,26
NDC,68462026930,Atomoxetine HCl Cap 60 MG (Base Equiv),3.61,2.89,0.95,3.25,26
NDC,68462028169,Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2-0.5%,50.91,40.73,13.47,45.82,26
NDC,68462029201,Verapamil HCl Tab ER 120 MG,1.15,0.92,0.3,1.04,26
NDC,68462029301,Verapamil HCl Tab ER 180 MG,1.16,0.93,0.31,1.04,26
NDC,68462030201,Indomethacin Cap 50 MG,1.11,0.89,0.29,1.0,26
NDC,68462030450,Norethindrone Acetate Tab 5 MG,2.35,1.88,0.62,2.12,26
NDC,68462033090,Pramipexole Dihydrochloride Tab 0.125 MG,1.09,0.88,0.29,0.98,26
NDC,68462033190,Pramipexole Dihydrochloride Tab 0.25 MG,1.14,0.92,0.3,1.03,26
NDC,68462033290,Pramipexole Dihydrochloride Tab 0.5 MG,1.05,0.84,0.28,0.95,26
NDC,68462033390,Pramipexole Dihydrochloride Tab 1 MG,1.14,0.92,0.3,1.03,26
NDC,68462038001,Theophylline Tab ER 24HR 400 MG,1.68,1.35,0.44,1.51,26
NDC,68462038630,Solifenacin Succinate Tab 5 MG,1.31,1.05,0.35,1.18,26
NDC,68462038690,Solifenacin Succinate Tab 5 MG,1.13,0.91,0.3,1.02,26
NDC,68462039530,Omeprazole Cap Delayed Release 10 MG,1.06,0.85,0.28,0.95,26
NDC,68462040444,Atovaquone-Proguanil HCl Tab 250-100 MG,6.6,5.28,1.75,5.94,26
NDC,68462040560,Aspirin-Dipyridamole Cap ER 12HR 25-200 MG,1.75,1.4,0.46,1.58,26
NDC,68462040601,Indomethacin Cap 25 MG,1.05,0.84,0.28,0.95,26
NDC,68462041820,Lidocaine Oint 5%,32.83,26.27,8.68,29.55,26
NDC,68462043318,Colesevelam HCl Tab 625 MG,1.27,1.02,0.34,1.14,26
NDC,68462043518,Acamprosate Calcium Tab Delayed Release 333 MG,1.5,1.2,0.4,1.35,26
NDC,68462043630,Olmesartan Medoxomil Tab 5 MG,1.05,0.84,0.28,0.95,26
NDC,68462043690,Olmesartan Medoxomil Tab 5 MG,1.07,0.86,0.28,0.96,26
NDC,68462043730,Olmesartan Medoxomil Tab 20 MG,1.11,0.89,0.29,1.0,26
NDC,68462043790,Olmesartan Medoxomil Tab 20 MG,1.09,0.88,0.29,0.98,26
NDC,68462044626,Sevelamer HCl Tab 400 MG,3.98,3.19,0.17,3.58,52
NDC,68462046706,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),2.32,1.86,0.61,2.09,26
NDC,68462046806,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),2.47,1.98,0.65,2.22,26
NDC,68462050165,Calcipotriene Cream 0.005%,305.92,244.74,80.92,275.33,26
NDC,68462056417,Mupirocin Calcium Cream 2%,202.86,162.29,53.66,182.57,26
NDC,68462056435,Mupirocin Calcium Cream 2%,203.41,162.73,53.8,183.07,26
NDC,68462058340,Aprepitant Capsule 40 MG,82.69,66.16,21.87,74.42,26
NDC,68462058385,Aprepitant Capsule 40 MG,82.69,66.16,21.87,74.42,26
NDC,68462058540,Aprepitant Capsule 125 MG,239.36,191.49,1.0,215.42,26
NDC,68462058576,Aprepitant Capsule 125 MG,239.36,191.49,1.0,215.42,26
NDC,68462060935,Pimecrolimus Cream 1%,260.11,208.09,68.8,234.1,26
NDC,68462062030,Colesevelam HCl Packet For Susp 3.75 GM,10.33,8.27,2.73,9.3,26
NDC,68462062210,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),400.87,320.7,5.19,360.78,26
NDC,68462074635,Acyclovir Oint 5%,117.79,94.24,31.16,106.01,26
NDC,68462075501,Ketorolac Tromethamine Inj 15 MG/ML,389.72,311.78,0.29,350.75,34
NDC,68462075525,Ketorolac Tromethamine Inj 15 MG/ML,389.72,311.78,0.29,350.75,34
NDC,68516320701,Factor IX Complex For Inj 500 Unit,1.34,1.08,0.45,1.86,34
NDC,68516320802,Factor IX Complex For Inj 1000 Unit,1.34,1.08,0.45,1.86,34
NDC,68516320902,Factor IX Complex For Inj 1500 Unit,1.34,1.08,0.45,1.86,34
NDC,68516360702,Coagulation Factor IX For Inj 500 Unit,1.11,0.89,0.37,1.53,34
NDC,68516360802,Coagulation Factor IX For Inj 1000 Unit,1.11,0.89,0.37,1.53,34
NDC,68516360902,Coagulation Factor IX For Inj 1500 Unit,1.11,0.89,0.37,1.53,34
NDC,68516521401,"Albumin, Human Inj 5%",451.0,360.8,47.49,405.9,36
NDC,68516521403,"Albumin, Human Inj 5%",451.0,360.8,47.49,405.9,36
NDC,68516521405,"Albumin, Human Inj 5%",418.5,334.8,10.08,376.65,36
NDC,68516521601,"Albumin, Human Inj 25%",425.1,340.08,50.42,382.59,36
NDC,68516521602,"Albumin, Human Inj 25%",235.35,188.28,50.42,211.82,36
NDC,68516521603,"Albumin, Human Inj 25%",425.1,340.08,50.42,382.59,36
NDC,68546022956,Rasagiline Mesylate Tab 1 MG (Base Equiv),22.67,18.14,6.0,20.4,26
NDC,68546031730,Glatiramer Acetate Soln Prefilled Syringe 20 MG/ML,868.9,695.12,153.01,782.01,34
NDC,68547050102,Angiotensin II Acetate IV Soln 2.5 MG/ML (Base Equivalent),5399.83,4319.87,1428.26,4859.85,26
NDC,68585000575,Magnesium Chloride Tab DR 64 MG (Elemental Mg),1.07,0.86,0.28,0.96,26
NDC,68682000610,Diltiazem HCl Tab 30 MG,1.78,1.43,0.47,1.6,26
NDC,68682001227,Ethacrynate Sodium For Inj 50 MG,2983.74,2387.0,789.2,2685.37,26
NDC,68682001250,Ethacrynate Sodium For Inj 50 MG,2980.1,2384.08,788.24,2682.09,26
NDC,68682010810,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.25,1.0,0.33,1.13,26
NDC,68682010910,Nifedipine Tab ER 24HR Osmotic Release 60 MG,1.28,1.03,0.34,1.15,26
NDC,68682020025,Carbidopa Tab 25 MG,8.63,6.91,2.28,7.77,26
NDC,68682029905,Loteprednol Etabonate Ophth Susp 0.5%,223.75,179.0,59.18,201.38,52
NDC,68682030210,Pyridostigmine Bromide Tab 60 MG,1.64,1.32,0.43,1.48,26
NDC,68682046410,Brinzolamide Ophth Susp 1%,212.94,170.36,56.32,191.65,26
NDC,68682051382,Tretinoin Microsphere Gel 0.1%,229.34,183.48,60.66,206.41,26
NDC,68682051385,Tretinoin Microsphere Gel 0.1%,478.5,382.8,126.56,430.65,26
NDC,68682051492,Tretinoin Microsphere Gel 0.04%,249.64,199.72,66.03,224.68,26
NDC,68682065020,Diazepam Rectal Gel Delivery System 2.5 MG,97.74,78.2,25.85,87.97,26
NDC,68682065220,Diazepam Rectal Gel Delivery System 10 MG,233.92,187.14,61.87,210.53,26
NDC,68682099398,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.71,1.37,0.45,1.54,26
NDC,68682099498,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.86,1.49,0.49,1.67,26
NDC,68727074501,Daunorubicin-Cytarabine Liposome For IV Inj 44-100 MG,32353.66,25882.93,227.94,29118.29,34
NDC,68727074502,Daunorubicin-Cytarabine Liposome For IV Inj 44-100 MG,32194.0,25755.2,227.94,28974.6,34
NDC,68727080001,Defibrotide Sodium IV Soln 200 MG/2.5ML (80 MG/ML),3497.44,2797.96,1.0,3147.7,26
NDC,68727080002,Defibrotide Sodium IV Soln 200 MG/2.5ML (80 MG/ML),3497.44,2797.96,1.0,3147.7,26
NDC,68727090001,Asparaginase Erwinia Chrys (Recomb)-rywn IM Soln 10 MG/0.5ML,18013.43,14410.75,49.71,16212.09,34
NDC,68791010204,Fluocinolone Acetonide Oil 0.01% (Scalp Oil),256.0,204.8,67.71,230.4,26
NDC,68803061210,Trypan Blue Intraocular Soln Pref Syr 0.06%,65.0,52.0,17.19,58.5,26
NDC,68803072205,Brilliant Blue G Intraocular Soln Pref Syr 0.025%,640.0,512.0,169.28,576.0,26
NDC,68803072225,Brilliant Blue G Intraocular Soln Pref Syr 0.025%,640.0,512.0,169.28,576.0,26
NDC,68817013450,Paclitaxel Protein-Bound Particles For IV Susp 100 MG,4233.35,3386.68,10.02,3810.02,34
NDC,68850001202,Ethambutol HCl Tab 400 MG,1.73,1.39,0.46,1.56,26
NDC,68968555201,Methylphenidate TD Patch 10 MG/9HR,11.39,9.12,3.01,10.25,26
NDC,68968555203,Methylphenidate TD Patch 10 MG/9HR,11.39,9.12,3.01,10.25,26
NDC,68968555403,Methylphenidate TD Patch 20 MG/9HR,11.39,9.12,3.01,10.25,26
NDC,68982084003,Immune Globulin (Human) IV Soln 5 GM/100ML,1393.55,1114.84,44.79,1254.2,34
NDC,68982084004,"Immune Globulin (Human) IV Soln 1 GM/20ML,Immune Globulin (Human) IV Soln 2.5 GM/50ML,Immune Globulin (Human) IV Soln 5 GM/100ML,Immune Globulin (Human) IV Soln 10 GM/200ML,Immune Globulin (Human) IV ",2341.0,1872.8,44.79,2106.9,34
NDC,68982084004,Immune Globulin (Human) IV Soln 10 GM/200ML,2341.0,1872.8,44.79,2106.9,34
NDC,68992301003,Tacrolimus Tab ER 24HR 1 MG,6.44,5.16,1.0,5.8,26
NDC,68992307503,Tacrolimus Tab ER 24HR 0.75 MG,5.08,4.07,1.0,4.57,26
NDC,69005801,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.595,312.48,5.18,352.71,52
NDC,69005802,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.595,312.48,5.18,352.71,52
NDC,69020901,Propofol IV Emul 200 MG/20ML (10 MG/ML),389.0,311.2,1.0,350.1,26
NDC,69020901,"Propofol IV Emul 200 MG/20ML (10 MG/ML),,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",390.96,312.77,1.0,351.86,26
NDC,69020910,Propofol IV Emul 200 MG/20ML (10 MG/ML),389.0,311.2,1.0,350.1,26
NDC,69020910,"Propofol IV Emul 200 MG/20ML (10 MG/ML),,,Propofol IV Emul 1000 MG/100ML (10 MG/ML)",390.96,312.77,1.0,351.86,26
NDC,69023401,Propofol IV Emul 500 MG/50ML (10 MG/ML),393.9,315.12,1.0,354.51,26
NDC,69023420,Propofol IV Emul 500 MG/50ML (10 MG/ML),393.9,315.12,1.0,354.51,26
NDC,69023801,Rituximab-pvvr IV Soln 100 MG/10ML (10 MG/ML),2206.54,1765.24,22.3,1985.89,34
NDC,69024801,Propofol IV Emul 1000 MG/100ML (10 MG/ML),398.8,319.04,1.0,358.92,26
NDC,69024901,Rituximab-pvvr IV Soln 500 MG/50ML (10 MG/ML),10032.68,8026.15,22.3,9029.41,34
NDC,69032401,Pegfilgrastim-apgf Soln Prefilled Syringe 6 MG/0.6ML,7056.02,5644.82,88.98,6350.42,34
NDC,69033801,Sildenafil Citrate IV Soln 10 MG/12.5ML (Base Equivalent),479.38,383.51,126.8,431.44,26
NDC,69080901,Infliximab-dyyb For IV Inj 100 MG,3249.67,2599.74,13.88,2924.7,34
NDC,69097000467,Hydrocortisone Sodium Succinate PF For Inj 100 MG,403.6,322.88,1.0,363.24,26
NDC,69097012605,Amlodipine Besylate Tab 2.5 MG (Base Equivalent),1.02,0.82,0.27,0.92,26
NDC,69097012615,Amlodipine Besylate Tab 2.5 MG (Base Equivalent),1.01,0.81,0.27,0.91,26
NDC,69097012705,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.01,0.81,0.27,0.91,26
NDC,69097012715,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.01,0.81,0.27,0.91,26
NDC,69097012815,Amlodipine Besylate Tab 10 MG (Base Equivalent),1.01,0.81,0.27,0.91,26
NDC,69097015807,Meloxicam Tab 7.5 MG,1.02,0.82,0.27,0.92,26
NDC,69097015815,Meloxicam Tab 7.5 MG,1.02,0.82,0.27,0.92,26
NDC,69097017348,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.28,1.03,0.17,1.15,26
NDC,69097017353,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.21,0.97,0.17,1.09,26
NDC,69097017364,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.24,1.0,0.17,1.12,26
NDC,69097021802,Prucalopride Succinate Tab 1 MG (Base Equivalent),1.85,1.48,0.49,1.67,26
NDC,69097022316,Alendronate Sodium Tab 35 MG,2.7,2.16,0.71,2.43,26
NDC,69097022416,Alendronate Sodium Tab 70 MG,1.27,1.02,0.34,1.14,26
NDC,69097022476,Alendronate Sodium Tab 70 MG,1.27,1.02,0.34,1.14,26
NDC,69097027703,Valganciclovir HCl Tab 450 MG (Base Equivalent),4.69,3.76,1.24,4.22,26
NDC,69097030102,Efavirenz Tab 600 MG,3.58,2.87,0.95,3.22,26
NDC,69097031932,Budesonide Inhalation Susp 0.5 MG/2ML,4.08,3.27,1.01,3.67,26
NDC,69097031953,Budesonide Inhalation Susp 0.5 MG/2ML,4.08,3.27,1.01,3.67,26
NDC,69097036108,Griseofulvin Microsize Susp 125 MG/5ML,45.16,36.13,11.94,40.64,26
NDC,69097041002,Cinacalcet HCl Tab 30 MG (Base Equiv),1.47,1.18,0.39,1.32,26
NDC,69097041102,Cinacalcet HCl Tab 60 MG (Base Equiv),1.84,1.48,0.49,1.66,26
NDC,69097042207,Celecoxib Cap 100 MG,1.33,1.07,0.35,1.2,26
NDC,69097052444,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),11.8,9.44,3.12,10.62,26
NDC,69097052734,Esomeprazole Magnesium For Delayed Release Susp Packet 10 MG,7.08,5.67,1.87,6.37,26
NDC,69097052834,Esomeprazole Magnesium For Delayed Release Susp Packet 20 MG,7.08,5.67,1.87,6.37,26
NDC,69097053731,Testosterone Cypionate IM Inj in Oil 200 MG/ML,200.39,160.32,1.0,180.35,26
NDC,69097057967,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),56.8,45.44,15.02,51.12,26
NDC,69097066434,Icatibant Acetate Subcutaneous Soln Pref Syr 30 MG/3ML,5049.93,4039.95,93.19,4544.94,34
NDC,69097066468,Icatibant Acetate Subcutaneous Soln Pref Syr 30 MG/3ML,9277.43,7421.95,93.19,8349.69,34
NDC,69097072044,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),9.9,7.92,2.62,8.91,26
NDC,69097082103,Gemfibrozil Tab 600 MG,1.07,0.86,0.28,0.96,26
NDC,69097082312,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.02,0.82,0.27,0.92,26
NDC,69097082502,Raloxifene HCl Tab 60 MG,1.53,1.23,0.4,1.38,26
NDC,69097084087,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.24,1.0,0.17,1.12,26
NDC,69097084607,Cyclobenzaprine HCl Tab 10 MG,1.02,0.82,0.27,0.92,26
NDC,69097084615,Cyclobenzaprine HCl Tab 10 MG,1.02,0.82,0.27,0.92,26
NDC,69097084805,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.17,0.94,0.31,1.05,26
NDC,69097085705,Fosinopril Sodium Tab 20 MG,1.12,0.9,0.3,1.01,26
NDC,69097085902,Terbinafine HCl Tab 250 MG,1.13,0.91,0.3,1.02,26
NDC,69097086107,Zonisamide Cap 100 MG,1.18,0.95,0.31,1.06,26
NDC,69097093457,Lanthanum Carbonate Chew Tab 500 MG (Elemental),5.0,4.0,0.06,4.5,52
NDC,69097093498,Lanthanum Carbonate Chew Tab 500 MG (Elemental),5.0,4.0,0.06,4.5,52
NDC,69097094405,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.08,0.87,0.29,0.97,26
NDC,69097094512,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.32,1.06,0.35,1.19,26
NDC,69102031901,Lamotrigine Tab 100 MG,1.07,0.86,0.28,0.96,26
NDC,69194097501,Epinephrine-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML),417.0,333.6,1.0,375.3,26
NDC,69238105103,Phytonadione Tab 5 MG,36.67,29.34,9.7,33.0,26
NDC,69238115409,Ezetimibe Tab 10 MG,1.28,1.03,0.34,1.15,26
NDC,69238120202,Buprenorphine TD Patch Weekly 5 MCG/HR,34.48,27.59,9.12,31.03,26
NDC,69238120302,Buprenorphine TD Patch Weekly 10 MCG/HR,49.08,39.27,12.98,44.17,26
NDC,69238120502,Buprenorphine TD Patch Weekly 20 MCG/HR,111.9,89.52,29.6,100.71,26
NDC,69238126401,Oseltamivir Phosphate Cap 30 MG (Base Equiv),8.96,7.17,2.37,8.06,26
NDC,69238131009,Pregabalin Cap 25 MG,1.1,0.88,0.29,0.99,26
NDC,69238131109,Pregabalin Cap 50 MG,1.08,0.87,0.29,0.97,26
NDC,69238131209,Pregabalin Cap 75 MG,1.09,0.88,0.29,0.98,26
NDC,69238131309,Pregabalin Cap 100 MG,1.08,0.87,0.29,0.97,26
NDC,69238138003,Difluprednate Ophth Emulsion 0.05%,150.32,120.26,39.76,135.29,26
NDC,69238147103,Erythromycin Tab Delayed Release 250 MG,5.94,4.76,1.57,5.35,26
NDC,69238147203,Erythromycin Tab Delayed Release 333 MG,8.85,7.08,2.34,7.97,26
NDC,69238148901,Bumetanide Tab 0.5 MG,1.47,1.18,0.39,1.32,26
NDC,69238152301,Tetracycline HCl Cap 500 MG,3.9,3.12,1.03,3.51,26
NDC,69238153502,Clobazam Suspension 2.5 MG/ML,25.62,20.5,6.78,23.06,26
NDC,69238154001,Ursodiol Cap 300 MG,1.74,1.4,0.46,1.57,26
NDC,69238154401,Hydroxychloroquine Sulfate Tab 200 MG,1.51,1.21,0.4,1.36,26
NDC,69238157401,Sildenafil Citrate For Suspension 10 MG/ML,298.84,239.08,79.04,268.96,26
NDC,69238159403,Sirolimus Oral Soln 1 MG/ML,41.29,33.04,1.0,37.16,26
NDC,69238159406,Sirolimus Oral Soln 1 MG/ML,41.29,33.04,1.0,37.16,26
NDC,69238160502,Methylergonovine Maleate Tab 0.2 MG,19.5,15.6,5.16,17.55,26
NDC,69238160508,Methylergonovine Maleate Tab 0.2 MG,39.75,31.8,10.51,35.78,26
NDC,69238161701,Potassium Chloride Powder Packet 20 mEq,3.91,3.13,1.03,3.52,26
NDC,69238161703,Potassium Chloride Powder Packet 20 mEq,3.91,3.13,1.03,3.52,26
NDC,69238163703,Aminocaproic Acid Tab 500 MG,11.22,8.98,2.97,10.1,26
NDC,69238173102,Pyridostigmine Bromide Oral Soln 60 MG/5ML,813.49,650.8,215.17,732.14,26
NDC,69238183301,Levothyroxine Sodium Tab 88 MCG,1.27,1.02,0.34,1.14,26
NDC,69238207701,Propranolol HCl Tab 10 MG,1.11,0.89,0.29,1.0,26
NDC,69238207801,Propranolol HCl Tab 20 MG,1.11,0.89,0.29,1.0,26
NDC,69238207901,Propranolol HCl Tab 40 MG,1.14,0.92,0.3,1.03,26
NDC,69243201,COVID-19 mRNA Vac TriS-Pfizer IM Susp Pref Syr 30 MCG/0.3ML,495.12,396.1,131.1,445.61,34
NDC,69251020101,Ciprofloxacin Intratympanic Susp 6% (60 MG/ML),249.12,199.3,30.02,224.21,26
NDC,69265066,Nifedipine Tab ER 24HR Osmotic Release 30 MG,4.53,3.63,1.2,4.08,26
NDC,69292072225,Flurbiprofen Sodium Ophth Soln 0.03%,58.68,46.95,15.52,52.81,26
NDC,69303020,Doxorubicin HCl Inj 2 MG/ML,271.14,216.92,1.0,244.03,26
NDC,69303120,Doxorubicin HCl Inj 2 MG/ML,284.79,227.84,1.0,256.31,26
NDC,69303220,Doxorubicin HCl Inj 2 MG/ML,327.53,262.03,1.0,294.78,26
NDC,69315011610,Furosemide Tab 20 MG,1.03,0.83,0.27,0.93,26
NDC,69315011710,Furosemide Tab 40 MG,1.04,0.84,0.28,0.94,26
NDC,69315012701,Folic Acid Tab 1 MG,1.06,0.85,0.28,0.95,26
NDC,69315012710,Folic Acid Tab 1 MG,1.02,0.82,0.27,0.92,26
NDC,69315013601,Benztropine Mesylate Tab 0.5 MG,1.08,0.87,0.29,0.97,26
NDC,69315015501,Hydrochlorothiazide Tab 12.5 MG,1.05,0.84,0.28,0.95,26
NDC,69315030615,Nystatin Topical Powder 100000 Unit/GM,43.0,34.4,11.37,38.7,26
NDC,69315030805,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),36.21,28.97,9.58,32.59,26
NDC,69315031228,Hydrocortisone Perianal Cream 2.5%,36.09,28.88,9.55,32.48,26
NDC,69315032315,Phenylephrine HCl Ophth Soln 2.5%,70.05,56.04,18.53,63.05,26
NDC,69315070150,Ethacrynate Sodium For Inj 50 MG,2149.24,1719.4,568.47,1934.32,26
NDC,69315083,Azithromycin IV For Soln 500 MG,392.74,314.2,1.0,353.47,26
NDC,69315084,Azithromycin IV For Soln 500 MG,392.74,314.2,1.0,353.47,26
NDC,69315090401,Lorazepam Tab 0.5 MG,1.03,0.83,0.27,0.93,26
NDC,69315090405,Lorazepam Tab 0.5 MG,1.02,0.82,0.27,0.92,26
NDC,69315090501,Lorazepam Tab 1 MG,1.03,0.83,0.27,0.93,26
NDC,69315090505,Lorazepam Tab 1 MG,1.02,0.82,0.27,0.92,26
NDC,69315091001,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,1.31,1.05,0.35,1.18,26
NDC,69339013603,Diazepam Inj 5 MG/ML,202.5,162.0,1.0,182.25,26
NDC,69339013634,Diazepam Inj 5 MG/ML,202.5,162.0,1.0,182.25,26
NDC,69339013701,Diazepam Inj 5 MG/ML,392.18,313.75,1.0,352.96,26
NDC,69339013705,Diazepam Inj 5 MG/ML,392.18,313.75,1.0,352.96,26
NDC,69339013815,Chlorhexidine Gluconate Soln 0.12%,2.7,2.16,0.71,2.43,26
NDC,69339014801,Sucralfate Susp 1 GM/10ML,8.15,6.52,2.16,7.34,26
NDC,69339014905,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,2.3,1.84,0.61,2.07,26
NDC,69339015301,Magnesium Hydroxide Susp 400 MG/5ML,2.95,2.36,0.78,2.66,26
NDC,69367019050,Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML,431.36,345.09,1.0,388.22,26
NDC,69367022001,Sodium Chloride Tab 1 GM,1.07,0.86,0.28,0.96,26
NDC,69367022409,Folic Acid-Pyridoxine-Cyanocobalamin Tab 2.5-25-2 MG,1.11,0.89,0.29,1.0,26
NDC,69367027102,Magnesium Oxide Tab 400 MG (240 MG Elemental Mg),1.02,0.82,0.27,0.92,26
NDC,69374033005,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),11.0,8.8,2.91,9.9,26
NDC,69374091910,Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML),398.25,318.6,1.0,358.43,26
NDC,69374092405,Rocuronium Bromide IV Soln Pref Syringe 50 MG/5ML (10 MG/ML),396.5,317.2,104.87,356.85,26
NDC,69374098255,Ketamine HCl Soln Pref Syr 50 MG/5ML (10 MG/ML),394.0,315.2,104.21,354.6,26
NDC,69413033030,Pyrimethamine Tab 25 MG,376.0,300.8,99.45,338.4,26
NDC,69419068,Sildenafil Citrate Tab 20 MG,32.1,25.68,8.49,28.89,26
NDC,69452011645,Clobazam Suspension 2.5 MG/ML,26.05,20.84,6.89,23.45,26
NDC,69452013117,Dofetilide Cap 125 MCG (0.125 MG),3.54,2.84,0.94,3.19,26
NDC,69452015020,Valproic Acid Cap 250 MG,1.14,0.92,0.3,1.03,26
NDC,69452020820,Calcitriol Cap 0.5 MCG,1.4,1.12,0.37,1.26,26
NDC,69452020907,Nimodipine Cap 30 MG,2.36,1.89,0.62,2.12,26
NDC,69452020920,Nimodipine Cap 30 MG,2.36,1.89,0.62,2.12,26
NDC,69452023320,Progesterone Cap 100 MG,1.24,1.0,0.33,1.12,26
NDC,69452027120,Loperamide HCl Cap 2 MG,1.19,0.96,0.31,1.07,26
NDC,69452031220,Carbamazepine Tab 200 MG,1.14,0.92,0.3,1.03,26
NDC,69452034460,Sumatriptan Succinate Tab 25 MG,1.31,1.05,0.35,1.18,26
NDC,69452034472,Sumatriptan Succinate Tab 25 MG,1.31,1.05,0.35,1.18,26
NDC,69452034560,Sumatriptan Succinate Tab 50 MG,1.41,1.13,0.37,1.27,26
NDC,69452034572,Sumatriptan Succinate Tab 50 MG,1.41,1.13,0.37,1.27,26
NDC,69452035092,Granisetron HCl Tab 1 MG,2.08,1.67,0.55,1.87,26
NDC,69452038998,Magnesium Citrate Soln,2.48,1.99,0.66,2.23,26
NDC,69543013120,Alendronate Sodium Tab 70 MG,1.43,1.15,0.38,1.29,26
NDC,69547101,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),391.87,313.5,5.19,352.68,26
NDC,69547401,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),424.92,339.94,5.19,382.43,26
NDC,69547402,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),424.92,339.94,5.19,382.43,26
NDC,69584011110,Carisoprodol Tab 350 MG,1.06,0.85,0.28,0.95,26
NDC,69600102,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),391.58,313.27,5.19,352.42,26
NDC,69600110,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),421.78,337.43,5.19,379.6,26
NDC,69600121,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),424.58,339.67,5.19,382.12,26
NDC,69600125,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),391.58,313.27,5.19,352.42,26
NDC,69616027230,Perampanel Tab 2 MG,20.2,16.16,5.34,18.18,26
NDC,69618000858,Multiple Vitamins w/ Minerals Liquid,1.32,1.06,0.35,1.19,26
NDC,69618003301,Simethicone Chew Tab 80 MG,1.02,0.82,0.27,0.92,26
NDC,69680011201,Cyanocobalamin Inj 1000 MCG/ML,391.38,313.11,1.0,352.24,26
NDC,69680011225,Cyanocobalamin Inj 1000 MCG/ML,391.38,313.11,1.0,352.24,26
NDC,69784000306,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,395.6,316.48,1.0,356.04,26
NDC,69784018001,Polyethylene Glycol 3350 Oral Packet 17 GM,2.14,1.72,0.57,1.93,26
NDC,69784023010,Sodium Acetate Inj 2 mEq/ML,400.9,320.72,106.04,360.81,26
NDC,69784023020,Sodium Acetate Inj 2 mEq/ML,393.3,314.64,104.03,353.97,26
NDC,69784023110,Sodium Acetate Inj 2 mEq/ML,412.1,329.68,109.0,370.89,26
NDC,69784023120,Sodium Acetate Inj 2 mEq/ML,393.8,315.04,104.16,354.42,26
NDC,69918010101,Desmopressin Acetate Tab 0.1 MG,1.98,1.59,0.52,1.78,26
NDC,69918030130,Tranexamic Acid Tab 650 MG,3.16,2.53,0.84,2.84,26
NDC,69918070010,Succinylcholine Chloride Inj 20 MG/ML,396.32,317.06,1.0,356.69,26
NDC,69918072001,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),863.52,690.82,7.75,777.17,34
NDC,69918072010,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),863.52,690.82,7.75,777.17,34
NDC,69918073101,Isoproterenol HCl Inj 0.2 MG/ML,431.7,345.36,114.18,388.53,26
NDC,69918073110,Isoproterenol HCl Inj 0.2 MG/ML,431.7,345.36,114.18,388.53,26
NDC,69918073501,Isoproterenol HCl Inj 0.2 MG/ML,443.06,354.45,117.19,398.75,26
NDC,69918073510,Isoproterenol HCl Inj 0.2 MG/ML,443.06,354.45,117.19,398.75,26
NDC,69918090110,Desmopressin Acetate Inj 4 MCG/ML,402.93,322.35,3.35,362.64,34
NDC,69968000611,Zinc Oxide Paste 40%,3.63,2.91,0.96,3.27,26
NDC,69968076801,Zinc Oxide Paste 40%,3.63,2.91,0.96,3.27,26
NDC,70000000101,Oxymetazoline HCl Nasal Soln 0.05%,4.21,3.37,1.11,3.79,26
NDC,70000002101,Magnesium Sulfate Oral Granules,2.36,1.89,0.62,2.12,26
NDC,70000003401,Calcium Carbonate (Antacid) Chew Tab 500 MG,1.01,0.81,0.27,0.91,26
NDC,70000005101,Simethicone Susp 40 MG/0.6ML,1.11,0.89,0.29,1.0,26
NDC,70000005301,Olopatadine HCl Ophth Soln 0.2% (Base Equivalent),7.93,6.35,2.1,7.14,26
NDC,70000016901,Trolamine Salicylate Cream 10%,2.53,2.03,0.67,2.28,26
NDC,70000020102,Naproxen Sodium Tab 220 MG,1.06,0.85,0.28,0.95,26
NDC,70000023901,Ibuprofen Chew Tab 100 MG,1.11,0.89,0.29,1.0,26
NDC,70000038801,Diphenhydramine-Zinc Acetate Cream 2-0.1%,2.2,1.76,0.58,1.98,26
NDC,70000040901,Caffeine Tab 200 MG,1.08,0.87,0.29,0.97,26
NDC,70000041102,Diphenhydramine-Acetaminophen Tab 25-500 MG (sleep),1.05,0.84,0.28,0.95,26
NDC,70000041701,Loperamide HCl Soln 1 MG/7.5ML,1.3,1.04,0.34,1.17,26
NDC,70000043401,Simethicone Chew Tab 80 MG,1.03,0.83,0.27,0.93,26
NDC,70000045401,Tetrahydrozoline HCl Ophth Soln 0.05%,2.76,2.21,0.73,2.48,26
NDC,70000045501,Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%,3.42,2.74,0.9,3.08,26
NDC,70000045701,Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%,6.36,5.09,1.68,5.72,26
NDC,70000045801,Phenol Liquid 1.4%,2.59,2.08,0.69,2.33,26
NDC,70000050201,Glycerin-Hypromellose-PEG 400 Ophth Soln 0.2-0.2-1%,3.46,2.77,0.92,3.11,26
NDC,70000050202,Glycerin-Hypromellose-PEG 400 Ophth Soln 0.2-0.2-1%,2.61,2.09,0.69,2.35,26
NDC,70000051701,Docosanol Cream 10%,10.62,8.5,2.81,9.56,26
NDC,70000054601,Camphor & Menthol Lotion 0.5-0.5%,5.0,4.0,1.32,4.5,26
NDC,70000055502,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),8.7,6.96,2.3,7.83,26
NDC,70000056601,Simethicone Cap 180 MG,1.09,0.88,0.29,0.98,26
NDC,70000056701,Doxylamine Succinate (Sleep) Tab 25 MG,1.09,0.88,0.29,0.98,26
NDC,70000059101,Bismuth Subsalicylate Chew Tab 262 MG,1.07,0.86,0.28,0.96,26
NDC,70000065901,Magnesium Citrate Soln,2.48,1.99,0.66,2.23,26
NDC,70010000201,Colchicine Tab 0.6 MG,1.8,1.44,0.48,1.62,26
NDC,70010002703,Trospium Chloride Cap ER 24HR 60 MG,3.37,2.7,0.89,3.03,26
NDC,70010006310,Metformin HCl Tab 500 MG,1.01,0.81,0.27,0.91,26
NDC,70010006501,Metformin HCl Tab 1000 MG,1.02,0.82,0.27,0.92,26
NDC,70010011301,Amphetamine-Dextroamphetamine Tab 10 MG,1.17,0.94,0.31,1.05,26
NDC,70010013701,Naproxen Tab 250 MG,1.04,0.84,0.28,0.94,26
NDC,70010014901,Butalbital-Acetaminophen-Caffeine Tab 50-325-40 MG,1.17,0.94,0.31,1.05,26
NDC,70010075401,Methocarbamol Tab 500 MG,1.11,0.89,0.29,1.0,26
NDC,70010075405,Methocarbamol Tab 500 MG,1.06,0.85,0.28,0.95,26
NDC,70010077001,Methocarbamol Tab 750 MG,1.13,0.91,0.3,1.02,26
NDC,70010078001,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.08,0.87,0.29,0.97,26
NDC,70010078101,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.07,0.86,0.28,0.96,26
NDC,70010078201,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.13,0.91,0.3,1.02,26
NDC,70069000501,Cyanocobalamin Inj 1000 MCG/ML,389.93,311.95,1.0,350.94,26
NDC,70069000510,Cyanocobalamin Inj 1000 MCG/ML,389.93,311.95,1.0,350.94,26
NDC,70069001701,Olopatadine HCl Ophth Soln 0.1% (Base Equivalent),6.33,5.07,1.67,5.7,26
NDC,70069002101,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,156.6,125.28,1.0,140.94,26
NDC,70069002125,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,156.6,125.28,1.0,140.94,26
NDC,70069002501,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,392.99,314.4,1.0,353.69,26
NDC,70069002510,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,392.99,314.4,1.0,353.69,26
NDC,70069006401,Ropivacaine HCl Inj 5 MG/ML,52.55,42.04,1.0,47.3,26
NDC,70069006425,Ropivacaine HCl Inj 5 MG/ML,52.55,42.04,1.0,47.3,26
NDC,70069007101,Naloxone HCl Inj 0.4 MG/ML,197.52,158.02,52.24,177.77,26
NDC,70069007110,Naloxone HCl Inj 0.4 MG/ML,197.52,158.02,52.24,177.77,26
NDC,70069009101,Azelastine HCl Ophth Soln 0.05%,30.27,24.22,8.01,27.24,26
NDC,70069010101,Methocarbamol Inj 1000 MG/10ML,394.83,315.87,1.0,355.35,26
NDC,70069010125,Methocarbamol Inj 1000 MG/10ML,394.83,315.87,1.0,355.35,26
NDC,70069012101,Tropicamide Ophth Soln 1%,32.89,26.32,8.7,29.6,26
NDC,70069013101,Tobramycin Ophth Soln 0.3%,35.81,28.65,9.47,32.23,26
NDC,70069015101,Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML),523.87,419.1,138.56,471.48,26
NDC,70069015110,Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML),523.87,419.1,138.56,471.48,26
NDC,70069016101,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",394.12,315.3,104.24,354.71,26
NDC,70069016101,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),394.12,315.3,104.24,354.71,26
NDC,70069016110,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",397.27,317.82,105.08,357.54,26
NDC,70069016110,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),397.27,317.82,105.08,357.54,26
NDC,70069019101,Pilocarpine HCl Ophth Soln 2%,95.49,76.4,25.26,85.94,26
NDC,70069023101,Brimonidine Tartrate Ophth Soln 0.2%,27.87,22.3,7.37,25.08,26
NDC,70069027101,Verapamil HCl IV Soln 2.5 MG/ML,391.76,313.41,103.62,352.58,26
NDC,70069027125,Verapamil HCl IV Soln 2.5 MG/ML,391.76,313.41,103.62,352.58,26
NDC,70069036201,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,394.66,315.73,104.39,355.19,26
NDC,70069042103,Latanoprost Ophth Soln 0.005%,28.49,22.8,7.54,25.64,26
NDC,70069049101,Olopatadine HCl Ophth Soln 0.2% (Base Equivalent),33.06,26.45,8.74,29.75,26
NDC,70069050101,Dorzolamide HCl Ophth Soln 2%,35.1,28.08,9.28,31.59,26
NDC,70069050601,Cupric Chloride Inj 0.4 MG/ML (Elemental),406.81,325.45,1.0,366.13,26
NDC,70069050625,Cupric Chloride Inj 0.4 MG/ML (Elemental),406.81,325.45,1.0,366.13,26
NDC,70069067201,Nalbuphine HCl Inj 20 MG/ML,397.96,318.37,1.0,358.16,26
NDC,70069067210,Nalbuphine HCl Inj 20 MG/ML,397.96,318.37,1.0,358.16,26
NDC,70069069601,Timolol Ophth Soln 0.5%,130.94,104.76,34.63,117.85,26
NDC,70069074701,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",398.96,319.17,1.0,359.06,26
NDC,70069074725,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",398.96,319.17,1.0,359.06,26
NDC,70069080701,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),392.2,313.76,1.0,352.98,26
NDC,70069080710,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),392.2,313.76,1.0,352.98,26
NDC,70092104646,Phenylephrine-NaCl Pref Syr 1 MG/10ML-0.9% (100 MCG/ML),393.84,315.08,1.0,354.46,26
NDC,70092106807,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML,265.33,212.27,1.0,238.8,26
NDC,70092107344,Rocuronium Bromide IV Soln Pref Syringe 50 MG/5ML (10 MG/ML),395.35,316.28,104.57,355.82,26
NDC,70092108746,Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML),418.04,334.44,1.0,376.24,26
NDC,70092110050,"Fentanyl 50 mcg/mL NS PCA,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML",402.09,321.68,1.0,361.88,26
NDC,70092111450,Hydromorphone HCl-NaCl Soln Pref Syr 10 MG/50ML-0.9%,397.5,318.0,1.0,357.75,26
NDC,70092111450,"Hydromorphone HCl-Sodium Chloride 0.9% Inj 0.2 MG/ML,Hydromorphone HCl-NaCl Soln Pref Syr 10 MG/50ML-0.9%,Hydromorphone HCl-Sodium Chloride 0.9% Inj 6 MG/30ML,Hydromorphone HCl-NaCl Soln Pref Syr 6 MG",397.5,318.0,1.0,357.75,26
NDC,70092111850,"Hydromorphone HCl-NaCl Soln Pref Syr 50 MG/50ML-0.9%,Hydromorphone 1 mg/mL PCA",407.35,325.88,1.0,366.62,26
NDC,70092111944,Ketamine HCl-NaCl Soln Pref Sy 50 MG/5ML-0.9% (10MG/ML),393.24,314.6,104.01,353.92,26
NDC,70092111944,"Ketamine HCl-NaCl Soln Pref Sy 50 MG/5ML-0.9% (10MG/ML),Ketamine HCl-NaCl Soln Pref Sy 100 MG/10ML-0.9% (10MG/ML)",393.24,314.6,104.01,353.92,26
NDC,70092112850,"Morphine Sulfate IV Soln 1 MG/ML,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),Morphine Sulfate-NaCl Sol Pref Syr 30 MG/30ML-0.9% (1 MG/ML)",398.1,318.48,1.0,358.29,26
NDC,70092112850,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),398.1,318.48,1.0,358.29,26
NDC,70092113036,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,402.5,322.0,1.0,362.25,26
NDC,70092113544,"Lidocaine-Epinephrine-Tetracaine Gel 4-0.05-0.5%,Lidocaine HCl-Racepinephrine-Tetracaine HCl Gel 4-0.05-0.5%",33.34,26.68,8.82,30.01,26
NDC,70092114843,Sodium Citrate Lock Flush IV Soln Pref Syr 120 MG/3ML (4%),6.27,5.02,1.66,5.64,26
NDC,70092114843,"sod citrate 4% prefill syringe,Sodium Citrate IV Soln (PF) Prefilled Syringe 4%,Sodium Citrate Lock Flush IV Soln Pref Syr 120 MG/3ML (4%)",6.27,5.02,1.66,5.64,26
NDC,70092118944,Neostigmine Methylsulfate Soln Pref Syr 5 MG/5ML (1 MG/ML),42.28,33.83,1.0,38.05,26
NDC,70092119146,"Phenylephrine 100 mcg/mL,Phenylephrine-NaCl PF Pref Syr 1 MG/10ML-0.9% (100 *,Phenylephrine-NaCl PF Pref Syr 0.5 MG/5ML-0.9% (100 MCG/ML),Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML)",393.25,314.6,1.0,353.93,26
NDC,70092138036,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,398.6,318.88,1.0,358.74,26
NDC,70092141836,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln,410.2,328.16,1.0,369.18,26
NDC,70092141836,"Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,Midazolam 55 MG/55ML-NaCl 0.9% IV Soln Prefilled Syringe,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln",410.2,328.16,1.0,369.18,26
NDC,70092144343,Lidocaine HCl-Sodium Bicarb Local Soln Pref Syr 1-8.4%,79.25,63.4,20.96,71.33,26
NDC,70092145244,Rocuronium Bromide IV Soln Pref Syringe 50 MG/5ML (10 MG/ML),396.19,316.96,104.79,356.57,26
NDC,70092147744,Ephedrine Sulf-NaCl Soln Pref Syr 50 MG/5ML-0.9% (10 MG/ML),421.05,336.84,111.37,378.95,26
NDC,70092149550,"Fentanyl 50 mcg/mL NS PCA,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML",429.26,343.41,1.0,386.33,26
NDC,70092149550,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML,429.26,343.41,1.0,386.33,26
NDC,70092152350,"Morphine Sulfate IV Soln 1 MG/ML,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),Morphine Sulfate-NaCl Sol Pref Syr 30 MG/30ML-0.9% (1 MG/ML)",395.4,316.32,1.0,355.86,26
NDC,70092152350,Morphine Sulfate-NaCl Sol Pref Syr 50 MG/50ML-0.9% (1 MG/ML),395.4,316.32,1.0,355.86,26
NDC,70092155207,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML,266.33,213.07,1.0,239.7,26
NDC,70092161144,Lidocaine HCl-Racepinephrine-Tetracaine HCl Gel 4-0.05-0.5%,37.79,30.24,10.0,34.01,26
NDC,70092161144,"Lidocaine-Epinephrine-Tetracaine Gel 4-0.05-0.5%,Lidocaine HCl-Racepinephrine-Tetracaine HCl Gel 4-0.05-0.5%",37.79,30.24,10.0,34.01,26
NDC,70092208746,Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML),418.79,335.04,1.0,376.91,26
NDC,70092904405,",Phenylephrine-NaCl IV Solution 25 MG/250ML-0.9%",408.75,327.0,108.11,367.88,26
NDC,70092911450,Hydromorphone HCl-NaCl Soln Pref Syr 10 MG/50ML-0.9%,401.6,321.28,1.0,361.44,26
NDC,70092911450,"Hydromorphone HCl-Sodium Chloride 0.9% Inj 0.2 MG/ML,Hydromorphone HCl-NaCl Soln Pref Syr 10 MG/50ML-0.9%,Hydromorphone HCl-Sodium Chloride 0.9% Inj 6 MG/30ML,Hydromorphone HCl-NaCl Soln Pref Syr 6 MG",401.6,321.28,1.0,361.44,26
NDC,70092911944,"Ketamine HCl Inj 10 MG/ML,Ketamine HCl-NaCl Soln Pref Sy 50 MG/5ML-0.9% (10MG/ML)",395.03,316.03,104.49,355.53,26
NDC,70092911944,Ketamine HCl-NaCl Soln Pref Sy 50 MG/5ML-0.9% (10MG/ML),395.03,316.03,104.49,355.53,26
NDC,70092911944,"Ketamine HCl-NaCl Soln Pref Sy 50 MG/5ML-0.9% (10MG/ML),Ketamine HCl-NaCl Soln Pref Sy 100 MG/10ML-0.9% (10MG/ML)",395.03,316.03,104.49,355.53,26
NDC,70095002401,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),393.64,314.92,104.12,354.28,26
NDC,70095002402,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),393.64,314.92,104.12,354.28,26
NDC,70095005001,Sodium Bicarbonate IV Soln 8.4%,409.2,327.36,1.0,368.28,26
NDC,70100072501,Indocyanine Green For Inj Soln 25 MG,1117.17,893.74,295.49,1005.45,26
NDC,70100082502,"Indocyanine Green For Inj 25 MG,Indocyanine Green For Inj Soln 25 MG",1117.17,893.74,295.49,1005.45,26
NDC,70100082502,Indocyanine Green For Inj Soln 25 MG,1117.17,893.74,295.49,1005.45,26
NDC,70114010101,Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML,12092.07,9673.66,101.02,10882.86,34
NDC,70114013001,Pegfilgrastim-cbqv Soln Prefill Syr/Infusion Dev 6 MG/0.6ML,11600.39,9280.32,101.02,10440.35,34
NDC,70121104901,Triamcinolone Acetonide Inj Susp 40 MG/ML,396.78,317.43,1.0,357.1,26
NDC,70121104902,Triamcinolone Acetonide Inj Susp 40 MG/ML,392.23,313.79,1.0,353.01,26
NDC,70121104905,Triamcinolone Acetonide Inj Susp 40 MG/ML,396.78,317.43,1.0,357.1,26
NDC,70121116801,Triamcinolone Acetonide Inj Susp 40 MG/ML,393.64,314.92,1.0,354.28,26
NDC,70121123601,Clofarabine IV Soln 1 MG/ML,2707.7,2166.16,3.98,2436.93,34
NDC,70121123801,Cyclophosphamide For Inj 500 MG,840.28,672.23,0.46,756.25,34
NDC,70121124001,Cyclophosphamide For Inj 2 GM,1027.0,821.6,0.46,924.3,34
NDC,70121138801,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,402.8,322.24,106.54,362.52,26
NDC,70121138808,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,402.8,322.24,106.54,362.52,26
NDC,70121138901,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,426.7,341.36,112.86,384.03,26
NDC,70121138907,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,426.7,341.36,112.86,384.03,26
NDC,70121145301,Meropenem IV For Soln 1 GM,394.77,315.82,1.0,355.29,26
NDC,70121145307,Meropenem IV For Soln 1 GM,394.77,315.82,1.0,355.29,26
NDC,70121145401,Meropenem IV For Soln 500 MG,392.12,313.7,1.0,352.91,26
NDC,70121147901,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),389.21,311.37,1.0,350.29,26
NDC,70121147907,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),389.21,311.37,1.0,350.29,26
NDC,70121156801,Filgrastim-ayow Soln Prefilled Syringe 300 MCG/0.5ML,685.5,548.4,0.35,616.95,34
NDC,70121156807,Filgrastim-ayow Soln Prefilled Syringe 300 MCG/0.5ML,685.5,548.4,0.35,616.95,34
NDC,70121157001,Filgrastim-ayow Soln Prefilled Syringe 480 MCG/0.8ML,1006.8,805.44,0.35,906.12,34
NDC,70121157007,Filgrastim-ayow Soln Prefilled Syringe 480 MCG/0.8ML,1006.8,805.44,0.35,906.12,34
NDC,70121157301,Methylprednisolone Acetate Inj Susp 40 MG/ML,394.88,315.91,0.11,355.39,34
NDC,70121157305,Methylprednisolone Acetate Inj Susp 40 MG/ML,394.88,315.91,0.11,355.39,34
NDC,70121157401,Methylprednisolone Acetate Inj Susp 80 MG/ML,394.8,315.84,0.11,355.32,34
NDC,70121157405,Methylprednisolone Acetate Inj Susp 80 MG/ML,394.8,315.84,0.11,355.32,34
NDC,70121157601,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),392.21,313.77,103.74,352.99,26
NDC,70121157607,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),392.21,313.77,103.74,352.99,26
NDC,70121157701,Phenylephrine HCl IV Soln 10 MG/ML,392.45,313.96,0.01,353.21,26
NDC,70121157705,Phenylephrine HCl IV Soln 10 MG/ML,392.45,313.96,0.01,353.21,26
NDC,70121158501,Verapamil HCl IV Soln 2.5 MG/ML,395.99,316.8,104.74,356.39,26
NDC,70121158505,Verapamil HCl IV Soln 2.5 MG/ML,395.99,316.8,104.74,356.39,26
NDC,70121164701,Tigecycline For IV Soln 50 MG,410.5,328.4,1.0,369.45,26
NDC,70121164707,Tigecycline For IV Soln 50 MG,410.5,328.4,1.0,369.45,26
NDC,70121171201,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,405.0,324.0,107.12,364.5,26
NDC,70121171701,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,471.2,376.96,0.25,424.08,26
NDC,70121171707,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,471.2,376.96,0.25,424.08,26
NDC,70127010001,Cannabidiol Soln 100 MG/ML,1335.0,1068.0,353.11,1201.5,26
NDC,70127010010,Cannabidiol Soln 100 MG/ML,1335.0,1068.0,353.11,1201.5,26
NDC,70199002611,Vitamin A Inj 15 MG/ML (50000 Unit/ML),1055.28,844.23,279.12,949.75,26
NDC,70288070211,Atracurium Besylate IV Soln 100 MG/10ML,393.3,314.64,104.03,353.97,26
NDC,703001801,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,460.5,368.4,121.8,414.45,26
NDC,703003104,Methylprednisolone Acetate Inj Susp 40 MG/ML,397.12,317.7,0.11,357.41,34
NDC,703005104,Methylprednisolone Acetate Inj Susp 80 MG/ML,396.12,316.9,0.11,356.51,34
NDC,703011003,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,391.72,313.38,103.61,352.55,26
NDC,703011303,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,395.7,316.56,104.66,356.13,26
NDC,703024101,Triamcinolone Acetonide Inj Susp 40 MG/ML,396.51,317.21,1.0,356.86,26
NDC,703024301,Triamcinolone Acetonide Inj Susp 40 MG/ML,392.21,313.77,1.0,352.99,26
NDC,703066601,Treprostinil Inj Soln 20 MG/20ML (1 MG/ML),1594.31,1275.45,51.97,1434.88,34
NDC,703204501,Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML),447.98,358.39,118.49,403.18,26
NDC,703205601,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",399.55,319.64,105.68,359.6,26
NDC,703205601,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),399.55,319.64,105.68,359.6,26
NDC,703291401,Vecuronium Bromide For Inj 10 MG,390.92,312.74,103.4,351.83,52
NDC,703315401,Bleomycin Sulfate For Inj 15 Unit,340.83,272.67,1.0,306.75,26
NDC,703315401,"Bleomycin Sulfate For Inj 15 Unit,Bleomycin Sulfate For Inj 30 unit",340.83,272.67,1.0,306.75,26
NDC,703321801,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),439.7,351.76,1.0,395.73,26
NDC,703342911,Ifosfamide IV Inj 3 GM/60ML (50 MG/ML),601.96,481.57,159.22,541.76,26
NDC,703367101,Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),283.88,227.11,1.0,255.49,26
NDC,703367501,Methotrexate Sodium Inj PF 250 MG/10ML (25 MG/ML),267.96,214.37,1.0,241.16,26
NDC,703367801,Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),362.7,290.16,1.0,326.43,26
NDC,703398501,Oxaliplatin IV Soln 50 MG/10ML,413.73,330.99,1.0,372.36,26
NDC,703398601,Oxaliplatin IV Soln 100 MG/20ML,575.5,460.4,1.0,517.95,26
NDC,703409401,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),397.25,317.8,1.0,357.53,26
NDC,703415411,Idarubicin HCl IV Inj 5 MG/5ML (1 MG/ML),1020.88,816.71,1.0,918.79,26
NDC,703415511,Idarubicin HCl IV Inj 10 MG/10ML (1 MG/ML),1063.61,850.89,1.0,957.25,26
NDC,703415611,Idarubicin HCl IV Inj 20 MG/20ML (1 MG/ML),3216.46,2573.17,1.0,2894.81,26
NDC,703424401,Carboplatin IV Soln 50 MG/5ML,265.33,212.27,1.0,238.8,26
NDC,703424601,Carboplatin IV Soln 150 MG/15ML,321.19,256.96,1.0,289.07,26
NDC,703424801,Carboplatin IV Soln 450 MG/45ML,353.32,282.66,1.0,317.99,26
NDC,703424891,Carboplatin IV Soln 450 MG/45ML,353.32,282.66,1.0,317.99,26
NDC,703441211,Vincristine Sulfate IV Soln 1 MG/ML,298.98,239.19,1.0,269.08,26
NDC,703450201,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),389.74,311.8,1.0,350.77,26
NDC,703450204,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),391.62,313.3,1.0,352.46,26
NDC,703468001,Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML),1512.41,1209.93,22.68,1361.17,34
NDC,703468501,Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML),709.31,567.45,22.68,638.38,34
NDC,703505101,Desmopressin Acetate Inj 4 MCG/ML,98.68,78.95,3.35,88.81,34
NDC,703507501,Dacarbazine For Inj 200 MG,279.16,223.33,1.0,251.24,26
NDC,703514001,Leucovorin Calcium For Inj 100 MG,395.99,316.8,1.0,356.39,26
NDC,703523313,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),534.94,427.96,20.61,481.45,34
NDC,703565301,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",281.78,225.43,1.0,253.6,26
NDC,703565601,Etoposide Inj 500 MG/25ML (20 MG/ML),334.7,267.76,1.0,301.23,26
NDC,703574711,Cisplatin Inj 50 MG/50ML (1 MG/ML),309.33,247.47,1.0,278.4,26
NDC,703574811,Cisplatin Inj 100 MG/100ML (1 MG/ML),369.0,295.2,1.0,332.1,26
NDC,70377000114,Simvastatin Tab 5 MG,1.02,0.82,0.27,0.92,26
NDC,70377000214,Simvastatin Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,70377000314,Simvastatin Tab 20 MG,1.03,0.83,0.27,0.93,26
NDC,70377000315,Simvastatin Tab 20 MG,1.03,0.83,0.27,0.93,26
NDC,70377000414,Simvastatin Tab 40 MG,1.06,0.85,0.28,0.95,26
NDC,70377000415,Simvastatin Tab 40 MG,1.05,0.84,0.28,0.95,26
NDC,70377000712,Rosuvastatin Calcium Tab 10 MG,1.18,0.95,0.31,1.06,26
NDC,70377006013,Labetalol HCl Tab 100 MG,1.11,0.89,0.29,1.0,26
NDC,70377006112,Labetalol HCl Tab 200 MG,1.18,0.95,0.31,1.06,26
NDC,70377006113,Labetalol HCl Tab 200 MG,1.18,0.95,0.31,1.06,26
NDC,70377006213,Labetalol HCl Tab 300 MG,1.19,0.96,0.31,1.07,26
NDC,70377011412,Liothyronine Sodium Tab 5 MCG,1.31,1.05,0.35,1.18,26
NDC,70377011512,Liothyronine Sodium Tab 25 MCG,1.56,1.25,0.41,1.4,26
NDC,703853023,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,394.59,315.68,1.0,355.13,26
NDC,703853023,"Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML",394.59,315.68,1.0,355.13,26
NDC,703854023,"Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML",296.42,237.14,1.0,266.78,26
NDC,703903203,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),392.58,314.07,1.0,353.32,26
NDC,703904003,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),400.46,320.37,1.0,360.41,26
NDC,703951403,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,396.32,317.06,104.83,356.69,26
NDC,70436000406,Galantamine Hydrobromide Tab 4 MG,1.61,1.29,0.43,1.45,26
NDC,70436000704,Cinacalcet HCl Tab 30 MG (Base Equiv),1.77,1.42,0.47,1.59,26
NDC,70436000804,Cinacalcet HCl Tab 60 MG (Base Equiv),1.59,1.28,0.42,1.43,26
NDC,70436000904,Cinacalcet HCl Tab 90 MG (Base Equiv),64.69,51.76,17.11,58.22,26
NDC,70436001002,Bupropion HCl Tab ER 24HR 150 MG,1.72,1.38,0.45,1.55,26
NDC,70436001004,Bupropion HCl Tab ER 24HR 150 MG,1.93,1.55,0.51,1.74,26
NDC,70436001204,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),1.82,1.46,0.48,1.64,26
NDC,70436001982,Azithromycin IV For Soln 500 MG,391.51,313.21,1.0,352.36,26
NDC,70436002182,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),391.26,313.01,103.49,352.13,26
NDC,70436002382,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),422.25,337.8,111.69,380.03,26
NDC,70436002680,Eptifibatide IV Soln 20 MG/10ML (2 MG/ML),407.4,325.92,1.7,366.66,26
NDC,70436002780,Eptifibatide IV Soln 75 MG/100ML (0.75 MG/ML),443.5,354.8,1.7,399.15,26
NDC,70436002880,Nitroprusside Sodium IV Soln 25 MG/ML,400.48,320.39,105.93,360.43,26
NDC,70436003082,Acyclovir Sodium IV Soln 50 MG/ML,443.8,355.04,1.0,399.42,26
NDC,70436005404,Memantine HCl Cap ER 24HR 7 MG,1.96,1.57,0.52,1.76,26
NDC,70436005801,Bupropion HCl Tab ER 12HR 100 MG,1.08,0.87,0.29,0.97,26
NDC,70436005922,Bupropion HCl Tab ER 12HR 150 MG,1.11,0.89,0.29,1.0,26
NDC,70436011056,Tobramycin Sulfate For Inj 1.2 GM,74.41,59.53,1.0,66.97,26
NDC,70436014780,Dicyclomine HCl Inj 10 MG/ML,402.91,322.33,1.0,362.62,26
NDC,70436014781,Dicyclomine HCl Inj 10 MG/ML,402.91,322.33,1.0,362.62,26
NDC,70436016601,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.12,0.9,0.3,1.01,26
NDC,70436018301,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.06,0.85,0.28,0.95,26
NDC,70436019080,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),396.43,317.15,1.0,356.79,26
NDC,70436019082,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),396.43,317.15,1.0,356.79,26
NDC,70436020201,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.07,0.86,0.28,0.96,26
NDC,70461002503,Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML,70.06,56.05,23.47,103.07,34
NDC,70461002504,Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML,70.06,56.05,23.47,103.07,34
NDC,70461065503,Influenza Virus Vac Tiss-Cult Subunit Susp Pref Syr 0.5 ML,31.96,25.57,10.71,51.97,34
NDC,70461065504,Influenza Virus Vac Tiss-Cult Subunit Susp Pref Syr 0.5 ML,31.96,25.57,10.71,51.97,34
NDC,70510217101,Edaravone Inj 30 MG/100ML (0.3 MG/ML),13073.4,10458.72,19.94,11766.06,34
NDC,70510217102,Edaravone Inj 30 MG/100ML (0.3 MG/ML),13073.4,10458.72,19.94,11766.06,34
NDC,70512052005,Olopatadine HCl Ophth Soln 0.1% (Base Equivalent),32.59,26.08,8.62,29.33,26
NDC,70512084001,Cyanocobalamin Inj 1000 MCG/ML,391.11,312.89,1.0,352.0,26
NDC,70512084025,Cyanocobalamin Inj 1000 MCG/ML,391.11,312.89,1.0,352.0,26
NDC,70512084301,Ketorolac Tromethamine Inj 30 MG/ML,390.47,312.38,0.29,351.42,34
NDC,70512084325,Ketorolac Tromethamine Inj 30 MG/ML,390.47,312.38,0.29,351.42,34
NDC,70515026010,Digoxin Inj 0.25 MG/ML,495.79,396.64,1.0,446.21,26
NDC,70515026110,Digoxin Inj 0.25 MG/ML,520.4,416.32,1.0,468.36,26
NDC,70515026210,Digoxin Inj 0.1 MG/ML,475.16,380.13,1.0,427.64,26
NDC,70515026310,Digoxin Inj 0.1 MG/ML,490.6,392.48,1.0,441.54,26
NDC,70594002301,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),415.17,332.14,1.0,373.65,52
NDC,70594002304,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),415.17,332.14,1.0,373.65,52
NDC,70594004601,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),392.9,314.32,103.92,353.61,26
NDC,70594004602,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),392.9,314.32,103.92,353.61,26
NDC,70594005301,Daptomycin For IV Soln 350 MG,432.4,345.92,0.03,389.16,34
NDC,70594008101,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,393.64,314.92,1.0,354.28,26
NDC,70594008102,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,393.64,314.92,1.0,354.28,26
NDC,70594008201,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,395.96,316.77,1.0,356.36,26
NDC,70594008202,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,395.96,316.77,1.0,356.36,26
NDC,70594008401,Ampicillin Sodium For Inj 250 MG,390.22,312.18,1.0,351.2,26
NDC,70594008402,Ampicillin Sodium For Inj 250 MG,390.22,312.18,1.0,351.2,26
NDC,70594008501,Ampicillin Sodium For Inj 500 MG,391.14,312.92,1.0,352.03,26
NDC,70594008502,Ampicillin Sodium For Inj 500 MG,391.14,312.92,1.0,352.03,26
NDC,70594008601,Ampicillin Sodium For Inj 1 GM,392.25,313.8,1.0,353.03,26
NDC,70594008602,Ampicillin Sodium For Inj 1 GM,392.25,313.8,1.0,353.03,26
NDC,70594011101,Acetylcysteine Inj 200 MG/ML,410.33,328.27,1.0,369.3,26
NDC,706080100,Docosanol Cream 10%,14.0,11.2,3.7,12.6,26
NDC,70655000206,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,392.1,313.68,1.0,352.89,26
NDC,70655008806,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,392.8,314.24,1.0,353.52,26
NDC,70700015001,Omeprazole Cap Delayed Release 20 MG,1.04,0.84,0.28,0.94,26
NDC,70700016522,Glycopyrrolate Inj 0.2 MG/ML,195.5,156.4,0.43,175.95,34
NDC,70700016525,Glycopyrrolate Inj 0.2 MG/ML,195.5,156.4,0.43,175.95,34
NDC,70700016722,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),389.46,311.57,0.43,350.51,34
NDC,70700016725,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),389.46,311.57,0.43,350.51,34
NDC,70700016922,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),272.4,217.92,1.0,245.16,26
NDC,70700017522,Docetaxel Soln for IV Infusion 80 MG/8ML,342.23,273.79,1.0,308.01,26
NDC,70700018622,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),266.21,212.97,1.0,239.59,26
NDC,70700018623,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),266.21,212.97,1.0,239.59,26
NDC,70700026894,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),53.33,42.67,14.11,48.0,26
NDC,70700026899,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),75.6,60.48,20.0,68.04,26
NDC,70700028498,Fulvestrant Inj Soln Pref Syr 250 MG/5ML,446.12,356.9,6.39,401.51,34
NDC,70700031525,Medroxyprogesterone Acetate IM Susp 150 MG/ML,397.1,317.68,1.0,357.39,26
NDC,70700031527,Medroxyprogesterone Acetate IM Susp 150 MG/ML,397.1,317.68,1.0,357.39,26
NDC,70710100802,Oseltamivir Phosphate Cap 30 MG (Base Equiv),9.6,7.68,2.54,8.64,26
NDC,70710101002,Oseltamivir Phosphate Cap 75 MG (Base Equiv),9.56,7.65,2.53,8.6,26
NDC,70710101401,Phytonadione Tab 5 MG,27.1,21.68,7.17,24.39,26
NDC,70710111001,Cyproheptadine HCl Tab 4 MG,1.41,1.13,0.37,1.27,26
NDC,70710115803,Leflunomide Tab 20 MG,3.54,2.84,0.94,3.19,26
NDC,70710115903,Mirabegron Tab ER 24 HR 25 MG,11.81,9.45,3.12,10.63,26
NDC,70710120901,Allopurinol Tab 100 MG,1.07,0.86,0.28,0.96,26
NDC,70710121001,Allopurinol Tab 300 MG,1.18,0.95,0.31,1.06,26
NDC,70710122600,Amitriptyline HCl Tab 25 MG,1.19,0.96,0.31,1.07,26
NDC,70710135103,Colchicine Tab 0.6 MG,1.68,1.35,0.44,1.51,26
NDC,70710135901,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),108.29,86.64,1.0,97.46,26
NDC,70710135906,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),108.29,86.64,1.0,97.46,26
NDC,70710136703,Emtricitabine-Tenofovir Disoproxil Fumarate Tab 200-300 MG,2.3,1.84,0.61,2.07,26
NDC,70710137701,Succinylcholine Chloride Inj 20 MG/ML,406.95,325.56,1.0,366.26,26
NDC,70710146002,Azithromycin For Susp 200 MG/5ML,27.18,21.75,9.11,25.19,26
NDC,70710147801,Fomepizole Inj 1 GM/ML (For IV Infusion),5058.75,4047.0,5.96,4552.88,34
NDC,70710152509,Carmustine For Inj 100 MG,3500.8,2800.64,226.53,3150.72,34
NDC,70710160901,Baclofen Tab 5 MG,1.68,1.35,0.44,1.51,26
NDC,70710161406,Varenicline Tartrate Tab 1 MG (Base Equiv),5.56,4.45,1.47,5.0,26
NDC,70710164301,Verapamil HCl IV Soln 2.5 MG/ML,391.84,313.48,103.64,352.66,26
NDC,70710164307,Verapamil HCl IV Soln 2.5 MG/ML,391.84,313.48,103.64,352.66,26
NDC,70710172601,Nelarabine IV Soln 5 MG/ML,2039.9,1631.92,75.87,1835.91,34
NDC,70710175802,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,393.4,314.72,1.0,354.06,26
NDC,70710175806,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,393.4,314.72,1.0,354.06,26
NDC,70710192601,Sodium Benzoate & Sodium Phenylacetate IV Soln 10-10%,5003.66,4002.93,1323.47,4503.29,26
NDC,70720072010,Ziconotide Acetate Intrathecal Inj 100 MCG/ML,3626.24,2901.0,9.04,3263.62,34
NDC,70720072210,Ziconotide Acetate Intrathecal Inj 500 MCG/5ML,16645.75,13316.6,9.04,14981.18,34
NDC,70720072310,Ziconotide Acetate Intrathecal Inj 500 MCG/20ML (25 MCG/ML),16645.78,13316.63,9.04,14981.2,34
NDC,70727049725,Netarsudil Dimesylate Ophth Soln 0.02%,287.8,230.24,76.12,259.02,26
NDC,70748017501,Arformoterol Tartrate Soln Nebu 15 MCG/2ML (Base Equiv),5.06,4.05,1.34,4.55,26
NDC,70748017530,Arformoterol Tartrate Soln Nebu 15 MCG/2ML (Base Equiv),5.06,4.05,1.34,4.55,26
NDC,70748025807,Posaconazole Tab Delayed Release 100 MG,7.88,6.31,2.08,7.09,26
NDC,70752010710,Cyproheptadine HCl Tab 4 MG,1.09,0.88,0.29,0.98,26
NDC,70752011303,Lidocaine Oint 5%,31.98,25.59,8.46,28.78,26
NDC,70756001111,Chlorthalidone Tab 25 MG,1.12,0.9,0.3,1.01,26
NDC,70756020112,Amitriptyline HCl Tab 10 MG,1.05,0.84,0.28,0.95,26
NDC,70756020211,Amitriptyline HCl Tab 25 MG,1.08,0.87,0.29,0.97,26
NDC,70756020311,Amitriptyline HCl Tab 50 MG,1.15,0.92,0.3,1.04,26
NDC,70756021490,Fenofibrate Tab 54 MG,1.18,0.95,0.31,1.06,26
NDC,70756021590,Fenofibrate Tab 160 MG,1.15,0.92,0.3,1.04,26
NDC,70756040411,Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG,1.33,1.07,0.35,1.2,26
NDC,70756060525,Verapamil HCl IV Soln 2.5 MG/ML,391.95,313.56,103.67,352.76,26
NDC,70756060582,Verapamil HCl IV Soln 2.5 MG/ML,391.95,313.56,103.67,352.76,26
NDC,70756060730,Ofloxacin Ophth Soln 0.3%,32.74,26.2,8.66,29.47,26
NDC,70756061430,Phenylephrine HCl Ophth Soln 10%,62.1,49.68,16.43,55.89,26
NDC,70756062125,Phenylephrine HCl IV Soln 10 MG/ML,390.43,312.35,0.01,351.39,26
NDC,70756062182,Phenylephrine HCl IV Soln 10 MG/ML,390.43,312.35,0.01,351.39,26
NDC,70756062925,Phenylephrine HCl Ophth Soln 2.5%,47.42,37.94,12.54,42.68,26
NDC,70756063525,Cyanocobalamin Inj 1000 MCG/ML,390.55,312.44,1.0,351.5,26
NDC,70756063581,Cyanocobalamin Inj 1000 MCG/ML,390.55,312.44,1.0,351.5,26
NDC,70756064025,Lidocaine HCl Local Preservative Free (PF) Inj 1%,37.87,30.3,10.02,34.08,26
NDC,70756064082,Lidocaine HCl Local Preservative Free (PF) Inj 1%,37.87,30.3,10.02,34.08,26
NDC,70756064625,Lidocaine HCl Local Inj 1%,389.05,311.24,102.9,350.15,26
NDC,70756064687,Lidocaine HCl Local Inj 1%,389.05,311.24,102.9,350.15,26
NDC,70756064935,Phenylephrine HCl Ophth Soln 2.5%,108.49,86.8,28.7,97.64,26
NDC,70756066360,Sodium Chloride Soln Nebu 3%,4.43,3.55,1.0,3.99,26
NDC,70756066460,Sodium Chloride Soln Nebu 7%,1.43,1.15,0.38,1.29,26
NDC,70756070360,Ranolazine Tab ER 12HR 500 MG,1.39,1.12,0.37,1.25,26
NDC,70756080630,Lansoprazole Cap Delayed Release 15 MG,1.29,1.04,0.34,1.16,26
NDC,70801000101,Triamcinolone Acetonide Intra-articular Inj ER Susp 32 MG,2145.06,1716.05,17.13,1930.55,34
NDC,70801000301,Triamcinolone Acetonide Intra-articular Inj ER Susp 32 MG,2145.06,1716.05,17.13,1930.55,34
NDC,70839015030,Aliskiren Fumarate Tab 150 MG (Base Equivalent),6.16,4.93,1.63,5.54,26
NDC,70839036204,Cocaine HCl Nasal Soln 40 MG/ML (4%),283.02,226.42,1.56,254.72,26
NDC,70842012001,Meropenem-Vaborbactam For IV Soln 2 GM (1-1 GM),697.6,558.08,2.07,627.84,34
NDC,70842012006,Meropenem-Vaborbactam For IV Soln 2 GM (1-1 GM),697.6,558.08,2.07,627.84,34
NDC,70842014001,Oritavancin Diphosphate For IV Soln 400 MG (Base Equivalent),3403.46,2722.77,27.25,3063.11,34
NDC,70842016001,Minocycline HCl IV For Soln 100 MG,962.75,770.2,2.47,866.48,34
NDC,70842016010,Minocycline HCl IV For Soln 100 MG,962.75,770.2,2.47,866.48,34
NDC,70842024001,Rezafungin Acetate For IV Soln 200 MG (Base Equivalent),6922.78,5538.23,10.04,6230.5,34
NDC,70860010310,Polymyxin B Sulfate For Inj 500000 Unit,393.43,314.75,104.06,354.09,26
NDC,70860010341,Polymyxin B Sulfate For Inj 500000 Unit,393.43,314.75,104.06,354.09,26
NDC,70860011626,Nafcillin Sodium For Inj 1 GM,399.45,319.56,105.65,359.51,26
NDC,70860011641,Nafcillin Sodium For Inj 1 GM,399.45,319.56,105.65,359.51,26
NDC,70860012541,Azithromycin IV For Soln 500 MG,391.21,312.97,1.0,352.09,26
NDC,70860012566,Azithromycin IV For Soln 500 MG,391.21,312.97,1.0,352.09,26
NDC,70860020005,Paclitaxel IV Conc 30 MG/5ML (6 MG/ML),273.07,218.46,1.0,245.76,26
NDC,70860020050,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),372.33,297.87,1.0,335.1,26
NDC,70860021710,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),579.18,463.35,7.75,521.26,34
NDC,70860030105,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),156.62,125.3,41.43,140.96,26
NDC,70860030110,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),157.05,125.64,41.54,141.35,26
NDC,70860030141,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),156.62,125.3,41.43,140.96,26
NDC,70860030142,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),157.05,125.64,41.54,141.35,26
NDC,70860030143,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),63.14,50.52,16.7,56.83,26
NDC,70860030204,Furosemide Inj 10 MG/ML,195.13,156.11,51.61,175.62,26
NDC,70860030210,Furosemide Inj 10 MG/ML,78.25,62.6,20.7,70.43,26
NDC,70860030242,Furosemide Inj 10 MG/ML,195.13,156.11,51.61,175.62,26
NDC,70860030243,Furosemide Inj 10 MG/ML,78.25,62.6,20.7,70.43,26
NDC,70860045110,Levothyroxine Sodium For IV Inj 100 MCG,477.34,381.88,126.26,429.61,26
NDC,70860060105,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),389.35,311.48,1.0,350.42,26
NDC,70860060110,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.17,311.34,1.0,350.25,26
NDC,70860060141,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),389.35,311.48,1.0,350.42,26
NDC,70860060142,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.17,311.34,1.0,350.25,26
NDC,70860060441,Levetiracetam in Sodium Chloride IV Soln 1500 MG/100ML,411.5,329.2,1.0,370.35,26
NDC,70860060503,Dexmedetomidine HCl IV Soln 200 MCG/2ML,394.14,315.32,104.25,354.73,26
NDC,70860060541,Dexmedetomidine HCl IV Soln 200 MCG/2ML,394.14,315.32,104.25,354.73,26
NDC,70860070102,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),389.94,311.96,0.29,350.95,34
NDC,70860070103,Ketorolac Tromethamine Inj 30 MG/ML,390.61,312.49,0.29,351.55,34
NDC,70860070141,Ketorolac Tromethamine Inj 30 MG/ML,390.61,312.49,0.29,351.55,34
NDC,70860075102,Famotidine Preservative Free Inj 20 MG/2ML,389.59,311.68,103.05,350.63,26
NDC,70860075141,Famotidine Preservative Free Inj 20 MG/2ML,389.59,311.68,103.05,350.63,26
NDC,70860077720,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),389.93,311.95,1.0,350.94,26
NDC,70954001510,Thiothixene Cap 2 MG,1.86,1.49,0.49,1.67,26
NDC,70954001610,Thiothixene Cap 5 MG,2.78,2.23,0.74,2.5,26
NDC,70954006030,Prednisone Tab 20 MG,1.17,0.94,0.31,1.05,26
NDC,70954013510,Dapsone Tab 25 MG,1.48,1.19,0.39,1.33,26
NDC,70954013610,Dapsone Tab 100 MG,2.17,1.74,0.57,1.95,26
NDC,70954014010,Levocarnitine Oral Soln 1 GM/10ML (10%),26.21,20.97,6.93,23.59,26
NDC,70954018810,Acyclovir Susp 200 MG/5ML,26.59,21.28,7.03,23.93,26
NDC,70954020110,Digoxin Tab 125 MCG (0.125 MG),1.27,1.02,0.34,1.14,26
NDC,70954020210,Digoxin Tab 250 MCG (0.25 MG),1.25,1.0,0.33,1.13,26
NDC,70954021210,Trihexyphenidyl HCl Tab 2 MG,1.05,0.84,0.28,0.95,26
NDC,70954025220,Fludrocortisone Acetate Tab 0.1 MG,1.49,1.2,0.39,1.34,26
NDC,70954026110,Dicyclomine HCl Oral Soln 10 MG/5ML,25.77,20.62,6.82,23.19,26
NDC,70954044310,Misoprostol Tab 100 MCG,1.41,1.13,0.37,1.27,26
NDC,70954044410,Misoprostol Tab 200 MCG,1.9,1.52,0.5,1.71,26
NDC,70954045520,Bisoprolol Fumarate Tab 5 MG,1.45,1.16,0.38,1.31,26
NDC,70954048410,Pyrazinamide Tab 500 MG,4.88,3.91,1.29,4.39,26
NDC,70954048420,Pyrazinamide Tab 500 MG,4.78,3.83,1.26,4.3,26
NDC,70954048430,Pyrazinamide Tab 500 MG,4.61,3.69,1.22,4.15,26
NDC,70954048810,Lacosamide Oral Solution 10 MG/ML,53.8,43.04,14.23,48.42,26
NDC,70954049210,Levocarnitine Tab 330 MG,1.77,1.42,0.47,1.59,26
NDC,70954053810,Tranylcypromine Sulfate Tab 10 MG,1.99,1.6,0.53,1.79,26
NDC,70954056510,Estradiol Tab 1 MG,1.08,0.87,0.29,0.97,26
NDC,70954059710,Prucalopride Succinate Tab 2 MG (Base Equivalent),12.92,10.34,3.42,11.63,26
NDC,70954066210,Ketoconazole Shampoo 2%,34.24,27.4,9.06,30.82,26
NDC,71000724,Phenytoin Chew Tab 50 MG,1.76,1.41,0.47,1.58,26
NDC,71000740,Phenytoin Chew Tab 50 MG,2.07,1.66,0.55,1.86,26
NDC,71015523,Atorvastatin Calcium Tab 10 MG (Base Equivalent),8.8,7.04,2.33,7.92,26
NDC,71015623,Atorvastatin Calcium Tab 20 MG (Base Equivalent),12.13,9.71,3.21,10.92,26
NDC,71015640,Atorvastatin Calcium Tab 20 MG (Base Equivalent),12.68,10.15,3.35,11.41,26
NDC,71035060,Phenelzine Sulfate Tab 15 MG,2.58,2.07,0.68,2.32,26
NDC,71036924,Phenytoin Sodium Extended Cap 100 MG,2.49,2.0,0.66,2.24,26
NDC,71101268,Pregabalin Cap 25 MG,6.89,5.52,1.82,6.2,26
NDC,71101341,Pregabalin Cap 50 MG,7.48,5.99,1.98,6.73,26
NDC,71101541,Pregabalin Cap 100 MG,11.32,9.06,2.99,10.19,26
NDC,71101568,Pregabalin Cap 100 MG,8.29,6.64,2.19,7.46,26
NDC,71102001,Pregabalin Soln 20 MG/ML,901.47,721.18,238.44,811.32,26
NDC,71127100001,Coagulation Factor VIIa (Recom)-jncw For Inj 1 MG (1000 MCG),2117.51,1694.01,2.02,1905.76,26
NDC,71127110001,Coagulation Factor VIIa (Recom)-jncw For Inj 1 MG (1000 MCG),2117.51,1694.01,2.02,1905.76,26
NDC,71127200001,Coagulation Factor VIIa (Recom)-jncw For Inj 2 MG (2000 MCG),4149.75,3319.8,2.02,3734.78,26
NDC,71139001201,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML,268.0,214.4,1.0,241.2,26
NDC,71225012001,Bendamustine HCl IV Soln 100 MG/4ML (25 MG/ML),11649.61,9319.69,28.36,10484.65,34
NDC,71225012602,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,415.45,332.36,109.89,373.91,26
NDC,71225012605,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,415.45,332.36,109.89,373.91,26
NDC,71266200102,Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML),406.64,325.32,1.0,365.98,26
NDC,71266200201,Rocuronium Bromide IV Soln Pref Syringe 50 MG/5ML (10 MG/ML),399.58,319.67,105.69,359.62,26
NDC,71266510001,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML,273.0,218.4,1.0,245.7,26
NDC,71266510301,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML,273.0,218.4,1.0,245.7,26
NDC,71266513001,",Phenylephrine-NaCl IV Solution 25 MG/250ML-0.9%",412.5,330.0,109.11,371.25,26
NDC,71266523001,",Phenylephrine-NaCl IV Solution 25 MG/250ML-0.9%",412.5,330.0,109.11,371.25,26
NDC,71266802001,Amino Acid Infusion 5%,660.0,528.0,174.57,594.0,26
NDC,71266823001,Tropicamide-Cyclopen-PE-Keto Ophth Sol Pref Syr 1-1-2.5-0.5%,32.93,26.35,8.71,29.64,26
NDC,71266824001,Tropicamide-Cyclopen-PE-Keto Ophth Sol Pref Syr 1-1-2.5-0.5%,9.23,7.39,2.44,8.31,26
NDC,71266901101,Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML),394.34,315.48,1.0,354.91,26
NDC,71266908002,Ketamine HCl Soln Pref Syr 50 MG/5ML (10 MG/ML),395.41,316.33,104.59,355.87,26
NDC,71288000920,Cefepime HCl For IV Soln 2 GM,398.07,318.46,1.0,358.26,26
NDC,71288001715,Daptomycin For IV Soln 350 MG,405.1,324.08,1.0,364.59,26
NDC,71288002210,Vancomycin HCl For IV Soln 500 MG (Base Equivalent),390.89,312.72,103.39,351.8,26
NDC,71288002320,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),391.19,312.96,103.47,352.07,26
NDC,71288002321,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),391.19,312.96,103.47,352.07,26
NDC,71288002910,Micafungin Sodium For IV Soln 100 MG,431.64,345.32,1.0,388.48,26
NDC,71288002911,Micafungin Sodium For IV Soln 100 MG,431.64,345.32,1.0,388.48,26
NDC,71288003120,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,391.27,313.02,1.0,352.14,26
NDC,71288003220,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,393.07,314.46,1.0,353.76,26
NDC,71288010110,Oxaliplatin IV Soln 50 MG/10ML,275.38,220.31,1.0,247.84,26
NDC,71288010610,Bleomycin Sulfate For Inj 15 Unit,336.8,269.44,1.0,303.12,26
NDC,71288010610,"Bleomycin Sulfate For Inj 15 Unit,Bleomycin Sulfate For Inj 30 unit",336.8,269.44,1.0,303.12,26
NDC,71288011530,Azacitidine For Inj 100 MG,344.47,275.58,0.37,310.02,26
NDC,71288011728,Gemcitabine HCl Inj 1 GM/26.3ML (38 MG/ML) (Base Equiv),326.95,261.56,1.0,294.26,26
NDC,71288011810,Bortezomib For Inj 3.5 MG,318.47,254.78,2.29,286.62,26
NDC,71288012820,Clofarabine IV Soln 1 MG/ML,1693.96,1355.17,3.98,1524.56,34
NDC,71288014408,Docetaxel Soln for IV Infusion 80 MG/8ML,421.92,337.54,1.0,379.73,26
NDC,71288016010,Leucovorin Calcium For Inj 50 MG,398.99,319.2,1.0,359.09,26
NDC,71288016610,Pemetrexed Disodium For IV Soln 100 MG (Base Equiv),286.96,229.57,3.22,258.26,34
NDC,71288016750,Pemetrexed Disodium For IV Soln 500 MG (Base Equiv),409.57,327.66,3.22,368.61,34
NDC,71288020185,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),400.7,320.56,1.0,360.63,26
NDC,71288020302,Furosemide Inj 10 MG/ML,389.76,311.81,103.09,350.78,26
NDC,71288020303,Furosemide Inj 10 MG/ML,389.76,311.81,103.09,350.78,26
NDC,71288020304,Furosemide Inj 10 MG/ML,195.01,156.01,51.58,175.51,26
NDC,71288020305,Furosemide Inj 10 MG/ML,195.01,156.01,51.58,175.51,26
NDC,71288020310,Furosemide Inj 10 MG/ML,78.17,62.54,20.68,70.35,26
NDC,71288020311,Furosemide Inj 10 MG/ML,78.17,62.54,20.68,70.35,26
NDC,71288030301,Cyanocobalamin Inj 1000 MCG/ML,390.49,312.4,1.0,351.44,26
NDC,71288030302,Cyanocobalamin Inj 1000 MCG/ML,390.49,312.4,1.0,351.44,26
NDC,71288040210,Heparin Sodium (Porcine) Inj 1000 Unit/ML,391.025,312.825,1.0,353.41,52
NDC,71288040211,Heparin Sodium (Porcine) Inj 1000 Unit/ML,391.025,312.825,1.0,353.41,52
NDC,71288040580,Heparin Sodium (Porcine) PF Inj 5000 Unit/0.5ML,390.96,312.77,1.0,351.86,26
NDC,71288040581,Heparin Sodium (Porcine) PF Inj 5000 Unit/0.5ML,390.96,312.77,1.0,351.86,26
NDC,71288040905,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),393.99,315.2,1.0,354.59,26
NDC,71288041180,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,405.74,324.6,1.0,365.17,26
NDC,71288041181,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,405.74,324.6,1.0,365.17,26
NDC,71288042603,Enoxaparin Sodium Inj 300 MG/3ML,407.56,326.05,1.0,366.8,26
NDC,71288042710,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),424.25,339.4,1.0,381.83,26
NDC,71288042711,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),424.25,339.4,1.0,381.83,26
NDC,71288043280,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,393.19,314.56,1.0,353.87,26
NDC,71288043382,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,394.58,315.67,1.0,355.12,26
NDC,71288043383,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,394.58,315.67,1.0,355.12,26
NDC,71288043484,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,397.37,317.9,1.0,357.63,26
NDC,71288043485,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,397.37,317.9,1.0,357.63,26
NDC,71288043586,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,400.16,320.13,1.0,360.14,26
NDC,71288043587,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,400.16,320.13,1.0,360.14,26
NDC,71288050502,Dexmedetomidine HCl IV Soln 200 MCG/2ML,391.58,313.27,103.57,352.42,26
NDC,71288050503,Dexmedetomidine HCl IV Soln 200 MCG/2ML,391.58,313.27,103.57,352.42,26
NDC,71288060010,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),390.03,312.03,103.16,351.03,26
NDC,71288070210,Atracurium Besylate IV Soln 100 MG/10ML,393.3,314.64,104.03,353.97,26
NDC,71288071320,Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML),673.25,538.6,178.07,605.93,26
NDC,71288071321,Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML),673.25,538.6,178.07,605.93,26
NDC,71288071410,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",396.92,317.54,104.99,357.23,26
NDC,71288071410,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),396.92,317.54,104.99,357.23,26
NDC,71288071411,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",396.12,316.9,104.77,356.51,26
NDC,71288071411,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),396.12,316.9,104.77,356.51,26
NDC,71288071610,Methocarbamol Inj 1000 MG/10ML,397.36,317.89,1.0,357.62,26
NDC,71288071611,Methocarbamol Inj 1000 MG/10ML,397.36,317.89,1.0,357.62,26
NDC,71288071910,Succinylcholine Chloride Inj 20 MG/ML,392.93,314.35,1.0,353.64,26
NDC,71288071911,Succinylcholine Chloride Inj 20 MG/ML,392.93,314.35,1.0,353.64,26
NDC,71288072352,Bupivacaine HCl Inj 0.25%,394.3,315.44,0.02,354.87,26
NDC,71288080202,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),391.79,313.44,1.0,352.61,26
NDC,71288080204,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),391.78,313.43,1.0,352.6,26
NDC,71288080320,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),405.31,324.25,0.74,364.78,52
NDC,71288080321,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),405.31,324.25,0.74,364.78,52
NDC,71288080701,Phenylephrine HCl IV Soln 10 MG/ML,390.87,312.7,0.01,351.78,26
NDC,713013206,Promethazine HCl Suppos 50 MG,25.71,20.57,6.8,23.14,26
NDC,713013212,Promethazine HCl Suppos 50 MG,25.71,20.57,6.8,23.14,26
NDC,713013506,Prochlorperazine Suppos 25 MG,9.9,7.92,2.62,8.91,26
NDC,713013512,Prochlorperazine Suppos 25 MG,9.9,7.92,2.62,8.91,26
NDC,713026831,Neomycin-Bacitracin-Polymyxin Oint,3.56,2.85,0.94,3.2,26
NDC,713028031,Bacitracin Oint 500 Unit/GM,2.42,1.94,0.64,2.18,26
NDC,713032737,Betamethasone Valerate Oint 0.1% (Base Equivalent),55.87,44.7,14.78,50.28,26
NDC,713035102,Prochlorperazine Edisylate Inj 10 MG/2ML,392.63,314.11,1.0,353.37,26
NDC,713035109,Prochlorperazine Edisylate Inj 10 MG/2ML,392.63,314.11,1.0,353.37,26
NDC,713050306,Hydrocortisone Acetate Suppos 25 MG,1.08,0.87,0.29,0.97,26
NDC,713050312,Hydrocortisone Acetate Suppos 25 MG,8.74,7.0,2.31,7.87,26
NDC,713052606,Promethazine HCl Suppos 25 MG,6.49,5.2,1.72,5.84,26
NDC,713052612,Promethazine HCl Suppos 25 MG,1.4,1.12,0.37,1.26,26
NDC,713053606,Promethazine HCl Suppos 12.5 MG,1.8,1.44,0.48,1.62,26
NDC,713053612,Promethazine HCl Suppos 12.5 MG,1.8,1.44,0.48,1.62,26
NDC,713056431,Nitroglycerin Oint 0.4%,522.79,418.24,138.28,470.51,26
NDC,713063337,Metronidazole Cream 0.75%,166.75,133.4,44.11,150.08,26
NDC,713063737,Metronidazole Gel 0.75%,47.95,38.36,12.68,43.16,26
NDC,713065540,Triamcinolone Acetonide Dental Paste 0.1%,59.33,47.47,15.69,53.4,26
NDC,713068231,Gentamicin Sulfate Oint 0.1%,86.98,69.59,23.01,78.28,26
NDC,713068315,Gentamicin Sulfate Cream 0.1%,47.11,37.69,12.46,42.4,26
NDC,713068331,Gentamicin Sulfate Cream 0.1%,69.82,55.86,18.47,62.84,26
NDC,713068615,Nystatin Oint 100000 Unit/GM,28.39,22.72,7.51,25.55,26
NDC,71321080116,Ferrous Sulfate Soln 220 MG/5ML (44 MG/5ML Elemental Fe),25.13,20.11,6.65,22.62,26
NDC,71321080230,Vitamin E Soln 6.75 MG/0.3ML (15 Unit/0.3ML),1.65,1.32,0.44,1.49,26
NDC,71336100001,Patisiran Sodium IV Soln 10 MG/5ML (2 MG/ML) (Base Equiv),33400.0,26720.0,94.97,30060.0,34
NDC,71351001760,Probiotic Product - Cap,1.57,1.26,0.42,1.41,26
NDC,71351002202,Bupivacaine 0.75% in Dextrose Inj 8.25%,786.14,628.92,207.93,707.53,26
NDC,71351002210,Bupivacaine 0.75% in Dextrose Inj 8.25%,786.14,628.92,207.93,707.53,26
NDC,71351002305,Lidocaine HCl Local Preservative Free (PF) Inj 2%,156.18,124.95,41.31,140.56,26
NDC,71351002325,Lidocaine HCl Local Preservative Free (PF) Inj 2%,156.18,124.95,41.31,140.56,26
NDC,71374066,Phenytoin Sodium Extended Cap 30 MG,1.7,1.36,0.45,1.53,26
NDC,71384031005,Prednisolone Ace-Moxifloxacin-Bromfenac Op Susp 1-0.5-0.075%,66.8,53.44,17.67,60.12,52
NDC,71384034008,Prednisolone-Moxifloxacin-Bromfenac Opth Sol 1-0.5-0.075%,75.0,60.0,19.84,67.5,26
NDC,71384050908,Moxifloxacin HCl Intraocular Soln 1 MG/ML (Base Equiv),407.5,326.0,107.78,366.75,26
NDC,71399005101,Magnesium Citrate Soln,4.26,3.41,1.13,3.83,52
NDC,71399102701,Diphenhydramine HCl Cap 25 MG,1.02,0.82,0.27,1.0,26
NDC,71399744005,Pediatric Multiple Vitamin Drops,1.02,0.82,0.27,0.92,26
NDC,71401091616,Multiple Vitamin Liquid,1.33,1.07,0.35,1.2,26
NDC,71414011501,Ascorbic Acid Inj 500 MG/ML,471.25,377.0,124.65,424.13,26
NDC,71449000411,Rocuronium Bromide IV Soln Pref Syringe 50 MG/5ML (10 MG/ML),396.6,317.28,104.9,356.94,26
NDC,71449006811,Ketamine HCl Soln Pref Syr 50 MG/5ML (10 MG/ML),393.85,315.08,104.17,354.47,26
NDC,71449012615,Succinylcholine Cl Inj Sol Pref Syr 200 MG/10ML (20 MG/ML),404.0,323.2,1.0,363.6,26
NDC,71469023101,Aminolevulinic Acid HCl For Oral Solution 1.5 GM (30 MG/ML),10643.0,8514.4,2815.07,9578.7,26
NDC,71506002859,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML,269.67,215.74,1.0,242.7,26
NDC,71525610001,Magnesium Citrate Soln,3.07,2.46,0.81,2.76,26
NDC,71656006410,Hydrocortisone w/ Acetic Acid Otic Soln 1-2%,132.8,106.24,35.13,119.52,26
NDC,71837584301,Sargramostim Lyophilized For Inj 250 MCG,1071.25,857.0,47.85,964.13,34
NDC,71839011801,Heparin Sodium (Porcine) PF Inj 5000 Unit/0.5ML,391.97,313.58,1.0,352.77,26
NDC,71839011825,Heparin Sodium (Porcine) PF Inj 5000 Unit/0.5ML,391.97,313.58,1.0,352.77,26
NDC,71839012201,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),393.13,314.51,103.98,353.82,26
NDC,71839012501,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),389.84,311.88,0.43,350.86,34
NDC,71839012525,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),389.84,311.88,0.43,350.86,34
NDC,71894012002,Onasemnogene Abeparvovec-xioi 2x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894012203,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 2x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894012404,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 2x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894012504,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 3x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894012604,Onasemnogene Abeparvovec-xioi 4x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894012705,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 3x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894012805,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 4x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894012905,Onasemnogene Abeparvovec-xioi 5x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894013006,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 4x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894013106,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 5x8.3 ML Susp Kit,2630876.26,2104701.01,881343.55,2577866.14,34
NDC,71894013206,Onasemnogene Abeparvovec-xioi 6x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894013307,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 5x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894013407,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 6x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894013507,Onasemnogene Abeparvovec-xioi 7x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894013608,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 6x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894013708,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 7x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894013808,Onasemnogene Abeparvovec-xioi 8x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894013909,Onasemnogene Abeparvovec-xioi 2x5.5 ML & 7x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894014009,Onasemnogene Abeparvovec-xioi 1x5.5 ML & 8x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71894014109,Onasemnogene Abeparvovec-xioi 9x8.3 ML Susp Kit,2337500.0,1870000.0,783062.5,2577866.14,34
NDC,71930001612,Quinidine Gluconate Tab ER 324 MG,7.26,5.81,1.92,6.53,26
NDC,71930002330,Oxycodone HCl Conc 100 MG/5ML (20 MG/ML),155.02,124.02,41.0,139.52,26
NDC,71930002452,Methylphenidate HCl Soln 5 MG/5ML,25.47,20.38,6.74,22.92,26
NDC,71930006612,Baclofen Tab 5 MG,1.59,1.28,0.42,1.43,26
NDC,72078003300,Adenosine IV Soln 6 MG/2ML,390.78,312.63,1.0,351.7,26
NDC,72078003302,Adenosine IV Soln 6 MG/2ML,390.78,312.63,1.0,351.7,26
NDC,72078003400,Remifentanil HCl For IV Soln 1 MG,434.78,347.83,115.0,391.3,26
NDC,72078003401,Remifentanil HCl For IV Soln 1 MG,434.78,347.83,115.0,391.3,26
NDC,72078004008,Docetaxel Soln for IV Infusion 80 MG/8ML,453.67,362.94,1.0,408.3,26
NDC,72140000021,Skin Protectants Misc - Cream,12.8,10.24,3.39,11.52,26
NDC,72140000022,Skin Protectants Misc - Cream,7.22,5.78,1.91,6.5,26
NDC,72140000375,Emollient - Ointment,6.5,5.2,1.72,5.85,26
NDC,72140000638,Skin Protectants Misc - Ointment,4.77,3.82,1.26,4.29,26
NDC,72140045231,Emollient - Ointment,5.05,4.04,1.34,4.55,26
NDC,72140063377,Emollient - Ointment,7.63,6.11,2.02,6.87,26
NDC,72140063386,Emollient - Ointment,12.48,9.99,3.3,11.23,26
NDC,72140063608,Emollient - Ointment,17.63,14.11,4.66,15.87,26
NDC,72187040101,Tagraxofusp-erzs IV Soln 1000 MCG/ML,73540.0,58832.0,324.48,66186.0,34
NDC,72205001901,Valganciclovir HCl For Soln 50 MG/ML (Base Equiv),273.47,218.78,72.33,246.12,26
NDC,72205002790,Rosuvastatin Calcium Tab 5 MG,1.06,0.85,0.28,0.95,26
NDC,72205002830,Febuxostat Tab 40 MG,1.97,1.58,0.52,1.77,26
NDC,72205003092,Abiraterone Acetate Tab 250 MG,2.44,1.96,0.65,2.2,26
NDC,72205003101,Decitabine For Inj 50 MG,672.28,537.83,1.0,605.05,26
NDC,72205003960,Dofetilide Cap 125 MCG (0.125 MG),1.28,1.03,0.34,1.15,26
NDC,72205004411,Oseltamivir Phosphate Cap 75 MG (Base Equiv),2.72,2.18,0.72,2.45,26
NDC,72205005108,Albendazole Tab 200 MG,28.75,23.0,7.6,25.88,26
NDC,72205005401,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),406.41,325.13,1.0,365.77,26
NDC,72205008530,Tiagabine HCl Tab 4 MG,4.37,3.5,1.16,3.93,26
NDC,72205017072,Acyclovir Susp 200 MG/5ML,25.59,20.48,6.77,23.03,26
NDC,72205020030,Roflumilast Tab 500 MCG,1.51,1.21,0.4,1.36,26
NDC,72205020830,Lurasidone HCl Tab 40 MG,1.62,1.3,0.43,1.46,26
NDC,72205022001,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),100.36,80.29,1.0,90.32,26
NDC,72205022007,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),100.36,80.29,1.0,90.32,26
NDC,72205026401,Phenylephrine HCl IV Soln 10 MG/ML,389.87,311.9,0.01,350.88,26
NDC,72205026425,Phenylephrine HCl IV Soln 10 MG/ML,389.87,311.9,0.01,350.88,26
NDC,72266010101,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),887.94,710.36,59.91,799.15,34
NDC,72266010201,Labetalol HCl IV Soln 5 MG/ML,389.47,311.58,0.18,350.52,26
NDC,72266010801,Clofarabine IV Soln 1 MG/ML,2737.66,2190.13,3.98,2463.89,34
NDC,72266011801,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",390.48,312.39,0.29,351.43,34
NDC,72266011801,Ketorolac Tromethamine Inj 30 MG/ML,390.48,312.39,0.29,351.43,34
NDC,72266011825,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",390.48,312.39,0.29,351.43,34
NDC,72266011825,Ketorolac Tromethamine Inj 30 MG/ML,390.48,312.39,0.29,351.43,34
NDC,72266011901,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),391.1,312.88,0.29,351.99,34
NDC,72266011925,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),391.1,312.88,0.29,351.99,34
NDC,72266012301,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.47,311.58,1.0,350.52,26
NDC,72266012325,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.47,311.58,1.0,350.52,26
NDC,72266012401,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),389.47,311.58,1.0,350.52,26
NDC,72266012701,Dicyclomine HCl Inj 10 MG/ML,396.06,316.85,1.0,356.45,26
NDC,72266012705,Dicyclomine HCl Inj 10 MG/ML,396.06,316.85,1.0,356.45,26
NDC,72266013101,Voriconazole For Inj 200 MG,405.5,324.4,1.0,364.95,26
NDC,72266014201,Bromfenac Sodium Ophth Soln 0.09% (Base Equiv) (Once-Daily),93.88,75.11,24.83,84.49,26
NDC,72266014701,Etomidate IV Soln 2 MG/ML,392.7,314.16,103.87,353.43,26
NDC,72266014710,Etomidate IV Soln 2 MG/ML,392.7,314.16,103.87,353.43,26
NDC,72266015201,Zoledronic Acid IV Soln 5 MG/100ML,464.6,371.68,1.0,418.14,26
NDC,72266015801,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),33.59,26.88,8.88,30.23,26
NDC,72266015910,Ertapenem Sodium For Inj 1 GM (Base Equivalent),418.66,334.93,1.0,376.79,26
NDC,72266016001,Ziprasidone Mesylate For Inj 20 MG (Base Equivalent),403.94,323.16,1.0,363.55,26
NDC,72266016010,Ziprasidone Mesylate For Inj 20 MG (Base Equivalent),403.94,323.16,1.0,363.55,26
NDC,72266019701,Dorzolamide HCl Ophth Soln 2%,38.91,31.13,10.29,35.02,26
NDC,72266024801,Sincalide For Inj 5 MCG,463.68,370.95,1.0,417.31,26
NDC,72266024805,Sincalide For Inj 5 MCG,463.68,370.95,1.0,417.31,26
NDC,72266025101,Calcitriol Inj 1 MCG/ML,395.03,316.03,1.0,355.53,26
NDC,72266025110,Calcitriol Inj 1 MCG/ML,395.03,316.03,1.0,355.53,26
NDC,72485010125,Diphenhydramine HCl Inj 50 MG/ML,391.53,313.23,1.0,352.38,26
NDC,72485010401,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),394.75,315.8,1.0,355.28,26
NDC,72485010501,Nitroprusside Sodium IV Soln 25 MG/ML,403.81,323.05,106.81,363.43,26
NDC,72485010610,Levetiracetam Inj 500 MG/5ML (100 MG/ML),390.19,312.16,1.0,351.17,26
NDC,72485011801,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,156.23,124.99,1.0,140.61,26
NDC,72485020101,Azacitidine For Inj 100 MG,591.01,472.81,0.37,531.91,26
NDC,72485042201,Ampicillin Sodium For Inj 2 GM,395.59,316.48,1.0,356.03,26
NDC,72485042210,Ampicillin Sodium For Inj 2 GM,395.59,316.48,1.0,356.03,26
NDC,72485050101,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),392.57,314.06,1.0,353.31,26
NDC,72485050110,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),392.57,314.06,1.0,353.31,26
NDC,72485050401,Phenylephrine HCl IV Soln 10 MG/ML,389.89,311.92,0.01,350.9,26
NDC,72485050425,Phenylephrine HCl IV Soln 10 MG/ML,389.89,311.92,0.01,350.9,26
NDC,72485050701,Thiamine HCl Inj 100 MG/ML,390.92,312.74,1.0,351.83,26
NDC,72485050725,Thiamine HCl Inj 100 MG/ML,390.92,312.74,1.0,351.83,26
NDC,72485061710,Ketotifen Fumarate Ophth Soln 0.035%,30.41,24.33,8.04,27.37,26
NDC,72485062513,Ciprofloxacin-Dexamethasone Otic Susp 0.3-0.1%,111.27,89.02,29.43,100.14,26
NDC,72485067031,Erythromycin Ophth Oint 5 MG/GM,14.94,11.96,3.95,13.45,26
NDC,72485067035,Erythromycin Ophth Oint 5 MG/GM,35.24,28.2,9.32,31.72,26
NDC,72493010303,Mitomycin For Pyelocalyceal Soln 40 MG,32694.0,26155.2,294.37,29424.6,34
NDC,72516002401,Papaverine HCl Inj 30 MG/ML,416.15,332.92,1.0,374.54,26
NDC,72516002425,Papaverine HCl Inj 30 MG/ML,416.15,332.92,1.0,374.54,26
NDC,72572001601,Ampicillin Sodium For Inj 1 GM,390.61,312.49,1.0,351.55,26
NDC,72572001610,Ampicillin Sodium For Inj 1 GM,390.61,312.49,1.0,351.55,26
NDC,72572001701,Ampicillin Sodium For Inj 2 GM,391.33,313.07,1.0,352.2,26
NDC,72572001701,"Ampicillin Sodium For Inj 2 GM,Ampicillin Sodium For IV Soln 2 GM",391.33,313.07,1.0,352.2,26
NDC,72572001710,Ampicillin Sodium For Inj 2 GM,391.33,313.07,1.0,352.2,26
NDC,72572001710,"Ampicillin Sodium For Inj 2 GM,Ampicillin Sodium For IV Soln 2 GM",391.33,313.07,1.0,352.2,26
NDC,72572002501,Bacitracin Intramuscular For Soln 50000 Unit,394.17,315.34,104.26,354.75,26
NDC,72572002510,Bacitracin Intramuscular For Soln 50000 Unit,394.17,315.34,104.26,354.75,26
NDC,72572005201,Calcium Chloride Inj 10%,396.45,317.16,104.86,356.81,26
NDC,72572005210,Calcium Chloride Inj 10%,396.45,317.16,104.86,356.81,26
NDC,72572005501,Cefazolin Sodium For Inj 1 GM,390.17,312.14,1.0,351.15,26
NDC,72572005525,Cefazolin Sodium For Inj 1 GM,390.17,312.14,1.0,351.15,26
NDC,72572006101,Ceftriaxone Sodium For Inj 1 GM,391.87,313.5,1.0,352.68,26
NDC,72572006125,Ceftriaxone Sodium For Inj 1 GM,391.87,313.5,1.0,352.68,26
NDC,72572007601,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,394.0,315.2,2.18,354.6,26
NDC,72572007624,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,394.0,315.2,2.18,354.6,26
NDC,72572010001,Daptomycin For IV Soln 350 MG,452.0,361.6,1.0,406.8,26
NDC,72572012001,Dexamethasone Sodium Phosphate Inj 4 MG/ML,389.9,311.92,1.0,350.91,26
NDC,72572012025,Dexamethasone Sodium Phosphate Inj 4 MG/ML,389.9,311.92,1.0,350.91,26
NDC,72572014001,Diazepam Inj 5 MG/ML,203.82,163.06,1.0,183.44,26
NDC,72572014002,Diazepam Inj 5 MG/ML,203.82,163.06,1.0,183.44,26
NDC,72572017001,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,390.74,312.6,1.0,351.67,26
NDC,72572017025,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,390.74,312.6,1.0,351.67,26
NDC,72572017101,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",391.77,313.42,1.0,352.59,26
NDC,72572017101,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,78.35,62.68,1.0,70.52,26
NDC,72572017125,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",391.77,313.42,1.0,352.59,26
NDC,72572017125,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,78.35,62.68,1.0,70.52,26
NDC,72572019001,Furosemide Inj 10 MG/ML,195.06,156.05,51.59,175.55,26
NDC,72572019025,Furosemide Inj 10 MG/ML,195.06,156.05,51.59,175.55,26
NDC,72572025501,Heparin Sodium (Porcine) Inj 5000 Unit/ML,390.37,312.3,1.0,351.33,26
NDC,72572025525,Heparin Sodium (Porcine) Inj 5000 Unit/ML,390.37,312.3,1.0,351.33,26
NDC,72572026501,Hydralazine HCl Inj 20 MG/ML,392.85,314.28,1.0,353.57,26
NDC,72572026525,Hydralazine HCl Inj 20 MG/ML,392.85,314.28,1.0,353.57,26
NDC,72572032101,Ketamine HCl Inj 100 MG/ML,399.27,319.42,105.61,359.34,26
NDC,72572032110,Ketamine HCl Inj 100 MG/ML,399.27,319.42,105.61,359.34,26
NDC,72572035001,Labetalol HCl IV Soln 5 MG/ML,389.58,311.67,0.18,350.62,26
NDC,72572035401,Ketorolac Tromethamine Inj 15 MG/ML,390.07,312.06,0.29,351.06,34
NDC,72572035410,Ketorolac Tromethamine Inj 15 MG/ML,390.07,312.06,0.29,351.06,34
NDC,72572035501,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",390.08,312.07,0.29,351.07,34
NDC,72572035501,Ketorolac Tromethamine Inj 30 MG/ML,390.08,312.07,0.29,351.07,34
NDC,72572035525,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",390.08,312.07,0.29,351.07,34
NDC,72572035525,Ketorolac Tromethamine Inj 30 MG/ML,390.08,312.07,0.29,351.07,34
NDC,72572037001,Lidocaine HCl Local Preservative Free (PF) Inj 1%,389.25,311.4,102.96,350.33,26
NDC,72572037025,Lidocaine HCl Local Preservative Free (PF) Inj 1%,389.25,311.4,102.96,350.33,26
NDC,72572037201,Lidocaine HCl Local Preservative Free (PF) Inj 2%,156.05,124.84,41.28,140.45,26
NDC,72572037225,Lidocaine HCl Local Preservative Free (PF) Inj 2%,156.05,124.84,41.28,140.45,26
NDC,72572038001,Lorazepam Inj 2 MG/ML,390.06,312.05,1.0,351.05,26
NDC,72572038025,Lorazepam Inj 2 MG/ML,390.06,312.05,1.0,351.05,26
NDC,72572041601,Meropenem IV For Soln 1 GM,396.11,316.89,1.0,356.5,26
NDC,72572041610,Meropenem IV For Soln 1 GM,396.11,316.89,1.0,356.5,26
NDC,72572042001,Metoprolol Tartrate IV Soln 5 MG/5ML,233.89,187.12,61.86,210.5,26
NDC,72572042010,Metoprolol Tartrate IV Soln 5 MG/5ML,233.89,187.12,61.86,210.5,26
NDC,72572043001,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",389.68,311.75,1.0,350.71,26
NDC,72572043025,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",389.68,311.75,1.0,350.71,26
NDC,72572044001,Morphine Sulfate IV Soln 4 MG/ML,391.01,312.81,1.0,351.91,26
NDC,72572044025,Morphine Sulfate IV Soln 4 MG/ML,391.01,312.81,1.0,351.91,26
NDC,72572045001,Naloxone HCl Inj 0.4 MG/ML,196.7,157.36,52.03,177.03,26
NDC,72572045025,Naloxone HCl Inj 0.4 MG/ML,196.7,157.36,52.03,177.03,26
NDC,72572046101,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),389.3,311.44,1.0,350.37,26
NDC,72572046201,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),389.3,311.44,1.0,350.37,26
NDC,72572046210,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),389.3,311.44,1.0,350.37,26
NDC,72572052001,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.68,311.75,1.0,350.71,26
NDC,72572052025,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),389.68,311.75,1.0,350.71,26
NDC,72572055001,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.8,313.44,103.63,352.62,26
NDC,72572055010,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.8,313.44,103.63,352.62,26
NDC,72572057101,Phenylephrine HCl IV Soln 10 MG/ML,390.98,312.79,0.01,351.88,26
NDC,72572057125,Phenylephrine HCl IV Soln 10 MG/ML,390.98,312.79,0.01,351.88,26
NDC,72572058001,Prochlorperazine Edisylate Inj 10 MG/2ML,395.03,316.03,1.0,355.53,26
NDC,72572058025,Prochlorperazine Edisylate Inj 10 MG/2ML,395.03,316.03,1.0,355.53,26
NDC,72572060101,Propofol IV Emul 500 MG/50ML (10 MG/ML),394.6,315.68,1.0,355.14,26
NDC,72572060120,Propofol IV Emul 500 MG/50ML (10 MG/ML),394.6,315.68,1.0,355.14,26
NDC,72572061201,Propofol IV Emul 1000 MG/100ML (10 MG/ML),408.0,326.4,1.0,367.2,26
NDC,72572061210,Propofol IV Emul 1000 MG/100ML (10 MG/ML),408.0,326.4,1.0,367.2,26
NDC,72572074001,Sodium Bicarbonate IV Soln 8.4%,398.5,318.8,1.0,358.65,26
NDC,72572074020,Sodium Bicarbonate IV Soln 8.4%,398.5,318.8,1.0,358.65,26
NDC,72572075001,Succinylcholine Chloride Inj 20 MG/ML,401.87,321.5,1.0,361.68,26
NDC,72572080101,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),392.45,313.96,103.8,353.21,26
NDC,72572080102,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),392.45,313.96,103.8,353.21,26
NDC,72572080301,Vancomycin HCl For IV Soln 5 GM (Base Equivalent),405.43,324.35,107.24,364.89,26
NDC,72572087501,Voriconazole For Inj 200 MG,411.91,329.53,1.0,370.72,26
NDC,72578000201,Acyclovir Cap 200 MG,1.09,0.88,0.29,0.98,26
NDC,72578000414,Memantine HCl Tab 10 MG,1.19,0.96,0.31,1.07,26
NDC,72578000701,Metronidazole Tab 250 MG,1.18,0.95,0.31,1.06,26
NDC,72578000801,Metronidazole Tab 500 MG,1.15,0.92,0.3,1.04,26
NDC,72578004001,Zonisamide Cap 25 MG,1.07,0.86,0.28,0.96,26
NDC,72578004201,Zonisamide Cap 100 MG,1.09,0.88,0.29,0.98,26
NDC,72578005601,Felbamate Tab 400 MG,2.3,1.84,0.61,2.07,26
NDC,72578010105,Acyclovir Cream 5%,121.21,96.97,32.06,109.09,26
NDC,72578014901,Acetazolamide Tab 125 MG,1.16,0.93,0.31,1.04,26
NDC,72611071601,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),1112.15,889.72,59.91,1000.94,34
NDC,72611072501,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),390.02,312.02,0.29,351.02,34
NDC,72611072525,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),390.02,312.02,0.29,351.02,34
NDC,72611073401,Labetalol HCl IV Soln 5 MG/ML,390.96,312.77,0.18,351.86,26
NDC,72611074901,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.4,311.52,1.0,350.46,26
NDC,72611074910,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),389.4,311.52,1.0,350.46,26
NDC,72611075601,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),392.49,314.0,103.81,353.24,26
NDC,72611075610,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),392.49,314.0,103.81,353.24,26
NDC,72611076501,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),391.55,313.24,103.56,352.4,26
NDC,72611076510,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),391.55,313.24,103.56,352.4,26
NDC,72611086001,Acetylcysteine Inj 200 MG/ML,425.99,340.8,1.0,383.39,26
NDC,72618300002,Rimegepant Sulfate Tab Disint 75 MG,116.84,93.48,30.9,105.16,26
NDC,72677055101,Inebilizumab-cdon IV Soln 100 MG/10ML (10 MG/ML),163900.01,131120.01,470.77,147510.01,34
NDC,72677055103,Inebilizumab-cdon IV Soln 100 MG/10ML (10 MG/ML),163900.01,131120.01,470.77,147510.01,34
NDC,72694051501,Calaspargase Pegol-mknl IV Soln 3750 Unit/5ML (750 Unit/ML),43704.2,34963.36,72.88,39333.78,34
NDC,72694095401,Pegaspargase Inj 750 Unit/ML,56054.14,44843.32,18778.14,50448.73,34
NDC,72819015205,Mitomycin For IV Soln 5 MG,409.43,327.55,19.33,368.49,34
NDC,72888000401,Metoprolol Tartrate Tab 25 MG,1.02,0.82,0.27,0.92,26
NDC,72888000405,Metoprolol Tartrate Tab 25 MG,1.03,0.83,0.27,0.93,26
NDC,72888000901,Baclofen Tab 5 MG,1.09,0.88,0.29,0.98,26
NDC,72888001201,Cyclobenzaprine HCl Tab 5 MG,1.04,0.84,0.28,0.94,26
NDC,72888001401,Cyclobenzaprine HCl Tab 10 MG,1.02,0.82,0.27,0.92,26
NDC,72888003001,Oxybutynin Chloride Tab ER 24HR 5 MG,1.16,0.93,0.31,1.04,26
NDC,72888004113,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),25.89,20.72,6.85,23.3,26
NDC,72888005930,Rabeprazole Sodium EC Tab 20 MG,1.23,0.99,0.33,1.11,26
NDC,72888008001,Tramadol HCl Tab 50 MG,1.03,0.83,0.27,0.93,26
NDC,72888009401,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.05,0.84,0.28,0.95,26
NDC,72888014330,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),1.45,1.16,0.38,1.31,26
NDC,72888015301,Clonazepam Tab 1 MG,1.03,0.83,0.27,0.93,26
NDC,72888019201,Mycophenolate Mofetil Cap 250 MG,1.18,0.95,0.31,1.06,26
NDC,72903085301,Mirvetuximab Soravtansine-gynx IV Soln 100 MG/20ML,22020.0,17616.0,65.75,19818.0,34
NDC,73150015006,Ublituximab-xiiy Soln For IV Infusion 150 MG/6ML,34401.46,27521.17,67.08,30961.31,34
NDC,73293000101,Lidocaine HCl Local Preservative Free (PF) Inj 1%,78.0,62.4,20.63,70.2,26
NDC,73302045601,Ulipristal Acetate Tab 30 MG,34.2,27.36,9.05,30.78,26
NDC,73320000204,Baclofen Tab 10 MG,1.03,0.83,0.27,0.93,26
NDC,73594931001,Ferric Derisomaltose (One Dose) IV Sol 1000 MG/10ML (Fe Eq),7065.83,5652.67,20.06,6359.25,34
NDC,73607001111,Artesunate For IV Soln 110 MG,17499.82,13999.86,47.31,15749.84,34
NDC,73650031601,Teplizumab-mzwv IV Soln 2 MG/2ML (1 MG/ML),41700.0,33360.0,35.78,37530.0,34
NDC,73702014071,Indomethacin Suppos 100 MG,301.0,240.8,79.61,270.9,26
NDC,73913154133,Misc. Devices,2.58,2.07,0.68,2.32,26
NDC,73913173721,Misc. Devices,4.49,3.6,1.19,4.04,26
NDC,74003956,Elagolix Sodium Tab 200 MG (Base Equiv),17.16,13.73,4.54,15.44,26
NDC,74012403,Adalimumab Auto-injector Kit 80 MG/0.8ML,17806.64,14245.32,87.14,16025.98,34
NDC,74057611,Venetoclax Tab 100 MG,103.44,82.76,27.36,93.1,26
NDC,74061602,Adalimumab Prefilled Syringe Kit 20 MG/0.2ML,11961.71,9569.37,87.14,10765.54,34
NDC,74165801,Paricalcitol IV Soln 5 MCG/ML,403.53,322.83,1.0,363.18,26
NDC,74194063,Ritonavir Oral Soln 80 MG/ML,1419.4,1135.52,375.43,1277.46,26
NDC,74228203,Leuprolide Acetate For Inj Pediatric Kit 11.25 MG,1511.12,1208.9,506.23,1893.56,34
NDC,74244003,Leuprolide Acetate For Inj Pediatric Kit 15 MG,1641.52,1313.22,549.91,1893.56,34
NDC,74300000070,Zinc Oxide Paste 40%,4.42,3.54,1.17,3.98,26
NDC,74300000300,Zinc Oxide Cream 13%,4.53,3.63,1.2,4.08,26
NDC,74300001067,Polyethylene Glycol 400 Ophth Soln 1%,8.11,6.49,2.15,7.3,26
NDC,74310932,Cyclosporine Modified Cap 100 MG,4.31,3.45,1.0,3.88,26
NDC,74334603,Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG,590.51,472.41,166.69,531.46,34
NDC,74347303,Leuprolide Acetate (6 Month) For Inj Kit 45 MG,1077.44,861.96,166.69,969.7,34
NDC,74364103,Leuprolide Acetate For Inj Kit 3.75 MG,1370.84,1096.68,459.23,1893.56,34
NDC,74364203,Leuprolide Acetate For Inj Kit 7.5 MG,346.84,277.48,116.19,312.16,34
NDC,74366303,Leuprolide Acetate (3 Month) For Inj Kit 11.25 MG,3662.57,2930.06,1226.96,3296.31,34
NDC,74368303,Leuprolide Acetate (4 Month) For Inj Kit 30 MG,712.34,569.88,166.69,641.11,34
NDC,74372790,Levothyroxine Sodium Tab 137 MCG,1.18,0.95,0.31,1.06,26
NDC,74377903,Leuprolide Acetate (3 Month) For Inj Pediatric Kit 11.25 MG,35001.36,28001.09,1524.34,31501.22,34
NDC,74382611,Divalproex Sodium Tab ER 24 HR 250 MG,2.43,1.95,0.64,2.19,26
NDC,74382613,Divalproex Sodium Tab ER 24 HR 250 MG,3.65,2.92,0.97,3.29,26
NDC,74433902,Adalimumab Auto-injector Kit 40 MG/0.8ML,11961.71,9569.37,87.14,10765.54,34
NDC,74438010,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",407.85,326.28,107.88,367.07,26
NDC,74438010,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),407.85,326.28,107.88,367.07,26
NDC,74455211,Levothyroxine Sodium Tab 50 MCG,1.12,0.9,0.3,1.01,26
NDC,74455219,Levothyroxine Sodium Tab 50 MCG,1.13,0.91,0.3,1.02,26
NDC,74455290,Levothyroxine Sodium Tab 50 MCG,1.14,0.92,0.3,1.03,26
NDC,74463701,Paricalcitol IV Soln 2 MCG/ML,397.42,317.94,1.0,357.68,26
NDC,74501501,Risankizumab-rzaa IV Soln 600 MG/10ML (60 MG/ML),34302.3,27441.84,14.19,30872.07,34
NDC,74518211,Levothyroxine Sodium Tab 75 MCG,1.14,0.92,0.3,1.03,26
NDC,74518219,Levothyroxine Sodium Tab 75 MCG,1.14,0.92,0.3,1.03,26
NDC,74518290,Levothyroxine Sodium Tab 75 MCG,1.15,0.92,0.3,1.04,26
NDC,74659490,Levothyroxine Sodium Tab 88 MCG,1.14,0.92,0.3,1.03,26
NDC,74662411,Levothyroxine Sodium Tab 100 MCG,1.14,0.92,0.3,1.03,26
NDC,74662419,Levothyroxine Sodium Tab 100 MCG,1.15,0.92,0.3,1.04,26
NDC,74662490,Levothyroxine Sodium Tab 100 MCG,2.1,1.68,0.56,1.89,26
NDC,74706811,Levothyroxine Sodium Tab 125 MCG,1.16,0.93,0.31,1.04,26
NDC,74706819,Levothyroxine Sodium Tab 125 MCG,1.17,0.94,0.31,1.05,26
NDC,74706890,Levothyroxine Sodium Tab 125 MCG,1.18,0.95,0.31,1.06,26
NDC,74706911,Levothyroxine Sodium Tab 150 MCG,1.17,0.94,0.31,1.05,26
NDC,74706919,Levothyroxine Sodium Tab 150 MCG,1.17,0.94,0.31,1.05,26
NDC,74706990,Levothyroxine Sodium Tab 150 MCG,1.17,0.94,0.31,1.05,26
NDC,74726950,Cyclosporine Modified Oral Soln 100 MG/ML,213.9,171.12,1.0,192.51,26
NDC,74929690,Levothyroxine Sodium Tab 112 MCG,1.17,0.94,0.31,1.05,26
NDC,75062001,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,395.97,316.78,1.0,356.37,26
NDC,75062040,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,395.97,316.78,1.0,356.37,26
NDC,75062101,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,402.81,322.25,1.0,362.53,26
NDC,75062160,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,402.81,322.25,1.0,362.53,26
NDC,75062280,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,402.94,322.36,1.0,362.65,26
NDC,75062401,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,395.9,316.72,1.0,356.31,26
NDC,75062430,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,395.9,316.72,1.0,356.31,26
NDC,75062430,"Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML",395.9,316.72,1.0,356.31,26
NDC,75062603,Enoxaparin Sodium Inj 300 MG/3ML,434.08,347.27,1.0,390.67,26
NDC,75291201,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,406.91,325.53,1.0,366.22,26
NDC,75826011510,Phenazopyridine HCl Tab 200 MG,2.39,1.92,0.63,2.15,26
NDC,75826014110,Phenobarbital Tab 64.8 MG,1.49,1.2,0.39,1.34,26
NDC,75834008090,Folic Acid-Pyridoxine-Cyanocobalamin Tab 2.5-25-2 MG,1.48,1.19,0.39,1.33,26
NDC,75834012401,Acyclovir Cap 200 MG,1.1,0.88,0.29,0.99,26
NDC,75834017001,Zinc Oxide Oint 20%,7.05,5.64,1.86,6.35,26
NDC,75834022101,Carbamazepine Tab 200 MG,1.26,1.01,0.33,1.13,26
NDC,75907000530,Amiodarone HCl Tab 100 MG,1.57,1.26,0.42,1.41,26
NDC,75907002311,Clonidine TD Patch Weekly 0.1 MG/24HR,11.57,9.26,3.06,10.41,26
NDC,75907002348,Clonidine TD Patch Weekly 0.1 MG/24HR,11.57,9.26,3.06,10.41,26
NDC,75907002511,Clonidine TD Patch Weekly 0.3 MG/24HR,18.35,14.68,4.85,16.52,26
NDC,75907002548,Clonidine TD Patch Weekly 0.3 MG/24HR,18.35,14.68,4.85,16.52,26
NDC,75907016710,Ivermectin Tab 3 MG,4.67,3.74,1.24,4.2,26
NDC,75907016721,Ivermectin Tab 3 MG,4.67,3.74,1.24,4.2,26
NDC,75987008010,Pegloticase Inj 8 MG/ML (For IV Infusion),61418.88,49135.11,3307.05,55276.99,34
NDC,75987015001,Inebilizumab-cdon IV Soln 100 MG/10ML (10 MG/ML),163900.01,131120.01,470.77,147510.01,34
NDC,76045000401,Morphine Sulfate Inj 2 MG/ML,390.52,312.42,7.07,351.47,26
NDC,76045000411,Morphine Sulfate Inj 2 MG/ML,390.52,312.42,7.07,351.47,26
NDC,76045000501,Morphine Sulfate Inj 4 MG/ML,390.94,312.76,7.07,351.85,26
NDC,76045000511,Morphine Sulfate Inj 4 MG/ML,390.94,312.76,7.07,351.85,26
NDC,76045000901,Hydromorphone HCl Inj 1 MG/ML,78.19,62.56,20.68,70.37,26
NDC,76045000906,Hydromorphone HCl Inj 1 MG/ML,156.56,125.25,41.41,140.9,26
NDC,76045000911,Hydromorphone HCl Inj 1 MG/ML,78.19,62.56,20.68,70.37,26
NDC,76045000996,Hydromorphone HCl Inj 1 MG/ML,156.56,125.25,41.41,140.9,26
NDC,76045001001,Hydromorphone HCl Inj 2 MG/ML,195.49,156.4,51.71,175.94,26
NDC,76045001011,Hydromorphone HCl Inj 2 MG/ML,195.49,156.4,51.71,175.94,26
NDC,76045012101,Hydromorphone HCl Inj 0.2 MG/ML,390.85,312.68,103.38,351.77,26
NDC,76045012111,Hydromorphone HCl Inj 0.2 MG/ML,390.85,312.68,103.38,351.77,26
NDC,76045020400,Diazepam Inj 5 MG/ML,201.22,160.98,1.0,181.1,26
NDC,76045020420,Diazepam Inj 5 MG/ML,201.22,160.98,1.0,181.1,26
NDC,76045073701,Haloperidol Lactate Inj 5 MG/ML,391.31,313.05,1.0,352.18,26
NDC,76045073710,Haloperidol Lactate Inj 5 MG/ML,391.31,313.05,1.0,352.18,26
NDC,76075010101,Carfilzomib For Inj 60 MG,9276.01,7420.81,46.9,8348.41,34
NDC,76075010201,Carfilzomib For Inj 30 MG,4763.01,3810.41,46.9,4286.71,34
NDC,76075010301,Carfilzomib For Inj 10 MG,1754.48,1403.59,46.9,1579.03,34
NDC,76125079225,"Albumin, Human Inj 25%",421.5,337.2,50.42,379.35,36
NDC,76154047015,"Epinephrine HCl-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML),Epinephrine-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML)",417.0,333.6,110.3,375.3,26
NDC,76154047015,Epinephrine-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML),417.0,333.6,1.0,375.3,26
NDC,76154049215,",Phenylephrine-NaCl IV Solution 25 MG/250ML-0.9%",411.0,328.8,108.71,369.9,26
NDC,76154081415,"Epinephrine HCl-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML),Epinephrine-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML)",417.0,333.6,110.3,375.3,26
NDC,76154085315,",Phenylephrine-NaCl IV Solution 25 MG/250ML-0.9%",415.0,332.0,109.77,373.5,26
NDC,76204002160,Sodium Chloride Soln Nebu 7%,1.28,1.03,0.34,1.15,26
NDC,76204002260,Sodium Chloride Soln Nebu 3%,4.3,3.44,1.0,3.87,26
NDC,76204010001,Ipratropium Bromide Inhal Soln 0.02%,1.2,0.96,0.32,1.08,26
NDC,76204010030,Ipratropium Bromide Inhal Soln 0.02%,1.16,0.93,0.32,1.04,26
NDC,76204020001,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.19,0.96,0.04,1.07,26
NDC,76204020025,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.15,0.92,0.04,1.04,26
NDC,76204020030,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.15,0.92,0.04,1.04,52
NDC,76204020060,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.12,0.9,0.04,1.01,26
NDC,76204060001,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.6,1.28,0.17,1.44,26
NDC,76204070001,Levalbuterol HCl Soln Nebu 0.31 MG/3ML (Base Equiv),2.5,2.0,0.66,2.25,26
NDC,76204070011,Levalbuterol HCl Soln Nebu 0.31 MG/3ML (Base Equiv),2.5,2.0,0.66,2.25,26
NDC,76204080011,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),2.5,2.0,0.05,2.25,26
NDC,76204090001,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),2.5,2.0,0.05,2.25,26
NDC,76204090011,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),2.5,2.0,0.05,2.25,26
NDC,76204090015,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),2.11,1.69,0.05,1.9,26
NDC,76204090025,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),2.11,1.69,0.05,1.9,26
NDC,76310002411,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1620.0,1296.0,15.27,1458.0,34
NDC,76310002415,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1830.0,1464.0,15.27,1647.0,34
NDC,76310002425,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1620.0,1296.0,15.27,1458.0,34
NDC,76310002441,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1200.0,960.0,15.27,1080.0,34
NDC,76329124001,Phytonadione Inj 1 MG/0.5ML (2 MG/ML),411.17,328.94,1.0,370.05,52
NDC,76329191101,Morphine Sulfate IV Soln 1 MG/ML,398.36,318.69,1.0,358.52,26
NDC,76329191201,Morphine Sulfate IV Soln PF 1 MG/ML,398.27,318.62,105.34,358.44,26
NDC,76329301205,"Lidocaine HCl Gel 2%,Lidocaine HCl Urethral/Mucosal Gel 2%,Lidocaine HCl Urethral/Mucosal Gel Prefilled Syringe 2%",10.34,8.28,2.73,9.31,26
NDC,76329301305,"Lidocaine HCl Gel 2%,Lidocaine HCl Urethral/Mucosal Gel 2%,Lidocaine HCl Urethral/Mucosal Gel Prefilled Syringe 2%",5.83,4.67,1.54,5.25,26
NDC,76329330101,Dextrose Inj 50%,393.3,314.64,1.0,353.97,26
NDC,76329330201,Dextrose Inj 50%,401.3,321.04,1.0,361.17,26
NDC,76329330401,Calcium Chloride Inj 10%,397.84,318.28,105.23,358.06,26
NDC,76329331601,Epinephrine Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),395.95,316.76,1.0,356.36,26
NDC,76329331801,Epinephrine IV Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),389.88,311.91,103.12,350.89,26
NDC,76329332100,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),416.83,333.47,1.0,375.15,26
NDC,76329334001,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),39.7,31.76,1.0,35.73,26
NDC,76329335201,Sodium Bicarbonate IV Soln 8.4%,399.8,319.84,1.0,359.82,26
NDC,76329336901,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,80.41,64.33,21.27,72.37,26
NDC,76329339001,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",390.96,312.77,1.0,351.86,26
NDC,76329630005,Lidocaine HCl Laryngotracheal Soln 4%,42.96,34.37,11.36,38.66,26
NDC,76329826100,Lorazepam Inj 2 MG/ML,389.97,311.98,1.0,350.97,26
NDC,76329826101,Lorazepam Inj 2 MG/ML,389.97,311.98,1.0,350.97,26
NDC,76329906000,Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),545.0,436.0,144.15,490.5,26
NDC,76385010301,Benztropine Mesylate Tab 0.5 MG,1.09,0.88,0.29,0.98,26
NDC,76385013101,Pindolol Tab 5 MG,1.86,1.49,0.49,1.67,26
NDC,76385013401,Nadolol Tab 40 MG,1.2,0.96,0.32,1.08,26
NDC,76388071325,Busulfan Tab 2 MG,11.0,8.8,1.0,306.37,34
NDC,76478000105,Timolol Ophth Soln 0.25%,115.0,92.0,30.42,103.5,26
NDC,76478050120,Pentobarbital Sodium Inj 50 MG/ML,312.15,249.72,1.0,280.94,26
NDC,766145020,Nicotine TD Patch 24HR 21 MG/24HR,2.34,1.88,0.62,2.11,26
NDC,766739070,Calcium Carbonate (Antacid) Chew Tab 750 MG,1.02,0.82,0.27,0.92,26
NDC,77333003120,Aspirin Tab Delayed Release 81 MG,1.1,0.88,0.29,0.99,26
NDC,77333003125,Aspirin Tab Delayed Release 81 MG,1.1,0.88,0.29,0.99,26
NDC,77333011010,Calcium Carbonate-Cholecalciferol Tab 500 MG-5 MCG(200 Unit),1.16,0.93,0.31,1.04,26
NDC,77333011025,Calcium Carbonate-Cholecalciferol Tab 500 MG-5 MCG(200 Unit),1.16,0.93,0.31,1.04,26
NDC,77333011310,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.14,0.92,0.3,1.03,26
NDC,77333011325,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.14,0.92,0.3,1.03,26
NDC,77333012025,Calcium Polycarbophil Tab 625 MG,1.42,1.14,0.38,1.28,26
NDC,77333012050,Calcium Polycarbophil Tab 625 MG,1.42,1.14,0.38,1.28,26
NDC,77333030810,Omega-3 Fatty Acids Cap 1000 MG,1.15,0.92,0.3,1.04,26
NDC,77333030825,Omega-3 Fatty Acids Cap 1000 MG,1.15,0.92,0.3,1.04,26
NDC,77333043025,Lactase Tab 3000 Unit,1.35,1.08,0.36,1.22,26
NDC,77333051610,Melatonin Tab 3 MG,1.16,0.93,0.31,1.04,26
NDC,77333051625,Melatonin Tab 3 MG,1.16,0.93,0.31,1.04,26
NDC,77333052010,Melatonin Tab 5 MG,1.17,0.94,0.31,1.05,26
NDC,77333052025,Melatonin Tab 5 MG,1.17,0.94,0.31,1.05,26
NDC,77333081210,Simethicone Chew Tab 80 MG,1.15,0.92,0.3,1.04,26
NDC,77333081225,Simethicone Chew Tab 80 MG,1.15,0.92,0.3,1.04,26
NDC,77333082710,Sodium Bicarbonate Tab 650 MG,1.12,0.9,0.3,1.01,26
NDC,77333082725,Sodium Bicarbonate Tab 650 MG,1.12,0.9,0.3,1.01,26
NDC,77333084410,Sodium Chloride Tab 1 GM,1.17,0.94,0.31,1.05,26
NDC,77333084425,Sodium Chloride Tab 1 GM,1.17,0.94,0.31,1.05,26
NDC,77333086110,Multiple Vitamins w/ Minerals Tab,1.19,0.96,0.31,1.07,26
NDC,77333086125,Multiple Vitamins w/ Minerals Tab,1.19,0.96,0.31,1.07,26
NDC,77333093710,Cyanocobalamin Tab 500 MCG,1.12,0.9,0.3,1.01,26
NDC,77333093725,Cyanocobalamin Tab 500 MCG,1.12,0.9,0.3,1.01,26
NDC,77333094025,Pyridoxine HCl Tab 50 MG,1.11,0.89,0.29,1.0,26
NDC,77333094810,Cholecalciferol Tab 10 MCG (400 Unit),1.14,0.92,0.3,1.03,26
NDC,77333094825,Cholecalciferol Tab 10 MCG (400 Unit),1.14,0.92,0.3,1.03,26
NDC,77333095110,Vitamin E Cap 180 MG (400 Unit),1.16,0.93,0.31,1.04,26
NDC,77333095125,Vitamin E Cap 180 MG (400 Unit),1.16,0.93,0.31,1.04,26
NDC,77683006306,Calcium Gluconate Gel 2.5%,57.0,45.6,15.08,51.3,26
NDC,77790002215,Hypromellose Ophth Soln 2.5%,52.62,42.1,13.92,47.36,26
NDC,78010901,Cyclosporine IV Soln 50 MG/ML,451.22,360.98,1.0,406.1,26
NDC,78010961,Cyclosporine IV Soln 50 MG/ML,451.22,360.98,1.0,406.1,26
NDC,78024015,Cyclosporine Cap 25 MG,2.68,2.15,0.71,2.41,26
NDC,78024115,Cyclosporine Cap 100 MG,17.93,14.35,1.0,16.14,26
NDC,78024161,Cyclosporine Cap 100 MG,17.93,14.35,1.0,16.14,26
NDC,78024615,Cyclosporine Modified Cap 25 MG,3.48,2.79,0.92,3.13,26
NDC,78024661,Cyclosporine Modified Cap 25 MG,3.48,2.79,0.92,3.13,26
NDC,78024815,Cyclosporine Modified Cap 100 MG,7.69,6.16,1.0,6.92,26
NDC,78024915,Letrozole Tab 2.5 MG,22.89,18.32,6.05,20.6,26
NDC,78027422,Cyclosporine Modified Oral Soln 100 MG/ML,340.7,272.56,1.0,306.63,26
NDC,78033184,Basiliximab For IV Soln 20 MG,10386.45,8309.16,3479.46,9347.81,34
NDC,78033705,Oxcarbazepine Tab 300 MG,8.07,6.46,2.13,7.26,26
NDC,78034442,Estradiol TD Patch Twice Weekly 0.05 MG/24HR,7.84,6.28,2.07,7.06,26
NDC,78034445,Estradiol TD Patch Twice Weekly 0.05 MG/24HR,13.91,11.13,3.68,12.52,26
NDC,78035752,Oxcarbazepine Susp 300 MG/5ML (60 MG/ML),27.55,22.04,7.29,24.8,26
NDC,78035934,Valsartan Tab 160 MG,4.94,3.96,1.31,4.45,26
NDC,78038205,Dexmethylphenidate HCl Tab 10 MG,2.17,1.74,0.57,1.95,26
NDC,78038666,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),4.4,3.52,1.0,3.96,26
NDC,78040134,Imatinib Mesylate Tab 100 MG (Base Equivalent),73.56,58.85,19.46,66.2,26
NDC,78042315,Valsartan Tab 40 MG,3.52,2.82,0.93,3.17,26
NDC,78046761,Deferoxamine Mesylate For Inj 500 MG,420.62,336.5,1.0,378.56,26
NDC,78046791,Deferoxamine Mesylate For Inj 500 MG,420.62,336.5,1.0,378.56,26
NDC,78047397,White Petrolatum-Mineral Oil Ophth Ointment,8.5,6.8,2.25,7.65,26
NDC,78051005,Carbamazepine Tab ER 12HR 100 MG,1.95,1.56,0.52,1.76,26
NDC,78051105,Carbamazepine Tab ER 12HR 200 MG,2.9,2.32,0.77,2.61,26
NDC,78056845,Artemether-Lumefantrine Tab 20-120 MG,6.21,4.97,1.64,5.59,26
NDC,78064930,Imatinib Mesylate Tab 400 MG (Base Equivalent),288.33,230.67,85.86,259.5,26
NDC,78065920,Sacubitril-Valsartan Tab 24-26 MG,11.22,8.98,2.97,10.1,26
NDC,78065967,Sacubitril-Valsartan Tab 24-26 MG,11.22,8.98,2.97,10.1,26
NDC,78068361,Nelarabine IV Soln 5 MG/ML,2658.53,2126.83,75.87,2392.68,34
NDC,78068615,Eltrombopag Olamine Tab 50 MG (Base Equiv),435.91,348.73,115.3,392.32,26
NDC,78069620,Sacubitril-Valsartan Tab 97-103 MG,7.25,5.8,1.92,6.53,26
NDC,78069667,Sacubitril-Valsartan Tab 97-103 MG,11.22,8.98,2.97,10.1,26
NDC,78069802,Midostaurin Cap 25 MG,133.63,106.91,35.35,120.27,26
NDC,78069851,Midostaurin Cap 25 MG,126.43,101.15,33.44,113.79,26
NDC,78072910,Betaxolol HCl Ophth Susp 0.25%,367.37,293.9,97.17,330.63,26
NDC,78073461,Canakinumab Subcutaneous Inj 150 MG/ML,60505.44,48404.36,122.06,54454.9,34
NDC,78077720,Sacubitril-Valsartan Tab 49-51 MG,9.35,7.48,2.47,8.42,26
NDC,78077767,Sacubitril-Valsartan Tab 49-51 MG,11.53,9.23,3.05,10.38,26
NDC,78077803,Nepafenac Ophth Susp 0.1%,316.13,252.91,83.62,284.52,26
NDC,78081181,Octreotide Acetate For IM Inj Kit 10 MG,10351.24,8281.0,193.4,9316.12,34
NDC,78081301,Tobramycin Ophth Oint 0.3%,254.5,203.6,67.32,229.05,26
NDC,78081881,Octreotide Acetate For IM Inj Kit 20 MG,12315.37,9852.3,193.4,11083.83,34
NDC,78082581,Octreotide Acetate For IM Inj Kit 30 MG,20167.94,16134.36,193.4,18151.15,34
NDC,78084101,Ciprofloxacin HCl Ophth Oint 0.3%,224.1,179.28,59.27,201.69,26
NDC,78086225,Difluprednate Ophth Emulsion 0.05%,231.13,184.91,61.13,208.02,26
NDC,78087601,Tobramycin-Dexamethasone Ophth Oint 0.3-0.1%,235.9,188.72,62.4,212.31,52
NDC,78088361,Crizanlizumab-tmca IV Soln 100 MG/10ML,8524.21,6819.37,123.01,7671.79,34
NDC,78089778,Triamcinolone Acetonide Ophth Inj 40 MG/ML,3437.17,2749.74,1.0,3093.45,34
NDC,78093061,Argatroban Inj 250 MG/2.5ML (Concentrate For IV Infusion),4419.93,3535.95,1.21,3977.94,26
NDC,78100060,Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML,11525.34,9220.28,11.7,10372.81,34
NDC,78112001103,Phenol Liquid 1.4%,5.07,4.06,1.34,4.56,26
NDC,78112001106,Benzocaine-Menthol Lozenge 6-10 MG,1.15,0.92,0.3,1.04,26
NDC,78112001266,Benzocaine-Menthol Lozenge 6-10 MG,1.15,0.92,0.3,1.04,26
NDC,781120501,Penicillin V Potassium Tab 250 MG,1.09,0.88,0.29,0.98,26
NDC,781148601,Amitriptyline HCl Tab 10 MG,1.13,0.91,0.3,1.02,26
NDC,781148610,Amitriptyline HCl Tab 10 MG,1.04,0.84,0.28,0.94,26
NDC,781148801,Amitriptyline HCl Tab 50 MG,1.53,1.23,0.4,1.38,26
NDC,781165501,Penicillin V Potassium Tab 500 MG,1.19,0.96,0.31,1.07,26
NDC,781169510,Isosorbide Dinitrate Tab 20 MG,1.02,0.82,0.27,0.92,26
NDC,781183120,Amoxicillin & K Clavulanate Tab 500-125 MG,1.51,1.21,0.4,1.36,26
NDC,781185201,Amoxicillin & K Clavulanate Tab 875-125 MG,2.05,1.64,0.54,1.85,26
NDC,781185220,Amoxicillin & K Clavulanate Tab 875-125 MG,2.58,2.07,0.68,2.32,26
NDC,781194382,Amoxicillin & K Clavulanate Tab ER 12HR 1000-62.5 MG,5.25,4.2,1.39,4.73,26
NDC,781196260,Clarithromycin Tab 500 MG,1.44,1.16,0.38,1.3,26
NDC,781207601,Tamsulosin HCl Cap 0.4 MG,1.12,0.9,0.3,1.01,26
NDC,781208102,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.44,1.16,0.03,1.3,52
NDC,781210201,Tacrolimus Cap 0.5 MG,1.81,1.45,0.48,1.63,26
NDC,781210401,Tacrolimus Cap 5 MG,4.2,3.36,1.0,3.78,26
NDC,781214501,Ampicillin Cap 500 MG,1.18,0.95,0.31,1.06,26
NDC,781217660,Cefdinir Cap 300 MG,2.98,2.39,0.79,2.68,26
NDC,781223401,Omeprazole Cap Delayed Release 40 MG,1.1,0.88,0.29,0.99,26
NDC,781223410,Omeprazole Cap Delayed Release 40 MG,1.11,0.89,0.29,1.0,26
NDC,781223431,Omeprazole Cap Delayed Release 40 MG,1.12,0.9,0.3,1.01,26
NDC,781224801,Dicloxacillin Sodium Cap 250 MG,1.35,1.08,0.36,1.22,26
NDC,781232106,Aprepitant Capsule 40 MG,62.78,50.23,16.61,56.5,26
NDC,781232151,Aprepitant Capsule 40 MG,62.78,50.23,16.61,56.5,26
NDC,781261301,Amoxicillin (Trihydrate) Cap 500 MG,1.1,0.88,0.29,0.99,26
NDC,781261305,Amoxicillin (Trihydrate) Cap 500 MG,1.08,0.87,0.29,0.97,26
NDC,781269144,Temozolomide Cap 5 MG,9.09,7.28,1.0,8.18,26
NDC,781269175,Temozolomide Cap 5 MG,8.98,7.19,1.0,8.08,26
NDC,781269244,Temozolomide Cap 20 MG,16.05,12.84,1.0,14.45,26
NDC,781282210,Fluoxetine HCl Cap 20 MG,1.03,0.83,0.27,0.93,26
NDC,781285931,Omeprazole Cap Delayed Release 10 MG,1.1,0.88,0.29,0.99,26
NDC,781286810,Omeprazole Cap Delayed Release 20 MG,1.02,0.82,0.27,0.92,26
NDC,781300642,Leuprolide Acetate Inj Kit 1 MG/0.2ML (5 MG/ML),1022.55,818.04,7.88,920.3,26
NDC,781304072,Pyridostigmine Bromide IV Soln 10 MG/2ML (5 MG/ML),414.7,331.76,109.69,373.23,26
NDC,781304095,Pyridostigmine Bromide IV Soln 10 MG/2ML (5 MG/ML),411.2,328.96,108.76,370.08,26
NDC,781305972,Digoxin Inj 0.25 MG/ML,391.54,313.24,1.0,352.39,26
NDC,781305995,Digoxin Inj 0.25 MG/ML,391.54,313.24,1.0,352.39,26
NDC,781309894,Meropenem IV For Soln 1 GM,394.1,315.28,1.0,354.69,26
NDC,781309895,Meropenem IV For Soln 1 GM,394.1,315.28,1.0,354.69,26
NDC,781311390,Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM),389.35,311.48,1.0,350.42,26
NDC,781311390,Piperacillin Sodium-Tazobactam Sodium For Inj 3-0.375 GM,389.35,311.48,1.0,350.42,26
NDC,781311491,Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM),393.84,315.08,1.0,354.46,26
NDC,781311491,Piperacillin Sodium-Tazobactam Sodium For Inj 4-0.5 GM,393.84,315.08,1.0,354.46,26
NDC,781311495,Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM),393.84,315.08,1.0,354.46,26
NDC,781312585,Nafcillin Sodium For Inj 2 GM,406.08,324.87,107.41,365.47,26
NDC,781312595,Nafcillin Sodium For Inj 2 GM,410.19,328.16,108.5,369.17,26
NDC,781313301,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,391.93,313.55,1.0,352.74,26
NDC,781315270,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",398.06,318.45,105.29,358.25,26
NDC,781315270,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),398.06,318.45,105.29,358.25,26
NDC,781315295,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",398.17,318.54,105.32,358.35,26
NDC,781315295,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),398.17,318.54,105.32,358.35,26
NDC,781315606,Acetaminophen IV Soln 10 MG/ML,408.8,327.04,1.0,367.92,26
NDC,781315695,Acetaminophen IV Soln 10 MG/ML,408.8,327.04,1.0,367.92,26
NDC,781315894,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),757.5,606.0,1.0,681.75,26
NDC,781315895,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),757.5,606.0,1.0,681.75,26
NDC,781315972,Olanzapine For IM Inj 10 MG,409.25,327.4,0.89,368.33,26
NDC,781320785,Ceftriaxone Sodium For Inj 500 MG,389.85,311.88,1.0,350.87,26
NDC,781320795,Ceftriaxone Sodium For Inj 500 MG,389.85,311.88,1.0,350.87,26
NDC,781320895,Ceftriaxone Sodium For Inj 1 GM,393.34,314.68,1.0,354.01,26
NDC,781320990,Ceftriaxone Sodium For Inj 2 GM,391.2,312.96,1.0,352.08,26
NDC,781320995,Ceftriaxone Sodium For Inj 2 GM,391.2,312.96,1.0,352.08,26
NDC,781322075,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),391.16,312.93,103.46,352.04,26
NDC,781322095,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),391.16,312.93,103.46,352.04,26
NDC,781323294,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.33,313.07,103.51,352.2,26
NDC,781323295,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.33,313.07,103.51,352.2,26
NDC,781323394,Cyclophosphamide For Inj 500 MG,1090.56,872.45,0.46,981.5,34
NDC,781323434,Glatiramer Acetate Soln Prefilled Syringe 20 MG/ML,632.02,505.62,153.01,568.82,34
NDC,781323801,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,391.24,313.0,1.0,352.12,26
NDC,781323863,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,391.24,313.0,1.0,352.12,26
NDC,781324494,Cyclophosphamide For Inj 1 GM,1928.25,1542.6,0.46,1735.43,34
NDC,781324602,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,391.76,313.41,1.0,352.58,26
NDC,781324664,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,391.76,313.41,1.0,352.58,26
NDC,781325394,Azacitidine For Inj 100 MG,497.94,398.36,0.37,448.15,26
NDC,781325594,Cyclophosphamide For Inj 2 GM,1503.0,1202.4,0.46,1352.7,34
NDC,781325603,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,393.86,315.09,1.0,354.47,26
NDC,781325666,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,393.86,315.09,1.0,354.47,26
NDC,781326204,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,394.95,315.96,1.0,355.46,26
NDC,781326805,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,396.58,317.27,1.0,356.92,26
NDC,781326869,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,396.58,317.27,1.0,356.92,26
NDC,781328809,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,393.5,314.8,2.18,354.15,26
NDC,781328891,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,393.5,314.8,2.18,354.15,26
NDC,781328909,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,395.2,316.16,2.18,355.68,26
NDC,781328991,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,394.25,315.4,2.18,354.83,26
NDC,781329905,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,400.99,320.8,1.0,360.89,26
NDC,781329969,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,400.99,320.8,1.0,360.89,26
NDC,781331275,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),398.1,318.48,1.0,358.29,26
NDC,781340278,Ampicillin Sodium For Inj 250 MG,389.7,311.76,1.0,350.73,52
NDC,781340485,Ampicillin Sodium For Inj 1 GM,390.89,312.72,1.0,351.8,26
NDC,781340495,Ampicillin Sodium For Inj 1 GM,392.79,314.24,1.0,353.51,26
NDC,781340778,Ampicillin Sodium For Inj 500 MG,389.75,311.8,1.0,350.78,26
NDC,781340795,Ampicillin Sodium For Inj 500 MG,389.75,311.8,1.0,350.78,52
NDC,781340880,Ampicillin Sodium For Inj 2 GM,394.75,315.8,1.0,355.28,26
NDC,781340880,"Ampicillin Sodium For Inj 2 GM,Ampicillin Sodium For IV Soln 2 GM",394.75,315.8,1.0,355.28,26
NDC,781341170,Succinylcholine Chloride Inj 20 MG/ML,398.83,319.07,1.0,358.95,26
NDC,781341195,Succinylcholine Chloride Inj 20 MG/ML,398.83,319.07,1.0,358.95,26
NDC,781341315,Ampicillin Sodium For IV Soln 2 GM,407.47,325.98,1.0,366.72,26
NDC,781341392,Ampicillin Sodium For IV Soln 2 GM,407.47,325.98,1.0,366.72,26
NDC,781343346,Linezolid IV Soln 600 MG/300ML (2 MG/ML),415.7,332.56,1.0,374.13,26
NDC,781344071,Cosyntropin For Inj 0.25 MG,405.51,324.41,1.0,364.96,26
NDC,781344095,Cosyntropin For Inj 0.25 MG,405.51,324.41,1.0,364.96,26
NDC,781345170,Cefazolin Sodium For Inj 1 GM,389.96,311.97,1.0,350.96,26
NDC,781345196,Cefazolin Sodium For Inj 1 GM,389.96,311.97,1.0,350.96,26
NDC,781348170,Tigecycline For IV Soln 50 MG,401.89,321.52,1.0,361.7,26
NDC,781348192,Tigecycline For IV Soln 50 MG,401.89,321.52,1.0,361.7,26
NDC,781350005,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,399.06,319.25,1.0,359.15,26
NDC,781361268,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,438.48,350.79,1.0,394.63,26
NDC,781365505,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,350.03,280.03,1.0,315.03,26
NDC,781365569,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,359.79,287.84,1.0,323.81,26
NDC,781400332,Leuprolide Acetate Inj Kit 1 MG/0.2ML (5 MG/ML),1022.55,818.04,7.88,920.3,26
NDC,781506120,Amoxicillin (Trihydrate) Tab 875 MG,1.25,1.0,0.33,1.13,26
NDC,781518292,Levothyroxine Sodium Tab 75 MCG,1.42,1.14,0.38,1.28,26
NDC,781518392,Levothyroxine Sodium Tab 88 MCG,1.43,1.15,0.38,1.29,26
NDC,781518592,Levothyroxine Sodium Tab 112 MCG,1.5,1.2,0.4,1.35,26
NDC,781518692,Levothyroxine Sodium Tab 125 MCG,1.5,1.2,0.4,1.35,26
NDC,781518792,Levothyroxine Sodium Tab 150 MCG,1.52,1.22,0.4,1.37,26
NDC,781519192,Levothyroxine Sodium Tab 137 MCG,1.51,1.21,0.4,1.36,26
NDC,781522201,Carvedilol Tab 6.25 MG,1.17,0.94,0.31,1.05,26
NDC,781532501,Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent),2.58,2.07,0.68,2.32,26
NDC,781532531,Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent),5.69,4.56,1.51,5.12,26
NDC,781555531,Montelukast Sodium Chew Tab 5 MG (Base Equiv),1.3,1.04,0.34,1.17,26
NDC,781566831,Voriconazole Tab 200 MG,33.05,26.44,8.74,29.75,26
NDC,781569092,Ezetimibe Tab 10 MG,1.31,1.05,0.35,1.18,26
NDC,781578031,Ropinirole Hydrochloride Tab ER 24HR 2 MG (Base Equivalent),1.78,1.43,0.47,1.6,26
NDC,781579220,Levofloxacin Tab 750 MG,2.18,1.75,0.58,1.96,26
NDC,781598701,Carbamazepine Tab ER 12HR 200 MG,2.54,2.04,0.67,2.29,26
NDC,781599401,Hydroxychloroquine Sulfate Tab 200 MG,1.23,0.99,0.33,1.11,26
NDC,781599405,Hydroxychloroquine Sulfate Tab 200 MG,3.89,3.12,1.03,3.5,26
NDC,781600078,Difluprednate Ophth Emulsion 0.05%,150.34,120.28,39.76,135.31,26
NDC,781601470,Brinzolamide Ophth Susp 1%,296.94,237.56,78.54,267.25,26
NDC,781602246,Clarithromycin For Susp 125 MG/5ML,26.82,21.46,7.09,24.14,26
NDC,781602346,Clarithromycin For Susp 250 MG/5ML,30.72,24.58,8.13,27.65,26
NDC,781602352,Clarithromycin For Susp 250 MG/5ML,32.4,25.92,8.57,29.16,26
NDC,781610446,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,83.2,66.56,22.01,74.88,26
NDC,781613594,Penicillin G Potassium For Inj 5000000 Unit,422.9,338.32,1.0,380.61,26
NDC,781613954,Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML,42.13,33.71,11.14,37.92,26
NDC,781615746,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,31.0,24.8,8.2,27.9,26
NDC,781615752,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,26.25,21.0,6.94,23.63,26
NDC,781618556,Travoprost Ophth Soln 0.004% (Benzalkonium Free) (BAK Free),128.62,102.9,34.02,115.76,26
NDC,781618667,Ciprofloxacin-Dexamethasone Otic Susp 0.3-0.1%,233.22,186.58,61.69,209.9,52
NDC,781627043,Oxcarbazepine Susp 300 MG/5ML (60 MG/ML),28.08,22.47,7.43,25.27,26
NDC,781707787,Metronidazole Vaginal Gel 0.75%,78.55,62.84,20.78,70.7,26
NDC,781708035,Metronidazole Gel 1%,232.42,185.94,61.48,209.18,26
NDC,781711735,Calcipotriene Cream 0.005%,274.72,219.78,72.66,247.25,26
NDC,781713593,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),51.43,41.15,13.6,46.29,26
NDC,781718675,Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2-0.5%,155.02,124.02,41.0,139.52,26
NDC,781751614,Budesonide Inhalation Susp 0.5 MG/2ML,3.75,3.0,1.01,3.38,26
NDC,781751787,Budesonide Inhalation Susp 1 MG/2ML,17.43,13.95,4.61,15.69,26
NDC,781802801,Trifluoperazine HCl Tab 1 MG (Base Equivalent),1.57,1.26,0.42,1.41,26
NDC,781808931,Azithromycin Tab 250 MG,1.48,1.19,0.39,1.33,26
NDC,781905370,Succinylcholine Chloride Inj 20 MG/ML,398.78,319.03,1.0,358.9,26
NDC,781905395,Succinylcholine Chloride Inj 20 MG/ML,398.78,319.03,1.0,358.9,26
NDC,781922009,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,392.5,314.0,2.18,353.25,26
NDC,781922091,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,392.5,314.0,2.18,353.25,26
NDC,781940278,Ampicillin Sodium For Inj 250 MG,390.46,312.37,1.0,351.41,26
NDC,781940295,Ampicillin Sodium For Inj 250 MG,389.59,311.68,1.0,350.63,26
NDC,781940778,Ampicillin Sodium For Inj 500 MG,389.72,311.78,1.0,350.75,26
NDC,78206011801,Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML,395.94,316.76,1.0,356.35,26
NDC,78206014501,Etonogestrel Subdermal Implant 68 MG,1055.64,844.52,353.64,1238.93,26
NDC,78206014701,Trastuzumab-dttb For IV Soln 150 MG,2692.48,2153.99,15.47,2423.23,34
NDC,78206014799,Trastuzumab-dttb For IV Soln 150 MG,2692.3,2153.84,15.47,2423.07,34
NDC,78206014801,Trastuzumab-dttb For IV Soln 420 MG,7178.11,5742.49,15.47,6460.3,34
NDC,78206016201,Infliximab-abda For IV Inj 100 MG,1513.88,1211.11,25.65,1362.49,34
NDC,78206016299,Infliximab-abda For IV Inj 100 MG,1513.88,1211.11,25.65,1362.49,34
NDC,78800301,Docetaxel For Inj Conc 80 MG/4ML (20 MG/ML),1622.0,1297.6,1.0,1459.8,26
NDC,79573001115,Misc. Devices,3.68,2.95,0.97,3.31,26
NDC,79854004097,Acetylcysteine Cap 600 MG,1.06,0.85,0.28,0.95,26
NDC,79854020060,Cyanocobalamin Tab 500 MCG,1.05,0.84,0.28,0.95,26
NDC,7985420115,Folic Acid Tab 400 MCG,1.01,0.81,0.27,0.91,26
NDC,8010001,Inotuzumab Ozogamicin For IV Soln 0.9 MG,64353.33,51482.67,2529.55,57918.0,34
NDC,80208000004,Emollient - Cream,17.16,13.73,4.54,15.44,26
NDC,8065183085,Sodium Hyaluronate Intraocular Soln Pref Syr 8.5 MG/0.85ML,90.87,72.7,24.04,81.78,26
NDC,8065183150,Na Hyaluron & Na Hyaluron-Na Chondroit Sul Op Kit 0.55-0.5ML,113.54,90.84,30.03,102.19,26
NDC,8065183905,Na Chondroit Sulf-Na Hyaluron Pref Syr 20-15 MG/0.5ML,86.21,68.97,22.8,77.59,26
NDC,80681000200,Zinc Gluconate Tab 50 MG (Elemental Zn),1.01,0.81,0.27,0.91,26
NDC,80681004001,Melatonin Tab 5 MG,1.02,0.82,0.27,0.92,26
NDC,80681004002,Melatonin Tab 5 MG,1.02,0.82,0.27,0.92,26
NDC,80681004900,Pediatric Multiple Vitamin Chew Tab,1.02,0.82,0.27,0.92,26
NDC,80681007200,Cyanocobalamin Tab 500 MCG,1.02,0.82,0.27,0.92,26
NDC,80681008500,Melatonin Tab 3 MG,1.06,0.85,0.28,0.95,26
NDC,80681008600,Melatonin Tab 3 MG,1.02,0.82,0.27,0.92,26
NDC,80681009900,Folic Acid Tab 400 MCG,1.01,0.81,0.27,0.91,26
NDC,80681010000,Glucose Chew Tab 4 GM (Rounded),1.18,0.95,0.31,1.06,26
NDC,80681011701,Glucosamine-Chondroitin Cap 500-400 MG,1.15,0.92,0.3,1.04,26
NDC,80681012600,B-Complex w/ C Tab,1.02,0.82,0.27,0.92,26
NDC,80681012900,Ascorbic Acid Chew Tab 250 MG,1.02,0.82,0.27,0.92,26
NDC,80681015400,B-Complex w/ C Tab,1.04,0.84,0.28,0.94,26
NDC,80681015500,Skin Protectants Misc - Cream,3.49,2.8,0.92,3.14,26
NDC,80681016800,Cholecalciferol Tab 25 MCG (1000 Unit),1.02,0.82,0.27,0.92,26
NDC,80681016900,Cholecalciferol Tab 25 MCG (1000 Unit),1.01,0.81,0.27,0.91,26
NDC,80681017200,Potassium & Sodium Phosphates Powder Pack 280-160-250 MG,1.34,1.08,0.35,1.21,26
NDC,80725063025,Thioguanine Tab 40 MG,350.55,280.44,92.72,315.5,26
NDC,80830169101,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),399.52,319.62,105.67,359.57,26
NDC,80830169102,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),399.52,319.62,105.67,359.57,26
NDC,80830169201,Potassium Phosphates Inj 150 mM/50ML (Phos) 220 mEq/50ML (K),497.8,398.24,131.67,448.02,26
NDC,80830169202,Potassium Phosphates Inj 150 mM/50ML (Phos) 220 mEq/50ML (K),497.8,398.24,131.67,448.02,26
NDC,80830232901,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,406.0,324.8,1.0,365.4,26
NDC,80830236301,Calcium Gluconate-NaCl IV Soln 2 GM/100ML-0.675% (20 MG/ML),425.6,340.48,112.57,383.04,26
NDC,8083321,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),12.0,9.6,3.17,10.8,26
NDC,8092351,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),393.67,314.94,104.13,354.3,26
NDC,8092355,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.74,313.4,103.62,352.57,26
NDC,8092360,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),391.83,313.47,103.64,352.65,26
NDC,8103006,Sirolimus Oral Soln 1 MG/ML,32.84,26.28,1.0,29.56,26
NDC,81033010205,Guaifenesin Liquid 100 MG/5ML,2.47,1.98,0.65,2.22,26
NDC,81033010251,Guaifenesin Liquid 100 MG/5ML,2.47,1.98,0.65,2.22,26
NDC,8104105,Sirolimus Tab 1 MG,25.73,20.59,1.0,23.16,26
NDC,81079887,Bacitracin-Polymyxin B Oint,10.06,8.05,2.66,9.05,26
NDC,8117901,Temsirolimus Soln For IV Infusion 25 MG/ML,4638.47,3710.78,25.38,4174.62,34
NDC,8121130,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),10.94,8.76,2.89,9.85,26
NDC,8121150,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),4.3,3.44,1.14,3.87,26
NDC,81284031500,Indigotindisulfonate Sodium IV Soln 8 MG/ML,760.5,608.4,9.46,684.45,34
NDC,81284031505,Indigotindisulfonate Sodium IV Soln 8 MG/ML,760.5,608.4,9.46,684.45,34
NDC,81284041100,Dihydroergotamine Mesylate Inj 1 MG/ML,429.54,343.64,1.0,386.59,26
NDC,81284041110,Dihydroergotamine Mesylate Inj 1 MG/ML,429.54,343.64,1.0,386.59,26
NDC,81284061100,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),391.12,312.9,1.0,352.01,52
NDC,81284061110,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),391.12,312.9,1.0,352.01,52
NDC,81298578503,Triamcinolone Acetonide Inj Susp 40 MG/ML,394.85,315.88,1.0,355.37,26
NDC,81298866001,Fluorescein Sodium IV Soln 10%,455.96,364.77,120.6,410.36,26
NDC,81665010310,Isosorbide Mononitrate Tab 20 MG,4.25,3.4,1.12,3.83,26
NDC,81665020025,Sodium Bicarbonate IV Soln 8.4%,403.2,322.56,1.0,362.88,26
NDC,81665030102,Cocaine HCl Nasal Soln 40 MG/ML (4%),356.01,284.81,1.56,320.41,26
NDC,81952012414,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,396.89,317.52,1.0,357.2,26
NDC,81952012424,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,396.89,317.52,1.0,357.2,26
NDC,82036427401,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),56.67,45.34,14.99,51.0,26
NDC,82182045505,Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2-0.5%,123.15,98.52,32.57,110.84,26
NDC,82182077305,Brimonidine Tartrate Ophth Soln 0.15%,136.3,109.04,36.05,122.67,26
NDC,82260029905,Loteprednol Etabonate Ophth Susp 0.5%,114.13,91.31,30.19,102.72,26
NDC,82260081825,Timolol Maleate Ophth Gel Forming Soln 0.25%,172.11,137.69,45.52,154.9,26
NDC,82584000205,Timolol Ophth Soln 0.5%,176.13,140.91,46.59,158.52,26
NDC,82584060510,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,233.11,186.49,61.66,209.8,26
NDC,82584079201,Lidocaine HCl Ophth Gel 3.5%,19.73,15.79,5.22,17.76,26
NDC,82584079225,Lidocaine HCl Ophth Gel 3.5%,19.73,15.79,5.22,17.76,26
NDC,82625880201,Naloxegol Oxalate Tab 25 MG (Base Equivalent),13.24,10.6,3.5,11.92,26
NDC,8290306413,"Heparin Sodium (Porcine) Lock Flush IV Soln 10 Unit*,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML",1.0,0.8,0.26,1.0,26
NDC,8290306413,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,1.0,0.8,0.26,1.0,26
NDC,8290306414,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,0.6,0.48,0.16,1.0,26
NDC,8290306424,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML,15.09,12.08,1.0,13.58,26
NDC,8290823000,Glucose Chew Tab 5 GM,6.88,5.51,1.82,6.19,26
NDC,82959011101,Imetelstat Sodium For IV Soln 188 MG,34567.35,27653.88,54.18,31110.62,34
NDC,82959011201,Imetelstat Sodium For IV Soln 47 MG,8754.34,7003.48,54.18,7878.91,34
NDC,832003800,Oxybutynin Chloride Tab 5 MG,1.25,1.0,0.33,1.13,26
NDC,832003850,Oxybutynin Chloride Tab 5 MG,1.14,0.92,0.3,1.03,26
NDC,832046515,Nystatin Topical Powder 100000 Unit/GM,28.15,22.52,7.45,25.34,26
NDC,832046530,Nystatin Topical Powder 100000 Unit/GM,33.46,26.77,8.85,30.11,26
NDC,832046560,Nystatin Topical Powder 100000 Unit/GM,39.58,31.67,10.47,35.62,26
NDC,832051101,Bethanechol Chloride Tab 10 MG,1.27,1.02,0.34,1.14,26
NDC,832051189,Bethanechol Chloride Tab 10 MG,1.45,1.16,0.38,1.31,26
NDC,832051201,Bethanechol Chloride Tab 25 MG,1.61,1.29,0.43,1.45,26
NDC,832051289,Bethanechol Chloride Tab 25 MG,1.49,1.2,0.39,1.34,26
NDC,832058011,Clobazam Tab 10 MG,1.45,1.16,0.38,1.31,26
NDC,832101500,Amantadine HCl Cap 100 MG,1.18,0.95,0.31,1.06,26
NDC,832121100,Warfarin Sodium Tab 1 MG,1.26,1.01,0.33,1.13,26
NDC,832121101,Warfarin Sodium Tab 1 MG,1.16,0.93,0.31,1.04,26
NDC,832121189,Warfarin Sodium Tab 1 MG,1.16,0.93,0.31,1.04,26
NDC,832121200,Warfarin Sodium Tab 2 MG,1.27,1.02,0.34,1.14,26
NDC,832121201,Warfarin Sodium Tab 2 MG,1.18,0.95,0.31,1.06,26
NDC,832121289,Warfarin Sodium Tab 2 MG,1.18,0.95,0.31,1.06,26
NDC,832121300,Warfarin Sodium Tab 2.5 MG,1.26,1.01,0.33,1.13,26
NDC,832121301,Warfarin Sodium Tab 2.5 MG,1.16,0.93,0.31,1.04,26
NDC,832121389,Warfarin Sodium Tab 2.5 MG,1.16,0.93,0.31,1.04,26
NDC,832121400,Warfarin Sodium Tab 3 MG,1.26,1.01,0.33,1.13,26
NDC,832121401,Warfarin Sodium Tab 3 MG,1.16,0.93,0.31,1.04,26
NDC,832121500,Warfarin Sodium Tab 4 MG,1.27,1.02,0.34,1.14,26
NDC,832121501,Warfarin Sodium Tab 4 MG,1.16,0.93,0.31,1.04,26
NDC,832121589,Warfarin Sodium Tab 4 MG,1.16,0.93,0.31,1.04,26
NDC,832121600,Warfarin Sodium Tab 5 MG,1.27,1.02,0.34,1.14,26
NDC,832121601,Warfarin Sodium Tab 5 MG,1.16,0.93,0.31,1.04,26
NDC,832121610,Warfarin Sodium Tab 5 MG,1.05,0.84,0.28,0.95,26
NDC,832121689,Warfarin Sodium Tab 5 MG,1.16,0.93,0.31,1.04,26
NDC,832121700,Warfarin Sodium Tab 6 MG,1.26,1.01,0.33,1.13,26
NDC,832121701,Warfarin Sodium Tab 6 MG,1.25,1.0,0.33,1.13,26
NDC,832121800,Warfarin Sodium Tab 7.5 MG,1.26,1.01,0.33,1.13,26
NDC,832121801,Warfarin Sodium Tab 7.5 MG,1.25,1.0,0.33,1.13,26
NDC,832121889,Warfarin Sodium Tab 7.5 MG,1.25,1.0,0.33,1.13,26
NDC,832121900,Warfarin Sodium Tab 10 MG,1.27,1.02,0.34,1.14,26
NDC,832121901,Warfarin Sodium Tab 10 MG,1.22,0.98,0.32,1.1,26
NDC,832121989,Warfarin Sodium Tab 10 MG,1.22,0.98,0.32,1.1,26
NDC,832135811,Doxazosin Mesylate Tab 4 MG,1.07,0.86,0.28,0.96,26
NDC,832142505,Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2-0.5%,111.22,88.98,29.42,100.1,26
NDC,832152001,Haloperidol Tab 1 MG,1.3,1.04,0.34,1.17,26
NDC,832152089,Haloperidol Tab 1 MG,1.3,1.04,0.34,1.17,26
NDC,832532211,Potassium Chloride Tab ER 8 mEq (600 MG),1.1,0.88,0.29,0.99,26
NDC,832532411,Potassium Chloride Microencapsulated Crys ER Tab 10 mEq,1.21,0.97,0.32,1.09,26
NDC,832532511,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.15,0.92,0.3,1.04,26
NDC,832532515,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.23,0.99,0.33,1.11,26
NDC,83257000111,Trastuzumab-dkst For IV Soln 150 MG,1270.6,1016.48,38.28,1143.54,34
NDC,83257000412,Trastuzumab-dkst For IV Soln 420 MG,3106.21,2484.97,38.28,2795.59,34
NDC,83257000541,Pegfilgrastim-jmdb Soln Prefilled Syringe 6 MG/0.6ML,4559.48,3647.59,94.17,4103.53,34
NDC,83257001411,"Insulin Glargine-yfgn Inj 100 Unit/ML,Insulin Glargine-yfgn Soln Pen-Injector 100 Unit/ML",64.92,51.94,17.17,58.43,26
NDC,832601700,Chlorpromazine HCl Tab 10 MG,2.48,1.99,0.66,2.23,26
NDC,832712301,Divalproex Sodium Tab Delayed Release 250 MG,1.16,0.93,0.31,1.04,26
NDC,832712389,Divalproex Sodium Tab Delayed Release 250 MG,1.16,0.93,0.31,1.04,26
NDC,832712401,Divalproex Sodium Tab Delayed Release 500 MG,1.16,0.93,0.31,1.04,26
NDC,832712489,Divalproex Sodium Tab Delayed Release 500 MG,1.16,0.93,0.31,1.04,26
NDC,83490030760,Sodium Chloride Soln Nebu 7%,1.24,1.0,0.33,1.12,26
NDC,83634040010,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),431.99,345.6,1.0,388.79,26
NDC,83634040041,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),431.99,345.6,1.0,388.79,26
NDC,83634040110,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),393.26,314.61,1.0,353.93,26
NDC,83634040141,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),393.26,314.61,1.0,353.93,26
NDC,83634077705,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),399.94,319.96,1.0,359.95,26
NDC,83634077902,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),390.3,312.24,1.0,351.27,26
NDC,83634077941,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),390.3,312.24,1.0,351.27,26
NDC,8451001,Gemtuzumab Ozogamicin For IV Soln 4.5 MG,28950.0,23160.0,221.84,26055.0,34
NDC,84612006601,Ustekinumab-auub IV Soln 130 MG/26ML (5 MG/ML) (For IV Inf),4924.04,3939.24,11.06,4431.64,34
NDC,8499019,Tigecycline For IV Soln 50 MG,641.32,513.06,1.0,577.19,26
NDC,8499020,Tigecycline For IV Soln 50 MG,641.32,513.06,1.0,577.19,26
NDC,85132801,Posaconazole Susp 40 MG/ML,39.4,31.52,10.42,35.46,26
NDC,85317000422,Glycerin-Hypromellose-PEG 400 Ophth Soln 0.2-0.2-1%,8.25,6.6,2.18,7.43,26
NDC,85432402,Posaconazole Tab Delayed Release 100 MG,57.41,45.93,15.18,51.67,26
NDC,85433101,Posaconazole IV Soln 300 MG/16.7ML (18 MG/ML),1549.23,1239.39,1.0,1394.31,26
NDC,8544636971,Sodium Hyaluronate Intraocular Soln Pref Syr 5.5 MG/0.55ML,68.65,54.92,18.16,61.79,26
NDC,8544636991,Sodium Hyaluronate Intraocular Soln Pref Syr 13.8 MG/0.6ML,136.08,108.87,35.99,122.47,26
NDC,87040203,Pediatric Multiple Vitamin Drops,1.05,0.84,0.28,0.95,26
NDC,87040501,Pediatric Multiple Vitamins w/ Iron Drops 11 MG/ML,1.05,0.84,0.28,0.95,26
NDC,87074002,Ferrous Sulfate Soln 75 MG/ML (15 MG/ML Elemental Fe),11.2,8.96,2.96,10.08,26
NDC,87086644,Cholecalciferol Oral Liquid 10 MCG/ML (400 Unit/ML),1.17,0.94,0.31,1.05,26
NDC,87651042067,Cranberry-Vitamin C-Probiotic Tab 250-30 MG,1.1,0.88,0.29,0.99,26
NDC,87701-10828,Ophthalmic Irrigation Solution,2.77,2.22,0.73,2.49,26
NDC,87701-40073,Gentian Violet Soln 1%,3.36,2.69,0.89,3.02,26
NDC,87701-40244,Magnesium Citrate Soln,2.7,2.16,0.71,2.43,26
NDC,88222033,"Insulin Glargine Inj 100 Unit/ML,Insulin Glargine Soln Cartridge 100 Unit/ML,Insulin Glargine Soln Pen-Injector 100 Unit/ML",66.19,52.96,1.0,59.57,26
NDC,88250033,Insulin Glulisine Inj 100 Unit/ML,104.79,83.84,27.72,94.31,26
NDC,88250205,Insulin Glulisine Soln Pen-Injector Inj 100 Unit/ML,29.14,23.32,7.71,26.23,26
NDC,88395001280,Cholecalciferol Drops 50 MCG/0.028ML (2000 Unit/0.028ML),1.14,0.92,0.3,1.03,26
NDC,88395001540,Omega-3 Fatty Acids - Oral Liquid,1.28,1.03,0.34,1.15,26
NDC,88395001655,Omega-3 Fatty Acids - Oral Liquid,1.32,1.06,0.35,1.19,26
NDC,884629730,Phenol Swabs 89%,6.25,5.0,1.65,5.63,26
NDC,9000302,Methylprednisolone Sod Succ For Inj PF 500 MG (Base Equiv),419.68,335.75,0.2,377.71,34
NDC,9001103,Hydrocortisone Sodium Succinate PF For Inj 100 MG,408.64,326.92,1.0,367.78,26
NDC,9001104,Hydrocortisone Sodium Succinate PF For Inj 100 MG,408.87,327.1,1.0,367.98,26
NDC,9001201,Hydrocortisone Tab 5 MG,1.27,1.02,0.34,1.14,26
NDC,9001305,Hydrocortisone Sodium Succinate PF For Inj 250 MG,494.41,395.53,1.0,444.97,26
NDC,9001306,Hydrocortisone Sodium Succinate PF For Inj 250 MG,494.68,395.75,1.0,445.21,26
NDC,9001612,Hydrocortisone Sodium Succinate PF For Inj 500 MG,418.43,334.75,1.0,376.59,26
NDC,9001820,Methylprednisolone Sod Succ For Inj PF 1000 MG (Base Equiv),424.45,339.56,0.2,382.01,34
NDC,9002201,Methylprednisolone Tab 8 MG,2.8,2.24,0.74,2.52,26
NDC,9002901,Alprazolam Tab 0.25 MG,5.81,4.65,1.54,5.23,26
NDC,9003101,Hydrocortisone Tab 10 MG,2.07,1.66,0.55,1.86,26
NDC,9003928,Methylprednisolone Sod Succ For Inj PF 40 MG (Base Equiv),393.48,314.79,0.2,354.13,34
NDC,9003930,Methylprednisolone Sod Succ For Inj PF 40 MG (Base Equiv),393.48,314.79,0.2,354.13,34
NDC,9003932,Methylprednisolone Sod Succ For Inj PF 40 MG (Base Equiv),393.48,314.79,0.2,354.13,34
NDC,9003933,Methylprednisolone Sod Succ For Inj PF 40 MG (Base Equiv),393.48,314.79,0.2,354.13,34
NDC,9004722,Methylprednisolone Sod Succ For Inj PF 125 MG (Base Equiv),396.18,316.95,0.2,356.56,34
NDC,9004725,Methylprednisolone Sod Succ For Inj PF 125 MG (Base Equiv),396.18,316.95,0.2,356.56,34
NDC,9004726,Methylprednisolone Sod Succ For Inj PF 125 MG (Base Equiv),396.18,316.95,0.2,356.56,34
NDC,9004727,Methylprednisolone Sod Succ For Inj PF 125 MG (Base Equiv),396.18,316.95,0.2,356.56,34
NDC,9005604,Methylprednisolone Tab Therapy Pack 4 MG (21),566.79,453.44,149.92,510.11,26
NDC,9008601,Testosterone Cypionate IM Inj in Oil 200 MG/ML,197.93,158.35,1.0,178.14,26
NDC,9027101,Estradiol Cypionate IM in Oil 5 MG/ML,420.85,336.68,1.0,378.77,26
NDC,9028051,Methylprednisolone Acetate Inj Susp 40 MG/ML,391.91,313.53,0.11,352.72,34
NDC,9030612,Methylprednisolone Acetate Inj Susp 80 MG/ML,402.02,321.62,0.11,361.82,34
NDC,9031508,Gelatin Absorbable Sponge 12-7 MM,28.67,22.94,7.58,25.8,26
NDC,9034201,Gelatin Absorbable Sponge Size 100,43.01,34.41,11.38,38.71,26
NDC,904001259,Chlorpheniramine Maleate Tab 4 MG,1.01,0.81,0.27,0.91,26
NDC,904001261,Chlorpheniramine Maleate Tab 4 MG,1.06,0.85,0.28,0.95,26
NDC,904043004,Doxycycline Hyclate Tab 100 MG,2.44,1.96,0.65,2.2,26
NDC,904043006,Doxycycline Hyclate Tab 100 MG,2.43,1.95,0.64,2.19,26
NDC,904052361,Ascorbic Acid Tab 500 MG,1.03,0.83,0.27,0.93,26
NDC,904052372,Ascorbic Acid Tab 500 MG,1.02,0.82,0.27,0.92,26
NDC,904052380,Ascorbic Acid Tab 500 MG,1.02,0.82,0.27,0.92,26
NDC,904131546,Bismuth Subsalicylate Chew Tab 262 MG,1.05,0.84,0.28,0.95,26
NDC,9041701,Testosterone Cypionate IM Inj in Oil 200 MG/ML,197.93,158.35,1.0,178.14,26
NDC,904205159,Dimenhydrinate Tab 50 MG,1.01,0.81,0.27,0.91,26
NDC,904205661,Diphenhydramine HCl Cap 50 MG,1.04,0.84,0.28,1.0,26
NDC,904208560,Vitamin A Cap 3 MG (10000 Unit),1.04,0.84,0.28,0.94,26
NDC,904227260,Niacin Tab 500 MG,1.02,0.82,0.27,0.92,26
NDC,904250091,Calcium Polycarbophil Tab 625 MG,1.06,0.85,0.28,0.95,26
NDC,904253321,Calamine-Zinc Oxide Lotion,2.42,1.94,0.64,2.18,26
NDC,904261460,Allopurinol Tab 300 MG,1.14,0.92,0.3,1.03,26
NDC,904272561,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.12,0.9,0.3,1.01,26
NDC,904282161,Oxybutynin Chloride Tab 5 MG,1.53,1.23,0.4,1.38,26
NDC,9043601,Arginine HCl Inj 10%,416.9,333.52,110.27,375.21,26
NDC,904385461,Carbamazepine Chew Tab 100 MG,1.48,1.19,0.39,1.33,26
NDC,904386575,Saline Nasal Spray 0.65%,1.7,1.36,0.45,1.53,26
NDC,904404360,Omega-3 Fatty Acids Cap 1000 MG,1.04,0.84,0.28,0.94,26
NDC,9045003,Colestipol HCl Tab 1 GM,1.63,1.31,0.43,1.47,26
NDC,904505359,Pseudoephedrine HCl Tab 30 MG,1.02,0.82,0.27,0.92,26
NDC,904515460,Guaifenesin Tab 200 MG,1.03,0.83,0.27,0.93,26
NDC,904522452,Lactase Tab 3000 Unit,1.06,0.85,0.28,0.95,26
NDC,904530780,Diphenhydramine HCl Cap 50 MG,1.01,0.81,0.27,1.0,26
NDC,904530920,Ibuprofen Susp 100 MG/5ML,1.1,0.88,0.29,0.99,26
NDC,904531346,Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.8 MG,1.01,0.81,0.27,0.91,26
NDC,904531360,Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.8 MG,1.02,0.82,0.27,0.92,26
NDC,904535431,Diphenhydramine-Zinc Acetate Cream 2-0.1%,2.43,1.95,0.64,2.19,26
NDC,904544861,Pentoxifylline Tab ER 400 MG,1.17,0.94,0.31,1.05,26
NDC,904546072,Calcium Carbonate-Cholecalciferol Tab 500 MG-5 MCG(200 Unit),1.02,0.82,0.27,0.92,26
NDC,904546080,Calcium Carbonate-Cholecalciferol Tab 500 MG-5 MCG(200 Unit),1.01,0.81,0.27,0.91,26
NDC,904552261,Doxazosin Mesylate Tab 1 MG,1.78,1.43,0.47,1.6,26
NDC,904552461,Doxazosin Mesylate Tab 4 MG,1.51,1.21,0.4,1.36,26
NDC,904552952,Famotidine Tab 10 MG,1.07,0.86,0.28,0.96,26
NDC,904552987,Famotidine Tab 10 MG,1.07,0.86,0.28,0.96,26
NDC,904557720,Ibuprofen Susp 100 MG/5ML,1.12,0.9,0.3,1.01,26
NDC,904567516,Methylcellulose Powder Laxative,1.03,0.83,0.27,0.93,26
NDC,904567661,Paroxetine HCl Tab 10 MG,1.37,1.1,0.36,1.23,26
NDC,904567761,Paroxetine HCl Tab 20 MG,1.17,0.94,0.31,1.05,26
NDC,904578051,Famotidine Tab 20 MG,1.12,0.9,0.3,1.01,26
NDC,904578561,Fluoxetine HCl Cap 20 MG,1.1,0.88,0.29,0.99,26
NDC,904578961,Acyclovir Cap 200 MG,1.13,0.91,0.3,1.02,26
NDC,904579061,Acyclovir Tab 400 MG,1.22,0.98,0.32,1.1,26
NDC,904582360,Cholecalciferol Tab 10 MCG (400 Unit),1.01,0.81,0.27,0.91,26
NDC,904585361,Ibuprofen Tab 400 MG,1.06,0.85,0.28,0.95,26
NDC,904585461,Ibuprofen Tab 600 MG,1.07,0.86,0.28,0.96,26
NDC,904589161,Pravastatin Sodium Tab 10 MG,1.57,1.26,0.42,1.41,26
NDC,904589261,Pravastatin Sodium Tab 20 MG,1.46,1.17,0.39,1.31,26
NDC,904592161,Digoxin Tab 125 MCG (0.125 MG),1.89,1.52,0.5,1.7,26
NDC,904592261,Digoxin Tab 250 MCG (0.25 MG),1.91,1.53,0.51,1.72,26
NDC,904595961,Clindamycin HCl Cap 150 MG,1.14,0.92,0.3,1.03,26
NDC,904598426,Lactic Acid (Ammonium Lactate) Lotion 12%,4.62,3.7,1.22,4.16,26
NDC,904600761,Lorazepam Tab 0.5 MG,1.05,0.84,0.28,0.95,26
NDC,904600861,Lorazepam Tab 1 MG,1.04,0.84,0.28,0.94,26
NDC,904608261,Zolpidem Tartrate Tab 5 MG,1.05,0.84,0.28,0.95,26
NDC,904608461,Citalopram Hydrobromide Tab 10 MG (Base Equiv),1.05,0.84,0.28,0.95,26
NDC,904608561,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.06,0.85,0.28,0.95,26
NDC,904617261,Carbamazepine Tab 200 MG,1.52,1.22,0.4,1.37,26
NDC,904617861,Bethanechol Chloride Tab 25 MG,1.49,1.2,0.39,1.34,26
NDC,904618761,Phenytoin Sodium Extended Cap 100 MG,1.61,1.29,0.43,1.45,26
NDC,904622106,Ursodiol Cap 300 MG,2.52,2.02,0.67,2.27,26
NDC,904625549,Benzocaine-Menthol Lozenge 15-3.6 MG,1.08,0.87,0.29,0.97,26
NDC,904626908,Ziprasidone HCl Cap 20 MG,5.22,4.18,1.38,4.7,26
NDC,904626945,Ziprasidone HCl Cap 20 MG,3.04,2.44,0.8,2.74,26
NDC,904628361,Olanzapine Tab 2.5 MG,1.1,0.88,0.29,0.99,26
NDC,904629061,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.17,0.94,0.31,1.05,26
NDC,904629106,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.2,0.96,0.32,1.08,26
NDC,904629161,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.22,0.98,0.32,1.1,26
NDC,904629206,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.2,0.96,0.32,1.08,26
NDC,904629461,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.17,0.94,0.31,1.05,52
NDC,904630061,Carvedilol Tab 3.125 MG,1.08,0.87,0.29,0.97,26
NDC,904630161,Carvedilol Tab 6.25 MG,1.08,0.87,0.29,0.97,26
NDC,904630361,Carvedilol Tab 25 MG,1.08,0.87,0.29,0.97,26
NDC,904630521,Phenol Liquid 1.4%,3.3,2.64,0.87,2.97,26
NDC,904632206,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.31,1.05,0.35,1.18,26
NDC,904632261,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.39,1.12,0.37,1.25,26
NDC,904632361,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.39,1.12,0.37,1.25,26
NDC,904632461,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.66,1.33,0.44,1.49,26
NDC,904635161,Levofloxacin Tab 250 MG,1.17,0.94,0.31,1.05,26
NDC,904635261,Levofloxacin Tab 500 MG,1.23,0.99,0.33,1.11,26
NDC,904635361,Levofloxacin Tab 750 MG,1.35,1.08,0.36,1.22,26
NDC,904636345,Divalproex Sodium Tab ER 24 HR 250 MG,2.35,1.88,0.62,2.12,26
NDC,904636361,Divalproex Sodium Tab ER 24 HR 250 MG,1.8,1.44,0.48,1.62,26
NDC,904636961,Amlodipine Besylate Tab 2.5 MG (Base Equivalent),1.08,0.87,0.29,0.97,26
NDC,904637061,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.07,0.86,0.28,0.96,26
NDC,904637161,Amlodipine Besylate Tab 10 MG (Base Equivalent),1.07,0.86,0.28,0.96,26
NDC,904637361,Ropinirole Hydrochloride Tab 0.25 MG,1.34,1.08,0.35,1.21,26
NDC,904637461,Ropinirole Hydrochloride Tab 1 MG,1.37,1.1,0.36,1.23,26
NDC,904637761,Olanzapine Tab 5 MG,1.11,0.89,0.29,1.0,26
NDC,904640604,Moxifloxacin HCl Tab 400 MG (Base Equiv),5.59,4.48,1.48,5.03,26
NDC,904640761,Bisacodyl Tab Delayed Release 5 MG,1.02,0.82,0.27,0.92,26
NDC,904641861,Tizanidine HCl Tab 4 MG (Base Equivalent),1.44,1.16,0.38,1.3,26
NDC,904642661,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.14,0.92,0.3,1.03,26
NDC,904642761,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.16,0.93,0.31,1.04,26
NDC,904643604,Temazepam Cap 7.5 MG,4.11,3.29,1.09,3.7,26
NDC,904644961,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.26,1.01,0.33,1.13,26
NDC,904645061,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.31,1.05,0.35,1.18,26
NDC,904646707,Clopidogrel Bisulfate Tab 300 MG (Base Equiv),10.79,8.64,2.85,9.71,52
NDC,904646710,Clopidogrel Bisulfate Tab 300 MG (Base Equiv),6.09,4.88,1.61,5.48,26
NDC,904647461,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.17,0.94,0.31,1.05,26
NDC,904647561,Baclofen Tab 10 MG,1.4,1.12,0.37,1.26,26
NDC,904647761,Donepezil Hydrochloride Tab 5 MG,1.11,0.89,0.29,1.0,26
NDC,904648838,White Petrolatum-Mineral Oil Ophth Ointment,2.76,2.21,0.73,2.48,26
NDC,904650061,Fluconazole Tab 100 MG,2.13,1.71,0.56,1.92,26
NDC,904650106,Fluconazole Tab 200 MG,2.14,1.72,0.57,1.93,26
NDC,904650261,Celecoxib Cap 100 MG,1.95,1.56,0.52,1.76,26
NDC,904650561,Memantine HCl Tab 5 MG,1.29,1.04,0.34,1.16,26
NDC,904650606,Memantine HCl Tab 10 MG,1.31,1.05,0.35,1.18,26
NDC,904650661,Memantine HCl Tab 10 MG,1.28,1.03,0.34,1.15,26
NDC,904651061,Aripiprazole Tab 5 MG,18.55,14.84,4.91,16.7,26
NDC,904651961,Mirtazapine Tab 15 MG,1.12,0.9,0.3,1.01,26
NDC,904655161,Ondansetron HCl Tab 4 MG,1.3,1.04,0.34,1.17,26
NDC,904655304,Linezolid Tab 600 MG,3.12,2.5,0.83,2.81,26
NDC,904655761,Morphine Sulfate Tab ER 15 MG,1.51,1.21,0.4,1.36,26
NDC,904655861,Morphine Sulfate Tab ER 30 MG,1.89,1.52,0.5,1.7,26
NDC,904656061,Morphine Sulfate Tab ER 100 MG,3.91,3.13,1.03,3.52,26
NDC,904656460,Benzonatate Cap 100 MG,1.18,0.95,0.31,1.06,26
NDC,904656561,Valacyclovir HCl Tab 500 MG,2.03,1.63,0.54,1.83,26
NDC,904657061,Oxybutynin Chloride Tab ER 24HR 5 MG,2.19,1.76,0.58,1.97,26
NDC,904657261,Allopurinol Tab 300 MG,1.35,1.08,0.36,1.22,26
NDC,904657561,Phenobarbital Tab 32.4 MG,1.28,1.03,0.34,1.15,26
NDC,904658304,Lamivudine Tab 150 MG,5.57,4.46,1.47,5.01,26
NDC,904659604,Voriconazole Tab 50 MG,6.15,4.92,1.63,5.54,26
NDC,904659961,Perphenazine Tab 2 MG,1.76,1.41,0.47,1.58,26
NDC,904661561,Divalproex Sodium Cap Delayed Release Sprinkle 125 MG,1.59,1.28,0.42,1.43,26
NDC,904661761,Hydroxyzine HCl Tab 25 MG,1.15,0.92,0.3,1.04,26
NDC,904661861,Hydroxyzine HCl Tab 50 MG,1.27,1.02,0.34,1.14,26
NDC,904662061,Isosorbide Dinitrate Tab 20 MG,1.54,1.24,0.41,1.39,26
NDC,904662104,Imatinib Mesylate Tab 400 MG (Base Equivalent),116.3,93.04,38.96,104.67,26
NDC,904662261,Pyridostigmine Bromide Tab 60 MG,1.77,1.42,0.47,1.59,26
NDC,904662361,Tacrolimus Cap 0.5 MG,1.68,1.35,0.44,1.51,26
NDC,904662461,Tacrolimus Cap 5 MG,10.53,8.43,1.0,9.48,26
NDC,904663561,Bupropion HCl Tab 75 MG,1.83,1.47,0.48,1.65,26
NDC,904663661,Bupropion HCl Tab 100 MG,2.05,1.64,0.54,1.85,26
NDC,904663761,Glipizide Tab 5 MG,1.24,1.0,0.33,1.12,26
NDC,904663861,Quetiapine Fumarate Tab 25 MG,1.15,0.92,0.3,1.04,26
NDC,904664061,Quetiapine Fumarate Tab 100 MG,1.19,0.96,0.31,1.07,26
NDC,904664161,Quetiapine Fumarate Tab 200 MG,1.32,1.06,0.35,1.19,26
NDC,904666245,Lansoprazole Cap Delayed Release 30 MG,2.16,1.73,0.57,1.94,26
NDC,904666561,Gabapentin Cap 100 MG,1.07,0.86,0.28,0.96,26
NDC,904666661,Gabapentin Cap 300 MG,1.11,0.89,0.29,1.0,26
NDC,904666761,Gabapentin Cap 400 MG,1.12,0.9,0.3,1.01,26
NDC,904667104,Sildenafil Citrate Tab 20 MG,1.43,1.15,0.38,1.29,26
NDC,904667106,Sildenafil Citrate Tab 20 MG,1.49,1.2,0.39,1.34,26
NDC,904670310,Leucovorin Calcium Tab 25 MG,7.73,6.19,2.04,6.96,26
NDC,904670461,Pramipexole Dihydrochloride Tab 0.25 MG,1.18,0.95,0.31,1.06,26
NDC,904670706,Sevelamer Carbonate Tab 800 MG,1.97,1.58,0.13,1.77,52
NDC,904670782,Sevelamer Carbonate Tab 800 MG,4.2,3.36,0.13,3.78,52
NDC,904670961,Glycopyrrolate Tab 1 MG,1.72,1.38,0.45,1.55,26
NDC,904671746,Cetirizine HCl Tab 10 MG,1.07,0.86,0.28,0.96,26
NDC,904671772,Cetirizine HCl Tab 10 MG,1.05,0.84,0.28,0.95,26
NDC,904671839,Guaifenesin Tab ER 12HR 600 MG,1.69,1.36,0.45,1.52,26
NDC,904673151,Diphenhydramine-Acetaminophen Tab 25-500 MG (sleep),1.03,0.83,0.27,0.93,26
NDC,904673204,Colchicine Cap 0.6 MG,5.18,4.15,1.37,4.66,26
NDC,904674740,Ibuprofen Tab 200 MG,1.01,0.81,0.27,0.91,26
NDC,904674860,Bisacodyl Tab Delayed Release 5 MG,1.01,0.81,0.27,0.91,26
NDC,904676130,Oxymetazoline HCl Nasal Soln 0.05%,1.87,1.5,0.49,1.68,26
NDC,904677212,Dimenhydrinate Tab 50 MG,1.05,0.84,0.28,0.95,26
NDC,904678261,Haloperidol Tab 5 MG,1.46,1.17,0.39,1.31,26
NDC,904678504,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),3.72,2.98,0.98,3.35,26
NDC,904678561,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),4.37,3.5,1.0,3.93,26
NDC,904678604,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),6.68,5.35,1.0,6.01,26
NDC,904678661,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),6.98,5.59,1.0,6.28,26
NDC,904679104,Modafinil Tab 100 MG,5.8,4.64,1.53,5.22,26
NDC,904679610,Valganciclovir HCl Tab 450 MG (Base Equivalent),35.16,28.13,9.3,31.64,26
NDC,904679861,Lisinopril Tab 10 MG,1.05,0.84,0.28,0.95,26
NDC,904679961,Lisinopril Tab 20 MG,1.06,0.85,0.28,0.95,26
NDC,904680161,Quetiapine Fumarate Tab ER 24HR 50 MG,1.63,1.31,0.43,1.47,26
NDC,904680261,Quetiapine Fumarate Tab ER 24HR 150 MG,1.66,1.33,0.44,1.49,26
NDC,904680806,Montelukast Sodium Tab 10 MG (Base Equiv),1.26,1.01,0.33,1.13,26
NDC,904680861,Montelukast Sodium Tab 10 MG (Base Equiv),1.25,1.0,0.33,1.13,26
NDC,904681706,Midodrine HCl Tab 2.5 MG,1.47,1.18,0.39,1.32,26
NDC,904681761,Midodrine HCl Tab 2.5 MG,1.65,1.32,0.44,1.49,26
NDC,904681806,Midodrine HCl Tab 5 MG,1.44,1.16,0.38,1.3,26
NDC,904681861,Midodrine HCl Tab 5 MG,1.32,1.06,0.35,1.19,26
NDC,904682207,Entacapone Tab 200 MG,4.44,3.56,1.17,4.0,26
NDC,904682461,Hydrocodone-Acetaminophen Tab 5-325 MG,1.18,0.95,0.31,1.06,26
NDC,904682661,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.3,1.04,0.34,1.17,26
NDC,904682805,Oxycodone HCl Soln 5 MG/5ML,4.61,3.69,1.22,4.15,26
NDC,904683006,Finasteride Tab 5 MG,1.42,1.14,0.38,1.28,26
NDC,904683061,Finasteride Tab 5 MG,1.56,1.25,0.41,1.4,26
NDC,904683104,Metaxalone Tab 800 MG,4.98,3.99,1.32,4.48,26
NDC,904683204,Mesalamine Tab Delayed Release 1.2 GM,8.49,6.8,2.25,7.64,26
NDC,904683620,Loperamide HCl Soln 1 MG/7.5ML,1.45,1.16,0.38,1.31,26
NDC,904685261,Loratadine Tab 10 MG,1.22,0.98,0.32,1.1,26
NDC,904685289,Loratadine Tab 10 MG,1.05,0.84,0.28,0.95,26
NDC,904686061,Divalproex Sodium Tab Delayed Release 250 MG,1.12,0.9,0.3,1.01,26
NDC,904686161,Divalproex Sodium Tab Delayed Release 500 MG,1.15,0.92,0.3,1.04,26
NDC,904686704,Tretinoin Cap 10 MG,25.39,20.32,6.72,22.85,26
NDC,904686861,Trazodone HCl Tab 50 MG,1.1,0.88,0.29,0.99,26
NDC,904686961,Trazodone HCl Tab 100 MG,1.14,0.92,0.3,1.03,26
NDC,904687045,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.14,0.92,0.3,1.03,26
NDC,904687204,Clarithromycin Tab 500 MG,3.05,2.44,0.81,2.75,26
NDC,904687404,Abacavir Sulfate Tab 300 MG (Base Equiv),6.14,4.92,1.62,5.53,26
NDC,904688210,Phytonadione Tab 5 MG,57.21,45.77,15.13,51.49,26
NDC,904688806,Minocycline HCl Cap 100 MG,1.86,1.49,0.49,1.67,26
NDC,904689004,Ursodiol Tab 250 MG,3.1,2.48,0.82,2.79,26
NDC,904690061,Chlorthalidone Tab 25 MG,2.38,1.91,0.63,2.14,26
NDC,904690104,Imatinib Mesylate Tab 100 MG (Base Equivalent),31.03,24.83,10.4,85.91,26
NDC,904691761,Omeprazole Cap Delayed Release 20 MG,1.14,0.92,0.3,1.03,26
NDC,904692361,Prednisone Tab 10 MG,1.11,0.89,0.29,1.0,26
NDC,904692461,Sertraline HCl Tab 25 MG,1.25,1.0,0.33,1.13,26
NDC,904692561,Sertraline HCl Tab 50 MG,1.29,1.04,0.34,1.16,26
NDC,904692661,Sertraline HCl Tab 100 MG,1.33,1.07,0.35,1.2,26
NDC,904692761,Spironolactone Tab 25 MG,1.11,0.89,0.29,1.0,26
NDC,904692861,Topiramate Tab 25 MG,1.21,0.97,0.32,1.09,26
NDC,904692961,Topiramate Tab 100 MG,1.36,1.09,0.36,1.22,26
NDC,904693181,Polyethylene Glycol 3350 Oral Packet 17 GM,1.95,1.56,0.52,1.76,26
NDC,904693186,Polyethylene Glycol 3350 Oral Packet 17 GM,2.02,1.62,0.53,1.82,26
NDC,904693961,Hydroxyurea Cap 500 MG,1.59,1.28,0.42,1.43,26
NDC,904694804,Abiraterone Acetate Tab 250 MG,5.15,4.12,1.36,4.64,26
NDC,904694961,Levothyroxine Sodium Tab 25 MCG,1.32,1.06,0.35,1.19,26
NDC,904695061,Levothyroxine Sodium Tab 50 MCG,1.33,1.07,0.35,1.2,26
NDC,904695161,Levothyroxine Sodium Tab 75 MCG,1.4,1.12,0.37,1.26,26
NDC,904695261,Levothyroxine Sodium Tab 88 MCG,1.4,1.12,0.37,1.26,26
NDC,904695361,Levothyroxine Sodium Tab 100 MCG,1.41,1.13,0.37,1.27,26
NDC,904695461,Levothyroxine Sodium Tab 112 MCG,1.48,1.19,0.39,1.33,26
NDC,904695561,Levothyroxine Sodium Tab 125 MCG,1.48,1.19,0.39,1.33,26
NDC,904695661,Levothyroxine Sodium Tab 150 MCG,1.5,1.2,0.4,1.35,26
NDC,904696661,Oxycodone HCl Tab 5 MG,1.23,0.99,0.33,1.11,26
NDC,904698516,Diphenhydramine HCl Liquid 12.5 MG/5ML,0.06,0.05,0.02,1.0,26
NDC,904698761,Dicyclomine HCl Cap 10 MG,1.37,1.1,0.36,1.23,26
NDC,904698861,Dicyclomine HCl Tab 20 MG,1.35,1.08,0.36,1.22,26
NDC,904699061,Pseudoephedrine HCl Tab 30 MG,1.03,0.83,0.27,0.93,26
NDC,904699104,Pregabalin Cap 25 MG,1.57,1.26,0.42,1.41,26
NDC,904699161,Pregabalin Cap 25 MG,1.55,1.24,0.41,1.4,26
NDC,904699261,Pregabalin Cap 50 MG,1.64,1.32,0.43,1.48,26
NDC,904699361,Amiodarone HCl Tab 200 MG,1.19,0.96,0.31,1.07,26
NDC,904700061,Pregabalin Cap 75 MG,1.65,1.32,0.44,1.49,26
NDC,904700161,Pregabalin Cap 100 MG,1.38,1.11,0.37,1.24,26
NDC,904700761,Lamotrigine Tab 25 MG,1.14,0.92,0.3,1.03,26
NDC,904700861,Lamotrigine Tab 100 MG,1.11,0.89,0.29,1.0,26
NDC,904700906,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),2.83,2.27,0.75,2.55,26
NDC,904701006,Buprenorphine HCl-Naloxone HCl SL Tab 8-2 MG (Base Equiv),3.09,2.48,0.82,2.78,26
NDC,904701604,Bumetanide Tab 1 MG,2.27,1.82,0.6,2.04,26
NDC,904701606,Bumetanide Tab 1 MG,1.73,1.39,0.46,1.56,26
NDC,904701661,Bumetanide Tab 1 MG,1.82,1.46,0.48,1.64,26
NDC,904702061,Prazosin HCl Cap 1 MG,1.95,1.56,0.52,1.76,26
NDC,904702161,Prazosin HCl Cap 2 MG,2.1,1.68,0.56,1.89,26
NDC,904702261,Prazosin HCl Cap 5 MG,4.17,3.34,1.1,3.75,26
NDC,904702661,Nitrofurantoin Macrocrystalline Cap 50 MG,2.42,1.94,0.64,2.18,26
NDC,904702761,Oxybutynin Chloride Tab 5 MG,1.29,1.04,0.34,1.16,26
NDC,904703587,Chlorhexidine Gluconate Soln 0.12%,2.04,1.64,0.54,1.84,26
NDC,904703588,Chlorhexidine Gluconate Soln 0.12%,2.04,1.64,0.54,1.84,26
NDC,904703604,Naltrexone HCl Tab 50 MG,2.65,2.12,0.7,2.39,26
NDC,904704161,Allopurinol Tab 100 MG,1.18,0.95,0.31,1.06,26
NDC,904704206,Amantadine HCl Cap 100 MG,1.77,1.42,0.47,1.59,26
NDC,904704304,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),1.8,1.44,0.48,1.62,26
NDC,904704461,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.91,1.53,0.51,1.72,26
NDC,904704606,Hydroxychloroquine Sulfate Tab 200 MG,1.81,1.45,0.48,1.63,26
NDC,904704761,Losartan Potassium Tab 25 MG,1.32,1.06,0.35,1.19,26
NDC,904704861,Losartan Potassium Tab 50 MG,1.24,1.0,0.33,1.12,26
NDC,904704961,Losartan Potassium Tab 100 MG,1.4,1.12,0.37,1.26,26
NDC,904705261,Doxepin HCl Cap 10 MG,1.45,1.16,0.38,1.31,26
NDC,904705361,Doxepin HCl Cap 25 MG,1.56,1.25,0.41,1.4,26
NDC,904705761,Methocarbamol Tab 500 MG,1.19,0.96,0.31,1.07,26
NDC,904705861,Methocarbamol Tab 750 MG,1.19,0.96,0.31,1.07,26
NDC,904707007,Nadolol Tab 20 MG,3.13,2.51,0.83,2.82,26
NDC,904707061,Nadolol Tab 20 MG,3.96,3.17,1.05,3.56,26
NDC,904707341,Ondansetron HCl Oral Soln 4 MG/5ML,10.67,8.54,1.0,9.6,26
NDC,904707461,Mycophenolate Mofetil Cap 250 MG,1.38,1.11,0.37,1.24,26
NDC,904707561,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.3,1.04,0.34,1.17,26
NDC,904707761,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.32,1.06,0.35,1.19,26
NDC,904707861,Mycophenolate Mofetil Tab 500 MG,1.65,1.32,0.44,1.49,26
NDC,904708106,Nifedipine Tab ER 24HR Osmotic Release 60 MG,2.29,1.84,0.61,2.06,26
NDC,904708361,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.29,1.04,0.34,1.16,26
NDC,904708761,Clozapine Tab 100 MG,1.58,1.27,0.42,1.42,26
NDC,904708961,Clozapine Tab 25 MG,1.22,0.98,0.32,1.1,26
NDC,904709061,Pioglitazone HCl Tab 15 MG (Base Equiv),1.93,1.55,0.51,1.74,26
NDC,904709361,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.23,0.99,0.33,1.11,26
NDC,904709561,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.07,1.66,0.55,1.86,26
NDC,904709761,Tacrolimus Cap 1 MG,1.97,1.58,0.52,1.77,26
NDC,904710561,Captopril Tab 12.5 MG,2.09,1.68,0.55,1.88,26
NDC,904710761,Rivastigmine Tartrate Cap 1.5 MG (Base Equivalent),3.58,2.87,0.95,3.22,26
NDC,904710961,Labetalol HCl Tab 100 MG,1.34,1.08,0.35,1.21,26
NDC,904711161,Labetalol HCl Tab 300 MG,1.87,1.5,0.49,1.68,26
NDC,904711341,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),5.88,4.71,1.56,5.29,26
NDC,904711961,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.93,1.55,0.03,1.74,52
NDC,904712004,Colchicine Tab 0.6 MG,3.96,3.17,1.05,3.56,26
NDC,904712161,Buspirone HCl Tab 10 MG,1.12,0.9,0.3,1.01,26
NDC,904712261,Buspirone HCl Tab 5 MG,1.09,0.88,0.29,0.98,26
NDC,904712361,Levetiracetam Tab 250 MG,1.12,0.9,0.3,1.01,26
NDC,904712461,Levetiracetam Tab 500 MG,1.14,0.92,0.3,1.03,26
NDC,904712661,Metronidazole Tab 500 MG,1.47,1.18,0.39,1.32,26
NDC,904712761,Prednisone Tab 20 MG,1.12,0.9,0.3,1.01,26
NDC,904713061,Chlorpromazine HCl Tab 25 MG,3.88,3.11,1.03,3.49,26
NDC,904713761,Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG,3.14,2.52,0.83,2.83,26
NDC,904714004,Guanfacine HCl Tab 1 MG,2.46,1.97,0.65,2.21,26
NDC,904714110,Methotrexate Sodium Tab 2.5 MG (Base Equiv),3.04,2.44,0.8,2.74,26
NDC,904714461,Dronabinol Cap 2.5 MG,4.25,3.4,1.12,3.83,26
NDC,904714504,Dronabinol Cap 5 MG,16.94,13.56,4.48,15.25,26
NDC,904714904,Posaconazole Tab Delayed Release 100 MG,33.68,26.95,8.91,30.31,26
NDC,904714910,Posaconazole Tab Delayed Release 100 MG,26.48,21.19,7.0,23.83,26
NDC,904715361,Benzonatate Cap 100 MG,1.33,1.07,0.35,1.2,26
NDC,904715404,Buprenorphine HCl SL Tab 2 MG (Base Equiv),2.81,2.25,0.74,2.53,26
NDC,904715504,Buprenorphine HCl SL Tab 8 MG (Base Equiv),4.11,3.29,1.09,3.7,26
NDC,904715961,Fluphenazine HCl Tab 5 MG,4.38,3.51,1.16,3.94,26
NDC,904716261,Metformin HCl Tab 500 MG,1.06,0.85,0.28,0.95,26
NDC,904716361,Metformin HCl Tab 850 MG,1.16,0.93,0.31,1.04,26
NDC,904716461,Metformin HCl Tab 1000 MG,1.09,0.88,0.29,0.98,26
NDC,904717761,Furosemide Tab 20 MG,1.06,0.85,0.28,0.95,26
NDC,904717861,Furosemide Tab 40 MG,1.06,0.85,0.28,0.95,26
NDC,904718061,Oxycodone HCl Tab 15 MG,1.52,1.22,0.4,1.37,26
NDC,904718361,Docusate Sodium Cap 100 MG,1.05,0.84,0.28,0.95,26
NDC,904718761,Atenolol Tab 25 MG,1.14,0.92,0.3,1.03,26
NDC,904718861,Hydrocortisone Tab 10 MG,2.35,1.88,0.62,2.12,26
NDC,904719306,Famotidine Tab 20 MG,1.09,0.88,0.29,0.98,26
NDC,904719361,Famotidine Tab 20 MG,1.07,0.86,0.28,0.96,26
NDC,904719907,Phenytoin Chew Tab 50 MG,2.01,1.61,0.53,1.81,26
NDC,904720546,Bismuth Subsalicylate Chew Tab 262 MG,1.06,0.85,0.28,0.95,26
NDC,904720660,Simethicone Chew Tab 80 MG,1.02,0.82,0.27,0.92,26
NDC,904720806,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.72,1.38,0.45,1.55,26
NDC,904720861,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.74,1.4,0.46,1.57,26
NDC,904721104,Dantrolene Sodium Cap 25 MG,2.3,1.84,0.61,2.07,26
NDC,904721261,Trazodone HCl Tab 150 MG,1.31,1.05,0.35,1.18,26
NDC,904721761,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.35,1.08,0.36,1.22,26
NDC,904721861,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.29,1.04,0.34,1.16,26
NDC,904722461,Folic Acid Tab 1 MG,1.13,0.91,0.3,1.02,26
NDC,904722761,Clonazepam Tab 0.5 MG,1.38,1.11,0.37,1.24,26
NDC,904722961,Nifedipine Cap 10 MG,1.78,1.43,0.47,1.6,52
NDC,904723661,Megestrol Acetate Tab 40 MG,1.18,0.95,0.31,1.06,26
NDC,904723961,Sodium Chloride Tab 1 GM,1.17,0.94,0.31,1.05,26
NDC,904724361,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.29,1.04,0.34,1.16,26
NDC,904724468,Lacosamide Tab 50 MG,2.14,1.72,0.57,1.93,26
NDC,904725260,Sennosides Tab 8.6 MG,1.02,0.82,0.27,0.92,26
NDC,904725261,Sennosides Tab 8.6 MG,1.04,0.84,0.28,0.94,26
NDC,904726161,Sodium Bicarbonate Tab 650 MG,1.12,0.9,0.3,1.01,26
NDC,904726261,Oxcarbazepine Tab 150 MG,1.41,1.13,0.37,1.27,26
NDC,904726361,Oxcarbazepine Tab 300 MG,1.61,1.29,0.43,1.45,26
NDC,904726661,Dexamethasone Tab 4 MG,1.77,1.42,0.47,1.59,26
NDC,904726761,Dexamethasone Tab 6 MG,2.33,1.87,0.62,2.1,26
NDC,904727641,Nystatin Susp 100000 Unit/ML,2.05,1.64,0.54,1.85,26
NDC,904727692,Nystatin Susp 100000 Unit/ML,2.05,1.64,0.54,1.85,26
NDC,904727966,Docusate Sodium Liquid 150 MG/15ML,2.0,1.6,0.53,1.8,26
NDC,904727972,Docusate Sodium Liquid 150 MG/15ML,2.0,1.6,0.53,1.8,26
NDC,904728060,Docusate Sodium Cap 100 MG,1.02,0.82,0.27,0.92,26
NDC,904728361,Torsemide Tab 20 MG,1.29,1.04,0.34,1.16,26
NDC,904728861,Benztropine Mesylate Tab 0.5 MG,1.03,0.83,0.27,0.93,26
NDC,904729261,Potassium Chloride Microencapsulated Crys ER Tab 10 mEq,1.28,1.03,0.34,1.15,26
NDC,904729361,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.31,1.05,0.35,1.18,26
NDC,904730461,Promethazine HCl Tab 25 MG,1.14,0.92,0.3,1.03,26
NDC,904730561,Carvedilol Tab 3.125 MG,1.08,0.87,0.29,0.97,26
NDC,904730661,Carvedilol Tab 6.25 MG,1.09,0.88,0.29,0.98,26
NDC,904730761,Carvedilol Tab 12.5 MG,1.08,0.87,0.29,0.97,26
NDC,904730861,Carvedilol Tab 25 MG,1.08,0.87,0.29,0.97,26
NDC,904731706,Fludrocortisone Acetate Tab 0.1 MG,1.44,1.16,0.38,1.3,26
NDC,904732562,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,3.79,3.04,1.0,3.41,26
NDC,904732573,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,3.79,3.04,1.0,3.41,26
NDC,904732762,Magnesium Hydroxide Susp 400 MG/5ML,1.9,1.52,0.5,1.71,26
NDC,904732861,Metolazone Tab 2.5 MG,3.48,2.79,0.92,3.13,26
NDC,904733661,Cephalexin Cap 250 MG,1.27,1.02,0.34,1.14,26
NDC,904733706,Cephalexin Cap 500 MG,1.24,1.0,0.33,1.12,26
NDC,904733735,Cephalexin Cap 500 MG,1.24,1.0,0.33,1.12,26
NDC,904734661,Fluoxetine HCl Cap 20 MG,1.09,0.88,0.29,0.98,26
NDC,904735006,Azithromycin Tab 250 MG,1.66,1.33,0.44,1.49,26
NDC,904735061,Azithromycin Tab 250 MG,2.07,1.66,0.55,1.86,26
NDC,904735661,Lurasidone HCl Tab 40 MG,1.86,1.49,0.49,1.67,26
NDC,904736061,Risperidone Tab 0.25 MG,1.19,0.96,0.31,1.07,26
NDC,904736161,Risperidone Tab 0.5 MG,1.24,1.0,0.33,1.12,26
NDC,904736261,Risperidone Tab 1 MG,1.28,1.03,0.34,1.15,26
NDC,904736361,Risperidone Tab 2 MG,1.29,1.04,0.34,1.16,26
NDC,904737661,Meclizine HCl Tab 25 MG,1.4,1.12,0.37,1.26,26
NDC,904738106,Prochlorperazine Maleate Tab 5 MG (Base Equivalent),1.98,1.59,0.52,1.78,26
NDC,904738206,Prochlorperazine Maleate Tab 10 MG (Base Equivalent),2.05,1.64,0.54,1.85,26
NDC,904738361,Tamsulosin HCl Cap 0.4 MG,1.2,0.96,0.32,1.08,26
NDC,904738961,Haloperidol Tab 0.5 MG,1.24,1.0,0.33,1.12,26
NDC,904739061,Haloperidol Tab 1 MG,1.31,1.05,0.35,1.18,26
NDC,904740004,Cyclobenzaprine HCl Tab 5 MG,1.41,1.13,0.37,1.27,26
NDC,904740006,Cyclobenzaprine HCl Tab 5 MG,1.34,1.08,0.35,1.21,26
NDC,904740161,Cyclobenzaprine HCl Tab 10 MG,1.15,0.92,0.3,1.04,26
NDC,904740706,Moxifloxacin HCl Tab 400 MG (Base Equiv),7.0,5.6,1.85,6.3,26
NDC,904741061,Amitriptyline HCl Tab 25 MG,1.27,1.02,0.34,1.14,26
NDC,904741161,Amitriptyline HCl Tab 50 MG,1.4,1.12,0.37,1.26,26
NDC,904741761,Methadone HCl Tab 10 MG,1.19,0.96,0.31,1.07,26
NDC,904741844,Magnesium Citrate Soln,3.37,2.7,0.89,3.03,26
NDC,904744061,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.13,0.91,0.3,1.02,26
NDC,904744261,Clonidine HCl Tab 0.1 MG,1.27,1.02,0.34,1.14,26
NDC,904744461,Dexamethasone Tab 2 MG,1.52,1.22,0.4,1.37,26
NDC,904744861,Hydralazine HCl Tab 25 MG,1.18,0.95,0.31,1.06,26
NDC,904744961,Hydralazine HCl Tab 50 MG,1.22,0.98,0.32,1.1,26
NDC,904745861,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.16,0.93,0.31,1.04,26
NDC,904746464,Lacosamide Oral Solution 10 MG/ML,45.52,36.42,12.04,40.97,26
NDC,904746466,Lacosamide Oral Solution 10 MG/ML,45.52,36.42,12.04,40.97,26
NDC,904746561,Bupropion HCl Tab ER 12HR 150 MG,1.66,1.33,0.44,1.49,26
NDC,904746806,Propranolol HCl Tab 20 MG,1.37,1.1,0.36,1.23,26
NDC,904747018,Sucralfate Susp 1 GM/10ML,5.71,4.57,1.51,5.14,26
NDC,904747066,Sucralfate Susp 1 GM/10ML,8.61,6.89,2.28,7.75,26
NDC,904749506,Omega-3-acid Ethyl Esters Cap 1 GM,3.67,2.94,0.97,3.3,26
NDC,904749661,Tramadol HCl Tab 50 MG,1.14,0.92,0.3,1.03,26
NDC,904750161,Carbidopa & Levodopa Tab 25-100 MG,1.15,0.92,0.3,1.04,26
NDC,904750504,Bupropion HCl Tab ER 24HR 150 MG,1.97,1.58,0.52,1.77,26
NDC,904751061,Cetirizine HCl Tab 10 MG,1.11,0.89,0.29,1.0,26
NDC,904751161,Loratadine Tab 10 MG,1.22,0.98,0.32,1.1,26
NDC,904759060,Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe),1.01,0.81,0.27,0.91,26
NDC,904759161,Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe),1.03,0.83,0.27,0.93,26
NDC,904759182,Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe),1.01,0.81,0.27,0.91,26
NDC,904772714,Aluminum Hydroxide-Magnesium Carbonate Susp 95-358 MG/15ML,1.09,0.88,0.29,0.98,26
NDC,904772861,Clonazepam Tab 1 MG,1.39,1.12,0.37,1.25,26
NDC,904773445,Miconazole Nitrate Vaginal Cream 2%,6.67,5.34,1.76,6.0,26
NDC,904775127,Skin Protectants Misc - Cream,5.09,4.08,1.35,4.58,26
NDC,904791251,Ibuprofen Tab 200 MG,1.02,0.82,0.27,0.92,26
NDC,904791259,Ibuprofen Tab 200 MG,1.02,0.82,0.27,0.92,26
NDC,904791459,Ibuprofen Tab 200 MG,1.02,0.82,0.27,0.92,26
NDC,904791461,Ibuprofen Tab 200 MG,1.05,0.84,0.28,0.95,26
NDC,9069801,Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv),429.75,343.8,0.2,386.78,34
NDC,9074630,Medroxyprogesterone Acetate IM Susp 150 MG/ML,432.89,346.32,1.0,389.6,26
NDC,9075801,Methylprednisolone Sod Succ For Inj 500 MG (Base Equiv),410.96,328.77,0.2,369.86,34
NDC,9076004,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),26.65,21.32,7.05,23.99,26
NDC,9077520,Clindamycin Phosphate Inj 600 MG/4ML,391.21,312.97,2.18,352.09,26
NDC,9077526,Clindamycin Phosphate Inj 600 MG/4ML,391.21,312.97,2.18,352.09,26
NDC,9082501,Hydrocortisone Sodium Succinate PF For Inj 100 MG,398.06,318.45,1.0,358.25,26
NDC,9087021,Clindamycin Phosphate Inj 300 MG/2ML,390.55,312.44,2.18,351.5,26
NDC,9087026,Clindamycin Phosphate Inj 300 MG/2ML,390.55,312.44,2.18,351.5,26
NDC,9090211,Clindamycin Phosphate Inj 900 MG/6ML,391.53,313.23,2.18,352.38,26
NDC,9090218,Clindamycin Phosphate Inj 900 MG/6ML,392.3,313.84,2.18,353.07,26
NDC,93005301,Buspirone HCl Tab 5 MG,1.05,0.84,0.28,0.95,26
NDC,93005401,Buspirone HCl Tab 10 MG,1.07,0.86,0.28,0.96,26
NDC,93010901,Carbamazepine Tab 200 MG,2.2,1.76,0.58,1.98,26
NDC,93031101,Loperamide HCl Cap 2 MG,1.33,1.07,0.35,1.2,26
NDC,93031801,Diltiazem HCl Tab 30 MG,1.1,0.88,0.29,0.99,26
NDC,93031901,Diltiazem HCl Tab 60 MG,1.19,0.96,0.31,1.07,26
NDC,93031905,Diltiazem HCl Tab 60 MG,1.19,0.96,0.31,1.07,26
NDC,9307301,Methylprednisolone Acetate Inj Susp 40 MG/ML,395.48,316.39,0.11,355.93,34
NDC,9307303,Methylprednisolone Acetate Inj Susp 40 MG/ML,395.48,316.39,0.11,355.93,34
NDC,93075201,Atenolol Tab 50 MG,1.01,0.81,0.27,0.91,26
NDC,93075210,Atenolol Tab 50 MG,1.01,0.81,0.27,0.91,26
NDC,93078701,Atenolol Tab 25 MG,1.02,0.82,0.27,0.92,26
NDC,93081001,Nortriptyline HCl Cap 10 MG,1.11,0.89,0.29,1.0,26
NDC,93081005,Nortriptyline HCl Cap 10 MG,1.1,0.88,0.29,0.99,26
NDC,93081101,Nortriptyline HCl Cap 25 MG,1.14,0.92,0.3,1.03,26
NDC,93081201,Nortriptyline HCl Cap 50 MG,1.31,1.05,0.35,1.18,26
NDC,93083201,Clonazepam Tab 0.5 MG,1.05,0.84,0.28,0.95,26
NDC,93101042,Mupirocin Oint 2%,54.3,43.44,14.36,48.87,26
NDC,93117201,Penicillin V Potassium Tab 250 MG,1.25,1.0,0.33,1.13,26
NDC,93117401,Penicillin V Potassium Tab 500 MG,1.26,1.01,0.33,1.13,26
NDC,93117701,Neomycin Sulfate Tab 500 MG,1.57,1.26,0.42,1.41,26
NDC,9316901,Alprostadil Inj 500 MCG/ML,504.64,403.72,6.69,454.18,26
NDC,93171201,Warfarin Sodium Tab 1 MG,1.14,0.92,0.3,1.03,26
NDC,93171301,Warfarin Sodium Tab 2 MG,1.21,0.97,0.32,1.09,26
NDC,93171401,Warfarin Sodium Tab 2.5 MG,1.11,0.89,0.29,1.0,26
NDC,93171501,Warfarin Sodium Tab 3 MG,1.13,0.91,0.3,1.02,26
NDC,93171601,Warfarin Sodium Tab 4 MG,1.12,0.9,0.3,1.01,26
NDC,93171801,Warfarin Sodium Tab 6 MG,1.15,0.92,0.3,1.04,26
NDC,93172001,Warfarin Sodium Tab 10 MG,1.16,0.93,0.31,1.04,26
NDC,93172101,Warfarin Sodium Tab 5 MG,1.16,0.93,0.31,1.04,26
NDC,93172301,Warfarin Sodium Tab 7.5 MG,1.11,0.89,0.29,1.0,26
NDC,93202631,Azithromycin For Susp 200 MG/5ML,27.0,21.6,9.05,25.19,26
NDC,93220305,Metoclopramide HCl Tab 10 MG (Base Equivalent),1.07,0.86,0.28,0.96,26
NDC,93220310,Metoclopramide HCl Tab 10 MG (Base Equivalent),1.03,0.83,0.27,0.93,26
NDC,93220401,Metoclopramide HCl Tab 5 MG (Base Equivalent),1.04,0.84,0.28,0.94,26
NDC,93220405,Metoclopramide HCl Tab 5 MG (Base Equivalent),1.03,0.83,0.27,0.93,26
NDC,93221001,Sucralfate Tab 1 GM,1.16,0.93,0.31,1.04,26
NDC,93221005,Sucralfate Tab 1 GM,1.17,0.94,0.31,1.05,26
NDC,93226801,Amoxicillin (Trihydrate) Chew Tab 250 MG,1.17,0.94,0.31,1.05,26
NDC,93227434,Amoxicillin & K Clavulanate Tab 500-125 MG,1.61,1.29,0.43,1.45,26
NDC,93227534,Amoxicillin & K Clavulanate Tab 875-125 MG,1.33,1.07,0.35,1.2,26
NDC,93300256,Quinine Sulfate Cap 324 MG,6.29,5.04,1.66,5.66,26
NDC,93300819,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,11.36,9.09,3.0,10.22,26
NDC,93300893,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,11.36,9.09,3.0,10.22,26
NDC,93306619,Icatibant Acetate Subcutaneous Soln Pref Syr 30 MG/3ML,8540.32,6832.26,93.19,7686.29,34
NDC,93306634,Icatibant Acetate Subcutaneous Soln Pref Syr 30 MG/3ML,8540.32,6832.26,93.19,7686.29,34
NDC,93306693,Icatibant Acetate Subcutaneous Soln Pref Syr 30 MG/3ML,8540.32,6832.26,93.19,7686.29,34
NDC,93310953,Amoxicillin (Trihydrate) Cap 500 MG,1.12,0.9,0.3,1.01,26
NDC,93312301,Dicloxacillin Sodium Cap 250 MG,1.22,0.98,0.32,1.1,26
NDC,93314501,Cephalexin Cap 250 MG,1.06,0.85,0.28,0.95,26
NDC,93314701,Cephalexin Cap 500 MG,1.2,0.96,0.32,1.08,26
NDC,93314705,Cephalexin Cap 500 MG,1.1,0.88,0.29,0.99,26
NDC,93321305,Clonazepam Tab 2 MG,1.06,0.85,0.28,0.95,26
NDC,93321930,Ketoconazole Cream 2%,63.97,51.18,16.92,57.57,26
NDC,93323921,Buprenorphine TD Patch Weekly 7.5 MCG/HR,44.53,35.63,11.78,40.08,26
NDC,93323940,Buprenorphine TD Patch Weekly 7.5 MCG/HR,44.53,35.63,11.78,40.08,26
NDC,93330101,Tramadol HCl Tab 50 MG,1.05,0.84,0.28,0.95,26
NDC,93342605,Lorazepam Tab 1 MG,1.05,0.84,0.28,0.95,26
NDC,93363020,Acyclovir Cream 5%,588.05,470.44,155.54,529.25,26
NDC,93365621,Buprenorphine TD Patch Weekly 5 MCG/HR,34.47,27.58,9.12,31.02,26
NDC,93365721,Buprenorphine TD Patch Weekly 10 MCG/HR,49.08,39.27,12.98,44.17,26
NDC,93365740,Buprenorphine TD Patch Weekly 10 MCG/HR,49.08,39.27,12.98,44.17,26
NDC,93365921,Buprenorphine TD Patch Weekly 20 MCG/HR,114.65,91.72,30.32,103.19,26
NDC,93408563,Tobramycin Nebu Soln 300 MG/5ML,95.78,76.63,17.75,86.2,26
NDC,93412574,Penicillin V Potassium For Soln 125 MG/5ML,25.11,20.09,6.64,22.6,26
NDC,93412774,Penicillin V Potassium For Soln 250 MG/5ML,25.06,20.05,6.63,22.55,26
NDC,93414545,Levalbuterol HCl Soln Nebu 0.31 MG/3ML (Base Equiv),1.82,1.46,0.48,1.64,26
NDC,93414556,Levalbuterol HCl Soln Nebu 0.31 MG/3ML (Base Equiv),1.82,1.46,0.48,1.64,26
NDC,93414645,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),1.8,1.44,0.05,1.62,26
NDC,93414656,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),1.8,1.44,0.05,1.62,26
NDC,93414719,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),5.98,4.79,0.05,5.38,26
NDC,93414756,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),179.34,143.48,0.05,161.41,26
NDC,93414845,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),1.91,1.53,0.05,1.72,26
NDC,93414856,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),1.91,1.53,0.05,1.72,26
NDC,93416173,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,26.9,21.52,7.12,24.21,26
NDC,93416178,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,26.58,21.27,7.03,23.92,26
NDC,93417773,Cephalexin For Susp 250 MG/5ML,26.42,21.14,6.99,23.78,26
NDC,9347501,Methylprednisolone Acetate Inj Susp 80 MG/ML,402.26,321.81,0.11,362.03,34
NDC,9347503,Methylprednisolone Acetate Inj Susp 80 MG/ML,402.26,321.81,0.11,362.03,34
NDC,9347522,Methylprednisolone Acetate Inj Susp 80 MG/ML,402.26,321.81,0.11,362.03,34
NDC,93503156,Tiagabine HCl Tab 4 MG,6.01,4.81,1.59,5.41,26
NDC,93505698,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.09,0.88,0.29,0.98,26
NDC,93506205,Hydroxyzine HCl Tab 50 MG,1.45,1.16,0.38,1.31,26
NDC,93524565,Olanzapine Orally Disintegrating Tab 5 MG,2.67,2.14,0.71,2.4,26
NDC,93542088,Cabergoline Tab 0.5 MG,9.24,7.4,3.1,15.58,26
NDC,93574265,Cyclosporine Modified Cap 100 MG,3.44,2.76,0.91,3.1,26
NDC,93590786,Mesalamine Cap DR 400 MG,2.52,2.02,0.67,2.27,26
NDC,93681519,Budesonide Inhalation Susp 0.25 MG/2ML,4.27,3.42,1.13,3.84,26
NDC,93681545,Budesonide Inhalation Susp 0.25 MG/2ML,4.27,3.42,1.13,3.84,26
NDC,93681555,Budesonide Inhalation Susp 0.25 MG/2ML,4.27,3.42,1.13,3.84,26
NDC,93681573,Budesonide Inhalation Susp 0.25 MG/2ML,4.27,3.42,1.13,3.84,26
NDC,93681619,Budesonide Inhalation Susp 0.5 MG/2ML,4.28,3.43,1.01,3.85,26
NDC,93681645,Budesonide Inhalation Susp 0.5 MG/2ML,6.12,4.9,1.01,5.51,26
NDC,93681655,Budesonide Inhalation Susp 0.5 MG/2ML,4.28,3.43,1.01,3.85,26
NDC,93681673,Budesonide Inhalation Susp 0.5 MG/2ML,4.93,3.95,1.01,4.44,26
NDC,93681719,Budesonide Inhalation Susp 1 MG/2ML,9.89,7.92,2.62,8.9,26
NDC,93681773,Budesonide Inhalation Susp 1 MG/2ML,9.89,7.92,2.62,8.9,26
NDC,93720110,Pravastatin Sodium Tab 20 MG,1.08,0.87,0.29,0.97,26
NDC,93720198,Pravastatin Sodium Tab 20 MG,1.06,0.85,0.28,0.95,26
NDC,93735301,Calcitriol Cap 0.5 MCG,1.4,1.12,0.37,1.26,26
NDC,93735505,Finasteride Tab 5 MG,1.43,1.15,0.38,1.29,26
NDC,93738598,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.33,1.07,0.35,1.2,26
NDC,93738698,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.22,0.98,0.32,1.1,26
NDC,93747243,Rizatriptan Benzoate Tab 10 MG (Base Equivalent),2.4,1.92,0.63,2.16,26
NDC,93747306,Capecitabine Tab 150 MG,8.21,6.57,0.03,7.39,34
NDC,93762056,Letrozole Tab 2.5 MG,1.1,0.88,0.29,0.99,26
NDC,93762998,Imatinib Mesylate Tab 100 MG (Base Equivalent),19.66,15.73,6.59,85.91,26
NDC,93763056,Imatinib Mesylate Tab 400 MG (Base Equivalent),74.45,59.56,24.94,85.91,26
NDC,93770456,Emtricitabine-Tenofovir Disoproxil Fumarate Tab 200-300 MG,1.93,1.55,0.51,1.74,26
NDC,9379401,Ibutilide Fumarate Inj 1 MG/10ML,960.64,768.52,163.69,864.58,34
NDC,93811756,Famciclovir Tab 125 MG,1.88,1.51,0.5,1.69,26
NDC,93819201,Cimetidine Tab 300 MG,1.2,0.96,0.32,1.08,26
NDC,93834301,Glyburide Tab 2.5 MG,1.15,0.92,0.3,1.04,26
NDC,93867575,Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML,39.63,31.71,10.48,35.67,26
NDC,93873901,Mexiletine HCl Cap 150 MG,1.46,1.17,0.39,1.31,26
NDC,93874001,Mexiletine HCl Cap 200 MG,1.63,1.31,0.43,1.47,26
NDC,93943301,Glyburide Tab 2.5 MG,1.08,0.87,0.29,0.97,26
NDC,93970201,Carbidopa & Levodopa Tab 25-100 MG,1.08,0.87,0.29,0.97,26
NDC,93970210,Carbidopa & Levodopa Tab 25-100 MG,1.08,0.87,0.29,0.97,26
NDC,93970301,Carbidopa & Levodopa Tab 25-250 MG,1.13,0.91,0.3,1.02,26
NDC,941067905,Icodextrin-Electrolytes Solution 7.5%,35.0,28.0,9.26,31.5,26
NDC,941067953,Icodextrin-Electrolytes Solution 7.5%,35.0,28.0,9.26,31.5,26
NDC,944049301,"Albumin, Human Inj 25%",418.25,334.6,50.42,376.43,36
NDC,944049302,"Albumin, Human Inj 25%",335.625,268.5,50.42,402.75,72
NDC,944049303,"Albumin, Human Inj 25%",628.875,503.09999999999997,50.42,754.65,72
NDC,944049304,"Albumin, Human Inj 25%",224.75,179.8,50.42,202.28,36
NDC,944049505,"Albumin, Human Inj 5%",431.5,345.2,10.08,388.35,72
NDC,944049506,"Albumin, Human Inj 5%",431.5,345.2,47.49,388.35,36
NDC,944265603,Immune Globulin (Human) IV For Soln 5 GM,2105.63,1684.51,74.86,1895.07,34
NDC,944265804,Immune Globulin (Human) IV For Soln 10 GM,4287.28,3429.83,74.86,3858.55,34
NDC,944270004,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",1335.8,1068.64,43.05,1202.22,34
NDC,944270004,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,1335.8,1068.64,43.05,1202.22,34
NDC,944270005,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",2521.6,2017.28,43.05,2269.44,34
NDC,944270005,Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML,2521.6,2017.28,43.05,2269.44,34
NDC,944270006,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",4893.2,3914.56,43.05,4403.88,34
NDC,944270006,Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML,4893.2,3914.56,43.05,4403.88,34
NDC,944270007,Immune Globulin (Human) IV or Subcutaneous Soln 30 GM/300ML,7264.8,5811.84,43.05,6538.32,34
NDC,944270013,Immune Globulin (Human) IV or Subcutaneous Soln 30 GM/300ML,7264.8,5811.84,43.05,6538.32,34
NDC,944288401,Alpha1-Proteinase Inhibitor (Human) Inj 1000 MG/50ML,2334.0,1867.2,5.36,2100.6,34
NDC,944288405,Alpha1-Proteinase Inhibitor (Human) IV Soln 5 GM/250ML,12182.79,9746.24,5.36,10964.51,34
NDC,944305102,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 250 Unit,319.45,255.56,1.5,287.51,34
NDC,944305202,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 500 Unit,690.2,552.16,1.5,621.18,34
NDC,944305302,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 1000 Unit,1380.2,1104.16,1.5,1242.18,34
NDC,944305303,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 1000 Unit,1380.2,1104.16,1.5,1242.18,34
NDC,944462301,Antihemophilic Factor Recomb Pegylated For Inj 500 Unit,863.2,690.56,1.99,776.88,34
NDC,944462701,Antihemophilic Factor Recomb Pegylated For Inj 1500 Unit,1.93,1.55,0.65,2.3,34
NDC,944462702,Antihemophilic Factor Recomb Pegylated For Inj 1500 Unit,1.93,1.55,0.65,2.3,34
NDC,94688001169,Protein Oral Pack,1.82,1.46,0.48,1.64,26
NDC,9499201,Linezolid IV Soln 600 MG/300ML (2 MG/ML),415.7,332.56,1.0,374.13,26
NDC,9499202,Linezolid IV Soln 600 MG/300ML (2 MG/ML),415.7,332.56,1.0,374.13,26
NDC,9509101,Epirubicin HCl IV Soln 50 MG/25ML (2 MG/ML),359.73,287.79,1.0,323.76,26
NDC,9513601,Linezolid For Susp 100 MG/5ML,88.51,70.81,23.41,79.66,26
NDC,9514001,Linezolid IV Soln 600 MG/300ML (2 MG/ML),415.7,332.56,1.0,374.13,26
NDC,9514004,Linezolid IV Soln 600 MG/300ML (2 MG/ML),411.2,328.96,1.0,370.08,26
NDC,955100401,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,416.21,332.97,1.0,374.59,26
NDC,955100410,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,416.21,332.97,1.0,374.59,26
NDC,955100610,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,404.04,323.24,1.0,363.64,26
NDC,955100810,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,402.94,322.36,1.0,362.65,26
NDC,955101010,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,403.02,322.42,1.0,362.72,26
NDC,955101210,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,408.05,326.44,1.0,367.25,26
NDC,955101510,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,355.02,284.02,1.0,319.52,26
NDC,955101601,Enoxaparin Sodium Inj 300 MG/3ML,431.42,345.14,1.0,388.28,26
NDC,955105201,Sevelamer Carbonate Packet 0.8 GM,9.83,7.87,0.39,8.85,52
NDC,955105290,Sevelamer Carbonate Packet 0.8 GM,9.83,7.87,0.39,8.85,52
NDC,955105401,Sevelamer Carbonate Packet 2.4 GM,9.83,7.87,0.39,8.85,52
NDC,955105490,Sevelamer Carbonate Packet 2.4 GM,9.83,7.87,0.39,8.85,52
NDC,955172250,Doxercalciferol Cap 2.5 MCG,14.01,11.21,3.71,12.61,26
NDC,955172510,Oxaliplatin IV Soln 50 MG/10ML,321.96,257.57,1.0,289.76,26
NDC,955173730,Leflunomide Tab 20 MG,5.44,4.36,1.44,4.9,26
NDC,955174601,Clofarabine IV Soln 1 MG/ML,5164.0,4131.2,3.98,4647.6,34
NDC,96295011845,B-Complex w/ C Tab,1.03,0.83,0.27,0.93,26
NDC,96295012782,Multiple Vitamins w/ Minerals Tab,1.03,0.83,0.27,0.93,26
NDC,96295013892,Thiamine Mononitrate Tab 100 MG,1.04,0.84,0.28,0.94,26
NDC,96295014038,Acetylcysteine Cap 600 MG,1.07,0.86,0.28,0.96,26
NDC,9629538243,Magnesium Citrate Soln,2.18,1.75,0.58,1.96,26
NDC,9722401,Lymphocyte Immune Globulin Anti-Thymocyte G Inj 50 MG/ML(Eq),6680.23,5344.19,2237.88,6012.21,34
NDC,9722402,Lymphocyte Immune Globulin Anti-Thymocyte G Inj 50 MG/ML(Eq),6680.23,5344.19,2237.88,6012.21,34
NDC,9752903,Irinotecan HCl Inj 100 MG/5ML (20 MG/ML),361.55,289.24,1.0,325.4,26
NDC,9752904,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),282.62,226.1,1.0,254.36,26
NDC,9766304,Exemestane Tab 25 MG,9.49,7.6,2.51,8.54,26
NDC,990614309,Acetic Acid Irrigation Soln 0.25%,28.0,22.4,7.41,25.2,26
NDC,990707526,Potassium Chloride Inj 20 mEq/100ML,391.1,312.88,1.0,351.99,26
NDC,990710709,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.9% Inj,395.0,316.0,1.0,355.5,26
NDC,990771512,Mannitol IV Soln 20%,409.25,327.4,108.25,368.33,26
NDC,990771513,Mannitol IV Soln 20%,401.5,321.2,106.2,361.35,26
NDC,990792261,Dextrose Inj 5%,165.81,132.65,1.0,149.23,26
NDC,990792409,Dextrose 5% w/ Sodium Chloride 0.225%,167.0,133.6,1.0,150.3,52
NDC,990793002,Dextrose Inj 10%,161.05,128.84,1.0,144.95,52
NDC,990793009,Dextrose Inj 10%,167.0,133.6,1.0,150.3,26
NDC,990793519,Dextrose Inj 20%,167.0,133.6,44.17,150.3,26
NDC,990795309,Lactated Ringer's Solution,167.0,133.6,1.0,150.3,26
NDC,990798309,Sodium Chloride IV Soln 0.9%,170.4,136.32,1.0,153.36,26
NDC,990798361,Sodium Chloride IV Soln 0.9%,161.22,128.98,1.0,145.1,26
NDC,990798420,Sodium Chloride IV Soln 0.9%,155.27,124.22,1.0,139.74,26
NDC,990798436,Sodium Chloride IV Soln 0.9%,153.4,122.72,1.0,138.06,26
NDC,990798436,sodium chloride IV Soln 0.9%,153.4,122.72,1.0,138.06,26
NDC,99207024005,Edetate Calcium Disodium Inj 1 GM/5ML (200 MG/ML),579.0,463.2,193.97,7012.94,34
NDC,99207026012,Imiquimod Cream 5%,6.97,5.58,1.84,6.27,26
NDC,998020315,Pilocarpine HCl Ophth Soln 1%,98.43,78.75,26.03,88.59,26
NDC,998020415,Pilocarpine HCl Ophth Soln 2%,113.61,90.89,30.05,102.25,26
NDC,9999992413,Atropine Sulfate Inj PF 1 MG/ML,197.0,157.6,1.0,177.3,26
RC,0111,INTERMEDIATE PRIVATE ROOM MED SURG GYN,3702.0,2961.6,2036.1,3331.8,7
RC,0111,PRIVATE ROOM MED SURG GYN,2431.0,1944.8,1337.05,2187.9,7
RC,0112,PRIVATE ROOM OBSTETRIC,2431.0,1944.8,1337.05,2187.9,7
RC,0113,INTERMEDIATE PRIVATE ROOM PEDIATRIC,3347.0,2677.6,1840.85,3012.3,7
RC,0113,PRIVATE ROOM PEDIATRIC,2358.0,1886.4,1296.9,2122.2,7
RC,0115,HOSPICE ACUTE PRIVATE,1253.0,1002.4,689.15,1127.7,7
RC,0117,PRIVATE ROOM ONCOLOGY,2431.0,1944.8,1337.05,2187.9,7
RC,0118,PRIVATE ROOM REHAB,2431.0,1944.8,1337.05,2685.0,15
RC,0120,SEMI PRIVATE ROOM,2034.0,1627.2,1118.7,1830.6,7
RC,0123,INTERMEDIATE SEMI-PRIVATE ROOM PEDIATRIC,3108.0,2486.4,1709.4,2797.2,7
RC,0123,SEMI PRIVATE ROOM PEDIATRIC,2021.0,1616.8,1111.55,1818.9,7
RC,0128,SEMI PRIVATE ROOM REHAB,2044.0,1635.2,1124.2,2685.0,15
RC,0138,Inpatient Rehabilitation,,,1360.62,2685.0,8
RC,0148,Inpatient Rehabilitation,,,1360.62,2685.0,8
RC,0158,Inpatient Rehabilitation,,,1360.62,2685.0,8
RC,0170,"NICU, Level 1/General/Other",,,1121.0,3744.0,3
RC,0171,NEWBORN LEVEL I,1875.0,1500.0,1031.25,3744.0,10
RC,0172,NEWBORN LEVEL II,3327.0,2661.6,1438.0,2994.3,10
RC,0172,NEWBORN LEVEL II SEMI PRIVATE,3167.0,2533.6,1438.0,2850.3,10
RC,0173,NEWBORN LEVEL III,5590.0,4472.0,2160.0,5031.0,10
RC,0173,NEWBORN LEVEL III SEMI PRIVATE,5382.0,4305.6,2160.0,4843.8,10
RC,0174,NEWBORN LEVEL IV,5750.0,4600.0,2903.0,5175.0,10
RC,0174,NEWBORN LEVEL IV SEMI PRIVATE,5598.0,4478.4,2903.0,5038.2,10
RC,0179,"NICU, Level 1/General/Other",,,1121.0,3744.0,3
RC,0200,INTENSIVE CARE GENERAL,5689.0,4551.2,3128.95,5120.1,7
RC,0203,INTENSIVE CARE ROOM PEDIATRIC,5670.0,4536.0,3118.5,5103.0,7
RC,0214,INTERMEDIATE CORONARY CARE,3702.0,2961.6,2036.1,3331.8,7
RC,0214,INTERMEDIATE SEMI PRIVATE R&B,2908.0,2326.4,1599.4,2617.2,7
RC,0250,",,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML",408.95,327.16,108.17,368.06,52
RC,0250,",Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML",28.68,22.945,6.54,29.39,52
RC,0250,",Phenylephrine-NaCl IV Solution 25 MG/250ML-0.9%",411.75,329.4,108.11,373.5,130
RC,0250,Abacavir Sulfate Tab 300 MG (Base Equiv),9.48,7.585,1.62,14.46,104
RC,0250,Acamprosate Calcium Tab Delayed Release 333 MG,1.63,1.305,0.4,1.58,52
RC,0250,Acarbose Tab 50 MG,1.45,1.16,0.38,1.31,26
RC,0250,Acebutolol HCl Cap 200 MG,1.51,1.21,0.39,1.4,78
RC,0250,Acetaminophen Suppos 120 MG,1.16,0.93,0.29,1.57,78
RC,0250,Acetaminophen Suppos 325 MG,1.65,1.32,0.44,1.49,52
RC,0250,Acetaminophen Suppos 650 MG,1.275,1.025,0.32,1.2,78
RC,0250,Acetaminophen Suppos 80 MG,1.55,1.245,0.34,1.63,52
RC,0250,Acetaminophen w/ Codeine Tab 300-30 MG,1.11,0.89,0.29,1.03,78
RC,0250,Acetazolamide Tab 125 MG,1.16,0.93,0.3,2.37,78
RC,0250,Acetic Acid Irrigation Soln 0.25%,27.5,22.0,7.14,25.2,78
RC,0250,Acetic Acid Otic Soln 2%,45.055,36.05,10.05,46.91,52
RC,0250,Acetic Acid Soln 3%,42.0,33.6,11.11,37.8,26
RC,0250,Acetone Soln,5.08,4.07,1.34,4.57,26
RC,0250,Acetylcholine Chloride Intraocular For Soln 20 MG (1:100),72.41,57.93,19.15,65.17,26
RC,0250,Acetylcysteine Cap 600 MG,1.07,0.86,0.28,1.02,104
RC,0250,Acetylcysteine Inhal Soln 20%,10.64,8.52,1.46,25.98,104
RC,0250,Acetylcysteine Powder,25.0,20.0,6.61,22.5,26
RC,0250,Acitretin Cap 25 MG,8.71,6.97,2.3,7.84,26
RC,0250,Acyclovir Cap 200 MG,1.1,0.895,0.29,1.02,104
RC,0250,Acyclovir Cream 5%,185.64,148.52,32.06,587.0,130
RC,0250,Acyclovir Oint 5%,435.67,348.54,31.16,608.91,104
RC,0250,Acyclovir Susp 200 MG/5ML,26.59,21.28,6.77,24.35,78
RC,0250,Acyclovir Tab 400 MG,1.22,0.98,0.31,1.15,130
RC,0250,Albendazole Tab 200 MG,28.810000000000002,23.05,7.6,25.98,52
RC,0250,Albuterol Sulfate Inhal Aero 108 MCG/ACT,84.685,67.75,18.41,87.16,104
RC,0250,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),83.62,66.9,18.41,77.18,78
RC,0250,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.17,0.94,0.3,1.98,130
RC,0250,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),6.08,4.865,0.31,9.9,52
RC,0250,Albuterol Sulfate Syrup 2 MG/5ML,25.22,20.18,6.67,22.7,26
RC,0250,Albuterol Sulfate Tab 4 MG,1.93,1.55,0.51,1.74,26
RC,0250,Alcaftadine Ophth Soln 0.25%,142.21,113.77,37.61,127.99,26
RC,0250,Alendronate Sodium Tab 10 MG,1.1,0.88,0.29,0.99,26
RC,0250,Alendronate Sodium Tab 35 MG,2.255,1.8050000000000002,0.48,2.43,52
RC,0250,Alendronate Sodium Tab 70 MG,1.35,1.085,0.34,1.29,78
RC,0250,Aliskiren Fumarate Tab 150 MG (Base Equivalent),5.725,4.585,1.4,5.54,52
RC,0250,Allopurinol Half-Tab 50 MG,1.09,0.88,0.29,0.98,26
RC,0250,Allopurinol Tab 100 MG,1.1549999999999998,0.9299999999999999,0.27,1.16,208
RC,0250,Allopurinol Tab 300 MG,1.2349999999999999,0.995,0.28,1.38,286
RC,0250,Alpha1-Proteinase Inhibitor (Human) For IV Soln 100*,1340.0,1072.0,354.43,1206.0,26
RC,0250,Alprazolam Tab 0.25 MG,1.24,1.0,0.28,5.23,130
RC,0250,Alprazolam Tab 0.5 MG,1.05,0.94,0.28,1.16,130
RC,0250,Alprazolam Tab 1 MG,1.03,0.83,0.27,0.93,26
RC,0250,Alprazolam Tab ER 24HR 0.5 MG,1.31,1.05,0.35,1.18,26
RC,0250,Alteplase For Inj 100 MG,28970.75,23176.6,7662.76,26073.68,26
RC,0250,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,2.575,2.065,0.27,4.14,208
RC,0250,Aluminum Hydroxide Gel Susp 320 MG/5ML,1.14,0.92,0.3,1.03,26
RC,0250,Aluminum Hydroxide-Magnesium Carbonate Susp 95-358 MG/15ML,1.09,0.88,0.29,0.98,26
RC,0250,Aluminum Sulfate & Calcium Acetate Powd Pack,1.56,1.255,0.4,1.43,78
RC,0250,Alvimopan Cap 12 MG,148.17000000000002,118.53999999999999,34.45,149.48,78
RC,0250,Amantadine HCl Cap 100 MG,1.475,1.185,0.31,1.59,52
RC,0250,Amantadine HCl Soln 50 MG/5ML,25.09,20.075,6.63,22.6,52
RC,0250,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),389.04,311.24,102.9,350.14,26
RC,0250,Amiloride HCl Tab 5 MG,1.525,1.225,0.32,1.66,52
RC,0250,Amino Acid Infusion 10%,243.5,194.8,53.16,344.61,78
RC,0250,Amino Acid Infusion 15%,303.0,242.4,80.14,272.7,26
RC,0250,Amino Acid Infusion 5%,660.0,528.0,174.57,594.0,26
RC,0250,Aminocaproic Acid Oral Soln 0.25 GM/ML,2643.38,2114.71,699.17,2379.04,26
RC,0250,Aminocaproic Acid Tab 500 MG,15.265,12.215,2.97,17.38,52
RC,0250,Aminolevulinic Acid HCl For Oral Solution 1.5 GM (30 MG/ML),10643.0,8514.4,2815.07,9578.7,52
RC,0250,Amiodarone HCl Tab 100 MG,2.07,1.66,0.42,3.01,130
RC,0250,Amiodarone HCl Tab 200 MG,1.2,0.965,0.3,1.2,208
RC,0250,Amitriptyline HCl Tab 10 MG,1.08,0.89,0.27,1.22,182
RC,0250,Amitriptyline HCl Tab 25 MG,1.23,0.99,0.29,1.17,130
RC,0250,Amitriptyline HCl Tab 50 MG,1.42,1.1400000000000001,0.3,1.38,130
RC,0250,Amlodipine Benzoate Oral Susp 1 MG/ML (Base Equivalent),34.23,27.39,9.05,30.81,26
RC,0250,Amlodipine Besylate Tab 10 MG (Base Equivalent),1.02,0.82,0.27,0.96,78
RC,0250,Amlodipine Besylate Tab 2.5 MG (Base Equivalent),1.02,0.82,0.27,0.97,78
RC,0250,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.03,0.83,0.27,0.96,104
RC,0250,Amoxapine Tab 25 MG,1.21,0.97,0.32,1.09,26
RC,0250,Amoxicillin & K Clavulanate For Susp 200-28.5 MG/5ML,28.6,22.88,7.56,25.74,26
RC,0250,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,45.3,36.24,7.92,74.88,78
RC,0250,Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML,39.63,31.71,9.16,37.92,78
RC,0250,Amoxicillin & K Clavulanate Tab 500-125 MG,1.51,1.21,0.39,1.45,78
RC,0250,Amoxicillin & K Clavulanate Tab 875-125 MG,2.315,1.855,0.35,24.28,208
RC,0250,Amoxicillin & K Clavulanate Tab ER 12HR 1000-62.5 MG,5.25,4.2,1.39,4.73,26
RC,0250,Amoxicillin (Trihydrate) Cap 500 MG,1.1,0.88,0.29,1.01,78
RC,0250,Amoxicillin (Trihydrate) Chew Tab 250 MG,1.17,0.94,0.31,1.05,26
RC,0250,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,27.049999999999997,21.64,6.94,27.9,182
RC,0250,Amoxicillin (Trihydrate) Tab 875 MG,1.185,0.95,0.3,1.13,52
RC,0250,Amphetamine-Dextroamphetamine Tab 10 MG,1.27,1.02,0.3,1.63,182
RC,0250,Amphetamine-Dextroamphetamine Tab 5 MG,1.32,1.06,0.31,1.63,104
RC,0250,Ampicillin Cap 500 MG,1.18,0.95,0.31,1.06,26
RC,0250,Ampicillin Sodium For Inj 250 MG,389.7,311.76,103.08,350.73,26
RC,0250,Ampicillin Sodium For Inj 500 MG,389.75,311.8,103.09,350.78,26
RC,0250,Anagrelide HCl Cap 0.5 MG,1.61,1.29,0.4,5.45,78
RC,0250,Anticoagulant Citrate Dextrose Solution A,260.0,208.0,68.77,234.0,26
RC,0250,Apixaban Tab 2.5 MG,2.395,1.92,0.63,2.16,52
RC,0250,Apixaban Tab 5 MG,3.38,2.71,0.63,3.93,52
RC,0250,Aprepitant Capsule 40 MG,62.78,50.23,11.89,74.42,182
RC,0250,Arformoterol Tartrate Soln Nebu 15 MCG/2ML (Base Equiv),5.25,4.205,1.34,4.9,104
RC,0250,Arginine HCl Inj 10%,240.45,192.35999999999999,16.93,375.21,52
RC,0250,Arginine Powder,40.0,32.0,10.58,36.0,26
RC,0250,Aripiprazole Oral Solution 1 MG/ML,753.7,602.96,199.35,678.33,26
RC,0250,Aripiprazole Tab 2 MG,6.805,5.45,0.49,25.93,130
RC,0250,Aripiprazole Tab 30 MG,4.24,3.4,0.7,15.28,104
RC,0250,Aripiprazole Tab 5 MG,4.715,3.775,0.34,25.93,156
RC,0250,Artemether-Lumefantrine Tab 20-120 MG,365.625,292.505,1.64,652.54,52
RC,0250,Artificial Saliva - Solution,7.845,6.279999999999999,1.39,9.4,52
RC,0250,Ascorbic Acid Chew Tab 250 MG,1.03,0.83,0.27,0.94,52
RC,0250,Ascorbic Acid IV Soln 25000 MG/50ML (500 MG/ML),472.05,377.64,124.86,424.85,52
RC,0250,Ascorbic Acid Inj 500 MG/ML,472.525,378.02,124.65,426.42,52
RC,0250,Ascorbic Acid Tab 500 MG,1.025,0.825,0.27,0.93,130
RC,0250,Aspirin Suppos 300 MG,2.46,1.97,0.65,2.21,26
RC,0250,Aspirin Tab 325 MG,1.01,0.81,0.27,0.91,26
RC,0250,Aspirin Tab Delayed Release 81 MG,1.1,0.88,0.29,0.99,52
RC,0250,Aspirin-Acetaminophen-Caffeine Tab 250-250-65 MG,1.02,0.82,0.27,0.92,26
RC,0250,Aspirin-Dipyridamole Cap ER 12HR 25-200 MG,1.75,1.4,0.46,1.58,26
RC,0250,Atenolol Tab 25 MG,1.085,0.875,0.27,1.04,156
RC,0250,Atenolol Tab 50 MG,1.03,0.83,0.27,0.97,130
RC,0250,Atomoxetine HCl Cap 10 MG (Base Equiv),3.4,2.72,0.56,12.01,78
RC,0250,Atomoxetine HCl Cap 18 MG (Base Equiv),3.92,3.14,0.9,4.0,52
RC,0250,Atomoxetine HCl Cap 25 MG (Base Equiv),1.63,1.31,0.43,1.47,26
RC,0250,Atomoxetine HCl Cap 40 MG (Base Equiv),3.5,2.8,0.53,4.27,78
RC,0250,Atomoxetine HCl Cap 60 MG (Base Equiv),3.61,2.89,0.51,12.96,78
RC,0250,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.12,0.895,0.28,7.92,286
RC,0250,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.28,1.03,0.3,11.41,260
RC,0250,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.2,0.96,0.32,1.08,26
RC,0250,Atovaquone Susp 750 MG/5ML,33.85,27.08,8.95,30.47,26
RC,0250,Atovaquone-Proguanil HCl Tab 250-100 MG,6.09,4.875,1.48,5.94,52
RC,0250,Atracurium Besylate IV Soln 100 MG/10ML,400.35,320.28,104.03,363.47,130
RC,0250,Atropine Sulfate Ophth Soln 1%,58.644999999999996,46.92,15.31,53.46,52
RC,0250,Azelastine HCl Nasal Spray 0.1% (137 MCG/SPRAY),55.79,44.64,14.76,50.21,26
RC,0250,Azelastine HCl Ophth Soln 0.05%,30.7,24.564999999999998,8.01,28.02,52
RC,0250,Azithromycin Tab 250 MG,1.71,1.37,0.39,1.86,104
RC,0250,Aztreonam Lysine For Inhal Soln 75 MG (Base Equivalent),53.7,42.96,14.2,48.33,26
RC,0250,B-Complex w/ C & Folic Acid Liquid 0.9 MG/5ML,1.06,0.85,0.28,0.95,26
RC,0250,B-Complex w/ C & Folic Acid Tab 1 MG,1.18,0.95,0.31,1.06,26
RC,0250,B-Complex w/ C Tab,1.0350000000000001,0.83,0.27,0.95,104
RC,0250,Bacitracin Intramuscular For Soln 50000 Unit,394.17,315.34,104.26,354.75,52
RC,0250,Bacitracin Oint 500 Unit/GM,2.48,1.99,0.64,26.76,130
RC,0250,Bacitracin-Polymyxin B Oint,8.57,6.86,1.87,9.05,52
RC,0250,Bacitracin-Polymyxin B Ophth Oint,36.635000000000005,29.315,7.19,41.48,52
RC,0250,Bacitracin-Polymyxin-Neomycin-HC Ophth Oint 1%,42.02,33.62,11.11,37.82,26
RC,0250,Baclofen Oral Susp 5 MG/ML (Cmpd Kit),46.995,37.6,7.55,58.9,52
RC,0250,Baclofen Powder,2615.875,2092.7,338.49,3556.8,52
RC,0250,Baclofen Susp 25 MG/5ML,576.88,461.51,152.58,519.19,26
RC,0250,Baclofen Tab 10 MG,1.18,0.95,0.27,1.41,234
RC,0250,Baclofen Tab 5 MG,1.68,1.35,0.29,1.98,182
RC,0250,Balsalazide Disodium Cap 750 MG,1.45,1.51,0.38,2.09,104
RC,0250,Baricitinib Tab 1 MG,74.61,59.69,19.73,67.15,26
RC,0250,Benazepril HCl Tab 10 MG,1.06,0.85,0.28,1.31,104
RC,0250,Benzocaine Dental Gel 20%,7.735,6.1899999999999995,2.0,7.11,52
RC,0250,Benzocaine Dental Soln 20%,9.98,7.99,2.64,8.98,26
RC,0250,Benzocaine-Menthol Lozenge 15-2.6 MG,1.12,0.9,0.3,1.01,26
RC,0250,Benzocaine-Menthol Lozenge 15-3.6 MG,1.12,0.9,0.29,1.05,78
RC,0250,Benzocaine-Menthol Lozenge 6-10 MG,1.15,0.92,0.3,1.04,52
RC,0250,Benzocaine-Resorcinol Perivaginal Cream 5-2%,3.77,3.02,1.0,3.39,26
RC,0250,Benzonatate Cap 100 MG,1.295,1.04,0.29,1.24,208
RC,0250,Benztropine Mesylate Tab 0.5 MG,1.085,0.875,0.27,1.13,130
RC,0250,Betaine (Bulk) Powder,46.0,36.8,12.17,41.4,26
RC,0250,Betamethasone Valerate Oint 0.1% (Base Equivalent),52.945,42.36,13.23,50.28,52
RC,0250,Betaxolol HCl Ophth Soln 0.5%,60.269999999999996,48.22,12.71,65.22,52
RC,0250,Betaxolol HCl Ophth Susp 0.25%,367.37,293.9,97.17,330.63,26
RC,0250,Bethanechol Chloride Tab 10 MG,1.45,1.16,0.34,6.35,78
RC,0250,Bethanechol Chloride Tab 25 MG,1.49,1.2,0.38,1.45,104
RC,0250,Bicarb 22 mEq/L-Dext Soln with K 4 mEq/L (CRRT),270.0,216.0,71.42,243.0,104
RC,0250,Bicarb 32 mEq/L-Dext Soln with K 2 mEq/L (CRRT),270.0,216.0,71.42,243.0,104
RC,0250,Bicarb 32 mEq/L-Dext Soln with K-Ca 4-2.5 mEq/L (CRRT),270.0,216.0,71.42,243.0,78
RC,0250,Bicarb 32 mEq/L-Dext Soln with K-Mg 4-1.2 mEq/L (CRRT),270.0,216.0,71.42,243.0,104
RC,0250,Bictegravir-Emtricitabine-Tenofovir AF Tab 50-200-25 MG,124.35,99.48,32.89,111.92,26
RC,0250,Bimatoprost Ophth Soln 0.01%,209.03,167.23,55.29,188.13,26
RC,0250,Bisacodyl Suppos 10 MG,1.18,0.9450000000000001,0.31,1.08,52
RC,0250,Bisacodyl Tab Delayed Release 5 MG,1.0150000000000001,0.815,0.27,0.92,78
RC,0250,Bismuth Subgallate Powder,66.75,53.4,17.66,60.08,26
RC,0250,Bismuth Subsalicylate Chew Tab 262 MG,1.065,0.855,0.28,1.04,104
RC,0250,Bismuth Subsalicylate Susp 262 MG/15ML,1.21,0.97,0.32,1.09,26
RC,0250,Bisoprolol Fumarate Tab 5 MG,1.73,1.3900000000000001,0.38,1.98,156
RC,0250,Bosentan Tab 62.5 MG,18.355,14.685,4.14,137.79,130
RC,0250,Brexpiprazole Tab 1 MG,47.84,38.28,12.65,43.06,26
RC,0250,Brilliant Blue G Intraocular Soln Pref Syr 0.025%,640.0,512.0,169.28,576.0,52
RC,0250,Brimonidine Tartrate Ophth Soln 0.1%,195.09,156.075,48.94,184.64,52
RC,0250,Brimonidine Tartrate Ophth Soln 0.15%,136.3,109.04,36.05,122.67,26
RC,0250,Brimonidine Tartrate Ophth Soln 0.2%,32.245,25.8,7.37,34.9,104
RC,0250,Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2,189.75,151.8,50.19,170.78,26
RC,0250,Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2-0.5%,123.15,98.52,13.47,170.78,130
RC,0250,Brinzolamide Ophth Susp 1%,254.94,203.96,56.32,267.25,52
RC,0250,Brinzolamide-Brimonidine Tartrate Ophth Susp 1-0.2%,206.35,165.08,54.58,185.72,26
RC,0250,Brivaracetam Oral Soln 10 MG/ML,33.34,26.68,8.82,30.01,26
RC,0250,Bromfenac Sodium Ophth Soln 0.09% (Base Equiv) (Once-Daily),138.0,110.405,24.83,163.91,52
RC,0250,Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent),3.73,2.99,0.47,5.12,156
RC,0250,Budesonide Delayed Release Particles Cap 3 MG,6.885,5.51,1.13,8.55,78
RC,0250,Budesonide Inhalation Susp 0.25 MG/2ML,4.955,3.9699999999999998,0.67,7.56,208
RC,0250,Budesonide Inhalation Susp 1 MG/2ML,11.95,9.56,2.62,15.69,104
RC,0250,Bumetanide Tab 0.5 MG,1.655,1.33,0.39,1.66,104
RC,0250,Bumetanide Tab 1 MG,1.875,1.505,0.46,2.04,104
RC,0250,Bupivacaine 0.75% in Dextrose Inj 8.25%,785.9,628.7249999999999,206.83,707.73,182
RC,0250,Bupivacaine HCl Powder,389.1,311.28,102.92,350.19,26
RC,0250,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,390.05,312.04,103.17,351.05,26
RC,0250,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000,396.9,317.52,104.07,361.4,104
RC,0250,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),393.8,315.04,103.42,358.96,234
RC,0250,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000,392.45,313.96000000000004,103.16,358.29,130
RC,0250,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),393.23,314.58500000000004,103.13,357.69,260
RC,0250,Buprenorphine HCl SL Tab 2 MG (Base Equiv),2.81,2.25,0.41,2.54,104
RC,0250,Buprenorphine HCl SL Tab 8 MG (Base Equiv),3.44,2.76,0.6,3.7,104
RC,0250,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),2.6950000000000003,2.16,0.68,2.55,52
RC,0250,Buprenorphine HCl-Naloxone HCl SL Tab 8-2 MG (Base Equiv),4.359999999999999,3.495,0.82,5.07,52
RC,0250,Buprenorphine TD Patch Weekly 10 MCG/HR,52.58,42.07,12.98,50.47,104
RC,0250,Buprenorphine TD Patch Weekly 20 MCG/HR,113.275,90.62,29.6,103.19,52
RC,0250,Buprenorphine TD Patch Weekly 5 MCG/HR,34.48,27.59,9.12,64.9,78
RC,0250,Buprenorphine TD Patch Weekly 7.5 MCG/HR,44.53,35.63,11.78,40.08,52
RC,0250,Bupropion HCl Tab 100 MG,2.05,1.64,0.54,1.85,26
RC,0250,Bupropion HCl Tab 75 MG,1.8450000000000002,1.48,0.48,1.67,78
RC,0250,Bupropion HCl Tab ER 12HR 100 MG,1.26,1.01,0.28,1.37,130
RC,0250,Bupropion HCl Tab ER 12HR 150 MG,1.25,1.0,0.28,1.49,130
RC,0250,Bupropion HCl Tab ER 24HR 150 MG,1.55,1.24,0.31,2.17,312
RC,0250,Buspirone HCl Tab 10 MG,1.08,0.87,0.27,1.04,286
RC,0250,Buspirone HCl Tab 5 MG,1.045,0.84,0.27,1.0,260
RC,0250,Butalbital-Acetaminophen-Caffeine Tab 50-325-40 MG,1.17,0.94,0.29,1.31,78
RC,0250,Cadexomer Iodine Gel 0.9%,39.8,31.84,10.53,35.82,26
RC,0250,Caffeine & Sodium Benzoate Inj 125-125 MG/ML (500 MG/2ML),416.82,333.46,110.25,375.14,52
RC,0250,Caffeine Tab 200 MG,1.08,0.87,0.29,0.97,26
RC,0250,Calamine-Zinc Oxide Lotion,2.33,1.87,0.59,2.18,78
RC,0250,Calcipotriene Cream 0.005%,290.32000000000005,232.26,68.92,319.88,104
RC,0250,Calcitonin (Salmon) Nasal Soln 200 Unit/ACT,91.89,73.52,16.99,107.59,52
RC,0250,Calcitriol Cap 0.25 MCG,1.67,1.34,0.33,1.72,156
RC,0250,Calcitriol Cap 0.5 MCG,1.4,1.525,0.37,2.17,104
RC,0250,Calcitriol Oral Soln 1 MCG/ML,27.56,22.05,7.13,26.08,78
RC,0250,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.65,1.32,0.33,1.85,208
RC,0250,Calcium Carbonate (Antacid) Chew Tab 500 MG,1.345,1.08,0.27,1.51,130
RC,0250,Calcium Carbonate (Antacid) Chew Tab 750 MG,1.025,0.825,0.27,0.93,104
RC,0250,Calcium Carbonate (Antacid) Susp 1250 MG/5ML,2.12,1.7,0.29,2.83,52
RC,0250,"Calcium Carbonate Susp 1250 MG/5ML (500 MG/5ML Elemental Ca),Calcium Carbonate (Antacid) Susp 1250 MG/5ML",7.07,5.66,0.83,9.9,52
RC,0250,Calcium Carbonate-Cholecalciferol Tab 500 MG-5 MCG(200 Unit),1.03,0.83,0.27,1.04,130
RC,0250,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.045,0.84,0.27,1.03,130
RC,0250,Calcium Citrate-Vitamin D Liquid 1000-0.01 MG(400 Unit)/30ML,0.3,0.24,0.08,0.27,26
RC,0250,Calcium Gluconate Gel 2.5%,57.0,45.6,15.08,51.3,26
RC,0250,Calcium Gluconate Inj 10%,211.4,169.12,6.82,357.3,52
RC,0250,Calcium Gluconate-NaCl IV Soln 2 GM/100ML-0.675% (20 MG/ML),425.6,340.48,112.57,383.04,26
RC,0250,"Calcium Phosphate, Tribasic Powder",25.05,20.04,6.61,50.4,78
RC,0250,Calcium Polycarbophil Tab 625 MG,1.24,0.9949999999999999,0.28,1.28,104
RC,0250,Camphor & Menthol Lotion 0.5-0.5%,6.885,5.51,1.32,7.89,78
RC,0250,Camphor-Eucalyptus-Menthol - Oint,4.65,3.72,1.06,4.77,78
RC,0250,Canagliflozin Tab 100 MG,14.3,11.44,3.78,12.87,26
RC,0250,Candesartan Cilexetil Tab 16 MG,1.97,1.58,0.46,2.53,78
RC,0250,Cannabidiol Soln 100 MG/ML,1335.0,1068.0,353.11,1201.5,52
RC,0250,Capsaicin Cream 0.025%,4.15,3.325,0.93,4.3,52
RC,0250,Capsaicin Cream 0.075%,6.42,5.14,1.7,5.78,26
RC,0250,Captopril Tab 12.5 MG,1.96,1.57,0.27,1.88,104
RC,0250,Carbachol Intraocular Inj 0.01%,33.23,26.59,8.79,29.91,26
RC,0250,Carbamazepine Cap ER 12HR 100 MG,2.31,1.85,0.57,2.89,156
RC,0250,Carbamazepine Chew Tab 100 MG,1.4,1.125,0.28,1.33,130
RC,0250,Carbamazepine Susp 100 MG/5ML,25.06,20.05,6.63,22.55,26
RC,0250,Carbamazepine Tab 200 MG,1.415,1.135,0.3,1.98,182
RC,0250,Carbamazepine Tab ER 12HR 100 MG,1.51,1.21,0.32,1.63,52
RC,0250,Carbamazepine Tab ER 12HR 200 MG,2.56,2.05,0.36,3.71,156
RC,0250,Carbidopa & Levodopa Cap ER 23.75-95 MG,4.85,3.88,1.28,4.37,26
RC,0250,Carbidopa & Levodopa Cap ER 36.25-145 MG,4.85,3.88,1.28,4.37,26
RC,0250,Carbidopa & Levodopa Cap ER 48.75-195 MG,4.85,3.88,1.28,4.37,26
RC,0250,Carbidopa & Levodopa Half-Tab 12.5-50 MG,1.17,0.94,0.31,1.05,26
RC,0250,Carbidopa & Levodopa Tab 10-100 MG,1.11,0.89,0.29,1.03,78
RC,0250,Carbidopa & Levodopa Tab 25-100 MG,1.17,0.94,0.29,1.13,156
RC,0250,Carbidopa & Levodopa Tab 25-250 MG,1.205,0.97,0.3,1.15,78
RC,0250,Carbidopa & Levodopa Tab ER 25-100 MG,1.225,0.97,0.31,1.13,130
RC,0250,Carbidopa Tab 25 MG,8.31,6.65,1.4,7.77,78
RC,0250,Carboprost Tromethamine IM Soln 250 MCG/ML,984.87,787.9,260.5,886.38,52
RC,0250,Carboxymethylcell-Glycerin-Polysorb 80 Ophth Soln 0.5-1-0.5%,9.42,7.54,2.49,8.48,26
RC,0250,Carboxymethylcellulose Sodium (PF) Ophth Gel 1%,1.27,1.02,0.34,1.14,26
RC,0250,Carboxymethylcellulose Sodium Ophth Gel 1%,8.38,6.71,2.22,7.54,26
RC,0250,Carboxymethylcellulose Sodium Ophth Soln 0.5%,8.225,6.585,2.12,7.59,52
RC,0250,Carboxymethylcellulose-Glycerin Ophth Gel 1-0.9%,11.19,8.96,2.96,10.07,26
RC,0250,Carboxymethylcellulose-Glycerin Ophth Soln 0.5-0.9%,9.27,7.42,2.45,8.34,26
RC,0250,Cardioplegic Soln,235.0,188.0,62.16,211.5,26
RC,0250,Cariprazine HCl Cap 1.5 MG (Base Equivalent),38.42,30.740000000000002,10.16,34.6,78
RC,0250,Carisoprodol Tab 350 MG,1.11,0.89,0.29,1.0,26
RC,0250,Carvedilol Phosphate Cap ER 24HR 10 MG,8.68,6.95,2.3,7.81,26
RC,0250,Carvedilol Phosphate Cap ER 24HR 40 MG,5.765,4.615,1.51,5.23,52
RC,0250,Carvedilol Tab 12.5 MG,1.06,0.855,0.27,0.99,182
RC,0250,Carvedilol Tab 25 MG,1.065,0.855,0.27,0.99,182
RC,0250,Carvedilol Tab 3.125 MG,1.06,0.85,0.27,0.99,156
RC,0250,Carvedilol Tab 6.25 MG,1.09,0.88,0.28,1.05,286
RC,0250,Cefadroxil Cap 500 MG,1.145,0.92,0.3,1.04,52
RC,0250,Cefazolin Sodium For Inj 1 GM,389.71,311.77,103.02,351.08,78
RC,0250,Cefdinir Cap 300 MG,2.98,2.39,0.46,4.08,130
RC,0250,Cefdinir For Susp 250 MG/5ML,25.68,20.55,6.74,23.55,78
RC,0250,Cefixime For Susp 200 MG/5ML,54.61,43.69,14.44,49.15,26
RC,0250,Cefpodoxime Proxetil For Susp 100 MG/5ML,30.305,24.25,8.0,27.34,52
RC,0250,Cefpodoxime Proxetil Tab 100 MG,2.94,2.36,0.78,2.65,26
RC,0250,Cefprozil For Susp 250 MG/5ML,27.75,22.2,7.34,24.98,26
RC,0250,Cefprozil Tab 500 MG,2.04,1.64,0.54,1.84,26
RC,0250,Ceftazidime For IV Soln 6 GM,404.71,323.77,107.05,364.24,26
RC,0250,Ceftazidime For Inj 1 GM,785.42,628.34,207.74,706.88,26
RC,0250,Cefuroxime Axetil Tab 250 MG,1.61,1.5550000000000002,0.34,4.29,156
RC,0250,Cefuroxime Axetil Tab 500 MG,2.08,1.67,0.33,4.73,182
RC,0250,Celecoxib Cap 100 MG,1.69,1.36,0.35,6.56,182
RC,0250,Cephalexin Cap 250 MG,1.13,0.905,0.28,1.17,182
RC,0250,Cephalexin Cap 500 MG,1.22,0.98,0.29,26.06,338
RC,0250,Cephalexin For Susp 250 MG/5ML,29.810000000000002,23.85,6.99,29.88,52
RC,0250,Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML),1.1,0.88,0.28,1.31,104
RC,0250,Cetirizine HCl Tab 10 MG,1.07,0.86,0.28,1.03,156
RC,0250,Cetirizine HCl Tab 5 MG,1.06,0.85,0.28,1.02,78
RC,0250,Cevimeline HCl Cap 30 MG,3.0,2.4,0.79,2.7,26
RC,0250,Charcoal Activated Liq,17.68,14.145,4.23,17.42,52
RC,0250,Cherry Syrup,1.02,0.82,0.27,0.92,26
RC,0250,Chlordiazepoxide HCl Cap 10 MG,1.22,0.98,0.28,1.24,78
RC,0250,Chlordiazepoxide HCl Cap 25 MG,1.2349999999999999,0.99,0.28,1.45,130
RC,0250,Chlordiazepoxide HCl Cap 5 MG,1.2999999999999998,1.045,0.29,1.35,104
RC,0250,Chlorhexidine Gluconate Soln 0.12%,2.2199999999999998,1.7799999999999998,0.42,24.2,234
RC,0250,Chlorhexidine Gluconate Soln 4%,9.51,7.61,2.52,8.56,26
RC,0250,Chlorothiazide Susp 250 MG/5ML,41.35,33.08,10.94,37.22,26
RC,0250,Chlorpheniramine Maleate Tab 4 MG,1.0350000000000001,0.8300000000000001,0.27,0.95,78
RC,0250,Chlorpromazine HCl Tab 10 MG,2.52,2.02,0.66,2.3,78
RC,0250,Chlorpromazine HCl Tab 25 MG,3.8499999999999996,3.085,1.01,3.49,78
RC,0250,Chlorthalidone Tab 25 MG,2.38,1.91,0.3,2.43,104
RC,0250,Cholecalciferol Drops 50 MCG/0.028ML (2000 Unit/0.028ML),1.14,0.92,0.3,1.03,26
RC,0250,Cholecalciferol Liquid,519.0,415.2,137.28,467.1,26
RC,0250,Cholecalciferol Oral Liquid 10 MCG/ML (400 Unit/ML),1.06,0.85,0.28,1.05,104
RC,0250,Cholecalciferol Tab 10 MCG (400 Unit),1.14,0.92,0.27,1.06,130
RC,0250,Cholecalciferol Tab 25 MCG (1000 Unit),1.02,0.82,0.27,0.94,104
RC,0250,Cholestyramine Light Powder Packets 4 GM,2.28,1.83,0.44,2.62,104
RC,0250,Chromium Picolinate Tab 200 MCG,1.03,0.83,0.27,0.93,26
RC,0250,Cilostazol Tab 50 MG,1.42,1.1400000000000001,0.3,1.52,78
RC,0250,Cimetidine Tab 300 MG,1.27,1.02,0.32,1.21,52
RC,0250,Cinacalcet HCl Tab 30 MG (Base Equiv),1.47,1.18,0.35,1.59,78
RC,0250,Cinacalcet HCl Tab 60 MG (Base Equiv),1.65,1.3250000000000002,0.39,1.66,130
RC,0250,Cinacalcet HCl Tab 90 MG (Base Equiv),2.01,1.61,0.45,68.86,78
RC,0250,Ciprofloxacin 400 MG/200ML in D5W,390.0,312.0,103.16,351.0,26
RC,0250,Ciprofloxacin For Oral Susp 250 MG/5ML (5%) (5 GM/100ML),29.53,23.63,7.81,26.58,26
RC,0250,Ciprofloxacin HCl Ophth Oint 0.3%,224.1,179.28,59.27,201.69,26
RC,0250,Ciprofloxacin HCl Ophth Soln 0.3%,33.73,26.99,8.45,32.6,78
RC,0250,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),36.215,28.975,9.58,32.6,52
RC,0250,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.54,1.24,0.3,3.36,104
RC,0250,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.2850000000000001,1.0350000000000001,0.29,3.78,234
RC,0250,Ciprofloxacin-Dexamethasone Otic Susp 0.3-0.1%,119.59,95.68,29.43,220.14,208
RC,0250,"Cisatracurium Besylate (PF) IV Soln 10 MG/5ML,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML)",397.095,317.68,103.86,367.07,260
RC,0250,Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML),505.74,404.6,115.55,605.93,234
RC,0250,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),397.095,317.68,103.86,367.07,260
RC,0250,Citalopram Hydrobromide Oral Soln 10 MG/5ML,25.810000000000002,20.655,6.75,23.48,52
RC,0250,Citalopram Hydrobromide Tab 10 MG (Base Equiv),1.05,0.84,0.27,1.13,104
RC,0250,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.03,0.83,0.27,0.95,104
RC,0250,Citric Acid-Gluconolactone-Magnesium Carbonate Soln,29.77,23.82,7.87,26.79,26
RC,0250,Citrulline (Bulk) Powder,62.0,49.599999999999994,16.13,56.7,52
RC,0250,Clarithromycin For Susp 125 MG/5ML,26.82,21.46,7.09,24.14,26
RC,0250,Clarithromycin For Susp 250 MG/5ML,31.56,25.25,8.13,29.16,52
RC,0250,Clarithromycin Tab 500 MG,1.87,1.5,0.38,2.75,78
RC,0250,Clindamycin HCl Cap 150 MG,1.14,0.92,0.29,1.14,130
RC,0250,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),26.65,21.32,6.96,24.35,104
RC,0250,Clindamycin Phosphate Gel 1% (Twice-Daily),63.97,51.18,12.75,80.69,104
RC,0250,Clindamycin Phosphate Lotion 1%,54.76,43.81,14.48,49.28,26
RC,0250,Clindamycin Phosphate Soln 1%,33.7,26.96,8.91,30.33,26
RC,0250,Clobazam Half-Tab 5 MG,7.38,5.91,1.95,6.64,26
RC,0250,Clobazam Suspension 2.5 MG/ML,25.835,20.67,6.73,27.37,104
RC,0250,Clobazam Tab 10 MG,2.02,1.6199999999999999,0.38,7.71,130
RC,0250,Clobetasol Propionate Cream 0.05%,34.99,27.995,9.06,32.14,52
RC,0250,Clobetasol Propionate Oint 0.05%,27.985,22.39,7.36,25.34,52
RC,0250,Clocortolone Pivalate Cream 0.1%,238.865,191.095,53.74,247.11,52
RC,0250,Clomipramine HCl Cap 25 MG,5.875,4.705,0.64,8.4,52
RC,0250,Clonazepam Orally Disintegrating Tab 0.125 MG,1.47,1.18,0.39,1.32,52
RC,0250,Clonazepam Orally Disintegrating Tab 0.5 MG,1.545,1.24,0.39,1.44,52
RC,0250,Clonazepam Tab 0.5 MG,1.05,0.84,0.27,1.31,182
RC,0250,Clonazepam Tab 1 MG,1.2149999999999999,0.98,0.27,1.4,234
RC,0250,Clonazepam Tab 2 MG,1.06,0.85,0.28,1.3,130
RC,0250,Clonidine HCl Tab 0.1 MG,1.06,0.85,0.27,1.18,234
RC,0250,Clonidine HCl Tab 0.2 MG,1.04,0.84,0.27,1.15,130
RC,0250,Clonidine HCl Tab ER 12HR 0.1 MG,1.45,1.16,0.38,1.31,26
RC,0250,Clonidine TD Patch Weekly 0.1 MG/24HR,13.32,10.66,2.83,46.56,208
RC,0250,Clonidine TD Patch Weekly 0.2 MG/24HR,42.04,33.64,5.74,77.78,104
RC,0250,Clonidine TD Patch Weekly 0.3 MG/24HR,23.97,19.18,4.85,107.55,104
RC,0250,Clopidogrel Bisulfate Tab 300 MG (Base Equiv),10.79,8.64,1.61,9.86,182
RC,0250,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.1099999999999999,0.89,0.28,1.05,234
RC,0250,Clorazepate Dipotassium Tab 3.75 MG,1.76,1.41,0.47,1.58,26
RC,0250,Clotrimazole Cream 1%,3.19,2.56,0.82,3.68,78
RC,0250,Clotrimazole Troche 10 MG,1.47,1.18,0.34,1.67,130
RC,0250,Clotrimazole Vaginal Cream 1%,5.005,4.005,1.19,4.95,78
RC,0250,Clotrimazole Vaginal Cream 2%,7.66,6.13,2.03,6.89,26
RC,0250,Clozapine Tab 100 MG,1.855,1.49,0.42,1.77,130
RC,0250,Clozapine Tab 25 MG,1.24,0.995,0.32,1.13,130
RC,0250,Cod Liver Oil,1.17,0.94,0.31,1.05,26
RC,0250,Codeine Sulfate Tab 15 MG,1.27,1.02,0.34,1.14,26
RC,0250,Colchicine Cap 0.6 MG,5.18,4.15,1.37,4.66,26
RC,0250,Colchicine Tab 0.6 MG,4.085,3.27,0.44,4.48,182
RC,0250,Colesevelam HCl Packet For Susp 3.75 GM,16.03,12.83,2.73,19.56,52
RC,0250,Colesevelam HCl Tab 625 MG,2.6799999999999997,2.15,0.34,3.68,78
RC,0250,Colestipol HCl Tab 1 GM,1.79,1.435,0.43,4.38,130
RC,0250,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),401.0,320.8,105.58,373.67,156
RC,0250,Collagenase Oint 250 Unit/GM,203.89,163.12,53.93,183.5,26
RC,0250,Cranberry-Vitamin C-Probiotic Tab 250-30 MG,1.1,0.88,0.29,0.99,26
RC,0250,Cromolyn Sodium Ophth Soln 4%,29.15,23.32,7.71,26.24,26
RC,0250,Cromolyn Sodium Soln Nebu 20 MG/2ML,3.43,2.75,0.91,3.09,26
RC,0250,Cyanocobalamin Tab 500 MCG,1.05,0.84,0.27,1.01,130
RC,0250,Cyclobenzaprine HCl Tab 10 MG,1.15,0.92,0.27,23.37,234
RC,0250,Cyclobenzaprine HCl Tab 5 MG,1.3599999999999999,1.0950000000000002,0.27,1.29,208
RC,0250,Cyclopentolate HCl Ophth Soln 1%,26.46,21.17,3.19,62.61,182
RC,0250,Cyclopentolate w/ Phenylephrine Ophth Soln 0.2-1%,29.200000000000003,23.36,1.84,46.31,52
RC,0250,Cyclosporine (Ophth) Emulsion 0.05%,5.495,4.4,0.85,445.5,182
RC,0250,Cyproheptadine HCl Syrup 2 MG/5ML,25.27,20.22,6.68,22.74,26
RC,0250,Cyproheptadine HCl Tab 4 MG,1.415,1.1349999999999998,0.29,1.4,130
RC,0250,Cysteine HCl Inj 50 MG/ML,459.11,367.29,121.43,413.2,52
RC,0250,Dabigatran Etexilate Mesylate Cap 150 MG (Etexilate Base Eq),6.99,5.6,1.55,9.57,104
RC,0250,Dabigatran Etexilate Mesylate Cap 75 MG (Etexilate Base Eq),5.87,4.7,1.55,5.28,26
RC,0250,Danazol Cap 100 MG,4.23,3.39,1.02,4.16,52
RC,0250,Dantrolene Sodium Cap 25 MG,2.0549999999999997,1.645,0.46,2.11,130
RC,0250,Dantrolene Sodium For IV Soln 20 MG,441.69,353.36,116.83,397.52,26
RC,0250,Dantrolene Sodium For IV Susp 250 MG,2306.34,1845.08,610.03,2075.71,26
RC,0250,Dapagliflozin Propanediol Tab 10 MG (Base Equivalent),12.955,10.370000000000001,3.36,11.9,52
RC,0250,Dapagliflozin Propanediol Tab 5 MG (Base Equivalent),14.29,11.435,3.36,14.29,52
RC,0250,Dapsone Tab 100 MG,3.26,2.61,0.57,3.26,78
RC,0250,Dapsone Tab 25 MG,1.48,1.19,0.39,1.33,26
RC,0250,Darunavir Tab 600 MG,16.310000000000002,13.05,4.25,14.9,52
RC,0250,Dehydrated Alcohol Intra-arterial Soln,2388.99,1911.2,549.13,2534.09,156
RC,0250,Demeclocycline HCl Tab 150 MG,4.859999999999999,3.895,1.27,4.44,78
RC,0250,Desmopressin Acetate Nasal Spray Soln 0.01%,260.64,208.515,29.74,367.97,52
RC,0250,Desmopressin Acetate Tab 0.1 MG,1.73,1.3900000000000001,0.39,2.45,130
RC,0250,Desmopressin Acetate Tab 0.2 MG,2.43,1.95,0.37,3.12,78
RC,0250,Desvenlafaxine Succinate Tab ER 24HR 25 MG (Base Equiv),1.62,1.3,0.43,1.46,26
RC,0250,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),1.9500000000000002,1.565,0.38,9.85,234
RC,0250,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,390.36,312.29,103.25,351.32,26
RC,0250,Dexamethasone Sodium Phosphate Inj 10 MG/ML,389.19,311.355,102.92,350.33,52
RC,0250,Dexamethasone Sodium Phosphate Ophth Soln 0.1%,65.15,52.12,17.23,58.64,26
RC,0250,Dexlansoprazole Cap Delayed Release 30 MG,7.61,6.09,1.98,7.07,78
RC,0250,Dexlansoprazole Cap Delayed Release 60 MG,7.69,6.16,1.98,8.77,78
RC,0250,Dexmedetomidine HCl IV Soln 200 MCG/2ML,393.23,314.59000000000003,103.5,384.16,390
RC,0250,Dexmedetomidine HCl Inj 100 MCG/ML (For IV Infusion),123.11,98.49,32.56,110.8,26
RC,0250,Dexmedetomidine HCl in NaCl 0.9% IV Soln 1000 MCG/250ML,524.75,419.8,138.8,472.28,26
RC,0250,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,415.79999999999995,332.64,106.54,379.94,208
RC,0250,"Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML",450.08,360.07,119.05,405.07,26
RC,0250,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,416.04999999999995,332.84000000000003,106.94,416.97,286
RC,0250,Dexmethylphenidate HCl Tab 10 MG,1.77,1.42,0.36,1.95,52
RC,0250,Dextran 40 Inj 10% in D5W,409.5,327.6,108.31,368.55,52
RC,0250,Dextroamphetamine Sulfate Tab 5 MG,2.29,1.84,0.38,3.16,78
RC,0250,Dextromethorphan Polistirex Extended Release Susp 30 MG/5ML,1.37,1.1,0.35,1.28,52
RC,0250,Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML,1.155,0.925,0.29,1.09,52
RC,0250,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,2.355,1.885,0.61,2.17,78
RC,0250,Dextromethorphan-Guaifenesin Tab ER 12HR 30-600 MG,1.43,1.15,0.35,1.4,78
RC,0250,Dextrose 5% w/ Sodium Chloride 0.2%,154.675,123.74000000000001,40.57,140.36,52
RC,0250,Dextrose 5% w/ Sodium Chloride 0.225%,167.0,133.6,44.17,150.3,26
RC,0250,Dextrose Inj 25%,393.62,314.9,103.12,357.62,78
RC,0250,Dextrose Inj 70%,211.2,168.96,55.86,190.08,52
RC,0250,Diazepam Inj 5 MG/ML,218.19,174.555,6.68,370.0,52
RC,0250,Diazepam Oral Soln 1 MG/ML,4.5,3.6,0.36,22.63,130
RC,0250,Diazepam Rectal Gel Delivery System 10 MG,157.14,125.72,41.56,141.43,26
RC,0250,Diazepam Rectal Gel Delivery System 2.5 MG,116.08500000000001,92.875,25.85,120.99,52
RC,0250,Diazepam Tab 10 MG,1.04,0.835,0.27,0.95,78
RC,0250,Diazepam Tab 2 MG,1.0350000000000001,0.8300000000000001,0.27,0.95,78
RC,0250,Diazepam Tab 5 MG,1.0350000000000001,0.8300000000000001,0.27,0.95,78
RC,0250,Diazoxide Susp 50 MG/ML,230.8,184.64,61.05,207.72,26
RC,0250,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),11.8,9.44,2.3,14.67,234
RC,0250,Diclofenac Sodium Ophth Soln 0.1%,29.93,23.95,7.4,31.35,130
RC,0250,Dicloxacillin Sodium Cap 250 MG,1.2850000000000001,1.03,0.32,1.22,52
RC,0250,Dicyclomine HCl Cap 10 MG,1.35,1.085,0.35,1.23,78
RC,0250,Dicyclomine HCl Oral Soln 10 MG/5ML,25.89,20.715,6.82,23.41,52
RC,0250,Dicyclomine HCl Tab 20 MG,1.35,1.08,0.28,1.23,104
RC,0250,Dietary Management Product - Powder,114.98,91.99,30.41,103.48,26
RC,0250,Difluprednate Ophth Emulsion 0.05%,150.34,120.28,39.71,208.02,130
RC,0250,Digoxin Oral Soln 0.05 MG/ML,25.93,20.75,6.86,23.34,26
RC,0250,Digoxin Tab 125 MCG (0.125 MG),1.89,1.52,0.29,1.9,130
RC,0250,Digoxin Tab 250 MCG (0.25 MG),1.47,1.18,0.33,1.72,78
RC,0250,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.35,1.08,0.32,1.54,234
RC,0250,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.32,1.06,0.34,1.67,182
RC,0250,Diltiazem HCl Tab 30 MG,1.245,1.0,0.28,1.6,130
RC,0250,Diltiazem HCl Tab 60 MG,1.19,0.96,0.28,1.32,130
RC,0250,Dimenhydrinate Tab 50 MG,1.03,0.825,0.27,0.95,52
RC,0250,Dinoprostone Vaginal Inserts 10 MG,408.82,327.06,108.13,367.94,26
RC,0250,Diphenhyd-Lido-Al Hydrox-Mg Hydrox-Simeth Susp (Cmpd Kit),44.43,35.55,11.75,39.99,26
RC,0250,Diphenhydramine HCl Cap 25 MG,1.19,0.96,0.31,1.07,26
RC,0250,Diphenhydramine HCl Elixir 12.5 MG/5ML,1.26,1.01,0.33,1.13,26
RC,0250,Diphenhydramine HCl Liquid 12.5 MG/5ML,1.22,0.98,0.32,1.1,26
RC,0250,Diphenhydramine-Acetaminophen Tab 25-500 MG (sleep),1.05,0.84,0.27,0.95,78
RC,0250,Diphenhydramine-Zinc Acetate Cream 2-0.1%,2.76,2.215,0.58,4.42,104
RC,0250,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,1.31,1.05,0.33,2.03,104
RC,0250,Dipyridamole Tab 25 MG,1.445,1.1600000000000001,0.36,1.37,52
RC,0250,Disopyramide Phosphate Cap 100 MG,1.93,1.55,0.51,1.74,26
RC,0250,Divalproex Sodium Cap Delayed Release Sprinkle 125 MG,1.59,1.28,0.35,1.6,78
RC,0250,Divalproex Sodium Tab Delayed Release 125 MG,1.31,1.05,0.28,1.41,78
RC,0250,Divalproex Sodium Tab Delayed Release 250 MG,1.16,0.93,0.3,1.07,130
RC,0250,Divalproex Sodium Tab Delayed Release 500 MG,1.13,0.905,0.29,1.04,156
RC,0250,Divalproex Sodium Tab ER 24 HR 250 MG,2.34,1.66,0.34,3.29,286
RC,0250,Divalproex Sodium Tab ER 24 HR 500 MG,1.44,1.155,0.32,1.69,130
RC,0250,Dobutamine Inj 2 MG/ML in D5W,399.0,319.2,105.54,359.1,26
RC,0250,Docosanol Cream 10%,13.695,10.96,2.81,32.83,130
RC,0250,Docusate Sodium Cap 100 MG,1.05,0.84,0.27,1.05,78
RC,0250,Docusate Sodium Enema 283 MG/5ML,7.1,5.68,1.88,6.39,52
RC,0250,Docusate Sodium Liquid 150 MG/15ML,1.44,1.16,0.01,1.8,156
RC,0250,Dofetilide Cap 125 MCG (0.125 MG),1.78,1.43,0.34,3.19,78
RC,0250,Dolutegravir Sodium Tab 50 MG (Base Equiv),70.25,56.2,18.58,63.23,26
RC,0250,Dolutegravir Sodium Tab for Oral Susp 5 MG (Base Equiv),8.34,6.68,2.21,7.51,26
RC,0250,Donepezil Hydrochloride Tab 23 MG,8.06,6.45,0.83,7.59,78
RC,0250,Donepezil Hydrochloride Tab 5 MG,1.09,0.875,0.28,1.03,104
RC,0250,Dopamine Inj 1.6 MG/ML in D5W,401.125,320.9,105.6,362.7,52
RC,0250,Dopamine Inj 3.2 MG/ML in D5W,396.48,317.19,104.87,356.83,26
RC,0250,Dorzolamide HCl Ophth Soln 2%,39.95,31.964999999999996,9.28,51.12,104
RC,0250,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,65.4,52.32,11.52,209.8,156
RC,0250,Doxazosin Mesylate Tab 1 MG,1.54,1.24,0.37,1.6,156
RC,0250,Doxazosin Mesylate Tab 4 MG,1.48,1.21,0.28,1.5,182
RC,0250,Doxepin HCl Cap 10 MG,1.45,1.16,0.35,1.32,104
RC,0250,Doxepin HCl Cap 25 MG,1.5,1.205,0.38,1.46,104
RC,0250,Doxepin HCl Conc 10 MG/ML,25.06,20.05,6.63,22.55,26
RC,0250,Doxercalciferol Cap 2.5 MCG,14.01,11.21,3.71,12.61,26
RC,0250,Doxycycline Hyclate Cap 50 MG,1.76,1.41,0.33,1.96,104
RC,0250,Doxycycline Hyclate Tab 100 MG,2.505,2.01,0.5,3.74,208
RC,0250,Doxycycline Monohydrate For Susp 25 MG/5ML,30.46,24.37,8.06,27.41,26
RC,0250,Doxylamine Succinate (Sleep) Tab 25 MG,1.225,0.985,0.29,1.2,104
RC,0250,Dronabinol Cap 2.5 MG,3.425,2.74,0.69,3.83,52
RC,0250,Dronabinol Cap 5 MG,10.41,8.335,1.03,15.25,52
RC,0250,Dronedarone HCl Tab 400 MG (Base Equivalent),10.11,8.09,2.67,9.1,26
RC,0250,Droperidol Powder,389.1,311.28,102.92,350.19,26
RC,0250,Drospirenone-Ethinyl Estradiol Tab 3-0.02 MG,763.5,610.8,201.95,687.15,26
RC,0250,Drospirenone-Ethinyl Estradiol Tab 3-0.03 MG,715.9,572.72,189.36,644.31,26
RC,0250,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),1.88,1.51,0.42,6.35,130
RC,0250,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.14,0.92,0.28,1.72,130
RC,0250,Edoxaban Tosylate Tab 30 MG (Base Equivalent),8.88,7.11,2.35,7.99,26
RC,0250,Efavirenz Tab 600 MG,3.58,2.87,0.95,3.22,26
RC,0250,Elagolix Sodium Tab 200 MG (Base Equiv),17.16,13.73,4.54,15.44,26
RC,0250,Eltrombopag Olamine Tab 50 MG (Base Equiv),435.91,348.73,115.3,392.32,26
RC,0250,Emollient - Cream,16.1,12.885,3.98,15.44,52
RC,0250,Emollient - Ointment,7.81,6.25,1.34,15.87,208
RC,0250,Empagliflozin Tab 10 MG,13.62,10.9,3.6,12.26,52
RC,0250,Empagliflozin Tab 25 MG,13.195,10.56,3.38,12.26,52
RC,0250,Emtricitabine-Tenofovir Disoproxil Fumarate Tab 200-300 MG,2.1149999999999998,1.695,0.51,2.07,52
RC,0250,Enalapril Maleate Oral Soln 1 MG/ML,34.21,27.37,9.05,30.79,26
RC,0250,Enalapril Maleate Tab 5 MG,1.17,0.94,0.28,1.09,78
RC,0250,Entacapone Tab 200 MG,4.315,3.46,1.11,4.0,78
RC,0250,Entecavir Oral Soln 0.05 MG/ML,69.38,55.51,18.35,62.44,26
RC,0250,Entecavir Tab 0.5 MG,2.9,2.32,0.33,23.11,78
RC,0250,Ephedrine Sulf-NaCl Soln Pref Syr 50 MG/5ML-0.9% (10 MG/ML),421.05,336.84,111.37,378.95,26
RC,0250,Ephedrine Sulfate IV Soln 5 MG/ML,80.305,64.25,21.17,72.53,78
RC,0250,Ephedrine Sulfate Prefilled Syringe 25 MG/5ML (5 MG/ML),399.605,319.69,105.47,360.42,78
RC,0250,Epinephrine Bitartrate (Bulk) Powder,16.0,12.8,4.23,14.4,26
RC,0250,Epinephrine HCl Nasal Soln 0.1%,119.54,95.64,31.62,107.59,26
RC,0250,"Epinephrine HCl Soln Nebu 2.25% (1.125% Base Equivalent),Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent)",2.195,1.7599999999999998,0.47,2.35,52
RC,0250,"Epinephrine HCl-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML),Epinephrine-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML)",417.0,333.6,110.3,375.3,52
RC,0250,Epinephrine PF Inj 1 MG/ML,390.5,312.4,103.29,351.45,26
RC,0250,Epinephrine Solution Auto-injector 0.15 MG/0.3ML (1:2000),952.84,762.28,252.03,857.56,52
RC,0250,Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000),837.635,670.11,177.46,903.92,52
RC,0250,Eplerenone Tab 25 MG,1.79,1.44,0.39,3.69,130
RC,0250,Ergocalciferol Cap 1.25 MG (50000 Unit),1.54,1.2349999999999999,0.31,1.72,78
RC,0250,Ergocalciferol Soln 200 MCG/ML (8000 Unit/ML),54.22,43.38,14.34,48.8,26
RC,0250,Erythromycin Ethylsuccinate For Susp 400 MG/5ML,50.94,40.754999999999995,12.15,50.34,52
RC,0250,Erythromycin Gel 2%,83.005,66.405,9.07,118.54,52
RC,0250,Erythromycin Ophth Oint 5 MG/GM,22.335,17.875,0.9,36.17,208
RC,0250,Erythromycin Soln 2%,61.6,49.285,16.2,55.76,52
RC,0250,Erythromycin Tab 500 MG,6.42,5.14,1.7,5.78,26
RC,0250,Erythromycin Tab Delayed Release 250 MG,5.62,4.5,1.41,5.35,78
RC,0250,Escitalopram Oxalate Soln 5 MG/5ML (Base Equiv),26.415,21.134999999999998,6.96,23.86,52
RC,0250,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.145,0.92,0.29,8.96,182
RC,0250,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.16,0.93,0.29,9.32,130
RC,0250,Escitalopram Oxalate Tab 5 MG (Base Equiv),1.03,0.83,0.27,0.93,26
RC,0250,Esomeprazole Magnesium Cap Delayed Release 20 MG (Base Eq),1.28,1.03,0.32,3.75,78
RC,0250,Esomeprazole Magnesium For Delayed Release Susp Packet 10 MG,7.95,6.365,1.87,7.94,52
RC,0250,Esomeprazole Magnesium For Delayed Release Susp Packet 20 MG,7.08,5.67,1.73,8.88,104
RC,0250,Estradiol TD Patch Twice Weekly 0.05 MG/24HR,8.24,6.6,2.07,12.52,104
RC,0250,Estradiol Tab 1 MG,1.08,0.87,0.29,0.97,26
RC,0250,Estradiol Vaginal Cream 0.1 MG/GM,148.76,119.01,27.17,210.54,130
RC,0250,"Estrogens, Conjugated Vaginal Cream 0.625 MG/GM",165.1,132.08,43.67,148.59,26
RC,0250,Ethacrynate Sodium For Inj 50 MG,2981.92,2385.54,568.47,13689.3,156
RC,0250,Ethacrynic Acid Tab 25 MG,3.22,2.58,0.57,19.77,78
RC,0250,Ethambutol HCl Tab 400 MG,1.73,1.39,0.33,1.67,78
RC,0250,Ethosuximide Cap 250 MG,1.39,1.12,0.37,1.25,26
RC,0250,Ethosuximide Soln 250 MG/5ML,25.25,20.2,6.68,22.73,26
RC,0250,Etomidate IV Soln 2 MG/ML,393.0,314.4,103.82,355.07,208
RC,0250,Everolimus Tab 0.25 MG,4.86,3.89,1.29,4.37,26
RC,0250,Everolimus Tab 0.5 MG,5.65,4.52,1.49,5.09,52
RC,0250,Exenatide Soln Pen-injector 5 MCG/0.02ML,494.24,395.4,130.73,444.82,26
RC,0250,Ezetimibe Tab 10 MG,1.25,1.005,0.29,4.86,182
RC,0250,FD&C Blue #2 (Indigotine) Powder,39.21,31.37,10.37,35.29,26
RC,0250,Famciclovir Tab 125 MG,1.35,1.295,0.35,1.69,78
RC,0250,Famotidine For Susp 40 MG/5ML,27.21,21.77,0.3,25.63,78
RC,0250,"Famotidine Preservative Free Inj 20 MG/2ML,Famotidine Inj 200 MG/20ML",389.83,311.87,103.11,350.85,26
RC,0250,Famotidine Tab 10 MG,1.19,0.9550000000000001,0.28,1.18,78
RC,0250,Famotidine Tab 20 MG,1.085,0.875,0.27,1.07,468
RC,0250,Fat Emulsion Fish Oil Based IV Emul 20%,409.25,327.4,108.25,368.33,26
RC,0250,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,411.625,329.29999999999995,107.36,387.9,182
RC,0250,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,401.95,321.56,104.68,512.55,156
RC,0250,Febuxostat Tab 40 MG,1.97,1.58,0.33,3.02,156
RC,0250,Felbamate Susp 600 MG/5ML,29.805,23.845,7.71,27.41,52
RC,0250,Felbamate Tab 400 MG,3.625,2.9050000000000002,0.5,10.08,156
RC,0250,Felodipine Tab ER 24HR 2.5 MG,1.375,1.105,0.31,1.41,52
RC,0250,Fenofibrate Tab 160 MG,2.4450000000000003,1.96,0.3,2.5,130
RC,0250,Fenofibrate Tab 54 MG,1.6,1.28,0.31,2.17,182
RC,0250,Fenoldopam Mesylate IV Inj 10 MG/ML (Base Equiv),1217.71,974.17,322.08,1095.94,26
RC,0250,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,26.06,20.85,6.89,23.45,26
RC,0250,Fentanyl TD Patch 72HR 100 MCG/HR,19.14,15.32,4.02,23.97,156
RC,0250,Fentanyl TD Patch 72HR 12 MCG/HR,12.68,10.15,2.36,14.79,104
RC,0250,Fentanyl TD Patch 72HR 25 MCG/HR,5.86,4.69,0.9,6.9,234
RC,0250,Fentanyl TD Patch 72HR 50 MCG/HR,8.120000000000001,6.5,1.12,11.56,234
RC,0250,Fentanyl TD Patch 72HR 75 MCG/HR,16.055,12.844999999999999,1.9,17.75,156
RC,0250,Ferric Citrate Tab 1 GM (210 MG Ferric Iron),7.859999999999999,6.295,1.99,7.36,52
RC,0250,Ferric Subsulfate Paste,59.754999999999995,47.81,14.65,57.72,52
RC,0250,Ferrous Gluconate Tab 324 MG (37.5 MG Elemental Iron),1.0350000000000001,0.83,0.27,0.95,52
RC,0250,Ferrous Gluconate Tab 324 MG (38 MG Elemental Iron),1.03,0.83,0.27,0.93,26
RC,0250,Ferrous Sulfate Soln 220 MG/5ML (44 MG/5ML Elemental Fe),1.16,0.93,0.28,22.62,78
RC,0250,Ferrous Sulfate Soln 75 MG/ML (15 MG/ML Elemental Fe),7.3,5.840000000000001,0.9,10.08,52
RC,0250,Fexofenadine HCl Susp 30 MG/5ML (6 MG/ML),25.28,20.23,6.69,22.75,26
RC,0250,Fidaxomicin Tab 200 MG,78.34,62.68,20.72,70.51,26
RC,0250,Finasteride Tab 1 MG,1.25,1.0,0.33,1.13,26
RC,0250,Finasteride Tab 5 MG,1.43,1.15,0.29,1.87,234
RC,0250,Flecainide Acetate Tab 100 MG,1.4249999999999998,1.145,0.32,1.47,52
RC,0250,Flecainide Acetate Tab 50 MG,1.2,0.96,0.3,1.64,130
RC,0250,Fluconazole For Susp 40 MG/ML,26.655,21.325,6.99,24.21,52
RC,0250,Fluconazole Tab 100 MG,2.0149999999999997,1.615,0.5,1.92,52
RC,0250,Fluconazole Tab 150 MG,3.59,2.88,0.95,3.26,130
RC,0250,Fluconazole Tab 200 MG,2.295,1.84,0.57,3.05,156
RC,0250,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,392.1,313.68,103.71,352.89,26
RC,0250,Flucytosine Cap 500 MG,55.365,44.295,5.17,82.06,52
RC,0250,Fludrocortisone Acetate Tab 0.1 MG,1.43,1.15,0.36,1.34,156
RC,0250,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),28.33,22.67,7.49,25.5,26
RC,0250,Flumazenil IV Soln 1 MG/10ML (0.1 MG/ML),390.24,312.2,103.22,351.22,52
RC,0250,Fluocinolone Acetonide Oil 0.01% (Scalp Oil),160.37,128.3,17.12,230.4,78
RC,0250,Fluorescein Sodium IV Soln 10%,455.96,364.77,111.39,735.87,78
RC,0250,Fluorescein Sodium Ophth Strips 1 MG,1.09,0.88,0.29,1.05,104
RC,0250,Fluorescein w/ Benoxinate Ophth Soln 0.25-0.4%,45.43,36.35,12.02,40.89,26
RC,0250,Fluorometholone Ophth Susp 0.1%,96.82,77.46,24.2,134.55,78
RC,0250,Fluorouracil Cream 5%,149.26,119.41499999999999,31.91,160.09,52
RC,0250,Fluoxetine HCl Cap 20 MG,1.045,0.835,0.27,0.99,234
RC,0250,Fluoxetine HCl Solution 20 MG/5ML,25.08,20.07,6.63,22.57,26
RC,0250,Fluoxetine HCl Tab 10 MG,1.3199999999999998,1.06,0.31,1.86,104
RC,0250,Fluphenazine HCl Tab 5 MG,5.91,4.734999999999999,1.16,6.7,52
RC,0250,Flurbiprofen Sodium Ophth Soln 0.03%,58.68,46.95,15.52,52.81,26
RC,0250,Fluticasone Furoate Aerosol Powder Breath Activ 100 MCG/ACT,758.39,606.72,200.59,682.55,26
RC,0250,Fluticasone Furoate Aerosol Powder Breath Activ 200 MCG/ACT,1215.74,972.595,204.63,1492.05,52
RC,0250,Fluticasone Furoate-Vilanterol Aero Powd BA 100-25 MCG/ACT,1529.02,1223.22,404.43,1376.12,26
RC,0250,Fluticasone Furoate-Vilanterol Aero Powd BA 200-25 MCG/ACT,2381.605,1905.29,387.51,2968.33,52
RC,0250,Fluticasone Propionate Nasal Susp 50 MCG/ACT,55.42,44.34,14.56,54.41,78
RC,0250,Fluvoxamine Maleate Tab 50 MG,1.18,0.95,0.31,1.06,26
RC,0250,Folic Acid Inj 5 MG/ML,402.58,322.07,106.48,362.32,26
RC,0250,Folic Acid Tab 1 MG,1.04,0.835,0.27,1.02,182
RC,0250,Folic Acid Tab 400 MCG,1.095,0.88,0.27,1.06,130
RC,0250,Folic Acid-Pyridoxine-Cyanocobalamin Tab 2.5-25-2 MG,1.48,1.19,0.29,1.54,78
RC,0250,Formoterol Fumarate Soln Nebu 20 MCG/2ML,8.705,6.97,1.37,11.0,78
RC,0250,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),58.81,47.05,14.11,68.04,156
RC,0250,Fosinopril Sodium Tab 20 MG,1.12,0.9,0.3,1.01,26
RC,0250,Furosemide Half-Tab 10 MG,1.03,0.83,0.27,0.93,26
RC,0250,Furosemide Oral Soln 10 MG/ML,25.130000000000003,20.104999999999997,6.64,22.64,52
RC,0250,Furosemide Tab 20 MG,1.0350000000000001,0.835,0.27,0.95,234
RC,0250,Furosemide Tab 40 MG,1.04,0.84,0.27,1.07,234
RC,0250,Gabapentin Cap 100 MG,1.07,0.86,0.27,1.0,208
RC,0250,Gabapentin Cap 300 MG,1.1,0.885,0.28,1.02,208
RC,0250,Gabapentin Cap 400 MG,1.125,0.905,0.28,1.04,130
RC,0250,Gabapentin Oral Soln 250 MG/5ML,25.09,20.08,6.64,22.58,26
RC,0250,Galantamine Hydrobromide Tab 4 MG,2.49,1.995,0.43,3.03,78
RC,0250,Ganciclovir Ophth Gel 0.15%,285.87,228.7,75.61,257.28,26
RC,0250,Gatifloxacin Ophth Soln 0.5%,121.455,97.16499999999999,16.39,162.86,52
RC,0250,Gelatin Absorbable Sponge 12-7 MM,28.67,22.94,7.58,25.8,26
RC,0250,Gelatin Absorbable Sponge Size 100,43.01,34.41,11.38,38.71,26
RC,0250,Gemfibrozil Tab 600 MG,1.21,0.97,0.28,1.16,130
RC,0250,Gentamicin Sulfate Cream 0.1%,61.96,49.57,12.46,62.84,78
RC,0250,Gentamicin Sulfate Inj 40 MG/ML,389.585,311.67499999999995,102.99,350.8,52
RC,0250,Gentamicin Sulfate Oint 0.1%,86.98,69.59,20.43,88.97,78
RC,0250,Gentamicin Sulfate Ophth Soln 0.3%,30.9,24.725,7.69,29.46,52
RC,0250,Gentamicin in Saline Inj 2 MG/ML,390.97,312.78,103.41,351.87,26
RC,0250,Gentian Violet Soln 1%,6.31,5.05,0.89,27.86,78
RC,0250,Glimepiride Tab 1 MG,1.07,0.86,0.27,1.23,104
RC,0250,Glimepiride Tab 4 MG,1.05,1.06,0.28,1.43,104
RC,0250,Glipizide Tab 10 MG,1.255,1.005,0.27,1.34,156
RC,0250,Glipizide Tab 5 MG,1.135,0.915,0.27,1.12,78
RC,0250,Glipizide Tab ER 24HR 10 MG,1.33,1.07,0.3,1.37,78
RC,0250,Glipizide Tab ER 24HR 2.5 MG,1.545,1.24,0.29,1.91,156
RC,0250,Glucosamine-Chondroitin Cap 500-400 MG,1.18,0.95,0.3,1.13,78
RC,0250,Glucose Chew Tab 4 GM (Rounded),1.18,0.95,0.31,1.06,52
RC,0250,Glucose Chew Tab 5 GM,6.88,5.51,1.82,6.19,26
RC,0250,Glucose Gel 40%,4.64,3.72,1.16,34.23,104
RC,0250,Glutamine Powder,26.7,21.36,7.06,24.03,26
RC,0250,Glutamine Powder (Bulk),123.5,98.8,32.67,111.15,26
RC,0250,"Glutamine Powder,Glutamine Powd Pack 15 GM",2.04,1.64,0.49,92.74,78
RC,0250,Glyburide Tab 2.5 MG,1.08,0.87,0.28,1.04,78
RC,0250,Glycerin Liquid,1.02,0.82,0.27,0.94,104
RC,0250,Glycerin Liquid Suppos 2.8 GM (2.7 ML),1.825,1.4649999999999999,0.47,1.69,78
RC,0250,Glycerin Suppos 1 GM,1.29,1.035,0.3,1.31,52
RC,0250,Glycerin Topical Liquid,6.49,5.2,1.72,5.84,26
RC,0250,Glycerin-Hypromellose-PEG 400 Ophth Soln 0.2-0.2-1%,3.17,2.54,0.69,7.43,130
RC,0250,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),25.32,20.26,6.7,22.79,26
RC,0250,Glycopyrrolate Oral Soln 1 MG/5ML,25.99,20.8,6.87,23.39,26
RC,0250,Glycopyrrolate Tab 1 MG,1.72,1.38,0.31,1.63,78
RC,0250,Granisetron TD Patch 3.1 MG/24HR (Contains 34.3 MG),615.28,492.23,162.74,553.75,26
RC,0250,Griseofulvin Microsize Susp 125 MG/5ML,45.16,36.13,11.94,40.64,26
RC,0250,Guaifenesin Liquid 100 MG/5ML,1.8450000000000002,1.48,0.27,22.54,130
RC,0250,Guaifenesin Tab 200 MG,1.03,0.83,0.27,0.93,26
RC,0250,Guaifenesin Tab ER 12HR 600 MG,1.555,1.25,0.36,1.64,182
RC,0250,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.29,1.04,0.32,22.61,78
RC,0250,Guanfacine HCl Tab 1 MG,1.48,1.19,0.31,3.23,156
RC,0250,Guanfacine HCl Tab ER 24HR 1 MG (Base Equiv),1.62,1.3,0.31,9.08,78
RC,0250,Haloperidol Lactate Oral Conc 2 MG/ML,25.15,20.12,6.65,22.64,26
RC,0250,Haloperidol Tab 0.5 MG,1.24,1.0,0.28,1.2,130
RC,0250,Haloperidol Tab 1 MG,1.31,1.05,0.34,1.24,130
RC,0250,Haloperidol Tab 2 MG,1.52,1.22,0.4,1.37,52
RC,0250,Haloperidol Tab 5 MG,1.79,1.435,0.39,1.67,130
RC,0250,Heparin Sodium (Porcine) Inj 1000 Unit/ML,390.44,312.36,103.27,351.4,26
RC,0250,Hepatitis B Immun Glob (Human) IM Soln Pref Syr 110 Ut/0.5ML,413.48,330.79,109.37,372.13,52
RC,0250,Histamine Phosphate Inj 2.75 MG/ML (1 MG/ML Base equiv),407.29,325.84,107.73,366.56,26
RC,0250,Humalog diluted 25 units/mL,393.48,314.79,104.08,354.13,26
RC,0250,Humalog diluted 50 units/mL,393.48,314.79,104.08,354.13,26
RC,0250,Humulin R 50 units/mL diluted,392.57,314.06,103.83,353.31,26
RC,0250,Humulin R diluted 10 units/mL,392.57,314.06,103.83,353.31,26
RC,0250,Humulin R diluted 25 units/mL,392.57,314.06,103.83,353.31,26
RC,0250,Humulin R diluted 50 units/mL,392.57,314.06,103.83,353.31,26
RC,0250,Hydralazine HCl Tab 10 MG,1.12,0.9,0.27,1.04,182
RC,0250,Hydralazine HCl Tab 25 MG,1.135,0.91,0.27,1.09,286
RC,0250,Hydralazine HCl Tab 50 MG,1.12,0.91,0.28,1.15,260
RC,0250,Hydrochlorothiazide Tab 12.5 MG,1.0550000000000002,0.845,0.28,0.95,52
RC,0250,Hydrochlorothiazide Tab 25 MG,1.02,0.82,0.27,1.07,156
RC,0250,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,4.75,3.8,1.07,23.54,156
RC,0250,Hydrocodone-Acetaminophen Tab 10-325 MG,1.45,1.165,0.3,1.4,156
RC,0250,Hydrocodone-Acetaminophen Tab 5-325 MG,1.34,1.08,0.31,36.85,182
RC,0250,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.34,1.08,0.34,1.32,156
RC,0250,Hydrocortisone Acetate Suppos 25 MG,2.55,2.04,0.29,7.87,156
RC,0250,Hydrocortisone Cream 0.5%,4.49,3.6,1.19,4.04,26
RC,0250,Hydrocortisone Cream 1%,11.9,9.52,0.82,53.55,182
RC,0250,Hydrocortisone Enema 100 MG/60ML,34.15,27.325000000000003,8.17,33.68,78
RC,0250,Hydrocortisone Lotion 1%,7.04,5.640000000000001,1.65,7.06,52
RC,0250,Hydrocortisone Micronized (Bulk) Powder,63.2,50.56,16.72,56.88,26
RC,0250,Hydrocortisone Oint 1%,2.1799999999999997,1.745,0.51,26.98,104
RC,0250,Hydrocortisone Perianal Cream 1%,55.425,44.345,10.51,64.0,52
RC,0250,Hydrocortisone Perianal Cream 2.5%,36.09,28.88,7.56,62.43,78
RC,0250,Hydrocortisone Tab 10 MG,2.21,1.77,0.34,2.39,130
RC,0250,Hydrocortisone Tab 20 MG,1.66,1.33,0.35,2.47,104
RC,0250,Hydrocortisone Tab 5 MG,1.2149999999999999,0.9750000000000001,0.3,2.21,156
RC,0250,Hydrocortisone w/ Acetic Acid Otic Soln 1-2%,141.81,113.44999999999999,35.13,135.74,52
RC,0250,Hydromorphone HCL Quarter-Tab 0.5 MG,1.09,0.88,0.29,0.98,26
RC,0250,Hydromorphone HCl Half-Tab 1 MG,1.18,0.95,0.31,1.06,26
RC,0250,Hydromorphone HCl Liqd 1 MG/ML,25.17,20.14,0.39,22.91,78
RC,0250,Hydromorphone HCl Tab 2 MG,1.1349999999999998,0.915,0.28,1.04,130
RC,0250,Hydromorphone HCl Tab 4 MG,1.2650000000000001,1.0150000000000001,0.32,1.19,104
RC,0250,Hydrophilic Ointment,22.4,17.92,5.92,20.16,26
RC,0250,Hydroxychloroquine Sulfate Tab 200 MG,1.81,1.45,0.32,3.5,234
RC,0250,Hydroxyurea Cap 500 MG,1.44,1.16,0.35,1.89,130
RC,0250,Hydroxyzine HCl Syrup 10 MG/5ML,25.58,20.465,6.74,23.09,52
RC,0250,Hydroxyzine HCl Tab 10 MG,1.14,0.92,0.28,1.09,104
RC,0250,Hydroxyzine HCl Tab 25 MG,1.17,0.94,0.28,1.12,130
RC,0250,Hydroxyzine HCl Tab 50 MG,1.13,0.91,0.29,1.14,78
RC,0250,Hyoscyamine Sulfate SL Tab 0.125 MG,1.1549999999999998,0.925,0.3,1.04,52
RC,0250,Hyoscyamine Sulfate Tab ER 12HR 0.375 MG,1.47,1.18,0.39,1.32,26
RC,0250,Hypertonic Nasal Wash - Packet,21.0,16.8,5.55,18.9,26
RC,0250,Hypromellose Gonioscopic Soln 2.5%,6.51,5.215,1.48,6.7,52
RC,0250,Hypromellose Ophth Gel 0.3%,8.3,6.64,2.2,7.47,26
RC,0250,Hypromellose Ophth Soln 2.5%,52.62,42.1,13.92,47.36,26
RC,0250,Ibuprofen Chew Tab 100 MG,1.1400000000000001,0.915,0.29,1.05,52
RC,0250,Ibuprofen Susp 100 MG/5ML,1.53,1.23,0.29,9.78,416
RC,0250,Ibuprofen Tab 200 MG,1.02,0.82,0.27,0.95,130
RC,0250,Ibuprofen Tab 400 MG,1.06,0.855,0.28,1.0,156
RC,0250,Ibuprofen Tab 600 MG,1.06,0.85,0.27,1.05,208
RC,0250,Icodextrin-Electrolytes Solution 7.5%,35.0,28.0,9.26,31.5,52
RC,0250,Icosapent Ethyl Cap 1 GM,3.17,2.54,0.67,3.91,104
RC,0250,Ifosfamide IV Inj 3 GM/60ML (50 MG/ML),579.9100000000001,463.93,147.55,541.76,52
RC,0250,Imipramine HCl Tab 10 MG,1.09,0.88,0.29,0.98,26
RC,0250,Imipramine HCl Tab 25 MG,1.105,0.89,0.29,1.02,52
RC,0250,Imiquimod Cream 5%,6.97,5.58,1.19,6.89,104
RC,0250,Incontinent Cleanser - Lotion,10.26,8.21,2.71,9.23,26
RC,0250,Indapamide Tab 1.25 MG,1.12,0.9,0.3,1.01,52
RC,0250,Indigotindisulfonate Sodium Inj 8 MG/ML,543.64,434.92,143.79,489.28,26
RC,0250,"Indocyanine Green For Inj 25 MG,Indocyanine Green For Inj Soln 25 MG",1117.17,893.74,295.49,1005.45,26
RC,0250,Indocyanine Green For Inj Soln 25 MG,1117.17,893.74,295.49,1005.45,52
RC,0250,Indomethacin Cap 25 MG,1.135,0.9099999999999999,0.28,1.1,78
RC,0250,Indomethacin Cap 50 MG,1.175,0.9450000000000001,0.29,1.12,78
RC,0250,Indomethacin Cap ER 75 MG,2.13,1.71,0.33,2.86,130
RC,0250,Indomethacin Sodium IV For Soln 1 MG,1034.21,827.37,198.19,1231.17,78
RC,0250,Indomethacin Suppos 100 MG,301.0,240.8,79.61,270.9,26
RC,0250,Injection Device for Insulin,66.88,53.51,17.69,60.19,26
RC,0250,Insulin Aspart Inj Soln 100 Unit/ML,51.98,41.59,13.75,46.78,26
RC,0250,"Insulin Aspart Inj Soln 100 Unit/ML,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML",51.98,41.59,13.75,46.78,26
RC,0250,"Insulin Aspart Prot & Aspart (Human) Inj 100 Unit/M*,Insulin Aspart Prot & Aspart Sus Pen-inj 100 Unit/M",76.4,61.12,20.21,68.76,26
RC,0250,Insulin Aspart Soln Cartridge 100 Unit/ML,32.65,26.12,8.64,29.39,26
RC,0250,Insulin Aspart Soln Pen-injector 100 Unit/ML,24.71,19.77,6.54,22.24,26
RC,0250,"Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML,Insulin Aspart Inj Soln 100 Unit/ML",32.65,26.12,6.54,46.78,78
RC,0250,Insulin Degludec Inj 100 Unit/ML,132.97,106.38,35.17,119.67,26
RC,0250,"Insulin Detemir Inj 100 Unit/ML,Insulin Detemir Soln Pen-injector 100 Unit/ML",96.89,77.52,25.63,87.2,26
RC,0250,"Insulin Glargine-yfgn Inj 100 Unit/ML,Insulin Glargine-yfgn Soln Pen-Injector 100 Unit/ML",64.92,51.94,17.17,58.43,26
RC,0250,Insulin Glulisine Inj 100 Unit/ML,104.79,83.84,27.72,94.31,26
RC,0250,Insulin Glulisine Soln Pen-Injector Inj 100 Unit/ML,29.14,23.32,7.71,26.23,26
RC,0250,"Insulin Isophane & Regular (Human) Inj 100 Unit/ML *,Insulin Isophane & Regular Susp Pen-Inj 100 Unit/ML",22.4,17.92,5.92,20.16,26
RC,0250,"Insulin Isophane (Human) Inj 100 Unit/ML,Insulin Isophane (Human) Susp Pen-injector 100 Unit",23.18,18.55,6.13,20.86,26
RC,0250,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",28.9,23.12,7.64,26.01,104
RC,0250,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro Inj Soln 100 Unit/ML",57.09,45.68,15.1,51.38,26
RC,0250,"Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro (Human) Soln Pen-injector 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial)",28.9,23.12,7.64,26.01,104
RC,0250,Insulin Lispro Inj Soln 100 Unit/ML,42.225,33.785,7.24,51.38,52
RC,0250,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),28.9,23.12,7.64,26.01,104
RC,0250,Insulin R diluted 25 units/mL,392.57,314.06,103.83,353.31,26
RC,0250,Insulin Regular (Human) Inj 100 Unit/ML,18.38,14.71,3.28,353.95,130
RC,0250,Insulin Regular (Human) Inj 500 Unit/ML,1666.56,1333.25,440.81,1499.9,26
RC,0250,Insulin Regular (Human) in NaCl 0.9% IV Soln 100 Unit/100ML,404.8,323.84,107.07,364.32,26
RC,0250,Interferon Beta-1a Soln Pref Syr 22 MCG/0.5ML,1962.08,1569.67,518.97,1765.87,52
RC,0250,Interferon Beta-1a Soln Pref Syr 44 MCG/0.5ML,2530.63,2024.51,669.35,2277.57,52
RC,0250,Iodine Solution Strong 5% (Lugol's),5.05,4.04,0.67,57.04,104
RC,0250,Irbesartan Tab 150 MG,1.33,1.07,0.31,1.34,156
RC,0250,Iron Polysacch Complex-Vit B12-FA Cap 150-0.025-1 MG,1.11,0.89,0.29,1.0,26
RC,0250,Isavuconazonium Sulfate Cap 186 MG,100.345,80.28,26.53,90.33,52
RC,0250,Isoflurane Inhal Soln,395.5,316.4,104.61,355.95,26
RC,0250,Isoniazid Syrup 50 MG/5ML,26.53,21.23,7.02,23.88,26
RC,0250,Isoniazid Tab 100 MG,2.65,2.12,0.7,2.39,26
RC,0250,Isoniazid Tab 300 MG,1.38,1.11,0.28,3.83,130
RC,0250,Isoproterenol HCl Inj 0.2 MG/ML,465.105,372.08500000000004,114.18,475.39,182
RC,0250,Isosorbide Dinitrate Tab 20 MG,1.5899999999999999,1.28,0.27,1.7,130
RC,0250,Isosorbide Dinitrate Tab 5 MG,1.29,1.035,0.27,1.4,78
RC,0250,Isosorbide Mononitrate Half-Tab SR 24HR 15 MG,1.04,0.84,0.28,0.94,26
RC,0250,Isosorbide Mononitrate Tab 20 MG,4.25,3.4,1.12,3.83,26
RC,0250,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.1600000000000001,0.9299999999999999,0.29,1.13,104
RC,0250,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.1549999999999998,0.9299999999999999,0.3,1.18,104
RC,0250,Isosulfan Blue Subcutaneous Soln 1%,360.0,288.0,95.22,324.0,26
RC,0250,Isradipine Cap 2.5 MG,1.91,1.53,0.51,1.72,26
RC,0250,Itraconazole Cap 100 MG,6.33,5.065,0.92,19.67,182
RC,0250,Itraconazole Oral Soln 10 MG/ML,51.55,41.245,11.78,52.72,52
RC,0250,Ivabradine HCl Tab 5 MG (Base Equiv),7.62,6.1,2.02,6.86,26
RC,0250,Ivermectin Lotion 0.5%,208.11,166.49,55.05,187.3,26
RC,0250,Ivermectin Tab 3 MG,4.87,3.9,1.24,4.82,104
RC,0250,"Ketamine HCl Inj 10 MG/ML,Ketamine HCl-NaCl Soln Pref Sy 50 MG/5ML-0.9% (10MG/ML)",395.03,316.03,104.49,355.53,26
RC,0250,Ketamine HCl Inj 100 MG/ML,396.41,317.13,14.95,359.34,182
RC,0250,Ketamine HCl Inj 50 MG/ML,394.62,315.7,104.38,355.16,52
RC,0250,Ketamine HCl Soln Pref Syr 50 MG/5ML (10 MG/ML),394.0,315.2,104.17,355.87,78
RC,0250,Ketamine HCl-NaCl Soln Pref Sy 50 MG/5ML-0.9% (10MG/ML),394.135,315.315,104.01,355.53,52
RC,0250,"Ketamine HCl-NaCl Soln Pref Sy 50 MG/5ML-0.9% (10MG/ML),Ketamine HCl-NaCl Soln Pref Sy 100 MG/10ML-0.9% (10MG/ML)",394.135,315.315,104.01,355.53,52
RC,0250,Ketoconazole Cream 2%,63.52,50.82,8.5,57.57,78
RC,0250,Ketoconazole Shampoo 2%,33.94,27.16,8.9,30.82,52
RC,0250,Ketoconazole Tab 200 MG,2.255,1.81,0.5,2.37,52
RC,0250,Ketorolac Tromethamine (PF) Ophth Soln 0.45%,174.28,139.43,46.1,156.85,26
RC,0250,Ketorolac Tromethamine Ophth Soln 0.4%,171.27499999999998,137.01999999999998,20.41,238.86,52
RC,0250,Ketorolac Tromethamine Ophth Soln 0.5%,50.76,40.61,7.73,86.5,182
RC,0250,Ketorolac Tromethamine Tab 10 MG,2.7,2.16,0.71,2.43,26
RC,0250,Ketotifen Fumarate Ophth Soln 0.035%,30.41,24.33,1.92,33.2,78
RC,0250,L-Methylfolate w/ Vit B6-Vit B12 Tab 1.13-25-2 MG,2.43,1.95,0.64,2.19,26
RC,0250,Labetalol HCl Tab 100 MG,1.255,1.005,0.29,1.21,130
RC,0250,Labetalol HCl Tab 200 MG,1.24,1.0,0.31,1.26,156
RC,0250,Labetalol HCl Tab 300 MG,1.505,1.205,0.31,1.68,156
RC,0250,Lacosamide Oral Solution 10 MG/ML,53.8,43.04,4.75,115.92,234
RC,0250,Lacosamide Tab 50 MG,2.48,1.9899999999999998,0.34,9.43,130
RC,0250,Lactase Tab 3000 Unit,1.35,1.08,0.28,9.51,78
RC,0250,Lactic Acid (Ammonium Lactate) Lotion 12%,4.74,3.795,1.22,4.37,78
RC,0250,Lactobacillus Reuteri Liquid,20.62,16.5,5.09,26.28,78
RC,0250,Lactobacillus Reuteri-Vitamin D Liquid,25.1,20.08,6.64,22.59,26
RC,0250,Lactobacillus Rhamnosus (GG) Cap,1.82,1.46,0.48,1.64,52
RC,0250,Lactobacillus Rhamnosus (GG) Packet,1.41,1.13,0.37,1.27,26
RC,0250,Lactobacillus-Inulin Cap,1.56,1.25,0.41,1.4,26
RC,0250,Lactulose Oral Crystal Packet 10 GM,6.39,5.12,1.69,5.75,26
RC,0250,Lactulose Oral Crystal Packet 20 GM,6.39,5.12,1.69,5.75,26
RC,0250,Lactulose Solution 10 GM/15ML,2.34,1.88,0.37,22.87,286
RC,0250,Lamivudine Oral Soln 10 MG/ML,104.08000000000001,83.265,22.42,111.06,52
RC,0250,Lamivudine Tab 150 MG,6.365,5.095000000000001,1.47,6.44,52
RC,0250,Lamotrigine Tab 100 MG,1.09,0.875,0.28,11.94,208
RC,0250,Lamotrigine Tab 150 MG,1.08,0.87,0.28,4.9,208
RC,0250,Lamotrigine Tab 25 MG,1.1,0.885,0.27,4.39,156
RC,0250,Lamotrigine Tab Chewable Dispersible 25 MG,1.35,1.085,0.34,1.27,52
RC,0250,Lamotrigine Tab Chewable Dispersible 5 MG,1.2349999999999999,0.99,0.32,1.13,52
RC,0250,Lamotrigine Tab ER 24HR 100 MG,6.79,5.44,0.53,17.9,130
RC,0250,Lamotrigine Tab ER 24HR 25 MG,1.9,1.52,0.5,4.9,78
RC,0250,Lanolin Cream,3.36,2.69,0.89,3.02,26
RC,0250,Lansoprazole Cap Delayed Release 15 MG,1.33,1.07,0.34,3.14,78
RC,0250,Lansoprazole Cap Delayed Release 30 MG,2.16,1.73,0.35,12.56,130
RC,0250,Lansoprazole Susp 3 MG/ML (Compound Kit),28.15,22.525,7.28,25.89,52
RC,0250,Lansoprazole Tab Delayed Release Orally Disintegrating 15 MG,10.395,8.32,1.56,12.56,260
RC,0250,Lansoprazole Tab Delayed Release Orally Disintegrating 30 MG,6.78,5.43,1.36,8.49,156
RC,0250,Lanthanum Carbonate Chew Tab 500 MG (Elemental),5.18,4.15,1.32,7.17,156
RC,0250,Latanoprost Ophth Soln 0.005%,29.259999999999998,23.415,7.54,28.04,104
RC,0250,Leflunomide Tab 20 MG,4.49,3.6,0.4,5.33,104
RC,0250,Leucovorin Calcium For Inj 100 MG,27.15,21.72,7.18,24.44,26
RC,0250,Leucovorin Calcium Tab 15 MG,5.855,4.6850000000000005,1.53,5.32,52
RC,0250,Leucovorin Calcium Tab 25 MG,6.64,5.3149999999999995,1.53,6.96,104
RC,0250,Leucovorin Calcium Tab 5 MG,1.84,1.48,0.45,1.79,104
RC,0250,Levalbuterol HCl Soln Nebu 0.31 MG/3ML (Base Equiv),2.5,2.0,0.48,4.36,156
RC,0250,Levalbuterol Tartrate Inhal Aerosol 45 MCG/ACT (Base Equiv),95.32,76.25999999999999,24.3,88.89,52
RC,0250,Levetiracetam Oral Soln 100 MG/ML,25.259999999999998,20.215,6.64,25.0,156
RC,0250,Levetiracetam Tab 250 MG,1.1349999999999998,0.915,0.29,3.28,182
RC,0250,Levetiracetam Tab 500 MG,1.27,1.02,0.29,7.02,312
RC,0250,Levetiracetam Tab ER 24HR 500 MG,1.18,0.95,0.31,1.06,26
RC,0250,Levetiracetam Tab ER 24HR 750 MG,1.515,1.2200000000000002,0.35,4.89,104
RC,0250,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,403.53,322.83,106.73,363.18,26
RC,0250,Levobunolol HCl Ophth Soln 0.5%,38.59,30.88,10.21,34.73,26
RC,0250,Levocarnitine Inj 200 MG/ML,394.28,315.43,104.29,354.85,26
RC,0250,Levocarnitine Oral Soln 1 GM/10ML (10%),26.15,20.92,6.87,23.59,78
RC,0250,Levocarnitine Tab 330 MG,1.78,1.43,0.47,1.64,78
RC,0250,Levodopa Powder,50.0,40.0,13.23,45.0,26
RC,0250,Levofloxacin Oral Soln 25 MG/ML,37.980000000000004,30.384999999999998,9.02,37.67,52
RC,0250,Levofloxacin Tab 250 MG,1.17,0.94,0.3,1.09,78
RC,0250,Levofloxacin Tab 500 MG,1.3,1.045,0.31,1.62,130
RC,0250,Levofloxacin Tab 750 MG,1.42,1.14,0.33,1.96,130
RC,0250,Levomilnacipran HCl Cap ER 24HR 20 MG (Base Equivalent),10.19,8.16,2.7,9.17,26
RC,0250,Levomilnacipran HCl Cap ER 24HR 40 MG (Base Equivalent),13.23,10.59,3.5,11.91,26
RC,0250,Levonorgestrel Tab 1.5 MG,20.38,16.31,5.39,18.34,26
RC,0250,Levothyroxine Sodium Tab 100 MCG,1.25,1.06,0.29,1.89,182
RC,0250,Levothyroxine Sodium Tab 112 MCG,1.42,1.14,0.31,1.35,130
RC,0250,Levothyroxine Sodium Tab 125 MCG,1.28,1.03,0.31,1.35,182
RC,0250,Levothyroxine Sodium Tab 137 MCG,1.3900000000000001,1.115,0.31,1.38,182
RC,0250,Levothyroxine Sodium Tab 150 MCG,1.44,1.16,0.31,1.37,182
RC,0250,Levothyroxine Sodium Tab 25 MCG,1.21,0.97,0.3,1.19,104
RC,0250,Levothyroxine Sodium Tab 50 MCG,1.13,0.91,0.28,1.2,182
RC,0250,Levothyroxine Sodium Tab 75 MCG,1.23,1.0350000000000001,0.3,1.28,208
RC,0250,Levothyroxine Sodium Tab 88 MCG,1.34,1.08,0.3,1.67,182
RC,0250,Lidocaine Cream 4%,4.745,3.8,1.25,4.28,52
RC,0250,"Lidocaine HCl Gel 2%,Lidocaine HCl Urethral/Mucosal Gel 2%,Lidocaine HCl Urethral/Mucosal Gel Prefilled Syringe 2%",19.369999999999997,15.5,1.54,84.57,104
RC,0250,Lidocaine HCl Laryngotracheal Soln 4%,42.96,34.37,11.36,38.66,26
RC,0250,Lidocaine HCl Local Inj 1%,389.8,311.84,103.1,350.82,26
RC,0250,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",1.4,1.12,0.34,1.35,52
RC,0250,Lidocaine HCl Local Inj 2%,25.55,20.44,6.76,23.0,26
RC,0250,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",25.14,20.12,6.65,22.63,26
RC,0250,"Lidocaine HCl Local Inj 4%,Lidocaine HCl Soln 4%,Lidocaine HCl Local Preservative Free (PF) Inj 4%",2.38,1.91,0.63,2.14,26
RC,0250,Lidocaine HCl Local Preservative Free (PF) Inj 1%,76.75,61.4,20.3,69.08,26
RC,0250,Lidocaine HCl Ophth Gel 3.5%,24.36,19.49,5.22,43.52,104
RC,0250,Lidocaine HCl Soln 4%,59.55,47.64,13.42,55.94,130
RC,0250,Lidocaine HCl Viscous Soln 2%,16.294999999999998,13.040000000000001,1.64,23.76,78
RC,0250,Lidocaine HCl-Racepinephrine-Tetracaine HCl Gel 4-0.05-0.5%,37.79,30.24,10.0,34.01,26
RC,0250,Lidocaine HCl-Sodium Bicarb Local Soln Pref Syr 1-8.4%,79.25,63.4,20.96,71.33,26
RC,0250,Lidocaine Oint 5%,32.405,25.93,8.46,29.55,52
RC,0250,Lidocaine Patch 4%,2.0149999999999997,1.615,0.46,2.84,130
RC,0250,"Lidocaine-Epinephrine-Tetracaine Gel 4-0.05-0.5%,Lidocaine HCl-Racepinephrine-Tetracaine HCl Gel 4-0.05-0.5%",35.565,28.46,8.82,34.01,52
RC,0250,Linaclotide Cap 145 MCG,13.07,10.46,3.46,11.76,26
RC,0250,Linaclotide Cap 72 MCG,14.77,11.82,3.91,13.29,26
RC,0250,Linagliptin Tab 5 MG,11.02,8.82,2.91,9.92,26
RC,0250,Linezolid For Susp 100 MG/5ML,88.51,70.81,23.41,79.66,26
RC,0250,Linezolid Tab 600 MG,3.12,2.5,0.68,6.43,78
RC,0250,Liothyronine Sodium Tab 25 MCG,1.61,1.29,0.41,1.49,78
RC,0250,Liothyronine Sodium Tab 5 MCG,1.48,1.185,0.35,1.49,104
RC,0250,Liraglutide Soln Pen-injector 18 MG/3ML (6 MG/ML),604.46,483.57500000000005,140.9,608.61,78
RC,0250,Lisdexamfetamine Dimesylate Cap 10 MG,6.62,5.3,0.72,9.79,156
RC,0250,Lisdexamfetamine Dimesylate Cap 30 MG,7.2,5.76,1.02,8.5,78
RC,0250,Lisdexamfetamine Dimesylate Cap 50 MG,3.86,3.09,1.0,8.5,78
RC,0250,Lisinopril Tab 10 MG,1.0350000000000001,0.83,0.27,1.0,130
RC,0250,Lisinopril Tab 2.5 MG,1.23,0.985,0.27,1.31,78
RC,0250,Lisinopril Tab 20 MG,1.045,0.84,0.27,1.0,130
RC,0250,Lithium Carbonate Cap 150 MG,1.13,0.91,0.3,1.02,26
RC,0250,Lithium Carbonate Cap 300 MG,1.045,0.84,0.27,0.95,52
RC,0250,Lithium Carbonate Tab 300 MG,1.15,0.92,0.3,1.04,52
RC,0250,Lithium Carbonate Tab ER 300 MG,1.27,1.02,0.33,1.2,130
RC,0250,Lithium Carbonate Tab ER 450 MG,1.4,1.12,0.36,1.36,130
RC,0250,Loperamide HCl Cap 2 MG,1.335,1.0750000000000002,0.31,1.49,208
RC,0250,Loperamide HCl Soln 1 MG/7.5ML,1.375,1.1,0.34,1.31,52
RC,0250,Loratadine Chew Tab 5 MG,1.89,1.52,0.46,1.76,78
RC,0250,Loratadine Oral Soln 5 MG/5ML,1.15,0.925,0.3,1.04,52
RC,0250,Loratadine Tab 10 MG,1.21,0.975,0.28,1.13,234
RC,0250,Lorazepam Conc 2 MG/ML,25.685000000000002,20.55,6.68,23.5,52
RC,0250,Lorazepam Half-Tab 0.25 MG,1.02,0.82,0.27,0.92,26
RC,0250,Lorazepam Inj 2 MG/ML,39.215,31.375,7.09,46.47,52
RC,0250,Lorazepam Quarter-Tab 0.125 MG,1.1,0.88,0.29,0.99,26
RC,0250,Lorazepam Tab 0.5 MG,1.08,0.865,0.27,1.03,182
RC,0250,Lorazepam Tab 1 MG,1.04,0.835,0.27,1.0,182
RC,0250,Losartan Potassium Tab 100 MG,1.31,1.05,0.28,1.31,182
RC,0250,Losartan Potassium Tab 25 MG,1.225,0.9850000000000001,0.27,1.25,208
RC,0250,Losartan Potassium Tab 50 MG,1.185,0.96,0.28,1.14,182
RC,0250,Loteprednol Etabonate Ophth Susp 0.2%,192.65,154.12,50.96,173.39,26
RC,0250,Loteprednol Etabonate Ophth Susp 0.5%,200.54000000000002,160.435,30.19,201.38,182
RC,0250,Lovastatin Tab 20 MG,1.105,0.89,0.28,1.03,52
RC,0250,Lubiprostone Cap 8 MCG,4.12,3.3000000000000003,0.7,5.04,52
RC,0250,Lubricant Gels - Gel,2.13,1.71,0.56,1.92,26
RC,0250,Lurasidone HCl Tab 40 MG,1.7400000000000002,1.395,0.32,1.92,104
RC,0250,Mafenide Acetate Cream 85 MG/GM,92.19,73.76,24.38,82.97,26
RC,0250,Magnesium Carbonate Liquid 54 MG/5ML (Elemental Mg),26.17,20.94,6.92,23.55,26
RC,0250,Magnesium Chloride Inj 200 MG/ML,397.0,317.6,105.01,357.3,26
RC,0250,Magnesium Chloride Tab DR 64 MG (Elemental Mg),1.07,0.86,0.28,0.96,26
RC,0250,Magnesium Citrate Soln,2.78,2.23,0.58,3.83,286
RC,0250,Magnesium Gluconate Tab 500 MG,1.03,0.83,0.27,0.93,26
RC,0250,Magnesium Hydroxide Susp 400 MG/5ML,2.71,2.17,0.31,2.66,182
RC,0250,Magnesium Oxide Tab 400 MG (240 MG Elemental Mg),1.04,0.835,0.27,0.95,104
RC,0250,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",398.35,318.68,105.36,358.52,26
RC,0250,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),Magnesium Sulfate IV Soln 40 GM",390.8,312.64,103.37,351.72,26
RC,0250,"Magnesium Sulfate Inj 4%,Magnesium Sulfate-Sodium Chloride IV Soln 6 GM/150ML-0.9%",394.88,315.91,104.45,355.39,26
RC,0250,Magnesium Sulfate Oral Granules,2.36,1.89,0.62,2.12,26
RC,0250,Manganese Chloride Inj 0.1 MG/ML,419.16,335.33,110.87,377.24,26
RC,0250,Mannitol IV Soln 20%,404.5,323.6,106.2,390.6,130
RC,0250,Maribavir Tab 200 MG,223.32,178.66,59.07,200.99,26
RC,0250,Meclizine HCl Tab 25 MG,1.2149999999999999,0.9750000000000001,0.28,1.42,156
RC,0250,Medium Chain Triglycerides Oral Oil,71.35,57.08,18.87,64.22,26
RC,0250,Medroxyprogesterone Acetate Tab 10 MG,1.7149999999999999,1.375,0.3,2.07,78
RC,0250,Megestrol Acetate Susp 40 MG/ML,4.255,3.41,0.81,8.6,104
RC,0250,Megestrol Acetate Tab 40 MG,1.1749999999999998,0.945,0.31,1.06,52
RC,0250,Melatonin Liquid 1 MG/ML,6.25,5.0,1.52,6.57,78
RC,0250,Melatonin Tab 3 MG,1.11,0.89,0.27,1.09,286
RC,0250,Melatonin Tab 5 MG,1.14,0.92,0.27,1.05,208
RC,0250,Meloxicam Tab 7.5 MG,1.0750000000000002,0.865,0.27,6.75,208
RC,0250,Memantine HCl Cap ER 24HR 7 MG,3.265,2.615,0.52,4.11,52
RC,0250,Memantine HCl Tab 10 MG,1.31,1.05,0.31,1.27,208
RC,0250,Memantine HCl Tab 5 MG,1.29,1.04,0.29,6.13,182
RC,0250,Menthol Lozenge 5.4 MG,1.09,0.88,0.29,0.98,26
RC,0250,Menthol-Methyl Salicylate Cream,4.779999999999999,3.825,0.99,5.42,104
RC,0250,Menthol-Zinc Oxide Oint 0.44-20.6%,5.86,4.69,1.55,5.27,26
RC,0250,Mercaptopurine Susp 2000 MG/100ML (20 MG/ML),48.77,39.02,12.9,43.89,52
RC,0250,Mercaptopurine Tab 50 MG,2.42,1.94,0.64,2.18,26
RC,0250,Mesalamine Cap DR 400 MG,3.12,2.5,0.65,5.96,130
RC,0250,Mesalamine Cap ER 24HR 0.375 GM,4.0,3.205,1.05,3.64,78
RC,0250,Mesalamine Cap ER 500 MG,5.73,4.59,1.52,5.16,26
RC,0250,Mesalamine Enema 4 GM,34.18,27.35,9.04,30.76,52
RC,0250,Mesalamine Suppos 1000 MG,12.26,9.815000000000001,2.04,25.48,156
RC,0250,Mesalamine Tab Delayed Release 1.2 GM,8.530000000000001,6.83,0.66,8.14,104
RC,0250,Mesalamine Tab Delayed Release 800 MG,9.735,7.790000000000001,1.55,12.25,78
RC,0250,Mesna Tab 400 MG,70.71,56.57,18.7,63.64,26
RC,0250,Metaxalone Tab 800 MG,4.07,3.26,0.45,8.06,156
RC,0250,Metformin HCl Oral Soln 500 MG/5ML,26.85,21.48,7.1,24.17,26
RC,0250,Metformin HCl Tab 1000 MG,1.03,0.83,0.27,0.98,78
RC,0250,Metformin HCl Tab 500 MG,1.0350000000000001,0.8300000000000001,0.27,0.95,52
RC,0250,Metformin HCl Tab 850 MG,1.16,0.93,0.27,1.06,78
RC,0250,Metformin HCl Tab ER 24HR 500 MG,1.26,1.015,0.27,1.37,182
RC,0250,Metformin HCl Tab ER 24HR 750 MG,1.2149999999999999,0.9750000000000001,0.28,1.24,78
RC,0250,Methadone HCl Half-Tab 2.5 MG,1.02,0.82,0.27,0.92,26
RC,0250,Methadone HCl Soln 5 MG/5ML,2.835,2.27,0.34,49.05,130
RC,0250,Methadone HCl Tab 10 MG,1.26,1.01,0.31,1.24,78
RC,0250,Methadone HCl Tab 5 MG,1.1949999999999998,0.96,0.3,1.11,156
RC,0250,Methenamine Hippurate Tab 1 GM,2.3449999999999998,1.8800000000000001,0.45,2.68,78
RC,0250,Methimazole Tab 5 MG,2.835,2.275,0.29,4.13,78
RC,0250,Methocarbamol Tab 500 MG,1.19,0.96,0.28,1.11,286
RC,0250,Methocarbamol Tab 750 MG,1.18,0.95,0.3,1.14,104
RC,0250,Methohexital Sodium For Inj 500 MG,441.11,352.89,116.67,397.0,26
RC,0250,Methylcellulose Powder Laxative,1.045,0.84,0.27,0.95,52
RC,0250,Methylcellulose Tab 500 MG,1.145,0.92,0.3,1.04,52
RC,0250,Methylergonovine Maleate Tab 0.2 MG,19.5,15.6,4.34,35.78,78
RC,0250,Methylphenidate HCl For ER Susp 25 MG/5ML (5 MG/ML),330.64,264.52,76.54,305.46,78
RC,0250,Methylphenidate HCl Half-Tab 2.5 MG,1.05,0.84,0.28,0.95,26
RC,0250,Methylphenidate HCl Soln 5 MG/5ML,25.43,20.35,6.72,22.92,78
RC,0250,Methylphenidate HCl Tab 10 MG,1.295,1.04,0.3,1.89,130
RC,0250,Methylphenidate HCl Tab 5 MG,1.23,0.99,0.29,2.06,130
RC,0250,Methylphenidate TD Patch 10 MG/9HR,11.39,9.12,3.01,10.25,52
RC,0250,Methylphenidate TD Patch 20 MG/9HR,11.39,9.12,3.01,10.25,26
RC,0250,Methylprednisolone Tab Therapy Pack 4 MG (21),547.9100000000001,438.33500000000004,139.65,510.11,104
RC,0250,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),4.67,3.74,0.36,35.69,78
RC,0250,Metoclopramide HCl Tab 10 MG (Base Equivalent),1.07,0.86,0.27,1.39,104
RC,0250,Metoclopramide HCl Tab 5 MG (Base Equivalent),1.04,0.84,0.27,1.38,130
RC,0250,Metolazone Tab 2.5 MG,1.93,1.55,0.38,3.13,130
RC,0250,Metolazone Tab 5 MG,3.76,3.01,0.59,3.56,78
RC,0250,Metoprolol Succinate Half-Tab SR 24HR 12.5 MG,1.36,1.09,0.36,1.22,26
RC,0250,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.47,1.18,0.3,1.85,312
RC,0250,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.33,1.07,0.28,1.53,338
RC,0250,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.33,1.07,0.28,1.47,182
RC,0250,Metoprolol Tartrate Half-Tab 12.5 MG,1.02,0.82,0.27,0.92,26
RC,0250,Metoprolol Tartrate Tab 100 MG,1.025,0.825,0.27,0.93,78
RC,0250,Metoprolol Tartrate Tab 25 MG,1.03,0.83,0.27,0.97,260
RC,0250,Metoprolol Tartrate Tab 50 MG,1.05,0.84,0.27,0.97,130
RC,0250,Metronidazole (Bulk) Powder,406.0,324.8,107.39,365.4,26
RC,0250,Metronidazole Benzoate For Susp 50 MG/ML (Cmpd Kit),26.77,21.42,7.08,24.09,26
RC,0250,Metronidazole Cream 0.75%,143.935,115.15,32.04,150.08,78
RC,0250,Metronidazole Gel 0.75%,77.58500000000001,62.07,12.68,96.5,52
RC,0250,Metronidazole Gel 1%,178.3,142.645,33.65,209.18,104
RC,0250,Metronidazole IV Soln 500 MG/100ML,390.4,312.32,103.23,351.45,52
RC,0250,Metronidazole Tab 250 MG,1.1949999999999998,0.96,0.27,1.16,182
RC,0250,Metronidazole Tab 500 MG,1.45,1.17,0.3,26.06,338
RC,0250,Metronidazole Vaginal Gel 0.75%,104.1,83.28,20.78,109.31,78
RC,0250,Mexiletine HCl Cap 150 MG,1.46,1.17,0.35,2.41,104
RC,0250,Mexiletine HCl Cap 200 MG,1.63,1.31,0.43,1.47,26
RC,0250,Miconazole Nitrate Cream 2%,2.8899999999999997,2.315,0.53,3.38,52
RC,0250,Miconazole Nitrate Ointment 2%,5.734999999999999,4.595000000000001,1.28,5.98,78
RC,0250,Miconazole Nitrate Powder 2%,6.57,5.26,1.41,7.02,52
RC,0250,Miconazole Nitrate Vaginal Cream 2%,6.58,5.27,1.55,6.0,78
RC,0250,Miconazole Nitrate Vaginal Suppos 100 MG,8.31,6.65,2.2,7.48,26
RC,0250,Miconazole Nitrate Vaginal Suppos 200 MG,92.44,73.96,24.45,83.2,26
RC,0250,"Midazolam HCl Inj 10 MG/2ML (Base Equivalent),Midazolam HCl Inj 5 MG/ML (Base Equivalent),Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 MG/ML (Base Equivalent)",50.54,40.44,13.37,45.49,26
RC,0250,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",389.76,311.81,103.09,350.78,26
RC,0250,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),5.51,4.41,0.32,105.65,130
RC,0250,Midodrine HCl Tab 2.5 MG,1.47,1.18,0.35,1.53,182
RC,0250,Midodrine HCl Tab 5 MG,1.44,1.24,0.35,1.94,286
RC,0250,Midostaurin Cap 25 MG,130.03,104.03,33.44,120.27,52
RC,0250,Milnacipran HCl Tab 25 MG,3.1,2.48,0.82,2.79,26
RC,0250,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,394.06,315.25,104.03,355.34,52
RC,0250,Mineral Oil,1.05,0.84,0.28,0.95,26
RC,0250,Mineral Oil Light (Bulk),28.83,23.07,7.63,25.95,52
RC,0250,Minocycline HCl Cap 100 MG,1.6150000000000002,1.295,0.36,1.67,52
RC,0250,Minoxidil Tab 2.5 MG,1.13,0.91,0.3,1.25,104
RC,0250,Mirabegron Tab ER 24 HR 25 MG,13.515,10.815,3.12,13.7,52
RC,0250,Mirtazapine Orally Disintegrating Tab 15 MG,3.2649999999999997,2.615,0.42,4.44,52
RC,0250,Mirtazapine Tab 15 MG,1.1749999999999998,0.9450000000000001,0.28,1.15,182
RC,0250,Mirtazapine Tab 30 MG,1.21,0.97,0.31,1.17,130
RC,0250,Mirtazapine Tab 7.5 MG,2.94,2.36,0.57,2.92,156
RC,0250,Misc. Devices,3.68,2.95,0.68,4.11,130
RC,0250,Misoprostol Half-Tab 50 MCG,1.16,0.93,0.31,1.04,26
RC,0250,Misoprostol Quarter-Tab 25 MCG,1.08,0.87,0.29,0.97,26
RC,0250,Misoprostol Tab 100 MCG,1.5,1.2,0.37,2.66,104
RC,0250,Misoprostol Tab 200 MCG,1.88,1.51,0.44,2.39,182
RC,0250,Modafinil Tab 100 MG,3.685,2.9499999999999997,0.37,6.52,104
RC,0250,Montelukast Sodium Chew Tab 4 MG (Base Equiv),1.43,1.145,0.31,1.53,78
RC,0250,Montelukast Sodium Chew Tab 5 MG (Base Equiv),1.3,1.04,0.32,1.58,104
RC,0250,Montelukast Sodium Oral Granules Packet 4 MG (Base Equiv),4.57,3.66,1.1,4.84,78
RC,0250,Montelukast Sodium Tab 10 MG (Base Equiv),1.15,0.925,0.28,1.13,130
RC,0250,Morphine Sulfate Half-Tab 7.5 MG,1.12,0.9,0.3,1.01,26
RC,0250,Morphine Sulfate IV Soln PF 1 MG/ML,398.27,318.62,105.34,358.44,26
RC,0250,Morphine Sulfate Oral Soln 10 MG/5ML,25.13,20.11,0.27,22.73,78
RC,0250,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),34.0,27.205,0.37,58.57,182
RC,0250,Morphine Sulfate Suppos 10 MG,4.41,3.53,1.17,3.97,26
RC,0250,Morphine Sulfate Tab 15 MG,1.35,1.08,0.31,1.53,104
RC,0250,Morphine Sulfate Tab 30 MG,1.38,1.11,0.29,1.97,104
RC,0250,Morphine Sulfate Tab ER 100 MG,3.965,3.175,0.45,4.14,104
RC,0250,Morphine Sulfate Tab ER 15 MG,1.51,1.21,0.32,1.46,130
RC,0250,Morphine Sulfate Tab ER 30 MG,1.9849999999999999,1.595,0.36,1.95,130
RC,0250,Mouthwashes - Liquid,7.62,6.1,2.02,6.86,26
RC,0250,Moxifloxacin HCl Intraocular Soln 1 MG/ML (Base Equiv),407.5,326.0,107.78,366.75,26
RC,0250,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),41.8,33.445,8.88,46.29,104
RC,0250,Moxifloxacin HCl Tab 400 MG (Base Equiv),7.125,5.699999999999999,1.48,6.84,130
RC,0250,"Multiple Vitamin IV Soln,Pediatric Multiple Vitamins IV Soln",408.62,326.9,106.33,373.73,52
RC,0250,Multiple Vitamin Liquid,1.33,1.07,0.35,1.2,26
RC,0250,Multiple Vitamins w/ Minerals Chew Tab,1.53,1.23,0.4,1.38,26
RC,0250,Multiple Vitamins w/ Minerals Liquid,1.32,1.06,0.27,1.39,78
RC,0250,Multiple Vitamins w/ Minerals Tab,1.0750000000000002,0.865,0.27,1.07,156
RC,0250,Mupirocin Calcium Cream 2%,203.135,162.51,12.74,190.36,104
RC,0250,Mupirocin Oint 2%,34.42,27.54,8.11,49.66,130
RC,0250,Mycophenolate Mofetil For Oral Susp 200 MG/ML,31.25,25.0,7.54,28.56,78
RC,0250,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),405.31,324.25,107.2,364.78,52
RC,0250,Na Chondroit Sulf-Na Hyaluron Pref Syr 20-15 MG/0.5ML,86.21,68.97,22.8,77.59,26
RC,0250,Na Hyaluron & Na Hyaluron-Na Chondroit Sul Op Kit 0.55-0.5ML,113.54,90.84,30.03,102.19,26
RC,0250,Nadolol Tab 20 MG,3.68,2.95,0.83,3.56,104
RC,0250,Nadolol Tab 40 MG,1.2,0.96,0.32,1.08,26
RC,0250,Naloxegol Oxalate Tab 25 MG (Base Equivalent),13.24,10.6,3.5,11.92,26
RC,0250,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,63.07,50.46,16.68,56.76,26
RC,0250,Naltrexone HCl Tab 50 MG,2.4299999999999997,1.945,0.48,3.37,130
RC,0250,Naproxen Sodium Tab 220 MG,1.06,0.85,0.28,0.96,156
RC,0250,Naproxen Susp 125 MG/5ML,33.02,26.42,8.73,29.72,26
RC,0250,Naproxen Tab 250 MG,1.04,0.84,0.27,1.06,104
RC,0250,Naproxen Tab 500 MG,1.06,0.85,0.27,1.04,78
RC,0250,Naratriptan HCl Tab 2.5 MG (Base Equiv),6.06,4.85,1.6,5.45,26
RC,0250,Nateglinide Tab 60 MG,2.005,1.605,0.35,2.43,78
RC,0250,Nebivolol HCl Tab 5 MG (Base Equivalent),1.39,1.12,0.32,3.02,104
RC,0250,Neomycin Sulfate Tab 500 MG,1.6400000000000001,1.315,0.42,1.54,52
RC,0250,Neomycin-Bacitrac Zn-Polymyx 5(3.5)MG-400Unt-10000Unt Op Oin,35.34,28.28,9.35,31.81,26
RC,0250,Neomycin-Bacitracin-Polymyxin Oint,3.56,2.85,0.94,3.2,26
RC,0250,Neomycin-Polymy-Gramicid Op Sol 1.75-10000-0.025MG-UNT-MG/ML,40.69,32.56,10.76,36.62,26
RC,0250,Neomycin-Polymyxin B GU Irrigation Soln,31.97,25.58,8.46,28.77,26
RC,0250,Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1%,32.795,26.240000000000002,7.38,33.9,52
RC,0250,Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1%,34.1,27.28,9.02,30.69,26
RC,0250,Neomycin-Polymyxin-HC Ophth Susp,120.48,96.39,31.87,108.43,26
RC,0250,Neomycin-Polymyxin-HC Otic Susp 3.5 MG/ML-10000 Unit/ML-1%,64.2,51.36,16.98,57.78,26
RC,0250,Nepafenac Ophth Susp 0.1%,316.13,252.91,83.62,284.52,26
RC,0250,Netarsudil Dimesylate Ophth Soln 0.02%,287.8,230.24,76.12,259.02,26
RC,0250,Nevirapine Susp 50 MG/5ML,25.59,20.48,6.77,23.03,26
RC,0250,Niacin Tab 500 MG,1.02,0.82,0.27,0.92,52
RC,0250,Nicotine Polacrilex Gum 2 MG,1.26,1.01,0.33,1.17,130
RC,0250,Nicotine Polacrilex Lozenge 2 MG,1.37,1.1,0.35,1.29,104
RC,0250,Nicotine TD Patch 24HR 14 MG/24HR,2.46,1.9700000000000002,0.61,2.34,104
RC,0250,Nicotine TD Patch 24HR 21 MG/24HR,2.3449999999999998,1.88,0.62,2.73,104
RC,0250,Nicotine TD Patch 24HR 7 MG/24HR,2.83,2.27,0.69,2.73,104
RC,0250,Nifedipine Cap 10 MG,1.78,1.43,0.36,1.61,156
RC,0250,Nifedipine Tab ER 24HR 30 MG,1.21,0.9750000000000001,0.3,1.16,52
RC,0250,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.76,1.415,0.3,4.08,260
RC,0250,Nifedipine Tab ER 24HR Osmotic Release 60 MG,1.7850000000000001,1.435,0.32,2.2,104
RC,0250,Nimodipine Cap 30 MG,2.65,2.12,0.58,4.2,208
RC,0250,Nimodipine Oral Soln 6 MG/ML,59.855000000000004,47.89,10.64,71.52,104
RC,0250,Nitazoxanide For Susp 100 MG/5ML,30.62,24.5,8.1,27.56,26
RC,0250,Nitazoxanide Tab 500 MG,121.67,97.34,32.18,109.5,26
RC,0250,Nitrofurantoin Macrocrystalline Cap 50 MG,2.27,1.82,0.32,2.18,104
RC,0250,Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG,2.7,2.16,0.35,2.83,104
RC,0250,Nitrofurantoin Susp 25 MG/5ML,82.69,66.16,21.87,74.42,26
RC,0250,Nitroglycerin IV Soln 100 MCG/ML in D5W,397.04499999999996,317.64,102.91,364.5,52
RC,0250,Nitroglycerin IV Soln 5 MG/ML,39.99,32.0,10.58,35.99,52
RC,0250,Nitroglycerin Oint 0.4%,510.955,408.77,132.02,470.51,52
RC,0250,Nitroglycerin Oint 2%,17.36,13.895,0.76,28.66,78
RC,0250,Nitroglycerin TD Patch 24HR 0.1 MG/HR,1.49,1.2,0.39,1.34,52
RC,0250,Nitroglycerin TD Patch 24HR 0.2 MG/HR,1.73,1.39,0.42,2.07,104
RC,0250,Nitroglycerin TD Patch 24HR 0.3 MG/HR,10.88,8.71,2.88,9.79,52
RC,0250,Nitroglycerin TD Patch 24HR 0.4 MG/HR,1.66,1.33,0.44,1.5,52
RC,0250,Nitroglycerin TD Patch 24HR 0.6 MG/HR,1.875,1.505,0.45,1.84,78
RC,0250,Nitroglycerin TL Soln 0.4 MG/SPRAY (400 MCG/SPRAY),198.365,158.7,45.76,201.37,52
RC,0250,Nitroprusside Sodium IV Soln 25 MG/ML,403.81,323.05,105.93,369.95,78
RC,0250,"Norepinephrine 32 mcg/mL premix,Norepinephrine-Dextrose IV Solution 8 MG/250ML-5%",416.0,332.8,110.03,374.4,26
RC,0250,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),394.37,315.5,103.74,359.66,208
RC,0250,Norepinephrine-Dextrose IV Solution 8 MG/250ML-5%,416.0,332.8,110.03,374.4,26
RC,0250,Norethindrone Ace & Ethinyl Estradiol Tab 1 MG-20 MCG,1.225,0.985,0.31,1.14,78
RC,0250,Norethindrone Acetate Tab 5 MG,2.54,2.035,0.62,2.46,52
RC,0250,Nortriptyline HCl Cap 10 MG,1.105,0.89,0.29,1.28,156
RC,0250,Nortriptyline HCl Cap 25 MG,1.265,1.11,0.3,1.3,156
RC,0250,Nortriptyline HCl Cap 50 MG,1.31,1.05,0.3,2.06,182
RC,0250,Nortriptyline HCl Soln 10 MG/5ML,29.32,23.46,7.76,26.39,26
RC,0250,Nystatin Cream 100000 Unit/GM,38.5,30.8,8.36,40.86,52
RC,0250,Nystatin Oint 100000 Unit/GM,31.945,25.56,7.33,34.29,104
RC,0250,Nystatin Susp 100000 Unit/ML,2.05,1.64,0.29,22.72,338
RC,0250,Nystatin Topical Powder 100000 Unit/GM,38.02,30.42,7.45,55.2,234
RC,0250,ON-Q PUMP DEVICE,586.5,469.2,137.28,818.1,182
RC,0250,Ofloxacin Ophth Soln 0.3%,34.15,27.32,8.2,49.25,130
RC,0250,Ofloxacin Otic Soln 0.3%,92.49,74.0,7.47,239.13,130
RC,0250,Olanzapine Orally Disintegrating Tab 5 MG,2.74,2.2,0.44,12.02,234
RC,0250,Olanzapine Tab 2.5 MG,1.115,0.895,0.29,1.02,78
RC,0250,Olanzapine Tab 5 MG,1.11,0.89,0.28,1.02,78
RC,0250,Olmesartan Medoxomil Tab 20 MG,1.1600000000000001,0.9299999999999999,0.29,1.11,130
RC,0250,Olmesartan Medoxomil Tab 5 MG,1.07,0.86,0.28,1.08,78
RC,0250,Olopatadine HCl Ophth Soln 0.1% (Base Equivalent),12.41,9.93,1.67,29.33,104
RC,0250,Olopatadine HCl Ophth Soln 0.2% (Base Equivalent),14.879999999999999,11.91,2.1,29.75,104
RC,0250,Omega-3 Fatty Acids - Oral Liquid,1.3,1.045,0.34,1.19,52
RC,0250,Omega-3 Fatty Acids Cap 1000 MG,1.08,0.87,0.28,1.04,156
RC,0250,Omega-3-acid Ethyl Esters Cap 1 GM,2.45,1.9649999999999999,0.33,3.3,52
RC,0250,Omeprazole Cap Delayed Release 10 MG,1.165,0.935,0.28,3.0,156
RC,0250,Omeprazole Cap Delayed Release 20 MG,1.05,0.84,0.27,1.04,234
RC,0250,Omeprazole Cap Delayed Release 40 MG,1.1800000000000002,0.9,0.29,1.2,312
RC,0250,Omeprazole Susp 2 MG/ML (Compound Kit),26.49,21.2,6.62,24.14,78
RC,0250,Omeprazole-Sodium Bicarbonate Powd Pack for Susp 40-1680 MG,14.01,11.215,2.36,17.18,78
RC,0250,Omeprazole-Sodium Bicarbonate for Oral Susp 2-84 MG/ML,30.42,24.34,8.05,27.38,26
RC,0250,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),25.5,20.4,6.74,22.95,26
RC,0250,Ondansetron HCl Tab 4 MG,1.375,1.105,0.31,1.53,156
RC,0250,Ondansetron Orally Disintegrating Tab 4 MG,46.94,37.56,12.42,42.25,26
RC,0250,Ophthalmic Irrigation Solution,3.3,2.645,0.73,3.45,78
RC,0250,Ophthalmic Irrigation Solution - Intraocular,396.56,317.25,104.08,403.2,104
RC,0250,Opium Tincture 1% (10 MG/ML) (Morphine Equiv),14.83,11.865,0.58,24.71,52
RC,0250,Oral Electrolyte Tab,1.05,0.84,0.28,0.95,26
RC,0250,Oral Vehicles,15.19,12.16,4.02,13.67,26
RC,0250,Oral Vehicles - Susp,1.66,1.33,0.44,1.49,26
RC,0250,Oral Vehicles - Syrup,15.19,12.16,4.02,13.67,52
RC,0250,Oral Vehicles For Susp,34.24,27.394999999999996,6.8,38.5,52
RC,0250,Oseltamivir Phosphate Cap 30 MG (Base Equiv),9.280000000000001,7.425,0.74,12.53,182
RC,0250,Oseltamivir Phosphate Cap 75 MG (Base Equiv),9.56,7.65,0.72,11.97,130
RC,0250,Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv),31.97,25.58,7.19,33.07,52
RC,0250,Oxcarbazepine Susp 300 MG/5ML (60 MG/ML),27.93,22.35,7.29,25.27,78
RC,0250,Oxcarbazepine Tab 150 MG,1.31,1.0499999999999998,0.32,1.27,78
RC,0250,Oxcarbazepine Tab 300 MG,1.56,1.25,0.31,7.26,104
RC,0250,Oxybutynin Chloride Solution 5 MG/5ML,25.1,20.08,6.64,22.59,26
RC,0250,Oxybutynin Chloride Tab 5 MG,1.3599999999999999,1.095,0.3,1.38,156
RC,0250,Oxybutynin Chloride Tab ER 24HR 10 MG,1.4,1.12,0.3,2.76,156
RC,0250,Oxybutynin Chloride Tab ER 24HR 5 MG,1.44,1.155,0.31,1.97,104
RC,0250,Oxycodone HCl Conc 100 MG/5ML (20 MG/ML),91.48,73.19,0.35,139.52,104
RC,0250,Oxycodone HCl Half-Tab 2.5 MG,1.27,1.02,0.34,1.14,26
RC,0250,Oxycodone HCl Half-Tab 7.5 MG,1.18,0.95,0.31,1.06,26
RC,0250,Oxycodone HCl Soln 5 MG/5ML,4.665,3.735,0.32,5.54,260
RC,0250,Oxycodone HCl Tab 15 MG,1.2650000000000001,1.0150000000000001,0.31,1.67,260
RC,0250,Oxycodone HCl Tab 5 MG,1.17,0.94,0.28,1.28,286
RC,0250,Oxycodone HCl Tab ER 12HR Deter 10 MG,3.07,2.46,0.81,2.76,26
RC,0250,Oxycodone HCl Tab ER 12HR Deter 15 MG,5.515000000000001,4.415,1.2,5.83,52
RC,0250,Oxycodone HCl Tab ER 12HR Deter 20 MG,5.93,4.75,1.57,5.34,26
RC,0250,Oxycodone HCl Tab ER 12HR Deter 40 MG,8.03,6.43,2.12,7.23,26
RC,0250,Oxycodone HCl Tab ER 12HR Deter 80 MG,15.505,12.41,2.71,18.7,52
RC,0250,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.04,1.635,0.37,2.21,208
RC,0250,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.14,0.92,0.28,1.19,182
RC,0250,Oxymetazoline HCl Nasal Soln 0.05%,4.21,3.37,0.49,7.81,182
RC,0250,PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 240 GM,27.37,21.9,7.24,24.63,26
RC,0250,Paliperidone Tab ER 24HR 3 MG,10.55,8.445,0.69,29.47,104
RC,0250,Paliperidone Tab ER 24HR 9 MG,20.02,16.02,5.3,18.02,26
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 10000-32000-42000 Unit,2836.4,2269.12,750.23,2552.76,26
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 12000-38000-60000 Unit,1513.15,1210.52,37.29,2596.77,52
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 15000-47000-63000 Unit,2929.7,2343.76,774.91,2636.73,26
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 16000-57500-60500 Unit,2826.0,2260.8,747.48,2543.4,26
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 16800-40000-70000 Unit,2738.0,2190.4,724.2,2464.2,26
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 20000-63000-84000 Unit,3151.6,2521.28,833.6,2836.44,26
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 20000-68000-109000 Unit,2898.4,2318.72,766.63,2608.56,26
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 24000-76000-120000 Unit,2120.585,1696.47,297.9,2803.41,52
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 3000-9500-15000 Unit,907.095,725.68,0.5,1631.07,52
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 5000-17000-24000 Unit,2676.9,2141.52,708.04,2409.21,26
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 6000-19000-30000 Unit,1384.3,1107.4399999999998,20.08,2423.43,52
RC,0250,Pancrelipase (Lip-Prot-Amyl) Tab 20880-78300-78300 Unit,3043.3,2434.64,804.95,2738.97,26
RC,0250,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.18,0.95,0.29,1.09,182
RC,0250,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.16,0.935,0.28,1.12,260
RC,0250,Parenteral Electrolyte Conc,391.0,312.8,103.42,351.9,26
RC,0250,Paricalcitol Cap 1 MCG,1.94,1.56,0.51,1.75,26
RC,0250,Paroxetine HCl Oral Susp 10 MG/5ML (Base Equiv),28.43,22.75,7.52,25.59,26
RC,0250,Paroxetine HCl Tab 10 MG,1.37,1.1,0.3,1.43,104
RC,0250,Paroxetine HCl Tab 20 MG,1.12,0.9,0.28,1.07,182
RC,0250,Paroxetine HCl Tab ER 24HR 12.5 MG,1.9900000000000002,1.595,0.41,2.19,52
RC,0250,Patiromer Sorbitex Calcium For Susp Packet 8.4 GM (Base Eq),79.155,63.325,9.34,110.7,52
RC,0250,Pediatric Multiple Vitamin Chew Tab,1.02,0.82,0.27,0.92,26
RC,0250,Pediatric Multiple Vitamin Drops,1.04,0.835,0.27,1.06,104
RC,0250,Pediatric Multiple Vitamin w/ Minerals Chew Tab,1.61,1.29,0.43,1.45,26
RC,0250,Pediatric Multiple Vitamin w/ Minerals Liquid,1.45,1.16,0.38,1.31,26
RC,0250,Pediatric Multiple Vitamins IV Soln,415.25,332.2,106.33,486.32,78
RC,0250,Pediatric Multiple Vitamins w/ Iron Chew Tab 18 MG,1.11,0.89,0.29,1.01,52
RC,0250,Pediatric Multiple Vitamins w/ Iron Drops 11 MG/ML,1.09,0.88,0.28,1.07,104
RC,0250,Penciclovir Cream 1%,611.355,489.09000000000003,117.31,701.26,52
RC,0250,Penicillin V Potassium For Soln 125 MG/5ML,25.11,20.09,6.64,22.6,26
RC,0250,Penicillin V Potassium For Soln 250 MG/5ML,25.06,20.05,6.63,22.55,26
RC,0250,Penicillin V Potassium Tab 250 MG,1.09,0.88,0.28,1.13,78
RC,0250,Penicillin V Potassium Tab 500 MG,1.19,0.96,0.29,1.13,78
RC,0250,Pentosan Polysulfate Sodium Caps 100 MG,8.76,7.01,2.32,7.88,26
RC,0250,Pentoxifylline Tab ER 400 MG,1.17,0.94,0.31,1.05,26
RC,0250,Peppermint Spirit,4.0,3.2,1.06,3.6,26
RC,0250,Perampanel Tab 2 MG,18.875,15.1,4.64,18.18,52
RC,0250,Permethrin Cream 5%,64.96000000000001,51.97,12.44,74.61,52
RC,0250,Permethrin Creme Rinse 1%,10.56,8.45,2.61,14.09,78
RC,0250,Perphenazine Tab 2 MG,1.54,1.2349999999999999,0.35,1.58,52
RC,0250,Phenazopyridine HCl Tab 100 MG,1.3,1.04,0.34,1.17,26
RC,0250,Phenazopyridine HCl Tab 200 MG,1.875,1.505,0.36,2.15,52
RC,0250,Phenelzine Sulfate Tab 15 MG,2.0300000000000002,1.63,0.39,2.32,52
RC,0250,Phenobarbital Elixir 20 MG/5ML,25.84,20.675,6.83,23.27,52
RC,0250,Phenobarbital Tab 32.4 MG,1.395,1.12,0.3,1.49,104
RC,0250,Phenobarbital Tab 60 MG,31.42,25.14,8.31,28.28,26
RC,0250,Phenobarbital Tab 64.8 MG,1.49,1.2,0.31,1.47,104
RC,0250,Phenol Liquid (Bulk),25.03,20.03,6.62,22.53,26
RC,0250,Phenol Liquid 1.4%,3.21,2.5700000000000003,0.69,4.56,104
RC,0250,Phenol Swabs 89%,6.25,5.0,1.65,5.63,26
RC,0250,"Phenylephrine 100 mcg/mL,Phenylephrine-NaCl PF Pref Syr 0.5 MG/5ML-0.9% (100 MCG/ML),Phenylephrine-NaCl PF Pref Syr 1 MG/10ML-0.9% (100 *,Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML),Phen",39.5,31.6,10.45,35.55,26
RC,0250,Phenylephrine HCl Nasal Soln 0.125%,4.36,3.49,1.15,3.92,26
RC,0250,Phenylephrine HCl Nasal Soln 0.25%,4.56,3.65,1.21,4.1,26
RC,0250,Phenylephrine HCl Nasal Soln 0.5%,4.56,3.65,1.21,4.1,26
RC,0250,Phenylephrine HCl Ophth Soln 10%,62.1,49.68,15.68,56.21,78
RC,0250,Phenylephrine HCl Ophth Soln 2.5%,70.05,56.04,12.54,97.64,78
RC,0250,Phenylephrine-Cocoa Butter Suppos 0.25-88.44%,1.2650000000000001,1.0150000000000001,0.31,1.23,52
RC,0250,Phenylephrine-Mineral Oil-Petrolatum Oint 0.25-14-74.9%,3.05,2.4450000000000003,0.76,2.9,52
RC,0250,Phenytoin Chew Tab 50 MG,1.92,1.54,0.36,1.86,156
RC,0250,Phenytoin Sodium Extended Cap 100 MG,1.46,1.17,0.32,2.24,130
RC,0250,Phenytoin Sodium Extended Cap 30 MG,1.7,1.36,0.45,1.53,26
RC,0250,Phenytoin Susp 125 MG/5ML,25.3,20.24,6.68,22.84,78
RC,0250,Phytonadione Inj 10 MG/ML,227.94,182.36,7.76,383.89,52
RC,0250,Phytonadione Inj 2 MG/ML,392.39,313.92,103.79,353.15,26
RC,0250,Phytonadione Tab 5 MG,36.67,29.34,7.17,51.49,78
RC,0250,Pilocarpine HCl Ophth Soln 1%,26.22,20.98,6.94,23.6,26
RC,0250,Pilocarpine HCl Ophth Soln 2%,95.49,76.4,23.38,102.25,78
RC,0250,Pilocarpine HCl Ophth Soln 4%,27.75,22.2,7.34,24.98,26
RC,0250,Pimecrolimus Cream 1%,201.35500000000002,161.085,37.72,234.1,52
RC,0250,Pindolol Tab 5 MG,1.84,1.475,0.44,1.79,104
RC,0250,Pioglitazone HCl Tab 15 MG (Base Equiv),1.15,0.92,0.29,1.74,78
RC,0250,"Piperacillin Sod-Tazobactam Sod in Dex IV Soln 4-0.5GM/100ML,Piperacillin Sod-Tazobactam Sod in Dex IV Soln 2-0.25GM/50ML",396.25,317.0,104.81,356.63,26
RC,0250,Podophyllum Resin Soln 25%,79.2,63.36,20.95,71.28,26
RC,0250,Polidocanol (Laureth-9) Inj 1%,409.97,327.98,108.44,368.97,52
RC,0250,Polyethylene Glycol 3350 Oral Packet 17 GM,2.205,1.77,0.44,222.48,234
RC,0250,Polyethylene Glycol 3350 Oral Powder,1.13,0.91,0.3,1.02,26
RC,0250,Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP,6.0,4.805,1.02,6.04,104
RC,0250,Polyethylene Glycol 400 Ophth Soln 1%,8.11,6.49,2.15,7.3,26
RC,0250,Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%,6.36,5.09,0.9,15.48,130
RC,0250,Polymyxin B Sulfate For Inj 500000 Unit,392.945,314.36,103.81,354.09,78
RC,0250,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML,30.38,24.31,7.98,31.19,78
RC,0250,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%,30.38,24.31,8.0,31.19,78
RC,0250,Polysaccharide Iron Complex Liquid 15 MG/ML (Fe Equiv),22.0,17.6,5.82,19.8,26
RC,0250,Polyvinyl Alcohol Ophth Soln 1.4%,5.97,4.78,1.58,5.37,26
RC,0250,Polyvinyl Alcohol-Povidone (PF) Ophth Soln 1.4-0.6%,1.23,0.99,0.33,1.11,26
RC,0250,Poractant Alfa Intratracheal Susp 120 MG/1.5ML,1393.31,1114.65,368.53,1253.98,26
RC,0250,Poractant Alfa Intratracheal Susp 240 MG/3ML,2614.77,2091.82,691.61,2353.29,26
RC,0250,Posaconazole Susp 40 MG/ML,39.4,31.52,10.42,35.46,26
RC,0250,Posaconazole Tab Delayed Release 100 MG,31.155,24.93,2.08,51.67,182
RC,0250,Pot & Sod Citrates w/ Cit Ac Soln 550-500-334 MG/5ML,25.27,20.22,6.68,22.74,26
RC,0250,Pot & Sod Citrates w/ Cit Ac Syrup 550-500-334 MG/5ML,25.08,20.07,6.63,22.57,26
RC,0250,Pot Phos Monobasic w/Sod Phos Di & Monobas Tab 155-852-130MG,1.31,1.05,0.32,1.19,78
RC,0250,Potassium & Sodium Phosphates Powder Pack 280-160-250 MG,1.335,1.0750000000000002,0.35,1.21,78
RC,0250,Potassium Acetate Inj 2 mEq/ML,394.76,315.81,103.63,368.46,234
RC,0250,Potassium Bicarbonate Effer Tab 25 mEq,1.55,1.24,0.41,1.4,52
RC,0250,Potassium Chloride Inj 2 mEq/ML,392.76,314.21,103.89,353.48,26
RC,0250,Potassium Chloride Microencapsulated Crys ER Tab 10 mEq,1.245,1.0,0.31,1.21,130
RC,0250,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.27,1.05,0.29,1.37,234
RC,0250,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),25.89,20.72,6.85,23.3,26
RC,0250,Potassium Chloride Powder Packet 20 mEq,4.68,3.75,0.64,5.5,260
RC,0250,Potassium Chloride Tab ER 8 mEq (600 MG),1.19,0.96,0.29,1.28,156
RC,0250,Potassium Citrate & Citric Acid Soln 1100-334 MG/5ML,25.15,20.12,6.65,22.64,26
RC,0250,Potassium Citrate Tab ER 10 MEQ (1080 MG),2.13,1.71,0.48,2.83,104
RC,0250,Potassium Citrate Tab ER 5 MEQ (540 MG),1.32,1.06,0.32,1.56,78
RC,0250,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",401.75,321.4,106.26,361.58,26
RC,0250,Potassium Phosphate Monobasic Tab 500 MG,1.415,1.135,0.36,1.32,52
RC,0250,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),411.24,329.0,108.77,370.12,52
RC,0250,Potassium Phosphates Inj 150 mM/50ML (Phos) 220 mEq/50ML (K),489.7,391.76,114.54,448.02,130
RC,0250,Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),400.635,320.51,105.59,383.53,208
RC,0250,Povidone-Iodine Oint 10%,2.7,2.16,0.71,2.43,26
RC,0250,Povidone-Iodine Ophth Soln 5%,33.64,26.92,8.9,30.28,26
RC,0250,Povidone-Iodine Soln 10%,2.775,2.225,0.45,3.46,78
RC,0250,Pramipexole Dihydrochloride Tab 0.125 MG,1.09,0.88,0.28,2.63,78
RC,0250,Pramipexole Dihydrochloride Tab 0.25 MG,1.14,0.92,0.29,1.06,78
RC,0250,Pramipexole Dihydrochloride Tab 0.5 MG,1.07,0.86,0.28,1.46,104
RC,0250,Pramipexole Dihydrochloride Tab 1 MG,1.525,1.225,0.29,1.78,104
RC,0250,Pramoxine-Benzyl Alcohol Gel 1-10%,4.12,3.3,1.09,3.71,26
RC,0250,Pramoxine-HC Cream 1-1%,262.14,209.72,69.34,235.93,26
RC,0250,Prasugrel HCl Tab 10 MG (Base Equiv),1.9700000000000002,1.58,0.33,2.43,104
RC,0250,Pravastatin Sodium Tab 10 MG,1.28,1.03,0.28,1.41,104
RC,0250,Pravastatin Sodium Tab 20 MG,1.15,0.92,0.28,1.41,234
RC,0250,Prazosin HCl Cap 1 MG,2.035,1.63,0.33,2.11,104
RC,0250,Prazosin HCl Cap 2 MG,2.44,1.96,0.56,2.58,130
RC,0250,Prazosin HCl Cap 5 MG,4.01,3.21,1.02,3.75,52
RC,0250,Prednisolone Ace-Moxifloxacin-Bromfenac Op Susp 1-0.5-0.075%,66.8,53.44,17.67,60.12,52
RC,0250,Prednisolone Acetate Ophth Susp 1%,106.75,85.405,13.94,172.37,182
RC,0250,Prednisolone Sod Phos Orally Disintegr Tab 15 MG (Base Eq),29.74,23.8,7.87,26.77,52
RC,0250,Prednisolone Sodium Phosphate Ophth Soln 1%,66.63,53.31,17.62,59.97,26
RC,0250,Prednisolone-Moxifloxacin-Bromfenac Opth Sol 1-0.5-0.075%,75.0,60.0,19.84,67.5,26
RC,0250,Prednisone Oral Soln 5 MG/5ML,26.84,21.48,6.86,24.97,52
RC,0250,Prednisone Tab 1 MG,1.1099999999999999,0.895,0.29,1.1,156
RC,0250,Prednisone Tab 10 MG,1.125,0.89,0.27,22.46,286
RC,0250,Prednisone Tab 2.5 MG,1.0750000000000002,0.86,0.28,0.99,52
RC,0250,Prednisone Tab 20 MG,1.14,0.91,0.29,1.08,312
RC,0250,Prednisone Tab 5 MG,1.105,0.89,0.27,1.04,234
RC,0250,Prednisone Tab 50 MG,1.23,0.985,0.32,1.13,78
RC,0250,Pregabalin Cap 100 MG,2.25,1.8,0.29,10.19,156
RC,0250,Pregabalin Cap 25 MG,1.56,1.25,0.29,6.2,156
RC,0250,Pregabalin Cap 50 MG,2.19,1.76,0.29,6.73,130
RC,0250,Pregabalin Cap 75 MG,1.65,1.32,0.29,1.94,104
RC,0250,Pregabalin Soln 20 MG/ML,100.68,80.55,2.72,811.32,130
RC,0250,Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.8 MG,1.0150000000000001,0.815,0.27,0.92,52
RC,0250,Prenatal Vit w/ Fe Fumarate-FA Tab 28-0.8 MG,1.04,0.84,0.28,0.94,26
RC,0250,Primaquine Phosphate Tab 26.3 MG (15 MG Base),2.13,1.71,0.56,1.92,26
RC,0250,Primidone Tab 250 MG,1.45,1.165,0.35,1.47,104
RC,0250,Primidone Tab 50 MG,1.33,1.07,0.3,1.31,130
RC,0250,Prisma 600201-600200,270.0,216.0,71.42,243.0,104
RC,0250,Probenecid Tab 500 MG,2.13,1.71,0.41,2.15,78
RC,0250,Probiotic Product - Cap,1.6600000000000001,1.33,0.42,1.58,52
RC,0250,Prochlorperazine Maleate Tab 10 MG (Base Equivalent),1.77,1.42,0.34,1.85,104
RC,0250,Prochlorperazine Maleate Tab 5 MG (Base Equivalent),1.98,1.59,0.31,2.03,104
RC,0250,Prochlorperazine Suppos 25 MG,5.8950000000000005,4.72,0.5,8.91,78
RC,0250,Progesterone Cap 100 MG,1.28,1.03,0.33,1.41,78
RC,0250,Progesterone IM in Oil 50 MG/ML,391.75,313.4,103.56,353.12,78
RC,0250,Promethazine HCl Oral Soln 6.25 MG/5ML,25.09,20.08,6.64,22.58,26
RC,0250,Promethazine HCl Suppos 12.5 MG,1.8,1.44,0.48,1.62,52
RC,0250,Promethazine HCl Suppos 25 MG,6.49,5.2,0.37,9.11,78
RC,0250,Promethazine HCl Suppos 50 MG,25.71,20.57,6.8,23.14,52
RC,0250,Promethazine HCl Tab 25 MG,1.17,0.94,0.28,1.1,104
RC,0250,Promethazine w/ Codeine Syrup 6.25-10 MG/5ML,13.08,10.469999999999999,0.29,22.56,52
RC,0250,Propafenone HCl Tab 150 MG,1.2349999999999999,0.99,0.3,1.55,104
RC,0250,Proparacaine HCl Ophth Soln 0.5%,48.175,38.54,10.18,52.07,78
RC,0250,Propranolol HCl Cap ER 24HR 60 MG,2.74,2.2,0.72,2.47,52
RC,0250,Propranolol HCl Cap ER 24HR 80 MG,2.28,1.83,0.32,2.5,78
RC,0250,Propranolol HCl Oral Soln 20 MG/5ML,25.27,20.22,6.68,22.74,26
RC,0250,Propranolol HCl Tab 10 MG,1.21,0.97,0.29,1.13,156
RC,0250,Propranolol HCl Tab 20 MG,1.375,1.105,0.29,1.3,156
RC,0250,Propranolol HCl Tab 40 MG,1.35,1.085,0.3,1.36,130
RC,0250,Propylthiouracil Tab 50 MG,2.365,1.895,0.4,2.89,52
RC,0250,Protein Oral Pack,1.82,1.46,0.48,1.64,26
RC,0250,Prucalopride Succinate Tab 1 MG (Base Equivalent),1.85,1.48,0.49,1.67,26
RC,0250,Prucalopride Succinate Tab 2 MG (Base Equivalent),15.165,12.135,3.42,15.67,52
RC,0250,Pseudoephedrine HCl Tab 30 MG,1.03,0.83,0.27,0.95,78
RC,0250,Psyllium Powder Packet 51.7%,1.41,1.13,0.27,1.31,78
RC,0250,Pyrazinamide Tab 500 MG,4.83,3.87,1.22,5.74,130
RC,0250,Pyridostigmine Bromide IV Soln 10 MG/2ML (5 MG/ML),412.95,330.36,108.76,373.23,52
RC,0250,Pyridostigmine Bromide Oral Soln 60 MG/5ML,449.515,359.62,22.63,732.14,52
RC,0250,Pyridostigmine Bromide Tab 60 MG,1.8,1.4449999999999998,0.43,1.75,130
RC,0250,Pyridoxal-5 Phosphate (Bulk) Powder,93.0,74.4,17.19,108.9,52
RC,0250,Pyridoxine HCl Tab 25 MG,1.01,0.81,0.27,0.91,26
RC,0250,Pyridoxine HCl Tab 50 MG,1.11,0.89,0.29,1.0,26
RC,0250,Pyrimethamine Tab 25 MG,376.0,300.8,99.45,338.4,26
RC,0250,Pyrithione Zinc Shampoo 1%,5.48,4.39,1.45,4.93,26
RC,0250,Quetiapine Fumarate Half-Tab 12.5 MG,1.18,0.95,0.31,1.06,26
RC,0250,Quetiapine Fumarate Tab 100 MG,1.145,0.9199999999999999,0.28,1.48,104
RC,0250,Quetiapine Fumarate Tab 200 MG,1.7650000000000001,1.415,0.29,11.48,104
RC,0250,Quetiapine Fumarate Tab 25 MG,1.07,0.86,0.27,1.04,104
RC,0250,Quetiapine Fumarate Tab ER 24HR 150 MG,1.66,1.33,0.32,13.25,78
RC,0250,Quetiapine Fumarate Tab ER 24HR 200 MG,8.675,6.94,0.33,14.49,52
RC,0250,Quetiapine Fumarate Tab ER 24HR 50 MG,1.63,1.31,0.33,7.78,78
RC,0250,Quinidine Gluconate Tab ER 324 MG,7.26,5.81,1.92,6.53,26
RC,0250,Quinidine Sulfate Tab 300 MG,12.8,10.24,3.39,11.52,26
RC,0250,Quinine Sulfate Cap 324 MG,5.71,4.575,1.36,5.66,52
RC,0250,Rabeprazole Sodium EC Tab 20 MG,1.28,1.03,0.33,2.69,78
RC,0250,Raltegravir Potassium Packet For Susp 100 MG (Base Equiv),30.85,24.68,8.16,27.77,26
RC,0250,Ramipril Cap 1.25 MG,1.29,1.04,0.29,2.05,78
RC,0250,Ramipril Cap 10 MG,3.8899999999999997,3.1149999999999998,0.28,6.05,52
RC,0250,Ranolazine Tab ER 12HR 500 MG,1.41,1.135,0.34,1.98,130
RC,0250,Rasagiline Mesylate Tab 1 MG (Base Equiv),17.16,13.73,3.08,20.4,52
RC,0250,Remifentanil HCl For IV Soln 1 MG,437.39,349.91499999999996,114.18,398.94,182
RC,0250,Remifentanil HCl For IV Soln 5 MG,672.77,538.22,165.42,867.41,156
RC,0250,Ribavirin Tab 200 MG,1.48,1.19,0.39,1.33,26
RC,0250,Riboflavin Tab 50 MG,1.04,0.84,0.28,0.94,26
RC,0250,Rifampin Cap 150 MG,2.8049999999999997,2.25,0.45,3.53,78
RC,0250,Rifampin Cap 300 MG,1.575,1.36,0.38,1.58,130
RC,0250,Rifaximin Tab 200 MG,15.99,12.8,4.23,14.39,26
RC,0250,Rifaximin Tab 550 MG,51.51,41.21,13.62,46.36,52
RC,0250,Rimegepant Sulfate Tab Disint 75 MG,116.84,93.48,30.9,105.16,26
RC,0250,Risperidone Soln 1 MG/ML,25.31,20.255000000000003,6.63,22.99,52
RC,0250,Risperidone Tab 0.25 MG,1.105,0.8899999999999999,0.27,1.07,52
RC,0250,Risperidone Tab 0.5 MG,1.24,1.0,0.28,8.05,130
RC,0250,Risperidone Tab 1 MG,1.245,1.0,0.3,9.18,130
RC,0250,Risperidone Tab 2 MG,1.42,1.1400000000000001,0.34,1.4,52
RC,0250,Ritonavir Oral Soln 80 MG/ML,1419.4,1135.52,375.43,1277.46,26
RC,0250,Ritonavir Tab 100 MG,2.98,2.39,0.64,8.72,104
RC,0250,Rivaroxaban Tab 10 MG,8.06,6.449999999999999,1.03,10.99,78
RC,0250,Rivaroxaban Tab 15 MG,10.81,8.65,2.86,9.73,104
RC,0250,Rivaroxaban Tab 2.5 MG,3.7,2.96,0.98,3.33,52
RC,0250,Rivaroxaban Tab 20 MG,4.02,3.22,0.27,7.58,104
RC,0250,Rivastigmine Tartrate Cap 1.5 MG (Base Equivalent),2.95,2.36,0.47,3.22,78
RC,0250,Rivastigmine Tartrate Cap 3 MG (Base Equivalent),2.7,2.16,0.39,2.66,78
RC,0250,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),2.095,1.68,0.45,2.22,104
RC,0250,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),2.36,1.89,0.61,5.59,130
RC,0250,Rizatriptan Benzoate Tab 10 MG (Base Equivalent),1.88,1.51,0.47,2.16,130
RC,0250,Rocuronium Bromide IV Soln 100 MG/10ML (10 MG/ML),398.08000000000004,318.46500000000003,104.63,360.54,52
RC,0250,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),391.125,312.905,103.32,355.53,520
RC,0250,Rocuronium Bromide IV Soln Pref Syringe 50 MG/5ML (10 MG/ML),396.55,317.24,104.57,359.62,156
RC,0250,Roflumilast Tab 500 MCG,3.45,2.76,0.4,9.18,182
RC,0250,Ropinirole Hydrochloride Tab 0.25 MG,1.34,1.08,0.29,1.32,182
RC,0250,Ropinirole Hydrochloride Tab 1 MG,1.3900000000000001,1.115,0.28,1.32,208
RC,0250,Ropinirole Hydrochloride Tab ER 24HR 2 MG (Base Equivalent),1.78,1.43,0.42,2.68,104
RC,0250,Ropinirole Hydrochloride Tab ER 24HR 8 MG (Base Equivalent),4.91,3.9349999999999996,0.76,6.25,52
RC,0250,Rosuvastatin Calcium Tab 10 MG,1.33,1.0699999999999998,0.29,1.38,208
RC,0250,Rosuvastatin Calcium Tab 5 MG,1.11,0.89,0.28,1.75,156
RC,0250,Rotigotine TD Patch 24HR 1 MG/24HR,525.09,420.08,138.89,472.58,26
RC,0250,Rotigotine TD Patch 24HR 4 MG/24HR,23.06,18.45,6.1,20.75,26
RC,0250,Rufinamide Susp 40 MG/ML,1658.92,1327.14,438.78,1493.03,26
RC,0250,Rufinamide Tab 200 MG,3.09,2.48,0.75,7.22,78
RC,0250,Sacubitril-Valsartan Tab 24-26 MG,11.22,8.98,2.97,10.1,52
RC,0250,Sacubitril-Valsartan Tab 49-51 MG,10.44,8.355,2.47,10.38,52
RC,0250,Sacubitril-Valsartan Tab 97-103 MG,9.235,7.390000000000001,1.92,10.1,52
RC,0250,Salicylic Acid Shampoo 3%,7.83,6.27,2.07,7.05,26
RC,0250,Saline Nasal Aerosol Soln 0.9%,4.53,3.63,1.2,4.08,26
RC,0250,Saline Nasal Gel,3.89,3.12,1.03,3.5,78
RC,0250,Saline Nasal Soln 0.65%,3.4,2.72,0.9,3.06,26
RC,0250,Saline Nasal Spray 0.65%,2.28,1.83,0.45,2.84,78
RC,0250,Saxagliptin HCl Tab 2.5 MG (Base Equiv),10.48,8.39,2.77,9.43,26
RC,0250,Scopolamine TD Patch 72HR 1 MG/3DAYS,12.82,10.26,2.4,37.33,234
RC,0250,Selegiline HCl Cap 5 MG,1.19,0.96,0.31,1.07,26
RC,0250,Selenious Acid Inj 6 MCG/ML (Selenium Equiv),403.35,322.68,106.69,363.02,26
RC,0250,Selenious Acid Inj 60 MCG/ML,579.5,463.6,153.28,521.55,26
RC,0250,Selenious Acid Inj 60 MCG/ML (Selenium Equiv),578.48,462.79,153.01,520.63,26
RC,0250,Sennosides Chew Tab 15 MG,1.16,0.93,0.31,1.04,26
RC,0250,Sennosides Syrup 8.8 MG/5ML,0.6950000000000001,0.56,0.02,1.17,52
RC,0250,Sennosides Tab 8.6 MG,1.03,0.83,0.27,1.04,156
RC,0250,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.08,0.87,0.27,1.21,286
RC,0250,Sertraline HCl Oral Concentrate for Solution 20 MG/ML,26.3,21.04,6.96,23.67,26
RC,0250,Sertraline HCl Tab 100 MG,1.21,0.9750000000000001,0.28,3.33,182
RC,0250,Sertraline HCl Tab 25 MG,1.2650000000000001,1.0150000000000001,0.27,7.13,234
RC,0250,Sertraline HCl Tab 50 MG,1.29,1.04,0.27,1.28,260
RC,0250,Sevelamer Carbonate Packet 0.8 GM,7.17,5.74,0.74,9.8,260
RC,0250,Sevelamer Carbonate Packet 2.4 GM,8.18,6.550000000000001,0.77,15.13,182
RC,0250,Sevelamer Carbonate Tab 800 MG,2.015,1.615,0.34,3.78,208
RC,0250,Sevelamer HCl Tab 400 MG,3.98,3.19,1.05,3.58,26
RC,0250,Sildenafil Citrate For Suspension 10 MG/ML,298.84,239.08,79.04,268.96,26
RC,0250,Sildenafil Citrate IV Soln 10 MG/12.5ML (Base Equivalent),479.38,383.51,126.8,431.44,26
RC,0250,Sildenafil Citrate Tab 20 MG,1.72,1.38,0.3,28.89,156
RC,0250,Silodosin Cap 4 MG,1.78,1.43,0.42,7.9,78
RC,0250,Silodosin Cap 8 MG,1.78,1.43,0.43,7.9,156
RC,0250,Silver Nitrate-Potassium Nitrate Applicator 75-25%,1.35,1.085,0.32,1.33,78
RC,0250,Silver Sulfadiazine Cream 1%,33.25,26.6,7.41,72.18,234
RC,0250,Simethicone Cap 180 MG,1.06,0.855,0.27,0.98,52
RC,0250,Simethicone Chew Tab 80 MG,1.03,0.83,0.27,1.04,156
RC,0250,Simethicone Susp 40 MG/0.6ML,1.155,0.925,0.28,1.15,130
RC,0250,Simple - Syrup,1.02,0.82,0.27,0.92,78
RC,0250,Simvastatin Tab 10 MG,1.07,0.86,0.27,1.06,234
RC,0250,Simvastatin Tab 20 MG,1.08,0.87,0.27,1.03,234
RC,0250,Simvastatin Tab 40 MG,1.0550000000000002,0.85,0.27,1.04,208
RC,0250,Simvastatin Tab 5 MG,1.1,0.885,0.27,1.06,78
RC,0250,Sitagliptin Phosphate Tab 100 MG (Base Equiv),16.95,13.56,4.48,15.26,78
RC,0250,Sitagliptin Phosphate Tab 50 MG (Base Equiv),12.61,10.094999999999999,3.26,11.6,52
RC,0250,Skin Protectants Misc - Cream,5.09,4.08,0.29,11.52,130
RC,0250,Skin Protectants Misc - Ointment,4.77,3.82,1.26,4.29,26
RC,0250,Sodium Acetate Inj 2 mEq/ML,393.8,315.04,103.08,397.08,312
RC,0250,Sodium Benzoate & Sodium Phenylacetate IV Soln 10-10%,8229.505000000001,6583.6050000000005,1323.47,10309.82,52
RC,0250,Sodium Benzoate Powder,25.33,20.27,6.7,22.8,26
RC,0250,Sodium Bicarbonate IV Soln 4.2%,395.23,316.19,7.13,358.15,156
RC,0250,Sodium Bicarbonate Inj 8.4%,397.3,317.84,105.09,357.57,26
RC,0250,Sodium Bicarbonate Tab 650 MG,1.05,0.84,0.27,1.01,156
RC,0250,Sodium Chloride External Soln 0.9%,5.2,4.16,1.38,4.68,26
RC,0250,Sodium Chloride Hypertonic Ophth Oint 5%,13.075,10.46,2.74,14.22,52
RC,0250,Sodium Chloride Hypertonic Ophth Soln 5%,8.33,6.67,1.26,10.69,52
RC,0250,Sodium Chloride IV Soln 0.9%,251.0,200.8,66.39,225.9,26
RC,0250,Sodium Chloride Inj 2.5 mEq/ML (14.6%),392.12,313.7,103.18,352.98,104
RC,0250,Sodium Chloride Inj 3%,393.0,314.4,103.68,354.6,52
RC,0250,Sodium Chloride Inj 4 mEq/ML (23.4%),392.70500000000004,314.16499999999996,103.37,361.35,182
RC,0250,Sodium Chloride Soln Nebu 10%,1.72,1.38,0.45,1.55,26
RC,0250,Sodium Chloride Tab 1 GM,1.065,0.855,0.28,1.05,182
RC,0250,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,13.809999999999999,11.055,0.45,22.82,104
RC,0250,Sodium Citrate Lock Flush IV Soln Pref Syr 120 MG/3ML (4%),6.27,5.02,1.66,5.64,26
RC,0250,Sodium Hyaluronate Intraocular Soln Pref Syr 13.8 MG/0.6ML,135.68,108.55000000000001,35.78,122.47,52
RC,0250,Sodium Hyaluronate Intraocular Soln Pref Syr 15.3 MG/0.85ML,67.0,53.6,17.72,60.3,26
RC,0250,Sodium Hyaluronate Intraocular Soln Pref Syr 5.5 MG/0.55ML,68.65,54.92,18.16,61.79,26
RC,0250,Sodium Hyaluronate Intraocular Soln Pref Syr 8.5 MG/0.85ML,90.87,72.7,24.04,81.78,26
RC,0250,Sodium Hypochlorite Soln 0.125%,10.46,8.370000000000001,0.53,23.04,104
RC,0250,Sodium Hypochlorite Soln 0.25%,9.280000000000001,7.43,2.27,8.99,52
RC,0250,Sodium Hypochlorite Soln 0.5%,11.17,8.940000000000001,2.64,11.12,52
RC,0250,Sodium Phenylbutyrate Oral Powder 3 GM/Teaspoonful,4047.98,3238.39,1070.69,3643.18,26
RC,0250,"Sodium Phosphate Inj 3 MMole/ML,Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),Sodium Phosphates Inj 150 mM/50ML (Phos) 200 mEq/50ML (N",403.0,322.4,106.59,362.7,26
RC,0250,Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),400.755,320.61,104.93,364.31,78
RC,0250,Sodium Polystyrene Sulfonate Powder,87.2,69.76,23.06,78.48,26
RC,0250,Sodium Polystyrene Sulfonate Susp 15 GM/60ML,3.16,2.53,0.84,2.84,26
RC,0250,Sodium Tetradecyl Sulfate Inj 1%,462.04,369.64,122.21,415.84,52
RC,0250,Sodium Tetradecyl Sulfate Inj 3%,423.15999999999997,338.53499999999997,111.37,382.75,78
RC,0250,Sodium Zirconium Cyclosilicate For Susp Packet 10 GM,9.25,7.4,1.2,12.56,78
RC,0250,Sodium Zirconium Cyclosilicate For Susp Packet 5 GM,4.73,3.79,1.25,4.26,52
RC,0250,Soft Contact Lens Products - Solution,2.42,1.94,0.64,2.18,26
RC,0250,Solifenacin Succinate Tab 5 MG,1.31,1.05,0.3,9.0,130
RC,0250,Sorbitol Oral Solution 70%,1.09,0.88,0.29,0.98,26
RC,0250,Sotalol HCl Oral Solution 5 MG/ML,352.0,281.6,93.1,316.8,26
RC,0250,Sotalol HCl Tab 120 MG,1.21,0.9750000000000001,0.3,1.16,52
RC,0250,Sotalol HCl Tab 80 MG,1.23,0.99,0.28,1.84,104
RC,0250,Spironolactone Half-Tab 12.5 MG,1.08,0.87,0.29,0.97,26
RC,0250,Spironolactone Susp 25 MG/5ML,277.76,222.21,73.47,249.98,26
RC,0250,Spironolactone Tab 100 MG,1.415,1.135,0.34,1.4,104
RC,0250,Spironolactone Tab 25 MG,1.1150000000000002,0.895,0.28,1.07,208
RC,0250,Succimer Cap 100 MG,11.3,9.04,2.99,10.17,26
RC,0250,Sucralfate Susp 1 GM/10ML,7.84,6.28,1.51,22.94,234
RC,0250,Sucralfate Tab 1 GM,1.23,0.94,0.3,3.64,208
RC,0250,Sucroferric Oxyhydroxide Chew Tab 500 MG,11.26,9.01,2.98,10.13,26
RC,0250,Sulfacetamide Sodium Ophth Soln 10%,69.85,55.88,18.48,62.87,26
RC,0250,Sulfacetamide Sodium-Prednisolone Ophth Soln 10-0.23(0.25)%,35.63,28.51,9.42,32.07,26
RC,0250,Sulfadiazine Tab 500 MG,15.89,12.72,4.2,14.3,26
RC,0250,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,25.23,20.19,0.42,24.13,130
RC,0250,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.28,1.03,0.28,1.16,130
RC,0250,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.06,0.85,0.28,1.01,104
RC,0250,Sulfasalazine Tab 500 MG,1.17,0.94,0.31,1.74,78
RC,0250,Sulfasalazine Tab Delayed Release 500 MG,2.0149999999999997,1.6199999999999999,0.31,2.56,78
RC,0250,Sulfuric Acid-Sulfonated Phenolics Soln 30-50%,4.92,3.94,1.3,4.43,52
RC,0250,Sumatriptan Nasal Spray 20 MG/ACT,87.94,70.36,18.14,96.56,52
RC,0250,Sumatriptan Succinate Tab 25 MG,2.31,1.85,0.35,2.4,130
RC,0250,Sumatriptan Succinate Tab 50 MG,1.97,1.58,0.37,3.74,156
RC,0250,Suvorexant Tab 5 MG,15.39,12.32,4.07,13.85,52
RC,0250,Suzetrigine Tab 50 MG,15.37,12.3,4.07,13.83,26
RC,0250,Tacrolimus Oint 0.03%,183.04000000000002,146.435,42.61,184.47,52
RC,0250,Tacrolimus Oint 0.1%,133.66,106.93,16.97,190.2,78
RC,0250,Tadalafil Tab 20 MG (PAH),1.75,1.4,0.46,1.58,26
RC,0250,Tadalafil Tab 5 MG,1.43,1.15,0.29,7.49,156
RC,0250,Talc Intrapleural Aerosol Powder 4 GM (0.4 GM/SECOND),151.0,120.8,39.94,135.9,26
RC,0250,Talc Intrapleural Powder 3 GM,192.0,153.6,50.78,172.8,52
RC,0250,Tamoxifen Citrate Tab 10 MG (Base Equivalent),1.24,1.0,0.31,1.22,78
RC,0250,Tamsulosin HCl Cap 0.4 MG,1.23,0.99,0.29,1.32,286
RC,0250,Tapentadol HCl Tab 50 MG,6.94,5.56,1.84,6.25,26
RC,0250,Telmisartan Tab 80 MG,1.495,1.2,0.38,5.74,130
RC,0250,Temazepam Cap 15 MG,1.4,1.125,0.29,1.55,78
RC,0250,Temazepam Cap 7.5 MG,4.495,3.6,0.96,6.5,182
RC,0250,Tenofovir Disoproxil Fumarate Tab 300 MG,3.75,3.0,0.77,16.95,104
RC,0250,Terbinafine HCl Tab 250 MG,1.13,0.91,0.29,1.12,78
RC,0250,Terbutaline Sulfate Inj 1 MG/ML,390.32000000000005,312.26,103.2,351.42,130
RC,0250,Terbutaline Sulfate Tab 2.5 MG,3.0700000000000003,2.46,0.34,4.38,52
RC,0250,Terconazole Vaginal Cream 0.4%,31.71,25.37,8.39,28.54,26
RC,0250,Terconazole Vaginal Cream 0.8%,43.129999999999995,34.51,8.88,47.41,52
RC,0250,Teriparatide Soln Pen-inj 560 MCG/2.24ML,3859.94,3087.96,1020.95,3473.95,26
RC,0250,Tetracaine HCl Inj 1%,418.75,335.005,104.5,398.17,78
RC,0250,Tetracaine HCl Ophth Soln 0.5%,5.65,4.52,1.49,5.09,26
RC,0250,Tetracycline HCl Cap 500 MG,3.9,3.12,0.87,3.65,78
RC,0250,Tetrahydrozoline HCl Ophth Soln 0.05%,4.25,3.4050000000000002,0.73,5.16,52
RC,0250,Theophylline Cap ER 24HR 100 MG,2.41,1.93,0.64,2.17,26
RC,0250,Theophylline Soln 80 MG/15ML,94.53,75.63,25.0,85.08,26
RC,0250,Theophylline Tab ER 12HR 300 MG,2.2,1.76,0.58,1.98,26
RC,0250,Theophylline Tab ER 24HR 400 MG,1.795,1.44,0.46,1.66,52
RC,0250,Thiamine HCl Inj 100 MG/ML,395.21,316.17,103.77,357.53,78
RC,0250,Thiamine Mononitrate Tab 100 MG,1.15,0.92,0.28,1.05,130
RC,0250,Thioguanine Tab 40 MG,350.55,280.44,92.72,315.5,26
RC,0250,Thiothixene Cap 2 MG,1.86,1.49,0.49,1.67,26
RC,0250,Thiothixene Cap 5 MG,2.48,1.99,0.58,2.5,52
RC,0250,Thrombin (Recombinant) For Soln 20000 Unit,187.08,149.67,49.48,168.37,52
RC,0250,Thrombin (Recombinant) For Soln 5000 Unit,69.16499999999999,55.335,16.56,68.14,78
RC,0250,Thrombin For Soln 20000 Unit,231.08,184.87,61.12,207.97,26
RC,0250,Thrombin For Soln 5000 Unit,88.8,71.04,23.49,79.92,26
RC,0250,Thrombin For Soln Kit 20000 Unit,260.55,208.44,68.92,234.5,26
RC,0250,Thyroid Tab 30 MG (1/2 Grain),1.3450000000000002,1.08,0.29,1.42,52
RC,0250,Thyroid Tab 60 MG (1 Grain),1.54,1.24,0.29,1.48,78
RC,0250,Tiagabine HCl Tab 4 MG,6.01,4.81,1.16,5.72,78
RC,0250,Ticagrelor Tab 60 MG,6.79,5.44,1.8,6.11,26
RC,0250,Ticagrelor Tab 90 MG,7.75,6.2,0.38,7.15,130
RC,0250,Timolol Maleate Ophth Gel Forming Soln 0.25%,172.31,137.85,45.52,183.27,78
RC,0250,Timolol Maleate Ophth Gel Forming Soln 0.5%,153.70499999999998,122.97,35.42,167.55,104
RC,0250,Timolol Maleate Ophth Soln 0.25%,27.56,22.05,6.94,26.85,78
RC,0250,Timolol Maleate Ophth Soln 0.5%,29.46,23.57,7.51,26.71,78
RC,0250,Timolol Ophth Soln 0.25%,115.0,92.0,30.42,103.5,26
RC,0250,Timolol Ophth Soln 0.5%,153.535,122.83500000000001,34.63,158.52,52
RC,0250,Tizanidine HCl Tab 2 MG (Base Equivalent),1.53,1.23,0.28,1.55,156
RC,0250,Tizanidine HCl Tab 4 MG (Base Equivalent),1.2650000000000001,1.02,0.28,1.43,130
RC,0250,Tobramycin Nebu Soln 300 MG/5ML,116.48,93.19,30.81,104.83,26
RC,0250,Tobramycin Ophth Oint 0.3%,254.5,203.6,67.32,229.05,26
RC,0250,Tobramycin Ophth Soln 0.3%,31.97,25.58,7.37,32.23,104
RC,0250,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML),389.81,311.85,103.1,350.83,26
RC,0250,Tobramycin-Dexamethasone Ophth Oint 0.3-0.1%,235.9,188.72,62.4,212.31,52
RC,0250,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,66.355,53.085,16.02,62.64,104
RC,0250,Tolnaftate Cream 1%,2.1799999999999997,1.75,0.55,2.05,52
RC,0250,Tolnaftate Powder 1%,3.97,3.18,1.05,3.57,26
RC,0250,Tolvaptan Tab 15 MG,56.66,45.33,13.42,51.12,104
RC,0250,Topiramate Oral Soln 25 MG/ML,642.74,514.2,170.0,578.47,26
RC,0250,Topiramate Tab 100 MG,1.13,0.905,0.28,1.26,182
RC,0250,Topiramate Tab 25 MG,1.09,0.88,0.27,1.11,234
RC,0250,Torsemide Tab 100 MG,1.23,0.99,0.32,1.18,104
RC,0250,Torsemide Tab 20 MG,1.2,0.96,0.29,1.19,156
RC,0250,Torsemide Tab 5 MG,1.24,1.0,0.28,97.2,104
RC,0250,Trace Min (Cr-Cu-Mn-Zn) Inj 0.85-100-25-1500 MCG/ML,393.02,314.42,103.95,353.72,26
RC,0250,Trace Min (Cr-Cu-Mn-Zn) Inj 1-100-25-1000 MCG/ML,394.53,315.63,104.35,355.08,26
RC,0250,Trace Min (Cr-Cu-Mn-Zn) Inj 1-100-30-500 MCG/ML,391.18,312.95,103.47,352.06,26
RC,0250,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML,408.95,327.16,108.17,368.06,26
RC,0250,Trace Min (Cu-Mn-Se-Zn) Inj 60-3-6-1000 MCG/ML,403.37,322.7,106.69,363.03,26
RC,0250,Tramadol HCl Tab 50 MG,1.04,0.835,0.27,1.03,234
RC,0250,Tramadol Hcl Half-Tab 25 MG,1.03,0.83,0.27,0.93,26
RC,0250,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),396.605,317.28999999999996,103.45,361.88,104
RC,0250,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",409.09,327.28,104.62,383.8,78
RC,0250,Tranexamic Acid Tab 650 MG,4.7,3.76,0.84,4.48,104
RC,0250,Tranylcypromine Sulfate Tab 10 MG,2.19,1.76,0.53,2.15,52
RC,0250,Travoprost Ophth Soln 0.004% (Benzalkonium Free) (BAK Free),114.735,91.79,26.67,115.76,52
RC,0250,Trazodone HCl Half-Tab 25 MG,1.01,0.81,0.27,0.91,26
RC,0250,Trazodone HCl Tab 100 MG,1.115,0.9,0.28,1.04,130
RC,0250,Trazodone HCl Tab 150 MG,1.3250000000000002,1.065,0.3,1.23,156
RC,0250,Trazodone HCl Tab 50 MG,1.05,0.86,0.28,0.99,104
RC,0250,Tretinoin Cap 10 MG,22.9,19.32,5.31,23.38,130
RC,0250,Tretinoin Cream 0.025%,55.84,44.68,14.09,76.95,78
RC,0250,Tretinoin Cream 0.05%,53.18,42.55,14.07,47.86,26
RC,0250,Tretinoin Cream 0.1%,98.18,78.55,23.02,98.39,52
RC,0250,Tretinoin Microsphere Gel 0.04%,249.64,199.72,66.03,224.68,26
RC,0250,Tretinoin Microsphere Gel 0.1%,353.92,283.14,60.66,430.65,52
RC,0250,Triamcinolone Acetonide Cream 0.1%,30.92,24.74,6.97,30.13,104
RC,0250,Triamcinolone Acetonide Cream 0.5%,33.09,26.48,8.64,30.29,78
RC,0250,Triamcinolone Acetonide Dental Paste 0.1%,49.92,39.94,11.38,53.4,78
RC,0250,Triamcinolone Acetonide Oint 0.1%,31.68,25.35,7.71,30.71,104
RC,0250,Triamcinolone Acetonide Oint 0.5%,26.61,21.29,7.04,23.95,26
RC,0250,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.455,1.165,0.28,1.68,130
RC,0250,Triamterene Cap 50 MG,9.295,7.44,2.28,8.97,52
RC,0250,Trifluoperazine HCl Tab 1 MG (Base Equivalent),1.34,1.08,0.35,1.21,26
RC,0250,Trifluridine Ophth Soln 1%,145.45,116.36,38.47,130.91,26
RC,0250,Trihexyphenidyl HCl Oral Soln 0.4 MG/ML,44.87,35.9,11.87,40.38,26
RC,0250,Trihexyphenidyl HCl Tab 2 MG,1.095,0.88,0.28,1.03,52
RC,0250,Trolamine Salicylate Cream 10%,5.17,4.14,0.67,5.42,78
RC,0250,Tropicamide Ophth Soln 0.5%,45.7,36.56,12.09,41.13,26
RC,0250,Tropicamide Ophth Soln 1%,17.205000000000002,13.77,0.77,49.23,156
RC,0250,Tropicamide-Cyclopen-PE-Keto Ophth Sol Pref Syr 1-1-2.5-0.5%,21.08,16.87,2.44,29.64,52
RC,0250,Trospium Chloride Cap ER 24HR 60 MG,3.37,2.7,0.89,3.03,26
RC,0250,Trypan Blue Intraocular Soln Pref Syr 0.06%,65.0,52.0,17.19,58.5,26
RC,0250,Tuberculin PPD Inj 5 Unit/0.1ML,394.58,315.67,104.05,356.93,78
RC,0250,Ubiquinol Liposomal Liquid 80 MG/10ML,43.5,34.8,11.51,39.15,26
RC,0250,Ulipristal Acetate Tab 30 MG,34.2,27.36,9.05,30.78,26
RC,0250,Umeclidinium Br Aero Powd Breath Act 62.5 MCG/ACT (Base Eq),398.2,318.56,105.32,358.38,26
RC,0250,Umeclidinium-Vilanterol Aero Powd BA 62.5-25 MCG/ACT,762.51,610.01,201.68,686.26,26
RC,0250,Urea Cream 10%,7.46,5.97,1.97,6.71,26
RC,0250,Urea Cream 20%,7.8,6.24,2.06,7.02,26
RC,0250,Urea Cream 40%,76.68,61.35,17.79,70.5,104
RC,0250,Urea Lotion 10%,7.74,6.2,2.02,7.06,52
RC,0250,Urea Packet 15 GM,5.04,4.04,1.33,4.54,26
RC,0250,Urea-Lactic Acid Cream 10-4%,7.67,6.14,2.03,6.9,26
RC,0250,Ursodiol Cap 300 MG,2.52,2.02,0.37,5.92,182
RC,0250,Ursodiol Tab 250 MG,2.4,1.92,0.39,3.02,130
RC,0250,Valacyclovir HCl Tab 500 MG,1.33,1.07,0.31,11.38,182
RC,0250,Valganciclovir HCl For Soln 50 MG/ML (Base Equiv),191.97,153.58,44.26,246.12,78
RC,0250,Valganciclovir HCl Tab 450 MG (Base Equivalent),19.36,15.49,1.24,52.18,156
RC,0250,Valine Powder,47.0,37.6,12.43,42.3,26
RC,0250,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),3.29,2.64,0.6,22.64,130
RC,0250,Valproic Acid Cap 250 MG,1.185,0.9550000000000001,0.3,1.11,52
RC,0250,Valsartan Tab 160 MG,1.41,1.13,0.32,4.45,156
RC,0250,Valsartan Tab 40 MG,1.77,1.42,0.31,3.17,182
RC,0250,Vancomycin HCl Cap 125 MG (Base Equivalent),2.8899999999999997,2.315,0.6,11.35,182
RC,0250,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),391.51,313.21,103.55,352.36,26
RC,0250,"Vancomycin HCl For IV Soln 1 GM (Base Equivalent),Vancomycin HCl For IV Soln 500 MG (Base Equivalent)",391.42,313.14,103.53,352.28,26
RC,0250,"Vancomycin HCl For Inj 500 MG,Vancomycin HCl For IV Soln 500 MG (Base Equivalent)",395.54,316.44,104.62,355.99,26
RC,0250,Vancomycin HCl For Oral Soln 50 MG/ML (Base Equivalent),28.085,22.47,7.1,26.38,52
RC,0250,Varenicline Tartrate Tab 1 MG (Base Equiv),5.699999999999999,4.5649999999999995,1.47,5.26,52
RC,0250,Vecuronium Bromide For Inj 10 MG,393.59,314.88,103.4,357.26,572
RC,0250,Vecuronium Bromide For Inj 20 MG,399.11,319.29,105.56,359.2,26
RC,0250,Venetoclax Tab 100 MG,103.44,82.76,27.36,93.1,26
RC,0250,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.205,0.97,0.29,1.37,182
RC,0250,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.33,1.07,0.3,1.27,182
RC,0250,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.4,1.125,0.31,17.37,234
RC,0250,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.26,1.01,0.29,1.66,104
RC,0250,Venlafaxine HCl Tab 37.5 MG (Base Equivalent),1.56,1.25,0.29,1.47,78
RC,0250,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.29,1.04,0.29,1.57,130
RC,0250,Verapamil HCl Cap ER 24HR 100 MG,3.7,2.965,0.65,4.44,52
RC,0250,Verapamil HCl Cap ER 24HR 180 MG,2.3,1.845,0.57,2.19,52
RC,0250,Verapamil HCl Cap ER 24HR 240 MG,2.425,1.94,0.6,2.34,52
RC,0250,Verapamil HCl IV Soln 2.5 MG/ML,391.95,313.56,103.62,369.16,260
RC,0250,Verapamil HCl Tab 120 MG,1.0550000000000002,0.845,0.28,0.95,52
RC,0250,Verapamil HCl Tab 80 MG,1.045,0.84,0.28,0.95,52
RC,0250,Verapamil HCl Tab ER 120 MG,1.535,1.23,0.3,1.73,78
RC,0250,Verapamil HCl Tab ER 180 MG,1.16,0.93,0.31,1.04,26
RC,0250,Vilazodone HCl Tab 20 MG,2.28,1.83,0.56,7.28,78
RC,0250,Vilazodone HCl Tab 40 MG,4.95,3.965,0.51,7.18,52
RC,0250,Vitamin A Cap 3 MG (10000 Unit),1.04,0.84,0.28,0.94,26
RC,0250,Vitamin A Inj 15 MG/ML (50000 Unit/ML),1055.28,844.23,279.12,949.75,26
RC,0250,Vitamin E Cap 180 MG (400 Unit),1.16,0.93,0.31,1.04,52
RC,0250,Vitamin E Soln 6.75 MG/0.3ML (15 Unit/0.3ML),13.485,10.790000000000001,0.44,22.79,52
RC,0250,Voriconazole For Susp 40 MG/ML,47.91,38.33,11.73,49.27,78
RC,0250,Voriconazole Tab 200 MG,34.575,27.66,4.75,71.01,104
RC,0250,Voriconazole Tab 50 MG,7.46,5.97,1.63,8.41,130
RC,0250,Vortioxetine HBr Tab 20 MG (Base Equiv),10.83,8.67,2.86,9.75,26
RC,0250,Vortioxetine HBr Tab 5 MG (Base Equiv),10.83,8.67,2.86,9.75,26
RC,0250,Warfarin Sodium Tab 1 MG,1.1949999999999998,0.96,0.3,1.13,130
RC,0250,Warfarin Sodium Tab 10 MG,1.225,0.985,0.31,1.14,130
RC,0250,Warfarin Sodium Tab 2 MG,1.23,0.985,0.31,1.14,156
RC,0250,Warfarin Sodium Tab 2.5 MG,1.205,0.9650000000000001,0.29,1.13,130
RC,0250,Warfarin Sodium Tab 3 MG,1.16,0.93,0.3,1.13,78
RC,0250,Warfarin Sodium Tab 4 MG,1.16,0.93,0.3,1.14,130
RC,0250,Warfarin Sodium Tab 5 MG,1.19,0.9550000000000001,0.28,1.14,156
RC,0250,Warfarin Sodium Tab 6 MG,1.2,0.96,0.3,1.13,104
RC,0250,Warfarin Sodium Tab 7.5 MG,1.255,1.005,0.29,1.23,130
RC,0250,White Petrolatum-Mineral Oil Ophth Ointment,8.735,6.99,0.73,9.37,156
RC,0250,Wound Dressings - Emulsion,43.27,34.62,11.44,38.94,26
RC,0250,Zanamivir Aerosol Powder Breath Activated 5 MG/ACT,1051.54,841.24,278.13,946.39,26
RC,0250,Zidovudine Cap 100 MG,2.14,1.72,0.57,1.93,26
RC,0250,Zidovudine Syrup 10 MG/ML,51.88,41.51,13.72,46.69,26
RC,0250,Zidovudine Tab 300 MG,1.36,1.09,0.36,1.22,26
RC,0250,Zinc Gluconate Tab 50 MG (Elemental Zn),1.025,0.825,0.27,0.94,52
RC,0250,Zinc Oxide Cream 13%,4.53,3.63,1.2,4.08,26
RC,0250,Zinc Oxide Oint 20%,4.91,3.9299999999999997,0.73,6.35,52
RC,0250,Zinc Oxide Paste 40%,4.025,3.225,0.96,3.98,78
RC,0250,Zinc Sulfate Inj 1 MG/ML,405.01,324.01,107.0,364.92,78
RC,0250,Ziprasidone HCl Cap 20 MG,3.52,2.82,0.52,4.7,130
RC,0250,Ziprasidone HCl Cap 80 MG,1.76,1.41,0.4,2.16,78
RC,0250,Zolpidem Tartrate Half-Tab 2.5 MG,2.56,2.05,0.68,2.3,26
RC,0250,Zolpidem Tartrate Tab 5 MG,1.08,0.865,0.27,1.01,156
RC,0250,Zonisamide Cap 100 MG,1.145,0.9199999999999999,0.29,1.24,130
RC,0250,Zonisamide Cap 25 MG,1.0750000000000002,0.865,0.28,0.97,78
RC,0250,Zonisamide Oral Susp 100 MG/5ML (20 MG/ML),37.97,30.38,10.04,34.17,26
RC,0250,insulin HumaLOG diluted 10 units/mL,393.48,314.79,104.08,354.13,26
RC,0250,"sod citrate 4% prefill syringe,Sodium Citrate IV Soln (PF) Prefilled Syringe 4%,Sodium Citrate Lock Flush IV Soln Pref Syr 120 MG/3ML (4%)",6.27,5.02,1.66,5.64,26
RC,0253,Albuterol Sulfate Inhal Aero 108 MCG/ACT,33.36,26.69,8.82,30.02,26
RC,0253,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),17.6,14.08,4.66,15.84,26
RC,0253,Amoxicillin & K Clavulanate Tab 875-125 MG,26.98,21.59,7.14,24.28,26
RC,0253,Azithromycin Tab 250 MG,1.72,1.38,0.45,1.55,26
RC,0253,Cephalexin Cap 500 MG,28.96,23.17,7.66,26.06,52
RC,0253,Chloroquine Phosphate Tab 500 MG,10.4,8.32,2.75,9.36,26
RC,0253,Diazepam Rectal Gel Delivery System 10 MG,233.92,187.14,61.87,210.53,26
RC,0253,Emtricitabine-Tenofovir Disoproxil Fumarate Tab 200-300 MG,1.77,1.42,0.47,1.59,26
RC,0253,Epinephrine Solution Auto-injector 0.15 MG/0.3ML (1:2000),467.53999999999996,374.035,74.51,588.03,52
RC,0253,Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000),642.775,514.22,64.37,937.98,52
RC,0253,Flecainide Acetate Tab 100 MG,1.63,1.31,0.43,1.47,26
RC,0253,Hydrocodone-Acetaminophen Tab 5-325 MG,1.27,1.02,0.34,1.14,26
RC,0253,Lorazepam Tab 1 MG,21.99,17.6,5.82,19.79,26
RC,0253,Methylprednisolone Tab Therapy Pack 4 MG (21),547.47,437.98,144.81,492.72,26
RC,0253,Ondansetron Orally Disintegrating Tab 4 MG,46.94,37.56,12.42,42.25,26
RC,0253,Raltegravir Potassium Tab 400 MG (Base Equiv),22.68,18.15,6.0,20.41,26
RC,0253,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,20.98,16.79,5.55,18.88,26
RC,0258,Dextrose 10% w/ Sodium Chloride 0.2%,169.55,135.64,44.85,152.6,26
RC,0258,Dextrose 10% w/ Sodium Chloride 0.45%,153.4,122.72,40.57,138.06,26
RC,0258,Dextrose 5% w/ Sodium Chloride 0.2%,161.9,129.51999999999998,41.47,150.3,78
RC,0258,Dextrose Inj 10%,158.925,127.14,41.25,149.54,130
RC,0258,Dextrose Inj 20%,167.0,133.6,44.17,150.3,26
RC,0258,Dextrose Inj 25%,396.42499999999995,317.14,102.93,363.33,52
RC,0258,Electrolyte-A Solution,190.8,152.64,50.47,171.72,26
RC,0258,Electrolyte-S (PH 7.4) Solution,160.2,128.16,42.37,144.18,26
RC,0258,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.45% Inj,391.0,312.8,103.42,351.9,52
RC,0258,Lactated Ringer's Solution,156.8,125.44,41.47,141.12,26
RC,0258,SOL COLD STORAGE BELZER UW 1L,2083.0,1666.4,550.95,1874.7,26
RC,0258,Sodium Chloride Inj 0.45%,156.8,125.44,41.47,141.12,26
RC,0270,AEROSOL SUPPLIES,105.0,84.0,27.77,94.5,26
RC,0270,LNR SUCT W SOLIDIFIER DISP,713.0,570.4,188.59,641.7,26
RC,0270,VEST SUPPLIES,904.0,723.2,239.11,813.6,26
RC,0271,ABD BINDER ST TLSO/LSO,150.0,120.0,39.68,135.0,26
RC,0271,ADPTR CIRCUIT TEE 22OD 15ID,539.0,431.2,142.57,485.1,26
RC,0271,ADPTR PK CARDIOHELP PEDS,1658.0,1326.4,438.54,1492.2,26
RC,0271,AID STKNG APPL BIG BUTLER,108.0,86.4,28.57,97.2,26
RC,0271,AID STKNG COMP W HEEL GD 17IN,703.0,562.4,185.94,632.7,26
RC,0271,AIR ASSIST HOVERMATT W COV,275.0,220.0,72.74,247.5,26
RC,0271,AIR ASSIST KT HOVERMATT COVWDG,428.0,342.4,113.21,385.2,26
RC,0271,AIR SLING HOVERMATT W COV,321.0,256.8,84.9,288.9,26
RC,0271,AIR SLING KT HOVERMATT COV WDG,490.0,392.0,129.61,441.0,26
RC,0271,ANES OXYGEN PER MINUTE,1.0,0.8,0.26,0.9,26
RC,0271,BAND WRIST BULLSEYE LG/XL,105.0,84.0,27.77,94.5,26
RC,0271,BAND WRIST BULLSEYE SM/MD,117.0,93.6,30.95,105.3,26
RC,0271,BAND X-TENSION STATICADLT2-4MM,303.0,242.4,80.14,272.7,26
RC,0271,BAT PK MAXDRIVER DISP,1935.0,1548.0,511.81,1741.5,26
RC,0271,BELT LOCK GASTRO 3000 SZ1,675.0,540.0,178.54,607.5,26
RC,0271,BELT LOCK GASTRO 3000 SZ2,675.0,540.0,178.54,607.5,26
RC,0271,BELT LOCK GASTRO 3000 SZ3,675.0,540.0,178.54,607.5,26
RC,0271,BELT LOCK GASTRO 3000 SZ4,675.0,540.0,178.54,607.5,26
RC,0271,BELT MATERNITY SI-LOC LG/XL,126.0,100.8,33.33,113.4,26
RC,0271,BELT STUMP GARTER SZ30-32*NLU*,92.0,73.6,24.33,82.8,26
RC,0271,BG BREATHING RSVR ACCT 3L,551.0,440.8,145.74,495.9,26
RC,0271,BINDER BREAST LINED BLU LG,140.0,112.0,37.03,126.0,26
RC,0271,BINDER BREAST LINED BLU MD,140.0,112.0,37.03,126.0,26
RC,0271,BINDER BREAST LINED PNK XL,126.0,100.8,33.33,113.4,26
RC,0271,BITE BLOCK PREC TONGUE DPRSRSM,754.0,603.2,199.43,678.6,26
RC,0271,BITE BLOCK PREC TONGUEDPRSRSTD,695.0,556.0,183.83,625.5,26
RC,0271,BITE BLOCK PRECISE STD,593.0,474.4,156.85,533.7,26
RC,0271,BLN ANORECTAL EXPULSION AIRH2O,450.0,360.0,119.03,405.0,26
RC,0271,BOOT EQUALIZER WLK LOW LG,99.0,79.2,26.19,89.1,26
RC,0271,BOOT HEEL PREVAL*VAT 6343324*,155.0,124.0,41.0,139.5,26
RC,0271,BOOT HEEL PREVALON W WEDGE,193.0,154.4,51.05,173.7,26
RC,0271,BOOT ROOKE HEEL LIFT OSFM,290.0,232.0,76.71,261.0,26
RC,0271,BRA ANNETTE WIRE OFF WHT 38C,91.0,72.8,24.07,81.9,26
RC,0271,BRA ANNETTE WIRE OFF WHT 40B,91.0,72.8,24.07,81.9,26
RC,0271,BRA ANNETTE WIRE OFF WHT 40C,91.0,72.8,24.07,81.9,26
RC,0271,BRA ANNETTE WIRE OFF WHT 42B,91.0,72.8,24.07,81.9,26
RC,0271,BRA ANNETTE WIRE OFF WHT 46DD,91.0,72.8,24.07,81.9,26
RC,0271,BRA ANNETTE WIRED BLK/NUDE 40C,91.0,72.8,24.07,81.9,26
RC,0271,BRA ANNETTE WIRED BLK/NUDE 42C,91.0,72.8,24.07,81.9,26
RC,0271,BRA ANNETTE WIRED BLK/NUDE 44C,91.0,72.8,24.07,81.9,26
RC,0271,BRA ANNETTE WIRED BLK/NUDE44DD,91.0,72.8,24.07,81.9,26
RC,0271,BRA CAMI MAST VALLETTA BLKSZ14,101.0,80.8,26.71,90.9,26
RC,0271,BRA DIANNA WIREFREE BLK 38A,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE BLK 38AA,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE BLK 38B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE BLK 40A,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE BLK 40B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE BLK 40C,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE BLK 42A,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE BLK 42B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE BLK 42C,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE BLK 44A,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE BLK 44B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 36AA,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 36B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 38A,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 38B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 40A,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 40AA,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 40B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 40C,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 42A,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 42B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 42C,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 44A,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE ROSE 44B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE WHT 34B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE WHT 38B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE WHT 40A,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE WHT 40B,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE WHT 40C,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE WHT 44A,91.0,72.8,24.07,81.9,26
RC,0271,BRA DIANNA WIREFREE WHT 44B,91.0,72.8,24.07,81.9,26
RC,0271,BRA KT POST SURG C/D LG,107.0,85.6,28.3,96.3,26
RC,0271,BRA KT POST SURG C/D MD,107.0,85.6,28.3,96.3,26
RC,0271,BRA KT POST SURG C/D XL,107.0,85.6,28.3,96.3,26
RC,0271,BRA LACE FRONT PNK 38B,120.0,96.0,31.74,108.0,26
RC,0271,BRA LACE FRONT WHT 42A,120.0,96.0,31.74,108.0,26
RC,0271,BRA LISA ANTHRACITE 44B*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA BLK 42A*NLU*,104.0,83.2,27.51,93.6,26
RC,0271,BRA LISA BLU 38A*DISC*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA BLU 38AA*DISC*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA BLU 38B*DISC*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA BLU 38C*DISC*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA BLU 40A*DISC*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA BLU 40B*DISC 6336026*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA BLU 40C*DISC 6336027*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA BLU 42A*DISC 6335305*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA BLU 42B*DISC 6310012*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA BLU 44B*DISC*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA CHAMPAGNE 44B*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA LT BLU 40B*NLU*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA LT BLU 40C*NLU*,96.0,76.8,25.39,86.4,26
RC,0271,BRA LISA PRALINE 38A*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA PRALINE 38B*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA PRALINE 40A*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA PRALINE 40B*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA PRALINE 42B*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA PRALINE 44B*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA PRALINE 46B*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA SOFT ROSE 36A*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA SOFT ROSE 36AA*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA SOFT ROSE 40AA*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA SOFT ROSE 42B*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA SOFT ROSE 44B*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA LISA WHT 44B*NLU*,113.0,90.4,29.89,101.7,26
RC,0271,BRA MAGDALENA WIREFREENUDE38B,97.0,77.6,25.66,87.3,26
RC,0271,BRA MAGDALENA WIREFREENUDE38DD,97.0,77.6,25.66,87.3,26
RC,0271,BRA MAGDALENA WIREFREENUDE40B,97.0,77.6,25.66,87.3,26
RC,0271,BRA MAGDALENA WIREFREENUDE44B,97.0,77.6,25.66,87.3,26
RC,0271,BRA MAST L 40AA*DISC NO REPL*,92.0,73.6,24.33,82.8,26
RC,0271,BRA MAST LARA SATIN BGE 36AA,92.0,73.6,24.33,82.8,26
RC,0271,BRA MAST LARA SATIN BGE 38AA,92.0,73.6,24.33,82.8,26
RC,0271,BRA MAST LARA SATIN BGE 40A,92.0,73.6,24.33,82.8,26
RC,0271,BRA MAST LARA SATIN BLK 38AA,92.0,73.6,24.33,82.8,26
RC,0271,BRA MAST LARA SATIN BLK 40AA,92.0,73.6,24.33,82.8,26
RC,0271,BRA MAST LARA SATIN BLK 42AA,92.0,73.6,24.33,82.8,26
RC,0271,BRA SALVIA CHAMPAGNE 40B*NLU*,143.0,114.4,37.82,128.7,26
RC,0271,BRA SALVIA CHAMPAGNE 42B*NLU*,143.0,114.4,37.82,128.7,26
RC,0271,BRA SALVIA CHAMPAGNE 44B*NLU*,143.0,114.4,37.82,128.7,26
RC,0271,BRA SALVIA CHAMPAGNE 50B*NLU*,143.0,114.4,37.82,128.7,26
RC,0271,BRA SALVIA CHMP 34A*NLU*,143.0,114.4,37.82,128.7,26
RC,0271,BRA SALVIA CHMP 36A*NLU*,143.0,114.4,37.82,128.7,26
RC,0271,BRA SALVIA CHMP 38A*NLU*,143.0,114.4,37.82,128.7,26
RC,0271,BRA SALVIA CHMP 38C*NLU*,143.0,114.4,37.82,128.7,26
RC,0271,BRA SALVIA CHMP 40A*NLU*,143.0,114.4,37.82,128.7,26
RC,0271,BRA SURG DRN VELC ELIZABETH SM,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG DRN VELC ELIZABETH2XL,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG DRN VELC ELIZABETH3XL,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG DRN VELC ELIZABETH4XL,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG DRN VELC ELIZABETH5XL,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG ELIZABETH PNK XS,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC EL*DISC 6337610*,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC EL*DISC 6337611*,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC EL*DISC 6337612*,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC EL*DISC 6337613*,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC EL*DISC 6337614*,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC EL*DISC 6337615*,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC EL*DISC 6337616*,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC EL*DISC 6337617*,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC ELIZABETH LG,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC ELIZABETH MD,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC ELIZABETH XL,96.0,76.8,25.39,86.4,26
RC,0271,BRA SURG VELC FRONT MD 3*NLU*,45.0,36.0,11.9,40.5,26
RC,0271,BRA SURG VELC LG,118.0,94.4,31.21,106.2,26
RC,0271,BRA SURG VELC XL,129.0,103.2,34.12,116.1,26
RC,0271,BRA SURG ZIP BGE 42D/E,119.0,95.2,31.48,107.1,26
RC,0271,BRA VEST SURG BOTH CUPS SZ1,172.0,137.6,45.49,154.8,26
RC,0271,BRA VEST SURG BOTH CUPS SZ2,174.0,139.2,46.02,156.6,26
RC,0271,BRA VEST SURG BOTH CUPS SZ3,174.0,139.2,46.02,156.6,26
RC,0271,BRA VEST SURG BOTH CUPS SZ4,174.0,139.2,46.02,156.6,26
RC,0271,BRA VEST SURG BOTH CUPS SZ5,174.0,139.2,46.02,156.6,26
RC,0271,BRC AFO FX ORTHO TIB LFT MD,959.0,767.2,253.66,863.1,26
RC,0271,BRC ANK TIB ORTHS LG,376.0,300.8,99.45,338.4,26
RC,0271,BRC ANK TIB ORTHS MD,376.0,300.8,99.45,338.4,26
RC,0271,BRC ANK TIB ORTHS SM,376.0,300.8,99.45,338.4,26
RC,0271,BRC BACK INCREDIBRC BLK 2XL,195.0,156.0,51.58,175.5,26
RC,0271,BRC BACK INCREDIBRC BLK 3XL,195.0,156.0,51.58,175.5,26
RC,0271,BRC BACK INCREDIBRC BLK 4XL,195.0,156.0,51.58,175.5,26
RC,0271,BRC BACK INCREDIBRC BLK LG,195.0,156.0,51.58,175.5,26
RC,0271,BRC BACK INCREDIBRC BLK MD,195.0,156.0,51.58,175.5,26
RC,0271,BRC BACK INCREDIBRC BLK XL,195.0,156.0,51.58,175.5,26
RC,0271,BRC ELBOW TSCOPE LFT REG,218.0,174.4,57.66,196.2,26
RC,0271,BRC EXTNDR ARM ELBOW LFT,301.0,240.8,79.61,270.9,26
RC,0271,BRC EXTNDR ARM ELBOW RT,301.0,240.8,79.61,270.9,26
RC,0271,BRC HIP GRY LFT 17-19IN SM,136.0,108.8,35.97,122.4,26
RC,0271,BRC HIP GRY LFT 20-22IN MD,136.0,108.8,35.97,122.4,26
RC,0271,BRC HIP GRY LFT 23-25IN LG,136.0,108.8,35.97,122.4,26
RC,0271,BRC HIP GRY LFT 26-28IN XL,136.0,108.8,35.97,122.4,26
RC,0271,BRC HIP GRY LFT 29-31IN 2XL,136.0,108.8,35.97,122.4,26
RC,0271,BRC HIP GRY RT 17-19IN SM,136.0,108.8,35.97,122.4,26
RC,0271,BRC HIP GRY RT 20-22IN MD,136.0,108.8,35.97,122.4,26
RC,0271,BRC HIP GRY RT 23-25IN LG,136.0,108.8,35.97,122.4,26
RC,0271,BRC HIP GRY RT 26-28IN XL,136.0,108.8,35.97,122.4,26
RC,0271,BRC HIP GRY RT 29-31IN 2XL,136.0,108.8,35.97,122.4,26
RC,0271,BRC KNEE COOL ELS ENHANCE*NLU*,213.0,170.4,56.34,191.7,26
RC,0271,BRC KNEE GENUTRAIN BLK SZ0,157.0,125.6,41.53,141.3,26
RC,0271,BRC KNEE GENUTRAIN BLK SZ1,157.0,125.6,41.53,141.3,26
RC,0271,BRC KNEE GENUTRAIN BLK SZ2,157.0,125.6,41.53,141.3,26
RC,0271,BRC KNEE GENUTRAIN BLK SZ3,157.0,125.6,41.53,141.3,26
RC,0271,BRC KNEE GENUTRAIN BLK SZ4,157.0,125.6,41.53,141.3,26
RC,0271,BRC KNEE GENUTRAIN BLK SZ5,157.0,125.6,41.53,141.3,26
RC,0271,BRC KNEE GENUTRAIN BLK SZ6,157.0,125.6,41.53,141.3,26
RC,0271,BRC KNEE GENUTRAIN BLK SZ7,157.0,125.6,41.53,141.3,26
RC,0271,BRC KNEE INCREDIBRC GRY 3XL,99.0,79.2,26.19,89.1,26
RC,0271,BRC KNEE LAT J LFT XL,100.0,80.0,26.45,90.0,26
RC,0271,BRC KNEE WEB REACTION MD/LG,161.0,128.8,42.58,144.9,26
RC,0271,BRC KNEE WEB REACTION XL/2XL,161.0,128.8,42.58,144.9,26
RC,0271,BRC KNEE WEB REACTION XS/SM,161.0,128.8,42.58,144.9,26
RC,0271,BRC KNEE WEEROM POSTOPUNIVPEDS,282.0,225.6,74.59,253.8,26
RC,0271,BRC SHLDR GRY 11-13IN MD,136.0,108.8,35.97,122.4,26
RC,0271,BRC SHLDR GRY 13-15IN LG,136.0,108.8,35.97,122.4,26
RC,0271,BRC SHLDR GRY 15-18IN XL,136.0,108.8,35.97,122.4,26
RC,0271,BRC SHLDR GRY 9-11IN SM,136.0,108.8,35.97,122.4,26
RC,0271,BRC SHLDR ORTHOSIS MFCII*NLU*,133.0,106.4,35.18,119.7,26
RC,0271,BRC SHLDR SULLY STBL SM,306.0,244.8,80.94,275.4,26
RC,0271,BRC SHLDR SULLY STBL XL,306.0,244.8,80.94,275.4,26
RC,0271,BRC ULNA WRISTWIDGET BLK UNIV,116.0,92.8,30.68,104.4,26
RC,0271,BRUSH CYTO DIMENSION 1.7 120CM,383.0,306.4,101.3,344.7,26
RC,0271,BTL VACUUM PLEURX 1000ML,310.0,248.0,82.0,279.0,26
RC,0271,CANN NASAL OPTIFLOW JR 2 MD,429.0,343.2,113.47,386.1,26
RC,0271,CANN NASAL OPTIFLOW JR 2 SM,429.0,343.2,113.47,386.1,26
RC,0271,CANN NASAL ST PRONG OPTIFLOWJR,412.0,329.6,108.97,370.8,26
RC,0271,CAP DIAPHRAGM SET HFOV 3100A,352.0,281.6,93.1,316.8,26
RC,0271,CAP TOE RDCTN KT CIRCAID BGELG,174.0,139.2,46.02,156.6,26
RC,0271,CAP TOE RDCTN KT CIRCAID BGEXL,174.0,139.2,46.02,156.6,26
RC,0271,CAPSULE PILLCAM AGILE PATENCY,320.0,256.0,84.64,288.0,26
RC,0271,CAPSULE PILLCAM SB-3 12HR,3938.0,3150.4,1041.6,3544.2,26
RC,0271,CAPSULE PILLCAMS B-3 8HR,3938.0,3150.4,1041.6,3544.2,26
RC,0271,CART100MMHG60*DISC NO REPL*,1154.0,923.2,305.23,1038.6,26
RC,0271,CAST SYS TCC-EZ NO BOOT 3IN,296.0,236.8,78.29,266.4,26
RC,0271,CAST SYS TCC-EZ NO BOOT 4IN,299.0,239.2,79.09,269.1,26
RC,0271,CAST SYS TCC-EZ W 1 BOOT 3IN,1821.0,1456.8,481.65,1638.9,26
RC,0271,CAST SYS TCC-EZ W 2 BOOT 3IN,3138.0,2510.4,830.0,2824.2,26
RC,0271,CBL INTERSTIM W/GP,462.0,369.6,122.2,415.8,26
RC,0271,CHARGER KT BAT INCEPTIV,5153.0,4122.4,1362.97,4637.7,26
RC,0271,CHARGER SYS DBS LIBERTA RC,11250.0,9000.0,2975.63,10125.0,26
RC,0271,CHARGER SYS STIM VERCISE,8505.0,6804.0,2249.57,7654.5,26
RC,0271,CHARGING SYS MDTR*NLU*,9225.0,7380.0,2440.01,8302.5,26
RC,0271,CIRCUIT BREATHING ADLT 240CM,477.0,381.6,126.17,429.3,26
RC,0271,CIRCUIT BREATHING NEOVALV300CM,763.0,610.4,201.81,686.7,26
RC,0271,CIRCUIT BREATHING SET 180CM,442.0,353.6,116.91,397.8,26
RC,0271,CIRCUIT EVAQUA DUAL WOFLTRADLT,309.0,247.2,81.73,278.1,26
RC,0271,CIRCUIT HUMIDIFIER FLEX MR850,2329.0,1863.2,616.02,2096.1,26
RC,0271,CIRCUIT MIE SYNCLARA 5PK,300.0,240.0,79.35,270.0,26
RC,0271,CIRCUIT OPTIFLOW JR,484.0,387.2,128.02,435.6,26
RC,0271,CIRCUIT PT HEAT VIVO 45LS,720.0,576.0,190.44,648.0,26
RC,0271,CIRCUIT SPU METANEB W NEB,693.0,554.4,183.3,623.7,26
RC,0271,CIRCUIT VENTILATOR SGL ADLT 72,333.0,266.4,88.08,299.7,26
RC,0271,CLIP IV VESOLOCK MD/LG*NLU*,529.0,423.2,139.92,476.1,26
RC,0271,CNTRLR PT INFINI*DISC 6333197*,5400.0,4320.0,1428.3,4860.0,26
RC,0271,COOLER UNIT CUBE,542.0,433.6,143.36,487.8,26
RC,0271,COOLER UNIT POLAR CARE WAVE,1454.0,1163.2,384.58,1308.6,26
RC,0271,COV CMFT ALLEN,542.0,433.6,143.36,487.8,26
RC,0271,COV FT SOLE RIGID IMPAD LG,508.0,406.4,134.37,457.2,26
RC,0271,COV FT SOLE RIGID IMPAD MD,498.0,398.4,131.72,448.2,26
RC,0271,CRADLE CPAP NASAL AIRFITN30 SM,465.0,372.0,122.99,418.5,26
RC,0271,CUP SUCT LUCAS 2 DISP PK12,400.0,320.0,105.8,360.0,26
RC,0271,CUSH ABDUCTOR KNEE WEDGE *NLU*,277.0,221.6,73.27,249.3,26
RC,0271,CUSH CPAP NASAL DREAMWEARFITPK,462.0,369.6,122.2,415.8,26
RC,0271,CUSH CPAP WISP PEDS MD,348.0,278.4,92.05,313.2,26
RC,0271,CUSH HD CHAMFERED HALF 20X35CM,177.0,141.6,46.82,159.3,26
RC,0271,CUSH HD SUPP ACCUFORM 20X25CM,151.0,120.8,39.94,135.9,26
RC,0271,CUSH HD SUPP ACCUFORM 20X45CM,243.0,194.4,64.27,218.7,26
RC,0271,CUSH HD SUPP ACCUFORM 40X60CM,441.0,352.8,116.64,396.9,26
RC,0271,CUSH HD SUPP CUST TYPE-S,3160.0,2528.0,835.82,2844.0,26
RC,0271,CUSH HD SUPP TYPE-S 55X65CM,525.0,420.0,138.86,472.5,26
RC,0271,CUSH OTN FOR AF541 SM,446.0,356.8,117.97,401.4,26
RC,0271,CUSH WHLCHR CURV 18X18*NLU*,100.0,80.0,26.45,90.0,26
RC,0271,CUTTER DC REMOV SET 12,3633.0,2906.4,960.93,3269.7,26
RC,0271,DEV INJ SUBMUCOSAL ELEVIEW,751.0,600.8,198.64,675.9,26
RC,0271,DEV LMA MADOMIZER BTL ATOMIZER,334.0,267.2,88.34,300.6,26
RC,0271,DEV MON WLK WALKSMART*NLU*,1275.0,1020.0,337.24,1147.5,26
RC,0271,DEV OSKA PULSE PAIN RELIE*NLU*,3192.0,2553.6,844.28,2872.8,26
RC,0271,DEV VASC CLSR FEMOSTOP 4-10FR,828.0,662.4,219.01,745.2,26
RC,0271,ED NITROUS OXIDE,168.0,134.4,44.44,151.2,26
RC,0271,ELTD ARTHRO HOOK 90D,450.0,360.0,119.03,405.0,26
RC,0271,ELTD DEFIB AED POWERHEART G3,1054.0,843.2,278.78,948.6,26
RC,0271,ELTD DEFIB FRX SMART PADS II,358.0,286.4,94.69,322.2,26
RC,0271,ELTD DEFIB MDTR REDI-PAK,336.0,268.8,88.87,302.4,26
RC,0271,ELTD DEFIB RTP MDTR,359.0,287.2,94.96,323.1,26
RC,0271,ELTD DEFIB SMARTPADIII FR3 ST1,294.0,235.2,77.76,264.6,26
RC,0271,ELTD DEFIB STAT-P*DUP 6214900*,484.0,387.2,128.02,435.6,26
RC,0271,ELTD EEG LOW INF*USE 6316619*,333.0,266.4,88.08,299.7,26
RC,0271,ELTD EMG BAR DISP 1.6X0.5,426.0,340.8,112.68,383.4,26
RC,0271,ELTD EMG GRND DISP 1.7X1.25,417.0,333.6,110.3,375.3,26
RC,0271,ELTD EMG KT EASYAIM1 ETTB2.5-5,1275.0,1020.0,337.24,1147.5,26
RC,0271,ELTD EMG UNIGEL DISP,336.0,268.8,88.87,302.4,26
RC,0271,ELTD RF VENOM NIT 100MM*NLU*,8904.0,7123.2,2355.11,8013.6,26
RC,0271,ER O2,341.0,272.8,90.19,306.9,26
RC,0271,FITPAK CPAP DREAMWEAR HDGEARMD,422.0,337.6,111.62,379.8,26
RC,0271,FITPAK CPAP NASAL NOVA MICROSM,490.0,392.0,129.61,441.0,26
RC,0271,FITPAK CPAP NASAL SOLO SM,551.0,440.8,145.74,495.9,26
RC,0271,FITPAK CPAP PILLOW SOLO SM,637.0,509.6,168.49,573.3,26
RC,0271,FLTR WATER TRAP AVEA DISP,361.0,288.8,95.48,324.9,26
RC,0271,FOOTPC INSRT LFT MD,175.0,140.0,46.29,157.5,26
RC,0271,FORM BREAST ABC DIMND LFT SZ10,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST ABC DIMND LFT SZ4,431.0,344.8,114.0,387.9,26
RC,0271,FORM BREAST ABC DIMND LFT SZ5,431.0,344.8,114.0,387.9,26
RC,0271,FORM BREAST ABC DIMND LFT SZ6,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST ABC DIMND LFT SZ9,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST ABC DIMND RT SZ10,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST ABC DIMND RT SZ4,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST ABC DIMND RT SZ5,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST ABC DIMND RT SZ6,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST ABC DIMND RT SZ8,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST ABC DIMND SZ10,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST ABC DIMND SZ3,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST ABC DIMND SZ4,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST ABC DIMND SZ5,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST ABC DIMND SZ6,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST ABC DIMND SZ7,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST ABC DIMND SZ8,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST ABC DIMND SZ9,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST ABC SYM SZ10,274.0,219.2,72.47,246.6,26
RC,0271,FORM BREAST ABC SYM SZ2,274.0,219.2,72.47,246.6,26
RC,0271,FORM BREAST ABC SYM SZ3,274.0,219.2,72.47,246.6,26
RC,0271,FORM BREAST ABC SYM SZ4,274.0,219.2,72.47,246.6,26
RC,0271,FORM BREAST ABC SYM SZ5,393.0,314.4,103.95,353.7,26
RC,0271,FORM BREAST ABC SYM SZ6,393.0,314.4,103.95,353.7,26
RC,0271,FORM BREAST ABC SYM SZ7,393.0,314.4,103.95,353.7,26
RC,0271,FORM BREAST ABC SYM SZ8,363.0,290.4,96.01,326.7,26
RC,0271,FORM BREAST ABC SYM SZ9,274.0,219.2,72.47,246.6,26
RC,0271,FORM BREAST ACTIVE SZ3,91.0,72.8,24.07,81.9,26
RC,0271,FORM BREAST ACTIVE SZ4,91.0,72.8,24.07,81.9,26
RC,0271,FORM BREAST ACTIVE SZ5,91.0,72.8,24.07,81.9,26
RC,0271,FORM BREAST ACTIVE SZ9,91.0,72.8,24.07,81.9,26
RC,0271,FORM BREAST ASYM AIR LFT SZ10,303.0,242.4,80.14,272.7,26
RC,0271,FORM BREAST ASYM AIR LFT SZ7,303.0,242.4,80.14,272.7,26
RC,0271,FORM BREAST ASYM AIR LFT SZ9,303.0,242.4,80.14,272.7,26
RC,0271,FORM BREAST ASYM AIR RT SZ7,303.0,242.4,80.14,272.7,26
RC,0271,FORM BREAST ASYM AIR RT SZ9,363.0,290.4,96.01,326.7,26
RC,0271,FORM BREAST ASYM LRT SZ11,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST ASYM LTWTSZ4,381.0,304.8,100.77,342.9,26
RC,0271,FORM BREAST ASYM RT SZ7,420.0,336.0,111.09,378.0,26
RC,0271,FORM BREAST ASYM RT SZ9,282.0,225.6,74.59,253.8,26
RC,0271,FORM BREAST BASIC LW TRIANGSZ7,237.0,189.6,62.69,213.3,26
RC,0271,FORM BREAST CLASC TRIANG SZ10,467.0,373.6,123.52,420.3,26
RC,0271,FORM BREAST CLASC TRIANG SZ2,467.0,373.6,123.52,420.3,26
RC,0271,FORM BREAST CLASC TRIANG SZ6,467.0,373.6,123.52,420.3,26
RC,0271,FORM BREAST CLASC TRIANG SZ7,467.0,373.6,123.52,420.3,26
RC,0271,FORM BREAST CLASC TRIANG SZ8,467.0,373.6,123.52,420.3,26
RC,0271,FORM BREAST CLASC TRIANG SZ9,467.0,373.6,123.52,420.3,26
RC,0271,FORM BREAST DELTA IVORY SZ0.50,288.0,230.4,76.18,259.2,26
RC,0271,FORM BREAST DELTA IVORY SZ0.75,288.0,230.4,76.18,259.2,26
RC,0271,FORM BREAST DELTA IVORY SZ5/6,288.0,230.4,76.18,259.2,26
RC,0271,FORM BREAST DELTA IVORY SZ7/8,288.0,230.4,76.18,259.2,26
RC,0271,FORM BREAST DELTA IVORY SZ9/10,288.0,230.4,76.18,259.2,26
RC,0271,FORM BREAST DIMND SZ10,519.0,415.2,137.28,467.1,26
RC,0271,FORM BREAST DIMND SZ2,423.0,338.4,111.88,380.7,26
RC,0271,FORM BREAST DIMND SZ6,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST DIMND SZ7,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST DIMND SZ8,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST DIMND SZ9,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST DUAL TRIANG SZ1,297.0,237.6,78.56,267.3,26
RC,0271,FORM BREAST DUAL TRIANG SZ6,375.0,300.0,99.19,337.5,26
RC,0271,FORM BREAST DUAL TRIANG SZ7,297.0,237.6,78.56,267.3,26
RC,0271,FORM BREAST DUAL TRIANG SZ8,393.0,314.4,103.95,353.7,26
RC,0271,FORM BREAST DUAL TRIANG SZ9,354.0,283.2,93.63,318.6,26
RC,0271,FORM BREAST FIRST SZ4,161.0,128.8,42.58,144.9,26
RC,0271,FORM BREAST FIRST SZ5,164.0,131.2,43.38,147.6,26
RC,0271,FORM BREAST FIRST SZ6,161.0,128.8,42.58,144.9,26
RC,0271,FORM BREAST FIRST SZ8,161.0,128.8,42.58,144.9,26
RC,0271,FORM BREAST FIRST SZ9,161.0,128.8,42.58,144.9,26
RC,0271,FORM BREAST FLOWABLE BACK SZ10,303.0,242.4,80.14,272.7,26
RC,0271,FORM BREAST FLOWABLE LFT SZ10,378.0,302.4,99.98,340.2,26
RC,0271,FORM BREAST FLOWABLE LFT SZ11,335.0,268.0,88.61,301.5,26
RC,0271,FORM BREAST FLOWABLE LFT SZ6,385.0,308.0,101.83,346.5,26
RC,0271,FORM BREAST FLOWABLE LFT SZ7,385.0,308.0,101.83,346.5,26
RC,0271,FORM BREAST FLOWABLE LFT SZ8,385.0,308.0,101.83,346.5,26
RC,0271,FORM BREAST FLOWABLE LFT SZ9,385.0,308.0,101.83,346.5,26
RC,0271,FORM BREAST FLOWABLE RT SZ11,335.0,268.0,88.61,301.5,26
RC,0271,FORM BREAST FLOWABLE RT SZ5,385.0,308.0,101.83,346.5,26
RC,0271,FORM BREAST LT 3S IVORY,543.0,434.4,143.62,488.7,26
RC,0271,FORM BREAST LTWT SHAPER SZ8,380.0,304.0,100.51,342.0,26
RC,0271,FORM BREAST MASSA*USE 6281778*,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST MASSAGE AIR S*NLU*,414.0,331.2,109.5,372.6,52
RC,0271,FORM BREAST MASSAGE AIR SZ4,414.0,331.2,109.5,372.6,26
RC,0271,FORM BREAST MASSAGE AIR SZ6,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST MASSAGE AIR SZ7,414.0,331.2,109.5,372.6,26
RC,0271,FORM BREAST MASSAGE SHAPER SZ3,399.0,319.2,105.54,359.1,26
RC,0271,FORM BREAST MASSAGE SHAPER SZ4,399.0,319.2,105.54,359.1,26
RC,0271,FORM BREAST MASSAGE SHAPER SZ5,407.0,325.6,107.65,366.3,26
RC,0271,FORM BREAST MASSAGE SHAPER SZ6,407.0,325.6,107.65,366.3,26
RC,0271,FORM BREAST MASSAGE SZ10,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST MASSAGE SZ3,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST MASSAGE SZ4,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST MASSAGE SZ5,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST MASSAGE SZ6,498.0,398.4,131.72,448.2,26
RC,0271,FORM BREAST MASSAGE SZ7,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST MASSAGE SZ8,519.0,415.2,137.28,467.1,26
RC,0271,FORM BREAST MASSAGE SZ9,507.0,405.6,134.1,456.3,26
RC,0271,FORM BREAST SOFT TRIANG SZ9,404.0,323.2,106.86,363.6,26
RC,0271,FORM BREAST TEARDROP SZ4*NLU*,338.0,270.4,89.4,304.2,26
RC,0271,FORM BREAST TRIANG AIR SZ1,303.0,242.4,80.14,272.7,26
RC,0271,FORM BREAST TRIANG AIR SZ10,378.0,302.4,99.98,340.2,26
RC,0271,FORM BREAST TRIANG AIR SZ9,393.0,314.4,103.95,353.7,26
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ2,368.0,294.4,97.34,331.2,26
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ3,436.0,348.8,115.32,392.4,26
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ4,454.0,363.2,120.08,408.6,26
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ5,454.0,363.2,120.08,408.6,26
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ6,454.0,363.2,120.08,408.6,26
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ7,449.0,359.2,118.76,404.1,26
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ8,454.0,363.2,120.08,408.6,26
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ9,454.0,363.2,120.08,408.6,26
RC,0271,FORM BREAST XTRALT2SNIVORYSZ10,454.0,363.2,120.08,408.6,26
RC,0271,FORM BREAST XTRALT2SNIVORYSZ11,454.0,363.2,120.08,408.6,26
RC,0271,GAS DEL SYS UNIPU*DUP 6348568*,1275.0,1020.0,337.24,1147.5,26
RC,0271,GAS DEL SYS UNIPURE C3F8,1955.0,1564.0,517.1,1759.5,26
RC,0271,GAS DEL SYS UNIPURE SF6,1275.0,1020.0,337.24,1147.5,26
RC,0271,GAS IO ISPAN C3F8 CONSTEL125GM,8851.0,7080.8,2341.09,7965.9,26
RC,0271,GAS IO ISPAN SF6 ACCURUS 20GM,3668.0,2934.4,970.19,3301.2,26
RC,0271,GAS IO ISPAN SF6 CONSTEL 125GM,8851.0,7080.8,2341.09,7965.9,26
RC,0271,GAUNTLET BELLALITE BGE 20-30MD,395.0,316.0,104.48,355.5,26
RC,0271,GD GLENO RVRS BLUEPRINT,4900.0,3920.0,1296.05,4410.0,26
RC,0271,GD PSI 3D HIP MAP-CHECK-PIVOT,11477.0,9181.6,3035.67,10329.3,26
RC,0271,GD REV PLANNING BLUPRINT 3D,540.0,432.0,142.83,486.0,26
RC,0271,GD REV PLANNING VIP,6000.0,4800.0,1587.0,5400.0,26
RC,0271,GD SHLDRGLENOPERFORM+BLUEPRINT,4900.0,3920.0,1296.05,4410.0,26
RC,0271,GENRTR NCPAP-PS VENT NICU,314.0,251.2,83.05,282.6,26
RC,0271,GIRDLE AK WOM BGE LG,197.0,157.6,52.11,177.3,26
RC,0271,GIRDLE AK WOM BLK 3XL,423.0,338.4,111.88,380.7,26
RC,0271,GIRDLE BRIEF MALE BLK 2XL,266.0,212.8,70.36,239.4,26
RC,0271,GIRDLE BRIEF MALE BLK 3XL,266.0,212.8,70.36,239.4,26
RC,0271,GIRDLE BRIEF MALE BLK LG,266.0,212.8,70.36,239.4,26
RC,0271,GIRDLE BRIEF MALE BLK XL,266.0,212.8,70.36,239.4,26
RC,0271,GIRDLE FEMALE BLK*USE 6266080*,145.0,116.0,38.35,130.5,26
RC,0271,GIRDLE FEMALE MD *DISC 6265737,133.0,106.4,35.18,119.7,26
RC,0271,GIRDLE HIGH BIKINI ZIP BGE 2XL,282.0,225.6,74.59,253.8,26
RC,0271,GIRDLE HIGH BIKINI ZIP BGE LG,282.0,225.6,74.59,253.8,26
RC,0271,GIRDLE HIGH BIKINI ZIP BLK 2XL,252.0,201.6,66.65,226.8,26
RC,0271,GIRDLE HIGH BIKINI ZIP BLK 3XL,252.0,201.6,66.65,226.8,26
RC,0271,GIRDLE HIGH BIKINI ZIP BLK 4XL,252.0,201.6,66.65,226.8,26
RC,0271,GIRDLE HIGH BIKINI ZIP BLK LG,252.0,201.6,66.65,226.8,26
RC,0271,GIRDLE HIGH BIKINI ZIP BLK MD,252.0,201.6,66.65,226.8,26
RC,0271,GIRDLE HIGH BIKINI ZIP BLK SM,252.0,201.6,66.65,226.8,26
RC,0271,GIRDLE HIGH BIKINI ZIP BLK XL,252.0,201.6,66.65,226.8,26
RC,0271,GIRDLE MIDCALF WOM BGE 2XL,356.0,284.8,94.16,320.4,26
RC,0271,GIRDLE MIDCALF WOM BGE 3XL,356.0,284.8,94.16,320.4,26
RC,0271,GIRDLE MIDCALF WOM BGE 4XL,308.0,246.4,81.47,277.2,26
RC,0271,GIRDLE MIDCALF WOM BGE LG,356.0,284.8,94.16,320.4,26
RC,0271,GIRDLE MIDCALF WOM BGE MD,356.0,284.8,94.16,320.4,26
RC,0271,GIRDLE MIDCALF WOM BGE SM,356.0,284.8,94.16,320.4,26
RC,0271,GIRDLE MIDCALF WOM BGE XL,356.0,284.8,94.16,320.4,26
RC,0271,GIRDLE MIDCALF WOM BGE XS,356.0,284.8,94.16,320.4,26
RC,0271,GLIDE SHEETPREVALONAIRTAP*CIP*,1190.0,952.0,314.76,1071.0,26
RC,0271,GLIDESHTPREVALONA*VAT 6348452*,1530.0,1224.0,404.69,1377.0,26
RC,0271,GLOVE COMP BELLASTRONG20-30SZ7,205.0,164.0,54.22,184.5,26
RC,0271,GLOVE COMP BGE 20-30 LG,167.0,133.6,44.17,150.3,26
RC,0271,GLOVE COMP BGE 20-30 MD,167.0,133.6,44.17,150.3,26
RC,0271,GLOVE COMP BGE 20-30 SM,167.0,133.6,44.17,150.3,26
RC,0271,GLOVE COMP BGE 20-30 XL,167.0,133.6,44.17,150.3,26
RC,0271,GLOVE COMP OPEN BGE 20-30 SZ2,182.0,145.6,48.14,163.8,26
RC,0271,GLOVE COMP OPEN BGE 20-30 SZ3,182.0,145.6,48.14,163.8,26
RC,0271,GLOVE COMP OPEN BGE 20-30 SZ4,182.0,145.6,48.14,163.8,26
RC,0271,GLOVE COMP OPEN BGE 20-30 SZ6,206.0,164.8,54.49,185.4,26
RC,0271,GLOVE COMP OVRWRST OPEN B*NLU*,201.0,160.8,53.16,180.9,26
RC,0271,GLOVE COMP SOFT BGE 20-30 RTMD,190.0,152.0,50.26,171.0,26
RC,0271,GLOVE COMP WRIST OPEN BGE SZ4,228.0,182.4,60.31,205.2,26
RC,0271,GLOVE COMP WRIST OPEN BGE*NLU*,206.0,164.8,54.49,185.4,26
RC,0271,GLV HARMONY SAND 20-30 SZ2,182.0,145.6,48.14,163.8,26
RC,0271,GLV HARMONY SAND 20-30 SZ5,182.0,145.6,48.14,163.8,26
RC,0271,GLV HARMONY SAND 20-30 SZ6,182.0,145.6,48.14,163.8,26
RC,0271,GLV OF SECURE BGE 15-20 LG,135.0,108.0,35.71,121.5,26
RC,0271,GLV OF SIGSECURE 20-30 BGE LG,135.0,108.0,35.71,121.5,26
RC,0271,GRID PLATE SENTI*DISC 6342427*,389.0,311.2,102.89,350.1,26
RC,0271,HANDPC HYDRODEBRIDER FRNTL,2648.0,2118.4,700.4,2383.2,26
RC,0271,HARNESS PAVLIK 14-16.5IN SM,570.0,456.0,150.77,513.0,26
RC,0271,HARNESS PAVLIK >21IN XL*NLU*,672.0,537.6,177.74,604.8,26
RC,0271,HDBAND EEG CERI ELAS DISP ADLT,4473.0,3578.4,1183.11,4025.7,26
RC,0271,HDGEAR 4PNT AF541A EELK1 UTN,664.0,531.2,175.63,597.6,26
RC,0271,HDGEAR 4PNT AF541B EELK1 UTN,662.0,529.6,175.1,595.8,26
RC,0271,HDGEAR 4PNT AF541C EELK1 UTN,661.0,528.8,174.83,594.9,26
RC,0271,HDGEAR CPAP DREA*DISC NO REPL*,488.0,390.4,129.08,439.2,26
RC,0271,HDGEAR CUSH CPAPDREAMWEARSM/MD,516.0,412.8,136.48,464.4,26
RC,0271,HEEL PROTECT FOOTCHECK PET,102.0,81.6,26.98,91.8,26
RC,0271,HEEL PROTECT ME*SCMVA 6347446*,102.0,81.6,26.98,91.8,26
RC,0271,HEEL PROTECT WD*SCMVA 6347448*,183.0,146.4,48.4,164.7,26
RC,0271,HEEL PROTECT WDG FOOTCHECK STD,114.0,91.2,30.15,102.6,26
RC,0271,HEEL PROTECT WDG FOOTCHECK XL,183.0,146.4,48.4,164.7,26
RC,0271,HEEL PROTECT WDG MEDIX STD,114.0,91.2,30.15,102.6,26
RC,0271,HELMET CRANI SOFT SHELL BLK XL,297.0,237.6,78.56,267.3,26
RC,0271,HELMET CRANI SOFT SHELL BLK XS,297.0,237.6,78.56,267.3,26
RC,0271,HELMET CRANI SOFT SHELL TAN SM,386.0,308.8,102.1,347.4,26
RC,0271,HELMET CRANI SOFT*DUP 6224256*,386.0,308.8,102.1,347.4,26
RC,0271,HLDR CATH SAFE STRIP ANYCLR2PK,350.0,280.0,92.58,315.0,26
RC,0271,HNDL W PISTOL GRIP HAND CTRL,1663.0,1330.4,439.86,1496.7,26
RC,0271,HOSIERY CMFT BGE 20-30 SZ2,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY CMFT BGE 20-30 SZ3,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY CMFT BGE 20-30 SZ4,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY CMFT BGE 20-30 SZ5,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY CMFT BGE 20-30PETSZ2,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY CMFT BGE 20-30PETSZ4,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY CMFT BGE 30-40 SZ3,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY CMFT BGE 30-40PETSZ2,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY CMFT BLK 20-30 SZ3,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY CMFT MAT NAT 15-20 SZ3,109.0,87.2,28.83,98.1,26
RC,0271,HOSIERY CMFT OPEN BGE 20-30SZ1,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY DUOMED BGE 30-40 STDXL,94.0,75.2,24.86,84.6,26
RC,0271,HOSIERY DYNMC BGE 34-46 CUST,591.0,472.8,156.32,531.9,26
RC,0271,HOSIERY EVERSHR HNY 20-30LNGMD,158.0,126.4,41.79,142.2,26
RC,0271,HOSIERY MATERNIT*DISC 6341780*,212.0,169.6,56.07,190.8,26
RC,0271,HOSIERY MATERNITY BGE 20-30SZ2,178.0,142.4,47.08,160.2,26
RC,0271,HOSIERY MATERNITY NAT LG,126.0,100.8,33.33,113.4,26
RC,0271,HOSIERY MATERNITY NAT MD,126.0,100.8,33.33,113.4,26
RC,0271,HOSIERY MATERNITY NAT SM,126.0,100.8,33.33,113.4,26
RC,0271,HOSIERY MATERNITY NAT20-30LG,212.0,169.6,56.07,190.8,26
RC,0271,HOSIERY MATERNITY NAT20-30SM,212.0,169.6,56.07,190.8,26
RC,0271,HOSIERY MATERNITYBGE20-30SZ1,178.0,142.4,47.08,160.2,26
RC,0271,HOSIERY MATERNITYBGE20-30SZ3,178.0,142.4,47.08,160.2,26
RC,0271,HOSIERY MATERNITYBGE20-30SZ4,178.0,142.4,47.08,160.2,26
RC,0271,HOSIERY MATERNITYBGE20-30SZ5,178.0,142.4,47.08,160.2,26
RC,0271,HOSIERY MATERNITYBGE30-40SZ6,178.0,142.4,47.08,160.2,26
RC,0271,HOSIERY MDVN SS NAT20-30STDSZ2,162.0,129.6,42.85,145.8,26
RC,0271,HOSIERY OPQ BLK 20-30 LG,194.0,155.2,51.31,174.6,26
RC,0271,HOSIERY OPQ BLK 20-30 SM,194.0,155.2,51.31,174.6,26
RC,0271,HOSIERY OPQ NAT 20-30 MD,194.0,155.2,51.31,174.6,26
RC,0271,HOSIERY OPQ NAT 30-40 LG,194.0,155.2,51.31,174.6,26
RC,0271,HOSIERY SELECT GLDEN20-30LNGMD,138.0,110.4,36.5,124.2,26
RC,0271,HOSIERY SOFT BGE 20-30 SHRTSZ1,216.0,172.8,57.13,194.4,26
RC,0271,HOSIERY SOFT BGE 20-30 SHRTSZ2,216.0,172.8,57.13,194.4,26
RC,0271,HOSIERY SOFT BGE 20-30 SHRTSZ3,216.0,172.8,57.13,194.4,26
RC,0271,HOSIERY SOFT BGE 20-30 SHRTSZ4,216.0,172.8,57.13,194.4,26
RC,0271,HOSIERY SOFT BGE 30-40 REG SZ3,229.0,183.2,60.57,206.1,26
RC,0271,HOSIERY SOFT BLK CT20-30REGSZ3,229.0,183.2,60.57,206.1,26
RC,0271,HOSIERY SOFT BLKCT20-30SHRTSZ2,229.0,183.2,60.57,206.1,26
RC,0271,HOSIERY ULT BGE 15-20 SM,108.0,86.4,28.57,97.2,26
RC,0271,HOSIERY ULT BGE 20-30 LG,194.0,155.2,51.31,174.6,26
RC,0271,HOSIERY ULT BLK 15-20 MD,108.0,86.4,28.57,97.2,26
RC,0271,HOSIERY ULT BLK 20-30 LG,194.0,155.2,51.31,174.6,26
RC,0271,HOSIERY ULT HNY 20-30 MD,216.0,172.8,57.13,194.4,26
RC,0271,HOSIERY ULT HNY 30-40 MD,197.0,157.6,52.11,177.3,26
RC,0271,HOSIERY ULT NAT 15-20 XL,108.0,86.4,28.57,97.2,26
RC,0271,HOSIERY ULT NAT 20-30 MD,194.0,155.2,51.31,174.6,26
RC,0271,HOSIERY ULT NAT 20-30 XL,194.0,155.2,51.31,174.6,26
RC,0271,HOSIERY ULT NAVY 15-20 MD,129.0,103.2,34.12,116.1,26
RC,0271,HOSIERY WOM BLK 20-30 MD SHRT,158.0,126.4,41.79,142.2,26
RC,0271,HOSIERY WOM HNY 20-30 MD SHRT,158.0,126.4,41.79,142.2,26
RC,0271,HOSIERY WOM MOCHA 20-30 MDSHRT,158.0,126.4,41.79,142.2,26
RC,0271,HOSIERYMATERNITYPETBGE20-30SZ2,178.0,142.4,47.08,160.2,26
RC,0271,HOSIERYMATERNITYPETBGE20-30SZ3,178.0,142.4,47.08,160.2,26
RC,0271,HOSIERYMATERNITYPETBGE20-30SZ4,178.0,142.4,47.08,160.2,26
RC,0271,HOSIERYMATERNITYPETBGE20-30SZ5,178.0,142.4,47.08,160.2,26
RC,0271,HUMIDIFIER CPAP HEATED HC550,5362.0,4289.6,1418.25,4825.8,26
RC,0271,HUMIDIFIER KT RESP UNFILLED480,1913.0,1530.4,505.99,1721.7,26
RC,0271,IMMOB AIR WLK FM*DISC 6333055*,123.0,98.4,32.53,110.7,26
RC,0271,INSOLE GLOBOTEC CHILD SZ10-11,128.0,102.4,33.86,115.2,26
RC,0271,INSOLE GLOBOTEC CHILD SZ12-13,128.0,102.4,33.86,115.2,26
RC,0271,INSOLE GLOBOTEC CHILD SZ13.5-1,128.0,102.4,33.86,115.2,26
RC,0271,INSOLE GLOBOTEC CHILD SZ7-7.5,144.0,115.2,38.09,129.6,26
RC,0271,INSOLE GLOBOTEC CHILD SZ8-9,128.0,102.4,33.86,115.2,26
RC,0271,INSOLE GLOBOTEC JR ADLT SZ4-5,128.0,102.4,33.86,115.2,26
RC,0271,INSOLE GLOBOTEC YTH SZ2-3,128.0,102.4,33.86,115.2,26
RC,0271,INSOLE STEEL TURF MEN SZ11,123.0,98.4,32.53,110.7,26
RC,0271,INSOLE STEEL TURF MEN SZ12,123.0,98.4,32.53,110.7,26
RC,0271,INSOLE STEEL TURF MEN SZ9,123.0,98.4,32.53,110.7,26
RC,0271,INSOLE STEEL TURF WOM SZ8,123.0,98.4,32.53,110.7,26
RC,0271,INSOLE STEEL TURF WOM SZ9,123.0,98.4,32.53,110.7,26
RC,0271,JAW REHAB SYS THERABITE ADLT,3654.0,2923.2,966.48,3288.6,26
RC,0271,JAW REHAB SYS THERABITE PEDS,3654.0,2923.2,966.48,3288.6,26
RC,0271,KT BACKPACK PUMP IN STYLE,1443.0,1154.4,381.67,1298.7,26
RC,0271,KT CHARGER SENZA STIM,4800.0,3840.0,1269.6,4320.0,26
RC,0271,KT CHARGING PREC PLUS,10679.0,8543.2,2824.6,9611.1,26
RC,0271,KT CPAP MASK HEADGEAR OPUS 360,618.0,494.4,163.46,556.2,26
RC,0271,KT CPAP NASAL PILLOW MASK OSFM,480.0,384.0,126.96,432.0,26
RC,0271,KT CRANIOLOC PAK,533.0,426.4,140.98,479.7,26
RC,0271,KT HEADER GENRTR EXTL PULSE,3040.0,2432.0,804.08,2736.0,26
RC,0271,KT METRO BG PUMP IN STYLE*NLU*,1661.0,1328.8,439.33,1494.9,26
RC,0271,KT O2 OPTIFLOW,618.0,494.4,163.46,556.2,26
RC,0271,KT OPEN-CIRCUIT PHASITRON DISP,4690.0,3752.0,1240.51,4221.0,26
RC,0271,KT PT CARE JACKSON LG,396.0,316.8,104.74,356.4,26
RC,0271,KT PUMP BREAST S*DISC 6228604*,92.0,73.6,24.33,82.8,26
RC,0271,KT TOTE PUMP IN STYLE,1443.0,1154.4,381.67,1298.7,26
RC,0271,KT TOTE PUMP IN STYLE PK3*NLU*,1360.0,1088.0,359.72,1224.0,26
RC,0271,KT VENTILATOR IVP PHASITRON,855.0,684.0,226.15,769.5,26
RC,0271,LABOR NITROUS OXIDE,80.0,64.0,21.16,72.0,26
RC,0271,LABOR O2,24.0,19.2,6.35,21.6,26
RC,0271,LEGGING COMP BLK 15-20 SZ1,122.0,97.6,32.27,109.8,26
RC,0271,LEGGING COMP BLK 15-20 SZ2,122.0,97.6,32.27,109.8,26
RC,0271,LEGGING COMP BLK 15-20 SZ3,122.0,97.6,32.27,109.8,26
RC,0271,LEGGING COMP BLK 15-20 SZ4,122.0,97.6,32.27,109.8,26
RC,0271,LEGGING COMP BLK 15-20 SZ5,122.0,97.6,32.27,109.8,26
RC,0271,LEGGINGS SFT BLK 15-20 C,117.0,93.6,30.95,105.3,26
RC,0271,LENS GOINIO IPRISM S DISP LFT,570.0,456.0,150.77,513.0,26
RC,0271,LEOTARD MEN ADJ BGE 30-40 SZ3,585.0,468.0,154.73,526.5,26
RC,0271,LNR PANTALOON DELTA DRY SZ1,1097.0,877.6,290.16,987.3,26
RC,0271,LNR PANTALOON DELTA DRY SZ2,1129.0,903.2,298.62,1016.1,26
RC,0271,LNR PANTALOON DELTA DRY SZ3,1129.0,903.2,298.62,1016.1,26
RC,0271,LNR REPL AFO STD TEAL ADLT,121.0,96.8,32.0,108.9,26
RC,0271,LNR STKNG KNEE ULCEROTZIPBGERT,105.0,84.0,27.77,94.5,26
RC,0271,MAGGOT,405.0,324.0,107.12,364.5,26
RC,0271,MASK CPAP ACTIVA LT LG,470.0,376.0,124.32,423.0,26
RC,0271,MASK CPAP ACTIVA LT LG WIDE,470.0,376.0,124.32,423.0,26
RC,0271,MASK CPAP AF531 NEB 1ELBOW LG,678.0,542.4,179.33,610.2,26
RC,0271,MASK CPAP AIRFIT F10 FOR HERSM,675.0,540.0,178.54,607.5,26
RC,0271,MASK CPAP AIRFIT F10 W HEADGEA,713.0,570.4,188.59,641.7,26
RC,0271,MASK CPAP AIRFIT F20 FOR HERMD,656.0,524.8,173.51,590.4,26
RC,0271,MASK CPAP AIRFIT F20 FOR HERSM,656.0,524.8,173.51,590.4,26
RC,0271,MASK CPAP AIRFIT F20 FULL LG,656.0,524.8,173.51,590.4,26
RC,0271,MASK CPAP AIRFIT F20 FULL MD,656.0,524.8,173.51,590.4,26
RC,0271,MASK CPAP AIRTOUCH N20 LG,400.0,320.0,105.8,360.0,26
RC,0271,MASK CPAP AIRTOUCH N20 MD,400.0,320.0,105.8,360.0,26
RC,0271,MASK CPAP AMAR*DISC NO REPL*,687.0,549.6,181.71,618.3,26
RC,0271,MASK CPAP AMARA *DISC 6352973*,687.0,549.6,181.71,618.3,26
RC,0271,MASK CPAP AMARA *DISC NO REPL*,687.0,549.6,181.71,618.3,26
RC,0271,MASK CPAP AMARA FULL HDGEAR LG,687.0,549.6,181.71,618.3,26
RC,0271,MASK CPAP AMARA FULL HDGEAR MD,687.0,549.6,181.71,618.3,26
RC,0271,MASK CPAP AMARA FULLRSHDGEARSM,618.0,494.4,163.46,556.2,26
RC,0271,MASK CPAP AMARA HDGEAR VIEW LG,946.0,756.8,250.22,851.4,26
RC,0271,MASK CPAP AMARA HDGEAR VIEW MD,684.0,547.2,180.92,615.6,26
RC,0271,MASK CPAP AMARA HDGEAR VIEW SM,684.0,547.2,180.92,615.6,26
RC,0271,MASK CPAP AMARA*DISC NO REPL*,687.0,549.6,181.71,618.3,26
RC,0271,MASK CPAP CMFTGEL BLU LG,400.0,320.0,105.8,360.0,26
RC,0271,MASK CPAP CMFTGEL BLU MD,433.0,346.4,114.53,389.7,26
RC,0271,MASK CPAP CMFTGEL BLU SM,433.0,346.4,114.53,389.7,26
RC,0271,MASK CPAP CMFTGEL HDGEAR LG,445.0,356.0,117.7,400.5,26
RC,0271,MASK CPAP CMFTGEL HDGEAR MD,445.0,356.0,117.7,400.5,26
RC,0271,MASK CPAP CMFTGEL HDGEAR SM,445.0,356.0,117.7,400.5,26
RC,0271,MASK CPAP DREAMW*DISC NO REPL*,401.0,320.8,106.06,360.9,130
RC,0271,MASK CPAP DREAMWEAR FULL LG,581.0,464.8,153.67,522.9,26
RC,0271,MASK CPAP DREAMWEAR FULL MD,581.0,464.8,153.67,522.9,26
RC,0271,MASK CPAP DREAMWEAR FULL SM,618.0,494.4,163.46,556.2,26
RC,0271,MASK CPAP DREAMWEAR FULLWIDEMD,581.0,464.8,153.67,522.9,26
RC,0271,MASK CPAP DREAMWEAR HDGEARUNIV,390.0,312.0,103.16,351.0,26
RC,0271,MASK CPAP DREAMWEAR LG CUSH LG,476.0,380.8,125.9,428.4,26
RC,0271,MASK CPAP DREAMWEAR MD CUSH LG,476.0,380.8,125.9,428.4,26
RC,0271,MASK CPAP DREAMWEAR MD CUSH SM,476.0,380.8,125.9,428.4,26
RC,0271,MASK CPAP DREAMWEAR WO HDGEAR,476.0,380.8,125.9,428.4,26
RC,0271,MASK CPAP ESON2 LG,440.0,352.0,116.38,396.0,26
RC,0271,MASK CPAP ESON2 MD,440.0,352.0,116.38,396.0,26
RC,0271,MASK CPAP ESON2 SM,440.0,352.0,116.38,396.0,26
RC,0271,MASK CPAP FITLFE W HDGEAR XL,855.0,684.0,226.15,769.5,26
RC,0271,MASK CPAP FITLIFE LG,859.0,687.2,227.21,773.1,26
RC,0271,MASK CPAP FITLIFE SM,855.0,684.0,226.15,769.5,26
RC,0271,MASK CPAP FLEXIFIT 431 ADLT,765.0,612.0,202.34,688.5,26
RC,0271,MASK CPAP FORMA FULL MD/LG,765.0,612.0,202.34,688.5,26
RC,0271,MASK CPAP FULL A MODELVITERALG,646.0,516.8,170.87,581.4,26
RC,0271,MASK CPAP FULL A MODELVITERAMD,646.0,516.8,170.87,581.4,26
RC,0271,MASK CPAP FULL A MODELVITERASM,646.0,516.8,170.87,581.4,26
RC,0271,MASK CPAP FULL AIRFIT F10 LG,713.0,570.4,188.59,641.7,26
RC,0271,MASK CPAP FULL AIRFIT F10 SM,713.0,570.4,188.59,641.7,26
RC,0271,MASK CPAP FULL AIRFIT F20 SM,656.0,524.8,173.51,590.4,26
RC,0271,MASK CPAP FULL AIRFITF30ILG/MD,712.0,569.6,188.32,640.8,26
RC,0271,MASK CPAP FULL AIRFITF30IMD/MD,712.0,569.6,188.32,640.8,26
RC,0271,MASK CPAP FULL AIRFITF30IMD/SM,712.0,569.6,188.32,640.8,26
RC,0271,MASK CPAP FULL AIRFITF30ISM/SM,712.0,569.6,188.32,640.8,26
RC,0271,MASK CPAP FULL FLEXIFIT 432 XL,765.0,612.0,202.34,688.5,26
RC,0271,MASK CPAP FULL HDGEAR VITERA,703.0,562.4,185.94,632.7,26
RC,0271,MASK CPAP FULL M*DISC 6328062*,792.0,633.6,209.48,712.8,26
RC,0271,MASK CPAP FULL MIRAGEQUATTROMD,713.0,570.4,188.59,641.7,26
RC,0271,MASK CPAP FULLAIRFITF30IWIDEMD,712.0,569.6,188.32,640.8,26
RC,0271,MASK CPAP HDGEAR FULL FORMA SM,765.0,612.0,202.34,688.5,26
RC,0271,MASK CPAP MIRAGE FX SM,420.0,336.0,111.09,378.0,26
RC,0271,MASK CPAP MIRAGE*DISC 6310906*,470.0,376.0,124.32,423.0,26
RC,0271,MASK CPAP MIRAGE*DISC 6310907*,470.0,376.0,124.32,423.0,26
RC,0271,MASK CPAP MIRAGE*DISC 6327972*,792.0,633.6,209.48,712.8,26
RC,0271,MASK CPAP NASAL ESON HDGEAR LG,618.0,494.4,163.46,556.2,26
RC,0271,MASK CPAP NASAL ESON HDGEAR MD,618.0,494.4,163.46,556.2,26
RC,0271,MASK CPAP NASAL ESON HDGEAR SM,618.0,494.4,163.46,556.2,26
RC,0271,MASK CPAP NASAL HDGEAR WISP,459.0,367.2,121.41,413.1,26
RC,0271,MASK CPAP NASAL LEAK3 LGEAPEDS,486.0,388.8,128.55,437.4,26
RC,0271,MASK CPAP NASAL LEAK3 MDEAPEDS,486.0,388.8,128.55,437.4,26
RC,0271,MASK CPAP NASAL LEAK3 SMEAPEDS,486.0,388.8,128.55,437.4,26
RC,0271,MASK CPAP NASAL LEAK3LGCA5PEDS,525.0,420.0,138.86,472.5,26
RC,0271,MASK CPAP NASAL LEAK3MDCA5PEDS,525.0,420.0,138.86,472.5,26
RC,0271,MASK CPAP NASAL LEAK3SMCA5PEDS,493.0,394.4,130.4,443.7,26
RC,0271,MASK CPAP NUANCE PRO W HDGEAR,483.0,386.4,127.75,434.7,26
RC,0271,MASK CPAP OPTILFE NASAL KT,400.0,320.0,105.8,360.0,26
RC,0271,MASK CPAP PERFOR*DISC NO REPL*,522.0,417.6,138.07,469.8,26
RC,0271,MASK CPAP PERFORMAX 2ELBOW 2XS,493.0,394.4,130.4,443.7,26
RC,0271,MASK CPAP PERFORMAX 2ELBOW LG,342.0,273.6,90.46,307.8,26
RC,0271,MASK CPAP PERFORMAX 2ELBOW SM,342.0,273.6,90.46,307.8,26
RC,0271,MASK CPAP PERFORMAX 2ELBOW XS,493.0,394.4,130.4,443.7,26
RC,0271,MASK CPAP PERFORMAX2ELBOWXLPK5,491.0,392.8,129.87,441.9,26
RC,0271,MASK CPAP PICO W HDGEAR,487.0,389.6,128.81,438.3,26
RC,0271,MASK CPAP PILLOW AIRFIT X30ISM,942.0,753.6,249.16,847.8,26
RC,0271,MASK CPAP PILLOW AIRFITX30ISTD,942.0,753.6,249.16,847.8,26
RC,0271,MASK CPAP QUATTRO AIR FULL MD,713.0,570.4,188.59,641.7,26
RC,0271,MASK CPAP QUATTRO AIR NV SM,1233.0,986.4,326.13,1109.7,26
RC,0271,MASK CPAP QUATTRO AIR SYS LG,713.0,570.4,188.59,641.7,26
RC,0271,MASK CPAP QUATTRO AIR SYS SM,713.0,570.4,188.59,641.7,26
RC,0271,MASK CPAP RTL AIRFIT N20 HERSM,380.0,304.0,100.51,342.0,26
RC,0271,MASK CPAP RTL AIRFIT N20 LG,380.0,304.0,100.51,342.0,26
RC,0271,MASK CPAP RTL AIRFIT N20 MD,380.0,304.0,100.51,342.0,26
RC,0271,MASK CPAP RTL AIRFIT N20 SM,380.0,304.0,100.51,342.0,26
RC,0271,MASK CPAP RTL AIRTOUCH F20 LG,684.0,547.2,180.92,615.6,26
RC,0271,MASK CPAP RTL AIRTOUCH F20 MD,684.0,547.2,180.92,615.6,26
RC,0271,MASK CPAP RTL AIRTOUCH F20 SM,684.0,547.2,180.92,615.6,26
RC,0271,MASK CPAP RTL AIRTOUCHF20HERMD,684.0,547.2,180.92,615.6,26
RC,0271,MASK CPAP RTL AIRTOUCHF20HERSM,684.0,547.2,180.92,615.6,26
RC,0271,MASK CPAP SIMPLUS FULL FACE LG,608.0,486.4,160.82,547.2,26
RC,0271,MASK CPAP SIMPLUS FULL MD,608.0,486.4,160.82,547.2,26
RC,0271,MASK CPAP SIMPLUS FULL SM,608.0,486.4,160.82,547.2,26
RC,0271,MASK CPAP SLEEPWEAVER BGR ADLT,380.0,304.0,100.51,342.0,26
RC,0271,MASK CPAP SWIFT FX FOR HER,589.0,471.2,155.79,530.1,26
RC,0271,MASK CPAP W HDGEAR TRUBLU LG,450.0,360.0,119.03,405.0,26
RC,0271,MASK CPAP W HDGEAR TRUBLU MD,450.0,360.0,119.03,405.0,26
RC,0271,MASK CPAP W HDGEAR TRUBLU PET,450.0,360.0,119.03,405.0,26
RC,0271,MASK CPAP W HDGEAR TRUBLU SM,450.0,360.0,119.03,405.0,26
RC,0271,MASK CPAP W HDGEAR TRUBLUWIDE,450.0,360.0,119.03,405.0,26
RC,0271,MASK CPAP WISP HDGEAR CL FRAME,459.0,367.2,121.41,413.1,26
RC,0271,MASK THERMOPLST SOLSTICE NARW,619.0,495.2,163.73,557.1,26
RC,0271,MAT PT TRANSLOWFR*VAT 6343327*,210.0,168.0,55.55,189.0,26
RC,0271,MAT PTTRANSMOBILE*VAT 6348457*,203.0,162.4,53.69,182.7,26
RC,0271,MATTRESS TRANS AIRPA34X4*DISC*,189.0,151.2,49.99,170.1,26
RC,0271,MATTRESS TRANS HALF HOVERMATT,184.0,147.2,48.67,165.6,26
RC,0271,MATTRESS TRANS HO*VAT 6352146*,197.0,157.6,52.11,177.3,26
RC,0271,MATTRESS TRANS HOVERMATTLINK39,660.0,528.0,174.57,594.0,26
RC,0271,MATTRESS TRANS MOBILE REPROC,637.0,509.6,168.49,573.3,26
RC,0271,MITT ROOKE VASC UNIV,1035.0,828.0,273.76,931.5,26
RC,0271,MODEL MAND CL VIEW CT-BASED,16002.0,12801.6,4232.53,14401.8,26
RC,0271,MODEL MAND IPS CLASC LP,9006.0,7204.8,2382.09,8105.4,26
RC,0271,MOLD ORTHOSES LDPE 1/16 32X48,104.0,83.2,27.51,93.6,26
RC,0271,MON MYCARELINK*C*DISC 6263507*,2125.0,1700.0,562.06,1912.5,26
RC,0271,MON SLEEP APNEA WATCHPAT ONE,288.0,230.4,76.18,259.2,26
RC,0271,MOUTHPC VENT KT FLTR VIVO,720.0,576.0,190.44,648.0,26
RC,0271,NEB AERONEB SOLO,493.0,394.4,130.4,443.7,26
RC,0271,NEB AEROSOL GENRTR NIVO SZ7,1567.0,1253.6,414.47,1410.3,26
RC,0271,NEB COMPRESSOR PORTBL W BAT,1100.0,880.0,290.95,990.0,26
RC,0271,NITRIC OXIDE INIT HR,713.0,570.4,188.59,641.7,26
RC,0271,NITRIC OXIDE SUBSEQ HR,411.0,328.8,108.71,369.9,26
RC,0271,NODE WIFI/WALL OUTLETWALK*NLU*,500.0,400.0,132.25,450.0,26
RC,0271,O2 USE INITIAL DAY,619.0,495.2,163.73,557.1,26
RC,0271,O2 USE SUBSEQ DAY,475.0,380.0,125.64,427.5,26
RC,0271,ORTHOTIC LYNCO L400 MEN SZ10,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L400 MEN SZ11,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L400 MEN SZ13,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L400 MEN SZ14,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L400 MEN SZ9,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L400 WOM SZ10,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L400 WOM SZ11,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L400 WOM SZ7,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L400 WOM SZ8,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L400 WOM SZ9,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L405 MEN SZ10,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L405 MEN SZ11,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L405 MEN SZ12,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L405 MEN SZ13,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L405 MEN SZ8,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L405 MEN SZ9,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L405 WOM SZ10,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L405 WOM SZ11,90.0,72.0,23.81,81.0,26
RC,0271,ORTHOTIC LYNCO L405 WOM SZ8,90.0,72.0,23.81,81.0,26
RC,0271,PAD BOLUS SKIN0.*DISC 6325669*,819.0,655.2,216.63,737.1,26
RC,0271,PAD BOLUS SKINLE*DISC 6325670*,873.0,698.4,230.91,785.7,26
RC,0271,PAD BOLUS SKINLESS 30X30X0.5CM,819.0,655.2,216.63,737.1,26
RC,0271,PAD BOLUS SKINLESS 30X30X1CM,873.0,698.4,230.91,785.7,26
RC,0271,PAD COOLING ARCTICGEL LG CA2,6356.0,5084.8,1681.16,5720.4,26
RC,0271,PAD COOLING ARCTICGEL MD CA2,6356.0,5084.8,1681.16,5720.4,26
RC,0271,PAD COOLING ARCTICGEL NEO CA2,6284.0,5027.2,1662.12,5655.6,26
RC,0271,PAD COOLING ARCTICGEL NEO EA1,6355.0,5084.0,1680.9,5719.5,26
RC,0271,PAD COOLING ARCTICGEL SM CA2,6140.0,4912.0,1624.03,5526.0,26
RC,0271,PAD COOLING ARCTICGEL UNIV CA4,3260.0,2608.0,862.27,2934.0,26
RC,0271,PAD COOLING ARCTICGEL XS CA2,6140.0,4912.0,1624.03,5526.0,26
RC,0271,PAD DEFIB HEARTSMART FR2*DISC*,663.0,530.4,175.36,596.7,26
RC,0271,PAD HIP COLD COMP VPULSE 16X12,130.0,104.0,34.39,117.0,26
RC,0271,PAD KNEE COLD COMP VPULSE LG,435.0,348.0,115.06,391.5,26
RC,0271,PAD KNEE COLD COMP VPULSE16X12,130.0,104.0,34.39,117.0,26
RC,0271,PAD NECK MAND SIGV BLK LG,271.0,216.8,71.68,243.9,26
RC,0271,PAD NECK MAND SIGV BLK XL,271.0,216.8,71.68,243.9,26
RC,0271,PAD PERINEAL POST SUPINE SN,270.0,216.0,71.42,243.0,26
RC,0271,PAD SHLDR COLD COMP VPULSE,130.0,104.0,34.39,117.0,26
RC,0271,PANTYHOSE CMFT BGE 30-40P*NLU*,162.0,129.6,42.85,145.8,26
RC,0271,PANTYHOSE MATERNITY BLK20*NLU*,212.0,169.6,56.07,190.8,26
RC,0271,PANTYHOSE OPQ NAT 20-30 X*NLU*,194.0,155.2,51.31,174.6,26
RC,0271,PANTYHOSE SHEER BGE 20-30*NLU*,162.0,129.6,42.85,145.8,26
RC,0271,PANTYHOSE ULT BGE 20-30 X*NLU*,194.0,155.2,51.31,174.6,26
RC,0271,PANTYHOSE ULT BLK 20-30 S*NLU*,194.0,155.2,51.31,174.6,26
RC,0271,PEDIATRIC NITROUS OXIDE,168.0,134.4,44.44,151.2,26
RC,0271,PESSARY APPL REIA SZ1,400.0,320.0,105.8,360.0,26
RC,0271,PESSARY APPL REIA SZ2,400.0,320.0,105.8,360.0,26
RC,0271,PESSARY APPL REIA SZ3,400.0,320.0,105.8,360.0,26
RC,0271,PESSARY DONUT BIAM 2.25,307.0,245.6,81.2,276.3,26
RC,0271,PESSARY DONUT MARI 3.00,138.0,110.4,36.5,124.2,26
RC,0271,PESSARY DONUT MILEX 2.00,154.0,123.2,40.73,138.6,26
RC,0271,PESSARY DONUT MILEX 2.25,154.0,123.2,40.73,138.6,26
RC,0271,PESSARY GELHORN DRN SHRT 2.50,178.0,142.4,47.08,160.2,26
RC,0271,PESSARY GELHORN MARI 2.50,138.0,110.4,36.5,124.2,26
RC,0271,PESSARY GELLHORNMILEXSHRT3.00,154.0,123.2,40.73,138.6,26
RC,0271,PESSARY PT REIA SZ1,1700.0,1360.0,449.65,1530.0,26
RC,0271,PESSARY PT REIA SZ2,1700.0,1360.0,449.65,1530.0,26
RC,0271,PESSARY PT REIA SZ3,1700.0,1360.0,449.65,1530.0,26
RC,0271,PESSARY RING KNOB SUPP 2.75,138.0,110.4,36.5,124.2,26
RC,0271,PESSARY RING SUPP MARI 2.25,138.0,110.4,36.5,124.2,26
RC,0271,PESSARY RING SUPP MARI 2.75,138.0,110.4,36.5,124.2,26
RC,0271,PILLOW FETAL HEAD,2147.0,1717.6,567.88,1932.3,26
RC,0271,PILLOW INFANT FEED PEACHFUL,92.0,73.6,24.33,82.8,26
RC,0271,PILLOW NASAL CPAP PILAIRO Q,618.0,494.4,163.46,556.2,26
RC,0271,PK INST MIS PROSTEP STER DISP,2450.0,1960.0,648.03,2205.0,26
RC,0271,POD INS DEL SYS OMNIPOD,648.0,518.4,171.4,583.2,26
RC,0271,PROBE SLEEP APNEA WATCHPAT,523.0,418.4,138.33,470.7,26
RC,0271,PROBE TEMP CPAP MR700 HC500,1530.0,1224.0,404.69,1377.0,26
RC,0271,PROGM STIM SPNL KT MDTR,8550.0,6840.0,2261.48,7695.0,26
RC,0271,PROTECT HEEL BOOT W WEDGE*NLU*,198.0,158.4,52.37,178.2,26
RC,0271,PSTNR AID SNUGGL*DISC 6294600*,311.0,248.8,82.26,279.9,26
RC,0271,PSTNR HD IMRT STYLE20 3.2MM,410.0,328.0,108.45,369.0,26
RC,0271,PSTNR HD MIDLINER CF *NLU VAT*,499.0,399.2,131.99,449.1,26
RC,0271,PSTNR HD MOLDCARE SM 15X2*NLU*,346.0,276.8,91.52,311.4,26
RC,0271,PSTNR HD OPENSPLITS-FRAME3.2MM,656.0,524.8,173.51,590.4,26
RC,0271,PSTNR HD S-FRAME W SHIM 3.2MM,828.0,662.4,219.01,745.2,26
RC,0271,PSTNR HD SHLDR W SHIM 3.2MM,1428.0,1142.4,377.71,1285.2,26
RC,0271,PSTNR HD SILVERMAN MRI SZA,380.0,304.0,100.51,342.0,26
RC,0271,PSTNR HD SILVERMAN MRI SZB,410.0,328.0,108.45,369.0,26
RC,0271,PSTNR HD SILVERMAN MRI SZC,380.0,304.0,100.51,342.0,26
RC,0271,PSTNR HD SILVERMAN MRI SZD,380.0,304.0,100.51,342.0,26
RC,0271,PSTNR HD SILVERMAN MRI SZE,380.0,304.0,100.51,342.0,26
RC,0271,PSTNR HD SILVERMAN MRI SZF,410.0,328.0,108.45,369.0,26
RC,0271,PSTNR HD SILVERMAN SET SZA-F,302.0,241.6,79.88,271.8,26
RC,0271,PSTNR HD TORTLE ELBOW*NLU VAT*,390.0,312.0,103.16,351.0,26
RC,0271,PSTNR HD TYPE-S OPEN 2.3MM,400.0,320.0,105.8,360.0,26
RC,0271,PSTNR HD UNIFRAME STD 10IN,322.0,257.6,85.17,289.8,26
RC,0271,PSTNR ORAL STNT GRYDUCK SM,1012.0,809.6,267.67,910.8,26
RC,0271,PSTNR PAD KNEE HERMINATOR DISP,95.0,76.0,25.13,85.5,26
RC,0271,PSTNR PT Z-FLO DISP 12X20,488.0,390.4,129.08,439.2,26
RC,0271,PSTNR SAFE-T-SECURE DISP,1658.0,1326.4,438.54,1492.2,26
RC,0271,PSTNR SURG KT PNK PAD ARM72X20,1767.0,1413.6,467.37,1590.3,26
RC,0271,PSTNR SURG KT TRENDELENBURGPNK,1303.0,1042.4,344.64,1172.7,26
RC,0271,PSTNR SURG LAT SUPP KT ALPT,3850.0,3080.0,1018.33,3465.0,26
RC,0271,PSTNRHDSHLDRCLVISION2TYPE-S3.2,978.0,782.4,258.68,880.2,26
RC,0271,PUMP BREAST *DISC 6317042*,315.0,252.0,83.32,283.5,26
RC,0271,PUMP BREAST ADV PERS DBL*NLU*,345.0,276.0,91.25,310.5,26
RC,0271,PUMP BREAST SPECTRA S1 PLUS,495.0,396.0,130.93,445.5,26
RC,0271,PUMP BREAST SPECTRA S2 PLUS,347.0,277.6,91.78,312.3,26
RC,0271,PUMP BREAST STARTER SET DBL,315.0,252.0,83.32,283.5,26
RC,0271,PUSHER CAP ACC PTP,1700.0,1360.0,449.65,1530.0,26
RC,0271,RBC BLD COMPONENT FILTER EA SAB BIOTHERAPEUTICS,35.0,28.0,9.26,31.5,26
RC,0271,REACHER PIKSTI48*DISC 6223327*,390.0,312.0,103.16,351.0,26
RC,0271,RECHARGER KT INTERSTIM MICRO,4550.0,3640.0,1203.48,4095.0,26
RC,0271,RECHARGER PT INTELLIS,5153.0,4122.4,1362.97,4637.7,26
RC,0271,RESUSC BROSELOW MODULE GRN,546.0,436.8,144.42,491.4,26
RC,0271,RESUSC BROSELOW MODULE ORG,546.0,436.8,144.42,491.4,26
RC,0271,RESUSC BROSELOW MODULE PUR,445.0,356.0,117.7,400.5,26
RC,0271,RESUSC BROSELOW MODULE WHT,546.0,436.8,144.42,491.4,26
RC,0271,RING GRIP RADIOTHERAPY ID4.25,350.0,280.0,92.58,315.0,26
RC,0271,RING GRIP RADIOTHERAPY SET3,810.0,648.0,214.25,729.0,26
RC,0271,SENS OXYALERT INFANT NEO DISP,978.0,782.4,258.68,880.2,26
RC,0271,SETUP KT AIRMINI N20 NO MASK,440.0,352.0,116.38,396.0,26
RC,0271,SHELL POWER CTRL SIGNIA DISP,882.0,705.6,233.29,793.8,26
RC,0271,SHIM HD NECK SHLDR TYPE-S SYS,440.0,352.0,116.38,396.0,26
RC,0271,SHLDR GLENO CALIB VIP 5D,500.0,400.0,132.25,450.0,26
RC,0271,SHOE EXTL FIX SPRINGWALK DYNEX,7695.0,6156.0,2035.33,6925.5,26
RC,0271,SHOE POSTOP DARC*DISC 6258798*,57.0,45.6,15.08,51.3,26
RC,0271,SHOE POSTOP DARCO APB LG*CIP*,57.0,45.6,15.08,51.3,26
RC,0271,SHT REPOS CMFT GLIDE 35X55,325.0,260.0,85.96,292.5,26
RC,0271,SHT REPOS CMFT GLIDE 42X78,147.0,117.6,38.88,132.3,26
RC,0271,SHT REPOS STRAP CMFT GLIDE 35,341.0,272.8,90.19,306.9,26
RC,0271,SLING PELVIC SAM II 27-47IN,238.0,190.4,62.95,214.2,26
RC,0271,SLING PELVIC SAM II 32-50IN,249.0,199.2,65.86,224.1,26
RC,0271,SLING PELVIC SAM II 36-54IN,249.0,199.2,65.86,224.1,26
RC,0271,SLING PT LIFT BRTRC DISP 2XL,199.0,159.2,52.64,179.1,26
RC,0271,SLING PT LIFT HD SUPP DISP 2XL,150.0,120.0,39.68,135.0,26
RC,0271,SLING PT LIFT HD SUPP DISP LG,122.0,97.6,32.27,109.8,26
RC,0271,SLING PT LIFT HD SUPP DISP MD,115.0,92.0,30.42,103.5,26
RC,0271,SLING PT LIFT HD SUPP DISP XL,125.0,100.0,33.06,112.5,26
RC,0271,SLING PT LIFT HIGH DISP 2XL,133.0,106.4,35.18,119.7,26
RC,0271,SLING PT LIFT SOLO HIGH BACKLG,380.0,304.0,100.51,342.0,26
RC,0271,SLING PT LIFT SOLO HIGH BACKMD,377.0,301.6,99.72,339.3,26
RC,0271,SLING PT LIFT UNIV DISP LG,104.0,83.2,27.51,93.6,26
RC,0271,SLING PT LIFT UNIV DISP XL,104.0,83.2,27.51,93.6,26
RC,0271,SLING PT PELVIC *DISC 6330051*,203.0,162.4,53.69,182.7,26
RC,0271,SLING SHLDR LAT TRAC DISP,198.0,158.4,52.37,178.2,26
RC,0271,SLING SUP LG*NLU*,97.0,77.6,25.66,87.3,26
RC,0271,SLV ARM 20-30 CUST,216.0,172.8,57.13,194.4,26
RC,0271,SLV ARM BAND BEAD BLK 20-30SZ3,114.0,91.2,30.15,102.6,26
RC,0271,SLV ARM BAND BEAD CRML20-30SZ2,114.0,91.2,30.15,102.6,26
RC,0271,SLV ARM BAND BEAD CRML20-30SZ3,114.0,91.2,30.15,102.6,26
RC,0271,SLV ARM BAND BEAD SAND20-30SZ2,114.0,91.2,30.15,102.6,26
RC,0271,SLV ARM BEAD SAND 20-30 XW SZ3,114.0,91.2,30.15,102.6,26
RC,0271,SLV ARM BEAD SAND 20-30 XW SZ5,114.0,91.2,30.15,102.6,26
RC,0271,SLV ARM BELLA BGE 15-20 LNG LG,96.0,76.8,25.39,86.4,26
RC,0271,SLV ARM BELLA BGE 15-20 LNG SM,106.0,84.8,28.04,95.4,26
RC,0271,SLV ARM BELLA BGE 20-30 LNG LG,118.0,94.4,31.21,106.2,26
RC,0271,SLV ARM BELLA BGE 20-30 LNG MD,96.0,76.8,25.39,86.4,26
RC,0271,SLV ARM BELLA BGE 20-30 LNG SM,106.0,84.8,28.04,95.4,26
RC,0271,SLV ARM BELLA BLK 20-30 *NLU*,96.0,76.8,25.39,86.4,26
RC,0271,SLV ARM BELLA DOTBGE15-20LNGLG,106.0,84.8,28.04,95.4,26
RC,0271,SLV ARM BELLA DOTBGE20-30LNGMD,106.0,84.8,28.04,95.4,26
RC,0271,SLV ARM BELLASILBGE20-30REGSZ1,92.0,73.6,24.33,82.8,26
RC,0271,SLV ARM BELLASILBGE20-30REGSZ6,92.0,73.6,24.33,82.8,26
RC,0271,SLV ARM BGE 20-30 REG SZ4,123.0,98.4,32.53,110.7,26
RC,0271,SLV ARM CARMEL 20-30 STD SZ3,111.0,88.8,29.36,99.9,26
RC,0271,SLV ARM CMFRT SAND 20-30LNGSZ3,114.0,91.2,30.15,102.6,26
RC,0271,SLV ARM CMFRT SAND 20-30LNGSZ4,114.0,91.2,30.15,102.6,26
RC,0271,SLV ARM CMFT BGE 15-20 STD SZ7,114.0,91.2,30.15,102.6,26
RC,0271,SLV ARM CMFT SAND15-20XWIDESZ4,156.0,124.8,41.26,140.4,26
RC,0271,SLV ARM COMP SOFT 20-30 CUST,207.0,165.6,54.75,186.3,26
RC,0271,SLV ARM DYNMC 18-21 CUST,231.0,184.8,61.1,207.9,26
RC,0271,SLV ARM GAUNTLET SAND 20-*NLU*,165.0,132.0,43.64,148.5,26
RC,0271,SLV ARM LITE BGE 15-20 LNG MD,96.0,76.8,25.39,86.4,26
RC,0271,SLV ARM LITE BGE 20-30 REG SM,102.0,81.6,26.98,91.8,26
RC,0271,SLV ARM LITE SIL BGE15-20REGLG,122.0,97.6,32.27,109.8,26
RC,0271,SLV ARM LITE SIL BGE15-20REGMD,106.0,84.8,28.04,95.4,26
RC,0271,SLV ARM LITE SIL BGE15-20REGSM,106.0,84.8,28.04,95.4,26
RC,0271,SLV ARM LITE SIL BGE20-30REGLG,106.0,84.8,28.04,95.4,26
RC,0271,SLV ARM LITE SIL BGE20-30REGMD,106.0,84.8,28.04,95.4,26
RC,0271,SLV ARM LITE SIL BGE20-30REGSM,106.0,84.8,28.04,95.4,26
RC,0271,SLV ARM MAX PRINT 20-30 REGSZ4,168.0,134.4,44.44,151.2,26
RC,0271,SLV ARM SECURE BLK 15-20 LG,128.0,102.4,33.86,115.2,26
RC,0271,SLV ARM SECURE BLK 15-20 MD,128.0,102.4,33.86,115.2,26
RC,0271,SLV ARM SHLDR DISP,363.0,290.4,96.01,326.7,26
RC,0271,SLV ARM SOFT BGE 15-20 REG SZ4,119.0,95.2,31.48,107.1,26
RC,0271,SLV ARM SOFT PRINT20-30 REGSZ2,168.0,134.4,44.44,151.2,26
RC,0271,SLV ARMSOFTMAXPRINT20-30LNGSZ3,168.0,134.4,44.44,151.2,26
RC,0271,SLV BIOARTERIAL PLUS STD,473.0,378.4,125.11,425.7,26
RC,0271,SLV CARPAL GEL SILIPOS RTSM/MD,131.0,104.8,34.65,117.9,26
RC,0271,SLV COMP ARM BOLERO BLK ADLTXL,132.0,105.6,34.91,118.8,26
RC,0271,SLV HEEL ELBOW BRIG BGE 2XL,265.0,212.0,70.09,238.5,26
RC,0271,SLV KNEE GRY 12-14IN MD,99.0,79.2,26.19,89.1,26
RC,0271,SLV KNEE GRY 14-16IN LG,99.0,79.2,26.19,89.1,26
RC,0271,SLV KNEE GRY 16-20IN XL,97.0,77.6,25.66,87.3,26
RC,0271,SLV KNEE GRY 20-24IN 2XL,99.0,79.2,26.19,89.1,26
RC,0271,SLV MEASURING DRILL 2.7MM,1360.0,1088.0,359.72,1224.0,26
RC,0271,SLV MEASURING DRILL SHRT 2.0MM,1496.0,1196.8,395.69,1346.4,26
RC,0271,SLV SCD FT COVRI*DISC 6336036*,144.0,115.2,38.09,129.6,26
RC,0271,SLV SCD FTCOVRIG*DISC 6336035*,144.0,115.2,38.09,129.6,26
RC,0271,SOCK SPORT BLK GRY 20-30 MD,124.0,99.2,32.8,111.6,26
RC,0271,SOCK SPORT BLK GRY 20-30 XL,124.0,99.2,32.8,111.6,26
RC,0271,SOCK SPORT WHT 20-30 XL,195.0,156.0,51.58,175.5,26
RC,0271,SOCK SPORT WHT GRY 20-30 LG,124.0,99.2,32.8,111.6,26
RC,0271,SOCK SPORT WHT GRY 20-30 MD,124.0,99.2,32.8,111.6,26
RC,0271,SOCK SPORT WHT GRY 20-30 XL,124.0,99.2,32.8,111.6,26
RC,0271,SPLT AQUAPLAST BLK 1/16X18X24,207.0,165.6,54.75,186.3,26
RC,0271,SPLT DENTAL SGL *DISC 6333377*,3231.0,2584.8,854.6,2907.9,26
RC,0271,SPLT ELBOW PRE-FORMED LG,126.0,100.8,33.33,113.4,26
RC,0271,SPLT ELBOW PRE-FORMED MD,168.0,134.4,44.44,151.2,26
RC,0271,SPLT ELBOW PRE-FORMED SM,180.0,144.0,47.61,162.0,26
RC,0271,SPLT ELBOW PRE-FORMED XL,180.0,144.0,47.61,162.0,26
RC,0271,SPLT NASAL AQUAPLAST IVORY 3X3,225.0,180.0,59.51,202.5,26
RC,0271,SPLT ORFIT MICRO PERFD BLK1/12,196.0,156.8,51.84,176.4,26
RC,0271,SPLT ORFIT MICRO PERFD RED1/12,196.0,156.8,51.84,176.4,26
RC,0271,SPLT ORFIT MICRO PERFD VIO1/12,196.0,156.8,51.84,176.4,26
RC,0271,SPLT ORFIT MICRO PERFDSLVR1/12,165.0,132.0,43.64,148.5,26
RC,0271,SPLT ORFIT MICROPERFDOCEAN1/12,196.0,156.8,51.84,176.4,26
RC,0271,SPLT ORFIT MINI PERFDATOMIC1/8,176.0,140.8,46.55,158.4,26
RC,0271,SPLT ORFITMICROPERFDATOMIC1/12,163.0,130.4,43.11,146.7,26
RC,0271,SPLT PERFD AQPLST-T 1/8X24X36,410.0,328.0,108.45,369.0,26
RC,0271,SPLT ROLYAN PERFD CHARCOAL1/16,129.0,103.2,34.12,116.1,26
RC,0271,SPLT ROLYAN PERFD ROYAL 1/16,139.0,111.2,36.77,125.1,26
RC,0271,SPLT SOFT ORFIT NS PERFD 1/16,191.0,152.8,50.52,171.9,26
RC,0271,SPLT WRIST THB CMC RESTRC RTMD,97.0,77.6,25.66,87.3,26
RC,0271,SPLT WRIST THB CMC RESTRCLFTMD,105.0,84.0,27.77,94.5,26
RC,0271,SPLTPSTRTIBFIBALUM8.75*DISC*,95.0,76.0,25.13,85.5,26
RC,0271,SPLTSOLIDPOLYFLEXWHT3/32X18X24,173.0,138.4,45.76,155.7,26
RC,0271,SPRING SHOE EXTL FIXSPRINGWALK,16779.0,13423.2,4438.05,15101.1,26
RC,0271,STIM ACC KT CLINIAN ALTAVIVA,9699.0,7759.2,2565.39,8729.1,26
RC,0271,STIM ACC KT PT ALTAVIVA,13300.0,10640.0,3517.85,11970.0,26
RC,0271,STIM EXTL WRLSS INTELLIS DISP,1700.0,1360.0,449.65,1530.0,26
RC,0271,STIM OSTEOGENESIS CERV-STIM,10913.0,8730.4,2886.49,9821.7,26
RC,0271,STIM OSTEOGENESIS SPNL-STIM,10913.0,8730.4,2886.49,9821.7,26
RC,0271,STIM PT *OBS USE 6295886*,720.0,576.0,190.44,648.0,26
RC,0271,STKG KNEE ACTIVE BLK 30-40 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKG KNEE ACTIVE BLK 30-40 MD,111.0,88.8,29.36,99.9,26
RC,0271,STKG KNEE ACTIVE BLK 30-40 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG CALF + OT BGE20-30PETSZ6,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF + OT BGE20-30STDSZ4,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF + OT BGE20-30STDSZ5,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF + OT BGE20-30STDSZ6,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF + OT BLK20-30STDSZ6,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF CLASCBLK20-30STDSZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNG CALF CLASCBLK20-30STDSZ4,93.0,74.4,24.6,83.7,26
RC,0271,STKNG CALF CMFT BLK 20-30XWSZ5,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF CMFT BLK20-30PETSZ2,93.0,74.4,24.6,83.7,26
RC,0271,STKNG CALF CMFT BLK20-30PETSZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNG CALF CMFT BLK20-30PETSZ4,93.0,74.4,24.6,83.7,26
RC,0271,STKNG CALF CMFT NAT20-30STDSZ1,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF CMFT NAT20-30STDSZ3,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF CMFT NAT20-30STDSZ5,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF CMFT NAT20-30STDSZ6,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF GRIP BLK 20-30LNGXL,106.0,84.8,28.04,95.4,26
RC,0271,STKNG CALF MDVN+BLK30-40PETSZ4,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF MOTIONBLK20-30LNGLG,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALF MOTIONBLK20-30LNGMD,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALF MOTIONBLK20-30LNGSM,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALF MOTIONGRY20-30LNGLG,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALF MOTIONGRY20-30LNGMD,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALF MOTIONGRY20-30LNGSM,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALF MOTIONSEA20-30LNGLG,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALF MOTIONSEA20-30LNGMD,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALF MOTIONSEA20-30LNGSM,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALF NAT 20-30 XW PETSZ4,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALF OPQMENBLK20-30LNGLG,99.0,79.2,26.19,89.1,26
RC,0271,STKNG CALF OPQOTBLK30-40SHRTLG,93.0,74.4,24.6,83.7,26
RC,0271,STKNG CALF RUBBEROT40-50SHRTLG,146.0,116.8,38.62,131.4,26
RC,0271,STKNG CALF SSF BLK 20-30 LNGXL,127.0,101.6,33.59,114.3,26
RC,0271,STKNG CALF SSF BLK 20-30 REGLG,127.0,101.6,33.59,114.3,26
RC,0271,STKNG CALF SSF BLK 20-30 REGXL,127.0,101.6,33.59,114.3,26
RC,0271,STKNG CALF SSF BLK 30-40 REGLG,127.0,101.6,33.59,114.3,26
RC,0271,STKNG CALF SSF BLK 30-40 REGXL,127.0,101.6,33.59,114.3,26
RC,0271,STKNG CALF SSF KAK 20-30 REGLG,127.0,101.6,33.59,114.3,26
RC,0271,STKNG CALF SSF KAK 20-30 REGXL,127.0,101.6,33.59,114.3,26
RC,0271,STKNG CALF+ OTBGE20-30XWPETSZ7,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALFCMFTOTNAT20-30PETSZ2,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALFCMFTOTNAT20-30PETSZ3,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALFCMFTOTNAT20-30PETSZ4,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALFCMFTOTNAT20-30STDSZ2,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALFCMFTOTNAT20-30STDSZ3,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALFCMFTOTNAT20-30STDSZ4,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALFCMFTOTNAT20-30STDSZ5,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALFCMFTOTNAT30-40STDSZ3,109.0,87.2,28.83,98.1,26
RC,0271,STKNG CALFMOTIONBLK20-30SHRTMD,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONBLK20-30SHRTSM,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONBLK20-30SHRTXL,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONGRY20-30SHRTLG,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONGRY20-30SHRTSM,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONGRY20-30SHRTXL,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONORCD20-30LNGLG,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONORCD20-30LNGMD,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONORCD20-30LNGSM,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONORCD20-30LNGXL,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONSEA20-30SHRTLG,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONSEA20-30SHRTMD,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONSEA20-30SHRTSM,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFMOTIONSEA20-30SHRTXL,108.0,86.4,28.57,97.2,26
RC,0271,STKNG CALFOPQMEN+BLK20-30LNGXL,99.0,79.2,26.19,89.1,26
RC,0271,STKNG FT CAP ELVAREX+ CLASS2,378.0,302.4,99.98,340.2,26
RC,0271,STKNG KNEE ACTIVE BLK 20-30 LG,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE ACTIVE BLK 20-30 MD,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE ACTIVE BLK 20-30 XL,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE ACTIVE FCBLK20-30LG,117.0,93.6,30.95,105.3,26
RC,0271,STKNG KNEE ACTIVE FCBLK20-30XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ACTIVE FCWHT20-30LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ACTIVE FCWHT20-30XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ACTIVE WHT 20-30 LG,190.0,152.0,50.26,171.0,26
RC,0271,STKNG KNEE ACTIVE WHT 20-30 MD,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ACTIVE WHT 20-30SZ4,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE BASIC BGE 20-30 SZ1,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE BASIC BGE 20-30 SZ2,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE BASIC BGE 20-30 SZ4,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE BEAD BGE 40-50 SZ4,119.0,95.2,31.48,107.1,26
RC,0271,STKNG KNEE BEAD BGE 40-50 SZ5,119.0,95.2,31.48,107.1,26
RC,0271,STKNG KNEE BGE 20-30 PET SZ1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE BGE 20-30 PET SZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE BGE 20-30 PET SZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE BGE 20-30 PET SZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE BGE 20-30 PET SZ5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE BGE 20-30 SZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE BGE 30-40 SHRT SZ3,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE BGE 30-40 SZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE BGE 30-40 SZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE BLK 2*DISC 6331829*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE BLK 20-30 XWIDE SZ5,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE BLK 20-30 XWIDE SZ6,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE BLK 20-30 XWIDE SZ7,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE BLK 20-30WIDEPETSZ1,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE BLK 20-30WIDEPETSZ2,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE BLK 20-30WIDEPETSZ3,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE BLK 20-30WIDEPETSZ4,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE BROCADE BLK 20*NLU*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE BROCADE BLK 20-30MD,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE BROCADE BLK 20-30XL,667.0,533.6,176.42,600.3,26
RC,0271,STKNG KNEE BROCADE SAND20-30LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE BROCADE SAND20-30MD,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE BROCADE SAND20-30XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE CLSD BGE 15-20 SZ1,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSD BGE 15-20 SZ3,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSD BGE 15-20 SZ4,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSD BGE 15-20 SZ5,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSD BGE15-20PETSZ1,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSD BGE15-20PETSZ3,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSD BGE15-20PETSZ4,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSD BGE15-20PETSZ5,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSD BLK 20-30 SZ1,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLSD BLK 20-30 SZ2,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLSD BLK 20-30 SZ3,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLSD BLK 20-30 SZ4,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLSD BLK 20-30 SZ5,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLSDBGE15-20SHRTSZ2,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSDBGE15-20SHRTSZ3,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSDBGE15-20SHRTSZ4,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSDBGE15-20SHRTSZ5,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLSDBLK20-30SHRTSZ1,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLSDBLK20-30SHRTSZ2,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLSDBLK20-30SHRTSZ3,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLSDBLK20-30SHRTSZ4,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLSDBLK20-30SHRTSZ5,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLSDBLK30-40SHRTSZ2,125.0,100.0,33.06,112.5,26
RC,0271,STKNG KNEE CLT BGE 15-20 SZ2,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLT BGE 15-20PETSZ2,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CLT BGE15-20 PETSZ1,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE CMFT BGE 20-30 SZ2,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BGE 20-30 SZ4,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BGE 20-30 SZ5,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BGE 30-40 SZ2,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BGE 30-40 SZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BGE 30-40 SZ6,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BGE20-30PETSZ1,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BGE20-30PETSZ2,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BGE20-30PETSZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BGE20-30PETSZ4,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BLK20-30STDSZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BLK20-30STDSZ5,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BLK20-30STDSZ7,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT BLK30-40PETSZ2,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT OT BGE30-40SZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT OT BLK20-30SZ1,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT OT NAT20-30SZ2,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT OT NAT20-30SZ4,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CMFT OT NAT20-30SZ5,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE CTTN BGE 20-30LNGSM,134.0,107.2,35.44,120.6,26
RC,0271,STKNG KNEE DUAL NAT 30-40 2XL,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE DUAL NAT 30-40 LG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE DYNMC OT30-40PETSZ5,121.0,96.8,32.0,108.9,26
RC,0271,STKNG KNEE DYNMC TREND30-40SZ3,183.0,146.4,48.4,164.7,26
RC,0271,STKNG KNEE DYNMCBGE30-40PETSZ3,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEE DYNMCBLK20-30PETSZ1,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEE DYNMCBLK20-30PETSZ2,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEE DYNMCOT30-40SHRTSZ3,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEE FLATKNIT 450 23-32,381.0,304.8,100.77,342.9,26
RC,0271,STKNG KNEE FLATKNIT 450 34-46,300.0,240.0,79.35,270.0,26
RC,0271,STKNG KNEE FLATKNIT 550 23-32,351.0,280.8,92.84,315.9,26
RC,0271,STKNG KNEE FLATKNIT BLK,96.0,76.8,25.39,86.4,26
RC,0271,STKNG KNEE FLATKNIT OTBLK23-32,96.0,76.8,25.39,86.4,26
RC,0271,STKNG KNEE KAK 3*DISC 6331847*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MAX BGE 20-30REGSZ3,159.0,127.2,42.06,143.1,26
RC,0271,STKNG KNEE MAX BLK 30-40REGSZ4,159.0,127.2,42.06,143.1,26
RC,0271,STKNG KNEE MEN B*DISC 6331827*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331828*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331830*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331831*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331832*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331838*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331839*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331840*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331841*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331842*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331843*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331844*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331845*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN B*DISC 6331846*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN BLK 20-30 *NLU*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN BLK 20-30 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN BLK 20-30 LNGLG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE MEN BLK 20-30 LNGXL,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE MEN BLK 20-30 MD,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN BLK 20-30 SM,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN BLK 20-30 SZ5,91.0,72.8,24.07,81.9,26
RC,0271,STKNG KNEE MEN BLK 20-30 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN BLK 20-30 XLFC,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN BLK 20-30S*NLU*,107.0,85.6,28.3,96.3,26
RC,0271,STKNG KNEE MEN BLK 30-40 *NLU*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN BLK 30-40STDSZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE MEN BLK 30-40TALLLG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN BLU 20-30 LNGLG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE MEN BRN 20-30 LNGXL,106.0,84.8,28.04,95.4,26
RC,0271,STKNG KNEE MEN FC BLK 30-40 LG,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE MEN FC BLK 30-40 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN FCRIBBLK20-30XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN GRY 20-30 LNGMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE MEN K*DISC 6331833*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN K*DISC 6331834*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN K*DISC 6331836*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN K*DISC 6331837*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN KAK 20-30 *NLU*,111.0,88.8,29.36,99.9,78
RC,0271,STKNG KNEE MEN KAK 20-30 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN KAK 30-40 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN ONYX 20-30LNGMD,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE MEN ONYX20-30 LNGSM,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE MEN RB BLK 20-30 XL,117.0,93.6,30.95,105.3,26
RC,0271,STKNG KNEE MEN RIB BLK 20-30LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN RIB BLK 30-40LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN RIB KAK 20-30XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN RIB KAK 30-40LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MEN TAN 20-30 SZ4,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE MEN TAN 20-30 SZ5,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE MEN TAN 20-30 SZ7,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE MENBLKPLD20-30LNGLG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE MENCASUALBLU20-30SM,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE MENONYX 20-30LNGLG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE MICFBRBLK20-30LNGMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE MICFBRBLK20-30LNGXL,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE NAT 20-30WIDEPETSZ1,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE NAT 20-30WIDEPETSZ5,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE NAVY *DISC 6307402*,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE NAVY *DISC 6307418*,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE OPQ BLK 20-30 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ BLK 20-30 LNGMD,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE OPQ BLK 20-30 MD,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ BLK 20-30 PETLG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ BLK 20-30 PETXL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ BLU 20-30L*NLU*,120.0,96.0,31.74,108.0,26
RC,0271,STKNG KNEE OPQ CHAR 20-30*NLU*,120.0,96.0,31.74,108.0,26
RC,0271,STKNG KNEE OPQ FC BLK 20-30 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ FC BLK 20-30 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ FC NAT 20-30 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ FC NAT 30-40 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ NAT 20-30 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ NAT 20-30 MD,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ NAT 20-30 SM,115.0,92.0,30.42,103.5,26
RC,0271,STKNG KNEE OPQ NAT 30-40 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ OT NAT 20-30 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQ OT NAT 20-30 MD,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE OPQGRAPH20-30S*NLU*,120.0,96.0,31.74,108.0,26
RC,0271,STKNG KNEE OT BG E30-40 PETSZ1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 20-30 PETSZ1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 20-30 PETSZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 20-30 PETSZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 20-30 PETSZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 20-30 PETSZ5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 20-30 REGSZ1,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE OT BGE 20-30 REGSZ2,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE OT BGE 20-30 REGSZ3,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE OT BGE 20-30 REGSZ4,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE OT BGE 20-30SHRTSZ1,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE OT BGE 20-30SHRTSZ2,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE OT BGE 20-30SHRTSZ3,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE OT BGE 20-30SHRTSZ4,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEE OT BGE 30-40 PETSZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 30-40 PETSZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 30-40 PETSZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 30-40 PETSZ5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 30-40SHRTSZ1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 30-40SHRTSZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 30-40SHRTSZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 30-40SHRTSZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT BGE 30-40SHRTSZ5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT SILBGE20-30SHRT1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT SILBGE20-30SHRT2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT SILBGE20-30SHRT3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT SILBGE20-30SHRT4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OT SILBGE20-30SHRT5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE OTSILBGE30-40PETSZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE PLUS BGE 20-30 SZ4,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE PLUS BGE 20-30 SZ6,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE PLUS BGE 20-30 SZ7,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE POWER WHT20-30STDLG,128.0,102.4,33.86,115.2,26
RC,0271,STKNG KNEE RELIEF FCBGE20-30XL,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE RIB BLK 20-30 SM,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE RIB BLK 30-40TALLLG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE RIB SAND 20-30 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE SHEER BGE 20-30 SZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE SHEER BGE 20-30 SZ4,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE SHEER CTNAT20-30SZ4,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE SHEER OTBGE20-30SZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE SIL BGE 20-30 SZ1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE 20-30 SZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE 20-30 SZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE 20-30 SZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE 20-30 SZ5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE 20-30PETSZ1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE 20-30PETSZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE 20-30PETSZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE 20-30PETSZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE 20-30PETSZ5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE20-30SHRTSZ1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE20-30SHRTSZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE20-30SHRTSZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE20-30SHRTSZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE20-30SHRTSZ5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE30-40SHRTSZ1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE30-40SHRTSZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE30-40SHRTSZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL BGE30-40SHRTSZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL OT BGE 15-20SZ1,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SIL OT BGE 15-20SZ2,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SIL OT BGE 15-20SZ3,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SIL OT BGE 15-20SZ4,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SIL OT BGE 15-20SZ5,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SIL OT BGE 20-30SZ1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL OT BGE 20-30SZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL OT BGE 20-30SZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL OT BGE 20-30SZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL OT BGE 20-30SZ5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SIL OTBGE15-20SHRT1,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SIL OTBGE15-20SHRT2,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SIL OTBGE15-20SHRT3,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SIL OTBGE15-20SHRT4,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SIL OTBGE15-20SHRT5,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SILOTBGE15-20PETSZ1,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SILOTBGE15-20PETSZ3,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SILOTBGE15-20PETSZ4,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SILOTBGE15-20PETSZ5,92.0,73.6,24.33,82.8,26
RC,0271,STKNG KNEE SOFT 20-30 CUST,153.0,122.4,40.47,137.7,26
RC,0271,STKNG KNEE SOFT BGE20-30REGSZ2,134.0,107.2,35.44,120.6,26
RC,0271,STKNG KNEE SOFT BLK 20-30LNGLG,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFT BLK 20-30LNGMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFT BLK 20-30LNGSM,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFT BLK20-30PETSZ2,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEE SOFT BLK20-30REGSZ1,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEE SOFT BLK20-30REGSZ4,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEE SOFT BLK20-30SHRTMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFT BLK20-30SHRTSM,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFT BLU 20-30LNGMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFT BLU20-30SHRTMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFT GRY 20-30LNGMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFT GRY20-30SHRTMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFT MULB20-30LNGMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFT NUDE20-30LNGLG,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFTBGE20-30SHRTSZ1,147.0,117.6,38.88,132.3,26
RC,0271,STKNG KNEE SOFTBGE20-30SHRTSZ2,153.0,122.4,40.47,137.7,26
RC,0271,STKNG KNEE SOFTBGE20-30SHRTSZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SOFTBGE20-30SHRTSZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SOFTBGE20-30SHRTSZ5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEE SOFTBLK20-30SHRTSZ5,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEE SOFTBLK30-40SHRTSZ3,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEE SOFTNUDE 20-30LNGMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFTNUDE20-30SHRTLG,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFTNUDE20-30SHRTMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE SOFTSESN20-30PETSZ2,183.0,146.4,48.4,164.7,26
RC,0271,STKNG KNEE SPORT BLK 15-20 LG,113.0,90.4,29.89,101.7,26
RC,0271,STKNG KNEE SPORT BLK 15-20 XL,113.0,90.4,29.89,101.7,26
RC,0271,STKNG KNEE SPORT BLK 20-30 LG,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE SPORT BLK 20-30 XL,141.0,112.8,37.29,126.9,26
RC,0271,STKNG KNEE SPORT GRY 20-30 LG,138.0,110.4,36.5,124.2,26
RC,0271,STKNG KNEE SSF BLK 20-30 LNGMD,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF BLK 20-30 LNGSM,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF BLK 20-30 LNGXL,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF BLK 20-30 REGLG,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF BLK 20-30 REGMD,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF BLK 20-30 REGSM,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF BLK 20-30 REGXL,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF BLK 30-40 REGLG,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF BLK 30-40 REGSM,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF BLK 30-40 REGXL,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF KAK 20-30 REGLG,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF KAK 20-30 REGMD,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF KAK 20-30 REGXL,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SSF KAK 30-40 REGMD,127.0,101.6,33.59,114.3,26
RC,0271,STKNG KNEE SZ4*NLU*,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE ULCERCARE OT LFT MD,105.0,84.0,27.77,94.5,26
RC,0271,STKNG KNEE ULT BGE 20-30 SM,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE ULT BGE 20-30 XL,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE ULT BGE 30-40 MD,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE ULT BGE 30-40 XL,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE ULT BLK 20-30 *NLU*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT BLK 20-30 LG,157.0,125.6,41.53,141.3,26
RC,0271,STKNG KNEE ULT BLK 20-30 MD,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE ULT BLK 20-30 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT BLK 30-40 LG,124.0,99.2,32.8,111.6,26
RC,0271,STKNG KNEE ULT BLK20-30PE*NLU*,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT FC BLK 20-30 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT FC NAT 20-30 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT HNY 20-30 SM,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT NAT 20-30 LG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT NAT 20-30 PETLG,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT NAT 20-30 PETMD,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT NAT 20-30 PETSM,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT NAT 20-30 PETXL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT NAT 20-30 SM,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT NAT 20-30 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT NAT 20-30MD,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE ULT OT NAT 20-30 MD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG KNEE ULT OT NAT 30-40 MD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG KNEE VITAL EBONY20-30SZ6,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEE WHT WHT 20-30 XL,111.0,88.8,29.36,99.9,26
RC,0271,STKNG KNEE WIDE BGE 30-40 SZ7,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE WOM BLK 20-30 LNGLG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOM BLK 20-30 LNGMD,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOM BLK 20-30 LNGXL,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOM BLK 20-30SHRTLG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOM BLK 20-30SHRTMD,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOM ONYX 20-30LNGLG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOM ONYX 20-30LNGMD,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOM ONYX20-30SHRTMD,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOM ONYX20-30SHRTSM,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOM PNK 20-30 LNGMD,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOM PNK 20-30SHRTMD,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOMEN HONEY 20*NLU*,111.0,88.8,29.36,99.9,52
RC,0271,STKNG KNEE WOMPNKARG20-30LNGLG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOMPURARG20-30LNGLG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOMPURARG20-30LNGMD,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE WOMSHRGLD20-30LNGLG,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE WOMSHRGLD20-30LNGMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEE WOOL GRY 20-30LNGSM,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEE X-WIDE BGE 30-40 VI,108.0,86.4,28.57,97.2,26
RC,0271,STKNG KNEE+ BGE 20-30 PET SZ5,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE+ BGE 20-30 XW SZ7,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE+ BLK 20-30 PET SZ4,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE+ OT BGE 20-30 XWSZ3,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE+ OT BGE 20-30 XWSZ5,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE+ SIL BGE 20-30 SZ3,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE+ SIL BGE 20-30 SZ7,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE+ SIL BLK 20-30 SZ3,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE+ SIL BLK 20-30 SZ5,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEE+ SIL BLK 20-30 SZ6,109.0,87.2,28.83,98.1,26
RC,0271,STKNG KNEEBASICBGE20-30SHRTSZ1,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEEBASICBGE20-30SHRTSZ2,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEEBASICBGE20-30SHRTSZ3,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEEBASICBGE20-30SHRTSZ4,90.0,72.0,23.81,81.0,26
RC,0271,STKNG KNEEBSCOTBLK20-30SHRTSZ2,98.0,78.4,25.92,88.2,26
RC,0271,STKNG KNEEDYNMCBLK30-40SHRTSZ4,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEEMENWOOLBLK20-30LNGLG,107.0,85.6,28.3,96.3,26
RC,0271,STKNG KNEEMENWOOLBLK20-30LNGMD,106.0,84.8,28.04,95.4,26
RC,0271,STKNG KNEEMICFBRBLK20-30LNGLG,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEEOTSILBGE20-30SHRTSZ1,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEEOTSILBGE20-30SHRTSZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEEOTSILBGE20-30SHRTSZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEEOTSILBGE20-30SHRTSZ4,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEEOTSILBGE20-30SHRTSZ5,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEEOTSILBGE30-40SHRTSZ2,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEEOTSILBGE30-40SHRTSZ3,143.0,114.4,37.82,128.7,26
RC,0271,STKNG KNEESLCTBLK20-30XWSTDSZ4,93.0,74.4,24.6,83.7,26
RC,0271,STKNG KNEESOFTOTBGE30-40REGSZ3,158.0,126.4,41.79,142.2,26
RC,0271,STKNG KNEESOFTSESN20-30SHRTSZ3,183.0,146.4,48.4,164.7,26
RC,0271,STKNG KNEEWOMMARINER20-30LNGLG,100.0,80.0,26.45,90.0,26
RC,0271,STKNG KNEEWOMSHRGLD20-30SHRTMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG KNEEWOMSHRHNY20-30SHRTMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNG MATERNITY BGE 30-40 SZ3,178.0,142.4,47.08,160.2,26
RC,0271,STKNG PROS SOFT 6PLY SHRT REG,32.0,25.6,8.46,28.8,26
RC,0271,STKNG SHEER BGE 15-20 SZ4,117.0,93.6,30.95,105.3,26
RC,0271,STKNG THIGH ATTACH BGE30-*NLU*,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH BEAD BGE 20-30 SZ3,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH BEAD BGE 30-40 SZ3,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH BEAD BGE 30-40 SZ5,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH BEAD BGE 30-40 SZ6,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH BEAD BLK 30-40 SZ4,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH BEAD OTBGE30-40SZ2,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH BEAD OTBGE30-40SZ3,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH BEAD OTBGE30-40SZ5,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH BGE 20-30 PET SZ1,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH BGE 20-30 PET SZ2,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH BGE 20-30 PET SZ3,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH BGE 20-30 PET SZ4,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH BGE 20-30 PET SZ5,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH BGE 20-30 SHRT SZ1,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH BGE 20-30 SHRT SZ2,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH BGE 20-30 SHRT SZ3,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH BGE 20-30 SHRT SZ4,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH BGE 20-30 SHRT SZ5,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH BGE 20-30 SZ3 PET,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH BGE 30-40 PET*NLU*,132.0,105.6,34.91,118.8,78
RC,0271,STKNG THIGH CLT BGE 15-20 SZ1,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLT BGE 15-20 SZ2,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLT BGE 15-20 SZ3,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLT BGE 15-20 SZ4,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLT BGE 15-20 SZ5,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLT BGE15-20PETSZ1,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLT BGE15-20PETSZ2,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLT BGE15-20PETSZ3,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLT BGE15-20PETSZ4,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLT BGE15-20PETSZ5,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLTBGE15-20SHRTSZ1,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLTBGE15-20SHRTSZ2,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLTBGE15-20SHRTSZ3,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLTBGE15-20SHRTSZ4,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CLTBGE15-20SHRTSZ5,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH CMFT BLK 20-30 SZ3,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH CMFT NAT 20-30 SZ1,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH CMFT OTNAT20-30SZ6,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH CMFTBLK20-30STDSZ4,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH CMFTBLK20-30STDSZ5,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH CMFTBLK20-30STDSZ7,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH CMFTNAT20-30STDSZ3,125.0,100.0,33.06,112.5,26
RC,0271,STKNG THIGH CRISPA 30-40M*NLU*,96.0,76.8,25.39,86.4,26
RC,0271,STKNG THIGH DUOM*DISC 6342803*,96.0,76.8,25.39,86.4,26
RC,0271,STKNG THIGH DYNMC 20-30 CUST,210.0,168.0,55.55,189.0,26
RC,0271,STKNG THIGH DYNMCOT30-40PETSZ4,197.0,157.6,52.11,177.3,26
RC,0271,STKNG THIGH DYNMCOTBGE40-50SZ1,222.0,177.6,58.72,199.8,26
RC,0271,STKNG THIGH EVER BLK20-30LNGLG,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH EVER HNY20-30LNGMD,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH EVERBLK20-30TALLMD,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH EVERHNY20-30TALLSM,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH EVERHNY30-40SHRTMD,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH LACE BGE 20-30 SZ1,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE BGE 20-30 SZ2,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE BGE 20-30 SZ3,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE BGE 20-30 SZ4,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE BGE 20-30 SZ5,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE BGE 20-30 SZ6,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE BGE 30-4*NLU*,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE BGE 30-40 SZ3,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE BGE 30-40 SZ4,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE BGE 30-40 SZ5,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE BGE 30-40 SZ7,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE NAT 30-40 MD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH LACE NAT20-30PETMD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH LACE NAT20-30PETXL,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH LACE OTNAT20-30SZ3,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACE30-40BGEP*NLU*,147.0,117.6,38.88,132.3,26
RC,0271,STKNG THIGH LACEBGE20-30PETSZ1,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACEBGE20-30PETSZ2,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACEBGE20-30PETSZ4,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACEBGE20-30PETSZ5,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH LACEBGE30-40PETSZ3,147.0,117.6,38.88,132.3,26
RC,0271,STKNG THIGH MAX BGE20-30REGSZ3,200.0,160.0,52.9,180.0,26
RC,0271,STKNG THIGH MEN BLK 20-30 LG,168.0,134.4,44.44,151.2,26
RC,0271,STKNG THIGH MEN BLK 20-30 MD,168.0,134.4,44.44,151.2,26
RC,0271,STKNG THIGH MEN BLK 20-30 XL,178.0,142.4,47.08,160.2,26
RC,0271,STKNG THIGH MEN BLK 20-30LGLNG,124.0,99.2,32.8,111.6,26
RC,0271,STKNG THIGH MEN BLK 30-40 LG,168.0,134.4,44.44,151.2,26
RC,0271,STKNG THIGH MEN BLK 30-40XL,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH MEN KAK 15-20 XL,261.0,208.8,69.03,234.9,26
RC,0271,STKNG THIGH MEN KAK 20-30 LG,168.0,134.4,44.44,151.2,26
RC,0271,STKNG THIGH MEN KAK 30-40 LG,168.0,134.4,44.44,151.2,26
RC,0271,STKNG THIGH MEN KAK 30-40 XL,168.0,134.4,44.44,151.2,26
RC,0271,STKNG THIGH MEN RIB BLK15*NLU*,157.0,125.6,41.53,141.3,52
RC,0271,STKNG THIGH OPENBGEREG20-30SZ4,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH OPQ BLK 20-30 LG,168.0,134.4,44.44,151.2,26
RC,0271,STKNG THIGH OPQ BLK20-30 LGLNG,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH OPQ BLK20-30 SMLNG,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH OPQ BLK20-30LGSHRT,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH OPQ BLK20-30SMSHRT,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH OPQ HNY 20-30 SM,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH OPQ HNY 30-40 MD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH OPQ NAT 20-30 LG,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH OPQ NAT 20-30 MD,198.0,158.4,52.37,178.2,26
RC,0271,STKNG THIGH OPQ NAT 20-30 XL,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH OPQ NAT 30-40 LG,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH OPQ NAT 30-40 MD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH OPQ NAT 30-40 XL,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH OPQ NAT20-30 PETLG,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH OPQ OTBGE20-30SZ3,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OPQNUDE20-30LG LNG,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH OPQOTBLK20-30LNGLG,136.0,108.8,35.97,122.4,26
RC,0271,STKNG THIGH OPQOTBLK20-30LNGMD,136.0,108.8,35.97,122.4,26
RC,0271,STKNG THIGH OT BGE 20-30 SZ1,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE 20-30 SZ2,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE 20-30 SZ4,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE 20-30 SZ5,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE 20-30PETSZ1,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE 20-30PETSZ2,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE 20-30PETSZ3,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE 20-30PETSZ4,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE 20-30PETSZ5,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE20-30SHRTSZ1,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE20-30SHRTSZ2,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE20-30SHRTSZ3,193.0,154.4,51.05,173.7,26
RC,0271,STKNG THIGH OT BGE20-30SHRTSZ4,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT BGE20-30SHRTSZ5,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH OT ELVAREX CLASS2,444.0,355.2,117.44,399.6,26
RC,0271,STKNG THIGH OT OPQ NAT 20-30LG,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH OT OPQ NAT 30-40MD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH OT SIL BGE20-30SZ1,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH OT SILBGE20-30SZ2,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH OTSILBGE20-30SHRT1,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH OTSILBGE20-30SHRT2,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH OTSILBGE20-30SHRT3,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH OTSILBGE20-30SHRT4,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH PLUS BGE 20-30 SZ1,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH PLUS BGE 20-30 SZ3,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH PLUS BGE 20-30 SZ4,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH PLUS BGE 20-30 SZ5,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH PLUS BGE 20-30 SZ6,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH RELIEFOTBGE20-30XL,127.0,101.6,33.59,114.3,26
RC,0271,STKNG THIGH SHROTNAT30-40SZ2,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGH SIL BGE 20-30 REG1,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH SIL BGE 20-30 REG2,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH SIL BGE 20-30 REG3,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH SIL BGE 20-30 REG4,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH SIL BGE 20-30 REG5,176.0,140.8,46.55,158.4,26
RC,0271,STKNG THIGH SIL BGE 30-40SHRT1,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL BGE 30-40SHRT2,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL BGE 30-40SHRT3,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL BGE 30-40SHRT4,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL BGE20-30REGSZ1,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL BGE20-30REGSZ2,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL BGE20-30REGSZ4,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL BGE30-40REGSZ1,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL BGE30-40REGSZ2,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL BGE30-40REGSZ3,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL BGE30-40REGSZ4,140.0,112.0,37.03,126.0,26
RC,0271,STKNG THIGH SIL BLK 20-30 REG3,193.0,154.4,51.05,173.7,26
RC,0271,STKNG THIGH SIL OT BGE15-20SZ1,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH SIL OT BGE15-20SZ2,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH SIL OT BGE15-20SZ3,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH SIL OT BGE15-20SZ4,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH SIL OT BGE15-20SZ5,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH SIL OT BGE30-40SZ1,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL OT BGE30-40SZ2,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL OT BGE30-40SZ3,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SIL OT BGE30-40SZ4,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SILOTBGE15-20SHRT1,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH SILOTBGE15-20SHRT2,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH SILOTBGE15-20SHRT3,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH SILOTBGE15-20SHRT4,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH SILOTBGE15-20SHRT5,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGH SILOTBGE30-40SHRT1,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SILOTBGE30-40SHRT2,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SILOTBGE30-40SHRT3,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SILOTBGE30-40SHRT4,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGH SOFT BLK20-30MDLNG,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH SOFTBLK20-30MDSHRT,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH SOFTNUDE20-30MDLNG,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH SOFTNUDE20-30SMLNG,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH ULT BGE 20-30 LG,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT BGE 20-30 MD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT BGE 20-30*NLU*,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT BLK 20-30 LG,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT BLK 20-30 MD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT BLK 20-30*NLU*,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT NAT 20-30 MD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT NAT 30-40*NLU*,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT OT HNY 20-30MD,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT OT NAT 20-30LG,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT OT TAN 20-30MD,168.0,134.4,44.44,151.2,26
RC,0271,STKNG THIGH ULT SUN 20-30 LG,157.0,125.6,41.53,141.3,26
RC,0271,STKNG THIGH ULT SUN 20-30 MD,198.0,158.4,52.37,178.2,26
RC,0271,STKNG THIGH ULT TAN 15-20 XL,261.0,208.8,69.03,234.9,26
RC,0271,STKNG THIGH WOM HNY20-30MDSHRT,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH WOM TAN 20-30MDLNG,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGH+ OT BGE 20-30 SZ5,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGHCMFTLACEBGE20-30SZ2,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGHCMFTLACEBGE20-30SZ3,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGHCMFTLACEBGE20-30SZ4,132.0,105.6,34.91,118.8,26
RC,0271,STKNG THIGHCTTNOTBGE20-30LNGMD,166.0,132.8,43.91,149.4,26
RC,0271,STKNG THIGHOPQOTBLK20-30SHRTXL,120.0,96.0,31.74,108.0,26
RC,0271,STKNG THIGHSILCLTBGE20-30SHRT1,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGHSILCLTBGE20-30SHRT2,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGHSILCLTBGE20-30SHRT3,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGHSILCLTBGE20-30SHRT4,137.0,109.6,36.24,123.3,26
RC,0271,STKNG THIGHSILOTBGE15-20PETSZ1,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGHSILOTBGE15-20PETSZ2,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGHSILOTBGE15-20PETSZ3,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGHSILOTBGE15-20PETSZ4,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGHSILOTBGE15-20PETSZ5,98.0,78.4,25.92,88.2,26
RC,0271,STKNG THIGHSOFTNUDE20-30MDSHRT,133.0,106.4,35.18,119.7,26
RC,0271,STKNG THIGHSOFTNUDE20-30SMSHRT,133.0,106.4,35.18,119.7,26
RC,0271,STKNG WAIST BGE 30-40 S4 RT,118.0,94.4,31.21,106.2,26
RC,0271,STKNG WAIST CLSD HNY 20-3*NLU*,194.0,155.2,51.31,174.6,52
RC,0271,STKNG WOOL CHARC 20-30 MD,100.0,80.0,26.45,90.0,26
RC,0271,STKNG20-30LNGSZ1*DISC 6354136*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30LNGSZ2*DISC 6354137*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30LNGSZ4*DISC 6354138*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30LNGSZ6*DISC 6354139*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ1*DISC 6354130*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ2*DISC 6354131*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ2*DISC 6354140*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ3*DISC 6354132*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ3*DISC 6354141*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ4*DISC 6354133*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ4*DISC 6354142*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ5*DISC 6354134*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ5*DISC 6354143*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ6*DISC 6354135*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG20-30REGSZ6*DISC 6354144*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG30-40REGSZ1*DISC 6354145*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG30-40REGSZ3*DISC 6354146*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG30-40REGSZ3*DISC 6354150*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG30-40REGSZ4*DISC 6354147*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG30-40REGSZ5*DISC 6354148*,135.0,108.0,35.71,121.5,26
RC,0271,STKNG30-40REGSZ6*DISC 6354149*,135.0,108.0,35.71,121.5,26
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ1,109.0,87.2,28.83,98.1,26
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ2,109.0,87.2,28.83,98.1,26
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ3,109.0,87.2,28.83,98.1,26
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ4,109.0,87.2,28.83,98.1,26
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ5,109.0,87.2,28.83,98.1,26
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ6,109.0,87.2,28.83,98.1,26
RC,0271,STKNGCALFMOTIONORCD20-30SHRTLG,108.0,86.4,28.57,97.2,26
RC,0271,STKNGCALFMOTIONORCD20-30SHRTMD,108.0,86.4,28.57,97.2,26
RC,0271,STKNGCALFMOTIONORCD20-30SHRTSM,108.0,86.4,28.57,97.2,26
RC,0271,STKNGCALFMOTIONSAGE20-30SHRTMD,108.0,86.4,28.57,97.2,26
RC,0271,STKNGCALFMOTIONSLATE20-30LNGLG,108.0,86.4,28.57,97.2,26
RC,0271,STKNGCALFMOTIONSLATE20-30LNGMD,108.0,86.4,28.57,97.2,26
RC,0271,STKNGKNEE SIL OTBGE15-20PETSZ2,92.0,73.6,24.33,82.8,26
RC,0271,STKNGKNEEMENCUSHBLK20-30SHRTLG,97.0,77.6,25.66,87.3,26
RC,0271,STKNGKNEEMENCUSHBLK20-30SHRTMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNGKNEEMENCUSHWHT20-30SHRTLG,97.0,77.6,25.66,87.3,26
RC,0271,STKNGKNEEMENCUSHWHT20-30SHRTMD,97.0,77.6,25.66,87.3,26
RC,0271,STKNGKNEESELECTBLK20-30TALLSZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNGKNEESELECTBLK20-30TALLSZ5,93.0,74.4,24.6,83.7,26
RC,0271,STKNGKNEESELECTBLK20-30TALLSZ6,93.0,74.4,24.6,83.7,26
RC,0271,STKNGKNEESOFTOPQBLK20-30SHRTLG,97.0,77.6,25.66,87.3,26
RC,0271,STKNGKNEEVITALEBONY20-30PETSZ2,93.0,74.4,24.6,83.7,26
RC,0271,STKNGKNEEVITALEBONY20-30PETSZ3,93.0,74.4,24.6,83.7,26
RC,0271,STKNGKNEEVITALEBONY20-30PETSZ5,93.0,74.4,24.6,83.7,26
RC,0271,STKNGKNEEVITALEBONY20-30PETSZ6,93.0,74.4,24.6,83.7,26
RC,0271,STKNGKNEEWOMGRAPHARG20-30LGLNG,100.0,80.0,26.45,90.0,26
RC,0271,STKNGKNEEWOMGRAPHARG20-30MDLNG,100.0,80.0,26.45,90.0,26
RC,0271,STKNGKNEEWOMSHEERBLK20-30LGLNG,97.0,77.6,25.66,87.3,26
RC,0271,STKNGKNEEWOMWOOLBLK20-30MDSHRT,106.0,84.8,28.04,95.4,26
RC,0271,STKNGKNEEWOMWOOLBLU20-30SHRTLG,106.0,84.8,28.04,95.4,26
RC,0271,STKNGKNEEWOMWOOLBRN20-30SHRTMD,108.0,86.4,28.57,97.2,26
RC,0271,STKNGSLECETBLK 30-40HIGHXWSZ5,93.0,74.4,24.6,83.7,26
RC,0271,STKNGSLECETBLK 30-40HIGHXWSZ6,93.0,74.4,24.6,83.7,26
RC,0271,STKNGTHIGH SHEER BLK20-30MDLNG,133.0,106.4,35.18,119.7,26
RC,0271,STKNGTHIGHCMFTOTNAT20-30PETSZ2,132.0,105.6,34.91,118.8,26
RC,0271,STKNGTHIGHCMFTOTNAT20-30PETSZ4,132.0,105.6,34.91,118.8,26
RC,0271,STOPCOCK 3W MERIT POLY*NLU*,689.0,551.2,182.24,620.1,26
RC,0271,STRAP DRING SLFADH ROLYAN 1X18,108.0,86.4,28.57,97.2,26
RC,0271,STRAP DRING SLFADH ROLYAN 2X18,116.0,92.8,30.68,104.4,26
RC,0271,STRAP HOOK SLF ADH BLK 2X10YD,93.0,74.4,24.6,83.7,26
RC,0271,STRAP TENNIS ELBOW VOLLEY,112.0,89.6,29.62,100.8,26
RC,0271,STRIP KT PSTN DYNACLEFT BIL,380.0,304.0,100.51,342.0,26
RC,0271,STRIP KT PSTN W ELEVA,504.0,403.2,133.31,453.6,26
RC,0271,STRIP PSTN DYNACLEFT BIL,2189.0,1751.2,578.99,1970.1,26
RC,0271,STRIP PSTN DYNACLEFT UNIL,1836.0,1468.8,485.62,1652.4,26
RC,0271,STRIP PSTN W ELEVA BIL,3919.0,3135.2,1036.58,3527.1,26
RC,0271,STRIP PSTN W ELEVA UNIL,3515.0,2812.0,929.72,3163.5,26
RC,0271,SUPP ELBOW EPITRAIN SZ2*NLU*,150.0,120.0,39.68,135.0,26
RC,0271,SUPP FACE MASK MID NECK LG,224.0,179.2,59.25,201.6,26
RC,0271,SUPP FACE MASK MID NECK MD,92.0,73.6,24.33,82.8,26
RC,0271,SUPP LUMB ASPEN 36-42IN LG,95.0,76.0,25.13,85.5,26
RC,0271,SUPP LUMB ASPEN 41-48IN XL,95.0,76.0,25.13,85.5,26
RC,0271,SYS CPAP AIRTOUCH N30I STD LG,494.0,395.2,130.66,444.6,26
RC,0271,SYS CPAP AIRTOUCH N30I STD MD,494.0,395.2,130.66,444.6,26
RC,0271,SYS CPAP AIRTOUCH N30IADLTSMMD,494.0,395.2,130.66,444.6,26
RC,0271,SYS CPAP AIRTOUCHN30ISTDWIDESM,494.0,395.2,130.66,444.6,26
RC,0271,SYS CPAP FLOWSAFEII NEB ADLTLG,694.0,555.2,183.56,624.6,26
RC,0271,SYS CPAPAIRTOUCHN30IADLTWIDESM,494.0,395.2,130.66,444.6,26
RC,0271,SYS HDGEAR CPAP AIRFIT P30ISM,490.0,392.0,129.61,441.0,26
RC,0271,SYS HDGEAR CPAP AIRFIT P30ISTD,490.0,392.0,129.61,441.0,26
RC,0271,SYS MASK CPAP AIRFIT N30I SM,490.0,392.0,129.61,441.0,26
RC,0271,SYS MASK CPAP AIRFIT N30I STD,490.0,392.0,129.61,441.0,26
RC,0271,SYS MASK CPAP SM*DISC 6345623*,646.0,516.8,170.87,581.4,26
RC,0271,SYS MASK CPAPMD*DISC 6345623*,646.0,516.8,170.87,581.4,26
RC,0271,SYS OPEP AEROBIKA OSCL,424.0,339.2,112.15,381.6,26
RC,0271,SYS REHAB THERABITE JAW ADLT,3831.0,3064.8,1013.3,3447.9,26
RC,0271,SYS REPOS PREVALO*VAT 6348453*,1403.0,1122.4,371.09,1262.7,26
RC,0271,SYS SEATED POSITION PREVALON,867.0,693.6,229.32,780.3,26
RC,0271,SYS SINUS WASH HYDROCLEANSE,1870.0,1496.0,494.62,1683.0,26
RC,0271,SYS TURN POSITPREVAL*VAT MULT*,2120.0,1696.0,560.74,1908.0,26
RC,0271,SYS TURNASSISTPOSITI*VAT MULT*,882.0,705.6,233.29,793.8,26
RC,0271,SYSREPOSPREVALONAIRTAP2XL*CIP*,2280.0,1824.0,603.06,2052.0,26
RC,0271,TB CPAP CLIMATELINE HEATED,335.0,268.0,88.61,301.5,26
RC,0271,TB CPAP HEATED DREAMSTATION,300.0,240.0,79.35,270.0,26
RC,0271,TECH SPNL UNID PT SPECIFIC,6750.0,5400.0,1785.38,6075.0,26
RC,0271,TRANS PT INFL BAR*USE 6311545*,1020.0,816.0,269.79,918.0,26
RC,0271,TRNQT CUFF DUAL SGL ZIMM 34,341.0,272.8,90.19,306.9,26
RC,0271,TRNQT CUFF SGL DUAL SL18*DISC*,319.0,255.2,84.38,287.1,26
RC,0271,TRNQT CUFF SGL SGL SLV STRY 24,200.0,160.0,52.9,180.0,26
RC,0271,TRNQT CUFF SGL SGL SLV STRY 30,216.0,172.8,57.13,194.4,26
RC,0271,TRNQT CUFF SGL SGL SLV STRY 34,228.0,182.4,60.31,205.2,26
RC,0271,TRNQT CUFF SGL SGL SLV ZIMM 42,677.0,541.6,179.07,609.3,26
RC,0271,TRNQT CUFF SGL SGL STRY 18,178.0,142.4,47.08,160.2,26
RC,0271,TRNQT CUFF SGL SGL STRY 44,253.0,202.4,66.92,227.7,26
RC,0271,TRNQT STERICUFF SGL DUAL 8IN,1870.0,1496.0,494.62,1683.0,26
RC,0271,TRNQT STERICUFF SLV STRY 18,194.0,155.2,51.31,174.6,26
RC,0271,TRNQT STERICUFF SLV STRY 24,216.0,172.8,57.13,194.4,26
RC,0271,VEST CHEST HYPER/HYPO LG,166.0,132.8,43.91,149.4,26
RC,0271,VEST COMP MALE BLK 2XL,195.0,156.0,51.58,175.5,26
RC,0271,VEST COMP MALE BLK LG,162.0,129.6,42.85,145.8,26
RC,0271,VEST COMP MALE BLK MD,162.0,129.6,42.85,145.8,26
RC,0271,VEST COMP MALE BLK SM,162.0,129.6,42.85,145.8,26
RC,0271,VEST COMP MALE BLK XL,162.0,129.6,42.85,145.8,26
RC,0271,VEST COMP SHRT BLK 3XL,218.0,174.4,57.66,196.2,26
RC,0271,VEST COMP SHRT BLK 4XL,218.0,174.4,57.66,196.2,26
RC,0271,VEST HALO TRAUMA KT LG,9800.0,7840.0,2592.1,8820.0,26
RC,0271,VEST LT KYPHOSIS SHRT 28-*NLU*,4343.0,3474.4,1148.72,3908.7,26
RC,0271,WATER CHAMB CPAP VIVO45LS,720.0,576.0,190.44,648.0,26
RC,0271,WATER TRAP BELLOWS HFOV 3100A,754.0,603.2,199.43,678.6,26
RC,0271,WRAP AIRW CLRNC XL BX5,525.0,420.0,138.86,472.5,26
RC,0271,WRAP ARM JUXTAFT RT LNG SZ3,181.0,144.8,47.87,162.9,26
RC,0271,WRAP ARM RDCTN KT REG STD 45CM,277.0,221.6,73.27,249.3,26
RC,0271,WRAP CALF 20-40 RTTALLMD/LGMAX,276.0,220.8,73.0,248.4,26
RC,0271,WRAP CALF CLFLX 20-40RTREGSM,276.0,220.8,73.0,248.4,26
RC,0271,WRAP CALF CLFLX20-40LFTREGSM,276.0,220.8,73.0,248.4,26
RC,0271,WRAP CALF CLFLX20-40RTREGSMMAX,276.0,220.8,73.0,248.4,26
RC,0271,WRAP CALF ESSENTIAL BGE LNG LG,249.0,199.2,65.86,224.1,26
RC,0271,WRAP CALF ESSENTIAL BGE LNG XL,249.0,199.2,65.86,224.1,26
RC,0271,WRAP CALF FF LNR LNG 2XL,182.0,145.6,48.14,163.8,26
RC,0271,WRAP CALF JUXTA BGE LNG XL,413.0,330.4,109.24,371.7,26
RC,0271,WRAP CALF JUXTA BGE SHRT LG,413.0,330.4,109.24,371.7,26
RC,0271,WRAP CALF JUXTA BGE SHRT XL,249.0,199.2,65.86,224.1,26
RC,0271,WRAP CALF JUXTA HD BLK LNG LG,159.0,127.2,42.06,143.1,26
RC,0271,WRAP CALF SLIPON LNG 2XL,200.0,160.0,52.9,180.0,26
RC,0271,WRAP CALF SLIPON REG LG,200.0,160.0,52.9,180.0,26
RC,0271,WRAP CALFCLFLX20-40LFTREGMD/LG,262.0,209.6,69.3,235.8,26
RC,0271,WRAP CALFCLFLX20-40RFTREGMD/LG,262.0,209.6,69.3,235.8,26
RC,0271,WRAP CALFCLFLX20-40RTTALLMD/LG,262.0,209.6,69.3,235.8,26
RC,0271,WRAP COMP ANK FT + BLK REG 2XL,271.0,216.8,71.68,243.9,26
RC,0271,WRAP COMP ANK FT STD BGEREG2XL,97.0,77.6,25.66,87.3,26
RC,0271,WRAP COMP CALF 30-60 REG 2XL,165.0,132.0,43.64,148.5,26
RC,0271,WRAP COMP CALF 30-60 REG 3XL,165.0,132.0,43.64,148.5,26
RC,0271,WRAP COMP CALF 30-60 REG LG,165.0,132.0,43.64,148.5,26
RC,0271,WRAP COMP CALF 30-60 REG MD,165.0,132.0,43.64,148.5,26
RC,0271,WRAP COMP CALF 30-60 REG SM,165.0,132.0,43.64,148.5,26
RC,0271,WRAP COMP CALF 30-60 REG XL,165.0,132.0,43.64,148.5,26
RC,0271,WRAP COMP LEG JUXTA LFT SHRTLG,277.0,221.6,73.27,249.3,26
RC,0271,WRAP COMP LEG JUXTALITE S*NLU*,158.5,126.80000000000001,41.79,143.1,78
RC,0271,WRAP COMP LEGJUXTLTLNG2XL*NLU*,279.0,223.2,73.8,251.1,26
RC,0271,WRAP COMPRFLX BGE 20-50 STD MD,185.0,148.0,48.93,166.5,26
RC,0271,WRAP COMPRFLX BGE 20-50 TALLLG,185.0,148.0,48.93,166.5,26
RC,0271,WRAP COMPRFLX BLK 20-50 REG LG,185.0,148.0,48.93,166.5,26
RC,0271,WRAP COMPRFLX BLK 20-50TALL2XL,276.0,220.8,73.0,248.4,26
RC,0271,WRAP COMPRFLX LITE BLK REG LG,148.0,118.4,39.15,133.2,26
RC,0271,WRAP COMPRFLX LITE BLK TALL LG,148.0,118.4,39.15,133.2,26
RC,0271,WRAP COMPRFLX LITE BLK TALL MD,148.0,118.4,39.15,133.2,26
RC,0271,WRAP COMPRFLX LITE BLK TALL XL,148.0,118.4,39.15,133.2,26
RC,0271,WRAP COMPRFLXBGE20-50TALLSTDLG,276.0,220.8,73.0,248.4,26
RC,0271,WRAP COMPRFLXBGE20-50TALLSTDMD,276.0,220.8,73.0,248.4,26
RC,0271,WRAP COMPRFLXBGE20-50TALLSTDXL,276.0,220.8,73.0,248.4,26
RC,0271,WRAP CUREWRAP INFANT 4-7K*NLU*,773.0,618.4,204.46,695.7,26
RC,0271,WRAP CUREWRAP INFANT <4KG,997.0,797.6,263.71,897.3,26
RC,0271,WRAP FT CLFLX 20-40 RTLNGMD/LG,168.0,134.4,44.44,151.2,26
RC,0271,WRAP FT CLFLX 20-40 RTREGMD/LG,168.0,134.4,44.44,151.2,26
RC,0271,WRAP FT CLFLX 20-40LFTLNGMD/LG,168.0,134.4,44.44,151.2,26
RC,0271,WRAP FT CLFLX 20-40LFTREGMD/LG,168.0,134.4,44.44,151.2,26
RC,0271,WRAP FT FARROW 20-30 REG SM,111.0,88.8,29.36,99.9,26
RC,0271,WRAP FT FARROW 30-40 LNG SM,120.0,96.0,31.74,108.0,26
RC,0271,WRAP FT FARROW 30-40 REG SM,116.0,92.8,30.68,104.4,26
RC,0271,WRAP FT FARROW 30-40 REG XS,120.0,96.0,31.74,108.0,26
RC,0271,WRAP FTCOMPREBOOTBLK30-40LNGLG,97.0,77.6,25.66,87.3,26
RC,0271,WRAP FTCOMPREBOOTBLK30-40LNGSM,97.0,77.6,25.66,87.3,26
RC,0271,WRAP FTCOMPREBOOTBLK30-40LNGXL,97.0,77.6,25.66,87.3,26
RC,0271,WRAP FTCOMPREBOOTBLK30-40REGLG,97.0,77.6,25.66,87.3,26
RC,0271,WRAP FTCOMPREBOOTBLK30-40REGSM,97.0,77.6,25.66,87.3,26
RC,0271,WRAP HIPRAP LG,196.0,156.8,51.84,176.4,26
RC,0271,WRAP HIPRAP MD,196.0,156.8,51.84,176.4,26
RC,0271,WRAP HIPRAP SM,155.0,124.0,41.0,139.5,26
RC,0271,WRAP HIPRAP XL,196.0,156.8,51.84,176.4,26
RC,0271,WRAP JUXTASHRTLG*DUP 6327832*,159.0,127.2,42.06,143.1,26
RC,0271,WRAP JUXTASHRTXL*DUP 6327833*,161.0,128.8,42.58,144.9,26
RC,0271,WRAP JUXTFCLNGXL*DUP 6327834*,161.0,128.8,42.58,144.9,26
RC,0271,WRAP JUXTFCSHRTLG*DUP 6327836*,159.0,127.2,42.06,143.1,26
RC,0271,WRAP LEG ESSENTIAL BGE LNG LG,249.0,199.2,65.86,224.1,26
RC,0271,WRAP LEG ESSENTIAL BGE LNG MD,249.0,199.2,65.86,224.1,26
RC,0271,WRAP LEG ESSENTIAL BGE SHRT MD,249.0,199.2,65.86,224.1,26
RC,0271,WRAP LEG FARROW 20-30 REG LG,177.0,141.6,46.82,159.3,26
RC,0271,WRAP LEG FARROW 20-30 TALL SM,168.0,134.4,44.44,151.2,26
RC,0271,WRAP LEG FARROW 20-30 TALL XS,226.0,180.8,59.78,203.4,26
RC,0271,WRAP LEG FARROW 30-40 REG LG,192.0,153.6,50.78,172.8,26
RC,0271,WRAP LEG FARROW 30-40 REG SM,194.0,155.2,51.31,174.6,26
RC,0271,WRAP LEG FARROW 30-40 TALL SM,194.0,155.2,51.31,174.6,26
RC,0271,WRAP LEG FARROW 30-40 TALL XL,192.0,153.6,50.78,172.8,26
RC,0271,WRAP LEG FARROW 30-40 TALL XS,194.0,155.2,51.31,174.6,26
RC,0271,WRAP LEG HYPER/HYPO UNIV ADLT,122.0,97.6,32.27,109.8,26
RC,0271,WRAP LEG JUXTA BLK LNG LG,139.0,111.2,36.77,125.1,26
RC,0271,WRAP LEG JUXTA HD BGE LNG 2XL,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTA HD BGE LNG LG,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTA HD BGE LNG MD,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTA HD BGE SHRT 2XL,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTA HD BLK SHRT MD,159.0,127.2,42.06,143.1,26
RC,0271,WRAP LEG JUXTALITE FULL LNG XL,139.0,111.2,36.77,125.1,26
RC,0271,WRAP LEG JUXTALITE FULL SHRTLG,139.0,111.2,36.77,125.1,26
RC,0271,WRAP LEG JUXTALITE FULL SHRTXL,139.0,111.2,36.77,125.1,26
RC,0271,WRAP LEG JUXTALITE HD FC LNGXL,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTALITE HD FCSHRTMD,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTALITE HD LNG LG,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTALITE HD LNG MD,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTALITE HD LNG XL,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTALITE HD SHRT LG,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTALITE HD SHRT MD,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTALITE HD SHRT XL,146.0,116.8,38.62,131.4,26
RC,0271,WRAP LEG JUXTALITE LNG 2XL,139.0,111.2,36.77,125.1,26
RC,0271,WRAP LEG JUXTALITE LNG LG,139.0,111.2,36.77,125.1,26
RC,0271,WRAP LEG JUXTALITE SHRT 2XL,139.0,111.2,36.77,125.1,26
RC,0271,WRAP LEG JUXTALITE SHRT LG,139.0,111.2,36.77,125.1,26
RC,0271,WRAP LEG JUXTALITE SHRT MD,139.0,111.2,36.77,125.1,26
RC,0271,WRAP LEG JUXTALITE SHRT XL,139.0,111.2,36.77,125.1,26
RC,0271,WRAP LEG PREM BGE LNG MD,413.0,330.4,109.24,371.7,26
RC,0271,WRAP LEG PREM BGE LNG XL,413.0,330.4,109.24,371.7,26
RC,0271,WRAP LEG PREM SHRT BGELG,249.0,199.2,65.86,224.1,26
RC,0271,WRAP LEG PREM SHRT BGEMD,413.0,330.4,109.24,371.7,26
RC,0271,WRAP LEG RDCTN KT REG LNG 40CM,277.0,221.6,73.27,249.3,26
RC,0271,WRAP LEG RDCTN KT REG STD 35CM,277.0,221.6,73.27,249.3,26
RC,0271,WRAP LEG RDCTN KT WIDE STD35CM,277.0,221.6,73.27,249.3,26
RC,0271,WRAP LEG RDCTN REG WIDE SHRT,885.0,708.0,234.08,796.5,26
RC,0271,WRAP LEG RDCTN REG WIDE STD,885.0,708.0,234.08,796.5,26
RC,0271,WRAP THIGH FARROW 30-40 TALLXL,297.0,237.6,78.56,267.3,26
RC,0271,WRAPCALFCLFLX20-40LFTREGSMMAX,276.0,220.8,73.0,248.4,26
RC,0271,WRAPCALFCLFLX20-40LFTTALLMD/LG,262.0,209.6,69.3,235.8,26
RC,0271,WRAPCOMPLEGJUXTALITE20-50LNGMD,334.0,267.2,88.34,300.6,26
RC,0272,22% ALBUMIN 10ML EA CONTRACT,39.0,31.2,10.32,35.1,26
RC,0272,6 MM 40CM HEMASHIELD MD*NLU*,2722.0,2177.6,719.97,2449.8,26
RC,0272,ABRADER TISS PLEURABRADE *NLU*,1020.0,816.0,269.79,918.0,26
RC,0272,ACC KT MXFRM AUTO HEXAPOD CTRL,1556.0,1244.8,411.56,1400.4,26
RC,0272,ACC PK ENDOBTN 1.2 CL ULT,2811.0,2248.8,743.51,2529.9,26
RC,0272,ACC PLAT TRANSANAL GELPNT 5.5,5250.0,4200.0,1388.63,4725.0,26
RC,0272,ACC PLAT TRANSANAL GELPNT4X9CM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,ACC PLTFM V-PATH GELPNT 11CM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,ACC PLTFM V-PATH GELPNT 7CM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,ACC PLTFM V-PATH GELPNT 9.5CM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,ACTIVATOR MEP SAFEOP3 STER,4200.0,3360.0,1110.9,3780.0,26
RC,0272,ADH MED SILASTIC TYPE-A S*NLU*,532.0,425.6,140.71,478.8,26
RC,0272,ADH REPAIR SIL L*DISC NO REPL*,300.0,240.0,79.35,270.0,26
RC,0272,ADH SKIN DERMABOND PRINEO 22CM,704.0,563.2,186.21,633.6,26
RC,0272,ADH SKIN DERMABOND PRINEO 42CM,865.0,692.0,228.79,778.5,26
RC,0272,ADH SKIN DERMABOND PRINEO 60CM,1124.0,899.2,297.3,1011.6,26
RC,0272,ADH SURG BIOGLUE 10ML,4968.0,3974.4,1314.04,4471.2,26
RC,0272,ADH SURG BIOGLUE 2ML,4172.0,3337.6,1103.49,3754.8,26
RC,0272,ADH SURG BIOGLUE 5ML,5220.0,4176.0,1380.69,4698.0,26
RC,0272,ADPT PIN EXT FIX QC AO 4MM,3408.0,2726.4,901.42,3067.2,26
RC,0272,ADPT PIN EXT FIX QC AO BLK 6MM,3408.0,2726.4,901.42,3067.2,26
RC,0272,ADPT PIN EXT FIX QC AO YEL 5MM,3408.0,2726.4,901.42,3067.2,26
RC,0272,ADPTR BONE CMNT MULT-TAP SZ2,350.0,280.0,92.58,315.0,26
RC,0272,ADPTR BRONCHSCP OLYM*NLU*,713.0,570.4,188.59,641.7,26
RC,0272,ADPTR CARDIOPLEGIC OC*DISC*,343.0,274.4,90.72,308.7,26
RC,0272,ADPTR CHAIT ACCESS W CONN TB,310.0,248.0,82.0,279.0,26
RC,0272,ADPTR CUSA NOSECONE 23KHZ DISP,3627.0,2901.6,959.34,3264.3,26
RC,0272,ADPTR DRN LUER ASPIRA,390.0,312.0,103.16,351.0,26
RC,0272,ADPTR EXTL FIX PIN APEX LNG,3648.0,2918.4,964.9,3283.2,26
RC,0272,ADPTR EXTL FIX PIN APEX SHRT,3572.0,2857.6,944.79,3214.8,26
RC,0272,ADPTR EXTL FIX ROD HOFFMANSHRT,1038.0,830.4,274.55,934.2,26
RC,0272,ADPTR LEAD CONN IS4/DF4,470.0,376.0,124.32,423.0,26
RC,0272,ADPTR LUER ASPIRA*USE 6291193*,390.0,312.0,103.16,351.0,26
RC,0272,ADPTR NOSECONE EXPAND 23KHZ5PK,4788.0,3830.4,1266.43,4309.2,26
RC,0272,ADPTR PACE USB WIRELESS MERLIN,1751.0,1400.8,463.14,1575.9,26
RC,0272,ADPTR PERITON DIALYS TI,1234.0,987.2,326.39,1110.6,26
RC,0272,ADPTR RETR PHOTONGD,2700.0,2160.0,714.15,2430.0,26
RC,0272,ADPTR SCREW INSRT EXTNDR STER,1092.0,873.6,288.83,982.8,26
RC,0272,ADPTR TB DRN UNIV ASPIRA,410.0,328.0,108.45,369.0,26
RC,0272,ADPTR THAL-QK CH*DISC 6332107*,598.0,478.4,158.17,538.2,26
RC,0272,ADPTR THROMBINATOR SWAB S*NLU*,570.0,456.0,150.77,513.0,26
RC,0272,ADPTR Y GATEWAY ADVANTAGE,309.0,247.2,81.73,278.1,26
RC,0272,AIRW CATH EXC 14F*USE 6334189*,585.0,468.0,154.73,526.5,26
RC,0272,AIRW CATH EXC RA*DISC 6340995*,1063.0,850.4,281.16,956.7,26
RC,0272,AIRW KT SUPRAGLOTTIC LTS-D SZ3,340.0,272.0,89.93,306.0,26
RC,0272,AIRW KT SUPRAGLOTTIC LTS-D SZ4,340.0,272.0,89.93,306.0,26
RC,0272,AIRW KT SUPRAGLOTTIC LTS-D SZ5,340.0,272.0,89.93,306.0,26
RC,0272,AIRW RESUSCI/LITTLE JR DISP,1666.0,1332.8,440.66,1499.4,26
RC,0272,AIRWKTSUPRAGLOTLTSDS*DNR MULT*,365.0,292.0,96.54,328.5,26
RC,0272,AIRWKTSUPRAGLOTTICLT*DNR MULT*,365.0,292.0,96.54,328.5,26
RC,0272,ALLO AMNIOFILL 100MG,2200.0,1760.0,581.9,1980.0,26
RC,0272,ALLO AMNIOFILL 500MG,4725.0,3780.0,1249.76,4252.5,26
RC,0272,ALLO AMNIOFIX MEMB 4X6CM,8766.0,7012.8,2318.61,7889.4,26
RC,0272,ALLO AMNIOFIX MEMB 6X16CM,15001.0,12000.8,3967.76,13500.9,26
RC,0272,ALLO AMNIOFIX MEMB WRAP 2X2CM,4704.0,3763.2,1244.21,4233.6,26
RC,0272,ALLO CORNEA PRELOADDMEKAM*NLU*,13488.0,10790.4,3567.58,12139.2,26
RC,0272,ALLO DBM DENTAL FILL 0.5CC,589.0,471.2,155.79,530.1,26
RC,0272,ALLO DBM DENTAL FILL 1.0CC,1063.0,850.4,281.16,956.7,26
RC,0272,ALLO DERMAGRAFT 5X7.5CM=38SQCM,178.0,142.4,47.08,160.2,26
RC,0272,ANCHOR HEALI PK ULTTP ULTBR5.5,4728.0,3782.4,1250.56,4255.2,26
RC,0272,ANCHOR KT PROLAPSE ENPLACE,7020.0,5616.0,1856.79,6318.0,26
RC,0272,ANCHOR MENISC CINCHIIDEPTHSTOP,3476.0,2780.8,919.4,3128.4,26
RC,0272,ANCHOR SUT KT DX FBRTAKDISPSZ1,2420.0,1936.0,640.09,2178.0,26
RC,0272,ANTENNA EVIDENT 2.0X22CM*DISC*,10031.0,8024.8,2653.2,9027.9,26
RC,0272,ANTENNA EVIDENT PERC 3.7X22CM,10031.0,8024.8,2653.2,9027.9,26
RC,0272,ANTENNA EVIDENT SURG 3.7X17CM,10031.0,8024.8,2653.2,9027.9,26
RC,0272,ANTENNA LNG NAV EMPRINT 30CM,15484.0,12387.2,4095.52,13935.6,26
RC,0272,ANTENNA STD NAV EMPRINT 20CM,13983.0,11186.4,3698.5,12584.7,26
RC,0272,ANTI-A 10ML EA CONTRACT,25.0,20.0,6.61,22.5,26
RC,0272,ANTI-B 10ML EA CONTRACT,25.0,20.0,6.61,22.5,26
RC,0272,ANTI-D 10ML EA CONTRACT,28.0,22.4,7.41,25.2,26
RC,0272,ANTI-IGG C3D EA CONTRACT,21.0,16.8,5.55,18.9,26
RC,0272,ANTI-IGG CONTRACT,14.0,11.2,3.7,12.6,26
RC,0272,ANTIMIC LIQ POLYMERPREVENTOGEN,1071.0,856.8,283.28,963.9,26
RC,0272,APPL ASSY SYR THROMBINATOR10CC,575.0,460.0,152.09,517.5,26
RC,0272,APPL CLIP ATRICLIP PROV40MM,13750.0,11000.0,3636.88,12375.0,26
RC,0272,APPL CLIP ATRICLIP PROV50MM,13750.0,11000.0,3636.88,12375.0,26
RC,0272,APPL CLIP LIGACLIP DISP 11IN,2061.0,1648.8,545.13,1854.9,26
RC,0272,APPL CLIP LIGACLIP DISP SM,2061.0,1648.8,545.13,1854.9,26
RC,0272,APPL ENDO MALLEA TIP*NLU*,742.0,593.6,196.26,667.8,26
RC,0272,APPL HEMO DUPLOCATH FLEX 35CM,633.0,506.4,167.43,569.7,26
RC,0272,APPL HEMO DUPLOCATH RIGID 40CM,679.0,543.2,179.6,611.1,26
RC,0272,APPL HEMO EASYGRIP FLO-41,851.0,680.8,225.09,765.9,26
RC,0272,APPL HEMO FLOSEAL 2PART 41CM,694.0,555.2,183.56,624.6,26
RC,0272,APPL HEMO FLOSEAL LG 41CM,736.0,588.8,194.67,662.4,26
RC,0272,APPL HEMO SURGIFLO ENDO 34CM,483.0,386.4,127.75,434.7,26
RC,0272,APPL HEMO VISTASEAL DUAL TIP,467.0,373.6,123.52,420.3,26
RC,0272,APPL MIX THROMBINATOR SPR*NLU*,300.0,240.0,79.35,270.0,26
RC,0272,APPL SPRAY TIP DUAL ARTX,330.0,264.0,87.29,297.0,26
RC,0272,ARCH EXTL FIX FT LRF 140MM,8844.0,7075.2,2339.24,7959.6,26
RC,0272,ARCH EXTL FIX FT LRF 155MM,8844.0,7075.2,2339.24,7959.6,26
RC,0272,ARCH EXTL FIX FT LRF LNG 140MM,10170.0,8136.0,2689.97,9153.0,26
RC,0272,ARCH EXTL FIX FT LRF LNG 155MM,10170.0,8136.0,2689.97,9153.0,26
RC,0272,ARCH EXTL FIX FT SIXFIX 150MM,8465.0,6772.0,2238.99,7618.5,26
RC,0272,ARCH EXTL FIX FT SIXFIX 180MM,8465.0,6772.0,2238.99,7618.5,26
RC,0272,ARM CANOE DR. DON*USE 6313348*,570.0,456.0,150.77,513.0,26
RC,0272,ARM EXT FLEX REMOV CMF 20MM,4577.0,3661.6,1210.62,4119.3,26
RC,0272,ARTHOWAND 35D ICW 2.3MM,3542.0,2833.6,936.86,3187.8,26
RC,0272,ARTHOWAND SUP TURBO VAC,1318.0,1054.4,348.61,1186.2,26
RC,0272,ARTHROTOME ANK JOINT ST AO/QC,4000.0,3200.0,1058.0,3600.0,26
RC,0272,ARTHROTOME SM JOINT AO/QCUNITE,4000.0,3200.0,1058.0,3600.0,26
RC,0272,ARTHROWAND AMBIENT SUPMUL*NLU*,2005.0,1604.0,530.32,1804.5,26
RC,0272,ARTHROWAND AMBIENT SUPTURBOVAC,1360.0,1088.0,359.72,1224.0,26
RC,0272,ARTHROWAND CAPSURE 30,2005.0,1604.0,530.32,1804.5,26
RC,0272,ARTHROWAND MULTVAC 50 XL*NLU*,2125.0,1700.0,562.06,1912.5,26
RC,0272,ARTHROWAND SABRE ICW 30D,2005.0,1604.0,530.32,1804.5,26
RC,0272,ARTHROWAND SUP MULTVAC IF*NLU*,3928.0,3142.4,1038.96,3535.2,26
RC,0272,ARTHROWAND TURBOVAC 90,1318.0,1054.4,348.61,1186.2,26
RC,0272,ARTHROWAND ULT VAC*NLU*,2010.0,1608.0,531.65,1809.0,26
RC,0272,ASPIR INSTATRAK ST*NLU*,702.0,561.6,185.68,631.8,26
RC,0272,ASPIR PRECISIONTIP 36KHZ CURV,4550.0,3640.0,1203.48,4095.0,26
RC,0272,ASPIR SHEARTIP CUSA 36KHZ,5259.0,4207.2,1391.01,4733.1,26
RC,0272,ASPIR STD TIP 36KHZ CURV CUSA,4657.0,3725.6,1231.78,4191.3,26
RC,0272,ASPIR TB MANIFOLD CUSA 23KHZ,3592.0,2873.6,950.08,3232.8,26
RC,0272,ASPIR TB MANIFOLD CUSA 36KHZ,3592.0,2873.6,950.08,3232.8,26
RC,0272,ASPIR TB QK CONN CUSA CLARITY,3567.0,2853.6,943.47,3210.3,26
RC,0272,ASPIR UTERINE KT DBL VALV,390.0,312.0,103.16,351.0,26
RC,0272,ATTACH LOAD ARTICU SIGNIA 45MM,1530.0,1224.0,404.69,1377.0,26
RC,0272,ATTACH LOAD ARTICU SIGNIA 60MM,1530.0,1224.0,404.69,1377.0,26
RC,0272,AWL TPR DISP 3.8MM,450.0,360.0,119.03,405.0,26
RC,0272,AXIS VERT ARTICU FIX MINIRAIL,4968.0,3974.4,1314.04,4471.2,26
RC,0272,BACKPACK ENTRL 18X12X4 1200ML,651.0,520.8,172.19,585.9,26
RC,0272,BAND LIGATOR *DNR USE 6210697*,2100.0,1680.0,555.45,1890.0,26
RC,0272,BAND LIGATOR SUPERVIEW 7,1063.0,850.4,281.16,956.7,26
RC,0272,BAR EXTL FIX CBN 11X200MM,3864.0,3091.2,1022.03,3477.6,26
RC,0272,BAR PIN EXTL FIX MAIN DNE,5400.0,4320.0,1428.3,4860.0,26
RC,0272,BAT DRIV MATRIXPRO II STERDISP,3207.0,2565.6,848.25,2886.3,26
RC,0272,BAT DRIV MATRIXPRO SYNT DISP,2053.0,1642.4,543.02,1847.7,26
RC,0272,BAT PK DRIVER LITH STER DISP,2205.0,1764.0,583.22,1984.5,26
RC,0272,BAT PK KLS STER DISP,875.0,700.0,231.44,787.5,26
RC,0272,BB TAK LOPRO SYS ARTX,523.0,418.4,138.33,470.7,26
RC,0272,BB TAK LOPRO SYS ARTX THRD,842.0,673.6,222.71,757.8,26
RC,0272,BB TAK SYS ARTX LG,1262.0,1009.6,333.8,1135.8,26
RC,0272,BB TAK SYS THRD LG,1403.0,1122.4,371.09,1262.7,26
RC,0272,BENDER PLATE UNIV DYNABUNION,1324.0,1059.2,350.2,1191.6,26
RC,0272,BG COLLT EXTL DRN SYS EDS3,405.0,324.0,107.12,364.5,26
RC,0272,BG DRN CFS EDMS BECKER,341.0,272.8,90.19,306.9,26
RC,0272,BG DRN EXACBX10*DISC 6182577*,338.0,270.4,89.4,304.2,26
RC,0272,BG DRN EXACTAEA1*DISC 6350310*,434.0,347.2,114.79,390.6,26
RC,0272,BG DRN EXTL VENT*DISC 6350310*,425.0,340.0,112.41,382.5,26
RC,0272,BG DRN REPL CSF DUET INTERLINK,337.0,269.6,89.14,303.3,26
RC,0272,BG EXTL DRAIN INTEGRA 700ML,358.0,286.4,94.69,322.2,26
RC,0272,BG SPECMN RELIAC*DISC 6121900*,535.0,428.0,141.51,481.5,26
RC,0272,BG STER ERC SYS*NLU*,300.0,240.0,79.35,270.0,26
RC,0272,BG WASTE FLUENT FLUID MGMT,587.0,469.6,155.26,528.3,26
RC,0272,BILE CD EXPLORATION *VAT MULT*,4545.0,3636.0,1202.15,4090.5,26
RC,0272,BINDER ABD 2PNL MAGR 12X>42,156.0,124.8,41.26,140.4,26
RC,0272,BINDER ABD 4PNL DALE 15X72-94,107.0,85.6,28.3,96.3,26
RC,0272,BIT DIRLL GDPIN *DISC 6341969*,352.0,281.6,93.1,316.8,26
RC,0272,BIT DRILL 1.9MM *DISC 6344850*,808.0,646.4,213.72,727.2,26
RC,0272,BIT DRILL 10MM 90D 2.2MM,2357.0,1885.6,623.43,2121.3,26
RC,0272,BIT DRILL 2.0X125MM,898.0,718.4,237.52,808.2,26
RC,0272,BIT DRILL 2.0X95MM,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL 2.2MM SYNT 12MM*NLU*,1937.0,1549.6,512.34,1743.3,26
RC,0272,BIT DRILL 2.4MM,1799.0,1439.2,475.84,1619.1,26
RC,0272,BIT DRILL 2.4MM SCREW 3DI1.6MM,1379.0,1103.2,364.75,1241.1,26
RC,0272,BIT DRILL 2.5MM,782.0,625.6,206.84,703.8,26
RC,0272,BIT DRILL 2.5X100MM,1088.0,870.4,287.78,979.2,26
RC,0272,BIT DRILL 2.7X100MM,1156.0,924.8,305.76,1040.4,26
RC,0272,BIT DRILL 2.7X130MM,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL 2.8MM*NLU*,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL 2X130MM,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL 3 FLUTE SYNT 4X150MM,1967.0,1573.6,520.27,1770.3,26
RC,0272,BIT DRILL 3.2MM*DISC*,792.0,633.6,209.48,712.8,26
RC,0272,BIT DRILL 3.2MMX5.5IN*DISC*,1360.0,1088.0,359.72,1224.0,26
RC,0272,BIT DRILL 3.2X200MM*DISC*,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL 3.5MM,2880.0,2304.0,761.76,2592.0,26
RC,0272,BIT DRILL 3.5X125MM,813.0,650.4,215.04,731.7,26
RC,0272,BIT DRILL 32X145MM,788.0,630.4,208.43,709.2,26
RC,0272,BIT DRILL 3FLUTE 2.9/3.2 150MM,1410.0,1128.0,372.95,1269.0,26
RC,0272,BIT DRILL 3FLUTE 2.9/3.2 331MM,1735.0,1388.0,458.91,1561.5,26
RC,0272,BIT DRILL 3FLUTE 3.8X270MM,1603.0,1282.4,423.99,1442.7,26
RC,0272,BIT DRILL 3FLUTE 3.9/4.2 150MM,1410.0,1128.0,372.95,1269.0,26
RC,0272,BIT DRILL 3FLUTE 3.9/4.2 331MM,1735.0,1388.0,458.91,1561.5,26
RC,0272,BIT DRILL 3FLUTE 4.9/5 150MM,1410.0,1128.0,372.95,1269.0,26
RC,0272,BIT DRILL 3FLUTE CANN QC 5X300,2708.0,2166.4,716.27,2437.2,26
RC,0272,BIT DRILL 3FLUTE QC 2.7X110MM,882.0,705.6,233.29,793.8,26
RC,0272,BIT DRILL 3FLUTE QC 2X125MM,835.0,668.0,220.86,751.5,26
RC,0272,BIT DRILL 3FLUTE QC 3.2MM,1203.0,962.4,318.19,1082.7,26
RC,0272,BIT DRILL 3FLUTE QC 3.2X195MM,1053.0,842.4,278.52,947.7,26
RC,0272,BIT DRILL 3FLUTE QC 4.2MM,1203.0,962.4,318.19,1082.7,26
RC,0272,BIT DRILL 3FLUTE QC 4.2X145MM,3944.0,3155.2,1043.19,3549.6,26
RC,0272,BIT DRILL 3FLUTE QC 4.5X195MM,1053.0,842.4,278.52,947.7,26
RC,0272,BIT DRILL 3FLUTE QC 4X195MM,1125.0,900.0,297.56,1012.5,26
RC,0272,BIT DRILL 3FLUTE QC 5.0MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,BIT DRILL 3FLUTE QC STER 3.2MM,1671.0,1336.8,441.98,1503.9,26
RC,0272,BIT DRILL 3FLUTE QC STER 4.2MM,1553.0,1242.4,410.77,1397.7,26
RC,0272,BIT DRILL 3FLUTE QCRADL3.2X150,1967.0,1573.6,520.27,1770.3,26
RC,0272,BIT DRILL 3FLUTE QCRADL3.5X122,1967.0,1573.6,520.27,1770.3,26
RC,0272,BIT DRILL 3FLUTE QCRADL4.5X150,1967.0,1573.6,520.27,1770.3,26
RC,0272,BIT DRILL 3FLUTE RADL 3.2MM,1806.0,1444.8,477.69,1625.4,26
RC,0272,BIT DRILL 3FLUTE RADL 4.2MM,1806.0,1444.8,477.69,1625.4,26
RC,0272,BIT DRILL 3FLUTE RADL STER 4.2,2050.0,1640.0,542.23,1845.0,26
RC,0272,BIT DRILL 3FLUTEQCCALIB3.2X215,1589.0,1271.2,420.29,1430.1,26
RC,0272,BIT DRILL 3MM,1075.0,860.0,284.34,967.5,26
RC,0272,BIT DRILL 4.0 STEP 155MM*NLU*,2632.0,2105.6,696.16,2368.8,26
RC,0272,BIT DRILL 4.3X262MM*NLU*,630.0,504.0,166.64,567.0,26
RC,0272,BIT DRILL 4.5 STEP 155MM,2632.0,2105.6,696.16,2368.8,26
RC,0272,BIT DRILL 4MM*USE 6270938*,3080.0,2464.0,814.66,2772.0,26
RC,0272,BIT DRILL 5.0 STEP 340MM,2632.0,2105.6,696.16,2368.8,26
RC,0272,BIT DRILL 5.5MM,782.0,625.6,206.84,703.8,26
RC,0272,BIT DRILL 5MM,2720.0,2176.0,719.44,2448.0,26
RC,0272,BIT DRILL 6MM 90D 2.2MM,2357.0,1885.6,623.43,2121.3,26
RC,0272,BIT DRILL ACL ARTX 3MM,2420.0,1936.0,640.09,2178.0,26
RC,0272,BIT DRILL ACL TIGHTROPE 4MM,1169.0,935.2,309.2,1052.1,26
RC,0272,BIT DRILL ACUM 3MM,1454.0,1163.2,384.58,1308.6,26
RC,0272,BIT DRILL ACUTRAK MINI PROFILE,2952.0,2361.6,780.8,2656.8,26
RC,0272,BIT DRILL ACUTRAK2 LNG,3280.0,2624.0,867.56,2952.0,26
RC,0272,BIT DRILL ACUTRAK2 MICRO,2952.0,2361.6,780.8,2656.8,26
RC,0272,BIT DRILL ACUTRAK2 MICRO LNG,3288.0,2630.4,869.68,2959.2,26
RC,0272,BIT DRILL ACUTRAK2 MINI LNG,3280.0,2624.0,867.56,2952.0,26
RC,0272,BIT DRILL ACUTRAK2 STD,2952.0,2361.6,780.8,2656.8,26
RC,0272,BIT DRILL ADMRL ACP 12MM,935.0,748.0,247.31,841.5,26
RC,0272,BIT DRILL ADMRL ACP 14MM,935.0,748.0,247.31,841.5,26
RC,0272,BIT DRILL ADMRL ACP 16MM,935.0,748.0,247.31,841.5,26
RC,0272,BIT DRILL ANCHOR AO CONN,882.0,705.6,233.29,793.8,26
RC,0272,BIT DRILL ANCHOR SONICSTRYD2.8,2579.0,2063.2,682.15,2321.1,26
RC,0272,BIT DRILL ANK INBONE 6MM,2896.0,2316.8,765.99,2606.4,26
RC,0272,BIT DRILL ANK INBONE SZ3,1624.0,1299.2,429.55,1461.6,26
RC,0272,BIT DRILL ANK INBONE SZ4,1624.0,1299.2,429.55,1461.6,26
RC,0272,BIT DRILL AO 1.8X45MM*DISC*,1088.0,870.4,287.78,979.2,26
RC,0272,BIT DRILL AO 2.7X125MM,898.0,718.4,237.52,808.2,26
RC,0272,BIT DRILL AO CPL AS3 2.7,2014.0,1611.2,532.7,1812.6,26
RC,0272,BIT DRILL AO PANGEA 2.0X135MM,2416.0,1932.8,639.03,2174.4,26
RC,0272,BIT DRILL AO PANGEA 2.5X135MM,2304.0,1843.2,609.41,2073.6,26
RC,0272,BIT DRILL AO PANGEA 2.5X215MM,2800.0,2240.0,740.6,2520.0,26
RC,0272,BIT DRILL AO PANGEA 3.2X145MM,1760.0,1408.0,465.52,1584.0,26
RC,0272,BIT DRILL AO PANGEA 3.5X135MM,2472.0,1977.6,653.84,2224.8,26
RC,0272,BIT DRILL AO QC 2.0X175MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL AO QC 2.0X40MM,1793.0,1434.4,474.25,1613.7,26
RC,0272,BIT DRILL AO QC 2.4 135MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL AO QC 2.5X235MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL AO QC 2.6X10MM,1462.0,1169.6,386.7,1315.8,26
RC,0272,BIT DRILL AO QC ARTX 2.4MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL AO QC ARTX 3.5MM,782.0,625.6,206.84,703.8,26
RC,0272,BIT DRILL AO QC ARTX 4.0MM,1169.0,935.2,309.2,1052.1,26
RC,0272,BIT DRILL AO QC LNG 1.8MM,1030.0,824.0,272.44,927.0,26
RC,0272,BIT DRILL AO QC LNG 2.0MM,1030.0,824.0,272.44,927.0,26
RC,0272,BIT DRILL AO QC OVER 2.4MM,886.0,708.8,234.35,797.4,26
RC,0272,BIT DRILL AO QC OVER 2.7MM,886.0,708.8,234.35,797.4,26
RC,0272,BIT DRILL AO QC SCREW 2.8MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL AO QC SCREW 3.5MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL AO QC VOLT 1.5 100MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL AO QC VOLT 1.5 120MM,1507.0,1205.6,398.6,1356.3,26
RC,0272,BIT DRILL AO QC VOLT 1.8 115MM,1870.0,1496.0,494.62,1683.0,26
RC,0272,BIT DRILL AO QC VOLT 1.8 145MM,1870.0,1496.0,494.62,1683.0,26
RC,0272,BIT DRILL AO QC VOLT 1.8 175MM,1870.0,1496.0,494.62,1683.0,26
RC,0272,BIT DRILL AO QC VOLT 2.0 115MM,1376.0,1100.8,363.95,1238.4,26
RC,0272,BIT DRILL AO QC VOLT 2.0 125MM,1627.0,1301.6,430.34,1464.3,26
RC,0272,BIT DRILL AO QC VOLT 2.0 145MM,1376.0,1100.8,363.95,1238.4,26
RC,0272,BIT DRILL AO QC VOLT 2.0 175MM,1934.0,1547.2,511.54,1740.6,26
RC,0272,BIT DRILL AO QC VOLT 2.5 140MM,1556.0,1244.8,411.56,1400.4,26
RC,0272,BIT DRILL AO QC VOLT 2.5 155MM,1910.0,1528.0,505.2,1719.0,26
RC,0272,BIT DRILL AO QC VOLT 2.7 135MM,1500.0,1200.0,396.75,1350.0,26
RC,0272,BIT DRILL AO QC VOLT 2.8 140MM,1533.0,1226.4,405.48,1379.7,26
RC,0272,BIT DRILL AO QC VOLT 2.8 155MM,1818.0,1454.4,480.86,1636.2,26
RC,0272,BIT DRILL AO QC VOLT 2.8 205MM,1949.0,1559.2,515.51,1754.1,26
RC,0272,BIT DRILL AO SCALE 1.6MM,952.0,761.6,251.8,856.8,26
RC,0272,BIT DRILL AO SCALE 2.0MM,898.0,718.4,237.52,808.2,26
RC,0272,BIT DRILL AO SCALED 2.0X135MM,944.0,755.2,249.69,849.6,26
RC,0272,BIT DRILL AO SCALED 2.6X220MM,1257.0,1005.6,332.48,1131.3,26
RC,0272,BIT DRILL AO STRY 2.5MM,1824.0,1459.2,482.45,1641.6,26
RC,0272,BIT DRILL AO STRY 2.6X135MM,944.0,755.2,249.69,849.6,26
RC,0272,BIT DRILL AO STRY 2X135MM,944.0,755.2,249.69,849.6,26
RC,0272,BIT DRILL AO STRY 2X30MM*NLU*,1262.0,1009.6,333.8,1135.8,26
RC,0272,BIT DRILL AO STRY 2X41MM,677.0,541.6,179.07,609.3,26
RC,0272,BIT DRILL AO STRY 3.1X285MM,1232.0,985.6,325.86,1108.8,26
RC,0272,BIT DRILL AO STRY 3.2X450MM,1824.0,1459.2,482.45,1641.6,26
RC,0272,BIT DRILL AO STRY 3.5X390MM,1824.0,1459.2,482.45,1641.6,26
RC,0272,BIT DRILL AO STRY 5X230MM,1080.0,864.0,285.66,972.0,26
RC,0272,BIT DRILL ARGO KNTLS4.75/5.5MM,2167.0,1733.6,573.17,1950.3,26
RC,0272,BIT DRILL ARSENAL 2.7/3.5MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT DRILL ARSENAL SCREW 2.2MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT DRILL ARSENAL SCREW 2.7MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT DRILL ARTX 1.1MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL ARTX 1.2MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL ARTX 1.5MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL ARTX 1.9MM,2104.0,1683.2,556.51,1893.6,26
RC,0272,BIT DRILL ARTX 2.0MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL ARTX 2.2MM,842.0,673.6,222.71,757.8,26
RC,0272,BIT DRILL ARTX 2.5MM,842.0,673.6,222.71,757.8,26
RC,0272,BIT DRILL ARTX 2.7MM,842.0,673.6,222.71,757.8,26
RC,0272,BIT DRILL ARTX 3.0X180MM,2508.0,2006.4,663.37,2257.2,26
RC,0272,BIT DRILL ARTX 3.2MM,713.0,570.4,188.59,641.7,26
RC,0272,BIT DRILL ARTX 4MM,1075.0,860.0,284.34,967.5,26
RC,0272,BIT DRILL ARTX LNG 2MM,1029.0,823.2,272.17,926.1,26
RC,0272,BIT DRILL ARTX SHRT 2.5MM,1498.0,1198.4,396.22,1348.2,26
RC,0272,BIT DRILL ASFORA 2.5X12MM*NLU*,2040.0,1632.0,539.58,1836.0,26
RC,0272,BIT DRILL BALL DURAPRO 5X22X90,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BIT DRILL BALL DURAPRO5X22X140,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BIT DRILL BLU 2.*DISC NO REPL*,2496.0,1996.8,660.19,2246.4,26
RC,0272,BIT DRILL BLU BAR XTRAFIX 2.4,1331.0,1064.8,352.05,1197.9,26
RC,0272,BIT DRILL BLU BAR XTRAFIX 3.2,1331.0,1064.8,352.05,1197.9,26
RC,0272,BIT DRILL BLU BAR XTRAFIX 4.0,1401.0,1120.8,370.56,1260.9,26
RC,0272,BIT DRILL BRL DURAPRO 3X22X140,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BIT DRILL BRL DURAPRO 3X22X90,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BIT DRILL BRL DURAPRO 4X22X140,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BIT DRILL BRL DURAPRO2.4X28X90,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BIT DRILL BRLDURAPRO2.4X28X140,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BIT DRILL BRLDURAPRO2.9X30X140,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BIT DRILL BRLSHEATH4. 5X30X250,4900.0,3920.0,1296.05,4410.0,26
RC,0272,BIT DRILL BRUSHDURAPRO5X15X180,5250.0,4200.0,1388.63,4725.0,26
RC,0272,BIT DRILL BRUSHDURAPRO5X25X180,5250.0,4200.0,1388.63,4725.0,26
RC,0272,BIT DRILL BRUSHDURAPRO6X25X250,5250.0,4200.0,1388.63,4725.0,26
RC,0272,BIT DRILL CALIB 3.0MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CALIB AO 2.0X295MM,489.0,391.2,129.34,440.1,26
RC,0272,BIT DRILL CALIB AO 2.5X285MM,1232.0,985.6,325.86,1108.8,26
RC,0272,BIT DRILL CALIB AO 2.8X95MM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BIT DRILL CALIB AO 3.2X315MM,1224.0,979.2,323.75,1101.6,26
RC,0272,BIT DRILL CALIB AO 4.3X310MM,1272.0,1017.6,336.44,1144.8,26
RC,0272,BIT DRILL CALIB AO IM 3.8MM,3618.0,2894.4,956.96,3256.2,26
RC,0272,BIT DRILL CALIB AO QC 2.0MM,1344.0,1075.2,355.49,1209.6,26
RC,0272,BIT DRILL CALIB AO QC 2.5MM,1344.0,1075.2,355.49,1209.6,26
RC,0272,BIT DRILL CALIB AO STRL 4X280,2598.0,2078.4,687.17,2338.2,26
RC,0272,BIT DRILL CALIB ARTX 2.5MM,711.0,568.8,188.06,639.9,26
RC,0272,BIT DRILL CALIB ARTX 2MM,888.0,710.4,234.88,799.2,26
RC,0272,BIT DRILL CALIB ARTX 2PK 2.5MM,842.0,673.6,222.71,757.8,26
RC,0272,BIT DRILL CALIB ARTX 4.2MM,3400.0,2720.0,899.3,3060.0,26
RC,0272,BIT DRILL CALIB CANNFUZEFIX1.7,4970.0,3976.0,1314.57,4473.0,26
RC,0272,BIT DRILL CALIB CANNFUZEFIX2.1,4970.0,3976.0,1314.57,4473.0,26
RC,0272,BIT DRILL CALIB CANNFUZEFIX2.6,4970.0,3976.0,1314.57,4473.0,26
RC,0272,BIT DRILL CALIB CANNFUZEFIX3.0,4970.0,3976.0,1314.57,4473.0,26
RC,0272,BIT DRILL CALIB CANNFUZEFIX3.6,5460.0,4368.0,1444.17,4914.0,26
RC,0272,BIT DRILL CALIB CANNFUZEFIX4.9,5460.0,4368.0,1444.17,4914.0,26
RC,0272,BIT DRILL CALIB DYNANITE 1.6MM,1122.0,897.6,296.77,1009.8,26
RC,0272,BIT DRILL CALIB DYNANITE 2.0MM,1122.0,897.6,296.77,1009.8,26
RC,0272,BIT DRILL CALIB DYNANITE 2.6MM,1122.0,897.6,296.77,1009.8,26
RC,0272,BIT DRILL CALIB FLUTE 2.5MM,2125.0,1700.0,562.06,1912.5,26
RC,0272,BIT DRILL CALIB FLUTE 2.8MM,2125.0,1700.0,562.06,1912.5,26
RC,0272,BIT DRILL CALIB GRN 4.3X320MM,1836.0,1468.8,485.62,1652.4,26
RC,0272,BIT DRILL CALIB LNG 2.5X130MM,2083.0,1666.4,550.95,1874.7,26
RC,0272,BIT DRILL CALIB LNG 3.0MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CALIB LNG 3.2MM,1794.0,1435.2,474.51,1614.6,26
RC,0272,BIT DRILL CALIB ORPE 2.5MM,2227.0,1781.6,589.04,2004.3,26
RC,0272,BIT DRILL CALIB ORPE 3.2MM,2086.0,1668.8,551.75,1877.4,26
RC,0272,BIT DRILL CALIB PERC SYNT2.5MM,1428.0,1142.4,377.71,1285.2,26
RC,0272,BIT DRILL CALIB PILOT 2.5MM,1743.0,1394.4,461.02,1568.7,26
RC,0272,BIT DRILL CALIB POLYLOCK 2.0MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CALIB POLYLOCK 2.7MM,4970.0,3976.0,1314.57,4473.0,26
RC,0272,BIT DRILL CALIB SHRT 2.8MM,1048.0,838.4,277.2,943.2,26
RC,0272,BIT DRILL CALIB SOLID 2.7MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CALIB SOLID STD2.7MM,2800.0,2240.0,740.6,2520.0,26
RC,0272,BIT DRILL CALIB STEPPED 4.5MM,3674.0,2939.2,971.77,3306.6,26
RC,0272,BIT DRILL CALIB SYNT 1.8X125MM,1938.0,1550.4,512.6,1744.2,26
RC,0272,BIT DRILL CALIB SYNT 2.8MM,928.0,742.4,245.46,835.2,26
RC,0272,BIT DRILL CALIB SYNT 2.8X200MM,1232.0,985.6,325.86,1108.8,26
RC,0272,BIT DRILL CALIB SYNT 2.8X300MM,1428.0,1142.4,377.71,1285.2,26
RC,0272,BIT DRILL CALIB SYNT 250X2.5MM,928.0,742.4,245.46,835.2,26
RC,0272,BIT DRILL CALIB SYNT 3.2MM,1619.0,1295.2,428.23,1457.1,26
RC,0272,BIT DRILL CALIB SYNT 4.2MM,1689.0,1351.2,446.74,1520.1,26
RC,0272,BIT DRILL CALIB SYNT 5MM,1814.0,1451.2,479.8,1632.6,26
RC,0272,BIT DRILL CALIB SYNT STER4.2MM,2038.0,1630.4,539.05,1834.2,26
RC,0272,BIT DRILL CALIB XLNG 4.2MM,1955.0,1564.0,517.1,1759.5,26
RC,0272,BIT DRILL CALIB XLNG 4.3MM,1794.0,1435.2,474.51,1614.6,26
RC,0272,BIT DRILL CALIB ZIMM 2.7X165MM,1156.0,924.8,305.76,1040.4,26
RC,0272,BIT DRILL CALIBPOLYLOCK3.5-4.0,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CANN 10.2MM,3790.0,3032.0,1002.46,3411.0,26
RC,0272,BIT DRILL CANN 10MM,1571.0,1256.8,415.53,1413.9,26
RC,0272,BIT DRILL CANN 11X260MM,4872.0,3897.6,1288.64,4384.8,26
RC,0272,BIT DRILL CANN 14MM,3408.0,2726.4,901.42,3067.2,26
RC,0272,BIT DRILL CANN 2.9MM,3104.0,2483.2,821.01,2793.6,26
RC,0272,BIT DRILL CANN 3.2MM,2140.0,1712.0,566.03,1926.0,26
RC,0272,BIT DRILL CANN 3.2X150MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,BIT DRILL CANN 3.2X180MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,BIT DRILL CANN 3.5X160MM,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL CANN 4.0MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CANN 4MM SCREW 2.8MM,2200.0,1760.0,581.9,1980.0,26
RC,0272,BIT DRILL CANN 4MMX15CM,2160.0,1728.0,571.32,1944.0,26
RC,0272,BIT DRILL CANN 7MM,4410.0,3528.0,1166.45,3969.0,26
RC,0272,BIT DRILL CANN 8005D ARTX*NLU*,1182.0,945.6,312.64,1063.8,26
RC,0272,BIT DRILL CANN 8X260MM,4872.0,3897.6,1288.64,4384.8,26
RC,0272,BIT DRILL CANN 9MM,4410.0,3528.0,1166.45,3969.0,26
RC,0272,BIT DRILL CANN ACL ARTX 2.4MM,2420.0,1936.0,640.09,2178.0,26
RC,0272,BIT DRILL CANN ACL STERARTX4.0,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CANN ACL STERARTX9.5,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CANN ACLSTERARTX10.5,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CANN ANK 3.0MM*NLU*,2212.0,1769.6,585.07,1990.8,26
RC,0272,BIT DRILL CANN AO 1.7X32M*NLU*,2760.0,2208.0,730.02,2484.0,26
RC,0272,BIT DRILL CANN AO 2X120MM,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL CANN AO 3.8X180MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,BIT DRILL CANN AO ASNIS 1.7,2169.0,1735.2,573.7,1952.1,26
RC,0272,BIT DRILL CANN AO QC LNG2.5X20,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CANN ARTEMIS 4.5MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,BIT DRILL CANN ARTX 2.2MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CANN ARTX 2.5MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN ARTX 2.5MM*NLU*,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL CANN ARTX 2.6MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN ARTX 2.75MM,3080.0,2464.0,814.66,2772.0,26
RC,0272,BIT DRILL CANN ARTX 2.7MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CANN ARTX 2.9MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CANN ARTX 2MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN ARTX 3.2MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CANN ARTX 3.5MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN ARTX 3.6MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CANN ARTX 3MM*NLU*,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL CANN ARTX 4.0MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN ARTX 4.0MM*NLU*,1564.0,1251.2,413.68,1407.6,26
RC,0272,BIT DRILL CANN ARTX 4MM,3476.0,2780.8,919.4,3128.4,26
RC,0272,BIT DRILL CANN ARTX 6MM,1571.0,1256.8,415.53,1413.9,26
RC,0272,BIT DRILL CANN ARTX 7MM,1571.0,1256.8,415.53,1413.9,26
RC,0272,BIT DRILL CANN ARTX 8.5MM*NLU*,1658.0,1326.4,438.54,1492.2,26
RC,0272,BIT DRILL CANN ARTX 9MM,1571.0,1256.8,415.53,1413.9,26
RC,0272,BIT DRILL CANN ARTX LIME 3.2MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN ARTX LNG 4MM,2376.0,1900.8,628.45,2138.4,26
RC,0272,BIT DRILL CANN ARTX PUR 5.0MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN ARTX SHRT 2.9MM,1824.0,1459.2,482.45,1641.6,26
RC,0272,BIT DRILL CANN AS3 1.4X150,1361.0,1088.8,359.98,1224.9,26
RC,0272,BIT DRILL CANN ASNIS 3MM,2366.0,1892.8,625.81,2129.4,26
RC,0272,BIT DRILL CANN ASNIS AO 6.5MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,BIT DRILL CANN ASNIS AO 8.0MM,2808.0,2246.4,742.72,2527.2,26
RC,0272,BIT DRILL CANN ATRX 4.5MM,1720.0,1376.0,454.94,1548.0,26
RC,0272,BIT DRILL CANN BEAMING 4.5MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,BIT DRILL CANN BEAMING 5.5MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,BIT DRILL CANN BEAMING 6.5MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,BIT DRILL CANN BEAMING 7.5MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,BIT DRILL CANN BIODR 1.6*DISC*,1836.0,1468.8,485.62,1652.4,26
RC,0272,BIT DRILL CANN CALIB 4.9*NLU*,3712.0,2969.6,981.82,3340.8,26
RC,0272,BIT DRILL CANN DF/ORTHO 2.2MM,1514.0,1211.2,400.45,1362.6,26
RC,0272,BIT DRILL CANN DF/ORTHO 3MM,1514.0,1211.2,400.45,1362.6,26
RC,0272,BIT DRILL CANN DISTCUT2.7X70MM,3976.0,3180.8,1051.65,3578.4,26
RC,0272,BIT DRILL CANN DYNANAIL HLX5MM,4410.0,3528.0,1166.45,3969.0,26
RC,0272,BIT DRILL CANN DYNANAIL HLX6.5,4410.0,3528.0,1166.45,3969.0,26
RC,0272,BIT DRILL CANN FEM 4.9MM,4787.0,3829.6,1266.16,4308.3,26
RC,0272,BIT DRILL CANN FLEX LG 16MM,4730.0,3784.0,1251.09,4257.0,26
RC,0272,BIT DRILL CANN FLEX LNG 12MM,5719.0,4575.2,1512.68,5147.1,26
RC,0272,BIT DRILL CANN FLEXDHS/DCS14MM,4843.0,3874.4,1280.97,4358.7,26
RC,0272,BIT DRILL CANN FLOR 7.0MM,4410.0,3528.0,1166.45,3969.0,26
RC,0272,BIT DRILL CANN GLD ARTX 1.7MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN GRN/PUR ARTX1.7,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN HOLLOW TFN 16MM,5116.0,4092.8,1353.18,4604.4,26
RC,0272,BIT DRILL CANN HUDSON4.3X275MM,3888.0,3110.4,1028.38,3499.2,26
RC,0272,BIT DRILL CANN JFX 3.0X170MM,1632.0,1305.6,431.66,1468.8,26
RC,0272,BIT DRILL CANN LNG 12MM,4714.0,3771.2,1246.85,4242.6,26
RC,0272,BIT DRILL CANN LNG 3.0MM,1870.0,1496.0,494.62,1683.0,26
RC,0272,BIT DRILL CANN LNG 3.2MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN MEDL 1.7MM,2028.0,1622.4,536.41,1825.2,26
RC,0272,BIT DRILL CANN MEDL 2.6MM,2028.0,1622.4,536.41,1825.2,26
RC,0272,BIT DRILL CANN MEDL 3.2MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,BIT DRILL CANN MINI HUDSON 3MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL CANN MINI HUDSON 4MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL CANN MINI HUDSON 5MM,4351.0,3480.8,1150.84,3915.9,26
RC,0272,BIT DRILL CANN ORPE 4.0X230MM,3712.0,2969.6,981.82,3340.8,26
RC,0272,BIT DRILL CANN OSTE 1.7MM*NLU*,2560.0,2048.0,677.12,2304.0,26
RC,0272,BIT DRILL CANN PRGN 1.7MM,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL CANN PRGN 2.0MM,1307.0,1045.6,345.7,1176.3,26
RC,0272,BIT DRILL CANN PRGN 2.3X120MM,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL CANN PRGN 2.6X130MM,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL CANN PRGN 2.8X15MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,BIT DRILL CANN PRGN 4.6X300MM,2836.0,2268.8,750.12,2552.4,26
RC,0272,BIT DRILL CANN QC .5X130MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CANN QC 1.6X95MM,2863.0,2290.4,757.26,2576.7,26
RC,0272,BIT DRILL CANN QC 1.9MM,3304.0,2643.2,873.91,2973.6,26
RC,0272,BIT DRILL CANN QC 17.0X280MM,3643.0,2914.4,963.57,3278.7,26
RC,0272,BIT DRILL CANN QC 2.0X145MM,2870.0,2296.0,759.12,2583.0,26
RC,0272,BIT DRILL CANN QC 2.0X18MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CANN QC 2.5X20MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CANN QC 2.7MM,3304.0,2643.2,873.91,2973.6,26
RC,0272,BIT DRILL CANN QC 2.7X145MM,3036.0,2428.8,803.02,2732.4,26
RC,0272,BIT DRILL CANN QC 3.0X215MM,2977.0,2381.6,787.42,2679.3,26
RC,0272,BIT DRILL CANN QC 3.2MM,4441.0,3552.8,1174.64,3996.9,26
RC,0272,BIT DRILL CANN QC 4.5X130MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CANN QC 5.0X215MM,2996.0,2396.8,792.44,2696.4,26
RC,0272,BIT DRILL CANN QC 5MM,4614.0,3691.2,1220.4,4152.6,26
RC,0272,BIT DRILL CANN QC 6.5X220MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CANN QC 6X190MM,3904.0,3123.2,1032.61,3513.6,26
RC,0272,BIT DRILL CANN QC ACUM 2.7MM,3328.0,2662.4,880.26,2995.2,26
RC,0272,BIT DRILL CANN QC LG 8X190MM,3904.0,3123.2,1032.61,3513.6,26
RC,0272,BIT DRILL CANN QC LNG 5.0MM,3522.0,2817.6,931.57,3169.8,26
RC,0272,BIT DRILL CANN QC LNG STER 7.5,4659.0,3727.2,1232.31,4193.1,26
RC,0272,BIT DRILL CANN QC ZIMM 2.7MM,4614.0,3691.2,1220.4,4152.6,26
RC,0272,BIT DRILL CANN QK CPLE 1.7X100,3031.0,2424.8,801.7,2727.9,26
RC,0272,BIT DRILL CANN QK LG 11.2MM,4292.0,3433.6,1135.23,3862.8,26
RC,0272,BIT DRILL CANN QK LG 12.8MM,4292.0,3433.6,1135.23,3862.8,26
RC,0272,BIT DRILL CANN SCP 3.5MM,2752.0,2201.6,727.9,2476.8,26
RC,0272,BIT DRILL CANN SHRT 12MM,4708.0,3766.4,1245.27,4237.2,26
RC,0272,BIT DRILL CANN SHRT 4.5X2*NLU*,3510.0,2808.0,928.4,3159.0,26
RC,0272,BIT DRILL CANN SHRT 4.5X3*NLU*,3510.0,2808.0,928.4,3159.0,26
RC,0272,BIT DRILL CANN SQCONN 3/16X150,2072.0,1657.6,548.04,1864.8,26
RC,0272,BIT DRILL CANN STER ENOV 4.0MM,2520.0,2016.0,666.54,2268.0,26
RC,0272,BIT DRILL CANN STRY 2.1MM,2252.0,1801.6,595.65,2026.8,26
RC,0272,BIT DRILL CANN STRY 2.4MM,2632.0,2105.6,696.16,2368.8,26
RC,0272,BIT DRILL CANN STRY 2.6MM,2457.0,1965.6,649.88,2211.3,26
RC,0272,BIT DRILL CANN SYNT 10X190MM,3904.0,3123.2,1032.61,3513.6,26
RC,0272,BIT DRILL CANN SYNT 11X280MM,3289.0,2631.2,869.94,2960.1,26
RC,0272,BIT DRILL CANN SYNT 13MM,3824.0,3059.2,1011.45,3441.6,26
RC,0272,BIT DRILL CANN SYNT 17X300MM,4536.0,3628.8,1199.77,4082.4,26
RC,0272,BIT DRILL CANN SYNT 4MM,2210.0,1768.0,584.55,1989.0,26
RC,0272,BIT DRILL CANN SYNT 6X10MM,3504.0,2803.2,926.81,3153.6,26
RC,0272,BIT DRILL CANN TOGGLELOC 4.5MM,2049.0,1639.2,541.96,1844.1,26
RC,0272,BIT DRILL CANN TRIL 2.0/2.4MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT DRILL CANN TRIL 3.0/4.0MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT DRILL CANN TRIL 5.5MM,2880.0,2304.0,761.76,2592.0,26
RC,0272,BIT DRILL CANN TRIL 7MM*NLU*,2880.0,2304.0,761.76,2592.0,26
RC,0272,BIT DRILL CANN TRMI 1.6MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL CANN TRMI 2.1MM*NLU*,1318.0,1054.4,348.61,1186.2,26
RC,0272,BIT DRILL CANN TRMI 2.1X110MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL CANN TRMI 2.4X120MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL CANN TYME 1.8X125MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CANN TYME 2.0X125MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL CANN UNITE 2.0MM,2028.0,1622.4,536.41,1825.2,26
RC,0272,BIT DRILL CANN VILX 4.80MM,3360.0,2688.0,888.72,3024.0,26
RC,0272,BIT DRILL CANN W AO CPLE 4MM,2913.0,2330.4,770.49,2621.7,26
RC,0272,BIT DRILL CANN WIRE LOOP 2.4MM,2596.0,2076.8,686.64,2336.4,26
RC,0272,BIT DRILL CANN ZIMM 2.0MM,2304.0,1843.2,609.41,2073.6,26
RC,0272,BIT DRILL CANN ZIMM 2.9X70MM,2112.0,1689.6,558.62,1900.8,26
RC,0272,BIT DRILL CANN ZIMM 3.5MM,2304.0,1843.2,609.41,2073.6,26
RC,0272,BIT DRILL CANN ZIMM 7X200MM,2439.0,1951.2,645.12,2195.1,26
RC,0272,BIT DRILL CANN ZIMM5.0MM*DISC*,2368.0,1894.4,626.34,2131.2,26
RC,0272,BIT DRILL CARB SYNT 4MM,2096.0,1676.8,554.39,1886.4,26
RC,0272,BIT DRILL CARB SYNT 6MM,2248.0,1798.4,594.6,2023.2,26
RC,0272,BIT DRILL CASTLELOC-S 2.6-20MM,1743.0,1394.4,461.02,1568.7,26
RC,0272,BIT DRILL CENT ZIMM 3.2MM,901.0,720.8,238.31,810.9,26
RC,0272,BIT DRILL CERV MDTR 2.4MM*NLU*,1799.0,1439.2,475.84,1619.1,26
RC,0272,BIT DRILL COMP CANN 16MM,1309.0,1047.2,346.23,1178.1,26
RC,0272,BIT DRILL COMP CANN 18MM,1309.0,1047.2,346.23,1178.1,26
RC,0272,BIT DRILL COMP CANN 22MM,1309.0,1047.2,346.23,1178.1,26
RC,0272,BIT DRILL COMP CANN 26MM,1309.0,1047.2,346.23,1178.1,26
RC,0272,BIT DRILL COMP FT LIME LG5.0MM,1870.0,1496.0,494.62,1683.0,26
RC,0272,BIT DRILL COMP FT STD ARTX,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL COMP MICRO 2.0MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL COMPL 4.8X180*DISC*,1768.0,1414.4,467.64,1591.2,26
RC,0272,BIT DRILL CORT QK ORG 2X125MM,700.0,560.0,185.15,630.0,26
RC,0272,BIT DRILL CORT QK ORG2.7X*NLU*,713.0,570.4,188.59,641.7,26
RC,0272,BIT DRILL CRANI CODMAN 5.8MM,676.0,540.8,178.8,608.4,26
RC,0272,BIT DRILL CYL 1.7-2.3 X 140MM,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL DENSE ACUM 4/5*NLU*,2872.0,2297.6,759.64,2584.8,26
RC,0272,BIT DRILL DISK ULTDRV3 11MM,4872.0,3897.6,1288.64,4384.8,26
RC,0272,BIT DRILL DISK ULTDRV3 13MM,4872.0,3897.6,1288.64,4384.8,26
RC,0272,BIT DRILL DISK ULTDRV3 7MM,4872.0,3897.6,1288.64,4384.8,26
RC,0272,BIT DRILL DIST FEM NCB 4.3MM,1261.0,1008.8,333.53,1134.9,26
RC,0272,BIT DRILL DIST LK ARTX 2.*NLU*,893.0,714.4,236.2,803.7,26
RC,0272,BIT DRILL DIST RAD SYS 2MM,1020.0,816.0,269.79,918.0,26
RC,0272,BIT DRILL DTS SHORELINEASC12MM,935.0,748.0,247.31,841.5,26
RC,0272,BIT DRILL DTS SHORELINEASC14MM,935.0,748.0,247.31,841.5,26
RC,0272,BIT DRILL DUAL-TRAK 3MM,3120.0,2496.0,825.24,2808.0,26
RC,0272,BIT DRILL DVRA ZIMM 2.5MM,1121.0,896.8,296.5,1008.9,26
RC,0272,BIT DRILL DVRA ZIMM 3.3MM,1191.0,952.8,315.02,1071.9,26
RC,0272,BIT DRILL ECT FRAC 1.1X100MM,440.0,352.0,116.38,396.0,26
RC,0272,BIT DRILL EQUINOXE EXAT 3.2MM,2040.0,1632.0,539.58,1836.0,26
RC,0272,BIT DRILL EXTL FIX GRN 4.5MM,1331.0,1064.8,352.05,1197.9,26
RC,0272,BIT DRILL EXTL FIX MD 4MM,1401.0,1120.8,370.56,1260.9,26
RC,0272,BIT DRILL FASSIER-DUVAL5.9X350,5173.0,4138.4,1368.26,4655.7,26
RC,0272,BIT DRILL FAST 2MM,1088.0,870.4,287.78,979.2,26
RC,0272,BIT DRILL FAST LNG 4.0MM*DISC*,1088.0,870.4,287.78,979.2,26
RC,0272,BIT DRILL FAST STEP 4.0*DISC*,1088.0,870.4,287.78,979.2,26
RC,0272,BIT DRILL FEM NECK 4.3X413MM,2856.0,2284.8,755.41,2570.4,26
RC,0272,BIT DRILL FEN 2.5MMX6IN,2160.0,1728.0,571.32,1944.0,26
RC,0272,BIT DRILL FENESTRATION 2.5MM,2720.0,2176.0,719.44,2448.0,26
RC,0272,BIT DRILL FIBULOCK 2.5MM,888.0,710.4,234.88,799.2,26
RC,0272,BIT DRILL FIBULOCK 3.7MM,1216.0,972.8,321.63,1094.4,26
RC,0272,BIT DRILL FLEX 3.2MM*NLU*,5005.0,4004.0,1323.82,4504.5,26
RC,0272,BIT DRILL FLEX F*DISC 6352177*,977.0,781.6,258.42,879.3,26
RC,0272,BIT DRILL FLEX SYNT 3.8X25MM,5553.0,4442.4,1468.77,4997.7,26
RC,0272,BIT DRILL FLEX SYNT 3.8X30MM,5553.0,4442.4,1468.77,4997.7,26
RC,0272,BIT DRILL FLEX SYNT 3.8X35MM,5553.0,4442.4,1468.77,4997.7,26
RC,0272,BIT DRILL FLUTE FBRTAK KNEE,2156.0,1724.8,570.26,1940.4,26
RC,0272,BIT DRILL FLUTE FBRTAK KNEE2.8,892.0,713.6,235.93,802.8,26
RC,0272,BIT DRILL FLUTE OPENING 5.5MM,3124.0,2499.2,826.3,2811.6,26
RC,0272,BIT DRILL FLUTE PILON 2.5MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BIT DRILL FOOTPRINT MINI 3.5MM,1700.0,1360.0,449.65,1530.0,26
RC,0272,BIT DRILL FRAG-LOC 2.5MM,2392.0,1913.6,632.68,2152.8,26
RC,0272,BIT DRILL FREE STER 4.2X130MM,1256.0,1004.8,332.21,1130.4,26
RC,0272,BIT DRILL FREEHAND 4.2MM,3740.0,2992.0,989.23,3366.0,26
RC,0272,BIT DRILL FREEHAND STER3.5X130,1256.0,1004.8,332.21,1130.4,26
RC,0272,BIT DRILL GD NDLE AGILE 2.0MM,5400.0,4320.0,1428.3,4860.0,26
RC,0272,BIT DRILL GD PIN STERARTX2.4MM,1172.0,937.6,309.99,1054.8,26
RC,0272,BIT DRILL GLD 2.5X12MM,813.0,650.4,215.04,731.7,26
RC,0272,BIT DRILL GLENO,1233.0,986.4,326.13,1109.7,26
RC,0272,BIT DRILL GLENO *DISC NO REPL*,1360.0,1088.0,359.72,1224.0,26
RC,0272,BIT DRILL GPS 3.2MM,3000.0,2400.0,793.5,2700.0,26
RC,0272,BIT DRILL GPS 3.5MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,BIT DRILL GRIDLOCK 2.4MM,1743.0,1394.4,461.02,1568.7,26
RC,0272,BIT DRILL GRIDLOCK 3.5MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT DRILL GRIDLOCK 3MM,1743.0,1394.4,461.02,1568.7,26
RC,0272,BIT DRILL GRIDLOCK OVER 4*NLU*,1743.0,1394.4,461.02,1568.7,26
RC,0272,BIT DRILL GRN 3.*DISC NO REPL*,2496.0,1996.8,660.19,2246.4,26
RC,0272,BIT DRILL GRY PT 3.2X200MM,688.0,550.4,181.98,619.2,26
RC,0272,BIT DRILL GRY PT 4.0X200MM,706.0,564.8,186.74,635.4,26
RC,0272,BIT DRILL HALF PINS 3.4X160MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL HAND FREE 4.2X185MM,1122.0,897.6,296.77,1009.8,26
RC,0272,BIT DRILL HDLSS FMED 3.0MMX6IN,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL HDLSS MRME 3.5MM,3320.0,2656.0,878.14,2988.0,26
RC,0272,BIT DRILL HDLSS SCREW 4.5MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL HOLLOW MULTLOC 10MM,2463.0,1970.4,651.46,2216.7,26
RC,0272,BIT DRILL HUMR NAIL LK 9.5MM,2718.0,2174.4,718.91,2446.2,26
RC,0272,BIT DRILL HUMR TUNNEL ARTX 5MM,1237.0,989.6,327.19,1113.3,26
RC,0272,BIT DRILL ICONIX DISP 1.4MM,1819.0,1455.2,481.13,1637.1,26
RC,0272,BIT DRILL ICONIX DISP 2.3MM,1819.0,1455.2,481.13,1637.1,26
RC,0272,BIT DRILL ICONIX KNTLS 1.4MM,3592.0,2873.6,950.08,3232.8,26
RC,0272,BIT DRILL ILSC 2.7MM*NLU*,1880.0,1504.0,497.26,1692.0,26
RC,0272,BIT DRILL J 10MM 2.2X135MM,1566.0,1252.8,414.21,1409.4,26
RC,0272,BIT DRILL J 12MM 2.2X135MM,1208.0,966.4,319.52,1087.2,26
RC,0272,BIT DRILL J 14MM 2.2X135MM,1208.0,966.4,319.52,1087.2,26
RC,0272,BIT DRILL J 6MM 2.2X135MM,1564.0,1251.2,413.68,1407.6,26
RC,0272,BIT DRILL J 8MM 2.2X135MM,1208.0,966.4,319.52,1087.2,26
RC,0272,BIT DRILL J LATCH STOP 4X1.5MM,1566.0,1252.8,414.21,1409.4,26
RC,0272,BIT DRILL J LATCH SYNT 6X50MM,1566.0,1252.8,414.21,1409.4,26
RC,0272,BIT DRILL J SONICWELDSTER1.6X5,1975.0,1580.0,522.39,1777.5,26
RC,0272,BIT DRILL J-LATCH 1.0MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL J-LATCH 1.3MM*NLU*,713.0,570.4,188.59,641.7,26
RC,0272,BIT DRILL J-LATCH 1.5X110*NLU*,895.0,716.0,236.73,805.5,26
RC,0272,BIT DRILL J-LATCH 1.5X57MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL J-LATCH 2.4X75MM,1505.0,1204.0,398.07,1354.5,26
RC,0272,BIT DRILL J-LATCH STRY 1.1X65,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL J-LATCH12MMSTOP1.0MM,748.0,598.4,197.85,673.2,26
RC,0272,BIT DRILL JACOBS CHUCK 2.7X110,662.0,529.6,175.1,595.8,26
RC,0272,BIT DRILL JACOBS CHUCK 3.2X130,631.0,504.8,166.9,567.9,26
RC,0272,BIT DRILL JACOBS CHUCK 3.2X180,737.0,589.6,194.94,663.3,26
RC,0272,BIT DRILL JACOBS CHUCK 3.5X180,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL JACOBS CHUCK 4.5X130,602.0,481.6,159.23,541.8,26
RC,0272,BIT DRILL JACOBS CHUCK 4.5X180,737.0,589.6,194.94,663.3,26
RC,0272,BIT DRILL JACOBS CHUCK 4.5X233,2257.0,1805.6,596.98,2031.3,26
RC,0272,BIT DRILL JACOBS CHUCK1.1X45MM,591.0,472.8,156.32,531.9,26
RC,0272,BIT DRILL JACOBS CHUCK2.5X95MM,618.0,494.4,163.46,556.2,26
RC,0272,BIT DRILL JACOBS CHUCK3.5X95MM,618.0,494.4,163.46,556.2,26
RC,0272,BIT DRILL JLATCH GLIDING HL2.0,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL JLATCH THRD HL 1.5MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL JONES FRAC 3.3X175MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL JONES FRAC4.15X175MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL JUGGERKNOT STER2.9MM,882.0,705.6,233.29,793.8,26
RC,0272,BIT DRILL KLS 1.*DISC 6348076*,930.0,744.0,245.99,837.0,26
RC,0272,BIT DRILL KLS 1.5X50MM*DISC*,784.0,627.2,207.37,705.6,26
RC,0272,BIT DRILL KLS 1.9*USE 6287204*,808.0,646.4,213.72,727.2,26
RC,0272,BIT DRILL KLS 2.*DISC 6352222*,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL KLS 2.2X105MM,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL KNOTILUS+ 2.4X11.3MM,4890.0,3912.0,1293.41,4401.0,26
RC,0272,BIT DRILL KNOTLIUS 2.9X12.5MM,4410.0,3528.0,1166.45,3969.0,26
RC,0272,BIT DRILL KWIRE ATTACH 2X71MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL KWIRE ATTACH1.5X88MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL LAG MINI FRAG BLU2.0,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL LAG QR 2.7MM,1785.0,1428.0,472.13,1606.5,26
RC,0272,BIT DRILL LAG SCREW RECON T2,6542.0,5233.6,1730.36,5887.8,26
RC,0272,BIT DRILL LAG TRILEAP 2.5MM,1504.0,1203.2,397.81,1353.6,26
RC,0272,BIT DRILL LAG TRILEAP 3.5MM,1504.0,1203.2,397.81,1353.6,26
RC,0272,BIT DRILL LG CANN QC 9X190MM,3904.0,3123.2,1032.61,3513.6,26
RC,0272,BIT DRILL LG SYS 2.8MM*NLU*,2040.0,1632.0,539.58,1836.0,26
RC,0272,BIT DRILL LIND 2*DISC 6316695*,480.0,384.0,126.96,432.0,26
RC,0272,BIT DRILL LINDEMANN 2.2X66.7MM,532.0,425.6,140.71,478.8,26
RC,0272,BIT DRILL LISFRANC 3.2MM,1406.0,1124.8,371.89,1265.4,26
RC,0272,BIT DRILL LK MD 4.3X296MM,2121.0,1696.8,561.0,1908.9,26
RC,0272,BIT DRILL LK ORIF MD 3.1X238MM,1938.0,1550.4,512.6,1744.2,26
RC,0272,BIT DRILL LK SCREW 2.8MM,2200.0,1760.0,581.9,1980.0,26
RC,0272,BIT DRILL LK SCREW 2.9MM,2200.0,1760.0,581.9,1980.0,26
RC,0272,BIT DRILL LK SCREW 3.5MM,2200.0,1760.0,581.9,1980.0,26
RC,0272,BIT DRILL LK SHORT 4.3X216MM,1953.0,1562.4,516.57,1757.7,26
RC,0272,BIT DRILL LK SHRT 3.1X216MM,1869.0,1495.2,494.35,1682.1,26
RC,0272,BIT DRILL LK STER 4.2X360MM,1122.0,897.6,296.77,1009.8,26
RC,0272,BIT DRILL LNG 5X355MM,2192.0,1753.6,579.78,1972.8,26
RC,0272,BIT DRILL LNG CALIB 4.3MM,1794.0,1435.2,474.51,1614.6,26
RC,0272,BIT DRILL LO PRO ARTX 1.7MM,782.0,625.6,206.84,703.8,26
RC,0272,BIT DRILL LORENZ MICRO 1.*NLU*,1479.0,1183.2,391.2,1331.1,26
RC,0272,BIT DRILL MARKED ZIMM 2.0MM,532.0,425.6,140.71,478.8,26
RC,0272,BIT DRILL MATCH HD 14CMX3MM,1261.0,1008.8,333.53,1134.9,26
RC,0272,BIT DRILL MATCHHD 12CMX2.0MM,1233.0,986.4,326.13,1109.7,26
RC,0272,BIT DRILL MATTA 2.5X180MM,1184.0,947.2,313.17,1065.6,26
RC,0272,BIT DRILL MATTA 2.5X230MM,1184.0,947.2,313.17,1065.6,26
RC,0272,BIT DRILL MATTA 3.2X180MM,1184.0,947.2,313.17,1065.6,26
RC,0272,BIT DRILL MATTA 3.2X230MM,1184.0,947.2,313.17,1065.6,26
RC,0272,BIT DRILL MATTA 3.5X180MM,1184.0,947.2,313.17,1065.6,26
RC,0272,BIT DRILL MCF SYS ARTX 1.7MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL MDSH 4MM,2160.0,1728.0,571.32,1944.0,26
RC,0272,BIT DRILL MDTR 11MM,2145.0,1716.0,567.35,1930.5,26
RC,0272,BIT DRILL METAGLENE 2.5X120MM,1079.0,863.2,285.4,971.1,26
RC,0272,BIT DRILL MIDAS MATCH 15-2.2,1247.0,997.6,329.83,1122.3,26
RC,0272,BIT DRILL MINI BIOANCHOR *NLU*,370.0,296.0,97.87,333.0,26
RC,0272,BIT DRILL MINI FRAG AO 2.7MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL MINI FRAG LNG 2.0MM,1700.0,1360.0,449.65,1530.0,26
RC,0272,BIT DRILL MINI FRAG LNG GRN1.7,1870.0,1496.0,494.62,1683.0,26
RC,0272,BIT DRILL MINI QC 1.1MM,532.0,425.6,140.71,478.8,26
RC,0272,BIT DRILL MINI QC 1.3MM,532.0,425.6,140.71,478.8,26
RC,0272,BIT DRILL MINI QC 2.0MM,532.0,425.6,140.71,478.8,26
RC,0272,BIT DRILL MINI QC 2.5MM,532.0,425.6,140.71,478.8,26
RC,0272,BIT DRILL MINI QC SYNT1.5X96MM,1057.0,845.6,279.58,951.3,26
RC,0272,BIT DRILL MINI QK 2MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL MINI QK RED 1.5X48MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL MINI QK THRD 1X61MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL MINI QK THRD1.1X56MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL MINI QK THRD1.5X74MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL MINI SYNT 1.8X1*NLU*,886.0,708.8,234.35,797.4,26
RC,0272,BIT DRILL MINIQK CPLE 1.8X80MM,618.0,494.4,163.46,556.2,26
RC,0272,BIT DRILL MINIQK CPLE 2.4X80MM,618.0,494.4,163.46,556.2,26
RC,0272,BIT DRILL MOD RELIEF FRS*DISC*,1156.0,924.8,305.76,1040.4,26
RC,0272,BIT DRILL MS STD 4/5*NLU*,2872.0,2297.6,759.64,2584.8,26
RC,0272,BIT DRILL MTX J-LATCH 1.4X12MM,1576.0,1260.8,416.85,1418.4,26
RC,0272,BIT DRILL MTX J-LATCH 1.4X6MM,1568.0,1254.4,414.74,1411.2,26
RC,0272,BIT DRILL MTX J-LATCH 1.4X8MM,1576.0,1260.8,416.85,1418.4,26
RC,0272,BIT DRILL MTX J-LATCH1.4X110MM,1667.0,1333.6,440.92,1500.3,26
RC,0272,BIT DRILL MTX J-LATCH1.4X125MM,1938.0,1550.4,512.6,1744.2,26
RC,0272,BIT DRILL MTXMAND 1.5X50MM,931.0,744.8,246.25,837.9,26
RC,0272,BIT DRILL MTXMAND 1.8X90MM,1673.0,1338.4,442.51,1505.7,26
RC,0272,BIT DRILL MTXMAND 2.4X90M*NLU*,996.0,796.8,263.44,896.4,26
RC,0272,BIT DRILL MTXMAND MINIQC1.8X90,1667.0,1333.6,440.92,1500.3,26
RC,0272,BIT DRILL MTXMID 1.25X125*NLU*,1018.0,814.4,269.26,916.2,26
RC,0272,BIT DRILL MTXMID 1.25X80MM,1760.0,1408.0,465.52,1584.0,26
RC,0272,BIT DRILL NAIL 2 SYS 2.8MM,1454.0,1163.2,384.58,1308.6,26
RC,0272,BIT DRILL NAIL 2 SYS 6.5MM,2008.0,1606.4,531.12,1807.2,26
RC,0272,BIT DRILL NAIL VILX 6.4MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL NAIL VILX 6.9MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL NANOTACK 1.4MM*NLU*,1590.0,1272.0,420.56,1431.0,26
RC,0272,BIT DRILL NANOTACK FLEX 1.4MM,1862.0,1489.6,492.5,1675.8,26
RC,0272,BIT DRILL NAV 2.4MM,5850.0,4680.0,1547.33,5265.0,26
RC,0272,BIT DRILL NAV STER 2.4MM*NLU*,5850.0,4680.0,1547.33,5265.0,26
RC,0272,BIT DRILL NAVIGATED LNG 4.0MM,3757.0,3005.6,993.73,3381.3,26
RC,0272,BIT DRILL NAVIGATED LNG 4.5MM,3757.0,3005.6,993.73,3381.3,26
RC,0272,BIT DRILL NAVIGATED LNG 5.0MM,3757.0,3005.6,993.73,3381.3,26
RC,0272,BIT DRILL NAVIGATED LNG 5.5MM,3757.0,3005.6,993.73,3381.3,26
RC,0272,BIT DRILL NAVIGATED SHR T3.0MM,3757.0,3005.6,993.73,3381.3,26
RC,0272,BIT DRILL NAVIGATED SHRT 2.5MM,5130.0,4104.0,1356.89,4617.0,26
RC,0272,BIT DRILL NAVIGATED SHRT 3.5MM,5130.0,4104.0,1356.89,4617.0,26
RC,0272,BIT DRILL NL SHRT 2.5X216MM,2941.0,2352.8,777.89,2646.9,26
RC,0272,BIT DRILL NL SHRT 3.2X216MM,1953.0,1562.4,516.57,1757.7,26
RC,0272,BIT DRILL NVIS 3.0MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL OA FIREFLY 2.0M*NLU*,3564.0,2851.2,942.68,3207.6,26
RC,0272,BIT DRILL OA FIREFLY 3.2M*NLU*,3564.0,2851.2,942.68,3207.6,26
RC,0272,BIT DRILL OCCIPITAL 3.2MM*NLU*,3608.0,2886.4,954.32,3247.2,26
RC,0272,BIT DRILL OCCIPITAL TAPER*NLU*,3608.0,2886.4,954.32,3247.2,26
RC,0272,BIT DRILL OPTETRAK QC 1/8X4,2208.0,1766.4,584.02,1987.2,26
RC,0272,BIT DRILL ORTF 4X12MM DRILL,935.0,748.0,247.31,841.5,26
RC,0272,BIT DRILL ORTHOLOC 2.0X24MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL ORTHOLOC 2.5X60MM,1379.0,1103.2,364.75,1241.1,26
RC,0272,BIT DRILL ORTHOLOC 2.8X60MM,1379.0,1103.2,364.75,1241.1,26
RC,0272,BIT DRILL OSTE 2.0MM*NLU*,893.0,714.4,236.2,803.7,26
RC,0272,BIT DRILL OVER GORILLA 2.1X90,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL OVER GORILLA 2.5X100,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL OVER GORILLA 2.7X130,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL OZARK 2.3X14MM,1556.0,1244.8,411.56,1400.4,26
RC,0272,BIT DRILL PEDIFRAG 3.2MM,1625.0,1300.0,429.81,1462.5,26
RC,0272,BIT DRILL PEDIPLATES 3.2MM,3629.0,2903.2,959.87,3266.1,26
RC,0272,BIT DRILL PEDS SM FRAG 2.5MM,1605.0,1284.0,424.52,1444.5,26
RC,0272,BIT DRILL PERC FLEX 16MM,5207.0,4165.6,1377.25,4686.3,26
RC,0272,BIT DRILL PERC FLEX 6-9MM,3629.0,2903.2,959.87,3266.1,26
RC,0272,BIT DRILL PERC HOLLOW 16MM,5040.0,4032.0,1333.08,4536.0,26
RC,0272,BIT DRILL PERIPH ALTIVATE3.5MM,3605.0,2884.0,953.52,3244.5,26
RC,0272,BIT DRILL PERIPH REUNION,698.0,558.4,184.62,628.2,26
RC,0272,BIT DRILL PERIPH SCREW 3.2MM,884.0,707.2,233.82,795.6,26
RC,0272,BIT DRILL PERIPH ZIMM 2.7MM,1114.0,891.2,294.65,1002.6,26
RC,0272,BIT DRILL PHANTOMPRGN7.0X20CM,2836.0,2268.8,750.12,2552.4,26
RC,0272,BIT DRILL PHOE,1726.0,1380.8,456.53,1553.4,26
RC,0272,BIT DRILL PILOT AO VILX 2.5MM,2800.0,2240.0,740.6,2520.0,26
RC,0272,BIT DRILL PILOT CALIB 2.4*NLU*,1913.0,1530.4,505.99,1721.7,26
RC,0272,BIT DRILL PILOT CANN 4.5MM,1700.0,1360.0,449.65,1530.0,26
RC,0272,BIT DRILL PILOT HL 8X20MM,3200.0,2560.0,846.4,2880.0,26
RC,0272,BIT DRILL PILOT SNAPOFF 8*NLU*,1743.0,1394.4,461.02,1568.7,26
RC,0272,BIT DRILL PILOT TRIL 2.0MM,1743.0,1394.4,461.02,1568.7,26
RC,0272,BIT DRILL PLK ANCHOR 2.4MM,3360.0,2688.0,888.72,3024.0,26
RC,0272,BIT DRILL PLK STER 2.4MM,982.0,785.6,259.74,883.8,26
RC,0272,BIT DRILL PRE-DRILL VILX 2.8MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL PRFL CMPR FT 7.0MM,1870.0,1496.0,494.62,1683.0,26
RC,0272,BIT DRILL PROFILE 6.3MM,3400.0,2720.0,899.3,3060.0,26
RC,0272,BIT DRILL PROFILE ARTX MINI,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL PROFILE BEV FT 3.5MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL PROFILE MICRO 2.0MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL PROX ENSR 2.0MM,9918.0,7934.4,2623.31,8926.2,26
RC,0272,BIT DRILL QC 1.5X110MM,618.0,494.4,163.46,556.2,26
RC,0272,BIT DRILL QC 12MM STOP 0.76MM,1135.0,908.0,300.21,1021.5,26
RC,0272,BIT DRILL QC 14MM STOP 0.76MM,1135.0,908.0,300.21,1021.5,26
RC,0272,BIT DRILL QC 2 FLUTE 2.8X165MM,733.0,586.4,193.88,659.7,26
RC,0272,BIT DRILL QC 3.5X195MM,888.0,710.4,234.88,799.2,26
RC,0272,BIT DRILL QC 3.5X380MM,3553.0,2842.4,939.77,3197.7,26
RC,0272,BIT DRILL QC 6MM STOP 0.76MM,1135.0,908.0,300.21,1021.5,26
RC,0272,BIT DRILL QC 6X195MM,1267.0,1013.6,335.12,1140.3,26
RC,0272,BIT DRILL QC 8MM 2.2X135MM,1566.0,1252.8,414.21,1409.4,26
RC,0272,BIT DRILL QC ACUM 2.8MMX5IN,1428.0,1142.4,377.71,1285.2,26
RC,0272,BIT DRILL QC CANN 2.7X160MM,2073.0,1658.4,548.31,1865.7,26
RC,0272,BIT DRILL QC CANN 3.2X170MM,2110.0,1688.0,558.1,1899.0,26
RC,0272,BIT DRILL QC CANN 3.5X160MM,2230.0,1784.0,589.84,2007.0,26
RC,0272,BIT DRILL QC CANN 4.3X200MM,2517.0,2013.6,665.75,2265.3,26
RC,0272,BIT DRILL QC CANN 4.5X170MM,2267.0,1813.6,599.62,2040.3,26
RC,0272,BIT DRILL QC CANN 5X200MM,2517.0,2013.6,665.75,2265.3,26
RC,0272,BIT DRILL QC CANN 5X300MM,2078.0,1662.4,549.63,1870.2,26
RC,0272,BIT DRILL QC CANN SYNT 2X110MM,2055.0,1644.0,543.55,1849.5,26
RC,0272,BIT DRILL QC LG 7X190MM,3904.0,3123.2,1032.61,3513.6,26
RC,0272,BIT DRILL QC NEWC 2.7X180MM,3032.0,2425.6,801.96,2728.8,26
RC,0272,BIT DRILL QC NEWC 4.0X195MM,3258.0,2606.4,861.74,2932.2,26
RC,0272,BIT DRILL QC SYNT 1.1X55MM,630.0,504.0,166.64,567.0,26
RC,0272,BIT DRILL QC SYNT 1.5X65MM,630.0,504.0,166.64,567.0,26
RC,0272,BIT DRILL QC SYNT 1.5X85MM,618.0,494.4,163.46,556.2,26
RC,0272,BIT DRILL QC SYNT 1.8X100MM,1505.0,1204.0,398.07,1354.5,26
RC,0272,BIT DRILL QC SYNT 1.8X110MM,1057.0,845.6,279.58,951.3,26
RC,0272,BIT DRILL QC SYNT 1.8X125MM,895.0,716.0,236.73,805.5,26
RC,0272,BIT DRILL QC SYNT 2.4X100MM,1505.0,1204.0,398.07,1354.5,26
RC,0272,BIT DRILL QC SYNT 2.5X110MM,575.0,460.0,152.09,517.5,26
RC,0272,BIT DRILL QC SYNT 2.5X180MM,650.0,520.0,171.93,585.0,26
RC,0272,BIT DRILL QC SYNT 2.7X100MM,618.0,494.4,163.46,556.2,26
RC,0272,BIT DRILL QC SYNT 2.7X125MM,694.0,555.2,183.56,624.6,26
RC,0272,BIT DRILL QC SYNT 2.8X165MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL QC SYNT 2.9X150MM,733.0,586.4,193.88,659.7,26
RC,0272,BIT DRILL QC SYNT 2X100MM,614.0,491.2,162.4,552.6,26
RC,0272,BIT DRILL QC SYNT 2X125MM,650.0,520.0,171.93,585.0,26
RC,0272,BIT DRILL QC SYNT 2X65MM,630.0,504.0,166.64,567.0,26
RC,0272,BIT DRILL QC SYNT 2X885MM,824.0,659.2,217.95,741.6,26
RC,0272,BIT DRILL QC SYNT 3.2X145MM,567.0,453.6,149.97,510.3,26
RC,0272,BIT DRILL QC SYNT 3.2X195MM,910.0,728.0,240.7,819.0,26
RC,0272,BIT DRILL QC SYNT 3.2X225MM,1178.0,942.4,311.58,1060.2,26
RC,0272,BIT DRILL QC SYNT 3.5X110MM,614.0,491.2,162.4,552.6,26
RC,0272,BIT DRILL QC SYNT 3.5X195MM,650.0,520.0,171.93,585.0,26
RC,0272,BIT DRILL QC SYNT 3.5X225MM,961.0,768.8,254.18,864.9,26
RC,0272,BIT DRILL QC SYNT 4.3X180MM,875.0,700.0,231.44,787.5,26
RC,0272,BIT DRILL QC SYNT 4.3X221MM,1678.0,1342.4,443.83,1510.2,26
RC,0272,BIT DRILL QC SYNT 4.3X280MM,2712.0,2169.6,717.32,2440.8,26
RC,0272,BIT DRILL QC SYNT 4.5MM,610.0,488.0,161.35,549.0,26
RC,0272,BIT DRILL QC SYNT 4.5X195MM,910.0,728.0,240.7,819.0,26
RC,0272,BIT DRILL QC SYNT 4X160MM,699.0,559.2,184.89,629.1,26
RC,0272,BIT DRILL QC SYNT 7.3X300MM,2274.0,1819.2,601.47,2046.6,26
RC,0272,BIT DRILL QC SYNT STER 2X125MM,1000.0,800.0,264.5,900.0,26
RC,0272,BIT DRILL QC SYNTSTER3.5X110MM,967.0,773.6,255.77,870.3,26
RC,0272,BIT DRILL QC T30/T40 2.2MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL QC W CALIB 2.5X400MM,3553.0,2842.4,939.77,3197.7,26
RC,0272,BIT DRILL QC WO STOP 2.5X180MM,1000.0,800.0,264.5,900.0,26
RC,0272,BIT DRILL QK 2X140MM,1057.0,845.6,279.58,951.3,26
RC,0272,BIT DRILL QK ACUM 2.8MM,986.0,788.8,260.8,887.4,26
RC,0272,BIT DRILL QK ACUM 3.5MM,986.0,788.8,260.8,887.4,26
RC,0272,BIT DRILL QK CONN 3.3X150*NLU*,1033.0,826.4,273.23,929.7,26
RC,0272,BIT DRILL QK CPLE 135X12M*NLU*,982.0,785.6,259.74,883.8,26
RC,0272,BIT DRILL QK CPLE 2.0X110MM,982.0,785.6,259.74,883.8,26
RC,0272,BIT DRILL QK CPLE 2.0X140MM,1092.0,873.6,288.83,982.8,26
RC,0272,BIT DRILL QK CPLE 2.5MM,1191.0,952.8,315.02,1071.9,26
RC,0272,BIT DRILL QK CPLE 2.5X135MM,882.0,705.6,233.29,793.8,26
RC,0272,BIT DRILL QK CPLE 2.5X170MM,1042.0,833.6,275.61,937.8,26
RC,0272,BIT DRILL QK CPLE 2.5X240,1117.0,893.6,295.45,1005.3,26
RC,0272,BIT DRILL QK CPLE 2.7X125MM,813.0,650.4,215.04,731.7,26
RC,0272,BIT DRILL QK CPLE 2.8X135MM,868.0,694.4,229.59,781.2,26
RC,0272,BIT DRILL QK CPLE 2.8X170MM,1032.0,825.6,272.96,928.8,26
RC,0272,BIT DRILL QK CPLE 2.8X200MM,1103.0,882.4,291.74,992.7,26
RC,0272,BIT DRILL QK CPLE 3.5X150MM,575.0,460.0,152.09,517.5,26
RC,0272,BIT DRILL QK CPLE STER2.0X60MM,1200.0,960.0,317.4,1080.0,26
RC,0272,BIT DRILL QK CPLE STER2.5X45MM,971.0,776.8,256.83,873.9,26
RC,0272,BIT DRILL QK CPLE STER2.7X45MM,896.0,716.8,236.99,806.4,26
RC,0272,BIT DRILL QK CPLE STER2X190MM,1314.0,1051.2,347.55,1182.6,26
RC,0272,BIT DRILL QK CPLESTER2.8X170MM,1135.0,908.0,300.21,1021.5,26
RC,0272,BIT DRILL QK SYNT 1X50MM,630.0,504.0,166.64,567.0,26
RC,0272,BIT DRILL QK SYNT 2.7X125MM,869.0,695.2,229.85,782.1,26
RC,0272,BIT DRILL QK SYNT 2.8X248MM,1207.0,965.6,319.25,1086.3,26
RC,0272,BIT DRILL QK SYNT 3.2X330MM,1689.0,1351.2,446.74,1520.1,26
RC,0272,BIT DRILL QK SYNT 4X260MM,1435.0,1148.0,379.56,1291.5,26
RC,0272,BIT DRILL QK SYNT 5X356MM,1853.0,1482.4,490.12,1667.7,26
RC,0272,BIT DRILL QK SYNT STER 3.2X330,2063.0,1650.4,545.66,1856.7,26
RC,0272,BIT DRILL QK ZIMM 1/8IN,729.0,583.2,192.82,656.1,26
RC,0272,BIT DRILL QK ZIMM 3.2X20MM,646.0,516.8,170.87,581.4,26
RC,0272,BIT DRILL QK ZIMM 3.2X30MM,646.0,516.8,170.87,581.4,26
RC,0272,BIT DRILL QK ZIMM 3.2X40MM,646.0,516.8,170.87,581.4,26
RC,0272,BIT DRILL QK ZIMM 4MM*DISC*,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL QKCONN 1.1X60MM,911.0,728.8,240.96,819.9,26
RC,0272,BIT DRILL QKCONN 1.5X85MM,911.0,728.8,240.96,819.9,26
RC,0272,BIT DRILL QKCONN 2.5X125MM,816.0,652.8,215.83,734.4,26
RC,0272,BIT DRILL QKCONN 2.5X220MM,816.0,652.8,215.83,734.4,26
RC,0272,BIT DRILL QKCONN 3.2X195MM,816.0,652.8,215.83,734.4,26
RC,0272,BIT DRILL QKCONN 3.5X110MM,816.0,652.8,215.83,734.4,26
RC,0272,BIT DRILL QKCONN 3.5X195*DISC*,792.0,633.6,209.48,712.8,26
RC,0272,BIT DRILL QKCONN 4.5X195MM,792.0,633.6,209.48,712.8,26
RC,0272,BIT DRILL QR 4.5X127MM 5*DISC*,1360.0,1088.0,359.72,1224.0,26
RC,0272,BIT DRILL QR ACUM 2.3MM,1454.0,1163.2,384.58,1308.6,26
RC,0272,BIT DRILL QR ACUM 2.8MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL QR ACUM 2MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL QR DEPTH MARKS 2.0MM,1743.0,1394.4,461.02,1568.7,26
RC,0272,BIT DRILL QR DEPTH MARKS 2.8MM,1743.0,1394.4,461.02,1568.7,26
RC,0272,BIT DRILL QR LNG ACUM 2MM,927.0,741.6,245.19,834.3,26
RC,0272,BIT DRILL QUICKFIX ARTX 1.3MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL RAD STER 13MM,4950.0,3960.0,1309.28,4455.0,26
RC,0272,BIT DRILL RAD STER 9MM,4950.0,3960.0,1309.28,4455.0,26
RC,0272,BIT DRILL REAMER 3.2X350MM,4704.0,3763.2,1244.21,4233.6,26
RC,0272,BIT DRILL REAMER LNG 5.0X268MM,3835.0,3068.0,1014.36,3451.5,26
RC,0272,BIT DRILL REAMER PEMD 4.0MM,4704.0,3763.2,1244.21,4233.6,26
RC,0272,BIT DRILL REAMER STD 2X110MM,1096.0,876.8,289.89,986.4,26
RC,0272,BIT DRILL REAMER STD 3.2MM,4704.0,3763.2,1244.21,4233.6,26
RC,0272,BIT DRILL REAMER STD 4.0MM,4704.0,3763.2,1244.21,4233.6,26
RC,0272,BIT DRILL REAMER STD 4.8MM,4704.0,3763.2,1244.21,4233.6,26
RC,0272,BIT DRILL RFLCT FLEX 25MM*NLU*,1305.0,1044.0,345.17,1174.5,26
RC,0272,BIT DRILL RFLCT FLEX 35MM,1305.0,1044.0,345.17,1174.5,26
RC,0272,BIT DRILL SCALED AO FIT 2.6MM,3929.0,3143.2,1039.22,3536.1,26
RC,0272,BIT DRILL SCREW GM 3.5MM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BIT DRILL SEAS 3.5MM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BIT DRILL SEAS 4.0,1275.0,1020.0,337.24,1147.5,26
RC,0272,BIT DRILL SHLDR MGS STER 3.0MM,2360.0,1888.0,624.22,2124.0,26
RC,0272,BIT DRILL SHLDR PSI STER 2.5MM,1870.0,1496.0,494.62,1683.0,26
RC,0272,BIT DRILL SHORELINE ASC 12MM,935.0,748.0,247.31,841.5,26
RC,0272,BIT DRILL SHORELINE ASC 14MM,935.0,748.0,247.31,841.5,26
RC,0272,BIT DRILL SHORELINE ASC 16MM,935.0,748.0,247.31,841.5,26
RC,0272,BIT DRILL SHRT 3.5MM,1048.0,838.4,277.2,943.2,26
RC,0272,BIT DRILL SHRT 4X152MM,2192.0,1753.6,579.78,1972.8,26
RC,0272,BIT DRILL SHRT B*DISC NO REPL*,1632.0,1305.6,431.66,1468.8,26
RC,0272,BIT DRILL SHRT GPS 4.0MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,BIT DRILL SHRT MINI FRAGBLU1.5,1636.0,1308.8,432.72,1472.4,26
RC,0272,BIT DRILL SHRT MINI FRAGGRN1.7,1700.0,1360.0,449.65,1530.0,26
RC,0272,BIT DRILL SHRT MINI FRAGPUR2.0,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL SHRT OA IM 3.8MM,3930.0,3144.0,1039.49,3537.0,26
RC,0272,BIT DRILL SM BONE ARTX 1.7MM,782.0,625.6,206.84,703.8,26
RC,0272,BIT DRILL SM FRAG HAND 2.5MM,1088.0,870.4,287.78,979.2,26
RC,0272,BIT DRILL SM FRAG HAND3.5X70MM,1156.0,924.8,305.76,1040.4,26
RC,0272,BIT DRILL SMARTLOCK 1.6X50MM,1981.0,1584.8,523.97,1782.9,26
RC,0272,BIT DRILL SMARTNAIL 1.5X200MM,850.0,680.0,224.83,765.0,26
RC,0272,BIT DRILL SN SHRT 2.7X155MM,802.0,641.6,212.13,721.8,26
RC,0272,BIT DRILL SNP 4.0MM*DISC*,952.0,761.6,251.8,856.8,26
RC,0272,BIT DRILL SOLID 2.8MM,2024.0,1619.2,535.35,1821.6,26
RC,0272,BIT DRILL SOLID 3.0MM,782.0,625.6,206.84,703.8,26
RC,0272,BIT DRILL SOLID CNTRTIP2.7X250,3360.0,2688.0,888.72,3024.0,26
RC,0272,BIT DRILL SOLID LNG 5.5MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL SOLID MEASURE 1.3MM,1881.0,1504.8,497.52,1692.9,26
RC,0272,BIT DRILL SOLID MEASURE 1.6MM,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL SOLID MEASURE 2.4X14,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL SOLID MEASURE 2MM,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL SOLID MEASURE2.0X130,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL SOLID MEASURE2.4X160,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL SOLID MEASURE2.8X160,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL SOLID MEASURE2.8X180,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL SOLID MEASURE3.1X160,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL SOLID MEASURE3.5X130,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT DRILL SOLID MEASURE3.8X250,2836.0,2268.8,750.12,2552.4,26
RC,0272,BIT DRILL SOLID SIDECUT 2X40MM,1513.0,1210.4,400.19,1361.7,26
RC,0272,BIT DRILL SOLID STEP RECON T2,1376.0,1100.8,363.95,1238.4,26
RC,0272,BIT DRILL SOLID UNITE 1.3MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL SOLID UNITE 1.6MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL SOLID UNITE 1.8MM,3850.0,3080.0,1018.33,3465.0,26
RC,0272,BIT DRILL SOLID UNITE 1.9MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL SOLID UNITE 2.0MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL SOLID UNITE 2.8MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL SOLID UNITE 3.0MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL SOLID UNITE 3.1MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL SOLID UNITE 3.8MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL SOLIDCORE 3.5MM*NLU*,1264.0,1011.2,334.33,1137.6,26
RC,0272,BIT DRILL SOLIDSIDECUT2.7X40MM,1641.0,1312.8,434.04,1476.9,26
RC,0272,BIT DRILL SOLIDSIDECUT2.7X80MM,1641.0,1312.8,434.04,1476.9,26
RC,0272,BIT DRILL SONICWELD 2.1X1*NLU*,1794.0,1435.2,474.51,1614.6,26
RC,0272,BIT DRILL SONICWELD 2.1X1.6X3,1839.0,1471.2,486.42,1655.1,26
RC,0272,BIT DRILL SONICWELD 2.1X1.6X4,1839.0,1471.2,486.42,1655.1,26
RC,0272,BIT DRILL SPADE PILOT 2.6MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT DRILL SPADE PILOT 3.4MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT DRILL SPS STER 14MM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BIT DRILL SS CANN 11*VAT NLU*,1428.0,1142.4,377.71,1285.2,26
RC,0272,BIT DRILL ST 2.7X127MM,440.0,352.0,116.38,396.0,26
RC,0272,BIT DRILL ST 3.2X127MM,440.0,352.0,116.38,396.0,26
RC,0272,BIT DRILL ST 3.5X127MM,440.0,352.0,116.38,396.0,26
RC,0272,BIT DRILL ST 4.8X127MM,440.0,352.0,116.38,396.0,26
RC,0272,BIT DRILL ST 4X127MM,440.0,352.0,116.38,396.0,26
RC,0272,BIT DRILL ST 6.4X127MM,440.0,352.0,116.38,396.0,26
RC,0272,BIT DRILL STAPLE AO QC 2.0MM,1264.0,1011.2,334.33,1137.6,26
RC,0272,BIT DRILL STAPLE AO QC 3.0MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL STAPLE AOQC LNG3.0MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL STD 2.0X175MM,2175.0,1740.0,575.29,1957.5,26
RC,0272,BIT DRILL STD 3MM*NLU*,1718.0,1374.4,454.41,1546.2,26
RC,0272,BIT DRILL STD MDTR 3.2MM*NLU*,3428.0,2742.4,906.71,3085.2,26
RC,0272,BIT DRILL STD ORSD 2.4MM,1379.0,1103.2,364.75,1241.1,26
RC,0272,BIT DRILL STD TRILEAP 1.6MM,1504.0,1203.2,397.81,1353.6,26
RC,0272,BIT DRILL STD TRILEAP 2.0MM,1504.0,1203.2,397.81,1353.6,26
RC,0272,BIT DRILL STD TRILEAP 2.7MM,1504.0,1203.2,397.81,1353.6,26
RC,0272,BIT DRILL STD ZIMM 2.7MM,1471.0,1176.8,389.08,1323.9,26
RC,0272,BIT DRILL STEP CLAV ACUM 3MM,3208.0,2566.4,848.52,2887.2,26
RC,0272,BIT DRILL STEP LG D5.1/7.*NLU*,3901.0,3120.8,1031.81,3510.9,26
RC,0272,BIT DRILL STEP LG4.5/6.5 485MM,3612.0,2889.6,955.37,3250.8,26
RC,0272,BIT DRILL STEP SM D4/5.5M*NLU*,3901.0,3120.8,1031.81,3510.9,26
RC,0272,BIT DRILL STEP SN LNG 3.8MM,2676.0,2140.8,707.8,2408.4,26
RC,0272,BIT DRILL STOP 10MM,1135.0,908.0,300.21,1021.5,26
RC,0272,BIT DRILL STOP 12MM,1135.0,908.0,300.21,1021.5,26
RC,0272,BIT DRILL STOP 14MM,1135.0,908.0,300.21,1021.5,26
RC,0272,BIT DRILL STOP 6MM,1135.0,908.0,300.21,1021.5,26
RC,0272,BIT DRILL STOP 8MM,1135.0,908.0,300.21,1021.5,26
RC,0272,BIT DRILL STOP SYNT 4.5/6.5MM,3838.0,3070.4,1015.15,3454.2,26
RC,0272,BIT DRILL STRY 1*DISC NO REPL*,490.0,392.0,129.61,441.0,26
RC,0272,BIT DRILL STRY 1.3X5MM,1257.0,1005.6,332.48,1131.3,26
RC,0272,BIT DRILL STRY 2.6MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL STRY 2.7MM*NLU*,687.0,549.6,181.71,618.3,26
RC,0272,BIT DRILL STRY 3.2X300MM,904.0,723.2,239.11,813.6,26
RC,0272,BIT DRILL STRY 3.5MM*NLU*,687.0,549.6,181.71,618.3,26
RC,0272,BIT DRILL STRY 3.5X130MM,1120.0,896.0,296.24,1008.0,26
RC,0272,BIT DRILL STRY 3.5X230MM,1120.0,896.0,296.24,1008.0,26
RC,0272,BIT DRILL STRY 4.0X25MM,500.0,400.0,132.25,450.0,26
RC,0272,BIT DRILL STRY 4.0X40MM,500.0,400.0,132.25,450.0,26
RC,0272,BIT DRILL STRY 4.2X130MM,1080.0,864.0,285.66,972.0,26
RC,0272,BIT DRILL STRY 4.2X180MM,1160.0,928.0,306.82,1044.0,26
RC,0272,BIT DRILL STRY 4.2X180MM*NLU*,587.0,469.6,155.26,528.3,26
RC,0272,BIT DRILL STRY 4.2X230MM,1160.0,928.0,306.82,1044.0,26
RC,0272,BIT DRILL STRY 4.2X300MM,1136.0,908.8,300.47,1022.4,26
RC,0272,BIT DRILL STRY 4.2X340MM,1080.0,864.0,285.66,972.0,26
RC,0272,BIT DRILL STRY 4X25MM,679.0,543.2,179.6,611.1,26
RC,0272,BIT DRILL STRY 4X40MM*NLU*,679.0,543.2,179.6,611.1,26
RC,0272,BIT DRILL STRY 5X340MM,1160.0,928.0,306.82,1044.0,26
RC,0272,BIT DRILL SUPHAWK 3.75MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL SUPHAWK 4.75MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BIT DRILL SUTTAK 2.4MM,792.0,633.6,209.48,712.8,26
RC,0272,BIT DRILL SUTTAK ARTX 2.6MM,982.0,785.6,259.74,883.8,26
RC,0272,BIT DRILL SWVLK DISP 4.75MM,3300.0,2640.0,872.85,2970.0,26
RC,0272,BIT DRILL SYMP SCREW 2.4X3.5MM,1556.0,1244.8,411.56,1400.4,26
RC,0272,BIT DRILL SYNAPS 2.4X65MM,1556.0,1244.8,411.56,1400.4,26
RC,0272,BIT DRILL SYNDMSIS 3.3MM,8550.0,6840.0,2261.48,7695.0,26
RC,0272,BIT DRILL SYNT 1.1X110MM,902.0,721.6,238.58,811.8,26
RC,0272,BIT DRILL SYNT 1.1X75MM,711.0,568.8,188.06,639.9,26
RC,0272,BIT DRILL SYNT 1.25MM,1760.0,1408.0,465.52,1584.0,26
RC,0272,BIT DRILL SYNT 1.25X125MM 4MM,1571.0,1256.8,415.53,1413.9,26
RC,0272,BIT DRILL SYNT 1.3X14MM,630.0,504.0,166.64,567.0,26
RC,0272,BIT DRILL SYNT 1.5X125MM,1938.0,1550.4,512.6,1744.2,26
RC,0272,BIT DRILL SYNT 1.5X90MM,1658.0,1326.4,438.54,1492.2,26
RC,0272,BIT DRILL SYNT 1.8X100MM*NLU*,882.0,705.6,233.29,793.8,26
RC,0272,BIT DRILL SYNT 10X44.5MM,1752.0,1401.6,463.4,1576.8,26
RC,0272,BIT DRILL SYNT 2.4X125MM,1154.0,923.2,305.23,1038.6,26
RC,0272,BIT DRILL SYNT 2.5X230 205MM,1324.0,1059.2,350.2,1191.6,26
RC,0272,BIT DRILL SYNT 2.5X400MM,3709.0,2967.2,981.03,3338.1,26
RC,0272,BIT DRILL SYNT 2.8X200MM,1660.0,1328.0,439.07,1494.0,26
RC,0272,BIT DRILL SYNT 3.2X230MM,1760.0,1408.0,465.52,1584.0,26
RC,0272,BIT DRILL SYNT 3.2X300MM,1428.0,1142.4,377.71,1285.2,26
RC,0272,BIT DRILL SYNT 3.5X380MM,3891.0,3112.8,1029.17,3501.9,26
RC,0272,BIT DRILL SYNT 3X16MM*NLU*,1556.0,1244.8,411.56,1400.4,26
RC,0272,BIT DRILL SYNT 4.3X300MM,1328.0,1062.4,351.26,1195.2,26
RC,0272,BIT DRILL SYNT 4X215MM,1814.0,1451.2,479.8,1632.6,26
RC,0272,BIT DRILL SYNT 4X245MM,1956.0,1564.8,517.36,1760.4,26
RC,0272,BIT DRILL SYNT 5MM,3165.0,2532.0,837.14,2848.5,26
RC,0272,BIT DRILL SYNT 6MM STOP 1.1MM,1561.0,1248.8,412.88,1404.9,26
RC,0272,BIT DRILL SYNT 8MM STOP 1.1MM,1561.0,1248.8,412.88,1404.9,26
RC,0272,BIT DRILL SYNT CANN 12X270MM,3121.0,2496.8,825.5,2808.9,26
RC,0272,BIT DRILL SYNT CRANFAC 1.5MM,898.0,718.4,237.52,808.2,26
RC,0272,BIT DRILL SYNT J LATCH 1.5,1566.0,1252.8,414.21,1409.4,26
RC,0272,BIT DRILL SYNT STER 3.2X230MM,2013.0,1610.4,532.44,1811.7,26
RC,0272,BIT DRILL T1.6X90*DUP 6240332*,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL THRD PILOT,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT DRILL TIB CORNER 4.8MM,2368.0,1894.4,626.34,2131.2,26
RC,0272,BIT DRILL TLR ANT PEG 4MM,1131.0,904.8,299.15,1017.9,26
RC,0272,BIT DRILL TORN SHLDR 3X220MM,680.0,544.0,179.86,612.0,26
RC,0272,BIT DRILL TPR 10MM,3195.0,2556.0,845.08,2875.5,26
RC,0272,BIT DRILL TPR BRL 4. 5X30X260,4900.0,3920.0,1296.05,4410.0,26
RC,0272,BIT DRILL TPR BRL4.5-6X17X250,4900.0,3920.0,1296.05,4410.0,26
RC,0272,BIT DRILL TPS WIRE PASS 1.5MM,524.0,419.2,138.6,471.6,26
RC,0272,BIT DRILL TRIDENT II 3.3X40MM,1480.0,1184.0,391.46,1332.0,26
RC,0272,BIT DRILL TRMI 1*DISC 6309719*,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL TRMI 1.6X95MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,BIT DRILL TRMI 1.8X90MM,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL TRMI 2.30MM,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL TRMI 2.3MM*NLU*,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL TRMI 2.3X120MM,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL TRMI 2.3X80MM,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL TRMI1.8*DUP 6309719*,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL TROC SYNT 1.5X18MM,1018.0,814.4,269.26,916.2,26
RC,0272,BIT DRILL TRPL REAMER SYNT 8MM,3931.0,3144.8,1039.75,3537.9,26
RC,0272,BIT DRILL TWIST *DISC 6262282*,808.0,646.4,213.72,727.2,26
RC,0272,BIT DRILL TWIST 1.0X50MM*NLU*,1836.0,1468.8,485.62,1652.4,26
RC,0272,BIT DRILL TWIST 1.60MM,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL TWIST 10MM 1.6X40MM,1975.0,1580.0,522.39,1777.5,26
RC,0272,BIT DRILL TWIST 4.3X180*DISC*,792.0,633.6,209.48,712.8,26
RC,0272,BIT DRILL TWIST 4.5/6.5MM FIT,1184.0,947.2,313.17,1065.6,26
RC,0272,BIT DRILL TWIST 5MM 1.6X40MM,1935.0,1548.0,511.81,1741.5,26
RC,0272,BIT DRILL TWIST AO END1.4X27MM,677.0,541.6,179.07,609.3,26
RC,0272,BIT DRILL TWIST CANN AS3 6.5M,2559.0,2047.2,676.86,2303.1,26
RC,0272,BIT DRILL TWIST COIL50 2.7X150,2200.0,1760.0,581.9,1980.0,26
RC,0272,BIT DRILL TWIST END 1.4X27MM,677.0,541.6,179.07,609.3,26
RC,0272,BIT DRILL TWIST F 1.2MM,677.0,541.6,179.07,609.3,26
RC,0272,BIT DRILL TWIST J 0 .7X50X5,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL TWIST J 0.8X50X5,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL TWIST J 0.8X50X7,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL TWIST J 1.1X50,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL TWIST J 1.1X50X7,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL TWIST J 1.5X115,1060.0,848.0,280.37,954.0,26
RC,0272,BIT DRILL TWIST J 1.5X50X21,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL TWIST J 1.5X50X5,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL TWIST J 1.5X50X7,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL TWIST J 2.2X115,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL TWIST J 2.2X85,1666.0,1332.8,440.66,1499.4,26
RC,0272,BIT DRILL TWISTCROWEPNT4.5X203,2031.0,1624.8,537.2,1827.9,26
RC,0272,BIT DRILL TWISTJ 1.1X50X5,870.0,696.0,230.12,783.0,26
RC,0272,BIT DRILL UNION 2.5X12MM,2090.0,1672.0,552.81,1881.0,26
RC,0272,BIT DRILL UNION 2.5X14MM,2090.0,1672.0,552.81,1881.0,26
RC,0272,BIT DRILL UNION 2.5X16MM,2090.0,1672.0,552.81,1881.0,26
RC,0272,BIT DRILL VALOR LNG 4.3MM,2129.0,1703.2,563.12,1916.1,26
RC,0272,BIT DRILL VALOR SHRT 4.3MM,2129.0,1703.2,563.12,1916.1,26
RC,0272,BIT DRILL VARIAX 2X102MM*NLU*,1151.0,920.8,304.44,1035.9,26
RC,0272,BIT DRILL VARIAX SCREW 2.4/2.7,952.0,761.6,251.8,856.8,26
RC,0272,BIT DRILL VARIAX STRY 2.6MM,1284.0,1027.2,339.62,1155.6,26
RC,0272,BIT DRILL VENTURE MDT*NLU*,3640.0,2912.0,962.78,3276.0,26
RC,0272,BIT DRILL VERTEX 2.4MM,5850.0,4680.0,1547.33,5265.0,26
RC,0272,BIT DRILL VILX 1.7MM,2800.0,2240.0,740.6,2520.0,26
RC,0272,BIT DRILL VILX 2.0MM,2800.0,2240.0,740.6,2520.0,26
RC,0272,BIT DRILL W 6M STOP 44.5X*NLU*,902.0,721.6,238.58,811.8,26
RC,0272,BIT DRILL W GD LIGHTNING 2.0MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,BIT DRILL WRIT 2MM 30MM,1379.0,1103.2,364.75,1241.1,26
RC,0272,BIT DRILL Y-KNOT FLEX 1.8,832.0,665.6,220.06,748.8,26
RC,0272,BIT DRILL YUKON OCT 2.3MM,1063.0,850.4,281.16,956.7,26
RC,0272,BIT DRILL YUKON OCT 3.0MM,979.0,783.2,258.95,881.1,26
RC,0272,BIT DRILL YUKON OCT 3.5MM,979.0,783.2,258.95,881.1,26
RC,0272,BIT DRILL ZAVA 12MM*NLU*,1556.0,1244.8,411.56,1400.4,26
RC,0272,BIT DRILL ZIMM 1.0MM,532.0,425.6,140.71,478.8,26
RC,0272,BIT DRILL ZIMM 1.5MM*DISC*,1360.0,1088.0,359.72,1224.0,26
RC,0272,BIT DRILL ZIMM 11/64X5,440.0,352.0,116.38,396.0,26
RC,0272,BIT DRILL ZIMM 2.0MM,1360.0,1088.0,359.72,1224.0,26
RC,0272,BIT DRILL ZIMM 2.0X100MM,911.0,728.8,240.96,819.9,26
RC,0272,BIT DRILL ZIMM 2.2MM,1020.0,816.0,269.79,918.0,26
RC,0272,BIT DRILL ZIMM 2.5X110MM,911.0,728.8,240.96,819.9,26
RC,0272,BIT DRILL ZIMM 2.7X100MM,911.0,728.8,240.96,819.9,26
RC,0272,BIT DRILL ZIMM 2.9MM,1020.0,816.0,269.79,918.0,26
RC,0272,BIT DRILL ZIMM 2.9X144MM*DISC*,1496.0,1196.8,395.69,1346.4,26
RC,0272,BIT DRILL ZIMM 2.9X70MM,1088.0,870.4,287.78,979.2,26
RC,0272,BIT DRILL ZIMM 3.0MM*DISC*,4872.0,3897.6,1288.64,4384.8,26
RC,0272,BIT DRILL ZIMM 3.2X145MM,911.0,728.8,240.96,819.9,26
RC,0272,BIT DRILL ZIMM 3.3MM,1331.0,1064.8,352.05,1197.9,26
RC,0272,BIT DRILL ZIMM 3.5X110MM,911.0,728.8,240.96,819.9,26
RC,0272,BIT DRILL ZIMM 3/16X6MM*DISC*,864.0,691.2,228.53,777.6,26
RC,0272,BIT DRILL ZIMM 4.3MM,1191.0,952.8,315.02,1071.9,26
RC,0272,BIT DRILL ZIMM 4.5X145MM,911.0,728.8,240.96,819.9,26
RC,0272,BIT DRILL ZIMM 9/64X6MM*DISC*,864.0,691.2,228.53,777.6,26
RC,0272,BIT DRILL ZIMM STD 2.5MM,1261.0,1008.8,333.53,1134.9,26
RC,0272,BIT DRILL4.5X165*DISC NO REPL*,2554.0,2043.2,675.53,2298.6,26
RC,0272,BIT DRILLCALIB ARTX 2.5MM,842.0,673.6,222.71,757.8,26
RC,0272,BIT DRILLCANN 3/16SQ 4.6X220,2072.0,1657.6,548.04,1864.8,26
RC,0272,BIT DRILLOCCIPITALTAPERFL*NLU*,5005.0,4004.0,1323.82,4504.5,26
RC,0272,BIT DRILLQK ACUM 2MM,986.0,788.8,260.8,887.4,26
RC,0272,BIT DRILLVILX2.5*DISC 6344964*,2800.0,2240.0,740.6,2520.0,26
RC,0272,BIT DRILLY-KNOTFLEXHARDBONE1.8,2270.0,1816.0,600.42,2043.0,26
RC,0272,BIT DRIV CANN 4.5MM,1700.0,1360.0,449.65,1530.0,26
RC,0272,BIT DRIV HEX LK GROOVE 1.5MM,2552.0,2041.6,675.0,2296.8,26
RC,0272,BIT DRIV RIGID,884.0,707.2,233.82,795.6,26
RC,0272,BIT OVERDRILL AO 2.4X122MM,944.0,755.2,249.69,849.6,26
RC,0272,BIT OVERDRILL AO 2.7X122MM,944.0,755.2,249.69,849.6,26
RC,0272,BIT OVERDRILL AO 3.5X122MM,944.0,755.2,249.69,849.6,26
RC,0272,BIT OVERDRILL ARSENAL 2.2MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT OVERDRILL CANN 3.0X11*NLU*,1630.0,1304.0,431.14,1467.0,26
RC,0272,BIT OVERDRILL TWIST AO 2.7X122,944.0,755.2,249.69,849.6,26
RC,0272,BIT SCRWDRVR CANN 2.0/2.4MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BIT SCRWDRVR T-20*NLU*,893.0,714.4,236.2,803.7,26
RC,0272,BITDRILLCANNBIODRSTER1.6*DISC*,1836.0,1468.8,485.62,1652.4,26
RC,0272,BITDRILLHTOMEDL4.8X180*DISC*,1496.0,1196.8,395.69,1346.4,26
RC,0272,BITDRILLI/NTWIST3.6X180*DISC*,1632.0,1305.6,431.66,1468.8,26
RC,0272,BITDRILLSOLIDBIODRGRY1.5*DISC*,1428.0,1142.4,377.71,1285.2,26
RC,0272,BITDRILLTWISTAOBL2.7X125*DISC*,532.0,425.6,140.71,478.8,26
RC,0272,BITDRILLTWISTAORE3.2X145*DISC*,884.0,707.2,233.82,795.6,26
RC,0272,BIV HITORQUE BMSW*DISC*,1190.0,952.0,314.76,1071.0,26
RC,0272,BIV HITORQUE WHISPER DS*DISC*,1190.0,952.0,314.76,1071.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 42MM,5400.0,4320.0,1428.3,4860.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 44MM,5400.0,4320.0,1428.3,4860.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 46MM,5400.0,4320.0,1428.3,4860.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 48MM,5400.0,4320.0,1428.3,4860.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 50MM,8100.0,6480.0,2142.45,7290.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 52MM,8100.0,6480.0,2142.45,7290.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 54MM,8550.0,6840.0,2261.48,7695.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 56MM,8100.0,6480.0,2142.45,7290.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 58MM,8550.0,6840.0,2261.48,7695.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 60MM,8100.0,6480.0,2142.45,7290.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 62MM,5400.0,4320.0,1428.3,4860.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 64MM,8100.0,6480.0,2142.45,7290.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 66MM,8100.0,6480.0,2142.45,7290.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 68MM,8100.0,6480.0,2142.45,7290.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 70MM,5400.0,4320.0,1428.3,4860.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 72MM,8100.0,6480.0,2142.45,7290.0,26
RC,0272,BLADE ACET REV SYS8 EZOUT 74MM,5400.0,4320.0,1428.3,4860.0,26
RC,0272,BLADE BANANA SN 4MM*NLU*,325.0,260.0,85.96,292.5,26
RC,0272,BLADE BLITZER SICKLE MDTR,498.0,398.4,131.72,448.2,26
RC,0272,BLADE BONE CUTTER 4.0MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE BONE CUTTER 5.0MMX13CM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE BONE CUTTER 5.5MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE BONE CUTTER CURV 4.2MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE BONE CUTTER CURV4MMX13CM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE BONE MILL 3.2MM FINE,2727.0,2181.6,721.29,2454.3,26
RC,0272,BLADE BONE MILL COARSE 8MM,2727.0,2181.6,721.29,2454.3,26
RC,0272,BLADE BONE MILL PLUS FINE,4183.0,3346.4,1106.4,3764.7,26
RC,0272,BLADE BONE MILL PLUS MD,4183.0,3346.4,1106.4,3764.7,26
RC,0272,BLADE BONE SAG LG 70X25X0.94MM,995.0,796.0,263.18,895.5,26
RC,0272,BLADE BONE SAG LG 90X19X1.27MM,995.0,796.0,263.18,895.5,26
RC,0272,BLADE BONE SAG LG 90X21X1.27MM,995.0,796.0,263.18,895.5,26
RC,0272,BLADE BONE SAG LG 90X25X1.19MM,765.0,612.0,202.34,688.5,26
RC,0272,BLADE BONE SAGLG90X12.5X1.37MM,995.0,796.0,263.18,895.5,26
RC,0272,BLADE CAPSULECUT W HNDL CRVD,2028.0,1622.4,536.41,1825.2,26
RC,0272,BLADE CAPSULECUT W HNDL ST 4MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,BLADE CARPAL TUNNEL HOOK STER,1016.0,812.8,268.73,914.4,26
RC,0272,BLADE CHISEL OFFSET15 8X27X1MM,1884.0,1507.2,498.32,1695.6,26
RC,0272,BLADE CHISEL RENOVATIONSS10X60,1768.0,1414.4,467.64,1591.2,26
RC,0272,BLADE CHISELLATRENOVATION10X68,2018.0,1614.4,533.76,1816.2,26
RC,0272,BLADE CORE CASPAR 10MM,1284.0,1027.2,339.62,1155.6,26
RC,0272,BLADE CORE CASPAR 11MM,1284.0,1027.2,339.62,1155.6,26
RC,0272,BLADE CORE CASPAR 12MM,1284.0,1027.2,339.62,1155.6,26
RC,0272,BLADE CORE CASPAR 13MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,BLADE CORE CASPAR 14MM,1284.0,1027.2,339.62,1155.6,26
RC,0272,BLADE CORE CASPAR 6MM,1284.0,1027.2,339.62,1155.6,26
RC,0272,BLADE CORE CASPAR 7MM,1284.0,1027.2,339.62,1155.6,26
RC,0272,BLADE CORE CASPAR 8MM,1284.0,1027.2,339.62,1155.6,26
RC,0272,BLADE CORE CASPAR 9MM,1284.0,1027.2,339.62,1155.6,26
RC,0272,BLADE CPSLR HNDL CAP-FIX CURV,3305.0,2644.0,874.17,2974.5,26
RC,0272,BLADE CUBITAL TUNNEL,3920.0,3136.0,1036.84,3528.0,26
RC,0272,BLADE CURV SAMURAI STRY*NLU*,2060.0,1648.0,544.87,1854.0,26
RC,0272,BLADE DBL CUT CURV 4.00MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE DERMATOME SLIMLINE SB,727.0,581.6,192.29,654.3,26
RC,0272,BLADE DERMATOME Z*USE 6299692*,706.0,564.8,186.74,635.4,26
RC,0272,BLADE DERMATOME ZIMM STER,504.0,403.2,133.31,453.6,26
RC,0272,BLADE DIEGO CURV 4MM 75D*NLU*,957.0,765.6,253.13,861.3,26
RC,0272,BLADE DIEGO HEMO W PK ST *NLU*,1488.0,1190.4,393.58,1339.2,26
RC,0272,BLADE DIRECTVIEW MAC SL USE S3,405.0,324.0,107.12,364.5,26
RC,0272,BLADE DIRECTVIEW MAC SL USE S4,405.0,324.0,107.12,364.5,26
RC,0272,BLADE DISECT 3.0MM,627.0,501.6,165.84,564.3,26
RC,0272,BLADE DISECT 3.5MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE DISECT 4.0MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE DISECT CURV 4.0MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE DUALCUT SHRT NARW 7X15MM,493.0,394.4,130.4,443.7,26
RC,0272,BLADE DYONICS ABRADER 4.0*NLU*,400.0,320.0,105.8,360.0,26
RC,0272,BLADE DYONICS ACRO 4.0MM*NLU*,400.0,320.0,105.8,360.0,26
RC,0272,BLADE ENDOTRAC HOOK STER,1627.0,1301.6,430.34,1464.3,26
RC,0272,BLADE ENDOTRAC TRIANG STER,1627.0,1301.6,430.34,1464.3,26
RC,0272,BLADE EXCALIBUR 4.0MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE EXCALIBUR 5.5MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE EXCALIBUR ST HL 4.2MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE EXTNDR LIF PTP NARW 26MM,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BLADE EXTNDR LIF-PTP SIGMA 26,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BLADE EXTNDR LTP SIGMA WIDE 26,4200.0,3360.0,1110.9,3780.0,26
RC,0272,BLADE EXTR ZIMM FULL 48MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM FULL 50MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM FULL 52MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM FULL 54MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM FULL 56MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM FULL 58MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM FULL 60MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM FULL 62MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM FULL 64MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM TRUNCATED 48MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM TRUNCATED 50MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM TRUNCATED 52MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM TRUNCATED 54MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM TRUNCATED 56MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM TRUNCATED 58MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM TRUNCATED 60MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM TRUNCATED 62MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE EXTR ZIMM TRUNCATED 64MM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,BLADE GLIDESCOPE MILLER 0,481.0,384.8,127.22,432.9,26
RC,0272,BLADE GLIDESCOPE MILLER 1,481.0,384.8,127.22,432.9,26
RC,0272,BLADE GLIDESCOPE QC HYPRANG S1,481.0,384.8,127.22,432.9,26
RC,0272,BLADE GLIDESCOPE QC HYPRANG S2,481.0,384.8,127.22,432.9,26
RC,0272,BLADE GLIDESCOPE QC HYPRANG S3,405.0,324.0,107.12,364.5,26
RC,0272,BLADE GLIDESCOPE QC HYPRANG S4,405.0,324.0,107.12,364.5,26
RC,0272,BLADE GLIDESCOPE QC MAC S3,405.0,324.0,107.12,364.5,26
RC,0272,BLADE GLIDESCOPE QC MAC S4,405.0,324.0,107.12,364.5,26
RC,0272,BLADE GLIDESCOPE QC MILLER S0,481.0,384.8,127.22,432.9,26
RC,0272,BLADE GLIDESCOPE QC MILLER S1,481.0,384.8,127.22,432.9,26
RC,0272,BLADE GLIDESCOPE QC MILLER S2,405.0,324.0,107.12,364.5,26
RC,0272,BLADE GLIDESCOPE QCHYPRANGS2.5,481.0,384.8,127.22,432.9,26
RC,0272,BLADE GONIOTOMY TRABEX+ STER,3843.0,3074.4,1016.47,3458.7,26
RC,0272,BLADE HARMONIC S*DISC 6220063*,2602.0,2081.6,688.23,2341.8,26
RC,0272,BLADE HARMONIC S*DISC NO REPL*,2602.0,2081.6,688.23,2341.8,26
RC,0272,BLADE HARMONIC SYNRGCOMBO4-9CM,2602.0,2081.6,688.23,2341.8,26
RC,0272,BLADE HEL FIX NAIL TI 11X95MM,4022.0,3217.6,1063.82,3619.8,26
RC,0272,BLADE HEMOSTATIX*NLU*,479.0,383.2,126.7,431.1,26
RC,0272,BLADE HIP TORPEDO 4.2MMX19CM,859.0,687.2,227.21,773.1,26
RC,0272,BLADE HUMMER SHAVER 4.0MM*NLU*,973.0,778.4,257.36,875.7,26
RC,0272,BLADE INDIANA TOME,1156.0,924.8,305.76,1040.4,26
RC,0272,BLADE INSRT KNIFE MICRO PNT,1507.0,1205.6,398.6,1356.3,26
RC,0272,BLADE INSTRATEK T*USE 6293018*,2512.0,2009.6,664.42,2260.8,26
RC,0272,BLADE KOBYGARD SYS OSTE,1792.0,1433.6,473.98,1612.8,26
RC,0272,BLADE KOBYGUARD OSTE DISP,2880.0,2304.0,761.76,2592.0,26
RC,0272,BLADE LARYNSCP DISP MAC X SZ3,317.0,253.6,83.85,285.3,26
RC,0272,BLADE LOPRO SL USE S3,405.0,324.0,107.12,364.5,26
RC,0272,BLADE MAKO NARW 2MM,2440.0,1952.0,645.38,2196.0,26
RC,0272,BLADE MAKO STD 2MM,2440.0,1952.0,645.38,2196.0,26
RC,0272,BLADE MINI BANANA CURV 4MM,479.0,383.2,126.7,431.1,26
RC,0272,BLADE MINI LEMELLAR ANG 60DBLK,465.0,372.0,122.99,418.5,26
RC,0272,BLADE MORCELLATOR 4.8X335MM,3414.0,2731.2,903.0,3072.6,26
RC,0272,BLADE MORCELLATOR 4.8X385MM,3807.0,3045.6,1006.95,3426.3,26
RC,0272,BLADE MVR V-LANCE 20G,440.0,352.0,116.38,396.0,26
RC,0272,BLADE MVR V-LANCE 25G,498.0,398.4,131.72,448.2,26
RC,0272,BLADE NDLE BEVI 3.0MM,484.0,387.2,128.02,435.6,26
RC,0272,BLADE ONLY CARPAL DAK **DNR**,3800.0,3040.0,1005.1,3420.0,26
RC,0272,BLADE OSCL SAW 10X75X1.19MM,2184.0,1747.2,577.67,1965.6,26
RC,0272,BLADE OSCL STERNUM53.5X0.38X32,457.0,365.6,120.88,411.3,26
RC,0272,BLADE OSCL ULT 11.5X0.38X7MM,991.0,792.8,262.12,891.9,26
RC,0272,BLADE OSCLFLAT3.5X.51/.83X.054,1224.0,979.2,323.75,1101.6,26
RC,0272,BLADE OSTEO CURV THIN 5INX20MM,887.0,709.6,234.61,798.3,26
RC,0272,BLADE OSTEO CURVTHIN2.5INX12MM,887.0,709.6,234.61,798.3,26
RC,0272,BLADE OSTEO FLAT 6MMX3CM,1658.0,1326.4,438.54,1492.2,26
RC,0272,BLADE OSTEO FLAT 6MMX9CM,1658.0,1326.4,438.54,1492.2,26
RC,0272,BLADE OSTEO JJ LNG 10MM,923.0,738.4,244.13,830.7,26
RC,0272,BLADE OSTEO JJ SHRT 10MM,489.0,391.2,129.34,440.1,26
RC,0272,BLADE OSTEO JJ SHRT 5MM,489.0,391.2,129.34,440.1,26
RC,0272,BLADE OSTEO LAT CURV 5IN,2480.0,1984.0,655.96,2232.0,26
RC,0272,BLADE OSTEO LAT CURV 6.75IN,2264.0,1811.2,598.83,2037.6,26
RC,0272,BLADE OSTEO LNG FLAT,2092.0,1673.6,553.33,1882.8,26
RC,0272,BLADE OSTEO LNG*DISC 6332771*,819.0,655.2,216.63,737.1,26
RC,0272,BLADE OSTEO MEDL CURV 5IN,2480.0,1984.0,655.96,2232.0,26
RC,0272,BLADE OSTEO MEDLCURV 17X1CM,1560.0,1248.0,412.62,1404.0,26
RC,0272,BLADE OSTEO PELVIC 15X304MM,3594.0,2875.2,950.61,3234.6,26
RC,0272,BLADE OSTEO PELVIC 20X304MM,3594.0,2875.2,950.61,3234.6,26
RC,0272,BLADE OSTEO RAD 5INX10MM,2264.0,1811.2,598.83,2037.6,26
RC,0272,BLADE OSTEO RAD 5INX12MM,2264.0,1811.2,598.83,2037.6,26
RC,0272,BLADE OSTEO RAD 5INX14MM,2264.0,1811.2,598.83,2037.6,26
RC,0272,BLADE OSTEO RAD 5INX16MM,2264.0,1811.2,598.83,2037.6,26
RC,0272,BLADE OSTEO RAD 5INX20MM,2264.0,1811.2,598.83,2037.6,26
RC,0272,BLADE OSTEO SHRT FLAT,1920.0,1536.0,507.84,1728.0,26
RC,0272,BLADE OSTEO THIN 2.5INX10MM,887.0,709.6,234.61,798.3,26
RC,0272,BLADE OSTEO THIN LNG 5INX10MM,1105.0,884.0,292.27,994.5,26
RC,0272,BLADE OSTEO THIN LNG 5INX8MM,1105.0,884.0,292.27,994.5,26
RC,0272,BLADE PEAK PLASMA TNA*DISC*,1275.0,1020.0,337.24,1147.5,26
RC,0272,BLADE PREC 10.0MM9.2X0.51X18.4,363.0,290.4,96.01,326.7,26
RC,0272,BLADE PTLA REAMING ZIMM 2*NLU*,1063.0,850.4,281.16,956.7,52
RC,0272,BLADE PTLA REAMING ZIMM 3*NLU*,1063.0,850.4,281.16,956.7,26
RC,0272,BLADE PTLA REAMING ZIMM 32MM,1063.0,850.4,281.16,956.7,26
RC,0272,BLADE PTLA REAMING ZIMM 35MM,1063.0,850.4,281.16,956.7,26
RC,0272,BLADE PTLA REAMING ZIMM 4*NLU*,1063.0,850.4,281.16,956.7,26
RC,0272,BLADE PTLA REAMING ZIMM 5*NLU*,1063.0,850.4,281.16,956.7,26
RC,0272,BLADE QUADCUT 3.4MMX13CM,1714.0,1371.2,453.35,1542.6,26
RC,0272,BLADE QUADCUT 3MMX13CM,1714.0,1371.2,453.35,1542.6,26
RC,0272,BLADE QUADCUT 4.3MMX13CM,1709.0,1367.2,452.03,1538.1,26
RC,0272,BLADE QUADCUT M4 3.4MMX13CM,2760.0,2208.0,730.02,2484.0,26
RC,0272,BLADE QUADCUT M4 4.3MMX13CM,2760.0,2208.0,730.02,2484.0,26
RC,0272,BLADE RAD 12 EM CURV 4MMX11CM,2765.0,2212.0,731.34,2488.5,26
RC,0272,BLADE RAD 120 CURV 3.5MMX11CM,2108.0,1686.4,557.57,1897.2,26
RC,0272,BLADE RAD 40 CURV 4MMX11CM,1570.0,1256.0,415.27,1413.0,26
RC,0272,BLADE RAD 40 M4 CURV 4MMX11CM,1628.0,1302.4,430.61,1465.2,26
RC,0272,BLADE RAD 40 M4 CURV3.5MMX11CM,1676.0,1340.8,443.3,1508.4,26
RC,0272,BLADE RAD 60 CURV 4MMX11CM,1588.0,1270.4,420.03,1429.2,26
RC,0272,BLADE RAD 60 M4 CURV 4MMX11CM,1634.0,1307.2,432.19,1470.6,26
RC,0272,BLADE RAD 90 M4 CURV3.5MMX11CM,2194.0,1755.2,580.31,1974.6,26
RC,0272,BLADE RAD40 M4 ROTATE 4MMX11CM,2742.0,2193.6,725.26,2467.8,26
RC,0272,BLADE RADENOID ADLT 4.5MMX13CM,1337.0,1069.6,353.64,1203.3,26
RC,0272,BLADE RADENOIDPED CURV4MMX11CM,1378.0,1102.4,364.48,1240.2,26
RC,0272,BLADE RECIP 50.5X1.21MM,2136.0,1708.8,564.97,1922.4,26
RC,0272,BLADE RECIP 77.5X1.23X11MM,385.0,308.0,101.83,346.5,26
RC,0272,BLADE RECIP 8X50X1MM,2184.0,1747.2,577.67,1965.6,26
RC,0272,BLADE RECIP DBL SIDE 2.76X70MM,376.0,300.8,99.45,338.4,26
RC,0272,BLADE RECIP PRE*DISC 6190878*,638.0,510.4,168.75,574.2,26
RC,0272,BLADE RECIP PREC 22.5MM,690.0,552.0,182.51,621.0,26
RC,0272,BLADE RECIP SHRT,385.0,308.0,101.83,346.5,26
RC,0272,BLADE REMOV HIP STEM EXODUS,9578.0,7662.4,2533.38,8620.2,26
RC,0272,BLADE RESECTION PROC PK,1658.0,1326.4,438.54,1492.2,26
RC,0272,BLADE RETR HOOK STER,1913.0,1530.4,505.99,1721.7,26
RC,0272,BLADE SABRE 2.0MM,627.0,501.6,165.84,564.3,26
RC,0272,BLADE SABRE 3.0MM,658.0,526.4,174.04,592.2,26
RC,0272,BLADE SABRE 3.8MMX13CM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE SABRE 4.0MMX13CM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE SABRE 5.5MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE SABRE CURV 4MMX13CM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE SABRETOOTH CURV 4MMX13CM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE SABRETOOTH CURV HL 4.2MM,420.0,336.0,111.09,378.0,26
RC,0272,BLADE SAFECUT W HNDL ST,2028.0,1622.4,536.41,1825.2,26
RC,0272,BLADE SAG 13X1.27X70MM,555.0,444.0,146.8,499.5,26
RC,0272,BLADE SAG 13X1.37X70MM,555.0,444.0,146.8,499.5,26
RC,0272,BLADE SAG 25X1.47X90MM,555.0,444.0,146.8,499.5,26
RC,0272,BLADE SAG 90.0X12.7X1.26MM,2136.0,1708.8,564.97,1922.4,26
RC,0272,BLADE SAG BRAS 13X70MM,240.0,192.0,63.48,216.0,26
RC,0272,BLADE SAG CONMED 90.0X1.27MM,2136.0,1708.8,564.97,1922.4,26
RC,0272,BLADE SAG DUALCUT18X1.27X100MM,466.0,372.8,123.26,419.4,26
RC,0272,BLADE SAG MAKO NARW,3200.0,2560.0,846.4,2880.0,26
RC,0272,BLADE SAG MAKO STD,3200.0,2560.0,846.4,2880.0,26
RC,0272,BLADE SAG NO OFF 12.5X0.88X73,935.0,748.0,247.31,841.5,26
RC,0272,BLADE SAG OFFSETSTRY11X75X1.47,472.0,377.6,124.84,424.8,26
RC,0272,BLADE SAG OSCL AGGR 5.5X18MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG OSCL DUAL 19.5X41MM,493.0,394.4,130.4,443.7,26
RC,0272,BLADE SAG OSCL LNG MD 9X31MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG OSCL PREC 13X34.5MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG OSCL PREC 13X39MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG OSCL PREC 19X41MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG OSCL PREC 5.5X11.5MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG OSCL PREC 5.5X25MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG OSCL PREC 6.9X25MM,799.0,639.2,211.34,719.1,26
RC,0272,BLADE SAG OSCL PREC 7X29.5MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG OSCL PREC 9X11.5MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG OSCL PREC 9X18.5MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG OSCL PREC 9X25MM,340.0,272.0,89.93,306.0,26
RC,0272,BLADE SAG OSCL PREC SABO5.5X25,834.0,667.2,220.59,750.6,26
RC,0272,BLADE SAG OSCL PREC16.5X18.5MM,345.0,276.0,91.25,310.5,26
RC,0272,BLADE SAG PERF 18X1.19X90MM,555.0,444.0,146.8,499.5,26
RC,0272,BLADE SAG SAFEDGE40.5X.64X47.5,306.0,244.8,80.94,275.4,26
RC,0272,BLADE SAG STERNUM 80X0.64*NLU*,313.0,250.4,82.79,281.7,26
RC,0272,BLADE SAG STRY 18X90X1.27MM,555.0,444.0,146.8,499.5,26
RC,0272,BLADE SAG STRY 18X90X1.37MM,555.0,444.0,146.8,499.5,26
RC,0272,BLADE SAMURAI FULL RAD,2062.0,1649.6,545.4,1855.8,26
RC,0272,BLADE SAW 20.1X21.4X4.0X0.6MM,2107.0,1685.6,557.3,1896.3,26
RC,0272,BLADE SAW 24.6X12.85X2.6X0.6MM,2107.0,1685.6,557.3,1896.3,26
RC,0272,BLADE SAW 38.9X5.0X0.6MM,3000.0,2400.0,793.5,2700.0,26
RC,0272,BLADE SAW 5.5X25X0.4/0.6MM,1743.0,1394.4,461.02,1568.7,26
RC,0272,BLADE SAW AKIN SM,4046.0,3236.8,1070.17,3641.4,26
RC,0272,BLADE SAW ANK MICROAIRE N*NLU*,1853.0,1482.4,490.12,1667.7,26
RC,0272,BLADE SAW ANK NARW,1853.0,1482.4,490.12,1667.7,26
RC,0272,BLADE SAW ANK WIDE,1853.0,1482.4,490.12,1667.7,26
RC,0272,BLADE SAW CAST PLSTR 2IN,400.0,320.0,105.8,360.0,26
RC,0272,BLADE SAW DEPTH STOP HALL*NLU*,470.0,376.0,124.32,423.0,26
RC,0272,BLADE SAW FOR STRY CONN 40MM,739.0,591.2,195.47,665.1,26
RC,0272,BLADE SAW INTRMD 14MM,3892.0,3113.6,1029.43,3502.8,26
RC,0272,BLADE SAW INTRMD 15MM,3892.0,3113.6,1029.43,3502.8,26
RC,0272,BLADE SAW INTRMD CAM ASSY 14MM,5068.0,4054.4,1340.49,4561.2,26
RC,0272,BLADE SAW INTRMD CAM ASSY 15MM,5328.0,4262.4,1409.26,4795.2,26
RC,0272,BLADE SAW LFT 39.5X4.0X0.8MM,2246.0,1796.8,594.07,2021.4,26
RC,0272,BLADE SAW LINVATEC 40X11MM,1556.0,1244.8,411.56,1400.4,26
RC,0272,BLADE SAW MIAS 39X10X0.4/0.6,1077.0,861.6,284.87,969.3,26
RC,0272,BLADE SAW OSC LG 70X11.5X0.8,1301.0,1040.8,344.11,1170.9,26
RC,0272,BLADE SAW OSCL S TYPE 9MM,765.0,612.0,202.34,688.5,26
RC,0272,BLADE SAW OSCL SMCRST18X3*NLU*,329.0,263.2,87.02,296.1,26
RC,0272,BLADE SAW OSCL STER 10X75*NLU*,2184.0,1747.2,577.67,1965.6,26
RC,0272,BLADE SAW RASP SM TEAR,6975.0,5580.0,1844.89,6277.5,26
RC,0272,BLADE SAW SAG ARTX 40X14X0.6MM,995.0,796.0,263.18,895.5,26
RC,0272,BLADE SAW SAG DUAL 25X75X*NLU*,430.0,344.0,113.74,387.0,26
RC,0272,BLADE SAW SAG HD 25X90MM,555.0,444.0,146.8,499.5,26
RC,0272,BLADE SAW SAG STRY 13X75M*NLU*,485.0,388.0,128.28,436.5,26
RC,0272,BLADE SAW STRY 39X10X0.4/0.6,1077.0,861.6,284.87,969.3,26
RC,0272,BLADE SAW STRY 40X11MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,BLADE SAW SYNT 45D 12X25X3MM,1825.0,1460.0,482.71,1642.5,26
RC,0272,BLADE SCRWDRVR ONEDRIV 5.8CM,1420.0,1136.0,375.59,1278.0,26
RC,0272,BLADE SEC CARPAL TU*NLU*,1233.0,986.4,326.13,1109.7,26
RC,0272,BLADE SERR UNIL 20MM,4177.0,3341.6,1104.82,3759.3,26
RC,0272,BLADE SHAVER BONECUTTER 5.5MM,1526.0,1220.8,403.63,1373.4,26
RC,0272,BLADE SHAVER SINUS 12D 3.5 MM,1676.0,1340.8,443.3,1508.4,26
RC,0272,BLADE SHAVER TORPEDO 5MMX13CM,859.0,687.2,227.21,773.1,26
RC,0272,BLADE SHAVER TORPEDO SJ 4MMX7C,859.0,687.2,227.21,773.1,26
RC,0272,BLADE SICKLE EDGE ST 5.0MM,456.0,364.8,120.61,410.4,26
RC,0272,BLADE SKIMMER ANG 3.5MMX18CM,3276.0,2620.8,866.5,2948.4,26
RC,0272,BLADE SKIMMER ANG 3.5MMX27.5CM,3244.0,2595.2,858.04,2919.6,26
RC,0272,BLADE SKIMMER ANG 4MMX22.5CM,3276.0,2620.8,866.5,2948.4,26
RC,0272,BLADE SPECTRUM DI*USE 6316787*,332.0,265.6,87.81,298.8,26
RC,0272,BLADE SPECTRUM L*DISC 6316789*,332.0,265.6,87.81,298.8,26
RC,0272,BLADE SPECTRUM LO*USE 6316790*,2584.0,2067.2,683.47,2325.6,26
RC,0272,BLADE SPECTRUM LOPRO DISP S1,481.0,384.8,127.22,432.9,26
RC,0272,BLADE SPECTRUM LOPRO DISP S2,481.0,384.8,127.22,432.9,26
RC,0272,BLADE SPECTRUM LOPRO DISP S2.5,481.0,384.8,127.22,432.9,26
RC,0272,BLADE SPECTRUM LOPRO DISP S4,405.0,324.0,107.12,364.5,26
RC,0272,BLADE SPECTRUMLO*DISC 6316790*,332.0,265.6,87.81,298.8,26
RC,0272,BLADE SURESIGHT HYPRANGLE SZ1,3680.0,2944.0,973.36,3312.0,26
RC,0272,BLADE SURESIGHT HYPRANGLE SZ2,3680.0,2944.0,973.36,3312.0,26
RC,0272,BLADE SURESIGHT MAC SZ3,3280.0,2624.0,867.56,2952.0,26
RC,0272,BLADE SURESIGHT MAC SZ4,3280.0,2624.0,867.56,2952.0,26
RC,0272,BLADE SURESIGHT MILLER SZ0,3680.0,2944.0,973.36,3312.0,26
RC,0272,BLADE SURESIGHT MILLER SZ1,3680.0,2944.0,973.36,3312.0,26
RC,0272,BLADE SURG ANNULO DISP 193MM,4480.0,3584.0,1184.96,4032.0,26
RC,0272,BLADE SYNOVATOR PLAT 4.5MM,948.0,758.4,250.75,853.2,26
RC,0272,BLADE TENDON STRIPPER 10MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BLADE TENDON STRIPPER 9MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,BLADE TORPEDO CURV 4.0MMX13CM,859.0,687.2,227.21,773.1,26
RC,0272,BLADE TORPEDO OVOID 3.5MMX7CM,859.0,687.2,227.21,773.1,26
RC,0272,BLADE TORPEDO OVOID 4MMX13CM,859.0,687.2,227.21,773.1,26
RC,0272,BLADE TREPHINE BEVI 9.25M*NLU*,470.0,376.0,124.32,423.0,26
RC,0272,BLADE TRIANG ENDOTRAC ANGD,1016.0,812.8,268.73,914.4,26
RC,0272,BLADE TRICUT 3.5MMX11CM,1505.0,1204.0,398.07,1354.5,26
RC,0272,BLADE TRICUT 4MMX11CM,1602.0,1281.6,423.73,1441.8,26
RC,0272,BLADE TRICUT ANG 4MMX27.5CM,3069.0,2455.2,811.75,2762.1,26
RC,0272,BLADE TRICUT M4 2.9MMX11CM,1660.0,1328.0,439.07,1494.0,26
RC,0272,BLADE TRICUT M4 3.5MMX11CM,1630.0,1304.0,431.14,1467.0,26
RC,0272,BLADE TRICUT M4 4MMX13CM,2742.0,2193.6,725.26,2467.8,26
RC,0272,BLADE TRUDI CURV 4.0MM 15D,3876.0,3100.8,1025.2,3488.4,26
RC,0272,BLADE TRUDI CURV 4.0MM 40D,3876.0,3100.8,1025.2,3488.4,26
RC,0272,BLADE TRUDI CURV 4.0MM 60D,3876.0,3100.8,1025.2,3488.4,26
RC,0272,BLADE TRUDI ST 3.0MM 0D,3876.0,3100.8,1025.2,3488.4,26
RC,0272,BLADE TRUDI ST 4.0MM 0D,3876.0,3100.8,1025.2,3488.4,26
RC,0272,BLADE TURBINATE 2MMX11CM,1835.0,1468.0,485.36,1651.5,26
RC,0272,BLADE TURBINATE M4 2.9MMX11CM,1978.0,1582.4,523.18,1780.2,26
RC,0272,BLADE TURBINATE M4 2MMX11CM,1978.0,1582.4,523.18,1780.2,26
RC,0272,BLADE TYMP ANG 60D 2.5,482.0,385.6,127.49,433.8,26
RC,0272,BLADE W TBSET STER 20MM,5140.0,4112.0,1359.53,4626.0,26
RC,0272,BLADE YOCO AKIN KT STER DYNABR,6525.0,5220.0,1725.86,5872.5,26
RC,0272,BLD *DISCONTINUED USE 6323094*,5400.0,4320.0,1428.3,4860.0,26
RC,0272,BLD SET HEMATOCRIT MON AQUADEX,4679.0,3743.2,1237.6,4211.1,26
RC,0272,BLK CUT TIB TALUS VANTAGEPSI,9000.0,7200.0,2380.5,8100.0,26
RC,0272,BLN APPL BRACHY SPHERICAL*NLU*,6750.0,5400.0,1785.38,6075.0,26
RC,0272,BLN APPL BRACHY SPHERICAL3-4CM,7088.0,5670.4,1874.78,6379.2,26
RC,0272,BLN BAKRI POSTPARTUM 24FR500ML,3400.0,2720.0,899.3,3060.0,26
RC,0272,BLN BAV Z-5 13.5MMX50CM,2783.0,2226.4,736.1,2504.7,26
RC,0272,BLN BAV/PTV NUCLEUS-X 20X4X110,5810.0,4648.0,1536.75,5229.0,26
RC,0272,BLN BAV/PTV ZMEDII 24MMX4CM,4695.0,3756.0,1241.83,4225.5,26
RC,0272,BLN BAV/PTV ZMEDII 25MMX4CM,4695.0,3756.0,1241.83,4225.5,26
RC,0272,BLN BAV/PTV ZMEDII 26MMX4CM,4695.0,3756.0,1241.83,4225.5,26
RC,0272,BLN BAV/PTV ZMEDII 28MMX4CM,4695.0,3756.0,1241.83,4225.5,26
RC,0272,BLN BAV/PTV ZMEDII 30MMX4CM,4695.0,3756.0,1241.83,4225.5,26
RC,0272,BLN BILI RX DIL 5.8FR 6MMX4CM,1947.0,1557.6,514.98,1752.3,26
RC,0272,BLN BILI STONE F*DISC 6121507*,658.0,526.4,174.04,592.2,26
RC,0272,BLN BILI STONE F*DISC 6121636*,658.0,526.4,174.04,592.2,26
RC,0272,BLN CATH SIALENDO 0.75MM*DISC*,2262.0,1809.6,598.3,2035.8,26
RC,0272,BLN DIL ENDO ORB*DISC 6350333*,8325.0,6660.0,2201.96,7492.5,26
RC,0272,BLN EBUS OLYM,307.0,245.6,81.2,276.3,26
RC,0272,BLN EXTR 3L MULT-3V 15MM,1454.0,1163.2,384.58,1308.6,26
RC,0272,BLN EXTR TXR-ME MULT SZ 2*NLU*,1428.0,1142.4,377.71,1285.2,26
RC,0272,BLN IAB MEGA 7.5FR 40CC,5461.0,4368.8,1444.43,4914.9,26
RC,0272,BLN IAB SENSATION*USE 6317238*,5633.0,4506.4,1489.93,5069.7,26
RC,0272,BLN IABP FIBEROPTIC 7FR 34CC,5763.0,4610.4,1524.31,5186.7,26
RC,0272,BLN IABP LNARNONFBR7.5FR34CC,4860.0,3888.0,1285.47,4374.0,26
RC,0272,BLN IABP SEN 7.*USE 6317238*,5633.0,4506.4,1489.93,5069.7,26
RC,0272,BLN IABP SEN*DISC 6305369*,5550.0,4440.0,1467.98,4995.0,26
RC,0272,BLN IABP SENSATION + 7.5FR40CC,4569.0,3655.2,1208.5,4112.1,26
RC,0272,BLN IABP SENSATION + 8FR 50CC,4569.0,3655.2,1208.5,4112.1,26
RC,0272,BLN IABP SHEATH LAIN 7FR 40CC,5763.0,4610.4,1524.31,5186.7,26
RC,0272,BLN IN BLN 12X4*DISC USA*,5250.0,4200.0,1388.63,4725.0,26
RC,0272,BLN INFL DEV SINUS,677.0,541.6,179.07,609.3,26
RC,0272,BLN KT IVAS OMNICURV 11G 15MM,9935.0,7948.0,2627.81,8941.5,26
RC,0272,BLN PTV TYSHAKII 10MMX2CM,3935.0,3148.0,1040.81,3541.5,26
RC,0272,BLN PTV TYSHAKII 14MMX3CM,3935.0,3148.0,1040.81,3541.5,26
RC,0272,BLN PTV TYSHAKII 6MMX2CM,3935.0,3148.0,1040.81,3541.5,26
RC,0272,BLN PTV TYSHAKII 7MMX2CM,3935.0,3148.0,1040.81,3541.5,26
RC,0272,BLN PTV TYSHAKII 8MMX2CM,3935.0,3148.0,1040.81,3541.5,26
RC,0272,BLN PTV TYSHAKII 9MMX2CM,3935.0,3148.0,1040.81,3541.5,26
RC,0272,BLN RETRV RX PRO ABOVE 12-15MM,1233.0,986.4,326.13,1109.7,26
RC,0272,BLN RETRV RX PRO ABOVE 15-18MM,1233.0,986.4,326.13,1109.7,26
RC,0272,BLN RETRV RX PRO ABOVE 9-12MM,1233.0,986.4,326.13,1109.7,26
RC,0272,BLN RETRV RX PRO ABOVEXL9-12MM,891.0,712.8,235.67,801.9,26
RC,0272,BLN RETRV RX PRO BELOW 12-15MM,1233.0,986.4,326.13,1109.7,26
RC,0272,BLN RETRV RX PRO BELOW 9-12MM,1233.0,986.4,326.13,1109.7,26
RC,0272,BLN RETRV RX PROABOVEDL 9-12MM,711.0,568.8,188.06,639.9,26
RC,0272,BLN SIZING 18MM,3056.0,2444.8,808.31,2750.4,26
RC,0272,BLN SIZING 24MM,3056.0,2444.8,808.31,2750.4,26
RC,0272,BLN SIZING 34MM,3053.0,2442.4,807.52,2747.7,26
RC,0272,BLN SOS BAKRI TAMPONADE*NLU*,2032.0,1625.6,537.46,1828.8,26
RC,0272,BLN TYSHAK II 10MMX3CM*NLU*,3451.0,2760.8,912.79,3105.9,26
RC,0272,BLN TYSHAK II 11MMX3CM*NLU*,4892.0,3913.6,1293.93,4402.8,26
RC,0272,BLN TYSHAK II 13MMX3CM*NLU*,4892.0,3913.6,1293.93,4402.8,26
RC,0272,BLN TYSHAK II 16MMX3CM*NLU*,3822.0,3057.6,1010.92,3439.8,26
RC,0272,BLN TYSHAK II 20MMX4CM,3935.0,3148.0,1040.81,3541.5,26
RC,0272,BLN TYSHAK II 25MMX4CM,3935.0,3148.0,1040.81,3541.5,26
RC,0272,BLN TYSHAK II 5MMX2CM*NLU*,3451.0,2760.8,912.79,3105.9,26
RC,0272,BLN TYSHAK II 8MMX3CM*NLU*,3451.0,2760.8,912.79,3105.9,26
RC,0272,BLN TYSHAK Z-MED 18MMX4CM,5226.0,4180.8,1382.28,4703.4,26
RC,0272,BLN TYSHAK Z-MED*DISC 6218966*,5226.0,4180.8,1382.28,4703.4,26
RC,0272,BLN TYSHAK Z-MED*DISC 6330984*,5226.0,4180.8,1382.28,4703.4,26
RC,0272,BLN TYSHAK Z-MED*DISC 6330985*,5226.0,4180.8,1382.28,4703.4,26
RC,0272,BLN VERTBRAL AV*DISC 6337409*,10688.0,8550.4,2826.98,9619.2,26
RC,0272,BLOCKER ENDOBRONCH 5FR 50CM,2077.0,1661.6,549.37,1869.3,26
RC,0272,BLOOD PACK SINGLE EA CONTRACT,14.0,11.2,3.7,12.6,26
RC,0272,BLOWER CORO W MIST AXIUS16.5CM,620.0,496.0,163.99,558.0,26
RC,0272,BLOWER CORO W MIST CLVIEW 120,551.0,440.8,145.74,495.9,26
RC,0272,BLOWER PDR NOVATECH TALCAIR,523.0,418.4,138.33,470.7,26
RC,0272,BLT URN TB 60IN 2000ML,400.0,320.0,105.8,360.0,26
RC,0272,BNDG COMP CIED POCKET PRESS,225.0,180.0,59.51,202.5,26
RC,0272,BOLT CLAMP FOR SCHANZ SCREW,1865.0,1492.0,493.29,1678.5,26
RC,0272,BOLT EXTL FIX CONN DYNEX 12MM,513.0,410.4,135.69,461.7,26
RC,0272,BOLT EXTL FIX CONN DYNEX 16MM,513.0,410.4,135.69,461.7,26
RC,0272,BOLT EXTL FIX CONN DYNEX 20MM,513.0,410.4,135.69,461.7,26
RC,0272,BOLT EXTL FIX HALF-PIN 4/6MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,BOLT EXTL FIX HNG LNG 6X16MM,580.0,464.0,153.41,522.0,26
RC,0272,BOLT EXTL FIX HNG MD 6X8MM,498.0,398.4,131.72,448.2,26
RC,0272,BOLT EXTL FIX ILIZAROV SL*NLU*,582.0,465.6,153.94,523.8,26
RC,0272,BOLT EXTL FIX ILIZAROV SLOT,576.0,460.8,152.35,518.4,26
RC,0272,BOLT EXTL FIX ILIZAROVCANNSLOT,665.0,532.0,175.89,598.5,26
RC,0272,BOLT EXTL FIX LINEAR STRUT,978.0,782.4,258.68,880.2,26
RC,0272,BOLT EXTL FIX PIN APEX 3-6MM,2027.0,1621.6,536.14,1824.3,26
RC,0272,BOLT EXTL FIX RUSSIAN SN,511.0,408.8,135.16,459.9,26
RC,0272,BOLT EXTL FIX SHLDR RING 8MM,687.0,549.6,181.71,618.3,26
RC,0272,BOLT EXTL FIX SIXFIX HALF PIN,3176.0,2540.8,840.05,2858.4,26
RC,0272,BOLT EXTL FIX STD 10X14MM,513.0,410.4,135.69,461.7,26
RC,0272,BOLT EXTL FIX STD 10X20MM,513.0,410.4,135.69,461.7,26
RC,0272,BOLT EXTL FIX STD 10X30MM,513.0,410.4,135.69,461.7,26
RC,0272,BOLT EXTL FIX UNIV HALF PIN,3850.0,3080.0,1018.33,3465.0,26
RC,0272,BOLT EXTL FIX UNIV WIRE DNE,1381.0,1104.8,365.27,1242.9,26
RC,0272,BOLT EXTL FIX WIRE,2880.0,2304.0,761.76,2592.0,26
RC,0272,BOLT EXTL FIX WIRE ADPTR LNG,2725.0,2180.0,720.76,2452.5,26
RC,0272,BOLT EXTL FIX WIRE ADPTR SHRT,2335.0,1868.0,617.61,2101.5,26
RC,0272,BOLT EXTL FIX WIRE HOFFMAN LNG,949.0,759.2,251.01,854.1,26
RC,0272,BOLT EXTL FIX WIRE HOFFMAN MD,949.0,759.2,251.01,854.1,26
RC,0272,BOLT EXTL FIX WIRE HOFFMANSHRT,949.0,759.2,251.01,854.1,26
RC,0272,BOLT EXTL FIX WIRE LNG,3240.0,2592.0,856.98,2916.0,26
RC,0272,BOLT EXTL FIX WIRE LNG DYNEX,3240.0,2592.0,856.98,2916.0,26
RC,0272,BOLT EXTL FIX WIRE OFFSET,451.0,360.8,119.29,405.9,26
RC,0272,BOLT EXTL FIX WIRE OFFSETCTRHL,1505.0,1204.0,398.07,1354.5,26
RC,0272,BOLT EXTL FIX WIRE SIXFIX XL,1862.0,1489.6,492.5,1675.8,26
RC,0272,BOLT EXTL FIX WIRE STD DYNEX,2880.0,2304.0,761.76,2592.0,26
RC,0272,BOLT EXTL PIN MOUNT MAXFRM H3,1396.0,1116.8,369.24,1256.4,26
RC,0272,BOLT EXTR FOR SCREW 2.0MM,888.0,710.4,234.88,799.2,26
RC,0272,BOLT EXTR FOR SCREW 2.7MM,888.0,710.4,234.88,799.2,26
RC,0272,BOLT EXTR FOR SCREW 4.5MM,888.0,710.4,234.88,799.2,26
RC,0272,BOLT EXTR FOR SCREW 6.5/7.0MM,888.0,710.4,234.88,799.2,26
RC,0272,BOLT NAIL ATTACH IM CHILD DISP,4536.0,3628.8,1199.77,4082.4,26
RC,0272,BOLT ROD REMOV Z*DISC NO REPL*,3840.0,3072.0,1015.68,3456.0,26
RC,0272,BOLT TENSION TEMP WRST APTUS,2800.0,2240.0,740.6,2520.0,26
RC,0272,BOLT WING EXTL FIX REVO 14MM,1530.0,1224.0,404.69,1377.0,26
RC,0272,BOLT WING EXTL FIX REVO 16MM,1530.0,1224.0,404.69,1377.0,26
RC,0272,BONE ACC KT OSTEOCOOL 10G,4731.0,3784.8,1251.35,4257.9,26
RC,0272,BONE CTRDG PREP PLUS,4833.0,3866.4,1278.33,4349.7,26
RC,0272,BOOT WLK MAXTRAX AIR STD *NLU*,98.0,78.4,25.92,88.2,26
RC,0272,BOWL BONE CMNT MIXER HI VAC,687.0,549.6,181.71,618.3,26
RC,0272,BOWL BONE CMNT MIXER MD PRSSZR,798.0,638.4,211.07,718.2,26
RC,0272,BOWL BONE CMNT VACUUMOPTITWIST,1460.0,1168.0,386.17,1314.0,26
RC,0272,BRACHY GRID DISP 18G,568.0,454.4,150.24,511.2,26
RC,0272,BRAVO PH CAPSULE*DISC NO REPL*,2168.0,1734.4,573.44,1951.2,26
RC,0272,BRC THIGH NEOP XS,28.0,22.4,7.41,25.2,26
RC,0272,BRIDGE EXTL FIX FORE-FT 120MM,4860.0,3888.0,1285.47,4374.0,26
RC,0272,BRIDGE EXTL FIX FORE-FT 140MM,5265.0,4212.0,1392.59,4738.5,26
RC,0272,BRIDGE EXTL FIX FORE-FT 160MM,5670.0,4536.0,1499.72,5103.0,26
RC,0272,BRIDGE EXTL FIX FORE-FT 200MM,5670.0,4536.0,1499.72,5103.0,26
RC,0272,BRIDGE TISS FORCE MODULATING,413.0,330.4,109.24,371.7,26
RC,0272,BRKT OXYGENATOR INSPIRE OXY,3216.0,2572.8,850.63,2894.4,26
RC,0272,BRONCHSCP ASCOLG*DISC 6332694*,2512.0,2009.6,664.42,2260.8,26
RC,0272,BRONCHSCP ASCOPE4 LG 5.8/2.8,1913.0,1530.4,505.99,1721.7,26
RC,0272,BRONCHSCP ASCOPE4 REG 5.0/2.2,2080.0,1664.0,550.16,1872.0,26
RC,0272,BRONCHSCP ASCOPE4 SLIM 3.8/1.2,2080.0,1664.0,550.16,1872.0,26
RC,0272,BRONCHSCP ASCORE*DISC 6332693*,2184.0,1747.2,577.67,1965.6,26
RC,0272,BRONCHSCP ASCOSL*DISC 6332692*,2184.0,1747.2,577.67,1965.6,26
RC,0272,BRONCHSCP ASCP 4 REG 5.0/2.2,2144.0,1715.2,567.09,1929.6,26
RC,0272,BRONCHSCP BFLEX *DISC 6335581*,2171.0,1736.8,574.23,1953.9,26
RC,0272,BRONCHSCP BFLEX *DISC 6335582*,2171.0,1736.8,574.23,1953.9,26
RC,0272,BRONCHSCP BFLEX *DISC 6335583*,2502.0,2001.6,661.78,2251.8,26
RC,0272,BRONCHSCP BFLEX2 LG 5.8MM,2435.0,1948.0,644.06,2191.5,26
RC,0272,BRONCHSCP BFLEX2 REG 5.0MM,2171.0,1736.8,574.23,1953.9,26
RC,0272,BRONCHSCP BFLEX2 SLIM 3.8MM,2149.0,1719.2,568.41,1934.1,26
RC,0272,BRONCHSCP BFLEX2 ULTSLIM 2.8MM,2578.0,2062.4,681.88,2320.2,26
RC,0272,BRONCHSCP2.8MM*DISC 6338237*,2502.0,2001.6,661.78,2251.8,26
RC,0272,BRUSH BX CYTOLOGY ASPIR P*NLU*,597.0,477.6,157.91,537.3,26
RC,0272,BRUSH BX CYTOLOGY TRPLNDL*NLU*,1188.0,950.4,314.23,1069.2,26
RC,0272,BRUSH BX DEFLECT OCCL 3.2FR,759.0,607.2,200.76,683.1,26
RC,0272,BRUSH BX DEFLECT REMOV 5.0FR,716.0,572.8,189.38,644.4,26
RC,0272,BRUSH CLN PEG TB*DISC NO REPL*,312.0,249.6,82.52,280.8,26
RC,0272,BRUSH CYTO INFINITY 2.4 230CM,320.0,256.0,84.64,288.0,26
RC,0272,BRUSH CYTO MONARCH,1327.0,1061.6,350.99,1194.3,26
RC,0272,BRUSH CYTO RX DL WIRE GD,876.0,700.8,231.7,788.4,26
RC,0272,BRUSH CYTO TRPL NDLE 15MM,1626.0,1300.8,430.08,1463.4,26
RC,0272,BSKT 4 WIRE STORZ 0.4X480MM,2576.0,2060.8,681.35,2318.4,26
RC,0272,BSKT 4 WIRE STORZ 0.4X600MM,2701.0,2160.8,714.41,2430.9,26
RC,0272,BSKT CD STONE BA*DISC 6233959*,2733.0,2186.4,722.88,2459.7,26
RC,0272,BSKT GEMINI 3FR 120CM 11M*NLU*,2733.0,2186.4,722.88,2459.7,26
RC,0272,BSKT LITHOVUE EMPOWER RETRV,1275.0,1020.0,337.24,1147.5,26
RC,0272,BSKT NIT X-CATCH NT 2.2FR*NLU*,1445.0,1156.0,382.2,1300.5,26
RC,0272,BSKT NIT X-CATCH NT 3.0FR*NLU*,1445.0,1156.0,382.2,1300.5,26
RC,0272,BSKT PULM RETRV OTIP 16MM,1998.0,1598.4,528.47,1798.2,26
RC,0272,BSKT RETRV SPYGLASS 1MMX286CM,3553.0,2842.4,939.77,3197.7,26
RC,0272,BSKT RETRV TRAPZD RX 2CM,2072.0,1657.6,548.04,1864.8,26
RC,0272,BSKT RETRV TRAPZD RX 3CM,2072.0,1657.6,548.04,1864.8,26
RC,0272,BSKT RX TRAPZD RETRV2.5CM*NLU*,2072.0,1657.6,548.04,1864.8,26
RC,0272,BSKT STONE 4WIRE NITNOTIP1.8FR,1688.0,1350.4,446.48,1519.2,26
RC,0272,BSKT STONE GEMINI 3FR 120CM,3282.0,2625.6,868.09,2953.8,26
RC,0272,BSKT STONE SEGURA 3FR 120CM,3282.0,2625.6,868.09,2953.8,26
RC,0272,BSKT STONE SEGURA 4.5FR 9*NLU*,2733.0,2186.4,722.88,2459.7,26
RC,0272,BSKT STONE STEER FLEXSTONE 2.1,2800.0,2240.0,740.6,2520.0,26
RC,0272,BSKT STONE TIPLESS 1.5FR 120CM,2121.0,1696.8,561.0,1908.9,26
RC,0272,BTN BLN ENEMA ENFIT 14FR 3.5,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA ENFIT 14FR 4.4,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA ENFIT 14FR 7.0,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 10FR 6.5,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 10FR 7.0,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 10FR 8.0,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 10FR 9.0,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 10FR10.0,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 12FR 0.8,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 12FR 1.0,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 12FR 1.2,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 14FR 0.8,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 14FR 1.0,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 14FR 1.2,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 14FR 10,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 14FR 2.3,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 14FR 3.5,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 14FR 6.0,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENEMA MINIACE 14FR 8.0,2144.0,1715.2,567.09,1929.6,26
RC,0272,BTN BLN ENFIT MINIONE12FR0.8CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE12FR1.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE12FR1.2CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE12FR1.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE12FR1.7CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE12FR2.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE12FR2.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE12FR3.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR0.8CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR1.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR1.2CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR1.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR1.7CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR2.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR2.3CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR2.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR2.7CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR3.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR3.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR4.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR4.4CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR5.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR5.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR6.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE14FR6.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE16FR1.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE16FR1.7CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE16FR2.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE16FR2.7CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE16FR5.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE18FR2.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE18FR2.7CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE18FR3.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN ENFIT MINIONE20FR2.5CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN MINIONE 1*VAT 6322501*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322502*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322504*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322505*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322508*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322513*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322514*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322515*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322516*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322517*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322518*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322519*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322520*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322521*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322522*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322523*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322524*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322525*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322526*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322527*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322528*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322531*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 1*VAT 6322543*,810.0,648.0,214.25,729.0,26
RC,0272,BTN BLN MINIONE 14FR 8.0CM,882.0,705.6,233.29,793.8,26
RC,0272,BTN BLN MINIONE 2*VAT 6322548*,810.0,648.0,214.25,729.0,26
RC,0272,BTN ENFIT CAPSULE 14FR 1.0CM,1900.0,1520.0,502.55,1710.0,26
RC,0272,BTN ENFIT CAPSULE 14FR 1.2CM,1900.0,1520.0,502.55,1710.0,26
RC,0272,BTN ENFIT CAPSULE 14FR 1.5CM,1900.0,1520.0,502.55,1710.0,26
RC,0272,BTN ENFIT CAPSULE 14FR 1.7CM,1900.0,1520.0,502.55,1710.0,26
RC,0272,BTN ENFIT CAPSULE 14FR 2.0CM,1900.0,1520.0,502.55,1710.0,26
RC,0272,BTN ENFIT CAPSULE 14FR 2.5CM,1900.0,1520.0,502.55,1710.0,26
RC,0272,BTN LOPRO ENDOVIVE 24FR 1.7CM,1020.0,816.0,269.79,918.0,26
RC,0272,BTN NON-BLNMINION*VAT 6322487*,1564.0,1251.2,413.68,1407.6,26
RC,0272,BTN NON-BLNMINION*VAT 6322489*,1564.0,1251.2,413.68,1407.6,26
RC,0272,BULB BLADDER ASS*DISC 6337208*,361.0,288.8,95.48,324.9,26
RC,0272,BULB BLADDER BP ASSY STER,352.0,281.6,93.1,316.8,26
RC,0272,BUR ACORN CUT TPS 9MM,799.0,639.2,211.34,719.1,26
RC,0272,BUR ACORN GM 5MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR ACORN GM 6MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR ACORN GM 7.5MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR ACORN GM 9MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR ARTX ST 12X2*DISC 6354274*,2800.0,2240.0,740.6,2520.0,26
RC,0272,BUR ARTX ST 13X2*DISC 6354273*,3080.0,2464.0,814.66,2772.0,26
RC,0272,BUR ARTX ST 19.5*DISC 6353973*,3080.0,2464.0,814.66,2772.0,26
RC,0272,BUR ARTX ST 20X3*DISC 6353496*,3080.0,2464.0,814.66,2772.0,26
RC,0272,BUR ARTX ST 8X2M*DISC 6353339*,2800.0,2240.0,740.6,2520.0,26
RC,0272,BUR BALL FLUT 6MM*NLU*,1012.0,809.6,267.67,910.8,26
RC,0272,BUR BALL ROB MAKO,747.0,597.6,197.58,672.3,26
RC,0272,BUR BLURR 6 FLUTE 5MM,859.0,687.2,227.21,773.1,26
RC,0272,BUR BROPHY ARTX 5.0X15.2MM,3084.0,2467.2,815.72,2775.6,26
RC,0272,BUR CLEARCUT OVAL 12 FLUTE 5MM,420.0,336.0,111.09,378.0,26
RC,0272,BUR COARSE DIMND NEURO STRY3MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR CONIC ARTX 1*DISC 6354275*,3080.0,2464.0,814.66,2772.0,26
RC,0272,BUR CONIC SYNT 9.5MM,2521.0,2016.8,666.8,2268.9,26
RC,0272,BUR CROSSCUT FISSURE EXT *NLU*,1033.0,826.4,273.23,929.7,26
RC,0272,BUR CROSSCUT FISSURE STRY*NLU*,1033.0,826.4,273.23,929.7,26
RC,0272,BUR CRSE DIMND RD BEND DIST3.0,3248.0,2598.4,859.1,2923.2,26
RC,0272,BUR CRSE DIMND RD BEND DIST4.0,3248.0,2598.4,859.1,2923.2,26
RC,0272,BUR CUT OT0.7MM* DISC 6252774*,1615.0,1292.0,427.17,1453.5,26
RC,0272,BUR CUT WHEEL METAL,946.0,756.8,250.22,851.4,26
RC,0272,BUR DCR CURV 4.0MM,2523.0,2018.4,667.33,2270.7,26
RC,0272,BUR DERMABRADER ST 12.0MM,678.0,542.4,179.33,610.2,26
RC,0272,BUR DERMABRADER ST MD 4.0MM,678.0,542.4,179.33,610.2,26
RC,0272,BUR DERMABRADER ST MD 7.0MM,678.0,542.4,179.33,610.2,26
RC,0272,BUR DERMABRADER TPR 10.0MM,678.0,542.4,179.33,610.2,26
RC,0272,BUR DIMND ACO*DISC*,682.0,545.6,180.39,613.8,26
RC,0272,BUR DIMND BALL SHRT 6MM,2049.0,1639.2,541.96,1844.1,26
RC,0272,BUR DIMND BRL 6.5MM,1163.0,930.4,307.61,1046.7,26
RC,0272,BUR DIMND COARSE STRY 3MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR DIMND COARSE STRY 4MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR DIMND MATCH HD 2.5MM,1709.0,1367.2,452.03,1538.1,26
RC,0272,BUR DIMND RD BEND DIST15D2.0MM,3248.0,2598.4,859.1,2923.2,26
RC,0272,BUR DIMND RD BEND DIST15D4.0MM,3248.0,2598.4,859.1,2923.2,26
RC,0272,BUR DIMND RD COARSE 6MM*NLU*,1033.0,826.4,273.23,929.7,26
RC,0272,BUR DIMND RD GPS 2MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD GPS 2MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD GPS 3MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD GPS 3MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD GPS 3MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD GPS 4MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD GPS 4MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD GPS 4MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD GPS 5MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD GPS 5MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD GPS 5MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR DIMND RD MIS 2MMX13CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BUR DIMND RD MIS 3MMX13CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BUR DIMND RD MIS 4MMX13CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BUR DIMND RD MIS 5MMX13CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BUR DIMND RD X COARSE 6MM*NLU*,1033.0,826.4,273.23,929.7,26
RC,0272,BUR DIMND STRY 3MM,1222.0,977.6,323.22,1099.8,26
RC,0272,BUR DIMND STRY 5MM,1222.0,977.6,323.22,1099.8,26
RC,0272,BUR DIMND TPR 15D 4MMX13CM,3333.0,2666.4,881.58,2999.7,26
RC,0272,BUR DIMND TPR 70D 4MMX13CM,3333.0,2666.4,881.58,2999.7,26
RC,0272,BUR DIMND TPS EXT RD 3MM,947.0,757.6,250.48,852.3,26
RC,0272,BUR DIMND XL RD 4MM,1471.0,1176.8,389.08,1323.9,26
RC,0272,BUR DISC DIMND PEMD,1904.0,1523.2,503.61,1713.6,26
RC,0272,BUR DYONICS ABRADER 5.5X180MM,906.0,724.8,239.64,815.4,26
RC,0272,BUR FINE DIMND EXT STRY 0.5MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR FINE DIMND EXT STRY 1MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR FINE DIMND EXT STRY 2MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR FINE DIMND STRY 0.5MM,1174.0,939.2,310.52,1056.6,26
RC,0272,BUR FINE DIMND STRY 1.5MM,1174.0,939.2,310.52,1056.6,26
RC,0272,BUR FINE DIMND STRY 1MM,1174.0,939.2,310.52,1056.6,26
RC,0272,BUR FINE DIMND STRY 2MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR FINE DIMND STRY 3MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR FINE DIMND STRY 4MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR FINE DIMND STRY 5MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR FINE DIMND STRY 6MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR FLUSHCUT OVAL 12 FLUTE 5MM,420.0,336.0,111.09,378.0,26
RC,0272,BUR FLUSHCUT OVAL 12FLUTE5.5MM,420.0,336.0,111.09,378.0,26
RC,0272,BUR FLUSHCUT OVAL 6 FLUTE 5MM,420.0,336.0,111.09,378.0,26
RC,0272,BUR FLUSHCUT OVAL 8FLUTE 5.0MM,420.0,336.0,111.09,378.0,26
RC,0272,BUR GAIT FTBALL*NLU*,3976.0,3180.8,1051.65,3578.4,26
RC,0272,BUR MATCH HD 22MM EXPO3MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD 30MM EXPO3MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD GPS 1.8MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD GPS 1.8MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD GPS 1.8MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD GPS 2.2MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD GPS 2.2MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD GPS 2.2MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD GPS 3MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD GPS 3MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD GPS 3MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR MATCH HD MIS 2.5MMX13CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BUR MATCH HD MIS 3MMX11CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BUR MATCH HD MIS 3MMX13CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BUR MICA LNG 3.0X20MM,3036.0,2428.8,803.02,2732.4,26
RC,0272,BUR MICRO RD SS 7.0X30MM,704.0,563.2,186.21,633.6,26
RC,0272,BUR MIDAS REX CLVIEW 12CM*NLU*,3580.0,2864.0,946.91,3222.0,26
RC,0272,BUR MIDAS REX CLVIEW 14CM*NLU*,3580.0,2864.0,946.91,3222.0,26
RC,0272,BUR MIDAS REX M8 14CMX3.0MM,1339.0,1071.2,354.17,1205.1,26
RC,0272,BUR MIDAS REX M8 15CMX1.7MM,1321.0,1056.8,349.4,1188.9,26
RC,0272,BUR MIDAS REX M8 15CMX2.2MM,1321.0,1056.8,349.4,1188.9,26
RC,0272,BUR MILLING KNEE PFJ ZIMM,995.0,796.0,263.18,895.5,26
RC,0272,BUR MULTFLUTE RD OTOLOGY 6.0,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR NEURO LESS AGGR STRY 3MM,1473.0,1178.4,389.61,1325.7,26
RC,0272,BUR NEURO PREC CARB STRY 3MM,2037.0,1629.6,538.79,1833.3,26
RC,0272,BUR OTO-FLEX DIMND GRN/WHT 7MM,1989.0,1591.2,526.09,1790.1,26
RC,0272,BUR OTO-FLEX DIMND RED/WHT 2.3,1989.0,1591.2,526.09,1790.1,26
RC,0272,BUR OVAL 8 FLUTE 4MMX13CM,420.0,336.0,111.09,378.0,26
RC,0272,BUR OVAL CARB 4X70MM,118.0,94.4,31.21,106.2,26
RC,0272,BUR OVAL CARB 5.5X48MM,113.0,90.4,29.89,101.7,26
RC,0272,BUR OVAL CARB LNG 4MM,385.0,308.0,101.83,346.5,26
RC,0272,BUR PED ANG 2.5MM,2058.0,1646.4,544.34,1852.2,26
RC,0272,BUR PREC ACORN 6.0X8.0MM,1060.0,848.0,280.37,954.0,26
RC,0272,BUR PREC ACORN 9.0MM,1060.0,848.0,280.37,954.0,26
RC,0272,BUR PREC AM-8 3X3.8MM,800.0,640.0,211.6,720.0,26
RC,0272,BUR PREC M-8 3X3.8MM,800.0,640.0,211.6,720.0,26
RC,0272,BUR PREC MATCH HD 2.5MM,2181.0,1744.8,576.87,1962.9,26
RC,0272,BUR PREC MATCH HD 3.0MM,2181.0,1744.8,576.87,1962.9,26
RC,0272,BUR PREC MATCH HD BEND DIST3.0,3248.0,2598.4,859.1,2923.2,26
RC,0272,BUR PREC RD BEND DIST 15D3.0MM,3338.0,2670.4,882.9,3004.2,26
RC,0272,BUR PREC RD BEND DIST 15D4.0MM,3338.0,2670.4,882.9,3004.2,26
RC,0272,BUR PREC STRY DIMND 2MM*NLU*,2040.0,1632.0,539.58,1836.0,26
RC,0272,BUR RASP HELOCOIDAL STRY 2.1MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR RASP METAL CUT 1.6MM,2400.0,1920.0,634.8,2160.0,26
RC,0272,BUR RASP METAL CUT 3MM,2400.0,1920.0,634.8,2160.0,26
RC,0272,BUR RASP TPS WH 2 3.2X18.3MM,1050.0,840.0,277.73,945.0,26
RC,0272,BUR RD 8 FLUTE 3.0MM,627.0,501.6,165.84,564.3,26
RC,0272,BUR RD 8 FLUTE 4.0MM,420.0,336.0,111.09,378.0,26
RC,0272,BUR RD 8 FLUTE 5.0MMX13CM,420.0,336.0,111.09,378.0,26
RC,0272,BUR RD 8 FLUTE 5.5MM,420.0,336.0,111.09,378.0,26
RC,0272,BUR RD DIMND 2.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND 3.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND 4.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND 5.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND 6.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND ANG 70D 5MM,2799.0,2239.2,740.34,2519.1,26
RC,0272,BUR RD DIMND COARSE 4MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMND COARSE 4MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMND COARSE 4MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMND COARSE 5.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND COARSE 5MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMND COARSE 5MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMND COARSE 5MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMND COARSE 6.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND COARSE ENT 2.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND COARSE ENT 3.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND COARSE ENT 4.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND CROSS XL 5.5MM,1513.0,1210.4,400.19,1361.7,26
RC,0272,BUR RD DIMND CURV 5MM,2531.0,2024.8,669.45,2277.9,26
RC,0272,BUR RD DIMND FINE 2MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND FINE EXT 1.0MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND FINE EXT 1.5MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD DIMND LNG 5MM*NLU*,873.0,698.4,230.91,785.7,26
RC,0272,BUR RD DIMND MD 5MM,925.0,740.0,244.66,832.5,26
RC,0272,BUR RD DIMND XTRCOARSE4MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMND XTRCOARSE5MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMNDXTRCOARSE4MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMNDXTRCOARSE4MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMNDXTRCOARSE5MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DIMNDXTRCOARSE5MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DUAL GPS 3MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DUAL GPS 4MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD DUAL GPS 5MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD FLUTE AM SER STRY 5MM,841.0,672.8,222.44,756.9,26
RC,0272,BUR RD FLUTE AM SER STRY 6MM,789.0,631.2,208.69,710.1,26
RC,0272,BUR RD FLUTE GPS 2.5MMX22.5CM,2600.0,2080.0,687.7,2340.0,26
RC,0272,BUR RD FLUTE GPS 3.5MMX22.5CM,2600.0,2080.0,687.7,2340.0,26
RC,0272,BUR RD FLUTE GPS 3MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD FLUTE GPS 3MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD FLUTE GPS 3MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD FLUTE GPS 4.5MMX22.5CM,2600.0,2080.0,687.7,2340.0,26
RC,0272,BUR RD FLUTE GPS 4MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD FLUTE GPS 4MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD FLUTE GPS 4MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD FLUTE GPS 5MMX11CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD FLUTE GPS 5MMX2.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD FLUTE GPS 5MMX6.5CM,1275.0,1020.0,337.24,1147.5,26
RC,0272,BUR RD FLUTE M SER STRY 5MM,743.0,594.4,196.52,668.7,26
RC,0272,BUR RD FLUTE MD 5.5MM,743.0,594.4,196.52,668.7,26
RC,0272,BUR RD FLUTE MIS 3MMX11CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BUR RD FLUTE MIS 3MMX13CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BUR RD FLUTE MIS 4MMX13CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,BUR RD FLUTE STR*DISC 6190896*,923.0,738.4,244.13,830.7,26
RC,0272,BUR RD FLUTE STRY 0.5MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR RD FLUTE STRY 1MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR RD FLUTE STRY 8MM*NLU*,2066.0,1652.8,546.46,1859.4,26
RC,0272,BUR RD FLUTE TPS *USE 6318889*,1839.0,1471.2,486.42,1655.1,26
RC,0272,BUR RD FLUTE TPS LNG 6MM,841.0,672.8,222.44,756.9,26
RC,0272,BUR RD FLUTE TPS SS 10MM,2235.0,1788.0,591.16,2011.5,26
RC,0272,BUR RD FLUTE TPS SS 7MM,841.0,672.8,222.44,756.9,26
RC,0272,BUR RD FLUTE*DISC 6296450*,2066.0,1652.8,546.46,1859.4,26
RC,0272,BUR RD HL 4.0MM,627.0,501.6,165.84,564.3,26
RC,0272,BUR RD HL DIMND CUT 4.0MMX19CM,350.0,280.0,92.58,315.0,26
RC,0272,BUR RD OTOLOGY 3MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD OTOLOGY 4MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD OTOLOGY 5MM,1352.0,1081.6,357.6,1216.8,26
RC,0272,BUR RD PREC OTOLOGY 2MM,2014.0,1611.2,532.7,1812.6,26
RC,0272,BUR RD PREC OTOLOGY 3MM,2014.0,1611.2,532.7,1812.6,26
RC,0272,BUR RD PREC OTOLOGY 4MM,2014.0,1611.2,532.7,1812.6,26
RC,0272,BUR RD PREC OTOLOGY 5MM,2014.0,1611.2,532.7,1812.6,26
RC,0272,BUR RD PREC OTOLOGY 6MM,2014.0,1611.2,532.7,1812.6,26
RC,0272,BUR RD PREC STRY 5MM,3827.0,3061.6,1012.24,3444.3,26
RC,0272,BUR RD PREC STRY 7.5MM,3060.0,2448.0,809.37,2754.0,26
RC,0272,BUR RD SOFT TOUCH STRY 2MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR RD SOFT TOUCH STRY 3MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR RD SOFT TOUCH STRY 4MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR RD SOFT TOUCH STRY 5MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR RD SOFT TOUCH STRY 6MM,1149.0,919.2,303.91,1034.1,26
RC,0272,BUR RD STRY 3.0MM,1222.0,977.6,323.22,1099.8,26
RC,0272,BUR ROUTER TPR 2.3X22MM,831.0,664.8,219.8,747.9,26
RC,0272,BUR ROUTER TPR 3.0X25MM,706.0,564.8,186.74,635.4,26
RC,0272,BUR ROUTER TPR STRY 2.3X16MM,2507.0,2005.6,663.1,2256.3,26
RC,0272,BUR ROUTER TPS SH 1.5X11.*NLU*,694.0,555.2,183.56,624.6,26
RC,0272,BUR SABER EXT DIMND STRY1*NLU*,1033.0,826.4,273.23,929.7,26
RC,0272,BUR SEPTO CURV 3.2MM 12D,2022.0,1617.6,534.82,1819.8,26
RC,0272,BUR SHANNON CORTA RD 2X8MM,3084.0,2467.2,815.72,2775.6,26
RC,0272,BUR SHANNON LARGA 2.2X12MM,3084.0,2467.2,815.72,2775.6,26
RC,0272,BUR SHANNON REC 2.0X11.8MM,3084.0,2467.2,815.72,2775.6,26
RC,0272,BUR SHANNON REC 2.0X19.5MM,3084.0,2467.2,815.72,2775.6,26
RC,0272,BUR SHANNON REC 3.1X20MM,3084.0,2467.2,815.72,2775.6,26
RC,0272,BUR SHANNON SIDECUT 2.1MM*NLU*,1087.0,869.6,287.51,978.3,26
RC,0272,BUR TPR PEMD,1190.0,952.0,314.76,1071.0,26
RC,0272,BUR TPS BRL MD 6MM,851.0,680.8,225.09,765.9,26
RC,0272,BUR WDG ARTX 2.9X13MM,3084.0,2467.2,815.72,2775.6,26
RC,0272,BUR WDG ARTX 4.3X13MM,3084.0,2467.2,815.72,2775.6,26
RC,0272,BX BONE KT KYPHON V 15G,1870.0,1496.0,494.62,1683.0,26
RC,0272,CANISTER ASPIR RIPTIDE W TB,2360.0,1888.0,624.22,2124.0,26
RC,0272,CANISTER COLLT LIBERANT THROMB,2880.0,2304.0,761.76,2592.0,26
RC,0272,CANISTER ENGINE INDIGO SYS,2920.0,2336.0,772.34,2628.0,26
RC,0272,CANISTER INFOVAC W GEL 1000ML,503.0,402.4,133.04,452.7,26
RC,0272,CANISTER INFOVAC W GEL 500ML,321.0,256.8,84.9,288.9,26
RC,0272,CANISTER MAX INDIGO SYS,2920.0,2336.0,772.34,2628.0,26
RC,0272,CANISTER VAC ACTIVAC GEL 300ML,360.0,288.0,95.22,324.0,26
RC,0272,CANISTER VAC FREEDOM 300ML,324.0,259.2,85.7,291.6,26
RC,0272,CANISTER VAC500ML*USE 6114718*,353.0,282.4,93.37,317.7,26
RC,0272,CANISTER VACUUM ENGINE 1000ML,2880.0,2304.0,761.76,2592.0,26
RC,0272,CANN ACC IVAS 11G,700.0,560.0,185.15,630.0,26
RC,0272,CANN ANGIOVAC W DILATOR 2*NLU*,26450.0,21160.0,6996.03,23805.0,26
RC,0272,CANN ANGIOVAC W DILATOR S*NLU*,26450.0,21160.0,6996.03,23805.0,26
RC,0272,CANN ANT MENISCUS ZONE NVGTR,330.0,264.0,87.29,297.0,26
RC,0272,CANN ANTEGRD CRDPLG EXT 14G,319.0,255.2,84.38,287.1,26
RC,0272,CANN AORTIC CURV BUMP 21F*NLU*,684.0,547.2,180.92,615.6,26
RC,0272,CANN AORTIC ROOT 14G,350.0,280.0,92.58,315.0,26
RC,0272,CANN AORTIC ROOT MIAR LNG 14G,342.0,273.6,90.46,307.8,26
RC,0272,CANN AORTIC ROOT VENT 7FR 15CM,362.0,289.6,95.75,325.8,26
RC,0272,CANN AORTIC ST FLG 21FR,684.0,547.2,180.92,615.6,26
RC,0272,CANN AORTIC ST FLG 24FR,684.0,547.2,180.92,615.6,26
RC,0272,CANN AORTIC ST RING VENT 21FR,618.0,494.4,163.46,556.2,26
RC,0272,CANN AORTIC ST RING VENT 24FR,684.0,547.2,180.92,615.6,26
RC,0272,CANN ART 8FR19CM*DISC 6331902*,2106.0,1684.8,557.04,1895.4,26
RC,0272,CANN ART DLP PEDS 10FR 3.3MM,780.0,624.0,206.31,702.0,26
RC,0272,CANN ART DLP PEDS 12FR 4.0MM,780.0,624.0,206.31,702.0,26
RC,0272,CANN ART DLP PEDS 14FR 4.7MM,780.0,624.0,206.31,702.0,26
RC,0272,CANN ART DLP PEDS 8FR 2.7MM,780.0,624.0,206.31,702.0,26
RC,0272,CANN ART ELNG 22FR 30.5CM,602.0,481.6,159.23,541.8,26
RC,0272,CANN ART EOPA 3D NV 20FR,642.0,513.6,169.81,577.8,26
RC,0272,CANN ART EOPA 3D NV 22FR,642.0,513.6,169.81,577.8,26
RC,0272,CANN ART EOPA 3D VENTED 20FR,642.0,513.6,169.81,577.8,26
RC,0272,CANN ART EOPA VENT 22FR 7.3MM,498.0,398.4,131.72,448.2,26
RC,0272,CANN ART METAL RIGID20FR 6.7MM,322.0,257.6,85.17,289.8,26
RC,0272,CANN ART NEXTGEN PEDS8FR10.0CM,2376.0,1900.8,628.45,2138.4,26
RC,0272,CANN ART NEXTGENPEDS10FR10.5CM,2376.0,1900.8,628.45,2138.4,26
RC,0272,CANN ART NEXTGENPEDS12FR11.0CM,2376.0,1900.8,628.45,2138.4,26
RC,0272,CANN ART NEXTGENPEDS14FR11.5CM,2376.0,1900.8,628.45,2138.4,26
RC,0272,CANN ART NV SOFT FLOW EXT 21FR,705.0,564.0,186.47,634.5,26
RC,0272,CANN ART OPTISITE 20FRX24CM,2232.0,1785.6,590.36,2008.8,26
RC,0272,CANN ART OPTISITE 22FRX24CM,2232.0,1785.6,590.36,2008.8,26
RC,0272,CANN ART PERFUSN RT ANG 4MM,891.0,712.8,235.67,801.9,26
RC,0272,CANN ART PERFUSN RT ANG 6MM,891.0,712.8,235.67,801.9,26
RC,0272,CANN ART PERFUSN ST FLL 4MM,891.0,712.8,235.67,801.9,26
RC,0272,CANN ART PERFUSN ST FLL 6MM,891.0,712.8,235.67,801.9,26
RC,0272,CANN ART VENT SOFT FLOWEXT21FR,705.0,564.0,186.47,634.5,26
RC,0272,CANN ART10FR19CM*DISC 6331903*,2106.0,1684.8,557.04,1895.4,26
RC,0272,CANN ART12FR19CM*DISC 6339697*,2106.0,1684.8,557.04,1895.4,26
RC,0272,CANN ART14FR19CM*DISC 6331907*,2106.0,1684.8,557.04,1895.4,26
RC,0272,CANN ARTHRO SIL HYDROSEAL10X40,528.0,422.4,139.66,475.2,26
RC,0272,CANN ARTHRO SIL HYDROSEAL10X50,528.0,422.4,139.66,475.2,26
RC,0272,CANN BTN PASSPORT 10MMX3CM,352.0,281.6,93.1,316.8,26
RC,0272,CANN BTN PASSPORT 10MMX4CM,352.0,281.6,93.1,316.8,26
RC,0272,CANN BTN PASSPORT 10MMX5CM,352.0,281.6,93.1,316.8,26
RC,0272,CANN BTN PASSPORT 12MMX3CM,627.0,501.6,165.84,564.3,26
RC,0272,CANN BTN PASSPORT 8MMX2CM,352.0,281.6,93.1,316.8,26
RC,0272,CANN BTN PASSPORT 8MMX3CM,352.0,281.6,93.1,316.8,26
RC,0272,CANN BTN PASSPORT 8MMX4CM,352.0,281.6,93.1,316.8,26
RC,0272,CANN BTN PASSPORT 8MMX5CM,352.0,281.6,93.1,316.8,26
RC,0272,CANN BTN PASSPORT 8MMX6CM,352.0,281.6,93.1,316.8,26
RC,0272,CANN CMNT DEL OPEN,3600.0,2880.0,952.2,3240.0,26
RC,0272,CANN CORO SINUS DLP MDTR 15FR,836.0,668.8,221.12,752.4,26
RC,0272,CANN CRYSTAL FLEX 5.75MMX7CM,308.0,246.4,81.47,277.2,26
RC,0272,CANN DBL MERCEDES 4MMX22CM,523.0,418.4,138.33,470.7,26
RC,0272,CANN DBL MERCEDES 4MMX30CM,711.0,568.8,188.06,639.9,26
RC,0272,CANN DEL BONE 2-CAN 450MM,5970.0,4776.0,1579.07,5373.0,26
RC,0272,CANN DIR KYPHON ASSIST SZ3,4473.0,3578.4,1183.11,4025.7,26
RC,0272,CANN DUPLOTIP BXTR 20G*NLU*,459.0,367.2,121.41,413.1,26
RC,0272,CANN ENDO GATEWAY SIL 12X30MM,504.0,403.2,133.31,453.6,26
RC,0272,CANN ENDO GATEWAY SIL 12X40MM,504.0,403.2,133.31,453.6,26
RC,0272,CANN ENDOSEE *DISC 6301991*,1403.0,1122.4,371.09,1262.7,26
RC,0272,CANN ERCP CONT 5-4-3 TIP 5FR,450.0,360.0,119.03,405.0,26
RC,0272,CANN ERCP CONTOUR TPR 5FR,450.0,360.0,119.03,405.0,26
RC,0272,CANN ERCP RX TPR 5FR 210CM,641.0,512.8,169.54,576.9,26
RC,0272,CANN EXPANULA ARTX 8.25MMX7CM,429.0,343.2,113.47,386.1,26
RC,0272,CANN FEM ART EDWA 16FRX15CM,2176.0,1740.8,575.55,1958.4,26
RC,0272,CANN FEM ART EDWA 18FRX15CM,2176.0,1740.8,575.55,1958.4,26
RC,0272,CANN FEM ART EDWA 20FRX15CM,2176.0,1740.8,575.55,1958.4,26
RC,0272,CANN FEM ARTCARM*DISC 6331896*,2502.0,2001.6,661.78,2251.8,26
RC,0272,CANN FEM ARTCARM*DISC 6331897*,2526.0,2020.8,668.13,2273.4,26
RC,0272,CANN FEM ARTCARM*DISC 6331898*,2502.0,2001.6,661.78,2251.8,26
RC,0272,CANN FEM ARTCARM*DISC 6331899*,2502.0,2001.6,661.78,2251.8,26
RC,0272,CANN FEM VEN CAR21FR50CM*DISC*,2502.0,2001.6,661.78,2251.8,26
RC,0272,CANN FEM VEN MDT*DISC NO REPL*,1745.0,1396.0,461.55,1570.5,26
RC,0272,CANN FEM VEN MULTSTAGE 25FR,3158.0,2526.4,835.29,2842.2,26
RC,0272,CANN FEM15FR50CM*DISC 6331912*,2502.0,2001.6,661.78,2251.8,26
RC,0272,CANN FEM17FR50CM*DISC 6331913*,2502.0,2001.6,661.78,2251.8,26
RC,0272,CANN FEM19FR50CM*DISC 6331914*,2502.0,2001.6,661.78,2251.8,26
RC,0272,CANN FEM23FR50CM*DISC 6331887*,2451.0,1960.8,648.29,2205.9,26
RC,0272,CANN FEM25FR 50CM*DISC 6331892,2451.0,1960.8,648.29,2205.9,26
RC,0272,CANN FEM27FR50CM*DISC 6339699*,2451.0,1960.8,648.29,2205.9,26
RC,0272,CANN FEM29FR50CM*DISC 6339700*,2451.0,1960.8,648.29,2205.9,26
RC,0272,CANN FLARE MERCEDES 3MMX22CM,756.0,604.8,199.96,680.4,26
RC,0272,CANN FLARE MERCEDES 4MMX30CM,756.0,604.8,199.96,680.4,26
RC,0272,CANN FLARE MERCEDES 5MMX30CM,756.0,604.8,199.96,680.4,26
RC,0272,CANN GEMINI SR8 ARTX,352.0,281.6,93.1,316.8,26
RC,0272,CANN GUNDRY SIL RCSP 15FR 32CM,836.0,668.8,221.12,752.4,26
RC,0272,CANN HD ST 4X10X30MM,819.0,655.2,216.63,737.1,26
RC,0272,CANN HLX TRI-PORT III 3MMX22CM,725.0,580.0,191.76,652.5,26
RC,0272,CANN HLX TRI-PORT III 4MMX22CM,725.0,580.0,191.76,652.5,26
RC,0272,CANN HLX TRI-PORT III 4MMX30CM,711.0,568.8,188.06,639.9,26
RC,0272,CANN HLX TRI-PORT III 5MMX22CM,756.0,604.8,199.96,680.4,26
RC,0272,CANN HLXTRIPORTIIIREUS4MMX22CM,1955.0,1564.0,517.1,1759.5,26
RC,0272,CANN INFUS PRIMING TRAY 25G,1431.0,1144.8,378.5,1287.9,26
RC,0272,CANN INFUS W TMD UNITY 25G,689.0,551.2,182.24,620.1,26
RC,0272,CANN IRG LASIK F*DISC 6302380*,515.0,412.0,136.22,463.5,26
RC,0272,CANN IRG SOFT SIL FLAT TIP 23G,307.0,245.6,81.2,276.3,26
RC,0272,CANN KT FLUSHFIT DISP XL,2360.0,1888.0,624.22,2124.0,26
RC,0272,CANN MERCEDES 4MMX30CM,711.0,568.8,188.06,639.9,26
RC,0272,CANN MID/PSTR ZONE NVGTR LFT,1403.0,1122.4,371.09,1262.7,26
RC,0272,CANN MID/PSTR ZONE NVGTR RT,330.0,264.0,87.29,297.0,26
RC,0272,CANN MIRCSP W INTR 13FR*D*NLU*,2888.0,2310.4,763.88,2599.2,26
RC,0272,CANN MULT HL 360D 3MMX30C*NLU*,523.0,418.4,138.33,470.7,26
RC,0272,CANN NANO ARTHRO 2.7MMX4CM,743.0,594.4,196.52,668.7,26
RC,0272,CANN NANONDLE SCP ARTX 50MM,743.0,594.4,196.52,668.7,26
RC,0272,CANN NASAL CO2 SAMP OPTIFLOWLG,325.0,260.0,85.96,292.5,26
RC,0272,CANN NASAL CO2 SAMP OPTIFLOWMD,325.0,260.0,85.96,292.5,26
RC,0272,CANN NASAL OPTIFLOW JR 2 LG,429.0,343.2,113.47,386.1,26
RC,0272,CANN NASAL OPTIFLOW JR 2 XL,429.0,343.2,113.47,386.1,26
RC,0272,CANN NASAL OPTIFLOW JR 2 XS,429.0,343.2,113.47,386.1,26
RC,0272,CANN OBTR FLOWPORT II FOR ARTX,3254.0,2603.2,860.68,2928.6,26
RC,0272,CANN OBTR FLOWPORT STRY165MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,CANN OBTR FLOWPORTII STRY165MM,3320.0,2656.0,878.14,2988.0,26
RC,0272,CANN OBTR SMTH LIME 8.0X72MM,480.0,384.0,126.96,432.0,26
RC,0272,CANN OBTR THRD LIME 8.0X72MM,480.0,384.0,126.96,432.0,26
RC,0272,CANN OPH BLNT 25GX32MM,494.0,395.2,130.66,444.6,26
RC,0272,CANN OPH DUAL BORE 23G,486.0,388.8,128.55,437.4,26
RC,0272,CANN OPH DUAL BORE 25G,486.0,388.8,128.55,437.4,26
RC,0272,CANN OPH DUALBORE SIDEFLO 25G,494.0,395.2,130.66,444.6,26
RC,0272,CANN OPH POLYTIP 23G/38G *NLU*,448.0,358.4,118.5,403.2,26
RC,0272,CANN OPTICAL TROC 5X100MM,369.0,295.2,97.6,332.1,26
RC,0272,CANN PLUG INFUS 6MM*NLU*,436.0,348.8,115.32,392.4,26
RC,0272,CANN POLYTIP 25G/38G GRN 2MM,480.0,384.0,126.96,432.0,26
RC,0272,CANN PRFSN RCSP 13FR 11IN,836.0,668.8,221.12,752.4,26
RC,0272,CANN RCSP DLP GDWIRE MANUAL6FR,1400.0,1120.0,370.3,1260.0,26
RC,0272,CANN RCSP DLP GDWIRE SMTH 15FR,836.0,668.8,221.12,752.4,26
RC,0272,CANN RCSP PEDS 13FR,836.0,668.8,221.12,752.4,26
RC,0272,CANN RCSP W INTR 15FR,785.0,628.0,207.63,706.5,26
RC,0272,CANN RETROGRD CRDPLG TXT 15FR,921.0,736.8,243.6,828.9,26
RC,0272,CANN RETROGRD PRESHP 12FR32X18,1114.0,891.2,294.65,1002.6,26
RC,0272,CANN RF ACCURIAN 20G 100X10MM,1020.0,816.0,269.79,918.0,26
RC,0272,CANN RF ACCURIAN 20G 150X10MM,1020.0,816.0,269.79,918.0,26
RC,0272,CANN RF ST HYBRID 18G 5X150MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,CANN RF ST HYBRID 18G 5X54MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,CANN RF VENOM CVD 18G 100MM,460.0,368.0,121.67,414.0,26
RC,0272,CANN RF VENOM CVD 18G 150MM,460.0,368.0,121.67,414.0,26
RC,0272,CANN RF VENOM CVD 20G 150MM,460.0,368.0,121.67,414.0,26
RC,0272,CANN RX RAPID EXCHANGE XL,500.0,400.0,132.25,450.0,26
RC,0272,CANN SEAL DISP ROB SI BLK8.5MM,400.0,320.0,105.8,360.0,26
RC,0272,CANN SILS PORT FLEX 5-12MM,2711.0,2168.8,717.06,2439.9,26
RC,0272,CANN SLV KII ADV FIX 5X150MM,589.0,471.2,155.79,530.1,26
RC,0272,CANN SLV KII Z 12X100MM,665.0,532.0,175.89,598.5,26
RC,0272,CANN SLV KII Z 5X100MM,589.0,471.2,155.79,530.1,26
RC,0272,CANN SLV KII Z 5X150MM,589.0,471.2,155.79,530.1,26
RC,0272,CANN SPATULA 3HL 3MMX15CM,523.0,418.4,138.33,470.7,26
RC,0272,CANN STYLET NEXFRAME 15MM,1664.0,1331.2,440.13,1497.6,26
RC,0272,CANN SUBRETINAL DISP 25GA,1247.0,997.6,329.83,1122.3,26
RC,0272,CANN SUBRETINAL INJ STER 25G,810.0,648.0,214.25,729.0,26
RC,0272,CANN SWING TIP 4.5FR,1454.0,1163.2,384.58,1308.6,26
RC,0272,CANN TIP CONT 5FR 210CM,450.0,360.0,119.03,405.0,26
RC,0272,CANN TOME TAPER 6-5 FR 32*NLU*,1471.0,1176.8,389.08,1323.9,26
RC,0272,CANN TRI-PORT II 3MMX30MM,634.0,507.2,167.69,570.6,26
RC,0272,CANN TRI-PORT II 4MMX22CM,725.0,580.0,191.76,652.5,26
RC,0272,CANN TRIPORTIIREUS270D3MM*NLU*,1870.0,1496.0,494.62,1683.0,26
RC,0272,CANN TRNSPRT 1-2-3 8MM,852.0,681.6,225.35,766.8,26
RC,0272,CANN TRNSPRT 4-5-6 8MM,852.0,681.6,225.35,766.8,26
RC,0272,CANN TRNSPRT 7-8-9 8MM,852.0,681.6,225.35,766.8,26
RC,0272,CANN TWIST-IN TRPL DAM 7MMX7CM,352.0,281.6,93.1,316.8,26
RC,0272,CANN TWIST-IN TRPLDAM8.25X70MM,352.0,281.6,93.1,316.8,26
RC,0272,CANN TWIST-INTRPLNOVALV7MMX7CM,352.0,281.6,93.1,316.8,26
RC,0272,CANN VALVED ENTRY SYS 25G 6MM,712.0,569.6,188.32,640.8,26
RC,0272,CANN VEN 8FR19CM*DISC 6331908*,2106.0,1684.8,557.04,1895.4,26
RC,0272,CANN VEN FEM RED*DISC 6339026*,2149.0,1719.2,568.41,1934.1,26
RC,0272,CANN VEN FEM RED*DISC 6339027*,2149.0,1719.2,568.41,1934.1,26
RC,0272,CANN VEN MALLEA SGL STAGE 24FR,371.0,296.8,98.13,333.9,26
RC,0272,CANN VEN MALLEA SGL STAGE 28FR,371.0,296.8,98.13,333.9,26
RC,0272,CANN VEN MALLEA SGL STAGE 32FR,385.0,308.0,101.83,346.5,26
RC,0272,CANN VEN NEXTGEN PEDS8FR10.0CM,2376.0,1900.8,628.45,2138.4,26
RC,0272,CANN VEN NEXTGENPEDS10FR10.5CM,2376.0,1900.8,628.45,2138.4,26
RC,0272,CANN VEN NEXTGENPEDS12FR10.0CM,2376.0,1900.8,628.45,2138.4,26
RC,0272,CANN VEN NEXTGENPEDS14FR11.5CM,2376.0,1900.8,628.45,2138.4,26
RC,0272,CANN VEN QK DRAW 22FRX65CM,4000.0,3200.0,1058.0,3600.0,26
RC,0272,CANN VEN RETURN 2STAGE 36X46,613.0,490.4,162.14,551.7,26
RC,0272,CANN VEN RETURN 3STAGE 29FR,864.0,691.2,228.53,777.6,26
RC,0272,CANN VEN RETURN 3STAGE NO DOP,864.0,691.2,228.53,777.6,26
RC,0272,CANN VEN RT ANG METAL TIP 24FR,403.0,322.4,106.59,362.7,26
RC,0272,CANN VEN RT ANG METAL TIP 28FR,403.0,322.4,106.59,362.7,26
RC,0272,CANN VEN RT ANG METAL TIP 31FR,403.0,322.4,106.59,362.7,26
RC,0272,CANN VEN RT ANG METAL TIP*NLU*,304.0,243.2,80.41,273.6,26
RC,0272,CANN VEN SGL STAGE 28FR,311.0,248.8,82.26,279.9,26
RC,0272,CANN VEN SGL STAGE 34FR,311.0,248.8,82.26,279.9,26
RC,0272,CANN VEN SGL STAGE 36FR,311.0,248.8,82.26,279.9,26
RC,0272,CANN VEN THIN FLEX 29/37/37FR,646.0,516.8,170.87,581.4,26
RC,0272,CANN VEN TRIM FLEX 29-37FR,646.0,516.8,170.87,581.4,26
RC,0272,CANN VEN WIRE 14FR,311.0,248.8,82.26,279.9,26
RC,0272,CANN VEN WIRE 16FR,311.0,248.8,82.26,279.9,26
RC,0272,CANN VEN WIRE 18FR,311.0,248.8,82.26,279.9,26
RC,0272,CANN VEN WIRE 20FR,311.0,248.8,82.26,279.9,26
RC,0272,CANN VEN WIRE 22FR,311.0,248.8,82.26,279.9,26
RC,0272,CANN VEN WIRE 24FR,311.0,248.8,82.26,279.9,26
RC,0272,CANN VEN10FR19CM*DISC 6331909*,2106.0,1684.8,557.04,1895.4,26
RC,0272,CANN VEN12FR19CM*DISC 6331910*,2106.0,1684.8,557.04,1895.4,26
RC,0272,CANN VEN14FR19CM*DISC 6331914*,2106.0,1684.8,557.04,1895.4,26
RC,0272,CANNFEMVENBIOMEDICUS25FR76.2CM,3279.0,2623.2,867.3,2951.1,26
RC,0272,CANNFEMVENBIOMEDICUS27FR76.2CM,3279.0,2623.2,867.3,2951.1,26
RC,0272,CANNFEMVENBIOMEDICUS29FR76.2CM,3279.0,2623.2,867.3,2951.1,26
RC,0272,CANNULA WITH ENDOMETRIAL SUCTI,1576.0,1260.8,416.85,1418.4,26
RC,0272,CAP CANN OBTR BLDLES LNG 8MM,914.0,731.2,241.75,822.6,26
RC,0272,CAP CANN OBTR BLDLES STD 8MM,914.0,731.2,241.75,822.6,26
RC,0272,CAP PROTECT TIP BLU 5.0MM,414.0,331.2,109.5,372.6,26
RC,0272,CAP PROTECT TIP WHT 4.0MM,402.0,321.6,106.33,361.8,26
RC,0272,CAP PROVOX HME,547.0,437.6,144.68,492.3,26
RC,0272,CAP SCREW RAIL AMDT,935.0,748.0,247.31,841.5,26
RC,0272,CAPSULE PILLCAM GENIUS SB KT,3790.0,3032.0,1002.46,3411.0,26
RC,0272,CARTRDG 5*USE 6121941 6173564*,570.0,456.0,150.77,513.0,26
RC,0272,CARTRDG DRIV FEMALE 3.2MM,3000.0,2400.0,793.5,2700.0,26
RC,0272,CARTRDG GRSPR 5MMX38CM,665.0,532.0,175.89,598.5,26
RC,0272,CARTRDG GRSPR 5MMX45CM,665.0,532.0,175.89,598.5,26
RC,0272,CARTRDG INJECTOR II,2480.0,1984.0,655.96,2232.0,26
RC,0272,CARTRDG PUMP PLUS ERBEJET 2,1267.0,1013.6,335.12,1140.3,26
RC,0272,CARTRDG SNAPTHERAPY125MMHG60,1178.0,942.4,311.58,1060.2,26
RC,0272,CARTRDG VAC SNAP PLUS150ML,1777.0,1421.6,470.02,1599.3,26
RC,0272,CASSETTE HD DISP 14MM,1009.0,807.2,266.88,908.1,26
RC,0272,CASSETTE HD DISP 16MM,1009.0,807.2,266.88,908.1,26
RC,0272,CASSETTE IRG DISP STRY CORE,460.0,368.0,121.67,414.0,26
RC,0272,CASSETTE PURGE GEN 2 IMPELLA,1700.0,1360.0,449.65,1530.0,26
RC,0272,CASSETTE VAC VERALINK,499.0,399.2,131.99,449.1,26
RC,0272,CAST KT CUTIMED OFF-LOADSELECT,772.0,617.6,204.19,694.8,26
RC,0272,CATH ABD SGL SENS 7FR,703.0,562.4,185.94,632.7,26
RC,0272,CATH ABL FREEZOR XT3 MD 6MM,5625.0,4500.0,1487.81,5062.5,26
RC,0272,CATH ACCESS DEL DSII SPYSCOPE,11025.0,8820.0,2916.11,9922.5,26
RC,0272,CATH AIR-CHARGED ABD*NLU*,418.0,334.4,110.56,376.2,26
RC,0272,CATH ANGI BERMAN 5FR 80CM,1887.0,1509.6,499.11,1698.3,26
RC,0272,CATH ANGI BERMAN 6FR 90CM,2023.0,1618.4,535.08,1820.7,26
RC,0272,CATH ANGI BERMAN 7FR 110CM,2023.0,1618.4,535.08,1820.7,26
RC,0272,CATH ANGIO BERMA*DISC 6141798*,1887.0,1509.6,499.11,1698.3,26
RC,0272,CATH ANGIO BERMAN 7FR 90C*NLU*,1887.0,1509.6,499.11,1698.3,26
RC,0272,CATH ASPIR 2.3MMX240CM,400.0,320.0,105.8,360.0,26
RC,0272,CATH ASPIR 2.5MMX108CM*NLU*,484.0,387.2,128.02,435.6,26
RC,0272,CATH ASPIR AXS VECTA71 11*NLU*,10125.0,8100.0,2678.06,9112.5,26
RC,0272,CATH ASPIR AXS VECTA71 12*NLU*,8789.0,7031.2,2324.69,7910.1,26
RC,0272,CATH AXS OFFSET 0.05INX150CM,5753.0,4602.4,1521.67,5177.7,26
RC,0272,CATH AXS OFFSET 150CMX0.0*NLU*,4725.0,3780.0,1249.76,4252.5,26
RC,0272,CATH BEACON VANC3 0.035 5FR 65,334.0,267.2,88.34,300.6,26
RC,0272,CATH BEACON VANC3 0.035 5FR125,610.0,488.0,161.35,549.0,26
RC,0272,CATH BERN 0.035 *DISC 6343816*,462.0,369.6,122.2,415.8,26
RC,0272,CATH BERN 0.035 4FR 130CM,1256.0,1004.8,332.21,1130.4,26
RC,0272,CATH BICAVAL DL ELITE 31FR31CM,9356.0,7484.8,2474.66,8420.4,26
RC,0272,CATH BLADDER DUAL SENS 7FR,937.0,749.6,247.84,843.3,26
RC,0272,CATH BLADDER DUAL SENS LAMT7FR,937.0,749.6,247.84,843.3,26
RC,0272,CATH BLADDER PRSS SGL SEN*NLU*,446.0,356.8,117.97,401.4,26
RC,0272,CATH BLN ACARDIA STEER 10GX20,9818.0,7854.4,2596.86,8836.2,26
RC,0272,CATH BLN ACARDIA STEER 10MM,7452.0,5961.6,1971.05,6706.8,26
RC,0272,CATH BLN ACARDIA STEERLKCANN15,9818.0,7854.4,2596.86,8836.2,26
RC,0272,CATH BLN BILI FOGARTY 5FR 40,686.0,548.8,181.45,617.4,26
RC,0272,CATH BLN BILI FOGARTY 6FR 40,686.0,548.8,181.45,617.4,26
RC,0272,CATH BLN BRIDGE OCCL 80MM,4523.0,3618.4,1196.33,4070.7,26
RC,0272,CATH BLN CHARTIS 13MM 72CM,5333.0,4266.4,1410.58,4799.7,26
RC,0272,CATH BLN MOLD OCCL 10-37MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,CATH BLN NASAL EPISTAT,1021.0,816.8,270.05,918.9,26
RC,0272,CATH BLN TAMPONADE BT-CATH,1156.0,924.8,305.76,1040.4,26
RC,0272,CATH BLN TRI LOBE GORE*NLU*,4410.0,3528.0,1166.45,3969.0,26
RC,0272,CATH BLN WDG 5FR 110CM,1156.0,924.8,305.76,1040.4,26
RC,0272,CATH BLN WDG 5FR 60CM,1156.0,924.8,305.76,1040.4,26
RC,0272,CATH BLN WDG 6FR 110CM,684.0,547.2,180.92,615.6,26
RC,0272,CATH BLN WDG 7FR 110CM,694.0,555.2,183.56,624.6,26
RC,0272,CATH BLN WEDGE 4FR 60CM*NLU*,1063.0,850.4,281.16,956.7,26
RC,0272,CATH BLN WEDGE 6*DISC 6212535*,694.0,555.2,183.56,624.6,26
RC,0272,CATH BOBBY 8.4FR 95CM,7875.0,6300.0,2082.94,7087.5,26
RC,0272,CATH CARDIO MARKER .048 1*NLU*,693.0,554.4,183.3,623.7,26
RC,0272,CATH CARDIO MARKER 5FR 65*NLU*,861.0,688.8,227.73,774.9,26
RC,0272,CATH CARDIO MARKER 6FR 80*NLU*,693.0,554.4,183.3,623.7,26
RC,0272,CATH CHAIT CECOSTOMY 10.2FR20C,1768.0,1414.4,467.64,1591.2,26
RC,0272,CATH CHAIT TRAPDOOR10.2FR*NLU*,1692.0,1353.6,447.53,1522.8,26
RC,0272,CATH CHOLANGIO 4*DISC 6336675*,698.0,558.4,184.62,628.2,26
RC,0272,CATH CHOLANGIO CLS 4FR 23CM,460.0,368.0,121.67,414.0,26
RC,0272,CATH CHOLANGIO KUMAR 19G 76CM,398.0,318.4,105.27,358.2,26
RC,0272,CATH CHOLANGIO RANFAC 4FR,580.0,464.0,153.41,522.0,26
RC,0272,CATH CHOLE SCOOP TIP REDDICK,1743.0,1394.4,461.02,1568.7,26
RC,0272,CATH COILED DL AQUADEX CDELC,720.0,576.0,190.44,648.0,26
RC,0272,CATH COMFORTEC PH*NLU*,570.0,456.0,150.77,513.0,26
RC,0272,CATH DEL ENDOBRONCHIAL 4.0,3955.0,3164.0,1046.1,3559.5,26
RC,0272,CATH DEL ENDOBRONCHIAL DM 5.5,3955.0,3164.0,1046.1,3559.5,26
RC,0272,CATH DEL ENDOBRONCHIAL J 4.0,3955.0,3164.0,1046.1,3559.5,26
RC,0272,CATH DEL SYS ENV*DISC NO REPL*,9495.0,7596.0,2511.43,8545.5,26
RC,0272,CATH DIG SPYGLASS 65CM 3.5MM,9625.0,7700.0,2545.81,8662.5,26
RC,0272,CATH DIL VAN ANDEL 6.3FR *NLU*,576.0,460.8,152.35,518.4,26
RC,0272,CATH DL TD SWAN GANZ COMBO 8FR,4336.0,3468.8,1146.87,3902.4,26
RC,0272,CATH DL TD SWAN GANZCOMBO7.5FR,4431.0,3544.8,1172.0,3987.9,26
RC,0272,CATH DRN BILI MACLOC EXT 12FR,891.0,712.8,235.67,801.9,26
RC,0272,CATH DRN PIGT URES 6FR 12CM,618.0,494.4,163.46,556.2,26
RC,0272,CATH ECLS DRN MINI 11FR 10.5CM,3120.0,2496.0,825.24,2808.0,26
RC,0272,CATH ECLS DRN MINI 13FR 11.0CM,3120.0,2496.0,825.24,2808.0,26
RC,0272,CATH ECLS DRN MINI 15FR 11.5CM,3120.0,2496.0,825.24,2808.0,26
RC,0272,CATH ECLS DRN MINI 9FR 10.0CM,3120.0,2496.0,825.24,2808.0,26
RC,0272,CATH ECLS FLEX 15FR 18.0CM,3600.0,2880.0,952.2,3240.0,26
RC,0272,CATH ECLS FLEX 17FR 18.0CM,3600.0,2880.0,952.2,3240.0,26
RC,0272,CATH ECLS FLEX 19FR 18.0CM,3600.0,2880.0,952.2,3240.0,26
RC,0272,CATH ECLS FLEX 21FR 18.0CM,3600.0,2880.0,952.2,3240.0,26
RC,0272,CATH ECLS FLEX 25FR 18.0CM,3600.0,2880.0,952.2,3240.0,26
RC,0272,CATH ECLS FLEX XL 15FR 50.0CM,3675.0,2940.0,972.04,3307.5,26
RC,0272,CATH ECLS FLEX XL 17FR 50.0CM,3675.0,2940.0,972.04,3307.5,26
RC,0272,CATH ECLS FLEX XL 19FR 50.0CM,3675.0,2940.0,972.04,3307.5,26
RC,0272,CATH ECLS FLEX XL 21FR 50.0CM,3675.0,2940.0,972.04,3307.5,26
RC,0272,CATH ECLS FLEX XL 23FR 50.0CM,3675.0,2940.0,972.04,3307.5,26
RC,0272,CATH ECLS FLEX XL 25FR 50.0CM,3675.0,2940.0,972.04,3307.5,26
RC,0272,CATH ECLS MULT XL 21FR 55CM,3920.0,3136.0,1036.84,3528.0,26
RC,0272,CATH ECLS MULT XL 23FR 61CM,3920.0,3136.0,1036.84,3528.0,26
RC,0272,CATH ECLS MULT XL 25FR 61CM,3920.0,3136.0,1036.84,3528.0,26
RC,0272,CATH ECLS MULT XL 27FR 61CM,3920.0,3136.0,1036.84,3528.0,26
RC,0272,CATH ECLS MULT XL 29FR 61CM,3920.0,3136.0,1036.84,3528.0,26
RC,0272,CATH ECLS RETURN MINI 11FR10.5,3120.0,2496.0,825.24,2808.0,26
RC,0272,CATH ECLS RETURN MINI 13FR11.0,3120.0,2496.0,825.24,2808.0,26
RC,0272,CATH ECLS RETURN MINI 15FR11.5,3120.0,2496.0,825.24,2808.0,26
RC,0272,CATH ECLS RETURN MINI 9FR 10.0,3120.0,2496.0,825.24,2808.0,26
RC,0272,CATH ECMO REINF *DISC 6221495*,4800.0,3840.0,1269.6,4320.0,26
RC,0272,CATH ECMO REINF *DISC 6244117*,3675.0,2940.0,972.04,3307.5,26
RC,0272,CATH ECMO REINF *DISC 6264671*,3400.0,2720.0,899.3,3060.0,26
RC,0272,CATH ECMO REINF *DISC 6296546*,4375.0,3500.0,1157.19,3937.5,26
RC,0272,CATH ECMO REINF *DISC 6296547*,4900.0,3920.0,1296.05,4410.0,26
RC,0272,CATH EDM VENT 1.5MM 33CM,2149.0,1719.2,568.41,1934.1,26
RC,0272,CATH EMBOL ART FOGARTY TB7FR80,475.0,380.0,125.64,427.5,26
RC,0272,CATH EMBOL AXS VECTA 71 132CM,9736.0,7788.8,2575.17,8762.4,26
RC,0272,CATH EMBOL AXS VECTA 74 115CM,9873.0,7898.4,2611.41,8885.7,26
RC,0272,CATH EMBRYO GUARDIA CURV17.3CM,584.0,467.2,154.47,525.6,26
RC,0272,CATH EMBRYO TRANS TRIAL 1*NLU*,488.0,390.4,129.08,439.2,26
RC,0272,CATH EMER JET VENT ADLT 13G,1017.0,813.6,269.0,915.3,26
RC,0272,CATH EMER JET VENT CHILD 14G,1017.0,813.6,269.0,915.3,26
RC,0272,CATH EMER JET VENT INFANT 16G,882.0,705.6,233.29,793.8,26
RC,0272,CATH ETT AIRW EXCH 14FR 70CM,1270.0,1016.0,335.92,1143.0,26
RC,0272,CATH ETT AIRW EXCH 14FR 83CM,653.0,522.4,172.72,587.7,26
RC,0272,CATH EXCEL MICRO SL10 150CM,5679.0,4543.2,1502.1,5111.1,26
RC,0272,CATH EXCEL MICRO XT-27 ST 150,6238.0,4990.4,1649.95,5614.2,26
RC,0272,CATH EXCELMICRO XT-27FLEXST150,6238.0,4990.4,1649.95,5614.2,26
RC,0272,CATH FOLEY CNCL DOVER SIL 18FR,418.0,334.4,110.56,376.2,26
RC,0272,CATH FOLEY COUDE 3W 24FR 30CC,303.0,242.4,80.14,272.7,26
RC,0272,CATH FOLEY DOVER COUDE 20FR 30,303.0,242.4,80.14,272.7,26
RC,0272,CATH FOLEY EDELMAN 16FR 5CC,395.0,316.0,104.48,355.5,26
RC,0272,CATH FOLEY SIMPLST 3W 24FR75CC,382.0,305.6,101.04,343.8,26
RC,0272,CATH FOLEY TEMP 400 SER 10FR,462.0,369.6,122.2,415.8,26
RC,0272,CATH FOLEY TEMP 400 SER 8FR,462.0,369.6,122.2,415.8,26
RC,0272,CATH FOLEY TEMP SIL 2W 8FR 5CC,325.0,260.0,85.96,292.5,26
RC,0272,CATH FUSN BIL DILATORDOME7-5FR,986.0,788.8,260.8,887.4,26
RC,0272,CATH GD LAUNCH MB1 6FR 100CM,410.0,328.0,108.45,369.0,26
RC,0272,CATH GD ZOOM 88-T 6FR-8FR110CM,11183.0,8946.4,2957.9,10064.7,26
RC,0272,CATH GLIDE ANG 5FR 65CM,537.0,429.6,142.04,483.3,26
RC,0272,CATH GLIDE H1 5FR 100CM,537.0,429.6,142.04,483.3,26
RC,0272,CATH GLIDE MANI 4FR 100CM*NLU*,481.0,384.8,127.22,432.9,26
RC,0272,CATH GLIDE MP 5FR 100CM,537.0,429.6,142.04,483.3,26
RC,0272,CATH GLIDE ST 4FR 65CM,537.0,429.6,142.04,483.3,26
RC,0272,CATH GLIDE ST 5FR 65CM,537.0,429.6,142.04,483.3,26
RC,0272,CATH GLIDE XP SIM2 5FR 10*NLU*,482.0,385.6,127.49,433.8,26
RC,0272,CATH GOODALE-LUBIN 6FR*DISC*,499.0,399.2,131.99,449.1,26
RC,0272,CATH GOODALE-LUBIN 7FR 10*NLU*,499.0,399.2,131.99,449.1,26
RC,0272,CATH H/S INTGRTD STYLET 5FR,409.0,327.2,108.18,368.1,26
RC,0272,CATH HDHUNTER1 0.038 5FR 140CM,477.0,381.6,126.17,429.3,26
RC,0272,CATH HEMODIA*DISC 6318976*,1743.0,1394.4,461.02,1568.7,26
RC,0272,CATH IAB REDIGUARD 7FR 30CC,5010.0,4008.0,1325.15,4509.0,26
RC,0272,CATH IAB REDIGUARD 8FR 40CC,5880.0,4704.0,1555.26,5292.0,26
RC,0272,CATH IAB REDIGUARD 8FR 50CC,6795.0,5436.0,1797.28,6115.5,26
RC,0272,CATH IAB ULTRA8 FLUID 8FR 30CC,5280.0,4224.0,1396.56,4752.0,26
RC,0272,CATH IAB ULTRA8 FLUID 8FR 40CC,4928.0,3942.4,1303.46,4435.2,26
RC,0272,CATH IAB ULTRAFLEX 8FR 50CC,8078.0,6462.4,2136.63,7270.2,26
RC,0272,CATH ICP DRN GD NEUROVENT9FR,5216.0,4172.8,1379.63,4694.4,26
RC,0272,CATH ICP DRN NEUROVENT 9FR,5216.0,4172.8,1379.63,4694.4,26
RC,0272,CATH ICP DRNTEMPNEUROVENT9FR,5783.0,4626.4,1529.6,5204.7,26
RC,0272,CATH ICP NEUROVENT-P 5FR,4725.0,3780.0,1249.76,4252.5,26
RC,0272,CATH IMPEDENCE PH ADLT 18CM,893.0,714.4,236.2,803.7,26
RC,0272,CATH INTH KT PUMP ASCENDA 73CM,4473.0,3578.4,1183.11,4025.7,26
RC,0272,CATH INTH KT SPNL ASCENDA 86CM,4914.0,3931.2,1299.75,4422.6,26
RC,0272,CATH INTHRILL 4-10MMX65CM,9900.0,7920.0,2618.55,8910.0,26
RC,0272,CATH INTR CHOLANGIO 4.5FR 18IN,787.0,629.6,208.16,708.3,26
RC,0272,CATH INTR CHOLANGIO 6.5FR 18IN,876.0,700.8,231.7,788.4,26
RC,0272,CATH INTR CHOLANGIO 7.5FR 18IN,834.0,667.2,220.59,750.6,26
RC,0272,CATH INTR PERITON 7.5FR 3.5IN,476.0,380.8,125.9,428.4,26
RC,0272,CATH INTUB AINTRE19FR56CM*CIP*,585.0,468.0,154.73,526.5,26
RC,0272,CATH IVL M5 SHWV 3.5X60MM*NLU*,9625.0,7700.0,2545.81,8662.5,26
RC,0272,CATH IVL M5 SHWV 4.0X60MM*NLU*,9625.0,7700.0,2545.81,8662.5,26
RC,0272,CATH IVL M5 SHWV 4.5X60MM*NLU*,9625.0,7700.0,2545.81,8662.5,26
RC,0272,CATH IVL M5 SHWV*DISC 6328434*,12075.0,9660.0,3193.84,10867.5,26
RC,0272,CATH IVL M5 SHWV*DISC 6328435*,12075.0,9660.0,3193.84,10867.5,26
RC,0272,CATH IVL M5 SHWV*DISC 6328436*,12075.0,9660.0,3193.84,10867.5,26
RC,0272,CATH IVL M5 SHWV*DISC 6328437*,12075.0,9660.0,3193.84,10867.5,26
RC,0272,CATH IVL M5 SHWV*DISC 6328438*,12075.0,9660.0,3193.84,10867.5,26
RC,0272,CATH IVL M5+ SHWV 5.0X60MM,12075.0,9660.0,3193.84,10867.5,26
RC,0272,CATH IVL M5+ SHWV 6.0X60MM,12075.0,9660.0,3193.84,10867.5,26
RC,0272,CATH IVL M5+ SHWV 7.0X60MM,12075.0,9660.0,3193.84,10867.5,26
RC,0272,CATH IVL M5+ SHWV 8.0X60MM,12075.0,9660.0,3193.84,10867.5,26
RC,0272,CATH IVL S2.5X40*DISC 6324595*,9625.0,7700.0,2545.81,8662.5,26
RC,0272,CATH IVL S3.0X40*DISC 6324595*,9625.0,7700.0,2545.81,8662.5,26
RC,0272,CATH IVL S4 SHWV*DISC 6324597*,9625.0,7700.0,2545.81,8662.5,26
RC,0272,CATH IVL S4.0X40*DISC 6324598*,9625.0,7700.0,2545.81,8662.5,26
RC,0272,CATH JET VENT 13G*USE 6171734*,810.0,648.0,214.25,729.0,26
RC,0272,CATH JET VENT 14G*USE 6172799*,810.0,648.0,214.25,729.0,26
RC,0272,CATH JET VENT 16G*USE 6296182*,810.0,648.0,214.25,729.0,26
RC,0272,CATH JUG DL CRESCENT 24FR,11250.0,9000.0,2975.63,10125.0,26
RC,0272,CATH JUG DL RA CRESCENT 13FR,10150.0,8120.0,2684.68,9135.0,26
RC,0272,CATH JUG DL RA CRESCENT 15FR,10150.0,8120.0,2684.68,9135.0,26
RC,0272,CATH JUG DL RA CRESCENT 19FR,10150.0,8120.0,2684.68,9135.0,26
RC,0272,CATH KCH FETAL BLADDER DR*NLU*,918.0,734.4,242.81,826.2,26
RC,0272,CATH KT ART 0.025 18G 6CM,875.0,700.0,231.44,787.5,26
RC,0272,CATH KT ART 20G 12CM,316.0,252.8,83.58,284.4,26
RC,0272,CATH KT ART SFTY 18GA 16CM,518.0,414.4,137.01,466.2,26
RC,0272,CATH KT BASIC DURAFLOW2 24CM,2125.0,1700.0,562.06,1912.5,26
RC,0272,CATH KT DL ST 12FR 20CM,677.0,541.6,179.07,609.3,26
RC,0272,CATH KT EXTL REPAIR FLEX-NECK,765.0,612.0,202.34,688.5,26
RC,0272,CATH LG BORE 125CM*NLU*,8760.0,7008.0,2317.02,7884.0,26
RC,0272,CATH LG BORE 132CM*NLU*,8866.0,7092.8,2345.06,7979.4,26
RC,0272,CATH MICRO MARKSMAN 150CM,5376.0,4300.8,1421.95,4838.4,26
RC,0272,CATH ML TD SWAN GANZ VIP 7.5FR,1615.0,1292.0,427.17,1453.5,26
RC,0272,CATH MP PEDS 0.030 3.3FR 60CM,1063.0,850.4,281.16,956.7,26
RC,0272,CATH MULTI-TRACK 5X100,615.0,492.0,162.67,553.5,26
RC,0272,CATH NAVVUS II RX 26CM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,CATH NPHRSTMY FADER 12FR *NLU*,1421.0,1136.8,375.85,1278.9,26
RC,0272,CATH NVGTN ISAAC SIM2 3D 6.3FR,3600.0,2880.0,952.2,3240.0,26
RC,0272,CATH OPTITORQ JACKY3.5 5FR 110,400.0,320.0,105.8,360.0,26
RC,0272,CATH OPTITORQ JR3.5 5FR 100,320.0,256.0,84.64,288.0,26
RC,0272,CATH OPTITORQ JR4.0 5FR 100,320.0,256.0,84.64,288.0,26
RC,0272,CATH OPTITORQ SARAH4.0 5FR 110,400.0,320.0,105.8,360.0,26
RC,0272,CATH OUTBA6FR120*DISC 6263045*,9675.0,7740.0,2559.04,8707.5,26
RC,0272,CATH OUTBACK ELITE 120CM,7875.0,6300.0,2082.94,7087.5,26
RC,0272,CATH OXMTR CENTVE*USE 6279686*,2840.0,2272.0,751.18,2556.0,26
RC,0272,CATH PACING KT TEMP 5FR 110CM,3865.0,3092.0,1022.29,3478.5,26
RC,0272,CATH PERC SELECT SITE5.6FR40CM,3200.0,2560.0,846.4,2880.0,26
RC,0272,CATH PERITON CFS BARIUM 120CM,1207.0,965.6,319.25,1086.3,26
RC,0272,CATH PERITON CURL 39CM,684.0,547.2,180.92,615.6,26
RC,0272,CATH PERITON CURL 60CM,636.0,508.8,168.22,572.4,26
RC,0272,CATH PERITON CURL 62CM,613.0,490.4,162.14,551.7,26
RC,0272,CATH PH VERSAFLEX 7R1.5,963.0,770.4,254.71,866.7,26
RC,0272,CATH PH VERSAFLEX 7R2.0*NLU*,450.0,360.0,119.03,405.0,26
RC,0272,CATH PH VERSAFLEX Z SGL 6FR,920.0,736.0,243.34,828.0,26
RC,0272,CATH PHENOM 27 150CM,5700.0,4560.0,1507.65,5130.0,26
RC,0272,CATH PIGT FLUSH 0.035 5FR100CM,379.0,303.2,100.25,341.1,26
RC,0272,CATH PIGT FLUSH 0.038 5FR 70CM,345.0,276.0,91.25,310.5,26
RC,0272,CATH PROBE INJ GLD 10FR 210CM,1828.0,1462.4,483.51,1645.2,26
RC,0272,CATH PROBE INJ GLD 7FR 210CM,1828.0,1462.4,483.51,1645.2,26
RC,0272,CATH PROGREAT GLIDE 2.8FR130CM,4144.0,3315.2,1096.09,3729.6,26
RC,0272,CATH PROGREAT ST 2.7FR 130CM,2800.0,2240.0,740.6,2520.0,26
RC,0272,CATH PTO 2L TEMP NEUROVENT 5FR,10445.0,8356.0,2762.7,9400.5,26
RC,0272,CATH PTO TEMP NEUROVENT 5FR,8936.0,7148.8,2363.57,8042.4,26
RC,0272,CATH PXSLIM DEL 90DEG 0.025IN,5304.0,4243.2,1402.91,4773.6,26
RC,0272,CATH QL SWAN GANZ PACE 7FR,4479.0,3583.2,1184.7,4031.1,26
RC,0272,CATH QL TD SWAN GANZ 7FR,1324.0,1059.2,350.2,1191.6,26
RC,0272,CATH QL TD SWAN GANZ SYN 7FR,4504.0,3603.2,1191.31,4053.6,26
RC,0272,CATH QL TD SWAN GANZ TRUE 5FR,2243.0,1794.4,593.27,2018.7,26
RC,0272,CATH RECTAL KT MACY 15ML,960.0,768.0,253.92,864.0,26
RC,0272,CATH RECTAL MOTILITY,720.0,576.0,190.44,648.0,26
RC,0272,CATH RENEGADE STC ST 20X1*NLU*,3480.0,2784.0,920.46,3132.0,26
RC,0272,CATH RENEGADE STC ST 30X1*NLU*,3226.0,2580.8,853.28,2903.4,26
RC,0272,CATH REPAIR TPN DL 5FR*NLU*,1010.0,808.0,267.15,909.0,26
RC,0272,CATH REPAIR TPN DL 6FR*NLU*,1010.0,808.0,267.15,909.0,26
RC,0272,CATH REPAIR TPN DL 9.0FR,1010.0,808.0,267.15,909.0,26
RC,0272,CATH REPAIR TPN SL 3.0FR*NLU*,1010.0,808.0,267.15,909.0,26
RC,0272,CATH REPAIR TPN SL 6.5FR*NLU*,1010.0,808.0,267.15,909.0,26
RC,0272,CATH REPAIR TPN*DISC NO REPLC*,1010.0,808.0,267.15,909.0,26
RC,0272,CATH RUNWAY IMC 90CM 6FR 90CM,500.0,400.0,132.25,450.0,26
RC,0272,CATH SET WAYNE PTX 14FR 29CM,1890.0,1512.0,499.91,1701.0,26
RC,0272,CATH SIZING 1.8MM*USE 6269913*,983.0,786.4,260.0,884.7,26
RC,0272,CATH SIZING 20CM PIGT 5FR 70CM,1154.0,923.2,305.23,1038.6,26
RC,0272,CATH SIZING 20CM PIGT 5FR100CM,1154.0,923.2,305.23,1038.6,26
RC,0272,CATH SIZING 20CMOMNIFLUSH5FR70,1154.0,923.2,305.23,1038.6,26
RC,0272,CATH SIZING 2CM OMNIFLUSH5FR70,345.0,276.0,91.25,310.5,26
RC,0272,CATH SIZING AUROUS PIGT *DISC*,900.0,720.0,238.05,810.0,26
RC,0272,CATH SIZING AUROUS PIGT5*DISC*,900.0,720.0,238.05,810.0,26
RC,0272,CATH SL SWAN GANZ FEM PACE 5FR,2217.0,1773.6,586.4,1995.3,26
RC,0272,CATH SL SWAN GANZ PACE 5FR,2217.0,1773.6,586.4,1995.3,26
RC,0272,CATH SLIP SHUTTLE SIM2 6.0FR,817.0,653.6,216.1,735.3,26
RC,0272,CATH SLIP SHUTTLE VTK 6.*DISC*,725.0,580.0,191.76,652.5,26
RC,0272,CATH SLIP-CATH KMP 5FR 100CM,549.0,439.2,145.21,494.1,26
RC,0272,CATH SLIP-CATH VERT 5FR 100CM,549.0,439.2,145.21,494.1,26
RC,0272,CATH SLIP-CATH VS1 0.038 5FR80,549.0,439.2,145.21,494.1,26
RC,0272,CATH SOS OMNI1 0.035 5FR 80CM,440.0,352.0,116.38,396.0,26
RC,0272,CATH SOS OMNI2 0*DISC 6330683*,462.0,369.6,122.2,415.8,26
RC,0272,CATH SPHENOCATH NON FLOUR*NLU*,765.0,612.0,202.34,688.5,26
RC,0272,CATH SPRAY MISTIFIER 2.6MMX260,610.0,488.0,161.35,549.0,26
RC,0272,CATH SPYSCOPE AC*DISC 6298413*,4560.0,3648.0,1206.12,4104.0,26
RC,0272,CATH SPYSCOPEACC*DISC 6298413*,11025.0,8820.0,2916.11,9922.5,26
RC,0272,CATH ST FLUSH .035 5FR 20*NLU*,593.0,474.4,156.85,533.7,26
RC,0272,CATH SUCT MINI-BAL SAMP 13FR,476.0,380.8,125.9,428.4,26
RC,0272,CATH SUP TORQ JL6 6FR 100*NLU*,106.0,84.8,28.04,95.4,26
RC,0272,CATH SUP TORQ MULTCUST JR*NLU*,720.0,576.0,190.44,648.0,26
RC,0272,CATH SUP TORQ PIGT 5FR 110CM,678.0,542.4,179.33,610.2,26
RC,0272,CATH SUPERCROSS BRD FT 130CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,CATH SUPERCROSS BRD FT 150CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,CATH SWAN CURL MISSOURI 42CM,1881.0,1504.8,497.52,1692.9,26
RC,0272,CATH SWAN GANZ N*DISC 6275015*,2802.0,2241.6,741.13,2521.8,26
RC,0272,CATH SWAN GANZ PACE 5LUM *NLU*,490.0,392.0,129.61,441.0,26
RC,0272,CATH SWAN MISSOURI LFT 62CM,1812.0,1449.6,479.27,1630.8,26
RC,0272,CATH SWAN MISSOURI RT 62CM,1679.0,1343.2,444.1,1511.1,26
RC,0272,CATH TD TORQUE-LN QL 7FR 110CM,531.0,424.8,140.45,477.9,26
RC,0272,CATH TD WDG DERO QL 5FR,738.0,590.4,195.2,664.2,26
RC,0272,CATH TEMP KT HEP QUATTRO 45CM,4553.0,3642.4,1204.27,4097.7,26
RC,0272,CATH TEMP KT PREM QUATTRO 45CM,4941.0,3952.8,1306.89,4446.9,26
RC,0272,CATH TEMP KT SOLEX7 26CM,5993.0,4794.4,1585.15,5393.7,26
RC,0272,CATH TEMPO AQUA JL3 5FR 100CM,361.0,288.8,95.48,324.9,26
RC,0272,CATH TEMPO VERT 5FR 125CM,303.0,242.4,80.14,272.7,26
RC,0272,CATH THORACIC SI*DISC 6188396*,982.0,785.6,259.74,883.8,26
RC,0272,CATH TL TD SWAN GANZ TRUE 5FR,2243.0,1794.4,593.27,2018.7,26
RC,0272,CATH TL TD SWAN GANZOXMTR7.5FR,2613.0,2090.4,691.14,2351.7,26
RC,0272,CATH TRAY WAYNE PTX 14FR 29CM,2052.0,1641.6,542.75,1846.8,26
RC,0272,CATH TRNSTRACH ADLT 13GA,918.0,734.4,242.81,826.2,26
RC,0272,CATH TRNSTRACH CHILD 14GA,918.0,734.4,242.81,826.2,26
RC,0272,CATH TURNPIKE GLD TIP 135CM,4375.0,3500.0,1157.19,3937.5,26
RC,0272,CATH TURNPIKE LP TIP 135CM,4375.0,3500.0,1157.19,3937.5,26
RC,0272,CATH TURNPIKE LP TIP 150CM,4375.0,3500.0,1157.19,3937.5,26
RC,0272,CATH TURNPIKE SOFT TIP 135CM,3640.0,2912.0,962.78,3276.0,26
RC,0272,CATH TURNPIKE SPIRAL TIP 135CM,4508.0,3606.4,1192.37,4057.2,26
RC,0272,CATH TWIN-PASS TORQ 10D 135CM,3528.0,2822.4,933.16,3175.2,26
RC,0272,CATH UMBLCL DL PU FTPR 3.5FR,335.0,268.0,88.61,301.5,26
RC,0272,CATH UMBLCL DL PU FTPR 5FR,335.0,268.0,88.61,301.5,26
RC,0272,CATH UMBLCL DL PU UTAH 3.5FR,361.0,288.8,95.48,324.9,26
RC,0272,CATH UMBLCL TL PU CARD 5FR,416.0,332.8,110.03,374.4,26
RC,0272,CATH UMBLCL TL PU UTAH 5FR,395.0,316.0,104.48,355.5,26
RC,0272,CATH UMBLCL TRAY DL CARD 5FR,739.0,591.2,195.47,665.1,26
RC,0272,CATH UMBLCL TRAY DL PU CARD3.5,739.0,591.2,195.47,665.1,26
RC,0272,CATH URETRL DL 10FR,1291.0,1032.8,341.47,1161.9,26
RC,0272,CATH UTERINE HSG STYLET 5FR,693.0,554.4,183.3,623.7,26
RC,0272,CATH VASC TRAPLINER 0.056 6FR,4753.0,3802.4,1257.17,4277.7,26
RC,0272,CATH VASC TRAPLINER 0.062 7FR,4753.0,3802.4,1257.17,4277.7,26
RC,0272,CATH VASC TRAPLINER 0.071 8FR,4753.0,3802.4,1257.17,4277.7,26
RC,0272,CATH VENT BARIUM IMPG LG 23CM,1442.0,1153.6,381.41,1297.8,26
RC,0272,CATH VENT BARIUM IMPG STD 23CM,1267.0,1013.6,335.12,1140.3,26
RC,0272,CATH VIANCE CROSSING STD 150CM,7628.0,6102.4,2017.61,6865.2,26
RC,0272,CATH ZOOM VRT 6FR 137CM,3160.0,2528.0,835.82,2844.0,26
RC,0272,CATH ZOOM VTK 6FR 140CM,3160.0,2528.0,835.82,2844.0,26
RC,0272,CAUT 2.3 AQUAMANTYS 6.7MM,3326.0,2660.8,879.73,2993.4,26
RC,0272,CAUT 6.0 AQUAMANTYS 9.5MM,3326.0,2660.8,879.73,2993.4,26
RC,0272,CAUT BIPOLR ISOCOOL 1MM,3068.0,2454.4,811.49,2761.2,26
RC,0272,CAUT BIPOLR ISOCOOL 2MM,3068.0,2454.4,811.49,2761.2,26
RC,0272,CAUT BIPOLR ISOCOOL 8.5X1*NLU*,3392.0,2713.6,897.18,3052.8,26
RC,0272,CAUT BLADE ACE 700 2.5IN*NLU*,1360.0,1088.0,359.72,1224.0,26
RC,0272,CAUT BLNT TIP LIGASURE 37CM,3325.0,2660.0,879.46,2992.5,26
RC,0272,CAUT COBLATOR EVAC XTRA HP,2239.0,1791.2,592.22,2015.1,26
RC,0272,CAUT COBLATOR EXCISE P*NLU*,2056.0,1644.8,543.81,1850.4,26
RC,0272,CAUT COBLATOR II EVAC70 XWAND,2133.0,1706.4,564.18,1919.7,26
RC,0272,CAUT COBLATOR PROCIS LW,4915.0,3932.0,1300.02,4423.5,26
RC,0272,CAUT COBLATOR PROCISE EZ,2165.0,1732.0,572.64,1948.5,26
RC,0272,CAUT COBLATOR PROCISE EZ VIEW,2239.0,1791.2,592.22,2015.1,26
RC,0272,CAUT COBLATOR PROCISE MAX,2111.0,1688.8,558.36,1899.9,26
RC,0272,CAUT COBLATOR PROCISE MLW,4915.0,3932.0,1300.02,4423.5,26
RC,0272,CAUT COBLATOR PROCISE MLW PLAS,4915.0,3932.0,1300.02,4423.5,26
RC,0272,CAUT COBLATOR REFLEX ULT,2098.0,1678.4,554.92,1888.2,26
RC,0272,CAUT COBLATOR REFLEX ULT 45,2098.0,1678.4,554.92,1888.2,26
RC,0272,CAUT CURV MONOP ROB XI RPSB,336.0,268.8,88.87,302.4,26
RC,0272,CAUT DBS AQUAMANTYS 8.7MM,4949.0,3959.2,1309.01,4454.1,26
RC,0272,CAUT DISECT LIGASURE EXACT,3914.0,3131.2,1035.25,3522.6,26
RC,0272,CAUT ELTD BA*DISC 6316947*,1103.0,882.4,291.74,992.7,26
RC,0272,CAUT ELTD BALL 24/26FR 3MM,1169.0,935.2,309.2,1052.1,26
RC,0272,CAUT ELTD COAG ANG PNT 11FR,1212.0,969.6,320.57,1090.8,26
RC,0272,CAUT ELTD COAG BALL 24/26FR5MM,1169.0,935.2,309.2,1052.1,26
RC,0272,CAUT ELTD COAG BALL LNG24/26FR,1532.0,1225.6,405.21,1378.8,26
RC,0272,CAUT ELTD COAG BRL 24/26FR 5MM,1169.0,935.2,309.2,1052.1,26
RC,0272,CAUT ELTD COAG PNT 24/26FR,1002.0,801.6,265.03,901.8,26
RC,0272,CAUT ELTD COAG PNT LNG 24/26FR,1532.0,1225.6,405.21,1378.8,26
RC,0272,CAUT ELTD CU*DISC 6316949*,1087.0,869.6,287.51,978.3,26
RC,0272,CAUT ELTD CUT LOOP ANG 24/26FR,1532.0,1225.6,405.21,1378.8,26
RC,0272,CAUT ELTD CUT LOOP ANG 27/28FR,1169.0,935.2,309.2,1052.1,26
RC,0272,CAUT ELTD CUT LOOP MONOP 24FR,1214.0,971.2,321.1,1092.6,26
RC,0272,CAUT ELTD CUTLOOP THOMASANGYEL,1152.0,921.6,304.7,1036.8,26
RC,0272,CAUT ELTD HULBER*DISC 6295466*,727.0,581.6,192.29,654.3,26
RC,0272,CAUT ELTD LO*DISC 6316954*,1143.0,914.4,302.32,1028.7,26
RC,0272,CAUT ELTD LOOP PEDS ANG 11FR,1212.0,969.6,320.57,1090.8,26
RC,0272,CAUT ELTD LOOP PEDS ANG 13FR,1212.0,969.6,320.57,1090.8,26
RC,0272,CAUT ELTD LOOP RT ANG 24FR,607.0,485.6,160.55,546.3,26
RC,0272,CAUT ELTD LOOP ST 24FR,528.0,422.4,139.66,475.2,26
RC,0272,CAUT ELTD MONOP *DISC 6319198*,1338.0,1070.4,353.9,1204.2,26
RC,0272,CAUT ELTD MONOPSEMI-RIGID1.3MM,3112.0,2489.6,823.12,2800.8,26
RC,0272,CAUT ELTD RO*DISC 6316948*,1494.0,1195.2,395.16,1344.6,26
RC,0272,CAUT ELTD ROLLER 24/26FR 3MM,1584.0,1267.2,418.97,1425.6,26
RC,0272,CAUT ELTD ROLLERBALL BLK,868.0,694.4,229.59,781.2,26
RC,0272,CAUT ELTD VAPORIZATION 24/26FR,3527.0,2821.6,932.89,3174.3,26
RC,0272,CAUT ELTD VERSAP*DISC 6311652*,3299.0,2639.2,872.59,2969.1,26
RC,0272,CAUT ELTD VERSAPO*USE 6311651*,3299.0,2639.2,872.59,2969.1,26
RC,0272,CAUT ELTD VERSAPO*USE 6311653*,3299.0,2639.2,872.59,2969.1,26
RC,0272,CAUT ELTD VERSAPOINT ANG 0D,3834.0,3067.2,1014.09,3450.6,26
RC,0272,CAUT ELTD VERSAPOINT ANG LOOP,3834.0,3067.2,1014.09,3450.6,26
RC,0272,CAUT ELTD VERSAPOINT SPRINGTIP,3669.0,2935.2,970.45,3302.1,26
RC,0272,CAUT ENTCEPS,1795.0,1436.0,474.78,1615.5,26
RC,0272,CAUT ERASER BIPOLR FINE 20-23G,519.0,415.2,137.28,467.1,26
RC,0272,CAUT EVS MINI AQUAMANTYS 3.4MM,4865.0,3892.0,1286.79,4378.5,26
RC,0272,CAUT FORCEPS BIP*DISC 6316460*,270.0,216.0,71.42,243.0,26
RC,0272,CAUT FORCEPS BIP*DISC NO REPL*,2310.0,1848.0,611.0,2079.0,26
RC,0272,CAUT FORCEPS CUTPKSHALO5MM33CM,3992.0,3193.6,1055.88,3592.8,26
RC,0272,CAUT HARMONI*DISC 6247926*,2836.0,2268.8,750.12,2552.4,26
RC,0272,CAUT HOOK MONOP ROB SSRPSB 5MM,130.0,104.0,34.39,117.0,26
RC,0272,CAUT HOOK PERMANENT ROBSI RPSB,143.0,114.4,37.82,128.7,26
RC,0272,CAUT HOOK ROB S RPSB,200.0,160.0,52.9,180.0,26
RC,0272,CAUT HOOK ROB XI RPSB,126.0,100.8,33.33,113.4,26
RC,0272,CAUT HOOK TIP ROB S RPSB 5MM,804.0,643.2,212.66,723.6,26
RC,0272,CAUT INSRT BIPOLR 45D 2MMX20CM,3185.0,2548.0,842.43,2866.5,26
RC,0272,CAUT INSRT BIPOLR 4MMX20CM,3185.0,2548.0,842.43,2866.5,26
RC,0272,CAUT INSRT BIPOLR ANG 45D,3185.0,2548.0,842.43,2866.5,26
RC,0272,CAUT INSRT BIPOLR SHARP TIP,3185.0,2548.0,842.43,2866.5,26
RC,0272,CAUT KNIFE COLD *DISC 6316973*,1181.0,944.8,312.37,1062.9,26
RC,0272,CAUT KNIFE COLD LUDVIK SER ST,1636.0,1308.8,432.72,1472.4,26
RC,0272,CAUT KNIFE COLD PEDS ST 10FR,1477.0,1181.6,390.67,1329.3,26
RC,0272,CAUT KNIFE COLD SICKLE 8FR,1252.0,1001.6,331.15,1126.8,26
RC,0272,CAUT KNIFE COLD ST 8FR,1252.0,1001.6,331.15,1126.8,26
RC,0272,CAUT KNIFE H*DISC 6316946*,945.0,756.0,249.95,850.5,26
RC,0272,CAUT LAP NDLE HI FREQ 0.7MM,1179.0,943.2,311.85,1061.1,26
RC,0272,CAUT LAP PROBE 5MMX28CM*NLU*,3843.0,3074.4,1016.47,3458.7,26
RC,0272,CAUT LIGASUR*DISC 6287508*,3971.0,3176.8,1050.33,3573.9,26
RC,0272,CAUT LIGASURE IMPACT 14D 18CM,3981.0,3184.8,1052.97,3582.9,26
RC,0272,CAUT LIGASURE L-HOOK 37CM,4105.0,3284.0,1085.77,3694.5,26
RC,0272,CAUT MARYLAND LIGASURE 37CM,3658.0,2926.4,967.54,3292.2,26
RC,0272,CAUT MARYLAND LIGASURE 44CM,3508.0,2806.4,927.87,3157.2,26
RC,0272,CAUT MARYLAND LIGASURE LATCH37,3680.0,2944.0,973.36,3312.0,26
RC,0272,CAUT MARYLAND LIGASURE SEAL 23,3681.0,2944.8,973.62,3312.9,26
RC,0272,CAUT MARYLAND LIGASURE SEAL 37,3681.0,2944.8,973.62,3312.9,26
RC,0272,CAUT MARYLAND LIGASURE SEAL 44,4034.0,3227.2,1066.99,3630.6,26
RC,0272,CAUT MBS AQUAMANTYS 9.5MM,4165.0,3332.0,1101.64,3748.5,26
RC,0272,CAUT MICRODEBRID*DISC 6268105*,2348.0,1878.4,621.05,2113.2,26
RC,0272,CAUT MIS MINI FLEX AQUAMANTYS,4865.0,3892.0,1286.79,4378.5,26
RC,0272,CAUT MONO ROB SI RPSB 5MM,215.0,172.0,56.87,193.5,26
RC,0272,CAUT NDLE PK 5MM 33CM,3744.0,2995.2,990.29,3369.6,26
RC,0272,CAUT NDLE PKS 5M*DISC NO REPL*,2632.0,2105.6,696.16,2368.8,26
RC,0272,CAUT PEAK PLAS BLADE 4MM,2128.0,1702.4,562.86,1915.2,26
RC,0272,CAUT PENCIL BIPOLR ST DISP 25G,396.0,316.8,104.74,356.4,26
RC,0272,CAUT PENCIL ROCKERSWITCH SMOKE,308.0,246.4,81.47,277.2,26
RC,0272,CAUT PENCILROCKERSWITCHSMOKE15,328.0,262.4,86.76,295.2,26
RC,0272,CAUT PHOTONBLADE W ILLUM,2478.0,1982.4,655.43,2230.2,26
RC,0272,CAUT PKS PLAS SPATULA 5MM 33CM,2664.0,2131.2,704.63,2397.6,26
RC,0272,CAUT PLASMABLADE X 3MM,2671.0,2136.8,706.48,2403.9,26
RC,0272,CAUT PLASMABLADE X LT 3MM,2814.0,2251.2,744.3,2532.6,26
RC,0272,CAUT SBS AQUAMANTYS 5.0MM,4865.0,3892.0,1286.79,4378.5,26
RC,0272,CAUT SEALER JUSTRIGHT,5100.0,4080.0,1348.95,4590.0,26
RC,0272,CAUT SM JAW LIGASURE 28D,2959.0,2367.2,782.66,2663.1,26
RC,0272,CAUT SONICISION*DISC 6301856*,3560.0,2848.0,941.62,3204.0,26
RC,0272,CAUT SPATULA ROB S RPSB,200.0,160.0,52.9,180.0,26
RC,0272,CAUT SPATULA TIP ROB S RPSB5MM,45.0,36.0,11.9,40.5,26
RC,0272,CAUT SPATULA XI ROB RPSB,126.0,100.8,33.33,113.4,26
RC,0272,CAUT SUCT COAG STD TIP 10FR 6I,100.0,80.0,26.45,90.0,26
RC,0272,CAUT THNDR45CM*DISC NO REPL*,3500.0,2800.0,925.75,3150.0,26
RC,0272,CAUT THNDRBEAT T*DISC NO REPL*,2603.0,2082.4,688.49,2342.7,26
RC,0272,CAUT THNDRBEAT TYPE S FINE20CM,3500.0,2800.0,925.75,3150.0,26
RC,0272,CAUT THNDRBEATTYPESFINE35*CIP*,3500.0,2800.0,925.75,3150.0,26
RC,0272,CAUT THUNDE35CM5*DISC NO REPL*,3500.0,2800.0,925.75,3150.0,26
RC,0272,CAUT THUNDERBEAT OPEN 10CM,3500.0,2800.0,925.75,3150.0,26
RC,0272,CAUT THUNDERBEAT OPEN EXT 20CM,3958.0,3166.4,1046.89,3562.2,26
RC,0272,CAUT THUNDERBEAT X OPENFINE9CM,3384.0,2707.2,895.07,3045.6,26
RC,0272,CAUT THUNDERBEAT*DISC 6298131*,3360.0,2688.0,888.72,3024.0,26
RC,0272,CAUT THUNDERBEAT*DISC 6298132*,3360.0,2688.0,888.72,3024.0,26
RC,0272,CAUT THUNDERBEAT*DISC 6332525*,3384.0,2707.2,895.07,3045.6,26
RC,0272,CAUT TISS FUSN LIGASUREATLAS20,2625.0,2100.0,694.31,2362.5,26
RC,0272,CAUT TISS FUSN LIGASUREATLAS37,2625.0,2100.0,694.31,2362.5,26
RC,0272,CAUT UNIPOLR SUPRALOOP 120X85,2019.0,1615.2,534.03,1817.1,26
RC,0272,CAUT UNIPOLR SUPRALOOP 200X150,2019.0,1615.2,534.03,1817.1,26
RC,0272,CAUT VISICOIL MARKER GLD 1CM,1359.0,1087.2,359.46,1223.1,26
RC,0272,CAUT XL AQUAMANTYS9.5MM,4415.0,3532.0,1167.77,3973.5,26
RC,0272,CBL ACCORD COCR W CLAMP 2.0MM,3172.0,2537.6,838.99,2854.8,26
RC,0272,CBL ACHIEVE *DISC 6291680*,1700.0,1360.0,449.65,1530.0,26
RC,0272,CBL ACHIEVE ADV 10PIN 196CM,1700.0,1360.0,449.65,1530.0,26
RC,0272,CBL BLAZER DX20 DIAG CATH,2343.0,1874.4,619.72,2108.7,26
RC,0272,CBL CARTO3 GRN CONN*NLU*,3696.0,2956.8,977.59,3326.4,26
RC,0272,CBL CATH DX SURELINK 10PIN 210,353.0,282.4,93.37,317.7,26
RC,0272,CBL CATH MAPPING CTO OCTARAY,6885.0,5508.0,1821.08,6196.5,26
RC,0272,CBL CATH TO CARTO 3 PIU 2.7MM,4242.0,3393.6,1122.01,3817.8,26
RC,0272,CBL CLIP STIM SAFEOP STER,2600.0,2080.0,687.7,2340.0,26
RC,0272,CBL COAX UMBLCL BX12,784.0,627.2,207.37,705.6,26
RC,0272,CBL COAX UMBLCL EA1,935.0,748.0,247.31,841.5,26
RC,0272,CBL CONN DIAG 1910-S 10PIN,876.0,700.8,231.7,788.4,26
RC,0272,CBL CONN INQUIRY 1904-SA 4PIN,1199.0,959.2,317.14,1079.1,26
RC,0272,CBL CONN PFA RX GEN2 FARAWAVE,1700.0,1360.0,449.65,1530.0,26
RC,0272,CBL DX EASY-MATE 4-PIN 125CM,1331.0,1064.8,352.05,1197.9,26
RC,0272,CBL DX ORBITER 24PIN ST 120CM,450.0,360.0,119.03,405.0,26
RC,0272,CBL ELECTRICAL UM*DUP 6203175*,1573.0,1258.4,416.06,1415.7,26
RC,0272,CBL ELECTRICAL UMBLCL PK12,1441.0,1152.8,381.14,1296.9,26
RC,0272,CBL ELTD GDLN 5 STER 3MM,2125.0,1700.0,562.06,1912.5,26
RC,0272,CBL ELTD NEURONAV 5CH,3411.0,2728.8,902.21,3069.9,26
RC,0272,CBL EP 34-12PIN CARTO BLU 10FT,756.0,604.8,199.96,680.4,26
RC,0272,CBL EP CONN HPOLR BLK 150CM,331.0,264.8,87.55,297.9,26
RC,0272,CBL EP EXT B T Q BLK 210,339.0,271.2,89.67,305.1,26
RC,0272,CBL EP INTRFC 34-10PIN 10FT,1012.0,809.6,267.67,910.8,26
RC,0272,CBL EP SURELINK BARD 4PIN,353.0,282.4,93.37,317.7,26
RC,0272,CBL EP THERMOCOOL 10BLKPIN,512.0,409.6,135.42,460.8,26
RC,0272,CBL EPT EXT 1000TC 150CM*DISC*,415.0,332.0,109.77,373.5,26
RC,0272,CBL EXT DOPPLER COOP SWARTZ,1250.0,1000.0,330.63,1125.0,26
RC,0272,CBL EXT TX ECO QDOT,5538.0,4430.4,1464.8,4984.2,26
RC,0272,CBL INTER GD 6FT*DISC 6145322*,654.0,523.2,172.98,588.6,26
RC,0272,CBL INTER GD DISP LNG 12FT,375.0,300.0,99.19,337.5,26
RC,0272,CBL INTRFC VARIPLUSECATHGENRTR,5538.0,4430.4,1464.8,4984.2,26
RC,0272,CBL LASSO BLK*USE 6224364*,497.0,397.6,131.46,447.3,26
RC,0272,CBL LEADCONFIRM W A ADPTR DISP,3990.0,3192.0,1055.36,3591.0,26
RC,0272,CBL LT SHIM TIP DISP 10FT,3675.0,2940.0,972.04,3307.5,26
RC,0272,CBL MARINR DX,285.0,228.0,75.38,256.5,26
RC,0272,CBL MARINR*DISC NO REPLACMENT*,2125.0,1700.0,562.06,1912.5,26
RC,0272,CBL MONOP HIGH F*DISC 6353744*,315.0,252.0,83.32,283.5,26
RC,0272,CBL MULT CONN Q/BIPOLRBLU150CM,200.0,160.0,52.9,180.0,26
RC,0272,CBL MULTCONN H/O/DPOLRBLK150CM,873.0,698.4,230.91,785.7,26
RC,0272,CBL MULTCONN H/O/DPOLRRED150CM,233.0,186.4,61.63,209.7,26
RC,0272,CBL NAVISTAR RED BLK,718.0,574.4,189.91,646.2,26
RC,0272,CBL OCTPOLR EX-XT CATH,1233.0,986.4,326.13,1109.7,26
RC,0272,CBL OR 8 CONTACT PUSH BTN,1339.0,1071.2,354.17,1205.1,26
RC,0272,CBL PACING PAC-LOC DISP 6FT,441.0,352.8,116.64,396.9,26
RC,0272,CBL QWIK 10EC 6FT,512.0,409.6,135.42,460.8,26
RC,0272,CBL RADIA 4PIN BL SURELIN*NLU*,353.0,282.4,93.37,317.7,26
RC,0272,CBL RADIA ORBITER EASY MATE 7F,430.0,344.0,113.74,387.0,26
RC,0272,CBL RADIA XT 10PIN SURELINK,353.0,282.4,93.37,317.7,26
RC,0272,CBL RED ABL,756.0,604.8,199.96,680.4,26
RC,0272,CBL SAFIRE EPT1000,1938.0,1550.4,512.6,1744.2,26
RC,0272,CBL SAFIRE TX EXT*NLU*,1173.0,938.4,310.26,1055.7,26
RC,0272,CBL TACTIFLEX RFTACTISYSQUARTZ,4950.0,3960.0,1309.28,4455.0,26
RC,0272,CBL TEST LEAD TEST STIM T*NLU*,2165.0,1732.0,572.64,1948.5,26
RC,0272,CBL TEST STIMULATOR MINI-HOOK,400.0,320.0,105.8,360.0,26
RC,0272,CBL THERMISTOR BLAZER,650.0,520.0,171.93,585.0,26
RC,0272,CBL TRUDI NAV,1925.0,1540.0,509.16,1732.5,26
RC,0272,CBL TWIST LK MDTR 25CM,720.0,576.0,190.44,648.0,26
RC,0272,CBL VIKING 4PIN BL SURELINK,375.0,300.0,99.19,337.5,26
RC,0272,CD CATH LAP CHOL RANFAC 13,996.0,796.8,263.44,896.4,26
RC,0272,CD INTRA TAUT PERITON 4.5 FR 3,480.0,384.0,126.96,432.0,26
RC,0272,CELL SAVER HIGH SPEED*DISC*,869.0,695.2,229.85,782.1,26
RC,0272,CELL SAVER RSVR,497.0,397.6,131.46,447.3,26
RC,0272,CENTESIS TRAY SLIP ST 5FR 10CM,420.0,336.0,111.09,378.0,26
RC,0272,CHANDELIER OSHIMA DUAL 27*NLU*,862.0,689.6,228.0,775.8,26
RC,0272,CHANDELIER OSHIMA DUAL 29*NLU*,730.0,584.0,193.09,657.0,26
RC,0272,CHANDELIER UNITY W RFID 27G,1998.0,1598.4,528.47,1798.2,26
RC,0272,CHARGER BAT DBS ACTIVA,10990.0,8792.0,2906.86,9891.0,26
RC,0272,CHARGER BAT WRLSS DBSPERCEPTRC,10990.0,8792.0,2906.86,9891.0,26
RC,0272,CHARGER SPNL STIM SENZA,4800.0,3840.0,1269.6,4320.0,26
RC,0272,CHECKPOINT FEM*NLU*,535.0,428.0,141.51,481.5,26
RC,0272,CHECKPOINT IMPACTION HEX 3.5MM,1075.0,860.0,284.34,967.5,26
RC,0272,CHISEL CANN CALIB ORPE 2.7MM,4709.0,3767.2,1245.53,4238.1,26
RC,0272,CHISEL CANN CALIB ORPE 3.5MM,6984.0,5587.2,1847.27,6285.6,26
RC,0272,CIRCUIT ANGIOVAC W BUBBLE TRAP,6750.0,5400.0,1785.38,6075.0,26
RC,0272,CIRCUIT ANGIOVAC W DIL 20D,29900.0,23920.0,7908.55,26910.0,26
RC,0272,CIRCUIT ANGIOVAC W DIL180D,29900.0,23920.0,7908.55,26910.0,26
RC,0272,CIRCUIT ANGIOVAC W DILATO*NLU*,6750.0,5400.0,1785.38,6075.0,26
RC,0272,CIRCUIT BREATHING NEOVALV150CM,582.0,465.6,153.94,523.8,26
RC,0272,CIRCUIT BREATHING Y NEO 150CM,319.0,255.2,84.38,287.1,26
RC,0272,CIRCUIT EVAQUA II LOW FLOW,366.0,292.8,96.81,329.4,26
RC,0272,CIRCUIT EVAQUA II VENT,366.0,292.8,96.81,329.4,26
RC,0272,CIRCUIT HEAT FLEX LNG 3100A 51,1053.41,842.73,278.63,948.07,26
RC,0272,CIRCUIT HFPV VDR4 PHASITRON,2400.0,1920.0,634.8,2160.0,26
RC,0272,CIRCUIT PT HFJV KT 2.5-3.0-3.5,2560.0,2048.0,677.12,2304.0,26
RC,0272,CIRCUIT VENTILATOR SGL HEATED,418.0,334.4,110.56,376.2,26
RC,0272,CIRCUIT W DUAL LIMB ADLT,309.0,247.2,81.73,278.1,26
RC,0272,CK QK LOAD LSI SOL 6PK,2280.0,1824.0,603.06,2052.0,26
RC,0272,CLAMP ABL ISOLATOR ENCOMPASS L,13500.0,10800.0,3570.75,12150.0,26
RC,0272,CLAMP ABL ISOLATOR SYNRG 83MM,13500.0,10800.0,3570.75,12150.0,26
RC,0272,CLAMP ABL ISOLATOR SYNRG LNG,9625.0,7700.0,2545.81,8662.5,26
RC,0272,CLAMP ABL ISOLATOR SYNRG SHRT,9450.0,7560.0,2499.53,8505.0,26
RC,0272,CLAMP CIRC GOMCO CARD 1.3CM,596.0,476.8,157.64,536.4,26
RC,0272,CLAMP CIRC GOMCO TRAYPRCD1.1CM,390.0,312.0,103.16,351.0,26
RC,0272,CLAMP CIRC GOMCO W BELL 1.45CM,394.0,315.2,104.21,354.6,26
RC,0272,CLAMP CIRC GOMCO W BELL 1.6CM,330.0,264.0,87.29,297.0,26
RC,0272,CLAMP CIRC GOMCO*DISC 6189860*,343.0,274.4,90.72,308.7,26
RC,0272,CLAMP CIRC W BELL 1.1CM,335.0,268.0,88.61,301.5,26
RC,0272,CLAMP CIRC W BELL 1.6CM,369.0,295.2,97.6,332.1,26
RC,0272,CLAMP CIRC W BELL INSRT 1.3CM,482.0,385.6,127.49,433.8,26
RC,0272,CLAMP CIRC W BELL INSRT 1.45CM,397.0,317.6,105.01,357.3,26
RC,0272,CLAMP CIRC WBELLINSRTREPRO1.45,394.0,315.2,104.21,354.6,26
RC,0272,CLAMP E4/2.5MM*DISC NO REPL*,2127.0,1701.6,562.59,1914.3,26
RC,0272,CLAMP END EXTL FIX STD 90D,4728.0,3782.4,1250.56,4255.2,26
RC,0272,CLAMP END EXTL FIX STD INLINE,4728.0,3782.4,1250.56,4255.2,26
RC,0272,CLAMP END EXTL FIX UNIV,6512.0,5209.6,1722.42,5860.8,26
RC,0272,CLAMP EXTL FIX 4POSITION MR LG,4743.0,3794.4,1254.52,4268.7,26
RC,0272,CLAMP EXTL FIX 4POSITION MR MD,3101.0,2480.8,820.21,2790.9,26
RC,0272,CLAMP EXTL FIX 6POSITION MR LG,3901.0,3120.8,1031.81,3510.9,26
RC,0272,CLAMP EXTL FIX 6POSITION MR MD,3024.0,2419.2,799.85,2721.6,26
RC,0272,CLAMP EXTL FIX ADJ WIRE-PIN,4925.0,3940.0,1302.66,4432.5,26
RC,0272,CLAMP EXTL FIX ANG CORRECTION,4095.0,3276.0,1083.13,3685.5,26
RC,0272,CLAMP EXTL FIX COMB MR LG,3412.0,2729.6,902.47,3070.8,26
RC,0272,CLAMP EXTL FIX COMBINATION LG,3819.0,3055.2,1010.13,3437.1,26
RC,0272,CLAMP EXTL FIX COMBO 11MM 5MM,5850.0,4680.0,1547.33,5265.0,26
RC,0272,CLAMP EXTL FIX COMBO 8/11MM,3784.0,3027.2,1000.87,3405.6,26
RC,0272,CLAMP EXTL FIX COMBO MR MD,3760.0,3008.0,994.52,3384.0,26
RC,0272,CLAMP EXTL FIX COMBO SM,2416.0,1932.8,639.03,2174.4,26
RC,0272,CLAMP EXTL FIX CONN 3.0-4.0MM,4054.0,3243.2,1072.28,3648.6,26
RC,0272,CLAMP EXTL FIX H2 MRI PIN 4HL,3027.0,2421.6,800.64,2724.3,26
RC,0272,CLAMP EXTL FIX II MAND ADJ,2940.0,2352.0,777.63,2646.0,26
RC,0272,CLAMP EXTL FIX OPEN ADJ MR LG,2827.0,2261.6,747.74,2544.3,26
RC,0272,CLAMP EXTL FIX OPEN ADJ MR MD,3101.0,2480.8,820.21,2790.9,26
RC,0272,CLAMP EXTL FIX PIN HOFFMAN10HL,5065.0,4052.0,1339.69,4558.5,26
RC,0272,CLAMP EXTL FIX PIN LG 4HL,2361.0,1888.8,624.48,2124.9,26
RC,0272,CLAMP EXTL FIX PIN LG 6HL,2430.0,1944.0,642.74,2187.0,26
RC,0272,CLAMP EXTL FIX PIN UNIV,1760.0,1408.0,465.52,1584.0,26
RC,0272,CLAMP EXTL FIX RAIL COMPL,2080.0,1664.0,550.16,1872.0,26
RC,0272,CLAMP EXTL FIX RING-TO-ROD,4728.0,3782.4,1250.56,4255.2,26
RC,0272,CLAMP EXTL FIX SM 5.0MM,3812.0,3049.6,1008.27,3430.8,26
RC,0272,CLAMP EXTL FIX TB-TO-TB MR LG,3524.0,2819.2,932.1,3171.6,26
RC,0272,CLAMP EXTL FIX VA SIXFIX SHRT,4554.0,3643.2,1204.53,4098.6,26
RC,0272,CLAMP EXTL FIX VA SIXFIX TALL,4554.0,3643.2,1204.53,4098.6,26
RC,0272,CLAMP EXTL FIX XFIX 4MM,5723.0,4578.4,1513.73,5150.7,26
RC,0272,CLAMP EXTLSM 4/4*DISC NO REPL*,2127.0,1701.6,562.59,1914.3,26
RC,0272,CLAMP PIN EXTL FIX 2POSTANG5HL,4407.0,3525.6,1165.65,3966.3,26
RC,0272,CLAMP PIN EXTL FIX H3NOPOST5HL,3987.0,3189.6,1054.56,3588.3,26
RC,0272,CLAMP PIN/ROD EXTL FIX STRY,2589.0,2071.2,684.79,2330.1,26
RC,0272,CLAMP T EXTL FIX DFS *DISC*,4824.0,3859.2,1275.95,4341.6,26
RC,0272,CLAMP TRAVELING STD 2.0-3.0MM,4631.0,3704.8,1224.9,4167.9,26
RC,0272,CLAMP TRAVELING UNIV 1.0-3.0MM,6759.0,5407.2,1787.76,6083.1,26
RC,0272,CLAMP VASC YEL MD SGL 60G*NLU*,350.0,280.0,92.58,315.0,26
RC,0272,CLAMP VASC YEL SM DBL 40GM,651.0,520.8,172.19,585.9,26
RC,0272,CLAMP VASC YEL SM SGL 40GM,489.0,391.2,129.34,440.1,26
RC,0272,CLAMP VASCUSTATT MINI DISP 45D,496.0,396.8,131.19,446.4,26
RC,0272,CLAMP VEIN SM DBL BXTR 20GM,618.0,494.4,163.46,556.2,26
RC,0272,CLAMP VEIN SM SGL ARSU 20GM,489.0,391.2,129.34,440.1,26
RC,0272,CLAMP VEIN SM SGL BXTR 20GM,370.0,296.0,97.87,333.0,26
RC,0272,CLAMP VEN GRN SGL 40G*NLU*,618.0,494.4,163.46,556.2,26
RC,0272,CLAMPEXTLFIXMACXSLG6*DISC*,5508.0,4406.4,1456.87,4957.2,26
RC,0272,CLIP APPL ENDO CLIP II MD 10MM,705.0,564.0,186.47,634.5,26
RC,0272,CLIP APPL ENDO CLIP III 5MM,1141.0,912.8,301.79,1026.9,26
RC,0272,CLIP APPL ENDO CLIP LG 10MM,705.0,564.0,186.47,634.5,26
RC,0272,CLIP APPL EPIX UNIV,1063.0,850.4,281.16,956.7,26
RC,0272,CLIP APPL HEMOLOK ROB SRPSB LG,14.0,11.2,3.7,12.6,26
RC,0272,CLIP APPL HEMOLOK ROBSI RPSBMD,14.0,11.2,3.7,12.6,26
RC,0272,CLIP APPL ROB S RPSB SM,21.0,16.8,5.55,18.9,26
RC,0272,CLIP APPL ROB SI RPSB MD-LG5MM,17.0,13.6,4.5,15.3,26
RC,0272,CLIP APPL ROB XI RPSB LG,15.0,12.0,3.97,13.5,26
RC,0272,CLIP APPL ROB XI RPSB MD-LG,11.0,8.8,2.91,9.9,26
RC,0272,CLIP APPL SURGIC*DISC 6172162*,550.0,440.0,145.48,495.0,26
RC,0272,CLIP APPL SURGICLIP II MD 11.5,522.0,417.6,138.07,469.8,26
RC,0272,CLIP APPL SURGICLIP II MD 9.75,522.0,417.6,138.07,469.8,26
RC,0272,CLIP APPL SURGICLIP LG 13.0,479.0,383.2,126.7,431.1,26
RC,0272,CLIP APPL SURGICLIP SM 9*DISC*,1969.0,1575.2,520.8,1772.1,26
RC,0272,CLIP ATRICLIP FLEX-MINI 45MM,10125.0,8100.0,2678.06,9112.5,26
RC,0272,CLIP CLSR ANASTOCLIPMD1.1*NLU*,3840.0,3072.0,1015.68,3456.0,26
RC,0272,CLIP CLSR MANTIS 2.8MMX235CM,3024.0,2419.2,799.85,2721.6,26
RC,0272,CLIP EXTL FIX DYNAMIZATION LG,673.0,538.4,178.01,605.7,26
RC,0272,CLIP EXTL FIX DYNAMIZATION MD,875.0,700.0,231.44,787.5,26
RC,0272,CLIP GAMMA3 CLSD TB STRY,920.0,736.0,243.34,828.0,26
RC,0272,CLIP HEM-O-LOK LG,589.0,471.2,155.79,530.1,26
RC,0272,CLIP HEM-O-LOK MD/LG,379.0,303.2,100.25,341.1,26
RC,0272,CLIP HEMO DURACLIP 11MM 235CM,1105.0,884.0,292.27,994.5,26
RC,0272,CLIP HEMO DURACLIP 16MM 235CM,1148.0,918.4,303.65,1033.2,26
RC,0272,CLIP ID HEXAPOD STRUT,4823.0,3858.4,1275.68,4340.7,26
RC,0272,CLIP IPRISM DISP,500.0,400.0,132.25,450.0,26
RC,0272,CLIP IRG ROB MIC*DISC 6331783*,1088.0,870.4,287.78,979.2,26
RC,0272,CLIP IRG SURG MICS STRY STER,1088.0,870.4,287.78,979.2,26
RC,0272,CLIP IRR EMAX DRILL MDLNG*NLU*,1275.0,1020.0,337.24,1147.5,26
RC,0272,CLIP LIGT HEM-O-LOK PURPLE+ LG,911.0,728.8,240.96,819.9,26
RC,0272,CLIP LK SYNT FOR RIA,2024.0,1619.2,535.35,1821.6,26
RC,0272,CLIP PADLOCK 9.5-11MM*NLU*,3600.0,2880.0,952.2,3240.0,26
RC,0272,CLIP RESOLUTION 360 11MMX235CM,358.0,286.4,94.69,322.2,26
RC,0272,CLIP STIM SAFEOP3 DELTA STER,2600.0,2080.0,687.7,2340.0,26
RC,0272,CLIP STIM SAFEOP3 STER,2600.0,2080.0,687.7,2340.0,26
RC,0272,CLIP STIM SENTIO MMG MULTSTAGE,2040.0,1632.0,539.58,1836.0,26
RC,0272,CLIP ULTRA 360 17MMX235CM,398.0,318.4,105.27,358.2,26
RC,0272,CLN CAP RFA BARX MD 9.8-11.1MM,39.0,31.2,10.32,35.1,26
RC,0272,CLN CAP RFA BARX SM 8.8-*NLU*,36.0,28.8,9.52,32.4,26
RC,0272,CLNR WND PRONTOSAN 1000ML,927.0,741.6,245.19,834.3,26
RC,0272,CLNR WND PRONTOSAN 350ML,364.0,291.2,96.28,327.6,26
RC,0272,CLNR WND PRONTOSAN STER 350ML,570.0,456.0,150.77,513.0,26
RC,0272,CLNR WND VASHE 34OZ,600.0,480.0,158.7,540.0,26
RC,0272,CLNR WND VASHEE ANTIMIC 4OZ,301.0,240.8,79.61,270.9,26
RC,0272,CLSR SKIN DYNACLOSE 0.5X4.5,1343.0,1074.4,355.22,1208.7,26
RC,0272,CMNT BONE KT BIOCARTLG ARTX LG,2156.0,1724.8,570.26,1940.4,26
RC,0272,CMNT BONE KT BIOCARTLG ARTX SM,2156.0,1724.8,570.26,1940.4,26
RC,0272,CNTRCPT DIAPHRAG*DISC NO REPL*,635.0,508.0,167.96,571.5,78
RC,0272,CNTRCPT DIAPHRAGM ARCING *NLU*,479.0,383.2,101.3,517.5,52
RC,0272,CNTRCPT DIAPHRAGM OMNIFLE*NLU*,575.0,460.0,152.09,517.5,26
RC,0272,CNTRLR AZUR DETACHMENT,1611.0,1288.8,426.11,1449.9,26
RC,0272,CNTRLR THERAPY MDTR,3913.0,3130.4,1034.99,3521.7,26
RC,0272,CNTRLR V-GRIP DETACHMENT,1573.0,1258.4,416.06,1415.7,26
RC,0272,CNTRSINK 1.3MM/1.5MM SCREW,1560.0,1248.0,412.62,1404.0,26
RC,0272,CNTRSINK 1.5MM/2.0MM SCREW,1331.0,1064.8,352.05,1197.9,26
RC,0272,CNTRSINK AO VARIAX 2.0-2.7MM,898.0,718.4,237.52,808.2,26
RC,0272,CNTRSINK ARTX 3.5MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,CNTRSINK CANN 3.0MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,CNTRSINK CANN 4MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,CNTRSINK CANN BEAM LG 6.5,4550.0,3640.0,1203.48,4095.0,26
RC,0272,CNTRSINK CANN BEAM SM 4.5,4550.0,3640.0,1203.48,4095.0,26
RC,0272,CNTRSINK CANN FIXED 4.5MM,2640.0,2112.0,698.28,2376.0,26
RC,0272,CNTRSINK CANN HD 2.0/2.5MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,CNTRSINK CANN HDLSS 2.0,3286.0,2628.8,869.15,2957.4,26
RC,0272,CNTRSINK CANN HDLSS 3.0MM,2210.0,1768.0,584.55,1989.0,26
RC,0272,CNTRSINK CANN QC 2.7/4.5MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,CNTRSINK CANN QC 6.5MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,CNTRSINK CANN S-COUPLE ZIMM,2624.0,2099.2,694.05,2361.6,26
RC,0272,CNTRSINK CANN SCREW 3.0MM,2083.0,1666.4,550.95,1874.7,26
RC,0272,CNTRSINK CANN SCREW 4.5MM,2371.0,1896.8,627.13,2133.9,26
RC,0272,CNTRSINK CANN TRIL 4.5MM,1700.0,1360.0,449.65,1530.0,26
RC,0272,CNTRSINK CANN TRIL2.0/2.4MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,CNTRSINK CANN TRIL3.0/4.0MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,CNTRSINK CORT SCREW 2.7MM,2072.0,1657.6,548.04,1864.8,26
RC,0272,CNTRSINK DENTAL END 1.2MM,889.0,711.2,235.14,800.1,26
RC,0272,CNTRSINK DIST ELBOW 5.6MM,2352.0,1881.6,622.1,2116.8,26
RC,0272,CNTRSINK FLUTE ARTX 3.0MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,CNTRSINK FOR 20MM24MM SCREW,1560.0,1248.0,412.62,1404.0,26
RC,0272,CNTRSINK HD PRGN 3.5MM,1630.0,1304.0,431.14,1467.0,26
RC,0272,CNTRSINK HD PRGN 5.5MM,2072.0,1657.6,548.04,1864.8,26
RC,0272,CNTRSINK HD PRGN 7.0MM,2072.0,1657.6,548.04,1864.8,26
RC,0272,CNTRSINK HDLSS FMED 6/6.5MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,CNTRSINK HDLSS FUSE 4.5MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,CNTRSINK HDLSS PRGN 2.0MM,1307.0,1045.6,345.7,1176.3,26
RC,0272,CNTRSINK HDLSS PRGN 2.5MM,1630.0,1304.0,431.14,1467.0,26
RC,0272,CNTRSINK HDLSS TRMI 2.3MM,1063.0,850.4,281.16,956.7,26
RC,0272,CNTRSINK HDLSS TRMI 3.0MM,1063.0,850.4,281.16,956.7,26
RC,0272,CNTRSINK JONES FRAC 4.5MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,CNTRSINK JONES FRAC 5.5MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,CNTRSINK ORTHOLOC CANN 6.0,1153.0,922.4,304.97,1037.7,26
RC,0272,CNTRSINK QC H25-30 SCREW,3600.0,2880.0,952.2,3240.0,26
RC,0272,CNTRSINK QC T30 SCREW,3600.0,2880.0,952.2,3240.0,26
RC,0272,CNTRSINK QC T40 SCREW,3600.0,2880.0,952.2,3240.0,26
RC,0272,CNTRSINK SCREW AO 2.7/3.5MM,976.0,780.8,258.15,878.4,26
RC,0272,CNTRSINK SM FRAG ZIMM,1360.0,1088.0,359.72,1224.0,26
RC,0272,COAG SUCT BIPOLR DISP 8FR 11IN,792.0,633.6,209.48,712.8,26
RC,0272,COAG SUCT BIPOLR DISP 8FR 7.5I,765.0,612.0,202.34,688.5,26
RC,0272,COIL HYDROFILL HEL 10MMX2*NLU*,2046.0,1636.8,541.17,1841.4,26
RC,0272,COIL HYDROFILL HEL 10MMX30CM,3250.0,2600.0,859.63,2925.0,26
RC,0272,COIL HYDROFILL HEL 12MMX30CM,3250.0,2600.0,859.63,2925.0,26
RC,0272,COIL HYDROFILL HEL 22MMX50CM,2046.0,1636.8,541.17,1841.4,26
RC,0272,COIL HYDROFILL HEL 3X6*NLU*,1826.0,1460.8,482.98,1643.4,26
RC,0272,COIL HYDROFILL HEL 4X10,3250.0,2600.0,859.63,2925.0,26
RC,0272,COIL HYDROFILL HEL 5X10,3250.0,2600.0,859.63,2925.0,26
RC,0272,COIL HYDROFILL HEL 6X15,3250.0,2600.0,859.63,2925.0,26
RC,0272,COIL HYDROFILL HEL 6X20,5000.0,4000.0,1322.5,4500.0,26
RC,0272,COIL HYDROFILL HEL 7X20,3250.0,2600.0,859.63,2925.0,26
RC,0272,COIL HYDROFILL HEL 8X20,5000.0,4000.0,1322.5,4500.0,26
RC,0272,COIL HYDROFILL HEL 9X30,5000.0,4000.0,1322.5,4500.0,26
RC,0272,COIL HYDROFRM 10-SR 10MMX36CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 4MMX5CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 4MMX8CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 5MMX10CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 5MMX15CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 6MMX12CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 6MMX19CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 7MMX15CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 7MMX28CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 8MMX17CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 8MMX33CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 10-SR 9MMX31CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROFRM 18-SR 11MMX39CM,4080.0,3264.0,1079.16,3672.0,26
RC,0272,COIL HYDROFRM 18-SR 12MMX43CM,4080.0,3264.0,1079.16,3672.0,26
RC,0272,COIL HYDROFRM 18-SR 13MMX47CM,4080.0,3264.0,1079.16,3672.0,26
RC,0272,COIL HYDROFRM 18-SR 14MMX45CM,4080.0,3264.0,1079.16,3672.0,26
RC,0272,COIL HYDROFRM 18-SR 16MMX44CM,4080.0,3264.0,1079.16,3672.0,26
RC,0272,COIL HYDROFRM 18-SR 18MMX50CM,4080.0,3264.0,1079.16,3672.0,26
RC,0272,COIL HYDROFRM 18-SR 20MMX48CM,4080.0,3264.0,1079.16,3672.0,26
RC,0272,COIL HYDROSFT 3D-SR 2.5MMX4CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROSFT 3D-SR 2MMX2CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROSFT 3D-SR 3MMX6CM,3450.0,2760.0,912.53,3105.0,26
RC,0272,COIL HYDROSOFT HEL 1.5X2,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 1.5X4,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 2.5X4,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 2.5X6,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 2X2,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 2X3,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 2X4,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 2X6,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 2X8,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 3X10,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 3X4,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 3X6,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 4X10,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 4X6,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 4X8,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 5X10,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 5X15,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 5X20,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 5X6,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 5X8,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 6X10,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 6X15,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 6X20,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT HEL 6X8,2520.0,2016.0,666.54,2268.0,26
RC,0272,COIL HYDROSOFT*DISC 6282068*,2054.0,1643.2,543.28,1848.6,26
RC,0272,COIL INTRLK 2D 2MMX4CM*NLU*,1029.0,823.2,272.17,926.1,26
RC,0272,COIL INTRLK35 2D HEL 4MMX10CM,1200.0,960.0,317.4,1080.0,26
RC,0272,COIL INZONE DETA*DISC 6355331*,582.0,465.6,153.94,523.8,26
RC,0272,COIL MCWE-18-0.5-*USE 6298655*,78.0,62.4,20.63,70.2,26
RC,0272,COIL VORTX DIMND 3MMX3.7CM,208.0,166.4,55.02,187.2,26
RC,0272,COIL VORTX DIMND 4MMX3.7CM,208.0,166.4,55.02,187.2,26
RC,0272,COLAR CERV VISTA XTRA PAD ADLT,111.0,88.8,29.36,99.9,26
RC,0272,COLLT TISS AUTOLGS GRAFTNET,3388.0,2710.4,896.13,3049.2,26
RC,0272,COMP EXTL FIX OPEN LG,4070.0,3256.0,1076.52,3663.0,26
RC,0272,CONFORMER EYE NO HL STER SM,608.0,486.4,160.82,547.2,26
RC,0272,CONN BIT DRILL FT FUZEFIX 4.9,5460.0,4368.0,1444.17,4914.0,26
RC,0272,CONN BLEND MIXER THROMBINATOR,330.0,264.0,87.29,297.0,26
RC,0272,CONN CATH CSF ST TI MIETHKE1.9,722.0,577.6,190.97,649.8,26
RC,0272,CONN CROSS CREO 5.5 48-60MM,4000.0,3200.0,1058.0,3600.0,26
RC,0272,CONN DOMINO AXIAL CLSD3.5/4.75,4151.0,3320.8,1097.94,3735.9,26
RC,0272,CONN DOMINO AXIAL STER 3.5/3.5,4151.0,3320.8,1097.94,3735.9,26
RC,0272,CONN DOMINO AXIALSTER3.5/5.5-6,4151.0,3320.8,1097.94,3735.9,26
RC,0272,CONN DOMINO OFFSET CLSD3.5/3.5,4151.0,3320.8,1097.94,3735.9,26
RC,0272,CONN DOMINO OFFSET OPEN3.5/3.5,4151.0,3320.8,1097.94,3735.9,26
RC,0272,CONN DOMINO OFFSETCLSD3.5/4.75,4151.0,3320.8,1097.94,3735.9,26
RC,0272,CONN DOMINO OFFSETOPEN3.5/4.75,4151.0,3320.8,1097.94,3735.9,26
RC,0272,CONN DOMINOOFFSETCLSD3.5/5.5-6,4151.0,3320.8,1097.94,3735.9,26
RC,0272,CONN EXTL FIX BLOCK DYNEX,2928.0,2342.4,774.46,2635.2,26
RC,0272,CONN EXTL FIX BUTTFRMSIXFIX150,2896.0,2316.8,765.99,2606.4,26
RC,0272,CONN EXTL FIX BUTTFRMSIXFIX180,2896.0,2316.8,765.99,2606.4,26
RC,0272,CONN EXTL FIX EXT SIXFIX LNG,2160.0,1728.0,571.32,1944.0,26
RC,0272,CONN EXTL FIX EXT SIXFIX SHRT,2160.0,1728.0,571.32,1944.0,26
RC,0272,CONN HEMOCONCENTRATOR NO *NLU*,978.0,782.4,258.68,880.2,26
RC,0272,CONN TI PERITON DIALYS CATH,720.0,576.0,190.44,648.0,26
RC,0272,CONN Y CSF TI MIETHKE 1.9MM,1816.0,1452.8,480.33,1634.4,26
RC,0272,CONNDOMINOFFSETOPEN5.5/6.0/6.3,4151.0,3320.8,1097.94,3735.9,26
RC,0272,COOLER UNIT KODIAK,193.0,154.4,51.05,173.7,26
RC,0272,COOLER UNIT KODIAK BULK,193.0,154.4,51.05,173.7,26
RC,0272,COOLER UNIT KODIAK COMBO,265.0,212.0,70.09,238.5,26
RC,0272,CORD AEM ENCISION DISP,340.0,272.0,89.93,306.0,26
RC,0272,CORD CAUT G400 STD ROBRPSB17FT,14.0,11.2,3.7,12.6,26
RC,0272,COUNTERSINK HD PRGN 2.0MM*NLU*,1307.0,1045.6,345.7,1176.3,26
RC,0272,COUNTERSINK HD PRGN 3.0MM,1630.0,1304.0,431.14,1467.0,26
RC,0272,COUNTERSINK HD PRGN 5.5MM,2072.0,1657.6,548.04,1864.8,26
RC,0272,COUNTERSINK HDLSS PRGN 7.*NLU*,2072.0,1657.6,548.04,1864.8,26
RC,0272,COV CRANI BUR HL 13-14MM,2100.0,1680.0,555.45,1890.0,26
RC,0272,COV SCREW CONIC CONN NP 3.5,513.0,410.4,135.69,461.7,26
RC,0272,COV TRAY ARM CONSTELLATIONDISP,704.0,563.2,186.21,633.6,26
RC,0272,CPLE EXTL FIX HOFFMAN LRF HNG,3503.0,2802.4,926.54,3152.7,26
RC,0272,CPLE EXTL FIX PIN/ROD 3-4/5MM,2509.0,2007.2,663.63,2258.1,26
RC,0272,CPLE EXTL FIX PIN/ROD DELTA H3,3616.0,2892.8,956.43,3254.4,26
RC,0272,CPLE EXTL FIX PIN/ROD INVERTH3,3799.0,3039.2,1004.84,3419.1,26
RC,0272,CPLE EXTL FIX ROD/ROD 5/3MM,3595.0,2876.0,950.88,3235.5,26
RC,0272,CPLE EXTL FIX ROD/ROD DELTA H3,3799.0,3039.2,1004.84,3419.1,26
RC,0272,CPLE EXTL FIX ROD/ROD H2 5MM,2509.0,2007.2,663.63,2258.1,26
RC,0272,CPLE EXTL FIX ROD/ROD MULT H3,4600.0,3680.0,1216.7,4140.0,26
RC,0272,CPLE EXTL FIX TB/ROD H2 15/5MM,2225.0,1780.0,588.51,2002.5,26
RC,0272,CRANI ACCESS KT SUBDURAL EVAC,9072.0,7257.6,2399.54,8164.8,26
RC,0272,CRANI ACCESS KT W RAZ,3675.0,2940.0,972.04,3307.5,26
RC,0272,CRANI KT REPAIR *DISC 6300740*,8294.0,6635.2,2193.76,7464.6,26
RC,0272,CRIC KT CATH SURGICRIC II 6.0,1573.0,1258.4,416.06,1415.7,26
RC,0272,CRIC KT CATH SURGICRIC III 6.0,1573.0,1258.4,416.06,1415.7,26
RC,0272,CRIC KT QKTRACH PEDS 2MM,1573.0,1258.4,416.06,1415.7,26
RC,0272,CTRL REMOTE CLIP-ON DISP*NLU*,500.0,400.0,132.25,450.0,26
RC,0272,CUBE EXTL FIX DBL PIN TI 2HL,3120.0,2496.0,825.24,2808.0,26
RC,0272,CUBE EXTL FIX RANCHO 1HL,1347.0,1077.6,356.28,1212.3,26
RC,0272,CUBE EXTL FIX RANCHO 2HL,1530.0,1224.0,404.69,1377.0,26
RC,0272,CUBE EXTL FIX RANCHO POST 1HL,1398.0,1118.4,369.77,1258.2,26
RC,0272,CUBE EXTL FIX SIXFIX 4HL,3080.0,2464.0,814.66,2772.0,26
RC,0272,CUBE EXTL FIX SIXFIX 5HL,3080.0,2464.0,814.66,2772.0,26
RC,0272,CUBE EXTL FIX SIXFIX POST 2HL,3080.0,2464.0,814.66,2772.0,26
RC,0272,CUBE EXTL FIX SIXFIX POST 3HL,3080.0,2464.0,814.66,2772.0,26
RC,0272,CUP RUMI II ARCH DISP 3.0CM,937.0,749.6,247.84,843.3,26
RC,0272,CUP RUMI II ARCH DISP 3.5CM,937.0,749.6,247.84,843.3,26
RC,0272,CUP RUMI II ARCH DISP 4.0CM,937.0,749.6,247.84,843.3,26
RC,0272,CUP SUCT LUCAS 2 DISP PK3,450.0,360.0,119.03,405.0,26
RC,0272,CURETTE BRUNS OVAL SZ0 6.25,122.0,97.6,32.27,109.8,26
RC,0272,CURETTE CUP CURV AO/QC,4000.0,3200.0,1058.0,3600.0,26
RC,0272,CURETTE CUP ST AO/QC,4000.0,3200.0,1058.0,3600.0,26
RC,0272,CURETTE ENDOCERV KEVORKIANSTER,311.0,248.8,82.26,279.9,26
RC,0272,CURETTE ENDOCERV W SYR,95.0,76.0,25.13,85.5,26
RC,0272,CURETTE RING NANO ARTHRO 10CM,1853.0,1482.4,490.12,1667.7,26
RC,0272,CURETTE TRUDI 0D 5IN,3640.0,2912.0,962.78,3276.0,26
RC,0272,CUT KT BIOUNI OATS DISP X17,5940.0,4752.0,1571.13,5346.0,26
RC,0272,CUTTER DC REMOV SET 14,4543.0,3634.4,1201.62,4088.7,26
RC,0272,CUTTER FIBERWIRE ARTX 2-0,1169.0,935.2,309.2,1052.1,26
RC,0272,CUTTER HD IOL DISP 19G,1169.0,935.2,309.2,1052.1,26
RC,0272,CUTTER NANOBITER 15D UP 70MM,2332.0,1865.6,616.81,2098.8,26
RC,0272,CUTTER NANOBITER DISP ST 130MM,2332.0,1865.6,616.81,2098.8,26
RC,0272,CUTTER NANOBITER DISP ST 70MM,2332.0,1865.6,616.81,2098.8,26
RC,0272,CUTTER RING UNIV STER 6IN,497.0,397.6,131.46,447.3,26
RC,0272,CUTTER SET SPNL ROD CARBOCLEAR,4800.0,3840.0,1269.6,4320.0,26
RC,0272,CUTTERAORTICHEARTSTRINGIII 4.3,3547.0,2837.6,938.18,3192.3,26
RC,0272,CVC KT BASIC HEMOFLOW14.5FRX28,1573.0,1258.4,416.06,1415.7,26
RC,0272,CVC KT DL POWERLINE 5FR 50CM,2320.0,1856.0,613.64,2088.0,26
RC,0272,CVC KT REPAIR DL HICK 7FR,2824.0,2259.2,746.95,2541.6,26
RC,0272,CVC KT REPAIR HICK LEONARD RED,2144.0,1715.2,567.09,1929.6,26
RC,0272,CVC KT REPAIR SL BROVIAC 2.7FR,3448.0,2758.4,912.0,3103.2,26
RC,0272,CVC KT REPAIR SL BROVIAC 4.2FR,4277.0,3421.6,1131.27,3849.3,26
RC,0272,CVC KT REPAIR SL BROVIAC 6.6FR,4770.0,3816.0,1261.67,4293.0,26
RC,0272,CVC KT REPAIR TL HICK WHT 12FR,3591.0,2872.8,949.82,3231.9,26
RC,0272,CVC KTDLPRSSINJB*DISC 6330831*,873.0,698.4,230.91,785.7,26
RC,0272,CVC TL MAX SPECTRUM 5FR 15CM,1787.0,1429.6,472.66,1608.3,26
RC,0272,CYSTOSCP ASCOPE4 FLEX RVRS,1573.0,1258.4,416.06,1415.7,26
RC,0272,CYSTOSCP ASCOPE4 FLEX STD,1573.0,1258.4,416.06,1415.7,26
RC,0272,DCOMP COLON SET MARCON 10FR,1658.0,1326.4,438.54,1492.2,26
RC,0272,DCOMP COLON SET MARCON 7FR,1658.0,1326.4,438.54,1492.2,26
RC,0272,DEL KT ARTHRO GRAFTALLOAIDSTER,4165.0,3332.0,1101.64,3748.5,26
RC,0272,DEL KT BONE GRAFT DISP,3960.0,3168.0,1047.42,3564.0,26
RC,0272,DEL KT BONE GRAFT SIDE 11GA120,14266.0,11412.8,3773.36,12839.4,26
RC,0272,DEL SYS BEACON EUS FNF NDLE22G,3990.0,3192.0,1055.36,3591.0,26
RC,0272,DEL SYS EVOLUTPRO+ 23/26/29MM,9495.0,7596.0,2511.43,8545.5,26
RC,0272,DEL SYS EVOLUTPRO+ 34MM,9495.0,7596.0,2511.43,8545.5,26
RC,0272,DEL SYS EXC 6FR 180/80,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS EXC 8FR 180/80,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS EXC CURV 12FR 45D,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS MREYE FLIPPER COIL 110,1336.0,1068.8,353.37,1202.4,26
RC,0272,DEL SYS PECTORAL REPA*VAT NLU*,5310.0,4248.0,1404.5,4779.0,26
RC,0272,DEL SYS STNT NAVIFLEX RX 10FR,711.0,568.8,188.06,639.9,26
RC,0272,DEL SYS STNT NAVIFLEX RX 7FR,711.0,568.8,188.06,639.9,26
RC,0272,DEL SYS TORQVUE 10FR 45/80,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS TORQVUE 12FR 45/80,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS TORQVUE 5FR 180/60,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS TORQVUE 6FR 180/80,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS TORQVUE 6FR 45/60,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS TORQVUE 7FR 180/80,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS TORQVUE 8FR 45/80,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS TORQVUE 9FR 45/80,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS TORQVUE LP 4FR 90/80,5418.0,4334.4,1433.06,4876.2,26
RC,0272,DEL SYS TRICLIP G4,182500.0,146000.0,48271.25,164250.0,26
RC,0272,DEL SYS TRICLIP G5,82800.0,66240.0,21900.6,74520.0,26
RC,0272,DEL TIP GRAFT DUALX,3960.0,3168.0,1047.42,3564.0,26
RC,0272,DEPTH LOCATOR VASC MANTA 14FR,570.0,456.0,150.77,513.0,26
RC,0272,DETACH CNTRLR NEURO XCEL,1743.0,1394.4,461.02,1568.7,26
RC,0272,DETACHER COIL ID INSTANT,450.0,360.0,119.03,405.0,26
RC,0272,DEV 3D REVASCULARIZATION 20MM,12975.0,10380.0,3431.89,11677.5,26
RC,0272,DEV ABL CARDIOBLATE BP2,9450.0,7560.0,2499.53,8505.0,26
RC,0272,DEV ACUSNARE POLYPECTOMY 7FR15,325.0,260.0,85.96,292.5,26
RC,0272,DEV BLN INFL 40ATM/BAR,500.0,400.0,132.25,450.0,26
RC,0272,DEV BONE FILLER KYPHON SZ3,2944.0,2355.2,778.69,2649.6,26
RC,0272,DEV BONE FILLER KYPHX SZ3,810.0,648.0,214.25,729.0,26
RC,0272,DEV BX BONE KYPHON 3.4MM 10G,935.0,748.0,247.31,841.5,26
RC,0272,DEV BX BONE KYPHON V 13G,855.0,684.0,226.15,769.5,26
RC,0272,DEV BX BONE KYPHON V 15G,855.0,684.0,226.15,769.5,26
RC,0272,DEV BX BONE KYPHX SZ3,935.0,748.0,247.31,841.5,26
RC,0272,DEV BX BREAST ATEC 9GX9CM 20MM,1680.0,1344.0,444.36,1512.0,26
RC,0272,DEV BX BREAST EVIVA9GX10CM12MM,2134.0,1707.2,564.44,1920.6,26
RC,0272,DEV BX BREAST MRI 9GX14CM 20MM,2304.0,1843.2,609.41,2073.6,26
RC,0272,DEV BX CORVOCET COAXBLNT18GX10,565.0,452.0,149.44,508.5,26
RC,0272,DEV BX CORVOCET COAXBLNT18GX15,565.0,452.0,149.44,508.5,26
RC,0272,DEV BX CORVOCET COAXBLNT18GX20,565.0,452.0,149.44,508.5,26
RC,0272,DEV BX CORVOCET COAXBLNT18GX25,565.0,452.0,149.44,508.5,26
RC,0272,DEV BX M-BIOPSY COAX 18G 16CM,390.0,312.0,103.16,351.0,26
RC,0272,DEV BX M-BIOPSY COAX 20G 16CM,484.0,387.2,128.02,435.6,26
RC,0272,DEV BX M-BIOPSY COAX 20G 20CM,390.0,312.0,103.16,351.0,26
RC,0272,DEV BX M-BIOPSY COAX 20GA 20CM,390.0,312.0,103.16,351.0,26
RC,0272,DEV BX SEMIAUTO COAX 18GX15CM,450.0,360.0,119.03,405.0,26
RC,0272,DEV BX SEMIAUTO COAX 18GX20CM,450.0,360.0,119.03,405.0,26
RC,0272,DEV BX SEMIAUTO COAX 18GX9CM,450.0,360.0,119.03,405.0,26
RC,0272,DEV BX SEMIAUTO COAX 20GX15CM,450.0,360.0,119.03,405.0,26
RC,0272,DEV BX SEMIAUTO COAX 20GX20CM,450.0,360.0,119.03,405.0,26
RC,0272,DEV BX SEMIAUTO COAX 20GX9CM,450.0,360.0,119.03,405.0,26
RC,0272,DEV BX SUPERCORE COAX 17G 12CM,500.0,400.0,132.25,450.0,26
RC,0272,DEV BX SUPERCORE COAX 17G 16CM,500.0,400.0,132.25,450.0,26
RC,0272,DEV BX SUPERCORE COAX 17G 21CM,500.0,400.0,132.25,450.0,26
RC,0272,DEV BX SUPERCORE COAX 17G 6CM,500.0,400.0,132.25,450.0,26
RC,0272,DEV BX SUPERCORE COAX 19G5.9CM,500.0,400.0,132.25,450.0,26
RC,0272,DEV BX SUPERCORE COAX19G11.9CM,500.0,400.0,132.25,450.0,26
RC,0272,DEV BX SUPERCORE COAX19G15.9CM,500.0,400.0,132.25,450.0,26
RC,0272,DEV BX TEMNO ELITE 20GX10,579.0,463.2,153.15,521.1,26
RC,0272,DEV BX TEMNO ELITE 20GX15,579.0,463.2,153.15,521.1,26
RC,0272,DEV BXM-BIOPSYCO*DISC 6339155*,420.0,336.0,111.09,378.0,26
RC,0272,DEV BXM-BIOPSYCO*DISC 6339373*,390.0,312.0,103.16,351.0,26
RC,0272,DEV BXM-BIOPSYCOAX18G20CM*CIP*,920.0,736.0,243.34,828.0,26
RC,0272,DEV CAPSULE DEL 2.5MMX180CM,1573.0,1258.4,416.06,1415.7,26
RC,0272,DEV CARDIOBLATE *DISC 6317609*,5886.0,4708.8,1556.85,5297.4,26
RC,0272,DEV CLIP INSTINCT PLUS16MMX230,1955.0,1564.0,517.1,1759.5,26
RC,0272,DEV COLLT BONE GRAFTNET XL,3659.0,2927.2,967.81,3293.1,26
RC,0272,DEV COMP MAXFORCE MTP,3812.0,3049.6,1008.27,3430.8,26
RC,0272,DEV ENDO STITCH 10MM,919.0,735.2,243.08,827.1,26
RC,0272,DEV ERCP SAMP INFINITY 9FR,1275.0,1020.0,337.24,1147.5,26
RC,0272,DEV EXPIR MUSCLE THERAPY CALIB,535.0,428.0,141.51,481.5,26
RC,0272,DEV EXPIR MUSCLE THERAPY LITE,598.0,478.4,158.17,538.2,26
RC,0272,DEV EXTL FIX AGE*DISC 6310474*,6300.0,5040.0,1666.35,5670.0,26
RC,0272,DEV FAT GRAFTING*DISC 6259709*,3568.0,2854.4,943.74,3211.2,26
RC,0272,DEV FISTULA ISOL MIXED PK,630.0,504.0,166.64,567.0,26
RC,0272,DEV FISTULA WND CROWN,627.0,501.6,165.84,564.3,26
RC,0272,DEV FIX TACKE5MM*DISC 6121854*,1568.0,1254.4,414.74,1411.2,26
RC,0272,DEV FIX TOGGLELOC FEM LNG50IN,3120.0,2496.0,825.24,2808.0,26
RC,0272,DEV FUSN VOYANT 5MMX37CM*NLU*,2600.0,2080.0,687.7,2340.0,26
RC,0272,DEV FUSN VOYANT FINECURV1*NLU*,2600.0,2080.0,687.7,2340.0,26
RC,0272,DEV GD COAG EPI-SENSE 6130 3CM,27600.0,22080.0,7300.2,24840.0,26
RC,0272,DEV GRAFT BIOXPRESS 45D 10CM,1403.0,1122.4,371.09,1262.7,26
RC,0272,DEV GRASPING RAPTOR,855.0,684.0,226.15,769.5,26
RC,0272,DEV GRASPING RAPTOR MINI,855.0,684.0,226.15,769.5,26
RC,0272,DEV INFL ENCORE*NLU*,400.0,320.0,105.8,360.0,26
RC,0272,DEV INFL PRESTO 40ATM STER,450.0,360.0,119.03,405.0,26
RC,0272,DEV INFL SINUS BLN*NLU*,400.0,320.0,105.8,360.0,26
RC,0272,DEV INFL*OBSOLETE USE 6117345*,300.0,240.0,79.35,270.0,26
RC,0272,DEV INTRACLUDE INTRAAORTA OCCL,15000.0,12000.0,3967.5,13500.0,26
RC,0272,DEV LENS FRAG MILOOPZEROENERGY,1275.0,1020.0,337.24,1147.5,26
RC,0272,DEV LIGATING POLYLOOP,855.0,684.0,226.15,769.5,26
RC,0272,DEV PIN BONE STRY 4X110MM,1228.0,982.4,324.81,1105.2,26
RC,0272,DEV PIN BONE STRY 4X120MM*NLU*,1768.0,1414.4,467.64,1591.2,26
RC,0272,DEV PIN BONE STRY 4X140MM,1228.0,982.4,324.81,1105.2,26
RC,0272,DEV PIN BONE STRY 4X150MM*NLU*,1768.0,1414.4,467.64,1591.2,26
RC,0272,DEV PIN BONE STRY 4X170MM,1228.0,982.4,324.81,1105.2,26
RC,0272,DEV PIN BONE STRY 4X80MM,1228.0,982.4,324.81,1105.2,26
RC,0272,DEV PIN BONE STRY 4X90MM*NLU*,1768.0,1414.4,467.64,1591.2,26
RC,0272,DEV PRCD WATCHMAN TRUSTEER,6750.0,5400.0,1785.38,6075.0,26
RC,0272,DEV RAD COMP HEMOBAND 14IN,1067.0,853.6,282.22,960.3,26
RC,0272,DEV RAD COMP PRELUDESYNC EZ 32,350.0,280.0,92.58,315.0,26
RC,0272,DEV RAD COMP TR BAND LG 29CM,300.0,240.0,79.35,270.0,26
RC,0272,DEV RAD COMP TR BAND REG 24CM,300.0,240.0,79.35,270.0,26
RC,0272,DEV RESECTION HABIB 4X 75/125,13650.0,10920.0,3610.43,12285.0,26
RC,0272,DEV RESECTION HABIB 4X LAP,13650.0,10920.0,3610.43,12285.0,26
RC,0272,DEV RESOLUTI*DNR 6130121*,935.0,748.0,247.31,841.5,26
RC,0272,DEV RESOLUTION CLIP 11MMX235CM,935.0,748.0,247.31,841.5,26
RC,0272,DEV REVASC EMBOTRAP III 3.5X37,19200.0,15360.0,5078.4,17280.0,26
RC,0272,DEV REVASC EMBOTRAPII 5X*NLU*,16458.0,13166.4,4353.14,14812.2,26
RC,0272,DEV RF NOVASU*VAT 6283642*,5025.0,4020.0,1329.11,4522.5,26
RC,0272,DEV RF NOVASURE *DISC 6283642*,5545.0,4436.0,1466.65,4990.5,26
RC,0272,DEV SIDE ARM ADPTR ROTATE,354.0,283.2,93.63,318.6,26
RC,0272,DEV SKIN CLSR ZIP6 6*VAT NLU*,679.0,543.2,179.6,611.1,26
RC,0272,DEV SOLITAIRE PLAT 6X40MM,16313.0,13050.4,4314.79,14681.7,26
RC,0272,DEV STONETOME BELOWCUT TIP20MM,2152.0,1721.6,569.2,1936.8,26
RC,0272,DEV SUT CAPIO CAPTURING SLIM,4053.0,3242.4,1072.02,3647.7,26
RC,0272,DEV SUT CAPIO SLIM OPEN ACCESS,4521.0,3616.8,1195.8,4068.9,26
RC,0272,DEV SUT CINCH OVERSTITCH*CIP*,2653.0,2122.4,701.72,2387.7,26
RC,0272,DEV SUT COR-KNOT QK LOAD 5MM,475.0,380.0,125.64,427.5,26
RC,0272,DEV SUT ENDO TI-KNOT TK5,1692.0,1353.6,447.53,1522.8,26
RC,0272,DEV SUT RETENTION ADH HEMIGARD,1063.0,850.4,281.16,956.7,26
RC,0272,DEV SUT SEROSAFUSE 7.5MM,13075.0,10460.0,3458.34,11767.5,26
RC,0272,DEV SUT TISS HELIX OVERSTITCH,1835.0,1468.0,485.36,1651.5,26
RC,0272,DEV SUT TISSHLXO*DISC 6350331*,1835.0,1468.0,485.36,1651.5,26
RC,0272,DEV SUTCINCHOVER*DISC 6346361*,1551.0,1240.8,410.24,1395.9,26
RC,0272,DEV TISS REMOV MYOSURE LITE,4865.0,3892.0,1286.79,4378.5,26
RC,0272,DEV TISS REMOV MYOSURE REACH,5940.0,4752.0,1571.13,5346.0,26
RC,0272,DEV TISS REMOV MYOSURE XL,4986.0,3988.8,1318.8,4487.4,26
RC,0272,DEV TISS REMOV MYOSUREXLFLUENT,4986.0,3988.8,1318.8,4487.4,26
RC,0272,DEV VASC CLSR CATALYS7FR*DISC*,1437.0,1149.6,380.09,1293.3,26
RC,0272,DEV VASC CLSR FL*DISC NO REPL*,1700.0,1360.0,449.65,1530.0,26
RC,0272,DEV VASC CLSR PERCLOSEPROSTYLE,2024.0,1619.2,535.35,1821.6,26
RC,0272,DEV VASC CLSR VE*DISC 6317744*,6728.0,5382.4,1779.56,6055.2,26
RC,0272,DEV VEIN HARVEST VENAPAX *NLU*,4725.0,3780.0,1249.76,4252.5,26
RC,0272,DEV VISCOELA*DISC 6295364*,450.0,360.0,119.03,405.0,26
RC,0272,DEVFUSN MARYLANDVOYANT5M*NLU*,2600.0,2080.0,687.7,2340.0,26
RC,0272,DEVFUSN MARYLANDVOYANT5MM*NLU*,2600.0,2080.0,687.7,2340.0,26
RC,0272,DEVFUSN OPENVOYANTCURVBL*NLU*,2600.0,2080.0,687.7,2340.0,26
RC,0272,DIL ENDOVASC 0.035 20.22FR45CM,1725.0,1380.0,456.26,1552.5,26
RC,0272,DIL HEALI FULL THRD 5.5MM,2760.0,2208.0,730.02,2484.0,26
RC,0272,DIL INSL DISP 8-13-18MM,5625.0,4500.0,1487.81,5062.5,26
RC,0272,DIL INTR AMPLZ RENAL6-30FR20CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,DIL KT XLIF NEUROVISION MSDISP,5592.0,4473.6,1479.08,5032.8,26
RC,0272,DIL SET SALIVARY ACCESS,1275.0,1020.0,337.24,1147.5,26
RC,0272,DIL SET URETRL PTFE 6-18FR60CM,2169.0,1735.2,573.7,1952.1,26
RC,0272,DIL SET URTHRL MEATAL 6-16FR,300.0,240.0,79.35,270.0,26
RC,0272,DIL SET URTHRL SCURV8-20FR,1476.0,1180.8,390.4,1328.4,26
RC,0272,DIL SPNL STIM LAT NVGTN,5625.0,4500.0,1487.81,5062.5,26
RC,0272,DIL STIM KT SAFEOP STER,5625.0,4500.0,1487.81,5062.5,26
RC,0272,DIL STIM KT SAFEOP STER OVAL,5625.0,4500.0,1487.81,5062.5,26
RC,0272,DIL STIM KT SAFEOP3 STER CIR,5625.0,4500.0,1487.81,5062.5,26
RC,0272,DIL STIM KT SAFEOP3 STER OVAL,5625.0,4500.0,1487.81,5062.5,26
RC,0272,DIL TRNSPTL PIGT*DISC 6345487*,4928.0,3942.4,1303.46,4435.2,26
RC,0272,DIL TRNSPTL PIGTVERSAD1 85X230,4928.0,3942.4,1303.46,4435.2,26
RC,0272,DIL UTERINE HEGAR STER 11/12MM,401.0,320.8,106.06,360.9,26
RC,0272,DIL UTERINE HEGAR STER 1MM/2MM,485.0,388.0,128.28,436.5,26
RC,0272,DIL UTERINE HEGAR STER 3/4MM,462.0,369.6,122.2,415.8,26
RC,0272,DIL UTERINE HEGAR STER 5/6MM,483.0,386.4,127.75,434.7,26
RC,0272,DIL UTERINE HEGAR STER 7/8MM,460.0,368.0,121.67,414.0,26
RC,0272,DIL UTERINE HEGAR STER 9/10MM,511.0,408.8,135.16,459.9,26
RC,0272,DILATE LAT NIM-ECLIPSE*NLU*,4950.0,3960.0,1309.28,4455.0,26
RC,0272,DILATOR VAG RECTAL MILEX *NLU*,1340.0,1072.0,354.43,1206.0,26
RC,0272,DISC DIMND METAL CUT 25.4,2840.0,2272.0,751.18,2556.0,26
RC,0272,DISECT ENDO BULLET 5X400MM,4000.0,3200.0,1058.0,3600.0,26
RC,0272,DISECT MARYLAND ROB SI RPSB5MM,215.0,172.0,56.87,193.5,26
RC,0272,DISECT MARYLAND ROB SSRPSB 5MM,124.0,99.2,32.8,111.6,26
RC,0272,DISECT PCKT ALTAVIA MDTR,1105.0,884.0,292.27,994.5,26
RC,0272,DISECT SONICISIO*DISC 6301857*,7754.0,6203.2,2050.93,6978.6,26
RC,0272,DISECT SONICISIO*DISC 6335018*,7004.0,5603.2,1852.56,6303.6,26
RC,0272,DISECT SONICISIO*DISC 6341145*,6013.0,4810.4,1590.44,5411.7,26
RC,0272,DISECT SONICISION 5MM 13C*NLU*,4045.0,3236.0,1069.9,3640.5,26
RC,0272,DISECT SONICISION CURV JAW26CM,2720.0,2176.0,719.44,2448.0,26
RC,0272,DISECT SONICISION7 CURVJAW26CM,3200.0,2560.0,846.4,2880.0,26
RC,0272,DISECT SONICISION7 CURVJAW39CM,3200.0,2560.0,846.4,2880.0,26
RC,0272,DISECT SONICISION7 CURVJAW48CM,4947.0,3957.6,1308.48,4452.3,26
RC,0272,DISTRAC ARM CANOE STAR DR DONS,701.0,560.8,185.41,630.9,26
RC,0272,DISTRAC ARM CONCEALED TIP 33MM,5788.0,4630.4,1530.93,5209.2,26
RC,0272,DISTRAC MANUAL MAGEC SYS,4000.0,3200.0,1058.0,3600.0,26
RC,0272,DPRSR TID PHAROS ALCON,646.0,516.8,170.87,581.4,26
RC,0272,DRILL BONE VERTECOR 11GX16.7CM,2015.0,1612.0,532.97,1813.5,26
RC,0272,DRILL BUNION 2.4MM SCREW NVIS,3600.0,2880.0,952.2,3240.0,26
RC,0272,DRILL CALIB DRIL*DISC NO REPL*,2048.0,1638.4,541.7,1843.2,26
RC,0272,DRILL CANN MRME 2.1X150MM,3320.0,2656.0,878.14,2988.0,26
RC,0272,DRILL CANN MRME 2.5MM,3320.0,2656.0,878.14,2988.0,26
RC,0272,DRILL CANN OMNI 2.5MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,DRILL CANN OMNI 3.0MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,DRILL FLEX OBTR FBRTAK 1.9MM,1075.0,860.0,284.34,967.5,26
RC,0272,DRILL HAND MANUAL CRANI DISP,1972.0,1577.6,521.59,1774.8,26
RC,0272,DRILL KNTLS CRKSCRW 3.9MM,982.0,785.6,259.74,883.8,26
RC,0272,DRILL KT CRANI HUBLY WO DRUGS,4193.0,3354.4,1109.05,3773.7,26
RC,0272,DRILL KT ELITE 3MM,2683.0,2146.4,709.65,2414.7,26
RC,0272,DRILL KT SPEED 2.0MM,2597.0,2077.6,686.91,2337.3,26
RC,0272,DRILL KT SPEEDTITAN 2.65MM,2443.0,1954.4,646.17,2198.7,26
RC,0272,DRILL POWERPICK 45D 4MM,859.0,687.2,227.21,773.1,26
RC,0272,DRILL POWERPICK ARTX 30D,859.0,687.2,227.21,773.1,26
RC,0272,DRILL POWERPICK ARTX 45D,859.0,687.2,227.21,773.1,26
RC,0272,DRILL POWERPICK ARTX 45D XL,859.0,687.2,227.21,773.1,26
RC,0272,DRILL RADL STRY*DISC NO REPL*,699.0,559.2,184.89,629.1,26
RC,0272,DRILL RIBFIX ADV BRAD PT 4.0MM,2560.0,2048.0,677.12,2304.0,26
RC,0272,DRILL SICAGE*NLU*,4165.0,3332.0,1101.64,3748.5,26
RC,0272,DRILL SOLID STOP OMNI 2.5MM,2200.0,1760.0,581.9,1980.0,26
RC,0272,DRILL SUTFIX ULT XL DISP *NLU*,2440.0,1952.0,645.38,2196.0,26
RC,0272,DRILL TWIST COIL 30 2.0X130MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,DRILL TWIST COIL 50 2.0X150MM,2200.0,1760.0,581.9,1980.0,26
RC,0272,DRIV ACTUATION HEX STER 2.0MM,1734.0,1387.2,458.64,1560.6,26
RC,0272,DRIV BIT GRIDLOCK 3.0/2.4MM,1743.0,1394.4,461.02,1568.7,26
RC,0272,DRIV BIT ZIMM 1.3MM,720.0,576.0,190.44,648.0,26
RC,0272,DRIV BIT ZIMM 1.5MM,720.0,576.0,190.44,648.0,26
RC,0272,DRIV BIT ZIMM 2.0-2.5MM,720.0,576.0,190.44,648.0,26
RC,0272,DRIV CANN SHAFT TRIL 7.0M*NLU*,2880.0,2304.0,761.76,2592.0,26
RC,0272,DRIV CANN SLIP FIT 3.0/4.0MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,DRIV H10 SLF RETAINING,739.0,591.2,195.47,665.1,26
RC,0272,DRIV HCS RDCTN 2.5MM,3496.0,2796.8,924.69,3146.4,26
RC,0272,DRIV HEX CANN 2.5MM,5735.0,4588.0,1516.91,5161.5,26
RC,0272,DRIV HEX CANN AO 1.5X70MM,1063.0,850.4,281.16,956.7,26
RC,0272,DRIV HEX CANN AO 2.0X70MM,1063.0,850.4,281.16,956.7,26
RC,0272,DRIV HEX TIP SM SHAFT 1.5MM,2280.0,1824.0,603.06,2052.0,26
RC,0272,DRIV MDTP ZIMM,684.0,547.2,180.92,615.6,26
RC,0272,DRIV NDLE ENDOWRISTROBSRPSB LG,220.0,176.0,58.19,198.0,26
RC,0272,DRIV NDLE ENDOWRISTROBSRPSB5MM,215.0,172.0,56.87,193.5,26
RC,0272,DRIV NDLE RO*DISC 6316457*,220.0,176.0,58.19,198.0,26
RC,0272,DRIV NDLE ROB S MEGA RPSB,220.0,176.0,58.19,198.0,26
RC,0272,DRIV NDLE ROB SS RPSB 5MM,124.0,99.2,32.8,111.6,26
RC,0272,DRIV NDLE ROB XI MEGA RPSB,231.0,184.8,61.1,207.9,26
RC,0272,DRIV NDLE ROB XI RPSB LG,179.0,143.2,47.35,161.1,26
RC,0272,DRIV NDLE SU*DISC 6316463*,240.0,192.0,63.48,216.0,26
RC,0272,DRIV NDLE SU*DISC 6316464*,240.0,192.0,63.48,216.0,26
RC,0272,DRIV NDLE SUTCUT ROB S RPSB LG,240.0,192.0,63.48,216.0,26
RC,0272,DRIV NDLE SUTCUT ROB XI RPSB,184.0,147.2,48.67,165.6,26
RC,0272,DRIV NDLE SUTCUT ROB XI RPSBLG,179.0,143.2,47.35,161.1,26
RC,0272,DRIV NDLE SUTCUT ROBS MEGARPSB,240.0,192.0,63.48,216.0,26
RC,0272,DRIV NDLE WRIST ROB SSRPSB 5MM,250.0,200.0,66.13,225.0,26
RC,0272,DRIV PEG TORQUE LIMITING 2MM,1615.0,1292.0,427.17,1453.5,26
RC,0272,DRIV SHAFT CANN HEXALOBE 1.5MM,2200.0,1760.0,581.9,1980.0,26
RC,0272,DRIV SHAFT CANN T10HEXALOBE3.5,2200.0,1760.0,581.9,1980.0,26
RC,0272,DRIV SHAFT SEAL FOR RIA SYNT,702.0,561.6,185.68,631.8,26
RC,0272,DRIV SHRT HT X-LOCK 1.5MM*NLU*,3920.0,3136.0,1036.84,3528.0,26
RC,0272,DRIV SOLID GORILLA R3CON HX10,2158.0,1726.4,570.79,1942.2,26
RC,0272,DRIV SOLID GORILLAR3CONLNGHX10,1630.0,1304.0,431.14,1467.0,26
RC,0272,DRIV SPADE TRIL 3.4MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,DRIV SPADE TRIL 4.5MM*NLU*,2125.0,1700.0,562.06,1912.5,26
RC,0272,DRIV T10 HEXALOBE BEV FT,2200.0,1760.0,581.9,1980.0,26
RC,0272,DRIV THORACIC POWER DISP,1352.0,1081.6,357.6,1216.8,26
RC,0272,DRIV TORQ ELBOW NEXEL STER,2150.0,1720.0,568.68,1935.0,26
RC,0272,DRIV TORX FT FUZEFIX 3.5MM,4970.0,3976.0,1314.57,4473.0,26
RC,0272,DRIV TORX FUZEFIX LG 5.5MM,5460.0,4368.0,1444.17,4914.0,26
RC,0272,DRIV TORX FUZEFIX LG 7.0MM,5460.0,4368.0,1444.17,4914.0,26
RC,0272,DRIV TORX FUZEFIX MINI 4.0MM,4970.0,3976.0,1314.57,4473.0,26
RC,0272,DRIV TRUTORQ STER 14.0NM,3024.0,2419.2,799.85,2721.6,26
RC,0272,DRIV UNIV QC ALIGN T20,1615.0,1292.0,427.17,1453.5,26
RC,0272,DRIV UNIV QC IJS T10,1360.0,1088.0,359.72,1224.0,26
RC,0272,DRIVE SQ ZIMM 1.7/2.2MM,884.0,707.2,233.82,795.6,26
RC,0272,DRN AUTOTRANFUSN SURETRA*NLU*,1219.0,975.2,322.43,1097.1,26
RC,0272,DRN BLAKE FLT FLUTE FULL 10MM,871.0,696.8,230.38,783.9,26
RC,0272,DRN BLAKE HBLS RD0.25TROC19FR,889.0,711.2,235.14,800.1,26
RC,0272,DRN CFS EDMS BECKER BC NDLESS,1754.0,1403.2,463.93,1578.6,26
RC,0272,DRN CFS EDMS BECKER II EUROBLU,1680.0,1344.0,444.36,1512.0,26
RC,0272,DRN CFS EDMS BECKER NDLESS,1798.0,1438.4,475.57,1618.2,26
RC,0272,DRN CHEST ARGYLE 4CHAMB 2500,1422.0,1137.6,376.12,1279.8,26
RC,0272,DRN CHEST ARGYLEEASYCHANGE2500,1592.0,1273.6,421.08,1432.8,26
RC,0272,DRN CHEST DRY SE*DISC 6121106*,575.0,460.0,152.09,517.5,26
RC,0272,DRN CHEST DRY SEAL 1PT TB SGL,521.0,416.8,137.8,468.9,26
RC,0272,DRN CHEST PLEUR-EVAC A7000ADLT,470.0,376.0,124.32,423.0,26
RC,0272,DRN CHEST PLUER VAC ADLT PED,463.0,370.4,122.46,416.7,26
RC,0272,DRN CHEST SET FUHRMAN8.5FR5X15,1231.0,984.8,325.6,1107.9,26
RC,0272,DRN CHEST SET FUHRMAN8.5FR7X15,1129.0,903.2,298.62,1016.1,26
RC,0272,DRN CSF EDMS BECKER II BLU,1680.0,1344.0,444.36,1512.0,26
RC,0272,DRN CSF EDMS DUET INTERLINK,1842.0,1473.6,487.21,1657.8,26
RC,0272,DRN CSF EXTL VENT CATH STD CL,1121.0,896.8,296.5,1008.9,26
RC,0272,DRN CSF SYS VENT,1911.0,1528.8,505.46,1719.9,26
RC,0272,DRN EXTL CFS VENT CATH EDS3,2045.0,1636.0,540.9,1840.5,26
RC,0272,DRN EXTL SYS VENT WO CATH,1624.0,1299.2,429.55,1461.6,26
RC,0272,DRN EXTL VENT CA*DISC 6316297*,1123.0,898.4,297.03,1010.7,26
RC,0272,DRN EXTL VENT CATH SET,1168.0,934.4,308.94,1051.2,26
RC,0272,DRN FLT FLUTED FU*VAT 6263324*,932.0,745.6,246.51,838.8,26
RC,0272,DRN JP PVC 10FR 4*VAT 6194716*,362.0,289.6,95.75,325.8,26
RC,0272,DRN KT LUMB CSF CATH 80CM,3676.0,2940.8,972.3,3308.4,26
RC,0272,DRN SEROMA CATH BLNT 14X2,694.0,555.2,183.56,624.6,26
RC,0272,DRN SEROMA CATH SYS,604.0,483.2,159.76,543.6,26
RC,0272,DRN SUMP CLOTSTOP 9MMX14IN,344.0,275.2,90.99,309.6,26
RC,0272,DRN SUMP CLOTSTOP 9MMX20IN,375.0,300.0,99.19,337.5,26
RC,0272,DRN SYS SAFE-T-CENTESIS 6FR,560.0,448.0,148.12,504.0,26
RC,0272,DRN SYS SAFE-T-CENTESIS 8FR,560.0,448.0,148.12,504.0,26
RC,0272,DRN T TB SIL 10FR,2320.0,1856.0,613.64,2088.0,26
RC,0272,DRN T TB SIL 12FR,2320.0,1856.0,613.64,2088.0,26
RC,0272,DRN T TB SIL 14FR,2320.0,1856.0,613.64,2088.0,26
RC,0272,DRN T TB SIL 16FR,2320.0,1856.0,613.64,2088.0,26
RC,0272,DRN TB EXTNDR,1063.0,850.4,281.16,956.7,26
RC,0272,DRN TLS SYS 10FR*DISC 6320381*,420.0,336.0,111.09,378.0,26
RC,0272,DRN TLS SYS 7FR,550.0,440.0,145.48,495.0,26
RC,0272,DRNBLAKEHBLS3/16T*VAT 6212863*,912.0,729.6,241.22,820.8,26
RC,0272,DRSG AG SLVRGELLINGBR4X5*DISC*,627.0,501.6,165.84,564.3,26
RC,0272,DRSG AQUACEL A*DISC NO REPL*,2003.0,1602.4,529.79,1802.7,26
RC,0272,DRSG AQUACEL AG *DISC 6320643*,326.0,260.8,86.23,293.4,26
RC,0272,DRSG AQUACEL AG *DISC 6320644*,327.0,261.6,86.49,294.3,26
RC,0272,DRSG AQUACEL AG *DISC 6323151*,2220.0,1776.0,587.19,1998.0,26
RC,0272,DRSG AQUACEL AG BURN 6.75X6,306.0,244.8,80.94,275.4,26
RC,0272,DRSG AQUACEL AG BURN 9.5X12,422.0,337.6,111.62,379.8,26
RC,0272,DRSG AQUACEL AG FM 10X12,383.0,306.4,101.3,344.7,26
RC,0272,DRSG AQUACEL AG SLIM 3.5X12,327.0,261.6,86.49,294.3,26
RC,0272,DRSG AQUACEL AG SURG 3.5X12,327.0,261.6,86.49,294.3,26
RC,0272,DRSG AQUACEL AG SURG 3.5X14,326.0,260.8,86.23,293.4,26
RC,0272,DRSG BIOLG ENDOFORM FEN10X12.7,351.0,280.8,92.84,315.9,26
RC,0272,DRSG FM ADH TOPIFOAM SIL 8X12,698.0,558.4,184.62,628.2,26
RC,0272,DRSG GELFILM 4X5*NLU*,4590.0,3672.0,1214.06,4131.0,26
RC,0272,DRSG HEMO CLO-SUR PAD*NLU*,320.0,256.0,84.64,288.0,26
RC,0272,DRSG KT PREVENA 13CM,2112.0,1689.6,558.62,1900.8,26
RC,0272,DRSG KT PREVENA 20CM,2112.0,1689.6,558.62,1900.8,26
RC,0272,DRSG KT PREVENA+ CUSTOMIZABLE,2713.0,2170.4,717.59,2441.7,26
RC,0272,DRSG KT RESTOR ARTHROFORM33X30,5250.0,4200.0,1388.63,4725.0,26
RC,0272,DRSG MEPILEX BORD AG 4X12,424.0,339.2,112.15,381.6,26
RC,0272,DRSG MEPILEX POSTOP AG 4X12,308.0,246.4,81.47,277.2,26
RC,0272,DRSG MEPILEX POSTOP AG 4X14,357.0,285.6,94.43,321.3,26
RC,0272,DRSG NASAL KENNEDY 1.2X3.5CM,306.0,244.8,80.94,275.4,26
RC,0272,DRSG NASAL MEROG*DISC NO REPL*,823.0,658.4,217.68,740.7,26
RC,0272,DRSG NASOPORE FD FIRM 8CM,2012.0,1609.6,532.17,1810.8,26
RC,0272,DRSG NASOPORE FIRM 4CM,1274.0,1019.2,336.97,1146.6,26
RC,0272,DRSG NASOPORE STD 4CM,1012.0,809.6,267.67,910.8,26
RC,0272,DRSG NASOPORE STD 8CM,1724.0,1379.2,456.0,1551.6,26
RC,0272,DRSG NASOPORE XTR FIRM 4CM,1477.0,1181.6,390.67,1329.3,26
RC,0272,DRSG NEG PRSS SILVERION 5X8,353.0,282.4,93.37,317.7,26
RC,0272,DRSG OASIS MTX MICRO 1000MG,10388.0,8310.4,2747.63,9349.2,26
RC,0272,DRSG OASIS MTX MICRO 200MG,3629.0,2903.2,959.87,3266.1,26
RC,0272,DRSG OASIS MTX MICRO 500MG,5376.0,4300.8,1421.95,4838.4,26
RC,0272,DRSG OPEN ABD ABT*USE 6320953*,4261.0,3408.8,1127.03,3834.9,26
RC,0272,DRSG POLYWIC SLVR 3X3,68.0,54.4,17.99,61.2,26
RC,0272,DRSG PREVENA RESTOR BELLA*NLU*,4042.5,3234.0,1018.33,3811.5,52
RC,0272,DRSG RAPID RHINO ANT 5.5CM,394.0,315.2,104.21,354.6,26
RC,0272,DRSG RAPID RHINO PSTR 9CM,729.0,583.2,192.82,656.1,26
RC,0272,DRSG RAPID RHINO SINUKNIT,522.0,417.6,138.07,469.8,26
RC,0272,DRSG RAPIDRHINO ANT/PSTR 7.5CM,418.0,334.4,110.56,376.2,26
RC,0272,DRSG RAPIDRHINO TAMPONADE5.5CM,405.0,324.0,107.12,364.5,26
RC,0272,DRSG SAFEGUARD 24CM,589.0,471.2,155.79,530.1,26
RC,0272,DRSG SEPTAL POSISEP X 0.6X2,1190.0,952.0,314.76,1071.0,26
RC,0272,DRSG SINUFOAM STAMMBERGER,771.0,616.8,203.93,693.9,26
RC,0272,DRSG SYS PREVENA 13CM,3558.0,2846.4,941.09,3202.2,26
RC,0272,DRSG SYS PREVENA 20CM,3558.0,2846.4,941.09,3202.2,26
RC,0272,DRSG SYS PREVENA CUSTOMIZABLE,3808.0,3046.4,1007.22,3427.2,26
RC,0272,DRSG SYS PREVENA DUO 13CM,3749.0,2999.2,991.61,3374.1,26
RC,0272,DRSG SYS PREVENA+ CUSTOMIZABLE,4088.0,3270.4,1081.28,3679.2,26
RC,0272,DRSG SYS RESTOR BELLA 24X22,4590.0,3672.0,1214.06,4131.0,26
RC,0272,DRSG SYS RESTOR BELLA 29X27,4995.0,3996.0,1321.18,4495.5,26
RC,0272,DRSG VAC ABTHERA W SENSATRAC,3919.0,3135.2,1036.58,3527.1,26
RC,0272,DRSG VAC ABTHERA*USE 6312693*,3567.0,2853.6,943.47,3210.3,26
RC,0272,DRSG VAC FM ADV SNAP 10X10CM,487.0,389.6,128.81,438.3,26
RC,0272,DRSG VAC FM ADV SNAP 15X15CM,472.0,377.6,124.84,424.8,26
RC,0272,DRSG VAC FM BRIDGE SNAP14X11CM,617.0,493.6,163.2,555.3,26
RC,0272,DRSG VAC GRANUFOA*USE 6114716*,431.0,344.8,114.0,387.9,26
RC,0272,DRSG VAC GRANUFOA*USE 6131237*,481.0,384.8,127.22,432.9,26
RC,0272,DRSG VAC GRANUFOAM BRIDGE,477.0,381.6,126.17,429.3,26
RC,0272,DRSG VAC GRANUFOAM DERMATAC LG,625.0,500.0,165.31,562.5,26
RC,0272,DRSG VAC GRANUFOAM DERMATAC MD,500.0,400.0,132.25,450.0,26
RC,0272,DRSG VAC GRANUFOAM DERMATAC SM,420.0,336.0,111.09,378.0,26
RC,0272,DRSG VAC GRANUFOAM SENSATRACLG,481.0,384.8,127.22,432.9,26
RC,0272,DRSG VAC GRANUFOAM SENSATRACMD,391.0,312.8,103.42,351.9,26
RC,0272,DRSG VAC GRANUFOAM SENSATRACSM,316.0,252.8,83.58,284.4,26
RC,0272,DRSG VAC GRANUFOAM SENSATRACXL,895.0,716.0,236.73,805.5,26
RC,0272,DRSG VAC GRANUFOAM SLVR LG,690.0,552.0,182.51,621.0,26
RC,0272,DRSG VAC GRANUFOAM SLVR MD,541.0,432.8,143.09,486.9,26
RC,0272,DRSG VAC GRANUFOAM SLVR SM,454.0,363.2,120.08,408.6,26
RC,0272,DRSG VAC OPEN ABD ABTHERA ADV,4363.0,3490.4,1154.01,3926.7,26
RC,0272,DRSG VAC PEEL&PLACE LG,1299.0,1039.2,343.59,1169.1,26
RC,0272,DRSG VAC PEEL&PLACE MD,1055.0,844.0,279.05,949.5,26
RC,0272,DRSG VAC PEEL&PLACE SM,854.0,683.2,225.88,768.6,26
RC,0272,DRSG VAC SILV GRA*USE 6131238*,592.0,473.6,156.58,532.8,26
RC,0272,DRSG VAC SIMPLACE EX MD,471.0,376.8,124.58,423.9,26
RC,0272,DRSG VAC SIMPLACE EX SM,374.0,299.2,98.92,336.6,26
RC,0272,DRSG VAC VERAFLO BLOCKSHAPE LG,1763.0,1410.4,466.31,1586.7,26
RC,0272,DRSG VAC VERAFLO BLOCKSHAPE MD,939.0,751.2,248.37,845.1,26
RC,0272,DRSG VAC VERAFLO BLOCKSHAPE SM,847.0,677.6,224.03,762.3,26
RC,0272,DRSG VAC VERAFLO CLNSE COMPLMD,1136.0,908.8,300.47,1022.4,26
RC,0272,DRSG VAC VERAFLO CLNSE OVAL LG,2007.0,1605.6,530.85,1806.3,26
RC,0272,DRSG VAC VERAFLO CLNSE OVAL MD,1136.0,908.8,300.47,1022.4,26
RC,0272,DRSG VAC WHITEFOAM SENSATRACLG,493.0,394.4,130.4,443.7,26
RC,0272,DRSG VACVIA GRANUFOAM SPIRALMD,387.0,309.6,102.36,348.3,26
RC,0272,DRSG WND PASTE MANUKAPLI TB0.5,184.0,147.2,48.67,165.6,26
RC,0272,DRSG WND PDR ALTRAZEAL 0.75GM,1275.0,1020.0,337.24,1147.5,26
RC,0272,DRSG WND PURAPLY MZ 500MG,4568.0,3654.4,1208.24,4111.2,26
RC,0272,DRVR POWER T HNDL STER 1/4 SQ,4800.0,3840.0,1269.6,4320.0,26
RC,0272,DSPN BONE MTX DEL SYS,3640.0,2912.0,962.78,3276.0,26
RC,0272,EASY OUT ZIMM,2496.0,1996.8,660.19,2246.4,26
RC,0272,ELECSURG ROB SYNCHROSEAL 8MM,5072.0,4057.6,1341.54,4564.8,26
RC,0272,ELEV BONE KT TRUELOCK STER,29325.0,23460.0,7756.46,26392.5,26
RC,0272,ELITE FBR ENT OMGD,6750.0,5400.0,1785.38,6075.0,26
RC,0272,ELTD BIVAP BIPOLR STER 7MM,3029.0,2423.2,801.17,2726.1,26
RC,0272,ELTD BLADE CTD INSL NEPTUNE165,1055.0,844.0,279.05,949.5,26
RC,0272,ELTD CAUT ACROMI*DISC NO REPL*,314.0,251.2,83.05,282.6,26
RC,0272,ELTD CAUT MENISC*DISC NO REPL*,310.0,248.0,82.0,279.0,26
RC,0272,ELTD CAUT PLAS BTN PK GYRU,3900.0,3120.0,1031.55,3510.0,26
RC,0272,ELTD CUT BIPOLR 7MM,3076.0,2460.8,813.6,2768.4,26
RC,0272,ELTD DEFIB PEDI-PADZ MULT PEDS,397.0,317.6,105.01,357.3,26
RC,0272,ELTD DEFIB RDCTN ENERGY PEDS,984.0,787.2,260.27,885.6,26
RC,0272,ELTD DEFIB STAT-PADZ ADLT,401.0,320.8,106.06,360.9,26
RC,0272,ELTD E-Z CLN L WIRE 33CM *NLU*,358.0,286.4,94.69,322.2,26
RC,0272,ELTD EEG QK CONN DEEP CUP 15,900.0,720.0,238.05,810.0,26
RC,0272,ELTD EEG QK CONN DEEP CUP 26,935.0,748.0,247.31,841.5,26
RC,0272,ELTD EMG SUBDERM PRASS 1M2CH25,4374.0,3499.2,1156.92,3936.6,26
RC,0272,ELTD EMG SUBDERM PRASS 2M2CH18,1230.0,984.0,325.34,1107.0,26
RC,0272,ELTD ESG PLASBTN 24FR 30D,3584.0,2867.2,947.97,3225.6,26
RC,0272,ELTD ESG PLASLOOP LG 24FR 30D,3430.0,2744.0,907.24,3087.0,26
RC,0272,ELTD ESG PLASLOOP MD 24FR 16D,3430.0,2744.0,907.24,3087.0,26
RC,0272,ELTD ESG PLASLOOP MD 24FR 30D,3430.0,2744.0,907.24,3087.0,26
RC,0272,ELTD ESG PLASOVALBTN 24FR 30D,3650.0,2920.0,965.43,3285.0,26
RC,0272,ELTD FULGUR BUGBEE 5FR 58CM,621.0,496.8,164.25,558.9,26
RC,0272,ELTD FULGUR BUGBEE LNG 2FR105,873.0,698.4,230.91,785.7,26
RC,0272,ELTD FULGUR BUGBEE SHRT 3FR105,756.0,604.8,199.96,680.4,26
RC,0272,ELTD HF 45D 24-28FR,781.0,624.8,206.57,702.9,26
RC,0272,ELTD HF ANG*DISC NO REPL*,1190.0,952.0,314.76,1071.0,26
RC,0272,ELTD HF CYL 12D 30D 24-28FR,988.0,790.4,261.33,889.2,26
RC,0272,ELTD HF LOOP 0.035WIRE 30D24FR,813.0,650.4,215.04,731.7,26
RC,0272,ELTD HF LOOP 0.2WIRE30D24*NLU*,893.0,714.4,236.2,803.7,26
RC,0272,ELTD HF LOOP0.35WIRE30D26-28FR,789.0,631.2,208.69,710.1,26
RC,0272,ELTD HF NDLE 90D 24-28FR 12D,781.0,624.8,206.57,702.9,26
RC,0272,ELTD HF ROLLER 24-28FR 12-30D,1105.0,884.0,292.27,994.5,26
RC,0272,ELTD HF ROLLER OLYM 24-28FR,781.0,624.8,206.57,702.9,26
RC,0272,ELTD HOOK PRINCESS STER 7-8MM,3029.0,2423.2,801.17,2726.1,26
RC,0272,ELTD KT PTP/LTP NDLE SAFEOP3,8100.0,6480.0,2142.45,7290.0,26
RC,0272,ELTD KT PTP/LTP SURFACESAFEOP3,8100.0,6480.0,2142.45,7290.0,26
RC,0272,ELTD LAP FLAT L-HOOK CTD 36CM,306.0,244.8,80.94,275.4,26
RC,0272,ELTD LAP FLAT L-HOOK CTD 45CM,352.0,281.6,93.1,316.8,26
RC,0272,ELTD LARYNGEAL LAN8/9MM*NLU*,1020.0,816.0,269.79,918.0,26
RC,0272,ELTD LOOP ANG HF DISP 12D*NLU*,1427.0,1141.6,377.44,1284.3,26
RC,0272,ELTD LOOP HF DISP 12D 24FR,1066.0,852.8,281.96,959.4,26
RC,0272,ELTD MICROTARGETING STER,2392.0,1913.6,632.68,2152.8,26
RC,0272,ELTD NDLE EMG 2CH RED/BLU 13MM,720.0,576.0,190.44,648.0,26
RC,0272,ELTD NDLE EMG SSEP KT SAFEOP,6750.0,5400.0,1785.38,6075.0,26
RC,0272,ELTD NDLE EMG SURFACE KTSAFEOP,6750.0,5400.0,1785.38,6075.0,26
RC,0272,ELTD NDLE SUBDERM PR 2CH,894.0,715.2,236.46,804.6,26
RC,0272,ELTD NDLE SUBDERM PR 4CH,1297.0,1037.6,343.06,1167.3,26
RC,0272,ELTD NERVE STIM PRASS STD,962.0,769.6,254.45,865.8,26
RC,0272,ELTD PAD W 2 *DISC NO REPL*,11737.0,9389.599999999999,2922.99,11180.7,208
RC,0272,ELTD PAD W M2*DISC NO REPL*,9713.0,7770.4,2350.08,9486.9,208
RC,0272,ELTD PROBE REC NEUROPROBE,2184.0,1747.2,577.67,1965.6,26
RC,0272,ELTD RESECT *DISC 6316950*,1103.0,882.4,291.74,992.7,26
RC,0272,ELTD ROLLER BIPOLR 7-8MM,3029.0,2423.2,801.17,2726.1,26
RC,0272,ELTD ROLLERB*DISC 6316951*,1103.0,882.4,291.74,992.7,26
RC,0272,ELTD RT ANG 5MMX29CM,926.0,740.8,244.93,833.4,26
RC,0272,ELTD SGL MICROTARGET 20MM,1391.0,1112.8,367.92,1251.9,26
RC,0272,ELTD STRIP SUBDURAL 1X4 GRID,3514.0,2811.2,929.45,3162.6,26
RC,0272,ELTD SUBDERM PRASS PR 2CH 18MM,1072.0,857.6,283.54,964.8,26
RC,0272,ELTD SUBDURAL IONM CONTACT 1X4,5250.0,4200.0,1388.63,4725.0,26
RC,0272,ELTD SUBDURAL STRIP IOM 6X10MM,3955.0,3164.0,1046.1,3559.5,26
RC,0272,ELTD SUP LOOP PK FRONTLOAD,3436.0,2748.8,908.82,3092.4,26
RC,0272,ELTD TIP CERAMIC JHOOK ENDO,584.0,467.2,154.47,525.6,26
RC,0272,ELTD TIP CERAMIC L HOOK ENDO,607.0,485.6,160.55,546.3,26
RC,0272,ELTD TMPR PACING BIPOLR RT 5FR,605.0,484.0,160.02,544.5,26
RC,0272,ELTD VAPR TRIPOLAR 90 SUCT,1904.0,1523.2,503.61,1713.6,26
RC,0272,EMG NDLE MODULE,6003.0,4802.4,1587.79,5402.7,26
RC,0272,ENDO ABSORBATACK 5MM*VAT NLU*,3940.0,3152.0,1042.13,3546.0,26
RC,0272,ENDO BABCOCK 10MM,630.0,504.0,166.64,567.0,26
RC,0272,ENDO CLIP LAPRA-TY,3586.0,2868.8,948.5,3227.4,26
RC,0272,ENDO DISECT LAP 5MM,630.0,504.0,166.64,567.0,26
RC,0272,ENDO FOREIGN BODY PROTECT HOOD,341.0,272.8,90.19,306.9,26
RC,0272,ENDO GRASP MINIALLIGATOR,2120.0,1696.0,560.74,1908.0,26
RC,0272,ENDO GRSPR MINI LAP PED*NLU*,2125.0,1700.0,562.06,1912.5,26
RC,0272,ENDO GRSPR ROTIC,780.0,624.0,206.31,702.0,26
RC,0272,ENDO LAP SCISSORS TIP,352.0,281.6,93.1,316.8,26
RC,0272,ENDO PADDLE RETR 12MM,864.0,691.2,228.53,777.6,26
RC,0272,ENDO PASS ROB SI RPSB*NLU*,60.0,48.0,15.87,54.0,26
RC,0272,ENDO PCH ENDO CATCH 10MM,535.0,428.0,141.51,481.5,26
RC,0272,ENDO PCH ENDO CATCH II 15MM,851.0,680.8,225.09,765.9,26
RC,0272,ENDO PEANUT 10MM,596.0,476.8,157.64,536.4,26
RC,0272,ENDO POUCH PLEATMAN*NLU*,486.0,388.8,128.55,437.4,26
RC,0272,ENDO PROTACK 5MM,3255.0,2604.0,860.95,2929.5,26
RC,0272,ENDO SLV VERSAST*DISC 6342628*,1635.0,1308.0,432.46,1471.5,26
RC,0272,ENDO SUT SYS OVE*DISC 6350332*,5738.0,4590.4,1517.7,5164.2,26
RC,0272,ENDO SUT SYS OVERSTITCH,5738.0,4590.4,1517.7,5164.2,26
RC,0272,ENDO SUT SYS OVERSTITCH NXT,12062.0,9649.6,3190.4,10855.8,26
RC,0272,ENDO SUT SYS TIS*DISC 6350335*,2125.0,1700.0,562.06,1912.5,26
RC,0272,ENDO SUT SYS TISS HELIX PRO,2125.0,1700.0,562.06,1912.5,26
RC,0272,ENDO SUT SYSOVER*DISC 6350334*,12062.0,9649.6,3190.4,10855.8,26
RC,0272,ENDO TACKER 30 CAPSURE 5MM,2360.0,1888.0,624.22,2124.0,26
RC,0272,ENDO TACKER 30 OPTIFIX 6.7MM,4165.0,3332.0,1101.64,3748.5,26
RC,0272,ENDO TACKER 30 SORBAFIX 36CM,3600.0,2880.0,952.2,3240.0,26
RC,0272,ENDO TACKER OPTIFIX 39CM,3800.0,3040.0,1005.1,3420.0,26
RC,0272,ENDO TROC 5-12MM*DISC 6305609*,1369.0,1095.2,362.1,1232.1,26
RC,0272,ENDOBLADE PLANTER FASCIA REL,5907.0,4725.6,1562.4,5316.3,26
RC,0272,ENDOGUIDE HELI-FX APTUS 22MM,10961.0,8768.8,2899.18,9864.9,26
RC,0272,ENDOGUIDE HELI-FX APTUS 28MM,8400.0,6720.0,2221.8,7560.0,26
RC,0272,ENDOGUIDE HELI-FX APTUS 32MM,10961.0,8768.8,2899.18,9864.9,26
RC,0272,ENDOGUIDE W/OBTR APTUS,8400.0,6720.0,2221.8,7560.0,26
RC,0272,ENDOMTRL ABL NOVASURE DISP V5,5468.0,4374.4,1446.29,4921.2,26
RC,0272,ENDOMTRL ABL NOVASURE V5 KIT,5778.0,4622.4,1528.28,5200.2,26
RC,0272,ENDORETRACT 10MM,841.0,672.8,222.44,756.9,26
RC,0272,ENDOSHEARS MONOP W CAUT 19MM,627.0,501.6,165.84,564.3,26
RC,0272,ENDOSTAPLEGIAROTIC30-3.5*DISC*,3955.0,3164.0,1046.1,3559.5,26
RC,0272,EVAC BLADDER UROVAC,450.0,360.0,119.03,405.0,26
RC,0272,EVH VASOVIEW 6 PRO,5194.0,4155.2,1373.81,4674.6,26
RC,0272,EVH VASOVIEW HEMOPRO 2,5079.0,4063.2,1343.4,4571.1,26
RC,0272,EXPAND MAM CPX4+ SMTH MD 350CC,8280.0,6624.0,2190.06,7452.0,26
RC,0272,EXT CATH HAWKONE SM VESS,11445.0,9156.0,3027.2,10300.5,26
RC,0272,EXT SET GJ ENFIT 16FR 1.0 22CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 1.2 22CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 1.2 30CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 1.5 15CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 1.5 22CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 1.5 30CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 1.5 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 1.7 22CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 1.7 30CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 1.7 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 2.0 30CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 2.0 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 2.3 30CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 2.5 30CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 2.5 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 3.0 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 16FR 3.5 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 18FR 2.0 22CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 18FR 2.0 30CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 18FR 2.0 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 18FR 2.3 30CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 18FR 2.5 30CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 18FR 2.5 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 18FR 2.7 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 18FR 3.0 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 18FR 3.5 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 22FR 1.7 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 22FR 2.0 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 22FR 2.3 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 22FR 2.5 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 22FR 2.7 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 22FR 3.0 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXT SET GJ ENFIT 22FR 3.5 45CM,2897.0,2317.6,766.26,2607.3,26
RC,0272,EXTNDR DRILL TIP ULTDRV3 120MM,4134.0,3307.2,1093.44,3720.6,26
RC,0272,EXTNDR DRILL TIP ULTDRV3 60MM,4130.0,3304.0,1092.39,3717.0,26
RC,0272,EXTNDR ST M/F ULTDRV3 180MM,4134.0,3307.2,1093.44,3720.6,26
RC,0272,EXTR BOLT SCREW 3.5/4.0MM,888.0,710.4,234.88,799.2,26
RC,0272,EXTR CANN TPR PRECICE DISP,4554.0,3643.2,1204.53,4098.6,26
RC,0272,EXTR CONIC ADPTR CHILD NAIL,4435.0,3548.0,1173.06,3991.5,26
RC,0272,EXTR KATZ OTO-RHINO,1439.0,1151.2,380.62,1295.1,26
RC,0272,EXTR NGAGE SALIVARY 1.7FR115CM,3280.0,2624.0,867.56,2952.0,26
RC,0272,EXTR SET SCREW CONIC TIP 3.5MM,954.0,763.2,252.33,858.6,26
RC,0272,EXTR STONE DAKOTA 1.9FR 8MM,3591.0,2872.8,949.82,3231.9,26
RC,0272,EXTR STONE ESCAPE NIT1.9FRX120,3896.0,3116.8,1030.49,3506.4,26
RC,0272,EXTR STONE NCIRCLE 1.5FR 115CM,3360.0,2688.0,888.72,3024.0,26
RC,0272,EXTR STONE NCIRCLE HEL3FR115CM,1479.0,1183.2,391.2,1331.1,26
RC,0272,EXTR STONE NCIRCLE NIT 1.5FR,1689.0,1351.2,446.74,1520.1,26
RC,0272,EXTR STONE NCIRCLE NIT 2.2FR,1479.0,1183.2,391.2,1331.1,26
RC,0272,EXTR STONE NCIRCLE NIT3.0FR115,1479.0,1183.2,391.2,1331.1,26
RC,0272,EXTR STONE NCOMPASS 1.7FR 1CM,1998.0,1598.4,528.47,1798.2,26
RC,0272,EXTR STONE NCOMPASS NIT 2.4FR,2888.0,2310.4,763.88,2599.2,26
RC,0272,EXTR STONE SALIVARY 0.6MM,2894.0,2315.2,765.46,2604.6,26
RC,0272,EXTR STONE ZEROTIPNIT1.9FRX120,3610.0,2888.0,954.85,3249.0,26
RC,0272,EYE SPHERE PLST 18MM,608.0,486.4,160.82,547.2,26
RC,0272,EYE SPHERE PLST 22MM,608.0,486.4,160.82,547.2,26
RC,0272,FABRIC HEMA KNITDBLVELOUR0.3X6,970.0,776.0,256.57,873.0,26
RC,0272,FASTNER EXTL FIX SPNG PIN WIRE,3336.0,2668.8,882.37,3002.4,26
RC,0272,FBR LASER FIBERLASE CO2 DISP2M,5700.0,4560.0,1507.65,5130.0,26
RC,0272,FBR LASER GREENLIGHT P*NLU*,6210.0,4968.0,1642.55,5589.0,26
RC,0272,FBR LASER MOSES 200 60W,4583.0,3666.4,1212.2,4124.7,26
RC,0272,FBR LASER MOSES 550 120W,4793.0,3834.4,1267.75,4313.7,26
RC,0272,FBRLASERENDOSTAT*DISC 6325325*,3320.0,2656.0,878.14,2988.0,26
RC,0272,FISTULA FUNNEL,720.0,576.0,190.44,648.0,26
RC,0272,FISTULA ISOLATOR STRIP,765.0,612.0,202.34,688.5,26
RC,0272,FIX EXTL FIX ADJ SYNT LG,11801.0,9440.8,3121.36,10620.9,26
RC,0272,FIX STERNAL ZIPFIX W NDLE EA1,1159.0,927.2,306.56,1043.1,26
RC,0272,FLIPCUTTER ACL ARTX 8.5MM*NLU*,2280.0,1824.0,603.06,2052.0,26
RC,0272,FLIPCUTTER II ARTX 10.5MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX 10MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX 11MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX 6.5MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX 7.5MM*NLU*,2600.0,2080.0,687.7,2340.0,26
RC,0272,FLIPCUTTER II ARTX 7MM*NLU*,2600.0,2080.0,687.7,2340.0,26
RC,0272,FLIPCUTTER II ARTX 8.5MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX 8MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX 9.0MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX 9.5MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX SHRT 10.0MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX SHRT 10.5MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX SHRT 11.0MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX SHRT 6*NLU*,2600.0,2080.0,687.7,2340.0,52
RC,0272,FLIPCUTTER II ARTX SHRT 7.0MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX SHRT 7.5MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX SHRT 8.0MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX SHRT 8.5MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX SHRT 9.0MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER II ARTX SHRT 9.5MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,FLIPCUTTER III REAMER GD PIN,3652.0,2921.6,965.95,3286.8,26
RC,0272,FLTR EMBOLIC WIRION 3.5-6.0MM,5175.0,4140.0,1368.79,4657.5,26
RC,0272,FLTR PERPH 7MM 185CM*NLU*,7601.0,6080.8,2010.46,6840.9,26
RC,0272,FLTR PREBYPASS W TB,325.0,260.0,85.96,292.5,26
RC,0272,FLTR VAPOR-CLN CANISTER,763.0,610.4,201.81,686.7,26
RC,0272,FORCEP BIPOLR DBL IRG 1M*NLU*,3049.0,2439.2,806.46,2744.1,26
RC,0272,FORCEP BX MYOCARDIAL 5.2*DISC*,4598.0,3678.4,1216.17,4138.2,26
RC,0272,FORCEPS ALLIGATOR DISP DUCK,527.0,421.6,139.39,474.3,26
RC,0272,FORCEPS ALLIGATOR SGL 3.3FR115,2032.0,1625.6,537.46,1828.8,26
RC,0272,FORCEPS BIPO*DISC 6316462*,270.0,216.0,71.42,243.0,26
RC,0272,FORCEPS BIPO*DISC 6316466*,310.0,248.0,82.0,279.0,26
RC,0272,FORCEPS BIPOLR BYNT 1MMTI*NLU*,2600.0,2080.0,687.7,2340.0,26
RC,0272,FORCEPS BIPOLR BYNT1.5MMT*NLU*,2616.0,2092.8,691.93,2354.4,26
RC,0272,FORCEPS BIPOLR DISP ROB SS 5MM,342.0,273.6,90.46,307.8,26
RC,0272,FORCEPS BIPOLR DISP ST 1.0MMX8,2678.0,2142.4,708.33,2410.2,26
RC,0272,FORCEPS BIPOLR DISP ST 1.5MMX8,2678.0,2142.4,708.33,2410.2,26
RC,0272,FORCEPS BIPOLR EXTDISP1.5MMX10,2678.0,2142.4,708.33,2410.2,26
RC,0272,FORCEPS BIPOLR FEN ROB SI RPSB,270.0,216.0,71.42,243.0,26
RC,0272,FORCEPS BIPOLR FEN ROB XI RPSB,210.0,168.0,55.55,189.0,26
RC,0272,FORCEPS BIPOLR FORCE ROBXIRPSB,247.0,197.6,65.33,222.3,26
RC,0272,FORCEPS BIPOLR HET,4421.0,3536.8,1169.35,3978.9,26
RC,0272,FORCEPS BIPOLR IRG TB/CORD SET,535.0,428.0,141.51,481.5,26
RC,0272,FORCEPS BIPOLR JWLR JARIT 4.0,1393.0,1114.4,368.45,1253.7,26
RC,0272,FORCEPS BIPOLR JWLR OLSEN 4.5,548.0,438.4,144.95,493.2,26
RC,0272,FORCEPS BIPOLR KOAG ST 1.5MMX7,2600.0,2080.0,687.7,2340.0,26
RC,0272,FORCEPS BIPOLR MARY ROBXI RPSB,247.0,197.6,65.33,222.3,26
RC,0272,FORCEPS BIPOLR MARYLAND ROB SS,2053.0,1642.4,543.02,1847.7,26
RC,0272,FORCEPS BIPOLR MARYLANDROBRPSB,270.0,216.0,71.42,243.0,26
RC,0272,FORCEPS BIPOLR PREC ROB S RPSB,270.0,216.0,71.42,243.0,26
RC,0272,FORCEPS BIPOLR SLIMDISP1.5MMX9,3714.0,2971.2,982.35,3342.6,26
RC,0272,FORCEPS BIPOLR STD DISP0.5MMX9,3453.0,2762.4,913.32,3107.7,26
RC,0272,FORCEPS BIPOLR STD DISP1.5MMX8,3453.0,2762.4,913.32,3107.7,26
RC,0272,FORCEPS BIPOLR STD DISP1.5MMX9,3453.0,2762.4,913.32,3107.7,26
RC,0272,FORCEPS BIPOLR STDDISP1.0MMX20,3453.0,2762.4,913.32,3107.7,26
RC,0272,FORCEPS BX BIGOPSY 2.4FR 115CM,2749.0,2199.2,727.11,2474.1,26
RC,0272,FORCEPS BX CUP COOK 3FR,2414.0,1931.2,638.5,2172.6,26
RC,0272,FORCEPS BX MONARCH SMTH CUP,860.0,688.0,227.47,774.0,26
RC,0272,FORCEPS BX PREMARKED*NLU*,859.0,687.2,227.21,773.1,26
RC,0272,FORCEPS BX S*DISC USE 6316054*,3960.0,3168.0,1047.42,3564.0,26
RC,0272,FORCEPS BX STD 5.5FR 1.85*NLU*,1275.0,1020.0,337.24,1147.5,26
RC,0272,FORCEPS BX STD 5.5FR1.85MM50CM,1607.0,1285.6,425.05,1446.3,26
RC,0272,FORCEPS BX STD 7FR 2.3MMX*NLU*,1167.0,933.6,308.67,1050.3,26
RC,0272,FORCEPS BX TISCHLER STER 14.25,931.0,744.8,246.25,837.9,26
RC,0272,FORCEPS BYNT BIPOLR 190MM,4560.0,3648.0,1206.12,4104.0,26
RC,0272,FORCEPS CADI*DISC 6316458*,210.0,168.0,55.55,189.0,26
RC,0272,FORCEPS CADIERE ROB S RPSB,200.0,160.0,52.9,180.0,26
RC,0272,FORCEPS CADIERE ROB XI RPSB,158.0,126.4,41.79,142.2,26
RC,0272,FORCEPS CAPSULARHEXISSEIBEL23G,1282.0,1025.6,339.09,1153.8,26
RC,0272,FORCEPS DEBAKEY ROB S RPSB,123.0,98.4,32.53,110.7,26
RC,0272,FORCEPS DEBAKEY ROB SI RPSB5MM,230.0,184.0,60.84,207.0,26
RC,0272,FORCEPS DEBAKEY ROB XI RPSB,210.0,168.0,55.55,189.0,26
RC,0272,FORCEPS DISSECT PK ROB S RPSB,290.0,232.0,76.71,261.0,26
RC,0272,FORCEPS END GRASPGRIESHAB*NLU*,1122.0,897.6,296.77,1009.8,26
RC,0272,FORCEPS END GRASPGRIESHABER25+,1571.0,1256.8,415.53,1413.9,26
RC,0272,FORCEPS ENDO GRASP DISP 5MM,630.0,504.0,166.64,567.0,26
RC,0272,FORCEPS FOREIGN BODY PNCLE 19G,3605.0,2884.0,953.52,3244.5,26
RC,0272,FORCEPS GRASPIN2*DISC 6268533*,1355.0,1084.0,358.4,1219.5,26
RC,0272,FORCEPS GRASPING RAPTOR 2.3MM,960.0,768.0,253.92,864.0,26
RC,0272,FORCEPS GRASPING TALON 2.5MM,1182.0,945.6,312.64,1063.8,26
RC,0272,FORCEPS GRASPING VERSAGRASP,1163.0,930.4,307.61,1046.7,26
RC,0272,FORCEPS GREISHABER ILM 20*NLU*,935.0,748.0,247.31,841.5,26
RC,0272,FORCEPS GREISHABER MAXGRI*NLU*,1216.0,972.8,321.63,1094.4,26
RC,0272,FORCEPS GREISHABER MAXGRIP25G+,1370.0,1096.0,362.37,1233.0,26
RC,0272,FORCEPS GREISHABER MAXGRIP27+,1756.0,1404.8,464.46,1580.4,26
RC,0272,FORCEPS GRIESHABER MAXGRI*NLU*,935.0,748.0,247.31,841.5,26
RC,0272,FORCEPS GRIESHABER SERR 25G,1665.0,1332.0,440.39,1498.5,26
RC,0272,FORCEPS HEMO L-LEN 4X2300MM,2125.0,1700.0,562.06,1912.5,26
RC,0272,FORCEPS HEMO MONOP 5X165,1717.0,1373.6,454.15,1545.3,26
RC,0272,FORCEPS ILM SHARK SKIN 25+,1849.0,1479.2,489.06,1664.1,26
RC,0272,FORCEPS ILM SHARKSKIN 23G,1567.0,1253.6,414.47,1410.3,26
RC,0272,FORCEPS IRG BIPOLR DUAL 1.5MM,3832.0,3065.6,1013.56,3448.8,26
RC,0272,FORCEPS IRG GLDTIP 1.5MM 8.5IN,2315.0,1852.0,612.32,2083.5,26
RC,0272,FORCEPS IRG GLDTIP 1MM 7.5IN,2315.0,1852.0,612.32,2083.5,26
RC,0272,FORCEPS IRGCODMANB1.5MMX*DISC*,2280.0,1824.0,603.06,2052.0,26
RC,0272,FORCEPS LNG TIP ROB S RPSB 8MM,245.0,196.0,64.8,220.5,26
RC,0272,FORCEPS LOPRO 2MMTIP 10.5X5.5,3054.0,2443.2,807.78,2748.6,26
RC,0272,FORCEPS MAX SPYBITE,3960.0,3168.0,1047.42,3564.0,26
RC,0272,FORCEPS MICRO BIPOLR ROB SI,270.0,216.0,71.42,243.0,26
RC,0272,FORCEPS MICRO BIPOLR ROBXIRPSB,305.0,244.0,80.67,274.5,26
RC,0272,FORCEPS MICRO FULL CURV DISP,81.0,64.8,21.42,72.9,26
RC,0272,FORCEPS MICRO MORAY 0.76MM,3850.0,3080.0,1018.33,3465.0,26
RC,0272,FORCEPS MICRO-HOLDING DISP 23G,1169.0,935.2,309.2,1052.1,26
RC,0272,FORCEPS MINI PULM COREDX,3960.0,3168.0,1047.42,3564.0,26
RC,0272,FORCEPS MYOPTIC ECKARDTFINE25G,1197.0,957.6,316.61,1077.3,26
RC,0272,FORCEPS PK CUT 5*DISC NO REPL*,3893.0,3114.4,1029.7,3503.7,26
RC,0272,FORCEPS PROG*DISC 6316459*,220.0,176.0,58.19,198.0,26
RC,0272,FORCEPS PROGRASP ROB S RPSB,220.0,176.0,58.19,198.0,26
RC,0272,FORCEPS PROGRASP ROB XI RPSB,158.0,126.4,41.79,142.2,26
RC,0272,FORCEPS RADJAW4 PULM NDLE100CM,290.0,232.0,76.71,261.0,26
RC,0272,FORCEPS RADJAW4*DNR 6238630*,308.0,246.4,81.47,277.2,26
RC,0272,FORCEPS REMOV PNCLE DISP18G,300.0,240.0,79.35,270.0,26
RC,0272,FORCEPS RESCUE ALLIGATOR 230CM,713.0,570.4,188.59,641.7,26
RC,0272,FORCEPS RESCUE ALLIGATORLNG230,713.0,570.4,188.59,641.7,26
RC,0272,FORCEPS RESCUE RATTOOTH 230CM,713.0,570.4,188.59,641.7,26
RC,0272,FORCEPS RESCUE RATTOOTH PEDS,765.0,612.0,202.34,688.5,26
RC,0272,FORCEPS RESCUERAT/ALLIGATOR230,765.0,612.0,202.34,688.5,26
RC,0272,FORCEPS SERR 23G*NLU*,1122.0,897.6,296.77,1009.8,26
RC,0272,FORCEPS SPEC NONSTICK 1.5MM8IN,2972.0,2377.6,786.09,2674.8,26
RC,0272,FORCEPS TENACULUM ROB SI RPSB,220.0,176.0,58.19,198.0,26
RC,0272,FORCEPS TENACULUM ROB XI RPSB,231.0,184.8,61.1,207.9,26
RC,0272,FORCEPS VERSATRU BIPOLR1.5MMX8,3220.0,2576.0,851.69,2898.0,26
RC,0272,FORCEPS WIRE GD HISTO GD 230CM,1148.0,918.4,303.65,1033.2,26
RC,0272,FORCEPSBIPOLRDIS*DISC 6332898*,2600.0,2080.0,687.7,2340.0,26
RC,0272,FRAGMENTATION PK OZIL 22GA,1182.0,945.6,312.64,1063.8,26
RC,0272,FRM EXTL FIX DFS STD*DISC*,9716.0,7772.8,2569.88,8744.4,26
RC,0272,FRM EXTL FIX DIST RAD ROD200MM,10206.0,8164.8,2699.49,9185.4,26
RC,0272,FRM EXTL FIX DIST RAD ROD220MM,10206.0,8164.8,2699.49,9185.4,26
RC,0272,FRM EXTL FIX DIST RAD ROD240MM,10206.0,8164.8,2699.49,9185.4,26
RC,0272,FRM EXTL FIX DJD II BODY,12119.0,9695.2,3205.48,10907.1,26
RC,0272,FUNNEL MAM IMPLANT *NLU*,882.0,705.6,233.29,793.8,26
RC,0272,FUNNEL MAM KLMD,1163.0,930.4,307.61,1046.7,26
RC,0272,G DEPTH CAGE SCREW ECLIPSEDISP,935.0,748.0,247.31,841.5,26
RC,0272,G DEPTH MICA DISP 150MM,1117.0,893.6,295.45,1005.3,26
RC,0272,G DEPTH SLIM J ELTD HIFOCUS,4680.0,3744.0,1237.86,4212.0,26
RC,0272,GAS IO ISPAN C3F8 ACCURUS125GM,9084.0,7267.2,2402.72,8175.6,26
RC,0272,GAS IO ISPAN SF6 ACCURUS 125GM,9084.0,7267.2,2402.72,8175.6,26
RC,0272,GAS OPH UNIPURE SF6,1275.0,1020.0,337.24,1147.5,26
RC,0272,GD ADDUCTOPLASTY INTELGD MINI,9429.0,7543.2,2493.97,8486.1,26
RC,0272,GD AIMING VOLAR DIST RAD 1.5MM,551.0,440.8,145.74,495.9,26
RC,0272,GD ANK BONE MODEL AXIOM PSR,13125.0,10500.0,3471.56,11812.5,26
RC,0272,GD ANK CHAMFER-CUT TLR AXIOM,14875.0,11900.0,3934.44,13387.5,26
RC,0272,GD ANK CPLE CHAMFER-CUT AXIOM,16250.0,13000.0,4298.13,14625.0,26
RC,0272,GD ANK CPLE FLAT-CUT AXIOM,16250.0,13000.0,4298.13,14625.0,26
RC,0272,GD ANK FLAT-CUT TLR AXIOM,14875.0,11900.0,3934.44,13387.5,26
RC,0272,GD BLOCK VOLAR RIM LFT 7HL,2769.0,2215.2,732.4,2492.1,26
RC,0272,GD CUT 3D DIST RAD LVL A*NLU*,12548.0,10038.4,3318.95,11293.2,26
RC,0272,GD CUT 3D DIST RAD LVL B*NLU*,14753.0,11802.4,3902.17,13277.7,26
RC,0272,GD CUT 3D DIST RAD LVL C*NLU*,17185.0,13748.0,4545.43,15466.5,26
RC,0272,GD CUT HTO PT SPECIFIC SZ1,10150.0,8120.0,2684.68,9135.0,26
RC,0272,GD CUT ORTHO COMPLEX 00163 IPS,10109.0,8087.2,2673.83,9098.1,26
RC,0272,GD CUT PLAN RECON IPS,16573.0,13258.4,4383.56,14915.7,26
RC,0272,GD CUT RECON IPS XL,11615.0,9292.0,3072.17,10453.5,26
RC,0272,GD CUT RECON IPS XS,8771.0,7016.8,2319.93,7893.9,26
RC,0272,GD CUT TI 3D PLAN CUST,34489.0,27591.2,9122.34,31040.1,26
RC,0272,GD CUTPLANRECONCOMPLEX00160IPS,16315.0,13052.0,4315.32,14683.5,26
RC,0272,GD DISTRAC PSTN PT CUST,4923.0,3938.4,1302.13,4430.7,26
RC,0272,GD DRILL ACUM 2/2.8MM*NLU*,3616.0,2892.8,956.43,3254.4,26
RC,0272,GD DRILL ANATOM GLENO ALTIVATE,4685.0,3748.0,1239.18,4216.5,26
RC,0272,GD DRILL BAHA CONIC DISP 3+4MM,1734.0,1387.2,458.64,1560.6,26
RC,0272,GD DRILL BAHA WIDENING DISP3MM,1734.0,1387.2,458.64,1560.6,26
RC,0272,GD DRILL BAHA WIDENING DISP4MM,1734.0,1387.2,458.64,1560.6,26
RC,0272,GD DRILL EXTREMITIES UNIV,676.0,540.8,178.8,608.4,26
RC,0272,GD DRILL FIBULOCK DISP 2.5MM,2640.0,2112.0,698.28,2376.0,26
RC,0272,GD DRILL GLENO RVRS ALTIVATE,8775.0,7020.0,2320.99,7897.5,26
RC,0272,GD DRILL GRIDLOCK 2.4MM*NLU*,1743.0,1394.4,461.02,1568.7,26
RC,0272,GD DRILL LK ACUM 2.0MM,1547.0,1237.6,409.18,1392.3,26
RC,0272,GD DRILL LK ACUM 2.8MM,1547.0,1237.6,409.18,1392.3,26
RC,0272,GD DRILL MINI TRMI 1.8MM,300.0,240.0,79.35,270.0,26
RC,0272,GD DRILL PIN PHANTOM 3.0X320MM,1951.0,1560.8,516.04,1755.9,26
RC,0272,GD DRILL PIN TRIL 2.0MM*NLU*,1700.0,1360.0,449.65,1530.0,26
RC,0272,GD DRILL SPEEDGUIDE AO 2MM,1216.0,972.8,321.63,1094.4,26
RC,0272,GD DRILL SPEEDGUIDE T10 3.5X30,3381.0,2704.8,894.27,3042.9,26
RC,0272,GD DRILL SPEEDGUIDE T8 2.0X30,3381.0,2704.8,894.27,3042.9,26
RC,0272,GD DRILL SPEEDGUIDEAO2.6X30MM,1216.0,972.8,321.63,1094.4,26
RC,0272,GD DROP-IN FIBERLASE ROB DISP,1278.0,1022.4,338.03,1150.2,26
RC,0272,GD GLENO RVRS BLUPRINT 25MM,4900.0,3920.0,1296.05,4410.0,26
RC,0272,GD GLENO RVRS BLUPRINT 25MM +3,4900.0,3920.0,1296.05,4410.0,26
RC,0272,GD GLENO RVRS BLUPRINT 29MM,4900.0,3920.0,1296.05,4410.0,26
RC,0272,GD GLENO RVRS BLUPRINT 29MM +3,4900.0,3920.0,1296.05,4410.0,26
RC,0272,GD GRAFT COMP PLATES ATCS,2860.0,2288.0,756.47,2574.0,26
RC,0272,GD INST GLIDEPATH TAPE STER,1275.0,1020.0,337.24,1147.5,26
RC,0272,GD KNEE PART CUT KT PSN PSI,5805.0,4644.0,1535.42,5224.5,26
RC,0272,GD LAPIDUS CUT KT TRMC,9429.0,7543.2,2493.97,8486.1,26
RC,0272,GD MAND KT FULL TRUMATCH TI 3D,23309.0,18647.2,6165.23,20978.1,26
RC,0272,GD MAND PSTN PT CUST,4716.0,3772.8,1247.38,4244.4,26
RC,0272,GD MAND TRUMATCH TI 3D,3501.0,2800.8,926.01,3150.9,26
RC,0272,GD MARKING PLAN RECON IPS,13641.0,10912.8,3608.04,12276.9,26
RC,0272,GD MIDFACE TRUMATCH TI 3D,12238.0,9790.4,3236.95,11014.2,26
RC,0272,GD NDLE KT 21G 48X6 0.5-2.0CM,448.0,358.4,118.5,403.2,26
RC,0272,GD NDLE TP PIVOT PRO STER,1700.0,1360.0,449.65,1530.0,26
RC,0272,GD NVGTN PREOP PROPHECY RPT,8280.0,6624.0,2190.06,7452.0,26
RC,0272,GD ORB MIDFACE TRUMATCH TI 3D,12254.0,9803.2,3241.18,11028.6,26
RC,0272,GD P THRD TIP 2.5MMX9*DISC*,720.0,576.0,190.44,648.0,26
RC,0272,GD PIN 3D STER LFT 12.5DX20D,4938.0,3950.4,1306.1,4444.2,26
RC,0272,GD PIN 3D STER LFT 17.5DX15D,4938.0,3950.4,1306.1,4444.2,26
RC,0272,GD PIN 3D STER LFT 17.5DX20D,4938.0,3950.4,1306.1,4444.2,26
RC,0272,GD PIN 3D STER LFT 20.0DX20D,4938.0,3950.4,1306.1,4444.2,26
RC,0272,GD PIN 3D STER RT 12.5DX10D,4938.0,3950.4,1306.1,4444.2,26
RC,0272,GD PIN 3D STER RT 12.5DX20D,4938.0,3950.4,1306.1,4444.2,26
RC,0272,GD PIN 3D STER RT 12.5DX25D,4938.0,3950.4,1306.1,4444.2,26
RC,0272,GD PIN 3X75MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,GD PIN ATTUNE EPAK,3992.0,3193.6,1055.88,3592.8,26
RC,0272,GD PIN DRILL ZIMM 3.2MMX12,1331.0,1064.8,352.05,1197.9,26
RC,0272,GD PIN DRILL ZIMM 3.2MMX9,1261.0,1008.8,333.53,1134.9,26
RC,0272,GD PIN GLENO XTEND 1.5X300MM,689.0,551.2,182.24,620.1,26
RC,0272,GD PIN GRAFT PASR 3/32,2128.0,1702.4,562.86,1915.2,26
RC,0272,GD PIN HUMR PERFORM 3X100MM,855.0,684.0,226.15,769.5,26
RC,0272,GD PIN INTRMD 2.4X152MM,397.0,317.6,105.01,357.3,26
RC,0272,GD PIN METAGLENE DEPU 2.5MM,689.0,551.2,182.24,620.1,26
RC,0272,GD PIN OSTEOTOMY 2.4MM,407.0,325.6,107.65,366.3,26
RC,0272,GD PIN OSTEOTOMY 3MM,352.0,281.6,93.1,316.8,26
RC,0272,GD PIN PART ZIMM 3.2MMX9,981.0,784.8,259.47,882.9,26
RC,0272,GD PIN PROSTOP PLUS 0.05*NLU*,855.0,684.0,226.15,769.5,26
RC,0272,GD PIN SHRT DISP ARTX 2.4MM,440.0,352.0,116.38,396.0,26
RC,0272,GD PIN SMTH ZIMM 1.6MMX9,705.0,564.0,186.47,634.5,26
RC,0272,GD PIN SMTH ZIMM 3.2MMX12,313.0,250.4,82.79,281.7,26
RC,0272,GD PIN THRD 3.2X330MM,1309.0,1047.2,346.23,1178.1,26
RC,0272,GD PIN THRD ZIMM,1564.0,1251.2,413.68,1407.6,26
RC,0272,GD PIN TROC 3.2X330MM,2248.0,1798.4,594.6,2023.2,26
RC,0272,GD PIN ZEBRA ARTX 2.4MM,1169.0,935.2,309.2,1052.1,26
RC,0272,GD PIN ZIMM 2.5MM,1870.0,1496.0,494.62,1683.0,26
RC,0272,GD PIN ZIMM 3.2MMX14IN,480.0,384.0,126.96,432.0,26
RC,0272,GD PIN ZIMM CALIB 3.2MM*DISC*,720.0,576.0,190.44,648.0,26
RC,0272,GD PLS AMING 10D 1.1MM,494.0,395.2,130.66,444.6,26
RC,0272,GD PSI PLANNING BLUEPRINT 3D,700.0,560.0,185.15,630.0,26
RC,0272,GD PSI PLANNING HIPMAP 3D,700.0,560.0,185.15,630.0,26
RC,0272,GD PSI PLANNING VIP 1D,500.0,400.0,132.25,450.0,26
RC,0272,GD PSI PLANNING VIP 3D,1000.0,800.0,264.5,900.0,26
RC,0272,GD PSI PLANNING VIP 5D,500.0,400.0,132.25,450.0,26
RC,0272,GD PT SPECIFIC CMF 1-SPLINT,2779.0,2223.2,735.05,2501.1,26
RC,0272,GD PT SPECIFIC CMF 2-SPLINT,12169.0,9735.2,3218.7,10952.1,26
RC,0272,GD RECON CUT DIS*DISC 6333375*,13598.0,10878.4,3596.67,12238.2,26
RC,0272,GD RECON CUT IPS*DISC 6333373*,8744.0,6995.2,2312.79,7869.6,26
RC,0272,GD RECON CUT IPS*DISC 6333374*,11578.0,9262.4,3062.38,10420.2,26
RC,0272,GD RECON IPS W P*DISC 6333370*,16263.0,13010.4,4301.56,14636.7,26
RC,0272,GD REXCON CUT IP*DISC 6333372*,16520.0,13216.0,4369.54,14868.0,26
RC,0272,GD ROD BALL TIP 3X1000M,1907.0,1525.6,504.4,1716.3,26
RC,0272,GD ROD HINDFT PHANTOM3.0X550,1951.0,1560.8,516.04,1755.9,26
RC,0272,GD SHLDR BONE MODEL ZIMM*NLU*,5265.0,4212.0,1392.59,4738.5,26
RC,0272,GD SIGNATURE CUST ALIGNM*NLU*,5100.0,4080.0,1348.95,4590.0,26
RC,0272,GD SIZING SPEEDARC,402.0,321.6,106.33,361.8,26
RC,0272,GD SIZING SPEEDTITAN,402.0,321.6,106.33,361.8,26
RC,0272,GD SUT CURV,575.0,460.0,152.09,517.5,26
RC,0272,GD SUT GABBAY-FRATER,924.0,739.2,244.4,831.6,26
RC,0272,GD TIB ALIGN PROPHECY,6948.0,5558.4,1837.75,6253.2,26
RC,0272,GD TIB ALIGN PROPHECY INBONE,6948.0,5558.4,1837.75,6253.2,26
RC,0272,GD TIB ALIGN PROPHECY INVISION,10350.0,8280.0,2737.58,9315.0,26
RC,0272,GD WAVE C02 FBR FLEX 300 DISP,5070.0,4056.0,1341.02,4563.0,26
RC,0272,GD WAVE C02 LASER 500 DISP,8100.0,6480.0,2142.45,7290.0,26
RC,0272,GDWIRE COCR ORPE*DISC 6341615*,2272.0,1817.6,600.94,2044.8,26
RC,0272,GDWIRE HIP GAMMA4 STER 3X1000,2068.0,1654.4,546.99,1861.2,26
RC,0272,GDWIRE KT DISP STYLE A 9MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,GDWIRE NAVIPRO ST 0.018 260CM,898.0,718.4,237.52,808.2,26
RC,0272,GDWIRE SAXS 275CM*USE 6288703*,3800.0,3040.0,1005.1,3420.0,26
RC,0272,GDWIRE SIMPLE LK IM 2.0X457MM,684.0,547.2,180.92,615.6,26
RC,0272,GDWIRE STD ST .018 180CM,589.0,471.2,155.79,530.1,26
RC,0272,GDWIRE TRACER METRODIRECT*NLU*,2083.0,1666.4,550.95,1874.7,26
RC,0272,GDWIRE TROC TIP ALPT SS 310MM,900.0,720.0,238.05,810.0,26
RC,0272,GEL EMBOL EMBOCUBE 1ML 2.5MM,618.0,494.4,163.46,556.2,26
RC,0272,GEL EMBOL EMBOCUBE 3ML 5MM,325.0,260.0,85.96,292.5,26
RC,0272,GEL EMBOL FM TORPEDO 1ML2.5X20,618.0,494.4,163.46,556.2,26
RC,0272,GEL ORISE SYR 23G 10ML PK*NLU*,1020.0,816.0,269.79,918.0,26
RC,0272,GEL ORISE SYR NO*DISC 6330869*,1445.0,1156.0,382.2,1300.5,26
RC,0272,GLIDE SHEET SAGE AIRTAPLC*CIP*,1564.0,1251.2,413.68,1407.6,26
RC,0272,GLIDE SHTSTRAPPR*VAT 6343327*,450.0,360.0,119.03,405.0,26
RC,0272,GLOVE COMP EXPERT 30-40 CUST,414.0,331.2,109.5,372.6,26
RC,0272,GRAFT FISTULA BIODESIGN 0.4CM,5339.0,4271.2,1412.17,4805.1,26
RC,0272,GRASP SUT IDEAL MITEK 30D,1947.0,1557.6,514.98,1752.3,26
RC,0272,GRASP SUT IDEAL MITEK 60D,1947.0,1557.6,514.98,1752.3,26
RC,0272,GRID BX MRI*USE 6337928*,400.0,320.0,105.8,360.0,26
RC,0272,GRID PLATE BX*DUP 6315825*,400.0,320.0,105.8,360.0,26
RC,0272,GRSPR 3PRONG 3.5FR 65CM,1318.0,1054.4,348.61,1186.2,26
RC,0272,GRSPR 3PRONG CAPTURA2.8FR115MM,1318.0,1054.4,348.61,1186.2,26
RC,0272,GRSPR ALIGATOR RA*PNC 6313550*,765.0,612.0,202.34,688.5,26
RC,0272,GRSPR ANVIL RATCHET,2739.0,2191.2,724.47,2465.1,26
RC,0272,GRSPR BIPOLR ROBXI RPSB LNG8MM,305.0,244.0,80.67,274.5,26
RC,0272,GRSPR BIPOLR*DISC 6316465*,290.0,232.0,76.71,261.0,26
RC,0272,GRSPR BOWEL ROB SI RPSB 5MM,215.0,172.0,56.87,193.5,26
RC,0272,GRSPR COBRA *DISC 6316461*,220.0,176.0,58.19,198.0,26
RC,0272,GRSPR COBRA ROB S RPSB,220.0,176.0,58.19,198.0,26
RC,0272,GRSPR COBRA ROB XI RPSB,189.0,151.2,49.99,170.1,26
RC,0272,GRSPR CROCODILE ROB SS RPSB5MM,119.0,95.2,31.48,107.1,26
RC,0272,GRSPR DBL FEN ROB S RPSB,200.0,160.0,52.9,180.0,26
RC,0272,GRSPR FEN TIP-UP ROB XI RPSB,231.0,184.8,61.1,207.9,26
RC,0272,GRSPR FUNDUS SGL ROB SI RPSB,119.0,95.2,31.48,107.1,26
RC,0272,GRSPR NANO DISP ST 70MM,2333.0,1866.4,617.08,2099.7,26
RC,0272,GRSPR PASSER SLINGSHOT 70D UP,2936.0,2348.8,776.57,2642.4,26
RC,0272,GRSPR RATTOOTH R*DISC 6306182*,765.0,612.0,202.34,688.5,26
RC,0272,GRSPR ROB XI SMGRAPTOR RPSB8MM,252.0,201.6,66.65,226.8,26
RC,0272,GRSPR SCHERTEL ROB SI RPSB 5M,215.0,172.0,56.87,193.5,26
RC,0272,GRSPR SLINGSHOT 45D,2936.0,2348.8,776.57,2642.4,26
RC,0272,GRSPR SLINGSHOT 45D LFT,2936.0,2348.8,776.57,2642.4,26
RC,0272,GRSPR SLINGSHOT 45D RT,2936.0,2348.8,776.57,2642.4,26
RC,0272,GRSPR TIP RENEW FEN,563.0,450.4,148.91,506.7,26
RC,0272,GRSPR TIP RENEW GRABBER,606.0,484.8,160.29,545.4,26
RC,0272,GRSPR TIP RENEW LAPCLINCH,563.0,450.4,148.91,506.7,26
RC,0272,GRSPR TIP RENEW MOD BABCOCK,593.0,474.4,156.85,533.7,26
RC,0272,GRSPR TIP RENEW MOD RAPTOR,563.0,450.4,148.91,506.7,26
RC,0272,GRSPR TWIN OTSC 165CM*NLU*,4648.0,3718.4,1229.4,4183.2,26
RC,0272,GRSPR TWIN OTSC 220CM,5173.0,4138.4,1368.26,4655.7,26
RC,0272,GS PIN 3D STER LFT 10.0DX5D,4938.0,3950.4,1306.1,4444.2,26
RC,0272,GUN BONE CMNT SYR ARTX,855.0,684.0,226.15,769.5,26
RC,0272,HALF PIN EXTL FIX 3X25X140MM,2010.0,1608.0,531.65,1809.0,26
RC,0272,HALF PIN EXTL FIX 4X34X120MM,2864.0,2291.2,757.53,2577.6,26
RC,0272,HALF PIN EXTL FIX 4X40X150MM,2864.0,2291.2,757.53,2577.6,26
RC,0272,HALF PIN EXTL FIX 5X34X120MM,3344.0,2675.2,884.49,3009.6,26
RC,0272,HALF PIN EXTL FIX 5X40X150MM,3344.0,2675.2,884.49,3009.6,26
RC,0272,HALF PIN EXTL FIX 5X50X180MM,3344.0,2675.2,884.49,3009.6,26
RC,0272,HALF PIN EXTL FIX 6X40X150MM,3520.0,2816.0,931.04,3168.0,26
RC,0272,HALF PIN EXTL FIX 6X50X180MM,3520.0,2816.0,931.04,3168.0,26
RC,0272,HALF PIN EXTL FIX 6X60X200MM,3520.0,2816.0,931.04,3168.0,26
RC,0272,HALF PIN EXTL FIX HA4X34X120MM,4277.0,3421.6,1131.27,3849.3,26
RC,0272,HALF PIN EXTL FIX HA4X40X150MM,4277.0,3421.6,1131.27,3849.3,26
RC,0272,HALF PIN EXTL FIX HA5X34X120MM,4277.0,3421.6,1131.27,3849.3,26
RC,0272,HALF PIN EXTL FIX HA5X40X150MM,4277.0,3421.6,1131.27,3849.3,26
RC,0272,HALF PIN EXTL FIX HA5X50X180MM,4277.0,3421.6,1131.27,3849.3,26
RC,0272,HALF PIN EXTL FIX HA6X40X150MM,4277.0,3421.6,1131.27,3849.3,26
RC,0272,HALF PIN EXTL FIX HA6X50X180MM,4277.0,3421.6,1131.27,3849.3,26
RC,0272,HALF PIN EXTL FIX SLFDR 5X30MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,HALO CROWN ANHO SM 19-23I*NLU*,4860.0,3888.0,1285.47,4374.0,26
RC,0272,HANDPC ACESSA PROVU DISP,12075.0,9660.0,3193.84,10867.5,26
RC,0272,HANDPC ASPIR NOSECONE23KHZDISP,3347.0,2677.6,885.28,3012.3,26
RC,0272,HANDPC BONE CLN TIP INTERPULSE,380.0,304.0,100.51,342.0,26
RC,0272,HANDPC CAUT ELTD TRPLOPT CBL10,1428.0,1142.4,377.71,1285.2,26
RC,0272,HANDPC CELON PROSLEEP PLUS,2016.0,1612.8,533.23,1814.4,26
RC,0272,HANDPC CEM NOSE 36KHZ DISP,3347.0,2677.6,885.28,3012.3,26
RC,0272,HANDPC COAX BONETIP INTERPULSE,380.0,304.0,100.51,342.0,26
RC,0272,HANDPC CUSA WRENCH 23KHZ DISP,955.0,764.0,252.6,859.5,26
RC,0272,HANDPC FAN SPRAYTIP INTERPULSE,380.0,304.0,100.51,342.0,26
RC,0272,HANDPC GAMMA PROBE TRUNODEDISP,2400.0,1920.0,634.8,2160.0,26
RC,0272,HANDPC HIP KT PULSAVAC+,380.0,304.0,100.51,342.0,26
RC,0272,HANDPC HIP KT PULSAVAC+ AC,380.0,304.0,100.51,342.0,26
RC,0272,HANDPC NANONDLE 2.0 SCP 125MM,4449.0,3559.2,1176.76,4004.1,26
RC,0272,HANDPC NANONDLE SCP 125MM,3675.0,2940.0,972.04,3307.5,26
RC,0272,HANDPC NANOSCOPE,4548.0,3638.4,1202.95,4093.2,26
RC,0272,HANDPC PROBREATH 1.1X10MM,1476.0,1180.8,390.4,1328.4,26
RC,0272,HANDPC RETR FAN TIP INTERPULSE,405.0,324.0,107.12,364.5,26
RC,0272,HANDPC SET ACESSA PROVUE DISP,11340.0,9072.0,2999.43,10206.0,26
RC,0272,HANDPC TENJET TENOTOMY,5250.0,4200.0,1388.63,4725.0,26
RC,0272,HANDPC VERSAJETII EXACT15D14MM,4004.0,3203.2,1059.06,3603.6,26
RC,0272,HANDPC VERSAJETII EXACT45D14MM,4004.0,3203.2,1059.06,3603.6,26
RC,0272,HANDPC VERSAJETII EXACT45D8MM,4004.0,3203.2,1059.06,3603.6,26
RC,0272,HARVESTER BONE W INSRT 6MM,5513.0,4410.4,1458.19,4961.7,26
RC,0272,HARVESTER INST OATS ARTX *NLU*,3640.0,2912.0,962.78,3276.0,26
RC,0272,HELMET CRANI SOFT SHELL BLK MD,297.0,237.6,78.56,267.3,26
RC,0272,HEMO AGP PDR SURGIFOAM 1GM,634.0,507.2,167.69,570.6,26
RC,0272,HEMO ARISTA AH 1GM,855.0,684.0,226.15,769.5,26
RC,0272,HEMO ARISTA AH 3GM,1513.0,1210.4,400.19,1361.7,26
RC,0272,HEMO ARISTA AH 5GM,2083.0,1666.4,550.95,1874.7,26
RC,0272,HEMO ARISTA FLEXITIP XL-4 38CM,450.0,360.0,119.03,405.0,26
RC,0272,HEMO BIOCUE PLATELET CONC,5024.0,4019.2,1328.85,4521.6,26
RC,0272,HEMO BONE MATERIAL OSTENE3.5GM,1175.0,940.0,310.79,1057.5,26
RC,0272,HEMO COLLAGEN AVITENE 1GM,1190.0,952.0,314.76,1071.0,26
RC,0272,HEMO COLLAGEN AVITENE 3.5X7CM,1233.0,986.4,326.13,1109.7,26
RC,0272,HEMO COLLAGEN INSAT SHT 3X4,1488.0,1190.4,393.58,1339.2,26
RC,0272,HEMO DISC STATSEAL ADV RAD,430.0,344.0,113.74,387.0,26
RC,0272,HEMO DRSG HEMOPORE 8CM,2104.0,1683.2,556.51,1893.6,26
RC,0272,HEMO DRSG QUIKCLOT CTRL+ 12X12,2198.0,1758.4,581.37,1978.2,26
RC,0272,HEMO DRSG QUIKCLOT CTRL+ 5X5,602.0,481.6,159.23,541.8,26
RC,0272,HEMO DRSG QUIKCLOT CTRL+ 8X8,1437.0,1149.6,380.09,1293.3,26
RC,0272,HEMO DRSG QUIKCLOT CTRL+ Z 3IN,1294.0,1035.2,342.26,1164.6,26
RC,0272,HEMO DRSG QUIKCLOT TEGADERM,329.0,263.2,87.02,296.1,26
RC,0272,HEMO FIBRIN TISS *USE 6300591*,4134.0,3307.2,1093.44,3720.6,26
RC,0272,HEMO FIBRIN TISSE*USE 6300594*,1841.0,1472.8,486.94,1656.9,26
RC,0272,HEMO FIBRIN TISSEEL PRIMA 10ML,5084.0,4067.2,1344.72,4575.6,26
RC,0272,HEMO FIBRIN TISSEEL PRIMA 2ML,1457.0,1165.6,385.38,1311.3,26
RC,0272,HEMO FIBRIN TISSEEL PRIMA 4ML,2299.0,1839.2,608.09,2069.1,26
RC,0272,HEMO FIBRIN VISTASEAL 10ML,3514.0,2811.2,929.45,3162.6,26
RC,0272,HEMO FIBRIN VISTASEAL 4ML,1855.0,1484.0,490.65,1669.5,26
RC,0272,HEMO FIBRINTISSEELDUPLOJECT4ML,2266.0,1812.8,599.36,2039.4,26
RC,0272,HEMO FLOSEAL THROMBIN 10ML,1966.0,1572.8,520.01,1769.4,26
RC,0272,HEMO FLOSEAL THROMBIN 5ML,2022.0,1617.6,534.82,1819.8,26
RC,0272,HEMO GPS APPL DUAL TIP 20GX4,325.0,260.0,85.96,292.5,26
RC,0272,HEMO GPS CONN BLEND SGL C*NLU*,325.0,260.0,85.96,292.5,26
RC,0272,HEMO GPS DUAL TIP SPRAY APPL,325.0,260.0,85.96,292.5,26
RC,0272,HEMO GPS MINI SEPARATION ZIMM,2060.0,1648.0,544.87,1854.0,26
RC,0272,HEMO GPS PLATELET DBL,3892.0,3113.6,1029.43,3502.8,26
RC,0272,HEMO GPS PLATELET SYS SGL,2060.0,1648.0,544.87,1854.0,26
RC,0272,HEMO GPS SPRAY APPL,350.0,280.0,92.58,315.0,26
RC,0272,HEMO GPS SPRAY APPL W TIP,761.0,608.8,201.28,684.9,26
RC,0272,HEMO GPS TIP END*DISC NO REPL*,1020.0,816.0,269.79,918.0,26
RC,0272,HEMO HEMADERM ENT 2GM,1105.0,884.0,292.27,994.5,26
RC,0272,HEMO HEMOBLAST BE*VAT 6182242*,1998.0,1598.4,528.47,1798.2,26
RC,0272,HEMO INSTAT MCH *DISC 6235677*,1057.0,845.6,279.58,951.3,26
RC,0272,HEMO KT SURGIFLO MTX THROMBIN,1474.0,1179.2,389.87,1326.6,26
RC,0272,HEMO OCR SURGICEL 2X14,586.0,468.8,155.0,527.4,26
RC,0272,HEMO OCR SURGICEL 2X3,381.0,304.8,100.77,342.9,26
RC,0272,HEMO OCR SURGICEL FIBRILLAR1X2,465.0,372.0,122.99,418.5,26
RC,0272,HEMO OCR SURGICEL FIBRILLAR2X4,771.0,616.8,203.93,693.9,26
RC,0272,HEMO OCR SURGICEL NUKNIT 3X4,703.0,562.4,185.94,632.7,26
RC,0272,HEMO OCR SURGICEL NUKNIT 4X8,575.0,460.0,152.09,517.5,26
RC,0272,HEMO OCR SURGICEL NUKNIT 6X9,987.0,789.6,261.06,888.3,26
RC,0272,HEMO OCR SURGICEL PDR 3GM,1431.0,1144.8,378.5,1287.9,26
RC,0272,HEMO OCR SURGICEL SNOW 2X4,778.0,622.4,205.78,700.2,26
RC,0272,HEMO PERCLOT STD TIP 9CM,1882.0,1505.6,497.79,1693.8,26
RC,0272,HEMO SEAL CRANISEAL DURAL STER,3850.0,3080.0,1018.33,3465.0,26
RC,0272,HEMO SEAL DURASEAL DURAL 3ML,4592.0,3673.6,1214.58,4132.8,26
RC,0272,HEMO SEAL DURASEAL DURAL 5ML,5040.0,4032.0,1333.08,4536.0,26
RC,0272,HEMO SEAL FI*DISC 6307915*,3723.0,2978.4,984.73,3350.7,26
RC,0272,HEMO SEAL FIBRIN EVARREST 2X4,4999.0,3999.2,1322.24,4499.1,26
RC,0272,HEMO SEAL FIBRIN EVICE2ML*NLU*,1720.0,1376.0,454.94,1548.0,26
RC,0272,HEMO SEAL FL*DISC 6284258*,1572.0,1257.6,415.79,1414.8,26
RC,0272,HEMO SEAL FL*DISC 6315739*,1736.0,1388.8,459.17,1562.4,26
RC,0272,HEMO SEAL FLOSEA*DISC 6335324*,2086.0,1668.8,551.75,1877.4,26
RC,0272,HEMO SEAL PDR GEL-FLOW NT*NLU*,883.0,706.4,233.55,794.7,26
RC,0272,HEMO SEAL SURGIFLO MTX 8ML,1048.0,838.4,277.2,943.2,26
RC,0272,HEMO SEAL SURGIFLO THROM*NLU*,1389.0,1111.2,367.39,1250.1,26
RC,0272,HEMO SEALANT EVICEL W CAT*NLU*,3984.0,3187.2,1053.77,3585.6,26
RC,0272,HEMO SET SPRAY TISSOMAT,580.0,464.0,153.41,522.0,26
RC,0272,HEMO SPNG COLLAGEN BICOL 3X4,1038.0,830.4,274.55,934.2,26
RC,0272,HEMO SPNG ULTRAFOAM 8X12.5CM,556.0,444.8,147.06,500.4,26
RC,0272,HEMO SPRAY TIP PROGEL 16CM,1519.0,1215.2,401.78,1367.1,26
RC,0272,HEMO SURGIFLO MTXTHROMBIN*CIP*,1474.0,1179.2,389.87,1326.6,26
RC,0272,HEMO VASC TRIDYNE 4ML,5889.0,4711.2,1557.64,5300.1,26
RC,0272,HEMOCLIP16MMX230*DISC 6317326*,1228.0,982.4,324.81,1105.2,26
RC,0272,HEMOCONC PRFSN NO TB 1000,665.0,532.0,175.89,598.5,26
RC,0272,HEMOCONC PRFSN NO TB 1400,665.0,532.0,175.89,598.5,26
RC,0272,HEMOCONC PRFSN NO TB 400,665.0,532.0,175.89,598.5,26
RC,0272,HEMOCONC PRFSN NO TB 700,665.0,532.0,175.89,598.5,26
RC,0272,HEMOCONC PRFSN TB 1000,690.0,552.0,182.51,621.0,26
RC,0272,HEMOCONC PRFSN TB 1400,690.0,552.0,182.51,621.0,26
RC,0272,HEMOCONC PRFSN TB 400,690.0,552.0,182.51,621.0,26
RC,0272,HEMOCONC PRFSN TB 700,690.0,552.0,182.51,621.0,26
RC,0272,HEX INSRT CAPTIVE 2.5MM,720.0,576.0,190.44,648.0,26
RC,0272,HIP CAGE FLG SHRT 62/64 54,2332.0,1865.6,616.81,2098.8,26
RC,0272,HIP EXTR TIP MALE 12-24 UNC-2A,2400.0,1920.0,634.8,2160.0,26
RC,0272,HIP PORTAL ENTRY KTFLOWPORT165,8996.0,7196.8,2379.44,8096.4,26
RC,0272,HIP SUCT CUP STER SGL DISP,1165.0,932.0,308.14,1048.5,26
RC,0272,HLDR ET TB ARCANGEL SZ0 2.5MM,490.0,392.0,129.61,441.0,26
RC,0272,HLDR ET TB ARCANGEL SZ1 3.0MM,490.0,392.0,129.61,441.0,26
RC,0272,HLDR ET TB ARCANGEL SZ2 3.5MM,490.0,392.0,129.61,441.0,26
RC,0272,HLDR ET TB ARCANGEL SZ3 4.0MM,490.0,392.0,129.61,441.0,26
RC,0272,HNDL ATHERECTOMYDIMNDB36*DISC*,9878.0,7902.4,2612.73,8890.2,26
RC,0272,HNDL CANN AO WRIT REUS,705.0,564.0,186.47,634.5,26
RC,0272,HNDL CEREPAK COIL DETACHMENT,2168.0,1734.4,573.44,1951.2,26
RC,0272,HNDL DETACH CNTRLR WEB 2ND,1573.0,1258.4,416.06,1415.7,26
RC,0272,HNDL DETACHMENT RUBY COIL,2023.0,1618.4,535.08,1820.7,26
RC,0272,HNDL DETACHMENT RUBY COIL LP,2023.0,1618.4,535.08,1820.7,26
RC,0272,HNDL DETACHMENT*DISC 6335024*,1573.0,1258.4,416.06,1415.7,26
RC,0272,HNDL IDRIVE ULT POWERED *DISC*,134.0,107.2,35.44,120.6,26
RC,0272,HNDL NANOGRIP NANOSCOPE OPTICS,888.0,710.4,234.88,799.2,26
RC,0272,HNDL PASR SUT SHARPSHOOTER,3232.0,2585.6,854.86,2908.8,26
RC,0272,HNDL PEG DRIV MINI QC,2101.0,1680.8,555.71,1890.9,26
RC,0272,HNDL SINUS GD CATH LOPRO*NLU*,523.0,418.4,138.33,470.7,26
RC,0272,HNDL ZONE NVGTR SYS ERGO,2200.0,1760.0,581.9,1980.0,26
RC,0272,HNG EXTL FIX COMPASS UNIV,21444.0,17155.2,5671.94,19299.6,26
RC,0272,HNG EXTL FIX MALE REVOLUTION,3240.0,2592.0,856.98,2916.0,26
RC,0272,HNG EXTL FIX STDILIZAROVFEMALE,1168.0,934.4,308.94,1051.2,26
RC,0272,HNG LK EXTL FIX TIB,1865.0,1492.0,493.29,1678.5,26
RC,0272,HNG MOTION EXTL FIX SIXFIX,4928.0,3942.4,1303.46,4435.2,26
RC,0272,HOE ULTDRV3 DISP 5MM*NLU*,4566.0,3652.8,1207.71,4109.4,26
RC,0272,HOOK EAR DAY BLNT STER 6.5,410.0,328.0,108.45,369.0,26
RC,0272,HOOK EAR DAY STER SM,462.0,369.6,122.2,415.8,26
RC,0272,HOOK EXTR SYNT,3779.0,3023.2,999.55,3401.1,26
RC,0272,HOOK EXTR SYNT STER,3880.0,3104.0,1026.26,3492.0,26
RC,0272,HOOK OPEN RDCTN THORACIC WIDE8,5040.0,4032.0,1333.08,4536.0,26
RC,0272,HOOK OPEN RDCTNTHORACICWIDE9.5,5040.0,4032.0,1333.08,4536.0,26
RC,0272,HOOK PLAS J PKS 5MM 33CM,2664.0,2131.2,704.63,2397.6,26
RC,0272,HOOK RETR 3FINGER SPIRA 20MM,612.0,489.6,161.87,550.8,26
RC,0272,HOOK RETR 4FINGER BLNT 16X20MM,580.0,464.0,153.41,522.0,26
RC,0272,HOOK RETR LONESTAR 2FINGER 7MM,580.0,464.0,153.41,522.0,26
RC,0272,HOOK RETR LONESTAR SHARP 5MM,709.0,567.2,187.53,638.1,26
RC,0272,HOOK RETR LONESTAR SHARP3MMPK8,709.0,567.2,187.53,638.1,26
RC,0272,HOOK RETR LOPRO*DISC 6316101*,489.0,391.2,129.34,440.1,26
RC,0272,HOUSING EXTL LG 21X25MM28-32MM,8505.0,6804.0,2249.57,7654.5,26
RC,0272,HOUSING EXTL LG 21X25MM38-46MM,8505.0,6804.0,2249.57,7654.5,26
RC,0272,ICDS TUNNELING TOOL,2125.0,1700.0,562.06,1912.5,26
RC,0272,ID BAND SET EXTL FIX STRUT,3054.0,2443.2,807.78,2748.6,26
RC,0272,ILLUM ASPIR PHOTONSABER F 12FR,2188.0,1750.4,578.73,1969.2,26
RC,0272,ILLUM ASPIR PHOTONSABER YTPR,2500.0,2000.0,661.25,2250.0,26
RC,0272,ILLUM ENDO WIDE ANG 25G,1515.0,1212.0,400.72,1363.5,26
RC,0272,ILLUM PHOTONGUIDE NARW FLAT,2500.0,2000.0,661.25,2250.0,26
RC,0272,ILLUM PHOTONGUIDE WIDE FLAT,2500.0,2000.0,661.25,2250.0,26
RC,0272,ILLUM RETR MIS DISP,5250.0,4200.0,1388.63,4725.0,26
RC,0272,ILLUM SYS RELIEVA LUMA SENTRY,3432.0,2745.6,907.76,3088.8,26
RC,0272,INFL DEV EAGLE 30ATM STER 20CC,614.0,491.2,162.4,552.6,26
RC,0272,INFL DEV ENCORE 26 20CC,672.0,537.6,177.74,604.8,26
RC,0272,INFL DEV ENDOTEK BIG 60,450.0,360.0,119.03,405.0,26
RC,0272,INFL DEV SPHERE 15ATM 60ML,494.0,395.2,130.66,444.6,26
RC,0272,INFL DEV VOLUMINOUS 40CC,481.0,384.8,127.22,432.9,26
RC,0272,INJ SYS CLSD CO-SET+ RM TEMP,347.0,277.6,91.78,312.3,26
RC,0272,INSRT EXTR AGILI-C MINI,2400.0,1920.0,634.8,2160.0,26
RC,0272,INSRT GDWIRE FIBULOCK,2640.0,2112.0,698.28,2376.0,26
RC,0272,INSRT INTEGRITY DEL BONESTAPLE,3520.0,2816.0,931.04,3168.0,26
RC,0272,INSRT KT ART PERC 100CM,752.0,601.6,198.9,676.8,26
RC,0272,INSRT KT ART/VEN PEDS,793.0,634.4,209.75,713.7,26
RC,0272,INSRT KT VENA DLT PEDS0.038180,793.0,634.4,209.75,713.7,26
RC,0272,INSRT KWIRE SYNT 1.25MM,2293.0,1834.4,606.5,2063.7,26
RC,0272,INSRT SUT HOLDER OCTOBASE,486.0,388.8,128.55,437.4,26
RC,0272,INSRT WDG OSTEOTOMY M5 DISP,4770.0,3816.0,1261.67,4293.0,26
RC,0272,INST ACC ADDL VB INTRACEPT,4900.0,3920.0,1296.05,4410.0,26
RC,0272,INST ACC ASSY INTRACEPT 2VB,9810.0,7848.0,2594.75,8829.0,26
RC,0272,INST BACKFLUSH CANN SOFTTIP25G,1733.0,1386.4,458.38,1559.7,26
RC,0272,INST BASIVERT ACC INTRACEPT,9810.0,7848.0,2594.75,8829.0,26
RC,0272,INST BASIVERT ADDLLVLINTRACEPT,4900.0,3920.0,1296.05,4410.0,26
RC,0272,INST BX MARQUEE 18G 20CM,643.0,514.4,170.07,578.7,26
RC,0272,INST BX MISSION 14GX10CM,400.0,320.0,105.8,360.0,26
RC,0272,INST BX MISSION 16GX10CM,400.0,320.0,105.8,360.0,26
RC,0272,INST BX TRUCOREII D14GX10*NLU*,395.0,316.0,104.48,355.5,26
RC,0272,INST BX TRUCOREII DISP18GX16CM,675.0,540.0,178.54,607.5,26
RC,0272,INST CMNT STABILIT MX FULL,9698.0,7758.4,2565.12,8728.2,26
RC,0272,INST DEL INTEGRITY TISS TACK,4200.0,3360.0,1110.9,3780.0,26
RC,0272,INST DISP CARPALTUNNEL RELEASE,1870.0,1496.0,494.62,1683.0,26
RC,0272,INST DISTRAC ACTIVATION DISP,4556.0,3644.8,1205.06,4100.4,26
RC,0272,INST FIX RETR/EXT SCREW DH,440.0,352.0,116.38,396.0,26
RC,0272,INST HARVESTER OATS DISP 10MM,3640.0,2912.0,962.78,3276.0,26
RC,0272,INST HARVESTER OATS DISP 15MM,5850.0,4680.0,1547.33,5265.0,26
RC,0272,INST HARVESTER OATS DISP 18MM,5940.0,4752.0,1571.13,5346.0,26
RC,0272,INST HARVESTER OATS DISP 20MM,5940.0,4752.0,1571.13,5346.0,26
RC,0272,INST HARVESTER OATS DISP 6MM,3640.0,2912.0,962.78,3276.0,26
RC,0272,INST HARVESTER OATS DISP*NLU*,5115.0,4092.0,1352.92,4603.5,26
RC,0272,INST HARVESTER OATS LG 16MM,5115.0,4092.0,1352.92,4603.5,26
RC,0272,INST HARVESTER OATS SM 10MM,3812.0,3049.6,1008.27,3430.8,26
RC,0272,INST HERC KNTLS XE LNG3.5X15MM,5022.0,4017.6,1328.32,4519.8,26
RC,0272,INST KT BIOTENODESIS ARTX DISP,1823.0,1458.4,482.18,1640.7,26
RC,0272,INST KT BIOUNI OATS DISP,2640.0,2112.0,698.28,2376.0,26
RC,0272,INST KT BOLO BTN,5175.0,4140.0,1368.79,4657.5,26
RC,0272,INST KT BOLT ANTI-DRIFT,1866.0,1492.8,493.56,1679.4,26
RC,0272,INST KT DYNABUNIONRADLRDCTN,3958.0,3166.4,1046.89,3562.2,26
RC,0272,INST KT DYNAMET LESSER TMT,5371.0,4296.8,1420.63,4833.9,26
RC,0272,INST KT ENDO OCD KNEE DISP,6410.0,5128.0,1695.45,5769.0,26
RC,0272,INST KT GLENOID INF ARTS DISP,2608.0,2086.4,689.82,2347.2,26
RC,0272,INST KT HERC KNTLS XE 3.5MM,4722.0,3777.6,1248.97,4249.8,26
RC,0272,INST KT HIP ARTHRO BANANA DISP,3300.0,2640.0,872.85,2970.0,26
RC,0272,INST KT INNATE 3.6MM,3675.0,2940.0,972.04,3307.5,26
RC,0272,INST KT KNEE FLAP REPAIR SGL,451.0,360.8,119.29,405.9,26
RC,0272,INST KT MPFL FBRTAK ARTX,5008.0,4006.4,1324.62,4507.2,26
RC,0272,INST KT PREP DYNAFORCE 15MM,2370.0,1896.0,626.87,2133.0,26
RC,0272,INST KT PREP DYNAFORCE 20MM,2370.0,1896.0,626.87,2133.0,26
RC,0272,INST KT PREP DYNAFORCE 25MM,2370.0,1896.0,626.87,2133.0,26
RC,0272,INST KT SCREW COMP 4.0MM,5378.0,4302.4,1422.48,4840.2,26
RC,0272,INST KT TALUS TOTAL CUST DISP,10483.0,8386.4,2772.75,9434.7,26
RC,0272,INST KT TRANSTIB ACL DISPWOSAW,1356.0,1084.8,358.66,1220.4,26
RC,0272,INST PK FT JOINT PREP DISP,9097.0,7277.6,2406.16,8187.3,26
RC,0272,INST PK HD DARTFIRE EDGE 3.5MM,3832.0,3065.6,1013.56,3448.8,26
RC,0272,INST PK HDLSS DARTFIRE EDGE2.5,3832.0,3065.6,1013.56,3448.8,26
RC,0272,INST SET CJD BRAIN BX*DISC*,5145.0,4116.0,1360.85,4630.5,26
RC,0272,INSTR SPNL SYS DTRAX DISP*NLU*,6525.0,5220.0,1725.86,5872.5,26
RC,0272,INTERFACE PT CLR*DISC 6341643*,1233.0,986.4,326.13,1109.7,26
RC,0272,INTR ATEC 9GX14CM 20MM,1312.0,1049.6,347.02,1180.8,26
RC,0272,INTR COAX 6FR,490.0,392.0,129.61,441.0,26
RC,0272,INTR KT GASTRO LAP 16FR,2108.0,1686.4,557.57,1897.2,26
RC,0272,INTR KT GASTRO LAP 18FR,2108.0,1686.4,557.57,1897.2,26
RC,0272,INTR KT GASTRO MIC 18FR,1916.0,1532.8,506.78,1724.4,26
RC,0272,INTR KT GASTRO MIC 20FR,1916.0,1532.8,506.78,1724.4,26
RC,0272,INTR KT PERC SHEATH 8.5FR,1135.0,908.0,300.21,1021.5,26
RC,0272,INTR KYPHON ADV OSTEO,3024.0,2419.2,799.85,2721.6,26
RC,0272,INTR KYPHON OSTEO 1 STEP,4800.0,3840.0,1269.6,4320.0,26
RC,0272,INTR KYPHX II ADV OSTEO SYS,4800.0,3840.0,1269.6,4320.0,26
RC,0272,INTR OSTEO DEV BEV 8G,2480.0,1984.0,655.96,2232.0,26
RC,0272,INTR PICC INTROSYTE-N26G 1.9CM,493.0,394.4,130.4,443.7,26
RC,0272,INTR PICCINTROSYTE-N26G 0.07CM,499.0,399.2,131.99,449.1,26
RC,0272,INTR PNCL ACCESS NIT 4FR 45CM,380.0,304.0,100.51,342.0,26
RC,0272,INTR PNCL ACCESS NIT 5FR 10CM,380.0,304.0,100.51,342.0,26
RC,0272,INTR SCOPE PINPO*DISC 6287630*,2383.0,1906.4,630.3,2144.7,26
RC,0272,INTR SCOPE PINPOINT STD,1524.0,1219.2,403.1,1371.6,26
RC,0272,INTR SHEATH DIL SET STER 4.5MM,422.0,337.6,111.62,379.8,26
RC,0272,INTR SUPRAFOLEY 12FR*NLU*,1010.0,808.0,267.15,909.0,26
RC,0272,INTR SUPRAFOLEY ORG 16-18FR,333.0,266.4,88.08,299.7,26
RC,0272,INTR SYS ACCUSTICK WO GDWIRE,618.0,494.4,163.46,556.2,26
RC,0272,INTR VASC BREAKAWAY NDLE 2FR,345.0,276.0,91.25,310.5,26
RC,0272,INTRO FLUID RF COOLIEF 4X50MM,995.0,796.0,263.18,895.5,26
RC,0272,INTRO RF COOLED CO4X50MM*DISC*,995.0,796.0,263.18,895.5,26
RC,0272,INTRO SHEATH DIL SET STER7.0MM,402.0,321.6,106.33,361.8,26
RC,0272,INTUB SET LACRIM*DISC 6299657*,1411.0,1128.8,373.21,1269.9,26
RC,0272,INTUB SET LACRIMAL DUCT GUIBOR,350.0,280.0,92.58,315.0,26
RC,0272,IRG CORO BLOW MISTER TB 8FT,783.0,626.4,207.1,704.7,26
RC,0272,IRG CORO BLOWMIST*USE 6332268*,1037.0,829.6,274.29,933.3,26
RC,0272,IRG MORGAN THERAPEUTIC LENS,511.0,408.8,135.16,459.9,26
RC,0272,IRG WND PVPI SURGIPHOR 1000ML,1462.0,1169.6,386.7,1315.8,26
RC,0272,IRG WND PVPI SURGIPHOR 450ML,665.0,532.0,175.89,598.5,26
RC,0272,JAW CLAMP HEMO INTRACK ULT66MM,307.0,245.6,81.2,276.3,26
RC,0272,JOINT EXTL FIX SPEED FRM DNE,3904.0,3123.2,1032.61,3513.6,26
RC,0272,JOINT EXTL FIX UNIV DNE,2860.0,2288.0,756.47,2574.0,26
RC,0272,KCH FETAL BLAD*DUP 6156601*,3733.0,2986.4,987.38,3359.7,26
RC,0272,KEY DEFIB FRX AED INFANT/CHILD,638.0,510.4,168.75,574.2,26
RC,0272,KIT FMS SIGNAL FLEXI-SEAL,1012.0,809.6,267.67,910.8,26
RC,0272,KNEE BONE MODEL ZIMM*NLU*,1700.0,1360.0,449.65,1530.0,26
RC,0272,KNEE GD PIN PSN *DISC NO REPL*,4900.0,3920.0,1296.05,4410.0,26
RC,0272,KNEE GD PIN PSN PSI 36,4900.0,3920.0,1296.05,4410.0,26
RC,0272,KNEE GD PIN PSN PSI 48*NLU*,4900.0,3920.0,1296.05,4410.0,26
RC,0272,KNEE IOBP KT OPEN TIP,4428.0,3542.4,1171.21,3985.2,26
RC,0272,KNEE IOBP KT OPEN TIP W/DCOMP,5610.0,4488.0,1483.85,5049.0,26
RC,0272,KNIFE ANG SIDEPORT SFTY 45D1MM,595.0,476.0,157.38,535.5,26
RC,0272,KNIFE ANNULO RETR STER 21MM,2600.0,2080.0,687.7,2340.0,26
RC,0272,KNIFE ARACHNOID DISP*DISC*,551.0,440.8,145.74,495.9,26
RC,0272,KNIFE BANANA*NLU*,2008.0,1606.4,531.12,1807.2,26
RC,0272,KNIFE CAUT DUALKNIFEJ LWR*NLU*,5994.0,4795.2,1585.41,5394.6,26
RC,0272,KNIFE CAUT DUALKNIFEJ UPP,5394.0,4315.2,1426.71,4854.6,26
RC,0272,KNIFE COLD SACHSE DISP ST,1636.0,1308.8,432.72,1472.4,26
RC,0272,KNIFE COLD URETHROTOME DISP ST,1636.0,1308.8,432.72,1472.4,26
RC,0272,KNIFE GRAFT ACL 10MM,928.0,742.4,245.46,835.2,26
RC,0272,KNIFE GRAFT ACL 11MM,928.0,742.4,245.46,835.2,26
RC,0272,KNIFE GRAFT ACL 9MM,928.0,742.4,245.46,835.2,26
RC,0272,KNIFE HYBRID ELECSURG I-TYPE,3972.0,3177.6,1050.59,3574.8,26
RC,0272,KNIFE HYBRID ELECSURG T-TYPE,3972.0,3177.6,1050.59,3574.8,26
RC,0272,KNIFE METRX BYNT DISP,2943.0,2354.4,778.42,2648.7,26
RC,0272,KNIFE NDLE RX,1488.0,1190.4,393.58,1339.2,26
RC,0272,KNIFE NDLE TL MICRO XL 7.5FR,1148.0,918.4,303.65,1033.2,26
RC,0272,KNIFE RETROGRD STER BLU,776.0,620.8,205.25,698.4,26
RC,0272,KNIFE SIDEPORT MVR 20G 1.15MM,233.0,186.4,61.63,209.7,26
RC,0272,KNIFE SLIT XSTAR BEV 45D 2.5MM,321.0,256.8,84.9,288.9,26
RC,0272,KNIFE SLIT XSTAR STER SS 2.4MM,573.0,458.4,151.56,515.7,26
RC,0272,KNIFE URETHROTOME LANCET ST,1958.0,1566.4,517.89,1762.2,26
RC,0272,KT 9 HL PEG TEST ROLYAN,553.0,442.4,146.27,497.7,26
RC,0272,KT ACC CMPNT HERO,4235.0,3388.0,1120.16,3811.5,26
RC,0272,KT ACC COMPONET*USE 6331793*,3920.0,3136.0,1036.84,3528.0,26
RC,0272,KT ACC DBS BORE PLUG,2400.0,1920.0,634.8,2160.0,26
RC,0272,KT ACC DEL DEV REZUM,9000.0,7200.0,2380.5,8100.0,26
RC,0272,KT ACC GDWIRE*NLU*,350.0,280.0,92.58,315.0,26
RC,0272,KT ACC INTH CATH MDTR,1700.0,1360.0,449.65,1530.0,26
RC,0272,KT ACC LEAD REV MDTR*NLU*,2664.0,2131.2,704.63,2397.6,26
RC,0272,KT ACC LLD SUPP,1233.0,986.4,326.13,1109.7,26
RC,0272,KT ACC PAIN PUMP CATH *OBS*,675.0,540.0,178.54,607.5,26
RC,0272,KT ACC PAIN PUMP POUCH *OBS*,720.0,576.0,190.44,648.0,26
RC,0272,KT ACC STIM CONN CBL*NLU*,1700.0,1360.0,449.65,1530.0,26
RC,0272,KT ACC SUPRAPUBIC OBRIEN 16FR,712.0,569.6,188.32,640.8,26
RC,0272,KT ACC W NDLE CURV TIP 14GA,494.0,395.2,130.66,444.6,26
RC,0272,KT ACIST ANGIO TOUCH AT P54,450.0,360.0,119.03,405.0,26
RC,0272,KT ACIST ANGIO TOUCH AT P65,450.0,360.0,119.03,405.0,26
RC,0272,KT ACIST MANIFOLD,310.0,248.0,82.0,279.0,26
RC,0272,KT ADR GELPOINT PLTFM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,KT ADV GELPOINT PLTFM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,KT APEX UNIV SUT REPAIR SUBCAP,3200.0,2560.0,846.4,2880.0,26
RC,0272,KT BENCHMARK MP 6FR 105CM,5730.0,4584.0,1515.59,5157.0,26
RC,0272,KT BENCHMARK ST 6FR 95CM,5730.0,4584.0,1515.59,5157.0,26
RC,0272,KT BIOCOMP CRKSCREW FT4.5X14MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,KT BLD COLLT ACP SER I,1636.0,1308.8,432.72,1472.4,26
RC,0272,KT BLD COLLT ACP SER I W ACD-A,2010.0,1608.0,531.65,1809.0,26
RC,0272,KT BLD PROCESSING CPRP ANGEL,2596.0,2076.8,686.64,2336.4,26
RC,0272,KT BOLT PTO SL RAUM,2344.0,1875.2,619.99,2109.6,26
RC,0272,KT BOLT SIL RAUM 9FR,2128.0,1702.4,562.86,1915.2,26
RC,0272,KT BONE ACC 090 10G,3226.0,2580.8,853.28,2903.4,26
RC,0272,KT BONE ACC 100 13G,3226.0,2580.8,853.28,2903.4,26
RC,0272,KT BONE CMNT ANTIBIOTICPCD10ML,4387.0,3509.6,1160.36,3948.3,26
RC,0272,KT BONE CMNT PREP BONE PLUGSZ2,821.0,656.8,217.15,738.9,26
RC,0272,KT BONE HARVEST RIA2 STER520MM,9377.0,7501.6,2480.22,8439.3,26
RC,0272,KT BONE MARW BMA ANGEL CPRP,4851.0,3880.8,1283.09,4365.9,26
RC,0272,KT BONE MARW CLSD ANGEL CPRP 8,6089.0,4871.2,1610.54,5480.1,26
RC,0272,KT BONE MARW OPEN ANGEL CPRP 1,6089.0,4871.2,1610.54,5480.1,26
RC,0272,KT BONE MARW OPEN ANGEL CPRP 8,6089.0,4871.2,1610.54,5480.1,26
RC,0272,KT BONE MARW SYS ANGEL CP*NLU*,4883.0,3906.4,1291.55,4394.7,26
RC,0272,KT BOS BONE MARW ASPIR,2071.0,1656.8,547.78,1863.9,26
RC,0272,KT BRAINPATHILLUMSHEATH13.5X50,14275.0,11420.0,3775.74,12847.5,26
RC,0272,KT BX MISSION 18GX10CM,438.0,350.4,115.85,394.2,26
RC,0272,KT BX MISSION 18GX16CM,438.0,350.4,115.85,394.2,26
RC,0272,KT BX MISSION 18GX20CM,438.0,350.4,115.85,394.2,26
RC,0272,KT BX MISSION 20GX10CM,438.0,350.4,115.85,394.2,26
RC,0272,KT BX MISSION 20GX16CM,438.0,350.4,115.85,394.2,26
RC,0272,KT BX MISSION 20GX20CM,438.0,350.4,115.85,394.2,26
RC,0272,KT BX SUCT RECTAL RBI2 PROC PK,891.0,712.8,235.67,801.9,26
RC,0272,KT BX TRANJUGLULAR LIVER 19G,4890.0,3912.0,1293.41,4401.0,26
RC,0272,KT BX TRANJUGLULAR LIVER*NLU*,3600.0,2880.0,952.2,3240.0,26
RC,0272,KT CANISTER TB 1*DISC 6337011*,855.0,684.0,226.15,769.5,26
RC,0272,KT CANN CLEAR-TRAC 5X76MM,422.0,337.6,111.62,379.8,26
RC,0272,KT CANN CLEAR-TRAC 8X76MM,468.0,374.4,123.79,421.2,26
RC,0272,KT CANN FAST-FIX FLEX RVRSCURV,3880.0,3104.0,1026.26,3492.0,26
RC,0272,KT CAPTIVATOR EMR ENDO LG,2600.0,2080.0,687.7,2340.0,26
RC,0272,KT CAPTIVATOR EMR ENDO STD,2600.0,2080.0,687.7,2340.0,26
RC,0272,KT CATH BRIDGE OCCL,2640.0,2112.0,698.28,2376.0,26
RC,0272,KT CATH DIALYS MAHURK DL *NLU*,746.0,596.8,197.32,671.4,26
RC,0272,KT CATH INTMT NEO 3.5FR 40CM,330.0,264.0,87.29,297.0,26
RC,0272,KT CATH RAD ART 1.75 20GA,841.0,672.8,222.44,756.9,26
RC,0272,KT CATH RAD ART 20GA 1.75IN,473.0,378.4,125.11,425.7,26
RC,0272,KT CATH REPAIR W REPL CONN,1106.0,884.8,292.54,995.4,26
RC,0272,KT CATH SELECTRA ACC,1063.0,850.4,281.16,956.7,26
RC,0272,KT CATH UMBI*DISC USE 6290709*,422.0,337.6,111.62,379.8,26
RC,0272,KT CBF CRANIOLOC PEEL 10.5X12,496.0,396.8,131.19,446.4,26
RC,0272,KT CH5 BOLT PARENCHYMA CA*NLU*,1972.0,1577.6,521.59,1774.8,26
RC,0272,KT CHECKPOINT KNEE TIB MAKO,535.0,428.0,141.51,481.5,26
RC,0272,KT CHECKPOINT TIB FEM MAKO,915.0,732.0,242.02,823.5,26
RC,0272,KT CHEST TB PLEUR*VAT 6336156*,764.0,611.2,202.08,687.6,26
RC,0272,KT CIRCUIT AIRSPIRAL NEB ADPTR,683.0,546.4,180.65,614.7,26
RC,0272,KT CK COR KNOT DEV LSI SO*NLU*,3200.0,2560.0,846.4,2880.0,26
RC,0272,KT CLEARIFY VISUALIZATION,402.0,321.6,106.33,361.8,26
RC,0272,KT CLIP GUN RANEY*DISC*,636.0,508.8,168.22,572.4,26
RC,0272,KT CMNT BONE W GUN KYPHON SZ2,2600.0,2080.0,687.7,2340.0,26
RC,0272,KT CMNT BONE W GUN KYPHON SZ3,2600.0,2080.0,687.7,2340.0,26
RC,0272,KT COCHLEAR SGL USE*DISC*,2765.0,2212.0,731.34,2488.5,26
RC,0272,KT CONN SILHOUETTE FLOWMETER,711.0,568.8,188.06,639.9,26
RC,0272,KT COOL RF COOLI*DISC 6288557*,5985.0,4788.0,1583.03,5386.5,26
RC,0272,KT COOL RF COOLI*DISC 6322418*,5250.0,4200.0,1388.63,4725.0,26
RC,0272,KT COOL RF COOLI*DISC 6322419*,5250.0,4200.0,1388.63,4725.0,26
RC,0272,KT COOL RF COOLI*DISC 6322420*,5250.0,4200.0,1388.63,4725.0,26
RC,0272,KT COOL RF COOLI*DISC 6322421*,5250.0,4200.0,1388.63,4725.0,26
RC,0272,KT COOL RF COOLI*DISC 6322422*,5250.0,4200.0,1388.63,4725.0,26
RC,0272,KT COOL RF COOLI*DISC 6322423*,5250.0,4200.0,1388.63,4725.0,26
RC,0272,KT COOL RF COOLIE*DISC 6322416,4950.0,3960.0,1309.28,4455.0,26
RC,0272,KT COOL RF COOLIEF 17G75X*NLU*,5250.0,4200.0,1388.63,4725.0,26
RC,0272,KT COR-KNOT MINI COMBO,4788.0,3830.4,1266.43,4309.2,26
RC,0272,KT CRANI ACC DRILL BIT 2.7MM,3333.0,2666.4,881.58,2999.7,26
RC,0272,KT CRANI ACC DRILL BIT 5.31MM,3139.0,2511.2,830.27,2825.1,26
RC,0272,KT CRANI ACC PREM WO RAZOR,3888.0,3110.4,1028.38,3499.2,26
RC,0272,KT CRANI ACC WO DRUGS,2125.0,1700.0,562.06,1912.5,26
RC,0272,KT CRANI ACCESS,3723.0,2978.4,984.73,3350.7,26
RC,0272,KT CRANI ACCESS *DISC 6285592*,9052.0,7241.6,2277.08,8545.5,52
RC,0272,KT CRANI ACCESS WO DRUGS,3242.0,2593.6,857.51,2917.8,26
RC,0272,KT CRANI ACCESS WO PREP SOL,3552.0,2841.6,939.5,3196.8,26
RC,0272,KT CRANI PREM W RAZOR WO DRUGS,3398.0,2718.4,898.77,3058.2,26
RC,0272,KT CRIC ME4MM*DUP USE 6204878*,3074.0,2459.2,813.07,2766.6,26
RC,0272,KT CRIC QUICKTRACH 2MM,1585.0,1268.0,419.23,1426.5,26
RC,0272,KT CRIC QUICKTRACH 4MM,1585.0,1268.0,419.23,1426.5,26
RC,0272,KT CV CATH 2.5FR*DISC 6259809*,375.0,300.0,99.19,337.5,26
RC,0272,KT CVC TL BLU FL1*VAT 6325349*,503.0,402.4,133.04,452.7,26
RC,0272,KT CVC TL OXMTR *DISC NO REPL*,5050.0,4040.0,1335.73,4545.0,26
RC,0272,KT DBL TRANSD 2 LINES VAMP,1416.0,1132.8,374.53,1274.4,26
RC,0272,KT DBS TORQ WRENCH 4IN,523.0,418.4,138.33,470.7,26
RC,0272,KT DISP PLK 2.9MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,KT DISP SHLDR QFIX SN 1.8*NLU*,4200.0,3360.0,1110.9,3780.0,26
RC,0272,KT DRILL BIT AND KEY RAUM 5FR,1284.0,1027.2,339.62,1155.6,26
RC,0272,KT DRILL BIT EXAT 2/3.2MM,3000.0,2400.0,793.5,2700.0,26
RC,0272,KT DRILL BIT SHLDR GPS NVGTR,3000.0,2400.0,793.5,2700.0,26
RC,0272,KT DRILL BONE GRAFT STER 10MM,4351.0,3480.8,1150.84,3915.9,26
RC,0272,KT DRILL BONE GRAFT STER 6MM,4351.0,3480.8,1150.84,3915.9,26
RC,0272,KT DRILL BONE GRAFT STER 8MM,4351.0,3480.8,1150.84,3915.9,26
RC,0272,KT DRILL RAUM 9FR,1165.0,932.0,308.14,1048.5,26
RC,0272,KT DRILL SPEED 2.0MM*DISC*,2880.0,2304.0,761.76,2592.0,26
RC,0272,KT DRILL SPEED 2.65MM,2443.0,1954.4,646.17,2198.7,26
RC,0272,KT DRN STARTER PL*VAT 6266738*,6300.0,5040.0,1666.35,5670.0,26
RC,0272,KT DRN VALV REPAI*VAT NO REPL*,410.0,328.0,108.45,369.0,26
RC,0272,KT DRSG SNAP LNG*DISC NO REPL*,916.0,732.8,242.28,824.4,26
RC,0272,KT DRSG VAC PICO 7 10X20CM,2200.0,1760.0,581.9,1980.0,26
RC,0272,KT DRSG VAC PICO 7 15X15CM,2200.0,1760.0,581.9,1980.0,26
RC,0272,KT DRSG VAC PREV*DISC 6267816*,3168.0,2534.4,837.94,2851.2,26
RC,0272,KT ENDOMTRL ABL NOVASURE DISP,4775.0,3820.0,1262.99,4297.5,26
RC,0272,KT ENTRY GREENFIELD*DISC*,990.0,792.0,261.86,891.0,26
RC,0272,KT EVIDENT SURG 3.7X17CM*NLU*,15292.0,12233.6,4044.73,13762.8,26
RC,0272,KT EXTL FIX LG ANK FRM STER,10987.0,8789.6,2906.06,9888.3,26
RC,0272,KT EXTL FIX WRIST STRY H2,9111.0,7288.8,2409.86,8199.9,26
RC,0272,KT FAN PULSAVAC+,380.0,304.0,100.51,342.0,26
RC,0272,KT FBRTAK DX KNTLS DISP,2420.0,1936.0,640.09,2178.0,26
RC,0272,KT FBRTAK HIP KNTLS CURV DISP,2596.0,2076.8,686.64,2336.4,26
RC,0272,KT FBRTAK HIP KNTLS ST DISP,2420.0,1936.0,640.09,2178.0,26
RC,0272,KT FBRTAK KNTLS CURV DISP,1823.0,1458.4,482.18,1640.7,26
RC,0272,KT FBRTAK PERC INSRT 1.8MM,2104.0,1683.2,556.51,1893.6,26
RC,0272,KT FEED TB MIC PE*VAT 6322633*,1047.0,837.6,276.93,942.3,26
RC,0272,KT FEM PERC ART *DISC 6319172*,2030.0,1624.0,536.94,1827.0,26
RC,0272,KT FEM PERC VEN 19*DISC*,2030.0,1624.0,536.94,1827.0,26
RC,0272,KT FEM TIB CHECK*DISC 6278536*,915.0,732.0,242.02,823.5,26
RC,0272,KT FEMART 18G 16*DISC 6353491*,368.0,294.4,97.34,331.2,26
RC,0272,KT FIX HAND FUSEFORCE 10X10MM,5010.0,4008.0,1325.15,4509.0,26
RC,0272,KT FLTR OVAL MICROGUARD IIB,869.0,695.2,229.85,782.1,26
RC,0272,KT FLUSH CO2 BG,618.0,494.4,163.46,556.2,26
RC,0272,KT FMS PROTECT FLEXI-SEAL,1046.0,836.8,276.67,941.4,26
RC,0272,KT FRAME DBS NEXFRAME,7560.0,6048.0,1999.62,6804.0,26
RC,0272,KT GASTRIC LAVAGE W 3L SOL BG,400.0,320.0,105.8,360.0,26
RC,0272,KT GASTRO MICLOPR*VAT 6322582*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322583*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322584*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322585*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322586*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322587*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322589*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322591*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322592*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322593*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322594*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322595*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322596*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322597*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322598*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322599*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322601*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322602*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322603*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322604*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322605*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322606*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322607*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322609*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322610*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322611*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322612*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322613*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322614*,910.0,728.0,240.7,819.0,26
RC,0272,KT GASTRO MICLOPR*VAT 6322617*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322618*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322619*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322620*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322622*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322626*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322627*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322628*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322744*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322745*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322857*,871.0,696.8,230.38,783.9,26
RC,0272,KT GASTRO MICLOPR*VAT 6322963*,871.0,696.8,230.38,783.9,26
RC,0272,KT GELPOINT PLATF*USE 6298165*,5215.0,4172.0,1379.37,4693.5,26
RC,0272,KT GI BASIC DIL APMT,1097.0,877.6,290.16,987.3,26
RC,0272,KT GI PLACEMENT MINIONE,1726.0,1380.8,456.53,1553.4,26
RC,0272,KT GJ MIC ENFIT CONN 16FR,2800.0,2240.0,740.6,2520.0,26
RC,0272,KT GJ MIC ENFIT CONN 18FR,2800.0,2240.0,740.6,2520.0,26
RC,0272,KT GJ MIC ENFIT CONN 22FR,2800.0,2240.0,740.6,2520.0,26
RC,0272,KT GPS V2 EXAT DISP,5400.0,4320.0,1428.3,4860.0,26
RC,0272,KT HIP FOR SHRT 2.9MM PLK XL,2420.0,1936.0,640.09,2178.0,26
RC,0272,KT HIP PLK MINI 2.4MM,2420.0,1936.0,640.09,2178.0,26
RC,0272,KT HIP PORTAL ENTRY DISP,2768.0,2214.4,732.14,2491.2,26
RC,0272,KT HIP PROC TRACKING,2072.0,1657.6,548.04,1864.8,26
RC,0272,KT HYPER/HYPO VEST/LEG SM*NLU*,989.0,791.2,261.59,890.1,26
RC,0272,KT ICP MON PARENCHYMA SUBARACH,4792.0,3833.6,1267.48,4312.8,26
RC,0272,KT INSRT SUTTAK ARTX 3.0MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,KT INSRT SUTTAK KNTLS 17G,3124.0,2499.2,826.3,2811.6,26
RC,0272,KT INST AUTOGRAFTING EXPA*NLU*,4586.0,3668.8,1213.0,4127.4,26
RC,0272,KT INST BONE DOWEL REV 11MM,3773.0,3018.4,997.96,3395.7,26
RC,0272,KT INST BONE DOWEL REV 14MM,3850.0,3080.0,1018.33,3465.0,26
RC,0272,KT INST BONE DOWEL REV 16MM,4235.0,3388.0,1120.16,3811.5,26
RC,0272,KT INST BONE DOWEL REV 9MM,3773.0,3018.4,997.96,3395.7,26
RC,0272,KT INST MICRO SUTTAK DISP,1636.0,1308.8,432.72,1472.4,26
RC,0272,KT INST MINI SUT TAK,1636.0,1308.8,432.72,1472.4,26
RC,0272,KT INST MYRINGOTOMY DISP,797.0,637.6,210.81,717.3,26
RC,0272,KT INST REMV FIBULINK,4991.0,3992.8,1320.12,4491.9,26
RC,0272,KT INST REPL RAD HD STER,2635.0,2108.0,696.96,2371.5,26
RC,0272,KT INST RETROFUSION DISP,3960.0,3168.0,1047.42,3564.0,26
RC,0272,KT INSTR ENDO AVN DISP,6410.0,5128.0,1695.45,5769.0,26
RC,0272,KT INTERSTIM REV*NLU*,2208.0,1766.4,584.02,1987.2,26
RC,0272,KT INTR BONE CMNT TROC BEV 13G,900.0,720.0,238.05,810.0,26
RC,0272,KT INTR JEJ/GJ MIC 16FR*NLU*,1808.0,1446.4,478.22,1627.2,26
RC,0272,KT INTR JEJ/GJ MIC 18FR*NLU*,1789.0,1431.2,473.19,1610.1,26
RC,0272,KT INTR MINI-NV SS/PT 6FR 60CM,627.0,501.6,165.84,564.3,26
RC,0272,KT INTR ROB BRONCHSCP MONARCH,1134.0,907.2,299.94,1020.6,26
RC,0272,KT INTR SUPRAPUBIC TB8-14FR14,855.0,684.0,226.15,769.5,26
RC,0272,KT INTR VASC GROSHONG 8FR 15CM,3096.0,2476.8,818.89,2786.4,26
RC,0272,KT IOL CUT PACKER/CHANGE MST,2413.0,1930.4,638.24,2171.7,26
RC,0272,KT IPG TEMPLATE*NLU*,1054.0,843.2,278.78,948.6,26
RC,0272,KT IRIS URETRL DISP ROB,2416.0,1932.8,639.03,2174.4,26
RC,0272,KT JEJ EXT SET ENFIT 14FR1.0CM,1595.0,1276.0,421.88,1435.5,26
RC,0272,KT JEJ EXT SET ENFIT 14FR1.7CM,1595.0,1276.0,421.88,1435.5,26
RC,0272,KT JEJ EXT SET ENFIT 14FR2.0CM,1595.0,1276.0,421.88,1435.5,26
RC,0272,KT JEJ EXT SET ENFIT 14FR2.5CM,1595.0,1276.0,421.88,1435.5,26
RC,0272,KT JEJ EXT SET ENFIT 14FR4.0CM,1595.0,1276.0,421.88,1435.5,26
RC,0272,KT JEJ EXT SET ENFIT 14FR4.5CM,1595.0,1276.0,421.88,1435.5,26
RC,0272,KT KNEE PROC TRACKING MAKO,2072.0,1657.6,548.04,1864.8,26
RC,0272,KT KNTLS SUT TAK DISP*NLU*,2360.0,1888.0,624.22,2124.0,26
RC,0272,KT KYPHO AVAFLEX NO NDLE,3912.0,3129.6,1034.72,3520.8,26
RC,0272,KT LARYN PULM*DISC 6337117*,2576.0,2060.8,681.35,2318.4,26
RC,0272,KT LARYN STD TB 10/36,2760.0,2208.0,730.02,2484.0,26
RC,0272,KT LARYN STD TB 9/36,2680.0,2144.0,708.86,2412.0,26
RC,0272,KT MACXCESS DISP,11561.0,9248.8,3057.88,10404.9,26
RC,0272,KT MAGELLAN COMPL DISP,1700.0,1360.0,449.65,1530.0,26
RC,0272,KT MANIFOLD EP CUST BI,366.0,292.8,96.81,329.4,26
RC,0272,KT MANUAL RETRACTION,1275.0,1020.0,337.24,1147.5,26
RC,0272,KT MARS 3V GLOB MED*NLU*,12152.0,9721.6,3214.2,10936.8,26
RC,0272,KT MICRO VENT BOLT ICP MON,4925.0,3940.0,1302.66,4432.5,26
RC,0272,KT MIS BLADE ILLUM,6000.0,4800.0,1587.0,5400.0,26
RC,0272,KT NAIL REMOV FIBULOCK,7425.0,5940.0,1963.91,6682.5,26
RC,0272,KT NDLE CURV CANN AVAFLEX 11G,3804.0,3043.2,1006.16,3423.6,26
RC,0272,KT NDLE GD ULTRSND I18LX5VERZA,3675.0,2940.0,972.04,3307.5,26
RC,0272,KT NDLE GD ULTRSND I8CX1 VERZA,3675.0,2940.0,972.04,3307.5,26
RC,0272,KT NG TB SECURE *DISC 6291791*,834.0,667.2,220.59,750.6,52
RC,0272,KT NG TB SECURE *DISC 6291792*,834.0,667.2,220.59,750.6,26
RC,0272,KT NG TB SECURE CORGRIP 8*NLU*,855.0,684.0,226.15,769.5,26
RC,0272,KT NIV PNTER BNDLE*NLU*,4536.0,3628.8,1199.77,4082.4,26
RC,0272,KT OBTR KNTLS CRKSCRW DISP,2596.0,2076.8,686.64,2336.4,26
RC,0272,KT ONQ DUAL 3DAY 270X4ML/HR 5,1307.0,1045.6,345.7,1176.3,26
RC,0272,KT ONQ DUAL 4DAY 400X4ML/HR 5,1606.0,1284.8,424.79,1445.4,26
RC,0272,KT ONQ EXPAND CATH SLVRSO*NLU*,944.5,755.5999999999999,237.52,891.9,52
RC,0272,KT PARACENTESIS ABD LG,602.0,481.6,159.23,541.8,26
RC,0272,KT PEDICLE ACCESS GM,4900.0,3920.0,1296.05,4410.0,26
RC,0272,KT PEDICLE ACCESS MDTR,4928.0,3942.4,1303.46,4435.2,26
RC,0272,KT PEDICLE ACCESS PAK NDLETROC,1998.0,1598.4,528.47,1798.2,26
RC,0272,KT PEG PULL 24FR*DISC 6322686*,570.0,456.0,150.77,513.0,26
RC,0272,KT PEG PULL ENFI*DISC 6322685*,570.0,456.0,150.77,513.0,26
RC,0272,KT PEG PULL ENFIT MIC 14FR,859.0,687.2,227.21,773.1,26
RC,0272,KT PEG PULL ENFIT MIC 20FR,859.0,687.2,227.21,773.1,26
RC,0272,KT PEG PULL ENFIT SFTY 20FR,807.0,645.6,213.45,726.3,26
RC,0272,KT PEG PULL ENFIT SFTY 24FR,807.0,645.6,213.45,726.3,26
RC,0272,KT PEG PULL ENFIT SFTY MIC20FR,1110.0,888.0,293.6,999.0,26
RC,0272,KT PEG PULL ENTAK*VAT 6322631*,700.0,560.0,185.15,630.0,26
RC,0272,KT PEG PULL MIC 2*VAT 6322631*,847.0,677.6,224.03,762.3,26
RC,0272,KT PEG PULL MIC SFTY 20FR*NLU*,1047.0,837.6,276.93,942.3,26
RC,0272,KT PEG PULL SFTY *VAT 6322685*,807.0,645.6,213.45,726.3,26
RC,0272,KT PEG PULL SFTY *VAT 6322686*,807.0,645.6,213.45,726.3,26
RC,0272,KT PEG PULL STD 2*VAT 6322687*,570.0,456.0,150.77,513.0,26
RC,0272,KT PEG PULL STD 2*VAT 6322689*,570.0,456.0,150.77,513.0,26
RC,0272,KT PEG PUSH ENFIT MIC 14FR,859.0,687.2,227.21,773.1,26
RC,0272,KT PEG PUSH ENFIT MIC 20FR,859.0,687.2,227.21,773.1,26
RC,0272,KT PERC CANN LOW PROFILE,1157.0,925.6,306.03,1041.3,26
RC,0272,KT PERC INSRT NANO ARTHO,743.0,594.4,196.52,668.7,26
RC,0272,KT PERC INSRT PLK 2.9MM,2057.0,1645.6,544.08,1851.3,26
RC,0272,KT PERC KNTLS CRKSCRW 3.9MM,2860.0,2288.0,756.47,2574.0,26
RC,0272,KT PERFLUORON 5ML,4152.0,3321.6,1098.2,3736.8,26
RC,0272,KT PERICARDC*DISC USE 6321179*,1400.0,1120.0,370.3,1260.0,26
RC,0272,KT PERICARDCENT *DISC 6262107*,1400.0,1120.0,370.3,1260.0,26
RC,0272,KT PHENOL APPL NARMD,333.0,266.4,88.08,299.7,26
RC,0272,KT PINPOINT ENDO PAQ,1730.0,1384.0,457.59,1557.0,26
RC,0272,KT PLACEMENT PROS VOICE 16FR,1955.0,1564.0,517.1,1759.5,26
RC,0272,KT PLACEMENT PROS VOICE 2*NLU*,1955.0,1564.0,517.1,1759.5,26
RC,0272,KT PLACMNT PROS VOICE 20FR,1955.0,1564.0,517.1,1759.5,26
RC,0272,KT PLUG PORT IPG*NLU*,1054.0,843.2,278.78,948.6,26
RC,0272,KT POWER PULSE FOR ULT,702.0,561.6,185.68,631.8,26
RC,0272,KT PRCD FLUENT FLUID MGMT SYS,2240.0,1792.0,592.48,2016.0,26
RC,0272,KT PRCD FLUENTPR*DISC 6354697*,2464.0,1971.2,651.73,2217.6,26
RC,0272,KT PRCD HYPERTHERMIA BELMONT,5733.0,4586.4,1516.38,5159.7,26
RC,0272,KT PROCD EDGE FIRM TIP 18*NLU*,5823.0,4658.4,1540.18,5240.7,26
RC,0272,KT PROCD EDGE FIRM TIP 45*NLU*,5823.0,4658.4,1540.18,5240.7,26
RC,0272,KT PROCD EDGE FIRM TIP 90*NLU*,5823.0,4658.4,1540.18,5240.7,26
RC,0272,KT PRP ANGEL SYS ARTX,2860.0,2288.0,756.47,2574.0,26
RC,0272,KT PRSS MON COMPARTMENT MY01,11375.0,9100.0,3008.69,10237.5,26
RC,0272,KT PT CARE ANDREW TBL*NLU*,305.0,244.0,80.67,274.5,26
RC,0272,KT PUMP IMPEL RP*DISC 6332452*,57500.0,46000.0,15208.75,51750.0,26
RC,0272,KT PUMP TANDEMLIFE VEN24 ART15,37950.0,30360.0,10037.78,34155.0,26
RC,0272,KT PUMP TANDEMLIFE VEN24 ART17,37950.0,30360.0,10037.78,34155.0,26
RC,0272,KT RADIOAEROSOL VERTI-SCAN24IN,450.0,360.0,119.03,405.0,26
RC,0272,KT REAMER PLATE SHARPS STAPLE,2576.0,2060.8,681.35,2318.4,26
RC,0272,KT RETR SHEATH RETRV SUT W DIL,3192.0,2553.6,844.28,2872.8,26
RC,0272,KT RETRV SNARE DUAL SHEATH,3600.0,2880.0,952.2,3240.0,26
RC,0272,KT REV INST INTERSTIM,3160.0,2528.0,835.82,2844.0,26
RC,0272,KT SGL TRANSD ICN 12IN,614.0,491.2,162.4,552.6,26
RC,0272,KT SGL TRANSD VAMP 84IN,868.0,694.4,229.59,781.2,26
RC,0272,KT SGL VIAL SPY ELITE,4522.0,3617.6,1196.07,4069.8,26
RC,0272,KT SHEATH HF NANONDLE,618.0,494.4,163.46,556.2,26
RC,0272,KT SHEATH HF NANONDLE 3.4OD125,978.0,782.4,258.68,880.2,26
RC,0272,KT SHEATH INTR S*DISC 6191239*,340.0,272.0,89.93,306.0,26
RC,0272,KT SHEATH NANONDLE 2.4OD 125MM,1075.0,860.0,284.34,967.5,26
RC,0272,KT SHLDR ST GD DRILL OBTR1.8MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,KT SIGMOID LT BIOS DISP,765.0,612.0,202.34,688.5,26
RC,0272,KT SLIDEONE FOR THD,3847.0,3077.6,1017.53,3462.3,26
RC,0272,KT SLV GASTRO CA*DISC 6319596*,1572.0,1257.6,415.79,1414.8,26
RC,0272,KT SLV GASTRO CALIB BULB 32FR,1399.0,1119.2,370.04,1259.1,26
RC,0272,KT SLV GASTRO CALIB BULB 36FR,2032.0,1625.6,537.46,1828.8,26
RC,0272,KT SLV GASTRO CALIB BULB 40FR,1768.0,1414.4,467.64,1591.2,26
RC,0272,KT SLV GASTRO CALIB SHRT 36FR,1743.0,1394.4,461.02,1568.7,26
RC,0272,KT SM PARTS MICRO-COAX 0.9MM,438.0,350.4,115.85,394.2,26
RC,0272,KT SPEAR OBTR 2.6MM DRILL DISP,1823.0,1458.4,482.18,1640.7,26
RC,0272,KT STYLET 0.012 50CM,1054.0,843.2,278.78,948.6,26
RC,0272,KT STYLET ATRIAL J NO TOOL46CM,477.0,381.6,126.17,429.3,26
RC,0272,KT STYLET UNIV NO TOOL 52CM,477.0,381.6,126.17,429.3,26
RC,0272,KT STYLET UNIV NO TOOL 58CM,477.0,381.6,126.17,429.3,26
RC,0272,KT STYLET UNIV NO TOOL 65CM,477.0,381.6,126.17,429.3,26
RC,0272,KT STYLET WIDE CURV MOND 58MM,604.0,483.2,159.76,543.6,26
RC,0272,KT SUT PASS ELBOW UCL,5836.0,4668.8,1543.62,5252.4,26
RC,0272,KT SUT SAVER,392.0,313.6,103.68,352.8,26
RC,0272,KT SUT SM JOINT DISP ARTX,1356.0,1084.8,358.66,1220.4,26
RC,0272,KT SUT SOFT TISS APPROXIM*NLU*,5340.0,4272.0,1412.43,4806.0,26
RC,0272,KT SWVLK SL 3.5X8*USE 6286996*,2200.0,1760.0,581.9,1980.0,26
RC,0272,KT SWVLK SL DISP 3.5X8.5MM,2420.0,1936.0,640.09,2178.0,26
RC,0272,KT SYR ACIST A2000,340.0,272.0,89.93,306.0,26
RC,0272,KT SYS UTERINE HEMORRHA CTR BS,6278.0,5022.4,1660.53,5650.2,26
RC,0272,KT T3 AMZ DISP,4043.0,3234.4,1069.37,3638.7,26
RC,0272,KT TB ASPIR STROKE GOMCO 405,1658.0,1326.4,438.54,1492.2,26
RC,0272,KT TB CHAMBER AIRSPIRAL AIRVO2,680.0,544.0,179.86,612.0,26
RC,0272,KT TB ET COBRA 3PLATE EMG DIR6,3120.0,2496.0,825.24,2808.0,26
RC,0272,KT TB ET COBRA 3PLATE EMG DIR7,3120.0,2496.0,825.24,2808.0,26
RC,0272,KT TB ET COBRA 3PLATE EMG DIR8,3120.0,2496.0,825.24,2808.0,26
RC,0272,KT TB ET COBRA 3PLATE EMG TPR6,3120.0,2496.0,825.24,2808.0,26
RC,0272,KT TB ET COBRA 3PLATE EMG TPR7,3120.0,2496.0,825.24,2808.0,26
RC,0272,KT TB ET COBRA 3PLATE EMG TPR8,3120.0,2496.0,825.24,2808.0,26
RC,0272,KT TEMPLATE DRILL 15-30,707.0,565.6,187.0,636.3,26
RC,0272,KT TEMPLATE SENZAII IPG,1054.0,843.2,278.78,948.6,26
RC,0272,KT THYROPLASTY MEASURE FEMALE,1190.0,952.0,314.76,1071.0,26
RC,0272,KT TOGGLELOC/WASHERLOC,3861.0,3088.8,1021.23,3474.9,26
RC,0272,KT TOOL ELEVA PASSING SENZA,1054.0,843.2,278.78,948.6,26
RC,0272,KT TORQUE WRENCH AND BOOT,523.0,418.4,138.33,470.7,26
RC,0272,KT TRACH FOME-CUF ADLT 6.0MM,754.0,603.2,199.43,678.6,26
RC,0272,KT TRACH FOME-CUF ADLT 8.0MM,754.0,603.2,199.43,678.6,26
RC,0272,KT TRAJECTORY GD EXTL,6669.0,5335.2,1763.95,6002.1,26
RC,0272,KT TRAJECTORY GD INTRL,6669.0,5335.2,1763.95,6002.1,26
RC,0272,KT TRANSTIB ACL W SAW BLADE,2104.0,1683.2,556.51,1893.6,26
RC,0272,KT TRI TRANSD 3 LINES VAMP,1868.0,1494.4,494.09,1681.2,26
RC,0272,KT TRI TRANSD 3LINES VAMP 84,2024.0,1619.2,535.35,1821.6,26
RC,0272,KT TRIMANO BEACH CHAIR,743.0,594.4,196.52,668.7,26
RC,0272,KT TRIMANO ELBOW ARTX,743.0,594.4,196.52,668.7,26
RC,0272,KT TRIVEX RESECT*DISC 6341258*,4193.0,3354.4,1109.05,3773.7,26
RC,0272,KT TRIVEX RESECT*DISC 6341259*,3832.0,3065.6,1013.56,3448.8,26
RC,0272,KT TUNNELER SENSIGHT,2160.0,1728.0,571.32,1944.0,26
RC,0272,KT TUOHY CONTIPLEXULT360 18GX2,338.0,270.4,89.4,304.2,26
RC,0272,KT TUOHY CONTIPLEXULT360 18GX4,370.0,296.0,97.87,333.0,26
RC,0272,KT TUOHY CONTIPLEXULT360 18GX6,386.0,308.8,102.1,347.4,26
RC,0272,KT VACUUM OB DEL,505.0,404.0,133.57,454.5,26
RC,0272,KT VAMP JR PRSS MON 48,523.0,418.4,138.33,470.7,26
RC,0272,KT VASC ACC OPUS MC3,1275.0,1020.0,337.24,1147.5,26
RC,0272,KT WASHERLOC DISP ZIMM,3320.0,2656.0,878.14,2988.0,26
RC,0272,KT WRENCH #2 #4 #6 #6-L*NLU*,400.0,320.0,105.8,360.0,26
RC,0272,KT WRENCH TORQ,1054.0,843.2,278.78,948.6,26
RC,0272,KTCHESTTBPLEURAG*DISC 6273894*,781.0,624.8,206.57,702.9,26
RC,0272,KTJETVE13G14G16G*DISC 6330713*,4200.0,3360.0,1110.9,3780.0,26
RC,0272,KWIRE REAMER SYS HAMMERTOE 8MM,3885.0,3108.0,1027.58,3496.5,26
RC,0272,KWIRE REAMING SYS HAMMERTOE,3885.0,3108.0,1027.58,3496.5,26
RC,0272,LAP GRSPR DISP 5MMX35CM,627.0,501.6,165.84,564.3,26
RC,0272,LARYN PULM KT OPT1 PROVOX SZ10,5117.0,4093.6,1353.45,4605.3,26
RC,0272,LARYN PULM KT OPT2 PROVOX SZ10,5552.0,4441.6,1468.5,4996.8,26
RC,0272,LASER ABL FRS 0.035 21G 45CM,2160.0,1728.0,571.32,1944.0,26
RC,0272,LASER ABL FRS 0.035 21G 90CM,2528.0,2022.4,668.66,2275.2,26
RC,0272,LASER BYNT ILLUM ST 20*NLU*,1785.0,1428.0,472.13,1606.5,26
RC,0272,LASER FBR 200SER BALL TIP,3815.0,3052.0,1009.07,3433.5,26
RC,0272,LASER FBR 272MCRN*NLU VAT*,2326.0,1860.8,615.23,2093.4,26
RC,0272,LASER FBR 550MCRN*NLU VAT*,3569.0,2855.2,944.0,3212.1,26
RC,0272,LASER FBR AURA XP KTP 0.4MM,3850.0,3080.0,1018.33,3465.0,26
RC,0272,LASER FBR BALL TIP DISP150MCRN,4666.0,3732.8,1234.16,4199.4,26
RC,0272,LASER FBR BALL TIP DISP200MCRN,4030.0,3224.0,1065.94,3627.0,26
RC,0272,LASER FBR CO2 ENDURE REUSX5,1980.0,1584.0,523.71,1782.0,26
RC,0272,LASER FBR FLAT T*DISC 6265243*,3050.0,2440.0,806.73,2745.0,26
RC,0272,LASER FBR FLAT TIP 273,2206.0,1764.8,583.49,1985.4,26
RC,0272,LASER FBR FLAT TIP 365*NLU*,2110.0,1688.0,558.1,1899.0,26
RC,0272,LASER FBR FLAT TIP 550*NLU*,2745.0,2196.0,726.05,2470.5,26
RC,0272,LASER FBR FLAT TIP 940*NLU*,3978.0,3182.4,1052.18,3580.2,26
RC,0272,LASER FBR FLEXIV*DISC 6324392*,3914.0,3131.2,1035.25,3522.6,26
RC,0272,LASER FBR FLEXIVA ID 550 100W,4088.0,3270.4,1081.28,3679.2,26
RC,0272,LASER FBR FLEXIVA PULSE ID 242,4253.0,3402.4,1124.92,3827.7,26
RC,0272,LASER FBR FLEXIVA PULSE ID 550,4427.0,3541.6,1170.94,3984.3,26
RC,0272,LASER FBR HOLMIUM 1000,4410.0,3528.0,1166.45,3969.0,26
RC,0272,LASER FBR HOLMIUM 200,2224.0,1779.2,588.25,2001.6,26
RC,0272,LASER FBR HOLMIUM 270,1913.0,1530.4,505.99,1721.7,26
RC,0272,LASER FBR HOLMIUM 400,1989.0,1591.2,526.09,1790.1,26
RC,0272,LASER FBR HOLMIUM 600,4469.0,3575.2,1182.05,4022.1,26
RC,0272,LASER FBR SOLTIVE DISP 200MCRN,3784.0,3027.2,1000.87,3405.6,26
RC,0272,LASER FBR SOLTIVE DISP 365MCRN,3130.0,2504.0,827.89,2817.0,26
RC,0272,LASER FBR SOLTIVE DISP 550MCRN,4281.0,3424.8,1132.32,3852.9,26
RC,0272,LASER FBR SOLTIVE DISP 940MCRN,4765.0,3812.0,1260.34,4288.5,26
RC,0272,LASER FBR SURG OPTICAL 200MCRN,3675.0,2940.0,972.04,3307.5,26
RC,0272,LASER FBR SURG QUSY 200MCRN,3520.0,2816.0,931.04,3168.0,26
RC,0272,LASER FBR SURG QUSY 365MCRN,2664.0,2131.2,704.63,2397.6,26
RC,0272,LASER FBR SURG QUSY 550MCRN,3360.0,2688.0,888.72,3024.0,26
RC,0272,LASER FBR YAG SLT 0.6 SFE*NLU*,6000.0,4800.0,1587.0,5400.0,26
RC,0272,LASER OPH ENDOPROBE STD ST 20G,1397.0,1117.6,369.51,1257.3,26
RC,0272,LASER OPH FBR MICROPULSE P3,2200.0,1760.0,581.9,1980.0,26
RC,0272,LEAD CUTTER LLD SUPP,935.0,748.0,247.31,841.5,26
RC,0272,LEAD STIM BLADDER URGENT PC,774.0,619.2,204.72,696.6,26
RC,0272,LEAD STIM SENSIGHT 1.5MM,13384.0,10707.2,3540.07,12045.6,26
RC,0272,LEAD TEST CBL KT STIM SENSIGHT,1275.0,1020.0,337.24,1147.5,26
RC,0272,LEAD TMPR PACING*DISC NO REPL*,1190.0,952.0,314.76,1071.0,52
RC,0272,LENGTHENEREXTLFIXMI150*DISC*,10764.0,8611.2,2847.08,9687.6,26
RC,0272,LENS BIOM OPTIC HDPROF F=200MM,683.0,546.4,180.65,614.7,26
RC,0272,LENS GONIOMETER IPRISM DISP,570.0,456.0,150.77,513.0,26
RC,0272,LENS MACULA RESIGHT 24X23X40MM,900.0,720.0,238.05,810.0,26
RC,0272,LENS SOFT PREC SPHERE 16M*NLU*,385.0,308.0,101.83,346.5,26
RC,0272,LENS SOFT PREC SPHERE 18MM,523.0,418.4,138.33,470.7,26
RC,0272,LENS SOFT PREC SPHERE 20MM,523.0,418.4,138.33,470.7,26
RC,0272,LENS SOFT PREC SPHERE 22MM,495.0,396.0,130.93,445.5,26
RC,0272,LENS VITRECTOMY FLAT DISP 36D,316.0,252.8,83.58,284.4,26
RC,0272,LENS VITRECTOMY FLT*NLU*,300.0,240.0,79.35,270.0,26
RC,0272,LIGASURE ELTD *DISC 6277025*,1771.0,1416.8,468.43,1593.9,26
RC,0272,LIGASURE ELTD S*DISC 6277025*,1771.0,1416.8,468.43,1593.9,26
RC,0272,LIGASURE VESS SEAL*DISC*,3190.0,2552.0,843.76,2871.0,26
RC,0272,LIGATOR BAND SYS O'REGAN WOANO,698.0,558.4,184.62,628.2,26
RC,0272,LIGATOR MULTBAND SHORTSHOT 5X6,504.0,403.2,133.31,453.6,26
RC,0272,LIGATOR MULTIBAND MBL-6-OV,1981.0,1584.8,523.97,1782.9,26
RC,0272,LIGATOR MULTIBAND MBL-6-X*NLU*,1921.0,1536.8,508.1,1728.9,26
RC,0272,LIMITER TORQUE RDCTN 90IN-LB,7628.0,6102.4,2017.61,6865.2,26
RC,0272,LISS 50 ML EA CONTRACT,68.0,54.4,17.99,61.2,26
RC,0272,LNR CAST AQUC HIPSTER PEDS SZ2,387.0,309.6,102.36,348.3,26
RC,0272,LNR CAST AQUC HIPSTER PEDS SZ4,387.0,309.6,102.36,348.3,26
RC,0272,LNR CAST AQUC HIPSTER PEDS SZ6,435.0,348.0,115.06,391.5,26
RC,0272,LNR KNEE HLDR ALVARADO DISP,207.0,165.6,54.75,186.3,26
RC,0272,LOAD SYS ENVE14F*DISC NO REPL*,3120.0,2496.0,825.24,2808.0,26
RC,0272,LOAD SYS ENVEO16*DISC 6305673*,3120.0,2496.0,825.24,2808.0,26
RC,0272,LOAD SYS EVOLUTPRO+ 23/26/29MM,3120.0,2496.0,825.24,2808.0,26
RC,0272,LOAD SYS EVOLUTPRO+ 34MM,3120.0,2496.0,825.24,2808.0,26
RC,0272,LOOP MEMB FINESSE FIX,1046.0,836.8,276.67,941.4,26
RC,0272,LOOP OPH FINESSE FLEX 30D 25+G,3093.0,2474.4,818.1,2783.7,26
RC,0272,LOOP RETRACT-O-TAPE18G0.049X12,384.0,307.2,101.57,345.6,26
RC,0272,LT FBR XPRESS LOPRO 6X20MM,7277.0,5821.6,1924.77,6549.3,26
RC,0272,LT FBR XPRESS LOPRO 7X20MM,7277.0,5821.6,1924.77,6549.3,26
RC,0272,LT FLEXILUM SURG 10,336.0,268.8,88.87,302.4,26
RC,0272,LT PIPE STRY STER,1789.0,1431.2,473.19,1610.1,26
RC,0272,LT SCINTILLANT *NLU*,891.0,712.8,235.67,801.9,26
RC,0272,LT SOURCE WIDE ANG DISP*NLU*,2200.0,1760.0,581.9,1980.0,26
RC,0272,LT SURG DUAL ST TIPSCINTILLANT,4242.0,3393.6,1122.01,3817.8,26
RC,0272,LT SURG FBR OPTIC STER 4.6MM,3850.0,3080.0,1018.33,3465.0,26
RC,0272,LT SURG MIS SYS FBR OPTIC STER,3850.0,3080.0,1018.33,3465.0,26
RC,0272,LT SURG SYS FBR OPTIC STER,5700.0,4560.0,1507.65,5130.0,26
RC,0272,LUBE VPRSLIDE DIAMONDBACK 360,713.0,570.4,188.59,641.7,26
RC,0272,MAGNET FORE18G*DISC NO REPL*,742.0,593.6,196.26,667.8,26
RC,0272,MAGNET STIM PT MANUAL INFINITY,810.0,648.0,214.25,729.0,26
RC,0272,MANIP DELINEATOR CUP PLST3.0CM,1091.0,872.8,288.57,981.9,26
RC,0272,MANIP DELINEATOR CUP PLST3.5CM,1091.0,872.8,288.57,981.9,26
RC,0272,MANIP DELINEATOR CUP PLST4.0CM,1091.0,872.8,288.57,981.9,26
RC,0272,MANIP INJ UTERINE KRONNER,396.0,316.8,104.74,356.4,26
RC,0272,MANIP UTERIN*DISC 6276231*,757.0,605.6,200.23,681.3,26
RC,0272,MANIP UTERINE RUMI II BLU 8CM,523.0,418.4,138.33,470.7,26
RC,0272,MANIP UTERINE RUMI II GRN 10CM,523.0,418.4,138.33,470.7,26
RC,0272,MANIP UTERINE RUMI II ORG 12CM,523.0,418.4,138.33,470.7,26
RC,0272,MANIP UTERINE RUMI II WHT 6CM,523.0,418.4,138.33,470.7,26
RC,0272,MANIP UTERINE V-CARE PLUS LG,667.0,533.6,176.42,600.3,26
RC,0272,MANIP UTERINE V-CARE PLUS MD,667.0,533.6,176.42,600.3,26
RC,0272,MANIP UTERINE V-CARE PLUS SM,667.0,533.6,176.42,600.3,26
RC,0272,MANOMETER AG CUFFILL CUFF 10CC,357.0,285.6,94.43,321.3,26
RC,0272,MARKER GI SPOT EX ENDO TATTOO,380.0,304.0,100.51,342.0,26
RC,0272,MASK CPAP O2MAX W NEB 3SET MD,412.0,329.6,108.97,370.8,26
RC,0272,MASK CPAP PERFORMAX SE 2XS,458.0,366.4,121.14,412.2,26
RC,0272,MASK CPAP PERFORMAX STD XL,491.0,392.8,129.87,441.9,26
RC,0272,MASK CPAP PERFORMAX SU DOM LG,342.0,273.6,90.46,307.8,26
RC,0272,MAT PTTRANSMOBILE*VAT 6285623*,248.0,198.4,65.6,223.2,26
RC,0272,MATTRESS TRANS A*DISC 6339567*,206.0,164.8,54.49,185.4,26
RC,0272,MATTRESS TRANS AIRPALDISP34X47,187.0,149.6,49.46,168.3,26
RC,0272,MATTRESS TRANS AIRPALDISP39X78,206.0,164.8,54.49,185.4,26
RC,0272,MESH SERI SURG 10X25*NLU*,13108.0,10486.4,3467.07,11797.2,26
RC,0272,MICROBIOTA FECAL250*VAT MULT*,1695.0,1356.0,448.33,1525.5,26
RC,0272,MICROCATH CARAVEL2.6FR70X135CM,3400.0,2720.0,899.3,3060.0,26
RC,0272,MICROCATH CORSIARPRO2.8FR135CM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,MICROCATH CORSIARPRO2.8FR150CM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,MICROCATH TRUSELECT ST 130CM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,MICROSPHERE ONCOZENE 40*NLU*,10800.0,8640.0,2856.6,9720.0,26
RC,0272,MILL BONE PARTIC*DISC 6336172*,3518.0,2814.4,930.51,3166.2,26
RC,0272,MILL SURG BONE DUAL BLADE DISP,2658.0,2126.4,703.04,2392.2,26
RC,0272,MINERAL OIL *NLU*,300.0,240.0,79.35,270.0,26
RC,0272,MIRROR LARYNGEAL STER SZ2,304.0,243.2,80.41,273.6,26
RC,0272,MIRROR LARYNGEAL STER SZ3,311.0,248.8,82.26,279.9,26
RC,0272,MIRROR LARYNGEAL STER SZ5,300.0,240.0,79.35,270.0,26
RC,0272,MIXER BONE CMNT KYPHON,618.0,494.4,163.46,556.2,26
RC,0272,MIXER BONE CMNT REVOLUTION,825.0,660.0,218.21,742.5,26
RC,0272,MODEL ANATOM MAND CL,2150.0,1720.0,568.68,1935.0,26
RC,0272,MODEL ANATOM MAND ORB CL,13135.0,10508.0,3474.21,11821.5,26
RC,0272,MODEL ANATOM MAXILLA ORBIT CL,11466.0,9172.8,3032.76,10319.4,26
RC,0272,MODEL CRANI FULL IPS CUST,9187.0,7349.6,2429.96,8268.3,26
RC,0272,MODEL CRANI HALF IPS CUST,5787.0,4629.6,1530.66,5208.3,26
RC,0272,MODEL CRANI MAXILLA IPS CUST,14979.0,11983.2,3961.95,13481.1,26
RC,0272,MODEL CRANI PLANNING LP CUST,2999.0,2399.2,793.24,2699.1,26
RC,0272,MODEL HALF MAXIL*DISC 6333348*,995.0,796.0,263.18,895.5,26
RC,0272,MODEL IPS HALF PA 00132,6185.0,4948.0,1635.93,5566.5,26
RC,0272,MODEL MAND CRYSTAL IPS CUST,9959.0,7967.2,2634.16,8963.1,26
RC,0272,MODEL MAND FULL IPS CUST,9640.0,7712.0,2549.78,8676.0,26
RC,0272,MODEL MAND MAXILLA IPS CUST,16705.0,13364.0,4418.47,15034.5,26
RC,0272,MODEL MAXILLA CRYSTAL IPS CUST,9959.0,7967.2,2634.16,8963.1,26
RC,0272,MODEL PLANNED MAND ORB CL,3695.0,2956.0,977.33,3325.5,26
RC,0272,MODEL PLANNED MAXILLA ORBIT CL,13547.0,10837.6,3583.18,12192.3,26
RC,0272,MODEL PRIM RVRS BLUPRINT,713.0,570.4,188.59,641.7,26
RC,0272,MODULE KT INTUB PEDS BLU,435.0,348.0,115.06,391.5,26
RC,0272,MODULE KT INTUB PEDS GRN,460.0,368.0,121.67,414.0,26
RC,0272,MODULE KT INTUB PEDS ORG,435.0,348.0,115.06,391.5,26
RC,0272,MODULE KT INTUB PEDS PNK,485.0,388.0,128.28,436.5,26
RC,0272,MODULE KT INTUB PEDS PUR,435.0,348.0,115.06,391.5,26
RC,0272,MODULE KT INTUB PEDS WHT,435.0,348.0,115.06,391.5,26
RC,0272,MODULE KT INTUB PEDS YEL,460.0,368.0,121.67,414.0,26
RC,0272,MOLD BONE BEAD CERAMENT,1275.0,1020.0,337.24,1147.5,26
RC,0272,MOTOR DRIVE NEXDRIVE DBS,6000.0,4800.0,1587.0,5400.0,26
RC,0272,NANOGRSPR ST TIP DISP 130MM,2120.0,1696.0,560.74,1908.0,26
RC,0272,NDLE AREOLA TATTOO FLA*NLU*,500.0,400.0,132.25,450.0,26
RC,0272,NDLE AREOLA TATTOO FLAT *NLU*,500.0,400.0,132.25,450.0,26
RC,0272,NDLE AREOLA TATTOO SZ18,504.0,403.2,133.31,453.6,26
RC,0272,NDLE AREOLA TATTOO SZ7,504.0,403.2,133.31,453.6,26
RC,0272,NDLE AREOLA TATTOO TIGHT *NLU*,440.0,352.0,116.38,396.0,26
RC,0272,NDLE AREOLA TATTOO*NLU*,440.0,352.0,116.38,396.0,26
RC,0272,NDLE ASPIR BONE MARW*NLU*,3200.0,2560.0,846.4,2880.0,26
RC,0272,NDLE ASPIR ECHOTIP B 16G 100CM,782.0,625.6,206.84,703.8,26
RC,0272,NDLE ASPIR PREMARKED 19G,1358.0,1086.4,359.19,1222.2,26
RC,0272,NDLE ASPIR PREMARKED 21G,1413.0,1130.4,373.74,1271.7,26
RC,0272,NDLE ASPIR SL OVUM 17G 35CM,352.0,281.6,93.1,316.8,26
RC,0272,NDLE ATTA CDLE STARBURST*DISC*,16538.0,13230.4,4374.3,14884.2,26
RC,0272,NDLE BONE FILLER PREMIERAFFIRM,3640.0,2912.0,962.78,3276.0,26
RC,0272,NDLE BONE MARW SGL HL 11G 15CM,855.0,684.0,226.15,769.5,26
RC,0272,NDLE BONE MARW SIDE HL 11GX4IN,380.0,304.0,100.51,342.0,26
RC,0272,NDLE BONE MARW SIDE HL 13GX4IN,380.0,304.0,100.51,342.0,26
RC,0272,NDLE BX ACHIEVE 14GX11CM,377.0,301.6,99.72,339.3,26
RC,0272,NDLE BX ACHIEVE 18GX11CM,385.0,308.0,101.83,346.5,26
RC,0272,NDLE BX ACHIEVE COAX 14GX11CM,493.0,394.4,130.4,443.7,26
RC,0272,NDLE BX ACHIEVE COAX 16GX15CM,481.0,384.8,127.22,432.9,26
RC,0272,NDLE BX ACHIEVE COAX 16GX20CM,481.0,384.8,127.22,432.9,26
RC,0272,NDLE BX ACHIEVE COAX 18GX11CM,481.0,384.8,127.22,432.9,26
RC,0272,NDLE BX ACHIEVE COAX 18GX15CM,481.0,384.8,127.22,432.9,26
RC,0272,NDLE BX ACHIEVE COAX 18GX20CM,481.0,384.8,127.22,432.9,26
RC,0272,NDLE BX BIOPINCE 17GX6.8CM,969.0,775.2,256.3,872.1,26
RC,0272,NDLE BX BIOPINCE COAX17GX6.8CM,350.0,280.0,92.58,315.0,26
RC,0272,NDLE BX BIOPINCE*DISC NO REPL*,420.0,336.0,111.09,378.0,26
RC,0272,NDLE BX BIOPINCECOAX17GX11.8CM,350.0,280.0,92.58,315.0,26
RC,0272,NDLE BX BONE JAMSHIDI 13G 76MM,413.0,330.4,109.24,371.7,26
RC,0272,NDLE BX BONE MARW 11G,1573.0,1258.4,416.06,1415.7,26
RC,0272,NDLE BX BONE MARW 8G,4000.0,3200.0,1058.0,3600.0,26
RC,0272,NDLE BX BONE MARW IMBIBE*NLU*,1490.0,1192.0,394.11,1341.0,26
RC,0272,NDLE BX BONE OSTEOSITE11GX10CM,569.0,455.2,150.5,512.1,26
RC,0272,NDLE BX BONE OSTEOSITE11GX15CM,569.0,455.2,150.5,512.1,26
RC,0272,NDLE BX BONE OSTEOSITE13GX10CM,569.0,455.2,150.5,512.1,26
RC,0272,NDLE BX BONE OSTEOSITE13GX15CM,569.0,455.2,150.5,512.1,26
RC,0272,NDLE BX BONE SNARECOIL 11GX6,197.0,157.6,52.11,177.3,26
RC,0272,NDLE BX BREAST BREVERA 9GX13CM,2040.0,1632.0,539.58,1836.0,26
RC,0272,NDLE BX CHIBA ECHOTIP 21GX65.5,494.0,395.2,130.66,444.6,26
RC,0272,NDLE BX CRANI DISP 1.8X235MM,3888.0,3110.4,1028.38,3499.2,26
RC,0272,NDLE BX CURAWAY 18GX25CM,390.0,312.0,103.16,351.0,26
RC,0272,NDLE BX EVOLUTION 18GX6CM,357.0,285.6,94.43,321.3,26
RC,0272,NDLE BX EVOLUTION 20GX6CM,357.0,285.6,94.43,321.3,26
RC,0272,NDLE BX EVOLUTION COAX20GX11CM,504.0,403.2,133.31,453.6,26
RC,0272,NDLE BX EVOLUTION COAX20GX15CM,504.0,403.2,133.31,453.6,26
RC,0272,NDLE BX EZSHOT3+ WO HL 19G,2800.0,2240.0,740.6,2520.0,26
RC,0272,NDLE BX EZSHOT3+ WO HL 22G,2800.0,2240.0,740.6,2520.0,26
RC,0272,NDLE BX EZSHOT3+ WO HL 25G,2800.0,2240.0,740.6,2520.0,26
RC,0272,NDLE BX FLEXNEEDLE 18G*NLU*,1658.0,1326.4,438.54,1492.2,26
RC,0272,NDLE BX INJETAK 4.8FR 70CM,828.0,662.4,219.01,745.2,26
RC,0272,NDLE BX JAMSHIDI VIPER11G*NLU*,2015.0,1612.0,532.97,1813.5,26
RC,0272,NDLE BX LEKSELL 14GX2.11*NLU*,2024.0,1619.2,535.35,1821.6,26
RC,0272,NDLE BX LITE-Y BEV TIP,440.0,352.0,116.38,396.0,26
RC,0272,NDLE BX MARQUEE 14G 10CM,562.0,449.6,148.65,505.8,26
RC,0272,NDLE BX MARQUEE 14G 16CM,662.0,529.6,175.1,595.8,26
RC,0272,NDLE BX MARW THRD OPEN 13G,2104.0,1683.2,556.51,1893.6,26
RC,0272,NDLE BX MAXCORE 14GX10CM,303.0,242.4,80.14,272.7,26
RC,0272,NDLE BX MAXCORE 16GX10CM,303.0,242.4,80.14,272.7,26
RC,0272,NDLE BX MURPHY COAX 11GX10CM,978.0,782.4,258.68,880.2,26
RC,0272,NDLE BX MURPHY COAX 11GX15CM,978.0,782.4,258.68,880.2,26
RC,0272,NDLE BX MURPHY COAX 13GX10CM,978.0,782.4,258.68,880.2,26
RC,0272,NDLE BX MURPHY COAX 13GX15CM,978.0,782.4,258.68,880.2,26
RC,0272,NDLE BX NAVIGATED WIN 2.1X257M,4835.0,3868.0,1278.86,4351.5,26
RC,0272,NDLE BX PASSIVE 0.22CM,4530.0,3624.0,1198.19,4077.0,26
RC,0272,NDLE BX PROCORE HD OLYM 22G4.1,2264.0,1811.2,598.83,2037.6,26
RC,0272,NDLE BX PROCORE HD OLYM 25G4.1,2264.0,1811.2,598.83,2037.6,26
RC,0272,NDLE BX QKCORECOAX UT20G*NLU*,478.0,382.4,126.43,430.2,26
RC,0272,NDLE BX SUPERDIMENSION 21G,1275.0,1020.0,337.24,1147.5,26
RC,0272,NDLE BX TEMNO COAX 16GX1*NLU*,490.0,392.0,129.61,441.0,26
RC,0272,NDLE BX TEMNO COAX 18GX11CM,500.0,400.0,132.25,450.0,26
RC,0272,NDLE BX TEMNO COAX 18GX15CM,500.0,400.0,132.25,450.0,26
RC,0272,NDLE BX TEMNO COAX 18GX20CM,500.0,400.0,132.25,450.0,26
RC,0272,NDLE BX TEMNO COAX 20GX11CM,500.0,400.0,132.25,450.0,26
RC,0272,NDLE BX TEMNO COAX 20GX15CM,500.0,400.0,132.25,450.0,26
RC,0272,NDLE BX TEMNO COAX 20GX20CM,500.0,400.0,132.25,450.0,26
RC,0272,NDLE BX TEMNO COAX ADJ18GX11CM,428.0,342.4,113.21,385.2,26
RC,0272,NDLE BX TEMNO COAX ADJ18GX15CM,428.0,342.4,113.21,385.2,26
RC,0272,NDLE BX TEMNO COAX ADJ18GX20CM,428.0,342.4,113.21,385.2,26
RC,0272,NDLE BX TEMNO COAX ADJ20GX11CM,428.0,342.4,113.21,385.2,26
RC,0272,NDLE BX TEMNO COAX ADJ20GX15CM,428.0,342.4,113.21,385.2,26
RC,0272,NDLE BX TEMNO COAX ADJ20GX20CM,428.0,342.4,113.21,385.2,26
RC,0272,NDLE BX TIGER JAMSHIDI 2.3MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,NDLE BX VIZISHOT*DISC 6243546*,2262.0,1809.6,598.3,2035.8,26
RC,0272,NDLE BXACQUIRE22G*USE 6274901*,3160.0,2528.0,835.82,2844.0,26
RC,0272,NDLE CERCLAGE PASSING,888.0,710.4,234.88,799.2,26
RC,0272,NDLE DCOMP SPEAR 10GX3.75,473.0,378.4,125.11,425.7,26
RC,0272,NDLE DEFLUX 3.7 FR 23G 350MM,893.0,714.4,236.2,803.7,26
RC,0272,NDLE DEL IO OPEN TIP 8G 11CM,1870.0,1496.0,494.62,1683.0,26
RC,0272,NDLE DEL NORIAN ST 12GX10CM,883.0,706.4,233.55,794.7,26
RC,0272,NDLE DEL NORIAN ST 12GX7.5CM,883.0,706.4,233.55,794.7,26
RC,0272,NDLE EDD VRTX CURVD 28G 2.4MM,1156.0,924.8,305.76,1040.4,26
RC,0272,NDLE EDD VRTX ST 28G 2.4MM,986.0,788.8,260.8,887.4,26
RC,0272,NDLE ENDO INJ 23G 1.8MMX8*NLU*,684.0,547.2,180.92,615.6,26
RC,0272,NDLE EPDRL 14GX4,561.0,448.8,148.38,504.9,26
RC,0272,NDLE EPDRL COUDE RX-2 14GX4,713.0,570.4,188.59,641.7,26
RC,0272,NDLE EUS ACQUIRE FNB 19GX*NLU*,3850.0,3080.0,1018.33,3465.0,26
RC,0272,NDLE EUS EXPT *DNR 6243544*,1785.0,1428.0,472.13,1606.5,26
RC,0272,NDLE FAST-FIX 360 RVRS CURV,3536.0,2828.8,935.27,3182.4,26
RC,0272,NDLE FIRSTPASS SUT CAPTURE,1414.0,1131.2,374.0,1272.6,26
RC,0272,NDLE FNA EBUS AREUS NITPULM22G,2152.0,1721.6,569.2,1936.8,26
RC,0272,NDLE FNB DEL SYS SHARKCORE 22G,3440.0,2752.0,909.88,3096.0,26
RC,0272,NDLE FNB EBUS ACQUIRE PULM 22G,2840.0,2272.0,751.18,2556.0,26
RC,0272,NDLE FNB EBUS ACQUIRE PULM 25G,2840.0,2272.0,751.18,2556.0,26
RC,0272,NDLE FNB EBUS ECHOTIP BALL 25G,2496.0,1996.8,660.19,2246.4,26
RC,0272,NDLE FNB EBUS PROCORE HD 20G,3600.0,2880.0,952.2,3240.0,26
RC,0272,NDLE FNB EBUS PROCORE HD 22G,3408.0,2726.4,901.42,3067.2,26
RC,0272,NDLE FNB EBUS TRID NIT PULM22G,2312.0,1849.6,611.52,2080.8,26
RC,0272,NDLE FNB EUS ACQUIRE 22GX2.4,3160.0,2528.0,835.82,2844.0,26
RC,0272,NDLE FNB EUS ACQUIRE 25GX2.4,3160.0,2528.0,835.82,2844.0,26
RC,0272,NDLE FNB EUS ACQUIRE S 22G,3255.0,2604.0,860.95,2929.5,26
RC,0272,NDLE FNB EUS ACQUIRE S 25G,3255.0,2604.0,860.95,2929.5,26
RC,0272,NDLE FNB EUS EXPECT FLEX 19G,3512.0,2809.6,928.92,3160.8,26
RC,0272,NDLE FNB EUS EXPECT SL 19G,1785.0,1428.0,472.13,1606.5,26
RC,0272,NDLE FNB EUS EXPECT SL 22G,1785.0,1428.0,472.13,1606.5,26
RC,0272,NDLE FNB EUS EXPECT SL 25G,1785.0,1428.0,472.13,1606.5,26
RC,0272,NDLE FNB EUS EXPECT SL FLEX19G,3512.0,2809.6,928.92,3160.8,26
RC,0272,NDLE FNB EUS EXPECT STD 22G,1785.0,1428.0,472.13,1606.5,26
RC,0272,NDLE FNB EUS EXPECT STD 25G,1785.0,1428.0,472.13,1606.5,26
RC,0272,NDLE FNB EUS SYS SHARKCORE 19G,4655.0,3724.0,1231.25,4189.5,26
RC,0272,NDLE FNB SHARKCORE 22G,2400.0,1920.0,634.8,2160.0,26
RC,0272,NDLE FNB SHARKCORE NIT 19G,3728.0,2982.4,986.06,3355.2,26
RC,0272,NDLE FORAMEN AXON LNG,690.0,552.0,182.51,621.0,26
RC,0272,NDLE FORAMEN AXON SHRT,690.0,552.0,182.51,621.0,26
RC,0272,NDLE HIP ARTHRO DISP*NLU*,682.0,545.6,180.39,613.8,26
RC,0272,NDLE HYPO BOTOX INJ LL 27GX1.5,720.0,576.0,190.44,648.0,26
RC,0272,NDLE INJ BONEE BLADDER,485.0,388.0,128.28,436.5,26
RC,0272,NDLE INJ ENDOSCOPIC 23G,450.0,360.0,119.03,405.0,26
RC,0272,NDLE INJ MIDDLE BEV 26G*NLU*,416.0,332.8,110.03,374.4,26
RC,0272,NDLE INSRT SPNL STIM 4IN,1054.0,843.2,278.78,948.6,26
RC,0272,NDLE INSULATED *DISC*,1063.0,850.4,281.16,956.7,26
RC,0272,NDLE INTERST*DISC 6315877*,400.0,320.0,105.8,360.0,26
RC,0272,NDLE INTERSTIM FORAMEN 20GX3.5,400.0,320.0,105.8,360.0,26
RC,0272,NDLE INTERSTIM FORAMEN 20GX5,570.0,456.0,150.77,513.0,26
RC,0272,NDLE IO BIOPLASTY KT FT ANK,4620.0,3696.0,1221.99,4158.0,26
RC,0272,NDLE IO BIOPLASTY KT HIP,5940.0,4752.0,1571.13,5346.0,26
RC,0272,NDLE IO EZ-IO 15G 25MM,1161.0,928.8,307.08,1044.9,26
RC,0272,NDLE IO STBL EZ-IO 15G 45MM,1161.0,928.8,307.08,1044.9,26
RC,0272,NDLE IO STBL KT EZ-IO 15G 15MM,1195.0,956.0,316.08,1075.5,26
RC,0272,NDLE IO STBL KT EZ-IO 15G 25MM,1195.0,956.0,316.08,1075.5,26
RC,0272,NDLE IO STBL KT EZ-IO 15G 45MM,1195.0,956.0,316.08,1075.5,26
RC,0272,NDLE IO STBL KT W EXT 45MM,2044.0,1635.2,540.64,1839.6,26
RC,0272,NDLE KT OBTR STER BLU 8G 10IN,693.0,554.4,183.3,623.7,26
RC,0272,NDLE KWIC JAMSHIDI STRYKER,2305.0,1844.0,609.67,2074.5,26
RC,0272,NDLE NERVE BLOCK REG 21GX4,256.0,204.8,67.71,230.4,26
RC,0272,NDLE NIM BLNT PEDICLE ACC XPAK,5175.0,4140.0,1368.79,4657.5,26
RC,0272,NDLE NIM PEDICLE ACC,4950.0,3960.0,1309.28,4455.0,26
RC,0272,NDLE PK BX EVEREST SHRT,3776.0,3020.8,998.75,3398.4,26
RC,0272,NDLE ROTATOR CUFF 35MM,989.0,791.2,261.59,890.1,26
RC,0272,NDLE SCLERO CL 2.3MM 23G,320.0,256.0,84.64,288.0,26
RC,0272,NDLE SCLERO CNTRST 1.8MM,320.0,256.0,84.64,288.0,26
RC,0272,NDLE SCLERO CNTRST 1.8MM 25G,320.0,256.0,84.64,288.0,26
RC,0272,NDLE SCLERO CNTRST 2.3MM 25G,320.0,256.0,84.64,288.0,26
RC,0272,NDLE SCORPION CAPSULECLOSE,2156.0,1724.8,570.26,1940.4,26
RC,0272,NDLE SCORPION HD MEGALOADER,1823.0,1458.4,482.18,1640.7,26
RC,0272,NDLE SCORPION HIP LENGTH,1823.0,1458.4,482.18,1640.7,26
RC,0272,NDLE SCORPION KNEE,1823.0,1458.4,482.18,1640.7,26
RC,0272,NDLE SCORPION MULTFIRE,1590.0,1272.0,420.56,1431.0,26
RC,0272,NDLE SCORPION SHLDR*NLU*,1190.0,952.0,314.76,1071.0,26
RC,0272,NDLE SCORPION SUREFIRE,1309.0,1047.2,346.23,1178.1,26
RC,0272,NDLE SET EZ-IO *DISC 6269366*,1117.0,893.6,295.45,1005.3,26
RC,0272,NDLE SET EZ-IO L*DISC 6304362*,1212.0,969.6,320.57,1090.8,26
RC,0272,NDLE SPLIT PICC PERMICATH 24G,382.0,305.6,101.04,343.8,26
RC,0272,NDLE SPNL INJ MARINER,935.0,748.0,247.31,841.5,26
RC,0272,NDLE SPNL INSRT ST 17CM,900.0,720.0,238.05,810.0,26
RC,0272,NDLE SPNL MDTR 16GX3.6,400.0,320.0,105.8,360.0,26
RC,0272,NDLE SPNL TUOHY CERELINK14GX90,1488.0,1190.4,393.58,1339.2,26
RC,0272,NDLE SPNL TUOHY HUBER TIP 14G,1076.0,860.8,284.6,968.4,26
RC,0272,NDLE SUT FREE LOOP 0.5CIR RVRS,326.0,260.8,86.23,293.4,26
RC,0272,NDLE SUT XBRD S CTX LOOP 10MM,656.0,524.8,173.51,590.4,26
RC,0272,NDLE SUT XBRD S MO6 LOOP 10MM,656.0,524.8,173.51,590.4,26
RC,0272,NDLE TBNA EBUS VIZISHOT 2 21G,1943.0,1554.4,513.92,1748.7,26
RC,0272,NDLE TBNA EBUS VIZISHOT 21G,1015.0,812.0,268.47,913.5,26
RC,0272,NDLE TBNA EBUS VIZISHOT 22G,835.0,668.0,220.86,751.5,26
RC,0272,NDLE TBNA EUS ACQUIRE FLEX 19G,3850.0,3080.0,1018.33,3465.0,26
RC,0272,NDLE TBNA EUS EXPECT PULM 22G,1913.0,1530.4,505.99,1721.7,26
RC,0272,NDLE TBNA SMOOTHSHOT 21/19G,670.0,536.0,177.22,603.0,26
RC,0272,NDLE TBNA SMOOTHSHOT 21G,606.0,484.8,160.29,545.4,26
RC,0272,NDLE TPR LOOP T5 0.5 CIR 26.5,190.0,152.0,50.26,171.0,26
RC,0272,NDLE TRANSORAL RADIESSE16G25CM,618.0,494.4,163.46,556.2,26
RC,0272,NDLE TRANSORAL RADIESSE24G25CM,618.0,494.4,163.46,556.2,26
RC,0272,NDLE TRANSORALRE*DISC 6148697*,810.0,648.0,214.25,729.0,26
RC,0272,NDLE TRNSPTL BRK 18G 71CM,1590.0,1272.0,420.56,1431.0,26
RC,0272,NDLE TRNSPTL BRK 18G 98CM,1836.0,1468.8,485.62,1652.4,26
RC,0272,NDLE TRNSPTL BRK XS 18G 71CM,1590.0,1272.0,420.56,1431.0,26
RC,0272,NDLE TRNSPTL BRK-1 18G 71CM,1590.0,1272.0,420.56,1431.0,26
RC,0272,NDLE TRNSPTL BRK-1 18G 98CM,1836.0,1468.8,485.62,1652.4,26
RC,0272,NDLE TRNSPTL BRK-1 XS 18G 98CM,1836.0,1468.8,485.62,1652.4,26
RC,0272,NDLE TRNSPTL TSX*DISC NO REPL*,1615.0,1292.0,427.17,1453.5,26
RC,0272,NDLE TUOHY CON*DISC 6294943*,300.0,240.0,79.35,270.0,26
RC,0272,NDLE ULT CELIAC PLEXUS 20G,2456.0,1964.8,649.61,2210.4,26
RC,0272,NDLE ULTRSND ECHOTIP 3 2*NLU*,1904.0,1523.2,503.61,1713.6,26
RC,0272,NDLE ULTRSND ECHOTIP ULT*NLU*,2264.0,1811.2,598.83,2037.6,26
RC,0272,NDLE UROPLASTY RIGID 18GX0.54,330.0,264.0,87.29,297.0,26
RC,0272,NDLE XPAK TROC TIP MDTR*NLU*,1316.0,1052.8,348.08,1184.4,26
RC,0272,NDLEBXBI18GX10CM*DISC 6329620*,420.0,336.0,111.09,378.0,26
RC,0272,NDLEPAKTERCURV25*DISC 6160218*,511.0,408.8,135.16,459.9,26
RC,0272,NDLESIDEKICKRIGID21GX14.5*CIP*,505.0,404.0,133.57,454.5,26
RC,0272,NERVE LOCATOR VARI-STEM 3,526.0,420.8,139.13,473.4,26
RC,0272,NEUROPROTECT SYS*DISC 6344528*,13297.0,10637.6,3517.06,11967.3,26
RC,0272,NEUROSTIM EXTL*USE 6291991*,3200.0,2560.0,846.4,2880.0,26
RC,0272,NIPPER NAIL BRL DISP 5.5IN,314.0,251.2,83.05,282.6,26
RC,0272,NIPPER NAIL CNCV DISP 5.5IN,342.0,273.6,90.46,307.8,26
RC,0272,NUT EXTL FIX HEX SIXFIX TALL 6,350.0,280.0,92.58,315.0,26
RC,0272,NUT EXTL FIX SM*DISC NO REPL*,365.0,292.0,96.54,328.5,26
RC,0272,NUT EXTL FIX SPEED REVO,918.0,734.4,242.81,826.2,26
RC,0272,NUT EXTL FIX SQ,741.0,592.8,195.99,666.9,26
RC,0272,NUT EXTL FIX WING REVO,1148.0,918.4,303.65,1033.2,26
RC,0272,NUT LEADER APIFIX STER,910.0,728.0,240.7,819.0,26
RC,0272,NVGTN UNIT HIP LANTERN,6458.0,5166.4,1708.14,5812.2,26
RC,0272,NVGTN UNIT KNEE LANTERN,6458.0,5166.4,1708.14,5812.2,26
RC,0272,NVGTN UNIT KNEE LANTERN LSA,6458.0,5166.4,1708.14,5812.2,26
RC,0272,NVGTN UNITKNEE ORTHALIGN PLUS,1862.0,1489.6,492.5,1675.8,26
RC,0272,OBTR BLDLES DISP ROBXI LNG 8MM,315.0,252.0,83.32,283.5,26
RC,0272,OBTR BLDLES DISP ROBXI STD 8MM,315.0,252.0,83.32,283.5,26
RC,0272,OBTR Y-KNOT FLEX BLNT,302.0,241.6,79.88,271.8,26
RC,0272,OCCL COLPO-PNEUMO,713.0,570.4,188.59,641.7,26
RC,0272,OCCL DUCT PDA AMPLZ II 3X4MM,13250.0,10600.0,3504.63,11925.0,26
RC,0272,OCCL DUCT PDA AMPLZ II 3X6MM,13250.0,10600.0,3504.63,11925.0,26
RC,0272,OCCL DUCT PDA AMPLZ II 4X4MM,13250.0,10600.0,3504.63,11925.0,26
RC,0272,OCCL DUCT PDA AMPLZ II 4X6MM,13250.0,10600.0,3504.63,11925.0,26
RC,0272,OCCL DUCT PDA AMPLZ II 5X4MM,13250.0,10600.0,3504.63,11925.0,26
RC,0272,OCCL DUCT PDA AMPLZ II 5X6MM,13250.0,10600.0,3504.63,11925.0,26
RC,0272,OCCL DUCT PDA AMPLZ II 6X4MM,13250.0,10600.0,3504.63,11925.0,26
RC,0272,OCCL DUCT PDA AMPLZ II 6X6MM,13250.0,10600.0,3504.63,11925.0,26
RC,0272,OCCL INTRL VESS DISP 3.00MM,581.0,464.8,153.67,522.9,26
RC,0272,OCCL VASC DISP 1.50MM,824.0,659.2,217.95,741.6,26
RC,0272,OCCL VASC DISP 2.00MM,824.0,659.2,217.95,741.6,26
RC,0272,OCCL VASC DISP 2.50MM,824.0,659.2,217.95,741.6,26
RC,0272,OSTEO AEQ FLEX REVIVE 4X1.5MM,2416.0,1932.8,639.03,2174.4,26
RC,0272,OSTEO LAT CURVD JJ SZ22,14808.0,11846.4,3916.72,13327.2,26
RC,0272,OSTEO MEDL ST JJ SZ20,14808.0,11846.4,3916.72,13327.2,26
RC,0272,OSTEO SHRT ULTDRV3 9.5MM,4134.0,3307.2,1093.44,3720.6,26
RC,0272,OVERTUBE GARDUS 10-11.7MMX50CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,OVERTUBE GARDUS 8.6-10MMX25CM,1658.0,1326.4,438.54,1492.2,26
RC,0272,OVERTUBE GARDUS 8.6-10MMX50CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,OXYGENATOR ART FLTR HARD SHELL,2384.0,1907.2,630.57,2145.6,26
RC,0272,OXYGENATOR CAPIO*DISC 6340540*,5135.0,4108.0,1358.21,4621.5,26
RC,0272,OXYGENATOR CAPIOX FX05 ADV LFT,5135.0,4108.0,1358.21,4621.5,26
RC,0272,OXYGENATOR INSPIRE 8LPM W FLTR,4927.0,3941.6,1303.19,4434.3,26
RC,0272,PAD COOLING ARCTICGEL 2XS CA2,6140.0,4912.0,1624.03,5526.0,26
RC,0272,PAD COOLING ARCTICGELUNIVSMCA4,3260.0,2608.0,862.27,2934.0,26
RC,0272,PAD DISPERSIVE ACESSA PROVU,1700.0,1360.0,449.65,1530.0,26
RC,0272,PAD GRND THERMOPAD BLU D*DISC*,2120.0,1696.0,560.74,1908.0,26
RC,0272,PASR CATH HOLLOW DISP 38CM,828.0,662.4,219.01,745.2,26
RC,0272,PASR CATH MALLEA LNG 55CM,1074.0,859.2,284.07,966.6,26
RC,0272,PASR CATH MALLEA SHRT 36CM,907.0,725.6,239.9,816.3,26
RC,0272,PASR CATH MDTR DISP 60CM,828.0,662.4,219.01,745.2,26
RC,0272,PASR CATH SUBCUT DISP 38CM,1236.0,988.8,326.92,1112.4,26
RC,0272,PASR CERCLAGE TROCH ST DISP,2104.0,1683.2,556.51,1893.6,26
RC,0272,PASR SUT CERCLAGE DISP ST MD,2104.0,1683.2,556.51,1893.6,26
RC,0272,PASR SUT CHAMPION 25D LFT,3960.0,3168.0,1047.42,3564.0,26
RC,0272,PASR SUT CHAMPION 25D RT,3960.0,3168.0,1047.42,3564.0,26
RC,0272,PASR SUT CHAMPION 45D RT W NIT,3960.0,3168.0,1047.42,3564.0,26
RC,0272,PASR SUT CHAMPION 90D ST W NIT,3960.0,3168.0,1047.42,3564.0,26
RC,0272,PASR SUT CHAMPION 90D W NIT,3960.0,3168.0,1047.42,3564.0,26
RC,0272,PASR SUT DISP SM SS,2200.0,1760.0,581.9,1980.0,26
RC,0272,PASR SUT FIRSTPASS SLF CAPTURE,1640.0,1312.0,433.78,1476.0,26
RC,0272,PASR SUT KT UCL DISP ARTX,4587.0,3669.6,1213.26,4128.3,26
RC,0272,PASR SUT MAGNET GEMINI CURV,2392.0,1913.6,632.68,2152.8,26
RC,0272,PASR SUT MGR NANOPASS 45D LFT,2736.0,2188.8,723.67,2462.4,26
RC,0272,PASR SUT MGR NANOPASS 45D RT,2736.0,2188.8,723.67,2462.4,26
RC,0272,PASR SUT MGR NANOPASS CRST,2432.0,1945.6,643.26,2188.8,26
RC,0272,PASR SUT NITINOL STR DISP,743.0,594.4,196.52,668.7,26
RC,0272,PASR SUT NOVOSTITCH 2-0 MENISC,3567.0,2853.6,943.47,3210.3,26
RC,0272,PASR SUT QUICKPASS CRESCENT,1496.0,1196.8,395.69,1346.4,26
RC,0272,PASR SUT QUICKPASS CURV LFT 45,1496.0,1196.8,395.69,1346.4,26
RC,0272,PASR SUT QUICKPASS CURV LFT90D,2136.0,1708.8,564.97,1922.4,26
RC,0272,PASR SUT QUICKPASS CURV RT 45D,1496.0,1196.8,395.69,1346.4,26
RC,0272,PASR SUT QUICKPASS CURV ST 90D,2420.0,1936.0,640.09,2178.0,26
RC,0272,PASR SUT QUICKPASS LOPROLFT25D,1474.0,1179.2,389.87,1326.6,26
RC,0272,PASR SUT QUICKPASS ST 30D,1496.0,1196.8,395.69,1346.4,26
RC,0272,PASR SUT QUICKPASS ST 90D,1496.0,1196.8,395.69,1346.4,26
RC,0272,PASR SUT QUICKPASS TIGHT RT25D,1496.0,1196.8,395.69,1346.4,26
RC,0272,PASR SUT QUICKPASS TIGHTLFT25D,1496.0,1196.8,395.69,1346.4,26
RC,0272,PASR SUT QUICKPASS WIRE LOOP,308.0,246.4,81.47,277.2,26
RC,0272,PASR SUT REELPASS CURV LF*NLU*,1360.0,1088.0,359.72,1224.0,26
RC,0272,PASR SUT REELPASS CURV RT*NLU*,1360.0,1088.0,359.72,1224.0,26
RC,0272,PASR SUT RHAPSO ST 7CM,1692.0,1353.6,447.53,1522.8,26
RC,0272,PASR SUT SHUTTLE RELAY,369.0,295.2,97.6,332.1,26
RC,0272,PASR SUT SUTLASSO SD CRESCENT,1123.0,898.4,297.03,1010.7,26
RC,0272,PASR SUTLASSO BANANA ARTX,1216.0,972.8,321.63,1094.4,26
RC,0272,PASR SUTLASSO HIP ST 90D,1543.0,1234.4,408.12,1388.7,26
RC,0272,PASR SUTLASSO MICRO SM CURV,1309.0,1047.2,346.23,1178.1,26
RC,0272,PASR SUTLASSO MICRO ST,1309.0,1047.2,346.23,1178.1,26
RC,0272,PASR SUTLASSO SD FBRSTK RT 25D,1664.0,1331.2,440.13,1497.6,26
RC,0272,PASR SUTLASSO SD RT 45D,1309.0,1047.2,346.23,1178.1,26
RC,0272,PASR SUTLASSO SD ST 90D,1309.0,1047.2,346.23,1178.1,26
RC,0272,PASR SUTLASSO SD TIGHT LFT 25D,1190.0,952.0,314.76,1071.0,26
RC,0272,PASR SUTLASSO SD TIGHT RT 25D,1309.0,1047.2,346.23,1178.1,26
RC,0272,PASR SUTLASSO SD WIRE LOOP,308.0,246.4,81.47,277.2,26
RC,0272,PATCH EP EXTL REF CARTO 3,3955.0,3164.0,1046.1,3559.5,26
RC,0272,PCH TISS SURG LAPSAC 5X8,3852.0,3081.6,1018.85,3466.8,26
RC,0272,PCH TISS SURG LAPSAC 8X10,3792.0,3033.6,1002.98,3412.8,26
RC,0272,PEG 10ML EA,26.0,20.8,6.88,23.4,26
RC,0272,PEG PULLKTENFITSFTYCORFLO20FR,924.0,739.2,244.4,831.6,26
RC,0272,PEN ABL CARDIOBLATE FT10 XL,5886.0,4708.8,1556.85,5297.4,26
RC,0272,PENCIL BIPOLR BLNT 2PIN 25G,743.0,594.4,196.52,668.7,26
RC,0272,PERFERATOR DRILL BONE FEN,1630.0,1304.0,431.14,1467.0,26
RC,0272,PERFLURON PERFLOU*DUP 6167492*,4152.0,3321.6,1098.2,3736.8,26
RC,0272,PERFORATOR BONE FEN,1630.0,1304.0,431.14,1467.0,26
RC,0272,PERFORATOR DISP STER,1821.0,1456.8,481.65,1638.9,26
RC,0272,PERFORATOR MINI 11/7MM DGR-1,2232.0,1785.6,590.36,2008.8,26
RC,0272,PERFORATOR MINI 11/7MM DGR-2,2128.0,1702.4,562.86,1915.2,26
RC,0272,PERICARDCENT KT PIGT 6FR 60CM,865.0,692.0,228.79,778.5,26
RC,0272,PESSARY DONUT MILEX 3.00,154.0,123.2,40.73,138.6,26
RC,0272,PESSARY GELHORN DRN SHRT 2.75,138.0,110.4,36.5,124.2,26
RC,0272,PESSARY GELLHORN FLEX SHRT2.75,154.0,123.2,40.73,138.6,26
RC,0272,PESSARY GELLHORN FLEXMILEX2.50,154.0,123.2,40.73,138.6,26
RC,0272,PESSARY KT GELLH*DISC 6342317*,151.0,120.8,39.94,135.9,26
RC,0272,PESSARY KT RING *DISC 6342332*,151.0,120.8,39.94,135.9,26
RC,0272,PESSARY RING KNOB NO SUPP 2.75,138.0,110.4,36.5,124.2,26
RC,0272,PESSARY RING KNOB SUPP SZ3,220.0,176.0,58.19,198.0,26
RC,0272,PESSARY RING KNOB SUPPMEPR3.00,185.0,148.0,48.93,166.5,26
RC,0272,PESSARY RING KNOB WO SUPP SZ4,207.0,165.6,54.75,186.3,26
RC,0272,PESSARY RING NO SUPP MARI 3.00,138.0,110.4,36.5,124.2,26
RC,0272,PESSARY RING NO SUPP MEPR 2.50,185.0,148.0,48.93,166.5,26
RC,0272,PESSARY RING SUPP FOLD4 2.75,154.0,123.2,40.73,138.6,26
RC,0272,PESSARY RING SUPP KNOBFOLD4.00,154.0,123.2,40.73,138.6,26
RC,0272,PESSARY RING SUPP MARI 3.25,138.0,110.4,36.5,124.2,26
RC,0272,PESSARY RING SUPP MEDL 2.50,108.0,86.4,28.57,97.2,26
RC,0272,PESSARY RING SUPP MEPR 3.00,310.0,248.0,82.0,279.0,26
RC,0272,PESSARY RING SUPP MEPR 3.25,150.0,120.0,39.68,135.0,26
RC,0272,PESSARYKTRINGSUPPCOOP3.00*NLU*,140.0,112.0,37.03,126.0,26
RC,0272,PICC IV CANN STYLET 24G 20CM,1660.0,1328.0,439.07,1494.0,26
RC,0272,PICC SL UWING PU 1.2FR 25CM,812.0,649.6,214.77,730.8,26
RC,0272,PIERCER CMNT TI OSCAR PRO180X6,4748.0,3798.4,1255.85,4273.2,26
RC,0272,PIERCER CMNT TI OSCAR PRO180X8,4748.0,3798.4,1255.85,4273.2,26
RC,0272,PIERCER CMNT TI OSCAR PRO270X8,4748.0,3798.4,1255.85,4273.2,26
RC,0272,PIERCER CMNT TI OSCARPRO180X10,4748.0,3798.4,1255.85,4273.2,26
RC,0272,PIERCER CMNT TI OSCARPRO270X10,4748.0,3798.4,1255.85,4273.2,26
RC,0272,PIGMENT NIPPLE AEROLA FLESH 4,370.0,296.0,97.87,333.0,26
RC,0272,PIGMENT NIPPLE AREOLA FLESH 5,370.0,296.0,97.87,333.0,26
RC,0272,PIGMENT NIPPLE AREOLA SAN*NLU*,340.0,272.0,89.93,306.0,52
RC,0272,PIGMENT NIPPLE AREOLA SANDS 3,340.0,272.0,89.93,306.0,26
RC,0272,PIGMENT NIPPLE-AREOLA BLO*NLU*,340.0,272.0,89.93,306.0,26
RC,0272,PIGMENT NIPPLE-AREOLA BLUSH,370.0,296.0,97.87,333.0,26
RC,0272,PIGMENT NIPPLE-AREOLA BRNTONER,370.0,296.0,97.87,333.0,26
RC,0272,PIGMENT NIPPLE-AREOLA FLE*NLU*,340.0,272.0,89.93,306.0,156
RC,0272,PIGMENT NIPPLE-AREOLA FLESH 1,340.0,272.0,89.93,306.0,26
RC,0272,PIGMENT NIPPLE-AREOLA FLESH 2,370.0,296.0,97.87,333.0,26
RC,0272,PIGMENT NIPPLE-AREOLA FLESH 6,340.0,272.0,89.93,306.0,26
RC,0272,PIGMENT NIPPLE-AREOLA FLESH 7,370.0,296.0,97.87,333.0,26
RC,0272,PIGMENT NIPPLE-AREOLA FLESH 9,370.0,296.0,97.87,333.0,26
RC,0272,PIGMENT NIPPLE-AREOLA MAU*NLU*,340.0,272.0,89.93,306.0,26
RC,0272,PIGMENT NIPPLE-AREOLA RED*NLU*,340.0,272.0,89.93,306.0,26
RC,0272,PIGMENT NIPPLE-AREOLA TAUPE,340.0,272.0,89.93,306.0,26
RC,0272,PIK ILLUM ALCO W RFID 25G,2429.0,1943.2,642.47,2186.1,26
RC,0272,PILLAR EXTL FIX THRD 150MM,3612.0,2889.6,955.37,3250.8,26
RC,0272,PILLAR EXTL FIX THRD 50MM,3720.0,2976.0,983.94,3348.0,26
RC,0272,PIN BB-TAK MTP 3.0MM,523.0,418.4,138.33,470.7,26
RC,0272,PIN BTRS TI 1.8X18MM,543.0,434.4,143.62,488.7,26
RC,0272,PIN DISTRAC SYNT 14MM,1428.0,1142.4,377.71,1285.2,26
RC,0272,PIN DRILL ACL TR CLSD 4MM,1169.0,935.2,309.2,1052.1,26
RC,0272,PIN DRILL BTN ARTX 3.2MM*NLU*,978.0,782.4,258.68,880.2,26
RC,0272,PIN DRILL HDLSS TROC,689.0,551.2,182.24,620.1,26
RC,0272,PIN DRILL JOINT FEN UNITE2.0MM,4000.0,3200.0,1058.0,3600.0,26
RC,0272,PIN DRILL JOINT FEN UNITE2.5MM,3850.0,3080.0,1018.33,3465.0,26
RC,0272,PIN DRILL NIT 5TH META 1.7MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,PIN EXTL FIX APE*DISC NO REPL*,954.0,763.2,225.09,951.3,52
RC,0272,PIN EXTL FIX APEXSLFDR 3X60X10,693.0,554.4,183.3,623.7,26
RC,0272,PIN EXTL FIX APEXSLFDR 4X90X10,902.0,721.6,238.58,811.8,26
RC,0272,PIN EXTL FIX APEXSLFDR3X110X25,654.0,523.2,172.98,588.6,26
RC,0272,PIN EXTL FIX APEXSLFDR4X120X30,902.0,721.6,238.58,811.8,26
RC,0272,PIN EXTL FIX APEXSLFDR4X150X40,902.0,721.6,238.58,811.8,26
RC,0272,PIN EXTL FIX APEXSLFDR6X150X40,1392.0,1113.6,368.18,1252.8,26
RC,0272,PIN EXTL FIX APEXSLFDR6X180X50,1392.0,1113.6,368.18,1252.8,26
RC,0272,PIN EXTL FIX APEXSLFDR6X200X50,1392.0,1113.6,368.18,1252.8,26
RC,0272,PIN EXTL FIX APEXSLFDR6X250X80,996.0,796.8,263.44,896.4,26
RC,0272,PIN EXTL FIX HALF 3X100X20MM,878.0,702.4,232.23,790.2,26
RC,0272,PIN EXTL FIX HALF BLNT5X30X215,3600.0,2880.0,952.2,3240.0,26
RC,0272,PIN EXTL FIX HALF DNE 5MM,2104.0,1683.2,556.51,1893.6,26
RC,0272,PIN EXTL FIX HALF THRD6X60X200,1556.0,1244.8,411.56,1400.4,26
RC,0272,PIN EXTL FIX HALFSLFDR120X35X5,1120.0,896.0,296.24,1008.0,26
RC,0272,PIN EXTL FIX HALFSLFDR150X40X5,966.0,772.8,255.51,869.4,26
RC,0272,PIN EXTL FIX HALFSLFDR5X50X180,2160.0,1728.0,571.32,1944.0,26
RC,0272,PIN EXTL FIX SLFDR HA 5X150X25,1313.0,1050.4,347.29,1181.7,26
RC,0272,PIN EXTL FIX SLFDR HA 5X150X35,1313.0,1050.4,347.29,1181.7,26
RC,0272,PIN EXTL FIX SLFDR HA 5X150X50,1313.0,1050.4,347.29,1181.7,26
RC,0272,PIN EXTL FIX SLFDR HA 5X180X30,1313.0,1050.4,347.29,1181.7,26
RC,0272,PIN EXTL FIX SLFDR HA 5X180X50,1313.0,1050.4,347.29,1181.7,26
RC,0272,PIN EXTL FIX STRY 4X120MM,693.0,554.4,183.3,623.7,26
RC,0272,PIN EXTL FIX THRD 50X5X150MM,1120.0,896.0,296.24,1008.0,26
RC,0272,PIN EXTL FIX THRD 50X5X180MM,966.0,772.8,255.51,869.4,26
RC,0272,PIN EXTL FIX THRD 60X5X200MM,966.0,772.8,255.51,869.4,26
RC,0272,PIN EXTL FIX THRD 70X5X250MM,1120.0,896.0,296.24,1008.0,26
RC,0272,PIN EXTL FIX TRANSFIX 3X200MM,1105.0,884.0,292.27,994.5,26
RC,0272,PIN EXTL FIXAPEXHALF3/5X120X20,1174.0,939.2,310.52,1056.6,26
RC,0272,PIN EXTL FIXAPEXHALF4/5X150X40,1174.0,939.2,310.52,1056.6,26
RC,0272,PIN EXTL FIXHALFTHRD4.5X20X150,1556.0,1244.8,411.56,1400.4,26
RC,0272,PIN EXTL FIXHALFTHRD4.5X30X150,1556.0,1244.8,411.56,1400.4,26
RC,0272,PIN EXTL FIXHALFTHRD4.5X40X150,1556.0,1244.8,411.56,1400.4,26
RC,0272,PIN EXTL FIXTRANSFIX5/6X300X40,1041.0,832.8,275.34,936.9,26
RC,0272,PIN FIX AMK DIA 1/8,483.0,386.4,127.75,434.7,26
RC,0272,PIN FIX ANCHORAGE,1104.0,883.2,292.01,993.6,26
RC,0272,PIN FIX IBALANCE ARTX,2828.0,2262.4,748.01,2545.2,26
RC,0272,PIN FIX SLFDR CNCLS AO 4.5MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,PIN FIX THRD HDED 46MM,1020.0,816.0,269.79,918.0,26
RC,0272,PIN FIX THRD HDLSS 65MM,1020.0,816.0,269.79,918.0,26
RC,0272,PIN FIX TMPR ADMRL2 DISP,430.0,344.0,113.74,387.0,26
RC,0272,PIN FIX TMPR SMTH 1.1X10MM,935.0,748.0,247.31,841.5,26
RC,0272,PIN HA SLFTP SLFDR4.0X120X30MM,1184.0,947.2,313.17,1065.6,26
RC,0272,PIN HA SLFTP SLFDR4.0X90X30MM,1184.0,947.2,313.17,1065.6,26
RC,0272,PIN HALF EXTL FIX 2X15X75MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,PIN HALF EXTL FIX 3X20X140MM,2010.0,1608.0,531.65,1809.0,26
RC,0272,PIN HALO SET TI 3IN,22715.0,18172.0,6008.12,20443.5,26
RC,0272,PIN HNG DRILL AO CONN,953.0,762.4,252.07,857.7,26
RC,0272,PIN HNG DRILL AO CONN*NLU*,2066.0,1652.8,546.46,1859.4,26
RC,0272,PIN HNG DRILL GD AIMER*NLU*,2937.0,2349.6,776.84,2643.3,26
RC,0272,PIN HNG DRILL IBALANCE CH*NLU*,2806.0,2244.8,742.19,2525.4,26
RC,0272,PIN MARKING UNIPLATE *NLU*,440.0,352.0,116.38,396.0,26
RC,0272,PIN NTHRD BB-TAK 2.0MM,842.0,673.6,222.71,757.8,26
RC,0272,PIN PERC STER O ARM 100MM,2848.0,2278.4,753.3,2563.2,26
RC,0272,PIN PERC STER O ARM 150MM,2848.0,2278.4,753.3,2563.2,26
RC,0272,PIN PREC TPR 3.9X450MM,2026.0,1620.8,535.88,1823.4,26
RC,0272,PIN SCHANZ ARTX 5.0MM,2640.0,2112.0,698.28,2376.0,26
RC,0272,PIN SCHANZ W AO DISP 5X50MM,952.0,761.6,251.8,856.8,26
RC,0272,PIN SCRWDRVR QC-HEX XL25 12MM,3117.0,2493.6,824.45,2805.3,26
RC,0272,PIN SKULL DORO SS DISP BLKADLT,4494.0,3595.2,1188.66,4044.6,26
RC,0272,PIN SKULL DORO SS DISP GRNPEDS,462.0,369.6,122.2,415.8,26
RC,0272,PIN SKULL HALO TI STD*NLU*,2400.0,1920.0,634.8,2160.0,26
RC,0272,PIN STAPLE LOCATOR 3.0MM,646.0,516.8,170.87,581.4,26
RC,0272,PIN TRANSFIXATION 6.0 225MM,778.0,622.4,205.78,700.2,26
RC,0272,PK ABS INTREPID *DISC 6266817*,3205.0,2564.0,847.72,2884.5,26
RC,0272,PK ABS INTREPID *DISC 6275591*,869.0,695.2,229.85,782.1,26
RC,0272,PK ABS INTREPID BAL 45D 0.9,3205.0,2564.0,847.72,2884.5,26
RC,0272,PK ABS INTREPID BAL ULT 30D0.9,869.0,695.2,229.85,782.1,26
RC,0272,PK ABS INTREPID BAL ULT 45D0.9,869.0,695.2,229.85,782.1,26
RC,0272,PK ABS INTREPIDB*DISC 6295610*,869.0,695.2,229.85,782.1,26
RC,0272,PK ACC VNS THERAPY CYB,4836.0,3868.8,1279.12,4352.4,26
RC,0272,PK BLADEHOOKANDT*DISC NO REPL*,2972.0,2377.6,786.09,2674.8,26
RC,0272,PK CARDIOHELP*DISC NO REPL*,1394.0,1115.2,368.71,1254.6,26
RC,0272,PK CONSTELLATION FRAG TIP 20G,815.0,652.0,215.57,733.5,26
RC,0272,PK CONSTELLATION VCF,889.0,711.2,235.14,800.1,26
RC,0272,PK CUST BRIDGE BB9B33R3,310.0,248.0,82.0,279.0,26
RC,0272,PK CUST BRIDGE TMC CE.375*NLU*,490.0,392.0,129.61,441.0,26
RC,0272,PK CUST BRIDGE TMC CEL.25*NLU*,490.0,392.0,129.61,441.0,26
RC,0272,PK DISP ROB FIREFLY FLRSCNT,1741.0,1392.8,460.49,1566.9,26
RC,0272,PK EVH VASOVIEW ACC,924.0,739.2,244.4,831.6,26
RC,0272,PK FINGER MCP STRY COMMAND II,2623.0,2098.4,693.78,2360.7,26
RC,0272,PK GAS FILL AUTO PURGE OF SYR,954.0,763.2,252.33,858.6,26
RC,0272,PK INFINITI ANT VITRECTOMY,1126.0,900.8,297.83,1013.4,26
RC,0272,PK INST UNITY 25+ PSTRHYPERVIT,5612.0,4489.6,1484.37,5050.8,26
RC,0272,PK IVTM COOL LN AND START*NLU*,9415.0,7532.0,2490.27,8473.5,26
RC,0272,PK IVTM QUATTRO AND START*NLU*,14811.0,11848.8,3917.51,13329.9,26
RC,0272,PK PERC INST Y-KNOT FLEX 1.8,2540.0,2032.0,671.83,2286.0,26
RC,0272,PK PERC INST Y-KNOT FLEXY-G00X,1221.0,976.8,322.95,1098.9,26
RC,0272,PK PERFUSION TB XCTD REV *NLU*,3808.0,3046.4,1007.22,3427.2,26
RC,0272,PK PERFUSION TB XCTD TERUMO,4581.0,3664.8,1211.67,4122.9,26
RC,0272,PK PERFUSION TB XCTD TERUMO SM,4800.0,3840.0,1269.6,4320.0,26
RC,0272,PK PHACO TIPLESS ALCON*NLU*,523.0,418.4,138.33,470.7,26
RC,0272,PK PRCD DYNACLIP 2LEGSTERUNIV,3000.0,2400.0,793.5,2700.0,26
RC,0272,PK PRCD DYNACLIP 4-LEGINLNDISP,3320.0,2656.0,878.14,2988.0,26
RC,0272,PK PRCD DYNACLIP STER UNIV,3808.0,3046.4,1007.22,3427.2,26
RC,0272,PK PRFSN BAYLOR HEART,5051.0,4040.8,1335.99,4545.9,26
RC,0272,PK PRFSN MERCY ONE,4911.0,3928.8,1298.96,4419.9,26
RC,0272,PK PRFSN SYS MTRAL VAL,1190.0,952.0,314.76,1071.0,26
RC,0272,PK RFA CLSRFAST PRCD,450.0,360.0,119.03,405.0,26
RC,0272,PK STD UNITY 25+ HYPRVIT 30K,5612.0,4489.6,1484.37,5050.8,26
RC,0272,PK SURG ECMO PEDS,3328.0,2662.4,880.26,2995.2,26
RC,0272,PK SURG MAJOR BASIC CUST SY,582.0,465.6,153.94,523.8,26
RC,0272,PK SURG NEURO BP+ILLUM 13.5X95,14275.0,11420.0,3775.74,12847.5,26
RC,0272,PK SURG PRFSN CUST FA,5634.0,4507.2,1490.19,5070.6,26
RC,0272,PK SURG PRFSN MDTR CUST FA,1641.0,1312.8,434.04,1476.9,26
RC,0272,PK VITRECTOMY CONSTELLATION23G,4794.0,3835.2,1268.01,4314.6,26
RC,0272,PK VITRECTOMY CONSTELLATION25+,5344.0,4275.2,1413.49,4809.6,26
RC,0272,PK VITRECTOMY CONSTELLATION25G,4794.0,3835.2,1268.01,4314.6,26
RC,0272,PK VITRECTOMY TOTAL PLUS*NLU*,3320.5,2656.4,859.1,3053.7,52
RC,0272,PLATE EXTL FIX BLK 160/180,19575.0,15660.0,5177.59,17617.5,26
RC,0272,PLATE EXTL FIX CONN 2HL,741.0,592.8,195.99,666.9,26
RC,0272,PLATE EXTL FIX CONN 5HL,954.0,763.2,252.33,858.6,26
RC,0272,PLATE EXTL FIX CONN THRD 3HL,811.0,648.8,214.51,729.9,26
RC,0272,PLATE EXTL FIX DBL HL FT 140MM,5850.0,4680.0,1547.33,5265.0,26
RC,0272,PLATE EXTL FIX DBL HL FT 160MM,4680.0,3744.0,1237.86,4212.0,26
RC,0272,PLATE EXTL FIX DBL HL FT 180MM,6246.0,4996.8,1652.07,5621.4,26
RC,0272,PLATE EXTL FIX DNE 2HL,679.0,543.2,179.6,611.1,26
RC,0272,PLATE EXTL FIX DYNEX 3HL,3312.0,2649.6,876.02,2980.8,26
RC,0272,PLATE EXTL FIX DYNEX 4HL,3744.0,2995.2,990.29,3369.6,26
RC,0272,PLATE EXTL FIX FT 140MM,9720.0,7776.0,2570.94,8748.0,26
RC,0272,PLATE EXTL FIX FT MTLX 160MM,10530.0,8424.0,2785.19,9477.0,26
RC,0272,PLATE EXTL FIX FT PRGN 160MM,7817.0,6253.6,2067.6,7035.3,26
RC,0272,PLATE FT EXTL FIX CURV 180MM,8820.0,7056.0,2332.89,7938.0,26
RC,0272,PLATE FT EXTL FIX ST 180MM,8820.0,7056.0,2332.89,7938.0,26
RC,0272,PLATE FT EXTL MAXFRAMELNG120MM,7013.0,5610.4,1854.94,6311.7,26
RC,0272,PLATE FT EXTL MAXFRAMELNG150MM,6233.0,4986.4,1648.63,5609.7,26
RC,0272,PLATE FT EXTL MAXFRAMELNG180MM,6233.0,4986.4,1648.63,5609.7,26
RC,0272,PLATE FT EXTL MAXFRAMELNG210MM,7013.0,5610.4,1854.94,6311.7,26
RC,0272,PLATE FT EXTLMAXFRAMESHRT150MM,6233.0,4986.4,1648.63,5609.7,26
RC,0272,PLATE FT KT EXTL FIX MAXFRAME,5065.0,4052.0,1339.69,4558.5,26
RC,0272,PLATE ORB TRUMATCH TI 0.8MM,23309.0,18647.2,6165.23,20978.1,26
RC,0272,PLEDGET PTFE FELT 1.65MM 2X2,707.0,565.6,187.0,636.3,26
RC,0272,PLEDGET PTFE FELT 1.65MM 4X4,2085.0,1668.0,551.48,1876.5,26
RC,0272,PLEDGET PTFE FELT 1.65MM 6X6,2578.0,2062.4,681.88,2320.2,26
RC,0272,PLEDGET TFE SOFT WHT13X7X1.5MM,1005.0,804.0,265.82,904.5,26
RC,0272,PLEURA VAC MOBILE MINI 500ML,812.0,649.6,214.77,730.8,26
RC,0272,PLUG OPH ENHANCED 25G,630.0,504.0,166.64,567.0,26
RC,0272,PLUG PORT DF-1 LEAD 2.5CM,350.0,280.0,92.58,315.0,26
RC,0272,PLUG PORT GENERATOR BS IS-1,400.0,320.0,105.8,360.0,26
RC,0272,PLUG PROS VOICE CLASC 16FR,665.0,532.0,175.89,598.5,26
RC,0272,PLUG PROS VOICE PROVOX 20FR,254.0,203.2,67.18,228.6,26
RC,0272,PLUG PROS VOICE PROVOX 22.5FR,254.0,203.2,67.18,228.6,26
RC,0272,PLUNGER EVEREST SHRT 10G,3776.0,3020.8,998.75,3398.4,26
RC,0272,POINTER PROBE AXIEM SGL,3976.0,3180.8,1051.65,3578.4,26
RC,0272,POINTER TOUCH N GO AXIEM SGL,3976.0,3180.8,1051.65,3578.4,26
RC,0272,POINTER TOUCH*DISC 6274892*,4339.0,3471.2,1147.67,3905.1,26
RC,0272,PORT OBTR BLDLES 12X120MM,827.0,661.6,218.74,744.3,26
RC,0272,PORT OBTR BLDLES 5X120MM,827.0,661.6,218.74,744.3,26
RC,0272,PORT OBTR BLDLES 8X120MM,828.0,662.4,219.01,745.2,26
RC,0272,PORT SCP ROB SS RPSB 8.5MM,14.0,11.2,3.7,12.6,26
RC,0272,POST EXTL FIX FEMALE 2HL,1989.0,1591.2,526.09,1790.1,26
RC,0272,POST EXTL FIX FEMALE 3HL,3096.0,2476.8,818.89,2786.4,26
RC,0272,POST EXTL FIX FEMALE 4HL,3480.0,2784.0,920.46,3132.0,26
RC,0272,POST EXTL FIX FEMALE DNE 1HL,1471.0,1176.8,389.08,1323.9,26
RC,0272,POST EXTL FIX H2 MRI ANG 30D,687.0,549.6,181.71,618.3,26
RC,0272,POST EXTL FIX H3 ANG 30D 11MM,897.0,717.6,237.26,807.3,26
RC,0272,POST EXTL FIX H3 ANG 90D 11MM,1214.0,971.2,321.1,1092.6,26
RC,0272,POST EXTL FIX H3 ST 11MM,1031.0,824.8,272.7,927.9,26
RC,0272,POST EXTL FIX MALE DNE 1HL,710.0,568.0,187.8,639.0,26
RC,0272,POST EXTL FIX MALE DNE 2HL,702.0,561.6,185.68,631.8,26
RC,0272,POST EXTL FIX MALE DNE 3HL,731.0,584.8,193.35,657.9,26
RC,0272,POST EXTL FIX MALE DNE 4HL,761.0,608.8,201.28,684.9,26
RC,0272,POST EXTL FIX MALE DNE 5HL,790.0,632.0,208.96,711.0,26
RC,0272,POST EXTL FIX MALE DYNEX 1HL,2736.0,2188.8,723.67,2462.4,26
RC,0272,POST EXTL FIX MALE DYNEX 2HL,3024.0,2419.2,799.85,2721.6,26
RC,0272,POST EXTL FIX MALE DYNEX 3HL,3312.0,2649.6,876.02,2980.8,26
RC,0272,POST EXTL FIX MALE DYNEX 4HL,3744.0,2995.2,990.29,3369.6,26
RC,0272,POST EXTL FIX OUTRIGGER 30D 11,723.0,578.4,191.23,650.7,26
RC,0272,POST EXTL FIX OUTRIGGER 30D8MM,878.0,702.4,232.23,790.2,26
RC,0272,POST EXTL FIX OUTRIGGER 90D 11,795.0,636.0,210.28,715.5,26
RC,0272,POST EXTL FIX OUTRIGGER 90D8MM,957.0,765.6,253.13,861.3,26
RC,0272,POST EXTL FIX OUTRIGGER ST 11,723.0,578.4,191.23,650.7,26
RC,0272,POST EXTL FIX OUTRIGGER ST 8MM,878.0,702.4,232.23,790.2,26
RC,0272,POST EXTL FIX REVO 1HL,2736.0,2188.8,723.67,2462.4,26
RC,0272,POST EXTL FIX REVO 2HL,3024.0,2419.2,799.85,2721.6,26
RC,0272,POST EXTL FIX REVO 3HL,3312.0,2649.6,876.02,2980.8,26
RC,0272,POST EXTL FIX REVO 5HL,3528.0,2822.4,933.16,3175.2,26
RC,0272,POST EXTL FIX REVOLUTION 4HL,3744.0,2995.2,990.29,3369.6,26
RC,0272,POST EXTL FIX SQ DYNEX 120MM,2832.0,2265.6,749.06,2548.8,26
RC,0272,POST EXTL FIX SQ DYNEX 150MM,2808.0,2246.4,742.72,2527.2,26
RC,0272,POST EXTL FIX SQ DYNEX 90MM,2832.0,2265.6,749.06,2548.8,26
RC,0272,POST EXTL FIX THRD SIXFIX 2HL,2712.0,2169.6,717.32,2440.8,26
RC,0272,POST EXTL FIX THRD SIXFIX 4HL,2712.0,2169.6,717.32,2440.8,26
RC,0272,POST EXTL FIX THRD SIXFIX 5HL,2712.0,2169.6,717.32,2440.8,26
RC,0272,POST EXTL FIX THRD SIXFIX 6HL,2712.0,2169.6,717.32,2440.8,26
RC,0272,POST EXTL FIX WIRE SHRT,1673.0,1338.4,442.51,1505.7,26
RC,0272,POST EXTL FIX WIRE SYNT 1HL,1818.0,1454.4,480.86,1636.2,26
RC,0272,POST EXTL FIX WIRE SYNT 2HL,1900.0,1520.0,502.55,1710.0,26
RC,0272,POST EXTL FIX WIRE SYNT 3HL,1963.0,1570.4,519.21,1766.7,26
RC,0272,POST EXTL FIX WIRE TALL,1900.0,1520.0,502.55,1710.0,26
RC,0272,POST EXTL PIN MOUNT MAXFRAMEH1,1466.0,1172.8,387.76,1319.4,26
RC,0272,POST EXTL PIN MOUNT MAXFRAMEH3,1537.0,1229.6,406.54,1383.3,26
RC,0272,POST EXTL PIN MOUNT MAXFRAMEH5,1744.0,1395.2,461.29,1569.6,26
RC,0272,POUCH TISSLA*DISC 6279316*,702.0,561.6,185.68,631.8,26
RC,0272,POWERRASP 3.5MM,1233.0,986.4,326.13,1109.7,26
RC,0272,POWERRASP 4MMX13CM,1233.0,986.4,326.13,1109.7,26
RC,0272,POWERRASP 5.5MMX13CM,1233.0,986.4,326.13,1109.7,26
RC,0272,PREP KT SPINEJACK 5.8MM,5621.0,4496.8,1486.75,5058.9,26
RC,0272,PROBE 2 COOLIEF MULT 17G 100X4,5409.0,4327.2,1430.68,4868.1,26
RC,0272,PROBE 2 COOLIEF MULT 17G 50X4,5409.0,4327.2,1430.68,4868.1,26
RC,0272,PROBE 2 COOLIEF MULT 17G 75X2,4867.0,3893.6,1287.32,4380.3,26
RC,0272,PROBE 2 COOLIEF MULT 17G 75X4,5409.0,4327.2,1430.68,4868.1,26
RC,0272,PROBE 2 COOLIEF MULT 17G75X5.5,4867.0,3893.6,1287.32,4380.3,26
RC,0272,PROBE 2VB INTRACEPT,9810.0,7848.0,2594.75,8829.0,26
RC,0272,PROBE ABL APOLLO RF 50D,1692.0,1353.6,447.53,1522.8,26
RC,0272,PROBE ABL APOLLO RF 90D,1615.0,1292.0,427.17,1453.5,26
RC,0272,PROBE ABL APOLLORF H50ASPIR50D,2080.0,1664.0,550.16,1872.0,26
RC,0272,PROBE ABL APOLLORF I90ASPIR90D,1998.0,1598.4,528.47,1798.2,26
RC,0272,PROBE ABL APOLLORF SJ50 50D,2125.0,1700.0,562.06,1912.5,26
RC,0272,PROBE ABL HOOK APOLLORF 90D,1573.0,1258.4,416.06,1415.7,26
RC,0272,PROBE ALVEOFLEX REUS*NLU*,445.0,356.0,117.7,400.5,26
RC,0272,PROBE AMICA 1.0 TIP 18GX7CM,11550.0,9240.0,3054.98,10395.0,26
RC,0272,PROBE AMICA 1.5 TIP 18GX7CM,11550.0,9240.0,3054.98,10395.0,26
RC,0272,PROBE ANT VITRECTOMY 23G,1870.0,1496.0,494.62,1683.0,26
RC,0272,PROBE AQ-FLEX 19*NLU*,796.0,636.8,210.54,716.4,26
RC,0272,PROBE BALL-TIP STIM STER,4000.0,3200.0,1058.0,3600.0,26
RC,0272,PROBE BALL-TIP STIMSAFEOP3STER,4000.0,3200.0,1058.0,3600.0,26
RC,0272,PROBE BILI EHL 1.9FR 375CM,3432.0,2745.6,907.76,3088.8,26
RC,0272,PROBE BIPOLR STIM PRASS ROHS,1260.0,1008.0,333.27,1134.0,26
RC,0272,PROBE BIPOLR STIM SIDE-BY-SIDE,1083.0,866.4,286.45,974.7,26
RC,0272,PROBE BX ENCOR 10G,1384.0,1107.2,366.07,1245.6,26
RC,0272,PROBE BX ENCOR MRI BLNTTIP 10G,1384.0,1107.2,366.07,1245.6,26
RC,0272,PROBE COLOFLEX UHD*NLU*,360.0,288.0,95.22,324.0,26
RC,0272,PROBE COOLIEF KT 17G 100X4MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,PROBE COOLIEF KT 17G 150X4MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,PROBE COOLIEF KT 17G 50X2MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,PROBE COOLIEF KT 17G 50X4MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,PROBE COOLIEF KT 17G 75X2MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,PROBE COOLIEF KT 17G 75X4MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,PROBE COOLIEF NO TIP ST17*NLU*,3040.0,2432.0,804.08,2736.0,26
RC,0272,PROBE COOLIEF ST 17G 100X*NLU*,3040.0,2432.0,804.08,2736.0,26
RC,0272,PROBE COOLIEF ST 17G 150X*NLU*,3040.0,2432.0,804.08,2736.0,26
RC,0272,PROBE COOLIEF ST 17G 50X2*NLU*,3040.0,2432.0,804.08,2736.0,26
RC,0272,PROBE CRYO FLEX DISP ERBE1.1MM,3746.0,2996.8,990.82,3371.4,26
RC,0272,PROBE CRYO FLEX DISP ERBE1.7MM,2699.0,2159.2,713.89,2429.1,26
RC,0272,PROBE CRYO FLEX DISP ERBE2.4MM,2699.0,2159.2,713.89,2429.1,26
RC,0272,PROBE CRYO RETINAL KEEL DISP,1981.0,1584.8,523.97,1782.9,26
RC,0272,PROBE CURETTE TI SONICONE,3240.0,2592.0,856.98,2916.0,26
RC,0272,PROBE DBS IMAGE GD NEXPROBE,4410.0,3528.0,1166.45,3969.0,26
RC,0272,PROBE DEBRIDEMENT SHARPVA*NLU*,3840.0,3072.0,1015.68,3456.0,26
RC,0272,PROBE DEKOMPRESSOR ST 1*NLU*,9765.0,7812.0,2582.84,8788.5,26
RC,0272,PROBE DIATHERMY DSP 25G,589.0,471.2,155.79,530.1,26
RC,0272,PROBE DISCOGRAPHY DISCMONITOR,3292.0,2633.6,870.73,2962.8,26
RC,0272,PROBE DOPPLER SLIM DISP,3100.0,2480.0,819.95,2790.0,26
RC,0272,PROBE DOPPLER STD DISP,3100.0,2480.0,819.95,2790.0,26
RC,0272,PROBE ELTD NANOK*DISC 6343834*,11025.0,8820.0,2916.11,9922.5,26
RC,0272,PROBE ELTD NANOKN*USE 6284865*,10809.0,8647.2,2858.98,9728.1,26
RC,0272,PROBE ENDO BIPOLR RF 8FR*NLU*,6728.0,5382.4,1779.56,6055.2,26
RC,0272,PROBE FBR OPTIC PTEYE STERDISP,4375.0,3500.0,1157.19,3937.5,26
RC,0272,PROBE FLOW DOPPLER LNG CUFF,3520.0,2816.0,931.04,3168.0,26
RC,0272,PROBE FLOW DOPPLER SWARTZ STD,4583.0,3666.4,1212.2,4124.7,26
RC,0272,PROBE HATCH TI SONICONE*NLU*,3240.0,2592.0,856.98,2916.0,26
RC,0272,PROBE HATCH WIDE SONICVAC*NLU*,3840.0,3072.0,1015.68,3456.0,26
RC,0272,PROBE IMPEDENCE PH 15-18*NLU*,893.0,714.4,236.2,803.7,26
RC,0272,PROBE IMPEDENCE PH <15CM*NLU*,893.0,714.4,236.2,803.7,26
RC,0272,PROBE INCREMENT NIM PRASS TIP,1516.0,1212.8,400.98,1364.4,26
RC,0272,PROBE KT SGL 10MM*NLU*,11404.0,9123.2,3016.36,10263.6,26
RC,0272,PROBE LAP ABC FT CBL 5MM*NLU*,1453.0,1162.4,384.32,1307.7,26
RC,0272,PROBE LAP ABC HAND 5MM 36CM,2231.0,1784.8,590.1,2007.9,26
RC,0272,PROBE LASER FLEX NIT TIP 25G,2020.0,1616.0,534.29,1818.0,26
RC,0272,PROBE LASER ILLUM 23G,2314.0,1851.2,612.05,2082.6,26
RC,0272,PROBE LASER ILLUM CURV 25G,2314.0,1851.2,612.05,2082.6,26
RC,0272,PROBE LASERRFIDCONNGLAUCOMASYS,2200.0,1760.0,581.9,1980.0,26
RC,0272,PROBE LITHO AUTOLITH1.9FR375CM,3776.0,3020.8,998.75,3398.4,26
RC,0272,PROBE LITHO CYBERWAND*NLU*,4834.0,3867.2,1278.59,4350.6,26
RC,0272,PROBE LITHO SHOCKPULSE 3.40MM,5296.0,4236.8,1400.79,4766.4,26
RC,0272,PROBE LITHO SHOCKPULSE 3.76MM,4588.0,3670.4,1213.53,4129.2,26
RC,0272,PROBE LITHO TRILOGY 3*NLU VAT*,6048.0,4838.4,1599.7,5443.2,26
RC,0272,PROBE MEASURE ARTHRO 60D 220MM,1870.0,1496.0,494.62,1683.0,26
RC,0272,PROBE MW AMICA 17GX10CM,11550.0,9240.0,3054.98,10395.0,26
RC,0272,PROBE NVGTN TRUDI 0D,2652.0,2121.6,701.45,2386.8,26
RC,0272,PROBE NVGTN TRUDI 70D,2652.0,2121.6,701.45,2386.8,26
RC,0272,PROBE PASSIVE PLANAR BLN*NLU*,1211.0,968.8,320.31,1089.9,26
RC,0272,PROBE RF CURV 16GA 145MM,877.0,701.6,231.97,789.3,26
RC,0272,PROBE SENTIO MMG LAT RL,4584.0,3667.2,1212.47,4125.6,26
RC,0272,PROBE STIM BALL TIP STER 160MM,661.0,528.8,174.83,594.9,26
RC,0272,PROBE STIM BIPOLR 2TIP DISP,587.0,469.6,155.26,528.3,26
RC,0272,PROBE STIM BIPOLR 2X100X0.75MM,665.0,532.0,175.89,598.5,26
RC,0272,PROBE STIM DBL BALL TIP DISP,773.0,618.4,204.46,695.7,26
RC,0272,PROBE STIM MYOTOUCH FRYKMAN,5970.0,4776.0,1579.07,5373.0,26
RC,0272,PROBE STIM SCREW PEDICLE 3MM,570.0,456.0,150.77,513.0,26
RC,0272,PROBE VASC DOPPLER STFIXED8MHZ,1273.0,1018.4,336.71,1145.7,26
RC,0272,PROBE VITRECTOMY 25G,3623.0,2898.4,958.28,3260.7,26
RC,0272,PROTECT SURG ARM ONE-STEP PR1,330.0,264.0,87.29,297.0,26
RC,0272,PRSS MON ART SET 2.5FR 2.5CM,431.0,344.8,114.0,387.9,26
RC,0272,PRSS MON ART SET LIDO ST 3FR 5,1242.0,993.6,328.51,1117.8,26
RC,0272,PRSS MON ART SET LIDO ST 3FR 8,1292.0,1033.6,341.73,1162.8,26
RC,0272,PRSS MON ART SET ST 2.5FR2.5CM,390.0,312.0,103.16,351.0,26
RC,0272,PRSS MON ART SET ST 3FR 8CM,444.0,355.2,117.44,399.6,26
RC,0272,PRSS MON ART SET*DISC 6337447*,703.0,562.4,185.94,632.7,26
RC,0272,PRSS MON ART SET*DISC 6337448*,779.0,623.2,206.05,701.1,26
RC,0272,PRSS MON ART SET*DISC 6337738*,444.0,355.2,117.44,399.6,26
RC,0272,PRSS MON INTRA ABD,1708.0,1366.4,451.77,1537.2,26
RC,0272,PRSS MON INTRAED*DISC 6299916*,928.0,742.4,245.46,835.2,26
RC,0272,PRSS MON KT INTR*DISC 6313551*,771.0,616.8,203.93,693.9,26
RC,0272,PRSS MON KT INTRA-ABD,889.0,711.2,235.14,800.1,26
RC,0272,PRSS MON PORTOSYSTEMIC ECHOTIP,8843.0,7074.4,2338.97,7958.7,26
RC,0272,PRSSZR BONE CMNT CPT MIS MD,542.0,433.6,143.36,487.8,26
RC,0272,PSTN STBL TISS OCTOPUS NUVO,7967.0,6373.6,2107.27,7170.3,26
RC,0272,PSTNING HEEL PAD 100X180X70MM,408.0,326.4,107.92,367.2,26
RC,0272,PSTNR ESTAPE TRENMAX*NLU*,935.0,748.0,247.31,841.5,26
RC,0272,PSTNR FACE MASK ERIN TMAX,383.0,306.4,101.3,344.7,26
RC,0272,PSTNR HAND IMMOB ALUMIHAND XL,491.0,392.8,129.87,441.9,26
RC,0272,PSTNR HIP DISTRAC PT SFTY LG,7763.0,6210.4,2053.31,6986.7,26
RC,0272,PSTNR HIP DISTRAC PT SFTY MD,7763.0,6210.4,2053.31,6986.7,26
RC,0272,PSTNR HIP DISTRAT PT SFTY SM,7763.0,6210.4,2053.31,6986.7,26
RC,0272,PSTNR IMPLT DEPLOYMENT CONX,3865.0,3092.0,1022.29,3478.5,26
RC,0272,PSTNR KNEE WRAP LEG DEMAYO,408.0,326.4,107.92,367.2,26
RC,0272,PSTNR KT LEG STRY,417.0,333.6,110.3,375.3,26
RC,0272,PSTNR OLYMPIC VAC-PAC SZ31,2358.0,1886.4,623.69,2122.2,26
RC,0272,PSTNR PANNUS RETENT 2PAD1STRAP,470.0,376.0,124.32,423.0,26
RC,0272,PSTNR PANNUS RETENT 4PAD2STRAP,670.0,536.0,177.22,603.0,26
RC,0272,PSTNR SURG KT JACKSON BACKPACK,529.0,423.2,139.92,476.1,26
RC,0272,PSTNR SURG KT PNK PAD 29X20,776.0,620.8,205.25,698.4,26
RC,0272,PSTNR SURG KT PNK PAD 40X20,951.0,760.8,251.54,855.9,26
RC,0272,PSTNR SURG KT PNK PAD ARM29X20,904.0,723.2,239.11,813.6,26
RC,0272,PSTNR SURG KT PNK PAD ARM40X20,1303.0,1042.4,344.64,1172.7,26
RC,0272,PSTNR SURG LAT SUPP ALPT,3850.0,3080.0,1018.33,3465.0,26
RC,0272,PSTNR URCHIN HEART,4752.0,3801.6,1256.9,4276.8,26
RC,0272,PULLER PLUG ULTDRV3 6MM,4134.0,3307.2,1093.44,3720.6,26
RC,0272,PUMP BLD TANDEMLIFE LIFESPARC,34500.0,27600.0,9125.25,31050.0,26
RC,0272,PUMP BREAST IN S*DISC 6347581*,180.0,144.0,47.61,162.0,26
RC,0272,PUMP BREAST SYMPY ELECTRIC,1238.0,990.4,327.45,1114.2,26
RC,0272,PUMP IBC FLOPUMP W SENS*NLU*,855.0,684.0,226.15,769.5,26
RC,0272,PUMP KT IMPELLA CATH CP 3.5,62100.0,49680.0,16425.45,55890.0,26
RC,0272,PUNC PROVOX VEGA 17FR 8MM,3510.0,2808.0,928.4,3159.0,26
RC,0272,PUNC PROVOX VEGA 20FR 10MM,3510.0,2808.0,928.4,3159.0,26
RC,0272,PUNC PROVOX VEGA 20FR 12.5MM,3615.0,2892.0,956.17,3253.5,26
RC,0272,PUNC PROVOX VEGA 20FR 8MM,3510.0,2808.0,928.4,3159.0,26
RC,0272,PUNCH AORTIC LANCET BULLET 4.0,441.0,352.8,116.64,396.9,26
RC,0272,PUNCH AORTIC LANCET BULLET 4.8,441.0,352.8,116.64,396.9,26
RC,0272,PUNCH AORTIC PERFECTCUT 4.0MM,378.0,302.4,99.98,340.2,26
RC,0272,PUNCH AORTIC PERFECTCUT 4.8MM,378.0,302.4,99.98,340.2,26
RC,0272,PUNCH ARTHROSCOPIC 2.6MMFBRTAK,1777.0,1421.6,470.02,1599.3,26
RC,0272,PUNCH CORNEAL BARRONDONOR8.0MM,665.0,532.0,175.89,598.5,26
RC,0272,PUNCH FOLEY CATH*DISC NO REPL*,602.0,481.6,159.23,541.8,26
RC,0272,PUPIL DIL HOOK IRIS,881.0,704.8,233.02,792.9,26
RC,0272,PUSHER KNOT AIR STRY DISP 2-0,1488.0,1190.4,393.58,1339.2,26
RC,0272,PUSHER KNOT CUTTER W SLOT CANN,1193.0,954.4,315.55,1073.7,26
RC,0272,PUSHER KNOT CUTTER WPORTALSKID,2057.0,1645.6,544.08,1851.3,26
RC,0272,PUSHER KNOT/CU*DISC NO REPL*,1029.0,823.2,272.17,926.1,26
RC,0272,PUSHER STNT NAVIFLEX RX 4-5FR,488.0,390.4,129.08,439.2,26
RC,0272,RAIL EXTL FIX 9X100MM,5544.0,4435.2,1466.39,4989.6,26
RC,0272,RAIL EXTL FIX 9X150MM,5910.0,4728.0,1563.2,5319.0,26
RC,0272,RAIL EXTL FIX 9X50MM,5214.0,4171.2,1379.1,4692.6,26
RC,0272,RAIL EXTL FIX 9X75MM,5544.0,4435.2,1466.39,4989.6,26
RC,0272,RAIL EXTL FIX COMPL BODY LNG,5850.0,4680.0,1547.33,5265.0,26
RC,0272,RAIL EXTL FIX COMPL BODY XLNG,5850.0,4680.0,1547.33,5265.0,26
RC,0272,RAIL EXTL FIX MAC XS 15*DISC*,5220.0,4176.0,1380.69,4698.0,26
RC,0272,RAIL EXTL FIX MAC XS 20*DISC*,6084.0,4867.2,1609.22,5475.6,26
RC,0272,RAIL EXTL FIX SPEED FRM,7313.0,5850.4,1934.29,6581.7,26
RC,0272,RAIL EXTL FIX WLK REVO,7695.0,6156.0,2035.33,6925.5,26
RC,0272,RAIL EXTL FIX WLK SKIS,5850.0,4680.0,1547.33,5265.0,26
RC,0272,RAPID DEL SYS SN*NLU*,1163.0,930.4,307.61,1046.7,26
RC,0272,RASP BONE FEATHERRASP SM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,RASP HELOCOIDAL LNG 3.2X18.3MM,1086.0,868.8,287.25,977.4,26
RC,0272,RASP SAW CNCV CARTILAGINATORLG,8325.0,6660.0,2201.96,7492.5,26
RC,0272,RASP SAW CONV CARTILAGINATORLG,8325.0,6660.0,2201.96,7492.5,26
RC,0272,RASP SAW DBL CARTILAGINATOR,8325.0,6660.0,2201.96,7492.5,26
RC,0272,RASP SAW SGL CARTILAGINATOR,8325.0,6660.0,2201.96,7492.5,26
RC,0272,RASP SAW TIPFLATCARTILAGINATOR,8325.0,6660.0,2201.96,7492.5,26
RC,0272,RASP SM TEAR CROSS 11X5MM,1009.0,807.2,266.88,908.1,26
RC,0272,RDCTN TOOL RIB MAXDRIVE 2.0X12,1048.0,838.4,277.2,943.2,26
RC,0272,RDCTN TOOL THRD SYNT 2.4MM,1938.0,1550.4,512.6,1744.2,26
RC,0272,REAMER ACET RD TOOTH 36MM,3836.0,3068.8,1014.62,3452.4,26
RC,0272,REAMER ALPS CUP *DISC NO REPL*,2439.0,1951.2,645.12,2195.1,26
RC,0272,REAMER ANK TIB INBONE 12MM,1692.0,1353.6,447.53,1522.8,26
RC,0272,REAMER ANK TIB INBONE 14MM,1190.0,952.0,314.76,1071.0,26
RC,0272,REAMER ANK TIB INBONE 16MM,1190.0,952.0,314.76,1071.0,26
RC,0272,REAMER ANK TIB INBONE 18MM,2608.0,2086.4,689.82,2347.2,26
RC,0272,REAMER ANK X-POST 8.0/9.5MM,2560.0,2048.0,677.12,2304.0,26
RC,0272,REAMER APLS CONE*DISC NO REPL*,2368.0,1894.4,626.34,2131.2,26
RC,0272,REAMER ASSY DRILL BIT NUT 12.5,6092.0,4873.6,1611.33,5482.8,26
RC,0272,REAMER AUG VIP MGS REVERS SM,4200.0,3360.0,1110.9,3780.0,26
RC,0272,REAMER AUGED MGS LK LG,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER AUGED MGS LK MD,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER AUGED MGS LK SM,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER AUGED MGS LK XL,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER AVL ANG ARTX LG,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER AVL ANG ARTX MD,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER AVL ANG ARTX SM,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER AVL ARTX XL,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER CANAL PEMD 3.2MM,4830.0,3864.0,1277.54,4347.0,26
RC,0272,REAMER CANAL PEMD 4.0MM,4830.0,3864.0,1277.54,4347.0,26
RC,0272,REAMER CANN AO QC 3.2MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,REAMER CANN AO QC 4.2MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,REAMER CANN AO QC 6.3MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,REAMER CANN FUZEFIX 2.5MM,4970.0,3976.0,1314.57,4473.0,26
RC,0272,REAMER CANN FUZEFIX 3.5MM,4970.0,3976.0,1314.57,4473.0,26
RC,0272,REAMER CANN FUZEFIX 4.5MM,4970.0,3976.0,1314.57,4473.0,26
RC,0272,REAMER CANN HD TIB CORING6.5MM,2010.0,1608.0,531.65,1809.0,26
RC,0272,REAMER CANN HD TIB CORING8.5MM,2010.0,1608.0,531.65,1809.0,26
RC,0272,REAMER CANN PIN STRY 16MM,5912.0,4729.6,1563.72,5320.8,26
RC,0272,REAMER CIRCULAR 20MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER CIRCULAR 22MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER CMPNT SYNT 12.5MM,4817.0,3853.6,1274.1,4335.3,26
RC,0272,REAMER CNCV 18MM,4200.0,3360.0,1110.9,3780.0,26
RC,0272,REAMER CNCV SURFACE 22MM,3908.0,3126.4,1033.67,3517.2,26
RC,0272,REAMER CNVX SURFACE 22MM,3908.0,3126.4,1033.67,3517.2,26
RC,0272,REAMER CONE SLV FEMALE 17MM,2704.0,2163.2,715.21,2433.6,26
RC,0272,REAMER CONE SLV MALE 17MM,2704.0,2163.2,715.21,2433.6,26
RC,0272,REAMER CONV 18MM,4200.0,3360.0,1110.9,3780.0,26
RC,0272,REAMER CORING ARTX 10MM,1917.0,1533.6,507.05,1725.3,26
RC,0272,REAMER CORING ARTX 11MM*NLU*,1743.0,1394.4,461.02,1568.7,26
RC,0272,REAMER CORING ARTX 9MM,1917.0,1533.6,507.05,1725.3,26
RC,0272,REAMER DIST CANN 1.6X14MM,2779.0,2223.2,735.05,2501.1,26
RC,0272,REAMER DIST CANN 1.6X16MM,2779.0,2223.2,735.05,2501.1,26
RC,0272,REAMER DIST CANN 1.6X18MM,2779.0,2223.2,735.05,2501.1,26
RC,0272,REAMER DIST CANN 1.6X20MM,2779.0,2223.2,735.05,2501.1,26
RC,0272,REAMER DIST CANN AO QC 6.8MM,2652.0,2121.6,701.45,2386.8,26
RC,0272,REAMER DRILL 2.9/5.0 145M*NLU*,2410.0,1928.0,637.45,2169.0,26
RC,0272,REAMER DRILL 3.9/6.0 145MM,3581.0,2864.8,947.17,3222.9,26
RC,0272,REAMER DRILL 3.9/6.0 288MM,3835.0,3068.0,1014.36,3451.5,26
RC,0272,REAMER DRILL FEM LOPRO 7.5MM,2088.0,1670.4,552.28,1879.2,26
RC,0272,REAMER DRILL FEM LOPRO 9.5MM,2088.0,1670.4,552.28,1879.2,26
RC,0272,REAMER DYNABUNION STER 3.2MM,739.0,591.2,195.47,665.1,26
RC,0272,REAMER DYNAFORCE STER LNG2.5MM,739.0,591.2,195.47,665.1,26
RC,0272,REAMER DYNAFORCEMPJCUPCONE18MM,1806.0,1444.8,477.69,1625.4,26
RC,0272,REAMER DYNAFORCEMPJCUPCONE20MM,1806.0,1444.8,477.69,1625.4,26
RC,0272,REAMER DYNAFORCEMPJCUPCONE22MM,1806.0,1444.8,477.69,1625.4,26
RC,0272,REAMER DYNAFORCEMPJCUPCONE24MM,1806.0,1444.8,477.69,1625.4,26
RC,0272,REAMER END CUT INBONE SZ18,5004.0,4003.2,1323.56,4503.6,26
RC,0272,REAMER ENTRY CANN AOSL 10.5MM,3720.0,2976.0,983.94,3348.0,26
RC,0272,REAMER ENTRY STEP 7.5/9.5MM,4788.0,3830.4,1266.43,4309.2,26
RC,0272,REAMER FEM SIGMA LCS HP STEPIM,4729.0,3783.2,1250.82,4256.1,26
RC,0272,REAMER FFN ULT NAIL2 2.7MM,3776.0,3020.8,998.75,3398.4,26
RC,0272,REAMER FFN ULT NAIL2 3.1MM,3776.0,3020.8,998.75,3398.4,26
RC,0272,REAMER FIBULOCK STER 4.0MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,REAMER FIBULOCK STER LNG 3.2MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,REAMER FIBULOCK STER LNG 4.0MM,2104.0,1683.2,556.51,1893.6,26
RC,0272,REAMER FUSN INTERCARPAL VA17MM,4466.0,3572.8,1181.26,4019.4,26
RC,0272,REAMER GLENO AUG VIP MGS LG,4200.0,3360.0,1110.9,3780.0,26
RC,0272,REAMER GLENO AUG VIP MGS MD,4200.0,3360.0,1110.9,3780.0,26
RC,0272,REAMER GLENO AUG VIP MGS SM,4200.0,3360.0,1110.9,3780.0,26
RC,0272,REAMER HD ANG ARTX LG,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER HD ANG ARTX MD,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER HD ANG ARTX SM,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER HD ANG ARTX XL,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER HD AUGED DELTA XTEND,4599.0,3679.2,1216.44,4139.1,26
RC,0272,REAMER HD CONCAVE 22MM*NLU*,1615.0,1292.0,427.17,1453.5,26
RC,0272,REAMER HD CONCAVE TRIL 20*NLU*,1615.0,1292.0,427.17,1453.5,26
RC,0272,REAMER HD CONV 20MM*NLU*,1615.0,1292.0,427.17,1453.5,26
RC,0272,REAMER HD DETACHABLE 13.5MM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,REAMER HD DHS SYNT STD,4551.0,3640.8,1203.74,4095.9,26
RC,0272,REAMER HD DYNANAIL 10.5MM,4081.0,3264.8,1079.42,3672.9,26
RC,0272,REAMER HD DYNANAIL 10MM,4081.0,3264.8,1079.42,3672.9,26
RC,0272,REAMER HD DYNANAIL 11.5MM,4081.0,3264.8,1079.42,3672.9,26
RC,0272,REAMER HD DYNANAIL 11MM,4081.0,3264.8,1079.42,3672.9,26
RC,0272,REAMER HD DYNANAIL 13MM,4081.0,3264.8,1079.42,3672.9,26
RC,0272,REAMER HD FLEX 10.0MM,5996.0,4796.8,1585.94,5396.4,26
RC,0272,REAMER HD FLEX 10.5MM,5996.0,4796.8,1585.94,5396.4,26
RC,0272,REAMER HD FLEX 11.0MM,5996.0,4796.8,1585.94,5396.4,26
RC,0272,REAMER HD FLEX 11.5MM,5996.0,4796.8,1585.94,5396.4,26
RC,0272,REAMER HD FLEX 12.0MM,5996.0,4796.8,1585.94,5396.4,26
RC,0272,REAMER HD FLEX 12.5MM,5996.0,4796.8,1585.94,5396.4,26
RC,0272,REAMER HD FLEX 13.0MM,5996.0,4796.8,1585.94,5396.4,26
RC,0272,REAMER HD FLEX 13.5MM,4947.0,3957.6,1308.48,4452.3,26
RC,0272,REAMER HD FLEX 14.0MM,4948.0,3958.4,1308.75,4453.2,26
RC,0272,REAMER HD FLEX 14.5MM,4948.0,3958.4,1308.75,4453.2,26
RC,0272,REAMER HD FLEX 9.5MM,5996.0,4796.8,1585.94,5396.4,26
RC,0272,REAMER HD FLEX END CUT 9MM,5996.0,4796.8,1585.94,5396.4,26
RC,0272,REAMER HD FOR RIA SYNT 12MM,5634.0,4507.2,1490.19,5070.6,26
RC,0272,REAMER HD FOR RIA SYNT 13MM,5634.0,4507.2,1490.19,5070.6,26
RC,0272,REAMER HD FOR RIA SYNT 14MM,5634.0,4507.2,1490.19,5070.6,26
RC,0272,REAMER HD FOR RIA SYNT12.5MM,5634.0,4507.2,1490.19,5070.6,26
RC,0272,REAMER HD FOR RIA SYNT13.5MM,5634.0,4507.2,1490.19,5070.6,26
RC,0272,REAMER HD FOR RIA SYNT14.5MM,5634.0,4507.2,1490.19,5070.6,26
RC,0272,REAMER HD FOR RIA SYNT15.5MM,5634.0,4507.2,1490.19,5070.6,26
RC,0272,REAMER HD FOR RIA SYNT15MM,5634.0,4507.2,1490.19,5070.6,26
RC,0272,REAMER HD FOR RIA SYNT16MM,5634.0,4507.2,1490.19,5070.6,26
RC,0272,REAMER HD FOR RIA SYNT17.5MM,5576.0,4460.8,1474.85,5018.4,26
RC,0272,REAMER HD FOR RIA SYNT18.0MM,5576.0,4460.8,1474.85,5018.4,26
RC,0272,REAMER HD FOR RIA SYNT18.5MM,5576.0,4460.8,1474.85,5018.4,26
RC,0272,REAMER HD FOR RIA SYNT19.0MM,5576.0,4460.8,1474.85,5018.4,26
RC,0272,REAMER HD FOR RIA2 STER 13.5MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD FOR RIASYNT17.0MM,5576.0,4460.8,1474.85,5018.4,26
RC,0272,REAMER HD MODLR 7.5MM,4805.0,3844.0,1270.92,4324.5,26
RC,0272,REAMER HD MODLR 8.5MM,4805.0,3844.0,1270.92,4324.5,26
RC,0272,REAMER HD MODLR 8MM,4805.0,3844.0,1270.92,4324.5,26
RC,0272,REAMER HD MODLR 9MM,4805.0,3844.0,1270.92,4324.5,26
RC,0272,REAMER HD RIA2 STER 10.5MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 10MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 11.5MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 11MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 12.5MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 12MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 13MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 14.5MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 14MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 15.5MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 15MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 16MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 17MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HD RIA2 STER 18MM,4589.0,3671.2,1213.79,4130.1,26
RC,0272,REAMER HOLLOW COMPL 2.7MM,2318.0,1854.4,613.11,2086.2,26
RC,0272,REAMER HOLLOW COMPL3.5MM/4.0MM,3113.0,2490.4,823.39,2801.7,26
RC,0272,REAMER HOLLOW JJ 12.8MM,10400.0,8320.0,2750.8,9360.0,26
RC,0272,REAMER KEYHOLE,3532.0,2825.6,934.21,3178.8,26
RC,0272,REAMER LK AUG VAULTLOCK LG,2360.0,1888.0,624.22,2124.0,26
RC,0272,REAMER LO PRO ARTX 5MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,REAMER LOPRO ARTX 10.5MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,REAMER LOPRO ARTX 10MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,REAMER LOPRO ARTX 11MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,REAMER LOPRO ARTX 6MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,REAMER LOPRO ARTX 7.5MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,REAMER LOPRO ARTX 7MM,1797.0,1437.6,475.31,1617.3,26
RC,0272,REAMER LOPRO ARTX 8.5MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,REAMER LOPRO ARTX 8MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,REAMER LOPRO ARTX 9.5MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,REAMER LOPRO ARTX 9MM,1823.0,1458.4,482.18,1640.7,26
RC,0272,REAMER META 14MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER META 16MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER META 18MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER META 20MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER META 22MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER METHD QC 1.6X16MM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,REAMER METHD QC 1.6X18MM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,REAMER METHD QC 1.6X20MM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,REAMER METHD QC 1.6X22MM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,REAMER MTP CONCAVE 14MM*NLU*,2240.0,1792.0,592.48,2016.0,26
RC,0272,REAMER MTP CONE GEN2 16MM,3731.0,2984.8,986.85,3357.9,26
RC,0272,REAMER MTP CONE GEN2 18MM,2100.0,1680.0,555.45,1890.0,26
RC,0272,REAMER MTP CONV 12MM*NLU*,2240.0,1792.0,592.48,2016.0,26
RC,0272,REAMER MTP CUP GEN2 16MM,3731.0,2984.8,986.85,3357.9,26
RC,0272,REAMER MTP SPINGUARD MALE 19MM,2704.0,2163.2,715.21,2433.6,26
RC,0272,REAMER MTP SPINGUARD MALE 21MM,2704.0,2163.2,715.21,2433.6,26
RC,0272,REAMER MTP SPINGUARD MALE 23MM,2704.0,2163.2,715.21,2433.6,26
RC,0272,REAMER MTP SPINGUARDFEMALE19MM,2704.0,2163.2,715.21,2433.6,26
RC,0272,REAMER MTP SPINGUARDFEMALE21MM,2704.0,2163.2,715.21,2433.6,26
RC,0272,REAMER MTP SPINGUARDFEMALE23MM,2704.0,2163.2,715.21,2433.6,26
RC,0272,REAMER PEMD 2.6MM*NLU*,3040.0,2432.0,804.08,2736.0,26
RC,0272,REAMER PHALANG ARTX 14MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER PHALANG ARTX 18MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER PHALANG ARTX 20MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER PHALANG ARTX 22MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER PHALANX 1.6X16MM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,REAMER PHALANX QC 1.6X16MM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,REAMER PHALANX QC 1.6X18MM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,REAMER PHALANX QC 1.6X20MM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,REAMER PHALANX QC 1.6X22MM,5100.0,4080.0,1348.95,4590.0,26
RC,0272,REAMER PILOT HEADED ARTX 8MM,1917.0,1533.6,507.05,1725.3,26
RC,0272,REAMER PROX CANN 1.6X14MM,2779.0,2223.2,735.05,2501.1,26
RC,0272,REAMER PROX CANN 1.6X16MM,2779.0,2223.2,735.05,2501.1,26
RC,0272,REAMER PROX CANN 1.6X18MM,2779.0,2223.2,735.05,2501.1,26
RC,0272,REAMER PROX CANN 1.6X20MM,2779.0,2223.2,735.05,2501.1,26
RC,0272,REAMER PROX CANN 4.0MM,4970.0,3976.0,1314.57,4473.0,26
RC,0272,REAMER PROX CANN 5.5MM,5460.0,4368.0,1444.17,4914.0,26
RC,0272,REAMER PROX CANN AO QC 3.3MM,2836.0,2268.8,750.12,2552.4,26
RC,0272,REAMER PROX CANN AO QC 3.9MM,2836.0,2268.8,750.12,2552.4,26
RC,0272,REAMER PROX CANN AO QC 4.5MM,2836.0,2268.8,750.12,2552.4,26
RC,0272,REAMER PROX SOLID AO QC 2.6MM,2040.0,1632.0,539.58,1836.0,26
RC,0272,REAMER PROX SOLID AO QC 3.3MM,2040.0,1632.0,539.58,1836.0,26
RC,0272,REAMER PROX SOLID AO QC 3.9MM,2040.0,1632.0,539.58,1836.0,26
RC,0272,REAMER PROX SOLID AO QC 4.5MM,2040.0,1632.0,539.58,1836.0,26
RC,0272,REAMER PROX SOLID AO QC 5.2MM,2040.0,1632.0,539.58,1836.0,26
RC,0272,REAMER PROX SOLID AO QC 6.0MM,2040.0,1632.0,539.58,1836.0,26
RC,0272,REAMER ROD STER 3.8X950MM,1169.0,935.2,309.2,1052.1,26
RC,0272,REAMER SHAFT STRY 450MM,1799.0,1439.2,475.84,1619.1,26
RC,0272,REAMER STEPPED ARTX 8.5MM,3960.0,3168.0,1047.42,3564.0,26
RC,0272,REAMER TALAR INBONE 10MM,2125.0,1700.0,562.06,1912.5,26
RC,0272,REAMER TIB NAIL STER 5.5MM,5072.0,4057.6,1341.54,4564.8,26
RC,0272,REAMER TIB NAIL SYNT 5.5MM,4611.0,3688.8,1219.61,4149.9,26
RC,0272,REAMER TIP AUGED DELTA XTEND,1978.0,1582.4,523.18,1780.2,26
RC,0272,REAMER TLR INBONE 14MM,2125.0,1700.0,562.06,1912.5,26
RC,0272,REAMER TOE CNCV 10MM,1700.0,1360.0,449.65,1530.0,26
RC,0272,REAMER TOE CNCV 8MM,1700.0,1360.0,449.65,1530.0,26
RC,0272,REAMER TOE CNVX 8MM,1700.0,1360.0,449.65,1530.0,26
RC,0272,REAMER TOE CONV 10MM,1700.0,1360.0,449.65,1530.0,26
RC,0272,REAMER TWISTR RETROGRD 6-12MM,4269.0,3415.2,1129.15,3842.1,26
RC,0272,REAMERS FLEX IM NAIL,5403.0,4322.4,1429.09,4862.7,26
RC,0272,REAMING HD DCS,4704.0,3763.2,1244.21,4233.6,26
RC,0272,REAMING HD SHRT DHS,4551.0,3640.8,1203.74,4095.9,26
RC,0272,REAMING KT RIA2 STER 520MM,9576.0,7660.8,2532.85,8618.4,26
RC,0272,RECHARGER PT RESTOR*OBS*,9225.0,7380.0,2440.01,8302.5,26
RC,0272,RELOAD 2-0 GRN 4*DISC NO REPL*,311.0,248.8,82.26,279.9,26
RC,0272,RELOAD ECHELON ENDOPATH BLU 40,4219.0,3375.2,1115.93,3797.1,26
RC,0272,RELOAD ECHELON ENDOPATH GRN 40,4219.0,3375.2,1115.93,3797.1,26
RC,0272,RELOAD ECHELON ENDOPATH GRY 60,5909.0,4727.2,1562.93,5318.1,26
RC,0272,RELOAD ENDO GIA TRI MDTHK PUR,2885.0,2308.0,763.08,2596.5,26
RC,0272,RELOAD ENDOPATH BLK 45MM,5757.0,4605.6,1522.73,5181.3,26
RC,0272,RELOAD ENDOPATH BLK 60MM,3735.0,2988.0,987.91,3361.5,26
RC,0272,RELOAD ENDOPATH BLU 35MM,4027.0,3221.6,1065.14,3624.3,26
RC,0272,RELOAD ENDOPATH BLU 45MM,5757.0,4605.6,1522.73,5181.3,26
RC,0272,RELOAD ENDOPATH BLU 60MM,3735.0,2988.0,987.91,3361.5,26
RC,0272,RELOAD ENDOPATH GLD 45MM,5757.0,4605.6,1522.73,5181.3,26
RC,0272,RELOAD ENDOPATH GLD 60MM,3735.0,2988.0,987.91,3361.5,26
RC,0272,RELOAD ENDOPATH GRN 60MM,3735.0,2988.0,987.91,3361.5,26
RC,0272,RELOAD ENDOPATH GST GRN 45MM,5091.0,4072.8,1346.57,4581.9,26
RC,0272,RELOAD ENDOPATH WHT 35MM,5879.0,4703.2,1555.0,5291.1,26
RC,0272,RELOAD ENDOPATH WHT 45MM,5757.0,4605.6,1522.73,5181.3,26
RC,0272,RELOAD ENDOPATH WHT 60MM,3735.0,2988.0,987.91,3361.5,26
RC,0272,RELOAD GIA 60 3.8MM,423.0,338.4,111.88,380.7,26
RC,0272,RELOAD GIA 60 PUR 3.8MM,482.0,385.6,127.49,433.8,26
RC,0272,RELOAD GIA 80 3.8MM,587.0,469.6,155.26,528.3,26
RC,0272,RELOAD GIA 80 4.8MM,587.0,469.6,155.26,528.3,26
RC,0272,RELOAD GIA 80 BLK 4.8MM,678.0,542.4,179.33,610.2,26
RC,0272,RELOAD GIA 80 TAN3.0MM,678.0,542.4,179.33,610.2,26
RC,0272,RELOAD GIA MDTHK PUR 45*CIP*,1291.0,1032.8,341.47,1161.9,26
RC,0272,RELOAD GIA MDTHK PUR 60*CIP*,1666.0,1332.8,440.66,1499.4,26
RC,0272,RELOAD GIA VASC GRY 45*CIP*,1588.0,1270.4,420.03,1429.2,26
RC,0272,RELOAD GIA VASC MD TAN 60*CIP*,1641.0,1312.8,434.04,1476.9,26
RC,0272,RELOAD GIA VASC TAN 45*CIP*,1291.0,1032.8,341.47,1161.9,26
RC,0272,RELOAD GIA30 2.5*DISC 6275155*,776.0,620.8,205.25,698.4,26
RC,0272,RELOAD GIA45 2.5*DISC 6201144*,776.0,620.8,205.25,698.4,26
RC,0272,RELOAD GIA80 PUR 3.8MM,704.0,563.2,186.21,633.6,26
RC,0272,RELOAD POLYSORB 2-0 ES9 GRN 7,197.0,157.6,52.11,177.3,26
RC,0272,RELOAD PROXIMATE GRN 30MM,1830.0,1464.0,484.04,1647.0,26
RC,0272,RELOAD PROXIMATE GRN 60MM,1971.0,1576.8,521.33,1773.9,26
RC,0272,RELOAD PROXIMATE VASC WHT30,1881.0,1504.8,497.52,1692.9,26
RC,0272,RELOAD REINF MDTHK PUR 45MM,2698.0,2158.4,713.62,2428.2,26
RC,0272,RELOAD REINF TRI MDTHK PUR 60,3129.0,2503.2,827.62,2816.1,26
RC,0272,RELOAD REINF TRI XTHK BLK 45,2937.0,2349.6,776.84,2643.3,26
RC,0272,RELOAD REINF TRI XTHK BLK 60,3593.0,2874.4,950.35,3233.7,26
RC,0272,RELOAD REINF XTHN*USE 6296343*,3666.0,2932.8,969.66,3299.4,26
RC,0272,RELOAD REINFPUR2X*USE 6296344*,2698.0,2158.4,713.62,2428.2,26
RC,0272,RELOAD ROB XI BL*DISC 6305458*,1530.0,1224.0,404.69,1377.0,26
RC,0272,RELOAD ROB XI GRN 45MM,1530.0,1224.0,404.69,1377.0,26
RC,0272,RELOAD ROB XI WH*DISC 6316058*,1530.0,1224.0,404.69,1377.0,26
RC,0272,RELOAD SIGNIA SM CURV GRY 30MM,3675.0,2940.0,972.04,3307.5,26
RC,0272,RELOAD SIGNIA SM CURV WHT 30MM,3675.0,2940.0,972.04,3307.5,26
RC,0272,RELOAD SIGNIA SM CURV WHT 45MM,3675.0,2940.0,972.04,3307.5,26
RC,0272,RELOAD SUREFORM ROB BLK 45MM,1785.0,1428.0,472.13,1606.5,26
RC,0272,RELOAD SUREFORM ROB BLK 60MM,2053.0,1642.4,543.02,1847.7,26
RC,0272,RELOAD SUREFORM ROB BLU 30MM,1785.0,1428.0,472.13,1606.5,26
RC,0272,RELOAD SUREFORM ROB BLU 45MM,1785.0,1428.0,472.13,1606.5,26
RC,0272,RELOAD SUREFORM ROB BLU 60MM,2053.0,1642.4,543.02,1847.7,26
RC,0272,RELOAD SUREFORM ROB GRN 45MM,1785.0,1428.0,472.13,1606.5,26
RC,0272,RELOAD SUREFORM ROB GRN 60MM,2053.0,1642.4,543.02,1847.7,26
RC,0272,RELOAD SUREFORM ROB GRY 30MM,1785.0,1428.0,472.13,1606.5,26
RC,0272,RELOAD SUREFORM ROB WHT 30MM,1785.0,1428.0,472.13,1606.5,26
RC,0272,RELOAD SUREFORM ROB WHT 45MM,1785.0,1428.0,472.13,1606.5,26
RC,0272,RELOAD SUREFORM ROB WHT 60MM,2053.0,1642.4,543.02,1847.7,26
RC,0272,RELOAD SURGIDAC TRPL 2-0 GRN48,488.0,390.4,129.08,439.2,26
RC,0272,RELOAD TA 30 4.8MM,324.0,259.2,85.7,291.6,26
RC,0272,RELOAD TA 30 V3,362.0,289.6,95.75,325.8,26
RC,0272,RELOAD TA 45 3.5MM,484.0,387.2,128.02,435.6,26
RC,0272,RELOAD TA 45 4.8MM,450.0,360.0,119.03,405.0,26
RC,0272,RELOAD TA 60 3.5MM,364.0,291.2,96.28,327.6,26
RC,0272,RELOAD TA 60 4.8MM,364.0,291.2,96.28,327.6,26
RC,0272,RELOAD TRI-STAPLE 2.0VASCGRY45,1715.0,1372.0,453.62,1543.5,26
RC,0272,RELOAD TRI-STAPLE MD GRY 30,1737.0,1389.6,459.44,1563.3,26
RC,0272,RELOAD TRI-STAPLE MD TAN 30,1162.0,929.6,307.35,1045.8,26
RC,0272,RELOAD TRI-STAPLE MDTHK CURV60,2236.0,1788.8,591.42,2012.4,26
RC,0272,RELOAD TRI-STAPLE MDTHK PUR 30,1267.0,1013.6,335.12,1140.3,26
RC,0272,RELOAD TRI-STAPLE MDTHK PUR 45,1615.0,1292.0,427.17,1453.5,26
RC,0272,RELOAD TRI-STAPLE MDTHK PUR 60,1785.0,1428.0,472.13,1606.5,26
RC,0272,RELOAD TRI-STAPLE VASCMD 45,1615.0,1292.0,427.17,1453.5,26
RC,0272,RELOAD TRI-STAPLE VASCMD 60,1785.0,1428.0,472.13,1606.5,26
RC,0272,RELOAD TRI-STAPLE VASCMD TAN30,1479.0,1183.2,391.2,1331.1,26
RC,0272,RELOAD TRI-STAPLE VASCMD TAN45,1690.0,1352.0,447.01,1521.0,26
RC,0272,RELOAD TRI-STAPLE VASCMD TAN60,2236.0,1788.8,591.42,2012.4,26
RC,0272,RELOAD TRI-STAPLE VASCXTHN 60,1785.0,1428.0,472.13,1606.5,26
RC,0272,RELOAD TRI-STAPLE XTHK BLK 45,1670.0,1336.0,441.72,1503.0,26
RC,0272,RELOAD TRI-STAPLE XTHK BLK 60,2215.0,1772.0,585.87,1993.5,26
RC,0272,RELOAD TRI-STAPLE XTHN GRY 30,1500.0,1200.0,396.75,1350.0,26
RC,0272,RELOAD VLOC PBT 2-0 BLU 6,350.0,280.0,92.58,315.0,26
RC,0272,RELOAD VLOC PBT 2-0 BLU 8,409.0,327.2,108.18,368.1,26
RC,0272,RELOAD VLOC PBT 3-0 BLU 8,409.0,327.2,108.18,368.1,26
RC,0272,RELOAD VLOC180 0 GRN 8,409.0,327.2,108.18,368.1,26
RC,0272,RELOAD VLOC180 2-0 GRN 6,350.0,280.0,92.58,315.0,26
RC,0272,RELOAD VLOC180 2-0 GRN 8,409.0,327.2,108.18,368.1,26
RC,0272,RELOAD VLOC180 3*DISC 6252393*,350.0,280.0,92.58,315.0,26
RC,0272,RELOAD VLOC180 3-0 GRN 10,317.0,253.6,83.85,285.3,26
RC,0272,RELOAD VLOC180 3-0 GRN 8,409.0,327.2,108.18,368.1,26
RC,0272,RELOADTRI-STAPLE2.0VASCMDPUR45,1394.0,1115.2,368.71,1254.6,26
RC,0272,RELOADTRI-STAPLE2.0VASCMDPUR60,1799.0,1439.2,475.84,1619.1,26
RC,0272,RELOADTRI-STAPLE2.0VASCMDTAN45,1394.0,1115.2,368.71,1254.6,26
RC,0272,RELOADTRI-STAPLE2.0VASCMDTAN60,1772.0,1417.6,468.69,1594.8,26
RC,0272,REMOV CLIP ANAST*DISC 6304119*,1522.0,1217.6,402.57,1369.8,26
RC,0272,REMOV CLIP ANASTOCLIP DISP10CM,2952.0,2361.6,780.8,2656.8,26
RC,0272,REMOV INSRT CATH*DISC NO REPL*,475.0,380.0,125.64,427.5,26
RC,0272,REMOV NAIL KT FIBULOCK DISP,7425.0,5940.0,1963.91,6682.5,26
RC,0272,RESQPOD CIRCULATORY ENHANCER,1036.0,828.8,274.02,932.4,26
RC,0272,RESUSC BAGGER AERONOX 2.0,2368.0,1894.4,626.34,2131.2,26
RC,0272,RESUSC PK O2 I-GEL SZ5,359.0,287.2,94.96,323.1,26
RC,0272,RETAINER NOSTRIL STRY SZ1,774.0,619.2,204.72,696.6,26
RC,0272,RETAINER NOSTRIL STRY SZ11,744.0,595.2,196.79,669.6,26
RC,0272,RETAINER NOSTRIL STRY SZ13,774.0,619.2,204.72,696.6,26
RC,0272,RETAINER NOSTRIL*DISC 6240001*,225.0,180.0,59.51,202.5,26
RC,0272,RETAINER VISCERA SM,465.0,372.0,122.99,418.5,26
RC,0272,RETR ALEXIS O C-SECTION LG,490.0,392.0,129.61,441.0,26
RC,0272,RETR ALEXIS O C-SECTION XL,589.0,471.2,155.79,530.1,26
RC,0272,RETR CAPSULE MST CHANGE MOD,1091.0,872.8,288.57,981.9,26
RC,0272,RETR CORDLESS LT RADIALUX DISP,1901.0,1520.8,502.81,1710.9,26
RC,0272,RETR DEXTRUS SEA*DISC NO REPL*,3975.0,3180.0,1051.39,3577.5,26
RC,0272,RETR ESOPH ESOSURE,3160.0,2528.0,835.82,2844.0,26
RC,0272,RETR EXTNDR TRAXI PANNICULUS,710.0,568.0,187.8,639.0,26
RC,0272,RETR FIXED LENGT*DISC NO REPL*,500.0,400.0,132.25,450.0,26
RC,0272,RETR FLEX IRIS,775.0,620.0,204.99,697.5,26
RC,0272,RETR FRM TLC SLF RETAIN 10CM,527.0,421.6,139.39,474.3,26
RC,0272,RETR GELPORT,4550.0,3640.0,1203.48,4095.0,26
RC,0272,RETR GRAPTOR ROB SI RPSB,240.0,192.0,63.48,216.0,26
RC,0272,RETR HANDHELD DISP,402.0,321.6,106.33,361.8,26
RC,0272,RETR LEWICKY SLF RETAINING,866.0,692.8,229.06,779.4,26
RC,0272,RETR LONESTAR RING 3304,709.0,567.2,187.53,638.1,26
RC,0272,RETR LT MAT LUMITEX DISP,835.0,668.0,220.86,751.5,26
RC,0272,RETR LT TIGERVIEW 135X20,1615.0,1292.0,427.17,1453.5,26
RC,0272,RETR LT TIGERVIEW 135X30,1615.0,1292.0,427.17,1453.5,26
RC,0272,RETR LT TIGERVIEW 90X30,1615.0,1292.0,427.17,1453.5,26
RC,0272,RETR MARS PORT ILLUM TIP 26MM,7443.0,5954.4,1968.67,6698.7,26
RC,0272,RETR METRX ST 18MM 6CM*NLU*,3200.0,2560.0,846.4,2880.0,26
RC,0272,RETR ONETRAC W LT DISP 2BLADE,2879.0,2303.2,761.5,2591.1,26
RC,0272,RETR ONETRAC W LT DISP105*NLU*,618.0,494.4,163.46,556.2,26
RC,0272,RETR ONETRAC W LT DISP135*NLU*,618.0,494.4,163.46,556.2,52
RC,0272,RETR ONETRAC W LT DISP135X30MM,2104.0,1683.2,556.51,1893.6,26
RC,0272,RETR ONETRAC W LT DISP135X60MM,2709.0,2167.2,716.53,2438.1,26
RC,0272,RETR ONETRAC W LT DISP175*NLU*,618.0,494.4,163.46,556.2,26
RC,0272,RETR ONETRAC W LT DISP175X30MM,2104.0,1683.2,556.51,1893.6,26
RC,0272,RETR ONETRAC W LT DISP40X*NLU*,618.0,494.4,163.46,556.2,26
RC,0272,RETR ONETRAC W LT DISP55X*NLU*,618.0,494.4,163.46,556.2,26
RC,0272,RETR ONETRAC W LT DISP90X*NLU*,1265.5,1012.4000000000001,163.46,1721.7,52
RC,0272,RETR ONETRAC W LT DISP90X20MM,2104.0,1683.2,556.51,1893.6,26
RC,0272,RETR ONETRAC W LT DISP90X30MM,2104.0,1683.2,556.51,1893.6,26
RC,0272,RETR OPH CAPSULE,1119.0,895.2,295.98,1007.1,26
RC,0272,RETR RIGID ALEXIS O 11-17CM XL,589.0,471.2,155.79,530.1,26
RC,0272,RETR RIGID ALEXIS O 2.5-6CM SM,320.0,256.0,84.64,288.0,26
RC,0272,RETR RIGID ALEXIS O 5-9CM MD,320.0,256.0,84.64,288.0,26
RC,0272,RETR RIGID ALEXIS O 9-14CM LG,490.0,392.0,129.61,441.0,26
RC,0272,RETR SLF RETAINING 14.1X14.1CM,709.0,567.2,187.53,638.1,26
RC,0272,RETR SYS DEEP SCROTAL AMS,3920.0,3136.0,1036.84,3528.0,26
RC,0272,RETR SYS LIF-PTP SIGMA ALPT,3850.0,3080.0,1018.33,3465.0,26
RC,0272,RETR TRAXI PANNICULUS,985.0,788.0,260.53,886.5,26
RC,0272,RETR VBAS 12X8MM 3CM*NLU*,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 12X8MM 5CM*NLU*,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 12X8MM 7CM*NLU*,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 17X11MM 3CM,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 17X11MM 5CM,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 17X11MM 7CM*NLU*,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 21X15MM 3CM*NLU*,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 21X15MM 5CM,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 21X15MM 7CM,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 28X120MM 3CM*NLU*,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 28X120MM 5CM*NLU*,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR VBAS 28X120MM 7CM*NLU*,4865.0,3892.0,1286.79,4378.5,26
RC,0272,RETR WEITLANER SHARP STER 6.5,510.0,408.0,134.9,459.0,26
RC,0272,RETR WND ABBY PAN*USE 6303774*,1063.0,850.4,281.16,956.7,26
RC,0272,RETR WND ABBY PANNUS STD*NLU*,594.0,475.2,157.11,534.6,26
RC,0272,RETR WND PROTECT ALEXIS XS,320.0,256.0,84.64,288.0,26
RC,0272,RETRV ANCHOR TISS 15MM 1550ML,1273.0,1018.4,336.71,1145.7,26
RC,0272,RETRV ANCHOR TISS 8MM 125ML,842.0,673.6,222.71,757.8,26
RC,0272,RETRV COIL-PULLER MALE 3.2MM,4494.0,3595.2,1188.66,4044.6,26
RC,0272,RETRV COIL-PULLER MALE 4MM,4494.0,3595.2,1188.66,4044.6,26
RC,0272,RETRV FOREIGN BODY REMOVEFBR,1398.0,1118.4,369.77,1258.2,26
RC,0272,RETRV INJ BLN FUSION >8.5-12MM,1887.0,1509.6,499.11,1698.3,26
RC,0272,RETRV INZII SPECMN 10MM,713.0,570.4,188.59,641.7,26
RC,0272,RETRV INZII SPECMN 12/15MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,RETRV INZII SPECMN 5MM,713.0,570.4,188.59,641.7,26
RC,0272,RETRV INZII SPECMNREDEPLOY11MM,900.0,720.0,238.05,810.0,26
RC,0272,RETRV INZII SPECMNRIPSTOP12/15,2880.0,2304.0,761.76,2592.0,26
RC,0272,RETRV RESCUENET 3X5.5CM 2.5MM,765.0,612.0,202.34,688.5,26
RC,0272,RETRV ROTH NET BOLUS 4.0X5.5CM,893.0,714.4,236.2,803.7,26
RC,0272,RETRV ROTH NET MAXI 4.0X8.0CM,935.0,748.0,247.31,841.5,26
RC,0272,RETRV ROTH NET MINI 2.0X4.5CM,900.0,720.0,238.05,810.0,26
RC,0272,RETRV ROTH NET STD 3.0X6.0CM,801.0,640.8,211.86,720.9,26
RC,0272,RETRV ROTH NET UNIV 4X5.5CM,900.0,720.0,238.05,810.0,26
RC,0272,RETRV STNT NSNARE 2.4FR 115CM,936.0,748.8,247.57,842.4,26
RC,0272,RETRV SUT BLU MD,500.0,400.0,132.25,450.0,26
RC,0272,RETRV SUT GRN LG,500.0,400.0,132.25,450.0,26
RC,0272,RETRV SUT LASSO HOFFEE BLU10IN,596.0,476.8,157.64,536.4,26
RC,0272,RETRV SUT SS,435.0,348.0,115.06,391.5,26
RC,0272,RETRV SUT STER MEDL,417.0,333.6,110.3,375.3,26
RC,0272,RETRV SUT YEL SM,500.0,400.0,132.25,450.0,26
RC,0272,RETRV TREVO NXT PROVUE 3X32MM,21244.0,16995.2,5619.04,19119.6,26
RC,0272,RETRV TREVO NXT PROVUE 6X37MM,21244.0,16995.2,5619.04,19119.6,26
RC,0272,RETRV TREVO XP PROVUE 3X2*NLU*,19582.0,15665.599999999999,5073.37,17984.7,52
RC,0272,RETRV TREVO XP PROVUE 4X2*NLU*,19181.0,15344.8,5073.37,17262.9,26
RC,0272,RETRV TREVO XP PROVUE 4X20MM,21383.0,17106.4,5655.8,19244.7,26
RC,0272,RETRV TREVO XP PROVUE 4X30MM,20525.0,16420.0,5428.86,18472.5,26
RC,0272,RETRV TREVO XP PROVUE 6X2*NLU*,19181.0,15344.8,5073.37,17262.9,26
RC,0272,RETRV TREVO XP PROVUE 6X25MM,21383.0,17106.4,5655.8,19244.7,26
RC,0272,RH CONTROL 10ML EA CONTRACT,18.0,14.4,4.76,16.2,26
RC,0272,RH IMUNE GLOBULIN DOSE CONTRACT,118.0,94.4,31.21,106.2,26
RC,0272,RHINOLARYNSCP AS*DISC 6332697*,1445.0,1156.0,382.2,1300.5,26
RC,0272,RHINOLARYNSCP ASCOPE4 SLIM,1445.0,1156.0,382.2,1300.5,26
RC,0272,RING CPSLR TENSION MORCHER 14C,1913.0,1530.4,505.99,1721.7,26
RC,0272,RING EXTL FIX 2/3 130MM,6184.0,4947.2,1635.67,5565.6,26
RC,0272,RING EXTL FIX 2/3 7HL 105MM,4879.0,3903.2,1290.5,4391.1,26
RC,0272,RING EXTL FIX 3/4 DNE 160MM,4680.0,3744.0,1237.86,4212.0,26
RC,0272,RING EXTL FIX 5/8 DYNEX 155MM,9083.0,7266.4,2402.45,8174.7,26
RC,0272,RING EXTL FIX ALUM 5/8 150MM,5057.0,4045.6,1337.58,4551.3,26
RC,0272,RING EXTL FIX ALUM 5/8 210MM,5057.0,4045.6,1337.58,4551.3,26
RC,0272,RING EXTL FIX ALUM FULL 150MM,5297.0,4237.6,1401.06,4767.3,26
RC,0272,RING EXTL FIX ALUM FULL 180MM,5297.0,4237.6,1401.06,4767.3,26
RC,0272,RING EXTL FIX ALUM FULL 210MM,5297.0,4237.6,1401.06,4767.3,26
RC,0272,RING EXTL FIX ARCH 160MM,5019.0,4015.2,1327.53,4517.1,26
RC,0272,RING EXTL FIX ARTX FULL 195MM,7054.0,5643.2,1865.78,6348.6,26
RC,0272,RING EXTL FIX CBN FT LNG 160MM,5171.0,4136.8,1367.73,4653.9,26
RC,0272,RING EXTL FIX COMPASS5/8 130MM,6426.0,5140.8,1699.68,5783.4,26
RC,0272,RING EXTL FIX FT SIXFIX LNG150,12936.0,10348.8,3421.57,11642.4,26
RC,0272,RING EXTL FIX FT SIXFIX LNG180,12936.0,10348.8,3421.57,11642.4,26
RC,0272,RING EXTL FIX FT SIXFIXSHRT150,12936.0,10348.8,3421.57,11642.4,26
RC,0272,RING EXTL FIX FT SIXFIXSHRT180,12936.0,10348.8,3421.57,11642.4,26
RC,0272,RING EXTL FIX FULL 130MM,6184.0,4947.2,1635.67,5565.6,26
RC,0272,RING EXTL FIX FULL 150MM*NLU*,5481.0,4384.8,1449.72,4932.9,26
RC,0272,RING EXTL FIX FULL 7HL 105MM,5113.0,4090.4,1352.39,4601.7,26
RC,0272,RING EXTL FIX FULL CBN 120MM,8268.0,6614.4,2186.89,7441.2,26
RC,0272,RING EXTL FIX FULL CBN 140MM,7959.0,6367.2,2105.16,7163.1,26
RC,0272,RING EXTL FIX FULL CBN 155MM,7959.0,6367.2,2105.16,7163.1,26
RC,0272,RING EXTL FIX FULL CBN 180MM,7959.0,6367.2,2105.16,7163.1,26
RC,0272,RING EXTL FIX FULL DYNEX 155MM,10483.0,8386.4,2772.75,9434.7,26
RC,0272,RING EXTL FIX FULL DYNEX 180MM,10483.0,8386.4,2772.75,9434.7,26
RC,0272,RING EXTL FIX FULL TABS 180MM,6737.0,5389.6,1781.94,6063.3,26
RC,0272,RING EXTL FIX HALF 150MM*NLU*,3744.0,2995.2,990.29,3369.6,26
RC,0272,RING EXTL FIX HALF 160MM*NLU*,3960.0,3168.0,1047.42,3564.0,26
RC,0272,RING EXTL FIX HALF DNE 140MM,3754.0,3003.2,992.93,3378.6,26
RC,0272,RING EXTL FIX HALF DNE 160MM,4323.0,3458.4,1143.43,3890.7,26
RC,0272,RING EXTL FIX HALF DYNEX 180MM,10328.0,8262.4,2731.76,9295.2,26
RC,0272,RING EXTL FIX HALF TI 180MM,3700.0,2960.0,978.65,3330.0,26
RC,0272,RING EXTL FIX HALF TI 200MM,4006.0,3204.8,1059.59,3605.4,26
RC,0272,RING EXTL FIX HYBRID 3/4 205MM,3904.0,3123.2,1032.61,3513.6,26
RC,0272,RING EXTL FIX MAXFRAME 5-6MM,1396.0,1116.8,369.24,1256.4,26
RC,0272,RING EXTL FIX OVAL DNE 140MM,4875.0,3900.0,1289.44,4387.5,26
RC,0272,RING EXTL FIX OVAL DNE 160MM,5070.0,4056.0,1341.02,4563.0,26
RC,0272,RING EXTL FIX OVAL DNE 180MM,11250.0,9000.0,2975.63,10125.0,26
RC,0272,RING EXTL FIX SEG CBN 140MM,7350.0,5880.0,1944.08,6615.0,26
RC,0272,RING EXTL FIX SIXFIX 2/3 135,8465.0,6772.0,2238.99,7618.5,26
RC,0272,RING EXTL FIX SIXFIX 2/3 155,8465.0,6772.0,2238.99,7618.5,26
RC,0272,RING EXTL FIX SIXFIX 2/3 175,8465.0,6772.0,2238.99,7618.5,26
RC,0272,RING EXTL FIX SIXFIX 2/3 195,8465.0,6772.0,2238.99,7618.5,26
RC,0272,RING EXTL FIX SIXFIX FULL 125,10247.0,8197.6,2710.33,9222.3,26
RC,0272,RING EXTL FIX SIXFIX FULL 135,10247.0,8197.6,2710.33,9222.3,26
RC,0272,RING EXTL FIX SIXFIX FULL 155,10247.0,8197.6,2710.33,9222.3,26
RC,0272,RING EXTL FIX SIXFIX FULL 175,10247.0,8197.6,2710.33,9222.3,26
RC,0272,RING EXTL FIX SIXFIX FULL 195,10247.0,8197.6,2710.33,9222.3,26
RC,0272,RING EXTL FIX SIXFIX FULL 215,10247.0,8197.6,2710.33,9222.3,26
RC,0272,RING EXTL FIX SIXFIX FULL 225,9406.0,7524.8,2487.89,8465.4,26
RC,0272,RING EXTL FIX TOE DYNEX 155MM,5670.0,4536.0,1499.72,5103.0,26
RC,0272,RING EXTL FIX TOE DYNEX 180MM,6075.0,4860.0,1606.84,5467.5,26
RC,0272,RING RETR FLEX ALEXIS SM/MD,1700.0,1360.0,449.65,1530.0,26
RC,0272,RING RETR MALYUGIN 2.0 6.5MM,1274.0,1019.2,336.97,1146.6,26
RC,0272,RING RETR MALYUGIN 2.0 7MM,1240.0,992.0,327.98,1116.0,26
RC,0272,RING RETR MALYUGIN 6.25MM,1274.0,1019.2,336.97,1146.6,26
RC,0272,RING RETR MALYUGIN 7MM,1274.0,1019.2,336.97,1146.6,26
RC,0272,ROCKER EXTL FIX FT ARTX SHRT,10817.0,8653.6,2861.1,9735.3,26
RC,0272,ROCKER EXTL FIX SHOE LNG MD,5724.0,4579.2,1514.0,5151.6,26
RC,0272,ROCKER EXTL FIX SIXFIX FT SHRT,10511.0,8408.8,2780.16,9459.9,26
RC,0272,ROD ATTACH EXTL FIX MR LG,2187.0,1749.6,578.46,1968.3,26
RC,0272,ROD CBN EXTL FIX 350MM,1777.0,1421.6,470.02,1599.3,26
RC,0272,ROD EXTL FIX 1/2 MAND TI*NLU*,4163.0,3330.4,1101.11,3746.7,26
RC,0272,ROD EXTL FIX ATTACH MR MD,2617.0,2093.6,692.2,2355.3,26
RC,0272,ROD EXTL FIX CBN CONN 3X40MM,609.0,487.2,161.08,548.1,26
RC,0272,ROD EXTL FIX CBN CONN 5X100MM,626.0,500.8,165.58,563.4,26
RC,0272,ROD EXTL FIX CBN CONN 5X150MM,709.0,567.2,187.53,638.1,26
RC,0272,ROD EXTL FIX CBN CONN 5X65MM,626.0,500.8,165.58,563.4,26
RC,0272,ROD EXTL FIX CBN CONN 8X*NLU*,2125.0,1700.0,562.06,1912.5,26
RC,0272,ROD EXTL FIX CBN CONN 8X200MM,2125.0,1700.0,562.06,1912.5,26
RC,0272,ROD EXTL FIX CBN CONN 8X250MM,2187.0,1749.6,578.46,1968.3,26
RC,0272,ROD EXTL FIX CBN CONN 8X300MM,2253.0,1802.4,595.92,2027.7,26
RC,0272,ROD EXTL FIX CBN CONN 8X400MM,2309.0,1847.2,610.73,2078.1,26
RC,0272,ROD EXTL FIX CBN CONN 8X450MM,2309.0,1847.2,610.73,2078.1,26
RC,0272,ROD EXTL FIX CBN MD 8X160MM,1146.0,916.8,303.12,1031.4,26
RC,0272,ROD EXTL FIX CBN MD 8X200MM,1132.0,905.6,299.41,1018.8,26
RC,0272,ROD EXTL FIX CBN MD 8X220MM,1132.0,905.6,299.41,1018.8,26
RC,0272,ROD EXTL FIX CBN MD 8X240MM,1132.0,905.6,299.41,1018.8,26
RC,0272,ROD EXTL FIX CBN MD 8X280MM,1146.0,916.8,303.12,1031.4,26
RC,0272,ROD EXTL FIX CBN MD 8X320MM,1146.0,916.8,303.12,1031.4,26
RC,0272,ROD EXTL FIX CBN MD 8X360MM,1239.0,991.2,327.72,1115.1,26
RC,0272,ROD EXTL FIX CBN MD 8X400MM,1239.0,991.2,327.72,1115.1,26
RC,0272,ROD EXTL FIX CBN MR 11X100MM,1246.0,996.8,329.57,1121.4,26
RC,0272,ROD EXTL FIX CBN MR 11X125MM,1246.0,996.8,329.57,1121.4,26
RC,0272,ROD EXTL FIX CBN MR 11X150MM,1246.0,996.8,329.57,1121.4,26
RC,0272,ROD EXTL FIX CBN MR 11X200MM,1246.0,996.8,329.57,1121.4,26
RC,0272,ROD EXTL FIX CBN MR 11X250MM,1336.0,1068.8,353.37,1202.4,26
RC,0272,ROD EXTL FIX CBN MR 11X300MM,1336.0,1068.8,353.37,1202.4,26
RC,0272,ROD EXTL FIX CBN MR 11X350MM,1336.0,1068.8,353.37,1202.4,26
RC,0272,ROD EXTL FIX CBN MR 11X400MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,ROD EXTL FIX CBN MR 11X450MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,ROD EXTL FIX CBN MR 11X500MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,ROD EXTL FIX CBN MR 11X550MM,1584.0,1267.2,418.97,1425.6,26
RC,0272,ROD EXTL FIX CBN MR 11X600MM,1584.0,1267.2,418.97,1425.6,26
RC,0272,ROD EXTL FIX CBN MR 135D11X499,3690.0,2952.0,976.01,3321.0,26
RC,0272,ROD EXTL FIX CBN MRSHRT190X114,5017.0,4013.6,1327.0,4515.3,26
RC,0272,ROD EXTL FIX CBN SM 4X100MM,336.0,268.8,88.87,302.4,26
RC,0272,ROD EXTL FIX CBN SM 4X120MM,336.0,268.8,88.87,302.4,26
RC,0272,ROD EXTL FIX CBN SM 4X140MM,462.0,369.6,122.2,415.8,26
RC,0272,ROD EXTL FIX CBN SM 4X160MM,462.0,369.6,122.2,415.8,26
RC,0272,ROD EXTL FIX CBN SM 4X180MM,462.0,369.6,122.2,415.8,26
RC,0272,ROD EXTL FIX CBN SM 4X200MM,462.0,369.6,122.2,415.8,26
RC,0272,ROD EXTL FIX CBN SM 4X60MM,336.0,268.8,88.87,302.4,26
RC,0272,ROD EXTL FIX CBN SM 4X80MM,336.0,268.8,88.87,302.4,26
RC,0272,ROD EXTL FIX CON*DISC NO REPL*,440.0,352.0,116.38,396.0,26
RC,0272,ROD EXTL FIX CONN CBN H2 5X150,852.0,681.6,225.35,766.8,26
RC,0272,ROD EXTL FIX CONN CBN H2 5X200,852.0,681.6,225.35,766.8,26
RC,0272,ROD EXTL FIX CONN CBN H2 5X250,852.0,681.6,225.35,766.8,26
RC,0272,ROD EXTL FIX ELBOW HNG JOINT,5591.0,4472.8,1478.82,5031.9,26
RC,0272,ROD EXTL FIX H3 11X150MM,2299.0,1839.2,608.09,2069.1,26
RC,0272,ROD EXTL FIX H3 11X250MM,2360.0,1888.0,624.22,2124.0,26
RC,0272,ROD EXTL FIX H3 11X300MM,2421.0,1936.8,640.35,2178.9,26
RC,0272,ROD EXTL FIX H3 11X350MM,2421.0,1936.8,640.35,2178.9,26
RC,0272,ROD EXTL FIX H3 11X400MM,2770.0,2216.0,732.67,2493.0,26
RC,0272,ROD EXTL FIX H3 11X450MM,2770.0,2216.0,732.67,2493.0,26
RC,0272,ROD EXTL FIX H3 11X550MM,3162.0,2529.6,836.35,2845.8,26
RC,0272,ROD EXTL FIX H3 11X600MM,3610.0,2888.0,954.85,3249.0,26
RC,0272,ROD EXTL FIX MAND RAMUS TI 4MM,4001.0,3200.8,1058.26,3600.9,26
RC,0272,ROD EXTL FIX MAND ST 160MM,5934.0,4747.2,1569.54,5340.6,26
RC,0272,ROD EXTL FIX SEMICIR 11X220MM,3078.0,2462.4,814.13,2770.2,26
RC,0272,ROD EXTL FIX THRD DNE 120MM,765.0,612.0,202.34,688.5,26
RC,0272,ROD EXTL FIX THRD DYNEX 115MM,5700.0,4560.0,1507.65,5130.0,26
RC,0272,ROD EXTL FIX THRD DYNEX 165MM,5700.0,4560.0,1507.65,5130.0,26
RC,0272,ROD EXTL FIX THRD DYNEX 200MM,5700.0,4560.0,1507.65,5130.0,26
RC,0272,ROD EXTL FIX THRD DYNEX 300MM,5700.0,4560.0,1507.65,5130.0,26
RC,0272,ROD EXTL FIX THRD DYNEX 85MM,5700.0,4560.0,1507.65,5130.0,26
RC,0272,ROD EXTL FIX THRD HOFFMAN 6X60,643.0,514.4,170.07,578.7,26
RC,0272,ROD EXTL FIX THRD HOFFMAN6X120,704.0,563.2,186.21,633.6,26
RC,0272,ROD EXTL FIX THRD ILIZAROV80MM,400.0,320.0,105.8,360.0,26
RC,0272,ROD EXTL FIX THRD LNG 120MM,599.0,479.2,158.44,539.1,26
RC,0272,ROD EXTL FIX THRD LNG 150MM,599.0,479.2,158.44,539.1,26
RC,0272,ROD EXTL FIX THRD LNG 250MM,656.0,524.8,173.51,590.4,26
RC,0272,ROD EXTL FIX THRD LNG 350MM,1267.0,1013.6,335.12,1140.3,26
RC,0272,ROD EXTL FIX THRD REVO 120MM,1301.0,1040.8,344.11,1170.9,26
RC,0272,ROD EXTL FIX THRD REVO 160MM,1607.0,1285.6,425.05,1446.3,26
RC,0272,ROD EXTL FIX THRD SIXFIX 115MM,927.0,741.6,245.19,834.3,26
RC,0272,ROD EXTL FIX THRD SIXFIX 200MM,1029.0,823.2,272.17,926.1,26
RC,0272,ROD EXTL FIX THRD SIXFIX 300MM,1029.0,823.2,272.17,926.1,26
RC,0272,ROD EXTL FIX THRD SIXFIX 85MM,927.0,741.6,245.19,834.3,26
RC,0272,ROD EXTL FIX THRDHOFFMAN 6X150,704.0,563.2,186.21,633.6,26
RC,0272,ROD EXTL FIX THRDHOFFMAN 6X250,790.0,632.0,208.96,711.0,26
RC,0272,ROD EXTL FIX THRDILIZAROV100MM,400.0,320.0,105.8,360.0,26
RC,0272,ROD EXTL FIX THRDILIZAROV400MM,785.0,628.0,207.63,706.5,26
RC,0272,ROD REAMING BALL TIP 2.5X950MM,962.0,769.6,254.45,865.8,26
RC,0272,ROD REAMING BALL W EXT 2.5X650,1021.0,816.8,270.05,918.9,26
RC,0272,ROD REAMING ST 3.0X950MM,1048.0,838.4,277.2,943.2,26
RC,0272,ROD REAMING ST STR 3.0X950MM,1455.0,1164.0,384.85,1309.5,26
RC,0272,ROD TEMPLATE INVICTUS 240MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,RONGEUR LEMPERT CURV STER 6.5,360.0,288.0,95.22,324.0,26
RC,0272,ROUTER TAPER D-57 1.5X12*NLU*,917.0,733.6,242.55,825.3,26
RC,0272,ROUTER TAPER D-58 1.7X16M*NLU*,952.0,761.6,251.8,856.8,26
RC,0272,ROUTER TPR FA1 RED/GRN 1.5MM,1059.0,847.2,280.11,953.1,26
RC,0272,ROUTER TPR FA2 BLU/RED 2.3MM,1059.0,847.2,280.11,953.1,26
RC,0272,ROUTER TPR FA3 WHT 3.0MM,1059.0,847.2,280.11,953.1,26
RC,0272,RSVR HEAT EXCHANGER BELMONT 3L,2698.0,2158.4,713.62,2428.2,26
RC,0272,SAMP DEL KT AERONOX 2.0 CONVL,1955.0,1564.0,517.1,1759.5,26
RC,0272,SAMP DEL KT AERONOX 2.0 HFV,2442.0,1953.6,645.91,2197.8,26
RC,0272,SAW BLADE SAG ARTX16X5.5X0.6MM,420.0,336.0,111.09,378.0,26
RC,0272,SAW BLADE SAG ARTX40X9.5X0.6MM,420.0,336.0,111.09,378.0,26
RC,0272,SAW BLADE SAGMICRO25X9.4X0.7MM,420.0,336.0,111.09,378.0,26
RC,0272,SCAF BONE CERAMENT 10CC,9433.0,7546.4,2495.03,8489.7,26
RC,0272,SCAF BONE CERAMENT 18CC,16433.0,13146.4,4346.53,14789.7,26
RC,0272,SCAF BONE CERAMENT 5CC,6278.0,5022.4,1660.53,5650.2,26
RC,0272,SCAF DURAL SYN SEAL ADHERUS,1632.0,1305.6,431.66,1468.8,26
RC,0272,SCAF DURAL SYN SEAL ADHERUS ET,1632.0,1305.6,431.66,1468.8,26
RC,0272,SCALPEL BLADE C2DX STER #12,855.0,684.0,226.15,769.5,26
RC,0272,SCALPEL BONE BLNT 20MM,3240.0,2592.0,856.98,2916.0,26
RC,0272,SCALPEL BONE BLNT LNG CUR*NLU*,3240.0,2592.0,856.98,2916.0,26
RC,0272,SCALPEL BONE SERR 20MM,3240.0,2592.0,856.98,2916.0,26
RC,0272,SCALPEL GD SPEEDRELEASE STER,3661.0,2928.8,968.33,3294.9,26
RC,0272,SCALPEL SNAP-FIT ROB SI R*NLU*,75.0,60.0,19.84,67.5,26
RC,0272,SCISSORS CURV ROB S RPSB,200.0,160.0,52.9,180.0,26
RC,0272,SCISSORS CURV ROB SI RPSB,250.0,200.0,66.13,225.0,26
RC,0272,SCISSORS CURV ROB SS RPSB 5MM,124.0,99.2,32.8,111.6,26
RC,0272,SCISSORS ENSIZER 2.6MMX165CM,2920.0,2336.0,772.34,2628.0,26
RC,0272,SCISSORS GRIESHABER CURV *NLU*,1352.0,1081.6,357.6,1216.8,26
RC,0272,SCISSORS GRIESHABER CURV 25G,2052.0,1641.6,542.75,1846.8,26
RC,0272,SCISSORS HOT ROB S RPSB,320.0,256.0,84.64,288.0,26
RC,0272,SCISSORS POTTS ROB S RPSB,195.0,156.0,51.58,175.5,26
RC,0272,SCISSORS POTTS RPSB ROB XI 8MM,205.0,164.0,54.22,184.5,26
RC,0272,SCISSORS RD TIP ROB RPSB 8MM,157.5,126.0,41.66,141.75,26
RC,0272,SCISSORS RD TIP ROB S RPSB,195.0,156.0,51.58,175.5,26
RC,0272,SCISSORS RD TIP ROB SI RPSB,267.0,213.6,70.62,240.3,26
RC,0272,SCISSORS VERTICAL 20G*NLU*,1394.0,1115.2,368.71,1254.6,26
RC,0272,SCISSORS VERTICAL 23G*NLU*,1550.0,1240.0,409.98,1395.0,26
RC,0272,SCISSORS VERTICLE PNCLE360 25G,1578.0,1262.4,417.38,1420.2,26
RC,0272,SCRAPER CMNT TI OSCAR PRO180X6,4748.0,3798.4,1255.85,4273.2,26
RC,0272,SCRAPER MEMB TANO RETR 25G,1179.0,943.2,311.85,1061.1,26
RC,0272,SCRAPER MEMB TANO STIF25G*NLU*,1173.0,938.4,310.26,1055.7,26
RC,0272,SCREW BONE EXTL FIX 60 CENT260,4277.0,3421.6,1131.27,3849.3,26
RC,0272,SCREW BONE HA 20MM THRD 3.0X80,3408.0,2726.4,901.42,3067.2,26
RC,0272,SCREW BONE REMOV STER,3632.0,2905.6,960.66,3268.8,26
RC,0272,SCREW CONN M6 DYNANAIL LNG,1437.0,1149.6,380.09,1293.3,26
RC,0272,SCREW COV CONIC CONN RP,627.0,501.6,165.84,564.3,26
RC,0272,SCREW EXTL FIX SCHANZ 2.5X20,2324.0,1859.2,614.7,2091.6,26
RC,0272,SCREW EXTR CONIC CANN 7.3MM,5089.0,4071.2,1346.04,4580.1,26
RC,0272,SCREW EXTR CONIC FOR LG SCREW,616.0,492.8,162.93,554.4,26
RC,0272,SCREW EXTR CONIC TIP 1.5/2.0MM,946.0,756.8,250.22,851.4,26
RC,0272,SCREW EXTR SUPRAPATELLAR M8,3622.0,2897.6,958.02,3259.8,26
RC,0272,SCREW EXTR SUPRAPATELLAR STER,4189.0,3351.2,1107.99,3770.1,26
RC,0272,SCREW FIX TMPR ADMRL2 DISP,430.0,344.0,113.74,387.0,26
RC,0272,SCREW MIS HEADED ZIMM 33MM,684.0,547.2,180.92,615.6,26
RC,0272,SCREW SHLDR SIXFIX,828.0,662.4,219.01,745.2,26
RC,0272,SCREW TRAC MINI JOINTDISTRAC20,1636.0,1308.8,432.72,1472.4,26
RC,0272,SCRWDRVR ASD MAXDRIVE KLS,1348.0,1078.4,356.55,1213.2,26
RC,0272,SCRWDRVR BIT CANN 3.0/4.0MM,1488.0,1190.4,393.58,1339.2,26
RC,0272,SCRWDRVR CANN HEX AO 3.5,3590.0,2872.0,949.56,3231.0,26
RC,0272,SCRWDRVR DUALX 2,3960.0,3168.0,1047.42,3564.0,26
RC,0272,SCRWDRVR HEX BIODRBLUGRY*DISC*,1836.0,1468.8,485.62,1652.4,26
RC,0272,SCRWDRVR NEURO SURG STIMLOC,1275.0,1020.0,337.24,1147.5,26
RC,0272,SCRWDRVR OSTEODRIV 2 DISP,2128.0,1702.4,562.86,1915.2,26
RC,0272,SCRWDRVR PT DISTRAC 0.3MM,3505.0,2804.0,927.07,3154.5,26
RC,0272,SCRWDRVR PT DISTRAC 90D 0*NLU*,4340.0,3472.0,1147.93,3906.0,26
RC,0272,SCRWDRVR PT DISTRAC ST 0*NLU*,3656.0,2924.8,967.01,3290.4,26
RC,0272,SCRWDRVR SQ ZIMM 1.3MM,952.0,761.6,251.8,856.8,26
RC,0272,SCRWDRVR T6 MSP STER,2299.0,1839.2,608.09,2069.1,26
RC,0272,SCRWDRVR T8 AO SLF RETAIN,2920.0,2336.0,772.34,2628.0,26
RC,0272,SEAL AORTIC HEARTSTRINGIII 3.8,3509.0,2807.2,928.13,3158.1,26
RC,0272,SEAL AORTIC HEARTSTRINGIII 4.3,3864.0,3091.2,1022.03,3477.6,26
RC,0272,SEAL CERV OMNI LOK,1020.0,816.0,269.79,918.0,26
RC,0272,SEAL VESS DISP EXT ROB XI 8MM,4594.0,3675.2,1215.11,4134.6,26
RC,0272,SEAL VESS DISP R*DISC 6293762*,4165.0,3332.0,1101.64,3748.5,26
RC,0272,SEAL VESS ENDOWRIST1DISPROB SI,4165.0,3332.0,1101.64,3748.5,26
RC,0272,SEAL VESS POWERSEAL 5MM 23CM,3667.0,2933.6,969.92,3300.3,26
RC,0272,SEAL VESS POWERSEAL 5MM 37CM,3667.0,2933.6,969.92,3300.3,26
RC,0272,SEAL VESS POWERSEAL 5MM 44CM,3667.0,2933.6,969.92,3300.3,26
RC,0272,SEALANT CORNEA RESURE*NLU*,963.0,770.4,254.71,866.7,26
RC,0272,SEALER ENSEAL LAP CURV 5MM35CM,3827.0,3061.6,1012.24,3444.3,26
RC,0272,SEALER ENSEAL LAP CURV 5MM45CM,4253.0,3402.4,1124.92,3827.7,26
RC,0272,SEALER SONICBEAT 5.5MM 35CM,2604.0,2083.2,688.76,2343.6,26
RC,0272,SEALER THORACIC MARYLAND JAW,4479.0,3583.2,1184.7,4031.1,26
RC,0272,SEALER VESS COOLSEAL 10CMX5MM,3605.0,2884.0,953.52,3244.5,26
RC,0272,SEALER VESS COOLSEAL 30CM,3605.0,2884.0,953.52,3244.5,26
RC,0272,SEALER VESS COOLSEAL 37CM,3605.0,2884.0,953.52,3244.5,26
RC,0272,SEALER VESS COOLSEAL MINI,5100.0,4080.0,1348.95,4590.0,26
RC,0272,SECURE NG BRIDLE PRO PUR5-6FR,891.0,712.8,235.67,801.9,26
RC,0272,SECURE NG BRIDLE PRO TEAL 10FR,891.0,712.8,235.67,801.9,26
RC,0272,SECURE NG BRIDLE PRO WHT 8FR,891.0,712.8,235.67,801.9,26
RC,0272,SECURE NG BRIDLE PROTEAL8-10FR,891.0,712.8,235.67,801.9,26
RC,0272,SECURESTRAP 5MM,3711.0,2968.8,981.56,3339.9,26
RC,0272,SELECT SPEC PICC KIT,327.0,261.6,86.49,294.3,26
RC,0272,SENS ACUMEN IQ 60IN,3576.0,2860.8,945.85,3218.4,26
RC,0272,SENS ART CDI,1288.0,1030.4,340.68,1159.2,26
RC,0272,SENS FLOTRAC60IN*DISC NO REPL*,3816.0,3052.8,1009.33,3434.4,26
RC,0272,SENS FLOTRACVAMP*DISC 6341871*,3400.0,2720.0,899.3,3060.0,26
RC,0272,SENS LAP OPEN ULTRSND TRACKING,3570.0,2856.0,944.27,3213.0,26
RC,0272,SENS LAP ULTRSND TRACKING,3570.0,2856.0,944.27,3213.0,26
RC,0272,SENS PRSS ACUMEN IQ VAMP 60,3695.0,2956.0,977.33,3325.5,26
RC,0272,SENS RSO2 INVOS 7100 ADLT>40KG,752.0,601.6,198.9,676.8,26
RC,0272,SENS RSO2 INVOS 7100PEDS4KG<40,900.0,720.0,238.05,810.0,26
RC,0272,SENS SOMASENS CRBL ADLT,684.0,547.2,180.92,615.6,26
RC,0272,SENS SOMASENS CRBL PEDS,900.0,720.0,238.05,810.0,26
RC,0272,SENS SPO2 FLEX NELLCOR 22X36MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,SENS SPO2 FLEX NELLCOR 23X40MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,SENS STIM RECTAL PATHWAY SEMG,480.0,384.0,126.96,432.0,26
RC,0272,SENS STIM VAGINAL PATHWAY SEMG,480.0,384.0,126.96,432.0,26
RC,0272,SENS TISS ODISSEY SM 5X5MM,4770.0,3816.0,1261.67,4293.0,26
RC,0272,SENS TISS OXMTR FORESIGHT LG,1409.0,1127.2,372.68,1268.1,26
RC,0272,SENS TISS OXMTR SIL SM,4770.0,3816.0,1261.67,4293.0,26
RC,0272,SEP 3MAX 0.030 130CM,10395.0,8316.0,2749.48,9355.5,26
RC,0272,SEP INDIGO 3 0.0*DISC 6293145*,5005.0,4004.0,1323.82,4504.5,26
RC,0272,SEP INDIGO 5 0.045 175CM,5005.0,4004.0,1323.82,4504.5,26
RC,0272,SEP INDIGO 6 0.055 175CM,4860.0,3888.0,1285.47,4374.0,26
RC,0272,SEP INDIGO 8 150*DISC 6335977*,8460.0,6768.0,2237.67,7614.0,26
RC,0272,SET ACC SIMPLE CHEST DRN VALV,742.0,593.6,196.26,667.8,26
RC,0272,SET ACC THORACIC NANO 125MM,4043.0,3234.4,1069.37,3638.7,26
RC,0272,SET ACC THORACIC NANO 180MM,4118.0,3294.4,1089.21,3706.2,26
RC,0272,SET ACC THORACIC NANO HF 125MM,4043.0,3234.4,1069.37,3638.7,26
RC,0272,SET ACC THORACIC NANO HF 250MM,4274.0,3419.2,1130.47,3846.6,26
RC,0272,SET ACCESS HASKAL TRANSJ*DISC*,4410.0,3528.0,1166.45,3969.0,26
RC,0272,SET ANCHOR GASTRO SAF-T-PEXY,1030.0,824.0,272.44,927.0,26
RC,0272,SET ANCHOR GASTRO*USE 6292699*,961.0,768.8,254.18,864.9,26
RC,0272,SET ANCHOR SUT COPE 17G 12CM,819.0,655.2,216.63,737.1,26
RC,0272,SET ART PRSS PED*DISC 6259809*,390.0,312.0,103.16,351.0,26
RC,0272,SET BLD 3SPIKE BELMONT RI-2,1582.0,1265.6,418.44,1423.8,26
RC,0272,SET BLD EXCHANGE SPECTRA OPTIA,3486.0,2788.8,922.05,3137.4,26
RC,0272,SET BLD IDL SPECTRA OPTIA,3155.0,2524.0,834.5,2839.5,26
RC,0272,SET CANN CORNUAL 5FR 35CM,1136.0,908.8,300.47,1022.4,26
RC,0272,SET CARDIOHELP HLS ADV 7.0,30599.0,24479.2,8093.44,27539.1,26
RC,0272,SET CATH DRN NDLE RING 5FR25CM,458.0,366.4,121.14,412.2,26
RC,0272,SET CELL SAVER ELITE 225ML,900.0,720.0,238.05,810.0,26
RC,0272,SET CELL SAVER ELITE 70ML,902.0,721.6,238.58,811.8,26
RC,0272,SET CHOLANGIO FR*DISC 6342617*,570.0,456.0,150.77,513.0,26
RC,0272,SET CIRCULAR SZR 25-29MM,4903.0,3922.4,1296.84,4412.7,26
RC,0272,SET COMBO ACCULIF TL TB*NLU*,2125.0,1700.0,562.06,1912.5,26
RC,0272,SET CORD TB BIPOLR FIXED LEAD,484.0,387.2,128.02,435.6,26
RC,0272,SET CORD TB BIPOLR FLYING LEAD,412.0,329.6,108.97,370.8,26
RC,0272,SET CORD TB ROTARY FIXEDBIPOLR,456.0,364.8,120.61,410.4,26
RC,0272,SET CORD TB ROTARY PUMP B*NLU*,428.0,342.4,113.21,385.2,26
RC,0272,SET CORD TB ROTARYFLYINGBIPOLR,404.0,323.2,106.86,363.6,26
RC,0272,SET DISP DRILL AND PIN ZIMM,684.0,547.2,180.92,615.6,26
RC,0272,SET EXT ENFIT MIC 12FR 0.8CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 12FR 1.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 12FR 1.2CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 12FR 1.5CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 12FR 1.7CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 12FR 2.0CM,1122.0,897.6,296.77,1009.8,26
RC,0272,SET EXT ENFIT MIC 12FR 2.3CM,887.0,709.6,234.61,798.3,26
RC,0272,SET EXT ENFIT MIC 12FR 2.5CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 12FR 2.7CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 12FR 3.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 12FR 3.5CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 12FR 4.0CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 14FR 1.0CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 14FR 1.2CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 14FR 1.5CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 14FR 1.7CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 14FR 2.0CM,994.0,795.2,262.91,894.6,26
RC,0272,SET EXT ENFIT MIC 14FR 2.3CM,1272.0,1017.6,336.44,1144.8,26
RC,0272,SET EXT ENFIT MIC 14FR 2.5CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 14FR 3.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 14FR 4.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 14FR 4.5CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 14FR 5.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 16FR 1.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 16FR 1.2CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 16FR 1.5CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 16FR 1.7CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 16FR 2.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 16FR 2.3CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 16FR 2.5CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 16FR 2.7CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 16FR 3.0CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 16FR 4.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 16FR 4.5CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 16FR 5.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 18FR 1.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 18FR 1.5CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 18FR 1.7CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 18FR 2.0CM,1272.0,1017.6,336.44,1144.8,26
RC,0272,SET EXT ENFIT MIC 18FR 2.5CM,1122.0,897.6,296.77,1009.8,26
RC,0272,SET EXT ENFIT MIC 18FR 2.7CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 18FR 3.0CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 18FR 3.5CM,1272.0,1017.6,336.44,1144.8,26
RC,0272,SET EXT ENFIT MIC 18FR 4.0CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 18FR 4.5CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 18FR 5.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 20FR 1.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 20FR 1.5CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 20FR 2.0CM,887.0,709.6,234.61,798.3,26
RC,0272,SET EXT ENFIT MIC 20FR 2.5CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 20FR 2.7CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 20FR 3.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 20FR 3.5CM,1122.0,897.6,296.77,1009.8,26
RC,0272,SET EXT ENFIT MIC 20FR 4.0CM,1065.0,852.0,281.69,958.5,26
RC,0272,SET EXT ENFIT MIC 20FR 4.5CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 20FR 5.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 24FR 3.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 24FR 3.5CM,923.0,738.4,244.13,830.7,26
RC,0272,SET EXT ENFIT MIC 24FR 4.0CM,1123.0,898.4,297.03,1010.7,26
RC,0272,SET EXT ENFIT MIC 24FR 5.0CM,923.0,738.4,244.13,830.7,26
RC,0272,SET FEED FREDERICKMILLER8*NLU*,570.0,456.0,150.77,513.0,26
RC,0272,SET INST SWIVELK DX 3.5X8.5MM,2420.0,1936.0,640.09,2178.0,26
RC,0272,SET INTR APRIMA CHIBA 21*DISC*,638.0,510.4,168.75,574.2,26
RC,0272,SET INTR BLU RHINO G2 G,2552.0,2041.6,675.0,2296.8,26
RC,0272,SET INTR KOLENDA SALIVARY1.9MM,1063.0,850.4,281.16,956.7,26
RC,0272,SET INTR KOLENDA SALIVARY2.2MM,1530.0,1224.0,404.69,1377.0,26
RC,0272,SET INTR MAK-NV-002-COAX 6,713.0,570.4,188.59,641.7,26
RC,0272,SET INTR MRI PROBE ENCOR 10G,1161.0,928.8,307.08,1044.9,26
RC,0272,SET INTR STNT PUSH CATH 7*NLU*,819.0,655.2,216.63,737.1,26
RC,0272,SET INTROTIP ST 10.2FR 30CM,1096.0,876.8,289.89,986.4,26
RC,0272,SET IRG TB MISONIX,500.0,400.0,132.25,450.0,26
RC,0272,SET IRG WARM 3M RANGER,444.0,355.2,117.44,399.6,26
RC,0272,SET IRG WARM NORMOFLO,314.0,251.2,83.05,282.6,26
RC,0272,SET IRG WARM NORMOFLO 2Y,460.0,368.0,121.67,414.0,26
RC,0272,SET LACERATION MINI MONOK,720.0,576.0,190.44,648.0,26
RC,0272,SET LIVER ACCESS,3570.0,2856.0,944.27,3213.0,26
RC,0272,SET LIVER ACCESS BX 18GX*DISC*,3640.0,2912.0,962.78,3276.0,26
RC,0272,SET LIVER ACCESS*DISC 6273597*,3640.0,2912.0,962.78,3276.0,26
RC,0272,SET LIVER ACCESS*DISC 6341105*,3407.0,2725.6,901.15,3066.3,26
RC,0272,SET LIVER BX LAB*DISC 6316757*,3015.0,2412.0,797.47,2713.5,26
RC,0272,SET MENISCAL MENDER 2 DISP,1352.0,1081.6,357.6,1216.8,26
RC,0272,SET NDLE PAKTER CURV 25G*NLU*,511.0,408.8,135.16,459.9,26
RC,0272,SET PD TRANS MINICAP EXT LIFE,371.0,296.8,98.13,333.9,26
RC,0272,SET PD TRANS TWI*DISC 6344614*,443.0,354.4,117.17,398.7,26
RC,0272,SET PD TRANSTWIS*DISC 6344614*,371.0,296.8,98.13,333.9,26
RC,0272,SET PERFUSION REPL LN CAPIOX,485.0,388.0,128.28,436.5,26
RC,0272,SET PERICARDCENT 5FR30C*DISC*,1273.0,1018.4,336.71,1145.7,26
RC,0272,SET PRSS MON,1240.0,992.0,327.98,1116.0,26
RC,0272,SET PRSS MON ST2*DISC 6337309*,390.0,312.0,103.16,351.0,26
RC,0272,SET RENAL DILATO*DISC 6323189*,1702.0,1361.6,450.18,1531.8,26
RC,0272,SET SAMP CHORIONIC 5.7FR 27CM,386.0,308.8,102.1,347.4,26
RC,0272,SET SCREW OC FLAT CONN,500.0,400.0,132.25,450.0,26
RC,0272,SET TB COOL PNT 260CM,693.0,554.4,183.3,623.7,26
RC,0272,SET TROC CANN VALVD 23G,682.0,545.6,180.39,613.8,26
RC,0272,SET WARM BLD FLUID 74ML,411.0,328.8,108.71,369.9,26
RC,0272,SET WARM BLD FLUID HIGH 150ML,370.0,296.0,97.87,333.0,26
RC,0272,SET WRENCH HEX*DISC 6201811*,542.0,433.6,143.36,487.8,26
RC,0272,SHAFT ADPTR DRIVER QK CONN,2125.0,1700.0,562.06,1912.5,26
RC,0272,SHAFT DRILL RT ANG STER,5715.0,4572.0,1511.62,5143.5,26
RC,0272,SHAFT DRIV HEX 3.5MM*NLU*,3168.0,2534.4,837.94,2851.2,26
RC,0272,SHAFT MOD TRINKLE BIXCUT 448MM,1799.0,1439.2,475.84,1619.1,26
RC,0272,SHAFT MOD TRINKLE BIXCUT 510MM,2604.0,2083.2,688.76,2343.6,26
RC,0272,SHAFT MOD TRINKLE BIXCUT 885MM,2921.0,2336.8,772.6,2628.9,26
RC,0272,SHAFT SCRWDRVR AO QC T15,3600.0,2880.0,952.2,3240.0,26
RC,0272,SHAFT SCRWDRVR AO QC T8,3600.0,2880.0,952.2,3240.0,26
RC,0272,SHAFT SCRWDRVR HEX TPR 2.5MM,1615.0,1292.0,427.17,1453.5,26
RC,0272,SHAVER CUTTER PROBE 3IN1 5.0MM,3360.0,2688.0,888.72,3024.0,26
RC,0272,SHAVER CYCLON SPHERE 5.5M*NLU*,540.0,432.0,142.83,486.0,26
RC,0272,SHAVER DRAGON 4.2MM*NLU*,516.0,412.8,136.48,464.4,26
RC,0272,SHAVER FULL RAD RESECT 2.*NLU*,658.0,526.4,174.04,592.2,26
RC,0272,SHAVER FULL RAD RESECT 3.*NLU*,516.0,412.8,136.48,464.4,26
RC,0272,SHAVER FULL RAD RESECT 4.*NLU*,507.0,405.6,134.1,456.3,26
RC,0272,SHAVER FULL RAD RESECT 5.*NLU*,507.0,405.6,134.1,456.3,26
RC,0272,SHAVER GATOR MENISC 4.2MM*NLU*,507.0,405.6,134.1,456.3,26
RC,0272,SHAVER GREAT WHT 15D 4.2M*NLU*,798.0,638.4,211.07,718.2,26
RC,0272,SHAVER GREAT WHT LG HUB 5*NLU*,601.0,480.8,158.96,540.9,26
RC,0272,SHAVER GREAT WHT ST 4.2MM*NLU*,595.0,476.0,157.38,535.5,26
RC,0272,SHAVER MENISC CUTTER 4.2M*NLU*,485.0,388.0,128.28,436.5,26
RC,0272,SHAVER NANO SABRE 2.8MMX11CM,859.0,687.2,227.21,773.1,26
RC,0272,SHAVER OVAL HIGH SPEED 130X4MM,678.0,542.4,179.33,610.2,26
RC,0272,SHAVER OVAL RDCTN HOOD 5*NLU*,818.0,654.4,216.36,736.2,26
RC,0272,SHAVER SPHERE HIGH SPEED *NLU*,540.0,432.0,142.83,486.0,26
RC,0272,SHAVER SPHERE HIGH SPEED 4.5MM,534.0,427.2,141.24,480.6,26
RC,0272,SHAVER SPHERE MICRO 2.9MM*NLU*,734.0,587.2,194.14,660.6,26
RC,0272,SHAVER ULTRACUT XTR SHARP*NLU*,854.0,683.2,225.88,768.6,26
RC,0272,SHEAR CURV HARM*DUP 6298454*,86.0,68.8,22.75,77.4,26
RC,0272,SHEAR CURV HARMONIC DISP ROB S,3440.0,2752.0,909.88,3096.0,26
RC,0272,SHEAR HARMONIC DISP ROB XI,4006.0,3204.8,1059.59,3605.4,26
RC,0272,SHEAR HARMONIC ROB SI RPSB,55.0,44.0,14.55,49.5,26
RC,0272,SHEARS ENDO ACE+*DISC 6340898*,4358.0,3486.4,1152.69,3922.2,26
RC,0272,SHEARS ENDO ACE+*DISC 6340899*,4801.0,3840.8,1269.86,4320.9,26
RC,0272,SHEARS HARMO*DISC 6319247*,5086.0,4068.8,1345.25,4577.4,26
RC,0272,SHEARS HARMONIC 1100 20CM,4975.0,3980.0,1315.89,4477.5,26
RC,0272,SHEARS HARMONIC 1100 36CM,4856.0,3884.8,1284.41,4370.4,26
RC,0272,SHEARS HARMONIC*DISC 6319246*,4467.0,3573.6,1181.52,4020.3,26
RC,0272,SHEARS OPEN ACE+ CURV 5MMX36CM,4358.0,3486.4,1152.69,3922.2,26
RC,0272,SHEARS OPEN ACE+ CURV 5MMX45CM,4801.0,3840.8,1269.86,4320.9,26
RC,0272,SHEARS OPEN FOCUS PLUS CURV9CM,3735.0,2988.0,987.91,3361.5,26
RC,0272,SHEARS OPEN FOCUS PLUSCURV17CM,4083.0,3266.4,1079.95,3674.7,26
RC,0272,SHEATH 80/4 MP LNG 6FR 80CM,3880.0,3104.0,1026.26,3492.0,26
RC,0272,SHEATH 90/4 MP LNG 6FR 90CM,3880.0,3104.0,1026.26,3492.0,26
RC,0272,SHEATH CATH PASR*DISC 6337185*,978.0,782.4,258.68,880.2,26
RC,0272,SHEATH CATH PASR*DISC 6337186*,978.0,782.4,258.68,880.2,26
RC,0272,SHEATH CH VISION 4000-5000,350.0,280.0,92.58,315.0,26
RC,0272,SHEATH COMPANION IMPELLA 7FR,2125.0,1700.0,562.06,1912.5,26
RC,0272,SHEATH DBL WATCHMAN TRUSTEER,6750.0,5400.0,1785.38,6075.0,26
RC,0272,SHEATH DIL 10FR/3.3 8FR/2.7,989.0,791.2,261.59,890.1,26
RC,0272,SHEATH DIL TIGHTRAIL 11FR,9135.0,7308.0,2416.21,8221.5,26
RC,0272,SHEATH DIL TIGHTRAIL 13FR,9135.0,7308.0,2416.21,8221.5,26
RC,0272,SHEATH DIL TIGHTRAIL MINI 11FR,9203.0,7362.4,2434.19,8282.7,26
RC,0272,SHEATH ENDO TV 1.5MM*NLU*,440.0,352.0,116.38,396.0,26
RC,0272,SHEATH ENDOSCOPE MINOP 10*NLU*,2103.0,1682.4,556.24,1892.7,26
RC,0272,SHEATH ENDOSCP MINOP 19FR,2051.0,1640.8,542.49,1845.9,26
RC,0272,SHEATH ENDOSCRUB2 STORZ 0D,595.0,476.0,157.38,535.5,26
RC,0272,SHEATH ENDOSCRUB2 STORZ 30D,533.0,426.4,140.98,479.7,26
RC,0272,SHEATH ENDOSCRUB2 STORZ 45D,533.0,426.4,140.98,479.7,26
RC,0272,SHEATH GD CEREBASE DA 90CM,3528.0,2822.4,933.16,3175.2,26
RC,0272,SHEATH GD CEREBASE DA 95CM,3528.0,2822.4,933.16,3175.2,26
RC,0272,SHEATH GD CURV 8.5FR 17MMX67CM,5400.0,4320.0,1428.3,4860.0,26
RC,0272,SHEATH GD OPTIMA 0.088 100CM,3542.0,2833.6,936.86,3187.8,26
RC,0272,SHEATH GD OPTIMA 0.088 80CM,3542.0,2833.6,936.86,3187.8,26
RC,0272,SHEATH GD OPTIMA 0.088 90CM,3542.0,2833.6,936.86,3187.8,26
RC,0272,SHEATH INTHRILL INAR 8FR 6CM,8100.0,6480.0,2142.45,7290.0,26
RC,0272,SHEATH INTR SENTRANT 26F 28CM,1913.0,1530.4,505.99,1721.7,26
RC,0272,SHEATH MICRO STIFF PLAT 5*NLU*,373.0,298.4,98.66,335.7,26
RC,0272,SHEATH MICRO STIFF PLAT 5FR7CM,462.0,369.6,122.2,415.8,26
RC,0272,SHEATH PEDICLE ACC TOOL*NLU*,1556.0,1244.8,411.56,1400.4,26
RC,0272,SHEATH PEEL AWAY 9FR*NLU*,917.0,733.6,242.55,825.3,26
RC,0272,SHEATH PEELABLE MDCM 16FR 14,300.0,240.0,79.35,270.0,26
RC,0272,SHEATH PEELAPART BAAS 15FR 14,803.0,642.4,212.39,722.7,26
RC,0272,SHEATH PEELAWAY CODMAN 12.5FR,1816.0,1452.8,480.33,1634.4,26
RC,0272,SHEATH PEELAWAY FTPR 1.4FR,460.0,368.0,121.67,414.0,26
RC,0272,SHEATH R2P SLENDER ST 6FR 85CM,2560.0,2048.0,677.12,2304.0,26
RC,0272,SHEATH R2P SLENDER ST 6FR 95CM,2560.0,2048.0,677.12,2304.0,26
RC,0272,SHEATH R2P SLENDER ST 6FR119CM,2560.0,2048.0,677.12,2304.0,26
RC,0272,SHEATH R2P SLENDER ST 6FR149CM,2560.0,2048.0,677.12,2304.0,26
RC,0272,SHEATH TUNNEL 6MMX30.5CM,654.0,523.2,172.98,588.6,26
RC,0272,SHEATH TUNNEL 8MMX30.5CM,635.0,508.0,167.96,571.5,26
RC,0272,SHEATH TUNNEL LGCURV8MMX30.5CM,635.0,508.0,167.96,571.5,26
RC,0272,SHEATH TUNNEL SMCURV6MMX3.05CM,654.0,523.2,172.98,588.6,26
RC,0272,SHEATH URETRL CLRPTRA11/13FR40,5250.0,4200.0,1388.63,4725.0,26
RC,0272,SHEATH URETRL CLRPTRA11/13FR50,5250.0,4200.0,1388.63,4725.0,26
RC,0272,SHEATH URETRL CLRPTRA12/14FR36,5250.0,4200.0,1388.63,4725.0,26
RC,0272,SHEATH URETRL CLRPTRA12/14FR40,5250.0,4200.0,1388.63,4725.0,26
RC,0272,SHEATH VALV BRONCHSCOPE,366.0,292.8,96.81,329.4,26
RC,0272,SHEATH VASC ACC ELEMENT 65CM,5760.0,4608.0,1523.52,5184.0,26
RC,0272,SHEATH VERSACROS*DISC 6345480*,4725.0,3780.0,1249.76,4252.5,26
RC,0272,SHIELD EYE DBL FM OMMA STER,57.0,45.6,15.08,51.3,26
RC,0272,SHIELD PLAS ANTIFOG STER,360.0,288.0,95.22,324.0,26
RC,0272,SHIM SPNL INTRADISCAL NARW,2200.0,1760.0,581.9,1980.0,26
RC,0272,SHIM SPNL INTRADISCAL WIDE,2200.0,1760.0,581.9,1980.0,26
RC,0272,SHIM SPNL PTP INTRADISCAL WIDE,2200.0,1760.0,581.9,1980.0,26
RC,0272,SHLDR DIVD PASSPORT 12MM,627.0,501.6,165.84,564.3,26
RC,0272,SHLDR GDREAM MODEL CMPRHNSVVRS,8798.0,7038.4,2327.07,7918.2,26
RC,0272,SHLDR GLENO PIN KT 200MM,756.0,604.8,199.96,680.4,26
RC,0272,SHLDR HEX SCREW DRIV BIT REVII,922.0,737.6,243.87,829.8,26
RC,0272,SHLDR PIN SET UNIV RVRS 2.4MM,3200.0,2560.0,846.4,2880.0,26
RC,0272,SHLDR PIN SS GLENO TARGETER2.8,713.0,570.4,188.59,641.7,26
RC,0272,SHLDR PRCD KT LATARJET DISP,5109.0,4087.2,1351.33,4598.1,26
RC,0272,SHLDR SPACER MOLD CEMEND 10-48,12750.0,10200.0,3372.38,11475.0,26
RC,0272,SHLDR SPACER MOLD CEMEND 8-42,12750.0,10200.0,3372.38,11475.0,26
RC,0272,SHLDR STBL KT CRITTER,482.0,385.6,127.49,433.8,26
RC,0272,SHLDR STBL KT MARCO,915.0,732.0,242.02,823.5,26
RC,0272,SHLDR TRAC STAR SLV W COBAN,693.0,554.4,183.3,623.7,26
RC,0272,SHNT ASCITES DENVER 15FR*DISC*,7241.0,5792.8,1915.24,6516.9,26
RC,0272,SHNT CAROTID ARGYLE 8-14FR15CM,580.0,464.0,153.41,522.0,26
RC,0272,SHNT CAROTID AVI17FR27.5*DISC*,703.0,562.4,185.94,632.7,26
RC,0272,SHNT CAROTID BRE14FR13CM*DISC*,587.0,469.6,155.26,528.3,26
RC,0272,SHNT CAROTID BUR*DISC 6324253*,2072.0,1657.6,548.04,1864.8,26
RC,0272,SHNT CAROTID JA*DISC 6322892*,618.0,494.4,163.46,556.2,26
RC,0272,SHNT CAROTID PRUITT-INAHARA 9,6161.0,4928.8,1629.58,5544.9,26
RC,0272,SHNT CAROTID SUNDT EXTL 3X4MM,5239.0,4191.2,1385.72,4715.1,26
RC,0272,SHNT CAROTID SUNDT EXTL 3X5MM,4940.0,3952.0,1306.63,4446.0,26
RC,0272,SHNT CAROTID SUNDT INT 3.5X5MM,4205.0,3364.0,1112.22,3784.5,26
RC,0272,SHNT CAROTID SUNDT INTRL 3X4MM,4632.0,3705.6,1225.16,4168.8,26
RC,0272,SHNT CATH PERI OPEN END 120CM,1488.0,1190.4,393.58,1339.2,26
RC,0272,SHNT FLO-THRU 1.25MM,849.0,679.2,224.56,764.1,26
RC,0272,SHNT FLO-THRU 1.50MM,849.0,679.2,224.56,764.1,26
RC,0272,SHNT FLO-THRU 1.75MM,849.0,679.2,224.56,764.1,26
RC,0272,SHNT FLO-THRU 2.00MM,581.0,464.8,153.67,522.9,26
RC,0272,SHNT FLO-THRU 2.25MM,824.0,659.2,217.95,741.6,26
RC,0272,SHNT FLO-THRU 2.50MM,785.0,628.0,207.63,706.5,26
RC,0272,SHNT FLO-THRU 2.75MM*NLU*,547.0,437.6,144.68,492.3,26
RC,0272,SHNT FLO-THRU 3.00MM,824.0,659.2,217.95,741.6,26
RC,0272,SHNT N CONN LL*DISC NO REPL*,638.0,510.4,168.75,574.2,26
RC,0272,SHT SIL NONREIN 2X3X0.02,910.0,728.0,240.7,819.0,26
RC,0272,SHUTTLE QUICKPASS TENDON3.5X22,842.0,673.6,222.71,757.8,26
RC,0272,SIGMOID LIGHT-SCOPE RECTO DISP,380.0,304.0,100.51,342.0,26
RC,0272,SIZER CHIN FOR CONT 2PC SIL,2304.0,1843.2,609.41,2073.6,26
RC,0272,SIZER CHORD-X CHORDAL DISP,523.0,418.4,138.33,470.7,26
RC,0272,SIZER HIPROMEMORYXTRA RPS*NLU*,220.0,176.0,58.19,198.0,26
RC,0272,SIZER MAM 410FF RPSB 425C*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 410FX RPSB 410C*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 410FX RPSB 690C*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 410LM RPSB 220C*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 410MF RPSB 375*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 410MF RPSB 420C*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 410MM RPSB 245C*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 410MM RPSB 320C*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 410MM RPSB 360C*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 410MX RPSB 370C*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 410MX RPSB 685C*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM 68HP DISP 200-220CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68HP DISP 280-300CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68HP DISP 320-340CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68HP DISP 350-380CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68HP DISP 400-430CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68HP DISP 425-455CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68HP DISP 465-505CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68HP DISP 500-540CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68HP DISP 550-590CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68HP DISP 650-700CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68HP DISP 750-800CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68LP DISP 150-170CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68LP DISP 275-295CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 180-210CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 210-240CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 240-270CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 270-300CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 300-330CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 330-360CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 360-390CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 390-420CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 420-450CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 450-480CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 480-510CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 510-540CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM 68MP DISP 650-700CC,350.0,280.0,92.58,315.0,26
RC,0272,SIZER MAM GEL HIPRO RPSB 800CC,200.0,160.0,52.9,180.0,26
RC,0272,SIZER MAM GEL MOD RPSB 3*NLU*,234.0,187.2,61.89,210.6,52
RC,0272,SIZER MAM GEL MOD RPSB 4*NLU*,234.0,187.2,61.89,210.6,52
RC,0272,SIZER MAM HIPRO DISP 330C*NLU*,1020.0,816.0,269.79,918.0,26
RC,0272,SIZER MAM LOW PROJ SIEN 190CC,1913.0,1530.4,505.99,1721.7,26
RC,0272,SIZER MAM LOW PROJ SIEN 250CC,1913.0,1530.4,505.99,1721.7,26
RC,0272,SIZER MAM LOW+PROJ SIEN 280CC,1913.0,1530.4,505.99,1721.7,26
RC,0272,SIZER MAM LOW+PROJ SIEN 300CC,1913.0,1530.4,505.99,1721.7,26
RC,0272,SIZER MAM MODPRO DISP 22*NLU*,400.0,320.0,105.8,360.0,26
RC,0272,SIZER MAM MODPRO DISP 27*NLU*,400.0,320.0,105.8,360.0,26
RC,0272,SIZER MAM MODPRO DISP 32*NLU*,400.0,320.0,105.8,360.0,26
RC,0272,SIZER MAM MODPRO+ DISP 200CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 250CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 300CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 350CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 375CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 400CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 425CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 450CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 475CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 500CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 550CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 600CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 650CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 700CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 750CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM MODPRO+ DISP 800CC,1063.0,850.4,281.16,956.7,26
RC,0272,SIZER MAM RD HIPROJ SIEN *NLU*,570.0,456.0,150.77,513.0,26
RC,0272,SIZER MAM RD HIPROJ SIEN 205CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 300CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 330CC,570.0,456.0,150.77,513.0,26
RC,0272,SIZER MAM RD HIPROJ SIEN 350CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 385CC,570.0,456.0,150.77,513.0,26
RC,0272,SIZER MAM RD HIPROJ SIEN 415CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 440CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 470CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 505CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 535CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 565CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 590CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 620CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 650CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD HIPROJ SIEN 700CC,570.0,456.0,150.77,513.0,26
RC,0272,SIZER MAM RD MOD+ SIEN 255CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 285CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 305CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 325CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 355CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 385CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 415CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 435CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 455CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 485CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 505CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 525CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 575CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 590CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 625CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+ SIEN 650CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+SIEN 215CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD MOD+SIEN 235CC,618.0,494.4,163.46,556.2,26
RC,0272,SIZER MAM RD SALINE 325CC,400.0,320.0,105.8,360.0,26
RC,0272,SIZER MAM SRF RPSB 385CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRF RPSB 415CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRF RPSB 450CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRF RPSB 520CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRF RPSB 650CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRF RPSB 695CC,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRF RPSB 745CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRF RPSB 770CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRL RPSB 230CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRL RPSB 260CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRL RPSB*VAT NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRLP RPSB 145CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRLP RPSB 590CC,1700.0,1360.0,449.65,1530.0,26
RC,0272,SIZER MAM SRM RPSB 255CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRM RPSB 360CC,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRM RPSB 375CC,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRM RPSB 405CC,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRM RPSB 445CC,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRM RPSB 485CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRM RPSB 520CC,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRM RPSB 560CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRM RPSB 600CC,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRM RPSB 685CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRM RPSB 755CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRX RPSB 700CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM SRX RPSB 750CC*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM STYLE10 RPSB 45*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM STYLE15 RPSB 39*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM STYLE15 RPSB 42*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM STYLE20 RPSB 45*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER MAM STYLE20 RPSB 60*NLU*,155.0,124.0,41.0,139.5,26
RC,0272,SIZER TENODESIS GRAFT ARTX,2596.0,2076.8,686.64,2336.4,26
RC,0272,SKID PORTAL ENDO ARTX DISP,495.0,396.0,130.93,445.5,26
RC,0272,SKIN GRAFT CARRIER 16*NLU*,413.0,330.4,109.24,371.7,26
RC,0272,SKIN GRAFT DERMACARRIER 1.5-1,480.0,384.0,126.96,432.0,26
RC,0272,SKIN GRAFT DERMACARRIER 3-1,480.0,384.0,126.96,432.0,26
RC,0272,SLITTER CATH LEAD SELECTRA,891.0,712.8,235.67,801.9,26
RC,0272,SLV CHECKFLO STER 3-9FR 65CM,365.0,292.0,96.54,328.5,26
RC,0272,SLV COMP ARM BOLERO ADLTBLK2XL,165.0,132.0,43.64,148.5,26
RC,0272,SLV COMP ARM BOLERO BLK ADLTLG,165.0,132.0,43.64,148.5,26
RC,0272,SLV COMP ARM BOLERO BLK ADLTMD,165.0,132.0,43.64,148.5,26
RC,0272,SLV COMP ARM BOLERO BLK ADLTSM,165.0,132.0,43.64,148.5,26
RC,0272,SLV COMP ARM BOLERO BLK ADLTXS,165.0,132.0,43.64,148.5,26
RC,0272,SLV COMP FRAG-LOC,672.0,537.6,177.74,604.8,26
RC,0272,SLV DRILL LK SHRT DISP 3.1MM,2105.0,1684.0,556.77,1894.5,26
RC,0272,SLV EXTL FIX CTR ILIZAROV 6MM,380.0,304.0,100.51,342.0,26
RC,0272,SLV EXTL FIX CTR SIXFIX 4MM,927.0,741.6,245.19,834.3,26
RC,0272,SLV EXTL FIX CTR SIXFIX 5MM,927.0,741.6,245.19,834.3,26
RC,0272,SLV EXTL FIX ILIZAROV CTR 6MM,380.0,304.0,100.51,342.0,26
RC,0272,SLV IRR ELITE 7CM,687.0,549.6,181.71,618.3,26
RC,0272,SLV NAIL FLEX TIB STERLNG8-11,1451.0,1160.8,383.79,1305.9,26
RC,0272,SLV NAIL FLEX TIB STERLNG8-13,1404.0,1123.2,371.36,1263.6,26
RC,0272,SLV NAIL RIGID STER LNG 8-11MM,1955.0,1564.0,517.1,1759.5,26
RC,0272,SLV OUTER PROTECT SYNT 12.0MM,858.0,686.4,226.94,772.2,26
RC,0272,SLV OUTER PROTECT SYNT 14.5MM,858.0,686.4,226.94,772.2,26
RC,0272,SLV STAR ARTX,935.0,748.0,247.31,841.5,26
RC,0272,SLV SUT LEAD TENDRIL STS IS1,450.0,360.0,119.03,405.0,26
RC,0272,SLV TROC VERSASEAL+ 5-12MM,405.0,324.0,107.12,364.5,26
RC,0272,SLV TROC VERSASTEP 5MM,367.0,293.6,97.07,330.3,26
RC,0272,SLV TUNNELING PARENCHYMA *NLU*,665.0,532.0,175.89,598.5,26
RC,0272,SLV TUNNELING VENT CH12*NLU*,665.0,532.0,175.89,598.5,26
RC,0272,SMIT SLV CTMR,758.0,606.4,200.49,682.2,26
RC,0272,SNARE ENSNARE 7FR 27-45MM,2125.0,1700.0,562.06,1912.5,26
RC,0272,SNARE MULTBAND DUETTE 5FR,2800.0,2240.0,740.6,2520.0,26
RC,0272,SNARE RETRV SPYGLASS 286CM,3553.0,2842.4,939.77,3197.7,26
RC,0272,SNARE ROTATORMINIOVAL2.4MMX230,360.0,288.0,95.22,324.0,26
RC,0272,SOCK DERMIS PREVENT RTST*NLU*,240.0,192.0,63.48,216.0,52
RC,0272,SOL LAVAGE BACTISURE 1L,3605.0,2884.0,953.52,3244.5,26
RC,0272,SOL LIFT SUBMUCOSALENDOCOT15ML,561.0,448.8,148.38,504.9,26
RC,0272,SOL OPH TISSUEBLUE 0.025%,1190.0,952.0,314.76,1071.0,26
RC,0272,SOL WND LAVAGE B*DISC 6319286*,4000.0,3200.0,1058.0,3600.0,26
RC,0272,SPATULA DELAMINATION DSP45D25G,618.0,494.4,163.46,556.2,26
RC,0272,SPEAR ARTHROSCOPIC 2.6MMFBRTAK,2640.0,2112.0,698.28,2376.0,26
RC,0272,SPECULUM OPEN SI*DISC NO REPL*,440.0,352.0,116.38,396.0,26
RC,0272,SPECULUM VAG GRAVES STER XLNG,494.0,395.2,130.66,444.6,26
RC,0272,SPEECH AID LIBERTY ELECTR*NLU*,2040.0,1632.0,539.58,1836.0,26
RC,0272,SPHERE STEALTH FUSN,855.0,684.0,226.15,769.5,26
RC,0272,SPHOTOME AUTOTOME RX39 20MM,1777.0,1421.6,470.02,1599.3,26
RC,0272,SPHOTOME AUTOTOME RX44 20MM,1777.0,1421.6,470.02,1599.3,26
RC,0272,SPHOTOME COMPLCTRL SHRT 20MM,1692.0,1353.6,447.53,1522.8,26
RC,0272,SPHOTOME DREAMTOME PRO44 260CM,2792.0,2233.6,738.48,2512.8,26
RC,0272,SPHOTOME DREAMTOME RX44 260CM,2792.0,2233.6,738.48,2512.8,26
RC,0272,SPHOTOME DREAMTOME RX44 450CM,2792.0,2233.6,738.48,2512.8,26
RC,0272,SPHOTOME DREAMTOME RX49 260CM,2792.0,2233.6,738.48,2512.8,26
RC,0272,SPHOTOME FUSN OMNI TRACER260CM,2344.0,1875.2,619.99,2109.6,26
RC,0272,SPHOTOME HYDRATOME RX44 20MM,2792.0,2233.6,738.48,2512.8,26
RC,0272,SPHOTOME HYDRATOME RX49 260CM,2792.0,2233.6,738.48,2512.8,26
RC,0272,SPHOTOME JAGTOME REVOPRO39 260,3223.0,2578.4,852.48,2900.7,26
RC,0272,SPLT DENTAL OCCL*DISC 6333378*,924.0,739.2,244.4,831.6,26
RC,0272,SPLT MAND PT SPECIF ORTHO FINA,3438.0,2750.4,909.35,3094.2,26
RC,0272,SPLT NASAL BIVALV THK 0.50MM,394.0,315.2,104.21,354.6,26
RC,0272,SPLT NASAL DENVER 1500 LG,244.0,195.2,64.54,219.6,26
RC,0272,SPLT NASAL DENVER 1500 PET,224.0,179.2,59.25,201.6,26
RC,0272,SPLT NASAL DENVER 1500 SM/MD,233.0,186.4,61.63,209.7,26
RC,0272,SPLT NASAL EXTL MDTR MD,161.0,128.8,42.58,144.9,26
RC,0272,SPLT NASAL GOODE*DISC 6168812*,887.0,709.6,234.61,798.3,26
RC,0272,SPLT OCCL DBL JA*DISC 6333376*,5247.0,4197.6,1387.83,4722.3,26
RC,0272,SPLT OCCL DBL JAW IPS CUST,4215.0,3372.0,1114.87,3793.5,26
RC,0272,SPLT OCCL SGL JAW IPS CUST,2994.0,2395.2,791.91,2694.6,26
RC,0272,SPLT OCCL SUPPLAL IPS CUST,876.0,700.8,231.7,788.4,26
RC,0272,SPLT PT SPECIF ORTHO INTRMD,3338.0,2670.4,882.9,3004.2,26
RC,0272,SPLT SEPTAL BREATHE-EASY XL,320.0,256.0,84.64,288.0,26
RC,0272,SPLT SYS AQUAPLAST-T 1/8*NLU*,150.0,120.0,39.68,135.0,26
RC,0272,SPNG EXTL FIX PIN WIRE SHIELD,3336.0,2668.8,882.37,3002.4,26
RC,0272,SPNG ILIZAROV RD 2IN*DISC*,1020.0,816.0,269.79,918.0,26
RC,0272,SPNG SCLERAL BUCKLE OVAL 5MM,629.0,503.2,166.37,566.1,26
RC,0272,SPNL 360 TRACKER COPILOT Q,6413.0,5130.4,1696.24,5771.7,26
RC,0272,SPREADER GRAFT CUFFMEND AUGSYS,3300.0,2640.0,872.85,2970.0,26
RC,0272,SPUD EYE STER 4.5IN,421.0,336.8,111.35,378.9,26
RC,0272,STANDOFF EXTL FIX MAXFRAME 150,4804.0,3843.2,1270.66,4323.6,26
RC,0272,STANDOFF EXTL FIX MAXFRAME 65,886.0,708.8,234.35,797.4,26
RC,0272,STANDOFF EXTL FIX MAXFRAME 80,978.0,782.4,258.68,880.2,26
RC,0272,STAPL*DISC 6172866 OR 6188450*,451.0,360.8,119.29,405.9,26
RC,0272,STAPLE LOADEND45*DISC 6201147*,776.0,620.8,205.25,698.4,26
RC,0272,STAPLE LOADGIA30*DISC 6275155*,1139.0,911.2,301.27,1025.1,26
RC,0272,STAPLE LOADGIA45*DISC 6201144*,776.0,620.8,205.25,698.4,26
RC,0272,STAPLE LOADGIA45*DISC 6201147*,1334.5,1067.6,344.38,1230.3,52
RC,0272,STAPLE LOADGIA60*DISC 6204285*,1099.0,879.2,290.69,989.1,26
RC,0272,STAPLE LOADGIA60*DISC 6275162*,1702.5,1362.0,290.69,2075.4,52
RC,0272,STAPLE RELOA*DISC 6275163*,2282.0,1825.6,603.59,2053.8,26
RC,0272,STAPLE RELOAD 45*DISC NO REPL*,1276.0,1020.8,337.5,1148.4,26
RC,0272,STAPLE RELOAD CO*DISC 6321929*,3218.0,2574.4,851.16,2896.2,26
RC,0272,STAPLE RELOAD EN*DISC NO REPL*,3049.0,2439.2,649.08,3279.6,52
RC,0272,STAPLE RELOAD ENDO GIA60*DISC*,3683.0,2946.4,974.15,3314.7,26
RC,0272,STAPLE RELOAD GIAROTIC60*DISC*,4278.0,3422.4,1131.53,3850.2,26
RC,0272,STAPLE RELOAD TA*DISC 6121860*,2192.0,1753.6,579.78,1972.8,26
RC,0272,STAPLE RELOAD*DISC 6321931*,3475.0,2780.0,919.14,3127.5,26
RC,0272,STAPLE RELOAD*DISC MULT*,451.0,360.8,119.29,405.9,26
RC,0272,STAPLE RELOADTAP*DISC 6121860*,514.0,411.2,135.95,462.6,26
RC,0272,STAPLE RELOADTAP*DISC 6122036*,433.0,346.4,114.53,389.7,26
RC,0272,STAPLE RELOADTAP*DISC 6130296*,496.0,396.8,131.19,446.4,26
RC,0272,STAPLELOADGIA2.5*DISC 6204284*,1526.0,1220.8,403.63,1373.4,26
RC,0272,STAPLER *DISC 6121841 6204285*,1531.0,1224.8,404.95,1377.9,26
RC,0272,STAPLER *DISC 6121841 6275155*,1656.0,1324.8,438.01,1490.4,26
RC,0272,STAPLER *DISC 6121841*,1531.0,1224.8,404.95,1377.9,26
RC,0272,STAPLER CEEA 21MM*DISC 6188439,2108.0,1686.4,557.57,1897.2,26
RC,0272,STAPLER CEEA 25MM*DISC 6176965,2065.0,1652.0,546.19,1858.5,26
RC,0272,STAPLER CEEA 28*DISC 6176966*,2065.0,1652.0,546.19,1858.5,26
RC,0272,STAPLER CEEA 31MM*DISC 6188440,2065.0,1652.0,546.19,1858.5,26
RC,0272,STAPLER CEEA 34MM*DISC 6217632,2108.0,1686.4,557.57,1897.2,26
RC,0272,STAPLER CONT *DISC 6321930*,4550.0,3640.0,1203.48,4095.0,26
RC,0272,STAPLER CONT CU *DISC 6321932*,4550.0,3640.0,1203.48,4095.0,26
RC,0272,STAPLER ECHELON CURV BLU 40MM,4735.0,3788.0,1252.41,4261.5,26
RC,0272,STAPLER ECHELON CURV GRN 40MM,4735.0,3788.0,1252.41,4261.5,26
RC,0272,STAPLER ECHELON FLEX LNG 45MM,7806.0,6244.8,2064.69,7025.4,26
RC,0272,STAPLER ECHELON FLEX STD 45MM,7806.0,6244.8,2064.69,7025.4,26
RC,0272,STAPLER ECHELON LNAR CUTTER 80,3189.0,2551.2,843.49,2870.1,26
RC,0272,STAPLER ECHELONLNARRELOADBLU80,3743.0,2994.4,990.02,3368.7,26
RC,0272,STAPLER EEA DST *DISC 6342404*,2319.0,1855.2,613.38,2087.1,26
RC,0272,STAPLER EEA DST *DISC 6353712*,2159.0,1727.2,571.06,1943.1,26
RC,0272,STAPLER EEA DST *DISC NO REPL*,1232.0,985.6,325.86,1108.8,26
RC,0272,STAPLER EEA DST 4.8MM25MM*CIP*,2159.0,1727.2,571.06,1943.1,26
RC,0272,STAPLER EEA DST 4.8MM33MM*CIP*,2159.0,1727.2,571.06,1943.1,26
RC,0272,STAPLER EEADSTXL*DISC 6342403*,2813.0,2250.4,744.04,2531.7,26
RC,0272,STAPLER EEADSTXL*DISC 6353725*,2474.0,1979.2,654.37,2226.6,26
RC,0272,STAPLER ENDO ECHELON CUT 35MM,8055.0,6444.0,2130.55,7249.5,26
RC,0272,STAPLER ENDO ECHELON LNG 45MM,8182.0,6545.6,2164.14,7363.8,26
RC,0272,STAPLER ENDO ECHELON LNG 60MM,9593.0,7674.4,2537.35,8633.7,26
RC,0272,STAPLER ENDO ECHELON SHRT 45MM,8182.0,6545.6,2164.14,7363.8,26
RC,0272,STAPLER ENDO ECHELON SHRT 60MM,9593.0,7674.4,2537.35,8633.7,26
RC,0272,STAPLER ENDO ECHELON STD 45MM,8182.0,6545.6,2164.14,7363.8,26
RC,0272,STAPLER ENDO ECHELON STD 60MM,9593.0,7674.4,2537.35,8633.7,26
RC,0272,STAPLER ENDO GIA ULT GEN XL,1355.0,1084.0,358.4,1219.5,26
RC,0272,STAPLER ENDO GIA ULT UNIV SHRT,807.0,645.6,213.45,726.3,26
RC,0272,STAPLER ENDO GIA ULT UNIV STD,888.0,710.4,234.88,799.2,26
RC,0272,STAPLER ENDO JUST 5MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,STAPLER ENDO-SUR*DISC NO REPL*,2118.0,1694.4,464.46,2232.0,52
RC,0272,STAPLER GIA 100 3.8MM,1613.0,1290.4,426.64,1451.7,26
RC,0272,STAPLER GIA 60 2.5MM,811.0,648.8,214.51,729.9,26
RC,0272,STAPLER GIA 60 3.8MM,724.0,579.2,191.5,651.6,26
RC,0272,STAPLER GIA 60 PUR 3.8MM,869.0,695.2,229.85,782.1,26
RC,0272,STAPLER GIA 80 3.8MM,1007.0,805.6,266.35,906.3,26
RC,0272,STAPLER GIA 80 4.8MM,1007.0,805.6,266.35,906.3,26
RC,0272,STAPLER GIA 80 BLK 4.8MM,1229.0,983.2,325.07,1106.1,26
RC,0272,STAPLER GIA 80 PUR 3.8MM,1209.0,967.2,319.78,1088.1,26
RC,0272,STAPLER GIA 80 TAN 3.0MM,1229.0,983.2,325.07,1106.1,26
RC,0272,STAPLER HEMORRHO*DISC 6187486*,2706.0,2164.8,715.74,2435.4,26
RC,0272,STAPLER LDS POWERED 15W*DISC*,1386.0,1108.8,366.6,1247.4,26
RC,0272,STAPLER PRXMT PLUS SKIN WIDE,483.0,386.4,127.75,434.7,26
RC,0272,STAPLER PRXMT RELOAD BLU 30MM,3657.0,2925.6,967.28,3291.3,26
RC,0272,STAPLER PRXMT RELOAD GRN 30MM,3587.0,2869.6,948.76,3228.3,26
RC,0272,STAPLER PRXMT RELOAD WHT,3966.0,3172.8,1049.01,3569.4,26
RC,0272,STAPLER PRXMT THICK GRN 100MM,5092.0,4073.6,1346.83,4582.8,26
RC,0272,STAPLER PRXMT VASC WHT 55MM,3985.0,3188.0,1054.03,3586.5,26
RC,0272,STAPLER PRXMTHEMORRHOID33*CIP*,4791.0,3832.8,1267.22,4311.9,26
RC,0272,STAPLER RELOAD JUSTRIGHT 5MM,3000.0,2400.0,793.5,2700.0,26
RC,0272,STAPLER ROB XI RPSB 45MM,140.0,112.0,37.03,126.0,26
RC,0272,STAPLER SEPTAL ENTACT,1517.0,1213.6,401.25,1365.3,26
RC,0272,STAPLER SEPTAL*USE 6181420*,427.0,341.6,112.94,384.3,26
RC,0272,STAPLER SKIN DER*DISC 6313057*,896.0,716.8,236.99,806.4,26
RC,0272,STAPLER SKIN INSO*USE 6303545*,433.0,346.4,114.53,389.7,26
RC,0272,STAPLER SKIN INSORB DISP,500.0,400.0,132.25,450.0,26
RC,0272,STAPLER SKIN PROXIMATE WIDE,826.0,660.8,218.48,743.4,26
RC,0272,STAPLER SUREFORM *USE 6315638*,3710.0,2968.0,981.3,3339.0,26
RC,0272,STAPLER SUREFORM ROB 30CURV8MM,3822.0,3057.6,1010.92,3439.8,26
RC,0272,STAPLER SUREFORM ROB 45 12MM,3864.0,3091.2,1022.03,3477.6,26
RC,0272,STAPLER SUREFORM ROB 60 12MM,3896.0,3116.8,1030.49,3506.4,26
RC,0272,STAPLER SUREFORM ROB CURV 45MM,3639.0,2911.2,962.52,3275.1,26
RC,0272,STAPLER TA 30 3.5MM,703.0,562.4,185.94,632.7,26
RC,0272,STAPLER TA 30 4.8MM,703.0,562.4,185.94,632.7,26
RC,0272,STAPLER TA 30 V3 2.5MM,740.0,592.0,195.73,666.0,26
RC,0272,STAPLER TA 45 3.5MM,923.0,738.4,244.13,830.7,26
RC,0272,STAPLER TA 45 4.8MM,923.0,738.4,244.13,830.7,26
RC,0272,STAPLER TA 60 3.5MM,689.0,551.2,182.24,620.1,26
RC,0272,STAPLER TA 60 4.8MM,689.0,551.2,182.24,620.1,26
RC,0272,STAPLER TA 90 3.5MM,727.0,581.6,192.29,654.3,26
RC,0272,STAPLER TA 90 4.8MM,742.0,593.6,196.26,667.8,26
RC,0272,STAPLER TRI EEA BLK XTHK 21MM,2547.0,2037.6,673.68,2292.3,26
RC,0272,STAPLER TRI EEA BLK XTHK 25MM,2547.0,2037.6,673.68,2292.3,26
RC,0272,STAPLER TRI EEA BLK XTHK 28MM,2557.0,2045.6,676.33,2301.3,26
RC,0272,STAPLER TRI EEA BLK XTHK 33MM,2547.0,2037.6,673.68,2292.3,26
RC,0272,STAPLER TRI EEA BLK XTHKXLNG21,3139.0,2511.2,830.27,2825.1,26
RC,0272,STAPLER TRI EEA BLK XTHKXLNG25,2547.0,2037.6,673.68,2292.3,26
RC,0272,STAPLER TRI EEA BLK XTHKXLNG28,3139.0,2511.2,830.27,2825.1,26
RC,0272,STAPLER TRI EEA BLK XTHKXLNG31,3139.0,2511.2,830.27,2825.1,26
RC,0272,STAPLER TRI EEA BLK XTHKXLNG33,3204.0,2563.2,847.46,2883.6,26
RC,0272,STAPLER TRI EEA MDTHK XL 25MM,2845.0,2276.0,752.5,2560.5,26
RC,0272,STAPLER TRI EEA PUR MDTHK 21MM,2482.0,1985.6,656.49,2233.8,26
RC,0272,STAPLER TRI EEA PUR MDTHK 25MM,2482.0,1985.6,656.49,2233.8,26
RC,0272,STAPLER TRI EEA PUR MDTHK 28MM,2482.0,1985.6,656.49,2233.8,26
RC,0272,STAPLER TRI EEA PUR MDTHK 31MM,2434.0,1947.2,643.79,2190.6,26
RC,0272,STAPLER TRI EEA PURMDTHKXLNG28,3060.0,2448.0,809.37,2754.0,26
RC,0272,STAPLER TRI EEA WHT MDTHK 33MM,2482.0,1985.6,656.49,2233.8,26
RC,0272,STAPLER TRIEEACIRBLKXTHKXLNG21,4110.0,3288.0,1087.1,3699.0,26
RC,0272,STAPLER TRIEEACIRBLKXTHKXLNG25,3927.0,3141.6,1038.69,3534.3,26
RC,0272,STAPLERTRIEEACIRPURMDTHKXLNG21,4034.0,3227.2,1066.99,3630.6,26
RC,0272,STAPLERTRIEEACIRPURMDTHKXLNG25,3855.0,3084.0,1019.65,3469.5,26
RC,0272,STBL ACROBAT-I VACUUM SYS*CIP*,6380.0,5104.0,1687.51,5742.0,26
RC,0272,STBL KT ANK STER SPIDER2,616.0,492.8,162.93,554.4,26
RC,0272,STBL KT SHLDR SPIDER2,685.0,548.0,181.18,616.5,26
RC,0272,STBL KT SHLDR W DRAPE SPIDER2,1025.0,820.0,271.11,922.5,26
RC,0272,STBL KT WRIST STER SPIDER2 LG,709.0,567.2,187.53,638.1,26
RC,0272,STBL KT WRIST STER SPIDER2 MD,709.0,567.2,187.53,638.1,26
RC,0272,STBL KT WRIST STER SPIDER2 SM,709.0,567.2,187.53,638.1,26
RC,0272,STBL TISS OCTOPUS EVOLUTION,6285.0,5028.0,1662.38,5656.5,26
RC,0272,STBL TISS W TB OCTOPUS,6647.0,5317.6,1758.13,5982.3,26
RC,0272,STIM ACC KT MDTR 14GX6,494.0,395.2,130.66,444.6,26
RC,0272,STIM EXTL TRIAL AXON,1870.0,1496.0,494.62,1683.0,26
RC,0272,STIM EXTL WRLSS SCS ENS,1700.0,1360.0,449.65,1530.0,26
RC,0272,STIM NERVE PERIP*DISC 6332074*,1913.0,1530.4,505.99,1721.7,26
RC,0272,STIM NERVE PERIPH SUNSTIM PLUS,5206.0,4164.8,1376.99,4685.4,26
RC,0272,STIM NEURO EXTL EVAL MDTR,2400.0,1920.0,634.8,2160.0,26
RC,0272,STIM OSTEOGENESIS PHYSIO LG,11250.0,9000.0,2975.63,10125.0,26
RC,0272,STIM OSTEOGENESIS PHYSIO SM,11250.0,9000.0,2975.63,10125.0,26
RC,0272,STIM VAG EMG PATHWAY,364.0,291.2,96.28,327.6,26
RC,0272,STKNG THIGH CRISPA 30-40 *NLU*,96.0,76.8,25.39,86.4,26
RC,0272,STKNG THIGH MEN KAK 20-30 MD,168.0,134.4,44.44,151.2,26
RC,0272,STKNG WAIST WOMEN NAT 15-*NLU*,108.0,86.4,28.57,97.2,26
RC,0272,STNT AUTOINJECTOR O-PRIME*NLU*,2125.0,1700.0,562.06,1912.5,26
RC,0272,STNT BLN UTERINE*DISC NO REPL*,450.0,360.0,119.03,405.0,26
RC,0272,STRAP ANK DISTRAC,495.0,396.0,130.93,445.5,26
RC,0272,STRAP ANK DISTRAC FT,480.0,384.0,126.96,432.0,26
RC,0272,STRAP ANK DISTRAC FT SMOOT,337.0,269.6,89.14,303.3,26
RC,0272,STRAP ANK DISTRAC SGL,637.0,509.6,168.49,573.3,26
RC,0272,STRIPPER QUADPRO HARVESTER10MM,3740.0,2992.0,989.23,3366.0,26
RC,0272,STRIPPER QUADPRO HARVESTER11MM,3740.0,2992.0,989.23,3366.0,26
RC,0272,STRUT EXTL FIX AUTO MAXFRM LNG,9360.0,7488.0,2475.72,8424.0,26
RC,0272,STRUT EXTL FIX AUTO MAXFRM MD,9360.0,7488.0,2475.72,8424.0,26
RC,0272,STRUT EXTL FIX AUTO MAXFRMSHRT,9360.0,7488.0,2475.72,8424.0,26
RC,0272,STRUT EXTL FIX BASE ADDON 100,34535.0,27628.0,9134.51,31081.5,26
RC,0272,STRUT EXTL FIX BASE ADDON 50,34535.0,27628.0,9134.51,31081.5,26
RC,0272,STRUT EXTL FIX BASE SIXFIX 100,29222.0,23377.6,7729.22,26299.8,26
RC,0272,STRUT EXTL FIX BASE SIXFIX 50,29222.0,23377.6,7729.22,26299.8,26
RC,0272,STRUT EXTL FIX CLIP SIXFIXPLST,713.0,570.4,188.59,641.7,26
RC,0272,STRUT EXTL FIX FAST FX XTRSHRT,4902.0,3921.6,1296.58,4411.8,26
RC,0272,STRUT EXTL FIX ILIZAROV STD MD,4762.0,3809.6,1259.55,4285.8,26
RC,0272,STRUT EXTL FIX MAXFRM STDXSHRT,4943.0,3954.4,1307.42,4448.7,26
RC,0272,STRUT EXTL FIX QK ADJ MD,6197.0,4957.6,1639.11,5577.3,26
RC,0272,STRUT EXTL FIX RDCTN SIXFIX MD,8978.0,7182.4,2374.68,8080.2,26
RC,0272,STRUT EXTL FIX RDCTNSIXFIXSHRT,8978.0,7182.4,2374.68,8080.2,26
RC,0272,STRUT EXTL FIX RIGID DNE *NLU*,1934.0,1547.2,511.54,1740.6,26
RC,0272,STRUT EXTL FIX RIGID DNE 100MM,3120.0,2496.0,825.24,2808.0,26
RC,0272,STRUT EXTL FIX RIGID DNE 75MM,2730.0,2184.0,722.09,2457.0,26
RC,0272,STRUT EXTL FIX SCREW ADDON 100,4669.0,3735.2,1234.95,4202.1,26
RC,0272,STRUT EXTL FIX SCREW ADDON 50,4669.0,3735.2,1234.95,4202.1,26
RC,0272,STRUT EXTL FIX SPEED LG191-303,10710.0,8568.0,2832.8,9639.0,26
RC,0272,STRUT EXTL FIX SPEED MD138-198,10080.0,8064.0,2666.16,9072.0,26
RC,0272,STRUT EXTL FIX SPEED SM 70-105,8325.0,6660.0,2201.96,7492.5,26
RC,0272,STRUT EXTL FIX SPEED SM110-142,9450.0,7560.0,2499.53,8505.0,26
RC,0272,STRUT EXTL FIX SPEED XS 95-112,9450.0,7560.0,2499.53,8505.0,26
RC,0272,STRUT EXTL FIX STATIC AMDHMD40,1964.0,1571.2,519.48,1767.6,26
RC,0272,STRUT EXTL FIX STATIC LNG 60MM,876.0,700.8,231.7,788.4,26
RC,0272,STRUT EXTL FIX STATICAMDHLNG60,1964.0,1571.2,519.48,1767.6,26
RC,0272,STRUT EXTL FIX SUP LNG,10710.0,8568.0,2832.8,9639.0,26
RC,0272,STRUT EXTL FIX SUP MD,10080.0,8064.0,2666.16,9072.0,26
RC,0272,STRUT EXTL FIX SUP SHRT,9450.0,7560.0,2499.53,8505.0,26
RC,0272,STRUT EXTL FIX TELE 119-161 MM,8071.0,6456.8,2134.78,7263.9,26
RC,0272,STRUT EXTL FIX TELE 138-201 MD,8071.0,6456.8,2134.78,7263.9,26
RC,0272,STRUT EXTL FIXQKADJMAXFRMXSHRT,5088.0,4070.4,1345.78,4579.2,26
RC,0272,STRUT EXTL FIXSTATICAMDHSHRT30,1964.0,1571.2,519.48,1767.6,26
RC,0272,STRUT EXTL FIXSTATICAMDHXLNG80,1964.0,1571.2,519.48,1767.6,26
RC,0272,STRUT HEXAPOD LRF MD 131-191MM,12985.0,10388.0,3434.53,11686.5,26
RC,0272,STRUT HEXAPOD LRFSHRT105-139MM,12985.0,10388.0,3434.53,11686.5,26
RC,0272,STRUT HEXAPOD XTRSHRT 890109MM,12985.0,10388.0,3434.53,11686.5,26
RC,0272,STRUT PA EXTL FIX FINE MD,5546.0,4436.8,1466.92,4991.4,26
RC,0272,STRUT PA EXTL FIX FINE XSHRT,5546.0,4436.8,1466.92,4991.4,26
RC,0272,STRUT PA EXTL FIX GROSS ADJ MD,4804.0,3843.2,1270.66,4323.6,26
RC,0272,STRUT PA EXTL FIX GROSS ADJLNG,4804.0,3843.2,1270.66,4323.6,26
RC,0272,STRUT PA EXTL FIX GROSSADJSHRT,4804.0,3843.2,1270.66,4323.6,26
RC,0272,STRUT PA EXTLFIXGROSSADJ2XSHRT,4804.0,3843.2,1270.66,4323.6,26
RC,0272,STRUT SHRT RAPID ORTF*NLU*,5265.0,4212.0,1392.59,4738.5,26
RC,0272,STYLET ABL CLOSURERFS 6FR 12CM,3175.0,2540.0,839.79,2857.5,26
RC,0272,STYLET AICD ST FIRM 0.016 64CM,500.0,400.0,132.25,450.0,26
RC,0272,STYLET CATH EMBRYO RIGID 18CM,346.0,276.8,91.52,311.4,26
RC,0272,STYLET CLN VPR PRIME,3400.0,2720.0,899.3,3060.0,26
RC,0272,STYLET GD EM PRECALIB DISP,4375.0,3500.0,1157.19,3937.5,26
RC,0272,STYLET GD EM Q GUIDANCE SYS,4819.0,3855.2,1274.63,4337.1,26
RC,0272,STYLET GD PRECALIB BRAN DISP,3360.0,2688.0,888.72,3024.0,26
RC,0272,STYLET INTUB QKSTEER S-CURVE,810.0,648.0,214.25,729.0,26
RC,0272,STYLET LEAD J S*DISC NO REPL*,500.0,400.0,132.25,450.0,26
RC,0272,STYLET LEAD J WIDE SOFT 45CM,500.0,400.0,132.25,450.0,26
RC,0272,STYLET LEAD J WIDE SOFT 52CM,500.0,400.0,132.25,450.0,26
RC,0272,STYLET LEAD LNG SOFT .014*NLU*,500.0,400.0,132.25,450.0,26
RC,0272,STYLET LEAD S 45-F SOFT ST45CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 45-J MD J 45CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 45-JL MD JL 46CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 45-K MD ST 45CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 45-S FIRM ST45CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 53-F SOFT ST53CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 53-J MD J 53CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 53-JL MD JL 53CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 53-K MD ST 53CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 53-S FIRM ST53CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 60-C MD ST 60CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 60-F SOFT ST60CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 60-J MD J 60CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 60-K MD ST 60CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 60-S FIRM ST60CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 65-A FIRM ST65CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 65-C MD ST 65CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 75*DISC NO REPL*,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 75-C MD ST 75CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 75-K OTWMDST75CM,570.0,456.0,150.77,513.0,26
RC,0272,STYLET LEAD S 75-K SOFT ST75CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S 85-K OTWMDST85CM,570.0,456.0,150.77,513.0,26
RC,0272,STYLET LEAD S75-EXTRFIRMST75CM,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LEAD S75-GOTWSOFTST75CM,570.0,456.0,150.77,513.0,26
RC,0272,STYLET LEAD S85-GOTWSOFTST85CM,570.0,456.0,150.77,513.0,26
RC,0272,STYLET LEAD ST FIRM 52CM,500.0,400.0,132.25,450.0,26
RC,0272,STYLET LEAD ST FIRM 59CM,500.0,400.0,132.25,450.0,26
RC,0272,STYLET LEAD ST SOFT 59CM,500.0,400.0,132.25,450.0,26
RC,0272,STYLET LEAD ST SOFT 90CM,500.0,400.0,132.25,450.0,26
RC,0272,STYLET LEAD ST X-SOFT 59CM,500.0,400.0,132.25,450.0,26
RC,0272,STYLET LEAD ST X-SOFT.013*NLU*,500.0,400.0,132.25,450.0,26
RC,0272,STYLET LEADS65-E*DISC NO REPL*,440.0,352.0,116.38,396.0,26
RC,0272,STYLET LK LIBERATOR BEACON TIP,4466.0,3572.8,1181.26,4019.4,26
RC,0272,STYLET NVGTN VPR PRIME*NLU*,3400.0,2720.0,899.3,3060.0,26
RC,0272,STYLET PERIT41CM*DISC 6247935*,1046.0,836.8,276.67,941.4,26
RC,0272,STYLET PERITON INST TUNNEL,1468.0,1174.4,388.29,1321.2,26
RC,0272,STYLET PERITON ST 61CM,1047.0,837.6,276.93,942.3,26
RC,0272,STYLET PRECALIB BRAN DISP*NLU*,3200.0,2560.0,846.4,2880.0,26
RC,0272,STYLET PT TRACKER AXIEM,4542.0,3633.6,1201.36,4087.8,26
RC,0272,STYLET SHNT AXIEM 23CM,3976.0,3180.8,1051.65,3578.4,26
RC,0272,STYLET SPNL INVICTUS SGL STEP3,1488.0,1190.4,393.58,1339.2,26
RC,0272,STYLET SPNL INVICTUS SGLSTEP40,1488.0,1190.4,393.58,1339.2,26
RC,0272,STYLET SPNL INVICTUS SGLSTEP45,1488.0,1190.4,393.58,1339.2,26
RC,0272,STYLET ST SOFT 64CM,500.0,400.0,132.25,450.0,26
RC,0272,SUCT BX TOOL RECTAL STER,3432.0,2745.6,907.76,3088.8,26
RC,0272,SUCT CANISTER LIPOFILTER TISS,2083.0,1666.4,550.95,1874.7,26
RC,0272,SUCT CANISTER REVOLVE 700ML,4088.0,3270.4,1081.28,3679.2,26
RC,0272,SUCT CANISTER REVOLVE ENVI 600,5243.0,4194.4,1386.77,4718.7,26
RC,0272,SUCT CANISTER TISSU-TRANS500ML,1998.0,1598.4,528.47,1798.2,26
RC,0272,SUCT CATH FLEX 4*DISC 6214889*,406.0,324.8,107.39,365.4,26
RC,0272,SUCT CATH FLEX 5*DISC 6214889*,406.0,324.8,107.39,365.4,26
RC,0272,SUCT CATH FLEX 6FR,406.0,324.8,107.39,365.4,26
RC,0272,SUCT DEV BIOVAC W Y 244CM,1097.0,877.6,290.16,987.3,26
RC,0272,SUCT IRG ENDOWRIST 1 ROBSI 8MM,1870.0,1496.0,494.62,1683.0,26
RC,0272,SUCT IRG ENDOWRIST DISP ROB XI,2227.0,1781.6,589.04,2004.3,26
RC,0272,SUCT IRG ROB SS RPSB 5MM,29.0,23.2,7.67,26.1,26
RC,0272,SUCT IRG STRYKEFLOW PS 10FT TB,445.0,356.0,117.7,400.5,26
RC,0272,SUCT IRG STRYKEFLOW2 10FT TB,563.0,450.4,148.91,506.7,26
RC,0272,SUCT IRG STRYKEFLOW2 W DISPTIP,662.0,529.6,175.1,595.8,26
RC,0272,SUCT MALLEA TIP STD LG*NLU*,2392.0,1913.6,632.68,2152.8,26
RC,0272,SUCT MALLEA TIP STD MD 16.5CM,2405.0,1924.0,636.12,2164.5,26
RC,0272,SUCT MALLEA TIP STD SM 14.5CM,2405.0,1924.0,636.12,2164.5,26
RC,0272,SUCT MANIFOLD NE*DISC NO REPL*,648.0,518.4,171.4,583.2,26
RC,0272,SUCT MICROMAT BACKGROUND 3FR,515.0,412.0,136.22,463.5,26
RC,0272,SUCT SURG AMT MAXVAC STER 2TIP,1190.0,952.0,314.76,1071.0,26
RC,0272,SUCT TB FRAZIER CHICAGOTIP12FR,646.0,516.8,170.87,581.4,26
RC,0272,SUCT TB INTRACARDIAC FLEX 14.5,350.0,280.0,92.58,315.0,26
RC,0272,SUCT TB KAMVAC STD,485.0,388.0,128.28,436.5,26
RC,0272,SUCT TB YANKAUER SABER BULB,2500.0,2000.0,661.25,2250.0,26
RC,0272,SUCT TRUDI NAV ANG 0D,9226.0,7380.8,2440.28,8303.4,26
RC,0272,SUCT TRUDI NAV ANG 70D,9226.0,7380.8,2440.28,8303.4,26
RC,0272,SUCT TRUDI NAV ANG 90D,9226.0,7380.8,2440.28,8303.4,26
RC,0272,SUPP ARM MCCONNELL STER LG,116.0,92.8,30.68,104.4,26
RC,0272,SUPP SHLDR ABDCTN LG*DISC*,140.0,112.0,37.03,126.0,26
RC,0272,SUPP STERNUM HEART HUGGER36-55,330.0,264.0,87.29,297.0,26
RC,0272,SURGICLIP PREM III S-9.0,479.0,383.2,126.7,431.1,26
RC,0272,SUT BONDEK PLUS BRD TC/TC 48,477.0,381.6,126.17,429.3,26
RC,0272,SUT CAPIO 0 TC/TC POLY 48,477.0,381.6,126.17,429.3,26
RC,0272,SUT CAPIO 0 TC43/TC43 VIO 48,477.0,381.6,126.17,429.3,26
RC,0272,SUT CAPIO BRD PO*DISC 6335357*,454.0,363.2,120.08,408.6,26
RC,0272,SUT CAPIO BRD SZ*DISC 6323795*,477.0,381.6,126.17,429.3,26
RC,0272,SUT CAPIO SZ 0 T*DISC 6335356*,477.0,381.6,126.17,429.3,26
RC,0272,SUT CAPROSYN 1 TIE 18*NLU*,300.0,240.0,79.35,270.0,26
RC,0272,SUT CARTRDG SPEEDSTIT*NLU*,2204.0,1763.2,582.96,1983.6,26
RC,0272,SUT CARTRDG SPEEDSTITCH*NLU*,1420.0,1136.0,375.59,1278.0,26
RC,0272,SUT CERCLAGE FBRTAPE WHT/BLK,3658.0,2926.4,967.54,3292.2,26
RC,0272,SUT CERCLAGE FIBERTAPE,3960.0,3168.0,1047.42,3564.0,26
RC,0272,SUT CERCLAGE FIBERTAPE BLU,3658.0,2926.4,967.54,3292.2,26
RC,0272,SUT CERCLAGE TIGERTAPE,3960.0,3168.0,1047.42,3564.0,26
RC,0272,SUT CHORDX 2-0 USP 0.5CIRC12MM,4000.0,3200.0,1058.0,3600.0,26
RC,0272,SUT CHORDX 2-0 USP 0.5CIRC16MM,4000.0,3200.0,1058.0,3600.0,26
RC,0272,SUT CHORDX 2-0 USP 0.5CIRC20MM,4000.0,3200.0,1058.0,3600.0,26
RC,0272,SUT CHORDX 2-0 USP 0.5CIRC24MM,4000.0,3200.0,1058.0,3600.0,26
RC,0272,SUT CHORDX 2-0 USP 3/8CIR 24MM,4000.0,3200.0,1058.0,3600.0,26
RC,0272,SUT CHORDX 2-0 USP 3/8CIR ADJ,4000.0,3200.0,1058.0,3600.0,26
RC,0272,SUT CHROMIC GUT 7-0TG1408BLU18,322.0,257.6,85.17,289.8,26
RC,0272,SUT DURAMESH 0 HR22 BLU 36,3674.0,2939.2,971.77,3306.6,26
RC,0272,SUT DURAMESH 2 HR26 BLU 36,3674.0,2939.2,971.77,3306.6,26
RC,0272,SUT DYNACORD OS-6 BRD BLU 36,948.0,758.4,250.75,853.2,26
RC,0272,SUT DYNATAPE 2 BLK/BLU 36,1207.0,965.6,319.25,1086.3,26
RC,0272,SUT ENDO SYS OVE*DISC 6343596*,5999.0,4799.2,1586.74,5399.1,26
RC,0272,SUT ETHIBOND 2 V37 GRN/WHT 30,868.0,694.4,229.59,781.2,26
RC,0272,SUT ETHIBOND 2-0 RB1 GRN/WHT30,424.0,339.2,112.15,381.6,26
RC,0272,SUT ETHIBOND 2-0 SH/SH WP 30,680.0,544.0,179.86,612.0,26
RC,0272,SUT ETHIBOND 2-0 SH1 GRN/WHT30,631.0,504.8,166.9,567.9,26
RC,0272,SUT ETHIBOND 2-0 V7WPGRN/WHT30,715.0,572.0,189.12,643.5,26
RC,0272,SUT ETHIBOND 2-0*DISC 6319698*,876.0,700.8,231.7,788.4,26
RC,0272,SUT ETHIBOND 2-0*DISC 6319704*,870.0,696.0,230.12,783.0,26
RC,0272,SUT ETHIBOND 2-0*DISC 6319705*,543.0,434.4,143.62,488.7,26
RC,0272,SUT ETHIBOND 2-0*DISC 6319706*,1095.0,876.0,289.63,985.5,26
RC,0272,SUT ETHIBOND 2-0*DISC 6325879*,844.0,675.2,223.24,759.6,26
RC,0272,SUT ETHIBOND 2-0*DISC 6325880*,854.0,683.2,225.88,768.6,26
RC,0272,SUT ETHIBOND 2-0*DISC 6339419*,532.0,425.6,140.71,478.8,26
RC,0272,SUT ETHIBOND 2-0RB1P3GRN/WHT30,599.0,479.2,158.44,539.1,26
RC,0272,SUT ETHIBOND 2-0SH GRN/WHT 30,654.0,523.2,172.98,588.6,26
RC,0272,SUT ETHIBOND 2-0SH WPGRN/WHT36,329.0,263.2,87.02,296.1,26
RC,0272,SUT ETHIBOND 2-0SH2WPGRN/WHT30,633.0,506.4,167.43,569.7,26
RC,0272,SUT ETHIBOND 2-0SHGRN/WHT10X30,420.0,336.0,111.09,378.0,26
RC,0272,SUT ETHIBOND 2OS4/OS4GRN/WHT30,963.0,770.4,254.71,866.7,26
RC,0272,SUT ETHIBOND 3-0V5/V5GRN/WHT30,595.0,476.0,157.38,535.5,26
RC,0272,SUT ETHIBOND V34 GRN 18,1925.0,1540.0,509.16,1732.5,26
RC,0272,SUT ETHIBOND2-0V5FIRMGRN/WHT30,851.0,680.8,225.09,765.9,26
RC,0272,SUT ETHILON 10-0 BV754 BLK 5,324.0,259.2,85.7,291.6,26
RC,0272,SUT ETHILON 9-0 VAS1004 BLK 6,314.0,251.2,83.05,282.6,26
RC,0272,SUT FBR FORCE CTRX 0*NLU*,665.0,532.0,175.89,598.5,26
RC,0272,SUT FBR FORCE CTRX 2-0,665.0,532.0,175.89,598.5,26
RC,0272,SUT FBRCHAIN 2 10LOOP 7MM*NLU*,713.0,570.4,188.59,641.7,26
RC,0272,SUT FBRLINK 0 CLSD LOOP BLU1.5,679.0,543.2,179.6,611.1,26
RC,0272,SUT FBRLINK/WIRE 2 CLSD BLU 26,575.0,460.0,152.09,517.5,26
RC,0272,SUT FBRLOOP 0 ST NDLE BLU 20,523.0,418.4,138.33,470.7,26
RC,0272,SUT FBRLOOP 2 ST BLU 20,523.0,418.4,138.33,470.7,26
RC,0272,SUT FBRLOOP 2-0 DIMND BLU 13,523.0,418.4,138.33,470.7,26
RC,0272,SUT FBRLOOP 4-0 TPR BLU 6,523.0,418.4,138.33,470.7,26
RC,0272,SUT FBRLOOP FBRTAG SWAGED*NLU*,1063.0,850.4,281.16,956.7,26
RC,0272,SUT FBRSNARE/WIRE 2 BLK 26,982.0,785.6,259.74,883.8,26
RC,0272,SUT FBRSNARE/WIRE 2 GRN 26,982.0,785.6,259.74,883.8,26
RC,0272,SUT FBRSNARE/WIRE 2 WHT/BLU 26,982.0,785.6,259.74,883.8,26
RC,0272,SUT FBRSTICK/WIRE 2 BLU 50,523.0,418.4,138.33,470.7,26
RC,0272,SUT FBRSTICK/WIRE 2-0 BLU 50,462.0,369.6,122.2,415.8,26
RC,0272,SUT FBRTAPE NDLE ST BLU 2MM 17,1823.0,1458.4,482.18,1640.7,26
RC,0272,SUT FBRTAPE NDLE WHT/BLU 2MM36,1636.0,1308.8,432.72,1472.4,26
RC,0272,SUT FBRTAPE TAPER CTD BLU 2MM7,713.0,570.4,188.59,641.7,26
RC,0272,SUT FBRTAPE TPR BLU 2MM 36,982.0,785.6,259.74,883.8,26
RC,0272,SUT FBRTAPE TPR BLU 2MM 7,523.0,418.4,138.33,470.7,26
RC,0272,SUT FIBERRING SHUTTLE LOOP25MM,1356.0,1084.8,358.66,1220.4,26
RC,0272,SUT FIBERRING SHUTTLE LOOP35MM,1356.0,1084.8,358.66,1220.4,26
RC,0272,SUT GORETEX CV2 PH24 36,405.0,324.0,107.12,364.5,26
RC,0272,SUT GORETEX CV4 *DISC NO REPL*,309.0,247.2,81.73,278.1,26
RC,0272,SUT GORETEX CV4 TH18 48,341.0,272.8,90.19,306.9,26
RC,0272,SUT GORETEX CV4 TH18/TH18 36,367.0,293.6,97.07,330.3,26
RC,0272,SUT GORETEX CV5 PT13/PT13 36,365.0,292.0,96.54,328.5,26
RC,0272,SUT GORETEX CV5 TH18/TH18 36,381.0,304.8,100.77,342.9,26
RC,0272,SUT GORETEX CV5 TH22/TH22 36,340.0,272.0,89.93,306.0,26
RC,0272,SUT GORTEX CV3 TH26/TH26 48,370.0,296.0,97.87,333.0,26
RC,0272,SUT HI-FI 2 PASSING LOOP,493.0,394.4,130.4,443.7,26
RC,0272,SUT HI-FI 2 TIE BLU 40,382.0,305.6,101.04,343.8,26
RC,0272,SUT HI-FI 2-0 DBL ARMWHT/BLU30,742.0,593.6,196.26,667.8,26
RC,0272,SUT KT AC FBRTAPE CERCLAGE,10683.0,8546.4,2825.65,9614.7,26
RC,0272,SUT KT CLAV/FIBFBRTAPECERCLAGE,7178.0,5742.4,1898.58,6460.2,26
RC,0272,SUT KT OPN SOFT TISS REPAIR LG,11228.0,8982.4,2969.81,10105.2,26
RC,0272,SUT KT OPN SOFT TISS REPAIR SM,10325.0,8260.0,2730.96,9292.5,26
RC,0272,SUT KT STERNAL CLSR FBRTAPE2MM,4826.0,3860.8,1276.48,4343.4,26
RC,0272,SUT LABRALTAPE WHT 1.5MM 36IN,693.0,554.4,183.3,623.7,26
RC,0272,SUT LABRALTAPE WHT/BLK 1.5MM36,693.0,554.4,183.3,623.7,26
RC,0272,SUT MAXON 2-0 GS11*NLU*,666.0,532.8,176.16,599.4,26
RC,0272,SUT MAXON 5-0 CV301 DBL*NLU*,425.0,340.0,112.41,382.5,26
RC,0272,SUT MENISC SUPERBALL,6075.0,4860.0,1606.84,5467.5,26
RC,0272,SUT MENISC SUPERBALL 24D UP,7425.0,5940.0,1963.91,6682.5,26
RC,0272,SUT MERSIL 5MM BP1/BP1 WHT 12,398.0,318.4,105.27,358.2,26
RC,0272,SUT MERSILENE 5MM CTX/CTXWHT12,377.0,301.6,99.72,339.3,26
RC,0272,SUT MINITAPE KNTLS COBRAID WHT,750.0,600.0,198.38,675.0,26
RC,0272,SUT MONODERM 2-0 PS2/PS2UNDY12,464.0,371.2,122.73,417.6,26
RC,0272,SUT NOVOSTITCH PLUS CTRX 2-0,3786.0,3028.8,1001.4,3407.4,26
RC,0272,SUT ORTHOCORD 0 CT3 VIO 36,439.0,351.2,116.12,395.1,26
RC,0272,SUT ORTHOCORD 2 MO6 VIO 36,397.0,317.6,105.01,357.3,26
RC,0272,SUT ORTHOCORD 2 MO7 VIO 36,397.0,317.6,105.01,357.3,26
RC,0272,SUT ORTHOCORD 2 MO7 VIO/BLU 36,615.0,492.0,162.67,553.5,26
RC,0272,SUT OVERSTCHPP2-0*USE 6306428*,632.0,505.6,167.16,568.8,26
RC,0272,SUT OVERSTITCH 2-0 BLU185*CIP*,775.0,620.0,204.99,697.5,26
RC,0272,SUT OVERSTITCH PDO 2-0*NLU*,812.0,649.6,214.77,730.8,26
RC,0272,SUT PDS II 0 ENDOLOOP 18,1738.0,1390.4,459.7,1564.2,26
RC,0272,SUT PDS II 1 TP1 VIO 72,601.0,480.8,158.96,540.9,26
RC,0272,SUT PDS II 4-0 RB1/RB1 VIO 36,378.0,302.4,99.98,340.2,26
RC,0272,SUT PDS II 4-0*DISC NO REPL*,949.0,759.2,251.01,854.1,26
RC,0272,SUT PERMATAPE FLAT BLU 2.5MM,904.0,723.2,239.11,813.6,26
RC,0272,SUT PERMATAPE FLATWHT/BLU2.5MM,904.0,723.2,239.11,813.6,26
RC,0272,SUT PK CUST *DISC 6296175*,2290.0,1832.0,605.71,2061.0,26
RC,0272,SUT PK CUST MAZI*DISC*,2168.0,1734.4,573.44,1951.2,26
RC,0272,SUT PK CUST NYKAMP,1905.0,1524.0,503.87,1714.5,26
RC,0272,SUT POLYSORB 0*NLU*,1116.0,892.8,295.18,1004.4,26
RC,0272,SUT POLYSORB 0*USE 6194714*,633.0,506.4,167.43,569.7,26
RC,0272,SUT PROLENE 1 CT*DISC NO REPL*,353.0,282.4,93.37,317.7,26
RC,0272,SUT PROLENE 10-0 CTC6L BLU 4,344.0,275.2,90.99,309.6,26
RC,0272,SUT PROLENE 5-0 C1/C1 HS BLU36,470.0,376.0,124.32,423.0,26
RC,0272,SUT PROLENE 5-0 C1/C1 VB BLU36,661.0,528.8,174.83,594.9,26
RC,0272,SUT PROLENE 5-0 C1/C1BLU36BX12,592.0,473.6,156.58,532.8,26
RC,0272,SUT PROLENE 6-0 BV1/BV1BLU2X24,535.0,428.0,141.51,481.5,26
RC,0272,SUT PROLENE 6-0 C1 VB BLU 4X30,657.0,525.6,173.78,591.3,26
RC,0272,SUT PROLENE 7-0 BV1756 BLU2X24,530.0,424.0,140.19,477.0,26
RC,0272,SUT PROLENE 7-0 BV1756 BLU4X24,894.0,715.2,236.46,804.6,26
RC,0272,SUT PROLENE 7-0 BV1758 BLU1X24,382.0,305.6,101.04,343.8,26
RC,0272,SUT PROLENE 7-0 BV1758 BLU4X24,1267.0,1013.6,335.12,1140.3,26
RC,0272,SUT PROLENE 7-0 CC/CC BLU 4X24,770.0,616.0,203.67,693.0,26
RC,0272,SUT PROLENE 8-0 BV1305 BLU 18,305.0,244.0,80.67,274.5,26
RC,0272,SUT PROLENE 8-0 BV1305 BLU4X24,1267.0,1013.6,335.12,1140.3,26
RC,0272,SUT PROLENE 9-0 CIF4/CIF4 BLU8,1153.0,922.4,304.97,1037.7,26
RC,0272,SUT PROLENE 9-0 STC6/STC6 BLU8,1491.0,1192.8,394.37,1341.9,26
RC,0272,SUT RETRIEVER HOF*USE 6313346*,494.0,395.2,130.66,444.6,26
RC,0272,SUT SHARPSHOOTER 2-0 BLU/BLK,1510.0,1208.0,399.4,1359.0,26
RC,0272,SUT SHARPSHOOTER 2-0 UHMWPE,713.0,570.4,188.59,641.7,26
RC,0272,SUT SHARPSHOOTER 2-0 WHT/BLU,918.0,734.4,242.81,826.2,26
RC,0272,SUT SHUTTLE ACCUPASS U*NLU*,1037.0,829.6,274.29,933.3,26
RC,0272,SUT STEEL 6-0 SCC 4X18,417.0,333.6,110.3,375.3,26
RC,0272,SUT SURGIGUT 0 GU44*NLU*,726.0,580.8,192.03,653.4,26
RC,0272,SUT SURGIGUT 0*USE 6242426*,668.0,534.4,176.69,601.2,26
RC,0272,SUT SURGIGUT 4*USE 6242396*,416.0,332.8,110.03,374.4,26
RC,0272,SUT SURGIPRO 4*USE 6115906*,374.0,299.2,98.92,336.6,26
RC,0272,SUT SURGIPRO 5-0CV20/CV20BLU24,537.0,429.6,142.04,483.3,26
RC,0272,SUT SURGIPRO 7-0 CVF1*NLU*,456.0,364.8,120.61,410.4,26
RC,0272,SUT SYS TFCC MENDER DISP,1011.0,808.8,267.41,909.9,26
RC,0272,SUT TAPE 0.5CIRNDLE WHT BLU1.7,523.0,418.4,138.33,470.7,26
RC,0272,SUT TAPE 2-0 MINI MENISCUS,1075.0,860.0,284.34,967.5,26
RC,0272,SUT TAPE ACTIVBRAID1.5 1/2CBLK,1165.0,932.0,308.14,1048.5,26
RC,0272,SUT TAPE CLSD LOOP WHT/BLK 1.3,842.0,673.6,222.71,757.8,26
RC,0272,SUT TAPE CLSD LOOP WHT/BLU 1.3,842.0,673.6,222.71,757.8,26
RC,0272,SUT TAPE FBRLINK SHT BLU 0.9MM,888.0,710.4,234.88,799.2,26
RC,0272,SUT TAPE HIFI 2MM WHT/BLK 39,685.0,548.0,181.18,616.5,26
RC,0272,SUT TAPE LOOPWHT/BLU1.3MMX20IN,693.0,554.4,183.3,623.7,26
RC,0272,SUT TAPE MENISC 2-0 0.9MM,440.0,352.0,116.38,396.0,26
RC,0272,SUT TAPE TIGERLINK 2 WHT/BLK26,523.0,418.4,138.33,470.7,26
RC,0272,SUT TAPE TIGERLINK WHTBLK0.9MM,888.0,710.4,234.88,799.2,26
RC,0272,SUT TAPE TPR 26.5MM TPR NDLE,385.0,308.0,101.83,346.5,26
RC,0272,SUT TAPE TPR NDLE 1.3X26.5MM,577.0,461.6,152.62,519.3,26
RC,0272,SUT TAPE TPR WHT BLK1.3X26.5MM,577.0,461.6,152.62,519.3,26
RC,0272,SUT TAPE TPR WHT BLK1.3X36.6MM,523.0,418.4,138.33,470.7,26
RC,0272,SUT TAPE X 2STRAND 1.3MMX40IN,679.0,543.2,179.6,611.1,26
RC,0272,SUT TENDON FBRTAPE COMP BRIDGE,4200.0,3360.0,1110.9,3780.0,26
RC,0272,SUT TI-KNOT TK5 QUICK LOAD TI,450.0,360.0,119.03,405.0,26
RC,0272,SUT TICRON 0 HGS22 BLU 5X18,504.0,403.2,133.31,453.6,26
RC,0272,SUT TICRON 2-0 CV316 BLU 10X30,3071.0,2456.8,812.28,2763.9,26
RC,0272,SUT TICRON 2-0 CV316 BLU 5X10,2080.0,1664.0,550.16,1872.0,26
RC,0272,SUT TICRON 6-0 SS24 WHT 18,317.0,253.6,83.85,285.3,26
RC,0272,SUT TIGERLINK 0 CLSDWHT/BLK1.5,679.0,543.2,179.6,611.1,26
RC,0272,SUT TIGERLOOP 0 NDLE WHT/GRN20,523.0,418.4,138.33,470.7,26
RC,0272,SUT TIGERLOOP 2 ST WHT/GRN 20,523.0,418.4,138.33,470.7,26
RC,0272,SUT TIGERSTICK2 STIFFWHT/BLK50,523.0,418.4,138.33,470.7,26
RC,0272,SUT TIGERTAPE BLUNT WHT/BLK2MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,SUT TIGERTAPE NDLEWHT/BLK2MM36,1636.0,1308.8,432.72,1472.4,26
RC,0272,SUT TIGERTAPE WHT/BLK 2MM 7,523.0,418.4,138.33,470.7,26
RC,0272,SUT ULTLOOP 2 COBRAID 26,859.0,687.2,227.21,773.1,26
RC,0272,SUT VICRYL 0 ENDOLOOP 18,1877.0,1501.6,496.47,1689.3,26
RC,0272,SUT VICRYL 0 TN VIO 27,1151.0,920.8,304.44,1035.9,26
RC,0272,SUT VICRYL 2-0 PS4 UNDY 18,538.0,430.4,142.3,484.2,26
RC,0272,SUT VICRYL 3-0 ENS VIO 48,661.0,528.8,174.83,594.9,26
RC,0272,SUT VLOC PBT 0 GS21 BLU 18,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC PBT 0 GS22 BLU 9,609.0,487.2,161.08,548.1,26
RC,0272,SUT VLOC PBT 3-0 V20 BLU 6,539.0,431.2,142.57,485.1,26
RC,0272,SUT VLOC PBT 3-0 V20 BLU 9,539.0,431.2,142.57,485.1,26
RC,0272,SUT VLOC180 0 GS21 GRN 18,513.0,410.4,135.69,461.7,26
RC,0272,SUT VLOC180 0 GS21 GRN 24,575.0,460.0,152.09,517.5,26
RC,0272,SUT VLOC180 0 GS21 GRN 9,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC180 0 GS22 GRN 12,609.0,487.2,161.08,548.1,26
RC,0272,SUT VLOC180 0 GS22 GRN 9,609.0,487.2,161.08,548.1,26
RC,0272,SUT VLOC180 2-0 GS21 GRN 12,490.0,392.0,129.61,441.0,26
RC,0272,SUT VLOC180 2-0 GS21 GRN 24,575.0,460.0,152.09,517.5,26
RC,0272,SUT VLOC180 2-0 GS21 GRN 9,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC180 2-0 GS22 GRN 6,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC180 2-0 GS22 GRN 9,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC180 2-0 P12 UNDY12,474.0,379.2,125.37,426.6,26
RC,0272,SUT VLOC180 2-0 V20 GRN 12,490.0,392.0,129.61,441.0,26
RC,0272,SUT VLOC180 2-0 V20 GRN 18,513.0,410.4,135.69,461.7,26
RC,0272,SUT VLOC180 3-0 GS21 GRN 18,513.0,410.4,135.69,461.7,26
RC,0272,SUT VLOC180 3-0 P12 UNDY 30,422.0,337.6,111.62,379.8,26
RC,0272,SUT VLOC180 3-0 P12 UNDY18,513.0,410.4,135.69,461.7,26
RC,0272,SUT VLOC180 3-0 P14 UNDY12,460.0,368.0,121.67,414.0,26
RC,0272,SUT VLOC180 3-0 V20 GRN 6,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC180 4-0 CV23 GRN 6,453.0,362.4,119.82,407.7,26
RC,0272,SUT VLOC180 4-0 P12 UNDY 18,498.0,398.4,131.72,448.2,26
RC,0272,SUT VLOC180 4-0 P12 UNDY 23,575.0,460.0,152.09,517.5,26
RC,0272,SUT VLOC90 0 GS22 VIO 9,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC90 2-0 GS22 VIO 12,490.0,392.0,129.61,441.0,26
RC,0272,SUT VLOC90 2-0 P14 VIO 9,474.0,379.2,125.37,426.6,26
RC,0272,SUT VLOC90 3-0 CV23 VIO 9,453.0,362.4,119.82,407.7,26
RC,0272,SUT VLOC90 3-0 GS21VIO 9,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC90 3-0 V20 UNDY 9,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC90 3-0 V20 VIO 12,490.0,392.0,129.61,441.0,26
RC,0272,SUT VLOC90 3-0 V20 VIO 6,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC90 3-0 V20 VIO 9,467.0,373.6,123.52,420.3,26
RC,0272,SUT VLOC90 4-0 P12 UNDY 18,513.0,410.4,135.69,461.7,26
RC,0272,SUT XBRD S 2 MO6 BLU/BLK 39,570.0,456.0,150.77,513.0,26
RC,0272,SUT XBRD S 2 MO6 WHT/BLU 39,309.0,247.2,81.73,278.1,26
RC,0272,SUT XBRD S 2 TIE WHT/BLK 39,340.0,272.0,89.93,306.0,26
RC,0272,SUT XBRD TT 1.0 1.5LOOP BLU 24,2936.0,2348.8,776.57,2642.4,26
RC,0272,SUT XBRD TT 1.0 LOOP WHT/BLU 7,1182.0,945.6,312.64,1063.8,26
RC,0272,SUT XBRD TT 1.2 LOOP WHT/BLU 6,1811.0,1448.8,479.01,1629.9,26
RC,0272,SUT XBRD TT 1.2 LOOP WHT/BLU24,2936.0,2348.8,776.57,2642.4,26
RC,0272,SUT XBRD TT 1.2 TIE BLK/WHT 46,1003.0,802.4,265.29,902.7,26
RC,0272,SUT XBRD TT 1.2 TIE WHT/BLU 46,867.0,693.6,229.32,780.3,26
RC,0272,SUT XBRD TT 1.4 CT BLK/WHT 40,1207.0,965.6,319.25,1086.3,26
RC,0272,SUT XBRD TT 1.4 CT WHT/BLK 40,713.0,570.4,188.59,641.7,26
RC,0272,SUT XBRD TT 1.4 CT WHT/BLU 40,690.0,552.0,182.51,621.0,26
RC,0272,SUT XBRD TT 1.4 LOOP BLU/BLK 5,1114.0,891.2,294.65,1002.6,26
RC,0272,SUT XBRD TT 1.4 TIE WHT/BLU 40,690.0,552.0,182.51,621.0,26
RC,0272,SUT XBRD TT 1.8 CT BLK/WHT 40,1896.0,1516.8,501.49,1706.4,26
RC,0272,SUT XBRD TT 1.8 CT WHT/BLU 40,1709.0,1367.2,452.03,1538.1,26
RC,0272,SUT XBRD TT 1.8 TIE WHT/BLK40,1785.0,1428.0,472.13,1606.5,26
RC,0272,SUT XBRD TT 2.2 CT WHT/BLU 40,1156.0,924.8,305.76,1040.4,26
RC,0272,SUT XBRDTT1.2TIEWHTBLUWHTBLK40,1003.0,802.4,265.29,902.7,26
RC,0272,SUTETHIBOND2-0RB1GRN/WHT30,662.0,529.6,175.1,595.8,26
RC,0272,SUTETHIBOND2-0SH2/SH2GRN/WHT30,638.0,510.4,168.75,574.2,26
RC,0272,SYR ACP SYS DBL W CAP,1403.0,1122.4,371.09,1262.7,26
RC,0272,SYR BONE CMNT MIXING ARTX,720.0,576.0,190.44,648.0,26
RC,0272,SYR HEALON PRO OVD 0.85ML*NLU*,450.0,360.0,119.03,405.0,26
RC,0272,SYR INF KYPHON W LK SYR,1020.0,816.0,269.79,918.0,26
RC,0272,SYR INFL KYPHX XPANDER,810.0,648.0,214.25,729.0,26
RC,0272,SYR INFUS W PCH FREEDOM60,3609.0,2887.2,954.58,3248.1,26
RC,0272,SYR LIPIVAGE SYS HIGH VOL 60ML,1445.0,1156.0,382.2,1300.5,26
RC,0272,SYR MIX LUER CAP 14CC,1403.0,1122.4,371.09,1262.7,26
RC,0272,SYR NDLE SFTY CARD 1ML 25GX5/8,350.0,280.0,92.58,315.0,26
RC,0272,SYS ACC OVERSTITCH OVERTUBE,1969.0,1575.2,520.8,1772.1,26
RC,0272,SYS BONE CMNT BEAD MOLD S*NLU*,2320.0,1856.0,613.64,2088.0,26
RC,0272,SYS BRONCHSCP ROB MONARCH DISP,10850.0,8680.0,2869.83,9765.0,26
RC,0272,SYS CANISTER TB PENUMBRA,2880.0,2304.0,761.76,2592.0,26
RC,0272,SYS CHARGING VERCISE*NLU*,8100.0,6480.0,2142.45,7290.0,26
RC,0272,SYS CLIP BLNT 11.5-14 6MM,4823.0,3858.4,1275.68,4340.7,26
RC,0272,SYS CLIP SHARP 10.5-12 6MM,4473.0,3578.4,1183.11,4025.7,26
RC,0272,SYS CLIP SHARP 8.5-11 6MM,4473.0,3578.4,1183.11,4025.7,26
RC,0272,SYS CLIP SHARP 8.5-11 7MM,4893.0,3914.4,1294.2,4403.7,26
RC,0272,SYS CLIP SHARP 9.5-11 6MM,3563.0,2850.4,942.41,3206.7,26
RC,0272,SYS CMNT MIXING REVOLUTION,776.0,620.8,205.25,698.4,26
RC,0272,SYS CMNT SMARTMIX CTS BOWL,480.0,384.0,126.96,432.0,26
RC,0272,SYS CONC BONE MARW 60ML*NLU*,5700.0,4560.0,1507.65,5130.0,26
RC,0272,SYS CONSTELLATION VISION 25G,1285.0,1028.0,339.88,1156.5,26
RC,0272,SYS CORE BX GENCUT 1.9MMX114CM,3661.0,2928.8,968.33,3294.9,26
RC,0272,SYS DEL PROPEL M*DISC NO REPL*,1700.0,1360.0,449.65,1530.0,26
RC,0272,SYS DEL PROPEL MINI ETHMOID,4929.0,3943.2,1303.72,4436.1,26
RC,0272,SYS ENDOBLADE GASTROCRECESSION,5907.0,4725.6,1562.4,5316.3,26
RC,0272,SYS ENTRY ALCO 4MM 25GA 1CNT,712.0,569.6,188.32,640.8,26
RC,0272,SYS ENTRY ENHANCED 23G*NLU*,978.0,782.4,258.68,880.2,26
RC,0272,SYS ENTRY ENHANCED TROC 2*NLU*,1081.0,864.8,285.92,972.9,26
RC,0272,SYS ENTRY UNITY 4MM 25GA 1CNT,584.0,467.2,154.47,525.6,26
RC,0272,SYS ENTRY UNITY 4MM 25GA 3CNT,1323.0,1058.4,349.93,1190.7,26
RC,0272,SYS EP BIPOLR STYLUS VIVAER,9000.0,7200.0,2380.5,8100.0,26
RC,0272,SYS EVAC SMOKE LAP VALLEY*NLU*,368.0,294.4,97.34,331.2,26
RC,0272,SYS EXTL FIX AGEE PIP FIX,6300.0,5040.0,1666.35,5670.0,26
RC,0272,SYS EXTL FIX MAXFRM AUTOSTRUT,18288.0,14630.4,4837.18,16459.2,26
RC,0272,SYS EXTR ALEXIS CONTAINED 17CM,2600.0,2080.0,687.7,2340.0,26
RC,0272,SYS EXTR ALEXIS GELPOINT 17CM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,SYS EXTR ALEXIS GELPOINTMINI17,5250.0,4200.0,1388.63,4725.0,26
RC,0272,SYS FASCIAL CLSR EFX,1190.0,952.0,314.76,1071.0,26
RC,0272,SYS FFRANGIO ACTIVATION C*NLU*,5250.0,4200.0,1388.63,4725.0,26
RC,0272,SYS GAS MGMT ANGIOASSIST DISP,855.0,684.0,226.15,769.5,26
RC,0272,SYS GRAFT DEL O-GENESIS DISP,5075.0,4060.0,1342.34,4567.5,26
RC,0272,SYS HEMO ENDO PDR NEXPOWDER,4635.0,3708.0,1225.96,4171.5,26
RC,0272,SYS ILLUM LIF STER 4.6MM 10FT,3850.0,3080.0,1018.33,3465.0,26
RC,0272,SYS INFUS PERSONAL THERAPY MGR,4410.0,3528.0,1166.45,3969.0,26
RC,0272,SYS IRRISEPT*DISC USE 6295448*,570.0,456.0,150.77,513.0,26
RC,0272,SYS JETLAVAGE IRRISEPTCHG0.05%,665.0,532.0,175.89,598.5,26
RC,0272,SYS LAPIPLASTY MINI-INCISION,14988.0,11990.4,3964.33,13489.2,26
RC,0272,SYS LARYNSCP STDHNDL MILLER00,118.0,94.4,31.21,106.2,26
RC,0272,SYS LOAD ENVE*DISC 6305673*,3120.0,2496.0,825.24,2808.0,26
RC,0272,SYS MIX BONE CMNT ACCUMIX,1913.0,1530.4,505.99,1721.7,26
RC,0272,SYS MIX BONE CMNT FEM PRSSZR,992.0,793.6,262.38,892.8,26
RC,0272,SYS MIX BONE CMNT NFORCE LG,2560.0,2048.0,677.12,2304.0,26
RC,0272,SYS MIX CMNT CLEARMIIX SGL/DBL,1054.0,843.2,278.78,948.6,26
RC,0272,SYS MIX CMNT CLEARMIIXSGL/TRPL,1390.0,1112.0,367.66,1251.0,26
RC,0272,SYS MON REFLUX CAPSULE BRAVO,2347.0,1877.6,620.78,2112.3,26
RC,0272,SYS NANOSCOPIC CARPELTUNNELREL,4770.0,3816.0,1261.67,4293.0,26
RC,0272,SYS O'REGAN LIGATOR BAND *NLU*,713.0,570.4,188.59,641.7,52
RC,0272,SYS OPH VISCOELA*DISC 6333899*,8100.0,6480.0,2142.45,7290.0,26
RC,0272,SYS OPH VISCOELAS OMNI EDGE,8775.0,7020.0,2320.99,7897.5,26
RC,0272,SYS OPH VISCOELAS OMNI FG07441,8550.0,6840.0,2261.48,7695.0,26
RC,0272,SYS PEP ACAPELLA DH GRN,314.0,251.2,83.05,282.6,26
RC,0272,SYS PEP ACAPELLA*DISC 6296690*,385.0,308.0,101.83,346.5,26
RC,0272,SYS PEP OLE THERAPY VOLARA,810.0,648.0,214.25,729.0,26
RC,0272,SYS PRCD SPY-PHI,4522.0,3617.6,1196.07,4069.8,26
RC,0272,SYS PSTNR ANCHOR*VAT 6343328*,386.0,308.8,102.1,347.4,26
RC,0272,SYS RECELL AUTOLGS CENTRIO PRP,4977.0,3981.6,1316.42,4479.3,26
RC,0272,SYS REPOS SAGE AIRTAP LC*CIP*,1904.0,1523.2,503.61,1713.6,26
RC,0272,SYS RETAIN NG TB*DISC 6287600*,891.0,712.8,235.67,801.9,26
RC,0272,SYS RETRV TISS ECOSAC 115MM550,523.0,418.4,138.33,470.7,26
RC,0272,SYS RETRV TISS ECOSAC 5MM 60ML,1063.0,850.4,281.16,956.7,26
RC,0272,SYS RETRV TISS ECOSAC 5MM*NLU*,1148.0,918.4,303.65,1033.2,26
RC,0272,SYS SEAL PROX HEARTSTRINGIII,3854.0,3083.2,1019.38,3468.6,26
RC,0272,SYS SEATED PSTN PREVALONW5PADS,1003.0,802.4,265.29,902.7,26
RC,0272,SYS TACK ENDO HE*DISC 6346358*,4962.0,3969.6,1312.45,4465.8,26
RC,0272,SYS TACKENDOHELI*DISC 6346359*,4962.0,3969.6,1312.45,4465.8,26
RC,0272,SYS TENDON PRCD PK STER,3760.0,3008.0,994.52,3384.0,26
RC,0272,SYS THROMBECTOMY CLNR 6FR 65CM,4725.0,3780.0,1249.76,4252.5,26
RC,0272,SYS THROMBECTOMY CLNR 7FR135CM,6075.0,4860.0,1606.84,5467.5,26
RC,0272,SYS THROMBINATOR ANGEL CPRP,1636.0,1308.8,432.72,1472.4,26
RC,0272,SYS TUNNELER SHEATH FLUID*NLU*,442.0,353.6,116.91,397.8,26
RC,0272,SYS UTERINE HEMO*DISC 6328582*,5378.0,4302.4,1422.48,4840.2,26
RC,0272,SYS VALVED ENTRY EDGEPLUS 3CNT,1832.0,1465.6,484.56,1648.8,26
RC,0272,SYS WASH LIPOASPIR VIALITY,3850.0,3080.0,1018.33,3465.0,26
RC,0272,SYSACCESSOVERSTITCHOVERTB*CIP*,1969.0,1575.2,520.8,1772.1,26
RC,0272,T-POST EXTL FIX REVOLUTION,8820.0,7056.0,2332.89,7938.0,26
RC,0272,TACK PLATE TMPR ACUM,656.0,524.8,173.51,590.4,26
RC,0272,TACK PLATE TYME 2.0,1275.0,1020.0,337.24,1147.5,26
RC,0272,TAMP BONE INFL XPANDER II 15/3,5378.0,4302.4,1422.48,4840.2,26
RC,0272,TAMP BONE INFL XPANDER*NLU*,5378.0,4302.4,1422.48,4840.2,26
RC,0272,TAP ALPHAVENT 4.75MM,4722.0,3777.6,1248.97,4249.8,26
RC,0272,TAP ARGO KNTLS 4.75MM,2295.0,1836.0,607.03,2065.5,26
RC,0272,TAP BONE ARTX 3.5MM,1403.0,1122.4,371.09,1262.7,26
RC,0272,TAP BONE CANN ALTIVATE 6.5MM,5250.0,4200.0,1388.63,4725.0,26
RC,0272,TAP BONE CANN FUOR 5.5MM,5460.0,4368.0,1444.17,4914.0,26
RC,0272,TAP BONE CORT SCREW,2104.0,1683.2,556.51,1893.6,26
RC,0272,TAP BONE NON-CANN ALTIVATE 6.5,3900.0,3120.0,1031.55,3510.0,26
RC,0272,TAP BONE SCREW GM 4.5MM,2200.0,1760.0,581.9,1980.0,26
RC,0272,TAP BONE SOLID 3.9MM SWVLK AO,1823.0,1458.4,482.18,1640.7,26
RC,0272,TAP CANN 4.5MM*DISC NO REPL*,3807.0,3045.6,1006.95,3426.3,26
RC,0272,TAP CANN ACTIVE COMP 7.0MM,4410.0,3528.0,1166.45,3969.0,26
RC,0272,TAP CANN ARTX 4.5MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,TAP CANN ARTX 5.5MM,1636.0,1308.8,432.72,1472.4,26
RC,0272,TAP CANN JFX 3.0MM,1825.0,1460.0,482.71,1642.5,26
RC,0272,TAP CANN JFX 5.0MM,1825.0,1460.0,482.71,1642.5,26
RC,0272,TAP CANN MEDL 4.5MM,4550.0,3640.0,1203.48,4095.0,26
RC,0272,TAP CANN SCREW JONES FRAC 45MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,TAP CANN SCREW JONES FRAC 55MM,3600.0,2880.0,952.2,3240.0,26
RC,0272,TAP CANN SCREW PRGN 4.5MM,2072.0,1657.6,548.04,1864.8,26
RC,0272,TAP CANN SCREW PRGN 5.5MM,2072.0,1657.6,548.04,1864.8,26
RC,0272,TAP CANN SCREW SYNT 3.5MM,3928.0,3142.4,1038.96,3535.2,26
RC,0272,TAP CANN SCREW SYNT 4MM,3548.0,2838.4,938.45,3193.2,26
RC,0272,TAP CANN SCREW SYNT 7.3MM,4625.0,3700.0,1223.31,4162.5,26
RC,0272,TAP CANN STRY,1260.0,1008.0,333.27,1134.0,26
RC,0272,TAP CASTLELOC-S 3.0MM,1743.0,1394.4,461.02,1568.7,26
RC,0272,TAP CNCLS SCREW SYNT 6.5MM,3101.0,2480.8,820.21,2790.9,26
RC,0272,TAP CORT LK ZIMM 3.5MM,2240.0,1792.0,592.48,2016.0,26
RC,0272,TAP CORT S-CP 3.5X70MM*DISC*,2368.0,1894.4,626.34,2131.2,26
RC,0272,TAP CORT SCREW 3.5MM 110MM,1627.0,1301.6,430.34,1464.3,26
RC,0272,TAP CORT SCREW 3.5MM 180MM,1373.0,1098.4,363.16,1235.7,26
RC,0272,TAP CORT SCREW 4.0MM 150MM,1627.0,1301.6,430.34,1464.3,26
RC,0272,TAP CORT SCREW 4.5MM 180MM,1867.0,1493.6,493.82,1680.3,26
RC,0272,TAP CORT SCREW SYNT 27MM,1627.0,1301.6,430.34,1464.3,26
RC,0272,TAP CORT SCREW SYNT 3.5 175MM,2812.0,2249.6,743.77,2530.8,26
RC,0272,TAP CORT SCREW SYNT 4.5 140MM,3101.0,2480.8,820.21,2790.9,26
RC,0272,TAP CORT SCREW SYNT 4.5MM,1510.0,1208.0,399.4,1359.0,26
RC,0272,TAP CORT ZIMM 2.7MM,1496.0,1196.8,395.69,1346.4,26
RC,0272,TAP DHS DCS SCREW SYNT 12.5MM,3881.0,3104.8,1026.52,3492.9,26
RC,0272,TAP DIL BIO-COMP CANN 18MM,1683.0,1346.4,445.15,1514.7,26
RC,0272,TAP DIL BIO-COMP CANN 22MM,1683.0,1346.4,445.15,1514.7,26
RC,0272,TAP FOR 6.5MM SCREW ZIMM,1821.0,1456.8,481.65,1638.9,26
RC,0272,TAP FOR RECON SCREW 6.5X485MM,4594.0,3675.2,1215.11,4134.6,26
RC,0272,TAP FOR SCREW ZIMM 3.5MM,1051.0,840.8,277.99,945.9,26
RC,0272,TAP FOR SCREW ZIMM 4.0MM,1051.0,840.8,277.99,945.9,26
RC,0272,TAP ILIAC DBL TI 5.5X7.5MM,3400.0,2720.0,899.3,3060.0,26
RC,0272,TAP NVGTN ENAB DUAL LD 4.35MM,8712.0,6969.6,2304.32,7840.8,26
RC,0272,TAP NVGTN ENABLED STD THRD 3MM,10458.0,8366.4,2766.14,9412.2,26
RC,0272,TAP NVGTN ENABLED STD THRD 4MM,5830.0,4664.0,1542.04,5247.0,26
RC,0272,TAP PLATE ACUM 3.5MM,3528.0,2822.4,933.16,3175.2,26
RC,0272,TAP PSTR TIGER OC 3.5MM,4800.0,3840.0,1269.6,4320.0,26
RC,0272,TAP SCREW LK VOLT 2.7MM 90MM,4472.0,3577.6,1182.84,4024.8,26
RC,0272,TAP THRD EVEREST 5.5MM,1556.0,1244.8,411.56,1400.4,26
RC,0272,TAP THRD OASYS 3.5MM,2618.0,2094.4,692.46,2356.2,26
RC,0272,TAPE RADPQ GLOW N TELL30CMBX20,589.0,471.2,155.79,530.1,26
RC,0272,TAPE RADPQ GLOW N TELL30CMBX50,523.0,418.4,138.33,470.7,26
RC,0272,TARGET DEV RADL *DISC NO REPL*,2313.5,1850.8,242.02,3340.8,52
RC,0272,TB ADLT GASTRO *DISC 6174308*,701.0,560.8,185.41,630.9,26
RC,0272,TB AIRW VIVASIGH*DISC 6321549*,2288.0,1830.4,605.18,2059.2,26
RC,0272,TB AIRW VIVASIGH*DISC 6321551*,2288.0,1830.4,605.18,2059.2,26
RC,0272,TB AIRW VIVASIGH*DISC 6321553*,2288.0,1830.4,605.18,2059.2,26
RC,0272,TB AIRW VIVASIGH*DISC 6321555*,2288.0,1830.4,605.18,2059.2,26
RC,0272,TB AIRW VIVASIGHT 2DLT LFT35FR,2184.0,1747.2,577.67,1965.6,26
RC,0272,TB AIRW VIVASIGHT 2DLT LFT37FR,2184.0,1747.2,577.67,1965.6,26
RC,0272,TB AIRW VIVASIGHT 2DLT LFT39FR,2184.0,1747.2,577.67,1965.6,26
RC,0272,TB AIRW VIVASIGHT 2DLT LFT41FR,2184.0,1747.2,577.67,1965.6,26
RC,0272,TB ARTHRO DUALWAVE OUTFLOW,400.0,320.0,105.8,360.0,26
RC,0272,TB ASPIR INDIGO LG,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB ASPIR SUCT RIPTIDE,2360.0,1888.0,624.22,2124.0,26
RC,0272,TB ASPIR ZOOM POD 117.3IN,3640.0,2912.0,962.78,3276.0,26
RC,0272,TB ASSY RIA SYNT,6800.0,5440.0,1798.6,6120.0,26
RC,0272,TB ASSY SM BORE INLINE FLTR4FT,306.0,244.8,80.94,275.4,26
RC,0272,TB CALIB LAP BAND SIL 157CM,1547.0,1237.6,409.18,1392.3,26
RC,0272,TB CARMEDA STER 1/2X3/32INX6FT,358.0,286.4,94.69,322.2,26
RC,0272,TB CARMEDA STER 1/4X1/16INX6FT,358.0,286.4,94.69,322.2,26
RC,0272,TB CARMEDA STER 3/8X3/32INX6FT,358.0,286.4,94.69,322.2,26
RC,0272,TB CBL PASSING STER DISP 400MM,1659.0,1327.2,438.81,1493.1,26
RC,0272,TB CHEST SET THAL QK 14FR 41CM,1384.0,1107.2,366.07,1245.6,26
RC,0272,TB CHEST SET THAL QK 16FR 41CM,1412.0,1129.6,373.47,1270.8,26
RC,0272,TB CMNT INJ SPINEJACK 4.2MM,574.0,459.2,151.82,516.6,26
RC,0272,TB CMNT INJ SPINEJACK5.0/5.8MM,700.0,560.0,185.15,630.0,26
RC,0272,TB CPAP 600 THERMOSMART 6FT,350.0,280.0,92.58,315.0,26
RC,0272,TB ENDOBRONCH SHAW LFT 26FR,627.0,501.6,165.84,564.3,26
RC,0272,TB ENDOBRONCH SHAW LFT 28FR,500.0,400.0,132.25,450.0,26
RC,0272,TB ENDOBRONCH SHERIDAN LFT35FR,637.0,509.6,168.49,573.3,26
RC,0272,TB ENDOBRONCH SHERIDAN LFT37FR,637.0,509.6,168.49,573.3,26
RC,0272,TB ENDOBRONCH SHERIDAN LFT39FR,637.0,509.6,168.49,573.3,26
RC,0272,TB ENDOBRONCH SHERIDAN LFT41FR,637.0,509.6,168.49,573.3,26
RC,0272,TB ENDOBRONCH SHILEY LFT 35FR,516.0,412.8,136.48,464.4,26
RC,0272,TB ENDOBRONCH SHILEY LFT 37FR,516.0,412.8,136.48,464.4,26
RC,0272,TB ENDOBRONCH SHILEY LFT 39FR,516.0,412.8,136.48,464.4,26
RC,0272,TB ENDOBRONCH SHILEY LFT 41FR,516.0,412.8,136.48,464.4,26
RC,0272,TB ESOPH BLAKEMORE ADLT 20FR,1226.0,980.8,324.28,1103.4,26
RC,0272,TB ESOPH SMARTCATH ADLT 8FR,391.0,312.8,103.42,351.9,26
RC,0272,TB ET COBRA 3 PLATE EMG 6MM,3233.0,2586.4,855.13,2909.7,26
RC,0272,TB ET COBRA 3 PLATE EMG 7MM,2720.0,2176.0,719.44,2448.0,26
RC,0272,TB ET COBRA 3 PLATE EMG 8MM,2720.0,2176.0,719.44,2448.0,26
RC,0272,TB ET CUFF MURPHY PREFORMED4.0,56.0,44.8,14.81,50.4,26
RC,0272,TB ET CUFF MURPHY PREFORMED4.5,55.0,44.0,14.55,49.5,26
RC,0272,TB ET DRAGONFLY 2CH EMG6-7.5MM,2120.0,1696.0,560.74,1908.0,26
RC,0272,TB ET EMG 7MM*DISC 6222858*,3007.0,2405.6,795.35,2706.3,26
RC,0272,TB ET EMG 8MM*DISC 6222860*,3007.0,2405.6,795.35,2706.3,26
RC,0272,TB ET LARYNGOFLE*DISC 6121376*,601.0,480.8,158.96,540.9,26
RC,0272,TB ET LARYNGOFLE*DISC 6189454*,601.0,480.8,158.96,540.9,26
RC,0272,TB ET LASER CUFF MURPHY 4.5MM,475.0,380.0,125.64,427.5,26
RC,0272,TB ET LASER CUFF MURPHY 5.0MM,475.0,380.0,125.64,427.5,26
RC,0272,TB ET LASER CUFF MURPHY 5.5MM,475.0,380.0,125.64,427.5,26
RC,0272,TB ET LASER CUFF MURPHY 6.0MM,475.0,380.0,125.64,427.5,26
RC,0272,TB ET LASER UNCUF MAGILL 3.5MM,475.0,380.0,125.64,427.5,26
RC,0272,TB ET LASER UNCUF MAGILL 4.0MM,464.0,371.2,122.73,417.6,26
RC,0272,TB ET LMA FASTRACH W ROD 6.0MM,375.0,300.0,99.19,337.5,26
RC,0272,TB ET LMA FASTRACH W ROD 7.0MM,375.0,300.0,99.19,337.5,26
RC,0272,TB ET LMA FASTRACH W ROD 8.0MM,375.0,300.0,99.19,337.5,26
RC,0272,TB ET NIM EMG6MM*DISC 6222858*,3055.0,2444.0,808.05,2749.5,26
RC,0272,TB ET NIM EMG7MM*DISC 6222860*,3055.0,2444.0,808.05,2749.5,26
RC,0272,TB ET NIM EMG8MM*DISC 6240212*,3055.0,2444.0,808.05,2749.5,26
RC,0272,TB ET NIM TRIVANTAGE EMG 5MM,2630.0,2104.0,695.64,2367.0,26
RC,0272,TB ET NIM TRIVANTAGE EMG 6MM,2630.0,2104.0,695.64,2367.0,26
RC,0272,TB ET NIM TRIVANTAGE EMG 7MM,2630.0,2104.0,695.64,2367.0,26
RC,0272,TB ET NIM TRIVANTAGE EMG 8MM,2630.0,2104.0,695.64,2367.0,26
RC,0272,TB ET NIM TRIVANTAGE EMG 9MM,2630.0,2104.0,695.64,2367.0,26
RC,0272,TB ET ORAL SEALGUARD EVAC6.0MM,380.0,304.0,100.51,342.0,26
RC,0272,TB ET ORAL SEALGUARD EVAC6.5MM,380.0,304.0,100.51,342.0,26
RC,0272,TB ET ORAL SEALGUARD EVAC7.0MM,380.0,304.0,100.51,342.0,26
RC,0272,TB ET ORAL SEALGUARD EVAC7.5MM,380.0,304.0,100.51,342.0,26
RC,0272,TB ET ORAL SEALGUARD EVAC8.0MM,380.0,304.0,100.51,342.0,26
RC,0272,TB ET ORAL SEALGUARD EVAC8.5MM,380.0,304.0,100.51,342.0,26
RC,0272,TB ET ORAL SEALGUARD EVAC9.0MM,380.0,304.0,100.51,342.0,26
RC,0272,TB ET RAE MICROCUFF PEDS 4.5MM,98.0,78.4,25.92,88.2,26
RC,0272,TB ET SEALGUARD *DISC 6263331*,440.0,352.0,116.38,396.0,26
RC,0272,TB ET SEALGUARD *DISC 6266714*,453.0,362.4,119.82,407.7,26
RC,0272,TB ET STYLET TENAX 6.0MM,2033.0,1626.4,537.73,1829.7,26
RC,0272,TB ET STYLET TENAX 7.0MM,2033.0,1626.4,537.73,1829.7,26
RC,0272,TB ET STYLET TENAX 7.5MM,2033.0,1626.4,537.73,1829.7,26
RC,0272,TB EXTL FIX COMP DISTRAC 15MM,3587.0,2869.6,948.76,3228.3,26
RC,0272,TB FEED PEG JEJ *DISC NO REPL*,1176.0,940.8,311.05,1058.4,26
RC,0272,TB FILTR SET BIF AIRSEAL,914.0,731.2,241.75,822.6,26
RC,0272,TB FILTR SET TL AIRSEAL IFS,827.0,661.6,218.74,744.3,26
RC,0272,TB GAST CALIB ENLU 40FR,2080.0,1664.0,550.16,1872.0,26
RC,0272,TB GASTRO BLN AMT 24FR*NLU*,330.0,264.0,87.29,297.0,26
RC,0272,TB GASTRO BLN AMT*VAT 6322430*,340.0,272.0,89.93,306.0,26
RC,0272,TB GASTRO BLN AMT*VAT 6322431*,340.0,272.0,89.93,306.0,26
RC,0272,TB GASTRO BLN AMT*VAT 6322432*,340.0,272.0,89.93,306.0,26
RC,0272,TB GASTRO BLN AMT*VAT 6322433*,340.0,272.0,89.93,306.0,26
RC,0272,TB GASTRO BLN AMT*VAT 6322434*,330.0,264.0,87.29,297.0,26
RC,0272,TB GASTRO BLN ENFIT AMT 12FR,526.0,420.8,139.13,473.4,26
RC,0272,TB GASTRO BLN ENFIT AMT 14FR,420.0,336.0,111.09,378.0,26
RC,0272,TB GASTRO BLN ENFIT AMT 16FR,420.0,336.0,111.09,378.0,26
RC,0272,TB GASTRO BLN ENFIT AMT 18FR,420.0,336.0,111.09,378.0,26
RC,0272,TB GASTRO BLN ENFIT AMT 20FR,420.0,336.0,111.09,378.0,26
RC,0272,TB GASTRO ENFIT 3PORT 22FR,266.0,212.8,70.36,239.4,26
RC,0272,TB GASTRO ENFIT MIC 14FR,391.0,312.8,103.42,351.9,26
RC,0272,TB GASTRO ENFIT MIC 16FR,442.0,353.6,116.91,397.8,26
RC,0272,TB GASTRO ENFIT MIC 18FR,512.0,409.6,135.42,460.8,26
RC,0272,TB GASTRO ENFIT MIC 20FR,503.0,402.4,133.04,452.7,26
RC,0272,TB GASTRO ENFIT MIC 22FR,442.0,353.6,116.91,397.8,26
RC,0272,TB GASTRO ENFIT MIC 24FR,512.0,409.6,135.42,460.8,26
RC,0272,TB GASTRO ENFIT MIC 26FR,391.0,312.8,103.42,351.9,26
RC,0272,TB GASTRO ENFIT MIC 28FR,391.0,312.8,103.42,351.9,26
RC,0272,TB GASTRO ENFIT MIC 30FR,391.0,312.8,103.42,351.9,26
RC,0272,TB GASTRO JEJ DCOMP ENFIT 9FR,903.0,722.4,238.84,812.7,26
RC,0272,TB GASTRO MIC BLN*VAT 6322557*,369.0,295.2,97.6,332.1,26
RC,0272,TB GASTRO MIC BLN*VAT 6322558*,386.0,308.8,102.1,347.4,26
RC,0272,TB GASTRO MIC BLN*VAT 6322559*,369.0,295.2,97.6,332.1,26
RC,0272,TB GASTRO MOSS 18FR,2200.0,1760.0,581.9,1980.0,26
RC,0272,TB GASTRO REPL ENFIT ANG 14FR,318.0,254.4,84.11,286.2,26
RC,0272,TB GASTRO REPL ENFIT ANG 16FR,318.0,254.4,84.11,286.2,26
RC,0272,TB GASTRO REPL ENFIT ANG 18FR,318.0,254.4,84.11,286.2,26
RC,0272,TB GASTRO REPL ENFIT ANG 20FR,318.0,254.4,84.11,286.2,26
RC,0272,TB GASTRO REPL ENFIT ST 22FR,277.0,221.6,73.27,249.3,26
RC,0272,TB GASTRO REPL RT*VAT 6322699*,318.0,254.4,84.11,286.2,26
RC,0272,TB GASTRO REPL RT*VAT 6322700*,318.0,254.4,84.11,286.2,26
RC,0272,TB GASTRO REPL RT*VAT 6322701*,318.0,254.4,84.11,286.2,26
RC,0272,TB GASTRO REPL RT*VAT 6322702*,318.0,254.4,84.11,286.2,26
RC,0272,TB GASTRO TRI-FUN*VAT 6320985*,1080.0,864.0,285.66,972.0,26
RC,0272,TB GASTRO TRIFUNN*VAT 6322561*,986.0,788.8,260.8,887.4,26
RC,0272,TB GASTRO Y ENFIT 22FR 20CC,304.0,243.2,80.41,273.6,26
RC,0272,TB GASTROMICBLN7-*VAT 6320985*,369.0,295.2,97.6,332.1,26
RC,0272,TB GASTROMICBLN7-*VAT 6322561*,369.0,295.2,97.6,332.1,26
RC,0272,TB GASTROMICBLN7-*VAT 6322562*,369.0,295.2,97.6,332.1,26
RC,0272,TB GASTROMICBLN7-*VAT 6322565*,369.0,295.2,97.6,332.1,26
RC,0272,TB GASTROTRI-FUNN*VAT 6322558*,1080.0,864.0,285.66,972.0,26
RC,0272,TB GASTROTRI-FUNN*VAT 6322562*,986.0,788.8,260.8,887.4,26
RC,0272,TB GJ ENFIT G-JET 14FR 30CM,2712.0,2169.6,717.32,2440.8,26
RC,0272,TB GJ ENFIT G-JET 14FR 45CM,2712.0,2169.6,717.32,2440.8,26
RC,0272,TB GJ ENFIT G-JET 14FR1.0 15CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.0 22CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.2 15CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.2 22CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.2 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.5 15CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.5 22CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.5 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.5 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.7 15CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.7 22CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.7 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR1.7 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR2.0 22CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR2.0 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR2.0 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR2.3 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR2.3 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR2.5 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR2.5 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR2.7 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR2.7 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR3.0 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 14FR3.5 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR1.0 15CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR1.0 22CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR1.2 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR1.5 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR1.5 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR1.7 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR1.7 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR2.0 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR2.0 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR2.3 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR2.3 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR2.5 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR2.5 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR2.7 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR3.0 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 16FR3.5 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 18FR 2.5 30C,3400.0,2720.0,899.3,3060.0,26
RC,0272,TB GJ ENFIT G-JET 18FR1.7 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 18FR1.7 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 18FR2.0 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 18FR2.5 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 18FR2.7 30CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 18FR2.7 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 18FR3.0 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 18FR3.5 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 18FR4.0 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ ENFIT G-JET 22FR 45CM,2712.0,2169.6,717.32,2440.8,26
RC,0272,TB GJ ENFIT MIC 16FR,1595.0,1276.0,421.88,1435.5,26
RC,0272,TB GJ ENFIT MIC 18FR,1595.0,1276.0,421.88,1435.5,26
RC,0272,TB GJ ENFIT MIC 22FR,1595.0,1276.0,421.88,1435.5,26
RC,0272,TB GJ ENFIT MIC ENDO 16FR 45CM,2035.0,1628.0,538.26,1831.5,26
RC,0272,TB GJ ENFIT MIC ENDO 18FR 30CM,2035.0,1628.0,538.26,1831.5,26
RC,0272,TB GJ ENFIT MIC ENDO 18FR 45CM,2035.0,1628.0,538.26,1831.5,26
RC,0272,TB GJ ENFIT MIC ENDO 22FR 45CM,2035.0,1628.0,538.26,1831.5,26
RC,0272,TB GJ ENFIT MICRO 14FR0.8 10CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR0.8 15CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR0.8 22CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.0 10CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.0 15CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.0 22CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.2 10CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.2 15CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.2 22CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.2 30CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.5 10CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.5 15CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.5 30CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.7 10CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.7 22CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR1.7 30CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR2.0 22CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR2.0 30CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR2.3 22CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR2.3 30CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR2.5 22CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ ENFIT MICRO 14FR2.5 30CM,5929.0,4743.2,1568.22,5336.1,26
RC,0272,TB GJ G-JET 14FR *VAT 6322444*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322445*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322446*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322447*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322448*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322449*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322450*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322451*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322452*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322453*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322454*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322455*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322456*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322457*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322458*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322459*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322460*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322461*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322462*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322463*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322464*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322465*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322466*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 14FR *VAT 6322467*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322468*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322469*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322470*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322471*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322472*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322473*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322474*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322475*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322476*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322477*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322478*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322479*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR *VAT 6322480*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR 1.5 30CM*NLU*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR 2.0 22CM*NLU*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 16FR 2.7 30CM*NLU*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 18FR *VAT 6322481*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 18FR *VAT 6322483*,3224.0,2579.2,852.75,2901.6,26
RC,0272,TB GJ G-JET 18FR 2.0 45CM,3504.0,2803.2,926.81,3153.6,26
RC,0272,TB GJ KANGAROO 9FR 35IN*C*NLU*,1304.0,1043.2,344.91,1173.6,26
RC,0272,TB GJ MIC EN*DISC 6294456*,1901.0,1520.8,502.81,1710.9,26
RC,0272,TB GJ MIC ENDO 16*VAT 6322649*,2006.0,1604.8,530.59,1805.4,26
RC,0272,TB GJ MIC ENDO 16*VAT 6322650*,1920.0,1536.0,507.84,1728.0,26
RC,0272,TB GJ MIC ENDO 18*VAT 6322651*,1920.0,1536.0,507.84,1728.0,26
RC,0272,TB GJ MIC ENDO 18*VAT 6322652*,1920.0,1536.0,507.84,1728.0,26
RC,0272,TB GJ MIC ENDO 22*VAT 6322653*,1920.0,1536.0,507.84,1728.0,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322654*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322655*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322656*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322657*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322658*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322660*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322661*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322662*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322663*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322664*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322665*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322666*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322667*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322668*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO16*VAT 6322669*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO18*VAT 6322671*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO18*VAT 6322674*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO18*VAT 6322675*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO18*VAT 6322676*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO18*VAT 6322677*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO18*VAT 6323025*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO22*VAT 6322678*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO22*VAT 6322679*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO22*VAT 6322680*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO22*VAT 6322681*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJ MIC LOPRO22*VAT 6322748*,2733.0,2186.4,722.88,2459.7,26
RC,0272,TB GJMICROG-JET14*VAT 6322550*,4725.0,3780.0,1249.76,4252.5,26
RC,0272,TB HEAT HUMID EVAC PNEUMOCLEAR,1080.0,864.0,285.66,972.0,26
RC,0272,TB HEAT HUMID PNEUMOCLEAR*NLU*,778.0,622.4,205.78,700.2,26
RC,0272,TB HEATED PNEUMOCLEAR,548.0,438.4,144.95,493.2,26
RC,0272,TB HI FLOW MI-AXU*USE 6299117*,2400.0,1920.0,634.8,2160.0,26
RC,0272,TB IMPLT FILLING*NLU*,4410.0,3528.0,1166.45,3969.0,26
RC,0272,TB INFLOW OUTFLOW AQUILEX,900.0,720.0,238.05,810.0,26
RC,0272,TB INFLOW TRIVEX*DISC NO REPL*,1318.0,1054.4,348.61,1186.2,26
RC,0272,TB INFUS PUMP SMARTSENSE 400CM,220.0,176.0,58.19,198.0,26
RC,0272,TB INSRT NEXDRIVE SGL W STYLET,1389.0,1111.2,367.39,1250.1,26
RC,0272,TB INSRT STARDR SGL STER,2848.0,2278.4,753.3,2563.2,26
RC,0272,TB INSUF HEATED STRY,539.0,431.2,142.57,485.1,26
RC,0272,TB INSUF HI FLOW HEAT,460.0,368.0,121.67,414.0,26
RC,0272,TB INSUF INSUFLOW HUMIDIF*NLU*,570.0,456.0,150.77,513.0,26
RC,0272,TB IRG BRONCH*DISC 6319604*,491.0,392.8,129.87,441.9,26
RC,0272,TB IRG BRONCHSCOPE FLUIDICS,947.0,757.6,250.48,852.3,26
RC,0272,TB IRG COOLFLOW PUMP*NLU*,900.0,720.0,238.05,810.0,26
RC,0272,TB IRG EVAC PIEZOELECTRIC SYS,899.0,719.2,237.79,809.1,26
RC,0272,TB IRG SET ARTX 3.8METER,358.0,286.4,94.69,322.2,26
RC,0272,TB IRG SMARTABLATE,876.0,700.8,231.7,788.4,26
RC,0272,TB IRG STRAIGHTSHOT XPS MDTR,319.0,255.2,84.38,287.1,26
RC,0272,TB IRG ULTDRV3 SGL DISP*DISC*,1335.0,1068.0,353.11,1201.5,26
RC,0272,TB IRR HF EMAX2*DISC 6287364*,1573.0,1258.4,416.06,1415.7,26
RC,0272,TB IRR POLY*DISC 6287364*,493.0,394.4,130.4,443.7,26
RC,0272,TB IRR SYS RIO,493.0,394.4,130.4,443.7,26
RC,0272,TB JEJ BAKER CAT*DISC NO REPL*,2306.0,1844.8,609.94,2075.4,26
RC,0272,TB JEJ DCOMP PUS*DISC 6210538*,2256.0,1804.8,596.71,2030.4,26
RC,0272,TB JEJ ENFIT MIC 7-10ML 12FR,1216.0,972.8,321.63,1094.4,26
RC,0272,TB JEJ ENFIT MIC 7-10ML 14FR,1216.0,972.8,321.63,1094.4,26
RC,0272,TB JEJ ENFIT MIC 7-10ML 16FR,1216.0,972.8,321.63,1094.4,26
RC,0272,TB JEJ ENFIT MIC 7-10ML 18FR,1216.0,972.8,321.63,1094.4,26
RC,0272,TB JEJ ENFIT MIC 7-10ML 20FR,1216.0,972.8,321.63,1094.4,26
RC,0272,TB JEJ ENFIT MIC 7-10ML 22FR,1216.0,972.8,321.63,1094.4,26
RC,0272,TB JEJ MIC BLN 7-*VAT 6322635*,1147.0,917.6,303.38,1032.3,26
RC,0272,TB JEJ MIC BLN 7-*VAT 6322636*,1147.0,917.6,303.38,1032.3,26
RC,0272,TB JEJ MIC BLN 7-*VAT 6322638*,1147.0,917.6,303.38,1032.3,26
RC,0272,TB JEJ MIC BLN 7-10ML 18FR,1216.0,972.8,321.63,1094.4,26
RC,0272,TB JEJ MIC LOPRO *VAT 6322646*,1505.0,1204.0,398.07,1354.5,26
RC,0272,TB JEJ MIC LOPRO *VAT 6322647*,1505.0,1204.0,398.07,1354.5,26
RC,0272,TB JEJ MIC LOPRO *VAT 6322648*,1505.0,1204.0,398.07,1354.5,26
RC,0272,TB JEJ MIC SURG 14/9FR,1702.0,1361.6,450.18,1531.8,26
RC,0272,TB JEJ PEG BENT *DISC NO REPL*,1176.0,940.8,311.05,1058.4,26
RC,0272,TB LARYN BLOM-SI*DISC NO REPL*,812.0,649.6,214.77,730.8,26
RC,0272,TB LARYN BLOM-SINGER 10/36MM,542.0,433.6,143.36,487.8,26
RC,0272,TB LARYN BLOM-SINGER 12/36MM,684.0,547.2,180.92,615.6,26
RC,0272,TB LARYN BLOM-SINGER FEN8/55MM,812.0,649.6,214.77,730.8,26
RC,0272,TB LARYN BLOM-SINGER FEN9/36MM,812.0,649.6,214.77,730.8,26
RC,0272,TB LARYN BLOM-SINGER FEN9/55MM,812.0,649.6,214.77,730.8,26
RC,0272,TB LARYN BLOM-SINGERFEN10/36MM,812.0,649.6,214.77,730.8,26
RC,0272,TB LARYN BLOM-SINGERFEN10/55MM,893.0,714.4,236.2,803.7,26
RC,0272,TB LARYN LARYTB STD 10/36MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,TB LARYN LARYTB STD 10/55MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,TB LARYN LARYTB STD 12/36MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,TB LARYN LARYTB STD 8/27MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,TB LARYN LARYTB STD 8/36MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,TB LARYN LARYTB STD 8/55MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,TB LARYN LARYTB STD 9/36MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,TB LARYN LARYTB STD 9/55MM,1292.0,1033.6,341.73,1162.8,26
RC,0272,TB LARYN LARYTUBE FEN 10/55MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,TB LARYN LARYTUBE FEN 8/36MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,TB LARYN LARYTUBE STD 10/36MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,TB LARYN LARYTUBE STD 10/55MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,TB LARYN LARYTUBE STD 8/36MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,TB LARYN LARYTUBE STD 8/55MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,TB LARYN LARYTUBE STD 9/36MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,TB LARYN LARYTUBE STD 9/55MM,1465.0,1172.0,387.49,1318.5,26
RC,0272,TB LARYN SHILEY SZ10,457.0,365.6,120.88,411.3,26
RC,0272,TB LARYN SHILEY SZ6,457.0,365.6,120.88,411.3,26
RC,0272,TB LARYN SHILEY SZ8,457.0,365.6,120.88,411.3,26
RC,0272,TB LARYN SINGER SZ10 36MM,637.0,509.6,168.49,573.3,26
RC,0272,TB LARYN SINGER SZ10 55MM,693.0,554.4,183.3,623.7,26
RC,0272,TB LARYN SINGER SZ8 36MM,637.0,509.6,168.49,573.3,26
RC,0272,TB LARYN SINGER SZ8 55MM,637.0,509.6,168.49,573.3,26
RC,0272,TB MEDULLARY IRG RIA DISP,664.0,531.2,175.63,597.6,26
RC,0272,TB MICROVEL 20MM 60CM*DISC*,2636.0,2108.8,697.22,2372.4,26
RC,0272,TB NG CORFLO ENFIT CONN10FR152,707.0,565.6,187.0,636.3,26
RC,0272,TB NG KANGAROO IRIS 10FR*NLU*,1105.0,884.0,292.27,994.5,26
RC,0272,TB NG KANGAROO IRIS 8F*NLU*,1105.0,884.0,292.27,994.5,26
RC,0272,TB NJ COOK 10FR 240CM,1403.0,1122.4,371.09,1262.7,26
RC,0272,TB NYLON EXC,3283.0,2626.4,868.35,2954.7,26
RC,0272,TB PEG-J OTW ENFIT CORFLO 8FR,1333.0,1066.4,352.58,1199.7,26
RC,0272,TB PERF PUMP BUBLTRAP*DISC*,26450.0,21160.0,6996.03,23805.0,26
RC,0272,TB PUMP AND CHAMBER EVIDENT,2117.0,1693.6,559.95,1905.3,26
RC,0272,TB REAMER FOR HOLLOW REAMER,2076.0,1660.8,549.1,1868.4,26
RC,0272,TB REAMER SPARE 4.0/5.0MM,2076.0,1660.8,549.1,1868.4,26
RC,0272,TB REAMER SPARE 6.0/7.0MM,2076.0,1660.8,549.1,1868.4,26
RC,0272,TB SET 2 PUNC NDLE INFLO*DISC*,803.0,642.4,212.39,722.7,26
RC,0272,TB SET AIRSEAL TL FLTR,788.0,630.4,208.43,709.2,26
RC,0272,TB SET ARTHRO,522.0,417.6,138.07,469.8,26
RC,0272,TB SET CARDIOHELP HLS ADV 5.0,30599.0,24479.2,8093.44,27539.1,26
RC,0272,TB SET EXT FLTR *DISC NO REPL*,2730.0,2184.0,722.09,2457.0,26
RC,0272,TB SET INFLOW UROL THERMEDX,1359.0,1087.2,359.46,1223.1,26
RC,0272,TB SET VAC VERATRAC DUO,692.0,553.6,183.03,622.8,26
RC,0272,TB SMOKE EVAC PNEUMOCLEAR,478.0,382.4,126.43,430.2,26
RC,0272,TB SPLINTING DISP,2298.0,1838.4,607.82,2068.2,26
RC,0272,TB TEFLON HUMR GDWIRE EXCH T2,2232.0,1785.6,590.36,2008.8,26
RC,0272,TB TEFLON HUMR GDWIRE EXCHSTER,1528.0,1222.4,404.16,1375.2,26
RC,0272,TB TRACH BIVONA CUST 3.5MM 45M,3160.0,2528.0,835.82,2844.0,26
RC,0272,TB TRACH BIVONA CUST 3.5MM 48M,2520.0,2016.0,666.54,2268.0,26
RC,0272,TB TRACH BIVONA CUST 6.0OD 4.0,2520.0,2016.0,666.54,2268.0,26
RC,0272,TB TRACH BIVONA CUST 8.0OD 5.5,2520.0,2016.0,666.54,2268.0,26
RC,0272,TB TRACH BIVONA CUST 8.7OD 6.0,2520.0,2016.0,666.54,2268.0,26
RC,0272,TB TRACH BIVONA FLXTD CUST 4.0,2520.0,2016.0,666.54,2268.0,26
RC,0272,TB TRACH BIVONA FLXTD CUST 5.0,2560.0,2048.0,677.12,2304.0,26
RC,0272,TB TRACH BIVONA FLXTD CUST 8.0,2400.0,1920.0,634.8,2160.0,26
RC,0272,TB TRACH BIVONA FLXTD NEO 3.5,1581.0,1264.8,418.17,1422.9,26
RC,0272,TB TRACH BIVONA FLXTD NEO 4.0,1581.0,1264.8,418.17,1422.9,26
RC,0272,TB TRACH BIVONA FLXTD PEDS 2.5,1660.0,1328.0,439.07,1494.0,26
RC,0272,TB TRACH BIVONA FLXTD PEDS 3.0,1581.0,1264.8,418.17,1422.9,26
RC,0272,TB TRACH BIVONA FLXTD PEDS 3.5,1581.0,1264.8,418.17,1422.9,26
RC,0272,TB TRACH BIVONA FLXTD PEDS 4.0,1581.0,1264.8,418.17,1422.9,26
RC,0272,TB TRACH BIVONA FLXTD PEDS 4.5,2112.0,1689.6,558.62,1900.8,26
RC,0272,TB TRACH BIVONA FLXTD PEDS 5.0,1581.0,1264.8,418.17,1422.9,26
RC,0272,TB TRACH BIVONA FLXTD PEDS 5.5,1660.0,1328.0,439.07,1494.0,26
RC,0272,TB TRACH BIVONA FLXTD PEDS 6.0,1581.0,1264.8,418.17,1422.9,26
RC,0272,TB TRACH BIVONA FLXTD VPEDS4.5,1581.0,1264.8,418.17,1422.9,26
RC,0272,TB TRACH BIVONA FLXTD VPEDS5.5,1581.0,1264.8,418.17,1422.9,26
RC,0272,TB TRACH BIVONA FLXTD+ PEDS4.5,1660.0,1328.0,439.07,1494.0,26
RC,0272,TB TRACH BIVONA HYPERFLEX ADJ6,1323.0,1058.4,349.93,1190.7,26
RC,0272,TB TRACH BIVONA HYPERFLEX ADJ7,1323.0,1058.4,349.93,1190.7,26
RC,0272,TB TRACH BIVONA HYPERFLEX ADJ8,1323.0,1058.4,349.93,1190.7,26
RC,0272,TB TRACH BIVONA HYPERFLEX ADJ9,1377.0,1101.6,364.22,1239.3,26
RC,0272,TB TRACH BIVONA STER CUST 4.0,2720.0,2176.0,719.44,2448.0,26
RC,0272,TB TRACH BIVONA TIGHT CUST 5.0,2720.0,2176.0,719.44,2448.0,26
RC,0272,TB TRACH BIVONAAIRE-CUFADLT7.0,607.0,485.6,160.55,546.3,26
RC,0272,TB TRACH BIVONAAIRE-CUFADLT9.5,637.0,509.6,168.49,573.3,26
RC,0272,TB TRACH BIVONAAIRE-CUFPEDS4.0,1391.0,1112.8,367.92,1251.9,26
RC,0272,TB TRACH CUFF BIVONA FLXTD 4.0,2560.0,2048.0,677.12,2304.0,26
RC,0272,TB TRACH CUFF BIVONA TTS 7,859.0,687.2,227.21,773.1,26
RC,0272,TB TRACH CUFF BIVONA TTS 9,607.0,485.6,160.55,546.3,26
RC,0272,TB TRACH CUFF DIST SHILEY XLT6,581.0,464.8,153.67,522.9,26
RC,0272,TB TRACH CUFF DIST SHILEY XLT7,581.0,464.8,153.67,522.9,26
RC,0272,TB TRACH CUFF DIST SHILEY XLT8,581.0,464.8,153.67,522.9,26
RC,0272,TB TRACH CUFF FEN SHILEY DISP4,396.0,316.8,104.74,356.4,26
RC,0272,TB TRACH CUFF FEN SHILEY DISP6,396.0,316.8,104.74,356.4,26
RC,0272,TB TRACH CUFF FEN SHILEY DISP8,396.0,316.8,104.74,356.4,26
RC,0272,TB TRACH CUFF FEN SHILEYDISP10,396.0,316.8,104.74,356.4,26
RC,0272,TB TRACH CUFF PROX SHILEY XLT6,657.0,525.6,173.78,591.3,26
RC,0272,TB TRACH CUFF PROX SHILEY XLT7,581.0,464.8,153.67,522.9,26
RC,0272,TB TRACH CUFF PROX SHILEY XLT8,581.0,464.8,153.67,522.9,26
RC,0272,TB TRACH CUFF SH*DISC 6349429*,582.0,465.6,153.94,523.8,26
RC,0272,TB TRACH CUFF SH*DISC 6349438*,444.0,355.2,117.44,399.6,26
RC,0272,TB TRACH CUFF SHILE*DISC MULT*,594.0,475.2,157.11,534.6,26
RC,0272,TB TRACH CUFF SHILEY FLEXDISP4,444.0,355.2,117.44,399.6,26
RC,0272,TB TRACH CUFF SHILEY FLEXDISP5,444.0,355.2,117.44,399.6,26
RC,0272,TB TRACH CUFF SHILEY FLEXDISP6,444.0,355.2,117.44,399.6,26
RC,0272,TB TRACH CUFF SHILEY FLEXDISP7,444.0,355.2,117.44,399.6,26
RC,0272,TB TRACH CUFF SHILEY FLEXDISP8,444.0,355.2,117.44,399.6,26
RC,0272,TB TRACH CUFF SHILEY FLEXDISP9,444.0,355.2,117.44,399.6,26
RC,0272,TB TRACH CUFF SHILEY FLEXREUS8,664.0,531.2,175.63,597.6,26
RC,0272,TB TRACH CUFF SHILEY PEDS 4.0,611.0,488.8,161.61,549.9,26
RC,0272,TB TRACH CUFF SHILEY PEDS 4.5,611.0,488.8,161.61,549.9,26
RC,0272,TB TRACH CUFF SHILEY PEDS 5.0,611.0,488.8,161.61,549.9,26
RC,0272,TB TRACH CUFF SHILEY PEDS 5.5,611.0,488.8,161.61,549.9,26
RC,0272,TB TRACH CUFF SHILEYDISP6*CIP*,560.0,448.0,148.12,504.0,26
RC,0272,TB TRACH CUFF SHILEYDISP7*CIP*,523.0,418.4,138.33,470.7,26
RC,0272,TB TRACH CUFF SHILEYDISP8*CIP*,582.0,465.6,153.94,523.8,26
RC,0272,TB TRACH CUFF SHILEYFLEXDISP10,444.0,355.2,117.44,399.6,26
RC,0272,TB TRACH CUFF SHILEYTPRGDDISP8,591.0,472.8,156.32,531.9,26
RC,0272,TB TRACH CUFF TRACOEPEDS3.5X55,2120.0,1696.0,560.74,1908.0,26
RC,0272,TB TRACH CUFFSHI*DISC 6349435*,444.0,355.2,117.44,399.6,26
RC,0272,TB TRACH CUFFSHILEYXLNGPEDS5.0,611.0,488.8,161.61,549.9,26
RC,0272,TB TRACH CUFFSHILEYXLNGPEDS5.5,611.0,488.8,161.61,549.9,26
RC,0272,TB TRACH CUFFSHILEYXLNGPEDS6.0,611.0,488.8,161.61,549.9,26
RC,0272,TB TRACH CUFFSHILEYXLNGPEDS6.5,611.0,488.8,161.61,549.9,26
RC,0272,TB TRACH CUST BIVONA PEDS,3160.0,2528.0,835.82,2844.0,26
RC,0272,TB TRACH CUST SM*DISC NO REPL*,3638.0,2910.4,962.25,3274.2,26
RC,0272,TB TRACH FLXTD CUST NEO 2.5MM,1828.0,1462.4,483.51,1645.2,26
RC,0272,TB TRACH FLXTD CUST NEO 3.0MM,1828.0,1462.4,483.51,1645.2,26
RC,0272,TB TRACH FLXTD CUST NEO 3.5MM,2720.0,2176.0,719.44,2448.0,26
RC,0272,TB TRACH FLXTD CUST PEDS 2.5MM,2720.0,2176.0,719.44,2448.0,26
RC,0272,TB TRACH FLXTD CUST PEDS 3.0MM,2200.0,1760.0,581.9,1980.0,26
RC,0272,TB TRACH FLXTD CUST PEDS 3.5MM,1828.0,1462.4,483.51,1645.2,26
RC,0272,TB TRACH MONTGOMERY T CL*NLU*,1454.0,1163.2,384.58,1308.6,52
RC,0272,TB TRACH QK II CUFF 4.0MM,1892.0,1513.6,500.43,1702.8,26
RC,0272,TB TRACH SHI*DISC 6269173*,703.0,562.4,185.94,632.7,26
RC,0272,TB TRACH SHI*DISC 6321990*,304.0,243.2,80.41,273.6,26
RC,0272,TB TRACH SHI*DISC USE 6269172*,355.0,284.0,93.9,319.5,26
RC,0272,TB TRACH SHI5.0*DISC 6321994*,406.0,324.8,107.39,365.4,26
RC,0272,TB TRACH SHI5.5*DISC 6321987*,609.0,487.2,161.08,548.1,26
RC,0272,TB TRACH SHILEY *DISC 6269174*,336.0,268.8,88.87,302.4,26
RC,0272,TB TRACH SHILEY *DISC 6269175*,674.0,539.2,178.27,606.6,26
RC,0272,TB TRACH SHILEY *DISC 6269179*,746.5,597.2,189.12,700.2,52
RC,0272,TB TRACH SHILEY *DISC 6269180*,685.0,548.0,181.18,616.5,26
RC,0272,TB TRACH SHILEY *DISC 6313493*,774.0,619.2,204.72,696.6,26
RC,0272,TB TRACH SHILEY *DISC 6313494*,758.0,606.4,200.49,682.2,26
RC,0272,TB TRACH SHILEY *DISC 6321982*,592.0,473.6,156.58,532.8,26
RC,0272,TB TRACH SHILEY *DISC 6321984*,614.0,491.2,162.4,552.6,26
RC,0272,TB TRACH SHILEY *DISC 6321985*,609.0,487.2,161.08,548.1,26
RC,0272,TB TRACH SHILEY *DISC 6321986*,569.0,455.2,150.5,512.1,26
RC,0272,TB TRACH SHILEY *DISC 6321992*,406.0,324.8,107.39,365.4,26
RC,0272,TB TRACH SHILEY *DISC 6321993*,406.0,324.8,107.39,365.4,26
RC,0272,TB TRACH SHILEY *DISC 6321995*,406.0,324.8,107.39,365.4,26
RC,0272,TB TRACH SHILEY *DISC 6321997*,715.0,572.0,189.12,643.5,26
RC,0272,TB TRACH SHILEY *DISC 6330759*,614.0,491.2,162.4,552.6,26
RC,0272,TB TRACH SHILEY 6*DISC 6321996,406.0,324.8,107.39,365.4,26
RC,0272,TB TRACH SHILEYU*DISC 6321988*,304.0,243.2,80.41,273.6,26
RC,0272,TB TRACH SHILEYU*DISC 6321989*,304.0,243.2,80.41,273.6,26
RC,0272,TB TRACH SHILEYU*DISC 6321991*,304.0,243.2,80.41,273.6,26
RC,0272,TB TRACH SHILEYU*DISC 6321998*,336.0,268.8,88.87,302.4,26
RC,0272,TB TRACH SHILYUN*DISC 6309704*,304.0,243.2,80.41,273.6,26
RC,0272,TB TRACH SHILYUNC*USE 6309705*,304.0,243.2,80.41,273.6,26
RC,0272,TB TRACH STD CL SAFE-T 12MM,1573.0,1258.4,416.06,1415.7,26
RC,0272,TB TRACH STD RADPQ SAFE-T12MM,1573.0,1258.4,416.06,1415.7,26
RC,0272,TB TRACH THORACIC SAFE-TCL10MM,1938.0,1550.4,512.6,1744.2,26
RC,0272,TB TRACH THORACIC SAFE-TCL12MM,1573.0,1258.4,416.06,1415.7,26
RC,0272,TB TRACH TRACOE 3.*NLU*,1651.0,1320.8,436.69,1485.9,26
RC,0272,TB TRACH UNCUF BIVONA ADLT 5.0,495.0,396.0,130.93,445.5,26
RC,0272,TB TRACH UNCUF BIVONA ADLT 6.0,596.0,476.8,157.64,536.4,26
RC,0272,TB TRACH UNCUF BIVONA PEDS 3.5,487.0,389.6,128.81,438.3,26
RC,0272,TB TRACH UNCUF BIVONA PEDS 4.0,487.0,389.6,128.81,438.3,26
RC,0272,TB TRACH UNCUF BIVONA PEDS 4.5,487.0,389.6,128.81,438.3,26
RC,0272,TB TRACH UNCUF BIVONA STNEO2.5,1154.0,923.2,305.23,1038.6,26
RC,0272,TB TRACH UNCUF BIVONA STNEO3.0,1154.0,923.2,305.23,1038.6,26
RC,0272,TB TRACH UNCUF BIVONA STNEO3.5,1721.0,1376.8,455.2,1548.9,26
RC,0272,TB TRACH UNCUF BIVONA STNEO4.0,1154.0,923.2,305.23,1038.6,26
RC,0272,TB TRACH UNCUF BIVONA STPED3.0,695.0,556.0,183.83,625.5,26
RC,0272,TB TRACH UNCUF BIVONA STPED3.5,695.0,556.0,183.83,625.5,26
RC,0272,TB TRACH UNCUF BIVONA STPED4.0,695.0,556.0,183.83,625.5,26
RC,0272,TB TRACH UNCUF BIVONA STPED5.0,1154.0,923.2,305.23,1038.6,26
RC,0272,TB TRACH UNCUF BIVONA V PED3.0,854.0,683.2,225.88,768.6,26
RC,0272,TB TRACH UNCUF BIVONASTPEDS4.0,487.0,389.6,128.81,438.3,26
RC,0272,TB TRACH UNCUF DIST SHILEYXLT5,598.0,478.4,158.17,538.2,26
RC,0272,TB TRACH UNCUF DIST SHILEYXLT6,701.0,560.8,185.41,630.9,26
RC,0272,TB TRACH UNCUF DIST SHILEYXLT7,598.0,478.4,158.17,538.2,26
RC,0272,TB TRACH UNCUF FEN SHILEYDISP4,373.0,298.4,98.66,335.7,26
RC,0272,TB TRACH UNCUF FEN SHILEYDISP6,394.0,315.2,104.21,354.6,26
RC,0272,TB TRACH UNCUF FEN SHILEYDISP8,373.0,298.4,98.66,335.7,26
RC,0272,TB TRACH UNCUF FENSHILEYDISP10,373.0,298.4,98.66,335.7,26
RC,0272,TB TRACH UNCUF HYPERFLEX 6.0,811.0,648.8,214.51,729.9,26
RC,0272,TB TRACH UNCUF PROX SHILEYXLT5,581.0,464.8,153.67,522.9,26
RC,0272,TB TRACH UNCUF PROX SHILEYXLT6,581.0,464.8,153.67,522.9,26
RC,0272,TB TRACH UNCUF PROX SHILEYXLT7,657.0,525.6,173.78,591.3,26
RC,0272,TB TRACH UNCUF SHILEY NEO 3.0,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACH UNCUF SHILEY NEO 3.5,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACH UNCUF SHILEY NEO 4.0,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACH UNCUF SHILEY NEO 4.5,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACH UNCUF SHILEY PEDS 3.0,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACH UNCUF SHILEY PEDS 3.5,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACH UNCUF SHILEY PEDS 4.0,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACH UNCUF SHILEY PEDS 4.5,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACH UNCUF SHILEY PEDS 5.0,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACH UNCUF SHILEY PEDS 5.5,457.0,365.6,120.88,411.3,26
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP4,396.0,316.8,104.74,356.4,26
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP5,396.0,316.8,104.74,356.4,26
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP6,396.0,316.8,104.74,356.4,26
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP7,396.0,316.8,104.74,356.4,26
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP8,396.0,316.8,104.74,356.4,26
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP9,406.0,324.8,107.39,365.4,26
RC,0272,TB TRACH UNCUF SHILEYFLEXREUS4,562.0,449.6,148.65,505.8,26
RC,0272,TB TRACH UNCUF SHILEYFLEXREUS6,562.0,449.6,148.65,505.8,26
RC,0272,TB TRACH UNCUFSH*DISC 6349432*,449.0,359.2,118.76,404.1,26
RC,0272,TB TRACH UNCUFSHILEYDISP4*CIP*,536.0,428.8,141.77,482.4,26
RC,0272,TB TRACH UNCUFSHILEYDISP8*CIP*,449.0,359.2,118.76,404.1,26
RC,0272,TB TRACH UNCUFSHILEYFLEXDISP10,406.0,324.8,107.39,365.4,26
RC,0272,TB TRACHPEDS3.5MM*USE 6284873*,2120.0,1696.0,560.74,1908.0,26
RC,0272,TB TRACHTHORACICSAFE-TCL14X118,1938.0,1550.4,512.6,1744.2,26
RC,0272,TB TRACHUNCUFSHILEYXLNGPEDS5.0,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACHUNCUFSHILEYXLNGPEDS5.5,460.0,368.0,121.67,414.0,26
RC,0272,TB TRACHUNCUFSHILEYXLNGPEDS6.0,505.0,404.0,133.57,454.5,26
RC,0272,TB TRACHUNCUFSHILEYXLNGPEDS6.5,460.0,368.0,121.67,414.0,26
RC,0272,TBAIRWDLLTS-DORGPEDS*DNR MULT*,344.0,275.2,90.99,309.6,26
RC,0272,TEMP KT START-UP STD TB 6FT,1701.0,1360.8,449.91,1530.9,26
RC,0272,TEMP SENS SET NICU COOL*NLU*,2032.0,1625.6,537.46,1828.8,26
RC,0272,TEMPLATE BAR PECTUS BIOM *NLU*,4692.0,3753.6,1241.03,4222.8,26
RC,0272,TEMPLATE BEND SYNT 20HL 3.5MM,892.0,713.6,235.93,802.8,26
RC,0272,TEMPLATE BEND SYNT CURV16HL3.5,960.0,768.0,253.92,864.0,26
RC,0272,TEMPLATE DIST RAD VALCP XLNG,1241.0,992.8,328.24,1116.9,26
RC,0272,TEMPLATE FLEX MATTA 8HL,837.0,669.6,221.39,753.3,26
RC,0272,TEMPLATE KT PTLA ANT STER,1372.0,1097.6,362.89,1234.8,26
RC,0272,TEMPLATE LK KLS ST 12HL,591.0,472.8,156.32,531.9,26
RC,0272,TEMPLATE LK KLS ST 20HL2.*NLU*,457.0,365.6,120.88,411.3,26
RC,0272,TEMPLATE LK RECON ANG 26HL,557.0,445.6,147.33,501.3,26
RC,0272,TEMPLATE LK RECON KLS 26HL,494.0,395.2,130.66,444.6,26
RC,0272,TEMPLATE LK RECON LVL1 AN*NLU*,457.0,365.6,120.88,411.3,26
RC,0272,TEMPLATE LK RECONANG 32HL2.7MM,457.0,365.6,120.88,411.3,26
RC,0272,TEMPLATE LKANG32*DISC 6306177*,457.0,365.6,120.88,411.3,26
RC,0272,TEMPLATE MAND *DISC 6304149*,457.0,365.6,120.88,411.3,26
RC,0272,TEMPLATE MAND RECON LK 26HL,533.0,426.4,140.98,479.7,26
RC,0272,TEMPLATE MAND SYNT 2X2 1.*NLU*,480.0,384.0,126.96,432.0,26
RC,0272,TEMPLATE MAND SYNT 3X3 1.*NLU*,480.0,384.0,126.96,432.0,26
RC,0272,TEMPLATE MAND SYNT 6HL 1.*NLU*,480.0,384.0,126.96,432.0,26
RC,0272,TEMPLATE MAND SYNTANG3X3 *NLU*,491.0,392.8,129.87,441.9,26
RC,0272,TEMPLATE MPFL ARTX,3476.0,2780.8,919.4,3128.4,26
RC,0272,TEMPLATE MPS CURV PELV 18*NLU*,336.0,268.8,88.87,302.4,26
RC,0272,TEMPLATE MTX RVRS SYNT 90*NLU*,643.0,514.4,170.07,578.7,26
RC,0272,TEMPLATE RESORBX ST KLS 126X11,718.0,574.4,189.91,646.2,26
RC,0272,TEMPLATE RIB BEND MATRIXRIB300,1052.0,841.6,278.25,946.8,26
RC,0272,TEMPLATE RIB FOR 24-01*NLU*,1224.0,979.2,323.75,1101.6,26
RC,0272,TEMPLATE RIB FOR 24-015-15-71,1224.0,979.2,323.75,1101.6,26
RC,0272,TEMPLATE RIB FOR 24-015-25-71,1206.0,964.8,318.99,1085.4,26
RC,0272,TEMPLATE RIB KLS*NLU*,1224.0,979.2,323.75,1101.6,26
RC,0272,TEMPLATE ROD DEPU DISP*NLU*,1556.0,1244.8,411.56,1400.4,26
RC,0272,TEMPLATE ROD MAGEC 70MM,6000.0,4800.0,1587.0,5400.0,26
RC,0272,TEMPLATE ROD MAGECACTUATOR90MM,6000.0,4800.0,1587.0,5400.0,26
RC,0272,TEMPLATE SYNT 12HL 2.8MM,555.0,444.0,146.8,499.5,26
RC,0272,TEMPLATE SYNT 2.5MM DBL ANG SM,540.0,432.0,142.83,486.0,26
RC,0272,TEMPLATE SYNT 2MM ANG RECON,863.0,690.4,228.26,776.7,26
RC,0272,TEMPLATE SYNT 2MM ST,740.0,592.0,195.73,666.0,26
RC,0272,TEMPLATE SZ SYNT IM 2.5-4.5MM,2960.0,2368.0,782.92,2664.0,26
RC,0272,TENSIONER CUTTER FBRWIRE SUT,1636.0,1308.8,432.72,1472.4,26
RC,0272,TENSIONER CUTTER KNTLS SUT,1636.0,1308.8,432.72,1472.4,26
RC,0272,TENSIONER GRAFT ACL CERCLAGE,2420.0,1936.0,640.09,2178.0,26
RC,0272,TIP ABL CURV EXT MICRO 36KHZ,5202.0,4161.6,1375.93,4681.8,26
RC,0272,TIP ABL CURV EXT SH36KHZ*DISC*,5597.0,4477.6,1480.41,5037.3,26
RC,0272,TIP ABL CURV EXT SHEAR 36KHZ,5185.0,4148.0,1371.43,4666.5,26
RC,0272,TIP ABL CURV EXT STD 36KHZ,4587.0,3669.6,1213.26,4128.3,26
RC,0272,TIP AIRLESS *DISC 6307916*,551.0,440.8,145.74,495.9,26
RC,0272,TIP APPL GASLESS SPRAY MIS25CM,976.0,780.8,258.15,878.4,26
RC,0272,TIP APPL GASLESS SPRAY MIS40CM,974.0,779.2,257.62,876.6,26
RC,0272,TIP ASPIR MACROTIP ST 23KHZ,3622.0,2897.6,958.02,3259.8,26
RC,0272,TIP BACKFLUSH SOFT 23G*NLU*,792.0,633.6,209.48,712.8,26
RC,0272,TIP BACKFLUSH SOFT 25G*NLU*,765.0,612.0,202.34,688.5,26
RC,0272,TIP BACKFLUSH SOFT ARTICU 25G,1573.0,1258.4,416.06,1415.7,26
RC,0272,TIP DISSECT RENEW DOLPHIN NOSE,563.0,450.4,148.91,506.7,26
RC,0272,TIP DISSECT RENEW MARYLAND,563.0,450.4,148.91,506.7,26
RC,0272,TIP DISSECT RENEW MOD MARYLAND,563.0,450.4,148.91,506.7,26
RC,0272,TIP DISSECT RENEW RT ANG 10MM,593.0,474.4,156.85,533.7,26
RC,0272,TIP DISSECT RENEW RT ANG 5MM,593.0,474.4,156.85,533.7,26
RC,0272,TIP DOME STRIKE SULCUS YEL,2664.0,2131.2,704.63,2397.6,26
RC,0272,TIP EVICEL S*DISC 6307916*,354.0,283.2,93.63,318.6,26
RC,0272,TIP EXT DURASEAL 8CM,1937.0,1549.6,512.34,1743.3,26
RC,0272,TIP FOR SCRWDRVR ZIMM 2MM,532.0,425.6,140.71,478.8,26
RC,0272,TIP GRSPR RENEW BABCOCK 5MM,593.0,474.4,156.85,533.7,26
RC,0272,TIP GRSPR RENEW HUNTER,624.0,499.2,165.05,561.6,26
RC,0272,TIP HEMO VISTASEAL FLEX 45CM,591.0,472.8,156.32,531.9,26
RC,0272,TIP HEMO VISTASEAL RIGID 35CM,591.0,472.8,156.32,531.9,26
RC,0272,TIP KELMAN ALCO 45D 0.9MM*NLU*,500.0,400.0,132.25,450.0,26
RC,0272,TIP LAP CUSA CLARITY EXT 23KHZ,10413.0,8330.4,2754.24,9371.7,26
RC,0272,TIP LAP CUSACLARITYEXT23KHZ5PK,7765.0,6212.0,2053.84,6988.5,26
RC,0272,TIP MACRO CUSA CLARITY23KHZ5PK,4701.0,3760.8,1243.41,4230.9,26
RC,0272,TIP MTL OTOLOGY CO2 WAVEGUIDE,4950.0,3960.0,1309.28,4455.0,26
RC,0272,TIP OZIL 12 ALCON 45D 0.9MM,655.0,524.0,173.25,589.5,26
RC,0272,TIP SCISSORS METZ DISP 15MM,405.0,324.0,107.12,364.5,26
RC,0272,TIP SPRAY HEMO SEAL TRIDYNE6IN,1182.0,945.6,312.64,1063.8,26
RC,0272,TOENAIL KT FORCEPSPLITTERELEVA,575.0,460.0,152.09,517.5,26
RC,0272,TOENAIL KT FORCEPSSPLITTERSTER,416.0,332.8,110.03,374.4,26
RC,0272,TOOL EMBLEM ICD INSRT*NLU*,6000.0,4800.0,1587.0,5400.0,26
RC,0272,TOOL EPICARDIAL LEAD IMPL*NLU*,3800.0,3040.0,1005.1,3420.0,26
RC,0272,TOOL EZ4 CONN,4000.0,3200.0,1058.0,3600.0,26
RC,0272,TOOL FIX BS,300.0,240.0,79.35,270.0,26
RC,0272,TOOL INSRT FURLOW STER,4165.0,3332.0,1101.64,3748.5,26
RC,0272,TOOL INSRT KT LINQ II,855.0,684.0,226.15,769.5,26
RC,0272,TOOL LINX SIZING*DISC 6317271*,1275.0,1020.0,337.24,1147.5,26
RC,0272,TOOL SIZING LINX REFLUX SYS,1958.0,1566.4,517.89,1762.2,26
RC,0272,TOOL SMOOTHER CRUCIAL 7.9MM,2175.0,1740.0,575.29,1957.5,26
RC,0272,TOOL SMOOTHER CRUCIAL 9.5MM,2175.0,1740.0,575.29,1957.5,26
RC,0272,TOOL TUNNELING 35CM,713.0,570.4,188.59,641.7,26
RC,0272,TOOL TUNNELING 50CM,1054.0,843.2,278.78,948.6,26
RC,0272,TOOL TUNNELING DBS LNG 35CM,893.0,714.4,236.2,803.7,26
RC,0272,TOOL TUNNELING DBS MDTR 40CM,1190.0,952.0,314.76,1071.0,26
RC,0272,TOOL TUNNELING INTERSTIM*DISC*,774.0,619.2,204.72,696.6,26
RC,0272,TOOL TUNNELING STD 450MM,1026.0,820.8,271.38,923.4,26
RC,0272,TOOL TUNNELING STD 700MM,1171.0,936.8,309.73,1053.9,26
RC,0272,TOOLS ORBERA ENDO*NLU*,846.0,676.8,223.77,761.4,26
RC,0272,TRACH BIVONA UNCUF ST PEDS 4.5,487.0,389.6,128.81,438.3,26
RC,0272,TRACKER CRANIMASK,3797.0,3037.6,1004.31,3417.3,26
RC,0272,TRACKER INST AXIEM ENT MDTR,1286.0,1028.8,340.15,1157.4,26
RC,0272,TRACKER PT AXIEM ENT MDTR*NLU*,1573.0,1258.4,416.06,1415.7,26
RC,0272,TRACKER PT AXIEM NIV,1557.0,1245.6,411.83,1401.3,26
RC,0272,TRACKER PT DISP ACCL,1644.0,1315.2,434.84,1479.6,26
RC,0272,TRACKER PT SKULL MOUNT MD*NLU*,2304.0,1843.2,609.41,2073.6,26
RC,0272,TRACKER SPINEMASK NIV,3688.0,2950.4,975.48,3319.2,26
RC,0272,TRANSD KT DBL TRUWAVE 72IN,1196.0,956.8,316.34,1076.4,26
RC,0272,TRANSD KT DBL TRUWAVE 84IN,1196.0,956.8,316.34,1076.4,26
RC,0272,TRANSD KT SGL TRUWAVE 84IN,560.0,448.0,148.12,504.0,26
RC,0272,TRANSD KT TRPL TRUWAVE 60IN,1384.0,1107.2,366.07,1245.6,26
RC,0272,TRANSFER PK 1000 ML EA CONTRACT,14.0,11.2,3.7,12.6,26
RC,0272,TRANSFER PK 300 ML EA,5.0,4.0,1.32,4.5,26
RC,0272,TRANSFER PK 600 ML EA CONTRACT,8.0,6.4,2.12,7.2,26
RC,0272,TRAP BUBBLE CAPIOX ADLT,675.0,540.0,178.54,607.5,26
RC,0272,TRAP FINGER ACUM LG,1122.0,897.6,296.77,1009.8,26
RC,0272,TRAP FINGER ACUM MD,1122.0,897.6,296.77,1009.8,26
RC,0272,TRAP FINGER ACUM SM,1122.0,897.6,296.77,1009.8,26
RC,0272,TRAP FINGER ACUM XL,1122.0,897.6,296.77,1009.8,26
RC,0272,TRAP SPECMN CUSA CLARITY,871.0,696.8,230.38,783.9,26
RC,0272,TRAY 1ST FRAC ADV XPANDER*NLU*,10500.0,8400.0,2777.25,9450.0,26
RC,0272,TRAY 1ST FRAC EXPRESS *NLU*,10150.0,8120.0,2684.68,9135.0,26
RC,0272,TRAY 1ST FRAC EXPRESS II 15/2,13825.0,11060.0,3656.71,12442.5,26
RC,0272,TRAY 1ST FRAC EXPRESSIICDS15/2,10814.0,8651.2,2860.3,9732.6,26
RC,0272,TRAY 1ST FRAC XP*DISC 6230943*,12950.0,10360.0,3425.28,11655.0,26
RC,0272,TRAY 1ST FRAC XP*DISC NO REPL*,12950.0,10360.0,3425.28,11655.0,26
RC,0272,TRAY 1ST FRACXPA*DISC 6204999*,12950.0,10360.0,3425.28,11655.0,26
RC,0272,TRAY 1ST FRACXPANDERIIAOIS20/3,12950.0,10360.0,3425.28,11655.0,26
RC,0272,TRAY 1STFRAC1STEPXPANDERII15/3,10850.0,8680.0,2869.83,9765.0,26
RC,0272,TRAY 1STFRAC1STEPXPANDERII20/3,10850.0,8680.0,2869.83,9765.0,26
RC,0272,TRAY ADDL FRAC EXPRESS II 15/2,9000.0,7200.0,2380.5,8100.0,26
RC,0272,TRAY ADDL FRAC XPANDER *NLU*,9000.0,7200.0,2380.5,8100.0,26
RC,0272,TRAY ADDL FRAC XPANDER II 15/3,9000.0,7200.0,2380.5,8100.0,26
RC,0272,TRAY ADDL FRAC XPANDER II 20/3,9000.0,7200.0,2380.5,8100.0,26
RC,0272,TRAY AMNIO ECHOG*DISC 6331088*,367.0,293.6,97.07,330.3,26
RC,0272,TRAY AMNIO LIDO STD 20GX3.5,354.0,283.2,93.63,318.6,26
RC,0272,TRAY AMNIO SFTY DELX 20GX3.5,321.0,256.8,84.9,288.9,26
RC,0272,TRAY AMNIO SFTY LIDO 20GX3.5,478.0,382.4,126.43,430.2,26
RC,0272,TRAY ARROW PTX,1173.0,938.4,310.26,1055.7,26
RC,0272,TRAY ART PRSS MO*DISC 6259809*,602.0,481.6,159.23,541.8,26
RC,0272,TRAY ARTHROGRAMSFTYLIO22GX3.5,339.0,271.2,89.67,305.1,26
RC,0272,TRAY BX BONE CMPRHNSV 11G102MM,1700.0,1360.0,449.65,1530.0,26
RC,0272,TRAY BX BONE CMPRHNSV 11G152MM,1577.0,1261.6,417.12,1419.3,26
RC,0272,TRAY BX BONE LESION 13G 14CM,3735.0,2988.0,987.91,3361.5,26
RC,0272,TRAY BX BONE LESION 13G 19CM,3735.0,2988.0,987.91,3361.5,26
RC,0272,TRAY BX BONE MARW ECON 11GX4,935.0,748.0,247.31,841.5,26
RC,0272,TRAY BX SKIN,634.0,507.2,167.69,570.6,26
RC,0272,TRAY CATH DUO-FLOW ST 11.5FR15,490.0,392.0,129.61,441.0,26
RC,0272,TRAY CATH DUO-FLOWCURV11.5FR15,618.0,494.4,163.46,556.2,26
RC,0272,TRAY CATH FOLEY COUDE TEMP16FR,300.0,240.0,79.35,270.0,26
RC,0272,TRAY CATH FOLEY IC TEMP 16FR,917.0,733.6,242.55,825.3,26
RC,0272,TRAY CATH FOLEY PEDS 6FR 3CC,357.0,285.6,94.43,321.3,26
RC,0272,TRAY CATH FOLEY SIL TEMP 10FR,359.0,287.2,94.96,323.1,26
RC,0272,TRAY CATH FOLEY SIL TEMP 8FR,359.0,287.2,94.96,323.1,26
RC,0272,TRAY CATH FOLEY SILADVTEMP10FR,316.0,252.8,83.58,284.4,26
RC,0272,TRAY CATH FOLEY SLVR TEMP 8FR,675.0,540.0,178.54,607.5,26
RC,0272,TRAY CATH FOLEY SRSTE16FR*DNR*,407.0,325.6,107.65,366.3,26
RC,0272,TRAY CATH FOLEY SRSTEP 14FR,365.0,292.0,96.54,328.5,26
RC,0272,TRAY CATH FOLEY SRSTEP 16FR,365.0,292.0,96.54,328.5,26
RC,0272,TRAY CATH FOLEY SRSTEP IC 16FR,309.0,247.2,81.73,278.1,26
RC,0272,TRAY CATH FOLEY SRSTEPTEMP14FR,333.0,266.4,88.08,299.7,26
RC,0272,TRAY CATH FOLEY SRSTEPTEMP16FR,333.0,266.4,88.08,299.7,26
RC,0272,TRAY CATH FOLEY SRSTEPTEMP18FR,333.0,266.4,88.08,299.7,26
RC,0272,TRAY CATH FOLEY TEMP PEDS 8FR3,481.0,384.8,127.22,432.9,26
RC,0272,TRAY CATH FOLEY TEMP PEDS10FR3,499.0,399.2,131.99,449.1,26
RC,0272,TRAY CATH FOLEY TEMP SIL 10FR5,414.0,331.2,109.5,372.6,26
RC,0272,TRAY CATH FOLEY TEMP SIL 8FR 5,414.0,331.2,109.5,372.6,26
RC,0272,TRAY CATH FOLEY URNMTR PED 6FR,307.0,245.6,81.2,276.3,26
RC,0272,TRAY CATH FOLEYLUB-SILTEMP14FR,310.0,248.0,82.0,279.0,26
RC,0272,TRAY CATH FOLEYLUB-SILTEMP16FR,310.0,248.0,82.0,279.0,26
RC,0272,TRAY CATH FOLEYSUPRAPUBIC12FR5,893.0,714.4,236.2,803.7,26
RC,0272,TRAY CATH IC ELITE ST 12FR20CM,895.0,716.0,236.73,805.5,26
RC,0272,TRAY CATH IC ELITECURV12FR13CM,895.0,716.0,236.73,805.5,26
RC,0272,TRAY CATH IC ELITECURV12FR20CM,895.0,716.0,236.73,805.5,26
RC,0272,TRAY CATH MIDLINE*USE 6299089*,978.0,782.4,258.68,880.2,26
RC,0272,TRAY CATH TRIALYSISCURVEXT15CM,810.0,648.0,214.25,729.0,26
RC,0272,TRAY CATH UMBILICAL NEONATE,489.0,391.2,129.34,440.1,26
RC,0272,TRAY CHEST TB INS*VAT 6290707*,707.0,565.6,187.0,636.3,26
RC,0272,TRAY CHEST TB INSRT KT 1*CIP*,831.0,664.8,219.8,747.9,26
RC,0272,TRAY CHEST TB INSRT SS SZ10,665.0,532.0,175.89,598.5,26
RC,0272,TRAY CHEST THAL QK 12FR 22CM,1732.0,1385.6,458.11,1558.8,26
RC,0272,TRAY CHEST THAL QK 24FR 41CM,1732.0,1385.6,458.11,1558.8,26
RC,0272,TRAY CIRC CLAMP 1.3CM,577.0,461.6,152.62,519.3,26
RC,0272,TRAY CIRC NEWBORN WO BELL,321.0,256.8,84.9,288.9,26
RC,0272,TRAY CRIC PROC MEDL DISP,479.0,383.2,126.7,431.1,26
RC,0272,TRAY CUTDOWN,889.0,711.2,235.14,800.1,26
RC,0272,TRAY CUTDOWN *NLU*,1533.0,1226.4,405.48,1379.7,26
RC,0272,TRAY CUTDOWN SURG ADLT,782.0,625.6,206.84,703.8,26
RC,0272,TRAY CUTDOWN SURG MEDL,1996.0,1596.8,527.94,1796.4,26
RC,0272,TRAY DRN CATH THORA-PARA 5FR,433.0,346.4,114.53,389.7,26
RC,0272,TRAY DRN CHEST FUHRMAN 7FR15CM,2357.0,1885.6,623.43,2121.3,26
RC,0272,TRAY DRN THORA-PARA SAFE-T+5FR,492.0,393.6,130.13,442.8,26
RC,0272,TRAY ELTD PACING LIDO 5FR110CM,3843.0,3074.4,1016.47,3458.7,26
RC,0272,TRAY EPDRL BLU 17G3.5 19G,628.0,502.4,166.11,565.2,26
RC,0272,TRAY EPDRL CL 17G3.5 19G,506.0,404.8,133.84,455.4,26
RC,0272,TRAY EPDRL CONTINUOUS 18G,385.0,308.0,101.83,346.5,26
RC,0272,TRAY GEN SURG INST DISP,324.0,259.2,85.7,291.6,26
RC,0272,TRAY INST CJD CENT DISP,906.0,724.8,239.64,815.4,26
RC,0272,TRAY LABOR AND DEL INST DISP,763.0,610.4,201.81,686.7,26
RC,0272,TRAY LUMB PUNC CARDADLT20GX3.5,367.0,293.6,97.07,330.3,26
RC,0272,TRAY LUMB PUNC SFTYRX22GX3.5,481.0,384.8,127.22,432.9,26
RC,0272,TRAY LUMB QUINCKE SFTY 20GX3.5,390.0,312.0,103.16,351.0,26
RC,0272,TRAY NRVBLCK CONTIPLEX 18GX4,362.0,289.6,95.75,325.8,26
RC,0272,TRAY NRVBLCK TUOHY18GX4,465.0,372.0,122.99,418.5,26
RC,0272,TRAY PARACERVBLO*DISC 6332495*,392.0,313.6,103.68,352.8,26
RC,0272,TRAY PPM CATH LAB INST DISP,1194.0,955.2,315.81,1074.6,26
RC,0272,TRAY PPM INST ONLY*NLU*,1128.0,902.4,298.36,1015.2,26
RC,0272,TRAY PRSS MON ST 2.5FR 2.5CM,730.0,584.0,193.09,657.0,26
RC,0272,TRAY PRSS MONBASEPLATE2.5FR2.5,779.0,623.2,206.05,701.1,26
RC,0272,TRAY PTX *DISC MULT*,975.0,780.0,257.89,877.5,26
RC,0272,TRAY SUT DR VINEY INST DISP,317.0,253.6,83.85,285.3,26
RC,0272,TRAY THORACENTESIS 17GX6,675.0,540.0,178.54,607.5,26
RC,0272,TRAY TRACH INSRT,1852.0,1481.6,489.85,1666.8,26
RC,0272,TRAY TRANSFUSION*DISC 6344504*,1339.0,1071.2,354.17,1205.1,26
RC,0272,TRAY TUNNEL CATH REMOV,493.0,394.4,130.4,443.7,26
RC,0272,TRAY UAC/UVC USHER,705.0,564.0,186.47,634.5,26
RC,0272,TRAY UMBLCL INSRT SFTY WO CATH,547.0,437.6,144.68,492.3,26
RC,0272,TRAY UMBLCL VESS NO CATH,1090.0,872.0,288.31,981.0,26
RC,0272,TREPHINE 11.5MMX8,5469.0,4375.2,1446.55,4922.1,26
RC,0272,TREPHINE 11MMX8*NLU*,4613.0,3690.4,1220.14,4151.7,26
RC,0272,TREPHINE 12MMX8*NLU*,4613.0,3690.4,1220.14,4151.7,26
RC,0272,TREPHINE ATTACH 7.0MM,2414.0,1931.2,638.5,2172.6,26
RC,0272,TREPHINE MALE 3.2MM,4494.0,3595.2,1188.66,4044.6,26
RC,0272,TREPHINE MALE 4.0MM,4494.0,3595.2,1188.66,4044.6,26
RC,0272,TRNQT CUFF DELFI STER2.25X10.5,395.0,316.0,104.48,355.5,26
RC,0272,TRNQT CUFF DUAL *DISC 6122345*,433.0,346.4,114.53,389.7,26
RC,0272,TRNQT CUFF DUAL DISPSTRY12X3.5,173.0,138.4,45.76,155.7,26
RC,0272,TRNQT CUFF DUAL DUAL SLVZIMM24,333.0,266.4,88.08,299.7,26
RC,0272,TRNQT CUFF DUAL DUAL ZIMM 24,329.0,263.2,87.02,296.1,26
RC,0272,TRNQT CUFF DUAL LL DISP MD30X4,495.0,396.0,130.93,445.5,26
RC,0272,TRNQT CUFF DUAL LL DISPLNG34X4,530.0,424.0,140.19,477.0,26
RC,0272,TRNQT CUFF DUAL QC STER 18X5.5,333.0,266.4,88.08,299.7,26
RC,0272,TRNQT CUFF DUAL SGL SLV ZIMM34,449.0,359.2,118.76,404.1,26
RC,0272,TRNQT CUFF SGL LL DISP LNG34X4,637.0,509.6,168.49,573.3,26
RC,0272,TRNQT CUFF SGL LL DISP STD18X4,485.0,388.0,128.28,436.5,26
RC,0272,TRNQT CUFF SGL SGL SLV ZIMM18,305.0,244.0,80.67,274.5,26
RC,0272,TRNQT HEMACL LWR EXTRMTY *NLU*,490.0,392.0,129.61,441.0,26
RC,0272,TRNQT HEMACL UPP EXTRMTY YEL,430.0,344.0,113.74,387.0,26
RC,0272,TRNQT SOF EXTRMTY BLK,348.0,278.4,92.05,313.2,26
RC,0272,TRNSPRT SPECMN BX CARTLG,4312.0,3449.6,1140.52,3880.8,26
RC,0272,TRNSPTL D0 0.035 8.5FR 45D63CM,4590.0,3672.0,1214.06,4131.0,26
RC,0272,TROC BLADE KII ADV 11X100MM,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLADE KII ADV 12X100MM,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLADE KII ADV 12X150MM,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLADE KII ADV 5X100MM,1063.0,850.4,281.16,956.7,26
RC,0272,TROC BLADE KII ADV 5X150MM,1063.0,850.4,281.16,956.7,26
RC,0272,TROC BLADE KII Z 11X100MM,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLADE KII Z 12X100MM,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLADE KII Z 12X150MM,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLADE KII Z 5X100MM,1063.0,850.4,281.16,956.7,26
RC,0272,TROC BLADE VERSAONE CANN5-12MM,313.0,250.4,82.79,281.7,26
RC,0272,TROC BLADE VERSAONE FIX 12MM,313.0,250.4,82.79,281.7,26
RC,0272,TROC BLADE VERSAONE SMTH 11MM,313.0,250.4,82.79,281.7,26
RC,0272,TROC BLDLES ENDOPATH XCEL12X75,1883.0,1506.4,498.05,1694.7,26
RC,0272,TROC BLDLES KII FIOS ADV 5X100,1063.0,850.4,281.16,956.7,26
RC,0272,TROC BLDLES KII FIOS ADV 5X150,1063.0,850.4,281.16,956.7,26
RC,0272,TROC BLDLES KII FIOS ADV 5X75,1063.0,850.4,281.16,956.7,26
RC,0272,TROC BLDLES KII FIOS ADV11X100,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLDLES KII FIOS ADV12X100,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLDLES KII FIOS ADV12X150,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLDLES KII FIOS Z 11X100,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLDLES KII FIOS Z 12X100,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLDLES KII FIOS Z 5X100,1063.0,850.4,281.16,956.7,26
RC,0272,TROC BLDLES MINI STEP SHRT 5MM,507.0,405.6,134.1,456.3,26
RC,0272,TROC BLDLES MINI STEPSHRT2-3MM,490.0,392.0,129.61,441.0,26
RC,0272,TROC BLN BLNT TIP LF 12MM,735.0,588.0,194.41,661.5,26
RC,0272,TROC BLN BLNT TIP LX 10MM,684.0,547.2,180.92,615.6,26
RC,0272,TROC BLN BLNT TIP LX 12MM,735.0,588.0,194.41,661.5,26
RC,0272,TROC BLN KII BLNT 12X100MM,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLN KII BLNT 12X130MM,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC BLNT THRD ANCHOR12X100MM,1363.0,1090.4,360.51,1226.7,26
RC,0272,TROC CEREBRAL SPLIT DISP 5.25,2095.0,1676.0,554.13,1885.5,26
RC,0272,TROC ENDO STRUCT*DISC 6278702*,1661.0,1328.8,439.33,1494.9,26
RC,0272,TROC ENDOPATH XCEL BLNT 12X100,2099.0,1679.2,555.19,1889.1,26
RC,0272,TROC OPTICAL BLN CANN 5X100MM,570.0,456.0,150.77,513.0,26
RC,0272,TROC OPTICAL BLN FIX CANN LNG5,611.0,488.8,161.61,549.9,26
RC,0272,TROC OPTICAL BLN FIX CANNSHRT5,568.0,454.4,150.24,511.2,26
RC,0272,TROC OPTICAL FIX CANN 15X100MM,365.0,292.0,96.54,328.5,26
RC,0272,TROC OPTICAL FIXCANNFASCIALSTD,765.0,612.0,202.34,688.5,26
RC,0272,TROC OPTICAL KII ADV 11X100,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC OPTICAL KII ADV 15X150,1360.0,1088.0,359.72,1224.0,26
RC,0272,TROC OPTICAL KII LOPRO 5X55MM,1063.0,850.4,281.16,956.7,26
RC,0272,TROC OPTICAL KII Z 12X150MM,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC OPTICAL KII Z 12X60MM,1190.0,952.0,314.76,1071.0,26
RC,0272,TROC OPTICAL KII Z 15X100MM,1360.0,1088.0,359.72,1224.0,26
RC,0272,TROC OPTICAL KII Z 5X150MM,1063.0,850.4,281.16,956.7,26
RC,0272,TROC OPTICAL KII Z 8X100MM,1063.0,850.4,281.16,956.7,26
RC,0272,TROC OPTICAL VISIPORT+ 5-11MM,1164.0,931.2,307.88,1047.6,26
RC,0272,TROC PEDICLE ACC TOOL*NLU*,1556.0,1244.8,411.56,1400.4,26
RC,0272,TROC SLV VERSASTEP+ LNG 5MM,405.0,324.0,107.12,364.5,26
RC,0272,TROC SLV VERSASTEP+ SHRT 12MM,481.0,384.8,127.22,432.9,26
RC,0272,TROC SLV VERSASTEP+ STD 15MM,626.0,500.8,165.58,563.4,26
RC,0272,TROC STEP B*DISC 6279515*,347.0,277.6,91.78,312.3,26
RC,0272,TROC STRUCTURAL OVAL BLN 12MM,4090.0,3272.0,1081.81,3681.0,26
RC,0272,TROC TIP OBTR FBRTAK,770.0,616.0,203.67,693.0,26
RC,0272,TROC VERSAPORT BLDLES 15MM,316.0,252.8,83.58,284.4,26
RC,0272,TROC XCEL BLDLES 8X100MM,1712.0,1369.6,452.82,1540.8,26
RC,0272,TROC Y-KNOT FLEX SHARP,302.0,241.6,79.88,271.8,26
RC,0272,TROCENDOPATHRIGI*DISC NO REPL*,711.0,568.8,188.06,639.9,26
RC,0272,TUNNELER BARD,599.0,479.2,158.44,539.1,26
RC,0272,TUNNELER RIGID AESC 450MM,1026.0,820.8,271.38,923.4,26
RC,0272,TUNNELER RIGID AESC 700MM,1171.0,936.8,309.73,1053.9,26
RC,0272,TUNNELER SHEATH FLUID 11G 8IN,462.0,369.6,122.2,415.8,26
RC,0272,TUNNELER STERNAL EPSILA EV,4200.0,3360.0,1110.9,3780.0,26
RC,0272,TUNNELER TRNVRS EPSILA EV,4200.0,3360.0,1110.9,3780.0,26
RC,0272,TUNNELER VNS THERAPY CYB,3957.0,3165.6,1046.63,3561.3,26
RC,0272,ULTRATOME XL TL SHRT 5.5FR20MM,1182.0,945.6,312.64,1063.8,26
RC,0272,UNIT KT PREVENA+ CANISTER150ML,3600.0,2880.0,952.2,3240.0,26
RC,0272,URETRSCP DIG FLEX DISP 3.1,5661.0,4528.8,1497.33,5094.9,26
RC,0272,URETRSCP FLEX RVRS ASCOPE5DISP,5970.0,4776.0,1579.07,5373.0,26
RC,0272,URETRSCP FLEX STD ASCOPE5 DISP,5970.0,4776.0,1579.07,5373.0,26
RC,0272,URETRSCP FLEX XC1 9FR 70CM,5850.0,4680.0,1547.33,5265.0,26
RC,0272,VACUUM EXTR OB W TUB,420.0,336.0,111.09,378.0,26
RC,0272,VACUUM OB KIWI OMNI CUP,499.0,399.2,131.99,449.1,26
RC,0272,VACUUM OB KIWI PROCUP*CIP*,477.0,381.6,126.17,429.3,26
RC,0272,VACUUM SUP MSTYLE MUSHROOM CUP,389.0,311.2,102.89,350.1,26
RC,0272,VALV BX EUS DEFENDO BIOSHIELD,395.0,316.0,104.48,355.5,26
RC,0272,VALV DRN CHEST P*DISC 6177200*,330.0,264.0,87.29,297.0,26
RC,0272,VALV ENDO EUS DEFENDO 2PC,370.0,296.0,97.87,333.0,26
RC,0272,VALV HEMO WATCHDOG 8FR,618.0,494.4,163.46,556.2,26
RC,0272,VALV MICRO RICKHAM100MMH2O 2.5,6106.0,4884.8,1615.04,5495.4,26
RC,0272,VALVULOTOME HYDRO 1.5MM,12597.0,10077.6,3331.91,11337.3,26
RC,0272,VEIN DISTENSION 200MM,1479.0,1183.2,391.2,1331.1,26
RC,0272,VENTILATOR GO2VE*DISC NO REPL*,684.0,547.2,180.92,615.6,26
RC,0272,VERSAJET EXACT HANDSET 4*NLU*,3960.0,3168.0,1047.42,3564.0,26
RC,0272,VEST COMP MALE BLK XS,162.0,129.6,42.85,145.8,26
RC,0272,VFC PK HIPERF UNITY,570.0,456.0,150.77,513.0,26
RC,0272,WAND COBLATION ARIS TURBINATE,2759.0,2207.2,729.76,2483.1,26
RC,0272,WAND COBLATION HALO ANG 4.6MM,2478.0,1982.4,655.43,2230.2,26
RC,0272,WAND COBLATION HIPVAC ANG50D,4025.0,3220.0,1064.61,3622.5,26
RC,0272,WAND TURBINATOR*VAT NLU*,2132.0,1705.6,563.91,1918.8,26
RC,0272,WASHER EXTL FIX 4MM,1505.0,1204.0,398.07,1354.5,26
RC,0272,WASHER EXTL FIX LRF BLU 4MM,507.0,405.6,134.1,456.3,26
RC,0272,WASHER EXTL FIX LRF RED 7MM,507.0,405.6,134.1,456.3,26
RC,0272,WASHER EXTL FIX LRF YEL 2MM,507.0,405.6,134.1,456.3,26
RC,0272,WASHER SUT FBRWIRE TI 2 CURV,1169.0,935.2,309.2,1052.1,26
RC,0272,WIRE BREAST TULOC PREM 20G1.97,327.0,261.6,86.49,294.3,26
RC,0272,WIRE BREAST TULOC PREM 20G3.55,327.0,261.6,86.49,294.3,26
RC,0272,WIRE EXTL FIX BYNT 2.0X400MM,2880.0,2304.0,761.76,2592.0,26
RC,0272,WIRE EXTL FIX BYNT PEAR2.0X400,2800.0,2240.0,740.6,2520.0,26
RC,0272,WIRE EXTL FIX OLIVE 2X450MM,3780.0,3024.0,999.81,3402.0,26
RC,0272,WIRE EXTL FIX OLIVEARTX1.8X400,1543.0,1234.4,408.12,1388.7,26
RC,0272,WIRE EXTL FIX SMTH SS 1.8MM,2880.0,2304.0,761.76,2592.0,26
RC,0272,WIRE EXTL FIX SMTH SS 2.0MM,2880.0,2304.0,761.76,2592.0,26
RC,0272,WIRE EXTL FIXSMTHSIXFIX1.8X400,1420.0,1136.0,375.59,1278.0,26
RC,0272,WIRE EXTL FIXSMTHSIXFIX2.0X400,1420.0,1136.0,375.59,1278.0,26
RC,0272,WIRE EXTLFIXOLIVESIXFIX1.8X400,2080.0,1664.0,550.16,1872.0,26
RC,0272,WIRE MICROFILIMENT STRAND 24G,375.0,300.0,99.19,337.5,26
RC,0272,WIRE MICROFILIMENT STRAND 25G,380.0,304.0,100.51,342.0,26
RC,0272,WIRE OLIVE DIMND 1.8X450MM,989.0,791.2,261.59,890.1,26
RC,0272,WIRE OLIVE DIMND 2.0X450MM,989.0,791.2,261.59,890.1,26
RC,0272,WIRE SS 16G*DISC*,698.0,558.4,184.62,628.2,26
RC,0272,WIRE SS 18G,914.0,731.2,241.75,822.6,26
RC,0272,WIRE SS 20G,857.0,685.6,226.68,771.3,26
RC,0272,WIRE SS 22G,914.0,731.2,241.75,822.6,26
RC,0272,WIRE SS 24G,914.0,731.2,241.75,822.6,26
RC,0272,WIRE SS 25G,857.0,685.6,226.68,771.3,26
RC,0272,WIRE SS 26G,1828.0,1462.4,483.51,1645.2,26
RC,0272,WIRE SS 28G,1828.0,1462.4,483.51,1645.2,26
RC,0272,WIRE TACK PLATE 2.0/2.5/3.0,680.0,544.0,179.86,612.0,26
RC,0272,WND CLSR ADH SYLKE 2.5X32CM,713.0,570.4,188.59,641.7,26
RC,0272,WND CLSR ADH SYLKE 3.4X24CM,720.0,576.0,190.44,648.0,26
RC,0272,WRENCH ASPIR TORQUE 23KHZ DISP,952.0,761.6,251.8,856.8,26
RC,0272,WRENCH HEX LNG,400.0,320.0,105.8,360.0,26
RC,0272,WRENCH ILSC NEUR DISP,952.0,761.6,251.8,856.8,26
RC,0272,WRENCH RATCHET 10MM,1836.0,1468.8,485.62,1652.4,26
RC,0272,WRENCH SPANNER 5MM,1462.0,1169.6,386.7,1315.8,26
RC,0272,WRENCH SZ2 TW TORQUE BNTN,440.0,352.0,116.38,396.0,26
RC,0272,WRENCH T HNDL ORTF*NLU*,729.0,583.2,192.82,656.1,26
RC,0272,WRENCH T MINIRAIL*NLU*,641.0,512.8,169.54,576.9,26
RC,0272,WRENCH TORQ AXONICS*NLU*,679.0,543.2,179.6,611.1,26
RC,0272,WRENCH TORQ EP BIDR SEALPLU,500.0,400.0,132.25,450.0,26
RC,0272,WRENCH TORQ WHT S*USE 6304512*,500.0,400.0,132.25,450.0,26
RC,0272,WRENCH TORQUE CUSA CLARITY,957.0,765.6,253.13,861.3,26
RC,0272,YANKAUER EXT BUL*DISC NO REPL*,2321.0,1856.8,613.9,2088.9,26
RC,0272,YANKAUER ONETRAC LXS MTL LED,2580.0,2064.0,682.41,2322.0,26
RC,0272,YANKAUER ONETRAC LXS TPR LED,2580.0,2064.0,682.41,2322.0,26
RC,0272,YANKAUER ONETRACLXSFRAZIER12FR,2580.0,2064.0,682.41,2322.0,26
RC,0275,LEAD TMPR PACING BIPOLR 475MM,458.0,366.4,121.14,412.2,26
RC,0278,ABUTMENT CONIC CONNIONRP 5X5MM,563.0,450.4,148.91,506.7,26
RC,0278,ACC BI WING ANCHOR,1216.0,972.8,321.63,1094.4,26
RC,0278,ACC BUMPY ANCHOR,2200.0,1760.0,581.9,1980.0,26
RC,0278,ADPTR PCKT MDTR 1X4*OBS*,3200.0,2560.0,846.4,2880.0,26
RC,0278,ADPTR VERCISE M8 15CM,6000.0,4800.0,1587.0,5400.0,26
RC,0278,ALLO ADIPOSE MTX 1.5CC,4860.0,3888.0,1285.47,4374.0,26
RC,0278,ALLO ADIPOSE MTX 3CC,9619.0,7695.2,2544.23,8657.1,26
RC,0278,ALLO ADIPOSE MTX 6CC,12679.0,10143.2,3353.6,11411.1,26
RC,0278,ALLO ADIPOSE MTX RENUVA 3CC,5760.0,4608.0,1523.52,5184.0,26
RC,0278,ALLO ADM DERMIS 15.0X4.5X3.0MM,4165.0,3332.0,1101.64,3748.5,26
RC,0278,ALLO ADM SIMPLIDERM 16X20CM,20800.0,16640.0,5501.6,18720.0,26
RC,0278,ALLO AFLEX 3.0MM 4X5CM=20SQ,8960.0,7168.0,2369.92,8064.0,26
RC,0278,ALLO AMNIOFIX FEN 9X20CM,28382.0,22705.6,7507.04,25543.8,26
RC,0278,ALLO AMNIOFIX FEN 9X9CM,14245.0,11396.0,3767.8,12820.5,26
RC,0278,ALLO AMNIOFIX MEMB 9X20CM,22990.0,18392.0,6080.86,20691.0,26
RC,0278,ALLO AMNIOGRAFT 2.0X1.5CM,4823.0,3858.4,1275.68,4340.7,26
RC,0278,ALLO AMNIOGRAFT 2.5X2.0CM,5400.0,4320.0,1428.3,4860.0,26
RC,0278,ALLO AORTA THORACIC <=16MM,18027.0,14421.6,4768.14,16224.3,26
RC,0278,ALLO BONE ALLOSYNC CNCLSCUBE15,3080.0,2464.0,814.66,2772.0,26
RC,0278,ALLO BONE ARTHROCELL 2.5CC,9405.0,7524.0,2487.62,8464.5,26
RC,0278,ALLO BONE ARTHROCELL 5.0CC,13475.0,10780.0,3564.14,12127.5,26
RC,0278,ALLO BONE ARTHROCELL+ 5.0CC,13477.0,10781.6,3564.67,12129.3,26
RC,0278,ALLO BONE BIO4 VIABLE 10CC,16875.0,13500.0,4463.44,15187.5,26
RC,0278,ALLO BONE BIO4 VIABLE 5CC,13125.0,10500.0,3471.56,11812.5,26
RC,0278,ALLO BONE BLOCK CNCLS 15X8X20,4551.0,3640.8,1203.74,4095.9,26
RC,0278,ALLO BONE BLOCK CNCLS 30X11X11,5058.0,4046.4,1337.84,4552.2,26
RC,0278,ALLO BONE CARTIFORM DISC 19MM,17188.0,13750.4,4546.23,15469.2,26
RC,0278,ALLO BONE CARTIFORM DISC 20MM,23375.0,18700.0,6182.69,21037.5,26
RC,0278,ALLO BONE CARTIFORM DISC 25MM,27830.0,22264.0,7361.04,25047.0,26
RC,0278,ALLO BONE CELLENTRA ADV 10CC,13150.0,10520.0,3478.18,11835.0,26
RC,0278,ALLO BONE CELLULAR V92 1CC,4950.0,3960.0,1309.28,4455.0,26
RC,0278,ALLO BONE CELLULAR V92 2.5CC,8438.0,6750.4,2231.85,7594.2,26
RC,0278,ALLO BONE CERV VG2C LG7X14X4.5,4907.0,3925.6,1297.9,4416.3,26
RC,0278,ALLO BONE CNCLS CORT FINE 45CC,6863.0,5490.4,1815.26,6176.7,26
RC,0278,ALLO BONE CNCLS CORTCOARSE45CC,5804.0,4643.2,1535.16,5223.6,26
RC,0278,ALLO BONE CNCLS CUBE 15X15X18,2663.0,2130.4,704.36,2396.7,26
RC,0278,ALLO BONE CNCLSCHIP1.7-10 15CC,1524.0,1219.2,403.1,1371.6,26
RC,0278,ALLO BONE CNCLSCHIP1.7-10 30CC,2430.0,1944.0,642.74,2187.0,26
RC,0278,ALLO BONE CNCLSCREOS0.25-1 1CC,1097.0,877.6,290.16,987.3,26
RC,0278,ALLO BONE CNCLSCREOS0.25-1 2CC,1590.0,1272.0,420.56,1431.0,26
RC,0278,ALLO BONE CONFORM FLEX 40MM,7042.0,5633.6,1862.61,6337.8,26
RC,0278,ALLO BONE CORT CNCLS 15CC <5MM,2050.0,1640.0,542.23,1845.0,26
RC,0278,ALLO BONE CORT CNCLS 30CC <2MM,2820.0,2256.0,745.89,2538.0,26
RC,0278,ALLO BONE CORT CNCLS 5CC <5MM,901.0,720.8,238.31,810.9,26
RC,0278,ALLO BONE CORT NMP FBR LNG SM,8925.0,7140.0,2360.66,8032.5,26
RC,0278,ALLO BONE CORT NMP FBR LNG XS,6885.0,5508.0,1821.08,6196.5,26
RC,0278,ALLO BONE COTTON OSTEOTOMY5MM,7931.0,6344.8,2097.75,7137.9,26
RC,0278,ALLO BONE COTTON OSTEOTOMY6MM,7931.0,6344.8,2097.75,7137.9,26
RC,0278,ALLO BONE COTTON OSTEOTOMY7MM,7931.0,6344.8,2097.75,7137.9,26
RC,0278,ALLO BONE COTTON OSTEOTOMY8MM,7931.0,6344.8,2097.75,7137.9,26
RC,0278,ALLO BONE COTTON WDG 5X22X16,5233.0,4186.4,1384.13,4709.7,26
RC,0278,ALLO BONE COTTON WDG 6X22X16,5233.0,4186.4,1384.13,4709.7,26
RC,0278,ALLO BONE COTTON WDG 7X22X16,5233.0,4186.4,1384.13,4709.7,26
RC,0278,ALLO BONE COTTON WDG 8X22X16,5233.0,4186.4,1384.13,4709.7,26
RC,0278,ALLO BONE CTIFORM DISC 10MM,13475.0,10780.0,3564.14,12127.5,26
RC,0278,ALLO BONE DOWEL 13X14-40MM,4250.0,3400.0,1124.13,3825.0,26
RC,0278,ALLO BONE DOWEL REV 16MM,5422.0,4337.6,1434.12,4879.8,26
RC,0278,ALLO BONE EVANS WDG 10MM,9113.0,7290.4,2410.39,8201.7,26
RC,0278,ALLO BONE EVANS WDG 10X22X22,4751.0,3800.8,1256.64,4275.9,26
RC,0278,ALLO BONE EVANS WDG 12MM,9113.0,7290.4,2410.39,8201.7,26
RC,0278,ALLO BONE EVANS WDG 12X22X22,4751.0,3800.8,1256.64,4275.9,26
RC,0278,ALLO BONE EVANS WDG 14X22X22,5990.0,4792.0,1584.36,5391.0,26
RC,0278,ALLO BONE EVANS WDG 6MM,9113.0,7290.4,2410.39,8201.7,26
RC,0278,ALLO BONE EVANS WDG 6X22X22,4751.0,3800.8,1256.64,4275.9,26
RC,0278,ALLO BONE EVANS WDG 8MM,9113.0,7290.4,2410.39,8201.7,26
RC,0278,ALLO BONE EVANS WDG 8X22X22,4751.0,3800.8,1256.64,4275.9,26
RC,0278,ALLO BONE FEM COND LAT LFT,27600.0,22080.0,7300.2,24840.0,26
RC,0278,ALLO BONE FEM COND WHOLE RT,26841.0,21472.8,7099.44,24156.9,26
RC,0278,ALLO BONE FEM DIST LFT*NLU*,10476.0,8380.8,2770.9,9428.4,26
RC,0278,ALLO BONE FEM HD >44MM,5232.0,4185.6,1383.86,4708.8,26
RC,0278,ALLO BONE FEM HD LFT 20-70MM,7023.0,5618.4,1857.58,6320.7,26
RC,0278,ALLO BONE FEM HD*NLU*,5910.0,4728.0,1563.2,5319.0,26
RC,0278,ALLO BONE FEM HEMI COND LATLFT,7275.0,5820.0,1924.24,6547.5,26
RC,0278,ALLO BONE FEM HEMI COND LATRT,7275.0,5820.0,1924.24,6547.5,26
RC,0278,ALLO BONE FEM HEMI COND MEDLRT,26841.0,21472.8,7099.44,24156.9,26
RC,0278,ALLO BONE FEM SHAFT 10X200MM,7535.0,6028.0,1993.01,6781.5,26
RC,0278,ALLO BONE FEM STRUTTHIRD250X10,5866.0,4692.8,1551.56,5279.4,26
RC,0278,ALLO BONE FEM TROCHLEA R*NLU*,26278.0,21022.4,6950.53,23650.2,26
RC,0278,ALLO BONE FEM WHOLE RT,28943.0,23154.4,7655.42,26048.7,26
RC,0278,ALLO BONE FEMSHAFT10X200-500MM,8453.0,6762.4,2235.82,7607.7,26
RC,0278,ALLO BONE FEMSTRUTMEDLRT10X250,4958.0,3966.4,1311.39,4462.2,26
RC,0278,ALLO BONE FIB PROX RT,6162.0,4929.6,1629.85,5545.8,26
RC,0278,ALLO BONE FIB SHAFT 5X180MM,5323.0,4258.4,1407.93,4790.7,26
RC,0278,ALLO BONE FIB SHAFT14-18X100MM,4874.0,3899.2,1289.17,4386.6,26
RC,0278,ALLO BONE FIB STRUT 5X11MM,5299.0,4239.2,1401.59,4769.1,26
RC,0278,ALLO BONE FIB STRUT 6.5X110MM,5693.0,4554.4,1505.8,5123.7,26
RC,0278,ALLO BONE FIB STRUT RND10X60MM,4792.0,3833.6,1267.48,4312.8,26
RC,0278,ALLO BONE FLEXIGRAFT STD 13MM,5865.0,4692.0,1551.29,5278.5,26
RC,0278,ALLO BONE FLEXIGRAFT XLNG 14MM,5422.0,4337.6,1434.12,4879.8,26
RC,0278,ALLO BONE HUMR HD FRESH LFT,17186.0,13748.8,4545.7,15467.4,26
RC,0278,ALLO BONE HUMR PROX WO C*NLU*,10790.0,8632.0,2853.96,9711.0,26
RC,0278,ALLO BONE HUMR WHOLE W C*NLU*,15229.0,12183.2,4028.07,13706.1,26
RC,0278,ALLO BONE ILIAC MATRIGRAFT25MM,4561.0,3648.8,1206.38,4104.9,26
RC,0278,ALLO BONE ILIAC WDG FRZN 25-30,5040.0,4032.0,1333.08,4536.0,26
RC,0278,ALLO BONE ILIAC WDG FZD 9MM,4331.0,3464.8,1145.55,3897.9,26
RC,0278,ALLO BONE ILIACCREST17X17X17X8,4681.0,3744.8,1238.12,4212.9,26
RC,0278,ALLO BONE ILIACCREST17X17X17X9,5027.0,4021.6,1329.64,4524.3,26
RC,0278,ALLO BONE ILIUM BICORT 45X22MM,3896.0,3116.8,1030.49,3506.4,26
RC,0278,ALLO BONE ILIUM BICORT 50MM,4874.0,3899.2,1289.17,4386.6,26
RC,0278,ALLO BONE ILIUM TRICORT 45MM,6399.0,5119.2,1692.54,5759.1,26
RC,0278,ALLO BONE ILIUM TRICORT 60MM,9631.0,7704.8,2547.4,8667.9,26
RC,0278,ALLO BONE INSRT *DISC*,3936.0,3148.8,1041.07,3542.4,26
RC,0278,ALLO BONE LORD TRIAD 5X11X14MM,5550.0,4440.0,1467.98,4995.0,26
RC,0278,ALLO BONE LORD TRIAD 6X11X14MM,5550.0,4440.0,1467.98,4995.0,26
RC,0278,ALLO BONE LORD TRIAD 7X11X14MM,5550.0,4440.0,1467.98,4995.0,26
RC,0278,ALLO BONE LORD TRIAD 8X11X14MM,5550.0,4440.0,1467.98,4995.0,26
RC,0278,ALLO BONE MAGNIFUSE MD 10X25MM,6300.0,5040.0,1666.35,5670.0,26
RC,0278,ALLO BONE MAGNIFUSE PL 1X10CM,11115.0,8892.0,2939.92,10003.5,26
RC,0278,ALLO BONE MAGNIFUSE PL 1X20CM,13475.0,10780.0,3564.14,12127.5,26
RC,0278,ALLO BONE MAGNIFUSE PL LUMB5CM,9144.0,7315.2,2418.59,8229.6,26
RC,0278,ALLO BONE MAGNIFUSE PL2.*NLU*,13699.0,10959.2,3623.39,12329.1,26
RC,0278,ALLO BONE MAGNIFUSE PLLUMB10CM,13300.0,10640.0,3517.85,11970.0,26
RC,0278,ALLO BONE MAGNIFUSE SD 1X5CM,7088.0,5670.4,1874.78,6379.2,26
RC,0278,ALLO BONE MPJ ARTHRODESIS 12MM,5125.0,4100.0,1355.56,4612.5,26
RC,0278,ALLO BONE MPJ ARTHRODESIS 5MM,5350.0,4280.0,1415.08,4815.0,26
RC,0278,ALLO BONE MPJ ARTHRODESIS 8MM,5763.0,4610.4,1524.31,5186.7,26
RC,0278,ALLO BONE MTP PRESERVE 20X19MM,9975.0,7980.0,2638.39,8977.5,26
RC,0278,ALLO BONE MTP PRESERVE 21X5MM,8925.0,7140.0,2360.66,8032.5,26
RC,0278,ALLO BONE MTP PRESERVE 21X8MM,8925.0,7140.0,2360.66,8032.5,26
RC,0278,ALLO BONE MTP PRESERVE 8X19MM,8925.0,7140.0,2360.66,8032.5,26
RC,0278,ALLO BONE OSTEOAMP SELECT 10CC,10299.0,8239.2,2724.09,9269.1,26
RC,0278,ALLO BONE OSTEOAMP SELECT 1CC,3974.0,3179.2,1051.12,3576.6,26
RC,0278,ALLO BONE OSTEOAMP SELECT 5CC,8190.0,6552.0,2166.26,7371.0,26
RC,0278,ALLO BONE OSTEOAMP SELECT2.5CC,5135.0,4108.0,1358.21,4621.5,26
RC,0278,ALLO BONE OSTEOCEL MAX 10CC,14000.0,11200.0,3703.0,12600.0,26
RC,0278,ALLO BONE OSTEOCEL MAX 1CC,4375.0,3500.0,1157.19,3937.5,26
RC,0278,ALLO BONE OSTEOCEL MAX 5CC,10500.0,8400.0,2777.25,9450.0,26
RC,0278,ALLO BONE OSTEOCEL PRO 10CC,16713.0,13370.4,4420.59,15041.7,26
RC,0278,ALLO BONE OSTEOSPNG BLOC*NLU*,1806.0,1444.8,477.69,1625.4,26
RC,0278,ALLO BONE PLUG CNCLS 10X16MM,3672.0,2937.6,971.24,3304.8,26
RC,0278,ALLO BONE PLUG CNCLS 11X16MM,3672.0,2937.6,971.24,3304.8,26
RC,0278,ALLO BONE PLUG CNCLS 8X16MM,3672.0,2937.6,971.24,3304.8,26
RC,0278,ALLO BONE PLUG CNCLS 9X16MM,3672.0,2937.6,971.24,3304.8,26
RC,0278,ALLO BONE PLUG OCA 10MM,11222.0,8977.6,2968.22,10099.8,26
RC,0278,ALLO BONE PLUG OCA 16MM,16060.0,12848.0,4247.87,14454.0,26
RC,0278,ALLO BONE PTLA 22-30X9X16-18MM,5503.0,4402.4,1455.54,4952.7,26
RC,0278,ALLO BONE PUROS BLOCK 10MM,4458.0,3566.4,1179.14,4012.2,26
RC,0278,ALLO BONE PUROS BLOCK 15MM,5868.0,4694.4,1552.09,5281.2,26
RC,0278,ALLO BONE PUROS CNCLS 0.5CC,873.0,698.4,230.91,785.7,26
RC,0278,ALLO BONE PUROS CNCLS 2CC,2200.0,1760.0,581.9,1980.0,26
RC,0278,ALLO BONE PUROS CORT 0.25CC,873.0,698.4,230.91,785.7,26
RC,0278,ALLO BONE PUROS CORT CNCLS 1CC,1122.0,897.6,296.77,1009.8,26
RC,0278,ALLO BONE PUROS CORTCNCLS0.5CC,799.0,639.2,211.34,719.1,26
RC,0278,ALLO BONE REDIGRAFT CHIP5CC1-8,1094.0,875.2,289.36,984.6,26
RC,0278,ALLO BONE REDIGRAFTCHIP15CC1.2,2137.0,1709.6,565.24,1923.3,26
RC,0278,ALLO BONE REV CORE 10MM<36MM,4751.0,3800.8,1256.64,4275.9,26
RC,0278,ALLO BONE SPACER ACF CNCLS 8MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER ACF CNCLS 9MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER ACF LORD 10MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER ACF LORD 11MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER ACF LORD 12MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER ACF LORD 5MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER ACF LORD 6MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER ACF LORD 7MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER ADVACFLORD5MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER ADVACFLORD6MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER ADVACFLORD9MM,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO BONE SPACER PROSPEC 20X8,7926.0,6340.8,2096.43,7133.4,26
RC,0278,ALLO BONE SPACER T-PLIF9/11X13,15532.0,12425.6,4108.21,13978.8,26
RC,0278,ALLO BONE SPACERALIFANTLAT8X11,15838.0,12670.4,4189.15,14254.2,26
RC,0278,ALLO BONE SPACERALIFANTLAT8X19,15848.0,12678.4,4191.8,14263.2,26
RC,0278,ALLO BONE STRUT CORTCNCLS10X40,2489.0,1991.2,658.34,2240.1,26
RC,0278,ALLO BONE TIB DIST MOPS LFT,18580.0,14864.0,4914.41,16722.0,26
RC,0278,ALLO BONE TIB DIST OCA LFT,16063.0,12850.4,4248.66,14456.7,26
RC,0278,ALLO BONE TIB DIST RT,8798.0,7038.4,2327.07,7918.2,26
RC,0278,ALLO BONE TIB STRUTHALF150-200,5144.0,4115.2,1360.59,4629.6,26
RC,0278,ALLO BONE VIABLE EVOLUTI*NLU*,8843.0,7074.4,2338.97,7958.7,26
RC,0278,ALLO BONE VIABLE EVOLUTION 1CC,3480.0,2784.0,920.46,3132.0,26
RC,0278,ALLO BONE VIBONE 2CC,9205.0,7364.0,2434.72,8284.5,26
RC,0278,ALLO BONE WDG ALLOPURE 6MM,9623.0,7698.4,2545.28,8660.7,26
RC,0278,ALLO BONE WDG ALLOSYNC 16X5.5,7920.0,6336.0,2094.84,7128.0,26
RC,0278,ALLO BONE WDG ALLOSYNC 16X65,7920.0,6336.0,2094.84,7128.0,26
RC,0278,ALLO BONE WDG ALLOSYNC 16X7.5,7920.0,6336.0,2094.84,7128.0,26
RC,0278,ALLO BONE WDG ALLOSYNC 20X6.5,8291.0,6632.8,2192.97,7461.9,26
RC,0278,ALLO BONE WDG ALLOSYNC 20X7.5,8291.0,6632.8,2192.97,7461.9,26
RC,0278,ALLO BONE WDG CORT 16MMX5.5CM,4718.0,3774.4,1247.91,4246.2,26
RC,0278,ALLO BONE WDG ILIAC CREST,4995.0,3996.0,1321.18,4495.5,26
RC,0278,ALLO BONE WDG ILIAC CREST 10MM,4714.0,3771.2,1246.85,4242.6,26
RC,0278,ALLO BONE WDG LAPIDUS 5D 5MM,9450.0,7560.0,2499.53,8505.0,26
RC,0278,ALLO BONE WDG OSTEO 4.5X14X16,9547.0,7637.6,2525.18,8592.3,26
RC,0278,ALLO BONE WDG OSTEO 5.5X14X16,9547.0,7637.6,2525.18,8592.3,26
RC,0278,ALLO BONE WDG OSTEO 6.5X14X20,9180.0,7344.0,2428.11,8262.0,26
RC,0278,ALLO BONE WDG SMO MODIFIABLE,10058.0,8046.4,2660.34,9052.2,26
RC,0278,ALLO BONE WDG SUBTLR 10MM,9319.0,7455.2,2464.88,8387.1,26
RC,0278,ALLO BONE WDG SUBTLR 12MM,9319.0,7455.2,2464.88,8387.1,26
RC,0278,ALLO BONE WDG SUBTLR 14MM,9319.0,7455.2,2464.88,8387.1,26
RC,0278,ALLO BONE WDG SUBTLR 16MM,9319.0,7455.2,2464.88,8387.1,26
RC,0278,ALLO BONE WDG SUBTLR 18MM,9319.0,7455.2,2464.88,8387.1,26
RC,0278,ALLO BONE WDGALLOSYNC18X18X6.5,7673.0,6138.4,2029.51,6905.7,26
RC,0278,ALLO BONE WDGALLOSYNC20X20X10,7920.0,6336.0,2094.84,7128.0,26
RC,0278,ALLO BONE WDGALLOSYNC20X20X6.5,7920.0,6336.0,2094.84,7128.0,26
RC,0278,ALLO BONEFEMSTRUTMEDLLFT10X250,4958.0,3966.4,1311.39,4462.2,26
RC,0278,ALLO BTB PTLA HEMI 13X10X75,8978.0,7182.4,2374.68,8080.2,26
RC,0278,ALLO BTB PTLA HEMI W SPEC <45,10546.0,8436.8,2789.42,9491.4,26
RC,0278,ALLO BTB PTLA HEMIQUAD <45,10546.0,8436.8,2789.42,9491.4,26
RC,0278,ALLO BTB PTLA HEMIQUAD >45,10546.0,8436.8,2789.42,9491.4,26
RC,0278,ALLO BTB PTLA HEMIQUAD14X13X75,10546.0,8436.8,2789.42,9491.4,26
RC,0278,ALLO BTB PTLA WHOLE QUAD 5CM,16695.0,13356.0,4415.83,15025.5,26
RC,0278,ALLO BTB PTLA WHOLE QUAD 8CM,16695.0,13356.0,4415.83,15025.5,26
RC,0278,ALLO BTB PTLA WHOLE QUAD >5CM,17252.0,13801.6,4563.15,15526.8,26
RC,0278,ALLO BTB WHOLE W QUAD,17252.0,13801.6,4563.15,15526.8,26
RC,0278,ALLO CARTLG CORE OCA 15MM,15750.0,12600.0,4165.88,14175.0,26
RC,0278,ALLO CARTLG FEM DIST OCA LATRT,27508.0,22006.4,7275.87,24757.2,26
RC,0278,ALLO CARTLG FEM DIST OCAMEDLRT,27508.0,22006.4,7275.87,24757.2,26
RC,0278,ALLO CARTLG FEM DISTOCAMEDLLFT,27508.0,22006.4,7275.87,24757.2,26
RC,0278,ALLO CARTLG HUMR HD OCA LFT,19563.0,15650.4,5174.41,17606.7,26
RC,0278,ALLO CARTLG MENISC MEDL LFT 15,16467.0,13173.6,4355.52,14820.3,26
RC,0278,ALLO CARTLG PTLA OCA LFT,26163.0,20930.4,6920.11,23546.7,26
RC,0278,ALLO CARTLG PTLA OCA RT,26163.0,20930.4,6920.11,23546.7,26
RC,0278,ALLO CARTLG TALUS OCA FRZN RT,12565.0,10052.0,3323.44,11308.5,26
RC,0278,ALLO CARTLG TALUS OCA JRF RT,16250.0,13000.0,4298.13,14625.0,26
RC,0278,ALLO CARTLG TIB DIST OCA FNDTN,14650.0,11720.0,3874.93,13185.0,26
RC,0278,ALLO CARTLG TIB DIST OCA JRFRT,17125.0,13700.0,4529.56,15412.5,26
RC,0278,ALLO CARTLG TIB DIST OCA LFT,17125.0,13700.0,4529.56,15412.5,26
RC,0278,ALLO CERV RESERVE 6MM*NLU*,4946.0,3956.8,1308.22,4451.4,26
RC,0278,ALLO CORD AMNIOT PRO3C 2X3CM,10446.0,8356.8,2762.97,9401.4,26
RC,0278,ALLO CORD AMNIOT PRO3C 3X6CM,11681.0,9344.8,3089.62,10512.9,26
RC,0278,ALLO CORTIVA 16X20CM,21014.0,16811.2,5558.2,18912.6,26
RC,0278,ALLO CORTIVA PERFD 16X20CM,21014.0,16811.2,5558.2,18912.6,26
RC,0278,ALLO CORTIVA SILHOUETTE16X20CM,23912.0,19129.6,6324.72,21520.8,26
RC,0278,ALLO CORTIVAPERFTAILOR9.2X19.2,14461.0,11568.8,3824.93,13014.9,26
RC,0278,ALLO DBF BG LVL1 5CMX15MM,6750.0,5400.0,1785.38,6075.0,26
RC,0278,ALLO DBF BG LVL2 10CMX15MM,10500.0,8400.0,2777.25,9450.0,26
RC,0278,ALLO DBF CORT ALLOFBR 1CC,3603.0,2882.4,952.99,3242.7,26
RC,0278,ALLO DBF PLIAFX FLO 5CC,5438.0,4350.4,1438.35,4894.2,26
RC,0278,ALLO DBF WRAP 5X5.5CMX1MM,5400.0,4320.0,1428.3,4860.0,26
RC,0278,ALLO DBM ALLOSYNC EXPAND 1CC,1870.0,1496.0,494.62,1683.0,26
RC,0278,ALLO DBM ALLOSYNC PURE 10CC,8415.0,6732.0,2225.77,7573.5,26
RC,0278,ALLO DBM ALLOSYNC PURE 5CC,4950.0,3960.0,1309.28,4455.0,26
RC,0278,ALLO DBM ALLOSYNC PUREANGEL5CC,8663.0,6930.4,2291.36,7796.7,26
RC,0278,ALLO DBM CB PASTE ALLOSYNC 1CC,1964.0,1571.2,519.48,1767.6,26
RC,0278,ALLO DBM CB PASTE ALLOSYNC 3CC,3850.0,3080.0,1018.33,3465.0,26
RC,0278,ALLO DBM CB PASTE ALLOSYNC 8CC,4925.0,3940.0,1302.66,4432.5,26
RC,0278,ALLO DBM CB PUTTY ALLOSYNC 5CC,5412.0,4329.6,1431.47,4870.8,26
RC,0278,ALLO DBM CHIP ALLOSYNC1-4MM1.0,1777.0,1421.6,470.02,1599.3,26
RC,0278,ALLO DBM CHIP ALLOSYNC1-4MM5.0,4554.0,3643.2,1204.53,4098.6,26
RC,0278,ALLO DBM CNCLS CHIP1.7-7MM 5CC,1951.0,1560.8,516.04,1755.9,26
RC,0278,ALLO DBM CONFORM CUBE 9X9X9MM,3103.0,2482.4,820.74,2792.7,26
RC,0278,ALLO DBM CONFORM FLEX10X10X4MM,2106.0,1684.8,557.04,1895.4,26
RC,0278,ALLO DBM CONFORM FLEX20X20X4MM,4306.0,3444.8,1138.94,3875.4,26
RC,0278,ALLO DBM CONFORM SHT 45X20X7MM,8511.0,6808.8,2251.16,7659.9,26
RC,0278,ALLO DBM CONFORMCUBE11X11X11MM,3790.0,3032.0,1002.46,3411.0,26
RC,0278,ALLO DBM CONFORMCUBE13X13X13MM,4085.0,3268.0,1080.48,3676.5,26
RC,0278,ALLO DBM CONFORMCUBE15X15X15MM,4357.0,3485.6,1152.43,3921.3,26
RC,0278,ALLO DBM CONFORMCUBE17X17X17MM,4610.0,3688.0,1219.35,4149.0,26
RC,0278,ALLO DBM CONFORMFLEX10X10X10MM,3769.0,3015.2,996.9,3392.1,26
RC,0278,ALLO DBM CORT FBR 10CC,4200.0,3360.0,1110.9,3780.0,26
RC,0278,ALLO DBM CORT FBR 2.5CC,2400.0,1920.0,634.8,2160.0,26
RC,0278,ALLO DBM CORT FBR 5CC,4200.0,3360.0,1110.9,3780.0,26
RC,0278,ALLO DBM CORT FIBERS 10CC*NLU*,900.0,720.0,238.05,810.0,26
RC,0278,ALLO DBM DBF PUTTY GRAFT*NLU*,5850.0,4680.0,1547.33,5265.0,26
RC,0278,ALLO DBM DBF PUTTY GRAFTON 3CC,5208.0,4166.4,1377.52,4687.2,26
RC,0278,ALLO DBM FBRFUSE GRAFT 10CC,8775.0,7020.0,2320.99,7897.5,26
RC,0278,ALLO DBM FBRFUSE GRAFT 1CC,2083.0,1666.4,550.95,1874.7,26
RC,0278,ALLO DBM FBRFUSE GRAFT 2.5CC,4200.0,3360.0,1110.9,3780.0,26
RC,0278,ALLO DBM FBRFUSE GRAFT 5CC,4883.0,3906.4,1291.55,4394.7,26
RC,0278,ALLO DBM FIBEROS SM 2CC*NLU*,2560.0,2048.0,677.12,2304.0,26
RC,0278,ALLO DBM GEL ALLOSYNC 10CC,5940.0,4752.0,1571.13,5346.0,26
RC,0278,ALLO DBM GEL ALLOSYNC 1CC,1870.0,1496.0,494.62,1683.0,26
RC,0278,ALLO DBM GEL ALLOSYNC 5CC,5280.0,4224.0,1396.56,4752.0,26
RC,0278,ALLO DBM GRAFTON ORTHO *CIP*,5369.0,4295.2,1420.1,4832.1,26
RC,0278,ALLO DBM KORE STRIP 2.5X10CM,12548.0,10038.4,3318.95,11293.2,26
RC,0278,ALLO DBM MIX DBX FNDTN 10ML,4826.0,3860.8,1276.48,4343.4,26
RC,0278,ALLO DBM MIX DBX FNDTN 2.5ML,3027.0,2421.6,800.64,2724.3,26
RC,0278,ALLO DBM MIX DBX FNDTN 20ML,9497.0,7597.6,2511.96,8547.3,26
RC,0278,ALLO DBM MIX DBX FNDTN 5ML,4795.0,3836.0,1268.28,4315.5,26
RC,0278,ALLO DBM OSTEOVIVE PLUS 2.5CC,5288.0,4230.4,1398.68,4759.2,26
RC,0278,ALLO DBM PASTE DBX 10ML,5211.0,4168.8,1378.31,4689.9,26
RC,0278,ALLO DBM PASTE I*DISC 6350489*,5316.0,4252.8,1406.08,4784.4,26
RC,0278,ALLO DBM PASTE I*DISC NO REPL*,3005.5,2404.4,328.24,4767.3,156
RC,0278,ALLO DBM PASTE STIMUBLAST 1CC,1964.0,1571.2,519.48,1767.6,26
RC,0278,ALLO DBM PRIME HD GRAFT 1.5CC,494.0,395.2,130.66,444.6,26
RC,0278,ALLO DBM PRIME HD GRAFT 10CC,5160.0,4128.0,1364.82,4644.0,26
RC,0278,ALLO DBM PRIME HD GRAFT 1CC,801.0,640.8,211.86,720.9,26
RC,0278,ALLO DBM PRIME HD GRAFT 2.5CC,1913.0,1530.4,505.99,1721.7,26
RC,0278,ALLO DBM PRIME HD GRAFT 5CC,3720.0,2976.0,983.94,3348.0,26
RC,0278,ALLO DBM PRO-STIM 4CC,9235.0,7388.0,2442.66,8311.5,26
RC,0278,ALLO DBM PUTTY 100 5CC*NLU*,4878.0,3902.4,1290.23,4390.2,26
RC,0278,ALLO DBM PUTTY ALLOSYNC 1CC,1870.0,1496.0,494.62,1683.0,26
RC,0278,ALLO DBM PUTTY D*DISC 6199579*,698.0,558.4,184.62,628.2,26
RC,0278,ALLO DBM PUTTY INJ DBX 2.5ML,2591.0,2072.8,685.32,2331.9,26
RC,0278,ALLO DBM PUTTY INJ DBX 5ML,4170.0,3336.0,1102.97,3753.0,26
RC,0278,ALLO DBM PUTTY OPTIMUM2.5CC,2534.0,2027.2,670.24,2280.6,26
RC,0278,ALLO DBM PUTTY PROGENIX *NLU*,5145.0,4116.0,1360.85,4630.5,26
RC,0278,ALLO DBM PUTTY REFICIO 10CC,5532.0,4425.6,1463.21,4978.8,26
RC,0278,ALLO DBM PUTTY REFICIO 1CC,1445.0,1156.0,382.2,1300.5,26
RC,0278,ALLO DBM PUTTY REFICIO 5CC,4074.0,3259.2,1077.57,3666.6,26
RC,0278,ALLO DBM PUTTY/CHIPS PUROS 5CC,4635.0,3708.0,1225.96,4171.5,26
RC,0278,ALLO DBM PUTTY/CHIPS PUROS10CC,7920.0,6336.0,2094.84,7128.0,26
RC,0278,ALLO DBM STRIP DBX 2.5X10CM,5646.0,4516.8,1493.37,5081.4,26
RC,0278,ALLO DBM STRIP DBX 2.5X5CM,4216.0,3372.8,1115.13,3794.4,26
RC,0278,ALLO DBM TRIFECTA 10CC*DISC*,11200.0,8960.0,2962.4,10080.0,26
RC,0278,ALLO DBM TRIFECTA 1CC*DISC*,2560.0,2048.0,677.12,2304.0,26
RC,0278,ALLO DBM TRIFECTA 5CC*DISC*,7200.0,5760.0,1904.4,6480.0,26
RC,0278,ALLO DBM TRINITY ELITE FNDTN L,11830.0,9464.0,3129.04,10647.0,26
RC,0278,ALLO DBM TRINITY ELITE FNDTN M,8663.0,6930.4,2291.36,7796.7,26
RC,0278,ALLO DBM TRINITY ELITE FNDTN S,3400.0,2720.0,899.3,3060.0,26
RC,0278,ALLO DBMGRAFTONORTHOBLENDLG5CC,5369.0,4295.2,1420.1,4832.1,26
RC,0278,ALLO DIS 11 17MM*DISC NO REPL*,57640.0,46112.0,15245.78,51876.0,26
RC,0278,ALLO ECM AXIOFILL 500MG,5652.0,4521.6,1494.95,5086.8,26
RC,0278,ALLO FBR KORE MOLDABLE 10.0CC,9450.0,7560.0,2499.53,8505.0,26
RC,0278,ALLO FBR KORE MOLDABLE 5.0CC,5490.0,4392.0,1452.11,4941.0,26
RC,0278,ALLO GRAFT AMNIOBAND 2X3CM=6SQ,5546.0,4436.8,1466.92,4991.4,26
RC,0278,ALLO LENEVA ADIPOSE MTX 1.5CC,4752.0,3801.6,1256.9,4276.8,26
RC,0278,ALLO LENEVA ADIPOSE MTX 3CC,9405.0,7524.0,2487.62,8464.5,26
RC,0278,ALLO MEMB LYOPHILIZE4X7=28SQCM,12250.0,9800.0,3240.13,11025.0,26
RC,0278,ALLO MEMB LYOPHILIZE9MM,4200.0,3360.0,1110.9,3780.0,26
RC,0278,ALLO MENISC LAT W BONE BLOCKRT,17500.0,14000.0,4628.75,15750.0,26
RC,0278,ALLO MENISC LAT W BONEBLOCKLFT,17500.0,14000.0,4628.75,15750.0,26
RC,0278,ALLO MENISC MEDL W BONEBLOCKRT,16625.0,13300.0,4397.31,14962.5,26
RC,0278,ALLO MENISC MEDL WBONEBLOCKLFT,16625.0,13300.0,4397.31,14962.5,26
RC,0278,ALLO ORAGRAFT250-1000MCRN0.5CC,660.0,528.0,174.57,594.0,26
RC,0278,ALLO OSTEOAMP SELECT FLOW 10CC,11844.0,9475.2,3132.74,10659.6,26
RC,0278,ALLO OSTEOAMP SELECT FLOW 5CC,9419.0,7535.2,2491.33,8477.1,26
RC,0278,ALLO OSTEOAMP SELECT FLOW2.5CC,5494.0,4395.2,1453.16,4944.6,26
RC,0278,ALLO PATCH AMNION 2L*NLU VAT*,15523.0,12418.4,4105.83,13970.7,26
RC,0278,ALLO PULM VALV LG D>22MM,28494.0,22795.2,7536.66,25644.6,26
RC,0278,ALLO SAPHENOUS VEIN 52CM,18950.0,15160.0,5012.28,17055.0,26
RC,0278,ALLO SCLERA PATCH 7X7MM,2125.0,1700.0,562.06,1912.5,26
RC,0278,ALLO SKIN NONMESH FNDTN 55*NLU,5490.0,4392.0,1452.11,4941.0,26
RC,0278,ALLO SOMAGEN MESHED 6.0X8.0CM,9222.0,7377.6,2439.22,8299.8,26
RC,0278,ALLO SOMAGEN MESHED 8.0X12.0CM,17307.0,13845.6,4577.7,15576.3,26
RC,0278,ALLO SOMAGEN MESHED10.0X15.0CM,23362.0,18689.6,6179.25,21025.8,26
RC,0278,ALLO SOMAGEN MESHED13.0X25.0CM,37432.0,29945.6,9900.76,33688.8,26
RC,0278,ALLO SPLIT HALF MOON CRGN9.0MM,3320.0,2656.0,878.14,2988.0,26
RC,0278,ALLO TENDON ACHILLES W BONE,8343.0,6674.4,2206.72,7508.7,26
RC,0278,ALLO TENDON ANT TIB >7.5X230MM,8849.0,7079.2,2340.56,7964.1,26
RC,0278,ALLO TENDON SGL STRAND ASEPTIC,5288.0,4230.4,1398.68,4759.2,26
RC,0278,ALLO TIB HEMI LAT MENISC LFT,18238.0,14590.4,4823.95,16414.2,26
RC,0278,ALLO VASC FEM ART <21CM,15646.0,12516.8,4138.37,14081.4,26
RC,0278,ALLO VIACELL COHESIVE 10CC,12845.0,10276.0,3397.5,11560.5,26
RC,0278,ALLO XPANSE BONE INSRT S*NLU*,3936.0,3148.8,1041.07,3542.4,26
RC,0278,ALLOQUADRICEPTENDONWPTLA*DISC*,15750.0,12600.0,4165.88,14175.0,26
RC,0278,ANCHOR FOREHEAD ENDOTINE 3.0MM,4585.0,3668.0,1212.73,4126.5,26
RC,0278,ANCHOR FOREHEAD ENDOTINE 3.5MM,4445.0,3556.0,1175.7,4000.5,26
RC,0278,ANCHOR ICONIXSPEED2,5159.0,4127.2,1364.56,4643.1,26
RC,0278,ANCHOR PEEK SUT TAK 3X12.7MM,3388.0,2710.4,896.13,3049.2,26
RC,0278,ANCHOR SUBTLR PROSTOP 8X1*NLU*,6728.0,5382.4,1779.56,6055.2,26
RC,0278,ANCHOR SUBTLR PROSTOP 8X14MM,7400.0,5920.0,1957.3,6660.0,26
RC,0278,ANCHOR SUBTLR PROSTOP 9X14MM,7400.0,5920.0,1957.3,6660.0,26
RC,0278,ANCHOR SUP QA+ OC DS CP-2,4928.0,3942.4,1303.46,4435.2,26
RC,0278,ANCHOR SUT FLEXPATCH 3X4CM,9450.0,7560.0,2499.53,8505.0,26
RC,0278,ANK IMPLT SUBTLR MABA TI*NLU*,7872.0,6297.6,2082.14,7084.8,26
RC,0278,APPL CLIP ATRICLIP PROV45MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,ARM EXT FLEX REMOV CMF 40MM,7072.0,5657.6,1870.54,6364.8,26
RC,0278,BAND ANNULO DURAN 35MM,6075.0,4860.0,1606.84,5467.5,26
RC,0278,BAND ANNULO EDWA 26MM,9450.0,7560.0,2499.53,8505.0,26
RC,0278,BAND ANNULO EDWA 28MM,9450.0,7560.0,2499.53,8505.0,26
RC,0278,BAND ANNULO EDWA 30MM,9450.0,7560.0,2499.53,8505.0,26
RC,0278,BAND ANNULO EDWA 32MM,9450.0,7560.0,2499.53,8505.0,26
RC,0278,BAND ANNULO EDWA 34MM,9450.0,7560.0,2499.53,8505.0,26
RC,0278,BAND ANNULO EDWA 36MM,9450.0,7560.0,2499.53,8505.0,26
RC,0278,BAND ANNULO EDWA 38MM,9450.0,7560.0,2499.53,8505.0,26
RC,0278,BAR PECTUS ANDAL SS IM 33CM,9916.0,7932.8,2622.78,8924.4,26
RC,0278,BAR PECTUS ANDAL SS IMá31.8CM,9916.0,7932.8,2622.78,8924.4,26
RC,0278,BAR PECTUS BIOM SZ11,8748.0,6998.4,2313.85,7873.2,26
RC,0278,BAR PECTUS BIOM SZ12,8748.0,6998.4,2313.85,7873.2,26
RC,0278,BAR PECTUS BIOM SZ12.5*NLU*,8870.0,7096.0,2346.12,7983.0,26
RC,0278,BAR PECTUS BIOM SZ13,8748.0,6998.4,2313.85,7873.2,26
RC,0278,BAR PECTUS BIOM SZ13.5*NLU*,8870.0,7096.0,2346.12,7983.0,26
RC,0278,BAR PECTUS BIOM SZ14,8748.0,6998.4,2313.85,7873.2,26
RC,0278,BAR PECTUS BIOM SZ15,8748.0,6998.4,2313.85,7873.2,26
RC,0278,BAR PECTUS BIOM SZ16,8748.0,6998.4,2313.85,7873.2,26
RC,0278,BAR PECTUS BLU STBL TI 4.45CM,13250.0,10600.0,3504.63,11925.0,26
RC,0278,BAR PECTUS BLU STBL TI CUST,11137.0,8909.6,2945.74,10023.3,26
RC,0278,BAR PECTUS MILLE*DISC 6339338*,9625.0,7700.0,2545.81,8662.5,26
RC,0278,BAR PECTUS PREBENT BLU TI 10.5,16450.0,13160.0,4351.03,14805.0,26
RC,0278,BAR PECTUS PREBENT BLU TI 10IN,16450.0,13160.0,4351.03,14805.0,26
RC,0278,BAR PECTUS PREBENT BLU TI 11.5,16450.0,13160.0,4351.03,14805.0,26
RC,0278,BAR PECTUS PREBENT BLU TI 11IN,16450.0,13160.0,4351.03,14805.0,26
RC,0278,BAR PECTUS PREBENT BLU TI 12.5,16450.0,13160.0,4351.03,14805.0,26
RC,0278,BAR PECTUS PREBENT BLU TI 12IN,16450.0,13160.0,4351.03,14805.0,26
RC,0278,BAR PECTUS PREBENT BLU TI 13.5,16450.0,13160.0,4351.03,14805.0,26
RC,0278,BAR PECTUS PREBENT BLU TI 13IN,16450.0,13160.0,4351.03,14805.0,26
RC,0278,BAR PECTUS PREBENT BLU TI 14IN,16450.0,13160.0,4351.03,14805.0,26
RC,0278,BAR PECTUS PREBENT BLU TI 15IN,16450.0,13160.0,4351.03,14805.0,26
RC,0278,BAR PECTUS SS 13.5CM*NLU*,9625.0,7700.0,2545.81,8662.5,26
RC,0278,BAR PECTUS SS CU*DISC 6332205*,10062.5,8050.0,2545.81,9450.0,52
RC,0278,BAR PECTUS SS CU*DISC 6335803*,9625.0,7700.0,2545.81,8662.5,26
RC,0278,BAR PECTUS SS CU*DISC 6339338*,9625.0,7700.0,2545.81,8662.5,78
RC,0278,BAR PECTUS SS CU*DISC 6343591*,9625.0,7700.0,2545.81,8662.5,26
RC,0278,BAR PECTUS SS CU*DISC 6343592*,10500.0,8400.0,2777.25,9450.0,26
RC,0278,BAR PECTUS TI CU*DISC 6335803*,10500.0,8400.0,2777.25,9450.0,52
RC,0278,BAR PECTUS TI CUST 10IN,15670.0,12536.0,4144.72,14103.0,26
RC,0278,BAR PECTUS TI CUST 11IN,15670.0,12536.0,4144.72,14103.0,26
RC,0278,BAR PECTUS TI CUST 12IN,16139.0,12911.2,4268.77,14525.1,26
RC,0278,BAR PECTUS TI CUST 13.5IN,17420.0,13936.0,4607.59,15678.0,26
RC,0278,BAR PECTUS TI CUST 13IN,15670.0,12536.0,4144.72,14103.0,26
RC,0278,BAR PECTUS TI CUST 14IN,15670.0,12536.0,4144.72,14103.0,26
RC,0278,BAR PECTUS TI CUST 4556 11.5IN,16895.0,13516.0,4468.73,15205.5,26
RC,0278,BAR PECTUS TI CUST 455711.5IN,16895.0,13516.0,4468.73,15205.5,26
RC,0278,BAR PECTUS TI CUST 4584 11.5IN,15670.0,12536.0,4144.72,14103.0,26
RC,0278,BAR PECTUS TI CUST 4585 11.5IN,15670.0,12536.0,4144.72,14103.0,26
RC,0278,BAR PECTUS TI CUST 5005 11.5IN,16139.0,12911.2,4268.77,14525.1,26
RC,0278,BAR PECTUS TI CUST 5006 11.5IN,16139.0,12911.2,4268.77,14525.1,26
RC,0278,BAR PECTUS TI CUST BRN,16895.0,13516.0,4468.73,15205.5,26
RC,0278,BAR PECTUS TI CUST PARK 11.5IN,15670.0,12536.0,4144.72,14103.0,26
RC,0278,BAR PECTUS TI IM211 11IN,16139.0,12911.2,4268.77,14525.1,26
RC,0278,BAR PECTUS TI IM256 11IN,16139.0,12911.2,4268.77,14525.1,26
RC,0278,BAR PECTUS TI IM295 11.5IN,16139.0,12911.2,4268.77,14525.1,26
RC,0278,BAR PECTUS ZIMM TI CUST 12IN,16139.0,12911.2,4268.77,14525.1,26
RC,0278,BAR PETCUS SS CU*DISC 6331024*,10500.0,8400.0,2777.25,9450.0,26
RC,0278,BAR PETCUS SS CU*DISC 6343591*,10500.0,8400.0,2777.25,9450.0,26
RC,0278,BD VSP ORTHOGNATHICS*NLU*,4950.0,3960.0,1309.28,4455.0,26
RC,0278,BG SILO SIL CL CAST 5.5CMX8,1785.0,1428.0,472.13,1606.5,26
RC,0278,BG SILO SIL CL CAST 6.5CMX8,1913.0,1530.4,505.99,1721.7,26
RC,0278,BG SILO SIL CLCAST WIDE 4CM 8,1785.0,1428.0,472.13,1606.5,26
RC,0278,BG SILO SIL W RING 3CM,2040.0,1632.0,539.58,1836.0,26
RC,0278,BG SILO SIL W RING 4CM,2120.0,1696.0,560.74,1908.0,26
RC,0278,BIT DRILL FACE FIX 1.4X8M*NLU*,1257.0,1005.6,332.48,1131.3,26
RC,0278,BIT DRILL QK ZIMM 3.2X50MM,900.0,720.0,238.05,810.0,26
RC,0278,BK HNDL RICHARDS 4.5X0.06*NLU*,1550.0,1240.0,409.98,1395.0,26
RC,0278,BLADE FEN HEL TFNA TI 70MM,3672.0,2937.6,971.24,3304.8,26
RC,0278,BLADE FEN HEL TFNA TI STER75MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE FEN HEL TFNA TI STER80MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE FEN HEL TFNA TI STER85MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE FEN HEL TFNA TI STER90MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE FEN HEL TFNA TI STER95MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE FEN HEL TFNA TISTER100MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE FEN HEL TFNA TISTER105MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE FEN HEL TFNA TISTER110MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE FEN HEL TFNA TISTER115MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE FEN HEL TFNA TISTER120MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE FEN HEL TFNA TISTER125MM,4040.0,3232.0,1068.58,3636.0,26
RC,0278,BLADE HEL FIX STER TI 11X100MM,4424.0,3539.2,1170.15,3981.6,26
RC,0278,BLADE HEL FIX STER TI 11X105MM,4424.0,3539.2,1170.15,3981.6,26
RC,0278,BLADE HEL FIX STER TI 11X110MM,4424.0,3539.2,1170.15,3981.6,26
RC,0278,BLADE HEL FIX STER TI 11X90MM,4424.0,3539.2,1170.15,3981.6,26
RC,0278,BLADE HEL FIX STER TI 11X95MM,4424.0,3539.2,1170.15,3981.6,26
RC,0278,BLADE IMPLT HEL TI 11X125MM,4424.0,3539.2,1170.15,3981.6,26
RC,0278,BLN BAV/PTV NUCLEUS-X 22X4X110,5810.0,4648.0,1536.75,5229.0,26
RC,0278,BLN BAV/PTV NUCLEUS-X 25X4X110,5810.0,4648.0,1536.75,5229.0,26
RC,0278,BLN DIL ENDO ORBERA 700ML,3441.0,2752.8,910.14,3096.9,26
RC,0278,BLN TREK OTW 2.50X12MM*CIP*,5850.0,4680.0,1547.33,5265.0,26
RC,0278,BLOCKER ISSYS LP*NLU*,703.0,562.4,185.94,632.7,26
RC,0278,BOLT ILIAC VPR DEPU 9X70M*NLU*,4712.0,3769.6,1246.32,4240.8,26
RC,0278,BOLT ILIAC VPR DEPU 9X80MM,4712.0,3769.6,1246.32,4240.8,26
RC,0278,BOLT ILIAC VPR DEPU 9X90MM,4712.0,3769.6,1246.32,4240.8,26
RC,0278,BTN BICEP 2.6X12MM,2596.0,2076.8,686.64,2336.4,26
RC,0278,BTN BLN ENFIT MINIONE14FR7.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE14FR8.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE14FR9.0CM,855.0,684.0,226.15,769.5,26
RC,0278,BTN BLN ENFIT MINIONE16FR1.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE16FR1.2CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE16FR5.5CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE16FR6.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE18FR1.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE18FR1.2CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE18FR1.5CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE18FR1.7CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE18FR5.5CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE18FR6.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR1.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR1.2CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR1.5CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR1.7CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR2.3CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR3.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR3.5CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR4.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR4.4CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR5.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR5.5CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE20FR6.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR1.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR1.7CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR2.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR2.3CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR2.5CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR2.7CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR3.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR3.5CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR4.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR4.4CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR5.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR5.5CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFIT MINIONE24FR6.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN BLN ENFITMINIONE14FR10.0CM,882.0,705.6,233.29,793.8,26
RC,0278,BTN DOG BONE ARTX,3080.0,2464.0,814.66,2772.0,26
RC,0278,BTN NASAL SEPTAL 3CM,1919.0,1535.2,507.58,1727.1,26
RC,0278,BTN NASAL SEPTAL RD 3X10MM,3200.0,2560.0,846.4,2880.0,26
RC,0278,BTN SEPTAL 2 PART ADJ MDTR,2112.0,1689.6,558.62,1900.8,26
RC,0278,BUR HL COV KLS 0.3X12,1028.0,822.4,271.91,925.2,26
RC,0278,BUR HL LOOP CRANIAL 12MM,2040.0,1632.0,539.58,1836.0,26
RC,0278,BUR HL LOOP CRANIAL LG 16MM,2200.0,1760.0,581.9,1980.0,26
RC,0278,BUR HL LOOP CRANIAL XL 22MM,2268.0,1814.4,599.89,2041.2,26
RC,0278,BURHOLE DEV KT STIM SENSIGHT,4000.0,3200.0,1058.0,3600.0,26
RC,0278,BURHOLE DEV STIM SENSIGHT LJ53,2125.0,1700.0,562.06,1912.5,26
RC,0278,CAGE 3D PRNT 7D 14X13X6MM,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT 7D 14X13X7MM,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT 7D 16X12X6MM,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT 7D 16X14X6MM,10325.0,8260.0,2730.96,9292.5,26
RC,0278,CAGE 3D PRNT 7D 16X14X7MM,10325.0,8260.0,2730.96,9292.5,26
RC,0278,CAGE 3D PRNT 7D 16X14X8MM,10325.0,8260.0,2730.96,9292.5,26
RC,0278,CAGE 3D PRNT 7D 18X15X6MM,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT 7D 18X15X7MM,10325.0,8260.0,2730.96,9292.5,26
RC,0278,CAGE 3D PRNT 7D 18X15X8MM,10325.0,8260.0,2730.96,9292.5,26
RC,0278,CAGE 3D PRNT LORD 10D 16X14X6,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 10D 16X14X7,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 10D 16X14X8,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 10D 18X15X6,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 10D 18X15X7,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 10D 18X15X8,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 10D 20X15X7,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 15D 18X15X8,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 7D 15X15X6,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 7D 16X14X11,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 7D 16X14X5,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 7D 16X14X6,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 7D 16X14X7,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 7D 16X14X8,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 7D 16X14X9,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 7D 18X15X5,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 7D 18X15X7,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE 3D PRNT LORD 7D 18X15X8,9675.0,7740.0,2559.04,8707.5,26
RC,0278,CAGE ALIF TESERA 12D38X30*NLU*,15750.0,12600.0,4165.88,14175.0,26
RC,0278,CAGE ALIF TRUSS 12D LG 1*NLU*,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE ALIF TRUSS 6D LG 10M*NLU*,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE ALIF TRUSS 6D MD 10M*NLU*,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE ANT LUMB 10D 10X25X33MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 10D 12X25X33MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 10D 12X28X36MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 10D 12X31X36MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 15D 12X25X33MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 15D 12X28X36MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 15D 12X31X36MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 15D 12X31X40MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 15D 14X25X33MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 15D 14X28X36MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 15D 14X31X36MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 15D 14X31X40MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 15D 16X28X36MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 20D 14X28X20MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 20D 16X28X36MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 25D 16X25X33MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE ANT LUMB 25D 18X28X36MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE BENGAL DEPU LG 7D 4MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE BENGAL DEPU LG 7D 5MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE BENGAL DEPU LG 7D 7MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE BENGAL DEPU STD 7D 1*NLU*,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE BENGAL DEPU STD 7D 4MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE BENGAL DEPU STD 7D 5MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE BENGAL DEPU STD 7D 6MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE BENGAL DEPU STD 7D 7MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE BRIGADE 12D 14X34X24MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV ANT 10D 6X14X17MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 10D 7X14X17MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 10D 8X14X17MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 6D 5X12X14MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 6D 5X14X17MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 6D 6X12X14MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 6D 6X14X17MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 6D 7X12X14MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 6D 7X14X17MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 6D 8X12X14MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 6D 8X14X17MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 6D 9X12X14MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT 6D 9X14X17MM,5679.0,4543.2,1502.1,5111.1,26
RC,0278,CAGE CERV ANT MATRIXX12X14X6MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANT MATRIXX12X14X7MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANT MATRIXX12X14X8MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANT MATRIXX12X14X9MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANT MATRIXX14X16X6MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANT MATRIXX14X16X7MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANT MATRIXX14X16X8MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANT MATRIXX14X16X9MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANT MATRIXX14X18X9MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANT MATRIXX16X18X8MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANT MTXX12X14X5MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV ANTMATRIXX14X16X10MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE CERV BODY TI 6D14X12MM6MM,5952.0,4761.6,1574.3,5356.8,26
RC,0278,CAGE CERV BODY TI 6D14X12MM7MM,5952.0,4761.6,1574.3,5356.8,26
RC,0278,CAGE CERV BODY TI 6D14X12MM8MM,5952.0,4761.6,1574.3,5356.8,26
RC,0278,CAGE CERV BODY TI 6D14X12MM9MM,5952.0,4761.6,1574.3,5356.8,26
RC,0278,CAGE CERV BODY TI 6D16X14X10MM,5952.0,4761.6,1574.3,5356.8,26
RC,0278,CAGE CERV BODY TI 6D16X14X6MM,5952.0,4761.6,1574.3,5356.8,26
RC,0278,CAGE CERV BODY TI 6D16X14X7MM,5952.0,4761.6,1574.3,5356.8,26
RC,0278,CAGE CERV BODY TI 6D16X14X8MM,5952.0,4761.6,1574.3,5356.8,26
RC,0278,CAGE CERV BODY TI 6D16X14X9MM,5952.0,4761.6,1574.3,5356.8,26
RC,0278,CAGE CERV CASCADIA 12D 12X14X7,6984.0,5587.2,1847.27,6285.6,26
RC,0278,CAGE CERV CASCADIA 8D 18X50X14,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE CERV CRYSTAL 0D 7MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE CERV DIVERGENCE 6X17X14MM,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE CERV FUSN 12D 24X36X12MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 12D 24X36X14MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 12D 40X27X14MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 16D 24X36X16MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 16D 40X27X14MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 20D 24X36X14MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 20D 24X36X16MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 20D 40X27X14MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 20D 40X27X16MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 24D 25X36X14MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 6D 24X36X10MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 6D 24X36X14MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 6D 40X27X12MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV FUSN 6D 40X27X14MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE CERV LORD 7D 10X14X17MM,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE CERV LORD 7D 9X14X17MM,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE CERV LORD TRUSS 7D14X11X7,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV LORD TRUSS 7D14X11X9,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV LORD TRUSS 7D14X17X6,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV LORD TRUSS 7D14X17X8,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV LORD TRUSS7D14X11X10,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV PRLL TRUSS 7D14X11X5,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV PRLL TRUSS 7D14X11X6,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV PRLL TRUSS 7D14X11X7,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV PRLL TRUSS 7D14X11X8,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV PRLL TRUSS OD14X11X8,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV PRLL TRUSS OD14X11X9,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV PRLL TRUSS7D14X11X10,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CERV PRLL TRUSS7D14X11X12,9020.0,7216.0,2385.79,8118.0,26
RC,0278,CAGE CGR LAT DEPU 18X8X50*NLU*,12719.0,10175.2,3364.18,11447.1,26
RC,0278,CAGE CNCRD DEPU 11X12X23*NLU*,9363.0,7490.4,2476.51,8426.7,26
RC,0278,CAGE CNCRD DEPU 11X13X27.*NLU*,9363.0,7490.4,2476.51,8426.7,26
RC,0278,CAGE CNCRD DEPU 9X7X27MM*NLU*,9363.0,7490.4,2476.51,8426.7,26
RC,0278,CAGE CNCRD DEPU 9X9X23MM*NLU*,9363.0,7490.4,2476.51,8426.7,26
RC,0278,CAGE CORNERSTONE 10X14X11MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE CORNERSTONE 12X14X11MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE CORNERSTONE 13X14X11MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE CORNERSTONE 5X14X11MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE CORNERSTONE 6X14X11MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE CORNERSTONE 7X1X11MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE CORNERSTONE 8X14X11MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE CORNERSTONE 9X14X11MM,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE CORNERSTONE STRUT 6X14X11,10625.0,8500.0,2810.31,9562.5,26
RC,0278,CAGE COROENT XLF 8X18X55*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE CORPECT 0D 12X14MM 18-21,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 0D 12X14MM 20-24,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 0D 12X14MM 22-28,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 0D 12X14MM 26-36,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 0D 12X14MM 32-46,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 0D 13X16MM 20-24,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 0D 13X16MM 22-28,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 0D 13X16MM 26-36,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 0D 14X18MM 20-24,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 0D 14X18MM 22-28,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 0D 14X18MM 32-46,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 5D 13X16MM 48-64,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE CORPECT 7D 13X16X22MM,15000.0,12000.0,3967.5,13500.0,26
RC,0278,CAGE CRYSTAL PEEK16X13X9MM7D,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE CRYSTALPEEK16X13X8MM7D,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE DIST RAD SYS CNVT SM*NLU*,6705.0,5364.0,1773.47,6034.5,26
RC,0278,CAGE EIT ALIF H 15D LG 12MM,10798.0,8638.4,2856.07,9718.2,26
RC,0278,CAGE EIT ALIF H 20D LG 16MM,10798.0,8638.4,2856.07,9718.2,26
RC,0278,CAGE EIT ALIF H 20D MD 14MM,10798.0,8638.4,2856.07,9718.2,26
RC,0278,CAGE EIT LLIF 8D 50/22 12MM,14630.0,11704.0,3869.64,13167.0,26
RC,0278,CAGE EIT LLIF 8D 50/22 8MM,14630.0,11704.0,3869.64,13167.0,26
RC,0278,CAGE EIT LLIF 8D 60/18 12MM,14630.0,11704.0,3869.64,13167.0,26
RC,0278,CAGE EIT PLIF 12D 26/9 13MM,12950.0,10360.0,3425.28,11655.0,26
RC,0278,CAGE EIT PLIF 8D 26/9 10MM,12950.0,10360.0,3425.28,11655.0,26
RC,0278,CAGE EIT PLIF 8D 26/9 12MM,12950.0,10360.0,3425.28,11655.0,26
RC,0278,CAGE EXPAND OBELISC END 0D29MM,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC END 5D29MM,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC END BLU 0D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC END BLU 5D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC END GRY 20,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC END GRY 5D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC END GRY10D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC END GRY15D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC END YEL 0D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC END YEL 5D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC END20D26MM,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC ENDBLU 10D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC ENDBLU 15D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC ENDBRNZ 0D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC ENDBRNZ 5D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC ENDGRN 10D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC ENDGRN 15D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISC ENDYEL 15D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISCCTR20-28MM,24916.0,19932.8,6590.28,22424.4,26
RC,0278,CAGE EXPAND OBELISCCTR23-31MM,24916.0,19932.8,6590.28,22424.4,26
RC,0278,CAGE EXPAND OBELISCCTR27-38MM,24916.0,19932.8,6590.28,22424.4,26
RC,0278,CAGE EXPAND OBELISCCTR32-47MM,24916.0,19932.8,6590.28,22424.4,26
RC,0278,CAGE EXPAND OBELISCCTR40-62MM,24916.0,19932.8,6590.28,22424.4,26
RC,0278,CAGE EXPAND OBELISCCTR517-23MM,24916.0,19932.8,6590.28,22424.4,26
RC,0278,CAGE EXPAND OBELISCCTR76-132MM,24916.0,19932.8,6590.28,22424.4,26
RC,0278,CAGE EXPAND OBELISCENDBRNZ 10D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISCENDBRNZ 15D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISCENDLTBLU 0D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPAND OBELISCENDLTBLU 5D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPANDOBELISCENDLTBLU 10D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE EXPANDOBELISCENDLTBLU 15D,11467.0,9173.6,3033.02,10320.3,26
RC,0278,CAGE FUSN ABC 10X21MM*NLU*,10373.0,8298.4,2743.66,9335.7,26
RC,0278,CAGE FUSN ABC 10X25MM*NLU*,10373.0,8298.4,2743.66,9335.7,26
RC,0278,CAGE FUSN ABC 12X21MM*NLU*,10373.0,8298.4,2743.66,9335.7,26
RC,0278,CAGE FUSN ABC 12X25MM*NLU*,10373.0,8298.4,2743.66,9335.7,26
RC,0278,CAGE FUSN ABC 14X21MM*NLU*,10373.0,8298.4,2743.66,9335.7,26
RC,0278,CAGE FUSN ABC 14X25MM*NLU*,10373.0,8298.4,2743.66,9335.7,26
RC,0278,CAGE FUSN ABC 16X21MM*NLU*,10373.0,8298.4,2743.66,9335.7,26
RC,0278,CAGE FUSN ABC 16X25MM*NLU*,10373.0,8298.4,2743.66,9335.7,26
RC,0278,CAGE GM 9X20X40MM*NLU*,15677.0,12541.6,4146.57,14109.3,26
RC,0278,CAGE INTERBODY FUSN 7D 15X12X5,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D 15X12X6,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D 15X12X7,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D 15X12X8,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D 15X12X9,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D 17X14X5,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D 17X14X6,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D 17X14X7,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D 17X14X8,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D 17X14X9,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D15X12X10,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY FUSN 7D17X14X10,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CAGE INTERBODY GRAFT CANN,3600.0,2880.0,952.2,3240.0,26
RC,0278,CAGE LAT CASCADIA 12D 22X60X16,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE LAT CASCADIA 8D 22X45X14,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE LDR MED 10D 27X30X12*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE LDR MED 2D 30X33X12*DISC*,14000.0,11200.0,3703.0,12600.0,26
RC,0278,CAGE LDRM 10D 27X30X14MM*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE LORD DEPU 5D 9X10X23*NLU*,9363.0,7490.4,2476.51,8426.7,26
RC,0278,CAGE LORD OPEN MTX 7D12.5X16X7,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE LORD OPEN MTX 7D12.5X16X8,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE LORD OPEN MTX 7D12.5X16X9,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE LORD OPEN MTX 7D12X14.5X7,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE LORD OPEN MTX 7D12X14.5X8,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE LORD OPEN MTX 7D13X18X8MM,4712.0,3769.6,1246.32,4240.8,26
RC,0278,CAGE LORD OPEN MTX 7D15X18X8MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE LORD OPEN MTX 7D15X18X9MM,4712.0,3769.6,1246.32,4240.8,26
RC,0278,CAGE LORD OPEN MTX7D15X18X10MM,4712.0,3769.6,1246.32,4240.8,26
RC,0278,CAGE LUMB PATHLOC TM 0D 11X22,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE LUMB PATHLOC TM 0D 11X25,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE LUMB PSTR 6D 7X28X11MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE LUMB PSTR 6D 9X23X11MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE LUMB PSTR 6D 9X28X11MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE LUMBAR L-VARLOCK10X2*NLU*,14375.0,11500.0,3802.19,12937.5,26
RC,0278,CAGE MIDLINEII CESP 8D 11*NLU*,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE OBLIQ OLLIF TI 27X9.5X9MM,16349.0,13079.2,4324.31,14714.1,26
RC,0278,CAGE OBLIQ ONELIF LG 7D 10X6,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE OBLIQ ONELIF MD 7D 10X7,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE OBLIQ ONELIF SM 13D 10X6,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE OBLIQ ONELIF SM 7D 10X7,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 13D 12X5,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 13D 14X7,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 13D 16X9,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 13D 18X11,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 13D 20X13,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 19D 16X6,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 19D 18X8,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 19D 20X10,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 25D 20X7,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 25D 22X9,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 7D 10X6,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 7D 12X8,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 7D 14X10,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF LG 7D 16X12,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 13D 12X6,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 13D 14X8,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 13D 16X10,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 13D 18X12,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 19D 14X6,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 19D 16X8,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 19D 18X10,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 25D 18X7,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 25D 20X9,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 7D 10X7,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 7D 12X9,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 7D 14X11,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF MD 7D 16X13,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 13D 10X6,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 13D 12X8,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 13D 14X10,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 13D 16X12,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 19D 14X7,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 19D 16X9,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 19D 18X11,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 25D 18X8,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 7D 10X7,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 7D 12X9,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 7D 14X11,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE ONELIF SM 7D 16X13,18125.0,14500.0,4794.06,16312.5,26
RC,0278,CAGE PRLL LPD DEPU 5D 11M*NLU*,9363.0,7490.4,2476.51,8426.7,26
RC,0278,CAGE PROLIFT 12D 10X28X10-16,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE PROLIFT 12D 10X28X8-16,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE PROLIFT 15D 10X28X10-16,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE PROLIFT 15D 10X28X8-16,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE PROLIFT 7D 10X28X8-13,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE PSR PEEK CORNERSTONE 6X11,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE PSR PEEK CORNERSTONE9X11,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE PSR PEEK STRUT 6X11MM,10625.0,8500.0,2810.31,9562.5,26
RC,0278,CAGE SHORELINE 7D 16X14X5*NLU*,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE SHORELINE RT 7D 14X13X5MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORELINE RT 7D 14X13X6MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORELINE RT 7D 14X13X7MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORELINE STER 7D 14X13X5,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORLINE RT 10D 16X14X6MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORLINE RT 10D 16X14X7MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORLINE RT 10D 18X15X7MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORLINE RT 10D 18X15X8MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORLINE RT 7D 16X14X5MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORLINE RT 7D 16X14X6MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORLINE RT 7D 16X14X7MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORLINE RT 7D 18X15X5MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORLINE RT 7D 18X15X6MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SHORLINE RT 7D 18X15X7MM,7425.0,5940.0,1963.91,6682.5,26
RC,0278,CAGE SPNL 20D 36X24X14MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL 5D 10X32X9MM*NLU*,9363.0,7490.4,2476.51,8426.7,26
RC,0278,CAGE SPNL A-LINKZ 16D 36X*NLU*,15000.0,12000.0,3967.5,13500.0,26
RC,0278,CAGE SPNL CALIBRATE 10D10X25X7,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNL CALIBRATE 10D10X30X7,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNL CALIBRATE 10D10X30X9,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNL CALIBRATE 5D 10X30X7,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNL COROENT LG5D12*NLU*,9363.0,7490.4,2476.51,8426.7,26
RC,0278,CAGE SPNL COROENT XL 10X*NLU*,12719.0,10175.2,3364.18,11447.1,26
RC,0278,CAGE SPNL COROENT XL10D8X18X50,12719.0,10175.2,3364.18,11447.1,26
RC,0278,CAGE SPNL COROENT XL10D8X18X55,12719.0,10175.2,3364.18,11447.1,26
RC,0278,CAGE SPNL COROENT XL10D8X18X60,12719.0,10175.2,3364.18,11447.1,26
RC,0278,CAGE SPNL COROENT XLFW 8*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNL COROENTXL10D10X18X55,12719.0,10175.2,3364.18,11447.1,26
RC,0278,CAGE SPNL COROENTXL10D10X18X60,12719.0,10175.2,3364.18,11447.1,26
RC,0278,CAGE SPNL COROENTXL10D12X18X55,12719.0,10175.2,3364.18,11447.1,26
RC,0278,CAGE SPNL ELITE 12D10X24X*NLU*,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL ELITE 12D10X28X*NLU*,13000.0,10400.0,3438.5,11700.0,52
RC,0278,CAGE SPNL ELITE 12D10X32X*NLU*,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL ELITE 12D12X28X*NLU*,13000.0,10400.0,3438.5,11700.0,52
RC,0278,CAGE SPNL ELITE 12D12X32X*NLU*,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL ELITE 6D 10X24X*NLU*,13000.0,10400.0,3438.5,11700.0,52
RC,0278,CAGE SPNL ELITE 6D 10X28X*NLU*,13000.0,10400.0,3438.5,11700.0,130
RC,0278,CAGE SPNL ELITE 6D 12X28X*NLU*,13000.0,10400.0,3438.5,11700.0,52
RC,0278,CAGE SPNL ELITE 6D 12X32X*NLU*,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL IDENTITIII10D6X18X55,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE SPNL LDR 10D 18X30X3*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNL LDR 14D 16X27X3*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNL LDR 6D 10X27X36*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNL LDR 6D 10X30X39*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNL LDR 6D 14X30X39*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNL LORD X-PAC 10X25MM,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE SPNL LORD X-PAC 10X28MM,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE SPNL LORD X-PAC 12X28MM,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE SPNL LORDX-PACTALL10X25MM,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE SPNL LORDX-PACTALL12X28MM,16250.0,13000.0,4298.13,14625.0,26
RC,0278,CAGE SPNL LUCENT 5D 10X27*NLU*,9363.0,7490.4,2476.51,8426.7,52
RC,0278,CAGE SPNL MAGNUM 18D37X27*NLU*,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM 6D37X2*NLU*,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM+ 12D 30X25X12,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM+ 12D 30X25X14,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM+ 18D 30X25X14,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM+ 6D 30X25X12,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM+ 6D37X27X12MM,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM+ 6D37X27X14MM,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM+12D37X27X12MM,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM+12D37X27X14MM,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM+12D37X27X16MM,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL MAGNUM+18D37X27X16MM,13125.0,10500.0,3471.56,11812.5,26
RC,0278,CAGE SPNL NANOTEC 10D10X25X9,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NANOTEC 10D10X26X7,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NANOTEC 10D10X30X7,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NANOTEC 10D14X25X7,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NANOTEC 10D14X30X7,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NANOTEC 15D10X30X7,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NANOTEC 15D14X25X7,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NANOTEC 15D14X30X7,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NANOTEC 20D10X25X7,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NANOTEC 20D10X30X7,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NANOTEC 20D14X30X7,18750.0,15000.0,4959.38,16875.0,26
RC,0278,CAGE SPNL NOPRO 10D 31X24X10,16963.0,13570.4,4486.71,15266.7,26
RC,0278,CAGE SPNL NOPRO 15D 31X24X12,16963.0,13570.4,4486.71,15266.7,26
RC,0278,CAGE SPNL NOPRO 15D 35X27X12,16963.0,13570.4,4486.71,15266.7,26
RC,0278,CAGE SPNL NOPRO 15D 39X30X12,16963.0,13570.4,4486.71,15266.7,26
RC,0278,CAGE SPNL NOPRO 20D 39X30X14,16963.0,13570.4,4486.71,15266.7,26
RC,0278,CAGE SPNL OTS 7D 22X18X10,16944.0,13555.2,4481.69,15249.6,26
RC,0278,CAGE SPNL SM 6D 12X14X10MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE SPNL SM 6D 12X14X6MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE SPNL SM 6D 12X14X8MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE SPNL SM 6D 12X14X9MM,4950.0,3960.0,1309.28,4455.0,26
RC,0278,CAGE SPNL T/PLIF DUALX 6D 7-9,19988.0,15990.4,5286.83,17989.2,26
RC,0278,CAGE SPNL T/PLIF DUALX 8D 7-9,19988.0,15990.4,5286.83,17989.2,26
RC,0278,CAGE SPNL T/PLIF DUALX 8D 8-10,19988.0,15990.4,5286.83,17989.2,26
RC,0278,CAGE SPNL T/PLIF DUALX 8D 8-11,19988.0,15990.4,5286.83,17989.2,26
RC,0278,CAGE SPNL TAS 12D 24X36X1*NLU*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS 12D 24X36X11MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE SPNL TAS 12D 40X27X1*NLU*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS 36X24X16MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS 40X27X16MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS 7D 36X24X11MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE SPNL TAS 7D 40X27X14*NLU*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS LG 16D12MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS LG 16D14MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS ORIG 12D12X24X36,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE SPNL TAS ORIG 12D32X21X14,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE SPNL TAS ORIG 12D40X27X11,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE SPNL TAS ORIG 12D40X27X13,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE SPNL TAS ORIG 12D40X27X14,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE SPNL TAS ORIG 12D40X27X15,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CAGE SPNL TAS STD16D12MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS XL 12D 27X4*NLU*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS XL 16D12MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS XL 16D18MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS XL16D 14MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS XL16D 16MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS12D40X27X14*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TAS40X27X14MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL TASXL 16D 20MM*DISC*,17438.0,13950.4,4612.35,15694.2,26
RC,0278,CAGE SPNL VARILIFT 13X28MM*NLU,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL VARILIFT 15X24M*NLU*,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL VARILIFT-C 10X12MM,9261.0,7408.8,2449.53,8334.9,26
RC,0278,CAGE SPNL VARILIFT-C 8X12MM,9261.0,7408.8,2449.53,8334.9,26
RC,0278,CAGE SPNL VARILIFT-C 9X12MM,9261.0,7408.8,2449.53,8334.9,26
RC,0278,CAGE SPNL VARILIFT-L 13X24MM,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL VARILIFT-LX 10X28MM,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL VARILIFT-LX 11X24MM,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL VARILIFT-LX 12X24MM,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL VARILIFT-LX 13X24MM,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNL VARILIFT-LX 14X24MM,13000.0,10400.0,3438.5,11700.0,26
RC,0278,CAGE SPNLCOROENTXLF10D10*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGE SPNLCOROENTXLW10D10*NLU*,15169.0,12135.2,4012.2,13652.1,26
RC,0278,CAGE STALIF MIDLINE 8D 36*NLU*,22250.0,17800.0,5885.13,20025.0,26
RC,0278,CAGE T-PAL SYNT 28X10X11MM,9363.0,7490.4,2476.51,8426.7,26
RC,0278,CAGE TESERA S128 17D34X28*NLU*,15750.0,12600.0,4165.88,14175.0,52
RC,0278,CAGE TLIF SPNL 5D 12X22MM,10467.0,8373.6,2768.52,9420.3,26
RC,0278,CAGE TRIT PL 6D 12X28X11MM,13313.0,10650.4,3521.29,11981.7,26
RC,0278,CAGE VBR SM 12X16-25MM,7240.0,5792.0,1914.98,6516.0,26
RC,0278,CAGE VBR SM 14X16-25MM,17195.0,13756.0,4548.08,15475.5,26
RC,0278,CAGE VBR SM 16X12-17MM,17195.0,13756.0,4548.08,15475.5,26
RC,0278,CAGE VBR SM ANG 0D 14X12-*NLU*,18100.0,14480.0,4787.45,16290.0,26
RC,0278,CAGE VBR SM ANG 6D 14X16-25MM,17195.0,13756.0,4548.08,15475.5,26
RC,0278,CAGE VBR SM ANG 6D 14X24-40MM,17195.0,13756.0,4548.08,15475.5,26
RC,0278,CAGE VBR SM ANG 6D 16X16-25MM,17195.0,13756.0,4548.08,15475.5,26
RC,0278,CAGE VBR SM ANG 6D 16X24-40MM,17195.0,13756.0,4548.08,15475.5,26
RC,0278,CAGE VERTE-STACK 14X11X10*NLU*,4944.0,3955.2,1307.69,4449.6,26
RC,0278,CAGE WAVE MDTR 12D 10X24*NLU*,15750.0,12600.0,4165.88,14175.0,26
RC,0278,CAGE WAVE MDTR 6D 9X24*NLU*,15750.0,12600.0,4165.88,14175.0,26
RC,0278,CAGE WAVEFORM A 15D 35X27X12,16838.0,13470.4,4453.65,15154.2,26
RC,0278,CAGE WAVEFORM A 3HL10D31X24X10,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL10D35X27X10,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL10D35X27X12,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL10D35X27X14,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL10D39X30X14,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL10D43X30X10,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL15D31X24X12,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL15D31X24X14,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL15D35X27X12,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL15D35X27X14,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL15D35X27X16,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL15D35X27X18,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL15D39X30X12,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL15D39X30X14,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL15D39X30X16,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL20D31X24X14,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL20D35X27X14,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL20D35X27X16,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL20D35X27X18,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL20D39X30X14,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL20D39X30X16,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM A 3HL25D39X30X18,18213.0,14570.4,4817.34,16391.7,26
RC,0278,CAGE WAVEFORM TA 15D 9X28X11MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TA 15D 9X32X10MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TA 15D 9X32X11MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TA 15D 9X32X14MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TA 15D 9X32X9MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TA 15D 9X36X11MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TA 15D11X36X10MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TA 15D11X36X11MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TA 15D11X36X12MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TA 8D 11X36X9MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TA 8D 9X28X9MM,16088.0,12870.4,4255.28,14479.2,26
RC,0278,CAGE WAVEFORM TO 15D11X28X10MM,17483.0,13986.4,4624.25,15734.7,26
RC,0278,CAGE WAVEFORM TO 15D11X32X11MM,17483.0,13986.4,4624.25,15734.7,26
RC,0278,CAGE WAVEFORM TO 15D11X32X12MM,17483.0,13986.4,4624.25,15734.7,26
RC,0278,CAGE WAVEFORM TO 5D 11X28X7MM,17483.0,13986.4,4624.25,15734.7,26
RC,0278,CAGE WAVEFORM TO 5D 9X28X7MM,17483.0,13986.4,4624.25,15734.7,26
RC,0278,CAGESPNLCOROENTXLFW10D12*NLU*,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAGESPNLMODULUSALIF10D8X18X50,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CAP LEAD BK-IS,440.0,352.0,116.38,396.0,26
RC,0278,CAP LEAD BK-IS4/DF4,470.0,376.0,124.32,423.0,26
RC,0278,CAP LEAD BK-N,440.0,352.0,116.38,396.0,26
RC,0278,CAP LK CREO THRD,570.0,456.0,150.77,513.0,26
RC,0278,CAP LWR FORT 4D 21X23*NLU*,3960.0,3168.0,1047.42,3564.0,26
RC,0278,CAP THRD SPEL,713.0,570.4,188.59,641.7,26
RC,0278,CARTRDG CONVEXPANDSTAXX22*NLU*,16331.0,13064.8,4319.55,14697.9,26
RC,0278,CARTRDG CONVEXPANDSTAXX25*NLU*,16331.0,13064.8,4319.55,14697.9,26
RC,0278,CARTRDG CONVEXPANDSTAXX29*NLU*,16331.0,13064.8,4319.55,14697.9,26
RC,0278,CATH AORTICEVOLUTFXDEL7.33X108,9450.0,7560.0,2499.53,8505.0,26
RC,0278,CATH BEACON VANC4 0.035 5FR 65,334.0,267.2,88.34,300.6,26
RC,0278,CATH BICAVAL DL ELITE 13FR11CM,9356.0,7484.8,2474.66,8420.4,26
RC,0278,CATH BICAVAL DL ELITE 16FR14CM,9356.0,7484.8,2474.66,8420.4,26
RC,0278,CATH BICAVAL DL ELITE 19FR21CM,9356.0,7484.8,2474.66,8420.4,26
RC,0278,CATH BICAVAL DL ELITE 23FR31CM,9356.0,7484.8,2474.66,8420.4,26
RC,0278,CATH BICAVAL DL ELITE 27FR31CM,9356.0,7484.8,2474.66,8420.4,26
RC,0278,CATH CARDIAC/PERITON SM 90CM,1450.0,1160.0,383.53,1305.0,26
RC,0278,CATH DEL SYS EVOLUT FX 6X108,9450.0,7560.0,2499.53,8505.0,26
RC,0278,CATH DIALYS BIOFLEX TESIO6.5FR,2624.0,2099.2,694.05,2361.6,26
RC,0278,CATH EDM VENT 1.5MM 35CM,1327.0,1061.6,350.99,1194.3,26
RC,0278,CATH III SPLIT ST PEDS10F*NLU*,2840.0,2272.0,751.18,2556.0,26
RC,0278,CATH LUMB EDM CLSD TIP 80CM,1739.0,1391.2,459.97,1565.1,26
RC,0278,CATH PERITON SWAN PEDS 34.25CM,733.0,586.4,193.88,659.7,26
RC,0278,CATH PERITON SWAN PEDS 39.25CM,1014.0,811.2,268.2,912.6,26
RC,0278,CATH PERITON SWAN TENCKHOFF 43,943.0,754.4,249.42,848.7,26
RC,0278,CATH VENT EDM BECKER 20CM,862.0,689.6,228.0,775.8,26
RC,0278,CBL ATLAS DBL W C*USE 6117510*,2360.0,1888.0,624.22,2124.0,26
RC,0278,CBL ATLAS DBL W CRIMP,2360.0,1888.0,624.22,2124.0,26
RC,0278,CBL ATLAS SGL W CRIMP,2360.0,1888.0,624.22,2124.0,26
RC,0278,CBL DALL MILES STRY 2MM,2561.0,2048.8,677.38,2304.9,26
RC,0278,CBL GRIP ASSY ZIMM 1.8MM,3528.0,2822.4,933.16,3175.2,26
RC,0278,CBL GRIP DALL-MILES 1.6MM SM,5240.0,4192.0,1385.98,4716.0,26
RC,0278,CBL GRIP DALL-MILES 2.0MM LG,5240.0,4192.0,1385.98,4716.0,26
RC,0278,CBL GRIP DALL-MILES 2.0MM MD,5240.0,4192.0,1385.98,4716.0,26
RC,0278,CBL POLYMER KINA*DISC 6341995*,3584.0,2867.2,947.97,3225.6,26
RC,0278,CBL SLV BEADED DALL-MILES1.6MM,2561.0,2048.8,677.38,2304.9,26
RC,0278,CBL SLV BEADED DALL-MILES2.0MM,2561.0,2048.8,677.38,2304.9,26
RC,0278,CBL SLV DALL-MILES 1.6MM,2389.0,1911.2,631.89,2150.1,26
RC,0278,CBL SLV DALL-MILES 2.0MM,2389.0,1911.2,631.89,2150.1,26
RC,0278,CBL SS DALL MILES STRY 1.6MM,2561.0,2048.8,677.38,2304.9,26
RC,0278,CBL SS DALL MILES STRY 2MM,2561.0,2048.8,677.38,2304.9,26
RC,0278,CBL TROCH REATTACH 5MM,7214.0,5771.2,1908.1,6492.6,26
RC,0278,CBL TROCH REATTACH LNG,10397.0,8317.6,2750.01,9357.3,26
RC,0278,CBL W CRIMP 1X750MM,3242.0,2593.6,857.51,2917.8,26
RC,0278,CBL W TI CRIMP 1.7X750MM,3246.0,2596.8,858.57,2921.4,26
RC,0278,CENT BODY XRL MD 22X27MM,12740.0,10192.0,3369.73,11466.0,26
RC,0278,CERV DISC ORTF LG 6X17X14MM,13095.0,10476.0,3463.63,11785.5,26
RC,0278,CERV DISC ORTF MD 6X15X12MM,13095.0,10476.0,3463.63,11785.5,26
RC,0278,CERV DISC ORTF MD 7X15X12.5MM,13095.0,10476.0,3463.63,11785.5,26
RC,0278,CERV DISK MOBI-C H4.5 13X15MM,14875.0,11900.0,3934.44,13387.5,26
RC,0278,CERV PEEK PREVAIL 2HL5X16*NLU*,9139.0,7311.2,2417.27,8225.1,26
RC,0278,CHIN IMPLT CONT 2PC 72X42X5MM,3941.0,3152.8,1042.39,3546.9,26
RC,0278,CHIN IMPLT CONT 2PC 74X42X5MM,3941.0,3152.8,1042.39,3546.9,26
RC,0278,CLIP ANRSM 1/4 CURV 9.5X8.6MM,3896.0,3116.8,1030.49,3506.4,26
RC,0278,CLIP ANRSM 1/4 CURV 9X7.5MM,3896.0,3116.8,1030.49,3506.4,26
RC,0278,CLIP ANRSM CURV 15.5X18MM,3912.0,3129.6,1034.72,3520.8,26
RC,0278,CLIP ANRSM CURV 35D 11X11MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM CURV 47D 9.5X9MM,3896.0,3116.8,1030.49,3506.4,26
RC,0278,CLIP ANRSM FEN ST 10X4MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM FEN ST 11X4MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM FEN ST 11X6MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM FEN ST 12X6MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM FEN ST 13X9MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM FEN ST 14.5X12MM,2910.0,2328.0,769.7,2619.0,26
RC,0278,CLIP ANRSM FEN ST 14X9MM,2910.0,2328.0,769.7,2619.0,26
RC,0278,CLIP ANRSM FEN ST 15.5X12MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM FEN ST 9X3MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI BENT 7X5MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI BYNT 8.5*NLU*,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI CURV 5.5X4MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI CURV 6X5MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI CURV 7X6.5MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI SLT CURV 6.5X5,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI ST 5.5X4MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI ST 7X6MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI ST 8X8MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI TMPR ST6.5X5MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI TMPR ST7.5X7MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINI TMPRST9.5X10MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM MINICURVSLIM6.5X5.2,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM SIDE CURV 7.5X7MM,2910.0,2328.0,769.7,2619.0,26
RC,0278,CLIP ANRSM SLTCURV 10X9MM,3896.0,3116.8,1030.49,3506.4,26
RC,0278,CLIP ANRSM SLTCURV 13X14MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM SLTCURV10X9MM,3912.0,3129.6,1034.72,3520.8,26
RC,0278,CLIP ANRSM ST 11.5X12MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM ST 13.5X15MM,2910.0,2328.0,769.7,2619.0,26
RC,0278,CLIP ANRSM ST 15.5X18MM,2910.0,2328.0,769.7,2619.0,26
RC,0278,CLIP ANRSM ST 17X21MM,2910.0,2328.0,769.7,2619.0,26
RC,0278,CLIP ANRSM ST 8.5X7MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM TII ST 10.5X10MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM TMPR BYNT 11.5X7MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM TMPR ST 10.5X10MM,3528.0,2822.4,933.16,3175.2,26
RC,0278,CLIP ANRSM TMPR ST 12X12MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM TMPR ST 13.5X15MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM TMPR ST 16.5X20MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP ANRSM TMPR ST 9X7MM,3881.0,3104.8,1026.52,3492.9,26
RC,0278,CLIP APPL ATRICLIP PRO-V 35MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,CLIP ATRICLIP FLEX 35MM,5400.0,4320.0,1428.3,4860.0,26
RC,0278,CLIP ATRICLIP FLEX 40MM,5400.0,4320.0,1428.3,4860.0,26
RC,0278,CLIP ATRICLIP FLEX 45MM,5400.0,4320.0,1428.3,4860.0,26
RC,0278,CLIP ATRICLIP FLEX 50MM,5400.0,4320.0,1428.3,4860.0,26
RC,0278,CLIP ATRICLIP FLEX-MINI 35MM,10125.0,8100.0,2678.06,9112.5,26
RC,0278,CLIP ATRICLIP FLEX-MINI 40MM,10125.0,8100.0,2678.06,9112.5,26
RC,0278,CLIP ATRICLIP FLEX-MINI 50MM,10125.0,8100.0,2678.06,9112.5,26
RC,0278,CLIP ATRICLIP FLEXV 35MM,8325.0,6660.0,2201.96,7492.5,26
RC,0278,CLIP ATRICLIP FLEXV 40MM,8325.0,6660.0,2201.96,7492.5,26
RC,0278,CLIP ATRICLIP FLEXV 45MM,8325.0,6660.0,2201.96,7492.5,26
RC,0278,CLIP ATRICLIP FLEXV 50MM,8325.0,6660.0,2201.96,7492.5,26
RC,0278,CLIP ATRICLIP PRO HOOPLESS35MM,13300.0,10640.0,3517.85,11970.0,26
RC,0278,CLIP ATRICLIP PRO HOOPLESS40MM,13300.0,10640.0,3517.85,11970.0,26
RC,0278,CLIP ATRICLIP PRO HOOPLESS45MM,13300.0,10640.0,3517.85,11970.0,26
RC,0278,CLIP ATRICLIP PRO HOOPLESS50MM,13300.0,10640.0,3517.85,11970.0,26
RC,0278,CLIP ATRICLIP PRO MINI 35MM,15000.0,12000.0,3967.5,13500.0,26
RC,0278,CLIP ATRICLIP PRO MINI 40MM,15000.0,12000.0,3967.5,13500.0,26
RC,0278,CLIP ATRICLIP PRO MINI 45MM,15000.0,12000.0,3967.5,13500.0,26
RC,0278,CLIP ATRICLIP PRO MINI 50MM,15000.0,12000.0,3967.5,13500.0,26
RC,0278,CLIP ATRICLIP PRO*USE 6296427*,9783.0,7826.4,2587.6,8804.7,26
RC,0278,CLIP ATRICLIP PRO*USE 6296428*,9783.0,7826.4,2587.6,8804.7,26
RC,0278,CLIP BUNDLE M101*DISC 6316150*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,CLIP BUNDLE M102*DISC 6316150*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,CLIP BUNDLE M103*DISC 6316150*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,CLIP BUNDLE M201*DISC 6316150*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,CLIP BUNDLE M202*DISC 6316150*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,CLIP BUNDLE M203*DISC 6316150*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,CLIP BUNDLE M301*DISC 6316150*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,CLIP BUNDLE M302*DISC 6316150*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,CLIP BUNDLE M303*DISC 6316150*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,CLIP BYNT SUGITA 10MM*VAT NLU*,2800.0,2240.0,740.6,2520.0,26
RC,0278,CLIP BYNT SUGITA 12MM*NLU*,2800.0,2240.0,740.6,2520.0,26
RC,0278,CLIP CLSR ANASTOCLIP LG 15CM,10481.0,8384.8,2772.22,9432.9,26
RC,0278,CLIP CLSR ANASTOCLIP LG 8CM,6386.0,5108.8,1689.1,5747.4,26
RC,0278,CLIP CLSR ANASTOCLIP MD 8CM,6386.0,5108.8,1689.1,5747.4,26
RC,0278,CLIP CURV SUGITA 9MM*VAT NLU*,2800.0,2240.0,740.6,2520.0,26
RC,0278,CLIP MINI CURV SU 5MM*VAT NLU*,2800.0,2240.0,740.6,2520.0,26
RC,0278,CLIP MINI ST SLIM 4MM*VAT NLU*,2800.0,2240.0,740.6,2520.0,26
RC,0278,CLIP MINI ST SUGITA 6MM*NLU*,2888.0,2310.4,763.88,2599.2,26
RC,0278,CLIP MINI TMPR ST SUGITA*NLU*,2800.0,2240.0,740.6,2520.0,26
RC,0278,CLIP MINICURVSL 8.2MM*VAT NLU*,2800.0,2240.0,740.6,2520.0,26
RC,0278,CLIP RES 11MM*DNR 6299825*,1862.0,1489.6,492.5,1675.8,26
RC,0278,CLIP SLT CURV SU 11MM*VAT NLU*,2800.0,2240.0,740.6,2520.0,26
RC,0278,CLIP SPNG EXTL FIX STER,742.0,593.6,196.26,667.8,26
RC,0278,CLIP ST SLIM SUGI 6MM*VAT NLU*,2800.0,2240.0,740.6,2520.0,26
RC,0278,CLIP ST SUGITA 10MM*VAT NLU*,2888.0,2310.4,763.88,2599.2,26
RC,0278,CLIP ST SUGITA 7MM*NLU*,2888.0,2310.4,763.88,2599.2,26
RC,0278,CLIP ST TMPR SUG 10MM*VAT NLU*,2800.0,2240.0,740.6,2520.0,26
RC,0278,CLIP TUBAL LIGATION FILSHIE,727.0,581.6,192.29,654.3,26
RC,0278,CLIP YASARGIL STD CURV 4.*NLU*,3029.0,2423.2,801.17,2726.1,26
RC,0278,CLIP YASARGIL STD CURV 8.*NLU*,3029.0,2423.2,801.17,2726.1,26
RC,0278,CLSR STERNAL MULT IMPLT SL360,15400.0,12320.0,4073.3,13860.0,26
RC,0278,CLSR TOP SEQUOIA ZIMM,713.0,570.4,188.59,641.7,26
RC,0278,CMNT BONE CRANIO*DISC 6341406*,11328.0,9062.4,2996.26,10195.2,26
RC,0278,CMNT BONE NORIAN CRS FA*NLU*,17448.0,13958.4,4615.0,15703.2,26
RC,0278,CNTRCPT FALLOP RING 8MM,682.0,545.6,180.39,613.8,26
RC,0278,CNTRSINK CANN 4.0MM,2445.0,1956.0,646.7,2200.5,26
RC,0278,CNTRSINK HDLSS PRGN 3.5MM,1630.0,1304.0,431.14,1467.0,26
RC,0278,COIL 10 HEL HYPERSOFT 1.5X1,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 1.5X2,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 1.5X3,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 1.5X4,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 2.5X4,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 2.5X6,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 2X1*NLU*,1188.0,950.4,314.23,1069.2,26
RC,0278,COIL 10 HEL HYPERSOFT 2X2,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 2X4,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 3X4,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 3X6,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 3X8,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HEL HYPERSOFT 4X8,1705.0,1364.0,450.97,1534.5,26
RC,0278,COIL 10 HYPERSOFT 3D 1.5X2,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 1.5X3,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 1.5X4,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 1X2,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 1X3,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 2.5X4,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 2.5X6,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 2X2,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 2X3,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 2X4,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 3.5X8,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 3X4,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 3X6,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 4X6,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 4X8,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 5X10,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 5X15,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 5X20,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 10 HYPERSOFT 3D 6X20,2360.0,1888.0,624.22,2124.0,26
RC,0278,COIL 400 *DISC NO REPLC*,3180.0,2544.0,841.11,2862.0,26
RC,0278,COIL 400 COMPLEX SOFT 5MMX6CM,4656.0,3724.8,1231.51,4190.4,26
RC,0278,COIL ANRSM WEB SL 10X5MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 10X6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 10X7MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 10X8MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 11X6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 11X7MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 11X8MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 11X9MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 4.5X2MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL 4.5X3MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL 4X2MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL 4X3MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 5X2MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL 5X3MM VIA 17,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL 5X3MM VIA 21,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 5X4MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 6X2MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL 6X3MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 6X4MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 6X5MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 7X2MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL 7X3MM VIA 17,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL 7X3MM VIA 21,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 7X4MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 7X5MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 7X6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 8X3MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 8X4MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 8X5MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 8X6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 9X4MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 9X5MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 9X6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL 9X7MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SL VIA17 4X3MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL VIA17 6X3MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL VIA17 6X4MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL VIA17 7X4MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SL VIA17 7X5MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SLS 10X8.6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SLS 11X9.6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SLS 4X2.6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SLS 5X3.6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SLS 6X4.6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SLS 7X5.6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SLS 8X6.6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SLS 9X7.6MM,28405.0,22724.0,7513.12,25564.5,26
RC,0278,COIL ANRSM WEB SLSVIA174X2.6MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SLSVIA175X3.6MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SLSVIA176X4.6MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL ANRSM WEB SLSVIA177X5.6MM,31341.0,25072.8,8289.69,28206.9,26
RC,0278,COIL AXIUM 3D18MMX40CM*NLU*,1610.0,1288.0,425.85,1449.0,26
RC,0278,COIL AXIUM PRIME 3D 4MMX10CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL AXIUM PRIME 3D 4MMX6CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL AXIUM PRIME 3D 4MMX8CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL AXIUM PRIME 3D 5MMX10CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL AXIUM PRIME 3D 5MMX15CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL AXIUM PRIME 3D 5MMX8CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL AXIUM PRIME 3D 6MMX10CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL AXIUM PRIME 3D 6MMX15CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL AXIUM PRIME 3D 6MMX20CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL AXIUM PRIME FRM 10MMX20CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 12MMX30CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 12MMX40CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 14MMX40CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 3.5*NLU*,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 3MM*NLU*,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 4MMX12CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 4MMX15CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 4MMX8CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 5MMX15CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 5MMX20CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 6MMX10CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 6MMX15CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 6MMX20CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 6MMX25CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 7MMX12CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 7MMX15CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 7MMX20CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 7MMX30CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 8MMX15CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 8MMX20CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 8MMX30CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME FRM 9MMX20CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL AXIUM PRIME HLX 4MMX10CM,838.0,670.4,221.65,754.2,26
RC,0278,COIL AXIUM PRIME HLX 4MMX12CM,838.0,670.4,221.65,754.2,26
RC,0278,COIL AXIUM PRIME HLX 4MMX6CM,838.0,670.4,221.65,754.2,26
RC,0278,COIL AXIUM PRIME HLX 4MMX8CM,838.0,670.4,221.65,754.2,26
RC,0278,COIL AXIUM PRIME HLX 6MMX12CM,838.0,670.4,221.65,754.2,26
RC,0278,COIL AXIUM PRIME HLX 6MMX20CM,838.0,670.4,221.65,754.2,26
RC,0278,COIL AZUR CX 0.018 10MMX32CM,1799.0,1439.2,475.84,1619.1,26
RC,0278,COIL AZUR CX 0.018 12MMX38CM,1799.0,1439.2,475.84,1619.1,26
RC,0278,COIL AZUR CX 0.018 14MMX34CM,1799.0,1439.2,475.84,1619.1,26
RC,0278,COIL AZUR CX 0.018 16MMX39CM,1799.0,1439.2,475.84,1619.1,26
RC,0278,COIL AZUR CX 0.018 20MMX40CM,1799.0,1439.2,475.84,1619.1,26
RC,0278,COIL AZUR CX 0.018 2MMX2CM,1801.0,1440.8,476.36,1620.9,26
RC,0278,COIL AZUR CX 0.018 2MMX4CM,1801.0,1440.8,476.36,1620.9,26
RC,0278,COIL AZUR CX 0.018 3MMX4CM,1801.0,1440.8,476.36,1620.9,26
RC,0278,COIL AZUR CX 0.018 3MMX8CM,1801.0,1440.8,476.36,1620.9,26
RC,0278,COIL AZUR CX 0.018 4MMX13CM,1801.0,1440.8,476.36,1620.9,26
RC,0278,COIL AZUR CX 0.018 5MMX16CM,1801.0,1440.8,476.36,1620.9,26
RC,0278,COIL AZUR CX 0.018 6MMX20CM,1799.0,1439.2,475.84,1619.1,26
RC,0278,COIL AZUR CX 0.018 8MMX28CM,1799.0,1439.2,475.84,1619.1,26
RC,0278,COIL AZUR CX 0.035 10MMX19CM,2434.0,1947.2,643.79,2190.6,26
RC,0278,COIL AZUR CX 0.035 13MMX24CM,2434.0,1947.2,643.79,2190.6,26
RC,0278,COIL AZUR CX 0.035 16MMX32CM,2434.0,1947.2,643.79,2190.6,26
RC,0278,COIL AZUR CX 0.035 20MMX39CM,2434.0,1947.2,643.79,2190.6,26
RC,0278,COIL AZUR CX 0.035 4MMX7CM,2434.0,1947.2,643.79,2190.6,26
RC,0278,COIL AZUR CX 0.035 5MMX11CM,2434.0,1947.2,643.79,2190.6,26
RC,0278,COIL AZUR CX 0.035 6MMX9CM,2434.0,1947.2,643.79,2190.6,26
RC,0278,COIL AZUR CX 0.035 8MMX12CM,2434.0,1947.2,643.79,2190.6,26
RC,0278,COIL AZUR CX 0.035 8MMX24CM,2434.0,1947.2,643.79,2190.6,26
RC,0278,COIL AZUR HYDROPACK 0.018 20CM,2310.0,1848.0,611.0,2079.0,26
RC,0278,COIL AZUR HYDROPACK 0.018 35CM,3234.0,2587.2,855.39,2910.6,26
RC,0278,COIL AZUR HYDROPACK 0.018 50CM,3234.0,2587.2,855.39,2910.6,26
RC,0278,COIL AZUR HYDROPACK 0.018 60CM,3234.0,2587.2,855.39,2910.6,26
RC,0278,COIL COMANECI 17 22MM,8600.0,6880.0,2274.7,7740.0,26
RC,0278,COIL COMANECI 32MM,8600.0,6880.0,2274.7,7740.0,26
RC,0278,COIL COMANECI PETIT 24MM,8600.0,6880.0,2274.7,7740.0,26
RC,0278,COIL COMPLEX 18 10MMX34CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 11MMX37CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 12MMX40CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 13MMX43CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 14MMX47CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 15MMX50CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 16MMX55CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 18MMX60CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 20MMX65CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 22MMX65CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 24MMX65CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 6MMX20CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 7MMX24CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 8MMX27CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX 18 9MMX30CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL COMPLEX SOFT 2.5MMX5CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 2MMX3CM,2600.0,2080.0,687.7,2340.0,26
RC,0278,COIL COMPLEX SOFT 2MMX4CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 2MMX6CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 2MMX8CM,2600.0,2080.0,687.7,2340.0,26
RC,0278,COIL COMPLEX SOFT 3MMX10CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 3MMX6CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 3MMX8CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 4MMX13CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 4MMX7CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 5MMX17CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 5MMX9CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 6MMX11CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 6MMX20CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 7MMX13CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 7MMX24CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 8MMX16CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SOFT 8MMX27CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX STD 10MMX27CM,2600.0,2080.0,687.7,2340.0,26
RC,0278,COIL COMPLEX STD 10MMX34CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX STD 5MMX17CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX STD 6MMX11CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX STD 6MMX20CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX STD 7MMX13CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX STD 7MMX24CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX STD 8MMX16CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX STD 8MMX27CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX STD 9MMX23CM,2600.0,2080.0,687.7,2340.0,26
RC,0278,COIL COMPLEX STD 9MMX30CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 1MMX1CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 1MMX2CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 1MMX3CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 1MMX4CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 2MMX2CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 2MMX3CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 2MMX4CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 2MMX6CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 2MMX8CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 3MMX10CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 3MMX4CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 3MMX6CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 3MMX8CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 4MMX10CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 4MMX6CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 4MMX8CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 5MMX10CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 5MMX13CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT 5MMX8CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT1.5MMX2CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT1.5MMX3CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT1.5MMX4CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT2.5MMX3CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT2.5MMX4CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT2.5MMX6CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT3.5MMX6CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL COMPLEX SUP SOFT3.5MMX8CM,3336.0,2668.8,882.37,3002.4,26
RC,0278,COIL CONCERTO 10MMX30CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO 2MMX8CM*NLU*,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO HEL 14MMX30CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO HEL 16MMX40CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO HEL 18MMX40CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO HEL 20MMX50CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO NYLON 2MMX4CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO NYLON 2MMX6CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO NYLON 3MMX8CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO NYLON 4MMX8CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO NYLON 8MMX30CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO PGLA 3D 2MMX2CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO PGLA 3D 2MMX4CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO PGLA 3D 2MMX6CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO PGLA 3D 3MMX4CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO PGLA 3D 3MMX6CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO PGLA 3D 3MMX8CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO PGLA 3D 8MMX30CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO PGLA 3D12MMX40CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO PGLA 3D16MMX40CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL CONCERTO PGLA 3D18MMX40CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL COSMOS 10 2.5X4,2189.0,1751.2,578.99,1970.1,26
RC,0278,COIL COSMOS 10 3X6,2189.0,1751.2,578.99,1970.1,26
RC,0278,COIL DETACH INTRLK 8MM14C*NLU*,942.0,753.6,249.16,847.8,26
RC,0278,COIL EMBOL AZUR 18P 5MMX6CM,530.0,424.0,140.19,477.0,26
RC,0278,COIL EMBOL AZUR 35D 10MMX20CM,2889.0,2311.2,764.14,2600.1,26
RC,0278,COIL EMBOL AZUR 35D 12MMX15CM,2698.0,2158.4,713.62,2428.2,26
RC,0278,COIL EMBOL AZUR 35D 15MMX20CM,2889.0,2311.2,764.14,2600.1,26
RC,0278,COIL EMBOL AZUR 35D 4MMX10CM,2505.0,2004.0,662.57,2254.5,26
RC,0278,COIL EMBOL AZUR 35D 6MMX10CM,2505.0,2004.0,662.57,2254.5,26
RC,0278,COIL EMBOL AZUR 35D 6MMX15CM,2698.0,2158.4,713.62,2428.2,26
RC,0278,COIL EMBOL AZUR 35D 8MMX15CM,2698.0,2158.4,713.62,2428.2,26
RC,0278,COIL EMBOL AZUR 35P 10MMX20CM,837.0,669.6,221.39,753.3,26
RC,0278,COIL EMBOL AZUR 35P 15MMX20CM,837.0,669.6,221.39,753.3,26
RC,0278,COIL EMBOL AZUR 35P 16MMX20CM,837.0,669.6,221.39,753.3,26
RC,0278,COIL EMBOL AZUR 35P 6MMX10CM,731.0,584.8,193.35,657.9,26
RC,0278,COIL EMBOL AZUR 35P 6MMX14CM,837.0,669.6,221.39,753.3,26
RC,0278,COIL EMBOL AZUR 35P 8MMX20CM,837.0,669.6,221.39,753.3,26
RC,0278,COIL EMBOL COMPLEX FINISH2.0X2,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX FINISH2.0X4,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX FINISH2.0X6,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX FINISH3.0X6,2590.0,2072.0,685.06,2331.0,26
RC,0278,COIL EMBOL COMPLEX FINISH3.0X8,2590.0,2072.0,685.06,2331.0,26
RC,0278,COIL EMBOL COMPLEX FRM 2.0X4,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX FRM 3.0X4,3390.0,2712.0,896.66,3051.0,26
RC,0278,COIL EMBOL COMPLEX FRM 3.0X6,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX FRM 3.0X8,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX FRM 4.0X10,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX FRM 5.0X20,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX FRM 6.0X30,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX SOFT 4.0X15,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX SOFT 5.0X20,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL EMBOL COMPLEX UNO1.0X10.0,4990.0,3992.0,1319.86,4491.0,26
RC,0278,COIL EMBOL COMPLEX UNO1.5X10.0,4990.0,3992.0,1319.86,4491.0,26
RC,0278,COIL EMBOL COMPLEX UNO1.5X15.0,4990.0,3992.0,1319.86,4491.0,26
RC,0278,COIL EMBOL COMPLEX UNO2.0X12.0,4990.0,3992.0,1319.86,4491.0,26
RC,0278,COIL EMBOL COMPLEX UNO2.0X20.0,5190.0,4152.0,1372.76,4671.0,26
RC,0278,COIL EMBOL COMPLEXFINISH3.0X10,2590.0,2072.0,685.06,2331.0,26
RC,0278,COIL EMBOL FREEFORMMINI1MMX3CM,3946.0,3156.8,1043.72,3551.4,26
RC,0278,COIL EMBOL FREEFORMMINI2MMX4CM,3946.0,3156.8,1043.72,3551.4,26
RC,0278,COIL EMBOL FREEFROMMINI1.5MMX3,3946.0,3156.8,1043.72,3551.4,26
RC,0278,COIL EMBOL FREEFROMMINI1.5MMX4,3886.0,3108.8,1027.85,3497.4,26
RC,0278,COIL EMBOL FREEFROMMINI1MMX2.5,3946.0,3156.8,1043.72,3551.4,26
RC,0278,COIL EMBOL FREEFROMMINI1MMX2CM,3946.0,3156.8,1043.72,3551.4,26
RC,0278,COIL EMBOL FREEFROMMINI1MMX4CM,3946.0,3156.8,1043.72,3551.4,26
RC,0278,COIL EMBOL FREEFROMMINI2MMX3CM,3946.0,3156.8,1043.72,3551.4,26
RC,0278,COIL EMBOL FREEFROMMINI2MMX6CM,3946.0,3156.8,1043.72,3551.4,26
RC,0278,COIL EMBOL HEL FILL 5.0X20,1990.0,1592.0,526.36,1791.0,26
RC,0278,COIL EMBOL HELFINISH3.0X10,2590.0,2072.0,685.06,2331.0,26
RC,0278,COIL EMBOL HELFINISH4.0X10,2590.0,2072.0,685.06,2331.0,26
RC,0278,COIL EMBOL HELICAL UNO 1.0X10,4990.0,3992.0,1319.86,4491.0,26
RC,0278,COIL EMBOL HELICAL UNO 1.0X8.0,5990.0,4792.0,1584.36,5391.0,26
RC,0278,COIL EMBOL HELICAL UNO1.5X10.0,5990.0,4792.0,1584.36,5391.0,26
RC,0278,COIL EMBOL HELICAL UNO1.5X15.0,5990.0,4792.0,1584.36,5391.0,26
RC,0278,COIL EMBOL HELICAL UNO2.0X12.0,4990.0,3992.0,1319.86,4491.0,26
RC,0278,COIL EMBOL HELICAL UNO2.0X20.0,5190.0,4152.0,1372.76,4671.0,26
RC,0278,COIL EMBOL HELIFORMXSFTXL2MMX6,3374.0,2699.2,892.42,3036.6,26
RC,0278,COIL EMBOL HELIFORMXSFTXL2MMX8,3374.0,2699.2,892.42,3036.6,26
RC,0278,COIL EMBOL XTRASOFT3.5MMX7.5CM,3990.0,3192.0,1055.36,3591.0,26
RC,0278,COIL EMBOLD FIBERED DETACH 2X4,2044.0,1635.2,540.64,1839.6,26
RC,0278,COIL EMBOLD FIBERED DETACH 2X6,2044.0,1635.2,540.64,1839.6,26
RC,0278,COIL EMBOLD FIBERED DETACH 3X6,2044.0,1635.2,540.64,1839.6,26
RC,0278,COIL EMBOLD FIBERED DETACH 4X8,2044.0,1635.2,540.64,1839.6,26
RC,0278,COIL EMBOLD FIBERED DETACH 5X8,2044.0,1635.2,540.64,1839.6,26
RC,0278,COIL EMBOLD FIBERED DETACH3X12,2248.0,1798.4,594.6,2023.2,26
RC,0278,COIL EMBOLD FIBERED DETACH4X15,2248.0,1798.4,594.6,2023.2,26
RC,0278,COIL EMBOLD FIBERED DETACH5X15,2248.0,1798.4,594.6,2023.2,26
RC,0278,COIL EMBOLD FIBERED DETACH6X10,2248.0,1798.4,594.6,2023.2,26
RC,0278,COIL EMBOLD FIBERED DETACH6X20,2248.0,1798.4,594.6,2023.2,26
RC,0278,COIL EMBOLD FIBERED DETACH8X20,2248.0,1798.4,594.6,2023.2,26
RC,0278,COIL EMBOLD FIBEREDDETACH10X30,2810.0,2248.0,743.25,2529.0,26
RC,0278,COIL EMBOLD FIBEREDDETACH10X50,2810.0,2248.0,743.25,2529.0,26
RC,0278,COIL EMBOLD FIBEREDDETACH12X30,2810.0,2248.0,743.25,2529.0,26
RC,0278,COIL EMBOLD FIBEREDDETACH12X50,2810.0,2248.0,743.25,2529.0,26
RC,0278,COIL EMBOLD FIBEREDDETACH14X30,2810.0,2248.0,743.25,2529.0,26
RC,0278,COIL EMBOLD FIBEREDDETACH14X50,2810.0,2248.0,743.25,2529.0,26
RC,0278,COIL EMBOLD PACKING DETACH15CM,2548.0,2038.4,673.95,2293.2,26
RC,0278,COIL EMBOLD PACKING DETACH30CM,3110.0,2488.0,822.6,2799.0,26
RC,0278,COIL EMBOLD PACKING DETACH45CM,3110.0,2488.0,822.6,2799.0,26
RC,0278,COIL EMBOLD PACKING DETACH60CM,3110.0,2488.0,822.6,2799.0,26
RC,0278,COIL GALAXY G3 7MMX15CM*DISC*,3570.0,2856.0,944.27,3213.0,26
RC,0278,COIL GALAXY G3 7MMX21CM*DISC*,3570.0,2856.0,944.27,3213.0,26
RC,0278,COIL HELICAL SOFT 3MMX10CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SOFT 3MMX4CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SOFT 3MMX6CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SOFT 3MMX8CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SOFT 4MMX10CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SOFT 4MMX6CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SOFT 4MMX8CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SOFT 5MMX10CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SOFT 5MMX6CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SOFT 5MMX8CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SOFT 6MMX10CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SOFT 6MMX6CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SOFT 6MMX8CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL STD 10MMX30CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL STD 6MMX15CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL STD 6MMX20CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL STD 7MMX20CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL STD 7MMX30CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL STD 8MMX20CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL STD 8MMX30CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL STD 9MMX30CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 1.5MMX1C,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SUP SOFT 1.5MMX2C,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 1.5MMX3C,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 1.5MMX4C,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 1MMX1CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 1MMX2CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 1MMX3CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 1MMX4CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 2.5MMX3C,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SUP SOFT 2.5MMX4C,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SUP SOFT 2.5MMX6C,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 2MMX1CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SUP SOFT 2MMX2CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 2MMX3CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 2MMX4CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 2MMX6CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 2MMX8CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 3MMX10CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 3MMX4CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 3MMX6CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 3MMX8CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 4MMX10CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 4MMX6CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 4MMX8CM,2578.0,2062.4,681.88,2320.2,26
RC,0278,COIL HELICAL SUP SOFT 5MMX10CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SUP SOFT 5MMX6CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HELICAL SUP SOFT 5MMX8CM,2512.0,2009.6,664.42,2260.8,26
RC,0278,COIL HYDROFRM 10-SR 3D 1.5X2,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 1.5X3,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 1.5X4,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 1X2,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 1X3,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 2.5X6,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 2.5X8,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 2X3,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 2X4,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 2X6,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 2X8,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 3X10,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 3X4,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 3X8,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 4X10,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 4X15,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROFRM 10-SR 3D 5X20,3450.0,2760.0,912.53,3105.0,26
RC,0278,COIL HYDROSOFT HEL 3X8,2520.0,2016.0,666.54,2268.0,26
RC,0278,COIL IFMWCE-35-10-8*NLU*,190.0,152.0,50.26,171.0,26
RC,0278,COIL IMWCE-35-2-3,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-35-3-3,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-35-3-4,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-35-3-5,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-35-4-3,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-35-5-3,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-35-5-5,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-35-5-8,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-38-4-3,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-38-5-15*DISC*,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-38-5-5,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-38-5-8,200.0,160.0,52.9,180.0,26
RC,0278,COIL IMWCE-38-8-10,200.0,160.0,52.9,180.0,26
RC,0278,COIL INTRLK 2D 2MMX6CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 10MMX30CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 12MM30CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 14MM30CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 22MM60CM,1950.0,1560.0,515.78,1755.0,26
RC,0278,COIL INTRLK18 2D 3MMX6CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 4MMX15CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 4MMX8CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 5MMX15CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 5MMX8CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 6MMX10CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 6MMX20CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK18 2D 8MMX20CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL INTRLK35 2D HEL 10MMX20CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL INTRLK35 2D HEL 10MMX40CM,2400.0,1920.0,634.8,2160.0,26
RC,0278,COIL INTRLK35 2D HEL 6MMX10CM,1200.0,960.0,317.4,1080.0,26
RC,0278,COIL INTRLK35 2D HEL 6MMX20CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL INTRLK35 2D HEL 8MMX20CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL INTRLK35 CUBE 10MMX25CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL INTRLK35 CUBE 10MMX40CM,2400.0,1920.0,634.8,2160.0,26
RC,0278,COIL INTRLK35 CUBE 15MMX40CM,2400.0,1920.0,634.8,2160.0,26
RC,0278,COIL INTRLK35 CUBE 20MM40CM,2400.0,1920.0,634.8,2160.0,26
RC,0278,COIL INTRLK35 CUBE 8MMX20CM,1800.0,1440.0,476.1,1620.0,26
RC,0278,COIL INZONE DETACHMENT SYS,2328.0,1862.4,615.76,2095.2,26
RC,0278,COIL MCWE-18-0.5-0-HILAL-01,203.0,162.4,53.69,182.7,26
RC,0278,COIL MICROPLEX 11MMX28CMI*NLU*,1364.0,1091.2,360.78,1227.6,26
RC,0278,COIL MICROPLEX 2MMX4CM,1188.0,950.4,314.23,1069.2,26
RC,0278,COIL MICROPLEX 3MMX7CM,1188.0,950.4,314.23,1069.2,26
RC,0278,COIL MICROPLEX 4MMX10CM,1188.0,950.4,314.23,1069.2,26
RC,0278,COIL MICROPLEX 5MMX12CM,1188.0,950.4,314.23,1069.2,26
RC,0278,COIL MICROPLEX 6MMX15CM,1254.0,1003.2,331.68,1128.6,26
RC,0278,COIL MICROPLEX 7MMX18CM,1254.0,1003.2,331.68,1128.6,26
RC,0278,COIL MICROPLEX 8MMX20CM,1254.0,1003.2,331.68,1128.6,26
RC,0278,COIL MREYE IMWCE-35-10-8,200.0,160.0,52.9,180.0,26
RC,0278,COIL MREYE IMWCE-35-15-10,200.0,160.0,52.9,180.0,26
RC,0278,COIL MREYE IMWCE-35-15-15,200.0,160.0,52.9,180.0,26
RC,0278,COIL MREYE IMWCE-35-15-20,200.0,160.0,52.9,180.0,26
RC,0278,COIL MREYE IMWCE-35-8-8,200.0,160.0,52.9,180.0,26
RC,0278,COIL MREYEFLIPPERDETACH4CMX3MM,294.0,235.2,77.76,264.6,26
RC,0278,COIL MWCE 18-5-5 NESTER-01,200.0,160.0,52.9,180.0,26
RC,0278,COIL MWCE-18-1.0-*USE 6298612*,78.0,62.4,20.63,70.2,26
RC,0278,COIL MWCE-18-1.0-0-HILAL-01,203.0,162.4,53.69,182.7,26
RC,0278,COIL MWCE-18-14-10-NESTER-01,215.0,172.0,56.87,193.5,26
RC,0278,COIL MWCE-18-14-3*USE 6298638*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-18-14-3-NESTER-01,215.0,172.0,56.87,193.5,26
RC,0278,COIL MWCE-18-14-4*USE 6298639*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-18-14-4-NESTER-01,215.0,172.0,56.87,193.5,26
RC,0278,COIL MWCE-18-14-5-NESTER-01,220.0,176.0,58.19,198.0,26
RC,0278,COIL MWCE-18-14-6*USE 6298640*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-18-14-6-NESTER-01,220.0,176.0,58.19,198.0,26
RC,0278,COIL MWCE-18-14-8-NESTER-01,220.0,176.0,58.19,198.0,26
RC,0278,COIL MWCE-18-2.0*DISC NO REPL*,157.0,125.6,41.53,141.3,26
RC,0278,COIL MWCE-18-3-2*USE 6298645*,138.0,110.4,36.5,124.2,26
RC,0278,COIL MWCE-18-3-2-NESTER-01,200.0,160.0,52.9,180.0,26
RC,0278,COIL MWCE-18-3-3-NESTER-01,200.0,160.0,52.9,180.0,26
RC,0278,COIL MWCE-18-5-2-NESTER-01,200.0,160.0,52.9,180.0,26
RC,0278,COIL MWCE-18-5-3-NESTER-01,200.0,160.0,52.9,180.0,26
RC,0278,COIL MWCE-18-7-2*DISC 6298648*,151.0,120.8,39.94,135.9,26
RC,0278,COIL MWCE-18-7-2-NESTER-01,220.0,176.0,58.19,198.0,26
RC,0278,COIL MWCE-18-7-3-NESTER-01,220.0,176.0,58.19,198.0,26
RC,0278,COIL MWCE-18-7-4-NESTER-01,220.0,176.0,58.19,198.0,26
RC,0278,COIL MWCE-18-7-5-NESTER-01,220.0,176.0,58.19,198.0,26
RC,0278,COIL MWCE-18-7-6-NESTER-01,220.0,176.0,58.19,198.0,26
RC,0278,COIL MWCE-18-7-8-NESTER-01,220.0,176.0,58.19,198.0,26
RC,0278,COIL MWCE-18S-10/4-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-18S-3/2*USE 6298618*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-18S-3/2-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-18S-4/2-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-18S-5/2*USE 6298619*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-18S-5/2-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-18S-6/2-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-18S-7/3-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-18S-8/4*USE 6298621*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-18S-8/4-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-35-1-3*NLU*,300.0,240.0,79.35,270.0,26
RC,0278,COIL MWCE-35-10/5-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-35-14-1*USE 6298642*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-35-14-1*USE 6298643*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-35-14-10-NESTER-01,252.0,201.6,66.65,226.8,26
RC,0278,COIL MWCE-35-14-12-NESTER-01,252.0,201.6,66.65,226.8,26
RC,0278,COIL MWCE-35-14-14-NESTER-01,252.0,201.6,66.65,226.8,26
RC,0278,COIL MWCE-35-14-4 NESTER-01,215.0,172.0,56.87,193.5,26
RC,0278,COIL MWCE-35-14-6*USE 6298634*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-35-14-6-NESTER-01,215.0,172.0,56.87,193.5,26
RC,0278,COIL MWCE-35-14-8*USE 6298615*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-35-14-8-NESTER-01,215.0,172.0,56.87,193.5,26
RC,0278,COIL MWCE-35-20-10-NESTER-01,275.0,220.0,72.74,247.5,26
RC,0278,COIL MWCE-35-20-12-NESTER-01,275.0,220.0,72.74,247.5,26
RC,0278,COIL MWCE-35-20-16-NESTER-01,275.0,220.0,72.74,247.5,26
RC,0278,COIL MWCE-35-20-18-NESTER-01,275.0,220.0,72.74,247.5,26
RC,0278,COIL MWCE-35-4/3-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-35-4/38USE 6298626*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-35-5/3-TORNADO*NLU*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-35-5/3-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-35-6/ *USE 6298628*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-35-6/3-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-35-7-10-NESTER-01,212.0,169.6,56.07,190.8,26
RC,0278,COIL MWCE-35-7-3-NESTER-01,212.0,169.6,56.07,190.8,26
RC,0278,COIL MWCE-35-7-4-NESTER-01,212.0,169.6,56.07,190.8,26
RC,0278,COIL MWCE-35-7-6-NESTER-01,212.0,169.6,56.07,190.8,26
RC,0278,COIL MWCE-35-7-8-NESTER-01,212.0,169.6,56.07,190.8,26
RC,0278,COIL MWCE-35-7/3-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-35-8/4*USE 6298624*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE-35-8/4-TORNADO-01,222.0,177.6,58.72,199.8,26
RC,0278,COIL MWCE-35-8/5*USE 6298624*,163.0,130.4,43.11,146.7,26
RC,0278,COIL MWCE35-14-4N*USE 6298644*,163.0,130.4,43.11,146.7,26
RC,0278,COIL OPTIMA COMPLEX18 5MMX10CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 10MMX40CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 4.5MMX10CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 4.5MMX4.5CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 4MMX10CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 4MMX13CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 4MMX4CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 4MMX7CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 5MMX10CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 5MMX17CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 5MMX7CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 6MMX11CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 6MMX15CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 6MMX20CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 7MMX15CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 7MMX20CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 8MMX20CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 8MMX30CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SOFT 9MMX30CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT 1MMX2CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT 1MMX3CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT 2MMX2CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT 2MMX3CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT 2MMX4CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT 2MMX6CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT 3MMX10CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT 3MMX3CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT 3MMX7CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT1.5MMX2CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT1.5MMX3CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT1MMX1CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT2.5MMX5CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT3.5MMX5CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAX SUP SOFT3.5MMX8CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAXSUPSOFT2.5MMX2.5CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL OPTIMAXSUPSOFT3.5MMX3.5CM,4744.0,3795.2,1254.79,4269.6,26
RC,0278,COIL PIPELIN*DISC USE 6321659*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELIN*DISC USE 6321692*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELIN*DISC USE 6321727*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELIN*DISC USE 6321733*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELIN*DISC USE 6321735*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE *DISC 6321649*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE *DISC 6321650*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL&DISC 6321703*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FL*DISC 6321648*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321651*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321652*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321654*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321655*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321656*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321661*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321662*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321663*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321664*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321665*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321668*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FL*DISC 6321670*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321671*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321672*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321673*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321674*,28620.0,22896.0,7569.99,25758.0,26
RC,0278,COIL PIPELINE FL*DISC 6321681*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321682*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321683*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 63216849,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FL*DISC 6321685*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FL*DISC 6321689*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321690*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321691*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321694*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FL*DISC 6321697*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321698*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321699*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321700*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321701*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FL*DISC 6321704*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321705*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321706*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321707*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321708*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FL*DISC 6321709*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321714*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321715*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321716*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321717*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FL*DISC 6321722*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321723*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321724*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321725*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321726*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FL*DISC 6321728*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FL*DISC 6321729*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321730*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321731*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321732*,27000.0,21600.0,7141.5,24300.0,26
RC,0278,COIL PIPELINE FL*DISC 6321734*,29400.0,23520.0,7776.3,26460.0,26
RC,0278,COIL PIPELINE FLEX 4.00X12MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 4.00X14MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 4.00X16MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 4.00X18MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 4.00X20MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 4.50X12MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 4.50X14MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 4.50X16MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 4.50X18MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 4.50X20MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 4.50X25MM,30870.0,24696.0,8165.12,27783.0,26
RC,0278,COIL PIPELINE FLEX 5.00X12MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 5.00X14MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 5.00X16MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 5.00X18MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 5.00X20MM,28350.0,22680.0,7498.58,25515.0,26
RC,0278,COIL PIPELINE FLEX 5.00X25MM,30870.0,24696.0,8165.12,27783.0,26
RC,0278,COIL PIPELINE FLEX 5.00X30MM,30870.0,24696.0,8165.12,27783.0,26
RC,0278,COIL PIPELINE FLEX 5.00X35MM,30870.0,24696.0,8165.12,27783.0,26
RC,0278,COIL PIPELINE VANTAGE2.50X10MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE2.50X12MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE2.50X14MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE2.50X16MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE2.50X18MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE2.50X20MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE2.75X12MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE2.75X14MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE2.75X16MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE2.75X18MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE2.75X20MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE3.00X12MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE3.00X14MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE3.00X16MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE3.00X18MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE3.00X20MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE3.25X12MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE3.25X14MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE3.25X16MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE3.25X18MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE3.25X20MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE3.50X12MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE3.50X14MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE3.50X16MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE3.50X18MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PIPELINE VANTAGE3.50X20MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE3.50X25MM,30902.0,24721.6,8173.58,27811.8,26
RC,0278,COIL PIPELINE VANTAGE5.00X25MM,35500.0,28400.0,9389.75,31950.0,26
RC,0278,COIL PLAT FBR 2X5MM,170.0,136.0,44.97,153.0,26
RC,0278,COIL PLAT FBR 4X30MM,174.0,139.2,46.02,156.6,26
RC,0278,COIL PLAT FBR HEL 4X4MM,170.0,136.0,44.97,153.0,26
RC,0278,COIL PLAT FBR ST-18 2MM,116.0,92.8,30.68,104.4,26
RC,0278,COIL PRIME XSFT 3D 1.5MMX2CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 1.5MMX3CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 1.5MMX4CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 1MMX2CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 1MMX3CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 1MMX4CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 2.5MMX4CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 2.5MMX6CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 2MMX2CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 2MMX3CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 2MMX4CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 3.5MMX6CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 3.5MMX8CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 3MMX4CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 3MMX6CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT 3D 3MMX8CM,3350.0,2680.0,886.08,3015.0,26
RC,0278,COIL PRIME XSFT HLX 1.5MMX1CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 1.5MMX4CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 1MMX1CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 1MMX2CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 1MMX3CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 2.5MMX3CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 2.5MMX6CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 2.5MMX8CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 2MMX1CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 3MMX10CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 3MMX4CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL PRIME XSFT HLX 3MMX8CM,2350.0,1880.0,621.58,2115.0,26
RC,0278,COIL RUBY COMPLEX 12MMX40*CIP*,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX 4MMX15*CIP*,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX 4MMX30*CIP*,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX 5MMX20*CIP*,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX 6MMX12*CIP*,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX SOFT 2MMX1CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY COMPLEX SOFT 2MMX2CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY COMPLEX SOFT 2MMX4CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY COMPLEX SOFT 3MMX5CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY COMPLEX SOFT 4MMX6CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY COMPLEX SOFT3MMX15CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX SOFT4MMX15CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX SOFT6MMX20CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX SOFT6MMX30CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX SOFT8MMX35CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX SOFT8MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD 3MMX12CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX STD 3MMX20CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX STD 3MMX5CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY COMPLEX STD 4MMX10CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX STD 4MMX20CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX STD 4MMX35CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD 5MMX12CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX STD 5MMX30CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD 6MMX20CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX STD 6MMX30CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD 7MMX25CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX STD 8MMX25CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY COMPLEX STD 8MMX40CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD 9MMX30CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD10MMX35CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD12MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD14MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD16MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD18MMX57CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD20MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD24MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD28MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD32MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD36MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEX STD40MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEXSFT16MMX50CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY COMPLEXSFT20MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY LP 1MMX2CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY LP 1MMX5CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY LP 2MMX10CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY LP 2MMX2CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY LP 2MMX4CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY LP 3MMX10CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY LP 3MMX15CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY LP 3MMX4CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY LP 4MMX15CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY LP 4MMX30CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY LP 4MMX6CM,1580.0,1264.0,417.91,1422.0,26
RC,0278,COIL RUBY LP 5MMX10CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY LP 5MMX30CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY LP 6MMX10CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY LP 6MMX30CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY LP 7MMX40CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY LP 7MMX60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY PKNG LP 10CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY PKNG LP 15CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY PKNG LP 30CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY PKNG LP 3CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY PKNG LP 45CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY PKNG LP 60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY PKNG LP 6CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY PKNG XL 15CM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,COIL RUBY PKNG XL 30CM,5200.0,4160.0,1375.4,4680.0,26
RC,0278,COIL RUBY PKNG XL 45CM,5200.0,4160.0,1375.4,4680.0,26
RC,0278,COIL RUBY PKNG XL 55CM,6000.0,4800.0,1587.0,5400.0,26
RC,0278,COIL RUBY PKNG XL 70CM,6000.0,4800.0,1587.0,5400.0,26
RC,0278,COIL RUBY POD 10MMX60CM,3580.0,2864.0,946.91,3222.0,26
RC,0278,COIL RUBY POD 12MMX60CM,3580.0,2864.0,946.91,3222.0,26
RC,0278,COIL RUBY POD 14MMX60CM,3580.0,2864.0,946.91,3222.0,26
RC,0278,COIL RUBY POD 3MMX20CM,3580.0,2864.0,946.91,3222.0,26
RC,0278,COIL RUBY POD 4MMX30CM,3580.0,2864.0,946.91,3222.0,26
RC,0278,COIL RUBY POD 5MMX30CM,3580.0,2864.0,946.91,3222.0,26
RC,0278,COIL RUBY POD 6MMX50CM,3580.0,2864.0,946.91,3222.0,26
RC,0278,COIL RUBY POD 8MMX60CM,3580.0,2864.0,946.91,3222.0,26
RC,0278,COIL RUBY POD PKNG J-SOFT 15CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY POD PKNG J-SOFT 30CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY POD PKNG J-SOFT 45CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY POD PKNG J-SOFT 5CM,1980.0,1584.0,523.71,1782.0,26
RC,0278,COIL RUBY POD PKNG J-SOFT 60CM,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL RUBY POD XL 10MMX55CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY POD XL 12MMX55CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY POD XL 14MMX55CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY POD XL 16MMX55CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY POD XL 4MMX10CM,4060.0,3248.0,1073.87,3654.0,26
RC,0278,COIL RUBY POD XL 4MMX30CM,5260.0,4208.0,1391.27,4734.0,26
RC,0278,COIL RUBY POD XL 5MMX10CM,4060.0,3248.0,1073.87,3654.0,26
RC,0278,COIL RUBY POD XL 5MMX30CM,5260.0,4208.0,1391.27,4734.0,26
RC,0278,COIL RUBY POD XL 6MMX20CM,4060.0,3248.0,1073.87,3654.0,26
RC,0278,COIL RUBY POD XL 6MMX55CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY POD XL 8MMX55CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY POD XL 8MMX70CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY XL 20MMX55CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY XL 24MMX55CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY XL 28MMX55CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY XL 32MMX55CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBY XL 40MMX70CM,6060.0,4848.0,1602.87,5454.0,26
RC,0278,COIL RUBYCOMPLEX10MMX35CM*CIP*,2580.0,2064.0,682.41,2322.0,26
RC,0278,COIL SMART PLUS STD 10MMX*NLU*,3220.0,2576.0,851.69,2898.0,26
RC,0278,COIL SMART PLUS STD 10MMX30CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART PLUS STD 12MMX35CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART PLUS STD 12MMX45CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART PLUS STD 14MMX45CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART PLUS STD 16MMX60CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART PLUS STD 18MMX60CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART PLUS STD 9MMX2*NLU*,3220.0,2576.0,851.69,2898.0,26
RC,0278,COIL SMART SOFT 2MMX3CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 3.5MMX8CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 3MMX4CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 3MMX6CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 3MMX8CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 4.5MMX10CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 4MMX10CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 4MMX6CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 4MMX8CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 5MMX10CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 5MMX15CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 5MMX6CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 6MMX10CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 6MMX15CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 7MMX15CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART SOFT 7MMX20CM*NLU*,3220.0,2576.0,851.69,2898.0,26
RC,0278,COIL SMART SOFT 8MMX20CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART STD 4MMX8CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART STD 5MMX10CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART STD 5MMX15CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART STD 6MMX15CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART STD 6MMX20CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART STD 7MMX15CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART STD 7MMX20CM*NLU*,3220.0,2576.0,851.69,2898.0,26
RC,0278,COIL SMART STD 7MMX25CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART STD 8MMX20CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART STD 8MMX30CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART WAVE XSFT 1.5M*NLU*,2140.0,1712.0,566.03,1926.0,52
RC,0278,COIL SMART WAVE XSFT 1.5MMX2CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 1MMX1CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 1MMX2CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 1MMX3CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 2.5M*NLU*,2140.0,1712.0,566.03,1926.0,52
RC,0278,COIL SMART WAVE XSFT 2.5MMX6CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 2MMX2CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 2MMX3CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 2MMX4CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 2MMX6CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 3MMX4CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 3MMX6CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 3MMX8CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 4MMX*NLU*,2140.0,1712.0,566.03,1926.0,26
RC,0278,COIL SMART WAVE XSFT 4MMX6CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 4MMX8CM,2260.0,1808.0,597.77,2034.0,26
RC,0278,COIL SMART WAVE XSFT 5MMX10CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 1.5MMX2CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 1.5MMX3CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 1.5MMX4CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 1MMX1.5CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 1MMX1CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 1MMX2CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 1MMX3CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 1MMX4CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 2.5MMX3CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 2.5MMX4CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 2.5MMX6CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 2.5MMX8CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 2MMX2CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 2MMX3CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 2MMX4CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 3.5MMX6CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 3.5MMX8CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 3MMX4CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 3MMX6CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 3MMX8CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 4MMX10CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 4MMX6CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL SMART XSFT 4MMX8CM,3400.0,2720.0,899.3,3060.0,26
RC,0278,COIL TARGET 360 NANO 2.5MMX4CM,3762.0,3009.6,995.05,3385.8,26
RC,0278,COIL TARGET 360 NANO 2MMX3CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET 360 NANO 3MMX4CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET 360 NANO 3MMX6CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET 3D 10MMX30CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET 3D 4MMX8CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET HEL 1.5MMX4CM,3092.0,2473.6,817.83,2782.8,26
RC,0278,COIL TARGET HEL 1MMX2CM,3092.0,2473.6,817.83,2782.8,26
RC,0278,COIL TARGET HEL NANO 1MMX1CM,3092.0,2473.6,817.83,2782.8,26
RC,0278,COIL TARGET HEL NANO 2MMX2CM,3092.0,2473.6,817.83,2782.8,26
RC,0278,COIL TARGET HEL NANO 2MMX3CM,3092.0,2473.6,817.83,2782.8,26
RC,0278,COIL TARGET HEL NANO 2MMX4CM,3092.0,2473.6,817.83,2782.8,26
RC,0278,COIL TARGET HEL NANO 2MMX6CM*N,2628.0,2102.4,695.11,2365.2,26
RC,0278,COIL TARGET HEL NANO 3MMX6CM,3092.0,2473.6,817.83,2782.8,26
RC,0278,COIL TARGET HEL NANO 3MMX8CM*N,2628.0,2102.4,695.11,2365.2,26
RC,0278,COIL TARGET SOFT 3MMX6CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET SOFT 4MMX15CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET SOFT 4MMX6CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET SOFT 5MMX10CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET SOFT 5MMX15CM*NLU*,3762.0,3009.6,995.05,3385.8,26
RC,0278,COIL TARGET SOFT 6MMX15CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET SOFT 6MMX20CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET SOFT 6MMX30CM*NLU*,3762.0,3009.6,995.05,3385.8,26
RC,0278,COIL TARGET SOFT 8MMX20CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET TETRA 1.5MMX2.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 1.5MMX3.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 2.0MMX2.5CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 2.0MMX3.5CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 2.0MMX4.5CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 2.0MMX6.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 2.5MMX3.5CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 2.5MMX4.5CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 2.5MMX6.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 3.0MMX10.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 3.0MMX4.5CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 3.0MMX6.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 3.0MMX8.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 3.5MMX10.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 3.5MMX6.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 3.5MMX8.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 4.0MMX10.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 4.0MMX6.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 4.0MMX8.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET TETRA 4.5MMX10.0CM,4833.0,3866.4,1278.33,4349.7,26
RC,0278,COIL TARGET ULT 1MMX2CM*NLU*,3762.0,3009.6,995.05,3385.8,26
RC,0278,COIL TARGET ULT 1MMX3CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET ULT 2.5MMX4CM*NLU*,3762.0,3009.6,995.05,3385.8,26
RC,0278,COIL TARGET ULT 2MMX4CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET ULT 2MMX6CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET ULT 3MMX4CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET ULT 3MMX6CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET ULT 4MMX10CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET ULT 4MMX15CM*NLU*,3762.0,3009.6,995.05,3385.8,26
RC,0278,COIL TARGET ULT 4MMX6CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET ULT 4MMX8CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET ULT 5MMX10CM,4765.0,3812.0,1260.34,4288.5,26
RC,0278,COIL TARGET XLSOFT 10MMX40CM,6520.0,5216.0,1724.54,5868.0,26
RC,0278,COIL TARGET XLSOFT 8MMX30CM,6520.0,5216.0,1724.54,5868.0,26
RC,0278,COIL VFC VERSATILE 1-3X3CM,1540.0,1232.0,407.33,1386.0,26
RC,0278,COIL VFC VERSATILE 10-15X30,4250.0,3400.0,1124.13,3825.0,26
RC,0278,COIL VFC VERSATILE 15-20X40,4250.0,3400.0,1124.13,3825.0,26
RC,0278,COIL VFC VERSATILE 3-6X10CM,1628.0,1302.4,430.61,1465.2,26
RC,0278,COIL VFC VERSATILE 3-6X15CM,4250.0,3400.0,1124.13,3825.0,26
RC,0278,COIL VFC VERSATILE 3-6X6CM,1540.0,1232.0,407.33,1386.0,26
RC,0278,COIL VFC VERSATILE 6-10X20,4250.0,3400.0,1124.13,3825.0,26
RC,0278,COIL VFC VERSATILE 6-10X3*NLU*,1716.0,1372.8,453.88,1544.4,26
RC,0278,COIL VORTX DIMND 3MMX2.3CM,1100.0,880.0,290.95,990.0,26
RC,0278,COIL VORTX DIMND 5MMX5.5CM,208.0,166.4,55.02,187.2,26
RC,0278,COIL VORTX DIMND 6MMX6.7CM,208.0,166.4,55.02,187.2,26
RC,0278,COILEMBOLFREEFROMMINI2.5MMX4.5,3946.0,3156.8,1043.72,3551.4,26
RC,0278,COILEMBOLFREEFROMMINI2.5MMX5.5,3946.0,3156.8,1043.72,3551.4,26
RC,0278,COILIMWCE-38-8-5*DISC 6177084*,200.0,160.0,52.9,180.0,26
RC,0278,CONFORMER EYE NO HL STER LG,608.0,486.4,160.82,547.2,26
RC,0278,CONFORMER EYE NO HL STER MD,608.0,486.4,160.82,547.2,26
RC,0278,CONN 3 WAY *DISC 6322850*,977.0,781.6,258.42,879.3,26
RC,0278,CONN CATH SHNT ST 1.5CM,679.0,543.2,179.6,611.1,26
RC,0278,CONN CATH SHNT ST METAL 1.0,986.0,788.8,260.8,887.4,26
RC,0278,CONN CROSS CREO 5.5 29-33MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,CONN CROSS CREO 5.5 32-40MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,CONN CROSS CREO 5.5 38-50MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,CONN CROSS CREO 6.0 38-50MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,CONN CROSS SFX TI LAT 5.5 A3,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CONN CROSS SFX TI MEDL 5.*NLU*,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CONN CROSS SFX TI MEDL 5.5 A4,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CONN CROSS SFX TI MEDL 5.5 A5,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CONN CROSS SFX TI MEDL 5.5 A6,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CONN DOMINO VA 5.5X6.0MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN EXPD DEPU 6.35 20MM,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CONN LAT CLSD STER 13MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN LAT CLSD STER 19MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN LAT MARINER 5.5X30MM,4123.0,3298.4,1090.53,3710.7,26
RC,0278,CONN LAT MARINER 5.5X45MM,4123.0,3298.4,1090.53,3710.7,26
RC,0278,CONN LAT MARINER 5.5X60MM,4123.0,3298.4,1090.53,3710.7,26
RC,0278,CONN LAT OPEN 19MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN LAT OPEN ANG 19MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN LAT OPEN CLSD 12X5.5-6.35,3675.0,2940.0,972.04,3307.5,26
RC,0278,CONN LAT OPEN STER 13MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN LAT SOLERA 5.5/6.0 6.0X35,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN LAT SOLERA 5.5/6.0 6.0X70,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN MA SCREW EXT 4.75MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN MA SCREW EXT 45.5/6.0/6.3,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN MA SCREW EXTSTER3.2/3.5MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN OC EYELET OFFSET,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN OC EYELET STD,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN OC LAT CLSD 10MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN OC LAT OPEN 10MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN OFFSET DEPU 6.35X5.5MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN OFFSET LAT EVEREST 35MM,4151.0,3320.8,1097.94,3735.9,26
RC,0278,CONN OFFSET SIDE LAT YUKON10MM,3360.0,2688.0,888.72,3024.0,26
RC,0278,CONN PLUG SENSIGHT DBS,2400.0,1920.0,634.8,2160.0,26
RC,0278,CONN ROD TO ROD SEAS MD 4.0MM,4123.0,3298.4,1090.53,3710.7,26
RC,0278,CONN SHNT NYLON PUDENZ 3W*CIP*,1026.0,820.8,271.38,923.4,26
RC,0278,CONN SPNL ROD TO ROD LG 4.0MM,4123.0,3298.4,1090.53,3710.7,26
RC,0278,CONN STEPDOWN SS*DISC NO REPL*,1567.0,1253.6,414.47,1410.3,26
RC,0278,CONN TANDEM DEPU MD *NLU*,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CONN TOP NOTCH DEPU 5.5X5.5MM,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CONN TRNVRS ABBOTT LNG*DISC*,4662.0,3729.6,1233.1,4195.8,26
RC,0278,CONN TRNVRS EVEREST 5.5/6MM LG,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CONN TRNVRS EVEREST 5.5/6MM XL,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CONN Y SS INTN,1758.0,1406.4,464.99,1582.2,26
RC,0278,CORE FORTIFY 12X18-23MM,16888.0,13510.4,4466.88,15199.2,26
RC,0278,CORE FORTIFY 12X19-25MM,16888.0,13510.4,4466.88,15199.2,26
RC,0278,CORE FORTIFY 12X21-29MM,16888.0,13510.4,4466.88,15199.2,26
RC,0278,CORE FORTIFY 12X33-53MM,16888.0,13510.4,4466.88,15199.2,26
RC,0278,CORE FORTIFY 20X31-44MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CORE FORTIFY 20X41-64MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,CORE FORTIFY 3.5D 12X17-20MM,13188.0,10550.4,3488.23,11869.2,26
RC,0278,COV BUR HL GUARDIAN,5100.0,4080.0,1348.95,4590.0,26
RC,0278,COV BUR HL LOPRO 1.5 SYS 22MM,880.0,704.0,232.76,792.0,26
RC,0278,COV BUR HL PDLLA 5HL 17MM,3973.0,3178.4,1050.86,3575.7,26
RC,0278,COV BUR HL SURETEK,3675.0,2940.0,972.04,3307.5,26
RC,0278,COV BUR MTXNEURO SHUNT TI 17MM,1468.0,1174.4,388.29,1321.2,26
RC,0278,COV BUR MTXNEURO TI 12MM,1468.0,1174.4,388.29,1321.2,26
RC,0278,COV BUR MTXNEURO TI 17MM,1468.0,1174.4,388.29,1321.2,26
RC,0278,COV BUR MTXNEURO TI 24MM,1468.0,1174.4,388.29,1321.2,26
RC,0278,COV KT BUR HL SPARES SURETEK,2100.0,1680.0,555.45,1890.0,26
RC,0278,COV PLATE ACSD*NLU*,1063.0,850.4,281.16,956.7,26
RC,0278,COV SPNL LK NOPRO MER,2864.0,2291.2,757.53,2577.6,26
RC,0278,CPLE FLOW MICROVASC GLD 3MM,4937.0,3949.6,1305.84,4443.3,26
RC,0278,CPLE FLOW MICROVASC GRN 2MM,4937.0,3949.6,1305.84,4443.3,26
RC,0278,CPLE FLOW MICROVASC ORG 4MM,4937.0,3949.6,1305.84,4443.3,26
RC,0278,CPLE FLOW MICROVASC PUR 3.5MM,4937.0,3949.6,1305.84,4443.3,26
RC,0278,CPLE FLOW MICROVASC RED 2.5MM,4937.0,3949.6,1305.84,4443.3,26
RC,0278,CPLE MICROVASC BLU 1.5MM,3160.0,2528.0,835.82,2844.0,26
RC,0278,CPLE MICROVASC GLD 3MM,3160.0,2528.0,835.82,2844.0,26
RC,0278,CPLE MICROVASC GRN 2MM,3160.0,2528.0,835.82,2844.0,26
RC,0278,CPLE MICROVASC GRY 1MM,3160.0,2528.0,835.82,2844.0,26
RC,0278,CPLE MICROVASC ORG 4MM,3160.0,2528.0,835.82,2844.0,26
RC,0278,CPLE MICROVASC PUR 3.5MM,3160.0,2528.0,835.82,2844.0,26
RC,0278,CPLE MICROVASC RED 2.5M,3160.0,2528.0,835.82,2844.0,26
RC,0278,CRANI IMPLT CUST LG,29325.0,23460.0,7756.46,26392.5,26
RC,0278,CRANI IMPLT CUST MD,29325.0,23460.0,7756.46,26392.5,26
RC,0278,CRANI IMPLT CUST SM,24725.0,19780.0,6539.76,22252.5,26
RC,0278,CRANI IMPLT CUST XL,31625.0,25300.0,8364.81,28462.5,26
RC,0278,CRANI IMPLT PEEK PSI THK3MM,25423.0,20338.4,6724.38,22880.7,26
RC,0278,CRANI IMPLT PEEK SYNT 540 CUST,37534.0,30027.2,9927.74,33780.6,26
RC,0278,CROSSLINK OC ROD/ROD MD,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CROSSLINK ROD-ROD STER LG,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CROSSLINK ROD-ROD STER SM,4249.0,3399.2,1123.86,3824.1,26
RC,0278,CTRL PUMP AMS 800 IZ,20200.0,16160.0,5342.9,18180.0,26
RC,0278,DBM CORT PLIAFXSTRIP25X50X4MM,4559.0,3647.2,1205.86,4103.1,26
RC,0278,DEL SYS MITRACLIP G4,69000.0,55200.0,18250.5,62100.0,26
RC,0278,DEL SYS MITRACLIP G5,75900.0,60720.0,20075.55,68310.0,26
RC,0278,DENTAL IMPLT ZIMM 4.1X11.*NLU*,3216.0,2572.8,850.63,2894.4,26
RC,0278,DEV AORTIC HAART 200 19MM,16250.0,13000.0,4298.13,14625.0,26
RC,0278,DEV CATERPILLAR ART EMBOL0.027,4950.0,3960.0,1309.28,4455.0,26
RC,0278,DEV CATERPILLAR ART EMBOL0.038,4950.0,3960.0,1309.28,4455.0,26
RC,0278,DEV CATERPILLAR ART EMBOL0.056,4950.0,3960.0,1309.28,4455.0,26
RC,0278,DEV CLSR LAA WATCHMAN 21MM,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAA WATCHMAN 24MM,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAA WATCHMAN 27MM,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAA WATCHMAN 30MM,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAA WATCHMAN 33MM,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLX WATCHMAN20MM,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLX WATCHMAN24MM,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLX WATCHMAN27MM,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLX WATCHMAN31MM,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLX WATCHMAN35MM,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN20,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN24,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN27,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN31,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN35,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN40,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV FIX TOGGLELOC FEM STD50IN,3120.0,2496.0,825.24,2808.0,26
RC,0278,DEV PRCD 25 WATCHMAN,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV PRCD WATCHMAN FLEX PRO,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV PRCD WATCHMAN FLX,39100.0,31280.0,10341.95,35190.0,26
RC,0278,DEV PRCD WATCHMAN FLX PRO FXD,6000.0,4800.0,1587.0,5400.0,26
RC,0278,DEV PRCD WATCHMAN FXD CURV,6000.0,4800.0,1587.0,5400.0,26
RC,0278,DEV SOLITAIRE PLAT MINI,16313.0,13050.4,4314.79,14681.7,26
RC,0278,DEV SWVLK SL W FORK 3.5X8.5MM,3740.0,2992.0,989.23,3366.0,26
RC,0278,DEV SWVLK W CLSD 3.5X13.5MM,3740.0,2992.0,989.23,3366.0,26
RC,0278,DISTRAC ARM RIGID KLS 33MM,5572.0,4457.6,1473.79,5014.8,26
RC,0278,DISTRAC INTRL FIX LFT2.0X100MM,18076.0,14460.8,4781.1,16268.4,26
RC,0278,DISTRAC INTRL FIX RT 2.0X100MM,18076.0,14460.8,4781.1,16268.4,26
RC,0278,DISTRAC MAND MICRO STER 24HL30,18846.0,15076.8,4984.77,16961.4,26
RC,0278,DISTRAC MICRO II END MESH 20MM,19558.0,15646.4,5173.09,17602.2,26
RC,0278,DISTRAC MICRO II END MESH 25MM,19661.0,15728.8,5200.33,17694.9,26
RC,0278,DISTRAC MICRO II END MESH*NLU*,20108.0,16086.4,5318.57,18097.2,26
RC,0278,DIVERTER FLOW FR*DISC NO REPL*,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FRED21 2.5X18MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FRED21 2.5X3/8MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FRED21 3.0X13MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FRED27 4.5X20MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FRED27 4.5X25MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FRED27 5.0X36MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FRED27 5.5X22MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FRED27 5.5X32MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX21 2.5X13MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FREDX21 2.5X18MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FREDX21 2.5X25MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FREDX21 2.5X30MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FREDX21 3.0X13MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FREDX21 3.0X19MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FREDX21 3.0X27MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FREDX21 3.0X32MM,30351.0,24280.8,8027.84,27315.9,26
RC,0278,DIVERTER FLOW FREDX27 3.5X13MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 3.5X17MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 3.5X22MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 3.5X31MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 3.5X40MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 4.0X13MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 4.0X18MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 4.0X23MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 4.0X32MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 4.5X15MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 4.5X20MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 4.5X25MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 4.5X34MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 4.5X45MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 5.0X15MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 5.0X21MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 5.0X26MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 5.0X36MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 5.5C22MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DIVERTER FLOW FREDX27 5.5X32MM,27508.0,22006.4,7275.87,24757.2,26
RC,0278,DRILL TIP GUIDE PIN 2.4X*NLU*,300.0,240.0,79.35,270.0,26
RC,0278,DRIV DIRECT ACTIVATOR ZUR*NLU*,4815.0,3852.0,1273.57,4333.5,26
RC,0278,EAR PROS ALTO TOTAL OFFSE*NLU*,2856.0,2284.8,755.41,2570.4,26
RC,0278,EAR TORP WIET OFFSET MALLEA9MM,4109.0,3287.2,1086.83,3698.1,26
RC,0278,EMBOL SYS LIQ ONYX 18,8775.0,7020.0,2320.99,7897.5,26
RC,0278,EMBOL SYS LIQ ONYX 34,8775.0,7020.0,2320.99,7897.5,26
RC,0278,EMBOLIC OBSIDIO CONFORM SYR1ML,15050.0,12040.0,3980.73,13545.0,26
RC,0278,END CAP TI T25 0*DISC NO REPL*,950.0,760.0,251.28,855.0,26
RC,0278,END CAP TI T25 10MM,950.0,760.0,251.28,855.0,26
RC,0278,END CAP TI T25 5MM,950.0,760.0,251.28,855.0,26
RC,0278,END CAP TI T40 EXT 10MM,1567.0,1253.6,414.47,1410.3,26
RC,0278,END CAP TI T40 EXT 15MM,1567.0,1253.6,414.47,1410.3,26
RC,0278,END CAP TI T40 EXT 5MM,1567.0,1253.6,414.47,1410.3,26
RC,0278,END CAP TI T40 EXT STER 0MM,1831.0,1464.8,484.3,1647.9,26
RC,0278,END CAP TIB TI T40 EXT 0MM,1217.0,973.6,321.9,1095.3,26
RC,0278,END CAP TIB TIT40EXTSTERGRY0MM,1567.0,1253.6,414.47,1410.3,26
RC,0278,ENDO LAP BAND AP STD,15575.0,12460.0,4119.59,14017.5,26
RC,0278,ENDOANCHOR CASSETTE W APPL,16472.0,13177.6,4356.84,14824.8,26
RC,0278,ENDOGRAFT AFXBIF28X20X140*NLU*,26598.0,21278.4,7035.17,23938.2,26
RC,0278,ENDOL 21MMX10CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL 26MMX10CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL 31MMX11CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL 31MMX15CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL 34MMX10CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL 34MMX15CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL 37MMX15CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL 37MMX20CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL 40MMX15CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL 45MMX15CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL 45MMX20CM*DISC NO REPL*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL AORTIC EXTNDR 23X23X49MM,7014.0,5611.2,1855.2,6312.6,26
RC,0278,ENDOL AORTIC EXTNDR 23X23X70MM,12558.0,10046.4,3321.59,11302.2,26
RC,0278,ENDOL AORTIC EXTNDR 25X25X49MM,7014.0,5611.2,1855.2,6312.6,26
RC,0278,ENDOL AORTIC EXTNDR 25X25X70MM,12558.0,10046.4,3321.59,11302.2,26
RC,0278,ENDOL AORTIC EXTNDR 28X28X49MM,7182.0,5745.6,1899.64,6463.8,26
RC,0278,ENDOL AORTIC EXTNDR 28X28X70MM,12726.0,10180.8,3366.03,11453.4,26
RC,0278,ENDOL AORTIC EXTNDR 32X32X49MM,7686.0,6148.8,2032.95,6917.4,26
RC,0278,ENDOL AORTIC EXTNDR 32X32X70MM,12726.0,10180.8,3366.03,11453.4,26
RC,0278,ENDOL AORTIC EXTNDR 36X36X49MM,7854.0,6283.2,2077.38,7068.6,26
RC,0278,ENDOL AORTIC EXTNDR 36X36X70MM,12978.0,10382.4,3432.68,11680.2,26
RC,0278,ENDOL CONTRLAT 14*OBS 6281179*,8446.0,6756.8,2233.97,7601.4,26
RC,0278,ENDOL ENDUR BIFUR 36X14X103MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDUR II 16X10X124MM,8358.0,6686.4,2210.69,7522.2,26
RC,0278,ENDOL ENDUR II 16X10X156MM,10752.0,8601.6,2843.9,9676.8,26
RC,0278,ENDOL ENDUR II 16X10X199MM,10912.0,8729.6,2886.22,9820.8,26
RC,0278,ENDOL ENDUR II 16X10X82MM,8148.0,6518.4,2155.15,7333.2,26
RC,0278,ENDOL ENDUR II 16X10X93MM,8274.0,6619.2,2188.47,7446.6,26
RC,0278,ENDOL ENDUR II 16X13X124MM,8358.0,6686.4,2210.69,7522.2,26
RC,0278,ENDOL ENDUR II 16X13X156MM,10752.0,8601.6,2843.9,9676.8,26
RC,0278,ENDOL ENDUR II 16X13X199MM,10912.0,8729.6,2886.22,9820.8,26
RC,0278,ENDOL ENDUR II 16X13X82MM,8148.0,6518.4,2155.15,7333.2,26
RC,0278,ENDOL ENDUR II 16X13X93MM,8274.0,6619.2,2188.47,7446.6,26
RC,0278,ENDOL ENDUR II 16X16X124MM,8274.0,6619.2,2188.47,7446.6,26
RC,0278,ENDOL ENDUR II 16X16X146MM,10752.0,8601.6,2843.9,9676.8,26
RC,0278,ENDOL ENDUR II 16X16X156MM,10752.0,8601.6,2843.9,9676.8,26
RC,0278,ENDOL ENDUR II 16X16X199MM,10912.0,8729.6,2886.22,9820.8,26
RC,0278,ENDOL ENDUR II 16X16X82MM,7518.0,6014.4,1988.51,6766.2,26
RC,0278,ENDOL ENDUR II 16X16X93MM,7812.0,6249.6,2066.27,7030.8,26
RC,0278,ENDOL ENDUR II 16X20X124MM,8358.0,6686.4,2210.69,7522.2,26
RC,0278,ENDOL ENDUR II 16X20X146MM,10752.0,8601.6,2843.9,9676.8,26
RC,0278,ENDOL ENDUR II 16X20X156MM,10752.0,8601.6,2843.9,9676.8,26
RC,0278,ENDOL ENDUR II 16X20X199MM,10912.0,8729.6,2886.22,9820.8,26
RC,0278,ENDOL ENDUR II 16X20X82MM,7518.0,6014.4,1988.51,6766.2,26
RC,0278,ENDOL ENDUR II 16X20X93MM,8274.0,6619.2,2188.47,7446.6,26
RC,0278,ENDOL ENDUR II 16X24X124MM,8358.0,6686.4,2210.69,7522.2,26
RC,0278,ENDOL ENDUR II 16X24X146MM,10752.0,8601.6,2843.9,9676.8,26
RC,0278,ENDOL ENDUR II 16X24X156MM,10752.0,8601.6,2843.9,9676.8,26
RC,0278,ENDOL ENDUR II 16X24X199MM,10912.0,8729.6,2886.22,9820.8,26
RC,0278,ENDOL ENDUR II 16X24X82MM,8148.0,6518.4,2155.15,7333.2,26
RC,0278,ENDOL ENDUR II 16X24X93MM,8274.0,6619.2,2188.47,7446.6,26
RC,0278,ENDOL ENDUR II 16X28X124MM,8358.0,6686.4,2210.69,7522.2,26
RC,0278,ENDOL ENDUR II 16X28X146MM,10752.0,8601.6,2843.9,9676.8,26
RC,0278,ENDOL ENDUR II 16X28X156MM,10752.0,8601.6,2843.9,9676.8,26
RC,0278,ENDOL ENDUR II 16X28X199MM,10912.0,8729.6,2886.22,9820.8,26
RC,0278,ENDOL ENDUR II 16X28X82MM,8148.0,6518.4,2155.15,7333.2,26
RC,0278,ENDOL ENDUR II 16X28X93MM,8274.0,6619.2,2188.47,7446.6,26
RC,0278,ENDOL ENDUR II SHRT23X14X103MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDUR II SHRT25X14X103MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDUR II SHRT28X14X103MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDUR II SHRT32X14X103MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 23X13X124MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 23X13X145MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 23X13X166*NLU*,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 23X16X124MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 23X16X145MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 23X16X166MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 25X13X124MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 25X13X145MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 25X13X166MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 25X16X124MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 25X16X145MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 25X16X166MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 28X13X124MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 28X13X145MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 28X13X166MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 28X16X124MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 28X16X145MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 28X16X166MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 28X20X124MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 28X20X145MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 28X20X166MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 32X16X124MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 32X16X145MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 32X16X166MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 32X20X124*NLU*,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 32X20X145MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 36X16X145MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 36X16X166MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT 36X20X145MM,17955.0,14364.0,4749.1,16159.5,26
RC,0278,ENDOL ENDURANT 36X20X166MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT AUI 23X14X102MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT AUI 25X14X102MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT AUI 28X14X102MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT AUI 32X14X102MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL ENDURANT AUI 36X14X102MM,16758.0,13406.4,4432.49,15082.2,26
RC,0278,ENDOL EXCLUDER 12MMX10CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 12MMX12CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 12MMX14CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 14.5MMX10CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 14.5MMX12CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 14.5MMX14CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 16MMX11.5CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 16MMX13.5CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 16MMX9.5CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 18MMX11.5CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 18MMX13.5CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 18MMX9.5CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 20MMX11.5CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 20MMX13.5CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 20MMX9.5CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 23MMX10CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 23MMX14CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 27MMX10CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 27MMX12CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 27MMX14CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER 32MMX12CM,8456.0,6764.8,2236.61,7610.4,26
RC,0278,ENDOL EXCLUDER ILIAC 10MMX10CM,20774.0,16619.2,5494.72,18696.6,26
RC,0278,ENDOL EXCLUDER ILIAC 12MMX10CM,20774.0,16619.2,5494.72,18696.6,26
RC,0278,ENDOL EXCLUDER ILIAC 14.5MMX10,20774.0,16619.2,5494.72,18696.6,26
RC,0278,ENDOL EXCLUDER INTRL ILIAC10X7,5782.0,4625.6,1529.34,5203.8,26
RC,0278,ENDOL EXCLUDER INTRL ILIAC12X7,5782.0,4625.6,1529.34,5203.8,26
RC,0278,ENDOL EXCLUDERINTRLILIAC14.5X7,5782.0,4625.6,1529.34,5203.8,26
RC,0278,ENDOL EXTND*OBS NO REPL*,5750.0,4600.0,1520.88,5175.0,52
RC,0278,ENDOL EXTNDR 32MMX4.5CM,5864.0,4691.2,1551.03,5277.6,26
RC,0278,ENDOL EXTNDR 36MMX4.5CM,5864.0,4691.2,1551.03,5277.6,26
RC,0278,ENDOL EXTNDR LP 10MMX7CM,5930.0,4744.0,1568.49,5337.0,26
RC,0278,ENDOL EXTNDR LP 12MMX7CM,5930.0,4744.0,1568.49,5337.0,26
RC,0278,ENDOL EXTNDR LP 16MMX7CM,5930.0,4744.0,1568.49,5337.0,26
RC,0278,ENDOL EXTNDR LP 23MMX3.3CM,5864.0,4691.2,1551.03,5277.6,26
RC,0278,ENDOL EXTNDR LP 26MMX3.3CM,5864.0,4691.2,1551.03,5277.6,26
RC,0278,ENDOL EXTNDR LP 28.5MMX3.3CM,5864.0,4691.2,1551.03,5277.6,26
RC,0278,ENDOL GORE TAG 40MMX10CM*NLU*,30372.0,24297.6,8033.39,27334.8,26
RC,0278,ENDOL GORE TRUNK 35X14MMX14CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL ILIAC EXTNDR 10X10X82MM,7812.0,6249.6,2066.27,7030.8,26
RC,0278,ENDOL ILIAC EXTNDR 13X13X82MM,7812.0,6249.6,2066.27,7030.8,26
RC,0278,ENDOL ILIAC EXTNDR 20X20X82MM,8148.0,6518.4,2155.15,7333.2,26
RC,0278,ENDOL ILIAC EXTNDR 24X24X82MM,8274.0,6619.2,2188.47,7446.6,26
RC,0278,ENDOL ILIAC EXTNDR 28X28X82MM,8358.0,6686.4,2210.69,7522.2,26
RC,0278,ENDOL THORACIC CLSD 24X24X145,31941.0,25552.8,8448.39,28746.9,26
RC,0278,ENDOL THORACIC CLSD 28X28X150,29812.0,23849.6,7885.27,26830.8,26
RC,0278,ENDOL THORACIC CLSD 34X34X160,29812.0,23849.6,7885.27,26830.8,26
RC,0278,ENDOL THORACIC CLSD 38X38X150,29812.0,23849.6,7885.27,26830.8,26
RC,0278,ENDOL THORACIC CLSD 42X42X100,27292.0,21833.6,7218.73,24562.8,26
RC,0278,ENDOL THORACIC CLSD 42X42X200,31492.0,25193.6,8329.63,28342.8,26
RC,0278,ENDOL THORACIC FLOW 22X22X100,28552.0,22841.6,7552.0,25696.8,26
RC,0278,ENDOL THORACIC FLOW 22X22X150,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL THORACIC FLOW 24X24X100,28552.0,22841.6,7552.0,25696.8,26
RC,0278,ENDOL THORACIC FLOW 26X26X100,28552.0,22841.6,7552.0,25696.8,26
RC,0278,ENDOL THORACIC FLOW 26X26X150,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL THORACIC FLOW 28X28X100,28552.0,22841.6,7552.0,25696.8,26
RC,0278,ENDOL THORACIC FLOW 28X28X150,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL THORACIC FLOW 30X30X100,28552.0,22841.6,7552.0,25696.8,26
RC,0278,ENDOL THORACIC FLOW 30X30X150,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL THORACIC FLOW 30X30X192,32752.0,26201.6,8662.9,29476.8,26
RC,0278,ENDOL THORACIC FLOW 32X32X150,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL THORACIC FLOW 32X32X200,32752.0,26201.6,8662.9,29476.8,26
RC,0278,ENDOL THORACIC FLOW 34X34X100,28552.0,22841.6,7552.0,25696.8,26
RC,0278,ENDOL THORACIC FLOW 34X34X150,33291.0,26632.8,8805.47,29961.9,26
RC,0278,ENDOL THORACIC FLOW 34X34X200,32752.0,26201.6,8662.9,29476.8,26
RC,0278,ENDOL THORACIC FLOW 36X36X107,28558.0,22846.4,7553.59,25702.2,26
RC,0278,ENDOL THORACIC FLOW 36X36X179,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL THORACIC FLOW 36X36X200,35091.0,28072.8,9281.57,31581.9,26
RC,0278,ENDOL THORACIC FLOW 38X38X100,28552.0,22841.6,7552.0,25696.8,26
RC,0278,ENDOL THORACIC FLOW 38X38X150,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL THORACIC FLOW 38X38X200,32752.0,26201.6,8662.9,29476.8,26
RC,0278,ENDOL THORACIC FLOW 40X40X200,32752.0,26201.6,8662.9,29476.8,26
RC,0278,ENDOL THORACIC FLOW 42X42X150,27292.0,21833.6,7218.73,24562.8,26
RC,0278,ENDOL THORACIC FLOW 42X42X200,32752.0,26201.6,8662.9,29476.8,26
RC,0278,ENDOL THORACIC FLOW 46X46X200,32752.0,26201.6,8662.9,29476.8,26
RC,0278,ENDOL THORACIC TPR 28X24X150,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL THORACIC TPR 32X28X150,29812.0,23849.6,7885.27,26830.8,26
RC,0278,ENDOL THORACIC TPR 32X36X160,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL THORACIC TPR 34X38X160,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL THORACIC TPR 40X36X160,29812.0,23849.6,7885.27,26830.8,26
RC,0278,ENDOL TRUNK 23X18*OBS*,17760.0,14208.0,4697.52,15984.0,26
RC,0278,ENDOL TRUNK 31X14.5X13*OBS*,17760.0,14208.0,4697.52,15984.0,26
RC,0278,ENDOL TRUNK C3 3*DISC 6244021*,21978.0,17582.4,5813.18,19780.2,26
RC,0278,ENDOL TRUNK C3 31X14.5MMX13CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK C3 31X14.5MMX15CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK C3 31X14.5MMX17CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 2*DISC 6247964*,21978.0,17582.4,5813.18,19780.2,26
RC,0278,ENDOL TRUNK LP 2*DISC 6247980*,21978.0,17582.4,5813.18,19780.2,26
RC,0278,ENDOL TRUNK LP 23X12MMX18CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 23X14MMX12CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 23X14MMX14CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 23X14MMX16CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 23X14MMX18CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 26X14MMX12CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 26X14MMX14CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 26X14MMX16CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 26X14MMX18CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 28X12MMX18CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK LP 28X14MMX14CM,20450.0,16360.0,5409.03,18405.0,26
RC,0278,ENDOL TRUNK PL 2*DISC 6247963*,21978.0,17582.4,5813.18,19780.2,26
RC,0278,ENDOL VALIENT THORACIC2*DISC*,31072.0,24857.6,8218.54,27964.8,26
RC,0278,ENDOL ZENITH FLEX BIF 24X82MM,19609.0,15687.2,5186.58,17648.1,26
RC,0278,ENDOL ZENITH FLEX BIF 24X96MM,19609.0,15687.2,5186.58,17648.1,26
RC,0278,ENDOL ZENITH FLEX BIF 26X111MM,19609.0,15687.2,5186.58,17648.1,26
RC,0278,ENDOL ZENITH FLEX BIF 26X82MM,19609.0,15687.2,5186.58,17648.1,26
RC,0278,ENDOL ZENITH FLEX BIF 28X*NLU*,17946.0,14356.8,4746.72,16151.4,26
RC,0278,ENDOL ZENITH FLEX BIF 28X82MM,19609.0,15687.2,5186.58,17648.1,26
RC,0278,ENDOL ZENITH FLEX BIF 28X96MM,19609.0,15687.2,5186.58,17648.1,26
RC,0278,ENDOL ZENITH FLEX BIF 30X*NLU*,17946.0,14356.8,4746.72,16151.4,52
RC,0278,ENDOL ZENITH FLEX BIF 30X96MM,19609.0,15687.2,5186.58,17648.1,26
RC,0278,ENDOL ZENITH FLEX BIF 32X111MM,19609.0,15687.2,5186.58,17648.1,26
RC,0278,ENDOL ZENITH FLEX BIF 32X125MM,19609.0,15687.2,5186.58,17648.1,26
RC,0278,ENDOL ZENITH FLEX BIF 32X82MM,19609.0,15687.2,5186.58,17648.1,26
RC,0278,ENDOL ZENITH FLEX BIF 36X*NLU*,17946.0,14356.8,4746.72,16151.4,26
RC,0278,ENDOL ZENITHALPHA2PROXPT34X161,34890.0,27912.0,9228.41,31401.0,26
RC,0278,ENDOPROS AORTIC EXT 20X4.5,8296.0,6636.8,2194.29,7466.4,26
RC,0278,ENDOPROS AORTIC EXT 23X4.5,8296.0,6636.8,2194.29,7466.4,26
RC,0278,ENDOPROS AORTIC EXT 26X4.5,8296.0,6636.8,2194.29,7466.4,26
RC,0278,ENDOPROS AORTIC EXT 28.5X4.5,8296.0,6636.8,2194.29,7466.4,26
RC,0278,ENDOPROS AORTIC EXT 32X4.5,8296.0,6636.8,2194.29,7466.4,26
RC,0278,ENDOPROS AORTIC EXT 36X4.5,8296.0,6636.8,2194.29,7466.4,26
RC,0278,ENDOPROS AORTIC EXTNDR 31X4.0,35900.0,28720.0,9495.55,32310.0,26
RC,0278,ENDOPROS THORACIC SIDE 10X8X6,15600.0,12480.0,4126.2,14040.0,26
RC,0278,ENDOPROS THORACIC SIDE 12X8X6,19500.0,15600.0,5157.75,17550.0,26
RC,0278,ENDOPROS THORACICAORTIC28X8X15,64000.0,51200.0,16928.0,57600.0,26
RC,0278,ENDOPROS THORACICAORTIC31X8X15,64000.0,51200.0,16928.0,57600.0,26
RC,0278,ENDOPROS THORACICAORTIC34X8X15,64000.0,51200.0,16928.0,57600.0,26
RC,0278,ENDOPROS THORACICAORTIC37X8X15,64000.0,51200.0,16928.0,57600.0,26
RC,0278,ENDOPROS THORACICAORTIC45X8X15,64000.0,51200.0,16928.0,57600.0,26
RC,0278,ENDOPROS TRUNK 2*DISC NO REPL*,24788.0,19830.4,6556.43,22309.2,78
RC,0278,ENDOPROS TRUNK 20X12X12,23904.0,19123.2,6322.61,21513.6,26
RC,0278,ENDOPROS TRUNK 20X14.5X12,23904.0,19123.2,6322.61,21513.6,26
RC,0278,ENDOPROS TRUNK 23X14.5X12,23904.0,19123.2,6322.61,21513.6,26
RC,0278,ENDOPROS TRUNK 26X14.5X12,23904.0,19123.2,6322.61,21513.6,26
RC,0278,ENDOPROS TRUNK 28.5X14.5X12,23904.0,19123.2,6322.61,21513.6,26
RC,0278,ENDOPROS TRUNK 32X14.5X14,23904.0,19123.2,6322.61,21513.6,26
RC,0278,ENDOPROS TRUNK 36X14.5X14,23904.0,19123.2,6322.61,21513.6,26
RC,0278,ENDOSERTER CORNEAL DEL INST,1913.0,1530.4,505.99,1721.7,26
RC,0278,ENDOSTAPLE W APPL APTUS3X45.MM,12588.0,10070.4,3329.53,11329.2,26
RC,0278,ENDPLT CORE SECURE-C 6D15X18MM,15400.0,12320.0,4073.3,13860.0,26
RC,0278,ENDPLT LWR FORTIFY 0D 12X14,3240.0,2592.0,856.98,2916.0,26
RC,0278,ENDPLT LWR FORTIFY 3.5D 12X14,3240.0,2592.0,856.98,2916.0,26
RC,0278,ENDPLT LWR FORTIFY 3.5D 14X16,3240.0,2592.0,856.98,2916.0,26
RC,0278,ENDPLT LWR FORTIFY 7D 14X16,3240.0,2592.0,856.98,2916.0,26
RC,0278,ENDPLT UPP FORTIFY 0D 12X14,3240.0,2592.0,856.98,2916.0,26
RC,0278,ENDPLT UPP FORTIFY 3.5D 12X14,3240.0,2592.0,856.98,2916.0,26
RC,0278,ENDPLT UPP FORTIFY 3.5D 14X16,3240.0,2592.0,856.98,2916.0,26
RC,0278,ENDPLT XRL MD 10D 26X30MM,3600.0,2880.0,952.2,3240.0,26
RC,0278,ENDPLT XRL MD 15D 26X30MM,3600.0,2880.0,952.2,3240.0,26
RC,0278,EXPAND MAM CPX4+ SMTH TALL 350,8280.0,6624.0,2190.06,7452.0,26
RC,0278,EXPAND MAM XTR PROJ FULL 950CC,6075.0,4860.0,1606.84,5467.5,26
RC,0278,EXPAND TISS 2STAGE6X15CM 560CC,6345.0,5076.0,1678.25,5710.5,26
RC,0278,EXPAND TISS SMTH CURV 300CC,4995.0,3996.0,1321.18,4495.5,26
RC,0278,EXPAND TISS SMTH RECT 480CC,4995.0,3996.0,1321.18,4495.5,26
RC,0278,EXT DIST SYNT SZ9*NLU*,12079.0,9663.2,3194.9,10871.1,26
RC,0278,EXT SGL CARDANIC FOR ACTIVEARM,4740.0,3792.0,1253.73,4266.0,26
RC,0278,EYE SPHERE GULD 18MM*NLU*,513.0,410.4,135.69,461.7,26
RC,0278,EYE SPHERE PLST 14MM,608.0,486.4,160.82,547.2,26
RC,0278,EYE SPHERE PLST 16MM,608.0,486.4,160.82,547.2,26
RC,0278,EYE SPHERE PLST 20MM,608.0,486.4,160.82,547.2,26
RC,0278,EYELID IMPLT GLD SLIM 1.0GM,2552.0,2041.6,675.0,2296.8,26
RC,0278,EYELID IMPLT GLD THIN 1.0GM,2120.0,1696.0,560.74,1908.0,26
RC,0278,EYELID IMPLT GLD*DISC 6325656*,2840.0,2272.0,751.18,2556.0,26
RC,0278,EYELID IMPLT GLD*DISC 6325657*,2600.0,2080.0,687.7,2340.0,26
RC,0278,EYELID IMPLT PLAT THIN 0.8GM,3080.0,2464.0,814.66,2772.0,26
RC,0278,FAICHBAR OMNIMAX MM*NLU*,4165.0,3332.0,1101.64,3748.5,26
RC,0278,FAST FIX ULT CURV,2429.0,1943.2,642.47,2186.1,26
RC,0278,FAST FIX ULT DEL CURV,2764.0,2211.2,731.08,2487.6,26
RC,0278,FAST FIX ULT ST,2507.0,2005.6,663.1,2256.3,26
RC,0278,FIX STERNAL ZIPFIX W NDLE PK5,794.0,635.2,210.01,714.6,26
RC,0278,FLTR GRAFT FOR RIA SYNT,5085.0,4068.0,1344.98,4576.5,26
RC,0278,FUSN DEV LTCAGE LUMB 14X20MM,10850.0,8680.0,2869.83,9765.0,26
RC,0278,FUSN DEV LTCAGE LUMB 14X23MM,10850.0,8680.0,2869.83,9765.0,26
RC,0278,FUSN DEV LTCAGE LUMB 16X20MM,10850.0,8680.0,2869.83,9765.0,26
RC,0278,GD CBL RIBFIX ADV,2368.0,1894.4,626.34,2131.2,26
RC,0278,GD MAXILLARY KT BASIC TRUMATCH,18812.0,15049.6,4975.77,16930.8,26
RC,0278,GD ROD SYNT SMTH STER 3X950MM,1328.0,1062.4,351.26,1195.2,26
RC,0278,GD ROD W STOP 2.5MM,311.0,248.8,82.26,279.9,26
RC,0278,GDWIRE SYS OSTIAL PRO 127CM,5100.0,4080.0,1348.95,4590.0,26
RC,0278,GDWIRE UNTHRD FIXOS 3.2X230MM,749.0,599.2,198.11,674.1,26
RC,0278,GRAFT ADVANTA PTFE 6X40CM*NLU*,1944.0,1555.2,514.19,1749.6,26
RC,0278,GRAFT ART HERO 6M*USE 6331792*,4995.0,3996.0,1321.18,4495.5,26
RC,0278,GRAFT BONE OSTEOGRAF N300*NLU*,893.0,714.4,236.2,803.7,26
RC,0278,GRAFT DURAL *DISC 6312437*,5189.0,4151.2,1372.49,4670.1,26
RC,0278,GRAFT DURAL DU*DISC NO REPL*,3915.5,3132.3999999999996,698.81,4670.1,52
RC,0278,GRAFT DURAL DUR*DISC NO REPL*,1442.0,1153.6,381.41,1297.8,26
RC,0278,GRAFT DURAL DURAF*USE 6306664*,2642.0,2113.6,698.81,2377.8,26
RC,0278,GRAFT DURAL DURAFORM 1X3,2483.0,1986.4,656.75,2234.7,26
RC,0278,GRAFT FEN SURGIBIND 250SQ,21656.0,17324.8,5728.01,19490.4,26
RC,0278,GRAFT FEN SURGIBIND 3X7CM=21SQ,4843.0,3874.4,1280.97,4358.7,26
RC,0278,GRAFT FEN SURGIBIND3X12CM=36SQ,5954.0,4763.2,1574.83,5358.6,26
RC,0278,GRAFT FEN SURGIBIND7X10CM=70SQ,11488.0,9190.4,3038.58,10339.2,26
RC,0278,GRAFT FENSURGIBIND7X20CM=140SQ,14770.0,11816.0,3906.67,13293.0,26
RC,0278,GRAFT FISTULA BIODESIGN 0.6CM,5339.0,4271.2,1412.17,4805.1,26
RC,0278,GRAFT FISTULA BIODESIGN 0.7CM,5339.0,4271.2,1412.17,4805.1,26
RC,0278,GRAFT GIA PERI STRIP 60CM,1500.0,1200.0,396.75,1350.0,26
RC,0278,GRAFT GIA PERI STRIP CIR 25MM,3234.0,2587.2,855.39,2910.6,26
RC,0278,GRAFT HEMA MD 12MM 60CM,3717.0,2973.6,983.15,3345.3,26
RC,0278,GRAFT HEMA MD 22MM 30CM,3523.0,2818.4,931.83,3170.7,26
RC,0278,GRAFT HEMA MDV BIF*USE 6117087,3519.0,2815.2,930.78,3167.1,26
RC,0278,GRAFT INTERGARD ST 30MMX60CM,3989.0,3191.2,1055.09,3590.1,26
RC,0278,GRAFT MEMB BIOMEND 15X20*NLU*,1267.0,1013.6,335.12,1140.3,26
RC,0278,GRAFT MEMB BIOMEND 15X20MM,867.0,693.6,229.32,780.3,26
RC,0278,GRAFT MEMB BIOMEND 20X30MM,1199.0,959.2,317.14,1079.1,26
RC,0278,GRAFT MTX GENTRIX 7X10CM,7889.0,6311.2,2086.64,7100.1,26
RC,0278,GRAFT NIPPLE RECON CYL 0.7X1CM,3638.0,2910.4,962.25,3274.2,26
RC,0278,GRAFT NIPPLE RECON CYL 1X1.5CM,3638.0,2910.4,962.25,3274.2,26
RC,0278,GRAFT SURGIBIND 3X12CM=36SQ,5954.0,4763.2,1574.83,5358.6,26
RC,0278,GRAFT WND GRAFT GD MANO196SQCM,21053.0,16842.4,5568.52,18947.7,26
RC,0278,GRAFT WND SURGICLOSE MICRO19SQ,4961.0,3968.8,1312.18,4464.9,26
RC,0278,GRAFT WND SURGICLOSE MICRO95SQ,15049.0,12039.2,3980.46,13544.1,26
RC,0278,HIP LNR REMEDY 40MM,11250.0,9000.0,2975.63,10125.0,26
RC,0278,HIP SCREW HL PLUG ZIMM,828.0,662.4,219.01,745.2,26
RC,0278,HIP SPACER DIST ACLD STRY 10MM,500.0,400.0,132.25,450.0,26
RC,0278,HIP SPACER DIST ACLD STRY 11MM,500.0,400.0,132.25,450.0,26
RC,0278,HIP SPACER DIST ACLD STRY 12MM,500.0,400.0,132.25,450.0,26
RC,0278,HIP SPACER DIST ACLD STRY 13MM,500.0,400.0,132.25,450.0,26
RC,0278,HIP SPACER DIST ACLD STRY 14MM,500.0,400.0,132.25,450.0,26
RC,0278,HIP SPACER DIST ACLD STRY 8MM,500.0,400.0,132.25,450.0,26
RC,0278,HIP SPACER DIST ACLD STRY 9MM,500.0,400.0,132.25,450.0,26
RC,0278,HIP SPACER DISTACLD C STRY10MM,500.0,400.0,132.25,450.0,26
RC,0278,HIP SPACER FEM HD GV REMEDY40,11250.0,9000.0,2975.63,10125.0,26
RC,0278,HIP SPACER FEM HD GV REMEDY46,11250.0,9000.0,2975.63,10125.0,26
RC,0278,HIP SPACER TPR SYNT 12/14 +0MM,1063.0,850.4,281.16,956.7,26
RC,0278,HIP SPACER TPR SYNT 12/14 +3MM,1063.0,850.4,281.16,956.7,26
RC,0278,HIP SPACER UNIPOLR DEPU +5,1063.0,850.4,281.16,956.7,26
RC,0278,HIP TROCH 4HL 4CBL 23X232MM,15428.0,12342.4,4080.71,13885.2,26
RC,0278,HNDL DETACHMENT 400 COIL,2023.0,1618.4,535.08,1820.7,26
RC,0278,HNDL DETACHMENT SMART COIL,2023.0,1618.4,535.08,1820.7,26
RC,0278,HOOK ELLIOT OFFSET RT 40D,4410.0,3528.0,1166.45,3969.0,26
RC,0278,HOOK EXT TAB RDCTN DISTANCE,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK EXT TAB TI NARW,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK EXT TAB TI PEDICLE,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK EXT TAB TI WIDE,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK LAMINA OFFSET SYNT R*NLU*,5463.0,4370.4,1444.96,4916.7,26
RC,0278,HOOK LAMINA RELINE WIDE 8MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,HOOK LAMINAR 4.5MM,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK LAMINAR 4.5MM LFT OFFSET,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK LAMINAR 4.5MM RT OFFSET,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK LAMINAR 6.0MM,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK LAMINAR 6.0MM LFT OFFSET,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK LAMINAR 6.0MM RT OFFSET,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK LEGACY EXT BODY MD*NLU*,3780.0,3024.0,999.81,3402.0,26
RC,0278,HOOK OPEN LAMINAR WIDE5.5/6X11,4410.0,3528.0,1166.45,3969.0,26
RC,0278,HOOK OPEN PEDICLE 5.5/6.0X8MM,4410.0,3528.0,1166.45,3969.0,26
RC,0278,HOOK OPEN RDCTN THORACIC LFT,5040.0,4032.0,1333.08,4536.0,26
RC,0278,HOOK OPEN RDCTN THORACIC RT,4410.0,3528.0,1166.45,3969.0,26
RC,0278,HOOK OPEN RDCTN THORACICWIDE11,5040.0,4032.0,1333.08,4536.0,26
RC,0278,HOOK OPEN THORACIC WIDE 11.0MM,4410.0,3528.0,1166.45,3969.0,26
RC,0278,HOOK OPENTHORACICWIDE5.5/6X9.5,4410.0,3528.0,1166.45,3969.0,26
RC,0278,HOOK WIDE BLADE DEPU*NLU*,3780.0,3024.0,999.81,3402.0,26
RC,0278,HUMR BONE STBL 22/13X160MM,12995.0,10396.0,3437.18,11695.5,26
RC,0278,IMPLT META SHRTENING SLOT 3.5,5970.0,4776.0,1579.07,5373.0,26
RC,0278,INJ PORT MICRO EXPAND TIS*NLU*,1981.0,1584.8,523.97,1782.9,26
RC,0278,INST FIX RETR/EXT SCREW DH DF4,470.0,376.0,124.32,423.0,26
RC,0278,INST HARVESTER OATS DISP22.5MM,5940.0,4752.0,1571.13,5346.0,26
RC,0278,INTUB SET LACRIM*DISC*,1464.0,1171.2,387.23,1317.6,26
RC,0278,KNEE CONE ASYM TRIT RM/LL*NLU*,14436.0,11548.8,3818.32,12992.4,26
RC,0278,KNEE CONE SYM TRLON TRIT SZE,13498.0,10798.4,3570.22,12148.2,26
RC,0278,KNEE DIST AUG LCS LFT LG*NLU*,4628.0,3702.4,1224.11,4165.2,26
RC,0278,KNEE DIST AUG LCS RT LG 5*NLU*,4628.0,3702.4,1224.11,4165.2,26
RC,0278,KNEE FEM COMP LM/RL MAKO SZ1,9675.0,7740.0,2559.04,8707.5,26
RC,0278,KNEE STEM FEM REMEDY XL,9800.0,7840.0,2592.1,8820.0,26
RC,0278,KNEE STEM LPS ST CMNT 12X100MM,12702.0,10161.6,3359.68,11431.8,26
RC,0278,KNEE TIB BASE LM/RL MAKO SZ2,6525.0,5220.0,1725.86,5872.5,26
RC,0278,KNEE TIB INSRT CS X3 SZ3 16MM,6000.0,4800.0,1587.0,5400.0,26
RC,0278,KNEE TIB INSRT ONLAYMAKO9MMSZ2,4815.0,3852.0,1273.57,4333.5,26
RC,0278,KNEE TIBINSRTPS+VNDG12X87/91MM,6000.0,4800.0,1587.0,5400.0,26
RC,0278,KT ACC AMS 800,7628.0,6102.4,2017.61,6865.2,26
RC,0278,KT ACC INTERSTIMTUNNELINGTOOLS,1573.0,1258.4,416.06,1415.7,26
RC,0278,KT ACC MDTR BOOT ANCHOR*NLU*,480.0,384.0,126.96,432.0,26
RC,0278,KT ACC MDTR PLUG/BOOT,1173.0,938.4,310.26,1055.7,26
RC,0278,KT ACC PAIN PUMP CATH*OBS*,801.0,640.8,211.86,720.9,26
RC,0278,KT ACC STIM DUAL LEAD *OBS*,1199.0,959.2,317.14,1079.1,26
RC,0278,KT BIOTENODESIS DISP,2596.0,2076.8,686.64,2336.4,26
RC,0278,KT CLIP MITRA 3*DISC*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,KT CLIP MITRA 5*DISC*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,KT CONN QK AMS 700,5063.0,4050.4,1339.16,4556.7,26
RC,0278,KT ELBOW ARTICULATE ZIMM SZ5/6,4725.0,3780.0,1249.76,4252.5,26
RC,0278,KT EXT DEEP BRAIN STIM 4*NLU*,4620.0,3696.0,1221.99,4158.0,26
RC,0278,KT GPS PIN SHLDR THRD,1488.0,1190.4,393.58,1339.2,26
RC,0278,KT KNEE MCL INTRL BRC,5915.0,4732.0,1564.52,5323.5,26
RC,0278,KT LEAD ANCHOR N300,1063.0,850.4,281.16,956.7,26
RC,0278,KT LEAD CAP,350.0,280.0,92.58,315.0,26
RC,0278,KT MITRA CLIP *DISC VARI REPL*,69000.0,55200.0,18250.5,62100.0,52
RC,0278,KT PAIN PUMP SEG REV,3040.0,2432.0,804.08,2736.0,26
RC,0278,KT PORT RAPIDPORT EZ ACCESSSTD,5160.0,4128.0,1364.82,4644.0,26
RC,0278,KT PUMP IMPEL5.5*DISC 6332452*,94300.0,75440.0,24942.35,84870.0,26
RC,0278,KT PUMP IMPELLA *DISC 6340169*,57500.0,46000.0,15208.75,51750.0,26
RC,0278,KT REPAIR HAND/WRIST INTRL BRC,7400.0,5920.0,1957.3,6660.0,26
RC,0278,KT REV ENCORE HYOID/TONGUE,2125.0,1700.0,562.06,1912.5,26
RC,0278,KT REV PUMP CONN MDTR,1190.0,952.0,314.76,1071.0,26
RC,0278,KT SHLDR INTERSPA*DNR 6221180*,13199.0,10559.2,3491.14,11879.1,26
RC,0278,KT TRACH DIL ULTRAPERC WO TB,1551.0,1240.8,410.24,1395.9,26
RC,0278,KWIRE EQUINOXE EXAT 3.2MM,1114.0,891.2,294.65,1002.6,26
RC,0278,KWIRE FIX TROC TIP 1.6X203MM,1020.0,816.0,269.79,918.0,26
RC,0278,KWIRE META SHRTENING1.30X80MM,420.0,336.0,111.09,378.0,26
RC,0278,KWIRE SGL TROC SMTHPRGN1.1X50,420.0,336.0,111.09,378.0,26
RC,0278,LEAD CAP CONN,301.0,240.8,79.61,270.9,26
RC,0278,LEAD TMPR PACING*DISC NO REPL*,1190.0,952.0,314.76,1071.0,26
RC,0278,LOCK DISTRAC SYNT,4858.0,3886.4,1284.94,4372.2,26
RC,0278,MB CNCLS PDR 250-1000MCRN.05CC,669.0,535.2,176.95,602.1,26
RC,0278,MESH 3D TI KLS 80MM 0.6MM,4543.0,3634.4,1201.62,4088.7,26
RC,0278,MESH CERV DEPU CURV14X*NLU*,8950.0,7160.0,2367.28,8055.0,26
RC,0278,MESH ENV CARDIAC ABSORB TYRXLG,5370.0,4296.0,1420.37,4833.0,26
RC,0278,MESH ENV CARDIAC ABSORB TYRXMD,5370.0,4296.0,1420.37,4833.0,26
RC,0278,MESH ORB CONT BIOM RT 0.4*NLU*,8420.0,6736.0,2227.09,7578.0,26
RC,0278,MESH PARIENTAL STER SZ11 RT0.6,16113.0,12890.4,4261.89,14501.7,26
RC,0278,MESH PARIETEX 3D KNITTED 5.2X3,972.0,777.6,257.09,874.8,26
RC,0278,MESH RECON MALLEA TI SLVR38X45,5783.0,4626.4,1529.6,5204.7,26
RC,0278,MESH RECON MALLEATISLVR100X100,5760.0,4608.0,1523.52,5184.0,26
RC,0278,MESH RECON RIGID TI BLU 38X45,5957.0,4765.6,1575.63,5361.3,26
RC,0278,MESH RECON RIGID TI BLU100X100,7886.0,6308.8,2085.85,7097.4,26
RC,0278,MESH RECON RIGID TI PNK 38X45,5783.0,4626.4,1529.6,5204.7,26
RC,0278,MESH SYN WITTMAN 20X40CM,22000.0,17600.0,5819.0,19800.0,26
RC,0278,MESH TEMPORAL MALLEA TI MD,3884.0,3107.2,1027.32,3495.6,26
RC,0278,MESH WOVEN VICRYL 6X6,2997.0,2397.6,792.71,2697.3,26
RC,0278,MICRSPHR EMBOSPHERE100-300MCRN,2066.0,1652.8,546.46,1859.4,26
RC,0278,MICRSPHR EMBOSPHERE300-500MCRN,2066.0,1652.8,546.46,1859.4,26
RC,0278,MICRSPHR EMBOSPHERE500-700MCRN,2066.0,1652.8,546.46,1859.4,26
RC,0278,MICRSPHR EMBOSPHERE700-900MCRN,2066.0,1652.8,546.46,1859.4,26
RC,0278,MICRSPHR EMBOZENE BLK 40MCRN,1828.0,1462.4,483.51,1645.2,26
RC,0278,MICRSPHR EMBOZENE BLU 400MCRN,1828.0,1462.4,483.51,1645.2,26
RC,0278,MICRSPHR EMBOZENE BURG 75MCRN,1828.0,1462.4,483.51,1645.2,26
RC,0278,MICRSPHR EMBOZENE GRN 700MCRN,2083.0,1666.4,550.95,1874.7,26
RC,0278,MICRSPHR EMBOZENE GRY 1100MCRN,1488.0,1190.4,393.58,1339.2,26
RC,0278,MICRSPHR EMBOZENE ORG 100MCRN,1828.0,1462.4,483.51,1645.2,26
RC,0278,MICRSPHR EMBOZENE PNK 1300MCRN,1488.0,1190.4,393.58,1339.2,26
RC,0278,MICRSPHR EMBOZENE PUR 900MCRN,1488.0,1190.4,393.58,1339.2,26
RC,0278,MICRSPHR EMBOZENE RED 500MCRN,1828.0,1462.4,483.51,1645.2,26
RC,0278,MICRSPHR EMBOZENE YEL 250MCRN,1828.0,1462.4,483.51,1645.2,26
RC,0278,MICRSPHR LC BEAD 100-300MCRN,9000.0,7200.0,2380.5,8100.0,26
RC,0278,MICRSPHR ONCOZENE WHT 100MCRN,9363.0,7490.4,2476.51,8426.7,26
RC,0278,MODEL FIB CLASC LP,6749.0,5399.2,1785.11,6074.1,26
RC,0278,MTX DURAL DURAGEN PLUS 4X5,7578.0,6062.4,2004.38,6820.2,26
RC,0278,MTX DURAL DURAGEN SGL UNIT 2X2,4000.0,3200.0,1058.0,3600.0,26
RC,0278,MTX DURAL SYNTHECEL 2.5X2.5,2152.0,1721.6,569.2,1936.8,26
RC,0278,MTX DURAL SYNTHECEL 2X2,3557.0,2845.6,940.83,3201.3,26
RC,0278,MTX DURAL SYNTHECEL STER 1X3,3675.0,2940.0,972.04,3307.5,26
RC,0278,MTX DURAL SYNTHECEL STER 3.5X8,9901.0,7920.8,2618.81,8910.9,26
RC,0278,MTX DURAL SYNTHECEL STER 3X3,5142.0,4113.6,1360.06,4627.8,26
RC,0278,MTX DURAL SYNTHECEL STER 4.5,6794.0,5435.2,1797.01,6114.6,26
RC,0278,MTX DUREPAIR DURA REGEN 2X2,4331.0,3464.8,1145.55,3897.9,26
RC,0278,MTX DUREPAIR DURA REGEN 3X3,4938.0,3950.4,1306.1,4444.2,26
RC,0278,MTX DUREPAIR DURA REGEN 4X5,8165.0,6532.0,2159.64,7348.5,26
RC,0278,NAIL FEM GREATER STER RT10X380,8046.0,6436.8,2128.17,7241.4,26
RC,0278,NAIL SLV INSRT STER 8-13SPI,830.0,664.0,219.54,747.0,26
RC,0278,NAIL TIB T2 SUPRACOND 9X240MM,8335.0,6668.0,2204.61,7501.5,26
RC,0278,NAILEX LAT ENTRY TI LFT 9X280,5713.0,4570.4,1511.09,5141.7,26
RC,0278,NAILEX LAT ENTRY TI LFT 9X340,5713.0,4570.4,1511.09,5141.7,26
RC,0278,NAILEX LAT ENTRY TI LFT 9X380,5713.0,4570.4,1511.09,5141.7,26
RC,0278,NAILEX LAT ENTRY TI RT 8.2X320,5713.0,4570.4,1511.09,5141.7,26
RC,0278,NAILEX LAT ENTRY TI RT 8.2X380,5713.0,4570.4,1511.09,5141.7,26
RC,0278,NAILEX LAT ENTRY TI RT 9X340,5713.0,4570.4,1511.09,5141.7,26
RC,0278,NAILEX LAT ENTRY TI RT 9X360,5713.0,4570.4,1511.09,5141.7,26
RC,0278,NAILEX LAT ENTRY TILFT 8.2X340,5713.0,4570.4,1511.09,5141.7,26
RC,0278,NDLE FAST FIX 360 ST,3536.0,2828.8,935.27,3182.4,26
RC,0278,NDLE FAST-FIX CURV,2037.0,1629.6,538.79,1833.3,26
RC,0278,NUT CORT M/DN ZIMM 5.5MM*DISC*,2048.0,1638.4,541.7,1843.2,26
RC,0278,NUT RING TURRET EXT PRSP,2080.0,1664.0,550.16,1872.0,26
RC,0278,NUT TI SYNT 11MM*NLU*,713.0,570.4,188.59,641.7,26
RC,0278,NUT VERSALINK RING PRSP,2080.0,1664.0,550.16,1872.0,26
RC,0278,OCCL DUCT PDA AMPLZ 10X8MM,13250.0,10600.0,3504.63,11925.0,26
RC,0278,OCCL DUCT PDA AMPLZ 5X4MM,13250.0,10600.0,3504.63,11925.0,26
RC,0278,OCCL DUCT PDA AMPLZ 6X4MM,13250.0,10600.0,3504.63,11925.0,26
RC,0278,OCCL DUCT PDA AMPLZ 8X6MM,13250.0,10600.0,3504.63,11925.0,26
RC,0278,OCCL DUCT PDA PICCOLO 3X4MM,25990.0,20792.0,6874.36,23391.0,26
RC,0278,OCCL DUCT PDA PICCOLO 3X6MM,25990.0,20792.0,6874.36,23391.0,26
RC,0278,OCCL DUCT PDA PICCOLO 4X4MM,25990.0,20792.0,6874.36,23391.0,26
RC,0278,OCCL DUCT PDA PICCOLO 4X6MM,25990.0,20792.0,6874.36,23391.0,26
RC,0278,OCCL DUCT PDA PICCOLO 5X2MM,25990.0,20792.0,6874.36,23391.0,26
RC,0278,OCCL DUCT PDA PICCOLO 5X4MM,25990.0,20792.0,6874.36,23391.0,26
RC,0278,OCCL DUCT PDA PICCOLO 5X6MM,25990.0,20792.0,6874.36,23391.0,26
RC,0278,OCCL HEMORHAGE TFS,1020.0,816.0,269.79,918.0,26
RC,0278,PATCH DURAGUARD 10X16CM,5866.0,4692.8,1551.56,5279.4,26
RC,0278,PATCH DURAGUARD 4X4CM,3341.0,2672.8,883.69,3006.9,26
RC,0278,PATCH DURAGUARD 6X8CM,4906.0,3924.8,1297.64,4415.4,26
RC,0278,PCTL PVA CONT 150-250MCRN BX2,1530.0,1224.0,404.69,1377.0,26
RC,0278,PCTL PVA CONT 250-355MCRN BX2,1369.0,1095.2,362.1,1232.1,26
RC,0278,PCTL PVA CONT 355-500MCRN BX2,1369.0,1095.2,362.1,1232.1,26
RC,0278,PCTL PVA CONT 355-500MCRN BX5,1445.0,1156.0,382.2,1300.5,26
RC,0278,PCTL PVA CONT 500-710MCRN BX5,1445.0,1156.0,382.2,1300.5,26
RC,0278,PEG FULL THRD ZIMM 2.5X11MM,952.0,761.6,251.8,856.8,26
RC,0278,PEG FULL THRD ZIMM 2.5X13MM,952.0,761.6,251.8,856.8,26
RC,0278,PEG FULL THRD ZIMM 2.5X26MM,952.0,761.6,251.8,856.8,26
RC,0278,PEG FULL THRD ZIMM 2.5X30MM,952.0,761.6,251.8,856.8,26
RC,0278,PEG FULL THRD ZIMM 2.5X32MM,952.0,761.6,251.8,856.8,26
RC,0278,PEG FULL THRD ZIMM 2.5X8MM,952.0,761.6,251.8,856.8,26
RC,0278,PEG LK SMTH ZIMM2X28MM,952.0,761.6,251.8,856.8,26
RC,0278,PEG LK T7 STRY 2X16MM,1166.0,932.8,308.41,1049.4,26
RC,0278,PEG LK T7 STRY 2X18MM,1166.0,932.8,308.41,1049.4,26
RC,0278,PEG LK T7 STRY 2X20MM,1166.0,932.8,308.41,1049.4,26
RC,0278,PEG LK T7 STRY 2X22MM,1166.0,932.8,308.41,1049.4,26
RC,0278,PEG LK T7 STRY 2X24MM,1166.0,932.8,308.41,1049.4,26
RC,0278,PEG LK T7 STRY 2X26MM,1166.0,932.8,308.41,1049.4,26
RC,0278,PEG VOLAR THRD TRMI 14MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR THRD TRMI 16MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR THRD TRMI 18MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR THRD TRMI 20MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR THRD TRMI 22MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR THRD TRMI 24MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR UNTHRD TRMI 14MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR UNTHRD TRMI 16MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR UNTHRD TRMI 18MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR UNTHRD TRMI 20MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR UNTHRD TRMI 22MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG VOLAR UNTHRD TRMI 24MM,893.0,714.4,236.2,803.7,26
RC,0278,PEG WRIST LK CORT ACUM2.3X16MM,952.0,761.6,251.8,856.8,26
RC,0278,PEG WRIST LK CORT ACUM2.3X18MM,952.0,761.6,251.8,856.8,26
RC,0278,PEG WRIST LK CORT ACUM2.3X20MM,952.0,761.6,251.8,856.8,26
RC,0278,PELVIC BONE STBL SYS 9X120MM,15395.0,12316.0,4071.98,13855.5,26
RC,0278,PIN BTRS LCP TI 1.8X12MM,1060.0,848.0,280.37,954.0,26
RC,0278,PIN BTRS LCP TI 1.8X14MM,1060.0,848.0,280.37,954.0,26
RC,0278,PIN BTRS LCP TI 1.8X16MM,1060.0,848.0,280.37,954.0,26
RC,0278,PIN BTRS LCP TI 1.8X18MM,1060.0,848.0,280.37,954.0,26
RC,0278,PIN BTRS LCP TI 1.8X20MM,1060.0,848.0,280.37,954.0,26
RC,0278,PIN BTRS LCP TI 1.8X22MM,1060.0,848.0,280.37,954.0,26
RC,0278,PIN BTRS LCP TI 1.8X24MM,1060.0,848.0,280.37,954.0,26
RC,0278,PIN BTRS LCP TI 1.8X26MM,1060.0,848.0,280.37,954.0,26
RC,0278,PIN BTRS LCP TI 1.8X28MM,1060.0,848.0,280.37,954.0,26
RC,0278,PIN BTRS LCP TI 1.8X30MM,1060.0,848.0,280.37,954.0,26
RC,0278,PIN BTRS SS 1.8X12MM,491.0,392.8,129.87,441.9,26
RC,0278,PIN BTRS SS 1.8X14MM,491.0,392.8,129.87,441.9,26
RC,0278,PIN BTRS SS 1.8X16MM,491.0,392.8,129.87,441.9,26
RC,0278,PIN BTRS SS 1.8X18MM,491.0,392.8,129.87,441.9,26
RC,0278,PIN BTRS SS 1.8X20MM,491.0,392.8,129.87,441.9,26
RC,0278,PIN BTRS SS 1.8X22MM,491.0,392.8,129.87,441.9,26
RC,0278,PIN BTRS SS 1.8X24MM,491.0,392.8,129.87,441.9,26
RC,0278,PIN BTRS SS 1.8X26MM,491.0,392.8,129.87,441.9,26
RC,0278,PIN BTRS SS 1.8X28MM,491.0,392.8,129.87,441.9,26
RC,0278,PIN BTRS SS 1.8X30MM,491.0,392.8,129.87,441.9,26
RC,0278,PIN BTRS VA LK TI 1.8X10MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X12MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X14MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X16MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X18MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X20MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X22MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X24MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X26MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X28MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X30MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN BTRS VA LK TI 1.8X8MM,854.0,683.2,225.88,768.6,26
RC,0278,PIN CERCLAGE POSITION TI 4.5MM,1289.0,1031.2,340.94,1160.1,26
RC,0278,PIN CERCLAGE THRD STER 3.5MM,1289.0,1031.2,340.94,1160.1,26
RC,0278,PIN CERCLAGE THRD STER 4.5MM,1289.0,1031.2,340.94,1160.1,26
RC,0278,PIN CERCLAGE TI STER 4.5MM,1289.0,1031.2,340.94,1160.1,26
RC,0278,PIN CRIMP POSITION 5.0MM,1935.0,1548.0,511.81,1741.5,26
RC,0278,PIN DISTRAC CERV SYNT 3.5*NLU*,1275.0,1020.0,337.24,1147.5,26
RC,0278,PIN DRILL TRIMIT 1.5X100MM,3080.0,2464.0,814.66,2772.0,26
RC,0278,PIN DRILL TRIMIT 2X100MM,3080.0,2464.0,814.66,2772.0,26
RC,0278,PIN FIX INVIZIA TMPR*NLU*,440.0,352.0,116.38,396.0,26
RC,0278,PIN JOINT DISTRAC 2.5X100MM,646.0,516.8,170.87,581.4,26
RC,0278,PIN KRONENDONK S*DISC NO REPL*,1585.0,1268.0,419.23,1426.5,26
RC,0278,PIN KRONENDONK SN 5/64X9,2160.0,1728.0,571.32,1944.0,26
RC,0278,PIN NVGTN 3X100MM,1408.0,1126.4,372.42,1267.2,26
RC,0278,PIN NVGTN 3X150MM,450.0,360.0,119.03,405.0,26
RC,0278,PIN PREFIXATION MDTR,440.0,352.0,116.38,396.0,26
RC,0278,PIN QK DRILL HP DEPU,540.0,432.0,142.83,486.0,26
RC,0278,PIN STEINMAN TYPE B 9/64X9IN,338.0,270.4,89.4,304.2,26
RC,0278,PIN TEMP FIX ORTHOLOC LG 1.4MM,644.0,515.2,170.34,579.6,26
RC,0278,PIN THRD HP DEPU,540.0,432.0,142.83,486.0,26
RC,0278,PIN THRD HP HEADED DEPU,540.0,432.0,142.83,486.0,26
RC,0278,PIN TRAC TI NITRIDE LNG 5X50MM,6165.0,4932.0,1630.64,5548.5,26
RC,0278,PIST BIGEASY OFFSET 4.5MM*NLU*,2344.0,1875.2,619.99,2109.6,26
RC,0278,PLUG BONE CMNT ALLEN 24MM,888.0,710.4,234.88,799.2,26
RC,0278,PLUG BONE CMNT ARTISAN STRY LG,500.0,400.0,132.25,450.0,26
RC,0278,PLUG BONE CMNT ARTISAN STRY MD,500.0,400.0,132.25,450.0,26
RC,0278,PLUG BONE CMNT ARTISAN STRY SM,500.0,400.0,132.25,450.0,26
RC,0278,PLUG BONE CMNT BIOSTOP G 10MM,682.0,545.6,180.39,613.8,26
RC,0278,PLUG BONE CMNT BIOSTOP G 12MM,682.0,545.6,180.39,613.8,26
RC,0278,PLUG BONE CMNT BIOSTOP G 14MM,682.0,545.6,180.39,613.8,26
RC,0278,PLUG BONE CMNT BIOSTOP G 16MM,682.0,545.6,180.39,613.8,26
RC,0278,PLUG BONE CMNT BIOSTOP G 18MM,682.0,545.6,180.39,613.8,26
RC,0278,PLUG BONE CMNT BIOSTOP G 20MM,682.0,545.6,180.39,613.8,26
RC,0278,PLUG BONE CMNT BIOSTOP G 8MM,682.0,545.6,180.39,613.8,26
RC,0278,PLUG BONE CMNT EXAT 13MM,587.0,469.6,155.26,528.3,26
RC,0278,PLUG BONE CMNT EXAT 18MM,587.0,469.6,155.26,528.3,26
RC,0278,PLUG BONE CMNT EXAT 8MM,855.0,684.0,226.15,769.5,26
RC,0278,PLUG BONE CMNT HIP SYNT SZ6,686.0,548.8,181.45,617.4,26
RC,0278,PLUG BONE CMNT HIP ZIMM 26MM,5445.0,4356.0,1440.2,4900.5,26
RC,0278,PLUG BONE CMNT HIP ZIMM 38MM,5445.0,4356.0,1440.2,4900.5,26
RC,0278,PLUG BONE CMNT IM CANAL 2XL,1090.0,872.0,288.31,981.0,26
RC,0278,PLUG BONE CMNT IM CANAL LG,1090.0,872.0,288.31,981.0,26
RC,0278,PLUG BONE CMNT IM CANAL MD,1090.0,872.0,288.31,981.0,26
RC,0278,PLUG BONE CMNT IM CANAL XL,1090.0,872.0,288.31,981.0,26
RC,0278,PLUG BONE CMNT STRY SZ1,500.0,400.0,132.25,450.0,26
RC,0278,PLUG BONE CMNT STRY SZ2,500.0,400.0,132.25,450.0,26
RC,0278,PLUG BONE CMNT STRY SZ3,500.0,400.0,132.25,450.0,26
RC,0278,PLUG BONE CMNT STRY SZ4,500.0,400.0,132.25,450.0,26
RC,0278,PLUG BONE CMNT STRY SZ5,500.0,400.0,132.25,450.0,26
RC,0278,PLUG BONE CMNT STRY SZ6,500.0,400.0,132.25,450.0,26
RC,0278,PLUG BONE CMNT STRY SZ7,500.0,400.0,132.25,450.0,26
RC,0278,PLUG BONE CMNT STRY SZ8,500.0,400.0,132.25,450.0,26
RC,0278,PLUG CONN LEAD ADPTR OSCO,641.0,512.8,169.54,576.9,26
RC,0278,PLUG II VASC 20X16MM,5292.0,4233.6,1399.73,4762.8,26
RC,0278,PLUG II VASC 4X6MM,5292.0,4233.6,1399.73,4762.8,26
RC,0278,PLUG II VASC 6X6MM,5292.0,4233.6,1399.73,4762.8,26
RC,0278,PLUG OPH XSORB 0.3MM *NLU*,891.0,712.8,235.67,801.9,26
RC,0278,PLUG OPH XSORB 0.4MM *NLU*,891.0,712.8,235.67,801.9,26
RC,0278,PLUG READYSET SLIM MINI 0.4MM,300.0,240.0,79.35,270.0,26
RC,0278,PLUG THRD 3.5MM,877.0,701.6,231.97,789.3,26
RC,0278,PLUG VASC 4X7MM*NLU*,4632.0,3705.6,1225.16,4168.8,26
RC,0278,PLUG VASC AMPLZ 10X7MM*NLU*,4632.0,3705.6,1225.16,4168.8,26
RC,0278,PLUG VASC AMPLZ 12X8MM,4632.0,3705.6,1225.16,4168.8,26
RC,0278,PLUG VASC AMPLZ 14X8MM,4632.0,3705.6,1225.16,4168.8,26
RC,0278,PLUG VASC AMPLZ 4 4MM,4532.0,3625.6,1198.71,4078.8,26
RC,0278,PLUG VASC AMPLZ 4 5MM,4532.0,3625.6,1198.71,4078.8,26
RC,0278,PLUG VASC AMPLZ 4 6MM,4532.0,3625.6,1198.71,4078.8,26
RC,0278,PLUG VASC AMPLZ 4 7MM,4532.0,3625.6,1198.71,4078.8,26
RC,0278,PLUG VASC AMPLZ 4.8MM,4532.0,3625.6,1198.71,4078.8,26
RC,0278,PLUG VASC AMPLZ 8X7MM*NLU*,4632.0,3705.6,1225.16,4168.8,26
RC,0278,PLUG VASC ART EMBOL AZUR LG,10685.0,8548.0,2826.18,9616.5,26
RC,0278,PLUG VASC AZUR MD,9731.0,7784.8,2573.85,8757.9,26
RC,0278,PLUG VASC AZUR SM,8777.0,7021.6,2321.52,7899.3,26
RC,0278,PLUG VASC MVP MACRO 7MM,6728.0,5382.4,1779.56,6055.2,26
RC,0278,PLUG VASC MVP MICRO 3MM,6728.0,5382.4,1779.56,6055.2,26
RC,0278,PLUG VASC MVP MICRO 5MM,6728.0,5382.4,1779.56,6055.2,26
RC,0278,PORP DORNHOFER IP 3.2X2.3*NLU*,2244.0,1795.2,593.54,2019.6,26
RC,0278,PORP MCRN CTR 3.5X1X3MM,2360.0,1888.0,624.22,2124.0,26
RC,0278,PORP SHEEHY FULL1.12X2.8X4.7MM,1810.0,1448.0,478.75,1629.0,26
RC,0278,PORT APHERESIS POWERFLOW 9.6FR,4631.0,3704.8,1224.9,4167.9,26
RC,0278,PORT LAP BAND STD 9.75/10.0,5250.0,4200.0,1388.63,4725.0,26
RC,0278,POST RANCHO SN 2HL,1573.0,1258.4,416.06,1415.7,26
RC,0278,PRCD ACC 25 WATCHMAN,6000.0,4800.0,1587.0,5400.0,26
RC,0278,PRCD ACC WATCHMAN TRUSEAL,6000.0,4800.0,1587.0,5400.0,26
RC,0278,PREP FOR RECURRENT C DIFF 35ML,7628.0,6102.4,2017.61,6865.2,26
RC,0278,PROLIFT +M ANT PELVIC RE*NLU*,8963.0,7170.4,2370.71,8066.7,26
RC,0278,PROS TESTICULAR COLOPLAST MD,10115.0,8092.0,2675.42,9103.5,26
RC,0278,PROS TESTICULAR COLOPLAST SM,10115.0,8092.0,2675.42,9103.5,26
RC,0278,PROS TESTICULAR COLOPLAST XS,10115.0,8092.0,2675.42,9103.5,26
RC,0278,PROS VOICE FISTU*DISC NO REPL*,3200.0,2560.0,846.4,2880.0,26
RC,0278,PROS VOICE FISTUAL BI-FLG 25MM,3360.0,2688.0,888.72,3024.0,26
RC,0278,PROS VOICE FISTUAL BI-FLG 38MM,3360.0,2688.0,888.72,3024.0,26
RC,0278,PUMP KT IMPELLA 5.5 S2,101200.0,80960.0,26767.4,91080.0,26
RC,0278,PUMP KT IMPELLA CATH CP C9,62100.0,49680.0,16425.45,55890.0,26
RC,0278,PUMP KT IMPELLA RP FLEX SMART,62100.0,49680.0,16425.45,55890.0,26
RC,0278,RETR DISC SHIM LVL3 SS GM,2800.0,2240.0,740.6,2520.0,26
RC,0278,RETR LAT DISC SHIM ALUM GM,2800.0,2240.0,740.6,2520.0,26
RC,0278,RING ANNULO DURANANCORE B 23MM,6075.0,4860.0,1606.84,5467.5,26
RC,0278,RING ANNULO MITRAL SADDLE 36MM,10483.0,8386.4,2772.75,9434.7,26
RC,0278,RING ANNULO PHYSIO FLEX 30MM,14700.0,11760.0,3888.15,13230.0,26
RC,0278,RING ANNULO PHYSIO II 24MM,10350.0,8280.0,2737.58,9315.0,26
RC,0278,RING ANNULO PHYSIO II 26MM,10350.0,8280.0,2737.58,9315.0,26
RC,0278,RING ANNULO PHYSIO II 28MM,10350.0,8280.0,2737.58,9315.0,26
RC,0278,RING ANNULO PHYSIO II 30MM,10350.0,8280.0,2737.58,9315.0,26
RC,0278,RING ANNULO PHYSIO II 32MM,10350.0,8280.0,2737.58,9315.0,26
RC,0278,RING ANNULO PHYSIO II 34MM,10350.0,8280.0,2737.58,9315.0,26
RC,0278,RING ANNULO PHYSIO II 36MM,10350.0,8280.0,2737.58,9315.0,26
RC,0278,RING ANNULO PHYSIO II 38MM,10350.0,8280.0,2737.58,9315.0,26
RC,0278,RING ANNULO PHYSIO II 40MM,10350.0,8280.0,2737.58,9315.0,26
RC,0278,RING ANNULO SIMUFORM SR 32MM,10125.0,8100.0,2678.06,9112.5,26
RC,0278,RING ANNULO TRIAD 34MM,9563.0,7650.4,2529.41,8606.7,26
RC,0278,RING ANNULO TRIAD 36MM,9563.0,7650.4,2529.41,8606.7,26
RC,0278,RING ANNULO TRICUSPID MC3 26MM,8550.0,6840.0,2261.48,7695.0,26
RC,0278,RING ANNULO TRICUSPID MC3 28MM,8550.0,6840.0,2261.48,7695.0,26
RC,0278,RING ANNULO TRICUSPID MC3 30MM,8550.0,6840.0,2261.48,7695.0,26
RC,0278,RING ANNULO TRICUSPID MC3 32MM,8550.0,6840.0,2261.48,7695.0,26
RC,0278,RING ANNULO TRICUSPID MC3 34MM,8550.0,6840.0,2261.48,7695.0,26
RC,0278,RING ANNULO TRICUSPID MC3 36MM,8550.0,6840.0,2261.48,7695.0,26
RC,0278,RING CPSLR TENSI*DISC 6326639*,1488.0,1190.4,393.58,1339.2,26
RC,0278,RING CPSLR TENSI*DISC NO REPL*,1488.0,1190.4,393.58,1339.2,26
RC,0278,RING CPSLR TENSIO*DUP 6293503*,1573.0,1258.4,416.06,1415.7,26
RC,0278,RING CPSLR TENSION 12MM,1573.0,1258.4,416.06,1415.7,26
RC,0278,RING CPSLR TENSION 13MM,1573.0,1258.4,416.06,1415.7,26
RC,0278,RING CPSLR TENSION CIONNI*NLU*,2117.0,1693.6,559.95,1905.3,26
RC,0278,RING CPSLR TENSION JJVC 13MM,1063.0,850.4,281.16,956.7,26
RC,0278,RING CPSLR TENSIONPRELOADRT14C,1870.0,1496.0,494.62,1683.0,26
RC,0278,RING CPSLRTENSIONPRELOADLFT14C,1913.0,1530.4,505.99,1721.7,26
RC,0278,RING MITRAL ANNU*DUP 6285752*,10483.0,8386.4,2772.75,9434.7,26
RC,0278,ROD ADJ 3.5X100,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD ADJ TI 3.5X100,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD ARMADA PREBENT 100MM,1360.0,1088.0,359.72,1224.0,26
RC,0278,ROD CHROME ST 5.5X500MM,1947.0,1557.6,514.98,1752.3,26
RC,0278,ROD CONT BULLET DENALI 5.5X100,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD CONT BULLET DENALI 5.5X35,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD CONT BULLET DENALI 5.5X40,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD CONT BULLET DENALI 5.5X45,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD CONT BULLET DENALI 5.5X65,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD CONT BULLET DENALI 5.5X70,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD CONT BULLET DENALI 5.5X75,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD CONT BULLET DENALI 5.5X80,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD CONT DENALI 5.5X110MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD CONT DENALI 5.5X40MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD CONT DENALI 5.5X45MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD CONT DENALI 5.5X65MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD CONT DENALI 5.5X75MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD CONT DENALI 5.5X95MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD CONT K2 5.5X85MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD CP4 CURV TI 5.5X70MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD CURV CAPITOL 3.5X60MM,1360.0,1088.0,359.72,1224.0,26
RC,0278,ROD CURV CREO TI 5.5X100MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD CURV CREO TI 5.5X40MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD CURV CREO TI 5.5X45MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD CURV CREO TI 5.5X50MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD CURV CREO TI 5.5X65MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD CURV CREO TI 5.5X70MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD CURV CREO TI 5.5X75MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD CURV CREO TI 5.5X80MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD CURV CREO TI 5.5X85MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD CURV NOTCHED AMEN 115*NLU*,3176.0,2540.8,840.05,2858.4,26
RC,0278,ROD CURV NOTCHED AMEN 50M*NLU*,3176.0,2540.8,840.05,2858.4,26
RC,0278,ROD CURV SOLERA COCR 5.5X40MM,1947.0,1557.6,514.98,1752.3,26
RC,0278,ROD DUAL BALL 17.5MM SPH*NLU*,5100.0,4080.0,1348.95,4590.0,26
RC,0278,ROD ELLIPSE ST 3.5X120MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD ELLIPSE ST 3.5X40MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD ELLIPSE ST 3.5X80MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD EXPD COCR DEPU 200MM,2584.0,2067.2,683.47,2325.6,26
RC,0278,ROD EXPD COCR DEPU 300MM,2584.0,2067.2,683.47,2325.6,26
RC,0278,ROD EXPD COCR DEPU 480MM,2584.0,2067.2,683.47,2325.6,26
RC,0278,ROD EXPD COCR DEPU 600MM,2584.0,2067.2,683.47,2325.6,26
RC,0278,ROD EXPD COCRCONTDEPU5.5X*NLU*,1947.0,1557.6,514.98,1752.3,52
RC,0278,ROD EXPD COCRCONTDEPU5.5X455MM,1947.0,1557.6,514.98,1752.3,26
RC,0278,ROD EXTL FIX CBN FBR 5X200MM,1730.0,1384.0,457.59,1557.0,26
RC,0278,ROD HEX END ST CREO 5.5X500MM,1870.0,1496.0,494.62,1683.0,26
RC,0278,ROD LORD PREBENT VPR TI 120MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 30MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 35MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 40MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 45MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 50MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 55MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 60MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 65MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 70MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 75MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 80MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD PREBENT VPR TI 85MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD SPWA 300MM*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD SPWA 30MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD SPWA 35MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD SPWA 40MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD SPWA 45MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD SPWA 50MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD SPWA 60MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD SPWA 70MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD SPWA 80MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD LORD SPWA CURV 55MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD MIS LNK ST 6.0X110MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD MIS LNK ST 6.0X120MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD MIS LNK ST 6.0X130MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD MIS LNK ST 6.0X140MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD MIS LNK ST 6.0X150MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD MIS LNK ST 6.0X160MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD MIS LNK ST 6.0X170MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD MIS LNK ST 6.0X200MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD MIS LNK ST 6.0X70MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD MNTR DEPU 3.5-5.5X600MM,4410.0,3528.0,1166.45,3969.0,26
RC,0278,ROD MTNR DEPU 3.5X120MM,2584.0,2067.2,683.47,2325.6,26
RC,0278,ROD MTNR DEPU 3.5X20MM,2584.0,2067.2,683.47,2325.6,26
RC,0278,ROD MTNR DEPU 3.5X60MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD OASYS STRY 30MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD OC ADJ 3.5X200MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD OC ADJ TI 3.5X200MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD OC PRE CURV 3.5X200MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD OC PRE CURV TI 3.5X200MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD OC PRE CUT TI 3.5X30MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD OC PRE CUT TI 3.5X35MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD OC PRE CUT TI 3.5X40MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD OC PRE CUT TI 3.5X45MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD OC PRE CUT TI 3.5X70MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD OC STD TI 3.2X240MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD OC TPR 3.5/4.75X420MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD OC TPR 3.5/5.5X420MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD OC TPR TI 3.5/4.75X420MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD OC TPR TI 3.5/5.5X420MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD OCCIPITAL CURVVERTEX 270MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD OCCIPITAL STR VERTEX 240MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD OCT MTNR DEPU3.5X120X85MM,4836.0,3868.8,1279.12,4352.4,26
RC,0278,ROD OFFSET MAGEC ACTUATOR 90MM,40250.0,32200.0,10646.13,36225.0,26
RC,0278,ROD PCT VERTEX 3.5X40MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD PEEK CDH LEGACY6.5X50*NLU*,5334.0,4267.2,1410.84,4800.6,26
RC,0278,ROD PEEK SEXTANT 6.35X70*NLU*,2992.0,2393.6,791.38,2692.8,26
RC,0278,ROD PHOE ST 110MM*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD PRE BENT MDTR 5.5X60*NLU*,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 35MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 40MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 45MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 50MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 55MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 60MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 65MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 70MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 75MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 85MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRE-LORDOSED W LN 95MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PREBENT CHROMALOY 90MM,1947.0,1557.6,514.98,1752.3,26
RC,0278,ROD PREBENT DUAL BALL 27*NLU*,5100.0,4080.0,1348.95,4590.0,26
RC,0278,ROD PREBENT LEGACY 5.5X40*NLU*,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PREBENT LNK MIS 6.0X100MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD PREBENT LNK MIS 6.0X35MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD PREBENT LNK MIS 6.0X40MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD PREBENT LNK MIS 6.0X45MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD PREBENT LNK MIS 6.0X50MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD PREBENT LNK MIS 6.0X55MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD PREBENT LNK MIS 6.0X60MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD PREBENT LNK MIS 6.0X65MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD PREBENT LNK MIS 6.0X70MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD PREBENT LNK MIS 6.0X80MM,2320.0,1856.0,613.64,2088.0,26
RC,0278,ROD PREBENT NUVA 5.5X95M*NLU*,2720.0,2176.0,719.44,2448.0,26
RC,0278,ROD PREBENT NUVA 6.25X30*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD PREBENT NUVA 6.25X65*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD PREBENT ZIMM 40MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PRECUT INFINITY 3.5X25MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD PRECUT INFINITY 3.5X80MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD PREL EXPD DEPU 5.5X80MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PREL EXPD DEPU 6.35X7*NLU*,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD PREL PHOE 75MM*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD REAMING OFFSET 3X950M,1271.0,1016.8,336.18,1143.9,26
RC,0278,ROD REAMING OFFSET STR 3X950MM,1455.0,1164.0,384.85,1309.5,26
RC,0278,ROD REVERE ST 500MM,1275.0,1020.0,337.24,1147.5,26
RC,0278,ROD SEXTANT PREBENT 5.5X*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD SEXTANT PREBENT 5.5X30MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD SGL HEX COCR 4.5X500MM,3780.0,3024.0,999.81,3402.0,26
RC,0278,ROD SGL HEX COCR 6.0X500MM,3780.0,3024.0,999.81,3402.0,26
RC,0278,ROD SOLERA PREBENT 35MM *NLU*,1947.0,1557.6,514.98,1752.3,26
RC,0278,ROD SPNL CASPIAN ST 3.5X120MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD SPNL CASPIAN ST 3.5X80MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD SPNL TI OASYS 3.5X40MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD SPWA 5.5X80MM*NLU*,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD ST CREO TI 5.5X100MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD ST CREO TI 5.5X125MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD ST CREO TI 5.5X150MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD ST CREO TI 5.5X75MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD ST CREO TI 5.5X85MM,1530.0,1224.0,404.69,1377.0,26
RC,0278,ROD ST MDTR 5.5X150MM*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD ST MDTR 5.5X190MM*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD ST MDTR 5.5X220MM*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD ST MDTR 5.5X30MM*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD ST MDTR 5.5X40MM*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD ST MDTR 5.5X60MM*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD ST SOLERA COCR 5.5X500MM,1947.0,1557.6,514.98,1752.3,26
RC,0278,ROD ST TI EXPD DEPU 5.5X300MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD ST TI EXPD DEPU 5.5X480MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD ST TI ORTF 5.5X40MM,1411.0,1128.8,373.21,1269.9,26
RC,0278,ROD STBL TOE GAIT 1STMPJ *NLU*,9923.0,7938.4,2624.63,8930.7,26
RC,0278,ROD STD MAGEC W ACTUATOR 5.5M,40250.0,32200.0,10646.13,36225.0,26
RC,0278,ROD STD TI 3.5X240MM,1598.0,1278.4,422.67,1438.2,26
RC,0278,ROD THRD 3.0 SLFDR TIP 270MM,2219.0,1775.2,586.93,1997.1,26
RC,0278,ROD THRD 5.0 SLFDR TIP 380MM,3545.0,2836.0,937.65,3190.5,26
RC,0278,ROD TI SEXTANPREBT5.5X100*NLU*,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD TI SYMPY ST 4.0X240MM,2584.0,2067.2,683.47,2325.6,26
RC,0278,ROD TPR 3.5/6.0X420MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD TPR 3.5/6.0X600MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD TPR TI 3.5/6.0X420MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD TPR TI 3.5/6.0X600MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,ROD VOYAGER CAPPED 30MM*NLU*,2584.0,2067.2,683.47,2325.6,26
RC,0278,ROD VPR DEPU ST 120MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD VPR DEPU ST 300MM,2216.0,1772.8,586.13,1994.4,26
RC,0278,ROD VPR DEPU ST 480MM,2584.0,2067.2,683.47,2325.6,26
RC,0278,ROD VUEPOINT II 3.5X240MM,1700.0,1360.0,449.65,1530.0,26
RC,0278,RSVR CFS BU1.5CM*DISC 6337413*,3424.0,2739.2,905.65,3081.6,26
RC,0278,SCAF BIORESORB WICK ROTIUM 3X4,17483.0,13986.4,4624.25,15734.7,26
RC,0278,SCAF BONE ACTIFUSE AB*NLU*,4277.0,3421.6,1131.27,3849.3,26
RC,0278,SCAF BONE BG MTX 3CC 2.5CM,4884.0,3907.2,1291.82,4395.6,26
RC,0278,SCAF BONE GEL KINEX 2CC,3320.0,2656.0,878.14,2988.0,26
RC,0278,SCAF BONE GEL KINEX 5CC,5790.0,4632.0,1531.46,5211.0,26
RC,0278,SCAF BONE GRAFT SYN GENEX 10CC,8925.0,7140.0,2360.66,8032.5,26
RC,0278,SCAF BONE GRAFT SYN GENEX 3CC,6000.0,4800.0,1587.0,5400.0,26
RC,0278,SCAF BONE GRAFT SYN GENEX 5CC,6379.0,5103.2,1687.25,5741.1,26
RC,0278,SCAF BONE GRAN CHRONOS*NLU*,2622.0,2097.6,693.52,2359.8,26
RC,0278,SCAF BONE INFUSE LG 8.0CC,17763.0,14210.4,4698.31,15986.7,26
RC,0278,SCAF BONE INFUSE LGII 8.0CC,17080.0,13664.0,4517.66,15372.0,26
RC,0278,SCAF BONE INFUSE MD 5.6CC,15953.0,12762.4,4219.57,14357.7,26
RC,0278,SCAF BONE INFUSE SM 2.8CC,16314.0,13051.2,4315.05,14682.6,26
RC,0278,SCAF BONE INFUSE XS 1.4CC,10557.0,8445.6,2792.33,9501.3,26
RC,0278,SCAF BONE NANO BONE SBX*NLU*,5640.0,4512.0,1491.78,5076.0,26
RC,0278,SCAF BONE NORIAN DRILLABLE 3CC,4645.0,3716.0,1228.6,4180.5,26
RC,0278,SCAF BONE NORIAN DRILLABLE 5CC,7744.0,6195.2,2048.29,6969.6,26
RC,0278,SCAF BONE NORIAN DRILLABLE10CC,9011.0,7208.8,2383.41,8109.9,26
RC,0278,SCAF BONE OSFERION 10X3X30X12,3812.0,3049.6,1008.27,3430.8,26
RC,0278,SCAF BONE OSFERION 12X3X35X12,3812.0,3049.6,1008.27,3430.8,26
RC,0278,SCAF BONE OSFERION 15X3X35X12,3812.0,3049.6,1008.27,3430.8,26
RC,0278,SCAF BONE OSFERION 7X3X30X12,3812.0,3049.6,1008.27,3430.8,26
RC,0278,SCAF BONE OSFERION 9X25X7,3812.0,3049.6,1008.27,3430.8,26
RC,0278,SCAF BONE PRO-DENSE CLASC 10CC,13316.0,10652.8,3522.08,11984.4,26
RC,0278,SCAF BONE PRO-STIM CDK 15CC,16721.0,13376.8,4422.7,15048.9,26
RC,0278,SCAF BONE PUTTY FIBERGRAFT 2CC,4675.0,3740.0,1236.54,4207.5,26
RC,0278,SCAF BONE PUTTY FIBERGRAFT 6CC,7513.0,6010.4,1987.19,6761.7,26
RC,0278,SCAF BONE PUTTY MONTAGE CT14GM,6296.0,5036.8,1665.29,5666.4,26
RC,0278,SCAF BONE STIMULAN 10CC,6914.0,5531.2,1828.75,6222.6,26
RC,0278,SCAF BONE STIMULAN RAPID 10CC,6075.0,4860.0,1606.84,5467.5,26
RC,0278,SCAF BONE STIMULAN RAPID 20CC,10328.0,8262.4,2731.76,9295.2,26
RC,0278,SCAF BONE STIMULAN RAPID 5CC,5670.0,4536.0,1499.72,5103.0,26
RC,0278,SCAF BONE SUB VITOSS 5CC,5458.0,4366.4,1443.64,4912.2,26
RC,0278,SCAF BONE SYN GENEX 10ML*NLU*,7189.0,5751.2,1901.49,6470.1,26
RC,0278,SCAF BONE WDG 22D RECT,4968.0,3974.4,1314.04,4471.2,26
RC,0278,SCAF GALAFLEX 3DP4HB2.5X7.3PK1,7875.0,6300.0,2082.94,7087.5,26
RC,0278,SCREW DENTAL TAD BTN TOP 1.4X8,1479.0,1183.2,391.2,1331.1,26
RC,0278,SCREW SET OASYS STRY 3.5MM,500.0,400.0,132.25,450.0,26
RC,0278,SCREW SPNL SIJ SICA 35MM*NLU*,11375.0,9100.0,3008.69,10237.5,26
RC,0278,SCREW SPNL SIJ SICA 40MM*NLU*,11375.0,9100.0,3008.69,10237.5,26
RC,0278,SCREW SPNL SIJ SICA 45MM*NLU*,11375.0,9100.0,3008.69,10237.5,26
RC,0278,SCREW SPNL SIJ SICA 50MM*NLU*,11375.0,9100.0,3008.69,10237.5,26
RC,0278,SCREW SPNL SIJ SICA 55MM*NLU*,11375.0,9100.0,3008.69,10237.5,26
RC,0278,SET CBL DALL MILES SS STRY,2561.0,2048.8,677.38,2304.9,26
RC,0278,SET SCREW EVEREST,713.0,570.4,188.59,641.7,26
RC,0278,SET SCREW INNER DEPU,1739.0,1391.2,459.97,1565.1,26
RC,0278,SET SCREW LEGACY MDTR 4.*NLU*,703.0,562.4,185.94,632.7,26
RC,0278,SHEATH TIB INTRAFIX LG 30MM,3443.0,2754.4,910.67,3098.7,26
RC,0278,SHIM SPNL PTP INTRADISCAL NARW,2200.0,1760.0,581.9,1980.0,26
RC,0278,SHLDR HD VERSA-DIAL 50X21X57MM,6000.0,4800.0,1587.0,5400.0,26
RC,0278,SHLDR HUMR STEM CTD 14MM*NLU*,10350.0,8280.0,2737.58,9315.0,26
RC,0278,SHLDR LAT HUMR INSRT 36X9,4201.0,3360.8,1111.16,3780.9,26
RC,0278,SHLDR SPACER MOLD PREMADE10-48,12750.0,10200.0,3372.38,11475.0,26
RC,0278,SHNT CATH BACTISEAL1X2.15MM120,3986.0,3188.8,1054.3,3587.4,26
RC,0278,SHNT CATH BACTISEAL1X23MM120CM,3955.0,3164.0,1046.1,3559.5,26
RC,0278,SHNT CATH BARIUM KT BACTISEAL,5223.0,4178.4,1381.48,4700.7,26
RC,0278,SHNT CATH PHOE SLOTTED 5C*NLU*,713.0,570.4,188.59,641.7,26
RC,0278,SHNT CATH SETEVDBACTISEALID1.5,4410.0,3528.0,1166.45,3969.0,26
RC,0278,SHNT CATH SETEVDBACTISEALID1.9,4830.0,3864.0,1277.54,4347.0,26
RC,0278,SHNT CATH VALV BACTISEAL 100MM,10814.0,8651.2,2860.3,9732.6,26
RC,0278,SHNT CATH VENT BACTISEAL 14CM,3955.0,3164.0,1046.1,3559.5,26
RC,0278,SHNT CATH VENTBACTISEAL1.5X3MM,3986.0,3188.8,1054.3,3587.4,26
RC,0278,SHNT CATHBACITSEALVENT/PERITON,4509.0,3607.2,1192.63,4058.1,26
RC,0278,SHNT DELTA REG LVL.5*NLU*,6790.0,5432.0,1795.96,6111.0,26
RC,0278,SHNT H-V LUMBAR VALV WHT*NLU*,5738.0,4590.4,1517.7,5164.2,26
RC,0278,SHNT H-V LUMBAR VALV YEL*NLU*,5738.0,4590.4,1517.7,5164.2,26
RC,0278,SHNT LUMB SPETZL*DISC NO REPL*,5056.0,4044.8,1337.31,4550.4,26
RC,0278,SHNT OMAYA FLT S*DISC 6348487*,3028.0,2422.4,800.91,2725.2,26
RC,0278,SHNT OMAYA FLT S*DISC NO REPL*,3424.0,2739.2,905.65,3081.6,26
RC,0278,SHNT OMAYA FLT STD,3028.0,2422.4,800.91,2725.2,26
RC,0278,SHNT PERITON WO SLITS 90*NLU*,1488.0,1190.4,393.58,1339.2,26
RC,0278,SHNT RSVR RICKHAM STD 6MM,3125.0,2500.0,826.56,2812.5,26
RC,0278,SHNT T TB LUMBOPERITONEAL,4820.0,3856.0,1274.89,4338.0,26
RC,0278,SHNT VALV HAKIM PROGM,16411.0,13128.8,4340.71,14769.9,26
RC,0278,SHNT VALV LOW *DISC NO REPL*,5237.0,4189.6,1385.19,4713.3,26
RC,0278,SHNT VALV ONLY CERTAS+ REG,17432.0,13945.6,4610.76,15688.8,26
RC,0278,SHNT VALV ONLY CERTAS+ SPH REG,13778.0,11022.4,3644.28,12400.2,26
RC,0278,SHNT VALV ONLY CERTAS+ SPH SM,13778.0,11022.4,3644.28,12400.2,26
RC,0278,SHNT VALV PROGM BURHL SIPHON,13162.0,10529.6,3481.35,11845.8,26
RC,0278,SHNT VALV PROGM INLINE SIPHO,16082.0,12865.6,4253.69,14473.8,26
RC,0278,SHNT VALV PROGM MICRO HAKIM,16411.0,13128.8,4340.71,14769.9,26
RC,0278,SHNT VALV PROGM MICROIIHAKIM,16477.0,13181.6,4358.17,14829.3,26
RC,0278,SHNT VALV RT ANG FIXED PRES,8351.0,6680.8,2208.84,7515.9,26
RC,0278,SHNT VALV SHIGH*DISC NO REPL*,5237.0,4189.6,1385.19,4713.3,26
RC,0278,SHNT VALV SYS CERTAS+ SPH REG,13778.0,11022.4,3644.28,12400.2,26
RC,0278,SHT PE POR 50X50X0.8MM,2260.0,1808.0,597.77,2034.0,26
RC,0278,SHT SIL NON 0.050 6X8*NLU*,1071.0,856.8,283.28,963.9,26
RC,0278,SHT SIL NON 0.070 6X8*NLU*,1215.0,972.0,321.37,1093.5,26
RC,0278,SHT SIL NONREIN 0.005 1X1,504.0,403.2,133.31,453.6,26
RC,0278,SHT SIL NONREIN 0.020 2X3,489.0,391.2,129.34,440.1,26
RC,0278,SHT SIL NONREIN 0.040 2X3,527.0,421.6,139.39,474.3,26
RC,0278,SHT SIL REINF 0.005 6X8*NLU*,1685.0,1348.0,445.68,1516.5,26
RC,0278,SHT SIL REINF 0.007 6X8,2272.0,1817.6,600.94,2044.8,26
RC,0278,SHT SIL REINF 0.020 6X8,2272.0,1817.6,600.94,2044.8,26
RC,0278,SHT SIL REINF 0.040 6X8,2472.0,1977.6,653.84,2224.8,26
RC,0278,SINUS TARIS HYPROCURE SZ7,8955.0,7164.0,2368.6,8059.5,26
RC,0278,SLV ABSORB 4MM,1367.0,1093.6,361.57,1230.3,26
RC,0278,SLV ABSORB 5MM,1367.0,1093.6,361.57,1230.3,26
RC,0278,SLV SUT EASYTRAK 2 LEADS,350.0,280.0,92.58,315.0,26
RC,0278,SLV SUT LEAD EFH-16,440.0,352.0,116.38,396.0,26
RC,0278,SLV SUT LEAD EFH-7F-W,440.0,352.0,116.38,396.0,26
RC,0278,SLV SUT LEAD EFH-8F-W,440.0,352.0,116.38,396.0,26
RC,0278,SPACER ALIF 15D 29X39 12-15MM,17713.0,14170.4,4685.09,15941.7,26
RC,0278,SPACER ALIF 15D 29X39 14-18MM,17713.0,14170.4,4685.09,15941.7,26
RC,0278,SPACER CANOPY LAMINOPLASTY 9MM,3710.0,2968.0,981.3,3339.0,26
RC,0278,SPACER COALTN 7D 14X16X10*NLU*,9139.0,7311.2,2417.27,8225.1,26
RC,0278,SPACER COALTN MIS 7D15X18X10MM,10010.0,8008.0,2647.65,9009.0,26
RC,0278,SPACER COLONIAL LORDTPS12X14X7,4680.0,3744.0,1237.86,4212.0,26
RC,0278,SPACER COLONIAL LORDTPS15X18X8,4680.0,3744.0,1237.86,4212.0,26
RC,0278,SPACER COLONIAL TPS 7D 14X16X7,4680.0,3744.0,1237.86,4212.0,26
RC,0278,SPACER COLONIAL TPS 7D 14X16X8,4680.0,3744.0,1237.86,4212.0,26
RC,0278,SPACER HEDRON 4D 10X26X7MM,11200.0,8960.0,2962.4,10080.0,26
RC,0278,SPACER HEDRON 7D 10.5X18X10MM,6705.0,5364.0,1773.47,6034.5,26
RC,0278,SPACER HEDRON 7D 10.5X18X6MM,6705.0,5364.0,1773.47,6034.5,26
RC,0278,SPACER HEDRON 7D 10X16X5MM,6705.0,5364.0,1773.47,6034.5,26
RC,0278,SPACER HEDRON 7D 10X16X6MM,6705.0,5364.0,1773.47,6034.5,26
RC,0278,SPACER HEDRON 7D 10X16X7MM,6705.0,5364.0,1773.47,6034.5,26
RC,0278,SPACER HEDRON 7D 8X14X6MM,6705.0,5364.0,1773.47,6034.5,26
RC,0278,SPACER HEDRON 7D 8X14X7MM,6705.0,5364.0,1773.47,6034.5,26
RC,0278,SPACER HEDRON 8D 10X26X8MM,11200.0,8960.0,2962.4,10080.0,26
RC,0278,SPACER HEDRON C 7D 12X14 7MM,5108.0,4086.4,1351.07,4597.2,26
RC,0278,SPACER HEDRON C 7D 14X16 10MM,5108.0,4086.4,1351.07,4597.2,26
RC,0278,SPACER HEDRON C 7D 14X16 7MM,5108.0,4086.4,1351.07,4597.2,26
RC,0278,SPACER HEDRON C 7D 14X16 8MM,5108.0,4086.4,1351.07,4597.2,26
RC,0278,SPACER HEDRON C 7D 15X18 5MM,5108.0,4086.4,1351.07,4597.2,26
RC,0278,SPACER HEDRON C 7D 15X18 6MM,5108.0,4086.4,1351.07,4597.2,26
RC,0278,SPACER HEDRON C 7D 15X18 7MM,5108.0,4086.4,1351.07,4597.2,26
RC,0278,SPACER HEDRON C 7D 15X18 8MM,5108.0,4086.4,1351.07,4597.2,26
RC,0278,SPACER HEDRON IA 15D 26X34X13,15800.0,12640.0,4179.1,14220.0,26
RC,0278,SPACER HEDRON IA 15D 29X39X13,15800.0,12640.0,4179.1,14220.0,26
RC,0278,SPACER HEDRON IA 20D 29X39X19,15800.0,12640.0,4179.1,14220.0,26
RC,0278,SPACER HEDRON IA 8D 26X34X13,15800.0,12640.0,4179.1,14220.0,26
RC,0278,SPACER HEDRON IA 8D 26X34X15,15800.0,12640.0,4179.1,14220.0,26
RC,0278,SPACER HEDRON IA 8D 29X39X11,15800.0,12640.0,4179.1,14220.0,26
RC,0278,SPACER HEDRON IA 8D 29X39X13,15800.0,12640.0,4179.1,14220.0,26
RC,0278,SPACER HEDRON IA 8D 29X39X15,15800.0,12640.0,4179.1,14220.0,26
RC,0278,SPACER HEDRON T 8D 10X28X10MM,13528.0,10822.4,3578.16,12175.2,26
RC,0278,SPACER HEDRON T 8D 10X28X8MM,13528.0,10822.4,3578.16,12175.2,26
RC,0278,SPACER HEDRON T 8D 10X28X9MM,13528.0,10822.4,3578.16,12175.2,26
RC,0278,SPACER HEDRON T 8D 11X33X10MM,13528.0,10822.4,3578.16,12175.2,26
RC,0278,SPACER HEDRON T 8D 11X33X11MM,13528.0,10822.4,3578.16,12175.2,26
RC,0278,SPACER HEDRON T 8D 11X33X12MM,13528.0,10822.4,3578.16,12175.2,26
RC,0278,SPACER HEDRON T 8D 11X33X9MM,13528.0,10822.4,3578.16,12175.2,26
RC,0278,SPACER HT EXPANSION0D9X28X7-11,16088.0,12870.4,4255.28,14479.2,26
RC,0278,SPACER HT EXPANSION0D9X28X8-12,16088.0,12870.4,4255.28,14479.2,26
RC,0278,SPACER HT EXPANSION0D9X32X8-12,16088.0,12870.4,4255.28,14479.2,26
RC,0278,SPACER HT EXPASION8D9X32X10-14,16088.0,12870.4,4255.28,14479.2,26
RC,0278,SPACER IDENTITI II 10D 6X16X14,10575.0,8460.0,2797.09,9517.5,26
RC,0278,SPACER IDENTITI II 10D 7X18X16,10575.0,8460.0,2797.09,9517.5,26
RC,0278,SPACER IDENTITI II 10D6X22X55,16250.0,13000.0,4298.13,14625.0,26
RC,0278,SPACER IDENTITI II 10D6X22X60,16250.0,13000.0,4298.13,14625.0,26
RC,0278,SPACER IDENTITI II 7D 5X16X14,10575.0,8460.0,2797.09,9517.5,26
RC,0278,SPACER IDENTITI II 7D 6X14X12,10575.0,8460.0,2797.09,9517.5,26
RC,0278,SPACER IDENTITI POR 10D6X18X55,14375.0,11500.0,3802.19,12937.5,26
RC,0278,SPACER IDENTITI POR 10D6X22X55,14375.0,11500.0,3802.19,12937.5,26
RC,0278,SPACER IDENTITI POR 10D8X18X50,14375.0,11500.0,3802.19,12937.5,26
RC,0278,SPACER IDENTITI POR 7D7X16X14,5378.0,4302.4,1422.48,4840.2,26
RC,0278,SPACER LORDOSIS 0-14D 9X30X8,16088.0,12870.4,4255.28,14479.2,26
RC,0278,SPACER RECTAL BARRIGEL 3ML,6278.0,5022.4,1660.53,5650.2,26
RC,0278,SPACER RECTAL RADI BARRIGEL,10850.0,8680.0,2869.83,9765.0,26
RC,0278,SPACER SABLE 0D 6-12 10X22MM,14663.0,11730.4,3878.36,13196.7,26
RC,0278,SPACER SABLE 15D 12X30 10-17MM,14663.0,11730.4,3878.36,13196.7,26
RC,0278,SPACER SABLE 15D 12X30 7-14MM,14663.0,11730.4,3878.36,13196.7,26
RC,0278,SPACER SABLE 22D 10X30 10-18MM,14663.0,11730.4,3878.36,13196.7,26
RC,0278,SPACER SABLE 8D 10X30 6-12MM,14663.0,11730.4,3878.36,13196.7,26
RC,0278,SPACER SABLE 8D 10X30 9-16MM,14663.0,11730.4,3878.36,13196.7,26
RC,0278,SPACER SABLE 8D 6-12 10X22MM,14663.0,11730.4,3878.36,13196.7,26
RC,0278,SPACER SABLE 8D 8X22 9-15MM,14663.0,11730.4,3878.36,13196.7,26
RC,0278,SPACER SPNL ALIF 10D 5X38X28MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 10D 6X34X24MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 10D 7X38X28MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 10D 8X34X24MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 10D 9X38X28MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 10D10X34X24MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 10D12X34X24MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 15D 5X38X28MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 15D 6X34X24MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 15D 6X42X30MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 15D 7X38X28MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 15D 8X34X24MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 15D 8X42X30MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 15D 9X38X28MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIF 20D 6X38X28MM,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL ALIFLORD15D5X38X28,17500.0,14000.0,4628.75,15750.0,26
RC,0278,SPACER SPNL CATALYFT PL40SHRT7,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CATALYFT PL40SHRT9,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CATALYFT PLSHRT7MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CATALYFTPL LNG 7MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CATALYFTPL LNG 9MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CATALYFTPL LNG11MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CATALYFTPL40 LNG 7,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CATALYFTPL40 LNG 9,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CATALYFTPL40 LNG11,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CATALYFTPL40SHRT11,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CATALYFTPLSHRT11MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,SPACER SPNL CORE 0D16X30X21-29,29440.0,23552.0,7786.88,26496.0,26
RC,0278,SPACER SPNL FORTIFY 0D31X12X14,14588.0,11670.4,3858.53,13129.2,26
RC,0278,SPACER SPNL HLS TI 10MM,4000.0,3200.0,1058.0,3600.0,26
RC,0278,SPACER SPNL LIF 10D 4X18X55MM,16875.0,13500.0,4463.44,15187.5,26
RC,0278,SPACER SPNL LIF 10D 6X22X50MM,16875.0,13500.0,4463.44,15187.5,26
RC,0278,SPACER SPNL LIF 10D 8X22X50MM,16875.0,13500.0,4463.44,15187.5,26
RC,0278,SPACER SPNL LIF 10D 8X22X60MM,16875.0,13500.0,4463.44,15187.5,26
RC,0278,SPACER SPNL LIF TI 10D 4X18X50,14375.0,11500.0,3802.19,12937.5,26
RC,0278,SPACER SPNL LTX 15D 6X18X45MM,18125.0,14500.0,4794.06,16312.5,26
RC,0278,SPACER SPNL LTX 15D 6X18X50MM,18125.0,14500.0,4794.06,16312.5,26
RC,0278,SPACER SPNL LTX 15D 6X22X50MM,18125.0,14500.0,4794.06,16312.5,26
RC,0278,SPACER SPNL LTX 15D 6X22X60MM,18750.0,15000.0,4959.38,16875.0,26
RC,0278,SPACER SPNL LTX TI 15D 6X18X45,20000.0,16000.0,5290.0,18000.0,26
RC,0278,SPACER SPNL LTX TI 15D 6X22X45,20000.0,16000.0,5290.0,18000.0,26
RC,0278,SPACER SPNL LTX TI 15D 6X22X50,20000.0,16000.0,5290.0,18000.0,26
RC,0278,SPACER SPNL LTX TI 15D 6X22X55,20000.0,16000.0,5290.0,18000.0,26
RC,0278,SPACER SPNL LTX TI 20D 6X22X55,20000.0,16000.0,5290.0,18000.0,26
RC,0278,SPACER SPNL NANOLK6D16X18X6MM,6435.0,5148.0,1702.06,5791.5,26
RC,0278,SPACER SPNL PSTR TI 10D7X10X30,13875.0,11100.0,3669.94,12487.5,26
RC,0278,SPACER SPNL PSTR TI 10D8X10X30,13875.0,11100.0,3669.94,12487.5,26
RC,0278,SPACER SPNL PSTR TI 10D8X10X35,13875.0,11100.0,3669.94,12487.5,26
RC,0278,SPACER SPNL PSTR TI 10D9X10X35,13875.0,11100.0,3669.94,12487.5,26
RC,0278,SPACER SPNL PSTR TI 15D6X10X30,13875.0,11100.0,3669.94,12487.5,26
RC,0278,SPACER SPNL PSTR TI 15D7X10X30,13875.0,11100.0,3669.94,12487.5,26
RC,0278,SPACER SPNL PSTR TI 15D8X10X30,13875.0,11100.0,3669.94,12487.5,26
RC,0278,SPACER SPNL PSTR TI 5D 7X10X25,13875.0,11100.0,3669.94,12487.5,26
RC,0278,SPACER SPNL PSTR TI10D10X10X35,13875.0,11100.0,3669.94,12487.5,26
RC,0278,SPACER SPNLFORTIFY0-7D31X12X14,14588.0,11670.4,3858.53,13129.2,26
RC,0278,SPACER TENDON SWANSON 3X24CM,7537.0,6029.6,1993.54,6783.3,26
RC,0278,SPINE IMPLT ACCULIF PL 10*NLU*,13000.0,10400.0,3438.5,11700.0,26
RC,0278,SPLT SURG NAIL LG 22MM*NLU*,120.0,96.0,31.74,108.0,26
RC,0278,SPLT SURG NAIL MD 14MM*NLU*,120.0,96.0,31.74,108.0,26
RC,0278,SPLT SURG NAIL SM 8MM*NLU*,120.0,96.0,31.74,108.0,26
RC,0278,SPNG SCLERAL BUCK*USE 6319908*,430.0,344.0,113.74,387.0,26
RC,0278,SPNG SCLERAL BUCKLE 505 5.0,531.0,424.8,140.45,477.9,26
RC,0278,SPNG SCLERAL BUCKLE 510 5.0,430.0,344.0,113.74,387.0,26
RC,0278,SPNG SCLERAL BUCKLE TYPE 506,483.0,386.4,127.75,434.7,26
RC,0278,SPNL CONN ROD MAS VERTEX SM,4249.0,3399.2,1123.86,3824.1,26
RC,0278,SPNL EXTNDR APIFIX LENKE 1,6188.0,4950.4,1636.73,5569.2,26
RC,0278,SPNL IMPLT SYS MDTR SZC 13MM,16250.0,13000.0,4298.13,14625.0,26
RC,0278,SPNL MID-C APIFIX 105,63802.0,51041.6,16875.63,57421.8,26
RC,0278,SPNL MID-C APIFIX 125,63802.0,51041.6,16875.63,57421.8,26
RC,0278,SPNL SCRL IFUSE TORQ 10.0X65,13125.0,10500.0,3471.56,11812.5,26
RC,0278,SPNL SCRL IFUSE TORQ 11.5X70,13125.0,10500.0,3471.56,11812.5,26
RC,0278,SPNL SCRL IFUSE TORQ 11.5X75,13125.0,10500.0,3471.56,11812.5,26
RC,0278,STAPES CLASC NARW 0.4X1X4MM,1663.0,1330.4,439.86,1496.7,26
RC,0278,STAPES CLASC NARW 0.4X4M*NLU*,1524.0,1219.2,403.1,1371.6,26
RC,0278,STAPES CLASC STD 0.6X1X4MM,1660.0,1328.0,439.07,1494.0,26
RC,0278,STAPES INCUS KARTUSH LNG10.3MM,2679.0,2143.2,708.6,2411.1,26
RC,0278,STAPES INCUS KARTUSH MD 7.3MM,2679.0,2143.2,708.6,2411.1,26
RC,0278,STAPES INCUS KARTUSH SHRT5.3MM,2679.0,2143.2,708.6,2411.1,26
RC,0278,STAPES PIST SMART 0.5X4.25MM,2038.0,1630.4,539.05,1834.2,26
RC,0278,STAPES PIST SMART 0.6X4.75MM,2038.0,1630.4,539.05,1834.2,26
RC,0278,STAPLE BONE FIX MD,2048.0,1638.4,541.7,1843.2,26
RC,0278,STAPLE KT MOTOCL*DISC NO REPL*,6750.0,5400.0,1785.38,6075.0,26
RC,0278,STAPLE LIG SPIKED ARTX 6X20MM,782.0,625.6,206.84,703.8,26
RC,0278,STAPLE MOTOCLIP MAX 10X10,5082.0,4065.6,1344.19,4573.8,26
RC,0278,STBL PECTUS ELNG BIOM SS,4626.0,3700.8,1223.58,4163.4,26
RC,0278,STBL PECTUS ELNG BIOM TI,10843.0,8674.4,2867.97,9758.7,26
RC,0278,STIM EXT ACTIVA SC MDTR 60CM,4620.0,3696.0,1221.99,4158.0,26
RC,0278,STIMBONETHOSTEOGEN20/M*DISC*,20160.0,16128.0,5332.32,18144.0,26
RC,0278,STNT AXIOS W ELECCAUT 10X10MM,13300.0,10640.0,3517.85,11970.0,26
RC,0278,STNT BICANALICULAR NUNCHAKU105,1190.0,952.0,314.76,1071.0,26
RC,0278,STNT BLN UTERINE*DISC NO REPL*,450.0,360.0,119.03,405.0,26
RC,0278,STNT FLOW DIVERTER 3.25X12MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT FLOW DIVERTER 3.25X17MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT FLOW DIVERTER 3.25X20MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT FLOW DIVERTER 4.00X12MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT FLOW DIVERTER 4.00X15MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT FLOW DIVERTER 4.00X25MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT FLOW DIVERTER 4.50X15MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT FLOW DIVERTER 4.50X17MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT FLOW DIVERTER 4X25MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT FLOW DIVERTER 5.00X20MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT FLOW DIVERTER 5.00X30MM,37012.0,29609.6,9789.67,33310.8,26
RC,0278,STNT NEUROFORM ATLAS 3.0X21MM,23675.0,18940.0,6262.04,21307.5,26
RC,0278,STNT NEUROFORM ATLAS 4.5X21MM,22873.0,18298.4,6049.91,20585.7,26
RC,0278,STNT NEUROGUARD IEP 8X6X30MM,13738.0,10990.4,3633.7,12364.2,26
RC,0278,STNT NEUROGUARD IEP 8X6X40MM,13738.0,10990.4,3633.7,12364.2,26
RC,0278,STNT NEUROGUARD IEP 9X7X30MM,13738.0,10990.4,3633.7,12364.2,26
RC,0278,STNT NEUROGUARD IEP 9X7X40MM,13738.0,10990.4,3633.7,12364.2,26
RC,0278,STNT PROS SPANNER 20FR S*NLU*,3675.0,2940.0,972.04,3307.5,26
RC,0278,STNT PROX VELA34X80X100*NLU*,10068.0,8054.4,2662.99,9061.2,26
RC,0278,STNT PTA RETRIEVABLE SPUR 3X65,13983.0,11186.4,3698.5,12584.7,26
RC,0278,STNT PTA RETRIEVABLE SPUR 4X60,13983.0,11186.4,3698.5,12584.7,26
RC,0278,STNT ROADSAVER 8X25MMX143CM,10800.0,8640.0,2856.6,9720.0,26
RC,0278,STNT SALIVARY DUCT 0.6MM,1525.0,1220.0,403.36,1372.5,26
RC,0278,STNT SALIVARY DUCT 1.0MM,1525.0,1220.0,403.36,1372.5,26
RC,0278,STNT SINUS FRNTL RAINS STD,428.0,342.4,113.21,385.2,26
RC,0278,STNT SURPASS ELITE 4.0X20MM,40071.0,32056.8,10598.78,36063.9,26
RC,0278,STNT TRACH CL DUMON 13X30MM,3560.0,2848.0,941.62,3204.0,26
RC,0278,STNT TRACH RUTTER 10X93MM,1207.0,965.6,319.25,1086.3,26
RC,0278,STNT TRACH RUTTER 12X126MM,1207.0,965.6,319.25,1086.3,26
RC,0278,STNT TRACH TF DUMON 16X40MM,3560.0,2848.0,941.62,3204.0,26
RC,0278,STNT TRACHEAL NOVATECH 13*NLU*,3320.0,2656.0,878.14,2988.0,26
RC,0278,STNT URETRL CFLEX DBL5.0FR18CM,957.0,765.6,253.13,861.3,26
RC,0278,STNT VAG ADJCOLOPLAST4X12*NLU*,5970.0,4776.0,1579.07,5373.0,26
RC,0278,STNT VAG ADJMENTOR3X9.5CM*NLU*,4950.0,3960.0,1309.28,4455.0,26
RC,0278,STNTGRAFT ENDOL RELAY 34*NLU*,22240.0,17792.0,5882.48,20016.0,26
RC,0278,STNTGRAFT ENDOL RELAY34/30X145,27000.0,21600.0,7141.5,24300.0,26
RC,0278,STNTGRAFT ENDOL RELAY36/32X199,37900.0,30320.0,10024.55,34110.0,26
RC,0278,STNTGRAFT ENDOL RELAY38/34X145,45122.0,36097.6,11934.77,40609.8,26
RC,0278,STNTGRAFT ENDOL RELAY40/36X145,45122.0,36097.6,11934.77,40609.8,26
RC,0278,STRIP MOZAIK INTEGRA 10CC*NLU*,5562.0,4449.6,1471.15,5005.8,26
RC,0278,STRUT FASTFIX SHRT 116-152MM,4902.0,3921.6,1296.58,4411.8,26
RC,0278,STRUT INCUS KARTUSH LNG 4.9MM,2589.0,2071.2,684.79,2330.1,26
RC,0278,STRUT INCUS KARTUSH MD 3.9MM,2541.0,2032.8,672.09,2286.9,26
RC,0278,SYR EMBOSP 100UM*USE 6305597*,2083.0,1666.4,550.95,1874.7,26
RC,0278,SYR EMBOSP 250UM*USE 6305598*,1828.0,1462.4,483.51,1645.2,26
RC,0278,SYR EMBOSPH700U*USE 6314943*,2083.0,1666.4,550.95,1874.7,26
RC,0278,SYR EMBOSPHE 75UM*USE 6305596*,1828.0,1462.4,483.51,1645.2,26
RC,0278,SYR EMBOSPHERE500*USE 6313610*,1488.0,1190.4,393.58,1339.2,26
RC,0278,SYS ACUTE AC REPAIR ARTX,5569.0,4455.2,1473.0,5012.1,26
RC,0278,SYS CLIP MINI 8.5-9.8MM 3MM,3563.0,2850.4,942.41,3206.7,26
RC,0278,SYS COVSL ST 20X20X94MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 22X22X94MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 25X25X180*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS COVSL ST 25X25X94MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 31X31X90MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 34X34X52MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 34X34X90MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 37X37X52MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 37X37X90MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 40X40X55MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 43X43X55MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 43X43X95MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST 46X46X55MM*DISC*,35732.0,28585.6,9451.11,32158.8,26
RC,0278,SYS COVSL ST28X28X182MM*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS COVSL ST31X31X182MM*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS COVSL ST34X34X182MM*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS COVSL ST34X34X223MM*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS COVSL ST37X37X182MM*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS COVSL ST37X37X223MM*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS COVSL ST40X40X175MM*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS COVSL ST40X40X218MM*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS COVSL ST43X43X175MM*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS COVSL ST46X46X175MM*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS COVSL ST46X46X218MM*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS COVSLTAPER28X22X207*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS COVSLTAPER31X25X207*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS COVSLTAPER34X28X207*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS COVSLTAPER37X31X207*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS COVSLTAPER40X34X200*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS COVSLTAPER43X37X200*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS COVSLTAPER46X40X200*DISC*,41528.0,33222.4,10984.16,37375.2,26
RC,0278,SYS DELTOID LIG RECON,9677.0,7741.6,2559.57,8709.3,26
RC,0278,SYS ENCORE HYOID/TONGUE,9188.0,7350.4,2430.23,8269.2,26
RC,0278,SYS FREE TAPER25X20X185*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS FREE TAPER28X22X173*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS FREE TAPER31X25X173*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS FREE TAPER34X28X173*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS FREE TAPER37X31X173*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS FREE TAPER40X34X185*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS FREE TAPER43X37X185*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS FREE TAPER46X40X185*DISC*,38630.0,30904.0,10217.64,34767.0,26
RC,0278,SYS IMPLT LIGAMENT RECON ARTX,5445.0,4356.0,1440.2,4900.5,26
RC,0278,SYS INTRL BRC AUG*USE 6307093*,5850.0,4680.0,1547.33,5265.0,26
RC,0278,SYS LAT ANK RECON,8663.0,6930.4,2291.36,7796.7,26
RC,0278,SYS LOAD EVOLUTFX 23/26/29MM,3120.0,2496.0,825.24,2808.0,26
RC,0278,SYS LOAD EVOLUTFX 34MM,3120.0,2496.0,825.24,2808.0,26
RC,0278,SYS MITRAL PASCAL PREC,70380.0,56304.0,18615.51,63342.0,26
RC,0278,SYS PASCAL ACE P10/P5 SM*DISC*,80500.0,64400.0,21292.25,72450.0,26
RC,0278,SYS PASCAL CLASP II TRIAL CL,80500.0,64400.0,21292.25,72450.0,26
RC,0278,SYS PASCAL GENI P10/P5*DISC*,80500.0,64400.0,21292.25,72450.0,26
RC,0278,SYS RECON MAND/MAXIL VSP TI,23819.0,19055.2,6300.13,21437.1,26
RC,0278,SYS SHNT BURHL RSVR *VAT NLU*,4972.0,3977.6,1315.09,4474.8,26
RC,0278,SYS SHNT SPRUNG RSVR PRS*NLU*,5060.0,4048.0,1338.37,4554.0,26
RC,0278,SYS SPACEOAR HYDROGEL 10ML,11550.0,9240.0,3054.98,10395.0,26
RC,0278,SYS SPACEOAR VUE HYDROGEL 10ML,16277.0,13021.6,4305.27,14649.3,26
RC,0278,SYS TENDON REPAIR COMBO KTCONX,6517.0,5213.6,1723.75,5865.3,26
RC,0278,SYS TENDON REPAIR IMPLT DEV,5958.0,4766.4,1575.89,5362.2,26
RC,0278,SYS VALV PROGM INLINE SIPHON,16082.0,12865.6,4253.69,14473.8,26
RC,0278,TAB EXTNDR VOYAGER 5.5/6.0,4417.0,3533.6,1168.3,3975.3,26
RC,0278,TAP CNCLS CANN 4.0X70MM,2816.0,2252.8,744.83,2534.4,26
RC,0278,TAVR AORTIC EVOLUT FX 23MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUT FX 26MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUT FX 29MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUT FX 34MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUT FX+ 23MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUT FX+ 26MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUT FX+ 29MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUT FX+ 34MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUTPRO+ 23MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUTPRO+ 26MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUTPRO+ 29MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR AORTIC EVOLUTPRO+ 34MM,69000.0,55200.0,18250.5,62100.0,26
RC,0278,TAVR COREVALVE E*DISC NO REPL*,69000.0,55200.0,18250.5,62100.0,104
RC,0278,TAVR SAPIEN ULT RESILIA 20MM,78200.0,62560.0,20683.9,70380.0,26
RC,0278,TAVR SAPIEN ULT RESILIA 23MM,78200.0,62560.0,20683.9,70380.0,26
RC,0278,TAVR SAPIEN ULT RESILIA 26MM,78200.0,62560.0,20683.9,70380.0,26
RC,0278,TAVR SAPIEN ULT RESILIA 29MM,78200.0,62560.0,20683.9,70380.0,26
RC,0278,TB ELASTOMER SIL 6FR 12IN*NLU*,367.0,293.6,97.07,330.3,26
RC,0278,TB PE SILVERSTEIN STYLET*NLU*,874.0,699.2,231.17,786.6,26
RC,0278,TB SALIVARY BYPASS CL 10MM,1845.0,1476.0,488.0,1660.5,26
RC,0278,TB SALIVARY BYPASS CL 12MM,1938.0,1550.4,512.6,1744.2,26
RC,0278,TB SALIVARY BYPASS CL 14MM,1938.0,1550.4,512.6,1744.2,26
RC,0278,TB SALIVARY BYPASS CL 8MM,1683.0,1346.4,445.15,1514.7,26
RC,0278,TB VENT ARMSTRG FLPLGRN1.14EA1,348.0,278.4,92.05,313.2,26
RC,0278,TB VENT ARMSTRG FLPLGRN1.14PR1,356.0,284.8,94.16,320.4,26
RC,0278,TB VENT COLAR ULTSIL 1.27 EA30,87.0,69.6,23.01,78.3,26
RC,0278,TB VENT GOODE T SIL 1.14 EA1,412.0,329.6,108.97,370.8,26
RC,0278,TB VENT GOODE T SIL FIRM 1.14,356.0,284.8,94.16,320.4,26
RC,0278,TB VENT GOODE T SIL MOD 1.27,366.0,292.8,96.81,329.4,26
RC,0278,TB VENT HUMMINGBIRD INSRT -90,3196.0,2556.8,845.34,2876.4,26
RC,0278,TB VENT MCRN FLG HL TI 1.00,318.0,254.4,84.11,286.2,26
RC,0278,TB VENT REUTER TI WO HL 1*NLU*,549.0,439.2,145.21,494.1,26
RC,0278,TB VENT SHEEHY A*DISC 6188065*,498.0,398.4,131.72,448.2,26
RC,0278,TB VENT TOUMA T *DISC 6194485*,315.0,252.0,83.32,283.5,26
RC,0278,TB VENT TOUMA T CFLEX1.14*CIP*,434.0,347.2,114.79,390.6,26
RC,0278,TBVENTSHEEHYMICR*DISC 6299807*,379.0,303.2,100.25,341.1,26
RC,0278,THV CERTITUDE 20MM,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV CERTITUDE 23MM,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV CERTITUDE 26MM,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV CERTITUDE 29MM,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SAPIEN 3 23MM*DISC 6316412,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SAPIEN 3 ULT COMMANDER20MM,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SAPIEN 3 ULT COMMANDER23MM,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SAPIEN 3 ULT COMMANDER26MM,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SAPIEN 3 ULT COMMANDER29MM,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SAPIEN 3*DISC 6316413*,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SAPIEN ASCEN*DISC NO REPL*,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SAPIEN XT NO*DISC 6282123*,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SAPIEN XT NO*DISC 6282125*,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SAPIEN XT26*DISC 6282124*,74750.0,59800.0,19771.38,67275.0,26
RC,0278,THV SYS SAPIEN 3 29MM,74750.0,59800.0,19771.38,67275.0,26
RC,0278,TOE IMPLT CARTLG SYN 10MM,12327.0,9861.6,3260.49,11094.3,26
RC,0278,TORP SHEEHY 3.8X7X7MM,1791.0,1432.8,473.72,1611.9,26
RC,0278,TOWER EXPAND 17X22MM 8MM,8505.0,6804.0,2249.57,7654.5,26
RC,0278,TOWER EXPAND 21X25MM 4MM,15435.0,12348.0,4082.56,13891.5,26
RC,0278,TOWER EXPAND 21X25MM 8MM,15435.0,12348.0,4082.56,13891.5,26
RC,0278,TRIAL BALL CYL DEPU*NLU*,1425.0,1140.0,376.91,1282.5,26
RC,0278,VALV AORTIC EPIC MAX STNT 21MM,12910.0,10328.0,3414.7,11619.0,26
RC,0278,VALV AORTIC EPIC MAX STNT 23MM,12910.0,10328.0,3414.7,11619.0,26
RC,0278,VALV AORTIC EPIC MAX STNT 25MM,12910.0,10328.0,3414.7,11619.0,26
RC,0278,VALV AORTIC EPIC MAX STNT19MM,12910.0,10328.0,3414.7,11619.0,26
RC,0278,VALV AORTIC EPIC*DISC NO REPL*,16431.0,13144.8,4346.0,14787.9,26
RC,0278,VALV AORTIC EPICPLUSSTNTED21MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV AORTIC EPICPLUSSTNTED23MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV AORTIC EPICPLUSSTNTED25MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV AORTIC EPICPLUSSTNTED27MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV AORTIC EPICPLUSSTNTED29MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV AORTIC EVOL*DISC 6305671*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,VALV AORTIC EVOL*DISC 6305674*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,VALV AORTIC EVOL*DISC 6305675*,69000.0,55200.0,18250.5,62100.0,26
RC,0278,VALV AORTIC FLEXCUFFREGENT19MM,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV AORTIC FLEXCUFFREGENT21MM,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV AORTIC FLEXCUFFREGENT23MM,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV AORTIC FLEXCUFFREGENT25MM,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV AORTIC FLEXCUFFREGENT27MM,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV AORTIC FREESTYLE 19MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,VALV AORTIC FREESTYLE 21MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,VALV AORTIC FREESTYLE 23MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,VALV AORTIC FREESTYLE 25MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,VALV AORTIC FREESTYLE 27MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,VALV AORTIC FREESTYLE 29MM,13750.0,11000.0,3636.88,12375.0,26
RC,0278,VALV AORTIC HANCOCK 21MM,13475.0,10780.0,3564.14,12127.5,26
RC,0278,VALV AORTIC HANCOCK 23MM,13475.0,10780.0,3564.14,12127.5,26
RC,0278,VALV AORTIC HANCOCK 25MM,13475.0,10780.0,3564.14,12127.5,26
RC,0278,VALV AORTIC HANCOCK 27MM,13475.0,10780.0,3564.14,12127.5,26
RC,0278,VALV AORTIC MAGNA EASE 27MM,15000.0,12000.0,3967.5,13500.0,26
RC,0278,VALV AORTIC ONX 19MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC ONX 21MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC ONX 23MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC ONX 25MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC ONX 27/29MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC ONX ANATOM 19MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC ONX ANATOM 21MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC ONX ANATOM 23MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC ONX ANATOM 25MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC ONX ANATOM 27/29,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC ONX CONFORM-X23MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV AORTIC PERCEVAL+ LG,21250.0,17000.0,5620.63,19125.0,26
RC,0278,VALV AORTIC PERCEVAL+ MD,21250.0,17000.0,5620.63,19125.0,26
RC,0278,VALV AORTIC PERCEVAL+ SM,21250.0,17000.0,5620.63,19125.0,26
RC,0278,VALV AORTIC PERCEVAL+ XL,21250.0,17000.0,5620.63,19125.0,26
RC,0278,VALV AORTIC SUP*DISC 6329477*,15033.0,12026.4,3976.23,13529.7,26
RC,0278,VALV AORTIC SUPR*DISC 6329476*,15033.0,12026.4,3976.23,13529.7,26
RC,0278,VALV AORTIC SUPR*DISC 6329478*,15033.0,12026.4,3976.23,13529.7,26
RC,0278,VALV AORTIC SUPR*DISC 6329479*,15033.0,12026.4,3976.23,13529.7,26
RC,0278,VALV AORTIC SUPR*DISC 6329480*,15033.0,12026.4,3976.23,13529.7,26
RC,0278,VALV AORTIC SUPRAEPICPLUS 19MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV AORTIC SUPRAEPICPLUS 21MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV AORTIC SUPRAEPICPLUS 23MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV AORTIC SUPRAEPICPLUS 25MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV AORTIC SUPRAEPICPLUS 27MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV AORTIC TRIF*DISC NO REPL*,17483.0,13986.4,4624.25,15734.7,156
RC,0278,VALV AORTIC VALSALVA ONX 21MM,16500.0,13200.0,4364.25,14850.0,26
RC,0278,VALV AORTIC VALSALVA ONX 23MM,16500.0,13200.0,4364.25,14850.0,26
RC,0278,VALV AORTIC VALSALVA ONX 25MM,16500.0,13200.0,4364.25,14850.0,26
RC,0278,VALV AORTIC VALSALVAONX27/29MM,16500.0,13200.0,4364.25,14850.0,26
RC,0278,VALV AORTICINSPIRISRESILIA19MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV AORTICINSPIRISRESILIA21MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV AORTICINSPIRISRESILIA23MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV AORTICINSPIRISRESILIA25MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV AORTICINSPIRISRESILIA27MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV AORTICINSPIRISRESILIA29MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV CSF DELTA LVL 0.5 11X4MM,5049.0,4039.2,1335.46,4544.1,26
RC,0278,VALV CSF DELTA REG LVL 1.0,6790.0,5432.0,1795.96,6111.0,26
RC,0278,VALV CSF DELTA SM LVL 1.0,6790.0,5432.0,1795.96,6111.0,26
RC,0278,VALV CSF DELTA SM LVL2*NLU*,6790.0,5432.0,1795.96,6111.0,26
RC,0278,VALV CSF FLOWCTRL BURHL HP12MM,5429.0,4343.2,1435.97,4886.1,26
RC,0278,VALV DELTA BUR HL LVL1 12*NLU*,6790.0,5432.0,1795.96,6111.0,26
RC,0278,VALV DELTA BUR HL LVL1.5*DISC*,6657.0,5325.6,1760.78,5991.3,26
RC,0278,VALV ENDOBRONCHIAL ZEPHYR 4.0,11160.0,8928.0,2951.82,10044.0,26
RC,0278,VALV ENDOBRONCHIAL ZEPHYR 5.5,11160.0,8928.0,2951.82,10044.0,26
RC,0278,VALV ENDOBRONCHIAL ZEPHYRLP4.0,11160.0,8928.0,2951.82,10044.0,26
RC,0278,VALV ENDOBRONCHIAL ZEPHYRLP5.5,11160.0,8928.0,2951.82,10044.0,26
RC,0278,VALV INTUITY ELITE 19MM,27600.0,22080.0,7300.2,24840.0,26
RC,0278,VALV INTUITY ELITE 21MM,27600.0,22080.0,7300.2,24840.0,26
RC,0278,VALV INTUITY ELITE 23MM,27600.0,22080.0,7300.2,24840.0,26
RC,0278,VALV INTUITY ELITE 25MM,27600.0,22080.0,7300.2,24840.0,26
RC,0278,VALV INTUITY ELITE 27MM,27600.0,22080.0,7300.2,24840.0,26
RC,0278,VALV KONECT AVC 21MM,36800.0,29440.0,9733.6,33120.0,26
RC,0278,VALV KONECT AVC 23MM,36800.0,29440.0,9733.6,33120.0,26
RC,0278,VALV KONECT AVC 25MM,36800.0,29440.0,9733.6,33120.0,26
RC,0278,VALV KONECT AVC 27MM,36800.0,29440.0,9733.6,33120.0,26
RC,0278,VALV KONECT AVC 29MM,36800.0,29440.0,9733.6,33120.0,26
RC,0278,VALV MICRO RICKHAM 70MMH2O 2.5,6106.0,4884.8,1615.04,5495.4,26
RC,0278,VALV MITRAL EPIC*DISC 6325551*,15033.0,12026.4,3976.23,13529.7,26
RC,0278,VALV MITRAL EPIC*DISC 6325553*,15033.0,12026.4,3976.23,13529.7,26
RC,0278,VALV MITRAL EPIC*DISC 6328170*,15033.0,12026.4,3976.23,13529.7,26
RC,0278,VALV MITRAL EPIC*DISC 6328175*,15033.0,12026.4,3976.23,13529.7,26
RC,0278,VALV MITRAL EPIC*DISC 6328176*,15033.0,12026.4,3976.23,13529.7,26
RC,0278,VALV MITRAL EPICPLUSSTNTED25MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV MITRAL EPICPLUSSTNTED27MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV MITRAL EPICPLUSSTNTED29MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV MITRAL EPICPLUSSTNTED31MM,17413.0,13930.4,4605.74,15671.7,26
RC,0278,VALV MITRAL EPICPLUSSTNTED33MM,17376.0,13900.8,4595.95,15638.4,26
RC,0278,VALV MITRAL MECH EXPPOLYCUFF23,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV MITRAL MECH EXPPOLYCUFF25,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV MITRAL MECH EXPPOLYCUFF27,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV MITRAL MECH EXPPOLYCUFF29,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV MITRAL MECH EXPPOLYCUFF31,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV MITRAL MECH EXPPOLYCUFF33,13238.0,10590.4,3501.45,11914.2,26
RC,0278,VALV MITRAL MITRIS RESILIA25MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV MITRAL MITRIS RESILIA27MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV MITRAL MITRIS RESILIA29MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV MITRAL MITRIS RESILIA31MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV MITRAL MITRIS RESILIA33MM,19000.0,15200.0,5025.5,17100.0,26
RC,0278,VALV MITRAL ONX 25/33MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV MITRAL ONX 25MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV MITRAL ONX 27/29MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV MITRAL ONX 31/33MM,12625.0,10100.0,3339.31,11362.5,26
RC,0278,VALV MITRAL OPTIFORM CARB SZ25,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV MITRAL OPTIFORM CARB SZ29,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV MITRAL OPTIFORM CARB SZ31,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV MITRAL OPTIFORM CARB SZ33,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV MITRAL PER*DISC 6294717*,14163.0,11330.4,3746.11,12746.7,26
RC,0278,VALV RDCTN CARBOMEDICS 25MM,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV RDCTN CARBOMEDICS 27MM,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV REDUCED CARBOMEDICS 19MM,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV REDUCED CARBOMEDICS 23MM,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV TOP HAT CARBOMEDICS 19MM,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV TOP HAT CARBOMEDICS 21MM,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV TOP HAT CARBOMEDICS 23MM,11193.0,8954.4,2960.55,10073.7,26
RC,0278,VALV TRICUSPID EVOQUE 44MM,98900.0,79120.0,26159.05,89010.0,26
RC,0278,VALV TRICUSPID EVOQUE 48MM,98900.0,79120.0,26159.05,89010.0,26
RC,0278,VALV TRICUSPID EVOQUE 52MM,98900.0,79120.0,26159.05,89010.0,26
RC,0278,VALV TRICUSPID EVOQUE 56MM,98900.0,79120.0,26159.05,89010.0,26
RC,0278,VALV TRICUSPID EVOQUE RSCH44MM,201000.0,160800.0,53164.5,180900.0,26
RC,0278,VALV TRICUSPID EVOQUE RSCH48MM,201000.0,160800.0,53164.5,180900.0,26
RC,0278,VALV TRICUSPID EVOQUE RSCH52MM,201000.0,160800.0,53164.5,180900.0,26
RC,0278,VALV TRICUSPID EVOQUE RSCH56MM,201000.0,160800.0,53164.5,180900.0,26
RC,0278,VALV VENT CATH BACTI *DISC*,10814.0,8651.2,2860.3,9732.6,26
RC,0278,WDG COTTON RIPTIDE 20X15X8MM,10769.0,8615.2,2848.4,9692.1,26
RC,0278,WDG COTTON RIPTIDE 25X15X6MM,10769.0,8615.2,2848.4,9692.1,26
RC,0278,WDG COTTON RIPTIDE 25X15X8MM,10769.0,8615.2,2848.4,9692.1,26
RC,0278,WDG EVANS BIOSYNC 20X20X10MM,10865.0,8692.0,2873.79,9778.5,26
RC,0278,WIRE FIX LRF DIMND 1.8X450MM,553.0,442.4,146.27,497.7,26
RC,0278,WIRE META SHRTENINGPILOTHL2.25,1445.0,1156.0,382.2,1300.5,26
RC,0278,WND MTX COLLAGEN FLOWABLE*NLU*,15590.0,12472.0,4123.56,14031.0,26
RC,0278,WOVEN DBLVEL 12MM 50CM*NLU*,2589.0,2071.2,684.79,2330.1,26
RC,0278,WOVEN DBLVEL 16X8MM 48CM*NLU*,3519.0,2815.2,930.78,3167.1,26
RC,0278,WOVEN DBLVEL 16X9MM 48CM*NLU*,3528.0,2822.4,933.16,3175.2,26
RC,0278,WOVEN DBLVEL 18X9MM 48CM*NLU*,3519.0,2815.2,930.78,3167.1,26
RC,0278,WOVEN DBLVEL 20X10MM 48CM*NLU*,3519.0,2815.2,930.78,3167.1,26
RC,0278,WOVEN DBLVEL 24MM 50CM*NLU*,2596.0,2076.8,686.64,2336.4,26
RC,0278,WOVEN DBLVEL ST 6MMX50CM*NLU*,2589.0,2071.2,684.79,2330.1,26
RC,0278,WRENCH TORQ PLUG*DISC 6304512*,500.0,400.0,132.25,450.0,26
RC,0310,STAIN CHARGE,4.0,3.2,1.06,3.6,26
RC,0320,RAD EXAM C ARM,1376.0,1100.8,363.95,1238.4,26
RC,0320,RAD EXAM MORGUE,263.0,210.4,69.56,236.7,26
RC,0320,RAD EXAM TECH PER HOUR,38.0,30.4,10.05,34.2,26
RC,0333,ELECTRON CUT OUT 10X10CM,900.0,720.0,238.05,810.0,26
RC,0333,ELECTRON CUT OUT 15X15CM,1063.0,850.4,281.16,956.7,26
RC,0333,ELECTRON CUT OUT 20X20CM,1275.0,1020.0,337.24,1147.5,26
RC,0333,ELECTRON CUT OUT 25X25CM,1700.0,1360.0,449.65,1530.0,26
RC,0333,ELECTRON CUT OUT 6X10CM,900.0,720.0,238.05,810.0,26
RC,0360,A-V SHUNT FISTULA,2999.0,2399.2,793.24,2699.1,26
RC,0360,ABBE FLAP,10290.0,8232.0,2721.71,9261.0,26
RC,0360,ABD ANEURYSM,13565.0,10852.0,3587.94,12208.5,26
RC,0360,ABD HYSTERECTOMY,15511.0,12408.8,4102.66,13959.9,26
RC,0360,ABD PERINEAL RESECTION,14502.0,11601.6,3835.78,13051.8,26
RC,0360,ABDOMINAL FAT GRAFT,3673.0,2938.4,971.51,3305.7,26
RC,0360,ABDOMINOPLASTY,8126.0,6500.8,2149.33,7313.4,26
RC,0360,ABLATION CARDIAC SURGICAL TISSUE,12075.0,9660.0,3193.84,10867.5,26
RC,0360,ACE PROCEDURE,3429.0,2743.2,906.97,3086.1,26
RC,0360,ACETABULOPLASTY,9615.0,7692.0,2543.17,8653.5,26
RC,0360,ACETABULOPLASTY RESECTION FEMORAL HEAD,9615.0,7692.0,2543.17,8653.5,26
RC,0360,ADDITIONAL MINUTES,90.0,72.0,23.81,81.0,26
RC,0360,ADENOIDECTOMY,3172.0,2537.6,838.99,2854.8,26
RC,0360,ADJUST LAP BAND PORT,2817.0,2253.6,745.1,2535.3,26
RC,0360,ADRENALECTOMY,8836.0,7068.8,2337.12,7952.4,26
RC,0360,ADVANCEMENT HYOID,3048.0,2438.4,806.2,2743.2,26
RC,0360,AIRWAY RECONSTRUCTION PEDS,8085.0,6468.0,2138.48,7276.5,26
RC,0360,ALVEOLOPLASTY,2318.0,1854.4,613.11,2086.2,26
RC,0360,AMPUTATION,8624.0,6899.2,2281.05,7761.6,26
RC,0360,AMPUTATION MINOR,3590.0,2872.0,949.56,3231.0,26
RC,0360,ANEURYSM HEART,23547.0,18837.6,6228.18,21192.3,26
RC,0360,ANKLE FUSION,10322.0,8257.6,2730.17,9289.8,26
RC,0360,ANORECTOPLASTY POSTERIOR,16245.0,12996.0,4296.8,14620.5,26
RC,0360,AORTAL-FEMORAL BYPASS,13565.0,10852.0,3587.94,12208.5,26
RC,0360,AORTIC BALLOON INSRT,7283.0,5826.4,1926.35,6554.7,26
RC,0360,AORTIC BALLOON REMVL,6260.0,5008.0,1655.77,5634.0,26
RC,0360,AORTIC VALVE,23547.0,18837.6,6228.18,21192.3,26
RC,0360,APPENDECTOMY OPEN,12440.0,9952.0,3290.38,11196.0,26
RC,0360,APPLICATION SKIN SUBSTITUTE GRAFT(S),3670.0,2936.0,970.72,3303.0,26
RC,0360,ARTHRODESIS,12321.0,9856.8,3258.9,11088.9,26
RC,0360,ARTHRODESIS MINOR,4531.0,3624.8,1198.45,4077.9,26
RC,0360,ARTHROGRAM,2590.0,2072.0,685.06,2331.0,26
RC,0360,ARTHROPLASTY,9330.0,7464.0,2467.79,8397.0,26
RC,0360,ARTHROPLASTY MINOR,4531.0,3624.8,1198.45,4077.9,26
RC,0360,ARTHROPLASTY TOTAL DISC CERV,16815.0,13452.0,4447.57,15133.5,26
RC,0360,ARTHROSCOPY,7636.0,6108.8,2019.72,6872.4,26
RC,0360,ARTHROSCOPY W CARTICEL IMPLANT,9734.0,7787.2,2574.64,8760.6,26
RC,0360,ARTHROSCOPY WACL RECON,16939.0,13551.2,4480.37,15245.1,26
RC,0360,ARTHROTOMY,4531.0,3624.8,1198.45,4077.9,26
RC,0360,ARYTENOIDECTOMY ARYTENOIDOPEXY EXT APPROACH,5763.0,4610.4,1524.31,5186.7,26
RC,0360,ASPIRATION BONE MARROW SURGERY,1057.0,845.6,279.58,951.3,26
RC,0360,ASPIRATION JOINT,2117.0,1693.6,559.95,1905.3,26
RC,0360,ATRIAL SEPTAL DEFECT,23547.0,18837.6,6228.18,21192.3,26
RC,0360,AUGMENTATION MAMMOPLASTY,3009.0,2407.2,795.88,2708.1,26
RC,0360,AXILLARY ANEURYSM,14000.0,11200.0,3703.0,12600.0,26
RC,0360,B-T SHUNT,13644.0,10915.2,3608.84,12279.6,26
RC,0360,BARTHOLIN CYST,3403.0,2722.4,900.09,3062.7,26
RC,0360,BASIVERTEBRAL NERVE ABLATION,13048.0,10438.4,3451.2,11743.2,26
RC,0360,BELT LIPECTOMY,17842.0,14273.6,4719.21,16057.8,26
RC,0360,BILIARY DIVERSION,9325.0,7460.0,2466.46,8392.5,26
RC,0360,BIRCH PROCEDURE,10709.0,8567.2,2832.53,9638.1,26
RC,0360,BLADDER REPAIR (OPEN),10527.0,8421.6,2784.39,9474.3,26
RC,0360,BLEPHAROPLASTY,3666.0,2932.8,969.66,3299.4,26
RC,0360,BLEPHAROPLASTY LOWER,3120.0,2496.0,825.24,2808.0,26
RC,0360,BLEPHAROPLASTY UPPER,3120.0,2496.0,825.24,2808.0,26
RC,0360,BLOOD PATCH,2412.0,1929.6,637.97,2170.8,26
RC,0360,BONE ANCHORED BAHA STAGE 2,3155.0,2524.0,834.5,2839.5,26
RC,0360,BONE ANCHORED HEAR AID (BAHA),13477.0,10781.6,3564.67,12129.3,26
RC,0360,BONE BIOPSY,4006.0,3204.8,1059.59,3605.4,26
RC,0360,BONE GRAFT,4531.0,3624.8,1198.45,4077.9,26
RC,0360,BONE GRAFT MINOR,4531.0,3624.8,1198.45,4077.9,26
RC,0360,BONY SPUR EXCISION,4531.0,3624.8,1198.45,4077.9,26
RC,0360,BOTOX INJECTION REV 360,876.0,700.8,231.7,788.4,26
RC,0360,BRACHIOPLASTY,2979.0,2383.2,787.95,2681.1,26
RC,0360,BRACHYTHERAPY CERVICAL,2566.0,2052.8,678.71,2309.4,26
RC,0360,BRANCHIAL CLEFT CYST EXC,4047.0,3237.6,1070.43,3642.3,26
RC,0360,BREAST BIOPSY,3041.0,2432.8,804.34,2736.9,26
RC,0360,BREAST LUMPECTOMY,5059.0,4047.2,1338.11,4553.1,26
RC,0360,BREAST RECONSTRUCTION,4289.0,3431.2,1134.44,3860.1,26
RC,0360,BREAST TATOOING BILATERAL,1549.0,1239.2,409.71,1394.1,26
RC,0360,BREAST TATOOING UNILATERAL,904.0,723.2,239.11,813.6,26
RC,0360,BRONCH WASH BRUSH FLUORO,5415.0,4332.0,1432.27,4873.5,26
RC,0360,BRONCH-BRONCHOGRAM-BRACHY,4405.0,3524.0,1165.12,3964.5,26
RC,0360,BRONCH-THERAPEUTIC-INITIA,3714.0,2971.2,982.35,3342.6,26
RC,0360,BRONCH-THERAPEUTIC-SUBSEQ,2636.0,2108.8,697.22,2372.4,26
RC,0360,BRONCHOSCOPY,4693.0,3754.4,1241.3,4223.7,26
RC,0360,BRONCHOSCOPY BIOPSY,3760.0,3008.0,994.52,3384.0,26
RC,0360,BRONCHOSCOPY FOREIGN BODY,3681.0,2944.8,973.62,3312.9,26
RC,0360,BRONCHOSCOPY NEEDLE BX FLUORO,4874.0,3899.2,1289.17,4386.6,26
RC,0360,BRONCHOSCOPY TAMPONADE,3615.0,2892.0,956.17,3253.5,26
RC,0360,BRONCHOSCOPY TRNSBRONC BX,6946.0,5556.8,1837.22,6251.4,26
RC,0360,BRONCHOSCOPY W EVAL FOR VALVE REPLACEMENT,6500.0,5200.0,1719.25,5850.0,26
RC,0360,BRONCHOSCOPY WASH BRUSH,3329.0,2663.2,880.52,2996.1,26
RC,0360,BRONCHOSCOPY WITH ENDOBRONCHIAL ULTRASOUND,6232.0,4985.6,1648.36,5608.8,26
RC,0360,BRONCHOSCOPY WITH NAVIGATION AND EBUS,9159.0,7327.2,2422.56,8243.1,26
RC,0360,BRONCHOSCOPY-NEEDLE-BX,5171.0,4136.8,1367.73,4653.9,26
RC,0360,BROW LIFT,2852.0,2281.6,754.35,2566.8,26
RC,0360,BUCCAL GRAFT,2733.0,2186.4,722.88,2459.7,26
RC,0360,BUNIONECTOMY,5054.0,4043.2,1336.78,4548.6,26
RC,0360,BURR HOLES,11110.0,8888.0,2938.6,9999.0,26
RC,0360,BURSECTOMY,4531.0,3624.8,1198.45,4077.9,26
RC,0360,BYPASS INTRACRANIAL ARTERIAL,19618.0,15694.4,5188.96,17656.2,26
RC,0360,CABG,23547.0,18837.6,6228.18,21192.3,26
RC,0360,CABG W TMR LASER,24109.0,19287.2,6376.83,21698.1,26
RC,0360,CANALOPLASTY,1879.0,1503.2,497.0,1691.1,26
RC,0360,CANALPLASTY,5213.0,4170.4,1378.84,4691.7,26
RC,0360,CANDELA TATOO LASER,229.0,183.2,60.57,206.1,26
RC,0360,CANDELA VASCULAR LASER,229.0,183.2,60.57,206.1,26
RC,0360,CANTHOPEXY,3077.0,2461.6,813.87,2769.3,26
RC,0360,CANTHOPLASTY,5797.0,4637.6,1533.31,5217.3,26
RC,0360,CAPSULECTOMY BREAST,4713.0,3770.4,1246.59,4241.7,26
RC,0360,CAPSULOTOMY BREAST,5619.0,4495.2,1486.23,5057.1,26
RC,0360,CAPSULOTOMY JOINT,4531.0,3624.8,1198.45,4077.9,26
RC,0360,CARDIOTOMY EXPLORATORY,22151.0,17720.8,5858.94,19935.9,26
RC,0360,CAROTID ENDARTERECTOMY,12252.0,9801.6,3240.65,11026.8,26
RC,0360,CARPAL TUNNEL,4342.0,3473.6,1148.46,3907.8,26
RC,0360,CARPAL TUNNEL ENDOSCOPIC,5294.0,4235.2,1400.26,4764.6,26
RC,0360,CARPECTOMY,5294.0,4235.2,1400.26,4764.6,26
RC,0360,CAST APPLICATION CHANGE,1870.0,1496.0,494.62,1683.0,26
RC,0360,CATARACT SURGERY,2689.0,2151.2,711.24,2420.1,26
RC,0360,CATARACT W PHACO,5709.0,4567.2,1510.03,5138.1,26
RC,0360,CAUTERIZE TURBINATES,3688.0,2950.4,975.48,3319.2,26
RC,0360,CENTRAL LINE INSERTION,4378.0,3502.4,1157.98,3940.2,26
RC,0360,CERCLAGE UTERINE CERVIX,4955.0,3964.0,1310.6,4459.5,26
RC,0360,CERVICAL FUSION,19804.0,15843.2,5238.16,17823.6,26
RC,0360,CESAREAN DELIVERY,10385.0,8308.0,2746.83,9346.5,26
RC,0360,CHALAZION,2080.0,1664.0,550.16,1872.0,26
RC,0360,CHEILECTOMY,5294.0,4235.2,1400.26,4764.6,26
RC,0360,CHEMO ADMIN INTRATHECAL,1064.0,851.2,281.43,957.6,26
RC,0360,CHEST TUBE INSERTION,3411.0,2728.8,902.21,3069.9,26
RC,0360,CHIARI MALFORMATION,16929.0,13543.2,4477.72,15236.1,26
RC,0360,CHOLECYSTECTOMY CD,10746.0,8596.8,2842.32,9671.4,26
RC,0360,CHOLECYSTECTOMY OPEN,13071.0,10456.8,3457.28,11763.9,26
RC,0360,CHOLECYSTOJEJUNOSTOMY,9239.0,7391.2,2443.72,8315.1,26
RC,0360,CHOLECYSTOTOMY,12010.0,9608.0,3176.65,10809.0,26
RC,0360,CHOLEDUCHOJEJUNOSTOMY,11262.0,9009.6,2978.8,10135.8,26
RC,0360,CHONDROLARYNGOPLASTY,5961.0,4768.8,1576.68,5364.9,26
RC,0360,CIRCUMCISION,4109.0,3287.2,1086.83,3698.1,26
RC,0360,CLEFT LIP REPAIR,8689.0,6951.2,2298.24,7820.1,26
RC,0360,CLOSED PINNING,3596.0,2876.8,951.14,3236.4,26
RC,0360,CLOSED REDUCTION,2444.0,1955.2,646.44,2199.6,26
RC,0360,CLOSURE GASTROCUTANEOUS FIST,15299.0,12239.2,4046.59,13769.1,26
RC,0360,CMG-EMG,599.0,479.2,158.44,539.1,26
RC,0360,COARCTATION AORTA,13644.0,10915.2,3608.84,12279.6,26
RC,0360,COCCYGECTOMY,6709.0,5367.2,1774.53,6038.1,26
RC,0360,COCHLEAR INSERTION,14001.0,11200.8,3703.26,12600.9,26
RC,0360,COLON INTERPOSITION,16507.0,13205.6,4366.1,14856.3,26
RC,0360,COLPOCLEISIS,6632.0,5305.6,1754.16,5968.8,26
RC,0360,COLPOSCOPY,1317.0,1053.6,348.35,1185.3,26
RC,0360,COMMON DUCT EXPL,8984.0,7187.2,2376.27,8085.6,26
RC,0360,CONE BX,3828.0,3062.4,1012.51,3445.2,26
RC,0360,CORDOTOMY,9301.0,7440.8,2460.11,8370.9,26
RC,0360,CORE NEEDLE BIOPSY,1676.0,1340.8,443.3,1508.4,26
RC,0360,CORNEAL REPAIR,6862.0,5489.6,1815.0,6175.8,26
RC,0360,CORNEAL TRANSPLANT,4233.0,3386.4,1119.63,3809.7,26
RC,0360,CORPECTOMY,13495.0,10796.0,3569.43,12145.5,26
RC,0360,CRANIECTOMY,15727.0,12581.6,4159.79,14154.3,26
RC,0360,CRANIO-FACIAL ADVANCE,13879.0,11103.2,3671.0,12491.1,26
RC,0360,CRANIOPLASTY,13107.0,10485.6,3466.8,11796.3,26
RC,0360,CRANIOTOMY,18673.0,14938.4,4939.01,16805.7,26
RC,0360,CUBITAL TUNNEL ENDOSCOPIC,5452.0,4361.6,1442.05,4906.8,26
RC,0360,CYCLOPHOTOCOAGULATION,5843.0,4674.4,1545.47,5258.7,26
RC,0360,CYST EXCISION,3646.0,2916.8,964.37,3281.4,26
RC,0360,CYSTECTOMY PARTIAL,12324.0,9859.2,3259.7,11091.6,26
RC,0360,CYSTECTOMY W ILEODIVERSION,16396.0,13116.8,4336.74,14756.4,26
RC,0360,CYSTO & ADDT PROC & LASER,6588.0,5270.4,1742.53,5929.2,26
RC,0360,CYSTO + ADDT PROC,4669.0,3735.2,1234.95,4202.1,26
RC,0360,CYSTO + URETHRAL IMPLANT,3042.0,2433.6,804.61,2737.8,26
RC,0360,CYSTO OUT OF DEPT,2506.0,2004.8,662.84,2255.4,26
RC,0360,CYSTO RECTOCELE REPAIR,8951.0,7160.8,2367.54,8055.9,26
RC,0360,CYSTO W INSRT PERM ADJ TRANSPROSTATIC  IMP LANT 4+,11127.0,8901.6,2943.09,10014.3,26
RC,0360,CYSTO W INSRT PERM ADJ TRANSPROSTATIC IMPLANT 1-3,7577.0,6061.6,2004.12,6819.3,26
RC,0360,CYSTOSCOPY,4175.0,3340.0,1104.29,3757.5,26
RC,0360,CYSTOTOMY,7940.0,6352.0,2100.13,7146.0,26
RC,0360,D & C,2603.0,2082.4,688.49,2342.7,26
RC,0360,D & E,2878.0,2302.4,761.23,2590.2,26
RC,0360,DACROCYSTORHINOSTOMY,3054.0,2443.2,807.78,2748.6,26
RC,0360,DEBRIDEMENT PROCEDURE,4885.0,3908.0,1292.08,4396.5,26
RC,0360,DEHISCENCE,6374.0,5099.2,1685.92,5736.6,26
RC,0360,DEINFIBULATION,5746.0,4596.8,1519.82,5171.4,26
RC,0360,DENTAL RESTORATION,3628.0,2902.4,959.61,3265.2,26
RC,0360,DENVER LEVEEN SHUNT,6335.0,5068.0,1675.61,5701.5,26
RC,0360,DEPRESSED SKULL,11235.0,8988.0,2971.66,10111.5,26
RC,0360,DEQUERVAINS RELEASE,4342.0,3473.6,1148.46,3907.8,26
RC,0360,DERMABRASION,2702.0,2161.6,714.68,2431.8,26
RC,0360,DESTRUCTION NEUROLYTIC OTHER PERIPH NERVE OR BRANCH,2614.0,2091.2,691.4,2352.6,26
RC,0360,DIAPHRAGMATIC HERNIA,13671.0,10936.8,3615.98,12303.9,26
RC,0360,DISCOGRAM,2830.0,2264.0,748.54,2547.0,26
RC,0360,DIVERTICULUM REPAIR,14118.0,11294.4,3734.21,12706.2,26
RC,0360,DIVISION STERNOCLEIDOMASTOID,7114.0,5691.2,1881.65,6402.6,26
RC,0360,DIVISION VASCULAR RING,6722.0,5377.6,1777.97,6049.8,26
RC,0360,DORSAL SLIT,3877.0,3101.6,1025.47,3489.3,26
RC,0360,DRESSING CHANGE,2182.0,1745.6,577.14,1963.8,26
RC,0360,DRUG INDUCED SLEEP ENDOSCOPY,4814.0,3851.2,1273.3,4332.6,26
RC,0360,DUODENAL ATRESIA REPAIR,7872.0,6297.6,2082.14,7084.8,26
RC,0360,DUPUYTRENS RELEASE,4883.0,3906.4,1291.55,4394.7,26
RC,0360,ECTOPIC EXCISION,7186.0,5748.8,1900.7,6467.4,26
RC,0360,ECTROPION ENTROPION,3077.0,2461.6,813.87,2769.3,26
RC,0360,EMBOLECTOMY,8789.0,7031.2,2324.69,7910.1,26
RC,0360,ENCEPHALOCELE REPAIR,7783.0,6226.4,2058.6,7004.7,26
RC,0360,ENDARTERECTOMY,9937.0,7949.6,2628.34,8943.3,26
RC,0360,ENDOBRONCHIAL US ADD-ON,3824.0,3059.2,1011.45,3441.6,26
RC,0360,ENDOLUMINAL AORTIC STENT,12766.0,10212.8,3376.61,11489.4,26
RC,0360,ENDOLUMINAL DEBRANCHING,27188.0,21750.4,7191.23,24469.2,26
RC,0360,ENDOLUMINAL ILIAC STENT,12766.0,10212.8,3376.61,11489.4,26
RC,0360,ENDOMETRIAL ABLATION,3865.0,3092.0,1022.29,3478.5,26
RC,0360,ENDOSCOPIC CRANIAL SYNOSTOSIS,11317.0,9053.6,2993.35,10185.3,26
RC,0360,ENDOSCOPIC EUSTACHIAN TUBE DILATION,7542.0,6033.6,1994.86,6787.8,26
RC,0360,ENDOSCOPIC VP VA SHUNT,13565.0,10852.0,3587.94,12208.5,26
RC,0360,ENDOSCOPY NASAL,1775.0,1420.0,469.49,1597.5,26
RC,0360,ENDOVENOUS ABLATION,8914.0,7131.2,2357.75,8022.6,26
RC,0360,ENDOVENOUS ABLATION ADD'L,7547.0,6037.6,1996.18,6792.3,26
RC,0360,ENUCLEATION,2603.0,2082.4,688.49,2342.7,26
RC,0360,EPIDIDYMECTOMY,2739.0,2191.2,724.47,2465.1,26
RC,0360,EPIPHYSEODESIS,4531.0,3624.8,1198.45,4077.9,26
RC,0360,ERCP W STENT MANAGEMENT,4677.0,3741.6,1237.07,4209.3,26
RC,0360,ESOPHAGEAL ATRESIA,7875.0,6300.0,2082.94,7087.5,26
RC,0360,ESOPHAGOGASTRECTOMY,17239.0,13791.2,4559.72,15515.1,26
RC,0360,ESOPHAGOSCOPY,3537.0,2829.6,935.54,3183.3,26
RC,0360,ESOPHAGOSTOMY,7875.0,6300.0,2082.94,7087.5,26
RC,0360,EVISCERATION EYE,2654.0,2123.2,701.98,2388.6,26
RC,0360,EXAM W ANESTHESIA,2544.0,2035.2,672.89,2289.6,26
RC,0360,EXC RECTAL TUMOR TEMS APPROACH,9409.0,7527.2,2488.68,8468.1,26
RC,0360,EXCISION CAROTID BODY TUMOR,11520.0,9216.0,3047.04,10368.0,26
RC,0360,EXCISION DISTAL CLAVICLE OPEN,3194.0,2555.2,844.81,2874.6,26
RC,0360,EXCISION EXCESSIVE SKIN & SUBQ TISSUE (W LIPECTOMY),7647.0,6117.6,2022.63,6882.3,26
RC,0360,EXCISION MALIGNANT LESION,1462.0,1169.6,386.7,1315.8,26
RC,0360,EXCISION OLECRANON,3194.0,2555.2,844.81,2874.6,26
RC,0360,EXCISION SKIN LESIONS,3492.0,2793.6,923.63,3142.8,26
RC,0360,EXCISION URACHAL CYST OR SINUS,3956.0,3164.8,1046.36,3560.4,26
RC,0360,EXCISION VAGINAL SEPTUM,7674.0,6139.2,2029.77,6906.6,26
RC,0360,EXOSTOSIS EXCISION,5294.0,4235.2,1400.26,4764.6,26
RC,0360,EXTERNAL CEPHALIC VERSION,4750.0,3800.0,1256.38,4275.0,26
RC,0360,EXTERNAL FIXATION,11588.0,9270.4,3065.03,10429.2,26
RC,0360,EXTRACORPOREAL LIFE SUPPORT (ECLS),2140.0,1712.0,566.03,1926.0,26
RC,0360,EXTRACORPOREAL LIFE SUPPORT (ECLS) REM'L,2140.0,1712.0,566.03,1926.0,26
RC,0360,EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY,13928.0,11142.4,3683.96,12535.2,26
RC,0360,FACIAL FX CLOSED RED,8925.0,7140.0,2360.66,8032.5,26
RC,0360,FACIAL FX OPEN RED,10397.0,8317.6,2750.01,9357.3,26
RC,0360,FASCIECTOMY,4357.0,3485.6,1152.43,3921.3,26
RC,0360,FASCIOTOMY,4531.0,3624.8,1198.45,4077.9,26
RC,0360,FEEDING TUBE INSERT REM'L,6764.0,5411.2,1789.08,6087.6,26
RC,0360,FEMORAL ANEURYSM,12494.0,9995.2,3304.66,11244.6,26
RC,0360,FEMORAL HERNIA,4205.0,3364.0,1112.22,3784.5,26
RC,0360,FILLINGS CROWNS PULP TREAT,2700.0,2160.0,714.15,2430.0,26
RC,0360,FINGER PROSTHESIS,2558.0,2046.4,676.59,2302.2,26
RC,0360,FLAP DIVISION & INSET,3961.0,3168.8,1047.68,3564.9,26
RC,0360,FOREIGN BODY RMVL,3372.0,2697.6,891.89,3034.8,26
RC,0360,FRENULECTOMY,1715.0,1372.0,453.62,1543.5,26
RC,0360,FRENULOPLASTY,1619.0,1295.2,428.23,1457.1,26
RC,0360,FRENULOTOMY LABIAL/MOUTH OR LINGUAL,1537.0,1229.6,406.54,1383.3,26
RC,0360,FRONTAL SINUS ABLATION OPEN APPROACH,13879.0,11103.2,3671.0,12491.1,26
RC,0360,FUSION CERVICAL SPINE WITH O-ARM NAVIGATION,21864.0,17491.2,5783.03,19677.6,26
RC,0360,FUSION LUMBAR SPINE W NAVIGAT,24031.0,19224.8,6356.2,21627.9,26
RC,0360,FUSION LUMBAR THORACIC SPINE,20291.0,16232.8,5366.97,18261.9,26
RC,0360,FUSION MID FOOT (TMT),4531.0,3624.8,1198.45,4077.9,26
RC,0360,FUSION SI JOINT,16098.0,12878.4,4257.92,14488.2,26
RC,0360,FUSION SPINAL LENGTHENING,10570.0,8456.0,2795.77,9513.0,26
RC,0360,GANGLION EXCISION,3715.0,2972.0,982.62,3343.5,26
RC,0360,GASTRIC BAND OPEN,14135.0,11308.0,3738.71,12721.5,26
RC,0360,GASTRIC BYPASS,16773.0,13418.4,4436.46,15095.7,26
RC,0360,GASTRIC RESECTION,15543.0,12434.4,4111.12,13988.7,26
RC,0360,GASTRO JEJUNOSTOMY,9903.0,7922.4,2619.34,8912.7,26
RC,0360,GASTROC SLIDE,3989.0,3191.2,1055.09,3590.1,26
RC,0360,GASTROPLASTY,13151.0,10520.8,3478.44,11835.9,26
RC,0360,GASTROSCHESIS CLOSURE,10529.0,8423.2,2784.92,9476.1,26
RC,0360,GENIOGLOSSAL TONGUE ADVANCE,2733.0,2186.4,722.88,2459.7,26
RC,0360,GENIOPLASTY,7792.0,6233.6,2060.98,7012.8,26
RC,0360,GENITOPLASTY,13676.0,10940.8,3617.3,12308.4,26
RC,0360,GINGIVAL GRAFT,7490.0,5992.0,1981.11,6741.0,26
RC,0360,GLOSSECTOMY,11472.0,9177.6,3034.34,10324.8,26
RC,0360,GONIOSYNECHIOLYSIS,4016.0,3212.8,1062.23,3614.4,26
RC,0360,GRAFT EAR CARTILAGE AUTOGENOUS,4109.0,3287.2,1086.83,3698.1,26
RC,0360,GUIDED GROWTH PROCEDURE,4531.0,3624.8,1198.45,4077.9,26
RC,0360,HALO APPLICATION,5703.0,4562.4,1508.44,5132.7,26
RC,0360,HAMMER TOES,4952.0,3961.6,1309.8,4456.8,26
RC,0360,HAMSTRING TRANSFER,3167.0,2533.6,837.67,2850.3,26
RC,0360,HARDWARE REMOVAL,4765.0,3812.0,1260.34,4288.5,26
RC,0360,HEARING TEST WITH ANESTHESIA REV 360,2554.0,2043.2,675.53,2298.6,26
RC,0360,HEEL CORD LENGTHENING,4138.0,3310.4,1094.5,3724.2,26
RC,0360,HELLER MYOTOMY,9708.0,7766.4,2567.77,8737.2,26
RC,0360,HEMATOMA EVACUATION,8564.0,6851.2,2265.18,7707.6,26
RC,0360,HEMIPELVECTOMY,8733.0,6986.4,2309.88,7859.7,26
RC,0360,HIP NAILING,10394.0,8315.2,2749.21,9354.6,26
RC,0360,HIP PROSTHESIS,9200.0,7360.0,2433.4,8280.0,26
RC,0360,HIP SPICA CAST,4618.0,3694.4,1221.46,4156.2,26
RC,0360,HYDROCELE SPERMATOCELE,4208.0,3366.4,1113.02,3787.2,26
RC,0360,HYMENOTOMY,2850.0,2280.0,753.83,2565.0,26
RC,0360,HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY,1978.0,1582.4,523.18,1780.2,26
RC,0360,HYPOGLOSSAL NERVE STIM PLACMNT,29120.0,23296.0,7702.24,26208.0,26
RC,0360,HYPOSPADIAS REPAIR,2892.0,2313.6,764.93,2602.8,26
RC,0360,HYPOTHERMIA REWARMING,9947.0,7957.6,2630.98,8952.3,26
RC,0360,HYSTEROSCOPY,7267.0,5813.6,1922.12,6540.3,26
RC,0360,I & D ABSCESS SMPL SNGL,290.0,232.0,76.71,261.0,26
RC,0360,I AND D,2992.0,2393.6,791.38,2692.8,26
RC,0360,ICD IMPLANT,9947.0,7957.6,2630.98,8952.3,26
RC,0360,ICP SENSOR INSERTION,7546.0,6036.8,1995.92,6791.4,26
RC,0360,ILIAC ANEURYSM,12955.0,10364.0,3426.6,11659.5,26
RC,0360,IM NAILING,9731.0,7784.8,2573.85,8757.9,26
RC,0360,INCARCERATED HERNIA,9563.0,7650.4,2529.41,8606.7,26
RC,0360,INCISIONAL HERNIA,3598.0,2878.4,951.67,3238.2,26
RC,0360,INGROWN TOENAILS,3189.0,2551.2,843.49,2870.1,26
RC,0360,INGUINAL HERNIA,4205.0,3364.0,1112.22,3784.5,26
RC,0360,INJECTION ANTERIOR CHAMBER,1687.0,1349.6,446.21,1518.3,26
RC,0360,INJECTION I-DOSE STENT,1622.0,1297.6,429.02,1459.8,26
RC,0360,INJECTION PHARYNGOPLASTY,3604.0,2883.2,953.26,3243.6,26
RC,0360,INJECTION POSTERIOR CHAMBER EYE W/MEDICATION,1671.0,1336.8,441.98,1503.9,26
RC,0360,INSERT CAROTID STIMULATOR,11520.0,9216.0,3047.04,10368.0,26
RC,0360,INSERT REMOVAL DRAIN,1435.0,1148.0,379.56,1291.5,26
RC,0360,INSERT REMOVL IP PORT,3488.0,2790.4,922.58,3139.2,26
RC,0360,INSERT SHUNT SYRINX PLEURAL,18858.0,15086.4,4987.94,16972.2,26
RC,0360,INSERT TANDEM & OVOID,2572.0,2057.6,680.29,2314.8,26
RC,0360,INSERTION BONE ANCHORED PROSTHESIS,3787.0,3029.6,1001.66,3408.3,26
RC,0360,INSERTION DRUG DELIVERY IMPLANT,526.0,420.8,139.13,473.4,26
RC,0360,INSERTION GENERATOR TREMOR,12553.0,10042.4,3320.27,11297.7,26
RC,0360,INSERTION GLAUCOMA PUMP SHUNT,2500.0,2000.0,661.25,2250.0,26
RC,0360,INSERTION OR REMOVAL TIBIAL NERVE STIMULATOR,6566.0,5252.8,1736.71,5909.4,26
RC,0360,INSERTION REX SHUNT,15570.0,12456.0,4118.27,14013.0,26
RC,0360,INSERTION SMIT SLEEVE,3170.0,2536.0,838.47,2853.0,26
RC,0360,INSERTION VENTRICULAR ASSISTED DEVICE,2631.0,2104.8,695.9,2367.9,26
RC,0360,INTERSTITIAL DEV PLACEMENT,2449.0,1959.2,647.76,2204.1,26
RC,0360,INTESTINAL RESECTION,12137.0,9709.6,3210.24,10923.3,26
RC,0360,INTRATHECAL INJECTION LUMBAR 360REV,2982.0,2385.6,788.74,2683.8,26
RC,0360,IO GAS INJECTION,1731.0,1384.8,457.85,1557.9,26
RC,0360,IRIDECTOMY,2273.0,1818.4,601.21,2045.7,26
RC,0360,IUD INSERTION,1267.0,1013.6,335.12,1140.3,26
RC,0360,KERATECTOMY,1504.0,1203.2,397.81,1353.6,26
RC,0360,KIDNEY TRANSPLANT,12542.0,10033.6,3317.36,11287.8,26
RC,0360,KYPHOPLASTY,8294.0,6635.2,2193.76,7464.6,26
RC,0360,LAC PROBE WSTENT INSERT,2354.0,1883.2,622.63,2118.6,26
RC,0360,LACRIMAL PROBING,2055.0,1644.0,543.55,1849.5,26
RC,0360,LADD PROCEDURE,8729.0,6983.2,2308.82,7856.1,26
RC,0360,LAMINECTOMY DISCECTOMY,20291.0,16232.8,5366.97,18261.9,26
RC,0360,LAMINECTOMY FUSION,20291.0,16232.8,5366.97,18261.9,26
RC,0360,LAMINECTOMY PERCUTANEOUS,20291.0,16232.8,5366.97,18261.9,26
RC,0360,LAP  CYSTECTOMY ROBOTIC,18398.0,14718.4,4866.27,16558.2,26
RC,0360,LAP ABDOMINOPERINEAL RESECTION ROBOTIC,20151.0,16120.8,5329.94,18135.9,26
RC,0360,LAP ACE PROCEDURE,9253.0,7402.4,2447.42,8327.7,26
RC,0360,LAP ADRENALECTOMY,19790.0,15832.0,5234.46,17811.0,26
RC,0360,LAP ADRENALECTOMY ROBOTIC,19790.0,15832.0,5234.46,17811.0,26
RC,0360,LAP APPENDECTOMY,9906.0,7924.8,2620.14,8915.4,26
RC,0360,LAP APPENDECTOMY ROBOTIC,9906.0,7924.8,2620.14,8915.4,26
RC,0360,LAP BAND,7183.0,5746.4,1899.9,6464.7,26
RC,0360,LAP BURCH,6524.0,5219.2,1725.6,5871.6,26
RC,0360,LAP BURCH ROBOTIC,6524.0,5219.2,1725.6,5871.6,26
RC,0360,LAP CAB ROBOTIC,23547.0,18837.6,6228.18,21192.3,26
RC,0360,LAP CHOLE WCD EXP,11802.0,9441.6,3121.63,10621.8,26
RC,0360,LAP CHOLECYSTECTOMY,9906.0,7924.8,2620.14,8915.4,26
RC,0360,LAP COLON RESECTION,19957.0,15965.6,5278.63,17961.3,26
RC,0360,LAP COLON RESECTION ROBOTIC,20755.0,16604.0,5489.7,18679.5,26
RC,0360,LAP DIAG,11873.0,9498.4,3140.41,10685.7,26
RC,0360,LAP DIAGNOSTIC ROBOTIC,11873.0,9498.4,3140.41,10685.7,26
RC,0360,LAP DUODENAL ATRESIA REPAIR,13367.0,10693.6,3535.57,12030.3,26
RC,0360,LAP DUODENAL ILEO-BYPASS ROBOTIC,17240.0,13792.0,4559.98,15516.0,26
RC,0360,LAP ENDO RECTAL PULL-THRU,14502.0,11601.6,3835.78,13051.8,26
RC,0360,LAP ESOPHAGOGASTRECTOMY ROBOT,25478.0,20382.4,6738.93,22930.2,26
RC,0360,LAP FEEDING TUBE,10780.0,8624.0,2851.31,9702.0,26
RC,0360,LAP FEEDING TUBE ROBOTIC,10780.0,8624.0,2851.31,9702.0,26
RC,0360,LAP GASTRIC BAND REMOVAL,8081.0,6464.8,2137.42,7272.9,26
RC,0360,LAP GASTRIC BYPASS,20042.0,16033.6,5301.11,18037.8,26
RC,0360,LAP GASTRIC BYPASS ROBOTIC,20042.0,16033.6,5301.11,18037.8,26
RC,0360,LAP GASTRIC RESECTION,16676.0,13340.8,4410.8,15008.4,26
RC,0360,LAP GASTRIC RESECTION ROBOTIC,16676.0,13340.8,4410.8,15008.4,26
RC,0360,LAP GASTRIC SLEEVE,7489.0,5991.2,1980.84,6740.1,26
RC,0360,LAP GASTRIC SLEEVE ROBOTIC,7489.0,5991.2,1980.84,6740.1,26
RC,0360,LAP HERNIA REP DIAPHRAGMATIC,5808.0,4646.4,1536.22,5227.2,26
RC,0360,LAP HERNIA REPAIR,18832.0,15065.6,4981.06,16948.8,26
RC,0360,LAP HERNIA REPAIR ROBOTIC,18832.0,15065.6,4981.06,16948.8,26
RC,0360,LAP HYSTERECTOMY,24287.0,19429.6,6423.91,21858.3,26
RC,0360,LAP HYSTERECTOMY ROBOTIC,24287.0,19429.6,6423.91,21858.3,26
RC,0360,LAP IP PORT,3213.0,2570.4,849.84,2891.7,26
RC,0360,LAP LADD PROC,4684.0,3747.2,1238.92,4215.6,26
RC,0360,LAP LIVER BIOPSY,4226.0,3380.8,1117.78,3803.4,26
RC,0360,LAP LIVER RESECTION,22722.0,18177.6,6009.97,20449.8,26
RC,0360,LAP LIVER RESECTION ROBOTIC,22722.0,18177.6,6009.97,20449.8,26
RC,0360,LAP MVR ROBOTIC,23547.0,18837.6,6228.18,21192.3,26
RC,0360,LAP MYOMECTOMY,21593.0,17274.4,5711.35,19433.7,26
RC,0360,LAP MYOMECTOMY ROBOTIC,21593.0,17274.4,5711.35,19433.7,26
RC,0360,LAP NEPHRECTOMY,24253.0,19402.4,6414.92,21827.7,26
RC,0360,LAP NEPHRECTOMY DONOR,20755.0,16604.0,5489.7,18679.5,26
RC,0360,LAP NEPHRECTOMY PARTIAL,15212.0,12169.6,4023.57,13690.8,26
RC,0360,LAP NEPHRECTOMY PARTIAL ROBOTIC,15212.0,12169.6,4023.57,13690.8,26
RC,0360,LAP NEPHRECTOMY ROBOTIC,24253.0,19402.4,6414.92,21827.7,26
RC,0360,LAP NEPHROURETERECTOMY,15212.0,12169.6,4023.57,13690.8,26
RC,0360,LAP NEPHROURETERECTOMY ROBOTIC,15212.0,12169.6,4023.57,13690.8,26
RC,0360,LAP NISSEN FUNDOPLICATION,26701.0,21360.8,7062.41,24030.9,26
RC,0360,LAP NISSEN ROBOTIC,26701.0,21360.8,7062.41,24030.9,26
RC,0360,LAP NODE DISSECTION,15367.0,12293.6,4064.57,13830.3,26
RC,0360,LAP NODE DISSECTION ROBOTIC,15367.0,12293.6,4064.57,13830.3,26
RC,0360,LAP OOPHORECTOMY ROBOTIC,11000.0,8800.0,2909.5,9900.0,26
RC,0360,LAP ORCHIOPEXY,8012.0,6409.6,2119.17,7210.8,26
RC,0360,LAP ORCHIOPEXY ROBOTIC,8012.0,6409.6,2119.17,7210.8,26
RC,0360,LAP OSTOMY,17061.0,13648.8,4512.63,15354.9,26
RC,0360,LAP OSTOMY ROBOTIC,17061.0,13648.8,4512.63,15354.9,26
RC,0360,LAP OSTOMY TAKEDOWN ROBOTIC,18100.0,14480.0,4787.45,16290.0,26
RC,0360,LAP OVARIAN CYST ROBOTIC,11090.0,8872.0,2933.31,9981.0,26
RC,0360,LAP PANCREATECTOMY,19674.0,15739.2,5203.77,17706.6,26
RC,0360,LAP PANCREATECTOMY ROBOTIC,19674.0,15739.2,5203.77,17706.6,26
RC,0360,LAP PARATHYROIDECTOMY ROBOTIC,13422.0,10737.6,3550.12,12079.8,26
RC,0360,LAP PERITONEAL DIALYSIS CATH,10200.0,8160.0,2697.9,9180.0,26
RC,0360,LAP PROCTOPEXY,16946.0,13556.8,4482.22,15251.4,26
RC,0360,LAP PROCTOPEXY ROBOTIC,16946.0,13556.8,4482.22,15251.4,26
RC,0360,LAP PROSTATECTOMY ROBOTIC,21497.0,17197.6,5685.96,19347.3,26
RC,0360,LAP PYELOPLASTY,25690.0,20552.0,6795.01,23121.0,26
RC,0360,LAP PYELOPLASTY ROBOTIC,25690.0,20552.0,6795.01,23121.0,26
RC,0360,LAP PYLOROMYOTOMY,9253.0,7402.4,2447.42,8327.7,26
RC,0360,LAP RECTAL PULL THROUGH ROBOTIC,14502.0,11601.6,3835.78,13051.8,26
RC,0360,LAP RELEASE MEDIAN ARCUATE LIGAMENT,11840.0,9472.0,3131.68,10656.0,26
RC,0360,LAP RELEASE MEDIAN ARCUATE LIGAMENT ROBOTIC,11840.0,9472.0,3131.68,10656.0,26
RC,0360,LAP SACROCOLPO  BURCH ROBOTIC,19384.0,15507.2,5127.07,17445.6,26
RC,0360,LAP SACROCOLPOPEXY,20265.0,16212.0,5360.09,18238.5,26
RC,0360,LAP SACROCOLPOPEXY ROBOTIC,20265.0,16212.0,5360.09,18238.5,26
RC,0360,LAP SALPINGECTOMY ROBOTIC,12854.0,10283.2,3399.88,11568.6,26
RC,0360,LAP SALPINGOOPHORECTOMY,12854.0,10283.2,3399.88,11568.6,26
RC,0360,LAP SALPINGOOPHORECTOMY ROBOT,12854.0,10283.2,3399.88,11568.6,26
RC,0360,LAP SEPARATION COMPONENT,11476.0,9180.8,3035.4,10328.4,26
RC,0360,LAP SPLEENECTOMY,21724.0,17379.2,5746.0,19551.6,26
RC,0360,LAP SPLEENECTOMY ROBOTIC,21724.0,17379.2,5746.0,19551.6,26
RC,0360,LAP THORASCOPY ROBOTIC,18592.0,14873.6,4917.58,16732.8,26
RC,0360,LAP TRACHELECTOMY VAGINECTOMY ROBOTIC,24287.0,19429.6,6423.91,21858.3,26
RC,0360,LAP TUBAL,4860.0,3888.0,1285.47,4374.0,26
RC,0360,LAP TUBAL REANASTOMOSIS ROBOTIC,17271.0,13816.8,4568.18,15543.9,26
RC,0360,LAP URETEROIMPLANTATION ROBOTIC,27181.0,21744.8,7189.37,24462.9,26
RC,0360,LAP VAG VAULT SUSP ROBOTIC,18373.0,14698.4,4859.66,16535.7,26
RC,0360,LAP VASECTOMY,5318.0,4254.4,1406.61,4786.2,26
RC,0360,LAP VESICOVAGINAL FISTULA ROBOTIC,10046.0,8036.8,2657.17,9041.4,26
RC,0360,LAPAROSCOPIC APPROACH FOR ERCP,11988.0,9590.4,3170.83,10789.2,26
RC,0360,LAPAROSCOPIC DUODENAL ILEO-BYPASS,17074.0,13659.2,4516.07,15366.6,26
RC,0360,LAPAROSCOPIC DUODENAL SWITCH,16738.0,13390.4,4427.2,15064.2,26
RC,0360,LAPAROSCOPIC DUODENAL SWITCH ROBOTIC,16738.0,13390.4,4427.2,15064.2,26
RC,0360,LAPAROSCOPIC GASTROJEJUNOSTOMY,8871.0,7096.8,2346.38,7983.9,26
RC,0360,LAPAROSCOPIC GASTROJEJUNOSTOMY ROBOTIC,8871.0,7096.8,2346.38,7983.9,26
RC,0360,LAPAROSCOPIC NEPHRECTOMY DONOR ROBOTIC,20755.0,16604.0,5489.7,18679.5,26
RC,0360,LAPAROSCOPIC OVERSEW PERFORATED ULCER,11873.0,9498.4,3140.41,10685.7,26
RC,0360,LAPAROSCOPIC OVERSEW PERFORATED ULCER ROBOTIC,11873.0,9498.4,3140.41,10685.7,26
RC,0360,LAPAROSCOPIC SURGICAL RADIOFREQUENCY ABLATION,14222.0,11377.6,3761.72,12799.8,26
RC,0360,LAPAROSCOPIC VARICOCELECTOMY,11527.0,9221.6,3048.89,10374.3,26
RC,0360,LAPAROSCOPIC WHIPPLE-TYPE PROCEDURE ROBOTIC,27188.0,21750.4,7191.23,24469.2,26
RC,0360,LAPAROSCOPY SURGICAL ORCHIECTOMY,8386.0,6708.8,2218.1,7547.4,26
RC,0360,LAPAROSCOPY WITH RETROPERITONEAL LYMPH NODE SAMPLING,13181.0,10544.8,3486.37,11862.9,26
RC,0360,LAPAROTOMY,10532.0,8425.6,2785.71,9478.8,26
RC,0360,LARYNGECTOMY,11054.0,8843.2,2923.78,9948.6,26
RC,0360,LARYNGOSCOPY,3127.0,2501.6,827.09,2814.3,26
RC,0360,LASER ENUCLEATION PROSTATE HOLEP,8716.0,6972.8,2305.38,7844.4,26
RC,0360,LASER PER PULSE VASC,2.0,1.6,0.53,1.8,26
RC,0360,LASER RESURFACING,1552.0,1241.6,410.5,1396.8,26
RC,0360,LASER TATOO PER PULSE,1.0,0.8,0.26,0.9,26
RC,0360,LASER VAPORIZATION,3722.0,2977.6,984.47,3349.8,26
RC,0360,LEEP,3430.0,2744.0,907.24,3087.0,26
RC,0360,LIGAMENT REPAIR,4531.0,3624.8,1198.45,4077.9,26
RC,0360,LIGAT LONG SAPH VEIN,5888.0,4710.4,1557.38,5299.2,26
RC,0360,LIGAT PERFORATOR VEINS OPEN,4697.0,3757.6,1242.36,4227.3,26
RC,0360,LIGAT SHORT SAPH VEIN,5666.0,4532.8,1498.66,5099.4,26
RC,0360,LIGAT VARICOSE VEIN CLUSTER,6046.0,4836.8,1599.17,5441.4,26
RC,0360,LINX PROCEDURE,3638.0,2910.4,962.25,3274.2,26
RC,0360,LITHOTRIPSIE,15101.0,12080.8,3994.21,13590.9,26
RC,0360,LIVER BIOPSY,7050.0,5640.0,1864.73,6345.0,26
RC,0360,LIVER RESECTION,12325.0,9860.0,3259.96,11092.5,26
RC,0360,LUMBAR PERITONEAL SHUNT,14030.0,11224.0,3710.94,12627.0,26
RC,0360,LUMBAR PROC WCAGES,20291.0,16232.8,5366.97,18261.9,26
RC,0360,LUMBAR PUNCTURE SURGERY,1430.0,1144.0,378.24,1287.0,26
RC,0360,MACE PROCEDURE,12985.0,10388.0,3434.53,11686.5,26
RC,0360,MAMMOPLASTY REDUCTION,4986.0,3988.8,1318.8,4487.4,26
RC,0360,MAND MAXILLARY OSTEOTOMY,17520.0,14016.0,4634.04,15768.0,26
RC,0360,MANDIBULECTOMY,9268.0,7414.4,2451.39,8341.2,26
RC,0360,MANIPULATION INJECTION,3021.0,2416.8,799.05,2718.9,26
RC,0360,MARSHALL MARCHETTI,9771.0,7816.8,2584.43,8793.9,26
RC,0360,MASS EXCISION,3646.0,2916.8,964.37,3281.4,26
RC,0360,MASTECTOMY,9740.0,7792.0,2576.23,8766.0,26
RC,0360,MASTECTOMY MOD RAD  RADICAL,9122.0,7297.6,2412.77,8209.8,26
RC,0360,MASTECTOMY SIMPLE  PARTIAL,9122.0,7297.6,2412.77,8209.8,26
RC,0360,MASTOIDECTOMY,10826.0,8660.8,2863.48,9743.4,26
RC,0360,MASTOPEXY,6411.0,5128.8,1695.71,5769.9,26
RC,0360,MAXILLECTOMY,9268.0,7414.4,2451.39,8341.2,26
RC,0360,MEATOPLASTY URINARY,3109.0,2487.2,822.33,2798.1,26
RC,0360,MEATOTOMY,3109.0,2487.2,822.33,2798.1,26
RC,0360,MEDIAN ARCUATE LIGAMENT RELEAS,12084.0,9667.2,3196.22,10875.6,26
RC,0360,MEDIASTEINOSCOPY,9557.0,7645.6,2527.83,8601.3,26
RC,0360,MEDIASTEINOTOMY,8557.0,6845.6,2263.33,7701.3,26
RC,0360,MENINGIOCELE REPAIR,11003.0,8802.4,2910.29,9902.7,26
RC,0360,MISCELLANEOUS BX,3646.0,2916.8,964.37,3281.4,26
RC,0360,MITRAL VALVE,23547.0,18837.6,6228.18,21192.3,26
RC,0360,MORTONS NEUROMA EXC,5987.0,4789.6,1583.56,5388.3,26
RC,0360,MUSCLE BIOPSY,3289.0,2631.2,869.94,2960.1,26
RC,0360,MUSCLE FLAP,16815.0,13452.0,4447.57,15133.5,26
RC,0360,MYOMECTOMY,9728.0,7782.4,2573.06,8755.2,26
RC,0360,MYRINGOPLASTY,1514.0,1211.2,400.45,1362.6,26
RC,0360,NASAL CAUTERY,2086.0,1668.8,551.75,1877.4,26
RC,0360,NASAL ENDOSCOPY WITH NASAL NERVE ABLATION,4626.0,3700.8,1223.58,4163.4,26
RC,0360,NASAL FRACTURE CLOSED,2896.0,2316.8,765.99,2606.4,26
RC,0360,NASAL SINUS PROCEDURE,4449.0,3559.2,1176.76,4004.1,26
RC,0360,NASAL VALVE IMPLANT,4950.0,3960.0,1309.28,4455.0,26
RC,0360,NAVIGATIONAL BRONCHOSCOPY,7063.0,5650.4,1868.16,6356.7,26
RC,0360,NECK DISSECTION,9269.0,7415.2,2451.65,8342.1,26
RC,0360,NEEDLE APONEUROTOMY,3193.0,2554.4,844.55,2873.7,26
RC,0360,NEPHRECTOMY,14490.0,11592.0,3832.61,13041.0,26
RC,0360,NEPHROLITHOTOMY,11033.0,8826.4,2918.23,9929.7,26
RC,0360,NEPHROURETERECTOMY,12673.0,10138.4,3352.01,11405.7,26
RC,0360,NERVE GRAFT HARVEST,10690.0,8552.0,2827.51,9621.0,26
RC,0360,NERVE REPAIR EXPLORE,10707.0,8565.6,2832.0,9636.3,26
RC,0360,NERVE REPAIR MINOR,4531.0,3624.8,1198.45,4077.9,26
RC,0360,NEURECTOMY,4093.0,3274.4,1082.6,3683.7,26
RC,0360,NEURECTOMY MINOR,4093.0,3274.4,1082.6,3683.7,26
RC,0360,NEURO ENDOSCPY,7454.0,5963.2,1971.58,6708.6,26
RC,0360,NEUROSTIMULATOR PHASE 1,5578.0,4462.4,1475.38,5020.2,26
RC,0360,NEUROSTIMULATOR PHASE 1 & 2,7672.0,6137.6,2029.24,6904.8,26
RC,0360,NEUROSTIMULATOR PHASE 2,4023.0,3218.4,1064.08,3620.7,26
RC,0360,NIPPLE AREOLA RECONSTRUCTION,5011.0,4008.8,1325.41,4509.9,26
RC,0360,NISSEN FUNDOPLICATION,11708.0,9366.4,3096.77,10537.2,26
RC,0360,NODE BIOPSY,4262.0,3409.6,1127.3,3835.8,26
RC,0360,NODE DISSECTION,4740.0,3792.0,1253.73,4266.0,26
RC,0360,ODONTOID FX REPAIR,11821.0,9456.8,3126.65,10638.9,26
RC,0360,OMPHALOCELE,8037.0,6429.6,2125.79,7233.3,26
RC,0360,OOPHERECTOMY,13676.0,10940.8,3617.3,12308.4,26
RC,0360,OPEN APPROACH ANT NECK,3418.0,2734.4,904.06,3076.2,26
RC,0360,OPEN APPROACH GROIN (CUTDOWN),3134.0,2507.2,828.94,2820.6,26
RC,0360,OPEN APPROACH THORACIC,10532.0,8425.6,2785.71,9478.8,26
RC,0360,OPEN LATERAL APPROACH,9814.0,7851.2,2595.8,8832.6,26
RC,0360,OPEN REDUC VOLVULUS INTERNAL HERNIA INTUSSUSCEPTION,7882.0,6305.6,2084.79,7093.8,26
RC,0360,OPEN REDUCTION,4531.0,3624.8,1198.45,4077.9,26
RC,0360,OPEN SEPARATION COMPONENT,13177.0,10541.6,3485.32,11859.3,26
RC,0360,OPEN VEIN HARVEST,4384.0,3507.2,1159.57,3945.6,26
RC,0360,ORBITOTOMY,5886.0,4708.8,1556.85,5297.4,26
RC,0360,ORCHIECTOMY,3702.0,2961.6,979.18,3331.8,26
RC,0360,ORCHIOPEXY,4326.0,3460.8,1144.23,3893.4,26
RC,0360,ORGAN RECOVERY,12309.0,9847.2,3255.73,11078.1,26
RC,0360,ORTHOTRIPSY BILATERAL,19580.0,15664.0,5178.91,17622.0,26
RC,0360,ORTHOTRIPSY UNILATERAL,15138.0,12110.4,4004.0,13624.2,26
RC,0360,OSTECTOMY METATARSAL HEAD,3870.0,3096.0,1023.62,3483.0,26
RC,0360,OSTEOCAPSULAR RELEASE,2840.0,2272.0,751.18,2556.0,26
RC,0360,OSTEOTOMY,4531.0,3624.8,1198.45,4077.9,26
RC,0360,OSTOMY CLOSURE,13233.0,10586.4,3500.13,11909.7,26
RC,0360,OSTOMY PROCEDURE,11173.0,8938.4,2955.26,10055.7,26
RC,0360,OTOPLASTY PINNAPLASTY,2878.0,2302.4,761.23,2590.2,26
RC,0360,OVARIAN CYST,11574.0,9259.2,3061.32,10416.6,26
RC,0360,OVERSEW ULCER,10680.0,8544.0,2824.86,9612.0,26
RC,0360,PACEMAKER,6478.0,5182.4,1713.43,5830.2,26
RC,0360,PACER LEAD MANIPULATION,7200.0,5760.0,1904.4,6480.0,26
RC,0360,PAIN CLINIC PROCEDURE,1879.0,1503.2,497.0,1691.1,26
RC,0360,PAIN CLINIC PROCEDURE W FLURO,1757.0,1405.6,464.73,1581.3,26
RC,0360,PAIN CONTROL PUMP,12930.0,10344.0,3419.99,11637.0,26
RC,0360,PAIN PUMP REV RML,6874.0,5499.2,1818.17,6186.6,26
RC,0360,PALATE REPAIR,10064.0,8051.2,2661.93,9057.6,26
RC,0360,PANCREAS OPERATION,11528.0,9222.4,3049.16,10375.2,26
RC,0360,PANENDOSCOPY,2862.0,2289.6,757.0,2575.8,26
RC,0360,PANNICULECTOMY,8126.0,6500.8,2149.33,7313.4,26
RC,0360,PARATHYROID AUTOTRANSPLANTATION,1544.0,1235.2,408.39,1389.6,26
RC,0360,PARATHYROIDECTOMY,17671.0,14136.8,4673.98,15903.9,26
RC,0360,PAROTID DUCT DIVERT BILATERAL WITH LIGATION BOTH DUCTS,5281.0,4224.8,1396.82,4752.9,26
RC,0360,PAROTIDECTOMY,12860.0,10288.0,3401.47,11574.0,26
RC,0360,PATELLA REVISION,10231.0,8184.8,2706.1,9207.9,26
RC,0360,PATELLECTOMY,8068.0,6454.4,2133.99,7261.2,26
RC,0360,PDA,12752.0,10201.6,3372.9,11476.8,26
RC,0360,PE TUBE INSERT REML,4586.0,3668.8,1213.0,4127.4,26
RC,0360,PE TUBES W SINUS IRRIGATN,1493.0,1194.4,394.9,1343.7,26
RC,0360,PECTUS EXCAVATUM,14308.0,11446.4,3784.47,12877.2,26
RC,0360,PEDICLE FLAP,7684.0,6147.2,2032.42,6915.6,26
RC,0360,PELVIC & PAP SMEAR,1378.0,1102.4,364.48,1240.2,26
RC,0360,PELVIC EVISCERATION,9932.0,7945.6,2627.01,8938.8,26
RC,0360,PELVIOPLASTY,9932.0,7945.6,2627.01,8938.8,26
RC,0360,PENILE FX,3769.0,3015.2,996.9,3392.1,26
RC,0360,PENILE PLICATION,4109.0,3287.2,1086.83,3698.1,26
RC,0360,PENILE PROSTHESIS,11796.0,9436.8,3120.04,10616.4,26
RC,0360,PENOPLASTY,3179.0,2543.2,840.85,2861.1,26
RC,0360,PERC APPROACH THORACIC,3110.0,2488.0,822.6,2799.0,26
RC,0360,PERC IMPLANT NEUROELECTRODE,9168.0,7334.4,2424.94,8251.2,26
RC,0360,PERC NEEDLE INSERT PROS,3980.0,3184.0,1052.71,3582.0,26
RC,0360,PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR SACRAL NERVE WITH FLUOROSCOPY,6319.0,5055.2,1671.38,5687.1,26
RC,0360,PERCUTANEOUS PELVIS FIXATION,4479.0,3583.2,1184.7,4031.1,26
RC,0360,PERICARDECTOMY,6641.0,5312.8,1756.54,5976.9,26
RC,0360,PERICARDIAL WINDOW,7503.0,6002.4,1984.54,6752.7,26
RC,0360,PERICARDIOCENTESIS,2337.0,1869.6,618.14,2103.3,26
RC,0360,PERINEOPLASTY NON-OB,3699.0,2959.2,978.39,3329.1,26
RC,0360,PERIPH RETINAL ABLATION,7606.0,6084.8,2011.79,6845.4,26
RC,0360,PERITONEL DIALYSIS CATH,2899.0,2319.2,766.79,2609.1,26
RC,0360,PHARYNGEAL FLAP,8794.0,7035.2,2326.01,7914.6,26
RC,0360,PHARYNGOPLASTY,3833.0,3066.4,1013.83,3449.7,26
RC,0360,PHENOL INJECTION REV 360,876.0,700.8,231.7,788.4,26
RC,0360,PICC LINE INSERTION,3328.0,2662.4,880.26,2995.2,26
RC,0360,PIN INSERT (TRACTION),4487.0,3589.6,1186.81,4038.3,26
RC,0360,PIP FUSION,4531.0,3624.8,1198.45,4077.9,26
RC,0360,PLACEMENT FIDUCIAL MARKERS,2726.0,2180.8,721.03,2453.4,26
RC,0360,PLANTAR FASCIA RELEASE,3677.0,2941.6,972.57,3309.3,26
RC,0360,POLYDACTYL RELEASE,3286.0,2628.8,869.15,2957.4,26
RC,0360,POPLITEAL ANEURYSM,10366.0,8292.8,2741.81,9329.4,26
RC,0360,PORTACAVAL SHUNT,10411.0,8328.8,2753.71,9369.9,26
RC,0360,POST-OP BLEED OTHER,4532.0,3625.6,1198.71,4078.8,26
RC,0360,POUCHOSCOPY,1202.0,961.6,317.93,1081.8,26
RC,0360,POUCHOSCOPY W BIOPSY,1288.0,1030.4,340.68,1159.2,26
RC,0360,PROFUNDOPLASTY,9223.0,7378.4,2439.48,8300.7,26
RC,0360,PROSTATE BIOPSY,3984.0,3187.2,1053.77,3585.6,26
RC,0360,PROSTATE BX WITH TRUS,3984.0,3187.2,1053.77,3585.6,26
RC,0360,PROSTATECTOMY,11815.0,9452.0,3125.07,10633.5,26
RC,0360,PSEUDOANEURYSM REPAIR,7104.0,5683.2,1879.01,6393.6,26
RC,0360,PTERYGIUM PTOSIS,3507.0,2805.6,927.6,3156.3,26
RC,0360,PUPILLOPLASTY,2344.0,1875.2,619.99,2109.6,26
RC,0360,PYELOPLASTY,11665.0,9332.0,3085.39,10498.5,26
RC,0360,PYLOROMYOTOMY,6239.0,4991.2,1650.22,5615.1,26
RC,0360,PYLOROPLASTY,8259.0,6607.2,2184.51,7433.1,26
RC,0360,QUADRICEPS REPAIR,4644.0,3715.2,1228.34,4179.6,26
RC,0360,RADIAL HEAD EXCISION,5294.0,4235.2,1400.26,4764.6,26
RC,0360,RADICAL NECK DISSECTION,16120.0,12896.0,4263.74,14508.0,26
RC,0360,RADICAL RESECTION TUMOR,14091.0,11272.8,3727.07,12681.9,26
RC,0360,RE-EXPLORE CHEST,7798.0,6238.4,2062.57,7018.2,26
RC,0360,RECONSTRUCTION EAR,7289.0,5831.2,1927.94,6560.1,26
RC,0360,RECTAL DILATATION,2111.0,1688.8,558.36,1899.9,26
RC,0360,RECTAL PROCEDURE,3490.0,2792.0,923.11,3141.0,26
RC,0360,REDUCTION LABIA,3001.0,2400.8,793.76,2700.9,26
RC,0360,REFRACTIVE LENSECTOMY,907.0,725.6,239.9,816.3,26
RC,0360,REIMPLANT HIP,14097.0,11277.6,3728.66,12687.3,26
RC,0360,REIMPLANT KNEE,12726.0,10180.8,3366.03,11453.4,26
RC,0360,REM IMPL MATERIAL ANT SEG EYE,6065.0,4852.0,1604.19,5458.5,26
RC,0360,REMOVAL ATRIAL MYXOMA,22151.0,17720.8,5858.94,19935.9,26
RC,0360,REMOVAL DRUG DELIVERY IMPLANT,526.0,420.8,139.13,473.4,26
RC,0360,REMOVAL LENS MATERIAL,1971.0,1576.8,521.33,1773.9,26
RC,0360,REMOVAL NEUROSTIMULATOR,4272.0,3417.6,1129.94,3844.8,26
RC,0360,REMOVAL PROSTHESIS HIP,11946.0,9556.8,3159.72,10751.4,26
RC,0360,REMOVAL PROSTHESIS KNEE,11157.0,8925.6,2951.03,10041.3,26
RC,0360,REMOVAL PROSTHESIS SHOULDER,12453.0,9962.4,3293.82,11207.7,26
RC,0360,REMOVAL SUTURES,943.0,754.4,249.42,848.7,26
RC,0360,REMOVAL VENOUS ACCESS,3564.0,2851.2,942.68,3207.6,26
RC,0360,REMOVAL VENTRICULAR ASSISTED DEVICE,2154.0,1723.2,569.73,1938.6,26
RC,0360,RENAL BX,8924.0,7139.2,2360.4,8031.6,26
RC,0360,REPAIR ENCEPHALOMYOSYN,8209.0,6567.2,2171.28,7388.1,26
RC,0360,REPAIR HAMSTRING ENDOSCOPIC,7636.0,6108.8,2019.72,6872.4,26
RC,0360,REPAIR IRIS CILIARY BODY,5992.0,4793.6,1584.88,5392.8,26
RC,0360,REPAIR LACERATED VESSEL,10268.0,8214.4,2715.89,9241.2,26
RC,0360,REPAIR LACERATIONS,3309.0,2647.2,875.23,2978.1,26
RC,0360,REPAIR ORONASAL FISTULA,4449.0,3559.2,1176.76,4004.1,26
RC,0360,REPAIR PECTUS EXCAVATUM MINIMALLY INVASIVE,7104.0,5683.2,1879.01,6393.6,26
RC,0360,REPAIR RUPTURED GLOBE,6598.0,5278.4,1745.17,5938.2,26
RC,0360,REPLACE STIMULATOR GENERATOR,11817.0,9453.6,3125.6,10635.3,26
RC,0360,REPLACEMENT GASTROSTOMY TUBE PERCUTANEOUS,3156.0,2524.8,834.76,2840.4,26
RC,0360,REPLACEMENT TRICUSPID VALVE,23547.0,18837.6,6228.18,21192.3,26
RC,0360,REPOSITION DSEK,2386.0,1908.8,631.1,2147.4,26
RC,0360,REPOSITION INTRAOCULAR LENS PROSTHESIS REQUIRE INCISION,1687.0,1349.6,446.21,1518.3,26
RC,0360,REPOSITION STIMULI LEADS,10382.0,8305.6,2746.04,9343.8,26
RC,0360,REPOSITION SUTURE IOL,1687.0,1349.6,446.21,1518.3,26
RC,0360,RESCUE CERCLAGE,4268.0,3414.4,1128.89,3841.2,26
RC,0360,RESECTION REM'L TERATOMA,15659.0,12527.2,4141.81,14093.1,26
RC,0360,RETINAL REATTACHMENT,7058.0,5646.4,1866.84,6352.2,26
RC,0360,REV REML BREAST IMPLANT,3029.0,2423.2,801.17,2726.1,26
RC,0360,REV TIBIAL INSERT EXCHANGE,9124.0,7299.2,2413.3,8211.6,26
RC,0360,REVISION AQUEOUS SHUNT TO EXTRAOCULAR RESERVOIR,6505.0,5204.0,1720.57,5854.5,26
RC,0360,REVISION POCKET NEUROSTIMULATOR,2235.0,1788.0,591.16,2011.5,26
RC,0360,REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT,9368.0,7494.4,2477.84,8431.2,26
RC,0360,RF NEUROLYTIC DEST EA ADD,2055.0,1644.0,543.55,1849.5,26
RC,0360,RF NEUROLYTIC DEST INIT,3224.0,2579.2,852.75,2901.6,26
RC,0360,RF NEUROLYTIC PERIPHERAL NERVE,965.0,772.0,255.24,868.5,26
RC,0360,RHINECTOMY,8121.0,6496.8,2148.0,7308.9,26
RC,0360,RHINOPHYMA,6023.0,4818.4,1593.08,5420.7,26
RC,0360,RHYTIDIOPLASTY,2993.0,2394.4,791.65,2693.7,26
RC,0360,RIB FIXATION,12213.0,9770.4,3230.34,10991.7,26
RC,0360,RIB RESECTION,15036.0,12028.8,3977.02,13532.4,26
RC,0360,RMV DVC INTRAUTERINE 360REV,1090.0,872.0,288.31,981.0,26
RC,0360,RMVL CERUMEN SEP PROC,234.0,187.2,61.89,210.6,26
RC,0360,SACROCOLPOPEXY ABDOMINAL,10224.0,8179.2,2704.25,9201.6,26
RC,0360,SACROSPINOUS LIG REPAIR,10314.0,8251.2,2728.05,9282.6,26
RC,0360,SALPINGECTOMY,4686.0,3748.8,1239.45,4217.4,26
RC,0360,SALPINGOOPHERECTOMY,13351.0,10680.8,3531.34,12015.9,26
RC,0360,SCAR REVISION,3810.0,3048.0,1007.75,3429.0,26
RC,0360,SCLEROTHERAPY MULTI,724.0,579.2,191.5,651.6,26
RC,0360,SCLEROTHERAPY SURGERY,663.0,530.4,175.36,596.7,26
RC,0360,SCLEROTOMY,7430.0,5944.0,1965.24,6687.0,26
RC,0360,SCROTOPLASTY,5846.0,4676.8,1546.27,5261.4,26
RC,0360,SECONDARY LENS IMPLANT,3130.0,2504.0,827.89,2817.0,26
RC,0360,SERIAL CASTING SPINE,4528.0,3622.4,1197.66,4075.2,26
RC,0360,SHIRODKAR,4689.0,3751.2,1240.24,4220.1,26
RC,0360,SHOULDER ARTHROPLASTY,16447.0,13157.6,4350.23,14802.3,26
RC,0360,SHOULDER ARTHROPLASTY HEMI,13447.0,10757.6,3556.73,12102.3,26
RC,0360,SHOULDER ARTHROPLASTY W NAVIGATION,17059.0,13647.2,4512.11,15353.1,26
RC,0360,SHOULDER REPAIR,4348.0,3478.4,1150.05,3913.2,26
RC,0360,SIALENDOSCOPY,9193.0,7354.4,2431.55,8273.7,26
RC,0360,SINUS LAVAGE,557.0,445.6,147.33,501.3,26
RC,0360,SKIN FLAP,11508.0,9206.4,3043.87,10357.2,26
RC,0360,SKIN GRAFT,7626.0,6100.8,2017.08,6863.4,26
RC,0360,SKIN GRAFT MINOR,3777.0,3021.6,999.02,3399.3,26
RC,0360,SLEEVE GASTRECTOMY OPEN,13151.0,10520.8,3478.44,11835.9,26
RC,0360,SPERMATIC VEIN LIGATION,2521.0,2016.8,666.8,2268.9,26
RC,0360,SPINE CENTER PROC W FLUORO,1827.0,1461.6,483.24,1644.3,26
RC,0360,SPINE PROCEDURE WO FLUORO,1397.0,1117.6,369.51,1257.3,26
RC,0360,SPLEENECTOMY,10706.0,8564.8,2831.74,9635.4,26
RC,0360,STAB PHLEBECTOMY,7874.0,6299.2,2082.67,7086.6,26
RC,0360,STAPEDECTOMY,5213.0,4170.4,1378.84,4691.7,26
RC,0360,STEERABLE URETEROSCOPIC RENAL EVACUATION,9247.0,7397.6,2445.83,8322.3,26
RC,0360,STEREOTACTIC BIOPSY,16860.0,13488.0,4459.47,15174.0,26
RC,0360,STERNAL CLOSURE,9637.0,7709.6,2548.99,8673.3,26
RC,0360,STERNOTOMY,7985.0,6388.0,2112.03,7186.5,26
RC,0360,STEROID INJECTION,876.0,700.8,231.7,788.4,26
RC,0360,STIMULATOR INSERTION,17738.0,14190.4,4691.7,15964.2,26
RC,0360,STIMULATOR INSERTION TREMOR,20427.0,16341.6,5402.94,18384.3,26
RC,0360,STRABISMUS,4241.0,3392.8,1121.74,3816.9,26
RC,0360,STYLOIDECTOMY,5213.0,4170.4,1378.84,4691.7,26
RC,0360,SUBMANDIBULAR GLAND EXC,3657.0,2925.6,967.28,3291.3,26
RC,0360,SUBTALAR FUSION,4139.0,3311.2,1094.77,3725.1,26
RC,0360,SUCTION LIPECTOMY,3521.0,2816.8,931.3,3168.9,26
RC,0360,SUPER BRONCH ADD ON,5875.0,4700.0,1553.94,5287.5,26
RC,0360,SUPER BRONCHOSCOPY,5331.0,4264.8,1410.05,4797.9,26
RC,0360,SUPER BRONCHOSCOPY WITH ENDOBRONCHIAL ULTRASOUND,7358.0,5886.4,1946.19,6622.2,26
RC,0360,SURAL NERVE BX,2699.0,2159.2,713.89,2429.1,26
RC,0360,SURG POST-OP MISC PROC W ANES,598.0,478.4,158.17,538.2,26
RC,0360,SURGERY DEFERRED,222.0,177.6,58.72,199.8,26
RC,0360,SYMPATHECTOMY,11466.0,9172.8,3032.76,10319.4,26
RC,0360,SYNDACTYLY REPAIR,4531.0,3624.8,1198.45,4077.9,26
RC,0360,SYNOVECTOMY,4531.0,3624.8,1198.45,4077.9,26
RC,0360,T & A,3869.0,3095.2,1023.35,3482.1,26
RC,0360,TARSAL TUNNEL,3359.0,2687.2,888.46,3023.1,26
RC,0360,TARSORRHAPHY,2887.0,2309.6,763.61,2598.3,26
RC,0360,TE PUNCTURE W VOICE PROS,2877.0,2301.6,760.97,2589.3,26
RC,0360,TEETH EXTRACTION,2338.0,1870.4,618.4,2104.2,26
RC,0360,TEMPORAL ARTERY BX,4312.0,3449.6,1140.52,3880.8,26
RC,0360,TEMPORAL BONE RESECTION,3845.0,3076.0,1017.0,3460.5,26
RC,0360,TENDON REPAIR TRANSFER,5294.0,4235.2,1400.26,4764.6,26
RC,0360,TENOTOMY,3628.0,2902.4,959.61,3265.2,26
RC,0360,TEST BX SPERM IVP,3134.0,2507.2,828.94,2820.6,26
RC,0360,TESTICULAR PROSTHESIS,7235.0,5788.0,1913.66,6511.5,26
RC,0360,TETHERED CORD RELEASE,15206.0,12164.8,4021.99,13685.4,26
RC,0360,THIGH LIFT,9232.0,7385.6,2441.86,8308.8,26
RC,0360,THORACENTESIS SURGERY,1906.0,1524.8,504.14,1715.4,26
RC,0360,THORACIC ANEUR WPUMP,23547.0,18837.6,6228.18,21192.3,26
RC,0360,THORACIC ANEURYSM,17531.0,14024.8,4636.95,15777.9,26
RC,0360,THORACOSCOPY,12598.0,10078.4,3332.17,11338.2,26
RC,0360,THORACOTOMY,15458.0,12366.4,4088.64,13912.2,26
RC,0360,THORASCOPIC LIGATION LAA ROBOTIC,11242.0,8993.6,2973.51,10117.8,26
RC,0360,THROMBECTOMY,8789.0,7031.2,2324.69,7910.1,26
RC,0360,THROMBECTOMY VENOUS MECHANICAL,14398.0,11518.4,3808.27,12958.2,26
RC,0360,THYMECTOMY,8084.0,6467.2,2138.22,7275.6,26
RC,0360,THYROGLOSSAL DUCT,3731.0,2984.8,986.85,3357.9,26
RC,0360,THYROIDECTOMY,15260.0,12208.0,4036.27,13734.0,26
RC,0360,THYROPLASTY,3084.0,2467.2,815.72,2775.6,26
RC,0360,TIF TRANSORAL INCISIONLESS FUNDOPLICATION,13599.0,10879.2,3596.94,12239.1,26
RC,0360,TIP RHINOPLASTY,3160.0,2528.0,835.82,2844.0,26
RC,0360,TISSUE EXPANDER FILL,1315.0,1052.0,347.82,1183.5,26
RC,0360,TISSUE EXPANDER INSERT REMVL,3328.0,2662.4,880.26,2995.2,26
RC,0360,TISSUE GRAFT OTHER,2330.0,1864.0,616.29,2097.0,26
RC,0360,TMJ,10942.0,8753.6,2894.16,9847.8,26
RC,0360,TOE PROSTHESIS,2558.0,2046.4,676.59,2302.2,26
RC,0360,TONSILLECTOMY,3420.0,2736.0,904.59,3078.0,26
RC,0360,TORTION TESTICLE,7418.0,5934.4,1962.06,6676.2,26
RC,0360,TOTAL ANKLE,13997.0,11197.6,3702.21,12597.3,26
RC,0360,TOTAL ELBOW,14554.0,11643.2,3849.53,13098.6,26
RC,0360,TOTAL HIP,18272.0,14617.6,4832.94,16444.8,26
RC,0360,TOTAL HIP ANT W NAVIGATION,15384.0,12307.2,4069.07,13845.6,26
RC,0360,TOTAL HIP MINIMAL,7420.0,5936.0,1962.59,6678.0,26
RC,0360,TOTAL HIP REVISION,22030.0,17624.0,5826.94,19827.0,26
RC,0360,TOTAL HIP ROBOTIC,17635.0,14108.0,4664.46,15871.5,26
RC,0360,TOTAL KNEE,16449.0,13159.2,4350.76,14804.1,26
RC,0360,TOTAL KNEE BILATERAL,16706.0,13364.8,4418.74,15035.4,26
RC,0360,TOTAL KNEE REVISION,17205.0,13764.0,4550.72,15484.5,26
RC,0360,TOTAL KNEE ROBOTIC,15667.0,12533.6,4143.92,14100.3,26
RC,0360,TOTAL KNEE W NAVIGATION,12725.0,10180.0,3365.76,11452.5,26
RC,0360,TOTAL SHOULDER REVISION,18494.0,14795.2,4891.66,16644.6,26
RC,0360,TOTAL SHOULDER REVISION W NAVIGATION,19065.0,15252.0,5042.69,17158.5,26
RC,0360,TOTAL WRIST,12405.0,9924.0,3281.12,11164.5,26
RC,0360,TPRNL PLMT BIODEGRDABL MATRL,2566.0,2052.8,678.71,2309.4,26
RC,0360,TRABECULECTOMY,2785.0,2228.0,736.63,2506.5,26
RC,0360,TRACHEA BALLOON DILATATION,3585.0,2868.0,948.23,3226.5,26
RC,0360,TRACHEAL ESOPHAGEAL FIS,9899.0,7919.2,2618.29,8909.1,26
RC,0360,TRACHELECTOMY,10388.0,8310.4,2747.63,9349.2,26
RC,0360,TRACHEOCUTANEOUS FISTULA CLOSURE,8627.0,6901.6,2281.84,7764.3,26
RC,0360,TRACHEOPLASTY,3736.0,2988.8,988.17,3362.4,26
RC,0360,TRACHEOSTOMY,6773.0,5418.4,1791.46,6095.7,26
RC,0360,TRACHEOSTOMY TUBE EXCHANGE,3223.0,2578.4,852.48,2900.7,26
RC,0360,TRANSCATH STENT CERV CAROTID W/EPS,14582.0,11665.6,3856.94,13123.8,26
RC,0360,TRANSFER SET CHANGE,523.0,418.4,138.33,470.7,26
RC,0360,TRANSORAL EXC PHARYNGEAL MASS,9054.0,7243.2,2394.78,8148.6,26
RC,0360,TRANSPHENOIDAL HYPO,25841.0,20672.8,6834.94,23256.9,26
RC,0360,TRANSPLANT MENISCUS,13684.0,10947.2,3619.42,12315.6,26
RC,0360,TRANSVAG INCISION SLING,5234.0,4187.2,1384.39,4710.6,26
RC,0360,TRIGGER FINGER RELEASE,4342.0,3473.6,1148.46,3907.8,26
RC,0360,TUBAL LIGATION OPEN,4639.0,3711.2,1227.02,4175.1,26
RC,0360,TUBAL PLASTY,11319.0,9055.2,2993.88,10187.1,26
RC,0360,TUR BLADDER TUMOR,6022.0,4817.6,1592.82,5419.8,26
RC,0360,TURBINATE REDUCTION,2825.0,2260.0,747.21,2542.5,26
RC,0360,TURP LASER ASSISTED,8390.0,6712.0,2219.16,7551.0,26
RC,0360,TUV TUR PROSTATE,7173.0,5738.4,1897.26,6455.7,26
RC,0360,TYMPANOMASTOIDECTOMY,4674.0,3739.2,1236.27,4206.6,26
RC,0360,TYMPANOPLASTY,5213.0,4170.4,1378.84,4691.7,26
RC,0360,ULNAR NERVE,4531.0,3624.8,1198.45,4077.9,26
RC,0360,UMBILICAL HERNIA,3900.0,3120.0,1031.55,3510.0,26
RC,0360,UNICONDYLAR KNEE,14739.0,11791.2,3898.47,13265.1,26
RC,0360,UNICONDYLAR KNEE ROBOTIC,16449.0,13159.2,4350.76,14804.1,26
RC,0360,UPP ENDO W PERORAL ENDOSCOPIC MYOTOMY,4803.0,3842.4,1270.39,4322.7,26
RC,0360,UPPP,3833.0,3066.4,1013.83,3449.7,26
RC,0360,URETERECTOMY,7401.0,5920.8,1957.56,6660.9,26
RC,0360,URETEROIMPLANTATION,10862.0,8689.6,2873.0,9775.8,26
RC,0360,URETEROLITHOTOMY,8169.0,6535.2,2160.7,7352.1,26
RC,0360,URETEROLYSIS,7973.0,6378.4,2108.86,7175.7,26
RC,0360,URETEROSACRAL LIGAMENT REPAIR,3333.0,2666.4,881.58,2999.7,26
RC,0360,URETEROSTOMY,9608.0,7686.4,2541.32,8647.2,26
RC,0360,URETHRAL SUSPENSION,7935.0,6348.0,2098.81,7141.5,26
RC,0360,URETHRECTOMY,10011.0,8008.8,2647.91,9009.9,26
RC,0360,URETHROPLASTY,6593.0,5274.4,1743.85,5933.7,26
RC,0360,URETHROTOMY,5279.0,4223.2,1396.3,4751.1,26
RC,0360,URINARY SPHINCTER,8554.0,6843.2,2262.53,7698.6,26
RC,0360,UVULECTOMY,3124.0,2499.2,826.3,2811.6,26
RC,0360,VAG VAULT SUSPENSION,10314.0,8251.2,2728.05,9282.6,26
RC,0360,VAGINAL FISTULA REPAIR,9225.0,7380.0,2440.01,8302.5,26
RC,0360,VAGINAL HYSTERECTOMY,12801.0,10240.8,3385.86,11520.9,26
RC,0360,VAGINAL PLASTY,9956.0,7964.8,2633.36,8960.4,26
RC,0360,VAGINAL TAPING,5234.0,4187.2,1384.39,4710.6,26
RC,0360,VAGINECTOMY,8816.0,7052.8,2331.83,7934.4,26
RC,0360,VAGINOSCOPY,1455.0,1164.0,384.85,1309.5,26
RC,0360,VAGOTOMY,7701.0,6160.8,2036.91,6930.9,26
RC,0360,VARICOCELE VEIN LIGATION,3023.0,2418.4,799.58,2720.7,26
RC,0360,VASCULAR BYPASS,12807.0,10245.6,3387.45,11526.3,26
RC,0360,VASECTOMY,5424.0,4339.2,1434.65,4881.6,26
RC,0360,VASOVASOTOMY,3001.0,2400.8,793.76,2700.9,26
RC,0360,VEIN LIGATION STRIPPING,3166.0,2532.8,837.41,2849.4,26
RC,0360,VENA CAVA FILTER,8947.0,7157.6,2366.48,8052.3,26
RC,0360,VENOUS ACCESS INSERTION,3598.0,2878.4,951.67,3238.2,26
RC,0360,VENTRAL HERNIA,4086.0,3268.8,1080.75,3677.4,26
RC,0360,VENTRICULAR DRAIN,9454.0,7563.2,2500.58,8508.6,26
RC,0360,VENTRICULAR SEPTAL DEFECT,23547.0,18837.6,6228.18,21192.3,26
RC,0360,VENTRICULOMYECTOMY,22861.0,18288.8,6046.73,20574.9,26
RC,0360,VENTRICULOSTOMY,12949.0,10359.2,3425.01,11654.1,26
RC,0360,VESICOSTOMY,9902.0,7921.6,2619.08,8911.8,26
RC,0360,VESTIBULECTOMY,3731.0,2984.8,986.85,3357.9,26
RC,0360,VITRECTOMY,6992.0,5593.6,1849.38,6292.8,26
RC,0360,VITRECTOMY ANTERIOR,2833.0,2266.4,749.33,2549.7,26
RC,0360,VITREOUS WASHOUT,4668.0,3734.4,1234.69,4201.2,26
RC,0360,VOCAL CORD INJECTION,3604.0,2883.2,953.26,3243.6,26
RC,0360,VOCAL CORD STRIPPING,8313.0,6650.4,2198.79,7481.7,26
RC,0360,VP & VA SHUNTS,13950.0,11160.0,3689.78,12555.0,26
RC,0360,VULVECTOMY,8790.0,7032.0,2324.96,7911.0,26
RC,0360,WHIPPLE,15029.0,12023.2,3975.17,13526.1,26
RC,0360,WOUND CLOSURE,7398.0,5918.4,1956.77,6658.2,26
RC,0360,WOUND EXPLORATION,8165.0,6532.0,2159.64,7348.5,26
RC,0360,WRIST FUSION,10009.0,8007.2,2647.38,9008.1,26
RC,0360,X-STOP PROC,7738.0,6190.4,2046.7,6964.2,26
RC,0360,XEN SHUNT,6418.0,5134.4,1697.56,5776.2,26
RC,0360,YAG LASER,718.0,574.4,189.91,646.2,26
RC,0361,SELECT SPEC BRONCH IN RT DEPT THERAPEUTIC,406.0,324.8,107.39,365.4,26
RC,0361,SELECT SPEC BRONCH IN RT DEPT WASH BRUSH,251.0,200.8,66.39,225.9,26
RC,0361,SELECT SPEC BRONCH IN SELECT THERAPEUTIC,320.0,256.0,84.64,288.0,26
RC,0361,SELECT SPEC BRONCH IN SELECT WASH BRUSH,170.0,136.0,44.97,153.0,26
RC,0361,SELECT SPEC PICC / IV PLACEMENT,124.0,99.2,32.8,111.6,26
RC,0361,SELECT SPEC WOUND CARE SERVICES PER HOUR,83.0,66.4,21.95,74.7,26
RC,0370,ANES INHALATION AGENT,5.0,4.0,1.32,4.5,26
RC,0370,ANESTHESIA COMPONENT,1175.0,940.0,310.79,1057.5,26
RC,0370,FIBEROPTIC ASSISTED INTUBATION,321.0,256.8,84.9,288.9,26
RC,0390,ACRIDOSE CONTRACT POOLED  IRR PLATELETS PANEL,1912.0,1529.6,505.72,1720.8,26
RC,0390,ACRIDOSE CONTRACT POOLED PLATELETS PANEL,1331.0,1064.8,352.05,1197.9,26
RC,0410,EXTUBATION,221.0,176.8,58.45,198.9,26
RC,0410,TCM INITIAL DAY,1625.0,1300.0,429.81,1462.5,26
RC,0410,TCM SUBSEQ DAY,1264.0,1011.2,334.33,1137.6,26
RC,0420,CPM SET UP,412.0,329.6,108.97,370.8,26
RC,0420,FAMILY CONFERENCE,136.0,108.8,35.97,122.4,26
RC,0420,JOBST MEASUREMENT,125.0,100.0,33.06,112.5,26
RC,0420,PTS LABOR FOR PT SOLUTONS,24.0,19.2,6.35,21.6,26
RC,0420,SELECT SPEC PHYSICAL THERAPY PER HOUR,81.0,64.8,21.42,72.9,26
RC,0420,TEAM CONFERENCE,136.0,108.8,35.97,122.4,26
RC,0420,THERAPY UNIT CHARGE,153.0,122.4,40.47,137.7,26
RC,0430,EVAL-VIS MOTOR REACTION,166.0,132.8,43.91,149.4,26
RC,0430,HOME ASSESSMENT,94.0,75.2,24.86,84.6,26
RC,0440,TRAVEL,16.0,12.8,4.23,14.4,26
RC,0480,BALLOON PUMP INITIAL DAY,3036.0,2428.8,803.02,2732.4,26
RC,0480,BALLOON PUMP SUBSEQ DAY,1377.0,1101.6,364.22,1239.3,26
RC,0480,ECMO CIRCUIT CHANGE,623.0,498.4,164.78,560.7,26
RC,0480,ECMO INITIAL CANNULATION DAY,23227.0,18581.6,6143.54,20904.3,26
RC,0480,ECMO SUBSEQ DAY,4454.0,3563.2,1178.08,4008.6,26
RC,0480,SELECT SPEC CODE BLUE,413.0,330.4,109.24,371.7,26
RC,0480,SELECT SPEC RAPID RESPONSE TEAM,243.0,194.4,64.27,218.7,26
RC,0511,OFFSITE VISIT,157.0,125.6,41.53,141.3,26
RC,0624,ENDOPROS TRUNK 20X12MMX12*NLU*,10925.0,8740.0,2889.66,9832.5,26
RC,0624,STNT GRAFTVABF3220C11 BIF*NLU*,15000.0,12000.0,3967.5,13500.0,26
RC,0624,STNT GRAFTVABF3620C11 BIF*NLU*,15000.0,12000.0,3967.5,13500.0,26
RC,0624,STNT GRAFTVABF4020*VAT NLU*,15000.0,12000.0,3967.5,13500.0,26
RC,0624,STNT GRAFTVABF4620C11 BIF*NLU*,15000.0,12000.0,3967.5,13500.0,26
RC,0624,STNT GRAFTVABW24*VAT NLU*,9500.0,7600.0,2512.75,8550.0,26
RC,0624,STNT GRAFTVAQW2408C105CVI*NLU*,14375.0,11500.0,3802.19,12937.5,26
RC,0624,STNT GRAFTVATW1620*VAT NLU*,5850.0,4680.0,1547.33,5265.0,26
RC,0624,STNTGRAFT TREOVANCE 22X*DISC*,13800.0,11040.0,3650.1,12420.0,26
RC,0624,STNTGRAFT TREOVANCE15X1*DISC*,13800.0,11040.0,3650.1,12420.0,78
RC,0624,VALV AORTIC PORTICO 23*NLU*,21965.0,17572.0,5809.74,19768.5,26
RC,0636,Ceftazidime For Inj 1 GM,393.15,314.52,103.99,353.84,26
RC,0636,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,390.15,312.12,103.19,351.14,26
RC,0636,"Droperidol Inj 2.5 MG/ML,Droperidol Powder",395.18,316.15,104.53,355.66,26
RC,0636,Magnesium Sulfate Inj 50%,390.61,312.49,103.32,351.55,26
RC,0637,Acarbose Tab 50 MG,1.18,0.95,0.31,1.06,26
RC,0637,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.12,0.9,0.3,1.01,26
RC,0637,Brivaracetam Tab 100 MG,21.1,16.88,5.58,18.99,26
RC,0637,Carbamazepine Tab ER 12HR 100 MG,1.95,1.56,0.52,1.76,26
RC,0637,Carbidopa Tab 25 MG,4.49,3.6,1.19,4.04,26
RC,0637,Carisoprodol Tab 350 MG,1.06,0.85,0.28,0.95,26
RC,0637,Chlordiazepoxide HCl Cap 25 MG,1.61,1.29,0.43,1.45,26
RC,0637,Cinacalcet HCl Tab 30 MG (Base Equiv),1.25,1.0,0.33,1.13,26
RC,0637,Cinacalcet HCl Tab 90 MG (Base Equiv),5.08,4.07,0.8,58.22,78
RC,0637,Clorazepate Dipotassium Tab 3.75 MG,1.86,1.49,0.49,1.67,26
RC,0637,Collagenase Oint 250 Unit/GM,563.83,451.07,149.13,507.45,26
RC,0637,Divalproex Sodium Tab Delayed Release 125 MG,1.05,0.84,0.28,0.95,26
RC,0637,Erythromycin Tab Delayed Release 333 MG,8.85,7.08,2.34,7.97,26
RC,0637,Fluorouracil Cream 5%,73.56,58.85,19.46,66.2,26
RC,0637,Hydrocortisone Acetate w/ Pramoxine Perianal Cream 1-1%,106.42,85.14,28.15,95.78,26
RC,0637,Hydroxyzine HCl Tab 50 MG,1.45,1.16,0.38,1.31,26
RC,0637,Iodine Solution Strong 5% (Lugol's),3.29,2.64,0.87,2.96,26
RC,0637,Lurasidone HCl Tab 40 MG,36.43,29.15,9.64,32.79,26
RC,0637,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.17,0.94,0.31,1.05,26
RC,0637,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.39,1.12,0.37,1.25,26
RC,0637,Mexiletine HCl Cap 200 MG,1.44,1.16,0.38,1.3,26
RC,0637,Montelukast Sodium Tab 10 MG (Base Equiv),1.26,1.01,0.33,1.13,26
RC,0637,Neomycin-Bacitracin-Polymyxin Oint,4.42,3.54,1.17,3.98,26
RC,0637,Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1%,36.55,29.24,9.67,32.9,26
RC,0637,Ondansetron HCl Tab 4 MG,1.7,1.36,0.45,1.53,26
RC,0637,Pilocarpine HCl Ophth Soln 1%,98.43,78.75,26.03,88.59,26
RC,0637,Pimecrolimus Cream 1%,191.68,153.35,50.7,172.51,26
RC,0637,Prednisone Tab 20 MG,1.16,0.93,0.31,1.04,26
RC,0637,Propafenone HCl Tab 150 MG,1.72,1.38,0.45,1.55,26
RC,0637,Rivaroxaban For Susp 1 MG/ML,431.88,345.51,114.23,388.69,26
RC,0637,Tetrahydrozoline HCl Ophth Soln 0.05%,2.76,2.21,0.73,2.48,26
RC,0637,Theophylline Tab ER 24HR 400 MG,1.68,1.35,0.44,1.51,26
RC,0637,Topiramate Tab 100 MG,1.4,1.12,0.37,1.26,26
RC,0637,Trifluoperazine HCl Tab 1 MG (Base Equivalent),1.57,1.26,0.42,1.41,26
RC,0637,Trimethoprim Tab 100 MG,1.29,1.04,0.34,1.16,26
RC,0637,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.84,1.48,0.49,1.66,26
RC,0689,TRAUMA ACTIVATION ALERT/ EVAL,2614.0,2091.2,691.4,2352.6,26
RC,0689,TRAUMA ACTIVATION FULL,8938.0,7150.4,2364.1,8044.2,26
RC,0689,TRAUMA ACTIVATION PARTIAL,7532.0,6025.6,1992.21,6778.8,26
RC,0710,POST ANESTHESIA SERVICES,29.0,23.2,7.67,26.1,26
RC,0720,IUFD DELIVERY,3549.0,2839.2,938.71,3194.1,26
RC,0720,OB CLINIC VISIT,276.0,220.8,73.0,248.4,26
RC,0720,VAGINAL DELIVERY,4559.0,3647.2,1205.86,4103.1,26
RC,0720,VAGINAL DELIVERY - WATERBIRTH,4559.0,3647.2,1205.86,4103.1,26
RC,0729,D&C W DELIVERY,1405.0,1124.0,371.62,1264.5,26
RC,0750,ANOSCOPY,219.0,175.2,57.93,197.1,26
RC,0750,COLON POLYP BX,3805.0,3044.0,1006.42,3424.5,26
RC,0750,COLON POLYP/BX W LOWER EUS,4225.0,3380.0,1117.51,3802.5,26
RC,0750,COLON THERAPUTIC,4150.0,3320.0,1097.68,3735.0,26
RC,0750,COLON W ENDOSCOPIC SUBMUCOSAL DISSECTION,3975.0,3180.0,1051.39,3577.5,26
RC,0750,COLONOSCOPY,3555.0,2844.0,940.3,3199.5,26
RC,0750,COLONOSCOPY W BAND LIGATION,4225.0,3380.0,1117.51,3802.5,26
RC,0750,COLONOSCOPY W ENDOSCOPIC MUCOSAL RESECTION,3975.0,3180.0,1051.39,3577.5,26
RC,0750,COLONOSCOPY W FECAL TRANSPLANT,4340.0,3472.0,1147.93,3906.0,26
RC,0750,COLONOSCOPY W LOWER EUS,3749.0,2999.2,991.61,3374.1,26
RC,0750,COLONOSCOPY W OPTICAL ENDOMICROSCOPY,3717.0,2973.6,983.15,3345.3,26
RC,0750,COLONOSCOPY W OPTICAL ENDOMICROSCOPY BX,3417.0,2733.6,903.8,3075.3,26
RC,0750,DESTRUCT INT HEMORRHOID THERML,2910.0,2328.0,769.7,2619.0,26
RC,0750,ENDOSCOPIC US GUIDED PORTAL PRESSURE GRADIENT MEASUREMENT,2759.0,2207.2,729.76,2483.1,26
RC,0750,ENTEROSCOPY,3797.0,3037.6,1004.31,3417.3,26
RC,0750,ENTEROSCOPY POLYP BX,2749.0,2199.2,727.11,2474.1,26
RC,0750,ENTEROSCOPY SNG BAL THERAP,5062.0,4049.6,1338.9,4555.8,26
RC,0750,ENTEROSCOPY SNG BALLOON,5063.0,4050.4,1339.16,4556.7,26
RC,0750,ENTEROSCOPY SNG BALLOON BX,3843.0,3074.4,1016.47,3458.7,26
RC,0750,ENTEROSCOPY THERAPEUTIC,4030.0,3224.0,1065.94,3627.0,26
RC,0750,ERCP,3883.0,3106.4,1027.05,3494.7,26
RC,0750,ERCP EXTENDED,4574.0,3659.2,1209.82,4116.6,26
RC,0750,ERCP W BALLOON DIL,4677.0,3741.6,1237.07,4209.3,26
RC,0750,ERCP W OPTICAL ENDOMICROSCOPY,4562.0,3649.6,1206.65,4105.8,26
RC,0750,ERCP W SPYGLASS,5200.0,4160.0,1375.4,4680.0,26
RC,0750,ERCP W SPYGLASS & LITHOTRIPSIE,6225.0,4980.0,1646.51,5602.5,26
RC,0750,ERCP W STENT INSERTION,4677.0,3741.6,1237.07,4209.3,26
RC,0750,ESOPHAGEAL DILATION GI,788.0,630.4,208.43,709.2,26
RC,0750,HEMORRHOID BANDING,1576.0,1260.8,416.85,1418.4,26
RC,0750,ILEOSCOPY,1097.0,877.6,290.16,987.3,26
RC,0750,ILEOSCOPY W BX,1645.0,1316.0,435.1,1480.5,26
RC,0750,SIG FLEX W BAND LIGATION,1478.0,1182.4,390.93,1330.2,26
RC,0750,SIGMOID FLEX THERAPEUTIC,1343.0,1074.4,355.22,1208.7,26
RC,0750,SIGMOID FLEX W BX & EUS,3120.0,2496.0,825.24,2808.0,26
RC,0750,SIGMOID FLEX W DILATATION,1163.0,930.4,307.61,1046.7,26
RC,0750,SIGMOID FLEX WUS,2836.0,2268.8,750.12,2552.4,26
RC,0750,SIGMOIDOSCOPY FLEX WBX,1167.0,933.6,308.67,1050.3,26
RC,0750,SIGMOIDOSCOPY FLEXIBLE,1315.0,1052.0,347.82,1183.5,26
RC,0750,UPP ENDO FOREIGN BODY,3282.0,2625.6,868.09,2953.8,26
RC,0750,UPP ENDO THERAPEUTIC,3432.0,2745.6,907.76,3088.8,26
RC,0750,UPP ENDO W EUS,4663.0,3730.4,1233.36,4196.7,26
RC,0750,UPP ENDO W EUS & CYSTOGASTROSTOMY,4752.0,3801.6,1256.9,4276.8,26
RC,0750,UPP ENDO W EUS EXT,4566.0,3652.8,1207.71,4109.4,26
RC,0750,UPP ENDO W EUS EXT FNA BX,5023.0,4018.4,1328.58,4520.7,26
RC,0750,UPP ENDO W EUS EXT FNA BX OE,4820.0,3856.0,1274.89,4338.0,26
RC,0750,UPP ENDO W EUS EXT OE,4991.0,3992.8,1320.12,4491.9,26
RC,0750,UPP ENDO W EUS FNA BX,4898.0,3918.4,1295.52,4408.2,26
RC,0750,UPP ENDO W HALO,4211.0,3368.8,1113.81,3789.9,26
RC,0750,UPP ENDO W OPTICAL ENDOMICROSCOPY & HALO,3999.0,3199.2,1057.74,3599.1,26
RC,0750,UPP ENDO W STENT INSERTION,3889.0,3111.2,1028.64,3500.1,26
RC,0750,UPP ENDO WSAVORY DIL,3848.0,3078.4,1017.8,3463.2,26
RC,0750,UPPER ENDOSCOPY,3498.0,2798.4,925.22,3148.2,26
RC,0750,UPPER ENDOSCOPY W DILATATION,3848.0,3078.4,1017.8,3463.2,26
RC,0750,UPPER ENDOSCOPY W ENDOSCOPIC MUCOSAL RESECTION,4803.0,3842.4,1270.39,4322.7,26
RC,0750,UPPER ENDOSCOPY W OPTICAL ENDOMICROSCOPY,4539.0,3631.2,1200.57,4085.1,26
RC,0750,UPPER ENDOSCOPY W OPTICAL ENDOMICROSCOPY BX,4651.0,3720.8,1230.19,4185.9,26
RC,0750,UPPER ENDOSCOPY W PEG,3773.0,3018.4,997.96,3395.7,26
RC,0750,UPPER ENDOSCOPY WBIOPSY,3673.0,2938.4,971.51,3305.7,26
RC,0750,UPPER W ENDOSCOPIC SUBMUCOSAL DISSECTION,4803.0,3842.4,1270.39,4322.7,26
RC,0761,TX RM PEDS UROLOGY PROCEDURE OP,2631.0,2104.8,695.9,2367.9,26
RC,0770,FLUORIDE VARNISH,30.0,24.0,7.94,62.0,26
RC,0801,CRRT DAILY CHARGE,2025.0,1620.0,535.61,1822.5,26
RC,0801,HEMODIALYSIS IP,2025.0,1620.0,535.61,1822.5,26
RC,0801,SELECT SPEC ACUTE HEMODIALYSIS,390.0,312.0,103.16,351.0,26
RC,0802,PERITONEAL IP NON-ESRD,2025.0,1620.0,535.61,1822.5,26
RC,0803,CAPD IP,1450.0,1160.0,383.53,1305.0,26
RC,0804,CCPD IP,1450.0,1160.0,383.53,1305.0,26
RC,0804,SELECT SPEC PERIT DIALYSIS CYCLER W TRANSFER SET,244.0,195.2,64.54,219.6,26
RC,0804,SELECT SPEC PERITONEAL DIALYSIS CYCLER ONLY,246.0,196.8,65.07,221.4,26
RC,0811,LIVE DONOR KIDNEY ACQUIS,83376.0,66700.8,22052.95,75038.4,26
RC,0812,KIDNEY STANDARD ACQUIS,83376.0,66700.8,22052.95,75038.4,26
RC,0940,SELECT SPEC PLASMA APHERESIS,496.0,396.8,131.19,446.4,26
RC,0941,RECREATION THERAPY,117.0,93.6,30.95,105.3,26
RC,0942,COPD EDUCATION 1 PT EA 30MINS PULMONARY,130.0,104.0,34.39,117.0,26
RC,0942,DIABETES CONSLT 15MINS SELECT,65.0,52.0,17.19,58.5,26
RC,0942,MNT CHG DX 30 MIN GP,43.0,34.4,11.37,38.7,26
RC,0942,NUTRITION CONSULTATION,43.0,34.4,11.37,38.7,26
RC,0942,SELECT SPEC DIABETES EDUCATION PER HOUR,58.0,46.4,15.34,52.2,26
RC,0942,SELECT SPEC NUTRITIONAL CONSULTS PER 15 MINS,30.0,24.0,7.94,27.0,26
RC,0942,WEIGHT MANAGEMENT CLASS 30 MIN,43.0,34.4,11.37,38.7,26